Alliancehealth Madill
Listed in its price file as “Marshall County HMA, LLC”.
Alliancehealth Madill in Madill, OK publishes cash prices for 283 common procedures listed here, from its own machine-readable price file updated Apr 1, 2026. Compared with other hospitals in the state, its outpatient cash prices are above the Oklahoma median for 237 of 280 procedures and below it for 41. By typical cash price it ranks #54 of 64 Oklahoma hospitals, cheapest first. Select a procedure to compare it with other hospitals nearby.
901 S. 5th Ave, Madill, OK 73446 Collected Sep 22, 2026 Source price file Check a bill from this hospital (580) 795-3384
Critical access hospital (rural, 25 beds or fewer) Nonprofit hospital Emergency department CCN 371326 · CMS hospital register NPI 1467476556
Financial assistance
Nonprofit hospital: it must offer free or discounted care to patients who qualify. How to apply
Alliancehealth Madill 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 Oklahoma | Off list |
|---|---|---|---|---|---|
| Abdominal CT scan without and with contrast CPT 74170 CT Abdomen WWO | $1,704.50 | $4,870.00 | $198.72–$4,139.50 | 28% above | 65% |
| Abdominal CT scan without and with contrast inpatient CPT 74170 CT Abdomen WWO | $1,704.50 | $4,870.00 | $730.50–$4,139.50 | — | 65% |
| Abdominal X-ray, 2 views CPT 74019 XR ABDOMEN 2V DR - XR Abdomen 2V DR | $533.75 | $1,525.00 | $21.02–$1,296.25 | 150% above | 65% |
| Abdominal X-ray, 2 views inpatient CPT 74019 XR ABDOMEN 2V DR - XR Abdomen 2V DR | $533.75 | $1,525.00 | $228.75–$1,296.25 | — | 65% |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 XR Ankle Complete Min 3 V Right DR | $348.95 | $997.00 | $22.64–$847.45 | 96% above | 65% |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 XR Ankle Complete Min 3 V Left DR | $348.95 | $997.00 | $22.64–$847.45 | 96% above | 65% |
| Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 XR Ankle Complete Min 3 V Left DR | $348.95 | $997.00 | $149.55–$847.45 | — | 65% |
| Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 XR Ankle Complete Min 3 V Right DR | $348.95 | $997.00 | $149.55–$847.45 | — | 65% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries both sides CPT 93922 US LE Arterial Doppler Single Lvl Bilat | $589.75 | $1,685.00 | $115.30–$1,432.25 | — | 65% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries both sides CPT 93922 US UE Arterial Doppler Single Lvl Bilat | $589.75 | $1,685.00 | $115.30–$1,432.25 | — | 65% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient both sides CPT 93922 US UE Arterial Doppler Single Lvl Bilat | $589.75 | $1,685.00 | $252.75–$1,432.25 | — | 65% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient both sides CPT 93922 US LE Arterial Doppler Single Lvl Bilat | $589.75 | $1,685.00 | $252.75–$1,432.25 | — | 65% |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT Forearm Left WO | $1,134.70 | $3,242.00 | $124.91–$2,755.70 | 25% above | 65% |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT Humerus Right WO | $1,134.70 | $3,242.00 | $124.91–$2,755.70 | 25% above | 65% |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT Hand Left WO | $1,134.70 | $3,242.00 | $124.91–$2,755.70 | 25% above | 65% |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT Shoulder Left WO | $1,134.70 | $3,242.00 | $124.91–$2,755.70 | 25% above | 65% |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT Elbow Right WO | $1,134.70 | $3,242.00 | $124.91–$2,755.70 | 25% above | 65% |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT Shoulder Right WO | $1,134.70 | $3,242.00 | $124.91–$2,755.70 | 25% above | 65% |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT Elbow Left WO | $1,134.70 | $3,242.00 | $124.91–$2,755.70 | 25% above | 65% |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT Hand Right WO | $1,134.70 | $3,242.00 | $124.91–$2,755.70 | 25% above | 65% |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT Forearm Right WO | $1,134.70 | $3,242.00 | $124.91–$2,755.70 | 25% above | 65% |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT Wrist Right WO | $1,134.70 | $3,242.00 | $124.91–$2,755.70 | 25% above | 65% |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT Humerus Left WO | $1,134.70 | $3,242.00 | $124.91–$2,755.70 | 25% above | 65% |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT Wrist Left WO | $1,134.70 | $3,242.00 | $124.91–$2,755.70 | 25% above | 65% |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT Wrist Right WO | $1,134.70 | $3,242.00 | $486.30–$2,755.70 | — | 65% |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT Forearm Left WO | $1,134.70 | $3,242.00 | $486.30–$2,755.70 | — | 65% |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT Forearm Right WO | $1,134.70 | $3,242.00 | $486.30–$2,755.70 | — | 65% |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT Hand Left WO | $1,134.70 | $3,242.00 | $486.30–$2,755.70 | — | 65% |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT Hand Right WO | $1,134.70 | $3,242.00 | $486.30–$2,755.70 | — | 65% |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT Humerus Left WO | $1,134.70 | $3,242.00 | $486.30–$2,755.70 | — | 65% |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT Humerus Right WO | $1,134.70 | $3,242.00 | $486.30–$2,755.70 | — | 65% |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT Shoulder Left WO | $1,134.70 | $3,242.00 | $486.30–$2,755.70 | — | 65% |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT Shoulder Right WO | $1,134.70 | $3,242.00 | $486.30–$2,755.70 | — | 65% |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT Elbow Left WO | $1,134.70 | $3,242.00 | $486.30–$2,755.70 | — | 65% |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT Elbow Right WO | $1,134.70 | $3,242.00 | $486.30–$2,755.70 | — | 65% |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT Wrist Left WO | $1,134.70 | $3,242.00 | $486.30–$2,755.70 | — | 65% |
| Breast ultrasound, complete, one breast one side CPT 76641 US Breast Complete Right | $533.75 | $1,525.00 | $84.87–$1,296.25 | 54% above | 65% |
| Breast ultrasound, complete, one breast one side CPT 76641 US Breast Complete Left | $533.75 | $1,525.00 | $84.87–$1,296.25 | 54% above | 65% |
| Breast ultrasound, complete, one breast inpatient one side CPT 76641 US Breast Complete Left | $533.75 | $1,525.00 | $228.75–$1,296.25 | — | 65% |
| Breast ultrasound, complete, one breast inpatient one side CPT 76641 US Breast Complete Right | $533.75 | $1,525.00 | $228.75–$1,296.25 | — | 65% |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 US Breast Limited Left | $348.95 | $997.00 | $70.67–$847.45 | 5% above | 65% |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 US Breast Limited Right | $348.95 | $997.00 | $70.67–$847.45 | 5% above | 65% |
| Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 US Breast Limited Right | $348.95 | $997.00 | $149.55–$847.45 | — | 65% |
| Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 US Breast Limited Left | $348.95 | $997.00 | $149.55–$847.45 | — | 65% |
| CT angiography (CTA) of the head CPT 70496 CTA Head Stroke | $1,704.50 | $4,870.00 | $213.13–$4,139.50 | 28% above | 65% |
| CT angiography (CTA) of the head CPT 70496 70496 CTA Head | $1,704.50 | $4,870.00 | $213.13–$4,139.50 | 28% above | 65% |
| CT angiography (CTA) of the head CPT 70496 CTA Head | $1,704.50 | $4,870.00 | $213.13–$4,139.50 | 28% above | 65% |
| CT angiography (CTA) of the head inpatient CPT 70496 70496 CTA Head | $1,704.50 | $4,870.00 | $730.50–$4,139.50 | — | 65% |
| CT angiography (CTA) of the head inpatient CPT 70496 CTA Head Stroke | $1,704.50 | $4,870.00 | $730.50–$4,139.50 | — | 65% |
| CT angiography (CTA) of the head inpatient CPT 70496 CTA Head | $1,704.50 | $4,870.00 | $730.50–$4,139.50 | — | 65% |
| CT angiography (CTA) of the neck CPT 70498 CTA Neck | $1,704.50 | $4,870.00 | $213.13–$4,139.50 | 30% above | 65% |
| CT angiography (CTA) of the neck CPT 70498 CTA Neck Stroke | $1,704.50 | $4,870.00 | $213.13–$4,139.50 | 30% above | 65% |
| CT angiography (CTA) of the neck CPT 70498 70498 CTA Neck | $1,704.50 | $4,870.00 | $213.13–$4,139.50 | 30% above | 65% |
| CT angiography (CTA) of the neck inpatient CPT 70498 CTA Neck | $1,704.50 | $4,870.00 | $730.50–$4,139.50 | — | 65% |
| CT angiography (CTA) of the neck inpatient CPT 70498 CTA Neck Stroke | $1,704.50 | $4,870.00 | $730.50–$4,139.50 | — | 65% |
| CT angiography (CTA) of the neck inpatient CPT 70498 70498 CTA Neck | $1,704.50 | $4,870.00 | $730.50–$4,139.50 | — | 65% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CTA Chest for PE | $1,704.50 | $4,870.00 | $216.19–$4,139.50 | 14% above | 65% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CTA Chest | $1,704.50 | $4,870.00 | $216.19–$4,139.50 | 14% above | 65% |
| CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CTA Chest | $1,704.50 | $4,870.00 | $730.50–$4,139.50 | — | 65% |
| CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CTA Chest for PE | $1,704.50 | $4,870.00 | $730.50–$4,139.50 | — | 65% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT Abdomen Pelvis WO | $2,299.85 | $6,571.00 | $156.35–$5,585.35 | 72% above | 65% |
| CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT Abdomen Pelvis WO | $2,299.85 | $6,571.00 | $985.65–$5,585.35 | — | 65% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 74177 CT-ABD PELVIS W | $3,474.10 | $9,926.00 | $253.72–$8,437.10 | 90% above | 65% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT Abdomen Pelvis W | $3,474.10 | $9,926.00 | $253.72–$8,437.10 | 90% above | 65% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT Abd Pelvis W Pancreatic Protocol | $3,474.10 | $9,926.00 | $253.72–$8,437.10 | 90% above | 65% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 74177 CT-ABD PELVIS W | $3,474.10 | $9,926.00 | $1,488.90–$8,437.10 | — | 65% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT Abdomen Pelvis W | $3,474.10 | $9,926.00 | $1,488.90–$8,437.10 | — | 65% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT Abd Pelvis W Pancreatic Protocol | $3,474.10 | $9,926.00 | $1,488.90–$8,437.10 | — | 65% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT Abdomen Pelvis WWO | $2,926.35 | $8,361.00 | $284.00–$7,106.85 | 38% above | 65% |
| CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT Abdomen Pelvis WWO | $2,926.35 | $8,361.00 | $1,254.15–$7,106.85 | — | 65% |
| CT scan of the abdomen with contrast CPT 74160 CT Abdomen W | $1,704.50 | $4,870.00 | $157.95–$4,139.50 | 55% above | 65% |
| CT scan of the abdomen with contrast inpatient CPT 74160 CT Abdomen W | $1,704.50 | $4,870.00 | $730.50–$4,139.50 | — | 65% |
| CT scan of the abdomen without contrast CPT 74150 CT Abdomen WO | $1,134.70 | $3,242.00 | $115.77–$2,755.70 | 15% above | 65% |
| CT scan of the abdomen without contrast inpatient CPT 74150 CT Abdomen WO | $1,134.70 | $3,242.00 | $486.30–$2,755.70 | — | 65% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT Maxillofacial WO | $1,134.70 | $3,242.00 | $107.93–$2,755.70 | 19% above | 65% |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT Maxillofacial WO | $1,134.70 | $3,242.00 | $486.30–$2,755.70 | — | 65% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT Head Stroke Alert | $1,523.90 | $4,354.00 | $90.39–$3,700.90 | 56% above | 65% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT Head or Brain WO | $1,523.90 | $4,354.00 | $90.39–$3,700.90 | 56% above | 65% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT Head Stroke Alert | $1,523.90 | $4,354.00 | $653.10–$3,700.90 | — | 65% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT Head or Brain WO | $1,523.90 | $4,354.00 | $653.10–$3,700.90 | — | 65% |
| CT scan of the head with contrast CPT 70460 CT Head or Brain W | $1,593.12 | $4,551.78 | $125.54–$3,869.01 | 32% above | 65% |
| CT scan of the head with contrast inpatient CPT 70460 CT Head or Brain W | $1,593.12 | $4,551.78 | $682.77–$3,869.01 | — | 65% |
| CT scan of the head without and with contrast CPT 70470 CT Head or Brain WWO | $1,704.50 | $4,870.00 | $146.48–$4,139.50 | 33% above | 65% |
| CT scan of the head without and with contrast inpatient CPT 70470 CT Head or Brain WWO | $1,704.50 | $4,870.00 | $730.50–$4,139.50 | — | 65% |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT Spine Lumbar WO | $1,134.70 | $3,242.00 | $94.14–$2,755.70 | 10% above | 65% |
| CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT Spine Lumbar WO | $1,134.70 | $3,242.00 | $486.30–$2,755.70 | — | 65% |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT Spine Cervical WO | $1,441.65 | $4,119.00 | $110.04–$3,501.15 | 35% above | 65% |
| CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT Spine Cervical WO | $1,441.65 | $4,119.00 | $617.85–$3,501.15 | — | 65% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT Pelvis W | $1,704.50 | $4,870.00 | $157.95–$4,139.50 | 57% above | 65% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT Pelvis W | $1,704.50 | $4,870.00 | $730.50–$4,139.50 | — | 65% |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 US Carotid Duplex Bilateral | $945.35 | $2,701.00 | $214.86–$2,295.85 | — | 65% |
| Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 US Carotid Duplex Bilateral | $945.35 | $2,701.00 | $405.15–$2,295.85 | — | 65% |
| Chest CT scan without and with contrast CPT 71270 CT Chest Diagnostic WWO | $1,704.50 | $4,870.00 | $165.04–$4,139.50 | 37% above | 65% |
| Chest CT scan without and with contrast inpatient CPT 71270 CT Chest Diagnostic WWO | $1,704.50 | $4,870.00 | $730.50–$4,139.50 | — | 65% |
| Chest X-ray, 2 views CPT 71046 XR Chest 2 V DR | $348.95 | $997.00 | $27.93–$847.45 | 96% above | 65% |
| Chest X-ray, 2 views inpatient CPT 71046 XR Chest 2 V DR | $348.95 | $997.00 | $149.55–$847.45 | — | 65% |
| Chest X-ray, single view CPT 71045 XR Chest 1 V Portable DR | $348.95 | $997.00 | $21.60–$847.45 | 111% above | 65% |
| Chest X-ray, single view inpatient CPT 71045 XR Chest 1 V Portable DR | $348.95 | $997.00 | $149.55–$847.45 | — | 65% |
| Collarbone (clavicle) X-ray, complete one side CPT 73000 XR Clavicle Right DR | $348.95 | $997.00 | $19.95–$847.45 | 96% above | 65% |
| Collarbone (clavicle) X-ray, complete one side CPT 73000 XR Clavicle Left DR | $348.95 | $997.00 | $19.95–$847.45 | 96% above | 65% |
| Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 XR Clavicle Right DR | $348.95 | $997.00 | $149.55–$847.45 | — | 65% |
| Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 XR Clavicle Left DR | $348.95 | $997.00 | $149.55–$847.45 | — | 65% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US Retroperitoneal Complete | $533.75 | $1,525.00 | $89.46–$1,296.25 | 14% above | 65% |
| Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US Retroperitoneal Complete | $533.75 | $1,525.00 | $228.75–$1,296.25 | — | 65% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT High Resolution Chest | $1,134.70 | $3,242.00 | $112.71–$2,755.70 | 19% above | 65% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT Chest Diagnostic WO | $1,134.70 | $3,242.00 | $112.71–$2,755.70 | 19% above | 65% |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT Chest Diagnostic WO | $1,134.70 | $3,242.00 | $486.30–$2,755.70 | — | 65% |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT High Resolution Chest | $1,134.70 | $3,242.00 | $486.30–$2,755.70 | — | 65% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT Chest Diagnostic W | $1,704.50 | $4,870.00 | $157.95–$4,139.50 | 50% above | 65% |
| Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT Chest Diagnostic W | $1,704.50 | $4,870.00 | $730.50–$4,139.50 | — | 65% |
| Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 US LE Arterial Duplex Bilateral | $1,102.85 | $3,151.00 | $193.46–$2,678.35 | — | 65% |
| Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 US LE Arterial Duplex Bilateral | $1,102.85 | $3,151.00 | $472.65–$2,678.35 | — | 65% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US LE Venous Mapping Duplex Bilateral | $1,102.85 | $3,151.00 | $151.35–$2,678.35 | — | 65% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US UE Venous Mapping Duplex Bilateral | $1,102.85 | $3,151.00 | $151.35–$2,678.35 | — | 65% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US LE Venous Insufficiency Duplex Bilat | $1,102.85 | $3,151.00 | $151.35–$2,678.35 | — | 65% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US UE Venous Duplex Bilateral | $1,102.85 | $3,151.00 | $151.35–$2,678.35 | — | 65% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US Venous Insufficiency Doppler Bilat | $1,102.85 | $3,151.00 | $151.35–$2,678.35 | — | 65% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US LE Venous Duplex Bilateral | $1,102.85 | $3,151.00 | $151.35–$2,678.35 | — | 65% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US UE Venous Insufficiency Duplex Bilat | $1,102.85 | $3,151.00 | $151.35–$2,678.35 | — | 65% |
| Duplex ultrasound of the leg veins, both legs CPT 93970 US Lower Extremity Veins Limited Bilater - US Lowe | $1,102.85 | $3,151.00 | $151.35–$2,678.35 | 72% above | 65% |
| Duplex ultrasound of the leg veins, both legs CPT 93970 US Upper Extremity Veins Limited Bilater - US Uppe | $1,102.85 | $3,151.00 | $151.35–$2,678.35 | 72% above | 65% |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 US LE Venous Duplex Bilateral | $1,102.85 | $3,151.00 | $472.65–$2,678.35 | — | 65% |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 US Venous Insufficiency Doppler Bilat | $1,102.85 | $3,151.00 | $472.65–$2,678.35 | — | 65% |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 US LE Venous Insufficiency Duplex Bilat | $1,102.85 | $3,151.00 | $472.65–$2,678.35 | — | 65% |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 US UE Venous Insufficiency Duplex Bilat | $1,102.85 | $3,151.00 | $472.65–$2,678.35 | — | 65% |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 US UE Venous Mapping Duplex Bilateral | $1,102.85 | $3,151.00 | $472.65–$2,678.35 | — | 65% |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 US LE Venous Mapping Duplex Bilateral | $1,102.85 | $3,151.00 | $472.65–$2,678.35 | — | 65% |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 US UE Venous Duplex Bilateral | $1,102.85 | $3,151.00 | $472.65–$2,678.35 | — | 65% |
| Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 US Lower Extremity Veins Limited Bilater - US Lowe | $1,102.85 | $3,151.00 | $472.65–$2,678.35 | — | 65% |
| Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 US Upper Extremity Veins Limited Bilater - US Uppe | $1,102.85 | $3,151.00 | $472.65–$2,678.35 | — | 65% |
| Elbow X-ray, 2 views one side CPT 73070 XR Elbow 2 V Right DR | $348.95 | $997.00 | $17.25–$847.45 | 101% above | 65% |
| Elbow X-ray, 2 views one side CPT 73070 XR Elbow 2 V Left DR | $348.95 | $997.00 | $17.25–$847.45 | 101% above | 65% |
| Elbow X-ray, 2 views inpatient one side CPT 73070 XR Elbow 2 V Right DR | $348.95 | $997.00 | $149.55–$847.45 | — | 65% |
| Elbow X-ray, 2 views inpatient one side CPT 73070 XR Elbow 2 V Left DR | $348.95 | $997.00 | $149.55–$847.45 | — | 65% |
| Elbow X-ray, complete, 3 or more views one side CPT 73080 XR Elbow Complete Min 3 V Right DR | $348.95 | $997.00 | $19.68–$847.45 | 94% above | 65% |
| Elbow X-ray, complete, 3 or more views one side CPT 73080 XR Elbow Complete Min 3 V Left DR | $348.95 | $997.00 | $19.68–$847.45 | 94% above | 65% |
| Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 XR Elbow Complete Min 3 V Left DR | $348.95 | $997.00 | $149.55–$847.45 | — | 65% |
| Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 XR Elbow Complete Min 3 V Right DR | $348.95 | $997.00 | $149.55–$847.45 | — | 65% |
| Eye socket (orbit) CT scan without contrast CPT 70480 CT Mastoids WO | $1,134.70 | $3,242.00 | $134.64–$2,755.70 | 24% above | 65% |
| Eye socket (orbit) CT scan without contrast CPT 70480 CT IAC Temporal WO | $1,134.70 | $3,242.00 | $134.64–$2,755.70 | 24% above | 65% |
| Eye socket (orbit) CT scan without contrast CPT 70480 CT Orbit WO | $1,134.70 | $3,242.00 | $134.64–$2,755.70 | 24% above | 65% |
| Eye socket (orbit) CT scan without contrast CPT 70480 CT Sella WO | $1,134.70 | $3,242.00 | $134.64–$2,755.70 | 24% above | 65% |
| Eye socket (orbit) CT scan without contrast inpatient CPT 70480 CT Sella WO | $1,134.70 | $3,242.00 | $486.30–$2,755.70 | — | 65% |
| Eye socket (orbit) CT scan without contrast inpatient CPT 70480 CT IAC Temporal WO | $1,134.70 | $3,242.00 | $486.30–$2,755.70 | — | 65% |
| Eye socket (orbit) CT scan without contrast inpatient CPT 70480 CT Orbit WO | $1,134.70 | $3,242.00 | $486.30–$2,755.70 | — | 65% |
| Eye socket (orbit) CT scan without contrast inpatient CPT 70480 CT Mastoids WO | $1,134.70 | $3,242.00 | $486.30–$2,755.70 | — | 65% |
| Facial bones X-ray, complete, 3 or more views CPT 70150 XR Facial Bones Comp Minimum 3 V DR | $533.75 | $1,525.00 | $27.77–$1,296.25 | 141% above | 65% |
| Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 XR Facial Bones Comp Minimum 3 V DR | $533.75 | $1,525.00 | $228.75–$1,296.25 | — | 65% |
| Forearm X-ray (radius and ulna), 2 views one side CPT 73090 XR Forearm 2 V Right DR | $348.95 | $997.00 | $17.52–$847.45 | 94% above | 65% |
| Forearm X-ray (radius and ulna), 2 views one side CPT 73090 XR Forearm 2 V Left DR | $348.95 | $997.00 | $17.52–$847.45 | 94% above | 65% |
| Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 XR Forearm 2 V Right DR | $348.95 | $997.00 | $149.55–$847.45 | — | 65% |
| Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 XR Forearm 2 V Left DR | $348.95 | $997.00 | $149.55–$847.45 | — | 65% |
| Hand X-ray, 2 views one side CPT 73120 XR Hand 2 V Right DR | $533.75 | $1,525.00 | $18.87–$1,296.25 | 186% above | 65% |
| Hand X-ray, 2 views one side CPT 73120 XR Hand 2 V Left DR | $533.75 | $1,525.00 | $18.87–$1,296.25 | 186% above | 65% |
| Hand X-ray, 2 views inpatient one side CPT 73120 XR Hand 2 V Right DR | $533.75 | $1,525.00 | $228.75–$1,296.25 | — | 65% |
| Hand X-ray, 2 views inpatient one side CPT 73120 XR Hand 2 V Left DR | $533.75 | $1,525.00 | $228.75–$1,296.25 | — | 65% |
| Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 XR Calcaneus 2 V Right DR | $348.95 | $997.00 | $16.71–$847.45 | 116% above | 65% |
| Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 XR Calcaneus 2 V Left DR | $348.95 | $997.00 | $16.71–$847.45 | 116% above | 65% |
| Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 XR Calcaneus 2 V Left DR | $348.95 | $997.00 | $149.55–$847.45 | — | 65% |
| Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 XR Calcaneus 2 V Right DR | $348.95 | $997.00 | $149.55–$847.45 | — | 65% |
| Knee X-ray, 3 views one side CPT 73562 XR Knee 3 V Left DR | $348.95 | $997.00 | $25.61–$847.45 | 80% above | 65% |
| Knee X-ray, 3 views one side CPT 73562 XR Knee 3 V Right DR | $348.95 | $997.00 | $25.61–$847.45 | 80% above | 65% |
| Knee X-ray, 3 views inpatient one side CPT 73562 XR Knee 3 V Left DR | $348.95 | $997.00 | $149.55–$847.45 | — | 65% |
| Knee X-ray, 3 views inpatient one side CPT 73562 XR Knee 3 V Right DR | $348.95 | $997.00 | $149.55–$847.45 | — | 65% |
| Knee X-ray, complete, 4 or more views one side CPT 73564 XR Knee 4 V w Patella Right DR | $533.75 | $1,525.00 | $29.39–$1,296.25 | 87% above | 65% |
| Knee X-ray, complete, 4 or more views one side CPT 73564 XR Knee 4 V w Patella Left DR | $533.75 | $1,525.00 | $29.39–$1,296.25 | 87% above | 65% |
| Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 XR Knee 4 V w Patella Left DR | $533.75 | $1,525.00 | $228.75–$1,296.25 | — | 65% |
| Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 XR Knee 4 V w Patella Right DR | $533.75 | $1,525.00 | $228.75–$1,296.25 | — | 65% |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT Femur Left WO | $1,134.70 | $3,242.00 | $109.77–$2,755.70 | 26% above | 65% |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT Tibia Fibula Left WO | $1,134.70 | $3,242.00 | $109.77–$2,755.70 | 26% above | 65% |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT Femur Right WO | $1,134.70 | $3,242.00 | $109.77–$2,755.70 | 26% above | 65% |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT Hip Right WO | $1,134.70 | $3,242.00 | $109.77–$2,755.70 | 26% above | 65% |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT Foot Left WO | $1,134.70 | $3,242.00 | $109.77–$2,755.70 | 26% above | 65% |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT Knee Right WO | $1,134.70 | $3,242.00 | $109.77–$2,755.70 | 26% above | 65% |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT Foot Right WO | $1,134.70 | $3,242.00 | $109.77–$2,755.70 | 26% above | 65% |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT Tibia Fibula Right WO | $1,134.70 | $3,242.00 | $109.77–$2,755.70 | 26% above | 65% |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT Ankle Left WO | $1,134.70 | $3,242.00 | $109.77–$2,755.70 | 26% above | 65% |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT Knee Left WO | $1,134.70 | $3,242.00 | $109.77–$2,755.70 | 26% above | 65% |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT Ankle Right WO | $1,134.70 | $3,242.00 | $109.77–$2,755.70 | 26% above | 65% |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT Hip Left WO | $1,134.70 | $3,242.00 | $109.77–$2,755.70 | 26% above | 65% |
| Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT Tibia Fibula Right WO | $1,134.70 | $3,242.00 | $486.30–$2,755.70 | — | 65% |
| Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT Tibia Fibula Left WO | $1,134.70 | $3,242.00 | $486.30–$2,755.70 | — | 65% |
| Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT Knee Right WO | $1,134.70 | $3,242.00 | $486.30–$2,755.70 | — | 65% |
| Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT Knee Left WO | $1,134.70 | $3,242.00 | $486.30–$2,755.70 | — | 65% |
| Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT Hip Right WO | $1,134.70 | $3,242.00 | $486.30–$2,755.70 | — | 65% |
| Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT Hip Left WO | $1,134.70 | $3,242.00 | $486.30–$2,755.70 | — | 65% |
| Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT Foot Right WO | $1,134.70 | $3,242.00 | $486.30–$2,755.70 | — | 65% |
| Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT Foot Left WO | $1,134.70 | $3,242.00 | $486.30–$2,755.70 | — | 65% |
| Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT Femur Right WO | $1,134.70 | $3,242.00 | $486.30–$2,755.70 | — | 65% |
| Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT Femur Left WO | $1,134.70 | $3,242.00 | $486.30–$2,755.70 | — | 65% |
| Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT Ankle Right WO | $1,134.70 | $3,242.00 | $486.30–$2,755.70 | — | 65% |
| Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT Ankle Left WO | $1,134.70 | $3,242.00 | $486.30–$2,755.70 | — | 65% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US Abdomen Limited | $533.75 | $1,525.00 | $72.01–$1,296.25 | 38% above | 65% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US Abdomen Ascites | $533.75 | $1,525.00 | $72.01–$1,296.25 | 38% above | 65% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US Abdomen Common Bile Duct | $533.75 | $1,525.00 | $72.01–$1,296.25 | 38% above | 65% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US Abdomen Wall | $533.75 | $1,525.00 | $72.01–$1,296.25 | 38% above | 65% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US Pylorus | $533.75 | $1,525.00 | $72.01–$1,296.25 | 38% above | 65% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US Spleen | $533.75 | $1,525.00 | $72.01–$1,296.25 | 38% above | 65% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US Gallbladder | $533.75 | $1,525.00 | $72.01–$1,296.25 | 38% above | 65% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US Liver | $533.75 | $1,525.00 | $72.01–$1,296.25 | 38% above | 65% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US Pancreas | $533.75 | $1,525.00 | $72.01–$1,296.25 | 38% above | 65% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US Gallbladder | $533.75 | $1,525.00 | $228.75–$1,296.25 | — | 65% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US Pancreas | $533.75 | $1,525.00 | $228.75–$1,296.25 | — | 65% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US Abdomen Common Bile Duct | $533.75 | $1,525.00 | $228.75–$1,296.25 | — | 65% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US Abdomen Limited | $533.75 | $1,525.00 | $228.75–$1,296.25 | — | 65% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US Abdomen Wall | $533.75 | $1,525.00 | $228.75–$1,296.25 | — | 65% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US Pylorus | $533.75 | $1,525.00 | $228.75–$1,296.25 | — | 65% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US Abdomen Ascites | $533.75 | $1,525.00 | $228.75–$1,296.25 | — | 65% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US Liver | $533.75 | $1,525.00 | $228.75–$1,296.25 | — | 65% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US Spleen | $533.75 | $1,525.00 | $228.75–$1,296.25 | — | 65% |
| Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 US Extremity Non Vascular Limited Lt | $533.75 | $1,525.00 | $54.24–$1,296.25 | 106% above | 65% |
| Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 US Extremity Non Vascular Limited Rt | $533.75 | $1,525.00 | $54.24–$1,296.25 | 106% above | 65% |
| Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 US Axilla Left CM | $533.75 | $1,525.00 | $54.24–$1,296.25 | 106% above | 65% |
| Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 US Axilla Right CM | $533.75 | $1,525.00 | $54.24–$1,296.25 | 106% above | 65% |
| Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 US Extremity Non Vascular Limited Lt | $533.75 | $1,525.00 | $228.75–$1,296.25 | — | 65% |
| Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 US Axilla Right CM | $533.75 | $1,525.00 | $228.75–$1,296.25 | — | 65% |
| Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 US Extremity Non Vascular Limited Rt | $533.75 | $1,525.00 | $228.75–$1,296.25 | — | 65% |
| Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 US Axilla Left CM | $533.75 | $1,525.00 | $228.75–$1,296.25 | — | 65% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT Lung Low Dose Cancer Screening WO | $121.10 | $346.00 | $51.90–$1,508.00 | 70% below | 65% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 CT Lung Low Dose Cancer Screening WO | $121.10 | $346.00 | $51.90–$294.10 | — | 65% |
| Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 XR Tibia Fibula Left DR | $348.95 | $997.00 | $19.41–$847.45 | 107% above | 65% |
| Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 XR Tibia Fibula Right DR | $348.95 | $997.00 | $19.41–$847.45 | 107% above | 65% |
| Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 XR Tibia Fibula Left DR | $348.95 | $997.00 | $149.55–$847.45 | — | 65% |
| Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 XR Tibia Fibula Right DR | $348.95 | $997.00 | $149.55–$847.45 | — | 65% |
| MRI of the pelvis, no contrast dye CPT 72195 MRI Prostate WO | $1,805.65 | $5,159.00 | $191.88–$4,385.15 | 75% above | 65% |
| MRI of the pelvis, no contrast dye CPT 72195 MRI Pelvis WO | $1,818.25 | $5,195.00 | $191.88–$4,415.75 | 77% above | 65% |
| MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI Prostate WO | $1,805.65 | $5,159.00 | $773.85–$4,385.15 | — | 65% |
| MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI Pelvis WO | $1,818.25 | $5,195.00 | $779.25–$4,415.75 | — | 65% |
| Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 XR Spine Cervical Minimum 4 V DR | $533.75 | $1,525.00 | $33.17–$1,296.25 | 93% above | 65% |
| Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 XR Spine Cervical Minimum 4 V DR | $533.75 | $1,525.00 | $228.75–$1,296.25 | — | 65% |
| Neck soft tissue CT scan with contrast CPT 70491 CT Soft Tissue Neck W | $1,704.50 | $4,870.00 | $155.48–$4,139.50 | 56% above | 65% |
| Neck soft tissue CT scan with contrast inpatient CPT 70491 CT Soft Tissue Neck W | $1,704.50 | $4,870.00 | $730.50–$4,139.50 | — | 65% |
| Neck soft tissue CT scan without contrast CPT 70490 CT Soft Tissue Neck WO | $1,134.70 | $3,242.00 | $127.38–$2,755.70 | 34% above | 65% |
| Neck soft tissue CT scan without contrast inpatient CPT 70490 CT Soft Tissue Neck WO | $1,134.70 | $3,242.00 | $486.30–$2,755.70 | — | 65% |
| Neck soft tissue X-ray CPT 70360 XR Neck Soft Tissue DR | $348.95 | $997.00 | $18.33–$847.45 | 116% above | 65% |
| Neck soft tissue X-ray inpatient CPT 70360 XR Neck Soft Tissue DR | $348.95 | $997.00 | $149.55–$847.45 | — | 65% |
| Pelvic CT scan without contrast CPT 72192 CT Pelvis WO | $1,134.70 | $3,242.00 | $112.75–$2,755.70 | 17% above | 65% |
| Pelvic CT scan without contrast inpatient CPT 72192 CT Pelvis WO | $1,134.70 | $3,242.00 | $486.30–$2,755.70 | — | 65% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US Pelvis Non OB FU | $449.05 | $1,283.00 | $42.06–$1,090.55 | 49% above | 65% |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US Pelvis Non OB FU | $449.05 | $1,283.00 | $192.45–$1,090.55 | — | 65% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US Pelvis Non OB Complete | $533.75 | $1,525.00 | $86.89–$1,296.25 | 9% above | 65% |
| Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US Pelvis Non OB Complete | $533.75 | $1,525.00 | $228.75–$1,296.25 | — | 65% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US Pregnancy After 1st Trimester Transabdominal | $533.75 | $1,525.00 | $94.14–$1,525.00 | 15% above | 65% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US Pregnancy After 1st Trimester Transabdominal | $533.75 | $1,525.00 | $228.75–$1,296.25 | — | 65% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US Pregnancy 1st Trimester Transabdominal | $533.75 | $1,525.00 | $97.33–$1,525.00 | 39% above | 65% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 US Pregnancy 1st Trimester Transabdominal | $533.75 | $1,525.00 | $228.75–$1,296.25 | — | 65% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US Pregnancy Limited | $533.75 | $1,525.00 | $67.35–$1,525.00 | 59% above | 65% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 US Pregnancy Limited | $533.75 | $1,525.00 | $228.75–$1,296.25 | — | 65% |
| Rib X-ray, one side, 2 views one side CPT 71100 XR Ribs 2 V Right DR | $348.95 | $997.00 | $21.02–$847.45 | 75% above | 65% |
| Rib X-ray, one side, 2 views one side CPT 71100 XR Ribs 2 V Left DR | $348.95 | $997.00 | $21.02–$847.45 | 75% above | 65% |
| Rib X-ray, one side, 2 views inpatient one side CPT 71100 XR Ribs 2 V Left DR | $348.95 | $997.00 | $149.55–$847.45 | — | 65% |
| Rib X-ray, one side, 2 views inpatient one side CPT 71100 XR Ribs 2 V Right DR | $348.95 | $997.00 | $149.55–$847.45 | — | 65% |
| Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 XR Ribs w PA Chest Right Min 3 V DR | $533.75 | $1,525.00 | $23.72–$1,296.25 | 119% above | 65% |
| Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 XR Ribs w PA Chest Left Min 3 V DR | $533.75 | $1,525.00 | $23.72–$1,296.25 | 119% above | 65% |
| Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 XR Ribs w PA Chest Left Min 3 V DR | $533.75 | $1,525.00 | $228.75–$1,296.25 | — | 65% |
| Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 XR Ribs w PA Chest Right Min 3 V DR | $533.75 | $1,525.00 | $228.75–$1,296.25 | — | 65% |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR Shoulder Complete Min 2 V Left DR | $348.95 | $997.00 | $20.75–$847.45 | 80% above | 65% |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR Shoulder Complete Min 2 V Right DR | $348.95 | $997.00 | $20.75–$847.45 | 80% above | 65% |
| Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 XR Shoulder Complete Min 2 V Left DR | $348.95 | $997.00 | $149.55–$847.45 | — | 65% |
| Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 XR Shoulder Complete Min 2 V Right DR | $348.95 | $997.00 | $149.55–$847.45 | — | 65% |
| Sinus X-ray, complete, 3 or more views CPT 70220 XR Sinuses Paranasal Complete DR | $348.95 | $997.00 | $22.10–$847.45 | 69% above | 65% |
| Sinus X-ray, complete, 3 or more views inpatient CPT 70220 XR Sinuses Paranasal Complete DR | $348.95 | $997.00 | $149.55–$847.45 | — | 65% |
| Skull X-ray, fewer than 4 views CPT 70250 XR Skull Less Than 4 V DR | $533.75 | $1,525.00 | $22.10–$1,296.25 | 159% above | 65% |
| Skull X-ray, fewer than 4 views inpatient CPT 70250 XR Skull Less Than 4 V DR | $533.75 | $1,525.00 | $228.75–$1,296.25 | — | 65% |
| Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 XR Femur Minimum 2 Views Left DR | $348.95 | $997.00 | $21.83–$847.45 | 81% above | 65% |
| Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 XR Femur Minimum 2 Views Right DR | $348.95 | $997.00 | $21.83–$847.45 | 81% above | 65% |
| Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 XR Femur Minimum 2 Views Left DR | $348.95 | $997.00 | $149.55–$847.45 | — | 65% |
| Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 XR Femur Minimum 2 Views Right DR | $348.95 | $997.00 | $149.55–$847.45 | — | 65% |
| Thoracic spine (mid back) CT scan without contrast CPT 72128 CT Spine Thoracic WO | $1,134.70 | $3,242.00 | $109.77–$2,755.70 | 12% above | 65% |
| Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 CT Spine Thoracic WO | $1,134.70 | $3,242.00 | $486.30–$2,755.70 | — | 65% |
| Toe X-ray, 2 or more views one side CPT 73660 XR Toes Great Min 2 V Left DR | $348.95 | $997.00 | $18.33–$847.45 | 114% above | 65% |
| Toe X-ray, 2 or more views one side CPT 73660 XR Toes 4th Digit Min 2 V Left DR | $348.95 | $997.00 | $18.33–$847.45 | 114% above | 65% |
| Toe X-ray, 2 or more views one side CPT 73660 XR Toes 2nd Digit Min 2 V Left DR | $348.95 | $997.00 | $18.33–$847.45 | 114% above | 65% |
| Toe X-ray, 2 or more views one side CPT 73660 XR Toes 5th Digit Min 2 V Right DR | $348.95 | $997.00 | $18.33–$847.45 | 114% above | 65% |
| Toe X-ray, 2 or more views one side CPT 73660 XR Toes 2nd Digit Min 2 V Right DR | $348.95 | $997.00 | $18.33–$847.45 | 114% above | 65% |
| Toe X-ray, 2 or more views one side CPT 73660 XR Toes 3rd Digit Min 2 V Left DR | $348.95 | $997.00 | $18.33–$847.45 | 114% above | 65% |
| Toe X-ray, 2 or more views one side CPT 73660 XR Toes 5th Digit Min 2 V Left DR | $348.95 | $997.00 | $18.33–$847.45 | 114% above | 65% |
| Toe X-ray, 2 or more views one side CPT 73660 XR Toes 3rd Digit Min 2 V Right DR | $348.95 | $997.00 | $18.33–$847.45 | 114% above | 65% |
| Toe X-ray, 2 or more views one side CPT 73660 XR Toes 4th Digit Min 2 V Right DR | $348.95 | $997.00 | $18.33–$847.45 | 114% above | 65% |
| Toe X-ray, 2 or more views one side CPT 73660 XR Toes Great Min 2 V Right DR | $348.95 | $997.00 | $18.33–$847.45 | 114% above | 65% |
| Toe X-ray, 2 or more views inpatient one side CPT 73660 XR Toes 5th Digit Min 2 V Left DR | $348.95 | $997.00 | $149.55–$847.45 | — | 65% |
| Toe X-ray, 2 or more views inpatient one side CPT 73660 XR Toes 3rd Digit Min 2 V Left DR | $348.95 | $997.00 | $149.55–$847.45 | — | 65% |
| Toe X-ray, 2 or more views inpatient one side CPT 73660 XR Toes 2nd Digit Min 2 V Right DR | $348.95 | $997.00 | $149.55–$847.45 | — | 65% |
| Toe X-ray, 2 or more views inpatient one side CPT 73660 XR Toes 2nd Digit Min 2 V Left DR | $348.95 | $997.00 | $149.55–$847.45 | — | 65% |
| Toe X-ray, 2 or more views inpatient one side CPT 73660 XR Toes 4th Digit Min 2 V Left DR | $348.95 | $997.00 | $149.55–$847.45 | — | 65% |
| Toe X-ray, 2 or more views inpatient one side CPT 73660 XR Toes Great Min 2 V Left DR | $348.95 | $997.00 | $149.55–$847.45 | — | 65% |
| Toe X-ray, 2 or more views inpatient one side CPT 73660 XR Toes 5th Digit Min 2 V Right DR | $348.95 | $997.00 | $149.55–$847.45 | — | 65% |
| Toe X-ray, 2 or more views inpatient one side CPT 73660 XR Toes 3rd Digit Min 2 V Right DR | $348.95 | $997.00 | $149.55–$847.45 | — | 65% |
| Toe X-ray, 2 or more views inpatient one side CPT 73660 XR Toes 4th Digit Min 2 V Right DR | $348.95 | $997.00 | $149.55–$847.45 | — | 65% |
| Toe X-ray, 2 or more views inpatient one side CPT 73660 XR Toes Great Min 2 V Right DR | $348.95 | $997.00 | $149.55–$847.45 | — | 65% |
| Transvaginal pelvic ultrasound CPT 76830 US Transvaginal Non OB | $533.75 | $1,525.00 | $97.42–$1,296.25 | 28% above | 65% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 US Transvaginal Non OB | $533.75 | $1,525.00 | $228.75–$1,296.25 | — | 65% |
| Transvaginal ultrasound during pregnancy CPT 76817 US Pregnancy Transvaginal | $533.75 | $1,525.00 | $76.59–$1,525.00 | 67% above | 65% |
| Transvaginal ultrasound during pregnancy inpatient CPT 76817 US Pregnancy Transvaginal | $533.75 | $1,525.00 | $228.75–$1,296.25 | — | 65% |
| Ultrasound of the abdomen, complete CPT 76700 US Abdomen Complete | $533.75 | $1,525.00 | $95.90–$1,296.25 | 1% above | 65% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 US Abdomen Complete | $533.75 | $1,525.00 | $228.75–$1,296.25 | — | 65% |
| Ultrasound of the scrotum and testicles CPT 76870 US Scrotum Contents | $533.75 | $1,525.00 | $82.68–$1,296.25 | 50% above | 65% |
| Ultrasound of the scrotum and testicles inpatient CPT 76870 US Scrotum Contents | $533.75 | $1,525.00 | $228.75–$1,296.25 | — | 65% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US Thyroid | $533.75 | $1,525.00 | $90.24–$1,296.25 | 31% above | 65% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US Head Neck Soft Tissue | $533.75 | $1,525.00 | $90.24–$1,296.25 | 31% above | 65% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US Head Neck Soft Tissue | $533.75 | $1,525.00 | $228.75–$1,296.25 | — | 65% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US Thyroid | $533.75 | $1,525.00 | $228.75–$1,296.25 | — | 65% |
| Upper arm X-ray (humerus), 2 views one side CPT 73060 XR Humerus Min 2 V Left DR | $348.95 | $997.00 | $19.68–$847.45 | 100% above | 65% |
| Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 XR Humerus Min 2 V Left DR | $348.95 | $997.00 | $149.55–$847.45 | — | 65% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US LE Venous Mapping Duplex Left | $667.10 | $1,906.00 | $94.14–$1,620.10 | 45% above | 65% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US LE Venous Duplex Left | $667.10 | $1,906.00 | $94.14–$1,620.10 | 45% above | 65% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US LE Venous Duplex Right | $667.10 | $1,906.00 | $94.14–$1,620.10 | 45% above | 65% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US UE Venous Duplex Left | $667.10 | $1,906.00 | $94.14–$1,620.10 | 45% above | 65% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US UE Venous Duplex Right | $667.10 | $1,906.00 | $94.14–$1,620.10 | 45% above | 65% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US LE Venous Mapping Duplex Right | $667.10 | $1,906.00 | $94.14–$1,620.10 | 45% above | 65% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US UE Venous Mapping Duplex Right | $667.10 | $1,906.00 | $94.14–$1,620.10 | 45% above | 65% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US UE Venous Mapping Duplex Left | $667.10 | $1,906.00 | $94.14–$1,620.10 | 45% above | 65% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US LE Venous Insufficiency Duplex Right | $667.10 | $1,906.00 | $94.14–$1,620.10 | 45% above | 65% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US LE Venous Insufficiency Duplex Left | $667.10 | $1,906.00 | $94.14–$1,620.10 | 45% above | 65% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US UE Venous Insufficiency Duplex Right | $667.10 | $1,906.00 | $94.14–$1,620.10 | 45% above | 65% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US UE Venous Insufficiency Duplex Left | $667.10 | $1,906.00 | $94.14–$1,620.10 | 45% above | 65% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US UE Venous Mapping Duplex Left | $667.10 | $1,906.00 | $285.90–$1,620.10 | — | 65% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US UE Venous Insufficiency Duplex Left | $667.10 | $1,906.00 | $285.90–$1,620.10 | — | 65% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US LE Venous Mapping Duplex Right | $667.10 | $1,906.00 | $285.90–$1,620.10 | — | 65% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US LE Venous Mapping Duplex Left | $667.10 | $1,906.00 | $285.90–$1,620.10 | — | 65% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US UE Venous Insufficiency Duplex Right | $667.10 | $1,906.00 | $285.90–$1,620.10 | — | 65% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US LE Venous Insufficiency Duplex Left | $667.10 | $1,906.00 | $285.90–$1,620.10 | — | 65% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US LE Venous Insufficiency Duplex Right | $667.10 | $1,906.00 | $285.90–$1,620.10 | — | 65% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US LE Venous Duplex Left | $667.10 | $1,906.00 | $285.90–$1,620.10 | — | 65% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US UE Venous Mapping Duplex Right | $667.10 | $1,906.00 | $285.90–$1,620.10 | — | 65% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US LE Venous Duplex Right | $667.10 | $1,906.00 | $285.90–$1,620.10 | — | 65% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US UE Venous Duplex Left | $667.10 | $1,906.00 | $285.90–$1,620.10 | — | 65% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US UE Venous Duplex Right | $667.10 | $1,906.00 | $285.90–$1,620.10 | — | 65% |
| Wrist X-ray, 2 views one side CPT 73100 XR Wrist 2 V Right DR | $348.95 | $997.00 | $20.75–$847.45 | 113% above | 65% |
| Wrist X-ray, 2 views one side CPT 73100 XR Wrist 2 V Left DR | $348.95 | $997.00 | $20.75–$847.45 | 113% above | 65% |
| Wrist X-ray, 2 views inpatient one side CPT 73100 XR Wrist 2 V Right DR | $348.95 | $997.00 | $149.55–$847.45 | — | 65% |
| Wrist X-ray, 2 views inpatient one side CPT 73100 XR Wrist 2 V Left DR | $348.95 | $997.00 | $149.55–$847.45 | — | 65% |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 XR Wrist Complete Min 3 V Right DR | $348.95 | $997.00 | $26.69–$847.45 | 94% above | 65% |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 XR Wrist Complete Min 3 V Left DR | $348.95 | $997.00 | $26.69–$847.45 | 94% above | 65% |
| Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 XR Wrist Complete Min 3 V Left DR | $348.95 | $997.00 | $149.55–$847.45 | — | 65% |
| Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 XR Wrist Complete Min 3 V Right DR | $348.95 | $997.00 | $149.55–$847.45 | — | 65% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR Hip Right 2 or 3 Views DR | $348.95 | $997.00 | $29.93–$847.45 | 84% above | 65% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR Hip Left 2 or 3 Views DR | $348.95 | $997.00 | $29.93–$847.45 | 84% above | 65% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 XR Hip Left 2 or 3 Views DR | $348.95 | $997.00 | $149.55–$847.45 | — | 65% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 XR Hip Right 2 or 3 Views DR | $348.95 | $997.00 | $149.55–$847.45 | — | 65% |
| X-ray of the abdomen, 1 view CPT 74018 XR Abdomen AP KUB DR | $348.95 | $997.00 | $17.25–$847.45 | 101% above | 65% |
| X-ray of the abdomen, 1 view inpatient CPT 74018 XR Abdomen AP KUB DR | $348.95 | $997.00 | $149.55–$847.45 | — | 65% |
| X-ray of the ankle, 2 views one side CPT 73600 XR Ankle 2 V Right DR | $348.95 | $997.00 | $19.68–$847.45 | 95% above | 65% |
| X-ray of the ankle, 2 views one side CPT 73600 XR Ankle 2 V Left DR | $348.95 | $997.00 | $19.68–$847.45 | 95% above | 65% |
| X-ray of the ankle, 2 views inpatient one side CPT 73600 XR Ankle 2 V Left DR | $348.95 | $997.00 | $149.55–$847.45 | — | 65% |
| X-ray of the ankle, 2 views inpatient one side CPT 73600 XR Ankle 2 V Right DR | $348.95 | $997.00 | $149.55–$847.45 | — | 65% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger Min 2 V 5th Digit Left DR | $348.95 | $997.00 | $25.61–$847.45 | 115% above | 65% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger Min 2 V 5th Digit Right DR | $348.95 | $997.00 | $25.61–$847.45 | 115% above | 65% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger Min 2 V Thumb Right DR | $348.95 | $997.00 | $25.61–$847.45 | 115% above | 65% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger Min 2 V Thumb Left DR | $348.95 | $997.00 | $25.61–$847.45 | 115% above | 65% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger Min 2 V 4th Digit Right DR | $348.95 | $997.00 | $25.61–$847.45 | 115% above | 65% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger Min 2 V 4th Digit Left DR | $348.95 | $997.00 | $25.61–$847.45 | 115% above | 65% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger Min 2 V 3rd Digit Right DR | $348.95 | $997.00 | $25.61–$847.45 | 115% above | 65% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger Min 2 V 3rd Digit Left DR | $348.95 | $997.00 | $25.61–$847.45 | 115% above | 65% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger Min 2 V 2nd Digit Right DR | $348.95 | $997.00 | $25.61–$847.45 | 115% above | 65% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger Min 2 V 2nd Digit Left DR | $348.95 | $997.00 | $25.61–$847.45 | 115% above | 65% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger Min 2 V 5th Digit Left DR | $348.95 | $997.00 | $149.55–$847.45 | — | 65% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger Min 2 V Thumb Right DR | $348.95 | $997.00 | $149.55–$847.45 | — | 65% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger Min 2 V Thumb Left DR | $348.95 | $997.00 | $149.55–$847.45 | — | 65% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger Min 2 V 5th Digit Right DR | $348.95 | $997.00 | $149.55–$847.45 | — | 65% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger Min 2 V 2nd Digit Left DR | $348.95 | $997.00 | $149.55–$847.45 | — | 65% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger Min 2 V 2nd Digit Right DR | $348.95 | $997.00 | $149.55–$847.45 | — | 65% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger Min 2 V 3rd Digit Left DR | $348.95 | $997.00 | $149.55–$847.45 | — | 65% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger Min 2 V 3rd Digit Right DR | $348.95 | $997.00 | $149.55–$847.45 | — | 65% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger Min 2 V 4th Digit Left DR | $348.95 | $997.00 | $149.55–$847.45 | — | 65% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger Min 2 V 4th Digit Right DR | $348.95 | $997.00 | $149.55–$847.45 | — | 65% |
| X-ray of the foot, 2 views one side CPT 73620 XR Foot 2 V Left DR | $348.95 | $997.00 | $16.98–$847.45 | 100% above | 65% |
| X-ray of the foot, 2 views one side CPT 73620 XR Foot 2 V Right DR | $348.95 | $997.00 | $16.98–$847.45 | 100% above | 65% |
| X-ray of the foot, 2 views inpatient one side CPT 73620 XR Foot 2 V Right DR | $348.95 | $997.00 | $149.55–$847.45 | — | 65% |
| X-ray of the foot, 2 views inpatient one side CPT 73620 XR Foot 2 V Left DR | $348.95 | $997.00 | $149.55–$847.45 | — | 65% |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 XR Foot Complete Min 3 V Right DR | $348.95 | $997.00 | $21.02–$847.45 | 77% above | 65% |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 XR Foot Complete Min 3 V Left DR | $348.95 | $997.00 | $21.02–$847.45 | 77% above | 65% |
| X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 XR Foot Complete Min 3 V Right DR | $348.95 | $997.00 | $149.55–$847.45 | — | 65% |
