SelfPayRates
Hospital New York-Newark-Jersey City, NY-NJ

The Valley Hospital

The Valley Hospital in Paramus, NJ publishes cash prices for 373 common procedures listed here, from its own machine-readable price file updated May 6, 2026. Compared with other hospitals in the state, its outpatient cash prices are above the New Jersey median for 307 of 371 procedures and below it for 61. By typical cash price it ranks #41 of 55 New Jersey hospitals and #65 of 86 hospitals in the New York, NY area, cheapest first. Select a procedure to compare it with other hospitals nearby.

4 Valley Health Plaza Paramus, NJ 07652 Collected Sep 23, 2026 Source price file Check a bill from this hospital (201) 447-8000

Acute care hospital Nonprofit hospital Emergency department CMS star rating 4 of 5 CCN 310012 · CMS hospital register NPI 1013912633

Financial assistance

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

The Valley Hospital is a nonprofit hospital in the CMS register. Under section 501(r) of the federal tax code it must have a written Financial Assistance Policy with a free application, publish both on its website, and charge patients who qualify no more than the amounts generally billed to insured patients for emergency and other medically necessary care. Who qualifies depends on household income; the policy states the limits.

You can apply up to 240 days after the first bill. Before collection actions such as credit reporting or a lawsuit, the hospital must tell you about the policy and wait at least 120 days after that bill. Ask the billing office for the policy and the application before you pay, or search the hospital's website for “financial assistance”. Letters you can copy.

Source: IRS, section 501(r) requirements for nonprofit hospitals.

State law

This state limits hospital bills for lower-income patients

Why New Jersey prices look low: under state law (P.L.2008, c.60), a hospital may not charge an uninsured New Jersey resident whose family income is below 500% of the federal poverty level more than 115% of what Medicare pays for the same service. If that is you, ask the hospital's billing office to apply this limit; a separate physician fee may still apply. Other states' laws.

CMS price transparency record

The federal Centers for Medicare & Medicaid Services (CMS) enforces the rule that makes hospitals publish their prices. Its public enforcement list shows 7 actions for a hospital named The Valley Hospital in Paramus, NJ:

  • Jul 20, 2021 Warning notice
  • Jan 12, 2022 Corrective action plan requested
  • Feb 22, 2023 Case closed
  • Apr 21, 2025 Warning notice
  • Jun 20, 2025 Case closed
  • Jun 29, 2026 Corrective action plan requested
  • Jul 20, 2026 Case closed

Warning notice: CMS reviewed the hospital and told it that it had found possible violations of the price transparency rules. Corrective action plan requested: CMS asked the hospital to submit a plan to fix the problems it found. Case closed: CMS closed the case after the hospital addressed the problems.

A notice records a step in a CMS review; it is not a court finding. Source: CMS, Hospital Price Transparency Enforcement Activities and Outcomes, actions through Jul 31, 2026.

