Hospital Chicago-Naperville-Elgin, IL-IN

Northwest Health - Porter

Northwest Health - Porter in Valparaiso, IN publishes cash prices for 426 common procedures listed here, from its own machine-readable price file updated Dec 19, 2024. Compared with other hospitals in the state, its outpatient cash prices are above the Indiana median for 246 of 422 procedures and below it for 176. Select a procedure to compare it with other hospitals nearby.

85 East U.S. Hwy 6, Valparaiso, IN 46383 Collected Nov 12, 2026 Source price file Check a bill from this hospital

CMS price transparency record

The federal Centers for Medicare & Medicaid Services (CMS) enforces the rule that makes hospitals publish their prices. Its public enforcement list shows 2 actions for a hospital named Northwest Health - Porter in Valparaiso, IN:

Sep 26, 2024 Warning notice
Jan 6, 2025 Case closed

Warning notice: CMS reviewed the hospital and told it that it had found possible violations of the price transparency rules. Case closed: CMS closed the case after the hospital addressed the problems.

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

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs Indiana	Off list
Abdominal CT scan without and with contrast CPT 74170 CT-ABDOMEN WWO	$1,958.13	$7,252.35	$158.22–$6,382.07	44% above	73%
Abdominal CT scan without and with contrast inpatient CPT 74170 CT-ABDOMEN WWO	$2,610.85	$7,252.35	$1,740.56–$6,382.07	—	64%
Abdominal X-ray, 2 views CPT 74019 CH-ABDOMEN 2 VWS DR	$167.83	$621.60	$23.80–$547.01	38% below	73%
Abdominal X-ray, 2 views inpatient CPT 74019 CH-ABDOMEN 2 VWS DR	$223.78	$621.60	$149.18–$547.01	—	64%
Ankle X-ray, complete, 3 or more views CPT 73610 LE-ANKLE 3VPLUS DR	$198.45	$735.00	$25.94–$646.80	1% above	73%
Ankle X-ray, complete, 3 or more views inpatient CPT 73610 LE-ANKLE 3VPLUS DR	$264.60	$735.00	$176.40–$646.80	—	64%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 US-EXT ARTERIAL LTD	$109.71	$406.35	$64.78–$1,120.00	70% below	73%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 NI-EXT ARTERIAL LTD	$109.71	$406.35	$64.78–$1,120.00	70% below	73%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 NI-EXT ARTERIAL LTD	$146.29	$406.35	$97.52–$357.59	—	64%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 US-EXT ARTERIAL LTD	$146.29	$406.35	$97.52–$357.59	—	64%
Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 CT-UPPER EXT WO	$618.60	$2,291.10	$94.68–$2,016.17	23% below	73%
Arm CT scan without contrast (shoulder to hand, any part) inpatient CPT 73200 CT-UPPER EXT WO	$824.80	$2,291.10	$549.86–$2,016.17	—	64%
Barium swallow (esophagus X-ray with contrast) CPT 74220 FL-ESOPHAGUS	$301.64	$1,117.20	$63.69–$983.14	35% below	73%
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 FL-ESOPHAGUS	$402.19	$1,117.20	$268.13–$983.14	—	64%
Bone scan, whole body (nuclear medicine) CPT 78306 NM-BONE SCAN BODY	$1,424.02	$5,274.15	$206.19–$4,641.25	10% below	73%
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 NM-BONE SCAN BODY	$1,898.69	$5,274.15	$1,265.80–$4,641.25	—	64%
Breast ultrasound, complete, one breast CPT 76641 US-BREAST COMPLETE	$419.01	$1,551.90	$62.77–$1,365.67	3% below	73%
Breast ultrasound, complete, one breast inpatient CPT 76641 US-BREAST COMPLETE	$558.68	$1,551.90	$372.46–$1,365.67	—	64%
Breast ultrasound, limited (one breast or one area) CPT 76642 US-BREAST LIMITED	$419.01	$1,551.90	$48.65–$1,365.67	29% above	73%
Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 US-BREAST LIMITED	$558.68	$1,551.90	$372.46–$1,365.67	—	64%
CT angiography (CTA) of the abdomen and pelvis CPT 74174 CTA-ABDOMEN PELVIS	$2,911.26	$10,782.45	$264.59–$9,488.56	54% above	73%
CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 CTA-ABDOMEN PELVIS	$3,881.68	$10,782.45	$2,587.79–$9,488.56	—	64%
CT angiography (CTA) of the head CPT 70496 CTA-HEAD	$1,556.98	$5,766.60	$158.22–$5,074.61	22% above	73%
CT angiography (CTA) of the head inpatient CPT 70496 CTA-HEAD	$2,075.98	$5,766.60	$1,383.98–$5,074.61	—	64%
CT angiography (CTA) of the neck CPT 70498 CTA-NECK	$1,556.98	$5,766.60	$158.22–$5,074.61	28% above	73%
CT angiography (CTA) of the neck inpatient CPT 70498 CTA-NECK	$2,075.98	$5,766.60	$1,383.98–$5,074.61	—	64%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CTA-CHEST	$1,556.98	$5,766.60	$158.22–$5,074.61	22% above	73%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CTA-CHEST	$2,075.98	$5,766.60	$1,383.98–$5,074.61	—	64%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CT-HT CARD FUNC W	$1,059.16	$3,922.80	$158.22–$3,452.06	26% above	73%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 CT-HT CARD FUNC W	$1,412.21	$3,922.80	$941.47–$3,452.06	—	64%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT-HEART WO QUAL	$326.59	$1,209.60	$69.07–$1,295.00	75% above	73%
CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 CT-HEART WO QUAL	$435.46	$1,209.60	$290.30–$1,064.45	—	64%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT-ABD PELVIS WO	$2,206.76	$8,173.20	$97.62–$7,192.42	84% above	73%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT-ABD PELVIS WO	$2,942.35	$8,173.20	$1,961.57–$7,192.42	—	64%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT-ABD PELVIS W	$2,975.05	$11,018.70	$208.10–$9,696.46	73% above	73%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT-ABD PELVIS W	$3,966.73	$11,018.70	$2,644.49–$9,696.46	—	64%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT-ABD PELVIS WWO	$4,262.14	$15,785.70	$234.96–$13,891.42	149% above	73%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT-ABD PELVIS WWO	$5,682.85	$15,785.70	$3,788.57–$13,891.42	—	64%
CT scan of the abdomen with contrast CPT 74160 CT-ABDOMEN W	$1,526.36	$5,653.20	$158.22–$4,974.82	43% above	73%
CT scan of the abdomen with contrast inpatient CPT 74160 CT-ABDOMEN W	$2,035.15	$5,653.20	$1,356.77–$4,974.82	—	64%
CT scan of the abdomen without contrast CPT 74150 CT-ABDOMEN WO	$1,103.67	$4,087.65	$77.51–$3,597.13	31% above	73%
CT scan of the abdomen without contrast inpatient CPT 74150 CT-ABDOMEN WO	$1,471.55	$4,087.65	$981.04–$3,597.13	—	64%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT-MAXILLOFACIAL WO	$1,103.67	$4,087.65	$83.94–$3,597.13	32% above	73%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT-MAXILLOFACIAL WO	$1,471.55	$4,087.65	$981.04–$3,597.13	—	64%
CT scan of the head or brain, no contrast dye CPT 70450 CT-HEAD WO	$1,011.24	$3,745.35	$63.39–$3,295.91	32% above	73%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT-HEAD WO	$1,348.33	$3,745.35	$898.88–$3,295.91	—	64%
CT scan of the head with contrast CPT 70460 CT-HEAD W	$1,563.22	$5,789.70	$91.01–$5,094.94	83% above	73%
CT scan of the head with contrast inpatient CPT 70460 CT-HEAD W	$2,084.29	$5,789.70	$1,389.53–$5,094.94	—	64%
CT scan of the head without and with contrast CPT 70470 CT-HEAD WWO	$1,641.18	$6,078.45	$108.67–$5,349.04	57% above	73%
CT scan of the head without and with contrast inpatient CPT 70470 CT-HEAD WWO	$2,188.24	$6,078.45	$1,458.83–$5,349.04	—	64%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT-LUMB SPINE WO	$1,103.67	$4,087.65	$78.74–$3,597.13	25% above	73%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT-LUMB SPINE WO	$1,471.55	$4,087.65	$981.04–$3,597.13	—	64%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT-CERV SPINE WO	$1,103.67	$4,087.65	$79.66–$3,597.13	32% above	73%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT-CERV SPINE WO	$1,471.55	$4,087.65	$981.04–$3,597.13	—	64%
CT scan of the pelvis, with contrast dye CPT 72193 CT-PELVIS W	$1,447.83	$5,362.35	$158.22–$4,718.87	57% above	73%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT-PELVIS W	$1,930.45	$5,362.35	$1,286.96–$4,718.87	—	64%
Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 US-CAROTID DPLX SCAN	$589.11	$2,181.90	$140.13–$1,920.07	38% below	73%
Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 US-CRAN DPLX SCN BIL	$589.11	$2,181.90	$140.13–$1,920.07	38% below	73%
Carotid artery ultrasound (duplex), both sides of the neck inpatient CPT 93880 US-CRAN DPLX SCN BIL	$785.48	$2,181.90	$523.66–$1,920.07	—	64%
Carotid artery ultrasound (duplex), both sides of the neck inpatient CPT 93880 US-CAROTID DPLX SCAN	$785.48	$2,181.90	$523.66–$1,920.07	—	64%
Chest CT scan without and with contrast CPT 71270 CT-CHEST DIAG WWO	$1,958.13	$7,252.35	$131.38–$6,382.07	80% above	73%
Chest CT scan without and with contrast inpatient CPT 71270 CT-CHEST DIAG WWO	$2,610.85	$7,252.35	$1,740.56–$6,382.07	—	64%
Chest X-ray, 2 views CPT 71046 CH-CHEST 2V DR	$254.02	$940.80	$21.34–$827.90	23% above	73%
Chest X-ray, 2 views inpatient CPT 71046 CH-CHEST 2V DR	$338.69	$940.80	$225.79–$827.90	—	64%
Chest X-ray, single view CPT 71045 CH-CHEST 1V DR	$137.78	$510.30	$15.82–$449.06	15% below	73%
Chest X-ray, single view inpatient CPT 71045 CH-CHEST 1V DR	$183.71	$510.30	$122.47–$449.06	—	64%
Collarbone (clavicle) X-ray, complete CPT 73000 UE-CLAVICLE DR	$198.45	$735.00	$22.56–$646.80	3% above	73%
Collarbone (clavicle) X-ray, complete inpatient CPT 73000 UE-CLAVICLE DR	$264.60	$735.00	$176.40–$646.80	—	64%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US-ABDOMEN RETROPER	$618.60	$2,291.10	$67.68–$2,016.17	23% above	73%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US-ABDOMEN RETROPER	$824.80	$2,291.10	$549.86–$2,016.17	—	64%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 DEXA AXIAL	$265.92	$984.90	$27.17–$866.71	8% below	73%
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 DEXA AXIAL	$354.56	$984.90	$236.38–$866.71	—	64%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 DEXA PERIPHERAL	$117.65	$435.75	$20.41–$383.46	19% below	73%
DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 DEXA PERIPHERAL	$156.87	$435.75	$104.58–$383.46	—	64%
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 US-PLV PRG 2T DETAIL	$741.92	$2,747.85	$80.89–$2,418.11	32% above	73%
Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 US-PLV PRG 2T DETAIL	$989.23	$2,747.85	$659.48–$2,418.11	—	64%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT-CHEST DIAG WO	$1,103.67	$4,087.65	$78.74–$3,597.13	32% above	73%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT-CHEST DIAG WO	$1,471.55	$4,087.65	$981.04–$3,597.13	—	64%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT-CHEST DIAG W	$1,526.36	$5,653.20	$107.13–$4,974.82	63% above	73%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT-CHEST DIAG W	$2,035.15	$5,653.20	$1,356.77–$4,974.82	—	64%
Diagnostic mammogram, both breasts both sides CPT 77066 BR-DIG MAMMO BILAT	$238.14	$882.00	$91.06–$776.16	—	73%
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 BR-DIG MAMMO BILAT	$317.52	$882.00	$211.68–$776.16	—	64%
Diagnostic mammogram, one breast one side CPT 77065 BR-DIG MAMMO UNILAT	$162.45	$601.65	$71.09–$529.45	27% below	73%
Diagnostic mammogram, one breast inpatient one side CPT 77065 BR-DIG MAMMO UNILAT	$216.59	$601.65	$144.40–$529.45	—	64%
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 US-LW EXT DPX ART BI	$655.17	$2,426.55	$186.63–$2,135.36	—	73%
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 NI-LW EXT DPX ART BI	$655.17	$2,426.55	$186.63–$2,135.36	—	73%
Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 NI-LW EXT DPX ART BI	$873.56	$2,426.55	$582.37–$2,135.36	—	64%
Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 US-LW EXT DPX ART BI	$873.56	$2,426.55	$582.37–$2,135.36	—	64%
Duplex ultrasound of the leg veins, both legs CPT 93970 NI-EXT VEINS DPLX WC	$671.61	$2,487.45	$141.96–$2,188.96	49% below	73%
Duplex ultrasound of the leg veins, both legs CPT 93970 US-EXT VEINS DPLX WC	$671.61	$2,487.45	$141.96–$2,188.96	49% below	73%
Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 US-EXT VEINS DPLX WC	$895.48	$2,487.45	$596.99–$2,188.96	—	64%
Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 NI-EXT VEINS DPLX WC	$895.48	$2,487.45	$596.99–$2,188.96	—	64%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 NI-TTE 2D W DOPP	$790.11	$2,926.35	$118.33–$2,575.19	52% below	73%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 NI-TTE 2D W DOPP	$1,053.49	$2,926.35	$702.32–$2,575.19	—	64%
Elbow X-ray, 2 views CPT 73070 UE-ELBOW 2V DR	$148.55	$550.20	$19.49–$484.18	10% below	73%
Elbow X-ray, 2 views inpatient CPT 73070 UE-ELBOW 2V DR	$198.07	$550.20	$132.05–$484.18	—	64%
Elbow X-ray, complete, 3 or more views CPT 73080 UE-ELBOW 3V DR	$198.45	$735.00	$22.56–$646.80	22% below	73%
Elbow X-ray, complete, 3 or more views inpatient CPT 73080 UE-ELBOW 3V DR	$264.60	$735.00	$176.40–$646.80	—	64%
Eye socket (orbit) CT scan without contrast CPT 70480 CT-ORBIT EAR WO	$1,103.67	$4,087.65	$94.24–$3,597.13	30% above	73%
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 CT-ORBIT EAR WO	$1,471.55	$4,087.65	$981.04–$3,597.13	—	64%
Facial bones X-ray, complete, 3 or more views CPT 70150 HE-FACIAL BNES 3V DR	$198.45	$735.00	$32.08–$646.80	27% below	73%
Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 HE-FACIAL BNES 3V DR	$264.60	$735.00	$176.40–$646.80	—	64%
Forearm X-ray (radius and ulna), 2 views CPT 73090 UE-FOREARM 2V DR	$198.45	$735.00	$19.80–$646.80	8% above	73%
Forearm X-ray (radius and ulna), 2 views inpatient CPT 73090 UE-FOREARM 2V DR	$264.60	$735.00	$176.40–$646.80	—	64%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 NM-HEPATOBILIARY SYS	$929.31	$3,441.90	$240.80–$3,028.87	29% below	73%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 NM-HEPATOBILIARY SYS	$1,239.08	$3,441.90	$826.06–$3,028.87	—	64%
Hand X-ray, 2 views CPT 73120 UE-HAND 2V DR	$138.35	$512.40	$21.64–$450.91	19% below	73%
Hand X-ray, 2 views inpatient CPT 73120 UE-HAND 2V DR	$184.46	$512.40	$122.98–$450.91	—	64%
Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 LE-CALCANEUS 2PLS DR	$138.35	$512.40	$19.19–$450.91	35% below	73%
Heel bone (calcaneus) X-ray, 2 or more views inpatient CPT 73650 LE-CALCANEUS 2PLS DR	$184.46	$512.40	$122.98–$450.91	—	64%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 POLYS-CPAP GT4 GE6YO	$2,045.74	$7,576.80	$487.51–$6,667.58	37% below	73%
In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 POLYS-CPAP GT4 GE6YO	$2,727.65	$7,576.80	$1,818.43–$6,667.58	—	64%
Knee X-ray, 3 views CPT 73562 LE-KNEE 3V DR	$198.45	$735.00	$29.31–$646.80	13% below	73%
Knee X-ray, 3 views inpatient CPT 73562 LE-KNEE 3V DR	$264.60	$735.00	$176.40–$646.80	—	64%
Knee X-ray, complete, 4 or more views CPT 73564 LE-KNEE 4V PLUS DR	$221.13	$819.00	$33.31–$720.72	15% below	73%
Knee X-ray, complete, 4 or more views inpatient CPT 73564 LE-KNEE 4V PLUS DR	$294.84	$819.00	$196.56–$720.72	—	64%
Leg CT scan without contrast (hip to foot, any part) CPT 73700 CT-LOWER EXT WO	$1,282.27	$4,749.15	$79.04–$4,179.25	64% above	73%
Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 CT-LOWER EXT WO	$1,709.69	$4,749.15	$1,139.80–$4,179.25	—	64%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US-ABDOMEN LTD WO	$416.18	$1,541.40	$54.78–$1,356.43	9% below	73%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US-ABDOMEN LTD WO	$554.90	$1,541.40	$369.94–$1,356.43	—	64%
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 US-EXT LTD JNT UNI	$111.42	$412.65	$28.40–$363.13	63% below	73%
Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 US-EXT LTD JNT UNI	$148.55	$412.65	$99.04–$363.13	—	64%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT-LUNG LOWDSE SC WO	$132.96	$492.45	$82.89–$1,295.00	30% below	73%
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 CT-LUNG LOWDSE SC WO	$177.28	$492.45	$118.19–$433.36	—	64%
Lower leg X-ray (tibia and fibula), 2 views CPT 73590 LE-TIB FIB 2V DR	$138.35	$512.40	$21.95–$450.91	30% below	73%
Lower leg X-ray (tibia and fibula), 2 views inpatient CPT 73590 LE-TIB FIB 2V DR	$184.46	$512.40	$122.98–$450.91	—	64%
MR angiography (MRA) of the head without contrast CPT 70544 MRA-HEAD WO	$1,131.17	$4,189.50	$152.10–$3,686.76	1% above	73%
MR angiography (MRA) of the head without contrast inpatient CPT 70544 MRA-HEAD WO	$1,508.22	$4,189.50	$1,005.48–$3,686.76	—	64%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MR-LW JOINT WO	$1,130.31	$4,186.35	$132.91–$3,683.99	10% above	73%
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 MR-LW JOINT WO	$1,507.09	$4,186.35	$1,004.72–$3,683.99	—	64%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MR-LW JOINT WWO	$2,285.29	$8,464.05	$272.10–$7,448.36	58% above	73%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 MR-LW JOINT WWO	$3,047.06	$8,464.05	$2,031.37–$7,448.36	—	64%
MRI of the abdomen without contrast CPT 74181 MR-ABDOMEN WO	$1,466.83	$5,432.70	$122.17–$4,780.78	37% above	73%
MRI of the abdomen without contrast inpatient CPT 74181 MR-ABDOMEN WO	$1,955.77	$5,432.70	$1,303.85–$4,780.78	—	64%
MRI of the abdomen, without and then with contrast dye CPT 74183 MR-ABDOMEN WWO	$2,159.99	$7,999.95	$225.14–$7,039.96	37% above	73%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MR-ABDOMEN WWO	$2,879.98	$7,999.95	$1,919.99–$7,039.96	—	64%
MRI of the brain, no contrast dye CPT 70551 MR-BRAIN WO	$1,386.60	$5,135.55	$121.55–$4,519.28	36% above	73%
MRI of the brain, no contrast dye inpatient CPT 70551 MR-BRAIN WO	$1,848.80	$5,135.55	$1,232.53–$4,519.28	—	64%
MRI of the brain, with and without contrast dye CPT 70553 MR-BRAIN WWO	$2,175.01	$8,055.60	$202.43–$7,088.93	66% above	73%
MRI of the brain, with and without contrast dye inpatient CPT 70553 MR-BRAIN WWO	$2,900.02	$8,055.60	$1,933.34–$7,088.93	—	64%
MRI of the lower back, no contrast dye CPT 72148 MR-LUMB SPINE WO	$1,439.33	$5,330.85	$116.65–$4,691.15	42% above	73%
MRI of the lower back, no contrast dye inpatient CPT 72148 MR-LUMB SPINE WO	$1,919.11	$5,330.85	$1,279.40–$4,691.15	—	64%
MRI of the lower back, without and then with contrast dye CPT 72158 MR-LUMB SPINE WWO	$2,280.47	$8,446.20	$203.04–$7,432.66	56% above	73%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MR-LUMB SPINE WWO	$3,040.63	$8,446.20	$2,027.09–$7,432.66	—	64%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MR-THOR SPINE WO	$1,379.79	$5,110.35	$116.03–$4,497.11	37% above	73%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MR-THOR SPINE WO	$1,839.73	$5,110.35	$1,226.48–$4,497.11	—	64%
MRI of the neck (cervical spine) without and with contrast CPT 72156 MR-CERV SPINE WWO	$2,380.55	$8,816.85	$203.66–$7,758.83	63% above	73%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MR-CERV SPINE WWO	$3,174.07	$8,816.85	$2,116.04–$7,758.83	—	64%
MRI of the neck (cervical spine), no contrast dye CPT 72141 MR-CERV SPINE WO	$1,379.23	$5,108.25	$116.33–$4,495.26	32% above	73%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MR-CERV SPINE WO	$1,838.97	$5,108.25	$1,225.98–$4,495.26	—	64%
MRI of the pelvis without and with contrast CPT 72197 MR-PELVIS WWO	$2,321.58	$8,598.45	$223.92–$7,566.64	59% above	73%
MRI of the pelvis without and with contrast inpatient CPT 72197 MR-PELVIS WWO	$3,095.44	$8,598.45	$2,063.63–$7,566.64	—	64%
MRI of the pelvis, no contrast dye CPT 72195 MR-PELVIS WO	$1,288.22	$4,771.20	$153.47–$4,198.66	22% above	73%