| X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 XR Foot Complete Min 3 V Left DR | $348.95 | $997.00 | $149.55–$847.45 | — | 65% |
| X-ray of the hand, 3 or more views one side CPT 73130 XR Hand Complete Min 3 V Left DR | $348.95 | $997.00 | $23.45–$847.45 | 77% above | 65% |
| X-ray of the hand, 3 or more views one side CPT 73130 XR Hand Complete Min 3 V Right DR | $348.95 | $997.00 | $23.45–$847.45 | 77% above | 65% |
| X-ray of the hand, 3 or more views inpatient one side CPT 73130 XR Hand Complete Min 3 V Left DR | $348.95 | $997.00 | $149.55–$847.45 | — | 65% |
| X-ray of the hand, 3 or more views inpatient one side CPT 73130 XR Hand Complete Min 3 V Right DR | $348.95 | $997.00 | $149.55–$847.45 | — | 65% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 XR Knee 1 or 2 V Left DR | $348.95 | $997.00 | $21.02–$847.45 | 102% above | 65% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 XR Knee 1 or 2 V Right DR | $348.95 | $997.00 | $21.02–$847.45 | 102% above | 65% |
| X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 XR Knee 1 or 2 V Right DR | $348.95 | $997.00 | $149.55–$847.45 | — | 65% |
| X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 XR Knee 1 or 2 V Left DR | $348.95 | $997.00 | $149.55–$847.45 | — | 65% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 XR Spine Lumbosacral 2 or 3 V DR | $533.75 | $1,525.00 | $23.45–$1,296.25 | 152% above | 65% |
| X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 XR Spine Lumbosacral 2 or 3 V DR | $533.75 | $1,525.00 | $228.75–$1,296.25 | — | 65% |
| X-ray of the lower back, 4 or more views CPT 72110 XR Spine Lumbosacral Minimum 4 V DR | $533.75 | $1,525.00 | $31.82–$1,296.25 | 70% above | 65% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 XR Spine Lumbosacral Minimum 4 V DR | $533.75 | $1,525.00 | $228.75–$1,296.25 | — | 65% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 XR Spine Thoracic 2 V DR | $533.75 | $1,525.00 | $18.87–$1,296.25 | 153% above | 65% |
| X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 XR Spine Thoracic 2 V DR | $533.75 | $1,525.00 | $228.75–$1,296.25 | — | 65% |
| X-ray of the nasal bones, 3 or more views CPT 70160 XR Nasal Bones Comp Minimum 3 V DR | $348.95 | $997.00 | $23.72–$847.45 | 114% above | 65% |
| X-ray of the nasal bones, 3 or more views inpatient CPT 70160 XR Nasal Bones Comp Minimum 3 V DR | $348.95 | $997.00 | $149.55–$847.45 | — | 65% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 XR Spine Cervical 2 or 3 V DR | $348.95 | $997.00 | $23.45–$847.45 | 71% above | 65% |
| X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 XR Spine Cervical 2 or 3 V DR | $348.95 | $997.00 | $149.55–$847.45 | — | 65% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 XR Pelvis 1 or 2 V DR | $533.75 | $1,525.00 | $15.90–$1,296.25 | 178% above | 65% |
| X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 XR Pelvis 1 or 2 V DR | $533.75 | $1,525.00 | $228.75–$1,296.25 | — | 65% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 XR Sacrum Coccyx Minimum 2 V DR | $348.95 | $997.00 | $19.68–$847.45 | 96% above | 65% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 XR Sacrum Coccyx Minimum 2 V DR | $348.95 | $997.00 | $149.55–$847.45 | — | 65% |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Oklahoma | Off list |
|---|---|---|---|---|---|
| ACTH blood test CPT 82024 Adrenocorticotropic Hormone Plasma (LC) | $268.10 | $766.00 | $34.35–$651.10 | 106% above | 65% |
| ACTH blood test inpatient CPT 82024 Adrenocorticotropic Hormone Plasma (LC) | $268.10 | $766.00 | $114.90–$651.10 | — | 65% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 Alanine Aminotransferase Body Fluid | $36.40 | $104.00 | $4.71–$88.40 | 12% above | 65% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 Alanine Aminotransferase | $36.40 | $104.00 | $4.71–$88.40 | 12% above | 65% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 84460 TRANSFERASE ALT | $36.40 | $104.00 | $4.71–$88.40 | 12% above | 65% |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 Alanine Aminotransferase | $36.40 | $104.00 | $15.60–$88.40 | — | 65% |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 84460 TRANSFERASE ALT | $36.40 | $104.00 | $15.60–$88.40 | — | 65% |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 Alanine Aminotransferase Body Fluid | $36.40 | $104.00 | $15.60–$88.40 | — | 65% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 Aspartate Aminotransferase | $36.05 | $103.00 | $4.61–$87.55 | 4% below | 65% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 Aspartate Aminotransferase Body Fluid | $36.05 | $103.00 | $4.61–$87.55 | 4% below | 65% |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 Aspartate Aminotransferase | $36.05 | $103.00 | $15.45–$87.55 | — | 65% |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 Aspartate Aminotransferase Body Fluid | $36.05 | $103.00 | $15.45–$87.55 | — | 65% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 Acute Viral Hepatitis (HAV,HBV,HCV) LC | $57.40 | $164.00 | $24.60–$139.40 | 69% below | 65% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 Hepatitis Panel Acute | $330.75 | $945.00 | $42.37–$803.25 | 78% above | 65% |
| Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 Acute Viral Hepatitis (HAV,HBV,HCV) LC | $57.40 | $164.00 | $24.60–$139.40 | — | 65% |
| Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 Hepatitis Panel Acute | $330.75 | $945.00 | $141.75–$803.25 | — | 65% |
| Albumin blood test CPT 82040 Albumin Level | $34.30 | $98.00 | $4.40–$83.30 | 10% above | 65% |
| Albumin blood test CPT 82040 82040 L002238 ALB SER | $34.30 | $98.00 | $4.40–$83.30 | 10% above | 65% |
| Albumin blood test CPT 82040 82040 ALBUMIN SERUM | $34.30 | $98.00 | $4.40–$83.30 | 10% above | 65% |
| Albumin blood test inpatient CPT 82040 82040 L002238 ALB SER | $34.30 | $98.00 | $14.70–$83.30 | — | 65% |
| Albumin blood test inpatient CPT 82040 Albumin Level | $34.30 | $98.00 | $14.70–$83.30 | — | 65% |
| Albumin blood test inpatient CPT 82040 82040 ALBUMIN SERUM | $34.30 | $98.00 | $14.70–$83.30 | — | 65% |
| Aldosterone blood test CPT 82088 Aldosterone LCMS Level LC | $282.45 | $807.00 | $36.25–$685.95 | 102% above | 65% |
| Aldosterone blood test inpatient CPT 82088 Aldosterone LCMS Level LC | $282.45 | $807.00 | $121.05–$685.95 | — | 65% |
| Alkaline phosphatase (ALP) blood test CPT 84075 84075 L1612 PHOSPHATASE,ALKALINE | $25.55 | $73.00 | $4.61–$62.05 | 15% below | 65% |
| Alkaline phosphatase (ALP) blood test CPT 84075 84075 PHOSPHATASE ALKALINE | $36.05 | $103.00 | $4.61–$87.55 | 20% above | 65% |
| Alkaline phosphatase (ALP) blood test CPT 84075 Alkaline Phosphatase | $36.05 | $103.00 | $4.61–$87.55 | 20% above | 65% |
| Alkaline phosphatase (ALP) blood test inpatient CPT 84075 84075 L1612 PHOSPHATASE,ALKALINE | $25.55 | $73.00 | $10.95–$62.05 | — | 65% |
| Alkaline phosphatase (ALP) blood test inpatient CPT 84075 84075 PHOSPHATASE ALKALINE | $36.05 | $103.00 | $15.45–$87.55 | — | 65% |
| Alkaline phosphatase (ALP) blood test inpatient CPT 84075 Alkaline Phosphatase | $36.05 | $103.00 | $15.45–$87.55 | — | 65% |
| Allergy blood test, specific IgE, per allergen CPT 86003 86003 L604544 ALG IGE QT | $33.25 | $95.00 | $4.64–$80.75 | 54% above | 65% |
| Allergy blood test, specific IgE, per allergen CPT 86003 F036-IgE Coconut LC | $33.25 | $95.00 | $4.64–$80.75 | 54% above | 65% |
| Allergy blood test, specific IgE, per allergen CPT 86003 K087-IgE Alpha-Amylase (LC) | $33.25 | $95.00 | $4.64–$80.75 | 54% above | 65% |
| Allergy blood test, specific IgE, per allergen CPT 86003 86003 L607899 ALG IGE QT | $33.25 | $95.00 | $4.64–$80.75 | 54% above | 65% |
| Allergy blood test, specific IgE, per allergen CPT 86003 86003 ALLERGEN IGE QUANT | $33.25 | $95.00 | $4.64–$80.75 | 54% above | 65% |
| Allergy blood test, specific IgE, per allergen CPT 86003 86003 L139825 ALG IGE QT | $33.25 | $95.00 | $4.64–$80.75 | 54% above | 65% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Mucor racemosus IgE Quant | $33.25 | $95.00 | $4.64–$80.75 | 54% above | 65% |
| Allergy blood test, specific IgE, per allergen CPT 86003 86003 L600919 ALG IGE QT | $49.35 | $141.00 | $4.64–$119.85 | 128% above | 65% |
| Allergy blood test, specific IgE, per allergen CPT 86003 86003 L600973 ALLERGEN IGE | $49.35 | $141.00 | $4.64–$119.85 | 128% above | 65% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 86003 L604544 ALG IGE QT | $33.25 | $95.00 | $14.25–$80.75 | — | 65% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 K087-IgE Alpha-Amylase (LC) | $33.25 | $95.00 | $14.25–$80.75 | — | 65% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F036-IgE Coconut LC | $33.25 | $95.00 | $14.25–$80.75 | — | 65% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 86003 L607899 ALG IGE QT | $33.25 | $95.00 | $14.25–$80.75 | — | 65% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 86003 ALLERGEN IGE QUANT | $33.25 | $95.00 | $14.25–$80.75 | — | 65% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 86003 L139825 ALG IGE QT | $33.25 | $95.00 | $14.25–$80.75 | — | 65% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Mucor racemosus IgE Quant | $33.25 | $95.00 | $14.25–$80.75 | — | 65% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 86003 L600919 ALG IGE QT | $49.35 | $141.00 | $21.15–$119.85 | — | 65% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 86003 L600973 ALLERGEN IGE | $49.35 | $141.00 | $21.15–$119.85 | — | 65% |
| Alpha-fetoprotein (AFP) blood test CPT 82105 82105 L17319 AFP SERUM | $116.20 | $332.00 | $14.92–$282.20 | 111% above | 65% |
| Alpha-fetoprotein (AFP) blood test CPT 82105 Alpha Fetoprotein Tumor Marker (LC) | $116.20 | $332.00 | $14.92–$282.20 | 111% above | 65% |
| Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 82105 L17319 AFP SERUM | $116.20 | $332.00 | $49.80–$282.20 | — | 65% |
| Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 Alpha Fetoprotein Tumor Marker (LC) | $116.20 | $332.00 | $49.80–$282.20 | — | 65% |
| Ammonia blood test CPT 82140 Ammonia Level | $101.50 | $290.00 | $12.96–$246.50 | 46% above | 65% |
| Ammonia blood test inpatient CPT 82140 Ammonia Level | $101.50 | $290.00 | $43.50–$246.50 | — | 65% |
| Amylase blood test CPT 82150 Amylase Urine | $166.60 | $476.00 | $5.76–$404.60 | 260% above | 65% |
| Amylase blood test CPT 82150 Amylase 24 Hour Urine | $166.60 | $476.00 | $5.76–$404.60 | 260% above | 65% |
| Amylase blood test CPT 82150 Amylase Body Fluid | $166.60 | $476.00 | $5.76–$404.60 | 260% above | 65% |
| Amylase blood test CPT 82150 Pancreatic Amylase Blood | $166.60 | $476.00 | $5.76–$404.60 | 260% above | 65% |
| Amylase blood test CPT 82150 Amylase Blood | $166.60 | $476.00 | $5.76–$404.60 | 260% above | 65% |
| Amylase blood test CPT 82150 Amylase Urine Timed | $166.60 | $476.00 | $5.76–$404.60 | 260% above | 65% |
| Amylase blood test inpatient CPT 82150 Amylase Body Fluid | $166.60 | $476.00 | $71.40–$404.60 | — | 65% |
| Amylase blood test inpatient CPT 82150 Amylase Urine | $166.60 | $476.00 | $71.40–$404.60 | — | 65% |
| Amylase blood test inpatient CPT 82150 Pancreatic Amylase Blood | $166.60 | $476.00 | $71.40–$404.60 | — | 65% |
| Amylase blood test inpatient CPT 82150 Amylase Blood | $166.60 | $476.00 | $71.40–$404.60 | — | 65% |
| Amylase blood test inpatient CPT 82150 Amylase Urine Timed | $166.60 | $476.00 | $71.40–$404.60 | — | 65% |
| Amylase blood test inpatient CPT 82150 Amylase 24 Hour Urine | $166.60 | $476.00 | $71.40–$404.60 | — | 65% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Cyclic Citrullinated Peptide Ab IgG IgA (LC) | $90.30 | $258.00 | $11.52–$219.30 | 37% above | 65% |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 Cyclic Citrullinated Peptide Ab IgG IgA (LC) | $90.30 | $258.00 | $38.70–$219.30 | — | 65% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 86038 L203752 ANA IFA | $83.65 | $239.00 | $10.75–$203.15 | 37% above | 65% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 Anti Nuclear Antibodies Direct (LC) | $83.65 | $239.00 | $10.75–$203.15 | 37% above | 65% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 Anti Nuclear Antibody IFA (LC) | $83.65 | $239.00 | $10.75–$203.15 | 37% above | 65% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 Anti Nuclear Antibody IFA (LC) | $83.65 | $239.00 | $35.85–$203.15 | — | 65% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 Anti Nuclear Antibodies Direct (LC) | $83.65 | $239.00 | $35.85–$203.15 | — | 65% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 86038 L203752 ANA IFA | $83.65 | $239.00 | $35.85–$203.15 | — | 65% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 B Type Natriuretic Peptide Prohormone | $151.55 | $433.00 | $34.92–$368.05 | 29% above | 65% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 B Type Natriuretic Peptide | $151.55 | $433.00 | $34.92–$368.05 | 29% above | 65% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 NT-proBNP (LC) | $151.55 | $433.00 | $34.92–$368.05 | 29% above | 65% |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 NT-proBNP (LC) | $151.55 | $433.00 | $64.95–$368.05 | — | 65% |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 B Type Natriuretic Peptide Prohormone | $151.55 | $433.00 | $64.95–$368.05 | — | 65% |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 B Type Natriuretic Peptide | $151.55 | $433.00 | $64.95–$368.05 | — | 65% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Bronchial Alveolar Lavage Quantitative Culture wit | $66.15 | $189.00 | $7.67–$160.65 | 50% above | 65% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Ear Culture without Gram Stain | $223.30 | $638.00 | $7.67–$542.30 | 406% above | 65% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Tissue Culture without Gram Stain | $223.30 | $638.00 | $7.67–$542.30 | 406% above | 65% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Miscellaneous Culture without Gram Stain | $223.30 | $638.00 | $7.67–$542.30 | 406% above | 65% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Sinus Culture without Gram Stain | $223.30 | $638.00 | $7.67–$542.30 | 406% above | 65% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Nasopharyngeal Culture without Gram Stain | $223.30 | $638.00 | $7.67–$542.30 | 406% above | 65% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Eye Culture without Gram Stain | $223.30 | $638.00 | $7.67–$542.30 | 406% above | 65% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Aerobic Culture without Gram Stain | $223.30 | $638.00 | $7.67–$542.30 | 406% above | 65% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Skin Culture without Gram Stain Panel | $223.30 | $638.00 | $7.67–$542.30 | 406% above | 65% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Genital Culture without Gram Stain | $223.30 | $638.00 | $7.67–$542.30 | 406% above | 65% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Bronchial Culture without Gram Stain | $223.30 | $638.00 | $7.67–$542.30 | 406% above | 65% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Wound Culture without Gram stain | $223.30 | $638.00 | $7.67–$542.30 | 406% above | 65% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Feeding Tube Culture | $223.30 | $638.00 | $7.67–$542.30 | 406% above | 65% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Throat Culture | $223.30 | $638.00 | $7.67–$542.30 | 406% above | 65% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 zzEnvironmental Culture | $223.30 | $638.00 | $7.67–$542.30 | 406% above | 65% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Abscess Culture without Gram Stain | $223.30 | $638.00 | $7.67–$542.30 | 406% above | 65% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Bronchial Aspirate Culture | $223.30 | $638.00 | $7.67–$542.30 | 406% above | 65% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Aspirate Culture without Gram Stain | $223.30 | $638.00 | $7.67–$542.30 | 406% above | 65% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Body Fluid Culture without Gram Stain | $223.30 | $638.00 | $7.67–$542.30 | 406% above | 65% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Catheter Tip Culture | $223.30 | $638.00 | $7.67–$542.30 | 406% above | 65% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 87070 CULTURE BACTERIA OTH | $223.30 | $638.00 | $7.67–$542.30 | 406% above | 65% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Transfusion Reaction Culture | $223.30 | $638.00 | $7.67–$542.30 | 406% above | 65% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Bone Marrow Culture | $223.30 | $638.00 | $7.67–$542.30 | 406% above | 65% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Gastric Culture without Gram Stain | $223.30 | $638.00 | $7.67–$542.30 | 406% above | 65% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Trachea Culture without Gram Stain | $223.30 | $638.00 | $7.67–$542.30 | 406% above | 65% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Foreign Body Culture | $223.30 | $638.00 | $7.67–$542.30 | 406% above | 65% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Bone Culture | $223.30 | $638.00 | $7.67–$542.30 | 406% above | 65% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Respiratory Culture without Gram Stain | $223.30 | $638.00 | $7.67–$542.30 | 406% above | 65% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Medical Device Culture | $223.30 | $638.00 | $7.67–$542.30 | 406% above | 65% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Bronchial Alveolar Lavage Culture without Gram Sta | $223.30 | $638.00 | $7.67–$542.30 | 406% above | 65% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Bronchial Wash Culture without Gram Stain | $223.30 | $638.00 | $7.67–$542.30 | 406% above | 65% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Bronchial Brush Culture without Gram Stain | $223.30 | $638.00 | $7.67–$542.30 | 406% above | 65% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Nasal Culture without Gram Stain | $223.30 | $638.00 | $7.67–$542.30 | 406% above | 65% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Cerebrospinal Fluid Culture without Gram Stain | $223.30 | $638.00 | $7.67–$542.30 | 406% above | 65% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Sputum Culture without Gram Stain | $223.30 | $638.00 | $7.67–$542.30 | 406% above | 65% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Bronchial Alveolar Lavage Quantitative Culture wit | $66.15 | $189.00 | $28.35–$160.65 | — | 65% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Wound Culture without Gram stain | $223.30 | $638.00 | $95.70–$542.30 | — | 65% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Miscellaneous Culture without Gram Stain | $223.30 | $638.00 | $95.70–$542.30 | — | 65% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Skin Culture without Gram Stain Panel | $223.30 | $638.00 | $95.70–$542.30 | — | 65% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Sinus Culture without Gram Stain | $223.30 | $638.00 | $95.70–$542.30 | — | 65% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Feeding Tube Culture | $223.30 | $638.00 | $95.70–$542.30 | — | 65% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Body Fluid Culture without Gram Stain | $223.30 | $638.00 | $95.70–$542.30 | — | 65% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Bone Marrow Culture | $223.30 | $638.00 | $95.70–$542.30 | — | 65% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Cerebrospinal Fluid Culture without Gram Stain | $223.30 | $638.00 | $95.70–$542.30 | — | 65% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Ear Culture without Gram Stain | $223.30 | $638.00 | $95.70–$542.30 | — | 65% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Eye Culture without Gram Stain | $223.30 | $638.00 | $95.70–$542.30 | — | 65% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Genital Culture without Gram Stain | $223.30 | $638.00 | $95.70–$542.30 | — | 65% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Medical Device Culture | $223.30 | $638.00 | $95.70–$542.30 | — | 65% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Bone Culture | $223.30 | $638.00 | $95.70–$542.30 | — | 65% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Bronchial Aspirate Culture | $223.30 | $638.00 | $95.70–$542.30 | — | 65% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Trachea Culture without Gram Stain | $223.30 | $638.00 | $95.70–$542.30 | — | 65% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Nasal Culture without Gram Stain | $223.30 | $638.00 | $95.70–$542.30 | — | 65% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Sputum Culture without Gram Stain | $223.30 | $638.00 | $95.70–$542.30 | — | 65% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Throat Culture | $223.30 | $638.00 | $95.70–$542.30 | — | 65% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Tissue Culture without Gram Stain | $223.30 | $638.00 | $95.70–$542.30 | — | 65% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Nasopharyngeal Culture without Gram Stain | $223.30 | $638.00 | $95.70–$542.30 | — | 65% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Aerobic Culture without Gram Stain | $223.30 | $638.00 | $95.70–$542.30 | — | 65% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Bronchial Culture without Gram Stain | $223.30 | $638.00 | $95.70–$542.30 | — | 65% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 zzEnvironmental Culture | $223.30 | $638.00 | $95.70–$542.30 | — | 65% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Abscess Culture without Gram Stain | $223.30 | $638.00 | $95.70–$542.30 | — | 65% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Aspirate Culture without Gram Stain | $223.30 | $638.00 | $95.70–$542.30 | — | 65% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Transfusion Reaction Culture | $223.30 | $638.00 | $95.70–$542.30 | — | 65% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 87070 CULTURE BACTERIA OTH | $223.30 | $638.00 | $95.70–$542.30 | — | 65% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Gastric Culture without Gram Stain | $223.30 | $638.00 | $95.70–$542.30 | — | 65% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Foreign Body Culture | $223.30 | $638.00 | $95.70–$542.30 | — | 65% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Respiratory Culture without Gram Stain | $223.30 | $638.00 | $95.70–$542.30 | — | 65% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Bronchial Alveolar Lavage Culture without Gram Sta | $223.30 | $638.00 | $95.70–$542.30 | — | 65% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Bronchial Brush Culture without Gram Stain | $223.30 | $638.00 | $95.70–$542.30 | — | 65% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Bronchial Wash Culture without Gram Stain | $223.30 | $638.00 | $95.70–$542.30 | — | 65% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Catheter Tip Culture | $223.30 | $638.00 | $95.70–$542.30 | — | 65% |
| Basic metabolic panel (blood test) CPT 80048 BMPWTCA | $105.00 | $300.00 | $7.53–$255.00 | 91% above | 65% |
| Basic metabolic panel (blood test) inpatient CPT 80048 BMPWTCA | $105.00 | $300.00 | $45.00–$255.00 | — | 65% |
| Bilirubin blood test, total CPT 82247 Bilirubin Total Cord Blood | $307.65 | $879.00 | $4.47–$747.15 | 689% above | 65% |
| Bilirubin blood test, total CPT 82247 82247 BILIRUBIN TOTAL | $307.65 | $879.00 | $4.47–$747.15 | 689% above | 65% |
| Bilirubin blood test, total CPT 82247 Bilirubin Total | $307.65 | $879.00 | $4.47–$747.15 | 689% above | 65% |
| Bilirubin blood test, total CPT 82247 Bilirubin Total Body Fluid | $307.65 | $879.00 | $4.47–$747.15 | 689% above | 65% |
| Bilirubin blood test, total CPT 82247 Bilirubin Total Neo | $307.65 | $879.00 | $4.47–$747.15 | 689% above | 65% |
| Bilirubin blood test, total inpatient CPT 82247 Bilirubin Total Body Fluid | $307.65 | $879.00 | $131.85–$747.15 | — | 65% |
| Bilirubin blood test, total inpatient CPT 82247 Bilirubin Total | $307.65 | $879.00 | $131.85–$747.15 | — | 65% |
| Bilirubin blood test, total inpatient CPT 82247 82247 BILIRUBIN TOTAL | $307.65 | $879.00 | $131.85–$747.15 | — | 65% |
| Bilirubin blood test, total inpatient CPT 82247 Bilirubin Total Cord Blood | $307.65 | $879.00 | $131.85–$747.15 | — | 65% |
| Bilirubin blood test, total inpatient CPT 82247 Bilirubin Total Neo | $307.65 | $879.00 | $131.85–$747.15 | — | 65% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 $APRL 88305 Bill Surg Path Gross Lvl4 | $712.60 | $2,036.00 | $42.88–$1,730.60 | 408% above | 65% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 $APRL 88305 Bill Surg Path Gross Lvl4 | $712.60 | $2,036.00 | $305.40–$1,730.60 | — | 65% |
| Blood culture for bacteria CPT 87040 Blood Culture | $133.35 | $381.00 | $9.18–$323.85 | 81% above | 65% |
| Blood culture for bacteria inpatient CPT 87040 Blood Culture | $133.35 | $381.00 | $57.15–$323.85 | — | 65% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 $ Contract Collection Charge Blood | $3.50 | $10.00 | $1.50–$11.04 | 65% below | 65% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 COLLECTION: Venous Draw Chg BCE | $24.15 | $69.00 | $3.60–$58.65 | 142% above | 65% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 COLLECTION: Venous Draw Chg | $24.15 | $69.00 | $3.60–$58.65 | 142% above | 65% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 DRAWING BLOOD | $787.26 | $2,249.30 | $9.43–$1,911.91 | 7773% above | 65% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 $ Contract Collection Charge Blood | $3.50 | $10.00 | $1.50–$8.50 | — | 65% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 COLLECTION: Venous Draw Chg BCE | $24.15 | $69.00 | $10.35–$58.65 | — | 65% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 COLLECTION: Venous Draw Chg | $24.15 | $69.00 | $10.35–$58.65 | — | 65% |