Scans and imaging

ProcedureCash priceList priceInsurers payvs New JerseyOff list
Abdominal CT scan without and with contrast CPT 74170 CT ABDOMEN W/O & WITH C.M $669.00 $1,115.00 $208.38–$836.25 3% below 40%
Abdominal CT scan without and with contrast inpatient CPT 74170 CT ABDOMEN W/O & WITH C.M $669.00 $1,115.00 $208.38–$836.25 — 40%
Abdominal X-ray, 2 views CPT 74019 ABDOMEN 2 VIEWS WITH ERECT/DEC $176.40 $294.00 $30.09–$239.71 43% above 40%
Abdominal X-ray, 2 views CPT 74019 ABDOMEN 2 VIEW SUPINE & LATERA $176.40 $294.00 $30.09–$239.71 43% above 40%
Abdominal X-ray, 2 views inpatient CPT 74019 ABDOMEN 2 VIEWS WITH ERECT/DEC $176.40 $294.00 $30.09–$239.71 — 40%
Abdominal X-ray, 2 views inpatient CPT 74019 ABDOMEN 2 VIEW SUPINE & LATERA $176.40 $294.00 $30.09–$239.71 — 40%
Ankle X-ray, complete, 3 or more views one side CPT 73610 ANKLE RIGHT MIN 3 VIEWS $228.00 $380.00 $26.55–$285.00 94% above 40%
Ankle X-ray, complete, 3 or more views one side CPT 73610 ANKLE LEFT 3 VIEWS $228.00 $380.00 $26.55–$285.00 94% above 40%
Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 ANKLE LEFT 3 VIEWS $228.00 $380.00 $26.55–$285.00 — 40%
Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 ANKLE RIGHT MIN 3 VIEWS $228.00 $380.00 $26.55–$285.00 — 40%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 LTD COMB ART FLOW ST $223.20 $372.00 $83.25–$799.00 27% above 40%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 ABI - ANKLE BRACHIAL $352.80 $588.00 $89.51–$511.56 100% above 40%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 LTD COMB ART FLOW ST $223.20 $372.00 $83.25–$799.00 — 40%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 ABI - ANKLE BRACHIAL $352.80 $588.00 $89.51–$511.56 — 40%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT UPPER EXTREMITY W/O CM -LT $445.80 $743.00 $124.20–$557.25 3% below 40%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT UPPER EXTREM W/O C.M. - RT $445.80 $743.00 $124.20–$557.25 3% below 40%
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT UPPER EXTREMITY W/O CM -LT $445.80 $743.00 $124.20–$557.25 — 40%
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT UPPER EXTREM W/O C.M. - RT $445.80 $743.00 $124.20–$557.25 — 40%
Barium swallow (esophagus X-ray with contrast) CPT 74220 ESOPHOGRAM $499.80 $833.00 $75.29–$624.75 138% above 40%
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 ESOPHOGRAM $499.80 $833.00 $75.29–$624.75 — 40%
Bone scan, whole body (nuclear medicine) CPT 78306 BONE SCAN TOTAL WHOLE BODY $1,084.80 $1,808.00 $236.99–$1,356.00 106% above 40%
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 BONE SCAN TOTAL WHOLE BODY $1,084.80 $1,808.00 $236.99–$1,356.00 — 40%
Breast ultrasound, complete, one breast CPT 76641 INTRAOP BREAST ULTRASOUND $529.80 $883.00 $89.02–$662.25 271% above 40%
Breast ultrasound, complete, one breast CPT 76641 US BREAST COMPLETE BIL $754.80 $1,258.00 $89.02–$943.50 428% above 40%
Breast ultrasound, complete, one breast one side CPT 76641 US BREAST COMPLETE LT $380.40 $634.00 $89.02–$475.50 166% above 40%
Breast ultrasound, complete, one breast one side CPT 76641 US BREAST COMPLETE RT $380.40 $634.00 $89.02–$475.50 166% above 40%
Breast ultrasound, complete, one breast inpatient CPT 76641 INTRAOP BREAST ULTRASOUND $529.80 $883.00 $89.02–$662.25 — 40%
Breast ultrasound, complete, one breast inpatient CPT 76641 US BREAST COMPLETE BIL $754.80 $1,258.00 $89.02–$943.50 — 40%
Breast ultrasound, complete, one breast inpatient one side CPT 76641 US BREAST COMPLETE RT $380.40 $634.00 $89.02–$475.50 — 40%
Breast ultrasound, complete, one breast inpatient one side CPT 76641 US BREAST COMPLETE LT $380.40 $634.00 $89.02–$475.50 — 40%
Breast ultrasound, limited (one breast or one area) CPT 76642 DX US BREAST/LIMITED BIL $529.20 $882.00 $68.19–$661.50 279% above 40%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 DX US BREAST LIMITED LEFT $380.40 $634.00 $68.19–$475.50 172% above 40%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 DX US BREAST LIMITED RIGHT $380.40 $634.00 $68.19–$475.50 172% above 40%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 US BREAST LIMITED LEFT $417.00 $695.00 $68.19–$521.25 198% above 40%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 US BREAST LIMITED RIGHT $417.00 $695.00 $68.19–$521.25 198% above 40%
Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 DX US BREAST/LIMITED BIL $529.20 $882.00 $68.19–$661.50 — 40%
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 DX US BREAST LIMITED LEFT $380.40 $634.00 $68.19–$475.50 — 40%
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 DX US BREAST LIMITED RIGHT $380.40 $634.00 $68.19–$475.50 — 40%
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 US BREAST LIMITED LEFT $417.00 $695.00 $68.19–$521.25 — 40%
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 US BREAST LIMITED RIGHT $417.00 $695.00 $68.19–$521.25 — 40%
CT angiography (CTA) of the abdomen and pelvis CPT 74174 CT ANGIO ABD&PELV W/O&W/CONTRA $1,755.00 $2,925.00 $414.47–$2,193.75 174% above 40%
CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 CT ANGIO ABD&PELV W/O&W/CONTRA $1,755.00 $2,925.00 $414.47–$2,193.75 — 40%
CT angiography (CTA) of the head CPT 70496 CT ANGIOGRAM HEAD $755.40 $1,259.00 $208.38–$944.25 39% above 40%
CT angiography (CTA) of the head inpatient CPT 70496 CT ANGIOGRAM HEAD $755.40 $1,259.00 $208.38–$944.25 — 40%
CT angiography (CTA) of the neck CPT 70498 CT ANGIOGRAM CAROTID $755.40 $1,259.00 $208.38–$944.25 12% above 40%
CT angiography (CTA) of the neck inpatient CPT 70498 CT ANGIOGRAM CAROTID $755.40 $1,259.00 $208.38–$944.25 — 40%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT ANGIOGRAM CHEST $904.80 $1,508.00 $208.38–$1,131.00 20% above 40%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CT ANGIOGRAM CHEST $904.80 $1,508.00 $208.38–$1,131.00 — 40%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CTA CORONARY $704.40 $1,174.00 $262.74–$1,021.38 48% above 40%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 CTA CORONARY $704.40 $1,174.00 $262.74–$1,021.38 — 40%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT CALCIFICATION SCREEN $59.40 $99.00 $22.16–$217.38 40% below 40%
CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 CT CALCIFICATION SCREEN $59.40 $99.00 $22.16–$217.38 — 40%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABD & PELVIS W/O CONTRAST $949.80 $1,583.00 $201.51–$1,187.25 50% above 40%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT ABD & PELVIS W/O CONTRAST $949.80 $1,583.00 $201.51–$1,187.25 — 40%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABD & PELV W/CONTRAST $1,620.00 $2,700.00 $336.66–$2,025.00 116% above 40%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABD & PELV W/CONTRAST $1,620.00 $2,700.00 $336.66–$2,025.00 — 40%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABD & PELV W & W/O CONTRAST $1,825.20 $3,042.00 $377.78–$2,281.50 96% above 40%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT ABD & PELV W & W/O CONTRAST $1,825.20 $3,042.00 $377.78–$2,281.50 — 40%
CT scan of the abdomen with contrast CPT 74160 CT ABDOMEN WITH C.M. $783.60 $1,306.00 $208.38–$979.50 38% above 40%
CT scan of the abdomen with contrast inpatient CPT 74160 CT ABDOMEN WITH C.M. $783.60 $1,306.00 $208.38–$979.50 — 40%
CT scan of the abdomen without contrast CPT 74150 CT ABDOMEN W/O C.M. $445.80 $743.00 $124.20–$557.25 at median 40%
CT scan of the abdomen without contrast inpatient CPT 74150 CT ABDOMEN W/O C.M. $445.80 $743.00 $124.20–$557.25 — 40%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT SINUSES W/O C.M. $557.40 $929.00 $124.20–$696.75 10% above 40%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT SINUS-MEDTRONICS PROTOCOL $557.40 $929.00 $124.20–$696.75 10% above 40%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT SINUS-MEDTRONICS PROTOCOL $557.40 $929.00 $124.20–$696.75 — 40%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT SINUSES W/O C.M. $557.40 $929.00 $124.20–$696.75 — 40%
CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD W/O C.M. $447.60 $746.00 $117.05–$559.50 8% above 40%
CT scan of the head or brain, no contrast dye CPT 70450 GAMMA KNIFE CT HEAD W/O C.M. $447.60 $746.00 $117.05–$559.50 8% above 40%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 GAMMA KNIFE CT HEAD W/O C.M. $447.60 $746.00 $117.05–$559.50 — 40%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT HEAD W/O C.M. $447.60 $746.00 $117.05–$559.50 — 40%
CT scan of the head with contrast CPT 70460 CT HEAD WITH C.M. $755.40 $1,259.00 $163.83–$944.25 58% above 40%
CT scan of the head with contrast inpatient CPT 70460 CT HEAD WITH C.M. $755.40 $1,259.00 $163.83–$944.25 — 40%
CT scan of the head without and with contrast CPT 70470 CT HEAD W/O & WITH C.M. $966.00 $1,610.00 $191.97–$1,207.50 58% above 40%
CT scan of the head without and with contrast inpatient CPT 70470 CT HEAD W/O & WITH C.M. $966.00 $1,610.00 $191.97–$1,207.50 — 40%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT LUMBAR SPINE W/O C.M. $684.00 $1,140.00 $124.20–$855.00 28% above 40%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT LUMBAR SPINE W/O C.M. $684.00 $1,140.00 $124.20–$855.00 — 40%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT CERVICAL SPINE W/O C.M $684.00 $1,140.00 $124.20–$855.00 24% above 40%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT CERVICAL SPINE W/O C.M $684.00 $1,140.00 $124.20–$855.00 — 40%
CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS WITH C.M. $837.60 $1,396.00 $208.38–$1,047.00 61% above 40%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT PELVIS WITH C.M. $837.60 $1,396.00 $208.38–$1,047.00 — 40%
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 CAROTID DUPLEX US COMPL BILAT $315.60 $526.00 $117.72–$799.00 — 40%
Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 CAROTID DUPLEX US COMPL BILAT $315.60 $526.00 $117.72–$799.00 — 40%
Chest CT scan without and with contrast CPT 71270 CT CHEST W/O AND WITH CONTRAST $888.60 $1,481.00 $208.38–$1,110.75 15% above 40%
Chest CT scan without and with contrast inpatient CPT 71270 CT CHEST W/O AND WITH CONTRAST $888.60 $1,481.00 $208.38–$1,110.75 — 40%
Chest X-ray, 2 views CPT 71046 EXPIRATION X-RAY SPECIAL VIEW $231.00 $385.00 $23.28–$288.75 106% above 40%
Chest X-ray, 2 views CPT 71046 CHEST DECUBITUS VIEWS BILATERA $231.00 $385.00 $23.28–$288.75 106% above 40%
Chest X-ray, 2 views CPT 71046 X-RAY EXAM CHEST 2 VIEWS $258.60 $431.00 $23.28–$323.25 131% above 40%
Chest X-ray, 2 views inpatient CPT 71046 CHEST DECUBITUS VIEWS BILATERA $231.00 $385.00 $23.28–$288.75 — 40%
Chest X-ray, 2 views inpatient CPT 71046 EXPIRATION X-RAY SPECIAL VIEW $231.00 $385.00 $23.28–$288.75 — 40%
Chest X-ray, 2 views inpatient CPT 71046 X-RAY EXAM CHEST 2 VIEWS $258.60 $431.00 $23.28–$323.25 — 40%
Chest X-ray, single view CPT 71045 CHEST LATERAL VIEW $213.60 $356.00 $12.66–$267.00 105% above 40%
Chest X-ray, single view CPT 71045 CHEST DECUBITUS ONE VIEW $213.60 $356.00 $12.66–$267.00 105% above 40%
Chest X-ray, single view CPT 71045 X-RAY EXAM CHEST 1 VIEW $234.60 $391.00 $12.66–$293.25 125% above 40%
Chest X-ray, single view inpatient CPT 71045 CHEST DECUBITUS ONE VIEW $213.60 $356.00 $12.66–$267.00 — 40%
Chest X-ray, single view inpatient CPT 71045 CHEST LATERAL VIEW $213.60 $356.00 $12.66–$267.00 — 40%
Chest X-ray, single view inpatient CPT 71045 X-RAY EXAM CHEST 1 VIEW $234.60 $391.00 $12.66–$293.25 — 40%
Collarbone (clavicle) X-ray, complete one side CPT 73000 CLAVICLE - LEFT $219.60 $366.00 $23.00–$274.50 87% above 40%
Collarbone (clavicle) X-ray, complete one side CPT 73000 CLAVICLE - RIGHT $219.60 $366.00 $23.00–$274.50 87% above 40%
Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 CLAVICLE - LEFT $219.60 $366.00 $23.00–$274.50 — 40%
Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 CLAVICLE - RIGHT $219.60 $366.00 $23.00–$274.50 — 40%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US RETROPERITONEUM COMPLETE $531.00 $885.00 $109.41–$663.75 155% above 40%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US RETROPERITONEUM COMPLETE $531.00 $885.00 $109.41–$663.75 — 40%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 BONE DENSITY STUDY $580.80 $968.00 $59.11–$726.00 309% above 40%
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 BONE DENSITY STUDY $580.80 $968.00 $59.11–$726.00 — 40%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 BONE DENSITY - WRIST $556.80 $928.00 $21.23–$696.00 434% above 40%
DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 BONE DENSITY - WRIST $556.80 $928.00 $21.23–$696.00 — 40%
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 OB US DETAILED SINGLE FETUS $681.60 $1,136.00 $116.94–$852.00 121% above 40%
Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 OB US DETAILED SINGLE FETUS $681.60 $1,136.00 $116.94–$852.00 — 40%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT CHEST W/O C.M. $445.80 $743.00 $124.20–$557.25 17% below 40%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT STERNOCLAVICULAR JOINTS $445.80 $743.00 $124.20–$557.25 17% below 40%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT CHEST W/O C.M. $445.80 $743.00 $124.20–$557.25 — 40%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT STERNOCLAVICULAR JOINTS $445.80 $743.00 $124.20–$557.25 — 40%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT CHEST WITH C.M. $783.60 $1,306.00 $184.91–$979.50 28% above 40%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT CHEST WITH C.M. $783.60 $1,306.00 $184.91–$979.50 — 40%
Diagnostic mammogram, both breasts both sides CPT 77066 POST PROCEDURE MAMMO BILAT DX $516.00 $860.00 $85.44–$645.00 — 40%
Diagnostic mammogram, both breasts both sides CPT 77066 MAMMO - BILAT-SCR TO DIAG BIL $516.00 $860.00 $85.44–$645.00 — 40%
Diagnostic mammogram, both breasts both sides CPT 77066 MAMMOGRAPHY BILAT DX $516.00 $860.00 $85.44–$645.00 — 40%
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 MAMMOGRAPHY BILAT DX $516.00 $860.00 $85.44–$645.00 — 40%
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 MAMMO - BILAT-SCR TO DIAG BIL $516.00 $860.00 $85.44–$645.00 — 40%
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 POST PROCEDURE MAMMO BILAT DX $516.00 $860.00 $85.44–$645.00 — 40%
Diagnostic mammogram, one breast CPT 77065 MAMMOGRAPHY BIL $405.60 $676.00 $68.16–$507.00 147% above 40%
Diagnostic mammogram, one breast CPT 77065 MAMMO-UNI-SCR TO DIAG BIL $405.60 $676.00 $68.16–$507.00 147% above 40%
Diagnostic mammogram, one breast one side CPT 77065 PNEUMOMAMMOGRAM S & I - RIGHT $405.60 $676.00 $68.16–$507.00 147% above 40%
Diagnostic mammogram, one breast one side CPT 77065 MAMMO-UNI-SCR TO DIAG RIGHT $405.60 $676.00 $68.16–$507.00 147% above 40%
Diagnostic mammogram, one breast one side CPT 77065 POST PROCEDURE MAMMO UNIL - RT $405.60 $676.00 $68.16–$507.00 147% above 40%
Diagnostic mammogram, one breast one side CPT 77065 POST PROCEDURE MAMMO UNIL - LT $405.60 $676.00 $68.16–$507.00 147% above 40%
Diagnostic mammogram, one breast one side CPT 77065 MAMMO - UNI - SCR TO DIAG LEFT $405.60 $676.00 $68.16–$507.00 147% above 40%
Diagnostic mammogram, one breast one side CPT 77065 MAMMOGRAPHY UNI - RT $405.60 $676.00 $68.16–$507.00 147% above 40%
Diagnostic mammogram, one breast one side CPT 77065 MAMMOGRAPHY UNIL - LT $405.60 $676.00 $68.16–$507.00 147% above 40%
Diagnostic mammogram, one breast inpatient CPT 77065 MAMMOGRAPHY BIL $405.60 $676.00 $68.16–$507.00 — 40%
Diagnostic mammogram, one breast inpatient CPT 77065 MAMMO-UNI-SCR TO DIAG BIL $405.60 $676.00 $68.16–$507.00 — 40%
Diagnostic mammogram, one breast inpatient one side CPT 77065 MAMMOGRAPHY UNI - RT $405.60 $676.00 $68.16–$507.00 — 40%
Diagnostic mammogram, one breast inpatient one side CPT 77065 MAMMO - UNI - SCR TO DIAG LEFT $405.60 $676.00 $68.16–$507.00 — 40%
Diagnostic mammogram, one breast inpatient one side CPT 77065 MAMMO-UNI-SCR TO DIAG RIGHT $405.60 $676.00 $68.16–$507.00 — 40%
Diagnostic mammogram, one breast inpatient one side CPT 77065 POST PROCEDURE MAMMO UNIL - LT $405.60 $676.00 $68.16–$507.00 — 40%
Diagnostic mammogram, one breast inpatient one side CPT 77065 POST PROCEDURE MAMMO UNIL - RT $405.60 $676.00 $68.16–$507.00 — 40%
Diagnostic mammogram, one breast inpatient one side CPT 77065 MAMMOGRAPHY UNIL - LT $405.60 $676.00 $68.16–$507.00 — 40%
Diagnostic mammogram, one breast inpatient one side CPT 77065 PNEUMOMAMMOGRAM S & I - RIGHT $405.60 $676.00 $68.16–$507.00 — 40%
Duplex ultrasound of the leg arteries, both legs CPT 93925 ARTERIAL DUPLEX - 2 LEGS $335.40 $559.00 $125.10–$967.15 10% above 40%
Duplex ultrasound of the leg arteries, both legs inpatient CPT 93925 ARTERIAL DUPLEX - 2 LEGS $335.40 $559.00 $125.10–$967.15 — 40%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 VENOUS IMAG. W/DOP-BILATERAL $697.80 $1,163.00 $203.01–$988.55 — 40%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 UP/LOW BILAT VENOUS DOPPL EXT $1,192.80 $1,988.00 $203.01–$1,689.80 — 40%
Duplex ultrasound of the leg veins, both legs CPT 93970 DUPLEX VEIN MAP 2 ARMS $295.20 $492.00 $110.11–$799.00 8% below 40%
Duplex ultrasound of the leg veins, both legs CPT 93970 SAPHENOUS VEIN MAP-2 LEGS $445.20 $742.00 $166.06–$799.00 38% above 40%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 VENOUS IMAG. W/DOP-BILATERAL $697.80 $1,163.00 $203.01–$988.55 — 40%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 UP/LOW BILAT VENOUS DOPPL EXT $1,192.80 $1,988.00 $203.01–$1,689.80 — 40%
Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 DUPLEX VEIN MAP 2 ARMS $295.20 $492.00 $110.11–$799.00 — 40%
Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 SAPHENOUS VEIN MAP-2 LEGS $445.20 $742.00 $166.06–$799.00 — 40%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 TTE W/DOPPLER COMPLETE $1,368.00 $2,280.00 $211.62–$1,938.00 87% above 40%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 CHEMO TTE W/DOPPLER COMPLETE $1,368.00 $2,280.00 $211.62–$1,938.00 87% above 40%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 TTE W/DOPPLER COMPLETE $1,368.00 $2,280.00 $211.62–$1,938.00 — 40%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 CHEMO TTE W/DOPPLER COMPLETE $1,368.00 $2,280.00 $211.62–$1,938.00 — 40%
Elbow X-ray, 2 views one side CPT 73070 ELBOW LEFT - 2 VIEWS $168.60 $281.00 $23.00–$210.75 51% above 40%
Elbow X-ray, 2 views one side CPT 73070 ELBOW RIGHT - 2 VIEWS $168.60 $281.00 $23.00–$210.75 51% above 40%
Elbow X-ray, 2 views inpatient one side CPT 73070 ELBOW RIGHT - 2 VIEWS $168.60 $281.00 $23.00–$210.75 — 40%
Elbow X-ray, 2 views inpatient one side CPT 73070 ELBOW LEFT - 2 VIEWS $168.60 $281.00 $23.00–$210.75 — 40%
Elbow X-ray, complete, 3 or more views one side CPT 73080 ELBOW LEFT MIN 3 VIEWS $219.60 $366.00 $30.09–$274.50 87% above 40%
Elbow X-ray, complete, 3 or more views one side CPT 73080 ELBOW RIGHT MIN 3 VIEWS $219.60 $366.00 $30.09–$274.50 87% above 40%
Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 ELBOW RIGHT MIN 3 VIEWS $219.60 $366.00 $30.09–$274.50 — 40%
Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 ELBOW LEFT MIN 3 VIEWS $219.60 $366.00 $30.09–$274.50 — 40%
Eye socket (orbit) CT scan without contrast CPT 70480 CT ORBITS/SELLA W/O C.M. $557.40 $929.00 $124.20–$696.75 33% above 40%
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 CT ORBITS/SELLA W/O C.M. $557.40 $929.00 $124.20–$696.75 — 40%
Facial bones X-ray, complete, 3 or more views CPT 70150 FACIAL BONES MIN 3 VIEWS $277.20 $462.00 $34.08–$346.50 98% above 40%
Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 FACIAL BONES MIN 3 VIEWS $277.20 $462.00 $34.08–$346.50 — 40%
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 FOREARM INCLDG 1 JNT - RIGHT $219.60 $366.00 $22.56–$274.50 87% above 40%
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 FOREARM INCLDG 1 JNT - LEFT $219.60 $366.00 $22.56–$274.50 87% above 40%
Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 FOREARM INCLDG 1 JNT - RIGHT $219.60 $366.00 $22.56–$274.50 — 40%
Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 FOREARM INCLDG 1 JNT - LEFT $219.60 $366.00 $22.56–$274.50 — 40%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HEPATOLIBIARY SYS IMG GALLBL $748.20 $1,247.00 $279.08–$935.25 46% above 40%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 HEPATOLIBIARY SYS IMG GALLBL $748.20 $1,247.00 $279.08–$935.25 — 40%
Hand X-ray, 2 views one side CPT 73120 HAND LEFT - 2 VIEWS $219.60 $366.00 $22.12–$274.50 62% above 40%
Hand X-ray, 2 views one side CPT 73120 HAND RIGHT - 2 VIEWS $219.60 $366.00 $22.12–$274.50 62% above 40%
Hand X-ray, 2 views inpatient one side CPT 73120 HAND RIGHT - 2 VIEWS $219.60 $366.00 $22.12–$274.50 — 40%
Hand X-ray, 2 views inpatient one side CPT 73120 HAND LEFT - 2 VIEWS $219.60 $366.00 $22.12–$274.50 — 40%
Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 CALCANEUS 2 VIEWS - RIGHT $145.80 $243.00 $22.12–$199.54 27% above 40%
Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 CALCANEUS 2 VIEWS - LEFT $145.80 $243.00 $22.12–$199.54 27% above 40%
Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 CALCANEUS 2 VIEWS - LEFT $145.80 $243.00 $22.12–$199.54 — 40%
Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 CALCANEUS 2 VIEWS - RIGHT $145.80 $243.00 $22.12–$199.54 — 40%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 POLYSOMNOGRAPHY >4 AIRWAY THER $5,341.80 $8,903.00 $328.00–$9,060.00 293% above 40%
In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 POLYSOMNOGRAPHY >4 AIRWAY THER $5,341.80 $8,903.00 $328.00–$9,060.00 — 40%
Knee X-ray, 3 views one side CPT 73562 KNEE RIGHT 3 VIEWS $228.00 $380.00 $29.21–$285.00 94% above 40%
Knee X-ray, 3 views one side CPT 73562 KNEE LEFT 3 VIEWS $228.00 $380.00 $29.21–$285.00 94% above 40%
Knee X-ray, 3 views inpatient one side CPT 73562 KNEE RIGHT 3 VIEWS $228.00 $380.00 $29.21–$285.00 — 40%
Knee X-ray, 3 views inpatient one side CPT 73562 KNEE LEFT 3 VIEWS $228.00 $380.00 $29.21–$285.00 — 40%
Knee X-ray, complete, 4 or more views one side CPT 73564 KNEE RIGHT - 4 VIEWS OR MORE $327.00 $545.00 $33.64–$408.75 130% above 40%
Knee X-ray, complete, 4 or more views one side CPT 73564 KNEE LEFT -4 VIEWS OR MORE $327.00 $545.00 $33.64–$408.75 130% above 40%
Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 KNEE LEFT -4 VIEWS OR MORE $327.00 $545.00 $33.64–$408.75 — 40%
Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 KNEE RIGHT - 4 VIEWS OR MORE $327.00 $545.00 $33.64–$408.75 — 40%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT LOWER EXTREMITY W/O CM - LT $445.80 $743.00 $124.20–$557.25 3% below 40%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT LOWER EXTREM W/O C.M. - RT $445.80 $743.00 $124.20–$557.25 3% below 40%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT LOWER EXTREMITY W/O CM - LT $445.80 $743.00 $124.20–$557.25 — 40%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT LOWER EXTREM W/O C.M. - RT $445.80 $743.00 $124.20–$557.25 — 40%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 ULTRASOUND ABDOMINAL $294.00 $490.00 $87.25–$367.50 80% above 40%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 ABDOMINAL - LIMITED $466.80 $778.00 $87.25–$583.50 185% above 40%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 PYLORIC STENOSIS-PED ABD $466.80 $778.00 $87.25–$583.50 185% above 40%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 ULTRASOUND ABDOMINAL $294.00 $490.00 $87.25–$367.50 — 40%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 PYLORIC STENOSIS-PED ABD $466.80 $778.00 $87.25–$583.50 — 40%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 ABDOMINAL - LIMITED $466.80 $778.00 $87.25–$583.50 — 40%
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 US XTR NON-VASC LMTD $355.80 $593.00 $13.92–$444.75 161% above 40%
Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 US AXILLA RIGHT $453.00 $755.00 $13.92–$566.25 232% above 40%
Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 US AXILLA LEFT $453.00 $755.00 $13.92–$566.25 232% above 40%
Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 US XTR NON-VASC LMTD $355.80 $593.00 $13.92–$444.75 — 40%
Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 US AXILLA RIGHT $453.00 $755.00 $13.92–$566.25 — 40%
Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 US AXILLA LEFT $453.00 $755.00 $13.92–$566.25 — 40%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 LOW DOSE CT FOR LUNG CA SCREEN $105.60 $176.00 $39.39–$259.11 26% below 40%
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 LOW DOSE CT FOR LUNG CA SCREEN $105.60 $176.00 $39.39–$259.11 — 40%
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 TIBIA FIB RIGHT $164.40 $274.00 $21.67–$205.50 40% above 40%
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 TIBIA FIB LEFT $164.40 $274.00 $21.67–$205.50 40% above 40%
Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 TIBIA FIB LEFT $164.40 $274.00 $21.67–$205.50 — 40%
Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 TIBIA FIB RIGHT $164.40 $274.00 $21.67–$205.50 — 40%
MR angiography (MRA) of the head without contrast CPT 70544 MRA BRAIN W/O CONTRAST $1,335.00 $2,225.00 $239.88–$1,668.75 92% above 40%
MR angiography (MRA) of the head without contrast inpatient CPT 70544 MRA BRAIN W/O CONTRAST $1,335.00 $2,225.00 $239.88–$1,668.75 — 40%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI ARTHROGRAM KNEE - RIGHT $982.80 $1,638.00 $224.97–$1,228.50 137% above 40%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI ARTHROGRAM KNEE - LEFT $982.80 $1,638.00 $224.97–$1,228.50 137% above 40%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI TOE JOINT RT W/O CONTRAST $1,330.20 $2,217.00 $224.97–$1,662.75 221% above 40%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI ANKLE LT W/MAVRIC W/O CON $1,330.20 $2,217.00 $224.97–$1,662.75 221% above 40%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI TOE JOINT LT W/O CONTRAST $1,330.20 $2,217.00 $224.97–$1,662.75 221% above 40%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI HIP RT W/MAVRIC W/O CON $1,330.20 $2,217.00 $224.97–$1,662.75 221% above 40%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI ANKLE RT W/MAVRIC W/O CON $1,330.20 $2,217.00 $224.97–$1,662.75 221% above 40%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI LOWER EXTREM JNT W/O C LT $1,330.20 $2,217.00 $224.97–$1,662.75 221% above 40%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI LOW EXT JOINT W/O C RT $1,330.20 $2,217.00 $224.97–$1,662.75 221% above 40%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI HIP LT W/MAVRIC W/O CON $1,330.20 $2,217.00 $224.97–$1,662.75 221% above 40%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI HIP W PROSTHESIS RT $1,593.60 $2,656.00 $224.97–$1,992.00 284% above 40%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI HIP W PROSTHESIS - LT $1,593.60 $2,656.00 $224.97–$1,992.00 284% above 40%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI ARTHROGRAM KNEE - LEFT $982.80 $1,638.00 $224.97–$1,228.50 — 40%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI ARTHROGRAM KNEE - RIGHT $982.80 $1,638.00 $224.97–$1,228.50 — 40%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI HIP LT W/MAVRIC W/O CON $1,330.20 $2,217.00 $224.97–$1,662.75 — 40%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI HIP RT W/MAVRIC W/O CON $1,330.20 $2,217.00 $224.97–$1,662.75 — 40%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI LOWER EXTREM JNT W/O C LT $1,330.20 $2,217.00 $224.97–$1,662.75 — 40%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI LOW EXT JOINT W/O C RT $1,330.20 $2,217.00 $224.97–$1,662.75 — 40%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI ANKLE LT W/MAVRIC W/O CON $1,330.20 $2,217.00 $224.97–$1,662.75 — 40%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI ANKLE RT W/MAVRIC W/O CON $1,330.20 $2,217.00 $224.97–$1,662.75 — 40%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI TOE JOINT LT W/O CONTRAST $1,330.20 $2,217.00 $224.97–$1,662.75 — 40%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI TOE JOINT RT W/O CONTRAST $1,330.20 $2,217.00 $224.97–$1,662.75 — 40%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI HIP W PROSTHESIS RT $1,593.60 $2,656.00 $224.97–$1,992.00 — 40%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI HIP W PROSTHESIS - LT $1,593.60 $2,656.00 $224.97–$1,992.00 — 40%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI LOW EXT JOINT W/O & W C RT $2,655.00 $4,425.00 $414.47–$3,318.75 268% above 40%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI LOW EXTR JNT W/O & W C LT $2,655.00 $4,425.00 $414.47–$3,318.75 268% above 40%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI LOW EXT JOINT W/O & W C RT $2,655.00 $4,425.00 $414.47–$3,318.75 — 40%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI LOW EXTR JNT W/O & W C LT $2,655.00 $4,425.00 $414.47–$3,318.75 — 40%
MRI of the abdomen without contrast CPT 74181 MRI ABDOMEN W/O CONTRAST $879.60 $1,466.00 $217.07–$1,099.50 37% above 40%
MRI of the abdomen without contrast inpatient CPT 74181 MRI ABDOMEN W/O CONTRAST $879.60 $1,466.00 $217.07–$1,099.50 — 40%
MRI of the abdomen, without and then with contrast dye CPT 74183 MRI ABDOMEN W/O & WITH CONTRAS $2,919.00 $4,865.00 $375.56–$3,648.75 210% above 40%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MRI ABDOMEN W/O & WITH CONTRAS $2,919.00 $4,865.00 $375.56–$3,648.75 — 40%
MRI of the brain, no contrast dye CPT 70551 MRI BRAIN WITHOUT CON $1,080.00 $1,800.00 $217.41–$1,350.00 62% above 40%
MRI of the brain, no contrast dye CPT 70551 GAMMA KNIFE BRAIN W/O CONT $1,335.00 $2,225.00 $217.41–$1,668.75 100% above 40%
MRI of the brain, no contrast dye inpatient CPT 70551 MRI BRAIN WITHOUT CON $1,080.00 $1,800.00 $217.41–$1,350.00 — 40%
MRI of the brain, no contrast dye inpatient CPT 70551 GAMMA KNIFE BRAIN W/O CONT $1,335.00 $2,225.00 $217.41–$1,668.75 — 40%
MRI of the brain, with and without contrast dye CPT 70553 GAMMA KNIFE BRAIN W/O & W CON $1,698.60 $2,831.00 $353.11–$2,123.25 66% above 40%
MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN W/O & WITH CON $2,100.00 $3,500.00 $353.11–$2,625.00 105% above 40%
