Seattle Children's Hospital
Seattle Children's Hospital in Seattle, WA publishes cash prices for 407 common procedures listed here, from its own machine-readable price file updated Mar 31, 2026. Compared with other hospitals in the state, its outpatient cash prices are above the Washington median for 365 of 401 procedures and below it for 34. By typical cash price it ranks #60 of 60 Washington hospitals and #18 of 18 hospitals in the Seattle, WA area, cheapest first. Select a procedure to compare it with other hospitals nearby.
4800 Sand Point Way NE, Seattle, WA 98105 Collected Nov 6, 2026 Source price file Check a bill from this hospital (206) 987-2000
Children's hospital Nonprofit hospital Emergency department CCN 503300 · CMS hospital register NPI 1467536276
The price file shows no self-pay discount
For 1322 of the 1324 prices listed here, the cash price in Seattle Children's Hospital's file equals its full list price (chargemaster), so the file publishes no self-pay discount. That is why it compares as expensive. Many hospitals still reduce bills for uninsured patients or offer financial assistance based on income: before a planned visit, ask the billing office for its self-pay rate and discount policy in writing. Other US hospitals whose cash price is their full list price.
Financial assistance
Nonprofit hospital: it must offer free or discounted care to patients who qualify. How to apply
Seattle Children's Hospital is a nonprofit hospital in the CMS register. Under section 501(r) of the federal tax code it must have a written Financial Assistance Policy with a free application, publish both on its website, and charge patients who qualify no more than the amounts generally billed to insured patients for emergency and other medically necessary care. Who qualifies depends on household income; the policy states the limits.
You can apply up to 240 days after the first bill. Before collection actions such as credit reporting or a lawsuit, the hospital must tell you about the policy and wait at least 120 days after that bill. Ask the billing office for the policy and the application before you pay, or search the hospital's website for “financial assistance”. Letters you can copy.
Source: IRS, section 501(r) requirements for nonprofit hospitals.
State law
This state limits hospital bills for lower-income patients
Washington law (RCW 70.170.060) requires hospital charity care: patients with family income up to 300% of the federal poverty level owe nothing at hospitals in large health systems (200% at other hospitals), with 75% and 50% discounts up to 400% (300% at other hospitals). It covers the part of the bill a patient owes, insured or not. Ask the hospital for its charity care application. Other states' laws.
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 4 actions for a hospital named Seattle Children's Hospital in Seattle, WA:
- Mar 26, 2025 Warning notice
- Jul 1, 2025 Corrective action plan requested
- Jul 21, 2025 Corrective action plan requested
- Sep 4, 2025 Case closed
Warning notice: CMS reviewed the hospital and told it that it had found possible violations of the price transparency rules. Corrective action plan requested: CMS asked the hospital to submit a plan to fix the problems it found. 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 Washington | Off list |
|---|---|---|---|---|---|
| Abdominal CT scan without and with contrast CPT 74170 CT Abdomen Combined | $4,358.30 | $4,358.30 | $1,786.90–$4,183.97 | 110% above | — |
| Abdominal CT scan without and with contrast inpatient CPT 74170 CT Abdomen Combined | $4,358.30 | $4,358.30 | $1,786.90–$4,183.97 | — | — |
| Abdominal X-ray, 2 views CPT 74019 Dx Abdomen 2 Views | $602.40 | $602.40 | $151.80–$578.30 | 86% above | — |
| Ankle X-ray, complete, 3 or more views CPT 73610 Xray Ankle 3v | $690.00 | $690.00 | $173.88–$1,324.22 | 122% above | — |
| Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 CT Ext Upper Extremity W/O Contrast | $2,228.60 | $2,228.60 | $561.61–$4,278.72 | 57% above | — |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 Esophagram | $1,008.00 | $1,008.00 | $254.02–$967.68 | 66% above | — |
| Bone scan, whole body (nuclear medicine) CPT 78306 NM Bone Total Body Scan | $2,967.70 | $2,967.70 | $747.86–$2,848.99 | 99% above | — |
| Bone scan, whole body (nuclear medicine) CPT 78306 NM Bone Scan W/Bone Blood Pool | $4,400.20 | $4,400.20 | $1,108.85–$4,224.19 | 195% above | — |
| Bone scan, whole body (nuclear medicine) CPT 78306 NM Bone Scan Total Body + Spect | $5,638.90 | $5,638.90 | $1,421.00–$5,413.34 | 279% above | — |
| Bone scan, whole body (nuclear medicine) inpatient CPT 78306 NM Bone Total Body Scan | $2,967.70 | $2,967.70 | $747.86–$2,848.99 | — | — |
| Bone scan, whole body (nuclear medicine) inpatient CPT 78306 NM Bone Scan W/Bone Blood Pool | $4,400.20 | $4,400.20 | $1,108.85–$4,224.19 | — | — |
| Bone scan, whole body (nuclear medicine) inpatient CPT 78306 NM Bone Scan Total Body + Spect | $5,638.90 | $5,638.90 | $1,421.00–$5,413.34 | — | — |
| Breast ultrasound, limited (one breast or one area) CPT 76642 US Breast Sonogram Ltd | $743.10 | $743.10 | $187.26–$713.38 | 119% above | — |
| Breast ultrasound, limited (one breast or one area) CPT 76642 US Breast Sonogram Ltd | $743.10 | — | — | 119% above | — |
| Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 US Breast Sonogram Ltd | $743.10 | $743.10 | $187.26–$713.38 | — | — |
| CT angiography (CTA) of the abdomen and pelvis CPT 74174 CT Angio Abdomen and Pelvis | $7,255.30 | $7,255.30 | $1,828.34–$6,965.09 | 102% above | — |
| CT angiography (CTA) of the head CPT 70496 CT Angio Head | $5,385.40 | $5,385.40 | $1,357.12–$5,169.98 | 155% above | — |
| CT angiography (CTA) of the neck CPT 70498 CT Angio Neck | $4,757.20 | $4,757.20 | $1,198.81–$4,566.91 | 111% above | — |
| CT angiography (CTA) of the neck CPT 70498 CT Angio Neck With Cont | $4,757.20 | $4,757.20 | $1,198.81–$4,566.91 | 111% above | — |
| CT angiography (CTA) of the neck CPT 70498 CT Angio Neck W+WO Cont | $4,757.20 | $4,757.20 | $1,198.81–$4,566.91 | 111% above | — |
| CT angiography (CTA) of the neck inpatient CPT 70498 CT Angio Neck With Cont | $4,757.20 | $4,757.20 | $1,198.81–$4,566.91 | — | — |
| CT angiography (CTA) of the neck inpatient CPT 70498 CT Angio Neck W+WO Cont | $4,757.20 | $4,757.20 | $1,198.81–$4,566.91 | — | — |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT Angio Chest | $4,393.50 | $4,393.50 | $1,107.16–$4,217.76 | 83% above | — |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CT Cardiac W+W/O Contr Coronary | $6,297.80 | $6,297.80 | $1,587.05–$6,045.89 | 440% above | — |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT Hrt W/O Dye W/Ca Test | $1,921.30 | $1,921.30 | $787.73–$1,844.45 | 1345% above | — |
| CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 CT Hrt W/O Dye W/Ca Test | $1,921.30 | $1,921.30 | $787.73–$1,844.45 | — | — |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT Abdomen Pelvis W/O Contrast | $4,491.90 | $4,491.90 | $1,131.96–$4,312.22 | 78% above | — |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT Abdomen Pelvis W/ Contrast | $6,471.10 | $6,471.10 | $1,630.72–$6,212.26 | 109% above | — |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT Abdomen Pelvis W+W/O Contr | $7,302.30 | $7,302.30 | $2,993.94–$7,010.21 | 96% above | — |
| CT scan of the abdomen with contrast CPT 74160 CT Abdomen W Contrast | $3,848.20 | $3,848.20 | $969.75–$3,694.27 | 105% above | — |
| CT scan of the abdomen without contrast CPT 74150 CT Abdomen W/O Contrast | $2,812.10 | $2,812.10 | $1,152.96–$2,699.62 | 96% above | — |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT Maxillofacial W/O Contrast | $2,419.60 | $2,419.60 | $609.74–$2,322.82 | 119% above | — |
| CT scan of the head or brain, no contrast dye CPT 70450 CT Head W/O Contrast | $2,394.50 | $2,394.50 | $603.41–$2,298.72 | 80% above | — |
| CT scan of the head or brain, no contrast dye CPT 70450 CT Head W/O Contrast Stealth | $2,753.70 | $2,753.70 | $693.93–$2,643.55 | 107% above | — |
| CT scan of the head with contrast CPT 70460 CT Head W Contrast | $2,732.60 | $2,732.60 | $688.62–$2,623.30 | 87% above | — |
| CT scan of the head without and with contrast CPT 70470 CT Head Combined | $3,392.60 | $3,392.60 | $1,390.97–$3,256.90 | 96% above | — |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT Spine Lumbar W/O Contrast | $3,181.60 | $3,181.60 | $801.76–$3,054.34 | 122% above | — |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT Spine Cervical W/O Contrast | $2,898.90 | $2,898.90 | $730.52–$2,782.94 | 94% above | — |
| CT scan of the pelvis, with contrast dye CPT 72193 CT Pelvis W Contrast | $3,784.20 | $3,784.20 | $953.62–$3,632.83 | 110% above | — |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 US Extrcranial Arteries Bi/Cmp | $1,597.10 | $1,597.10 | $402.47–$1,533.22 | — | — |
| Chest CT scan without and with contrast CPT 71270 CT Scan Chest W/&W/O Contrast | $4,401.00 | $4,401.00 | $1,804.41–$4,224.96 | 112% above | — |
| Chest CT scan without and with contrast inpatient CPT 71270 CT Scan Chest W/&W/O Contrast | $4,401.00 | $4,401.00 | $1,804.41–$4,224.96 | — | — |
| Chest X-ray, 2 views CPT 71046 xray Chest 2V | $627.30 | $627.30 | $158.08–$602.21 | 116% above | — |
| Chest X-ray, single view CPT 71045 Xray Chest 1v | $627.80 | $627.80 | $158.21–$602.69 | 162% above | — |
| Chest X-ray, single view inpatient CPT 71045 Xray Chest 1v | $627.80 | $627.80 | $158.21–$602.69 | — | — |
| Collarbone (clavicle) X-ray, complete CPT 73000 Xray Clavicle | $560.50 | $560.50 | $141.25–$1,075.58 | 104% above | — |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US Renal Sonogram Cmp | $1,326.30 | $1,326.30 | $334.23–$1,273.25 | 114% above | — |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US Retroperitoneal Complete | $1,335.90 | $1,335.90 | $336.65–$1,282.46 | 115% above | — |
| Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US Retroperitoneal Complete | $1,335.90 | $1,335.90 | $336.65–$1,282.46 | — | — |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 Dexa Axial Skeleton | $775.40 | $775.40 | $195.40–$744.38 | 85% above | — |
| DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 Dexa Appendicular Skeleton | $697.30 | $697.30 | $175.72–$669.41 | 303% above | — |
| Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 Detailed OB US Sngl/1st Gestation | $1,261.00 | $1,261.00 | $317.77–$1,210.56 | 77% above | — |
| Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 Detailed OB US Sngl/1st Gestation | $1,261.00 | $1,261.00 | $317.77–$1,210.56 | — | — |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT Thorax W/O Cont | $2,896.50 | $2,896.50 | $729.92–$2,780.64 | 94% above | — |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT Thorax W Contrast | $3,674.80 | $3,674.80 | $926.05–$3,527.81 | 94% above | — |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT Thorax W/ High Res | $3,740.60 | $3,740.60 | $942.63–$3,590.98 | 98% above | — |
| Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 US Lwr Ext Artry Dpplr Bi/Cmp | $2,092.10 | $2,092.10 | $527.21–$2,008.42 | — | — |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 Dup-Scan Xtr Veins Complete Bilateral Study | $1,952.10 | $1,952.10 | $491.93–$1,874.02 | — | — |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US Lwr Ext Venos Dpplr Bi/Cmp | $1,952.10 | $1,952.10 | $491.93–$1,874.02 | — | — |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 US Lwr Ext Venos Dpplr Bi/Cmp | $1,952.10 | $1,952.10 | $491.93–$1,874.02 | — | — |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 Echo Transthoracic Real Time 2d | $3,885.00 | $3,364.10 | $847.75–$3,229.54 | 131% above | -15% |
| Elbow X-ray, 2 views CPT 73070 Elbow 2v | $529.20 | $529.20 | $133.36–$1,017.02 | 97% above | — |
| Elbow X-ray, complete, 3 or more views CPT 73080 Xray Elbow 2v or More | $613.80 | $613.80 | $154.68–$1,178.21 | 94% above | — |
| Eye socket (orbit) CT scan without contrast CPT 70480 CT Orbit/Ear/Fossa W/O Contrast | $2,869.00 | $2,869.00 | $722.99–$2,754.24 | 134% above | — |
| Facial bones X-ray, complete, 3 or more views CPT 70150 xray exam of facial bones comp min 3V | $760.50 | $760.50 | $191.65–$730.08 | 105% above | — |
| Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 xray exam of facial bones comp min 3V | $760.50 | $760.50 | $191.65–$730.08 | — | — |
| Forearm X-ray (radius and ulna), 2 views CPT 73090 Xray Forearm 2v | $563.50 | $563.50 | $142.00–$1,138.94 | 106% above | — |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 NM Hepatobiliary Excretion | $2,520.00 | $2,520.00 | $635.04–$2,419.20 | 114% above | — |
| Hand X-ray, 2 views CPT 73120 Xray Hand 2v | $612.00 | $612.00 | $154.22–$1,174.46 | 115% above | — |
| Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 Calcaneus | $469.30 | $469.30 | $118.26–$900.19 | 80% above | — |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 Sleep Study W/ Intervent Limited | $2,682.70 | $2,682.70 | $572.97–$2,575.39 | 22% below | — |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 Sleep Study W/Intervention | $9,259.20 | $9,259.20 | $2,333.32–$8,888.83 | 168% above | — |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 Sleep Study W/ Intervent Limited | $2,682.70 | $2,682.70 | $572.97–$2,575.39 | — | — |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 Sleep Study W/Intervention | $9,259.20 | $9,259.20 | $2,333.32–$8,888.83 | — | — |
| Knee X-ray, 3 views CPT 73562 Knee 3v | $661.60 | $661.60 | $166.72–$1,269.60 | 113% above | — |
| Knee X-ray, complete, 4 or more views CPT 73564 Xray Knee 4v or More | $692.80 | $692.80 | $174.59–$1,329.60 | 65% above | — |
| Leg CT scan without contrast (hip to foot, any part) CPT 73700 CT Ext Lower W/O Contra | $2,230.30 | $2,230.30 | $562.04–$4,281.70 | 66% above | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US Abdominal Sonogram Ltd | $1,039.20 | $1,039.20 | $261.88–$997.63 | 105% above | — |
| Limited ultrasound of an arm or leg (non-vascular) CPT 76882 US Limited Joint/Nonvascular Extremity in Clinic | $618.90 | $618.90 | $155.96–$594.14 | 95% above | — |
| Limited ultrasound of an arm or leg (non-vascular) CPT 76882 US Limited Joint/Nonvascular Extremity | $758.90 | $618.90 | $155.96–$594.14 | 139% above | -23% |
| Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 US Limited Joint/Nonvascular Extremity|LEFT SIDE | $774.15 | — | — | 144% above | — |
| Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 US Limited Joint/Nonvascular Extremity|RIGHT SIDE | $959.55 | — | — | 202% above | — |
| Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 US Limited Joint/Nonvascular Extremity in Clinic | $618.90 | $618.90 | $155.96–$594.14 | — | — |
| Lower leg X-ray (tibia and fibula), 2 views CPT 73590 Tib Fib 2v | $563.50 | $563.50 | $142.00–$1,079.52 | 104% above | — |
| MR angiography (MRA) of the head without contrast CPT 70544 Mra Angio Head W/O Contrast | $4,691.70 | $4,691.70 | $1,182.31–$4,504.03 | 137% above | — |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI Ext Joint Lower W/O Contrast Ltd | $2,327.30 | $2,327.30 | $586.48–$4,370.78 | 23% above | — |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI Ext Joint Lower W/O Contrast | $4,552.90 | $4,552.90 | $1,147.33–$8,740.80 | 140% above | — |
| MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 MRI Ext Joint Lower W/O Contrast Ltd | $2,327.30 | $2,327.30 | $586.48–$4,370.78 | — | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI Joint Lower Extremity W/O & W/ Cont Ltd | $3,093.40 | $3,093.40 | $779.54–$5,810.88 | 6% above | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI Ext Joint Lower W+W/O Contrast Complete | $6,053.00 | $6,053.00 | $1,525.36–$11,620.80 | 107% above | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 MRI Joint Lower Extremity W/O & W/ Cont Ltd | $3,093.40 | $3,093.40 | $779.54–$5,810.88 | — | — |
| MRI of the abdomen without contrast CPT 74181 MRI Abdomen Limited | $3,490.50 | $3,490.50 | $879.61–$3,350.88 | 67% above | — |
| MRI of the abdomen without contrast CPT 74181 MRI Abdomen Limited | $3,490.50 | $3,490.50 | $879.61–$3,350.88 | 67% above | — |
| MRI of the abdomen without contrast CPT 74181 MRI Liver Iron Quantification | $3,630.30 | $3,630.30 | $914.84–$3,485.09 | 74% above | — |
| MRI of the abdomen without contrast CPT 74181 MRI Liver Cardiac Quantification | $3,945.40 | $3,945.40 | $994.24–$3,787.58 | 89% above | — |
| MRI of the abdomen without contrast CPT 74181 MRI Abdomen W/O Contrast | $4,612.20 | $4,612.20 | $1,162.27–$4,427.71 | 121% above | — |
| MRI of the abdomen without contrast CPT 74181 MRCP | $4,612.20 | $4,612.20 | $1,162.27–$4,427.71 | 121% above | — |
| MRI of the abdomen without contrast CPT 74181 MRI Liver Cardiac Quantification | $5,019.60 | $5,019.60 | $1,264.94–$4,818.82 | 140% above | — |
| MRI of the abdomen without contrast CPT 74181 MRI Mrcp With Secretin | $5,765.20 | $5,765.20 | $1,452.83–$5,534.59 | 176% above | — |
| MRI of the abdomen without contrast inpatient CPT 74181 MRI Abdomen Limited | $3,490.50 | $3,490.50 | $879.61–$3,350.88 | — | — |
| MRI of the abdomen without contrast inpatient CPT 74181 MRI Liver Iron Quantification | $3,630.30 | $3,630.30 | $914.84–$3,485.09 | — | — |
| MRI of the abdomen without contrast inpatient CPT 74181 MRI Liver Cardiac Quantification | $3,945.40 | $3,945.40 | $994.24–$3,787.58 | — | — |
| MRI of the abdomen without contrast inpatient CPT 74181 MRCP | $4,612.20 | $4,612.20 | $1,162.27–$4,427.71 | — | — |
| MRI of the abdomen, without and then with contrast dye CPT 74183 MRI Abdomen W+W/O Contrast | $6,968.20 | $6,968.20 | $1,755.99–$6,689.47 | 123% above | — |
| MRI of the abdomen, without and then with contrast dye CPT 74183 MRI Urogram W+W/O Contrast | $7,651.30 | $7,651.30 | $1,928.13–$7,345.25 | 145% above | — |
| MRI of the abdomen, without and then with contrast dye CPT 74183 MRI Enterography W+W/O Contrast | $8,710.10 | $8,710.10 | $2,194.95–$8,361.70 | 179% above | — |
| MRI of the brain, no contrast dye CPT 70551 MRI Brain Limited | $2,835.80 | $2,835.80 | $714.62–$2,722.37 | 47% above | — |
| MRI of the brain, no contrast dye CPT 70551 MRI Iac W/O Contrast | $4,873.60 | $4,873.60 | $1,228.15–$4,678.66 | 153% above | — |
| MRI of the brain, no contrast dye CPT 70551 MRI Brain W/O Contrast | $4,880.70 | $4,880.70 | $1,229.94–$4,685.47 | 153% above | — |
| MRI of the brain, with and without contrast dye CPT 70553 MRI Brain W+W/O Contrast Ltd | $4,555.10 | $4,555.10 | $1,147.89–$4,372.90 | 56% above | — |
| MRI of the brain, with and without contrast dye CPT 70553 MRI Brain Combined | $6,820.40 | $6,820.40 | $1,718.74–$6,547.58 | 134% above | — |
| MRI of the brain, with and without contrast dye CPT 70553 MRI Iac W+W/O Contrast | $7,235.90 | $7,235.90 | $1,823.45–$6,946.46 | 149% above | — |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI Brain W+W/O Contrast Ltd | $4,555.10 | $4,555.10 | $1,147.89–$4,372.90 | — | — |
| MRI of the lower back, no contrast dye CPT 72148 MRI Lumbar Spine W/O Contrast - Haste | $1,125.20 | $1,125.20 | $283.55–$1,080.19 | 46% below | — |
| MRI of the lower back, no contrast dye CPT 72148 MRI Lumbar Spine Limited | $1,308.10 | $1,308.10 | $329.64–$1,255.78 | 38% below | — |
| MRI of the lower back, no contrast dye CPT 72148 MRI Spine Lumbar W/O Contrast - Ltd | $2,812.20 | $2,812.20 | $708.67–$2,699.71 | 34% above | — |
| MRI of the lower back, no contrast dye CPT 72148 MRI Spine Lumbar W/O Contrast - Ltd - Component | $3,235.90 | $3,235.90 | $815.45–$3,106.46 | 54% above | — |
| MRI of the lower back, no contrast dye CPT 72148 MRI Lumbar Spine W/O Contrast - Component | $3,310.10 | $3,310.10 | $834.15–$3,177.70 | 58% above | — |
| MRI of the lower back, no contrast dye CPT 72148 MRI Lumbar Spine W/O Contrast | $4,939.80 | $4,939.80 | $1,244.83–$4,742.21 | 135% above | — |
| MRI of the lower back, no contrast dye CPT 72148 MRI Lumbar Myelogram | $5,308.70 | $5,308.70 | $1,337.79–$5,096.35 | 153% above | — |
| MRI of the lower back, no contrast dye inpatient CPT 72148 MRI Spine Lumbar W/O Contrast - Ltd | $2,812.20 | $2,812.20 | $708.67–$2,699.71 | — | — |
| MRI of the lower back, no contrast dye inpatient CPT 72148 MRI Lumbar Myelogram | $5,308.70 | $5,308.70 | $1,337.79–$5,096.35 | — | — |
| MRI of the lower back, without and then with contrast dye CPT 72158 MRI Spine Lumbar W/+W/O Cont | $4,775.40 | $4,775.40 | $1,203.40–$4,584.38 | 57% above | — |
| MRI of the lower back, without and then with contrast dye CPT 72158 MRI Lspine Combined | $6,850.90 | $6,850.90 | $1,726.43–$6,576.86 | 126% above | — |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI Thoracic Spine W/O Contrast - Haste | $1,157.20 | $1,157.20 | $291.61–$1,110.91 | 45% below | — |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI Thoracic Spine Limited | $1,255.60 | $1,255.60 | $316.41–$1,205.38 | 41% below | — |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI Thoracic Spine W/O Contrast - Ltd - Component | $1,854.00 | $1,854.00 | $467.21–$1,779.84 | 12% below | — |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI Thoracic Spine W/O Contrast - Ltd | $3,235.90 | $3,235.90 | $815.45–$3,106.46 | 53% above | — |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI Thoracic Spine W/O Contrast - Component | $3,403.90 | $3,403.90 | $857.78–$3,267.74 | 61% above | — |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI Thoracic Spine W/O Contrast | $5,080.30 | $5,080.30 | $1,280.24–$4,877.09 | 140% above | — |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI Thoracic Myelogram | $5,464.10 | $5,464.10 | $1,376.95–$5,245.54 | 158% above | — |
| MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MRI Thoracic Spine W/O Contrast - Ltd | $3,235.90 | $3,235.90 | $815.45–$3,106.46 | — | — |
| MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MRI Thoracic Spine W/O Contrast | $5,080.30 | $5,080.30 | $1,280.24–$4,877.09 | — | — |
| MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MRI Thoracic Myelogram | $5,464.10 | $5,464.10 | $1,376.95–$5,245.54 | — | — |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI Spine Cervical W+W/O Cont | $4,660.70 | $4,660.70 | $1,174.50–$4,474.27 | 58% above | — |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI Cspine Combined | $6,676.90 | $6,676.90 | $1,682.58–$6,409.82 | 127% above | — |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI Cervical Spine W/O Contrast - Haste | $1,044.90 | $1,044.90 | $263.31–$1,003.10 | 48% below | — |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI Cervical Spine Limited - for Whole Body Use Only | $1,308.10 | $1,308.10 | $329.64–$1,255.78 | 35% below | — |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI Cervical Spine W/O Contrast - Ltd - Component | $2,752.60 | $2,752.60 | $693.66–$2,642.50 | 36% above | — |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI Cervical Spine W/O Contrast - Ltd | $3,049.30 | $3,049.30 | $768.42–$2,927.33 | 51% above | — |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI Cervical Spine W/O Cont - Component | $3,073.60 | $3,073.60 | $774.55–$2,950.66 | 52% above | — |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI Cervical Spine W/O Contrast | $4,586.90 | $4,586.90 | $1,155.90–$4,403.42 | 127% above | — |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI Cervical Myelogram | $4,929.50 | $4,929.50 | $1,242.23–$4,732.32 | 144% above | — |
| MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MRI Cervical Myelogram | $4,929.50 | $4,929.50 | $1,242.23–$4,732.32 | — | — |
| MRI of the pelvis without and with contrast CPT 72197 MRI Pelvis W W/O Contrast | $7,330.80 | $7,330.80 | $1,847.36–$7,037.57 | 141% above | — |
| MRI of the pelvis, no contrast dye CPT 72195 MRI Pelvis Limited - for Whole Body Use Only | $1,444.00 | $1,444.00 | $363.89–$1,386.24 | 25% below | — |
| MRI of the pelvis, no contrast dye CPT 72195 MRI Pelvis W/O Contrast - Ltd | $3,554.50 | $3,554.50 | $895.73–$3,412.32 | 85% above | — |
