Summa Health System
Summa Health System in Akron, OH publishes cash prices for 452 common procedures listed here, from its own machine-readable price file updated Apr 1, 2026. Compared with other hospitals in the state, its outpatient cash prices are above the Ohio median for 293 of 448 procedures and below it for 154. By typical cash price it ranks #134 of 139 Ohio hospitals and #5 of 6 hospitals in the Akron, OH area, cheapest first. Select a procedure to compare it with other hospitals nearby.
525 East Market Street, Akron, OH 44309,1825 Franks Parkway, Uniontown, OH 44685,141 N Forge St, Akron, OH 44304,155 5th St NE, Barberton, OH 44203,195 Wadsworth Rd, Wadsworth, OH 44281 Collected Oct 15, 2026 Source price file Check a bill from this hospital (330) 375-3000
Acute care hospital Nonprofit hospital Emergency department CMS star rating 3 of 5 CCN 360020 · CMS hospital register NPI 1396765681
The price file shows no self-pay discount
For 1532 of the 1532 prices listed here, the cash price in Summa Health System's file equals its full list price (chargemaster), so the file publishes no self-pay discount. That is why it compares as expensive. Many hospitals still reduce bills for uninsured patients or offer financial assistance based on income: before a planned visit, ask the billing office for its self-pay rate and discount policy in writing. Other US hospitals whose cash price is their full list price.
Financial assistance
Nonprofit hospital: it must offer free or discounted care to patients who qualify. How to apply
Summa Health System is a nonprofit hospital in the CMS register. Under section 501(r) of the federal tax code it must have a written Financial Assistance Policy with a free application, publish both on its website, and charge patients who qualify no more than the amounts generally billed to insured patients for emergency and other medically necessary care. Who qualifies depends on household income; the policy states the limits.
You can apply up to 240 days after the first bill. Before collection actions such as credit reporting or a lawsuit, the hospital must tell you about the policy and wait at least 120 days after that bill. Ask the billing office for the policy and the application before you pay, or search the hospital's website for “financial assistance”. Letters you can copy.
Source: IRS, section 501(r) requirements for nonprofit hospitals.
State law
This state limits hospital bills for lower-income patients
Ohio's Hospital Care Assurance Program (HCAP): Ohio residents who are not on Medicaid and whose income is at or below 100% of the federal poverty level get basic, medically necessary hospital services free at hospitals in the program; physician bills are not included. Ask the hospital's billing office for an HCAP application. Other states' laws.
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs Ohio | Off list |
|---|---|---|---|---|---|
| Abdominal CT scan without and with contrast CPT 74170 Hc Ct Abdomen W/O & W/Dye - Ct Abdomen W Wo Contrast | $4,269.50 | $4,269.50 | — | 222% above | — |
| Abdominal CT scan without and with contrast inpatient CPT 74170 Hc Ct Abdomen W/O & W/Dye - Ct Abdomen W Wo Contrast | $4,269.50 | $4,269.50 | — | — | — |
| Abdominal X-ray, 2 views CPT 74019 Hc Radiologic Exam Abdomen 2 Views - Xr Abdomen 2 Vw | $602.00 | $602.00 | — | 78% above | — |
| Abdominal X-ray, 2 views inpatient CPT 74019 Hc Radiologic Exam Abdomen 2 Views - Xr Abdomen 2 Vw | $602.00 | $602.00 | — | — | — |
| Ankle X-ray, complete, 3 or more views CPT 73610 Hc X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Uni | $829.75 | $829.75 | — | 160% above | — |
| Ankle X-ray, complete, 3 or more views CPT 73610 Hc X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Bil | $1,659.50 | $1,659.50 | — | 419% above | — |
| Ankle X-ray, complete, 3 or more views inpatient CPT 73610 Hc X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Uni | $829.75 | $829.75 | — | — | — |
| Ankle X-ray, complete, 3 or more views inpatient CPT 73610 Hc X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Bil | $1,659.50 | $1,659.50 | — | — | — |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 Hc Upr/L Xtremity Art 1-2 Levels | $1,403.50 | $1,403.50 | — | 191% above | — |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 Hc Upr/L Xtremity Art 1-2 Levels | $1,403.50 | $1,403.50 | — | — | — |
| Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 Hc Ct Scan Upper Extremity W/O Dye - Ct Upper Ext Uni Wo Iv Contrast | $2,637.00 | $2,637.00 | — | 179% above | — |
| Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 Hc Ct Scan Upper Extremity W/O Dye - Ct Upper Ext Bil Wo Iv Contrast | $5,274.00 | $5,274.00 | — | 458% above | — |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient CPT 73200 Hc Ct Scan Upper Extremity W/O Dye - Ct Upper Ext Uni Wo Iv Contrast | $2,637.00 | $2,637.00 | — | — | — |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient CPT 73200 Hc Ct Scan Upper Extremity W/O Dye - Ct Upper Ext Bil Wo Iv Contrast | $5,274.00 | $5,274.00 | — | — | — |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 Hc Esophagram - Esophagus Single Contrast | $1,161.50 | $1,161.50 | — | 162% above | — |
| Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 Hc Esophagram - Esophagus Single Contrast | $1,161.50 | $1,161.50 | — | — | — |
| Bone scan, whole body (nuclear medicine) CPT 78306 Hc Bone Imaging, Whole Body - Bne And Or Jt Imag Whole Body | $4,580.25 | $4,580.25 | — | 198% above | — |
| Bone scan, whole body (nuclear medicine) inpatient CPT 78306 Hc Bone Imaging, Whole Body - Bne And Or Jt Imag Whole Body | $4,580.25 | $4,580.25 | — | — | — |
| Breast ultrasound, complete, one breast CPT 76641 Hc Ultrasound Breast Complete - Us Breast Complete Uni | $1,463.50 | $1,463.50 | — | 207% above | — |
| Breast ultrasound, complete, one breast CPT 76641 Hc Ultrasound Breast Complete - Us Breast Complete Bil | $2,927.00 | $2,927.00 | — | 513% above | — |
| Breast ultrasound, complete, one breast inpatient CPT 76641 Hc Ultrasound Breast Complete - Us Breast Complete Uni | $1,463.50 | $1,463.50 | — | — | — |
| Breast ultrasound, complete, one breast inpatient CPT 76641 Hc Ultrasound Breast Complete - Us Breast Complete Bil | $2,927.00 | $2,927.00 | — | — | — |
| Breast ultrasound, limited (one breast or one area) CPT 76642 Hc Ultrasound Breast Limited - Us Breast Limited Uni | $1,082.50 | $1,082.50 | — | 164% above | — |
| Breast ultrasound, limited (one breast or one area) CPT 76642 Hc Ultrasound Breast Limited - Us Breast Limited Bil | $2,165.00 | $2,165.00 | — | 428% above | — |
| Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 Hc Ultrasound Breast Limited - Us Breast Limited Uni | $1,082.50 | $1,082.50 | — | — | — |
| Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 Hc Ultrasound Breast Limited - Us Breast Limited Bil | $2,165.00 | $2,165.00 | — | — | — |
| CT angiography (CTA) of the abdomen and pelvis CPT 74174 Hc Ct Angio Abd&Pelv W/O&W/Dye - Ct Angiogram Abdomen Pelvis W/Wo Contrast | $6,137.75 | $6,137.75 | — | 187% above | — |
| CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 Hc Ct Angio Abd&Pelv W/O&W/Dye - Ct Angiogram Abdomen Pelvis W/Wo Contrast | $6,137.75 | $6,137.75 | — | — | — |
| CT angiography (CTA) of the head CPT 70496 Hc Ct Angio,Head Combo - Ct Head Neck Angio W And Wo Iv Contrast | $4,465.25 | $4,465.25 | — | 234% above | — |
| CT angiography (CTA) of the head inpatient CPT 70496 Hc Ct Angio,Head Combo - Ct Head Neck Angio W And Wo Iv Contrast | $4,465.25 | $4,465.25 | — | — | — |
| CT angiography (CTA) of the neck CPT 70498 Hc Ct Angio,Neck Combo - Ct Neck Angio W And Wo Iv Contrast | $4,513.50 | $4,513.50 | — | 246% above | — |
| CT angiography (CTA) of the neck inpatient CPT 70498 Hc Ct Angio,Neck Combo - Ct Neck Angio W And Wo Iv Contrast | $4,513.50 | $4,513.50 | — | — | — |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 Hc Ct Angio, Chest, Combo, Incl Image - Ct Chest Angio W And Wo Iv Cont | $4,472.50 | $4,472.50 | — | 216% above | — |
| CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 Hc Ct Angio, Chest, Combo, Incl Image - Ct Chest Angio W And Wo Iv Cont | $4,472.50 | $4,472.50 | — | — | — |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 Hc Ct Angio Hrt W/3D Image - Ct Heart Coronary Angiogram | $3,746.25 | $3,746.25 | — | 134% above | — |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 Hc Ct Angio Hrt W/3D Image - Ct Heart Coronary Angiogram | $3,746.25 | $3,746.25 | — | — | — |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 Hc Ct Hrt W/O Dye W/Ca Test - Ct Heart W/O Contrast | $184.75 | $184.75 | — | 34% below | — |
| CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 Hc Ct Hrt W/O Dye W/Ca Test - Ct Heart W/O Contrast | $184.75 | $184.75 | — | — | — |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 Hc Ct Abd & Pelvis W/O Contrast - Ct Abdomen Pelvis Wo Contrast | $3,574.25 | $3,574.25 | — | 125% above | — |
| CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 Hc Ct Abd & Pelvis W/O Contrast - Ct Abdomen Pelvis Wo Contrast | $3,574.25 | $3,574.25 | — | — | — |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 Hc Ct Abd & Pelv W/Contrast - Ct Abdomen Pelvis W Contrast | $4,369.50 | $4,369.50 | — | 120% above | — |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 Hc Ct Abd & Pelv W/Contrast - Ct Abdomen Pelvis W Contrast | $4,369.50 | $4,369.50 | — | — | — |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 Hc Ct Abd & Pelv 1/> Regns - Ct Abdomen Pelvis W Wo Contrast | $4,711.50 | $4,711.50 | — | 102% above | — |
| CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 Hc Ct Abd & Pelv 1/> Regns - Ct Abdomen Pelvis W Wo Contrast | $4,711.50 | $4,711.50 | — | — | — |
| CT scan of the abdomen with contrast CPT 74160 Hc Ct Abdomen W/Dye - Ct Abdomen W Contrast | $3,232.75 | $3,232.75 | — | 177% above | — |
| CT scan of the abdomen with contrast inpatient CPT 74160 Hc Ct Abdomen W/Dye - Ct Abdomen W Contrast | $3,232.75 | $3,232.75 | — | — | — |
| CT scan of the abdomen without contrast CPT 74150 Hc Ct Abdomen W/O Dye - Ct Abdomen Wo Contrast | $2,555.50 | $2,555.50 | — | 143% above | — |
| CT scan of the abdomen without contrast inpatient CPT 74150 Hc Ct Abdomen W/O Dye - Ct Abdomen Wo Contrast | $2,555.50 | $2,555.50 | — | — | — |
| CT scan of the face and sinuses, no contrast dye CPT 70486 Hc Ct Scan,Maxillofacial W/O Contrast - Ct Sinus Wo Contrast | $2,406.50 | $2,406.50 | — | 175% above | — |
| CT scan of the face and sinuses, no contrast dye CPT 70486 Hc Ct Scan,Maxillofacial W/O Contrast - Ct Sinus Study Limited | $2,406.50 | $2,406.50 | — | 175% above | — |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 Hc Ct Scan,Maxillofacial W/O Contrast - Ct Sinus Wo Contrast | $2,406.50 | $2,406.50 | — | — | — |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 Hc Ct Scan,Maxillofacial W/O Contrast - Ct Sinus Study Limited | $2,406.50 | $2,406.50 | — | — | — |
| CT scan of the head or brain, no contrast dye CPT 70450 Hc Ct Scan,Head/Brain,W/O Contrast Matl - Ct Head Wo Contrast | $1,945.75 | $1,945.75 | — | 133% above | — |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 Hc Ct Scan,Head/Brain,W/O Contrast Matl - Ct Head Wo Contrast | $1,945.75 | $1,945.75 | — | — | — |
| CT scan of the head with contrast CPT 70460 Hc Ct Scan Head Contrast - Ct Head W Contrast | $2,152.50 | $2,152.50 | — | 114% above | — |
| CT scan of the head with contrast inpatient CPT 70460 Hc Ct Scan Head Contrast - Ct Head W Contrast | $2,152.50 | $2,152.50 | — | — | — |
| CT scan of the head without and with contrast CPT 70470 Hc Ct Scan Head Combo - Ct Head W Wo Contrast | $2,617.75 | $2,617.75 | — | 120% above | — |
| CT scan of the head without and with contrast inpatient CPT 70470 Hc Ct Scan Head Combo - Ct Head W Wo Contrast | $2,617.75 | $2,617.75 | — | — | — |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 Hc Ct Scan,Lumbar Spine,W/O Contrast - Ct Lumbar Spine Wo Contrast | $2,968.25 | $2,968.25 | — | 170% above | — |
| CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 Hc Ct Scan,Lumbar Spine,W/O Contrast - Ct Lumbar Spine Wo Contrast | $2,968.25 | $2,968.25 | — | — | — |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 Hc Ct Scan,Cervical Spine,W/O Contrast - Ct Cervical Spine Wo Contrast | $2,902.75 | $2,902.75 | — | 170% above | — |
| CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 Hc Ct Scan,Cervical Spine,W/O Contrast - Ct Cervical Spine Wo Contrast | $2,902.75 | $2,902.75 | — | — | — |
| CT scan of the pelvis, with contrast dye CPT 72193 Hc Ct Scan Of Pelvis Contrast - Ct Pelvis W Contrast | $1,881.75 | $1,881.75 | — | 54% above | — |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 Hc Ct Scan Of Pelvis Contrast - Ct Pelvis W Contrast | $1,881.75 | $1,881.75 | — | — | — |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 Hc Duplex Extracranial Comp Bilat | $3,348.00 | $3,348.00 | — | — | — |
| Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 Hc Duplex Extracranial Comp Bilat | $3,348.00 | $3,348.00 | — | — | — |
| Chest CT scan without and with contrast CPT 71270 Hc Ct Thorax W/Wo Cont | $3,842.50 | $3,842.50 | — | 154% above | — |
| Chest CT scan without and with contrast inpatient CPT 71270 Hc Ct Thorax W/Wo Cont | $3,842.50 | $3,842.50 | — | — | — |
| Chest X-ray, 2 views CPT 71046 Hc Radiologic Exam Chest 2 Views - Xr Chest 2 Views | $530.00 | $530.00 | — | 101% above | — |
| Chest X-ray, 2 views inpatient CPT 71046 Hc Radiologic Exam Chest 2 Views - Xr Chest 2 Views | $530.00 | $530.00 | — | — | — |
| Chest X-ray, single view CPT 71045 Hc Radiologic Exam Chest Single View - Xr Chest 1 View | $51.75 | $51.75 | — | 77% below | — |
| Chest X-ray, single view CPT 71045 Hc Asc Radiologic Exam Chest Single View - Xr Chest 1 View | $54.00 | $54.00 | — | 76% below | — |
| Chest X-ray, single view inpatient CPT 71045 Hc Radiologic Exam Chest Single View - Xr Chest 1 View | $51.75 | $51.75 | — | — | — |
| Chest X-ray, single view inpatient CPT 71045 Hc Asc Radiologic Exam Chest Single View - Xr Chest 1 View | $54.00 | $54.00 | — | — | — |
| Collarbone (clavicle) X-ray, complete both sides CPT 73000 Hc Clavicle Complete Bilateral | $1,387.50 | $1,387.50 | — | — | — |
| Collarbone (clavicle) X-ray, complete CPT 73000 Hc Clavicle Complete Uni | $693.75 | $693.75 | — | 156% above | — |
| Collarbone (clavicle) X-ray, complete inpatient both sides CPT 73000 Hc Clavicle Complete Bilateral | $1,387.50 | $1,387.50 | — | — | — |
| Collarbone (clavicle) X-ray, complete inpatient CPT 73000 Hc Clavicle Complete Uni | $693.75 | $693.75 | — | — | — |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 Hc Us,Retroperit, B-Scan/Real Time,Complete - Us Renal Complete | $1,898.25 | $1,898.25 | — | 168% above | — |
| Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 Hc Us,Retroperit, B-Scan/Real Time,Complete - Us Renal Complete | $1,898.25 | $1,898.25 | — | — | — |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 Hc Dxa Bone Density Axial - Dxa Bone Den 1+ Sites Axial | $882.75 | $882.75 | — | 95% above | — |
| DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 Hc Dxa Bone Density Axial - Dxa Bone Den 1+ Sites Axial | $882.75 | $882.75 | — | — | — |
| DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 Hc Dxa Bone Density/Peripheral - Dxa Bone Den 1+ Sites Append | $604.25 | $604.25 | — | 135% above | — |
| DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 Hc Dxa Bone Density/Peripheral - Dxa Bone Den 1+ Sites Append | $604.25 | $604.25 | — | — | — |
| Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 Hc Ob Us Detailed Sngl Fetus - Us Ob Detail Fetal Anat Sing Or 1St Gest | $1,762.50 | $1,762.50 | — | 107% above | — |
| Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 Hc Ob Us Detailed Sngl Fetus - Us Ob Detail Fetal Anat Sing Or 1St Gest | $1,762.50 | $1,762.50 | — | — | — |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 Hc Ct Thorax Wo Cont | $2,857.50 | $2,857.50 | — | 204% above | — |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 Hc Low Dose Ct Thorax Wo Cont | $2,857.50 | $2,857.50 | — | 204% above | — |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 Hc Low Dose Ct Thorax Wo Cont | $2,857.50 | $2,857.50 | — | — | — |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 Hc Ct Thorax Wo Cont | $2,857.50 | $2,857.50 | — | — | — |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 Hc Cat Scan Of Chest Contrast - Ct Chest W Contrast | $3,288.75 | $3,288.75 | — | 171% above | — |
| Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 Hc Cat Scan Of Chest Contrast - Ct Chest W Contrast | $3,288.75 | $3,288.75 | — | — | — |
| Diagnostic mammogram, both breasts CPT 77066 Hc Dx Mammo Incl Cad Bil | $647.00 | $647.00 | — | 80% above | — |
| Diagnostic mammogram, both breasts inpatient CPT 77066 Hc Dx Mammo Incl Cad Bil | $647.00 | $647.00 | — | — | — |
| Diagnostic mammogram, one breast CPT 77065 Hc Dx Mammo Incl Cad Uni | $487.50 | $487.50 | — | 36% above | — |
| Diagnostic mammogram, one breast inpatient CPT 77065 Hc Dx Mammo Incl Cad Uni | $487.50 | $487.50 | — | — | — |
| Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 Hc Duplex Le Art Comp Bilateral | $3,000.50 | $3,000.50 | — | — | — |
| Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 Hc Duplex Le Art Comp Bilateral | $3,000.50 | $3,000.50 | — | — | — |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 Hc Duplex Veins Comp Bilateral | $3,355.25 | $3,355.25 | — | — | — |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 Hc Duplex Veins Comp Bilateral | $3,355.25 | $3,355.25 | — | — | — |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 Hc 2D Echo Complete | $5,791.25 | $5,791.25 | — | 243% above | — |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 Hc 2D Echo Complete | $5,791.25 | $5,791.25 | — | — | — |
| Elbow X-ray, 2 views both sides CPT 73070 Hc X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Bilateral | $1,292.50 | $1,292.50 | — | — | — |
| Elbow X-ray, 2 views CPT 73070 Hc X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Uni | $646.25 | $646.25 | — | 148% above | — |
| Elbow X-ray, 2 views inpatient both sides CPT 73070 Hc X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Bilateral | $1,292.50 | $1,292.50 | — | — | — |
| Elbow X-ray, 2 views inpatient CPT 73070 Hc X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Uni | $646.25 | $646.25 | — | — | — |
| Elbow X-ray, complete, 3 or more views both sides CPT 73080 Hc X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Bilateral | $1,605.00 | $1,605.00 | — | — | — |
| Elbow X-ray, complete, 3 or more views CPT 73080 Hc X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Uni | $802.50 | $802.50 | — | 155% above | — |
| Elbow X-ray, complete, 3 or more views inpatient both sides CPT 73080 Hc X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Bilateral | $1,605.00 | $1,605.00 | — | — | — |
| Elbow X-ray, complete, 3 or more views inpatient CPT 73080 Hc X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Uni | $802.50 | $802.50 | — | — | — |
| Eye socket (orbit) CT scan without contrast CPT 70480 Hc Ct Scan,Orbit/Sella/Post Fossa/Ear,W/O - Ct Orbits/Sella Wo Iv Cont | $2,587.25 | $2,587.25 | — | 200% above | — |
| Eye socket (orbit) CT scan without contrast inpatient CPT 70480 Hc Ct Scan,Orbit/Sella/Post Fossa/Ear,W/O - Ct Orbits/Sella Wo Iv Cont | $2,587.25 | $2,587.25 | — | — | — |
| Facial bones X-ray, complete, 3 or more views CPT 70150 Hc X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views | $1,106.25 | $1,106.25 | — | 193% above | — |
| Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 Hc X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views | $1,106.25 | $1,106.25 | — | — | — |
| Forearm X-ray (radius and ulna), 2 views both sides CPT 73090 Hc Forearm 2 Views Bilateral | $1,188.50 | $1,188.50 | — | — | — |
| Forearm X-ray (radius and ulna), 2 views CPT 73090 Hc X-Ray Forearm 2 Vw - Xr Forearm 2 Views Uni | $594.25 | $594.25 | — | 118% above | — |
| Forearm X-ray (radius and ulna), 2 views inpatient both sides CPT 73090 Hc Forearm 2 Views Bilateral | $1,188.50 | $1,188.50 | — | — | — |
| Forearm X-ray (radius and ulna), 2 views inpatient CPT 73090 Hc X-Ray Forearm 2 Vw - Xr Forearm 2 Views Uni | $594.25 | $594.25 | — | — | — |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 Hc Hepatobiliary System Imaging | $3,517.00 | $3,517.00 | — | 122% above | — |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 Hc Hepatobiliary System Imaging | $3,517.00 | $3,517.00 | — | — | — |
| Hand X-ray, 2 views both sides CPT 73120 Hc X-Ray Hand 2 Vw - Xr Hand 1-2 Views Bilateral | $1,258.00 | $1,258.00 | — | — | — |
| Hand X-ray, 2 views CPT 73120 Hc X-Ray Hand 2 Vw - Xr Hand 1-2 Views Uni | $629.00 | $629.00 | — | 136% above | — |
| Hand X-ray, 2 views inpatient both sides CPT 73120 Hc X-Ray Hand 2 Vw - Xr Hand 1-2 Views Bilateral | $1,258.00 | $1,258.00 | — | — | — |
| Hand X-ray, 2 views inpatient CPT 73120 Hc X-Ray Hand 2 Vw - Xr Hand 1-2 Views Uni | $629.00 | $629.00 | — | — | — |
| Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 Hc X-Ray Heel - Xr Calcaneus 2+ Views Uni | $675.75 | $675.75 | — | 149% above | — |
| Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 Hc X-Ray Heel - Xr Calcaneus 2+ Views Bil | $1,351.50 | $1,351.50 | — | 397% above | — |
| Heel bone (calcaneus) X-ray, 2 or more views inpatient CPT 73650 Hc X-Ray Heel - Xr Calcaneus 2+ Views Uni | $675.75 | $675.75 | — | — | — |
| Heel bone (calcaneus) X-ray, 2 or more views inpatient CPT 73650 Hc X-Ray Heel - Xr Calcaneus 2+ Views Bil | $1,351.50 | $1,351.50 | — | — | — |
| Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 Hc Sleep Study Unatt And Resp Efft | $1,324.00 | $1,324.00 | — | 89% above | — |
| Home sleep apnea test, unattended, recording breathing and oxygen inpatient CPT 95806 Hc Sleep Study Unatt And Resp Efft | $1,324.00 | $1,324.00 | — | — | — |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 Hc Polysomno 4+ Addl Par W/Cpap | $14,571.00 | $14,571.00 | — | 254% above | — |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 Hc Polysomno 4+ Addl Par W/Cpap | $14,571.00 | $14,571.00 | — | — | — |
| Knee X-ray, 3 views both sides CPT 73562 Hc X-Ray Knee 3 View - Xr Knee 3 Views Bilateral | $1,547.75 | $1,547.75 | — | — | — |
| Knee X-ray, 3 views CPT 73562 Hc X-Ray Knee 3 View - Xr Knee 3 Views Uni | $774.00 | $774.00 | — | 119% above | — |
| Knee X-ray, 3 views inpatient both sides CPT 73562 Hc X-Ray Knee 3 View - Xr Knee 3 Views Bilateral | $1,547.75 | $1,547.75 | — | — | — |
| Knee X-ray, 3 views inpatient CPT 73562 Hc X-Ray Knee 3 View - Xr Knee 3 Views Uni | $774.00 | $774.00 | — | — | — |
| Knee X-ray, complete, 4 or more views both sides CPT 73564 Hc X-Ray Knee 4+ View - Xr Knee 4+ Views Bilateral | $1,981.00 | $1,981.00 | — | — | — |
| Knee X-ray, complete, 4 or more views CPT 73564 Hc X-Ray Knee 4+ View - Xr Knee 4+ Views Uni | $990.50 | $990.50 | — | 152% above | — |
| Knee X-ray, complete, 4 or more views inpatient both sides CPT 73564 Hc X-Ray Knee 4+ View - Xr Knee 4+ Views Bilateral | $1,981.00 | $1,981.00 | — | — | — |
| Knee X-ray, complete, 4 or more views inpatient CPT 73564 Hc X-Ray Knee 4+ View - Xr Knee 4+ Views Uni | $990.50 | $990.50 | — | — | — |
| Leg CT scan without contrast (hip to foot, any part) CPT 73700 Hc Ct Scan,Lower Extremity,W/O Contrast Uni | $2,737.00 | $2,737.00 | — | 190% above | — |
| Leg CT scan without contrast (hip to foot, any part) CPT 73700 Hc Ct Scan,Lower Extremity,W/O Contrast Bil | $5,474.00 | $5,474.00 | — | 480% above | — |
| Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 Hc Ct Scan,Lower Extremity,W/O Contrast Uni | $2,737.00 | $2,737.00 | — | — | — |
| Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 Hc Ct Scan,Lower Extremity,W/O Contrast Bil | $5,474.00 | $5,474.00 | — | — | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Hc Us Abdomen Limited - Us Abd W Image Doc Ltd | $1,025.25 | $1,025.25 | — | 86% above | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 Hc Us Abdomen Limited - Us Abd W Image Doc Ltd | $1,025.25 | $1,025.25 | — | — | — |
| Limited ultrasound of an arm or leg (non-vascular) CPT 76882 Hc Us Lmtd Jt/Nonvasc Xtr Strux - Us Extrem Non Vasc Limited | $1,072.50 | $1,072.50 | — | 125% above | — |
| Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 Hc Us Lmtd Jt/Nonvasc Xtr Strux - Us Extrem Non Vasc Limited | $1,072.50 | $1,072.50 | — | — | — |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 Hc Low Dose Ct Lung Scrn | $623.00 | $623.00 | — | 112% above | — |
| Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 Hc Low Dose Ct Lung Scrn | $623.00 | $623.00 | — | — | — |
| Lower leg X-ray (tibia and fibula), 2 views CPT 73590 Hc X-Ray Tib + Fib, 2Vw - Xr Tibia Fibula 2 Views Uni | $621.25 | $621.25 | — | 127% above | — |
| Lower leg X-ray (tibia and fibula), 2 views CPT 73590 Hc X-Ray Tib + Fib, 2Vw - Xr Tibia Fibula 2 Views Bil | $1,242.25 | $1,242.25 | — | 354% above | — |
| Lower leg X-ray (tibia and fibula), 2 views inpatient CPT 73590 Hc X-Ray Tib + Fib, 2Vw - Xr Tibia Fibula 2 Views Uni | $621.25 | $621.25 | — | — | — |
