HMA Santa Rosa Medical Center
HMA Santa Rosa Medical Center in Milton, FL publishes cash prices for 421 common procedures listed here, from its own machine-readable price file updated Apr 1, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the Florida median for 336 of 409 procedures and above it for 73. By typical cash price it ranks #27 of 171 Florida hospitals and #5 of 6 hospitals in the Pensacola, FL area, cheapest first. Select a procedure to compare it with other hospitals nearby.
6002 Berryhill Rd, Milton, FL 32570 Collected Sep 22, 2026 Source price file Check a bill from this hospital (850) 626-7762
Acute care hospital For-profit hospital Emergency department CMS star rating 4 of 5 CCN 100124 · CMS hospital register NPI 1528015302
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs Florida | Off list |
|---|---|---|---|---|---|
| Abdominal CT scan without and with contrast CPT 74170 CT Abdomen WWO | $1,942.38 | $12,949.20 | $167.57–$10,359.36 | 51% below | 85% |
| Abdominal CT scan without and with contrast inpatient CPT 74170 CT Abdomen WWO | $4,532.22 | $12,949.20 | $2,512.14–$10,359.36 | — | 65% |
| Abdominal X-ray, 2 views CPT 74019 XR ABDOMEN 2V DR - XR Abdomen 2V DR | $448.25 | $2,988.36 | $24.49–$2,390.69 | 30% below | 85% |
| Abdominal X-ray, 2 views inpatient CPT 74019 XR ABDOMEN 2V DR - XR Abdomen 2V DR | $1,045.93 | $2,988.36 | $579.74–$2,390.69 | — | 65% |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 XR Ankle Complete Min 3 V Left DR | $465.91 | $3,106.08 | $18.63–$2,484.86 | 25% below | 85% |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 XR Ankle Complete Min 3 V Right DR | $465.91 | $3,106.08 | $18.63–$2,484.86 | 25% below | 85% |
| Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 XR Ankle Complete Min 3 V Right DR | $1,087.13 | $3,106.08 | $602.58–$2,484.86 | — | 65% |
| Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 XR Ankle Complete Min 3 V Left DR | $1,087.13 | $3,106.08 | $602.58–$2,484.86 | — | 65% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries both sides CPT 93922 US LE Arterial Doppler Single Lvl Bilat | $276.53 | $1,843.56 | $128.90–$1,474.85 | — | 85% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries both sides CPT 93922 US UE Arterial Doppler Single Lvl Bilat | $276.53 | $1,843.56 | $128.90–$1,474.85 | — | 85% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 US-EXT ARTERIAL LTD - Net Health - 207 | $276.53 | $1,843.56 | $128.90–$1,474.85 | 55% below | 85% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 EXTREMITY STUDY | $537.98 | $3,586.51 | $128.90–$13,658.00 | 13% below | 85% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient both sides CPT 93922 US UE Arterial Doppler Single Lvl Bilat | $645.25 | $1,843.56 | $357.65–$1,474.85 | — | 65% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient both sides CPT 93922 US LE Arterial Doppler Single Lvl Bilat | $645.25 | $1,843.56 | $357.65–$1,474.85 | — | 65% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 US-EXT ARTERIAL LTD - Net Health - 207 | $645.25 | $1,843.56 | $357.65–$1,474.85 | — | 65% |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT Shoulder Left WO | $1,248.05 | $8,320.32 | $100.38–$6,656.26 | 47% below | 85% |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT Humerus Right WO | $1,248.05 | $8,320.32 | $100.38–$6,656.26 | 47% below | 85% |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT Wrist Left WO | $1,248.05 | $8,320.32 | $100.38–$6,656.26 | 47% below | 85% |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT Shoulder Right WO | $1,248.05 | $8,320.32 | $100.38–$6,656.26 | 47% below | 85% |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT Wrist Right WO | $1,248.05 | $8,320.32 | $100.38–$6,656.26 | 47% below | 85% |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT Forearm Left WO | $1,248.05 | $8,320.32 | $100.38–$6,656.26 | 47% below | 85% |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT Elbow Right WO | $1,248.05 | $8,320.32 | $100.38–$6,656.26 | 47% below | 85% |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT Forearm Right WO | $1,248.05 | $8,320.32 | $100.38–$6,656.26 | 47% below | 85% |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT Hand Left WO | $1,248.05 | $8,320.32 | $100.38–$6,656.26 | 47% below | 85% |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT Hand Right WO | $1,248.05 | $8,320.32 | $100.38–$6,656.26 | 47% below | 85% |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT Elbow Left WO | $1,248.05 | $8,320.32 | $100.38–$6,656.26 | 47% below | 85% |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT Humerus Left WO | $1,248.05 | $8,320.32 | $100.38–$6,656.26 | 47% below | 85% |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT Wrist Right WO | $2,912.11 | $8,320.32 | $1,614.14–$6,656.26 | — | 65% |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT Elbow Left WO | $2,912.11 | $8,320.32 | $1,614.14–$6,656.26 | — | 65% |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT Hand Left WO | $2,912.11 | $8,320.32 | $1,614.14–$6,656.26 | — | 65% |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT Shoulder Right WO | $2,912.11 | $8,320.32 | $1,614.14–$6,656.26 | — | 65% |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT Humerus Right WO | $2,912.11 | $8,320.32 | $1,614.14–$6,656.26 | — | 65% |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT Elbow Right WO | $2,912.11 | $8,320.32 | $1,614.14–$6,656.26 | — | 65% |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT Hand Right WO | $2,912.11 | $8,320.32 | $1,614.14–$6,656.26 | — | 65% |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT Forearm Right WO | $2,912.11 | $8,320.32 | $1,614.14–$6,656.26 | — | 65% |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT Wrist Left WO | $2,912.11 | $8,320.32 | $1,614.14–$6,656.26 | — | 65% |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT Humerus Left WO | $2,912.11 | $8,320.32 | $1,614.14–$6,656.26 | — | 65% |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT Forearm Left WO | $2,912.11 | $8,320.32 | $1,614.14–$6,656.26 | — | 65% |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT Shoulder Left WO | $2,912.11 | $8,320.32 | $1,614.14–$6,656.26 | — | 65% |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 RF Esophagus Gastrografin | $536.06 | $3,573.72 | $63.30–$2,858.98 | 36% below | 85% |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 RF Esophagus Barium | $536.06 | $3,573.72 | $63.30–$2,858.98 | 36% below | 85% |
| Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 RF Esophagus Barium | $1,250.80 | $3,573.72 | $693.30–$2,858.98 | — | 65% |
| Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 RF Esophagus Gastrografin | $1,250.80 | $3,573.72 | $693.30–$2,858.98 | — | 65% |
| Bone scan, whole body (nuclear medicine) CPT 78306 NM Bone and or Joint Whole Body Scan 1 - NM Bone | $1,102.09 | $7,347.24 | $348.23–$5,877.79 | 57% below | 85% |
| Bone scan, whole body (nuclear medicine) inpatient CPT 78306 NM Bone and or Joint Whole Body Scan 1 - NM Bone | $2,571.53 | $7,347.24 | $1,425.36–$5,877.79 | — | 65% |
| Breast ultrasound, complete, one breast both sides CPT 76641 US Breast Complete Bilateral CM | $241.22 | $1,608.12 | $77.56–$1,368.00 | — | 85% |
| Breast ultrasound, complete, one breast one side CPT 76641 US Breast Complete Left CM | $241.22 | $1,608.12 | $77.56–$1,368.00 | 58% below | 85% |
| Breast ultrasound, complete, one breast one side CPT 76641 US Breast Complete Right CM | $241.22 | $1,608.12 | $77.56–$1,368.00 | 58% below | 85% |
| Breast ultrasound, complete, one breast inpatient both sides CPT 76641 US Breast Complete Bilateral CM | $562.84 | $1,608.12 | $311.98–$1,286.50 | — | 65% |
| Breast ultrasound, complete, one breast inpatient one side CPT 76641 US Breast Complete Right CM | $562.84 | $1,608.12 | $311.98–$1,286.50 | — | 65% |
| Breast ultrasound, complete, one breast inpatient one side CPT 76641 US Breast Complete Left CM | $562.84 | $1,608.12 | $311.98–$1,286.50 | — | 65% |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 US Breast Limited Right CM | $231.34 | $1,542.24 | $72.45–$1,368.00 | 55% below | 85% |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 US Breast Limited Left CM | $231.34 | $1,542.24 | $72.45–$1,368.00 | 55% below | 85% |
| Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 US Breast Limited Right CM | $539.78 | $1,542.24 | $299.19–$1,233.79 | — | 65% |
| Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 US Breast Limited Left CM | $539.78 | $1,542.24 | $299.19–$1,233.79 | — | 65% |
| CT angiography (CTA) of the abdomen and pelvis CPT 74174 CTA Abdomen Pelvis | $1,552.77 | $10,351.80 | $336.53–$8,281.44 | 74% below | 85% |
| CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 CTA Abdomen Pelvis | $3,623.13 | $10,351.80 | $2,008.25–$8,281.44 | — | 65% |
| CT angiography (CTA) of the head CPT 70496 CTA Head | $1,324.03 | $8,826.84 | $168.05–$7,061.47 | 63% below | 85% |
| CT angiography (CTA) of the head CPT 70496 CTA Head Stroke | $1,324.03 | $8,826.84 | $168.05–$7,061.47 | 63% below | 85% |
| CT angiography (CTA) of the head inpatient CPT 70496 CTA Head Stroke | $3,089.39 | $8,826.84 | $1,712.41–$7,061.47 | — | 65% |
| CT angiography (CTA) of the head inpatient CPT 70496 CTA Head | $3,089.39 | $8,826.84 | $1,712.41–$7,061.47 | — | 65% |
| CT angiography (CTA) of the neck CPT 70498 CTA Neck | $1,631.18 | $10,874.52 | $168.05–$8,699.62 | 61% below | 85% |
| CT angiography (CTA) of the neck CPT 70498 CTA Neck Stroke | $1,631.18 | $10,874.52 | $168.05–$8,699.62 | 61% below | 85% |
| CT angiography (CTA) of the neck inpatient CPT 70498 CTA Neck | $3,806.08 | $10,874.52 | $2,109.66–$8,699.62 | — | 65% |
| CT angiography (CTA) of the neck inpatient CPT 70498 CTA Neck Stroke | $3,806.08 | $10,874.52 | $2,109.66–$8,699.62 | — | 65% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CTA Chest for PE | $1,101.44 | $7,342.92 | $168.05–$5,874.34 | 75% below | 85% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CTA Chest | $1,101.44 | $7,342.92 | $168.05–$5,874.34 | 75% below | 85% |
| CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CTA Chest | $2,570.02 | $7,342.92 | $1,424.53–$5,874.34 | — | 65% |
| CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CTA Chest for PE | $2,570.02 | $7,342.92 | $1,424.53–$5,874.34 | — | 65% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CTA Coronary Function | $1,837.40 | $12,249.36 | $334.65–$9,799.49 | 6% below | 85% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 CTA Coronary Function | $4,287.28 | $12,249.36 | $2,376.38–$9,799.49 | — | 65% |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT Cardiac Score WO | $1,304.26 | $8,695.08 | $83.04–$6,956.06 | 141% above | 85% |
| CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 CT Cardiac Score WO | $3,043.28 | $8,695.08 | $1,686.85–$6,956.06 | — | 65% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT Abdomen Pelvis Stone Protocol | $1,248.37 | $8,322.48 | $162.96–$6,657.98 | 77% below | 85% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT Abdomen Pelvis WO | $1,248.37 | $8,322.48 | $162.96–$6,657.98 | 77% below | 85% |
| CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT Abdomen Pelvis WO | $2,912.87 | $8,322.48 | $1,614.56–$6,657.98 | — | 65% |
| CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT Abdomen Pelvis Stone Protocol | $2,912.87 | $8,322.48 | $1,614.56–$6,657.98 | — | 65% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT Abdomen Pelvis W | $2,372.49 | $15,816.60 | $336.19–$12,653.28 | 60% below | 85% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT Abdomen Pelvis W | $5,535.81 | $15,816.60 | $3,068.42–$12,653.28 | — | 65% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT Abdomen Pelvis WWO | $2,133.86 | $14,225.76 | $336.36–$11,380.61 | 69% below | 85% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT Abd Pelvis WWO Urology Protocol | $2,133.86 | $14,225.76 | $336.36–$11,380.61 | 69% below | 85% |
| CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT Abdomen Pelvis WWO | $4,979.02 | $14,225.76 | $2,759.80–$11,380.61 | — | 65% |
| CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT Abd Pelvis WWO Urology Protocol | $4,979.02 | $14,225.76 | $2,759.80–$11,380.61 | — | 65% |
| CT scan of the abdomen with contrast CPT 74160 CT Abdomen W | $1,858.14 | $12,387.60 | $167.57–$9,910.08 | 46% below | 85% |
| CT scan of the abdomen with contrast inpatient CPT 74160 CT Abdomen W | $4,335.66 | $12,387.60 | $2,403.19–$9,910.08 | — | 65% |
| CT scan of the abdomen without contrast CPT 74150 CT Abdomen WO | $1,368.09 | $9,120.60 | $99.90–$7,296.48 | 57% below | 85% |
| CT scan of the abdomen without contrast inpatient CPT 74150 CT Abdomen WO | $3,192.21 | $9,120.60 | $1,769.40–$7,296.48 | — | 65% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT Sinus WO | $1,378.13 | $9,187.56 | $100.21–$7,350.05 | 52% below | 85% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT Maxillofacial WO | $1,378.13 | $9,187.56 | $100.21–$7,350.05 | 52% below | 85% |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT Sinus WO | $3,215.65 | $9,187.56 | $1,782.39–$7,350.05 | — | 65% |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT Maxillofacial WO | $3,215.65 | $9,187.56 | $1,782.39–$7,350.05 | — | 65% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT Head or Brain WO | $1,515.19 | $10,101.24 | $100.38–$8,080.99 | 50% below | 85% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT Head Stroke Alert | $1,515.19 | $10,101.24 | $100.38–$8,080.99 | 50% below | 85% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT Head or Brain WO | $3,535.43 | $10,101.24 | $1,959.64–$8,080.99 | — | 65% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT Head Stroke Alert | $3,535.43 | $10,101.24 | $1,959.64–$8,080.99 | — | 65% |
| CT scan of the head with contrast CPT 70460 CT Head or Brain W | $1,424.30 | $9,495.36 | $168.22–$7,596.29 | 62% below | 85% |
| CT scan of the head with contrast inpatient CPT 70460 CT Head or Brain W | $3,323.38 | $9,495.36 | $1,842.10–$7,596.29 | — | 65% |
| CT scan of the head without and with contrast CPT 70470 CT Head or Brain WWO | $1,907.23 | $12,714.84 | $167.74–$10,171.87 | 57% below | 85% |
| CT scan of the head without and with contrast inpatient CPT 70470 CT Head or Brain WWO | $4,450.19 | $12,714.84 | $2,466.68–$10,171.87 | — | 65% |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT Spine Lumbar WO | $1,377.00 | $9,180.00 | $99.90–$7,344.00 | 58% below | 85% |
| CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT Spine Lumbar WO | $3,213.00 | $9,180.00 | $1,780.92–$7,344.00 | — | 65% |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT Spine Cervical WO | $1,141.78 | $7,611.84 | $99.90–$6,089.47 | 66% below | 85% |
| CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT Spine Cervical WO | $2,664.14 | $7,611.84 | $1,476.70–$6,089.47 | — | 65% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT Pelvis W | $1,243.51 | $8,290.08 | $167.57–$6,632.06 | 71% below | 85% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT Pelvis W | $2,901.53 | $8,290.08 | $1,608.28–$6,632.06 | — | 65% |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 US Carotid Duplex Bilateral | $757.03 | $5,046.84 | $227.98–$4,037.47 | — | 85% |
| Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 EXTRACRANIAL STUDY | $3,012.42 | $20,082.77 | $227.98–$16,066.22 | 21% above | 85% |
| Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 US Carotid Duplex Bilateral | $1,766.39 | $5,046.84 | $979.09–$4,037.47 | — | 65% |
| Chest CT scan without and with contrast CPT 71270 CT Chest Diagnostic WWO | $1,611.09 | $10,740.60 | $168.05–$8,592.48 | 60% below | 85% |
| Chest CT scan without and with contrast inpatient CPT 71270 CT Chest Diagnostic WWO | $3,759.21 | $10,740.60 | $2,083.68–$8,592.48 | — | 65% |
| Chest X-ray, 2 views CPT 71046 XR Chest 2 V DR | $208.49 | $1,389.96 | $23.05–$1,111.97 | 58% below | 85% |
| Chest X-ray, 2 views inpatient CPT 71046 XR Chest 2 V DR | $486.49 | $1,389.96 | $269.65–$1,111.97 | — | 65% |
| Chest X-ray, single view CPT 71045 XR Chest 1V DR | $183.87 | $1,225.80 | $19.39–$980.64 | 56% below | 85% |
| Chest X-ray, single view CPT 71045 XR Chest 1 V Frontal DR | $183.87 | $1,225.80 | $19.39–$980.64 | 56% below | 85% |
| Chest X-ray, single view CPT 71045 XR Chest 1 V Portable DR | $183.87 | $1,225.80 | $19.39–$980.64 | 56% below | 85% |
| Chest X-ray, single view inpatient CPT 71045 XR Chest 1 V Frontal DR | $429.03 | $1,225.80 | $237.81–$980.64 | — | 65% |
| Chest X-ray, single view inpatient CPT 71045 XR Chest 1V DR | $429.03 | $1,225.80 | $237.81–$980.64 | — | 65% |
| Chest X-ray, single view inpatient CPT 71045 XR Chest 1 V Portable DR | $429.03 | $1,225.80 | $237.81–$980.64 | — | 65% |
| Collarbone (clavicle) X-ray, complete one side CPT 73000 XR Clavicle Right DR | $361.42 | $2,409.48 | $17.89–$1,927.58 | 34% below | 85% |
| Collarbone (clavicle) X-ray, complete one side CPT 73000 XR Clavicle Left DR | $361.42 | $2,409.48 | $17.89–$1,927.58 | 34% below | 85% |
| Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 XR Clavicle Right DR | $843.32 | $2,409.48 | $467.44–$1,927.58 | — | 65% |
| Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 XR Clavicle Left DR | $843.32 | $2,409.48 | $467.44–$1,927.58 | — | 65% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US Retroperitoneal Complete | $395.77 | $2,638.44 | $100.55–$2,110.75 | 69% below | 85% |
| Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US Retroperitoneal Complete | $923.45 | $2,638.44 | $511.86–$2,110.75 | — | 65% |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 BD Bone Density DEXA Axial Skeleton | $147.91 | $986.04 | $20.86–$788.83 | 76% below | 85% |
| DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 BD Bone Density DEXA Axial Skeleton | $345.11 | $986.04 | $191.29–$788.83 | — | 65% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT High Resolution Chest | $1,271.05 | $8,473.68 | $99.90–$6,778.94 | 56% below | 85% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT Chest Diagnostic WO | $1,271.05 | $8,473.68 | $99.90–$6,778.94 | 56% below | 85% |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT High Resolution Chest | $2,965.79 | $8,473.68 | $1,643.89–$6,778.94 | — | 65% |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT Chest Diagnostic WO | $2,965.79 | $8,473.68 | $1,643.89–$6,778.94 | — | 65% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT Chest Diagnostic W | $2,087.69 | $13,917.96 | $167.74–$11,134.37 | 46% below | 85% |
| Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT Chest Diagnostic W | $4,871.29 | $13,917.96 | $2,700.08–$11,134.37 | — | 65% |
| Diagnostic mammogram, both breasts both sides CPT 77066 MG Mammo Diagnostic Bilateral WWO CAD CM | $201.85 | $1,345.68 | $97.08–$1,076.54 | — | 85% |
| Diagnostic mammogram, both breasts both sides CPT 77066 MG Mammo Diag Same Day GG Bi WWO CAD CM | $201.85 | $1,345.68 | $97.08–$1,076.54 | — | 85% |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 MG Mammo Diag Same Day GG Bi WWO CAD CM | $470.99 | $1,345.68 | $261.06–$1,076.54 | — | 65% |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 MG Mammo Diagnostic Bilateral WWO CAD CM | $470.99 | $1,345.68 | $261.06–$1,076.54 | — | 65% |
| Diagnostic mammogram, one breast one side CPT 77065 MG Mammo Diag Same Day GG LT WWO CAD CM - MG Mammo | $205.25 | $1,368.36 | $76.29–$1,094.69 | 53% below | 85% |
| Diagnostic mammogram, one breast one side CPT 77065 MG Mammo Diag Same Day GG RT WWO CAD CM - MG Mammo | $205.25 | $1,368.36 | $76.29–$1,094.69 | 53% below | 85% |
| Diagnostic mammogram, one breast one side CPT 77065 MG Mammo Diagnostic Right WWO CAD CM | $205.25 | $1,368.36 | $76.29–$1,094.69 | 53% below | 85% |
| Diagnostic mammogram, one breast one side CPT 77065 MG Mammo Diagnostic Left WWO CAD CM | $205.25 | $1,368.36 | $76.29–$1,094.69 | 53% below | 85% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 MG Mammo Diag Same Day GG LT WWO CAD CM - MG Mammo | $478.93 | $1,368.36 | $265.46–$1,094.69 | — | 65% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 MG Mammo Diagnostic Left WWO CAD CM | $478.93 | $1,368.36 | $265.46–$1,094.69 | — | 65% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 MG Mammo Diagnostic Right WWO CAD CM | $478.93 | $1,368.36 | $265.46–$1,094.69 | — | 65% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 MG Mammo Diag Same Day GG RT WWO CAD CM - MG Mammo | $478.93 | $1,368.36 | $265.46–$1,094.69 | — | 65% |
| Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 US LE Arterial Duplex Bilateral | $660.47 | $4,403.16 | $227.98–$3,522.53 | — | 85% |
| Duplex ultrasound of the leg arteries, both legs CPT 93925 LOWER EXTREMITY STUDY | $1,570.32 | $10,468.83 | $227.98–$13,658.00 | 25% below | 85% |
| Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 US LE Arterial Duplex Bilateral | $1,541.11 | $4,403.16 | $854.21–$3,522.53 | — | 65% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US Venous Insufficiency Doppler Bilat | $671.17 | $4,474.44 | $227.98–$3,579.55 | — | 85% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US LE Venous Insufficiency Duplex Bilat | $671.17 | $4,474.44 | $227.98–$3,579.55 | — | 85% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US LE Venous Duplex Bilateral | $671.17 | $4,474.44 | $227.98–$3,579.55 | — | 85% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US UE Venous Duplex Bilateral | $671.17 | $4,474.44 | $227.98–$3,579.55 | — | 85% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US UE Venous Insufficiency Duplex Bilat | $671.17 | $4,474.44 | $227.98–$3,579.55 | — | 85% |
| Duplex ultrasound of the leg veins, both legs CPT 93970 US Lower Extremity Veins Limited Bilater - US Lowe | $671.17 | $4,474.44 | $227.98–$3,579.55 | 63% below | 85% |
| Duplex ultrasound of the leg veins, both legs CPT 93970 US Upper Extremity Veins Limited Bilater - US Uppe | $671.17 | $4,474.44 | $227.98–$3,579.55 | 63% below | 85% |
| Duplex ultrasound of the leg veins, both legs CPT 93970 EXTREMITY STUDY | $1,929.14 | $12,860.91 | $227.98–$13,658.00 | 6% above | 85% |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 US Venous Insufficiency Doppler Bilat | $1,566.05 | $4,474.44 | $868.04–$3,579.55 | — | 65% |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 US LE Venous Duplex Bilateral | $1,566.05 | $4,474.44 | $868.04–$3,579.55 | — | 65% |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 US UE Venous Duplex Bilateral | $1,566.05 | $4,474.44 | $868.04–$3,579.55 | — | 65% |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 US LE Venous Insufficiency Duplex Bilat | $1,566.05 | $4,474.44 | $868.04–$3,579.55 | — | 65% |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 US UE Venous Insufficiency Duplex Bilat | $1,566.05 | $4,474.44 | $868.04–$3,579.55 | — | 65% |
| Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 US Lower Extremity Veins Limited Bilater - US Lowe | $1,566.05 | $4,474.44 | $868.04–$3,579.55 | — | 65% |
| Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 US Upper Extremity Veins Limited Bilater - US Uppe | $1,566.05 | $4,474.44 | $868.04–$3,579.55 | — | 65% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 NI Echo TTE 2D Complete w Color Doppler | $1,140.97 | $7,606.44 | $268.00–$6,085.15 | 66% below | 85% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 NI Pediatric Echo Complete w Color Dop | $1,140.97 | $7,606.44 | $268.00–$6,085.15 | 66% below | 85% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 TTE W/DOPPLER COMPLETE | $3,101.98 | $20,679.87 | $517.59–$16,543.90 | 7% below | 85% |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 NI Pediatric Echo Complete w Color Dop | $2,662.25 | $7,606.44 | $1,475.65–$6,085.15 | — | 65% |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 NI Echo TTE 2D Complete w Color Doppler | $2,662.25 | $7,606.44 | $1,475.65–$6,085.15 | — | 65% |
| Elbow X-ray, 2 views one side CPT 73070 XR Elbow 2 V Right DR | $228.10 | $1,520.64 | $17.89–$1,216.51 | 55% below | 85% |
| Elbow X-ray, 2 views one side CPT 73070 XR Elbow 2 V Left DR | $228.10 | $1,520.64 | $17.89–$1,216.51 | 55% below | 85% |
| Elbow X-ray, 2 views inpatient one side CPT 73070 XR Elbow 2 V Left DR | $532.22 | $1,520.64 | $295.00–$1,216.51 | — | 65% |
| Elbow X-ray, 2 views inpatient one side CPT 73070 XR Elbow 2 V Right DR | $532.22 | $1,520.64 | $295.00–$1,216.51 | — | 65% |
| Elbow X-ray, complete, 3 or more views one side CPT 73080 XR Elbow Complete Min 3 V Left DR | $433.35 | $2,889.00 | $18.63–$2,311.20 | 28% below | 85% |
| Elbow X-ray, complete, 3 or more views one side CPT 73080 XR Elbow Complete Min 3 V Right DR | $433.35 | $2,889.00 | $18.63–$2,311.20 | 28% below | 85% |
| Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 XR Elbow Complete Min 3 V Left DR | $1,011.15 | $2,889.00 | $560.47–$2,311.20 | — | 65% |
| Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 XR Elbow Complete Min 3 V Right DR | $1,011.15 | $2,889.00 | $560.47–$2,311.20 | — | 65% |
| Eye socket (orbit) CT scan without contrast CPT 70480 CT Mastoids WO | $690.61 | $4,604.04 | $100.38–$3,683.23 | 74% below | 85% |
| Eye socket (orbit) CT scan without contrast CPT 70480 CT IAC Temporal WO | $690.61 | $4,604.04 | $100.38–$3,683.23 | 74% below | 85% |
| Eye socket (orbit) CT scan without contrast CPT 70480 CT Orbit WO | $690.61 | $4,604.04 | $100.38–$3,683.23 | 74% below | 85% |
| Eye socket (orbit) CT scan without contrast inpatient CPT 70480 CT IAC Temporal WO | $1,611.41 | $4,604.04 | $893.18–$3,683.23 | — | 65% |
| Eye socket (orbit) CT scan without contrast inpatient CPT 70480 CT Mastoids WO | $1,611.41 | $4,604.04 | $893.18–$3,683.23 | — | 65% |
| Eye socket (orbit) CT scan without contrast inpatient CPT 70480 CT Orbit WO | $1,611.41 | $4,604.04 | $893.18–$3,683.23 | — | 65% |
| Facial bones X-ray, complete, 3 or more views CPT 70150 XR Facial Bones Comp Minimum 3 V DR | $473.69 | $3,157.92 | $27.44–$2,526.34 | 38% below | 85% |
| Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 XR Facial Bones Comp Minimum 3 V DR | $1,105.27 | $3,157.92 | $612.64–$2,526.34 | — | 65% |
| Forearm X-ray (radius and ulna), 2 views one side CPT 73090 XR Forearm 2 V Left DR | $320.27 | $2,135.16 | $17.18–$1,708.13 | 44% below | 85% |
| Forearm X-ray (radius and ulna), 2 views one side CPT 73090 XR Forearm 2 V Right DR | $320.27 | $2,135.16 | $17.18–$1,708.13 | 44% below | 85% |
| Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 XR Forearm 2 V Left DR | $747.31 | $2,135.16 | $414.22–$1,708.13 | — | 65% |
| Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 XR Forearm 2 V Right DR | $747.31 | $2,135.16 | $414.22–$1,708.13 | — | 65% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 NM Hepatobiliary System Scan 1 | $212.38 | $1,415.88 | $274.68–$3,916.00 | 90% below | 85% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 NM Hepatobiliary System Scan 1 | $495.56 | $1,415.88 | $274.68–$1,132.70 | — | 65% |
| Hand X-ray, 2 views one side CPT 73120 XR Hand 2 V Right DR | $232.47 | $1,549.80 | $17.89–$1,239.84 | 55% below | 85% |
| Hand X-ray, 2 views one side CPT 73120 XR Hand 2 V Left DR | $232.47 | $1,549.80 | $17.89–$1,239.84 | 55% below | 85% |
| Hand X-ray, 2 views inpatient one side CPT 73120 XR Hand 2 V Right DR | $542.43 | $1,549.80 | $300.66–$1,239.84 | — | 65% |
| Hand X-ray, 2 views inpatient one side CPT 73120 XR Hand 2 V Left DR | $542.43 | $1,549.80 | $300.66–$1,239.84 | — | 65% |
| Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 XR Calcaneus 2 V Right DR | $221.78 | $1,478.52 | $17.18–$1,182.82 | 55% below | 85% |
| Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 XR Calcaneus 2 V Left DR | $221.78 | $1,478.52 | $17.18–$1,182.82 | 55% below | 85% |
| Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 XR Calcaneus 2 V Right DR | $517.48 | $1,478.52 | $286.83–$1,182.82 | — | 65% |
| Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 XR Calcaneus 2 V Left DR | $517.48 | $1,478.52 | $286.83–$1,182.82 | — | 65% |
| Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 SLEEP STUDY, UNATTENDED | $249.22 | $1,661.49 | $48.69–$13,658.00 | 66% below | 85% |
| Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 CHRG - SLEEP TITRATE UNATT | $269.08 | $1,793.88 | $48.69–$1,793.88 | 63% below | 85% |
| Home sleep apnea test, unattended, recording breathing and oxygen inpatient CPT 95806 CHRG - SLEEP TITRATE UNATT | $627.86 | $1,793.88 | $348.01–$1,435.10 | — | 65% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 POLYSOMNOGRAPHY W/CPAP | $1,671.64 | $11,144.29 | $491.65–$13,658.00 | 67% below | 85% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 CHRG - POLYS-CPAP GT4 GE6YO | $1,817.32 | $12,115.44 | $491.65–$9,692.35 | 65% below | 85% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 CHRG - POLYS-CPAP GT4 GE6YO | $4,240.40 | $12,115.44 | $2,350.40–$9,692.35 | — | 65% |
| Knee X-ray, 3 views one side CPT 73562 XR Knee 3 V Right DR | $233.93 | $1,559.52 | $20.08–$1,247.62 | 66% below | 85% |
| Knee X-ray, 3 views one side CPT 73562 XR Knee 3 V Left DR | $233.93 | $1,559.52 | $20.08–$1,247.62 | 66% below | 85% |
| Knee X-ray, 3 views inpatient one side CPT 73562 XR Knee 3 V Left DR | $545.83 | $1,559.52 | $302.55–$1,247.62 | — | 65% |
| Knee X-ray, 3 views inpatient one side CPT 73562 XR Knee 3 V Right DR | $545.83 | $1,559.52 | $302.55–$1,247.62 | — | 65% |
| Knee X-ray, complete, 4 or more views one side CPT 73564 XR Knee 4 V w Patella Right DR | $283.01 | $1,886.76 | $24.45–$1,509.41 | 63% below | 85% |
| Knee X-ray, complete, 4 or more views one side CPT 73564 XR Knee Complete 4 V Left DR | $283.01 | $1,886.76 | $24.45–$1,509.41 | 63% below | 85% |
| Knee X-ray, complete, 4 or more views one side CPT 73564 XR Knee Complete 4 V Right DR | $283.01 | $1,886.76 | $24.45–$1,509.41 | 63% below | 85% |
| Knee X-ray, complete, 4 or more views one side CPT 73564 XR Knee 4 V w Patella Left DR | $283.01 | $1,886.76 | $24.45–$1,509.41 | 63% below | 85% |
| Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 XR Knee Complete 4 V Left DR | $660.37 | $1,886.76 | $366.03–$1,509.41 | — | 65% |
| Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 XR Knee 4 V w Patella Left DR | $660.37 | $1,886.76 | $366.03–$1,509.41 | — | 65% |
| Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 XR Knee 4 V w Patella Right DR | $660.37 | $1,886.76 | $366.03–$1,509.41 | — | 65% |
| Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 XR Knee Complete 4 V Right DR | $660.37 | $1,886.76 | $366.03–$1,509.41 | — | 65% |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT Knee Left WO | $1,044.41 | $6,962.76 | $99.90–$5,570.21 | 60% below | 85% |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT Hip Left WO | $1,044.41 | $6,962.76 | $99.90–$5,570.21 | 60% below | 85% |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT Foot Right WO | $1,044.41 | $6,962.76 | $99.90–$5,570.21 | 60% below | 85% |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT Knee Right WO | $1,044.41 | $6,962.76 | $99.90–$5,570.21 | 60% below | 85% |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT Foot Left WO | $1,044.41 | $6,962.76 | $99.90–$5,570.21 | 60% below | 85% |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT Ankle Right WO | $1,044.41 | $6,962.76 | $99.90–$5,570.21 | 60% below | 85% |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT Ankle Left WO | $1,044.41 | $6,962.76 | $99.90–$5,570.21 | 60% below | 85% |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT Tibia Fibula Right WO | $1,044.41 | $6,962.76 | $99.90–$5,570.21 | 60% below | 85% |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT Femur Right WO | $1,044.41 | $6,962.76 | $99.90–$5,570.21 | 60% below | 85% |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT Hip Right WO | $1,044.41 | $6,962.76 | $99.90–$5,570.21 | 60% below | 85% |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT Femur Left WO | $1,044.41 | $6,962.76 | $99.90–$5,570.21 | 60% below | 85% |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT Tibia Fibula Left WO | $1,044.41 | $6,962.76 | $99.90–$5,570.21 | 60% below | 85% |
| Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT Ankle Left WO | $2,436.97 | $6,962.76 | $1,350.78–$5,570.21 | — | 65% |
| Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT Knee Right WO | $2,436.97 | $6,962.76 | $1,350.78–$5,570.21 | — | 65% |
| Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT Femur Left WO | $2,436.97 | $6,962.76 | $1,350.78–$5,570.21 | — | 65% |
| Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT Tibia Fibula Left WO | $2,436.97 | $6,962.76 | $1,350.78–$5,570.21 | — | 65% |
| Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT Foot Left WO | $2,436.97 | $6,962.76 | $1,350.78–$5,570.21 | — | 65% |
| Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT Foot Right WO | $2,436.97 | $6,962.76 | $1,350.78–$5,570.21 | — | 65% |
| Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT Ankle Right WO | $2,436.97 | $6,962.76 | $1,350.78–$5,570.21 | — | 65% |
| Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT Femur Right WO | $2,436.97 | $6,962.76 | $1,350.78–$5,570.21 | — | 65% |
| Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT Hip Right WO | $2,436.97 | $6,962.76 | $1,350.78–$5,570.21 | — | 65% |
| Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT Knee Left WO | $2,436.97 | $6,962.76 | $1,350.78–$5,570.21 | — | 65% |
| Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT Tibia Fibula Right WO | $2,436.97 | $6,962.76 | $1,350.78–$5,570.21 | — | 65% |
| Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT Hip Left WO | $2,436.97 | $6,962.76 | $1,350.78–$5,570.21 | — | 65% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US Pancreas | $588.87 | $3,925.80 | $91.18–$3,140.64 | 48% below | 85% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US Liver | $588.87 | $3,925.80 | $91.18–$3,140.64 | 48% below | 85% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US Gallbladder | $588.87 | $3,925.80 | $91.18–$3,140.64 | 48% below | 85% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US Abdomen Limited | $588.87 | $3,925.80 | $91.18–$3,140.64 | 48% below | 85% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US Abdomen Ascites | $588.87 | $3,925.80 | $91.18–$3,140.64 | 48% below | 85% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US Spleen | $588.87 | $3,925.80 | $91.18–$3,140.64 | 48% below | 85% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US Abdomen Wall | $588.87 | $3,925.80 | $91.18–$3,140.64 | 48% below | 85% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US Abdomen Wall | $1,374.03 | $3,925.80 | $761.61–$3,140.64 | — | 65% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US Pancreas | $1,374.03 | $3,925.80 | $761.61–$3,140.64 | — | 65% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US Liver | $1,374.03 | $3,925.80 | $761.61–$3,140.64 | — | 65% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US Abdomen Ascites | $1,374.03 | $3,925.80 | $761.61–$3,140.64 | — | 65% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US Abdomen Limited | $1,374.03 | $3,925.80 | $761.61–$3,140.64 | — | 65% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US Spleen | $1,374.03 | $3,925.80 | $761.61–$3,140.64 | — | 65% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US Gallbladder | $1,374.03 | $3,925.80 | $761.61–$3,140.64 | — | 65% |
| Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 US Axilla Left CM | $147.42 | $982.80 | $49.47–$1,368.00 | 77% below | 85% |
| Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 US Axilla Right CM | $147.42 | $982.80 | $49.47–$1,368.00 | 77% below | 85% |
| Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 US Extremity Non Vascular Limited Rt | $147.42 | $982.80 | $49.47–$1,368.00 | 77% below | 85% |
| Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 US Extremity Non Vascular Limited Lt | $147.42 | $982.80 | $49.47–$1,368.00 | 77% below | 85% |
| Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 US Extremity Non Vascular Limited Rt | $343.98 | $982.80 | $190.66–$786.24 | — | 65% |
| Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 US Axilla Right CM | $343.98 | $982.80 | $190.66–$786.24 | — | 65% |
| Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 US Axilla Left CM | $343.98 | $982.80 | $190.66–$786.24 | — | 65% |
| Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 US Extremity Non Vascular Limited Lt | $343.98 | $982.80 | $190.66–$786.24 | — | 65% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 CT Lung Low Dose Cncr Scrn Rtn Annual WO | $53.68 | $153.36 | $29.75–$122.69 | — | 65% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 CT Lung Low Dose Cancer Screening WO | $53.68 | $153.36 | $29.75–$122.69 | — | 65% |
| Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 XR Tibia Fibula Right DR | $295.49 | $1,969.92 | $17.18–$1,575.94 | 53% below | 85% |
| Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 XR Tibia Fibula Left DR | $295.49 | $1,969.92 | $17.18–$1,575.94 | 53% below | 85% |
| Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 XR Tibia Fibula Left DR | $689.47 | $1,969.92 | $382.16–$1,575.94 | — | 65% |
| Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 XR Tibia Fibula Right DR | $689.47 | $1,969.92 | $382.16–$1,575.94 | — | 65% |
| MR angiography (MRA) of the head without contrast CPT 70544 MRA Head WO | $899.26 | $5,995.08 | $228.29–$4,796.06 | 69% below | 85% |
| MR angiography (MRA) of the head without contrast inpatient CPT 70544 MRA Head WO | $2,098.28 | $5,995.08 | $1,163.05–$4,796.06 | — | 65% |
| MRI of knee or other lower-limb joint, no contrast dye both sides CPT 73721 MRI Hip Bilateral WO | $1,993.25 | $13,288.32 | $227.98–$10,630.66 | — | 85% |
| MRI of knee or other lower-limb joint, no contrast dye both sides CPT 73721 MRI Ankle Bilateral WO | $1,993.25 | $13,288.32 | $227.98–$10,630.66 | — | 85% |
| MRI of knee or other lower-limb joint, no contrast dye both sides CPT 73721 MRI Knee Bilateral WO | $1,993.25 | $13,288.32 | $227.98–$10,630.66 | — | 85% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Ankle Right WO | $1,993.25 | $13,288.32 | $227.98–$10,630.66 | 43% below | 85% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Hip Left WO | $1,993.25 | $13,288.32 | $227.98–$10,630.66 | 43% below | 85% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Hip Right WO | $1,993.25 | $13,288.32 | $227.98–$10,630.66 | 43% below | 85% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Knee Left WO | $1,993.25 | $13,288.32 | $227.98–$10,630.66 | 43% below | 85% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Knee Right WO | $1,993.25 | $13,288.32 | $227.98–$10,630.66 | 43% below | 85% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Ankle Left WO | $1,993.25 | $13,288.32 | $227.98–$10,630.66 | 43% below | 85% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient both sides CPT 73721 MRI Knee Bilateral WO | $4,650.91 | $13,288.32 | $2,577.93–$10,630.66 | — | 65% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient both sides CPT 73721 MRI Ankle Bilateral WO | $4,650.91 | $13,288.32 | $2,577.93–$10,630.66 | — | 65% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient both sides CPT 73721 MRI Hip Bilateral WO | $4,650.91 | $13,288.32 | $2,577.93–$10,630.66 | — | 65% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI Ankle Left WO | $4,650.91 | $13,288.32 | $2,577.93–$10,630.66 | — | 65% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI Knee Right WO | $4,650.91 | $13,288.32 | $2,577.93–$10,630.66 | — | 65% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI Knee Left WO | $4,650.91 | $13,288.32 | $2,577.93–$10,630.66 | — | 65% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI Hip Right WO | $4,650.91 | $13,288.32 | $2,577.93–$10,630.66 | — | 65% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI Ankle Right WO | $4,650.91 | $13,288.32 | $2,577.93–$10,630.66 | — | 65% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI Hip Left WO | $4,650.91 | $13,288.32 | $2,577.93–$10,630.66 | — | 65% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Hip Right WWO | $1,749.76 | $11,665.08 | $336.36–$9,332.06 | 64% below | 85% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Ankle Left WWO | $1,749.76 | $11,665.08 | $336.36–$9,332.06 | 64% below | 85% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Knee Left WWO | $1,749.76 | $11,665.08 | $336.36–$9,332.06 | 64% below | 85% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Knee Right WWO | $1,749.76 | $11,665.08 | $336.36–$9,332.06 | 64% below | 85% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Hip Left WWO | $1,749.76 | $11,665.08 | $336.36–$9,332.06 | 64% below | 85% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Ankle Right WWO | $1,749.76 | $11,665.08 | $336.36–$9,332.06 | 64% below | 85% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI Hip Left WWO | $4,082.78 | $11,665.08 | $2,263.03–$9,332.06 | — | 65% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI Ankle Left WWO | $4,082.78 | $11,665.08 | $2,263.03–$9,332.06 | — | 65% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI Knee Left WWO | $4,082.78 | $11,665.08 | $2,263.03–$9,332.06 | — | 65% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI Ankle Right WWO | $4,082.78 | $11,665.08 | $2,263.03–$9,332.06 | — | 65% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI Hip Right WWO | $4,082.78 | $11,665.08 | $2,263.03–$9,332.06 | — | 65% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI Knee Right WWO | $4,082.78 | $11,665.08 | $2,263.03–$9,332.06 | — | 65% |
| MRI of the abdomen without contrast CPT 74181 MRI MRCP WO | $1,597.97 | $10,653.12 | $227.81–$8,522.50 | 55% below | 85% |
| MRI of the abdomen without contrast CPT 74181 MRI Abdomen WO | $1,597.97 | $10,653.12 | $227.81–$8,522.50 | 55% below | 85% |
| MRI of the abdomen without contrast inpatient CPT 74181 MRI Abdomen WO | $3,728.59 | $10,653.12 | $2,066.71–$8,522.50 | — | 65% |
| MRI of the abdomen without contrast inpatient CPT 74181 MRI MRCP WO | $3,728.59 | $10,653.12 | $2,066.71–$8,522.50 | — | 65% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 MRI Abdomen WWO | $2,200.61 | $14,670.72 | $336.53–$11,736.58 | 49% below | 85% |
| MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MRI Abdomen WWO | $5,134.75 | $14,670.72 | $2,846.12–$11,736.58 | — | 65% |
| MRI of the brain, no contrast dye CPT 70551 MRI Brain WO | $1,271.05 | $8,473.68 | $227.81–$6,778.94 | 63% below | 85% |
| MRI of the brain, no contrast dye CPT 70551 MRV Brain WO | $1,271.05 | $8,473.68 | $227.81–$6,778.94 | 63% below | 85% |
| MRI of the brain, no contrast dye CPT 70551 MRI Brain WO Stroke Alert | $1,271.05 | $8,473.68 | $227.81–$6,778.94 | 63% below | 85% |
| MRI of the brain, no contrast dye inpatient CPT 70551 MRI Brain WO Stroke Alert | $2,965.79 | $8,473.68 | $1,643.89–$6,778.94 | — | 65% |
| MRI of the brain, no contrast dye inpatient CPT 70551 MRV Brain WO | $2,965.79 | $8,473.68 | $1,643.89–$6,778.94 | — | 65% |
| MRI of the brain, no contrast dye inpatient CPT 70551 MRI Brain WO | $2,965.79 | $8,473.68 | $1,643.89–$6,778.94 | — | 65% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI IAC WWO | $1,886.00 | $12,573.36 | $336.53–$10,058.69 | 62% below | 85% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI Brain WWO | $1,886.00 | $12,573.36 | $336.53–$10,058.69 | 62% below | 85% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI IAC WWO | $4,400.68 | $12,573.36 | $2,439.23–$10,058.69 | — | 65% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI Brain WWO | $4,400.68 | $12,573.36 | $2,439.23–$10,058.69 | — | 65% |
| MRI of the lower back, no contrast dye CPT 72148 MRI Spine Lumbar WO | $2,166.75 | $14,445.00 | $227.81–$11,556.00 | 41% below | 85% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 MRI Spine Lumbar WO | $5,055.75 | $14,445.00 | $2,802.33–$11,556.00 | — | 65% |
| MRI of the lower back, without and then with contrast dye CPT 72158 MRI Spine Lumbar WWO | $2,467.58 | $16,450.56 | $336.53–$13,160.45 | 50% below | 85% |
| MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MRI Spine Lumbar WWO | $5,757.70 | $16,450.56 | $3,191.41–$13,160.45 | — | 65% |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI Spine Thoracic WO | $1,803.71 | $12,024.72 | $227.81–$9,619.78 | 52% below | 85% |
| MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MRI Spine Thoracic WO | $4,208.65 | $12,024.72 | $2,332.80–$9,619.78 | — | 65% |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI Spine Cervical WWO | $2,381.40 | $15,876.00 | $336.53–$12,700.80 | 50% below | 85% |
| MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MRI Spine Cervical WWO | $5,556.60 | $15,876.00 | $3,079.94–$12,700.80 | — | 65% |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI Spine Cervical WO | $2,091.10 | $13,940.64 | $227.81–$11,152.51 | 44% below | 85% |
| MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MRI Spine Cervical WO | $4,879.22 | $13,940.64 | $2,704.48–$11,152.51 | — | 65% |
| MRI of the pelvis without and with contrast CPT 72197 MRI Pelvis WWO | $1,605.26 | $10,701.72 | $336.53–$8,561.38 | 57% below | 85% |
| MRI of the pelvis without and with contrast inpatient CPT 72197 MRI Pelvis WWO | $3,745.60 | $10,701.72 | $2,076.13–$8,561.38 | — | 65% |
| MRI of the pelvis, no contrast dye CPT 72195 MRI Pelvis WO | $1,041.34 | $6,942.24 | $227.64–$5,553.79 | 68% below | 85% |
| MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI Pelvis WO | $2,429.78 | $6,942.24 | $1,346.79–$5,553.79 | — | 65% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI Shoulder Right WO | $1,859.27 | $12,395.16 | $227.98–$9,916.13 | 44% below | 85% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI Elbow Left WO | $1,859.27 | $12,395.16 | $227.98–$9,916.13 | 44% below | 85% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI Elbow Right WO | $1,859.27 | $12,395.16 | $227.98–$9,916.13 | 44% below | 85% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI Shoulder Left WO | $1,859.27 | $12,395.16 | $227.98–$9,916.13 | 44% below | 85% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI Wrist Left WO | $1,859.27 | $12,395.16 | $227.98–$9,916.13 | 44% below | 85% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI Wrist Right WO | $1,859.27 | $12,395.16 | $227.98–$9,916.13 | 44% below | 85% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI Elbow Left WO | $4,338.31 | $12,395.16 | $2,404.66–$9,916.13 | — | 65% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI Wrist Left WO | $4,338.31 | $12,395.16 | $2,404.66–$9,916.13 | — | 65% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI Shoulder Right WO | $4,338.31 | $12,395.16 | $2,404.66–$9,916.13 | — | 65% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI Shoulder Left WO | $4,338.31 | $12,395.16 | $2,404.66–$9,916.13 | — | 65% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI Elbow Right WO | $4,338.31 | $12,395.16 | $2,404.66–$9,916.13 | — | 65% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI Wrist Right WO | $4,338.31 | $12,395.16 | $2,404.66–$9,916.13 | — | 65% |
| Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 XR Spine Cervical Minimum 4 V DR | $637.96 | $4,253.04 | $28.87–$3,402.43 | 28% below | 85% |
| Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 XR Spine Cervical Minimum 4 V DR | $1,488.56 | $4,253.04 | $825.09–$3,402.43 | — | 65% |
| Neck soft tissue CT scan with contrast CPT 70491 CT Soft Tissue Neck W | $1,503.68 | $10,024.56 | $167.74–$8,019.65 | 55% below | 85% |
| Neck soft tissue CT scan with contrast inpatient CPT 70491 CT Soft Tissue Neck W | $3,508.60 | $10,024.56 | $1,944.76–$8,019.65 | — | 65% |
| Neck soft tissue CT scan without contrast CPT 70490 CT Soft Tissue Neck WO | $919.03 | $6,126.84 | $100.21–$4,901.47 | 69% below | 85% |
| Neck soft tissue CT scan without contrast inpatient CPT 70490 CT Soft Tissue Neck WO | $2,144.39 | $6,126.84 | $1,188.61–$4,901.47 | — | 65% |
| Neck soft tissue X-ray CPT 70360 XR Neck Soft Tissue DR | $342.14 | $2,280.96 | $19.39–$1,824.77 | 39% below | 85% |
| Neck soft tissue X-ray inpatient CPT 70360 XR Neck Soft Tissue DR | $798.34 | $2,280.96 | $442.51–$1,824.77 | — | 65% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 78452 NM-MYOCRD SPECT MUL | $1,587.28 | $10,581.84 | $539.32–$8,465.47 | 71% below | 85% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM Myocardial Perfusion Rest Multi 1 | $1,587.28 | $10,581.84 | $539.32–$8,465.47 | 71% below | 85% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM Myocardial Perfusion RestStr Mult Sc1 - NM Myoc | $1,587.28 | $10,581.84 | $539.32–$8,465.47 | 71% below | 85% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM Myocardial Perfusion Stress Multi 1 | $1,587.28 | $10,581.84 | $539.32–$8,465.47 | 71% below | 85% |
| Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 NM Myocardial Perfusion Rest Multi 1 | $3,703.64 | $10,581.84 | $2,052.88–$8,465.47 | — | 65% |
| Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 NM Myocardial Perfusion Stress Multi 1 | $3,703.64 | $10,581.84 | $2,052.88–$8,465.47 | — | 65% |
| Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 78452 NM-MYOCRD SPECT MUL | $3,703.64 | $10,581.84 | $2,052.88–$8,465.47 | — | 65% |
| Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 NM Myocardial Perfusion RestStr Mult Sc1 - NM Myoc | $3,703.64 | $10,581.84 | $2,052.88–$8,465.47 | — | 65% |
| Pelvic CT scan without contrast CPT 72192 CT Pelvis WO | $933.93 | $6,226.20 | $99.90–$4,980.96 | 69% below | 85% |
| Pelvic CT scan without contrast inpatient CPT 72192 CT Pelvis WO | $2,179.17 | $6,226.20 | $1,207.88–$4,980.96 | — | 65% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US Pelvis Non OB FU | $210.44 | $1,402.92 | $41.71–$1,368.00 | 76% below | 85% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US Pelvis Non OB Limited | $210.44 | $1,402.92 | $41.71–$1,368.00 | 76% below | 85% |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US Pelvis Non OB FU | $491.02 | $1,402.92 | $272.17–$1,122.34 | — | 65% |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US Pelvis Non OB Limited | $491.02 | $1,402.92 | $272.17–$1,122.34 | — | 65% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US Pelvis Non OB Complete | $705.67 | $4,704.48 | $100.55–$3,763.58 | 47% below | 85% |
| Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US Pelvis Non OB Complete | $1,646.57 | $4,704.48 | $912.67–$3,763.58 | — | 65% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US Pregnancy After 1st Trimester Transabdominal | $470.77 | $3,138.48 | $100.55–$2,510.78 | 42% below | 85% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US Pregnancy After 1st Trimester Transabdominal | $1,098.47 | $3,138.48 | $608.87–$2,510.78 | — | 65% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US Pregnancy 1st Trimester Transabdominal | $397.87 | $2,652.48 | $100.38–$2,121.98 | 47% below | 85% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 US Pregnancy 1st Trimester Transabdominal | $928.37 | $2,652.48 | $514.58–$2,121.98 | — | 65% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US Pregnancy Limited | $289.17 | $1,927.80 | $68.43–$1,542.24 | 55% below | 85% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 US Pregnancy Limited | $674.73 | $1,927.80 | $373.99–$1,542.24 | — | 65% |
| Rib X-ray, one side, 2 views one side CPT 71100 XR Ribs 2 V Left DR | $342.14 | $2,280.96 | $23.76–$1,824.77 | 41% below | 85% |
| Rib X-ray, one side, 2 views one side CPT 71100 XR Ribs 2 V Right DR | $342.14 | $2,280.96 | $23.76–$1,824.77 | 41% below | 85% |
| Rib X-ray, one side, 2 views inpatient one side CPT 71100 XR Ribs 2 V Right DR | $798.34 | $2,280.96 | $442.51–$1,824.77 | — | 65% |
| Rib X-ray, one side, 2 views inpatient one side CPT 71100 XR Ribs 2 V Left DR | $798.34 | $2,280.96 | $442.51–$1,824.77 | — | 65% |
| Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 XR Ribs w PA Chest Left Min 3 V DR | $342.14 | $2,280.96 | $28.17–$1,824.77 | 50% below | 85% |
| Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 XR Ribs w PA Chest Right Min 3 V DR | $342.14 | $2,280.96 | $28.17–$1,824.77 | 50% below | 85% |
| Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 XR Ribs w PA Chest Right Min 3 V DR | $798.34 | $2,280.96 | $442.51–$1,824.77 | — | 65% |
| Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 XR Ribs w PA Chest Left Min 3 V DR | $798.34 | $2,280.96 | $442.51–$1,824.77 | — | 65% |
| Screening mammogram, both breasts both sides CPT 77067 MG Mammo Screen Bilateral WWO CAD CM | $183.71 | $1,224.72 | $80.18–$979.78 | — | 85% |
| Screening mammogram, both breasts one side CPT 77067 MG Mammo Screen Left WWO CAD CM | $183.71 | $1,224.72 | $80.18–$979.78 | 54% below | 85% |
| Screening mammogram, both breasts one side CPT 77067 MG Mammo Screen Right WWO CAD CM | $183.71 | $1,224.72 | $80.18–$979.78 | 54% below | 85% |
| Screening mammogram, both breasts inpatient both sides CPT 77067 MG Mammo Screen Bilateral WWO CAD CM | $428.65 | $1,224.72 | $237.60–$979.78 | — | 65% |
| Screening mammogram, both breasts inpatient one side CPT 77067 MG Mammo Screen Right WWO CAD CM | $428.65 | $1,224.72 | $237.60–$979.78 | — | 65% |
| Screening mammogram, both breasts inpatient one side CPT 77067 MG Mammo Screen Left WWO CAD CM | $428.65 | $1,224.72 | $237.60–$979.78 | — | 65% |
| Shoulder X-ray, complete, 2 or more views both sides CPT 73030 XR Shoulder Comp Min 2 V Bilateral DR | $374.06 | $2,493.72 | $20.08–$1,994.98 | — | 85% |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR Shoulder Complete Min 2 V Left DR | $374.06 | $2,493.72 | $20.08–$1,994.98 | 49% below | 85% |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR Shoulder Complete Min 2 V Right DR | $374.06 | $2,493.72 | $20.08–$1,994.98 | 49% below | 85% |
| Shoulder X-ray, complete, 2 or more views inpatient both sides CPT 73030 XR Shoulder Comp Min 2 V Bilateral DR | $872.80 | $2,493.72 | $483.78–$1,994.98 | — | 65% |
| Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 XR Shoulder Complete Min 2 V Right DR | $872.80 | $2,493.72 | $483.78–$1,994.98 | — | 65% |
| Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 XR Shoulder Complete Min 2 V Left DR | $872.80 | $2,493.72 | $483.78–$1,994.98 | — | 65% |
| Sinus X-ray, complete, 3 or more views CPT 70220 XR Sinuses Paranasal Complete DR | $476.60 | $3,177.36 | $23.05–$2,541.89 | 44% below | 85% |
| Sinus X-ray, complete, 3 or more views inpatient CPT 70220 XR Sinuses Paranasal Complete DR | $1,112.08 | $3,177.36 | $616.41–$2,541.89 | — | 65% |
| Skull X-ray, fewer than 4 views CPT 70250 XR Skull Less Than 4 V DR | $349.27 | $2,328.48 | $19.39–$1,862.78 | 45% below | 85% |
| Skull X-ray, fewer than 4 views inpatient CPT 70250 XR Skull Less Than 4 V DR | $814.97 | $2,328.48 | $451.73–$1,862.78 | — | 65% |
| Sleep study in a lab (polysomnography) CPT 95810 POLYSOMNOGRAPHY, 4 OR MORE | $1,285.77 | $8,571.81 | $469.15–$13,658.00 | 76% below | 85% |
| Sleep study in a lab (polysomnography) CPT 95810 CHRG - POLYSOMNO GT4 GE6YO | $1,388.18 | $9,254.52 | $469.15–$7,403.62 | 74% below | 85% |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 CHRG - POLYSOMNO GT4 GE6YO | $3,239.08 | $9,254.52 | $1,795.38–$7,403.62 | — | 65% |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 RF Modified Barium Swallow | $452.30 | $3,015.36 | $55.98–$2,412.29 | 54% below | 85% |
| Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 RF Modified Barium Swallow | $1,055.38 | $3,015.36 | $584.98–$2,412.29 | — | 65% |
| Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 XR Femur Minimum 2 Views Left DR | $286.90 | $1,912.68 | $19.39–$1,530.14 | 45% below | 85% |
| Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 XR Femur Minimum 2 Views Right DR | $286.90 | $1,912.68 | $19.39–$1,530.14 | 45% below | 85% |
| Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 XR Femur Minimum 2 Views Left DR | $669.44 | $1,912.68 | $371.06–$1,530.14 | — | 65% |
| Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 XR Femur Minimum 2 Views Right DR | $669.44 | $1,912.68 | $371.06–$1,530.14 | — | 65% |
| Thoracic spine (mid back) CT scan without contrast CPT 72128 CT Spine Thoracic WO | $1,494.13 | $9,960.84 | $99.90–$7,968.67 | 50% below | 85% |
| Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 CT Spine Thoracic WO | $3,486.29 | $9,960.84 | $1,932.40–$7,968.67 | — | 65% |
| Toe X-ray, 2 or more views one side CPT 73660 XR Toes 4th Digit Min 2 V Right DR | $312.50 | $2,083.32 | $14.26–$1,666.66 | 36% below | 85% |
| Toe X-ray, 2 or more views one side CPT 73660 XR Toes 2nd Digit Min 2 V Right DR | $312.50 | $2,083.32 | $14.26–$1,666.66 | 36% below | 85% |
| Toe X-ray, 2 or more views one side CPT 73660 XR Toes 2nd Digit Min 2 V Left DR | $312.50 | $2,083.32 | $14.26–$1,666.66 | 36% below | 85% |
| Toe X-ray, 2 or more views one side CPT 73660 XR Toes Great Min 2 V Right DR | $312.50 | $2,083.32 | $14.26–$1,666.66 | 36% below | 85% |
| Toe X-ray, 2 or more views one side CPT 73660 XR Toes Great Min 2 V Left DR | $312.50 | $2,083.32 | $14.26–$1,666.66 | 36% below | 85% |
| Toe X-ray, 2 or more views one side CPT 73660 XR Toes 3rd Digit Min 2 V Right DR | $312.50 | $2,083.32 | $14.26–$1,666.66 | 36% below | 85% |
| Toe X-ray, 2 or more views one side CPT 73660 XR Toes 5th Digit Min 2 V Right DR | $312.50 | $2,083.32 | $14.26–$1,666.66 | 36% below | 85% |
| Toe X-ray, 2 or more views one side CPT 73660 XR Toes 5th Digit Min 2 V Left DR | $312.50 | $2,083.32 | $14.26–$1,666.66 | 36% below | 85% |
| Toe X-ray, 2 or more views one side CPT 73660 XR Toes 4th Digit Min 2 V Left DR | $312.50 | $2,083.32 | $14.26–$1,666.66 | 36% below | 85% |
| Toe X-ray, 2 or more views one side CPT 73660 XR Toes 3rd Digit Min 2 V Left DR | $312.50 | $2,083.32 | $14.26–$1,666.66 | 36% below | 85% |
| Toe X-ray, 2 or more views inpatient one side CPT 73660 XR Toes 3rd Digit Min 2 V Left DR | $729.16 | $2,083.32 | $404.16–$1,666.66 | — | 65% |
| Toe X-ray, 2 or more views inpatient one side CPT 73660 XR Toes 2nd Digit Min 2 V Left DR | $729.16 | $2,083.32 | $404.16–$1,666.66 | — | 65% |
| Toe X-ray, 2 or more views inpatient one side CPT 73660 XR Toes 2nd Digit Min 2 V Right DR | $729.16 | $2,083.32 | $404.16–$1,666.66 | — | 65% |
| Toe X-ray, 2 or more views inpatient one side CPT 73660 XR Toes 3rd Digit Min 2 V Right DR | $729.16 | $2,083.32 | $404.16–$1,666.66 | — | 65% |
| Toe X-ray, 2 or more views inpatient one side CPT 73660 XR Toes 4th Digit Min 2 V Left DR | $729.16 | $2,083.32 | $404.16–$1,666.66 | — | 65% |
| Toe X-ray, 2 or more views inpatient one side CPT 73660 XR Toes 4th Digit Min 2 V Right DR | $729.16 | $2,083.32 | $404.16–$1,666.66 | — | 65% |
| Toe X-ray, 2 or more views inpatient one side CPT 73660 XR Toes 5th Digit Min 2 V Left DR | $729.16 | $2,083.32 | $404.16–$1,666.66 | — | 65% |
| Toe X-ray, 2 or more views inpatient one side CPT 73660 XR Toes 5th Digit Min 2 V Right DR | $729.16 | $2,083.32 | $404.16–$1,666.66 | — | 65% |
| Toe X-ray, 2 or more views inpatient one side CPT 73660 XR Toes Great Min 2 V Left DR | $729.16 | $2,083.32 | $404.16–$1,666.66 | — | 65% |
| Toe X-ray, 2 or more views inpatient one side CPT 73660 XR Toes Great Min 2 V Right DR | $729.16 | $2,083.32 | $404.16–$1,666.66 | — | 65% |
| Transvaginal pelvic ultrasound CPT 76830 US Transvaginal Non OB | $116.15 | $774.36 | $72.79–$1,368.00 | 88% below | 85% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 US Transvaginal Non OB | $271.03 | $774.36 | $150.23–$619.49 | — | 65% |
| Transvaginal ultrasound during pregnancy CPT 76817 US Pregnancy Transvaginal | $98.50 | $656.64 | $78.66–$1,368.00 | 89% below | 85% |
| Transvaginal ultrasound during pregnancy inpatient CPT 76817 US Pregnancy Transvaginal | $229.82 | $656.64 | $127.39–$525.31 | — | 65% |
| Ultrasound of the abdomen, complete CPT 76700 US Abdomen Complete | $683.32 | $4,555.44 | $100.55–$3,644.35 | 56% below | 85% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 US Abdomen Complete | $1,594.40 | $4,555.44 | $883.76–$3,644.35 | — | 65% |
| Ultrasound of the scrotum and testicles CPT 76870 US Scrotum Contents | $640.55 | $4,270.32 | $100.55–$3,416.26 | 41% below | 85% |
| Ultrasound of the scrotum and testicles inpatient CPT 76870 US Scrotum Contents | $1,494.61 | $4,270.32 | $828.44–$3,416.26 | — | 65% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US Head Neck Soft Tissue | $304.88 | $2,032.56 | $59.62–$1,626.05 | 74% below | 85% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US Thyroid | $304.88 | $2,032.56 | $59.62–$1,626.05 | 74% below | 85% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US Thyroid | $711.40 | $2,032.56 | $394.32–$1,626.05 | — | 65% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US Head Neck Soft Tissue | $711.40 | $2,032.56 | $394.32–$1,626.05 | — | 65% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 RF Upper GI w or wo KUB Barium | $427.03 | $2,846.88 | $84.87–$2,277.50 | 62% below | 85% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 RF Upper GI w or wo KUB Gastrografin | $427.03 | $2,846.88 | $84.87–$2,277.50 | 62% below | 85% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 RF Upper GI w or wo KUB Barium | $996.41 | $2,846.88 | $552.29–$2,277.50 | — | 65% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 RF Upper GI w or wo KUB Gastrografin | $996.41 | $2,846.88 | $552.29–$2,277.50 | — | 65% |
| Upper arm X-ray (humerus), 2 views one side CPT 73060 XR Humerus Min 2 V Right DR | $424.60 | $2,830.68 | $17.18–$2,264.54 | 27% below | 85% |
| Upper arm X-ray (humerus), 2 views one side CPT 73060 XR Humerus Min 2 V Left DR | $424.60 | $2,830.68 | $17.18–$2,264.54 | 27% below | 85% |
| Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 XR Humerus Min 2 V Right DR | $990.74 | $2,830.68 | $549.15–$2,264.54 | — | 65% |
| Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 XR Humerus Min 2 V Left DR | $990.74 | $2,830.68 | $549.15–$2,264.54 | — | 65% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 EXTREMITY STUDY | $1,471.59 | $9,810.60 | $100.38–$13,658.00 | 71% above | 85% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US LE Venous Duplex Right | $349.76 | $2,331.72 | $100.38–$1,865.38 | 59% below | 85% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US LE Venous Insufficiency Duplex Right | $349.76 | $2,331.72 | $100.38–$1,865.38 | 59% below | 85% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US LE Venous Insufficiency Duplex Left | $349.76 | $2,331.72 | $100.38–$1,865.38 | 59% below | 85% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US UE Venous Insufficiency Duplex Right | $349.76 | $2,331.72 | $100.38–$1,865.38 | 59% below | 85% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US Lower Extremity Veins Limited Right | $349.76 | $2,331.72 | $100.38–$1,865.38 | 59% below | 85% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US UE Venous Insufficiency Duplex Left | $349.76 | $2,331.72 | $100.38–$1,865.38 | 59% below | 85% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US Upper Extremity Veins Limited Left | $349.76 | $2,331.72 | $100.38–$1,865.38 | 59% below | 85% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US Venous Insufficiency Doppler Left | $349.76 | $2,331.72 | $100.38–$1,865.38 | 59% below | 85% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US Venous Insufficiency Doppler Right | $349.76 | $2,331.72 | $100.38–$1,865.38 | 59% below | 85% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US Upper Extremity Veins Limited Left. | $349.76 | $2,331.72 | $100.38–$1,865.38 | 59% below | 85% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US UE Venous Duplex Right | $349.76 | $2,331.72 | $100.38–$1,865.38 | 59% below | 85% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US UE Venous Duplex Left | $349.76 | $2,331.72 | $100.38–$1,865.38 | 59% below | 85% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US Lower Extremity Veins Limited Left | $349.76 | $2,331.72 | $100.38–$1,865.38 | 59% below | 85% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US Upper Extremity Veins Limited Right | $349.76 | $2,331.72 | $100.38–$1,865.38 | 59% below | 85% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US LE Venous Duplex Left | $349.76 | $2,331.72 | $100.38–$1,865.38 | 59% below | 85% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US Upper Extremity Veins Limited Left. | $816.10 | $2,331.72 | $452.35–$1,865.38 | — | 65% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US Venous Insufficiency Doppler Right | $816.10 | $2,331.72 | $452.35–$1,865.38 | — | 65% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US Venous Insufficiency Doppler Left | $816.10 | $2,331.72 | $452.35–$1,865.38 | — | 65% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US UE Venous Insufficiency Duplex Left | $816.10 | $2,331.72 | $452.35–$1,865.38 | — | 65% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US UE Venous Insufficiency Duplex Right | $816.10 | $2,331.72 | $452.35–$1,865.38 | — | 65% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US LE Venous Insufficiency Duplex Left | $816.10 | $2,331.72 | $452.35–$1,865.38 | — | 65% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US LE Venous Insufficiency Duplex Right | $816.10 | $2,331.72 | $452.35–$1,865.38 | — | 65% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US Upper Extremity Veins Limited Right | $816.10 | $2,331.72 | $452.35–$1,865.38 | — | 65% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US Lower Extremity Veins Limited Right | $816.10 | $2,331.72 | $452.35–$1,865.38 | — | 65% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US Upper Extremity Veins Limited Left | $816.10 | $2,331.72 | $452.35–$1,865.38 | — | 65% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US UE Venous Duplex Right | $816.10 | $2,331.72 | $452.35–$1,865.38 | — | 65% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US UE Venous Duplex Left | $816.10 | $2,331.72 | $452.35–$1,865.38 | — | 65% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US Lower Extremity Veins Limited Left | $816.10 | $2,331.72 | $452.35–$1,865.38 | — | 65% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US LE Venous Duplex Right | $816.10 | $2,331.72 | $452.35–$1,865.38 | — | 65% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US LE Venous Duplex Left | $816.10 | $2,331.72 | $452.35–$1,865.38 | — | 65% |
| Wrist X-ray, 2 views one side CPT 73100 XR Wrist 2 V Left DR | $307.48 | $2,049.84 | $17.89–$1,639.87 | 50% below | 85% |
| Wrist X-ray, 2 views one side CPT 73100 XR Wrist 2 V Right DR | $307.48 | $2,049.84 | $17.89–$1,639.87 | 50% below | 85% |
| Wrist X-ray, 2 views inpatient one side CPT 73100 XR Wrist 2 V Left DR | $717.44 | $2,049.84 | $397.67–$1,639.87 | — | 65% |
| Wrist X-ray, 2 views inpatient one side CPT 73100 XR Wrist 2 V Right DR | $717.44 | $2,049.84 | $397.67–$1,639.87 | — | 65% |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 XR Wrist Complete Min 3 V Right DR | $444.20 | $2,961.36 | $18.63–$2,369.09 | 37% below | 85% |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 XR Wrist Complete Min 3 V Left DR | $444.20 | $2,961.36 | $18.63–$2,369.09 | 37% below | 85% |
| Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 XR Wrist Complete Min 3 V Left DR | $1,036.48 | $2,961.36 | $574.50–$2,369.09 | — | 65% |
| Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 XR Wrist Complete Min 3 V Right DR | $1,036.48 | $2,961.36 | $574.50–$2,369.09 | — | 65% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR Hip Left w Pelvis 2 or 3 Views DR | $283.99 | $1,893.24 | $23.76–$1,514.59 | 51% below | 85% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR Hip Right w Pelvis 2 or 3 Views DR | $283.99 | $1,893.24 | $23.76–$1,514.59 | 51% below | 85% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 XR Hip Right w Pelvis 2 or 3 Views DR | $662.63 | $1,893.24 | $367.29–$1,514.59 | — | 65% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 XR Hip Left w Pelvis 2 or 3 Views DR | $662.63 | $1,893.24 | $367.29–$1,514.59 | — | 65% |
| X-ray of the abdomen, 1 view CPT 74018 XR Abdomen AP KUB DR | $315.25 | $2,101.68 | $19.39–$1,681.34 | 36% below | 85% |
| X-ray of the abdomen, 1 view inpatient CPT 74018 XR Abdomen AP KUB DR | $735.59 | $2,101.68 | $407.73–$1,681.34 | — | 65% |
| X-ray of the ankle, 2 views one side CPT 73600 XR Ankle 2 V Right DR | $326.27 | $2,175.12 | $17.18–$1,740.10 | 33% below | 85% |
| X-ray of the ankle, 2 views one side CPT 73600 XR Ankle 2 V Left DR | $326.27 | $2,175.12 | $17.18–$1,740.10 | 33% below | 85% |
| X-ray of the ankle, 2 views inpatient one side CPT 73600 XR Ankle 2 V Right DR | $761.29 | $2,175.12 | $421.97–$1,740.10 | — | 65% |
