University of Michigan Health
University of Michigan Health in Ann Arbor, MI publishes cash prices for 458 common procedures listed here, from its own machine-readable price file updated Mar 31, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the Michigan median for 307 of 454 procedures and above it for 142. By typical cash price it ranks #35 of 98 Michigan hospitals, cheapest first. Select a procedure to compare it with other hospitals nearby.
1500 East Medical Center Drive, Ann Arbor, MI 48109 Collected Sep 23, 2026 Source price file Check a bill from this hospital (734) 764-1505
Acute care hospital Nonprofit hospital Emergency department CMS star rating 4 of 5 CCN 230046 · CMS hospital register NPI 1003878539
Financial assistance
Nonprofit hospital: it must offer free or discounted care to patients who qualify. How to apply
University of Michigan Health 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 Michigan | Off list |
|---|---|---|---|---|---|
| Abdominal CT scan without and with contrast CPT 74170 HC-CT Scan of Abdomen Combo | $1,232.00 | $3,080.00 | $1,324.40–$3,273.68 | 21% below | 60% |
| Abdominal CT scan without and with contrast inpatient CPT 74170 HC-CT Scan of Abdomen Combo | $1,232.00 | $3,080.00 | $1,324.40–$3,273.68 | — | 60% |
| Abdominal X-ray, 2 views CPT 74019 HC-Xr Abdomen 2 Views | $222.00 | $555.00 | $200.88–$589.90 | 6% above | 60% |
| Abdominal X-ray, 2 views inpatient CPT 74019 HC-Xr Abdomen 2 Views | $222.00 | $555.00 | $238.65–$589.90 | — | 60% |
| Ankle X-ray, complete, 3 or more views CPT 73610 HC-X-Ray Ankle 3+ Views | $202.00 | $505.00 | $216.24–$536.76 | 5% below | 60% |
| Ankle X-ray, complete, 3 or more views inpatient CPT 73610 HC-X-Ray Ankle 3+ Views | $202.00 | $505.00 | $217.15–$536.76 | — | 60% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries both sides CPT 93922 HC-Ltd Bilat Noninvas Up/Lo Ex | $296.80 | $742.00 | $319.06–$788.66 | — | 60% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 HC-Transcutaneous 02 Measurement | $340.80 | $852.00 | $366.36–$905.58 | 6% above | 60% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient both sides CPT 93922 HC-Ltd Bilat Noninvas Up/Lo Ex | $296.80 | $742.00 | $319.06–$788.66 | — | 60% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 HC-Transcutaneous 02 Measurement | $340.80 | $852.00 | $366.36–$905.58 | — | 60% |
| Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 HC-CT Scan,Upper Extremity,W/O Contrast | $1,068.80 | $2,672.00 | $1,148.96–$2,840.02 | 6% above | 60% |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient CPT 73200 HC-CT Scan,Upper Extremity,W/O Contrast | $1,068.80 | $2,672.00 | $1,148.96–$2,840.02 | — | 60% |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 HC-Esophagram | $262.40 | $656.00 | $282.08–$697.25 | 9% below | 60% |
| Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 HC-Esophagram | $262.40 | $656.00 | $282.08–$697.25 | — | 60% |
| Bone scan, whole body (nuclear medicine) CPT 78306 HC-Bone Imaging, Whole Body | $860.40 | $2,151.00 | $924.93–$2,286.26 | 13% below | 60% |
| Bone scan, whole body (nuclear medicine) inpatient CPT 78306 HC-Bone Imaging, Whole Body | $860.40 | $2,151.00 | $924.93–$2,286.26 | — | 60% |
| Breast ultrasound, complete, one breast one side CPT 76641 HC-U/S Breast, Unilateral With or Without Axilla, Complete | $483.20 | $1,208.00 | $517.28–$1,283.96 | 56% above | 60% |
| Breast ultrasound, complete, one breast inpatient one side CPT 76641 HC-U/S Breast, Unilateral With or Without Axilla, Complete | $483.20 | $1,208.00 | $519.44–$1,283.96 | — | 60% |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 HC-U/S Breast, Unilateral With or Without Axilla, Limited | $382.00 | $955.00 | $402.48–$1,015.05 | 41% above | 60% |
| Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 HC-U/S Breast, Unilateral With or Without Axilla, Limited | $382.00 | $955.00 | $410.65–$1,015.05 | — | 60% |
| CT angiography (CTA) of the abdomen and pelvis CPT 74174 HC-CT Angio Abdomen & Pelvis Contrast Material W/WO Contrast Images | $2,403.60 | $6,009.00 | $2,583.87–$6,386.87 | 3% below | 60% |
| CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 HC-CT Angio Abdomen & Pelvis Contrast Material W/WO Contrast Images | $2,403.60 | $6,009.00 | $2,583.87–$6,386.87 | — | 60% |
| CT angiography (CTA) of the head CPT 70496 HC-CT Angio,Head Combo,Incl Image Process | $1,292.40 | $3,231.00 | $1,389.33–$3,434.18 | 17% below | 60% |
| CT angiography (CTA) of the head inpatient CPT 70496 HC-CT Angio,Head Combo,Incl Image Process | $1,292.40 | $3,231.00 | $1,389.33–$3,434.18 | — | 60% |
| CT angiography (CTA) of the neck CPT 70498 HC-CT Angio,Neck Combo,Incl Image Process | $1,278.00 | $3,195.00 | $1,373.85–$3,395.91 | 15% below | 60% |
| CT angiography (CTA) of the neck inpatient CPT 70498 HC-CT Angio,Neck Combo,Incl Image Process | $1,278.00 | $3,195.00 | $1,373.85–$3,395.91 | — | 60% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 HC-CT Angio, Chest (Non-Coron), Combo, Incl Img Proc | $1,300.00 | $3,250.00 | $1,397.50–$3,454.37 | 23% below | 60% |
| CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 HC-CT Angio, Chest (Non-Coron), Combo, Incl Img Proc | $1,300.00 | $3,250.00 | $1,397.50–$3,454.37 | — | 60% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 HC-CT Angio Heart Coronary Art/Bypass Grafts Contrast 3d Post | $1,170.40 | $2,926.00 | $1,258.18–$3,110.00 | 12% below | 60% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 HC-CT Angio Heart Coronary Art/Bypass Grafts Contrast 3d Post | $1,170.40 | $2,926.00 | $1,258.18–$3,110.00 | — | 60% |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 HC-CT Heart W/O Contrast Quant Eval Coronary Calcium | $320.40 | $801.00 | $344.43–$851.37 | 114% above | 60% |
| CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 HC-CT Heart W/O Contrast Quant Eval Coronary Calcium | $320.40 | $801.00 | $344.43–$851.37 | — | 60% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 HC-CT Scan,Abdomen and Pelvis,W/O Contrast | $1,728.40 | $4,321.00 | $1,858.03–$4,592.72 | 3% below | 60% |
| CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 HC-CT Scan,Abdomen and Pelvis,W/O Contrast | $1,728.40 | $4,321.00 | $1,858.03–$4,592.72 | — | 60% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 HC-CT Scan,Abdomen and Pelvis,W Contrast | $2,025.20 | $5,063.00 | $2,177.09–$5,381.38 | 28% below | 60% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 HC-CT Scan,Abdomen and Pelvis,W Contrast | $2,025.20 | $5,063.00 | $2,177.09–$5,381.38 | — | 60% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 HC-CT Scan,Abdomen and Pelvis,Combo | $2,388.40 | $5,971.00 | $2,567.53–$6,346.48 | 9% below | 60% |
| CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 HC-CT Scan,Abdomen and Pelvis,Combo | $2,388.40 | $5,971.00 | $2,567.53–$6,346.48 | — | 60% |
| CT scan of the abdomen with contrast CPT 74160 HC-CT Scan of Abdomen Contrast | $1,022.00 | $2,555.00 | $1,098.65–$2,715.67 | 30% below | 60% |
| CT scan of the abdomen with contrast inpatient CPT 74160 HC-CT Scan of Abdomen Contrast | $1,022.00 | $2,555.00 | $1,098.65–$2,715.67 | — | 60% |
| CT scan of the abdomen without contrast CPT 74150 HC-CT Scan,Abdomen,W/O Contrast | $873.20 | $2,183.00 | $938.69–$2,320.27 | 6% below | 60% |
| CT scan of the abdomen without contrast inpatient CPT 74150 HC-CT Scan,Abdomen,W/O Contrast | $873.20 | $2,183.00 | $938.69–$2,320.27 | — | 60% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 HC-CT Scan,Maxillofacial Area,W/O Contrast | $1,129.20 | $2,823.00 | $1,213.89–$3,000.52 | 11% above | 60% |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 HC-CT Scan,Maxillofacial Area,W/O Contrast | $1,129.20 | $2,823.00 | $1,213.89–$3,000.52 | — | 60% |
| CT scan of the head or brain, no contrast dye CPT 70450 HC-CT Scan,Head/Brain,W/O Contrast Material | $790.80 | $1,977.00 | $850.11–$2,101.32 | 11% below | 60% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 HC-CT Scan,Head/Brain,W/O Contrast Material | $790.80 | $1,977.00 | $850.11–$2,101.32 | — | 60% |
| CT scan of the head with contrast CPT 70460 HC-CT Scan Head Contrast | $1,238.00 | $3,095.00 | $1,330.85–$3,289.62 | at median | 60% |
| CT scan of the head with contrast inpatient CPT 70460 HC-CT Scan Head Contrast | $1,238.00 | $3,095.00 | $1,330.85–$3,289.62 | — | 60% |
| CT scan of the head without and with contrast CPT 70470 HC-CT Scan Head Combo | $1,590.00 | $3,975.00 | $1,709.25–$4,224.96 | 2% above | 60% |
| CT scan of the head without and with contrast inpatient CPT 70470 HC-CT Scan Head Combo | $1,590.00 | $3,975.00 | $1,709.25–$4,224.96 | — | 60% |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 HC-CT Scan,Lumbar Spine,W/O Contrast | $871.60 | $2,179.00 | $936.97–$2,316.02 | 20% below | 60% |
| CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 HC-CT Scan,Lumbar Spine,W/O Contrast | $871.60 | $2,179.00 | $936.97–$2,316.02 | — | 60% |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 HC-CT Scan,Cervical Spine,W/O Contrast | $965.60 | $2,414.00 | $1,038.02–$2,565.80 | 13% below | 60% |
| CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 HC-CT Scan,Cervical Spine,W/O Contrast | $965.60 | $2,414.00 | $1,038.02–$2,565.80 | — | 60% |
| CT scan of the pelvis, with contrast dye CPT 72193 HC-CT Scan of Pelvis Contrast | $1,016.40 | $2,541.00 | $1,092.63–$2,700.79 | 25% below | 60% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 HC-CT Scan of Pelvis Contrast | $1,016.40 | $2,541.00 | $1,092.63–$2,700.79 | — | 60% |
| Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 HC-Extracranial Artery Study: Complex B | $491.20 | $1,228.00 | $528.04–$1,305.22 | 43% below | 60% |
| Carotid artery ultrasound (duplex), both sides of the neck inpatient CPT 93880 HC-Extracranial Artery Study: Complex B | $491.20 | $1,228.00 | $528.04–$1,305.22 | — | 60% |
| Chest CT scan without and with contrast CPT 71270 HC-Cat Scan of Chest Combo | $1,348.80 | $3,372.00 | $1,449.96–$3,584.04 | 23% below | 60% |
| Chest CT scan without and with contrast inpatient CPT 71270 HC-Cat Scan of Chest Combo | $1,348.80 | $3,372.00 | $1,449.96–$3,584.04 | — | 60% |
| Chest X-ray, 2 views CPT 71046 HC-Xr Chest 2 Views | $124.80 | $312.00 | $134.16–$331.62 | 30% below | 60% |
| Chest X-ray, 2 views inpatient CPT 71046 HC-Xr Chest 2 Views | $124.80 | $312.00 | $134.16–$331.62 | — | 60% |
| Chest X-ray, single view CPT 71045 HC-Xr Chest 1 View | $83.20 | $208.00 | $89.44–$221.08 | 46% below | 60% |
| Chest X-ray, single view inpatient CPT 71045 HC-Xr Chest 1 View | $83.20 | $208.00 | $89.44–$221.08 | — | 60% |
| Collarbone (clavicle) X-ray, complete CPT 73000 HC-X-Ray Clavicle | $259.60 | $649.00 | $190.72–$689.81 | 48% above | 60% |
| Collarbone (clavicle) X-ray, complete inpatient CPT 73000 HC-X-Ray Clavicle | $259.60 | $649.00 | $279.07–$689.81 | — | 60% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 HC-US, Retroperitioneal, Real Time, Complete | $435.60 | $1,089.00 | $468.27–$1,157.48 | 28% below | 60% |
| Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 HC-US, Retroperitioneal, Real Time, Complete | $435.60 | $1,089.00 | $468.27–$1,157.48 | — | 60% |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 HC-Dexa,Bone Density,Axial Skeleton | $287.20 | $718.00 | $231.52–$763.15 | 7% below | 60% |
| DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 HC-Dexa,Bone Density,Axial Skeleton | $287.20 | $718.00 | $308.74–$763.15 | — | 60% |
| DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 HC-Dexa-Appendicular Skeleton (Peripheral) | $173.60 | $434.00 | $175.36–$461.29 | 35% above | 60% |
| DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 HC-Dexa-Appendicular Skeleton (Peripheral) | $173.60 | $434.00 | $186.62–$461.29 | — | 60% |
| Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 HC-US,Pregnant Uterus,Fetal & Maternal,+ Detailed Fetal Exam | $674.00 | $1,685.00 | $681.84–$1,790.96 | 7% below | 60% |
| Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 HC-US,Pregnant Uterus,Fetal & Maternal,+ Detailed Fetal Exam | $674.00 | $1,685.00 | $724.55–$1,790.96 | — | 60% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 HC-CT Scan,Thorax,W/O Contrast | $773.20 | $1,933.00 | $831.19–$2,054.55 | 23% below | 60% |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 HC-CT Scan,Thorax,W/O Contrast | $773.20 | $1,933.00 | $831.19–$2,054.55 | — | 60% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 HC-CT Thorax W/Contrast Material | $1,023.20 | $2,558.00 | $1,099.94–$2,718.86 | 22% below | 60% |
| Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 HC-CT Thorax W/Contrast Material | $1,023.20 | $2,558.00 | $1,099.94–$2,718.86 | — | 60% |
| Diagnostic mammogram, both breasts both sides CPT 77066 HC-Diagnostic Mammography Computer-Aided Detcj Bi | $387.20 | $968.00 | $57.52–$1,028.87 | — | 60% |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 HC-Diagnostic Mammography Computer-Aided Detcj Bi | $387.20 | $968.00 | $416.24–$1,028.87 | — | 60% |
| Diagnostic mammogram, one breast CPT 77065 HC-Diagnostic Mammography Computer-Aided Detcj Uni | $311.60 | $779.00 | $45.21–$827.99 | at median | 60% |
| Diagnostic mammogram, one breast inpatient CPT 77065 HC-Diagnostic Mammography Computer-Aided Detcj Uni | $311.60 | $779.00 | $334.97–$827.99 | — | 60% |
| Duplex ultrasound of the leg arteries, both legs CPT 93925 HC-Loextrem Art Stdy Compl Bil | $713.20 | $1,783.00 | $766.69–$1,895.12 | at median | 60% |
| Duplex ultrasound of the leg arteries, both legs inpatient CPT 93925 HC-Loextrem Art Stdy Compl Bil | $713.20 | $1,783.00 | $766.69–$1,895.12 | — | 60% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 HC-Extrem Vein Study: Compl Bi | $658.00 | $1,645.00 | $707.35–$1,748.44 | — | 60% |
| Duplex ultrasound of the leg veins, both legs CPT 93970 HC-Dvt Scan-Ltd Low Ext/Resear | $213.60 | $534.00 | $229.62–$1,168.90 | 65% below | 60% |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 HC-Extrem Vein Study: Compl Bi | $658.00 | $1,645.00 | $707.35–$1,748.44 | — | 60% |
| Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 HC-Dvt Scan-Ltd Low Ext/Resear | $213.60 | $534.00 | $229.62–$567.58 | — | 60% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 HC-Echo Trnsthorac Real Time I | $1,315.20 | $3,288.00 | $969.41–$3,494.76 | 5% below | 60% |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 HC-Echo Trnsthorac Real Time I | $1,315.20 | $3,288.00 | $1,413.84–$3,494.76 | — | 60% |
| Elbow X-ray, 2 views CPT 73070 HC-X-Ray Elbow 2 Views | $192.80 | $482.00 | $165.20–$512.31 | 44% above | 60% |
| Elbow X-ray, 2 views inpatient CPT 73070 HC-X-Ray Elbow 2 Views | $192.80 | $482.00 | $207.26–$512.31 | — | 60% |
| Elbow X-ray, complete, 3 or more views CPT 73080 HC-X-Ray Elbow 3+ Views | $241.60 | $604.00 | $188.16–$641.98 | 27% above | 60% |
| Elbow X-ray, complete, 3 or more views inpatient CPT 73080 HC-X-Ray Elbow 3+ Views | $241.60 | $604.00 | $259.72–$641.98 | — | 60% |
| Eye socket (orbit) CT scan without contrast CPT 70480 HC-CT Scan,Orbit/Sella/Post Fossa/Ear,W/O Dye | $992.00 | $2,480.00 | $1,066.40–$2,635.95 | 2% below | 60% |
| Eye socket (orbit) CT scan without contrast inpatient CPT 70480 HC-CT Scan,Orbit/Sella/Post Fossa/Ear,W/O Dye | $992.00 | $2,480.00 | $1,066.40–$2,635.95 | — | 60% |
| Facial bones X-ray, complete, 3 or more views CPT 70150 HC-X-Ray Facial Bones 3+ Views | $196.80 | $492.00 | $211.56–$522.94 | 24% below | 60% |
| Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 HC-X-Ray Facial Bones 3+ Views | $196.80 | $492.00 | $211.56–$522.94 | — | 60% |
| Forearm X-ray (radius and ulna), 2 views CPT 73090 HC-X-Ray Forearm 2 Views | $236.00 | $590.00 | $167.76–$627.10 | 33% above | 60% |
| Forearm X-ray (radius and ulna), 2 views inpatient CPT 73090 HC-X-Ray Forearm 2 Views | $236.00 | $590.00 | $253.70–$627.10 | — | 60% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HC-Hepatobiliary System Imaging Including Gallbladder | $1,014.40 | $2,536.00 | $1,090.48–$2,695.47 | 8% above | 60% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 HC-Hepatobiliary System Imaging Including Gallbladder | $1,014.40 | $2,536.00 | $1,090.48–$2,695.47 | — | 60% |
| Hand X-ray, 2 views CPT 73120 HC-X-Ray Hand 2 Views | $137.20 | $343.00 | $147.49–$364.57 | 6% below | 60% |
| Hand X-ray, 2 views inpatient CPT 73120 HC-X-Ray Hand 2 Views | $137.20 | $343.00 | $147.49–$364.57 | — | 60% |
| Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 HC-X-Ray Heel | $145.20 | $363.00 | $156.09–$385.83 | 6% below | 60% |
| Heel bone (calcaneus) X-ray, 2 or more views inpatient CPT 73650 HC-X-Ray Heel | $145.20 | $363.00 | $156.09–$385.83 | — | 60% |
| Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 HC-Sleep Study Unattended | $692.00 | $1,730.00 | $406.67–$1,838.79 | 26% above | 60% |
| Home sleep apnea test, unattended, recording breathing and oxygen inpatient CPT 95806 HC-Sleep Study Unattended | $692.00 | $1,730.00 | $743.90–$1,838.79 | — | 60% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 HC-Polysomnography W/Cipap/Bip | $2,457.20 | $6,143.00 | $2,641.49–$6,529.29 | 29% below | 60% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 HC-Polysomnography W/Cipap/Bip | $2,457.20 | $6,143.00 | $2,641.49–$6,529.29 | — | 60% |
| Knee X-ray, 3 views CPT 73562 HC-X-Ray Knee 3 Views | $154.00 | $385.00 | $165.55–$409.21 | 20% below | 60% |
| Knee X-ray, 3 views inpatient CPT 73562 HC-X-Ray Knee 3 Views | $154.00 | $385.00 | $165.55–$409.21 | — | 60% |
| Knee X-ray, complete, 4 or more views CPT 73564 HC-X-Ray Knee 4+ Views | $204.80 | $512.00 | $220.16–$544.20 | 4% below | 60% |
| Knee X-ray, complete, 4 or more views inpatient CPT 73564 HC-X-Ray Knee 4+ Views | $204.80 | $512.00 | $220.16–$544.20 | — | 60% |
| Leg CT scan without contrast (hip to foot, any part) CPT 73700 HC-CT Scan,Lower Extremity,W/O Contrast | $954.00 | $2,385.00 | $1,025.55–$2,534.98 | 13% below | 60% |
| Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 HC-CT Scan,Lower Extremity,W/O Contrast | $954.00 | $2,385.00 | $1,025.55–$2,534.98 | — | 60% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HC-US, Abdomen Limited | $355.20 | $888.00 | $381.84–$943.84 | 24% below | 60% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 HC-US, Abdomen Limited | $355.20 | $888.00 | $381.84–$943.84 | — | 60% |
| Limited ultrasound of an arm or leg (non-vascular) CPT 76882 HC-US, Extremity,Nonvascular,Real-Time Image,Limited | $345.60 | $864.00 | $244.32–$918.33 | 5% below | 60% |
| Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 HC-US, Extremity,Nonvascular,Real-Time Image,Limited | $345.60 | $864.00 | $371.52–$918.33 | — | 60% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 HC-CT Thorax Low Dose Lung Cancer Screening | $504.80 | $1,262.00 | $542.66–$1,341.36 | 44% above | 60% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 HC-CT Thorax Low Dose Lung Cancer Screening | $504.80 | $1,262.00 | $542.66–$1,341.36 | — | 60% |
| Lower leg X-ray (tibia and fibula), 2 views CPT 73590 HC-X-Ray Tib + Fib, 2 Views | $188.00 | $470.00 | $185.60–$499.56 | 2% above | 60% |
| Lower leg X-ray (tibia and fibula), 2 views inpatient CPT 73590 HC-X-Ray Tib + Fib, 2 Views | $188.00 | $470.00 | $202.10–$499.56 | — | 60% |
| MR angiography (MRA) of the head without contrast CPT 70544 HC-MR Angio, Head | $1,287.60 | $3,219.00 | $1,384.17–$3,421.42 | 17% below | 60% |
| MR angiography (MRA) of the head without contrast inpatient CPT 70544 HC-MR Angio, Head | $1,287.60 | $3,219.00 | $1,384.17–$3,421.42 | — | 60% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HC-MRI Lower Extremity Joint, W/O Contrast | $1,526.80 | $3,817.00 | $1,641.31–$4,057.03 | 5% below | 60% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 HC-MRI Lower Extremity Joint, W/O Contrast | $1,526.80 | $3,817.00 | $1,641.31–$4,057.03 | — | 60% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 HC-MRI, Joint of Leg. Combo | $1,696.40 | $4,241.00 | $1,823.63–$4,507.69 | 32% below | 60% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 HC-MRI, Joint of Leg. Combo | $1,696.40 | $4,241.00 | $1,823.63–$4,507.69 | — | 60% |
| MRI of the abdomen without contrast CPT 74181 HC-MRI, Abdomen (MRI) | $1,500.80 | $3,752.00 | $1,613.36–$3,987.94 | 13% below | 60% |
| MRI of the abdomen without contrast inpatient CPT 74181 HC-MRI, Abdomen (MRI) | $1,500.80 | $3,752.00 | $1,613.36–$3,987.94 | — | 60% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 HC-MRI, Abdomen, Combo | $2,176.00 | $5,440.00 | $2,339.20–$5,782.09 | 31% below | 60% |
| MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 HC-MRI, Abdomen, Combo | $2,176.00 | $5,440.00 | $2,339.20–$5,782.09 | — | 60% |
| MRI of the brain, no contrast dye CPT 70551 HC-MRI Brain | $1,476.80 | $3,692.00 | $1,587.56–$3,924.17 | 13% below | 60% |
| MRI of the brain, no contrast dye inpatient CPT 70551 HC-MRI Brain | $1,476.80 | $3,692.00 | $1,587.56–$3,924.17 | — | 60% |
| MRI of the brain, with and without contrast dye CPT 70553 HC-MRI Brain Combo | $2,360.80 | $5,902.00 | $2,537.86–$6,273.14 | 16% below | 60% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 HC-MRI Brain Combo | $2,360.80 | $5,902.00 | $2,537.86–$6,273.14 | — | 60% |
| MRI of the lower back, no contrast dye CPT 72148 HC-MRI, Lumbar Spine,W/O Contrast | $1,369.60 | $3,424.00 | $1,472.32–$3,639.31 | 24% below | 60% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 HC-MRI, Lumbar Spine,W/O Contrast | $1,369.60 | $3,424.00 | $1,472.32–$3,639.31 | — | 60% |
| MRI of the lower back, without and then with contrast dye CPT 72158 HC-MRI, Lumbar Spine Combo | $2,296.00 | $5,740.00 | $2,468.20–$6,100.95 | 16% below | 60% |
| MRI of the lower back, without and then with contrast dye inpatient CPT 72158 HC-MRI, Lumbar Spine Combo | $2,296.00 | $5,740.00 | $2,468.20–$6,100.95 | — | 60% |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 HC-MRI, Dorsal Spine,W/O Contrast | $1,514.40 | $3,786.00 | $1,627.98–$4,024.08 | 11% below | 60% |
| MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 HC-MRI, Dorsal Spine,W/O Contrast | $1,514.40 | $3,786.00 | $1,627.98–$4,024.08 | — | 60% |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 HC-MRI, Cervical Spine Combo | $2,526.00 | $6,315.00 | $2,715.45–$6,712.11 | 11% below | 60% |
| MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 HC-MRI, Cervical Spine Combo | $2,526.00 | $6,315.00 | $2,715.45–$6,712.11 | — | 60% |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 HC-MRI, Cervical Spine,W/O Contrast | $1,410.80 | $3,527.00 | $1,516.61–$3,748.79 | 20% below | 60% |
| MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 HC-MRI, Cervical Spine,W/O Contrast | $1,410.80 | $3,527.00 | $1,516.61–$3,748.79 | — | 60% |
| MRI of the pelvis without and with contrast CPT 72197 HC-MRI, Pelvis, Combo | $2,151.60 | $5,379.00 | $2,312.97–$5,717.25 | 23% below | 60% |
| MRI of the pelvis without and with contrast inpatient CPT 72197 HC-MRI, Pelvis, Combo | $2,151.60 | $5,379.00 | $2,312.97–$5,717.25 | — | 60% |
| MRI of the pelvis, no contrast dye CPT 72195 HC-MRI, Pelvis, W/O Contrast | $1,574.40 | $3,936.00 | $1,692.48–$4,183.51 | 7% below | 60% |
| MRI of the pelvis, no contrast dye inpatient CPT 72195 HC-MRI, Pelvis, W/O Contrast | $1,574.40 | $3,936.00 | $1,692.48–$4,183.51 | — | 60% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 HC-MRI, Joint Upper Extremity | $1,399.60 | $3,499.00 | $1,504.57–$3,719.03 | 26% below | 60% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 HC-MRI, Joint Upper Extremity | $1,399.60 | $3,499.00 | $1,504.57–$3,719.03 | — | 60% |
| Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 HC-X-Ray Cervical Spine 4 Views | $275.60 | $689.00 | $296.27–$732.33 | 3% below | 60% |
| Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 HC-X-Ray Cervical Spine 4 Views | $275.60 | $689.00 | $296.27–$732.33 | — | 60% |
| Neck soft tissue CT scan with contrast CPT 70491 HC-CT Neck Tissue Contrast | $991.60 | $2,479.00 | $1,065.97–$2,634.89 | 25% below | 60% |
| Neck soft tissue CT scan with contrast inpatient CPT 70491 HC-CT Neck Tissue Contrast | $991.60 | $2,479.00 | $1,065.97–$2,634.89 | — | 60% |
| Neck soft tissue CT scan without contrast CPT 70490 HC-CT Scan,Soft Tissue Neck,W/O Contrast | $750.40 | $1,876.00 | $806.68–$1,993.97 | 26% below | 60% |
| Neck soft tissue CT scan without contrast inpatient CPT 70490 HC-CT Scan,Soft Tissue Neck,W/O Contrast | $750.40 | $1,876.00 | $806.68–$1,993.97 | — | 60% |
| Neck soft tissue X-ray CPT 70360 HC-X-Ray Neck Soft Tissue | $164.80 | $412.00 | $175.36–$437.91 | 7% below | 60% |
| Neck soft tissue X-ray inpatient CPT 70360 HC-X-Ray Neck Soft Tissue | $164.80 | $412.00 | $177.16–$437.91 | — | 60% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 HC-Myocardial Spect Multiple Studies | $2,049.20 | $5,123.00 | $2,202.89–$5,445.15 | 29% below | 60% |
| Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 HC-Myocardial Spect Multiple Studies | $2,049.20 | $5,123.00 | $2,202.89–$5,445.15 | — | 60% |
| OCT scan of the retina (optical coherence tomography) CPT 92134 HC-Computerized Ophthalmic Imaging Retina | $138.80 | $347.00 | $112.52–$368.82 | 34% below | 60% |
| OCT scan of the retina (optical coherence tomography) inpatient CPT 92134 HC-Computerized Ophthalmic Imaging Retina | $138.80 | $347.00 | $149.21–$368.82 | — | 60% |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 HC-Pet Imaging CT Attenuation Skull Base Mid-Thigh | $3,345.60 | $8,364.00 | $3,596.52–$11,506.56 | 39% below | 60% |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 HC-Pet Imaging CT Attenuation Skull Base Mid-Thigh | $3,345.60 | $8,364.00 | $3,596.52–$8,889.96 | — | 60% |
| Pelvic CT scan without contrast CPT 72192 HC-CT Scan,Pelvis,W/O Contrast | $946.80 | $2,367.00 | $1,017.81–$2,515.85 | 4% below | 60% |
| Pelvic CT scan without contrast inpatient CPT 72192 HC-CT Scan,Pelvis,W/O Contrast | $946.80 | $2,367.00 | $1,017.81–$2,515.85 | — | 60% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 HC-US, Pelvic (Nonobstetric),Real Time,Limited | $436.80 | $1,092.00 | $469.56–$1,160.67 | 30% above | 60% |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 HC-US, Pelvic (Nonobstetric),Real Time,Limited | $436.80 | $1,092.00 | $469.56–$1,160.67 | — | 60% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 HC-US, Pelvic (Nonobstetric),Real Time,Complete | $618.40 | $1,546.00 | $664.78–$1,643.22 | 11% above | 60% |
| Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 HC-US, Pelvic (Nonobstetric),Real Time,Complete | $618.40 | $1,546.00 | $664.78–$1,643.22 | — | 60% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HC-US, OB >/= 14 Wks, Single Fetus | $606.00 | $1,515.00 | $651.45–$1,610.27 | 8% above | 60% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 HC-US, OB >/= 14 Wks, Single Fetus | $606.00 | $1,515.00 | $651.45–$1,610.27 | — | 60% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 HC-US, OB < 14 Wks, Single Fetus | $457.60 | $1,144.00 | $491.92–$1,215.94 | 17% below | 60% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 HC-US, OB < 14 Wks, Single Fetus | $457.60 | $1,144.00 | $491.92–$1,215.94 | — | 60% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 HC-US,Pregnant Uterus,Limited, E.G., Positon, Afi, Trans Abd | $432.40 | $1,081.00 | $384.64–$1,148.98 | 35% above | 60% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 HC-US,Pregnant Uterus,Limited, E.G., Positon, Afi, Trans Abd | $432.40 | $1,081.00 | $464.83–$1,148.98 | — | 60% |
| Rib X-ray, one side, 2 views one side CPT 71100 HC-X-Ray Ribs 2 Views Unilateral | $188.40 | $471.00 | $200.88–$500.62 | 5% below | 60% |
| Rib X-ray, one side, 2 views inpatient one side CPT 71100 HC-X-Ray Ribs 2 Views Unilateral | $188.40 | $471.00 | $202.53–$500.62 | — | 60% |
| Rib X-ray, one side, with a chest view, 3 or more views CPT 71101 HC-X-Ray Ribs, Chest 3+ Views | $223.20 | $558.00 | $226.40–$593.09 | 5% below | 60% |
| Rib X-ray, one side, with a chest view, 3 or more views inpatient CPT 71101 HC-X-Ray Ribs, Chest 3+ Views | $223.20 | $558.00 | $239.94–$593.09 | — | 60% |
| Screening mammogram, both breasts both sides CPT 77067 HC-Screening Mammography Bi 2-View Breast Inc Cad | $282.80 | $707.00 | $47.48–$751.46 | — | 60% |
| Screening mammogram, both breasts inpatient both sides CPT 77067 HC-Screening Mammography Bi 2-View Breast Inc Cad | $282.80 | $707.00 | $304.01–$751.46 | — | 60% |
| Shoulder X-ray, complete, 2 or more views CPT 73030 HC-X-Ray Shoulder 2+ Views | $156.40 | $391.00 | $168.13–$415.59 | 23% below | 60% |
| Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 HC-X-Ray Shoulder 2+ Views | $156.40 | $391.00 | $168.13–$415.59 | — | 60% |
| Sinus X-ray, complete, 3 or more views CPT 70220 HC-X-Ray Sinuses 3+ Views | $229.20 | $573.00 | $211.12–$609.03 | at median | 60% |
| Sinus X-ray, complete, 3 or more views inpatient CPT 70220 HC-X-Ray Sinuses 3+ Views | $229.20 | $573.00 | $246.39–$609.03 | — | 60% |
| Skull X-ray, fewer than 4 views CPT 70250 HC-X-Ray Skull <4 Views | $166.40 | $416.00 | $178.88–$442.16 | 20% below | 60% |
| Skull X-ray, fewer than 4 views inpatient CPT 70250 HC-X-Ray Skull <4 Views | $166.40 | $416.00 | $178.88–$442.16 | — | 60% |
| Sleep study in a lab (polysomnography) CPT 95810 HC-Polysomnography Sleep Study | $2,432.40 | $6,081.00 | $2,614.83–$6,463.39 | 25% below | 60% |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 HC-Polysomnography Sleep Study | $2,432.40 | $6,081.00 | $2,614.83–$6,463.39 | — | 60% |
| Stress echocardiogram, complete, including the stress test and supervision CPT 93351 HC-2d Tte Stress Test With Ecg | $1,085.60 | $2,714.00 | $1,140.76–$2,884.67 | 8% below | 60% |
| Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 HC-2d Tte Stress Test With Ecg | $1,085.60 | $2,714.00 | $1,167.02–$2,884.67 | — | 60% |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 HC-Swallowing Function,W/Cineradiography &/or Video | $352.80 | $882.00 | $379.26–$937.46 | 6% below | 60% |
| Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 HC-Swallowing Function,W/Cineradiography &/or Video | $352.80 | $882.00 | $379.26–$937.46 | — | 60% |
| Thigh bone (femur) X-ray, 2 or more views CPT 73552 HC-X-Ray Exam of Femur, Minimum Two Views | $114.80 | $287.00 | $123.41–$305.05 | 46% below | 60% |
| Thigh bone (femur) X-ray, 2 or more views inpatient CPT 73552 HC-X-Ray Exam of Femur, Minimum Two Views | $114.80 | $287.00 | $123.41–$305.05 | — | 60% |
| Thoracic spine (mid back) CT scan without contrast CPT 72128 HC-CT Scan,Thoracic Spine,W/O Contrast | $929.60 | $2,324.00 | $999.32–$2,470.14 | 9% below | 60% |
| Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 HC-CT Scan,Thoracic Spine,W/O Contrast | $929.60 | $2,324.00 | $999.32–$2,470.14 | — | 60% |
| Toe X-ray, 2 or more views CPT 73660 HC-X-Ray Toe(S) | $149.60 | $374.00 | $160.82–$397.52 | 19% above | 60% |
| Toe X-ray, 2 or more views inpatient CPT 73660 HC-X-Ray Toe(S) | $149.60 | $374.00 | $160.82–$397.52 | — | 60% |
| Transvaginal pelvic ultrasound CPT 76830 HC-Echography,Transvaginal | $490.80 | $1,227.00 | $527.61–$1,304.16 | 9% below | 60% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 HC-Echography,Transvaginal | $490.80 | $1,227.00 | $527.61–$1,304.16 | — | 60% |
| Transvaginal ultrasound during pregnancy CPT 76817 HC-US,Pregnant Uterus,Transvaginal | $455.60 | $1,139.00 | $433.12–$1,210.62 | 5% above | 60% |
| Transvaginal ultrasound during pregnancy inpatient CPT 76817 HC-US,Pregnant Uterus,Transvaginal | $455.60 | $1,139.00 | $489.77–$1,210.62 | — | 60% |
| Ultrasound of the abdomen, complete CPT 76700 HC-US, Abdomen, B-Scan &/or Real Time, Complete | $798.80 | $1,997.00 | $858.71–$2,122.58 | 20% above | 60% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 HC-US, Abdomen, B-Scan &/or Real Time, Complete | $798.80 | $1,997.00 | $858.71–$2,122.58 | — | 60% |
| Ultrasound of the scrotum and testicles CPT 76870 HC-US, Scrotum & Contents | $464.00 | $1,160.00 | $498.80–$1,232.94 | 12% below | 60% |
| Ultrasound of the scrotum and testicles inpatient CPT 76870 HC-US, Scrotum & Contents | $464.00 | $1,160.00 | $498.80–$1,232.94 | — | 60% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 HC-US, Head/Neck Tissues, Real Time | $444.40 | $1,111.00 | $477.73–$1,180.86 | 7% below | 60% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 HC-US, Head/Neck Tissues, Real Time | $444.40 | $1,111.00 | $477.73–$1,180.86 | — | 60% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 HC-Xray Upper GI Tract | $397.60 | $994.00 | $427.42–$1,056.51 | 1% below | 60% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 HC-Xray Upper GI Tract | $397.60 | $994.00 | $427.42–$1,056.51 | — | 60% |
| Upper arm X-ray (humerus), 2 views CPT 73060 HC-Xray Humerus Min 2 Views | $154.00 | $385.00 | $165.55–$409.21 | 16% below | 60% |
| Upper arm X-ray (humerus), 2 views inpatient CPT 73060 HC-Xray Humerus Min 2 Views | $154.00 | $385.00 | $165.55–$409.21 | — | 60% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 HC-Dup Sc Ext Veins Unil-Ue Or | $436.00 | $1,090.00 | $468.70–$1,158.54 | 18% below | 60% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 HC-Dup Sc Ext Veins Unil-Ue Or | $436.00 | $1,090.00 | $468.70–$1,158.54 | — | 60% |