| Lower leg X-ray (tibia and fibula), 2 views inpatient CPT 73590 Hc X-Ray Tib + Fib, 2Vw - Xr Tibia Fibula 2 Views Bil | $1,242.25 | $1,242.25 | — | — | — |
| MR angiography (MRA) of the head without contrast CPT 70544 Hc Mr Angio, Head - Mr Head Angio Wo Iv Contrast | $3,552.25 | $3,552.25 | — | 145% above | — |
| MR angiography (MRA) of the head without contrast inpatient CPT 70544 Hc Mr Angio, Head - Mr Head Angio Wo Iv Contrast | $3,552.25 | $3,552.25 | — | — | — |
| MRI of both breasts, without and then with contrast dye CPT 77049 Hc Mri Breast W/Wo Cont Bil W Cad | $2,110.75 | $2,110.75 | — | 46% below | — |
| MRI of both breasts, without and then with contrast dye inpatient CPT 77049 Hc Mri Breast W/Wo Cont Bil W Cad | $2,110.75 | $2,110.75 | — | — | — |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 Hc Mri Jnt Of Lwr Extre W/O Dye Mri Any Jt Low Ext Wo Cont Uni | $2,483.00 | $2,483.00 | — | 42% above | — |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 Hc Mri Jnt Of Lwr Extre W/O Dye Mri Any Jt Low Ext Wo Cont Bil | $4,226.68 | $4,226.68 | — | 141% above | — |
| MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 Hc Mri Jnt Of Lwr Extre W/O Dye Mri Any Jt Low Ext Wo Cont Uni | $2,483.00 | $2,483.00 | — | — | — |
| MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 Hc Mri Jnt Of Lwr Extre W/O Dye Mri Any Jt Low Ext Wo Cont Bil | $4,226.68 | $4,226.68 | — | — | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 Hc Mri Any Joint - Mri Any Jt Lo Ext W/Wo Cont Uni | $3,146.75 | $3,146.75 | — | 32% above | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 Hc Mri Any Joint - Mri Any Jt Lo Ext W/Wo Cont Bil | $6,293.50 | $6,293.50 | — | 163% above | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 Hc Mri Any Joint - Mri Any Jt Lo Ext W/Wo Cont Uni | $3,146.75 | $3,146.75 | — | — | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 Hc Mri Any Joint - Mri Any Jt Lo Ext W/Wo Cont Bil | $6,293.50 | $6,293.50 | — | — | — |
| MRI of the abdomen without contrast CPT 74181 Hc Mri, Abdomen (Mri) - Mri Abdomen Wo Contrast | $4,235.00 | $4,235.00 | — | 130% above | — |
| MRI of the abdomen without contrast inpatient CPT 74181 Hc Mri, Abdomen (Mri) - Mri Abdomen Wo Contrast | $4,235.00 | $4,235.00 | — | — | — |
| MRI of the abdomen, without and then with contrast dye CPT 74183 Hc Mri, Abdomen- Mri Abdomen W Wo Contrast | $6,538.00 | $6,538.00 | — | 185% above | — |
| MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 Hc Mri, Abdomen- Mri Abdomen W Wo Contrast | $6,538.00 | $6,538.00 | — | — | — |
| MRI of the brain, no contrast dye CPT 70551 Hc Mri Brain - Mri Brain Wo Contrast | $3,267.25 | $3,267.25 | — | 103% above | — |
| MRI of the brain, no contrast dye inpatient CPT 70551 Hc Mri Brain - Mri Brain Wo Contrast | $3,267.25 | $3,267.25 | — | — | — |
| MRI of the brain, with and without contrast dye CPT 70553 Hc Mri Brain Combo - Mri Brain W Wo Contrast | $4,620.50 | $4,620.50 | — | 111% above | — |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 Hc Mri Brain Combo - Mri Brain W Wo Contrast | $4,620.50 | $4,620.50 | — | — | — |
| MRI of the lower back, no contrast dye CPT 72148 Hc Mri, Lumbar Spine - Mri Lumbar Spine Wo Contrast | $2,344.50 | $2,344.50 | — | 41% above | — |
| MRI of the lower back, no contrast dye inpatient CPT 72148 Hc Mri, Lumbar Spine - Mri Lumbar Spine Wo Contrast | $2,344.50 | $2,344.50 | — | — | — |
| MRI of the lower back, without and then with contrast dye CPT 72158 Hc Mri, Lumbar Spine Combo - Mri Lumbar Spine W Wo Contrast | $3,476.25 | $3,476.25 | — | 49% above | — |
| MRI of the lower back, without and then with contrast dye inpatient CPT 72158 Hc Mri, Lumbar Spine Combo - Mri Lumbar Spine W Wo Contrast | $3,476.25 | $3,476.25 | — | — | — |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 Hc Mri, Dorsal Spine - Mri Thoracic Spine Wo Contrast | $3,867.00 | $3,867.00 | — | 131% above | — |
| MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 Hc Mri, Dorsal Spine - Mri Thoracic Spine Wo Contrast | $3,867.00 | $3,867.00 | — | — | — |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 Hc Mri, Cerv Spine Combo - Mri Cervical Spine W Wo Contrast | $6,127.25 | $6,127.25 | — | 171% above | — |
| MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 Hc Mri, Cerv Spine Combo - Mri Cervical Spine W Wo Contrast | $6,127.25 | $6,127.25 | — | — | — |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 Hc Mri, Cerv Spine - Mri Cervical Spine Wo Contrast | $3,647.25 | $3,647.25 | — | 121% above | — |
| MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 Hc Mri, Cerv Spine - Mri Cervical Spine Wo Contrast | $3,647.25 | $3,647.25 | — | — | — |
| MRI of the pelvis without and with contrast CPT 72197 Hc Mri, Pelvis, Combo - Mri Pelvis W Wo Contrast | $6,304.25 | $6,304.25 | — | 222% above | — |
| MRI of the pelvis without and with contrast inpatient CPT 72197 Hc Mri, Pelvis, Combo - Mri Pelvis W Wo Contrast | $6,304.25 | $6,304.25 | — | — | — |
| MRI of the pelvis, no contrast dye CPT 72195 Hc Mri, Pelvis, W/O Contrast - Mri Pelvis Wo Contrast | $3,893.00 | $3,893.00 | — | 156% above | — |
| MRI of the pelvis, no contrast dye inpatient CPT 72195 Hc Mri, Pelvis, W/O Contrast - Mri Pelvis Wo Contrast | $3,893.00 | $3,893.00 | — | — | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 Hc Mri, Any Joint Upper Extrem Wo Iv Contrast Uni | $3,697.25 | $3,697.25 | — | 145% above | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 Hc Mri, Any Joint Upper Extrem Wo Iv Contrast Bil | $7,394.50 | $7,394.50 | — | 389% above | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 Hc Mri, Any Joint Upper Extrem Wo Iv Contrast Uni | $3,697.25 | $3,697.25 | — | — | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 Hc Mri, Any Joint Upper Extrem Wo Iv Contrast Bil | $7,394.50 | $7,394.50 | — | — | — |
| Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 Hc Radex Spine Cervical 4 Or 5 Views - Xr Cervical Spine Comp 4-5 Views | $949.00 | $949.00 | — | 111% above | — |
| Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 Hc Radex Spine Cervical 4 Or 5 Views - Xr Cervical Spine Comp 4-5 Views | $949.00 | $949.00 | — | — | — |
| Neck soft tissue CT scan with contrast CPT 70491 Hc Ct Soft Tiss Neck W/Cont | $3,133.50 | $3,133.50 | — | 165% above | — |
| Neck soft tissue CT scan with contrast inpatient CPT 70491 Hc Ct Soft Tiss Neck W/Cont | $3,133.50 | $3,133.50 | — | — | — |
| Neck soft tissue CT scan without contrast CPT 70490 Hc Ct Scan,Soft Tissue Neck,W/O Contrast - Ct Soft Tissue Neck Wo Cont | $2,436.50 | $2,436.50 | — | 164% above | — |
| Neck soft tissue CT scan without contrast inpatient CPT 70490 Hc Ct Scan,Soft Tissue Neck,W/O Contrast - Ct Soft Tissue Neck Wo Cont | $2,436.50 | $2,436.50 | — | — | — |
| Neck soft tissue X-ray CPT 70360 Hc X-Ray Neck Soft Tissue - Xr Neck Soft Tissue | $551.25 | $551.25 | — | 113% above | — |
| Neck soft tissue X-ray inpatient CPT 70360 Hc X-Ray Neck Soft Tissue - Xr Neck Soft Tissue | $551.25 | $551.25 | — | — | — |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 Hc Ht Muscle Image Spect Mult - Myocard Perf Imag Spect Mx | $10,852.25 | $10,852.25 | — | 171% above | — |
| Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 Hc Ht Muscle Image Spect Mult - Myocard Perf Imag Spect Mx | $10,852.25 | $10,852.25 | — | — | — |
| OCT scan of the retina (optical coherence tomography) CPT 92134 Hc Opt Coher Tomo Oct-Ret | $431.25 | $431.25 | — | 447% above | — |
| OCT scan of the retina (optical coherence tomography) inpatient CPT 92134 Hc Opt Coher Tomo Oct-Ret | $431.25 | $431.25 | — | — | — |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 Hc Pet Ct Image W/Ct Skull-Thigh | $12,201.25 | $12,201.25 | — | 151% above | — |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 Hc Pet Ct Image W/Ct Skull-Thigh | $12,201.25 | $12,201.25 | — | — | — |
| Pelvic CT scan without contrast CPT 72192 Hc Ct Scan,Pelvis,W/O Contrast - Ct Pelvis Wo Contrast | $1,511.50 | $1,511.50 | — | 50% above | — |
| Pelvic CT scan without contrast inpatient CPT 72192 Hc Ct Scan,Pelvis,W/O Contrast - Ct Pelvis Wo Contrast | $1,511.50 | $1,511.50 | — | — | — |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 Hc Sono Pelvis Limited - Us Pelvic W/Documen Ltd | $1,053.25 | $1,053.25 | — | 142% above | — |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 Hc Sono Pelvis Limited - Us Pelvic W/Documen Ltd | $1,053.25 | $1,053.25 | — | — | — |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 Hc Echo,Pelvic (Nonobstetric) - Us Pelvic W/Documn Complt | $1,316.25 | $1,316.25 | — | 161% above | — |
| Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 Hc Echo,Pelvic (Nonobstetric) - Us Pelvic W/Documn Complt | $1,316.25 | $1,316.25 | — | — | — |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 Hc Ob Us >/= 14 Wks Sngl Fetus - Us Ob 14+ Weeks Single Or First Gest | $738.25 | $738.25 | — | 23% above | — |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 Hc Ob Us >/= 14 Wks Sngl Fetus - Us Ob 14+ Weeks Single Or First Gest | $738.25 | $738.25 | — | — | — |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 Hc Ob Us < 14 Wks Single Fetus - Us Ob < 14 Weeks Single Or First Gest | $1,242.00 | $1,242.00 | — | 126% above | — |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 Hc Ob Us < 14 Wks Single Fetus - Us Ob < 14 Weeks Single Or First Gest | $1,242.00 | $1,242.00 | — | — | — |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 Hc Ob Us Limited Fetus(S) - Us Ob Limited 1+ Fetuses | $1,356.00 | $1,356.00 | — | 184% above | — |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 Hc Ob Us Limited Fetus(S) - Us Ob Limited 1+ Fetuses | $1,356.00 | $1,356.00 | — | — | — |
| Rib X-ray, one side, 2 views one side CPT 71100 Hc Ribs Unilat 2 Views | $513.75 | $513.75 | — | 69% above | — |
| Rib X-ray, one side, 2 views inpatient one side CPT 71100 Hc Ribs Unilat 2 Views | $513.75 | $513.75 | — | — | — |
| Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 Hc Rib Unilat 3V W Pa Cxr | $623.00 | $623.00 | — | 63% above | — |
| Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 Hc Rib Unilat 3V W Pa Cxr | $623.00 | $623.00 | — | — | — |
| Screening mammogram, both breasts both sides CPT 77067 Hc Scr Mammo Bi Incl Cad | $531.50 | $531.50 | — | — | — |
| Screening mammogram, both breasts inpatient both sides CPT 77067 Hc Scr Mammo Bi Incl Cad | $531.50 | $531.50 | — | — | — |
| Shoulder X-ray, complete, 2 or more views both sides CPT 73030 Hc X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Bilateral | $1,266.73 | $1,266.73 | — | — | — |
| Shoulder X-ray, complete, 2 or more views CPT 73030 Hc Shoulder 2+ Views Uni | $633.50 | $633.50 | — | 88% above | — |
| Shoulder X-ray, complete, 2 or more views inpatient both sides CPT 73030 Hc X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Bilateral | $1,266.73 | $1,266.73 | — | — | — |
| Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 Hc Shoulder 2+ Views Uni | $633.50 | $633.50 | — | — | — |
| Sinus X-ray, complete, 3 or more views CPT 70220 Hc X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views | $831.00 | $831.00 | — | 130% above | — |
| Sinus X-ray, complete, 3 or more views inpatient CPT 70220 Hc X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views | $831.00 | $831.00 | — | — | — |
| Skull X-ray, fewer than 4 views CPT 70250 Hc X-Ray Skull <4 Vw - Xr Skull 1-3 Views | $876.50 | $876.50 | — | 203% above | — |
| Skull X-ray, fewer than 4 views inpatient CPT 70250 Hc X-Ray Skull <4 Vw - Xr Skull 1-3 Views | $876.50 | $876.50 | — | — | — |
| Sleep study in a lab (polysomnography) CPT 95810 Hc Polysomnography 4+ Addl Param | $7,753.50 | $7,753.50 | — | 116% above | — |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 Hc Polysomnography 4+ Addl Param | $7,753.50 | $7,753.50 | — | — | — |
| Stress echocardiogram, complete, including the stress test and supervision CPT 93351 Hc Stress Tte Complete | $5,013.75 | $5,013.75 | — | 145% above | — |
| Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 Hc Stress Tte Complete | $5,013.75 | $5,013.75 | — | — | — |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 Hc Swallowing Funct W Video | $1,407.00 | $1,407.00 | — | 179% above | — |
| Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 Hc Swallowing Funct W Video | $1,407.00 | $1,407.00 | — | — | — |
| Thigh bone (femur) X-ray, 2 or more views both sides CPT 73552 Hc Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Bilat | $1,247.00 | $1,247.00 | — | — | — |
| Thigh bone (femur) X-ray, 2 or more views CPT 73552 Hc Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Uni | $623.75 | $623.75 | — | 130% above | — |
| Thigh bone (femur) X-ray, 2 or more views inpatient both sides CPT 73552 Hc Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Bilat | $1,247.00 | $1,247.00 | — | — | — |
| Thigh bone (femur) X-ray, 2 or more views inpatient CPT 73552 Hc Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Uni | $623.75 | $623.75 | — | — | — |
| Thoracic spine (mid back) CT scan without contrast CPT 72128 Hc Ct Scan,Thoracic Spine,W/O Contrast - Ct Thoracic Spine Wo Contrast | $2,555.00 | $2,555.00 | — | 182% above | — |
| Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 Hc Ct Scan,Thoracic Spine,W/O Contrast - Ct Thoracic Spine Wo Contrast | $2,555.00 | $2,555.00 | — | — | — |
| Toe X-ray, 2 or more views CPT 73660 Hc X-Ray Toe(S) - Xr Toes 2+ Views Uni | $645.25 | $645.25 | — | 159% above | — |
| Toe X-ray, 2 or more views CPT 73660 Hc X-Ray Toe(S) - Xr Toes 2+ Views Bil | $1,290.50 | $1,290.50 | — | 417% above | — |
| Toe X-ray, 2 or more views inpatient CPT 73660 Hc X-Ray Toe(S) - Xr Toes 2+ Views Uni | $645.25 | $645.25 | — | — | — |
| Toe X-ray, 2 or more views inpatient CPT 73660 Hc X-Ray Toe(S) - Xr Toes 2+ Views Bil | $1,290.50 | $1,290.50 | — | — | — |
| Transvaginal pelvic ultrasound CPT 76830 Hc Echography,Transvaginal - Us Pelvis Transvaginal | $956.00 | $956.00 | — | 70% above | — |
| Transvaginal pelvic ultrasound inpatient CPT 76830 Hc Echography,Transvaginal - Us Pelvis Transvaginal | $956.00 | $956.00 | — | — | — |
| Transvaginal ultrasound during pregnancy CPT 76817 Hc Transvaginal Us Obstetric - Us Ob Transvaginal | $1,400.75 | $1,400.75 | — | 179% above | — |
| Transvaginal ultrasound during pregnancy inpatient CPT 76817 Hc Transvaginal Us Obstetric - Us Ob Transvaginal | $1,400.75 | $1,400.75 | — | — | — |
| Ultrasound of the abdomen, complete CPT 76700 Hc Us Abd W Image Doc Complt | $1,149.00 | $1,149.00 | — | 83% above | — |
| Ultrasound of the abdomen, complete inpatient CPT 76700 Hc Us Abd W Image Doc Complt | $1,149.00 | $1,149.00 | — | — | — |
| Ultrasound of the scrotum and testicles CPT 76870 Hc Echo,Scrotum & Contents - Us Scrotum | $1,425.75 | $1,425.75 | — | 165% above | — |
| Ultrasound of the scrotum and testicles inpatient CPT 76870 Hc Echo,Scrotum & Contents - Us Scrotum | $1,425.75 | $1,425.75 | — | — | — |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 Hc Us, Head/Neck Tissues,Real Time - Us Soft Tiss Head Neck W Image | $1,381.50 | $1,381.50 | — | 141% above | — |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 Hc Us, Head/Neck Tissues,Real Time - Us Soft Tiss Head Neck W Image | $1,381.50 | $1,381.50 | — | — | — |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 Hc X-Ray Upper Gi Delay W/O Kub - Ugi Wo Kub W/Wo Delay Film | $1,237.00 | $1,237.00 | — | 109% above | — |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 Hc X-Ray Upper Gi Delay W/O Kub - Ugi Wo Kub W/Wo Delay Film | $1,237.00 | $1,237.00 | — | — | — |
| Upper arm X-ray (humerus), 2 views both sides CPT 73060 Hc Humerus 2+ Views Bilateral | $1,147.50 | $1,147.50 | — | — | — |
| Upper arm X-ray (humerus), 2 views CPT 73060 Hc Humerus 2+ Views Uni | $573.75 | $573.75 | — | 109% above | — |
| Upper arm X-ray (humerus), 2 views inpatient both sides CPT 73060 Hc Humerus 2+ Views Bilateral | $1,147.50 | $1,147.50 | — | — | — |
| Upper arm X-ray (humerus), 2 views inpatient CPT 73060 Hc Humerus 2+ Views Uni | $573.75 | $573.75 | — | — | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 Hc Duplex Veins Unilat/Ltd | $2,519.50 | $2,519.50 | — | 242% above | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 Hc Duplex Veins Unilat/Ltd | $2,519.50 | $2,519.50 | — | — | — |
| Wrist X-ray, 2 views both sides CPT 73100 Hc X-Ray Wrist 2 Vw - Xr Wrist 1-2 Views Bilateral | $1,163.50 | $1,163.50 | — | — | — |
| Wrist X-ray, 2 views CPT 73100 Hc X-Ray Wrist 2 Vw - Xr Wrist 1-2 Views Uni | $628.25 | $628.25 | — | 141% above | — |
| Wrist X-ray, 2 views inpatient both sides CPT 73100 Hc X-Ray Wrist 2 Vw - Xr Wrist 1-2 Views Bilateral | $1,163.50 | $1,163.50 | — | — | — |
| Wrist X-ray, 2 views inpatient CPT 73100 Hc X-Ray Wrist 2 Vw - Xr Wrist 1-2 Views Uni | $628.25 | $628.25 | — | — | — |
| Wrist X-ray, complete, 3 or more views both sides CPT 73110 Hc X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Bilateral | $1,288.00 | $1,288.00 | — | — | — |
| Wrist X-ray, complete, 3 or more views CPT 73110 Hc X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Uni | $644.00 | $644.00 | — | 92% above | — |
| Wrist X-ray, complete, 3 or more views inpatient both sides CPT 73110 Hc X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Bilateral | $1,288.00 | $1,288.00 | — | — | — |
| Wrist X-ray, complete, 3 or more views inpatient CPT 73110 Hc X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Uni | $644.00 | $644.00 | — | — | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 Hc X-Ray Exam Hip Uni 2-3 Views - Xr Hip 2 Or 3 Vw | $603.75 | $603.75 | — | 96% above | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient CPT 73502 Hc X-Ray Exam Hip Uni 2-3 Views - Xr Hip 2 Or 3 Vw | $603.75 | $603.75 | — | — | — |
| X-ray of the abdomen, 1 view CPT 74018 Hc Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View | $419.50 | $419.50 | — | 64% above | — |
| X-ray of the abdomen, 1 view inpatient CPT 74018 Hc Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View | $419.50 | $419.50 | — | — | — |
| X-ray of the ankle, 2 views CPT 73600 Hc X-Ray Ankle 2 Vw - Xr Ankle 2 Views Uni | $613.75 | $613.75 | — | 147% above | — |
| X-ray of the ankle, 2 views CPT 73600 Hc X-Ray Ankle 2 Vw - Xr Ankle 2 Views Bil | $1,227.50 | $1,227.50 | — | 393% above | — |
| X-ray of the ankle, 2 views inpatient CPT 73600 Hc X-Ray Ankle 2 Vw - Xr Ankle 2 Views Uni | $613.75 | $613.75 | — | — | — |
| X-ray of the ankle, 2 views inpatient CPT 73600 Hc X-Ray Ankle 2 Vw - Xr Ankle 2 Views Bil | $1,227.50 | $1,227.50 | — | — | — |
| X-ray of the finger(s), 2 or more views both sides CPT 73140 Hc X-Ray Exam Of Finger(S) - Xr Fingers 2+ Views Bilateral | $1,208.50 | $1,208.50 | — | — | — |
| X-ray of the finger(s), 2 or more views CPT 73140 Hc X-Ray Exam Of Finger(S) - Xr Fingers 2+ Views Uni | $604.25 | $604.25 | — | 134% above | — |
| X-ray of the finger(s), 2 or more views inpatient both sides CPT 73140 Hc X-Ray Exam Of Finger(S) - Xr Fingers 2+ Views Bilateral | $1,208.50 | $1,208.50 | — | — | — |
| X-ray of the finger(s), 2 or more views inpatient CPT 73140 Hc X-Ray Exam Of Finger(S) - Xr Fingers 2+ Views Uni | $604.25 | $604.25 | — | — | — |
| X-ray of the foot, 2 views CPT 73620 Hc X-Ray Foot 2 Vw - Xr Foot 1-2 Views Uni | $653.50 | $653.50 | — | 182% above | — |
| X-ray of the foot, 2 views CPT 73620 Hc X-Ray Foot 2 Vw - Xr Foot 1-2 Views Bil | $1,307.00 | $1,307.00 | — | 463% above | — |
| X-ray of the foot, 2 views inpatient CPT 73620 Hc X-Ray Foot 2 Vw - Xr Foot 1-2 Views Uni | $653.50 | $653.50 | — | — | — |
| X-ray of the foot, 2 views inpatient CPT 73620 Hc X-Ray Foot 2 Vw - Xr Foot 1-2 Views Bil | $1,307.00 | $1,307.00 | — | — | — |
| X-ray of the foot, complete, 3 or more views CPT 73630 Hc X-Ray Foot 3+ Vw - Xr Foot 3+ Views Uni | $932.50 | $932.50 | — | 205% above | — |
| X-ray of the foot, complete, 3 or more views CPT 73630 Hc X-Ray Foot 3+ Vw - Xr Foot 3+ Views Bil | $1,865.00 | $1,865.00 | — | 509% above | — |
| X-ray of the foot, complete, 3 or more views inpatient CPT 73630 Hc X-Ray Foot 3+ Vw - Xr Foot 3+ Views Uni | $932.50 | $932.50 | — | — | — |
| X-ray of the foot, complete, 3 or more views inpatient CPT 73630 Hc X-Ray Foot 3+ Vw - Xr Foot 3+ Views Bil | $1,865.00 | $1,865.00 | — | — | — |
| X-ray of the hand, 3 or more views both sides CPT 73130 Hc X-Ray Hand 3+ Vw - Xr Hand 3+ Views Bilateral | $1,370.50 | $1,370.50 | — | — | — |
| X-ray of the hand, 3 or more views CPT 73130 Hc X-Ray Hand 3+ Vw - Xr Hand 3+ Views Uni | $685.25 | $685.25 | — | 110% above | — |
| X-ray of the hand, 3 or more views inpatient both sides CPT 73130 Hc X-Ray Hand 3+ Vw - Xr Hand 3+ Views Bilateral | $1,370.50 | $1,370.50 | — | — | — |
| X-ray of the hand, 3 or more views inpatient CPT 73130 Hc X-Ray Hand 3+ Vw - Xr Hand 3+ Views Uni | $685.25 | $685.25 | — | — | — |
| X-ray of the knee, 1 or 2 views both sides CPT 73560 Hc X-Ray Knee 1 Or 2 View - Xr Knee 1-2 Views Bilat | $1,108.25 | $1,108.25 | — | — | — |
| X-ray of the knee, 1 or 2 views CPT 73560 Hc X-Ray Knee 1 Or 2 View - Xr Knee 1-2 Views Uni | $554.25 | $554.25 | — | 103% above | — |
| X-ray of the knee, 1 or 2 views inpatient both sides CPT 73560 Hc X-Ray Knee 1 Or 2 View - Xr Knee 1-2 Views Bilat | $1,108.25 | $1,108.25 | — | — | — |
| X-ray of the knee, 1 or 2 views inpatient CPT 73560 Hc X-Ray Knee 1 Or 2 View - Xr Knee 1-2 Views Uni | $554.25 | $554.25 | — | — | — |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 Hc X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views | $430.25 | $430.25 | — | 33% above | — |
| X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 Hc X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views | $430.25 | $430.25 | — | — | — |
| X-ray of the lower back, 4 or more views CPT 72110 Hc X-Ray Lumbar Spine 4 Vw - Xr Lumbar Spine Complete 4+ Views | $618.25 | $618.25 | — | 32% above | — |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 Hc X-Ray Lumbar Spine 4 Vw - Xr Lumbar Spine Complete 4+ Views | $618.25 | $618.25 | — | — | — |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 Hc X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views | $639.50 | $639.50 | — | 112% above | — |
| X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 Hc X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views | $639.50 | $639.50 | — | — | — |
| X-ray of the nasal bones, 3 or more views CPT 70160 Hc X-Ray Nasal Bones - Xr Nasal Bones | $694.25 | $694.25 | — | 138% above | — |
| X-ray of the nasal bones, 3 or more views inpatient CPT 70160 Hc X-Ray Nasal Bones - Xr Nasal Bones | $694.25 | $694.25 | — | — | — |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 Hc Radex Spine Cervical 2 Or 3 Views - Xr Cervical Spine 2-3 Views | $599.50 | $599.50 | — | 79% above | — |
| X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 Hc Radex Spine Cervical 2 Or 3 Views - Xr Cervical Spine 2-3 Views | $599.50 | $599.50 | — | — | — |
| X-ray of the pelvis, 1 or 2 views CPT 72170 Hc X-Ray Pelvis 1/2 Vw - Xr Pelvis 1-2 Views | $578.25 | $578.25 | — | 130% above | — |
| X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 Hc X-Ray Pelvis 1/2 Vw - Xr Pelvis 1-2 Views | $578.25 | $578.25 | — | — | — |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 Hc X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views | $595.50 | $595.50 | — | 101% above | — |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 Hc X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views | $595.50 | $595.50 | — | — | — |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Ohio | Off list |
|---|---|---|---|---|---|
| ACTH blood test CPT 82024 Hc Acth | $73.09 | $73.09 | — | 45% below | — |
| ACTH blood test inpatient CPT 82024 Hc Acth | $73.09 | $73.09 | — | — | — |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 Noncdm Charge Record | $100.25 | $100.25 | — | 259% above | — |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 Noncdm Charge Record | $100.25 | $100.25 | — | — | — |
| AST (aspartate aminotransferase) enzyme test CPT 84450 Noncdm Charge Record | $87.75 | $87.75 | — | 248% above | — |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 Noncdm Charge Record | $87.75 | $87.75 | — | — | — |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 Hc Acute Hepatitis Panel | $868.25 | $868.25 | — | 299% above | — |
| Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 Hc Acute Hepatitis Panel | $868.25 | $868.25 | — | — | — |
| Albumin blood test CPT 82040 Hc Albumin Serum | $11.48 | $11.48 | — | 48% below | — |
| Albumin blood test CPT 82040 Noncdm Charge Record | $56.25 | $56.25 | — | 155% above | — |
| Albumin blood test inpatient CPT 82040 Hc Albumin Serum | $11.48 | $11.48 | — | — | — |
| Albumin blood test inpatient CPT 82040 Noncdm Charge Record | $56.25 | $56.25 | — | — | — |
| Aldosterone blood test CPT 82088 Hc Assay Of Aldosterone - Aldosterone | $64.26 | $64.26 | — | 54% below | — |
| Aldosterone blood test CPT 82088 Noncdm Charge Record | $305.00 | $305.00 | — | 118% above | — |
| Aldosterone blood test CPT 82088 Hc Aldosterone | $326.75 | $326.75 | — | 134% above | — |
| Aldosterone blood test inpatient CPT 82088 Hc Assay Of Aldosterone - Aldosterone | $64.26 | $64.26 | — | — | — |