MRI of the pelvis, no contrast dye inpatient CPT 72195 MR-PELVIS WO	$1,717.63	$4,771.20	$1,145.09–$4,198.66	—	64%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MR-UPPER JOINT WO	$1,255.05	$4,648.35	$133.21–$4,090.55	18% above	73%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 MR-UPPER JOINT WO	$1,673.41	$4,648.35	$1,115.60–$4,090.55	—	64%
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 SP-CERV SP 4TO5VW DR	$298.24	$1,104.60	$37.60–$972.05	14% below	73%
Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 SP-CERV SP 4TO5VW DR	$397.66	$1,104.60	$265.10–$972.05	—	64%
Neck soft tissue CT scan with contrast CPT 70491 CT-NECK SOFT TIS W	$1,388.58	$5,142.90	$114.18–$4,525.75	42% above	73%
Neck soft tissue CT scan with contrast inpatient CPT 70491 CT-NECK SOFT TIS W	$1,851.44	$5,142.90	$1,234.30–$4,525.75	—	64%
Neck soft tissue CT scan without contrast CPT 70490 CT-NECK SOFT TIS WO	$1,103.67	$4,087.65	$86.10–$3,597.13	32% above	73%
Neck soft tissue CT scan without contrast inpatient CPT 70490 CT-NECK SOFT TIS WO	$1,471.55	$4,087.65	$981.04–$3,597.13	—	64%
Neck soft tissue X-ray CPT 70360 SP-NECK SOFT TISS DR	$138.35	$512.40	$20.73–$450.91	20% below	73%
Neck soft tissue X-ray inpatient CPT 70360 SP-NECK SOFT TISS DR	$184.46	$512.40	$122.98–$450.91	—	64%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM-MYOCRD SPECT MULT	$1,676.90	$6,210.75	$329.07–$5,465.46	56% below	73%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 NM-MYOCRD SPECT MULT	$2,235.87	$6,210.75	$1,490.58–$5,465.46	—	64%
PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET-IMG /CT SKL-THI	$2,429.31	$8,997.45	$947.01–$7,917.76	40% below	73%
PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 PET-IMG /CT SKL-THI	$3,239.08	$8,997.45	$2,159.39–$7,917.76	—	64%
Pelvic CT scan without contrast CPT 72192 CT-PELVIS WO	$1,103.67	$4,087.65	$78.43–$3,597.13	32% above	73%
Pelvic CT scan without contrast inpatient CPT 72192 CT-PELVIS WO	$1,471.55	$4,087.65	$981.04–$3,597.13	—	64%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US-PELVIS NON OB FU	$238.42	$883.05	$24.10–$777.08	33% below	73%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US-PELVIS NON OB FU	$317.90	$883.05	$211.93–$777.08	—	64%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US-PELVIS NON OB	$574.65	$2,128.35	$67.37–$1,872.95	24% above	73%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US-PELVIS NON OB	$766.21	$2,128.35	$510.80–$1,872.95	—	64%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US-PELVIS PREG	$623.98	$2,311.05	$81.66–$2,033.72	13% above	73%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US-PELVIS PREG	$831.98	$2,311.05	$554.65–$2,033.72	—	64%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US-PELV PREG 14 WKS	$623.98	$2,311.05	$65.22–$2,033.72	21% above	73%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 US-PELV PREG 14 WKS	$831.98	$2,311.05	$554.65–$2,033.72	—	64%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US-PELVIS PREG LTD	$206.39	$764.40	$46.51–$672.67	46% below	73%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 US-PELVIS PREG LTD	$275.18	$764.40	$183.46–$672.67	—	64%
Rib X-ray, one side, 2 views one side CPT 71100 CH-RIBS UNILAT DR	$214.04	$792.75	$24.10–$697.62	5% above	73%
Rib X-ray, one side, 2 views inpatient one side CPT 71100 CH-RIBS UNILAT DR	$285.39	$792.75	$190.26–$697.62	—	64%
Rib X-ray, one side, with a chest view, 3 or more views CPT 71101 CH-RIB UNI PA CXR DR	$214.04	$792.75	$27.17–$697.62	12% below	73%
Rib X-ray, one side, with a chest view, 3 or more views inpatient CPT 71101 CH-RIB UNI PA CXR DR	$285.39	$792.75	$190.26–$697.62	—	64%
Screening mammogram, both breasts both sides CPT 77067 BR-DIG MAMMO SCRN BI	$234.17	$867.30	$74.85–$763.22	—	73%
Screening mammogram, both breasts inpatient both sides CPT 77067 BR-DIG MAMMO SCRN BI	$312.23	$867.30	$208.15–$763.22	—	64%
Shoulder X-ray, complete, 2 or more views CPT 73030 UE-SHLDR 2VW PLUS DR	$198.45	$735.00	$23.79–$646.80	5% below	73%
Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 UE-SHLDR 2VW PLUS DR	$264.60	$735.00	$176.40–$646.80	—	64%
Sinus X-ray, complete, 3 or more views CPT 70220 HE-SINUSES 3VPLUS DR	$198.45	$735.00	$25.02–$646.80	30% below	73%
Sinus X-ray, complete, 3 or more views inpatient CPT 70220 HE-SINUSES 3VPLUS DR	$264.60	$735.00	$176.40–$646.80	—	64%
Skull X-ray, fewer than 4 views CPT 70250 HE-SKULL LIMITED DR	$243.24	$900.90	$25.02–$792.79	4% above	73%
Skull X-ray, fewer than 4 views inpatient CPT 70250 HE-SKULL LIMITED DR	$324.32	$900.90	$216.22–$792.79	—	64%
Sleep study in a lab (polysomnography) CPT 95810 POLYSOMNO GT4 GE6YO	$1,930.35	$7,149.45	$465.85–$6,291.52	27% below	73%
Sleep study in a lab (polysomnography) inpatient CPT 95810 POLYSOMNO GT4 GE6YO	$2,573.80	$7,149.45	$1,715.87–$6,291.52	—	64%
Stress echocardiogram, complete, including the stress test and supervision CPT 93351 NI-TTE STRESS CON WO	$790.11	$2,926.35	$138.75–$2,575.19	56% below	73%
Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 NI-TTE STRESS CON WO	$1,053.49	$2,926.35	$702.32–$2,575.19	—	64%
Swallow study (modified barium swallow, video X-ray) CPT 74230 FL-MOD BA SWALLOW	$285.20	$1,056.30	$84.01–$929.54	21% below	73%
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 FL-MOD BA SWALLOW	$380.27	$1,056.30	$253.51–$929.54	—	64%
Thigh bone (femur) X-ray, 2 or more views CPT 73552 LE-FEMUR 2V DR	$289.45	$1,072.05	$24.72–$943.40	44% above	73%
Thigh bone (femur) X-ray, 2 or more views inpatient CPT 73552 LE-FEMUR 2V DR	$385.94	$1,072.05	$257.29–$943.40	—	64%
Thoracic spine (mid back) CT scan without contrast CPT 72128 CT-THOR SPINE WO	$1,103.67	$4,087.65	$79.35–$3,597.13	30% above	73%
Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 CT-THOR SPINE WO	$1,471.55	$4,087.65	$981.04–$3,597.13	—	64%
Toe X-ray, 2 or more views CPT 73660 LE-TOE S 2VPLUS DR	$138.35	$512.40	$21.03–$450.91	10% below	73%
Toe X-ray, 2 or more views inpatient CPT 73660 LE-TOE S 2VPLUS DR	$184.46	$512.40	$122.98–$450.91	—	64%
Transvaginal pelvic ultrasound CPT 76830 US-TRANSVAGINAL	$366.85	$1,358.70	$79.81–$1,195.66	10% below	73%
Transvaginal pelvic ultrasound inpatient CPT 76830 US-TRANSVAGINAL	$489.13	$1,358.70	$326.09–$1,195.66	—	64%
Transvaginal ultrasound during pregnancy CPT 76817 US-PLV PRG TRNSV	$484.22	$1,793.40	$52.65–$1,578.19	31% above	73%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 US-PLV PRG TRNSV	$645.62	$1,793.40	$430.42–$1,578.19	—	64%
Ultrasound of the abdomen, complete CPT 76700 US-ABDOMEN COMP WO	$618.60	$2,291.10	$72.14–$2,016.17	18% above	73%
Ultrasound of the abdomen, complete inpatient CPT 76700 US-ABDOMEN COMP WO	$824.80	$2,291.10	$549.86–$2,016.17	—	64%
Ultrasound of the scrotum and testicles CPT 76870 US-SCROTUM	$273.86	$1,014.30	$64.61–$892.58	35% below	73%
Ultrasound of the scrotum and testicles inpatient CPT 76870 US-SCROTUM	$365.15	$1,014.30	$243.43–$892.58	—	64%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US-HEAD NECK SFT TIS	$483.65	$1,791.30	$77.19–$1,576.34	13% above	73%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US-HEAD NECK SFT TIS	$644.87	$1,791.30	$429.91–$1,576.34	—	64%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 FL-UPPER GI SINGLE	$442.54	$1,639.05	$78.12–$1,442.36	16% below	73%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 FL-UPPER GI SINGLE	$590.06	$1,639.05	$393.37–$1,442.36	—	64%
Upper arm X-ray (humerus), 2 views CPT 73060 UE-HUMERUS DR	$138.35	$512.40	$22.26–$450.91	28% below	73%
Upper arm X-ray (humerus), 2 views inpatient CPT 73060 UE-HUMERUS DR	$184.46	$512.40	$122.98–$450.91	—	64%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 US-EXT VEINS DPX LTD	$445.10	$1,648.50	$90.25–$1,450.68	30% below	73%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 US-EXT VEINS DPX LTD	$593.46	$1,648.50	$395.64–$1,450.68	—	64%
Wrist X-ray, 2 views CPT 73100 UE-WRIST 2V DR	$138.35	$512.40	$23.79–$450.91	11% below	73%
Wrist X-ray, 2 views inpatient CPT 73100 UE-WRIST 2V DR	$184.46	$512.40	$122.98–$450.91	—	64%
Wrist X-ray, complete, 3 or more views CPT 73110 UE-WRIST 3V PLUS DR	$198.45	$735.00	$30.24–$646.80	22% below	73%
Wrist X-ray, complete, 3 or more views inpatient CPT 73110 UE-WRIST 3V PLUS DR	$264.60	$735.00	$176.40–$646.80	—	64%
X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 LE-HIP PV UN2OR3V DR	$198.45	$735.00	$33.93–$646.80	25% below	73%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient CPT 73502 LE-HIP PV UN2OR3V DR	$264.60	$735.00	$176.40–$646.80	—	64%
X-ray of the abdomen, 1 view CPT 74018 CH-ABDOMEN 1 VIEW DR	$167.83	$621.60	$19.80–$547.01	23% below	73%
X-ray of the abdomen, 1 view inpatient CPT 74018 CH-ABDOMEN 1 VIEW DR	$223.78	$621.60	$149.18–$547.01	—	64%
X-ray of the ankle, 2 views CPT 73600 LE-ANKLE 2V DR	$138.35	$512.40	$22.57–$450.91	13% below	73%
X-ray of the ankle, 2 views inpatient CPT 73600 LE-ANKLE 2V DR	$184.46	$512.40	$122.98–$450.91	—	64%
X-ray of the finger(s), 2 or more views CPT 73140 UE-FINGER S 2VPLS DR	$138.35	$512.40	$25.60–$450.91	13% below	73%
X-ray of the finger(s), 2 or more views inpatient CPT 73140 UE-FINGER S 2VPLS DR	$184.46	$512.40	$122.98–$450.91	—	64%
X-ray of the foot, 2 views CPT 73620 LE-FOOT 2V DR	$138.35	$512.40	$19.50–$450.91	16% below	73%
X-ray of the foot, 2 views inpatient CPT 73620 LE-FOOT 2V DR	$184.46	$512.40	$122.98–$450.91	—	64%
X-ray of the foot, complete, 3 or more views CPT 73630 LE-FOOT 3V PLUS DR	$198.45	$735.00	$24.11–$646.80	2% below	73%
X-ray of the foot, complete, 3 or more views inpatient CPT 73630 LE-FOOT 3V PLUS DR	$264.60	$735.00	$176.40–$646.80	—	64%
X-ray of the hand, 3 or more views CPT 73130 UE-HAND 3V DR	$198.45	$735.00	$26.55–$646.80	2% below	73%
X-ray of the hand, 3 or more views inpatient CPT 73130 UE-HAND 3V DR	$264.60	$735.00	$176.40–$646.80	—	64%
X-ray of the knee, 1 or 2 views CPT 73560 LE-KNEE 1 TO 2V DR	$138.35	$512.40	$24.10–$450.91	34% below	73%
X-ray of the knee, 1 or 2 views inpatient CPT 73560 LE-KNEE 1 TO 2V DR	$184.46	$512.40	$122.98–$450.91	—	64%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 SP-LS SPN 2 TO 3V DR	$244.09	$904.05	$26.87–$795.56	3% below	73%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 SP-LS SPN 2 TO 3V DR	$325.46	$904.05	$216.97–$795.56	—	64%
X-ray of the lower back, 4 or more views CPT 72110 SP-LS SPNE 4VPLUS DR	$360.90	$1,336.65	$36.37–$1,176.25	4% above	73%
X-ray of the lower back, 4 or more views inpatient CPT 72110 SP-LS SPNE 4VPLUS DR	$481.19	$1,336.65	$320.80–$1,176.25	—	64%
X-ray of the nasal bones, 3 or more views CPT 70160 HE-NASAL BONES DR	$198.45	$735.00	$27.17–$646.80	2% below	73%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 HE-NASAL BONES DR	$264.60	$735.00	$176.40–$646.80	—	64%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 SP-CERV SP 2TO3VW DR	$225.67	$835.80	$26.56–$735.50	10% below	73%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 SP-CERV SP 2TO3VW DR	$300.89	$835.80	$200.59–$735.50	—	64%
X-ray of the pelvis, 1 or 2 views CPT 72170 LE-PELVIS DR	$140.33	$519.75	$17.96–$457.38	29% below	73%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 LE-PELVIS DR	$187.11	$519.75	$124.74–$457.38	—	64%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 SP-SCRM COCCYX 2V DR	$176.05	$652.05	$22.26–$573.80	20% below	73%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 SP-SCRM COCCYX 2V DR	$234.74	$652.05	$156.49–$573.80	—	64%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs Indiana	Off list
ACTH blood test CPT 82024 Q211 ACTH PL IA	$177.19	$656.25	$18.27–$577.50	29% below	73%
ACTH blood test CPT 82024 ADRENOCORT ACTH	$177.19	$656.25	$18.27–$577.50	29% below	73%
ACTH blood test inpatient CPT 82024 Q211 ACTH PL IA	$236.25	$656.25	$157.50–$577.50	—	64%
ACTH blood test inpatient CPT 82024 ADRENOCORT ACTH	$236.25	$656.25	$157.50–$577.50	—	64%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 TRANSFERASE ALT	$50.75	$187.95	$2.51–$165.40	85% above	73%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 TRANSFERASE ALT	$67.66	$187.95	$45.11–$165.40	—	64%
AST (aspartate aminotransferase) enzyme test CPT 84450 TRANSFERASE AST	$57.27	$212.10	$2.44–$186.65	97% above	73%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 TRANSFERASE AST	$76.36	$212.10	$50.90–$186.65	—	64%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HEPATITIS ACUTE PANE	$373.37	$1,382.85	$13.68–$1,216.91	18% above	73%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HEPATITIS ACUTE PANE	$497.83	$1,382.85	$331.88–$1,216.91	—	64%
Albumin blood test CPT 82040 ALBUMIN SERUM	$33.45	$123.90	$2.71–$109.03	47% above	73%
Albumin blood test CPT 82040 Q7085 ALB SER	$33.45	$123.90	$2.71–$109.03	47% above	73%
Albumin blood test CPT 82040 Q14966 ALBUMIN SERUM	$33.45	$123.90	$2.71–$109.03	47% above	73%
Albumin blood test CPT 82040 Q12971 ALB SER	$33.45	$123.90	$2.71–$109.03	47% above	73%
Albumin blood test inpatient CPT 82040 Q12971 ALB SER	$44.60	$123.90	$29.74–$109.03	—	64%
Albumin blood test inpatient CPT 82040 Q14966 ALBUMIN SERUM	$44.60	$123.90	$29.74–$109.03	—	64%
Albumin blood test inpatient CPT 82040 Q7085 ALB SER	$44.60	$123.90	$29.74–$109.03	—	64%
Albumin blood test inpatient CPT 82040 ALBUMIN SERUM	$44.60	$123.90	$29.74–$109.03	—	64%
Aldosterone blood test CPT 82088 Q16845 ALDOSTERONE	$247.50	$916.65	$20.12–$806.65	20% above	73%
Aldosterone blood test CPT 82088 Q13856 ALDOS U24 RIA	$247.50	$916.65	$20.12–$806.65	20% above	73%
Aldosterone blood test CPT 82088 Q17181 ALDOST LCMSMS	$247.50	$916.65	$20.12–$806.65	20% above	73%
Aldosterone blood test CPT 82088 ALDOSTERONE	$247.50	$916.65	$20.12–$806.65	20% above	73%
Aldosterone blood test inpatient CPT 82088 Q17181 ALDOST LCMSMS	$329.99	$916.65	$220.00–$806.65	—	64%
Aldosterone blood test inpatient CPT 82088 Q13856 ALDOS U24 RIA	$329.99	$916.65	$220.00–$806.65	—	64%
Aldosterone blood test inpatient CPT 82088 ALDOSTERONE	$329.99	$916.65	$220.00–$806.65	—	64%
Aldosterone blood test inpatient CPT 82088 Q16845 ALDOSTERONE	$329.99	$916.65	$220.00–$806.65	—	64%
Alkaline phosphatase (ALP) blood test CPT 84075 Q231 PHOSPHATASE,ALK	$41.67	$154.35	$2.45–$135.83	30% above	73%
Alkaline phosphatase (ALP) blood test CPT 84075 Q29498 ALP BNESP IEA	$41.67	$154.35	$2.45–$135.83	30% above	73%
Alkaline phosphatase (ALP) blood test CPT 84075 PHOSPHATASE,ALKALINE	$41.67	$154.35	$2.45–$135.83	30% above	73%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 Q231 PHOSPHATASE,ALK	$55.57	$154.35	$37.04–$135.83	—	64%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 Q29498 ALP BNESP IEA	$55.57	$154.35	$37.04–$135.83	—	64%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 PHOSPHATASE,ALKALINE	$55.57	$154.35	$37.04–$135.83	—	64%
Allergy blood test, specific IgE, per allergen CPT 86003 Q24148ALG W14 IGE IA	$1.46	$5.40	$1.29–$39.00	92% below	73%
Allergy blood test, specific IgE, per allergen CPT 86003 Q25068 ALG T6 IGE	$13.89	$51.45	$2.96–$45.28	28% below	73%
Allergy blood test, specific IgE, per allergen CPT 86003 Q27368 ALG I6 IGE	$13.89	$51.45	$2.96–$45.28	28% below	73%
Allergy blood test, specific IgE, per allergen CPT 86003 Q28408 ALG F40 IGE	$13.89	$51.45	$2.96–$45.28	28% below	73%
Allergy blood test, specific IgE, per allergen CPT 86003 Q28378 ALG F37 IGE	$13.89	$51.45	$2.96–$45.28	28% below	73%
Allergy blood test, specific IgE, per allergen CPT 86003 Q26088 ALG F202 IGE	$13.89	$51.45	$2.96–$45.28	28% below	73%
Allergy blood test, specific IgE, per allergen CPT 86003 Q24038 ALG W3 IGE IA	$13.89	$51.45	$2.96–$45.28	28% below	73%
Allergy blood test, specific IgE, per allergen CPT 86003 Q25078 ALG T7 IGE IA	$13.89	$51.45	$2.96–$45.28	28% below	73%
Allergy blood test, specific IgE, per allergen CPT 86003 Q25088 ALG T8 IGE IA	$13.89	$51.45	$2.96–$45.28	28% below	73%
Allergy blood test, specific IgE, per allergen CPT 86003 Q27028 ALG M2 IGE IA	$13.89	$51.45	$2.96–$45.28	28% below	73%
Allergy blood test, specific IgE, per allergen CPT 86003 Q27038 ALG M3 IGE IA	$13.89	$51.45	$2.96–$45.28	28% below	73%
Allergy blood test, specific IgE, per allergen CPT 86003 Q28208 ALG F20 IGE	$13.89	$51.45	$2.96–$45.28	28% below	73%
Allergy blood test, specific IgE, per allergen CPT 86003 Q28418 ALG F41 IGE	$13.89	$51.45	$2.96–$45.28	28% below	73%
Allergy blood test, specific IgE, per allergen CPT 86003 Q28568 ALG F75 IGE	$13.89	$51.45	$2.96–$45.28	28% below	73%
Allergy blood test, specific IgE, per allergen CPT 86003 Q23038 ALG G3 IGE	$13.89	$51.45	$2.96–$45.28	28% below	73%
Allergy blood test, specific IgE, per allergen CPT 86003 Q23058 ALG G5 IGE	$13.89	$51.45	$2.96–$45.28	28% below	73%
Allergy blood test, specific IgE, per allergen CPT 86003 Q23864 ALG K84 IGE	$13.89	$51.45	$2.96–$45.28	28% below	73%
Allergy blood test, specific IgE, per allergen CPT 86003 Q24098 ALG W9 IGE	$13.89	$51.45	$2.96–$45.28	28% below	73%
Allergy blood test, specific IgE, per allergen CPT 86003 Q24118 ALG W11 IGE	$13.89	$51.45	$2.96–$45.28	28% below	73%
Allergy blood test, specific IgE, per allergen CPT 86003 Q24138 ALG W13 IGE	$13.89	$51.45	$2.96–$45.28	28% below	73%
Allergy blood test, specific IgE, per allergen CPT 86003 Q25108 ALG T10 IGE	$13.89	$51.45	$2.96–$45.28	28% below	73%
Allergy blood test, specific IgE, per allergen CPT 86003 Q25148 ALG T14 IGE	$13.89	$51.45	$2.96–$45.28	28% below	73%
Allergy blood test, specific IgE, per allergen CPT 86003 Q25158 ALG T15 IGE	$13.89	$51.45	$2.96–$45.28	28% below	73%
Allergy blood test, specific IgE, per allergen CPT 86003 Q27258 ALG RF253 IGE	$13.89	$51.45	$2.96–$45.28	28% below	73%
Allergy blood test, specific IgE, per allergen CPT 86003 Q28188 ALG F18 IGE	$13.89	$51.45	$2.96–$45.28	28% below	73%
Allergy blood test, specific IgE, per allergen CPT 86003 Q28448 ALG F44 IGE	$13.89	$51.45	$2.96–$45.28	28% below	73%
Allergy blood test, specific IgE, per allergen CPT 86003 Q28459 ALG F45 IGE	$13.89	$51.45	$2.96–$45.28	28% below	73%
Allergy blood test, specific IgE, per allergen CPT 86003 Q34939 HICKORY WH E	$13.89	$51.45	$2.96–$45.28	28% below	73%
Allergy blood test, specific IgE, per allergen CPT 86003 Q122172 ALLEG IGE QT	$13.89	$51.45	$2.96–$45.28	28% below	73%
Allergy blood test, specific IgE, per allergen CPT 86003 Q10646 ALG IGE QT	$13.89	$51.45	$2.96–$45.28	28% below	73%
Allergy blood test, specific IgE, per allergen CPT 86003 Q2308X ALG G8 IGE	$13.89	$51.45	$2.96–$45.28	28% below	73%
Allergy blood test, specific IgE, per allergen CPT 86003 Q702X ALG C1 IGE	$13.89	$51.45	$2.96–$45.28	28% below	73%
Allergy blood test, specific IgE, per allergen CPT 86003 Q703X ALG C2 IGE	$13.89	$51.45	$2.96–$45.28	28% below	73%
Allergy blood test, specific IgE, per allergen CPT 86003 Q2734X ALG I4 IGE	$13.89	$51.45	$2.96–$45.28	28% below	73%
Allergy blood test, specific IgE, per allergen CPT 86003 Q2745X ALG RF258 IGE	$13.89	$51.45	$2.96–$45.28	28% below	73%
Allergy blood test, specific IgE, per allergen CPT 86003 Q38476 ALG C6 IGE	$13.89	$51.45	$2.96–$45.28	28% below	73%
Allergy blood test, specific IgE, per allergen CPT 86003 Q2636X ALG F299 IGE	$13.89	$51.45	$2.96–$45.28	28% below	73%
Allergy blood test, specific IgE, per allergen CPT 86003 Q28178 ALG F17 IGE	$13.89	$51.45	$2.96–$45.28	28% below	73%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE QUANT	$13.89	$51.45	$2.96–$45.28	28% below	73%
Allergy blood test, specific IgE, per allergen CPT 86003 Q25018 ALG T1 IGE IA	$13.89	$51.45	$2.96–$45.28	28% below	73%
