Hospital Austin-Round Rock-San Marcos, TX

Texas Children's Hospital - Austin

Texas Children's Hospital - Austin in Austin, TX publishes cash prices for 366 common procedures listed here, from its own machine-readable price file updated Mar 5, 2026. Compared with other hospitals in the state, its outpatient cash prices are above the Texas median for 205 of 362 procedures and below it for 149. By typical cash price it ranks #200 of 297 Texas hospitals and #19 of 29 hospitals in the Austin, TX area, cheapest first. Select a procedure to compare it with other hospitals nearby.

9835 N. Lake Creek Parkway, Austin, TX 78717 Collected Sep 23, 2026 Source price file Check a bill from this hospital (832) 824-1100

Children's hospital Nonprofit hospital Emergency department CCN 453319 · CMS hospital register NPI 1194507947

Financial assistance

Nonprofit hospital: it must offer free or discounted care to patients who qualify. How to apply

Texas Children's Hospital - Austin 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.

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs Texas	Off list
Abdominal CT scan without and with contrast CPT 74170 TC CT, ABDOMEN W/O & W CONTRAST	$3,404.27	$5,081.00	$175.06–$4,826.95	18% above	33%
Abdominal CT scan without and with contrast inpatient CPT 74170 TC CT, ABDOMEN W/O & W CONTRAST	$3,404.27	$5,081.00	$2,032.40–$4,826.95	—	33%
Abdominal X-ray, 2 views CPT 74019 TC ABDOMEN, 2 VIEWS	$348.40	$520.00	$36.75–$494.00	8% below	33%
Abdominal X-ray, 2 views inpatient CPT 74019 TC ABDOMEN, 2 VIEWS	$348.40	$520.00	$208.00–$494.00	—	33%
Ankle X-ray, complete, 3 or more views CPT 73610 TC ANKLE - 3 VIEW MINIMUM	$452.92	$676.00	$36.75–$642.20	27% above	33%
Ankle X-ray, complete, 3 or more views inpatient CPT 73610 TC ANKLE - 3 VIEW MINIMUM	$452.92	$676.00	$270.40–$642.20	—	33%
Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 TC CT, EXTREMITY UPPER	$2,042.16	$3,048.00	$104.75–$2,895.60	24% above	33%
Arm CT scan without contrast (shoulder to hand, any part) inpatient CPT 73200 TC CT, EXTREMITY UPPER	$2,042.16	$3,048.00	$1,219.20–$2,895.60	—	33%
Barium swallow (esophagus X-ray with contrast) CPT 74220 TC IR ESOPHAGUS SINGLE CONTR BARIUM INCL SCOUT CXR/DELAYED IMG	$723.60	$1,080.00	$97.56–$1,026.00	44% above	33%
Barium swallow (esophagus X-ray with contrast) CPT 74220 TC ESOPHAGUS SINGLE CONTR BARIUM INCL SCOUT CXR/DELAYED IMG	$833.48	$1,244.00	$97.56–$1,181.80	66% above	33%
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 TC IR ESOPHAGUS SINGLE CONTR BARIUM INCL SCOUT CXR/DELAYED IMG	$723.60	$1,080.00	$432.00–$1,026.00	—	33%
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 TC ESOPHAGUS SINGLE CONTR BARIUM INCL SCOUT CXR/DELAYED IMG	$833.48	$1,244.00	$497.60–$1,181.80	—	33%
Bone scan, whole body (nuclear medicine) CPT 78306 TC BONE IMG, WHOLE BODY	$1,589.24	$2,372.00	$275.66–$2,253.40	1% above	33%
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 TC BONE IMG, WHOLE BODY	$1,589.24	$2,372.00	$948.80–$2,253.40	—	33%
Breast ultrasound, complete, one breast one side CPT 76641 TC IR ULTRASOUND BREAST UNILATERAL (INCLUDING AXILLA WHEN PERFORMED) COMPLETE	$570.84	$852.00	$102.91–$809.40	29% above	33%
Breast ultrasound, complete, one breast one side CPT 76641 TC ULTRASOUND BREAST UNILATERAL (INLCUDING AXILLA WHEN PERFORMED) COMPLETE	$570.84	$852.00	$102.91–$809.40	29% above	33%
Breast ultrasound, complete, one breast inpatient one side CPT 76641 TC ULTRASOUND BREAST UNILATERAL (INLCUDING AXILLA WHEN PERFORMED) COMPLETE	$570.84	$852.00	$340.80–$809.40	—	33%
Breast ultrasound, complete, one breast inpatient one side CPT 76641 TC IR ULTRASOUND BREAST UNILATERAL (INCLUDING AXILLA WHEN PERFORMED) COMPLETE	$570.84	$852.00	$340.80–$809.40	—	33%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 TC ULTRASOUND BREAST UNILATERAL LIMITED	$477.71	$713.00	$85.20–$677.35	38% above	33%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 TC IR ULTRASOUND BREAST UNILATERAL (INCLUDING AXILLA WHEN PERFORMED) LIMITED	$479.05	$715.00	$85.20–$679.25	38% above	33%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 TC ULTRASOUND BREAST UNILATERAL (INCLUDING AXILLA WHEN PERFORMED) LIMITED	$479.05	$715.00	$85.20–$679.25	38% above	33%
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 TC ULTRASOUND BREAST UNILATERAL LIMITED	$477.71	$713.00	$285.20–$677.35	—	33%
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 TC ULTRASOUND BREAST UNILATERAL (INCLUDING AXILLA WHEN PERFORMED) LIMITED	$479.05	$715.00	$286.00–$679.25	—	33%
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 TC IR ULTRASOUND BREAST UNILATERAL (INCLUDING AXILLA WHEN PERFORMED) LIMITED	$479.05	$715.00	$286.00–$679.25	—	33%
CT angiography (CTA) of the abdomen and pelvis CPT 74174 TC CTA, ABDOMEN & PELVIS W/O & W/CONTRAST	$5,609.24	$8,372.00	$366.42–$7,953.40	39% above	33%
CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 TC CTA, ABDOMEN & PELVIS W/O & W/CONTRAST	$5,609.24	$8,372.00	$3,348.80–$7,953.40	—	33%
CT angiography (CTA) of the head CPT 70496 TC CT, ANGIO HEAD W/O & W/CONTRAST	$2,840.80	$4,240.00	$175.06–$4,028.00	19% above	33%
CT angiography (CTA) of the head inpatient CPT 70496 TC CT, ANGIO HEAD W/O & W/CONTRAST	$2,840.80	$4,240.00	$1,696.00–$4,028.00	—	33%
CT angiography (CTA) of the neck CPT 70498 TC CT, ANGIO NECK W/O & W/CONTRAST	$2,556.72	$3,816.00	$175.06–$3,625.20	7% above	33%
CT angiography (CTA) of the neck inpatient CPT 70498 TC CT, ANGIO NECK W/O & W/CONTRAST	$2,556.72	$3,816.00	$1,526.40–$3,625.20	—	33%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 TC CT, ANGIO CHEST W/O & W/CONTRAST	$2,594.91	$3,873.00	$175.06–$3,679.35	1% above	33%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 TC CT, ANGIO CHEST W/O & W/CONTRAST	$2,594.91	$3,873.00	$1,549.20–$3,679.35	—	33%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 TC CTA, HEART W/CON, INCL 3D, MORPHOLOGY	$3,461.22	$5,166.00	$175.06–$4,907.70	108% above	33%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 TC CTA, HEART W/CON, INCL 3D, MORPHOLOGY	$3,461.22	$5,166.00	$2,066.40–$4,907.70	—	33%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 TC CT, HEART W/O CON, W/QUANT EVAL CALCIUM	$3,309.13	$4,939.00	$86.58–$4,692.05	1646% above	33%
CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 TC CT, HEART W/O CON, W/QUANT EVAL CALCIUM	$3,309.13	$4,939.00	$1,975.60–$4,692.05	—	33%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 TC CT ABDOMEN & PELVIS W/O CONTRAST	$3,980.47	$5,941.00	$188.11–$5,643.95	40% above	33%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 TC CT ABDOMEN & PELVIS W/O CONTRAST	$3,980.47	$5,941.00	$2,376.40–$5,643.95	—	33%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 TC CT ABDOMEN & PELVIS W/ CONTRAST	$4,893.01	$7,303.00	$312.08–$6,937.85	29% above	33%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 TC CT ABDOMEN & PELVIS W/ CONTRAST	$4,893.01	$7,303.00	$2,921.20–$6,937.85	—	33%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 TC CT ABDOMEN & PELVIS W/O & W CONTRAST	$5,073.91	$7,573.00	$350.18–$7,194.35	32% above	33%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 TC CT ABDOMEN & PELVIS W/O & W CONTRAST	$5,073.91	$7,573.00	$3,029.20–$7,194.35	—	33%
CT scan of the abdomen with contrast CPT 74160 TC CT, ABDOMEN WITH CONTRAST	$2,802.61	$4,183.00	$175.06–$3,973.85	8% above	33%
CT scan of the abdomen with contrast inpatient CPT 74160 TC CT, ABDOMEN WITH CONTRAST	$2,802.61	$4,183.00	$1,673.20–$3,973.85	—	33%
CT scan of the abdomen without contrast CPT 74150 TC CT, ABDOMEN WO/CONTRAST	$2,286.71	$3,413.00	$104.75–$3,242.35	13% above	33%
CT scan of the abdomen without contrast inpatient CPT 74150 TC CT, ABDOMEN WO/CONTRAST	$2,286.71	$3,413.00	$1,365.20–$3,242.35	—	33%
CT scan of the face and sinuses, no contrast dye CPT 70486 TC CT, MAXILLOFACIAL WO/CONTRAST	$2,599.60	$3,880.00	$104.75–$3,686.00	57% above	33%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 TC CT, MAXILLOFACIAL WO/CONTRAST	$2,599.60	$3,880.00	$1,552.00–$3,686.00	—	33%
CT scan of the head or brain, no contrast dye CPT 70450 TC CT, BRAIN WITHOUT CONTRAST	$2,278.67	$3,401.00	$104.75–$3,230.95	36% above	33%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 TC CT, BRAIN WITHOUT CONTRAST	$2,278.67	$3,401.00	$1,360.40–$3,230.95	—	33%
CT scan of the head with contrast CPT 70460 TC CT, BRAIN WITH CONTRAST	$2,373.14	$3,542.00	$152.36–$3,364.90	41% above	33%
CT scan of the head with contrast inpatient CPT 70460 TC CT, BRAIN WITH CONTRAST	$2,373.14	$3,542.00	$1,416.80–$3,364.90	—	33%
CT scan of the head without and with contrast CPT 70470 TC CT, BRAIN W/O & W CONTRAST	$2,637.12	$3,936.00	$175.06–$3,739.20	29% above	33%
CT scan of the head without and with contrast inpatient CPT 70470 TC CT, BRAIN W/O & W CONTRAST	$2,637.12	$3,936.00	$1,574.40–$3,739.20	—	33%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 TC CT, SPINE LUMBAR	$2,694.74	$4,022.00	$104.75–$3,820.90	56% above	33%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 TC CT, SPINE LUMBAR	$2,694.74	$4,022.00	$1,608.80–$3,820.90	—	33%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 TC CT, SPINE CERVICAL	$2,730.25	$4,075.00	$104.75–$3,871.25	34% above	33%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 TC CT, SPINE CERVICAL	$2,730.25	$4,075.00	$1,630.00–$3,871.25	—	33%
CT scan of the pelvis, with contrast dye CPT 72193 TC CT, PELVIS W CONTRAST	$2,645.16	$3,948.00	$175.06–$3,750.60	21% above	33%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 TC CT, PELVIS W CONTRAST	$2,645.16	$3,948.00	$1,579.20–$3,750.60	—	33%
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 TC IR DUPLEX EXTRACRANIAL ARTERIES, BILATERAL	$1,020.41	$1,523.00	$187.79–$1,446.85	—	33%
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 TC DUPLEX EXTRACRANIAL ARTERIES, BILAT	$1,233.47	$1,841.00	$187.79–$1,748.95	—	33%
Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 TC IR DUPLEX EXTRACRANIAL ARTERIES, BILATERAL	$1,020.41	$1,523.00	$609.20–$1,446.85	—	33%
Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 TC DUPLEX EXTRACRANIAL ARTERIES, BILAT	$1,233.47	$1,841.00	$736.40–$1,748.95	—	33%
Chest CT scan without and with contrast CPT 71270 TC CT, THORAX DIAGNOSTIC; W/O & W CONTRAST	$2,759.06	$4,118.00	$175.06–$3,912.10	3% above	33%
Chest CT scan without and with contrast inpatient CPT 71270 TC CT, THORAX DIAGNOSTIC; W/O & W CONTRAST	$2,759.06	$4,118.00	$1,647.20–$3,912.10	—	33%
Chest X-ray, 2 views CPT 71046 TC CHEST, 2 VIEWS	$361.80	$540.00	$33.75–$513.00	7% below	33%
Chest X-ray, 2 views inpatient CPT 71046 TC CHEST, 2 VIEWS	$361.80	$540.00	$216.00–$513.00	—	33%
Chest X-ray, single view CPT 71045 TC CHEST, 1 VIEW	$348.40	$520.00	$25.73–$494.00	8% above	33%
Chest X-ray, single view inpatient CPT 71045 TC CHEST, 1 VIEW	$348.40	$520.00	$208.00–$494.00	—	33%
Collarbone (clavicle) X-ray, complete CPT 73000 TC CLAVICLE, COMPLETE	$415.40	$620.00	$32.75–$589.00	38% above	33%
Collarbone (clavicle) X-ray, complete inpatient CPT 73000 TC CLAVICLE, COMPLETE	$415.40	$620.00	$248.00–$589.00	—	33%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 TC ULTRASOUND, RENAL	$887.08	$1,324.00	$104.75–$1,257.80	28% above	33%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 TC ULTRASOUND, RENAL	$887.08	$1,324.00	$529.60–$1,257.80	—	33%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 TC DUAL ENERGY X-RAY ABSORPTIOMETRY (DXA) BONE DEN. ST	$548.73	$819.00	$39.09–$778.05	38% above	33%
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 TC DUAL ENERGY X-RAY ABSORPTIOMETRY (DXA) BONE DEN. ST	$548.73	$819.00	$327.60–$778.05	—	33%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 TC DEXA BONE DENSITY STUDY, APPENDICULAR SKELETON	$185.59	$277.00	$31.74–$263.15	16% below	33%
DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 TC DEXA BONE DENSITY STUDY, APPENDICULAR SKELETON	$185.59	$277.00	$110.80–$263.15	—	33%
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 TC US PREG. FETAL & MATERNAL EVAL. + DETAILED FETAL AN	$684.74	$1,022.00	$177.76–$970.90	1% below	33%
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 TC US,PREG UTER,FET & MAT,+ DETL FET EXM	$686.08	$1,024.00	$177.76–$972.80	1% below	33%
Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 TC US PREG. FETAL & MATERNAL EVAL. + DETAILED FETAL AN	$684.74	$1,022.00	$408.80–$970.90	—	33%
Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 TC US,PREG UTER,FET & MAT,+ DETL FET EXM	$686.08	$1,024.00	$409.60–$972.80	—	33%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 TC CT, THORAX DIAGNOSTIC; W/O CONTRAST	$2,168.12	$3,236.00	$104.75–$3,074.20	42% above	33%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 TC CT, THORAX DIAGNOSTIC; W/O CONTRAST	$2,168.12	$3,236.00	$1,294.40–$3,074.20	—	33%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 TC CT, THORAX DIAGNOSTIC; WITH CONTRAST	$2,614.34	$3,902.00	$171.74–$3,706.90	30% above	33%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 TC CT, THORAX DIAGNOSTIC; WITH CONTRAST	$2,614.34	$3,902.00	$1,560.80–$3,706.90	—	33%
Duplex ultrasound of the leg arteries, both legs CPT 93925 TC IR DUPLEX SCAN LOWER EXT. ARTERIES, COMPLETE STUDY	$1,200.64	$1,792.00	$236.56–$1,702.40	14% below	33%
Duplex ultrasound of the leg arteries, both legs CPT 93925 TC DUPLEX SCAN LOWER EXT. ARTERIES,COMP STDY	$1,262.28	$1,884.00	$236.56–$1,789.80	10% below	33%
Duplex ultrasound of the leg arteries, both legs inpatient CPT 93925 TC IR DUPLEX SCAN LOWER EXT. ARTERIES, COMPLETE STUDY	$1,200.64	$1,792.00	$716.80–$1,702.40	—	33%
Duplex ultrasound of the leg arteries, both legs inpatient CPT 93925 TC DUPLEX SCAN LOWER EXT. ARTERIES,COMP STDY	$1,262.28	$1,884.00	$753.60–$1,789.80	—	33%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 TC DUPLEX SCAN EXT.VEINS,BILATERAL	$984.23	$1,469.00	$184.78–$1,395.55	—	33%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 TC IR DUPLEX SCAN EXT.VEINS, BILATERAL	$984.23	$1,469.00	$184.78–$1,395.55	—	33%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 TC IR DUPLEX SCAN EXT.VEINS, BILATERAL	$984.23	$1,469.00	$587.60–$1,395.55	—	33%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 TC DUPLEX SCAN EXT.VEINS,BILATERAL	$984.23	$1,469.00	$587.60–$1,395.55	—	33%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 TC ECHO, TRANSTHORACIC (2D), INCL M-MODE, COMPLETE, W/SPECTRAL & COLOR	$2,742.31	$4,093.00	$1,105.11–$3,888.35	39% above	33%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 TC ECHOCARDIOGRAPH,TRANSTHORACIC(2D) M-MODE	$2,742.31	$4,093.00	$1,105.11–$3,888.35	39% above	33%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 TC ECHOCARDIOGRAPH, TRANSTHORACIC (2D) M-MODE	$2,743.65	$4,095.00	$1,105.65–$3,890.25	39% above	33%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 TC ECHO, TRANSTHORACIC (2D), INCL M-MODE, COMPLETE, W/SPECTRAL & COLOR	$2,742.31	$4,093.00	$1,637.20–$3,888.35	—	33%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 TC ECHOCARDIOGRAPH,TRANSTHORACIC(2D) M-MODE	$2,742.31	$4,093.00	$1,637.20–$3,888.35	—	33%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 TC ECHOCARDIOGRAPH, TRANSTHORACIC (2D) M-MODE	$2,743.65	$4,095.00	$1,638.00–$3,890.25	—	33%
Elbow X-ray, 2 views CPT 73070 TC ELBOW - 2 VIEW	$424.11	$633.00	$29.40–$601.35	35% above	33%
Elbow X-ray, 2 views inpatient CPT 73070 TC ELBOW - 2 VIEW	$424.11	$633.00	$253.20–$601.35	—	33%
Elbow X-ray, complete, 3 or more views CPT 73080 TC ELBOW COMPLETE, MIN OF 3 VIEWS	$452.92	$676.00	$33.08–$642.20	18% above	33%
Elbow X-ray, complete, 3 or more views inpatient CPT 73080 TC ELBOW COMPLETE, MIN OF 3 VIEWS	$452.92	$676.00	$270.40–$642.20	—	33%
Eye socket (orbit) CT scan without contrast CPT 70480 TC CT, ORBIT, SELLA, OR POSTERIOR FOSSA OR OUTER, MIDDLE, OR INNER EAR, WITHOUT CONTRAST	$2,324.90	$3,470.00	$104.75–$3,296.50	55% above	33%
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 TC CT, ORBIT, SELLA, OR POSTERIOR FOSSA OR OUTER, MIDDLE, OR INNER EAR, WITHOUT CONTRAST	$2,324.90	$3,470.00	$1,388.00–$3,296.50	—	33%
Facial bones X-ray, complete, 3 or more views CPT 70150 TC FACIAL BONES-MINIMUM 3 VIEWS	$256.61	$383.00	$47.45–$363.85	35% below	33%
Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 TC FACIAL BONES-MINIMUM 3 VIEWS	$256.61	$383.00	$153.20–$363.85	—	33%
Forearm X-ray (radius and ulna), 2 views CPT 73090 TC FOREARM, RADIUS & ULNA, 2 VIEWS	$447.56	$668.00	$29.40–$634.60	20% above	33%
Forearm X-ray (radius and ulna), 2 views inpatient CPT 73090 TC FOREARM, RADIUS & ULNA, 2 VIEWS	$447.56	$668.00	$267.20–$634.60	—	33%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 TC NM HEPATOBILIARY IMG INCL GALLBLADDER	$2,150.70	$3,210.00	$303.06–$3,049.50	34% above	33%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 TC NM HEPATOBILIARY IMG INCL GALLBLADDER	$2,150.70	$3,210.00	$1,284.00–$3,049.50	—	33%
Hand X-ray, 2 views CPT 73120 TC HAND - 2 VIEWS	$339.69	$507.00	$31.74–$481.65	7% above	33%
Hand X-ray, 2 views inpatient CPT 73120 TC HAND - 2 VIEWS	$339.69	$507.00	$202.80–$481.65	—	33%
Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 TC CALCANEOUS, MIN OF 2 VIEWS	$353.09	$527.00	$28.74–$500.65	23% above	33%
Heel bone (calcaneus) X-ray, 2 or more views inpatient CPT 73650 TC CALCANEOUS, MIN OF 2 VIEWS	$353.09	$527.00	$210.80–$500.65	—	33%
Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 TC POLYSOMNOGRAPHY TYPE III, UNATTENDED (HOME SLEEP TESTING)	$1,319.90	$1,970.00	$531.90–$1,871.50	94% above	33%
Home sleep apnea test, unattended, recording breathing and oxygen inpatient CPT 95806 TC POLYSOMNOGRAPHY TYPE III, UNATTENDED (HOME SLEEP TESTING)	$1,319.90	$1,970.00	$788.00–$1,871.50	—	33%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 TC POLYSOMNOGRAPHY 12HR CPAP = OR > 6YR	$4,754.99	$7,097.00	$1,916.19–$6,742.15	11% above	33%
In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 TC POLYSOMNOGRAPHY 12HR CPAP = OR > 6YR	$4,754.99	$7,097.00	$2,838.80–$6,742.15	—	33%
Knee X-ray, 3 views CPT 73562 TC KNEE, 3 VIEW MINIMUM	$447.56	$668.00	$41.10–$634.60	19% above	33%
Knee X-ray, 3 views inpatient CPT 73562 TC KNEE, 3 VIEW MINIMUM	$447.56	$668.00	$267.20–$634.60	—	33%
Knee X-ray, complete, 4 or more views CPT 73564 TC KNEE COMPLETE 4 OR MORE VIEWS	$487.09	$727.00	$47.45–$690.65	14% above	33%
Knee X-ray, complete, 4 or more views inpatient CPT 73564 TC KNEE COMPLETE 4 OR MORE VIEWS	$487.09	$727.00	$290.80–$690.65	—	33%
Leg CT scan without contrast (hip to foot, any part) CPT 73700 TC CT, EXTREMITY LOWER	$2,149.36	$3,208.00	$104.75–$3,047.60	27% above	33%
Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 TC CT, EXTREMITY LOWER	$2,149.36	$3,208.00	$1,283.20–$3,047.60	—	33%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 TC US, ABDOMEN, WALL, LOWER BACK	$749.06	$1,118.00	$87.21–$1,062.10	24% above	33%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 TC US, ABDOMINAL BILLARY	$749.06	$1,118.00	$87.21–$1,062.10	24% above	33%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 TC ULTRASOUND, ABDOMINAL LIMITED	$750.40	$1,120.00	$87.21–$1,064.00	24% above	33%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 TC US, ABDOMINAL BILLARY	$749.06	$1,118.00	$447.20–$1,062.10	—	33%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 TC US, ABDOMEN, WALL, LOWER BACK	$749.06	$1,118.00	$447.20–$1,062.10	—	33%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 TC ULTRASOUND, ABDOMINAL LIMITED	$750.40	$1,120.00	$448.00–$1,064.00	—	33%
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 TC US, UPPER OR LOWER EXTREMITY, AXILLA, PERIPHERAL NERVES, GROIN	$491.78	$734.00	$30.35–$697.30	21% above	33%
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 TC ULTRASOUND EXTREMITY, LIMITED	$493.12	$736.00	$30.35–$699.20	22% above	33%
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 TC IR ULTRASOUND EXTREMITY, LIMITED	$493.12	$736.00	$30.35–$699.20	22% above	33%
Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 TC US, UPPER OR LOWER EXTREMITY, AXILLA, PERIPHERAL NERVES, GROIN	$491.78	$734.00	$293.60–$697.30	—	33%
Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 TC ULTRASOUND EXTREMITY, LIMITED	$493.12	$736.00	$294.40–$699.20	—	33%
Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 TC IR ULTRASOUND EXTREMITY, LIMITED	$493.12	$736.00	$294.40–$699.20	—	33%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 TC CT LUNG CANCER SCREENING	$176.21	$263.00	$71.01–$249.85	27% below	33%
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 TC CT LUNG CANCER SCREENING	$176.21	$263.00	$105.20–$249.85	—	33%
Lower leg X-ray (tibia and fibula), 2 views CPT 73590 TC LEG, TIBIA, AND FIBULA 2 VIEWS	$469.67	$701.00	$31.74–$665.95	36% above	33%
Lower leg X-ray (tibia and fibula), 2 views inpatient CPT 73590 TC LEG, TIBIA, AND FIBULA 2 VIEWS	$469.67	$701.00	$280.40–$665.95	—	33%
MR angiography (MRA) of the head without contrast CPT 70544 TC MR, ANGIO HEAD W/O CONTRAST	$2,776.48	$4,144.00	$222.20–$3,936.80	53% above	33%
MR angiography (MRA) of the head without contrast inpatient CPT 70544 TC MR, ANGIO HEAD W/O CONTRAST	$2,776.48	$4,144.00	$1,657.60–$3,936.80	—	33%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 TC MRI, EXTREMITY ANY JOINT, LOWER EXTREMITY W/O CONTR	$3,174.46	$4,738.00	$208.84–$4,501.10	44% above	33%
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 TC MRI, EXTREMITY ANY JOINT, LOWER EXTREMITY W/O CONTR	$3,174.46	$4,738.00	$1,895.20–$4,501.10	—	33%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 TC MRI, EXTREMITY ANY JOINT, LOWER EXTREMITY WO/W CONT	$3,881.98	$5,794.00	$366.42–$5,504.30	29% above	33%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 TC MRI, EXTREMITY ANY JOINT, LOWER EXTREMITY WO/W CONT	$3,881.98	$5,794.00	$2,317.60–$5,504.30	—	33%
MRI of the abdomen without contrast CPT 74181 TC MR, ABDOMEN W/O CONTRAST	$3,227.39	$4,817.00	$201.81–$4,576.15	47% above	33%
MRI of the abdomen without contrast inpatient CPT 74181 TC MR, ABDOMEN W/O CONTRAST	$3,227.39	$4,817.00	$1,926.80–$4,576.15	—	33%
MRI of the abdomen, without and then with contrast dye CPT 74183 TC MR, ABDOMEN WO/W CONTRAST	$4,600.22	$6,866.00	$348.50–$6,522.70	50% above	33%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 TC MR, ABDOMEN WO/W CONTRAST	$4,600.22	$6,866.00	$2,746.40–$6,522.70	—	33%
MRI of the brain, no contrast dye CPT 70551 TC MR, BRAIN W/O CONTRAST	$2,782.51	$4,153.00	$202.15–$3,945.35	47% above	33%
MRI of the brain, no contrast dye inpatient CPT 70551 TC MR, BRAIN W/O CONTRAST	$2,782.51	$4,153.00	$1,661.20–$3,945.35	—	33%
MRI of the brain, with and without contrast dye CPT 70553 TC MR, BRAIN WO & W CONTRAST	$4,438.08	$6,624.00	$328.11–$6,292.80	57% above	33%
MRI of the brain, with and without contrast dye inpatient CPT 70553 TC MR, BRAIN WO & W CONTRAST	$4,438.08	$6,624.00	$2,649.60–$6,292.80	—	33%
MRI of the lower back, no contrast dye CPT 72148 TC MR, SPINE LUMBAR W/O CONTRAST	$3,694.38	$5,514.00	$197.14–$5,238.30	69% above	33%
MRI of the lower back, no contrast dye inpatient CPT 72148 TC MR, SPINE LUMBAR W/O CONTRAST	$3,694.38	$5,514.00	$2,205.60–$5,238.30	—	33%
MRI of the lower back, without and then with contrast dye CPT 72158 TC MR, SPINE LUMBAR WO & W CONTRAST	$4,990.16	$7,448.00	$329.13–$7,075.60	56% above	33%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 TC MR, SPINE LUMBAR WO & W CONTRAST	$4,990.16	$7,448.00	$2,979.20–$7,075.60	—	33%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 TC MR, SPINE THORACIC WO/CONTRAST	$2,678.66	$3,998.00	$196.14–$3,798.10	32% above	33%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 TC MR, SPINE THORACIC WO/CONTRAST	$2,678.66	$3,998.00	$1,599.20–$3,798.10	—	33%
MRI of the neck (cervical spine) without and with contrast CPT 72156 TC MR, SPINE CERVICAL WO & W CONTRAST	$5,007.58	$7,474.00	$329.79–$7,100.30	53% above	33%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 TC MR, SPINE CERVICAL WO & W CONTRAST	$5,007.58	$7,474.00	$2,989.60–$7,100.30	—	33%
MRI of the neck (cervical spine), no contrast dye CPT 72141 TC MR, SPINE CERVICAL W/O CONTRAST	$3,706.44	$5,532.00	$196.48–$5,255.40	64% above	33%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 TC MR, SPINE CERVICAL W/O CONTRAST	$3,706.44	$5,532.00	$2,212.80–$5,255.40	—	33%
MRI of the pelvis without and with contrast CPT 72197 TC MR, PELVIS WO/W CONTRAST	$4,285.99	$6,397.00	$347.16–$6,077.15	35% above	33%
MRI of the pelvis without and with contrast inpatient CPT 72197 TC MR, PELVIS WO/W CONTRAST	$4,285.99	$6,397.00	$2,558.80–$6,077.15	—	33%
MRI of the pelvis, no contrast dye CPT 72195 TC MR, PELVIS W/O CONTRAST	$3,169.10	$4,730.00	$233.47–$4,493.50	34% above	33%
MRI of the pelvis, no contrast dye inpatient CPT 72195 TC MR, PELVIS W/O CONTRAST	$3,169.10	$4,730.00	$1,892.00–$4,493.50	—	33%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 TC MR UPPER EXTREMITY ANY JOINT W/O CONTRAST	$3,312.48	$4,944.00	$209.16–$4,696.80	85% above	33%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 TC MR UPPER EXTREMITY ANY JOINT W/O CONTRAST	$3,312.48	$4,944.00	$1,977.60–$4,696.80	—	33%
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 TC SPINE, CERVICAL 4 OR 5 VIEWS	$572.85	$855.00	$53.80–$812.25	5% above	33%
Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 TC SPINE, CERVICAL 4 OR 5 VIEWS	$572.85	$855.00	$342.00–$812.25	—	33%
Neck soft tissue CT scan with contrast CPT 70491 TC CT, SOFT TISSUE NECK WITH CONTRAST	$2,547.34	$3,802.00	$175.06–$3,611.90	28% above	33%
Neck soft tissue CT scan with contrast inpatient CPT 70491 TC CT, SOFT TISSUE NECK WITH CONTRAST	$2,547.34	$3,802.00	$1,520.80–$3,611.90	—	33%
Neck soft tissue CT scan without contrast CPT 70490 TC CT, SOFT TISSUE NECK WO/CONTRAST	$2,202.96	$3,288.00	$104.75–$3,123.60	43% above	33%
Neck soft tissue CT scan without contrast inpatient CPT 70490 TC CT, SOFT TISSUE NECK WO/CONTRAST	$2,202.96	$3,288.00	$1,315.20–$3,123.60	—	33%
Neck soft tissue X-ray CPT 70360 TC NECK, SOFT TISSUE	$440.86	$658.00	$31.41–$625.10	85% above	33%
Neck soft tissue X-ray inpatient CPT 70360 TC NECK, SOFT TISSUE	$440.86	$658.00	$263.20–$625.10	—	33%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 TC MYOCARD TOMOGRAPH (SPECT), MULT STUDY	$3,092.72	$4,616.00	$438.05–$4,385.20	25% below	33%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 TC MYOCARD TOMOGRAPH (SPECT), MULT STUDY	$3,092.72	$4,616.00	$1,846.40–$4,385.20	—	33%
OCT scan of the retina (optical coherence tomography) both sides CPT 92134 TC CMPTR OPHTHALMIC DX IMAGING, OCT, POSTERIOR SEGMENT, W/ I&R, UNI OR BILATERAL; RETINA	$211.72	$316.00	$85.32–$300.20	—	33%
OCT scan of the retina (optical coherence tomography) inpatient both sides CPT 92134 TC CMPTR OPHTHALMIC DX IMAGING, OCT, POSTERIOR SEGMENT, W/ I&R, UNI OR BILATERAL; RETINA	$211.72	$316.00	$126.40–$300.20	—	33%