| Aldosterone blood test inpatient CPT 82088 Noncdm Charge Record | $305.00 | $305.00 | — | — | — |
| Aldosterone blood test inpatient CPT 82088 Hc Aldosterone | $326.75 | $326.75 | — | — | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Hc Allergen Spec Ige - Allergen Alder, Smooth Ige | $18.96 | $18.96 | — | 19% below | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Noncdm Charge Record | $70.00 | $70.00 | — | 199% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Hc Allerg Sp-Ige Quan Or Semiquan | $91.25 | $91.25 | — | 290% above | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc Allergen Spec Ige - Allergen Alder, Smooth Ige | $18.96 | $18.96 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Noncdm Charge Record | $70.00 | $70.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc Allerg Sp-Ige Quan Or Semiquan | $91.25 | $91.25 | — | — | — |
| Alpha-fetoprotein (AFP) blood test CPT 82105 Hc Alpha-Fetoprotein Serum | $25.53 | $25.53 | — | 58% below | — |
| Alpha-fetoprotein (AFP) blood test CPT 82105 Hc Alpha-Fetoprotein Serum Tumor | $213.00 | $213.00 | — | 251% above | — |
| Alpha-fetoprotein (AFP) blood test CPT 82105 Noncdm Charge Record | $216.75 | $216.75 | — | 258% above | — |
| Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 Hc Alpha-Fetoprotein Serum | $25.53 | $25.53 | — | — | — |
| Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 Hc Alpha-Fetoprotein Serum Tumor | $213.00 | $213.00 | — | — | — |
| Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 Noncdm Charge Record | $216.75 | $216.75 | — | — | — |
| Amylase blood test CPT 82150 Hc Amylase | $135.00 | $135.00 | — | 182% above | — |
| Amylase blood test inpatient CPT 82150 Hc Amylase | $135.00 | $135.00 | — | — | — |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Hc Ccp Antibody | $40.10 | $40.10 | — | 31% below | — |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Noncdm Charge Record | $213.00 | $213.00 | — | 268% above | — |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 Hc Ccp Antibody | $40.10 | $40.10 | — | — | — |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 Noncdm Charge Record | $213.00 | $213.00 | — | — | — |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 Hc Antinuclear Ab (Ana) | $14.27 | $14.27 | — | 74% below | — |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 Noncdm Charge Record | $196.00 | $196.00 | — | 255% above | — |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 Hc Antinuclear Ab (Ana) | $14.27 | $14.27 | — | — | — |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 Noncdm Charge Record | $196.00 | $196.00 | — | — | — |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 Hc Natriuretic Peptide | $155.00 | $155.00 | — | 4% above | — |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 Noncdm Charge Record | $415.00 | $415.00 | — | 178% above | — |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 Hc Natriuretic Peptide | $155.00 | $155.00 | — | — | — |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 Noncdm Charge Record | $415.00 | $415.00 | — | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Hc Bacterial Culture-Othr Source | $10.09 | $10.09 | — | 85% below | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Noncdm Charge Record | $203.00 | $203.00 | — | 208% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Hc Bacterial Culture-Othr Source | $10.09 | $10.09 | — | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Noncdm Charge Record | $203.00 | $203.00 | — | — | — |
| Bilirubin blood test, total CPT 82247 Hc Bilirubin Total | $38.00 | $38.00 | — | 58% above | — |
| Bilirubin blood test, total CPT 82247 Noncdm Charge Record | $77.25 | $77.25 | — | 222% above | — |
| Bilirubin blood test, total inpatient CPT 82247 Hc Bilirubin Total | $38.00 | $38.00 | — | — | — |
| Bilirubin blood test, total inpatient CPT 82247 Noncdm Charge Record | $77.25 | $77.25 | — | — | — |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 Hc Surg Path Level Iv | $586.75 | $586.75 | — | 188% above | — |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Hc Surg Path Level Iv | $586.75 | $586.75 | — | — | — |
| Blood culture for bacteria CPT 87040 Hc Aerob Bacterial Blood Culture | $20.51 | $20.51 | — | 78% below | — |
| Blood culture for bacteria CPT 87040 Noncdm Charge Record | $453.25 | $453.25 | — | 384% above | — |
| Blood culture for bacteria inpatient CPT 87040 Hc Aerob Bacterial Blood Culture | $20.51 | $20.51 | — | — | — |
| Blood culture for bacteria inpatient CPT 87040 Noncdm Charge Record | $453.25 | $453.25 | — | — | — |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 Hc Routine Venipuncture | $10.50 | $10.50 | — | 34% below | — |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 Hc Collection Venous Blood,Venipuncture - Bundled Charge | $48.50 | $48.50 | — | 205% above | — |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Hc Routine Venipuncture | $10.50 | $10.50 | — | — | — |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Hc Collection Venous Blood,Venipuncture - Bundled Charge | $48.50 | $48.50 | — | — | — |
| Blood glucose (sugar) test CPT 82947 Hc Glucose; Quan Blood | $62.00 | $62.00 | — | 163% above | — |
| Blood glucose (sugar) test CPT 82947 Hc Glucose; Quan Wb Poc | $62.00 | $62.00 | — | 163% above | — |
| Blood glucose (sugar) test CPT 82947 Noncdm Charge Record | $78.50 | $78.50 | — | 233% above | — |
| Blood glucose (sugar) test inpatient CPT 82947 Hc Glucose; Quan Wb Poc | $62.00 | $62.00 | — | — | — |
| Blood glucose (sugar) test inpatient CPT 82947 Hc Glucose; Quan Blood | $62.00 | $62.00 | — | — | — |
| Blood glucose (sugar) test inpatient CPT 82947 Noncdm Charge Record | $78.50 | $78.50 | — | — | — |
| Blood lead test CPT 83655 Hc Lead | $68.40 | $68.40 | — | 41% above | — |
| Blood lead test inpatient CPT 83655 Hc Lead | $68.40 | $68.40 | — | — | — |
| C-peptide blood test CPT 84681 Hc C-Peptide | $32.73 | $32.73 | — | 59% below | — |
| C-peptide blood test CPT 84681 Noncdm Charge Record | $323.25 | $323.25 | — | 308% above | — |
| C-peptide blood test inpatient CPT 84681 Hc C-Peptide | $32.73 | $32.73 | — | — | — |
| C-peptide blood test inpatient CPT 84681 Noncdm Charge Record | $323.25 | $323.25 | — | — | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 Hc C-Reactive Protein-Hypercoag | $17.40 | $17.40 | — | 65% below | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 Hc C-Reactive Protein | $167.25 | $167.25 | — | 233% above | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 Hc C-Reactive Protein-Hypercoag | $17.40 | $17.40 | — | — | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 Hc C-Reactive Protein | $167.25 | $167.25 | — | — | — |
| C. difficile toxin gene test (stool PCR) CPT 87493 Hc C Diff Toxin Amp Probe | $36.36 | $36.36 | — | 72% below | — |
| C. difficile toxin gene test (stool PCR) inpatient CPT 87493 Hc C Diff Toxin Amp Probe | $36.36 | $36.36 | — | — | — |
| CA 19-9 blood test (tumor marker) CPT 86301 Hc Tumor Ag Ca 19-9 | $40.46 | $40.46 | — | 45% below | — |
| CA 19-9 blood test (tumor marker) inpatient CPT 86301 Hc Tumor Ag Ca 19-9 | $40.46 | $40.46 | — | — | — |
| CA-125 blood test (ovarian cancer marker) CPT 86304 Hc Tumor Ag Ca 125 -2 | $13.40 | $13.40 | — | 86% below | — |
| CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 Hc Tumor Ag Ca 125 -2 | $13.40 | $13.40 | — | — | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) one side CPT 87635 Hc Iadna Sars-Cov-2 Covid-19 Amplified Probe Tq - Sars-Cov-2 Rt Pcr | $199.00 | $199.00 | — | 41% above | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient one side CPT 87635 Hc Iadna Sars-Cov-2 Covid-19 Amplified Probe Tq - Sars-Cov-2 Rt Pcr | $199.00 | $199.00 | — | — | — |
| Calcium blood test, total CPT 82310 Noncdm Charge Record | $77.25 | $77.25 | — | 144% above | — |
| Calcium blood test, total inpatient CPT 82310 Noncdm Charge Record | $77.25 | $77.25 | — | — | — |
| Carcinoembryonic antigen (CEA) test CPT 82378 Noncdm Charge Record | $304.77 | $304.77 | — | 250% above | — |
| Carcinoembryonic antigen (CEA) test inpatient CPT 82378 Noncdm Charge Record | $304.77 | $304.77 | — | — | — |
| Chickenpox (varicella) immunity blood test CPT 86787 Hc Varicella-Zoster Ab | $191.25 | $191.25 | — | 231% above | — |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 Hc Varicella-Zoster Ab | $191.25 | $191.25 | — | — | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Hc Chlam Trach Amp Probe | $16.42 | $16.42 | — | 82% below | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Noncdm Charge Record | $325.00 | $325.00 | — | 252% above | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Hc Chlam Trach Amp Probe | $16.42 | $16.42 | — | — | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Noncdm Charge Record | $325.00 | $325.00 | — | — | — |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Noncdm Charge Record | $154.75 | $154.75 | — | 192% above | — |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Noncdm Charge Record | $154.75 | $154.75 | — | — | — |
| Cortisol blood test, total CPT 82533 Hc Total Cortisol - Acth Stimulation 1 Hour | $22.65 | $22.65 | — | 69% below | — |
| Cortisol blood test, total CPT 82533 Hc Cortisol Total | $229.50 | $229.50 | — | 217% above | — |
| Cortisol blood test, total CPT 82533 Noncdm Charge Record | $345.50 | $345.50 | — | 377% above | — |
| Cortisol blood test, total inpatient CPT 82533 Hc Total Cortisol - Acth Stimulation 1 Hour | $22.65 | $22.65 | — | — | — |
| Cortisol blood test, total inpatient CPT 82533 Hc Cortisol Total | $229.50 | $229.50 | — | — | — |
| Cortisol blood test, total inpatient CPT 82533 Noncdm Charge Record | $345.50 | $345.50 | — | — | — |
| Creatinine blood test CPT 82565 Hc Creatinine - Blood | $67.25 | $67.25 | — | 172% above | — |
| Creatinine blood test inpatient CPT 82565 Hc Creatinine - Blood | $67.25 | $67.25 | — | — | — |
| Cytomegalovirus (CMV) antibody test CPT 86644 Hc Cmv Ab Igg | $150.96 | $150.96 | — | 120% above | — |
| Cytomegalovirus (CMV) antibody test inpatient CPT 86644 Hc Cmv Ab Igg | $150.96 | $150.96 | — | — | — |
| D-dimer blood test (blood clot marker) CPT 85379 Hc D Dimer Quant | $16.47 | $16.47 | — | 76% below | — |
| D-dimer blood test (blood clot marker) inpatient CPT 85379 Hc D Dimer Quant | $16.47 | $16.47 | — | — | — |
| DHEA sulfate (DHEA-S) blood test CPT 82627 Hc Dhea Sulfate | $19.03 | $19.03 | — | 81% below | — |
| DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 Hc Dhea Sulfate | $19.03 | $19.03 | — | — | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Hc Assay Of Acetaminophen | $425.50 | $425.50 | — | 345% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Hc Drug Test Sgl Prsmv Chem Anlyzr | $425.50 | $425.50 | — | 345% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Hc Assay Of Tapentadol Urine Scrn | $425.50 | $425.50 | — | 345% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Hc Assay Of Zolpidem Urine Scrn | $425.50 | $425.50 | — | 345% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Hc Assay Of Fentanyl Urine Scrn | $425.50 | $425.50 | — | 345% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Hc Assay Of Salicylate | $425.50 | $425.50 | — | 345% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Hc Pain Mgmnt Panel | $425.50 | $425.50 | — | 345% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Hc Drug Test Prsmv Chem Anlyzr | $425.50 | $425.50 | — | 345% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Noncdm Charge Record | $429.72 | $429.72 | — | 350% above | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Hc Drug Test Prsmv Chem Anlyzr | $425.50 | $425.50 | — | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Hc Assay Of Tapentadol Urine Scrn | $425.50 | $425.50 | — | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Hc Pain Mgmnt Panel | $425.50 | $425.50 | — | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Hc Assay Of Fentanyl Urine Scrn | $425.50 | $425.50 | — | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Hc Assay Of Zolpidem Urine Scrn | $425.50 | $425.50 | — | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Hc Drug Test Sgl Prsmv Chem Anlyzr | $425.50 | $425.50 | — | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Hc Assay Of Acetaminophen | $425.50 | $425.50 | — | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Hc Assay Of Salicylate | $425.50 | $425.50 | — | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Noncdm Charge Record | $429.72 | $429.72 | — | — | — |
| Epstein-Barr virus (EBV) antibody test CPT 86665 Hc Epstein-Barr Capsid Vca - Epstein-Barr Virus Vca Antibody Panel | $19.43 | $19.43 | — | 70% below | — |
| Epstein-Barr virus (EBV) antibody test CPT 86665 Hc Eb Vca Ab | $197.00 | $197.00 | — | 203% above | — |
| Epstein-Barr virus (EBV) antibody test CPT 86665 Noncdm Charge Record | $242.50 | $242.50 | — | 273% above | — |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 Hc Epstein-Barr Capsid Vca - Epstein-Barr Virus Vca Antibody Panel | $19.43 | $19.43 | — | — | — |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 Hc Eb Vca Ab | $197.00 | $197.00 | — | — | — |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 Noncdm Charge Record | $242.50 | $242.50 | — | — | — |
| Estradiol blood test CPT 82670 Noncdm Charge Record | $187.50 | $187.50 | — | 67% above | — |
| Estradiol blood test inpatient CPT 82670 Noncdm Charge Record | $187.50 | $187.50 | — | — | — |
| Fecal calprotectin (stool inflammation test) CPT 83993 Hc Assay For Calprotectin Fecal | $195.25 | $195.25 | — | 31% above | — |
| Fecal calprotectin (stool inflammation test) inpatient CPT 83993 Hc Assay For Calprotectin Fecal | $195.25 | $195.25 | — | — | — |
| Ferritin blood test (iron stores) CPT 82728 Noncdm Charge Record | $219.50 | $219.50 | — | 189% above | — |
| Ferritin blood test (iron stores) inpatient CPT 82728 Noncdm Charge Record | $219.50 | $219.50 | — | — | — |
| Fibrinogen blood test CPT 85384 Hc Fibrinogen Activity | $8.38 | $8.38 | — | 81% below | — |
| Fibrinogen blood test CPT 85384 Hc Fibrinogen Activity-Hypercoag | $128.75 | $128.75 | — | 186% above | — |
| Fibrinogen blood test inpatient CPT 85384 Hc Fibrinogen Activity | $8.38 | $8.38 | — | — | — |
| Fibrinogen blood test inpatient CPT 85384 Hc Fibrinogen Activity-Hypercoag | $128.75 | $128.75 | — | — | — |
| Folate (folic acid) blood test CPT 82746 Noncdm Charge Record | $173.16 | $173.16 | — | 156% above | — |
| Folate (folic acid) blood test inpatient CPT 82746 Noncdm Charge Record | $173.16 | $173.16 | — | — | — |
| Free T3 thyroid hormone test CPT 84481 Hc T3 Free | $72.97 | $72.97 | — | 4% below | — |
| Free T3 thyroid hormone test inpatient CPT 84481 Hc T3 Free | $72.97 | $72.97 | — | — | — |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 Hc Thyroxine Free | $139.25 | $139.25 | — | 228% above | — |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 Noncdm Charge Record | $161.50 | $161.50 | — | 280% above | — |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 Hc Thyroxine Free | $139.25 | $139.25 | — | — | — |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 Noncdm Charge Record | $161.50 | $161.50 | — | — | — |
| Free testosterone test CPT 84402 Hc Testosterone Free | $36.20 | $36.20 | — | 63% below | — |
| Free testosterone test inpatient CPT 84402 Hc Testosterone Free | $36.20 | $36.20 | — | — | — |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 Noncdm Charge Record | $149.50 | $149.50 | — | 251% above | — |
| Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 Noncdm Charge Record | $149.50 | $149.50 | — | — | — |
| General health panel: metabolic panel, blood count and TSH in one order CPT 80050 Hc General Health Panel - Bundled Charge | $479.50 | $479.50 | — | 116% above | — |
| General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 Hc General Health Panel - Bundled Charge | $479.50 | $479.50 | — | — | — |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 Noncdm Charge Record | $92.00 | $92.00 | — | 140% above | — |
| Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 Noncdm Charge Record | $92.00 | $92.00 | — | — | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Hc Neisseria Amplif Na Probe | $21.27 | $21.27 | — | 77% below | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Noncdm Charge Record | $329.00 | $329.00 | — | 254% above | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 Hc Neisseria Amplif Na Probe | $21.27 | $21.27 | — | — | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 Noncdm Charge Record | $329.00 | $329.00 | — | — | — |
| H. pylori antibody blood test CPT 86677 Hc Helicobacter Pylori Ab | $28.20 | $28.20 | — | 63% below | — |
| H. pylori antibody blood test inpatient CPT 86677 Hc Helicobacter Pylori Ab | $28.20 | $28.20 | — | — | — |
| H. pylori stool antigen test CPT 87338 Hc Hpylori Stool Eia | $86.88 | $86.88 | — | 24% above | — |
| H. pylori stool antigen test inpatient CPT 87338 Hc Hpylori Stool Eia | $86.88 | $86.88 | — | — | — |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 Hc Hiv-1 Quant Viral Load | $81.15 | $81.15 | — | 77% below | — |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 Hc Hiv-1 Quant Viral Load | $81.15 | $81.15 | — | — | — |
| HIV-1 and HIV-2 antibody test CPT 86703 Hc Hiv-1/Hiv-2 Single Result Arc | $13.71 | $13.71 | — | 78% below | — |
| HIV-1 and HIV-2 antibody test inpatient CPT 86703 Hc Hiv-1/Hiv-2 Single Result Arc | $13.71 | $13.71 | — | — | — |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 Hc Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab-1 | $30.00 | $30.00 | — | 60% below | — |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 Noncdm Charge Record | $161.50 | $161.50 | — | 118% above | — |
| HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 Hc Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab-1 | $30.00 | $30.00 | — | — | — |
| HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 Noncdm Charge Record | $161.50 | $161.50 | — | — | — |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 Hc Hpv High-Risk Types | $403.50 | $403.50 | — | 240% above | — |
| HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 Hc Hpv High-Risk Types | $403.50 | $403.50 | — | — | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hc Hemoglobin A1C | $7.20 | $7.20 | — | 84% below | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 Hc Hemoglobin A1C | $7.20 | $7.20 | — | — | — |
| Hemoglobin blood test CPT 85018 Hc Hemoglobin | $3.19 | $3.19 | — | 80% below | — |
| Hemoglobin blood test inpatient CPT 85018 Hc Hemoglobin | $3.19 | $3.19 | — | — | — |
| Hepatitis B core antibody test (total) CPT 86704 Hc Hbcab - Total Ab | $15.27 | $15.27 | — | 72% below | — |
| Hepatitis B core antibody test (total) inpatient CPT 86704 Hc Hbcab - Total Ab | $15.27 | $15.27 | — | — | — |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 Hc Hepatitis B Surface Ag Eia | $14.62 | $14.62 | — | 69% below | — |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 Hc Hepatitis B Surface Ag Eia | $14.62 | $14.62 | — | — | — |
| Hepatitis C antibody blood test (screening) CPT 86803 Hc Hepatitis C Ab | $20.19 | $20.19 | — | 68% below | — |
| Hepatitis C antibody blood test (screening) CPT 86803 Noncdm Charge Record | $241.25 | $241.25 | — | 277% above | — |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 Hc Hepatitis C Ab | $20.19 | $20.19 | — | — | — |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 Noncdm Charge Record | $241.25 | $241.25 | — | — | — |
| Hepatitis C viral load (HCV RNA) test CPT 87522 Hc Hepatitis C Revrs Trnscrp | $104.46 | $104.46 | — | 46% below | — |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 Hc Hepatitis C Revrs Trnscrp | $104.46 | $104.46 | — | — | — |
| Herpes blood test, HSV-1 antibody CPT 86695 Hc Hsv 1 Ab | $61.91 | $61.91 | — | 5% above | — |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 Hc Hsv 1 Ab | $61.91 | $61.91 | — | — | — |
| Herpes blood test, HSV-2 antibody CPT 86696 Hc Hsv Type 2 Ab | $30.42 | $30.42 | — | 54% below | — |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 Hc Hsv Type 2 Ab | $30.42 | $30.42 | — | — | — |
| High-sensitivity CRP (hs-CRP) test CPT 86141 Hc C-Reactive Protein Hs | $70.00 | $70.00 | — | 4% above | — |
| High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 Hc C-Reactive Protein Hs | $70.00 | $70.00 | — | — | — |
| Homocysteine blood test CPT 83090 Hc Homocysteine | $22.70 | $22.70 | — | 72% below | — |
| Homocysteine blood test CPT 83090 Noncdm Charge Record | $231.81 | $231.81 | — | 188% above | — |
| Homocysteine blood test inpatient CPT 83090 Hc Homocysteine | $22.70 | $22.70 | — | — | — |
| Homocysteine blood test inpatient CPT 83090 Noncdm Charge Record | $231.81 | $231.81 | — | — | — |
| Insulin blood test CPT 83525 Hc Assay Of Insulin,Total - Insulin, Fasting | $18.37 | $18.37 | — | 64% below | — |
| Insulin blood test CPT 83525 Hc Insulin; Total | $120.50 | $120.50 | — | 135% above | — |
| Insulin blood test CPT 83525 Noncdm Charge Record | $122.25 | $122.25 | — | 138% above | — |
| Insulin blood test inpatient CPT 83525 Hc Assay Of Insulin,Total - Insulin, Fasting | $18.37 | $18.37 | — | — | — |
| Insulin blood test inpatient CPT 83525 Hc Insulin; Total | $120.50 | $120.50 | — | — | — |
| Insulin blood test inpatient CPT 83525 Noncdm Charge Record | $122.25 | $122.25 | — | — | — |
| Iron blood test (serum iron) CPT 83540 Hc Quantitative Iron | $86.50 | $86.50 | — | 127% above | — |
| Iron blood test (serum iron) inpatient CPT 83540 Hc Quantitative Iron | $86.50 | $86.50 | — | — | — |
| Iron-binding capacity (TIBC) test CPT 83550 Hc Iron Binding Capacity | $6.88 | $6.88 | — | 82% below | — |
| Iron-binding capacity (TIBC) test inpatient CPT 83550 Hc Iron Binding Capacity | $6.88 | $6.88 | — | — | — |
| Lactate (lactic acid) blood test CPT 83605 Hc Lactate Wb Poc | $157.00 | $157.00 | — | 202% above | — |
| Lactate (lactic acid) blood test inpatient CPT 83605 Hc Lactate Wb Poc | $157.00 | $157.00 | — | — | — |
| Lactate dehydrogenase (LDH) blood test CPT 83615 Hc Ldh | $75.50 | $75.50 | — | 177% above | — |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 Hc Ldh | $75.50 | $75.50 | — | — | — |
| Lyme disease antibody test CPT 86618 Hc Lyme Disease Antibody - B. Burgdorferi Antibodies | $17.03 | $17.03 | — | 78% below | — |
| Lyme disease antibody test CPT 86618 Hc Lyme Disease Ab | $175.75 | $175.75 | — | 129% above | — |
| Lyme disease antibody test CPT 86618 Noncdm Charge Record | $193.66 | $193.66 | — | 152% above | — |
| Lyme disease antibody test inpatient CPT 86618 Hc Lyme Disease Antibody - B. Burgdorferi Antibodies | $17.03 | $17.03 | — | — | — |
| Lyme disease antibody test inpatient CPT 86618 Hc Lyme Disease Ab | $175.75 | $175.75 | — | — | — |
| Lyme disease antibody test inpatient CPT 86618 Noncdm Charge Record | $193.66 | $193.66 | — | — | — |
| Magnesium blood test CPT 83735 Hc Magnesium | $18.00 | $18.00 | — | 47% below | — |
| Magnesium blood test inpatient CPT 83735 Hc Magnesium | $18.00 | $18.00 | — | — | — |
| Measles (rubeola) antibody test CPT 86765 Hc Rubeola Ab | $12.12 | $12.12 | — | 79% below | — |
| Measles (rubeola) antibody test inpatient CPT 86765 Hc Rubeola Ab | $12.12 | $12.12 | — | — | — |
| Mono test (heterophile antibody, Monospot) CPT 86308 Hc Heterophile Ab Scr-Mono | $7.48 | $7.48 | — | 86% below | — |
| Mono test (heterophile antibody, Monospot) inpatient CPT 86308 Hc Heterophile Ab Scr-Mono | $7.48 | $7.48 | — | — | — |
| Mumps immunity blood test CPT 86735 Hc Mumps Ab | $33.60 | $33.60 | — | 43% below | — |
| Mumps immunity blood test CPT 86735 Noncdm Charge Record | $238.50 | $238.50 | — | 308% above | — |
| Mumps immunity blood test inpatient CPT 86735 Hc Mumps Ab | $33.60 | $33.60 | — | — | — |
| Mumps immunity blood test inpatient CPT 86735 Noncdm Charge Record | $238.50 | $238.50 | — | — | — |
| Obstetric blood test panel CPT 80055 Hc Obstetric Panel - Bundled Charge | $172.25 | $172.25 | — | 20% below | — |
| Obstetric blood test panel inpatient CPT 80055 Hc Obstetric Panel - Bundled Charge | $172.25 | $172.25 | — | — | — |
| PSA (prostate-specific antigen) blood test, free CPT 84154 Hc Psa Free | $42.04 | $42.04 | — | 49% below | — |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 Hc Psa Free | $42.04 | $42.04 | — | — | — |
| PSA (prostate-specific antigen) blood test, total CPT 84153 Hc Prostate Specific Antigen,Total - Psa | $148.75 | $148.75 | — | 88% above | — |
| PSA (prostate-specific antigen) blood test, total CPT 84153 Hc Psa Total | $148.75 | $148.75 | — | 88% above | — |
| PSA (prostate-specific antigen) blood test, total CPT 84153 Noncdm Charge Record | $190.88 | $190.88 | — | 141% above | — |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 Hc Psa Total | $148.75 | $148.75 | — | — | — |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 Hc Prostate Specific Antigen,Total - Psa | $148.75 | $148.75 | — | — | — |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 Noncdm Charge Record | $190.88 | $190.88 | — | — | — |
| Pap test (liquid-based, automated screening with review) CPT 88175 Hc Cytopath C/V Auto Fluid Redo - Lab Cytopat,Cer/Vag,Thin Layer,Inter | $26.61 | $26.61 | — | 73% below | — |