| Blood glucose (sugar) test CPT 82947 Glucose 4 Hour Postprandial | $27.30 | $78.00 | $3.50–$66.30 | 2% below | 65% |
| Blood glucose (sugar) test CPT 82947 Glucose Level | $27.30 | $78.00 | $3.50–$66.30 | 2% below | 65% |
| Blood glucose (sugar) test CPT 82947 .GTT 2nd Hr OB | $27.30 | $78.00 | $3.50–$66.30 | 2% below | 65% |
| Blood glucose (sugar) test CPT 82947 Glucose 3 Hour Postprandial | $27.30 | $78.00 | $3.50–$66.30 | 2% below | 65% |
| Blood glucose (sugar) test CPT 82947 .Glucose POC | $27.30 | $78.00 | $3.50–$66.30 | 2% below | 65% |
| Blood glucose (sugar) test CPT 82947 .GTT 3rd Hr OB | $27.30 | $78.00 | $3.50–$66.30 | 2% below | 65% |
| Blood glucose (sugar) test CPT 82947 82947 GLUCOSE,SER PL OR WB | $27.30 | $78.00 | $3.50–$66.30 | 2% below | 65% |
| Blood glucose (sugar) test CPT 82947 .Glucose Fasting | $27.30 | $78.00 | $3.50–$66.30 | 2% below | 65% |
| Blood glucose (sugar) test inpatient CPT 82947 Glucose Level | $27.30 | $78.00 | $11.70–$66.30 | — | 65% |
| Blood glucose (sugar) test inpatient CPT 82947 .Glucose Fasting | $27.30 | $78.00 | $11.70–$66.30 | — | 65% |
| Blood glucose (sugar) test inpatient CPT 82947 .Glucose POC | $27.30 | $78.00 | $11.70–$66.30 | — | 65% |
| Blood glucose (sugar) test inpatient CPT 82947 .GTT 2nd Hr OB | $27.30 | $78.00 | $11.70–$66.30 | — | 65% |
| Blood glucose (sugar) test inpatient CPT 82947 Glucose 3 Hour Postprandial | $27.30 | $78.00 | $11.70–$66.30 | — | 65% |
| Blood glucose (sugar) test inpatient CPT 82947 .GTT 3rd Hr OB | $27.30 | $78.00 | $11.70–$66.30 | — | 65% |
| Blood glucose (sugar) test inpatient CPT 82947 82947 GLUCOSE,SER PL OR WB | $27.30 | $78.00 | $11.70–$66.30 | — | 65% |
| Blood glucose (sugar) test inpatient CPT 82947 Glucose 4 Hour Postprandial | $27.30 | $78.00 | $11.70–$66.30 | — | 65% |
| Blood lead test CPT 83655 83655 L7046 LEAD | $75.60 | $216.00 | $10.77–$183.60 | 59% above | 65% |
| Blood lead test CPT 83655 83655 LEAD | $75.60 | $216.00 | $10.77–$183.60 | 59% above | 65% |
| Blood lead test CPT 83655 Lead Blood Pediatric (LC) | $75.60 | $216.00 | $10.77–$183.60 | 59% above | 65% |
| Blood lead test CPT 83655 83655 L42580 LEAD | $75.60 | $216.00 | $10.77–$183.60 | 59% above | 65% |
| Blood lead test inpatient CPT 83655 83655 L42580 LEAD | $75.60 | $216.00 | $32.40–$183.60 | — | 65% |
| Blood lead test inpatient CPT 83655 83655 L7046 LEAD | $75.60 | $216.00 | $32.40–$183.60 | — | 65% |
| Blood lead test inpatient CPT 83655 83655 LEAD | $75.60 | $216.00 | $32.40–$183.60 | — | 65% |
| Blood lead test inpatient CPT 83655 Lead Blood Pediatric (LC) | $75.60 | $216.00 | $32.40–$183.60 | — | 65% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 hCG Qual, Urine CQ | $52.50 | $150.00 | $6.69–$127.50 | 15% above | 65% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HCGQLS | $52.50 | $150.00 | $6.69–$127.50 | 15% above | 65% |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 hCG Qual, Urine CQ | $52.50 | $150.00 | $22.50–$127.50 | — | 65% |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HCGQLS | $52.50 | $150.00 | $22.50–$127.50 | — | 65% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BB Bill ABO Forward | $354.20 | $1,012.00 | $2.66–$860.20 | 482% above | 65% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Ref Lab ABO/Rh | $354.20 | $1,012.00 | $2.66–$860.20 | 482% above | 65% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BB Bill ABO | $354.20 | $1,012.00 | $2.66–$860.20 | 482% above | 65% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 86900 BLOOD TYPING ABO | $354.20 | $1,012.00 | $2.66–$860.20 | 482% above | 65% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BB Bill ABO Reverse | $354.20 | $1,012.00 | $2.66–$860.20 | 482% above | 65% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 BB Bill ABO Forward | $354.20 | $1,012.00 | $151.80–$860.20 | — | 65% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 86900 BLOOD TYPING ABO | $354.20 | $1,012.00 | $151.80–$860.20 | — | 65% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 BB Bill ABO | $354.20 | $1,012.00 | $151.80–$860.20 | — | 65% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 BB Bill ABO Reverse | $354.20 | $1,012.00 | $151.80–$860.20 | — | 65% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 Ref Lab ABO/Rh | $354.20 | $1,012.00 | $151.80–$860.20 | — | 65% |
| Blood urea nitrogen (BUN) test CPT 84520 Blood Urea Nitrogen | $27.30 | $78.00 | $3.51–$66.30 | 9% above | 65% |
| Blood urea nitrogen (BUN) test CPT 84520 Urea Nitrogen Body Fluid | $27.30 | $78.00 | $3.51–$66.30 | 9% above | 65% |
| Blood urea nitrogen (BUN) test inpatient CPT 84520 Blood Urea Nitrogen | $27.30 | $78.00 | $11.70–$66.30 | — | 65% |
| Blood urea nitrogen (BUN) test inpatient CPT 84520 Urea Nitrogen Body Fluid | $27.30 | $78.00 | $11.70–$66.30 | — | 65% |
| C-peptide blood test CPT 84681 C-Peptide Level LC | $144.55 | $413.00 | $18.51–$351.05 | 58% above | 65% |
| C-peptide blood test inpatient CPT 84681 C-Peptide Level LC | $144.55 | $413.00 | $61.95–$351.05 | — | 65% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C Reactive Protein Quant (LC) | $36.05 | $103.00 | $4.61–$87.55 | 5% below | 65% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C Reactive Protein | $36.05 | $103.00 | $4.61–$87.55 | 5% below | 65% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C Reactive Protein | $36.05 | $103.00 | $15.45–$87.55 | — | 65% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C Reactive Protein Quant (LC) | $36.05 | $103.00 | $15.45–$87.55 | — | 65% |
| C. difficile toxin gene test (stool PCR) CPT 87493 Clostridium difficile by DNA Amp | $146.30 | $418.00 | $33.15–$355.30 | 52% above | 65% |
| C. difficile toxin gene test (stool PCR) CPT 87493 C difficile DNA Amp w/reflex Toxin Confirmation | $146.30 | $418.00 | $33.15–$355.30 | 52% above | 65% |
| C. difficile toxin gene test (stool PCR) CPT 87493 Clostridium difficile Toxin A B Amp Probe | $146.30 | $418.00 | $33.15–$355.30 | 52% above | 65% |
| C. difficile toxin gene test (stool PCR) CPT 87493 Clostridium difficile Toxin PCR | $146.30 | $418.00 | $33.15–$355.30 | 52% above | 65% |
| C. difficile toxin gene test (stool PCR) CPT 87493 Verigene C difficile Panel | $146.30 | $418.00 | $33.15–$355.30 | 52% above | 65% |
| C. difficile toxin gene test (stool PCR) CPT 87493 C difficile PCR w/reflex Toxin Confirmation | $146.30 | $418.00 | $33.15–$355.30 | 52% above | 65% |
| C. difficile toxin gene test (stool PCR) CPT 87493 C diff AB PCR | $146.30 | $418.00 | $33.15–$355.30 | 52% above | 65% |
| C. difficile toxin gene test (stool PCR) inpatient CPT 87493 Clostridium difficile by DNA Amp | $146.30 | $418.00 | $62.70–$355.30 | — | 65% |
| C. difficile toxin gene test (stool PCR) inpatient CPT 87493 Verigene C difficile Panel | $146.30 | $418.00 | $62.70–$355.30 | — | 65% |
| C. difficile toxin gene test (stool PCR) inpatient CPT 87493 C difficile PCR w/reflex Toxin Confirmation | $146.30 | $418.00 | $62.70–$355.30 | — | 65% |
| C. difficile toxin gene test (stool PCR) inpatient CPT 87493 C diff AB PCR | $146.30 | $418.00 | $62.70–$355.30 | — | 65% |
| C. difficile toxin gene test (stool PCR) inpatient CPT 87493 Clostridium difficile Toxin PCR | $146.30 | $418.00 | $62.70–$355.30 | — | 65% |
| C. difficile toxin gene test (stool PCR) inpatient CPT 87493 Clostridium difficile Toxin A B Amp Probe | $146.30 | $418.00 | $62.70–$355.30 | — | 65% |
| C. difficile toxin gene test (stool PCR) inpatient CPT 87493 C difficile DNA Amp w/reflex Toxin Confirmation | $146.30 | $418.00 | $62.70–$355.30 | — | 65% |
| CA 19-9 blood test (tumor marker) CPT 86301 CA 19-9 LC | $144.55 | $413.00 | $18.51–$351.05 | 58% above | 65% |
| CA 19-9 blood test (tumor marker) inpatient CPT 86301 CA 19-9 LC | $144.55 | $413.00 | $61.95–$351.05 | — | 65% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 Cancer Antigen (CA) 125 LC | $114.10 | $326.00 | $18.51–$277.10 | 24% above | 65% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 Cancer Antigen 125 | $114.10 | $326.00 | $18.51–$277.10 | 24% above | 65% |
| CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 Cancer Antigen 125 | $114.10 | $326.00 | $48.90–$277.10 | — | 65% |
| CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 Cancer Antigen (CA) 125 LC | $114.10 | $326.00 | $48.90–$277.10 | — | 65% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID-19 SARS-CoV-2 RNA Qual NAAT (CQ) | $118.30 | $338.00 | $45.64–$287.30 | 46% above | 65% |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 COVID-19 SARS-CoV-2 RNA Qual NAAT (CQ) | $118.30 | $338.00 | $50.70–$287.30 | — | 65% |
| Calcium blood test, total CPT 82310 Calcium BF | $84.70 | $242.00 | $4.59–$205.70 | 133% above | 65% |
| Calcium blood test, total CPT 82310 Calcium Urine | $84.70 | $242.00 | $4.59–$205.70 | 133% above | 65% |
| Calcium blood test, total CPT 82310 Calcium Level | $84.70 | $242.00 | $4.59–$205.70 | 133% above | 65% |
| Calcium blood test, total CPT 82310 Calcium, Random Urine (CQ) | $84.70 | $242.00 | $4.59–$205.70 | 133% above | 65% |
| Calcium blood test, total inpatient CPT 82310 Calcium, Random Urine (CQ) | $84.70 | $242.00 | $36.30–$205.70 | — | 65% |
| Calcium blood test, total inpatient CPT 82310 Calcium Level | $84.70 | $242.00 | $36.30–$205.70 | — | 65% |
| Calcium blood test, total inpatient CPT 82310 Calcium Urine | $84.70 | $242.00 | $36.30–$205.70 | — | 65% |
| Calcium blood test, total inpatient CPT 82310 Calcium BF | $84.70 | $242.00 | $36.30–$205.70 | — | 65% |
| Carcinoembryonic antigen (CEA) test CPT 82378 Carcinoembryonic Antigen | $131.60 | $376.00 | $16.86–$319.60 | 27% above | 65% |
| Carcinoembryonic antigen (CEA) test CPT 82378 CEA CQ | $131.60 | $376.00 | $16.86–$319.60 | 27% above | 65% |
| Carcinoembryonic antigen (CEA) test CPT 82378 Carcinoembryonic Antigen (LC) | $131.60 | $376.00 | $16.86–$319.60 | 27% above | 65% |
| Carcinoembryonic antigen (CEA) test CPT 82378 CEA Pericardial Fluid CQ | $131.60 | $376.00 | $16.86–$319.60 | 27% above | 65% |
| Carcinoembryonic antigen (CEA) test inpatient CPT 82378 CEA Pericardial Fluid CQ | $131.60 | $376.00 | $56.40–$319.60 | — | 65% |
| Carcinoembryonic antigen (CEA) test inpatient CPT 82378 CEA CQ | $131.60 | $376.00 | $56.40–$319.60 | — | 65% |
| Carcinoembryonic antigen (CEA) test inpatient CPT 82378 Carcinoembryonic Antigen | $131.60 | $376.00 | $56.40–$319.60 | — | 65% |
| Carcinoembryonic antigen (CEA) test inpatient CPT 82378 Carcinoembryonic Antigen (LC) | $131.60 | $376.00 | $56.40–$319.60 | — | 65% |
| Chickenpox (varicella) immunity blood test CPT 86787 Varicella Zoster Virus Ab IgG (LC) | $57.75 | $165.00 | $11.46–$140.25 | at median | 65% |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 Varicella Zoster Virus Ab IgG (LC) | $57.75 | $165.00 | $24.75–$140.25 | — | 65% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chlamydia trachomatis NAA LC | $146.30 | $418.00 | $31.21–$355.30 | 84% above | 65% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 87491 CHLMYD TRACH DNA AMP | $146.30 | $418.00 | $31.21–$355.30 | 84% above | 65% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 87491 L183160 C TRACH AMP | $146.30 | $418.00 | $31.21–$355.30 | 84% above | 65% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chlamydia DNA Amplified Probe 2 | $146.30 | $418.00 | $31.21–$355.30 | 84% above | 65% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 87491 L183194CHLMYD TRACH | $146.30 | $418.00 | $31.21–$355.30 | 84% above | 65% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chlamydia DNA Amplified Probe | $146.30 | $418.00 | $31.21–$355.30 | 84% above | 65% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 87491 L183160 C TRACH AMP | $146.30 | $418.00 | $62.70–$355.30 | — | 65% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Chlamydia DNA Amplified Probe 2 | $146.30 | $418.00 | $62.70–$355.30 | — | 65% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 87491 CHLMYD TRACH DNA AMP | $146.30 | $418.00 | $62.70–$355.30 | — | 65% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Chlamydia trachomatis NAA LC | $146.30 | $418.00 | $62.70–$355.30 | — | 65% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Chlamydia DNA Amplified Probe | $146.30 | $418.00 | $62.70–$355.30 | — | 65% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 87491 L183194CHLMYD TRACH | $146.30 | $418.00 | $62.70–$355.30 | — | 65% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 80061 L884247 LIPID PANEL | $113.75 | $325.00 | $11.91–$276.25 | 63% above | 65% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipid Panel with LDL/HDL Ratio | $260.05 | $743.00 | $11.91–$631.55 | 274% above | 65% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID | $260.05 | $743.00 | $11.91–$631.55 | 274% above | 65% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 80061 L884247 LIPID PANEL | $113.75 | $325.00 | $48.75–$276.25 | — | 65% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Lipid Panel with LDL/HDL Ratio | $260.05 | $743.00 | $111.45–$631.55 | — | 65% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID | $260.05 | $743.00 | $111.45–$631.55 | — | 65% |
| Complete blood count (CBC) with differential CPT 85025 CBCADIFF | $135.45 | $387.00 | $6.91–$328.95 | 199% above | 65% |
| Complete blood count (CBC) with differential CPT 85025 Complete Blood Count w/ 3 Part Diff Auto | $135.45 | $387.00 | $6.91–$328.95 | 199% above | 65% |
| Complete blood count (CBC) with differential inpatient CPT 85025 CBCADIFF | $135.45 | $387.00 | $58.05–$328.95 | — | 65% |
| Complete blood count (CBC) with differential inpatient CPT 85025 Complete Blood Count w/ 3 Part Diff Auto | $135.45 | $387.00 | $58.05–$328.95 | — | 65% |
| Complete blood count (CBC), no differential CPT 85027 CBC | $99.75 | $285.00 | $5.75–$242.25 | 127% above | 65% |
| Complete blood count (CBC), no differential CPT 85027 85027 CBC W-PLT | $99.75 | $285.00 | $5.75–$242.25 | 127% above | 65% |
| Complete blood count (CBC), no differential inpatient CPT 85027 CBC | $99.75 | $285.00 | $42.75–$242.25 | — | 65% |
| Complete blood count (CBC), no differential inpatient CPT 85027 85027 CBC W-PLT | $99.75 | $285.00 | $42.75–$242.25 | — | 65% |
| Comprehensive metabolic panel (blood test) CPT 80053 CMP | $169.75 | $485.00 | $9.39–$412.25 | 136% above | 65% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 CMP | $169.75 | $485.00 | $72.75–$412.25 | — | 65% |
| Cortisol blood test, total CPT 82533 Cortisol - AM Sendout to LabCorp | $112.70 | $322.00 | $14.50–$273.70 | 47% above | 65% |
| Cortisol blood test, total CPT 82533 Cortisol Sendout to LabCorp | $112.70 | $322.00 | $14.50–$273.70 | 47% above | 65% |
| Cortisol blood test, total CPT 82533 Cortisol Baseline | $112.70 | $322.00 | $14.50–$273.70 | 47% above | 65% |
| Cortisol blood test, total CPT 82533 Cortisol AM | $112.70 | $322.00 | $14.50–$273.70 | 47% above | 65% |
| Cortisol blood test, total CPT 82533 Cortisol PM | $112.70 | $322.00 | $14.50–$273.70 | 47% above | 65% |
| Cortisol blood test, total CPT 82533 Cortisol 90 Minute | $112.70 | $322.00 | $14.50–$273.70 | 47% above | 65% |
| Cortisol blood test, total CPT 82533 Cortisol 60 Minute | $112.70 | $322.00 | $14.50–$273.70 | 47% above | 65% |
| Cortisol blood test, total CPT 82533 Cortisol 30 Minute | $112.70 | $322.00 | $14.50–$273.70 | 47% above | 65% |
| Cortisol blood test, total CPT 82533 Cortisol PM (LC) | $112.70 | $322.00 | $14.50–$273.70 | 47% above | 65% |
| Cortisol blood test, total CPT 82533 Cortisol Level | $112.70 | $322.00 | $14.50–$273.70 | 47% above | 65% |
| Cortisol blood test, total inpatient CPT 82533 Cortisol Sendout to LabCorp | $112.70 | $322.00 | $48.30–$273.70 | — | 65% |
| Cortisol blood test, total inpatient CPT 82533 Cortisol 30 Minute | $112.70 | $322.00 | $48.30–$273.70 | — | 65% |
| Cortisol blood test, total inpatient CPT 82533 Cortisol 60 Minute | $112.70 | $322.00 | $48.30–$273.70 | — | 65% |
| Cortisol blood test, total inpatient CPT 82533 Cortisol 90 Minute | $112.70 | $322.00 | $48.30–$273.70 | — | 65% |
| Cortisol blood test, total inpatient CPT 82533 Cortisol Level | $112.70 | $322.00 | $48.30–$273.70 | — | 65% |
| Cortisol blood test, total inpatient CPT 82533 Cortisol PM | $112.70 | $322.00 | $48.30–$273.70 | — | 65% |
| Cortisol blood test, total inpatient CPT 82533 Cortisol AM | $112.70 | $322.00 | $48.30–$273.70 | — | 65% |
| Cortisol blood test, total inpatient CPT 82533 Cortisol - AM Sendout to LabCorp | $112.70 | $322.00 | $48.30–$273.70 | — | 65% |
| Cortisol blood test, total inpatient CPT 82533 Cortisol Baseline | $112.70 | $322.00 | $48.30–$273.70 | — | 65% |
| Cortisol blood test, total inpatient CPT 82533 Cortisol PM (LC) | $112.70 | $322.00 | $48.30–$273.70 | — | 65% |
| Creatine kinase (CK) blood test, total CPT 82550 82550 L2154 CREATINE KINASE TOTAL | $23.10 | $66.00 | $5.79–$56.10 | 45% below | 65% |
| Creatine kinase (CK) blood test, total CPT 82550 Creatine Kinase | $134.75 | $385.00 | $5.79–$327.25 | 221% above | 65% |
| Creatine kinase (CK) blood test, total CPT 82550 82550 CREATINE KINASE TOTAL | $134.75 | $385.00 | $5.79–$327.25 | 221% above | 65% |
| Creatine kinase (CK) blood test, total CPT 82550 Creatine Kinase w/Reflex CKMB/Relative Index | $134.75 | $385.00 | $5.79–$327.25 | 221% above | 65% |
| Creatine kinase (CK) blood test, total inpatient CPT 82550 82550 L2154 CREATINE KINASE TOTAL | $23.10 | $66.00 | $9.90–$56.10 | — | 65% |
| Creatine kinase (CK) blood test, total inpatient CPT 82550 82550 CREATINE KINASE TOTAL | $134.75 | $385.00 | $57.75–$327.25 | — | 65% |
| Creatine kinase (CK) blood test, total inpatient CPT 82550 Creatine Kinase w/Reflex CKMB/Relative Index | $134.75 | $385.00 | $57.75–$327.25 | — | 65% |
| Creatine kinase (CK) blood test, total inpatient CPT 82550 Creatine Kinase | $134.75 | $385.00 | $57.75–$327.25 | — | 65% |
| Creatinine blood test CPT 82565 .ISTAT Creatinine Level POC | $35.70 | $102.00 | $4.55–$86.70 | 21% above | 65% |
| Creatinine blood test CPT 82565 CREA | $35.70 | $102.00 | $4.55–$86.70 | 21% above | 65% |
| Creatinine blood test CPT 82565 ISCREA | $35.70 | $102.00 | $4.55–$86.70 | 21% above | 65% |
| Creatinine blood test inpatient CPT 82565 ISCREA | $35.70 | $102.00 | $15.30–$86.70 | — | 65% |
| Creatinine blood test inpatient CPT 82565 .ISTAT Creatinine Level POC | $35.70 | $102.00 | $15.30–$86.70 | — | 65% |
| Creatinine blood test inpatient CPT 82565 CREA | $35.70 | $102.00 | $15.30–$86.70 | — | 65% |
| D-dimer blood test (blood clot marker) CPT 85379 D Dimer Quant | $119.35 | $341.00 | $9.05–$289.85 | 21% above | 65% |
| D-dimer blood test (blood clot marker) inpatient CPT 85379 D Dimer Quant | $119.35 | $341.00 | $51.15–$289.85 | — | 65% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 Dehydroepiandrosterone Sulfate (LC) | $154.35 | $441.00 | $19.77–$374.85 | 104% above | 65% |
| DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 Dehydroepiandrosterone Sulfate (LC) | $154.35 | $441.00 | $66.15–$374.85 | — | 65% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 .Differential Smear Review Evaluation | $21.75 | $62.14 | $9.32–$95.77 | 78% below | 65% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 UAmpQl | $332.85 | $951.00 | $55.27–$808.35 | 243% above | 65% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 UDS13QualAuto | $332.85 | $951.00 | $55.27–$808.35 | 243% above | 65% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Urine Drug Screen Panel 7 Qual Auto | $332.85 | $951.00 | $55.27–$808.35 | 243% above | 65% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Meconium Panel 8 MedTox RLNI | $332.85 | $951.00 | $55.27–$808.35 | 243% above | 65% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 UDS6QualAuto | $332.85 | $951.00 | $55.27–$808.35 | 243% above | 65% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 UDS12QualAuto | $332.85 | $951.00 | $55.27–$808.35 | 243% above | 65% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Amphetamine Screen, Urine (LC) | $332.85 | $951.00 | $55.27–$808.35 | 243% above | 65% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 UDS 8C Qual Auto | $332.85 | $951.00 | $55.27–$808.35 | 243% above | 65% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 UDS11QA | $332.85 | $951.00 | $55.27–$808.35 | 243% above | 65% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 UTHCQl | $332.85 | $951.00 | $55.27–$808.35 | 243% above | 65% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 UPCPQl | $332.85 | $951.00 | $55.27–$808.35 | 243% above | 65% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Benzodiazepine Screen, Urine (LC) | $332.85 | $951.00 | $55.27–$808.35 | 243% above | 65% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 UCocQl | $332.85 | $951.00 | $55.27–$808.35 | 243% above | 65% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 UDS10QualAuto | $332.85 | $951.00 | $55.27–$808.35 | 243% above | 65% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HYDROcodone Qual Urine | $332.85 | $951.00 | $55.27–$808.35 | 243% above | 65% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 UDS10AQualAuto | $332.85 | $951.00 | $55.27–$808.35 | 243% above | 65% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 UBenzQl | $332.85 | $951.00 | $55.27–$808.35 | 243% above | 65% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 UDS10BQualAuto | $332.85 | $951.00 | $55.27–$808.35 | 243% above | 65% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Drug Screen 9 w/Conf,Meconium (LC) | $332.85 | $951.00 | $55.27–$808.35 | 243% above | 65% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 UDS9AQualAuto | $332.85 | $951.00 | $55.27–$808.35 | 243% above | 65% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 UOpiQl | $332.85 | $951.00 | $55.27–$808.35 | 243% above | 65% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 oxyCODONE Qual Urine | $332.85 | $951.00 | $55.27–$808.35 | 243% above | 65% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 UDS8AQualAuto | $332.85 | $951.00 | $55.27–$808.35 | 243% above | 65% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Methadone Qual | $332.85 | $951.00 | $55.27–$808.35 | 243% above | 65% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 UBarbQl | $332.85 | $951.00 | $55.27–$808.35 | 243% above | 65% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 .Differential Smear Review Evaluation | $21.75 | $62.14 | $9.32–$52.82 | — | 65% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 UDS10BQualAuto | $332.85 | $951.00 | $142.65–$808.35 | — | 65% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 UAmpQl | $332.85 | $951.00 | $142.65–$808.35 | — | 65% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 UBarbQl | $332.85 | $951.00 | $142.65–$808.35 | — | 65% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 UBenzQl | $332.85 | $951.00 | $142.65–$808.35 | — | 65% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 UCocQl | $332.85 | $951.00 | $142.65–$808.35 | — | 65% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 UDS10QualAuto | $332.85 | $951.00 | $142.65–$808.35 | — | 65% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 UDS8AQualAuto | $332.85 | $951.00 | $142.65–$808.35 | — | 65% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 UDS10AQualAuto | $332.85 | $951.00 | $142.65–$808.35 | — | 65% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HYDROcodone Qual Urine | $332.85 | $951.00 | $142.65–$808.35 | — | 65% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Drug Screen 9 w/Conf,Meconium (LC) | $332.85 | $951.00 | $142.65–$808.35 | — | 65% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 UDS 8C Qual Auto | $332.85 | $951.00 | $142.65–$808.35 | — | 65% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 UOpiQl | $332.85 | $951.00 | $142.65–$808.35 | — | 65% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 UPCPQl | $332.85 | $951.00 | $142.65–$808.35 | — | 65% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Benzodiazepine Screen, Urine (LC) | $332.85 | $951.00 | $142.65–$808.35 | — | 65% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 UTHCQl | $332.85 | $951.00 | $142.65–$808.35 | — | 65% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 UDS9AQualAuto | $332.85 | $951.00 | $142.65–$808.35 | — | 65% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 UDS6QualAuto | $332.85 | $951.00 | $142.65–$808.35 | — | 65% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Methadone Qual | $332.85 | $951.00 | $142.65–$808.35 | — | 65% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 UDS11QA | $332.85 | $951.00 | $142.65–$808.35 | — | 65% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 UDS12QualAuto | $332.85 | $951.00 | $142.65–$808.35 | — | 65% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Meconium Panel 8 MedTox RLNI | $332.85 | $951.00 | $142.65–$808.35 | — | 65% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Urine Drug Screen Panel 7 Qual Auto | $332.85 | $951.00 | $142.65–$808.35 | — | 65% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Amphetamine Screen, Urine (LC) | $332.85 | $951.00 | $142.65–$808.35 | — | 65% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 UDS13QualAuto | $332.85 | $951.00 | $142.65–$808.35 | — | 65% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 oxyCODONE Qual Urine | $332.85 | $951.00 | $142.65–$808.35 | — | 65% |
| Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 LYTES | $49.00 | $140.00 | $6.24–$119.00 | 19% below | 65% |
| Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 Electrolytes Urine Panel | $49.00 | $140.00 | $6.24–$119.00 | 19% below | 65% |
| Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 LYTES | $49.00 | $140.00 | $21.00–$119.00 | — | 65% |
| Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 Electrolytes Urine Panel | $49.00 | $140.00 | $21.00–$119.00 | — | 65% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 86665 L240610 EBV VCA | $104.30 | $298.00 | $16.14–$253.30 | 51% above | 65% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 Epstein Barr Virus VCA IgG (LC) | $104.30 | $298.00 | $16.14–$253.30 | 51% above | 65% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 Epstein Barr Virus VCA IgM (LC) | $104.30 | $298.00 | $16.14–$253.30 | 51% above | 65% |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 Epstein Barr Virus VCA IgG (LC) | $104.30 | $298.00 | $44.70–$253.30 | — | 65% |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 86665 L240610 EBV VCA | $104.30 | $298.00 | $44.70–$253.30 | — | 65% |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 Epstein Barr Virus VCA IgM (LC) | $104.30 | $298.00 | $44.70–$253.30 | — | 65% |
| Estradiol blood test CPT 82670 Estradiol Level | $108.85 | $311.00 | $24.85–$264.35 | 20% above | 65% |
| Estradiol blood test CPT 82670 Estradiol Sendout to LabCorp | $108.85 | $311.00 | $24.85–$264.35 | 20% above | 65% |
| Estradiol blood test inpatient CPT 82670 Estradiol Level | $108.85 | $311.00 | $46.65–$264.35 | — | 65% |
| Estradiol blood test inpatient CPT 82670 Estradiol Sendout to LabCorp | $108.85 | $311.00 | $46.65–$264.35 | — | 65% |
| FSH (follicle-stimulating hormone) test CPT 83001 Follicle Stimulating Hormone Serum | $128.80 | $368.00 | $16.53–$312.80 | 83% above | 65% |
| FSH (follicle-stimulating hormone) test CPT 83001 Follicle Stimulating Hormone (LC) | $128.80 | $368.00 | $16.53–$312.80 | 83% above | 65% |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 Follicle Stimulating Hormone Serum | $128.80 | $368.00 | $55.20–$312.80 | — | 65% |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 Follicle Stimulating Hormone (LC) | $128.80 | $368.00 | $55.20–$312.80 | — | 65% |
| Fecal calprotectin (stool inflammation test) CPT 83993 Calprotectin Feces (LC) | $75.95 | $217.00 | $17.46–$184.45 | 47% below | 65% |
| Fecal calprotectin (stool inflammation test) inpatient CPT 83993 Calprotectin Feces (LC) | $75.95 | $217.00 | $32.55–$184.45 | — | 65% |
| Ferritin blood test (iron stores) CPT 82728 Ferritin, Serum (LC) | $94.15 | $269.00 | $12.12–$228.65 | 46% above | 65% |
| Ferritin blood test (iron stores) CPT 82728 Ferritin | $94.15 | $269.00 | $12.12–$228.65 | 46% above | 65% |
| Ferritin blood test (iron stores) inpatient CPT 82728 Ferritin, Serum (LC) | $94.15 | $269.00 | $40.35–$228.65 | — | 65% |
| Ferritin blood test (iron stores) inpatient CPT 82728 Ferritin | $94.15 | $269.00 | $40.35–$228.65 | — | 65% |
| Fibrinogen blood test CPT 85384 Fibrinogen Level | $16.45 | $47.00 | $7.05–$39.95 | 77% below | 65% |
| Fibrinogen blood test inpatient CPT 85384 Fibrinogen Level | $16.45 | $47.00 | $7.05–$39.95 | — | 65% |
| Folate (folic acid) blood test CPT 82746 Folate Level | $173.25 | $495.00 | $13.08–$420.75 | 164% above | 65% |
| Folate (folic acid) blood test CPT 82746 Folate (Folic Acid) Serum Sendout to LabCorp | $173.25 | $495.00 | $13.08–$420.75 | 164% above | 65% |
| Folate (folic acid) blood test inpatient CPT 82746 Folate Level | $173.25 | $495.00 | $74.25–$420.75 | — | 65% |
| Folate (folic acid) blood test inpatient CPT 82746 Folate (Folic Acid) Serum Sendout to LabCorp | $173.25 | $495.00 | $74.25–$420.75 | — | 65% |
| Free T3 thyroid hormone test CPT 84481 Triiodothyronine 3 Free | $263.90 | $754.00 | $15.07–$640.90 | 194% above | 65% |
| Free T3 thyroid hormone test CPT 84481 Triiodothyronine 3 Free Serum (LC) | $263.90 | $754.00 | $15.07–$640.90 | 194% above | 65% |
| Free T3 thyroid hormone test inpatient CPT 84481 Triiodothyronine 3 Free | $263.90 | $754.00 | $113.10–$640.90 | — | 65% |
| Free T3 thyroid hormone test inpatient CPT 84481 Triiodothyronine 3 Free Serum (LC) | $263.90 | $754.00 | $113.10–$640.90 | — | 65% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 Thyroxine (T4) Free, Direct, S (LC) | $170.80 | $488.00 | $8.02–$414.80 | 178% above | 65% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 .Thyroxine (T4) Free, Direct, S LC | $170.80 | $488.00 | $8.02–$414.80 | 178% above | 65% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 Thyroxine 4 Free | $170.80 | $488.00 | $8.02–$414.80 | 178% above | 65% |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 Thyroxine (T4) Free, Direct, S (LC) | $170.80 | $488.00 | $73.20–$414.80 | — | 65% |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 Thyroxine 4 Free | $170.80 | $488.00 | $73.20–$414.80 | — | 65% |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 .Thyroxine (T4) Free, Direct, S LC | $170.80 | $488.00 | $73.20–$414.80 | — | 65% |
| Free testosterone test CPT 84402 84402 L140103 TESTOST FREE | $133.00 | $380.00 | $22.66–$323.00 | 53% above | 65% |
| Free testosterone test CPT 84402 Testosterone Free Direct LC | $177.10 | $506.00 | $22.66–$430.10 | 104% above | 65% |
| Free testosterone test CPT 84402 84402 TESTOSTERONE, FREE | $177.10 | $506.00 | $22.66–$430.10 | 104% above | 65% |
| Free testosterone test inpatient CPT 84402 84402 L140103 TESTOST FREE | $133.00 | $380.00 | $57.00–$323.00 | — | 65% |
| Free testosterone test inpatient CPT 84402 84402 TESTOSTERONE, FREE | $177.10 | $506.00 | $75.90–$430.10 | — | 65% |
| Free testosterone test inpatient CPT 84402 Testosterone Free Direct LC | $177.10 | $506.00 | $75.90–$430.10 | — | 65% |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 Gamma Glutamyl Transferase Body Fluid | $165.55 | $473.00 | $6.40–$402.05 | 238% above | 65% |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 Gamma Glutamyl Transferase | $165.55 | $473.00 | $6.40–$402.05 | 238% above | 65% |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 Gamma Glutamyl Transferase (LC) | $165.55 | $473.00 | $6.40–$402.05 | 238% above | 65% |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 82977 GGT | $165.55 | $473.00 | $6.40–$402.05 | 238% above | 65% |
| Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 Gamma Glutamyl Transferase | $165.55 | $473.00 | $70.95–$402.05 | — | 65% |
| Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 82977 GGT | $165.55 | $473.00 | $70.95–$402.05 | — | 65% |
| Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 Gamma Glutamyl Transferase Body Fluid | $165.55 | $473.00 | $70.95–$402.05 | — | 65% |
| Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 Gamma Glutamyl Transferase (LC) | $165.55 | $473.00 | $70.95–$402.05 | — | 65% |
| General health panel: metabolic panel, blood count and TSH in one order CPT 80050 $ General Health Panel | $610.75 | $1,745.00 | $31.24–$1,483.25 | 212% above | 65% |
| General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 $ General Health Panel | $610.75 | $1,745.00 | $261.75–$1,483.25 | — | 65% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Gonorrhea DNA Amplified Probe 2 | $146.30 | $418.00 | $31.21–$355.30 | 76% above | 65% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Gonorrhea DNA Amplified Probe | $146.30 | $418.00 | $31.21–$355.30 | 76% above | 65% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 87591 L183194N.GONORRHO,DN | $146.30 | $418.00 | $31.21–$355.30 | 76% above | 65% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 87591 L183160 N GONO AMP | $146.30 | $418.00 | $31.21–$355.30 | 76% above | 65% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 87591 N.GONORRHO,DNA,AMPPR | $146.30 | $418.00 | $31.21–$355.30 | 76% above | 65% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 Gonorrhea DNA Amplified Probe 2 | $146.30 | $418.00 | $62.70–$355.30 | — | 65% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 87591 L183160 N GONO AMP | $146.30 | $418.00 | $62.70–$355.30 | — | 65% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 87591 L183194N.GONORRHO,DN | $146.30 | $418.00 | $62.70–$355.30 | — | 65% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 Gonorrhea DNA Amplified Probe | $146.30 | $418.00 | $62.70–$355.30 | — | 65% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 87591 N.GONORRHO,DNA,AMPPR | $146.30 | $418.00 | $62.70–$355.30 | — | 65% |
| H. pylori antibody blood test CPT 86677 Heliobacter pylori Ab IgG | $100.45 | $287.00 | $14.99–$243.95 | 34% above | 65% |
| H. pylori antibody blood test inpatient CPT 86677 Heliobacter pylori Ab IgG | $100.45 | $287.00 | $43.05–$243.95 | — | 65% |
| H. pylori stool antigen test CPT 87338 Heliobacter pylori Fecal IA | $60.20 | $172.00 | $12.79–$146.20 | 47% below | 65% |
| H. pylori stool antigen test CPT 87338 Heliobacter pylori Stool Ag EIA (LC) | $60.20 | $172.00 | $12.79–$146.20 | 47% below | 65% |
| H. pylori stool antigen test inpatient CPT 87338 Heliobacter pylori Stool Ag EIA (LC) | $60.20 | $172.00 | $25.80–$146.20 | — | 65% |
| H. pylori stool antigen test inpatient CPT 87338 Heliobacter pylori Fecal IA | $60.20 | $172.00 | $25.80–$146.20 | — | 65% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV1 QT PCR w/ Reflex No Graph (LC) | $520.80 | $1,488.00 | $75.70–$1,264.80 | 155% above | 65% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 RNA Real Time PCR (Non-Graph) Sendout to LabCorp | $520.80 | $1,488.00 | $75.70–$1,264.80 | 155% above | 65% |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 RNA Real Time PCR (Non-Graph) Sendout to LabCorp | $520.80 | $1,488.00 | $223.20–$1,264.80 | — | 65% |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV1 QT PCR w/ Reflex No Graph (LC) | $520.80 | $1,488.00 | $223.20–$1,264.80 | — | 65% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV Ab/p24 Ag w/Reflex (LC) | $99.75 | $285.00 | $21.42–$242.25 | 111% above | 65% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HIV Ab/p24 Ag w/Reflex (LC) | $99.75 | $285.00 | $42.75–$242.25 | — | 65% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hemoglobin A1c | $153.30 | $438.00 | $8.64–$372.30 | 257% above | 65% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hemoglobin A1c (LC) | $153.30 | $438.00 | $8.64–$372.30 | 257% above | 65% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 Hemoglobin A1c | $153.30 | $438.00 | $65.70–$372.30 | — | 65% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 Hemoglobin A1c (LC) | $153.30 | $438.00 | $65.70–$372.30 | — | 65% |
| Hemoglobin blood test CPT 85018 Hemoglobin | $16.45 | $47.00 | $2.11–$39.95 | 18% below | 65% |
| Hemoglobin blood test CPT 85018 85018 HEMOGLOBIN 131 | $16.45 | $47.00 | $2.11–$39.95 | 18% below | 65% |
| Hemoglobin blood test inpatient CPT 85018 85018 HEMOGLOBIN 131 | $16.45 | $47.00 | $7.05–$39.95 | — | 65% |
| Hemoglobin blood test inpatient CPT 85018 Hemoglobin | $16.45 | $47.00 | $7.05–$39.95 | — | 65% |
| Hepatitis B core antibody test (total) CPT 86704 HBCABT | $50.05 | $143.00 | $10.72–$121.55 | 2% above | 65% |
| Hepatitis B core antibody test (total) CPT 86704 Hepatitis B Core Ab Total (LC) | $50.05 | $143.00 | $10.72–$121.55 | 2% above | 65% |
| Hepatitis B core antibody test (total) inpatient CPT 86704 HBCABT | $50.05 | $143.00 | $21.45–$121.55 | — | 65% |
| Hepatitis B core antibody test (total) inpatient CPT 86704 Hepatitis B Core Ab Total (LC) | $50.05 | $143.00 | $21.45–$121.55 | — | 65% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Hepatitis B Surface Ab (LC) | $23.80 | $68.00 | $9.55–$57.80 | 49% below | 65% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 Hepatitis B Surface Ab (LC) | $23.80 | $68.00 | $10.20–$57.80 | — | 65% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 Hepatitis B Surface Antigen | $67.20 | $192.00 | $9.19–$163.20 | 47% above | 65% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 Hepatitis B Surface Ag Screen (LC) | $67.20 | $192.00 | $9.19–$163.20 | 47% above | 65% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 Hepatitis B Surface Ag w/Interp | $67.20 | $192.00 | $9.19–$163.20 | 47% above | 65% |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 Hepatitis B Surface Ag w/Interp | $67.20 | $192.00 | $28.80–$163.20 | — | 65% |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 Hepatitis B Surface Ag Screen (LC) | $67.20 | $192.00 | $28.80–$163.20 | — | 65% |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 Hepatitis B Surface Antigen | $67.20 | $192.00 | $28.80–$163.20 | — | 65% |
| Hepatitis C antibody blood test (screening) CPT 86803 Hepatitis C Virus Antibody (LC) | $49.00 | $140.00 | $12.69–$119.00 | 13% below | 65% |
| Hepatitis C antibody blood test (screening) CPT 86803 Hepatitis C IgG Antibody | $99.05 | $283.00 | $12.69–$240.55 | 77% above | 65% |
| Hepatitis C antibody blood test (screening) CPT 86803 HCAB2 | $99.05 | $283.00 | $12.69–$240.55 | 77% above | 65% |
| Hepatitis C antibody blood test (screening) CPT 86803 HCV Antibody RFX to Quant PCR (LC) | $99.05 | $283.00 | $12.69–$240.55 | 77% above | 65% |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 Hepatitis C Virus Antibody (LC) | $49.00 | $140.00 | $21.00–$119.00 | — | 65% |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 Hepatitis C IgG Antibody | $99.05 | $283.00 | $42.45–$240.55 | — | 65% |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 HCV Antibody RFX to Quant PCR (LC) | $99.05 | $283.00 | $42.45–$240.55 | — | 65% |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 HCAB2 | $99.05 | $283.00 | $42.45–$240.55 | — | 65% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 Hepatitis C Virus RNA Diagnosis LC | $138.25 | $395.00 | $38.11–$335.75 | 38% below | 65% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 Hepatitis C Virus RNA PCR Quant Reflex Geno (LC) | $178.15 | $509.00 | $38.11–$432.65 | 20% below | 65% |
| Hepatitis C viral load (HCV RNA) test one side CPT 87522 .HCV RT-PCR, Quant (Non-Graph) LC | $178.15 | $509.00 | $38.11–$432.65 | 20% below | 65% |
| Hepatitis C viral load (HCV RNA) test one side CPT 87522 Hepatitis C Virus RT PCR Quant Non-Graph (LC) | $178.15 | $509.00 | $38.11–$432.65 | 20% below | 65% |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 Hepatitis C Virus RNA Diagnosis LC | $138.25 | $395.00 | $59.25–$335.75 | — | 65% |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 Hepatitis C Virus RNA PCR Quant Reflex Geno (LC) | $178.15 | $509.00 | $76.35–$432.65 | — | 65% |
| Hepatitis C viral load (HCV RNA) test inpatient one side CPT 87522 .HCV RT-PCR, Quant (Non-Graph) LC | $178.15 | $509.00 | $76.35–$432.65 | — | 65% |
| Hepatitis C viral load (HCV RNA) test inpatient one side CPT 87522 Hepatitis C Virus RT PCR Quant Non-Graph (LC) | $178.15 | $509.00 | $76.35–$432.65 | — | 65% |
| Herpes blood test, HSV-1 antibody CPT 86695 Herpes Simplex Virus 1 Specific Antibody IgG (LC) | $66.85 | $191.00 | $11.73–$162.35 | 4% above | 65% |
| Herpes blood test, HSV-1 antibody CPT 86695 86695 HERPES SIMP TYPE 1 | $66.85 | $191.00 | $11.73–$162.35 | 4% above | 65% |
| Herpes blood test, HSV-1 antibody CPT 86695 Herpes Simplex Virus 1 Ab IgG | $66.85 | $191.00 | $11.73–$162.35 | 4% above | 65% |
| Herpes blood test, HSV-1 antibody CPT 86695 86695 L164922 HSV1 | $66.85 | $191.00 | $11.73–$162.35 | 4% above | 65% |
| Herpes blood test, HSV-1 antibody CPT 86695 86695 L164099 HSV1 | $66.85 | $191.00 | $11.73–$162.35 | 4% above | 65% |
| Herpes blood test, HSV-1 antibody CPT 86695 HSV 1 IgG, Type Spec LC | $66.85 | $191.00 | $11.73–$162.35 | 4% above | 65% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 Herpes Simplex Virus 1 Ab IgG | $66.85 | $191.00 | $28.65–$162.35 | — | 65% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 86695 HERPES SIMP TYPE 1 | $66.85 | $191.00 | $28.65–$162.35 | — | 65% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 86695 L164099 HSV1 | $66.85 | $191.00 | $28.65–$162.35 | — | 65% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 Herpes Simplex Virus 1 Specific Antibody IgG (LC) | $66.85 | $191.00 | $28.65–$162.35 | — | 65% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HSV 1 IgG, Type Spec LC | $66.85 | $191.00 | $28.65–$162.35 | — | 65% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 86695 L164922 HSV1 | $66.85 | $191.00 | $28.65–$162.35 | — | 65% |
| Herpes blood test, HSV-2 antibody CPT 86696 Herpes Simplex Virus 2 Ab IgG | $80.15 | $229.00 | $17.21–$194.65 | 35% above | 65% |
| Herpes blood test, HSV-2 antibody CPT 86696 86696 L164099 HSV2 | $80.15 | $229.00 | $17.21–$194.65 | 35% above | 65% |
| Herpes blood test, HSV-2 antibody CPT 86696 86696 HERPES SIMP TYPE 2 | $80.15 | $229.00 | $17.21–$194.65 | 35% above | 65% |
| Herpes blood test, HSV-2 antibody CPT 86696 86696 L164922 HSV2 | $80.15 | $229.00 | $17.21–$194.65 | 35% above | 65% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 86696 L164922 HSV2 | $80.15 | $229.00 | $34.35–$194.65 | — | 65% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 86696 L164099 HSV2 | $80.15 | $229.00 | $34.35–$194.65 | — | 65% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 86696 HERPES SIMP TYPE 2 | $80.15 | $229.00 | $34.35–$194.65 | — | 65% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 Herpes Simplex Virus 2 Ab IgG | $80.15 | $229.00 | $34.35–$194.65 | — | 65% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 C Reactive Protein High Sensitivity | $86.45 | $247.00 | $11.52–$209.95 | 57% above | 65% |
| High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 C Reactive Protein High Sensitivity | $86.45 | $247.00 | $37.05–$209.95 | — | 65% |
| Homocysteine blood test CPT 83090 Homocyst(e)ine Plasma LC | $116.90 | $334.00 | $15.94–$283.90 | at median | 65% |
| Homocysteine blood test inpatient CPT 83090 Homocyst(e)ine Plasma LC | $116.90 | $334.00 | $50.10–$283.90 | — | 65% |
| Insulin blood test CPT 83525 83525 L501561 INSULIN TOT | $74.15 | $211.86 | $10.17–$180.08 | 41% above | 65% |
| Insulin blood test CPT 83525 Insulin LC | $79.45 | $227.00 | $10.17–$192.95 | 51% above | 65% |
| Insulin blood test CPT 83525 83525 INSULIN, TOTAL | $79.45 | $227.00 | $10.17–$192.95 | 51% above | 65% |
| Insulin blood test inpatient CPT 83525 83525 L501561 INSULIN TOT | $74.15 | $211.86 | $31.78–$180.08 | — | 65% |
| Insulin blood test inpatient CPT 83525 83525 INSULIN, TOTAL | $79.45 | $227.00 | $34.05–$192.95 | — | 65% |
| Insulin blood test inpatient CPT 83525 Insulin LC | $79.45 | $227.00 | $34.05–$192.95 | — | 65% |
| Iron blood test (serum iron) CPT 83540 83540 L1321 IRON | $44.80 | $128.00 | $5.75–$108.80 | 23% above | 65% |
| Iron blood test (serum iron) CPT 83540 IRON | $44.80 | $128.00 | $5.75–$108.80 | 23% above | 65% |
| Iron blood test (serum iron) CPT 83540 83540 IRON | $44.80 | $128.00 | $5.75–$108.80 | 23% above | 65% |
| Iron blood test (serum iron) inpatient CPT 83540 IRON | $44.80 | $128.00 | $19.20–$108.80 | — | 65% |
| Iron blood test (serum iron) inpatient CPT 83540 83540 IRON | $44.80 | $128.00 | $19.20–$108.80 | — | 65% |
| Iron blood test (serum iron) inpatient CPT 83540 83540 L1321 IRON | $44.80 | $128.00 | $19.20–$108.80 | — | 65% |
| Iron-binding capacity (TIBC) test CPT 83550 Total Iron Binding Capacity DM | $86.80 | $248.00 | $7.77–$210.80 | 83% above | 65% |
| Iron-binding capacity (TIBC) test CPT 83550 83550 IRON BINDING CAPACIT | $86.80 | $248.00 | $7.77–$210.80 | 83% above | 65% |
| Iron-binding capacity (TIBC) test CPT 83550 83550 L1321 IRON BIND CAP | $86.80 | $248.00 | $7.77–$210.80 | 83% above | 65% |
| Iron-binding capacity (TIBC) test inpatient CPT 83550 Total Iron Binding Capacity DM | $86.80 | $248.00 | $37.20–$210.80 | — | 65% |
| Iron-binding capacity (TIBC) test inpatient CPT 83550 83550 IRON BINDING CAPACIT | $86.80 | $248.00 | $37.20–$210.80 | — | 65% |
| Iron-binding capacity (TIBC) test inpatient CPT 83550 83550 L1321 IRON BIND CAP | $86.80 | $248.00 | $37.20–$210.80 | — | 65% |
| Kidney function blood test panel CPT 80069 RFP | $112.35 | $321.00 | $7.72–$272.85 | 49% above | 65% |
| Kidney function blood test panel inpatient CPT 80069 RFP | $112.35 | $321.00 | $48.15–$272.85 | — | 65% |
| LH (luteinizing hormone) test CPT 83002 Luteinizing Hormone | $120.75 | $345.00 | $16.47–$293.25 | 65% above | 65% |
| LH (luteinizing hormone) test CPT 83002 Luteinizing Hormone S (LC) | $120.75 | $345.00 | $16.47–$293.25 | 65% above | 65% |
| LH (luteinizing hormone) test inpatient CPT 83002 Luteinizing Hormone S (LC) | $120.75 | $345.00 | $51.75–$293.25 | — | 65% |
| LH (luteinizing hormone) test inpatient CPT 83002 Luteinizing Hormone | $120.75 | $345.00 | $51.75–$293.25 | — | 65% |
| Lactate (lactic acid) blood test CPT 83605 Lactic Acid w/ Reflex LA | $279.65 | $799.00 | $10.29–$679.15 | 374% above | 65% |
| Lactate (lactic acid) blood test CPT 83605 .Lactate POC | $279.65 | $799.00 | $10.29–$679.15 | 374% above | 65% |
| Lactate (lactic acid) blood test CPT 83605 Lactic Acid | $279.65 | $799.00 | $10.29–$679.15 | 374% above | 65% |
| Lactate (lactic acid) blood test CPT 83605 .ISTAT Lactate POC | $279.65 | $799.00 | $10.29–$679.15 | 374% above | 65% |
| Lactate (lactic acid) blood test CPT 83605 .Lactic Acid Reflex | $279.65 | $799.00 | $10.29–$679.15 | 374% above | 65% |
| Lactate (lactic acid) blood test CPT 83605 .Lactic Acid Reflex 2 | $279.65 | $799.00 | $10.29–$679.15 | 374% above | 65% |
| Lactate (lactic acid) blood test inpatient CPT 83605 .ISTAT Lactate POC | $279.65 | $799.00 | $119.85–$679.15 | — | 65% |
| Lactate (lactic acid) blood test inpatient CPT 83605 .Lactic Acid Reflex | $279.65 | $799.00 | $119.85–$679.15 | — | 65% |
| Lactate (lactic acid) blood test inpatient CPT 83605 .Lactic Acid Reflex 2 | $279.65 | $799.00 | $119.85–$679.15 | — | 65% |
| Lactate (lactic acid) blood test inpatient CPT 83605 Lactic Acid w/ Reflex LA | $279.65 | $799.00 | $119.85–$679.15 | — | 65% |
| Lactate (lactic acid) blood test inpatient CPT 83605 .Lactate POC | $279.65 | $799.00 | $119.85–$679.15 | — | 65% |
| Lactate (lactic acid) blood test inpatient CPT 83605 Lactic Acid | $279.65 | $799.00 | $119.85–$679.15 | — | 65% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 Lactate Dehydrogenase | $148.40 | $424.00 | $5.37–$360.40 | 322% above | 65% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 83615 L1842 LACTATE DEHYDR | $148.40 | $424.00 | $5.37–$360.40 | 322% above | 65% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 83615 LACTATE DEHYDROLDH | $148.40 | $424.00 | $5.37–$360.40 | 322% above | 65% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 Lactate Dehydrogenase Body Fluid | $148.40 | $424.00 | $5.37–$360.40 | 322% above | 65% |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 Lactate Dehydrogenase Body Fluid | $148.40 | $424.00 | $63.60–$360.40 | — | 65% |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 83615 LACTATE DEHYDROLDH | $148.40 | $424.00 | $63.60–$360.40 | — | 65% |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 83615 L1842 LACTATE DEHYDR | $148.40 | $424.00 | $63.60–$360.40 | — | 65% |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 Lactate Dehydrogenase | $148.40 | $424.00 | $63.60–$360.40 | — | 65% |
| Lipase blood test (pancreas enzyme) CPT 83690 Lipase Pleural Fluid (CQ) | $86.80 | $248.00 | $6.13–$248.00 | 62% above | 65% |
| Lipase blood test (pancreas enzyme) CPT 83690 Lipase Body Fluid | $86.80 | $248.00 | $6.13–$248.00 | 62% above | 65% |
| Lipase blood test (pancreas enzyme) CPT 83690 Lipase Level | $86.80 | $248.00 | $6.13–$248.00 | 62% above | 65% |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 Lipase Level | $86.80 | $248.00 | $37.20–$210.80 | — | 65% |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 Lipase Body Fluid | $86.80 | $248.00 | $37.20–$210.80 | — | 65% |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 Lipase Pleural Fluid (CQ) | $86.80 | $248.00 | $37.20–$210.80 | — | 65% |
| Liver function blood test panel CPT 80076 HFP | $265.30 | $758.00 | $7.27–$644.30 | 358% above | 65% |
| Liver function blood test panel inpatient CPT 80076 HFP | $265.30 | $758.00 | $113.70–$644.30 | — | 65% |
| Lyme disease antibody test CPT 86618 86618 LYME DISEASE AB | $117.95 | $337.00 | $15.15–$286.45 | 46% above | 65% |
| Lyme disease antibody test CPT 86618 86618 LYME DIS AB L164705 | $117.95 | $337.00 | $15.15–$286.45 | 46% above | 65% |
| Lyme disease antibody test CPT 86618 Lyme Disease Total Ab Rfx Immunoassay LC | $117.95 | $337.00 | $15.15–$286.45 | 46% above | 65% |
| Lyme disease antibody test CPT 86618 86618 L139825 LYME DIS AB | $117.95 | $337.00 | $15.15–$286.45 | 46% above | 65% |
| Lyme disease antibody test inpatient CPT 86618 86618 L139825 LYME DIS AB | $117.95 | $337.00 | $50.55–$286.45 | — | 65% |
| Lyme disease antibody test inpatient CPT 86618 86618 LYME DIS AB L164705 | $117.95 | $337.00 | $50.55–$286.45 | — | 65% |
| Lyme disease antibody test inpatient CPT 86618 Lyme Disease Total Ab Rfx Immunoassay LC | $117.95 | $337.00 | $50.55–$286.45 | — | 65% |
| Lyme disease antibody test inpatient CPT 86618 86618 LYME DISEASE AB | $117.95 | $337.00 | $50.55–$286.45 | — | 65% |
| Magnesium blood test CPT 83735 Magnesium Urine | $167.65 | $479.00 | $5.96–$407.15 | 351% above | 65% |
| Magnesium blood test CPT 83735 Magnesium Serum Obstetric | $167.65 | $479.00 | $5.96–$407.15 | 351% above | 65% |
| Magnesium blood test CPT 83735 Magnesium Urine Sendout to LabCorp | $167.65 | $479.00 | $5.96–$407.15 | 351% above | 65% |
| Magnesium blood test CPT 83735 Magnesium Serum | $167.65 | $479.00 | $5.96–$407.15 | 351% above | 65% |
| Magnesium blood test inpatient CPT 83735 Magnesium Urine | $167.65 | $479.00 | $71.85–$407.15 | — | 65% |
| Magnesium blood test inpatient CPT 83735 Magnesium Serum Obstetric | $167.65 | $479.00 | $71.85–$407.15 | — | 65% |