PET/CT scan from the base of the skull to mid-thigh CPT 78815 TC PET IMAGE W/CT, SKULL-THIGH	$6,850.75	$10,225.00	$1,489.35–$9,713.75	59% above	33%
PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 TC PET IMAGE W/CT, SKULL-THIGH	$6,850.75	$10,225.00	$4,090.00–$9,713.75	—	33%
Pelvic CT scan without contrast CPT 72192 TC CT, PELVIS W/O CONTRAST	$2,259.91	$3,373.00	$104.75–$3,204.35	39% above	33%
Pelvic CT scan without contrast inpatient CPT 72192 TC CT, PELVIS W/O CONTRAST	$2,259.91	$3,373.00	$1,349.20–$3,204.35	—	33%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 TC US PELVIS LIMITED/FOLLOW-UP	$443.54	$662.00	$50.79–$628.90	8% below	33%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 TC US, PELVIC NON-PREG TA, BUTTOCK, PENIS, PERINEUM, BLADDER VOLUME	$443.54	$662.00	$50.79–$628.90	8% below	33%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 TC US, PELVIC (NON-OBSTETRIC), LIMITED OR F/U	$444.88	$664.00	$50.79–$630.80	8% below	33%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 TC US, PELVIC NON-PREG TA, BUTTOCK, PENIS, PERINEUM, BLADDER VOLUME	$443.54	$662.00	$264.80–$628.90	—	33%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 TC US PELVIS LIMITED/FOLLOW-UP	$443.54	$662.00	$264.80–$628.90	—	33%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 TC US, PELVIC (NON-OBSTETRIC), LIMITED OR F/U	$444.88	$664.00	$265.60–$630.80	—	33%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 TC US, PELVIC (NON-OBSTETRIC), COMPLETE	$1,015.05	$1,515.00	$96.28–$1,439.25	33% above	33%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 TC US PELVIS COMPLETE (NONOBSTETRIC)	$1,015.05	$1,515.00	$96.28–$1,439.25	33% above	33%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 TC ULTRASOUND, PELVIS	$1,015.05	$1,515.00	$96.28–$1,439.25	33% above	33%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 TC US, PELVIC (NON-OBSTETRIC), COMPLETE	$1,015.05	$1,515.00	$606.00–$1,439.25	—	33%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 TC US PELVIS COMPLETE (NONOBSTETRIC)	$1,015.05	$1,515.00	$606.00–$1,439.25	—	33%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 TC ULTRASOUND, PELVIS	$1,015.05	$1,515.00	$606.00–$1,439.25	—	33%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 TC US PREGNANT UTERUS FET.& MAT. EVAL (GREATER OR = 14)	$629.13	$939.00	$104.75–$892.05	4% above	33%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 TC EACH ADDITIONAL GESTATION(<14 WEEKS 0 DAYS)	$629.13	$939.00	$104.75–$892.05	4% above	33%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 TC US, OB >/= 14 WKS, SNGL FETUS	$630.47	$941.00	$104.75–$893.95	4% above	33%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 TC US PREGNANCY, SINGLE FETUS EVAL >14 WKS (14WKS & OVER)	$630.47	$941.00	$104.75–$893.95	4% above	33%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 TC EACH ADDITIONAL GESTATION(<14 WEEKS 0 DAYS)	$629.13	$939.00	$375.60–$892.05	—	33%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 TC US PREGNANT UTERUS FET.& MAT. EVAL (GREATER OR = 14)	$629.13	$939.00	$375.60–$892.05	—	33%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 TC US PREGNANCY, SINGLE FETUS EVAL >14 WKS (14WKS & OVER)	$630.47	$941.00	$376.40–$893.95	—	33%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 TC US, OB >/= 14 WKS, SNGL FETUS	$630.47	$941.00	$376.40–$893.95	—	33%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 TC US PREGNANCY,FETAL & MATERNAL EVAL.(UNDER 14 WKS)SI	$987.58	$1,474.00	$104.75–$1,400.30	68% above	33%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 TC US PREGNANCY, SINGLE FETUS EVAL <14 WKS (UNDER 14WKS)	$988.92	$1,476.00	$104.75–$1,402.20	69% above	33%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 TC US, OB < 14 WKS, SINGLE FETUS	$988.92	$1,476.00	$104.75–$1,402.20	69% above	33%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 TC US PREGNANCY,FETAL & MATERNAL EVAL.(UNDER 14 WKS)SI	$987.58	$1,474.00	$589.60–$1,400.30	—	33%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 TC US, OB < 14 WKS, SINGLE FETUS	$988.92	$1,476.00	$590.40–$1,402.20	—	33%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 TC US PREGNANCY, SINGLE FETUS EVAL <14 WKS (UNDER 14WKS)	$988.92	$1,476.00	$590.40–$1,402.20	—	33%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 TC US, PREG TA	$745.71	$1,113.00	$81.20–$1,057.35	62% above	33%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 TC US PREGNANCY LIMITED, 1+ FETUSES	$747.05	$1,115.00	$81.20–$1,059.25	63% above	33%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 TC ULTRASOUND, PREGNANCY LIMITED	$747.05	$1,115.00	$81.20–$1,059.25	63% above	33%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 TC US,PREGNANT UTERUS,LIMITED, 1/> FETUSES	$747.05	$1,115.00	$81.20–$1,059.25	63% above	33%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 TC US, PREG TA	$745.71	$1,113.00	$445.20–$1,057.35	—	33%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 TC ULTRASOUND, PREGNANCY LIMITED	$747.05	$1,115.00	$446.00–$1,059.25	—	33%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 TC US PREGNANCY LIMITED, 1+ FETUSES	$747.05	$1,115.00	$446.00–$1,059.25	—	33%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 TC US,PREGNANT UTERUS,LIMITED, 1/> FETUSES	$747.05	$1,115.00	$446.00–$1,059.25	—	33%
Rib X-ray, one side, 2 views one side CPT 71100 TC RIBS, UNILATERAL, 2 VIEWS	$276.71	$413.00	$36.75–$392.35	7% below	33%
Rib X-ray, one side, 2 views inpatient one side CPT 71100 TC RIBS, UNILATERAL, 2 VIEWS	$276.71	$413.00	$165.20–$392.35	—	33%
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 TC RIBS, UNILAT, INCL PA CHEST, MIN 3 VWS	$312.22	$466.00	$42.44–$442.70	21% below	33%
Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 TC RIBS, UNILAT, INCL PA CHEST, MIN 3 VWS	$312.22	$466.00	$186.40–$442.70	—	33%
Shoulder X-ray, complete, 2 or more views CPT 73030 TC SHOULDER COMPLETE, MIN OF 2 VIEWS	$496.47	$741.00	$35.09–$703.95	52% above	33%
Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 TC SHOULDER COMPLETE, MIN OF 2 VIEWS	$496.47	$741.00	$296.40–$703.95	—	33%
Sinus X-ray, complete, 3 or more views CPT 70220 TC SINUSES PARANASAL, MIN OF 3 VIEWS	$481.73	$719.00	$37.76–$683.05	17% above	33%
Sinus X-ray, complete, 3 or more views inpatient CPT 70220 TC SINUSES PARANASAL, MIN OF 3 VIEWS	$481.73	$719.00	$287.60–$683.05	—	33%
Skull X-ray, fewer than 4 views CPT 70250 TC SKULL, LESS THAN 4 VIEWS	$319.59	$477.00	$36.09–$453.15	at median	33%
Skull X-ray, fewer than 4 views inpatient CPT 70250 TC SKULL, LESS THAN 4 VIEWS	$319.59	$477.00	$190.80–$453.15	—	33%
Sleep study in a lab (polysomnography) CPT 95810 TC POLYSOMNOGRAPHY 12HR STANDARD = OR > 6YR	$4,410.61	$6,583.00	$1,777.41–$6,253.85	7% above	33%
Sleep study in a lab (polysomnography) inpatient CPT 95810 TC POLYSOMNOGRAPHY 12HR STANDARD = OR > 6YR	$4,410.61	$6,583.00	$2,633.20–$6,253.85	—	33%
Swallow study (modified barium swallow, video X-ray) CPT 74230 TC SWALLOW FUNCTION W/ CINE/VIDEO INCL DELAYED IMG & SCOUT NECK XR	$620.42	$926.00	$124.96–$879.70	3% above	33%
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 TC SWALLOW FUNCTION W/ CINE/VIDEO INCL DELAYED IMG & SCOUT NECK XR	$620.42	$926.00	$370.40–$879.70	—	33%
Thigh bone (femur) X-ray, 2 or more views CPT 73552 TC FEMUR X-RAY, MIN OF 2 VIEWS	$453.59	$677.00	$35.75–$643.15	39% above	33%
Thigh bone (femur) X-ray, 2 or more views inpatient CPT 73552 TC FEMUR X-RAY, MIN OF 2 VIEWS	$453.59	$677.00	$270.80–$643.15	—	33%
Thoracic spine (mid back) CT scan without contrast CPT 72128 TC CT, SPINE THORACIC	$2,436.79	$3,637.00	$104.75–$3,455.15	29% above	33%
Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 TC CT, SPINE THORACIC	$2,436.79	$3,637.00	$1,454.80–$3,455.15	—	33%
Toe X-ray, 2 or more views CPT 73660 TC TOES, MIN OF 2 VIEWS	$367.83	$549.00	$29.40–$521.55	35% above	33%
Toe X-ray, 2 or more views inpatient CPT 73660 TC TOES, MIN OF 2 VIEWS	$367.83	$549.00	$219.60–$521.55	—	33%
Transvaginal pelvic ultrasound CPT 76830 TC US, PELVIC NON-PREG TV	$785.24	$1,172.00	$104.75–$1,113.40	30% above	33%
Transvaginal pelvic ultrasound CPT 76830 TC US, TRANSVAGINAL	$786.58	$1,174.00	$104.75–$1,115.30	30% above	33%
Transvaginal pelvic ultrasound CPT 76830 TC ULTRASOUND, TRANSVAGINAL	$786.58	$1,174.00	$104.75–$1,115.30	30% above	33%
Transvaginal pelvic ultrasound inpatient CPT 76830 TC US, PELVIC NON-PREG TV	$785.24	$1,172.00	$468.80–$1,113.40	—	33%
Transvaginal pelvic ultrasound inpatient CPT 76830 TC US, TRANSVAGINAL	$786.58	$1,174.00	$469.60–$1,115.30	—	33%
Transvaginal pelvic ultrasound inpatient CPT 76830 TC ULTRASOUND, TRANSVAGINAL	$786.58	$1,174.00	$469.60–$1,115.30	—	33%
Transvaginal ultrasound during pregnancy CPT 76817 TC US, PREG TV	$799.31	$1,193.00	$92.89–$1,133.35	57% above	33%
Transvaginal ultrasound during pregnancy CPT 76817 TC US PREGNANT UTERUS,TRANSVAGINAL	$800.65	$1,195.00	$92.89–$1,135.25	57% above	33%
Transvaginal ultrasound during pregnancy CPT 76817 TC US,PREGNANT UTERUS,TRANSVAGINAL	$800.65	$1,195.00	$92.89–$1,135.25	57% above	33%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 TC US, PREG TV	$799.31	$1,193.00	$477.20–$1,133.35	—	33%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 TC US,PREGNANT UTERUS,TRANSVAGINAL	$800.65	$1,195.00	$478.00–$1,135.25	—	33%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 TC US PREGNANT UTERUS,TRANSVAGINAL	$800.65	$1,195.00	$478.00–$1,135.25	—	33%
Ultrasound of the abdomen, complete CPT 76700 TC ULTRASOUND, ABDOMINAL COMPLETE	$948.05	$1,415.00	$104.75–$1,344.25	21% above	33%
Ultrasound of the abdomen, complete inpatient CPT 76700 TC ULTRASOUND, ABDOMINAL COMPLETE	$948.05	$1,415.00	$566.00–$1,344.25	—	33%
Ultrasound of the scrotum and testicles CPT 76870 TC IR US TESTICULAR, SCROTUM & CONTENTS	$641.19	$957.00	$100.24–$909.15	5% above	33%
Ultrasound of the scrotum and testicles CPT 76870 TC ULTRASOUND, TESTICULAR	$739.01	$1,103.00	$100.24–$1,047.85	21% above	33%
Ultrasound of the scrotum and testicles inpatient CPT 76870 TC IR US TESTICULAR, SCROTUM & CONTENTS	$641.19	$957.00	$382.80–$909.15	—	33%
Ultrasound of the scrotum and testicles inpatient CPT 76870 TC ULTRASOUND, TESTICULAR	$739.01	$1,103.00	$441.20–$1,047.85	—	33%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 TC US, HEAD AND NECK	$493.79	$737.00	$104.75–$700.15	22% below	33%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 TC ULTRASOUND, SOFT TISSUE HEAD/NECK	$722.93	$1,079.00	$104.75–$1,025.05	15% above	33%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 TC ULTRASOUND, SOFT TISSUE HEAD/NECK/THYROID	$722.93	$1,079.00	$104.75–$1,025.05	15% above	33%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 TC US, HEAD AND NECK	$493.79	$737.00	$294.80–$700.15	—	33%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 TC ULTRASOUND, SOFT TISSUE HEAD/NECK/THYROID	$722.93	$1,079.00	$431.60–$1,025.05	—	33%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 TC ULTRASOUND, SOFT TISSUE HEAD/NECK	$722.93	$1,079.00	$431.60–$1,025.05	—	33%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 TC UGI W/WO DELAY IMG, INCL SCOUT KUB & DELAYED IMG	$911.20	$1,360.00	$122.96–$1,292.00	26% above	33%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 TC UGI W/WO DELAY IMG, INCL SCOUT KUB & DELAYED IMG	$911.20	$1,360.00	$544.00–$1,292.00	—	33%
Upper arm X-ray (humerus), 2 views one side CPT 73060 TC HUMERUS, UNILAT, MIN OF 2 VIEWS	$393.29	$587.00	$32.08–$557.65	12% above	33%
Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 TC HUMERUS, UNILAT, MIN OF 2 VIEWS	$393.29	$587.00	$234.80–$557.65	—	33%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 TC US, EXTREMITY, LIMITED OR UNILATERAL, DVT, DUPLEX	$617.07	$921.00	$106.34–$874.95	21% below	33%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 TC IR US DUPLEX SCAN EXT VEINS,UNILAT/LTD	$746.38	$1,114.00	$106.34–$1,058.30	5% below	33%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 TC DUPLEX SCAN EXTREMITY VEINS, UNILAT/LTD	$746.38	$1,114.00	$106.34–$1,058.30	5% below	33%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 TC US, EXTREMITY, LIMITED OR UNILATERAL, DVT, DUPLEX	$617.07	$921.00	$368.40–$874.95	—	33%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 TC DUPLEX SCAN EXTREMITY VEINS, UNILAT/LTD	$746.38	$1,114.00	$445.60–$1,058.30	—	33%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 TC IR US DUPLEX SCAN EXT VEINS,UNILAT/LTD	$746.38	$1,114.00	$445.60–$1,058.30	—	33%
Wrist X-ray, 2 views CPT 73100 TC WRIST - TWO VIEWS	$373.86	$558.00	$34.09–$530.10	26% above	33%
Wrist X-ray, 2 views inpatient CPT 73100 TC WRIST - TWO VIEWS	$373.86	$558.00	$223.20–$530.10	—	33%
Wrist X-ray, complete, 3 or more views CPT 73110 TC WRIST COMPLETE, MIN OF 3 VIEWS	$509.87	$761.00	$41.44–$722.95	38% above	33%
Wrist X-ray, complete, 3 or more views inpatient CPT 73110 TC WRIST COMPLETE, MIN OF 3 VIEWS	$509.87	$761.00	$304.40–$722.95	—	33%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 TC HIP UNILATERAL W/ PELVIS WHEN PERFORMED, 2-3 VWS	$397.98	$594.00	$47.78–$564.30	8% above	33%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 TC HIP UNILATERAL W/ PELVIS WHEN PERFORMED, 2-3 VWS	$397.98	$594.00	$237.60–$564.30	—	33%
X-ray of the abdomen, 1 view CPT 74018 TC ABDOMEN, 1 VIEW	$323.61	$483.00	$30.40–$458.85	5% below	33%
X-ray of the abdomen, 1 view inpatient CPT 74018 TC ABDOMEN, 1 VIEW	$323.61	$483.00	$193.20–$458.85	—	33%
X-ray of the ankle, 2 views CPT 73600 TC ANKLE - 2 VIEWS	$367.83	$549.00	$32.41–$521.55	23% above	33%
X-ray of the ankle, 2 views inpatient CPT 73600 TC ANKLE - 2 VIEWS	$367.83	$549.00	$219.60–$521.55	—	33%
X-ray of the finger(s), 2 or more views CPT 73140 TC FINGER(S), MIN OF 2 VIEWS	$385.92	$576.00	$38.43–$547.20	60% above	33%
X-ray of the finger(s), 2 or more views inpatient CPT 73140 TC FINGER(S), MIN OF 2 VIEWS	$385.92	$576.00	$230.40–$547.20	—	33%
X-ray of the foot, 2 views CPT 73620 TC FOOT - 2 VIEWS	$361.13	$539.00	$28.74–$512.05	8% above	33%
X-ray of the foot, 2 views inpatient CPT 73620 TC FOOT - 2 VIEWS	$361.13	$539.00	$215.60–$512.05	—	33%
X-ray of the foot, complete, 3 or more views CPT 73630 TC FOOT COMPLETE, MIN OF 3 VIEWS	$452.92	$676.00	$34.41–$642.20	22% above	33%
X-ray of the foot, complete, 3 or more views inpatient CPT 73630 TC FOOT COMPLETE, MIN OF 3 VIEWS	$452.92	$676.00	$270.40–$642.20	—	33%
X-ray of the hand, 3 or more views CPT 73130 TC HAND, MIN OF 3 VIEWS	$416.74	$622.00	$37.43–$590.90	9% above	33%
X-ray of the hand, 3 or more views inpatient CPT 73130 TC HAND, MIN OF 3 VIEWS	$416.74	$622.00	$248.80–$590.90	—	33%
X-ray of the knee, 1 or 2 views CPT 73560 TC KNEE, 1 OR 2 VIEWS	$422.77	$631.00	$34.41–$599.45	44% above	33%
X-ray of the knee, 1 or 2 views inpatient CPT 73560 TC KNEE, 1 OR 2 VIEWS	$422.77	$631.00	$252.40–$599.45	—	33%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 TC SPINE, LUMBAR FLEX/EXT 2 OR 3 VIEWS	$449.57	$671.00	$40.10–$637.45	1% above	33%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 TC SPINE, LUMBOSACRAL, 2 OR 3 VIEWS	$518.58	$774.00	$40.10–$735.30	17% above	33%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 TC SPINE, LUMBAR FLEX/EXT 2 OR 3 VIEWS	$449.57	$671.00	$268.40–$637.45	—	33%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 TC SPINE, LUMBOSACRAL, 2 OR 3 VIEWS	$518.58	$774.00	$309.60–$735.30	—	33%
X-ray of the lower back, 4 or more views CPT 72110 TC SPINE, LUMBOSACRAL, 4 VIEWS MINIMUM	$562.80	$840.00	$52.13–$798.00	at median	33%
X-ray of the lower back, 4 or more views inpatient CPT 72110 TC SPINE, LUMBOSACRAL, 4 VIEWS MINIMUM	$562.80	$840.00	$336.00–$798.00	—	33%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 TC SPINE, THORACIC 2 VIEWS	$471.68	$704.00	$33.08–$668.80	17% above	33%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 TC SPINE, THORACIC 2 VIEWS	$471.68	$704.00	$281.60–$668.80	—	33%
X-ray of the nasal bones, 3 or more views CPT 70160 TC NASAL BONES, MIN OF 3 VIEW	$239.19	$357.00	$37.76–$339.15	13% below	33%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 TC NASAL BONES, MIN OF 3 VIEW	$239.19	$357.00	$142.80–$339.15	—	33%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 TC SPINE, CERVICAL 2 OR 3 VIEWS	$553.42	$826.00	$39.76–$784.70	52% above	33%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 TC SPINE, CERVICAL 2 OR 3 VIEWS	$553.42	$826.00	$330.40–$784.70	—	33%
X-ray of the pelvis, 1 or 2 views CPT 72170 TC PELVIS, 1 OR 2 VIEWS	$481.73	$719.00	$28.06–$683.05	54% above	33%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 TC PELVIS, 1 OR 2 VIEWS	$481.73	$719.00	$287.60–$683.05	—	33%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 TC SACRUM & COCCYX, MIN OF 2 VIEWS	$317.58	$474.00	$32.75–$450.30	3% above	33%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 TC SACRUM & COCCYX, MIN OF 2 VIEWS	$317.58	$474.00	$189.60–$450.30	—	33%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs Texas	Off list
ACTH blood test CPT 82024 TC ADRENOCORTICOTROPIC HORMONE (ACTH)	$269.34	$402.00	$38.62–$381.90	26% above	33%
ACTH blood test inpatient CPT 82024 TC ADRENOCORTICOTROPIC HORMONE (ACTH)	$269.34	$402.00	$160.80–$381.90	—	33%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 TC SGPT (ALT) WHOLE BLOOD	$36.18	$54.00	$5.30–$51.30	29% below	33%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 TC SGPT (ALT)	$73.03	$109.00	$5.30–$103.55	42% above	33%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 TC SGPT (ALT) WHOLE BLOOD	$36.18	$54.00	$21.60–$51.30	—	33%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 TC SGPT (ALT)	$73.03	$109.00	$43.60–$103.55	—	33%
AST (aspartate aminotransferase) enzyme test CPT 84450 TC SGOT (AST)WHOLE BLOOD	$51.59	$77.00	$5.18–$73.15	at median	33%
AST (aspartate aminotransferase) enzyme test CPT 84450 TC SGOT (AST)	$78.39	$117.00	$5.18–$111.15	52% above	33%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 TC SGOT (AST)WHOLE BLOOD	$51.59	$77.00	$30.80–$73.15	—	33%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 TC SGOT (AST)	$78.39	$117.00	$46.80–$111.15	—	33%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 TC ACUTE HEPATITIS PANEL	$385.92	$576.00	$47.63–$547.20	1% above	33%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 TC ACUTE HEPATITIS PANEL	$385.92	$576.00	$230.40–$547.20	—	33%
Albumin blood test CPT 82040 TC ALBUMIN, QUANTITATIVE WHOLE BLOOD	$42.88	$64.00	$4.95–$60.80	15% above	33%
Albumin blood test CPT 82040 TC ALBUMIN, QUANTITATIVE	$44.89	$67.00	$4.95–$63.65	21% above	33%
Albumin blood test inpatient CPT 82040 TC ALBUMIN, QUANTITATIVE WHOLE BLOOD	$42.88	$64.00	$25.60–$60.80	—	33%
Albumin blood test inpatient CPT 82040 TC ALBUMIN, QUANTITATIVE	$44.89	$67.00	$26.80–$63.65	—	33%
Aldosterone blood test CPT 82088 TC ALDOSTERONE-SERUM	$96.48	$144.00	$38.88–$136.80	26% below	33%
Aldosterone blood test CPT 82088 TC ALDOSTERONE	$115.91	$173.00	$40.75–$164.35	11% below	33%
Aldosterone blood test inpatient CPT 82088 TC ALDOSTERONE-SERUM	$96.48	$144.00	$57.60–$136.80	—	33%
Aldosterone blood test inpatient CPT 82088 TC ALDOSTERONE	$115.91	$173.00	$69.20–$164.35	—	33%
Alkaline phosphatase (ALP) blood test CPT 84075 TC ALKALINE PHOSPHATASE, TOTAL (ISOENZYMES)	$34.84	$52.00	$5.18–$49.40	29% below	33%
Alkaline phosphatase (ALP) blood test CPT 84075 TC ALKALINE PHOSPHATASE WHOLE BLOOD	$60.30	$90.00	$5.18–$85.50	24% above	33%
Alkaline phosphatase (ALP) blood test CPT 84075 TC ALKALINE PHOSPHATASE	$64.99	$97.00	$5.18–$92.15	33% above	33%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 TC ALKALINE PHOSPHATASE, TOTAL (ISOENZYMES)	$34.84	$52.00	$20.80–$49.40	—	33%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 TC ALKALINE PHOSPHATASE WHOLE BLOOD	$60.30	$90.00	$36.00–$85.50	—	33%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 TC ALKALINE PHOSPHATASE	$64.99	$97.00	$38.80–$92.15	—	33%
Allergy blood test, specific IgE, per allergen CPT 86003 TC RAST EACH ANTIGEN EA ADD QUANT	$28.14	$42.00	$5.22–$39.90	17% above	33%
Allergy blood test, specific IgE, per allergen CPT 86003 TC ALLERGEN, BASIC SPECIFIC IGE, QUANTITATIVE OR SEMIQUANTITATIVE, EA ALLERGEN	$28.14	$42.00	$5.22–$39.90	17% above	33%
Allergy blood test, specific IgE, per allergen CPT 86003 TC RAST, EACH ANTIGEN QUANT	$28.14	$42.00	$5.22–$39.90	17% above	33%
Allergy blood test, specific IgE, per allergen CPT 86003 TC LATEX IMMUNO CAP QUANT	$29.48	$44.00	$5.22–$41.80	23% above	33%
Allergy blood test, specific IgE, per allergen CPT 86003 TC ALLERGEN, SPECIFIC IGE; QUANTITATIVE OR SEMIQUANTITATIVE	$36.85	$55.00	$5.22–$52.25	54% above	33%
Allergy blood test, specific IgE, per allergen CPT 86003 TC ALLERGEN, TIER 1 SPECIFIC IGE, QUANTITATIVE OR SEMIQUANTITATIVE, EA ALLERGEN	$46.90	$70.00	$5.22–$66.50	95% above	33%
Allergy blood test, specific IgE, per allergen CPT 86003 TC ALLERGEN, TIER 2 SPECIFIC IGE, QUANTITATIVE OR SEMIQUANTITATIVE, EA ALLERGEN	$68.34	$102.00	$5.22–$96.90	185% above	33%
Allergy blood test, specific IgE, per allergen CPT 86003 TC ALLERGEN, IGE,QUANTITATIVE OR SEMIQUANTITATIVE, UKNOW	$89.78	$134.00	$5.22–$127.30	274% above	33%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 TC RAST EACH ANTIGEN EA ADD QUANT	$28.14	$42.00	$16.80–$39.90	—	33%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 TC ALLERGEN, BASIC SPECIFIC IGE, QUANTITATIVE OR SEMIQUANTITATIVE, EA ALLERGEN	$28.14	$42.00	$16.80–$39.90	—	33%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 TC RAST, EACH ANTIGEN QUANT	$28.14	$42.00	$16.80–$39.90	—	33%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 TC LATEX IMMUNO CAP QUANT	$29.48	$44.00	$17.60–$41.80	—	33%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 TC ALLERGEN, SPECIFIC IGE; QUANTITATIVE OR SEMIQUANTITATIVE	$36.85	$55.00	$22.00–$52.25	—	33%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 TC ALLERGEN, TIER 1 SPECIFIC IGE, QUANTITATIVE OR SEMIQUANTITATIVE, EA ALLERGEN	$46.90	$70.00	$28.00–$66.50	—	33%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 TC ALLERGEN, TIER 2 SPECIFIC IGE, QUANTITATIVE OR SEMIQUANTITATIVE, EA ALLERGEN	$68.34	$102.00	$40.80–$96.90	—	33%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 TC ALLERGEN, IGE,QUANTITATIVE OR SEMIQUANTITATIVE, UKNOW	$89.78	$134.00	$53.60–$127.30	—	33%
Alpha-fetoprotein (AFP) blood test CPT 82105 TC ALPHA FETO PROTEIN - CSF	$169.51	$253.00	$16.77–$240.35	42% above	33%
Alpha-fetoprotein (AFP) blood test CPT 82105 TC ALPHA FETO PROTEIN	$170.85	$255.00	$16.77–$242.25	43% above	33%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 TC ALPHA FETO PROTEIN - CSF	$169.51	$253.00	$101.20–$240.35	—	33%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 TC ALPHA FETO PROTEIN	$170.85	$255.00	$102.00–$242.25	—	33%
Ammonia blood test CPT 82140 TC AMMONIA REFERENCE TEST STONE	$53.60	$80.00	$14.57–$76.00	62% below	33%
Ammonia blood test CPT 82140 TC AMMONIA	$99.16	$148.00	$14.57–$140.60	30% below	33%
Ammonia blood test CPT 82140 TC STONE RISK - AMMONIA URINE	$105.86	$158.00	$14.57–$150.10	25% below	33%
Ammonia blood test inpatient CPT 82140 TC AMMONIA REFERENCE TEST STONE	$53.60	$80.00	$32.00–$76.00	—	33%
Ammonia blood test inpatient CPT 82140 TC AMMONIA	$99.16	$148.00	$59.20–$140.60	—	33%
Ammonia blood test inpatient CPT 82140 TC STONE RISK - AMMONIA URINE	$105.86	$158.00	$63.20–$150.10	—	33%
Amylase blood test CPT 82150 TC AMYLASE ISOENZYMES - SALIVARY	$46.90	$70.00	$6.48–$66.50	38% below	33%
Amylase blood test CPT 82150 TC AMYLASE ISOENZYMES - PANCREATIC	$46.90	$70.00	$6.48–$66.50	38% below	33%
Amylase blood test CPT 82150 TC AMYLASE WHOLE BLOOD	$84.42	$126.00	$6.48–$119.70	11% above	33%
Amylase blood test CPT 82150 TC AMYLASE, URINE	$84.42	$126.00	$6.48–$119.70	11% above	33%
Amylase blood test CPT 82150 TC AMYLASE	$85.76	$128.00	$6.48–$121.60	13% above	33%
Amylase blood test inpatient CPT 82150 TC AMYLASE ISOENZYMES - SALIVARY	$46.90	$70.00	$28.00–$66.50	—	33%
Amylase blood test inpatient CPT 82150 TC AMYLASE ISOENZYMES - PANCREATIC	$46.90	$70.00	$28.00–$66.50	—	33%
Amylase blood test inpatient CPT 82150 TC AMYLASE, URINE	$84.42	$126.00	$50.40–$119.70	—	33%
Amylase blood test inpatient CPT 82150 TC AMYLASE WHOLE BLOOD	$84.42	$126.00	$50.40–$119.70	—	33%
Amylase blood test inpatient CPT 82150 TC AMYLASE	$85.76	$128.00	$51.20–$121.60	—	33%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 TC CYCLIC CITRULLINATED PEPTIDE, ANTIBODY - 3016632	$30.15	$45.00	$12.15–$42.75	43% below	33%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 TC CYCLIC CITRULLINATED PEPTIDE ANTIBODY 3016632	$31.49	$47.00	$12.69–$44.65	41% below	33%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 TC CYCLIC CITRUL PEPTIDE AB IGG	$93.13	$139.00	$12.95–$132.05	76% above	33%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 TC CYCLIC CITRULLINATED PEPTIDE, ANTIBODY - 3016632	$30.15	$45.00	$18.00–$42.75	—	33%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 TC CYCLIC CITRULLINATED PEPTIDE ANTIBODY 3016632	$31.49	$47.00	$18.80–$44.65	—	33%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 TC CYCLIC CITRUL PEPTIDE AB IGG	$93.13	$139.00	$55.60–$132.05	—	33%
Antinuclear antibody (ANA) blood test, screen CPT 86038 TC ANA-ANTINUCLEAR ANTIBODY SCREEN	$86.43	$129.00	$12.09–$122.55	12% above	33%