MRI of the brain, with and without contrast dye CPT 70553 MR BRAIN AND PITUITARY $2,100.00 $3,500.00 $353.11–$2,625.00 105% above 40%
MRI of the brain, with and without contrast dye inpatient CPT 70553 GAMMA KNIFE BRAIN W/O & W CON $1,698.60 $2,831.00 $353.11–$2,123.25 — 40%
MRI of the brain, with and without contrast dye inpatient CPT 70553 MR BRAIN AND PITUITARY $2,100.00 $3,500.00 $353.11–$2,625.00 — 40%
MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI BRAIN W/O & WITH CON $2,100.00 $3,500.00 $353.11–$2,625.00 — 40%
MRI of the lower back, no contrast dye CPT 72148 MRI LUM SPINE W/O CONTR $877.80 $1,463.00 $211.94–$1,097.25 48% above 40%
MRI of the lower back, no contrast dye inpatient CPT 72148 MRI LUM SPINE W/O CONTR $877.80 $1,463.00 $211.94–$1,097.25 — 40%
MRI of the lower back, without and then with contrast dye CPT 72158 MRI LUM SPINE W/O & W/CON $1,698.60 $2,831.00 $354.21–$2,123.25 69% above 40%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MRI LUM SPINE W/O & W/CON $1,698.60 $2,831.00 $354.21–$2,123.25 — 40%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI THOR SP W/O CONTR $894.60 $1,491.00 $210.83–$1,118.25 44% above 40%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MRI THOR SP W/O CONTR $894.60 $1,491.00 $210.83–$1,118.25 — 40%
MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI CERV SP W/O & W/CON $1,708.80 $2,848.00 $354.93–$2,136.00 71% above 40%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MRI CERV SP W/O & W/CON $1,708.80 $2,848.00 $354.93–$2,136.00 — 40%
MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI CERV SP W/O CONTR $879.60 $1,466.00 $211.19–$1,099.50 54% above 40%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MRI CERV SP W/O CONTR $879.60 $1,466.00 $211.19–$1,099.50 — 40%
MRI of the pelvis without and with contrast CPT 72197 MRI PELVIS W/O & WITH CONTRAST $2,730.00 $4,550.00 $374.10–$3,412.50 161% above 40%
MRI of the pelvis without and with contrast CPT 72197 MRI LUMBOSACRAL PLEXIS W & W/O $2,730.00 $4,550.00 $374.10–$3,412.50 161% above 40%
MRI of the pelvis without and with contrast CPT 72197 MR PROSTATE WO/W CON $2,730.00 $4,550.00 $374.10–$3,412.50 161% above 40%
MRI of the pelvis without and with contrast inpatient CPT 72197 MR PROSTATE WO/W CON $2,730.00 $4,550.00 $374.10–$3,412.50 — 40%
MRI of the pelvis without and with contrast inpatient CPT 72197 MRI LUMBOSACRAL PLEXIS W & W/O $2,730.00 $4,550.00 $374.10–$3,412.50 — 40%
MRI of the pelvis without and with contrast inpatient CPT 72197 MRI PELVIS W/O & WITH CONTRAST $2,730.00 $4,550.00 $374.10–$3,412.50 — 40%
MRI of the pelvis, no contrast dye CPT 72195 MR PROSTATE W/O CON $1,529.40 $2,549.00 $254.63–$1,911.75 131% above 40%
MRI of the pelvis, no contrast dye CPT 72195 MRI PELVIS WITHOUT CONTRAST $1,529.40 $2,549.00 $254.63–$1,911.75 131% above 40%
MRI of the pelvis, no contrast dye CPT 72195 MRI LUMBOSACRAL PLEXIS W/O CON $1,529.40 $2,549.00 $254.63–$1,911.75 131% above 40%
MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI PELVIS WITHOUT CONTRAST $1,529.40 $2,549.00 $254.63–$1,911.75 — 40%
MRI of the pelvis, no contrast dye inpatient CPT 72195 MR PROSTATE W/O CON $1,529.40 $2,549.00 $254.63–$1,911.75 — 40%
MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI LUMBOSACRAL PLEXIS W/O CON $1,529.40 $2,549.00 $254.63–$1,911.75 — 40%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI ARTHROGRAM ELBOW - RIGHT $982.80 $1,638.00 $225.33–$1,228.50 137% above 40%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI ARTHROGRAM ELBOW - LEFT $982.80 $1,638.00 $225.33–$1,228.50 137% above 40%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI UPP/EXT JOINT W/O C LT $1,330.20 $2,217.00 $225.33–$1,662.75 221% above 40%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI UP EXT JOINT W/O CON RT $1,330.20 $2,217.00 $225.33–$1,662.75 221% above 40%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI SHOULDER RT W/MAVRIC W/O C $1,330.20 $2,217.00 $225.33–$1,662.75 221% above 40%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI UP EXTREM JNT W/O CON LT $1,330.20 $2,217.00 $225.33–$1,662.75 221% above 40%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI ARTHRO SHOULDER W/O -RIGHT $1,330.20 $2,217.00 $225.33–$1,662.75 221% above 40%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI UPP/EXT JOINT W/O C RT $1,330.20 $2,217.00 $225.33–$1,662.75 221% above 40%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI ARTHRO SHOULDER W/O - LEFT $1,330.20 $2,217.00 $225.33–$1,662.75 221% above 40%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI SHOULDER LT W/MAVRIC W/O C $1,330.20 $2,217.00 $225.33–$1,662.75 221% above 40%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI ARTHROGRAM ELBOW - LEFT $982.80 $1,638.00 $225.33–$1,228.50 — 40%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI ARTHROGRAM ELBOW - RIGHT $982.80 $1,638.00 $225.33–$1,228.50 — 40%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI UP EXT JOINT W/O CON RT $1,330.20 $2,217.00 $225.33–$1,662.75 — 40%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI SHOULDER RT W/MAVRIC W/O C $1,330.20 $2,217.00 $225.33–$1,662.75 — 40%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI SHOULDER LT W/MAVRIC W/O C $1,330.20 $2,217.00 $225.33–$1,662.75 — 40%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI UPP/EXT JOINT W/O C RT $1,330.20 $2,217.00 $225.33–$1,662.75 — 40%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI UPP/EXT JOINT W/O C LT $1,330.20 $2,217.00 $225.33–$1,662.75 — 40%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI UP EXTREM JNT W/O CON LT $1,330.20 $2,217.00 $225.33–$1,662.75 — 40%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI ARTHRO SHOULDER W/O -RIGHT $1,330.20 $2,217.00 $225.33–$1,662.75 — 40%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI ARTHRO SHOULDER W/O - LEFT $1,330.20 $2,217.00 $225.33–$1,662.75 — 40%
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 X-RAY EXAM NECK SPINE 4/5VIEWS $277.20 $462.00 $42.06–$346.50 59% above 40%
Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 X-RAY EXAM NECK SPINE 4/5VIEWS $277.20 $462.00 $42.06–$346.50 — 40%
Neck soft tissue CT scan with contrast CPT 70491 CT SFT TISS. NECK WITH CM $783.60 $1,306.00 $203.75–$979.50 32% above 40%
Neck soft tissue CT scan with contrast inpatient CPT 70491 CT SFT TISS. NECK WITH CM $783.60 $1,306.00 $203.75–$979.50 — 40%
Neck soft tissue CT scan without contrast CPT 70490 CT SFT TISSUE NECK-W/O CM $557.40 $929.00 $124.20–$696.75 11% above 40%
Neck soft tissue CT scan without contrast inpatient CPT 70490 CT SFT TISSUE NECK-W/O CM $557.40 $929.00 $124.20–$696.75 — 40%
Neck soft tissue X-ray CPT 70360 NECK SFT TISSUE EXAM $141.60 $236.00 $21.67–$199.54 26% above 40%
Neck soft tissue X-ray inpatient CPT 70360 NECK SFT TISSUE EXAM $141.60 $236.00 $21.67–$199.54 — 40%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 MP-STR/RST OR RST/RD 7261037 $2,566.80 $4,278.00 $369.08–$3,208.50 68% above 40%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 MP-STR/RST OR RST/RD 7261037 $2,566.80 $4,278.00 $369.08–$3,208.50 — 40%
PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET-CT NETSPOT WHOLE BODY $3,340.80 $5,568.00 $1,246.12–$4,176.00 81% above 40%
PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET-CTSKULBASE/THIG INIT ONC $3,340.80 $5,568.00 $1,246.12–$4,176.00 81% above 40%
PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET-CTSKUL BASE/THGHSUBS ONC $3,340.80 $5,568.00 $1,246.12–$4,176.00 81% above 40%
PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET-CT Ga68 DOT SKULL-THIGH IN $3,340.80 $5,568.00 $1,246.12–$4,176.00 81% above 40%
PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET-CT Ga68 DOT SKULL-THIGH SU $3,340.80 $5,568.00 $1,246.12–$4,176.00 81% above 40%
PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET-CT Cu64 DOT SKULL-THIGH IN $5,489.40 $9,149.00 $1,264.67–$6,861.75 197% above 40%
PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET-CT Cu64 DOT SKULL-THIGH SU $5,489.40 $9,149.00 $1,264.67–$6,861.75 197% above 40%
PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 PET-CT Ga68 DOT SKULL-THIGH SU $3,340.80 $5,568.00 $1,246.12–$4,176.00 — 40%
PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 PET-CTSKULBASE/THIG INIT ONC $3,340.80 $5,568.00 $1,246.12–$4,176.00 — 40%
PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 PET-CTSKUL BASE/THGHSUBS ONC $3,340.80 $5,568.00 $1,246.12–$4,176.00 — 40%
PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 PET-CT Ga68 DOT SKULL-THIGH IN $3,340.80 $5,568.00 $1,246.12–$4,176.00 — 40%
PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 PET-CT NETSPOT WHOLE BODY $3,340.80 $5,568.00 $1,246.12–$4,176.00 — 40%
PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 PET-CT Cu64 DOT SKULL-THIGH SU $5,489.40 $9,149.00 $1,264.67–$6,861.75 — 40%
PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 PET-CT Cu64 DOT SKULL-THIGH IN $5,489.40 $9,149.00 $1,264.67–$6,861.75 — 40%
Pelvic CT scan without contrast CPT 72192 CT PELVIS W/O C.M. $504.60 $841.00 $124.20–$630.75 20% above 40%
Pelvic CT scan without contrast inpatient CPT 72192 CT PELVIS W/O C.M. $504.60 $841.00 $124.20–$630.75 — 40%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US EXAM PELVIC LIMITED $255.60 $426.00 $52.87–$319.50 91% above 40%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US PELVIC NOB LIMIT/FUP $303.60 $506.00 $52.87–$379.50 127% above 40%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 PELVIC (FOLLOW-UP $336.60 $561.00 $52.87–$420.75 152% above 40%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US EXAM PELVIC LIMITED $255.60 $426.00 $52.87–$319.50 — 40%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US PELVIC NOB LIMIT/FUP $303.60 $506.00 $52.87–$379.50 — 40%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 PELVIC (FOLLOW-UP $336.60 $561.00 $52.87–$420.75 — 40%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 TRANSABDOMINAL - US GYN $285.00 $475.00 $101.43–$356.25 21% above 40%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US PELVIC NONOB B-SCAN COMPLET $551.40 $919.00 $101.43–$689.25 133% above 40%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 TRANSABDOMINAL - US GYN $285.00 $475.00 $101.43–$356.25 — 40%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US PELVIC NONOB B-SCAN COMPLET $551.40 $919.00 $101.43–$689.25 — 40%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US EXAM PG UTERUS >= 14 WKS $385.20 $642.00 $112.95–$481.50 104% above 40%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US EXAM PG UTERUS >= 14WKS $509.40 $849.00 $112.95–$636.75 169% above 40%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US EXAM PG UTERUS >= 14 WKS $385.20 $642.00 $112.95–$481.50 — 40%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US EXAM PG UTERUS >= 14WKS $509.40 $849.00 $112.95–$636.75 — 40%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 OB US < 14 WKS SINGLE FETUS $387.00 $645.00 $93.01–$483.75 173% above 40%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 OB US < 14 WKS SINGLE FETUS $541.20 $902.00 $93.01–$676.50 281% above 40%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 OB US < 14 WKS SINGLE FETUS $387.00 $645.00 $93.01–$483.75 — 40%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 OB US < 14 WKS SINGLE FETUS $541.20 $902.00 $93.01–$676.50 — 40%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US ENODOVAGINAL CERVICAL CHECK $280.20 $467.00 $67.76–$350.25 55% above 40%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 PREGNANCY - LIMITED $387.00 $645.00 $67.76–$483.75 114% above 40%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 OB US LIMITED FETUS(S) $754.20 $1,257.00 $67.76–$942.75 316% above 40%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 US ENODOVAGINAL CERVICAL CHECK $280.20 $467.00 $67.76–$350.25 — 40%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 PREGNANCY - LIMITED $387.00 $645.00 $67.76–$483.75 — 40%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 OB US LIMITED FETUS(S) $754.20 $1,257.00 $67.76–$942.75 — 40%
Rib X-ray, one side, 2 views one side CPT 71100 RIBS RIGHT $229.80 $383.00 $24.77–$287.25 106% above 40%
Rib X-ray, one side, 2 views one side CPT 71100 RIBS LEFT $229.80 $383.00 $24.77–$287.25 106% above 40%
Rib X-ray, one side, 2 views inpatient one side CPT 71100 RIBS RIGHT $229.80 $383.00 $24.77–$287.25 — 40%
Rib X-ray, one side, 2 views inpatient one side CPT 71100 RIBS LEFT $229.80 $383.00 $24.77–$287.25 — 40%
Screening mammogram, both breasts CPT 77067 MAMMOGRAPHY-SCREEN BIL $479.40 $799.00 $62.84–$599.25 270% above 40%
Screening mammogram, both breasts one side CPT 77067 MAMMOGRAPHY-SCREEN UNILAT RT $479.40 $799.00 $62.84–$599.25 270% above 40%
Screening mammogram, both breasts one side CPT 77067 MAMMOGRAPHY-SCREEN UNILAT LEFT $479.40 $799.00 $62.84–$599.25 270% above 40%
Screening mammogram, both breasts inpatient CPT 77067 MAMMOGRAPHY-SCREEN BIL $479.40 $799.00 $62.84–$599.25 — 40%
Screening mammogram, both breasts inpatient one side CPT 77067 MAMMOGRAPHY-SCREEN UNILAT LEFT $479.40 $799.00 $62.84–$599.25 — 40%
Screening mammogram, both breasts inpatient one side CPT 77067 MAMMOGRAPHY-SCREEN UNILAT RT $479.40 $799.00 $62.84–$599.25 — 40%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 SHOULDER LEFT MIN 2 VIEWS $219.60 $366.00 $23.44–$274.50 87% above 40%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 SHOULDER RIGHT - MIN 2 VIEWS $219.60 $366.00 $23.44–$274.50 87% above 40%
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 SHOULDER RIGHT - MIN 2 VIEWS $219.60 $366.00 $23.44–$274.50 — 40%
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 SHOULDER LEFT MIN 2 VIEWS $219.60 $366.00 $23.44–$274.50 — 40%
Sinus X-ray, complete, 3 or more views CPT 70220 PARANASAL SIN. - MIN 3 VIEWS $277.20 $462.00 $30.53–$346.50 145% above 40%
Sinus X-ray, complete, 3 or more views inpatient CPT 70220 PARANASAL SIN. - MIN 3 VIEWS $277.20 $462.00 $30.53–$346.50 — 40%
Skull X-ray, fewer than 4 views CPT 70250 SKULL LESS THAN 4 VIEWS $219.60 $366.00 $27.88–$274.50 82% above 40%
Skull X-ray, fewer than 4 views inpatient CPT 70250 SKULL LESS THAN 4 VIEWS $219.60 $366.00 $27.88–$274.50 — 40%
Sleep study in a lab (polysomnography) CPT 95810 POLYSOMNOGRAPHY > 4 PAR $4,566.60 $7,611.00 $328.00–$9,060.00 248% above 40%
Sleep study in a lab (polysomnography) inpatient CPT 95810 POLYSOMNOGRAPHY > 4 PAR $4,566.60 $7,611.00 $328.00–$9,060.00 — 40%
Stress echocardiogram, complete, including the stress test and supervision CPT 93351 STRESS ECHO $853.20 $1,422.00 $250.01–$1,252.87 21% above 40%
Stress echocardiogram, complete, including the stress test and supervision CPT 93351 DOBUTAM STRESS ECHO $923.40 $1,539.00 $250.01–$1,338.93 31% above 40%
Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 STRESS ECHO $853.20 $1,422.00 $250.01–$1,252.87 — 40%
Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 DOBUTAM STRESS ECHO $923.40 $1,539.00 $250.01–$1,338.93 — 40%
Swallow study (modified barium swallow, video X-ray) CPT 74230 COOKIE SWALLOWING FCN $532.20 $887.00 $73.07–$665.25 134% above 40%
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 COOKIE SWALLOWING FCN $532.20 $887.00 $73.07–$665.25 — 40%
Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 XR FEMUR RT MIN 2 VIEWS $228.00 $380.00 $23.55–$285.00 103% above 40%
Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 XR FEMUR LT MIN 2 VIEWS $228.00 $380.00 $23.55–$285.00 103% above 40%
Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 XR FEMUR RT MIN 2 VIEWS $228.00 $380.00 $23.55–$285.00 — 40%
Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 XR FEMUR LT MIN 2 VIEWS $228.00 $380.00 $23.55–$285.00 — 40%
Thoracic spine (mid back) CT scan without contrast CPT 72128 CT THORACIC SPINE W/O CM $684.00 $1,140.00 $124.20–$855.00 42% above 40%
Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 CT THORACIC SPINE W/O CM $684.00 $1,140.00 $124.20–$855.00 — 40%
Toe X-ray, 2 or more views one side CPT 73660 TOES LEFT MINIMUM 2 VIEWS $149.40 $249.00 $25.22–$199.54 34% above 40%
Toe X-ray, 2 or more views one side CPT 73660 TOES RIGHT MINIMUM 2 VIEWS $149.40 $249.00 $25.22–$199.54 34% above 40%
Toe X-ray, 2 or more views inpatient one side CPT 73660 TOES RIGHT MINIMUM 2 VIEWS $149.40 $249.00 $25.22–$199.54 — 40%
Toe X-ray, 2 or more views inpatient one side CPT 73660 TOES LEFT MINIMUM 2 VIEWS $149.40 $249.00 $25.22–$199.54 — 40%
Transvaginal pelvic ultrasound CPT 76830 TRANSVAGINAL ULTRASOUND (GYN) $300.00 $500.00 $101.43–$412.40 35% above 40%
Transvaginal pelvic ultrasound CPT 76830 US ENDOVAGINAL ONLY $471.60 $786.00 $101.43–$589.50 113% above 40%
Transvaginal pelvic ultrasound CPT 76830 US TRANSVAGINAL $540.60 $901.00 $101.43–$675.75 144% above 40%
Transvaginal pelvic ultrasound CPT 76830 ENDOVAGINAL ULTRASOUND $593.40 $989.00 $101.43–$741.75 168% above 40%
Transvaginal pelvic ultrasound inpatient CPT 76830 TRANSVAGINAL ULTRASOUND (GYN) $300.00 $500.00 $101.43–$412.40 — 40%
Transvaginal pelvic ultrasound inpatient CPT 76830 US ENDOVAGINAL ONLY $471.60 $786.00 $101.43–$589.50 — 40%
Transvaginal pelvic ultrasound inpatient CPT 76830 US TRANSVAGINAL $540.60 $901.00 $101.43–$675.75 — 40%
Transvaginal pelvic ultrasound inpatient CPT 76830 ENDOVAGINAL ULTRASOUND $593.40 $989.00 $101.43–$741.75 — 40%
Transvaginal ultrasound during pregnancy CPT 76817 TRANSVAGINAL US OBSTETRIC $387.00 $645.00 $75.29–$483.75 173% above 40%
Transvaginal ultrasound during pregnancy CPT 76817 TRANSVAGINAL OB US $463.80 $773.00 $75.29–$579.75 227% above 40%
Transvaginal ultrasound during pregnancy CPT 76817 TRANSVAGINAL US OBSTETRIC $558.60 $931.00 $75.29–$698.25 294% above 40%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 TRANSVAGINAL US OBSTETRIC $387.00 $645.00 $75.29–$483.75 — 40%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 TRANSVAGINAL OB US $463.80 $773.00 $75.29–$579.75 — 40%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 TRANSVAGINAL US OBSTETRIC $558.60 $931.00 $75.29–$698.25 — 40%
Ultrasound of the abdomen, complete CPT 76700 ABDOMINAL-G.B.LIV REN PAN $498.60 $831.00 $112.95–$623.25 125% above 40%
Ultrasound of the abdomen, complete inpatient CPT 76700 ABDOMINAL-G.B.LIV REN PAN $498.60 $831.00 $112.95–$623.25 — 40%
Ultrasound of the scrotum and testicles CPT 76870 US TESTICLES (SCROTUM) $551.40 $919.00 $102.76–$689.25 192% above 40%
Ultrasound of the scrotum and testicles inpatient CPT 76870 US TESTICLES (SCROTUM) $551.40 $919.00 $102.76–$689.25 — 40%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 ECHOGRAPHY THYROID HEAD/NECK $508.80 $848.00 $99.66–$636.00 120% above 40%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 ECHOGRAPHY THYROID HEAD/NECK $508.80 $848.00 $99.66–$636.00 — 40%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 UPPER GI SERI AIR CTRST W KUB $319.20 $532.00 $85.04–$402.18 37% above 40%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 UPPER GI SERIES SING CTRS KUB $319.20 $532.00 $85.04–$402.18 37% above 40%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 UPPER GI $327.00 $545.00 $85.04–$408.75 41% above 40%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 X-RAY EXAM UPPER GI TRACT LB $357.60 $596.00 $85.04–$447.00 54% above 40%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 X-RAY XM UPR GI TRC 1CONTRST $456.60 $761.00 $85.04–$570.75 96% above 40%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 UPPER GI SERIES SING CTRS KUB $319.20 $532.00 $85.04–$402.18 — 40%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 UPPER GI SERI AIR CTRST W KUB $319.20 $532.00 $85.04–$402.18 — 40%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 UPPER GI $327.00 $545.00 $85.04–$408.75 — 40%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 X-RAY EXAM UPPER GI TRACT LB $357.60 $596.00 $85.04–$447.00 — 40%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 X-RAY XM UPR GI TRC 1CONTRST $456.60 $761.00 $85.04–$570.75 — 40%
Upper arm X-ray (humerus), 2 views one side CPT 73060 HUMERUS INCLDG 1 JNT - RIGHT $219.60 $366.00 $23.44–$274.50 87% above 40%
Upper arm X-ray (humerus), 2 views one side CPT 73060 HUMERUS INCLDG 1 JNT - LEFT $219.60 $366.00 $23.44–$274.50 87% above 40%
Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 HUMERUS INCLDG 1 JNT - RIGHT $219.60 $366.00 $23.44–$274.50 — 40%
Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 HUMERUS INCLDG 1 JNT - LEFT $219.60 $366.00 $23.44–$274.50 — 40%
Vein ultrasound (duplex) of one arm or leg, or a limited study both sides CPT 93971 VENOUS DUPLEX BILATERAL $1,266.00 $2,110.00 $124.20–$1,793.50 — 40%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 SAPHEN DUP VEIN MAP-1 LEG-RGHT $633.00 $1,055.00 $124.20–$896.75 216% above 40%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 DUPLEX VEIN MAP 1 ARM - LEFT $252.00 $420.00 $94.00–$799.00 26% above 40%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 UP VEN STUDY W/DOP-1 ARM - RT $633.00 $1,055.00 $124.20–$896.75 216% above 40%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 VENOUS IMAG. W/DOP-1 LEG-LEFT $633.00 $1,055.00 $124.20–$896.75 216% above 40%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 UP VEN STUDY W/DOP-1 ARM-LEFT $633.00 $1,055.00 $124.20–$896.75 216% above 40%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 VENOUS IMAGING W/DOP-1 LEG -RT $633.00 $1,055.00 $124.20–$896.75 216% above 40%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 DUPLEX VEIN MAP 1 ARM - RIGHT $633.00 $1,055.00 $124.20–$896.75 216% above 40%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 SAPHENOUS VEIN MAP 1 LEG -LEFT $633.00 $1,055.00 $124.20–$896.75 216% above 40%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 VENOUS DUPLEX UNI-LEFT $633.00 $1,055.00 $124.20–$896.75 216% above 40%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 VENOUS DUPLEX UNI-RIGHT $633.00 $1,055.00 $124.20–$896.75 216% above 40%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient both sides CPT 93971 VENOUS DUPLEX BILATERAL $1,266.00 $2,110.00 $124.20–$1,793.50 — 40%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 SAPHEN DUP VEIN MAP-1 LEG-RGHT $633.00 $1,055.00 $124.20–$896.75 — 40%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 DUPLEX VEIN MAP 1 ARM - LEFT $252.00 $420.00 $94.00–$799.00 — 40%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 UP VEN STUDY W/DOP-1 ARM-LEFT $633.00 $1,055.00 $124.20–$896.75 — 40%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 VENOUS DUPLEX UNI-LEFT $633.00 $1,055.00 $124.20–$896.75 — 40%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 VENOUS IMAGING W/DOP-1 LEG -RT $633.00 $1,055.00 $124.20–$896.75 — 40%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 UP VEN STUDY W/DOP-1 ARM - RT $633.00 $1,055.00 $124.20–$896.75 — 40%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 DUPLEX VEIN MAP 1 ARM - RIGHT $633.00 $1,055.00 $124.20–$896.75 — 40%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 VENOUS IMAG. W/DOP-1 LEG-LEFT $633.00 $1,055.00 $124.20–$896.75 — 40%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 VENOUS DUPLEX UNI-RIGHT $633.00 $1,055.00 $124.20–$896.75 — 40%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 SAPHENOUS VEIN MAP 1 LEG -LEFT $633.00 $1,055.00 $124.20–$896.75 — 40%
Wrist X-ray, 2 views one side CPT 73100 WRIST LEFT - 2 VIEWS $219.60 $366.00 $24.33–$274.50 97% above 40%
Wrist X-ray, 2 views one side CPT 73100 WRIST RIGHT - 2 VIEWS $219.60 $366.00 $24.33–$274.50 97% above 40%
Wrist X-ray, 2 views inpatient one side CPT 73100 WRIST RIGHT - 2 VIEWS $219.60 $366.00 $24.33–$274.50 — 40%
Wrist X-ray, 2 views inpatient one side CPT 73100 WRIST LEFT - 2 VIEWS $219.60 $366.00 $24.33–$274.50 — 40%
Wrist X-ray, complete, 3 or more views one side CPT 73110 WRIST RIGHT - MIN 3 VIEWS $219.60 $366.00 $30.53–$274.50 87% above 40%
Wrist X-ray, complete, 3 or more views one side CPT 73110 WRIST LEFT MIN 3 VIEWS $219.60 $366.00 $30.53–$274.50 87% above 40%
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 WRIST LEFT MIN 3 VIEWS $219.60 $366.00 $30.53–$274.50 — 40%
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 WRIST RIGHT - MIN 3 VIEWS $219.60 $366.00 $30.53–$274.50 — 40%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR HIP LT 2 OR 3 VIEWS $164.40 $274.00 $29.55–$205.50 46% above 40%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR HIP RT 2 OR 3 VIEWS $164.40 $274.00 $29.55–$205.50 46% above 40%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR PELVIS & HIP LT 2 OR 3 VW $164.40 $274.00 $29.55–$205.50 46% above 40%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR PELVIS & HIP RT 2 OR 3 VIEW $164.40 $274.00 $29.55–$205.50 46% above 40%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 XR PELVIS & HIP LT 2 OR 3 VW $164.40 $274.00 $29.55–$205.50 — 40%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 XR PELVIS & HIP RT 2 OR 3 VIEW $164.40 $274.00 $29.55–$205.50 — 40%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 XR HIP LT 2 OR 3 VIEWS $164.40 $274.00 $29.55–$205.50 — 40%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 XR HIP RT 2 OR 3 VIEWS $164.40 $274.00 $29.55–$205.50 — 40%
X-ray of the abdomen, 1 view CPT 74018 ABDOMEN SINGLE VIEW $137.40 $229.00 $19.01–$199.54 24% above 40%
X-ray of the abdomen, 1 view inpatient CPT 74018 ABDOMEN SINGLE VIEW $137.40 $229.00 $19.01–$199.54 — 40%
X-ray of the ankle, 2 views one side CPT 73600 ANKLE RIGHT - LESS THAN 3 VIEW $125.40 $209.00 $22.56–$199.54 12% above 40%
X-ray of the ankle, 2 views one side CPT 73600 ANKLE LEFT - LESS THAN 3 VIEWS $125.40 $209.00 $22.56–$199.54 12% above 40%
X-ray of the ankle, 2 views inpatient one side CPT 73600 ANKLE LEFT - LESS THAN 3 VIEWS $125.40 $209.00 $22.56–$199.54 — 40%
X-ray of the ankle, 2 views inpatient one side CPT 73600 ANKLE RIGHT - LESS THAN 3 VIEW $125.40 $209.00 $22.56–$199.54 — 40%
X-ray of the finger(s), 2 or more views one side CPT 73140 RIGHT FINGER(S) $141.60 $236.00 $26.99–$199.54 27% above 40%
X-ray of the finger(s), 2 or more views one side CPT 73140 LEFT FINGER(S) $141.60 $236.00 $26.99–$199.54 27% above 40%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 LEFT FINGER(S) $141.60 $236.00 $26.99–$199.54 — 40%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 RIGHT FINGER(S) $141.60 $236.00 $26.99–$199.54 — 40%
X-ray of the foot, 2 views one side CPT 73620 FOOT RIGHT - LESS THAN 3 VIEWS $125.40 $209.00 $21.67–$199.54 8% above 40%
X-ray of the foot, 2 views one side CPT 73620 FOOT LEFT - LESS THAN 3 VIEWS $125.40 $209.00 $21.67–$199.54 8% above 40%
X-ray of the foot, 2 views inpatient one side CPT 73620 FOOT LEFT - LESS THAN 3 VIEWS $125.40 $209.00 $21.67–$199.54 — 40%
X-ray of the foot, 2 views inpatient one side CPT 73620 FOOT RIGHT - LESS THAN 3 VIEWS $125.40 $209.00 $21.67–$199.54 — 40%
X-ray of the foot, complete, 3 or more views one side CPT 73630 FOOT LEFT MIN 3 VIEWS $228.00 $380.00 $26.10–$285.00 94% above 40%
X-ray of the foot, complete, 3 or more views one side CPT 73630 FOOT RIGHT MIN 3 VIEWS $228.00 $380.00 $26.10–$285.00 94% above 40%
X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 FOOT LEFT MIN 3 VIEWS $228.00 $380.00 $26.10–$285.00 — 40%
X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 FOOT RIGHT MIN 3 VIEWS $228.00 $380.00 $26.10–$285.00 — 40%
X-ray of the hand, 3 or more views one side CPT 73130 HAND LEFT MIN 3 VIEWS $195.00 $325.00 $26.55–$243.75 66% above 40%
X-ray of the hand, 3 or more views one side CPT 73130 HAND RIGHT MIN 3 VIEWS $195.00 $325.00 $26.55–$243.75 66% above 40%
X-ray of the hand, 3 or more views inpatient one side CPT 73130 HAND LEFT MIN 3 VIEWS $195.00 $325.00 $26.55–$243.75 — 40%
X-ray of the hand, 3 or more views inpatient one side CPT 73130 HAND RIGHT MIN 3 VIEWS $195.00 $325.00 $26.55–$243.75 — 40%
X-ray of the knee, 1 or 2 views one side CPT 73560 KNEE RIGHT 1 OR 2 VIEWS $228.00 $380.00 $23.44–$285.00 94% above 40%
X-ray of the knee, 1 or 2 views one side CPT 73560 KNEE LEFT 1 OR 2 VIEWS $228.00 $380.00 $23.44–$285.00 94% above 40%
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 KNEE RIGHT 1 OR 2 VIEWS $228.00 $380.00 $23.44–$285.00 — 40%
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 KNEE LEFT 1 OR 2 VIEWS $228.00 $380.00 $23.44–$285.00 — 40%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 LUMBAR SPINE FLEX/EXT $297.60 $496.00 $32.31–$372.00 129% above 40%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 LUMBAR SPINE FLEX/EXT $297.60 $496.00 $32.31–$372.00 — 40%
X-ray of the lower back, 4 or more views CPT 72110 LUMBAR SPINE MIN 4 VIEWS $355.80 $593.00 $44.71–$444.75 122% above 40%
X-ray of the lower back, 4 or more views CPT 72110 LUMBAR SPINE AP LAT FLEX/EXT $355.80 $593.00 $44.71–$444.75 122% above 40%
X-ray of the lower back, 4 or more views inpatient CPT 72110 LUMBAR SPINE MIN 4 VIEWS $355.80 $593.00 $44.71–$444.75 — 40%
X-ray of the lower back, 4 or more views inpatient CPT 72110 LUMBAR SPINE AP LAT FLEX/EXT $355.80 $593.00 $44.71–$444.75 — 40%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 SPINE THORACIC - 2 VIEWS $164.40 $274.00 $26.10–$239.71 23% above 40%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 SPINE THORACIC - 2 VIEWS $164.40 $274.00 $26.10–$239.71 — 40%
X-ray of the nasal bones, 3 or more views CPT 70160 NASAL BONES $195.00 $325.00 $27.43–$243.75 72% above 40%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 NASAL BONES $195.00 $325.00 $27.43–$243.75 — 40%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 X-RAY NECK SPINE 2 OR 3 VIEWS $229.80 $383.00 $30.09–$287.25 96% above 40%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 X-RAY NECK SPINE 2 OR 3 VIEWS $229.80 $383.00 $30.09–$287.25 — 40%
X-ray of the pelvis, 1 or 2 views CPT 72170 PELVIS 1 OR 2 VIEWS $294.00 $490.00 $20.34–$367.50 136% above 40%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 PELVIS 1 OR 2 VIEWS $294.00 $490.00 $20.34–$367.50 — 40%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 SACRUM AND COCCYX $176.40 $294.00 $23.89–$220.50 50% above 40%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 SACRUM AND COCCYX $176.40 $294.00 $23.89–$220.50 — 40%