| X-ray of the ankle, 2 views inpatient one side CPT 73600 XR Ankle 2 V Left DR | $761.29 | $2,175.12 | $421.97–$1,740.10 | — | 65% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger Min 2 V 4th Digit Left DR | $188.57 | $1,257.12 | $14.95–$1,005.70 | 60% below | 85% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger Min 2 V 3rd Digit Right DR | $188.57 | $1,257.12 | $14.95–$1,005.70 | 60% below | 85% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger Min 2 V Thumb Left DR | $188.57 | $1,257.12 | $14.95–$1,005.70 | 60% below | 85% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger Min 2 V Thumb Right DR | $188.57 | $1,257.12 | $14.95–$1,005.70 | 60% below | 85% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger Min 2 V 5th Digit Right DR | $188.57 | $1,257.12 | $14.95–$1,005.70 | 60% below | 85% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger Min 2 V 2nd Digit Right DR | $188.57 | $1,257.12 | $14.95–$1,005.70 | 60% below | 85% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger Min 2 V 5th Digit Left DR | $188.57 | $1,257.12 | $14.95–$1,005.70 | 60% below | 85% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger Min 2 V 2nd Digit Left DR | $188.57 | $1,257.12 | $14.95–$1,005.70 | 60% below | 85% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger Min 2 V 4th Digit Right DR | $188.57 | $1,257.12 | $14.95–$1,005.70 | 60% below | 85% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger Min 2 V 3rd Digit Left DR | $188.57 | $1,257.12 | $14.95–$1,005.70 | 60% below | 85% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger Min 2 V 4th Digit Left DR | $439.99 | $1,257.12 | $243.88–$1,005.70 | — | 65% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger Min 2 V 3rd Digit Left DR | $439.99 | $1,257.12 | $243.88–$1,005.70 | — | 65% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger Min 2 V 3rd Digit Right DR | $439.99 | $1,257.12 | $243.88–$1,005.70 | — | 65% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger Min 2 V 2nd Digit Right DR | $439.99 | $1,257.12 | $243.88–$1,005.70 | — | 65% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger Min 2 V 2nd Digit Left DR | $439.99 | $1,257.12 | $243.88–$1,005.70 | — | 65% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger Min 2 V Thumb Right DR | $439.99 | $1,257.12 | $243.88–$1,005.70 | — | 65% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger Min 2 V Thumb Left DR | $439.99 | $1,257.12 | $243.88–$1,005.70 | — | 65% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger Min 2 V 5th Digit Right DR | $439.99 | $1,257.12 | $243.88–$1,005.70 | — | 65% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger Min 2 V 5th Digit Left DR | $439.99 | $1,257.12 | $243.88–$1,005.70 | — | 65% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger Min 2 V 4th Digit Right DR | $439.99 | $1,257.12 | $243.88–$1,005.70 | — | 65% |
| X-ray of the foot, 2 views one side CPT 73620 XR Foot 2 V Right DR | $295.16 | $1,967.76 | $16.49–$1,574.21 | 40% below | 85% |
| X-ray of the foot, 2 views one side CPT 73620 XR Foot 2 V Left DR | $295.16 | $1,967.76 | $16.49–$1,574.21 | 40% below | 85% |
| X-ray of the foot, 2 views inpatient one side CPT 73620 XR Foot 2 V Left DR | $688.72 | $1,967.76 | $381.75–$1,574.21 | — | 65% |
| X-ray of the foot, 2 views inpatient one side CPT 73620 XR Foot 2 V Right DR | $688.72 | $1,967.76 | $381.75–$1,574.21 | — | 65% |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 XR Foot Complete Min 3 V Left DR | $340.85 | $2,272.32 | $17.94–$1,817.86 | 43% below | 85% |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 XR Foot Complete Min 3 V Right DR | $340.85 | $2,272.32 | $17.94–$1,817.86 | 43% below | 85% |
| X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 XR Foot Complete Min 3 V Right DR | $795.31 | $2,272.32 | $440.83–$1,817.86 | — | 65% |
| X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 XR Foot Complete Min 3 V Left DR | $795.31 | $2,272.32 | $440.83–$1,817.86 | — | 65% |
| X-ray of the hand, 3 or more views one side CPT 73130 XR Hand Complete Min 3 V Left DR | $356.24 | $2,374.92 | $18.63–$1,899.94 | 44% below | 85% |
| X-ray of the hand, 3 or more views one side CPT 73130 XR Hand Complete Min 3 V Right DR | $356.24 | $2,374.92 | $18.63–$1,899.94 | 44% below | 85% |
| X-ray of the hand, 3 or more views inpatient one side CPT 73130 XR Hand Complete Min 3 V Right DR | $831.22 | $2,374.92 | $460.73–$1,899.94 | — | 65% |
| X-ray of the hand, 3 or more views inpatient one side CPT 73130 XR Hand Complete Min 3 V Left DR | $831.22 | $2,374.92 | $460.73–$1,899.94 | — | 65% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 XR Knee 1 or 2 V Right DR | $282.37 | $1,882.44 | $17.89–$1,505.95 | 53% below | 85% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 XR Knee 1 or 2 V Left DR | $282.37 | $1,882.44 | $17.89–$1,505.95 | 53% below | 85% |
| X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 XR Knee 1 or 2 V Left DR | $658.85 | $1,882.44 | $365.19–$1,505.95 | — | 65% |
| X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 XR Knee 1 or 2 V Right DR | $658.85 | $1,882.44 | $365.19–$1,505.95 | — | 65% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 XR Spine Lumbosacral 2 or 3 V DR | $369.04 | $2,460.24 | $23.76–$1,968.19 | 47% below | 85% |
| X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 XR Spine Lumbosacral 2 or 3 V DR | $861.08 | $2,460.24 | $477.29–$1,968.19 | — | 65% |
| X-ray of the lower back, 4 or more views CPT 72110 XR Spine Lumbosacral Minimum 4 V DR | $620.95 | $4,139.64 | $28.13–$3,311.71 | 45% below | 85% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 XR Spine Lumbosacral Minimum 4 V DR | $1,448.87 | $4,139.64 | $803.09–$3,311.71 | — | 65% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 XR Spine Thoracic 2 V DR | $469.31 | $3,128.76 | $21.57–$2,503.01 | 24% below | 85% |
| X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 XR Spine Thoracic 2 V DR | $1,095.07 | $3,128.76 | $606.98–$2,503.01 | — | 65% |
| X-ray of the nasal bones, 3 or more views CPT 70160 XR Nasal Bones Comp Minimum 3 V DR | $309.58 | $2,063.88 | $18.63–$1,651.10 | 52% below | 85% |
| X-ray of the nasal bones, 3 or more views inpatient CPT 70160 XR Nasal Bones Comp Minimum 3 V DR | $722.36 | $2,063.88 | $400.39–$1,651.10 | — | 65% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 XR Spine Cervical 2 or 3 V DR | $464.45 | $3,096.36 | $23.76–$2,477.09 | 33% below | 85% |
| X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 XR Spine Cervical 2 or 3 V DR | $1,083.73 | $3,096.36 | $600.69–$2,477.09 | — | 65% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 XR Pelvis 1 or 2 V DR | $315.09 | $2,100.60 | $18.63–$1,680.48 | 49% below | 85% |
| X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 XR Pelvis 1 or 2 V DR | $735.21 | $2,100.60 | $407.52–$1,680.48 | — | 65% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 XR Sacrum Coccyx Minimum 2 V DR | $336.64 | $2,244.24 | $18.63–$1,795.39 | 48% below | 85% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 XR Sacrum Coccyx Minimum 2 V DR | $785.48 | $2,244.24 | $435.38–$1,795.39 | — | 65% |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Florida | Off list |
|---|---|---|---|---|---|
| ACTH blood test CPT 82024 Adrenocorticotropic Hormone Plasma (LC) | $20.25 | $135.00 | $17.46–$135.00 | 56% below | 85% |
| ACTH blood test inpatient CPT 82024 Adrenocorticotropic Hormone Plasma (LC) | $47.25 | $135.00 | $26.19–$108.00 | — | 65% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 Alanine Aminotransferase Body Fluid | $13.77 | $91.80 | $4.70–$91.80 | 65% below | 85% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 Alanine Aminotransferase | $13.77 | $91.80 | $4.70–$91.80 | 65% below | 85% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 84460 TRANSFERASE ALT | $13.77 | $91.80 | $4.70–$91.80 | 65% below | 85% |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 Alanine Aminotransferase | $32.13 | $91.80 | $17.81–$73.44 | — | 65% |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 84460 TRANSFERASE ALT | $32.13 | $91.80 | $17.81–$73.44 | — | 65% |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 Alanine Aminotransferase Body Fluid | $32.13 | $91.80 | $17.81–$73.44 | — | 65% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 Aspartate Aminotransferase | $29.16 | $194.40 | $4.60–$194.40 | 47% below | 85% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 Aspartate Aminotransferase Body Fluid | $29.16 | $194.40 | $4.60–$194.40 | 47% below | 85% |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 Aspartate Aminotransferase | $68.04 | $194.40 | $37.71–$155.52 | — | 65% |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 Aspartate Aminotransferase Body Fluid | $68.04 | $194.40 | $37.71–$155.52 | — | 65% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 Acute Viral Hepatitis (HAV,HBV,HCV) LC | $24.95 | $166.32 | $32.27–$166.32 | 85% below | 85% |
| Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 Acute Viral Hepatitis (HAV,HBV,HCV) LC | $58.21 | $166.32 | $32.27–$133.06 | — | 65% |
| Albumin blood test inpatient CPT 82040 82040 ALBUMIN SERUM | $6.05 | $17.28 | $3.35–$13.82 | — | 65% |
| Albumin blood test inpatient CPT 82040 82040 L002238 ALB SER | $6.05 | $17.28 | $3.35–$13.82 | — | 65% |
| Albumin blood test inpatient CPT 82040 82040 L203836 ALBUMIN SERUM | $6.05 | $17.28 | $3.35–$13.82 | — | 65% |
| Albumin blood test inpatient CPT 82040 Albumin Level | $6.05 | $17.28 | $3.35–$13.82 | — | 65% |
| Aldosterone blood test CPT 82088 Aldosterone LCMS Level LC | $21.38 | $142.56 | $27.66–$142.56 | 24% below | 85% |
| Aldosterone blood test inpatient CPT 82088 Aldosterone LCMS Level LC | $49.90 | $142.56 | $27.66–$114.05 | — | 65% |
| Alkaline phosphatase (ALP) blood test inpatient CPT 84075 84075 PHOSPHATASE ALKALINE | $6.43 | $18.36 | $3.56–$14.69 | — | 65% |
| Alkaline phosphatase (ALP) blood test inpatient CPT 84075 Alkaline Phosphatase | $6.43 | $18.36 | $3.56–$14.69 | — | 65% |
| Alkaline phosphatase (ALP) blood test inpatient CPT 84075 84075 L1612 PHOSPHATASE,ALKALINE | $6.43 | $18.36 | $3.56–$14.69 | — | 65% |
| Allergy blood test, specific IgE, per allergen CPT 86003 F262-IgE Eggplant (LC) | $2.54 | $16.91 | $2.91–$16.91 | 67% below | 85% |
| Allergy blood test, specific IgE, per allergen CPT 86003 F256-IgE Walnut Food LC | $2.75 | $18.36 | $2.91–$18.36 | 65% below | 85% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen D pteronyssinus D001 IgE (LC) | $2.75 | $18.36 | $2.91–$18.36 | 65% below | 85% |
| Allergy blood test, specific IgE, per allergen CPT 86003 W001-IgE Ragweed Short/Commo LC | $2.75 | $18.36 | $2.91–$18.36 | 65% below | 85% |
| Allergy blood test, specific IgE, per allergen CPT 86003 F202-IgE Cashew Nut LC | $2.75 | $18.36 | $2.91–$18.36 | 65% below | 85% |
| Allergy blood test, specific IgE, per allergen CPT 86003 F093-IgE Chocolate/Cocoa LC | $2.75 | $18.36 | $2.91–$18.36 | 65% below | 85% |
| Allergy blood test, specific IgE, per allergen CPT 86003 F024-IgE Shrimp LC | $2.75 | $18.36 | $2.91–$18.36 | 65% below | 85% |
| Allergy blood test, specific IgE, per allergen CPT 86003 F020-IgE Almond LC | $2.75 | $18.36 | $2.91–$18.36 | 65% below | 85% |
| Allergy blood test, specific IgE, per allergen CPT 86003 F036-IgE Coconut LC | $2.75 | $18.36 | $2.91–$18.36 | 65% below | 85% |
| Allergy blood test, specific IgE, per allergen CPT 86003 F003-IgE Codfish LC | $2.75 | $18.36 | $2.91–$18.36 | 65% below | 85% |
| Allergy blood test, specific IgE, per allergen CPT 86003 F002-IgE Milk (Cow) LC | $2.75 | $18.36 | $2.91–$18.36 | 65% below | 85% |
| Allergy blood test, specific IgE, per allergen CPT 86003 F013-IgE Peanut LC | $2.75 | $18.36 | $2.91–$18.36 | 65% below | 85% |
| Allergy blood test, specific IgE, per allergen CPT 86003 W016-IgE Marsh Elder Rough LC | $2.75 | $18.36 | $2.91–$18.36 | 65% below | 85% |
| Allergy blood test, specific IgE, per allergen CPT 86003 F201-IgE Pecan Nut LC | $2.75 | $18.36 | $2.91–$18.36 | 65% below | 85% |
| Allergy blood test, specific IgE, per allergen CPT 86003 F041-IgE Salmon LC | $2.75 | $18.36 | $2.91–$18.36 | 65% below | 85% |
| Allergy blood test, specific IgE, per allergen CPT 86003 F010-IgE Sesame Seed LC | $2.75 | $18.36 | $2.91–$18.36 | 65% below | 85% |
| Allergy blood test, specific IgE, per allergen CPT 86003 F014-IgE Soybean LC | $2.75 | $18.36 | $2.91–$18.36 | 65% below | 85% |
| Allergy blood test, specific IgE, per allergen CPT 86003 F004-IgE Wheat LC | $2.75 | $18.36 | $2.91–$18.36 | 65% below | 85% |
| Allergy blood test, specific IgE, per allergen CPT 86003 G017-IgE Bahia Grass LC | $2.75 | $18.36 | $2.91–$18.36 | 65% below | 85% |
| Allergy blood test, specific IgE, per allergen CPT 86003 G006-IgE Timothy LC | $2.75 | $18.36 | $2.91–$18.36 | 65% below | 85% |
| Allergy blood test, specific IgE, per allergen CPT 86003 I006-IgE CockroachGerman LC | $2.75 | $18.36 | $2.91–$18.36 | 65% below | 85% |
| Allergy blood test, specific IgE, per allergen CPT 86003 F203-IgE Pistachio Nut LC | $2.75 | $18.36 | $2.91–$18.36 | 65% below | 85% |
| Allergy blood test, specific IgE, per allergen CPT 86003 86003 L600973 ALLERGEN IGE | $2.75 | $18.36 | $2.91–$18.36 | 65% below | 85% |
| Allergy blood test, specific IgE, per allergen CPT 86003 W020-IgE Nettle LC | $2.75 | $18.36 | $2.91–$18.36 | 65% below | 85% |
| Allergy blood test, specific IgE, per allergen CPT 86003 86003 L601823 ALG IGE QT | $2.75 | $18.36 | $2.91–$18.36 | 65% below | 85% |
| Allergy blood test, specific IgE, per allergen CPT 86003 86003 L62448 ALG IGE QT | $2.75 | $18.36 | $2.91–$18.36 | 65% below | 85% |
| Allergy blood test, specific IgE, per allergen CPT 86003 86003 L600919 ALG IGE QT | $2.75 | $18.36 | $2.91–$18.36 | 65% below | 85% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen M006 IgE Alternaria alternata (LC) | $2.75 | $18.36 | $2.91–$18.36 | 65% below | 85% |
| Allergy blood test, specific IgE, per allergen CPT 86003 T022-IgE Pecan Tree LC | $2.75 | $18.36 | $2.91–$18.36 | 65% below | 85% |
| Allergy blood test, specific IgE, per allergen CPT 86003 F017-IgE Hazelnut/Filbert LC | $2.75 | $18.36 | $2.91–$18.36 | 65% below | 85% |
| Allergy blood test, specific IgE, per allergen CPT 86003 M003-IgE Aspergillus fumigatu LC | $2.75 | $18.36 | $2.91–$18.36 | 65% below | 85% |
| Allergy blood test, specific IgE, per allergen CPT 86003 E001-IgE Cat Hair/Dander LC | $2.75 | $18.36 | $2.91–$18.36 | 65% below | 85% |
| Allergy blood test, specific IgE, per allergen CPT 86003 F001-IgE Egg White LC | $2.75 | $18.36 | $2.91–$18.36 | 65% below | 85% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen D farinae Mite D002 IgE (LC) | $2.75 | $18.36 | $2.91–$18.36 | 65% below | 85% |
| Allergy blood test, specific IgE, per allergen CPT 86003 E005-IgE Dog Hair/Dander LC | $2.75 | $18.36 | $2.91–$18.36 | 65% below | 85% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F262-IgE Eggplant (LC) | $5.92 | $16.91 | $3.28–$13.53 | — | 65% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F202-IgE Cashew Nut LC | $6.43 | $18.36 | $3.56–$14.69 | — | 65% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F001-IgE Egg White LC | $6.43 | $18.36 | $3.56–$14.69 | — | 65% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F256-IgE Walnut Food LC | $6.43 | $18.36 | $3.56–$14.69 | — | 65% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 W016-IgE Marsh Elder Rough LC | $6.43 | $18.36 | $3.56–$14.69 | — | 65% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F017-IgE Hazelnut/Filbert LC | $6.43 | $18.36 | $3.56–$14.69 | — | 65% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 T022-IgE Pecan Tree LC | $6.43 | $18.36 | $3.56–$14.69 | — | 65% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen D pteronyssinus D001 IgE (LC) | $6.43 | $18.36 | $3.56–$14.69 | — | 65% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 M003-IgE Aspergillus fumigatu LC | $6.43 | $18.36 | $3.56–$14.69 | — | 65% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen D farinae Mite D002 IgE (LC) | $6.43 | $18.36 | $3.56–$14.69 | — | 65% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 86003 L601823 ALG IGE QT | $6.43 | $18.36 | $3.56–$14.69 | — | 65% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 E001-IgE Cat Hair/Dander LC | $6.43 | $18.36 | $3.56–$14.69 | — | 65% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 E005-IgE Dog Hair/Dander LC | $6.43 | $18.36 | $3.56–$14.69 | — | 65% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 W001-IgE Ragweed Short/Commo LC | $6.43 | $18.36 | $3.56–$14.69 | — | 65% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen M006 IgE Alternaria alternata (LC) | $6.43 | $18.36 | $3.56–$14.69 | — | 65% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 86003 L600919 ALG IGE QT | $6.43 | $18.36 | $3.56–$14.69 | — | 65% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 86003 L62448 ALG IGE QT | $6.43 | $18.36 | $3.56–$14.69 | — | 65% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 W020-IgE Nettle LC | $6.43 | $18.36 | $3.56–$14.69 | — | 65% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 86003 L600973 ALLERGEN IGE | $6.43 | $18.36 | $3.56–$14.69 | — | 65% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F203-IgE Pistachio Nut LC | $6.43 | $18.36 | $3.56–$14.69 | — | 65% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 I006-IgE CockroachGerman LC | $6.43 | $18.36 | $3.56–$14.69 | — | 65% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 G006-IgE Timothy LC | $6.43 | $18.36 | $3.56–$14.69 | — | 65% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 G017-IgE Bahia Grass LC | $6.43 | $18.36 | $3.56–$14.69 | — | 65% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F004-IgE Wheat LC | $6.43 | $18.36 | $3.56–$14.69 | — | 65% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F014-IgE Soybean LC | $6.43 | $18.36 | $3.56–$14.69 | — | 65% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F010-IgE Sesame Seed LC | $6.43 | $18.36 | $3.56–$14.69 | — | 65% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F041-IgE Salmon LC | $6.43 | $18.36 | $3.56–$14.69 | — | 65% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F201-IgE Pecan Nut LC | $6.43 | $18.36 | $3.56–$14.69 | — | 65% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F013-IgE Peanut LC | $6.43 | $18.36 | $3.56–$14.69 | — | 65% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F002-IgE Milk (Cow) LC | $6.43 | $18.36 | $3.56–$14.69 | — | 65% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F003-IgE Codfish LC | $6.43 | $18.36 | $3.56–$14.69 | — | 65% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F036-IgE Coconut LC | $6.43 | $18.36 | $3.56–$14.69 | — | 65% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F020-IgE Almond LC | $6.43 | $18.36 | $3.56–$14.69 | — | 65% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F024-IgE Shrimp LC | $6.43 | $18.36 | $3.56–$14.69 | — | 65% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F093-IgE Chocolate/Cocoa LC | $6.43 | $18.36 | $3.56–$14.69 | — | 65% |
| Alpha-fetoprotein (AFP) blood test CPT 82105 Alpha Fetoprotein Open Spina Bifida (LC) | $8.75 | $58.32 | $11.31–$58.32 | 74% below | 85% |
| Alpha-fetoprotein (AFP) blood test CPT 82105 82105 L17319 AFP SERUM | $8.75 | $58.32 | $11.31–$58.32 | 74% below | 85% |
| Alpha-fetoprotein (AFP) blood test CPT 82105 Alpha Fetoprotein Tumor Marker (LC) | $8.75 | $58.32 | $11.31–$58.32 | 74% below | 85% |
| Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 Alpha Fetoprotein Open Spina Bifida (LC) | $20.41 | $58.32 | $11.31–$46.66 | — | 65% |
| Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 Alpha Fetoprotein Tumor Marker (LC) | $20.41 | $58.32 | $11.31–$46.66 | — | 65% |
| Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 82105 L17319 AFP SERUM | $20.41 | $58.32 | $11.31–$46.66 | — | 65% |
| Ammonia blood test CPT 82140 Ammonia Level | $30.13 | $200.88 | $12.93–$200.88 | 74% below | 85% |
| Ammonia blood test inpatient CPT 82140 Ammonia Level | $70.31 | $200.88 | $38.97–$160.70 | — | 65% |
| Amylase blood test CPT 82150 Amylase 24 Hour Urine | $23.17 | $154.44 | $5.75–$154.44 | 26% below | 85% |
| Amylase blood test CPT 82150 Amylase Blood | $23.17 | $154.44 | $5.75–$154.44 | 26% below | 85% |
| Amylase blood test CPT 82150 Amylase Urine Timed | $23.17 | $154.44 | $5.75–$154.44 | 26% below | 85% |
| Amylase blood test CPT 82150 Amylase Urine | $23.17 | $154.44 | $5.75–$154.44 | 26% below | 85% |
| Amylase blood test CPT 82150 Amylase Body Fluid | $23.17 | $154.44 | $5.75–$154.44 | 26% below | 85% |
| Amylase blood test CPT 82150 Pancreatic Amylase Blood | $23.17 | $154.44 | $5.75–$154.44 | 26% below | 85% |
| Amylase blood test inpatient CPT 82150 Amylase Urine | $54.05 | $154.44 | $29.96–$123.55 | — | 65% |
| Amylase blood test inpatient CPT 82150 Amylase Urine Timed | $54.05 | $154.44 | $29.96–$123.55 | — | 65% |
| Amylase blood test inpatient CPT 82150 Amylase 24 Hour Urine | $54.05 | $154.44 | $29.96–$123.55 | — | 65% |
| Amylase blood test inpatient CPT 82150 Amylase Body Fluid | $54.05 | $154.44 | $29.96–$123.55 | — | 65% |
| Amylase blood test inpatient CPT 82150 Pancreatic Amylase Blood | $54.05 | $154.44 | $29.96–$123.55 | — | 65% |
| Amylase blood test inpatient CPT 82150 Amylase Blood | $54.05 | $154.44 | $29.96–$123.55 | — | 65% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Cyclic Citrullinated Peptide Ab IgG IgA (LC) | $6.80 | $45.36 | $8.80–$45.36 | 75% below | 85% |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 Cyclic Citrullinated Peptide Ab IgG IgA (LC) | $15.88 | $45.36 | $8.80–$36.29 | — | 65% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 Anti Nuclear Antibodies Direct (LC) | $6.32 | $42.12 | $8.17–$42.12 | 78% below | 85% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 Anti Nuclear Antibody IFA (LC) | $6.32 | $42.12 | $8.17–$42.12 | 78% below | 85% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 Anti Nuclear Antibodies Direct (LC) | $14.74 | $42.12 | $8.17–$33.70 | — | 65% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 Anti Nuclear Antibody IFA (LC) | $14.74 | $42.12 | $8.17–$33.70 | — | 65% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 B Type Natriuretic Peptide | $67.88 | $452.52 | $34.85–$452.52 | 59% below | 85% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 B Type Natriuretic Peptide Prohormone | $67.88 | $452.52 | $34.85–$452.52 | 59% below | 85% |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 B Type Natriuretic Peptide | $158.38 | $452.52 | $87.79–$362.02 | — | 65% |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 B Type Natriuretic Peptide Prohormone | $158.38 | $452.52 | $87.79–$362.02 | — | 65% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Bronchial Wash Culture without Gram Stain | $57.67 | $384.48 | $7.65–$384.48 | 23% below | 85% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 87070 CULTURE BACTERIA OTH | $57.67 | $384.48 | $7.65–$384.48 | 23% below | 85% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Wound Culture without Gram stain | $57.67 | $384.48 | $7.65–$384.48 | 23% below | 85% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Tissue Culture without Gram Stain | $57.67 | $384.48 | $7.65–$384.48 | 23% below | 85% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Throat Culture | $57.67 | $384.48 | $7.65–$384.48 | 23% below | 85% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Sputum Culture without Gram Stain | $57.67 | $384.48 | $7.65–$384.48 | 23% below | 85% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Nasal Culture without Gram Stain | $57.67 | $384.48 | $7.65–$384.48 | 23% below | 85% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Medical Device Culture | $57.67 | $384.48 | $7.65–$384.48 | 23% below | 85% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Genital Culture without Gram Stain | $57.67 | $384.48 | $7.65–$384.48 | 23% below | 85% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Eye Culture without Gram Stain | $57.67 | $384.48 | $7.65–$384.48 | 23% below | 85% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Ear Culture without Gram Stain | $57.67 | $384.48 | $7.65–$384.48 | 23% below | 85% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Cerebrospinal Fluid Culture without Gram Stain | $57.67 | $384.48 | $7.65–$384.48 | 23% below | 85% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Bone Marrow Culture | $57.67 | $384.48 | $7.65–$384.48 | 23% below | 85% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Body Fluid Culture without Gram Stain | $57.67 | $384.48 | $7.65–$384.48 | 23% below | 85% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Sinus Culture without Gram Stain | $57.67 | $384.48 | $7.65–$384.48 | 23% below | 85% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Feeding Tube Culture | $57.67 | $384.48 | $7.65–$384.48 | 23% below | 85% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Trachea Culture without Gram Stain | $57.67 | $384.48 | $7.65–$384.48 | 23% below | 85% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Bone Culture | $57.67 | $384.48 | $7.65–$384.48 | 23% below | 85% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Bronchial Brush Culture without Gram Stain | $57.67 | $384.48 | $7.65–$384.48 | 23% below | 85% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Respiratory Culture without Gram Stain | $57.67 | $384.48 | $7.65–$384.48 | 23% below | 85% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Foreign Body Culture | $57.67 | $384.48 | $7.65–$384.48 | 23% below | 85% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Gastric Culture without Gram Stain | $57.67 | $384.48 | $7.65–$384.48 | 23% below | 85% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Transfusion Reaction Culture | $57.67 | $384.48 | $7.65–$384.48 | 23% below | 85% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Aspirate Culture without Gram Stain | $57.67 | $384.48 | $7.65–$384.48 | 23% below | 85% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Abscess Culture without Gram Stain | $57.67 | $384.48 | $7.65–$384.48 | 23% below | 85% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Bronchial Culture without Gram Stain | $57.67 | $384.48 | $7.65–$384.48 | 23% below | 85% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Aerobic Culture without Gram Stain | $57.67 | $384.48 | $7.65–$384.48 | 23% below | 85% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Nasopharyngeal Culture without Gram Stain | $57.67 | $384.48 | $7.65–$384.48 | 23% below | 85% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Miscellaneous Culture without Gram Stain | $57.67 | $384.48 | $7.65–$384.48 | 23% below | 85% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 zzEnvironmental Culture | $57.67 | $384.48 | $7.65–$384.48 | 23% below | 85% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Catheter Tip Culture | $57.67 | $384.48 | $7.65–$384.48 | 23% below | 85% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Sinus Culture without Gram Stain | $134.57 | $384.48 | $74.59–$307.58 | — | 65% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Bone Culture | $134.57 | $384.48 | $74.59–$307.58 | — | 65% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Bronchial Wash Culture without Gram Stain | $134.57 | $384.48 | $74.59–$307.58 | — | 65% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Bronchial Brush Culture without Gram Stain | $134.57 | $384.48 | $74.59–$307.58 | — | 65% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Trachea Culture without Gram Stain | $134.57 | $384.48 | $74.59–$307.58 | — | 65% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Respiratory Culture without Gram Stain | $134.57 | $384.48 | $74.59–$307.58 | — | 65% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Foreign Body Culture | $134.57 | $384.48 | $74.59–$307.58 | — | 65% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Catheter Tip Culture | $134.57 | $384.48 | $74.59–$307.58 | — | 65% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Ear Culture without Gram Stain | $134.57 | $384.48 | $74.59–$307.58 | — | 65% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Eye Culture without Gram Stain | $134.57 | $384.48 | $74.59–$307.58 | — | 65% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Genital Culture without Gram Stain | $134.57 | $384.48 | $74.59–$307.58 | — | 65% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Medical Device Culture | $134.57 | $384.48 | $74.59–$307.58 | — | 65% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Nasal Culture without Gram Stain | $134.57 | $384.48 | $74.59–$307.58 | — | 65% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Sputum Culture without Gram Stain | $134.57 | $384.48 | $74.59–$307.58 | — | 65% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Throat Culture | $134.57 | $384.48 | $74.59–$307.58 | — | 65% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Tissue Culture without Gram Stain | $134.57 | $384.48 | $74.59–$307.58 | — | 65% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Wound Culture without Gram stain | $134.57 | $384.48 | $74.59–$307.58 | — | 65% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 87070 CULTURE BACTERIA OTH | $134.57 | $384.48 | $74.59–$307.58 | — | 65% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Feeding Tube Culture | $134.57 | $384.48 | $74.59–$307.58 | — | 65% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Body Fluid Culture without Gram Stain | $134.57 | $384.48 | $74.59–$307.58 | — | 65% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Bone Marrow Culture | $134.57 | $384.48 | $74.59–$307.58 | — | 65% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Cerebrospinal Fluid Culture without Gram Stain | $134.57 | $384.48 | $74.59–$307.58 | — | 65% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Gastric Culture without Gram Stain | $134.57 | $384.48 | $74.59–$307.58 | — | 65% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Transfusion Reaction Culture | $134.57 | $384.48 | $74.59–$307.58 | — | 65% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Aspirate Culture without Gram Stain | $134.57 | $384.48 | $74.59–$307.58 | — | 65% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Abscess Culture without Gram Stain | $134.57 | $384.48 | $74.59–$307.58 | — | 65% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Bronchial Culture without Gram Stain | $134.57 | $384.48 | $74.59–$307.58 | — | 65% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Aerobic Culture without Gram Stain | $134.57 | $384.48 | $74.59–$307.58 | — | 65% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Nasopharyngeal Culture without Gram Stain | $134.57 | $384.48 | $74.59–$307.58 | — | 65% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Miscellaneous Culture without Gram Stain | $134.57 | $384.48 | $74.59–$307.58 | — | 65% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 zzEnvironmental Culture | $134.57 | $384.48 | $74.59–$307.58 | — | 65% |
| Basic metabolic panel (blood test) CPT 80048 BMPWTCA | $37.26 | $248.40 | $7.51–$248.40 | 89% below | 85% |
| Basic metabolic panel (blood test) inpatient CPT 80048 BMPWTCA | $86.94 | $248.40 | $48.19–$198.72 | — | 65% |
| Bilirubin blood test, total CPT 82247 Bilirubin Total | $22.84 | $152.28 | $4.46–$152.28 | 3% below | 85% |
| Bilirubin blood test, total CPT 82247 Bilirubin Total Body Fluid | $22.84 | $152.28 | $4.46–$152.28 | 3% below | 85% |
| Bilirubin blood test, total CPT 82247 Bilirubin Total Neo | $22.84 | $152.28 | $4.46–$152.28 | 3% below | 85% |
| Bilirubin blood test, total CPT 82247 82247 BILIRUBIN TOTAL | $22.84 | $152.28 | $4.46–$152.28 | 3% below | 85% |
| Bilirubin blood test, total CPT 82247 Bilirubin Total Cord Blood | $22.84 | $152.28 | $4.46–$152.28 | 3% below | 85% |
| Bilirubin blood test, total inpatient CPT 82247 Bilirubin Total Body Fluid | $53.30 | $152.28 | $29.54–$121.82 | — | 65% |
| Bilirubin blood test, total inpatient CPT 82247 82247 BILIRUBIN TOTAL | $53.30 | $152.28 | $29.54–$121.82 | — | 65% |
| Bilirubin blood test, total inpatient CPT 82247 Bilirubin Total | $53.30 | $152.28 | $29.54–$121.82 | — | 65% |
| Bilirubin blood test, total inpatient CPT 82247 Bilirubin Total Neo | $53.30 | $152.28 | $29.54–$121.82 | — | 65% |
| Bilirubin blood test, total inpatient CPT 82247 Bilirubin Total Cord Blood | $53.30 | $152.28 | $29.54–$121.82 | — | 65% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 $APRL 88305 Bill Surg Path Gross Lvl4 | $117.29 | $781.92 | $32.70–$625.54 | 1% above | 85% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 88305 AP Bill Surgical Pathology Level IV Complexi | $117.29 | $781.92 | $32.70–$625.54 | 1% above | 85% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 88305 AP Bill Surgical Pathology Level IV Complexi | $273.67 | $781.92 | $151.69–$625.54 | — | 65% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 $APRL 88305 Bill Surg Path Gross Lvl4 | $273.67 | $781.92 | $151.69–$625.54 | — | 65% |
| Blood culture for bacteria CPT 87040 Blood Culture | $43.42 | $289.44 | $9.16–$289.44 | 87% below | 85% |
| Blood culture for bacteria inpatient CPT 87040 Blood Culture | $101.30 | $289.44 | $56.15–$231.55 | — | 65% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 COLLECTION: Venous Draw Chg BCE | $4.54 | $30.24 | $2.70–$30.24 | 76% below | 85% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 COLLECTION: Venous Draw Chg | $4.54 | $30.24 | $2.70–$30.24 | 76% below | 85% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 DRAWING BLOOD | $1,382.04 | $9,213.60 | $8.64–$13,658.00 | 7201% above | 85% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 $ Contract Collection Charge Blood | $3.50 | $10.00 | $1.94–$8.00 | — | 65% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 COLLECTION: Venous Draw Chg BCE | $10.58 | $30.24 | $5.87–$24.19 | — | 65% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 COLLECTION: Venous Draw Chg | $10.58 | $30.24 | $5.87–$24.19 | — | 65% |
| Blood glucose (sugar) test CPT 82947 82947 GLUCOSE,SER PL OR WB | $20.25 | $135.00 | $3.49–$135.00 | 55% below | 85% |
| Blood glucose (sugar) test CPT 82947 .GTT 2nd Hr OB | $20.25 | $135.00 | $3.49–$135.00 | 55% below | 85% |
| Blood glucose (sugar) test CPT 82947 Glucose 3 Hour Postprandial | $20.25 | $135.00 | $3.49–$135.00 | 55% below | 85% |
| Blood glucose (sugar) test CPT 82947 Glucose Level | $20.25 | $135.00 | $3.49–$135.00 | 55% below | 85% |
| Blood glucose (sugar) test CPT 82947 Glucose 4 Hour Postprandial | $20.25 | $135.00 | $3.49–$135.00 | 55% below | 85% |
| Blood glucose (sugar) test CPT 82947 .GTT 3rd Hr OB | $20.25 | $135.00 | $3.49–$135.00 | 55% below | 85% |
| Blood glucose (sugar) test CPT 82947 .Glucose Fasting | $20.25 | $135.00 | $3.49–$135.00 | 55% below | 85% |
| Blood glucose (sugar) test CPT 82947 .Glucose POC | $20.25 | $135.00 | $3.49–$135.00 | 55% below | 85% |
| Blood glucose (sugar) test inpatient CPT 82947 Glucose 4 Hour Postprandial | $47.25 | $135.00 | $26.19–$108.00 | — | 65% |
| Blood glucose (sugar) test inpatient CPT 82947 Glucose 3 Hour Postprandial | $47.25 | $135.00 | $26.19–$108.00 | — | 65% |