Antinuclear antibody (ANA) blood test, screen CPT 86038 TC ANTINUCLEAR ANTIBODY (QUAL)	$402.67	$601.00	$12.09–$570.95	423% above	33%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 TC ANA-ANTINUCLEAR ANTIBODY SCREEN	$86.43	$129.00	$51.60–$122.55	—	33%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 TC ANTINUCLEAR ANTIBODY (QUAL)	$402.67	$601.00	$240.40–$570.95	—	33%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 TC B-TYPE NATRIURETIC PEPTIDE	$231.82	$346.00	$39.26–$328.70	48% above	33%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 TC NT PRO BNP	$231.82	$346.00	$39.26–$328.70	48% above	33%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 TC NT PRO BNP	$231.82	$346.00	$138.40–$328.70	—	33%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 TC B-TYPE NATRIURETIC PEPTIDE	$231.82	$346.00	$138.40–$328.70	—	33%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 TC CULTURE - YERSINIA	$60.30	$90.00	$8.62–$85.50	10% below	33%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 TC ESBL SCREEN	$120.60	$180.00	$8.62–$171.00	80% above	33%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 TC CULTURE - VRE	$158.79	$237.00	$8.62–$225.15	137% above	33%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 TC CULTURE - SURVEILLANCE	$164.82	$246.00	$8.62–$233.70	146% above	33%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 TC CULTURE, BRONCH WASH, CYSTIC FIBROSIS	$170.18	$254.00	$8.62–$241.30	154% above	33%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 TC CULTURE - NASOPHARYNGEAL	$173.53	$259.00	$8.62–$246.05	159% above	33%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 TC CULTURE - CSF, VENTRICULAR	$174.87	$261.00	$8.62–$247.95	161% above	33%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 TC CULTURE - NEISSERIA GONORRHOEAE	$174.87	$261.00	$8.62–$247.95	161% above	33%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 TC CULTURE - MISC (ANY SRC EXC URN, BLD, STOOL	$174.87	$261.00	$8.62–$247.95	161% above	33%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 TC CULTURE - SPUTUM/TA/BRONCIAL WASH	$174.87	$261.00	$8.62–$247.95	161% above	33%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 TC CULTURE - MRSA	$174.87	$261.00	$8.62–$247.95	161% above	33%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 TC CULTURE, BRONCH WASH, ROUTINE	$174.87	$261.00	$8.62–$247.95	161% above	33%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 TC CULTURE, BAL, CYSTIC FIBROSIS	$174.87	$261.00	$8.62–$247.95	161% above	33%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 TC CULTURE, BAL, ROUTINE	$174.87	$261.00	$8.62–$247.95	161% above	33%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 TC CULTURE, SPUTUM, CYSTIC FIBROSIS	$174.87	$261.00	$8.62–$247.95	161% above	33%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 TC CULTURE, SPUTUM, ROUTINE	$174.87	$261.00	$8.62–$247.95	161% above	33%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 TC CULTURE, BACTERIAL,TRACHEAL ASPIRATE, CYSTIC FIBROSIS	$174.87	$261.00	$8.62–$247.95	161% above	33%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 TC CULTURE - YERSINIA	$60.30	$90.00	$36.00–$85.50	—	33%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 TC ESBL SCREEN	$120.60	$180.00	$72.00–$171.00	—	33%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 TC CULTURE - VRE	$158.79	$237.00	$94.80–$225.15	—	33%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 TC CULTURE - SURVEILLANCE	$164.82	$246.00	$98.40–$233.70	—	33%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 TC CULTURE, BRONCH WASH, CYSTIC FIBROSIS	$170.18	$254.00	$101.60–$241.30	—	33%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 TC CULTURE - NASOPHARYNGEAL	$173.53	$259.00	$103.60–$246.05	—	33%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 TC CULTURE, BACTERIAL,TRACHEAL ASPIRATE, CYSTIC FIBROSIS	$174.87	$261.00	$104.40–$247.95	—	33%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 TC CULTURE - MISC (ANY SRC EXC URN, BLD, STOOL	$174.87	$261.00	$104.40–$247.95	—	33%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 TC CULTURE - NEISSERIA GONORRHOEAE	$174.87	$261.00	$104.40–$247.95	—	33%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 TC CULTURE - CSF, VENTRICULAR	$174.87	$261.00	$104.40–$247.95	—	33%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 TC CULTURE - SPUTUM/TA/BRONCIAL WASH	$174.87	$261.00	$104.40–$247.95	—	33%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 TC CULTURE - MRSA	$174.87	$261.00	$104.40–$247.95	—	33%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 TC CULTURE, BRONCH WASH, ROUTINE	$174.87	$261.00	$104.40–$247.95	—	33%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 TC CULTURE, BAL, CYSTIC FIBROSIS	$174.87	$261.00	$104.40–$247.95	—	33%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 TC CULTURE, BAL, ROUTINE	$174.87	$261.00	$104.40–$247.95	—	33%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 TC CULTURE, SPUTUM, CYSTIC FIBROSIS	$174.87	$261.00	$104.40–$247.95	—	33%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 TC CULTURE, SPUTUM, ROUTINE	$174.87	$261.00	$104.40–$247.95	—	33%
Basic metabolic panel (blood test) CPT 80048 TC BASIC METABOLIC PANEL	$445.55	$665.00	$8.46–$631.75	112% above	33%
Basic metabolic panel (blood test) inpatient CPT 80048 TC BASIC METABOLIC PANEL	$445.55	$665.00	$266.00–$631.75	—	33%
Bilirubin blood test, total CPT 82247 TC BILIRUBIN; TOTAL REFERENCE TEST BCM 4900	$32.83	$49.00	$5.02–$46.55	42% below	33%
Bilirubin blood test, total CPT 82247 TC BILIRUBIN, TOTAL REFERENCE TEST GLOMAC	$40.20	$60.00	$5.02–$57.00	30% below	33%
Bilirubin blood test, total CPT 82247 TC TOTAL BILIRUBIN WHOLE BLOOD	$75.04	$112.00	$5.02–$106.40	32% above	33%
Bilirubin blood test, total CPT 82247 TC BILIRUBIN-UNCONJUGATED	$85.09	$127.00	$5.02–$120.65	49% above	33%
Bilirubin blood test, total CPT 82247 TC BILIRUBIN,TOTAL BODY FLUID	$85.09	$127.00	$5.02–$120.65	49% above	33%
Bilirubin blood test, total CPT 82247 TC TOTAL BILLIRUBIN	$85.09	$127.00	$5.02–$120.65	49% above	33%
Bilirubin blood test, total inpatient CPT 82247 TC BILIRUBIN; TOTAL REFERENCE TEST BCM 4900	$32.83	$49.00	$19.60–$46.55	—	33%
Bilirubin blood test, total inpatient CPT 82247 TC BILIRUBIN, TOTAL REFERENCE TEST GLOMAC	$40.20	$60.00	$24.00–$57.00	—	33%
Bilirubin blood test, total inpatient CPT 82247 TC TOTAL BILIRUBIN WHOLE BLOOD	$75.04	$112.00	$44.80–$106.40	—	33%
Bilirubin blood test, total inpatient CPT 82247 TC BILIRUBIN-UNCONJUGATED	$85.09	$127.00	$50.80–$120.65	—	33%
Bilirubin blood test, total inpatient CPT 82247 TC TOTAL BILLIRUBIN	$85.09	$127.00	$50.80–$120.65	—	33%
Bilirubin blood test, total inpatient CPT 82247 TC BILIRUBIN,TOTAL BODY FLUID	$85.09	$127.00	$50.80–$120.65	—	33%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 TC BONE MARROW BX, PROCESS & STAIN	$109.21	$163.00	$44.01–$154.85	63% below	33%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 TC BONE MARROW CLOT, PROCESS & STAIN	$304.85	$455.00	$122.85–$432.25	3% above	33%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 TC GROSS & MICRO EXAM, LEVEL IV	$439.52	$656.00	$177.12–$623.20	48% above	33%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 TC BONE MARROW BX, PROCESS & STAIN	$109.21	$163.00	$65.20–$154.85	—	33%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 TC BONE MARROW CLOT, PROCESS & STAIN	$304.85	$455.00	$182.00–$432.25	—	33%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 TC GROSS & MICRO EXAM, LEVEL IV	$439.52	$656.00	$262.40–$623.20	—	33%
Blood culture for bacteria CPT 87040 TC CULTURE - BLOOD ANAEROBIC	$146.73	$219.00	$10.32–$208.05	28% below	33%
Blood culture for bacteria CPT 87040 TC CULTURE - BLOOD/BONE MARROW	$226.46	$338.00	$10.32–$321.10	11% above	33%
Blood culture for bacteria CPT 87040 TC PREPARATION OF T-LYMPHOCYTES 2	$3,006.29	$4,487.00	$10.32–$4,262.65	1371% above	33%
Blood culture for bacteria inpatient CPT 87040 TC CULTURE - BLOOD ANAEROBIC	$146.73	$219.00	$87.60–$208.05	—	33%
Blood culture for bacteria inpatient CPT 87040 TC CULTURE - BLOOD/BONE MARROW	$226.46	$338.00	$135.20–$321.10	—	33%
Blood culture for bacteria inpatient CPT 87040 TC PREPARATION OF T-LYMPHOCYTES 2	$3,006.29	$4,487.00	$1,794.80–$4,262.65	—	33%
Blood glucose (sugar) test CPT 82947 TC GLUCOSE; QUANT, BLOOD REFERENCE TEST BCM 4900	$32.83	$49.00	$3.93–$46.55	21% below	33%
Blood glucose (sugar) test CPT 82947 TC GLUCOSE, QUANTITATIVE REFERENCE TEST GLOMAC	$39.53	$59.00	$3.93–$56.05	5% below	33%
Blood glucose (sugar) test CPT 82947 TC GLUCOSE WHOLE BLOOD	$73.70	$110.00	$3.93–$104.50	77% above	33%
Blood glucose (sugar) test CPT 82947 TC GLUCOSE, QUANTITATIVE, BLOOD	$73.70	$110.00	$3.93–$104.50	77% above	33%
Blood glucose (sugar) test CPT 82947 TC GLUCOSE-BLOOD, POCT	$79.06	$118.00	$3.93–$112.10	90% above	33%
Blood glucose (sugar) test CPT 82947 TC GLUCOSE-BLOOD	$79.06	$118.00	$3.93–$112.10	90% above	33%
Blood glucose (sugar) test inpatient CPT 82947 TC GLUCOSE; QUANT, BLOOD REFERENCE TEST BCM 4900	$32.83	$49.00	$19.60–$46.55	—	33%
Blood glucose (sugar) test inpatient CPT 82947 TC GLUCOSE, QUANTITATIVE REFERENCE TEST GLOMAC	$39.53	$59.00	$23.60–$56.05	—	33%
Blood glucose (sugar) test inpatient CPT 82947 TC GLUCOSE WHOLE BLOOD	$73.70	$110.00	$44.00–$104.50	—	33%
Blood glucose (sugar) test inpatient CPT 82947 TC GLUCOSE, QUANTITATIVE, BLOOD	$73.70	$110.00	$44.00–$104.50	—	33%
Blood glucose (sugar) test inpatient CPT 82947 TC GLUCOSE-BLOOD	$79.06	$118.00	$47.20–$112.10	—	33%
Blood glucose (sugar) test inpatient CPT 82947 TC GLUCOSE-BLOOD, POCT	$79.06	$118.00	$47.20–$112.10	—	33%
Blood lead test CPT 83655 TC LEAD REF TEST, PBSHD	$9.38	$14.00	$3.78–$21.19	80% below	33%
Blood lead test CPT 83655 TC LEAD-URINE	$44.89	$67.00	$12.11–$63.65	4% below	33%
Blood lead test CPT 83655 TC LEAD WHOLE BLOOD	$46.23	$69.00	$12.11–$65.55	1% below	33%
Blood lead test CPT 83655 TC HEAVY METALS - BLOOD - LEAD	$46.23	$69.00	$12.11–$65.55	1% below	33%
Blood lead test CPT 83655 TC HEAVY METALS-URINE - LEAD	$48.91	$73.00	$12.11–$69.35	5% above	33%
Blood lead test inpatient CPT 83655 TC LEAD REF TEST, PBSHD	$9.38	$14.00	$5.60–$13.30	—	33%
Blood lead test inpatient CPT 83655 TC LEAD-URINE	$44.89	$67.00	$26.80–$63.65	—	33%
Blood lead test inpatient CPT 83655 TC LEAD WHOLE BLOOD	$46.23	$69.00	$27.60–$65.55	—	33%
Blood lead test inpatient CPT 83655 TC HEAVY METALS - BLOOD - LEAD	$46.23	$69.00	$27.60–$65.55	—	33%
Blood lead test inpatient CPT 83655 TC HEAVY METALS-URINE - LEAD	$48.91	$73.00	$29.20–$69.35	—	33%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 TC GONADOTROPIN, CHORIONIC (HCG) QUALITATIVE	$73.03	$109.00	$7.52–$103.55	47% below	33%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 TC GONADOTROPIN, CHORIONIC (HCG) QUALITATIVE	$73.03	$109.00	$43.60–$103.55	—	33%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 TC STAT ABO BLOOD TYPING FOR TRANSPLANT	$37.52	$56.00	$2.99–$53.20	58% below	33%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 TC ABO FORWARD TYPE	$68.34	$102.00	$2.99–$96.90	23% below	33%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 TC ABO BLOOD TYPING FOR TRANSPLANT REF TEST	$85.09	$127.00	$2.99–$120.65	4% below	33%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 TC ABO TYPE	$85.09	$127.00	$2.99–$120.65	4% below	33%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 TC STAT ABO BLOOD TYPING FOR TRANSPLANT	$37.52	$56.00	$22.40–$53.20	—	33%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 TC ABO FORWARD TYPE	$68.34	$102.00	$40.80–$96.90	—	33%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 TC ABO TYPE	$85.09	$127.00	$50.80–$120.65	—	33%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 TC ABO BLOOD TYPING FOR TRANSPLANT REF TEST	$85.09	$127.00	$50.80–$120.65	—	33%
Blood urea nitrogen (BUN) test CPT 84520 TC UREA NITROGEN QUANTITATIVE, WHOLE BLOOD	$38.86	$58.00	$3.95–$55.10	29% below	33%
Blood urea nitrogen (BUN) test CPT 84520 TC UREA NITROGEN, BODY FLUID	$42.21	$63.00	$3.95–$59.85	22% below	33%
Blood urea nitrogen (BUN) test CPT 84520 TC UREA NITROGEN (BUN) - SERUM QUANT	$44.22	$66.00	$3.95–$62.70	19% below	33%
Blood urea nitrogen (BUN) test inpatient CPT 84520 TC UREA NITROGEN QUANTITATIVE, WHOLE BLOOD	$38.86	$58.00	$23.20–$55.10	—	33%
Blood urea nitrogen (BUN) test inpatient CPT 84520 TC UREA NITROGEN, BODY FLUID	$42.21	$63.00	$25.20–$59.85	—	33%
Blood urea nitrogen (BUN) test inpatient CPT 84520 TC UREA NITROGEN (BUN) - SERUM QUANT	$44.22	$66.00	$26.40–$62.70	—	33%
C-peptide blood test CPT 84681 TC C-PEPTIDE	$88.44	$132.00	$20.81–$125.40	21% above	33%
C-peptide blood test inpatient CPT 84681 TC C-PEPTIDE	$88.44	$132.00	$52.80–$125.40	—	33%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 TC IBD SGI C- REACTIVE PROTEIN	$57.62	$86.00	$5.18–$81.70	13% above	33%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 TC C-REACTIVE PROTEIN	$141.37	$211.00	$5.18–$200.45	177% above	33%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 TC IBD SGI C- REACTIVE PROTEIN	$57.62	$86.00	$34.40–$81.70	—	33%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 TC C-REACTIVE PROTEIN	$141.37	$211.00	$84.40–$200.45	—	33%
C. difficile toxin gene test (stool PCR) CPT 87493 TC CLOSTRIDIUM DIFFICILE TOXIN A/B	$115.24	$172.00	$37.27–$163.40	34% below	33%
C. difficile toxin gene test (stool PCR) CPT 87493 TC CLOSTRIDIUM DIFFICILE TOXIN PCR	$182.24	$272.00	$37.27–$258.40	4% above	33%
C. difficile toxin gene test (stool PCR) CPT 87493 TC CLOSTRIDIUM DIFFICILE, TOXIN GENE(S), AMPLIFIED PROBE TECHNIQUE	$197.65	$295.00	$37.27–$280.25	13% above	33%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 TC CLOSTRIDIUM DIFFICILE TOXIN A/B	$115.24	$172.00	$68.80–$163.40	—	33%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 TC CLOSTRIDIUM DIFFICILE TOXIN PCR	$182.24	$272.00	$108.80–$258.40	—	33%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 TC CLOSTRIDIUM DIFFICILE, TOXIN GENE(S), AMPLIFIED PROBE TECHNIQUE	$197.65	$295.00	$118.00–$280.25	—	33%
CA 19-9 blood test (tumor marker) CPT 86301 TC CANCER ANTIGEN-GI (CA 19-9)	$127.97	$191.00	$20.81–$181.45	4% below	33%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 TC CANCER ANTIGEN-GI (CA 19-9)	$127.97	$191.00	$76.40–$181.45	—	33%
CA-125 blood test (ovarian cancer marker) CPT 86304 TC CA 125	$127.97	$191.00	$20.81–$181.45	16% below	33%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 TC CA 125	$127.97	$191.00	$76.40–$181.45	—	33%
Calcium blood test, total CPT 82310 TC CALCIUM - QUANTITATIVE	$54.94	$82.00	$5.16–$77.90	6% below	33%
Calcium blood test, total inpatient CPT 82310 TC CALCIUM - QUANTITATIVE	$54.94	$82.00	$32.80–$77.90	—	33%
Carcinoembryonic antigen (CEA) test CPT 82378 TC CARCINOEMBRYONIC ANTIGEN-RIA	$133.33	$199.00	$18.96–$189.05	at median	33%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 TC CARCINOEMBRYONIC ANTIGEN-RIA	$133.33	$199.00	$79.60–$189.05	—	33%
Chickenpox (varicella) immunity blood test CPT 86787 TC VARICELLA (IGM)	$71.02	$106.00	$12.88–$100.70	13% above	33%
Chickenpox (varicella) immunity blood test CPT 86787 TC VARICELLA - ZOSTER IGG	$113.90	$170.00	$12.88–$161.50	82% above	33%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 TC VARICELLA (IGM)	$71.02	$106.00	$42.40–$100.70	—	33%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 TC VARICELLA - ZOSTER IGG	$113.90	$170.00	$68.00–$161.50	—	33%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 TC CHLAMYDIA TRACHOMATIS, AMP PROBE TECH REF TEST, REFLEX CTNG	$25.46	$38.00	$10.26–$61.41	80% below	33%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 TC REF LAB CHLAMYDIA GONORRHOEAE PCR - ARUP 0060241	$32.83	$49.00	$13.23–$61.41	74% below	33%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 TC CHLAMYDIA TRACHOMATIS, AMP PROBE TECH REF TEST CTNG	$33.50	$50.00	$13.50–$61.41	73% below	33%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 TC THINPREP PAP HPV MRNA E6/E7 CTNG; INFECTIOUS AGENT DNA/RNA; C TRACHOMATIS	$71.02	$106.00	$28.62–$100.70	43% below	33%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 TC THINPREP PAP HPV MRNA E6/E7 CTNG RFLX HPV 16,18/45; INFECTIOUS AGENT DNA/RNA; C TRACHOMATIS	$71.02	$106.00	$28.62–$100.70	43% below	33%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 TC CTNG RNA TMA UROGENITAL;INFECTIOUS AGENT DNA/RNA; C TRACHOMATIS	$71.69	$107.00	$28.89–$101.65	42% below	33%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 TC THINPREP PAP CTNG RFLX HPV MRNA E6/E7; INFECTIOUS AGENT DNA/RNA; C TRACHOMATIS	$80.40	$120.00	$32.40–$114.00	35% below	33%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 TC SURESWAB VAGINOSIS/VAGINITIS PLUS; INFECTIOUS AGENT DNA/RNA; C TRACHOMATIS	$110.55	$165.00	$35.09–$156.75	11% below	33%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 TC CHLAMYDIA TRACHOMATIS BY PCR	$152.09	$227.00	$35.09–$215.65	22% above	33%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 TC CHLAMYDIA TRACHOMATIS, AMP PROBE TECH REF TEST, REFLEX CTNG	$25.46	$38.00	$15.20–$36.10	—	33%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 TC REF LAB CHLAMYDIA GONORRHOEAE PCR - ARUP 0060241	$32.83	$49.00	$19.60–$46.55	—	33%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 TC CHLAMYDIA TRACHOMATIS, AMP PROBE TECH REF TEST CTNG	$33.50	$50.00	$20.00–$47.50	—	33%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 TC THINPREP PAP HPV MRNA E6/E7 CTNG RFLX HPV 16,18/45; INFECTIOUS AGENT DNA/RNA; C TRACHOMATIS	$71.02	$106.00	$42.40–$100.70	—	33%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 TC THINPREP PAP HPV MRNA E6/E7 CTNG; INFECTIOUS AGENT DNA/RNA; C TRACHOMATIS	$71.02	$106.00	$42.40–$100.70	—	33%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 TC CTNG RNA TMA UROGENITAL;INFECTIOUS AGENT DNA/RNA; C TRACHOMATIS	$71.69	$107.00	$42.80–$101.65	—	33%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 TC THINPREP PAP CTNG RFLX HPV MRNA E6/E7; INFECTIOUS AGENT DNA/RNA; C TRACHOMATIS	$80.40	$120.00	$48.00–$114.00	—	33%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 TC SURESWAB VAGINOSIS/VAGINITIS PLUS; INFECTIOUS AGENT DNA/RNA; C TRACHOMATIS	$110.55	$165.00	$66.00–$156.75	—	33%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 TC CHLAMYDIA TRACHOMATIS BY PCR	$152.09	$227.00	$90.80–$215.65	—	33%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 TC LIPID PHENOTYPE - LIPID PANEL	$97.82	$146.00	$13.39–$138.70	34% below	33%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 TC LIPID PANEL	$257.95	$385.00	$13.39–$365.75	74% above	33%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 TC LIPID PHENOTYPE - LIPID PANEL	$97.82	$146.00	$58.40–$138.70	—	33%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 TC LIPID PANEL	$257.95	$385.00	$154.00–$365.75	—	33%
Complete blood count (CBC) with differential CPT 85025 TC CBC W/AUTO PLATELET & DIFF	$119.93	$179.00	$7.77–$170.05	31% above	33%
Complete blood count (CBC) with differential CPT 85025 TC CBC HEMOGRAM & PLATELET COUNT, AUTODIFF	$142.04	$212.00	$7.77–$201.40	55% above	33%
Complete blood count (CBC) with differential inpatient CPT 85025 TC CBC W/AUTO PLATELET & DIFF	$119.93	$179.00	$71.60–$170.05	—	33%
Complete blood count (CBC) with differential inpatient CPT 85025 TC CBC HEMOGRAM & PLATELET COUNT, AUTODIFF	$142.04	$212.00	$84.80–$201.40	—	33%
Complete blood count (CBC), no differential CPT 85027 TC CBC, AUTO HGB HCT RBC WBC & PLT NO DIFF	$75.71	$113.00	$6.47–$107.35	19% below	33%
Complete blood count (CBC), no differential CPT 85027 TC FETAL CBC,AUTOMATED	$78.39	$117.00	$6.47–$111.15	16% below	33%
Complete blood count (CBC), no differential CPT 85027 TC CBC, AUTO HGB HCT RBC WBC & PLT NO DIF	$85.76	$128.00	$6.47–$121.60	8% below	33%
Complete blood count (CBC), no differential inpatient CPT 85027 TC CBC, AUTO HGB HCT RBC WBC & PLT NO DIFF	$75.71	$113.00	$45.20–$107.35	—	33%
Complete blood count (CBC), no differential inpatient CPT 85027 TC FETAL CBC,AUTOMATED	$78.39	$117.00	$46.80–$111.15	—	33%
Complete blood count (CBC), no differential inpatient CPT 85027 TC CBC, AUTO HGB HCT RBC WBC & PLT NO DIF	$85.76	$128.00	$51.20–$121.60	—	33%
Comprehensive metabolic panel (blood test) CPT 80053 TC COMPREHENSIVE METABOLIC PANEL	$722.93	$1,079.00	$10.56–$1,025.05	188% above	33%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 TC COMPREHENSIVE METABOLIC PANEL	$722.93	$1,079.00	$431.60–$1,025.05	—	33%
Cortisol blood test, total CPT 82533 TC CORTISOL; TOTAL REFERENCE TEST BCM 4902	$71.69	$107.00	$16.30–$101.65	14% below	33%
Cortisol blood test, total CPT 82533 TC CORTISOL; TOTAL REFERENCE TEST BCM 4900	$71.69	$107.00	$16.30–$101.65	14% below	33%
Cortisol blood test, total CPT 82533 TC CORTICOSTERONE	$132.66	$198.00	$16.30–$188.10	59% above	33%
Cortisol blood test, total CPT 82533 TC CORTISOL	$167.50	$250.00	$16.30–$237.50	100% above	33%
Cortisol blood test, total CPT 82533 TC CORTISOL URINE RANDOM TOTAL	$176.88	$264.00	$16.30–$250.80	112% above	33%
Cortisol blood test, total CPT 82533 TC CORTISOL URINE/TIME PERIOD TOTAL	$176.88	$264.00	$16.30–$250.80	112% above	33%
Cortisol blood test, total CPT 82533 TC CORTISOL; FREE TOTAL REFERENCE TEST, CORSAL	$177.55	$265.00	$16.30–$251.75	112% above	33%
Cortisol blood test, total CPT 82533 TC CORTISOL TOTAL	$178.22	$266.00	$16.30–$252.70	113% above	33%
Cortisol blood test, total inpatient CPT 82533 TC CORTISOL; TOTAL REFERENCE TEST BCM 4900	$71.69	$107.00	$42.80–$101.65	—	33%
Cortisol blood test, total inpatient CPT 82533 TC CORTISOL; TOTAL REFERENCE TEST BCM 4902	$71.69	$107.00	$42.80–$101.65	—	33%
Cortisol blood test, total inpatient CPT 82533 TC CORTICOSTERONE	$132.66	$198.00	$79.20–$188.10	—	33%
Cortisol blood test, total inpatient CPT 82533 TC CORTISOL	$167.50	$250.00	$100.00–$237.50	—	33%
Cortisol blood test, total inpatient CPT 82533 TC CORTISOL URINE RANDOM TOTAL	$176.88	$264.00	$105.60–$250.80	—	33%
Cortisol blood test, total inpatient CPT 82533 TC CORTISOL URINE/TIME PERIOD TOTAL	$176.88	$264.00	$105.60–$250.80	—	33%
Cortisol blood test, total inpatient CPT 82533 TC CORTISOL; FREE TOTAL REFERENCE TEST, CORSAL	$177.55	$265.00	$106.00–$251.75	—	33%
Cortisol blood test, total inpatient CPT 82533 TC CORTISOL TOTAL	$178.22	$266.00	$106.40–$252.70	—	33%
Creatine kinase (CK) blood test, total CPT 82550 TC CK - CK ISOENZYMES	$50.92	$76.00	$6.51–$72.20	20% below	33%
Creatine kinase (CK) blood test, total CPT 82550 TC CREATINE PHOSPHOKINASE - CPK TOTAL	$116.58	$174.00	$6.51–$165.30	82% above	33%
Creatine kinase (CK) blood test, total inpatient CPT 82550 TC CK - CK ISOENZYMES	$50.92	$76.00	$30.40–$72.20	—	33%
Creatine kinase (CK) blood test, total inpatient CPT 82550 TC CREATINE PHOSPHOKINASE - CPK TOTAL	$116.58	$174.00	$69.60–$165.30	—	33%
Creatinine blood test CPT 82565 TC CREATININE;BLOOD REFERENCE TEST BCM 4900	$36.18	$54.00	$5.12–$51.30	32% below	33%
Creatinine blood test CPT 82565 TC RADIOLOGY PERFORMED ASSAY OF CREATININE	$43.55	$65.00	$5.12–$61.75	19% below	33%
Creatinine blood test CPT 82565 TC CREATININE WHOLE BLOOD	$43.55	$65.00	$5.12–$61.75	19% below	33%
Creatinine blood test CPT 82565 TC CREATININE - SERUM	$56.28	$84.00	$5.12–$79.80	5% above	33%
Creatinine blood test inpatient CPT 82565 TC CREATININE;BLOOD REFERENCE TEST BCM 4900	$36.18	$54.00	$21.60–$51.30	—	33%
Creatinine blood test inpatient CPT 82565 TC CREATININE WHOLE BLOOD	$43.55	$65.00	$26.00–$61.75	—	33%
Creatinine blood test inpatient CPT 82565 TC RADIOLOGY PERFORMED ASSAY OF CREATININE	$43.55	$65.00	$26.00–$61.75	—	33%
Creatinine blood test inpatient CPT 82565 TC CREATININE - SERUM	$56.28	$84.00	$33.60–$79.80	—	33%
Cytomegalovirus (CMV) antibody test CPT 86644 TC DONBM PNL - CYTOMEGALOVIRUS (CMV)	$7.37	$11.00	$2.97–$25.18	90% below	33%
Cytomegalovirus (CMV) antibody test CPT 86644 TC DONIVF; ANTIBODY, CYTOMEGALOVIRUS (CMV)	$11.39	$17.00	$4.59–$25.18	85% below	33%
Cytomegalovirus (CMV) antibody test CPT 86644 TC CYTOMEGALOVIRUS ANTIBODY IGG	$51.59	$77.00	$14.39–$73.15	31% below	33%
Cytomegalovirus (CMV) antibody test CPT 86644 TC ANTIBODY, CYTOMEGALOVIRUS (CMV)	$103.85	$155.00	$14.39–$147.25	38% above	33%
Cytomegalovirus (CMV) antibody test CPT 86644 TC CYTOMEGALOVIRUS (CMV) ANTIBODY IGG	$160.13	$239.00	$14.39–$227.05	114% above	33%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 TC DONBM PNL - CYTOMEGALOVIRUS (CMV)	$7.37	$11.00	$4.40–$10.45	—	33%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 TC DONIVF; ANTIBODY, CYTOMEGALOVIRUS (CMV)	$11.39	$17.00	$6.80–$16.15	—	33%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 TC CYTOMEGALOVIRUS ANTIBODY IGG	$51.59	$77.00	$30.80–$73.15	—	33%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 TC ANTIBODY, CYTOMEGALOVIRUS (CMV)	$103.85	$155.00	$62.00–$147.25	—	33%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 TC CYTOMEGALOVIRUS (CMV) ANTIBODY IGG	$160.13	$239.00	$95.60–$227.05	—	33%
D-dimer blood test (blood clot marker) CPT 85379 TC DI - DIMER	$196.98	$294.00	$10.18–$279.30	16% above	33%
D-dimer blood test (blood clot marker) inpatient CPT 85379 TC DI - DIMER	$196.98	$294.00	$117.60–$279.30	—	33%
DHEA sulfate (DHEA-S) blood test CPT 82627 TC DHEA SULFATE (DHEA-S)	$69.68	$104.00	$22.23–$98.80	54% below	33%
DHEA sulfate (DHEA-S) blood test CPT 82627 TC DHEA SULFATE	$77.05	$115.00	$22.23–$109.25	49% below	33%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 TC DHEA SULFATE (DHEA-S)	$69.68	$104.00	$41.60–$98.80	—	33%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 TC DHEA SULFATE	$77.05	$115.00	$46.00–$109.25	—	33%
Drug screen by lab instrument (any number of drug classes) CPT 80307 TC DRUG TEST, PRESUMPTIVE BY CHEMISTRY ANALYZER REFERENCE TEST UDRUG1	$46.90	$70.00	$18.90–$108.75	25% below	33%
Drug screen by lab instrument (any number of drug classes) CPT 80307 TC SDRUG DRUG SCREEN CLASS LIST A REFERENCE TEST	$282.07	$421.00	$62.14–$399.95	354% above	33%
Drug screen by lab instrument (any number of drug classes) CPT 80307 TC MEC DRUG SCREEN CLASS LIST A REFERENCE TEST	$332.32	$496.00	$62.14–$471.20	435% above	33%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 TC DRUG TEST, PRESUMPTIVE BY CHEMISTRY ANALYZER REFERENCE TEST UDRUG1	$46.90	$70.00	$28.00–$66.50	—	33%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 TC SDRUG DRUG SCREEN CLASS LIST A REFERENCE TEST	$282.07	$421.00	$168.40–$399.95	—	33%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 TC MEC DRUG SCREEN CLASS LIST A REFERENCE TEST	$332.32	$496.00	$198.40–$471.20	—	33%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 TC ELECTRLYTE PANEL	$262.64	$392.00	$7.01–$372.40	65% above	33%
Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 TC ELECTRLYTE PANEL	$262.64	$392.00	$156.80–$372.40	—	33%
Epstein-Barr virus (EBV) antibody test CPT 86665 TC EBV VCA IGG	$140.70	$210.00	$18.14–$199.50	63% above	33%
Epstein-Barr virus (EBV) antibody test CPT 86665 TC EBV VCA IGM	$140.70	$210.00	$18.14–$199.50	63% above	33%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 TC EBV VCA IGM	$140.70	$210.00	$84.00–$199.50	—	33%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 TC EBV VCA IGG	$140.70	$210.00	$84.00–$199.50	—	33%
Estradiol blood test CPT 82670 TC ESTRADIOL	$97.82	$146.00	$27.94–$138.70	21% below	33%
Estradiol blood test CPT 82670 TC ASSAY OF ESTRADIOL-ADULT	$113.23	$169.00	$27.94–$160.55	9% below	33%
Estradiol blood test CPT 82670 TC ASSAY OF ESTRADIOL-PEDIATRIC	$129.98	$194.00	$27.94–$184.30	5% above	33%
Estradiol blood test inpatient CPT 82670 TC ESTRADIOL	$97.82	$146.00	$58.40–$138.70	—	33%
Estradiol blood test inpatient CPT 82670 TC ASSAY OF ESTRADIOL-ADULT	$113.23	$169.00	$67.60–$160.55	—	33%
Estradiol blood test inpatient CPT 82670 TC ASSAY OF ESTRADIOL-PEDIATRIC	$129.98	$194.00	$77.60–$184.30	—	33%
FSH (follicle-stimulating hormone) test CPT 83001 TC FSH-SERUM	$160.13	$239.00	$18.58–$227.05	3% above	33%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 TC FSH-SERUM	$160.13	$239.00	$95.60–$227.05	—	33%
Fecal calprotectin (stool inflammation test) CPT 83993 TC CALPROTECTIN	$365.82	$546.00	$19.63–$518.70	71% above	33%
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 TC CALPROTECTIN	$365.82	$546.00	$218.40–$518.70	—	33%
Ferritin blood test (iron stores) CPT 82728 TC FERRITIN	$170.85	$255.00	$13.63–$242.25	104% above	33%
Ferritin blood test (iron stores) inpatient CPT 82728 TC FERRITIN	$170.85	$255.00	$102.00–$242.25	—	33%
Fibrinogen blood test CPT 85384 TC FIBRINOGEN	$73.03	$109.00	$9.72–$103.55	16% below	33%
Fibrinogen blood test inpatient CPT 85384 TC FIBRINOGEN	$73.03	$109.00	$43.60–$103.55	—	33%
Folate (folic acid) blood test CPT 82746 TC FOLIC ACID; SERUM REFERENCE TEST BCM 4900	$71.69	$107.00	$14.70–$101.65	10% below	33%