Allergy blood test, specific IgE, per allergen CPT 86003 Q28648 ALG F201 IGE	$13.89	$51.45	$2.96–$45.28	28% below	73%
Allergy blood test, specific IgE, per allergen CPT 86003 Q27018 ALG M1 IGE IA	$13.89	$51.45	$2.96–$45.28	28% below	73%
Allergy blood test, specific IgE, per allergen CPT 86003 Q27268 ALG F203 IGE	$13.89	$51.45	$2.96–$45.28	28% below	73%
Allergy blood test, specific IgE, per allergen CPT 86003 Q24188 ALG W18 IGE	$13.89	$51.45	$2.96–$45.28	28% below	73%
Allergy blood test, specific IgE, per allergen CPT 86003 Q2570 ALG T70 IGE	$13.89	$51.45	$2.96–$45.28	28% below	73%
Allergy blood test, specific IgE, per allergen CPT 86003 Q2813 ALG F13 IGE	$13.89	$51.45	$2.96–$45.28	28% below	73%
Allergy blood test, specific IgE, per allergen CPT 86003 Q2302 ALG G2 IGE IA	$13.89	$51.45	$2.96–$45.28	28% below	73%
Allergy blood test, specific IgE, per allergen CPT 86003 Q2605 ALG E5 IGE IA	$13.89	$51.45	$2.96–$45.28	28% below	73%
Allergy blood test, specific IgE, per allergen CPT 86003 Q273 ALG F338 IGE IA	$13.89	$51.45	$2.96–$45.28	28% below	73%
Allergy blood test, specific IgE, per allergen CPT 86003 Q2801 ALG F1 IGE IA	$13.89	$51.45	$2.96–$45.28	28% below	73%
Allergy blood test, specific IgE, per allergen CPT 86003 Q2802 ALG F2 IGE IA	$13.89	$51.45	$2.96–$45.28	28% below	73%
Allergy blood test, specific IgE, per allergen CPT 86003 Q2803 ALG F3 IGE IA	$13.89	$51.45	$2.96–$45.28	28% below	73%
Allergy blood test, specific IgE, per allergen CPT 86003 Q2804 ALG F4 IGE IA	$13.89	$51.45	$2.96–$45.28	28% below	73%
Allergy blood test, specific IgE, per allergen CPT 86003 Q2808 ALG F8 IGE IA	$13.89	$51.45	$2.96–$45.28	28% below	73%
Allergy blood test, specific IgE, per allergen CPT 86003 Q2810 ALG F10 IGE IA	$13.89	$51.45	$2.96–$45.28	28% below	73%
Allergy blood test, specific IgE, per allergen CPT 86003 Q2814 ALG F14 IGE IA	$13.89	$51.45	$2.96–$45.28	28% below	73%
Allergy blood test, specific IgE, per allergen CPT 86003 Q2824 ALG F24 IGE IA	$13.89	$51.45	$2.96–$45.28	28% below	73%
Allergy blood test, specific IgE, per allergen CPT 86003 Q2825 ALG F25 IGE IA	$13.89	$51.45	$2.96–$45.28	28% below	73%
Allergy blood test, specific IgE, per allergen CPT 86003 Q2857 ALG F83 IGE IA	$13.89	$51.45	$2.96–$45.28	28% below	73%
Allergy blood test, specific IgE, per allergen CPT 86003 Q3489ALG F256 IGE IA	$13.89	$51.45	$2.96–$45.28	28% below	73%
Allergy blood test, specific IgE, per allergen CPT 86003 Q8929ALG F207 IGE IA	$13.89	$51.45	$2.96–$45.28	28% below	73%
Allergy blood test, specific IgE, per allergen CPT 86003 Q8926 ALG F92 IGE IA	$13.89	$51.45	$2.96–$45.28	28% below	73%
Allergy blood test, specific IgE, per allergen CPT 86003 Q8932ALG F290 IGE IA	$13.89	$51.45	$2.96–$45.28	28% below	73%
Allergy blood test, specific IgE, per allergen CPT 86003 Q2306 ALG G6 IGE IA	$13.89	$51.45	$2.96–$45.28	28% below	73%
Allergy blood test, specific IgE, per allergen CPT 86003 Q2401 ALG W1 IGE IA	$13.89	$51.45	$2.96–$45.28	28% below	73%
Allergy blood test, specific IgE, per allergen CPT 86003 Q2410 ALG W10 IGE IA	$13.89	$51.45	$2.96–$45.28	28% below	73%
Allergy blood test, specific IgE, per allergen CPT 86003 Q2706 ALG M6 IGE IA	$13.89	$51.45	$2.96–$45.28	28% below	73%
Allergy blood test, specific IgE, per allergen CPT 86003 Q2721 ALG D1 IGE IA	$13.89	$51.45	$2.96–$45.28	28% below	73%
Allergy blood test, specific IgE, per allergen CPT 86003 Q2722 ALG D2 IGE IA	$13.89	$51.45	$2.96–$45.28	28% below	73%
Allergy blood test, specific IgE, per allergen CPT 86003 Q2733 ALG I3 IGE IA	$13.89	$51.45	$2.96–$45.28	28% below	73%
Allergy blood test, specific IgE, per allergen CPT 86003 Q2823 ALG F23 IGE IA	$13.89	$51.45	$2.96–$45.28	28% below	73%
Allergy blood test, specific IgE, per allergen CPT 86003 Q2836 ALG F36 IGE IA	$13.89	$51.45	$2.96–$45.28	28% below	73%
Allergy blood test, specific IgE, per allergen CPT 86003 Q2855 ALG F80 IGE IA	$13.89	$51.45	$2.96–$45.28	28% below	73%
Allergy blood test, specific IgE, per allergen CPT 86003 Q25038 ALG T3 IGE	$13.89	$51.45	$2.96–$45.28	28% below	73%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Q24148ALG W14 IGE IA	$1.94	$5.40	$1.30–$4.75	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Q28178 ALG F17 IGE	$18.52	$51.45	$12.35–$45.28	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Q38476 ALG C6 IGE	$18.52	$51.45	$12.35–$45.28	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Q2745X ALG RF258 IGE	$18.52	$51.45	$12.35–$45.28	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Q2734X ALG I4 IGE	$18.52	$51.45	$12.35–$45.28	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Q703X ALG C2 IGE	$18.52	$51.45	$12.35–$45.28	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Q702X ALG C1 IGE	$18.52	$51.45	$12.35–$45.28	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Q2308X ALG G8 IGE	$18.52	$51.45	$12.35–$45.28	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Q2636X ALG F299 IGE	$18.52	$51.45	$12.35–$45.28	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Q10646 ALG IGE QT	$18.52	$51.45	$12.35–$45.28	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Q122172 ALLEG IGE QT	$18.52	$51.45	$12.35–$45.28	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Q34939 HICKORY WH E	$18.52	$51.45	$12.35–$45.28	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Q28459 ALG F45 IGE	$18.52	$51.45	$12.35–$45.28	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Q28448 ALG F44 IGE	$18.52	$51.45	$12.35–$45.28	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Q28188 ALG F18 IGE	$18.52	$51.45	$12.35–$45.28	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Q27258 ALG RF253 IGE	$18.52	$51.45	$12.35–$45.28	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Q25158 ALG T15 IGE	$18.52	$51.45	$12.35–$45.28	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Q25148 ALG T14 IGE	$18.52	$51.45	$12.35–$45.28	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Q25108 ALG T10 IGE	$18.52	$51.45	$12.35–$45.28	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Q24138 ALG W13 IGE	$18.52	$51.45	$12.35–$45.28	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Q24118 ALG W11 IGE	$18.52	$51.45	$12.35–$45.28	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Q24098 ALG W9 IGE	$18.52	$51.45	$12.35–$45.28	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Q23864 ALG K84 IGE	$18.52	$51.45	$12.35–$45.28	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Q23058 ALG G5 IGE	$18.52	$51.45	$12.35–$45.28	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Q23038 ALG G3 IGE	$18.52	$51.45	$12.35–$45.28	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Q28568 ALG F75 IGE	$18.52	$51.45	$12.35–$45.28	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Q28418 ALG F41 IGE	$18.52	$51.45	$12.35–$45.28	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Q28208 ALG F20 IGE	$18.52	$51.45	$12.35–$45.28	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Q27038 ALG M3 IGE IA	$18.52	$51.45	$12.35–$45.28	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Q27028 ALG M2 IGE IA	$18.52	$51.45	$12.35–$45.28	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Q25088 ALG T8 IGE IA	$18.52	$51.45	$12.35–$45.28	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Q25078 ALG T7 IGE IA	$18.52	$51.45	$12.35–$45.28	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Q24038 ALG W3 IGE IA	$18.52	$51.45	$12.35–$45.28	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Q26088 ALG F202 IGE	$18.52	$51.45	$12.35–$45.28	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Q28378 ALG F37 IGE	$18.52	$51.45	$12.35–$45.28	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Q28408 ALG F40 IGE	$18.52	$51.45	$12.35–$45.28	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Q27368 ALG I6 IGE	$18.52	$51.45	$12.35–$45.28	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Q25068 ALG T6 IGE	$18.52	$51.45	$12.35–$45.28	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Q25038 ALG T3 IGE	$18.52	$51.45	$12.35–$45.28	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Q2855 ALG F80 IGE IA	$18.52	$51.45	$12.35–$45.28	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Q2836 ALG F36 IGE IA	$18.52	$51.45	$12.35–$45.28	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Q2823 ALG F23 IGE IA	$18.52	$51.45	$12.35–$45.28	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Q2733 ALG I3 IGE IA	$18.52	$51.45	$12.35–$45.28	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Q2722 ALG D2 IGE IA	$18.52	$51.45	$12.35–$45.28	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Q2721 ALG D1 IGE IA	$18.52	$51.45	$12.35–$45.28	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Q2706 ALG M6 IGE IA	$18.52	$51.45	$12.35–$45.28	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Q2410 ALG W10 IGE IA	$18.52	$51.45	$12.35–$45.28	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Q2401 ALG W1 IGE IA	$18.52	$51.45	$12.35–$45.28	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Q2306 ALG G6 IGE IA	$18.52	$51.45	$12.35–$45.28	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Q8932ALG F290 IGE IA	$18.52	$51.45	$12.35–$45.28	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Q8926 ALG F92 IGE IA	$18.52	$51.45	$12.35–$45.28	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Q8929ALG F207 IGE IA	$18.52	$51.45	$12.35–$45.28	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Q3489ALG F256 IGE IA	$18.52	$51.45	$12.35–$45.28	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Q2857 ALG F83 IGE IA	$18.52	$51.45	$12.35–$45.28	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Q2825 ALG F25 IGE IA	$18.52	$51.45	$12.35–$45.28	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Q2824 ALG F24 IGE IA	$18.52	$51.45	$12.35–$45.28	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Q2814 ALG F14 IGE IA	$18.52	$51.45	$12.35–$45.28	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Q2810 ALG F10 IGE IA	$18.52	$51.45	$12.35–$45.28	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Q2808 ALG F8 IGE IA	$18.52	$51.45	$12.35–$45.28	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Q2804 ALG F4 IGE IA	$18.52	$51.45	$12.35–$45.28	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Q2803 ALG F3 IGE IA	$18.52	$51.45	$12.35–$45.28	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Q2802 ALG F2 IGE IA	$18.52	$51.45	$12.35–$45.28	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Q2801 ALG F1 IGE IA	$18.52	$51.45	$12.35–$45.28	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Q273 ALG F338 IGE IA	$18.52	$51.45	$12.35–$45.28	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Q2605 ALG E5 IGE IA	$18.52	$51.45	$12.35–$45.28	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Q2302 ALG G2 IGE IA	$18.52	$51.45	$12.35–$45.28	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Q2813 ALG F13 IGE	$18.52	$51.45	$12.35–$45.28	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Q2570 ALG T70 IGE	$18.52	$51.45	$12.35–$45.28	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Q24188 ALG W18 IGE	$18.52	$51.45	$12.35–$45.28	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Q27268 ALG F203 IGE	$18.52	$51.45	$12.35–$45.28	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Q27018 ALG M1 IGE IA	$18.52	$51.45	$12.35–$45.28	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Q28648 ALG F201 IGE	$18.52	$51.45	$12.35–$45.28	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Q25018 ALG T1 IGE IA	$18.52	$51.45	$12.35–$45.28	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE QUANT	$18.52	$51.45	$12.35–$45.28	—	64%
Alpha-fetoprotein (AFP) blood test CPT 82105 AFP SERUM	$185.13	$685.65	$7.94–$603.37	82% above	73%
Alpha-fetoprotein (AFP) blood test CPT 82105 Q237 AFP TUMR MRK IA	$185.13	$685.65	$7.94–$603.37	82% above	73%
Alpha-fetoprotein (AFP) blood test CPT 82105 Q5059 MAT SER AFP IA	$185.13	$685.65	$7.94–$603.37	82% above	73%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 AFP SERUM	$246.83	$685.65	$164.56–$603.37	—	64%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 Q5059 MAT SER AFP IA	$246.83	$685.65	$164.56–$603.37	—	64%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 Q237 AFP TUMR MRK IA	$246.83	$685.65	$164.56–$603.37	—	64%
Ammonia blood test CPT 82140 AMMONIA	$55.85	$206.85	$7.20–$182.03	54% below	73%
Ammonia blood test inpatient CPT 82140 AMMONIA	$74.47	$206.85	$49.64–$182.03	—	64%
Amylase blood test CPT 82150 AMYLASE	$67.76	$250.95	$3.07–$220.84	31% above	73%
Amylase blood test CPT 82150 Q17414 AMYLASE PF C	$67.76	$250.95	$3.07–$220.84	31% above	73%
Amylase blood test inpatient CPT 82150 AMYLASE	$90.34	$250.95	$60.23–$220.84	—	64%
Amylase blood test inpatient CPT 82150 Q17414 AMYLASE PF C	$90.34	$250.95	$60.23–$220.84	—	64%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Q11173 CCP AB IGG IA	$124.74	$462.00	$6.39–$406.56	137% above	73%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CCP ANTIBODY	$124.74	$462.00	$6.39–$406.56	137% above	73%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 Q11173 CCP AB IGG IA	$166.32	$462.00	$110.88–$406.56	—	64%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CCP ANTIBODY	$166.32	$462.00	$110.88–$406.56	—	64%
Antinuclear antibody (ANA) blood test, screen CPT 86038 Q249 ANA SCRN IFA	$95.26	$352.80	$5.72–$310.46	59% above	73%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA	$95.26	$352.80	$5.72–$310.46	59% above	73%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA	$127.01	$352.80	$84.67–$310.46	—	64%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 Q249 ANA SCRN IFA	$127.01	$352.80	$84.67–$310.46	—	64%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 NATRIURETIC PEPTIDE	$88.74	$328.65	$16.06–$289.21	48% below	73%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 NATRIURETIC PEPTIDE	$118.31	$328.65	$78.88–$289.21	—	64%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE BACTERIA OTH	$67.47	$249.90	$4.26–$219.91	28% below	73%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE BACTERIA OTH	$89.96	$249.90	$59.98–$219.91	—	64%
Basic metabolic panel (blood test) CPT 80048 BASIC METABO CA TOTA	$109.43	$405.30	$3.47–$356.66	40% above	73%
Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METABO CA TOTA	$145.91	$405.30	$97.27–$356.66	—	64%
Bilirubin blood test, total CPT 82247 BILIRUBIN TOTAL	$48.20	$178.50	$1.91–$157.08	39% above	73%
Bilirubin blood test, total inpatient CPT 82247 BILIRUBIN TOTAL	$64.26	$178.50	$42.84–$157.08	—	64%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 SURG PATH GROSS LVL4	$188.53	$698.25	$27.96–$614.46	27% below	73%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 SURG PATH GROSS LVL4	$251.37	$698.25	$167.58–$614.46	—	64%
Blood culture for bacteria CPT 87040 CULTURE BLOOD BACTER	$85.05	$315.00	$4.88–$277.20	35% below	73%
Blood culture for bacteria inpatient CPT 87040 CULTURE BLOOD BACTER	$113.40	$315.00	$75.60–$277.20	—	64%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE,ROUTINE	$25.23	$93.45	$5.00–$82.24	52% above	73%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENIPUNCTURE,ROUTINE	$33.64	$93.45	$22.43–$82.24	—	64%
Blood glucose (sugar) test CPT 82947 GLUCOSE, QUANT	$28.35	$105.00	$1.94–$92.40	6% above	73%
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE, QUANT	$37.80	$105.00	$25.20–$92.40	—	64%
Blood lead test CPT 83655 Q599 PB BL ICP/MS	$123.32	$456.75	$7.00–$401.94	73% above	73%
Blood lead test CPT 83655 Q33051 LEAD	$123.32	$456.75	$7.00–$401.94	73% above	73%
Blood lead test CPT 83655 Q35386 LEAD	$123.32	$456.75	$7.00–$401.94	73% above	73%
Blood lead test CPT 83655 LEAD	$123.32	$456.75	$7.00–$401.94	73% above	73%
Blood lead test inpatient CPT 83655 Q33051 LEAD	$164.43	$456.75	$109.62–$401.94	—	64%
Blood lead test inpatient CPT 83655 Q599 PB BL ICP/MS	$164.43	$456.75	$109.62–$401.94	—	64%
Blood lead test inpatient CPT 83655 LEAD	$164.43	$456.75	$109.62–$401.94	—	64%
Blood lead test inpatient CPT 83655 Q35386 LEAD	$164.43	$456.75	$109.62–$401.94	—	64%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HCG, QUAL	$55.85	$206.85	$3.55–$182.03	23% below	73%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HCG, QUAL	$74.47	$206.85	$49.64–$182.03	—	64%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BLOOD TYPING ABO	$33.74	$124.95	$1.41–$110.00	31% below	73%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 BLOOD TYPING ABO	$44.98	$124.95	$29.99–$109.96	—	64%
Blood urea nitrogen (BUN) test CPT 84520 UREA NITROGEN,QUAN	$35.72	$132.30	$1.87–$116.42	51% above	73%
Blood urea nitrogen (BUN) test inpatient CPT 84520 UREA NITROGEN,QUAN	$47.63	$132.30	$31.75–$116.42	—	64%
C-peptide blood test CPT 84681 C-PEPTIDE	$193.91	$718.20	$9.84–$632.02	41% above	73%
C-peptide blood test CPT 84681 Q372 C-PEPTIDE IA	$193.91	$718.20	$9.84–$632.02	41% above	73%
C-peptide blood test inpatient CPT 84681 Q372 C-PEPTIDE IA	$258.55	$718.20	$172.37–$632.02	—	64%
C-peptide blood test inpatient CPT 84681 C-PEPTIDE	$258.55	$718.20	$172.37–$632.02	—	64%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-REACTIVE PROTEIN	$59.82	$221.55	$2.45–$194.96	13% below	73%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C-REACTIVE PROTEIN	$79.76	$221.55	$53.17–$194.96	—	64%
C. difficile toxin gene test (stool PCR) CPT 87493 C DIFF AMPLI PROBE	$73.43	$271.95	$17.33–$239.32	45% below	73%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 C DIFF AMPLI PROBE	$97.90	$271.95	$65.27–$239.32	—	64%
CA 19-9 blood test (tumor marker) CPT 86301 TUMOR AG CA 19-9	$115.10	$426.30	$10.26–$375.14	21% below	73%
CA 19-9 blood test (tumor marker) CPT 86301 Q4698 CA 19-9 IA	$115.10	$426.30	$10.26–$375.14	21% below	73%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 Q4698 CA 19-9 IA	$153.47	$426.30	$102.31–$375.14	—	64%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 TUMOR AG CA 19-9	$153.47	$426.30	$102.31–$375.14	—	64%
CA-125 blood test (ovarian cancer marker) CPT 86304 TUMOR AG CA 125	$196.47	$727.65	$10.26–$640.33	20% above	73%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 TUMOR AG CA 125	$261.95	$727.65	$174.64–$640.33	—	64%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID19 PRB	$38.27	$141.75	$20.52–$153.93	64% below	73%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Q39448 COVID19	$83.07	$307.65	$20.52–$270.73	21% below	73%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 COVID19 PRB	$51.03	$141.75	$34.02–$124.74	—	64%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 Q39448 COVID19	$110.75	$307.65	$73.84–$270.73	—	64%
Calcium blood test, total CPT 82310 CALCIUM TOTAL	$41.11	$152.25	$2.44–$133.98	55% above	73%
Calcium blood test, total inpatient CPT 82310 CALCIUM TOTAL	$54.81	$152.25	$36.54–$133.98	—	64%
Carcinoembryonic antigen (CEA) test CPT 82378 CARCINOEMBRYONIC AG	$87.89	$325.50	$8.98–$286.44	27% below	73%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 CARCINOEMBRYONIC AG	$117.18	$325.50	$78.12–$286.44	—	64%
Chickenpox (varicella) immunity blood test CPT 86787 Q4439 VZV AB IGG IA	$83.63	$309.75	$6.09–$272.58	14% below	73%
Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA-ZOSTER AB	$83.63	$309.75	$6.09–$272.58	14% below	73%