Lab tests

ProcedureCash priceList priceInsurers payvs New JerseyOff list
ACTH blood test CPT 82024 REF ACTH $93.60 $156.00 $30.90–$132.60 111% above 40%
ACTH blood test inpatient CPT 82024 REF ACTH $93.60 $156.00 $30.90–$132.60 — 40%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALANINE AMINO 6075535 $9.00 $15.00 $4.24–$16.91 48% above 40%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALAN AMINO (ALT)(SGPT)6075590 $9.00 $15.00 $4.24–$16.91 48% above 40%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALT (SGPT) $22.20 $37.00 $4.24–$31.45 264% above 40%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALANINE AMINO ALT SGPT 6075628 $32.40 $54.00 $4.24–$45.90 431% above 40%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 ALAN AMINO (ALT)(SGPT)6075590 $9.00 $15.00 $4.24–$16.91 — 40%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 ALANINE AMINO 6075535 $9.00 $15.00 $4.24–$16.91 — 40%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 ALT (SGPT) $22.20 $37.00 $4.24–$31.45 — 40%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 ALANINE AMINO ALT SGPT 6075628 $32.40 $54.00 $4.24–$45.90 — 40%
AST (aspartate aminotransferase) enzyme test CPT 84450 TRANSFERASE (AST)(SGOT)6075590 $9.00 $15.00 $4.14–$16.52 51% above 40%
AST (aspartate aminotransferase) enzyme test CPT 84450 TRANSFERASE 6075535 $9.00 $15.00 $4.14–$16.52 51% above 40%
AST (aspartate aminotransferase) enzyme test CPT 84450 TRANSFERASE (AST)(SGOT)6075587 $12.60 $21.00 $4.14–$17.85 111% above 40%
AST (aspartate aminotransferase) enzyme test CPT 84450 APRI w/ reflex to Nash Fibrosu $24.00 $40.00 $4.14–$34.00 303% above 40%
AST (aspartate aminotransferase) enzyme test CPT 84450 AST (SGOT) $24.60 $41.00 $4.14–$34.85 313% above 40%
AST (aspartate aminotransferase) enzyme test CPT 84450 TRANSFERASE (AST) SGOT 6075628 $31.80 $53.00 $4.14–$45.05 434% above 40%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 TRANSFERASE 6075535 $9.00 $15.00 $4.14–$16.52 — 40%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 TRANSFERASE (AST)(SGOT)6075590 $9.00 $15.00 $4.14–$16.52 — 40%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 TRANSFERASE (AST)(SGOT)6075587 $12.60 $21.00 $4.14–$17.85 — 40%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 APRI w/ reflex to Nash Fibrosu $24.00 $40.00 $4.14–$34.00 — 40%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 AST (SGOT) $24.60 $41.00 $4.14–$34.85 — 40%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 TRANSFERASE (AST) SGOT 6075628 $31.80 $53.00 $4.14–$45.05 — 40%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 ACUTE HEPATITIS PANEL(4 TESTS) $199.80 $333.00 $38.10–$283.05 265% above 40%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 ACUTE HEPATITIS PANEL(4 TESTS) $199.80 $333.00 $38.10–$283.05 — 40%
Albumin blood test CPT 82040 SFIG Albumin, Serum 6074561 $9.00 $15.00 $3.96–$15.79 58% above 40%
Albumin blood test CPT 82040 ASSAY SERUM ALBUMIN 6075788 $14.40 $24.00 $3.96–$20.40 153% above 40%
Albumin blood test CPT 82040 ALBUMIN SERUM 6070552 $20.40 $34.00 $3.96–$28.90 259% above 40%
Albumin blood test CPT 82040 ASSAY OF SERUM ALBUMIN $29.40 $49.00 $3.96–$41.65 417% above 40%
Albumin blood test CPT 82040 Free Testosterone� $40.80 $68.00 $3.96–$57.80 617% above 40%
Albumin blood test CPT 82040 SERUM ALBUMIN $44.40 $74.00 $3.96–$62.90 680% above 40%
Albumin blood test CPT 82040 ASSAY SERUM ALBUMIN w/ reflex $48.00 $80.00 $3.96–$68.00 744% above 40%
Albumin blood test inpatient CPT 82040 SFIG Albumin, Serum 6074561 $9.00 $15.00 $3.96–$15.79 — 40%
Albumin blood test inpatient CPT 82040 ASSAY SERUM ALBUMIN 6075788 $14.40 $24.00 $3.96–$20.40 — 40%
Albumin blood test inpatient CPT 82040 ALBUMIN SERUM 6070552 $20.40 $34.00 $3.96–$28.90 — 40%
Albumin blood test inpatient CPT 82040 ASSAY OF SERUM ALBUMIN $29.40 $49.00 $3.96–$41.65 — 40%
Albumin blood test inpatient CPT 82040 Free Testosterone� $40.80 $68.00 $3.96–$57.80 — 40%
Albumin blood test inpatient CPT 82040 SERUM ALBUMIN $44.40 $74.00 $3.96–$62.90 — 40%
Albumin blood test inpatient CPT 82040 ASSAY SERUM ALBUMIN w/ reflex $48.00 $80.00 $3.96–$68.00 — 40%
Aldosterone blood test CPT 82088 REF ALDOSTERONE $66.60 $111.00 $32.60–$129.99 42% above 40%
Aldosterone blood test CPT 82088 REF URINE ALDOSTERONE $91.20 $152.00 $32.60–$129.99 95% above 40%
Aldosterone blood test CPT 82088 ASSAY OF ALDOST (LC) 6074536 $219.60 $366.00 $32.60–$311.10 369% above 40%
Aldosterone blood test inpatient CPT 82088 REF ALDOSTERONE $66.60 $111.00 $32.60–$129.99 — 40%
Aldosterone blood test inpatient CPT 82088 REF URINE ALDOSTERONE $91.20 $152.00 $32.60–$129.99 — 40%
Aldosterone blood test inpatient CPT 82088 ASSAY OF ALDOST (LC) 6074536 $219.60 $366.00 $32.60–$311.10 — 40%
Alkaline phosphatase (ALP) blood test CPT 84075 ASSAY PHOSPHATASE 6075266 $9.00 $15.00 $4.14–$16.52 51% above 40%
Alkaline phosphatase (ALP) blood test CPT 84075 ALKALINE PHOSTASE $24.60 $41.00 $4.14–$34.85 313% above 40%
Alkaline phosphatase (ALP) blood test CPT 84075 BONE ALKALINE PHOSPHATASE SER $37.20 $62.00 $4.14–$52.70 524% above 40%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 ASSAY PHOSPHATASE 6075266 $9.00 $15.00 $4.14–$16.52 — 40%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 ALKALINE PHOSTASE $24.60 $41.00 $4.14–$34.85 — 40%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 BONE ALKALINE PHOSPHATASE SER $37.20 $62.00 $4.14–$52.70 — 40%
Allergy blood test, specific IgE, per allergen CPT 86003 Insulin (Human) IgE, S (Mayo) $6.60 $11.00 $4.18–$16.65 10% above 40%
Allergy blood test, specific IgE, per allergen CPT 86003 Pumpkin Seed, IgE $6.60 $11.00 $4.18–$16.65 10% above 40%
Allergy blood test, specific IgE, per allergen CPT 86003 Gelatin, IgE, Serum $6.60 $11.00 $4.18–$16.65 10% above 40%
Allergy blood test, specific IgE, per allergen CPT 86003 SESPF-Sesame Seed Compo reflex $6.60 $11.00 $4.18–$16.65 10% above 40%
Allergy blood test, specific IgE, per allergen CPT 86003 Allergens: Willow IGE $6.60 $11.00 $4.18–$16.65 10% above 40%
Allergy blood test, specific IgE, per allergen CPT 86003 Allergens: Grey Alder IGE $6.60 $11.00 $4.18–$16.65 10% above 40%
Allergy blood test, specific IgE, per allergen CPT 86003 Basil, IgE, Serum $6.60 $11.00 $4.18–$16.65 10% above 40%
Allergy blood test, specific IgE, per allergen CPT 86003 Eggplant, IgE, Serum $6.60 $11.00 $4.18–$16.65 10% above 40%
Allergy blood test, specific IgE, per allergen CPT 86003 Malt, IgE, Serum $6.60 $11.00 $4.18–$16.65 10% above 40%
Allergy blood test, specific IgE, per allergen CPT 86003 Mushroom, IgE, Serum $6.60 $11.00 $4.18–$16.65 10% above 40%
Allergy blood test, specific IgE, per allergen CPT 86003 Curvularia Lunata, IgE $6.60 $11.00 $4.18–$16.65 10% above 40%
Allergy blood test, specific IgE, per allergen CPT 86003 Goldenrod, IgE $6.60 $11.00 $4.18–$16.65 10% above 40%
Allergy blood test, specific IgE, per allergen CPT 86003 False Ragweed, IgE $6.60 $11.00 $4.18–$16.65 10% above 40%
Allergy blood test, specific IgE, per allergen CPT 86003 Scale, IgE $6.60 $11.00 $4.18–$16.65 10% above 40%
Allergy blood test, specific IgE, per allergen CPT 86003 Wormwood, IgE $6.60 $11.00 $4.18–$16.65 10% above 40%
Allergy blood test, specific IgE, per allergen CPT 86003 Rye Grass, IgE $6.60 $11.00 $4.18–$16.65 10% above 40%
Allergy blood test, specific IgE, per allergen CPT 86003 Firebush, IgE $6.60 $11.00 $4.18–$16.65 10% above 40%
Allergy blood test, specific IgE, per allergen CPT 86003 Whole Egg, IgE $6.60 $11.00 $4.18–$16.65 10% above 40%
Allergy blood test, specific IgE, per allergen CPT 86003 Rabbit Epithelia, IgE $6.60 $11.00 $4.18–$16.65 10% above 40%
Allergy blood test, specific IgE, per allergen CPT 86003 Mouse Epithelium, IgE $6.60 $11.00 $4.18–$16.65 10% above 40%
Allergy blood test, specific IgE, per allergen CPT 86003 Horse Dander $6.60 $11.00 $4.18–$16.65 10% above 40%
Allergy blood test, specific IgE, per allergen CPT 86003 Hamster Epithelium, IgE $6.60 $11.00 $4.18–$16.65 10% above 40%
Allergy blood test, specific IgE, per allergen CPT 86003 Budgerigar Feathers, IgE $6.60 $11.00 $4.18–$16.65 10% above 40%
Allergy blood test, specific IgE, per allergen CPT 86003 Guinea Pig Epithelium, IgE $6.60 $11.00 $4.18–$16.65 10% above 40%
Allergy blood test, specific IgE, per allergen CPT 86003 Pomegranate, IgE $6.60 $11.00 $4.18–$16.65 10% above 40%
Allergy blood test, specific IgE, per allergen CPT 86003 Rape Seed, Ige $6.60 $11.00 $4.18–$16.65 10% above 40%
Allergy blood test, specific IgE, per allergen CPT 86003 Jalapeno/Chipotle $6.60 $11.00 $4.18–$16.65 10% above 40%
Allergy blood test, specific IgE, per allergen CPT 86003 Cottonseed, IgE $6.60 $11.00 $4.18–$16.65 10% above 40%
Allergy blood test, specific IgE, per allergen CPT 86003 Green Pepper, IgE $6.60 $11.00 $4.18–$16.65 10% above 40%
Allergy blood test, specific IgE, per allergen CPT 86003 Cabbage, IgE $6.60 $11.00 $4.18–$16.65 10% above 40%
Allergy blood test, specific IgE, per allergen CPT 86003 Cauliflower, IgE $6.60 $11.00 $4.18–$16.65 10% above 40%
Allergy blood test, specific IgE, per allergen CPT 86003 Mackerel, IgE (MAYO) $6.60 $11.00 $4.18–$16.65 10% above 40%
Allergy blood test, specific IgE, per allergen CPT 86003 Mandarin, IgE $6.60 $11.00 $4.18–$16.65 10% above 40%
Allergy blood test, specific IgE, per allergen CPT 86003 Lime, IgE $6.60 $11.00 $4.18–$16.65 10% above 40%
Allergy blood test, specific IgE, per allergen CPT 86003 Grapefruit, IgE $6.60 $11.00 $4.18–$16.65 10% above 40%
Allergy blood test, specific IgE, per allergen CPT 86003 Lemon, IgE $6.60 $11.00 $4.18–$16.65 10% above 40%
Allergy blood test, specific IgE, per allergen CPT 86003 Sole, IgE (MAYO $6.60 $11.00 $4.18–$16.65 10% above 40%
Allergy blood test, specific IgE, per allergen CPT 86003 Octupus, IgE, S (Mayo) $6.60 $11.00 $4.18–$16.65 10% above 40%
Allergy blood test, specific IgE, per allergen CPT 86003 Lime,GRFR,Lem,Mand,Trot6075726 $6.60 $11.00 $4.18–$16.65 10% above 40%
Allergy blood test, specific IgE, per allergen CPT 86003 Paprika, IgE, Serum (Mayo) $6.60 $11.00 $4.18–$16.65 10% above 40%
Allergy blood test, specific IgE, per allergen CPT 86003 Ginger, IgE, Serum (Mayo) $6.60 $11.00 $4.18–$16.65 10% above 40%
Allergy blood test, specific IgE, per allergen CPT 86003 Blck/White Pepper IgE Ser Mayo $6.60 $11.00 $4.18–$16.65 10% above 40%
Allergy blood test, specific IgE, per allergen CPT 86003 Barley, IgE, Serum (Mayo) $6.60 $11.00 $4.18–$16.65 10% above 40%
Allergy blood test, specific IgE, per allergen CPT 86003 Rice, IgE, Serum (Mayo) $6.60 $11.00 $4.18–$16.65 10% above 40%
Allergy blood test, specific IgE, per allergen CPT 86003 Rye, IgE, Serum (Mayo) $6.60 $11.00 $4.18–$16.65 10% above 40%
Allergy blood test, specific IgE, per allergen CPT 86003 ALG SPE IGE CRUDXTRC EA6075804 $6.60 $11.00 $4.18–$16.65 10% above 40%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLG SPEC IGECRUD XTRC EA65425 $8.40 $14.00 $4.18–$16.65 40% above 40%
Allergy blood test, specific IgE, per allergen CPT 86003 Squash, IgE $9.00 $15.00 $4.18–$16.65 50% above 40%
Allergy blood test, specific IgE, per allergen CPT 86003 Rough Marsh Elder, IgE $9.60 $16.00 $4.18–$16.65 60% above 40%
Allergy blood test, specific IgE, per allergen CPT 86003 AUREOBASI PULLU, IgE QUANT $9.60 $16.00 $4.18–$16.65 60% above 40%
Allergy blood test, specific IgE, per allergen CPT 86003 EPICOCC PURPUR IgE QUANT $9.60 $16.00 $4.18–$16.65 60% above 40%
Allergy blood test, specific IgE, per allergen CPT 86003 BEECH, IgE QUANTITATIVE $9.60 $16.00 $4.18–$16.65 60% above 40%
Allergy blood test, specific IgE, per allergen CPT 86003 Goose Feathers, IgE $9.60 $16.00 $4.18–$16.65 60% above 40%
Allergy blood test, specific IgE, per allergen CPT 86003 WHITE PINE, IgE QUANTITATIVE $9.60 $16.00 $4.18–$16.65 60% above 40%
Allergy blood test, specific IgE, per allergen CPT 86003 Linseed, IgE $9.60 $16.00 $4.18–$16.65 60% above 40%
Allergy blood test, specific IgE, per allergen CPT 86003 Vanilla, IgE $9.60 $16.00 $4.18–$16.65 60% above 40%
Allergy blood test, specific IgE, per allergen CPT 86003 Cheese, Cheddar, IgE $9.60 $16.00 $4.18–$16.65 60% above 40%
Allergy blood test, specific IgE, per allergen CPT 86003 Oregano, IgE $9.60 $16.00 $4.18–$16.65 60% above 40%
Allergy blood test, specific IgE, per allergen CPT 86003 Cinnamon, IgE $9.60 $16.00 $4.18–$16.65 60% above 40%
Allergy blood test, specific IgE, per allergen CPT 86003 Buckwheat, IgE $9.60 $16.00 $4.18–$16.65 60% above 40%
Allergy blood test, specific IgE, per allergen CPT 86003 Passion Fruit, IgE $9.60 $16.00 $4.18–$16.65 60% above 40%
Allergy blood test, specific IgE, per allergen CPT 86003 Turkey, IgE $9.60 $16.00 $4.18–$16.65 60% above 40%
Allergy blood test, specific IgE, per allergen CPT 86003 Onion, Ige $9.60 $16.00 $4.18–$16.65 60% above 40%
Allergy blood test, specific IgE, per allergen CPT 86003 MOUSE URINE PROTEIN, IgE $9.60 $16.00 $4.18–$16.65 60% above 40%
Allergy blood test, specific IgE, per allergen CPT 86003 Squid, IgE $9.60 $16.00 $4.18–$16.65 60% above 40%
Allergy blood test, specific IgE, per allergen CPT 86003 Fusarium Moniliforme, IgE $9.60 $16.00 $4.18–$16.65 60% above 40%
Allergy blood test, specific IgE, per allergen CPT 86003 Phoma Betae, IgE $9.60 $16.00 $4.18–$16.65 60% above 40%
Allergy blood test, specific IgE, per allergen CPT 86003 Rhizopus Nigricans, IgE $9.60 $16.00 $4.18–$16.65 60% above 40%
Allergy blood test, specific IgE, per allergen CPT 86003 PENICILLIN G, IGE $10.80 $18.00 $4.18–$16.65 80% above 40%
Allergy blood test, specific IgE, per allergen CPT 86003 MML ALLERGEN $10.80 $18.00 $4.18–$16.65 80% above 40%
Allergy blood test, specific IgE, per allergen CPT 86003 Blackberry, IgE $10.80 $18.00 $4.18–$16.65 80% above 40%
Allergy blood test, specific IgE, per allergen CPT 86003 Apricot, IgE $10.80 $18.00 $4.18–$16.65 80% above 40%
Allergy blood test, specific IgE, per allergen CPT 86003 Spinach, IgE $10.80 $18.00 $4.18–$16.65 80% above 40%
Allergy blood test, specific IgE, per allergen CPT 86003 Watermelon, IgE $10.80 $18.00 $4.18–$16.65 80% above 40%
Allergy blood test, specific IgE, per allergen CPT 86003 Cucumber, IgE $10.80 $18.00 $4.18–$16.65 80% above 40%
Allergy blood test, specific IgE, per allergen CPT 86003 Plum, IgE $10.80 $18.00 $4.18–$16.65 80% above 40%
Allergy blood test, specific IgE, per allergen CPT 86003 Johnson Grass, IgE $10.80 $18.00 $4.18–$16.65 80% above 40%
Allergy blood test, specific IgE, per allergen CPT 86003 Pecan Hickory, IgE $10.80 $18.00 $4.18–$16.65 80% above 40%
Allergy blood test, specific IgE, per allergen CPT 86003 Aspergillus niger, IgE $10.80 $18.00 $4.18–$16.65 80% above 40%
Allergy blood test, specific IgE, per allergen CPT 86003 Yellow Jacket Venom,IgE $10.80 $18.00 $4.18–$16.65 80% above 40%
Allergy blood test, specific IgE, per allergen CPT 86003 Wasp Venom, IgE $10.80 $18.00 $4.18–$16.65 80% above 40%
Allergy blood test, specific IgE, per allergen CPT 86003 Yellow Face Hornt Ven,IgE $10.80 $18.00 $4.18–$16.65 80% above 40%
Allergy blood test, specific IgE, per allergen CPT 86003 White Face Hornt Ven,IgE $10.80 $18.00 $4.18–$16.65 80% above 40%
Allergy blood test, specific IgE, per allergen CPT 86003 Sweet Gum, IgE $10.80 $18.00 $4.18–$16.65 80% above 40%
Allergy blood test, specific IgE, per allergen CPT 86003 Cocklebur, IgE $10.80 $18.00 $4.18–$16.65 80% above 40%
Allergy blood test, specific IgE, per allergen CPT 86003 PENICILLIN V, IGE $10.80 $18.00 $4.18–$16.65 80% above 40%
Allergy blood test, specific IgE, per allergen CPT 86003 REF ALLERGEN, IgE, QUANT, EA $10.80 $18.00 $4.18–$16.65 80% above 40%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLG SPEC IGE XTRC EA 6075205 $12.00 $20.00 $4.18–$17.00 100% above 40%
Allergy blood test, specific IgE, per allergen CPT 86003 AMOXICILLIN IGE $13.20 $22.00 $4.18–$18.70 120% above 40%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLG SPEC IGE XTRC EA 6075161 $17.40 $29.00 $4.18–$24.65 190% above 40%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLG SPEC IGE CRUDE XT 6075569 $21.60 $36.00 $4.18–$30.60 260% above 40%
Allergy blood test, specific IgE, per allergen CPT 86003 BERMUDA GRASS IGE 60701534 $22.20 $37.00 $4.18–$31.45 270% above 40%
Allergy blood test, specific IgE, per allergen CPT 86003 EML IGE 6071534 $22.20 $37.00 $4.18–$31.45 270% above 40%
Allergy blood test, specific IgE, per allergen CPT 86003 CAT HAIR, IGE 6071534 $22.20 $37.00 $4.18–$31.45 270% above 40%
Allergy blood test, specific IgE, per allergen CPT 86003 OAK IGE 6071534 $22.20 $37.00 $4.18–$31.45 270% above 40%
Allergy blood test, specific IgE, per allergen CPT 86003 ENGLISH PLAINTAIN IGE 6071534 $22.20 $37.00 $4.18–$31.45 270% above 40%
Allergy blood test, specific IgE, per allergen CPT 86003 RAGWEED SHORT IGE 6071534 $22.20 $37.00 $4.18–$31.45 270% above 40%
Allergy blood test, specific IgE, per allergen CPT 86003 ALTERNARIA TENUIS IGE 6071534 $22.20 $37.00 $4.18–$31.45 270% above 40%
Allergy blood test, specific IgE, per allergen CPT 86003 KENTUCK BLUEGRASS(JUNE)6071534 $22.20 $37.00 $4.18–$31.45 270% above 40%
Allergy blood test, specific IgE, per allergen CPT 86003 DOG DANDER IGE 6071534 $22.20 $37.00 $4.18–$31.45 270% above 40%
Allergy blood test, specific IgE, per allergen CPT 86003 HOUS DUST MITE/D.F.IGE 6071534 $22.20 $37.00 $4.18–$31.45 270% above 40%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLG SPEC IGE XTRC EA 6075269 $24.00 $40.00 $4.18–$34.00 300% above 40%
Allergy blood test, specific IgE, per allergen CPT 86003 Allergens - (LC) $29.40 $49.00 $4.18–$41.65 390% above 40%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLG SPC IGE CR XTRC 6075743 $31.80 $53.00 $4.18–$45.05 430% above 40%
Allergy blood test, specific IgE, per allergen CPT 86003 Pumpkin IgE (Lab Corp) $31.80 $53.00 $4.18–$45.05 430% above 40%
Allergy blood test, specific IgE, per allergen CPT 86003 Allerg Prof Seasnal Fall weed $31.80 $53.00 $4.18–$45.05 430% above 40%
Allergy blood test, specific IgE, per allergen CPT 86003 IgE Nut Prof. w/ Rflx $31.80 $53.00 $4.18–$45.05 430% above 40%
Allergy blood test, specific IgE, per allergen CPT 86003 Seasonal Aller summer grass $32.40 $54.00 $4.18–$45.90 440% above 40%
Allergy blood test, specific IgE, per allergen CPT 86003 IGE MILK W/ COMPONEN (LC) $32.40 $54.00 $4.18–$45.90 440% above 40%
Allergy blood test, specific IgE, per allergen CPT 86003 Allerg Pro, Sesame IgE w/CompF $34.20 $57.00 $4.18–$48.45 470% above 40%
Allergy blood test, specific IgE, per allergen CPT 86003 Seasonal Aller, Spring Tree $34.80 $58.00 $4.18–$49.30 480% above 40%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLG SPEC IGE CRUDXTR 6075824 $34.80 $58.00 $4.18–$49.30 480% above 40%
Allergy blood test, specific IgE, per allergen CPT 86003 Nut Panel IgE (LC) $36.00 $60.00 $4.18–$51.00 500% above 40%
Allergy blood test, specific IgE, per allergen CPT 86003 CASHEW NUT IGE (LC) $36.00 $60.00 $4.18–$51.00 500% above 40%
Allergy blood test, specific IgE, per allergen CPT 86003 IGE WALNUT W/COMPONE (LC) $36.00 $60.00 $4.18–$51.00 500% above 40%
Allergy blood test, specific IgE, per allergen CPT 86003 TREE NUT ALLERGY W/0 RELFEX $36.60 $61.00 $4.18–$51.85 510% above 40%
Allergy blood test, specific IgE, per allergen CPT 86003 MOLD1 $40.20 $67.00 $4.18–$56.95 570% above 40%
Allergy blood test, specific IgE, per allergen CPT 86003 BREWERS YEAST IGE $46.20 $77.00 $4.18–$65.45 670% above 40%
Allergy blood test, specific IgE, per allergen CPT 86003 HAZELNUT COMPONENT IGE-LABCORP $46.80 $78.00 $4.18–$66.30 680% above 40%
Allergy blood test, specific IgE, per allergen CPT 86003 INSEC $46.80 $78.00 $4.18–$66.30 680% above 40%
Allergy blood test, specific IgE, per allergen CPT 86003 Hymenoptera venom allergy w/co $50.40 $84.00 $4.18–$71.40 740% above 40%
Allergy blood test, specific IgE, per allergen CPT 86003 FWALP $55.20 $92.00 $4.18–$78.20 820% above 40%
Allergy blood test, specific IgE, per allergen CPT 86003 FCAIG - Cockroach American IgE $55.80 $93.00 $4.18–$79.05 830% above 40%
Allergy blood test, specific IgE, per allergen CPT 86003 FRSE - Red Snapper $55.80 $93.00 $4.18–$79.05 830% above 40%
Allergy blood test, specific IgE, per allergen CPT 86003 Allergens $55.80 $93.00 $4.18–$79.05 830% above 40%
Allergy blood test, specific IgE, per allergen CPT 86003 Sugar Cane, IgE (Mayo) $55.80 $93.00 $4.18–$79.05 830% above 40%
Allergy blood test, specific IgE, per allergen CPT 86003 FSTLE - Safflower IgE Carthamu $55.80 $93.00 $4.18–$79.05 830% above 40%
Allergy blood test, specific IgE, per allergen CPT 86003 FHSSE $61.20 $102.00 $4.18–$86.70 920% above 40%
Allergy blood test, specific IgE, per allergen CPT 86003 FLOUNDER, IGE $61.20 $102.00 $4.18–$86.70 920% above 40%
Allergy blood test, specific IgE, per allergen CPT 86003 Allergens: WhiteFish IGE $70.80 $118.00 $4.18–$100.30 1080% above 40%
Allergy blood test, specific IgE, per allergen CPT 86003 Jalapeno/Chipotle (MAYO) $70.80 $118.00 $4.18–$100.30 1080% above 40%
Allergy blood test, specific IgE, per allergen CPT 86003 Bipo/Curularia Spicif iGEMayo $70.80 $118.00 $4.18–$100.30 1080% above 40%
Allergy blood test, specific IgE, per allergen CPT 86003 FCURV - Curvularia spicifera/B $70.80 $118.00 $4.18–$100.30 1080% above 40%
Allergy blood test, specific IgE, per allergen CPT 86003 FSTAB $70.80 $118.00 $4.18–$100.30 1080% above 40%
Allergy blood test, specific IgE, per allergen CPT 86003 FDFEN - Dog Fennel Anthemis Co $70.80 $118.00 $4.18–$100.30 1080% above 40%
Allergy blood test, specific IgE, per allergen CPT 86003 Aspergillus Flavus IgE (Mayo) $70.80 $118.00 $4.18–$100.30 1080% above 40%
Allergy blood test, specific IgE, per allergen CPT 86003 Venom Bumble Bee IgE (Mayo) $70.80 $118.00 $4.18–$100.30 1080% above 40%
Allergy blood test, specific IgE, per allergen CPT 86003 BRAZIL NUT,W/COMP REFLEX LC $74.40 $124.00 $4.18–$105.40 1140% above 40%
Allergy blood test, specific IgE, per allergen CPT 86003 FBEBE $75.60 $126.00 $4.18–$107.10 1160% above 40%
Allergy blood test, specific IgE, per allergen CPT 86003 FCURV $75.60 $126.00 $4.18–$107.10 1160% above 40%
Allergy blood test, specific IgE, per allergen CPT 86003 Wheat IgE w/ Refx $78.60 $131.00 $4.18–$111.35 1210% above 40%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLG SPEC IGE CRUDE XTRC $90.60 $151.00 $4.18–$128.35 1410% above 40%
Allergy blood test, specific IgE, per allergen CPT 86003 FDKYE $92.40 $154.00 $4.18–$130.90 1440% above 40%
Allergy blood test, specific IgE, per allergen CPT 86003 PAS3 $105.60 $176.00 $4.18–$149.60 1660% above 40%
Allergy blood test, specific IgE, per allergen CPT 86003 Shellfish Aller Prof w/oref LC $192.60 $321.00 $4.18–$272.85 3110% above 40%
Allergy blood test, specific IgE, per allergen CPT 86003 REF NE ZONE 1 ALLERGY PROF $224.40 $374.00 $4.18–$317.90 3640% above 40%
Allergy blood test, specific IgE, per allergen CPT 86003 Peanut, IgE Screen $224.40 $374.00 $4.18–$317.90 3640% above 40%
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Profile, Food-Nuts $224.40 $374.00 $4.18–$317.90 3640% above 40%
Allergy blood test, specific IgE, per allergen CPT 86003 Allergy Prof. IgE Reflex(LC) $234.60 $391.00 $4.18–$332.35 3810% above 40%
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Profile, Food-Vegetab $288.60 $481.00 $4.18–$408.85 4710% above 40%
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Profile, Nut, IgE(LC) $328.20 $547.00 $4.18–$464.95 5370% above 40%
Allergy blood test, specific IgE, per allergen CPT 86003 FPCP $364.20 $607.00 $4.18–$515.95 5970% above 40%
Allergy blood test, specific IgE, per allergen CPT 86003 Hemp Western Water IgE $410.40 $684.00 $4.18–$581.40 6740% above 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Scale, IgE $6.60 $11.00 $4.18–$16.65 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Cauliflower, IgE $6.60 $11.00 $4.18–$16.65 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Wormwood, IgE $6.60 $11.00 $4.18–$16.65 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Insulin (Human) IgE, S (Mayo) $6.60 $11.00 $4.18–$16.65 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Rye Grass, IgE $6.60 $11.00 $4.18–$16.65 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Mackerel, IgE (MAYO) $6.60 $11.00 $4.18–$16.65 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Firebush, IgE $6.60 $11.00 $4.18–$16.65 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Paprika, IgE, Serum (Mayo) $6.60 $11.00 $4.18–$16.65 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Whole Egg, IgE $6.60 $11.00 $4.18–$16.65 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Mandarin, IgE $6.60 $11.00 $4.18–$16.65 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Rabbit Epithelia, IgE $6.60 $11.00 $4.18–$16.65 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Rice, IgE, Serum (Mayo) $6.60 $11.00 $4.18–$16.65 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Mouse Epithelium, IgE $6.60 $11.00 $4.18–$16.65 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Lime, IgE $6.60 $11.00 $4.18–$16.65 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Horse Dander $6.60 $11.00 $4.18–$16.65 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ginger, IgE, Serum (Mayo) $6.60 $11.00 $4.18–$16.65 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hamster Epithelium, IgE $6.60 $11.00 $4.18–$16.65 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Grapefruit, IgE $6.60 $11.00 $4.18–$16.65 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Budgerigar Feathers, IgE $6.60 $11.00 $4.18–$16.65 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALG SPE IGE CRUDXTRC EA6075804 $6.60 $11.00 $4.18–$16.65 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Guinea Pig Epithelium, IgE $6.60 $11.00 $4.18–$16.65 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Lemon, IgE $6.60 $11.00 $4.18–$16.65 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Pomegranate, IgE $6.60 $11.00 $4.18–$16.65 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Gelatin, IgE, Serum $6.60 $11.00 $4.18–$16.65 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Blck/White Pepper IgE Ser Mayo $6.60 $11.00 $4.18–$16.65 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SESPF-Sesame Seed Compo reflex $6.60 $11.00 $4.18–$16.65 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Rape Seed, Ige $6.60 $11.00 $4.18–$16.65 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergens: Willow IGE $6.60 $11.00 $4.18–$16.65 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Sole, IgE (MAYO $6.60 $11.00 $4.18–$16.65 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergens: Grey Alder IGE $6.60 $11.00 $4.18–$16.65 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Jalapeno/Chipotle $6.60 $11.00 $4.18–$16.65 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Basil, IgE, Serum $6.60 $11.00 $4.18–$16.65 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Rye, IgE, Serum (Mayo) $6.60 $11.00 $4.18–$16.65 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Eggplant, IgE, Serum $6.60 $11.00 $4.18–$16.65 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Cottonseed, IgE $6.60 $11.00 $4.18–$16.65 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Malt, IgE, Serum $6.60 $11.00 $4.18–$16.65 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Octupus, IgE, S (Mayo) $6.60 $11.00 $4.18–$16.65 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Mushroom, IgE, Serum $6.60 $11.00 $4.18–$16.65 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Green Pepper, IgE $6.60 $11.00 $4.18–$16.65 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Curvularia Lunata, IgE $6.60 $11.00 $4.18–$16.65 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Barley, IgE, Serum (Mayo) $6.60 $11.00 $4.18–$16.65 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Goldenrod, IgE $6.60 $11.00 $4.18–$16.65 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Cabbage, IgE $6.60 $11.00 $4.18–$16.65 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 False Ragweed, IgE $6.60 $11.00 $4.18–$16.65 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Lime,GRFR,Lem,Mand,Trot6075726 $6.60 $11.00 $4.18–$16.65 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Pumpkin Seed, IgE $6.60 $11.00 $4.18–$16.65 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLG SPEC IGECRUD XTRC EA65425 $8.40 $14.00 $4.18–$16.65 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Squash, IgE $9.00 $15.00 $4.18–$16.65 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 WHITE PINE, IgE QUANTITATIVE $9.60 $16.00 $4.18–$16.65 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Fusarium Moniliforme, IgE $9.60 $16.00 $4.18–$16.65 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Rhizopus Nigricans, IgE $9.60 $16.00 $4.18–$16.65 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Rough Marsh Elder, IgE $9.60 $16.00 $4.18–$16.65 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Goose Feathers, IgE $9.60 $16.00 $4.18–$16.65 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Vanilla, IgE $9.60 $16.00 $4.18–$16.65 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Oregano, IgE $9.60 $16.00 $4.18–$16.65 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Cinnamon, IgE $9.60 $16.00 $4.18–$16.65 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Buckwheat, IgE $9.60 $16.00 $4.18–$16.65 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Passion Fruit, IgE $9.60 $16.00 $4.18–$16.65 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Turkey, IgE $9.60 $16.00 $4.18–$16.65 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Onion, Ige $9.60 $16.00 $4.18–$16.65 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Cheese, Cheddar, IgE $9.60 $16.00 $4.18–$16.65 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BEECH, IgE QUANTITATIVE $9.60 $16.00 $4.18–$16.65 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 EPICOCC PURPUR IgE QUANT $9.60 $16.00 $4.18–$16.65 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Linseed, IgE $9.60 $16.00 $4.18–$16.65 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 AUREOBASI PULLU, IgE QUANT $9.60 $16.00 $4.18–$16.65 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Squid, IgE $9.60 $16.00 $4.18–$16.65 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Phoma Betae, IgE $9.60 $16.00 $4.18–$16.65 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MOUSE URINE PROTEIN, IgE $9.60 $16.00 $4.18–$16.65 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Spinach, IgE $10.80 $18.00 $4.18–$16.65 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 REF ALLERGEN, IgE, QUANT, EA $10.80 $18.00 $4.18–$16.65 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PENICILLIN G, IGE $10.80 $18.00 $4.18–$16.65 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PENICILLIN V, IGE $10.80 $18.00 $4.18–$16.65 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Cocklebur, IgE $10.80 $18.00 $4.18–$16.65 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Sweet Gum, IgE $10.80 $18.00 $4.18–$16.65 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 White Face Hornt Ven,IgE $10.80 $18.00 $4.18–$16.65 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Yellow Face Hornt Ven,IgE $10.80 $18.00 $4.18–$16.65 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Wasp Venom, IgE $10.80 $18.00 $4.18–$16.65 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Yellow Jacket Venom,IgE $10.80 $18.00 $4.18–$16.65 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Aspergillus niger, IgE $10.80 $18.00 $4.18–$16.65 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Pecan Hickory, IgE $10.80 $18.00 $4.18–$16.65 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Johnson Grass, IgE $10.80 $18.00 $4.18–$16.65 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Plum, IgE $10.80 $18.00 $4.18–$16.65 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Cucumber, IgE $10.80 $18.00 $4.18–$16.65 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Watermelon, IgE $10.80 $18.00 $4.18–$16.65 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Apricot, IgE $10.80 $18.00 $4.18–$16.65 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Blackberry, IgE $10.80 $18.00 $4.18–$16.65 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MML ALLERGEN $10.80 $18.00 $4.18–$16.65 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLG SPEC IGE XTRC EA 6075205 $12.00 $20.00 $4.18–$17.00 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 AMOXICILLIN IGE $13.20 $22.00 $4.18–$18.70 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLG SPEC IGE XTRC EA 6075161 $17.40 $29.00 $4.18–$24.65 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLG SPEC IGE CRUDE XT 6075569 $21.60 $36.00 $4.18–$30.60 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALTERNARIA TENUIS IGE 6071534 $22.20 $37.00 $4.18–$31.45 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CAT HAIR, IGE 6071534 $22.20 $37.00 $4.18–$31.45 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 DOG DANDER IGE 6071534 $22.20 $37.00 $4.18–$31.45 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BERMUDA GRASS IGE 60701534 $22.20 $37.00 $4.18–$31.45 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 KENTUCK BLUEGRASS(JUNE)6071534 $22.20 $37.00 $4.18–$31.45 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HOUS DUST MITE/D.F.IGE 6071534 $22.20 $37.00 $4.18–$31.45 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 EML IGE 6071534 $22.20 $37.00 $4.18–$31.45 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 OAK IGE 6071534 $22.20 $37.00 $4.18–$31.45 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ENGLISH PLAINTAIN IGE 6071534 $22.20 $37.00 $4.18–$31.45 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAGWEED SHORT IGE 6071534 $22.20 $37.00 $4.18–$31.45 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLG SPEC IGE XTRC EA 6075269 $24.00 $40.00 $4.18–$34.00 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergens - (LC) $29.40 $49.00 $4.18–$41.65 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IgE Nut Prof. w/ Rflx $31.80 $53.00 $4.18–$45.05 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Pumpkin IgE (Lab Corp) $31.80 $53.00 $4.18–$45.05 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLG SPC IGE CR XTRC 6075743 $31.80 $53.00 $4.18–$45.05 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allerg Prof Seasnal Fall weed $31.80 $53.00 $4.18–$45.05 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IGE MILK W/ COMPONEN (LC) $32.40 $54.00 $4.18–$45.90 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Seasonal Aller summer grass $32.40 $54.00 $4.18–$45.90 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allerg Pro, Sesame IgE w/CompF $34.20 $57.00 $4.18–$48.45 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Seasonal Aller, Spring Tree $34.80 $58.00 $4.18–$49.30 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLG SPEC IGE CRUDXTR 6075824 $34.80 $58.00 $4.18–$49.30 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Nut Panel IgE (LC) $36.00 $60.00 $4.18–$51.00 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CASHEW NUT IGE (LC) $36.00 $60.00 $4.18–$51.00 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IGE WALNUT W/COMPONE (LC) $36.00 $60.00 $4.18–$51.00 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 TREE NUT ALLERGY W/0 RELFEX $36.60 $61.00 $4.18–$51.85 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MOLD1 $40.20 $67.00 $4.18–$56.95 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BREWERS YEAST IGE $46.20 $77.00 $4.18–$65.45 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HAZELNUT COMPONENT IGE-LABCORP $46.80 $78.00 $4.18–$66.30 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 INSEC $46.80 $78.00 $4.18–$66.30 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hymenoptera venom allergy w/co $50.40 $84.00 $4.18–$71.40 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 FWALP $55.20 $92.00 $4.18–$78.20 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 FSTLE - Safflower IgE Carthamu $55.80 $93.00 $4.18–$79.05 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Sugar Cane, IgE (Mayo) $55.80 $93.00 $4.18–$79.05 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergens $55.80 $93.00 $4.18–$79.05 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 FCAIG - Cockroach American IgE $55.80 $93.00 $4.18–$79.05 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 FRSE - Red Snapper $55.80 $93.00 $4.18–$79.05 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 FHSSE $61.20 $102.00 $4.18–$86.70 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 FLOUNDER, IGE $61.20 $102.00 $4.18–$86.70 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergens: WhiteFish IGE $70.80 $118.00 $4.18–$100.30 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 FSTAB $70.80 $118.00 $4.18–$100.30 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 FDFEN - Dog Fennel Anthemis Co $70.80 $118.00 $4.18–$100.30 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 FCURV - Curvularia spicifera/B $70.80 $118.00 $4.18–$100.30 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Aspergillus Flavus IgE (Mayo) $70.80 $118.00 $4.18–$100.30 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Venom Bumble Bee IgE (Mayo) $70.80 $118.00 $4.18–$100.30 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Jalapeno/Chipotle (MAYO) $70.80 $118.00 $4.18–$100.30 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Bipo/Curularia Spicif iGEMayo $70.80 $118.00 $4.18–$100.30 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BRAZIL NUT,W/COMP REFLEX LC $74.40 $124.00 $4.18–$105.40 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 FCURV $75.60 $126.00 $4.18–$107.10 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 FBEBE $75.60 $126.00 $4.18–$107.10 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Wheat IgE w/ Refx $78.60 $131.00 $4.18–$111.35 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLG SPEC IGE CRUDE XTRC $90.60 $151.00 $4.18–$128.35 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 FDKYE $92.40 $154.00 $4.18–$130.90 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PAS3 $105.60 $176.00 $4.18–$149.60 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Shellfish Aller Prof w/oref LC $192.60 $321.00 $4.18–$272.85 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Peanut, IgE Screen $224.40 $374.00 $4.18–$317.90 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Profile, Food-Nuts $224.40 $374.00 $4.18–$317.90 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 REF NE ZONE 1 ALLERGY PROF $224.40 $374.00 $4.18–$317.90 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergy Prof. IgE Reflex(LC) $234.60 $391.00 $4.18–$332.35 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Profile, Food-Vegetab $288.60 $481.00 $4.18–$408.85 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Profile, Nut, IgE(LC) $328.20 $547.00 $4.18–$464.95 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 FPCP $364.20 $607.00 $4.18–$515.95 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hemp Western Water IgE $410.40 $684.00 $4.18–$581.40 — 40%