Folate (folic acid) blood test CPT 82746 TC FOLATE - SERUM	$83.08	$124.00	$14.70–$117.80	4% above	33%
Folate (folic acid) blood test CPT 82746 TC FOLATE SERUM, FOLIC ACID	$84.42	$126.00	$14.70–$119.70	6% above	33%
Folate (folic acid) blood test inpatient CPT 82746 TC FOLIC ACID; SERUM REFERENCE TEST BCM 4900	$71.69	$107.00	$42.80–$101.65	—	33%
Folate (folic acid) blood test inpatient CPT 82746 TC FOLATE - SERUM	$83.08	$124.00	$49.60–$117.80	—	33%
Folate (folic acid) blood test inpatient CPT 82746 TC FOLATE SERUM, FOLIC ACID	$84.42	$126.00	$50.40–$119.70	—	33%
Free T3 thyroid hormone test CPT 84481 TC FREE T3	$94.47	$141.00	$16.94–$133.95	32% below	33%
Free T3 thyroid hormone test inpatient CPT 84481 TC FREE T3	$94.47	$141.00	$56.40–$133.95	—	33%
Free T4 (free thyroxine) thyroid blood test CPT 84439 TC FREE T4 BY DIRECT EQUILIBRIUM DIALYSIS	$112.56	$168.00	$9.02–$159.60	50% above	33%
Free T4 (free thyroxine) thyroid blood test CPT 84439 TC T4-FREE (FT4)	$120.60	$180.00	$9.02–$171.00	61% above	33%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 TC FREE T4 BY DIRECT EQUILIBRIUM DIALYSIS	$112.56	$168.00	$67.20–$159.60	—	33%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 TC T4-FREE (FT4)	$120.60	$180.00	$72.00–$171.00	—	33%
Free testosterone test CPT 84402 TC TESTOSTERONE FREE	$64.99	$97.00	$25.47–$92.15	39% below	33%
Free testosterone test inpatient CPT 84402 TC TESTOSTERONE FREE	$64.99	$97.00	$38.80–$92.15	—	33%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 TC GAMMA GT (GGT) WHOLE BLOOD	$99.83	$149.00	$7.20–$141.55	70% above	33%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 TC GAMMA GT (GGT)	$106.53	$159.00	$7.20–$151.05	81% above	33%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 TC GAMMA GT (GGT) WHOLE BLOOD	$99.83	$149.00	$59.60–$141.55	—	33%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 TC GAMMA GT (GGT)	$106.53	$159.00	$63.60–$151.05	—	33%
General health panel: metabolic panel, blood count and TSH in one order CPT 80050 TC GENERAL HEALTH PANEL	$1,047.21	$1,563.00	$422.01–$1,484.85	135% above	33%
General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 TC GENERAL HEALTH PANEL	$1,047.21	$1,563.00	$625.20–$1,484.85	—	33%
Glucose tolerance test, 3 samples CPT 82951 TC LACTOSE TOLERANCE	$173.53	$259.00	$12.87–$246.05	14% above	33%
Glucose tolerance test, 3 samples CPT 82951 TC SUCROSE TOLERANCE	$174.87	$261.00	$12.87–$247.95	15% above	33%
Glucose tolerance test, 3 samples CPT 82951 TC GLUCOSE TOL TEST-1HR	$207.70	$310.00	$12.87–$294.50	37% above	33%
Glucose tolerance test, 3 samples inpatient CPT 82951 TC LACTOSE TOLERANCE	$173.53	$259.00	$103.60–$246.05	—	33%
Glucose tolerance test, 3 samples inpatient CPT 82951 TC SUCROSE TOLERANCE	$174.87	$261.00	$104.40–$247.95	—	33%
Glucose tolerance test, 3 samples inpatient CPT 82951 TC GLUCOSE TOL TEST-1HR	$207.70	$310.00	$124.00–$294.50	—	33%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 TC NEISSERIA GONORRHOEAE, AMP PROBE TECH REF TEST, REFLEX CTNG	$25.46	$38.00	$10.26–$61.41	80% below	33%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 TC REF LAB CHLAMYDIA GONORRHOEAE PCR - ARUP 0060241	$32.83	$49.00	$13.23–$61.41	75% below	33%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 TC NEISSERIA GONORRHOEAE, AMP PROBE TECH REF TEST CTNG	$33.50	$50.00	$13.50–$61.41	74% below	33%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 TC CTNG RNA TMA UROGENITAL;INFECTIOUS AGENT DNA/RNA; N GONORRHEA	$40.20	$60.00	$16.20–$61.41	69% below	33%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 TC THINPREP PAP HPV MRNA E6/E7 CTNG; INFECTIOUS AGENT DNA/RNA; N GONORRHOEAE	$71.02	$106.00	$28.62–$100.70	45% below	33%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 TC THINPREP PAP HPV MRNA E6/E7 CTNG RFLX HPV 16,18/45; INFECTIOUS AGENT DNA/RNA; N GONORRHOEAE	$71.02	$106.00	$28.62–$100.70	45% below	33%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 TC THINPREP PAP CTNG RFLX HPV MRNA E6/E7; INFECTIOUS AGENT DNA/RNA; N GONORRHOEAE	$80.40	$120.00	$32.40–$114.00	38% below	33%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 TC SURESWAB VAGINOSIS/VAGINITIS PLUS; INFECTIOUS AGENT DNA/RNA; N GONORRHOEAE	$110.55	$165.00	$35.09–$156.75	15% below	33%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 TC NEISSERIA GONORRHOEAE BY PCR	$151.42	$226.00	$35.09–$214.70	16% above	33%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 TC NEISSERIA GONORRHOEAE, AMP PROBE TECH REF TEST, REFLEX CTNG	$25.46	$38.00	$15.20–$36.10	—	33%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 TC REF LAB CHLAMYDIA GONORRHOEAE PCR - ARUP 0060241	$32.83	$49.00	$19.60–$46.55	—	33%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 TC NEISSERIA GONORRHOEAE, AMP PROBE TECH REF TEST CTNG	$33.50	$50.00	$20.00–$47.50	—	33%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 TC CTNG RNA TMA UROGENITAL;INFECTIOUS AGENT DNA/RNA; N GONORRHEA	$40.20	$60.00	$24.00–$57.00	—	33%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 TC THINPREP PAP HPV MRNA E6/E7 CTNG; INFECTIOUS AGENT DNA/RNA; N GONORRHOEAE	$71.02	$106.00	$42.40–$100.70	—	33%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 TC THINPREP PAP HPV MRNA E6/E7 CTNG RFLX HPV 16,18/45; INFECTIOUS AGENT DNA/RNA; N GONORRHOEAE	$71.02	$106.00	$42.40–$100.70	—	33%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 TC THINPREP PAP CTNG RFLX HPV MRNA E6/E7; INFECTIOUS AGENT DNA/RNA; N GONORRHOEAE	$80.40	$120.00	$48.00–$114.00	—	33%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 TC SURESWAB VAGINOSIS/VAGINITIS PLUS; INFECTIOUS AGENT DNA/RNA; N GONORRHOEAE	$110.55	$165.00	$66.00–$156.75	—	33%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 TC NEISSERIA GONORRHOEAE BY PCR	$151.42	$226.00	$90.40–$214.70	—	33%
H. pylori antibody blood test CPT 86677 TC HELICOBACTER PYLORI AB IGG REFERENCE TEST	$48.91	$73.00	$16.85–$69.35	61% below	33%
H. pylori antibody blood test CPT 86677 TC HELICOBACTER PYLORI IGG	$56.95	$85.00	$16.85–$80.75	55% below	33%
H. pylori antibody blood test CPT 86677 TC HELICOBACTER PYLORI AB IGM	$64.99	$97.00	$16.85–$92.15	48% below	33%
H. pylori antibody blood test inpatient CPT 86677 TC HELICOBACTER PYLORI AB IGG REFERENCE TEST	$48.91	$73.00	$29.20–$69.35	—	33%
H. pylori antibody blood test inpatient CPT 86677 TC HELICOBACTER PYLORI IGG	$56.95	$85.00	$34.00–$80.75	—	33%
H. pylori antibody blood test inpatient CPT 86677 TC HELICOBACTER PYLORI AB IGM	$64.99	$97.00	$38.80–$92.15	—	33%
H. pylori stool antigen test CPT 87338 TC HELICOBACTOR PYLORI ANTIGEN,STOOL	$152.76	$228.00	$14.38–$216.60	77% above	33%
H. pylori stool antigen test inpatient CPT 87338 TC HELICOBACTOR PYLORI ANTIGEN,STOOL	$152.76	$228.00	$91.20–$216.60	—	33%
HIV viral load test (HIV-1 RNA, quantitative) one side CPT 87536 TC HIV-1 RT-QPCR	$271.35	$405.00	$85.10–$384.75	11% below	33%
HIV viral load test (HIV-1 RNA, quantitative) one side CPT 87536 TC HIV-1 QUANTITATIVE RT-PCR	$341.03	$509.00	$85.10–$483.55	12% above	33%
HIV viral load test (HIV-1 RNA, quantitative) inpatient one side CPT 87536 TC HIV-1 RT-QPCR	$271.35	$405.00	$162.00–$384.75	—	33%
HIV viral load test (HIV-1 RNA, quantitative) inpatient one side CPT 87536 TC HIV-1 QUANTITATIVE RT-PCR	$341.03	$509.00	$203.60–$483.55	—	33%
HIV-1 and HIV-2 antibody test CPT 86703 TC DONIVF; ANTIBODY, HIV1 AND HIV2	$11.39	$17.00	$4.59–$23.99	86% below	33%
HIV-1 and HIV-2 antibody test CPT 86703 TC DONBM - ANTIBODY, HIV1 AND HIV2	$75.04	$112.00	$13.71–$106.40	8% below	33%
HIV-1 and HIV-2 antibody test CPT 86703 TC HIV ANTIBODY-HTLV (HIV 1/HIV 2)	$207.03	$309.00	$13.71–$293.55	155% above	33%
HIV-1 and HIV-2 antibody test CPT 86703 TC RAPID HIV TEST, ANTIBODY HIV-1 & HIV-2, SINGLE ASSAY	$209.71	$313.00	$13.71–$297.35	158% above	33%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 TC DONIVF; ANTIBODY, HIV1 AND HIV2	$11.39	$17.00	$6.80–$16.15	—	33%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 TC DONBM - ANTIBODY, HIV1 AND HIV2	$75.04	$112.00	$44.80–$106.40	—	33%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 TC HIV ANTIBODY-HTLV (HIV 1/HIV 2)	$207.03	$309.00	$123.60–$293.55	—	33%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 TC RAPID HIV TEST, ANTIBODY HIV-1 & HIV-2, SINGLE ASSAY	$209.71	$313.00	$125.20–$297.35	—	33%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 TC HIV TEST, ANTIGEN HIV-1 WITH ANTIBODY HIV-1 & HIV-2, SINGLE ASSAY	$88.44	$132.00	$24.08–$125.40	35% below	33%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 TC HIV TEST, ANTIGEN HIV-1 WITH ANTIBODY HIV-1 & HIV-2, SINGLE ASSAY	$88.44	$132.00	$52.80–$125.40	—	33%
HPV test for high-risk types, one combined (pooled) result CPT 87624 TC THINPREP PAP HPV MRNA E6/E7 CTNG; INFECTIOUS AGENT DNA/RNA; HPV HIGH RISK TYPES	$71.02	$106.00	$28.62–$100.70	at median	33%
HPV test for high-risk types, one combined (pooled) result CPT 87624 TC THINPREP PAP HPV MRNA E6/E7 CTNG RFLX HPV 16,18/45; INFECTIOUS AGENT DNA/RNA; HPV HIGH RISK TYPES	$71.02	$106.00	$28.62–$100.70	at median	33%
HPV test for high-risk types, one combined (pooled) result CPT 87624 TC THINPREP PAP HPV MRNA E6/E7 RFLX HPV 16,18/45; INFECTIOUS AGENT DNA/RNA; HPV HIGH RISK TYPES	$99.16	$148.00	$35.09–$140.60	40% above	33%
HPV test for high-risk types, one combined (pooled) result CPT 87624 TC THINPREP PAP HPV DNA RFLX HPV 16,18; INFECTIOUS AGENT DNA/RNA; HPV HIGH RISK TYPES	$101.17	$151.00	$35.09–$143.45	43% above	33%
HPV test for high-risk types, one combined (pooled) result CPT 87624 TC SUREPATH HPV MRNA E6/E7; INFECTIOUS AGENT DNA/RNA; HPV HIGH RISK TYPES	$102.51	$153.00	$35.09–$145.35	44% above	33%
HPV test for high-risk types, one combined (pooled) result CPT 87624 TC THINPREP PAP HPV MRNA E6/E7; INFECTIOUS AGENT DNA/RNA; HPV HIGH RISK TYPES	$184.92	$276.00	$35.09–$262.20	161% above	33%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 TC THINPREP PAP HPV MRNA E6/E7 CTNG RFLX HPV 16,18/45; INFECTIOUS AGENT DNA/RNA; HPV HIGH RISK TYPES	$71.02	$106.00	$42.40–$100.70	—	33%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 TC THINPREP PAP HPV MRNA E6/E7 CTNG; INFECTIOUS AGENT DNA/RNA; HPV HIGH RISK TYPES	$71.02	$106.00	$42.40–$100.70	—	33%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 TC THINPREP PAP HPV MRNA E6/E7 RFLX HPV 16,18/45; INFECTIOUS AGENT DNA/RNA; HPV HIGH RISK TYPES	$99.16	$148.00	$59.20–$140.60	—	33%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 TC THINPREP PAP HPV DNA RFLX HPV 16,18; INFECTIOUS AGENT DNA/RNA; HPV HIGH RISK TYPES	$101.17	$151.00	$60.40–$143.45	—	33%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 TC SUREPATH HPV MRNA E6/E7; INFECTIOUS AGENT DNA/RNA; HPV HIGH RISK TYPES	$102.51	$153.00	$61.20–$145.35	—	33%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 TC THINPREP PAP HPV MRNA E6/E7; INFECTIOUS AGENT DNA/RNA; HPV HIGH RISK TYPES	$184.92	$276.00	$110.40–$262.20	—	33%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 TC HEMOGLOBIN A1C - POCT	$93.13	$139.00	$9.71–$132.05	10% above	33%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 TC HEMOGLOBIN, GLYCOSYLATED (A1C)	$99.16	$148.00	$9.71–$140.60	17% above	33%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 TC GLYCATED HEMOGLOBIN	$99.16	$148.00	$9.71–$140.60	17% above	33%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 TC HEMOGLOBIN A1C - POCT	$93.13	$139.00	$55.60–$132.05	—	33%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 TC GLYCATED HEMOGLOBIN	$99.16	$148.00	$59.20–$140.60	—	33%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 TC HEMOGLOBIN, GLYCOSYLATED (A1C)	$99.16	$148.00	$59.20–$140.60	—	33%
Hemoglobin blood test CPT 85018 TC BLOOD COUNT HEMOGLOBIN REF TEST, HBGSHD	$4.02	$6.00	$1.62–$5.70	91% below	33%
Hemoglobin blood test CPT 85018 TC HEMOGLOBIN BY COLORIMETRIC	$42.21	$63.00	$2.37–$59.85	3% below	33%
Hemoglobin blood test CPT 85018 TC HEMOGLOBIN	$44.22	$66.00	$2.37–$62.70	2% above	33%
Hemoglobin blood test CPT 85018 TC BLOOD COUNT HEMOGLOBIN (HGB), POCT	$44.22	$66.00	$2.37–$62.70	2% above	33%
Hemoglobin blood test inpatient CPT 85018 TC BLOOD COUNT HEMOGLOBIN REF TEST, HBGSHD	$4.02	$6.00	$2.40–$5.70	—	33%
Hemoglobin blood test inpatient CPT 85018 TC HEMOGLOBIN BY COLORIMETRIC	$42.21	$63.00	$25.20–$59.85	—	33%
Hemoglobin blood test inpatient CPT 85018 TC BLOOD COUNT HEMOGLOBIN (HGB), POCT	$44.22	$66.00	$26.40–$62.70	—	33%
Hemoglobin blood test inpatient CPT 85018 TC HEMOGLOBIN	$44.22	$66.00	$26.40–$62.70	—	33%
Hepatitis B core antibody test (total) CPT 86704 TC DONIVF; HEP B CORE AB	$10.05	$15.00	$4.05–$21.09	86% below	33%
Hepatitis B core antibody test (total) CPT 86704 TC DONBM PNL - HEP B CORE AB	$54.27	$81.00	$12.05–$76.95	26% below	33%
Hepatitis B core antibody test (total) CPT 86704 TC HEPATITIS B CORE ANTIBODY TOTAL	$156.11	$233.00	$12.05–$221.35	114% above	33%
Hepatitis B core antibody test (total) inpatient CPT 86704 TC DONIVF; HEP B CORE AB	$10.05	$15.00	$6.00–$14.25	—	33%
Hepatitis B core antibody test (total) inpatient CPT 86704 TC DONBM PNL - HEP B CORE AB	$54.27	$81.00	$32.40–$76.95	—	33%
Hepatitis B core antibody test (total) inpatient CPT 86704 TC HEPATITIS B CORE ANTIBODY TOTAL	$156.11	$233.00	$93.20–$221.35	—	33%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 TC HEPATITIS B SURFACE ANTIBODY	$90.45	$135.00	$10.74–$128.25	42% above	33%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 TC HEPATITIS B SURFACE ANTIBODY	$90.45	$135.00	$54.00–$128.25	—	33%
Hepatitis B surface antigen (HBsAg) test CPT 87340 TC DONIVF; HEP B SURFACE AG	$8.04	$12.00	$3.24–$18.08	89% below	33%
Hepatitis B surface antigen (HBsAg) test CPT 87340 TC DONBM PNL - HEP B SURFACE AG	$59.63	$89.00	$10.33–$84.55	15% below	33%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B SURFACE ANTIGEN (FOR SCREENING DURING PREGNANCY)	$129.98	$194.00	$10.33–$184.30	86% above	33%
Hepatitis B surface antigen (HBsAg) test CPT 87340 TC HEPATITIS B SURFACE ANTIGEN	$134.67	$201.00	$10.33–$190.95	92% above	33%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 TC DONIVF; HEP B SURFACE AG	$8.04	$12.00	$4.80–$11.40	—	33%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 TC DONBM PNL - HEP B SURFACE AG	$59.63	$89.00	$35.60–$84.55	—	33%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEPATITIS B SURFACE ANTIGEN (FOR SCREENING DURING PREGNANCY)	$129.98	$194.00	$77.60–$184.30	—	33%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 TC HEPATITIS B SURFACE ANTIGEN	$134.67	$201.00	$80.40–$190.95	—	33%
Hepatitis C antibody blood test (screening) CPT 86803 TC DONIVF; HEPATITIS C ANTIBODY	$11.39	$17.00	$4.59–$24.97	87% below	33%
Hepatitis C antibody blood test (screening) CPT 86803 TC DONBM PNL - HEPATITIS C ANTIBODY	$59.63	$89.00	$14.27–$84.55	31% below	33%
Hepatitis C antibody blood test (screening) CPT 86803 TC HEPATITIS C ANTIBODY	$167.50	$250.00	$14.27–$237.50	94% above	33%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 TC DONIVF; HEPATITIS C ANTIBODY	$11.39	$17.00	$6.80–$16.15	—	33%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 TC DONBM PNL - HEPATITIS C ANTIBODY	$59.63	$89.00	$35.60–$84.55	—	33%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 TC HEPATITIS C ANTIBODY	$167.50	$250.00	$100.00–$237.50	—	33%
Hepatitis C viral load (HCV RNA) test CPT 87522 TC HCV RNA BY PCR - QUANTITATIVE	$357.78	$534.00	$42.84–$507.30	49% above	33%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 TC HCV RNA BY PCR - QUANTITATIVE	$357.78	$534.00	$213.60–$507.30	—	33%
Herpes blood test, HSV-1 antibody CPT 86695 TC HERPES SIMPLEX VIRUS HSV 1, ANTIBODY	$76.38	$114.00	$13.19–$108.30	6% above	33%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 TC HERPES SIMPLEX VIRUS HSV 1, ANTIBODY	$76.38	$114.00	$45.60–$108.30	—	33%
Herpes blood test, HSV-2 antibody CPT 86696 TC HERPES SIMPLEX VIRUS HSV 2, ANTIBODY	$93.13	$139.00	$19.35–$132.05	12% above	33%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 TC HERPES SIMPLEX VIRUS HSV 2, ANTIBODY	$93.13	$139.00	$55.60–$132.05	—	33%
High-sensitivity CRP (hs-CRP) test CPT 86141 TC C REACTIVE PROTEIN, HIGH SENSITIVITY	$99.16	$148.00	$12.95–$140.60	26% above	33%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 TC C REACTIVE PROTEIN, HIGH SENSITIVITY	$99.16	$148.00	$59.20–$140.60	—	33%
Homocysteine blood test CPT 83090 TC HOMOCYSTEINE REF TEST, HDMCY	$135.34	$202.00	$17.92–$191.90	10% below	33%
Homocysteine blood test CPT 83090 TC HOMOCYSTEINE	$174.87	$261.00	$17.92–$247.95	17% above	33%
Homocysteine blood test inpatient CPT 83090 TC HOMOCYSTEINE REF TEST, HDMCY	$135.34	$202.00	$80.80–$191.90	—	33%
Homocysteine blood test inpatient CPT 83090 TC HOMOCYSTEINE	$174.87	$261.00	$104.40–$247.95	—	33%
Insulin blood test CPT 83525 TC INSULIN, TOTAL	$85.76	$128.00	$11.43–$121.60	25% above	33%
Insulin blood test inpatient CPT 83525 TC INSULIN, TOTAL	$85.76	$128.00	$51.20–$121.60	—	33%
Iron blood test (serum iron) CPT 83540 TC IRON	$29.48	$44.00	$6.47–$41.80	58% below	33%
Iron blood test (serum iron) CPT 83540 TC IRON - QUANTITATIVE	$73.03	$109.00	$6.47–$103.55	3% above	33%
Iron blood test (serum iron) CPT 83540 TC IRON, LIVER TISSUE	$303.51	$453.00	$6.47–$430.35	329% above	33%
Iron blood test (serum iron) inpatient CPT 83540 TC IRON	$29.48	$44.00	$17.60–$41.80	—	33%
Iron blood test (serum iron) inpatient CPT 83540 TC IRON - QUANTITATIVE	$73.03	$109.00	$43.60–$103.55	—	33%
Iron blood test (serum iron) inpatient CPT 83540 TC IRON, LIVER TISSUE	$303.51	$453.00	$181.20–$430.35	—	33%
Iron-binding capacity (TIBC) test CPT 83550 TC IRON BINDING CAPACITY	$38.86	$58.00	$8.74–$55.10	57% below	33%
Iron-binding capacity (TIBC) test inpatient CPT 83550 TC IRON BINDING CAPACITY	$38.86	$58.00	$23.20–$55.10	—	33%
Kidney function blood test panel CPT 80069 TC RENAL FUNCTION PANEL	$365.82	$546.00	$8.68–$518.70	106% above	33%
Kidney function blood test panel inpatient CPT 80069 TC RENAL FUNCTION PANEL	$365.82	$546.00	$218.40–$518.70	—	33%
LH (luteinizing hormone) test CPT 83002 TC LUTENIZING HORMONE - SERUM	$164.15	$245.00	$18.52–$232.75	16% above	33%
LH (luteinizing hormone) test inpatient CPT 83002 TC LUTENIZING HORMONE - SERUM	$164.15	$245.00	$98.00–$232.75	—	33%
Lactate (lactic acid) blood test CPT 83605 TC LACTIC ACID WHOLE BLOOD, CORD BLOOD IP BNDL	$8.04	$12.00	$3.24–$20.25	92% below	33%
Lactate (lactic acid) blood test CPT 83605 TC LACTATE REFERENCE TEST BCM 4902 IP BNDL	$48.24	$72.00	$11.57–$68.40	50% below	33%
Lactate (lactic acid) blood test CPT 83605 TC LACTATE REFERENCE TEST BCM 4900 IP BNDL	$54.94	$82.00	$11.57–$77.90	43% below	33%
Lactate (lactic acid) blood test CPT 83605 TC LACTATE (LACTIC ACID), POCT IP BNDL	$144.72	$216.00	$11.57–$205.20	51% above	33%
Lactate (lactic acid) blood test CPT 83605 TC LACTIC ACID, BODY FLUID IP BNDL	$144.72	$216.00	$11.57–$205.20	51% above	33%
Lactate (lactic acid) blood test CPT 83605 TC LACTATE (LACTIC ACID) IP BNDL	$144.72	$216.00	$11.57–$205.20	51% above	33%
Lactate (lactic acid) blood test CPT 83605 TC LACTATE, ASSAY OF LACTIC ACID REFERENCE TEST IP BNDL	$203.01	$303.00	$11.57–$287.85	112% above	33%
Lactate (lactic acid) blood test inpatient CPT 83605 TC LACTIC ACID WHOLE BLOOD, CORD BLOOD IP BNDL	$8.04	$12.00	$4.80–$11.40	—	33%
Lactate (lactic acid) blood test inpatient CPT 83605 TC LACTATE REFERENCE TEST BCM 4902 IP BNDL	$48.24	$72.00	$28.80–$68.40	—	33%
Lactate (lactic acid) blood test inpatient CPT 83605 TC LACTATE REFERENCE TEST BCM 4900 IP BNDL	$54.94	$82.00	$32.80–$77.90	—	33%
Lactate (lactic acid) blood test inpatient CPT 83605 TC LACTIC ACID, BODY FLUID IP BNDL	$144.72	$216.00	$86.40–$205.20	—	33%
Lactate (lactic acid) blood test inpatient CPT 83605 TC LACTATE (LACTIC ACID), POCT IP BNDL	$144.72	$216.00	$86.40–$205.20	—	33%
Lactate (lactic acid) blood test inpatient CPT 83605 TC LACTATE (LACTIC ACID) IP BNDL	$144.72	$216.00	$86.40–$205.20	—	33%
Lactate (lactic acid) blood test inpatient CPT 83605 TC LACTATE, ASSAY OF LACTIC ACID REFERENCE TEST IP BNDL	$203.01	$303.00	$121.20–$287.85	—	33%
Lactate dehydrogenase (LDH) blood test CPT 83615 TC LACTATE DEHYDROGENASE-20413	$12.73	$19.00	$5.13–$18.05	71% below	33%
Lactate dehydrogenase (LDH) blood test CPT 83615 TC LACTATE DEHYDROGENASE REFERENCE TEST LDHC3	$35.51	$53.00	$6.04–$50.35	20% below	33%
Lactate dehydrogenase (LDH) blood test CPT 83615 TC LDH - LACTIC DEHYDROGENASE	$61.64	$92.00	$6.04–$87.40	38% above	33%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 TC LACTATE DEHYDROGENASE-20413	$12.73	$19.00	$7.60–$18.05	—	33%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 TC LACTATE DEHYDROGENASE REFERENCE TEST LDHC3	$35.51	$53.00	$21.20–$50.35	—	33%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 TC LDH - LACTIC DEHYDROGENASE	$61.64	$92.00	$36.80–$87.40	—	33%
Lipase blood test (pancreas enzyme) CPT 83690 TC LIPASE, BODY FLUID	$50.92	$76.00	$6.89–$72.20	24% below	33%
Lipase blood test (pancreas enzyme) CPT 83690 TC LIPASE SERUM	$101.84	$152.00	$6.89–$144.40	53% above	33%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 TC LIPASE, BODY FLUID	$50.92	$76.00	$30.40–$72.20	—	33%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 TC LIPASE SERUM	$101.84	$152.00	$60.80–$144.40	—	33%
Liver function blood test panel CPT 80076 TC HEPATIC FUNCTION PANEL	$290.78	$434.00	$8.17–$412.30	50% above	33%
Liver function blood test panel inpatient CPT 80076 TC HEPATIC FUNCTION PANEL	$290.78	$434.00	$173.60–$412.30	—	33%
Lyme disease antibody test CPT 86618 TC BORRELIA BURGDORFERI AB (LYME DISEASE)	$44.22	$66.00	$17.03–$62.70	47% below	33%
Lyme disease antibody test CPT 86618 TC BORRELIA BURGDORFERI IGG ANTIBODY	$68.34	$102.00	$17.03–$96.90	17% below	33%
Lyme disease antibody test CPT 86618 TC BORRELIA BURGDORFERI IGM ANTIBODY	$68.34	$102.00	$17.03–$96.90	17% below	33%
Lyme disease antibody test inpatient CPT 86618 TC BORRELIA BURGDORFERI AB (LYME DISEASE)	$44.22	$66.00	$26.40–$62.70	—	33%
Lyme disease antibody test inpatient CPT 86618 TC BORRELIA BURGDORFERI IGM ANTIBODY	$68.34	$102.00	$40.80–$96.90	—	33%
Lyme disease antibody test inpatient CPT 86618 TC BORRELIA BURGDORFERI IGG ANTIBODY	$68.34	$102.00	$40.80–$96.90	—	33%
Magnesium blood test CPT 83735 TC MANGANESE REFERENCE TEST STONE	$34.84	$52.00	$6.70–$49.40	21% below	33%
Magnesium blood test CPT 83735 TC STONE RISK - MAGNESIUM URINE	$60.30	$90.00	$6.70–$85.50	37% above	33%
Magnesium blood test CPT 83735 TC MAGNESIUM-SERUM,URINE	$91.12	$136.00	$6.70–$129.20	107% above	33%
Magnesium blood test CPT 83735 TC MAGNESIUM - URINE	$91.12	$136.00	$6.70–$129.20	107% above	33%
Magnesium blood test inpatient CPT 83735 TC MANGANESE REFERENCE TEST STONE	$34.84	$52.00	$20.80–$49.40	—	33%
Magnesium blood test inpatient CPT 83735 TC STONE RISK - MAGNESIUM URINE	$60.30	$90.00	$36.00–$85.50	—	33%
Magnesium blood test inpatient CPT 83735 TC MAGNESIUM-SERUM,URINE	$91.12	$136.00	$54.40–$129.20	—	33%
Magnesium blood test inpatient CPT 83735 TC MAGNESIUM - URINE	$91.12	$136.00	$54.40–$129.20	—	33%
Measles (rubeola) antibody test CPT 86765 TC RUBEOLA IGM	$60.97	$91.00	$12.88–$86.45	99% above	33%
Measles (rubeola) antibody test CPT 86765 TC MEASLES IGG	$142.04	$212.00	$12.88–$201.40	365% above	33%
Measles (rubeola) antibody test inpatient CPT 86765 TC RUBEOLA IGM	$60.97	$91.00	$36.40–$86.45	—	33%
Measles (rubeola) antibody test inpatient CPT 86765 TC MEASLES IGG	$142.04	$212.00	$84.80–$201.40	—	33%
Mono test (heterophile antibody, Monospot) CPT 86308 TC MONONUCLEOSIS SCREEN	$129.98	$194.00	$5.18–$184.30	53% above	33%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 TC MONONUCLEOSIS SCREEN	$129.98	$194.00	$77.60–$184.30	—	33%
Mumps immunity blood test CPT 86735 TC MUMPS ANTIBODY	$38.19	$57.00	$13.05–$54.15	36% below	33%
Mumps immunity blood test CPT 86735 TC MUMPS VIRUS IGG	$46.90	$70.00	$13.05–$66.50	22% below	33%
Mumps immunity blood test CPT 86735 TC MUMPS VIRUS IGM	$46.90	$70.00	$13.05–$66.50	22% below	33%
Mumps immunity blood test inpatient CPT 86735 TC MUMPS ANTIBODY	$38.19	$57.00	$22.80–$54.15	—	33%
Mumps immunity blood test inpatient CPT 86735 TC MUMPS VIRUS IGM	$46.90	$70.00	$28.00–$66.50	—	33%
Mumps immunity blood test inpatient CPT 86735 TC MUMPS VIRUS IGG	$46.90	$70.00	$28.00–$66.50	—	33%
PSA (prostate-specific antigen) blood test, total CPT 84153 TC PROSTATE SPECIFIC ANTIGEN (PSA)	$60.30	$90.00	$18.39–$85.50	30% below	33%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 TC PROSTATE SPECIFIC ANTIGEN (PSA)	$60.30	$90.00	$36.00–$85.50	—	33%
Pap test (liquid-based, automated screening with review) CPT 88175 TC THINPREP PAP HPV MRNA E6/E7 CTNG; CYTOPATH, CERVICAL/VAGINAL, PRESERV FLUID, AUTO THIN LAYER PREP	$53.60	$80.00	$21.60–$76.00	27% below	33%
Pap test (liquid-based, automated screening with review) CPT 88175 TC THINPREP PAP HPV MRNA E6/E7 CTNG RFLX HPV 16,18/45; CYTOPATH, CERV/VAG, PRESERV FLUID, AUTOMATED	$53.60	$80.00	$21.60–$76.00	27% below	33%
Pap test (liquid-based, automated screening with review) CPT 88175 TC THINPREP PAP CTNG RFLX HPV MRNA E6/E7; CYTOPATH, CERV/VAG, PRESERV FLUID, AUTO THIN LAYER PREP	$60.97	$91.00	$24.57–$86.45	17% below	33%
Pap test (liquid-based, automated screening with review) CPT 88175 TC THINPREP PAP HPV DNA RFLX HPV 16,18; CYTOPATH, CERV/VAG, PRESER FLUID; BY INSTRU & REVIEW BY TECH	$72.36	$108.00	$26.61–$102.60	2% below	33%
Pap test (liquid-based, automated screening with review) CPT 88175 TC THINPREP PAP HPV MRNA E6/E7 RFLX HPV 16,18/45; CYTOPATH, CERV/VAG, PRESERV FLUID, AUTO THIN PREP	$75.04	$112.00	$26.61–$106.40	2% above	33%
Pap test (liquid-based, automated screening with review) CPT 88175 TC THINPREP PAP; CYTOPATHOLOGY, CERVICAL/VAGINAL, PRESERVATIVE FLUID, AUTOMATED THIN LAYER PREP	$121.94	$182.00	$26.61–$172.90	66% above	33%
Pap test (liquid-based, automated screening with review) CPT 88175 TC THINPREP PAP RFLX HPV MRNA E6/E7; CYTOPATH, CERVICAL/VAGINAL, PRESERV FLUID, AUTO THIN LAYER PREP	$123.28	$184.00	$26.61–$174.80	68% above	33%
Pap test (liquid-based, automated screening with review) CPT 88175 TC THINPREP PAP HPV MRNA E6/E7; CYTOPATH, CERVICAL/VAGINAL, PRESERV FLUID, AUTOMATED THIN LAYER PREP	$139.36	$208.00	$26.61–$197.60	90% above	33%
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 TC THINPREP PAP HPV MRNA E6/E7 CTNG; CYTOPATH, CERVICAL/VAGINAL, PRESERV FLUID, AUTO THIN LAYER PREP	$53.60	$80.00	$32.00–$76.00	—	33%
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 TC THINPREP PAP HPV MRNA E6/E7 CTNG RFLX HPV 16,18/45; CYTOPATH, CERV/VAG, PRESERV FLUID, AUTOMATED	$53.60	$80.00	$32.00–$76.00	—	33%
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 TC THINPREP PAP CTNG RFLX HPV MRNA E6/E7; CYTOPATH, CERV/VAG, PRESERV FLUID, AUTO THIN LAYER PREP	$60.97	$91.00	$36.40–$86.45	—	33%
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 TC THINPREP PAP HPV DNA RFLX HPV 16,18; CYTOPATH, CERV/VAG, PRESER FLUID; BY INSTRU & REVIEW BY TECH	$72.36	$108.00	$43.20–$102.60	—	33%