| Pap test (liquid-based, automated screening with review) inpatient CPT 88175 Hc Cytopath C/V Auto Fluid Redo - Lab Cytopat,Cer/Vag,Thin Layer,Inter | $26.61 | $26.61 | — | — | — |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 Hc Cp Cerv/Vag; Atl; Manual Scrn | $23.45 | $23.45 | — | 74% below | — |
| Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 Hc Cp Cerv/Vag; Atl; Manual Scrn | $23.45 | $23.45 | — | — | — |
| Parathyroid hormone (PTH) blood test CPT 83970 Noncdm Charge Record | $448.00 | $448.00 | — | 216% above | — |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 Noncdm Charge Record | $448.00 | $448.00 | — | — | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Hc Aptt-Hypercoag | $70.25 | $70.25 | — | 87% above | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Noncdm Charge Record | $82.00 | $82.00 | — | 118% above | — |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Hc Aptt-Hypercoag | $70.25 | $70.25 | — | — | — |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Noncdm Charge Record | $82.00 | $82.00 | — | — | — |
| Phosphorus (phosphate) blood test CPT 84100 Hc Phosphorus | $73.00 | $73.00 | — | 104% above | — |
| Phosphorus (phosphate) blood test inpatient CPT 84100 Hc Phosphorus | $73.00 | $73.00 | — | — | — |
| Potassium blood test CPT 84132 Hc Potassium Wb Poc | $69.00 | $69.00 | — | 196% above | — |
| Potassium blood test inpatient CPT 84132 Hc Potassium Wb Poc | $69.00 | $69.00 | — | — | — |
| Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 Hc Fetal Chrmoml Aneuploidy | $2,811.75 | $2,811.75 | — | 93% above | — |
| Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) inpatient CPT 81420 Hc Fetal Chrmoml Aneuploidy | $2,811.75 | $2,811.75 | — | — | — |
| Progesterone blood test CPT 84144 Hc Progesterone | $35.16 | $35.16 | — | 57% below | — |
| Progesterone blood test inpatient CPT 84144 Hc Progesterone | $35.16 | $35.16 | — | — | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 Hc Protime-Hypercoag | $66.00 | $66.00 | — | 174% above | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 Hc Prothrombin Time | $66.00 | $66.00 | — | 174% above | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 Noncdm Charge Record | $77.00 | $77.00 | — | 220% above | — |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Hc Protime-Hypercoag | $66.00 | $66.00 | — | — | — |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Hc Prothrombin Time | $66.00 | $66.00 | — | — | — |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Noncdm Charge Record | $77.00 | $77.00 | — | — | — |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 Hc Drug Test Prsmv Dir Opt Obs | $61.00 | $61.00 | — | 5% above | — |
| Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 Hc Drug Test Prsmv Dir Opt Obs | $61.00 | $61.00 | — | — | — |
| Rapid flu test (influenza antigen) CPT 87804 Hc Detect Agent,Immun,Dir Obs,Influenza - Rapid Flu | $16.55 | $16.55 | — | 75% below | — |
| Rapid flu test (influenza antigen) inpatient CPT 87804 Hc Detect Agent,Immun,Dir Obs,Influenza - Rapid Flu | $16.55 | $16.55 | — | — | — |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 Hc Strep A Assay W Optic | $145.25 | $145.25 | — | 154% above | — |
| Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 Hc Strep A Assay W Optic | $145.25 | $145.25 | — | — | — |
| Renin blood test CPT 84244 Hc Renin Activity | $49.32 | $49.32 | — | 42% below | — |
| Renin blood test inpatient CPT 84244 Hc Renin Activity | $49.32 | $49.32 | — | — | — |
| Rh blood typing CPT 86901 Hc Blood Typing - Rh D | $6.20 | $6.20 | — | 83% below | — |
| Rh blood typing CPT 86901 Noncdm Charge Record | $118.00 | $118.00 | — | 216% above | — |
| Rh blood typing inpatient CPT 86901 Hc Blood Typing - Rh D | $6.20 | $6.20 | — | — | — |
| Rh blood typing inpatient CPT 86901 Noncdm Charge Record | $118.00 | $118.00 | — | — | — |
| Rheumatoid factor (RF) test CPT 86431 Hc Rheumatoid Factor, Quant - Rheumatoid Factor | $6.05 | $6.05 | — | 82% below | — |
| Rheumatoid factor (RF) test CPT 86431 Hc Ra Fact Quant Bld | $129.75 | $129.75 | — | 291% above | — |
| Rheumatoid factor (RF) test CPT 86431 Noncdm Charge Record | $168.69 | $168.69 | — | 409% above | — |
| Rheumatoid factor (RF) test inpatient CPT 86431 Hc Rheumatoid Factor, Quant - Rheumatoid Factor | $6.05 | $6.05 | — | — | — |
| Rheumatoid factor (RF) test inpatient CPT 86431 Hc Ra Fact Quant Bld | $129.75 | $129.75 | — | — | — |
| Rheumatoid factor (RF) test inpatient CPT 86431 Noncdm Charge Record | $168.69 | $168.69 | — | — | — |
| Rubella antibody test (immunity check) CPT 86762 Hc Rubella Ab | $8.84 | $8.84 | — | 82% below | — |
| Rubella antibody test (immunity check) inpatient CPT 86762 Hc Rubella Ab | $8.84 | $8.84 | — | — | — |
| Semen analysis: volume, sperm count, motility and morphology CPT 89320 Hc Semen Analysis,Volume, Count, Motility, Diff - Semen Analysis | $12.31 | $12.31 | — | 91% below | — |
| Semen analysis: volume, sperm count, motility and morphology inpatient CPT 89320 Hc Semen Analysis,Volume, Count, Motility, Diff - Semen Analysis | $12.31 | $12.31 | — | — | — |
| Sodium blood test CPT 84295 Hc Sodium Poc | $69.00 | $69.00 | — | 154% above | — |
| Sodium blood test inpatient CPT 84295 Hc Sodium Poc | $69.00 | $69.00 | — | — | — |
| Stool ova and parasites exam CPT 87177 Hc Ova & Parasites Dir Smr W Id | $11.26 | $11.26 | — | 72% below | — |
| Stool ova and parasites exam CPT 87177 Noncdm Charge Record | $261.50 | $261.50 | — | 560% above | — |
| Stool ova and parasites exam inpatient CPT 87177 Hc Ova & Parasites Dir Smr W Id | $11.26 | $11.26 | — | — | — |
| Stool ova and parasites exam inpatient CPT 87177 Noncdm Charge Record | $261.50 | $261.50 | — | — | — |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 Hc Occult Blood Feces | $5.82 | $5.82 | — | 80% below | — |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 Hc Occult Blood Feces | $5.82 | $5.82 | — | — | — |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 Noncdm Charge Record | $140.00 | $140.00 | — | 162% above | — |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 Hc Occult Blood Fit Screen | $160.50 | $160.50 | — | 200% above | — |
| Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 Noncdm Charge Record | $140.00 | $140.00 | — | — | — |
| Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 Hc Occult Blood Fit Screen | $160.50 | $160.50 | — | — | — |
| Syphilis antibody test (Treponema pallidum) CPT 86780 Hc Trep Pallidum | $23.04 | $23.04 | — | 60% below | — |
| Syphilis antibody test (Treponema pallidum) CPT 86780 Noncdm Charge Record | $154.00 | $154.00 | — | 166% above | — |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 Hc Trep Pallidum | $23.04 | $23.04 | — | — | — |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 Noncdm Charge Record | $154.00 | $154.00 | — | — | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Hc Syphilis Test Non Treponemal Antibody Qual - Rapid Plasma Reagin-Syp | $3.47 | $3.47 | — | 85% below | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Hc Syphilis Non Trep Ab Qual | $63.00 | $63.00 | — | 164% above | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Noncdm Charge Record | $96.33 | $96.33 | — | 304% above | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 Hc Syphilis Test Non Treponemal Antibody Qual - Rapid Plasma Reagin-Syp | $3.47 | $3.47 | — | — | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 Hc Syphilis Non Trep Ab Qual | $63.00 | $63.00 | — | — | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 Noncdm Charge Record | $96.33 | $96.33 | — | — | — |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 Hc Tb Test Quantiferon | $20.24 | $20.24 | — | 83% below | — |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 Hc Tb Test Quantiferon | $20.24 | $20.24 | — | — | — |
| Testosterone blood test, total (not free testosterone) CPT 84403 Hc Testosterone Total | $35.67 | $35.67 | — | 61% below | — |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Hc Testosterone Total | $35.67 | $35.67 | — | — | — |
| Thyroid peroxidase (TPO) antibody test CPT 86376 Hc Microsomal Ab Each | $27.04 | $27.04 | — | 58% below | — |
| Thyroid peroxidase (TPO) antibody test CPT 86376 Noncdm Charge Record | $252.25 | $252.25 | — | 288% above | — |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Hc Microsomal Ab Each | $27.04 | $27.04 | — | — | — |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Noncdm Charge Record | $252.25 | $252.25 | — | — | — |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 Hc Tsh | $9.00 | $9.00 | — | 88% below | — |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 Hc Tsh Nbs | $183.00 | $183.00 | — | 143% above | — |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 Noncdm Charge Record | $196.25 | $196.25 | — | 161% above | — |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 Hc Tsh | $9.00 | $9.00 | — | — | — |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 Hc Tsh Nbs | $183.00 | $183.00 | — | — | — |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 Noncdm Charge Record | $196.25 | $196.25 | — | — | — |
| Total IgE blood test CPT 82785 Hc Assay Of Gammaglobulin Ige - Humoral Immunity Status Survey | $79.63 | $79.63 | — | 28% above | — |
| Total IgE blood test CPT 82785 Hc Assay Of Ige | $165.50 | $165.50 | — | 167% above | — |
| Total IgE blood test CPT 82785 Noncdm Charge Record | $191.75 | $191.75 | — | 209% above | — |
| Total IgE blood test inpatient CPT 82785 Hc Assay Of Gammaglobulin Ige - Humoral Immunity Status Survey | $79.63 | $79.63 | — | — | — |
| Total IgE blood test inpatient CPT 82785 Hc Assay Of Ige | $165.50 | $165.50 | — | — | — |
| Total IgE blood test inpatient CPT 82785 Noncdm Charge Record | $191.75 | $191.75 | — | — | — |
| Total cholesterol blood test CPT 82465 Noncdm Charge Record | $74.25 | $74.25 | — | 103% above | — |
| Total cholesterol blood test inpatient CPT 82465 Noncdm Charge Record | $74.25 | $74.25 | — | — | — |
| Total thyroxine (T4) blood test CPT 84436 Noncdm Charge Record | $172.00 | $172.00 | — | 311% above | — |
| Total thyroxine (T4) blood test inpatient CPT 84436 Noncdm Charge Record | $172.00 | $172.00 | — | — | — |
| Total triiodothyronine (T3) blood test CPT 84480 Noncdm Charge Record | $174.00 | $174.00 | — | 189% above | — |
| Total triiodothyronine (T3) blood test inpatient CPT 84480 Noncdm Charge Record | $174.00 | $174.00 | — | — | — |
| Trichomonas test (NAAT) CPT 87661 Noncdm Charge Record | $223.50 | $223.50 | — | 159% above | — |
| Trichomonas test (NAAT) CPT 87661 Hc Trichomonas Vaginalis Amplif | $261.50 | $261.50 | — | 203% above | — |
| Trichomonas test (NAAT) inpatient CPT 87661 Noncdm Charge Record | $223.50 | $223.50 | — | — | — |
| Trichomonas test (NAAT) inpatient CPT 87661 Hc Trichomonas Vaginalis Amplif | $261.50 | $261.50 | — | — | — |
| Triglycerides blood test CPT 84478 Hc Triglycerides | $108.25 | $108.25 | — | 214% above | — |
| Triglycerides blood test CPT 84478 Noncdm Charge Record | $122.75 | $122.75 | — | 256% above | — |
| Triglycerides blood test inpatient CPT 84478 Hc Triglycerides | $108.25 | $108.25 | — | — | — |
| Triglycerides blood test inpatient CPT 84478 Noncdm Charge Record | $122.75 | $122.75 | — | — | — |
| Troponin test, quantitative CPT 84484 Hc Assay Of Troponin, Quant - Troponin I | $10.69 | $10.69 | — | 87% below | — |
| Troponin test, quantitative CPT 84484 Hc Troponin Quant | $212.25 | $212.25 | — | 153% above | — |
| Troponin test, quantitative inpatient CPT 84484 Hc Assay Of Troponin, Quant - Troponin I | $10.69 | $10.69 | — | — | — |
| Troponin test, quantitative inpatient CPT 84484 Hc Troponin Quant | $212.25 | $212.25 | — | — | — |
| Uric acid blood test CPT 84550 Hc Uric Acid Bld | $105.00 | $105.00 | — | 198% above | — |
| Uric acid blood test inpatient CPT 84550 Hc Uric Acid Bld | $105.00 | $105.00 | — | — | — |
| Urinalysis with microscope exam, automated CPT 81001 Hc Urinalysis Complete | $77.50 | $77.50 | — | 187% above | — |
| Urinalysis with microscope exam, automated inpatient CPT 81001 Hc Urinalysis Complete | $77.50 | $77.50 | — | — | — |
| Urinalysis with microscope exam, manual CPT 81000 Hc N-Autom Urine Dip W Micro | $23.75 | $23.75 | — | 30% above | — |
| Urinalysis with microscope exam, manual inpatient CPT 81000 Hc N-Autom Urine Dip W Micro | $23.75 | $23.75 | — | — | — |
| Urinalysis without microscope exam, automated CPT 81003 Hc Autom Urinalysis Wo Micro | $3.53 | $3.53 | — | 85% below | — |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Hc Autom Urinalysis Wo Micro | $3.53 | $3.53 | — | — | — |
| Urine culture for bacteria, with colony count CPT 87086 Hc Bact Cult-Urine Quan Count | $8.40 | $8.40 | — | 85% below | — |
| Urine culture for bacteria, with colony count inpatient CPT 87086 Hc Bact Cult-Urine Quan Count | $8.40 | $8.40 | — | — | — |
| Urine microalbumin (albumin) test CPT 82043 Hc Microalbumin, Quantitative - Microalbumin / Creatinine Urine Ratio | $22.02 | $22.02 | — | 57% below | — |
| Urine microalbumin (albumin) test CPT 82043 Hc Microalbumin Ur Qnt | $148.00 | $148.00 | — | 191% above | — |
| Urine microalbumin (albumin) test CPT 82043 Hc Poct Microalbumin Ur Qnt | $177.75 | $177.75 | — | 250% above | — |
| Urine microalbumin (albumin) test inpatient CPT 82043 Hc Microalbumin, Quantitative - Microalbumin / Creatinine Urine Ratio | $22.02 | $22.02 | — | — | — |
| Urine microalbumin (albumin) test inpatient CPT 82043 Hc Microalbumin Ur Qnt | $148.00 | $148.00 | — | — | — |
| Urine microalbumin (albumin) test inpatient CPT 82043 Hc Poct Microalbumin Ur Qnt | $177.75 | $177.75 | — | — | — |
| Urine pregnancy test, read by color change CPT 81025 Hc Urine Pregnancy Visual Color | $6.03 | $6.03 | — | 88% below | — |
| Urine pregnancy test, read by color change inpatient CPT 81025 Hc Urine Pregnancy Visual Color | $6.03 | $6.03 | — | — | — |
| Vitamin B12 (cobalamin) blood test CPT 82607 Noncdm Charge Record | $187.15 | $187.15 | — | 152% above | — |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 Noncdm Charge Record | $187.15 | $187.15 | — | — | — |
| Vitamin D, 1,25-dihydroxy blood test CPT 82652 Hc Vit D 1 25-Dihydroxy | $70.87 | $70.87 | — | 54% below | — |
| Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 Hc Vit D 1 25-Dihydroxy | $70.87 | $70.87 | — | — | — |
| Zinc blood test CPT 84630 Hc Zinc | $32.56 | $32.56 | — | 37% below | — |
| Zinc blood test inpatient CPT 84630 Hc Zinc | $32.56 | $32.56 | — | — | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Hc Hcg Quant - Quad Screen | $37.22 | $37.22 | — | 45% below | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Hc Hcg Quant - Sequential | $205.50 | $205.50 | — | 204% above | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Hc Hcg Quant | $205.50 | $205.50 | — | 204% above | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Noncdm Charge Record | $238.00 | $238.00 | — | 252% above | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 Hc Hcg Quant - Quad Screen | $37.22 | $37.22 | — | — | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 Hc Hcg Quant - Sequential | $205.50 | $205.50 | — | — | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 Hc Hcg Quant | $205.50 | $205.50 | — | — | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 Noncdm Charge Record | $238.00 | $238.00 | — | — | — |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Ohio | Off list |
|---|---|---|---|---|---|
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 Hc Bx Breast W Device 1St Lesion Stereotactic Guide | $7,250.00 | $7,250.00 | — | 81% above | — |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 Hc Bx Breast 1St Lesion Strtctc Bil | $14,500.00 | $14,500.00 | — | 262% above | — |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 Hc Bx Breast W Device 1St Lesion Stereotactic Guide | $7,250.00 | $7,250.00 | — | — | — |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 Hc Bx Breast 1St Lesion Strtctc Bil | $14,500.00 | $14,500.00 | — | — | — |
| Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 Hc Ed Tx Distal Fib Fx Wo Manip Uni | $1,158.25 | $1,158.25 | — | 206% above | — |
| Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 Hc Ed Tx Distal Fib Fx Wo Manip Bil | $2,316.50 | $2,316.50 | — | 513% above | — |
| Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 Hc Ed Tx Distal Fib Fx Wo Manip Uni | $1,158.25 | $1,158.25 | — | — | — |
| Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 Hc Ed Tx Distal Fib Fx Wo Manip Bil | $2,316.50 | $2,316.50 | — | — | — |
| Broken foot (metatarsal) treatment without surgery or setting CPT 28470 Hc Ed Tx Mettars Fx Wo Mn Ea | $1,082.25 | $1,082.25 | — | 198% above | — |
| Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 Hc Ed Tx Mettars Fx Wo Mn Ea | $1,082.25 | $1,082.25 | — | — | — |
| Bunion correction with a bone cut near the head of the first metatarsal CPT 28296 Hc Asc Correction Hallux Valgus Mtar Osteotomy | $5,177.00 | $5,177.00 | — | 79% below | — |
| Bunion correction with a bone cut near the head of the first metatarsal inpatient CPT 28296 Hc Asc Correction Hallux Valgus Mtar Osteotomy | $5,177.00 | $5,177.00 | — | — | — |
| Cardiac catheterization with coronary angiogram CPT 93458 Hc Cc L Hrt Artery/Ventricle Angio | $25,842.00 | $25,842.00 | — | 115% above | — |
| Cardiac catheterization with coronary angiogram inpatient CPT 93458 Hc Cc L Hrt Artery/Ventricle Angio | $25,842.00 | $25,842.00 | — | — | — |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 Hc Ed Cardioversion | $4,483.50 | $4,483.50 | — | 118% above | — |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 Hc Cardio Cardioversion | $4,483.50 | $4,483.50 | — | 118% above | — |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 Hc Cardioversion | $4,483.50 | $4,483.50 | — | 118% above | — |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 Hc Cardio Cardioversion | $4,483.50 | $4,483.50 | — | — | — |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 Hc Ed Cardioversion | $4,483.50 | $4,483.50 | — | — | — |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 Hc Cardioversion | $4,483.50 | $4,483.50 | — | — | — |
| Carpal tunnel release, open surgery CPT 64721 Hc Asc Carpal Tunnel Surgery | $3,032.25 | $3,032.25 | — | 63% below | — |
| Carpal tunnel release, open surgery inpatient CPT 64721 Hc Asc Carpal Tunnel Surgery | $3,032.25 | $3,032.25 | — | — | — |
| Cataract surgery with lens implant CPT 66984 Hc Asc Xcapsl Ctrc Rmvl W/O Ecp | $3,980.75 | $3,980.75 | — | 47% below | — |
| Cataract surgery with lens implant inpatient CPT 66984 Hc Asc Xcapsl Ctrc Rmvl W/O Ecp | $3,980.75 | $3,980.75 | — | — | — |
| Catheter ablation for atrial fibrillation CPT 93656 Hc Cc Ep And Ablate Afib By Pvi | $61,475.75 | $61,475.75 | — | 81% above | — |
| Catheter ablation for atrial fibrillation inpatient CPT 93656 Hc Cc Ep And Ablate Afib By Pvi | $61,475.75 | $61,475.75 | — | — | — |
| Cervical biopsy CPT 57500 Hc Asc Biopsy Cervix Single/Mult/Excision Of Lesion Spx | $330.75 | $330.75 | — | 81% below | — |
| Cervical biopsy CPT 57500 Hc Ed Biopsy Sing Or Mult Or Excision Lesion Cervix | $2,778.25 | $2,778.25 | — | 59% above | — |
| Cervical biopsy CPT 57500 Hc Biopsy Sing Or Mult Or Excision Lesion Cervix | $2,778.25 | $2,778.25 | — | 59% above | — |
| Cervical biopsy inpatient CPT 57500 Hc Asc Biopsy Cervix Single/Mult/Excision Of Lesion Spx | $330.75 | $330.75 | — | — | — |
| Cervical biopsy inpatient CPT 57500 Hc Biopsy Sing Or Mult Or Excision Lesion Cervix | $2,778.25 | $2,778.25 | — | — | — |
| Cervical biopsy inpatient CPT 57500 Hc Ed Biopsy Sing Or Mult Or Excision Lesion Cervix | $2,778.25 | $2,778.25 | — | — | — |
| Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 Hc Asc Circumcision Age >28 Days | $3,146.75 | $3,146.75 | — | 49% below | — |
| Circumcision by surgical excision, older than 28 days (children and adults) inpatient CPT 54161 Hc Asc Circumcision Age >28 Days | $3,146.75 | $3,146.75 | — | — | — |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 Hc Circumcision W/Regionl Block | $623.75 | $623.75 | — | 65% below | — |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 Hc Asc Circumcision W/Regionl Block | $3,146.75 | $3,146.75 | — | 78% above | — |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 Hc Circumcision W/Regionl Block | $623.75 | $623.75 | — | — | — |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 Hc Asc Circumcision W/Regionl Block | $3,146.75 | $3,146.75 | — | — | — |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 Hc Ed Tx Ds Rd W/Wo Fx Ust Wo Manip Uni | $857.50 | $857.50 | — | 109% above | — |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 Hc Ed Tx Ds Rd W/Wo Fx Ust Wo Manip Bil | $1,715.00 | $1,715.00 | — | 319% above | — |
| Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 Hc Ed Tx Ds Rd W/Wo Fx Ust Wo Manip Uni | $857.50 | $857.50 | — | — | — |
| Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 Hc Ed Tx Ds Rd W/Wo Fx Ust Wo Manip Bil | $1,715.00 | $1,715.00 | — | — | — |
| Colonoscopy with endoscopic ultrasound CPT 45391 Hc Gi Colonoscopy W/Endoscope Us | $4,916.75 | $4,916.75 | — | 57% above | — |
| Colonoscopy with endoscopic ultrasound inpatient CPT 45391 Hc Gi Colonoscopy W/Endoscope Us | $4,916.75 | $4,916.75 | — | — | — |
| Colonoscopy with polyp removal CPT 45385 Hc Asc Colon Flex W Rem Polyp Snare | $2,075.00 | $2,075.00 | — | 38% below | — |
| Colonoscopy with polyp removal CPT 45385 Hc Gi Colon Flex W Rem Polyp Snare | $3,434.00 | $3,434.00 | — | 3% above | — |
| Colonoscopy with polyp removal inpatient CPT 45385 Hc Asc Colon Flex W Rem Polyp Snare | $2,075.00 | $2,075.00 | — | — | — |
| Colonoscopy with polyp removal inpatient CPT 45385 Hc Gi Colon Flex W Rem Polyp Snare | $3,434.00 | $3,434.00 | — | — | — |
| Colonoscopy with tissue sample CPT 45380 Hc Asc Colon Flex W Bx 1Mx | $2,075.00 | $2,075.00 | — | 38% below | — |
| Colonoscopy with tissue sample CPT 45380 Hc Gi Colon Flex W Bx 1Mx | $3,065.50 | $3,065.50 | — | 8% below | — |
| Colonoscopy with tissue sample inpatient CPT 45380 Hc Asc Colon Flex W Bx 1Mx | $2,075.00 | $2,075.00 | — | — | — |
| Colonoscopy with tissue sample inpatient CPT 45380 Hc Gi Colon Flex W Bx 1Mx | $3,065.50 | $3,065.50 | — | — | — |
| Colonoscopy, diagnostic CPT 45378 Hc Asc Gi Colon/Diag (W Wo Brush) | $1,604.50 | $1,604.50 | — | 41% below | — |
| Colonoscopy, diagnostic CPT 45378 Hc Gi Colon/Diag (W Wo Brush) | $3,113.50 | $3,113.50 | — | 14% above | — |
| Colonoscopy, diagnostic inpatient CPT 45378 Hc Asc Gi Colon/Diag (W Wo Brush) | $1,604.50 | $1,604.50 | — | — | — |
| Colonoscopy, diagnostic inpatient CPT 45378 Hc Gi Colon/Diag (W Wo Brush) | $3,113.50 | $3,113.50 | — | — | — |
| Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 Hc Colposcopy W Biopsy | $1,847.00 | $1,847.00 | — | 103% above | — |
| Colposcopy with cervical biopsy and scraping of the cervical canal inpatient CPT 57454 Hc Colposcopy W Biopsy | $1,847.00 | $1,847.00 | — | — | — |
| Complex cataract surgery with lens implant CPT 66982 Hc Asc Xcapsl Ctrc Rmvl Cplx Wo Ecp | $3,980.75 | $3,980.75 | — | 44% below | — |
| Complex cataract surgery with lens implant inpatient CPT 66982 Hc Asc Xcapsl Ctrc Rmvl Cplx Wo Ecp | $3,980.75 | $3,980.75 | — | — | — |
| Coronary stent placement, one artery CPT 92928 Hc Cc Ptca/Stent 1 Major Art/Branch | $26,588.50 | $26,588.50 | — | 106% above | — |
| Coronary stent placement, one artery inpatient CPT 92928 Hc Cc Ptca/Stent 1 Major Art/Branch | $26,588.50 | $26,588.50 | — | — | — |
| Cystoscopy with ureteral stent placement CPT 52332 Hc Asc Cystoscopy And Treatment | $5,426.50 | $5,426.50 | — | 45% below | — |
| Cystoscopy with ureteral stent placement CPT 52332 Hc Cyst W/Ins Indwell Stent Uni | $10,706.00 | $10,706.00 | — | 8% above | — |
| Cystoscopy with ureteral stent placement CPT 52332 Hc Cyst W/Ins Indwell Stent Bil | $18,604.00 | $18,604.00 | — | 87% above | — |
| Cystoscopy with ureteral stent placement inpatient CPT 52332 Hc Asc Cystoscopy And Treatment | $5,426.50 | $5,426.50 | — | — | — |
| Cystoscopy with ureteral stent placement inpatient CPT 52332 Hc Cyst W/Ins Indwell Stent Uni | $10,706.00 | $10,706.00 | — | — | — |
| Cystoscopy with ureteral stent placement inpatient CPT 52332 Hc Cyst W/Ins Indwell Stent Bil | $18,604.00 | $18,604.00 | — | — | — |
| Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 Hc Asc Cystourethroscopy | $1,035.75 | $1,035.75 | — | 48% below | — |
| Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 Hc Ed Cystourethroscopy | $4,290.50 | $4,290.50 | — | 115% above | — |
| Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 Hc Asc Cystourethroscopy | $1,035.75 | $1,035.75 | — | — | — |
| Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 Hc Ed Cystourethroscopy | $4,290.50 | $4,290.50 | — | — | — |
| D&C (dilation and curettage), not related to pregnancy CPT 58120 Hc Asc Dilation And Curettage Diag And Or Theraputic | $5,488.75 | $5,488.75 | — | 21% below | — |
| D&C (dilation and curettage), not related to pregnancy inpatient CPT 58120 Hc Asc Dilation And Curettage Diag And Or Theraputic | $5,488.75 | $5,488.75 | — | — | — |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 Hc Destruc Benign/Premal,First Lesion | $556.00 | $556.00 | — | 175% above | — |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 Hc Destruc Benign/Premal,First Lesion | $556.00 | $556.00 | — | — | — |