| Blood glucose (sugar) test inpatient CPT 82947 Glucose Level | $47.25 | $135.00 | $26.19–$108.00 | — | 65% |
| Blood glucose (sugar) test inpatient CPT 82947 .Glucose Fasting | $47.25 | $135.00 | $26.19–$108.00 | — | 65% |
| Blood glucose (sugar) test inpatient CPT 82947 82947 GLUCOSE,SER PL OR WB | $47.25 | $135.00 | $26.19–$108.00 | — | 65% |
| Blood glucose (sugar) test inpatient CPT 82947 .Glucose POC | $47.25 | $135.00 | $26.19–$108.00 | — | 65% |
| Blood glucose (sugar) test inpatient CPT 82947 .GTT 3rd Hr OB | $47.25 | $135.00 | $26.19–$108.00 | — | 65% |
| Blood glucose (sugar) test inpatient CPT 82947 .GTT 2nd Hr OB | $47.25 | $135.00 | $26.19–$108.00 | — | 65% |
| Blood lead test CPT 83655 83655 L7492 LEAD | $6.32 | $42.12 | $8.17–$42.12 | 42% below | 85% |
| Blood lead test CPT 83655 83655 L42580 LEAD | $6.32 | $42.12 | $8.17–$42.12 | 42% below | 85% |
| Blood lead test CPT 83655 Lead Blood Adult (LC) | $6.32 | $42.12 | $8.17–$42.12 | 42% below | 85% |
| Blood lead test CPT 83655 83655 LEAD | $6.32 | $42.12 | $8.17–$42.12 | 42% below | 85% |
| Blood lead test CPT 83655 83655 L7046 LEAD | $6.32 | $42.12 | $8.17–$42.12 | 42% below | 85% |
| Blood lead test inpatient CPT 83655 83655 L7492 LEAD | $14.74 | $42.12 | $8.17–$33.70 | — | 65% |
| Blood lead test inpatient CPT 83655 83655 L7046 LEAD | $14.74 | $42.12 | $8.17–$33.70 | — | 65% |
| Blood lead test inpatient CPT 83655 Lead Blood Adult (LC) | $14.74 | $42.12 | $8.17–$33.70 | — | 65% |
| Blood lead test inpatient CPT 83655 83655 L42580 LEAD | $14.74 | $42.12 | $8.17–$33.70 | — | 65% |
| Blood lead test inpatient CPT 83655 83655 LEAD | $14.74 | $42.12 | $8.17–$33.70 | — | 65% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HCGQLS | $35.48 | $236.52 | $6.68–$236.52 | 72% below | 85% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 hCG Qual, Urine CQ | $35.48 | $236.52 | $6.68–$236.52 | 72% below | 85% |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 hCG Qual, Urine CQ | $82.78 | $236.52 | $45.88–$189.22 | — | 65% |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HCGQLS | $82.78 | $236.52 | $45.88–$189.22 | — | 65% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BB Bill ABO | $46.01 | $306.72 | $2.69–$306.72 | 3% below | 85% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Ref Lab ABO/Rh | $46.01 | $306.72 | $2.69–$306.72 | 3% below | 85% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 86900 BLOOD TYPING ABO | $46.01 | $306.72 | $2.69–$306.72 | 3% below | 85% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BB Bill ABO Reverse | $46.01 | $306.72 | $2.69–$306.72 | 3% below | 85% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BB Bill ABO Forward | $46.01 | $306.72 | $2.69–$306.72 | 3% below | 85% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 Ref Lab ABO/Rh | $107.35 | $306.72 | $59.50–$245.38 | — | 65% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 BB Bill ABO Forward | $107.35 | $306.72 | $59.50–$245.38 | — | 65% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 BB Bill ABO | $107.35 | $306.72 | $59.50–$245.38 | — | 65% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 BB Bill ABO Reverse | $107.35 | $306.72 | $59.50–$245.38 | — | 65% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 86900 BLOOD TYPING ABO | $107.35 | $306.72 | $59.50–$245.38 | — | 65% |
| Blood urea nitrogen (BUN) test CPT 84520 Blood Urea Nitrogen | $7.78 | $51.84 | $3.51–$51.84 | 83% below | 85% |
| Blood urea nitrogen (BUN) test CPT 84520 Urea Nitrogen Body Fluid | $7.78 | $51.84 | $3.51–$51.84 | 83% below | 85% |
| Blood urea nitrogen (BUN) test inpatient CPT 84520 Urea Nitrogen Body Fluid | $18.14 | $51.84 | $10.06–$41.47 | — | 65% |
| Blood urea nitrogen (BUN) test inpatient CPT 84520 Blood Urea Nitrogen | $18.14 | $51.84 | $10.06–$41.47 | — | 65% |
| C-peptide blood test CPT 84681 C-Peptide Level LC | $10.85 | $72.36 | $14.04–$72.36 | 70% below | 85% |
| C-peptide blood test inpatient CPT 84681 C-Peptide Level LC | $25.33 | $72.36 | $14.04–$57.89 | — | 65% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C Reactive Protein Quant (LC) | $36.77 | $245.16 | $4.60–$245.16 | 49% below | 85% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C Reactive Protein | $36.77 | $245.16 | $4.60–$245.16 | 49% below | 85% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C Reactive Protein Quant (LC) | $85.81 | $245.16 | $47.56–$196.13 | — | 65% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C Reactive Protein | $85.81 | $245.16 | $47.56–$196.13 | — | 65% |
| C. difficile toxin gene test (stool PCR) CPT 87493 Clostridium difficile Toxin PCR | $19.56 | $130.41 | $25.30–$130.41 | 83% below | 85% |
| C. difficile toxin gene test (stool PCR) CPT 87493 Clostridium difficile by DNA Amp | $19.56 | $130.41 | $25.30–$130.41 | 83% below | 85% |
| C. difficile toxin gene test (stool PCR) CPT 87493 Clostridium difficile Toxin A B Amp Probe | $19.56 | $130.41 | $25.30–$130.41 | 83% below | 85% |
| C. difficile toxin gene test (stool PCR) CPT 87493 Verigene C difficile Panel | $19.56 | $130.41 | $25.30–$130.41 | 83% below | 85% |
| C. difficile toxin gene test (stool PCR) CPT 87493 C diff AB PCR | $19.56 | $130.41 | $25.30–$130.41 | 83% below | 85% |
| C. difficile toxin gene test (stool PCR) CPT 87493 C difficile PCR w/reflex Toxin Confirmation | $19.56 | $130.41 | $25.30–$130.41 | 83% below | 85% |
| C. difficile toxin gene test (stool PCR) CPT 87493 C difficile NAA w/reflex Toxin Confirmation | $19.56 | $130.41 | $25.30–$130.41 | 83% below | 85% |
| C. difficile toxin gene test (stool PCR) CPT 87493 Clostridium Difficile Toxin By NAAT RLNI | $19.60 | $130.68 | $25.35–$130.68 | 83% below | 85% |
| C. difficile toxin gene test (stool PCR) inpatient CPT 87493 Clostridium difficile by DNA Amp | $45.64 | $130.41 | $25.30–$104.33 | — | 65% |
| C. difficile toxin gene test (stool PCR) inpatient CPT 87493 Clostridium difficile Toxin A B Amp Probe | $45.64 | $130.41 | $25.30–$104.33 | — | 65% |
| C. difficile toxin gene test (stool PCR) inpatient CPT 87493 Clostridium difficile Toxin PCR | $45.64 | $130.41 | $25.30–$104.33 | — | 65% |
| C. difficile toxin gene test (stool PCR) inpatient CPT 87493 C difficile NAA w/reflex Toxin Confirmation | $45.64 | $130.41 | $25.30–$104.33 | — | 65% |
| C. difficile toxin gene test (stool PCR) inpatient CPT 87493 Verigene C difficile Panel | $45.64 | $130.41 | $25.30–$104.33 | — | 65% |
| C. difficile toxin gene test (stool PCR) inpatient CPT 87493 C difficile PCR w/reflex Toxin Confirmation | $45.64 | $130.41 | $25.30–$104.33 | — | 65% |
| C. difficile toxin gene test (stool PCR) inpatient CPT 87493 C diff AB PCR | $45.64 | $130.41 | $25.30–$104.33 | — | 65% |
| C. difficile toxin gene test (stool PCR) inpatient CPT 87493 Clostridium Difficile Toxin By NAAT RLNI | $45.74 | $130.68 | $25.35–$104.54 | — | 65% |
| CA 19-9 blood test (tumor marker) CPT 86301 CA 19-9 LC | $10.85 | $72.36 | $14.04–$72.36 | 80% below | 85% |
| CA 19-9 blood test (tumor marker) inpatient CPT 86301 CA 19-9 LC | $25.33 | $72.36 | $14.04–$57.89 | — | 65% |
| CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 Cancer Antigen (CA) 125 LC | $25.33 | $72.36 | $14.04–$57.89 | — | 65% |
| Calcium blood test, total CPT 82310 Calcium Urine | $20.25 | $135.00 | $4.58–$135.00 | 59% below | 85% |
| Calcium blood test, total CPT 82310 Calcium, Random Urine (CQ) | $20.25 | $135.00 | $4.58–$135.00 | 59% below | 85% |
| Calcium blood test, total CPT 82310 Calcium Level | $20.25 | $135.00 | $4.58–$135.00 | 59% below | 85% |
| Calcium blood test, total CPT 82310 Calcium BF | $20.25 | $135.00 | $4.58–$135.00 | 59% below | 85% |
| Calcium blood test, total inpatient CPT 82310 Calcium BF | $47.25 | $135.00 | $26.19–$108.00 | — | 65% |
| Calcium blood test, total inpatient CPT 82310 Calcium Level | $47.25 | $135.00 | $26.19–$108.00 | — | 65% |
| Calcium blood test, total inpatient CPT 82310 Calcium, Random Urine (CQ) | $47.25 | $135.00 | $26.19–$108.00 | — | 65% |
| Calcium blood test, total inpatient CPT 82310 Calcium Urine | $47.25 | $135.00 | $26.19–$108.00 | — | 65% |
| Carcinoembryonic antigen (CEA) test CPT 82378 CEA Pericardial Fluid CQ | $10.04 | $66.96 | $12.99–$66.96 | 91% below | 85% |
| Carcinoembryonic antigen (CEA) test CPT 82378 Carcinoembryonic Antigen (LC) | $10.04 | $66.96 | $12.99–$66.96 | 91% below | 85% |
| Carcinoembryonic antigen (CEA) test CPT 82378 CEA CQ | $10.04 | $66.96 | $12.99–$66.96 | 91% below | 85% |
| Carcinoembryonic antigen (CEA) test CPT 82378 Carcinoembryonic Antigen | $10.04 | $66.96 | $12.99–$66.96 | 91% below | 85% |
| Carcinoembryonic antigen (CEA) test inpatient CPT 82378 Carcinoembryonic Antigen | $23.44 | $66.96 | $12.99–$53.57 | — | 65% |
| Carcinoembryonic antigen (CEA) test inpatient CPT 82378 CEA CQ | $23.44 | $66.96 | $12.99–$53.57 | — | 65% |
| Carcinoembryonic antigen (CEA) test inpatient CPT 82378 Carcinoembryonic Antigen (LC) | $23.44 | $66.96 | $12.99–$53.57 | — | 65% |
| Carcinoembryonic antigen (CEA) test inpatient CPT 82378 CEA Pericardial Fluid CQ | $23.44 | $66.96 | $12.99–$53.57 | — | 65% |
| Chickenpox (varicella) immunity blood test CPT 86787 zzVaricella Zoster Virus Ab IgM (LC) | $6.80 | $45.36 | $8.80–$45.36 | 63% below | 85% |
| Chickenpox (varicella) immunity blood test CPT 86787 Varicella Zoster Virus Ab IgG (LC) | $6.80 | $45.36 | $8.80–$45.36 | 63% below | 85% |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 Varicella Zoster Virus Ab IgG (LC) | $15.88 | $45.36 | $8.80–$36.29 | — | 65% |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 zzVaricella Zoster Virus Ab IgM (LC) | $15.88 | $45.36 | $8.80–$36.29 | — | 65% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 87491 L183160 C TRACH AMP | $18.31 | $122.04 | $23.68–$122.04 | 56% below | 85% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 87491 L183194CHLMYD TRACH | $18.31 | $122.04 | $23.68–$122.04 | 56% below | 85% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chlamydia DNA Amplified Probe | $18.31 | $122.04 | $23.68–$122.04 | 56% below | 85% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 87491 CHLMYD TRACH DNA AMP | $18.31 | $122.04 | $23.68–$122.04 | 56% below | 85% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chlamydia DNA Amplified Probe 2 | $18.31 | $122.04 | $23.68–$122.04 | 56% below | 85% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Chlamydia DNA Amplified Probe | $42.71 | $122.04 | $23.68–$97.63 | — | 65% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Chlamydia DNA Amplified Probe 2 | $42.71 | $122.04 | $23.68–$97.63 | — | 65% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 87491 CHLMYD TRACH DNA AMP | $42.71 | $122.04 | $23.68–$97.63 | — | 65% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 87491 L183194CHLMYD TRACH | $42.71 | $122.04 | $23.68–$97.63 | — | 65% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 87491 L183160 C TRACH AMP | $42.71 | $122.04 | $23.68–$97.63 | — | 65% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 80061 L884247 LIPID PANEL | $41.80 | $278.64 | $11.88–$278.64 | 59% below | 85% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID | $41.80 | $278.64 | $11.88–$278.64 | 59% below | 85% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipid Panel with LDL/HDL Ratio | $41.80 | $278.64 | $11.88–$278.64 | 59% below | 85% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Lipid Panel with LDL/HDL Ratio | $97.52 | $278.64 | $54.06–$222.91 | — | 65% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID | $97.52 | $278.64 | $54.06–$222.91 | — | 65% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 80061 L884247 LIPID PANEL | $97.52 | $278.64 | $54.06–$222.91 | — | 65% |
| Complete blood count (CBC) with differential CPT 85025 Complete Blood Count w/ 3 Part Diff Auto | $64.80 | $432.00 | $6.90–$432.00 | 4% below | 85% |
| Complete blood count (CBC) with differential CPT 85025 CBCADIFF | $64.80 | $432.00 | $6.90–$432.00 | 4% below | 85% |
| Complete blood count (CBC) with differential inpatient CPT 85025 Complete Blood Count w/ 3 Part Diff Auto | $151.20 | $432.00 | $83.81–$345.60 | — | 65% |
| Complete blood count (CBC) with differential inpatient CPT 85025 CBCADIFF | $151.20 | $432.00 | $83.81–$345.60 | — | 65% |
| Complete blood count (CBC), no differential CPT 85027 CBC | $37.91 | $252.72 | $5.75–$252.72 | 62% below | 85% |
| Complete blood count (CBC), no differential CPT 85027 85027 CBC W-PLT | $37.91 | $252.72 | $5.75–$252.72 | 62% below | 85% |
| Complete blood count (CBC), no differential inpatient CPT 85027 85027 CBC W-PLT | $88.45 | $252.72 | $49.03–$202.18 | — | 65% |
| Complete blood count (CBC), no differential inpatient CPT 85027 CBC | $88.45 | $252.72 | $49.03–$202.18 | — | 65% |
| Comprehensive metabolic panel (blood test) CPT 80053 CMP | $69.34 | $462.24 | $9.38–$462.24 | 85% below | 85% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 CMP | $161.78 | $462.24 | $89.67–$369.79 | — | 65% |
| Cortisol blood test, total CPT 82533 Cortisol Sendout to LabCorp | $8.59 | $57.24 | $11.10–$57.24 | 87% below | 85% |
| Cortisol blood test, total inpatient CPT 82533 Cortisol Sendout to LabCorp | $20.03 | $57.24 | $11.10–$45.79 | — | 65% |
| Creatine kinase (CK) blood test, total CPT 82550 Creatine Kinase w/Reflex CKMB/Relative Index | $19.93 | $132.84 | $5.78–$132.84 | 73% below | 85% |
| Creatine kinase (CK) blood test, total CPT 82550 82550 L2154 CREATINE KINASE TOTAL | $19.93 | $132.84 | $5.78–$132.84 | 73% below | 85% |
| Creatine kinase (CK) blood test, total CPT 82550 Creatine Kinase | $19.93 | $132.84 | $5.78–$132.84 | 73% below | 85% |
| Creatine kinase (CK) blood test, total CPT 82550 82550 CREATINE KINASE TOTAL | $19.93 | $132.84 | $5.78–$132.84 | 73% below | 85% |
| Creatine kinase (CK) blood test, total inpatient CPT 82550 82550 CREATINE KINASE TOTAL | $46.49 | $132.84 | $25.77–$106.27 | — | 65% |
| Creatine kinase (CK) blood test, total inpatient CPT 82550 Creatine Kinase | $46.49 | $132.84 | $25.77–$106.27 | — | 65% |
| Creatine kinase (CK) blood test, total inpatient CPT 82550 82550 L2154 CREATINE KINASE TOTAL | $46.49 | $132.84 | $25.77–$106.27 | — | 65% |
| Creatine kinase (CK) blood test, total inpatient CPT 82550 Creatine Kinase w/Reflex CKMB/Relative Index | $46.49 | $132.84 | $25.77–$106.27 | — | 65% |
| Creatinine blood test CPT 82565 CREA | $23.81 | $158.76 | $4.54–$158.76 | 56% below | 85% |
| Creatinine blood test CPT 82565 .ISTAT Creatinine Level POC | $23.81 | $158.76 | $4.54–$158.76 | 56% below | 85% |
| Creatinine blood test CPT 82565 ISCREA | $23.81 | $158.76 | $4.54–$158.76 | 56% below | 85% |
| Creatinine blood test inpatient CPT 82565 CREA | $55.57 | $158.76 | $30.80–$127.01 | — | 65% |
| Creatinine blood test inpatient CPT 82565 ISCREA | $55.57 | $158.76 | $30.80–$127.01 | — | 65% |
| Creatinine blood test inpatient CPT 82565 .ISTAT Creatinine Level POC | $55.57 | $158.76 | $30.80–$127.01 | — | 65% |
| Cytomegalovirus (CMV) antibody test CPT 86644 Cytomegalovirus Antibody IgG (LC) | $7.45 | $49.68 | $9.64–$49.68 | 73% below | 85% |
| Cytomegalovirus (CMV) antibody test inpatient CPT 86644 Cytomegalovirus Antibody IgG (LC) | $17.39 | $49.68 | $9.64–$39.74 | — | 65% |
| D-dimer blood test (blood clot marker) CPT 85379 D Dimer Quant | $41.15 | $274.32 | $9.03–$274.32 | 79% below | 85% |
| D-dimer blood test (blood clot marker) inpatient CPT 85379 D Dimer Quant | $96.01 | $274.32 | $53.22–$219.46 | — | 65% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 Dehydroepiandrosterone Sulfate (LC) | $11.66 | $77.76 | $15.09–$77.76 | 74% below | 85% |
| DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 Dehydroepiandrosterone Sulfate (LC) | $27.22 | $77.76 | $15.09–$62.21 | — | 65% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Drug Screen (9) Umbilical Cord Blood (LC) | $13.60 | $90.69 | $17.59–$164.05 | 79% below | 85% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Meconium Panel 8 MedTox RLNI | $115.67 | $771.12 | $55.16–$616.90 | 82% above | 85% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 UDS 8C Qual Auto | $115.67 | $771.12 | $55.16–$616.90 | 82% above | 85% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Meconium 5 Panel (LC) | $115.67 | $771.12 | $55.16–$616.90 | 82% above | 85% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 UBenzQl | $115.67 | $771.12 | $55.16–$616.90 | 82% above | 85% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 UCocQl | $115.67 | $771.12 | $55.16–$616.90 | 82% above | 85% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 UOpiQl | $115.67 | $771.12 | $55.16–$616.90 | 82% above | 85% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 UPCPQl | $115.67 | $771.12 | $55.16–$616.90 | 82% above | 85% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 UDS11QA | $115.67 | $771.12 | $55.16–$616.90 | 82% above | 85% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 UDS10BQualAuto | $115.67 | $771.12 | $55.16–$616.90 | 82% above | 85% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 UBarbQl | $115.67 | $771.12 | $55.16–$616.90 | 82% above | 85% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 UTHCQl | $115.67 | $771.12 | $55.16–$616.90 | 82% above | 85% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 UDS9AQualAuto | $115.67 | $771.12 | $55.16–$616.90 | 82% above | 85% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 UDS10AQualAuto | $115.67 | $771.12 | $55.16–$616.90 | 82% above | 85% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 UDS10QualAuto | $115.67 | $771.12 | $55.16–$616.90 | 82% above | 85% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Hydrocodone Qual Urine | $115.67 | $771.12 | $55.16–$616.90 | 82% above | 85% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Oxycodone Qual Urine | $115.67 | $771.12 | $55.16–$616.90 | 82% above | 85% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Amphetamine Screen, Urine (LC) | $115.67 | $771.12 | $55.16–$616.90 | 82% above | 85% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Benzodiazepine Screen, Urine (LC) | $115.67 | $771.12 | $55.16–$616.90 | 82% above | 85% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 UDS8AQualAuto | $115.67 | $771.12 | $55.16–$616.90 | 82% above | 85% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Urine Drug Screen Panel 7 Qual Auto | $115.67 | $771.12 | $55.16–$616.90 | 82% above | 85% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 UDS13QualAuto | $115.67 | $771.12 | $55.16–$616.90 | 82% above | 85% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Methadone Qual | $115.67 | $771.12 | $55.16–$616.90 | 82% above | 85% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 UAmpQl | $115.67 | $771.12 | $55.16–$616.90 | 82% above | 85% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 UDS12QualAuto | $115.67 | $771.12 | $55.16–$616.90 | 82% above | 85% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 .Differential Smear Review Evaluation | $21.75 | $62.14 | $12.06–$49.71 | — | 65% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Drug Screen (9) Umbilical Cord Blood (LC) | $31.74 | $90.69 | $17.59–$72.55 | — | 65% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 UDS10QualAuto | $269.89 | $771.12 | $149.60–$616.90 | — | 65% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Amphetamine Screen, Urine (LC) | $269.89 | $771.12 | $149.60–$616.90 | — | 65% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 UDS8AQualAuto | $269.89 | $771.12 | $149.60–$616.90 | — | 65% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Benzodiazepine Screen, Urine (LC) | $269.89 | $771.12 | $149.60–$616.90 | — | 65% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 UDS13QualAuto | $269.89 | $771.12 | $149.60–$616.90 | — | 65% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Oxycodone Qual Urine | $269.89 | $771.12 | $149.60–$616.90 | — | 65% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 UDS11QA | $269.89 | $771.12 | $149.60–$616.90 | — | 65% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Urine Drug Screen Panel 7 Qual Auto | $269.89 | $771.12 | $149.60–$616.90 | — | 65% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 UAmpQl | $269.89 | $771.12 | $149.60–$616.90 | — | 65% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 UDS10AQualAuto | $269.89 | $771.12 | $149.60–$616.90 | — | 65% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 UDS10BQualAuto | $269.89 | $771.12 | $149.60–$616.90 | — | 65% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 UDS9AQualAuto | $269.89 | $771.12 | $149.60–$616.90 | — | 65% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Meconium Panel 8 MedTox RLNI | $269.89 | $771.12 | $149.60–$616.90 | — | 65% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 UDS12QualAuto | $269.89 | $771.12 | $149.60–$616.90 | — | 65% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Meconium 5 Panel (LC) | $269.89 | $771.12 | $149.60–$616.90 | — | 65% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Methadone Qual | $269.89 | $771.12 | $149.60–$616.90 | — | 65% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 UTHCQl | $269.89 | $771.12 | $149.60–$616.90 | — | 65% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Hydrocodone Qual Urine | $269.89 | $771.12 | $149.60–$616.90 | — | 65% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 UPCPQl | $269.89 | $771.12 | $149.60–$616.90 | — | 65% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 UOpiQl | $269.89 | $771.12 | $149.60–$616.90 | — | 65% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 UCocQl | $269.89 | $771.12 | $149.60–$616.90 | — | 65% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 UBarbQl | $269.89 | $771.12 | $149.60–$616.90 | — | 65% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 UBenzQl | $269.89 | $771.12 | $149.60–$616.90 | — | 65% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 UDS 8C Qual Auto | $269.89 | $771.12 | $149.60–$616.90 | — | 65% |
| Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 Electrolytes Urine Panel | $41.80 | $278.64 | $6.22–$278.64 | 81% below | 85% |
| Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 LYTES | $41.80 | $278.64 | $6.22–$278.64 | 81% below | 85% |
| Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 LYTES | $97.52 | $278.64 | $54.06–$222.91 | — | 65% |
| Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 Electrolytes Urine Panel | $97.52 | $278.64 | $54.06–$222.91 | — | 65% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 86665 L216655EPST-BARR VCA | $9.40 | $62.64 | $12.15–$62.64 | 67% below | 85% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 86665 L240610 EBV VCA | $9.40 | $62.64 | $12.15–$62.64 | 67% below | 85% |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 86665 L216655EPST-BARR VCA | $21.92 | $62.64 | $12.15–$50.11 | — | 65% |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 86665 L240610 EBV VCA | $21.92 | $62.64 | $12.15–$50.11 | — | 65% |
| Estradiol blood test CPT 82670 Estradiol Sendout to LabCorp | $14.74 | $98.28 | $19.07–$98.28 | 55% below | 85% |
| Estradiol blood test inpatient CPT 82670 Estradiol Sendout to LabCorp | $34.40 | $98.28 | $19.07–$78.62 | — | 65% |
| FSH (follicle-stimulating hormone) test CPT 83001 83001 L28480 FSH | $68.20 | $454.68 | $16.49–$454.68 | 8% above | 85% |
| FSH (follicle-stimulating hormone) test CPT 83001 Follicle Stimulating Hormone (LC) | $68.20 | $454.68 | $16.49–$454.68 | 8% above | 85% |
| FSH (follicle-stimulating hormone) test CPT 83001 Follicle Stimulating Hormone Serum | $68.20 | $454.68 | $16.49–$454.68 | 8% above | 85% |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 Follicle Stimulating Hormone (LC) | $159.14 | $454.68 | $88.21–$363.74 | — | 65% |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 83001 L28480 FSH | $159.14 | $454.68 | $88.21–$363.74 | — | 65% |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 Follicle Stimulating Hormone Serum | $159.14 | $454.68 | $88.21–$363.74 | — | 65% |
| Fecal calprotectin (stool inflammation test) CPT 83993 Calprotectin Feces (LC) | $19.12 | $127.44 | $17.42–$127.44 | 84% below | 85% |
| Fecal calprotectin (stool inflammation test) inpatient CPT 83993 Calprotectin Feces (LC) | $44.60 | $127.44 | $24.72–$101.95 | — | 65% |
| Ferritin blood test (iron stores) CPT 82728 Ferritin | $24.30 | $162.00 | $12.10–$162.00 | 80% below | 85% |
| Ferritin blood test (iron stores) CPT 82728 Ferritin, Serum (LC) | $24.30 | $162.00 | $12.10–$162.00 | 80% below | 85% |
| Ferritin blood test (iron stores) inpatient CPT 82728 Ferritin | $56.70 | $162.00 | $31.43–$129.60 | — | 65% |
| Ferritin blood test (iron stores) inpatient CPT 82728 Ferritin, Serum (LC) | $56.70 | $162.00 | $31.43–$129.60 | — | 65% |
| Fibrinogen blood test CPT 85384 Fibrinogen Level | $48.28 | $321.84 | $6.79–$321.84 | 39% below | 85% |
| Fibrinogen blood test inpatient CPT 85384 Fibrinogen Level | $112.64 | $321.84 | $62.44–$257.47 | — | 65% |
| Folate (folic acid) blood test CPT 82746 Folate Level | $29.16 | $194.40 | $13.05–$194.40 | 77% below | 85% |
| Folate (folic acid) blood test CPT 82746 Folate (Folic Acid) Serum Sendout to LabCorp | $29.16 | $194.40 | $13.05–$194.40 | 77% below | 85% |
| Folate (folic acid) blood test inpatient CPT 82746 Folate (Folic Acid) Serum Sendout to LabCorp | $68.04 | $194.40 | $37.71–$155.52 | — | 65% |
| Folate (folic acid) blood test inpatient CPT 82746 Folate Level | $68.04 | $194.40 | $37.71–$155.52 | — | 65% |
| Free T3 thyroid hormone test CPT 84481 Triiodothyronine 3 Free Serum (LC) | $49.73 | $331.56 | $15.04–$331.56 | 20% below | 85% |
| Free T3 thyroid hormone test CPT 84481 Triiodothyronine 3 Free | $49.73 | $331.56 | $15.04–$331.56 | 20% below | 85% |
| Free T3 thyroid hormone test inpatient CPT 84481 Triiodothyronine 3 Free | $116.05 | $331.56 | $64.32–$265.25 | — | 65% |
| Free T3 thyroid hormone test inpatient CPT 84481 Triiodothyronine 3 Free Serum (LC) | $116.05 | $331.56 | $64.32–$265.25 | — | 65% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 .Thyroxine (T4) Free, Direct, S LC | $58.48 | $389.88 | $8.01–$389.88 | 30% below | 85% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 Thyroxine (T4) Free, Direct, S (LC) | $58.48 | $389.88 | $8.01–$389.88 | 30% below | 85% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 Thyroxine 4 Free | $58.48 | $389.88 | $8.01–$389.88 | 30% below | 85% |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 Thyroxine 4 Free | $136.46 | $389.88 | $75.64–$311.90 | — | 65% |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 Thyroxine (T4) Free, Direct, S (LC) | $136.46 | $389.88 | $75.64–$311.90 | — | 65% |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 .Thyroxine (T4) Free, Direct, S LC | $136.46 | $389.88 | $75.64–$311.90 | — | 65% |
| Free testosterone test CPT 84402 Testosterone Free Direct LC | $13.28 | $88.56 | $17.18–$88.56 | 52% below | 85% |
| Free testosterone test CPT 84402 84402 L140103 TESTOST FREE | $13.28 | $88.56 | $17.18–$88.56 | 52% below | 85% |
| Free testosterone test inpatient CPT 84402 84402 L140103 TESTOST FREE | $31.00 | $88.56 | $17.18–$70.85 | — | 65% |
| Free testosterone test inpatient CPT 84402 Testosterone Free Direct LC | $31.00 | $88.56 | $17.18–$70.85 | — | 65% |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 Gamma Glutamyl Transferase | $12.15 | $81.00 | $6.39–$81.00 | 74% below | 85% |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 Gamma Glutamyl Transferase Body Fluid | $12.15 | $81.00 | $6.39–$81.00 | 74% below | 85% |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 82977 GGT | $12.15 | $81.00 | $6.39–$81.00 | 74% below | 85% |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 Gamma Glutamyl Transferase (LC) | $12.15 | $81.00 | $6.39–$81.00 | 74% below | 85% |
| Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 Gamma Glutamyl Transferase Body Fluid | $28.35 | $81.00 | $15.71–$64.80 | — | 65% |
| Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 Gamma Glutamyl Transferase (LC) | $28.35 | $81.00 | $15.71–$64.80 | — | 65% |
| Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 82977 GGT | $28.35 | $81.00 | $15.71–$64.80 | — | 65% |
| Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 Gamma Glutamyl Transferase | $28.35 | $81.00 | $15.71–$64.80 | — | 65% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 Glucose 2 Hour Postprandial | $37.58 | $250.56 | $4.22–$250.56 | 47% below | 85% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 .GTT 1st Hr OB | $37.58 | $250.56 | $4.22–$250.56 | 47% below | 85% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 Glucose 1 Hr Postprandial | $37.58 | $250.56 | $4.22–$250.56 | 47% below | 85% |
| Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 .GTT 1st Hr OB | $87.70 | $250.56 | $48.61–$200.45 | — | 65% |
| Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 Glucose 2 Hour Postprandial | $87.70 | $250.56 | $48.61–$200.45 | — | 65% |
| Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 Glucose 1 Hr Postprandial | $87.70 | $250.56 | $48.61–$200.45 | — | 65% |
| Glucose tolerance test, 3 samples CPT 82951 .GTT Fasting | $26.08 | $173.88 | $11.43–$173.88 | 79% below | 85% |
| Glucose tolerance test, 3 samples inpatient CPT 82951 .GTT Fasting | $60.86 | $173.88 | $33.73–$139.10 | — | 65% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 87591 L183160 N GONO AMP | $18.31 | $122.04 | $23.68–$122.04 | 56% below | 85% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 87591 L183194N.GONORRHO,DN | $18.31 | $122.04 | $23.68–$122.04 | 56% below | 85% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 87591 L183160 N GONO AMP | $42.71 | $122.04 | $23.68–$97.63 | — | 65% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 87591 L183194N.GONORRHO,DN | $42.71 | $122.04 | $23.68–$97.63 | — | 65% |
| H. pylori antibody blood test CPT 86677 Heliobacter pylori Ab IgG (LC) | $8.91 | $59.40 | $11.52–$59.40 | 73% below | 85% |
| H. pylori antibody blood test inpatient CPT 86677 Heliobacter pylori Ab IgG (LC) | $20.79 | $59.40 | $11.52–$47.52 | — | 65% |
| H. pylori stool antigen test inpatient CPT 87338 Heliobacter pylori Stool Ag EIA (LC) | $17.39 | $49.68 | $9.64–$39.74 | — | 65% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 RNA Real Time PCR (Non-Graph) Sendout to LabCorp | $44.55 | $297.00 | $54.32–$297.00 | 60% below | 85% |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 RNA Real Time PCR (Non-Graph) Sendout to LabCorp | $103.95 | $297.00 | $57.62–$237.60 | — | 65% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hemoglobin A1c | $39.20 | $261.36 | $8.62–$261.36 | 44% below | 85% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hemoglobin A1c (LC) | $39.20 | $261.36 | $8.62–$261.36 | 44% below | 85% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 Hemoglobin A1c (LC) | $91.48 | $261.36 | $50.70–$209.09 | — | 65% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 Hemoglobin A1c | $91.48 | $261.36 | $50.70–$209.09 | — | 65% |
| Hemoglobin blood test CPT 85018 Hemoglobin | $6.80 | $45.36 | $2.10–$45.36 | 88% below | 85% |
| Hemoglobin blood test CPT 85018 85018 HEMOGLOBIN 131 | $6.80 | $45.36 | $2.10–$45.36 | 88% below | 85% |
| Hemoglobin blood test inpatient CPT 85018 Hemoglobin | $15.88 | $45.36 | $8.80–$36.29 | — | 65% |
| Hemoglobin blood test inpatient CPT 85018 85018 HEMOGLOBIN 131 | $15.88 | $45.36 | $8.80–$36.29 | — | 65% |
| Hepatitis B core antibody test (total) CPT 86704 Hepatitis B Core Ab Total (LC) | $6.32 | $42.12 | $8.17–$42.12 | 82% below | 85% |
| Hepatitis B core antibody test (total) inpatient CPT 86704 Hepatitis B Core Ab Total (LC) | $14.74 | $42.12 | $8.17–$33.70 | — | 65% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Hepatitis B Surface Antibody w/Interp | $78.57 | $523.80 | $9.54–$523.80 | 79% above | 85% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Hepatitis B Surface Ab (LC) | $78.57 | $523.80 | $9.54–$523.80 | 79% above | 85% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Hepatitis B Surface Ab w/Interp | $78.57 | $523.80 | $9.54–$523.80 | 79% above | 85% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 Hepatitis B Surface Antibody w/Interp | $183.33 | $523.80 | $101.62–$419.04 | — | 65% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 Hepatitis B Surface Ab w/Interp | $183.33 | $523.80 | $101.62–$419.04 | — | 65% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 Hepatitis B Surface Ab (LC) | $183.33 | $523.80 | $101.62–$419.04 | — | 65% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 Hepatitis B Surface Ag Screen (LC) | $5.18 | $34.56 | $6.70–$34.56 | 86% below | 85% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 Hepatitis B Surface Ag w/Interp | $5.18 | $34.56 | $6.70–$34.56 | 86% below | 85% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 Hepatitis B Surface Antigen | $5.18 | $34.56 | $6.70–$34.56 | 86% below | 85% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 Hepatitis B Surface Ag RLNI | $7.01 | $46.76 | $9.07–$46.76 | 80% below | 85% |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 Hepatitis B Surface Ag w/Interp | $12.10 | $34.56 | $6.70–$27.65 | — | 65% |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 Hepatitis B Surface Antigen | $12.10 | $34.56 | $6.70–$27.65 | — | 65% |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 Hepatitis B Surface Ag Screen (LC) | $12.10 | $34.56 | $6.70–$27.65 | — | 65% |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 Hepatitis B Surface Ag RLNI | $16.37 | $46.76 | $9.07–$37.41 | — | 65% |
| Hepatitis C antibody blood test (screening) CPT 86803 HCV Antibody RFX to Quant PCR (LC) | $78.57 | $523.80 | $12.66–$523.80 | 69% above | 85% |
| Hepatitis C antibody blood test (screening) CPT 86803 Hepatitis C IgG Antibody | $78.57 | $523.80 | $12.66–$523.80 | 69% above | 85% |
| Hepatitis C antibody blood test (screening) CPT 86803 HCAB2 | $78.57 | $523.80 | $12.66–$523.80 | 69% above | 85% |
| Hepatitis C antibody blood test (screening) CPT 86803 Hepatitis C Virus Antibody (LC) | $78.57 | $523.80 | $12.66–$523.80 | 69% above | 85% |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 HCV Antibody RFX to Quant PCR (LC) | $183.33 | $523.80 | $101.62–$419.04 | — | 65% |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 Hepatitis C IgG Antibody | $183.33 | $523.80 | $101.62–$419.04 | — | 65% |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 Hepatitis C Virus Antibody (LC) | $183.33 | $523.80 | $101.62–$419.04 | — | 65% |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 HCAB2 | $183.33 | $523.80 | $101.62–$419.04 | — | 65% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 Hepatitis C Virus RNA Diagnosis LC | $22.52 | $150.12 | $29.12–$150.12 | 80% below | 85% |