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 TC THINPREP PAP HPV MRNA E6/E7 RFLX HPV 16,18/45; CYTOPATH, CERV/VAG, PRESERV FLUID, AUTO THIN PREP	$75.04	$112.00	$44.80–$106.40	—	33%
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 TC THINPREP PAP; CYTOPATHOLOGY, CERVICAL/VAGINAL, PRESERVATIVE FLUID, AUTOMATED THIN LAYER PREP	$121.94	$182.00	$72.80–$172.90	—	33%
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 TC THINPREP PAP RFLX HPV MRNA E6/E7; CYTOPATH, CERVICAL/VAGINAL, PRESERV FLUID, AUTO THIN LAYER PREP	$123.28	$184.00	$73.60–$174.80	—	33%
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 TC THINPREP PAP HPV MRNA E6/E7; CYTOPATH, CERVICAL/VAGINAL, PRESERV FLUID, AUTOMATED THIN LAYER PREP	$139.36	$208.00	$83.20–$197.60	—	33%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 TC SUREPATH PAP; CYTOPATHOLOGY, CERVICAL/VAGINAL, PRESERVATIVE FLUID, AUTOMATED THIN LAYER PREP	$97.15	$145.00	$20.26–$137.75	12% above	33%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 TC CERVICAL SMEAR	$107.87	$161.00	$20.26–$152.95	25% above	33%
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 TC SUREPATH PAP; CYTOPATHOLOGY, CERVICAL/VAGINAL, PRESERVATIVE FLUID, AUTOMATED THIN LAYER PREP	$97.15	$145.00	$58.00–$137.75	—	33%
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 TC CERVICAL SMEAR	$107.87	$161.00	$64.40–$152.95	—	33%
Parathyroid hormone (PTH) blood test CPT 83970 TC PARATHYROID HORMONE (PTH)-INTACT	$243.21	$363.00	$41.28–$344.85	18% above	33%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 TC PARATHYROID HORMONE (PTH)-INTACT	$243.21	$363.00	$145.20–$344.85	—	33%
Partial thromboplastin time (PTT) clotting test CPT 85730 TC PARTIAL THROMBOPLASTIN TIME	$106.53	$159.00	$6.01–$151.05	113% above	33%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 TC PARTIAL THROMBOPLASTIN TIME	$106.53	$159.00	$63.60–$151.05	—	33%
Phosphorus (phosphate) blood test CPT 84100 TC PHOSPHORUS, INORGANIC	$62.31	$93.00	$4.74–$88.35	at median	33%
Phosphorus (phosphate) blood test inpatient CPT 84100 TC PHOSPHORUS, INORGANIC	$62.31	$93.00	$37.20–$88.35	—	33%
Potassium blood test CPT 84132 TC POTASSIUM (K) WHOLE BLOOD	$45.56	$68.00	$4.76–$64.60	24% below	33%
Potassium blood test CPT 84132 TC POTASSIUM (K), POCT	$57.62	$86.00	$4.76–$81.70	4% below	33%
Potassium blood test CPT 84132 TC POTASSIUM (K) SERUM	$57.62	$86.00	$4.76–$81.70	4% below	33%
Potassium blood test inpatient CPT 84132 TC POTASSIUM (K) WHOLE BLOOD	$45.56	$68.00	$27.20–$64.60	—	33%
Potassium blood test inpatient CPT 84132 TC POTASSIUM (K) SERUM	$57.62	$86.00	$34.40–$81.70	—	33%
Potassium blood test inpatient CPT 84132 TC POTASSIUM (K), POCT	$57.62	$86.00	$34.40–$81.70	—	33%
Progesterone blood test CPT 84144 TC ASSAY OF PROGESTERONE-ADULT	$83.75	$125.00	$20.86–$118.75	19% below	33%
Progesterone blood test CPT 84144 TC ASSAY OF PROGESTERONE-PEDIATRIC	$88.44	$132.00	$20.86–$125.40	14% below	33%
Progesterone blood test CPT 84144 TC PROGESTERONE	$93.13	$139.00	$20.86–$132.05	9% below	33%
Progesterone blood test inpatient CPT 84144 TC ASSAY OF PROGESTERONE-ADULT	$83.75	$125.00	$50.00–$118.75	—	33%
Progesterone blood test inpatient CPT 84144 TC ASSAY OF PROGESTERONE-PEDIATRIC	$88.44	$132.00	$52.80–$125.40	—	33%
Progesterone blood test inpatient CPT 84144 TC PROGESTERONE	$93.13	$139.00	$55.60–$132.05	—	33%
Prolactin blood test CPT 84146 TC PROLACTIN	$120.60	$180.00	$19.38–$171.00	9% above	33%
Prolactin blood test inpatient CPT 84146 TC PROLACTIN	$120.60	$180.00	$72.00–$171.00	—	33%
Prothrombin time (PT/INR) clotting test CPT 85610 TC INR WHOLE BLOOD; PROTHROMBIN TIME	$77.05	$115.00	$4.29–$109.25	68% above	33%
Prothrombin time (PT/INR) clotting test CPT 85610 TC PROTHROMBIN TIME	$99.16	$148.00	$4.29–$140.60	116% above	33%
Prothrombin time (PT/INR) clotting test CPT 85610 TC PROTHROMBIN TIME - LAB	$106.53	$159.00	$4.29–$151.05	132% above	33%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 TC INR WHOLE BLOOD; PROTHROMBIN TIME	$77.05	$115.00	$46.00–$109.25	—	33%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 TC PROTHROMBIN TIME	$99.16	$148.00	$59.20–$140.60	—	33%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 TC PROTHROMBIN TIME - LAB	$106.53	$159.00	$63.60–$151.05	—	33%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 TC DRUG OF ABUSE - SCREEN IN HOUSE	$160.13	$239.00	$12.60–$227.05	50% above	33%
Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 TC DRUG OF ABUSE - SCREEN IN HOUSE	$160.13	$239.00	$95.60–$227.05	—	33%
Rapid flu test (influenza antigen) CPT 87804 TC POCT INFLUENZA ASSAY W/DIRECT OPTIC OBSERVATION	$38.86	$58.00	$15.66–$55.10	58% below	33%
Rapid flu test (influenza antigen) inpatient CPT 87804 TC POCT INFLUENZA ASSAY W/DIRECT OPTIC OBSERVATION	$38.86	$58.00	$23.20–$55.10	—	33%
Renin blood test CPT 84244 TC RENIN ACTIVITY	$59.63	$89.00	$21.99–$84.55	42% below	33%
Renin blood test CPT 84244 TC RENIN, DIRECT	$66.33	$99.00	$21.99–$94.05	35% below	33%
Renin blood test inpatient CPT 84244 TC RENIN ACTIVITY	$59.63	$89.00	$35.60–$84.55	—	33%
Renin blood test inpatient CPT 84244 TC RENIN, DIRECT	$66.33	$99.00	$39.60–$94.05	—	33%
Rh blood typing CPT 86901 TC STAT RH BLOOD TYPING FOR TRANSPLANT	$19.43	$29.00	$2.99–$27.55	70% below	33%
Rh blood typing CPT 86901 TC TRANSPLANT RH BILL ONLY, BLOOD TYPING	$44.89	$67.00	$2.99–$63.65	30% below	33%
Rh blood typing CPT 86901 TC RH TYPE	$73.70	$110.00	$2.99–$104.50	15% above	33%
Rh blood typing inpatient CPT 86901 TC STAT RH BLOOD TYPING FOR TRANSPLANT	$19.43	$29.00	$11.60–$27.55	—	33%
Rh blood typing inpatient CPT 86901 TC TRANSPLANT RH BILL ONLY, BLOOD TYPING	$44.89	$67.00	$26.80–$63.65	—	33%
Rh blood typing inpatient CPT 86901 TC RH TYPE	$73.70	$110.00	$44.00–$104.50	—	33%
Rheumatoid factor (RF) test CPT 86431 TC RA TITRATION	$119.26	$178.00	$5.67–$169.10	161% above	33%
Rheumatoid factor (RF) test inpatient CPT 86431 TC RA TITRATION	$119.26	$178.00	$71.20–$169.10	—	33%
Rubella antibody test (immunity check) CPT 86762 TC RUBELLA IGM	$76.38	$114.00	$14.39–$108.30	66% above	33%
Rubella antibody test (immunity check) CPT 86762 TC RUBELLA IGG	$110.55	$165.00	$14.39–$156.75	140% above	33%
Rubella antibody test (immunity check) inpatient CPT 86762 TC RUBELLA IGM	$76.38	$114.00	$45.60–$108.30	—	33%
Rubella antibody test (immunity check) inpatient CPT 86762 TC RUBELLA IGG	$110.55	$165.00	$66.00–$156.75	—	33%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 TC SEDIMENTATION RATE AUTOMATED	$76.38	$114.00	$2.70–$108.30	25% above	33%
Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 TC SEDIMENTATION RATE AUTOMATED	$76.38	$114.00	$45.60–$108.30	—	33%
Semen analysis: volume, sperm count, motility and morphology CPT 89320 TC SEMEN ANALYSIS, VOLUME, COUNT, MOTILITY, AND DIFFERENTIAL	$43.55	$65.00	$17.55–$61.75	66% below	33%
Semen analysis: volume, sperm count, motility and morphology CPT 89320 TC SEMEN ANALYSIS, VOLUME, COUNT, MOTILITY & DIFFERENTIAL	$45.56	$68.00	$18.36–$64.60	65% below	33%
Semen analysis: volume, sperm count, motility and morphology inpatient CPT 89320 TC SEMEN ANALYSIS, VOLUME, COUNT, MOTILITY, AND DIFFERENTIAL	$43.55	$65.00	$26.00–$61.75	—	33%
Semen analysis: volume, sperm count, motility and morphology inpatient CPT 89320 TC SEMEN ANALYSIS, VOLUME, COUNT, MOTILITY & DIFFERENTIAL	$45.56	$68.00	$27.20–$64.60	—	33%
Sodium blood test CPT 84295 TC SODIUM (NA) WHOLE BLOOD	$40.87	$61.00	$4.81–$57.95	34% below	33%
Sodium blood test CPT 84295 TC SODIUM (NA) SERUM	$56.95	$85.00	$4.81–$80.75	8% below	33%
Sodium blood test CPT 84295 TC SODIUM (NA), POCT	$56.95	$85.00	$4.81–$80.75	8% below	33%
Sodium blood test inpatient CPT 84295 TC SODIUM (NA) WHOLE BLOOD	$40.87	$61.00	$24.40–$57.95	—	33%
Sodium blood test inpatient CPT 84295 TC SODIUM (NA), POCT	$56.95	$85.00	$34.00–$80.75	—	33%
Sodium blood test inpatient CPT 84295 TC SODIUM (NA) SERUM	$56.95	$85.00	$34.00–$80.75	—	33%
Stool ova and parasites exam CPT 87177 TC OP SMEAR/CONCENTRATION/IDENTIFICATION	$62.31	$93.00	$8.90–$88.35	9% below	33%
Stool ova and parasites exam CPT 87177 TC OVA & PARASITE CONCENTRATION	$79.73	$119.00	$8.90–$113.05	16% above	33%
Stool ova and parasites exam inpatient CPT 87177 TC OP SMEAR/CONCENTRATION/IDENTIFICATION	$62.31	$93.00	$37.20–$88.35	—	33%
Stool ova and parasites exam inpatient CPT 87177 TC OVA & PARASITE CONCENTRATION	$79.73	$119.00	$47.60–$113.05	—	33%
Stool test for hidden blood (guaiac FOBT) CPT 82270 TC HEMOCULT	$55.61	$83.00	$4.82–$78.85	46% above	33%
Stool test for hidden blood (guaiac FOBT) CPT 82270 TC OUTPT HEMOCCCULT CARDS (OCCULT-BL TEST)	$55.61	$83.00	$4.82–$78.85	46% above	33%
Stool test for hidden blood (guaiac FOBT) CPT 82270 TC OCCULT BLOOD - STOOL	$56.95	$85.00	$4.82–$80.75	49% above	33%
Stool test for hidden blood (guaiac FOBT) CPT 82270 TC BLOOD OCCULT, QUALITATIVE, FECES, CONSECUTIVE COLLECTION DETERMIN	$56.95	$85.00	$4.82–$80.75	49% above	33%
Stool test for hidden blood (guaiac FOBT) CPT 82270 TC OCCULT BLOOD - GASTRIC	$56.95	$85.00	$4.82–$80.75	49% above	33%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 TC OUTPT HEMOCCCULT CARDS (OCCULT-BL TEST)	$55.61	$83.00	$33.20–$78.85	—	33%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 TC HEMOCULT	$55.61	$83.00	$33.20–$78.85	—	33%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 TC BLOOD OCCULT, QUALITATIVE, FECES, CONSECUTIVE COLLECTION DETERMIN	$56.95	$85.00	$34.00–$80.75	—	33%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 TC OCCULT BLOOD - STOOL	$56.95	$85.00	$34.00–$80.75	—	33%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 TC OCCULT BLOOD - GASTRIC	$56.95	$85.00	$34.00–$80.75	—	33%
Syphilis antibody test (Treponema pallidum) CPT 86780 TC DONIVF; TREPONEMA PALLIDUM AB	$10.72	$16.00	$4.32–$23.17	76% below	33%
Syphilis antibody test (Treponema pallidum) CPT 86780 TC FTA-ABS-TREPONEMA PALLIDUM	$46.23	$69.00	$13.24–$65.55	5% above	33%
Syphilis antibody test (Treponema pallidum) CPT 86780 TC DONBM PNL-TREPONEMA PALLIDUM AB	$49.58	$74.00	$13.24–$70.30	12% above	33%
Syphilis antibody test (Treponema pallidum) CPT 86780 TC TREPONEMA PALLIDUM TOTAL ANTIBODY SCREEN	$105.86	$158.00	$13.24–$150.10	139% above	33%
Syphilis antibody test (Treponema pallidum) CPT 86780 TC MHA-TP-TREPONEMA PALLIDUM	$108.54	$162.00	$13.24–$153.90	145% above	33%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 TC DONIVF; TREPONEMA PALLIDUM AB	$10.72	$16.00	$6.40–$15.20	—	33%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 TC FTA-ABS-TREPONEMA PALLIDUM	$46.23	$69.00	$27.60–$65.55	—	33%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 TC DONBM PNL-TREPONEMA PALLIDUM AB	$49.58	$74.00	$29.60–$70.30	—	33%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 TC TREPONEMA PALLIDUM TOTAL ANTIBODY SCREEN	$105.86	$158.00	$63.20–$150.10	—	33%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 TC MHA-TP-TREPONEMA PALLIDUM	$108.54	$162.00	$64.80–$153.90	—	33%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 TC VDRL QUAL	$81.74	$122.00	$4.27–$115.90	100% above	33%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 TC RPR (RAPID PLASMA REAGIN) QUAL	$81.74	$122.00	$4.27–$115.90	100% above	33%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 TC RPR (RAPID PLASMA REAGIN) QUAL	$81.74	$122.00	$48.80–$115.90	—	33%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 TC VDRL QUAL	$81.74	$122.00	$48.80–$115.90	—	33%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 TC QUANTIFERON IN-TUBE TEST, TB	$204.35	$305.00	$61.98–$289.75	4% above	33%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 TC QUANTIFERON TB GOLD	$240.53	$359.00	$61.98–$341.05	22% above	33%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 TC TB TEST, CELL MEDIATED IMMUNITY ANTIGEN RESPONSE MEASURE; GAMMA INTERFERON, QUANTIFERON TBGOLD PL	$259.29	$387.00	$61.98–$367.65	31% above	33%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 TC QUANTIFERON IN-TUBE TEST, TB	$204.35	$305.00	$122.00–$289.75	—	33%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 TC QUANTIFERON TB GOLD	$240.53	$359.00	$143.60–$341.05	—	33%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 TC TB TEST, CELL MEDIATED IMMUNITY ANTIGEN RESPONSE MEASURE; GAMMA INTERFERON, QUANTIFERON TBGOLD PL	$259.29	$387.00	$154.80–$367.65	—	33%
Testosterone blood test, total (not free testosterone) CPT 84403 TC TESTOSTERONE FREE-TESTOSTERONE TOTAL	$79.73	$119.00	$25.81–$113.05	20% below	33%
Testosterone blood test, total (not free testosterone) CPT 84403 TC TESTOSTERONE	$104.52	$156.00	$25.81–$148.20	5% above	33%
Testosterone blood test, total (not free testosterone) CPT 84403 TC TESTOSTERONE, TOTAL - SERUM	$104.52	$156.00	$25.81–$148.20	5% above	33%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TC TESTOSTERONE FREE-TESTOSTERONE TOTAL	$79.73	$119.00	$47.60–$113.05	—	33%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TC TESTOSTERONE, TOTAL - SERUM	$104.52	$156.00	$62.40–$148.20	—	33%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TC TESTOSTERONE	$104.52	$156.00	$62.40–$148.20	—	33%
Thyroid peroxidase (TPO) antibody test CPT 86376 TC ANTI THYROID ANTIBODY	$71.02	$106.00	$14.55–$100.70	15% below	33%
Thyroid peroxidase (TPO) antibody test CPT 86376 TC ANTI-THYROID PEROXIDASE	$78.39	$117.00	$14.55–$111.15	6% below	33%
Thyroid peroxidase (TPO) antibody test CPT 86376 TC CHRONIC URTICARIA-MICROSOMAL ANTIBODY, EACH	$95.81	$143.00	$14.55–$135.85	15% above	33%
Thyroid peroxidase (TPO) antibody test CPT 86376 TC LIVER/KIDNEY/MICROSOME ANTIBODY	$97.15	$145.00	$14.55–$137.75	16% above	33%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 TC ANTI THYROID ANTIBODY	$71.02	$106.00	$42.40–$100.70	—	33%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 TC ANTI-THYROID PEROXIDASE	$78.39	$117.00	$46.80–$111.15	—	33%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 TC CHRONIC URTICARIA-MICROSOMAL ANTIBODY, EACH	$95.81	$143.00	$57.20–$135.85	—	33%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 TC LIVER/KIDNEY/MICROSOME ANTIBODY	$97.15	$145.00	$58.00–$137.75	—	33%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TC TSH 3RD GENERATION	$60.97	$91.00	$16.80–$86.45	45% below	33%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TC CHRONIC URTICARIA-THYROID STIMULATING HORMONE (TSH)	$171.52	$256.00	$16.80–$243.20	56% above	33%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TC TSH - LAB	$198.32	$296.00	$16.80–$281.20	80% above	33%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TC TSH 3RD GENERATION	$60.97	$91.00	$36.40–$86.45	—	33%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TC CHRONIC URTICARIA-THYROID STIMULATING HORMONE (TSH)	$171.52	$256.00	$102.40–$243.20	—	33%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TC TSH - LAB	$198.32	$296.00	$118.40–$281.20	—	33%
Total IgE blood test CPT 82785 TC RAST SCREEN WITH IGE	$123.28	$184.00	$16.46–$174.80	51% above	33%
Total IgE blood test CPT 82785 TC IMMUNE GLOBULIN-E	$187.60	$280.00	$16.46–$266.00	130% above	33%
Total IgE blood test CPT 82785 TC ASPERGILLUS IGE	$226.46	$338.00	$16.46–$321.10	178% above	33%
Total IgE blood test inpatient CPT 82785 TC RAST SCREEN WITH IGE	$123.28	$184.00	$73.60–$174.80	—	33%
Total IgE blood test inpatient CPT 82785 TC IMMUNE GLOBULIN-E	$187.60	$280.00	$112.00–$266.00	—	33%
Total IgE blood test inpatient CPT 82785 TC ASPERGILLUS IGE	$226.46	$338.00	$135.20–$321.10	—	33%
Total cholesterol blood test CPT 82465 TC CHOLESTEROL, SERUM OR WHOLE BLOOD;TOTAL REFERENCE TEST BCM 4900	$35.51	$53.00	$4.35–$50.35	36% below	33%
Total cholesterol blood test CPT 82465 TC CHOLESTEROL, SERUM, TOTAL REFERENCE TEST 92145	$43.55	$65.00	$4.35–$61.75	22% below	33%
Total cholesterol blood test CPT 82465 TC CHOLESTEROL REFERENCE TEST GLOMAC	$44.22	$66.00	$4.35–$62.70	21% below	33%
Total cholesterol blood test CPT 82465 TC CHOLESTEROL,SERUM, TOTAL REFERENCE TEST LIPOP	$59.63	$89.00	$4.35–$84.55	7% above	33%
Total cholesterol blood test CPT 82465 TC CHOLESTEROL-TOTAL	$65.66	$98.00	$4.35–$93.10	18% above	33%
Total cholesterol blood test inpatient CPT 82465 TC CHOLESTEROL, SERUM OR WHOLE BLOOD;TOTAL REFERENCE TEST BCM 4900	$35.51	$53.00	$21.20–$50.35	—	33%
Total cholesterol blood test inpatient CPT 82465 TC CHOLESTEROL, SERUM, TOTAL REFERENCE TEST 92145	$43.55	$65.00	$26.00–$61.75	—	33%
Total cholesterol blood test inpatient CPT 82465 TC CHOLESTEROL REFERENCE TEST GLOMAC	$44.22	$66.00	$26.40–$62.70	—	33%
Total cholesterol blood test inpatient CPT 82465 TC CHOLESTEROL,SERUM, TOTAL REFERENCE TEST LIPOP	$59.63	$89.00	$35.60–$84.55	—	33%
Total cholesterol blood test inpatient CPT 82465 TC CHOLESTEROL-TOTAL	$65.66	$98.00	$39.20–$93.10	—	33%
Total thyroxine (T4) blood test CPT 84436 TC THYROXIN BINDING-THYROXINE TOTAL	$101.84	$152.00	$6.87–$144.40	27% above	33%
Total thyroxine (T4) blood test CPT 84436 TC T4 (TOTAL T4)	$103.18	$154.00	$6.87–$146.30	29% above	33%
Total thyroxine (T4) blood test inpatient CPT 84436 TC THYROXIN BINDING-THYROXINE TOTAL	$101.84	$152.00	$60.80–$144.40	—	33%
Total thyroxine (T4) blood test inpatient CPT 84436 TC T4 (TOTAL T4)	$103.18	$154.00	$61.60–$146.30	—	33%
Total triiodothyronine (T3) blood test CPT 84480 TC FREE T3 - T3 TOTAL	$119.93	$179.00	$14.18–$170.05	4% below	33%
Total triiodothyronine (T3) blood test CPT 84480 TC T3 (TOTAL T3)	$140.03	$209.00	$14.18–$198.55	12% above	33%
Total triiodothyronine (T3) blood test inpatient CPT 84480 TC FREE T3 - T3 TOTAL	$119.93	$179.00	$71.60–$170.05	—	33%
Total triiodothyronine (T3) blood test inpatient CPT 84480 TC T3 (TOTAL T3)	$140.03	$209.00	$83.60–$198.55	—	33%
Transferrin blood test CPT 84466 TC TRANSFERRIN	$89.78	$134.00	$12.76–$127.30	25% below	33%
Transferrin blood test inpatient CPT 84466 TC TRANSFERRIN	$89.78	$134.00	$53.60–$127.30	—	33%
Trichomonas test (NAAT) CPT 87661 TC SURESWAB VAGINOSIS/VAGINITIS PLUS; INFECTIOUS AGENT DNA/RNA, T VAGINALIS	$110.55	$165.00	$35.09–$156.75	26% above	33%
Trichomonas test (NAAT) CPT 87661 TC SURESWAB BACTERIAL VAGINOSIS/VAGINITIS; INFECTIOUS AGENT DNA/RNA; T VAGINALIS	$113.23	$169.00	$35.09–$160.55	29% above	33%
Trichomonas test (NAAT) inpatient CPT 87661 TC SURESWAB VAGINOSIS/VAGINITIS PLUS; INFECTIOUS AGENT DNA/RNA, T VAGINALIS	$110.55	$165.00	$66.00–$156.75	—	33%
Trichomonas test (NAAT) inpatient CPT 87661 TC SURESWAB BACTERIAL VAGINOSIS/VAGINITIS; INFECTIOUS AGENT DNA/RNA; T VAGINALIS	$113.23	$169.00	$67.60–$160.55	—	33%
Triglycerides blood test CPT 84478 TC TRIGLYCERIDES REFERENCE TEST 92145	$54.27	$81.00	$5.74–$76.95	21% below	33%
Triglycerides blood test CPT 84478 TC TRIGLYCERIDES, REFERENCE TEST, LIPOP	$74.37	$111.00	$5.74–$105.45	8% above	33%
Triglycerides blood test CPT 84478 TC VAP CHOLESTEROL TRICLYERIDES	$88.44	$132.00	$5.74–$125.40	28% above	33%
Triglycerides blood test CPT 84478 TC TRIGLYCERIDE	$113.90	$170.00	$5.74–$161.50	65% above	33%
Triglycerides blood test inpatient CPT 84478 TC TRIGLYCERIDES REFERENCE TEST 92145	$54.27	$81.00	$32.40–$76.95	—	33%
Triglycerides blood test inpatient CPT 84478 TC TRIGLYCERIDES, REFERENCE TEST, LIPOP	$74.37	$111.00	$44.40–$105.45	—	33%
Triglycerides blood test inpatient CPT 84478 TC VAP CHOLESTEROL TRICLYERIDES	$88.44	$132.00	$52.80–$125.40	—	33%
Triglycerides blood test inpatient CPT 84478 TC TRIGLYCERIDE	$113.90	$170.00	$68.00–$161.50	—	33%
Troponin test, quantitative CPT 84484 TC HIGH SENSITIVE TROPONIN I	$107.87	$161.00	$12.47–$152.95	5% below	33%
Troponin test, quantitative CPT 84484 TC TROPONIN I QUANT	$186.93	$279.00	$12.47–$265.05	64% above	33%
Troponin test, quantitative CPT 84484 TC ASSAY OF TROPONIN I QUANT	$229.81	$343.00	$12.47–$325.85	102% above	33%
Troponin test, quantitative inpatient CPT 84484 TC HIGH SENSITIVE TROPONIN I	$107.87	$161.00	$64.40–$152.95	—	33%
Troponin test, quantitative inpatient CPT 84484 TC TROPONIN I QUANT	$186.93	$279.00	$111.60–$265.05	—	33%
Troponin test, quantitative inpatient CPT 84484 TC ASSAY OF TROPONIN I QUANT	$229.81	$343.00	$137.20–$325.85	—	33%
Uric acid blood test CPT 84550 TC URIC ACID; BLOOD REFERENCE TEST BCM 4900	$35.51	$53.00	$4.52–$50.35	55% below	33%
Uric acid blood test CPT 84550 TC URIC ACID - SERUM	$69.68	$104.00	$4.52–$98.80	11% below	33%
Uric acid blood test inpatient CPT 84550 TC URIC ACID; BLOOD REFERENCE TEST BCM 4900	$35.51	$53.00	$21.20–$50.35	—	33%
Uric acid blood test inpatient CPT 84550 TC URIC ACID - SERUM	$69.68	$104.00	$41.60–$98.80	—	33%
Urinalysis with microscope exam, automated CPT 81001 TC URINE DIP STICK/TABLET, AUTO W/MICRO	$156.11	$233.00	$3.17–$221.35	67% above	33%
Urinalysis with microscope exam, automated inpatient CPT 81001 TC URINE DIP STICK/TABLET, AUTO W/MICRO	$156.11	$233.00	$93.20–$221.35	—	33%
Urinalysis without microscope exam, automated CPT 81003 TC URINE DIP STIK/TABLET,W/O MICRO AUTO	$83.75	$125.00	$2.25–$118.75	73% above	33%
Urinalysis without microscope exam, automated CPT 81003 TC URINALYSIS DIP STICK/TABLET, AUTOMATIC W/O MICROSCOPY	$83.75	$125.00	$2.25–$118.75	73% above	33%
Urinalysis without microscope exam, automated inpatient CPT 81003 TC URINE DIP STIK/TABLET,W/O MICRO AUTO	$83.75	$125.00	$50.00–$118.75	—	33%
Urinalysis without microscope exam, automated inpatient CPT 81003 TC URINALYSIS DIP STICK/TABLET, AUTOMATIC W/O MICROSCOPY	$83.75	$125.00	$50.00–$118.75	—	33%
Urinalysis without microscope exam, manual CPT 81002 TC URINE DIP STICK	$84.42	$126.00	$3.48–$119.70	181% above	33%
Urinalysis without microscope exam, manual CPT 81002 TC OUTPT URINE DIPSTICK	$85.76	$128.00	$3.48–$121.60	186% above	33%
Urinalysis without microscope exam, manual CPT 81002 TC SPECIFIC GRAVITY URINE-NON-AUTOMATED	$85.76	$128.00	$3.48–$121.60	186% above	33%
Urinalysis without microscope exam, manual CPT 81002 TC URINALYSIS DIP STICK/TABLET, NON-AUTOMATIC W/O MICROSCOPY	$85.76	$128.00	$3.48–$121.60	186% above	33%
Urinalysis without microscope exam, manual inpatient CPT 81002 TC URINE DIP STICK	$84.42	$126.00	$50.40–$119.70	—	33%
Urinalysis without microscope exam, manual inpatient CPT 81002 TC OUTPT URINE DIPSTICK	$85.76	$128.00	$51.20–$121.60	—	33%
Urinalysis without microscope exam, manual inpatient CPT 81002 TC SPECIFIC GRAVITY URINE-NON-AUTOMATED	$85.76	$128.00	$51.20–$121.60	—	33%
Urinalysis without microscope exam, manual inpatient CPT 81002 TC URINALYSIS DIP STICK/TABLET, NON-AUTOMATIC W/O MICROSCOPY	$85.76	$128.00	$51.20–$121.60	—	33%
Urine culture for bacteria, with colony count CPT 87086 TC CULTURE, BACTERIAL, QUANTITATIVE COLONY COUNT, URINE	$93.13	$139.00	$8.07–$132.05	28% below	33%
Urine culture for bacteria, with colony count CPT 87086 TC CULTURE - URINE QUANT	$115.91	$173.00	$8.07–$164.35	10% below	33%
Urine culture for bacteria, with colony count inpatient CPT 87086 TC CULTURE, BACTERIAL, QUANTITATIVE COLONY COUNT, URINE	$93.13	$139.00	$55.60–$132.05	—	33%
Urine culture for bacteria, with colony count inpatient CPT 87086 TC CULTURE - URINE QUANT	$115.91	$173.00	$69.20–$164.35	—	33%
Urine microalbumin (albumin) test CPT 82043 TC URINE MICROALBUMIN - POCT QUANT	$39.53	$59.00	$5.78–$56.05	22% below	33%
Urine microalbumin (albumin) test CPT 82043 TC ALBUMIN, URINE, MICROALBUMIN, QUANTITATIVE	$58.96	$88.00	$5.78–$83.60	16% above	33%
Urine microalbumin (albumin) test CPT 82043 TC MICROALBUMIN QUANTITATIVE	$113.23	$169.00	$5.78–$160.55	122% above	33%
Urine microalbumin (albumin) test inpatient CPT 82043 TC URINE MICROALBUMIN - POCT QUANT	$39.53	$59.00	$23.60–$56.05	—	33%
Urine microalbumin (albumin) test inpatient CPT 82043 TC ALBUMIN, URINE, MICROALBUMIN, QUANTITATIVE	$58.96	$88.00	$35.20–$83.60	—	33%
Urine microalbumin (albumin) test inpatient CPT 82043 TC MICROALBUMIN QUANTITATIVE	$113.23	$169.00	$67.60–$160.55	—	33%
Urine pregnancy test, read by color change CPT 81025 TC URINE PREGNANCY TEST	$142.04	$212.00	$8.61–$201.40	75% above	33%
Urine pregnancy test, read by color change CPT 81025 TC URINE PREGNANCY TEST, BY VISUAL COLOR COMPARISON METHODS	$150.75	$225.00	$8.61–$213.75	86% above	33%
Urine pregnancy test, read by color change CPT 81025 TC PREGNANCY TEST - URINE	$150.75	$225.00	$8.61–$213.75	86% above	33%
Urine pregnancy test, read by color change inpatient CPT 81025 TC URINE PREGNANCY TEST	$142.04	$212.00	$84.80–$201.40	—	33%
Urine pregnancy test, read by color change inpatient CPT 81025 TC URINE PREGNANCY TEST, BY VISUAL COLOR COMPARISON METHODS	$150.75	$225.00	$90.00–$213.75	—	33%
Urine pregnancy test, read by color change inpatient CPT 81025 TC PREGNANCY TEST - URINE	$150.75	$225.00	$90.00–$213.75	—	33%
Vitamin B12 (cobalamin) blood test CPT 82607 TC VITAMIN B12	$54.27	$81.00	$15.08–$76.95	40% below	33%
Vitamin B12 (cobalamin) blood test CPT 82607 TC VITAMIN B12, CYANOCOBALAMIN	$58.29	$87.00	$15.08–$82.65	36% below	33%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 TC VITAMIN B12	$54.27	$81.00	$32.40–$76.95	—	33%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 TC VITAMIN B12, CYANOCOBALAMIN	$58.29	$87.00	$34.80–$82.65	—	33%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 TC VITAMIN D (25 HYDROXY)	$174.87	$261.00	$29.60–$247.95	47% above	33%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 TC VITAMIN D (25 HYDROXY)	$174.87	$261.00	$104.40–$247.95	—	33%
Vitamin D, 1,25-dihydroxy blood test CPT 82652 TC VITAMIN D 1,25 DIHYDROXYLASE	$113.90	$170.00	$38.50–$161.50	26% below	33%
Vitamin D, 1,25-dihydroxy blood test CPT 82652 TC VITAMIN D1, 25 DIHYDROXY	$199.66	$298.00	$38.50–$283.10	30% above	33%
Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 TC VITAMIN D 1,25 DIHYDROXYLASE	$113.90	$170.00	$68.00–$161.50	—	33%
Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 TC VITAMIN D1, 25 DIHYDROXY	$199.66	$298.00	$119.20–$283.10	—	33%
Zinc blood test CPT 84630 TC ZINC-URINE	$48.91	$73.00	$11.39–$69.35	28% below	33%
Zinc blood test CPT 84630 TC ZINC-SERUM	$50.25	$75.00	$11.39–$71.25	26% below	33%
Zinc blood test inpatient CPT 84630 TC ZINC-URINE	$48.91	$73.00	$29.20–$69.35	—	33%
Zinc blood test inpatient CPT 84630 TC ZINC-SERUM	$50.25	$75.00	$30.00–$71.25	—	33%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 TC BETA HCG,CSF QUANTITATIVE (TUMOR MARKER)	$82.41	$123.00	$15.05–$116.85	27% below	33%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 TC PREGNANCY TEST SERUM QUANT	$205.69	$307.00	$15.05–$291.65	83% above	33%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 TC HUMAN CHORIONIC GONADOTROPIN - CSF QUANT	$215.07	$321.00	$15.05–$304.95	91% above	33%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 TC BETA HCG,CSF QUANTITATIVE (TUMOR MARKER)	$82.41	$123.00	$49.20–$116.85	—	33%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 TC PREGNANCY TEST SERUM QUANT	$205.69	$307.00	$122.80–$291.65	—	33%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 TC HUMAN CHORIONIC GONADOTROPIN - CSF QUANT	$215.07	$321.00	$128.40–$304.95	—	33%