Chickenpox (varicella) immunity blood test CPT 86787 Q34128 VARICELLA-ZOS	$83.63	$309.75	$6.09–$272.58	14% below	73%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 Q4439 VZV AB IGG IA	$111.51	$309.75	$74.34–$272.58	—	64%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 VARICELLA-ZOSTER AB	$111.51	$309.75	$74.34–$272.58	—	64%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 Q34128 VARICELLA-ZOS	$111.51	$309.75	$74.34–$272.58	—	64%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Q91913 C TRACH PRB	$79.95	$296.10	$16.60–$260.57	18% below	73%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLMYD TRACH DNA AMP	$79.95	$296.10	$16.60–$260.57	18% below	73%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Q11363 CHLMYD TRACH	$79.95	$296.10	$16.60–$260.57	18% below	73%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Q91913 C TRACH PRB	$106.60	$296.10	$71.06–$260.57	—	64%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLMYD TRACH DNA AMP	$106.60	$296.10	$71.06–$260.57	—	64%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Q11363 CHLMYD TRACH	$106.60	$296.10	$71.06–$260.57	—	64%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL	$165.28	$612.15	$6.02–$538.69	57% above	73%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PANEL	$220.37	$612.15	$146.92–$538.69	—	64%
Complete blood count (CBC) with differential CPT 85025 CBC W-PLT AUTO COMPD	$94.69	$350.70	$3.68–$308.62	129% above	73%
Complete blood count (CBC) with differential inpatient CPT 85025 CBC W-PLT AUTO COMPD	$126.25	$350.70	$84.17–$308.62	—	64%
Complete blood count (CBC), no differential CPT 85027 CBC W-PLT	$85.90	$318.15	$3.06–$279.97	191% above	73%
Complete blood count (CBC), no differential inpatient CPT 85027 CBC W-PLT	$114.53	$318.15	$76.36–$279.97	—	64%
Comprehensive metabolic panel (blood test) CPT 80053 COMP METAB PANEL	$165.28	$612.15	$5.00–$538.69	87% above	73%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMP METAB PANEL	$220.37	$612.15	$146.92–$538.69	—	64%
Cortisol blood test, total CPT 82533 CORTISOL TOTAL	$108.86	$403.20	$7.71–$354.82	15% above	73%
Cortisol blood test, total inpatient CPT 82533 CORTISOL TOTAL	$145.15	$403.20	$96.77–$354.82	—	64%
Creatine kinase (CK) blood test, total CPT 82550 CPK TOTAL	$49.05	$181.65	$3.08–$159.85	26% above	73%
Creatine kinase (CK) blood test, total inpatient CPT 82550 CPK TOTAL	$65.39	$181.65	$43.60–$159.85	—	64%
Creatinine blood test CPT 82565 CREATININE BLOOD	$30.90	$114.45	$2.42–$100.72	7% above	73%
Creatinine blood test inpatient CPT 82565 CREATININE BLOOD	$41.20	$114.45	$27.47–$100.72	—	64%
Cytomegalovirus (CMV) antibody test CPT 86644 CMV AB	$64.64	$239.40	$6.81–$210.67	19% below	73%
Cytomegalovirus (CMV) antibody test CPT 86644 Q6732 CMV AB	$64.64	$239.40	$6.81–$210.67	19% below	73%
Cytomegalovirus (CMV) antibody test CPT 86644 Q403 CMV AB IGG IA	$64.64	$239.40	$6.81–$210.67	19% below	73%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 Q6732 CMV AB	$86.18	$239.40	$57.46–$210.67	—	64%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 CMV AB	$86.18	$239.40	$57.46–$210.67	—	64%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 Q403 CMV AB IGG IA	$86.18	$239.40	$57.46–$210.67	—	64%
D-dimer blood test (blood clot marker) CPT 85379 D-DIMER, QUANT	$119.07	$441.00	$5.02–$388.08	2% below	73%
D-dimer blood test (blood clot marker) inpatient CPT 85379 D-DIMER, QUANT	$158.76	$441.00	$105.84–$388.08	—	64%
DHEA sulfate (DHEA-S) blood test CPT 82627 Q402 DHEA SULFATE IA	$132.11	$489.30	$10.52–$430.58	10% below	73%
DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA-S	$132.11	$489.30	$10.52–$430.58	10% below	73%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 Q402 DHEA SULFATE IA	$176.15	$489.30	$117.43–$430.58	—	64%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DHEA-S	$176.15	$489.30	$117.43–$430.58	—	64%
Drug screen by lab instrument (any number of drug classes) CPT 80307 PRS DRG IA ANAZ	$158.48	$586.95	$31.70–$516.52	39% above	73%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Q19767X DRG SCR7 SER	$158.48	$586.95	$31.70–$516.52	39% above	73%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Q19767X DRG SCR7 SER	$211.30	$586.95	$140.87–$516.52	—	64%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 PRS DRG IA ANAZ	$211.30	$586.95	$140.87–$516.52	—	64%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 ELECTROLYTE PANEL	$96.96	$359.10	$2.14–$316.01	51% above	73%
Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 ELECTROLYTE PANEL	$129.28	$359.10	$86.18–$316.01	—	64%
Epstein-Barr virus (EBV) antibody test CPT 86665 EPSTEIN-BARR, VCA	$73.14	$270.90	$6.50–$238.39	10% below	73%
Epstein-Barr virus (EBV) antibody test CPT 86665 Q6421EPSTE-BARR, VCA	$73.14	$270.90	$6.50–$238.39	10% below	73%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 EPSTEIN-BARR, VCA	$97.52	$270.90	$65.02–$238.39	—	64%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 Q6421EPSTE-BARR, VCA	$97.52	$270.90	$65.02–$238.39	—	64%
Estradiol blood test CPT 82670 ESTRADIOL TOTAL	$66.91	$247.80	$13.22–$218.06	48% below	73%
Estradiol blood test CPT 82670 Q4021 ESTRADIOL IA	$66.91	$247.80	$13.22–$218.06	48% below	73%
Estradiol blood test inpatient CPT 82670 ESTRADIOL TOTAL	$89.21	$247.80	$59.47–$218.06	—	64%
Estradiol blood test inpatient CPT 82670 Q4021 ESTRADIOL IA	$89.21	$247.80	$59.47–$218.06	—	64%
FSH (follicle-stimulating hormone) test CPT 83001 FOLLICLE STIM HORM	$138.63	$513.45	$8.79–$451.84	8% above	73%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 FOLLICLE STIM HORM	$184.84	$513.45	$123.23–$451.84	—	64%
Fecal calprotectin (stool inflammation test) CPT 83993 CALPROTECTIN FECAL	$207.52	$768.60	$9.60–$676.37	15% above	73%
Fecal calprotectin (stool inflammation test) CPT 83993 Q16796 CALPRO STL IA	$207.52	$768.60	$9.60–$676.37	15% above	73%
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 CALPROTECTIN FECAL	$276.70	$768.60	$184.46–$676.37	—	64%
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 Q16796 CALPRO STL IA	$276.70	$768.60	$184.46–$676.37	—	64%
Ferritin blood test (iron stores) CPT 82728 FERRITIN	$67.47	$249.90	$6.44–$219.91	15% below	73%
Ferritin blood test (iron stores) inpatient CPT 82728 FERRITIN	$89.96	$249.90	$59.98–$219.91	—	64%
Fibrinogen blood test CPT 85384 FIBRINOGEN ACTIVITY	$38.27	$141.75	$4.20–$124.74	36% below	73%
Fibrinogen blood test inpatient CPT 85384 FIBRINOGEN ACTIVITY	$51.03	$141.75	$34.02–$124.74	—	64%
Folate (folic acid) blood test CPT 82746 FOLIC ACID SERUM	$116.24	$430.50	$6.95–$378.84	52% above	73%
Folate (folic acid) blood test inpatient CPT 82746 FOLIC ACID SERUM	$154.98	$430.50	$103.32–$378.84	—	64%
Free T3 thyroid hormone test CPT 84481 T3,FREE	$112.55	$416.85	$8.01–$366.83	15% below	73%
Free T3 thyroid hormone test inpatient CPT 84481 T3,FREE	$150.07	$416.85	$100.04–$366.83	—	64%
Free T4 (free thyroxine) thyroid blood test CPT 84439 Q35167 T4FREE DED-IA	$146.00	$540.75	$4.27–$475.86	80% above	73%
Free T4 (free thyroxine) thyroid blood test CPT 84439 THYROXINE T4, FREE	$146.00	$540.75	$4.27–$475.86	80% above	73%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 Q35167 T4FREE DED-IA	$194.67	$540.75	$129.78–$475.86	—	64%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 THYROXINE T4, FREE	$194.67	$540.75	$129.78–$475.86	—	64%
Free testosterone test CPT 84402 Q36170 TESTOST FREE	$106.31	$393.75	$12.04–$346.50	27% above	73%
Free testosterone test CPT 84402 Q18944 TST FREE	$106.31	$393.75	$12.04–$346.50	27% above	73%
Free testosterone test CPT 84402 TESTOSTERONE, FREE	$106.31	$393.75	$12.04–$346.50	27% above	73%
Free testosterone test inpatient CPT 84402 TESTOSTERONE, FREE	$141.75	$393.75	$94.50–$346.50	—	64%
Free testosterone test inpatient CPT 84402 Q18944 TST FREE	$141.75	$393.75	$94.50–$346.50	—	64%
Free testosterone test inpatient CPT 84402 Q36170 TESTOST FREE	$141.75	$393.75	$94.50–$346.50	—	64%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 GGT	$59.25	$219.45	$3.41–$193.12	82% above	73%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 GGT	$79.00	$219.45	$52.67–$193.12	—	64%
General health panel: metabolic panel, blood count and TSH in one order CPT 80050 GENERAL HEALTH PANEL	$365.72	$1,354.50	$17.10–$1,191.96	19% above	73%
General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 GENERAL HEALTH PANEL	$487.62	$1,354.50	$325.08–$1,191.96	—	64%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE, POST DOSE	$30.90	$114.45	$2.25–$100.72	25% below	73%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 GLUCOSE, POST DOSE	$41.20	$114.45	$27.47–$100.72	—	64%
Glucose tolerance test, 3 samples CPT 82951 GTT 3 SPEC	$81.93	$303.45	$4.63–$267.04	11% above	73%
Glucose tolerance test, 3 samples inpatient CPT 82951 GTT 3 SPEC	$109.24	$303.45	$72.83–$267.04	—	64%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Q91913 NG AMP PRB	$79.95	$296.10	$16.60–$260.57	18% below	73%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N.GONORRHO,DNA,AMPPR	$79.95	$296.10	$16.60–$260.57	18% below	73%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Q11363 N.GONORRHO,DN	$79.95	$296.10	$16.60–$260.57	18% below	73%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 Q91913 NG AMP PRB	$106.60	$296.10	$71.06–$260.57	—	64%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 Q11363 N.GONORRHO,DN	$106.60	$296.10	$71.06–$260.57	—	64%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 N.GONORRHO,DNA,AMPPR	$106.60	$296.10	$71.06–$260.57	—	64%
H. pylori stool antigen test CPT 87338 HPYLORI,STOOL,EIA	$31.75	$117.60	$6.49–$103.49	76% below	73%
H. pylori stool antigen test inpatient CPT 87338 HPYLORI,STOOL,EIA	$42.34	$117.60	$28.22–$103.49	—	64%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 Q34471 HIV1 RNA QT	$243.24	$900.90	$32.00–$792.79	31% below	73%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 Q40085 HIV1RNA RTPCR	$243.24	$900.90	$32.00–$792.79	31% below	73%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV-1, DNA, QUANT	$243.24	$900.90	$32.00–$792.79	31% below	73%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV-1, DNA, QUANT	$324.32	$900.90	$216.22–$792.79	—	64%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 Q34471 HIV1 RNA QT	$324.32	$900.90	$216.22–$792.79	—	64%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 Q40085 HIV1RNA RTPCR	$324.32	$900.90	$216.22–$792.79	—	64%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV HIGH RISK TYPES	$12.15	$45.00	$10.73–$105.27	88% below	73%
HPV test for high-risk types, one combined (pooled) result CPT 87624 Q90931 HPV HR	$185.13	$685.65	$19.10–$603.37	77% above	73%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HPV HIGH RISK TYPES	$16.20	$45.00	$10.80–$39.60	—	64%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 Q90931 HPV HR	$246.83	$685.65	$164.56–$603.37	—	64%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Q496 HEMOGLO A1C ITA	$84.48	$312.90	$7.19–$275.35	29% above	73%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN A1C	$84.48	$312.90	$7.19–$275.35	29% above	73%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 Q496 HEMOGLO A1C ITA	$112.64	$312.90	$75.10–$275.35	—	64%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HEMOGLOBIN A1C	$112.64	$312.90	$75.10–$275.35	—	64%
Hemoglobin blood test CPT 85018 HEMOGLOBIN	$28.07	$103.95	$1.76–$91.48	53% above	73%
Hemoglobin blood test inpatient CPT 85018 HEMOGLOBIN	$37.42	$103.95	$24.95–$91.48	—	64%
Hepatitis B core antibody test (total) CPT 86704 Q501 HBC AB TOT IA	$87.89	$325.50	$5.70–$286.44	31% above	73%
Hepatitis B core antibody test (total) CPT 86704 HEP B CORE TOT	$87.89	$325.50	$5.70–$286.44	31% above	73%
Hepatitis B core antibody test (total) inpatient CPT 86704 HEP B CORE TOT	$117.18	$325.50	$78.12–$286.44	—	64%
Hepatitis B core antibody test (total) inpatient CPT 86704 Q501 HBC AB TOT IA	$117.18	$325.50	$78.12–$286.44	—	64%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Q499 HBSAB QL IA	$150.26	$556.50	$5.08–$489.72	130% above	73%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEP B SURF AB	$150.26	$556.50	$5.08–$489.72	130% above	73%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEP B SURF AB	$200.34	$556.50	$133.56–$489.72	—	64%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 Q499 HBSAB QL IA	$200.34	$556.50	$133.56–$489.72	—	64%
Hepatitis B surface antigen (HBsAg) test CPT 87340 Q498 HBSAG W/REF IA	$126.44	$468.30	$4.40–$412.10	107% above	73%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HBSAG	$126.44	$468.30	$4.40–$412.10	107% above	73%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HBSAG	$168.59	$468.30	$112.39–$412.10	—	64%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 Q498 HBSAG W/REF IA	$168.59	$468.30	$112.39–$412.10	—	64%
Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C AB TEST	$150.26	$556.50	$6.23–$489.72	51% above	73%
Hepatitis C antibody blood test (screening) CPT 86803 Q8472 HCVAB IA	$150.26	$556.50	$6.23–$489.72	51% above	73%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C AB TEST	$200.34	$556.50	$133.56–$489.72	—	64%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 Q8472 HCVAB IA	$200.34	$556.50	$133.56–$489.72	—	64%
Hepatitis C viral load (HCV RNA) test CPT 87522 HEPATITIS C,RNA,QUAN	$340.48	$1,261.05	$20.26–$1,109.72	52% above	73%
Hepatitis C viral load (HCV RNA) test one side CPT 87522 Q35645 HCV RNAQT RT-	$340.48	$1,261.05	$20.26–$1,109.72	52% above	73%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HEPATITIS C,RNA,QUAN	$453.98	$1,261.05	$302.65–$1,109.72	—	64%
Hepatitis C viral load (HCV RNA) test inpatient one side CPT 87522 Q35645 HCV RNAQT RT-	$453.98	$1,261.05	$302.65–$1,109.72	—	64%
Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMP TYPE 1	$42.53	$157.50	$6.23–$138.60	16% below	73%
Herpes blood test, HSV-1 antibody CPT 86695 Q900972HSV1 IGM TITR	$42.53	$157.50	$6.23–$138.60	16% below	73%
Herpes blood test, HSV-1 antibody CPT 86695 Q90851HERPES SMP TP1	$42.53	$157.50	$6.23–$138.60	16% below	73%
Herpes blood test, HSV-1 antibody CPT 86695 Q90849HERPES SMP TP1	$42.53	$157.50	$6.23–$138.60	16% below	73%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 Q900972HSV1 IGM TITR	$56.70	$157.50	$37.80–$138.60	—	64%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 Q90851HERPES SMP TP1	$56.70	$157.50	$37.80–$138.60	—	64%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HERPES SIMP TYPE 1	$56.70	$157.50	$37.80–$138.60	—	64%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 Q90849HERPES SMP TP1	$56.70	$157.50	$37.80–$138.60	—	64%
Herpes blood test, HSV-2 antibody CPT 86696 Q90851HERPES SMP TP2	$52.73	$195.30	$9.16–$171.86	27% below	73%
Herpes blood test, HSV-2 antibody CPT 86696 Q900973HSV2 IGM TITR	$52.73	$195.30	$9.16–$171.86	27% below	73%
Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMP TYPE 2	$52.73	$195.30	$9.16–$171.86	27% below	73%
Herpes blood test, HSV-2 antibody CPT 86696 Q90849HERPES SMP TP2	$52.73	$195.30	$9.16–$171.86	27% below	73%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 Q900973HSV2 IGM TITR	$70.31	$195.30	$46.87–$171.86	—	64%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HERPES SIMP TYPE 2	$70.31	$195.30	$46.87–$171.86	—	64%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 Q90851HERPES SMP TP2	$70.31	$195.30	$46.87–$171.86	—	64%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 Q90849HERPES SMP TP2	$70.31	$195.30	$46.87–$171.86	—	64%
High-sensitivity CRP (hs-CRP) test CPT 86141 CRP,HIGHLY SENS	$132.39	$490.35	$6.12–$431.51	79% above	73%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 CRP,HIGHLY SENS	$176.53	$490.35	$117.68–$431.51	—	64%
Homocysteine blood test CPT 83090 HOMOCYSTEINE	$130.98	$485.10	$8.33–$426.89	1% above	73%
Homocysteine blood test inpatient CPT 83090 HOMOCYSTEINE	$174.64	$485.10	$116.42–$426.89	—	64%
Insulin blood test CPT 83525 Q561 INSULIN IA	$124.46	$460.95	$5.41–$405.64	74% above	73%
Insulin blood test CPT 83525 INSULIN, TOTAL	$124.46	$460.95	$5.41–$405.64	74% above	73%
Insulin blood test inpatient CPT 83525 INSULIN, TOTAL	$165.94	$460.95	$110.63–$405.64	—	64%
Insulin blood test inpatient CPT 83525 Q561 INSULIN IA	$165.94	$460.95	$110.63–$405.64	—	64%
Iron blood test (serum iron) CPT 83540 IRON	$32.04	$118.65	$3.06–$104.41	33% below	73%
Iron blood test (serum iron) inpatient CPT 83540 IRON	$42.71	$118.65	$28.48–$104.41	—	64%
Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING CAPACIT	$76.55	$283.50	$4.13–$249.48	73% above	73%
Iron-binding capacity (TIBC) test inpatient CPT 83550 IRON BINDING CAPACIT	$102.06	$283.50	$68.04–$249.48	—	64%
Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL	$140.62	$520.80	$4.11–$458.30	39% above	73%
Kidney function blood test panel inpatient CPT 80069 RENAL FUNCTION PANEL	$187.49	$520.80	$124.99–$458.30	—	64%
LH (luteinizing hormone) test CPT 83002 LEUTEINIZING HORMONE	$136.65	$506.10	$8.76–$445.37	4% below	73%
LH (luteinizing hormone) test inpatient CPT 83002 LEUTEINIZING HORMONE	$182.20	$506.10	$121.46–$445.37	—	64%
Lactate (lactic acid) blood test CPT 83605 LACTIC ACID	$22.68	$84.00	$5.05–$73.92	75% below	73%
Lactate (lactic acid) blood test inpatient CPT 83605 LACTIC ACID	$30.24	$84.00	$20.16–$73.92	—	64%
Lactate dehydrogenase (LDH) blood test CPT 83615 LACTATE DEHYDROLDH	$39.12	$144.90	$2.86–$127.51	8% below	73%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LACTATE DEHYDROLDH	$52.16	$144.90	$34.78–$127.51	—	64%
Lipase blood test (pancreas enzyme) CPT 83690 Q17602 LIPASE PTF	$61.24	$226.80	$3.26–$199.58	31% below	73%
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE	$61.24	$226.80	$3.26–$199.58	31% below	73%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE	$81.65	$226.80	$54.43–$199.58	—	64%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 Q17602 LIPASE PTF	$81.65	$226.80	$54.43–$199.58	—	64%
Liver function blood test panel CPT 80076 HEPATIC FUNCTION PAN	$127.01	$470.40	$2.99–$413.95	34% above	73%
Liver function blood test panel inpatient CPT 80076 HEPATIC FUNCTION PAN	$169.34	$470.40	$112.90–$413.95	—	64%
Lyme disease antibody test CPT 86618 LYME DISEASE AB	$77.96	$288.75	$8.06–$254.10	37% below	73%
Lyme disease antibody test inpatient CPT 86618 LYME DISEASE AB	$103.95	$288.75	$69.30–$254.10	—	64%
Magnesium blood test CPT 83735 Q623 MG RBC ICP/MS	$39.12	$144.90	$2.73–$127.51	18% below	73%
Magnesium blood test CPT 83735 MAGNESIUM	$39.12	$144.90	$2.73–$127.51	18% below	73%
Magnesium blood test inpatient CPT 83735 MAGNESIUM	$52.16	$144.90	$34.78–$127.51	—	64%
Magnesium blood test inpatient CPT 83735 Q623 MG RBC ICP/MS	$52.16	$144.90	$34.78–$127.51	—	64%
Measles (rubeola) antibody test CPT 86765 RUBEOLA AB	$30.62	$113.40	$6.09–$99.79	61% below	73%
Measles (rubeola) antibody test CPT 86765 Q34166 RUBEOLA AB	$30.62	$113.40	$6.09–$99.79	61% below	73%
Measles (rubeola) antibody test CPT 86765 Q964 MEAS AB IGG IA	$30.62	$113.40	$6.09–$99.79	61% below	73%
Measles (rubeola) antibody test inpatient CPT 86765 RUBEOLA AB	$40.82	$113.40	$27.22–$99.79	—	64%
Measles (rubeola) antibody test inpatient CPT 86765 Q34166 RUBEOLA AB	$40.82	$113.40	$27.22–$99.79	—	64%
Measles (rubeola) antibody test inpatient CPT 86765 Q964 MEAS AB IGG IA	$40.82	$113.40	$27.22–$99.79	—	64%