| Hepatitis C viral load (HCV RNA) test one side CPT 87522 .HCV RT-PCR, Quant (Non-Graph) LC | $22.52 | $150.12 | $29.12–$150.12 | 80% below | 85% |
| Hepatitis C viral load (HCV RNA) test one side CPT 87522 Hepatitis C Virus RT PCR Quant Non-Graph (LC) | $22.52 | $150.12 | $29.12–$150.12 | 80% below | 85% |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 Hepatitis C Virus RNA Diagnosis LC | $52.54 | $150.12 | $29.12–$120.10 | — | 65% |
| Hepatitis C viral load (HCV RNA) test inpatient one side CPT 87522 Hepatitis C Virus RT PCR Quant Non-Graph (LC) | $52.54 | $150.12 | $29.12–$120.10 | — | 65% |
| Hepatitis C viral load (HCV RNA) test inpatient one side CPT 87522 .HCV RT-PCR, Quant (Non-Graph) LC | $52.54 | $150.12 | $29.12–$120.10 | — | 65% |
| Herpes blood test, HSV-1 antibody CPT 86695 86695 L164099 HSV1 | $6.97 | $46.44 | $9.01–$46.44 | 70% below | 85% |
| Herpes blood test, HSV-1 antibody CPT 86695 Herpes Simplex Virus 1 Specific Antibody IgG (LC) | $6.97 | $46.44 | $9.01–$46.44 | 70% below | 85% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 86695 L164099 HSV1 | $16.25 | $46.44 | $9.01–$37.15 | — | 65% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 Herpes Simplex Virus 1 Specific Antibody IgG (LC) | $16.25 | $46.44 | $9.01–$37.15 | — | 65% |
| Herpes blood test, HSV-2 antibody CPT 86696 HSV Type 2, Type-specific Antibodies, IgG LC | $9.40 | $62.64 | $12.15–$62.64 | 72% below | 85% |
| Herpes blood test, HSV-2 antibody CPT 86696 HSV Type-2 Antibodies IgGwRfxSuppTest (LC) | $10.21 | $68.04 | $13.20–$68.04 | 69% below | 85% |
| Herpes blood test, HSV-2 antibody CPT 86696 86696 L164099 HSV2 | $10.21 | $68.04 | $13.20–$68.04 | 69% below | 85% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HSV Type 2, Type-specific Antibodies, IgG LC | $21.92 | $62.64 | $12.15–$50.11 | — | 65% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 86696 L164099 HSV2 | $23.81 | $68.04 | $13.20–$54.43 | — | 65% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HSV Type-2 Antibodies IgGwRfxSuppTest (LC) | $23.81 | $68.04 | $13.20–$54.43 | — | 65% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 C Reactive Protein Cardiac (LC) | $6.80 | $45.36 | $8.80–$45.36 | 84% below | 85% |
| High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 C Reactive Protein Cardiac (LC) | $15.88 | $45.36 | $8.80–$36.29 | — | 65% |
| Homocysteine blood test inpatient CPT 83090 Homocyst(e)ine Plasma LC | $21.92 | $62.64 | $12.15–$50.11 | — | 65% |
| Insulin blood test CPT 83525 Insulin LC | $5.99 | $39.96 | $7.75–$39.96 | 76% below | 85% |
| Insulin blood test inpatient CPT 83525 Insulin LC | $13.99 | $39.96 | $7.75–$31.97 | — | 65% |
| Iron blood test (serum iron) CPT 83540 83540 IRON | $24.95 | $166.32 | $5.75–$166.32 | 54% below | 85% |
| Iron blood test (serum iron) CPT 83540 IRON | $24.95 | $166.32 | $5.75–$166.32 | 54% below | 85% |
| Iron blood test (serum iron) CPT 83540 83540 L1321 IRON | $24.95 | $166.32 | $5.75–$166.32 | 54% below | 85% |
| Iron blood test (serum iron) inpatient CPT 83540 83540 IRON | $58.21 | $166.32 | $32.27–$133.06 | — | 65% |
| Iron blood test (serum iron) inpatient CPT 83540 83540 L1321 IRON | $58.21 | $166.32 | $32.27–$133.06 | — | 65% |
| Iron blood test (serum iron) inpatient CPT 83540 IRON | $58.21 | $166.32 | $32.27–$133.06 | — | 65% |
| Iron-binding capacity (TIBC) test CPT 83550 83550 L1321 IRON BIND CAP | $26.08 | $173.88 | $7.76–$173.88 | 71% below | 85% |
| Iron-binding capacity (TIBC) test CPT 83550 Total Iron Binding Capacity DM | $26.08 | $173.88 | $7.76–$173.88 | 71% below | 85% |
| Iron-binding capacity (TIBC) test CPT 83550 83550 IRON BINDING CAPACIT | $26.08 | $173.88 | $7.76–$173.88 | 71% below | 85% |
| Iron-binding capacity (TIBC) test inpatient CPT 83550 Total Iron Binding Capacity DM | $60.86 | $173.88 | $33.73–$139.10 | — | 65% |
| Iron-binding capacity (TIBC) test inpatient CPT 83550 83550 L1321 IRON BIND CAP | $60.86 | $173.88 | $33.73–$139.10 | — | 65% |
| Iron-binding capacity (TIBC) test inpatient CPT 83550 83550 IRON BINDING CAPACIT | $60.86 | $173.88 | $33.73–$139.10 | — | 65% |
| Kidney function blood test panel CPT 80069 RFP | $53.78 | $358.56 | $7.70–$358.56 | 87% below | 85% |
| Kidney function blood test panel inpatient CPT 80069 RFP | $125.50 | $358.56 | $69.56–$286.85 | — | 65% |
| LH (luteinizing hormone) test CPT 83002 83002 L28480 LH | $79.06 | $527.04 | $16.44–$527.04 | 25% above | 85% |
| LH (luteinizing hormone) test CPT 83002 Luteinizing Hormone | $79.06 | $527.04 | $16.44–$527.04 | 25% above | 85% |
| LH (luteinizing hormone) test CPT 83002 Luteinizing Hormone S (LC) | $79.06 | $527.04 | $16.44–$527.04 | 25% above | 85% |
| LH (luteinizing hormone) test inpatient CPT 83002 83002 L28480 LH | $184.46 | $527.04 | $102.25–$421.63 | — | 65% |
| LH (luteinizing hormone) test inpatient CPT 83002 Luteinizing Hormone S (LC) | $184.46 | $527.04 | $102.25–$421.63 | — | 65% |
| LH (luteinizing hormone) test inpatient CPT 83002 Luteinizing Hormone | $184.46 | $527.04 | $102.25–$421.63 | — | 65% |
| Lactate (lactic acid) blood test CPT 83605 .Lactate POC | $24.62 | $164.16 | $10.27–$164.16 | 67% below | 85% |
| Lactate (lactic acid) blood test CPT 83605 Lactic Acid w/ Reflex LA | $24.62 | $164.16 | $10.27–$164.16 | 67% below | 85% |
| Lactate (lactic acid) blood test CPT 83605 .ISTAT Lactate POC | $24.62 | $164.16 | $10.27–$164.16 | 67% below | 85% |
| Lactate (lactic acid) blood test CPT 83605 Lactic Acid | $24.62 | $164.16 | $10.27–$164.16 | 67% below | 85% |
| Lactate (lactic acid) blood test CPT 83605 .Lactic Acid Reflex 2 | $24.62 | $164.16 | $10.27–$164.16 | 67% below | 85% |
| Lactate (lactic acid) blood test CPT 83605 .Lactic Acid Reflex | $24.62 | $164.16 | $10.27–$164.16 | 67% below | 85% |
| Lactate (lactic acid) blood test inpatient CPT 83605 Lactic Acid | $57.46 | $164.16 | $31.85–$131.33 | — | 65% |
| Lactate (lactic acid) blood test inpatient CPT 83605 .ISTAT Lactate POC | $57.46 | $164.16 | $31.85–$131.33 | — | 65% |
| Lactate (lactic acid) blood test inpatient CPT 83605 .Lactate POC | $57.46 | $164.16 | $31.85–$131.33 | — | 65% |
| Lactate (lactic acid) blood test inpatient CPT 83605 Lactic Acid w/ Reflex LA | $57.46 | $164.16 | $31.85–$131.33 | — | 65% |
| Lactate (lactic acid) blood test inpatient CPT 83605 .Lactic Acid Reflex 2 | $57.46 | $164.16 | $31.85–$131.33 | — | 65% |
| Lactate (lactic acid) blood test inpatient CPT 83605 .Lactic Acid Reflex | $57.46 | $164.16 | $31.85–$131.33 | — | 65% |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 83615 L1842 LACTATE DEHYDR | $7.18 | $20.52 | $3.98–$16.42 | — | 65% |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 Lactate Dehydrogenase Body Fluid (LC) | $7.18 | $20.52 | $3.98–$16.42 | — | 65% |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 Lactate Dehydrogenase | $7.18 | $20.52 | $3.98–$16.42 | — | 65% |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 Lactate Dehydrogenase Body Fluid | $7.18 | $20.52 | $3.98–$16.42 | — | 65% |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 Lactate Dehydrogenase (LC) | $7.18 | $20.52 | $3.98–$16.42 | — | 65% |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 83615 LACTATE DEHYDROLDH | $7.18 | $20.52 | $3.98–$16.42 | — | 65% |
| Lipase blood test (pancreas enzyme) CPT 83690 Lipase Peritoneal Fluid Sendout to CQ | $7.29 | $48.60 | $6.12–$48.60 | 87% below | 85% |
| Lipase blood test (pancreas enzyme) CPT 83690 Lipase Level | $61.56 | $410.40 | $6.12–$410.40 | 6% above | 85% |
| Lipase blood test (pancreas enzyme) CPT 83690 Lipase Body Fluid | $61.56 | $410.40 | $6.12–$410.40 | 6% above | 85% |
| Lipase blood test (pancreas enzyme) CPT 83690 Lipase Pleural Fluid (CQ) | $61.56 | $410.40 | $6.12–$410.40 | 6% above | 85% |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 Lipase Peritoneal Fluid Sendout to CQ | $17.01 | $48.60 | $9.43–$38.88 | — | 65% |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 Lipase Pleural Fluid (CQ) | $143.64 | $410.40 | $79.62–$328.32 | — | 65% |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 Lipase Level | $143.64 | $410.40 | $79.62–$328.32 | — | 65% |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 Lipase Body Fluid | $143.64 | $410.40 | $79.62–$328.32 | — | 65% |
| Liver function blood test panel CPT 80076 HFP | $46.49 | $309.96 | $7.25–$309.96 | 80% below | 85% |
| Liver function blood test panel inpatient CPT 80076 HFP | $108.49 | $309.96 | $60.13–$247.97 | — | 65% |
| Lyme disease antibody test CPT 86618 Lyme Disease Total Ab Rfx Immunoassay LC | $8.91 | $59.40 | $11.52–$59.40 | 64% below | 85% |
| Lyme disease antibody test inpatient CPT 86618 Lyme Disease Total Ab Rfx Immunoassay LC | $20.79 | $59.40 | $11.52–$47.52 | — | 65% |
| Magnesium blood test CPT 83735 Magnesium Serum Obstetric | $34.02 | $226.80 | $5.95–$226.80 | 157% above | 85% |
| Magnesium blood test CPT 83735 Magnesium RBC LC | $34.02 | $226.80 | $5.95–$226.80 | 157% above | 85% |
| Magnesium blood test CPT 83735 Magnesium Urine Sendout to LabCorp | $34.02 | $226.80 | $5.95–$226.80 | 157% above | 85% |
| Magnesium blood test CPT 83735 Magnesium Serum | $34.02 | $226.80 | $5.95–$226.80 | 157% above | 85% |
| Magnesium blood test CPT 83735 Magnesium Urine 24 Hour | $34.02 | $226.80 | $5.95–$226.80 | 157% above | 85% |
| Magnesium blood test CPT 83735 Magnesium Urine | $34.02 | $226.80 | $5.95–$226.80 | 157% above | 85% |
| Magnesium blood test inpatient CPT 83735 Magnesium RBC LC | $79.38 | $226.80 | $44.00–$181.44 | — | 65% |
| Magnesium blood test inpatient CPT 83735 Magnesium Urine Sendout to LabCorp | $79.38 | $226.80 | $44.00–$181.44 | — | 65% |
| Magnesium blood test inpatient CPT 83735 Magnesium Serum | $79.38 | $226.80 | $44.00–$181.44 | — | 65% |
| Magnesium blood test inpatient CPT 83735 Magnesium Urine | $79.38 | $226.80 | $44.00–$181.44 | — | 65% |
| Magnesium blood test inpatient CPT 83735 Magnesium Urine 24 Hour | $79.38 | $226.80 | $44.00–$181.44 | — | 65% |
| Magnesium blood test inpatient CPT 83735 Magnesium Serum Obstetric | $79.38 | $226.80 | $44.00–$181.44 | — | 65% |
| Measles (rubeola) antibody test CPT 86765 Measles (Rubeola) Antibodies, IgG (LC) | $6.80 | $45.36 | $8.80–$45.36 | 74% below | 85% |
| Measles (rubeola) antibody test CPT 86765 86765 L58495 RUBEOLA AB | $6.80 | $45.36 | $8.80–$45.36 | 74% below | 85% |
| Measles (rubeola) antibody test inpatient CPT 86765 86765 L58495 RUBEOLA AB | $15.88 | $45.36 | $8.80–$36.29 | — | 65% |
| Measles (rubeola) antibody test inpatient CPT 86765 Measles (Rubeola) Antibodies, IgG (LC) | $15.88 | $45.36 | $8.80–$36.29 | — | 65% |
| Mono test (heterophile antibody, Monospot) CPT 86308 Mononucleosis Screen | $18.79 | $125.28 | $4.60–$125.28 | 89% below | 85% |
| Mono test (heterophile antibody, Monospot) inpatient CPT 86308 Mononucleosis Screen | $43.85 | $125.28 | $24.30–$100.22 | — | 65% |
| Mumps immunity blood test CPT 86735 Mumps Antibodies IgG LC | $6.80 | $45.36 | $8.80–$45.36 | 58% below | 85% |
| Mumps immunity blood test CPT 86735 86735 L58495 MUMPS AB | $6.80 | $45.36 | $8.80–$45.36 | 58% below | 85% |
| Mumps immunity blood test CPT 86735 Mumps Antibodies IgM Sendout to LabCorp | $6.80 | $45.36 | $8.80–$45.36 | 58% below | 85% |
| Mumps immunity blood test inpatient CPT 86735 Mumps Antibodies IgG LC | $15.88 | $45.36 | $8.80–$36.29 | — | 65% |
| Mumps immunity blood test inpatient CPT 86735 Mumps Antibodies IgM Sendout to LabCorp | $15.88 | $45.36 | $8.80–$36.29 | — | 65% |
| Mumps immunity blood test inpatient CPT 86735 86735 L58495 MUMPS AB | $15.88 | $45.36 | $8.80–$36.29 | — | 65% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 84154 L480947 PSA, FREE | $9.56 | $63.72 | $12.36–$63.72 | 69% below | 85% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 84154 L480947 PSA, FREE | $22.30 | $63.72 | $12.36–$50.98 | — | 65% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 Prostate-Specific Ag, Serum (RL) | $35.80 | $238.68 | $16.32–$238.68 | 36% below | 85% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 Prostate Specific Ag Total | $35.80 | $238.68 | $16.32–$238.68 | 36% below | 85% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 84153 L480947 PSA, TOTAL | $35.80 | $238.68 | $16.32–$238.68 | 36% below | 85% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 Prostate-Specific Ag, Serum (RL) | $83.54 | $238.68 | $46.30–$190.94 | — | 65% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 Prostate Specific Ag Total | $83.54 | $238.68 | $46.30–$190.94 | — | 65% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 84153 L480947 PSA, TOTAL | $83.54 | $238.68 | $46.30–$190.94 | — | 65% |
| Parathyroid hormone (PTH) blood test CPT 83970 Parathyroid Hormone Intact | $70.47 | $469.80 | $36.64–$469.80 | 29% below | 85% |
| Parathyroid hormone (PTH) blood test CPT 83970 Parathyroid Hormone Intact Surgical | $70.47 | $469.80 | $36.64–$469.80 | 29% below | 85% |
| Parathyroid hormone (PTH) blood test CPT 83970 Parathyroid Hormone Intact (LC) | $70.47 | $469.80 | $36.64–$469.80 | 29% below | 85% |
| Parathyroid hormone (PTH) blood test CPT 83970 Parathyroid Hormone Intact Intraop | $70.47 | $469.80 | $36.64–$469.80 | 29% below | 85% |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 Parathyroid Hormone Intact Intraop | $164.43 | $469.80 | $91.14–$375.84 | — | 65% |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 Parathyroid Hormone Intact (LC) | $164.43 | $469.80 | $91.14–$375.84 | — | 65% |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 Parathyroid Hormone Intact Surgical | $164.43 | $469.80 | $91.14–$375.84 | — | 65% |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 Parathyroid Hormone Intact | $164.43 | $469.80 | $91.14–$375.84 | — | 65% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Partial Thromboplastin Time | $21.06 | $140.40 | $5.34–$140.40 | 45% below | 85% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 85730 THROMBOPLAST TIMEPTT | $21.06 | $140.40 | $5.34–$140.40 | 45% below | 85% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 85730 THROMBOPLAST TIMEPTT | $49.14 | $140.40 | $27.24–$112.32 | — | 65% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Partial Thromboplastin Time | $49.14 | $140.40 | $27.24–$112.32 | — | 65% |
| Phosphorus (phosphate) blood test CPT 84100 Phosphorus Serum | $14.90 | $99.36 | $4.21–$99.36 | 76% below | 85% |
| Phosphorus (phosphate) blood test inpatient CPT 84100 Phosphorus Serum | $34.78 | $99.36 | $19.28–$79.49 | — | 65% |
| Potassium blood test CPT 84132 Potassium Serum | $17.33 | $115.56 | $4.23–$115.56 | 74% below | 85% |
| Potassium blood test CPT 84132 84132 POTASSIUM SER PL WB | $17.33 | $115.56 | $4.23–$115.56 | 74% below | 85% |
| Potassium blood test inpatient CPT 84132 84132 POTASSIUM SER PL WB | $40.45 | $115.56 | $22.42–$92.45 | — | 65% |
| Potassium blood test inpatient CPT 84132 Potassium Serum | $40.45 | $115.56 | $22.42–$92.45 | — | 65% |
| Progesterone blood test CPT 84144 Progesterone Level | $76.79 | $511.92 | $18.52–$511.92 | 63% above | 85% |
| Progesterone blood test CPT 84144 Progesterone Sendout to LabCorp | $76.79 | $511.92 | $18.52–$511.92 | 63% above | 85% |
| Progesterone blood test inpatient CPT 84144 Progesterone Level | $179.17 | $511.92 | $99.31–$409.54 | — | 65% |
| Progesterone blood test inpatient CPT 84144 Progesterone Sendout to LabCorp | $179.17 | $511.92 | $99.31–$409.54 | — | 65% |
| Prolactin blood test CPT 84146 Prolactin Level | $111.62 | $744.12 | $17.20–$595.30 | 72% above | 85% |
| Prolactin blood test CPT 84146 Prolactin (LC) | $111.62 | $744.12 | $17.20–$595.30 | 72% above | 85% |
| Prolactin blood test inpatient CPT 84146 Prolactin Level | $260.44 | $744.12 | $144.36–$595.30 | — | 65% |
| Prolactin blood test inpatient CPT 84146 Prolactin (LC) | $260.44 | $744.12 | $144.36–$595.30 | — | 65% |
| Prothrombin time (PT/INR) clotting test CPT 85610 85610 PROTHROMBIN TIME | $19.76 | $131.76 | $3.81–$131.76 | 46% below | 85% |
| Prothrombin time (PT/INR) clotting test CPT 85610 .Protime w/INR POC | $19.76 | $131.76 | $3.81–$131.76 | 46% below | 85% |
| Prothrombin time (PT/INR) clotting test CPT 85610 Prothrombin Time w/INR | $19.76 | $131.76 | $3.81–$131.76 | 46% below | 85% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 .Protime w/INR POC | $46.12 | $131.76 | $25.56–$105.41 | — | 65% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 85610 PROTHROMBIN TIME | $46.12 | $131.76 | $25.56–$105.41 | — | 65% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Prothrombin Time w/INR | $46.12 | $131.76 | $25.56–$105.41 | — | 65% |
| Rapid flu test (influenza antigen) CPT 87804 Influenza B Antigen Result | $31.10 | $207.36 | $14.69–$207.36 | 75% below | 85% |
| Rapid flu test (influenza antigen) CPT 87804 87804 INFLUENZA ASSAY W-OP | $31.10 | $207.36 | $14.69–$207.36 | 75% below | 85% |
| Rapid flu test (influenza antigen) CPT 87804 Influenza A Antigen Result | $31.10 | $207.36 | $14.69–$207.36 | 75% below | 85% |
| Rapid flu test (influenza antigen) inpatient CPT 87804 Influenza B Antigen Result | $72.58 | $207.36 | $40.23–$165.89 | — | 65% |
| Rapid flu test (influenza antigen) inpatient CPT 87804 Influenza A Antigen Result | $72.58 | $207.36 | $40.23–$165.89 | — | 65% |
| Rapid flu test (influenza antigen) inpatient CPT 87804 87804 INFLUENZA ASSAY W-OP | $72.58 | $207.36 | $40.23–$165.89 | — | 65% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 Rapid Strep A FIA | $38.07 | $253.80 | $14.68–$253.80 | 67% below | 85% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 .Rapid Strep A POC | $38.07 | $253.80 | $14.68–$253.80 | 67% below | 85% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 Streptococcus A Antigen IA1 | $38.07 | $253.80 | $14.68–$253.80 | 67% below | 85% |
| Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 Rapid Strep A FIA | $88.83 | $253.80 | $49.24–$203.04 | — | 65% |
| Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 Streptococcus A Antigen IA1 | $88.83 | $253.80 | $49.24–$203.04 | — | 65% |
| Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 .Rapid Strep A POC | $88.83 | $253.80 | $49.24–$203.04 | — | 65% |
| Renin blood test CPT 84244 Renin Activity Plasma LC | $11.50 | $76.68 | $14.88–$76.68 | 40% below | 85% |
| Renin blood test inpatient CPT 84244 Renin Activity Plasma LC | $26.84 | $76.68 | $14.88–$61.34 | — | 65% |
| Rh blood typing CPT 86901 86901 BLOOD TYPING RH D | $19.44 | $129.60 | $2.69–$129.60 | 54% below | 85% |
| Rh blood typing CPT 86901 BB Bill Rh Test | $19.44 | $129.60 | $2.69–$129.60 | 54% below | 85% |
| Rh blood typing inpatient CPT 86901 86901 BLOOD TYPING RH D | $45.36 | $129.60 | $25.14–$103.68 | — | 65% |
| Rh blood typing inpatient CPT 86901 BB Bill Rh Test | $45.36 | $129.60 | $25.14–$103.68 | — | 65% |
| Rheumatoid factor (RF) test CPT 86431 Rheumatoid Factor Titer | $8.59 | $57.24 | $5.04–$57.24 | 65% below | 85% |
| Rheumatoid factor (RF) test inpatient CPT 86431 Rheumatoid Factor Titer | $20.03 | $57.24 | $11.10–$45.79 | — | 65% |
| Rubella antibody test (immunity check) CPT 86762 86762 L58495 RUBELLA AB | $14.42 | $96.12 | $12.78–$96.12 | 24% below | 85% |
| Rubella antibody test (immunity check) CPT 86762 Rubella IgG Antibody | $14.42 | $96.12 | $12.78–$96.12 | 24% below | 85% |
| Rubella antibody test (immunity check) CPT 86762 Rubella Ab IgG Auto w/Interp | $14.42 | $96.12 | $12.78–$96.12 | 24% below | 85% |
| Rubella antibody test (immunity check) CPT 86762 Rubella Antibodies IgG LC | $14.42 | $96.12 | $12.78–$96.12 | 24% below | 85% |
| Rubella antibody test (immunity check) inpatient CPT 86762 Rubella Antibodies IgG LC | $33.64 | $96.12 | $18.65–$76.90 | — | 65% |
| Rubella antibody test (immunity check) inpatient CPT 86762 Rubella Ab IgG Auto w/Interp | $33.64 | $96.12 | $18.65–$76.90 | — | 65% |
| Rubella antibody test (immunity check) inpatient CPT 86762 Rubella IgG Antibody | $33.64 | $96.12 | $18.65–$76.90 | — | 65% |
| Rubella antibody test (immunity check) inpatient CPT 86762 86762 L58495 RUBELLA AB | $33.64 | $96.12 | $18.65–$76.90 | — | 65% |
| Sodium blood test CPT 84295 Sodium Serum | $13.45 | $89.64 | $4.27–$89.64 | 80% below | 85% |
| Sodium blood test CPT 84295 84295 SODIUM,SER PL OR WB | $13.45 | $89.64 | $4.27–$89.64 | 80% below | 85% |
| Sodium blood test inpatient CPT 84295 Sodium Serum | $31.37 | $89.64 | $17.39–$71.71 | — | 65% |
| Sodium blood test inpatient CPT 84295 84295 SODIUM,SER PL OR WB | $31.37 | $89.64 | $17.39–$71.71 | — | 65% |
| Stool ova and parasites exam inpatient CPT 87177 87177 L188110 OP SMEAR | $10.96 | $31.32 | $6.08–$25.06 | — | 65% |
| Stool ova and parasites exam inpatient CPT 87177 87177 L8623 OVA-PARASITES SMEARS | $10.96 | $31.32 | $6.08–$25.06 | — | 65% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 .POCFecOB | $23.81 | $158.76 | $2.91–$158.76 | 55% below | 85% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 FOBT | $23.81 | $158.76 | $2.91–$158.76 | 55% below | 85% |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 FOBT | $55.57 | $158.76 | $30.80–$127.01 | — | 65% |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 .POCFecOB | $55.57 | $158.76 | $30.80–$127.01 | — | 65% |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 Occult Blood Feces Diagnostic 1-3 D | $6.64 | $44.28 | $8.59–$44.28 | 87% below | 85% |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 Immunochemical Fecal Occult Blood Diagnostic | $6.64 | $44.28 | $8.59–$44.28 | 87% below | 85% |
| Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 Occult Blood Feces Diagnostic 1-3 D | $15.50 | $44.28 | $8.59–$35.42 | — | 65% |
| Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 Immunochemical Fecal Occult Blood Diagnostic | $15.50 | $44.28 | $8.59–$35.42 | — | 65% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 zzTreponema pallidum Ab FTA (LC) | $6.97 | $46.44 | $9.01–$46.44 | 52% below | 85% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 86780 L12021 TPALLID CONF | $6.97 | $46.44 | $9.01–$46.44 | 52% below | 85% |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 zzTreponema pallidum Ab FTA (LC) | $16.25 | $46.44 | $9.01–$37.15 | — | 65% |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 86780 L12021 TPALLID CONF | $16.25 | $46.44 | $9.01–$37.15 | — | 65% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VDRL CSF LC | $19.28 | $128.52 | $3.79–$128.52 | 3% below | 85% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Rapid Plasma Reagin Qual | $19.28 | $128.52 | $3.79–$128.52 | 3% below | 85% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Rapid Plasma Reagin Titer w/Reflex Titer | $19.28 | $128.52 | $3.79–$128.52 | 3% below | 85% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Rapid Plasma Reagin Qual w/Reflex Quant | $19.28 | $128.52 | $3.79–$128.52 | 3% below | 85% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Rapid Plasma Reagin Reflex Titer + TP-PA (LC) | $19.28 | $128.52 | $3.79–$128.52 | 3% below | 85% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 .Rapid Plasma Reagin Qual w/Reflex Quant | $19.28 | $128.52 | $3.79–$128.52 | 3% below | 85% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 Rapid Plasma Reagin Titer w/Reflex Titer | $44.98 | $128.52 | $24.93–$102.82 | — | 65% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 Rapid Plasma Reagin Qual w/Reflex Quant | $44.98 | $128.52 | $24.93–$102.82 | — | 65% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 Rapid Plasma Reagin Reflex Titer + TP-PA (LC) | $44.98 | $128.52 | $24.93–$102.82 | — | 65% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 Rapid Plasma Reagin Qual | $44.98 | $128.52 | $24.93–$102.82 | — | 65% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 VDRL CSF LC | $44.98 | $128.52 | $24.93–$102.82 | — | 65% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 .Rapid Plasma Reagin Qual w/Reflex Quant | $44.98 | $128.52 | $24.93–$102.82 | — | 65% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QuantiFERON-TB Gold Plus (Client Incubated) LC | $32.56 | $217.08 | $42.11–$217.08 | 47% below | 85% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 Quantiferon TB Gold Plus (LC) | $32.56 | $217.08 | $42.11–$217.08 | 47% below | 85% |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 Quantiferon TB Gold Plus (LC) | $75.98 | $217.08 | $42.11–$173.66 | — | 65% |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 QuantiFERON-TB Gold Plus (Client Incubated) LC | $75.98 | $217.08 | $42.11–$173.66 | — | 65% |
| Testosterone blood test, total (not free testosterone) CPT 84403 84403 TESTOSTERONE, TOTAL | $69.34 | $462.24 | $22.91–$462.24 | 131% above | 85% |
| Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone Total | $69.34 | $462.24 | $22.91–$462.24 | 131% above | 85% |
| Testosterone blood test, total (not free testosterone) CPT 84403 84403 L140103 TESTOST TOTA | $69.34 | $462.24 | $22.91–$462.24 | 131% above | 85% |
| Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone Level (LC) | $69.34 | $462.24 | $22.91–$462.24 | 131% above | 85% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 84403 L140103 TESTOST TOTA | $161.78 | $462.24 | $89.67–$369.79 | — | 65% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Testosterone Total | $161.78 | $462.24 | $89.67–$369.79 | — | 65% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Testosterone Level (LC) | $161.78 | $462.24 | $89.67–$369.79 | — | 65% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 84403 TESTOSTERONE, TOTAL | $161.78 | $462.24 | $89.67–$369.79 | — | 65% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 Liver-Kidney Microsomal Ab LC | $7.78 | $51.84 | $10.06–$51.84 | 43% below | 85% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 Thyroid Peroxidase Antibody (LC) | $7.78 | $51.84 | $10.06–$51.84 | 43% below | 85% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Thyroid Peroxidase Antibody (LC) | $18.14 | $51.84 | $10.06–$41.47 | — | 65% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Liver-Kidney Microsomal Ab LC | $18.14 | $51.84 | $10.06–$41.47 | — | 65% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 Thyroid Stimulating Hormone w/Reflex to Free T4 | $26.73 | $178.20 | $14.92–$178.20 | 79% below | 85% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH LC | $26.73 | $178.20 | $14.92–$178.20 | 79% below | 85% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 Thyroid Stimulating Hormone | $26.73 | $178.20 | $14.92–$178.20 | 79% below | 85% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH w/Reflex to T4 Total | $26.73 | $178.20 | $14.92–$178.20 | 79% below | 85% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 84443 L620 TSH | $26.73 | $178.20 | $14.92–$178.20 | 79% below | 85% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 Thyroid Stimulating Hormone | $62.37 | $178.20 | $34.57–$142.56 | — | 65% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 84443 L620 TSH | $62.37 | $178.20 | $34.57–$142.56 | — | 65% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH LC | $62.37 | $178.20 | $34.57–$142.56 | — | 65% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 Thyroid Stimulating Hormone w/Reflex to Free T4 | $62.37 | $178.20 | $34.57–$142.56 | — | 65% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH w/Reflex to T4 Total | $62.37 | $178.20 | $34.57–$142.56 | — | 65% |
| Total IgE blood test CPT 82785 Immunoglobulin E Total (LC) | $8.59 | $57.24 | $11.10–$57.24 | 64% below | 85% |
| Total IgE blood test inpatient CPT 82785 Immunoglobulin E Total (LC) | $20.03 | $57.24 | $11.10–$45.79 | — | 65% |
| Total cholesterol blood test CPT 82465 Cholesterol Body Fluid | $7.45 | $49.68 | $3.86–$49.68 | 74% below | 85% |
| Total cholesterol blood test CPT 82465 Cholesterol | $7.45 | $49.68 | $3.86–$49.68 | 74% below | 85% |
| Total cholesterol blood test inpatient CPT 82465 Cholesterol | $17.39 | $49.68 | $9.64–$39.74 | — | 65% |
| Total cholesterol blood test inpatient CPT 82465 Cholesterol Body Fluid | $17.39 | $49.68 | $9.64–$39.74 | — | 65% |
| Total thyroxine (T4) blood test inpatient CPT 84436 84436 L455 THYROXINE T4,TOTAL | $8.69 | $24.84 | $4.82–$19.87 | — | 65% |
| Total thyroxine (T4) blood test inpatient CPT 84436 84436 L620 T4 TOTAL | $8.69 | $24.84 | $4.82–$19.87 | — | 65% |
| Total thyroxine (T4) blood test inpatient CPT 84436 Thyroxine 4 (LC) | $8.69 | $24.84 | $4.82–$19.87 | — | 65% |
| Total triiodothyronine (T3) blood test CPT 84480 Triiodothyronine (LC) | $64.64 | $430.92 | $12.59–$430.92 | 17% below | 85% |
| Total triiodothyronine (T3) blood test inpatient CPT 84480 Triiodothyronine (LC) | $150.82 | $430.92 | $83.60–$344.74 | — | 65% |
| Transferrin blood test inpatient CPT 84466 84466 Transferrin Saturation (LC) | $14.35 | $41.00 | $7.95–$32.80 | — | 65% |
| Transferrin blood test inpatient CPT 84466 84466 TRANSFERRIN | $15.50 | $44.28 | $8.59–$35.42 | — | 65% |
| Transferrin blood test inpatient CPT 84466 Transferrin LC | $15.50 | $44.28 | $8.59–$35.42 | — | 65% |
| Transferrin blood test inpatient CPT 84466 TRANSF | $15.50 | $44.28 | $8.59–$35.42 | — | 65% |
| Trichomonas test (NAAT) CPT 87661 Trichomonas vaginalis, NAA (LC) | $17.01 | $113.40 | $22.00–$113.40 | 65% below | 85% |
| Trichomonas test (NAAT) CPT 87661 87661 L183160 T VAG AMP | $18.31 | $122.04 | $23.68–$122.04 | 63% below | 85% |
| Trichomonas test (NAAT) inpatient CPT 87661 Trichomonas vaginalis, NAA (LC) | $39.69 | $113.40 | $22.00–$90.72 | — | 65% |
| Trichomonas test (NAAT) inpatient CPT 87661 87661 L183160 T VAG AMP | $42.71 | $122.04 | $23.68–$97.63 | — | 65% |
| Triglycerides blood test CPT 84478 Triglycerides | $23.98 | $159.84 | $5.09–$159.84 | 24% below | 85% |
| Triglycerides blood test CPT 84478 Triglycerides Body Fluid | $23.98 | $159.84 | $5.09–$159.84 | 24% below | 85% |
| Triglycerides blood test inpatient CPT 84478 Triglycerides Body Fluid | $55.94 | $159.84 | $31.01–$127.87 | — | 65% |
| Triglycerides blood test inpatient CPT 84478 Triglycerides | $55.94 | $159.84 | $31.01–$127.87 | — | 65% |
| Troponin test, quantitative inpatient CPT 84484 Troponin I HS x 3 Series | $15.12 | $43.20 | $8.38–$34.56 | — | 65% |
| Troponin test, quantitative inpatient CPT 84484 Troponin T Quant | $15.12 | $43.20 | $8.38–$34.56 | — | 65% |
| Troponin test, quantitative inpatient CPT 84484 Troponin I Quant | $15.12 | $43.20 | $8.38–$34.56 | — | 65% |
| Troponin test, quantitative inpatient CPT 84484 .Troponin I Quant POC | $15.12 | $43.20 | $8.38–$34.56 | — | 65% |
| Troponin test, quantitative inpatient CPT 84484 .ISTAT cTroponin I POC | $15.12 | $43.20 | $8.38–$34.56 | — | 65% |
| Troponin test, quantitative inpatient CPT 84484 .Troponin T HS 1 Hour | $15.12 | $43.20 | $8.38–$34.56 | — | 65% |
| Troponin test, quantitative inpatient CPT 84484 Troponin T HS x 3 Series | $15.12 | $43.20 | $8.38–$34.56 | — | 65% |
| Troponin test, quantitative inpatient CPT 84484 .Troponin T HS 3 Hour | $15.12 | $43.20 | $8.38–$34.56 | — | 65% |
| Troponin test, quantitative inpatient CPT 84484 .Troponin I Quant 1 Hour | $15.12 | $43.20 | $8.38–$34.56 | — | 65% |
| Troponin test, quantitative inpatient CPT 84484 .Troponin T Quant 3 Hour | $15.12 | $43.20 | $8.38–$34.56 | — | 65% |
| Troponin test, quantitative inpatient CPT 84484 .Troponin T Quant 1 Hour | $15.12 | $43.20 | $8.38–$34.56 | — | 65% |
| Troponin test, quantitative inpatient CPT 84484 .Troponin I HS 1 Hour | $15.12 | $43.20 | $8.38–$34.56 | — | 65% |
| Troponin test, quantitative inpatient CPT 84484 .Troponin I Quant 3 Hour | $15.12 | $43.20 | $8.38–$34.56 | — | 65% |
| Troponin test, quantitative inpatient CPT 84484 .Troponin I HS 3 Hour | $15.12 | $43.20 | $8.38–$34.56 | — | 65% |
| Troponin test, quantitative inpatient CPT 84484 Troponin T HS | $15.12 | $43.20 | $8.38–$34.56 | — | 65% |
| Troponin test, quantitative inpatient CPT 84484 .Troponin I Quant 4 Hour | $15.12 | $43.20 | $8.38–$34.56 | — | 65% |
| Troponin test, quantitative inpatient CPT 84484 Troponin I Quant x 3 Series | $15.12 | $43.20 | $8.38–$34.56 | — | 65% |
| Troponin test, quantitative inpatient CPT 84484 .Troponin I HS 2 Hour | $15.12 | $43.20 | $8.38–$34.56 | — | 65% |
| Troponin test, quantitative inpatient CPT 84484 Troponin T Quant x 3 Series | $15.12 | $43.20 | $8.38–$34.56 | — | 65% |
| Troponin test, quantitative inpatient CPT 84484 .Troponin I Quant 2 Hour | $15.12 | $43.20 | $8.38–$34.56 | — | 65% |
| Troponin test, quantitative inpatient CPT 84484 .Troponin T Quant 4 Hour | $15.12 | $43.20 | $8.38–$34.56 | — | 65% |
| Troponin test, quantitative inpatient CPT 84484 .Troponin I HS 4 Hour | $15.12 | $43.20 | $8.38–$34.56 | — | 65% |
| Troponin test, quantitative inpatient CPT 84484 Troponin I HS | $15.12 | $43.20 | $8.38–$34.56 | — | 65% |
| Uric acid blood test CPT 84550 Uric Acid Level | $16.69 | $111.24 | $4.01–$111.24 | 80% below | 85% |
| Uric acid blood test inpatient CPT 84550 Uric Acid Level | $38.93 | $111.24 | $21.58–$88.99 | — | 65% |
| Urinalysis with microscope exam, automated CPT 81001 Perform Microscopic - Yes | $37.26 | $248.40 | $2.81–$248.40 | 77% below | 85% |
| Urinalysis with microscope exam, automated CPT 81001 .Bill Only DS Auto/MSc Reqd | $37.26 | $248.40 | $2.81–$248.40 | 77% below | 85% |
| Urinalysis with microscope exam, automated CPT 81001 Urinalysis w/Microscopic Automated | $37.26 | $248.40 | $2.81–$248.40 | 77% below | 85% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 Urinalysis w/Microscopic Automated | $86.94 | $248.40 | $48.19–$198.72 | — | 65% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 Perform Microscopic - Yes | $86.94 | $248.40 | $48.19–$198.72 | — | 65% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 .Bill Only DS Auto/MSc Reqd | $86.94 | $248.40 | $48.19–$198.72 | — | 65% |
| Urinalysis with microscope exam, manual CPT 81000 Urinalysis w/Microscopic Manual | $34.51 | $230.04 | $3.57–$230.04 | 13% below | 85% |
| Urinalysis with microscope exam, manual CPT 81000 .Bill Only DS Man/MSc Reqd | $34.51 | $230.04 | $3.57–$230.04 | 13% below | 85% |
| Urinalysis with microscope exam, manual inpatient CPT 81000 .Bill Only DS Man/MSc Reqd | $80.51 | $230.04 | $44.63–$184.03 | — | 65% |
| Urinalysis with microscope exam, manual inpatient CPT 81000 Urinalysis w/Microscopic Manual | $80.51 | $230.04 | $44.63–$184.03 | — | 65% |
| Urinalysis without microscope exam, automated CPT 81003 Urinalysis w/o Microscopic Automated | $23.81 | $158.76 | $2.00–$158.76 | 72% below | 85% |
| Urinalysis without microscope exam, automated CPT 81003 Perform Microscopic - No | $23.81 | $158.76 | $2.00–$158.76 | 72% below | 85% |
| Urinalysis without microscope exam, automated CPT 81003 Urine Color Urine Dipstick | $23.81 | $158.76 | $2.00–$158.76 | 72% below | 85% |