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs Texas	Off list
Botox injections for chronic migraine both sides CPT 64615 TC CHEMODENERVATION OF FACE/NECK MUSCLE FOR MIGRAINE, BILATERAL	$677.37	$1,011.00	$59.25–$960.45	—	33%
Botox injections for chronic migraine CPT 64615 TC MASSETER/TEMPORALIS BOTOX INJECTION	$1,742.00	$2,600.00	$59.25–$2,470.00	213% above	33%
Botox injections for chronic migraine inpatient both sides CPT 64615 TC CHEMODENERVATION OF FACE/NECK MUSCLE FOR MIGRAINE, BILATERAL	$677.37	$1,011.00	$404.40–$960.45	—	33%
Botox injections for chronic migraine inpatient CPT 64615 TC MASSETER/TEMPORALIS BOTOX INJECTION	$1,742.00	$2,600.00	$1,040.00–$2,470.00	—	33%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 TC BIOPSY BREAST, W/ STEREOTACTIC GUIDE, 1ST LESION	$1,367.47	$2,041.00	$486.45–$1,938.95	61% below	33%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 TC BIOPSY BREAST, W/ STEREOTACTIC GUIDE, 1ST LESION	$1,367.47	$2,041.00	$816.40–$1,938.95	—	33%
Cardiac catheterization with coronary angiogram one side CPT 93458 TC CORONARIES & LHC (+/- LT ANGIOS)	$8,848.69	$13,207.00	$3,565.89–$12,546.65	16% below	33%
Cardiac catheterization with coronary angiogram inpatient one side CPT 93458 TC CORONARIES & LHC (+/- LT ANGIOS)	$8,848.69	$13,207.00	$5,282.80–$12,546.65	—	33%
Cardioversion, elective (restoring heart rhythm) CPT 92960 TC EXTERN CARDIOVERSION ELECTIVE ELECTRICAL	$3,648.15	$5,445.00	$1,470.15–$5,172.75	174% above	33%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 TC EXTERN CARDIOVERSION ELECTIVE ELECTRICAL	$3,648.15	$5,445.00	$2,178.00–$5,172.75	—	33%
Catheter ablation for atrial fibrillation one side CPT 93656 TC INDUCT OR ATTEMPT OF ARRHYTHMIA INCLD LT/RT PACE & ABLATION OF AFIB BY PULM VEIN ISOLATION W/ EP EVAL, 3D MAP W/ IMAG S&I	$47,104.35	$70,305.00	$18,982.35–$66,789.75	55% above	33%
Catheter ablation for atrial fibrillation inpatient one side CPT 93656 TC INDUCT OR ATTEMPT OF ARRHYTHMIA INCLD LT/RT PACE & ABLATION OF AFIB BY PULM VEIN ISOLATION W/ EP EVAL, 3D MAP W/ IMAG S&I	$47,104.35	$70,305.00	$28,122.00–$66,789.75	—	33%
Cervical biopsy CPT 57500 TC BIOPSY CERVIX, 1 OR MORE, OR EXCISION OF LESION	$237.85	$355.00	$91.36–$337.25	79% below	33%
Cervical biopsy inpatient CPT 57500 TC BIOPSY CERVIX, 1 OR MORE, OR EXCISION OF LESION	$237.85	$355.00	$142.00–$337.25	—	33%
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 TC CIRCUMCISION -NEWBORN ONLY	$1,216.05	$1,815.00	$490.05–$1,724.25	1% below	33%
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 TC CIRCUMCISION USE CLAMP OR OTHER DEVICE W/REGIONAL DORSAL PENILE OR RING BLOCK	$1,223.42	$1,826.00	$493.02–$1,734.70	at median	33%
Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 TC CIRCUMCISION -NEWBORN ONLY	$1,216.05	$1,815.00	$726.00–$1,724.25	—	33%
Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 TC CIRCUMCISION USE CLAMP OR OTHER DEVICE W/REGIONAL DORSAL PENILE OR RING BLOCK	$1,223.42	$1,826.00	$730.40–$1,734.70	—	33%
Colposcopy with LEEP (loop electrosurgical excision) CPT 57460 TC COLPOSCOPY,CERVIX W/ADJ VAG,W/LOOP BX	$1,114.21	$1,663.00	$174.42–$1,579.85	68% below	33%
Colposcopy with LEEP (loop electrosurgical excision) inpatient CPT 57460 TC COLPOSCOPY,CERVIX W/ADJ VAG,W/LOOP BX	$1,114.21	$1,663.00	$665.20–$1,579.85	—	33%
Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 TC COLPOSC,CERVIX W/ADJ VAG,W/BX & CURRETAG	$178.89	$267.00	$65.06–$253.65	39% below	33%
Colposcopy with cervical biopsy and scraping of the cervical canal inpatient CPT 57454 TC COLPOSC,CERVIX W/ADJ VAG,W/BX & CURRETAG	$178.89	$267.00	$106.80–$253.65	—	33%
Coronary stent placement, one artery CPT 92928 TC CORONARY STENT(S) W/ ANGIOPLASTY; SINGLE CORONARY ARTERY/BRANCH	$14,218.74	$21,222.00	$5,729.94–$20,160.90	22% above	33%
Coronary stent placement, one artery inpatient CPT 92928 TC CORONARY STENT(S) W/ ANGIOPLASTY; SINGLE CORONARY ARTERY/BRANCH	$14,218.74	$21,222.00	$8,488.80–$20,160.90	—	33%
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 TC CYSTOURETHROSCOPY	$693.45	$1,035.00	$238.15–$983.25	39% below	33%
Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 TC CYSTOURETHROSCOPY	$693.45	$1,035.00	$414.00–$983.25	—	33%
D&C (dilation and curettage), not related to pregnancy CPT 58120 TC DILATION/CURETTAGE,DIAGNOSTIC	$337.01	$503.00	$135.81–$4,558.00	92% below	33%
D&C (dilation and curettage), not related to pregnancy inpatient CPT 58120 TC DILATION/CURETTAGE,DIAGNOSTIC	$337.01	$503.00	$201.20–$477.85	—	33%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 TC DESTRUCTION PREMALIGNANT LESION, FIRST LESION	$50.25	$75.00	$20.25–$71.25	75% below	33%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 TC DESTRUCTION PREMALIGNANT LESION, FIRST LESION	$50.25	$75.00	$30.00–$71.25	—	33%
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 TC BIOPSY OF UTERUS LINING	$123.28	$184.00	$45.96–$174.80	67% below	33%
Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 TC BIOPSY OF UTERUS LINING	$123.28	$184.00	$73.60–$174.80	—	33%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 TC CT GUIDED INJ FACET JOINT LUMB/SAC, SNGL LVL	$1,734.63	$2,589.00	$340.77–$2,459.55	at median	33%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 TC INJ FACET JOINT LUMB/SAC, SNGL LVL	$1,735.97	$2,591.00	$340.77–$2,461.45	at median	33%
Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 TC CT GUIDED INJ FACET JOINT LUMB/SAC, SNGL LVL	$1,734.63	$2,589.00	$1,035.60–$2,459.55	—	33%
Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 TC INJ FACET JOINT LUMB/SAC, SNGL LVL	$1,735.97	$2,591.00	$1,036.40–$2,461.45	—	33%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 TC SONOHYSTEROGRAPY OR HYSTEROSALPINGOGRAPHY INFUSION	$741.69	$1,107.00	$298.89–$1,051.65	97% above	33%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 TC CATH/INJECT HYSTEROSALPINGOGRAM	$775.86	$1,158.00	$312.66–$1,100.10	106% above	33%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 TC SONOHYSTEROGRAPY OR HYSTEROSALPINGOGRAPHY INFUSION	$741.69	$1,107.00	$442.80–$1,051.65	—	33%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 TC CATH/INJECT HYSTEROSALPINGOGRAM	$775.86	$1,158.00	$463.20–$1,100.10	—	33%
Hysteroscopy with endometrial ablation CPT 58563 TC HYSTEROSCOPY,W/ENDOMETRIAL ABLATION	$1,752.72	$2,616.00	$706.32–$7,878.00	70% below	33%
Hysteroscopy with endometrial ablation inpatient CPT 58563 TC HYSTEROSCOPY,W/ENDOMETRIAL ABLATION	$1,752.72	$2,616.00	$1,046.40–$2,485.20	—	33%
Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 TC HYSTEROSCOPY,W/ENDO BX	$2,015.36	$3,008.00	$812.16–$4,558.00	58% below	33%
Hysteroscopy with uterine lining sampling and/or polyp removal inpatient CPT 58558 TC HYSTEROSCOPY,W/ENDO BX	$2,015.36	$3,008.00	$1,203.20–$2,857.60	—	33%
Incision and drainage of a simple or single skin abscess CPT 10060 TC INCISION & DRAINAGE OF ABCESS SIMPLE OR SINGLE	$339.02	$506.00	$65.06–$480.70	24% below	33%
Incision and drainage of a simple or single skin abscess CPT 10060 TC INCISION & DRAINAGE-SIMPLE	$340.36	$508.00	$65.06–$482.60	24% below	33%
Incision and drainage of a simple or single skin abscess CPT 10060 TC INCISION AND DRAINAGE OF ABSCESS - SIMPLE	$676.03	$1,009.00	$65.06–$958.55	51% above	33%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 TC INCISION & DRAINAGE OF ABCESS SIMPLE OR SINGLE	$339.02	$506.00	$202.40–$480.70	—	33%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 TC INCISION & DRAINAGE-SIMPLE	$340.36	$508.00	$203.20–$482.60	—	33%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 TC INCISION AND DRAINAGE OF ABSCESS - SIMPLE	$676.03	$1,009.00	$403.60–$958.55	—	33%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 TC INJ SINGLE TENDON SHEATH (CT)	$781.22	$1,166.00	$23.54–$1,107.70	94% above	33%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 TC INJ SINGLE TENDON SHEATH (US)	$782.56	$1,168.00	$23.54–$1,109.60	94% above	33%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 TC INJ SINGLE TENDON SHEATH (R/F)	$782.56	$1,168.00	$23.54–$1,109.60	94% above	33%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 TC INJ SINGLE TENDON SHEATH	$782.56	$1,168.00	$23.54–$1,109.60	94% above	33%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 TC INJ SINGLE TENDON SHEATH (CT)	$781.22	$1,166.00	$466.40–$1,107.70	—	33%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 TC INJ SINGLE TENDON SHEATH (US)	$782.56	$1,168.00	$467.20–$1,109.60	—	33%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 TC INJ SINGLE TENDON SHEATH	$782.56	$1,168.00	$467.20–$1,109.60	—	33%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 TC INJ SINGLE TENDON SHEATH (R/F)	$782.56	$1,168.00	$467.20–$1,109.60	—	33%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 TC ARTHROCENTESIS ASPIR INJ MAJOR JT BURSA W/O US	$732.31	$1,093.00	$27.96–$1,038.35	24% above	33%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 TC ARTHROCENTESIS/ASPIRATION & OR INJ LRG JOINT WITHOUT US GUIDE (IR)	$1,299.13	$1,939.00	$27.96–$1,842.05	119% above	33%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 TC ASPIRATION/INJECTION MAJOR JOINT/BURSA, SHOULDER/KNEE/HIP/SUB	$1,300.47	$1,941.00	$27.96–$1,843.95	120% above	33%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 TC ARTHROCENTESIS/ASPIRATION & OR INJ LRG JOINT WITHOUT US GUIDE (CT)	$1,300.47	$1,941.00	$27.96–$1,843.95	120% above	33%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 TC ARTHROCENTESIS/ASPIRATION & OR INJ LRG JOINT WITHOUT US GUIDE (R/F)	$1,300.47	$1,941.00	$27.96–$1,843.95	120% above	33%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 TC ARTHROCENTESIS ASPIR INJ MAJOR JT BURSA W/O US	$732.31	$1,093.00	$437.20–$1,038.35	—	33%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 TC ARTHROCENTESIS/ASPIRATION & OR INJ LRG JOINT WITHOUT US GUIDE (IR)	$1,299.13	$1,939.00	$775.60–$1,842.05	—	33%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 TC ARTHROCENTESIS/ASPIRATION & OR INJ LRG JOINT WITHOUT US GUIDE (R/F)	$1,300.47	$1,941.00	$776.40–$1,843.95	—	33%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 TC ASPIRATION/INJECTION MAJOR JOINT/BURSA, SHOULDER/KNEE/HIP/SUB	$1,300.47	$1,941.00	$776.40–$1,843.95	—	33%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 TC ARTHROCENTESIS/ASPIRATION & OR INJ LRG JOINT WITHOUT US GUIDE (CT)	$1,300.47	$1,941.00	$776.40–$1,843.95	—	33%
Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 TC INSERTION DRUG IMPLANT DEVICE	$142.04	$212.00	$46.38–$201.40	41% below	33%
Insertion of a drug-delivery implant, such as the arm birth control implant inpatient CPT 11981 TC INSERTION DRUG IMPLANT DEVICE	$142.04	$212.00	$84.80–$201.40	—	33%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 TC ARTHROCENTESIS ASPIR INJ INTERM JT BURS W/O US	$732.31	$1,093.00	$23.54–$1,038.35	24% above	33%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 TC ARTHROCENTESIS/ASPIRATION & OR INJ MED JOINT WITHOUT US GUIDE (IR)	$1,179.20	$1,760.00	$23.54–$1,672.00	100% above	33%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 TC ARTHROCENTESIS/ASPIRATION & OR INJ MED JOINT WITHOUT US GUIDE (CT)	$1,179.20	$1,760.00	$23.54–$1,672.00	100% above	33%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 TC ARTHROCENTESIS/ASPIRATION & OR INJ MED JOINT WITHOUT US GUIDE (R/F)	$1,180.54	$1,762.00	$23.54–$1,673.90	101% above	33%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 TC ARTHROCENTESIS ASPIR INJ INTERM JT BURS W/O US	$732.31	$1,093.00	$437.20–$1,038.35	—	33%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 TC ARTHROCENTESIS/ASPIRATION & OR INJ MED JOINT WITHOUT US GUIDE (CT)	$1,179.20	$1,760.00	$704.00–$1,672.00	—	33%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 TC ARTHROCENTESIS/ASPIRATION & OR INJ MED JOINT WITHOUT US GUIDE (IR)	$1,179.20	$1,760.00	$704.00–$1,672.00	—	33%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 TC ARTHROCENTESIS/ASPIRATION & OR INJ MED JOINT WITHOUT US GUIDE (R/F)	$1,180.54	$1,762.00	$704.80–$1,673.90	—	33%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 TC ARTHROCENTESIS ASPIR INJ SMALL JT BURSA W/O US	$1,001.65	$1,495.00	$22.70–$1,420.25	137% above	33%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 TC ARTHROCENTESIS/ASPIRATION & OR INJ SMALL JOINT WITHOUT US GUIDE (CT)	$1,120.91	$1,673.00	$22.70–$1,589.35	165% above	33%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 TC ARTHROCENTESIS/ASPIRATION & OR INJ SMALL JOINT WITHOUT US GUIDE (IR)	$1,120.91	$1,673.00	$22.70–$1,589.35	165% above	33%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 TC ARTHROCENTESIS/ASPIRATION & OR INJ SMALL JOINT WITHOUT US GUIDE (R/F)	$1,122.25	$1,675.00	$22.70–$1,591.25	165% above	33%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 TC ARTHROCENTESIS ASPIR INJ SMALL JT BURSA W/O US	$1,001.65	$1,495.00	$598.00–$1,420.25	—	33%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 TC ARTHROCENTESIS/ASPIRATION & OR INJ SMALL JOINT WITHOUT US GUIDE (CT)	$1,120.91	$1,673.00	$669.20–$1,589.35	—	33%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 TC ARTHROCENTESIS/ASPIRATION & OR INJ SMALL JOINT WITHOUT US GUIDE (IR)	$1,120.91	$1,673.00	$669.20–$1,589.35	—	33%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 TC ARTHROCENTESIS/ASPIRATION & OR INJ SMALL JOINT WITHOUT US GUIDE (R/F)	$1,122.25	$1,675.00	$670.00–$1,591.25	—	33%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 TC INTERMEDIATE REPAIR SCALP/NECK/AXILLAE/EXT GENITAL/TRUNK/EXTREMITIES, < OR = 2.5CM	$454.93	$679.00	$143.08–$645.05	14% below	33%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 TC INTERMEDIATE REPAIR SCALP/NECK/AXILLAE/EXT GENITAL/TRUNK/EXTREMITIES, < OR = 2.5CM	$454.93	$679.00	$271.60–$645.05	—	33%
Left heart catheterization, diagnostic one side CPT 93452 TC LT HEART CATH (+/- LT ANGIOS)	$11,087.83	$16,549.00	$4,468.23–$15,721.55	19% above	33%
Left heart catheterization, diagnostic inpatient one side CPT 93452 TC LT HEART CATH (+/- LT ANGIOS)	$11,087.83	$16,549.00	$6,619.60–$15,721.55	—	33%
Lower-back epidural injection, with imaging guidance CPT 62323 TC INJ EPIDURAL (NON NEUROLYTIC), LUMBAR/SACRAL W/ IMG GUIDE	$3,047.83	$4,549.00	$262.86–$4,321.55	82% above	33%
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 TC INJ EPIDURAL (NON NEUROLYTIC), LUMBAR/SACRAL W/ IMG GUIDE	$3,047.83	$4,549.00	$1,819.60–$4,321.55	—	33%
Lower-back epidural injection, without imaging guidance CPT 62322 TC PROC INJ OF THERA SUBTANCE W/OUT IMAGING	$1,194.61	$1,783.00	$262.86–$1,693.85	3% below	33%
Lower-back epidural injection, without imaging guidance CPT 62322 TC INJ INTERLAMINAR LMBR/SAC INCL CATH PLMT W/O GUIDE	$2,594.91	$3,873.00	$262.86–$3,679.35	111% above	33%
Lower-back epidural injection, without imaging guidance inpatient CPT 62322 TC PROC INJ OF THERA SUBTANCE W/OUT IMAGING	$1,194.61	$1,783.00	$713.20–$1,693.85	—	33%
Lower-back epidural injection, without imaging guidance inpatient CPT 62322 TC INJ INTERLAMINAR LMBR/SAC INCL CATH PLMT W/O GUIDE	$2,594.91	$3,873.00	$1,549.20–$3,679.35	—	33%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 TC INJECT ANESTH TRANSFORAM EPI LUMBAR SNGL	$1,473.33	$2,199.00	$340.77–$2,089.05	at median	33%
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 TC INJECT ANESTH TRANSFORAM EPI LUMBAR SNGL	$1,473.33	$2,199.00	$879.60–$2,089.05	—	33%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 TC EXCISION BENIGN LESION EXCEPT SKIN TAG,TRUNK/ARMS/LEGS = OR < 0.5CM	$550.07	$821.00	$77.79–$779.95	32% below	33%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 TC EXCISION BENIGN LESION EXCEPT SKIN TAG,TRUNK/ARMS/LEGS = OR < 0.5CM	$550.07	$821.00	$328.40–$779.95	—	33%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 TC EXCISION BENIGN LESION EXCEPT SKIN.T,FACE, EARS, EYELIDS, NOSE, LIPS, MUCOUS.M, = OR < 0.5 CM	$369.17	$551.00	$86.38–$523.45	58% below	33%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 TC EXCISION BENIGN LESION EXCEPT SKIN.T,FACE, EARS, EYELIDS, NOSE, LIPS, MUCOUS.M, = OR < 0.5 CM	$369.17	$551.00	$220.40–$523.45	—	33%
Occipital nerve block (injection for headaches) CPT 64405 TC INJ, ANES AGENT; GREATER OCCIPITAL NERVE	$1,788.90	$2,670.00	$30.18–$2,536.50	319% above	33%
Occipital nerve block (injection for headaches) inpatient CPT 64405 TC INJ, ANES AGENT; GREATER OCCIPITAL NERVE	$1,788.90	$2,670.00	$1,068.00–$2,536.50	—	33%
Pacemaker implant (dual chamber) CPT 33208 TC PM INSERTION NEW/REPLACEMENT W/ ATRIAL & VT LEAD	$15,454.22	$23,066.00	$6,227.82–$21,912.70	19% below	33%
Pacemaker implant (dual chamber) inpatient CPT 33208 TC PM INSERTION NEW/REPLACEMENT W/ ATRIAL & VT LEAD	$15,454.22	$23,066.00	$9,226.40–$21,912.70	—	33%
Paracentesis with imaging guidance CPT 49083 TC ABDOMINAL PARACENTESIS, W/ IMAGING GUIDANCE	$3,154.36	$4,708.00	$334.95–$4,472.60	116% above	33%
Paracentesis with imaging guidance CPT 49083 TC ABDOMINAL PARACENTESIS W/ IMAGING GUIDANCE	$3,154.36	$4,708.00	$334.95–$4,472.60	116% above	33%
Paracentesis with imaging guidance CPT 49083 TC ABDOMINAL PARACENTESIS W/ GUIDE	$3,155.70	$4,710.00	$334.95–$4,474.50	116% above	33%
Paracentesis with imaging guidance inpatient CPT 49083 TC ABDOMINAL PARACENTESIS, W/ IMAGING GUIDANCE	$3,154.36	$4,708.00	$1,883.20–$4,472.60	—	33%
Paracentesis with imaging guidance inpatient CPT 49083 TC ABDOMINAL PARACENTESIS W/ IMAGING GUIDANCE	$3,154.36	$4,708.00	$1,883.20–$4,472.60	—	33%
Paracentesis with imaging guidance inpatient CPT 49083 TC ABDOMINAL PARACENTESIS W/ GUIDE	$3,155.70	$4,710.00	$1,884.00–$4,474.50	—	33%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 TC EXCISION NAIL & NAIL MATRIX, PARTIAL OR COMPLETE FOR PERMANENT REMOVAL	$151.42	$226.00	$61.02–$214.70	70% below	33%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 TC EXCISION NAIL & NAIL MATRIX, PARTIAL OR COMPLETE FOR PERMANENT REMOVAL	$151.42	$226.00	$90.40–$214.70	—	33%
Prostate biopsy CPT 55700 TC BIOPSY,PROSTATE	$799.98	$1,194.00	$322.38–$1,134.30	70% below	33%
Prostate biopsy inpatient CPT 55700 TC BIOPSY,PROSTATE	$799.98	$1,194.00	$477.60–$1,134.30	—	33%
Removal of a foreign object under the skin, simple CPT 10120 TC INCISION & REMOVAL FOREIGN BODY, SUBCUTANEOUS TISSUE, SIMPLE	$247.23	$369.00	$86.38–$350.55	54% below	33%
Removal of a foreign object under the skin, simple CPT 10120 TC INCISION AND REMOVAL OF FOREIGN BODY, SUBCUTANEOUS TISSUES; SIMPLE	$656.60	$980.00	$86.38–$931.00	23% above	33%
Removal of a foreign object under the skin, simple CPT 10120 TC IR INCISION & REMOVAL FOREIGN BODY, SUBQ; SIMPLE	$1,376.18	$2,054.00	$86.38–$1,951.30	159% above	33%
Removal of a foreign object under the skin, simple inpatient CPT 10120 TC INCISION & REMOVAL FOREIGN BODY, SUBCUTANEOUS TISSUE, SIMPLE	$247.23	$369.00	$147.60–$350.55	—	33%
Removal of a foreign object under the skin, simple inpatient CPT 10120 TC INCISION AND REMOVAL OF FOREIGN BODY, SUBCUTANEOUS TISSUES; SIMPLE	$656.60	$980.00	$392.00–$931.00	—	33%
Removal of a foreign object under the skin, simple inpatient CPT 10120 TC IR INCISION & REMOVAL FOREIGN BODY, SUBQ; SIMPLE	$1,376.18	$2,054.00	$821.60–$1,951.30	—	33%
Short leg cast (below the knee) CPT 29405 TC APPLICATION SHORT LEG CAST BELOW KNEE TO TOE	$328.97	$491.00	$39.03–$466.45	3% below	33%
Short leg cast (below the knee) one side CPT 29405 TC APPLICATION SHORT LEG CAST BELOW KNEE TO TOES, UNILATERAL	$241.20	$360.00	$39.03–$342.00	29% below	33%
Short leg cast (below the knee) inpatient CPT 29405 TC APPLICATION SHORT LEG CAST BELOW KNEE TO TOE	$328.97	$491.00	$196.40–$466.45	—	33%
Short leg cast (below the knee) inpatient one side CPT 29405 TC APPLICATION SHORT LEG CAST BELOW KNEE TO TOES, UNILATERAL	$241.20	$360.00	$144.00–$342.00	—	33%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 TC SIMPLE REPAIR SCALP/NECK/AXILLAE/EXT GENITAL/TRUNK/EXTREMITIES, < OR = 2.5CM	$385.92	$576.00	$155.52–$547.20	7% above	33%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 TC SIMPLE REPAIR SCALP/NECK/AXILLAE/EXT GENITAL/TRUNK/EXTREMITIES, < OR = 2.5CM	$385.92	$576.00	$230.40–$547.20	—	33%
Skin biopsy, punch, one lesion CPT 11104 TC PUNCH BIOPSY OF SKIN (INCLUDING SIMPLE CLOSURE WHEN PERFORMED); SINGLE LESION	$468.33	$699.00	$79.46–$664.05	6% above	33%
Skin biopsy, punch, one lesion inpatient CPT 11104 TC PUNCH BIOPSY OF SKIN (INCLUDING SIMPLE CLOSURE WHEN PERFORMED); SINGLE LESION	$468.33	$699.00	$279.60–$664.05	—	33%
Skin tag removal, up to 15 tags CPT 11200 TC REMOVAL SKIN, MULTIPLE FIBROCUTANEOUS TAGS UP TO 15 LESIONS	$233.16	$348.00	$93.96–$330.60	23% below	33%
Skin tag removal, up to 15 tags inpatient CPT 11200 TC REMOVAL SKIN, MULTIPLE FIBROCUTANEOUS TAGS UP TO 15 LESIONS	$233.16	$348.00	$139.20–$330.60	—	33%
Spinal tap (lumbar puncture), diagnostic CPT 62270 TC LUMBAR PUNCTURE	$1,134.98	$1,694.00	$262.86–$1,609.30	9% above	33%
Spinal tap (lumbar puncture), diagnostic CPT 62270 TC SPINAL LUMBAR PUNCTURE, DIAGNOSTIC	$1,134.98	$1,694.00	$262.86–$1,609.30	9% above	33%
Spinal tap (lumbar puncture), diagnostic CPT 62270 TC LUMBAR PUNCTURE, DIAGN, W/O INJECTION	$1,134.98	$1,694.00	$262.86–$1,609.30	9% above	33%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 TC LUMBAR PUNCTURE, DIAGN, W/O INJECTION	$1,134.98	$1,694.00	$677.60–$1,609.30	—	33%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 TC LUMBAR PUNCTURE	$1,134.98	$1,694.00	$677.60–$1,609.30	—	33%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 TC SPINAL LUMBAR PUNCTURE, DIAGNOSTIC	$1,134.98	$1,694.00	$677.60–$1,609.30	—	33%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 TC SIMPLE REPAIR WOUND SCALP, NECK, AXILLAE, TRUNK, EXTERNAL GENITALIA, EXTREMITIES, 2.6-7.5CM	$509.87	$761.00	$205.47–$722.95	12% above	33%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 TC SIMPLE REPAIR WOUND SCALP, NECK, AXILLAE, TRUNK, EXTERNAL GENITALIA, EXTREMITIES, 2.6-7.5CM	$509.87	$761.00	$304.40–$722.95	—	33%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 TC SIMPLE REPAIR FACE/EARS/EYELIDS/NOSE/LIPS/MUCOUS MEMBRANE, < OR = 2.5CM	$385.92	$576.00	$155.52–$547.20	1% below	33%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 TC SIMPLE REPAIR FACE/EARS/EYELIDS/NOSE/LIPS/MUCOUS MEMBRANE, < OR = 2.5CM	$385.92	$576.00	$230.40–$547.20	—	33%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 TC TANGENTIAL BIOPSY OF SKIN (EG SHAVE, SCOOP, SAUCERIZE, CURETTE); SINGLE LESION	$319.59	$477.00	$64.23–$453.15	11% below	33%
Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 TC TANGENTIAL BIOPSY OF SKIN (EG SHAVE, SCOOP, SAUCERIZE, CURETTE); SINGLE LESION	$319.59	$477.00	$190.80–$453.15	—	33%
Thoracentesis with imaging guidance CPT 32555 TC THORACENTESIS, NEEDLE OR CATH, W/ IMG GUIDE	$2,611.66	$3,898.00	$223.75–$3,703.10	85% above	33%
Thoracentesis with imaging guidance CPT 32555 TC THORACENTESIS, ASPIRATION PLEURAL SPACE, WITH IMAGING GUIDANCE	$2,611.66	$3,898.00	$223.75–$3,703.10	85% above	33%
Thoracentesis with imaging guidance inpatient CPT 32555 TC THORACENTESIS, ASPIRATION PLEURAL SPACE, WITH IMAGING GUIDANCE	$2,611.66	$3,898.00	$1,559.20–$3,703.10	—	33%
Thoracentesis with imaging guidance inpatient CPT 32555 TC THORACENTESIS, NEEDLE OR CATH, W/ IMG GUIDE	$2,611.66	$3,898.00	$1,559.20–$3,703.10	—	33%
Trigger point injections, 1 or 2 muscles CPT 20552 TC TRIGGER POINT INJECTION, SINGLE OR MULTIPLE 1 OR 2 MUSCLES	$360.46	$538.00	$23.26–$511.10	18% below	33%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 TC TRIGGER POINT INJECTION, SINGLE OR MULTIPLE 1 OR 2 MUSCLES	$360.46	$538.00	$215.20–$511.10	—	33%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 TC BIOPSY BREAST, INCLUDING US GUIDE, 1ST LESION	$1,504.15	$2,245.00	$486.45–$2,132.75	45% below	33%
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 TC BIOPSY BREAST, INCLUDING US GUIDE, 1ST LESION	$1,504.15	$2,245.00	$898.00–$2,132.75	—	33%
Vein ablation, radiofrequency, first vein CPT 36475 TC ENDOVEN ABLAT,PERC RADIOFREQ, 1ST VEIN	$7,856.42	$11,726.00	$1,118.22–$11,139.70	89% above	33%
Vein ablation, radiofrequency, first vein inpatient CPT 36475 TC ENDOVEN ABLAT,PERC RADIOFREQ, 1ST VEIN	$7,856.42	$11,726.00	$4,690.40–$11,139.70	—	33%
Wart removal, up to 14 warts CPT 17110 TC WART DESCTRUCTION BENIGN LESION, UP TO 14 LESIONS	$176.21	$263.00	$71.01–$249.85	12% below	33%
Wart removal, up to 14 warts inpatient CPT 17110 TC WART DESCTRUCTION BENIGN LESION, UP TO 14 LESIONS	$176.21	$263.00	$105.20–$249.85	—	33%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 TC DEBRIDEMENT OF WOUNDS DOWN TO AND INCL SUBCUT TISSUE FIRST AGGREGATE 20CM² OR LESS	$502.50	$750.00	$171.51–$712.50	50% below	33%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 TC DEBRIDEMENT OF WOUNDS DOWN TO AND INCL SUBCUT TISSUE FIRST AGGREGATE 20CM² OR LESS	$502.50	$750.00	$300.00–$712.50	—	33%