Mono test (heterophile antibody, Monospot) CPT 86308 HETEROPHILE AB SCREE	$50.18	$185.85	$2.45–$163.55	36% below	73%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 HETEROPHILE AB SCREE	$66.91	$185.85	$44.60–$163.55	—	64%
Mumps immunity blood test CPT 86735 MUMPS AB	$53.01	$196.35	$6.17–$172.79	30% below	73%
Mumps immunity blood test CPT 86735 Q38899 MUMPS AB IGG	$53.01	$196.35	$6.17–$172.79	30% below	73%
Mumps immunity blood test inpatient CPT 86735 MUMPS AB	$70.69	$196.35	$47.12–$172.79	—	64%
Mumps immunity blood test inpatient CPT 86735 Q38899 MUMPS AB IGG	$70.69	$196.35	$47.12–$172.79	—	64%
Obstetric blood test panel CPT 80055 OBSTETRIC PANEL	$475.71	$1,761.90	$23.61–$1,550.47	48% above	73%
Obstetric blood test panel inpatient CPT 80055 OBSTETRIC PANEL	$634.28	$1,761.90	$422.86–$1,550.47	—	64%
PSA (prostate-specific antigen) blood test, free CPT 84154 Q31348 PSA, FREE	$87.89	$325.50	$8.70–$286.44	26% above	73%
PSA (prostate-specific antigen) blood test, free CPT 84154 PSA, FREE	$87.89	$325.50	$8.70–$286.44	26% above	73%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PSA, FREE	$117.18	$325.50	$78.12–$286.44	—	64%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 Q31348 PSA, FREE	$117.18	$325.50	$78.12–$286.44	—	64%
PSA (prostate-specific antigen) blood test, total CPT 84153 Q69702 PSA POST ICMA	$87.89	$325.50	$10.42–$286.44	10% above	73%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA, TOTAL	$87.89	$325.50	$10.42–$286.44	10% above	73%
PSA (prostate-specific antigen) blood test, total CPT 84153 Q31348 PSA, TOTAL	$87.89	$325.50	$10.42–$286.44	10% above	73%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 Q31348 PSA, TOTAL	$117.18	$325.50	$78.12–$286.44	—	64%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 Q69702 PSA POST ICMA	$117.18	$325.50	$78.12–$286.44	—	64%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA, TOTAL	$117.18	$325.50	$78.12–$286.44	—	64%
Pap test (liquid-based, automated screening with review) CPT 88175 PAP DIAG AUTO MAN RS	$12.15	$45.00	$10.73–$87.00	85% below	73%
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 PAP DIAG AUTO MAN RS	$16.20	$45.00	$10.80–$39.60	—	64%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 Q35455 THINPREP PAP	$98.94	$366.45	$11.48–$322.48	42% above	73%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 PAP THINLAY LIQ DIAG	$98.94	$366.45	$11.48–$322.48	42% above	73%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 Q91913 PAP TL LQ DG	$98.94	$366.45	$11.48–$322.48	42% above	73%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 Q90932 PAP THINPREP	$98.94	$366.45	$11.48–$322.48	42% above	73%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 Q90931 PAP TL LQ DG	$98.94	$366.45	$11.48–$322.48	42% above	73%
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 Q91913 PAP TL LQ DG	$131.92	$366.45	$87.95–$322.48	—	64%
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 Q90931 PAP TL LQ DG	$131.92	$366.45	$87.95–$322.48	—	64%
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 Q90932 PAP THINPREP	$131.92	$366.45	$87.95–$322.48	—	64%
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 Q35455 THINPREP PAP	$131.92	$366.45	$87.95–$322.48	—	64%
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 PAP THINLAY LIQ DIAG	$131.92	$366.45	$87.95–$322.48	—	64%
Parathyroid hormone (PTH) blood test CPT 83970 PARATHORMONE PTH	$107.16	$396.90	$19.53–$349.27	44% below	73%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 PARATHORMONE PTH	$142.88	$396.90	$95.26–$349.27	—	64%
Partial thromboplastin time (PTT) clotting test CPT 85730 Q7079 THROMBOPLAST T	$39.97	$148.05	$2.97–$130.28	20% below	73%
Partial thromboplastin time (PTT) clotting test CPT 85730 Q17408 PTT-LA CLTDET	$39.97	$148.05	$2.97–$130.28	20% below	73%
Partial thromboplastin time (PTT) clotting test CPT 85730 THROMBOPLAST TIMEPTT	$39.97	$148.05	$2.97–$130.28	20% below	73%
Partial thromboplastin time (PTT) clotting test CPT 85730 Q8922X APTT	$39.97	$148.05	$2.97–$130.28	20% below	73%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 THROMBOPLAST TIMEPTT	$53.30	$148.05	$35.53–$130.28	—	64%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Q7079 THROMBOPLAST T	$53.30	$148.05	$35.53–$130.28	—	64%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Q8922X APTT	$53.30	$148.05	$35.53–$130.28	—	64%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Q17408 PTT-LA CLTDET	$53.30	$148.05	$35.53–$130.28	—	64%
Phosphorus (phosphate) blood test CPT 84100 PHOSPHORUS, BLOOD	$35.72	$132.30	$2.24–$116.42	25% above	73%
Phosphorus (phosphate) blood test inpatient CPT 84100 PHOSPHORUS, BLOOD	$47.63	$132.30	$31.75–$116.42	—	64%
Potassium blood test CPT 84132 POTASSIUM SER PL WB	$35.72	$132.30	$2.17–$116.42	25% above	73%
Potassium blood test inpatient CPT 84132 POTASSIUM SER PL WB	$47.63	$132.30	$31.75–$116.42	—	64%
Progesterone blood test CPT 84144 PROGESTERONE	$61.24	$226.80	$9.06–$199.58	55% below	73%
Progesterone blood test inpatient CPT 84144 PROGESTERONE	$81.65	$226.80	$54.43–$199.58	—	64%
Prolactin blood test CPT 84146 PROLACTIN	$132.39	$490.35	$9.17–$431.51	32% above	73%
Prolactin blood test inpatient CPT 84146 PROLACTIN	$176.53	$490.35	$117.68–$431.51	—	64%
Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME	$28.07	$103.95	$2.91–$91.48	6% above	73%
Prothrombin time (PT/INR) clotting test CPT 85610 Q8922X PT	$28.07	$103.95	$2.91–$91.48	6% above	73%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME	$37.42	$103.95	$24.95–$91.48	—	64%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Q8922X PT	$37.42	$103.95	$24.95–$91.48	—	64%
Rapid flu test (influenza antigen) CPT 87804 INFLUENZA ASSAY W-OP	$23.25	$86.10	$14.60–$75.77	56% below	73%
Rapid flu test (influenza antigen) inpatient CPT 87804 INFLUENZA ASSAY W-OP	$31.00	$86.10	$20.66–$75.77	—	64%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 STREP A ASSAY W-OPTI	$23.25	$86.10	$14.58–$75.77	70% below	73%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 STREP A ASSAY W-OPTI	$31.00	$86.10	$20.66–$75.77	—	64%
Renin blood test CPT 84244 Q16845 RENIN	$123.04	$455.70	$8.21–$401.02	11% above	73%
Renin blood test CPT 84244 RENIN	$123.04	$455.70	$8.21–$401.02	11% above	73%
Renin blood test CPT 84244 Q16846 PL REN LCMSMS	$123.04	$455.70	$8.21–$401.02	11% above	73%
Renin blood test inpatient CPT 84244 RENIN	$164.05	$455.70	$109.37–$401.02	—	64%
Renin blood test inpatient CPT 84244 Q16845 RENIN	$164.05	$455.70	$109.37–$401.02	—	64%
Renin blood test inpatient CPT 84244 Q16846 PL REN LCMSMS	$164.05	$455.70	$109.37–$401.02	—	64%
Rh blood typing CPT 86901 BLOOD TYPING RH D	$97.81	$362.25	$1.48–$318.78	153% above	73%
Rh blood typing inpatient CPT 86901 BLOOD TYPING RH D	$130.41	$362.25	$86.94–$318.78	—	64%
Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACT QUAN	$106.88	$395.85	$2.68–$348.35	119% above	73%
Rheumatoid factor (RF) test inpatient CPT 86431 RHEUMATOID FACT QUAN	$142.51	$395.85	$95.00–$348.35	—	64%
Rubella antibody test (immunity check) CPT 86762 RUBELLA AB	$39.97	$148.05	$6.81–$130.28	40% below	73%
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA AB	$53.30	$148.05	$35.53–$130.28	—	64%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 SED RATE, AUTOMATED	$46.78	$173.25	$2.00–$152.46	20% above	73%
Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 SED RATE, AUTOMATED	$62.37	$173.25	$41.58–$152.46	—	64%
Sodium blood test CPT 84295 SODIUM,SER PL OR WB	$35.72	$132.30	$2.28–$116.42	2% below	73%
Sodium blood test inpatient CPT 84295 SODIUM,SER PL OR WB	$47.63	$132.30	$31.75–$116.42	—	64%
Stool ova and parasites exam CPT 87177 OVA-PARASITES SMEARS	$77.11	$285.60	$4.21–$251.33	59% above	73%
Stool ova and parasites exam CPT 87177 Q681 OVA-PARASITES S	$77.11	$285.60	$4.21–$251.33	59% above	73%
Stool ova and parasites exam inpatient CPT 87177 OVA-PARASITES SMEARS	$102.82	$285.60	$68.54–$251.33	—	64%
Stool ova and parasites exam inpatient CPT 87177 Q681 OVA-PARASITES S	$102.82	$285.60	$68.54–$251.33	—	64%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 BLD OCCULT FECES EIA	$48.48	$179.55	$7.86–$158.00	7% below	73%
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 BLD OCCULT FECES EIA	$64.64	$179.55	$43.09–$158.00	—	64%
Syphilis antibody test (Treponema pallidum) CPT 86780 TREP. PALLIDUM,CONFI	$48.20	$178.50	$2.49–$157.08	29% below	73%
Syphilis antibody test (Treponema pallidum) CPT 86780 Q90349 SACR	$48.20	$178.50	$2.49–$157.08	29% below	73%
Syphilis antibody test (Treponema pallidum) CPT 86780 Q4112 FTA-ABS IFA	$48.20	$178.50	$2.49–$157.08	29% below	73%
Syphilis antibody test (Treponema pallidum) CPT 86780 Q653 T PALLAD AB PA	$48.20	$178.50	$2.49–$157.08	29% below	73%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 TREP. PALLIDUM,CONFI	$64.26	$178.50	$42.84–$157.08	—	64%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 Q90349 SACR	$64.26	$178.50	$42.84–$157.08	—	64%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 Q4112 FTA-ABS IFA	$64.26	$178.50	$42.84–$157.08	—	64%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 Q653 T PALLAD AB PA	$64.26	$178.50	$42.84–$157.08	—	64%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 SYPHILIS TEST, QUAL	$36.57	$135.45	$2.02–$119.20	10% below	73%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Q744 VDRL CSF	$36.57	$135.45	$2.02–$119.20	10% below	73%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 Q744 VDRL CSF	$48.76	$135.45	$32.51–$119.20	—	64%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 SYPHILIS TEST, QUAL	$48.76	$135.45	$32.51–$119.20	—	64%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 TB TEST CELL IM MEAS	$118.50	$438.90	$30.61–$386.23	20% below	73%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 Q36970 TB QFT PL 1TU	$118.50	$438.90	$30.61–$386.23	20% below	73%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 Q36970 TB QFT PL 1TU	$158.00	$438.90	$105.34–$386.23	—	64%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 TB TEST CELL IM MEAS	$158.00	$438.90	$105.34–$386.23	—	64%
Testosterone blood test, total (not free testosterone) CPT 84403 Q14966 TESTOST TOTAL	$107.16	$396.90	$9.64–$349.27	10% below	73%
Testosterone blood test, total (not free testosterone) CPT 84403 Q15983 TST TOT LCMSM	$107.16	$396.90	$9.64–$349.27	10% below	73%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE, TOTAL	$107.16	$396.90	$9.64–$349.27	10% below	73%
Testosterone blood test, total (not free testosterone) CPT 84403 Q36170 TESTOST TOTAL	$107.16	$396.90	$9.64–$349.27	10% below	73%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE, TOTAL	$142.88	$396.90	$95.26–$349.27	—	64%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Q36170 TESTOST TOTAL	$142.88	$396.90	$95.26–$349.27	—	64%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Q14966 TESTOST TOTAL	$142.88	$396.90	$95.26–$349.27	—	64%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Q15983 TST TOT LCMSM	$142.88	$396.90	$95.26–$349.27	—	64%
Thyroid peroxidase (TPO) antibody test CPT 86376 Q5081 TPO AB IA	$155.93	$577.50	$6.88–$508.20	68% above	73%
Thyroid peroxidase (TPO) antibody test CPT 86376 MICROSOMAL AB	$155.93	$577.50	$6.88–$508.20	68% above	73%
Thyroid peroxidase (TPO) antibody test CPT 86376 Q15038LKM1 AB IGG IA	$155.93	$577.50	$6.88–$508.20	68% above	73%
Thyroid peroxidase (TPO) antibody test CPT 86376 Q16440 MICROSOMAL AB	$155.93	$577.50	$6.88–$508.20	68% above	73%
Thyroid peroxidase (TPO) antibody test CPT 86376 Q7260 MICROSOMAL AB	$155.93	$577.50	$6.88–$508.20	68% above	73%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 MICROSOMAL AB	$207.90	$577.50	$138.60–$508.20	—	64%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Q16440 MICROSOMAL AB	$207.90	$577.50	$138.60–$508.20	—	64%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Q15038LKM1 AB IGG IA	$207.90	$577.50	$138.60–$508.20	—	64%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Q5081 TPO AB IA	$207.90	$577.50	$138.60–$508.20	—	64%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Q7260 MICROSOMAL AB	$207.90	$577.50	$138.60–$508.20	—	64%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 NBS THYROID STIM TSH	$100.36	$371.70	$7.95–$327.10	23% above	73%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 Q899 TSH IA	$100.36	$371.70	$7.95–$327.10	23% above	73%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 THYROID STIM TSH	$100.36	$371.70	$7.95–$327.10	23% above	73%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 Q16440 TSH	$100.36	$371.70	$7.95–$327.10	23% above	73%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 Q19537 TSH	$100.36	$371.70	$7.95–$327.10	23% above	73%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 THYROID STIM TSH	$133.81	$371.70	$89.21–$327.10	—	64%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 Q19537 TSH	$133.81	$371.70	$89.21–$327.10	—	64%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 Q16440 TSH	$133.81	$371.70	$89.21–$327.10	—	64%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 NBS THYROID STIM TSH	$133.81	$371.70	$89.21–$327.10	—	64%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 Q899 TSH IA	$133.81	$371.70	$89.21–$327.10	—	64%
Total IgE blood test CPT 82785 Q542 IGE IA	$161.03	$596.40	$7.79–$524.83	114% above	73%
Total IgE blood test CPT 82785 Q10646 GAMMAGLB IGE	$161.03	$596.40	$7.79–$524.83	114% above	73%
Total IgE blood test CPT 82785 GAMMAGLOBULIN IGE	$161.03	$596.40	$7.79–$524.83	114% above	73%
Total IgE blood test inpatient CPT 82785 Q542 IGE IA	$214.70	$596.40	$143.14–$524.83	—	64%
Total IgE blood test inpatient CPT 82785 GAMMAGLOBULIN IGE	$214.70	$596.40	$143.14–$524.83	—	64%
Total IgE blood test inpatient CPT 82785 Q10646 GAMMAGLB IGE	$214.70	$596.40	$143.14–$524.83	—	64%
Total cholesterol blood test CPT 82465 CHOLESTEROL TOTAL	$52.73	$195.30	$2.06–$171.86	72% above	73%
Total cholesterol blood test inpatient CPT 82465 CHOLESTEROL TOTAL	$70.31	$195.30	$46.87–$171.86	—	64%
Total thyroxine (T4) blood test CPT 84436 THYROXINE T4,TOTAL	$90.15	$333.90	$3.25–$293.83	90% above	73%
Total thyroxine (T4) blood test CPT 84436 Q867 T4 THYRO TOT IA	$90.15	$333.90	$3.25–$293.83	90% above	73%
Total thyroxine (T4) blood test inpatient CPT 84436 THYROXINE T4,TOTAL	$120.20	$333.90	$80.14–$293.83	—	64%
Total thyroxine (T4) blood test inpatient CPT 84436 Q867 T4 THYRO TOT IA	$120.20	$333.90	$80.14–$293.83	—	64%
Total triiodothyronine (T3) blood test CPT 84480 T3,TOTAL	$144.30	$534.45	$6.71–$470.32	19% above	73%
Total triiodothyronine (T3) blood test CPT 84480 Q859 T3 TOTAL IA	$144.30	$534.45	$6.71–$470.32	19% above	73%
Total triiodothyronine (T3) blood test inpatient CPT 84480 T3,TOTAL	$192.40	$534.45	$128.27–$470.32	—	64%
Total triiodothyronine (T3) blood test inpatient CPT 84480 Q859 T3 TOTAL IA	$192.40	$534.45	$128.27–$470.32	—	64%
Transferrin blood test CPT 84466 Q16985 ALT	$13.47	$49.88	$5.74–$43.89	84% below	73%
Transferrin blood test CPT 84466 TRANSFERRIN	$137.50	$509.25	$5.74–$448.14	62% above	73%
Transferrin blood test CPT 84466 Q891 TRANSFERRI NEPH	$137.50	$509.25	$5.74–$448.14	62% above	73%
Transferrin blood test inpatient CPT 84466 Q16985 ALT	$17.96	$49.88	$11.97–$43.89	—	64%
Transferrin blood test inpatient CPT 84466 Q891 TRANSFERRI NEPH	$183.33	$509.25	$122.22–$448.14	—	64%
Transferrin blood test inpatient CPT 84466 TRANSFERRIN	$183.33	$509.25	$122.22–$448.14	—	64%
Trichomonas test (NAAT) CPT 87661 T VAGINALIS AMP	$67.76	$250.95	$19.15–$220.84	29% below	73%
Trichomonas test (NAAT) inpatient CPT 87661 T VAGINALIS AMP	$90.34	$250.95	$60.23–$220.84	—	64%
Triglycerides blood test CPT 84478 TRIGLYCERIDES	$64.35	$238.35	$2.72–$209.75	80% above	73%
Triglycerides blood test inpatient CPT 84478 TRIGLYCERIDES	$85.81	$238.35	$57.20–$209.75	—	64%
Troponin test, quantitative CPT 84484 TROPONIN,QNT	$88.74	$328.65	$4.66–$289.21	27% below	73%
Troponin test, quantitative inpatient CPT 84484 TROPONIN,QNT	$118.31	$328.65	$78.88–$289.21	—	64%
Uric acid blood test CPT 84550 URIC ACID, BLOOD	$41.11	$152.25	$2.14–$133.98	14% below	73%
Uric acid blood test inpatient CPT 84550 URIC ACID, BLOOD	$54.81	$152.25	$36.54–$133.98	—	64%
Urinalysis with microscope exam, automated CPT 81001 UA, AUTO W-SCOPE	$42.24	$156.45	$2.35–$137.68	1% above	73%
Urinalysis with microscope exam, automated inpatient CPT 81001 UA, AUTO W-SCOPE	$56.32	$156.45	$37.55–$137.68	—	64%
Urinalysis with microscope exam, manual CPT 81000 UA, NONAUTO W-SCOPE	$6.24	$23.10	$2.41–$39.00	77% below	73%
Urinalysis with microscope exam, manual inpatient CPT 81000 UA, NONAUTO W-SCOPE	$8.32	$23.10	$5.54–$20.33	—	64%
Urinalysis without microscope exam, automated CPT 81003 UA, AUTO, W-O SCOPE	$17.58	$65.10	$1.66–$57.29	28% below	73%
Urinalysis without microscope exam, automated inpatient CPT 81003 UA, AUTO, W-O SCOPE	$23.44	$65.10	$15.62–$57.29	—	64%
Urinalysis without microscope exam, manual CPT 81002 UA NONAUTO W-O SCOPE	$14.18	$52.50	$2.09–$46.20	9% below	73%
Urinalysis without microscope exam, manual inpatient CPT 81002 UA NONAUTO W-O SCOPE	$18.90	$52.50	$12.60–$46.20	—	64%
Urine culture for bacteria, with colony count CPT 87086 CULT URINE-COLONY CT	$18.99	$70.35	$3.98–$61.91	57% below	73%
Urine culture for bacteria, with colony count inpatient CPT 87086 CULT URINE-COLONY CT	$25.33	$70.35	$16.88–$61.91	—	64%
Urine microalbumin (albumin) test CPT 82043 MICROALB QNT	$36.57	$135.45	$2.86–$119.20	6% above	73%
Urine microalbumin (albumin) test CPT 82043 Q4555 MICROALBUM U24	$36.57	$135.45	$2.86–$119.20	6% above	73%
Urine microalbumin (albumin) test inpatient CPT 82043 MICROALB QNT	$48.76	$135.45	$32.51–$119.20	—	64%
Urine microalbumin (albumin) test inpatient CPT 82043 Q4555 MICROALBUM U24	$48.76	$135.45	$32.51–$119.20	—	64%
Urine pregnancy test, read by color change CPT 81025 URINE PREG TEST QL	$30.90	$114.45	$5.17–$100.72	43% below	73%
Urine pregnancy test, read by color change inpatient CPT 81025 URINE PREG TEST QL	$41.20	$114.45	$27.47–$100.72	—	64%
Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B-12	$116.52	$431.55	$7.13–$379.76	58% above	73%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 VITAMIN B-12	$155.36	$431.55	$103.57–$379.76	—	64%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25OH	$70.02	$259.35	$14.00–$228.23	48% below	73%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D 25OH	$93.37	$259.35	$62.24–$228.23	—	64%
Vitamin D, 1,25-dihydroxy blood test CPT 82652 DIHYDROXY VITAMIN D	$166.98	$618.45	$19.01–$544.24	6% below	73%
Vitamin D, 1,25-dihydroxy blood test CPT 82652 Q16558 VITD LCMSMS	$166.98	$618.45	$19.01–$544.24	6% below	73%
Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 DIHYDROXY VITAMIN D	$222.64	$618.45	$148.43–$544.24	—	64%
Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 Q16558 VITD LCMSMS	$222.64	$618.45	$148.43–$544.24	—	64%
Zinc blood test CPT 84630 Q945 ZN ICP/MS AS	$135.23	$500.85	$5.39–$440.75	64% above	73%
Zinc blood test CPT 84630 ZINC	$135.23	$500.85	$5.39–$440.75	64% above	73%
Zinc blood test inpatient CPT 84630 ZINC	$180.31	$500.85	$120.20–$440.75	—	64%
Zinc blood test inpatient CPT 84630 Q945 ZN ICP/MS AS	$180.31	$500.85	$120.20–$440.75	—	64%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG QUANT	$201.00	$744.45	$7.01–$655.12	152% above	73%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HCG QUANT	$268.00	$744.45	$178.67–$655.12	—	64%