| MRI of the pelvis, no contrast dye CPT 72195 MRI Pelvis W/O Contrast | $4,396.50 | $4,396.50 | $1,107.92–$4,220.64 | 129% above | — |
| MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI Pelvis W/O Contrast - Ltd | $3,554.50 | $3,554.50 | $895.73–$3,412.32 | — | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MRI Joint Upper Ext W/O Contrast Ltd | $2,740.70 | $2,740.70 | $690.66–$4,047.65 | 44% above | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MRI Joint Upper Ext W/O Contrast | $4,216.30 | $4,216.30 | $1,062.51–$8,094.62 | 121% above | — |
| Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 xray SPINE CERVICAL 4 OR 5V | $920.80 | $920.80 | $232.04–$883.97 | 106% above | — |
| Neck soft tissue CT scan with contrast CPT 70491 CT Neck Soft Tissue W/ Contrast | $3,491.60 | $3,491.60 | $879.88–$3,351.94 | 108% above | — |
| Neck soft tissue CT scan without contrast CPT 70490 CT Neck Soft Tissue W/O Contrast | $2,572.00 | $2,572.00 | $648.14–$2,469.12 | 93% above | — |
| Neck soft tissue X-ray CPT 70360 xray neck SOFT TISSUE | $552.60 | $552.60 | $139.26–$530.50 | 133% above | — |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM Mibi Scan Multi Rest/Stress | $6,276.20 | $6,276.20 | $1,581.60–$6,025.15 | 77% above | — |
| Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 NM Mibi Scan Multi Rest/Stress | $6,276.20 | $6,276.20 | $1,581.60–$6,025.15 | — | — |
| OCT scan of the retina (optical coherence tomography) CPT 92134 Cmptr Ophth Dx Img Post Segmt Retina | $348.00 | $348.00 | $87.70–$334.08 | 335% above | — |
| OCT scan of the retina (optical coherence tomography) inpatient CPT 92134 Cmptr Ophth Dx Img Post Segmt Retina | $348.00 | $348.00 | $87.70–$334.08 | — | — |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 Pt Skull Base_Midthigh | $9,427.80 | $9,427.80 | $3,865.40–$9,050.69 | 115% above | — |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 Pt Skull Base_Midthigh | $9,427.80 | $9,427.80 | $3,865.40–$9,050.69 | — | — |
| Pelvic CT scan without contrast CPT 72192 CT Pelvis W/O Contrast | $2,706.40 | $2,706.40 | $682.01–$2,598.14 | 88% above | — |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US Pelvis Sonogram Nonobstretric Limited | $901.40 | $901.40 | $227.15–$865.34 | 98% above | — |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US Pelvis Sonogram Nonobstretric | $1,105.80 | $1,105.80 | $278.66–$1,061.57 | 85% above | — |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 OB US >/=14wks Sngl/1st Gestatation | $947.00 | $947.00 | $238.64–$909.12 | 47% above | — |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 OB US >/=14wks Sngl/1st Gestatation | $947.00 | $947.00 | $238.64–$909.12 | — | — |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 OB US <14wks Sngl/1st Gestation | $900.00 | $900.00 | $226.80–$864.00 | 80% above | — |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 OB US <14wks Sngl/1st Gestation | $900.00 | $900.00 | $226.80–$864.00 | — | — |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 OB US Limited Scan >/=1 Fetus | $616.00 | $616.00 | $155.23–$591.36 | 41% above | — |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 OB US Limited Scan >/=1 Fetus | $616.00 | $616.00 | $155.23–$591.36 | — | — |
| Rib X-ray, one side, 2 views CPT 71100 X-Ray Ribs | $542.40 | $542.40 | $136.68–$520.70 | 85% above | — |
| Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 Xray Ribs Unilat W/Pa Chest 3v | $709.00 | $709.00 | $290.69–$680.64 | 93% above | — |
| Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 Xray Ribs Unilat W/Pa Chest 3v | $709.00 | $709.00 | $290.69–$680.64 | — | — |
| Shoulder X-ray, complete, 2 or more views CPT 73030 Xray Shoulder Min 2v | $587.70 | $587.70 | $148.10–$1,127.90 | 80% above | — |
| Shoulder X-ray, complete, 2 or more views CPT 73030 Shoulder Complete Min 2v | $617.60 | $617.60 | $155.64–$592.90 | 89% above | — |
| Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 Shoulder Complete Min 2v | $617.60 | $617.60 | $155.64–$592.90 | — | — |
| Sinus X-ray, complete, 3 or more views CPT 70220 xray sinuses paranasal complete min 3v | $674.40 | $674.40 | $169.95–$647.42 | 108% above | — |
| Sinus X-ray, complete, 3 or more views inpatient CPT 70220 xray sinuses paranasal complete min 3v | $674.40 | $674.40 | $169.95–$647.42 | — | — |
| Skull X-ray, fewer than 4 views CPT 70250 xray skull <4V | $602.90 | $602.90 | $151.93–$578.78 | 108% above | — |
| Sleep study in a lab (polysomnography) CPT 95810 Sleep Study W/O Intervent Limited | $2,466.50 | $2,466.50 | $526.83–$2,367.84 | 18% below | — |
| Sleep study in a lab (polysomnography) CPT 95810 Sleep Study W/O Intervention | $8,127.50 | $8,127.50 | $2,048.13–$7,802.40 | 170% above | — |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 Sleep Study W/O Intervent Limited | $2,466.50 | $2,466.50 | $526.83–$2,367.84 | — | — |
| Thigh bone (femur) X-ray, 2 or more views CPT 73552 Xray Femur 2v | $583.40 | $583.40 | $147.02–$1,118.02 | 124% above | — |
| Thoracic spine (mid back) CT scan without contrast CPT 72128 CT Spine Thoracic W/O Contrast | $2,866.50 | $2,866.50 | $722.36–$2,751.84 | 98% above | — |
| Toe X-ray, 2 or more views CPT 73660 X-Ray Toe(S) | $500.10 | $500.10 | $126.03–$959.33 | 104% above | — |
| Transvaginal pelvic ultrasound CPT 76830 Transvaginal Sonogram | $1,129.20 | $1,129.20 | $284.56–$1,084.03 | 126% above | — |
| Transvaginal ultrasound during pregnancy CPT 76817 OB Ultrasound Transvaginal | $667.00 | $667.00 | $168.08–$640.32 | 57% above | — |
| Transvaginal ultrasound during pregnancy inpatient CPT 76817 OB Ultrasound Transvaginal | $667.00 | $667.00 | $168.08–$640.32 | — | — |
| Ultrasound of the abdomen, complete CPT 76700 US Abdominal Sonogram | $1,476.90 | $1,476.90 | $372.18–$1,417.82 | 113% above | — |
| Ultrasound of the scrotum and testicles CPT 76870 US Testicular Sonogram | $1,053.70 | $1,053.70 | $265.53–$1,011.55 | 83% above | — |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US Exam Head and Neck | $1,191.40 | $1,191.40 | $300.23–$1,143.74 | 113% above | — |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US Neck W/Lymph Mapping | $1,387.70 | $1,387.70 | $349.70–$1,332.19 | 148% above | — |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US Neck W/Lymph Mapping W/Vocal Cords | $1,772.70 | $1,772.70 | $446.72–$1,701.79 | 216% above | — |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US Neck W/Lymph Mapping W/Vocal Cords | $1,772.70 | $1,772.70 | $446.72–$1,701.79 | — | — |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 Xray U.G.I Single Contrast | $1,173.20 | $1,173.20 | $295.65–$1,126.27 | 72% above | — |
| Upper arm X-ray (humerus), 2 views both sides CPT 73060 Humerus 1v Bilat | $1,145.60 | $1,145.60 | $274.71–$1,099.78 | — | — |
| Upper arm X-ray (humerus), 2 views CPT 73060 Xray Humerus 2v | $573.00 | $573.00 | $144.40–$1,099.78 | 106% above | — |
| Upper arm X-ray (humerus), 2 views inpatient both sides CPT 73060 Humerus 1v Bilat | $1,145.60 | $1,145.60 | $274.71–$1,099.78 | — | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 Subclavin/Jugulr Veins Uni/Ltd | $1,311.90 | $1,311.90 | $330.60–$1,259.42 | 95% above | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 US Lwr Ext Venous Doppler Uni | $1,311.90 | $1,311.90 | $330.60–$1,259.42 | 95% above | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 US Uppr Ext Venos Dpplr Un/Ltd | $1,311.90 | $1,311.90 | $330.60–$1,259.42 | 95% above | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 US Extremity Vein | $1,312.00 | $1,312.00 | $330.62–$1,259.52 | 95% above | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 US Extremity Vein | $1,312.00 | $1,312.00 | $330.62–$1,259.52 | — | — |
| Wrist X-ray, 2 views CPT 73100 Wrist 2v | $562.20 | $562.20 | $141.67–$1,078.85 | 125% above | — |
| Wrist X-ray, complete, 3 or more views CPT 73110 Xray Wrist 3v or More | $661.20 | $661.20 | $166.62–$1,333.44 | 110% above | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 Dx Hip 2-3v | $548.20 | $548.20 | $138.15–$526.27 | 69% above | — |
| X-ray of the abdomen, 1 view CPT 74018 Abdomen 1v | $487.30 | $487.30 | $122.80–$467.81 | 88% above | — |
| X-ray of the ankle, 2 views CPT 73600 Ankle 2v | $497.50 | $497.50 | $125.37–$954.53 | 96% above | — |
| X-ray of the finger(s), 2 or more views CPT 73140 Finger Min 2 | $511.20 | $511.20 | $128.82–$980.64 | 92% above | — |
| X-ray of the foot, 2 views CPT 73620 Foot 2v | $525.20 | $525.20 | $132.35–$1,007.71 | 89% above | — |
| X-ray of the foot, complete, 3 or more views CPT 73630 Foot 3v or More | $583.40 | $583.40 | $147.02–$1,117.82 | 94% above | — |
| X-ray of the hand, 3 or more views CPT 73130 Xray Thumb 3v or More | $828.20 | $828.20 | $208.71–$1,589.47 | 168% above | — |
| X-ray of the hand, 3 or more views CPT 73130 Hand 3v or M | $828.20 | $828.20 | $208.71–$1,589.47 | 168% above | — |
| X-ray of the knee, 1 or 2 views both sides CPT 73560 Knee 1v or 2v Bilat | $1,097.40 | $1,097.40 | $276.54–$1,053.50 | — | — |
| X-ray of the knee, 1 or 2 views both sides CPT 73560 Knee 2v Bilat Weightbearing | $1,097.40 | $1,097.40 | $276.54–$1,053.50 | — | — |
| X-ray of the knee, 1 or 2 views CPT 73560 Knee 2v Weightbearing | $473.60 | $473.60 | $119.35–$1,002.43 | 65% above | — |
| X-ray of the knee, 1 or 2 views CPT 73560 Xray Knee 1v or 2v | $522.30 | $522.30 | $131.62–$1,002.43 | 82% above | — |
| X-ray of the knee, 1 or 2 views one side CPT 73560 Knee 2v Left | $549.00 | $549.00 | $138.35–$527.04 | 92% above | — |
| X-ray of the knee, 1 or 2 views one side CPT 73560 Knee 2v Weightbearing Right | $549.00 | $549.00 | $138.35–$527.04 | 92% above | — |
| X-ray of the knee, 1 or 2 views one side CPT 73560 Knee 2v Right | $549.00 | $549.00 | $138.35–$527.04 | 92% above | — |
| X-ray of the knee, 1 or 2 views one side CPT 73560 Knee 2v Weightbearing Left | $549.00 | $549.00 | $138.35–$527.04 | 92% above | — |
| X-ray of the knee, 1 or 2 views inpatient both sides CPT 73560 Knee 2v Bilat Weightbearing | $1,097.40 | $1,097.40 | $276.54–$1,053.50 | — | — |
| X-ray of the knee, 1 or 2 views inpatient both sides CPT 73560 Knee 1v or 2v Bilat | $1,097.40 | $1,097.40 | $276.54–$1,053.50 | — | — |
| X-ray of the knee, 1 or 2 views inpatient CPT 73560 Knee 2v Weightbearing | $473.60 | $473.60 | $119.35–$1,002.43 | — | — |
| X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 Knee 2v Weightbearing Left | $549.00 | $549.00 | $138.35–$527.04 | — | — |
| X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 Knee 2v Weightbearing Right | $549.00 | $549.00 | $138.35–$527.04 | — | — |
| X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 Knee 2v Right | $549.00 | $549.00 | $138.35–$527.04 | — | — |
| X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 Knee 2v Left | $549.00 | $549.00 | $138.35–$527.04 | — | — |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 xray spine lumbosacral 2-3v | $678.60 | $678.60 | $171.01–$651.46 | 83% above | — |
| X-ray of the lower back, 4 or more views CPT 72110 xray SPINE LUMBAR MIN 4V | $1,004.90 | $1,004.90 | $253.23–$964.70 | 123% above | — |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 Xray Spine-Thoracic 2v | $720.00 | $720.00 | $181.44–$691.20 | 127% above | — |
| X-ray of the nasal bones, 3 or more views CPT 70160 xray nasal bone complete min 3V | $591.60 | $591.60 | $149.08–$567.94 | 131% above | — |
| X-ray of the nasal bones, 3 or more views inpatient CPT 70160 xray nasal bone complete min 3V | $591.60 | $591.60 | $149.08–$567.94 | — | — |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 XRAY spine cervical 2-3v | $765.90 | $765.90 | $193.01–$735.26 | 139% above | — |
| X-ray of the pelvis, 1 or 2 views CPT 72170 Pelvis 1-2 Views | $605.70 | $605.70 | $152.64–$581.47 | 112% above | — |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 Xray Sacrum & Coccyx | $674.40 | $674.40 | $169.95–$647.42 | 138% above | — |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Washington | Off list |
|---|---|---|---|---|---|
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 Esrd Alt (Sgpt) | $41.80 | $41.80 | $10.53–$40.13 | 11% below | — |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 Alt Level | $66.80 | $66.80 | $16.83–$64.13 | 42% above | — |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 Alt (Sgpt) | $71.30 | $71.30 | $17.97–$68.45 | 51% above | — |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 Alt (Sgpt), Body Fluid | $71.30 | $71.30 | $17.97–$68.45 | 51% above | — |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 Alt Level Donor | $71.30 | $71.30 | $17.97–$68.45 | 51% above | — |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 Esrd Alt (Sgpt) | $41.80 | $41.80 | $10.53–$40.13 | — | — |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 Alt Level | $66.80 | $66.80 | $16.83–$64.13 | — | — |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 Alt (Sgpt), Body Fluid | $71.30 | $71.30 | $17.97–$68.45 | — | — |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 Alt Level Donor | $71.30 | $71.30 | $17.97–$68.45 | — | — |
| AST (aspartate aminotransferase) enzyme test CPT 84450 Esrd Ast (Sgot) | $42.90 | $42.90 | $10.81–$41.18 | 1% above | — |
| AST (aspartate aminotransferase) enzyme test CPT 84450 Ast (Sgot), Body Fluid | $73.40 | $73.40 | $18.50–$70.46 | 73% above | — |
| AST (aspartate aminotransferase) enzyme test CPT 84450 Ast (Sgot) | $73.40 | $73.40 | $18.50–$70.46 | 73% above | — |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 Esrd Ast (Sgot) | $42.90 | $42.90 | $10.81–$41.18 | — | — |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 Ast (Sgot), Body Fluid | $73.40 | $73.40 | $18.50–$70.46 | — | — |
| Albumin blood test CPT 82040 Esrd Albumin | $32.70 | $32.70 | $8.24–$31.39 | 8% below | — |
| Albumin blood test CPT 82040 Esrd Assay of Serum Albumin | $42.90 | $42.90 | $10.81–$41.18 | 21% above | — |
| Albumin blood test CPT 82040 Albumin | $54.30 | $54.30 | $13.68–$52.13 | 53% above | — |
| Albumin blood test CPT 82040 CSF Igg Index Albumin Level | $54.30 | $54.30 | $13.68–$52.13 | 53% above | — |
| Albumin blood test inpatient CPT 82040 Esrd Albumin | $32.70 | $32.70 | $8.24–$31.39 | — | — |
| Albumin blood test inpatient CPT 82040 Esrd Assay of Serum Albumin | $42.90 | $42.90 | $10.81–$41.18 | — | — |
| Alkaline phosphatase (ALP) blood test CPT 84075 Esrd Assay Alkaline Phosphatase | $42.90 | $42.90 | $10.81–$41.18 | 13% above | — |
| Alkaline phosphatase (ALP) blood test CPT 84075 Alkaline Phosphatase, Serum | $55.30 | $55.30 | $13.94–$53.09 | 46% above | — |
| Alkaline phosphatase (ALP) blood test CPT 84075 Alkaline Phosphatase, Body Fluid | $59.00 | $59.00 | $14.87–$56.64 | 56% above | — |
| Alkaline phosphatase (ALP) blood test inpatient CPT 84075 Esrd Assay Alkaline Phosphatase | $42.90 | $42.90 | $10.81–$41.18 | — | — |
| Alkaline phosphatase (ALP) blood test inpatient CPT 84075 Alkaline Phosphatase, Body Fluid | $59.00 | $59.00 | $14.87–$56.64 | — | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Peanut Ara H 3 | $41.70 | $41.70 | $10.51–$40.03 | 56% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Peanut Ara H 1 | $41.70 | $41.70 | $10.51–$40.03 | 56% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Peanut Ara H 9 | $41.70 | $41.70 | $10.51–$40.03 | 56% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Peanut Ara H 2 | $41.70 | $41.70 | $10.51–$40.03 | 56% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Peanut Ara H 8 | $41.70 | $41.70 | $10.51–$40.03 | 56% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Eggplant Ige | $45.50 | $45.50 | $11.47–$43.68 | 70% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Mustard Ige | $46.20 | $46.20 | $11.64–$44.35 | 73% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen German Cockroach Ige | $55.50 | $55.50 | $13.99–$53.28 | 108% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Rhizopus Nigrican Ige | $55.50 | $55.50 | $13.99–$53.28 | 108% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Mouse Urn Protein Ige | $55.50 | $55.50 | $13.99–$53.28 | 108% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergn Epicoccum Purpuras Ige | $55.50 | $55.50 | $13.99–$53.28 | 108% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergn Aureobasidum Puln Ige | $55.50 | $55.50 | $13.99–$53.28 | 108% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Candida Albicans Ige | $55.50 | $55.50 | $13.99–$53.28 | 108% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Stemphyllium Ige | $56.40 | $56.40 | $14.21–$54.14 | 111% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Sesame Seed Ige | $57.70 | $57.70 | $14.54–$55.39 | 116% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Wasp Venom Ige | $57.70 | $57.70 | $14.54–$55.39 | 116% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Short Ragweed Ige | $57.70 | $57.70 | $14.54–$55.39 | 116% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Turkey Ige | $57.70 | $57.70 | $14.54–$55.39 | 116% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Lobster Ige | $57.70 | $57.70 | $14.54–$55.39 | 116% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen House Dust Ige | $57.70 | $57.70 | $14.54–$55.39 | 116% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Scallop Ige | $57.70 | $57.70 | $14.54–$55.39 | 116% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Oyster Ige | $57.70 | $57.70 | $14.54–$55.39 | 116% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Pork Ige | $57.70 | $57.70 | $14.54–$55.39 | 116% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Rye Ige | $57.70 | $57.70 | $14.54–$55.39 | 116% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Chicken Ige | $57.70 | $57.70 | $14.54–$55.39 | 116% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Cladosporium Ige | $57.70 | $57.70 | $14.54–$55.39 | 116% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Feather Panel 1 | $57.70 | $57.70 | $14.54–$55.39 | 116% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen White Hickory Ige | $57.70 | $57.70 | $14.54–$55.39 | 116% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Spinach Ige | $57.70 | $57.70 | $14.54–$55.39 | 116% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Rabbit Epithelium Ige | $57.70 | $57.70 | $14.54–$55.39 | 116% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Pear Ige | $57.70 | $57.70 | $14.54–$55.39 | 116% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Meadow Fescue Ige | $57.70 | $57.70 | $14.54–$55.39 | 116% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Lentil Ige | $57.70 | $57.70 | $14.54–$55.39 | 116% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen White Bean Ige | $57.70 | $57.70 | $14.54–$55.39 | 116% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allrgn Yellw Face Hornt Vn Ige | $57.70 | $57.70 | $14.54–$55.39 | 116% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Eel Ige | $57.70 | $57.70 | $14.54–$55.39 | 116% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Cheese Mold Ige | $57.70 | $57.70 | $14.54–$55.39 | 116% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Box Eld/Maple S Ige | $57.70 | $57.70 | $14.54–$55.39 | 116% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Peach Ige | $57.70 | $57.70 | $14.54–$55.39 | 116% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Papaya Ige | $57.70 | $57.70 | $14.54–$55.39 | 116% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Mandarin Ige | $57.70 | $57.70 | $14.54–$55.39 | 116% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Poppy Seed Ige | $57.70 | $57.70 | $14.54–$55.39 | 116% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Octopus Ige | $57.70 | $57.70 | $14.54–$55.39 | 116% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Onion Ige | $57.70 | $57.70 | $14.54–$55.39 | 116% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Melons Ige | $57.70 | $57.70 | $14.54–$55.39 | 116% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Kiwi Fruit Ige | $57.70 | $57.70 | $14.54–$55.39 | 116% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Herring Ige | $57.70 | $57.70 | $14.54–$55.39 | 116% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Goose Feathers Ige | $57.70 | $57.70 | $14.54–$55.39 | 116% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Glycyphagus Domst Ige | $57.70 | $57.70 | $14.54–$55.39 | 116% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Cherry Ige | $57.70 | $57.70 | $14.54–$55.39 | 116% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Johnson Grass Ige | $57.70 | $57.70 | $14.54–$55.39 | 116% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Honeybee Venom Ige | $57.70 | $57.70 | $14.54–$55.39 | 116% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Guinea Pig Epi Ige | $57.70 | $57.70 | $14.54–$55.39 | 116% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Ferret Epithelium Ige | $57.70 | $57.70 | $14.54–$55.39 | 116% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Cultivated Wheat Ige | $57.70 | $57.70 | $14.54–$55.39 | 116% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Cauliflower Ige | $57.70 | $57.70 | $14.54–$55.39 | 116% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Elm Ige | $57.70 | $57.70 | $14.54–$55.39 | 116% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Cottonseed Ige | $57.70 | $57.70 | $14.54–$55.39 | 116% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Rye Grass Ige | $57.70 | $57.70 | $14.54–$55.39 | 116% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Cabbage Ige | $57.70 | $57.70 | $14.54–$55.39 | 116% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Apricot Ige | $57.70 | $57.70 | $14.54–$55.39 | 116% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Pinenut Ige | $57.70 | $57.70 | $14.54–$55.39 | 116% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Wheat Ige | $57.70 | $57.70 | $14.54–$55.39 | 116% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Russian Thistle Ige | $57.70 | $57.70 | $14.54–$55.39 | 116% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Mugwort Ige | $57.70 | $57.70 | $14.54–$55.39 | 116% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Coconut Ige | $57.70 | $57.70 | $14.54–$55.39 | 116% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Mussel Ige | $57.70 | $57.70 | $14.54–$55.39 | 116% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Green Pea Ige | $57.70 | $57.70 | $14.54–$55.39 | 116% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen English Plantain Ige | $57.70 | $57.70 | $14.54–$55.39 | 116% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen D Pteronyssinus Ige | $57.70 | $57.70 | $14.54–$55.39 | 116% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Tomato Ige | $57.70 | $57.70 | $14.54–$55.39 | 116% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Timothy Grass Ige | $57.70 | $57.70 | $14.54–$55.39 | 116% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Rough Pigweed Ige | $57.70 | $57.70 | $14.54–$55.39 | 116% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Pecan Ige | $57.70 | $57.70 | $14.54–$55.39 | 116% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Milk Ige | $57.70 | $57.70 | $14.54–$55.39 | 116% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Gluten Ige | $57.70 | $57.70 | $14.54–$55.39 | 116% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Pistachio Ige | $57.70 | $57.70 | $14.54–$55.39 | 116% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Walnut Ige | $57.70 | $57.70 | $14.54–$55.39 | 116% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Soy Ige | $57.70 | $57.70 | $14.54–$55.39 | 116% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Salmon Atlantic Ige | $57.70 | $57.70 | $14.54–$55.39 | 116% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Chocolate Ige | $57.70 | $57.70 | $14.54–$55.39 | 116% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Bermuda Grass Ige | $57.70 | $57.70 | $14.54–$55.39 | 116% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Mouse Epithelium Ige | $57.70 | $57.70 | $14.54–$55.39 | 116% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Corn Ige | $57.70 | $57.70 | $14.54–$55.39 | 116% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Safflower Ige | $57.70 | $57.70 | $14.54–$55.39 | 116% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Mold Alt Tenuis Ige | $57.70 | $57.70 | $14.54–$55.39 | 116% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Almond Ige | $57.70 | $57.70 | $14.54–$55.39 | 116% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Amoxicillin Ige | $57.70 | $57.70 | $14.54–$55.39 | 116% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Penicillin V Ige | $57.70 | $57.70 | $14.54–$55.39 | 116% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Linseed Ige | $57.70 | $57.70 | $14.54–$55.39 | 116% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Watermelon Ige | $57.70 | $57.70 | $14.54–$55.39 | 116% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Dog Dander Ige | $57.70 | $57.70 | $14.54–$55.39 | 116% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Cinnamon Ige | $57.70 | $57.70 | $14.54–$55.39 | 116% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Latex Ige | $57.70 | $57.70 | $14.54–$55.39 | 116% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Cardamom Ige | $57.70 | $57.70 | $14.54–$55.39 | 116% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Gelatin Ige | $57.70 | $57.70 | $14.54–$55.39 | 116% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Celery Ige | $57.70 | $57.70 | $14.54–$55.39 | 116% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Catfish Ige | $57.70 | $57.70 | $14.54–$55.39 | 116% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Blueberry Ige | $57.70 | $57.70 | $14.54–$55.39 | 116% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Lambs Qtr Ige | $57.70 | $57.70 | $14.54–$55.39 | 116% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Budgerigar Feathr Ige | $57.70 | $57.70 | $14.54–$55.39 | 116% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Pineapple Ige | $57.70 | $57.70 | $14.54–$55.39 | 116% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Oak Ige | $57.70 | $57.70 | $14.54–$55.39 | 116% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Apple Ige | $57.70 | $57.70 | $14.54–$55.39 | 116% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Shrimp Ige | $57.70 | $57.70 | $14.54–$55.39 | 116% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Alder Ige | $57.70 | $57.70 | $14.54–$55.39 | 116% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Avocado Ige | $57.70 | $57.70 | $14.54–$55.39 | 116% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Strawberry Ige | $57.70 | $57.70 | $14.54–$55.39 | 116% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Beef Ige | $57.70 | $57.70 | $14.54–$55.39 | 116% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Crab Ige | $57.70 | $57.70 | $14.54–$55.39 | 116% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Raspberry Ige | $57.70 | $57.70 | $14.54–$55.39 | 116% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Seafood Screen | $57.70 | $57.70 | $14.54–$55.39 | 116% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Squid Ige | $57.70 | $57.70 | $14.54–$55.39 | 116% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Grapefruit Ige | $57.70 | $57.70 | $14.54–$55.39 | 116% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Nettle Ige | $57.70 | $57.70 | $14.54–$55.39 | 116% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Western Ragweed Ige | $57.70 | $57.70 | $14.54–$55.39 | 116% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Peanut Ige | $57.70 | $57.70 | $14.54–$55.39 | 116% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Birch Ige | $57.70 | $57.70 | $14.54–$55.39 | 116% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Common Millet Ige | $57.70 | $57.70 | $14.54–$55.39 | 116% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Broccoli Ige | $57.70 | $57.70 | $14.54–$55.39 | 116% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Euroglyphus Mayn Ige | $57.70 | $57.70 | $14.54–$55.39 | 116% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Cheese Cheddar Ige | $57.70 | $57.70 | $14.54–$55.39 | 116% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Cow Epithelium Ige | $57.70 | $57.70 | $14.54–$55.39 | 116% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Chestnut Sweet Ige | $57.70 | $57.70 | $14.54–$55.39 | 116% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Chick Pea Ige | $57.70 | $57.70 | $14.54–$55.39 | 116% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Cedar Ige | $57.70 | $57.70 | $14.54–$55.39 | 116% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Sunflower Seed Ige | $57.70 | $57.70 | $14.54–$55.39 | 116% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Carrot Ige | $57.70 | $57.70 | $14.54–$55.39 | 116% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Cucumber Ige | $57.70 | $57.70 | $14.54–$55.39 | 116% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Caraway Ige | $57.70 | $57.70 | $14.54–$55.39 | 116% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Buckwheat Ige | $57.70 | $57.70 | $14.54–$55.39 | 116% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Aspergillus Niger Ige | $57.70 | $57.70 | $14.54–$55.39 | 116% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Cottonwood Ige | $57.70 | $57.70 | $14.54–$55.39 | 116% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Cat Ige | $57.70 | $57.70 | $14.54–$55.39 | 116% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Walnut Tree Ige | $57.70 | $57.70 | $14.54–$55.39 | 116% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Mushroom Ige | $57.70 | $57.70 | $14.54–$55.39 | 116% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Blomia Tropicalis Ige | $57.70 | $57.70 | $14.54–$55.39 | 116% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Baker's Yeast Ige | $57.70 | $57.70 | $14.54–$55.39 | 116% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Anchovy Ige | $57.70 | $57.70 | $14.54–$55.39 | 116% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Brazil Nut Ige | $57.70 | $57.70 | $14.54–$55.39 | 116% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Dog Epithelium Ige | $57.70 | $57.70 | $14.54–$55.39 | 116% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Casein Ige | $57.70 | $57.70 | $14.54–$55.39 | 116% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Banana Ige | $57.70 | $57.70 | $14.54–$55.39 | 116% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Maple Ige | $57.70 | $57.70 | $14.54–$55.39 | 116% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Hazelnut Ige | $57.70 | $57.70 | $14.54–$55.39 | 116% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Red Top Grass Ige | $57.70 | $57.70 | $14.54–$55.39 | 116% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Codfish Ige | $57.70 | $57.70 | $14.54–$55.39 | 116% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Green Bean Ige | $57.70 | $57.70 | $14.54–$55.39 | 116% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Egg Yolk Ige | $57.70 | $57.70 | $14.54–$55.39 | 116% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Cockroach Ige | $57.70 | $57.70 | $14.54–$55.39 | 116% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Nut Screen 1 | $57.70 | $57.70 | $14.54–$55.39 | 116% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen June Grass Ige | $57.70 | $57.70 | $14.54–$55.39 | 116% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen D Farinae Ige | $57.70 | $57.70 | $14.54–$55.39 | 116% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Mold a Fumigatus Ige | $57.70 | $57.70 | $14.54–$55.39 | 116% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Lettuce Ige | $57.70 | $57.70 | $14.54–$55.39 | 116% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Chicken Feathers Ige | $57.70 | $57.70 | $14.54–$55.39 | 116% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen D Microceras Ige | $57.70 | $57.70 | $14.54–$55.39 | 116% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Garlic Ige | $57.70 | $57.70 | $14.54–$55.39 | 116% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen European Hornet Ige | $57.70 | $57.70 | $14.54–$55.39 | 116% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Goat's Milk Ige | $57.70 | $57.70 | $14.54–$55.39 | 116% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Ginger Ige | $57.70 | $57.70 | $14.54–$55.39 | 116% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Grape Ige | $57.70 | $57.70 | $14.54–$55.39 | 116% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Honey Ige | $57.70 | $57.70 | $14.54–$55.39 | 116% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Kidney Bean (Red) Ige | $57.70 | $57.70 | $14.54–$55.39 | 116% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Lamb Ige | $57.70 | $57.70 | $14.54–$55.39 | 116% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Mango Ige | $57.70 | $57.70 | $14.54–$55.39 | 116% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Lemon Ige | $57.70 | $57.70 | $14.54–$55.39 | 116% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Lime Ige | $57.70 | $57.70 | $14.54–$55.39 | 116% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Mackerel Ige | $57.70 | $57.70 | $14.54–$55.39 | 116% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Megrim Ige | $57.70 | $57.70 | $14.54–$55.39 | 116% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Mountain Cedar Ige | $57.70 | $57.70 | $14.54–$55.39 | 116% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Horse Dander Ige | $57.70 | $57.70 | $14.54–$55.39 | 116% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Red Sorrel Ige | $57.70 | $57.70 | $14.54–$55.39 | 116% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Squash Ige | $57.70 | $57.70 | $14.54–$55.39 | 116% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Sweet Potato Ige | $57.70 | $57.70 | $14.54–$55.39 | 116% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Olive-Food Ige | $57.70 | $57.70 | $14.54–$55.39 | 116% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Orchard Grass Ige | $57.70 | $57.70 | $14.54–$55.39 | 116% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Penicillin G Ige | $57.70 | $57.70 | $14.54–$55.39 | 116% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Plum Ige | $57.70 | $57.70 | $14.54–$55.39 | 116% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Rape Seed Ige | $57.70 | $57.70 | $14.54–$55.39 | 116% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Halibut Ige | $57.70 | $57.70 | $14.54–$55.39 | 116% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Helminth Halodes Ige | $57.70 | $57.70 | $14.54–$55.39 | 116% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Silver Birch Ige | $57.70 | $57.70 | $14.54–$55.39 | 116% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Paprika Ige | $57.70 | $57.70 | $14.54–$55.39 | 116% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen White Potato Ige | $57.70 | $57.70 | $14.54–$55.39 | 116% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Nutmeg Ige | $57.70 | $57.70 | $14.54–$55.39 | 116% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen White Ash Ige | $57.70 | $57.70 | $14.54–$55.39 | 116% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allrgn White Face Hornt Vn Ige | $57.70 | $57.70 | $14.54–$55.39 | 116% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Salmon Pacific Ige | $57.70 | $57.70 | $14.54–$55.39 | 116% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Penicillium Ige | $57.70 | $57.70 | $14.54–$55.39 | 116% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Pumpkin Seed Ige | $57.70 | $57.70 | $14.54–$55.39 | 116% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Trout Ige | $57.70 | $57.70 | $14.54–$55.39 | 116% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergn Yellow Jackt Venom Ige | $57.70 | $57.70 | $14.54–$55.39 | 116% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Whey Ige | $57.70 | $57.70 | $14.54–$55.39 | 116% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Lepido Destructor Ige | $57.70 | $57.70 | $14.54–$55.39 | 116% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Orange Ige | $57.70 | $57.70 | $14.54–$55.39 | 116% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Clam Ige | $57.70 | $57.70 | $14.54–$55.39 | 116% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Oat Ige | $57.70 | $57.70 | $14.54–$55.39 | 116% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Rice Ige | $57.70 | $57.70 | $14.54–$55.39 | 116% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Barley Ige | $57.70 | $57.70 | $14.54–$55.39 | 116% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Tea Ige | $57.70 | $57.70 | $14.54–$55.39 | 116% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Plaice Ige | $57.70 | $57.70 | $14.54–$55.39 | 116% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Blackberry Ige | $57.70 | $57.70 | $14.54–$55.39 | 116% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Cashew Ige | $57.70 | $57.70 | $14.54–$55.39 | 116% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Egg White Ige | $57.70 | $57.70 | $14.54–$55.39 | 116% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Bahia Grass Ige | $57.70 | $57.70 | $14.54–$55.39 | 116% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Tuna Ige | $57.70 | $57.70 | $14.54–$55.39 | 116% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Cranberry Ige | $57.70 | $57.70 | $14.54–$55.39 | 116% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Ocean Perch Ige | $91.80 | $91.80 | $23.13–$88.13 | 243% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Macadamia Nut Ige | $97.30 | $97.30 | $24.52–$93.41 | 264% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Yellow Dock Ige | $98.60 | $98.60 | $24.85–$94.66 | 269% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Tilapia Ige | $116.80 | $116.80 | $29.43–$112.13 | 337% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Bean Black Ige | $116.80 | $116.80 | $29.43–$112.13 | 337% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Lima Bean Ige | $116.80 | $116.80 | $29.43–$112.13 | 337% above | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Peanut Ara H 8 | $41.70 | $41.70 | $10.51–$40.03 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Peanut Ara H 9 | $41.70 | $41.70 | $10.51–$40.03 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Peanut Ara H 1 | $41.70 | $41.70 | $10.51–$40.03 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Peanut Ara H 3 | $41.70 | $41.70 | $10.51–$40.03 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Peanut Ara H 2 | $41.70 | $41.70 | $10.51–$40.03 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Eggplant Ige | $45.50 | $45.50 | $11.47–$43.68 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergn Epicoccum Purpuras Ige | $55.50 | $55.50 | $13.99–$53.28 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergn Aureobasidum Puln Ige | $55.50 | $55.50 | $13.99–$53.28 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Rhizopus Nigrican Ige | $55.50 | $55.50 | $13.99–$53.28 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Mouse Urn Protein Ige | $55.50 | $55.50 | $13.99–$53.28 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Candida Albicans Ige | $55.50 | $55.50 | $13.99–$53.28 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen German Cockroach Ige | $55.50 | $55.50 | $13.99–$53.28 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Stemphyllium Ige | $56.40 | $56.40 | $14.21–$54.14 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Penicillin V Ige | $57.70 | $57.70 | $14.54–$55.39 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Linseed Ige | $57.70 | $57.70 | $14.54–$55.39 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Green Bean Ige | $57.70 | $57.70 | $14.54–$55.39 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Tomato Ige | $57.70 | $57.70 | $14.54–$55.39 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Plum Ige | $57.70 | $57.70 | $14.54–$55.39 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Pecan Ige | $57.70 | $57.70 | $14.54–$55.39 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Nut Screen 1 | $57.70 | $57.70 | $14.54–$55.39 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Whey Ige | $57.70 | $57.70 | $14.54–$55.39 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Gluten Ige | $57.70 | $57.70 | $14.54–$55.39 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen June Grass Ige | $57.70 | $57.70 | $14.54–$55.39 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Rape Seed Ige | $57.70 | $57.70 | $14.54–$55.39 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Cranberry Ige | $57.70 | $57.70 | $14.54–$55.39 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Halibut Ige | $57.70 | $57.70 | $14.54–$55.39 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Salmon Atlantic Ige | $57.70 | $57.70 | $14.54–$55.39 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Chocolate Ige | $57.70 | $57.70 | $14.54–$55.39 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Mussel Ige | $57.70 | $57.70 | $14.54–$55.39 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Bermuda Grass Ige | $57.70 | $57.70 | $14.54–$55.39 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Mouse Epithelium Ige | $57.70 | $57.70 | $14.54–$55.39 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Coconut Ige | $57.70 | $57.70 | $14.54–$55.39 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Safflower Ige | $57.70 | $57.70 | $14.54–$55.39 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Amoxicillin Ige | $57.70 | $57.70 | $14.54–$55.39 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allrgn White Face Hornt Vn Ige | $57.70 | $57.70 | $14.54–$55.39 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Apricot Ige | $57.70 | $57.70 | $14.54–$55.39 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Cabbage Ige | $57.70 | $57.70 | $14.54–$55.39 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Rye Grass Ige | $57.70 | $57.70 | $14.54–$55.39 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Cottonseed Ige | $57.70 | $57.70 | $14.54–$55.39 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Carrot Ige | $57.70 | $57.70 | $14.54–$55.39 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Lime Ige | $57.70 | $57.70 | $14.54–$55.39 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Cucumber Ige | $57.70 | $57.70 | $14.54–$55.39 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Wasp Venom Ige | $57.70 | $57.70 | $14.54–$55.39 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Blackberry Ige | $57.70 | $57.70 | $14.54–$55.39 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Short Ragweed Ige | $57.70 | $57.70 | $14.54–$55.39 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Caraway Ige | $57.70 | $57.70 | $14.54–$55.39 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Turkey Ige | $57.70 | $57.70 | $14.54–$55.39 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Mackerel Ige | $57.70 | $57.70 | $14.54–$55.39 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Lobster Ige | $57.70 | $57.70 | $14.54–$55.39 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Buckwheat Ige | $57.70 | $57.70 | $14.54–$55.39 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen House Dust Ige | $57.70 | $57.70 | $14.54–$55.39 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Salmon Pacific Ige | $57.70 | $57.70 | $14.54–$55.39 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Scallop Ige | $57.70 | $57.70 | $14.54–$55.39 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Aspergillus Niger Ige | $57.70 | $57.70 | $14.54–$55.39 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Oyster Ige | $57.70 | $57.70 | $14.54–$55.39 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Megrim Ige | $57.70 | $57.70 | $14.54–$55.39 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Pork Ige | $57.70 | $57.70 | $14.54–$55.39 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Barley Ige | $57.70 | $57.70 | $14.54–$55.39 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Rye Ige | $57.70 | $57.70 | $14.54–$55.39 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Mountain Cedar Ige | $57.70 | $57.70 | $14.54–$55.39 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Walnut Tree Ige | $57.70 | $57.70 | $14.54–$55.39 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Cladosporium Ige | $57.70 | $57.70 | $14.54–$55.39 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Feather Panel 1 | $57.70 | $57.70 | $14.54–$55.39 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Cockroach Ige | $57.70 | $57.70 | $14.54–$55.39 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen White Hickory Ige | $57.70 | $57.70 | $14.54–$55.39 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Penicillium Ige | $57.70 | $57.70 | $14.54–$55.39 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Spinach Ige | $57.70 | $57.70 | $14.54–$55.39 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Mushroom Ige | $57.70 | $57.70 | $14.54–$55.39 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Rabbit Epithelium Ige | $57.70 | $57.70 | $14.54–$55.39 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Horse Dander Ige | $57.70 | $57.70 | $14.54–$55.39 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Pear Ige | $57.70 | $57.70 | $14.54–$55.39 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Blomia Tropicalis Ige | $57.70 | $57.70 | $14.54–$55.39 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Meadow Fescue Ige | $57.70 | $57.70 | $14.54–$55.39 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Lentil Ige | $57.70 | $57.70 | $14.54–$55.39 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen White Bean Ige | $57.70 | $57.70 | $14.54–$55.39 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allrgn Yellw Face Hornt Vn Ige | $57.70 | $57.70 | $14.54–$55.39 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Eel Ige | $57.70 | $57.70 | $14.54–$55.39 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Baker's Yeast Ige | $57.70 | $57.70 | $14.54–$55.39 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Cheese Mold Ige | $57.70 | $57.70 | $14.54–$55.39 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Red Sorrel Ige | $57.70 | $57.70 | $14.54–$55.39 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Box Eld/Maple S Ige | $57.70 | $57.70 | $14.54–$55.39 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Anchovy Ige | $57.70 | $57.70 | $14.54–$55.39 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Peach Ige | $57.70 | $57.70 | $14.54–$55.39 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Pumpkin Seed Ige | $57.70 | $57.70 | $14.54–$55.39 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Papaya Ige | $57.70 | $57.70 | $14.54–$55.39 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Mandarin Ige | $57.70 | $57.70 | $14.54–$55.39 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Poppy Seed Ige | $57.70 | $57.70 | $14.54–$55.39 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Brazil Nut Ige | $57.70 | $57.70 | $14.54–$55.39 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Octopus Ige | $57.70 | $57.70 | $14.54–$55.39 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Squash Ige | $57.70 | $57.70 | $14.54–$55.39 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Onion Ige | $57.70 | $57.70 | $14.54–$55.39 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Melons Ige | $57.70 | $57.70 | $14.54–$55.39 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Sweet Potato Ige | $57.70 | $57.70 | $14.54–$55.39 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Kiwi Fruit Ige | $57.70 | $57.70 | $14.54–$55.39 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Banana Ige | $57.70 | $57.70 | $14.54–$55.39 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Herring Ige | $57.70 | $57.70 | $14.54–$55.39 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Trout Ige | $57.70 | $57.70 | $14.54–$55.39 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Goose Feathers Ige | $57.70 | $57.70 | $14.54–$55.39 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Olive-Food Ige | $57.70 | $57.70 | $14.54–$55.39 