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs Texas	Off list
Blood transfusion (giving blood or blood components) CPT 36430 TC BLOOD ADMINISTRATION - 3 UNITS IP BNDL	$887.75	$1,325.00	$30.73–$1,258.75	16% above	33%
Blood transfusion (giving blood or blood components) CPT 36430 TC BLOOD ADMINISTRATION - 4 UNITS IP BNDL	$887.75	$1,325.00	$30.73–$1,258.75	16% above	33%
Blood transfusion (giving blood or blood components) CPT 36430 TC BLOOD ADMINISTRATION - 2 UNITS IP BNDL	$889.09	$1,327.00	$30.73–$1,260.65	16% above	33%
Blood transfusion (giving blood or blood components) CPT 36430 TC AMB BLOOD ADMINISTRATION - 2 UNITS IP BNDL	$889.09	$1,327.00	$30.73–$1,260.65	16% above	33%
Blood transfusion (giving blood or blood components) CPT 36430 TC AMB BLOOD ADMIN - 1 UNIT IP BNDL	$889.09	$1,327.00	$30.73–$1,260.65	16% above	33%
Blood transfusion (giving blood or blood components) CPT 36430 TC BLOOD ADMINISTRATION - 1 UNIT IP BNDL	$889.09	$1,327.00	$30.73–$1,260.65	16% above	33%
Blood transfusion (giving blood or blood components) CPT 36430 TC AMB BLOOD ADMINISTRATION - 4 UNITS IP BNDL	$889.09	$1,327.00	$30.73–$1,260.65	16% above	33%
Blood transfusion (giving blood or blood components) CPT 36430 TC AMB BLOOD ADMINISTRATION - 3 UNITS IP BNDL	$889.09	$1,327.00	$30.73–$1,260.65	16% above	33%
Blood transfusion (giving blood or blood components) CPT 36430 TC BLOOD ADMINISTRATION - 5+ UNITS IP BNDL	$4,187.50	$6,250.00	$30.73–$5,937.50	447% above	33%
Blood transfusion (giving blood or blood components) CPT 36430 TC AMB BLOOD ADMINISTRATION - 5+ UNITS IP BNDL	$4,187.50	$6,250.00	$30.73–$5,937.50	447% above	33%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 TC BLOOD ADMINISTRATION - 3 UNITS IP BNDL	$887.75	$1,325.00	$530.00–$1,258.75	—	33%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 TC BLOOD ADMINISTRATION - 4 UNITS IP BNDL	$887.75	$1,325.00	$530.00–$1,258.75	—	33%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 TC BLOOD ADMINISTRATION - 2 UNITS IP BNDL	$889.09	$1,327.00	$530.80–$1,260.65	—	33%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 TC BLOOD ADMINISTRATION - 1 UNIT IP BNDL	$889.09	$1,327.00	$530.80–$1,260.65	—	33%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 TC AMB BLOOD ADMIN - 1 UNIT IP BNDL	$889.09	$1,327.00	$530.80–$1,260.65	—	33%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 TC AMB BLOOD ADMINISTRATION - 2 UNITS IP BNDL	$889.09	$1,327.00	$530.80–$1,260.65	—	33%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 TC AMB BLOOD ADMINISTRATION - 4 UNITS IP BNDL	$889.09	$1,327.00	$530.80–$1,260.65	—	33%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 TC AMB BLOOD ADMINISTRATION - 3 UNITS IP BNDL	$889.09	$1,327.00	$530.80–$1,260.65	—	33%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 TC AMB BLOOD ADMINISTRATION - 5+ UNITS IP BNDL	$4,187.50	$6,250.00	$2,500.00–$5,937.50	—	33%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 TC BLOOD ADMINISTRATION - 5+ UNITS IP BNDL	$4,187.50	$6,250.00	$2,500.00–$5,937.50	—	33%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 TC MDI INIT TREATMENT IP BNDL	$257.28	$384.00	$103.68–$364.80	27% above	33%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 TC INHALATION TREATMENT (NEBULIZER/MDI) IP BNDL	$258.62	$386.00	$104.22–$366.70	27% above	33%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 TC MDI INIT TREATMENT IP BNDL	$257.28	$384.00	$153.60–$364.80	—	33%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 TC INHALATION TREATMENT (NEBULIZER/MDI) IP BNDL	$258.62	$386.00	$154.40–$366.70	—	33%
Chemotherapy IV infusion, first hour CPT 96413 TC OUTPT. CHEMO, IV INFUSION,1 HR	$830.13	$1,239.00	$334.53–$1,177.05	54% above	33%
Chemotherapy IV infusion, first hour CPT 96413 TC CHEMO ADMIN, IV INFUSION, UP TO 1 HR, SINGLE/INITIAL DRUG	$831.47	$1,241.00	$335.07–$1,178.95	54% above	33%
Chemotherapy IV infusion, first hour inpatient CPT 96413 TC OUTPT. CHEMO, IV INFUSION,1 HR	$830.13	$1,239.00	$495.60–$1,177.05	—	33%
Chemotherapy IV infusion, first hour inpatient CPT 96413 TC CHEMO ADMIN, IV INFUSION, UP TO 1 HR, SINGLE/INITIAL DRUG	$831.47	$1,241.00	$496.40–$1,178.95	—	33%
Comprehensive hearing test: tone and speech audiometry, both ears CPT 92557 TC COMPREHENSIVE AUDIOMETRY THRESHOLD EVAL & SPEECH RECOGNITION	$339.02	$506.00	$136.62–$480.70	13% above	33%
Comprehensive hearing test: tone and speech audiometry, both ears inpatient CPT 92557 TC COMPREHENSIVE AUDIOMETRY THRESHOLD EVAL & SPEECH RECOGNITION	$339.02	$506.00	$202.40–$480.70	—	33%
Critical care, first 30 to 74 minutes CPT 99291 TC CRITICAL CARE ED SERVICES	$4,115.14	$6,142.00	$1,658.34–$5,834.90	62% above	33%
Critical care, first 30 to 74 minutes inpatient CPT 99291 TC CRITICAL CARE ED SERVICES	$4,115.14	$6,142.00	$2,456.80–$5,834.90	—	33%
EEG (brain wave test), awake and drowsy, routine CPT 95816 TC EEG PORTABLE	$891.77	$1,331.00	$359.37–$1,264.45	3% below	33%
EEG (brain wave test), awake and drowsy, routine CPT 95816 TC EEG	$891.77	$1,331.00	$359.37–$1,264.45	3% below	33%
EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 TC EEG PORTABLE	$891.77	$1,331.00	$532.40–$1,264.45	—	33%
EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 TC EEG	$891.77	$1,331.00	$532.40–$1,264.45	—	33%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 TC 15LEAD EKG + 6LEAD 2MIN RHYTHM STRIP PORT	$306.19	$457.00	$123.39–$434.15	13% above	33%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 TC ELECTROCARDIOGRAM-EKG	$306.19	$457.00	$123.39–$434.15	13% above	33%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 TC ELECTROCARDIOGRAM PORTABLE	$306.19	$457.00	$123.39–$434.15	13% above	33%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 TC 15LEAD EKG + 6LEAD 2MIN RHYTHM STRIP	$306.19	$457.00	$123.39–$434.15	13% above	33%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 TC ELECTROCARDIOGRAM ECG, TRACING ONLY W/O INTERP & REPORT	$307.53	$459.00	$123.93–$436.05	13% above	33%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 TC ELECTROCARDIOGRAM-EKG, TRACING	$462.97	$691.00	$186.57–$656.45	70% above	33%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 TC PRE&POST 15LEAD EKG + 6LEAD RHY STRP CV PORT	$582.23	$869.00	$234.63–$825.55	114% above	33%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 TC PRE & POST 15LEAD EKG + 6LEAD RHY STRP CV PORT, TRACING	$583.57	$871.00	$235.17–$827.45	115% above	33%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 TC 15LEAD EKG + 6LEAD 2MIN RHYTHM STRIP	$306.19	$457.00	$182.80–$434.15	—	33%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 TC ELECTROCARDIOGRAM-EKG	$306.19	$457.00	$182.80–$434.15	—	33%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 TC ELECTROCARDIOGRAM PORTABLE	$306.19	$457.00	$182.80–$434.15	—	33%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 TC 15LEAD EKG + 6LEAD 2MIN RHYTHM STRIP PORT	$306.19	$457.00	$182.80–$434.15	—	33%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 TC ELECTROCARDIOGRAM ECG, TRACING ONLY W/O INTERP & REPORT	$307.53	$459.00	$183.60–$436.05	—	33%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 TC ELECTROCARDIOGRAM-EKG, TRACING	$462.97	$691.00	$276.40–$656.45	—	33%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 TC PRE&POST 15LEAD EKG + 6LEAD RHY STRP CV PORT	$582.23	$869.00	$347.60–$825.55	—	33%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 TC PRE & POST 15LEAD EKG + 6LEAD RHY STRP CV PORT, TRACING	$583.57	$871.00	$348.40–$827.45	—	33%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 TC LEVEL 1 ED SERVICE	$444.21	$663.00	$51.36–$629.85	90% above	33%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 TC LEVEL 1 ED SERVICE	$444.21	$663.00	$265.20–$629.85	—	33%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 TC LEVEL 2 ED SERVICE	$766.48	$1,144.00	$51.36–$1,086.80	77% above	33%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 TC LEVEL 2 ED SERVICE	$766.48	$1,144.00	$457.60–$1,086.80	—	33%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 TC LEVEL 3 ED SERVICES	$1,361.44	$2,032.00	$51.36–$1,930.40	77% above	33%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 TC LEVEL 3 ED SERVICES	$1,361.44	$2,032.00	$812.80–$1,930.40	—	33%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 TC LEVEL 4 ED SERVICES	$2,562.08	$3,824.00	$1,032.48–$3,632.80	98% above	33%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 TC LEVEL 4 ED SERVICES	$2,562.08	$3,824.00	$1,529.60–$3,632.80	—	33%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 TC LEVEL 5 ED SERVICES	$3,612.64	$5,392.00	$1,455.84–$5,122.40	104% above	33%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 TC LEVEL 5 ED SERVICES	$3,612.64	$5,392.00	$2,156.80–$5,122.40	—	33%
Exercise stress test, tracing only, the hospital charge CPT 93017 TC CARDIOVASCULAR STRESS TEST TRACING ONLY W/ 02	$2,074.99	$3,097.00	$836.19–$2,942.15	66% above	33%
Exercise stress test, tracing only, the hospital charge CPT 93017 TC CARDIOVASCULAR STRESS TEST, TRACING ONLY W/02	$2,074.99	$3,097.00	$836.19–$2,942.15	66% above	33%
Exercise stress test, tracing only, the hospital charge CPT 93017 TC CARDIOVASCULAR STRESS TEST TRACING ONLY W/02	$2,074.99	$3,097.00	$836.19–$2,942.15	66% above	33%
Exercise stress test, tracing only, the hospital charge CPT 93017 TC CARDIOVASCULAR STRESS TEST TRACING ONLY W/O 02	$2,074.99	$3,097.00	$836.19–$2,942.15	66% above	33%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 TC CARDIOVASCULAR STRESS TEST TRACING ONLY W/O 02	$2,074.99	$3,097.00	$1,238.80–$2,942.15	—	33%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 TC CARDIOVASCULAR STRESS TEST TRACING ONLY W/02	$2,074.99	$3,097.00	$1,238.80–$2,942.15	—	33%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 TC CARDIOVASCULAR STRESS TEST, TRACING ONLY W/02	$2,074.99	$3,097.00	$1,238.80–$2,942.15	—	33%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 TC CARDIOVASCULAR STRESS TEST TRACING ONLY W/ 02	$2,074.99	$3,097.00	$1,238.80–$2,942.15	—	33%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 TC OUTPT-IV INFUSION,HYDRATION,INITIAL,1 HOUR	$578.21	$863.00	$233.01–$819.85	33% above	33%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 TC IV HYDRATION INFUSION, INITIAL UP TO 1 HOUR	$578.21	$863.00	$233.01–$819.85	33% above	33%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 TC IV INFUSION, HYDRATION, INITIAL 31 MINS-1HR	$578.21	$863.00	$233.01–$819.85	33% above	33%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 TC IV HYDRATION FIRST HOUR	$578.21	$863.00	$233.01–$819.85	33% above	33%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 TC IV HYDRATION FIRST HOUR	$578.21	$863.00	$345.20–$819.85	—	33%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 TC IV INFUSION, HYDRATION, INITIAL 31 MINS-1HR	$578.21	$863.00	$345.20–$819.85	—	33%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 TC IV HYDRATION INFUSION, INITIAL UP TO 1 HOUR	$578.21	$863.00	$345.20–$819.85	—	33%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 TC OUTPT-IV INFUSION,HYDRATION,INITIAL,1 HOUR	$578.21	$863.00	$345.20–$819.85	—	33%
IV infusion of a medicine, first hour CPT 96365 TC KETAMINE INFUSION THERAPY TREATMENT	$597.64	$892.00	$240.84–$847.40	33% above	33%
IV infusion of a medicine, first hour CPT 96365 TC IV INFUSION DRUG FIRST HOUR	$617.74	$922.00	$248.94–$875.90	37% above	33%
IV infusion of a medicine, first hour CPT 96365 TC PROC INTRAVENOUS INFUSION THERAPY INITIAL UP TO 1HR	$617.74	$922.00	$248.94–$875.90	37% above	33%
IV infusion of a medicine, first hour CPT 96365 TC OUTPT-IV THERAPEUTIC,INITIAL,1 HOUR	$617.74	$922.00	$248.94–$875.90	37% above	33%
IV infusion of a medicine, first hour CPT 96365 TC OUTPT-IV INFUSION 1 HR	$617.74	$922.00	$248.94–$875.90	37% above	33%
IV infusion of a medicine, first hour CPT 96365 TC THER/PROPH/DIAG IV INFUSION, INITIAL, UP TO 1 HR	$617.74	$922.00	$248.94–$875.90	37% above	33%
IV infusion of a medicine, first hour inpatient CPT 96365 TC KETAMINE INFUSION THERAPY TREATMENT	$597.64	$892.00	$356.80–$847.40	—	33%
IV infusion of a medicine, first hour inpatient CPT 96365 TC OUTPT-IV THERAPEUTIC,INITIAL,1 HOUR	$617.74	$922.00	$368.80–$875.90	—	33%
IV infusion of a medicine, first hour inpatient CPT 96365 TC OUTPT-IV INFUSION 1 HR	$617.74	$922.00	$368.80–$875.90	—	33%
IV infusion of a medicine, first hour inpatient CPT 96365 TC THER/PROPH/DIAG IV INFUSION, INITIAL, UP TO 1 HR	$617.74	$922.00	$368.80–$875.90	—	33%
IV infusion of a medicine, first hour inpatient CPT 96365 TC IV INFUSION DRUG FIRST HOUR	$617.74	$922.00	$368.80–$875.90	—	33%
IV infusion of a medicine, first hour inpatient CPT 96365 TC PROC INTRAVENOUS INFUSION THERAPY INITIAL UP TO 1HR	$617.74	$922.00	$368.80–$875.90	—	33%
IV push of a medicine, first drug CPT 96374 TC OUTPT THERA PROPH/DX INJ, IV	$107.20	$160.00	$43.20–$152.00	53% below	33%
IV push of a medicine, first drug CPT 96374 TC THERAPEUTIC/DIAG IV INJECTION, SINGLE DRUG	$107.20	$160.00	$43.20–$152.00	53% below	33%
IV push of a medicine, first drug CPT 96374 TC THERAPEUTIC, PROPHYLACTIC, DIAGNOSTIC INJ, IVP, SINGLE/INITIAL SUBSTANCE OR DRUG	$107.20	$160.00	$43.20–$152.00	53% below	33%
IV push of a medicine, first drug CPT 96374 TC OUTPT THER/PROPH/DIAG INJ, IV PUSH	$107.20	$160.00	$43.20–$152.00	53% below	33%
IV push of a medicine, first drug CPT 96374 TC IV PUSH SINGLE OR INITIAL	$107.20	$160.00	$43.20–$152.00	53% below	33%
IV push of a medicine, first drug inpatient CPT 96374 TC OUTPT THERA PROPH/DX INJ, IV	$107.20	$160.00	$64.00–$152.00	—	33%
IV push of a medicine, first drug inpatient CPT 96374 TC THERAPEUTIC/DIAG IV INJECTION, SINGLE DRUG	$107.20	$160.00	$64.00–$152.00	—	33%
IV push of a medicine, first drug inpatient CPT 96374 TC THERAPEUTIC, PROPHYLACTIC, DIAGNOSTIC INJ, IVP, SINGLE/INITIAL SUBSTANCE OR DRUG	$107.20	$160.00	$64.00–$152.00	—	33%
IV push of a medicine, first drug inpatient CPT 96374 TC OUTPT THER/PROPH/DIAG INJ, IV PUSH	$107.20	$160.00	$64.00–$152.00	—	33%
IV push of a medicine, first drug inpatient CPT 96374 TC IV PUSH SINGLE OR INITIAL	$107.20	$160.00	$64.00–$152.00	—	33%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 TC THEAPEUTIC,PROPHYLACTIC OR DIAGNOSTIC INJ. DRUG/SUB	$158.79	$237.00	$63.99–$225.15	8% above	33%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 TC OUTPT THERA PROPH/DX INJ, SUBQ/IM	$158.79	$237.00	$63.99–$225.15	8% above	33%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 TC THERAPEUTIC, PROPHYLACTIC, DIAGNOSTIC INJECTION, SUBCUTANEOUS OR IM	$158.79	$237.00	$63.99–$225.15	8% above	33%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 TC OUTPT THER/PROPH/DIAG INJ, SC/IM	$158.79	$237.00	$63.99–$225.15	8% above	33%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 TC IM INJECTION ANTIBIOTIC	$158.79	$237.00	$63.99–$225.15	8% above	33%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 TC OUTPT THER/PROPH/DIAG INJ, SC/IM	$158.79	$237.00	$94.80–$225.15	—	33%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 TC THERAPEUTIC, PROPHYLACTIC, DIAGNOSTIC INJECTION, SUBCUTANEOUS OR IM	$158.79	$237.00	$94.80–$225.15	—	33%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 TC THEAPEUTIC,PROPHYLACTIC OR DIAGNOSTIC INJ. DRUG/SUB	$158.79	$237.00	$94.80–$225.15	—	33%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 TC OUTPT THERA PROPH/DX INJ, SUBQ/IM	$158.79	$237.00	$94.80–$225.15	—	33%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 TC IM INJECTION ANTIBIOTIC	$158.79	$237.00	$94.80–$225.15	—	33%
Nerve conduction study, 7 or 8 nerve studies CPT 95910 TC NERVE CONDUCTION STUDIES, 7-8 STUDIES	$1,035.82	$1,546.00	$417.42–$1,468.70	43% above	33%
Nerve conduction study, 7 or 8 nerve studies inpatient CPT 95910 TC NERVE CONDUCTION STUDIES, 7-8 STUDIES	$1,035.82	$1,546.00	$618.40–$1,468.70	—	33%
New patient office visit, about 30 minutes CPT 99203 TC NEW OP VISIT LVL 3 - ROOM, STAFF, AND SUPPLY CHARGE	$203.68	$304.00	$82.08–$288.80	10% below	33%
New patient office visit, about 30 minutes inpatient CPT 99203 TC NEW OP VISIT LVL 3 - ROOM, STAFF, AND SUPPLY CHARGE	$203.68	$304.00	$121.60–$288.80	—	33%
New patient office visit, about 45 minutes CPT 99204 TC NEW OP VISIT LVL 4 - ROOM, STAFF, AND SUPPLY CHARGE	$278.72	$416.00	$112.32–$395.20	5% below	33%
New patient office visit, about 45 minutes inpatient CPT 99204 TC NEW OP VISIT LVL 4 - ROOM, STAFF, AND SUPPLY CHARGE	$278.72	$416.00	$166.40–$395.20	—	33%
New patient office visit, about 60 minutes CPT 99205 TC NEW OP VISIT LVL 5 - ROOM, STAFF, AND SUPPLY CHARGE	$369.84	$552.00	$149.04–$524.40	26% above	33%
New patient office visit, about 60 minutes inpatient CPT 99205 TC NEW OP VISIT LVL 5 - ROOM, STAFF, AND SUPPLY CHARGE	$369.84	$552.00	$220.80–$524.40	—	33%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 TC NEW OP VISIT LVL 2 - ROOM, STAFF, AND SUPPLY CHARGE	$139.36	$208.00	$56.16–$197.60	6% below	33%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 TC NEW OP VISIT LVL 2 - ROOM, STAFF, AND SUPPLY CHARGE	$139.36	$208.00	$83.20–$197.60	—	33%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 TC MEDICAL NUTRITION THERAPY INITIAL - 15 MIN	$32.16	$48.00	$12.96–$45.60	36% below	33%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 TC MEDICAL NUTRITION THERAPY, INITIAL ASSESS, INDVID, FACE TO FACE, EA 15 MIN	$32.16	$48.00	$12.96–$45.60	36% below	33%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 TC MFM MEDICAL NUTRITION THERAPY, INITIAL ASSESS, INDVID, FACE TO FACE, EA 15 MIN	$32.16	$48.00	$12.96–$45.60	36% below	33%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 TC MEDICAL NUTRITION THERAPY INITIAL - 15 MIN	$32.16	$48.00	$19.20–$45.60	—	33%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 TC MFM MEDICAL NUTRITION THERAPY, INITIAL ASSESS, INDVID, FACE TO FACE, EA 15 MIN	$32.16	$48.00	$19.20–$45.60	—	33%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 TC MEDICAL NUTRITION THERAPY, INITIAL ASSESS, INDVID, FACE TO FACE, EA 15 MIN	$32.16	$48.00	$19.20–$45.60	—	33%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 TC ESTABLISHED OP VISIT LVL 5 - ROOM, STAFF, AND SUPPLY CHARGE	$235.84	$352.00	$95.04–$334.40	17% below	33%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 TC OB GYN ASSESSMENT - LEVEL 4	$1,432.46	$2,138.00	$577.26–$2,031.10	403% above	33%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 TC ESTABLISHED OP VISIT LVL 5 - ROOM, STAFF, AND SUPPLY CHARGE	$235.84	$352.00	$140.80–$334.40	—	33%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 TC OB GYN ASSESSMENT - LEVEL 4	$1,432.46	$2,138.00	$855.20–$2,031.10	—	33%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 TC ESTABLISHED OP VISIT LVL 3 - ROOM, STAFF, AND SUPPLY CHARGE	$128.64	$192.00	$51.84–$182.40	26% below	33%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 TC OB GYN ASSESSMENT - LEVEL 2	$707.52	$1,056.00	$285.12–$1,352.00	304% above	33%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 TC ESTABLISHED OP VISIT LVL 3 - ROOM, STAFF, AND SUPPLY CHARGE	$128.64	$192.00	$76.80–$182.40	—	33%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 TC OB GYN ASSESSMENT - LEVEL 2	$707.52	$1,056.00	$422.40–$1,003.20	—	33%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 TC ESTABLISHED OP VISIT LVL 4 - ROOM, STAFF, AND SUPPLY CHARGE	$176.88	$264.00	$71.28–$250.80	8% below	33%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 TC OB GYN ASSESSMENT - LEVEL 3	$1,170.49	$1,747.00	$471.69–$1,659.65	508% above	33%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 TC ESTABLISHED OP VISIT LVL 4 - ROOM, STAFF, AND SUPPLY CHARGE	$176.88	$264.00	$105.60–$250.80	—	33%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 TC OB GYN ASSESSMENT - LEVEL 3	$1,170.49	$1,747.00	$698.80–$1,659.65	—	33%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 TC ESTABLISHED OP VISIT LVL 2 - ROOM, STAFF, AND SUPPLY CHARGE	$85.76	$128.00	$34.56–$121.60	32% below	33%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 TC OB GYN ASSESSMENT - LEVEL 1	$263.31	$393.00	$106.11–$1,352.00	109% above	33%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 TC ESTABLISHED OP VISIT LVL 2 - ROOM, STAFF, AND SUPPLY CHARGE	$85.76	$128.00	$51.20–$121.60	—	33%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 TC OB GYN ASSESSMENT - LEVEL 1	$263.31	$393.00	$157.20–$373.35	—	33%
Spirometry (breathing test) CPT 94010 TC BEDSIDE SPIROMETRY PER DAY	$500.49	$747.00	$201.69–$709.65	40% above	33%
Spirometry (breathing test) CPT 94010 TC SPIROMETRY	$500.49	$747.00	$201.69–$709.65	40% above	33%
Spirometry (breathing test) CPT 94010 TC SPIROMETRY W/O DIL	$500.49	$747.00	$201.69–$709.65	40% above	33%
Spirometry (breathing test) CPT 94010 TC SPIROMETRY W/O DIL W LUNG MECHANICS	$523.94	$782.00	$211.14–$742.90	47% above	33%
Spirometry (breathing test) inpatient CPT 94010 TC BEDSIDE SPIROMETRY PER DAY	$500.49	$747.00	$298.80–$709.65	—	33%
Spirometry (breathing test) inpatient CPT 94010 TC SPIROMETRY W/O DIL	$500.49	$747.00	$298.80–$709.65	—	33%
Spirometry (breathing test) inpatient CPT 94010 TC SPIROMETRY	$500.49	$747.00	$298.80–$709.65	—	33%
Spirometry (breathing test) inpatient CPT 94010 TC SPIROMETRY W/O DIL W LUNG MECHANICS	$523.94	$782.00	$312.80–$742.90	—	33%
Spirometry before and after a bronchodilator CPT 94060 TC SPIROMETRY W/ DIL	$889.76	$1,328.00	$358.56–$1,261.60	50% above	33%
Spirometry before and after a bronchodilator CPT 94060 TC SPIROMETRY W/ DIL W LUNG MECHANICS	$889.76	$1,328.00	$358.56–$1,261.60	50% above	33%
Spirometry before and after a bronchodilator inpatient CPT 94060 TC SPIROMETRY W/ DIL	$889.76	$1,328.00	$531.20–$1,261.60	—	33%
Spirometry before and after a bronchodilator inpatient CPT 94060 TC SPIROMETRY W/ DIL W LUNG MECHANICS	$889.76	$1,328.00	$531.20–$1,261.60	—	33%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 TC PHLEBOTOMY THERAPEUTIC ( SEPARATE PROCEDURE )	$442.87	$661.00	$178.47–$627.95	97% above	33%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 TC PHLEBOTOMY THERAPEUTIC ( SEPARATE PROCEDURE )	$442.87	$661.00	$264.40–$627.95	—	33%
Treadmill or drug stress test with ECG, supervision and report CPT 93015 TC CARDIOVASCULAR STRESS TEST	$1,609.34	$2,402.00	$648.54–$2,281.90	66% above	33%
Treadmill or drug stress test with ECG, supervision and report inpatient CPT 93015 TC CARDIOVASCULAR STRESS TEST	$1,609.34	$2,402.00	$960.80–$2,281.90	—	33%
Visual field test, extended both sides CPT 92083 TC VISUAL FIELD EXAM, UNILATERAL & BILATERAL W/ I & R, EXTENDED	$209.71	$313.00	$84.51–$297.35	—	33%
Visual field test, extended inpatient both sides CPT 92083 TC VISUAL FIELD EXAM, UNILATERAL & BILATERAL W/ I & R, EXTENDED	$209.71	$313.00	$125.20–$297.35	—	33%