| Wrist X-ray, 2 views CPT 73100 HC-X-Ray Wrist 2 Views | $223.60 | $559.00 | $198.32–$594.15 | 60% above | 60% |
| Wrist X-ray, 2 views inpatient CPT 73100 HC-X-Ray Wrist 2 Views | $223.60 | $559.00 | $240.37–$594.15 | — | 60% |
| Wrist X-ray, complete, 3 or more views CPT 73110 HC-X-Ray Wrist 3+ Views | $208.40 | $521.00 | $224.03–$553.76 | 9% above | 60% |
| Wrist X-ray, complete, 3 or more views inpatient CPT 73110 HC-X-Ray Wrist 3+ Views | $208.40 | $521.00 | $224.03–$553.76 | — | 60% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HC-Hip, Unilateral With Pelvis, 2-3 View | $117.60 | $294.00 | $126.42–$312.49 | 42% below | 60% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 HC-Hip, Unilateral With Pelvis, 2-3 View | $117.60 | $294.00 | $126.42–$312.49 | — | 60% |
| X-ray of the abdomen, 1 view CPT 74018 HC-Xr Abdomen 1 View | $70.40 | $176.00 | $75.68–$187.07 | 56% below | 60% |
| X-ray of the abdomen, 1 view inpatient CPT 74018 HC-Xr Abdomen 1 View | $70.40 | $176.00 | $75.68–$187.07 | — | 60% |
| X-ray of the ankle, 2 views CPT 73600 HC-X-Ray Ankle 2 Views | $169.20 | $423.00 | $181.89–$449.60 | 4% below | 60% |
| X-ray of the ankle, 2 views inpatient CPT 73600 HC-X-Ray Ankle 2 Views | $169.20 | $423.00 | $181.89–$449.60 | — | 60% |
| X-ray of the finger(s), 2 or more views CPT 73140 HC-X-Ray Exam of Finger(S) | $212.80 | $532.00 | $228.76–$565.45 | 61% above | 60% |
| X-ray of the finger(s), 2 or more views inpatient CPT 73140 HC-X-Ray Exam of Finger(S) | $212.80 | $532.00 | $228.76–$565.45 | — | 60% |
| X-ray of the foot, 2 views CPT 73620 HC-X-Ray Foot 2 Views | $136.40 | $341.00 | $146.63–$362.44 | 14% below | 60% |
| X-ray of the foot, 2 views inpatient CPT 73620 HC-X-Ray Foot 2 Views | $136.40 | $341.00 | $146.63–$362.44 | — | 60% |
| X-ray of the foot, complete, 3 or more views CPT 73630 HC-X-Ray Foot 3+ Views | $179.60 | $449.00 | $193.07–$477.23 | at median | 60% |
| X-ray of the foot, complete, 3 or more views inpatient CPT 73630 HC-X-Ray Foot 3+ Views | $179.60 | $449.00 | $193.07–$477.23 | — | 60% |
| X-ray of the hand, 3 or more views CPT 73130 HC-X-Ray Hand 3+ Views | $196.00 | $490.00 | $210.70–$520.81 | 7% above | 60% |
| X-ray of the hand, 3 or more views inpatient CPT 73130 HC-X-Ray Hand 3+ Views | $196.00 | $490.00 | $210.70–$520.81 | — | 60% |
| X-ray of the knee, 1 or 2 views CPT 73560 HC-X-Ray Knee 1 or 2 Views | $154.00 | $385.00 | $165.55–$409.21 | 1% below | 60% |
| X-ray of the knee, 1 or 2 views inpatient CPT 73560 HC-X-Ray Knee 1 or 2 Views | $154.00 | $385.00 | $165.55–$409.21 | — | 60% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 HC-X-Ray Lumbar Spine 2/3 Views | $153.20 | $383.00 | $164.69–$407.08 | 28% below | 60% |
| X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 HC-X-Ray Lumbar Spine 2/3 Views | $153.20 | $383.00 | $164.69–$407.08 | — | 60% |
| X-ray of the lower back, 4 or more views CPT 72110 HC-X-Ray Lumbar Spine 4 Views | $220.40 | $551.00 | $236.93–$585.65 | 28% below | 60% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 HC-X-Ray Lumbar Spine 4 Views | $220.40 | $551.00 | $236.93–$585.65 | — | 60% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 HC-X-Ray Thoracic Spine 2 Views | $188.80 | $472.00 | $180.48–$501.68 | 3% above | 60% |
| X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 HC-X-Ray Thoracic Spine 2 Views | $188.80 | $472.00 | $202.96–$501.68 | — | 60% |
| X-ray of the nasal bones, 3 or more views CPT 70160 HC-X-Ray Nasal Bones | $224.40 | $561.00 | $226.40–$596.28 | 30% above | 60% |
| X-ray of the nasal bones, 3 or more views inpatient CPT 70160 HC-X-Ray Nasal Bones | $224.40 | $561.00 | $241.23–$596.28 | — | 60% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 HC-X-Ray Cervical Spine 2 or 3 Views | $183.60 | $459.00 | $197.37–$487.86 | 20% below | 60% |
| X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 HC-X-Ray Cervical Spine 2 or 3 Views | $183.60 | $459.00 | $197.37–$487.86 | — | 60% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 HC-X-Ray Pelvis 1 or 2 Views | $162.80 | $407.00 | $152.40–$432.59 | 1% below | 60% |
| X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 HC-X-Ray Pelvis 1 or 2 Views | $162.80 | $407.00 | $175.01–$432.59 | — | 60% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 HC-X-Ray Sacrum/Coccyx 2+ Views | $174.40 | $436.00 | $187.48–$463.42 | 1% above | 60% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 HC-X-Ray Sacrum/Coccyx 2+ Views | $174.40 | $436.00 | $187.48–$463.42 | — | 60% |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Michigan | Off list |
|---|---|---|---|---|---|
| ACTH blood test CPT 82024 HC-Lab-Acth Plasma | $142.00 | $355.00 | $20.70–$377.32 | 51% above | 60% |
| ACTH blood test inpatient CPT 82024 HC-Lab-Acth Plasma | $142.00 | $355.00 | $152.65–$377.32 | — | 60% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 HC-Lab-Alt(Sgpt) | $22.40 | $56.00 | $2.84–$59.52 | 7% below | 60% |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 HC-Lab-Alt(Sgpt) | $22.40 | $56.00 | $24.08–$59.52 | — | 60% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 HC-Lab-Ast (Sgot) POC | $19.60 | $49.00 | $2.78–$52.08 | 11% below | 60% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 HC-Lab-Ast(Sgot) | $22.40 | $56.00 | $2.78–$59.52 | 2% above | 60% |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 HC-Lab-Ast (Sgot) POC | $19.60 | $49.00 | $21.07–$52.08 | — | 60% |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 HC-Lab-Ast(Sgot) | $22.40 | $56.00 | $24.08–$59.52 | — | 60% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HC-Lab-Hepatitis Panel Acute | $217.20 | $543.00 | $25.53–$577.15 | 28% above | 60% |
| Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HC-Lab-Hepatitis Panel Acute | $217.20 | $543.00 | $233.49–$577.15 | — | 60% |
| Albumin blood test CPT 82040 HC-Lab-Neurosyphilis Ab Index Albumin Ser | $9.60 | $24.00 | $2.65–$25.51 | 52% below | 60% |
| Albumin blood test CPT 82040 HC-Lab-Albumin:Serum Plasma/Wh | $21.20 | $53.00 | $2.65–$56.33 | 6% above | 60% |
| Albumin blood test inpatient CPT 82040 HC-Lab-Neurosyphilis Ab Index Albumin Ser | $9.60 | $24.00 | $10.32–$25.51 | — | 60% |
| Albumin blood test inpatient CPT 82040 HC-Lab-Albumin:Serum Plasma/Wh | $21.20 | $53.00 | $22.79–$56.33 | — | 60% |
| Aldosterone blood test CPT 82088 HC-Lab-Aldosterone Urine | $22.00 | $55.00 | $21.84–$69.28 | 60% below | 60% |
| Aldosterone blood test CPT 82088 HC-Lab-Aldosterone Serum | $139.20 | $348.00 | $21.84–$369.88 | 153% above | 60% |
| Aldosterone blood test inpatient CPT 82088 HC-Lab-Aldosterone Urine | $22.00 | $55.00 | $23.65–$58.46 | — | 60% |
| Aldosterone blood test inpatient CPT 82088 HC-Lab-Aldosterone Serum | $139.20 | $348.00 | $149.64–$369.88 | — | 60% |
| Alkaline phosphatase (ALP) blood test CPT 84075 HC-Lab-Alkaline Phosphate | $21.20 | $53.00 | $2.78–$56.33 | 1% above | 60% |
| Alkaline phosphatase (ALP) blood test inpatient CPT 84075 HC-Lab-Alkaline Phosphate | $21.20 | $53.00 | $22.79–$56.33 | — | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Stemphyllium | $2.00 | $5.00 | $2.15–$8.87 | 69% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Squid | $2.00 | $5.00 | $2.15–$8.87 | 69% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Squash | $2.00 | $5.00 | $2.15–$8.87 | 69% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Spruce | $2.00 | $5.00 | $2.15–$8.87 | 69% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Spinach | $2.00 | $5.00 | $2.15–$8.87 | 69% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Sole | $2.00 | $5.00 | $2.15–$8.87 | 69% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Silver Birch Mcl | $2.00 | $5.00 | $2.15–$8.87 | 69% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Short Ragweed Mcl | $2.00 | $5.00 | $2.15–$8.87 | 69% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Sheep Meat | $2.00 | $5.00 | $2.15–$8.87 | 69% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Sardine Pilchard | $2.00 | $5.00 | $2.15–$8.87 | 69% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Rye | $2.00 | $5.00 | $2.15–$8.87 | 69% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Rye Grass | $2.00 | $5.00 | $2.15–$8.87 | 69% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Russian Thistle | $2.00 | $5.00 | $2.15–$8.87 | 69% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Rough Pigweed | $2.00 | $5.00 | $2.15–$8.87 | 69% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Rough Marsh Elder Mcl | $2.00 | $5.00 | $2.15–$8.87 | 69% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Rhizopus Nigricans | $2.00 | $5.00 | $2.15–$8.87 | 69% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Resp Regional Pnl Ea | $2.00 | $5.00 | $2.15–$8.87 | 69% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Pumpkin Seed | $2.00 | $5.00 | $2.15–$8.87 | 69% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Igg Johnson Grass | $2.00 | $5.00 | $2.15–$8.87 | 69% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Willow | $2.00 | $5.00 | $2.15–$8.87 | 69% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Wild Rye Grass | $2.00 | $5.00 | $2.15–$8.87 | 69% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige White Pine | $2.00 | $5.00 | $2.15–$8.87 | 69% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige White Hickory | $2.00 | $5.00 | $2.15–$8.87 | 69% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige White Bean | $2.00 | $5.00 | $2.15–$8.87 | 69% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige White Ash | $2.00 | $5.00 | $2.15–$8.87 | 69% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Watermelon | $2.00 | $5.00 | $2.15–$8.87 | 69% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Walnut Tree | $2.00 | $5.00 | $2.15–$8.87 | 69% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Velvet Grass | $2.00 | $5.00 | $2.15–$8.87 | 69% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Vanilla | $2.00 | $5.00 | $2.15–$8.87 | 69% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Ulocladium Chartarum | $2.00 | $5.00 | $2.15–$8.87 | 69% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Turkey Meat | $2.00 | $5.00 | $2.15–$8.87 | 69% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Trout | $2.00 | $5.00 | $2.15–$8.87 | 69% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Trichophyton Rubrum | $2.00 | $5.00 | $2.15–$8.87 | 69% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Trichoderma Viride | $2.00 | $5.00 | $2.15–$8.87 | 69% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Tomato | $2.00 | $5.00 | $2.15–$8.87 | 69% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Timothy Grass Mcl | $2.00 | $5.00 | $2.15–$8.87 | 69% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Tea | $2.00 | $5.00 | $2.15–$8.87 | 69% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Tarragon | $2.00 | $5.00 | $2.15–$8.87 | 69% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Sweet Vernal Grass | $2.00 | $5.00 | $2.15–$8.87 | 69% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Sweet Potato | $2.00 | $5.00 | $2.15–$8.87 | 69% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Sweet Gum | $2.00 | $5.00 | $2.15–$8.87 | 69% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Sunflower | $2.00 | $5.00 | $2.15–$8.87 | 69% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Sunflower Seed | $2.00 | $5.00 | $2.15–$8.87 | 69% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Sugar Beet Seed | $2.00 | $5.00 | $2.15–$8.87 | 69% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Strawberry | $2.00 | $5.00 | $2.15–$8.87 | 69% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Halibut | $2.00 | $5.00 | $2.15–$8.87 | 69% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Gum Arabic | $2.00 | $5.00 | $2.15–$8.87 | 69% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Guar Gum | $2.00 | $5.00 | $2.15–$8.87 | 69% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Grey Alder | $2.00 | $5.00 | $2.15–$8.87 | 69% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Green Pepper | $2.00 | $5.00 | $2.15–$8.87 | 69% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Great Lakes Pnl Ea | $2.00 | $5.00 | $2.15–$8.87 | 69% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Grapefruit | $2.00 | $5.00 | $2.15–$8.87 | 69% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Grape | $2.00 | $5.00 | $2.15–$8.87 | 69% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Goose Feathers | $2.00 | $5.00 | $2.15–$8.87 | 69% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Golden Rod | $2.00 | $5.00 | $2.15–$8.87 | 69% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Goat Milk | $2.00 | $5.00 | $2.15–$8.87 | 69% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Goat Epithelia | $2.00 | $5.00 | $2.15–$8.87 | 69% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Gluten | $2.00 | $5.00 | $2.15–$8.87 | 69% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Ginger | $2.00 | $5.00 | $2.15–$8.87 | 69% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Giant Ragweed | $2.00 | $5.00 | $2.15–$8.87 | 69% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Gelatin | $2.00 | $5.00 | $2.15–$8.87 | 69% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Garlic | $2.00 | $5.00 | $2.15–$8.87 | 69% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Fusarium Moniliforme | $2.00 | $5.00 | $2.15–$8.87 | 69% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Formaledehyde (Formalin) | $2.00 | $5.00 | $2.15–$8.87 | 69% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Fire Ant | $2.00 | $5.00 | $2.15–$8.87 | 69% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Ferret Epithelia | $2.00 | $5.00 | $2.15–$8.87 | 69% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige False Ragweed | $2.00 | $5.00 | $2.15–$8.87 | 69% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige European Hornet | $2.00 | $5.00 | $2.15–$8.87 | 69% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Epicoccum Purpurascens | $2.00 | $5.00 | $2.15–$8.87 | 69% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige English Plantain | $2.00 | $5.00 | $2.15–$8.87 | 69% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Elm Mcl | $2.00 | $5.00 | $2.15–$8.87 | 69% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Elder | $2.00 | $5.00 | $2.15–$8.87 | 69% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Eggplant (Aubergine) | $2.00 | $5.00 | $2.15–$8.87 | 69% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Eastern Sycamore | $2.00 | $5.00 | $2.15–$8.87 | 69% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Duck Feathers | $2.00 | $5.00 | $2.15–$8.87 | 69% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Dog Dander Mcl | $2.00 | $5.00 | $2.15–$8.87 | 69% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Dermatophagoides Microceras | $2.00 | $5.00 | $2.15–$8.87 | 69% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Date | $2.00 | $5.00 | $2.15–$8.87 | 69% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Custom Pnl Pr195 Ea | $2.00 | $5.00 | $2.15–$8.87 | 69% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Curvularia Lunata | $2.00 | $5.00 | $2.15–$8.87 | 69% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Cucumber | $2.00 | $5.00 | $2.15–$8.87 | 69% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Cranberry | $2.00 | $5.00 | $2.15–$8.87 | 69% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Cow Epithelia | $2.00 | $5.00 | $2.15–$8.87 | 69% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Cottonwood | $2.00 | $5.00 | $2.15–$8.87 | 69% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Cottonseed | $2.00 | $5.00 | $2.15–$8.87 | 69% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Coriander | $2.00 | $5.00 | $2.15–$8.87 | 69% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Common Reed | $2.00 | $5.00 | $2.15–$8.87 | 69% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Common Millet | $2.00 | $5.00 | $2.15–$8.87 | 69% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Coconut | $2.00 | $5.00 | $2.15–$8.87 | 69% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Cocoa | $2.00 | $5.00 | $2.15–$8.87 | 69% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Cockroach Mcl | $2.00 | $5.00 | $2.15–$8.87 | 69% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Cocklebur | $2.00 | $5.00 | $2.15–$8.87 | 69% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Clove | $2.00 | $5.00 | $2.15–$8.87 | 69% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Cladosporium Mcl | $2.00 | $5.00 | $2.15–$8.87 | 69% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Cinnamon | $2.00 | $5.00 | $2.15–$8.87 | 69% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Chili Pepper | $2.00 | $5.00 | $2.15–$8.87 | 69% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Chicken | $2.00 | $5.00 | $2.15–$8.87 | 69% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Chicken Feathers | $2.00 | $5.00 | $2.15–$8.87 | 69% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Cherry | $2.00 | $5.00 | $2.15–$8.87 | 69% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Cheese Mold | $2.00 | $5.00 | $2.15–$8.87 | 69% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Cheese Cheddar | $2.00 | $5.00 | $2.15–$8.87 | 69% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Chaetomium Globosum | $2.00 | $5.00 | $2.15–$8.87 | 69% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Cephalosporium Acremonium | $2.00 | $5.00 | $2.15–$8.87 | 69% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Celery | $2.00 | $5.00 | $2.15–$8.87 | 69% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Cedar | $2.00 | $5.00 | $2.15–$8.87 | 69% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Cauliflower | $2.00 | $5.00 | $2.15–$8.87 | 69% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Cat Epithelium Mcl | $2.00 | $5.00 | $2.15–$8.87 | 69% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Carrot | $2.00 | $5.00 | $2.15–$8.87 | 69% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Carob | $2.00 | $5.00 | $2.15–$8.87 | 69% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Caraway | $2.00 | $5.00 | $2.15–$8.87 | 69% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Candida Albicans | $2.00 | $5.00 | $2.15–$8.87 | 69% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Canary Grass | $2.00 | $5.00 | $2.15–$8.87 | 69% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Cabbage | $2.00 | $5.00 | $2.15–$8.87 | 69% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Budgerigar Feathers | $2.00 | $5.00 | $2.15–$8.87 | 69% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Buckwheat | $2.00 | $5.00 | $2.15–$8.87 | 69% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Brome Grass | $2.00 | $5.00 | $2.15–$8.87 | 69% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Broccoli | $2.00 | $5.00 | $2.15–$8.87 | 69% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Box Elder/Maple Mcl | $2.00 | $5.00 | $2.15–$8.87 | 69% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Botrytis | $2.00 | $5.00 | $2.15–$8.87 | 69% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Blueberry | $2.00 | $5.00 | $2.15–$8.87 | 69% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Blue Mussel | $2.00 | $5.00 | $2.15–$8.87 | 69% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Blackberry | $2.00 | $5.00 | $2.15–$8.87 | 69% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Black Pepper | $2.00 | $5.00 | $2.15–$8.87 | 69% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Bermuda Grass | $2.00 | $5.00 | $2.15–$8.87 | 69% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Beetroot | $2.00 | $5.00 | $2.15–$8.87 | 69% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Beech | $2.00 | $5.00 | $2.15–$8.87 | 69% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Basil | $2.00 | $5.00 | $2.15–$8.87 | 69% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Barley Grass | $2.00 | $5.00 | $2.15–$8.87 | 69% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Banana | $2.00 | $5.00 | $2.15–$8.87 | 69% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Bakers Yeast | $2.00 | $5.00 | $2.15–$8.87 | 69% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Bahia Grass | $2.00 | $5.00 | $2.15–$8.87 | 69% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Avocado | $2.00 | $5.00 | $2.15–$8.87 | 69% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Aureobasidium Pullulans | $2.00 | $5.00 | $2.15–$8.87 | 69% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Aspergillus Niger | $2.00 | $5.00 | $2.15–$8.87 | 69% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Aspergillus Fumigatus Mcl | $2.00 | $5.00 | $2.15–$8.87 | 69% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Ascaris | $2.00 | $5.00 | $2.15–$8.87 | 69% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Apricot | $2.00 | $5.00 | $2.15–$8.87 | 69% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Apple | $2.00 | $5.00 | $2.15–$8.87 | 69% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Anise | $2.00 | $5.00 | $2.15–$8.87 | 69% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Anisakis Parasite | $2.00 | $5.00 | $2.15–$8.87 | 69% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Anchovy | $2.00 | $5.00 | $2.15–$8.87 | 69% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Ampicillin | $2.00 | $5.00 | $2.15–$8.87 | 69% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Amoxicillin | $2.00 | $5.00 | $2.15–$8.87 | 69% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Alternaria Tenuis Mcl | $2.00 | $5.00 | $2.15–$8.87 | 69% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Acacia | $2.00 | $5.00 | $2.15–$8.87 | 69% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Red Sorrel | $2.00 | $5.00 | $2.15–$8.87 | 69% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Rat Urine Protein | $2.00 | $5.00 | $2.15–$8.87 | 69% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Rat Serum Protein | $2.00 | $5.00 | $2.15–$8.87 | 69% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Rat Epithelia | $2.00 | $5.00 | $2.15–$8.87 | 69% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Raspberry | $2.00 | $5.00 | $2.15–$8.87 | 69% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Rape Weed | $2.00 | $5.00 | $2.15–$8.87 | 69% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Rape Seed | $2.00 | $5.00 | $2.15–$8.87 | 69% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Rabbit Urine Protein | $2.00 | $5.00 | $2.15–$8.87 | 69% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Rabbit Epithelia | $2.00 | $5.00 | $2.15–$8.87 | 69% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Potato | $2.00 | $5.00 | $2.15–$8.87 | 69% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Pork | $2.00 | $5.00 | $2.15–$8.87 | 69% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Poppy Seed | $2.00 | $5.00 | $2.15–$8.87 | 69% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Plum | $2.00 | $5.00 | $2.15–$8.87 | 69% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Pineapple | $2.00 | $5.00 | $2.15–$8.87 | 69% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Pig Epithelium | $2.00 | $5.00 | $2.15–$8.87 | 69% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Phoma Betae | $2.00 | $5.00 | $2.15–$8.87 | 69% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Penicillium | $2.00 | $5.00 | $2.15–$8.87 | 69% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Penicillin V | $2.00 | $5.00 | $2.15–$8.87 | 69% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Penicillin G | $2.00 | $5.00 | $2.15–$8.87 | 69% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Pecan Hickory | $2.00 | $5.00 | $2.15–$8.87 | 69% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Pear | $2.00 | $5.00 | $2.15–$8.87 | 69% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Peach | $2.00 | $5.00 | $2.15–$8.87 | 69% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Parsley | $2.00 | $5.00 | $2.15–$8.87 | 69% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Paprika Sweet Pepper | $2.00 | $5.00 | $2.15–$8.87 | 69% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Papaya | $2.00 | $5.00 | $2.15–$8.87 | 69% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Oyster | $2.00 | $5.00 | $2.15–$8.87 | 69% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Orange | $2.00 | $5.00 | $2.15–$8.87 | 69% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Onion | $2.00 | $5.00 | $2.15–$8.87 | 69% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Olive (Food) | $2.00 | $5.00 | $2.15–$8.87 | 69% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Octopus | $2.00 | $5.00 | $2.15–$8.87 | 69% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Oak Mcl | $2.00 | $5.00 | $2.15–$8.87 | 69% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Nutmeg | $2.00 | $5.00 | $2.15–$8.87 | 69% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Nettle | $2.00 | $5.00 | $2.15–$8.87 | 69% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Mustard | $2.00 | $5.00 | $2.15–$8.87 | 69% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Mushroom | $2.00 | $5.00 | $2.15–$8.87 | 69% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Mulberry | $2.00 | $5.00 | $2.15–$8.87 | 69% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Mucor | $2.00 | $5.00 | $2.15–$8.87 | 69% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Mouse Urine Protein | $2.00 | $5.00 | $2.15–$8.87 | 69% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Mouse Serum Protein | $2.00 | $5.00 | $2.15–$8.87 | 69% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Mouse Epithelia | $2.00 | $5.00 | $2.15–$8.87 | 69% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Mountain Cedar | $2.00 | $5.00 | $2.15–$8.87 | 69% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Mosquito Spp | $2.00 | $5.00 | $2.15–$8.87 | 69% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Milk Boiled | $2.00 | $5.00 | $2.15–$8.87 | 69% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Melons | $2.00 | $5.00 | $2.15–$8.87 | 69% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Meadow Foxtail | $2.00 | $5.00 | $2.15–$8.87 | 69% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Meadow Fescue | $2.00 | $5.00 | $2.15–$8.87 | 69% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Mango Fruit | $2.00 | $5.00 | $2.15–$8.87 | 69% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Malt | $2.00 | $5.00 | $2.15–$8.87 | 69% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Maize-Corn Pollen | $2.00 | $5.00 | $2.15–$8.87 | 69% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Mackerel | $2.00 | $5.00 | $2.15–$8.87 | 69% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Mace | $2.00 | $5.00 | $2.15–$8.87 | 69% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Macadamia Nut | $2.00 | $5.00 | $2.15–$8.87 | 69% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Linseed | $2.00 | $5.00 | $2.15–$8.87 | 69% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Lime | $2.00 | $5.00 | $2.15–$8.87 | 69% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Lettuce | $2.00 | $5.00 | $2.15–$8.87 | 69% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Lemon | $2.00 | $5.00 | $2.15–$8.87 | 69% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Lambs Quarter Mayo | $2.00 | $5.00 | $2.15–$8.87 | 69% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Kiwi Fruit | $2.00 | $5.00 | $2.15–$8.87 | 69% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Kidney Bean Red | $2.00 | $5.00 | $2.15–$8.87 | 69% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Isocyanate Tdi | $2.00 | $5.00 | $2.15–$8.87 | 69% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Isocyanate Mdi | $2.00 | $5.00 | $2.15–$8.87 | 69% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Insulin (Human) | $2.00 | $5.00 | $2.15–$8.87 | 69% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige House Dust Mites Dp Mcl | $2.00 | $5.00 | $2.15–$8.87 | 69% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige House Dust Mites Df Mcl | $2.00 | $5.00 | $2.15–$8.87 | 69% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige House Dust H-S Lab | $2.00 | $5.00 | $2.15–$8.87 | 69% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige House Dust Greer Lab | $2.00 | $5.00 | $2.15–$8.87 | 69% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Horse Dander | $2.00 | $5.00 | $2.15–$8.87 | 69% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Helminthosporium | $2.00 | $5.00 | $2.15–$8.87 | 69% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Hamster Epithelia | $2.00 | $5.00 | $2.15–$8.87 | 69% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Cashew Nut F202 | $2.40 | $6.00 | $2.58–$8.87 | 62% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Allergen Single Standard Ige | $4.80 | $12.00 | $2.80–$12.75 | 25% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Perch Ocean | $4.80 | $12.00 | $2.80–$12.75 | 25% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Pork (Sus Spp) | $4.80 | $12.00 | $2.80–$12.75 | 25% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Gelatin Porcine | $4.80 | $12.00 | $2.80–$12.75 | 25% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Catfish | $4.80 | $12.00 | $2.80–$12.75 | 25% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Beef (Bos Spp) | $4.80 | $12.00 | $2.80–$12.75 | 25% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Lamb / Mutton (Ovis Spp) | $4.80 | $12.00 | $2.80–$12.75 | 25% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Allergen Single Esoteric Ige | $9.60 | $24.00 | $2.80–$25.51 | 51% above | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Flounder | $9.60 | $24.00 | $2.80–$25.51 | 51% above | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Parrot Australian Feathers | $9.60 | $24.00 | $2.80–$25.51 | 51% above | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Mint | $9.60 | $24.00 | $2.80–$25.51 | 51% above | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Annatto Seed | $9.60 | $24.00 | $2.80–$25.51 | 51% above | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Tilapia | $9.60 | $24.00 | $2.80–$25.51 | 51% above | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Tumeric | $9.60 | $24.00 | $2.80–$25.51 | 51% above | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Food Nut 1 Pnl | $10.40 | $26.00 | $2.80–$27.63 | 63% above | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Food Nut 2 Pnl | $10.40 | $26.00 | $2.80–$27.63 | 63% above | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Food Pnl | $10.40 | $26.00 | $2.80–$27.63 | 63% above | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Food Seafood Pnl | $10.40 | $26.00 | $2.80–$27.63 | 63% above | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Igg Weed 4 Pnl | $10.40 | $26.00 | $2.80–$27.63 | 63% above | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Igg Weed 3 Pnl | $10.40 | $26.00 | $2.80–$27.63 | 63% above | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Epithelia 1 Pnl | $10.40 | $26.00 | $2.80–$27.63 | 63% above | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Feather 2 Pnl | $10.40 | $26.00 | $2.80–$27.63 | 63% above | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Igg Tree 3 Pnl | $10.40 | $26.00 | $2.80–$27.63 | 63% above | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Food Fruit Pnl | $10.40 | $26.00 | $2.80–$27.63 | 63% above | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Igg Grass 2 Pnl | $10.40 | $26.00 | $2.80–$27.63 | 63% above | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Food Grain Pnl | $16.80 | $42.00 | $2.80–$44.64 | 164% above | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Epithelia 2 Pnl | $16.80 | $42.00 | $2.80–$44.64 | 164% above | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Igg Tree 4 Pnl | $16.80 | $42.00 | $2.80–$44.64 | 164% above | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Igg Grass 3 Pnl | $16.80 | $42.00 | $2.80–$44.64 | 164% above | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Igg Weed 2 Pnl | $16.80 | $42.00 | $2.80–$44.64 | 164% above | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Lambs Quarter | $34.40 | $86.00 | $2.80–$91.41 | 440% above | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Df Hse Dst Mit | $35.20 | $88.00 | $2.80–$93.53 | 453% above | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Alternaria Ten | $35.20 | $88.00 | $2.80–$93.53 | 453% above | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Ragweed(Cmn Sh | $35.20 | $88.00 | $2.80–$93.53 | 453% above | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Codfish | $35.20 | $88.00 | $2.80–$93.53 | 453% above | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Asp Fumigatus | $35.20 | $88.00 | $2.80–$93.53 | 453% above | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Cockroach Amer | $35.20 | $88.00 | $2.80–$93.53 | 453% above | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Timothy Grass | $35.20 | $88.00 | $2.80–$93.53 | 453% above | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Cladosp Herbar | $35.20 | $88.00 | $2.80–$93.53 | 453% above | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Wheat | $35.20 | $88.00 | $2.80–$93.53 | 453% above | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Oat | $35.20 | $88.00 | $2.80–$93.53 | 453% above | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Oak | $35.20 | $88.00 | $2.80–$93.53 | 453% above | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Rough Marsh El | $35.20 | $88.00 | $2.80–$93.53 | 453% above | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Shrimp | $35.20 | $88.00 | $2.80–$93.53 | 453% above | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Dp Hse Dst Mit | $35.20 | $88.00 | $2.80–$93.53 | 453% above | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Dog Dander | $35.20 | $88.00 | $2.80–$93.53 | 453% above | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Cat Epithelium | $35.20 | $88.00 | $2.80–$93.53 | 453% above | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Red Top(Bent G | $35.20 | $88.00 | $2.80–$93.53 | 453% above | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige June Ky Blue G | $35.20 | $88.00 | $2.80–$93.53 | 453% above | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Box Elder(Mapl | $35.60 | $89.00 | $2.80–$94.60 | 459% above | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Clam | $35.60 | $89.00 | $2.80–$94.60 | 459% above | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Orchard Grass | $35.60 | $89.00 | $2.80–$94.60 | 459% above | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Birch Cmn Silv | $35.60 | $89.00 | $2.80–$94.60 | 459% above | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Honeybee Venon | $35.60 | $89.00 | $2.80–$94.60 | 459% above | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Yellow Face Ho | $35.60 | $89.00 | $2.80–$94.60 | 459% above | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Yellow Jacket | $35.60 | $89.00 | $2.80–$94.60 | 459% above | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Crab | $35.60 | $89.00 | $2.80–$94.60 | 459% above | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Elm | $35.60 | $89.00 | $2.80–$94.60 | 459% above | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige White Face Hor | $35.60 | $89.00 | $2.80–$94.60 | 459% above | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Salmon | $35.60 | $89.00 | $2.80–$94.60 | 459% above | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Scallop | $35.60 | $89.00 | $2.80–$94.60 | 459% above | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Corn (Maize) | $35.60 | $89.00 | $2.80–$94.60 | 459% above | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Tuna | $35.60 | $89.00 | $2.80–$94.60 | 459% above | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Paper Wasp Ven | $35.60 | $89.00 | $2.80–$94.60 | 459% above | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Lobster | $36.00 | $90.00 | $2.80–$95.66 | 465% above | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Soybean | $36.00 | $90.00 | $2.80–$95.66 | 465% above | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Walnut | $36.40 | $91.00 | $2.80–$96.72 | 471% above | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Latex | $36.40 | $91.00 | $2.80–$96.72 | 471% above | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Cow Milk | $36.40 | $91.00 | $2.80–$96.72 | 471% above | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Rice | $36.80 | $92.00 | $2.80–$97.79 | 478% above | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Barley | $36.80 | $92.00 | $2.80–$97.79 | 478% above | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Hazelnut | $36.80 | $92.00 | $2.80–$97.79 | 478% above | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Egg White | $36.80 | $92.00 | $2.80–$97.79 | 478% above | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Almond | $36.80 | $92.00 | $2.80–$97.79 | 478% above | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Sesame Seed | $36.80 | $92.00 | $2.80–$97.79 | 478% above | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Egg Yolk | $37.20 | $93.00 | $2.80–$98.85 | 484% above | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Green Bean | $37.20 | $93.00 | $2.80–$98.85 | 484% above | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Green Pea | $37.20 | $93.00 | $2.80–$98.85 | 484% above | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Cashew | $37.20 | $93.00 | $2.80–$98.85 | 484% above | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Chickpea | $37.20 | $93.00 | $2.80–$98.85 | 484% above | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Pecan | $37.60 | $94.00 | $2.80–$99.91 | 490% above | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Peanut | $37.60 | $94.00 | $2.80–$99.91 | 490% above | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Ovomucoid | $37.60 | $94.00 | $2.80–$99.91 | 490% above | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Lentil | $37.60 | $94.00 | $2.80–$99.91 | 490% above | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Pistachio | $37.60 | $94.00 | $2.80–$99.91 | 490% above | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Brazil Nut | $37.60 | $94.00 | $2.80–$99.91 | 490% above | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Beta Lactalbum | $37.60 | $94.00 | $2.80–$99.91 | 490% above | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Pine Nut | $37.60 | $94.00 | $2.80–$99.91 | 490% above | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Casein | $37.60 | $94.00 | $2.80–$99.91 | 490% above | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Whey | $37.60 | $94.00 | $2.80–$99.91 | 490% above | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Chestnut Sw | $37.60 | $94.00 | $2.80–$99.91 | 490% above | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Beef | $38.00 | $95.00 | $2.80–$100.97 | 497% above | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Alpha Lactalbu | $38.40 | $96.00 | $2.80–$102.04 | 503% above | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Ovalbumin | $38.40 | $96.00 | $2.80–$102.04 | 503% above | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Grass Pnl | $68.40 | $171.00 | $2.80–$181.75 | 974% above | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige House Dust Pnl | $69.60 | $174.00 | $2.80–$184.94 | 993% above | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Weed Pnl | $69.60 | $174.00 | $2.80–$184.94 | 993% above | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Mold Pnl | $69.60 | $174.00 | $2.80–$184.94 | 993% above | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC-Lab-Algn Ige Tree Pnl | $69.60 | $174.00 | $2.80–$184.94 | 993% above | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Nettle | $2.00 | $5.00 | $2.15–$5.31 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Acacia | $2.00 | $5.00 | $2.15–$5.31 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Alternaria Tenuis Mcl | $2.00 | $5.00 | $2.15–$5.31 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Amoxicillin | $2.00 | $5.00 | $2.15–$5.31 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Ampicillin | $2.00 | $5.00 | $2.15–$5.31 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Anchovy | $2.00 | $5.00 | $2.15–$5.31 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Anisakis Parasite | $2.00 | $5.00 | $2.15–$5.31 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Anise | $2.00 | $5.00 | $2.15–$5.31 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Apple | $2.00 | $5.00 | $2.15–$5.31 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Apricot | $2.00 | $5.00 | $2.15–$5.31 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Ascaris | $2.00 | $5.00 | $2.15–$5.31 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Aspergillus Fumigatus Mcl | $2.00 | $5.00 | $2.15–$5.31 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Aspergillus Niger | $2.00 | $5.00 | $2.15–$5.31 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Aureobasidium Pullulans | $2.00 | $5.00 | $2.15–$5.31 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Avocado | $2.00 | $5.00 | $2.15–$5.31 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Bahia Grass | $2.00 | $5.00 | $2.15–$5.31 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Bakers Yeast | $2.00 | $5.00 | $2.15–$5.31 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Banana | $2.00 | $5.00 | $2.15–$5.31 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Barley Grass | $2.00 | $5.00 | $2.15–$5.31 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Basil | $2.00 | $5.00 | $2.15–$5.31 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Beech | $2.00 | $5.00 | $2.15–$5.31 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Beetroot | $2.00 | $5.00 | $2.15–$5.31 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Bermuda Grass | $2.00 | $5.00 | $2.15–$5.31 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Black Pepper | $2.00 | $5.00 | $2.15–$5.31 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Blackberry | $2.00 | $5.00 | $2.15–$5.31 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Blue Mussel | $2.00 | $5.00 | $2.15–$5.31 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Blueberry | $2.00 | $5.00 | $2.15–$5.31 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Botrytis | $2.00 | $5.00 | $2.15–$5.31 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Box Elder/Maple Mcl | $2.00 | $5.00 | $2.15–$5.31 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Broccoli | $2.00 | $5.00 | $2.15–$5.31 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Brome Grass | $2.00 | $5.00 | $2.15–$5.31 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Buckwheat | $2.00 | $5.00 | $2.15–$5.31 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Budgerigar Feathers | $2.00 | $5.00 | $2.15–$5.31 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Cabbage | $2.00 | $5.00 | $2.15–$5.31 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Canary Grass | $2.00 | $5.00 | $2.15–$5.31 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Candida Albicans | $2.00 | $5.00 | $2.15–$5.31 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Caraway | $2.00 | $5.00 | $2.15–$5.31 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Carob | $2.00 | $5.00 | $2.15–$5.31 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Carrot | $2.00 | $5.00 | $2.15–$5.31 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Cat Epithelium Mcl | $2.00 | $5.00 | $2.15–$5.31 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Cauliflower | $2.00 | $5.00 | $2.15–$5.31 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Cedar | $2.00 | $5.00 | $2.15–$5.31 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Celery | $2.00 | $5.00 | $2.15–$5.31 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Cephalosporium Acremonium | $2.00 | $5.00 | $2.15–$5.31 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Chaetomium Globosum | $2.00 | $5.00 | $2.15–$5.31 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Cheese Cheddar | $2.00 | $5.00 | $2.15–$5.31 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Cheese Mold | $2.00 | $5.00 | $2.15–$5.31 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Cherry | $2.00 | $5.00 | $2.15–$5.31 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Chicken Feathers | $2.00 | $5.00 | $2.15–$5.31 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Chicken | $2.00 | $5.00 | $2.15–$5.31 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Chili Pepper | $2.00 | $5.00 | $2.15–$5.31 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Cinnamon | $2.00 | $5.00 | $2.15–$5.31 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Cladosporium Mcl | $2.00 | $5.00 | $2.15–$5.31 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Clove | $2.00 | $5.00 | $2.15–$5.31 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Cocklebur | $2.00 | $5.00 | $2.15–$5.31 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Cockroach Mcl | $2.00 | $5.00 | $2.15–$5.31 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Cocoa | $2.00 | $5.00 | $2.15–$5.31 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Coconut | $2.00 | $5.00 | $2.15–$5.31 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Common Millet | $2.00 | $5.00 | $2.15–$5.31 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Common Reed | $2.00 | $5.00 | $2.15–$5.31 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Coriander | $2.00 | $5.00 | $2.15–$5.31 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Cottonseed | $2.00 | $5.00 | $2.15–$5.31 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Cottonwood | $2.00 | $5.00 | $2.15–$5.31 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Cow Epithelia | $2.00 | $5.00 | $2.15–$5.31 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Cranberry | $2.00 | $5.00 | $2.15–$5.31 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Cucumber | $2.00 | $5.00 | $2.15–$5.31 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Curvularia Lunata | $2.00 | $5.00 | $2.15–$5.31 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Custom Pnl Pr195 Ea | $2.00 | $5.00 | $2.15–$5.31 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Date | $2.00 | $5.00 | $2.15–$5.31 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Dermatophagoides Microceras | $2.00 | $5.00 | $2.15–$5.31 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Dog Dander Mcl | $2.00 | $5.00 | $2.15–$5.31 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Duck Feathers | $2.00 | $5.00 | $2.15–$5.31 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Eastern Sycamore | $2.00 | $5.00 | $2.15–$5.31 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Eggplant (Aubergine) | $2.00 | $5.00 | $2.15–$5.31 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Elder | $2.00 | $5.00 | $2.15–$5.31 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Elm Mcl | $2.00 | $5.00 | $2.15–$5.31 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige English Plantain | $2.00 | $5.00 | $2.15–$5.31 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Epicoccum Purpurascens | $2.00 | $5.00 | $2.15–$5.31 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige European Hornet | $2.00 | $5.00 | $2.15–$5.31 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige False Ragweed | $2.00 | $5.00 | $2.15–$5.31 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Ferret Epithelia | $2.00 | $5.00 | $2.15–$5.31 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Fire Ant | $2.00 | $5.00 | $2.15–$5.31 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Formaledehyde (Formalin) | $2.00 | $5.00 | $2.15–$5.31 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Fusarium Moniliforme | $2.00 | $5.00 | $2.15–$5.31 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Garlic | $2.00 | $5.00 | $2.15–$5.31 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Gelatin | $2.00 | $5.00 | $2.15–$5.31 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Giant Ragweed | $2.00 | $5.00 | $2.15–$5.31 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Ginger | $2.00 | $5.00 | $2.15–$5.31 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Gluten | $2.00 | $5.00 | $2.15–$5.31 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Goat Epithelia | $2.00 | $5.00 | $2.15–$5.31 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Goat Milk | $2.00 | $5.00 | $2.15–$5.31 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Golden Rod | $2.00 | $5.00 | $2.15–$5.31 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Goose Feathers | $2.00 | $5.00 | $2.15–$5.31 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Grape | $2.00 | $5.00 | $2.15–$5.31 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Grapefruit | $2.00 | $5.00 | $2.15–$5.31 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Great Lakes Pnl Ea | $2.00 | $5.00 | $2.15–$5.31 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Green Pepper | $2.00 | $5.00 | $2.15–$5.31 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Grey Alder | $2.00 | $5.00 | $2.15–$5.31 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Guar Gum | $2.00 | $5.00 | $2.15–$5.31 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Gum Arabic | $2.00 | $5.00 | $2.15–$5.31 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Halibut | $2.00 | $5.00 | $2.15–$5.31 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Hamster Epithelia | $2.00 | $5.00 | $2.15–$5.31 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Helminthosporium | $2.00 | $5.00 | $2.15–$5.31 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Horse Dander | $2.00 | $5.00 | $2.15–$5.31 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige House Dust Greer Lab | $2.00 | $5.00 | $2.15–$5.31 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige House Dust H-S Lab | $2.00 | $5.00 | $2.15–$5.31 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige House Dust Mites Df Mcl | $2.00 | $5.00 | $2.15–$5.31 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige House Dust Mites Dp Mcl | $2.00 | $5.00 | $2.15–$5.31 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Insulin (Human) | $2.00 | $5.00 | $2.15–$5.31 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Isocyanate Mdi | $2.00 | $5.00 | $2.15–$5.31 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Isocyanate Tdi | $2.00 | $5.00 | $2.15–$5.31 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Kidney Bean Red | $2.00 | $5.00 | $2.15–$5.31 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Kiwi Fruit | $2.00 | $5.00 | $2.15–$5.31 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Lambs Quarter Mayo | $2.00 | $5.00 | $2.15–$5.31 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Lemon | $2.00 | $5.00 | $2.15–$5.31 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Lettuce | $2.00 | $5.00 | $2.15–$5.31 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Lime | $2.00 | $5.00 | $2.15–$5.31 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Linseed | $2.00 | $5.00 | $2.15–$5.31 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Macadamia Nut | $2.00 | $5.00 | $2.15–$5.31 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Mace | $2.00 | $5.00 | $2.15–$5.31 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Mackerel | $2.00 | $5.00 | $2.15–$5.31 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Maize-Corn Pollen | $2.00 | $5.00 | $2.15–$5.31 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Malt | $2.00 | $5.00 | $2.15–$5.31 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Mango Fruit | $2.00 | $5.00 | $2.15–$5.31 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Meadow Fescue | $2.00 | $5.00 | $2.15–$5.31 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Meadow Foxtail | $2.00 | $5.00 | $2.15–$5.31 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Melons | $2.00 | $5.00 | $2.15–$5.31 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Milk Boiled | $2.00 | $5.00 | $2.15–$5.31 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Mosquito Spp | $2.00 | $5.00 | $2.15–$5.31 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Mountain Cedar | $2.00 | $5.00 | $2.15–$5.31 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Mouse Epithelia | $2.00 | $5.00 | $2.15–$5.31 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Mouse Serum Protein | $2.00 | $5.00 | $2.15–$5.31 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Mouse Urine Protein | $2.00 | $5.00 | $2.15–$5.31 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Mucor | $2.00 | $5.00 | $2.15–$5.31 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Mulberry | $2.00 | $5.00 | $2.15–$5.31 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Mushroom | $2.00 | $5.00 | $2.15–$5.31 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Mustard | $2.00 | $5.00 | $2.15–$5.31 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Nutmeg | $2.00 | $5.00 | $2.15–$5.31 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Oak Mcl | $2.00 | $5.00 | $2.15–$5.31 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Octopus | $2.00 | $5.00 | $2.15–$5.31 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Olive (Food) | $2.00 | $5.00 | $2.15–$5.31 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Onion | $2.00 | $5.00 | $2.15–$5.31 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Orange | $2.00 | $5.00 | $2.15–$5.31 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Oyster | $2.00 | $5.00 | $2.15–$5.31 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Papaya | $2.00 | $5.00 | $2.15–$5.31 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Paprika Sweet Pepper | $2.00 | $5.00 | $2.15–$5.31 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Parsley | $2.00 | $5.00 | $2.15–$5.31 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Peach | $2.00 | $5.00 | $2.15–$5.31 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Pear | $2.00 | $5.00 | $2.15–$5.31 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Pecan Hickory | $2.00 | $5.00 | $2.15–$5.31 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Penicillin G | $2.00 | $5.00 | $2.15–$5.31 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Penicillin V | $2.00 | $5.00 | $2.15–$5.31 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Penicillium | $2.00 | $5.00 | $2.15–$5.31 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Phoma Betae | $2.00 | $5.00 | $2.15–$5.31 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Pig Epithelium | $2.00 | $5.00 | $2.15–$5.31 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Pineapple | $2.00 | $5.00 | $2.15–$5.31 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Plum | $2.00 | $5.00 | $2.15–$5.31 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Poppy Seed | $2.00 | $5.00 | $2.15–$5.31 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Pork | $2.00 | $5.00 | $2.15–$5.31 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Potato | $2.00 | $5.00 | $2.15–$5.31 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Pumpkin Seed | $2.00 | $5.00 | $2.15–$5.31 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Rabbit Epithelia | $2.00 | $5.00 | $2.15–$5.31 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Rabbit Urine Protein | $2.00 | $5.00 | $2.15–$5.31 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Rape Seed | $2.00 | $5.00 | $2.15–$5.31 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Rape Weed | $2.00 | $5.00 | $2.15–$5.31 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Raspberry | $2.00 | $5.00 | $2.15–$5.31 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Rat Epithelia | $2.00 | $5.00 | $2.15–$5.31 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Rat Serum Protein | $2.00 | $5.00 | $2.15–$5.31 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Rat Urine Protein | $2.00 | $5.00 | $2.15–$5.31 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Red Sorrel | $2.00 | $5.00 | $2.15–$5.31 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Resp Regional Pnl Ea | $2.00 | $5.00 | $2.15–$5.31 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Rhizopus Nigricans | $2.00 | $5.00 | $2.15–$5.31 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Rough Marsh Elder Mcl | $2.00 | $5.00 | $2.15–$5.31 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Rough Pigweed | $2.00 | $5.00 | $2.15–$5.31 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Russian Thistle | $2.00 | $5.00 | $2.15–$5.31 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Rye Grass | $2.00 | $5.00 | $2.15–$5.31 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Rye | $2.00 | $5.00 | $2.15–$5.31 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Sardine Pilchard | $2.00 | $5.00 | $2.15–$5.31 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Sheep Meat | $2.00 | $5.00 | $2.15–$5.31 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Short Ragweed Mcl | $2.00 | $5.00 | $2.15–$5.31 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Silver Birch Mcl | $2.00 | $5.00 | $2.15–$5.31 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Sole | $2.00 | $5.00 | $2.15–$5.31 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Spinach | $2.00 | $5.00 | $2.15–$5.31 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Spruce | $2.00 | $5.00 | $2.15–$5.31 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Squash | $2.00 | $5.00 | $2.15–$5.31 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Squid | $2.00 | $5.00 | $2.15–$5.31 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Stemphyllium | $2.00 | $5.00 | $2.15–$5.31 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Strawberry | $2.00 | $5.00 | $2.15–$5.31 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Sugar Beet Seed | $2.00 | $5.00 | $2.15–$5.31 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Sunflower Seed | $2.00 | $5.00 | $2.15–$5.31 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Sunflower | $2.00 | $5.00 | $2.15–$5.31 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Sweet Gum | $2.00 | $5.00 | $2.15–$5.31 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Sweet Potato | $2.00 | $5.00 | $2.15–$5.31 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Sweet Vernal Grass | $2.00 | $5.00 | $2.15–$5.31 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Tarragon | $2.00 | $5.00 | $2.15–$5.31 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Tea | $2.00 | $5.00 | $2.15–$5.31 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Timothy Grass Mcl | $2.00 | $5.00 | $2.15–$5.31 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Tomato | $2.00 | $5.00 | $2.15–$5.31 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Trichoderma Viride | $2.00 | $5.00 | $2.15–$5.31 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Trichophyton Rubrum | $2.00 | $5.00 | $2.15–$5.31 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Trout | $2.00 | $5.00 | $2.15–$5.31 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Turkey Meat | $2.00 | $5.00 | $2.15–$5.31 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Ulocladium Chartarum | $2.00 | $5.00 | $2.15–$5.31 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Vanilla | $2.00 | $5.00 | $2.15–$5.31 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Velvet Grass | $2.00 | $5.00 | $2.15–$5.31 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Walnut Tree | $2.00 | $5.00 | $2.15–$5.31 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Watermelon | $2.00 | $5.00 | $2.15–$5.31 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige White Ash | $2.00 | $5.00 | $2.15–$5.31 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige White Bean | $2.00 | $5.00 | $2.15–$5.31 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige White Hickory | $2.00 | $5.00 | $2.15–$5.31 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige White Pine | $2.00 | $5.00 | $2.15–$5.31 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Wild Rye Grass | $2.00 | $5.00 | $2.15–$5.31 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Willow | $2.00 | $5.00 | $2.15–$5.31 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Igg Johnson Grass | $2.00 | $5.00 | $2.15–$5.31 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Cashew Nut F202 | $2.40 | $6.00 | $2.58–$6.38 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Allergen Single Standard Ige | $4.80 | $12.00 | $5.16–$12.75 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Beef (Bos Spp) | $4.80 | $12.00 | $5.16–$12.75 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Lamb / Mutton (Ovis Spp) | $4.80 | $12.00 | $5.16–$12.75 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Perch Ocean | $4.80 | $12.00 | $5.16–$12.75 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Gelatin Porcine | $4.80 | $12.00 | $5.16–$12.75 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Catfish | $4.80 | $12.00 | $5.16–$12.75 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Pork (Sus Spp) | $4.80 | $12.00 | $5.16–$12.75 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Allergen Single Esoteric Ige | $9.60 | $24.00 | $10.32–$25.51 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Tilapia | $9.60 | $24.00 | $10.32–$25.51 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Mint | $9.60 | $24.00 | $10.32–$25.51 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Annatto Seed | $9.60 | $24.00 | $10.32–$25.51 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Flounder | $9.60 | $24.00 | $10.32–$25.51 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Parrot Australian Feathers | $9.60 | $24.00 | $10.32–$25.51 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Tumeric | $9.60 | $24.00 | $10.32–$25.51 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Food Nut 2 Pnl | $10.40 | $26.00 | $11.18–$27.63 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Igg Weed 4 Pnl | $10.40 | $26.00 | $11.18–$27.63 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Igg Grass 2 Pnl | $10.40 | $26.00 | $11.18–$27.63 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Igg Tree 3 Pnl | $10.40 | $26.00 | $11.18–$27.63 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Food Seafood Pnl | $10.40 | $26.00 | $11.18–$27.63 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Food Pnl | $10.40 | $26.00 | $11.18–$27.63 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Igg Weed 3 Pnl | $10.40 | $26.00 | $11.18–$27.63 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Food Nut 1 Pnl | $10.40 | $26.00 | $11.18–$27.63 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Epithelia 1 Pnl | $10.40 | $26.00 | $11.18–$27.63 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Feather 2 Pnl | $10.40 | $26.00 | $11.18–$27.63 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Food Fruit Pnl | $10.40 | $26.00 | $11.18–$27.63 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Igg Tree 4 Pnl | $16.80 | $42.00 | $18.06–$44.64 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Igg Grass 3 Pnl | $16.80 | $42.00 | $18.06–$44.64 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Food Grain Pnl | $16.80 | $42.00 | $18.06–$44.64 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Igg Weed 2 Pnl | $16.80 | $42.00 | $18.06–$44.64 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Epithelia 2 Pnl | $16.80 | $42.00 | $18.06–$44.64 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Lambs Quarter | $34.40 | $86.00 | $36.98–$91.41 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Dp Hse Dst Mit | $35.20 | $88.00 | $37.84–$93.53 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Dog Dander | $35.20 | $88.00 | $37.84–$93.53 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Df Hse Dst Mit | $35.20 | $88.00 | $37.84–$93.53 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Cat Epithelium | $35.20 | $88.00 | $37.84–$93.53 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Timothy Grass | $35.20 | $88.00 | $37.84–$93.53 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Cladosp Herbar | $35.20 | $88.00 | $37.84–$93.53 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Rough Marsh El | $35.20 | $88.00 | $37.84–$93.53 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Wheat | $35.20 | $88.00 | $37.84–$93.53 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Cockroach Amer | $35.20 | $88.00 | $37.84–$93.53 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Red Top(Bent G | $35.20 | $88.00 | $37.84–$93.53 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige June Ky Blue G | $35.20 | $88.00 | $37.84–$93.53 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Shrimp | $35.20 | $88.00 | $37.84–$93.53 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Asp Fumigatus | $35.20 | $88.00 | $37.84–$93.53 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Ragweed(Cmn Sh | $35.20 | $88.00 | $37.84–$93.53 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Oat | $35.20 | $88.00 | $37.84–$93.53 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Oak | $35.20 | $88.00 | $37.84–$93.53 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Codfish | $35.20 | $88.00 | $37.84–$93.53 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Alternaria Ten | $35.20 | $88.00 | $37.84–$93.53 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Tuna | $35.60 | $89.00 | $38.27–$94.60 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Yellow Jacket | $35.60 | $89.00 | $38.27–$94.60 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Scallop | $35.60 | $89.00 | $38.27–$94.60 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Honeybee Venon | $35.60 | $89.00 | $38.27–$94.60 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Yellow Face Ho | $35.60 | $89.00 | $38.27–$94.60 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige White Face Hor | $35.60 | $89.00 | $38.27–$94.60 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Orchard Grass | $35.60 | $89.00 | $38.27–$94.60 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Paper Wasp Ven | $35.60 | $89.00 | $38.27–$94.60 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Birch Cmn Silv | $35.60 | $89.00 | $38.27–$94.60 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Elm | $35.60 | $89.00 | $38.27–$94.60 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Box Elder(Mapl | $35.60 | $89.00 | $38.27–$94.60 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Crab | $35.60 | $89.00 | $38.27–$94.60 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Clam | $35.60 | $89.00 | $38.27–$94.60 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Salmon | $35.60 | $89.00 | $38.27–$94.60 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Corn (Maize) | $35.60 | $89.00 | $38.27–$94.60 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Soybean | $36.00 | $90.00 | $38.70–$95.66 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Lobster | $36.00 | $90.00 | $38.70–$95.66 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Walnut | $36.40 | $91.00 | $39.13–$96.72 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Latex | $36.40 | $91.00 | $39.13–$96.72 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Cow Milk | $36.40 | $91.00 | $39.13–$96.72 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Egg White | $36.80 | $92.00 | $39.56–$97.79 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Almond | $36.80 | $92.00 | $39.56–$97.79 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Sesame Seed | $36.80 | $92.00 | $39.56–$97.79 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Hazelnut | $36.80 | $92.00 | $39.56–$97.79 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Rice | $36.80 | $92.00 | $39.56–$97.79 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Barley | $36.80 | $92.00 | $39.56–$97.79 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Chickpea | $37.20 | $93.00 | $39.99–$98.85 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Cashew | $37.20 | $93.00 | $39.99–$98.85 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Green Pea | $37.20 | $93.00 | $39.99–$98.85 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Green Bean | $37.20 | $93.00 | $39.99–$98.85 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Egg Yolk | $37.20 | $93.00 | $39.99–$98.85 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Lentil | $37.60 | $94.00 | $40.42–$99.91 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Pine Nut | $37.60 | $94.00 | $40.42–$99.91 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Pistachio | $37.60 | $94.00 | $40.42–$99.91 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Whey | $37.60 | $94.00 | $40.42–$99.91 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Ovomucoid | $37.60 | $94.00 | $40.42–$99.91 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Chestnut Sw | $37.60 | $94.00 | $40.42–$99.91 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Brazil Nut | $37.60 | $94.00 | $40.42–$99.91 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Beta Lactalbum | $37.60 | $94.00 | $40.42–$99.91 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Casein | $37.60 | $94.00 | $40.42–$99.91 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Peanut | $37.60 | $94.00 | $40.42–$99.91 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Pecan | $37.60 | $94.00 | $40.42–$99.91 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Beef | $38.00 | $95.00 | $40.85–$100.97 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Ovalbumin | $38.40 | $96.00 | $41.28–$102.04 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Alpha Lactalbu | $38.40 | $96.00 | $41.28–$102.04 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Grass Pnl | $68.40 | $171.00 | $73.53–$181.75 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Mold Pnl | $69.60 | $174.00 | $74.82–$184.94 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige House Dust Pnl | $69.60 | $174.00 | $74.82–$184.94 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Weed Pnl | $69.60 | $174.00 | $74.82–$184.94 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC-Lab-Algn Ige Tree Pnl | $69.60 | $174.00 | $74.82–$184.94 | — | 60% |