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Glycyphagus Domst Ige | $57.70 | $57.70 | $14.54–$55.39 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Hazelnut Ige | $57.70 | $57.70 | $14.54–$55.39 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Cherry Ige | $57.70 | $57.70 | $14.54–$55.39 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Bahia Grass Ige | $57.70 | $57.70 | $14.54–$55.39 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Johnson Grass Ige | $57.70 | $57.70 | $14.54–$55.39 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Tea Ige | $57.70 | $57.70 | $14.54–$55.39 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Cauliflower Ige | $57.70 | $57.70 | $14.54–$55.39 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Red Top Grass Ige | $57.70 | $57.70 | $14.54–$55.39 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Honeybee Venom Ige | $57.70 | $57.70 | $14.54–$55.39 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Orchard Grass Ige | $57.70 | $57.70 | $14.54–$55.39 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Guinea Pig Epi Ige | $57.70 | $57.70 | $14.54–$55.39 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergn Yellow Jackt Venom Ige | $57.70 | $57.70 | $14.54–$55.39 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Ferret Epithelium Ige | $57.70 | $57.70 | $14.54–$55.39 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Penicillin G Ige | $57.70 | $57.70 | $14.54–$55.39 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Cultivated Wheat Ige | $57.70 | $57.70 | $14.54–$55.39 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Watermelon Ige | $57.70 | $57.70 | $14.54–$55.39 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Cinnamon Ige | $57.70 | $57.70 | $14.54–$55.39 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Latex Ige | $57.70 | $57.70 | $14.54–$55.39 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Green Pea Ige | $57.70 | $57.70 | $14.54–$55.39 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Cardamom Ige | $57.70 | $57.70 | $14.54–$55.39 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Lettuce Ige | $57.70 | $57.70 | $14.54–$55.39 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Lepido Destructor Ige | $57.70 | $57.70 | $14.54–$55.39 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Celery Ige | $57.70 | $57.70 | $14.54–$55.39 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Chicken Feathers Ige | $57.70 | $57.70 | $14.54–$55.39 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Catfish Ige | $57.70 | $57.70 | $14.54–$55.39 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Helminth Halodes Ige | $57.70 | $57.70 | $14.54–$55.39 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Blueberry Ige | $57.70 | $57.70 | $14.54–$55.39 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Budgerigar Feathr Ige | $57.70 | $57.70 | $14.54–$55.39 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Pineapple Ige | $57.70 | $57.70 | $14.54–$55.39 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Plaice Ige | $57.70 | $57.70 | $14.54–$55.39 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen D Microceras Ige | $57.70 | $57.70 | $14.54–$55.39 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Silver Birch Ige | $57.70 | $57.70 | $14.54–$55.39 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Garlic Ige | $57.70 | $57.70 | $14.54–$55.39 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Avocado Ige | $57.70 | $57.70 | $14.54–$55.39 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Strawberry Ige | $57.70 | $57.70 | $14.54–$55.39 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Beef Ige | $57.70 | $57.70 | $14.54–$55.39 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen European Hornet Ige | $57.70 | $57.70 | $14.54–$55.39 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Raspberry Ige | $57.70 | $57.70 | $14.54–$55.39 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Paprika Ige | $57.70 | $57.70 | $14.54–$55.39 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Seafood Screen | $57.70 | $57.70 | $14.54–$55.39 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Goat's Milk Ige | $57.70 | $57.70 | $14.54–$55.39 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Squid Ige | $57.70 | $57.70 | $14.54–$55.39 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Clam Ige | $57.70 | $57.70 | $14.54–$55.39 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Grapefruit Ige | $57.70 | $57.70 | $14.54–$55.39 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Ginger Ige | $57.70 | $57.70 | $14.54–$55.39 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Nettle Ige | $57.70 | $57.70 | $14.54–$55.39 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen White Potato Ige | $57.70 | $57.70 | $14.54–$55.39 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Grape Ige | $57.70 | $57.70 | $14.54–$55.39 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Honey Ige | $57.70 | $57.70 | $14.54–$55.39 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Common Millet Ige | $57.70 | $57.70 | $14.54–$55.39 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Broccoli Ige | $57.70 | $57.70 | $14.54–$55.39 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Kidney Bean (Red) Ige | $57.70 | $57.70 | $14.54–$55.39 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Euroglyphus Mayn Ige | $57.70 | $57.70 | $14.54–$55.39 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Nutmeg Ige | $57.70 | $57.70 | $14.54–$55.39 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Cheese Cheddar Ige | $57.70 | $57.70 | $14.54–$55.39 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Lamb Ige | $57.70 | $57.70 | $14.54–$55.39 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Cow Epithelium Ige | $57.70 | $57.70 | $14.54–$55.39 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Tuna Ige | $57.70 | $57.70 | $14.54–$55.39 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Chestnut Sweet Ige | $57.70 | $57.70 | $14.54–$55.39 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Mango Ige | $57.70 | $57.70 | $14.54–$55.39 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Rice Ige | $57.70 | $57.70 | $14.54–$55.39 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Cedar Ige | $57.70 | $57.70 | $14.54–$55.39 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Lemon Ige | $57.70 | $57.70 | $14.54–$55.39 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Sunflower Seed Ige | $57.70 | $57.70 | $14.54–$55.39 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Ocean Perch Ige | $91.80 | $91.80 | $23.13–$88.13 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Macadamia Nut Ige | $97.30 | $97.30 | $24.52–$93.41 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Lima Bean Ige | $116.80 | $116.80 | $29.43–$112.13 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Tilapia Ige | $116.80 | $116.80 | $29.43–$112.13 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Bean Black Ige | $116.80 | $116.80 | $29.43–$112.13 | — | — |
| Alpha-fetoprotein (AFP) blood test CPT 82105 Afp Single Marker Scrn Maternl | $111.20 | $111.20 | $28.02–$106.75 | 33% above | — |
| Alpha-fetoprotein (AFP) blood test CPT 82105 Alpha Fetoprotein Tumor Marker | $183.70 | $183.70 | $46.29–$176.35 | 120% above | — |
| Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 Afp Single Marker Scrn Maternl | $111.20 | $111.20 | $28.02–$106.75 | — | — |
| Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 Alpha Fetoprotein Tumor Marker | $183.70 | $183.70 | $46.29–$176.35 | — | — |
| Ammonia blood test CPT 82140 Ammonia Level 9 Post | $195.10 | $195.10 | $49.17–$187.30 | 71% above | — |
| Ammonia blood test CPT 82140 UR Stone Risk Ammonia | $195.10 | $195.10 | $49.17–$187.30 | 71% above | — |
| Ammonia blood test CPT 82140 Ammonia Level 4 Post | $195.10 | $195.10 | $49.17–$187.30 | 71% above | — |
| Ammonia blood test CPT 82140 Ammonia, Body Fluid | $195.10 | $195.10 | $49.17–$187.30 | 71% above | — |
| Ammonia blood test CPT 82140 Ammonia Level 1 Post | $195.10 | $195.10 | $49.17–$187.30 | 71% above | — |
| Ammonia blood test CPT 82140 Ammonia Level 6 Post | $195.10 | $195.10 | $49.17–$187.30 | 71% above | — |
| Ammonia blood test CPT 82140 Ammonia Level 10 Post | $195.10 | $195.10 | $49.17–$187.30 | 71% above | — |
| Ammonia blood test CPT 82140 Ammonia Level 2 Post | $195.10 | $195.10 | $49.17–$187.30 | 71% above | — |
| Ammonia blood test CPT 82140 Ammonia Level 3 Post | $195.10 | $195.10 | $49.17–$187.30 | 71% above | — |
| Ammonia blood test CPT 82140 Ammonia Level 7 Post | $195.10 | $195.10 | $49.17–$187.30 | 71% above | — |
| Ammonia blood test CPT 82140 Ammonia Level 5 Post | $195.10 | $195.10 | $49.17–$187.30 | 71% above | — |
| Ammonia blood test CPT 82140 Ammonia Level 8 Post | $195.10 | $195.10 | $49.17–$187.30 | 71% above | — |
| Ammonia blood test CPT 82140 Ammonia, Arterial | $196.50 | $196.50 | $49.52–$188.64 | 72% above | — |
| Ammonia blood test CPT 82140 Ammonia, Venous | $204.00 | $204.00 | $51.41–$195.84 | 78% above | — |
| Ammonia blood test inpatient CPT 82140 Ammonia Level 10 Post | $195.10 | $195.10 | $49.17–$187.30 | — | — |
| Ammonia blood test inpatient CPT 82140 Ammonia Level 4 Post | $195.10 | $195.10 | $49.17–$187.30 | — | — |
| Ammonia blood test inpatient CPT 82140 Ammonia Level 7 Post | $195.10 | $195.10 | $49.17–$187.30 | — | — |
| Ammonia blood test inpatient CPT 82140 Ammonia Level 6 Post | $195.10 | $195.10 | $49.17–$187.30 | — | — |
| Ammonia blood test inpatient CPT 82140 Ammonia Level 9 Post | $195.10 | $195.10 | $49.17–$187.30 | — | — |
| Ammonia blood test inpatient CPT 82140 Ammonia Level 1 Post | $195.10 | $195.10 | $49.17–$187.30 | — | — |
| Ammonia blood test inpatient CPT 82140 Ammonia Level 2 Post | $195.10 | $195.10 | $49.17–$187.30 | — | — |
| Ammonia blood test inpatient CPT 82140 Ammonia Level 8 Post | $195.10 | $195.10 | $49.17–$187.30 | — | — |
| Ammonia blood test inpatient CPT 82140 UR Stone Risk Ammonia | $195.10 | $195.10 | $49.17–$187.30 | — | — |
| Ammonia blood test inpatient CPT 82140 Ammonia Level 5 Post | $195.10 | $195.10 | $49.17–$187.30 | — | — |
| Ammonia blood test inpatient CPT 82140 Ammonia, Body Fluid | $195.10 | $195.10 | $49.17–$187.30 | — | — |
| Ammonia blood test inpatient CPT 82140 Ammonia Level 3 Post | $195.10 | $195.10 | $49.17–$187.30 | — | — |
| Amylase blood test CPT 82150 Amylase, Serum | $126.20 | $126.20 | $31.80–$121.15 | 103% above | — |
| Amylase blood test CPT 82150 Amylase Fractionation | $126.20 | $126.20 | $31.80–$121.15 | 103% above | — |
| Amylase blood test CPT 82150 Amylase, Body Fluid | $126.20 | $126.20 | $31.80–$121.15 | 103% above | — |
| Amylase blood test CPT 82150 Pancreatic Isoamylase Bmf | $237.30 | $237.30 | $59.80–$227.81 | 281% above | — |
| Amylase blood test inpatient CPT 82150 Amylase Fractionation | $126.20 | $126.20 | $31.80–$121.15 | — | — |
| Amylase blood test inpatient CPT 82150 Pancreatic Isoamylase Bmf | $237.30 | $237.30 | $59.80–$227.81 | — | — |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Anti Cyclic Citrullinated Pept | $157.40 | $157.40 | $39.66–$151.10 | 103% above | — |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 Anti Nuclear Antibodies | $140.40 | $140.40 | $35.38–$134.78 | 100% above | — |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 Anti Nuclear Antibody Screen | $141.40 | $141.40 | $35.63–$135.74 | 101% above | — |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 B Type Natriuretic Peptide | $447.20 | $447.20 | $112.69–$429.31 | 131% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Culture Other Source | $166.90 | $166.90 | $42.06–$160.22 | 89% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Eye Culture | $166.90 | $166.90 | $42.06–$160.22 | 89% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Nose Culture | $166.90 | $166.90 | $42.06–$160.22 | 89% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Aerobic Isol and Presumptive ID | $166.90 | $166.90 | $42.06–$160.22 | 89% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Genital Culture | $166.90 | $166.90 | $42.06–$160.22 | 89% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CSF Culture | $166.90 | $166.90 | $42.06–$160.22 | 89% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Ear Culture | $166.90 | $166.90 | $42.06–$160.22 | 89% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Catheter Tip Culture | $166.90 | $166.90 | $42.06–$160.22 | 89% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Bronchial Culture | $257.30 | $257.30 | $64.84–$247.01 | 192% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Sputum Culture | $318.30 | $318.30 | $80.21–$305.57 | 261% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Trachael Aspirate Culture | $318.30 | $318.30 | $80.21–$305.57 | 261% above | — |
| Basic metabolic panel (blood test) CPT 80048 Basic Metabolic Panel | $110.90 | $110.90 | $27.95–$106.46 | 48% above | — |
| Bilirubin blood test, total CPT 82247 Esrd Bilirubin, Total | $42.90 | $42.90 | $10.81–$41.18 | 3% below | — |
| Bilirubin blood test, total CPT 82247 Bilirubin Total Body Fluid | $52.60 | $52.60 | $13.26–$50.50 | 19% above | — |
| Bilirubin blood test, total CPT 82247 Bilirubin, Total | $52.60 | $52.60 | $13.26–$50.50 | 19% above | — |
| Bilirubin blood test, total inpatient CPT 82247 Esrd Bilirubin, Total | $42.90 | $42.90 | $10.81–$41.18 | — | — |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 Electron Microscopy Uw Surg 4 | $131.00 | $131.00 | $33.01–$125.76 | 25% below | — |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 Placenta Level IV | $313.70 | $313.70 | $79.05–$301.15 | 79% above | — |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 Surg Path Level IV Exam | $319.90 | $319.90 | $80.61–$307.10 | 83% above | — |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 Surgpath, Level 4 | $758.80 | $758.80 | $191.22–$728.45 | 333% above | — |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Placenta Level IV | $313.70 | $313.70 | $79.05–$301.15 | — | — |
| Blood culture for bacteria CPT 87040 Blood Culture | $237.20 | $237.20 | $59.77–$227.71 | 59% above | — |
| Blood culture for bacteria CPT 87040 Blood Culture | $282.00 | $282.00 | $71.06–$270.72 | 89% above | — |
| Blood culture for bacteria CPT 87040 Blood Culture Aer/Ana | $447.70 | $447.70 | $112.82–$429.79 | 200% above | — |
| Blood culture for bacteria inpatient CPT 87040 Blood Culture | $237.20 | $237.20 | $59.77–$227.71 | — | — |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 Venipuncture Blood Collection | $48.00 | $48.00 | $12.10–$46.08 | 92% above | — |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 Venipuncture | $48.00 | $48.00 | $12.10–$46.08 | 92% above | — |
| Blood glucose (sugar) test CPT 82947 Esrd Glucose | $43.00 | $43.00 | $10.84–$41.28 | 15% above | — |
| Blood glucose (sugar) test CPT 82947 Glucose | $56.40 | $56.40 | $14.21–$54.14 | 51% above | — |
| Blood glucose (sugar) test inpatient CPT 82947 Esrd Glucose | $43.00 | $43.00 | $10.84–$41.28 | — | — |
| Blood lead test CPT 83655 Lead Urine | $154.10 | $154.10 | $38.83–$147.94 | 142% above | — |
| Blood lead test CPT 83655 Heavy Metal Lead Urine | $154.10 | $154.10 | $38.83–$147.94 | 142% above | — |
| Blood lead test inpatient CPT 83655 Lead Urine | $154.10 | $154.10 | $38.83–$147.94 | — | — |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Hcg, Urine Pregnancy | $56.30 | $56.30 | $14.19–$54.05 | 24% below | — |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Hcg, Qual Serum Pregnancy Test | $58.70 | $58.70 | $14.79–$56.35 | 21% below | — |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Abo Typing | $108.50 | $108.50 | $27.34–$104.16 | 67% above | — |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Percent Abo | $132.10 | $132.10 | $33.29–$126.82 | 104% above | — |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 Percent Abo | $132.10 | $132.10 | $33.29–$126.82 | — | — |
| Blood urea nitrogen (BUN) test CPT 84520 Esrd Assay of Urea Nitrogren | $32.70 | $32.70 | $8.24–$31.39 | 10% below | — |
| Blood urea nitrogen (BUN) test CPT 84520 Urea Nitrogen, Blood (Bun) | $54.30 | $54.30 | $13.68–$52.13 | 49% above | — |
| Blood urea nitrogen (BUN) test CPT 84520 Urea Nitrogen, Body Fluid | $64.50 | $64.50 | $16.25–$61.92 | 77% above | — |
| Blood urea nitrogen (BUN) test inpatient CPT 84520 Esrd Assay of Urea Nitrogren | $32.70 | $32.70 | $8.24–$31.39 | — | — |
| C-peptide blood test CPT 84681 C Peptide | $241.50 | $241.50 | $60.86–$231.84 | 119% above | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 Ibd Crp | $25.50 | $25.50 | $6.43–$24.48 | 56% below | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-Reactive Protein | $145.90 | $145.90 | $36.77–$140.06 | 149% above | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 Ibd Crp | $25.50 | $25.50 | $6.43–$24.48 | — | — |
| C. difficile toxin gene test (stool PCR) CPT 87493 Pcr C Diff Toxin Detection | $368.80 | $368.80 | $92.94–$354.05 | 110% above | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Covid-19 by High Throughput | $330.00 | $330.00 | $83.16–$316.80 | 213% above | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Covid-19 Qual Pcr | $344.50 | $344.50 | $86.81–$330.72 | 227% above | — |
| Calcium blood test, total CPT 82310 Esrd Calcium | $31.40 | $31.40 | $7.91–$30.14 | 26% below | — |
| Calcium blood test, total CPT 82310 Esrd Assay of Calcium | $41.80 | $41.80 | $10.53–$40.13 | 1% below | — |
| Calcium blood test, total CPT 82310 Calcium, Body Fluid | $62.80 | $62.80 | $15.83–$60.29 | 48% above | — |
| Calcium blood test, total CPT 82310 Calcium, Serum | $74.00 | $74.00 | $18.65–$71.04 | 75% above | — |
| Calcium blood test, total inpatient CPT 82310 Esrd Calcium | $31.40 | $31.40 | $7.91–$30.14 | — | — |
| Calcium blood test, total inpatient CPT 82310 Esrd Assay of Calcium | $41.80 | $41.80 | $10.53–$40.13 | — | — |
| Calcium blood test, total inpatient CPT 82310 Calcium, Body Fluid | $62.80 | $62.80 | $15.83–$60.29 | — | — |
| Carcinoembryonic antigen (CEA) test CPT 82378 Carcinoembryonic Antigen | $203.20 | $203.20 | $51.21–$195.07 | 56% above | — |
| Carcinoembryonic antigen (CEA) test CPT 82378 Carcinoembryonic Antigen, CSF | $203.20 | $203.20 | $51.21–$195.07 | 56% above | — |
| Carcinoembryonic antigen (CEA) test inpatient CPT 82378 Carcinoembryonic Antigen, CSF | $203.20 | $203.20 | $51.21–$195.07 | — | — |
| Chickenpox (varicella) immunity blood test CPT 86787 Varicella Zoster Ab Igm | $152.20 | $152.20 | $38.35–$146.11 | 92% above | — |
| Chickenpox (varicella) immunity blood test CPT 86787 Vz Antibody - Acute | $152.20 | $152.20 | $38.35–$146.11 | 92% above | — |
| Chickenpox (varicella) immunity blood test CPT 86787 Vz Antibody - Conv | $152.20 | $152.20 | $38.35–$146.11 | 92% above | — |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 Vz Antibody - Acute | $152.20 | $152.20 | $38.35–$146.11 | — | — |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 Vz Antibody - Conv | $152.20 | $152.20 | $38.35–$146.11 | — | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chlamydia Trach, Amp Probe | $56.60 | $56.60 | $14.26–$54.34 | 58% below | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chlamydia Trachomatis Detectio | $247.60 | $247.60 | $62.40–$237.70 | 85% above | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Chlamydia Trachomatis Detectio | $247.60 | $247.60 | $62.40–$237.70 | — | — |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipid Profile | $148.40 | $148.40 | $37.40–$142.46 | 67% above | — |
| Complete blood count (CBC) with differential CPT 85025 Cbc With Differential | $121.20 | $121.20 | $30.54–$116.35 | 80% above | — |
| Complete blood count (CBC), no differential CPT 85027 Complete Blood Count | $86.00 | $86.00 | $21.67–$82.56 | 68% above | — |
| Comprehensive metabolic panel (blood test) CPT 80053 Comprehensive Metabolic Panel | $152.10 | $152.10 | $38.33–$146.02 | 67% above | — |
| Cortisol blood test, total CPT 82533 CAH Cortisol Total | $215.80 | $215.80 | $54.38–$207.17 | 104% above | — |
| Cortisol blood test, total CPT 82533 Cortisol Saliva | $215.80 | $215.80 | $54.38–$207.17 | 104% above | — |
| Cortisol blood test, total CPT 82533 Cortisol Baseline Level | $215.80 | $215.80 | $54.38–$207.17 | 104% above | — |
| Cortisol blood test, total CPT 82533 Cortisol 60 Min Post Level | $215.80 | $215.80 | $54.38–$207.17 | 104% above | — |
| Cortisol blood test, total inpatient CPT 82533 Cortisol Saliva | $215.80 | $215.80 | $54.38–$207.17 | — | — |
| Cortisol blood test, total inpatient CPT 82533 CAH Cortisol Total | $215.80 | $215.80 | $54.38–$207.17 | — | — |
| Creatine kinase (CK) blood test, total CPT 82550 CK (Creatine Kinase) | $107.40 | $107.40 | $27.06–$103.10 | 62% above | — |
| Creatine kinase (CK) blood test, total CPT 82550 CK, Body Fluid | $113.80 | $113.80 | $28.68–$109.25 | 71% above | — |
| Creatine kinase (CK) blood test, total CPT 82550 Creatine Kinase Total | $113.80 | $113.80 | $28.68–$109.25 | 71% above | — |
| Creatine kinase (CK) blood test, total CPT 82550 Creatine Kinase | $161.80 | $161.80 | $40.77–$155.33 | 143% above | — |
| Creatine kinase (CK) blood test, total inpatient CPT 82550 Creatine Kinase Total | $113.80 | $113.80 | $28.68–$109.25 | — | — |
| Creatine kinase (CK) blood test, total inpatient CPT 82550 CK, Body Fluid | $113.80 | $113.80 | $28.68–$109.25 | — | — |
| Creatine kinase (CK) blood test, total inpatient CPT 82550 Creatine Kinase | $161.80 | $161.80 | $40.77–$155.33 | — | — |
| Creatinine blood test CPT 82565 Esrd Assay of Creatinine | $32.70 | $32.70 | $8.24–$31.39 | 24% below | — |
| Creatinine blood test CPT 82565 Creatinine, Serum | $72.00 | $72.00 | $18.14–$69.12 | 67% above | — |
| Creatinine blood test CPT 82565 Creatinine, Blood | $85.10 | $85.10 | $21.45–$81.70 | 97% above | — |
| Creatinine blood test inpatient CPT 82565 Esrd Assay of Creatinine | $32.70 | $32.70 | $8.24–$31.39 | — | — |
| Cytomegalovirus (CMV) antibody test CPT 86644 Cmv Igg by Eia | $137.00 | $137.00 | $34.52–$131.52 | 80% above | — |
| Cytomegalovirus (CMV) antibody test CPT 86644 Fulm Lvr Cmv Igg Antibody | $137.00 | $137.00 | $34.52–$131.52 | 80% above | — |
| Cytomegalovirus (CMV) antibody test CPT 86644 Anti Cmv | $137.40 | $137.40 | $34.62–$131.90 | 80% above | — |
| Cytomegalovirus (CMV) antibody test inpatient CPT 86644 Cmv Igg by Eia | $137.00 | $137.00 | $34.52–$131.52 | — | — |
| Cytomegalovirus (CMV) antibody test inpatient CPT 86644 Fulm Lvr Cmv Igg Antibody | $137.00 | $137.00 | $34.52–$131.52 | — | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Drug Screen Presumptive | $370.70 | $370.70 | $93.42–$355.87 | 130% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Meconium Drug Panel Screen | $640.10 | $640.10 | $161.31–$614.50 | 298% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Urine Drug Screen Mult Drugs | $1,019.30 | $1,019.30 | $256.86–$978.53 | 533% above | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Drug Screen Presumptive | $370.70 | $370.70 | $93.42–$355.87 | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Urine Drug Screen Mult Drugs | $1,019.30 | $1,019.30 | $256.86–$978.53 | — | — |
| Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 Electrolytes | $82.90 | $82.90 | $20.89–$79.58 | 52% above | — |
| Epstein-Barr virus (EBV) antibody test CPT 86665 Epstein Barr Virus Igm Ab | $154.00 | $154.00 | $38.81–$147.84 | 62% above | — |
| Epstein-Barr virus (EBV) antibody test CPT 86665 Ebv Igg Ab | $154.00 | $154.00 | $38.81–$147.84 | 62% above | — |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 Epstein Barr Virus Igm Ab | $154.00 | $154.00 | $38.81–$147.84 | — | — |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 Ebv Igg Ab | $154.00 | $154.00 | $38.81–$147.84 | — | — |
| Estradiol blood test CPT 82670 Estradiol Ultra Sensitive | $262.60 | $262.60 | $66.18–$252.10 | 89% above | — |
| Estradiol blood test inpatient CPT 82670 Estradiol Ultra Sensitive | $262.60 | $262.60 | $66.18–$252.10 | — | — |