| Magnesium blood test inpatient CPT 83735 Magnesium Urine Sendout to LabCorp | $167.65 | $479.00 | $71.85–$407.15 | — | 65% |
| Magnesium blood test inpatient CPT 83735 Magnesium Serum | $167.65 | $479.00 | $71.85–$407.15 | — | 65% |
| Measles (rubeola) antibody test CPT 86765 Measles (Rubeola) Antibodies, IgG (LC) | $89.25 | $255.00 | $11.46–$216.75 | 104% above | 65% |
| Measles (rubeola) antibody test CPT 86765 86765 L58495 RUBEOLA AB | $89.25 | $255.00 | $11.46–$216.75 | 104% above | 65% |
| Measles (rubeola) antibody test inpatient CPT 86765 86765 L58495 RUBEOLA AB | $89.25 | $255.00 | $38.25–$216.75 | — | 65% |
| Measles (rubeola) antibody test inpatient CPT 86765 Measles (Rubeola) Antibodies, IgG (LC) | $89.25 | $255.00 | $38.25–$216.75 | — | 65% |
| Mono test (heterophile antibody, Monospot) CPT 86308 Mononucleosis Screen | $36.05 | $103.00 | $4.61–$87.55 | 12% below | 65% |
| Mono test (heterophile antibody, Monospot) inpatient CPT 86308 Mononucleosis Screen | $36.05 | $103.00 | $15.45–$87.55 | — | 65% |
| Mumps immunity blood test CPT 86735 Mumps Antibodies IgG LC | $90.65 | $259.00 | $11.61–$220.15 | 54% above | 65% |
| Mumps immunity blood test CPT 86735 86735 L58495 MUMPS AB | $90.65 | $259.00 | $11.61–$220.15 | 54% above | 65% |
| Mumps immunity blood test inpatient CPT 86735 Mumps Antibodies IgG LC | $90.65 | $259.00 | $38.85–$220.15 | — | 65% |
| Mumps immunity blood test inpatient CPT 86735 86735 L58495 MUMPS AB | $90.65 | $259.00 | $38.85–$220.15 | — | 65% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 84154 L480947 PSA, FREE | $119.35 | $341.00 | $16.36–$289.85 | 31% above | 65% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 84154 L480947 PSA, FREE | $119.35 | $341.00 | $51.15–$289.85 | — | 65% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA Ultrasensitive W/O Serial LC | $59.15 | $169.00 | $16.36–$143.65 | 23% below | 65% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA Total (Reflex To Free) (LC) | $210.35 | $601.00 | $16.36–$510.85 | 173% above | 65% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 84153 L480947 PSA, TOTAL | $210.35 | $601.00 | $16.36–$510.85 | 173% above | 65% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 Prostate Specific Ag Total | $225.05 | $643.00 | $16.36–$546.55 | 192% above | 65% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 Prostate-Specific Ag, Serum (RL) | $225.05 | $643.00 | $16.36–$546.55 | 192% above | 65% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA Ultrasensitive W/O Serial LC | $59.15 | $169.00 | $25.35–$143.65 | — | 65% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA Total (Reflex To Free) (LC) | $210.35 | $601.00 | $90.15–$510.85 | — | 65% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 84153 L480947 PSA, TOTAL | $210.35 | $601.00 | $90.15–$510.85 | — | 65% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 Prostate Specific Ag Total | $225.05 | $643.00 | $96.45–$546.55 | — | 65% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 Prostate-Specific Ag, Serum (RL) | $225.05 | $643.00 | $96.45–$546.55 | — | 65% |
| Pap test (liquid-based, automated screening with review) CPT 88175 ThinPrep TIS Pap Rfx HPV mRNA E6/E7 (CQ) | $102.20 | $292.00 | $23.67–$248.20 | 51% above | 65% |
| Pap test (liquid-based, automated screening with review) CPT 88175 ThinPrep TIS Pap (CQ) | $102.20 | $292.00 | $23.67–$248.20 | 51% above | 65% |
| Pap test (liquid-based, automated screening with review) inpatient CPT 88175 ThinPrep TIS Pap Rfx HPV mRNA E6/E7 (CQ) | $102.20 | $292.00 | $43.80–$248.20 | — | 65% |
| Pap test (liquid-based, automated screening with review) inpatient CPT 88175 ThinPrep TIS Pap (CQ) | $102.20 | $292.00 | $43.80–$248.20 | — | 65% |
| Parathyroid hormone (PTH) blood test CPT 83970 Parathyroid Hormone Intact (LC) | $488.60 | $1,396.00 | $36.72–$1,186.60 | 250% above | 65% |
| Parathyroid hormone (PTH) blood test CPT 83970 Parathyroid Hormone Intact Intraop | $488.60 | $1,396.00 | $36.72–$1,186.60 | 250% above | 65% |
| Parathyroid hormone (PTH) blood test CPT 83970 Parathyroid Hormone Intact Surgical | $488.60 | $1,396.00 | $36.72–$1,186.60 | 250% above | 65% |
| Parathyroid hormone (PTH) blood test CPT 83970 Parathyroid Hormone Intact | $488.60 | $1,396.00 | $36.72–$1,186.60 | 250% above | 65% |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 Parathyroid Hormone Intact Surgical | $488.60 | $1,396.00 | $209.40–$1,186.60 | — | 65% |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 Parathyroid Hormone Intact | $488.60 | $1,396.00 | $209.40–$1,186.60 | — | 65% |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 Parathyroid Hormone Intact Intraop | $488.60 | $1,396.00 | $209.40–$1,186.60 | — | 65% |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 Parathyroid Hormone Intact (LC) | $488.60 | $1,396.00 | $209.40–$1,186.60 | — | 65% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Partial Thromboplastin Time | $41.65 | $119.00 | $5.35–$101.15 | 29% above | 65% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 85730 THROMBOPLAST TIMEPTT | $41.65 | $119.00 | $5.35–$101.15 | 29% above | 65% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 85730 THROMBOPLAST TIMEPTT | $41.65 | $119.00 | $17.85–$101.15 | — | 65% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Partial Thromboplastin Time | $41.65 | $119.00 | $17.85–$101.15 | — | 65% |
| Phosphorus (phosphate) blood test CPT 84100 Phosphorus Serum | $32.90 | $94.00 | $4.22–$79.90 | at median | 65% |
| Phosphorus (phosphate) blood test inpatient CPT 84100 Phosphorus Serum | $32.90 | $94.00 | $14.10–$79.90 | — | 65% |
| Potassium blood test CPT 84132 84132 POTASSIUM SER PL WB | $32.20 | $92.00 | $4.23–$78.20 | 4% below | 65% |
| Potassium blood test CPT 84132 Potassium Serum | $32.20 | $92.00 | $4.23–$78.20 | 4% below | 65% |
| Potassium blood test inpatient CPT 84132 Potassium Serum | $32.20 | $92.00 | $13.80–$78.20 | — | 65% |
| Potassium blood test inpatient CPT 84132 84132 POTASSIUM SER PL WB | $32.20 | $92.00 | $13.80–$78.20 | — | 65% |
| Progesterone blood test CPT 84144 Progesterone Sendout to LabCorp | $135.45 | $387.00 | $18.55–$328.95 | 81% above | 65% |
| Progesterone blood test CPT 84144 Progesterone Level | $135.45 | $387.00 | $18.55–$328.95 | 81% above | 65% |
| Progesterone blood test inpatient CPT 84144 Progesterone Sendout to LabCorp | $135.45 | $387.00 | $58.05–$328.95 | — | 65% |
| Progesterone blood test inpatient CPT 84144 Progesterone Level | $135.45 | $387.00 | $58.05–$328.95 | — | 65% |
| Prolactin blood test CPT 84146 Prolactin (LC) | $134.40 | $384.00 | $17.24–$326.40 | 43% above | 65% |
| Prolactin blood test CPT 84146 Prolactin Level | $134.40 | $384.00 | $17.24–$326.40 | 43% above | 65% |
| Prolactin blood test inpatient CPT 84146 Prolactin (LC) | $134.40 | $384.00 | $57.60–$326.40 | — | 65% |
| Prolactin blood test inpatient CPT 84146 Prolactin Level | $134.40 | $384.00 | $57.60–$326.40 | — | 65% |
| Prothrombin time (PT/INR) clotting test CPT 85610 INR POC Clinic | $138.60 | $396.00 | $3.82–$336.60 | 324% above | 65% |
| Prothrombin time (PT/INR) clotting test CPT 85610 Prothrombin Time w/INR | $138.60 | $396.00 | $3.82–$336.60 | 324% above | 65% |
| Prothrombin time (PT/INR) clotting test CPT 85610 85610 PROTHROMBIN TIME | $138.60 | $396.00 | $3.82–$336.60 | 324% above | 65% |
| Prothrombin time (PT/INR) clotting test CPT 85610 .Protime w/INR POC | $138.60 | $396.00 | $3.82–$336.60 | 324% above | 65% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 INR POC Clinic | $138.60 | $396.00 | $59.40–$336.60 | — | 65% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 .Protime w/INR POC | $138.60 | $396.00 | $59.40–$336.60 | — | 65% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 85610 PROTHROMBIN TIME | $138.60 | $396.00 | $59.40–$336.60 | — | 65% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Prothrombin Time w/INR | $138.60 | $396.00 | $59.40–$336.60 | — | 65% |
| Rapid flu test (influenza antigen) CPT 87804 Influenza B Antigen Result | $104.30 | $298.00 | $14.72–$253.30 | 91% above | 65% |
| Rapid flu test (influenza antigen) CPT 87804 Influenza A Antigen Result | $104.30 | $298.00 | $14.72–$253.30 | 91% above | 65% |
| Rapid flu test (influenza antigen) CPT 87804 87804 INFLUENZA ASSAY W-OP | $104.30 | $298.00 | $14.72–$253.30 | 91% above | 65% |
| Rapid flu test (influenza antigen) inpatient CPT 87804 87804 INFLUENZA ASSAY W-OP | $104.30 | $298.00 | $44.70–$253.30 | — | 65% |
| Rapid flu test (influenza antigen) inpatient CPT 87804 Influenza B Antigen Result | $104.30 | $298.00 | $44.70–$253.30 | — | 65% |
| Rapid flu test (influenza antigen) inpatient CPT 87804 Influenza A Antigen Result | $104.30 | $298.00 | $44.70–$253.30 | — | 65% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 Rapid Strep A FIA | $61.25 | $175.00 | $14.70–$148.75 | 26% above | 65% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 .Rapid Strep A POC | $61.25 | $175.00 | $14.70–$148.75 | 26% above | 65% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 Streptococcus A Antigen IA1 | $61.25 | $175.00 | $14.70–$148.75 | 26% above | 65% |
| Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 Streptococcus A Antigen IA1 | $61.25 | $175.00 | $26.25–$148.75 | — | 65% |
| Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 Rapid Strep A FIA | $61.25 | $175.00 | $26.25–$148.75 | — | 65% |
| Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 .Rapid Strep A POC | $61.25 | $175.00 | $26.25–$148.75 | — | 65% |
| Renin blood test CPT 84244 Renin Activity Plasma LC | $152.95 | $437.00 | $19.56–$371.45 | 46% above | 65% |
| Renin blood test inpatient CPT 84244 Renin Activity Plasma LC | $152.95 | $437.00 | $65.55–$371.45 | — | 65% |
| Rh blood typing CPT 86901 86901 BLOOD TYPING RH D | $107.45 | $307.00 | $2.66–$260.95 | 138% above | 65% |
| Rh blood typing CPT 86901 BB Bill Rh Test | $107.45 | $307.00 | $2.66–$260.95 | 138% above | 65% |
| Rh blood typing inpatient CPT 86901 BB Bill Rh Test | $107.45 | $307.00 | $46.05–$260.95 | — | 65% |
| Rh blood typing inpatient CPT 86901 86901 BLOOD TYPING RH D | $107.45 | $307.00 | $46.05–$260.95 | — | 65% |
| Rheumatoid factor (RF) test CPT 86431 Rheumatoid Factor Titer | $39.20 | $112.00 | $5.04–$95.20 | 33% above | 65% |
| Rheumatoid factor (RF) test CPT 86431 86431 L56499 RA FACT QT | $39.20 | $112.00 | $5.04–$95.20 | 33% above | 65% |
| Rheumatoid factor (RF) test CPT 86431 Rheumatoid Arthritis Factor (LC) | $39.20 | $112.00 | $5.04–$95.20 | 33% above | 65% |
| Rheumatoid factor (RF) test inpatient CPT 86431 Rheumatoid Factor Titer | $39.20 | $112.00 | $16.80–$95.20 | — | 65% |
| Rheumatoid factor (RF) test inpatient CPT 86431 Rheumatoid Arthritis Factor (LC) | $39.20 | $112.00 | $16.80–$95.20 | — | 65% |
| Rheumatoid factor (RF) test inpatient CPT 86431 86431 L56499 RA FACT QT | $39.20 | $112.00 | $16.80–$95.20 | — | 65% |
| Rubella antibody test (immunity check) CPT 86762 Rubella Ab IgG Auto w/Interp | $83.30 | $238.00 | $12.80–$202.30 | 58% above | 65% |
| Rubella antibody test (immunity check) CPT 86762 Rubella Antibodies IgG LC | $83.30 | $238.00 | $12.80–$202.30 | 58% above | 65% |
| Rubella antibody test (immunity check) CPT 86762 86762 L58495 RUBELLA AB | $83.30 | $238.00 | $12.80–$202.30 | 58% above | 65% |
| Rubella antibody test (immunity check) CPT 86762 Rubella IgG Antibody | $83.30 | $238.00 | $12.80–$202.30 | 58% above | 65% |
| Rubella antibody test (immunity check) inpatient CPT 86762 Rubella IgG Antibody | $83.30 | $238.00 | $35.70–$202.30 | — | 65% |
| Rubella antibody test (immunity check) inpatient CPT 86762 Rubella Ab IgG Auto w/Interp | $83.30 | $238.00 | $35.70–$202.30 | — | 65% |
| Rubella antibody test (immunity check) inpatient CPT 86762 86762 L58495 RUBELLA AB | $83.30 | $238.00 | $35.70–$202.30 | — | 65% |
| Rubella antibody test (immunity check) inpatient CPT 86762 Rubella Antibodies IgG LC | $83.30 | $238.00 | $35.70–$202.30 | — | 65% |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 ESRA | $10.50 | $30.00 | $2.40–$25.50 | 57% below | 65% |
| Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 ESRA | $10.50 | $30.00 | $4.50–$25.50 | — | 65% |
| Sodium blood test CPT 84295 84295 SODIUM,SER PL OR WB | $32.90 | $94.00 | $4.28–$79.90 | 2% above | 65% |
| Sodium blood test CPT 84295 Sodium Serum | $32.90 | $94.00 | $4.28–$79.90 | 2% above | 65% |
| Sodium blood test inpatient CPT 84295 84295 SODIUM,SER PL OR WB | $32.90 | $94.00 | $14.10–$79.90 | — | 65% |
| Sodium blood test inpatient CPT 84295 Sodium Serum | $32.90 | $94.00 | $14.10–$79.90 | — | 65% |
| Stool ova and parasites exam CPT 87177 87177 L8623 OVA-PARASITES SMEARS | $61.60 | $176.00 | $7.92–$149.60 | 2% below | 65% |
| Stool ova and parasites exam inpatient CPT 87177 87177 L8623 OVA-PARASITES SMEARS | $61.60 | $176.00 | $26.40–$149.60 | — | 65% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 FOBT | $24.85 | $71.00 | $3.90–$60.35 | 9% above | 65% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 .POCFecOB | $24.85 | $71.00 | $3.90–$60.35 | 9% above | 65% |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 .POCFecOB | $24.85 | $71.00 | $10.65–$60.35 | — | 65% |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 FOBT | $24.85 | $71.00 | $10.65–$60.35 | — | 65% |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 Immunochemical Fecal Occult Blood Diagnostic | $9.45 | $27.00 | $4.05–$27.34 | 84% below | 65% |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 Occult Blood Feces Diagnostic 1-3 D | $9.45 | $27.00 | $4.05–$27.34 | 84% below | 65% |
| Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 Immunochemical Fecal Occult Blood Diagnostic | $9.45 | $27.00 | $4.05–$22.95 | — | 65% |
| Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 Occult Blood Feces Diagnostic 1-3 D | $9.45 | $27.00 | $4.05–$22.95 | — | 65% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 86780 L12021 TPALLID CONF | $90.30 | $258.00 | $11.78–$219.30 | 118% above | 65% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 Syphilis Antibody w Rfx to RPR | $90.30 | $258.00 | $11.78–$219.30 | 118% above | 65% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 T pallidum Screening cascade LC | $90.30 | $258.00 | $11.78–$219.30 | 118% above | 65% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 Treponema pallidum Antibodies (LC) | $90.30 | $258.00 | $11.78–$219.30 | 118% above | 65% |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 Treponema pallidum Antibodies (LC) | $90.30 | $258.00 | $38.70–$219.30 | — | 65% |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 T pallidum Screening cascade LC | $90.30 | $258.00 | $38.70–$219.30 | — | 65% |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 Syphilis Antibody w Rfx to RPR | $90.30 | $258.00 | $38.70–$219.30 | — | 65% |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 86780 L12021 TPALLID CONF | $90.30 | $258.00 | $38.70–$219.30 | — | 65% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR (LC) | $29.75 | $85.00 | $3.80–$72.25 | 5% below | 65% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Rapid Plasma Reagin Qual | $29.75 | $85.00 | $3.80–$72.25 | 5% below | 65% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Rapid Plasma Reagin Titer w/Reflex Titer | $29.75 | $85.00 | $3.80–$72.25 | 5% below | 65% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 .Rapid Plasma Reagin Qual w/Reflex Quant | $29.75 | $85.00 | $3.80–$72.25 | 5% below | 65% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Rapid Plasma Reagin Qual w/Reflex Quant | $29.75 | $85.00 | $3.80–$72.25 | 5% below | 65% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Rapid Plasma Reagin Reflex Titer + TP-PA (LC) | $29.75 | $85.00 | $3.80–$72.25 | 5% below | 65% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 Rapid Plasma Reagin Qual w/Reflex Quant | $29.75 | $85.00 | $12.75–$72.25 | — | 65% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 Rapid Plasma Reagin Titer w/Reflex Titer | $29.75 | $85.00 | $12.75–$72.25 | — | 65% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 .Rapid Plasma Reagin Qual w/Reflex Quant | $29.75 | $85.00 | $12.75–$72.25 | — | 65% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 Rapid Plasma Reagin Qual | $29.75 | $85.00 | $12.75–$72.25 | — | 65% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 Rapid Plasma Reagin Reflex Titer + TP-PA (LC) | $29.75 | $85.00 | $12.75–$72.25 | — | 65% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 RPR (LC) | $29.75 | $85.00 | $12.75–$72.25 | — | 65% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 Quantiferon TB Gold Plus (LC) | $257.95 | $737.00 | $55.13–$626.45 | 47% above | 65% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QuantiFERON-TB Gold Plus (Client Incubated) LC | $257.95 | $737.00 | $55.13–$626.45 | 47% above | 65% |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 QuantiFERON-TB Gold Plus (Client Incubated) LC | $257.95 | $737.00 | $110.55–$626.45 | — | 65% |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 Quantiferon TB Gold Plus (LC) | $257.95 | $737.00 | $110.55–$626.45 | — | 65% |
| Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone Level (LC) | $91.35 | $261.00 | $22.96–$221.85 | 1% below | 65% |
| Testosterone blood test, total (not free testosterone) CPT 84403 84403 L140103 TESTOST TOTA | $173.25 | $495.00 | $22.96–$420.75 | 88% above | 65% |
| Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone Total LC/MS (LC) | $297.50 | $850.00 | $22.96–$722.50 | 222% above | 65% |
| Testosterone blood test, total (not free testosterone) CPT 84403 84403 TESTOSTERONE, TOTAL | $297.50 | $850.00 | $22.96–$722.50 | 222% above | 65% |
| Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone Total | $297.50 | $850.00 | $22.96–$722.50 | 222% above | 65% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Testosterone Level (LC) | $91.35 | $261.00 | $39.15–$221.85 | — | 65% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 84403 L140103 TESTOST TOTA | $173.25 | $495.00 | $74.25–$420.75 | — | 65% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Testosterone Total LC/MS (LC) | $297.50 | $850.00 | $127.50–$722.50 | — | 65% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Testosterone Total | $297.50 | $850.00 | $127.50–$722.50 | — | 65% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 84403 TESTOSTERONE, TOTAL | $297.50 | $850.00 | $127.50–$722.50 | — | 65% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 86376 MICROSOMAL AB | $60.90 | $174.00 | $12.94–$147.90 | at median | 65% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 Thyroid Peroxidase Antibody (LC) | $60.90 | $174.00 | $12.94–$147.90 | at median | 65% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Thyroid Peroxidase Antibody (LC) | $60.90 | $174.00 | $26.10–$147.90 | — | 65% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 86376 MICROSOMAL AB | $60.90 | $174.00 | $26.10–$147.90 | — | 65% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH LC | $317.10 | $906.00 | $14.94–$770.10 | 487% above | 65% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 Thyroid Stimulating Hormone w/Reflex to Free T4 | $317.10 | $906.00 | $14.94–$770.10 | 487% above | 65% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH w/Reflex to T4 Total | $317.10 | $906.00 | $14.94–$770.10 | 487% above | 65% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 Thyroid Stimulating Hormone | $317.10 | $906.00 | $14.94–$770.10 | 487% above | 65% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH LC | $317.10 | $906.00 | $135.90–$770.10 | — | 65% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH w/Reflex to T4 Total | $317.10 | $906.00 | $135.90–$770.10 | — | 65% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 Thyroid Stimulating Hormone w/Reflex to Free T4 | $317.10 | $906.00 | $135.90–$770.10 | — | 65% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 Thyroid Stimulating Hormone | $317.10 | $906.00 | $135.90–$770.10 | — | 65% |
| Total IgE blood test CPT 82785 82785 L2295 GAMMAGLOBULIN IGE | $106.73 | $304.95 | $14.64–$259.21 | 106% above | 65% |
| Total IgE blood test CPT 82785 Immunoglobulin E Total (LC) | $114.10 | $326.00 | $14.64–$277.10 | 121% above | 65% |
| Total IgE blood test CPT 82785 82785 GAMMAGLOBULIN IGE | $114.10 | $326.00 | $14.64–$277.10 | 121% above | 65% |
| Total IgE blood test inpatient CPT 82785 82785 L2295 GAMMAGLOBULIN IGE | $106.73 | $304.95 | $45.74–$259.21 | — | 65% |
| Total IgE blood test inpatient CPT 82785 82785 GAMMAGLOBULIN IGE | $114.10 | $326.00 | $48.90–$277.10 | — | 65% |
| Total IgE blood test inpatient CPT 82785 Immunoglobulin E Total (LC) | $114.10 | $326.00 | $48.90–$277.10 | — | 65% |
| Total thyroxine (T4) blood test CPT 84436 Thyroxine 4 Total | $164.15 | $469.00 | $6.11–$398.65 | 280% above | 65% |
| Total thyroxine (T4) blood test CPT 84436 84436 L455 THYROXINE T4,TOTAL | $164.15 | $469.00 | $6.11–$398.65 | 280% above | 65% |
| Total thyroxine (T4) blood test CPT 84436 Thyroxine 4 (LC) | $164.15 | $469.00 | $6.11–$398.65 | 280% above | 65% |
| Total thyroxine (T4) blood test inpatient CPT 84436 Thyroxine 4 Total | $164.15 | $469.00 | $70.35–$398.65 | — | 65% |
| Total thyroxine (T4) blood test inpatient CPT 84436 Thyroxine 4 (LC) | $164.15 | $469.00 | $70.35–$398.65 | — | 65% |
| Total thyroxine (T4) blood test inpatient CPT 84436 84436 L455 THYROXINE T4,TOTAL | $164.15 | $469.00 | $70.35–$398.65 | — | 65% |
| Total triiodothyronine (T3) blood test CPT 84480 Triiodothyronine (LC) | $98.35 | $281.00 | $12.61–$238.85 | 67% above | 65% |
| Total triiodothyronine (T3) blood test inpatient CPT 84480 Triiodothyronine (LC) | $98.35 | $281.00 | $42.15–$238.85 | — | 65% |
| Transferrin blood test CPT 84466 84466 TRANSFERRIN | $88.55 | $253.00 | $11.35–$215.05 | 54% above | 65% |
| Transferrin blood test CPT 84466 TRANSF | $88.55 | $253.00 | $11.35–$215.05 | 54% above | 65% |
| Transferrin blood test CPT 84466 Transferrin LC | $88.55 | $253.00 | $11.35–$215.05 | 54% above | 65% |
| Transferrin blood test inpatient CPT 84466 84466 TRANSFERRIN | $88.55 | $253.00 | $37.95–$215.05 | — | 65% |
| Transferrin blood test inpatient CPT 84466 TRANSF | $88.55 | $253.00 | $37.95–$215.05 | — | 65% |
| Transferrin blood test inpatient CPT 84466 Transferrin LC | $88.55 | $253.00 | $37.95–$215.05 | — | 65% |
| Trichomonas test (NAAT) CPT 87661 87661 L183160 T VAG AMP | $202.30 | $578.00 | $31.21–$491.30 | 130% above | 65% |
| Trichomonas test (NAAT) CPT 87661 Trichomonas vaginalis, NAA (LC) | $202.30 | $578.00 | $31.21–$491.30 | 130% above | 65% |
| Trichomonas test (NAAT) inpatient CPT 87661 Trichomonas vaginalis, NAA (LC) | $202.30 | $578.00 | $86.70–$491.30 | — | 65% |
| Trichomonas test (NAAT) inpatient CPT 87661 87661 L183160 T VAG AMP | $202.30 | $578.00 | $86.70–$491.30 | — | 65% |
| Triglycerides blood test CPT 84478 Triglycerides | $39.90 | $114.00 | $5.11–$96.90 | 16% above | 65% |
| Triglycerides blood test CPT 84478 Triglycerides Body Fluid | $39.90 | $114.00 | $5.11–$96.90 | 16% above | 65% |
| Triglycerides blood test inpatient CPT 84478 Triglycerides Body Fluid | $39.90 | $114.00 | $17.10–$96.90 | — | 65% |
| Triglycerides blood test inpatient CPT 84478 Triglycerides | $39.90 | $114.00 | $17.10–$96.90 | — | 65% |
| Troponin test, quantitative CPT 84484 .Troponin I HS 3 Hour | $159.95 | $457.00 | $11.09–$388.45 | 125% above | 65% |
| Troponin test, quantitative CPT 84484 .Troponin I Quant 3 Hour | $159.95 | $457.00 | $11.09–$388.45 | 125% above | 65% |
| Troponin test, quantitative CPT 84484 .Troponin I HS 1 Hour | $159.95 | $457.00 | $11.09–$388.45 | 125% above | 65% |
| Troponin test, quantitative CPT 84484 .Troponin T Quant 1 Hour | $159.95 | $457.00 | $11.09–$388.45 | 125% above | 65% |
| Troponin test, quantitative CPT 84484 .Troponin T Quant 3 Hour | $159.95 | $457.00 | $11.09–$388.45 | 125% above | 65% |
| Troponin test, quantitative CPT 84484 Troponin T Quant x 3 Series | $159.95 | $457.00 | $11.09–$388.45 | 125% above | 65% |
| Troponin test, quantitative CPT 84484 .Troponin I Quant 2 Hour | $159.95 | $457.00 | $11.09–$388.45 | 125% above | 65% |
| Troponin test, quantitative CPT 84484 .Troponin I Quant 1 Hour | $159.95 | $457.00 | $11.09–$388.45 | 125% above | 65% |
| Troponin test, quantitative CPT 84484 .Troponin T Quant 4 Hour | $159.95 | $457.00 | $11.09–$388.45 | 125% above | 65% |
| Troponin test, quantitative CPT 84484 .Troponin I HS 4 Hour | $159.95 | $457.00 | $11.09–$388.45 | 125% above | 65% |
| Troponin test, quantitative CPT 84484 Troponin I HS x 3 Series | $159.95 | $457.00 | $11.09–$388.45 | 125% above | 65% |
| Troponin test, quantitative CPT 84484 .Troponin T HS 3 Hour | $159.95 | $457.00 | $11.09–$388.45 | 125% above | 65% |
| Troponin test, quantitative CPT 84484 Troponin T HS x 3 Series | $159.95 | $457.00 | $11.09–$388.45 | 125% above | 65% |
| Troponin test, quantitative CPT 84484 .Troponin T HS 1 Hour | $159.95 | $457.00 | $11.09–$388.45 | 125% above | 65% |
| Troponin test, quantitative CPT 84484 .ISTAT cTroponin I POC | $159.95 | $457.00 | $11.09–$388.45 | 125% above | 65% |
| Troponin test, quantitative CPT 84484 .Troponin I Quant POC | $159.95 | $457.00 | $11.09–$388.45 | 125% above | 65% |
| Troponin test, quantitative CPT 84484 Troponin I Quant | $159.95 | $457.00 | $11.09–$388.45 | 125% above | 65% |
| Troponin test, quantitative CPT 84484 Troponin T Quant | $159.95 | $457.00 | $11.09–$388.45 | 125% above | 65% |
| Troponin test, quantitative CPT 84484 .Troponin I HS 2 Hour | $159.95 | $457.00 | $11.09–$388.45 | 125% above | 65% |