| Ear tube placement (tympanostomy) under general anesthesia, one ear CPT 69436 Hc Asc Create Eardrum Opening Uni | $2,155.00 | $2,155.00 | — | 50% below | — |
| Ear tube placement (tympanostomy) under general anesthesia, one ear CPT 69436 Noncdm Charge Record | $4,625.64 | $4,625.64 | — | 8% above | — |
| Ear tube placement (tympanostomy) under general anesthesia, one ear inpatient CPT 69436 Hc Asc Create Eardrum Opening Uni | $2,155.00 | $2,155.00 | — | — | — |
| Ear tube placement (tympanostomy) under general anesthesia, one ear inpatient CPT 69436 Noncdm Charge Record | $4,625.64 | $4,625.64 | — | — | — |
| Earwax removal by irrigation (rinsing), one ear CPT 69209 Hc Remove Impacted Ear Wax Irrigation Uni | $444.50 | $444.50 | — | 187% above | — |
| Earwax removal by irrigation (rinsing), one ear CPT 69209 Hc Ed Remove Impacted Ear Wax Irrigation Uni | $444.50 | $444.50 | — | 187% above | — |
| Earwax removal by irrigation (rinsing), one ear CPT 69209 Hc Ed Remove Impacted Ear Wax Irrigation Bil | $889.00 | $889.00 | — | 475% above | — |
| Earwax removal by irrigation (rinsing), one ear CPT 69209 Hc Remove Impacted Ear Wax Irrigation Bil | $889.00 | $889.00 | — | 475% above | — |
| Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 Hc Ed Remove Impacted Ear Wax Irrigation Uni | $444.50 | $444.50 | — | — | — |
| Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 Hc Remove Impacted Ear Wax Irrigation Uni | $444.50 | $444.50 | — | — | — |
| Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 Hc Ed Remove Impacted Ear Wax Irrigation Bil | $889.00 | $889.00 | — | — | — |
| Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 Hc Remove Impacted Ear Wax Irrigation Bil | $889.00 | $889.00 | — | — | — |
| Earwax removal with instruments, one ear CPT 69210 Hc Cerumen Removal Instrumentation Uni | $228.00 | $228.00 | — | 47% above | — |
| Earwax removal with instruments, one ear CPT 69210 Hc Ed Cerumen Removal Instrumentation Uni | $505.75 | $505.75 | — | 227% above | — |
| Earwax removal with instruments, one ear CPT 69210 Hc Ed Cerumen Removal Instrumentation Bil | $1,011.50 | $1,011.50 | — | 554% above | — |
| Earwax removal with instruments, one ear CPT 69210 Hc Cerumen Removal Instrumentation Bil | $1,011.50 | $1,011.50 | — | 554% above | — |
| Earwax removal with instruments, one ear inpatient CPT 69210 Hc Cerumen Removal Instrumentation Uni | $228.00 | $228.00 | — | — | — |
| Earwax removal with instruments, one ear inpatient CPT 69210 Hc Ed Cerumen Removal Instrumentation Uni | $505.75 | $505.75 | — | — | — |
| Earwax removal with instruments, one ear inpatient CPT 69210 Hc Ed Cerumen Removal Instrumentation Bil | $1,011.50 | $1,011.50 | — | — | — |
| Earwax removal with instruments, one ear inpatient CPT 69210 Hc Cerumen Removal Instrumentation Bil | $1,011.50 | $1,011.50 | — | — | — |
| Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 Hc Asc Endometrial Biopsy | $169.75 | $169.75 | — | 56% below | — |
| Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 Hc Ed Endometrial Biopsy | $775.00 | $775.00 | — | 102% above | — |
| Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 Hc Endometrial Biopsy | $775.00 | $775.00 | — | 102% above | — |
| Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 Hc Asc Endometrial Biopsy | $169.75 | $169.75 | — | — | — |
| Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 Hc Endometrial Biopsy | $775.00 | $775.00 | — | — | — |
| Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 Hc Ed Endometrial Biopsy | $775.00 | $775.00 | — | — | — |
| Endoscopic sinus surgery: full ethmoid sinus opening CPT 31255 Hc Asc Nasal/Sinus Ndsc W/Total Ethoidectomy | $7,952.50 | $7,952.50 | — | 39% below | — |
| Endoscopic sinus surgery: full ethmoid sinus opening inpatient CPT 31255 Hc Asc Nasal/Sinus Ndsc W/Total Ethoidectomy | $7,952.50 | $7,952.50 | — | — | — |
| Endoscopic sinus surgery: opening the frontal sinus CPT 31276 Hc Asc Nasal/Sinus Ndsc Frnt Tiss Rmvl Uni | $7,952.50 | $7,952.50 | — | 65% below | — |
| Endoscopic sinus surgery: opening the frontal sinus inpatient CPT 31276 Hc Asc Nasal/Sinus Ndsc Frnt Tiss Rmvl Uni | $7,952.50 | $7,952.50 | — | — | — |
| Endoscopic sinus surgery: opening the maxillary (cheek) sinus CPT 31256 Hc Asc Exploration Maxillary Sinus Uni | $5,279.00 | $5,279.00 | — | 50% below | — |
| Endoscopic sinus surgery: opening the maxillary (cheek) sinus CPT 31256 Noncdm Charge Record | $7,774.02 | $7,774.02 | — | 26% below | — |
| Endoscopic sinus surgery: opening the maxillary (cheek) sinus inpatient CPT 31256 Hc Asc Exploration Maxillary Sinus Uni | $5,279.00 | $5,279.00 | — | — | — |
| Endoscopic sinus surgery: opening the maxillary (cheek) sinus inpatient CPT 31256 Noncdm Charge Record | $7,774.02 | $7,774.02 | — | — | — |
| Endoscopic sinus surgery: opening the maxillary sinus with removal of tissue CPT 31267 Hc Asc Endoscopy Maxillary Sinus | $7,952.50 | $7,952.50 | — | 63% below | — |
| Endoscopic sinus surgery: opening the maxillary sinus with removal of tissue inpatient CPT 31267 Hc Asc Endoscopy Maxillary Sinus | $7,952.50 | $7,952.50 | — | — | — |
| Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 Hc Asc Inj Interlam Cerv/Thorac | $1,218.75 | $1,218.75 | — | 45% below | — |
| Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 Hc Inj Interlam Cerv/Thorac | $3,800.00 | $3,800.00 | — | 70% above | — |
| Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 Hc Asc Inj Interlam Cerv/Thorac | $1,218.75 | $1,218.75 | — | — | — |
| Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 Hc Inj Interlam Cerv/Thorac | $3,800.00 | $3,800.00 | — | — | — |
| Eye injection into the vitreous (intravitreal injection) CPT 67028 Hc Ed Intravitreal Inj Of Drug Uni | $2,400.25 | $2,400.25 | — | 510% above | — |
| Eye injection into the vitreous (intravitreal injection) CPT 67028 Hc Intravitreal Inj Of Drug Uni | $2,440.00 | $2,440.00 | — | 520% above | — |
| Eye injection into the vitreous (intravitreal injection) CPT 67028 Hc Ed Intravitreal Inj Of Drug Bil | $4,800.50 | $4,800.50 | — | 1119% above | — |
| Eye injection into the vitreous (intravitreal injection) CPT 67028 Hc Intravitreal Inj Of Drug Bil | $4,880.00 | $4,880.00 | — | 1139% above | — |
| Eye injection into the vitreous (intravitreal injection) inpatient CPT 67028 Hc Ed Intravitreal Inj Of Drug Uni | $2,400.25 | $2,400.25 | — | — | — |
| Eye injection into the vitreous (intravitreal injection) inpatient CPT 67028 Hc Intravitreal Inj Of Drug Uni | $2,440.00 | $2,440.00 | — | — | — |
| Eye injection into the vitreous (intravitreal injection) inpatient CPT 67028 Hc Ed Intravitreal Inj Of Drug Bil | $4,800.50 | $4,800.50 | — | — | — |
| Eye injection into the vitreous (intravitreal injection) inpatient CPT 67028 Hc Intravitreal Inj Of Drug Bil | $4,880.00 | $4,880.00 | — | — | — |
| Facet joint injection, lower back, one level, with imaging guidance CPT 64493 Hc Asc Inj Facet Jt Lb/Sc-1Lvl Uni | $1,566.75 | $1,566.75 | — | 28% below | — |
| Facet joint injection, lower back, one level, with imaging guidance CPT 64493 Noncdm Charge Record | $3,331.72 | $3,331.72 | — | 53% above | — |
| Facet joint injection, lower back, one level, with imaging guidance CPT 64493 Hc M59 Inj Facet Jt Lb/Sc-1Lvl Uni | $4,548.75 | $4,548.75 | — | 108% above | — |
| Facet joint injection, lower back, one level, with imaging guidance CPT 64493 Hc Inj Facet Jt Lb/Sc-1Lvl Uni | $4,548.75 | $4,548.75 | — | 108% above | — |
| Facet joint injection, lower back, one level, with imaging guidance CPT 64493 Hc M59 Inj Facet Jt Lb/Sc-1Lvl Bil | $7,705.50 | $7,705.50 | — | 253% above | — |
| Facet joint injection, lower back, one level, with imaging guidance CPT 64493 Hc Inj Facet Jt Lb/Sc-1Lvl Bil | $7,705.50 | $7,705.50 | — | 253% above | — |
| Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 Hc Asc Inj Facet Jt Lb/Sc-1Lvl Uni | $1,566.75 | $1,566.75 | — | — | — |
| Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 Noncdm Charge Record | $3,331.72 | $3,331.72 | — | — | — |
| Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 Hc Inj Facet Jt Lb/Sc-1Lvl Uni | $4,548.75 | $4,548.75 | — | — | — |
| Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 Hc M59 Inj Facet Jt Lb/Sc-1Lvl Uni | $4,548.75 | $4,548.75 | — | — | — |
| Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 Hc M59 Inj Facet Jt Lb/Sc-1Lvl Bil | $7,705.50 | $7,705.50 | — | — | — |
| Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 Hc Inj Facet Jt Lb/Sc-1Lvl Bil | $7,705.50 | $7,705.50 | — | — | — |
| First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm CPT 49593 Hc Asc Rpr Aa Hernia 1St 3-10 Cm Reducible | $10,396.00 | $10,396.00 | — | 59% below | — |
| First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm inpatient CPT 49593 Hc Asc Rpr Aa Hernia 1St 3-10 Cm Reducible | $10,396.00 | $10,396.00 | — | — | — |
| First repair of a front abdominal hernia larger than 10 cm CPT 49595 Hc Asc Rpr Aa Hernia 1St > 10 Cm Reducible | $10,396.00 | $10,396.00 | — | 61% below | — |
| First repair of a front abdominal hernia larger than 10 cm inpatient CPT 49595 Hc Asc Rpr Aa Hernia 1St > 10 Cm Reducible | $10,396.00 | $10,396.00 | — | — | — |
| First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm CPT 49591 Hc Asc Rpr Aa Hrn 1St < 3 Cm Rdc | $5,524.50 | $5,524.50 | — | 66% below | — |
| First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm inpatient CPT 49591 Hc Asc Rpr Aa Hrn 1St < 3 Cm Rdc | $5,524.50 | $5,524.50 | — | — | — |
| Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 Hc Asc Sigmoid Flex Dx W/Wo Spec | $487.75 | $487.75 | — | 81% below | — |
| Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 Hc Gi Sigmoid Flex Dx W/Wo Spec | $3,986.50 | $3,986.50 | — | 56% above | — |
| Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 Hc Sigmoid Flex Dx W/Wo Spec | $3,986.50 | $3,986.50 | — | 56% above | — |
| Flexible sigmoidoscopy, diagnostic (lower colon only) inpatient CPT 45330 Hc Asc Sigmoid Flex Dx W/Wo Spec | $487.75 | $487.75 | — | — | — |
| Flexible sigmoidoscopy, diagnostic (lower colon only) inpatient CPT 45330 Hc Gi Sigmoid Flex Dx W/Wo Spec | $3,986.50 | $3,986.50 | — | — | — |
| Flexible sigmoidoscopy, diagnostic (lower colon only) inpatient CPT 45330 Hc Sigmoid Flex Dx W/Wo Spec | $3,986.50 | $3,986.50 | — | — | — |
| Gallbladder removal, laparoscopic CPT 47562 Hc Asc Laparoscopic Cholecystectomy | $9,377.00 | $9,377.00 | — | 46% below | — |
| Gallbladder removal, laparoscopic inpatient CPT 47562 Hc Asc Laparoscopic Cholecystectomy | $9,377.00 | $9,377.00 | — | — | — |
| Hammertoe correction surgery CPT 28285 Hc Asc Repair Of Hammertoe | $5,177.00 | $5,177.00 | — | 47% below | — |
| Hammertoe correction surgery inpatient CPT 28285 Hc Asc Repair Of Hammertoe | $5,177.00 | $5,177.00 | — | — | — |
| Hemorrhoid banding (rubber band ligation) CPT 46221 Hc Gi Hemorrhoid Single Ligature | $2,170.50 | $2,170.50 | — | 13% above | — |
| Hemorrhoid banding (rubber band ligation) inpatient CPT 46221 Hc Gi Hemorrhoid Single Ligature | $2,170.50 | $2,170.50 | — | — | — |
| Hemorrhoidectomy (internal and external), one area CPT 46255 Hc Asc Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group | $4,583.00 | $4,583.00 | — | 51% below | — |
| Hemorrhoidectomy (internal and external), one area inpatient CPT 46255 Hc Asc Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group | $4,583.00 | $4,583.00 | — | — | — |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 Hc Hysterogr/Sis Contr/Saline Inj | $787.50 | $787.50 | — | 106% above | — |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 Hc Hysterogr/Sis Contr/Saline Inj | $787.50 | $787.50 | — | — | — |
| Hysteroscopy with endometrial ablation CPT 58563 Hc Asc Hysteroscopy Ablation | $7,296.00 | $7,296.00 | — | 37% below | — |
| Hysteroscopy with endometrial ablation inpatient CPT 58563 Hc Asc Hysteroscopy Ablation | $7,296.00 | $7,296.00 | — | — | — |
| Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 Hc Asc Hysteroscopy Biopsy | $5,488.75 | $5,488.75 | — | 42% below | — |
| Hysteroscopy with uterine lining sampling and/or polyp removal inpatient CPT 58558 Hc Asc Hysteroscopy Biopsy | $5,488.75 | $5,488.75 | — | — | — |
| IUD insertion (the device itself billed separately) CPT 58300 Hc Asc Insertion Intrauterine Device Iud | $3,243.00 | $3,243.00 | — | 544% above | — |
| IUD insertion (the device itself billed separately) CPT 58300 Hc Insert Intrauterine Device | $3,808.00 | $3,808.00 | — | 656% above | — |
| IUD insertion (the device itself billed separately) inpatient CPT 58300 Hc Asc Insertion Intrauterine Device Iud | $3,243.00 | $3,243.00 | — | — | — |
| IUD insertion (the device itself billed separately) inpatient CPT 58300 Hc Insert Intrauterine Device | $3,808.00 | $3,808.00 | — | — | — |
| Incision and drainage of a simple or single skin abscess CPT 10060 Hc Asc Drain Skin Abscess Simple - I&D Abscess Simple/Single | $264.00 | $264.00 | — | 32% below | — |
| Incision and drainage of a simple or single skin abscess CPT 10060 Hc Drain Skin Abscess Simple - I&D Abscess Simple/Single | $646.75 | $646.75 | — | 67% above | — |
| Incision and drainage of a simple or single skin abscess CPT 10060 Hc Ed Drain Skin Abscess Simple - I&D Abscess Simple/Single | $1,186.75 | $1,186.75 | — | 206% above | — |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 Hc Asc Drain Skin Abscess Simple - I&D Abscess Simple/Single | $264.00 | $264.00 | — | — | — |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 Hc Drain Skin Abscess Simple - I&D Abscess Simple/Single | $646.75 | $646.75 | — | — | — |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 Hc Ed Drain Skin Abscess Simple - I&D Abscess Simple/Single | $1,186.75 | $1,186.75 | — | — | — |
| Inguinal (groin) hernia repair, age 5 or older CPT 49505 Hc Asc Prp I/Hern Init Reduc >5 Yr | $5,524.50 | $5,524.50 | — | 48% below | — |
| Inguinal (groin) hernia repair, age 5 or older inpatient CPT 49505 Hc Asc Prp I/Hern Init Reduc >5 Yr | $5,524.50 | $5,524.50 | — | — | — |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 Hc Inj Sgl Tendn Shth Or Ligament | $564.25 | $564.25 | — | 66% above | — |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 Hc Ed Inj Sgl Tendn Shth Or Ligament | $790.50 | $790.50 | — | 133% above | — |
| Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 Hc Inj Sgl Tendn Shth Or Ligament | $564.25 | $564.25 | — | — | — |
| Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 Hc Ed Inj Sgl Tendn Shth Or Ligament | $790.50 | $790.50 | — | — | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Hc Asc Arthrocentesis/Aspir/Inj Maj Jt Uni W/O Us | $110.25 | $110.25 | — | 84% below | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Hc Ed Arthro/Aspir/Inj Maj Jt Uni W/O Us | $1,810.00 | $1,810.00 | — | 160% above | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Hc Arthrocentesis/Aspir/Inj Maj Jt Uni W/O Us | $1,810.00 | $1,810.00 | — | 160% above | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Hc Ed Arthro/Aspir/Inj Maj Jt Bil Wo/Us | $3,620.00 | $3,620.00 | — | 420% above | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Hc Arthro/Aspir/Inj Maj Jt Bil W/O Us | $3,620.00 | $3,620.00 | — | 420% above | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 Hc Asc Arthrocentesis/Aspir/Inj Maj Jt Uni W/O Us | $110.25 | $110.25 | — | — | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 Hc Arthrocentesis/Aspir/Inj Maj Jt Uni W/O Us | $1,810.00 | $1,810.00 | — | — | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 Hc Ed Arthro/Aspir/Inj Maj Jt Uni W/O Us | $1,810.00 | $1,810.00 | — | — | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 Hc Arthro/Aspir/Inj Maj Jt Bil W/O Us | $3,620.00 | $3,620.00 | — | — | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 Hc Ed Arthro/Aspir/Inj Maj Jt Bil Wo/Us | $3,620.00 | $3,620.00 | — | — | — |
| Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 Hc Insert Drug Implant | $786.00 | $786.00 | — | 108% above | — |
| Insertion of a drug-delivery implant, such as the arm birth control implant inpatient CPT 11981 Hc Insert Drug Implant | $786.00 | $786.00 | — | — | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Hc Arthro/Aspir/Inj Inter Jt Uni | $1,122.75 | $1,122.75 | — | 82% above | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Hc Ed Arthro/Aspir/Inj Inter Jt Uni | $1,164.50 | $1,164.50 | — | 89% above | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Hc Arthro/Aspir/Inj Inter Jt Bil | $2,245.38 | $2,245.38 | — | 264% above | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Hc Ed Arthro/Aspir/Inj Inter Jt Bil | $2,329.00 | $2,329.00 | — | 277% above | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 Hc Arthro/Aspir/Inj Inter Jt Uni | $1,122.75 | $1,122.75 | — | — | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 Hc Ed Arthro/Aspir/Inj Inter Jt Uni | $1,164.50 | $1,164.50 | — | — | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 Hc Arthro/Aspir/Inj Inter Jt Bil | $2,245.38 | $2,245.38 | — | — | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 Hc Ed Arthro/Aspir/Inj Inter Jt Bil | $2,329.00 | $2,329.00 | — | — | — |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 Hc Arthro/Aspir/Inj Sm Jnt Uni | $496.25 | $496.25 | — | 1% above | — |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 Hc Arthro/Aspir/Inj Sm Jnt Bil | $992.50 | $992.50 | — | 101% above | — |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 Hc Ed Arthro/Aspir/Inj Sm Jnt Uni | $1,178.25 | $1,178.25 | — | 139% above | — |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 Hc Ed Arthro/Aspir/Inj Sm Jnt Bil | $2,356.50 | $2,356.50 | — | 378% above | — |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 Hc Arthro/Aspir/Inj Sm Jnt Uni | $496.25 | $496.25 | — | — | — |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 Hc Arthro/Aspir/Inj Sm Jnt Bil | $992.50 | $992.50 | — | — | — |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 Hc Ed Arthro/Aspir/Inj Sm Jnt Uni | $1,178.25 | $1,178.25 | — | — | — |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 Hc Ed Arthro/Aspir/Inj Sm Jnt Bil | $2,356.50 | $2,356.50 | — | — | — |
| Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 Hc Asc Laparoscopy Appendectomy | $12,936.25 | $12,936.25 | — | 26% below | — |
| Laparoscopic appendectomy (appendix removal through small cuts) inpatient CPT 44970 Hc Asc Laparoscopy Appendectomy | $12,936.25 | $12,936.25 | — | — | — |
| Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries CPT 58571 Hc Asc Laps Total Hysterect 250 Gm/< W/Rmvl Tube/Ovary | $16,050.50 | $16,050.50 | — | 58% below | — |
| Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries inpatient CPT 58571 Hc Asc Laps Total Hysterect 250 Gm/< W/Rmvl Tube/Ovary | $16,050.50 | $16,050.50 | — | — | — |
| Laparoscopic inguinal (groin) hernia repair, first repair on that side CPT 49650 Hc Asc Lap Ing Hernia Repair Init | $9,377.00 | $9,377.00 | — | 61% below | — |
| Laparoscopic inguinal (groin) hernia repair, first repair on that side inpatient CPT 49650 Hc Asc Lap Ing Hernia Repair Init | $9,377.00 | $9,377.00 | — | — | — |
| Laparoscopic inguinal (groin) hernia repair, recurrent hernia CPT 49651 Hc Asc Lap Ing Hernia Repair Recur | $9,377.00 | $9,377.00 | — | 65% below | — |
| Laparoscopic inguinal (groin) hernia repair, recurrent hernia inpatient CPT 49651 Hc Asc Lap Ing Hernia Repair Recur | $9,377.00 | $9,377.00 | — | — | — |
| Laparoscopic removal of fallopian tubes and/or ovaries CPT 58661 Hc Asc Laparoscopy Remove Adnexa | $9,377.00 | $9,377.00 | — | 43% below | — |
| Laparoscopic removal of fallopian tubes and/or ovaries inpatient CPT 58661 Hc Asc Laparoscopy Remove Adnexa | $9,377.00 | $9,377.00 | — | — | — |
| Laser treatment of clouding after cataract surgery (YAG) CPT 66821 Hc Asc After Cataract Laser Surgery | $965.50 | $965.50 | — | 32% below | — |
| Laser treatment of clouding after cataract surgery (YAG) CPT 66821 Hc Disc 2Nd Memb Catarac Laser Uni | $3,988.75 | $3,988.75 | — | 183% above | — |
| Laser treatment of clouding after cataract surgery (YAG) CPT 66821 Hc Disc 2Nd Memb Catarac Laser Bil | $4,412.25 | $4,412.25 | — | 213% above | — |
| Laser treatment of clouding after cataract surgery (YAG) inpatient CPT 66821 Hc Asc After Cataract Laser Surgery | $965.50 | $965.50 | — | — | — |
| Laser treatment of clouding after cataract surgery (YAG) inpatient CPT 66821 Hc Disc 2Nd Memb Catarac Laser Uni | $3,988.75 | $3,988.75 | — | — | — |
| Laser treatment of clouding after cataract surgery (YAG) inpatient CPT 66821 Hc Disc 2Nd Memb Catarac Laser Bil | $4,412.25 | $4,412.25 | — | — | — |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 Hc Asc Lay Cl Sc/Ax/Tr/Ex <= 2.5 | $591.75 | $591.75 | — | 11% above | — |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 Hc Lay Cl Sc/Ax/Tr/Ex <= 2.5 | $938.00 | $938.00 | — | 76% above | — |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 Hc Ed Lay Cl Sc/Ax/Tr/Ex <= 2.5 | $2,515.50 | $2,515.50 | — | 372% above | — |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 Hc Asc Lay Cl Sc/Ax/Tr/Ex <= 2.5 | $591.75 | $591.75 | — | — | — |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 Hc Lay Cl Sc/Ax/Tr/Ex <= 2.5 | $938.00 | $938.00 | — | — | — |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 Hc Ed Lay Cl Sc/Ax/Tr/Ex <= 2.5 | $2,515.50 | $2,515.50 | — | — | — |
| Left heart catheterization, diagnostic one side CPT 93452 Hc Cc Left Hrt Cath W/Ventrclgrphy | $10,913.00 | $10,913.00 | — | 18% above | — |
| Left heart catheterization, diagnostic inpatient one side CPT 93452 Hc Cc Left Hrt Cath W/Ventrclgrphy | $10,913.00 | $10,913.00 | — | — | — |
| Lower-back epidural injection, with imaging guidance CPT 62323 Hc Asc Inj Interlam Lmbr/Sac | $1,218.75 | $1,218.75 | — | 40% below | — |
| Lower-back epidural injection, with imaging guidance CPT 62323 Hc Inj Interlam Lmbr/Sac | $2,688.00 | $2,688.00 | — | 32% above | — |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 Hc Asc Inj Interlam Lmbr/Sac | $1,218.75 | $1,218.75 | — | — | — |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 Hc Inj Interlam Lmbr/Sac | $2,688.00 | $2,688.00 | — | — | — |
| Lower-back epidural injection, without imaging guidance CPT 62322 Hc Njx Interlaminar Lmbr/Sac | $2,912.25 | $2,912.25 | — | 79% above | — |
| Lower-back epidural injection, without imaging guidance inpatient CPT 62322 Hc Njx Interlaminar Lmbr/Sac | $2,912.25 | $2,912.25 | — | — | — |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 Hc Asc Inj Epidur Lumb/Sac 1 Lev Uni | $1,566.75 | $1,566.75 | — | 24% below | — |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 Hc M59 Inj Epidur Lumb/Sac 1 Lev Uni | $4,050.75 | $4,050.75 | — | 96% above | — |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 Hc Inj Epidur Lumb/Sac 1 Lev Uni | $4,050.75 | $4,050.75 | — | 96% above | — |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 Hc Inj Epidur Lumb/Sac 1 Lev Bil | $5,595.50 | $5,595.50 | — | 170% above | — |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 Hc M59 Inj Epidur Lumb/Sac 1 Lev Bil | $5,735.50 | $5,735.50 | — | 177% above | — |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 Hc Asc Inj Epidur Lumb/Sac 1 Lev Uni | $1,566.75 | $1,566.75 | — | — | — |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 Hc Inj Epidur Lumb/Sac 1 Lev Uni | $4,050.75 | $4,050.75 | — | — | — |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 Hc M59 Inj Epidur Lumb/Sac 1 Lev Uni | $4,050.75 | $4,050.75 | — | — | — |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 Hc Inj Epidur Lumb/Sac 1 Lev Bil | $5,595.50 | $5,595.50 | — | — | — |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 Hc M59 Inj Epidur Lumb/Sac 1 Lev Bil | $5,735.50 | $5,735.50 | — | — | — |
| Miscarriage treatment with D&C, first trimester CPT 59820 Hc Asc Care Of Miscarriage | $5,488.75 | $5,488.75 | — | 23% below | — |
| Miscarriage treatment with D&C, first trimester inpatient CPT 59820 Hc Asc Care Of Miscarriage | $5,488.75 | $5,488.75 | — | — | — |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 Hc Asc Exc Ben Les Tr/Ar/Lg <=0.5 | $298.00 | $298.00 | — | 78% below | — |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 Hc Ed Exc Ben Les Tr/Ar/Lg <=0.5 | $4,979.25 | $4,979.25 | — | 270% above | — |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 Hc Exc Ben Les Tr/Ar/Lg <=0.5 | $4,979.25 | $4,979.25 | — | 270% above | — |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 Hc Asc Exc Ben Les Tr/Ar/Lg <=0.5 | $298.00 | $298.00 | — | — | — |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 Hc Ed Exc Ben Les Tr/Ar/Lg <=0.5 | $4,979.25 | $4,979.25 | — | — | — |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 Hc Exc Ben Les Tr/Ar/Lg <=0.5 | $4,979.25 | $4,979.25 | — | — | — |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 Hc Ed Exc Face-Mm B9+Marg <= 0.5Cm | $2,985.00 | $2,985.00 | — | 118% above | — |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 Hc Exc Face-Mm B9+Marg <= 0.5Cm | $2,985.00 | $2,985.00 | — | 118% above | — |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 Hc Ed Exc Face-Mm B9+Marg <= 0.5Cm | $2,985.00 | $2,985.00 | — | — | — |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 Hc Exc Face-Mm B9+Marg <= 0.5Cm | $2,985.00 | $2,985.00 | — | — | — |