| Fecal calprotectin (stool inflammation test) CPT 83993 Calprotectin, Stool | $542.30 | $542.30 | $136.66–$520.61 | 172% above | — |
| Fibrinogen blood test CPT 85384 Fibrinogen | $194.60 | $194.60 | $49.04–$186.82 | 141% above | — |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 T4 Free by Equilibrium Dialys | $141.60 | $141.60 | $35.68–$135.94 | 105% above | — |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 T4 Free by Equilibrium Dialys | $141.60 | $141.60 | $35.68–$135.94 | — | — |
| Free testosterone test CPT 84402 Testosterone Total | $248.00 | $248.00 | $62.50–$238.08 | 95% above | — |
| Free testosterone test inpatient CPT 84402 Testosterone Total | $248.00 | $248.00 | $62.50–$238.08 | — | — |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 Ggt, Body Fluid | $72.70 | $72.70 | $18.32–$69.79 | 34% above | — |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 Ggt (Gamma Glutamyltransfers) | $73.40 | $73.40 | $18.50–$70.46 | 35% above | — |
| Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 Ggt, Body Fluid | $72.70 | $72.70 | $18.32–$69.79 | — | — |
| General health panel: metabolic panel, blood count and TSH in one order CPT 80050 General Health Panel | $325.30 | $325.30 | $81.98–$312.29 | 40% above | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N. Gonorrhoeae, Amp Probe | $56.60 | $56.60 | $14.26–$54.34 | 55% below | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Neisseria Gonorrhoeae by Lcr | $379.50 | $379.50 | $95.63–$364.32 | 200% above | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 Neisseria Gonorrhoeae by Lcr | $379.50 | $379.50 | $95.63–$364.32 | — | — |
| HIV viral load test (HIV-1 RNA, quantitative) one side CPT 87536 Hiv 1 Rna Quant Rt Pcr | $791.70 | $791.70 | $199.51–$760.03 | 105% above | — |
| HIV-1 and HIV-2 antibody test CPT 86703 Hiv 1 2 Antibodies | $151.80 | $151.80 | $38.25–$145.73 | 77% above | — |
| HIV-1 and HIV-2 antibody test CPT 86703 Hiv 1 2 Antibodies Donor | $152.40 | $152.40 | $38.40–$146.30 | 77% above | — |
| HIV-1 and HIV-2 antibody test CPT 86703 Hiv Serology | $152.40 | $152.40 | $38.40–$146.30 | 77% above | — |
| HIV-1 and HIV-2 antibody test inpatient CPT 86703 Hiv Serology | $152.40 | $152.40 | $38.40–$146.30 | — | — |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 Hiv Antigen and Antibody Scn | $142.80 | $142.80 | $35.99–$137.09 | 46% above | — |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 Hivqup-Hiv Qual Screen Panel | $280.30 | $280.30 | $70.64–$269.09 | 186% above | — |
| HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 Hiv Antigen and Antibody Scn | $142.80 | $142.80 | $35.99–$137.09 | — | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Glycosylated Hemoglobin | $125.50 | $125.50 | $31.63–$120.48 | 78% above | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hemoglobin A1c | $136.10 | $136.10 | $34.30–$130.66 | 93% above | — |
| Hemoglobin blood test CPT 85018 Primary Care Hemoglobin | $7.30 | $7.30 | $1.84–$7.01 | 75% below | — |
| Hemoglobin blood test CPT 85018 Hemoglobin | $66.60 | $66.60 | $16.78–$63.94 | 127% above | — |
| Hemoglobin blood test inpatient CPT 85018 Primary Care Hemoglobin | $7.30 | $7.30 | $1.84–$7.01 | — | — |
| Hepatitis B core antibody test (total) CPT 86704 Hepatitis B Core Ab | $151.80 | $151.80 | $38.25–$145.73 | 121% above | — |
| Hepatitis B core antibody test (total) CPT 86704 Hepatitis B Core Ab Donor | $151.80 | $151.80 | $38.25–$145.73 | 121% above | — |
| Hepatitis B core antibody test (total) CPT 86704 Hepatitis B Core, Total AB | $151.80 | $151.80 | $38.25–$145.73 | 121% above | — |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Hepatitis B Surface Antibody | $141.50 | $141.50 | $35.66–$135.84 | 91% above | — |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 Hepatitis B Surface Antibody | $141.50 | $141.50 | $35.66–$135.84 | — | — |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 Hep B Surface Ag | $127.20 | $127.20 | $32.05–$122.11 | 68% above | — |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 Hepatitis B Surface Antigen | $129.20 | $129.20 | $32.56–$124.03 | 71% above | — |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 Hep B Surface Ag Donor | $129.20 | $129.20 | $32.56–$124.03 | 71% above | — |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 Hepatitis B Surface Antigen | $129.20 | $129.20 | $32.56–$124.03 | — | — |
| Hepatitis C antibody blood test (screening) CPT 86803 Hepatitis C Antibody | $206.10 | $206.10 | $51.94–$197.86 | 139% above | — |
| Hepatitis C antibody blood test (screening) CPT 86803 Hepatitis C Antibody | $206.10 | $206.10 | $51.94–$197.86 | 139% above | — |
| Hepatitis C antibody blood test (screening) CPT 86803 Hepatitis C Antibody Donor | $206.10 | $206.10 | $51.94–$197.86 | 139% above | — |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 Hepatitis C Antibody | $206.10 | $206.10 | $51.94–$197.86 | — | — |
| Hepatitis C viral load (HCV RNA) test CPT 87522 Hepatitis C Virus Quant Pcr | $609.00 | $609.00 | $153.47–$584.64 | 82% above | — |
| Homocysteine blood test CPT 83090 Homocysteine, Total | $161.10 | $161.10 | $40.60–$154.66 | 32% above | — |
| Iron blood test (serum iron) CPT 83540 Iron, Serum | $90.40 | $90.40 | $22.78–$86.78 | 92% above | — |
| Iron blood test (serum iron) CPT 83540 Iron, Liver Tissue | $90.40 | $90.40 | $22.78–$86.78 | 92% above | — |
| Iron blood test (serum iron) inpatient CPT 83540 Iron, Liver Tissue | $90.40 | $90.40 | $22.78–$86.78 | — | — |
| Iron-binding capacity (TIBC) test CPT 83550 Tibc & Pct Saturation | $109.10 | $109.10 | $27.49–$104.74 | 82% above | — |
| Kidney function blood test panel CPT 80069 Renal Function Panel | $113.90 | $113.90 | $28.70–$109.34 | 50% above | — |
| Lactate (lactic acid) blood test CPT 83605 D-Lactate | $215.60 | $215.60 | $54.33–$206.98 | 115% above | — |
| Lactate (lactic acid) blood test CPT 83605 Lactic Acid, Body Fluid | $215.60 | $215.60 | $54.33–$206.98 | 115% above | — |
| Lactate (lactic acid) blood test CPT 83605 Lactate Level 1 Post | $215.60 | $215.60 | $54.33–$206.98 | 115% above | — |
| Lactate (lactic acid) blood test CPT 83605 Lactate Level 4 Post | $215.60 | $215.60 | $54.33–$206.98 | 115% above | — |
| Lactate (lactic acid) blood test CPT 83605 Lactic Acid, CSF | $215.60 | $215.60 | $54.33–$206.98 | 115% above | — |
| Lactate (lactic acid) blood test CPT 83605 Lactate Level 6 Post | $215.60 | $215.60 | $54.33–$206.98 | 115% above | — |
| Lactate (lactic acid) blood test CPT 83605 Lactate Level 7 Post | $215.60 | $215.60 | $54.33–$206.98 | 115% above | — |
| Lactate (lactic acid) blood test CPT 83605 Lactate Level 9 Post | $215.60 | $215.60 | $54.33–$206.98 | 115% above | — |
| Lactate (lactic acid) blood test CPT 83605 Lactate Level 10 Post | $215.60 | $215.60 | $54.33–$206.98 | 115% above | — |
| Lactate (lactic acid) blood test CPT 83605 Lactate Level 3 Post | $215.60 | $215.60 | $54.33–$206.98 | 115% above | — |
| Lactate (lactic acid) blood test CPT 83605 Lactate Level 5 Post | $215.60 | $215.60 | $54.33–$206.98 | 115% above | — |
| Lactate (lactic acid) blood test CPT 83605 Lactate Level 2 Post | $215.60 | $215.60 | $54.33–$206.98 | 115% above | — |
| Lactate (lactic acid) blood test CPT 83605 Lactate Level 8 Post | $215.60 | $215.60 | $54.33–$206.98 | 115% above | — |
| Lactate (lactic acid) blood test CPT 83605 Lactic Acid (Lactate) | $217.40 | $217.40 | $54.78–$208.70 | 117% above | — |
| Lactate (lactic acid) blood test CPT 83605 Lactic Acid Blood, Arterial | $217.40 | $217.40 | $54.78–$208.70 | 117% above | — |
| Lactate (lactic acid) blood test inpatient CPT 83605 Lactate Level 3 Post | $215.60 | $215.60 | $54.33–$206.98 | — | — |
| Lactate (lactic acid) blood test inpatient CPT 83605 Lactate Level 10 Post | $215.60 | $215.60 | $54.33–$206.98 | — | — |
| Lactate (lactic acid) blood test inpatient CPT 83605 Lactate Level 9 Post | $215.60 | $215.60 | $54.33–$206.98 | — | — |
| Lactate (lactic acid) blood test inpatient CPT 83605 Lactate Level 6 Post | $215.60 | $215.60 | $54.33–$206.98 | — | — |
| Lactate (lactic acid) blood test inpatient CPT 83605 Lactate Level 4 Post | $215.60 | $215.60 | $54.33–$206.98 | — | — |
| Lactate (lactic acid) blood test inpatient CPT 83605 Lactate Level 1 Post | $215.60 | $215.60 | $54.33–$206.98 | — | — |
| Lactate (lactic acid) blood test inpatient CPT 83605 Lactate Level 7 Post | $215.60 | $215.60 | $54.33–$206.98 | — | — |
| Lactate (lactic acid) blood test inpatient CPT 83605 Lactate Level 2 Post | $215.60 | $215.60 | $54.33–$206.98 | — | — |
| Lactate (lactic acid) blood test inpatient CPT 83605 Lactic Acid, Body Fluid | $215.60 | $215.60 | $54.33–$206.98 | — | — |
| Lactate (lactic acid) blood test inpatient CPT 83605 Lactate Level 8 Post | $215.60 | $215.60 | $54.33–$206.98 | — | — |
| Lactate (lactic acid) blood test inpatient CPT 83605 Lactate Level 5 Post | $215.60 | $215.60 | $54.33–$206.98 | — | — |
| Lactate (lactic acid) blood test inpatient CPT 83605 D-Lactate | $215.60 | $215.60 | $54.33–$206.98 | — | — |
| Lactate dehydrogenase (LDH) blood test CPT 83615 Ld (Lactate Dehydrogenase) | $83.00 | $83.00 | $20.92–$79.68 | 92% above | — |
| Lactate dehydrogenase (LDH) blood test CPT 83615 Ld, Body Fluid | $83.00 | $83.00 | $20.92–$79.68 | 92% above | — |
| Lipase blood test (pancreas enzyme) CPT 83690 Lipase | $136.20 | $136.20 | $34.32–$130.75 | 62% above | — |
| Lipase blood test (pancreas enzyme) CPT 83690 Lipase Body Fluid | $136.20 | $136.20 | $34.32–$130.75 | 62% above | — |
| Liver function blood test panel CPT 80076 Hepatic Function Panel | $111.50 | $111.50 | $28.10–$107.04 | 70% above | — |
| Lyme disease antibody test CPT 86618 Lyme Disease Serology CSF | $102.80 | $102.80 | $25.91–$98.69 | 7% above | — |
| Magnesium blood test CPT 83735 Magnesium, Body Fluid | $100.40 | $100.40 | $25.30–$96.38 | 86% above | — |
| Magnesium blood test CPT 83735 UR Stone Risk Magnesium | $100.40 | $100.40 | $25.30–$96.38 | 86% above | — |
| Magnesium blood test CPT 83735 Magnesium Red Blood Cell | $102.90 | $102.90 | $25.93–$98.78 | 91% above | — |
| Magnesium blood test inpatient CPT 83735 UR Stone Risk Magnesium | $100.40 | $100.40 | $25.30–$96.38 | — | — |
| Magnesium blood test inpatient CPT 83735 Magnesium, Body Fluid | $100.40 | $100.40 | $25.30–$96.38 | — | — |
| Magnesium blood test inpatient CPT 83735 Magnesium Red Blood Cell | $102.90 | $102.90 | $25.93–$98.78 | — | — |
| Mono test (heterophile antibody, Monospot) CPT 86308 Infectious Mono Screen | $103.20 | $103.20 | $26.01–$99.07 | 80% above | — |
| Mumps immunity blood test CPT 86735 Mumps Virus Antibody Igm | $300.30 | $300.30 | $75.68–$288.29 | 318% above | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Act Partial Thromboplastn Time | $112.60 | $112.60 | $28.38–$108.10 | 173% above | — |
| Phosphorus (phosphate) blood test CPT 84100 Esrd Assay of Phosphorus | $32.70 | $32.70 | $8.24–$31.39 | 18% below | — |
| Phosphorus (phosphate) blood test CPT 84100 Phosphorus, Serum | $67.00 | $67.00 | $16.88–$64.32 | 68% above | — |
| Phosphorus (phosphate) blood test CPT 84100 Phosphorus, Body Fluid | $67.00 | $67.00 | $16.88–$64.32 | 68% above | — |
| Phosphorus (phosphate) blood test inpatient CPT 84100 Esrd Assay of Phosphorus | $32.70 | $32.70 | $8.24–$31.39 | — | — |
| Phosphorus (phosphate) blood test inpatient CPT 84100 Phosphorus, Body Fluid | $67.00 | $67.00 | $16.88–$64.32 | — | — |
| Potassium blood test CPT 84132 Esrd Assay of Serum Potassium | $43.00 | $43.00 | $10.84–$41.28 | 4% above | — |
| Potassium blood test CPT 84132 Esrd Potassium | $49.40 | $49.40 | $12.45–$47.42 | 20% above | — |
| Potassium blood test CPT 84132 Potassium Serum | $63.80 | $63.80 | $16.08–$61.25 | 55% above | — |
| Potassium blood test CPT 84132 Potassium, Body Fluid | $63.80 | $63.80 | $16.08–$61.25 | 55% above | — |
| Potassium blood test inpatient CPT 84132 Esrd Assay of Serum Potassium | $43.00 | $43.00 | $10.84–$41.28 | — | — |
| Potassium blood test inpatient CPT 84132 Esrd Potassium | $49.40 | $49.40 | $12.45–$47.42 | — | — |
| Progesterone blood test CPT 84144 CAH Progesterone | $172.30 | $172.30 | $43.42–$165.41 | 76% above | — |
| Progesterone blood test inpatient CPT 84144 CAH Progesterone | $172.30 | $172.30 | $43.42–$165.41 | — | — |
| Prolactin blood test CPT 84146 Prolactin Unprecipitated | $212.80 | $212.80 | $53.63–$204.29 | 96% above | — |
| Prolactin blood test CPT 84146 Prolactin Total | $212.80 | $212.80 | $53.63–$204.29 | 96% above | — |
| Prolactin blood test CPT 84146 Prolactin With Serial Dilution | $212.80 | $212.80 | $53.63–$204.29 | 96% above | — |
| Prolactin blood test CPT 84146 Prolactin | $288.70 | $288.70 | $72.75–$277.15 | 166% above | — |
| Prolactin blood test inpatient CPT 84146 Prolactin Total | $212.80 | $212.80 | $53.63–$204.29 | — | — |
| Prolactin blood test inpatient CPT 84146 Prolactin With Serial Dilution | $212.80 | $212.80 | $53.63–$204.29 | — | — |
| Prolactin blood test inpatient CPT 84146 Prolactin Unprecipitated | $212.80 | $212.80 | $53.63–$204.29 | — | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 Prothrombin Time | $75.00 | $75.00 | $18.90–$72.00 | 88% above | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 Warfarin Prothrombin Time | $75.00 | $75.00 | $18.90–$72.00 | 88% above | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 Prothrombin Time Coumatrak | $75.00 | $75.00 | $18.90–$72.00 | 88% above | — |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Prothrombin Time Coumatrak | $75.00 | $75.00 | $18.90–$72.00 | — | — |
| Rapid flu test (influenza antigen) CPT 87804 Primary Care Rapid Influenza B | $24.20 | $24.20 | $9.92–$23.23 | 64% below | — |
| Rapid flu test (influenza antigen) CPT 87804 Primary Care Rapid Influenza A | $24.20 | $24.20 | $9.92–$23.23 | 64% below | — |
| Rapid flu test (influenza antigen) CPT 87804 Rapid Influenza Test | $186.20 | $186.20 | $76.34–$178.75 | 175% above | — |
| Rapid flu test (influenza antigen) inpatient CPT 87804 Primary Care Rapid Influenza B | $24.20 | $24.20 | $9.92–$23.23 | — | — |
| Rapid flu test (influenza antigen) inpatient CPT 87804 Primary Care Rapid Influenza A | $24.20 | $24.20 | $9.92–$23.23 | — | — |
| Rapid flu test (influenza antigen) inpatient CPT 87804 Rapid Influenza Test | $186.20 | $186.20 | $76.34–$178.75 | — | — |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 Primary Care Rapid Strep | $35.90 | $35.90 | $9.05–$34.46 | 50% below | — |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 Rapid Strep Antigen Test | $139.80 | $139.80 | $35.23–$134.21 | 94% above | — |
| Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 Primary Care Rapid Strep | $35.90 | $35.90 | $9.05–$34.46 | — | — |
| Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 Rapid Strep Antigen Test | $139.80 | $139.80 | $35.23–$134.21 | — | — |
| Rh blood typing CPT 86901 Rh Typing | $88.30 | $88.30 | $22.25–$84.77 | 85% above | — |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 Sedimentation Rate (Esr) | $78.70 | $78.70 | $19.83–$75.55 | 120% above | — |
| Sodium blood test CPT 84295 Esrd Assay of Serum Sodium | $49.40 | $49.40 | $12.45–$47.42 | 17% above | — |
| Sodium blood test CPT 84295 Sodium Serum | $63.70 | $63.70 | $16.05–$61.15 | 51% above | — |
| Sodium blood test inpatient CPT 84295 Esrd Assay of Serum Sodium | $49.40 | $49.40 | $12.45–$47.42 | — | — |
| Stool ova and parasites exam CPT 87177 Direct Conc and ID (O&P) | $131.60 | $131.60 | $33.16–$126.34 | 95% above | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Syphilis Test Qual Donor | $84.30 | $84.30 | $21.24–$80.93 | 162% above | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Syphilis Test Qual | $84.30 | $84.30 | $21.24–$80.93 | 162% above | — |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 Quantiferon TB Test | $417.20 | $417.20 | $105.13–$400.51 | 101% above | — |
| Testosterone blood test, total (not free testosterone) CPT 84403 CAH Trt Post Testosterone | $111.90 | $111.90 | $28.20–$107.42 | 13% below | — |
| Testosterone blood test, total (not free testosterone) CPT 84403 CAH 11b Post Testosterone | $115.30 | $115.30 | $29.06–$110.69 | 10% below | — |
| Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone Total Level | $245.10 | $245.10 | $61.77–$235.30 | 91% above | — |
| Testosterone blood test, total (not free testosterone) CPT 84403 CAH Testosterone Total | $245.10 | $245.10 | $61.77–$235.30 | 91% above | — |
| Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone Bioavailable | $251.70 | $251.70 | $63.43–$241.63 | 97% above | — |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 CAH Trt Post Testosterone | $111.90 | $111.90 | $28.20–$107.42 | — | — |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 CAH 11b Post Testosterone | $115.30 | $115.30 | $29.06–$110.69 | — | — |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Testosterone Total Level | $245.10 | $245.10 | $61.77–$235.30 | — | — |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 CAH Testosterone Total | $245.10 | $245.10 | $61.77–$235.30 | — | — |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Testosterone Bioavailable | $251.70 | $251.70 | $63.43–$241.63 | — | — |
| Total cholesterol blood test CPT 82465 Esrd Cholesterol | $41.80 | $41.80 | $10.53–$40.13 | 15% above | — |
| Total cholesterol blood test CPT 82465 Lip Elect Cholesterol | $64.80 | $64.80 | $16.33–$62.21 | 78% above | — |
| Total cholesterol blood test CPT 82465 Cholesterol Body Fluid | $64.80 | $64.80 | $16.33–$62.21 | 78% above | — |
| Total cholesterol blood test CPT 82465 Cholesterol | $64.80 | $64.80 | $16.33–$62.21 | 78% above | — |
| Total cholesterol blood test inpatient CPT 82465 Esrd Cholesterol | $41.80 | $41.80 | $10.53–$40.13 | — | — |
| Total cholesterol blood test inpatient CPT 82465 Lip Elect Cholesterol | $64.80 | $64.80 | $16.33–$62.21 | — | — |
| Transferrin blood test CPT 84466 Transferrin Level | $203.10 | $203.10 | $51.18–$194.98 | 129% above | — |
| Trichomonas test (NAAT) CPT 87661 Trich Vaginalis Amp Probe | $66.90 | $66.90 | $16.86–$64.22 | 39% below | — |
| Trichomonas test (NAAT) CPT 87661 Trichomonas Vaginalis Pcr | $86.40 | $86.40 | $21.77–$82.94 | 21% below | — |
| Trichomonas test (NAAT) inpatient CPT 87661 Trich Vaginalis Amp Probe | $66.90 | $66.90 | $16.86–$64.22 | — | — |
| Triglycerides blood test CPT 84478 Triglycerides Level | $70.20 | $70.20 | $17.69–$67.39 | 59% above | — |
| Triglycerides blood test CPT 84478 Esrd Triglycerides | $83.50 | $83.50 | $21.04–$80.16 | 89% above | — |
| Triglycerides blood test CPT 84478 Triglycerides, Body Fluid | $83.50 | $83.50 | $21.04–$80.16 | 89% above | — |
| Triglycerides blood test CPT 84478 Triglycerides Tpn/en Only | $83.50 | $83.50 | $21.04–$80.16 | 89% above | — |
| Triglycerides blood test CPT 84478 Lip Elect Triglyrides | $83.50 | $83.50 | $21.04–$80.16 | 89% above | — |
| Triglycerides blood test inpatient CPT 84478 Esrd Triglycerides | $83.50 | $83.50 | $21.04–$80.16 | — | — |
| Triglycerides blood test inpatient CPT 84478 Lip Elect Triglyrides | $83.50 | $83.50 | $21.04–$80.16 | — | — |
| Troponin test, quantitative CPT 84484 Troponin I Level | $255.90 | $255.90 | $64.49–$245.66 | 87% above | — |
| Uric acid blood test CPT 84550 Uric Acid Level | $64.90 | $64.90 | $16.35–$62.30 | 44% above | — |
| Urinalysis with microscope exam, automated CPT 81001 Urinalysis With Microscopic | $86.80 | $86.80 | $21.87–$83.33 | 120% above | — |
| Urinalysis with microscope exam, manual CPT 81000 Primary Care Urinalysis (Dipstick) | $17.10 | $17.10 | $7.01–$16.42 | at median | — |
| Urinalysis with microscope exam, manual inpatient CPT 81000 Primary Care Urinalysis (Dipstick) | $17.10 | $17.10 | $7.01–$16.42 | — | — |
| Urinalysis without microscope exam, automated CPT 81003 Ketones Urine | $57.50 | $57.50 | $14.49–$55.20 | 100% above | — |
| Urinalysis without microscope exam, automated CPT 81003 Urinalysis No Microscopic | $57.50 | $57.50 | $14.49–$55.20 | 100% above | — |
| Urinalysis without microscope exam, automated CPT 81003 Leukocyte Esterase, Urine | $57.50 | $57.50 | $14.49–$55.20 | 100% above | — |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Leukocyte Esterase, Urine | $57.50 | $57.50 | $14.49–$55.20 | — | — |
| Urinalysis without microscope exam, manual CPT 81002 Bilirubin Urine | $43.60 | $43.60 | $10.99–$41.86 | 114% above | — |
| Urinalysis without microscope exam, manual CPT 81002 Glucose Urine | $43.60 | $43.60 | $10.99–$41.86 | 114% above | — |
| Urinalysis without microscope exam, manual CPT 81002 Occult Blood Urine | $43.60 | $43.60 | $10.99–$41.86 | 114% above | — |
| Urinalysis without microscope exam, manual CPT 81002 Reducing Substances, Urine | $43.60 | $43.60 | $10.99–$41.86 | 114% above | — |
| Urinalysis without microscope exam, manual CPT 81002 Specific Gravity Urine | $59.50 | $59.50 | $14.99–$57.12 | 192% above | — |
| Urinalysis without microscope exam, manual CPT 81002 Ph Urine | $61.80 | $61.80 | $15.57–$59.33 | 203% above | — |
| Urinalysis without microscope exam, manual inpatient CPT 81002 Reducing Substances, Urine | $43.60 | $43.60 | $10.99–$41.86 | — | — |
| Urinalysis without microscope exam, manual inpatient CPT 81002 Specific Gravity Urine | $59.50 | $59.50 | $14.99–$57.12 | — | — |
| Urinalysis without microscope exam, manual inpatient CPT 81002 Ph Urine | $61.80 | $61.80 | $15.57–$59.33 | — | — |
| Urine culture for bacteria, with colony count CPT 87086 Bacterial Culture Urine | $174.00 | $174.00 | $43.85–$167.04 | 106% above | — |
| Urine microalbumin (albumin) test CPT 82043 Albumin, Urine | $100.20 | $100.20 | $25.25–$96.19 | 91% above | — |
| Urine microalbumin (albumin) test CPT 82043 Microalbumin, Urine | $100.20 | $100.20 | $25.25–$96.19 | 91% above | — |
| Urine microalbumin (albumin) test inpatient CPT 82043 Microalbumin, Urine | $100.20 | $100.20 | $25.25–$96.19 | — | — |
| Urine pregnancy test, read by color change CPT 81025 Primary Care Pregnancy Test | $11.30 | $11.30 | $4.63–$10.85 | 77% below | — |
| Urine pregnancy test, read by color change inpatient CPT 81025 Primary Care Pregnancy Test | $11.30 | $11.30 | $4.63–$10.85 | — | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vitamin D-25 Hydroxy Level | $289.20 | $289.20 | $72.88–$277.63 | 113% above | — |
| Zinc blood test CPT 84630 Zinc Urine | $132.80 | $132.80 | $33.47–$127.49 | 75% above | — |
| Zinc blood test CPT 84630 Zinc Red Blood Cell | $215.90 | $215.90 | $54.41–$207.26 | 185% above | — |
| Zinc blood test inpatient CPT 84630 Zinc Urine | $132.80 | $132.80 | $33.47–$127.49 | — | — |
| Zinc blood test inpatient CPT 84630 Zinc Red Blood Cell | $215.90 | $215.90 | $54.41–$207.26 | — | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Beta Hcg, CSF | $193.50 | $193.50 | $48.76–$185.76 | 78% above | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Hcg, Quant - R/O Pregnancy | $193.50 | $193.50 | $48.76–$185.76 | 78% above | — |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Washington | Off list |
|---|---|---|---|---|---|
| Adenoid removal (adenoidectomy), child under 12 CPT 42830 Adenoidectomy Primary <Age 12 | $27,020.10 | — | — | 395% above | — |
| Arthroscopic ACL reconstruction or repair of the knee one side CPT 29888 Arthrs Aided Ant Cruciate Ligm Rpr/Agmntj/Rcnstj|LEFT SIDE | $92,667.20 | — | — | 656% above | — |
| Arthroscopic ACL reconstruction or repair of the knee one side CPT 29888 Arthrs Aided Ant Cruciate Ligm Rpr/Agmntj/Rcnstj|RIGHT SIDE | $105,958.43 | — | — | 764% above | — |
| Botox injections for chronic migraine CPT 64615 Chemodenerv Musc Migraine | $1,942.20 | $1,942.20 | $489.43–$1,864.51 | 413% above | — |
| Botox injections for chronic migraine inpatient CPT 64615 Chemodenerv Musc Migraine | $1,942.20 | $1,942.20 | $489.43–$1,864.51 | — | — |
| Cardiac catheterization with coronary angiogram CPT 93458 Lt Hrt Artery & Ventricle Angio | $27,393.80 | $27,393.80 | $6,903.24–$26,298.05 | 159% above | — |