Alpha-fetoprotein (AFP) blood test CPT 82105 AFP tumor marker, AF ser (LC) $9.00 $15.00 $8.45–$53.50 53% below 40%
Alpha-fetoprotein (AFP) blood test CPT 82105 AFP Single Marker Scrn, MS $31.80 $53.00 $13.42–$53.50 65% above 40%
Alpha-fetoprotein (AFP) blood test CPT 82105 AFP SERUM $73.20 $122.00 $13.42–$103.70 279% above 40%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 AFP tumor marker, AF ser (LC) $9.00 $15.00 $8.45–$53.50 — 40%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 AFP Single Marker Scrn, MS $31.80 $53.00 $13.42–$53.50 — 40%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 AFP SERUM $73.20 $122.00 $13.42–$103.70 — 40%
Ammonia blood test CPT 82140 ASSAY OF AMMONIA 6075134 $21.00 $35.00 $11.66–$46.48 25% above 40%
Ammonia blood test CPT 82140 AMMONIA $35.40 $59.00 $11.66–$50.15 111% above 40%
Ammonia blood test inpatient CPT 82140 ASSAY OF AMMONIA 6075134 $21.00 $35.00 $11.66–$46.48 — 40%
Ammonia blood test inpatient CPT 82140 AMMONIA $35.40 $59.00 $11.66–$50.15 — 40%
Amylase blood test CPT 82150 BFAMY $16.20 $27.00 $5.18–$22.95 117% above 40%
Amylase blood test CPT 82150 Pancreatic Enzyme Determinatio $26.40 $44.00 $5.18–$37.40 254% above 40%
Amylase blood test CPT 82150 ASSAY OF AMYLASE 6075573 $28.80 $48.00 $5.18–$40.80 287% above 40%
Amylase blood test CPT 82150 AMYLASE $42.60 $71.00 $5.18–$60.35 472% above 40%
Amylase blood test CPT 82150 AMYLASE, PANCREATIC CYST $168.60 $281.00 $5.18–$238.85 2163% above 40%
Amylase blood test inpatient CPT 82150 BFAMY $16.20 $27.00 $5.18–$22.95 — 40%
Amylase blood test inpatient CPT 82150 Pancreatic Enzyme Determinatio $26.40 $44.00 $5.18–$37.40 — 40%
Amylase blood test inpatient CPT 82150 ASSAY OF AMYLASE 6075573 $28.80 $48.00 $5.18–$40.80 — 40%
Amylase blood test inpatient CPT 82150 AMYLASE $42.60 $71.00 $5.18–$60.35 — 40%
Amylase blood test inpatient CPT 82150 AMYLASE, PANCREATIC CYST $168.60 $281.00 $5.18–$238.85 — 40%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CTDCCCP AB $26.40 $44.00 $10.36–$41.31 77% above 40%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CYCLIC CITRULIN/PEP AB IGG $62.40 $104.00 $10.36–$88.40 319% above 40%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CTDCCCP AB $26.40 $44.00 $10.36–$41.31 — 40%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CYCLIC CITRULIN/PEP AB IGG $62.40 $104.00 $10.36–$88.40 — 40%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA SCREEN $19.80 $33.00 $9.67–$38.57 49% above 40%
Antinuclear antibody (ANA) blood test, screen CPT 86038 Connective Tissue Disease Casc $109.80 $183.00 $9.67–$155.55 726% above 40%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA 12 Profile (RDL) $109.80 $183.00 $9.67–$155.55 726% above 40%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA SCREEN $19.80 $33.00 $9.67–$38.57 — 40%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 Connective Tissue Disease Casc $109.80 $183.00 $9.67–$155.55 — 40%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA 12 Profile (RDL) $109.80 $183.00 $9.67–$155.55 — 40%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 B-TYPE NATRIURETIC PEPTIDE $78.60 $131.00 $31.41–$125.24 74% above 40%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 PRO-BNP $78.60 $131.00 $31.41–$125.24 74% above 40%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 PRO-BNP $78.60 $131.00 $31.41–$125.24 — 40%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 B-TYPE NATRIURETIC PEPTIDE $78.60 $131.00 $31.41–$125.24 — 40%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CATHETER CULTURE OTHER SOURCE $40.20 $67.00 $6.90–$56.95 306% above 40%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 SPUTUM DEFINITIVE CULTURE OTH $40.20 $67.00 $6.90–$56.95 306% above 40%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 GENITAL CULTURE OTHER $40.20 $67.00 $6.90–$56.95 306% above 40%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 EYE CULTURE OTHER $40.20 $67.00 $6.90–$56.95 306% above 40%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 EAR CULTURE OTHER SOURCE $40.20 $67.00 $6.90–$56.95 306% above 40%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CSF DEFINITIVE BACT CULTURE OT $40.20 $67.00 $6.90–$56.95 306% above 40%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 THROAT CULTURE OTHER SOURCE $40.20 $67.00 $6.90–$56.95 306% above 40%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 NOSE CULTURE OTHER SOURCE $40.20 $67.00 $6.90–$56.95 306% above 40%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 ROUTINE CULTURE OTHER SOURCE $40.20 $67.00 $6.90–$56.95 306% above 40%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CATHETER CULTURE OTHER SOURCE $40.20 $67.00 $6.90–$56.95 — 40%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 SPUTUM DEFINITIVE CULTURE OTH $40.20 $67.00 $6.90–$56.95 — 40%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 EAR CULTURE OTHER SOURCE $40.20 $67.00 $6.90–$56.95 — 40%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 EYE CULTURE OTHER $40.20 $67.00 $6.90–$56.95 — 40%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 THROAT CULTURE OTHER SOURCE $40.20 $67.00 $6.90–$56.95 — 40%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 NOSE CULTURE OTHER SOURCE $40.20 $67.00 $6.90–$56.95 — 40%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CSF DEFINITIVE BACT CULTURE OT $40.20 $67.00 $6.90–$56.95 — 40%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 GENITAL CULTURE OTHER $40.20 $67.00 $6.90–$56.95 — 40%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 ROUTINE CULTURE OTHER SOURCE $40.20 $67.00 $6.90–$56.95 — 40%
Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL $41.40 $69.00 $6.77–$58.65 325% above 40%
Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METABOLIC PANEL $41.40 $69.00 $6.77–$58.65 — 40%
Bilirubin blood test, total CPT 82247 BILIRUBIN TOTAL 6075628 $31.20 $52.00 $4.02–$44.20 441% above 40%
Bilirubin blood test, total CPT 82247 TOTAL BILIRUBIN 6075084 $37.20 $62.00 $4.02–$52.70 545% above 40%
Bilirubin blood test, total CPT 82247 NEONATAL BILIRUBIN $68.40 $114.00 $4.02–$96.90 1085% above 40%
Bilirubin blood test, total CPT 82247 BILIRUBIN BODY FLUID $100.80 $168.00 $4.02–$142.80 1647% above 40%
Bilirubin blood test, total inpatient CPT 82247 BILIRUBIN TOTAL 6075628 $31.20 $52.00 $4.02–$44.20 — 40%
Bilirubin blood test, total inpatient CPT 82247 TOTAL BILIRUBIN 6075084 $37.20 $62.00 $4.02–$52.70 — 40%
Bilirubin blood test, total inpatient CPT 82247 NEONATAL BILIRUBIN $68.40 $114.00 $4.02–$96.90 — 40%
Bilirubin blood test, total inpatient CPT 82247 BILIRUBIN BODY FLUID $100.80 $168.00 $4.02–$142.80 — 40%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 FNA CELLBLOCK $87.60 $146.00 $57.97–$129.67 11% below 40%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 SURG EXAM - LARGE $94.80 $158.00 $57.97–$134.30 3% below 40%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 BRST CANC PRO LEV IV G & M $286.20 $477.00 $57.97–$405.45 192% above 40%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 BREAST SP LEV IV F 7 M W FS $286.20 $477.00 $57.97–$405.45 192% above 40%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 FNA CELLBLOCK $87.60 $146.00 $57.97–$129.67 — 40%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 SURG EXAM - LARGE $94.80 $158.00 $57.97–$134.30 — 40%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 BREAST SP LEV IV F 7 M W FS $286.20 $477.00 $57.97–$405.45 — 40%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 BRST CANC PRO LEV IV G & M $286.20 $477.00 $57.97–$405.45 — 40%
Blood culture for bacteria CPT 87040 CULTURE BACTERIAL BLD AEROBIC $30.60 $51.00 $8.26–$43.35 45% below 40%
Blood culture for bacteria CPT 87040 PLACENTAL CELL CULTURE AEROBIC $30.60 $51.00 $8.26–$43.35 45% below 40%
Blood culture for bacteria CPT 87040 AEROBICS STERILITY BLOOD CULTU $30.60 $51.00 $8.26–$43.35 45% below 40%
Blood culture for bacteria inpatient CPT 87040 PLACENTAL CELL CULTURE AEROBIC $30.60 $51.00 $8.26–$43.35 — 40%
Blood culture for bacteria inpatient CPT 87040 CULTURE BACTERIAL BLD AEROBIC $30.60 $51.00 $8.26–$43.35 — 40%
Blood culture for bacteria inpatient CPT 87040 AEROBICS STERILITY BLOOD CULTU $30.60 $51.00 $8.26–$43.35 — 40%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNTURE $12.00 $20.00 $4.42–$23.64 24% above 40%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE $15.00 $25.00 $4.42–$23.64 54% above 40%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNTURE > AGE 3 $15.00 $25.00 $4.42–$23.64 54% above 40%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENIPUNTURE $12.00 $20.00 $4.42–$23.64 — 40%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENIPUNCTURE $15.00 $25.00 $4.42–$23.64 — 40%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENIPUNTURE > AGE 3 $15.00 $25.00 $4.42–$23.64 — 40%
Blood glucose (sugar) test CPT 82947 QUANTITATIVE GLUCOSE $23.40 $39.00 $3.14–$33.15 418% above 40%
Blood glucose (sugar) test CPT 82947 ASSAY GLUCOSE BLD QUNT 6075628 $24.00 $40.00 $3.14–$34.00 431% above 40%
Blood glucose (sugar) test CPT 82947 GLUCOSE BLOOD QUANT 6100013 $52.20 $87.00 $3.14–$73.95 1055% above 40%
Blood glucose (sugar) test inpatient CPT 82947 QUANTITATIVE GLUCOSE $23.40 $39.00 $3.14–$33.15 — 40%
Blood glucose (sugar) test inpatient CPT 82947 ASSAY GLUCOSE BLD QUNT 6075628 $24.00 $40.00 $3.14–$34.00 — 40%
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE BLOOD QUANT 6100013 $52.20 $87.00 $3.14–$73.95 — 40%
Blood lead test CPT 83655 LEAD POC TESTING $14.40 $24.00 $9.69–$38.63 3% above 40%
Blood lead test CPT 83655 REF LEAD BLOOD $19.80 $33.00 $9.69–$38.63 42% above 40%
Blood lead test CPT 83655 ASSAY OF LEAD 6070866 $22.20 $37.00 $9.69–$38.63 59% above 40%
Blood lead test inpatient CPT 83655 LEAD POC TESTING $14.40 $24.00 $9.69–$38.63 — 40%
Blood lead test inpatient CPT 83655 REF LEAD BLOOD $19.80 $33.00 $9.69–$38.63 — 40%
Blood lead test inpatient CPT 83655 ASSAY OF LEAD 6070866 $22.20 $37.00 $9.69–$38.63 — 40%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 GONADOTROPIN CHOPIONIC (hCG) $10.20 $17.00 $6.02–$23.99 18% above 40%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 CHORIONIC GONADOTROPIN ASSAY $55.20 $92.00 $6.02–$78.20 538% above 40%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 GONADOTROPIN CHOPIONIC (hCG) $10.20 $17.00 $6.02–$23.99 — 40%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 CHORIONIC GONADOTROPIN ASSAY $55.20 $92.00 $6.02–$78.20 — 40%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 TYPE ABO $102.60 $171.00 $2.39–$305.07 28% below 40%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 TYPE ABO $102.60 $171.00 $2.39–$305.07 — 40%
Blood urea nitrogen (BUN) test CPT 84520 UEBF - Urea Nitrogen BF $18.60 $31.00 $3.16–$26.35 310% above 40%
Blood urea nitrogen (BUN) test CPT 84520 BUN BLOOD $21.00 $35.00 $3.16–$29.75 363% above 40%
Blood urea nitrogen (BUN) test inpatient CPT 84520 UEBF - Urea Nitrogen BF $18.60 $31.00 $3.16–$26.35 — 40%
Blood urea nitrogen (BUN) test inpatient CPT 84520 BUN BLOOD $21.00 $35.00 $3.16–$29.75 — 40%
C-peptide blood test CPT 84681 REF C-PEPTIDE REACTIVITY $34.20 $57.00 $16.65–$66.38 43% above 40%
C-peptide blood test CPT 84681 ASSAY OF C-PEPTIDE 6075352 $103.80 $173.00 $16.65–$147.05 334% above 40%
C-peptide blood test inpatient CPT 84681 REF C-PEPTIDE REACTIVITY $34.20 $57.00 $16.65–$66.38 — 40%
C-peptide blood test inpatient CPT 84681 ASSAY OF C-PEPTIDE 6075352 $103.80 $173.00 $16.65–$147.05 — 40%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-REACTIVE PROTEIN $22.20 $37.00 $4.14–$31.45 272% above 40%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 PROMETHEUS IBD sgi Diag6075122 $22.80 $38.00 $4.14–$32.30 283% above 40%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C-REACTIVE PROTEIN $22.20 $37.00 $4.14–$31.45 — 40%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 PROMETHEUS IBD sgi Diag6075122 $22.80 $38.00 $4.14–$32.30 — 40%
C. difficile toxin gene test (stool PCR) CPT 87493 CDFRP $81.00 $135.00 $29.82–$118.89 89% above 40%
C. difficile toxin gene test (stool PCR) CPT 87493 C. DIFF TOXIN A B PCR $85.20 $142.00 $29.82–$120.70 99% above 40%
C. difficile toxin gene test (stool PCR) CPT 87493 Clostridioides difficile Toxin $787.20 $1,312.00 $29.82–$1,115.20 1737% above 40%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 CDFRP $81.00 $135.00 $29.82–$118.89 — 40%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 C. DIFF TOXIN A B PCR $85.20 $142.00 $29.82–$120.70 — 40%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 Clostridioides difficile Toxin $787.20 $1,312.00 $29.82–$1,115.20 — 40%
CA 19-9 blood test (tumor marker) CPT 86301 CA 19-9 ANTIGEN $87.60 $146.00 $16.65–$124.10 266% above 40%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 CA 19-9 ANTIGEN $87.60 $146.00 $16.65–$124.10 — 40%
CA-125 blood test (ovarian cancer marker) CPT 86304 CA125 $49.80 $83.00 $16.65–$70.55 108% above 40%
CA-125 blood test (ovarian cancer marker) CPT 86304 ROMA IMMUNOASSAY TUMOR CA 125 $94.80 $158.00 $16.65–$134.30 296% above 40%
CA-125 blood test (ovarian cancer marker) CPT 86304 Cancer AG(CA 125),S 6075077 $94.80 $158.00 $16.65–$134.30 296% above 40%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 CA125 $49.80 $83.00 $16.65–$70.55 — 40%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 Cancer AG(CA 125),S 6075077 $94.80 $158.00 $16.65–$134.30 — 40%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 ROMA IMMUNOASSAY TUMOR CA 125 $94.80 $158.00 $16.65–$134.30 — 40%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 POC-COVID19 $52.80 $88.00 $41.05–$163.68 6% below 40%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 POC-COVID19 $52.80 $88.00 $41.05–$163.68 — 40%
Calcium blood test, total CPT 82310 CACR3 - Calcium/Creat Ratio, R $13.80 $23.00 $4.13–$19.55 133% above 40%
Calcium blood test, total CPT 82310 ASSAY OF CALCIUM 6075893 $13.80 $23.00 $4.13–$19.55 133% above 40%
Calcium blood test, total CPT 82310 TOTAL CALCIUM $17.40 $29.00 $4.13–$24.65 193% above 40%
Calcium blood test, total inpatient CPT 82310 ASSAY OF CALCIUM 6075893 $13.80 $23.00 $4.13–$19.55 — 40%
Calcium blood test, total inpatient CPT 82310 CACR3 - Calcium/Creat Ratio, R $13.80 $23.00 $4.13–$19.55 — 40%
Calcium blood test, total inpatient CPT 82310 TOTAL CALCIUM $17.40 $29.00 $4.13–$24.65 — 40%
Carcinoembryonic antigen (CEA) test CPT 82378 CEA $76.80 $128.00 $15.17–$108.80 252% above 40%
Carcinoembryonic antigen (CEA) test CPT 82378 CEA PERICARDIAL FLD $97.80 $163.00 $15.17–$138.55 349% above 40%
Carcinoembryonic antigen (CEA) test CPT 82378 CARCINOEMBRYONIC ANTIGEN $148.80 $248.00 $15.17–$210.80 583% above 40%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 CEA $76.80 $128.00 $15.17–$108.80 — 40%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 CEA PERICARDIAL FLD $97.80 $163.00 $15.17–$138.55 — 40%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 CARCINOEMBRYONIC ANTIGEN $148.80 $248.00 $15.17–$210.80 — 40%
Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA-ZOST ANTIBDY 6075877 $26.40 $44.00 $10.30–$41.09 78% above 40%
Chickenpox (varicella) immunity blood test CPT 86787 FVZGC $58.80 $98.00 $10.30–$83.30 297% above 40%
Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA TITER $117.60 $196.00 $10.30–$166.60 694% above 40%
Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA IMMUNE/STATU 7340696 $117.60 $196.00 $10.30–$166.60 694% above 40%
Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA IGM ANTIBODY $117.60 $196.00 $10.30–$166.60 694% above 40%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 VARICELLA-ZOST ANTIBDY 6075877 $26.40 $44.00 $10.30–$41.09 — 40%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 FVZGC $58.80 $98.00 $10.30–$83.30 — 40%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 VARICELLA IMMUNE/STATU 7340696 $117.60 $196.00 $10.30–$166.60 — 40%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 VARICELLA IGM ANTIBODY $117.60 $196.00 $10.30–$166.60 — 40%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 VARICELLA TITER $117.60 $196.00 $10.30–$166.60 — 40%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 MCRNA-Chlamydia Tracho,Misc $31.80 $53.00 $28.07–$111.94 21% below 40%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLMYD TRACH DNA AMPPRO6075168 $54.00 $90.00 $28.07–$111.94 34% above 40%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAM DNA PROBE $57.00 $95.00 $28.07–$111.94 41% above 40%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHYLMD TRACH DNA AMP $147.60 $246.00 $28.07–$209.10 266% above 40%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLMYD TRA DNA AMPPROB 6075450 $150.00 $250.00 $28.07–$212.50 272% above 40%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLMYD TRACHDNA AMP Pr 6075248 $151.20 $252.00 $28.07–$214.20 275% above 40%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chlamydia trachomatis $151.20 $252.00 $28.07–$214.20 275% above 40%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) one side CPT 87491 CHLAMYDIA BY RT PCR $58.80 $98.00 $28.07–$111.94 46% above 40%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 MCRNA-Chlamydia Tracho,Misc $31.80 $53.00 $28.07–$111.94 — 40%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLMYD TRACH DNA AMPPRO6075168 $54.00 $90.00 $28.07–$111.94 — 40%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAM DNA PROBE $57.00 $95.00 $28.07–$111.94 — 40%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHYLMD TRACH DNA AMP $147.60 $246.00 $28.07–$209.10 — 40%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLMYD TRA DNA AMPPROB 6075450 $150.00 $250.00 $28.07–$212.50 — 40%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLMYD TRACHDNA AMP Pr 6075248 $151.20 $252.00 $28.07–$214.20 — 40%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Chlamydia trachomatis $151.20 $252.00 $28.07–$214.20 — 40%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient one side CPT 87491 CHLAMYDIA BY RT PCR $58.80 $98.00 $28.07–$111.94 — 40%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL $41.40 $69.00 $10.71–$58.65 169% above 40%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PANEL $41.40 $69.00 $10.71–$58.65 — 40%
Complete blood count (CBC) with differential CPT 85025 CBC-AUTO W/ AUTO-DIFF $49.20 $82.00 $6.22–$69.70 450% above 40%
Complete blood count (CBC) with differential inpatient CPT 85025 CBC-AUTO W/ AUTO-DIFF $49.20 $82.00 $6.22–$69.70 — 40%
Complete blood count (CBC), no differential CPT 85027 CBC-AUTO W PLTLTS NO DIFF $36.00 $60.00 $5.18–$51.00 384% above 40%
Complete blood count (CBC), no differential inpatient CPT 85027 CBC-AUTO W PLTLTS NO DIFF $36.00 $60.00 $5.18–$51.00 — 40%
Comprehensive metabolic panel (blood test) CPT 80053 COMPREHENSIVE METABOLIC PANEL $57.60 $96.00 $8.45–$81.60 374% above 40%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMPREHENSIVE METABOLIC PANEL $57.60 $96.00 $8.45–$81.60 — 40%
Cortisol blood test, total CPT 82533 TOTAL CORTISOL $69.60 $116.00 $13.04–$98.60 271% above 40%
Cortisol blood test, total CPT 82533 REF URINE CORTISOL TOTAL $87.60 $146.00 $13.04–$124.10 367% above 40%
Cortisol blood test, total inpatient CPT 82533 TOTAL CORTISOL $69.60 $116.00 $13.04–$98.60 — 40%
Cortisol blood test, total inpatient CPT 82533 REF URINE CORTISOL TOTAL $87.60 $146.00 $13.04–$124.10 — 40%
Creatine kinase (CK) blood test, total CPT 82550 ASSAY OF CK (CPK)6075349 $31.80 $53.00 $5.21–$45.05 325% above 40%
Creatine kinase (CK) blood test, total CPT 82550 TOTAL CPK $33.00 $55.00 $5.21–$46.75 341% above 40%
Creatine kinase (CK) blood test, total inpatient CPT 82550 ASSAY OF CK (CPK)6075349 $31.80 $53.00 $5.21–$45.05 — 40%
Creatine kinase (CK) blood test, total inpatient CPT 82550 TOTAL CPK $33.00 $55.00 $5.21–$46.75 — 40%
Creatinine blood test CPT 82565 CREATININE SERUM $26.40 $44.00 $4.10–$37.40 348% above 40%
Creatinine blood test inpatient CPT 82565 CREATININE SERUM $26.40 $44.00 $4.10–$37.40 — 40%
Cytomegalovirus (CMV) antibody test CPT 86644 CMVP - CYTO AB, IGM & IGG SERU $22.20 $37.00 $11.51–$45.90 40% above 40%
Cytomegalovirus (CMV) antibody test CPT 86644 CMV TESTING $66.60 $111.00 $11.51–$94.35 321% above 40%
Cytomegalovirus (CMV) antibody test CPT 86644 CMV IGG ANTIBODY $90.60 $151.00 $11.51–$128.35 472% above 40%
Cytomegalovirus (CMV) antibody test CPT 86644 FCYTG, CMV ANTIBODY $198.60 $331.00 $11.51–$281.35 1155% above 40%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 CMVP - CYTO AB, IGM & IGG SERU $22.20 $37.00 $11.51–$45.90 — 40%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 CMV TESTING $66.60 $111.00 $11.51–$94.35 — 40%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 CMV IGG ANTIBODY $90.60 $151.00 $11.51–$128.35 — 40%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 FCYTG, CMV ANTIBODY $198.60 $331.00 $11.51–$281.35 — 40%
D-dimer blood test (blood clot marker) CPT 85379 FIBRIN DEGRAD QUAN 6075692 $52.20 $87.00 $8.14–$73.95 346% above 40%
D-dimer blood test (blood clot marker) inpatient CPT 85379 FIBRIN DEGRAD QUAN 6075692 $52.20 $87.00 $8.14–$73.95 — 40%
DHEA sulfate (DHEA-S) blood test CPT 82627 REF DHEA - S $36.60 $61.00 $17.78–$70.91 46% above 40%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 REF DHEA - S $36.60 $61.00 $17.78–$70.91 — 40%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Drug Analysis Profile Compreh $21.00 $35.00 $19.71–$198.23 71% below 40%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Propoxyphene $31.80 $53.00 $29.84–$198.23 55% below 40%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRGTST PRSMV CHEMANLYZR6075384 $41.40 $69.00 $38.85–$198.23 42% below 40%
Drug screen by lab instrument (any number of drug classes) CPT 80307 CONF DRG ABUSE PANEL 9 $41.40 $69.00 $38.85–$198.23 42% below 40%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Confirmed Drug Abuse Panel9 U $41.40 $69.00 $38.85–$198.23 42% below 40%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRgTES PRSM CHEM ANLYZR6075289 $42.00 $70.00 $39.41–$198.23 41% below 40%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Drug Screen, Pres/OTC U (Mayo) $77.40 $129.00 $49.71–$198.23 8% above 40%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Meperidine $78.00 $130.00 $49.71–$198.23 9% above 40%
Drug screen by lab instrument (any number of drug classes) CPT 80307 FENTANYL URINE SCREEN $78.60 $131.00 $49.71–$198.23 10% above 40%
Drug screen by lab instrument (any number of drug classes) CPT 80307 CDAU7 - Confirmed Drug Abuse P $82.80 $138.00 $49.71–$198.23 16% above 40%
Drug screen by lab instrument (any number of drug classes) CPT 80307 ETGS $126.60 $211.00 $49.71–$198.23 77% above 40%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Drug of Abuse Screen-Meconium5 $145.20 $242.00 $49.71–$205.70 103% above 40%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Mephedrone, MDPV Urine (Mayo) $154.20 $257.00 $49.71–$218.45 116% above 40%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Synthetic CanabinoidScreen,UR $154.80 $258.00 $49.71–$219.30 117% above 40%
Drug screen by lab instrument (any number of drug classes) CPT 80307 SNGLE DRUG CLASS $154.80 $258.00 $49.71–$219.30 117% above 40%
Drug screen by lab instrument (any number of drug classes) CPT 80307 GHB SERUM $169.20 $282.00 $49.71–$239.70 137% above 40%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRG SCR CHEMANLYZ SERUM PANEL $176.40 $294.00 $49.71–$249.90 147% above 40%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Drug Screen 13 with reflex Con $176.40 $294.00 $49.71–$249.90 147% above 40%
Drug screen by lab instrument (any number of drug classes) CPT 80307 FENR-Fent Scrn w/Reflx & Urine $190.20 $317.00 $49.71–$269.45 166% above 40%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG TST PRSMVCHEM ANLYZR60753 $493.80 $823.00 $49.71–$699.55 591% above 40%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Drug Analysis Profile Compreh $21.00 $35.00 $19.71–$198.23 — 40%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Propoxyphene $31.80 $53.00 $29.84–$198.23 — 40%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRGTST PRSMV CHEMANLYZR6075384 $41.40 $69.00 $38.85–$198.23 — 40%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Confirmed Drug Abuse Panel9 U $41.40 $69.00 $38.85–$198.23 — 40%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 CONF DRG ABUSE PANEL 9 $41.40 $69.00 $38.85–$198.23 — 40%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRgTES PRSM CHEM ANLYZR6075289 $42.00 $70.00 $39.41–$198.23 — 40%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Drug Screen, Pres/OTC U (Mayo) $77.40 $129.00 $49.71–$198.23 — 40%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Meperidine $78.00 $130.00 $49.71–$198.23 — 40%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 FENTANYL URINE SCREEN $78.60 $131.00 $49.71–$198.23 — 40%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 CDAU7 - Confirmed Drug Abuse P $82.80 $138.00 $49.71–$198.23 — 40%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 ETGS $126.60 $211.00 $49.71–$198.23 — 40%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Drug of Abuse Screen-Meconium5 $145.20 $242.00 $49.71–$205.70 — 40%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Mephedrone, MDPV Urine (Mayo) $154.20 $257.00 $49.71–$218.45 — 40%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Synthetic CanabinoidScreen,UR $154.80 $258.00 $49.71–$219.30 — 40%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 SNGLE DRUG CLASS $154.80 $258.00 $49.71–$219.30 — 40%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 GHB SERUM $169.20 $282.00 $49.71–$239.70 — 40%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Drug Screen 13 with reflex Con $176.40 $294.00 $49.71–$249.90 — 40%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRG SCR CHEMANLYZ SERUM PANEL $176.40 $294.00 $49.71–$249.90 — 40%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 FENR-Fent Scrn w/Reflx & Urine $190.20 $317.00 $49.71–$269.45 — 40%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG TST PRSMVCHEM ANLYZR60753 $493.80 $823.00 $49.71–$699.55 — 40%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 ELECTROLYTE PANEL $39.60 $66.00 $5.61–$56.10 391% above 40%
Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 ELECTROLYTE PANEL $39.60 $66.00 $5.61–$56.10 — 40%
Epstein-Barr virus (EBV) antibody test CPT 86665 EB VIRUS VIRAL CAPSID IGG $29.40 $49.00 $14.51–$57.87 42% above 40%
Epstein-Barr virus (EBV) antibody test CPT 86665 EB VIRUS VIRAL CAPSID IGM $29.40 $49.00 $14.51–$57.87 42% above 40%
Epstein-Barr virus (EBV) antibody test CPT 86665 EBV CAPSID ANTIGEN IGG $29.40 $49.00 $14.51–$57.87 42% above 40%
Epstein-Barr virus (EBV) antibody test CPT 86665 EBV VIRAL CAPSID ANTIGEN IGM $29.40 $49.00 $14.51–$57.87 42% above 40%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 EBV CAPSID ANTIGEN IGG $29.40 $49.00 $14.51–$57.87 — 40%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 EB VIRUS VIRAL CAPSID IGG $29.40 $49.00 $14.51–$57.87 — 40%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 EB VIRUS VIRAL CAPSID IGM $29.40 $49.00 $14.51–$57.87 — 40%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 EBV VIRAL CAPSID ANTIGEN IGM $29.40 $49.00 $14.51–$57.87 — 40%
Estradiol blood test CPT 82670 ESTRADIOL $54.60 $91.00 $22.35–$89.13 70% above 40%
Estradiol blood test CPT 82670 Estradiol (LC) $74.40 $124.00 $22.35–$105.40 132% above 40%
Estradiol blood test CPT 82670 Enhanced Estradiol� $181.80 $303.00 $22.35–$257.55 466% above 40%
Estradiol blood test CPT 82670 ESTRADIOL ENDOCRINE SCIENCE $192.00 $320.00 $22.35–$272.00 498% above 40%
Estradiol blood test CPT 82670 ESTRADIOL, SENSITIVE (LC) $240.60 $401.00 $22.35–$340.85 649% above 40%
Estradiol blood test inpatient CPT 82670 ESTRADIOL $54.60 $91.00 $22.35–$89.13 — 40%
Estradiol blood test inpatient CPT 82670 Estradiol (LC) $74.40 $124.00 $22.35–$105.40 — 40%
Estradiol blood test inpatient CPT 82670 Enhanced Estradiol� $181.80 $303.00 $22.35–$257.55 — 40%
Estradiol blood test inpatient CPT 82670 ESTRADIOL ENDOCRINE SCIENCE $192.00 $320.00 $22.35–$272.00 — 40%
Estradiol blood test inpatient CPT 82670 ESTRADIOL, SENSITIVE (LC) $240.60 $401.00 $22.35–$340.85 — 40%
FSH (follicle-stimulating hormone) test CPT 83001 FSH $25.80 $43.00 $14.86–$59.27 21% above 40%
FSH (follicle-stimulating hormone) test CPT 83001 FOLLICLE STIMULATING HORMONE $90.60 $151.00 $14.86–$128.35 324% above 40%
FSH (follicle-stimulating hormone) test CPT 83001 FSH PEDI (LC) $129.60 $216.00 $14.86–$183.60 506% above 40%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 FSH $25.80 $43.00 $14.86–$59.27 — 40%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 FOLLICLE STIMULATING HORMONE $90.60 $151.00 $14.86–$128.35 — 40%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 FSH PEDI (LC) $129.60 $216.00 $14.86–$183.60 — 40%
Fecal calprotectin (stool inflammation test) CPT 83993 FECAL CALPROTECTIN $282.00 $470.00 $15.70–$399.50 1149% above 40%
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 FECAL CALPROTECTIN $282.00 $470.00 $15.70–$399.50 — 40%
Ferritin blood test (iron stores) CPT 82728 FERRITIN $37.80 $63.00 $10.90–$53.55 141% above 40%
Ferritin blood test (iron stores) CPT 82728 ASSAY OF FERRITIN 6075563 $50.40 $84.00 $10.90–$71.40 222% above 40%
Ferritin blood test (iron stores) CPT 82728 FERRITIN 6070667 $102.00 $170.00 $10.90–$144.50 551% above 40%
Ferritin blood test (iron stores) inpatient CPT 82728 FERRITIN $37.80 $63.00 $10.90–$53.55 — 40%
Ferritin blood test (iron stores) inpatient CPT 82728 ASSAY OF FERRITIN 6075563 $50.40 $84.00 $10.90–$71.40 — 40%
Ferritin blood test (iron stores) inpatient CPT 82728 FERRITIN 6070667 $102.00 $170.00 $10.90–$144.50 — 40%
Fibrinogen blood test CPT 85384 FIBRINOGEN $26.40 $44.00 $7.78–$37.40 136% above 40%
Fibrinogen blood test CPT 85384 FIBRINOGEN ACTIVITY 6075692 $49.80 $83.00 $7.78–$70.55 345% above 40%
Fibrinogen blood test inpatient CPT 85384 FIBRINOGEN $26.40 $44.00 $7.78–$37.40 — 40%
Fibrinogen blood test inpatient CPT 85384 FIBRINOGEN ACTIVITY 6075692 $49.80 $83.00 $7.78–$70.55 — 40%
Folate (folic acid) blood test CPT 82746 FOLATE SERUM $40.20 $67.00 $11.76–$56.95 138% above 40%
Folate (folic acid) blood test inpatient CPT 82746 FOLATE SERUM $40.20 $67.00 $11.76–$56.95 — 40%
Free T3 thyroid hormone test CPT 84481 Free T3 $19.80 $33.00 $13.55–$54.04 2% above 40%
Free T3 thyroid hormone test CPT 84481 T3 Free Dialysis $330.60 $551.00 $13.55–$468.35 1597% above 40%
Free T3 thyroid hormone test inpatient CPT 84481 Free T3 $19.80 $33.00 $13.55–$54.04 — 40%
Free T3 thyroid hormone test inpatient CPT 84481 T3 Free Dialysis $330.60 $551.00 $13.55–$468.35 — 40%
Free T4 (free thyroxine) thyroid blood test CPT 84439 FRT4D $34.80 $58.00 $7.22–$49.30 236% above 40%
Free T4 (free thyroxine) thyroid blood test CPT 84439 FREE T4 TEST $79.20 $132.00 $7.22–$112.20 664% above 40%
Free T4 (free thyroxine) thyroid blood test CPT 84439 FREE T-4 $82.20 $137.00 $7.22–$116.45 693% above 40%
Free T4 (free thyroxine) thyroid blood test CPT 84439 FT4 BY DIALYSIS $211.80 $353.00 $7.22–$300.05 1942% above 40%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 FRT4D $34.80 $58.00 $7.22–$49.30 — 40%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 FREE T4 TEST $79.20 $132.00 $7.22–$112.20 — 40%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 FREE T-4 $82.20 $137.00 $7.22–$116.45 — 40%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 FT4 BY DIALYSIS $211.80 $353.00 $7.22–$300.05 — 40%
Free testosterone test CPT 84402 ASSAY FREE TESTOSTERON 6075346 $12.60 $21.00 $11.82–$81.25 55% below 40%
Free testosterone test CPT 84402 TTFB TEST, FREE $15.60 $26.00 $14.64–$81.25 44% below 40%
Free testosterone test CPT 84402 ASSAY FREE TESTOSTERONE6075313 $16.20 $27.00 $15.20–$81.25 42% below 40%
Free testosterone test CPT 84402 FREE TESTOSTERONE 6070351 $41.40 $69.00 $20.38–$81.25 48% above 40%
Free testosterone test CPT 84402 ASSAY FREE TESTOSTERON 6075251 $52.80 $88.00 $20.38–$81.25 88% above 40%
Free testosterone test CPT 84402 TEST FREE 6073337 (LC) $193.20 $322.00 $20.38–$273.70 590% above 40%
Free testosterone test CPT 84402 ASSAY FREE TESTOSTERON 6075272 $204.00 $340.00 $20.38–$289.00 628% above 40%
Free testosterone test inpatient CPT 84402 ASSAY FREE TESTOSTERON 6075346 $12.60 $21.00 $11.82–$81.25 — 40%
Free testosterone test inpatient CPT 84402 TTFB TEST, FREE $15.60 $26.00 $14.64–$81.25 — 40%
Free testosterone test inpatient CPT 84402 ASSAY FREE TESTOSTERONE6075313 $16.20 $27.00 $15.20–$81.25 — 40%
Free testosterone test inpatient CPT 84402 FREE TESTOSTERONE 6070351 $41.40 $69.00 $20.38–$81.25 — 40%
Free testosterone test inpatient CPT 84402 ASSAY FREE TESTOSTERON 6075251 $52.80 $88.00 $20.38–$81.25 — 40%
Free testosterone test inpatient CPT 84402 TEST FREE 6073337 (LC) $193.20 $322.00 $20.38–$273.70 — 40%
Free testosterone test inpatient CPT 84402 ASSAY FREE TESTOSTERON 6075272 $204.00 $340.00 $20.38–$289.00 — 40%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 GAMMA - GT $36.00 $60.00 $5.76–$51.00 335% above 40%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 ASSAY OF GGT 6075628 $44.40 $74.00 $5.76–$62.90 436% above 40%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 GAMMA - GT $36.00 $60.00 $5.76–$51.00 — 40%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 ASSAY OF GGT 6075628 $44.40 $74.00 $5.76–$62.90 — 40%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE; POST GLUCOSE DOSE $41.40 $69.00 $3.80–$58.65 658% above 40%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE TEST 6100013 $51.00 $85.00 $3.80–$72.25 834% above 40%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 GLUCOSE; POST GLUCOSE DOSE $41.40 $69.00 $3.80–$58.65 — 40%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 GLUCOSE TEST 6100013 $51.00 $85.00 $3.80–$72.25 — 40%
Glucose tolerance test, 3 samples CPT 82951 TOLERANCE TEST 3 SPECIMENS $62.40 $104.00 $10.30–$88.40 322% above 40%
Glucose tolerance test, 3 samples inpatient CPT 82951 TOLERANCE TEST 3 SPECIMENS $62.40 $104.00 $10.30–$88.40 — 40%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 GONORR DNA PROBE $49.20 $82.00 $28.07–$111.94 22% above 40%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N.GONORRHOEAE DNA AMP PROB6075 $54.00 $90.00 $28.07–$111.94 34% above 40%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N.GON DNA AMP PROB $147.60 $246.00 $28.07–$209.10 266% above 40%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N.GONORRH DNA AMP PROB 6075450 $151.20 $252.00 $28.07–$214.20 275% above 40%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N.GONORRHO DNA AMP Pr 6075248 $151.20 $252.00 $28.07–$214.20 275% above 40%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) one side CPT 87591 GC BY RT PCR $58.80 $98.00 $28.07–$111.94 46% above 40%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 GONORR DNA PROBE $49.20 $82.00 $28.07–$111.94 — 40%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 N.GONORRHOEAE DNA AMP PROB6075 $54.00 $90.00 $28.07–$111.94 — 40%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 N.GON DNA AMP PROB $147.60 $246.00 $28.07–$209.10 — 40%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 N.GONORRHO DNA AMP Pr 6075248 $151.20 $252.00 $28.07–$214.20 — 40%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 N.GONORRH DNA AMP PROB 6075450 $151.20 $252.00 $28.07–$214.20 — 40%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient one side CPT 87591 GC BY RT PCR $58.80 $98.00 $28.07–$111.94 — 40%
H. pylori stool antigen test CPT 87338 H.PYLORI, STOOL (LC) $44.40 $74.00 $11.50–$62.90 181% above 40%
H. pylori stool antigen test CPT 87338 REF H. PYLORI ANTIGEN; STOOL $105.60 $176.00 $11.50–$149.60 568% above 40%
H. pylori stool antigen test inpatient CPT 87338 H.PYLORI, STOOL (LC) $44.40 $74.00 $11.50–$62.90 — 40%
H. pylori stool antigen test inpatient CPT 87338 REF H. PYLORI ANTIGEN; STOOL $105.60 $176.00 $11.50–$149.60 — 40%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV-1 Viral Load Test $135.00 $225.00 $68.08–$271.47 38% above 40%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV-1 Viral Load Test $135.00 $225.00 $68.08–$271.47 — 40%