| Alpha-fetoprotein (AFP) blood test CPT 82105 HC-Lab-Afp Serum | $66.00 | $165.00 | $8.99–$175.38 | 29% above | 60% |
| Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 HC-Lab-Afp Serum | $66.00 | $165.00 | $70.95–$175.38 | — | 60% |
| Ammonia blood test CPT 82140 HC-Lab-Supersaturation UR Random Ammonium | $10.00 | $25.00 | $7.81–$26.57 | 85% below | 60% |
| Ammonia blood test CPT 82140 HC-Lab-Ammonia | $58.40 | $146.00 | $7.81–$155.18 | 10% below | 60% |
| Ammonia blood test inpatient CPT 82140 HC-Lab-Supersaturation UR Random Ammonium | $10.00 | $25.00 | $10.75–$26.57 | — | 60% |
| Ammonia blood test inpatient CPT 82140 HC-Lab-Ammonia | $58.40 | $146.00 | $62.78–$155.18 | — | 60% |
| Amylase blood test CPT 82150 HC-Lab-Amylase Isoenzymes | $7.20 | $18.00 | $3.47–$19.13 | 67% below | 60% |
| Amylase blood test CPT 82150 HC-Lab-Amylase Urine | $28.00 | $70.00 | $3.47–$74.40 | 30% above | 60% |
| Amylase blood test CPT 82150 HC-Lab-Amylase Serum | $28.80 | $72.00 | $3.47–$76.53 | 34% above | 60% |
| Amylase blood test CPT 82150 HC-Lab-Amylase Fluid | $28.80 | $72.00 | $3.47–$76.53 | 34% above | 60% |
| Amylase blood test inpatient CPT 82150 HC-Lab-Amylase Isoenzymes | $7.20 | $18.00 | $7.74–$19.13 | — | 60% |
| Amylase blood test inpatient CPT 82150 HC-Lab-Amylase Urine | $28.00 | $70.00 | $30.10–$74.40 | — | 60% |
| Amylase blood test inpatient CPT 82150 HC-Lab-Amylase Fluid | $28.80 | $72.00 | $30.96–$76.53 | — | 60% |
| Amylase blood test inpatient CPT 82150 HC-Lab-Amylase Serum | $28.80 | $72.00 | $30.96–$76.53 | — | 60% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 HC-Lab-Cyclic Citrullinated Peptide Ab Mayo | $5.60 | $14.00 | $6.02–$22.02 | 90% below | 60% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 HC-Lab-Cyclic Citrullinatd Pep | $27.20 | $68.00 | $6.94–$72.28 | 51% below | 60% |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 HC-Lab-Cyclic Citrullinated Peptide Ab Mayo | $5.60 | $14.00 | $6.02–$14.88 | — | 60% |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 HC-Lab-Cyclic Citrullinatd Pep | $27.20 | $68.00 | $29.24–$72.28 | — | 60% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 HC-Lab-Antinuclear Ab Serum Mayo | $5.60 | $14.00 | $6.02–$20.55 | 90% below | 60% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 HC-Lab-Antinuc Ab Serum Scrn | $50.40 | $126.00 | $6.48–$133.92 | 10% below | 60% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 HC-Lab-Antinuc Ab Serum Ifa | $67.60 | $169.00 | $6.48–$179.63 | 21% above | 60% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 HC-Lab-Antinuc Ab Tissue Scrn | $85.60 | $214.00 | $6.48–$227.46 | 53% above | 60% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 HC-Lab-Antinuclear Ab Serum Mayo | $5.60 | $14.00 | $6.02–$14.88 | — | 60% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 HC-Lab-Antinuc Ab Serum Scrn | $50.40 | $126.00 | $54.18–$133.92 | — | 60% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 HC-Lab-Antinuc Ab Serum Ifa | $67.60 | $169.00 | $72.67–$179.63 | — | 60% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 HC-Lab-Antinuc Ab Tissue Scrn | $85.60 | $214.00 | $92.02–$227.46 | — | 60% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 HC-Lab-Nt-Pro Bnp Serum | $26.00 | $65.00 | $21.04–$69.09 | 67% below | 60% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 HC-Lab-POC-B-Type Natiuretic Peptide (Bnp) | $63.60 | $159.00 | $21.04–$169.00 | 19% below | 60% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 HC-Lab-Bnp (Natriuretic Peptide) | $82.80 | $207.00 | $21.04–$220.02 | 5% above | 60% |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 HC-Lab-Nt-Pro Bnp Serum | $26.00 | $65.00 | $27.95–$69.09 | — | 60% |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 HC-Lab-POC-B-Type Natiuretic Peptide (Bnp) | $63.60 | $159.00 | $68.37–$169.00 | — | 60% |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 HC-Lab-Bnp (Natriuretic Peptide) | $82.80 | $207.00 | $89.01–$220.02 | — | 60% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC-Lab-Culture Respiratory | $51.60 | $129.00 | $4.62–$137.11 | 3% below | 60% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC-Lab-Culture Sterile | $56.00 | $140.00 | $4.62–$148.80 | 6% above | 60% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC-Lab-Culture Nonsterile | $58.80 | $147.00 | $4.62–$156.24 | 11% above | 60% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC-Lab-Culture CSF | $58.80 | $147.00 | $4.62–$156.24 | 11% above | 60% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC-Lab-Culture H Pylori | $96.40 | $241.00 | $4.62–$256.15 | 82% above | 60% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC-Lab-Culture Respiratory | $51.60 | $129.00 | $55.47–$137.11 | — | 60% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC-Lab-Culture Sterile | $56.00 | $140.00 | $60.20–$148.80 | — | 60% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC-Lab-Culture CSF | $58.80 | $147.00 | $63.21–$156.24 | — | 60% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC-Lab-Culture Nonsterile | $58.80 | $147.00 | $63.21–$156.24 | — | 60% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC-Lab-Culture H Pylori | $96.40 | $241.00 | $103.63–$256.15 | — | 60% |
| Basic metabolic panel (blood test) CPT 80048 HC-Lab-Metabolic Panel Basic POC | $50.40 | $126.00 | $4.53–$133.92 | 7% below | 60% |
| Basic metabolic panel (blood test) CPT 80048 HC-Lab-Basic Metabolic Panel Calcium Total | $54.80 | $137.00 | $4.53–$145.62 | 1% above | 60% |
| Basic metabolic panel (blood test) inpatient CPT 80048 HC-Lab-Metabolic Panel Basic POC | $50.40 | $126.00 | $54.18–$133.92 | — | 60% |
| Basic metabolic panel (blood test) inpatient CPT 80048 HC-Lab-Basic Metabolic Panel Calcium Total | $54.80 | $137.00 | $58.91–$145.62 | — | 60% |
| Bilirubin blood test, total CPT 82247 HC-Lab-Bilirubin Total POC | $22.40 | $56.00 | $2.69–$59.52 | 2% below | 60% |
| Bilirubin blood test, total CPT 82247 HC-Lab-Bilirubin Total | $22.80 | $57.00 | $2.69–$60.58 | at median | 60% |
| Bilirubin blood test, total inpatient CPT 82247 HC-Lab-Bilirubin Total POC | $22.40 | $56.00 | $24.08–$59.52 | — | 60% |
| Bilirubin blood test, total inpatient CPT 82247 HC-Lab-Bilirubin Total | $22.80 | $57.00 | $24.51–$60.58 | — | 60% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC-Pt Pay-Lab-Extended Diagnostic Tissue Exam | $39.92 | $99.81 | $38.81–$106.09 | 63% below | 60% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC-Lab-Extended Diagnostic Exa | $98.00 | $245.00 | $38.81–$260.41 | 10% below | 60% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC-Lab-Electron Microscope-Thick | $511.60 | $1,279.00 | $38.81–$1,359.43 | 369% above | 60% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HC-Pt Pay-Lab-Extended Diagnostic Tissue Exam | $39.92 | $99.81 | $42.92–$106.09 | — | 60% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HC-Lab-Extended Diagnostic Exa | $98.00 | $245.00 | $105.35–$260.41 | — | 60% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HC-Lab-Electron Microscope-Thick | $511.60 | $1,279.00 | $549.97–$1,359.43 | — | 60% |
| Blood culture for bacteria CPT 87040 HC-Lab-Culture Blood Cmplt | $72.80 | $182.00 | $5.53–$193.44 | 16% above | 60% |
| Blood culture for bacteria CPT 87040 HC-Lab-Culture Blood | $74.80 | $187.00 | $5.53–$198.76 | 19% above | 60% |
| Blood culture for bacteria inpatient CPT 87040 HC-Lab-Culture Blood Cmplt | $72.80 | $182.00 | $78.26–$193.44 | — | 60% |
| Blood culture for bacteria inpatient CPT 87040 HC-Lab-Culture Blood | $74.80 | $187.00 | $80.41–$198.76 | — | 60% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 HC-Collection Venous Blood,Venipuncture | $10.40 | $26.00 | $4.87–$27.63 | 19% below | 60% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 HC-Collection Venous Blood,Venipuncture | $10.40 | $26.00 | $11.18–$27.63 | — | 60% |
| Blood glucose (sugar) test CPT 82947 HC-Lab-Istat Pnl Glucose POC | $4.00 | $10.00 | $2.11–$10.63 | 83% below | 60% |
| Blood glucose (sugar) test CPT 82947 HC-Lab-POC-Glucose | $4.80 | $12.00 | $2.11–$12.75 | 80% below | 60% |
| Blood glucose (sugar) test CPT 82947 HC-Lab-Glucose Blood - Peds Pulm | $15.60 | $39.00 | $2.11–$41.45 | 35% below | 60% |
| Blood glucose (sugar) test CPT 82947 HC-Lab-Glucose Bld Gas POC | $16.80 | $42.00 | $2.11–$44.64 | 30% below | 60% |
| Blood glucose (sugar) test CPT 82947 HC-Lab-Glucose Blood POC | $16.80 | $42.00 | $2.11–$44.64 | 30% below | 60% |
| Blood glucose (sugar) test CPT 82947 HC-Lab-Glucose Blood | $17.20 | $43.00 | $2.11–$45.70 | 28% below | 60% |
| Blood glucose (sugar) test CPT 82947 HC-Lab-Blood Glucose | $17.60 | $44.00 | $2.11–$46.77 | 27% below | 60% |
| Blood glucose (sugar) test inpatient CPT 82947 HC-Lab-Istat Pnl Glucose POC | $4.00 | $10.00 | $4.30–$10.63 | — | 60% |
| Blood glucose (sugar) test inpatient CPT 82947 HC-Lab-POC-Glucose | $4.80 | $12.00 | $5.16–$12.75 | — | 60% |
| Blood glucose (sugar) test inpatient CPT 82947 HC-Lab-Glucose Blood - Peds Pulm | $15.60 | $39.00 | $16.77–$41.45 | — | 60% |
| Blood glucose (sugar) test inpatient CPT 82947 HC-Lab-Glucose Bld Gas POC | $16.80 | $42.00 | $18.06–$44.64 | — | 60% |
| Blood glucose (sugar) test inpatient CPT 82947 HC-Lab-Glucose Blood POC | $16.80 | $42.00 | $18.06–$44.64 | — | 60% |
| Blood glucose (sugar) test inpatient CPT 82947 HC-Lab-Glucose Blood | $17.20 | $43.00 | $18.49–$45.70 | — | 60% |
| Blood glucose (sugar) test inpatient CPT 82947 HC-Lab-Blood Glucose | $17.60 | $44.00 | $18.92–$46.77 | — | 60% |
| Blood lead test CPT 83655 HC-Lab-Lead Blood Mml | $4.00 | $10.00 | $4.30–$20.59 | 48% below | 60% |
| Blood lead test CPT 83655 HC-Lab-Lead Urine | $12.40 | $31.00 | $6.49–$32.95 | 62% above | 60% |
| Blood lead test CPT 83655 HC-Lab-Lead Hair or Nails | $14.00 | $35.00 | $6.49–$37.20 | 83% above | 60% |
| Blood lead test CPT 83655 HC-Assay of Lead | $74.80 | $187.00 | $6.49–$198.76 | 878% above | 60% |
| Blood lead test inpatient CPT 83655 HC-Lab-Lead Blood Mml | $4.00 | $10.00 | $4.30–$10.63 | — | 60% |
| Blood lead test inpatient CPT 83655 HC-Lab-Lead Urine | $12.40 | $31.00 | $13.33–$32.95 | — | 60% |
| Blood lead test inpatient CPT 83655 HC-Lab-Lead Hair or Nails | $14.00 | $35.00 | $15.05–$37.20 | — | 60% |
| Blood lead test inpatient CPT 83655 HC-Assay of Lead | $74.80 | $187.00 | $80.41–$198.76 | — | 60% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HC-Lab-Hcg Beta Qual Blood | $35.60 | $89.00 | $4.03–$94.60 | 4% below | 60% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HC-Lab-Hcg Beta Qual Urine | $36.00 | $90.00 | $4.03–$95.66 | 3% below | 60% |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HC-Lab-Hcg Beta Qual Blood | $35.60 | $89.00 | $38.27–$94.60 | — | 60% |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HC-Lab-Hcg Beta Qual Urine | $36.00 | $90.00 | $38.70–$95.66 | — | 60% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HC-Lab-Abo Group Blood Unit | $44.40 | $111.00 | $2.70–$117.98 | 112% above | 60% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HC-Lab-Abo Group Diagnostic | $45.20 | $113.00 | $2.70–$120.11 | 116% above | 60% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HC-Lab-Abo Group Blood Unit | $44.40 | $111.00 | $47.73–$117.98 | — | 60% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HC-Lab-Abo Group Diagnostic | $45.20 | $113.00 | $48.59–$120.11 | — | 60% |
| Blood urea nitrogen (BUN) test CPT 84520 HC-Lab-Istat Pnl Urea Nitrogen POC | $4.00 | $10.00 | $2.12–$10.63 | 78% below | 60% |
| Blood urea nitrogen (BUN) test CPT 84520 HC-Lab-POC-Urea Nitrogen (Bun) | $4.80 | $12.00 | $2.12–$12.75 | 73% below | 60% |
| Blood urea nitrogen (BUN) test CPT 84520 HC-Lab-Hcah POC-Urea Nitrogen (Bun) | $4.80 | $12.00 | $2.12–$12.75 | 73% below | 60% |
| Blood urea nitrogen (BUN) test CPT 84520 HC-Lab-Urea Nitrogen Serum | $19.60 | $49.00 | $2.12–$52.08 | 9% above | 60% |
| Blood urea nitrogen (BUN) test CPT 84520 HC-Lab-Urea Nitrogen Fluid | $20.40 | $51.00 | $2.12–$54.21 | 14% above | 60% |
| Blood urea nitrogen (BUN) test inpatient CPT 84520 HC-Lab-Istat Pnl Urea Nitrogen POC | $4.00 | $10.00 | $4.30–$10.63 | — | 60% |
| Blood urea nitrogen (BUN) test inpatient CPT 84520 HC-Lab-Hcah POC-Urea Nitrogen (Bun) | $4.80 | $12.00 | $5.16–$12.75 | — | 60% |
| Blood urea nitrogen (BUN) test inpatient CPT 84520 HC-Lab-POC-Urea Nitrogen (Bun) | $4.80 | $12.00 | $5.16–$12.75 | — | 60% |
| Blood urea nitrogen (BUN) test inpatient CPT 84520 HC-Lab-Urea Nitrogen Serum | $19.60 | $49.00 | $21.07–$52.08 | — | 60% |
| Blood urea nitrogen (BUN) test inpatient CPT 84520 HC-Lab-Urea Nitrogen Fluid | $20.40 | $51.00 | $21.93–$54.21 | — | 60% |
| C-peptide blood test CPT 84681 HC-Lab-C-Peptide | $84.80 | $212.00 | $11.15–$225.33 | 20% above | 60% |
| C-peptide blood test inpatient CPT 84681 HC-Lab-C-Peptide | $84.80 | $212.00 | $91.16–$225.33 | — | 60% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 HC-Lab-C-Reactive Protein Qnt | $41.20 | $103.00 | $2.78–$109.48 | 21% above | 60% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 HC-Lab-C-Reactive Protein Qnt | $41.20 | $103.00 | $44.29–$109.48 | — | 60% |
| CA 19-9 blood test (tumor marker) CPT 86301 HC-Lab-Ca 19-9 (Carbo Antigen) | $38.40 | $96.00 | $11.15–$102.04 | 59% below | 60% |
| CA 19-9 blood test (tumor marker) inpatient CPT 86301 HC-Lab-Ca 19-9 (Carbo Antigen) | $38.40 | $96.00 | $41.28–$102.04 | — | 60% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 HC-Lab-Roma Score Ca125 | $30.00 | $75.00 | $11.15–$79.72 | 70% below | 60% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 HC-Lab-Ca-125 | $84.80 | $212.00 | $11.15–$225.33 | 16% below | 60% |
| CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 HC-Lab-Roma Score Ca125 | $30.00 | $75.00 | $32.25–$79.72 | — | 60% |
| CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 HC-Lab-Ca-125 | $84.80 | $212.00 | $91.16–$225.33 | — | 60% |
| Calcium blood test, total CPT 82310 HC-Lab-POC-Calcium | $4.80 | $12.00 | $2.77–$12.75 | 76% below | 60% |
| Calcium blood test, total CPT 82310 HC-Lab-Calcium | $20.40 | $51.00 | $2.77–$54.21 | at median | 60% |
| Calcium blood test, total inpatient CPT 82310 HC-Lab-POC-Calcium | $4.80 | $12.00 | $5.16–$12.75 | — | 60% |
| Calcium blood test, total inpatient CPT 82310 HC-Lab-Calcium | $20.40 | $51.00 | $21.93–$54.21 | — | 60% |
| Carcinoembryonic antigen (CEA) test CPT 82378 HC-Lab-Carcinoembryonic Ag CSF | $50.00 | $125.00 | $10.16–$132.86 | 40% below | 60% |
| Carcinoembryonic antigen (CEA) test CPT 82378 HC-Lab-Cea Test | $77.20 | $193.00 | $10.16–$205.14 | 7% below | 60% |
| Carcinoembryonic antigen (CEA) test inpatient CPT 82378 HC-Lab-Carcinoembryonic Ag CSF | $50.00 | $125.00 | $53.75–$132.86 | — | 60% |
| Carcinoembryonic antigen (CEA) test inpatient CPT 82378 HC-Lab-Cea Test | $77.20 | $193.00 | $82.99–$205.14 | — | 60% |
| Chickenpox (varicella) immunity blood test CPT 86787 HC-Lab-Vzv Igm Ab | $8.00 | $20.00 | $6.90–$21.90 | 80% below | 60% |
| Chickenpox (varicella) immunity blood test CPT 86787 HC-Lab-Vzv Igg Ab CSF | $26.00 | $65.00 | $6.90–$69.09 | 35% below | 60% |
| Chickenpox (varicella) immunity blood test CPT 86787 HC-Lab-Vzv Igg Ab | $54.40 | $136.00 | $6.90–$144.55 | 35% above | 60% |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 HC-Lab-Vzv Igm Ab | $8.00 | $20.00 | $8.60–$21.26 | — | 60% |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 HC-Lab-Vzv Igg Ab CSF | $26.00 | $65.00 | $27.95–$69.09 | — | 60% |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 HC-Lab-Vzv Igg Ab | $54.40 | $136.00 | $58.48–$144.55 | — | 60% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC-Lab-Dna/Rna C Trachomatis Mml | $9.60 | $24.00 | $10.32–$59.65 | 87% below | 60% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC-Lab-Dna/Rna C Trachomatis | $58.00 | $145.00 | $18.81–$154.12 | 22% below | 60% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC-Lab-Ivf Panel Dna/Rna C Trachomatis | $90.00 | $225.00 | $18.81–$239.15 | 22% above | 60% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HC-Lab-Dna/Rna C Trachomatis Mml | $9.60 | $24.00 | $10.32–$25.51 | — | 60% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HC-Lab-Dna/Rna C Trachomatis | $58.00 | $145.00 | $62.35–$154.12 | — | 60% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HC-Lab-Ivf Panel Dna/Rna C Trachomatis | $90.00 | $225.00 | $96.75–$239.15 | — | 60% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC-Lab-POC-Cholestech | $48.40 | $121.00 | $7.18–$128.61 | 5% below | 60% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC-Lab-Lipid Panel | $51.20 | $128.00 | $7.18–$136.05 | at median | 60% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC-Lab-Cardiac Risk Prof POC | $51.20 | $128.00 | $7.18–$136.05 | at median | 60% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC-Lab-POC-Cholestech | $48.40 | $121.00 | $52.03–$128.61 | — | 60% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC-Lab-Lipid Panel | $51.20 | $128.00 | $55.04–$136.05 | — | 60% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC-Lab-Cardiac Risk Prof POC | $51.20 | $128.00 | $55.04–$136.05 | — | 60% |
| Complete blood count (CBC) with differential CPT 85025 HC-Lab-Qualitative Blood Count | $33.20 | $83.00 | $4.16–$88.22 | 19% below | 60% |
| Complete blood count (CBC) with differential CPT 85025 HC-Lab-Cbc W/Plts & Diff | $33.60 | $84.00 | $4.16–$89.28 | 18% below | 60% |
| Complete blood count (CBC) with differential inpatient CPT 85025 HC-Lab-Qualitative Blood Count | $33.20 | $83.00 | $35.69–$88.22 | — | 60% |
| Complete blood count (CBC) with differential inpatient CPT 85025 HC-Lab-Cbc W/Plts & Diff | $33.60 | $84.00 | $36.12–$89.28 | — | 60% |
| Complete blood count (CBC), no differential CPT 85027 HC-Lab-Cbc W/Plts | $21.60 | $54.00 | $3.47–$57.40 | 26% below | 60% |
| Complete blood count (CBC), no differential CPT 85027 HC-Lab-Cbc W/Plts POC | $26.80 | $67.00 | $3.47–$71.21 | 8% below | 60% |
| Complete blood count (CBC), no differential inpatient CPT 85027 HC-Lab-Cbc W/Plts | $21.60 | $54.00 | $23.22–$57.40 | — | 60% |
| Complete blood count (CBC), no differential inpatient CPT 85027 HC-Lab-Cbc W/Plts POC | $26.80 | $67.00 | $28.81–$71.21 | — | 60% |
| Comprehensive metabolic panel (blood test) CPT 80053 HC-Lab-Metabolic Panel Comp POC | $50.40 | $126.00 | $5.66–$133.92 | 33% below | 60% |
| Comprehensive metabolic panel (blood test) CPT 80053 HC-Lab-Metabolic Panel Comprehensive | $70.80 | $177.00 | $5.66–$188.13 | 5% below | 60% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 HC-Lab-Metabolic Panel Comp POC | $50.40 | $126.00 | $54.18–$133.92 | — | 60% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 HC-Lab-Metabolic Panel Comprehensive | $70.80 | $177.00 | $76.11–$188.13 | — | 60% |
| Cortisol blood test, total CPT 82533 HC-Lab-CAH Cortisol | $17.20 | $43.00 | $8.74–$45.70 | 49% below | 60% |
| Cortisol blood test, total CPT 82533 HC-Lab-Cortisol Total Serum | $36.40 | $91.00 | $8.74–$96.72 | 7% above | 60% |
| Cortisol blood test, total CPT 82533 HC-Lab-Cortisol Salivary | $39.60 | $99.00 | $8.74–$105.23 | 16% above | 60% |
| Cortisol blood test, total CPT 82533 HC-Lab-Cortisol Serum | $91.20 | $228.00 | $8.74–$242.34 | 168% above | 60% |
| Cortisol blood test, total inpatient CPT 82533 HC-Lab-CAH Cortisol | $17.20 | $43.00 | $18.49–$45.70 | — | 60% |
| Cortisol blood test, total inpatient CPT 82533 HC-Lab-Cortisol Total Serum | $36.40 | $91.00 | $39.13–$96.72 | — | 60% |
| Cortisol blood test, total inpatient CPT 82533 HC-Lab-Cortisol Salivary | $39.60 | $99.00 | $42.57–$105.23 | — | 60% |
| Cortisol blood test, total inpatient CPT 82533 HC-Lab-Cortisol Serum | $91.20 | $228.00 | $98.04–$242.34 | — | 60% |
| Creatine kinase (CK) blood test, total CPT 82550 HC-Lab-Creatine Kinase Total | $35.20 | $88.00 | $3.49–$93.53 | 17% above | 60% |
| Creatine kinase (CK) blood test, total inpatient CPT 82550 HC-Lab-Creatine Kinase Total | $35.20 | $88.00 | $37.84–$93.53 | — | 60% |
| Creatinine blood test CPT 82565 HC-Lab-Istat Pnl Creatinine POC | $4.00 | $10.00 | $2.74–$10.63 | 84% below | 60% |
| Creatinine blood test CPT 82565 HC-Lab-Creatine Disorders Pnl Creatinine | $14.00 | $35.00 | $2.74–$37.20 | 42% below | 60% |
| Creatinine blood test CPT 82565 HC-Lab-Creatinine POC | $21.60 | $54.00 | $2.74–$57.40 | 11% below | 60% |
| Creatinine blood test CPT 82565 HC-Lab-Hcah POC-Creatinine | $21.60 | $54.00 | $2.74–$57.40 | 11% below | 60% |
| Creatinine blood test CPT 82565 HC-Lab-Creatinine Serum | $22.40 | $56.00 | $2.74–$59.52 | 8% below | 60% |
| Creatinine blood test inpatient CPT 82565 HC-Lab-Istat Pnl Creatinine POC | $4.00 | $10.00 | $4.30–$10.63 | — | 60% |
| Creatinine blood test inpatient CPT 82565 HC-Lab-Creatine Disorders Pnl Creatinine | $14.00 | $35.00 | $15.05–$37.20 | — | 60% |
| Creatinine blood test inpatient CPT 82565 HC-Lab-Hcah POC-Creatinine | $21.60 | $54.00 | $23.22–$57.40 | — | 60% |
| Creatinine blood test inpatient CPT 82565 HC-Lab-Creatinine POC | $21.60 | $54.00 | $23.22–$57.40 | — | 60% |
| Creatinine blood test inpatient CPT 82565 HC-Lab-Creatinine Serum | $22.40 | $56.00 | $24.08–$59.52 | — | 60% |
| Cytomegalovirus (CMV) antibody test CPT 86644 HC-Lab-Cmv Igg Ab | $52.80 | $132.00 | $7.71–$140.30 | 21% above | 60% |
| Cytomegalovirus (CMV) antibody test CPT 86644 HC-Lab-Ivf Panel Cmv Ab | $66.80 | $167.00 | $7.71–$177.50 | 53% above | 60% |
| Cytomegalovirus (CMV) antibody test CPT 86644 HC-Lab-Cmv Antibody | $68.00 | $170.00 | $7.71–$180.69 | 56% above | 60% |
| Cytomegalovirus (CMV) antibody test CPT 86644 HC-Lab-Cmv Antibody Ext | $134.40 | $336.00 | $7.71–$357.13 | 209% above | 60% |
| Cytomegalovirus (CMV) antibody test inpatient CPT 86644 HC-Lab-Cmv Igg Ab | $52.80 | $132.00 | $56.76–$140.30 | — | 60% |
| Cytomegalovirus (CMV) antibody test inpatient CPT 86644 HC-Lab-Ivf Panel Cmv Ab | $66.80 | $167.00 | $71.81–$177.50 | — | 60% |
| Cytomegalovirus (CMV) antibody test inpatient CPT 86644 HC-Lab-Cmv Antibody | $68.00 | $170.00 | $73.10–$180.69 | — | 60% |
| Cytomegalovirus (CMV) antibody test inpatient CPT 86644 HC-Lab-Cmv Antibody Ext | $134.40 | $336.00 | $144.48–$357.13 | — | 60% |
| D-dimer blood test (blood clot marker) CPT 85379 HC-Lab-D-Dimer Advanced | $52.00 | $130.00 | $5.46–$138.17 | 21% above | 60% |
| D-dimer blood test (blood clot marker) inpatient CPT 85379 HC-Lab-D-Dimer Advanced | $52.00 | $130.00 | $55.90–$138.17 | — | 60% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 HC-Lab-Dhea Sulfate | $86.40 | $216.00 | $11.92–$229.58 | 34% above | 60% |
| DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 HC-Lab-Dhea Sulfate | $86.40 | $216.00 | $92.88–$229.58 | — | 60% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC-Lab-Drug Scrn Pain Management | $11.60 | $29.00 | $12.47–$105.64 | 80% below | 60% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC-Lab-Drug Screen Meconium | $20.00 | $50.00 | $21.50–$105.64 | 66% below | 60% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC-Lab-Drug Scrn Plasma Mml | $24.80 | $62.00 | $26.66–$105.64 | 57% below | 60% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC-Lab-Gabapentin Urine | $33.60 | $84.00 | $33.31–$105.64 | 42% below | 60% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC-Lab-Hypoglycemic Agent Scrn | $36.00 | $90.00 | $33.31–$105.64 | 38% below | 60% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC-Lab-Cocaine Blood Screen | $38.00 | $95.00 | $33.31–$105.64 | 35% below | 60% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC-Lab-Ketamine and Metabolite | $40.00 | $100.00 | $33.31–$106.29 | 31% below | 60% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC-Lab-Gamma Hydroxy Butyrate | $43.60 | $109.00 | $33.31–$115.85 | 25% below | 60% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC-Lab-Cotinine Urine (Nicotine) | $44.80 | $112.00 | $33.31–$119.04 | 23% below | 60% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC-Lab-Synthetic Cannab Metab Screen UR | $50.40 | $126.00 | $33.31–$133.92 | 13% below | 60% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC-Lab-Fentanyl Qual Screen Urine | $86.40 | $216.00 | $33.31–$229.58 | 48% above | 60% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC-Lab-Drug Screen Serum | $86.40 | $216.00 | $33.31–$229.58 | 48% above | 60% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC-Lab-Amphetamine Screen UR | $86.40 | $216.00 | $33.31–$229.58 | 48% above | 60% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC-Lab-Benzodiazepine Screen Blood | $86.40 | $216.00 | $33.31–$229.58 | 48% above | 60% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC-Lab-Methadone Eddp Screen Urine | $86.40 | $216.00 | $33.31–$229.58 | 48% above | 60% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC-Lab-Oxycodone Screen UR | $86.40 | $216.00 | $33.31–$229.58 | 48% above | 60% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC-Lab-Drug Scrn Misc Substanc | $86.40 | $216.00 | $33.31–$229.58 | 48% above | 60% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC-Lab-Cannabinoid Screen UR | $87.60 | $219.00 | $33.31–$232.77 | 50% above | 60% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC-Lab-Opiate Screen UR | $87.60 | $219.00 | $33.31–$232.77 | 50% above | 60% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC-Lab-Benzodiazepine Screen U | $87.60 | $219.00 | $33.31–$232.77 | 50% above | 60% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC-Lab-Barbiturate Screen UR | $88.00 | $220.00 | $33.31–$233.83 | 51% above | 60% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC-Lab-Cocaine Screen UR | $89.60 | $224.00 | $33.31–$238.09 | 54% above | 60% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC-Lab-Ethyl Glucuronide Urine | $89.60 | $224.00 | $33.31–$238.09 | 54% above | 60% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC-Lab-Drug Screen Pnl Uds9b | $90.80 | $227.00 | $33.31–$241.27 | 56% above | 60% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC-Lab-Drug Screen Pnl Uds10 | $90.80 | $227.00 | $33.31–$241.27 | 56% above | 60% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC-Lab-Drug Screen Pnl Uds8 | $90.80 | $227.00 | $33.31–$241.27 | 56% above | 60% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC-Lab-Drug Screen Preliminary Urine Panel | $90.80 | $227.00 | $33.31–$241.27 | 56% above | 60% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC-Lab-Buprenorphine Urine Scr | $90.80 | $227.00 | $33.31–$241.27 | 56% above | 60% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC-Lab-Drug Screen Pnl Uds9m | $90.80 | $227.00 | $33.31–$241.27 | 56% above | 60% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC-Lab-Drug Scrn Drug Class List A | $91.20 | $228.00 | $33.31–$242.34 | 57% above | 60% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC-Lab-Drug Scrn Pain Management | $11.60 | $29.00 | $12.47–$30.82 | — | 60% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC-Lab-Drug Screen Meconium | $20.00 | $50.00 | $21.50–$53.14 | — | 60% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC-Lab-Drug Scrn Plasma Mml | $24.80 | $62.00 | $26.66–$65.90 | — | 60% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC-Lab-Gabapentin Urine | $33.60 | $84.00 | $36.12–$89.28 | — | 60% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC-Lab-Hypoglycemic Agent Scrn | $36.00 | $90.00 | $38.70–$95.66 | — | 60% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC-Lab-Cocaine Blood Screen | $38.00 | $95.00 | $40.85–$100.97 | — | 60% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC-Lab-Ketamine and Metabolite | $40.00 | $100.00 | $43.00–$106.29 | — | 60% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC-Lab-Gamma Hydroxy Butyrate | $43.60 | $109.00 | $46.87–$115.85 | — | 60% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC-Lab-Cotinine Urine (Nicotine) | $44.80 | $112.00 | $48.16–$119.04 | — | 60% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC-Lab-Synthetic Cannab Metab Screen UR | $50.40 | $126.00 | $54.18–$133.92 | — | 60% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC-Lab-Benzodiazepine Screen Blood | $86.40 | $216.00 | $92.88–$229.58 | — | 60% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC-Lab-Drug Scrn Misc Substanc | $86.40 | $216.00 | $92.88–$229.58 | — | 60% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC-Lab-Oxycodone Screen UR | $86.40 | $216.00 | $92.88–$229.58 | — | 60% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC-Lab-Fentanyl Qual Screen Urine | $86.40 | $216.00 | $92.88–$229.58 | — | 60% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC-Lab-Drug Screen Serum | $86.40 | $216.00 | $92.88–$229.58 | — | 60% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC-Lab-Amphetamine Screen UR | $86.40 | $216.00 | $92.88–$229.58 | — | 60% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC-Lab-Methadone Eddp Screen Urine | $86.40 | $216.00 | $92.88–$229.58 | — | 60% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC-Lab-Cannabinoid Screen UR | $87.60 | $219.00 | $94.17–$232.77 | — | 60% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC-Lab-Opiate Screen UR | $87.60 | $219.00 | $94.17–$232.77 | — | 60% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC-Lab-Benzodiazepine Screen U | $87.60 | $219.00 | $94.17–$232.77 | — | 60% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC-Lab-Barbiturate Screen UR | $88.00 | $220.00 | $94.60–$233.83 | — | 60% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC-Lab-Ethyl Glucuronide Urine | $89.60 | $224.00 | $96.32–$238.09 | — | 60% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC-Lab-Cocaine Screen UR | $89.60 | $224.00 | $96.32–$238.09 | — | 60% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC-Lab-Drug Screen Preliminary Urine Panel | $90.80 | $227.00 | $97.61–$241.27 | — | 60% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC-Lab-Buprenorphine Urine Scr | $90.80 | $227.00 | $97.61–$241.27 | — | 60% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC-Lab-Drug Screen Pnl Uds9b | $90.80 | $227.00 | $97.61–$241.27 | — | 60% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC-Lab-Drug Screen Pnl Uds8 | $90.80 | $227.00 | $97.61–$241.27 | — | 60% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC-Lab-Drug Screen Pnl Uds10 | $90.80 | $227.00 | $97.61–$241.27 | — | 60% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC-Lab-Drug Screen Pnl Uds9m | $90.80 | $227.00 | $97.61–$241.27 | — | 60% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC-Lab-Drug Scrn Drug Class List A | $91.20 | $228.00 | $98.04–$242.34 | — | 60% |
| Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 HC-Lab-Electrolyte Panel | $39.60 | $99.00 | $3.76–$105.23 | 24% above | 60% |
| Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 HC-Lab-Electrolytes Satellite-Ist | $39.60 | $99.00 | $3.76–$105.23 | 24% above | 60% |
| Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 HC-Lab-Electrolytes Satellite-Ist | $39.60 | $99.00 | $42.57–$105.23 | — | 60% |
| Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 HC-Lab-Electrolyte Panel | $39.60 | $99.00 | $42.57–$105.23 | — | 60% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 HC-Lab-Ebv Viral Capsid Ag Igg | $68.40 | $171.00 | $9.72–$181.75 | 7% above | 60% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 HC-Lab-Ebv Viral Capsid Ag Igm | $85.60 | $214.00 | $9.72–$227.46 | 34% above | 60% |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 HC-Lab-Ebv Viral Capsid Ag Igg | $68.40 | $171.00 | $73.53–$181.75 | — | 60% |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 HC-Lab-Ebv Viral Capsid Ag Igm | $85.60 | $214.00 | $92.02–$227.46 | — | 60% |
| Estradiol blood test CPT 82670 HC-Lab-Estradiol Serum (Repro/Endo) | $98.00 | $245.00 | $14.98–$260.41 | 25% above | 60% |
| Estradiol blood test CPT 82670 HC-Lab-Estradiol Serum | $99.60 | $249.00 | $14.98–$264.66 | 27% above | 60% |
| Estradiol blood test inpatient CPT 82670 HC-Lab-Estradiol Serum (Repro/Endo) | $98.00 | $245.00 | $105.35–$260.41 | — | 60% |
| Estradiol blood test inpatient CPT 82670 HC-Lab-Estradiol Serum | $99.60 | $249.00 | $107.07–$264.66 | — | 60% |
| FSH (follicle-stimulating hormone) test CPT 83001 HC-Lab-Fsh | $79.60 | $199.00 | $9.96–$211.51 | at median | 60% |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 HC-Lab-Fsh | $79.60 | $199.00 | $85.57–$211.51 | — | 60% |
| Fecal calprotectin (stool inflammation test) CPT 83993 HC-Lab-Calprotectin Fecal | $79.60 | $199.00 | $10.52–$211.51 | 26% above | 60% |
| Fecal calprotectin (stool inflammation test) inpatient CPT 83993 HC-Lab-Calprotectin Fecal | $79.60 | $199.00 | $85.57–$211.51 | — | 60% |
| Ferritin blood test (iron stores) CPT 82728 HC-Lab-Hemoglobinopathy Eval Ferritin | $18.80 | $47.00 | $7.31–$49.96 | 69% below | 60% |
| Ferritin blood test (iron stores) CPT 82728 HC-Lab-Ferritin | $52.00 | $130.00 | $7.31–$138.17 | 13% below | 60% |
| Ferritin blood test (iron stores) inpatient CPT 82728 HC-Lab-Hemoglobinopathy Eval Ferritin | $18.80 | $47.00 | $20.21–$49.96 | — | 60% |
| Ferritin blood test (iron stores) inpatient CPT 82728 HC-Lab-Ferritin | $52.00 | $130.00 | $55.90–$138.17 | — | 60% |
| Fibrinogen blood test CPT 85384 HC-Lab-Fibrinogen Activity | $36.40 | $91.00 | $5.21–$96.72 | 26% above | 60% |
| Fibrinogen blood test inpatient CPT 85384 HC-Lab-Fibrinogen Activity | $36.40 | $91.00 | $39.13–$96.72 | — | 60% |
| Folate (folic acid) blood test CPT 82746 HC-Lab-Folic Acid | $45.20 | $113.00 | $7.88–$120.11 | 42% below | 60% |
| Folate (folic acid) blood test inpatient CPT 82746 HC-Lab-Folic Acid | $45.20 | $113.00 | $48.59–$120.11 | — | 60% |
| Free T3 thyroid hormone test CPT 84481 HC-Lab-T3 Free | $46.40 | $116.00 | $9.08–$123.29 | 30% below | 60% |
| Free T3 thyroid hormone test inpatient CPT 84481 HC-Lab-T3 Free | $46.40 | $116.00 | $49.88–$123.29 | — | 60% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 HC-Lab-T4 Free by Dialysis | $10.40 | $26.00 | $4.83–$27.63 | 66% below | 60% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 HC-Lab-T4 (Thyroxine) Free | $74.80 | $187.00 | $4.83–$198.76 | 141% above | 60% |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 HC-Lab-T4 Free by Dialysis | $10.40 | $26.00 | $11.18–$27.63 | — | 60% |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 HC-Lab-T4 (Thyroxine) Free | $74.80 | $187.00 | $80.41–$198.76 | — | 60% |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 HC-Lab-Gamma Glutamyl Transpep | $35.20 | $88.00 | $3.86–$93.53 | 15% above | 60% |
| Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 HC-Lab-Gamma Glutamyl Transpep | $35.20 | $88.00 | $37.84–$93.53 | — | 60% |
| General health panel: metabolic panel, blood count and TSH in one order CPT 80050 HC-Lab-General Health Panel | $154.80 | $387.00 | $33.43–$411.34 | 14% below | 60% |
| General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 HC-Lab-General Health Panel | $154.80 | $387.00 | $166.41–$411.34 | — | 60% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 HC-Lab-Glucose Postprandial | $22.00 | $55.00 | $2.55–$58.46 | 1% above | 60% |
| Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 HC-Lab-Glucose Postprandial | $22.00 | $55.00 | $23.65–$58.46 | — | 60% |
| Glucose tolerance test, 3 samples CPT 82951 HC-Lab-Glucose Tolerance, 3 Hr 3 Specimens | $77.60 | $194.00 | $6.90–$206.20 | 35% above | 60% |
| Glucose tolerance test, 3 samples inpatient CPT 82951 HC-Lab-Glucose Tolerance, 3 Hr 3 Specimens | $77.60 | $194.00 | $83.42–$206.20 | — | 60% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC-Lab-Dna/Rna Neisseria | $58.00 | $145.00 | $18.81–$154.12 | 39% below | 60% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC-Lab-Ivf Panel Dna/Rna Neisseria | $90.00 | $225.00 | $18.81–$239.15 | 6% below | 60% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HC-Lab-Dna/Rna Neisseria | $58.00 | $145.00 | $62.35–$154.12 | — | 60% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HC-Lab-Ivf Panel Dna/Rna Neisseria | $90.00 | $225.00 | $96.75–$239.15 | — | 60% |
| H. pylori antibody blood test CPT 86677 HC-Lab-H Pylori Igg | $46.00 | $115.00 | $9.03–$122.23 | 22% below | 60% |
| H. pylori antibody blood test inpatient CPT 86677 HC-Lab-H Pylori Igg | $46.00 | $115.00 | $49.45–$122.23 | — | 60% |
| H. pylori stool antigen test CPT 87338 HC-Lab-H Pylori Ag | $86.40 | $216.00 | $7.71–$229.58 | 36% above | 60% |
| H. pylori stool antigen test inpatient CPT 87338 HC-Lab-H Pylori Ag | $86.40 | $216.00 | $92.88–$229.58 | — | 60% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HC-Confidential Lab | $220.00 | $550.00 | $45.61–$584.59 | 21% above | 60% |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HC-Confidential Lab | $220.00 | $550.00 | $236.50–$584.59 | — | 60% |
| HIV-1 and HIV-2 antibody test CPT 86703 HC-Lab-Ivf Panel Ahiv | $35.20 | $88.00 | $7.35–$93.53 | 25% below | 60% |
| HIV-1 and HIV-2 antibody test CPT 86703 HC-Confidential Lab | $68.00 | $170.00 | $7.35–$180.69 | 45% above | 60% |
| HIV-1 and HIV-2 antibody test inpatient CPT 86703 HC-Lab-Ivf Panel Ahiv | $35.20 | $88.00 | $37.84–$93.53 | — | 60% |
| HIV-1 and HIV-2 antibody test inpatient CPT 86703 HC-Confidential Lab | $68.00 | $170.00 | $73.10–$180.69 | — | 60% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 HC-Lab-Dna/Rna Hpv | $84.80 | $212.00 | $18.81–$225.33 | 15% above | 60% |
| HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HC-Lab-Dna/Rna Hpv | $84.80 | $212.00 | $91.16–$225.33 | — | 60% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HC-Lab-POC-Hemoglobin Glycosylated | $37.60 | $94.00 | $5.20–$99.91 | 7% below | 60% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HC-Lab-Hemoglobin A1c | $39.20 | $98.00 | $5.20–$104.16 | 3% below | 60% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HC-Lab-Hemoglobin A1c POC | $39.60 | $99.00 | $5.20–$105.23 | 2% below | 60% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HC-Lab-POC-Hemoglobin Glycosylated | $37.60 | $94.00 | $40.42–$99.91 | — | 60% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HC-Lab-Hemoglobin A1c | $39.20 | $98.00 | $42.14–$104.16 | — | 60% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HC-Lab-Hemoglobin A1c POC | $39.60 | $99.00 | $42.57–$105.23 | — | 60% |
| Hemoglobin blood test CPT 85018 HC-Lab-Hcah POC-Hemoglobin Blood Gas | $22.40 | $56.00 | $1.27–$59.52 | 40% above | 60% |
| Hemoglobin blood test CPT 85018 HC-Lab-Hemoglobin Bld Gas POC | $22.40 | $56.00 | $1.27–$59.52 | 40% above | 60% |
| Hemoglobin blood test CPT 85018 HC-Lab-Hemoglobin POC | $28.00 | $70.00 | $1.27–$74.40 | 75% above | 60% |
| Hemoglobin blood test inpatient CPT 85018 HC-Lab-Hemoglobin Bld Gas POC | $22.40 | $56.00 | $24.08–$59.52 | — | 60% |
| Hemoglobin blood test inpatient CPT 85018 HC-Lab-Hcah POC-Hemoglobin Blood Gas | $22.40 | $56.00 | $24.08–$59.52 | — | 60% |
| Hemoglobin blood test inpatient CPT 85018 HC-Lab-Hemoglobin POC | $28.00 | $70.00 | $30.10–$74.40 | — | 60% |
| Hepatitis B core antibody test (total) CPT 86704 HC-Lab-Ivf Panel Hep B Core Ab Total | $30.80 | $77.00 | $6.46–$81.84 | 30% below | 60% |
| Hepatitis B core antibody test (total) CPT 86704 HC-Lab-Hep B Core Igg Igm | $50.00 | $125.00 | $6.46–$132.86 | 13% above | 60% |
| Hepatitis B core antibody test (total) inpatient CPT 86704 HC-Lab-Ivf Panel Hep B Core Ab Total | $30.80 | $77.00 | $33.11–$81.84 | — | 60% |
| Hepatitis B core antibody test (total) inpatient CPT 86704 HC-Lab-Hep B Core Igg Igm | $50.00 | $125.00 | $53.75–$132.86 | — | 60% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HC-Lab-Hepatitis B Surf Ab Medicare W Preg | $51.20 | $128.00 | $5.76–$136.05 | 22% above | 60% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HC-Lab-Hepatitis B Surf Ab Medicare W Preg | $51.20 | $128.00 | $55.04–$136.05 | — | 60% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HC-Lab-Ivf Panel Hep B Surf Ag | $26.80 | $67.00 | $5.54–$71.21 | 42% below | 60% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HC-Lab-Hepatitis B Surf Ag Medicare W Preg | $57.20 | $143.00 | $5.54–$151.99 | 23% above | 60% |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HC-Lab-Ivf Panel Hep B Surf Ag | $26.80 | $67.00 | $28.81–$71.21 | — | 60% |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HC-Lab-Hepatitis B Surf Ag Medicare W Preg | $57.20 | $143.00 | $61.49–$151.99 | — | 60% |
| Hepatitis C antibody blood test (screening) CPT 86803 HC-Lab-Ivf Panel Hep C Ab | $36.80 | $92.00 | $7.65–$97.79 | 23% below | 60% |
| Hepatitis C antibody blood test (screening) CPT 86803 HC-Lab-Hep C Antibody | $68.00 | $170.00 | $7.65–$180.69 | 42% above | 60% |
| Hepatitis C antibody blood test (screening) CPT 86803 HC-Lab-Hepatitis C Ab | $80.80 | $202.00 | $7.65–$214.70 | 68% above | 60% |
| Hepatitis C antibody blood test (screening) CPT 86803 HC-Lab-Hep C Antibody Ext | $134.40 | $336.00 | $7.65–$357.13 | 180% above | 60% |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 HC-Lab-Ivf Panel Hep C Ab | $36.80 | $92.00 | $39.56–$97.79 | — | 60% |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 HC-Lab-Hep C Antibody | $68.00 | $170.00 | $73.10–$180.69 | — | 60% |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 HC-Lab-Hepatitis C Ab | $80.80 | $202.00 | $86.86–$214.70 | — | 60% |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 HC-Lab-Hep C Antibody Ext | $134.40 | $336.00 | $144.48–$357.13 | — | 60% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HC-Lab-Dna/Rna Hcv Quant Mayo | $53.20 | $133.00 | $22.96–$141.36 | 60% below | 60% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HC-Lab-Dna/Rna Hcv Quant | $184.00 | $460.00 | $22.96–$488.93 | 40% above | 60% |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HC-Lab-Dna/Rna Hcv Quant Mayo | $53.20 | $133.00 | $57.19–$141.36 | — | 60% |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HC-Lab-Dna/Rna Hcv Quant | $184.00 | $460.00 | $197.80–$488.93 | — | 60% |
| Herpes blood test, HSV-1 antibody CPT 86695 HC-Lab-Hsv 1 Igg Ab | $64.40 | $161.00 | $7.07–$171.12 | 55% above | 60% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HC-Lab-Hsv 1 Igg Ab | $64.40 | $161.00 | $69.23–$171.12 | — | 60% |
| Herpes blood test, HSV-2 antibody CPT 86696 HC-Lab-Hsv 2 Igg Ab | $64.40 | $161.00 | $10.37–$171.12 | 25% above | 60% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HC-Lab-Hsv 2 Igg Ab | $64.40 | $161.00 | $69.23–$171.12 | — | 60% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 HC-Lab-C-Reactive Prot Hs Qnt | $24.80 | $62.00 | $6.94–$65.90 | 57% below | 60% |
| High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 HC-Lab-C-Reactive Prot Hs Qnt | $24.80 | $62.00 | $26.66–$65.90 | — | 60% |
| Homocysteine blood test CPT 83090 HC-Lab-Homocysteine | $51.20 | $128.00 | $9.61–$136.05 | 33% below | 60% |
| Homocysteine blood test inpatient CPT 83090 HC-Lab-Homocysteine | $51.20 | $128.00 | $55.04–$136.05 | — | 60% |
| Insulin blood test CPT 83525 HC-Lab-Insulin | $52.00 | $130.00 | $6.13–$138.17 | 42% above | 60% |
| Insulin blood test inpatient CPT 83525 HC-Lab-Insulin | $52.00 | $130.00 | $55.90–$138.17 | — | 60% |
| Iron blood test (serum iron) CPT 83540 HC-Lab-Iron Liver Tissue | $16.80 | $42.00 | $3.47–$44.64 | 43% below | 60% |
| Iron blood test (serum iron) CPT 83540 HC-Lab-Iron | $24.00 | $60.00 | $3.47–$63.77 | 18% below | 60% |
| Iron blood test (serum iron) inpatient CPT 83540 HC-Lab-Iron Liver Tissue | $16.80 | $42.00 | $18.06–$44.64 | — | 60% |
| Iron blood test (serum iron) inpatient CPT 83540 HC-Lab-Iron | $24.00 | $60.00 | $25.80–$63.77 | — | 60% |
| Iron-binding capacity (TIBC) test CPT 83550 HC-Lab-Iron Binding Cap | $29.60 | $74.00 | $4.68–$78.65 | 26% below | 60% |
| Iron-binding capacity (TIBC) test inpatient CPT 83550 HC-Lab-Iron Binding Cap | $29.60 | $74.00 | $31.82–$78.65 | — | 60% |
| Kidney function blood test panel CPT 80069 HC-Lab-Renal Function Panel | $66.40 | $166.00 | $4.65–$176.44 | 8% above | 60% |
| Kidney function blood test panel inpatient CPT 80069 HC-Lab-Renal Function Panel | $66.40 | $166.00 | $71.38–$176.44 | — | 60% |
| LH (luteinizing hormone) test CPT 83002 HC-Lab Luteinizing Hormone (Art Lab) | $70.00 | $175.00 | $9.93–$186.00 | 8% below | 60% |
| LH (luteinizing hormone) test CPT 83002 HC-Lab-Luteinizing Hormone | $70.00 | $175.00 | $9.93–$186.00 | 8% below | 60% |
| LH (luteinizing hormone) test inpatient CPT 83002 HC-Lab-Luteinizing Hormone | $70.00 | $175.00 | $75.25–$186.00 | — | 60% |
| LH (luteinizing hormone) test inpatient CPT 83002 HC-Lab Luteinizing Hormone (Art Lab) | $70.00 | $175.00 | $75.25–$186.00 | — | 60% |
| Lactate (lactic acid) blood test CPT 83605 HC-Lab-POC-Lactate | $16.00 | $40.00 | $6.20–$42.52 | 64% below | 60% |
| Lactate (lactic acid) blood test CPT 83605 HC-Lab-Lactic Acid (Resp) | $46.80 | $117.00 | $6.20–$124.36 | 4% above | 60% |
| Lactate (lactic acid) blood test CPT 83605 HC-Lab-Lactic Acid Bld Gas POC | $50.80 | $127.00 | $6.20–$134.99 | 13% above | 60% |
| Lactate (lactic acid) blood test CPT 83605 HC-Lab-Lactic Acid | $51.60 | $129.00 | $6.20–$137.11 | 15% above | 60% |
| Lactate (lactic acid) blood test CPT 83605 HC-Lab-Assay of Lactic Acid | $51.60 | $129.00 | $6.20–$137.11 | 15% above | 60% |
| Lactate (lactic acid) blood test CPT 83605 HC-Lab-D-Lactate Urine | $133.20 | $333.00 | $6.20–$353.94 | 196% above | 60% |
| Lactate (lactic acid) blood test inpatient CPT 83605 HC-Lab-POC-Lactate | $16.00 | $40.00 | $17.20–$42.52 | — | 60% |
| Lactate (lactic acid) blood test inpatient CPT 83605 HC-Lab-Lactic Acid (Resp) | $46.80 | $117.00 | $50.31–$124.36 | — | 60% |
| Lactate (lactic acid) blood test inpatient CPT 83605 HC-Lab-Lactic Acid Bld Gas POC | $50.80 | $127.00 | $54.61–$134.99 | — | 60% |
| Lactate (lactic acid) blood test inpatient CPT 83605 HC-Lab-Lactic Acid | $51.60 | $129.00 | $55.47–$137.11 | — | 60% |
| Lactate (lactic acid) blood test inpatient CPT 83605 HC-Lab-Assay of Lactic Acid | $51.60 | $129.00 | $55.47–$137.11 | — | 60% |
| Lactate (lactic acid) blood test inpatient CPT 83605 HC-Lab-D-Lactate Urine | $133.20 | $333.00 | $143.19–$353.94 | — | 60% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 HC-Lab-Lactic Dehydrogenase | $29.60 | $74.00 | $3.24–$78.65 | 23% above | 60% |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 HC-Lab-Lactic Dehydrogenase | $29.60 | $74.00 | $31.82–$78.65 | — | 60% |
| Lipase blood test (pancreas enzyme) CPT 83690 HC-Lab-Lipase | $34.80 | $87.00 | $3.69–$92.47 | 12% above | 60% |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 HC-Lab-Lipase | $34.80 | $87.00 | $37.41–$92.47 | — | 60% |
| Liver function blood test panel CPT 80076 HC-Lab-Hepatic Function Panel | $48.80 | $122.00 | $4.38–$129.67 | 4% above | 60% |
| Liver function blood test panel inpatient CPT 80076 HC-Lab-Hepatic Function Panel | $48.80 | $122.00 | $52.46–$129.67 | — | 60% |
| Lyme disease antibody test CPT 86618 HC-Lab-Borrelia Ab (Lyme) Ser Mml | $7.20 | $18.00 | $7.74–$28.95 | 72% below | 60% |
| Lyme disease antibody test CPT 86618 HC-Lab-Borrelia Ab (Lyme) CSF | $14.00 | $35.00 | $9.13–$37.20 | 46% below | 60% |
| Lyme disease antibody test CPT 86618 HC-Lab-Tick Ab Pnl Lyme Disease | $15.20 | $38.00 | $9.13–$40.39 | 42% below | 60% |
| Lyme disease antibody test CPT 86618 HC-Lab-Borrelia Ab(Lyme)Ser | $32.00 | $80.00 | $9.13–$85.03 | 23% above | 60% |
| Lyme disease antibody test inpatient CPT 86618 HC-Lab-Borrelia Ab (Lyme) Ser Mml | $7.20 | $18.00 | $7.74–$19.13 | — | 60% |
| Lyme disease antibody test inpatient CPT 86618 HC-Lab-Borrelia Ab (Lyme) CSF | $14.00 | $35.00 | $15.05–$37.20 | — | 60% |
| Lyme disease antibody test inpatient CPT 86618 HC-Lab-Tick Ab Pnl Lyme Disease | $15.20 | $38.00 | $16.34–$40.39 | — | 60% |
| Lyme disease antibody test inpatient CPT 86618 HC-Lab-Borrelia Ab(Lyme)Ser | $32.00 | $80.00 | $34.40–$85.03 | — | 60% |
| Magnesium blood test CPT 83735 HC-Lab-Supersaturation UR Random Magnesium | $4.40 | $11.00 | $3.59–$11.69 | 78% below | 60% |
| Magnesium blood test CPT 83735 HC-Lab-Magnesium | $26.80 | $67.00 | $3.59–$71.21 | 34% above | 60% |
| Magnesium blood test inpatient CPT 83735 HC-Lab-Supersaturation UR Random Magnesium | $4.40 | $11.00 | $4.73–$11.69 | — | 60% |
| Magnesium blood test inpatient CPT 83735 HC-Lab-Magnesium | $26.80 | $67.00 | $28.81–$71.21 | — | 60% |
| Measles (rubeola) antibody test CPT 86765 HC-Lab-Rubeola Igm Ab | $8.00 | $20.00 | $6.90–$21.90 | 68% below | 60% |
| Measles (rubeola) antibody test CPT 86765 HC-Lab-Rubeola Igg Ab | $52.40 | $131.00 | $6.90–$139.24 | 112% above | 60% |
| Measles (rubeola) antibody test inpatient CPT 86765 HC-Lab-Rubeola Igm Ab | $8.00 | $20.00 | $8.60–$21.26 | — | 60% |
| Measles (rubeola) antibody test inpatient CPT 86765 HC-Lab-Rubeola Igg Ab | $52.40 | $131.00 | $56.33–$139.24 | — | 60% |
| Mono test (heterophile antibody, Monospot) CPT 86308 HC-Lab-Infectious Mono Screen POC | $26.40 | $66.00 | $2.78–$70.15 | 35% below | 60% |
| Mono test (heterophile antibody, Monospot) CPT 86308 HC-Lab-Infect.Mononucleosis | $40.00 | $100.00 | $2.78–$106.29 | 1% below | 60% |
| Mono test (heterophile antibody, Monospot) inpatient CPT 86308 HC-Lab-Infectious Mono Screen POC | $26.40 | $66.00 | $28.38–$70.15 | — | 60% |
| Mono test (heterophile antibody, Monospot) inpatient CPT 86308 HC-Lab-Infect.Mononucleosis | $40.00 | $100.00 | $43.00–$106.29 | — | 60% |
| Mumps immunity blood test CPT 86735 HC-Lab-Mumps Igg Ab | $52.40 | $131.00 | $6.99–$139.24 | 109% above | 60% |
| Mumps immunity blood test inpatient CPT 86735 HC-Lab-Mumps Igg Ab | $52.40 | $131.00 | $56.33–$139.24 | — | 60% |
| Obstetric blood test panel CPT 80055 HC-Lab-Obstetric Panel | $219.20 | $548.00 | $43.15–$582.46 | 25% above | 60% |
| Obstetric blood test panel inpatient CPT 80055 HC-Lab-Obstetric Panel | $219.20 | $548.00 | $235.64–$582.46 | — | 60% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 HC-Lab-Prostate Specific Ag Fr | $8.00 | $20.00 | $8.60–$31.26 | 86% below | 60% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 HC-Lab-Prostate Specific Ag Fr | $8.00 | $20.00 | $8.60–$21.26 | — | 60% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC-Lab-Prostate Specific Ag Ultrasensitive | $10.00 | $25.00 | $9.86–$31.26 | 81% below | 60% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC-Lab-Prostate Specific Ag | $58.00 | $145.00 | $9.86–$154.12 | 13% above | 60% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC-Lab-Prostate Specific Ag Ultrasensitive | $10.00 | $25.00 | $10.75–$26.57 | — | 60% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC-Lab-Prostate Specific Ag | $58.00 | $145.00 | $62.35–$154.12 | — | 60% |
| Parathyroid hormone (PTH) blood test CPT 83970 HC-Lab-Parathyroid Hormone | $133.20 | $333.00 | $22.13–$353.94 | 1% below | 60% |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 HC-Lab-Parathyroid Hormone | $133.20 | $333.00 | $143.19–$353.94 | — | 60% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC-Lab-Partial Thromboplastin | $26.80 | $67.00 | $3.22–$71.21 | 14% below | 60% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC-Lab-Partial Thromboplastin | $26.80 | $67.00 | $28.81–$71.21 | — | 60% |
| Phosphorus (phosphate) blood test CPT 84100 HC-Lab-Phosphorus | $20.80 | $52.00 | $2.54–$55.27 | 1% below | 60% |
| Phosphorus (phosphate) blood test inpatient CPT 84100 HC-Lab-Phosphorus | $20.80 | $52.00 | $22.36–$55.27 | — | 60% |
| Potassium blood test CPT 84132 HC-Lab-Istat Pnl Potassium POC | $4.00 | $10.00 | $2.55–$10.63 | 83% below | 60% |
| Potassium blood test CPT 84132 HC-Lab-POC-Potassium | $5.60 | $14.00 | $2.55–$14.88 | 77% below | 60% |
| Potassium blood test CPT 84132 HC-Lab-Potassium: Serum, Plasma, or Whole Blood | $18.80 | $47.00 | $2.55–$49.96 | 21% below | 60% |
| Potassium blood test CPT 84132 HC-Lab-Potassium Bld Gas POC | $18.80 | $47.00 | $2.55–$49.96 | 21% below | 60% |
| Potassium blood test CPT 84132 HC-Lab-Potassium Ser/Pl/Bld | $18.80 | $47.00 | $2.55–$49.96 | 21% below | 60% |
| Potassium blood test CPT 84132 HC-Lab-Potassium Fluid | $19.20 | $48.00 | $2.55–$51.02 | 20% below | 60% |
| Potassium blood test CPT 84132 HC-Lab-Hcah POC-Potassium Blood Gas | $19.20 | $48.00 | $2.55–$51.02 | 20% below | 60% |
| Potassium blood test CPT 84132 HC-Lab-Potassium Ser/Plasma/B | $19.60 | $49.00 | $2.55–$52.08 | 18% below | 60% |
| Potassium blood test CPT 84132 HC-Lab-Potassium RBC | $20.80 | $52.00 | $2.55–$55.27 | 13% below | 60% |
| Potassium blood test inpatient CPT 84132 HC-Lab-Istat Pnl Potassium POC | $4.00 | $10.00 | $4.30–$10.63 | — | 60% |
| Potassium blood test inpatient CPT 84132 HC-Lab-POC-Potassium | $5.60 | $14.00 | $6.02–$14.88 | — | 60% |
| Potassium blood test inpatient CPT 84132 HC-Lab-Potassium Ser/Pl/Bld | $18.80 | $47.00 | $20.21–$49.96 | — | 60% |
| Potassium blood test inpatient CPT 84132 HC-Lab-Potassium Bld Gas POC | $18.80 | $47.00 | $20.21–$49.96 | — | 60% |
| Potassium blood test inpatient CPT 84132 HC-Lab-Potassium: Serum, Plasma, or Whole Blood | $18.80 | $47.00 | $20.21–$49.96 | — | 60% |
| Potassium blood test inpatient CPT 84132 HC-Lab-Potassium Fluid | $19.20 | $48.00 | $20.64–$51.02 | — | 60% |
| Potassium blood test inpatient CPT 84132 HC-Lab-Hcah POC-Potassium Blood Gas | $19.20 | $48.00 | $20.64–$51.02 | — | 60% |
| Potassium blood test inpatient CPT 84132 HC-Lab-Potassium Ser/Plasma/B | $19.60 | $49.00 | $21.07–$52.08 | — | 60% |
| Potassium blood test inpatient CPT 84132 HC-Lab-Potassium RBC | $20.80 | $52.00 | $22.36–$55.27 | — | 60% |
| Progesterone blood test CPT 84144 HC-Lab-CAH Progesterone | $22.00 | $55.00 | $11.18–$58.46 | 65% below | 60% |
| Progesterone blood test CPT 84144 HC-Lab-Progesterone (Repro/Endo) | $93.60 | $234.00 | $11.18–$248.71 | 47% above | 60% |
| Progesterone blood test CPT 84144 HC-Lab-Progesterone | $100.00 | $250.00 | $11.18–$265.72 | 57% above | 60% |
| Progesterone blood test inpatient CPT 84144 HC-Lab-CAH Progesterone | $22.00 | $55.00 | $23.65–$58.46 | — | 60% |
| Progesterone blood test inpatient CPT 84144 HC-Lab-Progesterone (Repro/Endo) | $93.60 | $234.00 | $100.62–$248.71 | — | 60% |
| Progesterone blood test inpatient CPT 84144 HC-Lab-Progesterone | $100.00 | $250.00 | $107.50–$265.72 | — | 60% |
| Prolactin blood test CPT 84146 HC-Lab-Macroprolactin | $11.60 | $29.00 | $10.39–$32.95 | 84% below | 60% |
| Prolactin blood test CPT 84146 HC-Lab-Prolactin (Hprl) | $94.40 | $236.00 | $10.39–$250.84 | 29% above | 60% |
| Prolactin blood test inpatient CPT 84146 HC-Lab-Macroprolactin | $11.60 | $29.00 | $12.47–$30.82 | — | 60% |
| Prolactin blood test inpatient CPT 84146 HC-Lab-Prolactin (Hprl) | $94.40 | $236.00 | $101.48–$250.84 | — | 60% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC-Lab-POC-Prothrombin Time | $20.80 | $52.00 | $2.30–$55.27 | 7% above | 60% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC-Lab-Prothrombin Time ER | $21.20 | $53.00 | $2.30–$56.33 | 9% above | 60% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC-Lab-Prothrombin Time | $21.20 | $53.00 | $2.30–$56.33 | 9% above | 60% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC-Lab-Prothombin Time POC | $21.60 | $54.00 | $2.30–$57.40 | 11% above | 60% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC-Lab-POC-Prothrombin Time | $20.80 | $52.00 | $22.36–$55.27 | — | 60% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC-Lab-Prothrombin Time | $21.20 | $53.00 | $22.79–$56.33 | — | 60% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC-Lab-Prothrombin Time ER | $21.20 | $53.00 | $22.79–$56.33 | — | 60% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC-Lab-Prothombin Time POC | $21.60 | $54.00 | $23.22–$57.40 | — | 60% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 HC-Lab-Drug Screen Prelim UR Pnl POC | $41.20 | $103.00 | $6.75–$109.48 | 10% above | 60% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 HC-Lab-Phencyclidine Screen UR | $84.80 | $212.00 | $6.75–$225.33 | 125% above | 60% |
| Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 HC-Lab-Drug Screen Prelim UR Pnl POC | $41.20 | $103.00 | $44.29–$109.48 | — | 60% |
| Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 HC-Lab-Phencyclidine Screen UR | $84.80 | $212.00 | $91.16–$225.33 | — | 60% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 HC-Lab-Strep a POC | $32.00 | $80.00 | $8.86–$85.03 | 40% below | 60% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 HC-Lab-Strep a ER | $34.80 | $87.00 | $8.86–$92.47 | 35% below | 60% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 HC-Lab-Hcah POC-Streptococcus Group A | $77.60 | $194.00 | $8.86–$206.20 | 45% above | 60% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 HC-Lab-POC-Streptococcus Group A | $78.00 | $195.00 | $8.86–$207.26 | 46% above | 60% |
| Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 HC-Lab-Strep a POC | $32.00 | $80.00 | $34.40–$85.03 | — | 60% |
| Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 HC-Lab-Strep a ER | $34.80 | $87.00 | $37.41–$92.47 | — | 60% |
| Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 HC-Lab-Hcah POC-Streptococcus Group A | $77.60 | $194.00 | $83.42–$206.20 | — | 60% |
| Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 HC-Lab-POC-Streptococcus Group A | $78.00 | $195.00 | $83.85–$207.26 | — | 60% |
| Renin blood test CPT 84244 HC-Lab-Renin (Direct Plasma Mass) | $43.20 | $108.00 | $11.79–$114.79 | 4% above | 60% |
| Renin blood test inpatient CPT 84244 HC-Lab-Renin (Direct Plasma Mass) | $43.20 | $108.00 | $46.44–$114.79 | — | 60% |
| Rh blood typing CPT 86901 HC-Lab-Blood Typing Rh(D) | $20.80 | $52.00 | $2.70–$55.27 | at median | 60% |
| Rh blood typing inpatient CPT 86901 HC-Lab-Blood Typing Rh(D) | $20.80 | $52.00 | $22.36–$55.27 | — | 60% |
| Rheumatoid factor (RF) test CPT 86431 HC-Lab-Rheumatoid Factor Quant | $36.80 | $92.00 | $3.04–$97.79 | 7% above | 60% |
| Rheumatoid factor (RF) test inpatient CPT 86431 HC-Lab-Rheumatoid Factor Quant | $36.80 | $92.00 | $39.56–$97.79 | — | 60% |
| Rubella antibody test (immunity check) CPT 86762 HC-Lab-Rubella Igg Ab | $31.20 | $78.00 | $7.71–$82.90 | 39% below | 60% |
| Rubella antibody test (immunity check) inpatient CPT 86762 HC-Lab-Rubella Igg Ab | $31.20 | $78.00 | $33.54–$82.90 | — | 60% |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 HC-Lab-Sedimentation Rate Automated | $40.40 | $101.00 | $1.45–$107.35 | 68% above | 60% |
| Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 HC-Lab-Sedimentation Rate Automated | $40.40 | $101.00 | $43.43–$107.35 | — | 60% |
| Sodium blood test CPT 84295 HC-Lab-Istat Pnl Sodium POC | $4.00 | $10.00 | $2.58–$10.63 | 81% below | 60% |
| Sodium blood test CPT 84295 HC-Lab-POC-Sodium | $4.80 | $12.00 | $2.58–$12.75 | 77% below | 60% |
| Sodium blood test CPT 84295 HC-Lab-Sodium (Whole Blood) | $22.40 | $56.00 | $2.58–$59.52 | 8% above | 60% |
| Sodium blood test CPT 84295 HC-Lab-Hcah POC-Sodium Blood Gas | $22.40 | $56.00 | $2.58–$59.52 | 8% above | 60% |
| Sodium blood test CPT 84295 HC-Lab-Sodium Bld Gas POC | $22.40 | $56.00 | $2.58–$59.52 | 8% above | 60% |
| Sodium blood test CPT 84295 HC-Lab-Sodium Ser/Pl/Bld | $24.00 | $60.00 | $2.58–$63.77 | 15% above | 60% |
| Sodium blood test CPT 84295 HC-Lab-Sodium-Serum/Wh Blood | $24.80 | $62.00 | $2.58–$65.90 | 19% above | 60% |
| Sodium blood test inpatient CPT 84295 HC-Lab-Istat Pnl Sodium POC | $4.00 | $10.00 | $4.30–$10.63 | — | 60% |
| Sodium blood test inpatient CPT 84295 HC-Lab-POC-Sodium | $4.80 | $12.00 | $5.16–$12.75 | — | 60% |
| Sodium blood test inpatient CPT 84295 HC-Lab-Hcah POC-Sodium Blood Gas | $22.40 | $56.00 | $24.08–$59.52 | — | 60% |
| Sodium blood test inpatient CPT 84295 HC-Lab-Sodium (Whole Blood) | $22.40 | $56.00 | $24.08–$59.52 | — | 60% |
| Sodium blood test inpatient CPT 84295 HC-Lab-Sodium Bld Gas POC | $22.40 | $56.00 | $24.08–$59.52 | — | 60% |
| Sodium blood test inpatient CPT 84295 HC-Lab-Sodium Ser/Pl/Bld | $24.00 | $60.00 | $25.80–$63.77 | — | 60% |
| Sodium blood test inpatient CPT 84295 HC-Lab-Sodium-Serum/Wh Blood | $24.80 | $62.00 | $26.66–$65.90 | — | 60% |
| Stool ova and parasites exam CPT 87177 HC-Lab-Ova & Parasite Aspirate | $47.20 | $118.00 | $4.77–$125.42 | 8% above | 60% |
| Stool ova and parasites exam CPT 87177 HC-Lab-Ova & Parasite Stool | $51.20 | $128.00 | $4.77–$136.05 | 17% above | 60% |
| Stool ova and parasites exam inpatient CPT 87177 HC-Lab-Ova & Parasite Aspirate | $47.20 | $118.00 | $50.74–$125.42 | — | 60% |
| Stool ova and parasites exam inpatient CPT 87177 HC-Lab-Ova & Parasite Stool | $51.20 | $128.00 | $55.04–$136.05 | — | 60% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 HC-Lab-Blood Occ Qual:Feces 3 | $16.80 | $42.00 | $2.35–$44.64 | 4% below | 60% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 HC-Lab-Screen Fecal Occult Blo | $16.80 | $42.00 | $2.35–$44.64 | 4% below | 60% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 HC-Bld Occult Qual:Feces 1-3 | $17.20 | $43.00 | $2.35–$45.70 | 2% below | 60% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 HC-Lab-Hcah POC-Screen Fecal Occult Blood | $17.20 | $43.00 | $2.35–$45.70 | 2% below | 60% |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 HC-Lab-Blood Occ Qual:Feces 3 | $16.80 | $42.00 | $18.06–$44.64 | — | 60% |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 HC-Lab-Screen Fecal Occult Blo | $16.80 | $42.00 | $18.06–$44.64 | — | 60% |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 HC-Bld Occult Qual:Feces 1-3 | $17.20 | $43.00 | $18.49–$45.70 | — | 60% |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 HC-Lab-Hcah POC-Screen Fecal Occult Blood | $17.20 | $43.00 | $18.49–$45.70 | — | 60% |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 HC-Lab-Bld Occult Fecal Hgb Immunoassay | $40.80 | $102.00 | $8.53–$108.41 | 13% below | 60% |
| Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 HC-Lab-Bld Occult Fecal Hgb Immunoassay | $40.80 | $102.00 | $43.86–$108.41 | — | 60% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 HC-Lab-T Pallidum Igg CSF | $4.00 | $10.00 | $4.30–$22.51 | 91% below | 60% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 HC-Lab-Treponema Pallidum (Syphilis) Total Abs | $18.80 | $47.00 | $7.10–$49.96 | 60% below | 60% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 HC-Lab-Treponema Pallidum Antibody | $19.60 | $49.00 | $7.10–$52.08 | 58% below | 60% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 HC-Lab-Neurosyphilis Ab Index T. Pallidum Ab | $25.20 | $63.00 | $7.10–$66.96 | 46% below | 60% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 HC-Lab-Ivf Panel Syphilis Igg | $34.00 | $85.00 | $7.10–$90.35 | 27% below | 60% |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 HC-Lab-T Pallidum Igg CSF | $4.00 | $10.00 | $4.30–$10.63 | — | 60% |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 HC-Lab-Treponema Pallidum (Syphilis) Total Abs | $18.80 | $47.00 | $20.21–$49.96 | — | 60% |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 HC-Lab-Treponema Pallidum Antibody | $19.60 | $49.00 | $21.07–$52.08 | — | 60% |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 HC-Lab-Neurosyphilis Ab Index T. Pallidum Ab | $25.20 | $63.00 | $27.09–$66.96 | — | 60% |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 HC-Lab-Ivf Panel Syphilis Igg | $34.00 | $85.00 | $36.55–$90.35 | — | 60% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC-Lab-Vdrl Qual CSF | $4.00 | $10.00 | $2.29–$10.63 | 77% below | 60% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC-Lab-Rpr Qual Serum | $27.20 | $68.00 | $2.29–$72.28 | 58% above | 60% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC-Lab-Syphilis Test | $68.00 | $170.00 | $2.29–$180.69 | 296% above | 60% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC-Lab-Syphilis Test Ext | $134.40 | $336.00 | $2.29–$357.13 | 682% above | 60% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC-Lab-Vdrl Qual CSF | $4.00 | $10.00 | $4.30–$10.63 | — | 60% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC-Lab-Rpr Qual Serum | $27.20 | $68.00 | $29.24–$72.28 | — | 60% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC-Lab-Syphilis Test | $68.00 | $170.00 | $73.10–$180.69 | — | 60% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC-Lab-Syphilis Test Ext | $134.40 | $336.00 | $144.48–$357.13 | — | 60% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 HC-Lab-TB Gold Quantiferon | $90.80 | $227.00 | $33.22–$241.27 | 28% below | 60% |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 HC-Lab-TB Gold Quantiferon | $90.80 | $227.00 | $97.61–$241.27 | — | 60% |
| Testosterone blood test, total (not free testosterone) CPT 84403 HC-Lab-Testosterone Total | $18.40 | $46.00 | $13.83–$48.89 | 48% below | 60% |
| Testosterone blood test, total (not free testosterone) CPT 84403 HC-Lab-CAH Testosterone | $27.20 | $68.00 | $13.83–$72.28 | 24% below | 60% |
| Testosterone blood test, total (not free testosterone) CPT 84403 HC-Lab-Testosterone Lcms | $50.00 | $125.00 | $13.83–$132.86 | 40% above | 60% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HC-Lab-Testosterone Total | $18.40 | $46.00 | $19.78–$48.89 | — | 60% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HC-Lab-CAH Testosterone | $27.20 | $68.00 | $29.24–$72.28 | — | 60% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HC-Lab-Testosterone Lcms | $50.00 | $125.00 | $53.75–$132.86 | — | 60% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 HC-Lab-Thyroid Cascade Rflx Tpo Ab | $8.80 | $22.00 | $7.80–$24.74 | 81% below | 60% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 HC-Lab-Cu Index Pnl Thyroid Perox Igg | $22.00 | $55.00 | $7.80–$58.46 | 52% below | 60% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 HC-Lab-Thyroid Peroxidase Ab | $33.20 | $83.00 | $7.80–$88.22 | 28% below | 60% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 HC-Lab-Liver/Kidney Microsomal | $55.20 | $138.00 | $7.80–$146.68 | 20% above | 60% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HC-Lab-Thyroid Cascade Rflx Tpo Ab | $8.80 | $22.00 | $9.46–$23.38 | — | 60% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HC-Lab-Cu Index Pnl Thyroid Perox Igg | $22.00 | $55.00 | $23.65–$58.46 | — | 60% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HC-Lab-Thyroid Peroxidase Ab | $33.20 | $83.00 | $35.69–$88.22 | — | 60% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HC-Lab-Liver/Kidney Microsomal | $55.20 | $138.00 | $59.34–$146.68 | — | 60% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC-Lab-Thyroid Cascade Tsh Sensitive | $11.20 | $28.00 | $9.00–$29.76 | 83% below | 60% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC-Lab-Cu Index Pnl Tsh | $22.00 | $55.00 | $9.00–$58.46 | 66% below | 60% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC-Lab-Thyroid Stim Hor (Tsh) | $52.40 | $131.00 | $9.00–$139.24 | 19% below | 60% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC-Lab-Thyroid Cascade Tsh Sensitive | $11.20 | $28.00 | $12.04–$29.76 | — | 60% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC-Lab-Cu Index Pnl Tsh | $22.00 | $55.00 | $23.65–$58.46 | — | 60% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC-Lab-Thyroid Stim Hor (Tsh) | $52.40 | $131.00 | $56.33–$139.24 | — | 60% |
| Total IgE blood test CPT 82785 HC-Lab-Immunoglobulin E | $74.40 | $186.00 | $8.82–$197.70 | 68% above | 60% |
| Total IgE blood test inpatient CPT 82785 HC-Lab-Immunoglobulin E | $74.40 | $186.00 | $79.98–$197.70 | — | 60% |
| Total cholesterol blood test CPT 82465 HC-Lab-Cholesterol Total | $18.40 | $46.00 | $2.33–$48.89 | 8% below | 60% |
| Total cholesterol blood test inpatient CPT 82465 HC-Lab-Cholesterol Total | $18.40 | $46.00 | $19.78–$48.89 | — | 60% |
| Total thyroxine (T4) blood test CPT 84436 HC-Lab-T4 (Thyroxine) Total | $41.20 | $103.00 | $3.68–$109.48 | 35% above | 60% |
| Total thyroxine (T4) blood test inpatient CPT 84436 HC-Lab-T4 (Thyroxine) Total | $41.20 | $103.00 | $44.29–$109.48 | — | 60% |
| Total triiodothyronine (T3) blood test CPT 84480 HC-Lab-T3 Total | $74.80 | $187.00 | $7.60–$198.76 | 62% above | 60% |
| Total triiodothyronine (T3) blood test inpatient CPT 84480 HC-Lab-T3 Total | $74.80 | $187.00 | $80.41–$198.76 | — | 60% |
| Transferrin blood test CPT 84466 HC-Lab-Transferrin | $50.40 | $126.00 | $6.84–$133.92 | 12% below | 60% |
| Transferrin blood test inpatient CPT 84466 HC-Lab-Transferrin | $50.40 | $126.00 | $54.18–$133.92 | — | 60% |
| Trichomonas test (NAAT) CPT 87661 HC-Lab-Dna/Rna Trichomonas | $58.00 | $145.00 | $18.81–$154.12 | 21% below | 60% |
| Trichomonas test (NAAT) inpatient CPT 87661 HC-Lab-Dna/Rna Trichomonas | $58.00 | $145.00 | $62.35–$154.12 | — | 60% |
| Triglycerides blood test CPT 84478 HC-Lab-Lipoprotein Metab Prof Triglycerides | $3.20 | $8.00 | $3.08–$9.76 | 83% below | 60% |
| Triglycerides blood test CPT 84478 HC-Lab-Triglycerides | $34.80 | $87.00 | $3.08–$92.47 | 81% above | 60% |
| Triglycerides blood test inpatient CPT 84478 HC-Lab-Lipoprotein Metab Prof Triglycerides | $3.20 | $8.00 | $3.44–$8.50 | — | 60% |
| Triglycerides blood test inpatient CPT 84478 HC-Lab-Triglycerides | $34.80 | $87.00 | $37.41–$92.47 | — | 60% |
| Troponin test, quantitative CPT 84484 HC-Lab-Troponin I POC | $43.60 | $109.00 | $6.68–$115.85 | 3% above | 60% |
| Troponin test, quantitative CPT 84484 HC-Lab-Troponin | $70.80 | $177.00 | $6.68–$188.13 | 67% above | 60% |
| Troponin test, quantitative CPT 84484 HC-Lab-Cardiac Troponin I | $97.60 | $244.00 | $6.68–$259.34 | 130% above | 60% |
| Troponin test, quantitative inpatient CPT 84484 HC-Lab-Troponin I POC | $43.60 | $109.00 | $46.87–$115.85 | — | 60% |
| Troponin test, quantitative inpatient CPT 84484 HC-Lab-Troponin | $70.80 | $177.00 | $76.11–$188.13 | — | 60% |
| Troponin test, quantitative inpatient CPT 84484 HC-Lab-Cardiac Troponin I | $97.60 | $244.00 | $104.92–$259.34 | — | 60% |
| Uric acid blood test CPT 84550 HC-Lab-Uric Acid Serum | $17.60 | $44.00 | $2.42–$46.77 | 22% below | 60% |
| Uric acid blood test CPT 84550 HC-Lab-Uric Acid Fluid | $17.60 | $44.00 | $2.42–$46.77 | 22% below | 60% |
| Uric acid blood test inpatient CPT 84550 HC-Lab-Uric Acid Serum | $17.60 | $44.00 | $18.92–$46.77 | — | 60% |
| Uric acid blood test inpatient CPT 84550 HC-Lab-Uric Acid Fluid | $17.60 | $44.00 | $18.92–$46.77 | — | 60% |
| Urinalysis with microscope exam, automated CPT 81001 HC-Lab-Urinalysis Macro and Micro | $19.20 | $48.00 | $1.70–$51.02 | 4% below | 60% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 HC-Lab-Urinalysis Macro and Micro | $19.20 | $48.00 | $20.64–$51.02 | — | 60% |
| Urinalysis with microscope exam, manual CPT 81000 HC-Lab-Urinalysis W/Microscopy | $18.40 | $46.00 | $2.15–$48.89 | 23% above | 60% |
| Urinalysis with microscope exam, manual inpatient CPT 81000 HC-Lab-Urinalysis W/Microscopy | $18.40 | $46.00 | $19.78–$48.89 | — | 60% |
| Urinalysis without microscope exam, automated CPT 81003 HC-Lab-Urinalysis Macroscopic | $10.80 | $27.00 | $1.21–$28.70 | 17% below | 60% |
| Urinalysis without microscope exam, automated CPT 81003 HC-Lab-Urinalysis | $10.80 | $27.00 | $1.21–$28.70 | 17% below | 60% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HC-Lab-Urinalysis | $10.80 | $27.00 | $11.61–$28.70 | — | 60% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HC-Lab-Urinalysis Macroscopic | $10.80 | $27.00 | $11.61–$28.70 | — | 60% |
| Urinalysis without microscope exam, manual CPT 81002 HC-Lab-POC-Siemens (Manual Entry) | $16.40 | $41.00 | $1.87–$43.58 | 8% above | 60% |
| Urinalysis without microscope exam, manual CPT 81002 HC-Lab-Adulterant Screen Urine | $16.80 | $42.00 | $1.87–$44.64 | 10% above | 60% |
| Urinalysis without microscope exam, manual CPT 81002 HC-Lab-Urinalysis W/O Microscope | $16.80 | $42.00 | $1.87–$44.64 | 10% above | 60% |
| Urinalysis without microscope exam, manual CPT 81002 HC-Lab-Urine Macroscopic POC | $16.80 | $42.00 | $1.87–$44.64 | 10% above | 60% |
| Urinalysis without microscope exam, manual CPT 81002 HC-Lab-Hcah POC-Urine Macroscopic | $17.20 | $43.00 | $1.87–$45.70 | 13% above | 60% |
| Urinalysis without microscope exam, manual CPT 81002 HC-Lab-Urinalysis Macro ER | $17.60 | $44.00 | $1.87–$46.77 | 15% above | 60% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 HC-Lab-POC-Siemens (Manual Entry) | $16.40 | $41.00 | $17.63–$43.58 | — | 60% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 HC-Lab-Urinalysis W/O Microscope | $16.80 | $42.00 | $18.06–$44.64 | — | 60% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 HC-Lab-Urine Macroscopic POC | $16.80 | $42.00 | $18.06–$44.64 | — | 60% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 HC-Lab-Adulterant Screen Urine | $16.80 | $42.00 | $18.06–$44.64 | — | 60% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 HC-Lab-Hcah POC-Urine Macroscopic | $17.20 | $43.00 | $18.49–$45.70 | — | 60% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 HC-Lab-Urinalysis Macro ER | $17.60 | $44.00 | $18.92–$46.77 | — | 60% |
| Urine culture for bacteria, with colony count CPT 87086 HC-Lab-Culture Urine | $15.60 | $39.00 | $4.33–$41.45 | 72% below | 60% |
| Urine culture for bacteria, with colony count inpatient CPT 87086 HC-Lab-Culture Urine | $15.60 | $39.00 | $16.77–$41.45 | — | 60% |
| Urine microalbumin (albumin) test CPT 82043 HC-Lab-POC-Microalbumin Urine | $44.40 | $111.00 | $3.10–$117.98 | 71% above | 60% |
| Urine microalbumin (albumin) test CPT 82043 HC-Lab-Microalbumin Urine | $46.00 | $115.00 | $3.10–$122.23 | 77% above | 60% |
| Urine microalbumin (albumin) test inpatient CPT 82043 HC-Lab-POC-Microalbumin Urine | $44.40 | $111.00 | $47.73–$117.98 | — | 60% |
| Urine microalbumin (albumin) test inpatient CPT 82043 HC-Lab-Microalbumin Urine | $46.00 | $115.00 | $49.45–$122.23 | — | 60% |
| Urine pregnancy test, read by color change CPT 81025 HC-Lab-Pregnancy Test, Radiologic | $22.80 | $57.00 | $4.61–$60.58 | 1% below | 60% |
| Urine pregnancy test, read by color change CPT 81025 HC-Lab-Pregnancy Test | $23.20 | $58.00 | $4.61–$61.65 | 1% above | 60% |
| Urine pregnancy test, read by color change CPT 81025 HC-Lab-Hcah POC-Pregnancy Test Urine | $24.00 | $60.00 | $4.61–$63.77 | 4% above | 60% |
| Urine pregnancy test, read by color change CPT 81025 HC-Lab-Pregnancy Test, ER | $24.40 | $61.00 | $4.61–$64.84 | 6% above | 60% |
| Urine pregnancy test, read by color change CPT 81025 HC-Lab-POC-Pregnancy Test Urine | $24.40 | $61.00 | $4.61–$64.84 | 6% above | 60% |
| Urine pregnancy test, read by color change inpatient CPT 81025 HC-Lab-Pregnancy Test, Radiologic | $22.80 | $57.00 | $24.51–$60.58 | — | 60% |
| Urine pregnancy test, read by color change inpatient CPT 81025 HC-Lab-Pregnancy Test | $23.20 | $58.00 | $24.94–$61.65 | — | 60% |
| Urine pregnancy test, read by color change inpatient CPT 81025 HC-Lab-Hcah POC-Pregnancy Test Urine | $24.00 | $60.00 | $25.80–$63.77 | — | 60% |
| Urine pregnancy test, read by color change inpatient CPT 81025 HC-Lab-Pregnancy Test, ER | $24.40 | $61.00 | $26.23–$64.84 | — | 60% |
| Urine pregnancy test, read by color change inpatient CPT 81025 HC-Lab-POC-Pregnancy Test Urine | $24.40 | $61.00 | $26.23–$64.84 | — | 60% |
| Vitamin B12 (cobalamin) blood test CPT 82607 HC-Lab-Vitamin B12 | $51.20 | $128.00 | $8.08–$136.05 | 14% below | 60% |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 HC-Lab-Vitamin B12 | $51.20 | $128.00 | $55.04–$136.05 | — | 60% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HC-Lab-Vitamin D 25-Hydroxy | $40.80 | $102.00 | $15.87–$108.41 | 54% below | 60% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 HC-Lab-Vitamin D 25-Hydroxy | $40.80 | $102.00 | $43.86–$108.41 | — | 60% |
| Vitamin D, 1,25-dihydroxy blood test CPT 82652 HC-Lab-Vitamin D 1 25-Dihydrox | $92.80 | $232.00 | $20.64–$246.59 | 17% above | 60% |
| Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 HC-Lab-Vitamin D 1 25-Dihydrox | $92.80 | $232.00 | $99.76–$246.59 | — | 60% |
| Zinc blood test CPT 84630 HC-Lab-Zinc Plasma | $8.40 | $21.00 | $6.11–$22.32 | 65% below | 60% |
| Zinc blood test CPT 84630 HC-Lab-Zinc Red Blood Cell | $10.00 | $25.00 | $6.11–$26.57 | 58% below | 60% |
| Zinc blood test CPT 84630 HC-Lab-Zinc Urine | $10.00 | $25.00 | $6.11–$26.57 | 58% below | 60% |
| Zinc blood test CPT 84630 HC-Lab-Zinc Quan. Bld. | $80.40 | $201.00 | $6.11–$213.64 | 238% above | 60% |
| Zinc blood test inpatient CPT 84630 HC-Lab-Zinc Plasma | $8.40 | $21.00 | $9.03–$22.32 | — | 60% |
| Zinc blood test inpatient CPT 84630 HC-Lab-Zinc Urine | $10.00 | $25.00 | $10.75–$26.57 | — | 60% |
| Zinc blood test inpatient CPT 84630 HC-Lab-Zinc Red Blood Cell | $10.00 | $25.00 | $10.75–$26.57 | — | 60% |
| Zinc blood test inpatient CPT 84630 HC-Lab-Zinc Quan. Bld. | $80.40 | $201.00 | $86.43–$213.64 | — | 60% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HC-Lab-Hcg Beta | $68.80 | $172.00 | $7.44–$182.82 | 41% above | 60% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HC-Lab-Hcg Beta (Repro/Endo) | $93.60 | $234.00 | $7.44–$248.71 | 91% above | 60% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HC-Lab-Hcg Beta | $68.80 | $172.00 | $73.96–$182.82 | — | 60% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HC-Lab-Hcg Beta (Repro/Endo) | $93.60 | $234.00 | $100.62–$248.71 | — | 60% |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Michigan | Off list |
|---|---|---|---|---|---|
| Botox injections for chronic migraine CPT 64615 HC-Chemodervate Facial/Trigem/Cerv/Musc Migraine | $402.40 | $1,006.00 | $432.58–$1,069.26 | 29% below | 60% |
| Botox injections for chronic migraine inpatient CPT 64615 HC-Chemodervate Facial/Trigem/Cerv/Musc Migraine | $402.40 | $1,006.00 | $432.58–$1,069.26 | — | 60% |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 HC-Biopsy-Breast 1st Clip Placement Stereo | $2,332.40 | $5,831.00 | $2,507.33–$6,197.67 | 3% above | 60% |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 HC-Biopsy-Breast 1st Clip Placement Stereo | $2,332.40 | $5,831.00 | $2,507.33–$6,197.67 | — | 60% |
| Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 HC-Closed Treatment Distal Fibula Fracture | $434.00 | $1,085.00 | $466.55–$1,153.23 | 17% above | 60% |
| Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 HC-Closed Treatment Distal Fibula Fracture | $434.00 | $1,085.00 | $466.55–$1,153.23 | — | 60% |
| Broken foot (metatarsal) treatment without surgery or setting CPT 28470 HC-Closed Treatment Metatarsal Fracture | $313.20 | $783.00 | $336.69–$832.24 | 16% below | 60% |
| Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 HC-Closed Treatment Metatarsal Fracture | $313.20 | $783.00 | $336.69–$832.24 | — | 60% |
| Cardiac catheterization with coronary angiogram one side CPT 93458 HC-Lt Hrt Art/Ventricle Angio | $8,132.40 | $20,331.00 | $5,419.89–$21,609.48 | 18% below | 60% |
| Cardiac catheterization with coronary angiogram inpatient one side CPT 93458 HC-Lt Hrt Art/Ventricle Angio | $8,132.40 | $20,331.00 | $8,742.33–$21,609.48 | — | 60% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 HC-Cardioversion Elective Exte | $1,057.60 | $2,644.00 | $1,136.92–$2,810.26 | 7% above | 60% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 HC-Cardioversion Elective Exte | $1,057.60 | $2,644.00 | $1,136.92–$2,810.26 | — | 60% |
| Carpal tunnel release, open surgery CPT 64721 HC-Neuroplasty/Transpos: Med Nerve Carpal Tunnel | $2,512.00 | $6,280.00 | $2,700.40–$6,674.91 | 6% below | 60% |
| Carpal tunnel release, open surgery inpatient CPT 64721 HC-Neuroplasty/Transpos: Med Nerve Carpal Tunnel | $2,512.00 | $6,280.00 | $2,700.40–$6,674.91 | — | 60% |
| Catheter ablation for atrial fibrillation CPT 93656 HC-Electrophys Eval Transeptal Tx Atrial Fib Isolation Pulm Vein | $19,450.40 | $48,626.00 | $1,767.43–$51,683.77 | 46% below | 60% |
| Catheter ablation for atrial fibrillation inpatient CPT 93656 HC-Electrophys Eval Transeptal Tx Atrial Fib Isolation Pulm Vein | $19,450.40 | $48,626.00 | $20,909.18–$51,683.77 | — | 60% |
| Cervical biopsy CPT 57500 HC-Biopsy Cervix, 1 or More, or Excision of Lesion | $1,076.40 | $2,691.00 | $1,157.13–$2,860.22 | 22% above | 60% |
| Cervical biopsy inpatient CPT 57500 HC-Biopsy Cervix, 1 or More, or Excision of Lesion | $1,076.40 | $2,691.00 | $1,157.13–$2,860.22 | — | 60% |
| Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 HC-Circumcision, Surgical Excision Other Than Clamp, Device, or Dorsal Slit (>28 Days of Age) | $2,490.40 | $6,226.00 | $2,677.18–$6,617.51 | 37% below | 60% |
| Circumcision by surgical excision, older than 28 days (children and adults) inpatient CPT 54161 HC-Circumcision, Surgical Excision Other Than Clamp, Device, or Dorsal Slit (>28 Days of Age) | $2,490.40 | $6,226.00 | $2,677.18–$6,617.51 | — | 60% |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 HC-Nicu-Circumcision,Clamp,Nbrn W/Region or Ring Block W/Hemostatic Agent | $862.40 | $2,156.00 | $927.08–$2,291.58 | 49% below | 60% |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 HC-Circumcision,Clamp,Newborn W/ Anesth and W/Hemostat, Surgicel Fibrillar 1 X 2 in #1961 | $1,173.20 | $2,933.00 | $1,261.19–$3,117.44 | 30% below | 60% |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 HC-Circumcision,Clamp,Newborn W/ Regional or Ring Block | $1,234.00 | $3,085.00 | $1,326.55–$3,279.00 | 26% below | 60% |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 HC-Circumcision,Clamp,Newborn W/ Anesth | $1,341.60 | $3,354.00 | $1,442.22–$3,564.91 | 20% below | 60% |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 HC-Circumcision,Clamp,Newborn W/ Regional or Ring Block-Nicu Only | $1,386.40 | $3,466.00 | $1,490.38–$3,683.95 | 17% below | 60% |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 HC-Nicu-Circumcision,Clamp,Nbrn W/Region or Ring Block W/Hemostatic Agent | $862.40 | $2,156.00 | $927.08–$2,291.58 | — | 60% |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 HC-Circumcision,Clamp,Newborn W/ Anesth and W/Hemostat, Surgicel Fibrillar 1 X 2 in #1961 | $1,173.20 | $2,933.00 | $1,261.19–$3,117.44 | — | 60% |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 HC-Circumcision,Clamp,Newborn W/ Regional or Ring Block | $1,234.00 | $3,085.00 | $1,326.55–$3,279.00 | — | 60% |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 HC-Circumcision,Clamp,Newborn W/ Anesth | $1,341.60 | $3,354.00 | $1,442.22–$3,564.91 | — | 60% |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 HC-Circumcision,Clamp,Newborn W/ Regional or Ring Block-Nicu Only | $1,386.40 | $3,466.00 | $1,490.38–$3,683.95 | — | 60% |
| Circumcision, surgical, older than a newborn CPT 54160 HC-Circumcision Surg Exc Less 28 Days | $1,412.80 | $3,532.00 | $1,518.76–$3,754.10 | 47% above | 60% |
| Circumcision, surgical, older than a newborn inpatient CPT 54160 HC-Circumcision Surg Exc Less 28 Days | $1,412.80 | $3,532.00 | $1,518.76–$3,754.10 | — | 60% |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 HC-Closed Treatment Dist Radial/Ulna Fracture | $334.40 | $836.00 | $359.48–$888.57 | 12% below | 60% |
| Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 HC-Closed Treatment Dist Radial/Ulna Fracture | $334.40 | $836.00 | $359.48–$888.57 | — | 60% |
| Colonoscopy with endoscopic ultrasound CPT 45391 HC-Colonoscopy W/ Endoscope US | $1,368.40 | $3,421.00 | $1,471.03–$3,636.12 | 17% below | 60% |
| Colonoscopy with endoscopic ultrasound inpatient CPT 45391 HC-Colonoscopy W/ Endoscope US | $1,368.40 | $3,421.00 | $1,471.03–$3,636.12 | — | 60% |
| Colonoscopy with polyp removal CPT 45385 HC-Colonoscopy W/ Removal of Lesion by Snare | $1,682.80 | $4,207.00 | $1,809.01–$4,471.55 | 2% below | 60% |
| Colonoscopy with polyp removal inpatient CPT 45385 HC-Colonoscopy W/ Removal of Lesion by Snare | $1,682.80 | $4,207.00 | $1,809.01–$4,471.55 | — | 60% |
| Colonoscopy with tissue sample CPT 45380 HC-Colonoscopy W/ Biopsy(S) | $1,673.20 | $4,183.00 | $1,798.69–$4,446.04 | 6% below | 60% |
| Colonoscopy with tissue sample inpatient CPT 45380 HC-Colonoscopy W/ Biopsy(S) | $1,673.20 | $4,183.00 | $1,798.69–$4,446.04 | — | 60% |
| Colonoscopy, diagnostic CPT 45378 HC-Colonoscopy Diagnostic | $1,747.60 | $4,369.00 | $1,878.67–$4,643.74 | 64% above | 60% |
| Colonoscopy, diagnostic inpatient CPT 45378 HC-Colonoscopy Diagnostic | $1,747.60 | $4,369.00 | $1,878.67–$4,643.74 | — | 60% |
| Colposcopy with LEEP (loop electrosurgical excision) CPT 57460 HC-Colposcopy,Cervix W/ Adjacent Vagina,W/Loop Biopsy | $2,688.40 | $6,721.00 | $2,890.03–$7,143.64 | 36% below | 60% |
| Colposcopy with LEEP (loop electrosurgical excision) inpatient CPT 57460 HC-Colposcopy,Cervix W/ Adjacent Vagina,W/Loop Biopsy | $2,688.40 | $6,721.00 | $2,890.03–$7,143.64 | — | 60% |
| Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 HC-Colposcopy,Cervix W/ Adjacent Vagina,W/ Biopsy & Curettage | $525.60 | $1,314.00 | $565.02–$1,396.63 | 39% above | 60% |
| Colposcopy with cervical biopsy and scraping of the cervical canal inpatient CPT 57454 HC-Colposcopy,Cervix W/ Adjacent Vagina,W/ Biopsy & Curettage | $525.60 | $1,314.00 | $565.02–$1,396.63 | — | 60% |
| Coronary stent placement, one artery CPT 92928 HC-Prq Trluml Coronary Stent W/Angio One Artery/Branch | $16,396.00 | $40,990.00 | $17,625.70–$43,567.59 | 26% above | 60% |
| Coronary stent placement, one artery inpatient CPT 92928 HC-Prq Trluml Coronary Stent W/Angio One Artery/Branch | $16,396.00 | $40,990.00 | $17,625.70–$43,567.59 | — | 60% |
| Cystoscopy with ureteral stent placement CPT 52332 HC-Cystoscopy,Insert Ureteral Stent | $4,249.20 | $10,623.00 | $4,567.89–$11,291.01 | 2% below | 60% |
| Cystoscopy with ureteral stent placement inpatient CPT 52332 HC-Cystoscopy,Insert Ureteral Stent | $4,249.20 | $10,623.00 | $4,567.89–$11,291.01 | — | 60% |
| Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 HC-Cystourethroscopy | $898.00 | $2,245.00 | $965.35–$2,386.17 | 4% above | 60% |
| Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 HC-Cystourethroscopy | $898.00 | $2,245.00 | $965.35–$2,386.17 | — | 60% |
| D&C (dilation and curettage), not related to pregnancy CPT 58120 HC-Dilation/Curettage,Diagnostic | $3,718.00 | $9,295.00 | $3,996.85–$9,879.50 | 16% below | 60% |
| D&C (dilation and curettage), not related to pregnancy inpatient CPT 58120 HC-Dilation/Curettage,Diagnostic | $3,718.00 | $9,295.00 | $3,996.85–$9,879.50 | — | 60% |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 HC-Destruction Premalignant, First Lesion | $160.80 | $402.00 | $172.86–$427.28 | 16% below | 60% |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 HC-Destruction Premalignant, First Lesion | $160.80 | $402.00 | $172.86–$427.28 | — | 60% |
| Ear tube placement (tympanostomy) under general anesthesia, one ear CPT 69436 HC-Tympanostomy General Anesthesia | $2,174.40 | $5,436.00 | $2,337.48–$5,777.83 | 2% above | 60% |
| Ear tube placement (tympanostomy) under general anesthesia, one ear inpatient CPT 69436 HC-Tympanostomy General Anesthesia | $2,174.40 | $5,436.00 | $2,337.48–$5,777.83 | — | 60% |
| Ear tube placement (tympanostomy) with local anesthesia, one ear CPT 69433 HC-Create Eardrum Opening,Local Anesthesia | $724.00 | $1,810.00 | $778.30–$1,923.82 | 122% above | 60% |
| Ear tube placement (tympanostomy) with local anesthesia, one ear inpatient CPT 69433 HC-Create Eardrum Opening,Local Anesthesia | $724.00 | $1,810.00 | $778.30–$1,923.82 | — | 60% |
| Earwax removal by irrigation (rinsing), one ear one side CPT 69209 HC-Removal Impacted Cerumen Irrigation/Lvg Unilat | $110.40 | $276.00 | $118.68–$293.36 | 8% above | 60% |
| Earwax removal by irrigation (rinsing), one ear inpatient one side CPT 69209 HC-Removal Impacted Cerumen Irrigation/Lvg Unilat | $110.40 | $276.00 | $118.68–$293.36 | — | 60% |
| Earwax removal with instruments, one ear CPT 69210 HC-Removal Impacted Ear Wax | $116.80 | $292.00 | $125.56–$310.36 | 24% above | 60% |
| Earwax removal with instruments, one ear inpatient CPT 69210 HC-Removal Impacted Ear Wax | $116.80 | $292.00 | $125.56–$310.36 | — | 60% |
| Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 HC-Biopsy of Uterus Lining | $257.20 | $643.00 | $276.49–$683.43 | 9% above | 60% |
| Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 HC-Biopsy of Uterus Lining | $257.20 | $643.00 | $276.49–$683.43 | — | 60% |
| Endoscopic sinus surgery: full ethmoid sinus opening CPT 31255 HC-Nasal Endoscopy,Remove Total Ethmoid | $6,749.20 | $16,873.00 | $7,255.39–$17,934.03 | 209% above | 60% |
| Endoscopic sinus surgery: full ethmoid sinus opening inpatient CPT 31255 HC-Nasal Endoscopy,Remove Total Ethmoid | $6,749.20 | $16,873.00 | $7,255.39–$17,934.03 | — | 60% |
| Endoscopic sinus surgery: opening the maxillary (cheek) sinus CPT 31256 HC-Nasal Endo Surg W/Maxillary Antrostomy | $3,007.20 | $7,518.00 | $3,232.74–$7,990.76 | 83% above | 60% |
| Endoscopic sinus surgery: opening the maxillary (cheek) sinus inpatient CPT 31256 HC-Nasal Endo Surg W/Maxillary Antrostomy | $3,007.20 | $7,518.00 | $3,232.74–$7,990.76 | — | 60% |
| Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 HC-Inj Crv/Thrc W/Img Gdn | $1,046.00 | $2,615.00 | $1,124.45–$2,779.44 | 8% above | 60% |
| Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 HC-Inj Crv/Thrc W/Img Gdn | $1,046.00 | $2,615.00 | $1,124.45–$2,779.44 | — | 60% |
| Eye injection into the vitreous (intravitreal injection) CPT 67028 HC-Inject Intravitreal Pharmcologic Agent | $422.40 | $1,056.00 | $454.08–$1,122.40 | 32% below | 60% |
| Eye injection into the vitreous (intravitreal injection) inpatient CPT 67028 HC-Inject Intravitreal Pharmcologic Agent | $422.40 | $1,056.00 | $454.08–$1,122.40 | — | 60% |
| Facet joint injection, lower back, one level, with imaging guidance CPT 64493 HC-Inject Dx/Ther Agnt Paravert Facet Joint, Lumbar/Sac, 1st Level | $1,450.80 | $3,627.00 | $1,559.61–$3,855.08 | 34% above | 60% |
| Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 HC-Inject Dx/Ther Agnt Paravert Facet Joint, Lumbar/Sac, 1st Level | $1,450.80 | $3,627.00 | $1,559.61–$3,855.08 | — | 60% |
| Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 HC-Sigmoidoscopy Diagnostic | $1,333.60 | $3,334.00 | $1,433.62–$3,543.65 | 44% below | 60% |
| Flexible sigmoidoscopy, diagnostic (lower colon only) inpatient CPT 45330 HC-Sigmoidoscopy Diagnostic | $1,333.60 | $3,334.00 | $1,433.62–$3,543.65 | — | 60% |
| Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery CPT 47563 HC-Lap,Cholecystectomy W/Cholangiography | $8,942.80 | $22,357.00 | $9,613.51–$23,762.88 | 8% above | 60% |
| Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery inpatient CPT 47563 HC-Lap,Cholecystectomy W/Cholangiography | $8,942.80 | $22,357.00 | $9,613.51–$23,762.88 | — | 60% |
| Hemorrhoid banding (rubber band ligation) CPT 46221 HC-Hemorrhoidectomy Internal Rubber Band Ligations | $1,047.20 | $2,618.00 | $1,125.74–$2,782.63 | 27% below | 60% |
| Hemorrhoid banding (rubber band ligation) inpatient CPT 46221 HC-Hemorrhoidectomy Internal Rubber Band Ligations | $1,047.20 | $2,618.00 | $1,125.74–$2,782.63 | — | 60% |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 HC-Cath/Inject Hysterosalpingogram | $587.20 | $1,468.00 | $631.24–$1,560.31 | 19% above | 60% |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 HC-Cath/Inject Hysterosalpingogram | $587.20 | $1,468.00 | $631.24–$1,560.31 | — | 60% |
| Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 HC-Hysteroscopy,W/Endometrium Biopsy | $4,072.00 | $10,180.00 | $4,377.40–$10,820.15 | 9% below | 60% |
| Hysteroscopy with uterine lining sampling and/or polyp removal inpatient CPT 58558 HC-Hysteroscopy,W/Endometrium Biopsy | $4,072.00 | $10,180.00 | $4,377.40–$10,820.15 | — | 60% |
| IUD insertion (the device itself billed separately) CPT 58300 HC-Insert Intrauterine Device | $416.00 | $1,040.00 | $17.24–$1,105.40 | 26% above | 60% |
| IUD insertion (the device itself billed separately) inpatient CPT 58300 HC-Insert Intrauterine Device | $416.00 | $1,040.00 | $447.20–$1,105.40 | — | 60% |
| Incision and drainage of a simple or single skin abscess CPT 10060 HC-Drain Skin Abscess Simple | $212.80 | $532.00 | $228.76–$565.45 | 22% below | 60% |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 HC-Drain Skin Abscess Simple | $212.80 | $532.00 | $228.76–$565.45 | — | 60% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 HC-Inject Tendon Sheath/Ligament | $271.20 | $678.00 | $291.54–$720.63 | 31% below | 60% |
| Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 HC-Inject Tendon Sheath/Ligament | $271.20 | $678.00 | $291.54–$720.63 | — | 60% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HC-Arthrocentesis/Inject Large Joint/Bursa W/O US Guidance | $456.00 | $1,140.00 | $490.20–$1,211.69 | 8% above | 60% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 HC-Arthrocentesis/Inject Large Joint/Bursa W/O US Guidance | $456.00 | $1,140.00 | $490.20–$1,211.69 | — | 60% |
| Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 HC-Insertion Drug Implant Device | $249.60 | $624.00 | $268.32–$663.24 | 50% above | 60% |
| Insertion of a drug-delivery implant, such as the arm birth control implant inpatient CPT 11981 HC-Insertion Drug Implant Device | $249.60 | $624.00 | $268.32–$663.24 | — | 60% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 HC-Arthrocentesis/Inject Medium Joint/Bursa W/O US Guidance | $428.40 | $1,071.00 | $460.53–$1,138.35 | 32% above | 60% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 HC-Arthrocentesis/Inject Medium Joint/Bursa W/O US Guidance | $428.40 | $1,071.00 | $460.53–$1,138.35 | — | 60% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 HC-Arthrocentesis/Inject Small Joint/Bursa W/O US Guidance | $389.20 | $973.00 | $418.39–$1,034.19 | 15% above | 60% |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 HC-Arthrocentesis/Inject Small Joint/Bursa W/O US Guidance | $389.20 | $973.00 | $418.39–$1,034.19 | — | 60% |
| Laser treatment of clouding after cataract surgery (YAG) CPT 66821 HC-Discission,2nd Cataract,Laser | $751.20 | $1,878.00 | $807.54–$1,996.10 | 51% below | 60% |
| Laser treatment of clouding after cataract surgery (YAG) inpatient CPT 66821 HC-Discission,2nd Cataract,Laser | $751.20 | $1,878.00 | $807.54–$1,996.10 | — | 60% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 HC-Repair Intermediate Wound Scalp,Axillae,Trunk,Extremity <2.5 Cm | $440.80 | $1,102.00 | $473.86–$1,171.30 | 18% above | 60% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 HC-Repair Intermediate Wound Scalp,Axillae,Trunk,Extremity <2.5 Cm | $440.80 | $1,102.00 | $473.86–$1,171.30 | — | 60% |
| Left heart catheterization, diagnostic one side CPT 93452 HC-Cath Left Heart W/ Ventrclg | $6,194.40 | $15,486.00 | $6,658.98–$16,459.81 | 11% below | 60% |
| Left heart catheterization, diagnostic inpatient one side CPT 93452 HC-Cath Left Heart W/ Ventrclg | $6,194.40 | $15,486.00 | $6,658.98–$16,459.81 | — | 60% |
| Lower-back epidural injection, with imaging guidance CPT 62323 HC-Inj Lmbr/Sac W/Img Gdn | $961.20 | $2,403.00 | $1,033.29–$2,554.11 | 7% below | 60% |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 HC-Inj Lmbr/Sac W/Img Gdn | $961.20 | $2,403.00 | $1,033.29–$2,554.11 | — | 60% |
| Lower-back epidural injection, without imaging guidance CPT 62322 HC-Inj Lmbr/Sac W/O Img Gdn | $1,028.40 | $2,571.00 | $1,105.53–$2,732.67 | 9% below | 60% |
| Lower-back epidural injection, without imaging guidance inpatient CPT 62322 HC-Inj Lmbr/Sac W/O Img Gdn | $1,028.40 | $2,571.00 | $1,105.53–$2,732.67 | — | 60% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 HC-Inject,Transforaminal,Lumbar/Sacral,1 Level | $1,228.00 | $3,070.00 | $1,320.10–$3,263.05 | 15% above | 60% |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 HC-Inject,Transforaminal,Lumbar/Sacral,1 Level | $1,228.00 | $3,070.00 | $1,320.10–$3,263.05 | — | 60% |
| Miscarriage treatment with D&C, first trimester CPT 59820 HC-Surgical Treatment Missed Abortion,1st Tri | $3,050.40 | $7,626.00 | $3,279.18–$8,105.55 | 10% below | 60% |