| Nail removal (partial or complete), one nail CPT 11730 Hc Avulsion Nail Plate Simple | $639.00 | $639.00 | — | 100% above | — |
| Nail removal (partial or complete), one nail CPT 11730 Hc Ed Avulsion Nail Plate Simple | $639.00 | $639.00 | — | 100% above | — |
| Nail removal (partial or complete), one nail inpatient CPT 11730 Hc Avulsion Nail Plate Simple | $639.00 | $639.00 | — | — | — |
| Nail removal (partial or complete), one nail inpatient CPT 11730 Hc Ed Avulsion Nail Plate Simple | $639.00 | $639.00 | — | — | — |
| Occipital nerve block (injection for headaches) CPT 64405 Hc Inj Anes Grt Occipt Nerv Uni | $2,319.50 | $2,319.50 | — | 195% above | — |
| Occipital nerve block (injection for headaches) CPT 64405 Hc Ed Inj Anes Grt Occipt Nerv Uni | $2,319.50 | $2,319.50 | — | 195% above | — |
| Occipital nerve block (injection for headaches) CPT 64405 Hc Ed Inj Anes Grt Occipt Nerv Bil | $4,639.00 | $4,639.00 | — | 489% above | — |
| Occipital nerve block (injection for headaches) CPT 64405 Hc Inj Anes Grt Occipt Nerv Bil | $4,639.00 | $4,639.00 | — | 489% above | — |
| Occipital nerve block (injection for headaches) inpatient CPT 64405 Hc Inj Anes Grt Occipt Nerv Uni | $2,319.50 | $2,319.50 | — | — | — |
| Occipital nerve block (injection for headaches) inpatient CPT 64405 Hc Ed Inj Anes Grt Occipt Nerv Uni | $2,319.50 | $2,319.50 | — | — | — |
| Occipital nerve block (injection for headaches) inpatient CPT 64405 Hc Inj Anes Grt Occipt Nerv Bil | $4,639.00 | $4,639.00 | — | — | — |
| Occipital nerve block (injection for headaches) inpatient CPT 64405 Hc Ed Inj Anes Grt Occipt Nerv Bil | $4,639.00 | $4,639.00 | — | — | — |
| Pacemaker implant (dual chamber) CPT 33208 Hc Cc Ins/Rep Pcmkr A/V | $22,739.00 | $22,739.00 | — | 46% above | — |
| Pacemaker implant (dual chamber) inpatient CPT 33208 Hc Cc Ins/Rep Pcmkr A/V | $22,739.00 | $22,739.00 | — | — | — |
| Paracentesis with imaging guidance CPT 49083 Hc Abd Paracentesis W/Imaging | $3,226.25 | $3,226.25 | — | 86% above | — |
| Paracentesis with imaging guidance CPT 49083 Hc Ed Abd Paracentesis W/Imaging | $3,226.25 | $3,226.25 | — | 86% above | — |
| Paracentesis with imaging guidance inpatient CPT 49083 Hc Abd Paracentesis W/Imaging | $3,226.25 | $3,226.25 | — | — | — |
| Paracentesis with imaging guidance inpatient CPT 49083 Hc Ed Abd Paracentesis W/Imaging | $3,226.25 | $3,226.25 | — | — | — |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 Hc Removal Of Nail Bed | $595.00 | $595.00 | — | 23% below | — |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 Hc Ed Removal Of Nail Bed | $2,531.75 | $2,531.75 | — | 226% above | — |
| Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 Hc Removal Of Nail Bed | $595.00 | $595.00 | — | — | — |
| Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 Hc Ed Removal Of Nail Bed | $2,531.75 | $2,531.75 | — | — | — |
| Prostate biopsy CPT 55700 Hc Asc Bx Prostate Sing/Mult Any Appr | $3,146.75 | $3,146.75 | — | 56% above | — |
| Prostate biopsy CPT 55700 Hc Bx Prostate Sing/Mult Any Appr | $4,879.25 | $4,879.25 | — | 142% above | — |
| Prostate biopsy inpatient CPT 55700 Hc Asc Bx Prostate Sing/Mult Any Appr | $3,146.75 | $3,146.75 | — | — | — |
| Prostate biopsy inpatient CPT 55700 Hc Bx Prostate Sing/Mult Any Appr | $4,879.25 | $4,879.25 | — | — | — |
| Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 Hc Asc Dstr Neur Agt Lumb/Sacr Uni | $3,032.25 | $3,032.25 | — | 9% below | — |
| Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 Hc Dstr Neur Agt Lumb/Sacr Uni | $6,231.25 | $6,231.25 | — | 87% above | — |
| Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 Hc Dstr Neur Agt Lumb/Sacr Bil | $12,462.50 | $12,462.50 | — | 274% above | — |
| Radiofrequency ablation of facet joint nerves, lower back, one level inpatient CPT 64635 Hc Asc Dstr Neur Agt Lumb/Sacr Uni | $3,032.25 | $3,032.25 | — | — | — |
| Radiofrequency ablation of facet joint nerves, lower back, one level inpatient CPT 64635 Hc Dstr Neur Agt Lumb/Sacr Uni | $6,231.25 | $6,231.25 | — | — | — |
| Radiofrequency ablation of facet joint nerves, lower back, one level inpatient CPT 64635 Hc Dstr Neur Agt Lumb/Sacr Bil | $12,462.50 | $12,462.50 | — | — | — |
| Removal of a breast lump, open surgery CPT 19120 Hc Asc Removal Of Breast Lesion 1+ | $5,042.25 | $5,042.25 | — | 13% above | — |
| Removal of a breast lump, open surgery CPT 19120 Hc Removal Of Breast Lesion 1+ | $10,599.50 | $10,599.50 | — | 138% above | — |
| Removal of a breast lump, open surgery inpatient CPT 19120 Hc Asc Removal Of Breast Lesion 1+ | $5,042.25 | $5,042.25 | — | — | — |
| Removal of a breast lump, open surgery inpatient CPT 19120 Hc Removal Of Breast Lesion 1+ | $10,599.50 | $10,599.50 | — | — | — |
| Removal of a foreign object under the skin, simple CPT 10120 Hc Er Remove Foreign Body Tiss Simple | $1,738.25 | $1,738.25 | — | 159% above | — |
| Removal of a foreign object under the skin, simple CPT 10120 Hc Remove Foreign Body Tiss Simple | $1,738.25 | $1,738.25 | — | 159% above | — |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 Hc Remove Foreign Body Tiss Simple | $1,738.25 | $1,738.25 | — | — | — |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 Hc Er Remove Foreign Body Tiss Simple | $1,738.25 | $1,738.25 | — | — | — |
| Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 Hc Asc Screen Colon No Risk | $1,604.50 | $1,604.50 | — | 38% below | — |
| Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 Hc Screen Colon No Risk | $6,175.25 | $6,175.25 | — | 137% above | — |
| Screening colonoscopy for a person at average risk (Medicare code) inpatient HCPCS G0121 Hc Asc Screen Colon No Risk | $1,604.50 | $1,604.50 | — | — | — |
| Screening colonoscopy for a person at average risk (Medicare code) inpatient HCPCS G0121 Hc Screen Colon No Risk | $6,175.25 | $6,175.25 | — | — | — |
| Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 Hc Asc Screen Colon Hi Risk | $1,604.50 | $1,604.50 | — | 38% below | — |
| Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 Hc Screen Colon Hi Risk | $6,389.25 | $6,389.25 | — | 146% above | — |
| Screening colonoscopy, high risk of colorectal cancer (Medicare code) inpatient HCPCS G0105 Hc Asc Screen Colon Hi Risk | $1,604.50 | $1,604.50 | — | — | — |
| Screening colonoscopy, high risk of colorectal cancer (Medicare code) inpatient HCPCS G0105 Hc Screen Colon Hi Risk | $6,389.25 | $6,389.25 | — | — | — |
| Septoplasty to straighten the nasal septum CPT 30520 Hc Asc Repair Of Nasal Septum | $4,571.50 | $4,571.50 | — | 78% below | — |
| Septoplasty to straighten the nasal septum inpatient CPT 30520 Hc Asc Repair Of Nasal Septum | $4,571.50 | $4,571.50 | — | — | — |
| Short arm cast (elbow to hand) CPT 29075 Hc Apply Short Arm Cast Uni | $481.50 | $481.50 | — | 60% above | — |
| Short arm cast (elbow to hand) CPT 29075 Hc Apply Short Arm Cast Bil | $963.00 | $963.00 | — | 220% above | — |
| Short arm cast (elbow to hand) CPT 29075 Hc Ed Apply Short Arm Cast Uni | $1,014.50 | $1,014.50 | — | 237% above | — |
| Short arm cast (elbow to hand) CPT 29075 Hc Ot Apply Short Arm Cast Uni | $1,014.50 | $1,014.50 | — | 237% above | — |
| Short arm cast (elbow to hand) CPT 29075 Hc Ot Apply Short Arm Cast Bil | $2,029.00 | $2,029.00 | — | 575% above | — |
| Short arm cast (elbow to hand) CPT 29075 Hc Ed Apply Short Arm Cast Bil | $2,029.00 | $2,029.00 | — | 575% above | — |
| Short arm cast (elbow to hand) inpatient CPT 29075 Hc Apply Short Arm Cast Uni | $481.50 | $481.50 | — | — | — |
| Short arm cast (elbow to hand) inpatient CPT 29075 Hc Apply Short Arm Cast Bil | $963.00 | $963.00 | — | — | — |
| Short arm cast (elbow to hand) inpatient CPT 29075 Hc Ot Apply Short Arm Cast Uni | $1,014.50 | $1,014.50 | — | — | — |
| Short arm cast (elbow to hand) inpatient CPT 29075 Hc Ed Apply Short Arm Cast Uni | $1,014.50 | $1,014.50 | — | — | — |
| Short arm cast (elbow to hand) inpatient CPT 29075 Hc Ed Apply Short Arm Cast Bil | $2,029.00 | $2,029.00 | — | — | — |
| Short arm cast (elbow to hand) inpatient CPT 29075 Hc Ot Apply Short Arm Cast Bil | $2,029.00 | $2,029.00 | — | — | — |
| Short arm splint (forearm and hand) CPT 29125 Hc App Shrt Arm Splint Static Uni | $878.25 | $878.25 | — | 202% above | — |
| Short arm splint (forearm and hand) CPT 29125 Hc Ot App Shrt Arm Splint Static Uni | $878.25 | $878.25 | — | 202% above | — |
| Short arm splint (forearm and hand) CPT 29125 Hc Ed App Shrt Arm Splint Static Uni | $878.25 | $878.25 | — | 202% above | — |
| Short arm splint (forearm and hand) CPT 29125 Hc Ot App Shrt Arm Splint Static Bil | $1,756.50 | $1,756.50 | — | 504% above | — |
| Short arm splint (forearm and hand) CPT 29125 Hc App Shrt Arm Splint Static Bil | $1,756.50 | $1,756.50 | — | 504% above | — |
| Short arm splint (forearm and hand) CPT 29125 Hc Ed App Shrt Arm Splint Static Bil | $1,756.50 | $1,756.50 | — | 504% above | — |
| Short arm splint (forearm and hand) inpatient CPT 29125 Hc App Shrt Arm Splint Static Uni | $878.25 | $878.25 | — | — | — |
| Short arm splint (forearm and hand) inpatient CPT 29125 Hc Ed App Shrt Arm Splint Static Uni | $878.25 | $878.25 | — | — | — |
| Short arm splint (forearm and hand) inpatient CPT 29125 Hc Ot App Shrt Arm Splint Static Uni | $878.25 | $878.25 | — | — | — |
| Short arm splint (forearm and hand) inpatient CPT 29125 Hc Ed App Shrt Arm Splint Static Bil | $1,756.50 | $1,756.50 | — | — | — |
| Short arm splint (forearm and hand) inpatient CPT 29125 Hc Ot App Shrt Arm Splint Static Bil | $1,756.50 | $1,756.50 | — | — | — |
| Short arm splint (forearm and hand) inpatient CPT 29125 Hc App Shrt Arm Splint Static Bil | $1,756.50 | $1,756.50 | — | — | — |
| Short leg cast (below the knee) CPT 29405 Hc Apply Short Leg Cast Uni | $669.25 | $669.25 | — | 76% above | — |
| Short leg cast (below the knee) CPT 29405 Hc Ed Apply Short Leg Cast Uni | $859.50 | $859.50 | — | 126% above | — |
| Short leg cast (below the knee) CPT 29405 Hc Apply Short Leg Cast Bil | $1,338.50 | $1,338.50 | — | 251% above | — |
| Short leg cast (below the knee) CPT 29405 Hc Ed Apply Short Leg Cast Bil | $1,719.00 | $1,719.00 | — | 351% above | — |
| Short leg cast (below the knee) inpatient CPT 29405 Hc Apply Short Leg Cast Uni | $669.25 | $669.25 | — | — | — |
| Short leg cast (below the knee) inpatient CPT 29405 Hc Ed Apply Short Leg Cast Uni | $859.50 | $859.50 | — | — | — |
| Short leg cast (below the knee) inpatient CPT 29405 Hc Apply Short Leg Cast Bil | $1,338.50 | $1,338.50 | — | — | — |
| Short leg cast (below the knee) inpatient CPT 29405 Hc Ed Apply Short Leg Cast Bil | $1,719.00 | $1,719.00 | — | — | — |
| Short leg splint (calf to foot) CPT 29515 Hc Ed Apply Short Leg Splint Uni | $620.50 | $620.50 | — | 111% above | — |
| Short leg splint (calf to foot) CPT 29515 Hc Apply Short Leg Splint | $620.50 | $620.50 | — | 111% above | — |
| Short leg splint (calf to foot) CPT 29515 Hc Ed Apply Short Leg Splint Bil | $1,241.00 | $1,241.00 | — | 321% above | — |
| Short leg splint (calf to foot) CPT 29515 Hc Apply Short Leg Splint Bil | $1,241.00 | $1,241.00 | — | 321% above | — |
| Short leg splint (calf to foot) inpatient CPT 29515 Hc Apply Short Leg Splint | $620.50 | $620.50 | — | — | — |
| Short leg splint (calf to foot) inpatient CPT 29515 Hc Ed Apply Short Leg Splint Uni | $620.50 | $620.50 | — | — | — |
| Short leg splint (calf to foot) inpatient CPT 29515 Hc Apply Short Leg Splint Bil | $1,241.00 | $1,241.00 | — | — | — |
| Short leg splint (calf to foot) inpatient CPT 29515 Hc Ed Apply Short Leg Splint Bil | $1,241.00 | $1,241.00 | — | — | — |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 Hc Sim Rp Sc/Ax/Gen/Tr/Ex <=2.5 | $899.25 | $899.25 | — | 172% above | — |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 Hc Ed Sim Rp Sc/Ax/Gen/Tr/Ex <=2.5 | $899.25 | $899.25 | — | 172% above | — |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 Hc Ed Sim Rp Sc/Ax/Gen/Tr/Ex <=2.5 | $899.25 | $899.25 | — | — | — |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 Hc Sim Rp Sc/Ax/Gen/Tr/Ex <=2.5 | $899.25 | $899.25 | — | — | — |
| Skin biopsy, punch, one lesion CPT 11104 Hc Ed Punch Bx Skin Single Lesion | $556.00 | $556.00 | — | 25% above | — |
| Skin biopsy, punch, one lesion CPT 11104 Hc Punch Bx Skin Single Lesion | $556.00 | $556.00 | — | 25% above | — |
| Skin biopsy, punch, one lesion inpatient CPT 11104 Hc Punch Bx Skin Single Lesion | $556.00 | $556.00 | — | — | — |
| Skin biopsy, punch, one lesion inpatient CPT 11104 Hc Ed Punch Bx Skin Single Lesion | $556.00 | $556.00 | — | — | — |
| Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 Hc Ed Exc Mal Les Tr/Ar/Lg <=0.5 | $1,987.75 | $1,987.75 | — | 45% above | — |
| Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 Hc Exc Mal Les Tr/Ar/Lg <=0.5 | $1,987.75 | $1,987.75 | — | 45% above | — |
| Skin cancer removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11600 Hc Exc Mal Les Tr/Ar/Lg <=0.5 | $1,987.75 | $1,987.75 | — | — | — |
| Skin cancer removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11600 Hc Ed Exc Mal Les Tr/Ar/Lg <=0.5 | $1,987.75 | $1,987.75 | — | — | — |
| Skin tag removal, up to 15 tags CPT 11200 Hc Asc Removal Of Skin Tags <=15 Lesions | $440.50 | $440.50 | — | 51% above | — |
| Skin tag removal, up to 15 tags CPT 11200 Hc Removal Of Skin Tags, Up To 15 | $1,500.00 | $1,500.00 | — | 413% above | — |
| Skin tag removal, up to 15 tags CPT 11200 Hc Ed Removal Of Skin Tags <=15 Lesions | $1,600.00 | $1,600.00 | — | 447% above | — |
| Skin tag removal, up to 15 tags inpatient CPT 11200 Hc Asc Removal Of Skin Tags <=15 Lesions | $440.50 | $440.50 | — | — | — |
| Skin tag removal, up to 15 tags inpatient CPT 11200 Hc Removal Of Skin Tags, Up To 15 | $1,500.00 | $1,500.00 | — | — | — |
| Skin tag removal, up to 15 tags inpatient CPT 11200 Hc Ed Removal Of Skin Tags <=15 Lesions | $1,600.00 | $1,600.00 | — | — | — |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 Hc Ed Spinal Puncture Lumbar Dx | $1,915.50 | $1,915.50 | — | 79% above | — |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 Hc Spinal Puncture Lumbar Dx | $1,915.50 | $1,915.50 | — | 79% above | — |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 Hc Ed Spinal Puncture Lumbar Dx | $1,915.50 | $1,915.50 | — | — | — |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 Hc Spinal Puncture Lumbar Dx | $1,915.50 | $1,915.50 | — | — | — |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 Hc Ed Sim Rp Sc/Ax/Gen/Tr Ex 2.6-7.5 | $946.00 | $946.00 | — | 168% above | — |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 Hc Sim Rp Sc/Ax/Gen/Tr Ex 2.6-7.5 | $946.00 | $946.00 | — | 168% above | — |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 Hc Ed Sim Rp Sc/Ax/Gen/Tr Ex 2.6-7.5 | $946.00 | $946.00 | — | — | — |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 Hc Sim Rp Sc/Ax/Gen/Tr Ex 2.6-7.5 | $946.00 | $946.00 | — | — | — |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 Hc Sim Rp Fa/Ns/Ear/Muc <=2.5 | $431.50 | $431.50 | — | 36% above | — |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 Hc Ed Sim Rp Fa/Ns/Ear/Muc <=2.5 | $851.75 | $851.75 | — | 168% above | — |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 Hc Sim Rp Fa/Ns/Ear/Muc <=2.5 | $431.50 | $431.50 | — | — | — |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 Hc Ed Sim Rp Fa/Ns/Ear/Muc <=2.5 | $851.75 | $851.75 | — | — | — |
| TURP (transurethral resection of the prostate) CPT 52601 Hc Asc Trurl Electrosurg Rescj Prostate Bleed Complete | $8,266.50 | $8,266.50 | — | 53% below | — |
| TURP (transurethral resection of the prostate) inpatient CPT 52601 Hc Asc Trurl Electrosurg Rescj Prostate Bleed Complete | $8,266.50 | $8,266.50 | — | — | — |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 Hc Ed Tangntl Bx Skin Single Les | $455.25 | $455.25 | — | 51% above | — |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 Hc Tangntl Bx Skin Single Les | $455.25 | $455.25 | — | 51% above | — |
| Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 Hc Ed Tangntl Bx Skin Single Les | $455.25 | $455.25 | — | — | — |
| Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 Hc Tangntl Bx Skin Single Les | $455.25 | $455.25 | — | — | — |
| Thoracentesis with imaging guidance CPT 32555 Hc Ed Thora-Aspir Pleura W Imag Uni | $3,787.25 | $3,787.25 | — | 118% above | — |
| Thoracentesis with imaging guidance CPT 32555 Hc Thora-Aspir Pleura W Imag Uni | $3,787.25 | $3,787.25 | — | 118% above | — |
| Thoracentesis with imaging guidance CPT 32555 Hc Ed Thora-Aspir Pleura W Imag Bil | $7,574.50 | $7,574.50 | — | 336% above | — |
| Thoracentesis with imaging guidance CPT 32555 Hc Thora-Aspir Pleura W Imag Bil | $7,574.50 | $7,574.50 | — | 336% above | — |
| Thoracentesis with imaging guidance inpatient CPT 32555 Hc Ed Thora-Aspir Pleura W Imag Uni | $3,787.25 | $3,787.25 | — | — | — |
| Thoracentesis with imaging guidance inpatient CPT 32555 Hc Thora-Aspir Pleura W Imag Uni | $3,787.25 | $3,787.25 | — | — | — |
| Thoracentesis with imaging guidance inpatient CPT 32555 Hc Thora-Aspir Pleura W Imag Bil | $7,574.50 | $7,574.50 | — | — | — |
| Thoracentesis with imaging guidance inpatient CPT 32555 Hc Ed Thora-Aspir Pleura W Imag Bil | $7,574.50 | $7,574.50 | — | — | — |
| Tonsil and adenoid removal, age 12 or older CPT 42821 Hc Asc Tonsillectomy & Adenoidectomy Age 12/> | $4,571.50 | $4,571.50 | — | 12% below | — |
| Tonsil and adenoid removal, age 12 or older inpatient CPT 42821 Hc Asc Tonsillectomy & Adenoidectomy Age 12/> | $4,571.50 | $4,571.50 | — | — | — |
| Tonsil removal (tonsillectomy) only, age 12 or older CPT 42826 Hc Asc Removal Of Tonsils | $4,571.50 | $4,571.50 | — | 60% below | — |
| Tonsil removal (tonsillectomy) only, age 12 or older inpatient CPT 42826 Hc Asc Removal Of Tonsils | $4,571.50 | $4,571.50 | — | — | — |
| Trigger finger release surgery CPT 26055 Hc Asc Tendon Sheath Incision | $2,748.25 | $2,748.25 | — | 16% below | — |
| Trigger finger release surgery CPT 26055 Hc Ed Tendon Sheath Incision | $4,857.75 | $4,857.75 | — | 48% above | — |
| Trigger finger release surgery inpatient CPT 26055 Hc Asc Tendon Sheath Incision | $2,748.25 | $2,748.25 | — | — | — |
| Trigger finger release surgery inpatient CPT 26055 Hc Ed Tendon Sheath Incision | $4,857.75 | $4,857.75 | — | — | — |
| Trigger point injections, 1 or 2 muscles CPT 20552 Hc Asc Inject Trigger Point 1 Or 2 | $89.00 | $89.00 | — | 87% below | — |
| Trigger point injections, 1 or 2 muscles CPT 20552 Hc Ed Inject Trigger Point 1 Or 2 | $1,282.25 | $1,282.25 | — | 84% above | — |
| Trigger point injections, 1 or 2 muscles CPT 20552 Hc Inject Trigger Point 1 Or 2 | $1,282.25 | $1,282.25 | — | 84% above | — |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 Hc Asc Inject Trigger Point 1 Or 2 | $89.00 | $89.00 | — | — | — |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 Hc Ed Inject Trigger Point 1 Or 2 | $1,282.25 | $1,282.25 | — | — | — |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 Hc Inject Trigger Point 1 Or 2 | $1,282.25 | $1,282.25 | — | — | — |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 Hc Bx Breast W Device 1St Lesion Ultrasound Guide | $5,949.00 | $5,949.00 | — | 79% above | — |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 Hc Bx Breast W Device 1St Lesion Ultrasnd Guide Bil | $11,898.00 | $11,898.00 | — | 259% above | — |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 Hc Bx Breast W Device 1St Lesion Ultrasound Guide | $5,949.00 | $5,949.00 | — | — | — |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 Hc Bx Breast W Device 1St Lesion Ultrasnd Guide Bil | $11,898.00 | $11,898.00 | — | — | — |
| Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 Hc Asc Esoph Egd Dilation <30 Mm | $2,833.00 | $2,833.00 | — | 19% below | — |
| Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 Hc Ugi Dilation Balloon <30Mm | $4,890.50 | $4,890.50 | — | 40% above | — |
| Upper endoscopy (EGD) with balloon widening of the esophagus inpatient CPT 43249 Hc Asc Esoph Egd Dilation <30 Mm | $2,833.00 | $2,833.00 | — | — | — |
| Upper endoscopy (EGD) with balloon widening of the esophagus inpatient CPT 43249 Hc Ugi Dilation Balloon <30Mm | $4,890.50 | $4,890.50 | — | — | — |
| Upper endoscopy (EGD) with biopsy CPT 43239 Hc Asc Ugi W Bx 1/Mx | $1,650.25 | $1,650.25 | — | 41% below | — |
| Upper endoscopy (EGD) with biopsy CPT 43239 Hc Ugi W Bx 1/Mx | $2,918.25 | $2,918.25 | — | 4% above | — |
| Upper endoscopy (EGD) with biopsy inpatient CPT 43239 Hc Asc Ugi W Bx 1/Mx | $1,650.25 | $1,650.25 | — | — | — |
| Upper endoscopy (EGD) with biopsy inpatient CPT 43239 Hc Ugi W Bx 1/Mx | $2,918.25 | $2,918.25 | — | — | — |
| Upper endoscopy (EGD) with injection into the lining CPT 43236 Hc Egd/Submucosal Inj/Any Substnc | $3,420.25 | $3,420.25 | — | 22% above | — |
| Upper endoscopy (EGD) with injection into the lining inpatient CPT 43236 Hc Egd/Submucosal Inj/Any Substnc | $3,420.25 | $3,420.25 | — | — | — |
| Upper endoscopy (EGD) with polyp removal by snare CPT 43251 Hc Asc Ugi W Rem Tum/Polyp Snare | $2,833.00 | $2,833.00 | — | 12% below | — |
| Upper endoscopy (EGD) with polyp removal by snare CPT 43251 Hc Ugi W Rem Tum/Polyp Snare | $2,912.50 | $2,912.50 | — | 10% below | — |
| Upper endoscopy (EGD) with polyp removal by snare inpatient CPT 43251 Hc Asc Ugi W Rem Tum/Polyp Snare | $2,833.00 | $2,833.00 | — | — | — |
| Upper endoscopy (EGD) with polyp removal by snare inpatient CPT 43251 Hc Ugi W Rem Tum/Polyp Snare | $2,912.50 | $2,912.50 | — | — | — |
| Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 Hc Ugi W Ins Gw Dil Eso (Savory) | $5,170.50 | $5,170.50 | — | 84% above | — |
| Upper endoscopy (EGD) with widening of the esophagus over a guide wire inpatient CPT 43248 Hc Ugi W Ins Gw Dil Eso (Savory) | $5,170.50 | $5,170.50 | — | — | — |
| Upper endoscopy (EGD), diagnostic CPT 43235 Hc Asc Ugi Egd Dx W/Wo Coll/Wash | $1,650.25 | $1,650.25 | — | 36% below | — |
| Upper endoscopy (EGD), diagnostic CPT 43235 Hc Ugi Egd Dx W/Wo Coll/Wash | $3,038.25 | $3,038.25 | — | 17% above | — |
| Upper endoscopy (EGD), diagnostic inpatient CPT 43235 Hc Asc Ugi Egd Dx W/Wo Coll/Wash | $1,650.25 | $1,650.25 | — | — | — |
| Upper endoscopy (EGD), diagnostic inpatient CPT 43235 Hc Ugi Egd Dx W/Wo Coll/Wash | $3,038.25 | $3,038.25 | — | — | — |
| Upper endoscopy with drainage of a pseudocyst through the stomach wall CPT 43240 Hc Egd W/Drain Pseudocyst | $3,916.25 | $3,916.25 | — | 14% below | — |
| Upper endoscopy with drainage of a pseudocyst through the stomach wall inpatient CPT 43240 Hc Egd W/Drain Pseudocyst | $3,916.25 | $3,916.25 | — | — | — |
| Ureteroscopy with laser stone breaking (lithotripsy) CPT 52353 Hc Asc Cystouretero W/Lithotripsy | $8,266.50 | $8,266.50 | — | 30% below | — |
| Ureteroscopy with laser stone breaking (lithotripsy) inpatient CPT 52353 Hc Asc Cystouretero W/Lithotripsy | $8,266.50 | $8,266.50 | — | — | — |
| Ureteroscopy with laser stone breaking and stent placement CPT 52356 Hc Asc Cysto/Uretero W/Lithotripsy | $8,266.50 | $8,266.50 | — | 46% below | — |
| Ureteroscopy with laser stone breaking and stent placement inpatient CPT 52356 Hc Asc Cysto/Uretero W/Lithotripsy | $8,266.50 | $8,266.50 | — | — | — |
| Vasectomy, one or both sides, including follow-up semen testing CPT 55250 Hc Asc Removal Of Sperm Duct(S) | $3,146.75 | $3,146.75 | — | 8% below | — |
| Vasectomy, one or both sides, including follow-up semen testing inpatient CPT 55250 Hc Asc Removal Of Sperm Duct(S) | $3,146.75 | $3,146.75 | — | — | — |
| Wart removal, up to 14 warts CPT 17110 Hc Asc Destruction Benign Lesions Up To 14 | $440.50 | $440.50 | — | 40% above | — |
| Wart removal, up to 14 warts CPT 17110 Hc Destruction Benign Lesions Up To 14 | $520.00 | $520.00 | — | 66% above | — |
| Wart removal, up to 14 warts CPT 17110 Hc Ed Destruct Benign Lesion To 14 | $758.50 | $758.50 | — | 142% above | — |
| Wart removal, up to 14 warts inpatient CPT 17110 Hc Asc Destruction Benign Lesions Up To 14 | $440.50 | $440.50 | — | — | — |
| Wart removal, up to 14 warts inpatient CPT 17110 Hc Destruction Benign Lesions Up To 14 | $520.00 | $520.00 | — | — | — |
| Wart removal, up to 14 warts inpatient CPT 17110 Hc Ed Destruct Benign Lesion To 14 | $758.50 | $758.50 | — | — | — |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Hc Ed Debridement, Skin, Sub-Q Tissue,=<20 Sq Cm | $2,134.00 | $2,134.00 | — | 174% above | — |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Hc Debridement, Skin, Sub-Q Tissue,=<20 Sq Cm | $2,134.00 | $2,134.00 | — | 174% above | — |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 Hc Ed Debridement, Skin, Sub-Q Tissue,=<20 Sq Cm | $2,134.00 | $2,134.00 | — | — | — |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 Hc Debridement, Skin, Sub-Q Tissue,=<20 Sq Cm | $2,134.00 | $2,134.00 | — | — | — |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Ohio | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 Hc Blood Transfusion Service | $2,144.75 | $2,144.75 | — | 93% above | — |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 Hc Blood Transfusion Service | $2,144.75 | $2,144.75 | — | — | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Hc Inhal Trt For Acute Airway | $599.50 | $599.50 | — | 242% above | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Hc Inhal Trt For Acute Airway | $599.50 | $599.50 | — | — | — |