| Urinalysis without microscope exam, automated CPT 81003 .Bill Only DS Auto/No MSc | $23.81 | $158.76 | $2.00–$158.76 | 72% below | 85% |
| Urinalysis without microscope exam, automated CPT 81003 Reflex Microscopic Type? - Not Required | $23.81 | $158.76 | $2.00–$158.76 | 72% below | 85% |
| Urinalysis without microscope exam, automated CPT 81003 Dipstick Type? - Auto | $23.81 | $158.76 | $2.00–$158.76 | 72% below | 85% |
| Urinalysis without microscope exam, automated CPT 81003 Ketones Urine Dipstk Qual Automated | $23.81 | $158.76 | $2.00–$158.76 | 72% below | 85% |
| Urinalysis without microscope exam, automated CPT 81003 Specific Gravity Urine Auto | $23.81 | $158.76 | $2.00–$158.76 | 72% below | 85% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Perform Microscopic - No | $55.57 | $158.76 | $30.80–$127.01 | — | 65% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Specific Gravity Urine Auto | $55.57 | $158.76 | $30.80–$127.01 | — | 65% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Dipstick Type? - Auto | $55.57 | $158.76 | $30.80–$127.01 | — | 65% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Reflex Microscopic Type? - Not Required | $55.57 | $158.76 | $30.80–$127.01 | — | 65% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 .Bill Only DS Auto/No MSc | $55.57 | $158.76 | $30.80–$127.01 | — | 65% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Urine Color Urine Dipstick | $55.57 | $158.76 | $30.80–$127.01 | — | 65% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Ketones Urine Dipstk Qual Automated | $55.57 | $158.76 | $30.80–$127.01 | — | 65% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Urinalysis w/o Microscopic Automated | $55.57 | $158.76 | $30.80–$127.01 | — | 65% |
| Urinalysis without microscope exam, manual CPT 81002 .Bill Only DS Man/No MSc | $3.81 | $25.38 | $2.91–$25.38 | 81% below | 85% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 .Bill Only DS Man/No MSc | $8.88 | $25.38 | $4.92–$20.30 | — | 65% |
| Urine culture for bacteria, with colony count CPT 87086 Urine Culture Qn | $61.40 | $409.32 | $7.16–$409.32 | 64% below | 85% |
| Urine culture for bacteria, with colony count inpatient CPT 87086 Urine Culture Qn | $143.26 | $409.32 | $79.41–$327.46 | — | 65% |
| Urine microalbumin (albumin) test CPT 82043 82043 MICROALB QNT | $53.14 | $354.24 | $5.13–$354.24 | 88% above | 85% |
| Urine microalbumin (albumin) test CPT 82043 82043 L140285 MICROALB QT | $53.14 | $354.24 | $5.13–$354.24 | 88% above | 85% |
| Urine microalbumin (albumin) test CPT 82043 Microalbumin Urine 24 Hour | $53.14 | $354.24 | $5.13–$354.24 | 88% above | 85% |
| Urine microalbumin (albumin) test CPT 82043 MicroAlb QNT Random | $53.14 | $354.24 | $5.13–$354.24 | 88% above | 85% |
| Urine microalbumin (albumin) test CPT 82043 Microalbumin Urine Quant | $53.14 | $354.24 | $5.13–$354.24 | 88% above | 85% |
| Urine microalbumin (albumin) test inpatient CPT 82043 MicroAlb QNT Random | $123.98 | $354.24 | $68.72–$283.39 | — | 65% |
| Urine microalbumin (albumin) test inpatient CPT 82043 82043 MICROALB QNT | $123.98 | $354.24 | $68.72–$283.39 | — | 65% |
| Urine microalbumin (albumin) test inpatient CPT 82043 Microalbumin Urine Quant | $123.98 | $354.24 | $68.72–$283.39 | — | 65% |
| Urine microalbumin (albumin) test inpatient CPT 82043 Microalbumin Urine 24 Hour | $123.98 | $354.24 | $68.72–$283.39 | — | 65% |
| Urine microalbumin (albumin) test inpatient CPT 82043 82043 L140285 MICROALB QT | $123.98 | $354.24 | $68.72–$283.39 | — | 65% |
| Urine pregnancy test, read by color change CPT 81025 .HCG Urine Ql POC | $32.72 | $218.16 | $3.88–$218.16 | 74% below | 85% |
| Urine pregnancy test, read by color change CPT 81025 POC HCG Patient Test Result - Positive | $32.72 | $218.16 | $3.88–$218.16 | 74% below | 85% |
| Urine pregnancy test, read by color change CPT 81025 Human Chorionic Gonadotropin Urine Qual Manual | $32.72 | $218.16 | $3.88–$218.16 | 74% below | 85% |
| Urine pregnancy test, read by color change CPT 81025 POC HCG Patient Test Result | $32.72 | $218.16 | $3.88–$218.16 | 74% below | 85% |
| Urine pregnancy test, read by color change CPT 81025 POC HCG Patient Test Result - Negative | $32.72 | $218.16 | $3.88–$218.16 | 74% below | 85% |
| Urine pregnancy test, read by color change inpatient CPT 81025 POC HCG Patient Test Result - Positive | $76.36 | $218.16 | $42.32–$174.53 | — | 65% |
| Urine pregnancy test, read by color change inpatient CPT 81025 POC HCG Patient Test Result | $76.36 | $218.16 | $42.32–$174.53 | — | 65% |
| Urine pregnancy test, read by color change inpatient CPT 81025 POC HCG Patient Test Result - Negative | $76.36 | $218.16 | $42.32–$174.53 | — | 65% |
| Urine pregnancy test, read by color change inpatient CPT 81025 Human Chorionic Gonadotropin Urine Qual Manual | $76.36 | $218.16 | $42.32–$174.53 | — | 65% |
| Urine pregnancy test, read by color change inpatient CPT 81025 .HCG Urine Ql POC | $76.36 | $218.16 | $42.32–$174.53 | — | 65% |
| Vitamin B12 (cobalamin) blood test CPT 82607 Vitamin B12 | $61.88 | $412.56 | $13.39–$412.56 | 50% below | 85% |
| Vitamin B12 (cobalamin) blood test CPT 82607 Vitamin B12 (LC) | $61.88 | $412.56 | $13.39–$412.56 | 50% below | 85% |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 Vitamin B12 | $144.40 | $412.56 | $80.04–$330.05 | — | 65% |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 Vitamin B12 (LC) | $144.40 | $412.56 | $80.04–$330.05 | — | 65% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vitamin D 25 hydroxy | $50.06 | $333.72 | $26.28–$333.72 | 9% above | 85% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vitamin D 25-Hydroxy LC | $50.06 | $333.72 | $26.28–$333.72 | 9% above | 85% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 Vitamin D 25 hydroxy | $116.80 | $333.72 | $64.74–$266.98 | — | 65% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 Vitamin D 25-Hydroxy LC | $116.80 | $333.72 | $64.74–$266.98 | — | 65% |
| Vitamin D, 1,25-dihydroxy blood test CPT 82652 Calcitriol Level (LC) | $20.25 | $135.00 | $26.19–$135.00 | 47% below | 85% |
| Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 Calcitriol Level (LC) | $47.25 | $135.00 | $26.19–$108.00 | — | 65% |
| Zinc blood test CPT 84630 Zinc, Whole Blood (LC) | $5.99 | $39.96 | $7.75–$39.96 | 60% below | 85% |
| Zinc blood test CPT 84630 Zinc Plasma or Serum (LC) | $5.99 | $39.96 | $7.75–$39.96 | 60% below | 85% |
| Zinc blood test inpatient CPT 84630 Zinc, Whole Blood (LC) | $13.99 | $39.96 | $7.75–$31.97 | — | 65% |
| Zinc blood test inpatient CPT 84630 Zinc Plasma or Serum (LC) | $13.99 | $39.96 | $7.75–$31.97 | — | 65% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 84702 L17319 HCG QUANT | $52.00 | $346.68 | $13.36–$346.68 | 12% below | 85% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Human Chorionic Gonadotropin Quant | $52.00 | $346.68 | $13.36–$346.68 | 12% below | 85% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Human Chorionic Gonadotropin Beta Sub unit Quant ( | $52.00 | $346.68 | $13.36–$346.68 | 12% below | 85% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 84702 HCG QUANT | $52.00 | $346.68 | $13.36–$346.68 | 12% below | 85% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 Human Chorionic Gonadotropin Beta Sub unit Quant ( | $121.34 | $346.68 | $67.26–$277.34 | — | 65% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 84702 HCG QUANT | $121.34 | $346.68 | $67.26–$277.34 | — | 65% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 Human Chorionic Gonadotropin Quant | $121.34 | $346.68 | $67.26–$277.34 | — | 65% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 84702 L17319 HCG QUANT | $121.34 | $346.68 | $67.26–$277.34 | — | 65% |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Florida | Off list |
|---|---|---|---|---|---|
| Anterior cervical discectomy and fusion (ACDF), one level CPT 22551 ARTHRD ANT NTRBDY CERVICAL | $23,899.11 | $159,327.37 | $1,761.32–$127,461.90 | 11% above | 85% |
| Appendectomy, open surgery CPT 44950 APPENDECTOMY | $16,641.63 | $110,944.18 | $654.86–$88,755.34 | 150% above | 85% |
| Arthroscopic ACL reconstruction or repair of the knee CPT 29888 KNEE ARTHROSCOPY/SURGERY | $21,784.97 | $145,233.11 | $974.30–$116,186.49 | 25% below | 85% |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 BX BREAST 1ST LESION STRTCTC | $2,046.57 | $13,643.78 | $454.72–$13,658.00 | 42% below | 85% |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion one side CPT 19081 MG Breast Biopsy w Loc w Stereo 1 Lsn Lt | $2,922.48 | $19,483.20 | $364.71–$15,586.56 | 18% below | 85% |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion one side CPT 19081 MG Breast Biopsy w Loc w Stereo 1 Lsn Rt | $2,922.48 | $19,483.20 | $364.71–$15,586.56 | 18% below | 85% |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient one side CPT 19081 MG Breast Biopsy w Loc w Stereo 1 Lsn Lt | $6,819.12 | $19,483.20 | $3,779.74–$15,586.56 | — | 65% |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient one side CPT 19081 MG Breast Biopsy w Loc w Stereo 1 Lsn Rt | $6,819.12 | $19,483.20 | $3,779.74–$15,586.56 | — | 65% |
| Bunion correction with a bone cut near the head of the first metatarsal CPT 28296 CORRECTION OF BUNION | $14,904.29 | $99,361.94 | $829.45–$79,489.55 | 39% above | 85% |
| Bunion correction with removal of part of the big toe joint CPT 28292 CORRECTION OF BUNION | $19,019.66 | $126,797.72 | $663.88–$101,438.18 | 54% above | 85% |
| Cardiac catheterization with coronary angiogram CPT 93458 CC-L HRT ARTERY-VENT[FLSA] | $3,631.39 | $24,209.28 | $645.15–$33,386.00 | 71% below | 85% |
| Cardiac catheterization with coronary angiogram CPT 93458 L HRT ARTERY/VENTRICLE ANGIO | $9,117.03 | $60,780.23 | $645.15–$48,624.18 | 26% below | 85% |
| Cardiac catheterization with coronary angiogram inpatient CPT 93458 CC-L HRT ARTERY-VENT[FLSA] | $8,473.25 | $24,209.28 | $4,696.60–$19,367.42 | — | 65% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 $ED Cardioversion | $666.63 | $4,444.20 | $145.87–$4,464.00 | 68% below | 85% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 $ED Cardioversion/Defibrillation | $666.63 | $4,444.20 | $145.87–$4,464.00 | 68% below | 85% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 ED Cardioversion Set up for procedure - Cardiovers | $666.63 | $4,444.20 | $145.87–$4,464.00 | 68% below | 85% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 NI-CARDIOVERSION[FLSA] | $666.63 | $4,444.20 | $145.87–$4,444.20 | 68% below | 85% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION ELECTRIC, EXT | $2,491.63 | $16,610.84 | $145.87–$13,658.00 | 19% above | 85% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 ED Cardioversion Set up for procedure - Cardiovers | $1,555.47 | $4,444.20 | $862.17–$3,555.36 | — | 65% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 $ED Cardioversion/Defibrillation | $1,555.47 | $4,444.20 | $862.17–$3,555.36 | — | 65% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 NI-CARDIOVERSION[FLSA] | $1,555.47 | $4,444.20 | $862.17–$3,555.36 | — | 65% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 $ED Cardioversion | $1,555.47 | $4,444.20 | $862.17–$3,555.36 | — | 65% |
| Carpal tunnel release, open surgery CPT 64721 CARPAL TUNNEL SURGERY | $4,074.17 | $27,161.11 | $443.69–$21,728.89 | 3% below | 85% |
| Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 CIRCUMCISION | $8,210.84 | $54,738.94 | $194.78–$43,791.15 | 282% above | 85% |
| Colonoscopy with polyp removal CPT 45385 LESION REMOVAL COLONOSCOPY | $3,520.36 | $23,469.04 | $427.68–$18,775.23 | 2% below | 85% |
| Colonoscopy with tissue sample CPT 45380 COLONOSCOPY AND BIOPSY | $3,416.45 | $22,776.34 | $404.72–$18,221.07 | 5% below | 85% |
| Colonoscopy, diagnostic CPT 45378 DIAGNOSTIC COLONOSCOPY | $2,844.80 | $18,965.33 | $321.67–$15,172.26 | 6% below | 85% |
| Coronary stent placement, one artery CPT 92928 IC-PRQ CRD STN W-ANG[FLSA] | $9,636.41 | $64,242.72 | $586.32–$51,394.18 | 59% below | 85% |
| Coronary stent placement, one artery CPT 92928 PRQ TCAT PLMT NTRAC ST 1 LES | $13,591.39 | $90,609.24 | $586.32–$72,487.39 | 42% below | 85% |
| Coronary stent placement, one artery inpatient CPT 92928 IC-PRQ CRD STN W-ANG[FLSA] | $22,484.95 | $64,242.72 | $12,463.09–$51,394.18 | — | 65% |
| Cystoscopy with ureteral stent placement CPT 52332 CYSTOSCOPY AND TREATMENT | $11,903.79 | $79,358.60 | $352.29–$63,486.88 | 144% above | 85% |
| Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 CYSTOSCOPY | $10,703.42 | $71,356.14 | $206.41–$57,084.91 | 456% above | 85% |
| D&C (dilation and curettage), not related to pregnancy CPT 58120 DILATION AND CURETTAGE | $3,925.36 | $26,169.09 | $289.02–$20,935.27 | 12% below | 85% |
| Earwax removal by irrigation (rinsing), one ear CPT 69209 REMOVE IMPACTED EAR WAX UNI | $671.09 | $4,473.91 | $14.46–$13,658.00 | 256% above | 85% |
| Earwax removal with instruments, one ear CPT 69210 REMOVE IMPACTED EAR WAX | $459.35 | $3,062.31 | $46.16–$13,658.00 | 127% above | 85% |
| Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 NJX INTERLAMINAR CRV/THRC | $1,102.67 | $7,351.15 | $242.80–$13,658.00 | 50% below | 85% |
| Facet joint injection, lower back, one level, with imaging guidance CPT 64493 INJ PARAVERT F JNT L/S 1 LEV | $1,131.13 | $7,540.88 | $167.44–$13,658.00 | 49% below | 85% |
| First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm CPT 49593 RPR AA HRN 1ST 3-10 RDC | $19,360.02 | $129,066.78 | $587.88–$103,253.42 | 28% above | 85% |
| First repair of a front abdominal hernia larger than 10 cm CPT 49595 RPR AA HRN 1ST > 10 RDC | $15,163.81 | $101,092.08 | $792.59–$80,873.66 | 33% above | 85% |
| First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm CPT 49591 RPR AA HRN 1ST < 3 CM RDC | $13,013.25 | $86,755.03 | $350.11–$69,404.02 | 32% above | 85% |
| Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 DIAGNOSTIC SIGMOIDOSCOPY | $4,655.65 | $31,037.64 | $173.21–$24,830.11 | 66% above | 85% |
| Gallbladder removal, laparoscopic CPT 47562 LAPAROSCOPIC CHOLECYSTECTOMY | $12,510.95 | $83,406.36 | $230.88–$66,725.09 | 22% below | 85% |
| Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery CPT 47563 LAPARO CHOLECYSTECTOMY/GRAPH | $13,123.56 | $87,490.38 | $230.88–$69,992.30 | 4% below | 85% |
| Hammertoe correction surgery CPT 28285 REPAIR OF HAMMERTOE | $11,743.17 | $78,287.77 | $514.92–$62,630.22 | 153% above | 85% |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 S-INJ CATH HYSTERSO | $342.79 | $2,285.28 | $132.18–$52,995.64 | 19% below | 85% |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 CATHETER FOR HYSTEROGRAPHY | $681.22 | $4,541.49 | $113.02–$105,317.15 | 62% above | 85% |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 S-INJ CATH HYSTERSO | $799.85 | $2,285.28 | $443.34–$1,828.22 | — | 65% |
| Hysteroscopy with endometrial ablation CPT 58563 HYSTEROSCOPY, ABLATION | $7,439.22 | $49,594.83 | $1,816.14–$39,675.86 | 26% below | 85% |
| Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 HYSTEROSCOPY, BIOPSY | $4,831.64 | $32,210.93 | $1,154.94–$25,768.74 | 28% below | 85% |
| IUD insertion (the device itself billed separately) CPT 58300 INSERT INTRAUTERINE DEVICE | $6,093.86 | $40,625.75 | $47.09–$942,111.14 | 597% above | 85% |
| Incision and drainage of a simple or single skin abscess CPT 10060 DRAINAGE OF SKIN ABSCESS | $1,257.88 | $8,385.86 | $121.34–$13,658.00 | 110% above | 85% |
| Inguinal (groin) hernia repair, age 5 or older CPT 49505 REPAIR INGUINAL HERNIA | $9,818.23 | $65,454.89 | $534.04–$52,363.91 | 16% above | 85% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 S-JNT ASP INJ MAJ UN | $193.10 | $1,287.36 | $63.34–$13,658.00 | 71% below | 85% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 DRAIN/INJECT, JOINT/BURSA | $818.25 | $5,455.03 | $63.34–$13,658.00 | 22% above | 85% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 RF Joint Aspiration-Injection Major Rt | $193.10 | $1,287.36 | $63.34–$13,658.00 | 71% below | 85% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 RF Joint Aspiration-Injection Major Lt | $193.10 | $1,287.36 | $63.34–$13,658.00 | 71% below | 85% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 S-JNT ASP INJ MAJ UN | $450.58 | $1,287.36 | $249.75–$1,029.89 | — | 65% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient one side CPT 20610 RF Joint Aspiration-Injection Major Rt | $450.58 | $1,287.36 | $249.75–$1,029.89 | — | 65% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient one side CPT 20610 RF Joint Aspiration-Injection Major Lt | $450.58 | $1,287.36 | $249.75–$1,029.89 | — | 65% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 S-JOINT ASP-INJ IM | $160.22 | $1,068.12 | $52.85–$13,658.00 | 72% below | 85% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 DRAIN/INJECT, JOINT/BURSA | $1,059.97 | $7,066.48 | $52.85–$13,658.00 | 86% above | 85% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) one side CPT 20605 RF Joint Aspiration-Injection Intermed Lt | $160.22 | $1,068.12 | $52.85–$13,658.00 | 72% below | 85% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) one side CPT 20605 RF Joint Aspiration-Injection Intermed Rt | $160.22 | $1,068.12 | $52.85–$13,658.00 | 72% below | 85% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 S-JOINT ASP-INJ IM | $373.84 | $1,068.12 | $207.22–$854.50 | — | 65% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient one side CPT 20605 RF Joint Aspiration-Injection Intermed Rt | $373.84 | $1,068.12 | $207.22–$854.50 | — | 65% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient one side CPT 20605 RF Joint Aspiration-Injection Intermed Lt | $373.84 | $1,068.12 | $207.22–$854.50 | — | 65% |
| Knee arthroscopy with meniscus repair (one side of the knee) CPT 29882 KNEE ARTHROSCOPY/SURGERY | $6,675.31 | $44,502.08 | $691.46–$35,601.66 | 51% below | 85% |
| Knee arthroscopy with meniscus trim CPT 29881 KNEE ARTHROSCOPY/SURGERY | $8,008.72 | $53,391.44 | $543.29–$42,713.15 | 44% below | 85% |
| Knee arthroscopy with smoothing of damaged cartilage (chondroplasty) CPT 29877 KNEE ARTHROSCOPY/SURGERY | $7,076.95 | $47,179.66 | $623.60–$37,743.73 | 34% below | 85% |
| Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 LAPAROSCOPY, APPENDECTOMY | $13,497.45 | $89,983.01 | $613.84–$71,986.41 | 20% above | 85% |
| Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries CPT 58571 TLH W/T/O 250 G OR LESS | $17,047.52 | $113,650.13 | $904.07–$90,920.10 | 15% below | 85% |
| Laparoscopic inguinal (groin) hernia repair, first repair on that side CPT 49650 LAPARO HERNIA REPAIR INITIAL | $12,565.21 | $83,768.05 | $441.41–$67,014.44 | 102% above | 85% |
| Laparoscopic inguinal (groin) hernia repair, recurrent hernia CPT 49651 LAPARO HERNIA REPAIR RECUR | $15,161.66 | $101,077.76 | $576.60–$80,862.21 | 2% above | 85% |
| Laparoscopic removal of fallopian tubes and/or ovaries CPT 58661 LAPAROSCOPY, REMOVE ADNEXA | $9,291.08 | $61,940.51 | $652.06–$49,552.41 | 20% below | 85% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 LAYER CLOSURE OF WOUND(S) | $4,757.25 | $31,715.00 | $228.05–$25,372.00 | 391% above | 85% |
| Left heart catheterization, diagnostic CPT 93452 CC-LHC VENT PUNC[FLSA] | $1,431.76 | $9,545.04 | $571.40–$33,386.00 | 87% below | 85% |
| Left heart catheterization, diagnostic one side CPT 93452 LEFT HRT CATH W/VENTRCLGRPHY | $6,587.62 | $43,917.48 | $571.40–$35,133.98 | 42% below | 85% |
| Left heart catheterization, diagnostic inpatient CPT 93452 CC-LHC VENT PUNC[FLSA] | $3,340.76 | $9,545.04 | $1,851.74–$7,636.03 | — | 65% |
| Lower-back epidural injection, with imaging guidance CPT 62323 NJX INTERLAMINAR LMBR/SAC | $940.11 | $6,267.41 | $238.39–$13,658.00 | 60% below | 85% |
| Lower-back epidural injection, without imaging guidance CPT 62322 NJX INTERLAMINAR LMBR/SAC | $1,284.81 | $8,565.40 | $125.84–$13,658.00 | 42% below | 85% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 INJ FORAMEN EPIDURAL L/S | $1,325.97 | $8,839.78 | $228.38–$13,658.00 | 39% below | 85% |
| Lumbar discectomy or laminotomy to free a nerve root, one level CPT 63030 LOW BACK DISK SURGERY | $19,459.56 | $129,730.42 | $942.10–$103,784.34 | 40% above | 85% |
| Lumbar fusion with interbody cage and posterolateral graft (TLIF), one level CPT 22633 ARTHRD CMBN 1NTRSPC LUMBAR | $48,511.58 | $323,410.56 | $1,869.00–$258,728.45 | 63% above | 85% |
| Lumbar laminectomy (spinal decompression), one level CPT 63047 REMOVAL OF SPINAL LAMINA | $24,035.63 | $160,237.54 | $1,142.08–$128,190.03 | 76% above | 85% |
| Lumpectomy (partial mastectomy) CPT 19301 PARTIAL MASTECTOMY | $11,124.18 | $74,161.20 | $670.87–$59,328.96 | 40% above | 85% |
| Mastectomy (total removal of the breast) CPT 19303 MAST SIMPLE COMPLETE | $26,156.35 | $174,375.68 | $976.76–$139,500.54 | 9% above | 85% |
| Miscarriage treatment with D&C, first trimester CPT 59820 CARE OF MISCARRIAGE | $4,421.87 | $29,479.15 | $437.33–$23,583.32 | 11% above | 85% |
| Nail removal (partial or complete), one nail CPT 11730 REMOVAL OF NAIL PLATE | $816.96 | $5,446.37 | $107.39–$13,658.00 | 64% above | 85% |
| Pacemaker implant (dual chamber) CPT 33208 P-INS DUAL PAC SYS[FLSA] | $2,354.70 | $15,697.99 | $514.30–$26,869.00 | 88% below | 85% |
| Pacemaker implant (dual chamber) inpatient CPT 33208 P-INS DUAL PAC SYS[FLSA] | $5,494.30 | $15,697.99 | $3,045.41–$12,558.39 | — | 65% |
| Paracentesis with imaging guidance CPT 49083 US Paracentesis Abd w Image | $303.59 | $2,023.92 | $237.06–$3,708.00 | 80% below | 85% |
| Paracentesis with imaging guidance CPT 49083 ABD PARACENTESIS W/IMAGING | $1,128.08 | $7,520.50 | $267.87–$13,658.00 | 27% below | 85% |
| Paracentesis with imaging guidance inpatient CPT 49083 US Paracentesis Abd w Image | $708.37 | $2,023.92 | $392.64–$1,619.14 | — | 65% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 REMOVAL OF NAIL BED | $4,968.95 | $33,126.30 | $151.23–$26,501.04 | 325% above | 85% |
| Prostate biopsy CPT 55700 BIOPSY OF PROSTATE | $6,744.50 | $44,963.36 | $229.02–$1,042,700.32 | 26% above | 85% |
| Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 DESTROY LUMB/SAC FACET JNT | $2,196.96 | $14,646.40 | $406.66–$13,658.00 | 35% below | 85% |
| Removal of a breast lump, open surgery CPT 19120 REMOVAL OF BREAST LESION | $5,441.91 | $36,279.42 | $516.18–$29,023.54 | 35% above | 85% |
| Removal of a foreign object under the skin, simple CPT 10120 REMOVE FOREIGN BODY | $3,990.47 | $26,603.12 | $143.27–$21,282.50 | 306% above | 85% |
| Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 COLON CA SCRN NOT HI RSK IND | $2,762.26 | $18,415.09 | $322.14–$14,732.07 | 15% below | 85% |
| Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 COLORECTAL SCRN; HI RISK IND | $2,847.30 | $18,982.03 | $321.67–$15,185.62 | 9% below | 85% |
| Shock-wave lithotripsy to break up kidney stones (from outside the body) CPT 50590 Lithotripsy ESWL | $12,292.56 | $81,950.40 | $712.70–$65,560.32 | 33% below | 85% |
| Shock-wave lithotripsy to break up kidney stones (from outside the body) CPT 50590 Extracorporeal Shockwave Lithotripsy | $12,292.56 | $81,950.40 | $712.70–$65,560.32 | 33% below | 85% |
| Shock-wave lithotripsy to break up kidney stones (from outside the body) CPT 50590 FRAGMENTING OF KIDNEY STONE | $14,638.77 | $97,591.77 | $712.70–$78,073.42 | 20% below | 85% |
| Shock-wave lithotripsy to break up kidney stones (from outside the body) inpatient CPT 50590 Extracorporeal Shockwave Lithotripsy | $28,682.64 | $81,950.40 | $15,898.38–$65,560.32 | — | 65% |
| Shock-wave lithotripsy to break up kidney stones (from outside the body) inpatient CPT 50590 Lithotripsy ESWL | $28,682.64 | $81,950.40 | $15,898.38–$65,560.32 | — | 65% |
| Short arm splint (forearm and hand) CPT 29125 APPLY FOREARM SPLINT | $1,757.30 | $11,715.35 | $65.58–$13,658.00 | 358% above | 85% |
| Short leg splint (calf to foot) CPT 29515 APPLICATION LOWER LEG SPLINT | $2,685.83 | $17,905.52 | $72.18–$14,324.42 | 552% above | 85% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 REPAIR SUPERFICIAL WOUND(S) | $1,159.96 | $7,733.04 | $90.10–$13,658.00 | 131% above | 85% |
| Skin tag removal, up to 15 tags CPT 11200 REMOVAL OF SKIN TAGS | $9,171.02 | $61,140.13 | $87.79–$48,912.10 | 2097% above | 85% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 Lumbar Punctures w/o imaging | $289.01 | $1,926.72 | $140.32–$3,708.00 | 77% below | 85% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 US Spinal Tap Diagnostic Lumbar | $289.01 | $1,926.72 | $140.32–$3,708.00 | 77% below | 85% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 RF Spinal Tap Diagnostic Lumbar | $289.01 | $1,926.72 | $140.32–$3,708.00 | 77% below | 85% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 SPINAL FLUID TAP, DIAGNOSTIC | $2,327.99 | $15,519.91 | $140.32–$13,658.00 | 87% above | 85% |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 US Spinal Tap Diagnostic Lumbar | $674.35 | $1,926.72 | $373.78–$1,541.38 | — | 65% |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 RF Spinal Tap Diagnostic Lumbar | $674.35 | $1,926.72 | $373.78–$1,541.38 | — | 65% |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 Lumbar Punctures w/o imaging | $674.35 | $1,926.72 | $373.78–$1,541.38 | — | 65% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 REPAIR SUPERFICIAL WOUND(S) | $1,385.77 | $9,238.48 | $110.25–$13,658.00 | 141% above | 85% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 REPAIR SUPERFICIAL WOUND(S) | $1,592.56 | $10,617.07 | $108.12–$13,658.00 | 229% above | 85% |
| TURP (transurethral resection of the prostate) CPT 52601 PROSTATECTOMY (TURP) | $9,447.00 | $62,980.03 | $717.31–$50,384.02 | 4% below | 85% |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 TANGNTL BX SKIN SINGLE LES | $3,628.65 | $24,190.99 | $92.30–$19,352.79 | 487% above | 85% |
| Thoracentesis with imaging guidance CPT 32555 US Thoracentesis w Imaging Guidance | $215.78 | $1,438.56 | $242.86–$7,048.00 | 88% below | 85% |
| Thoracentesis with imaging guidance inpatient CPT 32555 US Thoracentesis w Imaging Guidance | $503.50 | $1,438.56 | $279.08–$1,150.85 | — | 65% |
| Total hip replacement CPT 27130 TOTAL HIP REPLACEMENT | $20,872.46 | $139,149.70 | $1,289.75–$111,319.76 | 3% below | 85% |
| Total knee replacement CPT 27447 TOTAL KNEE REPLACEMENT | $23,494.02 | $156,626.78 | $1,288.06–$125,301.42 | 2% above | 85% |
| Total shoulder replacement CPT 23472 RECONSTRUCT SHOULDER JOINT | $18,549.74 | $123,664.91 | $1,446.88–$98,931.93 | 23% below | 85% |
| Trigger finger release surgery CPT 26055 INCISE FINGER TENDON SHEATH | $3,491.89 | $23,279.26 | $551.71–$18,623.41 | 6% above | 85% |
| Trigger point injections, 1 or 2 muscles CPT 20552 NJX 1/MLT TRIGGER POINT 1/2 | $1,340.30 | $8,935.32 | $50.21–$13,658.00 | 117% above | 85% |
| Tubal ligation, laparoscopic (tubes sealed by cautery) CPT 58670 LAPAROSCOPY, TUBAL CAUTERY | $5,275.40 | $35,169.35 | $369.67–$28,135.48 | 33% below | 85% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 BX BREAST 1ST LESION US IMAG | $2,951.04 | $19,673.58 | $437.26–$15,738.86 | 16% below | 85% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion one side CPT 19083 US Breast Biopsy w Loc 1 Lesion Right | $2,926.21 | $19,508.04 | $342.40–$15,606.43 | 17% below | 85% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion one side CPT 19083 US Breast Biopsy w Loc 1 Lesion Left | $2,926.21 | $19,508.04 | $342.40–$15,606.43 | 17% below | 85% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient one side CPT 19083 US Breast Biopsy w Loc 1 Lesion Left | $6,827.81 | $19,508.04 | $3,784.56–$15,606.43 | — | 65% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient one side CPT 19083 US Breast Biopsy w Loc 1 Lesion Right | $6,827.81 | $19,508.04 | $3,784.56–$15,606.43 | — | 65% |
| Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 ESOPH ENDOSCOPY, DILATION | $3,362.55 | $22,416.97 | $942.61–$17,933.58 | 20% above | 85% |
| Upper endoscopy (EGD) with biopsy CPT 43239 UPPER GI ENDOSCOPY, BIOPSY | $3,481.13 | $23,207.50 | $345.26–$18,566.00 | 12% above | 85% |
| Upper endoscopy (EGD) with injection into the lining CPT 43236 UPPR GI SCOPE W/SUBMUC INJ | $3,586.82 | $23,912.16 | $366.55–$19,129.73 | 41% above | 85% |
| Upper endoscopy (EGD) with polyp removal by snare CPT 43251 OPERATIVE UPPER GI ENDOSCOPY | $4,633.03 | $30,886.84 | $454.04–$24,709.47 | 68% above | 85% |
| Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 UPPR GI ENDOSCOPY/GUIDE WIRE | $3,062.52 | $20,416.81 | $381.21–$16,333.45 | 30% above | 85% |
| Upper endoscopy (EGD), diagnostic CPT 43235 UPPR GI ENDOSCOPY, DIAGNOSIS | $2,835.47 | $18,903.15 | $268.32–$15,122.52 | 24% above | 85% |
| Ureteroscopy with laser stone breaking (lithotripsy) CPT 52353 CYSTOURETERO W/LITHOTRIPSY | $11,773.61 | $78,490.75 | $382.43–$62,792.60 | 114% above | 85% |
| Ureteroscopy with laser stone breaking and stent placement CPT 52356 CYSTO/URETERO W/LITHOTRIPSY | $9,152.95 | $61,019.67 | $406.66–$48,815.74 | 32% below | 85% |
| Vasectomy, one or both sides, including follow-up semen testing CPT 55250 REMOVAL OF SPERM DUCT(S) | $6,971.89 | $46,479.27 | $317.72–$37,183.42 | 76% above | 85% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRIDE SKIN/TISSUE | $6,333.44 | $42,222.94 | $121.85–$33,778.35 | 468% above | 85% |
| Wrist fracture surgery (plate and screws), distal radius CPT 25607 OPTX DST RD XARTC FX/EPI SEP | $12,608.97 | $84,059.77 | $746.15–$67,247.82 | 11% above | 85% |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Florida | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 $ED Transfusion >2 yrs | $135.59 | $903.96 | $39.73–$7,048.00 | 88% below | 85% |
| Blood transfusion (giving blood or blood components) CPT 36430 CHRG - BLOOD TRANSFUSION - Blood Transfusion Perfo | $135.59 | $903.96 | $39.73–$7,048.00 | 88% below | 85% |
| Blood transfusion (giving blood or blood components) CPT 36430 Blood Unit Verified with Pt Information: - Transfu | $135.59 | $903.96 | $39.73–$7,048.00 | 88% below | 85% |
| Blood transfusion (giving blood or blood components) CPT 36430 Blood Unit Product: - Red blood cells (postoperati | $135.59 | $903.96 | $39.73–$7,048.00 | 88% below | 85% |
| Blood transfusion (giving blood or blood components) CPT 36430 Blood Unit Product: - Platelets (random donor) | $135.59 | $903.96 | $39.73–$7,048.00 | 88% below | 85% |
| Blood transfusion (giving blood or blood components) CPT 36430 Blood Unit Product: - Platelets (single donor) | $135.59 | $903.96 | $39.73–$7,048.00 | 88% below | 85% |
| Blood transfusion (giving blood or blood components) CPT 36430 Blood Unit Product: - Whole blood | $135.59 | $903.96 | $39.73–$7,048.00 | 88% below | 85% |
| Blood transfusion (giving blood or blood components) CPT 36430 Blood Unit Product: - Red blood cells (preoperativ | $135.59 | $903.96 | $39.73–$7,048.00 | 88% below | 85% |
| Blood transfusion (giving blood or blood components) CPT 36430 Blood Unit Product: - Packed red blood cells | $135.59 | $903.96 | $39.73–$7,048.00 | 88% below | 85% |
| Blood transfusion (giving blood or blood components) CPT 36430 Blood Unit Product: - Fresh frozen plasma | $135.59 | $903.96 | $39.73–$7,048.00 | 88% below | 85% |
| Blood transfusion (giving blood or blood components) CPT 36430 Blood Unit Product: - Cryoprecipitate | $135.59 | $903.96 | $39.73–$7,048.00 | 88% below | 85% |
| Blood transfusion (giving blood or blood components) CPT 36430 Blood Administration Fee | $135.59 | $903.96 | $39.73–$7,048.00 | 88% below | 85% |
| Blood transfusion (giving blood or blood components) CPT 36430 Blood transfusions | $135.59 | $903.96 | $39.73–$7,048.00 | 88% below | 85% |
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSFUSION SERVICE | $3,749.58 | $24,997.22 | $39.73–$19,997.78 | 241% above | 85% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 Blood Unit Product: - Packed red blood cells | $316.39 | $903.96 | $175.37–$723.17 | — | 65% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 Blood Unit Product: - Fresh frozen plasma | $316.39 | $903.96 | $175.37–$723.17 | — | 65% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 Blood Unit Product: - Red blood cells (preoperativ | $316.39 | $903.96 | $175.37–$723.17 | — | 65% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 Blood Unit Product: - Cryoprecipitate | $316.39 | $903.96 | $175.37–$723.17 | — | 65% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 Blood Administration Fee | $316.39 | $903.96 | $175.37–$723.17 | — | 65% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 CHRG - BLOOD TRANSFUSION - Blood Transfusion Perfo | $316.39 | $903.96 | $175.37–$723.17 | — | 65% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 Blood Unit Product: - Platelets (random donor) | $316.39 | $903.96 | $175.37–$723.17 | — | 65% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 Blood Unit Verified with Pt Information: - Transfu | $316.39 | $903.96 | $175.37–$723.17 | — | 65% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 Blood Unit Product: - Whole blood | $316.39 | $903.96 | $175.37–$723.17 | — | 65% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 Blood transfusions | $316.39 | $903.96 | $175.37–$723.17 | — | 65% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 $ED Transfusion >2 yrs | $316.39 | $903.96 | $175.37–$723.17 | — | 65% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 Blood Unit Product: - Red blood cells (postoperati | $316.39 | $903.96 | $175.37–$723.17 | — | 65% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 Blood Unit Product: - Platelets (single donor) | $316.39 | $903.96 | $175.37–$723.17 | — | 65% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Aerosol Treatment Charge - Subsequent | $51.35 | $342.36 | $7.47–$367.00 | 80% below | 85% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Aerosol Treatment Charge - IPPB Subsequent | $51.35 | $342.36 | $7.47–$367.00 | 80% below | 85% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Meter Dose Inhaler Charge - Subsequent | $51.35 | $342.36 | $7.47–$367.00 | 80% below | 85% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Aerosol Treatment Charge - IPV Subsequent | $51.35 | $342.36 | $7.47–$367.00 | 80% below | 85% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Meter Dose Inhaler Charge - Initial | $115.02 | $766.80 | $7.47–$766.80 | 56% below | 85% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Aerosol Treatment Charge - Initial | $115.02 | $766.80 | $7.47–$766.80 | 56% below | 85% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Aerosol Treatment Charge - IPPB Initial | $115.02 | $766.80 | $7.47–$766.80 | 56% below | 85% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Aerosol Treatment Charge - IPV Initial | $115.02 | $766.80 | $7.47–$766.80 | 56% below | 85% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 AIRWAY INHALATION TREATMENT | $6,623.72 | $44,158.10 | $7.47–$35,326.48 | 2446% above | 85% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Aerosol Treatment Charge - Subsequent | $119.83 | $342.36 | $66.42–$273.89 | — | 65% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Aerosol Treatment Charge - IPV Subsequent | $119.83 | $342.36 | $66.42–$273.89 | — | 65% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Meter Dose Inhaler Charge - Subsequent | $119.83 | $342.36 | $66.42–$273.89 | — | 65% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Aerosol Treatment Charge - IPPB Subsequent | $119.83 | $342.36 | $66.42–$273.89 | — | 65% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Meter Dose Inhaler Charge - Initial | $268.38 | $766.80 | $148.76–$613.44 | — | 65% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Aerosol Treatment Charge - IPPB Initial | $268.38 | $766.80 | $148.76–$613.44 | — | 65% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Aerosol Treatment Charge - IPV Initial | $268.38 | $766.80 | $148.76–$613.44 | — | 65% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Aerosol Treatment Charge - Initial | $268.38 | $766.80 | $148.76–$613.44 | — | 65% |