Vaccines

Procedure	Cash price	List price	Insurers pay	vs Texas	Off list
COVID-19 vaccine (Moderna), age 12 and older CPT 91322 moderna covid-19 (12 years and older) 50 MCG/0.5ML Susy 0.5 mL Syringe	$301.94	$450.65	$121.68–$428.12	146% above	33%
COVID-19 vaccine (Moderna), age 12 and older inpatient CPT 91322 moderna covid-19 (12 years and older) 50 MCG/0.5ML Susy 0.5 mL Syringe	$301.94	$450.65	$157.73–$428.12	—	33%
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 varicella 1350 PFU/0.5ML Inj 1 Each Vial	$303.06	$452.33	$122.13–$429.71	39% below	33%
Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 varicella 1350 PFU/0.5ML Inj 1 Each Vial	$303.06	$452.33	$158.32–$429.71	—	33%
DTaP, polio, Hib and hepatitis B combination vaccine (Vaxelis) CPT 90697 diphtheria-tetanus-acellular pertussis-polio-haemophilus b-hepatitis B recomb (DTaP-IPV-Hib-Hepatitis B = VAXELIS) Susy 0.5 mL Syringe	$276.19	$412.23	$111.30–$391.62	22% above	33%
DTaP, polio, Hib and hepatitis B combination vaccine (Vaxelis) inpatient CPT 90697 diphtheria-tetanus-acellular pertussis-polio-haemophilus b-hepatitis B recomb (DTaP-IPV-Hib-Hepatitis B = VAXELIS) Susy 0.5 mL Syringe	$276.19	$412.23	$144.28–$391.62	—	33%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 influenza seasonal IIV3 0.5 ML Susy 0.5 mL Syringe	$33.50	$50.00	$13.50–$47.50	11% below	33%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 influenza seasonal IIV3 0.5 ML Susy 0.5 mL Syringe	$33.50	$50.00	$17.50–$47.50	—	33%
HPV vaccine, 9-valent (Gardasil 9) CPT 90651 HPV 9-Valent Recomb Vaccine Susp 0.5 mL Syringe	$316.79	$472.82	$127.66–$449.18	42% below	33%
HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 HPV 9-Valent Recomb Vaccine Susp 0.5 mL Syringe	$316.79	$472.82	$189.13–$449.18	—	33%
Hepatitis A and B combination vaccine, adult (Twinrix) CPT 90636 hepatitis A-hepatitis B 720-20 ELU-MCG/ML Susp 1 mL Syringe	$275.85	$411.71	$111.16–$391.12	57% below	33%
Hepatitis A and B combination vaccine, adult (Twinrix) inpatient CPT 90636 hepatitis A-hepatitis B 720-20 ELU-MCG/ML Susp 1 mL Syringe	$275.85	$411.71	$164.68–$391.12	—	33%
Hepatitis A vaccine, adult dose CPT 90632 hepatitis A vaccine 1440 EL U/ML Susp 1 mL Syringe	$188.57	$281.45	$75.99–$267.38	1% above	33%
Hepatitis A vaccine, adult dose inpatient CPT 90632 hepatitis A vaccine 1440 EL U/ML Susp 1 mL Syringe	$188.57	$281.45	$112.58–$267.38	—	33%
Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 hepatitis A vaccine 720 EL U/0.5ML Susp 0.5 mL Syringe	$94.05	$140.38	$37.90–$133.36	at median	33%
Hepatitis A vaccine, child and teen dose (2-dose schedule) inpatient CPT 90633 hepatitis A vaccine 720 EL U/0.5ML Susp 0.5 mL Syringe	$94.05	$140.38	$56.15–$133.36	—	33%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 hepatitis B 40 MCG/ML Susp 1 mL Vial	$400.22	$597.34	$161.28–$567.47	137% above	33%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 hepatitis B 40 MCG/ML Susp 1 mL Vial	$400.22	$597.34	$238.94–$567.47	—	33%
Japanese encephalitis vaccine (Ixiaro), 2-dose schedule CPT 90738 japanese encephalitis Susp 0.5 mL Syringe	$610.03	$910.49	$245.83–$864.97	at median	33%
Japanese encephalitis vaccine (Ixiaro), 2-dose schedule inpatient CPT 90738 japanese encephalitis Susp 0.5 mL Syringe	$610.03	$910.49	$318.67–$864.97	—	33%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 meningococcal CONJUGATE Solr 1 Each Box	$342.89	$511.78	$138.18–$486.19	3% below	33%
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 meningococcal CONJUGATE Solr 1 Each Box	$342.89	$511.78	$204.71–$486.19	—	33%
Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 meningococcal Group B Vaccine Susy 0.5 mL Syringe	$422.19	$630.14	$170.14–$598.63	30% below	33%
Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 meningococcal Group B Vaccine Susy 0.5 mL Syringe	$422.19	$630.14	$220.55–$598.63	—	33%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 pneumococcal 20-valent conjugate (Prevnar 20) 0.5 ML Susy 0.5 mL Syringe	$553.71	$826.44	$223.14–$785.12	2% below	33%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 pneumococcal 20-valent conjugate (Prevnar 20) 0.5 ML Susy 0.5 mL Syringe	$553.71	$826.44	$289.25–$785.12	—	33%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 pneumococcal polyvalent 25 MCG/0.5ML Inj 0.5 mL Syringe	$245.78	$366.83	$99.04–$348.49	3% below	33%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 pneumococcal polyvalent 25 MCG/0.5ML Inj 0.5 mL Syringe	$245.78	$366.83	$146.73–$348.49	—	33%
Polio vaccine, inactivated (IPV) CPT 90713 polio Vaccine Inj 5 mL Vial	$101.46	$151.43	$40.89–$143.86	70% below	33%
Polio vaccine, inactivated (IPV) inpatient CPT 90713 polio Vaccine Inj 5 mL Vial	$101.46	$151.43	$60.57–$143.86	—	33%
RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) CPT 90381 nirsevimab 100 mg/mL Sosy 1 mL Syringe	$1,811.93	$2,704.37	$730.18–$2,569.15	85% above	33%
RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) inpatient CPT 90381 nirsevimab 100 mg/mL Sosy 1 mL Syringe	$1,811.93	$2,704.37	$946.53–$2,569.15	—	33%
RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 nirsevimab 100 mg/mL Sosy 0.5 mL Syringe	$1,811.93	$2,704.37	$730.18–$2,569.15	85% above	33%
RSV antibody shot for infants, seasonal dose (0.5 mL) inpatient CPT 90380 nirsevimab 100 mg/mL Sosy 0.5 mL Syringe	$1,811.93	$2,704.37	$946.53–$2,569.15	—	33%
RSV vaccine (Abrysvo), one dose for older adults or during pregnancy CPT 90678 Respiratory Syncytial Virus Vaccine (Recombinant) 120 MCG/0.5ML Solr 1 Each Vial	$633.59	$945.65	$255.33–$898.37	1% below	33%
RSV vaccine (Abrysvo), one dose for older adults or during pregnancy inpatient CPT 90678 Respiratory Syncytial Virus Vaccine (Recombinant) 120 MCG/0.5ML Solr 1 Each Vial	$633.59	$945.65	$330.98–$898.37	—	33%
Rabies vaccine, one dose CPT 90675 rabies HDC Susr 1 Each Vial	$840.11	$1,253.90	$338.55–$1,191.20	18% below	33%
Rabies vaccine, one dose inpatient CPT 90675 rabies HDC Susr 1 Each Vial	$840.11	$1,253.90	$438.87–$1,191.20	—	33%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 tetanus-diphtheria 5-2 LFU Inj 0.5 mL Vial	$74.62	$111.38	$30.07–$105.81	32% below	33%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 tetanus-diphtheria 5-2 LFU Inj 0.5 mL Vial	$74.62	$111.38	$44.55–$105.81	—	33%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 diphtheria-tetanus-acellular pertussis 25-58-10 LF-MCG/0.5 Susp 0.5 mL Syringe	$70.68	$105.49	$28.48–$100.22	46% below	33%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 tetanus-diphtheria-acellular pertussis 5-2-15.5 LF-MCG/0.5 Susp 0.5 mL Vial	$104.42	$155.85	$42.08–$148.06	20% below	33%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 diphtheria-tetanus-acellular pertussis 25-58-10 LF-MCG/0.5 Susp 0.5 mL Syringe	$70.68	$105.49	$42.20–$100.22	—	33%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 tetanus-diphtheria-acellular pertussis 5-2-15.5 LF-MCG/0.5 Susp 0.5 mL Vial	$104.42	$155.85	$62.34–$148.06	—	33%
Typhoid vaccine, injectable (Vi polysaccharide) CPT 90691 typhoid 25 MCG/0.5ML Sosy 0.5 mL Syringe	$298.01	$444.79	$120.09–$422.55	32% below	33%
Typhoid vaccine, injectable (Vi polysaccharide) inpatient CPT 90691 typhoid 25 MCG/0.5ML Sosy 0.5 mL Syringe	$298.01	$444.79	$177.92–$422.55	—	33%
Typhoid vaccine, oral capsules (Vivotif) CPT 90690 typhoid Cpdr 4 Each Disp Pack	$260.99	$389.54	$105.18–$370.06	3366% above	33%
Typhoid vaccine, oral capsules (Vivotif) inpatient CPT 90690 typhoid Cpdr 4 Each Disp Pack	$260.99	$389.54	$136.34–$370.06	—	33%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 TC ADMIN INFLUENZA VIRUS VACCINE	$14.74	$22.00	$5.94–$20.90	80% below	33%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 TC OUTPT VACCINE ADMIN SINGLE/COMB	$16.08	$24.00	$6.48–$22.80	78% below	33%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 TC IMMUNIZATION ADMINISTRATION (FIRST)	$16.08	$24.00	$6.48–$22.80	78% below	33%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 TC VACCINE ADMINISTRATION (IM, SQ, INTRADERM, PERCUT), INITIAL SINGLE OR COMBINATION	$16.08	$24.00	$6.48–$22.80	78% below	33%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 TC ADMIN INFLUENZA VIRUS VACCINE	$14.74	$22.00	$8.80–$20.90	—	33%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 TC IMMUNIZATION ADMINISTRATION (FIRST)	$16.08	$24.00	$9.60–$22.80	—	33%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 TC VACCINE ADMINISTRATION (IM, SQ, INTRADERM, PERCUT), INITIAL SINGLE OR COMBINATION	$16.08	$24.00	$9.60–$22.80	—	33%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 TC OUTPT VACCINE ADMIN SINGLE/COMB	$16.08	$24.00	$9.60–$22.80	—	33%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 TC VACCINE ADMINISTRATION (IM, SQ, INTRADERM, PERCUT), EA ADD'L SINGLE OR COMBINATION	$16.08	$24.00	$6.48–$22.80	66% below	33%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 TC OUTPT VACCINE ADMIN EA ADD'L SINGLE/COMB	$16.08	$24.00	$6.48–$22.80	66% below	33%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 TC IMMUNIZATION ADMINISTRATION (ADDITIONAL)	$16.08	$24.00	$6.48–$22.80	66% below	33%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 TC OUTPT VACCINE ADMIN EA ADD'L SINGLE/COMB	$16.08	$24.00	$9.60–$22.80	—	33%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 TC IMMUNIZATION ADMINISTRATION (ADDITIONAL)	$16.08	$24.00	$9.60–$22.80	—	33%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 TC VACCINE ADMINISTRATION (IM, SQ, INTRADERM, PERCUT), EA ADD'L SINGLE OR COMBINATION	$16.08	$24.00	$9.60–$22.80	—	33%
Yellow fever vaccine, live CPT 90717 yellow fever Inj 1 Each Vial	$489.59	$730.73	$197.30–$694.19	at median	33%
Yellow fever vaccine, live inpatient CPT 90717 yellow fever Inj 1 Each Vial	$489.59	$730.73	$292.29–$694.19	—	33%

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

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

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

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

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

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

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

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

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

Source file: https://www.texaschildrens.org/sites/tc/files/uploads/documents/741100555_texas-childrens-hospital-north-austin-campus_standardcharges.zip