HIV-1 and HIV-2 antibody test CPT 86703 HIV 1/HIV 2 AB;SINGLE ASAY-VAH $52.20 $87.00 $10.97–$73.95 231% above 40%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 HIV 1/HIV 2 AB;SINGLE ASAY-VAH $52.20 $87.00 $10.97–$73.95 — 40%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV-1/2 Ag and AB Screen (Mayo $79.80 $133.00 $19.26–$113.05 188% above 40%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV AB/P24 AG WITH R (LC) $185.40 $309.00 $19.26–$262.65 570% above 40%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HIV-1/2 Ag and AB Screen (Mayo $79.80 $133.00 $19.26–$113.05 — 40%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HIV AB/P24 AG WITH R (LC) $185.40 $309.00 $19.26–$262.65 — 40%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV DETECTION HIGH RISK $47.40 $79.00 $28.07–$111.94 23% above 40%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV DETECTION LOW RISK $47.40 $79.00 $28.07–$111.94 23% above 40%
HPV test for high-risk types, one combined (pooled) result CPT 87624 Reflex if requited $72.60 $121.00 $28.07–$111.94 88% above 40%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV HIGH-RISK TYPES $199.20 $332.00 $28.07–$282.20 416% above 40%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HPV DETECTION HIGH RISK $47.40 $79.00 $28.07–$111.94 — 40%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HPV DETECTION LOW RISK $47.40 $79.00 $28.07–$111.94 — 40%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 Reflex if requited $72.60 $121.00 $28.07–$111.94 — 40%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HPV HIGH-RISK TYPES $199.20 $332.00 $28.07–$282.20 — 40%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 GLYCOSYL - HBG $66.60 $111.00 $7.77–$94.35 496% above 40%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 GLYCOSYL - HBG $66.60 $111.00 $7.77–$94.35 — 40%
Hemoglobin blood test CPT 85018 HEMOGLOBIN $13.20 $22.00 $1.90–$18.70 224% above 40%
Hemoglobin blood test CPT 85018 POC HEMOGLOBIN $13.20 $22.00 $1.90–$18.70 224% above 40%
Hemoglobin blood test inpatient CPT 85018 POC HEMOGLOBIN $13.20 $22.00 $1.90–$18.70 — 40%
Hemoglobin blood test inpatient CPT 85018 HEMOGLOBIN $13.20 $22.00 $1.90–$18.70 — 40%
Hepatitis B core antibody test (total) CPT 86704 Viral Hep Screening & dx LC $34.20 $57.00 $9.64–$48.45 158% above 40%
Hepatitis B core antibody test (total) CPT 86704 HBCAB $39.60 $66.00 $9.64–$56.10 199% above 40%
Hepatitis B core antibody test (total) inpatient CPT 86704 Viral Hep Screening & dx LC $34.20 $57.00 $9.64–$48.45 — 40%
Hepatitis B core antibody test (total) inpatient CPT 86704 HBCAB $39.60 $66.00 $9.64–$56.10 — 40%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEPATITIS B SURFACE AB QUANT $19.80 $33.00 $8.59–$34.26 60% above 40%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Viral Hep Screening & dx LC $34.20 $57.00 $8.59–$48.45 177% above 40%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HBS AB $43.80 $73.00 $8.59–$62.05 255% above 40%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEPATITIS B SURFACE AB QUANT $19.80 $33.00 $8.59–$34.26 — 40%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 Viral Hep Screening & dx LC $34.20 $57.00 $8.59–$48.45 — 40%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HBS AB $43.80 $73.00 $8.59–$62.05 — 40%
Hepatitis B surface antigen (HBsAg) test CPT 87340 Viral Hep Screening & dx LC $34.20 $57.00 $8.26–$48.45 188% above 40%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HBS AG BY L/A EIA $39.60 $66.00 $8.26–$56.10 233% above 40%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 Viral Hep Screening & dx LC $34.20 $57.00 $8.26–$48.45 — 40%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HBS AG BY L/A EIA $39.60 $66.00 $8.26–$56.10 — 40%
Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C VIRUS AB $40.20 $67.00 $11.42–$56.95 145% above 40%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C VIRUS AB $40.20 $67.00 $11.42–$56.95 — 40%
Hepatitis C viral load (HCV RNA) test CPT 87522 REF HEPATITIS C VIRAL LOAD $181.80 $303.00 $34.27–$257.55 269% above 40%
Hepatitis C viral load (HCV RNA) test CPT 87522 HCV Gent w/no reflex (LC) $562.20 $937.00 $34.27–$796.45 1041% above 40%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 REF HEPATITIS C VIRAL LOAD $181.80 $303.00 $34.27–$257.55 — 40%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HCV Gent w/no reflex (LC) $562.20 $937.00 $34.27–$796.45 — 40%
Herpes blood test, HSV-1 antibody CPT 86695 HSV TYPE 1AB, IGG 6071751 $21.60 $36.00 $10.55–$42.08 42% above 40%
Herpes blood test, HSV-1 antibody CPT 86695 HSV TYPE 1 Ab/IgG 6150052 $73.80 $123.00 $10.55–$104.55 386% above 40%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HSV TYPE 1AB, IGG 6071751 $21.60 $36.00 $10.55–$42.08 — 40%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HSV TYPE 1 Ab/IgG 6150052 $73.80 $123.00 $10.55–$104.55 — 40%
Herpes blood test, HSV-2 antibody CPT 86696 HSV TYPE 2AB,IGG 6071751 $31.80 $53.00 $15.48–$61.73 43% above 40%
Herpes blood test, HSV-2 antibody CPT 86696 HSV TYPE 2 Ab/IgG 6150052 $79.80 $133.00 $15.48–$113.05 259% above 40%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HSV TYPE 2AB,IGG 6071751 $31.80 $53.00 $15.48–$61.73 — 40%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HSV TYPE 2 Ab/IgG 6150052 $79.80 $133.00 $15.48–$113.05 — 40%
High-sensitivity CRP (hs-CRP) test CPT 86141 C-REACTIVE PROTEIN HS $41.40 $69.00 $10.36–$58.65 178% above 40%
High-sensitivity CRP (hs-CRP) test CPT 86141 HSCRP $54.00 $90.00 $10.36–$76.50 263% above 40%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 C-REACTIVE PROTEIN HS $41.40 $69.00 $10.36–$58.65 — 40%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 HSCRP $54.00 $90.00 $10.36–$76.50 — 40%
Homocysteine blood test CPT 83090 HCYS (MAYO) $33.60 $56.00 $14.34–$57.16 63% above 40%
Homocysteine blood test inpatient CPT 83090 HCYS (MAYO) $33.60 $56.00 $14.34–$57.16 — 40%
Insulin blood test CPT 83525 ASSAY OF INSULIN TOTAL6075210 $20.40 $34.00 $9.14–$36.46 55% above 40%
Insulin blood test CPT 83525 REF INSULIN TOTAL $31.80 $53.00 $9.14–$45.05 142% above 40%
Insulin blood test CPT 83525 ASSAY OF INSULIN 6075352 $69.00 $115.00 $9.14–$97.75 425% above 40%
Insulin blood test inpatient CPT 83525 ASSAY OF INSULIN TOTAL6075210 $20.40 $34.00 $9.14–$36.46 — 40%
Insulin blood test inpatient CPT 83525 REF INSULIN TOTAL $31.80 $53.00 $9.14–$45.05 — 40%
Insulin blood test inpatient CPT 83525 ASSAY OF INSULIN 6075352 $69.00 $115.00 $9.14–$97.75 — 40%
Iron blood test (serum iron) CPT 83540 IRON $33.00 $55.00 $5.18–$46.75 344% above 40%
Iron blood test (serum iron) inpatient CPT 83540 IRON $33.00 $55.00 $5.18–$46.75 — 40%
Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING CAPACITY $31.80 $53.00 $6.99–$45.05 216% above 40%
Iron-binding capacity (TIBC) test inpatient CPT 83550 IRON BINDING CAPACITY $31.80 $53.00 $6.99–$45.05 — 40%
Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL $118.20 $197.00 $6.94–$167.45 301% above 40%
Kidney function blood test panel inpatient CPT 80069 RENAL FUNCTION PANEL $118.20 $197.00 $6.94–$167.45 — 40%
LH (luteinizing hormone) test CPT 83002 LH $30.00 $50.00 $14.82–$59.08 47% above 40%
LH (luteinizing hormone) test CPT 83002 LH PEDI (LC) $38.40 $64.00 $14.82–$59.08 89% above 40%
LH (luteinizing hormone) test CPT 83002 LUTEINIZING HORMONE $90.60 $151.00 $14.82–$128.35 345% above 40%
LH (luteinizing hormone) test inpatient CPT 83002 LH $30.00 $50.00 $14.82–$59.08 — 40%
LH (luteinizing hormone) test inpatient CPT 83002 LH PEDI (LC) $38.40 $64.00 $14.82–$59.08 — 40%
LH (luteinizing hormone) test inpatient CPT 83002 LUTEINIZING HORMONE $90.60 $151.00 $14.82–$128.35 — 40%
Lactate (lactic acid) blood test CPT 83605 LACTATE $20.40 $34.00 $9.26–$36.91 53% above 40%
Lactate (lactic acid) blood test CPT 83605 ASSAY OF LACTIC ACID $24.60 $41.00 $9.26–$36.91 85% above 40%
Lactate (lactic acid) blood test CPT 83605 D-LACTATE $100.80 $168.00 $9.26–$142.80 657% above 40%
Lactate (lactic acid) blood test CPT 83605 LACTIC ACID $106.80 $178.00 $9.26–$151.30 702% above 40%
Lactate (lactic acid) blood test inpatient CPT 83605 LACTATE $20.40 $34.00 $9.26–$36.91 — 40%
Lactate (lactic acid) blood test inpatient CPT 83605 ASSAY OF LACTIC ACID $24.60 $41.00 $9.26–$36.91 — 40%
Lactate (lactic acid) blood test inpatient CPT 83605 D-LACTATE $100.80 $168.00 $9.26–$142.80 — 40%
Lactate (lactic acid) blood test inpatient CPT 83605 LACTIC ACID $106.80 $178.00 $9.26–$151.30 — 40%
Lactate dehydrogenase (LDH) blood test CPT 83615 LDH � Non-Valley $18.00 $30.00 $4.83–$25.50 159% above 40%
Lactate dehydrogenase (LDH) blood test CPT 83615 LD $31.80 $53.00 $4.83–$45.05 358% above 40%
Lactate dehydrogenase (LDH) blood test CPT 83615 LACTATE (LD) (LDH) ENZ 6075746 $34.20 $57.00 $4.83–$48.45 392% above 40%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LDH � Non-Valley $18.00 $30.00 $4.83–$25.50 — 40%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LD $31.80 $53.00 $4.83–$45.05 — 40%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LACTATE (LD) (LDH) ENZ 6075746 $34.20 $57.00 $4.83–$48.45 — 40%
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE $23.40 $39.00 $5.51–$33.15 195% above 40%
Lipase blood test (pancreas enzyme) CPT 83690 Pancreatic Enzyme Determinatio $26.40 $44.00 $5.51–$37.40 233% above 40%
Lipase blood test (pancreas enzyme) CPT 83690 ASSAY OF LIPASE 6075573 $30.00 $50.00 $5.51–$42.50 279% above 40%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE $23.40 $39.00 $5.51–$33.15 — 40%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 Pancreatic Enzyme Determinatio $26.40 $44.00 $5.51–$37.40 — 40%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 ASSAY OF LIPASE 6075573 $30.00 $50.00 $5.51–$42.50 — 40%
Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL A $41.40 $69.00 $6.54–$58.65 62% above 40%
Liver function blood test panel inpatient CPT 80076 HEPATIC FUNCTION PANEL A $41.40 $69.00 $6.54–$58.65 — 40%
Lyme disease antibody test CPT 86618 Lyme IgM $65.40 $109.00 $13.62–$92.65 234% above 40%
Lyme disease antibody test CPT 86618 Lyme IgG $65.40 $109.00 $13.62–$92.65 234% above 40%
Lyme disease antibody test CPT 86618 LYME DISEASE SEROLO, S 6073684 $67.20 $112.00 $13.62–$95.20 243% above 40%
Lyme disease antibody test inpatient CPT 86618 Lyme IgG $65.40 $109.00 $13.62–$92.65 — 40%
Lyme disease antibody test inpatient CPT 86618 Lyme IgM $65.40 $109.00 $13.62–$92.65 — 40%
Lyme disease antibody test inpatient CPT 86618 LYME DISEASE SEROLO, S 6073684 $67.20 $112.00 $13.62–$95.20 — 40%
Magnesium blood test CPT 83735 ASSAY OF MAGNESIUM 6075134 $9.60 $16.00 $5.36–$21.37 25% above 40%
Magnesium blood test CPT 83735 MAGNESIUM ASSAY $9.60 $16.00 $5.36–$21.37 25% above 40%
Magnesium blood test CPT 83735 ASSAY OF MAGNESIUM 6070791 $19.20 $32.00 $5.36–$27.20 149% above 40%
Magnesium blood test CPT 83735 MAGNESIUM RANDOM URINE $27.60 $46.00 $5.36–$39.10 258% above 40%
Magnesium blood test CPT 83735 MAGU (6075127) $27.60 $46.00 $5.36–$39.10 258% above 40%
Magnesium blood test CPT 83735 Magnesium $31.20 $52.00 $5.36–$44.20 305% above 40%
Magnesium blood test CPT 83735 ASSAY OF MAGNESIUM 6070937 $36.00 $60.00 $5.36–$51.00 367% above 40%
Magnesium blood test CPT 83735 MG RBC (LC) $121.80 $203.00 $5.36–$172.55 1480% above 40%
Magnesium blood test inpatient CPT 83735 ASSAY OF MAGNESIUM 6075134 $9.60 $16.00 $5.36–$21.37 — 40%
Magnesium blood test inpatient CPT 83735 MAGNESIUM ASSAY $9.60 $16.00 $5.36–$21.37 — 40%
Magnesium blood test inpatient CPT 83735 ASSAY OF MAGNESIUM 6070791 $19.20 $32.00 $5.36–$27.20 — 40%
Magnesium blood test inpatient CPT 83735 MAGNESIUM RANDOM URINE $27.60 $46.00 $5.36–$39.10 — 40%
Magnesium blood test inpatient CPT 83735 MAGU (6075127) $27.60 $46.00 $5.36–$39.10 — 40%
Magnesium blood test inpatient CPT 83735 Magnesium $31.20 $52.00 $5.36–$44.20 — 40%
Magnesium blood test inpatient CPT 83735 ASSAY OF MAGNESIUM 6070937 $36.00 $60.00 $5.36–$51.00 — 40%
Magnesium blood test inpatient CPT 83735 MG RBC (LC) $121.80 $203.00 $5.36–$172.55 — 40%
Measles (rubeola) antibody test CPT 86765 RUBEOLA ANTIBODY 6075877 $27.00 $45.00 $10.30–$41.09 82% above 40%
Measles (rubeola) antibody test CPT 86765 ROM $29.40 $49.00 $10.30–$41.65 99% above 40%
Measles (rubeola) antibody test CPT 86765 RUBEOLA 7340696 $94.20 $157.00 $10.30–$133.45 536% above 40%
Measles (rubeola) antibody test inpatient CPT 86765 RUBEOLA ANTIBODY 6075877 $27.00 $45.00 $10.30–$41.09 — 40%
Measles (rubeola) antibody test inpatient CPT 86765 ROM $29.40 $49.00 $10.30–$41.65 — 40%
Measles (rubeola) antibody test inpatient CPT 86765 RUBEOLA 7340696 $94.20 $157.00 $10.30–$133.45 — 40%
Mono test (heterophile antibody, Monospot) CPT 86308 MONO-SPOT $35.40 $59.00 $4.14–$50.15 201% above 40%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 MONO-SPOT $35.40 $59.00 $4.14–$50.15 — 40%
Mumps immunity blood test CPT 86735 MUMPS ANTIBODY 6075877 $26.40 $44.00 $10.44–$41.63 76% above 40%
Mumps immunity blood test CPT 86735 MUMPS ANTIBODY - IGM $95.40 $159.00 $10.44–$135.15 536% above 40%
Mumps immunity blood test CPT 86735 MUMPS IG AB 7340696 $95.40 $159.00 $10.44–$135.15 536% above 40%
Mumps immunity blood test inpatient CPT 86735 MUMPS ANTIBODY 6075877 $26.40 $44.00 $10.44–$41.63 — 40%
Mumps immunity blood test inpatient CPT 86735 MUMPS IG AB 7340696 $95.40 $159.00 $10.44–$135.15 — 40%
Mumps immunity blood test inpatient CPT 86735 MUMPS ANTIBODY - IGM $95.40 $159.00 $10.44–$135.15 — 40%
PSA (prostate-specific antigen) blood test, free CPT 84154 ASSAY OF PSA FREE 6071654 $30.00 $50.00 $14.71–$58.66 42% above 40%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 ASSAY OF PSA FREE 6071654 $30.00 $50.00 $14.71–$58.66 — 40%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSAU $37.20 $62.00 $14.71–$58.66 76% above 40%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA TOTAL $57.00 $95.00 $14.71–$80.75 170% above 40%
PSA (prostate-specific antigen) blood test, total CPT 84153 ASSAY OF PSA TOTAL 6071654 $57.00 $95.00 $14.71–$80.75 170% above 40%
PSA (prostate-specific antigen) blood test, total CPT 84153 TOTAL PROSTAT SPEC ANTIGEN $57.00 $95.00 $14.71–$80.75 170% above 40%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSAU $37.20 $62.00 $14.71–$58.66 — 40%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 ASSAY OF PSA TOTAL 6071654 $57.00 $95.00 $14.71–$80.75 — 40%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 TOTAL PROSTAT SPEC ANTIGEN $57.00 $95.00 $14.71–$80.75 — 40%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA TOTAL $57.00 $95.00 $14.71–$80.75 — 40%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 CYTOPATH C/V THIN LAYER $25.80 $43.00 $16.21–$64.63 11% above 40%
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 CYTOPATH C/V THIN LAYER $25.80 $43.00 $16.21–$64.63 — 40%
Parathyroid hormone (PTH) blood test CPT 83970 PTHINCT - PARATHORMONE $115.80 $193.00 $33.02–$164.05 144% above 40%
Parathyroid hormone (PTH) blood test CPT 83970 PTHFN $188.40 $314.00 $33.02–$266.90 297% above 40%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 PTHINCT - PARATHORMONE $115.80 $193.00 $33.02–$164.05 — 40%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 PTHFN $188.40 $314.00 $33.02–$266.90 — 40%
Partial thromboplastin time (PTT) clotting test CPT 85730 APTT $24.60 $41.00 $4.81–$34.85 256% above 40%
Partial thromboplastin time (PTT) clotting test CPT 85730 THROMBOPLAST TIME PART 6075692 $30.60 $51.00 $4.81–$43.35 343% above 40%
Partial thromboplastin time (PTT) clotting test CPT 85730 aPTT LA $56.40 $94.00 $4.81–$79.90 716% above 40%
Partial thromboplastin time (PTT) clotting test CPT 85730 THROMB TIME PARTIAL6075497 $59.40 $99.00 $4.81–$84.15 760% above 40%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 APTT $24.60 $41.00 $4.81–$34.85 — 40%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 THROMBOPLAST TIME PART 6075692 $30.60 $51.00 $4.81–$43.35 — 40%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 aPTT LA $56.40 $94.00 $4.81–$79.90 — 40%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 THROMB TIME PARTIAL6075497 $59.40 $99.00 $4.81–$84.15 — 40%
Phosphorus (phosphate) blood test CPT 84100 PHOSPHORUS $22.20 $37.00 $3.79–$31.45 307% above 40%
Phosphorus (phosphate) blood test CPT 84100 Phosphorus $22.20 $37.00 $3.79–$31.45 307% above 40%
Phosphorus (phosphate) blood test CPT 84100 PHOSPHORUS, FECES 6070937 $38.40 $64.00 $3.79–$54.40 605% above 40%
Phosphorus (phosphate) blood test inpatient CPT 84100 PHOSPHORUS $22.20 $37.00 $3.79–$31.45 — 40%
Phosphorus (phosphate) blood test inpatient CPT 84100 Phosphorus $22.20 $37.00 $3.79–$31.45 — 40%
Phosphorus (phosphate) blood test inpatient CPT 84100 PHOSPHORUS, FECES 6070937 $38.40 $64.00 $3.79–$54.40 — 40%
Potassium blood test CPT 84132 POTASSIUM SERUM OR WH BLD $30.60 $51.00 $3.81–$43.35 459% above 40%
Potassium blood test inpatient CPT 84132 POTASSIUM SERUM OR WH BLD $30.60 $51.00 $3.81–$43.35 — 40%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 MATERN T21 PLUS $863.40 $1,439.00 $607.24–$2,421.37 3% above 40%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) inpatient CPT 81420 MATERN T21 PLUS $863.40 $1,439.00 $607.24–$2,421.37 — 40%
Progesterone blood test CPT 84144 PGSN (Progesterone) $25.20 $42.00 $16.69–$66.54 5% above 40%
Progesterone blood test CPT 84144 PROGESTERONE $88.20 $147.00 $16.69–$124.95 268% above 40%
Progesterone blood test inpatient CPT 84144 PGSN (Progesterone) $25.20 $42.00 $16.69–$66.54 — 40%
Progesterone blood test inpatient CPT 84144 PROGESTERONE $88.20 $147.00 $16.69–$124.95 — 40%
Prolactin blood test CPT 84146 PRL $22.80 $38.00 $15.50–$61.82 2% above 40%
Prolactin blood test CPT 84146 Macroprolactin $58.80 $98.00 $15.50–$83.30 164% above 40%
Prolactin blood test CPT 84146 Prolactin Total and Monomeric $70.20 $117.00 $15.50–$99.45 215% above 40%
Prolactin blood test CPT 84146 PLPMA $77.40 $129.00 $15.50–$109.65 247% above 40%
Prolactin blood test CPT 84146 MCRPL, PRL TOTAL $84.60 $141.00 $15.50–$119.85 280% above 40%
Prolactin blood test CPT 84146 PROLACTIN $96.00 $160.00 $15.50–$136.00 331% above 40%
Prolactin blood test inpatient CPT 84146 PRL $22.80 $38.00 $15.50–$61.82 — 40%
Prolactin blood test inpatient CPT 84146 Macroprolactin $58.80 $98.00 $15.50–$83.30 — 40%
Prolactin blood test inpatient CPT 84146 Prolactin Total and Monomeric $70.20 $117.00 $15.50–$99.45 — 40%
Prolactin blood test inpatient CPT 84146 PLPMA $77.40 $129.00 $15.50–$109.65 — 40%
Prolactin blood test inpatient CPT 84146 MCRPL, PRL TOTAL $84.60 $141.00 $15.50–$119.85 — 40%
Prolactin blood test inpatient CPT 84146 PROLACTIN $96.00 $160.00 $15.50–$136.00 — 40%
Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME 6075692 $22.20 $37.00 $3.43–$31.45 350% above 40%
Prothrombin time (PT/INR) clotting test CPT 85610 PROTIME $24.60 $41.00 $3.43–$34.85 399% above 40%
Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME $27.00 $45.00 $3.43–$38.25 448% above 40%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME 6075692 $22.20 $37.00 $3.43–$31.45 — 40%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTIME $24.60 $41.00 $3.43–$34.85 — 40%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME $27.00 $45.00 $3.43–$38.25 — 40%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 STREP A ASSAY W/OPTIC $45.00 $75.00 $13.22–$63.75 148% above 40%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 STREP A ASSAY W/OPTIC $45.00 $75.00 $13.22–$63.75 — 40%
Renin blood test CPT 84244 Renin Activity, Plasma���� $10.20 $17.00 $9.57–$70.15 59% below 40%
Renin blood test CPT 84244 REF RENIN $36.00 $60.00 $17.59–$70.15 46% above 40%
Renin blood test CPT 84244 RENIN $87.00 $145.00 $17.59–$123.25 252% above 40%
Renin blood test CPT 84244 ASSAY OF RENIN (LC) 6074536 $118.80 $198.00 $17.59–$168.30 380% above 40%
Renin blood test inpatient CPT 84244 Renin Activity, Plasma���� $10.20 $17.00 $9.57–$70.15 — 40%
Renin blood test inpatient CPT 84244 REF RENIN $36.00 $60.00 $17.59–$70.15 — 40%
Renin blood test inpatient CPT 84244 RENIN $87.00 $145.00 $17.59–$123.25 — 40%
Renin blood test inpatient CPT 84244 ASSAY OF RENIN (LC) 6074536 $118.80 $198.00 $17.59–$168.30 — 40%
Rh blood typing CPT 86901 BLOOD TYPG RH (D) D FACTOR $187.20 $312.00 $2.39–$265.20 305% above 40%
Rh blood typing inpatient CPT 86901 BLOOD TYPG RH (D) D FACTOR $187.20 $312.00 $2.39–$265.20 — 40%
Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR (RF) $30.60 $51.00 $4.54–$43.35 369% above 40%
Rheumatoid factor (RF) test CPT 86431 Rheumatoid Factor, BF (Mayo) $76.20 $127.00 $4.54–$107.95 1069% above 40%
Rheumatoid factor (RF) test CPT 86431 RF IGA, by EIA $105.60 $176.00 $4.54–$149.60 1520% above 40%
Rheumatoid factor (RF) test inpatient CPT 86431 RHEUMATOID FACTOR (RF) $30.60 $51.00 $4.54–$43.35 — 40%
Rheumatoid factor (RF) test inpatient CPT 86431 Rheumatoid Factor, BF (Mayo) $76.20 $127.00 $4.54–$107.95 — 40%
Rheumatoid factor (RF) test inpatient CPT 86431 RF IGA, by EIA $105.60 $176.00 $4.54–$149.60 — 40%
Rubella antibody test (immunity check) CPT 86762 RUBELLA ANTIBODY 6075877 $26.40 $44.00 $11.51–$45.90 60% above 40%
Rubella antibody test (immunity check) CPT 86762 Rubella Antibodies, IgM $45.60 $76.00 $11.51–$64.60 176% above 40%
Rubella antibody test (immunity check) CPT 86762 RUBELLA IGG STATUS 7340696 $94.20 $157.00 $11.51–$133.45 469% above 40%
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA ANTIBODY 6075877 $26.40 $44.00 $11.51–$45.90 — 40%
Rubella antibody test (immunity check) inpatient CPT 86762 Rubella Antibodies, IgM $45.60 $76.00 $11.51–$64.60 — 40%
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA IGG STATUS 7340696 $94.20 $157.00 $11.51–$133.45 — 40%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 SED RATE $22.20 $37.00 $2.16–$31.45 43% above 40%
Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 SED RATE $22.20 $37.00 $2.16–$31.45 — 40%
Sodium blood test CPT 84295 SODIUM SERUM/WHOLE BLOOD $30.60 $51.00 $3.85–$43.35 478% above 40%
Sodium blood test inpatient CPT 84295 SODIUM SERUM/WHOLE BLOOD $30.60 $51.00 $3.85–$43.35 — 40%
Stool ova and parasites exam CPT 87177 OVA & PARASITES SMEAR 6075362 $16.80 $28.00 $7.12–$28.39 64% above 40%
Stool ova and parasites exam CPT 87177 OVA AND PARASITES SMEARS $21.00 $35.00 $7.12–$29.75 105% above 40%
Stool ova and parasites exam CPT 87177 PARASITES AND OVA $28.20 $47.00 $7.12–$39.95 175% above 40%
Stool ova and parasites exam inpatient CPT 87177 OVA & PARASITES SMEAR 6075362 $16.80 $28.00 $7.12–$28.39 — 40%
Stool ova and parasites exam inpatient CPT 87177 OVA AND PARASITES SMEARS $21.00 $35.00 $7.12–$29.75 — 40%
Stool ova and parasites exam inpatient CPT 87177 PARASITES AND OVA $28.20 $47.00 $7.12–$39.95 — 40%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 Occult Blood, Fecal (LC) $104.40 $174.00 $12.74–$147.90 470% above 40%
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 Occult Blood, Fecal (LC) $104.40 $174.00 $12.74–$147.90 — 40%
Syphilis antibody test (Treponema pallidum) CPT 86780 NSAIP $19.20 $32.00 $10.59–$42.24 26% above 40%
Syphilis antibody test (Treponema pallidum) CPT 86780 Syphilis Total Ab $21.60 $36.00 $10.59–$42.24 42% above 40%
Syphilis antibody test (Treponema pallidum) CPT 86780 TPPA $58.20 $97.00 $10.59–$82.45 282% above 40%
Syphilis antibody test (Treponema pallidum) CPT 86780 TREPONEMA PALLIDUM w/ reflex $66.00 $110.00 $10.59–$93.50 333% above 40%
Syphilis antibody test (Treponema pallidum) CPT 86780 TREPONEMA PALLIDUM $79.20 $132.00 $10.59–$112.20 420% above 40%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 NSAIP $19.20 $32.00 $10.59–$42.24 — 40%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 Syphilis Total Ab $21.60 $36.00 $10.59–$42.24 — 40%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 TPPA $58.20 $97.00 $10.59–$82.45 — 40%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 TREPONEMA PALLIDUM w/ reflex $66.00 $110.00 $10.59–$93.50 — 40%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 TREPONEMA PALLIDUM $79.20 $132.00 $10.59–$112.20 — 40%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 SYPHILIS NON-TREP QUAL $5.40 $9.00 $3.42–$13.62 10% above 40%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR (VDRL) QUAL NON TREPONEMAL $52.80 $88.00 $3.42–$74.80 975% above 40%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 SYPHILIS NON-TREP QUAL $5.40 $9.00 $3.42–$13.62 — 40%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 RPR (VDRL) QUAL NON TREPONEMAL $52.80 $88.00 $3.42–$74.80 — 40%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 Quantiferon $87.00 $145.00 $49.58–$197.72 28% above 40%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QUANTIFERON TB GOLD $91.20 $152.00 $49.58–$197.72 34% above 40%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QUANTIFERON-TB GOLD $91.20 $152.00 $49.58–$197.72 34% above 40%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 Quantiferon $87.00 $145.00 $49.58–$197.72 — 40%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 QUANTIFERON-TB GOLD $91.20 $152.00 $49.58–$197.72 — 40%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 QUANTIFERON TB GOLD $91.20 $152.00 $49.58–$197.72 — 40%
Testosterone blood test, total (not free testosterone) CPT 84403 ASSAY TOT TESTOSTERON6075346 $12.60 $21.00 $11.82–$82.33 58% below 40%
Testosterone blood test, total (not free testosterone) CPT 84403 ASSAY TOT TESTOSTERONE 6075313 $16.20 $27.00 $15.20–$82.33 45% below 40%
Testosterone blood test, total (not free testosterone) CPT 84403 TTFB TEST, TOTAL $16.80 $28.00 $15.76–$82.33 43% below 40%
Testosterone blood test, total (not free testosterone) CPT 84403 ASSAY TOTAL TESTOSTERON6075251 $52.80 $88.00 $20.65–$82.33 78% above 40%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE (LC) $66.00 $110.00 $20.65–$93.50 122% above 40%
Testosterone blood test, total (not free testosterone) CPT 84403 ASSY TOTL TESTOSTERONE 6075788 $75.60 $126.00 $20.65–$107.10 155% above 40%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTERONE TOTAL $81.60 $136.00 $20.65–$115.60 175% above 40%
Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone II� $133.80 $223.00 $20.65–$189.55 351% above 40%
Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone, Ped (LC) $198.60 $331.00 $20.65–$281.35 569% above 40%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE, WOMEN (LC) $198.60 $331.00 $20.65–$281.35 569% above 40%
Testosterone blood test, total (not free testosterone) CPT 84403 TEST TOTAL 6073337 (LC) $218.40 $364.00 $20.65–$309.40 636% above 40%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 ASSAY TOT TESTOSTERON6075346 $12.60 $21.00 $11.82–$82.33 — 40%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 ASSAY TOT TESTOSTERONE 6075313 $16.20 $27.00 $15.20–$82.33 — 40%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TTFB TEST, TOTAL $16.80 $28.00 $15.76–$82.33 — 40%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 ASSAY TOTAL TESTOSTERON6075251 $52.80 $88.00 $20.65–$82.33 — 40%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE (LC) $66.00 $110.00 $20.65–$93.50 — 40%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 ASSY TOTL TESTOSTERONE 6075788 $75.60 $126.00 $20.65–$107.10 — 40%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTERONE TOTAL $81.60 $136.00 $20.65–$115.60 — 40%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Testosterone II� $133.80 $223.00 $20.65–$189.55 — 40%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Testosterone, Ped (LC) $198.60 $331.00 $20.65–$281.35 — 40%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE, WOMEN (LC) $198.60 $331.00 $20.65–$281.35 — 40%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TEST TOTAL 6073337 (LC) $218.40 $364.00 $20.65–$309.40 — 40%
Thyroid peroxidase (TPO) antibody test CPT 86376 TPO MML $25.20 $42.00 $11.64–$46.41 57% above 40%
Thyroid peroxidase (TPO) antibody test CPT 86376 REF MICROSOMAL ABS EA $48.00 $80.00 $11.64–$68.00 200% above 40%
Thyroid peroxidase (TPO) antibody test CPT 86376 ANTI-TPO TEST $72.60 $121.00 $11.64–$102.85 353% above 40%
Thyroid peroxidase (TPO) antibody test CPT 86376 MICROSOMAL ANTIBODY EA6075071 $99.60 $166.00 $11.64–$141.10 522% above 40%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 TPO MML $25.20 $42.00 $11.64–$46.41 — 40%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 REF MICROSOMAL ABS EA $48.00 $80.00 $11.64–$68.00 — 40%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 ANTI-TPO TEST $72.60 $121.00 $11.64–$102.85 — 40%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 MICROSOMAL ANTIBODY EA6075071 $99.60 $166.00 $11.64–$141.10 — 40%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH with HAMA Treatment $37.20 $62.00 $13.44–$53.59 93% above 40%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 T.S.H. $76.80 $128.00 $13.44–$108.80 298% above 40%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH TEST $105.60 $176.00 $13.44–$149.60 447% above 40%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 FCUIP Chron Urticaria Inde Pan $115.20 $192.00 $13.44–$163.20 496% above 40%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH with HAMA Treatment $37.20 $62.00 $13.44–$53.59 — 40%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 T.S.H. $76.80 $128.00 $13.44–$108.80 — 40%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH TEST $105.60 $176.00 $13.44–$149.60 — 40%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 FCUIP Chron Urticaria Inde Pan $115.20 $192.00 $13.44–$163.20 — 40%
Total IgE blood test CPT 82785 RESP PROFILE-ASSAY OF IGE $12.60 $21.00 $11.82–$52.51 33% below 40%
Total IgE blood test CPT 82785 REF IGE $26.40 $44.00 $13.17–$52.51 39% above 40%
Total IgE blood test CPT 82785 Allegry prof w.comp Rxs resp $471.00 $785.00 $13.17–$667.25 2388% above 40%
Total IgE blood test inpatient CPT 82785 RESP PROFILE-ASSAY OF IGE $12.60 $21.00 $11.82–$52.51 — 40%
Total IgE blood test inpatient CPT 82785 REF IGE $26.40 $44.00 $13.17–$52.51 — 40%
Total IgE blood test inpatient CPT 82785 Allegry prof w.comp Rxs resp $471.00 $785.00 $13.17–$667.25 — 40%
Total cholesterol blood test CPT 82465 ASSAY BLD/SERUM CHOLES 6075482 $8.40 $14.00 $3.48–$13.88 68% above 40%
Total cholesterol blood test CPT 82465 TOTAL CHOLESTEROL $21.00 $35.00 $3.48–$29.75 320% above 40%
Total cholesterol blood test CPT 82465 ASSAY BLD/SERUM CHOLES 6075628 $27.00 $45.00 $3.48–$38.25 440% above 40%
Total cholesterol blood test inpatient CPT 82465 ASSAY BLD/SERUM CHOLES 6075482 $8.40 $14.00 $3.48–$13.88 — 40%
Total cholesterol blood test inpatient CPT 82465 TOTAL CHOLESTEROL $21.00 $35.00 $3.48–$29.75 — 40%
Total cholesterol blood test inpatient CPT 82465 ASSAY BLD/SERUM CHOLES 6075628 $27.00 $45.00 $3.48–$38.25 — 40%
Total thyroxine (T4) blood test CPT 84436 T4 TOTAL $52.80 $88.00 $5.50–$74.80 568% above 40%
Total thyroxine (T4) blood test CPT 84436 THYROXINE, TOTAL, S $53.40 $89.00 $5.50–$75.65 576% above 40%
Total thyroxine (T4) blood test inpatient CPT 84436 T4 TOTAL $52.80 $88.00 $5.50–$74.80 — 40%
Total thyroxine (T4) blood test inpatient CPT 84436 THYROXINE, TOTAL, S $53.40 $89.00 $5.50–$75.65 — 40%
Total triiodothyronine (T3) blood test CPT 84480 T3 TOTAL $52.80 $88.00 $11.34–$74.80 224% above 40%
Total triiodothyronine (T3) blood test inpatient CPT 84480 T3 TOTAL $52.80 $88.00 $11.34–$74.80 — 40%
Transferrin blood test CPT 84466 TRSF, transferrin $26.40 $44.00 $10.21–$40.70 80% above 40%
Transferrin blood test CPT 84466 TRANSFERRIN4 $33.60 $56.00 $10.21–$47.60 129% above 40%
Transferrin blood test inpatient CPT 84466 TRSF, transferrin $26.40 $44.00 $10.21–$40.70 — 40%
Transferrin blood test inpatient CPT 84466 TRANSFERRIN4 $33.60 $56.00 $10.21–$47.60 — 40%
Trichomonas test (NAAT) CPT 87661 TICHOMONAS VAGINALIS 6150005 $57.60 $96.00 $28.07–$111.94 43% above 40%
Trichomonas test (NAAT) CPT 87661 FNSVG TRICH VAG AMP $63.00 $105.00 $28.07–$111.94 56% above 40%
Trichomonas test (NAAT) CPT 87661 MTRNA - T.vaginalis, Misc, Amp $77.40 $129.00 $28.07–$111.94 92% above 40%
Trichomonas test (NAAT) CPT 87661 TRICH VAGINALIS AMP $148.80 $248.00 $28.07–$210.80 269% above 40%
Trichomonas test (NAAT) inpatient CPT 87661 TICHOMONAS VAGINALIS 6150005 $57.60 $96.00 $28.07–$111.94 — 40%
Trichomonas test (NAAT) inpatient CPT 87661 FNSVG TRICH VAG AMP $63.00 $105.00 $28.07–$111.94 — 40%
Trichomonas test (NAAT) inpatient CPT 87661 MTRNA - T.vaginalis, Misc, Amp $77.40 $129.00 $28.07–$111.94 — 40%
Trichomonas test (NAAT) inpatient CPT 87661 TRICH VAGINALIS AMP $148.80 $248.00 $28.07–$210.80 — 40%
Triglycerides blood test CPT 84478 TRIGLYCERIDES, BF $10.80 $18.00 $4.59–$18.31 64% above 40%
Triglycerides blood test CPT 84478 ASSAY TRIGLYCERIDES 6075903 $13.20 $22.00 $4.59–$18.70 100% above 40%
Triglycerides blood test CPT 84478 TRIGLYCERIDE $21.00 $35.00 $4.59–$29.75 218% above 40%
Triglycerides blood test CPT 84478 ASSAY OF TRIGLYCERIDES 6075628 $35.40 $59.00 $4.59–$50.15 436% above 40%
Triglycerides blood test inpatient CPT 84478 TRIGLYCERIDES, BF $10.80 $18.00 $4.59–$18.31 — 40%
Triglycerides blood test inpatient CPT 84478 ASSAY TRIGLYCERIDES 6075903 $13.20 $22.00 $4.59–$18.70 — 40%
Triglycerides blood test inpatient CPT 84478 TRIGLYCERIDE $21.00 $35.00 $4.59–$29.75 — 40%
Triglycerides blood test inpatient CPT 84478 ASSAY OF TRIGLYCERIDES 6075628 $35.40 $59.00 $4.59–$50.15 — 40%
Troponin test, quantitative CPT 84484 TROPONIN QUAN $43.80 $73.00 $9.98–$62.05 205% above 40%
Troponin test, quantitative CPT 84484 HSTN1 - High Sensitivity Tropo $203.40 $339.00 $9.98–$288.15 1318% above 40%
Troponin test, quantitative inpatient CPT 84484 TROPONIN QUAN $43.80 $73.00 $9.98–$62.05 — 40%
Troponin test, quantitative inpatient CPT 84484 HSTN1 - High Sensitivity Tropo $203.40 $339.00 $9.98–$288.15 — 40%
Uric acid blood test CPT 84550 URIC ACID (BLOOD) $40.80 $68.00 $3.62–$57.80 685% above 40%
Uric acid blood test inpatient CPT 84550 URIC ACID (BLOOD) $40.80 $68.00 $3.62–$57.80 — 40%
Urinalysis with microscope exam, automated CPT 81001 ROUTINE URINAL AUTO W MICRO $24.60 $41.00 $2.54–$34.85 1% below 40%
Urinalysis with microscope exam, automated inpatient CPT 81001 ROUTINE URINAL AUTO W MICRO $24.60 $41.00 $2.54–$34.85 — 40%
Urinalysis without microscope exam, automated CPT 81003 RUTNE URINE (QUICK) WO MICRO $24.60 $41.00 $1.80–$34.85 383% above 40%
Urinalysis without microscope exam, automated inpatient CPT 81003 RUTNE URINE (QUICK) WO MICRO $24.60 $41.00 $1.80–$34.85 — 40%
Urine culture for bacteria, with colony count CPT 87086 URINE CULTURE $40.20 $67.00 $6.46–$56.95 333% above 40%
Urine culture for bacteria, with colony count inpatient CPT 87086 URINE CULTURE $40.20 $67.00 $6.46–$56.95 — 40%
Urine microalbumin (albumin) test CPT 82043 Albumin, 24 Hr, U $18.00 $30.00 $4.62–$25.50 171% above 40%
Urine microalbumin (albumin) test CPT 82043 MICROALBUMIN URINE $33.00 $55.00 $4.62–$46.75 396% above 40%
Urine microalbumin (albumin) test inpatient CPT 82043 Albumin, 24 Hr, U $18.00 $30.00 $4.62–$25.50 — 40%
Urine microalbumin (albumin) test inpatient CPT 82043 MICROALBUMIN URINE $33.00 $55.00 $4.62–$46.75 — 40%
Urine pregnancy test, read by color change CPT 81025 URINE HCG PREGNANCY POC $37.80 $63.00 $6.89–$53.55 282% above 40%
Urine pregnancy test, read by color change CPT 81025 POC URINE PREGNANCY TEST $66.00 $110.00 $6.89–$93.50 567% above 40%
Urine pregnancy test, read by color change inpatient CPT 81025 URINE HCG PREGNANCY POC $37.80 $63.00 $6.89–$53.55 — 40%
Urine pregnancy test, read by color change inpatient CPT 81025 POC URINE PREGNANCY TEST $66.00 $110.00 $6.89–$93.50 — 40%
Vitamin B12 (cobalamin) blood test CPT 82607 B12 $40.20 $67.00 $12.06–$56.95 132% above 40%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 B12 $40.20 $67.00 $12.06–$56.95 — 40%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 CALCIFEDIOL 6070348 $31.80 $53.00 $23.68–$94.42 7% below 40%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITD $63.60 $106.00 $23.68–$94.42 87% above 40%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 CALCIFEDIOL 6070348 $31.80 $53.00 $23.68–$94.42 — 40%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITD $63.60 $106.00 $23.68–$94.42 — 40%
Vitamin D, 1,25-dihydroxy blood test CPT 82652 VITAMIN D 1 25-DIHYDROXY $63.00 $105.00 $30.80–$122.82 42% above 40%
Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 VITAMIN D 1 25-DIHYDROXY $63.00 $105.00 $30.80–$122.82 — 40%
Zinc blood test CPT 84630 REF ZINC $19.20 $32.00 $9.11–$36.33 47% above 40%
Zinc blood test CPT 84630 Zinc, RBC $122.40 $204.00 $9.11–$173.40 834% above 40%
Zinc blood test inpatient CPT 84630 REF ZINC $19.20 $32.00 $9.11–$36.33 — 40%
Zinc blood test inpatient CPT 84630 Zinc, RBC $122.40 $204.00 $9.11–$173.40 — 40%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 QUAN BETA - HCG $34.20 $57.00 $12.04–$48.45 98% above 40%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 CHOR. GONAD BETA, CSF $60.00 $100.00 $12.04–$85.00 247% above 40%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG BETA QUANT. $90.60 $151.00 $12.04–$128.35 423% above 40%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 IEHCG, GONADOTROPIN CH QUANT $126.00 $210.00 $12.04–$178.50 628% above 40%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 QUAN BETA - HCG $34.20 $57.00 $12.04–$48.45 — 40%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 CHOR. GONAD BETA, CSF $60.00 $100.00 $12.04–$85.00 — 40%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HCG BETA QUANT. $90.60 $151.00 $12.04–$128.35 — 40%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 IEHCG, GONADOTROPIN CH QUANT $126.00 $210.00 $12.04–$178.50 — 40%