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs Indiana	Off list
Adenoid removal (adenoidectomy), child under 12 CPT 42830 REMOVAL OF ADENOIDS	$6,133.11	$22,715.23	$200.39–$19,989.40	31% above	73%
Anterior cervical discectomy and fusion (ACDF), one level CPT 22551 ARTHRD ANT NTRBDY CERVICAL	$52,057.53	$192,805.65	$1,177.00–$169,668.97	90% above	73%
Arthroscopic ACL reconstruction or repair of the knee CPT 29888 KNEE ARTHROSCOPY/SURGERY	$40,454.10	$149,830.01	$834.00–$131,850.41	104% above	73%
Arthroscopic rotator cuff repair of the shoulder CPT 29827 SHO ARTHRS SRG RT8TR CUF RPR	$29,917.44	$110,805.32	$985.91–$97,508.68	77% above	73%
Bunion correction with a bone cut near the head of the first metatarsal CPT 28296 COR HLX VLGS DSTL MTAR OSTEO	$14,191.65	$52,561.66	$486.85–$46,254.26	50% above	73%
Bunion correction with removal of part of the big toe joint CPT 28292 COR HLX VLGS RSC PRX PHLX BS	$16,768.49	$62,105.50	$460.33–$54,652.84	204% above	73%
Cardiac catheterization with coronary angiogram CPT 93458 CC-L HRT ARTERY-VENT	$8,870.15	$32,852.40	$679.69–$28,910.11	10% below	73%
Cardiac catheterization with coronary angiogram inpatient CPT 93458 CC-L HRT ARTERY-VENT	$11,826.86	$32,852.40	$7,884.58–$28,910.11	—	64%
Cardioversion, elective (restoring heart rhythm) CPT 92960 NI-CARDIOVERSION	$1,341.81	$4,969.65	$85.52–$4,373.29	4% below	73%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 NI-CARDIOVERSION	$1,789.07	$4,969.65	$1,192.72–$4,373.29	—	64%
Carpal tunnel release, open surgery CPT 64721 CARPAL TUNNEL SURGERY	$5,929.83	$21,962.32	$408.55–$19,326.84	26% above	73%
Cataract surgery with lens implant CPT 66984 XCAPSL CTRC RMVL W/O ECP	$4,037.32	$14,953.05	$506.44–$13,158.68	23% below	73%
Catheter ablation for atrial fibrillation CPT 93656 EP-ATR FIB PULM VN I	$26,999.93	$99,999.74	$712.03–$87,999.77	3% below	73%
Catheter ablation for atrial fibrillation inpatient CPT 93656 EP-ATR FIB PULM VN I	$35,999.91	$99,999.74	$23,999.94–$87,999.77	—	64%
Cervical biopsy CPT 57500 BIOPSY OF CERVIX	$10,338.95	$38,292.40	$69.57–$33,697.31	668% above	73%
Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 CIRCUM 28 DAYS OR OLDER	$10,377.67	$38,435.81	$184.49–$33,823.51	96% above	73%
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 CIRCUMCISION W/REGIONL BLOCK	$5,553.74	$20,569.40	$88.91–$18,101.07	680% above	73%
Colonoscopy with endoscopic ultrasound CPT 45391 COLONOSCOPY W/ENDOSCOPE US	$3,437.64	$12,732.00	$237.14–$11,204.16	101% above	73%
Colonoscopy with polyp removal CPT 45385 COLONOSCOPY W/LESION REMOVAL	$3,599.83	$13,332.70	$153.27–$11,732.78	18% above	73%
Colonoscopy with tissue sample CPT 45380 COLONOSCOPY AND BIOPSY	$3,658.79	$13,551.06	$153.27–$11,924.93	24% above	73%
Colonoscopy, diagnostic CPT 45378 DIAGNOSTIC COLONOSCOPY	$2,876.49	$10,653.67	$169.62–$9,375.23	42% above	73%
Complex cataract surgery with lens implant CPT 66982 XCAPSL CTRC RMVL CPLX WO ECP	$4,393.13	$16,270.86	$597.00–$14,318.36	26% below	73%
Coronary stent placement, one artery CPT 92928 IC-PRQ CRD STN W-ANG	$13,178.78	$48,810.30	$441.96–$42,953.06	16% below	73%
Coronary stent placement, one artery inpatient CPT 92928 IC-PRQ CRD STN W-ANG	$17,571.71	$48,810.30	$11,714.47–$42,953.06	—	64%
Cystoscopy with ureteral stent placement CPT 52332 CYSTOSCOPY AND TREATMENT	$9,394.74	$34,795.32	$143.41–$30,619.88	35% above	73%
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 CYSTOURETHROSCOPY	$8,716.89	$32,284.79	$74.25–$28,410.62	219% above	73%
D&C (dilation and curettage), not related to pregnancy CPT 58120 DILATION AND CURETTAGE	$13,411.51	$49,672.25	$217.27–$43,711.58	28% above	73%
Ear tube placement (tympanostomy) under general anesthesia, one ear CPT 69436 CREATE EARDRUM OPENING	$4,381.28	$16,226.96	$149.54–$14,279.72	28% below	73%
Earwax removal by irrigation (rinsing), one ear CPT 69209 REMOVE IMPACTED EAR WAX UNI	$467.41	$1,731.15	$12.40–$1,523.41	166% above	73%
Earwax removal with instruments, one ear CPT 69210 REMOVE IMPACTED EAR WAX UNI	$1,226.69	$4,543.30	$25.66–$3,998.10	667% above	73%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 IR-DI C-T INJ W IM	$1,303.53	$4,827.90	$100.51–$4,248.55	23% above	73%
Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 IR-DI C-T INJ W IM	$1,738.04	$4,827.90	$1,158.70–$4,248.55	—	64%
First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm CPT 49593 RPR AA HRN 1ST 3-10 RDC	$18,471.90	$68,414.45	$515.75–$60,204.72	1% below	73%
First repair of a front abdominal hernia larger than 10 cm CPT 49595 RPR AA HRN 1ST > 10 RDC	$34,068.64	$126,180.16	$694.05–$111,038.54	11% above	73%
First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm CPT 49591 RPR AA HRN 1ST < 3 CM RDC	$12,315.61	$45,613.38	$308.38–$40,139.77	38% above	73%
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 DIAGNOSTIC SIGMOIDOSCOPY	$3,602.96	$13,344.29	$52.30–$11,742.98	73% above	73%
Gallbladder removal, laparoscopic CPT 47562 LAPAROSCOPIC CHOLECYSTECTOMY	$17,773.04	$65,826.09	$600.15–$57,926.96	8% above	73%
Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery CPT 47563 LAPARO CHOLECYSTECTOMY/GRAPH	$16,054.68	$59,461.77	$652.20–$52,326.36	6% below	73%
Gallbladder removal, open surgery through a larger incision CPT 47600 CHOLECYSTECTOMY	$23,445.59	$86,835.50	$824.15–$76,415.24	—	73%
Hammertoe correction surgery CPT 28285 REPAIR OF HAMMERTOE	$22,306.15	$82,615.38	$366.02–$72,701.53	80% above	73%
Hemorrhoid banding (rubber band ligation) CPT 46221 LIGATION OF HEMORRHOID(S)	$3,851.21	$14,263.74	$179.04–$12,552.09	75% above	73%
Hemorrhoidectomy (internal and external), one area CPT 46255 REMOVE INT/EXT HEM 1 GROUP	$7,014.94	$25,981.26	$328.36–$22,863.51	23% above	73%
Hysterectomy through an abdominal incision (total) CPT 58150 TOTAL HYSTERECTOMY	$22,365.97	$82,836.93	$801.02–$72,896.50	15% below	73%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 S-INJ CATH HYSTERSO	$205.54	$761.25	$45.34–$669.90	28% below	73%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 S-INJ CATH HYSTERSO	$274.05	$761.25	$182.70–$669.90	—	64%
Hysteroscopy with endometrial ablation CPT 58563 HYSTEROSCOPY ABLATION	$13,326.93	$49,358.99	$226.28–$43,435.91	60% above	73%
Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 HYSTEROSCOPY BIOPSY	$9,463.10	$35,048.50	$212.88–$30,842.68	36% above	73%
IUD insertion (the device itself billed separately) CPT 58300 INSERT INTRAUTERINE DEVICE	$9,140.02	$33,851.92	$44.84–$29,789.69	63% above	73%
Incision and drainage of a simple or single skin abscess CPT 10060 I&D ABSCESS SIMPLE/SINGLE	$1,501.10	$5,559.63	$100.10–$4,892.47	225% above	73%
Inguinal (groin) hernia repair, age 5 or older CPT 49505 PRP I/HERN INIT REDUC >5 YR	$10,591.91	$39,229.29	$476.96–$34,521.78	21% above	73%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJ TENDON SHEATH/LIGAMENT	$7,601.52	$28,153.79	$36.09–$24,775.34	1322% above	73%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 DRAIN/INJ JOINT/BURSA W/O US	$1,907.62	$7,065.27	$41.90–$6,217.44	362% above	73%
Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 S-INS DRG IMPT INMCD	$167.32	$619.69	$48.70–$1,028.00	91% below	73%
Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 INSERTION DRUG DLVR IMPLANT	$8,642.04	$32,007.56	$48.70–$28,166.65	360% above	73%
Insertion of a drug-delivery implant, such as the arm birth control implant inpatient CPT 11981 S-INS DRG IMPT INMCD	$223.09	$619.69	$148.73–$545.33	—	64%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 S-JOINT ASP-INJ IM	$598.75	$2,217.60	$34.22–$1,951.49	40% above	73%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 DRAIN/INJ JOINT/BURSA W/O US	$3,012.39	$11,157.00	$34.22–$9,818.16	605% above	73%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 S-JOINT ASP-INJ IM	$798.34	$2,217.60	$532.22–$1,951.49	—	64%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 S-JOINT ASP-INJ SM	$572.10	$2,118.90	$33.24–$1,864.63	95% above	73%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 DRAIN/INJ JOINT/BURSA W/O US	$14,438.04	$53,474.22	$33.24–$47,057.31	4815% above	73%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 S-JOINT ASP-INJ SM	$762.80	$2,118.90	$508.54–$1,864.63	—	64%
Knee arthroscopy with meniscus repair (one side of the knee) CPT 29882 KNEE ARTHROSCOPY/SURGERY	$11,737.62	$43,472.65	$639.31–$38,255.93	12% below	73%
Knee arthroscopy with meniscus trim CPT 29881 KNEE ARTHROSCOPY/SURGERY	$15,388.87	$56,995.81	$504.29–$50,156.31	88% above	73%
Knee arthroscopy with removal of both torn meniscus parts CPT 29880 KNEE ARTHROSCOPY/SURGERY	$12,685.42	$46,983.02	$523.09–$41,345.06	60% above	73%
Knee arthroscopy with smoothing of damaged cartilage (chondroplasty) CPT 29877 KNEE ARTHROSCOPY/SURGERY	$10,391.60	$38,487.40	$577.16–$33,868.91	6% below	73%
Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 LAPAROSCOPY APPENDECTOMY	$20,689.42	$76,627.47	$548.46–$67,432.17	45% above	73%
Laparoscopic fundoplication (anti-reflux surgery) CPT 43280 LAPAROSCOPY FUNDOPLASTY	$16,959.28	$62,812.15	$972.74–$55,274.69	27% below	73%
Laparoscopic hysterectomy (uterus 250 g or less) CPT 58570 TLH UTERUS 250 G OR LESS	$27,144.79	$100,536.27	$749.74–$88,471.92	20% above	73%
Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries CPT 58571 TLH W/T/O 250 G OR LESS	$27,252.49	$100,935.16	$843.85–$88,822.94	19% above	73%
Laparoscopic inguinal (groin) hernia repair, first repair on that side CPT 49650 LAP ING HERNIA REPAIR INIT	$16,955.99	$62,799.98	$395.76–$55,263.98	1% above	73%
Laparoscopic inguinal (groin) hernia repair, recurrent hernia CPT 49651 LAP ING HERNIA REPAIR RECUR	$17,260.53	$63,927.90	$516.21–$56,256.55	8% above	73%
Laparoscopic removal of fallopian tubes and/or ovaries CPT 58661 LAPAROSCOPY REMOVE ADNEXA	$14,138.24	$52,363.84	$604.62–$46,080.18	13% below	73%
Laser treatment of clouding after cataract surgery (YAG) CPT 66821 AFTER CATARACT LASER SURGERY	$1,952.35	$7,230.92	$290.36–$6,363.21	6% below	73%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 INTMD RPR S/A/T/EXT 2.5 CM/<	$4,288.75	$15,884.26	$140.89–$13,978.15	496% above	73%
Left heart catheterization, diagnostic CPT 93452 CC-LHC VENT PUNC	$7,751.46	$28,709.10	$601.73–$25,264.01	at median	73%
Left heart catheterization, diagnostic inpatient CPT 93452 CC-LHC VENT PUNC	$10,335.28	$28,709.10	$6,890.18–$25,264.01	—	64%
Lower-back epidural injection, with imaging guidance CPT 62323 NJX INTERLAMINAR LMBR/SAC	$878.85	$3,255.00	$92.90–$2,864.40	32% below	73%
Lower-back epidural injection, with imaging guidance CPT 62323 IR-DI L-S INJ W IM	$1,400.21	$5,185.95	$92.90–$4,563.64	9% above	73%
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 IR-DI L-S INJ W IM	$1,866.94	$5,185.95	$1,244.63–$4,563.64	—	64%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 NJX AA&/STRD TFRM EPI L/S 1	$5,843.07	$21,641.00	$104.21–$19,044.08	258% above	73%
Lumbar discectomy or laminotomy to free a nerve root, one level CPT 63030 LOW BACK DISK SURGERY	$36,698.28	$135,919.54	$829.17–$119,609.20	165% above	73%
Lumbar fusion with interbody cage and posterolateral graft (TLIF), one level CPT 22633 ARTHRD CMBN 1NTRSPC LUMBAR	$110,640.47	$409,779.52	$1,177.00–$360,605.98	59% above	73%
Lumbar laminectomy (spinal decompression), one level CPT 63047 LAM FACETEC & FORAMOT LUMBAR	$37,186.39	$137,727.38	$999.87–$121,200.09	156% above	73%
Lumbar spinal fusion (posterior), one level CPT 22612 ARTHRD PST TQ 1NTRSPC LUMBAR	$66,288.42	$245,512.67	$1,177.00–$216,051.15	12% below	73%
Lumpectomy (partial mastectomy) CPT 19301 PARTIAL MASTECTOMY	$12,700.54	$47,039.02	$154.00–$41,394.34	62% above	73%
Mastectomy (total removal of the breast) CPT 19303 MAST SIMPLE COMPLETE	$26,935.18	$99,759.91	$870.46–$87,788.72	54% above	73%
Miscarriage treatment with D&C, first trimester CPT 59820 CARE OF MISCARRIAGE	$5,430.87	$20,114.32	$352.42–$17,700.60	26% above	73%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 EXC TR-EXT B9+MARG 0.5 CM<	$5,389.82	$19,962.30	$78.85–$17,566.82	140% above	73%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 EXC FACE-MM B9+MARG 0.5 CM/<	$4,544.08	$16,829.94	$100.57–$14,810.35	516% above	73%
Nail removal (partial or complete), one nail CPT 11730 REMOVAL OF NAIL PLATE	$3,946.15	$14,615.38	$42.94–$12,861.53	897% above	73%
Pacemaker implant (dual chamber) CPT 33208 INSRT HEART PM ATRIAL & VENT	$46,374.66	$171,758.00	$462.09–$151,147.04	284% above	73%
Paracentesis with imaging guidance CPT 49083 IR-ABD PARACEN W IMG	$1,414.38	$5,238.45	$98.04–$4,609.84	2% above	73%
Paracentesis with imaging guidance CPT 49083 US-ABD PARACEN W IMG	$1,414.38	$5,238.45	$98.04–$4,609.84	2% above	73%
Paracentesis with imaging guidance CPT 49083 CT-ABD PARACEN W IMG	$1,414.38	$5,238.45	$98.04–$4,609.84	2% above	73%
Paracentesis with imaging guidance inpatient CPT 49083 IR-ABD PARACEN W IMG	$1,885.84	$5,238.45	$1,257.23–$4,609.84	—	64%
Paracentesis with imaging guidance inpatient CPT 49083 US-ABD PARACEN W IMG	$1,885.84	$5,238.45	$1,257.23–$4,609.84	—	64%
Paracentesis with imaging guidance inpatient CPT 49083 CT-ABD PARACEN W IMG	$1,885.84	$5,238.45	$1,257.23–$4,609.84	—	64%
Partial knee replacement (one compartment) CPT 27446 REVISION OF KNEE JOINT	$35,825.54	$132,687.20	$1,055.02–$116,764.74	44% above	73%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 REMOVAL OF NAIL BED	$3,434.45	$12,720.19	$96.13–$11,193.77	394% above	73%
Prostate biopsy CPT 55700 BIOPSY OF PROSTATE	$6,128.31	$22,697.45	$120.45–$19,973.76	72% above	73%
Prostate removal (prostatectomy), laparoscopic CPT 55866 LAPS SURG PRST8ECT RPBIC RAD	$57,423.96	$212,681.33	$942.57–$187,159.57	88% above	73%
Removal of a breast lump, open surgery CPT 19120 REMOVAL OF BREAST LESION	$7,775.43	$28,797.88	$234.00–$25,342.13	54% above	73%
Removal of a foreign object under the skin, simple CPT 10120 INC&RMVL FB SUBQ TISS SMPL	$2,608.29	$9,660.34	$98.89–$8,501.10	324% above	73%
Removal of one lobe of the thyroid (lobectomy) CPT 60220 PARTIAL REMOVAL OF THYROID	$13,316.83	$49,321.58	$651.95–$43,402.99	34% above	73%
Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 COLON CA SCRN NOT HI RSK IND	$2,962.44	$10,972.01	$153.27–$9,655.37	58% above	73%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 COLORECTAL SCRN; HI RISK IND	$2,840.76	$10,521.33	$153.27–$9,258.77	65% above	73%
Short arm splint (forearm and hand) CPT 29125 APPLY FOREARM SPLINT	$1,351.66	$5,006.16	$31.81–$4,405.42	643% above	73%
Short leg splint (calf to foot) CPT 29515 APPLICATION LOWER LEG SPLINT	$1,680.80	$6,225.19	$39.38–$5,478.17	596% above	73%
Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle) CPT 29824 SHO ARTHRS SRG DSTL CLAVICLC	$32,006.90	$118,544.06	$629.50–$104,318.77	124% above	73%
Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) CPT 29826 SHO ARTHRS SRG DECOMPRESSION	$29,403.68	$108,902.53	$155.88–$95,834.23	91% above	73%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 RPR S/N/AX/GEN/TRNK 2.5CM/<	$1,072.22	$3,971.20	$34.84–$3,494.66	145% above	73%
Skin biopsy, punch, one lesion CPT 11104 PUNCH BX SKIN SINGLE LESION	$3,224.31	$11,941.89	$43.36–$10,508.86	614% above	73%
Skin tag removal, up to 15 tags CPT 11200 RMVL SKIN TAGS UP TO&INC 15	$10,393.47	$38,494.34	$60.95–$33,875.02	3572% above	73%
Spinal tap (lumbar puncture), diagnostic CPT 62270 S-SPINAL TAP DIAGNST	$1,108.49	$4,105.50	$57.55–$3,612.84	8% above	73%
Spinal tap (lumbar puncture), diagnostic CPT 62270 DX LMBR SPI PNXR	$6,569.46	$24,331.34	$57.55–$21,411.58	541% above	73%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 S-SPINAL TAP DIAGNST	$1,477.98	$4,105.50	$985.32–$3,612.84	—	64%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 RPR S/N/AX/GEN/TRNK2.6-7.5CM	$1,728.56	$6,402.09	$45.71–$5,633.84	333% above	73%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 RPR F/E/E/N/L/M 2.5 CM/<	$1,366.15	$5,059.81	$43.07–$4,452.63	217% above	73%
TURP (transurethral resection of the prostate) CPT 52601 PROSTATECTOMY (TURP)	$12,566.45	$46,542.40	$677.67–$40,957.31	22% below	73%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 TANGNTL BX SKIN SINGLE LES	$1,588.14	$5,882.00	$35.07–$5,176.16	290% above	73%
Thoracentesis with imaging guidance CPT 32555 IR-THORACNTSIS W IMG	$863.54	$3,198.30	$85.77–$2,814.50	21% below	73%
Thoracentesis with imaging guidance CPT 32555 US-THORACNTSIS W IMG	$863.54	$3,198.30	$85.77–$2,814.50	21% below	73%
Thoracentesis with imaging guidance CPT 32555 CT-THORACNTSIS W IMG	$863.54	$3,198.30	$85.77–$2,814.50	21% below	73%
Thoracentesis with imaging guidance CPT 32555 ASPIRATE PLEURA W/ IMAGING	$3,218.40	$11,920.00	$85.77–$10,489.60	194% above	73%
Thoracentesis with imaging guidance inpatient CPT 32555 CT-THORACNTSIS W IMG	$1,151.39	$3,198.30	$767.59–$2,814.50	—	64%
Thoracentesis with imaging guidance inpatient CPT 32555 US-THORACNTSIS W IMG	$1,151.39	$3,198.30	$767.59–$2,814.50	—	64%
Thoracentesis with imaging guidance inpatient CPT 32555 IR-THORACNTSIS W IMG	$1,151.39	$3,198.30	$767.59–$2,814.50	—	64%
Tonsil and adenoid removal, child under 12 CPT 42820 REMOVE TONSILS AND ADENOIDS	$6,819.26	$25,256.53	$273.70–$22,225.75	10% above	73%
Tonsil removal (tonsillectomy) only, age 12 or older CPT 42826 REMOVAL OF TONSILS	$6,610.66	$24,483.94	$240.46–$21,545.87	15% above	73%
Tonsil removal (tonsillectomy) only, child under 12 CPT 42825 REMOVAL OF TONSILS	$5,539.16	$20,515.40	$252.59–$18,053.55	33% below	73%
Total hip replacement CPT 27130 TOTAL HIP ARTHROPLASTY	$39,015.99	$144,503.68	$1,177.86–$127,163.24	32% above	73%
Total knee replacement CPT 27447 TOTAL KNEE ARTHROPLASTY	$36,514.18	$135,237.71	$1,176.31–$119,009.18	38% above	73%
Total shoulder replacement CPT 23472 RECONSTRUCT SHOULDER JOINT	$54,727.56	$202,694.66	$1,127.66–$178,371.30	58% above	73%
Trigger finger release surgery CPT 26055 INCISE FINGER TENDON SHEATH	$4,938.85	$18,292.03	$275.10–$16,096.99	18% above	73%
Tubal ligation, laparoscopic (tubes sealed by cautery) CPT 58670 LAPAROSCOPY TUBAL CAUTERY	$10,800.45	$40,001.65	$345.93–$35,201.45	23% below	73%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 BX BREAST 1ST LESION US IMAG	$7,350.96	$27,225.79	$142.28–$23,958.70	216% above	73%
Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 ESOPH EGD DILATION <30 MM	$3,963.40	$14,679.27	$141.32–$12,917.76	24% above	73%
Upper endoscopy (EGD) with biopsy CPT 43239 EGD BIOPSY SINGLE/MULTIPLE	$3,864.33	$14,312.32	$127.68–$12,594.84	28% above	73%
Upper endoscopy (EGD) with injection into the lining CPT 43236 UPPR GI SCOPE W/SUBMUC INJ	$4,435.22	$16,426.74	$127.68–$14,455.53	16% above	73%
Upper endoscopy (EGD) with polyp removal by snare CPT 43251 EGD REMOVE LESION SNARE	$4,548.12	$16,844.89	$180.29–$14,823.50	16% above	73%
Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 EGD GUIDE WIRE INSERTION	$3,473.96	$12,866.50	$153.01–$11,322.52	28% above	73%
Upper endoscopy (EGD), diagnostic CPT 43235 EGD DIAGNOSTIC BRUSH WASH	$3,028.19	$11,215.53	$113.05–$9,869.67	28% above	73%
Upper endoscopy with drainage of a pseudocyst through the stomach wall CPT 43240 EGD W/TRANSMURAL DRAIN CYST	$17,296.25	$64,060.20	$360.38–$56,372.98	48% above	73%
Ureteroscopy with laser stone breaking (lithotripsy) CPT 52353 CYSTOURETERO W/LITHOTRIPSY	$11,900.37	$44,075.43	$360.27–$38,786.38	21% above	73%
Ureteroscopy with laser stone breaking and stent placement CPT 52356 CYSTO/URETERO W/LITHOTRIPSY	$14,652.39	$54,268.11	$382.17–$47,755.94	8% below	73%
Vasectomy, one or both sides, including follow-up semen testing CPT 55250 REMOVAL OF SPERM DUCT(S)	$5,982.82	$22,158.59	$215.62–$19,499.56	22% above	73%
Wart removal, up to 14 warts CPT 17110 DESTRUCT B9 LESION 1-14	$6,844.34	$25,349.41	$64.33–$22,307.48	2209% above	73%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DBRDMT SUBQ TIS 1ST 20SQCM/<	$3,543.87	$13,125.44	$56.28–$11,550.39	356% above	73%
Wrist fracture surgery (plate and screws), distal radius CPT 25607 OPTX DST RD XARTC FX/EPI SEP	$13,557.78	$50,214.00	$691.24–$44,188.32	40% above	73%