| Troponin test, quantitative CPT 84484 Troponin I HS | $159.95 | $457.00 | $11.09–$388.45 | 125% above | 65% |
| Troponin test, quantitative CPT 84484 Troponin I Quant x 3 Series | $159.95 | $457.00 | $11.09–$388.45 | 125% above | 65% |
| Troponin test, quantitative CPT 84484 .Troponin I Quant 4 Hour | $159.95 | $457.00 | $11.09–$388.45 | 125% above | 65% |
| Troponin test, quantitative CPT 84484 Troponin T HS | $159.95 | $457.00 | $11.09–$388.45 | 125% above | 65% |
| Troponin test, quantitative inpatient CPT 84484 .ISTAT cTroponin I POC | $159.95 | $457.00 | $68.55–$388.45 | — | 65% |
| Troponin test, quantitative inpatient CPT 84484 Troponin I HS x 3 Series | $159.95 | $457.00 | $68.55–$388.45 | — | 65% |
| Troponin test, quantitative inpatient CPT 84484 .Troponin I HS 4 Hour | $159.95 | $457.00 | $68.55–$388.45 | — | 65% |
| Troponin test, quantitative inpatient CPT 84484 .Troponin T Quant 4 Hour | $159.95 | $457.00 | $68.55–$388.45 | — | 65% |
| Troponin test, quantitative inpatient CPT 84484 .Troponin I Quant 2 Hour | $159.95 | $457.00 | $68.55–$388.45 | — | 65% |
| Troponin test, quantitative inpatient CPT 84484 Troponin T Quant x 3 Series | $159.95 | $457.00 | $68.55–$388.45 | — | 65% |
| Troponin test, quantitative inpatient CPT 84484 .Troponin I HS 2 Hour | $159.95 | $457.00 | $68.55–$388.45 | — | 65% |
| Troponin test, quantitative inpatient CPT 84484 Troponin I Quant x 3 Series | $159.95 | $457.00 | $68.55–$388.45 | — | 65% |
| Troponin test, quantitative inpatient CPT 84484 .Troponin I Quant 4 Hour | $159.95 | $457.00 | $68.55–$388.45 | — | 65% |
| Troponin test, quantitative inpatient CPT 84484 Troponin T HS | $159.95 | $457.00 | $68.55–$388.45 | — | 65% |
| Troponin test, quantitative inpatient CPT 84484 .Troponin I HS 3 Hour | $159.95 | $457.00 | $68.55–$388.45 | — | 65% |
| Troponin test, quantitative inpatient CPT 84484 .Troponin I Quant 3 Hour | $159.95 | $457.00 | $68.55–$388.45 | — | 65% |
| Troponin test, quantitative inpatient CPT 84484 .Troponin I HS 1 Hour | $159.95 | $457.00 | $68.55–$388.45 | — | 65% |
| Troponin test, quantitative inpatient CPT 84484 .Troponin T Quant 1 Hour | $159.95 | $457.00 | $68.55–$388.45 | — | 65% |
| Troponin test, quantitative inpatient CPT 84484 .Troponin T Quant 3 Hour | $159.95 | $457.00 | $68.55–$388.45 | — | 65% |
| Troponin test, quantitative inpatient CPT 84484 .Troponin I Quant 1 Hour | $159.95 | $457.00 | $68.55–$388.45 | — | 65% |
| Troponin test, quantitative inpatient CPT 84484 .Troponin T HS 3 Hour | $159.95 | $457.00 | $68.55–$388.45 | — | 65% |
| Troponin test, quantitative inpatient CPT 84484 Troponin T HS x 3 Series | $159.95 | $457.00 | $68.55–$388.45 | — | 65% |
| Troponin test, quantitative inpatient CPT 84484 .Troponin T HS 1 Hour | $159.95 | $457.00 | $68.55–$388.45 | — | 65% |
| Troponin test, quantitative inpatient CPT 84484 .Troponin I Quant POC | $159.95 | $457.00 | $68.55–$388.45 | — | 65% |
| Troponin test, quantitative inpatient CPT 84484 Troponin I Quant | $159.95 | $457.00 | $68.55–$388.45 | — | 65% |
| Troponin test, quantitative inpatient CPT 84484 Troponin T Quant | $159.95 | $457.00 | $68.55–$388.45 | — | 65% |
| Troponin test, quantitative inpatient CPT 84484 Troponin I HS | $159.95 | $457.00 | $68.55–$388.45 | — | 65% |
| Uric acid blood test CPT 84550 Uric Acid Level | $31.15 | $89.00 | $4.02–$75.65 | 15% above | 65% |
| Uric acid blood test inpatient CPT 84550 Uric Acid Level | $31.15 | $89.00 | $13.35–$75.65 | — | 65% |
| Urinalysis with microscope exam, automated CPT 81001 .Bill Only DS Auto/MSc Reqd | $169.05 | $483.00 | $2.82–$410.55 | 429% above | 65% |
| Urinalysis with microscope exam, automated CPT 81001 Perform Microscopic - Yes | $169.05 | $483.00 | $2.82–$410.55 | 429% above | 65% |
| Urinalysis with microscope exam, automated CPT 81001 Urinalysis w/Microscopic Automated | $169.05 | $483.00 | $2.82–$410.55 | 429% above | 65% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 Perform Microscopic - Yes | $169.05 | $483.00 | $72.45–$410.55 | — | 65% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 Urinalysis w/Microscopic Automated | $169.05 | $483.00 | $72.45–$410.55 | — | 65% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 .Bill Only DS Auto/MSc Reqd | $169.05 | $483.00 | $72.45–$410.55 | — | 65% |
| Urinalysis with microscope exam, manual CPT 81000 .Bill Only DS Man/MSc Reqd | $11.20 | $32.00 | $3.58–$27.20 | 37% below | 65% |
| Urinalysis with microscope exam, manual CPT 81000 Urinalysis w/Microscopic Manual | $11.20 | $32.00 | $3.58–$27.20 | 37% below | 65% |
| Urinalysis with microscope exam, manual inpatient CPT 81000 Urinalysis w/Microscopic Manual | $11.20 | $32.00 | $4.80–$27.20 | — | 65% |
| Urinalysis with microscope exam, manual inpatient CPT 81000 .Bill Only DS Man/MSc Reqd | $11.20 | $32.00 | $4.80–$27.20 | — | 65% |
| Urinalysis without microscope exam, automated CPT 81003 .Bill Only DS Auto/No MSc | $159.95 | $457.00 | $2.00–$388.45 | 1015% above | 65% |
| Urinalysis without microscope exam, automated CPT 81003 Urine Color Urine Dipstick | $159.95 | $457.00 | $2.00–$388.45 | 1015% above | 65% |
| Urinalysis without microscope exam, automated CPT 81003 Specific Gravity Urine Auto | $159.95 | $457.00 | $2.00–$388.45 | 1015% above | 65% |
| Urinalysis without microscope exam, automated CPT 81003 Urinalysis w/o Microscopic Automated | $159.95 | $457.00 | $2.00–$388.45 | 1015% above | 65% |
| Urinalysis without microscope exam, automated CPT 81003 Perform Microscopic - No | $159.95 | $457.00 | $2.00–$388.45 | 1015% above | 65% |
| Urinalysis without microscope exam, automated CPT 81003 Ketones Urine Dipstk Qual Automated | $159.95 | $457.00 | $2.00–$388.45 | 1015% above | 65% |
| Urinalysis without microscope exam, automated CPT 81003 Dipstick Type? - Auto | $159.95 | $457.00 | $2.00–$388.45 | 1015% above | 65% |
| Urinalysis without microscope exam, automated CPT 81003 Reflex Microscopic Type? - Not Required | $159.95 | $457.00 | $2.00–$388.45 | 1015% above | 65% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Reflex Microscopic Type? - Not Required | $159.95 | $457.00 | $68.55–$388.45 | — | 65% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Urinalysis w/o Microscopic Automated | $159.95 | $457.00 | $68.55–$388.45 | — | 65% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Dipstick Type? - Auto | $159.95 | $457.00 | $68.55–$388.45 | — | 65% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Perform Microscopic - No | $159.95 | $457.00 | $68.55–$388.45 | — | 65% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 .Bill Only DS Auto/No MSc | $159.95 | $457.00 | $68.55–$388.45 | — | 65% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Urine Color Urine Dipstick | $159.95 | $457.00 | $68.55–$388.45 | — | 65% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Ketones Urine Dipstk Qual Automated | $159.95 | $457.00 | $68.55–$388.45 | — | 65% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Specific Gravity Urine Auto | $159.95 | $457.00 | $68.55–$388.45 | — | 65% |
| Urine culture for bacteria, with colony count CPT 87086 Urine Culture Qn | $176.75 | $505.00 | $7.18–$429.25 | 266% above | 65% |
| Urine culture for bacteria, with colony count inpatient CPT 87086 Urine Culture Qn | $176.75 | $505.00 | $75.75–$429.25 | — | 65% |
| Urine microalbumin (albumin) test CPT 82043 82043 L140285 MICROALB QT | $37.45 | $107.00 | $5.14–$90.95 | 2% below | 65% |
| Urine microalbumin (albumin) test CPT 82043 Microalbumin Urine 24 Hour | $39.90 | $114.00 | $5.14–$96.90 | 4% above | 65% |
| Urine microalbumin (albumin) test CPT 82043 Microalbumin Random Urine Sendout to LabCorp | $39.90 | $114.00 | $5.14–$96.90 | 4% above | 65% |
| Urine microalbumin (albumin) test CPT 82043 Microalbumin Urine Quant | $39.90 | $114.00 | $5.14–$96.90 | 4% above | 65% |
| Urine microalbumin (albumin) test CPT 82043 MicroAlb QNT Random | $39.90 | $114.00 | $5.14–$96.90 | 4% above | 65% |
| Urine microalbumin (albumin) test CPT 82043 82043 MICROALB QNT | $39.90 | $114.00 | $5.14–$96.90 | 4% above | 65% |
| Urine microalbumin (albumin) test inpatient CPT 82043 82043 L140285 MICROALB QT | $37.45 | $107.00 | $16.05–$90.95 | — | 65% |
| Urine microalbumin (albumin) test inpatient CPT 82043 Microalbumin Urine 24 Hour | $39.90 | $114.00 | $17.10–$96.90 | — | 65% |
| Urine microalbumin (albumin) test inpatient CPT 82043 Microalbumin Urine Quant | $39.90 | $114.00 | $17.10–$96.90 | — | 65% |
| Urine microalbumin (albumin) test inpatient CPT 82043 82043 MICROALB QNT | $39.90 | $114.00 | $17.10–$96.90 | — | 65% |
| Urine microalbumin (albumin) test inpatient CPT 82043 MicroAlb QNT Random | $39.90 | $114.00 | $17.10–$96.90 | — | 65% |
| Urine microalbumin (albumin) test inpatient CPT 82043 Microalbumin Random Urine Sendout to LabCorp | $39.90 | $114.00 | $17.10–$96.90 | — | 65% |
| Urine pregnancy test, read by color change CPT 81025 .HCG Urine Ql POC | $142.10 | $406.00 | $7.66–$345.10 | 412% above | 65% |
| Urine pregnancy test, read by color change CPT 81025 POC HCG Patient Test Result | $142.10 | $406.00 | $7.66–$345.10 | 412% above | 65% |
| Urine pregnancy test, read by color change CPT 81025 POC HCG Patient Test Result - Positive | $142.10 | $406.00 | $7.66–$345.10 | 412% above | 65% |
| Urine pregnancy test, read by color change CPT 81025 Human Chorionic Gonadotropin Urine Qual Manual | $142.10 | $406.00 | $7.66–$345.10 | 412% above | 65% |
| Urine pregnancy test, read by color change CPT 81025 POC HCG Patient Test Result - Negative | $142.10 | $406.00 | $7.66–$345.10 | 412% above | 65% |
| Urine pregnancy test, read by color change inpatient CPT 81025 POC HCG Patient Test Result - Negative | $142.10 | $406.00 | $60.90–$345.10 | — | 65% |
| Urine pregnancy test, read by color change inpatient CPT 81025 POC HCG Patient Test Result | $142.10 | $406.00 | $60.90–$345.10 | — | 65% |
| Urine pregnancy test, read by color change inpatient CPT 81025 Human Chorionic Gonadotropin Urine Qual Manual | $142.10 | $406.00 | $60.90–$345.10 | — | 65% |
| Urine pregnancy test, read by color change inpatient CPT 81025 .HCG Urine Ql POC | $142.10 | $406.00 | $60.90–$345.10 | — | 65% |
| Urine pregnancy test, read by color change inpatient CPT 81025 POC HCG Patient Test Result - Positive | $142.10 | $406.00 | $60.90–$345.10 | — | 65% |
| Vitamin B12 (cobalamin) blood test CPT 82607 Vitamin B12 (LC) | $93.10 | $266.00 | $13.41–$226.10 | 43% above | 65% |
| Vitamin B12 (cobalamin) blood test CPT 82607 Vitamin B12 | $93.10 | $266.00 | $13.41–$226.10 | 43% above | 65% |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 Vitamin B12 | $93.10 | $266.00 | $39.90–$226.10 | — | 65% |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 Vitamin B12 (LC) | $93.10 | $266.00 | $39.90–$226.10 | — | 65% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vitamin D 25-Hydroxy LC | $265.65 | $759.00 | $26.33–$645.15 | 103% above | 65% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vitamin D 25 hydroxy | $284.20 | $812.00 | $26.33–$690.20 | 117% above | 65% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vitamin D 25-Hydroxy D2 + D3 LC | $284.20 | $812.00 | $26.33–$690.20 | 117% above | 65% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 Vitamin D 25-Hydroxy LC | $265.65 | $759.00 | $113.85–$645.15 | — | 65% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 Vitamin D 25-Hydroxy D2 + D3 LC | $284.20 | $812.00 | $121.80–$690.20 | — | 65% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 Vitamin D 25 hydroxy | $284.20 | $812.00 | $121.80–$690.20 | — | 65% |
| Zinc blood test CPT 84630 Zinc Plasma or Serum (LC) | $79.45 | $227.00 | $10.13–$192.95 | 37% above | 65% |
| Zinc blood test inpatient CPT 84630 Zinc Plasma or Serum (LC) | $79.45 | $227.00 | $34.05–$192.95 | — | 65% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Human Chorionic Gonadotropin Beta Sub unit Quant ( | $72.45 | $207.00 | $13.39–$175.95 | 17% above | 65% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Human Chorionic Gonadotropin Quant | $104.65 | $299.00 | $13.39–$254.15 | 69% above | 65% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 84702 L17319 HCG QUANT | $104.65 | $299.00 | $13.39–$254.15 | 69% above | 65% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 Human Chorionic Gonadotropin Beta Sub unit Quant ( | $72.45 | $207.00 | $31.05–$175.95 | — | 65% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 84702 L17319 HCG QUANT | $104.65 | $299.00 | $44.85–$254.15 | — | 65% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 Human Chorionic Gonadotropin Quant | $104.65 | $299.00 | $44.85–$254.15 | — | 65% |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Oklahoma | Off list |
|---|---|---|---|---|---|
| Cardioversion, elective (restoring heart rhythm) CPT 92960 $ED Cardioversion/Defibrillation | $983.50 | $2,810.00 | $157.59–$2,388.50 | 1% above | 65% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 ED Cardioversion Set up for procedure - Cardiovers | $983.50 | $2,810.00 | $157.59–$2,388.50 | 1% above | 65% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 $ED Cardioversion | $983.50 | $2,810.00 | $157.59–$2,388.50 | 1% above | 65% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION ELECTRIC, EXT | $3,058.28 | $8,737.95 | $157.59–$7,427.26 | 215% above | 65% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 $ED Cardioversion | $983.50 | $2,810.00 | $421.50–$2,388.50 | — | 65% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 $ED Cardioversion/Defibrillation | $983.50 | $2,810.00 | $421.50–$2,388.50 | — | 65% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 ED Cardioversion Set up for procedure - Cardiovers | $983.50 | $2,810.00 | $421.50–$2,388.50 | — | 65% |
| Colonoscopy with polyp removal CPT 45385 LESION REMOVAL COLONOSCOPY | $6,263.67 | $17,896.20 | $459.63–$15,211.77 | 283% above | 65% |
| Colonoscopy with tissue sample CPT 45380 COLONOSCOPY AND BIOPSY | $5,114.35 | $14,612.42 | $362.93–$12,420.56 | 227% above | 65% |
| Colonoscopy, diagnostic CPT 45378 DIAGNOSTIC COLONOSCOPY | $4,044.17 | $11,554.77 | $333.92–$9,821.55 | 173% above | 65% |
| Earwax removal by irrigation (rinsing), one ear CPT 69209 REMOVE IMPACTED EAR WAX UNI | $656.67 | $1,876.21 | $27.53–$1,594.78 | 963% above | 65% |
| Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 NJX INTERLAMINAR CRV/THRC | $4,088.12 | $11,680.34 | $196.60–$9,928.29 | 519% above | 65% |
| Facet joint injection, lower back, one level, with imaging guidance CPT 64493 INJ PARAVERT F JNT L/S 1 LEV | $3,394.93 | $9,699.81 | $165.05–$8,244.84 | 201% above | 65% |
| Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 DIAGNOSTIC SIGMOIDOSCOPY | $4,004.43 | $11,441.24 | $102.40–$9,725.05 | 295% above | 65% |
| Incision and drainage of a simple or single skin abscess CPT 10060 DRAINAGE OF SKIN ABSCESS | $1,304.25 | $3,726.43 | $180.67–$3,167.47 | 400% above | 65% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJECT TENDON/LIGAMENT/CYST | $755.47 | $2,158.48 | $71.41–$1,834.71 | 219% above | 65% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 DRAIN/INJECT, JOINT/BURSA | $913.23 | $2,609.23 | $83.04–$2,217.85 | 149% above | 65% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 DRAIN/INJECT, JOINT/BURSA | $1,397.39 | $3,992.53 | $67.53–$3,393.65 | 418% above | 65% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 LAYER CLOSURE OF WOUND(S) | $575.91 | $1,645.45 | $246.82–$1,398.63 | 72% above | 65% |
| Lower-back epidural injection, with imaging guidance CPT 62323 NJX INTERLAMINAR LMBR/SAC | $3,609.21 | $10,312.04 | $181.81–$8,765.23 | 393% above | 65% |
| Nail removal (partial or complete), one nail CPT 11730 REMOVAL OF NAIL PLATE | $932.08 | $2,663.08 | $98.85–$2,263.62 | 322% above | 65% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 REMOVAL OF NAIL BED | $665.47 | $1,901.34 | $186.26–$1,616.14 | 54% above | 65% |
| Removal of a foreign object under the skin, simple CPT 10120 REMOVE FOREIGN BODY | $695.18 | $1,986.22 | $191.10–$1,688.29 | 90% above | 65% |
| Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 COLON CA SCRN NOT HI RSK IND | $4,095.19 | $11,700.55 | $282.36–$9,945.47 | 209% above | 65% |
| Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 COLORECTAL SCRN; HI RISK IND | $3,867.82 | $11,050.92 | $281.91–$9,393.28 | 184% above | 65% |
| Short arm splint (forearm and hand) CPT 29125 APPLY FOREARM SPLINT | $1,224.29 | $3,497.96 | $73.15–$2,973.27 | 799% above | 65% |
| Short leg splint (calf to foot) CPT 29515 APPLICATION LOWER LEG SPLINT | $1,262.83 | $3,608.09 | $90.76–$3,066.88 | 540% above | 65% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 REPAIR SUPERFICIAL WOUND(S) | $748.28 | $2,137.94 | $82.09–$1,817.25 | 280% above | 65% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 REPAIR SUPERFICIAL WOUND(S) | $1,096.38 | $3,132.51 | $108.02–$2,662.63 | 412% above | 65% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 REPAIR SUPERFICIAL WOUND(S) | $1,410.24 | $4,029.25 | $101.84–$3,424.86 | 663% above | 65% |
| Trigger point injections, 1 or 2 muscles CPT 20552 NJX 1/MLT TRIGGER POINT 1/2 | $977.46 | $2,792.73 | $67.44–$2,792.73 | 270% above | 65% |
| Upper endoscopy (EGD) with biopsy CPT 43239 UPPER GI ENDOSCOPY, BIOPSY | $5,324.27 | $15,212.19 | $250.85–$12,930.36 | 398% above | 65% |
| Upper endoscopy (EGD), diagnostic CPT 43235 UPPR GI ENDOSCOPY, DIAGNOSIS | $5,441.62 | $15,547.48 | $221.94–$13,215.36 | 377% above | 65% |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Oklahoma | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 $ED Transfusion >2 yrs | $823.55 | $2,353.00 | $72.81–$2,000.05 | 14% above | 65% |
| Blood transfusion (giving blood or blood components) CPT 36430 Blood transfusions | $823.55 | $2,353.00 | $72.81–$2,000.05 | 14% above | 65% |
| Blood transfusion (giving blood or blood components) CPT 36430 Blood Administration Fee | $823.55 | $2,353.00 | $72.81–$2,000.05 | 14% above | 65% |
| Blood transfusion (giving blood or blood components) CPT 36430 Blood Unit Product: - Cryoprecipitate | $823.55 | $2,353.00 | $72.81–$2,000.05 | 14% above | 65% |
| Blood transfusion (giving blood or blood components) CPT 36430 Blood Unit Product: - Fresh frozen plasma | $823.55 | $2,353.00 | $72.81–$2,000.05 | 14% above | 65% |
| Blood transfusion (giving blood or blood components) CPT 36430 Blood Unit Product: - Packed red blood cells | $823.55 | $2,353.00 | $72.81–$2,000.05 | 14% above | 65% |
| Blood transfusion (giving blood or blood components) CPT 36430 Blood Unit Product: - Platelets (random donor) | $823.55 | $2,353.00 | $72.81–$2,000.05 | 14% above | 65% |
| Blood transfusion (giving blood or blood components) CPT 36430 Blood Unit Product: - Platelets (single donor) | $823.55 | $2,353.00 | $72.81–$2,000.05 | 14% above | 65% |
| Blood transfusion (giving blood or blood components) CPT 36430 Blood Unit Product: - Red blood cells (postoperati | $823.55 | $2,353.00 | $72.81–$2,000.05 | 14% above | 65% |
| Blood transfusion (giving blood or blood components) CPT 36430 Blood Unit Product: - Red blood cells (preoperativ | $823.55 | $2,353.00 | $72.81–$2,000.05 | 14% above | 65% |
| Blood transfusion (giving blood or blood components) CPT 36430 Blood Unit Product: - Whole blood | $823.55 | $2,353.00 | $72.81–$2,000.05 | 14% above | 65% |
| Blood transfusion (giving blood or blood components) CPT 36430 Blood Unit Verified with Pt Information: - Transfu | $823.55 | $2,353.00 | $72.81–$2,000.05 | 14% above | 65% |
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSFUSION SERVICE | $5,676.21 | $16,217.75 | $72.81–$13,785.09 | 683% above | 65% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 $ED Transfusion >2 yrs | $823.55 | $2,353.00 | $352.95–$2,000.05 | — | 65% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 Blood Unit Product: - Red blood cells (postoperati | $823.55 | $2,353.00 | $352.95–$2,000.05 | — | 65% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 Blood Unit Product: - Packed red blood cells | $823.55 | $2,353.00 | $352.95–$2,000.05 | — | 65% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 Blood Unit Verified with Pt Information: - Transfu | $823.55 | $2,353.00 | $352.95–$2,000.05 | — | 65% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 Blood Unit Product: - Fresh frozen plasma | $823.55 | $2,353.00 | $352.95–$2,000.05 | — | 65% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 Blood Unit Product: - Cryoprecipitate | $823.55 | $2,353.00 | $352.95–$2,000.05 | — | 65% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 Blood Administration Fee | $823.55 | $2,353.00 | $352.95–$2,000.05 | — | 65% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 Blood Unit Product: - Whole blood | $823.55 | $2,353.00 | $352.95–$2,000.05 | — | 65% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 Blood Unit Product: - Platelets (single donor) | $823.55 | $2,353.00 | $352.95–$2,000.05 | — | 65% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 Blood Unit Product: - Platelets (random donor) | $823.55 | $2,353.00 | $352.95–$2,000.05 | — | 65% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 Blood Unit Product: - Red blood cells (preoperativ | $823.55 | $2,353.00 | $352.95–$2,000.05 | — | 65% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 Blood transfusions | $823.55 | $2,353.00 | $352.95–$2,000.05 | — | 65% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Aerosol Treatment Charge - IPPB Subsequent | $187.25 | $535.00 | $6.45–$454.75 | 42% above | 65% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Aerosol Treatment Charge - Subsequent | $187.25 | $535.00 | $6.45–$454.75 | 42% above | 65% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Aerosol Treatment Charge - IPPB Initial | $187.25 | $535.00 | $6.45–$454.75 | 42% above | 65% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Aerosol Treatment Charge - Initial | $187.25 | $535.00 | $6.45–$454.75 | 42% above | 65% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Meter Dose Inhaler Charge - Subsequent | $187.25 | $535.00 | $6.45–$454.75 | 42% above | 65% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Aerosol Treatment Charge - IPV Initial | $187.25 | $535.00 | $6.45–$454.75 | 42% above | 65% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Meter Dose Inhaler Charge - Initial | $187.25 | $535.00 | $6.45–$454.75 | 42% above | 65% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Aerosol Treatment Charge - IPV Subsequent | $187.25 | $535.00 | $6.45–$454.75 | 42% above | 65% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 AIRWAY INHALATION TREATMENT | $2,222.05 | $6,348.72 | $11.05–$5,396.41 | 1583% above | 65% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Meter Dose Inhaler Charge - Initial | $187.25 | $535.00 | $80.25–$454.75 | — | 65% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Aerosol Treatment Charge - IPV Initial | $187.25 | $535.00 | $80.25–$454.75 | — | 65% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Aerosol Treatment Charge - IPV Subsequent | $187.25 | $535.00 | $80.25–$454.75 | — | 65% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Meter Dose Inhaler Charge - Subsequent | $187.25 | $535.00 | $80.25–$454.75 | — | 65% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Aerosol Treatment Charge - Initial | $187.25 | $535.00 | $80.25–$454.75 | — | 65% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Aerosol Treatment Charge - IPPB Initial | $187.25 | $535.00 | $80.25–$454.75 | — | 65% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Aerosol Treatment Charge - IPPB Subsequent | $187.25 | $535.00 | $80.25–$454.75 | — | 65% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Aerosol Treatment Charge - Subsequent | $187.25 | $535.00 | $80.25–$454.75 | — | 65% |
| Critical care, first 30 to 74 minutes CPT 99291 99291 - Critical Care | $1,191.05 | $3,403.00 | $315.20–$2,904.00 | 2% below | 65% |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 99291 - Critical Care | $1,191.05 | $3,403.00 | $510.45–$2,892.55 | — | 65% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG Series 6 Hours | $292.95 | $837.00 | $5.10–$711.45 | 128% above | 65% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG 12 Lead Series Now | $292.95 | $837.00 | $5.10–$711.45 | 128% above | 65% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG Series 3 Hours | $292.95 | $837.00 | $5.10–$711.45 | 128% above | 65% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ED EKG 12 Lead Series Now | $292.95 | $837.00 | $5.10–$711.45 | 128% above | 65% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ED EKG Series 1 Hour | $292.95 | $837.00 | $5.10–$711.45 | 128% above | 65% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG Series 1 Hour | $292.95 | $837.00 | $5.10–$711.45 | 128% above | 65% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Is the patient scheduled for a Cath Lab procedure | $292.95 | $837.00 | $5.10–$711.45 | 128% above | 65% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ED EKG Start Time | $292.95 | $837.00 | $5.10–$711.45 | 128% above | 65% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG BCE | $292.95 | $837.00 | $5.10–$711.45 | 128% above | 65% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ED EKG Series 3 Hours | $292.95 | $837.00 | $5.10–$711.45 | 128% above | 65% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ELECTROCARDIOGRAM, TRACING | $2,921.33 | $8,346.65 | $8.74–$7,094.65 | 2170% above | 65% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG Series 6 Hours | $292.95 | $837.00 | $125.55–$711.45 | — | 65% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG Series 3 Hours | $292.95 | $837.00 | $125.55–$711.45 | — | 65% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG BCE | $292.95 | $837.00 | $125.55–$711.45 | — | 65% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 ED EKG Start Time | $292.95 | $837.00 | $125.55–$711.45 | — | 65% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 Is the patient scheduled for a Cath Lab procedure | $292.95 | $837.00 | $125.55–$711.45 | — | 65% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG Series 1 Hour | $292.95 | $837.00 | $125.55–$711.45 | — | 65% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 ED EKG Series 1 Hour | $292.95 | $837.00 | $125.55–$711.45 | — | 65% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 ED EKG 12 Lead Series Now | $292.95 | $837.00 | $125.55–$711.45 | — | 65% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG 12 Lead Series Now | $292.95 | $837.00 | $125.55–$711.45 | — | 65% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 ED EKG Series 3 Hours | $292.95 | $837.00 | $125.55–$711.45 | — | 65% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 99281 - Level 1 | $117.25 | $335.00 | $17.00–$341.00 | 28% below | 65% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 99281 - Level 1 | $117.25 | $335.00 | $50.25–$284.75 | — | 65% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 99282 - Level 2 | $184.80 | $528.00 | $62.13–$448.80 | 41% below | 65% |
| Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 99282 - Level 2 | $184.80 | $528.00 | $79.20–$448.80 | — | 65% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 99283 - Level 3 | $337.75 | $965.00 | $105.82–$1,443.00 | 36% below | 65% |
| Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 99283 - Level 3 | $337.75 | $965.00 | $144.75–$820.25 | — | 65% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 99284 - Level 4 | $563.15 | $1,609.00 | $180.14–$2,435.00 | 26% below | 65% |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 99284 - Level 4 | $563.15 | $1,609.00 | $241.35–$1,367.65 | — | 65% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 99285 - Level 5 | $870.80 | $2,488.00 | $261.10–$2,435.00 | 24% below | 65% |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 99285 - Level 5 | $870.80 | $2,488.00 | $373.20–$2,114.80 | — | 65% |
| Family therapy with the patient, 50 minutes CPT 90847 BH CHRG - FAM THERAPY W/PATIEN | $60.90 | $174.00 | $26.10–$321.34 | 81% below | 65% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 BH CHRG - FAM THERAPY W/PATIEN | $60.90 | $174.00 | $26.10–$147.90 | — | 65% |
| Family therapy without the patient, 50 minutes CPT 90846 BH CHRG - Fam Therapy W/O Pt | $60.90 | $174.00 | $26.10–$265.84 | 79% below | 65% |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 BH CHRG - Fam Therapy W/O Pt | $60.90 | $174.00 | $26.10–$147.90 | — | 65% |
| Group psychotherapy session CPT 90853 BH CHRG - PSYCH GROUP THERAPY | $165.20 | $472.00 | $25.58–$401.20 | 15% below | 65% |
| Group psychotherapy session CPT 90853 GROUP PSYCHOTHERAPY | $4,160.91 | $11,888.30 | $36.68–$10,105.05 | 2053% above | 65% |
| Group psychotherapy session inpatient CPT 90853 BH CHRG - PSYCH GROUP THERAPY | $165.20 | $472.00 | $70.80–$401.20 | — | 65% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 Hydration therapy 1st hour | $172.55 | $493.00 | $45.73–$421.38 | 5% below | 65% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 96360 - Hydration, first hour | $172.55 | $493.00 | $45.73–$421.38 | 5% below | 65% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 CHRG - Inf/Inj/Hydration - IV HYDRATION 1 HR | $172.55 | $493.00 | $45.73–$421.38 | 5% below | 65% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HYDRATION IV INFUSION INIT | $2,236.98 | $6,391.37 | $45.73–$5,432.66 | 1128% above | 65% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 CHRG - Inf/Inj/Hydration - IV HYDRATION 1 HR | $172.55 | $493.00 | $73.95–$419.05 | — | 65% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 96360 - Hydration, first hour | $172.55 | $493.00 | $73.95–$419.05 | — | 65% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 Hydration therapy 1st hour | $172.55 | $493.00 | $73.95–$419.05 | — | 65% |
| IV infusion of a medicine, first hour CPT 96365 96365 - IV tx, first hour | $301.35 | $861.00 | $87.87–$731.85 | 28% above | 65% |
| IV infusion of a medicine, first hour CPT 96365 CHRG - Inf/Inj/Hydration - IV THERAPY DX 1 HR | $429.45 | $1,227.00 | $87.87–$1,042.95 | 82% above | 65% |
| IV infusion of a medicine, first hour CPT 96365 Infusion 1st hour | $429.45 | $1,227.00 | $87.87–$1,042.95 | 82% above | 65% |
| IV infusion of a medicine, first hour CPT 96365 THER/PROPH/DIAG IV INF INIT | $3,208.58 | $9,167.36 | $87.87–$7,792.26 | 1262% above | 65% |
| IV infusion of a medicine, first hour inpatient CPT 96365 96365 - IV tx, first hour | $301.35 | $861.00 | $129.15–$731.85 | — | 65% |
| IV infusion of a medicine, first hour inpatient CPT 96365 Infusion 1st hour | $429.45 | $1,227.00 | $184.05–$1,042.95 | — | 65% |
| IV infusion of a medicine, first hour inpatient CPT 96365 CHRG - Inf/Inj/Hydration - IV THERAPY DX 1 HR | $429.45 | $1,227.00 | $184.05–$1,042.95 | — | 65% |
| IV push of a medicine, first drug CPT 96374 96374 - IV Injection, single/initial | $172.20 | $492.00 | $51.75–$421.38 | 16% above | 65% |
| IV push of a medicine, first drug CPT 96374 CHRG - Inf/Inj/Hydration - THERAPEUTIC IV PUSH | $429.45 | $1,227.00 | $51.75–$1,042.95 | 188% above | 65% |
| IV push of a medicine, first drug CPT 96374 IV push initial | $429.45 | $1,227.00 | $51.75–$1,042.95 | 188% above | 65% |
| IV push of a medicine, first drug CPT 96374 THER/PROPH/DIAG INJ IV PUSH | $2,517.07 | $7,191.62 | $51.75–$6,112.88 | 1589% above | 65% |
| IV push of a medicine, first drug inpatient CPT 96374 96374 - IV Injection, single/initial | $172.20 | $492.00 | $73.80–$418.20 | — | 65% |
| IV push of a medicine, first drug inpatient CPT 96374 IV push initial | $429.45 | $1,227.00 | $184.05–$1,042.95 | — | 65% |
| IV push of a medicine, first drug inpatient CPT 96374 CHRG - Inf/Inj/Hydration - THERAPEUTIC IV PUSH | $429.45 | $1,227.00 | $184.05–$1,042.95 | — | 65% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 96372 - Subq/IM Injection | $99.40 | $284.00 | $20.78–$341.00 | 50% above | 65% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 IM Injection | $104.65 | $299.00 | $20.78–$254.15 | 57% above | 65% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 CHRG - THERAPEUTIC DX SQ IM | $104.65 | $299.00 | $20.78–$254.15 | 57% above | 65% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 THER/PROPH/DIAG INJ SC/IM | $1,147.55 | $3,278.71 | $20.78–$2,786.90 | 1626% above | 65% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 96372 - Subq/IM Injection | $99.40 | $284.00 | $42.60–$241.40 | — | 65% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 CHRG - THERAPEUTIC DX SQ IM | $104.65 | $299.00 | $44.85–$254.15 | — | 65% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 IM Injection | $104.65 | $299.00 | $44.85–$254.15 | — | 65% |
| Neuromuscular re-education, 15 minutes CPT 97112 NEUROMUSCULAR RE-EDUCATION EA 15 MIN PTA - Redoc 1 | $112.35 | $321.00 | $42.94–$272.85 | 61% above | 65% |
| Neuromuscular re-education, 15 minutes CPT 97112 PT Neuromuscular Reeducation Units | $112.35 | $321.00 | $42.94–$272.85 | 61% above | 65% |
| Neuromuscular re-education, 15 minutes CPT 97112 PT Neuromuscular Reeducatn Assist Charge | $112.35 | $321.00 | $42.94–$272.85 | 61% above | 65% |
| Neuromuscular re-education, 15 minutes CPT 97112 PT Neuromuscular Reeducation Charges | $112.35 | $321.00 | $42.94–$272.85 | 61% above | 65% |
| Neuromuscular re-education, 15 minutes CPT 97112 NEURO RE-ED-15 MIN - REDOC 181 | $112.35 | $321.00 | $42.94–$272.85 | 61% above | 65% |
| Neuromuscular re-education, 15 minutes CPT 97112 NEURO RE-ED-15 MIN - REDOC 185 | $138.60 | $396.00 | $42.94–$336.60 | 98% above | 65% |
| Neuromuscular re-education, 15 minutes CPT 97112 OT Neuromuscular Reeducation Units | $138.60 | $396.00 | $42.94–$336.60 | 98% above | 65% |
| Neuromuscular re-education, 15 minutes CPT 97112 OT Neuromuscular Reeducation Charges | $138.60 | $396.00 | $42.94–$336.60 | 98% above | 65% |
| Neuromuscular re-education, 15 minutes CPT 97112 NEUROMUSCULAR REEDUCATION | $1,926.11 | $5,503.16 | $49.05–$4,677.69 | 2657% above | 65% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 PT Neuromuscular Reeducation Charges | $112.35 | $321.00 | $48.15–$272.85 | — | 65% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 PT Neuromuscular Reeducation Units | $112.35 | $321.00 | $48.15–$272.85 | — | 65% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 NEUROMUSCULAR RE-EDUCATION EA 15 MIN PTA - Redoc 1 | $112.35 | $321.00 | $48.15–$272.85 | — | 65% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 PT Neuromuscular Reeducatn Assist Charge | $112.35 | $321.00 | $48.15–$272.85 | — | 65% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 NEURO RE-ED-15 MIN - REDOC 181 | $112.35 | $321.00 | $48.15–$272.85 | — | 65% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 OT Neuromuscular Reeducation Charges | $138.60 | $396.00 | $59.40–$336.60 | — | 65% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 OT Neuromuscular Reeducation Units | $138.60 | $396.00 | $59.40–$336.60 | — | 65% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 NEURO RE-ED-15 MIN - REDOC 185 | $138.60 | $396.00 | $59.40–$336.60 | — | 65% |
| Occupational therapy evaluation, low complexity CPT 97165 OT EVAL LOW Unit - Yes | $207.90 | $594.00 | $65.24–$504.90 | 87% above | 65% |
| Occupational therapy evaluation, low complexity CPT 97165 OT EVAL LOW COMPLEX 30 MIN | $2,497.36 | $7,135.30 | $147.78–$6,065.01 | 2147% above | 65% |
| Occupational therapy evaluation, low complexity inpatient CPT 97165 OT EVAL LOW Unit - Yes | $207.90 | $594.00 | $89.10–$504.90 | — | 65% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT EVAL- HGH COMP - REDOC 181 | $270.20 | $772.00 | $61.16–$656.20 | 66% above | 65% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT EVAL HIGH Unit - Yes | $270.20 | $772.00 | $61.16–$656.20 | 66% above | 65% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 IRF PT EVAL HIGH | $270.20 | $772.00 | $61.16–$656.20 | 66% above | 65% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT EVAL HIGH COMPLEX 45 MIN | $507.53 | $1,450.08 | $146.40–$1,232.57 | 211% above | 65% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 IRF PT EVAL HIGH | $270.20 | $772.00 | $115.80–$656.20 | — | 65% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 PT EVAL- HGH COMP - REDOC 181 | $270.20 | $772.00 | $115.80–$656.20 | — | 65% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 PT EVAL HIGH Unit - Yes | $270.20 | $772.00 | $115.80–$656.20 | — | 65% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT EVAL LOW Unit - Yes | $270.20 | $772.00 | $61.16–$656.20 | 140% above | 65% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT EVAL- LOW COMP - REDOC 181 | $270.20 | $772.00 | $61.16–$656.20 | 140% above | 65% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 IRF PT EVAL LOW | $270.20 | $772.00 | $61.16–$656.20 | 140% above | 65% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT EVAL LOW COMPLEX 20 MIN | $1,404.94 | $4,014.12 | $146.40–$3,412.00 | 1149% above | 65% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 IRF PT EVAL LOW | $270.20 | $772.00 | $115.80–$656.20 | — | 65% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 PT EVAL- LOW COMP - REDOC 181 | $270.20 | $772.00 | $115.80–$656.20 | — | 65% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 PT EVAL LOW Unit - Yes | $270.20 | $772.00 | $115.80–$656.20 | — | 65% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT EVAL MOD Unit - Yes | $270.20 | $772.00 | $61.16–$656.20 | 100% above | 65% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT EVAL- MOD COMP - REDOC 181 | $270.20 | $772.00 | $61.16–$656.20 | 100% above | 65% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 IRF PT EVAL MOD | $270.20 | $772.00 | $61.16–$656.20 | 100% above | 65% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT EVAL MOD COMPLEX 30 MIN | $1,626.81 | $4,648.04 | $146.40–$3,950.83 | 1103% above | 65% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 PT EVAL MOD Unit - Yes | $270.20 | $772.00 | $115.80–$656.20 | — | 65% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 IRF PT EVAL MOD | $270.20 | $772.00 | $115.80–$656.20 | — | 65% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 PT EVAL- MOD COMP - REDOC 181 | $270.20 | $772.00 | $115.80–$656.20 | — | 65% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 PT Manual Therapy Assistant Charges | $89.60 | $256.00 | $35.84–$217.60 | 30% above | 65% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MANUAL THRPY-15 MIN - REDOC 181 | $89.60 | $256.00 | $35.84–$217.60 | 30% above | 65% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 PT Manual Therapy Charges | $89.60 | $256.00 | $35.84–$217.60 | 30% above | 65% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MANUAL THERAPY EA 15 MINUTES PTA - Redoc 181 | $89.60 | $256.00 | $35.84–$217.60 | 30% above | 65% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 PT Manual Therapy Units | $89.60 | $256.00 | $35.84–$217.60 | 30% above | 65% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 OT Manual Therapy Assistant Charges | $120.05 | $343.00 | $35.84–$291.55 | 75% above | 65% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 OT Manual Therapy Charges | $120.05 | $343.00 | $35.84–$291.55 | 75% above | 65% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MANUAL THERAPY | $1,721.18 | $4,917.66 | $39.80–$4,180.01 | 2402% above | 65% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 PT Manual Therapy Charges | $89.60 | $256.00 | $38.40–$217.60 | — | 65% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 PT Manual Therapy Units | $89.60 | $256.00 | $38.40–$217.60 | — | 65% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 PT Manual Therapy Assistant Charges | $89.60 | $256.00 | $38.40–$217.60 | — | 65% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 MANUAL THERAPY EA 15 MINUTES PTA - Redoc 181 | $89.60 | $256.00 | $38.40–$217.60 | — | 65% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 MANUAL THRPY-15 MIN - REDOC 181 | $89.60 | $256.00 | $38.40–$217.60 | — | 65% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 OT Manual Therapy Charges | $120.05 | $343.00 | $51.45–$291.55 | — | 65% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 OT Manual Therapy Assistant Charges | $120.05 | $343.00 | $51.45–$291.55 | — | 65% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAPEUTIC EXERCISES EA 15 MIN PTA - Redoc 181 | $98.70 | $282.00 | $38.97–$239.70 | 44% above | 65% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAP EXERCS-15 MIN - REDOC 181 | $98.70 | $282.00 | $38.97–$239.70 | 44% above | 65% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PT Therapeutic Exercise Units | $98.70 | $282.00 | $38.97–$239.70 | 44% above | 65% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PT Therapeutic Exercise Assistant Charge | $98.70 | $282.00 | $38.97–$239.70 | 44% above | 65% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PT Therapeutic Exercise Charges | $98.70 | $282.00 | $38.97–$239.70 | 44% above | 65% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 OT Therapeutic Exercise Assistant Charge | $165.90 | $474.00 | $38.97–$402.90 | 141% above | 65% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 OT Therapeutic Exercise Units | $165.90 | $474.00 | $38.97–$402.90 | 141% above | 65% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 OT Therapeutic Exercise Charges | $165.90 | $474.00 | $38.97–$402.90 | 141% above | 65% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAPEUTIC EXERCISES | $1,651.52 | $4,718.64 | $42.81–$4,010.84 | 2303% above | 65% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 PT Therapeutic Exercise Assistant Charge | $98.70 | $282.00 | $42.30–$239.70 | — | 65% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERAPEUTIC EXERCISES EA 15 MIN PTA - Redoc 181 | $98.70 | $282.00 | $42.30–$239.70 | — | 65% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 PT Therapeutic Exercise Charges | $98.70 | $282.00 | $42.30–$239.70 | — | 65% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 PT Therapeutic Exercise Units | $98.70 | $282.00 | $42.30–$239.70 | — | 65% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERAP EXERCS-15 MIN - REDOC 181 | $98.70 | $282.00 | $42.30–$239.70 | — | 65% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 OT Therapeutic Exercise Assistant Charge | $165.90 | $474.00 | $71.10–$402.90 | — | 65% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 OT Therapeutic Exercise Charges | $165.90 | $474.00 | $71.10–$402.90 | — | 65% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 OT Therapeutic Exercise Units | $165.90 | $474.00 | $71.10–$402.90 | — | 65% |
| Psychotherapy session, 30 minutes CPT 90832 BH CHRG - PSYCHOTHERAPY 30 MIN | $169.05 | $483.00 | $71.89–$410.55 | 22% below | 65% |
| Psychotherapy session, 30 minutes CPT 90832 PSYTX W PT 30 MINUTES | $4,528.28 | $12,937.95 | $104.55–$10,997.26 | 1991% above | 65% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 BH CHRG - PSYCHOTHERAPY 30 MIN | $169.05 | $483.00 | $72.45–$410.55 | — | 65% |
| Psychotherapy session, 45 minutes CPT 90834 BH CHRG - PSYCHOTHERAPY 45 MIN | $60.90 | $174.00 | $26.10–$321.34 | 78% below | 65% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 BH CHRG - PSYCHOTHERAPY 45 MIN | $60.90 | $174.00 | $26.10–$147.90 | — | 65% |
| Psychotherapy session, 60 minutes CPT 90837 BH CHRG - PSYCHOTHERAPY 60 MIN | $171.50 | $490.00 | $73.50–$416.50 | 45% below | 65% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 BH CHRG - PSYCHOTHERAPY 60 MIN | $171.50 | $490.00 | $73.50–$416.50 | — | 65% |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 Tobacco counseling Charge - 3-10 minutes | $53.90 | $154.00 | $12.35–$154.00 | 43% above | 65% |
| Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 Tobacco counseling Charge - 3-10 minutes | $53.90 | $154.00 | $23.10–$130.90 | — | 65% |
| Speech and language evaluation CPT 92523 Speech Evaluation with Language Charge | $456.05 | $1,303.00 | $83.00–$1,107.55 | 144% above | 65% |
| Speech and language evaluation inpatient CPT 92523 Speech Evaluation with Language Charge | $456.05 | $1,303.00 | $195.45–$1,107.55 | — | 65% |
| Spirometry (breathing test) CPT 94010 Pulmonary Function Test Charge - spirometry | $252.70 | $722.00 | $22.64–$613.70 | 17% above | 65% |
| Spirometry (breathing test) inpatient CPT 94010 Pulmonary Function Test Charge - spirometry | $252.70 | $722.00 | $108.30–$613.70 | — | 65% |
| Spirometry before and after a bronchodilator CPT 94060 Pulmonary Function Test Charge - Pre and post bron | $558.95 | $1,597.00 | $32.25–$1,357.45 | 42% above | 65% |
| Spirometry before and after a bronchodilator CPT 94060 EVALUATION OF WHEEZING | $753.13 | $2,151.80 | $55.21–$1,829.03 | 92% above | 65% |
| Spirometry before and after a bronchodilator inpatient CPT 94060 Pulmonary Function Test Charge - Pre and post bron | $558.95 | $1,597.00 | $239.55–$1,357.45 | — | 65% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 PT Therapeutic Activities Charge | $130.20 | $372.00 | $43.54–$316.20 | 113% above | 65% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 THERAP ACTVTS-15 MIN - REDOC 181 | $130.20 | $372.00 | $43.54–$316.20 | 113% above | 65% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 PT Therapeutic Activity Units | $130.20 | $372.00 | $43.54–$316.20 | 113% above | 65% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 PT Therapeutic Activities Assist Charge | $130.20 | $372.00 | $43.54–$316.20 | 113% above | 65% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 THERAPEUTIC ACTIVITIES DIR EA 15 MIN PTA - Redoc 1 | $130.20 | $372.00 | $43.54–$316.20 | 113% above | 65% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 OT Therapeutic Activities Assist Charges | $130.90 | $374.00 | $43.54–$317.90 | 114% above | 65% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 THERAPEUTIC ACTIVITIES DIR EA 15MIN COTA - Redoc 1 | $130.90 | $374.00 | $43.54–$317.90 | 114% above | 65% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 THERAP ACTVTS-15 MIN - REDOC 185 | $159.95 | $457.00 | $43.54–$388.45 | 162% above | 65% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 OT Therapeutic Activities Charges | $159.95 | $457.00 | $43.54–$388.45 | 162% above | 65% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 OT Therapeutic Activities Units | $159.95 | $457.00 | $43.54–$388.45 | 162% above | 65% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 THERAPEUTIC ACTIVITIES | $1,730.20 | $4,943.44 | $52.83–$4,201.92 | 2734% above | 65% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 THERAPEUTIC ACTIVITIES DIR EA 15 MIN PTA - Redoc 1 | $130.20 | $372.00 | $55.80–$316.20 | — | 65% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 PT Therapeutic Activity Units | $130.20 | $372.00 | $55.80–$316.20 | — | 65% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 THERAP ACTVTS-15 MIN - REDOC 181 | $130.20 | $372.00 | $55.80–$316.20 | — | 65% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 PT Therapeutic Activities Assist Charge | $130.20 | $372.00 | $55.80–$316.20 | — | 65% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 PT Therapeutic Activities Charge | $130.20 | $372.00 | $55.80–$316.20 | — | 65% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 OT Therapeutic Activities Assist Charges | $130.90 | $374.00 | $56.10–$317.90 | — | 65% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 THERAPEUTIC ACTIVITIES DIR EA 15MIN COTA - Redoc 1 | $130.90 | $374.00 | $56.10–$317.90 | — | 65% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 OT Therapeutic Activities Units | $159.95 | $457.00 | $68.55–$388.45 | — | 65% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 THERAP ACTVTS-15 MIN - REDOC 185 | $159.95 | $457.00 | $68.55–$388.45 | — | 65% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 OT Therapeutic Activities Charges | $159.95 | $457.00 | $68.55–$388.45 | — | 65% |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Oklahoma | Off list |
|---|---|---|---|---|---|
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TDAP VACCINE 7 YRS/> IM | $1,471.82 | $4,205.21 | $47.88–$3,574.43 | 1621% above | 65% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMM ADM 1ST VACCINE - BCE 191 | $130.55 | $373.00 | $29.56–$317.05 | 131% above | 65% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Pt. Location - Vaccine Charge - Emergency Departme | $130.55 | $373.00 | $29.56–$317.05 | 131% above | 65% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 $ED Admin Vaccine | $130.55 | $373.00 | $29.56–$317.05 | 131% above | 65% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION ADMIN | $1,413.35 | $4,038.15 | $29.56–$3,432.43 | 2399% above | 65% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 $ED Admin Vaccine | $130.55 | $373.00 | $55.95–$317.05 | — | 65% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Pt. Location - Vaccine Charge - Emergency Departme | $130.55 | $373.00 | $55.95–$317.05 | — | 65% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMM ADM 1ST VACCINE - BCE 191 | $130.55 | $373.00 | $55.95–$317.05 | — | 65% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Pt. Location - Vaccine Charge - ED Additional | $66.85 | $191.00 | $21.13–$162.35 | 124% above | 65% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 $ED Admin Vaccine Ea Add'l | $66.85 | $191.00 | $21.13–$162.35 | 124% above | 65% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 $ED Admin Vaccine Ea Add'l | $66.85 | $191.00 | $28.65–$162.35 | — | 65% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 Pt. Location - Vaccine Charge - ED Additional | $66.85 | $191.00 | $28.65–$162.35 | — | 65% |
Procedure The service, with its billing code (CPT or HCPCS) and, in small type, the line exactly as the hospital wrote it in its price file. More
Cash price The hospital's own price for a patient paying without insurance (“discounted cash” in its price file). Hospitals must publish it under federal law, 45 CFR 180.50. Call to confirm it before booking. More
List price The hospital's full chargemaster price (“gross charge”) before any discount. Almost nobody pays it; the gap to the cash price shows what the self-pay discount is worth. More
Insurers pay The lowest and highest rates this hospital has agreed with insurance plans for the same item, from its price file. If the cash price is below what your plan pays and you have not met your deductible, paying cash can cost you less. More
Against the state median This hospital's cash price compared with the median cash price of hospitals in the state for the same code. Shown when at least three hospitals in the state price it.
Off list How much lower the cash price is than the list price.
No cash discount This line's cash price equals the hospital's full list price. Many hospitals still reduce bills for uninsured patients: ask the billing office for its self-pay discount in writing. More
At or below Medicare This cash price is at or below what Medicare pays a hospital for the same service, which is unusually low. It is what the hospital's file says; confirm it and what it includes before booking. More
Check the item The description in the hospital file looks like a supply or device (a catheter, a brace, an implant), not this procedure. The hospital may have filed it under the wrong code: ask before relying on this price.