| Cardiac catheterization with coronary angiogram inpatient CPT 93458 Lt Hrt Artery & Ventricle Angio | $27,393.80 | $27,393.80 | $6,903.24–$26,298.05 | — | — |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 Cardioversion Electric Ext | $2,791.50 | $2,791.50 | $703.46–$2,679.84 | 155% above | — |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 Cardioversion Electric Ext | $15,989.25 | — | — | 1361% above | — |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 Cardioversion Electric Ext | $2,791.50 | $2,791.50 | $703.46–$2,679.84 | — | — |
| Carpal tunnel release, open surgery CPT 64721 Neuroplasty &/Transpos Median Nrv Carpal Tunne | $30,082.00 | — | — | 799% above | — |
| Cataract surgery with lens implant CPT 66984 Cataract Removal Insertion of Lens | $50,059.95 | — | — | 1276% above | — |
| Cataract surgery with lens implant one side CPT 66984 Cataract Removal Insertion of Lens|RIGHT SIDE | $44,429.70 | — | — | 1122% above | — |
| Cataract surgery with lens implant one side CPT 66984 Cataract Removal Insertion of Lens|LEFT SIDE | $52,564.95 | — | — | 1345% above | — |
| Cervical biopsy CPT 57500 Biopsy of Cervix | $596.80 | $596.80 | $244.69–$572.93 | 24% below | — |
| Cervical biopsy inpatient CPT 57500 Biopsy of Cervix | $596.80 | $596.80 | $244.69–$572.93 | — | — |
| Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 Circumcision Sur Exc >28ds of Age | $721.00 | $721.00 | $295.61–$692.16 | 79% below | — |
| Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 Circumcision Age >28 Days | $33,800.95 | — | — | 904% above | — |
| Circumcision by surgical excision, older than 28 days (children and adults) inpatient CPT 54161 Circumcision Sur Exc >28ds of Age | $721.00 | $721.00 | $295.61–$692.16 | — | — |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 Circumcision Newborn | $721.00 | $721.00 | $181.69–$692.16 | 68% above | — |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 Circumcision Newborn | $932.40 | — | — | 118% above | — |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 Circumcision Newborn | $721.00 | $721.00 | $181.69–$692.16 | — | — |
| Colonoscopy with endoscopic ultrasound CPT 45391 Colsc Flx Prox Splenic Flxr Ndsc US Xm | $6,792.60 | $6,792.60 | $2,784.97–$6,520.90 | 156% above | — |
| Colonoscopy with endoscopic ultrasound inpatient CPT 45391 Colsc Flx Prox Splenic Flxr Ndsc US Xm | $6,792.60 | $6,792.60 | $2,784.97–$6,520.90 | — | — |
| Colonoscopy with polyp removal CPT 45385 Colonoscopy W/Remove By Snare | $5,342.90 | $5,342.90 | $1,346.41–$5,129.18 | 128% above | — |
| Colonoscopy with polyp removal inpatient CPT 45385 Colonoscopy W/Remove By Snare | $5,342.90 | $5,342.90 | $1,346.41–$5,129.18 | — | — |
| Colonoscopy with tissue sample CPT 45380 Colonoscopy W/Biopsy | $5,342.90 | $5,342.90 | $1,346.41–$5,129.18 | 138% above | — |
| Colonoscopy with tissue sample CPT 45380 Colonoscopy W/Biopsy | $21,707.90 | — | — | 868% above | — |
| Colonoscopy with tissue sample inpatient CPT 45380 Colonoscopy W/Biopsy | $5,342.90 | $5,342.90 | $1,346.41–$5,129.18 | — | — |
| Colonoscopy, diagnostic CPT 45378 Colonscopy Flex W/+W/O Brush/Wash | $5,952.50 | $5,952.50 | $1,500.03–$5,714.40 | 208% above | — |
| Colonoscopy, diagnostic inpatient CPT 45378 Colonscopy Flex W/+W/O Brush/Wash | $5,952.50 | $5,952.50 | $1,500.03–$5,714.40 | — | — |
| Complex cataract surgery with lens implant CPT 66982 Xcapsular Cataract Rmvl Insj Lens Prosth 1 Stg | $38,206.35 | — | — | 940% above | — |
| Complex cataract surgery with lens implant one side CPT 66982 Xcapsular Cataract Rmvl Insj Lens Prosth 1 Stg|LEFT SIDE | $51,631.15 | — | — | 1306% above | — |
| Complex cataract surgery with lens implant one side CPT 66982 Xcapsular Cataract Rmvl Insj Lens Prosth 1 Stg|RIGHT SIDE | $72,956.60 | — | — | 1886% above | — |
| Coronary stent placement, one artery CPT 92928 Stent Placement Initial | $38,446.20 | $38,446.20 | $9,688.44–$36,908.35 | 81% above | — |
| Coronary stent placement, one artery inpatient CPT 92928 Stent Placement Initial | $38,446.20 | $38,446.20 | $9,688.44–$36,908.35 | — | — |
| Cystoscopy with ureteral stent placement CPT 52332 Cysto W/Insert Ureteral Stent | $30,007.48 | — | — | 478% above | — |
| Cystoscopy with ureteral stent placement one side CPT 52332 Cysto W/Insert Ureteral Stent|RIGHT SIDE | $47,878.15 | — | — | 822% above | — |
| Cystoscopy with ureteral stent placement one side CPT 52332 Cysto W/Insert Ureteral Stent|LEFT SIDE | $74,116.90 | — | — | 1328% above | — |
| Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 Cystourethroscopy | $27,000.50 | — | — | 2823% above | — |
| D&C (dilation and curettage), not related to pregnancy CPT 58120 Dilation & Curettage Dx&/Ther Nonobstetric | $25,023.60 | — | — | 746% above | — |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 Destruction Premalignant 1st Lesion | $328.80 | $328.80 | $82.86–$315.65 | 77% above | — |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 Destruction Premalignant 1st Lesion | $328.80 | $328.80 | $82.86–$315.65 | — | — |
| Ear tube placement (tympanostomy) under general anesthesia, one ear CPT 69436 Tympanostomy With Tube Local/Topical Anes | $3,844.50 | $3,844.50 | $1,576.25–$5,536.22 | 145% above | — |
| Ear tube placement (tympanostomy) under general anesthesia, one ear CPT 69436 Tympanostomy With Tube Local/Topical Anes | $37,730.45 | — | — | 2300% above | — |
| Ear tube placement (tympanostomy) under general anesthesia, one ear one side CPT 69436 Tympanostomy With Tube Local/Topical Anes|RIGHT SIDE | $35,995.45 | — | — | 2190% above | — |
| Ear tube placement (tympanostomy) under general anesthesia, one ear one side CPT 69436 Tympanostomy With Tube Local/Topical Anes|LEFT SIDE | $48,290.05 | — | — | 2972% above | — |
| Ear tube placement (tympanostomy) under general anesthesia, one ear inpatient CPT 69436 Tympanostomy With Tube Local/Topical Anes | $3,844.50 | $3,844.50 | $1,576.25–$5,536.22 | — | — |
| Ear tube placement (tympanostomy) with local anesthesia, one ear CPT 69433 Tympanostomy W/ Local Anesthesia | $817.10 | $817.10 | $205.91–$1,068.67 | 56% above | — |
| Ear tube placement (tympanostomy) with local anesthesia, one ear inpatient CPT 69433 Tympanostomy W/ Local Anesthesia | $817.10 | $817.10 | $205.91–$1,068.67 | — | — |
| Earwax removal by irrigation (rinsing), one ear CPT 69209 Rmvl Impacted Ear Wax Using Irrigation/Lavage | $102.00 | $102.00 | $25.70–$146.78 | 8% below | — |
| Earwax removal by irrigation (rinsing), one ear CPT 69209 Rmvl Impacted Ear Wax Using Irrigation/Lavage | $228.00 | — | — | 105% above | — |
| Earwax removal by irrigation (rinsing), one ear one side CPT 69209 Rmvl Impacted Ear Wax Using Irrigation/Lavage|LEFT SIDE | $227.00 | — | — | 104% above | — |
| Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 Rmvl Impacted Ear Wax Using Irrigation/Lavage | $102.00 | $102.00 | $25.70–$146.78 | — | — |
| Earwax removal with instruments, one ear CPT 69210 Cerumen Rmvl Req Instrument | $244.10 | $244.10 | $61.51–$351.46 | 43% above | — |
| Earwax removal with instruments, one ear CPT 69210 Cerumen Rmvl Req Instrument | $384.10 | — | — | 125% above | — |
| Earwax removal with instruments, one ear one side CPT 69210 Cerumen Rmvl Req Instrument|LEFT SIDE | $471.10 | — | — | 176% above | — |
| Earwax removal with instruments, one ear inpatient CPT 69210 Cerumen Rmvl Req Instrument | $244.10 | $244.10 | $61.51–$351.46 | — | — |
| Endoscopic sinus surgery: full ethmoid sinus opening CPT 31255 Nasal/Sinus Endoscopy W/Ethmoidectomy Total | $76,026.35 | — | — | 766% above | — |
| Endoscopic sinus surgery: opening the frontal sinus CPT 31276 Nasal/Sinus Ndsc W/Frontal Sinus Exploration | $91,083.85 | — | — | 2645% above | — |
| Endoscopic sinus surgery: opening the frontal sinus one side CPT 31276 Nasal/Sinus Ndsc W/Frontal Sinus Exploration|LEFT SIDE | $95,649.80 | — | — | 2782% above | — |
| Endoscopic sinus surgery: opening the maxillary (cheek) sinus CPT 31256 Nasal/Sinus Endoscopy W/Maxillary Antrostomy | $82,192.65 | — | — | 1503% above | — |
| Endoscopic sinus surgery: opening the maxillary (cheek) sinus one side CPT 31256 Nasal/Sinus Endoscopy W/Maxillary Antrostomy|RIGHT SIDE | $45,553.65 | — | — | 788% above | — |
| Endoscopic sinus surgery: opening the maxillary (cheek) sinus one side CPT 31256 Nasal/Sinus Endoscopy W/Maxillary Antrostomy|LEFT SIDE | $52,956.90 | — | — | 933% above | — |
| Endoscopic sinus surgery: opening the maxillary sinus with removal of tissue CPT 31267 Nsl/Sinus Ndsc Max Antrost W/Rmvl Tiss Max Sinus | $72,521.75 | — | — | 1008% above | — |
| Endoscopic sinus surgery: opening the maxillary sinus with removal of tissue one side CPT 31267 Nsl/Sinus Ndsc Max Antrost W/Rmvl Tiss Max Sinus|LEFT SIDE | $52,973.25 | — | — | 709% above | — |
| Endoscopic sinus surgery: opening the maxillary sinus with removal of tissue one side CPT 31267 Nsl/Sinus Ndsc Max Antrost W/Rmvl Tiss Max Sinus|RIGHT SIDE | $61,654.45 | — | — | 842% above | — |
| Eye injection into the vitreous (intravitreal injection) CPT 67028 Intravitreal injection of a pharmacologic agent | $1,616.50 | $1,616.50 | $662.77–$2,327.71 | 103% above | — |
| Eye injection into the vitreous (intravitreal injection) one side CPT 67028 Intravitreal injection of a pharmacologic agent|RIGHT SIDE | $19,225.85 | — | — | 2317% above | — |
| Eye injection into the vitreous (intravitreal injection) one side CPT 67028 Intravitreal injection of a pharmacologic agent|LEFT SIDE | $22,300.45 | — | — | 2703% above | — |
| Eye injection into the vitreous (intravitreal injection) inpatient CPT 67028 Intravitreal injection of a pharmacologic agent | $1,616.50 | $1,616.50 | $662.77–$2,327.71 | — | — |
| Facet joint injection, lower back, one level, with imaging guidance CPT 64493 Inj Facet Lu | $5,438.50 | $5,438.50 | $2,229.79–$10,441.73 | 136% above | — |
| Facet joint injection, lower back, one level, with imaging guidance CPT 64493 Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level | $20,257.60 | — | — | 781% above | — |
| Facet joint injection, lower back, one level, with imaging guidance one side CPT 64493 Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level|RIGHT SIDE | $18,858.25 | — | — | 720% above | — |
| Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 Inj Facet Lu | $5,438.50 | $5,438.50 | $2,229.79–$10,441.73 | — | — |
| First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm CPT 49593 Repair of Anterior Abdominal Hernia(S) 3 Cm to 10 Cm, Reducible | $66,275.70 | — | — | 469% above | — |
| First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm CPT 49591 Repair of Anterior Abdominal Hernia(S) Reducible | $26,077.70 | — | — | 263% above | — |
| Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 Diagnostic Sigmoidoscopy | $5,267.80 | $5,267.80 | $1,327.49–$5,057.09 | 235% above | — |
| Flexible sigmoidoscopy, diagnostic (lower colon only) inpatient CPT 45330 Diagnostic Sigmoidoscopy | $5,267.80 | $5,267.80 | $1,327.49–$5,057.09 | — | — |
| Gallbladder removal, laparoscopic CPT 47562 Laparoscopy Surg Cholecystectomy | $67,934.40 | — | — | 408% above | — |
| Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery CPT 47563 Laps Surg Cholecystectomy W/Cholangiography | $94,227.80 | — | — | 747% above | — |
| Hammertoe correction surgery CPT 28285 Correction Hammertoe | $36,405.65 | — | — | 825% above | — |
| IUD insertion (the device itself billed separately) CPT 58300 Insertion of Iud | $966.00 | $966.00 | $243.43–$927.36 | 237% above | — |
| IUD insertion (the device itself billed separately) CPT 58300 Insertion of Iud | $12,380.25 | — | — | 4219% above | — |
| IUD insertion (the device itself billed separately) inpatient CPT 58300 Insertion of Iud | $966.00 | $966.00 | $243.43–$927.36 | — | — |
| Incision and drainage of a simple or single skin abscess CPT 10060 I&D Abscess Simple or Single | $833.80 | $833.80 | $210.12–$800.45 | 122% above | — |
| Incision and drainage of a simple or single skin abscess CPT 10060 I&D Abscess Simple or Single | $1,526.00 | — | — | 307% above | — |
| Incision and drainage of a simple or single skin abscess one side CPT 10060 I&D Abscess Simple or Single|RIGHT SIDE | $1,398.35 | — | — | 273% above | — |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I&D Abscess Simple or Single | $833.80 | $833.80 | $210.12–$800.45 | — | — |
| Inguinal (groin) hernia repair, age 5 or older CPT 49505 Rpr 1st Ingun Hrna Age 5 Yrs/> Reducible | $27,499.60 | — | — | 245% above | — |
| Inguinal (groin) hernia repair, age 5 or older one side CPT 49505 Rpr 1st Ingun Hrna Age 5 Yrs/> Reducible|RIGHT SIDE | $27,922.80 | — | — | 250% above | — |
| Inguinal (groin) hernia repair, age 5 or older one side CPT 49505 Rpr 1st Ingun Hrna Age 5 Yrs/> Reducible|LEFT SIDE | $37,121.05 | — | — | 365% above | — |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 Inj(S);Tendon Sheath/Ligament | $370.00 | $370.00 | $93.24–$355.20 | 22% above | — |
| Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 Inj(S);Tendon Sheath/Ligament | $370.00 | $370.00 | $93.24–$355.20 | — | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Arthro Asp/Inj Major Jnt/Bursa W/O US Guide | $1,388.40 | $1,388.40 | $349.88–$1,985.66 | 186% above | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Arthro Asp/Inj Major Jnt/Bursa W/O US Guide | $1,894.85 | — | — | 291% above | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 Arthro Asp/Inj Major Jnt/Bursa W/O US Guide|LEFT SIDE | $12,815.25 | — | — | 2543% above | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 Arthro Asp/Inj Major Jnt/Bursa W/O US Guide|RIGHT SIDE | $15,609.90 | — | — | 3119% above | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 Arthro Asp/Inj Major Jnt/Bursa W/O US Guide | $1,388.40 | $1,388.40 | $349.88–$1,985.66 | — | — |
| Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 Insert Non-Biodeg Drug Deliver Implant | $571.00 | $571.00 | $143.89–$548.16 | 107% above | — |
| Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 Insert Non-Biodeg Drug Deliver Implant | $108,487.55 | — | — | 39189% above | — |
| Insertion of a drug-delivery implant, such as the arm birth control implant one side CPT 11981 Insert Non-Biodeg Drug Deliver Implant|LEFT SIDE | $109,454.55 | — | — | 39539% above | — |
| Insertion of a drug-delivery implant, such as the arm birth control implant inpatient CPT 11981 Insert Non-Biodeg Drug Deliver Implant | $571.00 | $571.00 | $143.89–$548.16 | — | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Arthro Asp/Inj Interm Jnt/Bursa W/O US Guide | $785.40 | $785.40 | $197.92–$753.98 | 72% above | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Arthro Asp/Inj Interm Jnt/Bursa W/O US Guide | $1,010.65 | — | — | 121% above | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) one side CPT 20605 Arthro Asp/Inj Interm Jnt/Bursa W/O US Guide|LEFT SIDE | $10,967.65 | — | — | 2297% above | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) one side CPT 20605 Arthro Asp/Inj Interm Jnt/Bursa W/O US Guide|RIGHT SIDE | $13,790.05 | — | — | 2914% above | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 Arthro Asp/Inj Interm Jnt/Bursa W/O US Guide | $785.40 | $785.40 | $197.92–$753.98 | — | — |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 Arthro Asp/Inj Small Bursa W/O US Guide | $609.00 | $609.00 | $153.47–$584.64 | 61% above | — |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 Arthro Asp/Inj Small Bursa W/O US Guide | $12,149.40 | — | — | 3105% above | — |
| Joint injection or drainage, small joint (fingers, toes) one side CPT 20600 Arthro Asp/Inj Small Bursa W/O US Guide|LEFT SIDE | $14,359.10 | — | — | 3688% above | — |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 Arthro Asp/Inj Small Bursa W/O US Guide | $609.00 | $609.00 | $153.47–$584.64 | — | — |
| Knee arthroscopy with meniscus repair (one side of the knee) CPT 29882 Arthroscopy Knee W/Meniscus Rpr Medial/Lateral | $75,873.40 | — | — | 845% above | — |
| Knee arthroscopy with meniscus repair (one side of the knee) one side CPT 29882 Arthroscopy Knee W/Meniscus Rpr Medial/Lateral|RIGHT SIDE | $35,947.10 | — | — | 348% above | — |
| Knee arthroscopy with meniscus repair (one side of the knee) one side CPT 29882 Arthroscopy Knee W/Meniscus Rpr Medial/Lateral|LEFT SIDE | $88,079.96 | — | — | 997% above | — |
| Knee arthroscopy with meniscus trim one side CPT 29881 Arthrs Kne Surg W/Meniscectomy Med/Lat W/Shvg|LEFT SIDE | $33,469.55 | — | — | 376% above | — |
| Knee arthroscopy with meniscus trim one side CPT 29881 Arthrs Kne Surg W/Meniscectomy Med/Lat W/Shvg|RIGHT SIDE | $70,040.70 | — | — | 896% above | — |
| Knee arthroscopy with smoothing of damaged cartilage (chondroplasty) one side CPT 29877 Arthrs Knee Debridement/Shaving Artclr Crtlg|RIGHT SIDE | $65,482.74 | — | — | 1235% above | — |
| Knee arthroscopy with smoothing of damaged cartilage (chondroplasty) one side CPT 29877 Arthrs Knee Debridement/Shaving Artclr Crtlg|LEFT SIDE | $92,977.12 | — | — | 1795% above | — |
| Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 Laparoscopic Appendectomy | $45,961.95 | — | — | 491% above | — |
| Laparoscopic fundoplication (anti-reflux surgery) CPT 43280 Laps Surg Esopg/Gstr Fundoplasty | $120,035.25 | — | — | 133% above | — |
| Laparoscopic inguinal (groin) hernia repair, first repair on that side CPT 49650 Laparoscopy Surg Rpr Initial Inguinal Hernia | $50,080.00 | — | — | 330% above | — |
| Laparoscopic inguinal (groin) hernia repair, first repair on that side one side CPT 49650 Laparoscopy Surg Rpr Initial Inguinal Hernia|RIGHT SIDE | $37,781.35 | — | — | 224% above | — |
| Laparoscopic inguinal (groin) hernia repair, first repair on that side one side CPT 49650 Laparoscopy Surg Rpr Initial Inguinal Hernia|LEFT SIDE | $42,524.15 | — | — | 265% above | — |
| Laparoscopic inguinal (groin) hernia repair, recurrent hernia CPT 49651 Laps Surg Rpr Recurrent Inguinal Hernia | $63,622.95 | — | — | 993% above | — |
| Laparoscopic inguinal (groin) hernia repair, recurrent hernia one side CPT 49651 Laps Surg Rpr Recurrent Inguinal Hernia|RIGHT SIDE | $46,008.70 | — | — | 691% above | — |
| Laparoscopic removal of fallopian tubes and/or ovaries CPT 58661 Laparoscopy W/Rmvl Adnexal Structures | $46,793.50 | — | — | 550% above | — |
| Laparoscopic removal of fallopian tubes and/or ovaries one side CPT 58661 Laparoscopy W/Rmvl Adnexal Structures|RIGHT SIDE | $59,401.45 | — | — | 725% above | — |
| Laparoscopic removal of fallopian tubes and/or ovaries one side CPT 58661 Laparoscopy W/Rmvl Adnexal Structures|LEFT SIDE | $63,984.35 | — | — | 788% above | — |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 Cls Wnd Sclp/Ax/Trnk/Extrm<=2.5cm | $714.60 | $714.60 | $180.08–$686.02 | 8% above | — |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 Cls Wnd Sclp/Ax/Trnk/Extrm<=2.5cm | $16,231.80 | — | — | 2361% above | — |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 Cls Wnd Sclp/Ax/Trnk/Extrm<=2.5cm | $714.60 | $714.60 | $180.08–$686.02 | — | — |
| Left heart catheterization, diagnostic CPT 93452 Lt Hrt Cath W/Ventrclgrphy | $29,746.50 | $29,746.50 | $7,496.12–$28,556.64 | 266% above | — |
| Left heart catheterization, diagnostic CPT 93452 Lt Hrt Cath W/Ventrclgrphy | $91,997.85 | — | — | 1033% above | — |
| Left heart catheterization, diagnostic inpatient CPT 93452 Lt Hrt Cath W/Ventrclgrphy | $29,746.50 | $29,746.50 | $7,496.12–$28,556.64 | — | — |
| Lower-back epidural injection, with imaging guidance CPT 62323 Inj Intrlmin | $4,956.00 | $4,956.00 | $1,248.91–$4,757.76 | 223% above | — |
| Lower-back epidural injection, with imaging guidance CPT 62323 Inj Intrlminar Lmbr/Sac W/Imag | $20,800.05 | — | — | 1258% above | — |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 Inj Intrlmin | $4,956.00 | $4,956.00 | $1,248.91–$4,757.76 | — | — |
| Lower-back epidural injection, without imaging guidance CPT 62322 Injection of Substance Into Spinal Canal of Lower Back or Sacrum | $2,230.60 | $2,230.60 | $562.11–$2,141.38 | 95% above | — |
| Lower-back epidural injection, without imaging guidance CPT 62322 Injection of Substance Into Spinal Canal of Lower Back or Sacrum | $17,509.90 | — | — | 1434% above | — |
| Lower-back epidural injection, without imaging guidance inpatient CPT 62322 Injection of Substance Into Spinal Canal of Lower Back or Sacrum | $2,230.60 | $2,230.60 | $562.11–$2,141.38 | — | — |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 Inj Foramen | $3,911.60 | $3,911.60 | $1,603.76–$3,755.14 | 128% above | — |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 Njx Anes&/Strd W/Img Tfrml Edrl Lmbr/Sac 1 Lvl | $16,637.75 | — | — | 868% above | — |
| Lower-back nerve root steroid injection, with imaging guidance one side CPT 64483 Njx Anes&/Strd W/Img Tfrml Edrl Lmbr/Sac 1 Lvl|RIGHT SIDE | $20,754.20 | — | — | 1108% above | — |
| Lower-back nerve root steroid injection, with imaging guidance one side CPT 64483 Njx Anes&/Strd W/Img Tfrml Edrl Lmbr/Sac 1 Lvl|LEFT SIDE | $21,557.20 | — | — | 1154% above | — |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 Inj Foramen | $3,911.60 | $3,911.60 | $1,603.76–$3,755.14 | — | — |
| Lumbar discectomy or laminotomy to free a nerve root, one level CPT 63030 Lamnotmy Incl W/Dcmprsn Nrv Root 1 Intrspc Lumbr | $104,106.70 | — | — | 926% above | — |
| Lumbar discectomy or laminotomy to free a nerve root, one level one side CPT 63030 Lamnotmy Incl W/Dcmprsn Nrv Root 1 Intrspc Lumbr|RIGHT SIDE | $90,889.90 | — | — | 796% above | — |
| Lumbar discectomy or laminotomy to free a nerve root, one level one side CPT 63030 Lamnotmy Incl W/Dcmprsn Nrv Root 1 Intrspc Lumbr|LEFT SIDE | $111,203.45 | — | — | 996% above | — |
| Lumbar interbody fusion (PLIF or TLIF), one level CPT 22630 Arthrodesis Posterior Interbody Lumbar | $178,026.45 | — | — | 334% above | — |
| Mastectomy (total removal of the breast) CPT 19303 Mastectomy Simple Complete | $77,514.20 | — | — | 1102% above | — |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 Exsn Bgn Lsn Trnk/Arm/Leg<.5cm | $1,161.00 | $1,161.00 | $292.57–$1,114.56 | 58% above | — |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 Exsn Bgn Lsn Trnk/Arm/Leg<.5cm | $16,903.05 | — | — | 2196% above | — |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 Exsn Bgn Lsn Trnk/Arm/Leg<.5cm | $1,161.00 | $1,161.00 | $292.57–$1,114.56 | — | — |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 Exsn Bgn Lsn Fce/Ear/Eyld/Nse/Lps <.5cm | $1,669.00 | $1,669.00 | $420.59–$1,602.24 | 122% above | — |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 Exsn Bgn Lsn Fce/Ear/Eyld/Nse/Lps <.5cm | $31,075.20 | — | — | 4036% above | — |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 Exsn Bgn Lsn Fce/Ear/Eyld/Nse/Lps <.5cm | $1,669.00 | $1,669.00 | $420.59–$1,602.24 | — | — |
| Nail removal (partial or complete), one nail CPT 11730 Avulsion Nail Plate Partial/Compl Sgl | $311.90 | $311.90 | $78.60–$299.42 | 11% above | — |
| Nail removal (partial or complete), one nail CPT 11730 Avulsion Nail Plate Partial/Compl Sgl | $14,502.85 | — | — | 5080% above | — |
| Nail removal (partial or complete), one nail one side CPT 11730 Avulsion Nail Plate Partial/Compl Sgl|RIGHT SIDE | $436.90 | — | — | 56% above | — |
| Nail removal (partial or complete), one nail inpatient CPT 11730 Avulsion Nail Plate Partial/Compl Sgl | $311.90 | $311.90 | $78.60–$299.42 | — | — |
| Occipital nerve block (injection for headaches) CPT 64405 Inj Anes > Occipital Nerve | $730.00 | $730.00 | $183.96–$1,008.00 | 10% above | — |
| Occipital nerve block (injection for headaches) inpatient CPT 64405 Inj Anes > Occipital Nerve | $730.00 | $730.00 | $183.96–$1,008.00 | — | — |
| Pacemaker implant (dual chamber) CPT 33208 Perm Pacemaker-Atrial&Vent | $31,704.00 | $31,704.00 | $7,989.41–$30,435.84 | 203% above | — |
| Pacemaker implant (dual chamber) inpatient CPT 33208 Perm Pacemaker-Atrial&Vent | $31,704.00 | $31,704.00 | $7,989.41–$30,435.84 | — | — |
| Paracentesis with imaging guidance CPT 49083 Abd Paracentesis W/Image Guidance | $2,764.00 | $2,764.00 | $1,133.24–$2,653.44 | 109% above | — |