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs Indiana	Off list
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSFUSION	$710.45	$2,631.30	$32.76–$2,315.54	21% below	73%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD TRANSFUSION	$947.27	$2,631.30	$631.51–$2,315.54	—	64%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 INHALATION TRTMT INI	$174.07	$644.70	$6.14–$567.34	54% above	73%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 INHALATION TRTMT INI	$232.09	$644.70	$154.73–$567.34	—	64%
Chemotherapy IV infusion, first hour CPT 96413 CHEMO IV INFU 1ST HR	$411.93	$1,525.65	$100.98–$1,342.57	39% below	73%
Chemotherapy IV infusion, first hour inpatient CPT 96413 CHEMO IV INFU 1ST HR	$549.23	$1,525.65	$366.16–$1,342.57	—	64%
Critical care, first 30 to 74 minutes one side CPT 99291 CRITICAL CARE LT 74M	$1,787.75	$6,621.30	$169.34–$7,324.00	16% below	73%
Critical care, first 30 to 74 minutes one side CPT 99291 ED-CRIT CARE LT 74M	$1,787.75	$6,621.30	$169.34–$7,324.00	16% below	73%
Critical care, first 30 to 74 minutes inpatient one side CPT 99291 CRITICAL CARE LT 74M	$2,383.67	$6,621.30	$1,589.11–$5,826.74	—	64%
Critical care, first 30 to 74 minutes inpatient one side CPT 99291 ED-CRIT CARE LT 74M	$2,383.67	$6,621.30	$1,589.11–$5,826.74	—	64%
EEG (brain wave test), awake and drowsy, routine CPT 95816 EEG AWAKE DROWSY	$689.76	$2,554.65	$270.30–$2,915.00	1% above	73%
EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 EEG AWAKE DROWSY	$919.67	$2,554.65	$613.12–$2,248.09	—	64%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 NI-EKG, 12 LEADS	$83.35	$308.70	$5.68–$271.66	59% below	73%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 NI-EKG, 12 LEADS	$111.13	$308.70	$74.09–$271.66	—	64%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 BRIEF ED VISIT	$200.43	$742.35	$10.65–$2,000.00	8% below	73%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ED-BRIEF ED VISIT	$200.43	$742.35	$10.65–$2,000.00	8% below	73%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 ED-BRIEF ED VISIT	$267.25	$742.35	$178.16–$653.27	—	64%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 BRIEF ED VISIT	$267.25	$742.35	$178.16–$653.27	—	64%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 ED-LIMITED ED VISIT	$299.66	$1,109.85	$39.02–$2,000.00	29% below	73%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 LIMITED ED VISIT	$299.66	$1,109.85	$39.02–$2,000.00	29% below	73%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 LIMITED ED VISIT	$399.55	$1,109.85	$266.36–$976.67	—	64%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 ED-LIMITED ED VISIT	$399.55	$1,109.85	$266.36–$976.67	—	64%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 ED-INTERMED ED VIST	$570.97	$2,114.70	$66.44–$2,114.70	26% below	73%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 INTERMEDIATE ED VIST	$570.97	$2,114.70	$66.44–$2,114.70	26% below	73%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 INTERMEDIATE ED VIST	$761.29	$2,114.70	$507.53–$1,860.94	—	64%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 ED-INTERMED ED VIST	$761.29	$2,114.70	$507.53–$1,860.94	—	64%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 EXTENDED ED VISIT	$899.26	$3,330.60	$113.08–$3,330.60	24% below	73%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 ED-EXTENDED ED VISIT	$899.26	$3,330.60	$113.08–$3,330.60	24% below	73%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 EXTENDED ED VISIT	$1,199.02	$3,330.60	$799.34–$2,930.93	—	64%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 ED-EXTENDED ED VISIT	$1,199.02	$3,330.60	$799.34–$2,930.93	—	64%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 COMPREHENSIVE ED VST	$1,371.86	$5,080.95	$163.87–$5,080.95	22% below	73%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 ED-COMPREHEN ED VST	$1,371.86	$5,080.95	$163.87–$5,080.95	22% below	73%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 COMPREHENSIVE ED VST	$1,829.14	$5,080.95	$1,219.43–$4,471.24	—	64%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 ED-COMPREHEN ED VST	$1,829.14	$5,080.95	$1,219.43–$4,471.24	—	64%
Exercise stress test, tracing only, the hospital charge CPT 93017 NI-STRESS TEST	$376.49	$1,394.40	$34.39–$1,227.07	51% below	73%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 NI-STRESS TEST	$501.98	$1,394.40	$334.66–$1,227.07	—	64%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 ED-IV HYDRATION 1 HR	$319.22	$1,182.30	$25.56–$1,040.42	13% below	73%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV HYDRATION 1 HR	$319.22	$1,182.30	$25.56–$1,040.42	13% below	73%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV HYDRATION 1 HR	$425.63	$1,182.30	$283.75–$1,040.42	—	64%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 ED-IV HYDRATION 1 HR	$425.63	$1,182.30	$283.75–$1,040.42	—	64%
IV infusion of a medicine, first hour CPT 96365 ED-IV THERAPY DX 1HR	$335.66	$1,243.20	$49.01–$1,094.02	17% below	73%
IV infusion of a medicine, first hour CPT 96365 IV THERAPY DX 1 HR	$335.66	$1,243.20	$49.01–$1,094.02	17% below	73%
IV infusion of a medicine, first hour inpatient CPT 96365 ED-IV THERAPY DX 1HR	$447.55	$1,243.20	$298.37–$1,094.02	—	64%
IV infusion of a medicine, first hour inpatient CPT 96365 IV THERAPY DX 1 HR	$447.55	$1,243.20	$298.37–$1,094.02	—	64%
IV push of a medicine, first drug CPT 96374 ED-INJ THER IV PUSH	$166.13	$615.30	$28.85–$630.00	22% below	73%
IV push of a medicine, first drug CPT 96374 INJECTION IV PUSH	$166.13	$615.30	$28.85–$630.00	22% below	73%
IV push of a medicine, first drug CPT 96374 THERAPEUTIC IV PUSH	$166.13	$615.30	$28.85–$653.00	22% below	73%
IV push of a medicine, first drug inpatient CPT 96374 INJECTION IV PUSH	$221.51	$615.30	$147.67–$541.46	—	64%
IV push of a medicine, first drug inpatient CPT 96374 THERAPEUTIC IV PUSH	$221.51	$615.30	$147.67–$541.46	—	64%
IV push of a medicine, first drug inpatient CPT 96374 ED-INJ THER IV PUSH	$221.51	$615.30	$147.67–$541.46	—	64%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 ED-INJ THER DX SQ IM	$54.43	$201.60	$11.47–$630.00	48% below	73%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 THERAPEUTIC DX SQ IM	$54.43	$201.60	$11.47–$653.00	48% below	73%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 THERAPEUTIC DX SQ IM	$72.58	$201.60	$48.38–$177.41	—	64%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 ED-INJ THER DX SQ IM	$72.58	$201.60	$48.38–$177.41	—	64%
Nerve conduction study, 7 or 8 nerve studies CPT 95910 MTR-SENS 7-8 NRV TST	$2,045.45	$7,575.75	$66.14–$6,666.66	138% above	73%
Nerve conduction study, 7 or 8 nerve studies inpatient CPT 95910 MTR-SENS 7-8 NRV TST	$2,727.27	$7,575.75	$1,818.18–$6,666.66	—	64%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 MNT INITIAL EA 15 MN	$22.68	$84.00	$20.03–$206.00	34% below	73%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 MNT INITIAL EA 15 MN	$30.24	$84.00	$20.16–$73.92	—	64%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 BEHAV CHG SMOKE U 10	$30.62	$113.40	$9.41–$206.00	2% above	73%
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 BEHAV CHG SMOKE U 10	$40.82	$113.40	$27.22–$99.79	—	64%
Spirometry (breathing test) CPT 94010 SPIROMETRY	$114.25	$423.15	$17.66–$748.00	53% below	73%
Spirometry (breathing test) inpatient CPT 94010 SPIROMETRY	$152.33	$423.15	$101.56–$372.37	—	64%
Spirometry before and after a bronchodilator CPT 94060 BRONCHO EVAL PRE/PST	$190.80	$706.65	$26.55–$748.00	65% below	73%
Spirometry before and after a bronchodilator inpatient CPT 94060 BRONCHO EVAL PRE/PST	$254.39	$706.65	$169.60–$621.85	—	64%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 PHLEBOTOMY THERAPEUT	$74.56	$276.15	$17.10–$472.68	65% below	73%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 PHLEBOTOMY THERAPEUT	$99.41	$276.15	$66.28–$243.01	—	64%