| Critical care, first 30 to 74 minutes CPT 99291 99291 - Critical Care | $1,310.26 | $8,735.04 | $265.86–$6,988.03 | 73% below | 85% |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 99291 - Critical Care | $3,057.26 | $8,735.04 | $1,694.60–$6,988.03 | — | 65% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ED EKG Start Time | $168.80 | $1,125.36 | $58.52–$2,146.00 | 54% below | 85% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG Series 3 Hours | $168.80 | $1,125.36 | $58.52–$2,146.00 | 54% below | 85% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG Series 6 Hours | $168.80 | $1,125.36 | $58.52–$2,146.00 | 54% below | 85% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ED EKG Series 3 Hours | $168.80 | $1,125.36 | $58.52–$2,146.00 | 54% below | 85% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG 12 Lead Series Now | $168.80 | $1,125.36 | $58.52–$2,146.00 | 54% below | 85% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ED EKG 12 Lead Series Now | $168.80 | $1,125.36 | $58.52–$2,146.00 | 54% below | 85% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ED EKG Series 1 Hour | $168.80 | $1,125.36 | $58.52–$2,146.00 | 54% below | 85% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG Series 1 Hour | $168.80 | $1,125.36 | $58.52–$2,146.00 | 54% below | 85% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Is the patient scheduled for a Cath Lab procedure | $168.80 | $1,125.36 | $58.52–$2,146.00 | 54% below | 85% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ELECTROCARDIOGRAM, TRACING | $2,881.16 | $19,207.75 | $58.52–$15,366.20 | 687% above | 85% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 ED EKG 12 Lead Series Now | $393.88 | $1,125.36 | $218.32–$900.29 | — | 65% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 ED EKG Series 3 Hours | $393.88 | $1,125.36 | $218.32–$900.29 | — | 65% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG Series 6 Hours | $393.88 | $1,125.36 | $218.32–$900.29 | — | 65% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 ED EKG Series 1 Hour | $393.88 | $1,125.36 | $218.32–$900.29 | — | 65% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG Series 3 Hours | $393.88 | $1,125.36 | $218.32–$900.29 | — | 65% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG Series 1 Hour | $393.88 | $1,125.36 | $218.32–$900.29 | — | 65% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG 12 Lead Series Now | $393.88 | $1,125.36 | $218.32–$900.29 | — | 65% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 Is the patient scheduled for a Cath Lab procedure | $393.88 | $1,125.36 | $218.32–$900.29 | — | 65% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 ED EKG Start Time | $393.88 | $1,125.36 | $218.32–$900.29 | — | 65% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 99281 - Level 1 | $196.99 | $1,313.28 | $11.33–$4,464.00 | 60% below | 85% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 99281 - Level 1 | $459.65 | $1,313.28 | $254.78–$1,050.62 | — | 65% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 99282 - Level 2 | $401.44 | $2,676.24 | $41.52–$4,464.00 | 56% below | 85% |
| Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 99282 - Level 2 | $936.68 | $2,676.24 | $519.19–$2,140.99 | — | 65% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 99283 - Level 3 | $606.37 | $4,042.44 | $69.99–$5,716.00 | 63% below | 85% |
| Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 99283 - Level 3 | $1,414.85 | $4,042.44 | $784.23–$3,233.95 | — | 65% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 99284 - Level 4 | $919.03 | $6,126.84 | $119.72–$5,883.00 | 63% below | 85% |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 99284 - Level 4 | $2,144.39 | $6,126.84 | $1,188.61–$4,901.47 | — | 65% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 99285 - Level 5 | $918.70 | $6,124.68 | $173.81–$5,883.00 | 73% below | 85% |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 99285 - Level 5 | $2,143.64 | $6,124.68 | $1,188.19–$4,899.74 | — | 65% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 93017 NM-STRESS TEST | $762.40 | $5,082.64 | $35.31–$4,638.00 | 49% below | 85% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 NI Stress Test | $762.53 | $5,083.56 | $35.31–$4,638.00 | 49% below | 85% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 Cardiac Stress Test | $762.53 | $5,083.56 | $35.31–$4,638.00 | 49% below | 85% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 CARDIOVASCULAR STRESS TEST | $3,834.64 | $25,564.25 | $35.31–$20,451.40 | 155% above | 85% |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 93017 NM-STRESS TEST | $1,778.92 | $5,082.64 | $986.03–$4,066.11 | — | 65% |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 NI Stress Test | $1,779.25 | $5,083.56 | $986.21–$4,066.85 | — | 65% |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 Cardiac Stress Test | $1,779.25 | $5,083.56 | $986.21–$4,066.85 | — | 65% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 CHRG - Inf/Inj/Hydration - IV HYDRATION 1 HR | $69.82 | $465.48 | $28.78–$4,464.00 | 88% below | 85% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 96360 - Hydration, first hour | $69.82 | $465.48 | $28.78–$4,464.00 | 88% below | 85% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 OB CHRG - Inf/Inj/Hydration Once - IV HYDRATION 1 | $69.82 | $465.48 | $28.78–$488.00 | 88% below | 85% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 Hydration therapy 1st hour | $69.82 | $465.48 | $28.78–$488.00 | 88% below | 85% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HYDRATION IV INFUSION INIT | $2,551.72 | $17,011.48 | $28.78–$13,658.00 | 353% above | 85% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 96360 - Hydration, first hour | $162.92 | $465.48 | $90.30–$372.38 | — | 65% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 OB CHRG - Inf/Inj/Hydration Once - IV HYDRATION 1 | $162.92 | $465.48 | $90.30–$372.38 | — | 65% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 Hydration therapy 1st hour | $162.92 | $465.48 | $90.30–$372.38 | — | 65% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 CHRG - Inf/Inj/Hydration - IV HYDRATION 1 HR | $162.92 | $465.48 | $90.30–$372.38 | — | 65% |
| IV infusion of a medicine, first hour CPT 96365 OB CHRG - Inf/Inj/Hydration Once - IV THERAPY DX 1 | $114.70 | $764.64 | $55.52–$764.64 | 83% below | 85% |
| IV infusion of a medicine, first hour CPT 96365 CHRG - Inf/Inj/Hydration - IV THERAPY DX 1 HR | $114.70 | $764.64 | $55.52–$764.64 | 83% below | 85% |
| IV infusion of a medicine, first hour CPT 96365 96365 - IV tx, first hour | $114.70 | $764.64 | $55.52–$4,464.00 | 83% below | 85% |
| IV infusion of a medicine, first hour CPT 96365 Infusion 1st hour | $114.70 | $764.64 | $55.52–$764.64 | 83% below | 85% |
| IV infusion of a medicine, first hour CPT 96365 THER/PROPH/DIAG IV INF INIT | $3,172.70 | $21,151.32 | $55.52–$16,921.06 | 383% above | 85% |
| IV infusion of a medicine, first hour inpatient CPT 96365 Infusion 1st hour | $267.62 | $764.64 | $148.34–$611.71 | — | 65% |
| IV infusion of a medicine, first hour inpatient CPT 96365 OB CHRG - Inf/Inj/Hydration Once - IV THERAPY DX 1 | $267.62 | $764.64 | $148.34–$611.71 | — | 65% |
| IV infusion of a medicine, first hour inpatient CPT 96365 96365 - IV tx, first hour | $267.62 | $764.64 | $148.34–$611.71 | — | 65% |
| IV infusion of a medicine, first hour inpatient CPT 96365 CHRG - Inf/Inj/Hydration - IV THERAPY DX 1 HR | $267.62 | $764.64 | $148.34–$611.71 | — | 65% |
| IV push of a medicine, first drug CPT 96374 IV push initial | $129.76 | $865.08 | $32.62–$865.08 | 59% below | 85% |
| IV push of a medicine, first drug CPT 96374 CHRG - THER/PROPH/DIAG INJ, IVPUSH | $129.76 | $865.08 | $32.62–$865.08 | 59% below | 85% |
| IV push of a medicine, first drug CPT 96374 96374 - IV Injection, single/initial | $129.76 | $865.08 | $32.62–$4,464.00 | 59% below | 85% |
| IV push of a medicine, first drug CPT 96374 CHRG - Inf/Inj/Hydration - THERAPEUTIC IV PUSH | $129.76 | $865.08 | $32.62–$865.08 | 59% below | 85% |
| IV push of a medicine, first drug CPT 96374 OB CHRG - Inf/Inj/Hydration Once - THERAPEUTIC IV | $129.76 | $865.08 | $32.62–$865.08 | 59% below | 85% |
| IV push of a medicine, first drug CPT 96374 THER/PROPH/DIAG INJ IV PUSH | $2,948.57 | $19,657.15 | $32.62–$15,725.72 | 826% above | 85% |
| IV push of a medicine, first drug inpatient CPT 96374 CHRG - THER/PROPH/DIAG INJ, IVPUSH | $302.78 | $865.08 | $167.83–$692.06 | — | 65% |
| IV push of a medicine, first drug inpatient CPT 96374 IV push initial | $302.78 | $865.08 | $167.83–$692.06 | — | 65% |
| IV push of a medicine, first drug inpatient CPT 96374 OB CHRG - Inf/Inj/Hydration Once - THERAPEUTIC IV | $302.78 | $865.08 | $167.83–$692.06 | — | 65% |
| IV push of a medicine, first drug inpatient CPT 96374 CHRG - Inf/Inj/Hydration - THERAPEUTIC IV PUSH | $302.78 | $865.08 | $167.83–$692.06 | — | 65% |
| IV push of a medicine, first drug inpatient CPT 96374 96374 - IV Injection, single/initial | $302.78 | $865.08 | $167.83–$692.06 | — | 65% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 OB CHRG - THERAPEUTIC DX SQ IM | $36.94 | $246.24 | $13.57–$488.00 | 80% below | 85% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 IM Injection | $36.94 | $246.24 | $13.57–$488.00 | 80% below | 85% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 96372 - Subq/IM Injection | $36.94 | $246.24 | $13.57–$4,464.00 | 80% below | 85% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 CHRG - THERAPEUTIC DX SQ IM | $36.94 | $246.24 | $13.57–$488.00 | 80% below | 85% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 THER/PROPH/DIAG INJ SC/IM | $1,571.79 | $10,478.62 | $13.57–$13,658.00 | 767% above | 85% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 CHRG - THERAPEUTIC DX SQ IM | $86.18 | $246.24 | $47.77–$196.99 | — | 65% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 OB CHRG - THERAPEUTIC DX SQ IM | $86.18 | $246.24 | $47.77–$196.99 | — | 65% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 IM Injection | $86.18 | $246.24 | $47.77–$196.99 | — | 65% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 96372 - Subq/IM Injection | $86.18 | $246.24 | $47.77–$196.99 | — | 65% |
| Neuromuscular re-education, 15 minutes CPT 97112 PT Neuromuscular Reeducation Charges | $56.70 | $378.00 | $29.68–$378.00 | 62% below | 85% |
| Neuromuscular re-education, 15 minutes CPT 97112 NEUROMUSCULAR RE-EDUCATION EA 15 MIN PTA - Redoc 1 | $56.70 | $378.00 | $29.68–$378.00 | 62% below | 85% |
| Neuromuscular re-education, 15 minutes CPT 97112 PT Neuromuscular Reeducation Units | $56.70 | $378.00 | $29.68–$378.00 | 62% below | 85% |
| Neuromuscular re-education, 15 minutes CPT 97112 NEURO RE-ED-15 MIN - REDOC 181 | $56.70 | $378.00 | $29.68–$378.00 | 62% below | 85% |
| Neuromuscular re-education, 15 minutes CPT 97112 PT Neuromuscular Reeducatn Assist Charge | $56.70 | $378.00 | $29.68–$378.00 | 62% below | 85% |
| Neuromuscular re-education, 15 minutes CPT 97112 NEUROMUSCULAR REEDUCATION | $2,962.27 | $19,748.44 | $29.68–$15,798.75 | 1908% above | 85% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 PT Neuromuscular Reeducatn Assist Charge | $132.30 | $378.00 | $73.33–$302.40 | — | 65% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 PT Neuromuscular Reeducation Units | $132.30 | $378.00 | $73.33–$302.40 | — | 65% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 PT Neuromuscular Reeducation Charges | $132.30 | $378.00 | $73.33–$302.40 | — | 65% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 NEURO RE-ED-15 MIN - REDOC 181 | $132.30 | $378.00 | $73.33–$302.40 | — | 65% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 NEUROMUSCULAR RE-EDUCATION EA 15 MIN PTA - Redoc 1 | $132.30 | $378.00 | $73.33–$302.40 | — | 65% |
| New patient office visit, about 30 minutes CPT 99203 OFFICE/OUTPATIENT VISIT, NEW | $376.47 | $2,509.78 | $108.30–$58,201.80 | 17% below | 85% |
| New patient office visit, about 45 minutes CPT 99204 OFFICE/OUTPATIENT VISIT, NEW | $3,415.41 | $22,769.39 | $162.69–$528,022.15 | 430% above | 85% |
| New patient office visit, about 60 minutes CPT 99205 OFFICE/OUTPATIENT VISIT, NEW | $6,257.42 | $41,716.16 | $215.39–$967,397.75 | 712% above | 85% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT EVAL HIGH Unit - Yes | $315.74 | $2,104.92 | $90.04–$2,039.00 | 40% below | 85% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT EVAL- HGH COMP - REDOC 181 | $315.74 | $2,104.92 | $90.04–$2,039.00 | 40% below | 85% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 IRF PT EVAL HIGH | $315.74 | $2,104.92 | $90.04–$2,039.00 | 40% below | 85% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT EVAL HIGH COMPLEX 45 MIN | $735.42 | $4,902.83 | $90.04–$13,658.00 | 40% above | 85% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 PT EVAL- HGH COMP - REDOC 181 | $736.72 | $2,104.92 | $408.35–$1,683.94 | — | 65% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 PT EVAL HIGH Unit - Yes | $736.72 | $2,104.92 | $408.35–$1,683.94 | — | 65% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 IRF PT EVAL HIGH | $736.72 | $2,104.92 | $408.35–$1,683.94 | — | 65% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT EVAL- LOW COMP - REDOC 181 | $264.06 | $1,760.40 | $90.04–$1,760.40 | 41% below | 85% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 IRF PT EVAL LOW | $264.06 | $1,760.40 | $90.04–$1,760.40 | 41% below | 85% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT EVAL LOW Unit - Yes | $264.06 | $1,760.40 | $90.04–$1,760.40 | 41% below | 85% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT EVAL LOW COMPLEX 20 MIN | $10,045.53 | $66,970.21 | $90.04–$53,576.17 | 2137% above | 85% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 PT EVAL- LOW COMP - REDOC 181 | $616.14 | $1,760.40 | $341.52–$1,408.32 | — | 65% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 IRF PT EVAL LOW | $616.14 | $1,760.40 | $341.52–$1,408.32 | — | 65% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 PT EVAL LOW Unit - Yes | $616.14 | $1,760.40 | $341.52–$1,408.32 | — | 65% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT EVAL MOD Unit - Yes | $300.02 | $2,000.16 | $90.04–$2,000.16 | 33% below | 85% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT EVAL- MOD COMP - REDOC 181 | $300.02 | $2,000.16 | $90.04–$2,000.16 | 33% below | 85% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 IRF PT EVAL MOD | $300.02 | $2,000.16 | $90.04–$2,000.16 | 33% below | 85% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT EVAL MOD COMPLEX 30 MIN | $1,031.43 | $6,876.18 | $90.04–$13,658.00 | 130% above | 85% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 IRF PT EVAL MOD | $700.06 | $2,000.16 | $388.03–$1,600.13 | — | 65% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 PT EVAL MOD Unit - Yes | $700.06 | $2,000.16 | $388.03–$1,600.13 | — | 65% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 PT EVAL- MOD COMP - REDOC 181 | $700.06 | $2,000.16 | $388.03–$1,600.13 | — | 65% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 PT Manual Therapy Charges | $37.58 | $250.56 | $25.21–$318.00 | 71% below | 85% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MANUAL THERAPY EA 15 MINUTES PTA - Redoc 181 | $37.58 | $250.56 | $25.21–$318.00 | 71% below | 85% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MANUAL THRPY-15 MIN - REDOC 181 | $37.58 | $250.56 | $25.21–$318.00 | 71% below | 85% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 PT Manual Therapy Units | $37.58 | $250.56 | $25.21–$318.00 | 71% below | 85% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 PT Manual Therapy Assistant Charges | $37.58 | $250.56 | $25.21–$318.00 | 71% below | 85% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MANUAL THERAPY | $1,837.98 | $12,253.19 | $25.21–$13,658.00 | 1319% above | 85% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 PT Manual Therapy Units | $87.70 | $250.56 | $48.61–$200.45 | — | 65% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 MANUAL THRPY-15 MIN - REDOC 181 | $87.70 | $250.56 | $48.61–$200.45 | — | 65% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 PT Manual Therapy Assistant Charges | $87.70 | $250.56 | $48.61–$200.45 | — | 65% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 PT Manual Therapy Charges | $87.70 | $250.56 | $48.61–$200.45 | — | 65% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 MANUAL THERAPY EA 15 MINUTES PTA - Redoc 181 | $87.70 | $250.56 | $48.61–$200.45 | — | 65% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PT Therapeutic Exercise Units | $125.39 | $835.92 | $26.70–$835.92 | 13% below | 85% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PT Therapeutic Exercise Assistant Charge | $125.39 | $835.92 | $26.70–$835.92 | 13% below | 85% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAPEUTIC EXERCISES EA 15 MIN PTA - Redoc 181 | $125.39 | $835.92 | $26.70–$835.92 | 13% below | 85% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAP EXERCS-15 MIN - REDOC 181 | $125.39 | $835.92 | $26.70–$835.92 | 13% below | 85% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PT Therapeutic Exercise Charges | $125.39 | $835.92 | $26.70–$835.92 | 13% below | 85% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAPEUTIC EXERCISES | $2,533.12 | $16,887.45 | $26.70–$13,658.00 | 1651% above | 85% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERAPEUTIC EXERCISES EA 15 MIN PTA - Redoc 181 | $292.57 | $835.92 | $162.17–$668.74 | — | 65% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERAP EXERCS-15 MIN - REDOC 181 | $292.57 | $835.92 | $162.17–$668.74 | — | 65% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 PT Therapeutic Exercise Assistant Charge | $292.57 | $835.92 | $162.17–$668.74 | — | 65% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 PT Therapeutic Exercise Charges | $292.57 | $835.92 | $162.17–$668.74 | — | 65% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 PT Therapeutic Exercise Units | $292.57 | $835.92 | $162.17–$668.74 | — | 65% |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 Tobacco counseling Charge - 3-10 minutes | $8.42 | $56.16 | $10.90–$572.00 | 86% below | 85% |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 Behavior change Smoke Charge - 1-10 minutes | $8.42 | $56.16 | $10.90–$572.00 | 86% below | 85% |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 BEHAV CHNG SMOKING 3-10 MIN | $1,128.45 | $7,523.00 | $13.88–$13,658.00 | 1716% above | 85% |
| Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 Behavior change Smoke Charge - 1-10 minutes | $19.66 | $56.16 | $10.90–$44.93 | — | 65% |
| Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 Tobacco counseling Charge - 3-10 minutes | $19.66 | $56.16 | $10.90–$44.93 | — | 65% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 OFFICE/OUTPATIENT VISIT, EST | $5,439.79 | $36,265.27 | $167.74–$840,991.61 | 746% above | 85% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 OFFICE/OUTPATIENT VISIT, EST | $1,552.61 | $10,350.70 | $87.84–$240,032.73 | 346% above | 85% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OFFICE/OUTPATIENT VISIT, EST | $2,081.96 | $13,879.71 | $123.95–$321,870.47 | 297% above | 85% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OFFICE/OUTPATIENT VISIT, EST | $7,006.94 | $46,712.91 | $53.90–$1,083,272.38 | 1955% above | 85% |
| Speech therapy session, individual CPT 92507 Speech Treatment Charge | $44.06 | $293.76 | $56.99–$318.00 | 88% below | 85% |
| Speech therapy session, individual CPT 92507 SLP Auditory Processing Tx Units | $44.06 | $293.76 | $56.99–$318.00 | 88% below | 85% |
| Speech therapy session, individual CPT 92507 SP-HEAR-TX-INDI VIST - REDOC 187 | $44.06 | $293.76 | $56.99–$318.00 | 88% below | 85% |
| Speech therapy session, individual CPT 92507 Speech Treatment Charge - Yes | $44.06 | $293.76 | $56.99–$318.00 | 88% below | 85% |
| Speech therapy session, individual inpatient CPT 92507 Speech Treatment Charge - Yes | $102.82 | $293.76 | $56.99–$235.01 | — | 65% |
| Speech therapy session, individual inpatient CPT 92507 SLP Auditory Processing Tx Units | $102.82 | $293.76 | $56.99–$235.01 | — | 65% |
| Speech therapy session, individual inpatient CPT 92507 SP-HEAR-TX-INDI VIST - REDOC 187 | $102.82 | $293.76 | $56.99–$235.01 | — | 65% |
| Speech therapy session, individual inpatient CPT 92507 Speech Treatment Charge | $102.82 | $293.76 | $56.99–$235.01 | — | 65% |
| Spirometry (breathing test) CPT 94010 Pulmonary Function Test Charge - spirometry | $109.51 | $730.08 | $141.64–$603.00 | 64% below | 85% |
| Spirometry (breathing test) CPT 94010 BREATHING CAPACITY TEST | $172.80 | $1,151.97 | $156.46–$13,658.00 | 43% below | 85% |
| Spirometry (breathing test) inpatient CPT 94010 Pulmonary Function Test Charge - spirometry | $255.53 | $730.08 | $141.64–$584.06 | — | 65% |
| Spirometry before and after a bronchodilator CPT 94060 Pulmonary Function Test Charge - Pre and post bron | $140.62 | $937.44 | $181.86–$749.95 | 84% below | 85% |
| Spirometry before and after a bronchodilator CPT 94060 EVALUATION OF WHEEZING | $370.50 | $2,469.97 | $311.40–$13,658.00 | 59% below | 85% |
| Spirometry before and after a bronchodilator inpatient CPT 94060 Pulmonary Function Test Charge - Pre and post bron | $328.10 | $937.44 | $181.86–$749.95 | — | 65% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 THERAP ACTVTS-15 MIN - REDOC 181 | $86.83 | $578.88 | $31.88–$578.88 | 42% below | 85% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 PT Therapeutic Activities Assist Charge | $86.83 | $578.88 | $31.88–$578.88 | 42% below | 85% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 THERAPEUTIC ACTIVITIES DIR EA 15 MIN PTA - Redoc 1 | $86.83 | $578.88 | $31.88–$578.88 | 42% below | 85% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 PT Therapeutic Activities Charge | $86.83 | $578.88 | $31.88–$578.88 | 42% below | 85% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 PT Therapeutic Activity Units | $86.83 | $578.88 | $31.88–$578.88 | 42% below | 85% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 THERAPEUTIC ACTIVITIES | $10,804.77 | $72,031.78 | $31.88–$57,625.42 | 7118% above | 85% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 THERAP ACTVTS-15 MIN - REDOC 181 | $202.61 | $578.88 | $112.30–$463.10 | — | 65% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 PT Therapeutic Activities Charge | $202.61 | $578.88 | $112.30–$463.10 | — | 65% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 PT Therapeutic Activities Assist Charge | $202.61 | $578.88 | $112.30–$463.10 | — | 65% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 THERAPEUTIC ACTIVITIES DIR EA 15 MIN PTA - Redoc 1 | $202.61 | $578.88 | $112.30–$463.10 | — | 65% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 PT Therapeutic Activity Units | $202.61 | $578.88 | $112.30–$463.10 | — | 65% |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Florida | Off list |
|---|---|---|---|---|---|
| COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 00069-2528-10 - SARS-CoV-2 (COVID-19) mRNA-LNP vac | $117.39 | $782.63 | $145.73–$782.63 | 51% below | 85% |
| COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 00069-2432-10 - SARS-CoV-2 (COVID-19) mRNA-LNP vac | $117.39 | $782.63 | $145.73–$782.63 | 51% below | 85% |
| COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 00069-2377-10 - SARS-CoV-2 (COVID-19) mRNA-LNP vac | $117.39 | $782.63 | $145.73–$782.63 | 51% below | 85% |
| COVID-19 vaccine (Pfizer-BioNTech), age 12 and older inpatient CPT 91320 00069-2528-10 - SARS-CoV-2 (COVID-19) mRNA-LNP vac | $273.92 | $782.63 | $151.83–$626.10 | — | 65% |
| COVID-19 vaccine (Pfizer-BioNTech), age 12 and older inpatient CPT 91320 00069-2432-10 - SARS-CoV-2 (COVID-19) mRNA-LNP vac | $273.92 | $782.63 | $151.83–$626.10 | — | 65% |
| COVID-19 vaccine (Pfizer-BioNTech), age 12 and older inpatient CPT 91320 00069-2377-10 - SARS-CoV-2 (COVID-19) mRNA-LNP vac | $273.92 | $782.63 | $151.83–$626.10 | — | 65% |
| Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 54569-4056-00 - varicella virus vaccine - Powder | $152.03 | $1,013.53 | $153.60–$23,503.76 | 47% below | 85% |
| Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 00006-4826-00 - varicella virus vaccine REC Inject | $152.03 | $1,013.53 | $153.60–$23,503.76 | 47% below | 85% |
| Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 54569-4055-00 - varicella virus vaccine - Powder | $152.03 | $1,013.53 | $153.60–$23,503.76 | 47% below | 85% |
| Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 00006-4827-00 - varicella virus vaccine REC Inject | $152.03 | $1,013.53 | $153.60–$23,503.76 | 47% below | 85% |
| Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 00006-4826-00 - varicella virus vaccine REC Inject | $354.74 | $1,013.53 | $196.62–$810.82 | — | 65% |
| Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 00006-4827-00 - varicella virus vaccine REC Inject | $354.74 | $1,013.53 | $196.62–$810.82 | — | 65% |
| Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 54569-4055-00 - varicella virus vaccine - Powder | $354.74 | $1,013.53 | $196.62–$810.82 | — | 65% |
| Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 54569-4056-00 - varicella virus vaccine - Powder | $354.74 | $1,013.53 | $196.62–$810.82 | — | 65% |
| DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) CPT 90696 58160-0812-11 - diphtheria/pertussis,acel/tetanus/ | $57.59 | $383.94 | $74.48–$8,903.57 | 65% below | 85% |
| DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) CPT 90696 49281-0564-15 - diphtheria/pertussis,acel/tetanus/ | $57.59 | $383.94 | $74.48–$8,903.57 | 65% below | 85% |
| DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) CPT 90696 58160-0812-52 - diphtheria/pertussis,acel/tetanus/ | $57.59 | $383.94 | $74.48–$8,903.57 | 65% below | 85% |
| DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) CPT 90696 58160-0812-52 - diphtheria/pertussis, acellular/te | $57.59 | $383.94 | $74.48–$8,903.57 | 65% below | 85% |
| DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) CPT 90696 49281-0564-10 - diphtheria/pertussis, acellular/te | $57.59 | $383.94 | $74.48–$8,903.57 | 65% below | 85% |
| DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) CPT 90696 49281-0562-10 - diphtheria/pertussis,acel/tetanus/ | $57.59 | $383.94 | $74.48–$8,903.57 | 65% below | 85% |
| DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) inpatient CPT 90696 58160-0812-11 - diphtheria/pertussis,acel/tetanus/ | $134.38 | $383.94 | $74.48–$307.15 | — | 65% |
| DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) inpatient CPT 90696 49281-0562-10 - diphtheria/pertussis,acel/tetanus/ | $134.38 | $383.94 | $74.48–$307.15 | — | 65% |
| DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) inpatient CPT 90696 58160-0812-52 - diphtheria/pertussis, acellular/te | $134.38 | $383.94 | $74.48–$307.15 | — | 65% |
| DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) inpatient CPT 90696 49281-0564-10 - diphtheria/pertussis, acellular/te | $134.38 | $383.94 | $74.48–$307.15 | — | 65% |
| DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) inpatient CPT 90696 58160-0812-52 - diphtheria/pertussis,acel/tetanus/ | $134.38 | $383.94 | $74.48–$307.15 | — | 65% |
| DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) inpatient CPT 90696 49281-0564-15 - diphtheria/pertussis,acel/tetanus/ | $134.38 | $383.94 | $74.48–$307.15 | — | 65% |
| DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 58160-0810-11 - diphtheria/tetanus/pertussis, acel | $57.59 | $383.94 | $74.48–$8,903.57 | 42% below | 85% |
| DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 49281-0298-10 - diphtheria/tetanus/pertussis, acel | $57.59 | $383.94 | $74.48–$8,903.57 | 42% below | 85% |
| DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 58160-0810-52 - diphtheria/tetanus/pertussis, acel | $57.59 | $383.94 | $74.48–$8,903.57 | 42% below | 85% |
| DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 49281-0286-10 - diphtheria/tetanus/pertussis, acel | $57.59 | $383.94 | $74.48–$8,903.57 | 42% below | 85% |
| DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 58160-0810-52 - diphtheria/tetanus/pertussis, acel | $134.38 | $383.94 | $74.48–$307.15 | — | 65% |
| DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 49281-0298-10 - diphtheria/tetanus/pertussis, acel | $134.38 | $383.94 | $74.48–$307.15 | — | 65% |
| DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 58160-0810-11 - diphtheria/tetanus/pertussis, acel | $134.38 | $383.94 | $74.48–$307.15 | — | 65% |
| DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 49281-0286-10 - diphtheria/tetanus/pertussis, acel | $134.38 | $383.94 | $74.48–$307.15 | — | 65% |
| DTaP, hepatitis B and polio combination vaccine (Pediarix) CPT 90723 58160-0811-52 - diphtheria/hepB/pertussis,acel/pol | $107.79 | $718.63 | $104.35–$16,665.03 | 68% below | 85% |
| DTaP, hepatitis B and polio combination vaccine (Pediarix) inpatient CPT 90723 58160-0811-52 - diphtheria/hepB/pertussis,acel/pol | $251.52 | $718.63 | $139.41–$574.90 | — | 65% |
| DTaP, polio and Hib combination vaccine (Pentacel) CPT 90698 49281-0510-05 - diphth/haemophilus/pertussis/tetan | $81.99 | $546.57 | $106.03–$12,674.96 | 80% below | 85% |
| DTaP, polio and Hib combination vaccine (Pentacel) CPT 90698 49281-0511-05 - diphth/haemophilus/pertussis/tetan | $81.99 | $546.57 | $106.03–$12,674.96 | 80% below | 85% |
| DTaP, polio and Hib combination vaccine (Pentacel) inpatient CPT 90698 49281-0511-05 - diphth/haemophilus/pertussis/tetan | $191.30 | $546.57 | $106.03–$437.26 | — | 65% |
| DTaP, polio and Hib combination vaccine (Pentacel) inpatient CPT 90698 49281-0510-05 - diphth/haemophilus/pertussis/tetan | $191.30 | $546.57 | $106.03–$437.26 | — | 65% |
| Flu shot, recombinant, egg-free (Flublok) CPT 90673 49281-0725-10 - influenza virus vaccine, inactivat | $75.66 | $504.37 | $93.25–$504.37 | 59% below | 85% |
| Flu shot, recombinant, egg-free (Flublok) CPT 90673 49281-0724-10 - 2024-2025 influenza virus vaccine, | $75.66 | $504.37 | $93.25–$504.37 | 59% below | 85% |
| Flu shot, recombinant, egg-free (Flublok) inpatient CPT 90673 49281-0725-10 - influenza virus vaccine, inactivat | $176.53 | $504.37 | $97.85–$403.50 | — | 65% |
| Flu shot, recombinant, egg-free (Flublok) inpatient CPT 90673 49281-0724-10 - 2024-2025 influenza virus vaccine, | $176.53 | $504.37 | $97.85–$403.50 | — | 65% |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 58160-0912-52 - influenza virus vaccine, inactivat | $57.59 | $383.94 | $22.06–$383.94 | 22% below | 85% |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 19515-0810-52 - influenza virus vaccine, inactivat | $57.59 | $383.94 | $22.06–$383.94 | 22% below | 85% |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 49281-0424-50 - 2024-2025 influenza virus vaccine, | $57.59 | $383.94 | $22.06–$383.94 | 22% below | 85% |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 49281-0425-50 - influenza virus vaccine, inactivat | $57.59 | $383.94 | $22.06–$383.94 | 22% below | 85% |
| Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 58160-0912-52 - influenza virus vaccine, inactivat | $134.38 | $383.94 | $74.48–$307.15 | — | 65% |
| Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 49281-0425-50 - influenza virus vaccine, inactivat | $134.38 | $383.94 | $74.48–$307.15 | — | 65% |
| Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 19515-0810-52 - influenza virus vaccine, inactivat | $134.38 | $383.94 | $74.48–$307.15 | — | 65% |
| Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 49281-0424-50 - 2024-2025 influenza virus vaccine, | $134.38 | $383.94 | $74.48–$307.15 | — | 65% |
| HPV vaccine, 9-valent (Gardasil 9) CPT 90651 00006-4121-02 - human papillomavirus vaccine 9-val | $241.45 | $1,609.66 | $153.60–$37,328.02 | 74% below | 85% |
| HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 00006-4121-02 - human papillomavirus vaccine 9-val | $563.38 | $1,609.66 | $312.27–$1,287.73 | — | 65% |
| Hepatitis A and B combination vaccine, adult (Twinrix) CPT 90636 58160-0815-46 - hepatitis A-hepatitis B vaccine 72 | $96.41 | $642.70 | $124.68–$14,904.21 | 71% below | 85% |
| Hepatitis A and B combination vaccine, adult (Twinrix) inpatient CPT 90636 58160-0815-46 - hepatitis A-hepatitis B vaccine 72 | $224.95 | $642.70 | $124.68–$514.16 | — | 65% |
| Hepatitis A vaccine, adult dose CPT 90632 00006-4841-00 - hepatitis A adult vaccine 50. Sus | $78.10 | $520.69 | $58.42–$12,074.80 | 55% below | 85% |
| Hepatitis A vaccine, adult dose CPT 90632 00006-4096-02 - hepatitis A adult vaccine 50 units | $78.10 | $520.69 | $58.42–$12,074.80 | 55% below | 85% |
| Hepatitis A vaccine, adult dose CPT 90632 00006-4096-09 - hepatitis A adult vaccine 50 units | $78.10 | $520.69 | $58.42–$12,074.80 | 55% below | 85% |
| Hepatitis A vaccine, adult dose CPT 90632 00006-4841-41 - hepatitis A adult vaccine 50 units | $78.10 | $520.69 | $58.42–$12,074.80 | 55% below | 85% |
| Hepatitis A vaccine, adult dose CPT 90632 58160-0826-48 - hepatitis A adult vaccine 1440 uni | $88.05 | $587.03 | $58.42–$13,613.23 | 49% below | 85% |
| Hepatitis A vaccine, adult dose inpatient CPT 90632 00006-4841-00 - hepatitis A adult vaccine 50. Sus | $182.24 | $520.69 | $101.01–$416.55 | — | 65% |