Surgery and procedures

ProcedureCash priceList priceInsurers payvs New JerseyOff list
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 BX BRST 1ST LES STEREOTCT BIL $4,227.60 $7,046.00 $1,576.89–$5,284.50 42% above 40%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 BX BRST 1ST LES STRT BIL $4,227.60 $7,046.00 $1,576.89–$5,284.50 42% above 40%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion one side CPT 19081 BX BRST 1ST LES STRT RT $4,065.00 $6,775.00 $1,516.25–$5,081.25 37% above 40%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion one side CPT 19081 BX BRST 1ST LES STRT LT $4,065.00 $6,775.00 $1,516.25–$5,081.25 37% above 40%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion one side CPT 19081 BX BRST 1ST LES STEROTCT LT $4,227.60 $7,046.00 $1,576.89–$5,284.50 42% above 40%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion one side CPT 19081 BX BRST 1ST LES STEREOTCT RT $4,227.60 $7,046.00 $1,576.89–$5,284.50 42% above 40%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 BX BRST 1ST LES STRT BIL $4,227.60 $7,046.00 $1,576.89–$5,284.50 — 40%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 BX BRST 1ST LES STEREOTCT BIL $4,227.60 $7,046.00 $1,576.89–$5,284.50 — 40%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient one side CPT 19081 BX BRST 1ST LES STRT RT $4,065.00 $6,775.00 $1,516.25–$5,081.25 — 40%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient one side CPT 19081 BX BRST 1ST LES STRT LT $4,065.00 $6,775.00 $1,516.25–$5,081.25 — 40%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient one side CPT 19081 BX BRST 1ST LES STEROTCT LT $4,227.60 $7,046.00 $1,576.89–$5,284.50 — 40%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient one side CPT 19081 BX BRST 1ST LES STEREOTCT RT $4,227.60 $7,046.00 $1,576.89–$5,284.50 — 40%
Cardiac catheterization with coronary angiogram one side CPT 93458 LEFT HEART PROCEDURE & LV $6,904.20 $11,507.00 $2,575.27–$21,579.00 65% above 40%
Cardiac catheterization with coronary angiogram inpatient one side CPT 93458 LEFT HEART PROCEDURE & LV $6,904.20 $11,507.00 $2,575.27–$21,579.00 — 40%
Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION $881.40 $1,469.00 $162.99–$1,515.47 6% above 40%
Cardioversion, elective (restoring heart rhythm) CPT 92960 BEDSIDE - CARDIOVERSION $914.40 $1,524.00 $341.07–$3,000.00 10% above 40%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION $881.40 $1,469.00 $162.99–$1,515.47 — 40%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 BEDSIDE - CARDIOVERSION $914.40 $1,524.00 $341.07–$3,000.00 — 40%
Catheter ablation for atrial fibrillation CPT 93656 TX ATRIAL FIB PULM VEIN ISOL $14,392.20 $23,987.00 $5,368.29–$21,579.00 47% below 40%
Catheter ablation for atrial fibrillation CPT 93656 CLN TRIAL - PVI ABLATION $14,392.20 $23,987.00 $5,368.29–$21,579.00 47% below 40%
Catheter ablation for atrial fibrillation inpatient CPT 93656 TX ATRIAL FIB PULM VEIN ISOL $14,392.20 $23,987.00 $5,368.29–$21,579.00 — 40%
Catheter ablation for atrial fibrillation inpatient CPT 93656 CLN TRIAL - PVI ABLATION $14,392.20 $23,987.00 $5,368.29–$21,579.00 — 40%
Cervical biopsy CPT 57500 BIOPSY OF CERVIX $940.80 $1,568.00 $350.92–$3,000.00 25% below 40%
Cervical biopsy CPT 57500 CERVIX BIOPSY $1,018.80 $1,698.00 $380.01–$3,000.00 19% below 40%
Cervical biopsy CPT 57500 BX CERVIX SINGLE OR MULTIPLE $1,120.80 $1,868.00 $418.06–$3,000.00 10% below 40%
Cervical biopsy inpatient CPT 57500 BIOPSY OF CERVIX $940.80 $1,568.00 $350.92–$3,000.00 — 40%
Cervical biopsy inpatient CPT 57500 CERVIX BIOPSY $1,018.80 $1,698.00 $380.01–$3,000.00 — 40%
Cervical biopsy inpatient CPT 57500 BX CERVIX SINGLE OR MULTIPLE $1,120.80 $1,868.00 $418.06–$3,000.00 — 40%
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 BEDSIDE - CIRCUMCISION W/ CLMP $936.00 $1,560.00 $349.13–$4,594.35 78% below 40%
Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 BEDSIDE - CIRCUMCISION W/ CLMP $936.00 $1,560.00 $349.13–$4,594.35 — 40%
Colonoscopy, diagnostic CPT 45378 COLONOSCOPY FLEX DX $847.80 $1,413.00 $316.23–$3,000.00 30% below 40%
Colonoscopy, diagnostic inpatient CPT 45378 COLONOSCOPY FLEX DX $847.80 $1,413.00 $316.23–$3,000.00 — 40%
Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 BX/CURETT OF CERVIX W/SCOPE $1,213.80 $2,023.00 $452.75–$3,000.00 133% above 40%
Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 BX W COLPOSCOPY $1,284.00 $2,140.00 $478.93–$3,000.00 147% above 40%
Colposcopy with cervical biopsy and scraping of the cervical canal inpatient CPT 57454 BX/CURETT OF CERVIX W/SCOPE $1,213.80 $2,023.00 $452.75–$3,000.00 — 40%
Colposcopy with cervical biopsy and scraping of the cervical canal inpatient CPT 57454 BX W COLPOSCOPY $1,284.00 $2,140.00 $478.93–$3,000.00 — 40%
Coronary stent placement, one artery CPT 92928 BMS PLACEMENT LC $5,178.00 $8,630.00 $1,931.39–$21,579.00 62% below 40%
Coronary stent placement, one artery CPT 92928 BMS PLACEMENT RC $5,178.00 $8,630.00 $1,931.39–$21,579.00 62% below 40%
Coronary stent placement, one artery CPT 92928 BMS - PLACEMENT RAMUS $5,178.00 $8,630.00 $1,931.39–$21,579.00 62% below 40%
Coronary stent placement, one artery CPT 92928 BMS PLACEMENT LD $5,178.00 $8,630.00 $1,931.39–$21,579.00 62% below 40%
Coronary stent placement, one artery one side CPT 92928 BMS - PLACEMENT LEFT MAIN $5,178.00 $8,630.00 $1,931.39–$21,579.00 62% below 40%
Coronary stent placement, one artery inpatient CPT 92928 BMS PLACEMENT RC $5,178.00 $8,630.00 $1,931.39–$21,579.00 — 40%
Coronary stent placement, one artery inpatient CPT 92928 BMS PLACEMENT LC $5,178.00 $8,630.00 $1,931.39–$21,579.00 — 40%
Coronary stent placement, one artery inpatient CPT 92928 BMS PLACEMENT LD $5,178.00 $8,630.00 $1,931.39–$21,579.00 — 40%
Coronary stent placement, one artery inpatient CPT 92928 BMS - PLACEMENT RAMUS $5,178.00 $8,630.00 $1,931.39–$21,579.00 — 40%
Coronary stent placement, one artery inpatient one side CPT 92928 BMS - PLACEMENT LEFT MAIN $5,178.00 $8,630.00 $1,931.39–$21,579.00 — 40%
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 CYSTOURETHROSCOPY DX $1,884.60 $3,141.00 $702.96–$3,000.00 129% above 40%
Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 CYSTOURETHROSCOPY DX $1,884.60 $3,141.00 $702.96–$3,000.00 — 40%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 PLANTAR WART REM SINGLE WART $237.00 $395.00 $88.40–$3,000.00 44% below 40%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 PLANTAR WART REM SINGLE WART $237.00 $395.00 $88.40–$3,000.00 — 40%
Earwax removal by irrigation (rinsing), one ear CPT 69209 REMOVE IMPACTED EAR WAX UNI $271.20 $452.00 $17.49–$393.24 27% below 40%
Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 REMOVE IMPACTED EAR WAX UNI $271.20 $452.00 $17.49–$393.24 — 40%
Earwax removal with instruments, one ear CPT 69210 CERUMEN REM 1 OR BOTH EARS $159.00 $265.00 $59.31–$3,000.00 43% below 40%
Earwax removal with instruments, one ear inpatient CPT 69210 CERUMEN REM 1 OR BOTH EARS $159.00 $265.00 $59.31–$3,000.00 — 40%
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 BIOPSY OF UTERUS LINING $300.60 $501.00 $112.12–$3,000.00 12% above 40%
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 ENDOMETRIAL BIOPSY $1,066.80 $1,778.00 $397.92–$3,000.00 297% above 40%
Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 BIOPSY OF UTERUS LINING $300.60 $501.00 $112.12–$3,000.00 — 40%
Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 ENDOMETRIAL BIOPSY $1,066.80 $1,778.00 $397.92–$3,000.00 — 40%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 SALINE INTRO SONOHYSTEROGRAPHY $103.20 $172.00 $38.49–$3,000.00 78% below 40%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 HYSTEROGR CONTR/SALINE INFUSIO $313.20 $522.00 $116.82–$3,000.00 33% below 40%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 HYSTEROGRAM - INJECTION $313.20 $522.00 $116.82–$3,000.00 33% below 40%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 SALINE SONO SIS $459.00 $765.00 $171.21–$3,000.00 1% below 40%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 FEM VUE $1,139.40 $1,899.00 $425.00–$3,000.00 145% above 40%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 SALINE INTRO SONOHYSTEROGRAPHY $103.20 $172.00 $38.49–$3,000.00 — 40%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 HYSTEROGR CONTR/SALINE INFUSIO $313.20 $522.00 $116.82–$3,000.00 — 40%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 HYSTEROGRAM - INJECTION $313.20 $522.00 $116.82–$3,000.00 — 40%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 SALINE SONO SIS $459.00 $765.00 $171.21–$3,000.00 — 40%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 FEM VUE $1,139.40 $1,899.00 $425.00–$3,000.00 — 40%
IUD insertion (the device itself billed separately) CPT 58300 INSERT INTRAUTERINE DEVICE $555.60 $926.00 $207.24–$805.62 80% below 40%
IUD insertion (the device itself billed separately) inpatient CPT 58300 INSERT INTRAUTERINE DEVICE $555.60 $926.00 $207.24–$805.62 — 40%
Incision and drainage of a simple or single skin abscess CPT 10060 I&D ABSCESS SIMPLE SINGLE $402.00 $670.00 $149.95–$3,000.00 17% above 40%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I&D ABSCESS SIMPLE SINGLE $402.00 $670.00 $149.95–$3,000.00 — 40%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJ TE/SH/LI/TR PNTS OR GANG $621.00 $1,035.00 $231.63–$3,000.00 28% below 40%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 INJ TE/SH/LI/TR PNTS OR GANG $621.00 $1,035.00 $231.63–$3,000.00 — 40%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 CT JOINT ASPIRATION OR INJECT $655.20 $1,092.00 $244.39–$3,000.00 38% below 40%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 DR -JOINT ASPIRATION OR INJECT $688.20 $1,147.00 $256.70–$3,000.00 35% below 40%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 DRAIN/INJ JOINT/BURSA W/O US $756.00 $1,260.00 $281.99–$3,000.00 29% below 40%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 DRAIN/INJECT JOINT/BURSA $756.00 $1,260.00 $281.99–$3,000.00 29% below 40%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 CT DRAIN/INJ JOINT/BURSA WO US $976.80 $1,628.00 $364.35–$3,000.00 8% below 40%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 MAJOR JOINT OR BURSA RT OR LT $754.20 $1,257.00 $281.32–$3,000.00 29% below 40%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 CT JOINT ASPIRATION OR INJECT $655.20 $1,092.00 $244.39–$3,000.00 — 40%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 DR -JOINT ASPIRATION OR INJECT $688.20 $1,147.00 $256.70–$3,000.00 — 40%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 DRAIN/INJ JOINT/BURSA W/O US $756.00 $1,260.00 $281.99–$3,000.00 — 40%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 DRAIN/INJECT JOINT/BURSA $756.00 $1,260.00 $281.99–$3,000.00 — 40%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 CT DRAIN/INJ JOINT/BURSA WO US $976.80 $1,628.00 $364.35–$3,000.00 — 40%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient one side CPT 20610 MAJOR JOINT OR BURSA RT OR LT $754.20 $1,257.00 $281.32–$3,000.00 — 40%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 DRAIN/INJ JOINT/BURSA W/O US $606.00 $1,010.00 $226.04–$3,000.00 29% below 40%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 BEDSIDE - DRAIN/INJ JOINT/BURS $728.40 $1,214.00 $271.69–$3,000.00 15% below 40%
Joint injection or drainage, medium joint (wrist, elbow, ankle) one side CPT 20605 INTERM.JNT BUR GANG CYST RT/LT $664.20 $1,107.00 $247.75–$3,000.00 23% below 40%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 DRAIN/INJ JOINT/BURSA W/O US $606.00 $1,010.00 $226.04–$3,000.00 — 40%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 BEDSIDE - DRAIN/INJ JOINT/BURS $728.40 $1,214.00 $271.69–$3,000.00 — 40%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient one side CPT 20605 INTERM.JNT BUR GANG CYST RT/LT $664.20 $1,107.00 $247.75–$3,000.00 — 40%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 DRAIN/INJ/BURSA W/O US $282.00 $470.00 $105.19–$3,000.00 61% below 40%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 JNT AIR/INJ SMALL JNT $605.40 $1,009.00 $225.81–$3,000.00 17% below 40%
Joint injection or drainage, small joint (fingers, toes) one side CPT 20600 SM JOINT BURSA GANG CYST RT/LT $664.20 $1,107.00 $247.75–$3,000.00 9% below 40%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 DRAIN/INJ/BURSA W/O US $282.00 $470.00 $105.19–$3,000.00 — 40%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 JNT AIR/INJ SMALL JNT $605.40 $1,009.00 $225.81–$3,000.00 — 40%
Joint injection or drainage, small joint (fingers, toes) inpatient one side CPT 20600 SM JOINT BURSA GANG CYST RT/LT $664.20 $1,107.00 $247.75–$3,000.00 — 40%
Left heart catheterization, diagnostic one side CPT 93452 LEFT HRT CATH W/VENTRCLGRPHY $7,804.80 $13,008.00 $2,911.19–$21,579.00 119% above 40%
Left heart catheterization, diagnostic inpatient one side CPT 93452 LEFT HRT CATH W/VENTRCLGRPHY $7,804.80 $13,008.00 $2,911.19–$21,579.00 — 40%
Lower-back epidural injection, without imaging guidance CPT 62322 INTERLAMINAR LMBR/SAC INJECTON $2,764.80 $4,608.00 $1,031.27–$3,456.00 40% above 40%
Lower-back epidural injection, without imaging guidance inpatient CPT 62322 INTERLAMINAR LMBR/SAC INJECTON $2,764.80 $4,608.00 $1,031.27–$3,456.00 — 40%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 EOL BENIGN TR/AR/LE: TO .5cm $709.80 $1,183.00 $264.76–$3,000.00 46% below 40%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 EOL BENIGN TR/AR/LE: TO .5cm $709.80 $1,183.00 $264.76–$3,000.00 — 40%
Nail removal (partial or complete), one nail CPT 11730 REMOVAL OF NAIL PLATE $343.20 $572.00 $128.01–$3,000.00 12% above 40%
Nail removal (partial or complete), one nail inpatient CPT 11730 REMOVAL OF NAIL PLATE $343.20 $572.00 $128.01–$3,000.00 — 40%
Occipital nerve block (injection for headaches) CPT 64405 GREATER OCCIP NERVE BLOCK $756.00 $1,260.00 $281.99–$3,000.00 44% below 40%
Occipital nerve block (injection for headaches) inpatient CPT 64405 GREATER OCCIP NERVE BLOCK $756.00 $1,260.00 $281.99–$3,000.00 — 40%
Pacemaker implant (dual chamber) CPT 33208 ARVENT $18,464.40 $30,774.00 $5,882.00–$26,773.38 59% above 40%
Pacemaker implant (dual chamber) inpatient CPT 33208 ARVENT $18,464.40 $30,774.00 $5,882.00–$26,773.38 — 40%
Paracentesis with imaging guidance CPT 49083 BEDSIDE - PARACENTESIS $852.60 $1,421.00 $318.02–$3,000.00 30% below 40%
Paracentesis with imaging guidance CPT 49083 ABD PARACENTESIS W/IMAGING $1,604.40 $2,674.00 $598.44–$3,000.00 32% above 40%
Paracentesis with imaging guidance inpatient CPT 49083 BEDSIDE - PARACENTESIS $852.60 $1,421.00 $318.02–$3,000.00 — 40%
Paracentesis with imaging guidance inpatient CPT 49083 ABD PARACENTESIS W/IMAGING $1,604.40 $2,674.00 $598.44–$3,000.00 — 40%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 REMOVAL OF NAIL BED $1,645.80 $2,743.00 $613.88–$3,000.00 188% above 40%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 REMOVAL OF NAIL BED $1,645.80 $2,743.00 $613.88–$3,000.00 — 40%
Removal of a foreign object under the skin, simple CPT 10120 INC & REM FB SQ SIMPLE FINGER $613.80 $1,023.00 $164.64–$932.09 13% above 40%
Removal of a foreign object under the skin, simple inpatient CPT 10120 INC & REM FB SQ SIMPLE FINGER $613.80 $1,023.00 $164.64–$932.09 — 40%
Shock-wave lithotripsy to break up kidney stones (from outside the body) CPT 50590 RC-LITHOTRIPSY EXTRACORPOR BIL $9,553.80 $15,923.00 $3,000.00–$11,942.25 118% above 40%
Shock-wave lithotripsy to break up kidney stones (from outside the body) CPT 50590 LITHOTRIPSY EXTRACORPOREAL SH $9,553.80 $15,923.00 $3,000.00–$11,942.25 118% above 40%
Shock-wave lithotripsy to break up kidney stones (from outside the body) CPT 50590 LITHOTRIPSY EXTRACORPOREAL BIL $9,553.80 $15,923.00 $3,000.00–$11,942.25 118% above 40%
Shock-wave lithotripsy to break up kidney stones (from outside the body) one side CPT 50590 RC-LITHOTRI EXTRACORP SH LEFT $9,553.80 $15,923.00 $3,000.00–$11,942.25 118% above 40%
Shock-wave lithotripsy to break up kidney stones (from outside the body) one side CPT 50590 LITHOTR EXTRACORPORE SH RIGHT $9,553.80 $15,923.00 $3,000.00–$11,942.25 118% above 40%
Shock-wave lithotripsy to break up kidney stones (from outside the body) one side CPT 50590 LITHOTRI EXTRACORP SH LEFT $9,553.80 $15,923.00 $3,000.00–$11,942.25 118% above 40%
Shock-wave lithotripsy to break up kidney stones (from outside the body) one side CPT 50590 RC-LITHOTR EXTRACORP SH RIGHT $9,553.80 $15,923.00 $3,000.00–$11,942.25 118% above 40%
Shock-wave lithotripsy to break up kidney stones (from outside the body) inpatient CPT 50590 LITHOTRIPSY EXTRACORPOREAL BIL $9,553.80 $15,923.00 $3,000.00–$11,942.25 — 40%
Shock-wave lithotripsy to break up kidney stones (from outside the body) inpatient CPT 50590 RC-LITHOTRIPSY EXTRACORPOR BIL $9,553.80 $15,923.00 $3,000.00–$11,942.25 — 40%
Shock-wave lithotripsy to break up kidney stones (from outside the body) inpatient CPT 50590 LITHOTRIPSY EXTRACORPOREAL SH $9,553.80 $15,923.00 $3,000.00–$11,942.25 — 40%
Shock-wave lithotripsy to break up kidney stones (from outside the body) inpatient one side CPT 50590 RC-LITHOTRI EXTRACORP SH LEFT $9,553.80 $15,923.00 $3,000.00–$11,942.25 — 40%
Shock-wave lithotripsy to break up kidney stones (from outside the body) inpatient one side CPT 50590 LITHOTRI EXTRACORP SH LEFT $9,553.80 $15,923.00 $3,000.00–$11,942.25 — 40%
Shock-wave lithotripsy to break up kidney stones (from outside the body) inpatient one side CPT 50590 LITHOTR EXTRACORPORE SH RIGHT $9,553.80 $15,923.00 $3,000.00–$11,942.25 — 40%
Shock-wave lithotripsy to break up kidney stones (from outside the body) inpatient one side CPT 50590 RC-LITHOTR EXTRACORP SH RIGHT $9,553.80 $15,923.00 $3,000.00–$11,942.25 — 40%
Short arm cast (elbow to hand) one side CPT 29075 ARM SHORT (SAC) RT OR LT $1,143.60 $1,906.00 $426.56–$3,000.00 30% above 40%
Short arm cast (elbow to hand) inpatient one side CPT 29075 ARM SHORT (SAC) RT OR LT $1,143.60 $1,906.00 $426.56–$3,000.00 — 40%
Skin biopsy, punch, one lesion CPT 11104 PUNCH BX SKIN SINGLE LESION $569.40 $949.00 $212.39–$3,000.00 6% above 40%
Skin biopsy, punch, one lesion inpatient CPT 11104 PUNCH BX SKIN SINGLE LESION $569.40 $949.00 $212.39–$3,000.00 — 40%
Skin tag removal, up to 15 tags CPT 11200 REMVAL SKIN TAGS UP TO 15 LES $430.20 $717.00 $160.46–$3,000.00 12% below 40%
Skin tag removal, up to 15 tags inpatient CPT 11200 REMVAL SKIN TAGS UP TO 15 LES $430.20 $717.00 $160.46–$3,000.00 — 40%
Spinal tap (lumbar puncture), diagnostic CPT 62270 BEDSIDE - LUMBAR PUNCTURE $668.40 $1,114.00 $249.31–$3,000.00 29% below 40%
Spinal tap (lumbar puncture), diagnostic CPT 62270 BEDSIDE - DX LMBR SPI PNXR W/F $672.00 $1,120.00 $250.66–$3,000.00 29% below 40%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 BEDSIDE - LUMBAR PUNCTURE $668.40 $1,114.00 $249.31–$3,000.00 — 40%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 BEDSIDE - DX LMBR SPI PNXR W/F $672.00 $1,120.00 $250.66–$3,000.00 — 40%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 RPR S/N/AX/GEN/TRNK2.6-7.5CM $520.20 $867.00 $122.77–$754.29 at median 40%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 RPR S/N/AX/GEN/TRNK2.6-7.5CM $520.20 $867.00 $122.77–$754.29 — 40%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 TANGNTL BX SKIN SINGLE LES $117.00 $195.00 $43.64–$3,000.00 79% below 40%
Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 TANGNTL BX SKIN SINGLE LES $117.00 $195.00 $43.64–$3,000.00 — 40%
Thoracentesis with imaging guidance CPT 32555 BEDSIDE - THORACENTESIS $828.60 $1,381.00 $309.07–$3,000.00 54% below 40%
Thoracentesis with imaging guidance CPT 32555 ASPIRATE PLEURA W/IMAGING $1,108.80 $1,848.00 $413.58–$3,000.00 38% below 40%
Thoracentesis with imaging guidance inpatient CPT 32555 BEDSIDE - THORACENTESIS $828.60 $1,381.00 $309.07–$3,000.00 — 40%
Thoracentesis with imaging guidance inpatient CPT 32555 ASPIRATE PLEURA W/IMAGING $1,108.80 $1,848.00 $413.58–$3,000.00 — 40%
Trigger point injections, 1 or 2 muscles CPT 20552 INJ TRIGGER POINT 1/2 MUSCLE $282.00 $470.00 $105.19–$3,000.00 29% below 40%
Trigger point injections, 1 or 2 muscles CPT 20552 INJ TRIGGER POINT 1/2 MUSCL $292.20 $487.00 $108.99–$3,000.00 26% below 40%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 INJ TRIGGER POINT 1/2 MUSCLE $282.00 $470.00 $105.19–$3,000.00 — 40%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 INJ TRIGGER POINT 1/2 MUSCL $292.20 $487.00 $108.99–$3,000.00 — 40%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 BX BRST 1ST LES US/IM BIL $4,120.20 $6,867.00 $1,536.83–$5,150.25 38% above 40%
Ultrasound-guided breast needle biopsy with marker clip, first lesion one side CPT 19083 BX BRST 1ST LES US/IM RT $4,026.00 $6,710.00 $1,501.70–$5,032.50 35% above 40%
Ultrasound-guided breast needle biopsy with marker clip, first lesion one side CPT 19083 BX BRST 1ST LES US/IM LT $4,026.00 $6,710.00 $1,501.70–$5,032.50 35% above 40%
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 BX BRST 1ST LES US/IM BIL $4,120.20 $6,867.00 $1,536.83–$5,150.25 — 40%
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient one side CPT 19083 BX BRST 1ST LES US/IM RT $4,026.00 $6,710.00 $1,501.70–$5,032.50 — 40%
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient one side CPT 19083 BX BRST 1ST LES US/IM LT $4,026.00 $6,710.00 $1,501.70–$5,032.50 — 40%
Ureteroscopy with laser stone breaking and stent placement CPT 52356 BEDSIDE - CYSTO/URETERO W/LITH $2,967.60 $4,946.00 $1,106.91–$11,784.42 51% below 40%
Ureteroscopy with laser stone breaking and stent placement inpatient CPT 52356 BEDSIDE - CYSTO/URETERO W/LITH $2,967.60 $4,946.00 $1,106.91–$11,784.42 — 40%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRIDEMENT SKIN & SUBSQUENT $470.40 $784.00 $175.46–$3,000.00 13% below 40%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 DEBRIDEMENT SKIN & SUBSQUENT $470.40 $784.00 $175.46–$3,000.00 — 40%

Doctor visits and therapy

ProcedureCash priceList priceInsurers payvs New JerseyOff list
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSFUSION - OR MAIN $1,783.20 $2,972.00 $46.28–$2,585.64 114% above 40%
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSFUSION - S7C $1,783.20 $2,972.00 $46.28–$2,585.64 114% above 40%
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSFUSION - INFUSION $1,783.20 $2,972.00 $46.28–$2,585.64 114% above 40%
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSFUSION $1,783.20 $2,972.00 $46.28–$2,585.64 114% above 40%
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSFUSION - CDU $1,783.20 $2,972.00 $46.28–$2,585.64 114% above 40%
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSFUSION - HF CARE $1,783.20 $2,972.00 $46.28–$2,585.64 114% above 40%
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSFUSION - NEURO VASC $1,783.20 $2,972.00 $46.28–$2,585.64 114% above 40%
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSFUSION - CT SCAN $1,783.20 $2,972.00 $46.28–$2,585.64 114% above 40%
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSFUSION - SDS $1,783.20 $2,972.00 $46.28–$2,585.64 114% above 40%
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSFUSION - L&D $1,783.20 $2,972.00 $46.28–$2,585.64 114% above 40%
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSFUSION - ENDO $1,783.20 $2,972.00 $46.28–$2,585.64 114% above 40%
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSFUSION - ED $1,783.20 $2,972.00 $46.28–$2,585.64 114% above 40%
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSFUSION - MOTHER/BAB $1,854.60 $3,091.00 $46.28–$2,689.17 123% above 40%
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSFUSION-CAR.B2A $1,854.60 $3,091.00 $46.28–$2,689.17 123% above 40%
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSFUSION - BERGEN A3 $1,854.60 $3,091.00 $46.28–$2,689.17 123% above 40%
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSFUSION- ONCOLOGY $1,854.60 $3,091.00 $46.28–$2,689.17 123% above 40%
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSFUSION-SUR.B2B $1,854.60 $3,091.00 $46.28–$2,689.17 123% above 40%
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSFUSION - IMCU $1,854.60 $3,091.00 $46.28–$2,689.17 123% above 40%
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSFUSION - SPEC NURSE $1,854.60 $3,091.00 $46.28–$2,689.17 123% above 40%
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSFUSION - PEDS $1,854.60 $3,091.00 $46.28–$2,689.17 123% above 40%
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSFUSION - CAR.P3E $1,854.60 $3,091.00 $46.28–$2,689.17 123% above 40%
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSFUSION - PICU $1,854.60 $3,091.00 $46.28–$2,689.17 123% above 40%
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSFUSION-AU $1,854.60 $3,091.00 $46.28–$2,689.17 123% above 40%
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSFUSION - ICU $1,854.60 $3,091.00 $46.28–$2,689.17 123% above 40%
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSFUSION-ORT.C4A $1,854.60 $3,091.00 $46.28–$2,689.17 123% above 40%
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSFUSION - CCU.B4 $1,854.60 $3,091.00 $46.28–$2,689.17 123% above 40%
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSFUSION - GER.P4E $1,854.60 $3,091.00 $46.28–$2,689.17 123% above 40%
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSFUSION - N5A $1,854.60 $3,091.00 $46.28–$2,689.17 123% above 40%
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSFUSION - NICU $1,872.60 $3,121.00 $46.28–$2,715.27 125% above 40%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD TRANSFUSION - ENDO $1,783.20 $2,972.00 $46.28–$2,585.64 — 40%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD TRANSFUSION - CT SCAN $1,783.20 $2,972.00 $46.28–$2,585.64 — 40%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD TRANSFUSION $1,783.20 $2,972.00 $46.28–$2,585.64 — 40%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD TRANSFUSION - ED $1,783.20 $2,972.00 $46.28–$2,585.64 — 40%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD TRANSFUSION - NEURO VASC $1,783.20 $2,972.00 $46.28–$2,585.64 — 40%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD TRANSFUSION - HF CARE $1,783.20 $2,972.00 $46.28–$2,585.64 — 40%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD TRANSFUSION - L&D $1,783.20 $2,972.00 $46.28–$2,585.64 — 40%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD TRANSFUSION - S7C $1,783.20 $2,972.00 $46.28–$2,585.64 — 40%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD TRANSFUSION - CDU $1,783.20 $2,972.00 $46.28–$2,585.64 — 40%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD TRANSFUSION - SDS $1,783.20 $2,972.00 $46.28–$2,585.64 — 40%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD TRANSFUSION - OR MAIN $1,783.20 $2,972.00 $46.28–$2,585.64 — 40%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD TRANSFUSION - INFUSION $1,783.20 $2,972.00 $46.28–$2,585.64 — 40%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD TRANSFUSION-SUR.B2B $1,854.60 $3,091.00 $46.28–$2,689.17 — 40%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD TRANSFUSION- ONCOLOGY $1,854.60 $3,091.00 $46.28–$2,689.17 — 40%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD TRANSFUSION - PEDS $1,854.60 $3,091.00 $46.28–$2,689.17 — 40%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD TRANSFUSION - BERGEN A3 $1,854.60 $3,091.00 $46.28–$2,689.17 — 40%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD TRANSFUSION - PICU $1,854.60 $3,091.00 $46.28–$2,689.17 — 40%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD TRANSFUSION - MOTHER/BAB $1,854.60 $3,091.00 $46.28–$2,689.17 — 40%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD TRANSFUSION - N5A $1,854.60 $3,091.00 $46.28–$2,689.17 — 40%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD TRANSFUSION - CCU.B4 $1,854.60 $3,091.00 $46.28–$2,689.17 — 40%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD TRANSFUSION - GER.P4E $1,854.60 $3,091.00 $46.28–$2,689.17 — 40%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD TRANSFUSION - ICU $1,854.60 $3,091.00 $46.28–$2,689.17 — 40%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD TRANSFUSION-ORT.C4A $1,854.60 $3,091.00 $46.28–$2,689.17 — 40%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD TRANSFUSION-CAR.B2A $1,854.60 $3,091.00 $46.28–$2,689.17 — 40%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD TRANSFUSION-AU $1,854.60 $3,091.00 $46.28–$2,689.17 — 40%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD TRANSFUSION - CAR.P3E $1,854.60 $3,091.00 $46.28–$2,689.17 — 40%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD TRANSFUSION - IMCU $1,854.60 $3,091.00 $46.28–$2,689.17 — 40%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD TRANSFUSION - SPEC NURSE $1,854.60 $3,091.00 $46.28–$2,689.17 — 40%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD TRANSFUSION - NICU $1,872.60 $3,121.00 $46.28–$2,715.27 — 40%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 AEROSOL TX MINI NEB $286.20 $477.00 $106.75–$502.09 27% above 40%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 AEROSOL/MDI TX $286.20 $477.00 $106.75–$502.09 27% above 40%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 NEBULIZER TREATMENT $296.40 $494.00 $110.56–$502.09 32% above 40%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 AEROSOL TX MINI NEB $286.20 $477.00 $106.75–$502.09 — 40%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 AEROSOL/MDI TX $286.20 $477.00 $106.75–$502.09 — 40%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 NEBULIZER TREATMENT $296.40 $494.00 $110.56–$502.09 — 40%
Chemotherapy IV infusion, first hour CPT 96413 REMICADE CHEMO INFUSION 1ST HR $943.80 $1,573.00 $140.83–$1,337.05 113% above 40%
Chemotherapy IV infusion, first hour CPT 96413 CHEMO IV INFUS INITIAL - B2B $988.20 $1,647.00 $140.83–$1,399.95 123% above 40%
Chemotherapy IV infusion, first hour CPT 96413 CHEMO INFUSION 1ST HR (PEDS) $996.00 $1,660.00 $140.83–$1,411.00 125% above 40%
Chemotherapy IV infusion, first hour CPT 96413 CHEMOTHERAPY IV INFUS INITIAL $1,043.40 $1,739.00 $140.83–$1,478.15 136% above 40%
Chemotherapy IV infusion, first hour inpatient CPT 96413 REMICADE CHEMO INFUSION 1ST HR $943.80 $1,573.00 $140.83–$1,337.05 — 40%
Chemotherapy IV infusion, first hour inpatient CPT 96413 CHEMO IV INFUS INITIAL - B2B $988.20 $1,647.00 $140.83–$1,399.95 — 40%
Chemotherapy IV infusion, first hour inpatient CPT 96413 CHEMO INFUSION 1ST HR (PEDS) $996.00 $1,660.00 $140.83–$1,411.00 — 40%
Chemotherapy IV infusion, first hour inpatient CPT 96413 CHEMOTHERAPY IV INFUS INITIAL $1,043.40 $1,739.00 $140.83–$1,478.15 — 40%
Comprehensive hearing test: tone and speech audiometry, both ears CPT 92557 AUD-COMP AUDIO EVAL 92557 $510.60 $851.00 $38.46–$723.35 177% above 40%
Comprehensive hearing test: tone and speech audiometry, both ears inpatient CPT 92557 AUD-COMP AUDIO EVAL 92557 $510.60 $851.00 $38.46–$723.35 — 40%
Critical care, first 30 to 74 minutes CPT 99291 CRITICAL CARE LEVEL VI $1,449.00 $2,415.00 $140.00–$2,691.00 34% above 40%
Critical care, first 30 to 74 minutes inpatient CPT 99291 CRITICAL CARE LEVEL VI $1,449.00 $2,415.00 $140.00–$2,691.00 — 40%
EEG (brain wave test), awake and drowsy, routine CPT 95816 EEG AWAKE & DROWSY W HV & STIM $639.00 $1,065.00 $85.94–$926.55 85% above 40%
EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 EEG AWAKE & DROWSY W HV & STIM $639.00 $1,065.00 $85.94–$926.55 — 40%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 RD EKG W/INT & RPT FAIRLAWN $73.20 $122.00 $6.93–$135.26 2% below 40%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 RD EKG W/INT & RPT $73.20 $122.00 $6.93–$135.26 2% below 40%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG $77.40 $129.00 $6.93–$135.26 4% above 40%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 RD EKG W/INT & RPT $73.20 $122.00 $6.93–$135.26 — 40%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 RD EKG W/INT & RPT FAIRLAWN $73.20 $122.00 $6.93–$135.26 — 40%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG $77.40 $129.00 $6.93–$135.26 — 40%
Electroconvulsive therapy (ECT), one session CPT 90870 ECT SINGLE SEIZURE $1,108.20 $1,847.00 $86.56–$1,969.00 89% above 40%
Electroconvulsive therapy (ECT), one session inpatient CPT 90870 ECT SINGLE SEIZURE $1,108.20 $1,847.00 $86.56–$1,969.00 — 40%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ER VISIT - LEVEL 1 $426.00 $710.00 $100.18–$2,734.00 95% above 40%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 ER VISIT - LEVEL 1 $426.00 $710.00 $100.18–$2,734.00 — 40%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 ER VISIT - LEVEL 2 $696.60 $1,161.00 $140.00–$2,734.00 135% above 40%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 ER VISIT - LEVEL 2 $696.60 $1,161.00 $140.00–$2,734.00 — 40%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 ER VISIT - LEVEL 3 $1,065.00 $1,775.00 $140.00–$2,734.00 188% above 40%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 ER VISIT - LEVEL 3 $1,065.00 $1,775.00 $140.00–$2,734.00 — 40%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 ER VISIT - LEVEL IV $1,323.60 $2,206.00 $140.00–$2,734.00 140% above 40%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 ER VISIT - LEVEL IV $1,323.60 $2,206.00 $140.00–$2,734.00 — 40%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 ER VISIT - LEVEL V $1,597.80 $2,663.00 $140.00–$2,734.00 102% above 40%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 ER VISIT - LEVEL V $1,597.80 $2,663.00 $140.00–$2,734.00 — 40%
Exercise stress test, tracing only, the hospital charge CPT 93017 MPI STRESS-LEXISCAN $720.00 $1,200.00 $41.19–$1,044.00 82% above 40%
Exercise stress test, tracing only, the hospital charge CPT 93017 PET SCAN STRESS TEST $720.00 $1,200.00 $41.19–$1,044.00 82% above 40%
Exercise stress test, tracing only, the hospital charge CPT 93017 CARDIO EXERCISE TEST $720.00 $1,200.00 $41.19–$1,044.00 82% above 40%
Exercise stress test, tracing only, the hospital charge CPT 93017 CARDIOLYTE STRESS-PERSANTINE $720.00 $1,200.00 $41.19–$1,044.00 82% above 40%
Exercise stress test, tracing only, the hospital charge CPT 93017 NUCLEAR STRESS TEST $720.00 $1,200.00 $41.19–$1,044.00 82% above 40%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 CARDIOLYTE STRESS-PERSANTINE $720.00 $1,200.00 $41.19–$1,044.00 — 40%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 PET SCAN STRESS TEST $720.00 $1,200.00 $41.19–$1,044.00 — 40%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 CARDIO EXERCISE TEST $720.00 $1,200.00 $41.19–$1,044.00 — 40%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 MPI STRESS-LEXISCAN $720.00 $1,200.00 $41.19–$1,044.00 — 40%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 NUCLEAR STRESS TEST $720.00 $1,200.00 $41.19–$1,044.00 — 40%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HYDRATION INITIAL HOUR $391.80 $653.00 $35.00–$555.05 57% above 40%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HYDRATION UP TO AN HOUR $593.40 $989.00 $35.00–$840.65 138% above 40%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HYDRATION INITIAL HOUR $391.80 $653.00 $35.00–$555.05 — 40%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HYDRATION UP TO AN HOUR $593.40 $989.00 $35.00–$840.65 — 40%
IV infusion of a medicine, first hour CPT 96365 IV INFUSION 1 HOUR $610.20 $1,017.00 $68.07–$864.45 132% above 40%
IV infusion of a medicine, first hour CPT 96365 NON CHEMO INFUSION INITIAL $610.20 $1,017.00 $68.07–$864.45 132% above 40%
IV infusion of a medicine, first hour CPT 96365 IGG 1 $610.20 $1,017.00 $68.07–$864.45 132% above 40%
IV infusion of a medicine, first hour CPT 96365 IV INFUSION INITAL $610.20 $1,017.00 $68.07–$864.45 132% above 40%
IV infusion of a medicine, first hour CPT 96365 NON CHEMO INFUSION 1 $610.20 $1,017.00 $68.07–$864.45 132% above 40%
IV infusion of a medicine, first hour inpatient CPT 96365 IGG 1 $610.20 $1,017.00 $68.07–$864.45 — 40%
IV infusion of a medicine, first hour inpatient CPT 96365 IV INFUSION 1 HOUR $610.20 $1,017.00 $68.07–$864.45 — 40%
IV infusion of a medicine, first hour inpatient CPT 96365 NON CHEMO INFUSION INITIAL $610.20 $1,017.00 $68.07–$864.45 — 40%
IV infusion of a medicine, first hour inpatient CPT 96365 NON CHEMO INFUSION 1 $610.20 $1,017.00 $68.07–$864.45 — 40%
IV infusion of a medicine, first hour inpatient CPT 96365 IV INFUSION INITAL $610.20 $1,017.00 $68.07–$864.45 — 40%
IV push of a medicine, first drug CPT 96374 INJECTION IV $174.00 $290.00 $39.73–$746.00 25% below 40%
IV push of a medicine, first drug CPT 96374 NON-CHEMO IV PUSH INITIAL $264.60 $441.00 $248.28–$487.70 13% above 40%
IV push of a medicine, first drug CPT 96374 NON CHEMO IV PUSH INITIAL $286.20 $477.00 $39.73–$746.00 23% above 40%
IV push of a medicine, first drug CPT 96374 THERA PROPHYL IV PUSH NON CHEM $313.20 $522.00 $39.73–$746.00 34% above 40%
IV push of a medicine, first drug CPT 96374 THERAPEU PROPHYLACTIC IV PUSH $327.60 $546.00 $39.73–$746.00 40% above 40%
IV push of a medicine, first drug inpatient CPT 96374 INJECTION IV $174.00 $290.00 $39.73–$746.00 — 40%
IV push of a medicine, first drug inpatient CPT 96374 NON-CHEMO IV PUSH INITIAL $264.60 $441.00 $248.28–$487.70 — 40%
IV push of a medicine, first drug inpatient CPT 96374 NON CHEMO IV PUSH INITIAL $286.20 $477.00 $39.73–$746.00 — 40%
IV push of a medicine, first drug inpatient CPT 96374 THERA PROPHYL IV PUSH NON CHEM $313.20 $522.00 $39.73–$746.00 — 40%
IV push of a medicine, first drug inpatient CPT 96374 THERAPEU PROPHYLACTIC IV PUSH $327.60 $546.00 $39.73–$746.00 — 40%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION IM $42.60 $71.00 $15.89–$746.00 49% below 40%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 THERAPEUTIC PROPHYLACTIC INJ $169.20 $282.00 $85.54–$211.50 102% above 40%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 THERAPEU PROPHYL INJ NON CHEMO $177.60 $296.00 $15.92–$746.00 112% above 40%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 THERAPEUTIC INJECTION ADMIN $184.20 $307.00 $15.92–$746.00 120% above 40%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 THERAPEUTIC PROPHYLACTIC INJ $184.20 $307.00 $15.92–$746.00 120% above 40%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 THER/PROPH/DIAG INJ SC/IM $212.40 $354.00 $15.92–$746.00 153% above 40%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 THERAPEUTIC IM OR SUBSQ $232.20 $387.00 $15.92–$746.00 177% above 40%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJECTION IM $42.60 $71.00 $15.89–$746.00 — 40%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 THERAPEUTIC PROPHYLACTIC INJ $169.20 $282.00 $85.54–$211.50 — 40%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 THERAPEU PROPHYL INJ NON CHEMO $177.60 $296.00 $15.92–$746.00 — 40%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 THERAPEUTIC PROPHYLACTIC INJ $184.20 $307.00 $15.92–$746.00 — 40%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 THERAPEUTIC INJECTION ADMIN $184.20 $307.00 $15.92–$746.00 — 40%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 THER/PROPH/DIAG INJ SC/IM $212.40 $354.00 $15.92–$746.00 — 40%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 THERAPEUTIC IM OR SUBSQ $232.20 $387.00 $15.92–$746.00 — 40%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 CIS - CRISIS EVALUATI LEVEL 1 $1,144.20 $1,907.00 $210.87–$1,430.25 505% above 40%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 CIS - CRISIS EVAL - LEVEL 1 $1,144.20 $1,907.00 $210.87–$1,430.25 505% above 40%
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 CIS - CRISIS EVALUATI LEVEL 1 $1,144.20 $1,907.00 $210.87–$1,430.25 — 40%
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 CIS - CRISIS EVAL - LEVEL 1 $1,144.20 $1,907.00 $210.87–$1,430.25 — 40%
Nerve conduction study, 7 or 8 nerve studies CPT 95910 NRV CONDUCTION 7-8 MUSCLES $427.20 $712.00 $159.35–$855.61 24% above 40%
Nerve conduction study, 7 or 8 nerve studies CPT 95910 NRV CNDJ TEST 7-8 STUDIES $586.20 $977.00 $187.13–$855.61 70% above 40%
Nerve conduction study, 7 or 8 nerve studies inpatient CPT 95910 NRV CONDUCTION 7-8 MUSCLES $427.20 $712.00 $159.35–$855.61 — 40%
Nerve conduction study, 7 or 8 nerve studies inpatient CPT 95910 NRV CNDJ TEST 7-8 STUDIES $586.20 $977.00 $187.13–$855.61 — 40%
Neuromuscular re-education, 15 minutes CPT 97112 PT-NEUROM REEDUC 15 MIN TELE $70.20 $117.00 $26.18–$456.00 70% above 40%
Neuromuscular re-education, 15 minutes CPT 97112 OT- NEUROMUSCULAR REDUC 15MIN $103.80 $173.00 $36.32–$583.00 152% above 40%
Neuromuscular re-education, 15 minutes CPT 97112 PT-NEUROMSCULR REEDUC 15 MIN $121.20 $202.00 $36.32–$456.00 194% above 40%
Neuromuscular re-education, 15 minutes CPT 97112 NEUROMUSCULAR RE-ED (TIMED) $126.00 $210.00 $36.32–$456.00 206% above 40%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 PT-NEUROM REEDUC 15 MIN TELE $70.20 $117.00 $26.18–$456.00 — 40%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 OT- NEUROMUSCULAR REDUC 15MIN $103.80 $173.00 $36.32–$583.00 — 40%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 PT-NEUROMSCULR REEDUC 15 MIN $121.20 $202.00 $36.32–$456.00 — 40%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 NEUROMUSCULAR RE-ED (TIMED) $126.00 $210.00 $36.32–$456.00 — 40%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 MNT - 15 MINUTES INITIAL $88.20 $147.00 $28.86–$373.00 115% above 40%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 MNT - 15 MINUTES INIT TELE $88.20 $147.00 $28.86–$373.00 115% above 40%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 MNT - 15 MINUTES INITIAL $88.20 $147.00 $28.86–$373.00 — 40%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 MNT - 15 MINUTES INIT TELE $88.20 $147.00 $28.86–$373.00 — 40%
Occupational therapy evaluation, low complexity CPT 97165 OT - OT EVAL LOW COMPLEX $325.80 $543.00 $60.00–$583.00 153% above 40%
Occupational therapy evaluation, low complexity CPT 97165 OT EVAL LOW COMPLEX $367.80 $613.00 $60.00–$583.00 185% above 40%
Occupational therapy evaluation, low complexity inpatient CPT 97165 OT - OT EVAL LOW COMPLEX $325.80 $543.00 $60.00–$583.00 — 40%
Occupational therapy evaluation, low complexity inpatient CPT 97165 OT EVAL LOW COMPLEX $367.80 $613.00 $60.00–$583.00 — 40%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT EVAL HIGH COMPLEX $460.80 $768.00 $60.00–$652.80 265% above 40%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT - PT EVAL HIGH COMPLEX $768.00 $1,280.00 $60.00–$1,088.00 509% above 40%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 PT EVAL HIGH COMPLEX $460.80 $768.00 $60.00–$652.80 — 40%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 PT - PT EVAL HIGH COMPLEX $768.00 $1,280.00 $60.00–$1,088.00 — 40%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT - PT EVAL LOW COMPLEX $325.80 $543.00 $60.00–$461.55 158% above 40%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT EVAL LOW COMPLEX $412.20 $687.00 $60.00–$583.95 227% above 40%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 PT - PT EVAL LOW COMPLEX $325.80 $543.00 $60.00–$461.55 — 40%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 PT EVAL LOW COMPLEX $412.20 $687.00 $60.00–$583.95 — 40%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT - PT EVAL MOD COMPLEX $385.80 $643.00 $60.00–$546.55 206% above 40%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT EVAL MOD COMPLEX $438.60 $731.00 $60.00–$621.35 248% above 40%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 PT - PT EVAL MOD COMPLEX $385.80 $643.00 $60.00–$546.55 — 40%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 PT EVAL MOD COMPLEX $438.60 $731.00 $60.00–$621.35 — 40%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 OT - MANUAL THERAPY $103.80 $173.00 $30.73–$583.00 195% above 40%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 PT - MANUAL THERAPY 15 MIN $121.20 $202.00 $30.73–$456.00 244% above 40%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MANUAL THERAPY (TIMED) $132.60 $221.00 $30.73–$456.00 277% above 40%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 SP - MANUAL THERAPY EA 15 MIN $139.80 $233.00 $30.73–$456.00 297% above 40%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 OT - MANUAL THERAPY $103.80 $173.00 $30.73–$583.00 — 40%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 PT - MANUAL THERAPY 15 MIN $121.20 $202.00 $30.73–$456.00 — 40%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 MANUAL THERAPY (TIMED) $132.60 $221.00 $30.73–$456.00 — 40%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 SP - MANUAL THERAPY EA 15 MIN $139.80 $233.00 $30.73–$456.00 — 40%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PT-THERAPEUTIC EXE 15 MIN TELE $70.20 $117.00 $26.18–$101.79 89% above 40%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 OT-THERAPEUTIC EXE 15 MIN TELE $90.00 $150.00 $32.22–$130.50 143% above 40%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PT-PHY THERAPY-I.C.N. EA 15 MN $100.80 $168.00 $32.22–$456.00 172% above 40%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 OT-OCCUP THER-I.C.N. EA 15 MIN $100.80 $168.00 $32.22–$583.00 172% above 40%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PT-THERAPEUTIC EXERCISE 15 MIN $103.80 $173.00 $32.22–$456.00 180% above 40%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 OT-THERAPEUTIC EXERCISE 15 MIN $103.80 $173.00 $32.22–$583.00 180% above 40%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAPEUTIC EXERCISE (TIMED) $126.00 $210.00 $32.22–$456.00 240% above 40%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAPE EXERCISE (TIMED) $126.00 $210.00 $32.22–$583.00 240% above 40%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PT - INIT - 4 VISITS PLAN-TELE $271.20 $452.00 $32.22–$393.24 632% above 40%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 OT - INIT - 4 VISITS PLAN-TELE $271.20 $452.00 $32.22–$393.24 632% above 40%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 PT-THERAPEUTIC EXE 15 MIN TELE $70.20 $117.00 $26.18–$101.79 — 40%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 OT-THERAPEUTIC EXE 15 MIN TELE $90.00 $150.00 $32.22–$130.50 — 40%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 PT-PHY THERAPY-I.C.N. EA 15 MN $100.80 $168.00 $32.22–$456.00 — 40%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 OT-OCCUP THER-I.C.N. EA 15 MIN $100.80 $168.00 $32.22–$583.00 — 40%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 OT-THERAPEUTIC EXERCISE 15 MIN $103.80 $173.00 $32.22–$583.00 — 40%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 PT-THERAPEUTIC EXERCISE 15 MIN $103.80 $173.00 $32.22–$456.00 — 40%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERAPEUTIC EXERCISE (TIMED) $126.00 $210.00 $32.22–$456.00 — 40%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERAPE EXERCISE (TIMED) $126.00 $210.00 $32.22–$583.00 — 40%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 OT - INIT - 4 VISITS PLAN-TELE $271.20 $452.00 $32.22–$393.24 — 40%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 PT - INIT - 4 VISITS PLAN-TELE $271.20 $452.00 $32.22–$393.24 — 40%
Preventive checkup, new patient aged 18–39 CPT 99385 INITIAL TOBACCO ASSESSMENT $39.00 $65.00 $14.55–$373.00 at median 40%
Preventive checkup, new patient aged 18–39 inpatient CPT 99385 INITIAL TOBACCO ASSESSMENT $39.00 $65.00 $14.55–$373.00 — 40%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 SMOKING/TOBACCO CNSEL 3-10 MIN $48.00 $80.00 $16.13–$373.00 45% above 40%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 SMOKE/TOBA CESSATION 3-10 MIN $57.00 $95.00 $16.13–$373.00 73% above 40%
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 SMOKING/TOBACCO CNSEL 3-10 MIN $48.00 $80.00 $16.13–$373.00 — 40%
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 SMOKE/TOBA CESSATION 3-10 MIN $57.00 $95.00 $16.13–$373.00 — 40%
Specialist consultation, low complexity or 30+ minutes CPT 99243 OFFICE CONSULT - UP TO 40 MIN $485.40 $809.00 $137.16–$703.83 94% above 40%
Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 OFFICE CONSULT - UP TO 40 MIN $485.40 $809.00 $137.16–$703.83 — 40%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 OFFICE CONSULT - UP TO 60 MIN $591.60 $986.00 $193.13–$857.82 1151% above 40%
Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 OFFICE CONSULT - UP TO 60 MIN $591.60 $986.00 $193.13–$857.82 — 40%
Speech and language evaluation CPT 92523 ST-SPEECH THER CONSULT $114.00 $190.00 $42.52–$482.92 61% below 40%
Speech and language evaluation CPT 92523 SPEECH SOUND LANG COMPREHEN $467.40 $779.00 $60.00–$662.15 60% above 40%
Speech and language evaluation CPT 92523 ST-INIT SPEECH EVAL $701.40 $1,169.00 $60.00–$993.65 140% above 40%
Speech and language evaluation inpatient CPT 92523 ST-SPEECH THER CONSULT $114.00 $190.00 $42.52–$482.92 — 40%
Speech and language evaluation inpatient CPT 92523 SPEECH SOUND LANG COMPREHEN $467.40 $779.00 $60.00–$662.15 — 40%
Speech and language evaluation inpatient CPT 92523 ST-INIT SPEECH EVAL $701.40 $1,169.00 $60.00–$993.65 — 40%
Speech therapy session, individual CPT 92507 SP - SPEECH THER-45 MIN TELE $210.00 $350.00 $16.15–$304.50 114% above 40%
Speech therapy session, individual CPT 92507 ST - SPEECH THER TELEMED $220.80 $368.00 $16.15–$320.16 125% above 40%
Speech therapy session, individual CPT 92507 ST - SPEECH THER $241.80 $403.00 $60.00–$456.00 146% above 40%
Speech therapy session, individual CPT 92507 SPEECH LANGUAGE THERAPY $254.40 $424.00 $60.00–$456.00 159% above 40%
Speech therapy session, individual CPT 92507 SP - INIT - 4 VISITS PLAN-TELE $271.20 $452.00 $16.15–$393.24 176% above 40%
Speech therapy session, individual CPT 92507 ST - SPEECH THER-60 MIN TELE $279.60 $466.00 $16.15–$456.00 185% above 40%
Speech therapy session, individual inpatient CPT 92507 SP - SPEECH THER-45 MIN TELE $210.00 $350.00 $16.15–$304.50 — 40%
Speech therapy session, individual inpatient CPT 92507 ST - SPEECH THER TELEMED $220.80 $368.00 $16.15–$320.16 — 40%
Speech therapy session, individual inpatient CPT 92507 ST - SPEECH THER $241.80 $403.00 $60.00–$456.00 — 40%
Speech therapy session, individual inpatient CPT 92507 SPEECH LANGUAGE THERAPY $254.40 $424.00 $60.00–$456.00 — 40%
Speech therapy session, individual inpatient CPT 92507 SP - INIT - 4 VISITS PLAN-TELE $271.20 $452.00 $16.15–$393.24 — 40%
Speech therapy session, individual inpatient CPT 92507 ST - SPEECH THER-60 MIN TELE $279.60 $466.00 $16.15–$456.00 — 40%
Spirometry (breathing test) CPT 94010 SPIROMETRY W/O BRONCH $199.80 $333.00 $29.53–$495.09 7% above 40%
Spirometry (breathing test) CPT 94010 PFT - SPIROMETRY - SIMPLE $228.00 $380.00 $29.53–$495.09 22% above 40%
Spirometry (breathing test) inpatient CPT 94010 SPIROMETRY W/O BRONCH $199.80 $333.00 $29.53–$495.09 — 40%
Spirometry (breathing test) inpatient CPT 94010 PFT - SPIROMETRY - SIMPLE $228.00 $380.00 $29.53–$495.09 — 40%
Spirometry before and after a bronchodilator CPT 94060 SPIROMETRY-BRONCHO DILATOR $307.80 $513.00 $42.19–$855.61 11% below 40%
Spirometry before and after a bronchodilator CPT 94060 PFT-SPIROMETRY-BRONCHO DILATOR $414.00 $690.00 $42.19–$855.61 20% above 40%
Spirometry before and after a bronchodilator inpatient CPT 94060 SPIROMETRY-BRONCHO DILATOR $307.80 $513.00 $42.19–$855.61 — 40%
Spirometry before and after a bronchodilator inpatient CPT 94060 PFT-SPIROMETRY-BRONCHO DILATOR $414.00 $690.00 $42.19–$855.61 — 40%
Therapeutic activities (functional training), 15 minutes CPT 97530 PT-THERAPEUTIC ACT 15 MIN TELE $70.20 $117.00 $26.18–$101.79 57% above 40%
Therapeutic activities (functional training), 15 minutes CPT 97530 OT-THERAPEUTIC ACT 15 MIN TELE $90.00 $150.00 $33.57–$130.50 102% above 40%
Therapeutic activities (functional training), 15 minutes CPT 97530 PT-THERAPEUTIC ACTIVITY 15 MIN $103.80 $173.00 $38.72–$456.00 133% above 40%
Therapeutic activities (functional training), 15 minutes CPT 97530 OT-THERAPEUTIC ACTIVITY 15 MIN $103.80 $173.00 $38.72–$583.00 133% above 40%
Therapeutic activities (functional training), 15 minutes CPT 97530 THERAPEUTIC ACTIVITIES (TIMED) $130.20 $217.00 $39.23–$456.00 192% above 40%
Therapeutic activities (functional training), 15 minutes CPT 97530 THERAP ACTIVITIES (TIMED) $130.20 $217.00 $39.23–$583.00 192% above 40%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 PT-THERAPEUTIC ACT 15 MIN TELE $70.20 $117.00 $26.18–$101.79 — 40%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 OT-THERAPEUTIC ACT 15 MIN TELE $90.00 $150.00 $33.57–$130.50 — 40%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 OT-THERAPEUTIC ACTIVITY 15 MIN $103.80 $173.00 $38.72–$583.00 — 40%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 PT-THERAPEUTIC ACTIVITY 15 MIN $103.80 $173.00 $38.72–$456.00 — 40%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 THERAP ACTIVITIES (TIMED) $130.20 $217.00 $39.23–$583.00 — 40%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 THERAPEUTIC ACTIVITIES (TIMED) $130.20 $217.00 $39.23–$456.00 — 40%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 THERAPEUTIC PHLEBOTOMY $338.40 $564.00 $104.60–$746.00 112% above 40%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 PHLEBOTOMY,THERAPEUTIC $370.80 $618.00 $104.60–$746.00 132% above 40%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 THERAPEUTIC PHLEBOTOMY $338.40 $564.00 $104.60–$746.00 — 40%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 PHLEBOTOMY,THERAPEUTIC $370.80 $618.00 $104.60–$746.00 — 40%
Visual field test, extended CPT 92083 VISUAL FIELD EXAMINATION(S) $621.00 $1,035.00 $68.22–$900.45 65% above 40%
Visual field test, extended inpatient CPT 92083 VISUAL FIELD EXAMINATION(S) $621.00 $1,035.00 $68.22–$900.45 — 40%