| Miscarriage treatment with D&C, first trimester inpatient CPT 59820 HC-Surgical Treatment Missed Abortion,1st Tri | $3,050.40 | $7,626.00 | $3,279.18–$8,105.55 | — | 60% |
| Mohs surgery for skin cancer, first stage, head, neck, hands, feet or genitals CPT 17311 HC-Mohs, 1 Stage, Head/Neck/Hand/Feet/Genitalia | $678.00 | $1,695.00 | $728.85–$1,801.59 | 47% below | 60% |
| Mohs surgery for skin cancer, first stage, head, neck, hands, feet or genitals inpatient CPT 17311 HC-Mohs, 1 Stage, Head/Neck/Hand/Feet/Genitalia | $678.00 | $1,695.00 | $728.85–$1,801.59 | — | 60% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 HC-Excision Skin Benign,Trunk,Arm,Leg, 0.5 Cm or Less | $626.00 | $1,565.00 | $672.95–$1,663.41 | 7% below | 60% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 HC-Excision Skin Benign,Trunk,Arm,Leg, 0.5 Cm or Less | $626.00 | $1,565.00 | $672.95–$1,663.41 | — | 60% |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 HC-Excision Skin Benign,Face,Ear,Eyelid,Nose,Lip,Muc Mem,0.5cm or Less | $723.20 | $1,808.00 | $777.44–$1,921.69 | 2% below | 60% |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 HC-Excision Skin Benign,Face,Ear,Eyelid,Nose,Lip,Muc Mem,0.5cm or Less | $723.20 | $1,808.00 | $777.44–$1,921.69 | — | 60% |
| Nail removal (partial or complete), one nail CPT 11730 HC-Removal of Nail Plate | $253.20 | $633.00 | $272.19–$672.81 | 24% above | 60% |
| Nail removal (partial or complete), one nail inpatient CPT 11730 HC-Removal of Nail Plate | $253.20 | $633.00 | $272.19–$672.81 | — | 60% |
| Occipital nerve block (injection for headaches) CPT 64405 HC-Inj(S) Greater Occipital Nerve: Anesth &/or Steroid | $455.20 | $1,138.00 | $489.34–$1,209.56 | 12% below | 60% |
| Occipital nerve block (injection for headaches) inpatient CPT 64405 HC-Inj(S) Greater Occipital Nerve: Anesth &/or Steroid | $455.20 | $1,138.00 | $489.34–$1,209.56 | — | 60% |
| Pacemaker implant (dual chamber) CPT 33208 HC-Insert Heart Pacer Transvenous Atrial/Ventral | $14,021.60 | $35,054.00 | $15,073.22–$37,258.32 | 14% below | 60% |
| Pacemaker implant (dual chamber) inpatient CPT 33208 HC-Insert Heart Pacer Transvenous Atrial/Ventral | $14,021.60 | $35,054.00 | $15,073.22–$37,258.32 | — | 60% |
| Paracentesis with imaging guidance CPT 49083 HC-Abdom Paracentesis Dx/Thera W Imaging Guidance | $1,023.20 | $2,558.00 | $1,099.94–$2,718.86 | 16% below | 60% |
| Paracentesis with imaging guidance inpatient CPT 49083 HC-Abdom Paracentesis Dx/Thera W Imaging Guidance | $1,023.20 | $2,558.00 | $1,099.94–$2,718.86 | — | 60% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 HC-Removal of Nail Bed | $537.60 | $1,344.00 | $577.92–$1,428.52 | 4% above | 60% |
| Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 HC-Removal of Nail Bed | $537.60 | $1,344.00 | $577.92–$1,428.52 | — | 60% |
| Prostate biopsy CPT 55700 HC-Biopsy of Prostate,Needle/Punch | $1,999.20 | $4,998.00 | $2,149.14–$5,312.29 | 31% above | 60% |
| Prostate biopsy inpatient CPT 55700 HC-Biopsy of Prostate,Needle/Punch | $1,999.20 | $4,998.00 | $2,149.14–$5,312.29 | — | 60% |
| Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 HC-Destruct Pvb Fj W/Img Lumbar/Sacral: Single | $2,355.20 | $5,888.00 | $2,531.84–$6,258.26 | 3% below | 60% |
| Radiofrequency ablation of facet joint nerves, lower back, one level inpatient CPT 64635 HC-Destruct Pvb Fj W/Img Lumbar/Sacral: Single | $2,355.20 | $5,888.00 | $2,531.84–$6,258.26 | — | 60% |
| Removal of a breast lump, open surgery CPT 19120 HC-Exc Cyst Breast Duct Nipple | $4,170.00 | $10,425.00 | $4,482.75–$11,080.56 | 23% below | 60% |
| Removal of a breast lump, open surgery inpatient CPT 19120 HC-Exc Cyst Breast Duct Nipple | $4,170.00 | $10,425.00 | $4,482.75–$11,080.56 | — | 60% |
| Removal of a foreign object under the skin, simple CPT 10120 HC-Incision & Remove Foreign Body: Subq: Simple | $487.20 | $1,218.00 | $523.74–$1,294.59 | 32% above | 60% |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 HC-Incision & Remove Foreign Body: Subq: Simple | $487.20 | $1,218.00 | $523.74–$1,294.59 | — | 60% |
| Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 HC-Colonscopy Ca Screen Avg Risk | $1,490.00 | $3,725.00 | $1,601.75–$3,959.24 | 49% above | 60% |
| Screening colonoscopy for a person at average risk (Medicare code) inpatient HCPCS G0121 HC-Colonscopy Ca Screen Avg Risk | $1,490.00 | $3,725.00 | $1,601.75–$3,959.24 | — | 60% |
| Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 HC-Colonscopy Ca Screen High Risk | $1,171.60 | $2,929.00 | $1,259.47–$3,113.19 | 17% above | 60% |
| Screening colonoscopy, high risk of colorectal cancer (Medicare code) inpatient HCPCS G0105 HC-Colonscopy Ca Screen High Risk | $1,171.60 | $2,929.00 | $1,259.47–$3,113.19 | — | 60% |
| Septoplasty to straighten the nasal septum CPT 30520 HC-Septoplasty/Submucous Resec W/WO Cartl Graft | $4,886.80 | $12,217.00 | $5,253.31–$12,985.25 | 90% above | 60% |
| Septoplasty to straighten the nasal septum inpatient CPT 30520 HC-Septoplasty/Submucous Resec W/WO Cartl Graft | $4,886.80 | $12,217.00 | $5,253.31–$12,985.25 | — | 60% |
| Shock-wave lithotripsy to break up kidney stones (from outside the body) CPT 50590 HC-Lithotripsy Extracorpeal Shock Wave | $5,294.00 | $13,235.00 | $5,691.05–$14,067.26 | 18% below | 60% |
| Shock-wave lithotripsy to break up kidney stones (from outside the body) inpatient CPT 50590 HC-Lithotripsy Extracorpeal Shock Wave | $5,294.00 | $13,235.00 | $5,691.05–$14,067.26 | — | 60% |
| Short arm cast (elbow to hand) CPT 29075 HC-Apply Forearm Cast | $292.80 | $732.00 | $314.76–$778.03 | 19% above | 60% |
| Short arm cast (elbow to hand) inpatient CPT 29075 HC-Apply Forearm Cast | $292.80 | $732.00 | $314.76–$778.03 | — | 60% |
| Short arm splint (forearm and hand) CPT 29125 HC-Apply Forearm Splint,Static | $193.60 | $484.00 | $208.12–$514.44 | 4% above | 60% |
| Short arm splint (forearm and hand) inpatient CPT 29125 HC-Apply Forearm Splint,Static | $193.60 | $484.00 | $208.12–$514.44 | — | 60% |
| Short leg cast (below the knee) CPT 29405 HC-Apply Short Leg Cast | $262.80 | $657.00 | $282.51–$698.31 | 4% below | 60% |
| Short leg cast (below the knee) inpatient CPT 29405 HC-Apply Short Leg Cast | $262.80 | $657.00 | $282.51–$698.31 | — | 60% |
| Short leg splint (calf to foot) CPT 29515 HC-Apply Lower Leg Splint | $200.00 | $500.00 | $215.00–$531.44 | 24% above | 60% |
| Short leg splint (calf to foot) inpatient CPT 29515 HC-Apply Lower Leg Splint | $200.00 | $500.00 | $215.00–$531.44 | — | 60% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 HC-Repair Smpl Wound Scalp,Neck,Axil,Ext Genit,Trunk,Extremity <2.5cm | $318.40 | $796.00 | $342.28–$846.06 | 51% above | 60% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 HC-Repair Smpl Wound Scalp,Neck,Axil,Ext Genit,Trunk,Extremity <2.5cm | $318.40 | $796.00 | $342.28–$846.06 | — | 60% |
| Skin biopsy, punch, one lesion CPT 11104 HC-Punch Bx Skin:Simple Closure:Single Lesion | $261.60 | $654.00 | $281.22–$695.13 | 29% below | 60% |
| Skin biopsy, punch, one lesion inpatient CPT 11104 HC-Punch Bx Skin:Simple Closure:Single Lesion | $261.60 | $654.00 | $281.22–$695.13 | — | 60% |
| Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 HC-Excision Skin Malignant Lesion,Trunk,Arm,Leg, 0.5 Cm or Less | $548.80 | $1,372.00 | $589.96–$1,458.28 | 66% above | 60% |
| Skin cancer removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11600 HC-Excision Skin Malignant Lesion,Trunk,Arm,Leg, 0.5 Cm or Less | $548.80 | $1,372.00 | $589.96–$1,458.28 | — | 60% |
| Skin tag removal, up to 15 tags CPT 11200 HC-Removal of Skin Tags(Nb Extra Digit), Up to 15 | $213.20 | $533.00 | $229.19–$566.52 | 22% above | 60% |
| Skin tag removal, up to 15 tags inpatient CPT 11200 HC-Removal of Skin Tags(Nb Extra Digit), Up to 15 | $213.20 | $533.00 | $229.19–$566.52 | — | 60% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 HC-Spinal Punct Lumbar Dx | $862.40 | $2,156.00 | $927.08–$2,291.58 | 1% above | 60% |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 HC-Spinal Punct Lumbar Dx | $862.40 | $2,156.00 | $927.08–$2,291.58 | — | 60% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 HC-Repair Smpl Wnd Scalp,Neck,Axil,Ext Genit,Trunk,Extremity 2.6-7.5cm | $380.80 | $952.00 | $409.36–$1,011.87 | 58% above | 60% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 HC-Repair Smpl Wnd Scalp,Neck,Axil,Ext Genit,Trunk,Extremity 2.6-7.5cm | $380.80 | $952.00 | $409.36–$1,011.87 | — | 60% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 HC-Repair Simple Wound Face,Ear,Eyelid,Nose,Lip,Muc Mem <2.5 Cm | $320.40 | $801.00 | $344.43–$851.37 | 36% above | 60% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 HC-Repair Simple Wound Face,Ear,Eyelid,Nose,Lip,Muc Mem <2.5 Cm | $320.40 | $801.00 | $344.43–$851.37 | — | 60% |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 HC-Tangential Biopsy-Skin-Single Lesion | $164.80 | $412.00 | $177.16–$437.91 | 43% below | 60% |
| Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 HC-Tangential Biopsy-Skin-Single Lesion | $164.80 | $412.00 | $177.16–$437.91 | — | 60% |
| Thoracentesis with imaging guidance CPT 32555 HC-Thoracentesis Needle/Cath Pleura W/Img | $1,152.00 | $2,880.00 | $1,238.40–$3,061.10 | 5% above | 60% |
| Thoracentesis with imaging guidance inpatient CPT 32555 HC-Thoracentesis Needle/Cath Pleura W/Img | $1,152.00 | $2,880.00 | $1,238.40–$3,061.10 | — | 60% |
| Trigger finger release surgery CPT 26055 HC-Incise Finger Tendon Sheath | $2,178.40 | $5,446.00 | $2,341.78–$5,788.46 | 17% above | 60% |
| Trigger finger release surgery inpatient CPT 26055 HC-Incise Finger Tendon Sheath | $2,178.40 | $5,446.00 | $2,341.78–$5,788.46 | — | 60% |
| Trigger point injections, 1 or 2 muscles CPT 20552 HC-Inject Trigger Point, 1 or 2 | $378.40 | $946.00 | $406.78–$1,005.49 | 4% above | 60% |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 HC-Inject Trigger Point, 1 or 2 | $378.40 | $946.00 | $406.78–$1,005.49 | — | 60% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 HC-Biopsy-Breast 1st Clip Placement U/S | $1,838.40 | $4,596.00 | $1,976.28–$4,885.01 | 1% below | 60% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 HC-Biopsy-Breast 1st Clip Placement U/S | $1,838.40 | $4,596.00 | $1,976.28–$4,885.01 | — | 60% |
| Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 HC-Egd W/ Transendo Balloon Dilation | $1,688.00 | $4,220.00 | $1,814.60–$4,485.37 | 26% below | 60% |
| Upper endoscopy (EGD) with balloon widening of the esophagus inpatient CPT 43249 HC-Egd W/ Transendo Balloon Dilation | $1,688.00 | $4,220.00 | $1,814.60–$4,485.37 | — | 60% |
| Upper endoscopy (EGD) with biopsy CPT 43239 HC-Egd W/ Biopsy(S) | $1,541.20 | $3,853.00 | $1,656.79–$4,095.29 | 24% above | 60% |
| Upper endoscopy (EGD) with biopsy inpatient CPT 43239 HC-Egd W/ Biopsy(S) | $1,541.20 | $3,853.00 | $1,656.79–$4,095.29 | — | 60% |
| Upper endoscopy (EGD) with injection into the lining CPT 43236 HC-Egd W/ Submucosal Injection | $2,743.60 | $6,859.00 | $2,949.37–$7,290.32 | 98% above | 60% |
| Upper endoscopy (EGD) with injection into the lining inpatient CPT 43236 HC-Egd W/ Submucosal Injection | $2,743.60 | $6,859.00 | $2,949.37–$7,290.32 | — | 60% |
| Upper endoscopy (EGD) with polyp removal by snare CPT 43251 HC-Egd W/ Remove Tumor/Polyp/Lesion(S) by Snare | $2,066.40 | $5,166.00 | $2,221.38–$5,490.86 | at median | 60% |
| Upper endoscopy (EGD) with polyp removal by snare inpatient CPT 43251 HC-Egd W/ Remove Tumor/Polyp/Lesion(S) by Snare | $2,066.40 | $5,166.00 | $2,221.38–$5,490.86 | — | 60% |
| Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 HC-Egd W/ Dilation W/ Guide | $1,430.40 | $3,576.00 | $1,537.68–$3,800.87 | 3% below | 60% |
| Upper endoscopy (EGD) with widening of the esophagus over a guide wire inpatient CPT 43248 HC-Egd W/ Dilation W/ Guide | $1,430.40 | $3,576.00 | $1,537.68–$3,800.87 | — | 60% |
| Upper endoscopy (EGD), diagnostic CPT 43235 HC-Egd Flexible, Transoral to Duodenum | $1,618.40 | $4,046.00 | $1,739.78–$4,300.43 | 104% above | 60% |
| Upper endoscopy (EGD), diagnostic inpatient CPT 43235 HC-Egd Flexible, Transoral to Duodenum | $1,618.40 | $4,046.00 | $1,739.78–$4,300.43 | — | 60% |
| Upper endoscopy with drainage of a pseudocyst through the stomach wall CPT 43240 HC-Egd W/ Transmural Drain Pseudocyst W & W/O Eus | $3,136.40 | $7,841.00 | $3,371.63–$8,334.07 | 12% below | 60% |
| Upper endoscopy with drainage of a pseudocyst through the stomach wall inpatient CPT 43240 HC-Egd W/ Transmural Drain Pseudocyst W & W/O Eus | $3,136.40 | $7,841.00 | $3,371.63–$8,334.07 | — | 60% |
| Ureteroscopy with laser stone breaking (lithotripsy) CPT 52353 HC-Cystouretero W/Lithotripsy | $6,290.00 | $15,725.00 | $6,761.75–$16,713.84 | 15% below | 60% |
| Ureteroscopy with laser stone breaking (lithotripsy) inpatient CPT 52353 HC-Cystouretero W/Lithotripsy | $6,290.00 | $15,725.00 | $6,761.75–$16,713.84 | — | 60% |
| Ureteroscopy with laser stone breaking and stent placement CPT 52356 HC-Ureteroscopy With Laser Lithotripsy | $6,656.80 | $16,642.00 | $7,156.06–$17,688.51 | 33% below | 60% |
| Ureteroscopy with laser stone breaking and stent placement inpatient CPT 52356 HC-Ureteroscopy With Laser Lithotripsy | $6,656.80 | $16,642.00 | $7,156.06–$17,688.51 | — | 60% |
| Vasectomy, one or both sides, including follow-up semen testing both sides CPT 55250 HC-Vasectomy Unilateral or Bilateral | $3,322.80 | $8,307.00 | $3,572.01–$8,829.37 | — | 60% |
| Vasectomy, one or both sides, including follow-up semen testing inpatient both sides CPT 55250 HC-Vasectomy Unilateral or Bilateral | $3,322.80 | $8,307.00 | $3,572.01–$8,829.37 | — | 60% |
| Vein ablation, radiofrequency, first vein CPT 36475 HC-Endovenous Ablation Therapy, 1st Vein | $3,779.20 | $9,448.00 | $4,062.64–$10,042.12 | 1% above | 60% |
| Vein ablation, radiofrequency, first vein inpatient CPT 36475 HC-Endovenous Ablation Therapy, 1st Vein | $3,779.20 | $9,448.00 | $4,062.64–$10,042.12 | — | 60% |
| Wart removal, up to 14 warts CPT 17110 HC-Destruction Benign Lesions Up to 14 | $177.60 | $444.00 | $190.92–$471.92 | 13% below | 60% |
| Wart removal, up to 14 warts inpatient CPT 17110 HC-Destruction Benign Lesions Up to 14 | $177.60 | $444.00 | $190.92–$471.92 | — | 60% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 HC-Debridement, Skin, Sub-Q Tissue First 20 Sq Cm or Less | $568.40 | $1,421.00 | $611.03–$1,510.36 | 2% above | 60% |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 HC-Debridement, Skin, Sub-Q Tissue First 20 Sq Cm or Less | $568.40 | $1,421.00 | $611.03–$1,510.36 | — | 60% |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Michigan | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 HC-Transfusion Once per Day | $750.80 | $1,877.00 | $322.29–$1,995.03 | at median | 60% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 HC-Transfusion Once per Day | $750.80 | $1,877.00 | $807.11–$1,995.03 | — | 60% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC-Inhalation Treatment Metered Dose Inhaler | $86.40 | $216.00 | $58.83–$229.58 | 49% below | 60% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC-Inhalation Treatment Sputum Induction | $86.40 | $216.00 | $58.83–$229.58 | 49% below | 60% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC-Inhalation Treatment Ippb | $102.00 | $255.00 | $58.83–$271.04 | 40% below | 60% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC-Inhalation Treatment Acute Airway | $108.40 | $271.00 | $58.83–$288.04 | 36% below | 60% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC-Inhalation Treatment Ribovirin Spag | $110.00 | $275.00 | $58.83–$292.29 | 35% below | 60% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC-Inhalation Treatment Sml Vol Neubuli | $110.00 | $275.00 | $58.83–$292.29 | 35% below | 60% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC-Inhalation Treatment Metered Dose Inhaler | $86.40 | $216.00 | $92.88–$229.58 | — | 60% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC-Inhalation Treatment Sputum Induction | $86.40 | $216.00 | $92.88–$229.58 | — | 60% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC-Inhalation Treatment Ippb | $102.00 | $255.00 | $109.65–$271.04 | — | 60% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC-Inhalation Treatment Acute Airway | $108.40 | $271.00 | $116.53–$288.04 | — | 60% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC-Inhalation Treatment Sml Vol Neubuli | $110.00 | $275.00 | $118.25–$292.29 | — | 60% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC-Inhalation Treatment Ribovirin Spag | $110.00 | $275.00 | $118.25–$292.29 | — | 60% |
| Chemotherapy IV infusion, first hour CPT 96413 HC-Gene Therapy Admin-1 Hr | $177.60 | $444.00 | $190.92–$471.92 | 66% below | 60% |
| Chemotherapy IV infusion, first hour CPT 96413 HC-Chemo IV Up to 1hr Sgl/Init | $404.80 | $1,012.00 | $373.84–$1,075.64 | 23% below | 60% |
| Chemotherapy IV infusion, first hour inpatient CPT 96413 HC-Gene Therapy Admin-1 Hr | $177.60 | $444.00 | $190.92–$471.92 | — | 60% |
| Chemotherapy IV infusion, first hour inpatient CPT 96413 HC-Chemo IV Up to 1hr Sgl/Init | $404.80 | $1,012.00 | $435.16–$1,075.64 | — | 60% |
| Comprehensive eye exam by an eye doctor, new patient CPT 92004 HC-Ophth Srvs Comp New Pt | $53.20 | $133.00 | $57.19–$141.36 | 64% below | 60% |
| Comprehensive eye exam by an eye doctor, new patient inpatient CPT 92004 HC-Ophth Srvs Comp New Pt | $53.20 | $133.00 | $57.19–$141.36 | — | 60% |
| Comprehensive eye exam, returning patient CPT 92014 HC-Opthalmol Srvs Comp Est P | $53.20 | $133.00 | $57.19–$141.36 | 62% below | 60% |
| Comprehensive eye exam, returning patient inpatient CPT 92014 HC-Opthalmol Srvs Comp Est P | $53.20 | $133.00 | $57.19–$141.36 | — | 60% |
| Comprehensive hearing test: tone and speech audiometry, both ears CPT 92557 HC-Audiogram Comprehensive | $142.00 | $355.00 | $120.20–$377.32 | 33% below | 60% |
| Comprehensive hearing test: tone and speech audiometry, both ears inpatient CPT 92557 HC-Audiogram Comprehensive | $142.00 | $355.00 | $152.65–$377.32 | — | 60% |
| Critical care, first 30 to 74 minutes CPT 99291 HC-(Ec3)-Critical Care First 30-74 Minutes | $1,554.00 | $3,885.00 | $1,670.55–$4,129.30 | 21% below | 60% |
| Critical care, first 30 to 74 minutes CPT 99291 HC-Critical Care 30-74 Minutes | $1,776.80 | $4,442.00 | $1,910.06–$4,721.33 | 10% below | 60% |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 HC-(Ec3)-Critical Care First 30-74 Minutes | $1,554.00 | $3,885.00 | $1,670.55–$4,129.30 | — | 60% |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 HC-Critical Care 30-74 Minutes | $1,776.80 | $4,442.00 | $1,910.06–$4,721.33 | — | 60% |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 HC-Eeg:Inc Record Awake/Drowsy | $791.60 | $1,979.00 | $850.97–$2,547.53 | 2% above | 60% |
| EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 HC-Eeg:Inc Record Awake/Drowsy | $791.60 | $1,979.00 | $850.97–$2,103.45 | — | 60% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 HC-Ekg | $73.20 | $183.00 | $36.31–$194.51 | 44% below | 60% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 HC-Ekg | $73.20 | $183.00 | $78.69–$194.51 | — | 60% |
| Electroconvulsive therapy (ECT), one session CPT 90870 HC-Electroconvulsive Therapy,1 Seizure | $966.40 | $2,416.00 | $1,038.88–$2,672.01 | 17% above | 60% |
| Electroconvulsive therapy (ECT), one session inpatient CPT 90870 HC-Electroconvulsive Therapy,1 Seizure | $966.40 | $2,416.00 | $1,038.88–$2,567.93 | — | 60% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 HC-ER Visit-Level 1 | $220.80 | $552.00 | $211.59–$586.71 | 18% above | 60% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 HC-ER Visit-Level 1 | $220.80 | $552.00 | $237.36–$586.71 | — | 60% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 HC-ER Visit-Level 2 | $353.60 | $884.00 | $380.12–$939.59 | 4% above | 60% |
| Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 HC-ER Visit-Level 2 | $353.60 | $884.00 | $380.12–$939.59 | — | 60% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 HC-ER Visit-Level 3 | $599.20 | $1,498.00 | $644.14–$1,592.20 | 6% below | 60% |
| Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 HC-ER Visit-Level 3 | $599.20 | $1,498.00 | $644.14–$1,592.20 | — | 60% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 HC-ER Visit-Level 4 Sane | $880.80 | $2,202.00 | $946.86–$2,340.47 | 17% below | 60% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 HC-ER Visit-Level 4 | $888.80 | $2,222.00 | $955.46–$2,361.73 | 16% below | 60% |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 HC-ER Visit-Level 4 Sane | $880.80 | $2,202.00 | $946.86–$2,340.47 | — | 60% |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 HC-ER Visit-Level 4 | $888.80 | $2,222.00 | $955.46–$2,361.73 | — | 60% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HC-ER Visit-Level 5 | $1,333.20 | $3,333.00 | $1,433.19–$3,542.59 | 21% below | 60% |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 HC-ER Visit-Level 5 | $1,333.20 | $3,333.00 | $1,433.19–$3,542.59 | — | 60% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 HC-Cardiac Stress Tst,Tracing Only | $122.40 | $306.00 | $131.58–$325.24 | 83% below | 60% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 HC-Ekg Stress Test | $454.40 | $1,136.00 | $289.01–$1,207.44 | 38% below | 60% |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 HC-Cardiac Stress Tst,Tracing Only | $122.40 | $306.00 | $131.58–$325.24 | — | 60% |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 HC-Ekg Stress Test | $454.40 | $1,136.00 | $488.48–$1,207.44 | — | 60% |
| Eye exam, returning patient, intermediate CPT 92012 HC-Opthalmol Srvs Inter-N | $53.20 | $133.00 | $57.19–$141.36 | 56% below | 60% |
| Eye exam, returning patient, intermediate CPT 92012 HC-Ophth Srvs Interm Est Pt | $53.20 | $133.00 | $57.19–$141.36 | 56% below | 60% |
| Eye exam, returning patient, intermediate inpatient CPT 92012 HC-Ophth Srvs Interm Est Pt | $53.20 | $133.00 | $57.19–$141.36 | — | 60% |
| Eye exam, returning patient, intermediate inpatient CPT 92012 HC-Opthalmol Srvs Inter-N | $53.20 | $133.00 | $57.19–$141.36 | — | 60% |
| Family therapy with the patient, 50 minutes CPT 90847 HC-Family Psychother W/ Pat & Fam, 50mins | $66.00 | $165.00 | $70.95–$175.38 | 50% below | 60% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 HC-Family Psychother W/ Pat & Fam, 50mins | $66.00 | $165.00 | $70.95–$175.38 | — | 60% |
| Family therapy without the patient, 50 minutes CPT 90846 HC-Fam Psychother,Pat Not Present, 50mins | $66.00 | $165.00 | $70.95–$175.38 | 55% below | 60% |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 HC-Fam Psychother,Pat Not Present, 50mins | $66.00 | $165.00 | $70.95–$175.38 | — | 60% |
| Group psychotherapy session CPT 90853 HC-Group Psychotherapy | $38.00 | $95.00 | $40.85–$100.97 | 35% below | 60% |
| Group psychotherapy session inpatient CPT 90853 HC-Group Psychotherapy | $38.00 | $95.00 | $40.85–$100.97 | — | 60% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HC-IV Hydration Initl 31-60min | $241.20 | $603.00 | $94.22–$640.92 | 8% below | 60% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HC-IV Hydration Initl 31-60min | $241.20 | $603.00 | $259.29–$640.92 | — | 60% |
| IV infusion of a medicine, first hour CPT 96365 HC-IV Infusion Initial Up to 1 | $233.20 | $583.00 | $181.36–$619.66 | 22% below | 60% |
| IV infusion of a medicine, first hour CPT 96365 HC-IV Infusion Initial Up to 1 - Chronic Dialysis | $287.20 | $718.00 | $181.36–$763.15 | 5% below | 60% |
| IV infusion of a medicine, first hour inpatient CPT 96365 HC-IV Infusion Initial Up to 1 | $233.20 | $583.00 | $250.69–$619.66 | — | 60% |
| IV infusion of a medicine, first hour inpatient CPT 96365 HC-IV Infusion Initial Up to 1 - Chronic Dialysis | $287.20 | $718.00 | $308.74–$763.15 | — | 60% |
| IV push of a medicine, first drug CPT 96374 HC-Ivp Single or Initial Ped Dialysis Acute | $123.60 | $309.00 | $132.87–$328.43 | 35% below | 60% |
| IV push of a medicine, first drug CPT 96374 HC-Ivp Single or Initial | $134.00 | $335.00 | $144.05–$356.07 | 29% below | 60% |
| IV push of a medicine, first drug inpatient CPT 96374 HC-Ivp Single or Initial Ped Dialysis Acute | $123.60 | $309.00 | $132.87–$328.43 | — | 60% |
| IV push of a medicine, first drug inpatient CPT 96374 HC-Ivp Single or Initial | $134.00 | $335.00 | $144.05–$356.07 | — | 60% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 HC-Inj Med Admin Im/Sc | $32.80 | $82.00 | $35.26–$87.16 | 64% below | 60% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 HC-Injection in Port | $181.20 | $453.00 | $73.72–$481.49 | 99% above | 60% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 HC-N/I-Ubmt-Inj Med Admin Im/Sc | $382.80 | $957.00 | $73.72–$1,017.18 | 321% above | 60% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 HC-Inj Med Admin Im/Sc | $32.80 | $82.00 | $35.26–$87.16 | — | 60% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 HC-Injection in Port | $181.20 | $453.00 | $194.79–$481.49 | — | 60% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 HC-N/I-Ubmt-Inj Med Admin Im/Sc | $382.80 | $957.00 | $411.51–$1,017.18 | — | 60% |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 HC-Psychiatric Diagnostic Evaluation Without Medical Mgmt | $66.00 | $165.00 | $70.95–$175.38 | 71% below | 60% |
| Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 HC-Psychiatric Diagnostic Evaluation Without Medical Mgmt | $66.00 | $165.00 | $70.95–$175.38 | — | 60% |
| Nerve conduction study, 7 or 8 nerve studies CPT 95910 HC-Nerve Conduction Studies (7-8) | $732.00 | $1,830.00 | $537.15–$1,945.08 | 3% below | 60% |
| Nerve conduction study, 7 or 8 nerve studies inpatient CPT 95910 HC-Nerve Conduction Studies (7-8) | $732.00 | $1,830.00 | $786.90–$1,945.08 | — | 60% |
| Neuromuscular re-education, 15 minutes CPT 97112 HC-Pt-Neuromusclar Re-ED Ea 15 | $84.00 | $210.00 | $90.30–$223.21 | 11% below | 60% |
| Neuromuscular re-education, 15 minutes CPT 97112 HC-Ot-Neuromuscular Re-Ed15min | $84.00 | $210.00 | $90.30–$223.21 | 11% below | 60% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 HC-Pt-Neuromusclar Re-ED Ea 15 | $84.00 | $210.00 | $90.30–$223.21 | — | 60% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 HC-Ot-Neuromuscular Re-Ed15min | $84.00 | $210.00 | $90.30–$223.21 | — | 60% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 HC-Noncovered-Nutr Treatment Initial 15 | $39.20 | $98.00 | $29.90–$143.26 | 15% below | 60% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 HC-Med Nutr Treatment-Initial 15 Min | $52.80 | $132.00 | $29.90–$143.26 | 15% above | 60% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 HC-Noncovered-Nutr Treatment Initial 15 | $39.20 | $98.00 | $42.14–$104.16 | — | 60% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 HC-Med Nutr Treatment-Initial 15 Min | $52.80 | $132.00 | $56.76–$140.30 | — | 60% |
| Occupational therapy evaluation, low complexity CPT 97165 HC-Ot Eval: Low Complexity | $158.40 | $396.00 | $170.28–$420.90 | 24% below | 60% |
| Occupational therapy evaluation, low complexity inpatient CPT 97165 HC-Ot Eval: Low Complexity | $158.40 | $396.00 | $170.28–$420.90 | — | 60% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 HC-Pt-Eval: High Complexity | $180.00 | $450.00 | $193.50–$478.30 | 23% below | 60% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 HC-Pt-Eval: High Complexity | $180.00 | $450.00 | $193.50–$478.30 | — | 60% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 HC-Pt-Eval: Low Complexity | $166.80 | $417.00 | $179.31–$443.22 | 15% below | 60% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 HC-Pt-Eval: Low Complexity | $166.80 | $417.00 | $179.31–$443.22 | — | 60% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 HC-Pt-Eval: Moderate Complexity | $181.20 | $453.00 | $194.79–$481.49 | 19% below | 60% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 HC-Pt-Eval: Moderate Complexity | $181.20 | $453.00 | $194.79–$481.49 | — | 60% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HC-Pt-Manual Therapy Ea 15 Min | $81.20 | $203.00 | $79.80–$215.77 | 16% below | 60% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HC-Ot-Manual Therapy Ea 15min | $81.60 | $204.00 | $79.80–$216.83 | 16% below | 60% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HC-Pt-Manual Therapy Ea 15 Min | $81.20 | $203.00 | $87.29–$215.77 | — | 60% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HC-Ot-Manual Therapy Ea 15min | $81.60 | $204.00 | $87.72–$216.83 | — | 60% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC-Pt-Therapeutic Exercise 15 | $74.80 | $187.00 | $80.41–$198.76 | 20% below | 60% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC-Ot-Therapeutic Exercise 15m | $75.20 | $188.00 | $80.84–$199.82 | 20% below | 60% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC-Pt-Therapeutic Exercise 15 | $74.80 | $187.00 | $80.41–$198.76 | — | 60% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC-Ot-Therapeutic Exercise 15m | $75.20 | $188.00 | $80.84–$199.82 | — | 60% |
| Preventive checkup, new patient aged 18–39 CPT 99385 HC-Intl Prev Med E&M 18-39 Y | $29.20 | $73.00 | $31.39–$77.59 | 82% below | 60% |
| Preventive checkup, new patient aged 18–39 inpatient CPT 99385 HC-Intl Prev Med E&M 18-39 Y | $29.20 | $73.00 | $31.39–$77.59 | — | 60% |
| Preventive checkup, new patient aged 40–64 CPT 99386 HC-Intl Prev Med E&M 40-64 Y | $29.20 | $73.00 | $31.39–$77.59 | 84% below | 60% |
| Preventive checkup, new patient aged 40–64 inpatient CPT 99386 HC-Intl Prev Med E&M 40-64 Y | $29.20 | $73.00 | $31.39–$77.59 | — | 60% |
| Preventive checkup, new patient aged 65 or older CPT 99387 HC-Intl Prev Med E&M 65 Yrs | $29.20 | $73.00 | $31.39–$77.59 | 86% below | 60% |
| Preventive checkup, new patient aged 65 or older inpatient CPT 99387 HC-Intl Prev Med E&M 65 Yrs | $29.20 | $73.00 | $31.39–$77.59 | — | 60% |
| Preventive checkup, returning patient aged 18–39 CPT 99395 HC-Prev Med E&M Re-Eval 18-39 | $29.20 | $73.00 | $31.39–$77.59 | 80% below | 60% |
| Preventive checkup, returning patient aged 18–39 inpatient CPT 99395 HC-Prev Med E&M Re-Eval 18-39 | $29.20 | $73.00 | $31.39–$77.59 | — | 60% |
| Preventive checkup, returning patient aged 40–64 CPT 99396 HC-Prev Med E&M Re-Eval 40-64 | $29.20 | $73.00 | $31.39–$77.59 | 82% below | 60% |
| Preventive checkup, returning patient aged 40–64 inpatient CPT 99396 HC-Prev Med E&M Re-Eval 40-64 | $29.20 | $73.00 | $31.39–$77.59 | — | 60% |
| Preventive checkup, returning patient aged 65 or older CPT 99397 HC-Prev Med E&M Re-Eval 65+Yrs | $29.20 | $73.00 | $31.39–$77.59 | 85% below | 60% |
| Preventive checkup, returning patient aged 65 or older inpatient CPT 99397 HC-Prev Med E&M Re-Eval 65+Yrs | $29.20 | $73.00 | $31.39–$77.59 | — | 60% |
| Psychiatric evaluation with medical services CPT 90792 HC-Psychiatric Diagnostic Eval With Medical Mgmt | $66.00 | $165.00 | $70.95–$175.38 | 67% below | 60% |
| Psychiatric evaluation with medical services inpatient CPT 90792 HC-Psychiatric Diagnostic Eval With Medical Mgmt | $66.00 | $165.00 | $70.95–$175.38 | — | 60% |
| Psychological testing evaluation by a psychologist or physician, first hour CPT 96130 HC-Psychological Tst Eval Svc Phys/Qhp First Hour | $123.20 | $308.00 | $132.44–$327.37 | 72% below | 60% |
| Psychological testing evaluation by a psychologist or physician, first hour inpatient CPT 96130 HC-Psychological Tst Eval Svc Phys/Qhp First Hour | $123.20 | $308.00 | $132.44–$327.37 | — | 60% |
| Psychotherapy for crisis, first 60 minutes CPT 90839 HC-Psychotherapy for Crisis Initial 60 Minutes | $66.00 | $165.00 | $70.95–$175.38 | 35% below | 60% |
| Psychotherapy for crisis, first 60 minutes inpatient CPT 90839 HC-Psychotherapy for Crisis Initial 60 Minutes | $66.00 | $165.00 | $70.95–$175.38 | — | 60% |
| Psychotherapy session, 30 minutes CPT 90832 HC-Psychotherapy, 30 Minutes | $66.00 | $165.00 | $70.95–$175.38 | 66% below | 60% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 HC-Psychotherapy, 30 Minutes | $66.00 | $165.00 | $70.95–$175.38 | — | 60% |
| Psychotherapy session, 45 minutes CPT 90834 HC-Psychotherapy, 45 Minutes | $66.00 | $165.00 | $70.95–$175.38 | 69% below | 60% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 HC-Psychotherapy, 45 Minutes | $66.00 | $165.00 | $70.95–$175.38 | — | 60% |
| Psychotherapy session, 60 minutes CPT 90837 HC-Psychotherapy, 60 Minutes | $66.00 | $165.00 | $70.95–$175.38 | 71% below | 60% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 HC-Psychotherapy, 60 Minutes | $66.00 | $165.00 | $70.95–$175.38 | — | 60% |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 HC-Behav Chng Smoking 3-10 Min | $13.60 | $34.00 | $14.62–$36.14 | 67% below | 60% |
| Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 HC-Behav Chng Smoking 3-10 Min | $13.60 | $34.00 | $14.62–$36.14 | — | 60% |
| Speech and language evaluation CPT 92523 HC-Eval Speech Sound Product Language Comprehension | $520.00 | $1,300.00 | $181.04–$1,381.75 | 38% above | 60% |
| Speech and language evaluation CPT 92523 HC-Intra/Extra Oper Lang Eval | $691.60 | $1,729.00 | $181.04–$1,837.73 | 83% above | 60% |