| Chemotherapy IV infusion, first hour CPT 96413 Hc Chemo Iv Infus 1Hr Init Drug | $274.00 | $274.00 | — | 64% below | — |
| Chemotherapy IV infusion, first hour inpatient CPT 96413 Hc Chemo Iv Infus 1Hr Init Drug | $274.00 | $274.00 | — | — | — |
| Comprehensive eye exam by an eye doctor, new patient CPT 92004 Hc Ey Exam New Pt Comprehensive | $606.00 | $606.00 | — | 136% above | — |
| Comprehensive eye exam by an eye doctor, new patient inpatient CPT 92004 Hc Ey Exam New Pt Comprehensive | $606.00 | $606.00 | — | — | — |
| Comprehensive eye exam, returning patient CPT 92014 Hc Ey Exam Est Pt Comprehensive | $397.50 | $397.50 | — | 72% above | — |
| Comprehensive eye exam, returning patient inpatient CPT 92014 Hc Ey Exam Est Pt Comprehensive | $397.50 | $397.50 | — | — | — |
| Comprehensive hearing test: tone and speech audiometry, both ears CPT 92557 Hc Aud Comp Audio Thresh Recog | $360.75 | $360.75 | — | 38% above | — |
| Comprehensive hearing test: tone and speech audiometry, both ears inpatient CPT 92557 Hc Aud Comp Audio Thresh Recog | $360.75 | $360.75 | — | — | — |
| Critical care, first 30 to 74 minutes CPT 99291 Hc Ed Critical Care 30-74 Minutes | $8,124.75 | $8,124.75 | — | 177% above | — |
| Critical care, first 30 to 74 minutes CPT 99291 Hc Ed Critical Care 30-74 Minutes M25 | $8,124.75 | $8,124.75 | — | 177% above | — |
| Critical care, first 30 to 74 minutes CPT 99291 Hc Ed No Notify Trauma Level 4 W/Cc | $17,282.50 | $17,282.50 | — | 488% above | — |
| Critical care, first 30 to 74 minutes CPT 99291 Hc Ed No Notify Trauma Level 4 W/Cc M25 | $17,282.50 | $17,282.50 | — | 488% above | — |
| Critical care, first 30 to 74 minutes CPT 99291 Hc Ed No Notify Trauma Level 3 W/Cc M25 | $21,566.75 | $21,566.75 | — | 634% above | — |
| Critical care, first 30 to 74 minutes CPT 99291 Hc Ed No Notify Trauma Level 3 W/Cc | $21,566.75 | $21,566.75 | — | 634% above | — |
| Critical care, first 30 to 74 minutes CPT 99291 Hc Ed No Notify Trauma Level 2 W/Cc M25 | $25,851.00 | $25,851.00 | — | 780% above | — |
| Critical care, first 30 to 74 minutes CPT 99291 Hc Ed No Notify Trauma Level 2 W/Cc | $25,851.00 | $25,851.00 | — | 780% above | — |
| Critical care, first 30 to 74 minutes CPT 99291 Hc Ed No Notify Trauma Level 1 W/Cc M25 | $26,272.25 | $26,272.25 | — | 794% above | — |
| Critical care, first 30 to 74 minutes CPT 99291 Hc Ed No Notify Trauma Level 1 W/Cc | $26,272.25 | $26,272.25 | — | 794% above | — |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 Hc Ed Critical Care 30-74 Minutes M25 | $8,124.75 | $8,124.75 | — | — | — |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 Hc Ed Critical Care 30-74 Minutes | $8,124.75 | $8,124.75 | — | — | — |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 Hc Ed No Notify Trauma Level 4 W/Cc | $17,282.50 | $17,282.50 | — | — | — |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 Hc Ed No Notify Trauma Level 4 W/Cc M25 | $17,282.50 | $17,282.50 | — | — | — |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 Hc Ed No Notify Trauma Level 3 W/Cc M25 | $21,566.75 | $21,566.75 | — | — | — |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 Hc Ed No Notify Trauma Level 3 W/Cc | $21,566.75 | $21,566.75 | — | — | — |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 Hc Ed No Notify Trauma Level 2 W/Cc M25 | $25,851.00 | $25,851.00 | — | — | — |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 Hc Ed No Notify Trauma Level 2 W/Cc | $25,851.00 | $25,851.00 | — | — | — |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 Hc Ed No Notify Trauma Level 1 W/Cc | $26,272.25 | $26,272.25 | — | — | — |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 Hc Ed No Notify Trauma Level 1 W/Cc M25 | $26,272.25 | $26,272.25 | — | — | — |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 Hc Eeg Awake And Drowsy 20-40 Min | $1,995.25 | $1,995.25 | — | 109% above | — |
| EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 Hc Eeg Awake And Drowsy 20-40 Min | $1,995.25 | $1,995.25 | — | — | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Hc Ekg 12 Lead Tracing Only | $511.88 | $511.88 | — | 176% above | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 Hc Ekg 12 Lead Tracing Only | $511.88 | $511.88 | — | — | — |
| Electroconvulsive therapy (ECT), one session CPT 90870 Hc Ect Single Seizure | $3,163.25 | $3,163.25 | — | 134% above | — |
| Electroconvulsive therapy (ECT), one session inpatient CPT 90870 Hc Ect Single Seizure | $3,163.25 | $3,163.25 | — | — | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 Hc Ed Level 1 Emergency Exam M25 | $634.75 | $634.75 | — | 103% above | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 Hc Ed Emtala Screening Exam Only | $634.75 | $634.75 | — | 103% above | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 Hc Ed Level 1 Emergency Exam | $634.75 | $634.75 | — | 103% above | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 Hc Ed Level 1 Emergency Exam M25 | $634.75 | $634.75 | — | — | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 Hc Ed Level 1 Emergency Exam | $634.75 | $634.75 | — | — | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 Hc Ed Emtala Screening Exam Only | $634.75 | $634.75 | — | — | — |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 Hc Ed Level 2 Emergency Exam M25 | $863.50 | $863.50 | — | 69% above | — |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 Hc Ed Level 2 Emergency Exam | $863.50 | $863.50 | — | 69% above | — |
| Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 Hc Ed Level 2 Emergency Exam M25 | $863.50 | $863.50 | — | — | — |
| Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 Hc Ed Level 2 Emergency Exam | $863.50 | $863.50 | — | — | — |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 Hc Ed Level 3 Emergency Exam M25 | $1,667.25 | $1,667.25 | — | 98% above | — |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 Hc Ed Level 3 Emergency Exam | $1,667.25 | $1,667.25 | — | 98% above | — |
| Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 Hc Ed Level 3 Emergency Exam M25 | $1,667.25 | $1,667.25 | — | — | — |
| Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 Hc Ed Level 3 Emergency Exam | $1,667.25 | $1,667.25 | — | — | — |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 Hc Ed Level 4 Emergency Exam M25 | $2,864.25 | $2,864.25 | — | 116% above | — |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 Hc Ed Level 4 Emergency Exam | $2,864.25 | $2,864.25 | — | 116% above | — |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 Hc Ed Level 4 Emergency Exam M25 | $2,864.25 | $2,864.25 | — | — | — |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 Hc Ed Level 4 Emergency Exam | $2,864.25 | $2,864.25 | — | — | — |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 Hc Ed Level 5 Emergency Exam M25 | $4,350.50 | $4,350.50 | — | 150% above | — |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 Hc Ed Level 5 Emergency Exam | $4,350.50 | $4,350.50 | — | 150% above | — |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 Hc Ed No Notify Trauma Level 4 W/O Cc M25 | $12,436.25 | $12,436.25 | — | 616% above | — |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 Hc Ed No Notify Trauma Level 4 W/O Cc | $12,436.25 | $12,436.25 | — | 616% above | — |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 Hc Ed No Notify Trauma Level 3 W/O Cc M25 | $14,390.75 | $14,390.75 | — | 728% above | — |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 Hc Ed No Notify Trauma Level 3 W/O Cc | $14,390.75 | $14,390.75 | — | 728% above | — |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 Hc Ed No Notify Trauma Level 2 W/O Cc M25 | $16,345.25 | $16,345.25 | — | 841% above | — |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 Hc Ed No Notify Trauma Level 2 W/O Cc | $16,345.25 | $16,345.25 | — | 841% above | — |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 Hc Ed No Notify Trauma Level 1 W/O Cc | $16,665.50 | $16,665.50 | — | 859% above | — |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 Hc Ed No Notify Trauma Level 1 W/O Cc M25 | $16,665.50 | $16,665.50 | — | 859% above | — |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 Hc Ed Level 5 Emergency Exam | $4,350.50 | $4,350.50 | — | — | — |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 Hc Ed Level 5 Emergency Exam M25 | $4,350.50 | $4,350.50 | — | — | — |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 Hc Ed No Notify Trauma Level 4 W/O Cc | $12,436.25 | $12,436.25 | — | — | — |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 Hc Ed No Notify Trauma Level 4 W/O Cc M25 | $12,436.25 | $12,436.25 | — | — | — |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 Hc Ed No Notify Trauma Level 3 W/O Cc M25 | $14,390.75 | $14,390.75 | — | — | — |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 Hc Ed No Notify Trauma Level 3 W/O Cc | $14,390.75 | $14,390.75 | — | — | — |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 Hc Ed No Notify Trauma Level 2 W/O Cc M25 | $16,345.25 | $16,345.25 | — | — | — |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 Hc Ed No Notify Trauma Level 2 W/O Cc | $16,345.25 | $16,345.25 | — | — | — |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 Hc Ed No Notify Trauma Level 1 W/O Cc M25 | $16,665.50 | $16,665.50 | — | — | — |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 Hc Ed No Notify Trauma Level 1 W/O Cc | $16,665.50 | $16,665.50 | — | — | — |
| Exercise stress test, tracing only, the hospital charge CPT 93017 Hc Ecg Stress | $2,089.75 | $2,089.75 | — | 133% above | — |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 Hc Ecg Stress | $2,089.75 | $2,089.75 | — | — | — |
| Eye exam, returning patient, intermediate CPT 92012 Hc Eye Exam Est Pt Intermediate | $304.75 | $304.75 | — | at median | — |
| Eye exam, returning patient, intermediate inpatient CPT 92012 Hc Eye Exam Est Pt Intermediate | $304.75 | $304.75 | — | — | — |
| Family therapy with the patient, 50 minutes CPT 90847 Hc Chem Iop Family Psytx W Pt 50 Mins | $231.00 | $231.00 | — | 22% below | — |
| Family therapy with the patient, 50 minutes CPT 90847 Hc Telehlth Psych Php Family Psytx W Pt 50 Mins | $231.00 | $231.00 | — | 22% below | — |
| Family therapy with the patient, 50 minutes CPT 90847 Hc Telehlth Chem Iop Family Psytx W Pt 50 Mins | $231.00 | $231.00 | — | 22% below | — |
| Family therapy with the patient, 50 minutes CPT 90847 Hc Telehlth Psych Iop Family Psytx W Pt 50 Mins | $231.00 | $231.00 | — | 22% below | — |
| Family therapy with the patient, 50 minutes CPT 90847 Hc Telehlth Family Psychotherapy W Pt 50 Mins | $231.00 | $231.00 | — | 22% below | — |
| Family therapy with the patient, 50 minutes CPT 90847 Hc Psych Php Family Psytx W Pt 50 Mins | $231.00 | $231.00 | — | 22% below | — |
| Family therapy with the patient, 50 minutes CPT 90847 Hc Family Psychotherapy W Pt 50 Mins | $231.00 | $231.00 | — | 22% below | — |
| Family therapy with the patient, 50 minutes CPT 90847 Hc Psych Iop Family Psytx W Pt 50 Mins | $231.00 | $231.00 | — | 22% below | — |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 Hc Telehlth Psych Iop Family Psytx W Pt 50 Mins | $231.00 | $231.00 | — | — | — |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 Hc Psych Php Family Psytx W Pt 50 Mins | $231.00 | $231.00 | — | — | — |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 Hc Family Psychotherapy W Pt 50 Mins | $231.00 | $231.00 | — | — | — |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 Hc Telehlth Psych Php Family Psytx W Pt 50 Mins | $231.00 | $231.00 | — | — | — |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 Hc Telehlth Chem Iop Family Psytx W Pt 50 Mins | $231.00 | $231.00 | — | — | — |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 Hc Psych Iop Family Psytx W Pt 50 Mins | $231.00 | $231.00 | — | — | — |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 Hc Telehlth Family Psychotherapy W Pt 50 Mins | $231.00 | $231.00 | — | — | — |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 Hc Chem Iop Family Psytx W Pt 50 Mins | $231.00 | $231.00 | — | — | — |
| Family therapy without the patient, 50 minutes CPT 90846 Hc Telehlth Chem Iop Family Psytx Wo Pt 50 Mins | $305.00 | $305.00 | — | 2% below | — |
| Family therapy without the patient, 50 minutes CPT 90846 Hc Psych Php Family Psytx Wo Pt 50 Mins | $305.00 | $305.00 | — | 2% below | — |
| Family therapy without the patient, 50 minutes CPT 90846 Hc Telehlth Psych Iop Family Psytx Wo Pt 50 Mins | $305.00 | $305.00 | — | 2% below | — |
| Family therapy without the patient, 50 minutes CPT 90846 Hc Telehlth Psych Php Family Psytx Wo Pt 50 Mins | $305.00 | $305.00 | — | 2% below | — |
| Family therapy without the patient, 50 minutes CPT 90846 Hc Telehlth Family Psychotherapy Wo Pt 50 Mins | $305.00 | $305.00 | — | 2% below | — |
| Family therapy without the patient, 50 minutes CPT 90846 Hc Family Psychotherapy Wo Pt 50 Mins | $305.00 | $305.00 | — | 2% below | — |
| Family therapy without the patient, 50 minutes CPT 90846 Hc Psych Iop Family Psytx Wo Pt 50 Mins | $305.00 | $305.00 | — | 2% below | — |
| Family therapy without the patient, 50 minutes CPT 90846 Hc Chem Iop Family Psytx Wo Pt 50 Mins | $305.00 | $305.00 | — | 2% below | — |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 Hc Family Psychotherapy Wo Pt 50 Mins | $305.00 | $305.00 | — | — | — |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 Hc Chem Iop Family Psytx Wo Pt 50 Mins | $305.00 | $305.00 | — | — | — |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 Hc Telehlth Psych Php Family Psytx Wo Pt 50 Mins | $305.00 | $305.00 | — | — | — |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 Hc Psych Iop Family Psytx Wo Pt 50 Mins | $305.00 | $305.00 | — | — | — |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 Hc Telehlth Family Psychotherapy Wo Pt 50 Mins | $305.00 | $305.00 | — | — | — |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 Hc Telehlth Psych Iop Family Psytx Wo Pt 50 Mins | $305.00 | $305.00 | — | — | — |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 Hc Telehlth Chem Iop Family Psytx Wo Pt 50 Mins | $305.00 | $305.00 | — | — | — |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 Hc Psych Php Family Psytx Wo Pt 50 Mins | $305.00 | $305.00 | — | — | — |
| Group psychotherapy session CPT 90853 Hc Psych Php Group Psychotherapy | $339.75 | $339.75 | — | 99% above | — |
| Group psychotherapy session CPT 90853 Hc Telehlth Psych Php Group Psychotherapy | $339.75 | $339.75 | — | 99% above | — |
| Group psychotherapy session CPT 90853 Hc Telehlth Chem Alcohol Iop Group Psytx | $339.75 | $339.75 | — | 99% above | — |
| Group psychotherapy session CPT 90853 Hc Group Psychotherapy | $339.75 | $339.75 | — | 99% above | — |
| Group psychotherapy session CPT 90853 Hc Telehlth Psych Iop Group Psychotherapy | $339.75 | $339.75 | — | 99% above | — |
| Group psychotherapy session CPT 90853 Hc Telehlth Group Psychotherapy | $339.75 | $339.75 | — | 99% above | — |
| Group psychotherapy session CPT 90853 Hc Chem Drug Iop Group Psytx | $339.75 | $339.75 | — | 99% above | — |
| Group psychotherapy session CPT 90853 Hc Psych Iop Group Psychotherapy | $339.75 | $339.75 | — | 99% above | — |
| Group psychotherapy session CPT 90853 Hc Chem Alcohol Iop Group Psytx | $339.75 | $339.75 | — | 99% above | — |
| Group psychotherapy session CPT 90853 Hc Telehlth Chem Drug Iop Group Psytx | $339.75 | $339.75 | — | 99% above | — |
| Group psychotherapy session inpatient CPT 90853 Hc Telehlth Chem Drug Iop Group Psytx | $339.75 | $339.75 | — | — | — |
| Group psychotherapy session inpatient CPT 90853 Hc Psych Iop Group Psychotherapy | $339.75 | $339.75 | — | — | — |
| Group psychotherapy session inpatient CPT 90853 Hc Chem Alcohol Iop Group Psytx | $339.75 | $339.75 | — | — | — |
| Group psychotherapy session inpatient CPT 90853 Hc Chem Drug Iop Group Psytx | $339.75 | $339.75 | — | — | — |
| Group psychotherapy session inpatient CPT 90853 Hc Telehlth Psych Php Group Psychotherapy | $339.75 | $339.75 | — | — | — |
| Group psychotherapy session inpatient CPT 90853 Hc Group Psychotherapy | $339.75 | $339.75 | — | — | — |
| Group psychotherapy session inpatient CPT 90853 Hc Psych Php Group Psychotherapy | $339.75 | $339.75 | — | — | — |
| Group psychotherapy session inpatient CPT 90853 Hc Telehlth Group Psychotherapy | $339.75 | $339.75 | — | — | — |
| Group psychotherapy session inpatient CPT 90853 Hc Telehlth Psych Iop Group Psychotherapy | $339.75 | $339.75 | — | — | — |
| Group psychotherapy session inpatient CPT 90853 Hc Telehlth Chem Alcohol Iop Group Psytx | $339.75 | $339.75 | — | — | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 Hc Iv Infusion Hydration 1St Hour | $94.00 | $94.00 | — | 78% below | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 Hc Iv Infusion Hydration 1St Hour | $94.00 | $94.00 | — | — | — |
| IV infusion of a medicine, first hour CPT 96365 Hc Iv Infus Ther/Dx 1St Hr | $136.00 | $136.00 | — | 69% below | — |
| IV infusion of a medicine, first hour CPT 96365 Hc Ivig Infusion Up To 1 Hr | $136.00 | $136.00 | — | 69% below | — |
| IV infusion of a medicine, first hour inpatient CPT 96365 Hc Ivig Infusion Up To 1 Hr | $136.00 | $136.00 | — | — | — |
| IV infusion of a medicine, first hour inpatient CPT 96365 Hc Iv Infus Ther/Dx 1St Hr | $136.00 | $136.00 | — | — | — |
| IV push of a medicine, first drug CPT 96374 Hc Inj Iv Push Initial Drug | $90.00 | $90.00 | — | 65% below | — |
| IV push of a medicine, first drug inpatient CPT 96374 Hc Inj Iv Push Initial Drug | $90.00 | $90.00 | — | — | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 Hc Inj Im Or Subq Per Inj | $35.00 | $35.00 | — | 75% below | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 Hc Care Cntr Pnp Inj Im Or Subq Per Inj | $376.75 | $376.75 | — | 167% above | — |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Hc Inj Im Or Subq Per Inj | $35.00 | $35.00 | — | — | — |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Hc Care Cntr Pnp Inj Im Or Subq Per Inj | $376.75 | $376.75 | — | — | — |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 Hc Psychiatric Diagnostic Evaluation | $508.50 | $508.50 | — | 62% above | — |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 Hc Telehlth Psych Diagnostic Evaluation | $508.50 | $508.50 | — | 62% above | — |
| Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 Hc Telehlth Psych Diagnostic Evaluation | $508.50 | $508.50 | — | — | — |
| Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 Hc Psychiatric Diagnostic Evaluation | $508.50 | $508.50 | — | — | — |
| Nerve conduction study, 7 or 8 nerve studies CPT 95910 Hc Nrv Cndj Test 7-8 Studies | $3,653.75 | $3,653.75 | — | 165% above | — |
| Nerve conduction study, 7 or 8 nerve studies inpatient CPT 95910 Hc Nrv Cndj Test 7-8 Studies | $3,653.75 | $3,653.75 | — | — | — |
| Neuromuscular re-education, 15 minutes CPT 97112 Hc Pt Tx Proc Neuro Q15 | $321.75 | $321.75 | — | 193% above | — |
| Neuromuscular re-education, 15 minutes CPT 97112 Hc Ot Tx Proc Neuro Q15 | $321.75 | $321.75 | — | 193% above | — |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 Hc Pt Tx Proc Neuro Q15 | $321.75 | $321.75 | — | — | — |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 Hc Ot Tx Proc Neuro Q15 | $321.75 | $321.75 | — | — | — |
| New patient office visit, about 30 minutes CPT 99203 Hc Ov New Pt Level 3 | $219.00 | $219.00 | — | 100% above | — |
| New patient office visit, about 30 minutes inpatient CPT 99203 Hc Ov New Pt Level 3 | $219.00 | $219.00 | — | — | — |
| New patient office visit, about 45 minutes CPT 99204 Hc Ov New Pt Level 4 | $329.00 | $329.00 | — | 171% above | — |
| New patient office visit, about 45 minutes inpatient CPT 99204 Hc Ov New Pt Level 4 | $329.00 | $329.00 | — | — | — |
| New patient office visit, about 60 minutes CPT 99205 Hc Ov New Pt Level 5 | $435.00 | $435.00 | — | 152% above | — |
| New patient office visit, about 60 minutes inpatient CPT 99205 Hc Ov New Pt Level 5 | $435.00 | $435.00 | — | — | — |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 Hc Ov New Pt Level 2 | $142.00 | $142.00 | — | 40% above | — |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 Hc Ov New Pt Level 2 | $142.00 | $142.00 | — | — | — |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 Hc Mnt Intl Assessment Ea 15 Min | $123.00 | $123.00 | — | 90% above | — |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 Hc Mnt Intl Assessment Ea 15 Min | $123.00 | $123.00 | — | — | — |
| Occupational therapy evaluation, low complexity CPT 97165 Hc Ot Eval Low Complex 30 Min | $829.00 | $829.00 | — | 217% above | — |
| Occupational therapy evaluation, low complexity inpatient CPT 97165 Hc Ot Eval Low Complex 30 Min | $829.00 | $829.00 | — | — | — |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 Hc Pt Eval High Complex 45 Min | $745.00 | $745.00 | — | 147% above | — |
| Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 Hc Pt Eval High Complex 45 Min | $745.00 | $745.00 | — | — | — |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 Hc Pt Eval Low Complex 20 Min | $745.00 | $745.00 | — | 185% above | — |
| Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 Hc Pt Eval Low Complex 20 Min | $745.00 | $745.00 | — | — | — |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 Hc Pt Eval Mod Complex 30 Min | $745.00 | $745.00 | — | 168% above | — |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 Hc Pt Eval Mod Complex 30 Min | $745.00 | $745.00 | — | — | — |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Hc Pt Tx Man Ther Tech Q 15 | $287.50 | $287.50 | — | 159% above | — |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Hc Ot Tx Man Ther Tech Q 15 | $287.50 | $287.50 | — | 159% above | — |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 Hc Ot Tx Man Ther Tech Q 15 | $287.50 | $287.50 | — | — | — |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 Hc Pt Tx Man Ther Tech Q 15 | $287.50 | $287.50 | — | — | — |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Hc Ot Therapeutic Exercises | $199.75 | $199.75 | — | 69% above | — |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Hc Pt Tx Proc Q15 | $199.75 | $199.75 | — | 69% above | — |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 Hc Pt Tx Proc Q15 | $199.75 | $199.75 | — | — | — |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 Hc Ot Therapeutic Exercises | $199.75 | $199.75 | — | — | — |
| Preventive checkup, new patient aged 18–39 CPT 99385 Hc Sv Preventive Ov New 18-39 Yrs | $266.00 | $266.00 | — | 122% above | — |
| Preventive checkup, new patient aged 18–39 CPT 99385 Hc Iv Preventive Ov New 18-39 Years | $266.00 | $266.00 | — | 122% above | — |
| Preventive checkup, new patient aged 18–39 inpatient CPT 99385 Hc Sv Preventive Ov New 18-39 Yrs | $266.00 | $266.00 | — | — | — |
| Preventive checkup, new patient aged 18–39 inpatient CPT 99385 Hc Iv Preventive Ov New 18-39 Years | $266.00 | $266.00 | — | — | — |
| Preventive checkup, new patient aged 40–64 CPT 99386 Hc Iv Preventive Ov New 40-64 Years | $236.00 | $236.00 | — | 62% above | — |
| Preventive checkup, new patient aged 40–64 CPT 99386 Hc Sv Preventive Ov New 40-64 Yrs | $236.00 | $236.00 | — | 62% above | — |
| Preventive checkup, new patient aged 40–64 inpatient CPT 99386 Hc Iv Preventive Ov New 40-64 Years | $236.00 | $236.00 | — | — | — |
| Preventive checkup, new patient aged 40–64 inpatient CPT 99386 Hc Sv Preventive Ov New 40-64 Yrs | $236.00 | $236.00 | — | — | — |
| Preventive checkup, new patient aged 65 or older CPT 99387 Hc Sv Preventive Ov New =>65 Years | $384.00 | $384.00 | — | 145% above | — |
| Preventive checkup, new patient aged 65 or older CPT 99387 Hc Iv Preventive Ov New =>65 Yrs | $384.00 | $384.00 | — | 145% above | — |
| Preventive checkup, new patient aged 65 or older inpatient CPT 99387 Hc Iv Preventive Ov New =>65 Yrs | $384.00 | $384.00 | — | — | — |
| Preventive checkup, new patient aged 65 or older inpatient CPT 99387 Hc Sv Preventive Ov New =>65 Years | $384.00 | $384.00 | — | — | — |
| Preventive checkup, returning patient aged 18–39 CPT 99395 Hc Sv Preventive Ov Est 18-39 Yrs | $347.25 | $347.25 | — | 177% above | — |
| Preventive checkup, returning patient aged 18–39 CPT 99395 Hc Iv Preventive Ov Est 18-39 Years | $347.25 | $347.25 | — | 177% above | — |
| Preventive checkup, returning patient aged 18–39 inpatient CPT 99395 Hc Iv Preventive Ov Est 18-39 Years | $347.25 | $347.25 | — | — | — |
| Preventive checkup, returning patient aged 18–39 inpatient CPT 99395 Hc Sv Preventive Ov Est 18-39 Yrs | $347.25 | $347.25 | — | — | — |
| Preventive checkup, returning patient aged 40–64 CPT 99396 Hc Iv Preventive Ov Est 40-64 Years | $320.25 | $320.25 | — | 154% above | — |
| Preventive checkup, returning patient aged 40–64 CPT 99396 Hc Sv Preventive Ov Est 40-64 Yrs | $320.25 | $320.25 | — | 154% above | — |
| Preventive checkup, returning patient aged 40–64 inpatient CPT 99396 Hc Iv Preventive Ov Est 40-64 Years | $320.25 | $320.25 | — | — | — |