| Paracentesis with imaging guidance inpatient CPT 49083 Abd Paracentesis W/Image Guidance | $2,764.00 | $2,764.00 | $1,133.24–$2,653.44 | — | — |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 Exc Nail/Matrix Part or Comp | $926.40 | $926.40 | $233.45–$889.34 | 37% above | — |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 Exc Nail/Matrix Part or Comp | $15,075.95 | — | — | 2126% above | — |
| Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 Exc Nail/Matrix Part or Comp | $926.40 | $926.40 | $233.45–$889.34 | — | — |
| Removal of a breast lump, open surgery CPT 19120 Exc Cyst/Aberrant Breast Tissue Open 1/> Lesion | $23,310.40 | — | — | 378% above | — |
| Removal of a breast lump, open surgery one side CPT 19120 Exc Cyst/Aberrant Breast Tissue Open 1/> Lesion|RIGHT SIDE | $32,707.05 | — | — | 571% above | — |
| Removal of a breast lump, open surgery one side CPT 19120 Exc Cyst/Aberrant Breast Tissue Open 1/> Lesion|LEFT SIDE | $37,658.80 | — | — | 672% above | — |
| Removal of a foreign object under the skin, simple CPT 10120 Incs & Remove FB,Subq Tissue, Simple | $942.60 | $942.60 | $237.54–$904.90 | 82% above | — |
| Removal of a foreign object under the skin, simple CPT 10120 Incs & Remove FB,Subq Tissue, Simple | $1,082.60 | — | — | 109% above | — |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 Incs & Remove FB,Subq Tissue, Simple | $942.60 | $942.60 | $237.54–$904.90 | — | — |
| Removal of one lobe of the thyroid (lobectomy) CPT 60220 Total Thyroid Lobectomy Uni W/WO Isthmusectomy | $76,561.60 | — | — | 487% above | — |
| Removal of one lobe of the thyroid (lobectomy) one side CPT 60220 Total Thyroid Lobectomy Uni W/WO Isthmusectomy|RIGHT SIDE | $80,346.25 | — | — | 516% above | — |
| Removal of one lobe of the thyroid (lobectomy) one side CPT 60220 Total Thyroid Lobectomy Uni W/WO Isthmusectomy|LEFT SIDE | $104,292.40 | — | — | 699% above | — |
| Septoplasty to straighten the nasal septum CPT 30520 Septoplasty/Submucous Resecj W/WO Cartilage Grf | $74,226.50 | — | — | 1391% above | — |
| Short arm cast (elbow to hand) CPT 29075 Short Arm Cast W/Fingers | $630.30 | $630.30 | $158.84–$605.09 | 43% above | — |
| Short arm cast (elbow to hand) CPT 29075 Short Arm Thumb Spica Bivalve | $819.30 | $819.30 | $206.46–$786.53 | 86% above | — |
| Short arm cast (elbow to hand) CPT 29075 Short Arm Cast W/Finger Bivalve | $819.30 | $819.30 | $206.46–$786.53 | 86% above | — |
| Short arm cast (elbow to hand) one side CPT 29075 Short Arm Overwrap Unilateral | $463.10 | $463.10 | $116.70–$475.30 | 5% above | — |
| Short arm cast (elbow to hand) one side CPT 29075 Short Arm Cast Unilateral | $618.60 | $618.60 | $155.89–$989.57 | 41% above | — |
| Short arm cast (elbow to hand) one side CPT 29075 Short Arm Thumb Spica Unilateral | $630.30 | $630.30 | $158.84–$907.39 | 43% above | — |
| Short arm cast (elbow to hand) one side CPT 29075 Short Arm Uni/Bivalve Cast Unilateral | $844.20 | $844.20 | $212.74–$1,620.48 | 92% above | — |
| Short arm cast (elbow to hand) one side CPT 29075 Short Arm Cast Unilateral | $1,281.50 | — | — | 192% above | — |
| Short arm cast (elbow to hand) inpatient CPT 29075 Short Arm Cast W/Fingers | $630.30 | $630.30 | $158.84–$605.09 | — | — |
| Short arm cast (elbow to hand) inpatient CPT 29075 Short Arm Thumb Spica Bivalve | $819.30 | $819.30 | $206.46–$786.53 | — | — |
| Short arm cast (elbow to hand) inpatient CPT 29075 Short Arm Cast W/Finger Bivalve | $819.30 | $819.30 | $206.46–$786.53 | — | — |
| Short arm cast (elbow to hand) inpatient one side CPT 29075 Short Arm Overwrap Unilateral | $463.10 | $463.10 | $116.70–$475.30 | — | — |
| Short arm cast (elbow to hand) inpatient one side CPT 29075 Short Arm Cast Unilateral | $618.60 | $618.60 | $155.89–$989.57 | — | — |
| Short arm cast (elbow to hand) inpatient one side CPT 29075 Short Arm Thumb Spica Unilateral | $630.30 | $630.30 | $158.84–$907.39 | — | — |
| Short arm cast (elbow to hand) inpatient one side CPT 29075 Short Arm Uni/Bivalve Cast Unilateral | $844.20 | $844.20 | $212.74–$1,620.48 | — | — |
| Short arm splint (forearm and hand) one side CPT 29125 Apply Short Arm Splint Static Unilateral | $487.90 | $487.90 | $122.95–$702.62 | 76% above | — |
| Short arm splint (forearm and hand) inpatient one side CPT 29125 Apply Short Arm Splint Static Unilateral | $487.90 | $487.90 | $122.95–$702.62 | — | — |
| Short leg cast (below the knee) CPT 29405 Short Leg Overwrap | $447.30 | $447.30 | $112.72–$429.41 | 29% above | — |
| Short leg cast (below the knee) CPT 29405 Short Leg Cast | $597.30 | $597.30 | $150.52–$1,033.34 | 72% above | — |
| Short leg cast (below the knee) CPT 29405 Serial Casting + Bivalve | $662.20 | $662.20 | $166.87–$952.99 | 91% above | — |
| Short leg cast (below the knee) CPT 29405 Short Leg Uni/Bivalve Cast | $796.40 | $796.40 | $200.69–$1,528.90 | 129% above | — |
| Short leg cast (below the knee) CPT 29405 Therashort Leg Serial Bivalve Cast | $798.30 | $798.30 | $201.17–$1,172.54 | 130% above | — |
| Short leg cast (below the knee) CPT 29405 Short Leg Cast | $1,137.30 | — | — | 227% above | — |
| Short leg cast (below the knee) one side CPT 29405 Short Leg Cast|RIGHT SIDE | $737.30 | — | — | 112% above | — |
| Short leg cast (below the knee) one side CPT 29405 Short Leg Cast|LEFT SIDE | $737.30 | — | — | 112% above | — |
| Short leg cast (below the knee) inpatient CPT 29405 Short Leg Overwrap | $447.30 | $447.30 | $112.72–$429.41 | — | — |
| Short leg cast (below the knee) inpatient CPT 29405 Short Leg Cast | $597.30 | $597.30 | $150.52–$1,033.34 | — | — |
| Short leg cast (below the knee) inpatient CPT 29405 Serial Casting + Bivalve | $662.20 | $662.20 | $166.87–$952.99 | — | — |
| Short leg cast (below the knee) inpatient CPT 29405 Short Leg Uni/Bivalve Cast | $796.40 | $796.40 | $200.69–$1,528.90 | — | — |
| Short leg cast (below the knee) inpatient CPT 29405 Therashort Leg Serial Bivalve Cast | $798.30 | $798.30 | $201.17–$1,172.54 | — | — |
| Short leg splint (calf to foot) one side CPT 29515 Short Leg Splint Unilateral | $448.10 | $448.10 | $112.92–$645.41 | 27% above | — |
| Short leg splint (calf to foot) inpatient one side CPT 29515 Short Leg Splint Unilateral | $448.10 | $448.10 | $112.92–$645.41 | — | — |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 Simpl Repair Non Face <=2.5cm | $782.30 | $782.30 | $197.14–$751.01 | 131% above | — |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 Simpl Repair Non Face <=2.5cm | $907.30 | — | — | 168% above | — |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 Simpl Repair Non Face <=2.5cm | $782.30 | $782.30 | $197.14–$751.01 | — | — |
| Skin biopsy, punch, one lesion CPT 11104 Punch Biopsy of Skin; Single Lesion | $568.80 | $568.80 | $143.34–$546.05 | 69% above | — |
| Skin biopsy, punch, one lesion CPT 11104 Punch Biopsy of Skin; Single Lesion | $2,063.90 | — | — | 513% above | — |
| Skin biopsy, punch, one lesion inpatient CPT 11104 Punch Biopsy of Skin; Single Lesion | $568.80 | $568.80 | $143.34–$546.05 | — | — |
| Skin tag removal, up to 15 tags CPT 11200 Removal Skin Tags <15 Lesions | $382.80 | $382.80 | $96.47–$367.49 | 76% above | — |
| Skin tag removal, up to 15 tags CPT 11200 Removal Skin Tags <15 Lesions | $522.80 | — | — | 140% above | — |
| Skin tag removal, up to 15 tags inpatient CPT 11200 Removal Skin Tags <15 Lesions | $382.80 | $382.80 | $96.47–$367.49 | — | — |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 Spinal Lumbar Puncture | $2,915.90 | $2,915.90 | $734.81–$2,799.26 | 194% above | — |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 Dx Lumb Puncture Rad Px | $6,596.50 | $6,596.50 | $1,662.32–$6,332.64 | 565% above | — |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 Spinal Lumbar Puncture | $13,801.45 | — | — | 1291% above | — |
| Spinal tap (lumbar puncture), diagnostic one side CPT 62270 Spinal Lumbar Puncture|LEFT SIDE | $13,764.65 | — | — | 1288% above | — |
| Spinal tap (lumbar puncture), diagnostic one side CPT 62270 Spinal Lumbar Puncture|RIGHT SIDE | $15,347.05 | — | — | 1447% above | — |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 Spinal Lumbar Puncture | $2,915.90 | $2,915.90 | $734.81–$2,799.26 | — | — |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 Dx Lumb Puncture Rad Px | $6,596.50 | $6,596.50 | $1,662.32–$6,332.64 | — | — |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 Simple Repair Non Face 2.6-7.5cm | $916.10 | $916.10 | $230.86–$879.46 | 121% above | — |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 Simple Repair Non Face 2.6-7.5cm | $1,041.10 | — | — | 151% above | — |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 Simple Repair Non Face 2.6-7.5cm | $916.10 | $916.10 | $230.86–$879.46 | — | — |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 Simple Repair Face <=2.5cm | $842.70 | $842.70 | $212.36–$808.99 | 108% above | — |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 Simple Repair Face <=2.5cm | $967.70 | — | — | 139% above | — |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 Simple Repair Face <=2.5cm | $842.70 | $842.70 | $212.36–$808.99 | — | — |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 Tangential Biopsy of Skin: Single Lesion | $453.60 | $453.60 | $114.31–$435.46 | 72% above | — |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 Tangential Biopsy of Skin: Single Lesion | $1,627.20 | — | — | 516% above | — |
| Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 Tangential Biopsy of Skin: Single Lesion | $453.60 | $453.60 | $114.31–$435.46 | — | — |
| Thoracentesis with imaging guidance CPT 32555 Thoracentesi | $4,462.90 | $4,462.90 | $1,829.79–$4,284.38 | 238% above | — |
| Thoracentesis with imaging guidance one side CPT 32555 Thoracentesi|RIGHT SIDE | $20,169.05 | — | — | 1426% above | — |
| Thoracentesis with imaging guidance inpatient CPT 32555 Thoracentesi | $4,462.90 | $4,462.90 | $1,829.79–$4,284.38 | — | — |
| Tonsil and adenoid removal, age 12 or older CPT 42821 Tonsillectomy & Adenoidectomy Age 12/> | $32,159.70 | — | — | 442% above | — |
| Tonsil and adenoid removal, child under 12 CPT 42820 Tonsillectomy & Adenoidectomy <Age 12 | $31,217.35 | — | — | 353% above | — |
| Tonsil removal (tonsillectomy) only, age 12 or older CPT 42826 Tonsillectomy One-Half Age 12/> | $28,520.80 | — | — | 504% above | — |
| Tonsil removal (tonsillectomy) only, child under 12 CPT 42825 Tonsillectomy One-Half <Age 12 | $32,871.00 | — | — | 493% above | — |
| Total hip replacement CPT 27130 Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft | $193,116.30 | — | — | 588% above | — |
| Total hip replacement one side CPT 27130 Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft|RIGHT SIDE | $162,102.46 | — | — | 477% above | — |
| Total thyroid removal (thyroidectomy) CPT 60240 Thyroidectomy Total/Complete | $130,901.15 | — | — | 664% above | — |
| Trigger finger release surgery CPT 26055 Tendon Sheath Incision | $15,593.20 | — | — | 430% above | — |
| Trigger finger release surgery one side CPT 26055 Tendon Sheath Incision|RIGHT SIDE | $14,714.12 | — | — | 400% above | — |
| Trigger point injections, 1 or 2 muscles CPT 20552 Injection 1-2 Muscle Grou | $375.70 | $375.70 | $94.68–$360.67 | 4% above | — |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 Injection 1-2 Muscle Grou | $375.70 | $375.70 | $94.68–$360.67 | — | — |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 Biopsy Breasbiopsy Breast 1st Lesion W/ US Guidance | $4,623.20 | $4,623.20 | $1,895.51–$4,438.27 | 84% above | — |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 Biopsy Breasbiopsy Breast 1st Lesion W/ US Guidance | $4,623.20 | $4,623.20 | $1,895.51–$4,438.27 | — | — |
| Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 Egd Balloon | $5,437.50 | $5,437.50 | $1,370.25–$5,220.00 | 136% above | — |
| Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 Egd Balloon | $23,125.55 | — | — | 902% above | — |
| Upper endoscopy (EGD) with balloon widening of the esophagus inpatient CPT 43249 Egd Balloon | $5,437.50 | $5,437.50 | $1,370.25–$5,220.00 | — | — |
| Upper endoscopy (EGD) with biopsy CPT 43239 Upper GI Endoscopy Biopsy | $5,382.40 | $5,382.40 | $1,356.36–$5,167.10 | 178% above | — |
| Upper endoscopy (EGD) with biopsy CPT 43239 Upper GI Endoscopy Biopsy | $14,681.70 | — | — | 659% above | — |
| Upper endoscopy (EGD) with biopsy inpatient CPT 43239 Upper GI Endoscopy Biopsy | $5,382.40 | $5,382.40 | $1,356.36–$5,167.10 | — | — |
| Upper endoscopy (EGD) with injection into the lining CPT 43236 EGD Flexible, Transoral; W/ Directed Submucosal Inj | $5,825.10 | $5,825.10 | $1,467.93–$5,592.10 | 214% above | — |
| Upper endoscopy (EGD) with injection into the lining inpatient CPT 43236 EGD Flexible, Transoral; W/ Directed Submucosal Inj | $5,825.10 | $5,825.10 | $1,467.93–$5,592.10 | — | — |
| Upper endoscopy (EGD) with polyp removal by snare CPT 43251 EGD Remove Tumor Polyp Snare | $6,108.50 | $6,108.50 | $1,539.34–$5,864.16 | 189% above | — |
| Upper endoscopy (EGD) with polyp removal by snare inpatient CPT 43251 EGD Remove Tumor Polyp Snare | $6,108.50 | $6,108.50 | $1,539.34–$5,864.16 | — | — |
| Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 Egd Guide Wi | $5,952.50 | $5,952.50 | $1,500.03–$5,714.40 | 403% above | — |
| Upper endoscopy (EGD) with widening of the esophagus over a guide wire inpatient CPT 43248 Egd Guide Wi | $5,952.50 | $5,952.50 | $1,500.03–$5,714.40 | — | — |
| Upper endoscopy (EGD), diagnostic CPT 43235 EGD Flexible, Transoral; Diagnostic | $5,517.00 | $5,517.00 | $1,390.28–$5,296.32 | 238% above | — |
| Upper endoscopy (EGD), diagnostic CPT 43235 EGD Flexible, Transoral; Diagnostic | $16,158.25 | — | — | 891% above | — |
| Upper endoscopy (EGD), diagnostic inpatient CPT 43235 EGD Flexible, Transoral; Diagnostic | $5,517.00 | $5,517.00 | $1,390.28–$5,296.32 | — | — |
| Upper endoscopy with drainage of a pseudocyst through the stomach wall CPT 43240 EGD Flexible, Transoral; With Transmural Drainage Of Pseudocyst | $10,273.10 | $10,273.10 | $4,211.97–$9,862.18 | 90% above | — |
| Upper endoscopy with drainage of a pseudocyst through the stomach wall inpatient CPT 43240 EGD Flexible, Transoral; With Transmural Drainage Of Pseudocyst | $10,273.10 | $10,273.10 | $4,211.97–$9,862.18 | — | — |
| Ureteroscopy with laser stone breaking (lithotripsy) CPT 52353 Cysto W/Ureteroscopy W/Lithotripsy | $63,045.30 | — | — | 769% above | — |
| Ureteroscopy with laser stone breaking (lithotripsy) one side CPT 52353 Cysto W/Ureteroscopy W/Lithotripsy|RIGHT SIDE | $36,771.65 | — | — | 407% above | — |
| Ureteroscopy with laser stone breaking (lithotripsy) one side CPT 52353 Cysto W/Ureteroscopy W/Lithotripsy|LEFT SIDE | $41,147.60 | — | — | 467% above | — |
| Ureteroscopy with laser stone breaking and stent placement CPT 52356 Cysto/Uretero W/Lithotripsy &Indwell Stent Insrt | $63,744.31 | — | — | 554% above | — |
| Ureteroscopy with laser stone breaking and stent placement one side CPT 52356 Cysto/Uretero W/Lithotripsy &Indwell Stent Insrt|RIGHT SIDE | $71,071.20 | — | — | 629% above | — |
| Ureteroscopy with laser stone breaking and stent placement one side CPT 52356 Cysto/Uretero W/Lithotripsy &Indwell Stent Insrt|LEFT SIDE | $71,669.00 | — | — | 635% above | — |
| Wart removal, up to 14 warts CPT 17110 Dsrt Flt Wrt/Mlsc/Cntg/Mla<15 | $312.00 | $312.00 | $78.62–$299.52 | 31% above | — |
| Wart removal, up to 14 warts CPT 17110 Dsrt Flt Wrt/Mlsc/Cntg/Mla<15 | $452.00 | — | — | 90% above | — |
| Wart removal, up to 14 warts inpatient CPT 17110 Dsrt Flt Wrt/Mlsc/Cntg/Mla<15 | $312.00 | $312.00 | $78.62–$299.52 | — | — |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Debridement Sq Tissue First 20sq Cm | $661.60 | $661.60 | $166.72–$635.14 | 3% above | — |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Debridement Sq Tissue First 20sq Cm | $19,751.45 | — | — | 2968% above | — |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 Debridement Sq Tissue First 20sq Cm | $661.60 | $661.60 | $166.72–$635.14 | — | — |
| Wrist fracture surgery (plate and screws), distal radius CPT 25607 Optx Dstl Radl X-Artic Fx/Epiphysl Sep | $39,975.45 | — | — | 278% above | — |
| Wrist fracture surgery (plate and screws), distal radius one side CPT 25607 Optx Dstl Radl X-Artic Fx/Epiphysl Sep|LEFT SIDE | $38,902.10 | — | — | 267% above | — |
| Wrist fracture surgery (plate and screws), distal radius one side CPT 25607 Optx Dstl Radl X-Artic Fx/Epiphysl Sep|RIGHT SIDE | $49,259.40 | — | — | 365% above | — |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Washington | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 Blood/Components Transfusion <2hrs | $1,627.20 | $1,627.20 | $410.05–$1,562.11 | 66% above | — |
| Blood transfusion (giving blood or blood components) CPT 36430 Blood/Component Transfusion 2-4hrs | $2,795.80 | $2,795.80 | $704.54–$2,683.97 | 185% above | — |
| Blood transfusion (giving blood or blood components) CPT 36430 Blood/Component Transfusion >4hrs | $3,534.70 | $3,534.70 | $890.74–$3,393.31 | 261% above | — |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 Blood/Components Transfusion <2hrs | $1,627.20 | $1,627.20 | $410.05–$1,562.11 | — | — |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 Blood/Component Transfusion 2-4hrs | $2,795.80 | $2,795.80 | $704.54–$2,683.97 | — | — |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 Blood/Component Transfusion >4hrs | $3,534.70 | $3,534.70 | $890.74–$3,393.31 | — | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Nebulizer/Mdi 1 Unit per Date of Service | $313.40 | $313.40 | $4.86–$300.86 | 56% above | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Nebulizer/Mdi 1 Unit per Date of Service | $313.40 | $313.40 | $4.86–$300.86 | — | — |
| Chemotherapy IV infusion, first hour CPT 96413 Chemo Infu (Up to 1hr - Sgl or Initial) | $1,459.70 | $1,459.70 | $367.84–$1,401.31 | 86% above | — |
| Chemotherapy IV infusion, first hour inpatient CPT 96413 Chemo Infu (Up to 1hr - Sgl or Initial) | $1,459.70 | $1,459.70 | $367.84–$1,401.31 | — | — |
| Comprehensive eye exam by an eye doctor, new patient CPT 92004 Oph Med Exam & Eval Comp New Pt >=1 Visit | $243.50 | $243.50 | $61.36–$233.76 | 44% above | — |
| Comprehensive eye exam by an eye doctor, new patient inpatient CPT 92004 Oph Med Exam & Eval Comp New Pt >=1 Visit | $243.50 | $243.50 | $61.36–$233.76 | — | — |
| Comprehensive eye exam, returning patient CPT 92014 Oph Med Exam & Eval Comp Est Pt >=1 Visit | $208.90 | $208.90 | $52.64–$200.54 | 43% above | — |
| Comprehensive eye exam, returning patient inpatient CPT 92014 Oph Med Exam & Eval Comp Est Pt >=1 Visit | $208.90 | $208.90 | $52.64–$200.54 | — | — |
| Comprehensive hearing test: tone and speech audiometry, both ears CPT 92557 Hearing Eval - Comprehensive | $634.40 | $634.40 | $159.87–$609.02 | 261% above | — |
| Comprehensive hearing test: tone and speech audiometry, both ears CPT 92557 Hearing Eval - Comprehensive 1 Ear | $634.40 | $634.40 | $159.87–$609.02 | 261% above | — |
| Comprehensive hearing test: tone and speech audiometry, both ears inpatient CPT 92557 Hearing Eval - Comprehensive | $634.40 | $634.40 | $159.87–$609.02 | — | — |
| Comprehensive hearing test: tone and speech audiometry, both ears inpatient CPT 92557 Hearing Eval - Comprehensive 1 Ear | $634.40 | $634.40 | $159.87–$609.02 | — | — |
| Critical care, first 30 to 74 minutes CPT 99291 Critical Care 1st 30-74 Minutes | $9,155.50 | $9,155.50 | $3,753.76–$8,789.28 | 184% above | — |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 Critical Care 1st 30-74 Minutes | $9,155.50 | $9,155.50 | $3,753.76–$8,789.28 | — | — |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 Eeg/Tv 32ch Awake Only | $2,263.80 | $2,263.80 | $570.48–$2,173.25 | 193% above | — |
| EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 Eeg/Tv 32ch Awake Only | $2,263.80 | $2,263.80 | $570.48–$2,173.25 | — | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Ecg Mim 12 Leads Tracing Only | $380.90 | $380.90 | $95.99–$365.66 | 104% above | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ER Visit Level 1 | $504.60 | $504.60 | $127.16–$484.42 | 102% above | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 ER Visit Level 1 | $504.60 | $504.60 | $127.16–$484.42 | — | — |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 ER Visit Level 2 | $939.30 | $939.30 | $236.70–$901.73 | 107% above | — |
| Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 ER Visit Level 2 | $939.30 | $939.30 | $236.70–$901.73 | — | — |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 ER Visit Level 3 | $1,770.80 | $1,770.80 | $446.24–$1,699.97 | 121% above | — |
| Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 ER Visit Level 3 | $1,770.80 | $1,770.80 | $446.24–$1,699.97 | — | — |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 ER Visit Level 4 | $3,744.60 | $3,744.60 | $943.64–$3,594.82 | 177% above | — |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 ER Visit Level 4 | $3,744.60 | $3,744.60 | $943.64–$3,594.82 | — | — |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 ER Visit Level 5 | $6,739.30 | $6,739.30 | $1,698.30–$6,469.73 | 201% above | — |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 ER Visit Level 5 | $6,739.30 | $6,739.30 | $1,698.30–$6,469.73 | — | — |
| Exercise stress test, tracing only, the hospital charge CPT 93017 Exercise Ekg | $1,561.70 | $1,561.70 | $393.55–$1,499.23 | 163% above | — |
| Eye exam, returning patient, intermediate CPT 92012 Oph Med Exam & Eval Inter Est Pt | $150.90 | $150.90 | $38.03–$144.86 | 2% above | — |
| Eye exam, returning patient, intermediate inpatient CPT 92012 Oph Med Exam & Eval Inter Est Pt | $150.90 | $150.90 | $38.03–$144.86 | — | — |
| Family therapy with the patient, 50 minutes CPT 90847 Fam Ther W/Pt Fac 26+ Minutes | $521.00 | $521.00 | $213.61–$500.16 | 154% above | — |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 Fam Ther W/Pt Fac 26+ Minutes | $521.00 | $521.00 | $213.61–$500.16 | — | — |
| Family therapy without the patient, 50 minutes CPT 90846 Fam Ther W/O Pt Fac 26+ Minutes | $500.00 | $500.00 | $205.00–$480.00 | 176% above | — |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 Fam Ther W/O Pt Fac 26+ Minutes | $500.00 | $500.00 | $205.00–$480.00 | — | — |
| Group psychotherapy session CPT 90853 Group Psychotherapy 90 Minutes Fac | $150.00 | $150.00 | $61.50–$144.00 | 14% above | — |
| Group psychotherapy session inpatient CPT 90853 Group Psychotherapy 90 Minutes Fac | $150.00 | $150.00 | $61.50–$144.00 | — | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV Infu Hydr Initial (31 Mins to 1 Hr) | $800.10 | $800.10 | $201.63–$768.10 | 137% above | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV Infus Hydrate to 1hr-Rad Px | $939.10 | $939.10 | $236.65–$901.54 | 178% above | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV Infu Hydr Initial (31 Mins to 1 Hr) | $800.10 | $800.10 | $201.63–$768.10 | — | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV Infus Hydrate to 1hr-Rad Px | $939.10 | $939.10 | $236.65–$901.54 | — | — |
| IV infusion of a medicine, first hour CPT 96365 IV Infusion Initial Up to 1 Hour | $1,069.90 | $1,069.90 | $269.61–$1,027.10 | 164% above | — |
| IV infusion of a medicine, first hour inpatient CPT 96365 IV Infusion Initial Up to 1 Hour | $1,069.90 | $1,069.90 | $269.61–$1,027.10 | — | — |
| IV push of a medicine, first drug CPT 96374 IV Push Single/Initial Drug | $603.00 | $603.00 | $151.96–$578.88 | 157% above | — |
| IV push of a medicine, first drug CPT 96374 Injection IV Push-Rad Px | $616.00 | $616.00 | $155.23–$591.36 | 163% above | — |
| IV push of a medicine, first drug inpatient CPT 96374 IV Push Single/Initial Drug | $603.00 | $603.00 | $151.96–$578.88 | — | — |