| Speech and language evaluation inpatient CPT 92523 HC-Eval Speech Sound Product Language Comprehension | $520.00 | $1,300.00 | $559.00–$1,381.75 | — | 60% |
| Speech and language evaluation inpatient CPT 92523 HC-Intra/Extra Oper Lang Eval | $691.60 | $1,729.00 | $743.47–$1,837.73 | — | 60% |
| Speech therapy session, individual CPT 92507 HC-Pt Pay-Speech Improvement | $34.00 | $85.00 | $36.55–$328.79 | 84% below | 60% |
| Speech therapy session, individual CPT 92507 HC-Speech Language Treatment | $163.60 | $409.00 | $60.78–$434.72 | 23% below | 60% |
| Speech therapy session, individual CPT 92507 HC-Modify Voice Prosthesis | $184.80 | $462.00 | $60.78–$491.05 | 13% below | 60% |
| Speech therapy session, individual CPT 92507 HC-Speech Treatment Standard | $205.20 | $513.00 | $60.78–$545.26 | 4% below | 60% |
| Speech therapy session, individual CPT 92507 HC-Intra/Extra Oper Lng Interv | $249.20 | $623.00 | $60.78–$662.18 | 17% above | 60% |
| Speech therapy session, individual inpatient CPT 92507 HC-Pt Pay-Speech Improvement | $34.00 | $85.00 | $36.55–$90.35 | — | 60% |
| Speech therapy session, individual inpatient CPT 92507 HC-Speech Language Treatment | $163.60 | $409.00 | $175.87–$434.72 | — | 60% |
| Speech therapy session, individual inpatient CPT 92507 HC-Modify Voice Prosthesis | $184.80 | $462.00 | $198.66–$491.05 | — | 60% |
| Speech therapy session, individual inpatient CPT 92507 HC-Speech Treatment Standard | $205.20 | $513.00 | $220.59–$545.26 | — | 60% |
| Speech therapy session, individual inpatient CPT 92507 HC-Intra/Extra Oper Lng Interv | $249.20 | $623.00 | $267.89–$662.18 | — | 60% |
| Spirometry (breathing test) CPT 94010 HC-Spirometry | $177.60 | $444.00 | $148.35–$471.92 | 12% below | 60% |
| Spirometry (breathing test) inpatient CPT 94010 HC-Spirometry | $177.60 | $444.00 | $190.92–$471.92 | — | 60% |
| Spirometry before and after a bronchodilator CPT 94060 HC-Bronchodil Resp Pre/Pst Adm | $306.00 | $765.00 | $222.54–$813.11 | 22% below | 60% |
| Spirometry before and after a bronchodilator inpatient CPT 94060 HC-Bronchodil Resp Pre/Pst Adm | $306.00 | $765.00 | $328.95–$813.11 | — | 60% |
| TMS (transcranial magnetic stimulation), first session with mapping CPT 90867 HC-Thera Repetive Transcranial Mag Stim(Tms):Initial Delivery&Mangmnt | $493.20 | $1,233.00 | $530.19–$1,310.54 | 23% above | 60% |
| TMS (transcranial magnetic stimulation), first session with mapping inpatient CPT 90867 HC-Thera Repetive Transcranial Mag Stim(Tms):Initial Delivery&Mangmnt | $493.20 | $1,233.00 | $530.19–$1,310.54 | — | 60% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 HC-Ot-Visul Mtr Integton per 1 | $40.00 | $100.00 | $43.00–$106.29 | 50% below | 60% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 HC-Ot-Therapeutic Act Ea15min | $74.40 | $186.00 | $79.98–$197.70 | 8% below | 60% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 HC-Pt-Therapeutic Activ Ea 15 | $74.40 | $186.00 | $79.98–$197.70 | 8% below | 60% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HC-Ot-Visul Mtr Integton per 1 | $40.00 | $100.00 | $43.00–$106.29 | — | 60% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HC-Pt-Therapeutic Activ Ea 15 | $74.40 | $186.00 | $79.98–$197.70 | — | 60% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HC-Ot-Therapeutic Act Ea15min | $74.40 | $186.00 | $79.98–$197.70 | — | 60% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 HC-Phlebotomy Therapeutic | $238.80 | $597.00 | $256.71–$677.81 | 2% above | 60% |
| Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 HC-Phlebotomy Therapeutic | $238.80 | $597.00 | $256.71–$634.54 | — | 60% |
| Visual field test, extended CPT 92083 HC-Visual Field Exam, Extended | $154.00 | $385.00 | $165.55–$409.21 | 9% below | 60% |
| Visual field test, extended inpatient CPT 92083 HC-Visual Field Exam, Extended | $154.00 | $385.00 | $165.55–$409.21 | — | 60% |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Michigan | Off list |
|---|---|---|---|---|---|
| Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older CPT 90653 FLU VACC 2025-26(65YR UP)-MF59C(PF) 45 MCG(15 MCGX3)/0.5 ML IM SYRINGE | $38.82 | $97.05 | $27.66–$191.41 | 56% below | 60% |
| Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older CPT 90653 HC-Flu Vaccine Fluad (Iiv) Adjuvant High Dose Im(65+) | $42.00 | $105.00 | $29.93–$191.41 | 53% below | 60% |
| Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older inpatient CPT 90653 FLU VACC 2025-26(65YR UP)-MF59C(PF) 45 MCG(15 MCGX3)/0.5 ML IM SYRINGE | $38.82 | $97.05 | $41.73–$103.15 | — | 60% |
| Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older inpatient CPT 90653 HC-Flu Vaccine Fluad (Iiv) Adjuvant High Dose Im(65+) | $42.00 | $105.00 | $45.15–$111.60 | — | 60% |
| COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 HC-Pfizer(Covid19)Tri-Sucrose(12y+)30mcg/0.30ml | $78.00 | $195.00 | $55.58–$328.32 | 64% below | 60% |
| COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 COVID VACC 2025-2026 (12 YRS UP) (PFIZER)(PF) 30 MCG/0.3 ML IM SYRINGE | $118.15 | $295.38 | $84.18–$328.32 | 45% below | 60% |
| COVID-19 vaccine (Pfizer-BioNTech), age 12 and older inpatient CPT 91320 HC-Pfizer(Covid19)Tri-Sucrose(12y+)30mcg/0.30ml | $78.00 | $195.00 | $83.85–$207.26 | — | 60% |
| COVID-19 vaccine (Pfizer-BioNTech), age 12 and older inpatient CPT 91320 COVID VACC 2025-2026 (12 YRS UP) (PFIZER)(PF) 30 MCG/0.3 ML IM SYRINGE | $118.15 | $295.38 | $127.01–$313.95 | — | 60% |
| Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 HC-Chicken Pox Vaccine, Live, Sub-Q | $132.00 | $330.00 | $141.90–$381.87 | 35% below | 60% |
| Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 VARICELLA VIRUS VACCINE LIVE (PF) 1,350 UNIT/0.5 ML SUBCUTANEOUS SUSP | $146.04 | $365.10 | $156.99–$381.87 | 28% below | 60% |
| Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 HC-Chicken Pox Vaccine, Live, Sub-Q | $132.00 | $330.00 | $141.90–$350.75 | — | 60% |
| Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 VARICELLA VIRUS VACCINE LIVE (PF) 1,350 UNIT/0.5 ML SUBCUTANEOUS SUSP | $146.04 | $365.10 | $156.99–$388.06 | — | 60% |
| DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) CPT 90696 DIPH,PERTUS(ACELL),TET,POLIO (PF) 25 LF-58 MCG-10 LF/0.5 ML IM SYRINGE | $37.02 | $92.54 | $39.79–$129.79 | 40% below | 60% |
| DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) CPT 90696 HC-Vaccine Kinrix, Dtap & Polio, Age 4-6 Only | $41.60 | $104.00 | $44.72–$129.79 | 33% below | 60% |
| DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) inpatient CPT 90696 DIPH,PERTUS(ACELL),TET,POLIO (PF) 25 LF-58 MCG-10 LF/0.5 ML IM SYRINGE | $37.02 | $92.54 | $39.79–$98.36 | — | 60% |
| DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) inpatient CPT 90696 HC-Vaccine Kinrix, Dtap & Polio, Age 4-6 Only | $41.60 | $104.00 | $44.72–$110.54 | — | 60% |
| DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 DIPH,PERTUS(ACEL),TET PED(PF) 25 LF UNIT-58 MCG-10 LF/0.5ML IM SYRINGE | $18.45 | $46.13 | $19.84–$60.84 | 52% below | 60% |
| DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 HC-Dtap Vacc <7 Yrs Old Im | $24.40 | $61.00 | $26.23–$60.84 | 37% below | 60% |
| DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 DIPH,PERTUS(ACEL),TET PED(PF) 25 LF UNIT-58 MCG-10 LF/0.5ML IM SYRINGE | $18.45 | $46.13 | $19.84–$49.03 | — | 60% |
| DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 HC-Dtap Vacc <7 Yrs Old Im | $24.40 | $61.00 | $26.23–$64.84 | — | 60% |
| DTaP, hepatitis B and polio combination vaccine (Pediarix) CPT 90723 HEP B-DP(A)T-POLIO VACC (PF) 10 MCG-25LF-25 MCG-10LF/0.5 ML IM SYRINGE | $50.48 | $126.19 | $54.26–$214.50 | 60% below | 60% |
| DTaP, hepatitis B and polio combination vaccine (Pediarix) CPT 90723 HC-Dtap/Hepb/Ipv Vaccine,Im | $64.40 | $161.00 | $69.23–$214.50 | 48% below | 60% |
| DTaP, hepatitis B and polio combination vaccine (Pediarix) inpatient CPT 90723 HEP B-DP(A)T-POLIO VACC (PF) 10 MCG-25LF-25 MCG-10LF/0.5 ML IM SYRINGE | $50.48 | $126.19 | $54.26–$134.13 | — | 60% |
| DTaP, hepatitis B and polio combination vaccine (Pediarix) inpatient CPT 90723 HC-Dtap/Hepb/Ipv Vaccine,Im | $64.40 | $161.00 | $69.23–$171.12 | — | 60% |
| DTaP, polio and Hib combination vaccine (Pentacel) CPT 90698 HC-Dtap Ipv Hib(Pentacel)Vaccine Im | $76.00 | $190.00 | $81.70–$248.72 | 51% below | 60% |
| DTaP, polio and Hib combination vaccine (Pentacel) inpatient CPT 90698 HC-Dtap Ipv Hib(Pentacel)Vaccine Im | $76.00 | $190.00 | $81.70–$201.95 | — | 60% |
| Flu shot, recombinant, egg-free (Flublok) CPT 90673 HC-Flublok Vaccine Trivalent(Riv3)Pf 0.50ml Im | $48.80 | $122.00 | $34.77–$191.41 | 56% below | 60% |
| Flu shot, recombinant, egg-free (Flublok) inpatient CPT 90673 HC-Flublok Vaccine Trivalent(Riv3)Pf 0.50ml Im | $48.80 | $122.00 | $52.46–$129.67 | — | 60% |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 FLU VACCINE TS 2025-26(6MOS UP)(PF) 45 MCG(15MCG X3)/0.5 ML IM SYRINGE | $10.98 | $27.45 | $7.83–$45.28 | 65% below | 60% |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 HC-Flu Vaccine Trivalent(Iiv3)Split Pf 0.50ml Im(6m+) | $16.00 | $40.00 | $11.40–$45.28 | 50% below | 60% |
| Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 FLU VACCINE TS 2025-26(6MOS UP)(PF) 45 MCG(15MCG X3)/0.5 ML IM SYRINGE | $10.98 | $27.45 | $11.80–$29.18 | — | 60% |
| Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 HC-Flu Vaccine Trivalent(Iiv3)Split Pf 0.50ml Im(6m+) | $16.00 | $40.00 | $17.20–$42.52 | — | 60% |
| HPV vaccine, 9-valent (Gardasil 9) CPT 90651 HUMAN PAPILLOMAVIRUS VACCINE,9-VALENT (PF) 0.5 ML IM SUSPENSION | $180.76 | $451.91 | $194.32–$654.32 | 46% below | 60% |
| HPV vaccine, 9-valent (Gardasil 9) CPT 90651 HC-Hpv Virus Vaccine 9 Val Im | $193.20 | $483.00 | $207.69–$654.32 | 42% below | 60% |
| HPV vaccine, 9-valent (Gardasil 9) CPT 90651 HUMAN PAPILLOMAVIRUS VACCINE,9-VALENT(PF) 0.5 ML INTRAMUSCULAR SYRINGE | $238.62 | $596.55 | $256.52–$654.32 | 29% below | 60% |
| HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 HUMAN PAPILLOMAVIRUS VACCINE,9-VALENT (PF) 0.5 ML IM SUSPENSION | $180.76 | $451.91 | $194.32–$480.33 | — | 60% |
| HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 HC-Hpv Virus Vaccine 9 Val Im | $193.20 | $483.00 | $207.69–$513.37 | — | 60% |
| HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 HUMAN PAPILLOMAVIRUS VACCINE,9-VALENT(PF) 0.5 ML INTRAMUSCULAR SYRINGE | $238.62 | $596.55 | $256.52–$634.06 | — | 60% |
| Hepatitis A and B combination vaccine, adult (Twinrix) CPT 90636 HEPATITIS A AND B VIRUS VACCINE(PF)720 ELISA UNIT-20 MCG/ML IM SYRINGE | $77.52 | $193.79 | $83.33–$262.92 | 55% below | 60% |
| Hepatitis A and B combination vaccine, adult (Twinrix) CPT 90636 HC-Hep a/Hep B Vaccine Adult Im (Twin Rix) | $77.60 | $194.00 | $83.42–$262.92 | 55% below | 60% |
| Hepatitis A and B combination vaccine, adult (Twinrix) inpatient CPT 90636 HEPATITIS A AND B VIRUS VACCINE(PF)720 ELISA UNIT-20 MCG/ML IM SYRINGE | $77.52 | $193.79 | $83.33–$205.98 | — | 60% |
| Hepatitis A and B combination vaccine, adult (Twinrix) inpatient CPT 90636 HC-Hep a/Hep B Vaccine Adult Im (Twin Rix) | $77.60 | $194.00 | $83.42–$206.20 | — | 60% |
| Hepatitis A vaccine, adult dose CPT 90632 HEPATITIS A VACCINE (PF) 1,440 ELISA UNIT/ML INTRAMUSCULAR SYRINGE | $52.86 | $132.15 | $56.82–$159.27 | 55% below | 60% |
| Hepatitis A vaccine, adult dose CPT 90632 HC-Hep a Vaccine Adult Im | $53.60 | $134.00 | $57.62–$159.27 | 54% below | 60% |
| Hepatitis A vaccine, adult dose inpatient CPT 90632 HEPATITIS A VACCINE (PF) 1,440 ELISA UNIT/ML INTRAMUSCULAR SYRINGE | $52.86 | $132.15 | $56.82–$140.46 | — | 60% |
| Hepatitis A vaccine, adult dose inpatient CPT 90632 HC-Hep a Vaccine Adult Im | $53.60 | $134.00 | $57.62–$142.43 | — | 60% |
| Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 HEPATITIS A VIRUS VACCINE (PF) 25 UNIT/0.5 ML INTRAMUSCULAR SYRINGE | $21.86 | $54.66 | $23.50–$79.40 | 71% below | 60% |
| Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 HC-Hep a Vaccine Ped/Adol-2 Dose | $23.20 | $58.00 | $24.94–$79.40 | 69% below | 60% |
| Hepatitis A vaccine, child and teen dose (2-dose schedule) inpatient CPT 90633 HEPATITIS A VIRUS VACCINE (PF) 25 UNIT/0.5 ML INTRAMUSCULAR SYRINGE | $21.86 | $54.66 | $23.50–$58.10 | — | 60% |
| Hepatitis A vaccine, child and teen dose (2-dose schedule) inpatient CPT 90633 HC-Hep a Vaccine Ped/Adol-2 Dose | $23.20 | $58.00 | $24.94–$61.65 | — | 60% |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPATITIS B VIRUS VACCINE RECOMB (PF) 20 MCG/ML INTRAMUSCULAR SUSP | $35.29 | $88.23 | $25.15–$137.36 | 58% below | 60% |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPATITIS B VIRUS VACCINE RECOMB (PF) 20 MCG/ML INTRAMUSCULAR SYRINGE | $35.29 | $88.23 | $25.15–$137.36 | 58% below | 60% |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HC-Hepatitis B Vaccine,Adult,Im | $48.00 | $120.00 | $34.20–$137.36 | 43% below | 60% |
| Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HEPATITIS B VIRUS VACCINE RECOMB (PF) 20 MCG/ML INTRAMUSCULAR SYRINGE | $35.29 | $88.23 | $37.94–$93.78 | — | 60% |
| Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HEPATITIS B VIRUS VACCINE RECOMB (PF) 20 MCG/ML INTRAMUSCULAR SUSP | $35.29 | $88.23 | $37.94–$93.78 | — | 60% |
| Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HC-Hepatitis B Vaccine,Adult,Im | $48.00 | $120.00 | $51.60–$127.55 | — | 60% |
| Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) CPT 90739 HC-Hepatitis B(Hepb) Adult 2/4 Dose(Heplisav-B) | $96.40 | $241.00 | $68.69–$346.24 | 30% below | 60% |
| Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) CPT 90739 HEPATITIS B VACCINE 20 MCG/0.5 ML-ADJUVANT CPG 1018 (PF) IM SYRINGE | $100.96 | $252.41 | $71.93–$346.24 | 27% below | 60% |
| Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) inpatient CPT 90739 HC-Hepatitis B(Hepb) Adult 2/4 Dose(Heplisav-B) | $96.40 | $241.00 | $103.63–$256.15 | — | 60% |
| Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) inpatient CPT 90739 HEPATITIS B VACCINE 20 MCG/0.5 ML-ADJUVANT CPG 1018 (PF) IM SYRINGE | $100.96 | $252.41 | $108.54–$268.28 | — | 60% |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HEPATITIS B VIRUS VACCINE RECOMB (PF) 10 MCG/0.5 ML IM SYRINGE | $15.16 | $37.91 | $10.80–$61.76 | 53% below | 60% |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HC-Hep B Vaccine, Ped/Adolescent, Im | $19.20 | $48.00 | $13.68–$61.76 | 41% below | 60% |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 HEPATITIS B VIRUS VACCINE RECOMB (PF) 10 MCG/0.5 ML IM SYRINGE | $15.16 | $37.91 | $16.30–$40.29 | — | 60% |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 HC-Hep B Vaccine, Ped/Adolescent, Im | $19.20 | $48.00 | $20.64–$51.02 | — | 60% |
| Hib vaccine (Haemophilus influenzae type b), 3-dose schedule (PedvaxHIB) CPT 90647 HC-Hib Vaccine, Prp-Omp, Im, 3 Dose | $20.80 | $52.00 | $22.36–$63.08 | 58% below | 60% |
| Hib vaccine (Haemophilus influenzae type b), 3-dose schedule (PedvaxHIB) CPT 90647 HAEMOPH B POLYSAC CONJ-MENING (PF) 7.5 MCG/0.5 ML INTRAMUSCULAR SOLN | $21.97 | $54.93 | $23.62–$63.08 | 55% below | 60% |
| Hib vaccine (Haemophilus influenzae type b), 3-dose schedule (PedvaxHIB) inpatient CPT 90647 HC-Hib Vaccine, Prp-Omp, Im, 3 Dose | $20.80 | $52.00 | $22.36–$55.27 | — | 60% |
| Hib vaccine (Haemophilus influenzae type b), 3-dose schedule (PedvaxHIB) inpatient CPT 90647 HAEMOPH B POLYSAC CONJ-MENING (PF) 7.5 MCG/0.5 ML INTRAMUSCULAR SOLN | $21.97 | $54.93 | $23.62–$58.38 | — | 60% |
| Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 HC-Hib Vaccine, Prp-T, Im (Acth1b) | $32.00 | $80.00 | $13.74–$68.00 | 22% below | 60% |
| Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) inpatient CPT 90648 HC-Hib Vaccine, Prp-T, Im (Acth1b) | $32.00 | $80.00 | $34.40–$85.03 | — | 60% |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 HC-Flu Vaccine Trivalent(Hd_Iiv3)Split Pf High Dose Im | $50.00 | $125.00 | $35.63–$191.41 | 37% below | 60% |
| High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 HC-Flu Vaccine Trivalent(Hd_Iiv3)Split Pf High Dose Im | $50.00 | $125.00 | $53.75–$132.86 | — | 60% |
| Japanese encephalitis vaccine (Ixiaro), 2-dose schedule CPT 90738 HC-Japanese Encephalitis Vaccine Inactive Im | $210.80 | $527.00 | $226.61–$586.93 | 52% below | 60% |
| Japanese encephalitis vaccine (Ixiaro), 2-dose schedule CPT 90738 JAPANESE ENCEPHALITIS VACCINE (PF) 6 MCG/0.5 ML INTRAMUSCULAR SYRINGE | $229.57 | $573.92 | $246.79–$586.93 | 48% below | 60% |
| Japanese encephalitis vaccine (Ixiaro), 2-dose schedule inpatient CPT 90738 HC-Japanese Encephalitis Vaccine Inactive Im | $210.80 | $527.00 | $226.61–$560.14 | — | 60% |
| Japanese encephalitis vaccine (Ixiaro), 2-dose schedule inpatient CPT 90738 JAPANESE ENCEPHALITIS VACCINE (PF) 6 MCG/0.5 ML INTRAMUSCULAR SYRINGE | $229.57 | $573.92 | $246.79–$610.01 | — | 60% |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 HC-Mmr Virus Immunization, Subcut | $64.40 | $161.00 | $69.23–$195.27 | 52% below | 60% |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 MEASLES,MUMPS,RUBELLA VACCINE LIVE(PF)1,000-12,500TCID50/0.5 ML SUBCUT | $67.00 | $167.50 | $72.03–$195.27 | 51% below | 60% |
| MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 HC-Mmr Virus Immunization, Subcut | $64.40 | $161.00 | $69.23–$171.12 | — | 60% |
| MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 MEASLES,MUMPS,RUBELLA VACCINE LIVE(PF)1,000-12,500TCID50/0.5 ML SUBCUT | $67.00 | $167.50 | $72.03–$178.03 | — | 60% |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENINGOC VAC A,C,Y,W-135 DIP(PF) 10 MCG-5 MCG/0.5 ML IM KIT (2 VIALS) | $84.35 | $210.88 | $90.68–$331.42 | 59% below | 60% |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 HC-Meningococcal Vaccine(Menveo)0.50ml | $104.00 | $260.00 | $111.80–$331.42 | 50% below | 60% |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 HC-Meningococcal Vaccine, Im | $108.00 | $270.00 | $116.10–$331.42 | 48% below | 60% |
| Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 MENINGOC VAC A,C,Y,W-135 DIP(PF) 10 MCG-5 MCG/0.5 ML IM KIT (2 VIALS) | $84.35 | $210.88 | $90.68–$224.14 | — | 60% |
| Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 HC-Meningococcal Vaccine(Menveo)0.50ml | $104.00 | $260.00 | $111.80–$276.35 | — | 60% |
| Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 HC-Meningococcal Vaccine, Im | $108.00 | $270.00 | $116.10–$286.98 | — | 60% |
| Meningococcal ACWY vaccine (MenQuadfi) CPT 90619 HC-Meningococcal Vaccine(Menquadfi) 0.50ml Im | $112.80 | $282.00 | $121.26–$341.80 | 52% below | 60% |
| Meningococcal ACWY vaccine (MenQuadfi) CPT 90619 MENINGOCOCCAL VAC A,C,Y,W-135,CONJ TET (PF) 10 MCG/0.5 ML IM SOLUTION | $117.22 | $293.05 | $126.01–$341.80 | 50% below | 60% |
| Meningococcal ACWY vaccine (MenQuadfi) inpatient CPT 90619 HC-Meningococcal Vaccine(Menquadfi) 0.50ml Im | $112.80 | $282.00 | $121.26–$299.73 | — | 60% |
| Meningococcal ACWY vaccine (MenQuadfi) inpatient CPT 90619 MENINGOCOCCAL VAC A,C,Y,W-135,CONJ TET (PF) 10 MCG/0.5 ML IM SOLUTION | $117.22 | $293.05 | $126.01–$311.48 | — | 60% |
| Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 MENINGOCOCCAL B VAC,4-CMP 50 MCG-50 MCG-50 MCG-25 MCG/0.5ML IM SYRINGE | $125.26 | $313.16 | $134.66–$471.39 | 62% below | 60% |
| Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 HC-Meningococcal Vaccine(Bexsero)0.50ml Im | $144.80 | $362.00 | $155.66–$471.39 | 56% below | 60% |
| Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 MENINGOCOCCAL B VAC,4-CMP 50 MCG-50 MCG-50 MCG-25 MCG/0.5ML IM SYRINGE | $125.26 | $313.16 | $134.66–$332.85 | — | 60% |
| Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 HC-Meningococcal Vaccine(Bexsero)0.50ml Im | $144.80 | $362.00 | $155.66–$384.76 | — | 60% |
| Mpox and smallpox vaccine (Jynneos), 2-dose schedule CPT 90611 SMALLPOX,MPOX LIVE VACCINE(PF) 0.5X TO 3.95X 10EXP8/0.5 ML SUBCUT SUSP | $106.38 | $265.95 | $114.36–$537.03 | — | 60% |
| Mpox and smallpox vaccine (Jynneos), 2-dose schedule CPT 90611 HC-(Jynneos)Smallpox & Monkeypox Vacc(Pf) 0.5 Ml Subq Use | $212.80 | $532.00 | $228.76–$565.45 | — | 60% |
| Mpox and smallpox vaccine (Jynneos), 2-dose schedule inpatient CPT 90611 SMALLPOX,MPOX LIVE VACCINE(PF) 0.5X TO 3.95X 10EXP8/0.5 ML SUBCUT SUSP | $106.38 | $265.95 | $114.36–$282.67 | — | 60% |
| Mpox and smallpox vaccine (Jynneos), 2-dose schedule inpatient CPT 90611 HC-(Jynneos)Smallpox & Monkeypox Vacc(Pf) 0.5 Ml Subq Use | $212.80 | $532.00 | $228.76–$565.45 | — | 60% |
| Nasal spray flu vaccine, live (FluMist) CPT 90660 HC-Flu Vaccine Trivalent Live(Laiv3)Intranasal (2-49y) | $20.80 | $52.00 | $14.82–$57.93 | 24% below | 60% |
| Nasal spray flu vaccine, live (FluMist) inpatient CPT 90660 HC-Flu Vaccine Trivalent Live(Laiv3)Intranasal (2-49y) | $20.80 | $52.00 | $22.36–$55.27 | — | 60% |
| Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 HC-Pneumococcal Conj Vaccine 13 Valent Im | $168.40 | $421.00 | $119.99–$503.08 | 38% below | 60% |
| Pneumonia vaccine, 13-valent conjugate (Prevnar 13) inpatient CPT 90670 HC-Pneumococcal Conj Vaccine 13 Valent Im | $168.40 | $421.00 | $181.03–$447.47 | — | 60% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE | $172.05 | $430.12 | $122.59–$610.16 | 55% below | 60% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 HC-Pneumococcal Vaccine(Prevnar20)0.50 Ml | $210.40 | $526.00 | $149.91–$610.16 | 45% below | 60% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 PNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE | $172.05 | $430.12 | $184.95–$457.17 | — | 60% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 HC-Pneumococcal Vaccine(Prevnar20)0.50 Ml | $210.40 | $526.00 | $226.18–$559.08 | — | 60% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOCOCCAL 23 POLYVALENT VACCINE 25 MCG/0.5 ML INJECTION SYRINGE | $77.16 | $192.90 | $54.98–$260.27 | 51% below | 60% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 HC-Pneumococcal Vaccine, 23-Valent, Adult | $158.80 | $397.00 | $113.15–$337.45 | at median | 60% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMOCOCCAL 23 POLYVALENT VACCINE 25 MCG/0.5 ML INJECTION SYRINGE | $77.16 | $192.90 | $82.95–$205.03 | — | 60% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 HC-Pneumococcal Vaccine, 23-Valent, Adult | $158.80 | $397.00 | $170.71–$421.96 | — | 60% |
| Polio vaccine, inactivated (IPV) CPT 90713 HC-Poliomyelitis Immunization, Inactive, Sub-Q | $28.40 | $71.00 | $30.53–$92.90 | 54% below | 60% |
| Polio vaccine, inactivated (IPV) CPT 90713 POLIOVIRUS VACCINE 40 UNIT-8 UNIT-32 UNIT/0.5 ML INJECTION SUSPENSION | $32.68 | $81.71 | $35.14–$92.90 | 47% below | 60% |
| Polio vaccine, inactivated (IPV) inpatient CPT 90713 HC-Poliomyelitis Immunization, Inactive, Sub-Q | $28.40 | $71.00 | $30.53–$75.46 | — | 60% |
| Polio vaccine, inactivated (IPV) inpatient CPT 90713 POLIOVIRUS VACCINE 40 UNIT-8 UNIT-32 UNIT/0.5 ML INJECTION SUSPENSION | $32.68 | $81.71 | $35.14–$86.85 | — | 60% |
| RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) CPT 90381 HC-Rsv(Nirsevimab)Monoclonal Antb Seasonal Dose 1.0 Ml Im Use | $353.20 | $883.00 | $379.69–$1,106.16 | 52% below | 60% |
| RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) inpatient CPT 90381 HC-Rsv(Nirsevimab)Monoclonal Antb Seasonal Dose 1.0 Ml Im Use | $353.20 | $883.00 | $379.69–$938.53 | — | 60% |
| RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 HC-Rsv(Nirsevimab)Monoclonal Antb Seasonal Dose 0.50 Ml Im Use | $353.20 | $883.00 | $379.69–$1,106.16 | 52% below | 60% |
| RSV antibody shot for infants, seasonal dose (0.5 mL) inpatient CPT 90380 HC-Rsv(Nirsevimab)Monoclonal Antb Seasonal Dose 0.50 Ml Im Use | $353.20 | $883.00 | $379.69–$938.53 | — | 60% |
| RSV vaccine (Abrysvo), one dose for older adults or during pregnancy CPT 90678 RESP SYNCYTIAL VIRUS VAC, PREF A AND B (PF) 120 MCG/0.5 ML IM SOLUTION | $197.70 | $494.24 | $212.52–$610.23 | 59% below | 60% |
| RSV vaccine (Abrysvo), one dose for older adults or during pregnancy CPT 90678 HC-Rsv Vaccine(Abrysvo)Pref Subunit Bivalent for Im Use | $215.20 | $538.00 | $231.34–$610.23 | 55% below | 60% |
| RSV vaccine (Abrysvo), one dose for older adults or during pregnancy inpatient CPT 90678 RESP SYNCYTIAL VIRUS VAC, PREF A AND B (PF) 120 MCG/0.5 ML IM SOLUTION | $197.70 | $494.24 | $212.52–$525.32 | — | 60% |
| RSV vaccine (Abrysvo), one dose for older adults or during pregnancy inpatient CPT 90678 HC-Rsv Vaccine(Abrysvo)Pref Subunit Bivalent for Im Use | $215.20 | $538.00 | $231.34–$571.83 | — | 60% |
| Rabies vaccine, one dose CPT 90675 RABIES VACCINE,HUMAN DIPLOID (PF) 2.5 UNIT INTRAMUSCULAR SOLUTION | $221.71 | $554.28 | $238.34–$826.72 | 57% below | 60% |
| Rabies vaccine, one dose CPT 90675 HC-Rabies Vaccine (Imovax) Im | $258.40 | $646.00 | $277.78–$826.72 | 50% below | 60% |
| Rabies vaccine, one dose CPT 90675 HC-Rabies Vaccine (Rabavert) Im | $278.00 | $695.00 | $298.85–$826.72 | 46% below | 60% |
| Rabies vaccine, one dose CPT 90675 RABIES VACCINE, PURIFIED CHICKEN EMBRYO CELL (PF) 2.5 UNIT IM SUSP | $302.33 | $755.82 | $325.00–$826.72 | 41% below | 60% |
| Rabies vaccine, one dose inpatient CPT 90675 RABIES VACCINE,HUMAN DIPLOID (PF) 2.5 UNIT INTRAMUSCULAR SOLUTION | $221.71 | $554.28 | $238.34–$589.14 | — | 60% |
| Rabies vaccine, one dose inpatient CPT 90675 HC-Rabies Vaccine (Imovax) Im | $258.40 | $646.00 | $277.78–$686.62 | — | 60% |
| Rabies vaccine, one dose inpatient CPT 90675 HC-Rabies Vaccine (Rabavert) Im | $278.00 | $695.00 | $298.85–$738.70 | — | 60% |
| Rabies vaccine, one dose inpatient CPT 90675 RABIES VACCINE, PURIFIED CHICKEN EMBRYO CELL (PF) 2.5 UNIT IM SUSP | $302.33 | $755.82 | $325.00–$803.35 | — | 60% |
| Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) CPT 90680 ROTAVIRUS VACCINE LIVE, PENTAVALENT 2 ML ORAL SOLUTION | $64.08 | $160.20 | $68.89–$204.11 | 22% below | 60% |
| Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) CPT 90680 HC-Rotovirus Vaccine, Pentaval, 3 Dose, Oral | $67.20 | $168.00 | $72.24–$204.11 | 18% below | 60% |
| Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) inpatient CPT 90680 ROTAVIRUS VACCINE LIVE, PENTAVALENT 2 ML ORAL SOLUTION | $64.08 | $160.20 | $68.89–$170.27 | — | 60% |
| Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) inpatient CPT 90680 HC-Rotovirus Vaccine, Pentaval, 3 Dose, Oral | $67.20 | $168.00 | $72.24–$178.56 | — | 60% |
| Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 VARICELLA-ZOSTER GLYCOE VACC-AS01B ADJ(PF) 50 MCG/0.5 ML IM SUSP, KIT | $116.71 | $291.78 | $125.47–$428.65 | 40% below | 60% |
| Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 HC-Zoster(Shingrix)Vaccine Hzv Rec Adj Im | $126.00 | $315.00 | $135.45–$428.65 | 35% below | 60% |
| Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 VARICELLA-ZOSTER GLYCOP E VACCINE (VIAL 2 OF 2) 50 MCG IM SUSPENSION | $148.34 | $370.84 | $159.46–$428.65 | 24% below | 60% |
| Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 VARICELLA-ZOSTER GLYCOE VACC-AS01B ADJ(PF) 50 MCG/0.5 ML IM SUSP, KIT | $116.71 | $291.78 | $125.47–$310.13 | — | 60% |
| Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 HC-Zoster(Shingrix)Vaccine Hzv Rec Adj Im | $126.00 | $315.00 | $135.45–$334.81 | — | 60% |
| Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 VARICELLA-ZOSTER GLYCOP E VACCINE (VIAL 2 OF 2) 50 MCG IM SUSPENSION | $148.34 | $370.84 | $159.46–$394.16 | — | 60% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 HC-Td Vaccine No Prsrv >/= 7 Yo, Im | $27.20 | $68.00 | $29.24–$80.37 | 50% below | 60% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS AND DIPHTHERIA TOX (PF) 5 LF UNIT-2 LF UNIT/0.5 ML IM SYRINGE | $31.03 | $77.57 | $33.36–$80.37 | 43% below | 60% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS AND DIPHTHERIA TOX (PF) 5 LF UNIT-2 LF UNIT/0.5 ML IM SUSP | $31.03 | $77.57 | $33.36–$80.37 | 43% below | 60% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 HC-Td Vaccine No Prsrv >/= 7 Yo, Im | $27.20 | $68.00 | $29.24–$72.28 | — | 60% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS AND DIPHTHERIA TOX (PF) 5 LF UNIT-2 LF UNIT/0.5 ML IM SUSP | $31.03 | $77.57 | $33.36–$82.45 | — | 60% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS AND DIPHTHERIA TOX (PF) 5 LF UNIT-2 LF UNIT/0.5 ML IM SYRINGE | $31.03 | $77.57 | $33.36–$82.45 | — | 60% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 DIPHTH,PERTUSSIS(ACEL),TETANUS 2.5 LF UNIT-8 MCG-5 LF/0.5ML IM SYRINGE | $28.61 | $71.52 | $30.75–$92.73 | 61% below | 60% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 HC-Tdap Vaccine >7 Yo, Im | $38.00 | $95.00 | $40.85–$92.73 | 48% below | 60% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 DIPHTH,PERTUSSIS(ACEL),TETANUS 2.5 LF UNIT-8 MCG-5 LF/0.5ML IM SYRINGE | $28.61 | $71.52 | $30.75–$76.02 | — | 60% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 HC-Tdap Vaccine >7 Yo, Im | $38.00 | $95.00 | $40.85–$100.97 | — | 60% |
| Typhoid vaccine, injectable (Vi polysaccharide) CPT 90691 HC-Typhoid Vaccine, Im | $88.80 | $222.00 | $95.46–$306.11 | 42% below | 60% |
| Typhoid vaccine, injectable (Vi polysaccharide) CPT 90691 TYPHOID VI POLYSACCH VACCINE 25 MCG/0.5 ML INTRAMUSCULAR SYRINGE | $112.69 | $281.72 | $121.14–$306.11 | 26% below | 60% |
| Typhoid vaccine, injectable (Vi polysaccharide) inpatient CPT 90691 HC-Typhoid Vaccine, Im | $88.80 | $222.00 | $95.46–$235.96 | — | 60% |
| Typhoid vaccine, injectable (Vi polysaccharide) inpatient CPT 90691 TYPHOID VI POLYSACCH VACCINE 25 MCG/0.5 ML INTRAMUSCULAR SYRINGE | $112.69 | $281.72 | $121.14–$299.44 | — | 60% |
| Typhoid vaccine, oral capsules (Vivotif) CPT 90690 TYPHOID VACCINE,LIVE,ATTENUATED 2 BILLION UNIT CAPSULE,DELAYED RELEASE | $56.10 | $140.24 | $60.30–$233.24 | 87% above | 60% |
| Typhoid vaccine, oral capsules (Vivotif) CPT 90690 HC-Typhoid Vaccine, Oral | $68.40 | $171.00 | $73.53–$233.24 | 128% above | 60% |
| Typhoid vaccine, oral capsules (Vivotif) inpatient CPT 90690 TYPHOID VACCINE,LIVE,ATTENUATED 2 BILLION UNIT CAPSULE,DELAYED RELEASE | $56.10 | $140.24 | $60.30–$149.06 | — | 60% |
| Typhoid vaccine, oral capsules (Vivotif) inpatient CPT 90690 HC-Typhoid Vaccine, Oral | $68.40 | $171.00 | $73.53–$181.75 | — | 60% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC-Immuniz Admin,1 Single/Comb Vac/Toxoid | $29.20 | $73.00 | $16.13–$77.59 | 27% above | 60% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC-Immuniz Admin,1 Single/Comb Vac/Toxoid | $29.20 | $73.00 | $31.39–$77.59 | — | 60% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 HC-Immuniz,Admin,Each Addl | $14.00 | $35.00 | $15.05–$37.20 | 29% below | 60% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 HC-Immuniz,Admin,Each Addl | $14.00 | $35.00 | $15.05–$37.20 | — | 60% |
| Yellow fever vaccine, live CPT 90717 YELLOW FEVER VACCINE LIVE(PF) 10 EXP4.74 UNIT/0.5 ML SUBCUTANEOUS SUSP | $108.60 | $271.50 | $116.75–$467.73 | 54% below | 60% |
| Yellow fever vaccine, live CPT 90717 HC-Yellow Fever Immunizatn, Live, Sub-Q | $123.20 | $308.00 | $132.44–$467.73 | 47% below | 60% |
| Yellow fever vaccine, live inpatient CPT 90717 YELLOW FEVER VACCINE LIVE(PF) 10 EXP4.74 UNIT/0.5 ML SUBCUTANEOUS SUSP | $108.60 | $271.50 | $116.75–$288.57 | — | 60% |
| Yellow fever vaccine, live inpatient CPT 90717 HC-Yellow Fever Immunizatn, Live, Sub-Q | $123.20 | $308.00 | $132.44–$327.37 | — | 60% |
Procedure The service, with its billing code (CPT or HCPCS) and, in small type, the line exactly as the hospital wrote it in its price file. More
Cash price The hospital's own price for a patient paying without insurance (“discounted cash” in its price file). Hospitals must publish it under federal law, 45 CFR 180.50. Call to confirm it before booking. More
List price The hospital's full chargemaster price (“gross charge”) before any discount. Almost nobody pays it; the gap to the cash price shows what the self-pay discount is worth. More
Insurers pay The lowest and highest rates this hospital has agreed with insurance plans for the same item, from its price file. If the cash price is below what your plan pays and you have not met your deductible, paying cash can cost you less. More
Against the state median This hospital's cash price compared with the median cash price of hospitals in the state for the same code. Shown when at least three hospitals in the state price it.
Off list How much lower the cash price is than the list price.
No cash discount This line's cash price equals the hospital's full list price. Many hospitals still reduce bills for uninsured patients: ask the billing office for its self-pay discount in writing. More
At or below Medicare This cash price is at or below what Medicare pays a hospital for the same service, which is unusually low. It is what the hospital's file says; confirm it and what it includes before booking. More
Check the item The description in the hospital file looks like a supply or device (a catheter, a brace, an implant), not this procedure. The hospital may have filed it under the wrong code: ask before relying on this price.
Source file: https://www.uofmhealth.org/386006309_university-of-michigan-health_standardcharges4-1-2026.zip