| Preventive checkup, returning patient aged 40–64 inpatient CPT 99396 Hc Sv Preventive Ov Est 40-64 Yrs | $320.25 | $320.25 | — | — | — |
| Preventive checkup, returning patient aged 65 or older CPT 99397 Hc Sv Preventive Ov Est =>65 Years | $334.50 | $334.50 | — | 159% above | — |
| Preventive checkup, returning patient aged 65 or older CPT 99397 Hc Iv Preventive Ov Est =>65 Yrs | $334.50 | $334.50 | — | 159% above | — |
| Preventive checkup, returning patient aged 65 or older CPT 99397 Hc Iv Preventive Ov Est =>65 Years | $334.50 | $334.50 | — | 159% above | — |
| Preventive checkup, returning patient aged 65 or older inpatient CPT 99397 Hc Sv Preventive Ov Est =>65 Years | $334.50 | $334.50 | — | — | — |
| Preventive checkup, returning patient aged 65 or older inpatient CPT 99397 Hc Iv Preventive Ov Est =>65 Years | $334.50 | $334.50 | — | — | — |
| Preventive checkup, returning patient aged 65 or older inpatient CPT 99397 Hc Iv Preventive Ov Est =>65 Yrs | $334.50 | $334.50 | — | — | — |
| Psychiatric evaluation with medical services CPT 90792 Hc Psych Diag Eval W Medical Srvcs | $672.25 | $672.25 | — | 90% above | — |
| Psychiatric evaluation with medical services inpatient CPT 90792 Hc Psych Diag Eval W Medical Srvcs | $672.25 | $672.25 | — | — | — |
| Psychological testing evaluation by a psychologist or physician, first hour CPT 96130 Hc Psycl Tst Eval Phys/Qhp 1St Hr | $431.25 | $431.25 | — | 2% above | — |
| Psychological testing evaluation by a psychologist or physician, first hour inpatient CPT 96130 Hc Psycl Tst Eval Phys/Qhp 1St Hr | $431.25 | $431.25 | — | — | — |
| Psychotherapy for crisis, first 60 minutes CPT 90839 Hc Chem Iop Psytx Crisis Initial 60 Min | $1,309.75 | $1,309.75 | — | 318% above | — |
| Psychotherapy for crisis, first 60 minutes CPT 90839 Hc Psych Psytx Crisis Initial 60 Min | $1,309.75 | $1,309.75 | — | 318% above | — |
| Psychotherapy for crisis, first 60 minutes CPT 90839 Hc Psych Iop Psytx Crisis Initial 60 Min | $1,309.75 | $1,309.75 | — | 318% above | — |
| Psychotherapy for crisis, first 60 minutes inpatient CPT 90839 Hc Psych Iop Psytx Crisis Initial 60 Min | $1,309.75 | $1,309.75 | — | — | — |
| Psychotherapy for crisis, first 60 minutes inpatient CPT 90839 Hc Chem Iop Psytx Crisis Initial 60 Min | $1,309.75 | $1,309.75 | — | — | — |
| Psychotherapy for crisis, first 60 minutes inpatient CPT 90839 Hc Psych Psytx Crisis Initial 60 Min | $1,309.75 | $1,309.75 | — | — | — |
| Psychotherapy session, 30 minutes CPT 90832 Hc Psych Php Psytx W Pt 30 Mins | $203.50 | $203.50 | — | 8% above | — |
| Psychotherapy session, 30 minutes CPT 90832 Hc Chem Iop Psytx W Pt 30 Mins | $203.50 | $203.50 | — | 8% above | — |
| Psychotherapy session, 30 minutes CPT 90832 Hc Telehlth Psytx W Patient 30 Mins | $203.50 | $203.50 | — | 8% above | — |
| Psychotherapy session, 30 minutes CPT 90832 Hc Telehlth Psych Iop Psytx W Pt 30 Mins | $203.50 | $203.50 | — | 8% above | — |
| Psychotherapy session, 30 minutes CPT 90832 Hc Telehlth Chem Iop Psytx W Pt 30 Mins | $203.50 | $203.50 | — | 8% above | — |
| Psychotherapy session, 30 minutes CPT 90832 Hc Psytx W Patient 30 Mins | $203.50 | $203.50 | — | 8% above | — |
| Psychotherapy session, 30 minutes CPT 90832 Hc Psych Iop Psytx W Pt 30 Mins | $203.50 | $203.50 | — | 8% above | — |
| Psychotherapy session, 30 minutes inpatient CPT 90832 Hc Telehlth Chem Iop Psytx W Pt 30 Mins | $203.50 | $203.50 | — | — | — |
| Psychotherapy session, 30 minutes inpatient CPT 90832 Hc Psych Php Psytx W Pt 30 Mins | $203.50 | $203.50 | — | — | — |
| Psychotherapy session, 30 minutes inpatient CPT 90832 Hc Psych Iop Psytx W Pt 30 Mins | $203.50 | $203.50 | — | — | — |
| Psychotherapy session, 30 minutes inpatient CPT 90832 Hc Chem Iop Psytx W Pt 30 Mins | $203.50 | $203.50 | — | — | — |
| Psychotherapy session, 30 minutes inpatient CPT 90832 Hc Telehlth Psych Iop Psytx W Pt 30 Mins | $203.50 | $203.50 | — | — | — |
| Psychotherapy session, 30 minutes inpatient CPT 90832 Hc Psytx W Patient 30 Mins | $203.50 | $203.50 | — | — | — |
| Psychotherapy session, 30 minutes inpatient CPT 90832 Hc Telehlth Psytx W Patient 30 Mins | $203.50 | $203.50 | — | — | — |
| Psychotherapy session, 45 minutes CPT 90834 Hc Telehlth Chem Iop Psytx W Pt 45 Mins | $306.00 | $306.00 | — | 15% above | — |
| Psychotherapy session, 45 minutes CPT 90834 Hc Psych Iop Psytx W Pt 45 Mins | $306.00 | $306.00 | — | 15% above | — |
| Psychotherapy session, 45 minutes CPT 90834 Hc Chem Iop Psytx W Pt 45 Mins | $306.00 | $306.00 | — | 15% above | — |
| Psychotherapy session, 45 minutes CPT 90834 Hc Psytx W Patient 45 Mins | $306.00 | $306.00 | — | 15% above | — |
| Psychotherapy session, 45 minutes CPT 90834 Hc Psych Php Psytx W Pt 45 Mins | $306.00 | $306.00 | — | 15% above | — |
| Psychotherapy session, 45 minutes CPT 90834 Hc Telehlth Psytx W Patient 45 Mins | $306.00 | $306.00 | — | 15% above | — |
| Psychotherapy session, 45 minutes CPT 90834 Hc Telehlth Psych Iop Psytx W Pt 45 Mins | $306.00 | $306.00 | — | 15% above | — |
| Psychotherapy session, 45 minutes inpatient CPT 90834 Hc Psych Php Psytx W Pt 45 Mins | $306.00 | $306.00 | — | — | — |
| Psychotherapy session, 45 minutes inpatient CPT 90834 Hc Psytx W Patient 45 Mins | $306.00 | $306.00 | — | — | — |
| Psychotherapy session, 45 minutes inpatient CPT 90834 Hc Telehlth Chem Iop Psytx W Pt 45 Mins | $306.00 | $306.00 | — | — | — |
| Psychotherapy session, 45 minutes inpatient CPT 90834 Hc Telehlth Psych Iop Psytx W Pt 45 Mins | $306.00 | $306.00 | — | — | — |
| Psychotherapy session, 45 minutes inpatient CPT 90834 Hc Telehlth Psytx W Patient 45 Mins | $306.00 | $306.00 | — | — | — |
| Psychotherapy session, 45 minutes inpatient CPT 90834 Hc Psych Iop Psytx W Pt 45 Mins | $306.00 | $306.00 | — | — | — |
| Psychotherapy session, 45 minutes inpatient CPT 90834 Hc Chem Iop Psytx W Pt 45 Mins | $306.00 | $306.00 | — | — | — |
| Psychotherapy session, 60 minutes CPT 90837 Hc Psych Php Psytx W Pt 60 Mins | $331.25 | $331.25 | — | 6% above | — |
| Psychotherapy session, 60 minutes CPT 90837 Hc Telehlth Psych Iop Psytx W Pt 60 Mins | $331.25 | $331.25 | — | 6% above | — |
| Psychotherapy session, 60 minutes CPT 90837 Hc Psytx W Patient 60 Mins | $331.25 | $331.25 | — | 6% above | — |
| Psychotherapy session, 60 minutes CPT 90837 Hc Telehlth Psytx W Patient 60 Mins | $331.25 | $331.25 | — | 6% above | — |
| Psychotherapy session, 60 minutes CPT 90837 Hc Chem Iop Psytx W Pt 60 Mins | $331.25 | $331.25 | — | 6% above | — |
| Psychotherapy session, 60 minutes CPT 90837 Hc Telehlth Chem Iop Psytx W Pt 60 Mins | $331.25 | $331.25 | — | 6% above | — |
| Psychotherapy session, 60 minutes CPT 90837 Hc Psych Iop Psytx W Pt 60 Mins | $331.25 | $331.25 | — | 6% above | — |
| Psychotherapy session, 60 minutes inpatient CPT 90837 Hc Telehlth Chem Iop Psytx W Pt 60 Mins | $331.25 | $331.25 | — | — | — |
| Psychotherapy session, 60 minutes inpatient CPT 90837 Hc Telehlth Psych Iop Psytx W Pt 60 Mins | $331.25 | $331.25 | — | — | — |
| Psychotherapy session, 60 minutes inpatient CPT 90837 Hc Telehlth Psytx W Patient 60 Mins | $331.25 | $331.25 | — | — | — |
| Psychotherapy session, 60 minutes inpatient CPT 90837 Hc Psych Php Psytx W Pt 60 Mins | $331.25 | $331.25 | — | — | — |
| Psychotherapy session, 60 minutes inpatient CPT 90837 Hc Psytx W Patient 60 Mins | $331.25 | $331.25 | — | — | — |
| Psychotherapy session, 60 minutes inpatient CPT 90837 Hc Chem Iop Psytx W Pt 60 Mins | $331.25 | $331.25 | — | — | — |
| Psychotherapy session, 60 minutes inpatient CPT 90837 Hc Psych Iop Psytx W Pt 60 Mins | $331.25 | $331.25 | — | — | — |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 Hc Behav Chng Smoking 3-10 Min | $147.50 | $147.50 | — | 237% above | — |
| Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 Hc Behav Chng Smoking 3-10 Min | $147.50 | $147.50 | — | — | — |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 Hc Ov Est Pt Level 5 | $354.00 | $354.00 | — | 110% above | — |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 Hc Spravato Post-Admin Observation | $456.25 | $456.25 | — | 171% above | — |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 Hc Family Summary Conf 40-54Min | $456.25 | $456.25 | — | 171% above | — |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 Hc Ov Est Pt Level 5 | $354.00 | $354.00 | — | — | — |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 Hc Family Summary Conf 40-54Min | $456.25 | $456.25 | — | — | — |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 Hc Spravato Post-Admin Observation | $456.25 | $456.25 | — | — | — |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 Hc Ov Est Pt Level 3 | $178.00 | $178.00 | — | 53% above | — |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 Hc Family Summary Conf 20-29Min | $243.50 | $243.50 | — | 110% above | — |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 Hc Ov Est Pt Level 3 | $178.00 | $178.00 | — | — | — |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 Hc Family Summary Conf 20-29Min | $243.50 | $243.50 | — | — | — |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Hc Ov Est Pt Level 4 | $253.00 | $253.00 | — | 85% above | — |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Hc Family Summary Conf 30-39Min | $343.50 | $343.50 | — | 151% above | — |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 Hc Ov Est Pt Level 4 | $253.00 | $253.00 | — | — | — |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 Hc Family Summary Conf 30-39Min | $343.50 | $343.50 | — | — | — |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Hc Ov Est Pt Level 2 | $109.00 | $109.00 | — | 8% above | — |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Hc Family Summary Conf 10-19Min | $211.25 | $211.25 | — | 109% above | — |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 Hc Ov Est Pt Level 2 | $109.00 | $109.00 | — | — | — |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 Hc Family Summary Conf 10-19Min | $211.25 | $211.25 | — | — | — |
| Speech and language evaluation CPT 92523 Hc Sp Speech Sound Lang Comprehen | $1,127.50 | $1,127.50 | — | 231% above | — |
| Speech and language evaluation inpatient CPT 92523 Hc Sp Speech Sound Lang Comprehen | $1,127.50 | $1,127.50 | — | — | — |
| Speech therapy session, individual CPT 92507 Hc Sp Sp Tx Sp/Lang/Voice/Com-Indiv | $608.00 | $608.00 | — | 178% above | — |
| Speech therapy session, individual inpatient CPT 92507 Hc Sp Sp Tx Sp/Lang/Voice/Com-Indiv | $608.00 | $608.00 | — | — | — |
| Spirometry (breathing test) CPT 94010 Hc Spirometry | $732.50 | $732.50 | — | 136% above | — |
| Spirometry (breathing test) inpatient CPT 94010 Hc Spirometry | $732.50 | $732.50 | — | — | — |
| Spirometry before and after a bronchodilator CPT 94060 Hc Bronchospasm-Pre & Post Bd | $1,138.00 | $1,138.00 | — | 99% above | — |
| Spirometry before and after a bronchodilator inpatient CPT 94060 Hc Bronchospasm-Pre & Post Bd | $1,138.00 | $1,138.00 | — | — | — |
| Therapeutic activities (functional training), 15 minutes CPT 97530 Hc Ot Tx Active Funct Q15 | $329.75 | $329.75 | — | 170% above | — |
| Therapeutic activities (functional training), 15 minutes CPT 97530 Hc Pt Tx Active Funct Q15 | $329.75 | $329.75 | — | 170% above | — |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 Hc Ot Tx Active Funct Q15 | $329.75 | $329.75 | — | — | — |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 Hc Pt Tx Active Funct Q15 | $329.75 | $329.75 | — | — | — |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 Hc Phlebotomy Therapeutic | $66.00 | $66.00 | — | 72% below | — |
| Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 Hc Phlebotomy Therapeutic | $66.00 | $66.00 | — | — | — |
| Visual field test, extended CPT 92083 Hc Vis Field Ex W I/R Extn | $418.00 | $418.00 | — | 171% above | — |
| Visual field test, extended inpatient CPT 92083 Hc Vis Field Ex W I/R Extn | $418.00 | $418.00 | — | — | — |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Ohio | Off list |
|---|---|---|---|---|---|
| Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older CPT 90653 INFLUENZA VAC A&B SURF ANT ADJ 0.5 ML IM SUSY [134050] | $345.75 | $345.75 | — | 355% above | — |
| Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older inpatient CPT 90653 INFLUENZA VAC A&B SURF ANT ADJ 0.5 ML IM SUSY [134050] | $345.75 | $345.75 | — | — | — |
| COVID-19 vaccine (Moderna), age 12 and older CPT 91322 COVID-19 MRNA VACC (MODERNA) 50 MCG/0.5ML IM WRAPPER [40880007] | $628.00 | $628.00 | — | 203% above | — |
| COVID-19 vaccine (Moderna), age 12 and older inpatient CPT 91322 COVID-19 MRNA VACC (MODERNA) 50 MCG/0.5ML IM WRAPPER [40880007] | $628.00 | $628.00 | — | — | — |
| Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 VARICELLA VIRUS VACCINE LIVE 1350 PFU/0.5ML IJ SUSR [193383] | $976.00 | $976.00 | — | 162% above | — |
| Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 VARICELLA VIRUS VACCINE LIVE 1350 PFU/0.5ML IJ SUSR [193383] | $976.00 | $976.00 | — | — | — |
| DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) CPT 90696 Noncdm Charge Record | $14.86 | $14.86 | — | 88% below | — |
| DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) CPT 90696 DTAP-IPV VACCINE 0.5 ML IM SUSY [180362] | $61.00 | $61.00 | — | 53% below | — |
| DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) inpatient CPT 90696 Noncdm Charge Record | $14.86 | $14.86 | — | — | — |
| DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) inpatient CPT 90696 DTAP-IPV VACCINE 0.5 ML IM SUSY [180362] | $61.00 | $61.00 | — | — | — |
| DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 Noncdm Charge Record | $15.81 | $15.81 | — | 76% below | — |
| DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 DIPHTH-ACELL PERTUSSIS-TETANUS 25-58-10 LF-MCG/0.5 IM SUSP [19451] | $61.00 | $61.00 | — | 6% below | — |
| DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 DIPHTH-ACELL PERTUSSIS-TETANUS 15-23-5 LF-MCG/0.5 IM SUSP [145970] | $208.50 | $208.50 | — | 221% above | — |
| DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 Noncdm Charge Record | $15.81 | $15.81 | — | — | — |
| DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 DIPHTH-ACELL PERTUSSIS-TETANUS 25-58-10 LF-MCG/0.5 IM SUSP [19451] | $61.00 | $61.00 | — | — | — |
| DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 DIPHTH-ACELL PERTUSSIS-TETANUS 15-23-5 LF-MCG/0.5 IM SUSP [145970] | $208.50 | $208.50 | — | — | — |
| DTaP, hepatitis B and polio combination vaccine (Pediarix) CPT 90723 DTAP-HEPATITIS B RECOMB-IPV IM SUSY [181478] | $549.50 | $549.50 | — | 181% above | — |
| DTaP, hepatitis B and polio combination vaccine (Pediarix) inpatient CPT 90723 DTAP-HEPATITIS B RECOMB-IPV IM SUSY [181478] | $549.50 | $549.50 | — | — | — |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 INFLUENZA VIRUS VACC SPLIT PF 0.5 ML IM SUSY [127782] | $10.75 | $10.75 | — | 77% below | — |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 Noncdm Charge Record | $18.76 | $18.76 | — | 59% below | — |
| Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 INFLUENZA VIRUS VACC SPLIT PF 0.5 ML IM SUSY [127782] | $10.75 | $10.75 | — | — | — |
| Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 Noncdm Charge Record | $18.76 | $18.76 | — | — | — |
| HPV vaccine, 9-valent (Gardasil 9) CPT 90651 HPV 9-VALENT RECOMB VACCINE IM SUSY [127764] | $1,639.75 | $1,639.75 | — | 216% above | — |
| HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 HPV 9-VALENT RECOMB VACCINE IM SUSY [127764] | $1,639.75 | $1,639.75 | — | — | — |
| Hepatitis A and B combination vaccine, adult (Twinrix) CPT 90636 HEPATITIS A-HEP B RECOMB VAC 720-20 ELU-MCG/ML IM SUSY [166255] | $712.50 | $712.50 | — | 132% above | — |
| Hepatitis A and B combination vaccine, adult (Twinrix) inpatient CPT 90636 HEPATITIS A-HEP B RECOMB VAC 720-20 ELU-MCG/ML IM SUSY [166255] | $712.50 | $712.50 | — | — | — |
| Hepatitis A vaccine, adult dose CPT 90632 HEPATITIS A VACCINE 1440 EL U/ML IM SUSP [91034] | $467.75 | $467.75 | — | 141% above | — |
| Hepatitis A vaccine, adult dose CPT 90632 HEPATITIS A VACCINE 50 UNIT/ML IM SUSP [91046] | $468.00 | $468.00 | — | 141% above | — |
| Hepatitis A vaccine, adult dose inpatient CPT 90632 HEPATITIS A VACCINE 1440 EL U/ML IM SUSP [91034] | $467.75 | $467.75 | — | — | — |
| Hepatitis A vaccine, adult dose inpatient CPT 90632 HEPATITIS A VACCINE 50 UNIT/ML IM SUSP [91046] | $468.00 | $468.00 | — | — | — |
| Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 Noncdm Charge Record | $14.45 | $14.45 | — | 84% below | — |
| Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 HEPATITIS A VACCINE 720 EL U/0.5ML IM SUSY [195435] | $61.00 | $61.00 | — | 32% below | — |
| Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 HEPATITIS A VACCINE 720 EL U/0.5ML IM SUSP [91033] | $61.00 | $61.00 | — | 32% below | — |
| Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 HEPATITIS A VACCINE 25 UNIT/0.5ML IM SUSP [91045] | $217.25 | $217.25 | — | 142% above | — |
| Hepatitis A vaccine, child and teen dose (2-dose schedule) inpatient CPT 90633 Noncdm Charge Record | $14.45 | $14.45 | — | — | — |
| Hepatitis A vaccine, child and teen dose (2-dose schedule) inpatient CPT 90633 HEPATITIS A VACCINE 720 EL U/0.5ML IM SUSP [91033] | $61.00 | $61.00 | — | — | — |
| Hepatitis A vaccine, child and teen dose (2-dose schedule) inpatient CPT 90633 HEPATITIS A VACCINE 720 EL U/0.5ML IM SUSY [195435] | $61.00 | $61.00 | — | — | — |
| Hepatitis A vaccine, child and teen dose (2-dose schedule) inpatient CPT 90633 HEPATITIS A VACCINE 25 UNIT/0.5ML IM SUSP [91045] | $217.25 | $217.25 | — | — | — |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPATITIS B VAC RECOMBINANT 20 MCG/ML IJ SUSY [184917] | $392.50 | $392.50 | — | 152% above | — |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPATITIS B VAC RECOMBINANT 20 MCG/ML IJ SUSP [27326] | $411.75 | $411.75 | — | 164% above | — |
| Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HEPATITIS B VAC RECOMBINANT 20 MCG/ML IJ SUSY [184917] | $392.50 | $392.50 | — | — | — |
| Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HEPATITIS B VAC RECOMBINANT 20 MCG/ML IJ SUSP [27326] | $411.75 | $411.75 | — | — | — |
| Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) CPT 90739 HEPATITIS B VAC RECOMB ADJ 20 MCG/0.5ML IM SOSY [162765] | $813.75 | $813.75 | — | 272% above | — |
| Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) inpatient CPT 90739 HEPATITIS B VAC RECOMB ADJ 20 MCG/0.5ML IM SOSY [162765] | $813.75 | $813.75 | — | — | — |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 Noncdm Charge Record | $16.92 | $16.92 | — | 72% below | — |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HEPATITIS B VAC RECOMBINANT 10 MCG/0.5ML IJ SUSY [184921] | $21.25 | $21.25 | — | 65% below | — |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 Noncdm Charge Record | $16.92 | $16.92 | — | — | — |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 HEPATITIS B VAC RECOMBINANT 10 MCG/0.5ML IJ SUSY [184921] | $21.25 | $21.25 | — | — | — |
| Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 Noncdm Charge Record | $14.33 | $14.33 | — | 53% below | — |
| Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 HAEMOPHILUS B POLYSAC CONJ VAC IM SOLR [11931] | $61.00 | $61.00 | — | 100% above | — |
| Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) inpatient CPT 90648 Noncdm Charge Record | $14.33 | $14.33 | — | — | — |
| Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) inpatient CPT 90648 HAEMOPHILUS B POLYSAC CONJ VAC IM SOLR [11931] | $61.00 | $61.00 | — | — | — |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 MEASLES, MUMPS & RUBELLA VAC IJ SOLR [168883] | $505.75 | $505.75 | — | 142% above | — |
| MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 MEASLES, MUMPS & RUBELLA VAC IJ SOLR [168883] | $505.75 | $505.75 | — | — | — |
| MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) CPT 90710 MEASLES-MUMPS-RUBELLA-VARICELL SC SUSR [162637] | $1,600.50 | $1,600.50 | — | 213% above | — |
| MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) inpatient CPT 90710 MEASLES-MUMPS-RUBELLA-VARICELL SC SUSR [162637] | $1,600.50 | $1,600.50 | — | — | — |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PNEUMOCOCCAL 20-VAL CONJ VACC 0.5 ML IM SUSY [180431] | $1,519.00 | $1,519.00 | — | 130% above | — |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 PNEUMOCOCCAL 20-VAL CONJ VACC 0.5 ML IM SUSY [180431] | $1,519.00 | $1,519.00 | — | — | — |
| Pneumonia vaccine, 21-valent conjugate (Capvaxive) CPT 90684 PNEUMOCOCCAL 21-VAL CONJ VACC 0.5 ML IM SOSY [190187] | $1,731.25 | $1,731.25 | — | 432% above | — |
| Pneumonia vaccine, 21-valent conjugate (Capvaxive) inpatient CPT 90684 PNEUMOCOCCAL 21-VAL CONJ VACC 0.5 ML IM SOSY [190187] | $1,731.25 | $1,731.25 | — | — | — |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOCOCCAL VAC POLYVALENT 25 MCG/0.5ML IJ SOSY [193340] | $714.25 | $714.25 | — | 160% above | — |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMOCOCCAL VAC POLYVALENT 25 MCG/0.5ML IJ SOSY [193340] | $714.25 | $714.25 | — | — | — |
| Polio vaccine, inactivated (IPV) CPT 90713 Noncdm Charge Record | $17.50 | $17.50 | — | 72% below | — |
| Polio vaccine, inactivated (IPV) CPT 90713 POLIOVIRUS VACCINE INACTIVATED IJ INJ [108127] | $248.00 | $248.00 | — | 290% above | — |
| Polio vaccine, inactivated (IPV) inpatient CPT 90713 Noncdm Charge Record | $17.50 | $17.50 | — | — | — |
| Polio vaccine, inactivated (IPV) inpatient CPT 90713 POLIOVIRUS VACCINE INACTIVATED IJ INJ [108127] | $248.00 | $248.00 | — | — | — |
| RSV vaccine (Abrysvo), one dose for older adults or during pregnancy CPT 90678 RSV PRE-FUSION F A&B VAC RCMB 120 MCG/0.5ML IM SOLR [188854] | $1,675.00 | $1,675.00 | — | 133% above | — |
| RSV vaccine (Abrysvo), one dose for older adults or during pregnancy inpatient CPT 90678 RSV PRE-FUSION F A&B VAC RCMB 120 MCG/0.5ML IM SOLR [188854] | $1,675.00 | $1,675.00 | — | — | — |
| Rabies vaccine, one dose CPT 90675 RABIES VACCINE, PCEC IM SUSR [22120] | $1,996.75 | $1,996.75 | — | 110% above | — |
| Rabies vaccine, one dose inpatient CPT 90675 RABIES VACCINE, PCEC IM SUSR [22120] | $1,996.75 | $1,996.75 | — | — | — |
| Rotavirus vaccine, oral, 2-dose schedule (Rotarix) CPT 90681 ROTAVIRUS VACCINE LIVE ORAL PO SUSR [91822] | $61.00 | $61.00 | — | 77% below | — |
| Rotavirus vaccine, oral, 2-dose schedule (Rotarix) inpatient CPT 90681 ROTAVIRUS VACCINE LIVE ORAL PO SUSR [91822] | $61.00 | $61.00 | — | — | — |
| Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) CPT 90680 Noncdm Charge Record | $14.30 | $14.30 | — | 89% below | — |
| Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) CPT 90680 ROTAVIRUS VAC LIVE PENTAVALENT PO SOLN [122171] | $568.50 | $568.50 | — | 319% above | — |
| Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) inpatient CPT 90680 Noncdm Charge Record | $14.30 | $14.30 | — | — | — |
| Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) inpatient CPT 90680 ROTAVIRUS VAC LIVE PENTAVALENT PO SOLN [122171] | $568.50 | $568.50 | — | — | — |
| Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 ZOSTER VAC RECOMB ADJUVANTED 50 MCG/0.5ML IM SUSR [150819] | $1,098.25 | $1,098.25 | — | 118% above | — |
| Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 ZOSTER VAC RECOMB ADJUVANTED 50 MCG/0.5ML IM SUSR [150819] | $1,098.25 | $1,098.25 | — | — | — |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS-DIPHTHERIA TOXOIDS TD 5-2 LFU IM INJ [11515] | $231.50 | $231.50 | — | 158% above | — |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS-DIPHTHERIA TOXOIDS TD 5-2 LFU IM INJ [11515] | $231.50 | $231.50 | — | — | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Noncdm Charge Record | $15.42 | $15.42 | — | 86% below | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TETANUS-DIPHTH-ACELL PERTUSSIS 5-2-15.5 LF-MCG/0.5 IM SUSP [41628] | $61.00 | $61.00 | — | 45% below | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TETANUS-DIPHTH-ACELL PERTUSSIS 5-2.5-18.5 LF-MCG/0.5 IM SUSP [41293] | $273.50 | $273.50 | — | 148% above | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TETANUS-DIPHTH-ACELL PERTUSSIS 5-2.5-18.5 LF-MCG/0.5 IM SUSY [180364] | $546.75 | $546.75 | — | 395% above | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 Noncdm Charge Record | $15.42 | $15.42 | — | — | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 TETANUS-DIPHTH-ACELL PERTUSSIS 5-2-15.5 LF-MCG/0.5 IM SUSP [41628] | $61.00 | $61.00 | — | — | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 TETANUS-DIPHTH-ACELL PERTUSSIS 5-2.5-18.5 LF-MCG/0.5 IM SUSP [41293] | $273.50 | $273.50 | — | — | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 TETANUS-DIPHTH-ACELL PERTUSSIS 5-2.5-18.5 LF-MCG/0.5 IM SUSY [180364] | $546.75 | $546.75 | — | — | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Hc Immun Admin 1 Vac | $38.25 | $38.25 | — | 6% below | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Hc Immun Admin 1 Vac | $38.25 | $38.25 | — | — | — |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Hc Immun Admin Ea Add Vac | $34.00 | $34.00 | — | 2% below | — |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 Hc Immun Admin Ea Add Vac | $34.00 | $34.00 | — | — | — |
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.