| IV push of a medicine, first drug inpatient CPT 96374 Injection IV Push-Rad Px | $616.00 | $616.00 | $155.23–$591.36 | — | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 Inj Admin Im/Subq | $140.00 | $140.00 | $35.28–$134.40 | 44% above | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 Admin of Depo Provera | $140.00 | $140.00 | $35.28–$134.40 | 44% above | — |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Inj Admin Im/Subq | $140.00 | $140.00 | $35.28–$134.40 | — | — |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Admin of Depo Provera | $140.00 | $140.00 | $35.28–$134.40 | — | — |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 Psychiatric Diagnostic Evaluation | $606.00 | $606.00 | $248.46–$581.76 | 154% above | — |
| Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 Psychiatric Diagnostic Evaluation | $606.00 | $606.00 | $248.46–$581.76 | — | — |
| Nerve conduction study, 7 or 8 nerve studies CPT 95910 Nerve Conduction 7-8 Studies | $1,708.20 | $1,708.20 | $430.47–$1,639.87 | 191% above | — |
| Nerve conduction study, 7 or 8 nerve studies CPT 95910 Nerve Conduction 7-8 Studies | $2,825.10 | — | — | 380% above | — |
| Nerve conduction study, 7 or 8 nerve studies inpatient CPT 95910 Nerve Conduction 7-8 Studies | $1,708.20 | $1,708.20 | $430.47–$1,639.87 | — | — |
| Neuromuscular re-education, 15 minutes CPT 97112 Neuromuscular Reeduc Ea 15 Min | $194.30 | $194.30 | $19.44–$186.53 | 97% above | — |
| New patient office visit, about 30 minutes CPT 99203 New Clinic Facility Beh Health | $135.00 | $135.00 | $34.02–$129.60 | 25% below | — |
| New patient office visit, about 30 minutes CPT 99203 New Clinic Facility Beh Health UC | $135.00 | $135.00 | $55.35–$129.60 | 25% below | — |
| New patient office visit, about 30 minutes inpatient CPT 99203 New Clinic Facility Beh Health | $135.00 | $135.00 | $34.02–$129.60 | — | — |
| New patient office visit, about 30 minutes inpatient CPT 99203 New Clinic Facility Beh Health UC | $135.00 | $135.00 | $55.35–$129.60 | — | — |
| New patient office visit, about 45 minutes CPT 99204 New Clinic Facility Med/Surg | $140.00 | $140.00 | $35.28–$134.40 | 44% below | — |
| New patient office visit, about 60 minutes CPT 99205 New Clinic Facility Multiple | $200.00 | $200.00 | $50.40–$192.00 | 40% below | — |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 Med Nutrition Therapy Initial Ea 15 Min | $104.40 | $104.40 | $19.07–$100.22 | 64% above | — |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 Med Nutrition Therapy Initial Ea 15 Min | $104.40 | $104.40 | $19.07–$100.22 | — | — |
| Occupational therapy evaluation, low complexity CPT 97165 Evaluation Low Complexity | $488.30 | $488.30 | $61.12–$468.77 | 126% above | — |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 Evaluation High Complexity | $838.70 | $838.70 | $59.44–$805.15 | 203% above | — |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 Evaluation Low Complexity | $488.30 | $488.30 | $59.44–$468.77 | 121% above | — |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 Evaluation Mod Complexity | $639.90 | $639.90 | $59.44–$614.30 | 159% above | — |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Manual Therapy Techniques 1/> Regions Ea 15 Mins | $191.90 | $191.90 | $16.45–$184.22 | 127% above | — |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 Manual Therapy Techniques 1/> Regions Ea 15 Mins | $191.90 | $191.90 | $16.45–$184.22 | — | — |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Sprt Therapeutic Pro Ea 15 Min | $149.50 | $149.50 | $17.38–$143.52 | 56% above | — |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Therapeutic Proc Ea 15 Min | $180.70 | $180.70 | $17.38–$173.47 | 88% above | — |
| Psychiatric evaluation with medical services CPT 90792 Psychiatric Diagnostic Eval W/Medical Services | $655.00 | $655.00 | $165.06–$628.80 | 173% above | — |
| Psychiatric evaluation with medical services inpatient CPT 90792 Psychiatric Diagnostic Eval W/Medical Services | $655.00 | $655.00 | $165.06–$628.80 | — | — |
| Psychotherapy for crisis, first 60 minutes CPT 90839 Psychotherapy Crisis 30-74mins | $650.00 | $650.00 | $266.50–$624.00 | 145% above | — |
| Psychotherapy for crisis, first 60 minutes inpatient CPT 90839 Psychotherapy Crisis 30-74mins | $650.00 | $650.00 | $266.50–$624.00 | — | — |
| Psychotherapy session, 30 minutes CPT 90832 Psychotherapy 16-37mins | $303.00 | $303.00 | $76.36–$290.88 | 120% above | — |
| Psychotherapy session, 30 minutes inpatient CPT 90832 Psychotherapy 16-37mins | $303.00 | $303.00 | $76.36–$290.88 | — | — |
| Psychotherapy session, 45 minutes CPT 90834 Psychotherapy 38-52 Minutes | $404.00 | $404.00 | $165.64–$387.84 | 122% above | — |
| Psychotherapy session, 45 minutes inpatient CPT 90834 Psychotherapy 38-52 Minutes | $404.00 | $404.00 | $165.64–$387.84 | — | — |
| Psychotherapy session, 60 minutes CPT 90837 Psychotherapy 53+ Mins | $606.00 | $606.00 | $152.71–$581.76 | 130% above | — |
| Psychotherapy session, 60 minutes inpatient CPT 90837 Psychotherapy 53+ Mins | $606.00 | $606.00 | $152.71–$581.76 | — | — |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 Clinic Facility Multiple | $200.00 | $200.00 | $50.40–$192.00 | 18% below | — |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 Est Clinic Facility Beh Health UC | $135.00 | $135.00 | $55.35–$129.60 | 6% below | — |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 Clinic Facility Beh Health | $135.00 | $135.00 | $34.02–$129.60 | 6% below | — |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 Clinic Facility Beh Health | $135.00 | $135.00 | $34.02–$129.60 | 6% below | — |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 Clinic Facility Beh Health | $135.00 | $135.00 | $34.02–$129.60 | — | — |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 Est Clinic Facility Beh Health UC | $135.00 | $135.00 | $55.35–$129.60 | — | — |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Clinic Facility Med/Surg | $140.00 | $140.00 | $35.28–$134.40 | 22% below | — |
| Speech and language evaluation CPT 92523 Eval of Spch Snd/Lang Comprehen Ltd | $649.20 | $649.20 | $135.14–$623.23 | 69% above | — |
| Speech and language evaluation CPT 92523 Eval of Spch Snd/Lang Comprehen Stand | $866.40 | $866.40 | $135.14–$831.74 | 126% above | — |
| Speech and language evaluation CPT 92523 Spl/H Eval Limited Sl | $1,117.30 | $1,117.30 | $135.14–$1,072.61 | 191% above | — |
| Speech and language evaluation CPT 92523 Spl/H Eval Typical Sl | $1,117.30 | $1,117.30 | $135.14–$1,072.61 | 191% above | — |
| Speech and language evaluation CPT 92523 Eval of Spch Snd/Lang Comprehen Cplx | $1,603.20 | $1,603.20 | $135.14–$1,539.07 | 318% above | — |
| Speech and language evaluation inpatient CPT 92523 Eval of Spch Snd/Lang Comprehen Ltd | $649.20 | $649.20 | $135.14–$623.23 | — | — |
| Speech and language evaluation inpatient CPT 92523 Eval of Spch Snd/Lang Comprehen Stand | $866.40 | $866.40 | $135.14–$831.74 | — | — |
| Speech and language evaluation inpatient CPT 92523 Spl/H Eval Limited Sl | $1,117.30 | $1,117.30 | $135.14–$1,072.61 | — | — |
| Speech and language evaluation inpatient CPT 92523 Spl/H Eval Typical Sl | $1,117.30 | $1,117.30 | $135.14–$1,072.61 | — | — |
| Speech and language evaluation inpatient CPT 92523 Eval of Spch Snd/Lang Comprehen Cplx | $1,603.20 | $1,603.20 | $135.14–$1,539.07 | — | — |
| Speech therapy session, individual CPT 92507 Speech/Language Therapy Limited | $492.30 | $492.30 | $45.42–$472.61 | 126% above | — |
| Speech therapy session, individual CPT 92507 Speech/Language Therapy Std | $585.70 | $585.70 | $45.42–$562.27 | 169% above | — |
| Speech therapy session, individual CPT 92507 Spl/AR Therapy Ha Sl | $601.60 | $601.60 | $45.42–$577.54 | 176% above | — |
| Speech therapy session, individual inpatient CPT 92507 Speech/Language Therapy Limited | $492.30 | $492.30 | $45.42–$472.61 | — | — |
| Speech therapy session, individual inpatient CPT 92507 Speech/Language Therapy Std | $585.70 | $585.70 | $45.42–$562.27 | — | — |
| Speech therapy session, individual inpatient CPT 92507 Spl/AR Therapy Ha Sl | $601.60 | $601.60 | $45.42–$577.54 | — | — |
| Spirometry (breathing test) CPT 94010 Spirometry Pft | $649.50 | $649.50 | $163.67–$623.52 | 162% above | — |
| Spirometry (breathing test) inpatient CPT 94010 Spirometry Pft | $649.50 | $649.50 | $163.67–$623.52 | — | — |
| Spirometry before and after a bronchodilator CPT 94060 Spirometry Pre/Post Bronchodil | $1,209.00 | $1,209.00 | $304.67–$1,160.64 | 187% above | — |
| Spirometry before and after a bronchodilator inpatient CPT 94060 Spirometry Pre/Post Bronchodil | $1,209.00 | $1,209.00 | $304.67–$1,160.64 | — | — |
| Therapeutic activities (functional training), 15 minutes CPT 97530 Therapeutic Activity Ea 15 Min | $199.80 | $199.80 | $21.12–$191.81 | 91% above | — |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 Therapeutic Activity Ea 15 Min | $199.80 | $199.80 | $21.12–$191.81 | — | — |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 Phlebotomy Therapeutic | $524.80 | $524.80 | $132.25–$503.81 | 159% above | — |
| Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 Phlebotomy Therapeutic | $524.80 | $524.80 | $132.25–$503.81 | — | — |
| Visual field test, extended both sides CPT 92083 Visual Field Xm Uni/Bi W/Interp Extended Exam | $456.40 | $456.40 | $115.01–$438.14 | — | — |
| Visual field test, extended inpatient both sides CPT 92083 Visual Field Xm Uni/Bi W/Interp Extended Exam | $456.40 | $456.40 | $115.01–$438.14 | — | — |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Washington | Off list |
|---|---|---|---|---|---|
| COVID-19 vaccine (Moderna), age 12 and older CPT 91322 COVID VACC 2025-26 (12 YRS UP) (MODERNA)(PF) 50 MCG/0.5 ML IM SYRINGE | $293.60 | $293.60 | $73.99–$281.86 | 101% above | — |
| COVID-19 vaccine (Moderna), age 12 and older inpatient CPT 91322 COVID VACC 2025-26 (12 YRS UP) (MODERNA)(PF) 50 MCG/0.5 ML IM SYRINGE | $293.60 | $293.60 | $73.99–$281.86 | — | — |
| Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 VARICELLA VIRUS VACCINE LIVE (PF) 1,350 UNIT/0.5 ML SUBCUTANEOUS SUSP | $392.75 | $392.75 | $98.97–$377.04 | 94% above | — |
| Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 VARICELLA VIRUS VACCINE LIVE (PF) 1,350 UNIT/0.5 ML SUBCUTANEOUS SUSP | $392.75 | $392.75 | $98.97–$377.04 | — | — |
| DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 DIPH,PERTUS(ACEL),TET PEDI (PF) 15 LF UNIT-10 MCG-5 LF/0.5 ML IM SUSP | $68.55 | $68.55 | $17.27–$65.81 | 47% above | — |
| DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 DIPH,PERTUS(ACEL),TET PEDI (PF) 15 LF UNIT-10 MCG-5 LF/0.5 ML IM SUSP | $68.55 | $68.55 | $17.27–$65.81 | — | — |
| DTaP, polio and Hib combination vaccine (Pentacel) CPT 90698 DIP-PERT-TET-POLIO-HIB(PF) 15 LF-20 MCG-5 LF-62 DU-10MCG/0.5 ML IM KIT | $263.60 | $263.60 | $66.43–$253.06 | 246% above | — |
| DTaP, polio and Hib combination vaccine (Pentacel) CPT 90698 HAEMOPHILUS B CONJ-TET,COMPONENT 2 OF 2 (PF) 10 MCG/0.5 ML IM SOLUTION | $263.60 | $263.60 | $66.43–$253.06 | 246% above | — |
| DTaP, polio and Hib combination vaccine (Pentacel) inpatient CPT 90698 DIP-PERT-TET-POLIO-HIB(PF) 15 LF-20 MCG-5 LF-62 DU-10MCG/0.5 ML IM KIT | $263.60 | $263.60 | $66.43–$253.06 | — | — |
| DTaP, polio and Hib combination vaccine (Pentacel) inpatient CPT 90698 HAEMOPHILUS B CONJ-TET,COMPONENT 2 OF 2 (PF) 10 MCG/0.5 ML IM SOLUTION | $263.60 | $263.60 | $66.43–$253.06 | — | — |
| DTaP, polio, Hib and hepatitis B combination vaccine (Vaxelis) CPT 90697 DIP,PERT(A)TET-HEPB-POLIO-HIB PED(PF) 15-5 UNIT-10 MCG/0.5 ML IM SYRNG | $335.75 | $335.75 | $84.61–$322.32 | 102% above | — |
| DTaP, polio, Hib and hepatitis B combination vaccine (Vaxelis) inpatient CPT 90697 DIP,PERT(A)TET-HEPB-POLIO-HIB PED(PF) 15-5 UNIT-10 MCG/0.5 ML IM SYRNG | $335.75 | $335.75 | $84.61–$322.32 | — | — |
| Flu shot, recombinant, egg-free (Flublok) CPT 90673 FLU VACCINE TV2025(9 YR UP)RCMB(PF)135 MCG(45 MCGX3)/0.5 ML IM SYRINGE | $181.00 | $181.00 | $45.61–$173.76 | 6% above | — |
| Flu shot, recombinant, egg-free (Flublok) inpatient CPT 90673 FLU VACCINE TV2025(9 YR UP)RCMB(PF)135 MCG(45 MCGX3)/0.5 ML IM SYRINGE | $181.00 | $181.00 | $45.61–$173.76 | — | — |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 FLU VACCINE TS 2025-26(6MOS UP)(PF) 45 MCG(15MCG X3)/0.5 ML IM SYRINGE | $50.30 | $50.30 | $12.68–$48.29 | 74% above | — |
| Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 FLU VACCINE TS 2025-26(6MOS UP)(PF) 45 MCG(15MCG X3)/0.5 ML IM SYRINGE | $50.30 | $50.30 | $12.68–$48.29 | — | — |
| HPV vaccine, 9-valent (Gardasil 9) CPT 90651 HUMAN PAPILLOMAVIRUS VACCINE,9-VALENT(PF) 0.5 ML INTRAMUSCULAR WRAPPER | $666.70 | $666.70 | $168.01–$640.03 | 145% above | — |
| HPV vaccine, 9-valent (Gardasil 9) CPT 90651 HUMAN PAPILLOMAVIRUS VACCINE,9-VALENT(PF) 0.5 ML INTRAMUSCULAR SYRINGE | $666.70 | $666.70 | $168.01–$640.03 | 145% above | — |
| HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 HUMAN PAPILLOMAVIRUS VACCINE,9-VALENT(PF) 0.5 ML INTRAMUSCULAR SYRINGE | $666.70 | $666.70 | $168.01–$640.03 | — | — |
| HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 HUMAN PAPILLOMAVIRUS VACCINE,9-VALENT(PF) 0.5 ML INTRAMUSCULAR WRAPPER | $666.70 | $666.70 | $168.01–$640.03 | — | — |
| Hepatitis A vaccine, adult dose CPT 90632 HEPATITIS A VACCINE (PF) 1,440 ELISA UNIT/ML INTRAMUSCULAR SYRINGE | $187.65 | $187.65 | $47.29–$180.14 | 144% above | — |
| Hepatitis A vaccine, adult dose inpatient CPT 90632 HEPATITIS A VACCINE (PF) 1,440 ELISA UNIT/ML INTRAMUSCULAR SYRINGE | $187.65 | $187.65 | $47.29–$180.14 | — | — |
| Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 HEPATITIS A VIRUS VACCINE (PF) 720 ELISA UNIT/0.5 ML IM WRAPPER | $89.10 | $89.10 | $22.45–$85.54 | 186% above | — |
| Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 HEPATITIS A VIRUS VACCINE (PF) 720 ELISA UNIT/0.5 ML IM SYRINGE | $89.10 | $89.10 | $22.45–$85.54 | 186% above | — |
| Hepatitis A vaccine, child and teen dose (2-dose schedule) inpatient CPT 90633 HEPATITIS A VIRUS VACCINE (PF) 720 ELISA UNIT/0.5 ML IM SYRINGE | $89.10 | $89.10 | $22.45–$85.54 | — | — |
| Hepatitis A vaccine, child and teen dose (2-dose schedule) inpatient CPT 90633 HEPATITIS A VIRUS VACCINE (PF) 720 ELISA UNIT/0.5 ML IM WRAPPER | $89.10 | $89.10 | $22.45–$85.54 | — | — |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPATITIS B VIRUS VACCINE RECOMB (PF) 20 MCG/ML INTRAMUSCULAR WRAPPER | $158.70 | $158.70 | $39.99–$152.35 | 104% above | — |
| Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HEPATITIS B VIRUS VACCINE RECOMB (PF) 20 MCG/ML INTRAMUSCULAR WRAPPER | $158.70 | $158.70 | $39.99–$152.35 | — | — |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HEPATITIS B VIRUS VACCINE RECOMB (PF) 10 MCG/0.5 ML IM SYRINGE | $68.75 | $68.75 | $17.33–$66.00 | 22% above | — |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 HEPATITIS B VIRUS VACCINE RECOMB (PF) 10 MCG/0.5 ML IM SYRINGE | $68.75 | $68.75 | $17.33–$66.00 | — | — |
| Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 HAEMOPHILUS B POLYSACCHARID CONJ-TETANUS TOX(PF) 10 MCG/0.5 ML IM SOLN | $36.35 | $36.35 | $9.16–$34.90 | 15% above | — |
| Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) inpatient CPT 90648 HAEMOPHILUS B POLYSACCHARID CONJ-TETANUS TOX(PF) 10 MCG/0.5 ML IM SOLN | $36.35 | $36.35 | $9.16–$34.90 | — | — |
| Japanese encephalitis vaccine (Ixiaro), 2-dose schedule CPT 90738 JAPANESE ENCEPHALITIS VACCINE (PF) 6 MCG/0.5 ML INTRAMUSCULAR SYRINGE | $305.10 | $305.10 | $76.89–$292.90 | 22% below | — |
| Japanese encephalitis vaccine (Ixiaro), 2-dose schedule inpatient CPT 90738 JAPANESE ENCEPHALITIS VACCINE (PF) 6 MCG/0.5 ML INTRAMUSCULAR SYRINGE | $305.10 | $305.10 | $76.89–$292.90 | — | — |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 MEASLES,MUMPS,RUBELLA VACCINE LIVE(PF)1,000-12,500TCID50/0.5 ML SUBCUT | $201.50 | $201.50 | $50.78–$193.44 | 17% above | — |
| MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 MEASLES,MUMPS,RUBELLA VACCINE LIVE(PF)1,000-12,500TCID50/0.5 ML SUBCUT | $201.50 | $201.50 | $50.78–$193.44 | — | — |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENINGOCOCCAL A CONJ VACC 2 OF 2(PF) 10 MCG/0.5 ML (FINAL) IM SOLUTION | $361.95 | $361.95 | $91.21–$347.47 | 129% above | — |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENINGOC VAC A,C,Y,W-135 DIP(PF) 10 MCG-5 MCG/0.5 ML IM KIT (2 VIALS) | $361.95 | $361.95 | $91.21–$347.47 | 129% above | — |
| Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 MENINGOCOCCAL A CONJ VACC 2 OF 2(PF) 10 MCG/0.5 ML (FINAL) IM SOLUTION | $361.95 | $361.95 | $91.21–$347.47 | — | — |
| Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 MENINGOC VAC A,C,Y,W-135 DIP(PF) 10 MCG-5 MCG/0.5 ML IM KIT (2 VIALS) | $361.95 | $361.95 | $91.21–$347.47 | — | — |
| Meningococcal ACWY vaccine (MenQuadfi) CPT 90619 MENINGOCOCCAL VAC A,C,Y,W-135,CONJ TET (PF) 10 MCG/0.5 ML IM SOLUTION | $362.75 | $362.75 | $91.41–$348.24 | 136% above | — |
| Meningococcal ACWY vaccine (MenQuadfi) inpatient CPT 90619 MENINGOCOCCAL VAC A,C,Y,W-135,CONJ TET (PF) 10 MCG/0.5 ML IM SOLUTION | $362.75 | $362.75 | $91.41–$348.24 | — | — |
| Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 MENINGOCOCCAL B VAC,4-CMP 50 MCG-50 MCG-50 MCG-25 MCG/0.5ML IM SYRINGE | $511.15 | $511.15 | $128.81–$490.70 | 47% above | — |
| Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 MENINGOCOCCAL B VAC,4-CMP 50 MCG-50 MCG-50 MCG-25 MCG/0.5ML IM SYRINGE | $511.15 | $511.15 | $128.81–$490.70 | — | — |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE | $625.80 | $625.80 | $157.70–$600.77 | 32% above | — |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 PNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE | $625.80 | $625.80 | $157.70–$600.77 | — | — |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOCOCCAL 23 POLYVALENT VACCINE 25 MCG/0.5 ML INJECTION SYRINGE | $244.20 | $244.20 | $61.54–$234.43 | 70% above | — |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOCOCCAL 23 POLYVALENT VACCINE 25 MCG/0.5 ML INJECTION WRAPPER | $244.20 | $244.20 | $61.54–$234.43 | 70% above | — |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMOCOCCAL 23 POLYVALENT VACCINE 25 MCG/0.5 ML INJECTION SYRINGE | $244.20 | $244.20 | $61.54–$234.43 | — | — |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMOCOCCAL 23 POLYVALENT VACCINE 25 MCG/0.5 ML INJECTION WRAPPER | $244.20 | $244.20 | $61.54–$234.43 | — | — |
| Polio vaccine, inactivated (IPV) CPT 90713 POLIOVIRUS VACCINE 40 UNIT-8 UNIT-32 UNIT/0.5 ML INJECTION SUSPENSION | $104.15 | $104.15 | $26.25–$99.98 | 40% above | — |
| Polio vaccine, inactivated (IPV) inpatient CPT 90713 POLIOVIRUS VACCINE 40 UNIT-8 UNIT-32 UNIT/0.5 ML INJECTION SUSPENSION | $104.15 | $104.15 | $26.25–$99.98 | — | — |
| RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) CPT 90381 NIRSEVIMAB-ALIP 100 MG/ML INTRAMUSCULAR SYRINGE | $2,122.75 | $2,122.75 | $534.93–$2,037.84 | 193% above | — |
| RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) CPT 90381 NIRSEVIMAB-ALIP 200 MG IM INJECTION | $4,205.45 | $4,205.45 | $1,059.77–$4,037.23 | 480% above | — |
| RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) inpatient CPT 90381 NIRSEVIMAB-ALIP 100 MG/ML INTRAMUSCULAR SYRINGE | $2,122.75 | $2,122.75 | $534.93–$2,037.84 | — | — |
| RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) inpatient CPT 90381 NIRSEVIMAB-ALIP 200 MG IM INJECTION | $4,205.45 | $4,205.45 | $1,059.77–$4,037.23 | — | — |
| RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 NIRSEVIMAB-ALIP 50 MG/0.5 ML INTRAMUSCULAR SYRINGE | $2,122.75 | $2,122.75 | $534.93–$2,037.84 | 185% above | — |
| RSV antibody shot for infants, seasonal dose (0.5 mL) inpatient CPT 90380 NIRSEVIMAB-ALIP 50 MG/0.5 ML INTRAMUSCULAR SYRINGE | $2,122.75 | $2,122.75 | $534.93–$2,037.84 | — | — |
| Rabies vaccine, one dose CPT 90675 RABIES VACCINE, PURIFIED CHICKEN EMBRYO CELL (PF) 2.5 UNIT IM SUSP | $879.25 | $879.25 | $221.57–$844.08 | 42% above | — |
| Rabies vaccine, one dose inpatient CPT 90675 RABIES VACCINE, PURIFIED CHICKEN EMBRYO CELL (PF) 2.5 UNIT IM SUSP | $879.25 | $879.25 | $221.57–$844.08 | — | — |
| Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) CPT 90680 ROTAVIRUS VACCINE LIVE, PENTAVALENT 2 ML ORAL SOLUTION | $214.00 | $214.00 | $53.93–$205.44 | 185% above | — |
| Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) inpatient CPT 90680 ROTAVIRUS VACCINE LIVE, PENTAVALENT 2 ML ORAL SOLUTION | $214.00 | $214.00 | $53.93–$205.44 | — | — |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS AND DIPHTHERIA TOX (PF) 5 LF UNIT-2 LF UNIT/0.5 ML IM SUSP WRAPPER | $98.85 | $98.85 | $24.91–$94.90 | 75% above | — |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS AND DIPHTHERIA TOX (PF) 5 LF UNIT-2 LF UNIT/0.5 ML IM SYRINGE | $98.85 | $98.85 | $24.91–$94.90 | 75% above | — |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS AND DIPHTHERIA TOX (PF) 5 LF UNIT-2 LF UNIT/0.5 ML IM SYRINGE | $98.85 | $98.85 | $24.91–$94.90 | — | — |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS AND DIPHTHERIA TOX (PF) 5 LF UNIT-2 LF UNIT/0.5 ML IM SUSP WRAPPER | $98.85 | $98.85 | $24.91–$94.90 | — | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 DIPHTH,PERTUSSIS(ACEL),TETANUS 2.5 LF UNIT-8 MCG-5 LF/0.5ML IM WRAPPER | $201.60 | $201.60 | $50.80–$193.54 | 144% above | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 DIPHTH,PERTUSSIS(ACEL),TETANUS 2.5 LF UNIT-8 MCG-5 LF/0.5ML IM SYRINGE | $201.60 | $201.60 | $50.80–$193.54 | 144% above | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 DIPHTH,PERTUSSIS(ACEL),TETANUS 2.5 LF UNIT-8 MCG-5 LF/0.5ML IM SYRINGE | $201.60 | $201.60 | $50.80–$193.54 | — | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 DIPHTH,PERTUSSIS(ACEL),TETANUS 2.5 LF UNIT-8 MCG-5 LF/0.5ML IM WRAPPER | $201.60 | $201.60 | $50.80–$193.54 | — | — |
| Typhoid vaccine, injectable (Vi polysaccharide) CPT 90691 TYPHOID VI POLYSACCH VACCINE 25 MCG/0.5 ML INTRAMUSCULAR SYRINGE | $333.20 | $333.20 | $83.97–$319.87 | 216% above | — |
| Typhoid vaccine, injectable (Vi polysaccharide) inpatient CPT 90691 TYPHOID VI POLYSACCH VACCINE 25 MCG/0.5 ML INTRAMUSCULAR SYRINGE | $333.20 | $333.20 | $83.97–$319.87 | — | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Immuniz Admin 1st Vaccine | $50.00 | $50.00 | $12.60–$48.00 | 19% above | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Hepatitis B Admin | $50.00 | $50.00 | $12.60–$48.00 | 19% above | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Influenza Admin | $50.00 | $50.00 | $12.60–$48.00 | 19% above | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Pneumovax Admin | $50.00 | $50.00 | $12.60–$48.00 | 19% above | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Pneumovax Admin | $50.00 | $50.00 | $12.60–$48.00 | — | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Hepatitis B Admin | $50.00 | $50.00 | $12.60–$48.00 | — | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Influenza Admin | $50.00 | $50.00 | $12.60–$48.00 | — | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Immuniz Admin 1st Vaccine | $50.00 | $50.00 | $12.60–$48.00 | — | — |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Immuniz Admin Ea Addl Vaccine | $50.00 | $50.00 | $12.60–$48.00 | 38% above | — |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 Immuniz Admin Ea Addl Vaccine | $50.00 | $50.00 | $12.60–$48.00 | — | — |
Dental
| Procedure | Cash price | List price | Insurers pay | vs Washington | Off list |
|---|---|---|---|---|---|
| Deep cleaning (scaling and root planing), 4 or more teeth in one quadrant CDT D4341 Perodontal Scaling 4 Quadrants | $40,624.85 | — | — | — | — |
| Removal of an impacted tooth fully covered by bone, often a wisdom tooth CDT D7240 Removal Impacted Tooth-Bo | $28,557.50 | — | — | 446% above | — |
| Routine teeth cleaning (prophylaxis), adult or teen CDT D1110 Prophylaxis - Adult | $51,229.25 | — | — | — | — |
| Simple extraction of a tooth or exposed root that is above the gum CDT D7140 Extraction Erupted Tooth/Exr | $775.50 | $775.50 | $317.96–$744.48 | at median | — |
| Simple extraction of a tooth or exposed root that is above the gum CDT D7140 Extraction Erupted Tooth/Exr | $43,959.95 | — | — | 5569% above | — |
| Simple extraction of a tooth or exposed root that is above the gum inpatient CDT D7140 Extraction Erupted Tooth/Exr | $775.50 | $775.50 | $317.96–$744.48 | — | — |