| Hepatitis A vaccine, adult dose inpatient CPT 90632 00006-4841-41 - hepatitis A adult vaccine 50 units | $182.24 | $520.69 | $101.01–$416.55 | — | 65% |
| Hepatitis A vaccine, adult dose inpatient CPT 90632 00006-4096-09 - hepatitis A adult vaccine 50 units | $182.24 | $520.69 | $101.01–$416.55 | — | 65% |
| Hepatitis A vaccine, adult dose inpatient CPT 90632 00006-4096-02 - hepatitis A adult vaccine 50 units | $182.24 | $520.69 | $101.01–$416.55 | — | 65% |
| Hepatitis A vaccine, adult dose inpatient CPT 90632 58160-0826-48 - hepatitis A adult vaccine 1440 uni | $205.46 | $587.03 | $113.88–$469.62 | — | 65% |
| Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 00006-4095-02 - hepatitis A pediatric vaccine 25 u | $57.59 | $383.94 | $74.48–$8,903.57 | 42% below | 85% |
| Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 58160-0825-01 - hepatitis A pediatric vaccine 720 | $57.59 | $383.94 | $74.48–$8,903.57 | 42% below | 85% |
| Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 00006-4831-41 - hepatitis A pediatric vaccine 25. | $57.59 | $383.94 | $74.48–$8,903.57 | 42% below | 85% |
| Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 58160-0825-52 - hepatitis A pediatric vaccine 720. | $57.59 | $383.94 | $74.48–$8,903.57 | 42% below | 85% |
| Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 00006-4095-09 - hepatitis A pediatric vaccine 25 u | $57.59 | $383.94 | $74.48–$8,903.57 | 42% below | 85% |
| Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 58160-0825-11 - hepatitis A pediatric vaccine 720. | $57.59 | $383.94 | $74.48–$8,903.57 | 42% below | 85% |
| Hepatitis A vaccine, child and teen dose (2-dose schedule) inpatient CPT 90633 58160-0825-11 - hepatitis A pediatric vaccine 720. | $134.38 | $383.94 | $74.48–$307.15 | — | 65% |
| Hepatitis A vaccine, child and teen dose (2-dose schedule) inpatient CPT 90633 00006-4831-41 - hepatitis A pediatric vaccine 25. | $134.38 | $383.94 | $74.48–$307.15 | — | 65% |
| Hepatitis A vaccine, child and teen dose (2-dose schedule) inpatient CPT 90633 00006-4095-02 - hepatitis A pediatric vaccine 25 u | $134.38 | $383.94 | $74.48–$307.15 | — | 65% |
| Hepatitis A vaccine, child and teen dose (2-dose schedule) inpatient CPT 90633 00006-4095-09 - hepatitis A pediatric vaccine 25 u | $134.38 | $383.94 | $74.48–$307.15 | — | 65% |
| Hepatitis A vaccine, child and teen dose (2-dose schedule) inpatient CPT 90633 58160-0825-52 - hepatitis A pediatric vaccine 720. | $134.38 | $383.94 | $74.48–$307.15 | — | 65% |
| Hepatitis A vaccine, child and teen dose (2-dose schedule) inpatient CPT 90633 58160-0825-01 - hepatitis A pediatric vaccine 720 | $134.38 | $383.94 | $74.48–$307.15 | — | 65% |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 00006-4094-02 - hepatitis B adult vaccine 10 mcg/m | $57.59 | $383.94 | $66.86–$383.94 | 77% below | 85% |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 58160-0821-32 - hepatitis B adult vaccine 20 mcg/m | $76.38 | $509.20 | $66.86–$509.20 | 70% below | 85% |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 58160-0857-01 - hepatitis B adult vaccine Susp | $76.38 | $509.20 | $66.86–$509.20 | 70% below | 85% |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 58160-0821-11 - hepatitis B adult vaccine Susp | $76.38 | $509.20 | $66.86–$509.20 | 70% below | 85% |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 58160-0821-52 - hepatitis B adult vaccine 20 mcg/m | $76.38 | $509.20 | $66.86–$509.20 | 70% below | 85% |
| Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 00006-4094-02 - hepatitis B adult vaccine 10 mcg/m | $134.38 | $383.94 | $74.48–$307.15 | — | 65% |
| Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 58160-0821-32 - hepatitis B adult vaccine 20 mcg/m | $178.22 | $509.20 | $98.78–$407.36 | — | 65% |
| Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 58160-0857-01 - hepatitis B adult vaccine Susp | $178.22 | $509.20 | $98.78–$407.36 | — | 65% |
| Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 58160-0821-52 - hepatitis B adult vaccine 20 mcg/m | $178.22 | $509.20 | $98.78–$407.36 | — | 65% |
| Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 58160-0821-11 - hepatitis B adult vaccine Susp | $178.22 | $509.20 | $98.78–$407.36 | — | 65% |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 58160-0856-01 - hepatitis B pediatric vaccine Susp | $57.59 | $383.94 | $71.49–$383.94 | 43% below | 85% |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 00006-4093-02 - hepatitis B pediatric vaccine 5 mc | $57.59 | $383.94 | $30.09–$383.94 | 43% below | 85% |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 00006-4093-09 - hepatitis B pediatric vaccine 5 mc | $57.59 | $383.94 | $30.09–$383.94 | 43% below | 85% |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 58160-0820-01 - hepatitis B pediatric vaccine 10 m | $57.59 | $383.94 | $30.09–$383.94 | 43% below | 85% |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 00006-4981-00 - hepatitis B pediatric vaccine Susp | $57.59 | $383.94 | $30.09–$383.94 | 43% below | 85% |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 58160-0820-11 - hepatitis B pediatric vaccine Susp | $57.59 | $383.94 | $30.09–$383.94 | 43% below | 85% |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 58160-0820-52 - hepatitis B pediatric vaccine Susp | $57.59 | $383.94 | $30.09–$383.94 | 43% below | 85% |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 58160-0820-01 - hepatitis B pediatric vaccine 10 m | $134.38 | $383.94 | $74.48–$307.15 | — | 65% |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 58160-0856-01 - hepatitis B pediatric vaccine Susp | $134.38 | $383.94 | $74.48–$307.15 | — | 65% |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 00006-4981-00 - hepatitis B pediatric vaccine Susp | $134.38 | $383.94 | $74.48–$307.15 | — | 65% |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 00006-4093-02 - hepatitis B pediatric vaccine 5 mc | $134.38 | $383.94 | $74.48–$307.15 | — | 65% |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 58160-0820-52 - hepatitis B pediatric vaccine Susp | $134.38 | $383.94 | $74.48–$307.15 | — | 65% |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 00006-4093-09 - hepatitis B pediatric vaccine 5 mc | $134.38 | $383.94 | $74.48–$307.15 | — | 65% |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 58160-0820-11 - hepatitis B pediatric vaccine Susp | $134.38 | $383.94 | $74.48–$307.15 | — | 65% |
| Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 49281-0545-05 - haemophilus b conjugate (PRP-T) va | $57.59 | $383.94 | $74.48–$8,903.57 | 8% below | 85% |
| Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 49281-0545-03 - haemophilus b conjugate (PRP-T) va | $57.59 | $383.94 | $74.48–$8,903.57 | 8% below | 85% |
| Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) inpatient CPT 90648 49281-0545-05 - haemophilus b conjugate (PRP-T) va | $134.38 | $383.94 | $74.48–$307.15 | — | 65% |
| Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) inpatient CPT 90648 49281-0545-03 - haemophilus b conjugate (PRP-T) va | $134.38 | $383.94 | $74.48–$307.15 | — | 65% |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 49281-0124-65 - 2024-2025 influenza virus vaccine, | $61.34 | $408.96 | $76.14–$408.96 | 78% below | 85% |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 49281-0403-65 - influenza virus vaccine, inactivat | $61.34 | $408.96 | $76.14–$408.96 | 78% below | 85% |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 49281-0405-65 - 2019-2020 influenza virus vaccine, | $61.34 | $408.96 | $76.14–$408.96 | 78% below | 85% |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 49281-0125-65 - influenza virus vaccine, inactivat | $61.34 | $408.96 | $76.14–$408.96 | 78% below | 85% |
| High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 49281-0124-65 - 2024-2025 influenza virus vaccine, | $143.14 | $408.96 | $79.34–$327.17 | — | 65% |
| High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 49281-0125-65 - influenza virus vaccine, inactivat | $143.14 | $408.96 | $79.34–$327.17 | — | 65% |
| High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 49281-0403-65 - influenza virus vaccine, inactivat | $143.14 | $408.96 | $79.34–$327.17 | — | 65% |
| High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 49281-0405-65 - 2019-2020 influenza virus vaccine, | $143.14 | $408.96 | $79.34–$327.17 | — | 65% |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 00006-4681-00 - measles/mumps/rubella virus vaccin | $100.45 | $669.65 | $129.91–$15,529.18 | 48% below | 85% |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 49999-0422-01 - measles/mumps/rubella virus vaccin | $100.45 | $669.65 | $129.91–$15,529.18 | 48% below | 85% |
| MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 49999-0422-01 - measles/mumps/rubella virus vaccin | $234.38 | $669.65 | $129.91–$535.72 | — | 65% |
| MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 00006-4681-00 - measles/mumps/rubella virus vaccin | $234.38 | $669.65 | $129.91–$535.72 | — | 65% |
| MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) CPT 90710 00006-4999-00 - measles/mumps/rubella/varicella vi | $222.84 | $1,485.63 | $153.60–$34,451.76 | 44% below | 85% |
| MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) CPT 90710 00006-4171-00 - measles/mumps/rubella/varicella vi | $222.84 | $1,485.63 | $153.60–$34,451.76 | 44% below | 85% |
| MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) inpatient CPT 90710 00006-4171-00 - measles/mumps/rubella/varicella vi | $519.97 | $1,485.63 | $288.21–$1,188.50 | — | 65% |
| MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) inpatient CPT 90710 00006-4999-00 - measles/mumps/rubella/varicella vi | $519.97 | $1,485.63 | $288.21–$1,188.50 | — | 65% |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 49281-0589-05 - meningococcal conjugate vaccine So | $83.27 | $555.11 | $107.69–$12,873.00 | 85% below | 85% |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 46028-0208-01 - meningococcal conjugate vaccine RE | $120.13 | $800.89 | $153.60–$18,572.64 | 79% below | 85% |
| Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 49281-0589-05 - meningococcal conjugate vaccine So | $194.29 | $555.11 | $107.69–$444.09 | — | 65% |
| Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 46028-0208-01 - meningococcal conjugate vaccine RE | $280.31 | $800.89 | $155.37–$640.71 | — | 65% |
| Meningococcal ACWY vaccine (MenQuadfi) CPT 90619 49281-0590-05 - meningococcal conjugate vaccine po | $90.71 | $604.71 | $117.31–$14,023.22 | 85% below | 85% |
| Meningococcal ACWY vaccine (MenQuadfi) inpatient CPT 90619 49281-0590-05 - meningococcal conjugate vaccine po | $211.65 | $604.71 | $117.31–$483.77 | — | 65% |
| Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 46028-0114-01 - meningococcal group B vaccine reco | $163.93 | $1,092.84 | $153.60–$25,342.96 | 78% below | 85% |
| Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 46028-0114-01 - meningococcal group B vaccine reco | $382.49 | $1,092.84 | $212.01–$874.27 | — | 65% |
| Nasal spray flu vaccine, live (FluMist) CPT 90660 66019-0311-10 - 2024-2025 influenza virus vaccine, | $10.50 | $70.00 | $13.03–$158.35 | 86% below | 85% |
| Nasal spray flu vaccine, live (FluMist) CPT 90660 66019-0112-51 - influenza virus vaccine, live 0.2 | $10.50 | $70.00 | $13.03–$158.35 | 86% below | 85% |
| Nasal spray flu vaccine, live (FluMist) CPT 90660 66019-0112-10 - influenza virus vaccine, live triv | $10.50 | $70.00 | $13.03–$158.35 | 86% below | 85% |
| Nasal spray flu vaccine, live (FluMist) inpatient CPT 90660 66019-0311-10 - 2024-2025 influenza virus vaccine, | $24.50 | $70.00 | $13.58–$56.00 | — | 65% |
| Nasal spray flu vaccine, live (FluMist) inpatient CPT 90660 66019-0112-10 - influenza virus vaccine, live triv | $24.50 | $70.00 | $13.58–$56.00 | — | 65% |
| Nasal spray flu vaccine, live (FluMist) inpatient CPT 90660 66019-0112-51 - influenza virus vaccine, live 0.2 | $24.50 | $70.00 | $13.58–$56.00 | — | 65% |
| Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 00005-1971-01 - pneumococcal 13-valent conjugate v | $178.35 | $1,189.01 | $221.39–$1,189.01 | 69% below | 85% |
| Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 00005-1971-05 - pneumococcal 13-valent conjugate v | $178.35 | $1,189.01 | $221.39–$1,189.01 | 69% below | 85% |
| Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 50090-1944-00 - pneumococcal 13-valent conjugate v | $178.35 | $1,189.01 | $221.39–$1,189.01 | 69% below | 85% |
| Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 00005-1971-02 - pneumococcal 13-valent conjugate v | $178.35 | $1,189.01 | $221.39–$1,189.01 | 69% below | 85% |
| Pneumonia vaccine, 13-valent conjugate (Prevnar 13) inpatient CPT 90670 00005-1971-01 - pneumococcal 13-valent conjugate v | $416.15 | $1,189.01 | $230.67–$951.21 | — | 65% |
| Pneumonia vaccine, 13-valent conjugate (Prevnar 13) inpatient CPT 90670 00005-1971-05 - pneumococcal 13-valent conjugate v | $416.15 | $1,189.01 | $230.67–$951.21 | — | 65% |
| Pneumonia vaccine, 13-valent conjugate (Prevnar 13) inpatient CPT 90670 50090-1944-00 - pneumococcal 13-valent conjugate v | $416.15 | $1,189.01 | $230.67–$951.21 | — | 65% |
| Pneumonia vaccine, 13-valent conjugate (Prevnar 13) inpatient CPT 90670 00005-1971-02 - pneumococcal 13-valent conjugate v | $416.15 | $1,189.01 | $230.67–$951.21 | — | 65% |
| Pneumonia vaccine, 15-valent conjugate (Vaxneuvance) CPT 90671 00006-4329-03 - pneumococcal 15-valent conjugate v | $155.56 | $1,037.08 | $153.60–$1,037.08 | 80% below | 85% |
| Pneumonia vaccine, 15-valent conjugate (Vaxneuvance) CPT 90671 00006-4329-02 - pneumococcal 15-valent conjugate v | $155.56 | $1,037.08 | $153.60–$1,037.08 | 80% below | 85% |
| Pneumonia vaccine, 15-valent conjugate (Vaxneuvance) inpatient CPT 90671 00006-4329-02 - pneumococcal 15-valent conjugate v | $362.98 | $1,037.08 | $201.19–$829.66 | — | 65% |
| Pneumonia vaccine, 15-valent conjugate (Vaxneuvance) inpatient CPT 90671 00006-4329-03 - pneumococcal 15-valent conjugate v | $362.98 | $1,037.08 | $201.19–$829.66 | — | 65% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 00005-2000-02 - pneumococcal 20-valent conjugate v | $192.84 | $1,285.61 | $153.60–$1,285.61 | 80% below | 85% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 00005-2000-10 - pneumococcal 20-valent conjugate v | $192.84 | $1,285.61 | $153.60–$1,285.61 | 80% below | 85% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 00005-2000-10 - pneumococcal 20-valent conjugate v | $449.96 | $1,285.61 | $249.41–$1,028.49 | — | 65% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 00005-2000-02 - pneumococcal 20-valent conjugate v | $449.96 | $1,285.61 | $249.41–$1,028.49 | — | 65% |
| Pneumonia vaccine, 21-valent conjugate (Capvaxive) CPT 90684 00006-4347-02 - pneumococcal 21-valent conjugate v | $192.83 | $1,285.55 | $153.60–$1,285.55 | 39% below | 85% |
| Pneumonia vaccine, 21-valent conjugate (Capvaxive) inpatient CPT 90684 00006-4347-02 - pneumococcal 21-valent conjugate v | $449.94 | $1,285.55 | $249.40–$1,028.44 | — | 65% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 00006-4943-00 - pneumococcal 23-valent vaccine Sol | $85.39 | $569.28 | $106.00–$569.28 | 79% below | 85% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 00006-4837-03 - pneumococcal 23-polyvalent vaccine | $85.39 | $569.28 | $106.00–$569.28 | 79% below | 85% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 00006-4943-01 - pneumococcal 23-polyvalent vaccine | $85.39 | $569.28 | $106.00–$569.28 | 79% below | 85% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 00006-4837-02 - pneumococcal 23-polyvalent vaccine | $85.39 | $569.28 | $106.00–$569.28 | 79% below | 85% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 00006-4837-02 - pneumococcal 23-polyvalent vaccine | $199.25 | $569.28 | $110.44–$455.42 | — | 65% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 00006-4943-01 - pneumococcal 23-polyvalent vaccine | $199.25 | $569.28 | $110.44–$455.42 | — | 65% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 00006-4943-00 - pneumococcal 23-valent vaccine Sol | $199.25 | $569.28 | $110.44–$455.42 | — | 65% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 00006-4837-03 - pneumococcal 23-polyvalent vaccine | $199.25 | $569.28 | $110.44–$455.42 | — | 65% |
| Polio vaccine, inactivated (IPV) CPT 90713 49281-0860-55 - poliovirus vaccine, inactivated Su | $57.59 | $383.94 | $74.48–$8,903.57 | 42% below | 85% |
| Polio vaccine, inactivated (IPV) CPT 90713 49281-0860-10 - poliovirus vaccine, inactivated Su | $57.59 | $383.94 | $74.48–$8,903.57 | 42% below | 85% |
| Polio vaccine, inactivated (IPV) inpatient CPT 90713 49281-0860-55 - poliovirus vaccine, inactivated Su | $134.38 | $383.94 | $74.48–$307.15 | — | 65% |
| Polio vaccine, inactivated (IPV) inpatient CPT 90713 49281-0860-10 - poliovirus vaccine, inactivated Su | $134.38 | $383.94 | $74.48–$307.15 | — | 65% |
| RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) CPT 90381 49281-0574-88 - nirsevimab (cvx 307) alip preserva | $367.78 | $2,451.84 | $475.66–$56,858.17 | 71% below | 85% |
| RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) inpatient CPT 90381 49281-0574-88 - nirsevimab (cvx 307) alip preserva | $858.14 | $2,451.84 | $475.66–$1,961.47 | — | 65% |
| RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 49281-0575-15 - nirsevimab (cvx 306) alip preserva | $367.78 | $2,451.84 | $475.66–$56,858.17 | 77% below | 85% |
| RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 49281-0575-00 - nirsevimab (cvx 306) alip preserva | $367.78 | $2,451.84 | $475.66–$56,858.17 | 77% below | 85% |
| RSV antibody shot for infants, seasonal dose (0.5 mL) inpatient CPT 90380 49281-0575-15 - nirsevimab (cvx 306) alip preserva | $858.14 | $2,451.84 | $475.66–$1,961.47 | — | 65% |
| RSV antibody shot for infants, seasonal dose (0.5 mL) inpatient CPT 90380 49281-0575-00 - nirsevimab (cvx 306) alip preserva | $858.14 | $2,451.84 | $475.66–$1,961.47 | — | 65% |
| RSV vaccine (Abrysvo), one dose for older adults or during pregnancy CPT 90678 00069-0344-05 - RSV vaccine, preF A-preF B, recomb | $210.85 | $1,405.67 | $153.60–$32,597.49 | 70% below | 85% |
| RSV vaccine (Abrysvo), one dose for older adults or during pregnancy CPT 90678 00069-0344-01 - RSV vaccine, preF A-preF B, recomb | $210.85 | $1,405.67 | $153.60–$32,597.49 | 70% below | 85% |
| RSV vaccine (Abrysvo), one dose for older adults or during pregnancy inpatient CPT 90678 00069-0344-01 - RSV vaccine, preF A-preF B, recomb | $491.98 | $1,405.67 | $272.70–$1,124.54 | — | 65% |
| RSV vaccine (Abrysvo), one dose for older adults or during pregnancy inpatient CPT 90678 00069-0344-05 - RSV vaccine, preF A-preF B, recomb | $491.98 | $1,405.67 | $272.70–$1,124.54 | — | 65% |
| RSV vaccine with adjuvant (Arexvy), one dose for older adults CPT 90679 58160-0848-11 - RSV vaccine preF3, recombinant pre | $210.89 | $1,405.94 | $153.60–$32,603.75 | 72% below | 85% |
| RSV vaccine with adjuvant (Arexvy), one dose for older adults inpatient CPT 90679 58160-0848-11 - RSV vaccine preF3, recombinant pre | $492.08 | $1,405.94 | $272.75–$1,124.75 | — | 65% |
| Rabies vaccine, one dose CPT 90675 49999-0414-01 - rabies vaccine, human diploid cell | $282.49 | $1,883.28 | $365.36–$1,883.28 | 76% below | 85% |
| Rabies vaccine, one dose CPT 90675 49281-0250-51 - rabies vaccine, human diploid cell | $282.49 | $1,883.28 | $365.36–$1,883.28 | 76% below | 85% |
| Rabies vaccine, one dose CPT 90675 49281-0252-51 - rabies vaccine, human diploid cell | $282.49 | $1,883.28 | $365.36–$1,883.28 | 76% below | 85% |
| Rabies vaccine, one dose CPT 90675 63851-0501-01 - rabies vaccine, purified chick emb | $324.03 | $2,160.21 | $419.08–$2,039.00 | 72% below | 85% |
| Rabies vaccine, one dose CPT 90675 58160-0964-12 - rabies vaccine, purified chick emb | $324.03 | $2,160.21 | $419.08–$2,039.00 | 72% below | 85% |
| Rabies vaccine, one dose CPT 90675 50632-0010-01 - rabies vaccine, purified chick emb | $324.03 | $2,160.21 | $419.08–$2,039.00 | 72% below | 85% |
| Rabies vaccine, one dose CPT 90675 63851-0501-02 - rabies vaccine, purified chick emb | $324.03 | $2,160.21 | $419.08–$2,039.00 | 72% below | 85% |
| Rabies vaccine, one dose CPT 90675 RABIES VACCINE, IM | $2,933.10 | $19,554.01 | $707.71–$15,643.21 | 149% above | 85% |
| Rabies vaccine, one dose inpatient CPT 90675 49281-0250-51 - rabies vaccine, human diploid cell | $659.15 | $1,883.28 | $365.36–$1,506.62 | — | 65% |
| Rabies vaccine, one dose inpatient CPT 90675 49281-0252-51 - rabies vaccine, human diploid cell | $659.15 | $1,883.28 | $365.36–$1,506.62 | — | 65% |
| Rabies vaccine, one dose inpatient CPT 90675 49999-0414-01 - rabies vaccine, human diploid cell | $659.15 | $1,883.28 | $365.36–$1,506.62 | — | 65% |
| Rabies vaccine, one dose inpatient CPT 90675 58160-0964-12 - rabies vaccine, purified chick emb | $756.07 | $2,160.21 | $419.08–$1,728.17 | — | 65% |
| Rabies vaccine, one dose inpatient CPT 90675 63851-0501-02 - rabies vaccine, purified chick emb | $756.07 | $2,160.21 | $419.08–$1,728.17 | — | 65% |
| Rabies vaccine, one dose inpatient CPT 90675 63851-0501-01 - rabies vaccine, purified chick emb | $756.07 | $2,160.21 | $419.08–$1,728.17 | — | 65% |
| Rabies vaccine, one dose inpatient CPT 90675 50632-0010-01 - rabies vaccine, purified chick emb | $756.07 | $2,160.21 | $419.08–$1,728.17 | — | 65% |
| Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) CPT 90680 00006-4047-01 - rotavirus vaccine 2 mL Susp | $40.28 | $268.50 | $52.09–$6,226.52 | 86% below | 85% |
| Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) CPT 90680 00006-4047-20 - rotavirus vaccine pentavalent Susp | $40.28 | $268.50 | $52.09–$6,226.52 | 86% below | 85% |
| Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) CPT 90680 00006-4047-41 - rotavirus vaccine Susp | $40.28 | $268.50 | $52.09–$6,226.52 | 86% below | 85% |
| Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) inpatient CPT 90680 00006-4047-01 - rotavirus vaccine 2 mL Susp | $93.98 | $268.50 | $52.09–$214.80 | — | 65% |
| Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) inpatient CPT 90680 00006-4047-41 - rotavirus vaccine Susp | $93.98 | $268.50 | $52.09–$214.80 | — | 65% |
| Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) inpatient CPT 90680 00006-4047-20 - rotavirus vaccine pentavalent Susp | $93.98 | $268.50 | $52.09–$214.80 | — | 65% |
| Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 58160-0819-12 - zoster vaccine, inactivated adjuva | $165.55 | $1,103.68 | $153.60–$25,594.34 | 56% below | 85% |
| Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 58160-0823-11 - zoster vaccine, inactivated adjuva | $165.55 | $1,103.68 | $153.60–$25,594.34 | 56% below | 85% |
| Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 58160-0823-11 - zoster vaccine, inactivated adjuva | $386.29 | $1,103.68 | $214.11–$882.94 | — | 65% |
| Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 58160-0819-12 - zoster vaccine, inactivated adjuva | $386.29 | $1,103.68 | $214.11–$882.94 | — | 65% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 17478-0131-01 - tetanus-diphth toxoids (Td) adult/ | $57.59 | $383.94 | $35.50–$8,903.57 | 61% below | 85% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 00006-4133-41 - tetanus-diphtheria toxoids 2 units | $57.59 | $383.94 | $35.50–$8,903.57 | 61% below | 85% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 49281-0291-83 - tetanus-diphtheria toxoids 5 units | $57.59 | $383.94 | $35.50–$8,903.57 | 61% below | 85% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 49281-0291-10 - tetanus-diphtheria toxoids 5 units | $57.59 | $383.94 | $35.50–$8,903.57 | 61% below | 85% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 49281-0215-10 - tetanus-diphtheria toxoids 5 units | $57.59 | $383.94 | $35.50–$8,903.57 | 61% below | 85% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 49281-0215-15 - tetanus-diphtheria toxoids 5 units | $57.59 | $383.94 | $35.50–$8,903.57 | 61% below | 85% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 00006-4133-01 - tetanus-diphth toxoids (Td) adult/ | $57.59 | $383.94 | $35.50–$8,903.57 | 61% below | 85% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 13533-0131-01 - tetanus-diphth toxoids (Td) adult/ | $57.59 | $383.94 | $35.50–$8,903.57 | 61% below | 85% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 49281-0225-10 - diphtheria-tetanus toxoids (DT) pe | $58.13 | $387.56 | $35.50–$8,987.52 | 60% below | 85% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TD VACC NO PRESV 7 YRS+ IM | $1,810.28 | $12,068.51 | $35.50–$279,868.75 | 1136% above | 85% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 49281-0215-15 - tetanus-diphtheria toxoids 5 units | $134.38 | $383.94 | $74.48–$307.15 | — | 65% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 00006-4133-41 - tetanus-diphtheria toxoids 2 units | $134.38 | $383.94 | $74.48–$307.15 | — | 65% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 49281-0291-83 - tetanus-diphtheria toxoids 5 units | $134.38 | $383.94 | $74.48–$307.15 | — | 65% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 49281-0291-10 - tetanus-diphtheria toxoids 5 units | $134.38 | $383.94 | $74.48–$307.15 | — | 65% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 49281-0215-10 - tetanus-diphtheria toxoids 5 units | $134.38 | $383.94 | $74.48–$307.15 | — | 65% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 17478-0131-01 - tetanus-diphth toxoids (Td) adult/ | $134.38 | $383.94 | $74.48–$307.15 | — | 65% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 13533-0131-01 - tetanus-diphth toxoids (Td) adult/ | $134.38 | $383.94 | $74.48–$307.15 | — | 65% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 00006-4133-01 - tetanus-diphth toxoids (Td) adult/ | $134.38 | $383.94 | $74.48–$307.15 | — | 65% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 49281-0225-10 - diphtheria-tetanus toxoids (DT) pe | $135.65 | $387.56 | $75.19–$310.05 | — | 65% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 58160-0842-52 - tetanus/diphtheria/pertussis, acel | $57.59 | $383.94 | $74.48–$8,903.57 | 72% below | 85% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 49281-0400-15 - tetanus/diphtheria/pertussis, acel | $57.59 | $383.94 | $74.48–$8,903.57 | 72% below | 85% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 58160-0842-11 - tetanus/diphtheria/pertussis, acel | $57.59 | $383.94 | $74.48–$8,903.57 | 72% below | 85% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 49281-0400-10 - tetanus/diphtheria/pertussis, acel | $57.59 | $383.94 | $74.48–$8,903.57 | 72% below | 85% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 58160-0842-43 - tetanus/diphth/pertuss (Tdap) adul | $57.59 | $383.94 | $74.48–$8,903.57 | 72% below | 85% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 58160-0842-46 - tetanus/diphth/pertuss (Tdap) adul | $57.59 | $383.94 | $74.48–$8,903.57 | 72% below | 85% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 49281-0400-20 - tetanus/diphth/pertuss (Tdap) adul | $57.59 | $383.94 | $74.48–$8,903.57 | 72% below | 85% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TDAP VACCINE 7 YRS/> IM | $1,242.56 | $8,283.70 | $47.88–$192,099.00 | 509% above | 85% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 58160-0842-43 - tetanus/diphth/pertuss (Tdap) adul | $134.38 | $383.94 | $74.48–$307.15 | — | 65% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 49281-0400-20 - tetanus/diphth/pertuss (Tdap) adul | $134.38 | $383.94 | $74.48–$307.15 | — | 65% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 58160-0842-46 - tetanus/diphth/pertuss (Tdap) adul | $134.38 | $383.94 | $74.48–$307.15 | — | 65% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 58160-0842-11 - tetanus/diphtheria/pertussis, acel | $134.38 | $383.94 | $74.48–$307.15 | — | 65% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 49281-0400-15 - tetanus/diphtheria/pertussis, acel | $134.38 | $383.94 | $74.48–$307.15 | — | 65% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 58160-0842-52 - tetanus/diphtheria/pertussis, acel | $134.38 | $383.94 | $74.48–$307.15 | — | 65% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 49281-0400-10 - tetanus/diphtheria/pertussis, acel | $134.38 | $383.94 | $74.48–$307.15 | — | 65% |
| Typhoid vaccine, oral capsules (Vivotif) CPT 90690 58337-0003-01 - typhoid vaccine, live Cap-EC | $48.26 | $321.76 | $62.42–$7,461.61 | 5% above | 85% |
| Typhoid vaccine, oral capsules (Vivotif) CPT 90690 69401-0000-01 - typhoid vaccine, live - Cap-DR | $48.26 | $321.76 | $62.42–$7,461.61 | 5% above | 85% |
| Typhoid vaccine, oral capsules (Vivotif) inpatient CPT 90690 58337-0003-01 - typhoid vaccine, live Cap-EC | $112.62 | $321.76 | $62.42–$257.41 | — | 65% |
| Typhoid vaccine, oral capsules (Vivotif) inpatient CPT 90690 69401-0000-01 - typhoid vaccine, live - Cap-DR | $112.62 | $321.76 | $62.42–$257.41 | — | 65% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Pt. Location - Vaccine Charge - In House/Observati | $38.39 | $255.96 | $19.35–$255.96 | 68% below | 85% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 $ED Admin Vaccine | $38.39 | $255.96 | $19.35–$255.96 | 68% below | 85% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Pt. Location - Vaccine Charge - Offsite ER | $38.39 | $255.96 | $19.35–$255.96 | 68% below | 85% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Pt. Location - Vaccine Charge - OB/Nursery | $38.39 | $255.96 | $19.35–$255.96 | 68% below | 85% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Pt. Location - Vaccine Charge - Infusion Center | $38.39 | $255.96 | $19.35–$255.96 | 68% below | 85% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Pt. Location - Vaccine Charge - Emergency Departme | $38.39 | $255.96 | $19.35–$255.96 | 68% below | 85% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION ADMIN | $1,728.63 | $11,524.17 | $19.35–$13,658.00 | 1338% above | 85% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Pt. Location - Vaccine Charge - OB/Nursery | $89.59 | $255.96 | $49.66–$204.77 | — | 65% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Pt. Location - Vaccine Charge - In House/Observati | $89.59 | $255.96 | $49.66–$204.77 | — | 65% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Pt. Location - Vaccine Charge - Emergency Departme | $89.59 | $255.96 | $49.66–$204.77 | — | 65% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 $ED Admin Vaccine | $89.59 | $255.96 | $49.66–$204.77 | — | 65% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Pt. Location - Vaccine Charge - Infusion Center | $89.59 | $255.96 | $49.66–$204.77 | — | 65% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Pt. Location - Vaccine Charge - Offsite ER | $89.59 | $255.96 | $49.66–$204.77 | — | 65% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Pt. Location - Vaccine Charge - OB Obs/OP Addition | $19.04 | $126.91 | $13.84–$2,943.04 | 82% below | 85% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Pt. Location - Vaccine Charge - ED Additional | $19.04 | $126.91 | $13.84–$2,943.04 | 82% below | 85% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 OB CHRG - VACCINE ADM EA AD | $19.04 | $126.91 | $13.84–$2,943.04 | 82% below | 85% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 $ED Admin Vaccine Ea Add'l | $19.04 | $126.91 | $13.84–$2,943.04 | 82% below | 85% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Pt. Location - Vaccine Charge - Obs/OP Additional | $19.04 | $126.91 | $13.84–$2,943.04 | 82% below | 85% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 Pt. Location - Vaccine Charge - Obs/OP Additional | $44.42 | $126.91 | $24.62–$101.53 | — | 65% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 $ED Admin Vaccine Ea Add'l | $44.42 | $126.91 | $24.62–$101.53 | — | 65% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 Pt. Location - Vaccine Charge - OB Obs/OP Addition | $44.42 | $126.91 | $24.62–$101.53 | — | 65% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 OB CHRG - VACCINE ADM EA AD | $44.42 | $126.91 | $24.62–$101.53 | — | 65% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 Pt. Location - Vaccine Charge - ED Additional | $44.42 | $126.91 | $24.62–$101.53 | — | 65% |
| Yellow fever vaccine, live CPT 90717 49281-0915-01 - yellow fever vaccine - Powder | $489.57 | $3,263.81 | $153.60–$75,687.75 | 65% above | 85% |
| Yellow fever vaccine, live CPT 90717 49281-0915-05 - yellow fever vaccine - Powder | $489.57 | $3,263.81 | $153.60–$75,687.75 | 65% above | 85% |
| Yellow fever vaccine, live inpatient CPT 90717 49281-0915-01 - yellow fever vaccine - Powder | $1,142.33 | $3,263.81 | $633.18–$2,611.05 | — | 65% |
| Yellow fever vaccine, live inpatient CPT 90717 49281-0915-05 - yellow fever vaccine - Powder | $1,142.33 | $3,263.81 | $633.18–$2,611.05 | — | 65% |
Procedure The service, with its billing code (CPT or HCPCS) and, in small type, the line exactly as the hospital wrote it in its price file. More
Cash price The hospital's own price for a patient paying without insurance (“discounted cash” in its price file). Hospitals must publish it under federal law, 45 CFR 180.50. Call to confirm it before booking. More
List price The hospital's full chargemaster price (“gross charge”) before any discount. Almost nobody pays it; the gap to the cash price shows what the self-pay discount is worth. More
Insurers pay The lowest and highest rates this hospital has agreed with insurance plans for the same item, from its price file. If the cash price is below what your plan pays and you have not met your deductible, paying cash can cost you less. More
Against the state median This hospital's cash price compared with the median cash price of hospitals in the state for the same code. Shown when at least three hospitals in the state price it.
Off list How much lower the cash price is than the list price.
No cash discount This line's cash price equals the hospital's full list price. Many hospitals still reduce bills for uninsured patients: ask the billing office for its self-pay discount in writing. More
At or below Medicare This cash price is at or below what Medicare pays a hospital for the same service, which is unusually low. It is what the hospital's file says; confirm it and what it includes before booking. More
Check the item The description in the hospital file looks like a supply or device (a catheter, a brace, an implant), not this procedure. The hospital may have filed it under the wrong code: ask before relying on this price.