Vaccines

ProcedureCash priceList priceInsurers payvs New JerseyOff list
COVID-19 vaccine (Moderna), age 12 and older CPT 91322 SARSCOV2 VAC 50 MCG/0.5ML IM $482.94 $804.90 $161.65–$603.68 619% above 40%
COVID-19 vaccine (Moderna), age 12 and older inpatient CPT 91322 SARSCOV2 VAC 50 MCG/0.5ML IM $482.94 $804.90 $161.65–$603.68 — 40%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 DTAP VACCINE IM $111.59 $185.99 $29.10–$139.49 158% above 40%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 DAPTACEL DTaP Vaccine [VFC] $111.59 $185.99 $29.10–$161.81 158% above 40%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 DAPTACEL DTaP Vaccine [VFC] $111.59 $185.99 $29.10–$161.81 — 40%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 DTAP VACCINE IM $111.59 $185.99 $29.10–$139.49 — 40%
DTaP, polio and Hib combination vaccine (Pentacel) CPT 90698 DTaP-Hib-IPV Vaccine $433.37 $722.29 $118.96–$541.72 353% above 40%
DTaP, polio and Hib combination vaccine (Pentacel) CPT 90698 PENTACEL VIAL KIT [VFC] $433.37 $722.29 $118.96–$628.39 353% above 40%
DTaP, polio and Hib combination vaccine (Pentacel) inpatient CPT 90698 PENTACEL VIAL KIT [VFC] $433.37 $722.29 $118.96–$628.39 — 40%
DTaP, polio and Hib combination vaccine (Pentacel) inpatient CPT 90698 DTaP-Hib-IPV Vaccine $433.37 $722.29 $118.96–$541.72 — 40%
Flu shot, recombinant, egg-free (Flublok) CPT 90673 FLU VAC TV 2024(18YR UP)RCM/PF $297.08 $495.14 $98.16–$371.36 374% above 40%
Flu shot, recombinant, egg-free (Flublok) inpatient CPT 90673 FLU VAC TV 2024(18YR UP)RCM/PF $297.08 $495.14 $98.16–$371.36 — 40%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 FLUZONE 6 MONTHS AND UP PFS $80.14 $133.57 $23.22–$100.18 90% above 40%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 FLUZONE 2025-2026 SYRINGE $80.14 $133.57 $23.22–$100.18 90% above 40%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 FLUZONE 6 MONTHS AND UP PFS $80.14 $133.57 $23.22–$100.18 — 40%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 FLUZONE 2025-2026 SYRINGE $80.14 $133.57 $23.22–$100.18 — 40%
HPV vaccine, 9-valent (Gardasil 9) CPT 90651 HPV 9 Valent Vaccine $1,098.52 $1,830.87 $375.02–$1,373.15 360% above 40%
HPV vaccine, 9-valent (Gardasil 9) CPT 90651 GARDASIL 9 SYRINGE [VFC] $1,098.52 $1,830.87 $375.02–$1,592.86 360% above 40%
HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 HPV 9 Valent Vaccine $1,098.52 $1,830.87 $375.02–$1,373.15 — 40%
HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 GARDASIL 9 SYRINGE [VFC] $1,098.52 $1,830.87 $375.02–$1,592.86 — 40%
Hepatitis A and B combination vaccine, adult (Twinrix) CPT 90636 HEPATITIS A & B $66.00 $110.00 $24.62–$150.69 31% below 40%
Hepatitis A and B combination vaccine, adult (Twinrix) CPT 90636 VAC - HEPATITIS A & B $477.33 $795.55 $150.69–$596.66 403% above 40%
Hepatitis A and B combination vaccine, adult (Twinrix) inpatient CPT 90636 HEPATITIS A & B $66.00 $110.00 $24.62–$150.69 — 40%
Hepatitis A and B combination vaccine, adult (Twinrix) inpatient CPT 90636 VAC - HEPATITIS A & B $477.33 $795.55 $150.69–$596.66 — 40%
Hepatitis A vaccine, adult dose CPT 90632 VAC-HEPATITIS A ADULT IM $51.00 $85.00 $19.02–$77.95 45% below 40%
Hepatitis A vaccine, adult dose CPT 90632 VAQTA 50 UNITS/ML SYRINGE [VFC] $293.29 $488.82 $73.54–$425.27 216% above 40%
Hepatitis A vaccine, adult dose inpatient CPT 90632 VAC-HEPATITIS A ADULT IM $51.00 $85.00 $19.02–$77.95 — 40%
Hepatitis A vaccine, adult dose inpatient CPT 90632 VAQTA 50 UNITS/ML SYRINGE [VFC] $293.29 $488.82 $73.54–$425.27 — 40%
Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 [VFC] HAVRIX 720 UNITS/0.5 ML SYRINGE $144.49 $240.82 $44.46–$209.51 298% above 40%
Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 VAQTA PEDIATRIC 25 UNITS/0.5 ML SYRINGE [VFC] $144.49 $240.82 $44.46–$209.51 298% above 40%
Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 VAC HEPATITIS A PED IM $144.49 $240.82 $44.46–$180.62 298% above 40%
Hepatitis A vaccine, child and teen dose (2-dose schedule) inpatient CPT 90633 VAQTA PEDIATRIC 25 UNITS/0.5 ML SYRINGE [VFC] $144.49 $240.82 $44.46–$209.51 — 40%
Hepatitis A vaccine, child and teen dose (2-dose schedule) inpatient CPT 90633 [VFC] HAVRIX 720 UNITS/0.5 ML SYRINGE $144.49 $240.82 $44.46–$209.51 — 40%
Hepatitis A vaccine, child and teen dose (2-dose schedule) inpatient CPT 90633 VAC HEPATITIS A PED IM $144.49 $240.82 $44.46–$180.62 — 40%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 VAC-HEPATITIS B IM (20+ YRS) $42.00 $70.00 $15.67–$124.00 45% below 40%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 ENGERIX-B 20 MCG/ML VIAL $250.82 $418.03 $75.15–$313.52 231% above 40%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 ENGERIX-B 20 MCG/1 ML [VFC] $250.82 $418.03 $75.15–$313.52 231% above 40%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPLISAV-B 20 MCG/0.5 ML $250.82 $418.03 $75.15–$313.52 231% above 40%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 VAC - HEPATITIS B IM (20+ YRS) $250.82 $418.03 $75.15–$313.52 231% above 40%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 VAC-HEPATITIS B IM (20+ YRS) $42.00 $70.00 $15.67–$124.00 — 40%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HEPLISAV-B 20 MCG/0.5 ML $250.82 $418.03 $75.15–$313.52 — 40%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 VAC - HEPATITIS B IM (20+ YRS) $250.82 $418.03 $75.15–$313.52 — 40%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 ENGERIX-B 20 MCG/ML VIAL $250.82 $418.03 $75.15–$313.52 — 40%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 ENGERIX-B 20 MCG/1 ML [VFC] $250.82 $418.03 $75.15–$313.52 — 40%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 ENGERIX-B 10 MCG/0.5 ML PED $109.12 $181.86 $33.20–$136.40 264% above 40%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 ENGERIX-B 10 MCG/0.5 ML PED [VFC] $109.12 $181.86 $33.20–$136.40 264% above 40%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 RECOMBIVAX HB 5 MCG/0.5 ML [VFC] $109.12 $181.86 $33.20–$136.40 264% above 40%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 VAC HEPATITIS B PEDIATRIC $109.12 $181.86 $33.20–$136.40 264% above 40%
Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 VAC HEPATITIS B PEDIATRIC $109.12 $181.86 $33.20–$136.40 — 40%
Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 RECOMBIVAX HB 5 MCG/0.5 ML [VFC] $109.12 $181.86 $33.20–$136.40 — 40%
Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 ENGERIX-B 10 MCG/0.5 ML PED [VFC] $109.12 $181.86 $33.20–$136.40 — 40%
Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 ENGERIX-B 10 MCG/0.5 ML PED $109.12 $181.86 $33.20–$136.40 — 40%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 SANOFI FLUZONE QUADRIVALENT $21.00 $35.00 $7.83–$161.96 82% below 40%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 INFLUENZA VIRUS VACC-HIGH DOSE $175.05 $291.75 $65.29–$218.81 53% above 40%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 FLUZONE HIGH-DOSE QUAD 2020-21 $215.41 $359.02 $80.35–$269.27 88% above 40%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 FLUZONE HIGH DOSE TRIVALENT $297.08 $495.14 $98.16–$371.36 159% above 40%
High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 SANOFI FLUZONE QUADRIVALENT $21.00 $35.00 $7.83–$161.96 — 40%
High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 INFLUENZA VIRUS VACC-HIGH DOSE $175.05 $291.75 $65.29–$218.81 — 40%
High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 FLUZONE HIGH-DOSE QUAD 2020-21 $215.41 $359.02 $80.35–$269.27 — 40%
High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 FLUZONE HIGH DOSE TRIVALENT $297.08 $495.14 $98.16–$371.36 — 40%
MMR vaccine (measles, mumps and rubella), live CPT 90707 VAC-MMR LIVE $52.80 $88.00 $19.69–$108.10 20% below 40%
MMR vaccine (measles, mumps and rubella), live CPT 90707 M-M-R II VACCINE [ADULT 317] $330.94 $551.57 $108.10–$479.87 403% above 40%
MMR vaccine (measles, mumps and rubella), live CPT 90707 M-M-R II VACCINE [VFC] $330.94 $551.57 $108.10–$479.87 403% above 40%
MMR vaccine (measles, mumps and rubella), live CPT 90707 VAC - MMR LIVE $330.94 $551.57 $108.10–$413.68 403% above 40%
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 VAC-MMR LIVE $52.80 $88.00 $19.69–$108.10 — 40%
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 M-M-R II VACCINE [VFC] $330.94 $551.57 $108.10–$479.87 — 40%
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 M-M-R II VACCINE [ADULT 317] $330.94 $551.57 $108.10–$479.87 — 40%
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 VAC - MMR LIVE $330.94 $551.57 $108.10–$413.68 — 40%
MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) CPT 90710 MMRV $44.40 $74.00 $16.56–$329.08 69% below 40%
MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) inpatient CPT 90710 MMRV $44.40 $74.00 $16.56–$329.08 — 40%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENVEO KIT [VFC] $503.40 $839.00 $187.77–$729.93 327% above 40%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENINGOCOCCAL VAC, IM $503.40 $839.00 $187.77–$629.25 327% above 40%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENVEO SINGLE VIAL [VFC] $503.40 $839.00 $187.77–$729.93 327% above 40%
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 MENINGOCOCCAL VAC, IM $503.40 $839.00 $187.77–$629.25 — 40%
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 MENVEO KIT [VFC] $503.40 $839.00 $187.77–$729.93 — 40%
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 MENVEO SINGLE VIAL [VFC] $503.40 $839.00 $187.77–$729.93 — 40%
Meningococcal ACWY vaccine (MenQuadfi) CPT 90619 MENACWY-TT VACCINE IM $596.99 $994.98 $222.68–$845.73 598% above 40%
Meningococcal ACWY vaccine (MenQuadfi) CPT 90619 MENQUADFI VIAL [VFC] $596.99 $994.98 $222.68–$865.63 598% above 40%
Meningococcal ACWY vaccine (MenQuadfi) inpatient CPT 90619 MENACWY-TT VACCINE IM $596.99 $994.98 $222.68–$845.73 — 40%
Meningococcal ACWY vaccine (MenQuadfi) inpatient CPT 90619 MENQUADFI VIAL [VFC] $596.99 $994.98 $222.68–$865.63 — 40%
Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 MENB-4C VACC 2 DOSE IM $841.85 $1,403.08 $270.18–$1,052.31 320% above 40%
Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 MENB-4C VACC 2 DOSE IM $841.85 $1,403.08 $270.18–$1,052.31 — 40%
Meningococcal B vaccine (Trumenba) CPT 90621 VAC - Meningococcal B (Recomb) $758.03 $1,263.38 $236.20–$947.54 237% above 40%
Meningococcal B vaccine (Trumenba) CPT 90621 TRUMENBA [VFC] $758.03 $1,263.38 $236.20–$1,099.14 237% above 40%
Meningococcal B vaccine (Trumenba) inpatient CPT 90621 VAC - Meningococcal B (Recomb) $758.03 $1,263.38 $236.20–$947.54 — 40%
Meningococcal B vaccine (Trumenba) inpatient CPT 90621 TRUMENBA [VFC] $758.03 $1,263.38 $236.20–$1,099.14 — 40%
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 VAC-PNEUMOCOCCAL 13 VALENT $759.74 $1,266.24 $257.99–$949.68 209% above 40%
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) inpatient CPT 90670 VAC-PNEUMOCOCCAL 13 VALENT $759.74 $1,266.24 $257.99–$949.68 — 40%
Pneumonia vaccine, 15-valent conjugate (Vaxneuvance) CPT 90671 VAXNEUVANCE VACCINE IM $806.57 $1,344.29 $269.31–$1,008.22 309% above 40%
Pneumonia vaccine, 15-valent conjugate (Vaxneuvance) CPT 90671 VAXNEUVANCE 15 [VFC] $806.57 $1,344.29 $269.31–$1,008.22 309% above 40%
Pneumonia vaccine, 15-valent conjugate (Vaxneuvance) inpatient CPT 90671 VAXNEUVANCE VACCINE IM $806.57 $1,344.29 $269.31–$1,008.22 — 40%
Pneumonia vaccine, 15-valent conjugate (Vaxneuvance) inpatient CPT 90671 VAXNEUVANCE 15 [VFC] $806.57 $1,344.29 $269.31–$1,008.22 — 40%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PREVNAR 20 [ADULT 317] $1,000.05 $1,666.75 $312.90–$1,250.06 412% above 40%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PREVNAR 20 [VFC] $1,000.05 $1,666.75 $312.90–$1,250.06 412% above 40%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PREVNAR 20 $1,000.05 $1,666.75 $312.90–$1,250.06 412% above 40%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 PREVNAR 20 [ADULT 317] $1,000.05 $1,666.75 $312.90–$1,250.06 — 40%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 PREVNAR 20 [VFC] $1,000.05 $1,666.75 $312.90–$1,250.06 — 40%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 PREVNAR 20 $1,000.05 $1,666.75 $312.90–$1,250.06 — 40%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 VAC - PNEUMOCOCCAL POLYSACCARI $401.36 $668.94 $133.47–$501.71 126% above 40%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOVAX 23 [VFC] $401.36 $668.94 $133.47–$501.71 126% above 40%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOVAX 23 [ADULT 317] $401.36 $668.94 $133.47–$501.71 126% above 40%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMOVAX 23 [VFC] $401.36 $668.94 $133.47–$501.71 — 40%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMOVAX 23 [ADULT 317] $401.36 $668.94 $133.47–$501.71 — 40%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 VAC - PNEUMOCOCCAL POLYSACCARI $401.36 $668.94 $133.47–$501.71 — 40%
Polio vaccine, inactivated (IPV) CPT 90713 VAC-INACTIVE POLIO $27.60 $46.00 $10.29–$54.36 68% below 40%
Polio vaccine, inactivated (IPV) CPT 90713 VAC - INACTIVE POLIO $170.30 $283.83 $54.36–$212.87 100% above 40%
Polio vaccine, inactivated (IPV) CPT 90713 IPOL [VFC] $170.30 $283.83 $54.36–$246.93 100% above 40%
Polio vaccine, inactivated (IPV) inpatient CPT 90713 VAC-INACTIVE POLIO $27.60 $46.00 $10.29–$54.36 — 40%
Polio vaccine, inactivated (IPV) inpatient CPT 90713 IPOL [VFC] $170.30 $283.83 $54.36–$246.93 — 40%
Polio vaccine, inactivated (IPV) inpatient CPT 90713 VAC - INACTIVE POLIO $170.30 $283.83 $54.36–$212.87 — 40%
RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) CPT 90381 RSV MONOC ANTB SEASN 1.0ML IM $1,978.70 $3,297.83 $553.91–$2,473.37 257% above 40%
RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) CPT 90381 BEYFORTUS 100 MG/ML SYRINGE [VFC] $1,978.70 $3,297.83 $553.91–$2,869.11 257% above 40%
RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) inpatient CPT 90381 BEYFORTUS 100 MG/ML SYRINGE [VFC] $1,978.70 $3,297.83 $553.91–$2,869.11 — 40%
RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) inpatient CPT 90381 RSV MONOC ANTB SEASN 1.0ML IM $1,978.70 $3,297.83 $553.91–$2,473.37 — 40%
RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 RSV MONOC ANTB SEASN 0.5ML IM $1,978.70 $3,297.83 $553.91–$2,473.37 121% above 40%
RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 BEYFORTUS 50 MG/ML SYRINGE [VFC] $1,978.70 $3,297.83 $553.91–$2,869.11 121% above 40%
RSV antibody shot for infants, seasonal dose (0.5 mL) inpatient CPT 90380 RSV MONOC ANTB SEASN 0.5ML IM $1,978.70 $3,297.83 $553.91–$2,473.37 — 40%
RSV antibody shot for infants, seasonal dose (0.5 mL) inpatient CPT 90380 BEYFORTUS 50 MG/ML SYRINGE [VFC] $1,978.70 $3,297.83 $553.91–$2,869.11 — 40%
RSV vaccine (Abrysvo), one dose for older adults or during pregnancy CPT 90678 RSV VACC PREF BIVALENT IM $1,067.93 $1,779.89 $349.75–$1,334.92 31% above 40%
RSV vaccine (Abrysvo), one dose for older adults or during pregnancy inpatient CPT 90678 RSV VACC PREF BIVALENT IM $1,067.93 $1,779.89 $349.75–$1,334.92 — 40%
Rabies vaccine, one dose CPT 90675 RABIES $180.00 $300.00 $67.14–$617.11 50% below 40%
Rabies vaccine, one dose CPT 90675 VAC - RABIES $1,449.22 $2,415.36 $319.75–$1,811.52 300% above 40%
Rabies vaccine, one dose inpatient CPT 90675 RABIES $180.00 $300.00 $67.14–$617.11 — 40%
Rabies vaccine, one dose inpatient CPT 90675 VAC - RABIES $1,449.22 $2,415.36 $319.75–$1,811.52 — 40%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TD VACCINE NO PRSRV 7 YRS + IM $72.00 $120.00 $26.86–$90.00 65% above 40%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS & DIPHTERIA TOX $161.56 $269.26 $38.97–$201.95 270% above 40%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TD VACCINE NO PRSRV 7 YRS + IM $72.00 $120.00 $26.86–$90.00 — 40%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS & DIPHTERIA TOX $161.56 $269.26 $38.97–$201.95 — 40%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TDAP VACCINE >7 IM $30.00 $50.00 $11.19–$42.07 47% below 40%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Adacel Tdap Vial [ADULT 317] $176.14 $293.57 $39.69–$255.41 213% above 40%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 BOOSTRIX TDAP 0.5 ML SYRINGE [VFC] $176.14 $293.57 $39.69–$255.41 213% above 40%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 ADACEL TdaP VIALl [VFC] $176.14 $293.57 $39.69–$255.41 213% above 40%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 ADACEL TDAP SYRINGE $176.14 $293.57 $39.69–$255.41 213% above 40%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 TDAP VACCINE >7 IM $30.00 $50.00 $11.19–$42.07 — 40%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 ADACEL TDAP SYRINGE $176.14 $293.57 $39.69–$255.41 — 40%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 ADACEL TdaP VIALl [VFC] $176.14 $293.57 $39.69–$255.41 — 40%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 BOOSTRIX TDAP 0.5 ML SYRINGE [VFC] $176.14 $293.57 $39.69–$255.41 — 40%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 Adacel Tdap Vial [ADULT 317] $176.14 $293.57 $39.69–$255.41 — 40%
Typhoid vaccine, injectable (Vi polysaccharide) CPT 90691 VAC - TYPHOID $548.28 $913.80 $184.22–$685.35 477% above 40%
Typhoid vaccine, injectable (Vi polysaccharide) inpatient CPT 90691 VAC - TYPHOID $548.28 $913.80 $184.22–$685.35 — 40%
Typhoid vaccine, oral capsules (Vivotif) CPT 90690 VAC- TYPHOID $42.00 $70.00 $15.67–$52.50 37% above 40%
Typhoid vaccine, oral capsules (Vivotif) inpatient CPT 90690 VAC- TYPHOID $42.00 $70.00 $15.67–$52.50 — 40%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION ADMIN-SING/COMB $70.80 $118.00 $23.40–$165.09 2% below 40%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMIN OF VACCINE INITIAL $81.60 $136.00 $23.40–$165.09 13% above 40%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 VACCINE ADMINISTRATION $81.60 $136.00 $23.40–$165.09 13% above 40%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 INTRADERMAL $85.80 $143.00 $23.40–$165.09 19% above 40%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUNIZATION ADMIN-SING/COMB $70.80 $118.00 $23.40–$165.09 — 40%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 VACCINE ADMINISTRATION $81.60 $136.00 $23.40–$165.09 — 40%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ADMIN OF VACCINE INITIAL $81.60 $136.00 $23.40–$165.09 — 40%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 INTRADERMAL $85.80 $143.00 $23.40–$165.09 — 40%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUNIZATION ADMIN EA ADDL $25.20 $42.00 $9.40–$36.54 27% below 40%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUNIZATION ADMIN EA ADDITION $55.80 $93.00 $52.36–$69.75 61% above 40%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUN ADMIN EA ADDITION $58.20 $97.00 $16.56–$84.39 67% above 40%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 IMMUNIZATION ADMIN EA ADDL $25.20 $42.00 $9.40–$36.54 — 40%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 IMMUNIZATION ADMIN EA ADDITION $55.80 $93.00 $52.36–$69.75 — 40%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 IMMUN ADMIN EA ADDITION $58.20 $97.00 $16.56–$84.39 — 40%
Yellow fever vaccine, live CPT 90717 YELLOW FEVER $66.00 $110.00 $24.62–$292.21 39% below 40%
Yellow fever vaccine, live CPT 90717 VAC - YELLOW FEVER $860.89 $1,434.82 $292.21–$1,076.12 700% above 40%
Yellow fever vaccine, live inpatient CPT 90717 YELLOW FEVER $66.00 $110.00 $24.62–$292.21 — 40%
Yellow fever vaccine, live inpatient CPT 90717 VAC - YELLOW FEVER $860.89 $1,434.82 $292.21–$1,076.12 — 40%
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: http://www.valleyhealth.com/sites/default/files/cms-hpt/mrf/221487307_The-Valley-Hospital_standardcharges.csv