Vaccines

Procedure	Cash price	List price	Insurers pay	vs Indiana	Off list
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 DIPTH/TETA/PERT PED	$233.94	$866.46	$30.80–$762.48	185% above	73%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 DIPTH/TETA/PERT PED	$311.93	$866.46	$207.95–$762.48	—	64%
DTaP, polio and Hib combination vaccine (Pentacel) CPT 90698 DTAP-HIB-IPV INJ	$234.07	$866.93	$113.53–$762.90	5% below	73%
DTaP, polio and Hib combination vaccine (Pentacel) inpatient CPT 90698 DTAP-HIB-IPV INJ	$312.09	$866.93	$208.06–$762.90	—	64%
Flu shot, recombinant, egg-free (Flublok) CPT 90673 FLU VACC RIV3 NOPRSV	$234.03	$866.79	$0.03–$762.78	317% above	73%
Flu shot, recombinant, egg-free (Flublok) inpatient CPT 90673 FLU VACC RIV3 NOPRSV	$312.04	$866.79	$208.03–$762.78	—	64%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 FLUVACC NO PRES OV3Y	$234.03	$866.79	$0.03–$762.78	500% above	73%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 FLUVACC NO PRES OV3Y	$312.04	$866.79	$208.03–$762.78	—	64%
Hepatitis A vaccine, adult dose CPT 90632 HEP A VIRUS VACCINE	$117.03	$433.45	$70.48–$381.44	31% below	73%
Hepatitis A vaccine, adult dose inpatient CPT 90632 HEP A VIRUS VACCINE	$156.04	$433.45	$104.03–$381.44	—	64%
Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 HEP A PED/ADOL X2 IM	$140.05	$518.70	$37.00–$456.46	64% above	73%
Hepatitis A vaccine, child and teen dose (2-dose schedule) inpatient CPT 90633 HEP A PED/ADOL X2 IM	$186.73	$518.70	$124.49–$456.46	—	64%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEP B VAC ADULT IM	$92.14	$341.25	$60.19–$300.30	48% below	73%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HEP B VAC ADULT IM	$122.85	$341.25	$81.90–$300.30	—	64%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HEP B VAC PED	$233.94	$866.45	$28.76–$762.48	219% above	73%
Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 HEP B VAC PED	$311.92	$866.45	$207.95–$762.48	—	64%
Hib vaccine (Haemophilus influenzae type b), 3-dose schedule (PedvaxHIB) CPT 90647 HAEMO/MENIN VAC 0.5	$72.86	$269.85	$30.00–$237.47	11% above	73%
Hib vaccine (Haemophilus influenzae type b), 3-dose schedule (PedvaxHIB) inpatient CPT 90647 HAEMO/MENIN VAC 0.5	$97.15	$269.85	$64.76–$237.47	—	64%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 HAEMOPH B TETAN INJ	$233.92	$866.36	$13.63–$762.40	379% above	73%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) inpatient CPT 90648 HAEMOPH B TETAN INJ	$311.89	$866.36	$207.93–$762.40	—	64%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 FLU VAC NOPRSV ANTIG	$234.03	$866.79	$65.26–$762.78	30% above	73%
High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 FLU VAC NOPRSV ANTIG	$312.04	$866.79	$208.03–$762.78	—	64%
MMR vaccine (measles, mumps and rubella), live CPT 90707 M-M-R II INJ	$234.10	$867.05	$91.67–$763.00	9% below	73%
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 M-M-R II INJ	$312.14	$867.05	$208.09–$763.00	—	64%
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 PNEUMOCOC 13-VAL IM	$318.94	$1,181.25	$208.37–$1,066.37	32% below	73%
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) inpatient CPT 90670 PNEUMOCOC 13-VAL IM	$425.25	$1,181.25	$271.69–$1,039.50	—	64%
Pneumonia vaccine, 15-valent conjugate (Vaxneuvance) CPT 90671 PNEUMOCOC 15-VAL IM	$470.34	$1,742.00	$239.87–$1,532.96	16% below	73%
Pneumonia vaccine, 15-valent conjugate (Vaxneuvance) inpatient CPT 90671 PNEUMOCOC 15-VAL IM	$627.12	$1,742.00	$400.66–$1,532.96	—	64%
Pneumonia vaccine, 21-valent conjugate (Capvaxive) CPT 90684 PNEUMOC VAC PCV21 IM	$498.61	$1,846.70	$325.75–$1,625.10	23% above	73%
Pneumonia vaccine, 21-valent conjugate (Capvaxive) inpatient CPT 90684 PNEUMOC VAC PCV21 IM	$664.81	$1,846.70	$424.74–$1,625.10	—	64%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMO-VAC 2YR-ADULT	$242.26	$897.25	$122.94–$789.58	4% above	73%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMO-VAC 2YR-ADULT	$323.01	$897.25	$215.34–$789.58	—	64%
RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 RSV MONOCLON AB 0.5M	$927.19	$3,434.04	$523.39–$3,021.96	18% below	73%
RSV antibody shot for infants, seasonal dose (0.5 mL) inpatient CPT 90380 RSV MONOCLON AB 0.5M	$1,236.25	$3,434.04	$824.17–$3,021.96	—	64%
Rabies vaccine, one dose CPT 90675 RABIES VAC IM	$901.52	$3,338.95	$350.14–$2,938.28	13% above	73%
Rabies vaccine, one dose inpatient CPT 90675 RABIES VAC IM	$1,202.02	$3,338.95	$801.35–$2,938.28	—	64%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TD IM NO PRSRV GE 7Y	$234.02	$866.75	$26.43–$762.74	104% above	73%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TD IM NO PRSRV GE 7Y	$312.03	$866.75	$208.02–$762.74	—	64%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 DIPH/TET/ACPERT .5ML	$233.98	$866.61	$38.52–$762.62	91% above	73%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 DIPH/TET/ACPERT .5ML	$311.98	$866.61	$207.99–$762.62	—	64%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMM ADM 1ST VACCINE	$30.90	$114.45	$15.87–$100.72	50% below	73%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMM ADM 1ST VACCINE	$41.20	$114.45	$27.47–$100.72	—	64%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMM ADM EA ADD VACC	$30.90	$114.45	$11.69–$100.72	22% below	73%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 IMM ADM EA ADD VACC	$41.20	$114.45	$27.47–$100.72	—	64%

Procedure The service, with its billing code (CPT or HCPCS) and, in small type, the line exactly as the hospital wrote it in its price file. More

Cash price The hospital's own price for a patient paying without insurance (“discounted cash” in its price file). Hospitals must publish it under federal law, 45 CFR 180.50. Call to confirm it before booking. More

List price The hospital's full chargemaster price (“gross charge”) before any discount. Almost nobody pays it; the gap to the cash price shows what the self-pay discount is worth. More

Insurers pay The lowest and highest rates this hospital has agreed with insurance plans for the same item, from its price file. If the cash price is below what your plan pays and you have not met your deductible, paying cash can cost you less. More

Against the state median This hospital's cash price compared with the median cash price of hospitals in the state for the same code. Shown when at least three hospitals in the state price it.

Off list How much lower the cash price is than the list price.

No cash discount This line's cash price equals the hospital's full list price. Many hospitals still reduce bills for uninsured patients: ask the billing office for its self-pay discount in writing. More

At or below Medicare This cash price is at or below what Medicare pays a hospital for the same service, which is unusually low. It is what the hospital's file says; confirm it and what it includes before booking. More

Check the item The description in the hospital file looks like a supply or device (a catheter, a brace, an implant), not this procedure. The hospital may have filed it under the wrong code: ask before relying on this price.

Source file: https://www.nwhealthporter.com/Uploads/Public/Documents/charge-masters/charge-masters-2024/208473972_northwest-health-porter_standardcharges.csv