Wood County Hospital
Listed in its price file as “Wood County Hospital Association”.
Wood County Hospital in Bowling Green, OH publishes cash prices for 346 common procedures listed here, from its own machine-readable price file updated Jun 30, 2024. Compared with other hospitals in the state, its outpatient cash prices are below the Ohio median for 225 of 342 procedures and above it for 113. By typical cash price it ranks #49 of 139 Ohio hospitals and #1 of 7 hospitals in the Toledo, OH area, cheapest first. Select a procedure to compare it with other hospitals nearby.
950 West Wooster Street, Bowling Green, OH 43402 Collected Sep 23, 2026 Source price file Check a bill from this hospital (419) 354-8900
Acute care hospital Nonprofit hospital Emergency department CMS star rating 4 of 5 CCN 360029 · CMS hospital register
The price file shows no self-pay discount
For 1445 of the 1445 prices listed here, the cash price in Wood County Hospital's file equals its full list price (chargemaster), so the file publishes no self-pay discount. That is why it compares as expensive. Many hospitals still reduce bills for uninsured patients or offer financial assistance based on income: before a planned visit, ask the billing office for its self-pay rate and discount policy in writing. Other US hospitals whose cash price is their full list price.
Financial assistance
Nonprofit hospital: it must offer free or discounted care to patients who qualify. How to apply
Wood County 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
Ohio's Hospital Care Assurance Program (HCAP): Ohio residents who are not on Medicaid and whose income is at or below 100% of the federal poverty level get basic, medically necessary hospital services free at hospitals in the program; physician bills are not included. Ask the hospital's billing office for an HCAP application. Other states' laws.
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs Ohio | Off list |
|---|---|---|---|---|---|
| Abdominal CT scan without and with contrast CPT 74170 CT ABDOMEN W/WO IV CONT | $1,092.00 | $1,092.00 | $851.76–$1,059.24 | 18% below | — |
| Abdominal CT scan without and with contrast inpatient CPT 74170 CT ABDOMEN W/WO IV CONT | $1,092.00 | $1,092.00 | $851.76–$1,059.24 | — | — |
| Abdominal X-ray, 2 views CPT 74019 ABDOMEN 2 VIEWS - NB | $516.00 | $516.00 | $402.48–$500.52 | 53% above | — |
| Abdominal X-ray, 2 views CPT 74019 ABDOMEN 2 VIEWS | $516.00 | $516.00 | $402.48–$500.52 | 53% above | — |
| Abdominal X-ray, 2 views inpatient CPT 74019 ABDOMEN 2 VIEWS - NB | $516.00 | $516.00 | $402.48–$500.52 | — | — |
| Abdominal X-ray, 2 views inpatient CPT 74019 ABDOMEN 2 VIEWS | $516.00 | $516.00 | $402.48–$500.52 | — | — |
| Ankle X-ray, complete, 3 or more views CPT 73610 ANKLE 3-VIEW | $273.50 | $273.50 | $213.33–$265.30 | 14% below | — |
| Ankle X-ray, complete, 3 or more views CPT 73610 ANKLE - NB | $273.50 | $273.50 | $213.33–$265.30 | 14% below | — |
| Ankle X-ray, complete, 3 or more views inpatient CPT 73610 ANKLE - NB | $273.50 | $273.50 | $213.33–$265.30 | — | — |
| Ankle X-ray, complete, 3 or more views inpatient CPT 73610 ANKLE 3-VIEW | $273.50 | $273.50 | $213.33–$265.30 | — | — |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 TCOM - SINGLE LEVEL | $228.25 | $228.25 | $178.04–$221.40 | 53% below | — |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 EXTREM ARTERY X1 ABI BIL | $665.00 | $665.00 | $518.70–$645.05 | 38% above | — |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 TCOM - SINGLE LEVEL | $228.25 | $228.25 | $178.04–$221.40 | — | — |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 EXTREM ARTERY X1 ABI BIL | $665.00 | $665.00 | $518.70–$645.05 | — | — |
| Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 CT UPPER EXT WO CONT | $1,092.00 | $1,092.00 | $851.76–$1,059.24 | 16% above | — |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient CPT 73200 CT UPPER EXT WO CONT | $1,092.00 | $1,092.00 | $851.76–$1,059.24 | — | — |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 ESOPHAGUS | $409.50 | $409.50 | $319.41–$397.22 | 7% below | — |
| Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 ESOPHAGUS | $409.50 | $409.50 | $319.41–$397.22 | — | — |
| Bone scan, whole body (nuclear medicine) CPT 78306 BONE IMAGING TOTAL BODY | $1,072.00 | $1,072.00 | $836.16–$1,039.84 | 30% below | — |
| Bone scan, whole body (nuclear medicine) inpatient CPT 78306 BONE IMAGING TOTAL BODY | $1,072.00 | $1,072.00 | $836.16–$1,039.84 | — | — |
| Breast ultrasound, complete, one breast one side CPT 76641 US BREAST COMPLETE INCL AXILLA LEFT | $221.50 | $221.50 | $172.77–$214.86 | 54% below | — |
| Breast ultrasound, complete, one breast one side CPT 76641 US BREAST COMPLETE INCL AXILLA RIGHT | $221.50 | $221.50 | $172.77–$214.86 | 54% below | — |
| Breast ultrasound, complete, one breast inpatient one side CPT 76641 US BREAST COMPLETE INCL AXILLA LEFT | $221.50 | $221.50 | $172.77–$214.86 | — | — |
| Breast ultrasound, complete, one breast inpatient one side CPT 76641 US BREAST COMPLETE INCL AXILLA RIGHT | $221.50 | $221.50 | $172.77–$214.86 | — | — |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 US BREAST LIMITED LEFT | $158.25 | $158.25 | $123.44–$153.50 | 61% below | — |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 US BREAST LIMITED RIGHT | $158.25 | $158.25 | $123.44–$153.50 | 61% below | — |
| Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 US BREAST LIMITED RIGHT | $158.25 | $158.25 | $123.44–$153.50 | — | — |
| Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 US BREAST LIMITED LEFT | $158.25 | $158.25 | $123.44–$153.50 | — | — |
| CT angiography (CTA) of the abdomen and pelvis CPT 74174 CT ANGIO ABDOMEN AND PELVIS | $1,092.00 | $1,092.00 | $851.76–$1,059.24 | 49% below | — |
| CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 CT ANGIO ABDOMEN AND PELVIS | $1,092.00 | $1,092.00 | $851.76–$1,059.24 | — | — |
| CT angiography (CTA) of the head CPT 70496 CTA HEAD | $1,092.00 | $1,092.00 | $851.76–$1,059.24 | 18% below | — |
| CT angiography (CTA) of the head inpatient CPT 70496 CTA HEAD | $1,092.00 | $1,092.00 | $851.76–$1,059.24 | — | — |
| CT angiography (CTA) of the neck CPT 70498 CTA NECK | $1,092.00 | $1,092.00 | $851.76–$1,059.24 | 16% below | — |
| CT angiography (CTA) of the neck inpatient CPT 70498 CTA NECK | $1,092.00 | $1,092.00 | $851.76–$1,059.24 | — | — |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CTA CHEST (NONCORONARY) | $1,092.00 | $1,092.00 | $851.76–$1,059.24 | 23% below | — |
| CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CTA CHEST (NONCORONARY) | $1,092.00 | $1,092.00 | $851.76–$1,059.24 | — | — |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABDOMEN & PELVIS WO CONTRAST | $1,092.00 | $1,092.00 | $851.76–$1,059.24 | 31% below | — |
| CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT ABDOMEN & PELVIS WO CONTRAST | $1,092.00 | $1,092.00 | $851.76–$1,059.24 | — | — |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABDOMEN & PELVIS W/CONTRAST | $1,092.00 | $1,092.00 | $851.76–$1,059.24 | 45% below | — |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABDOMEN & PELVIS W/CONTRAST | $1,092.00 | $1,092.00 | $851.76–$1,059.24 | — | — |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABDOMEN & PELVIS W & WO CONTRAST | $1,092.00 | $1,092.00 | $851.76–$1,059.24 | 53% below | — |
| CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT ABDOMEN & PELVIS W & WO CONTRAST | $1,092.00 | $1,092.00 | $851.76–$1,059.24 | — | — |
| CT scan of the abdomen with contrast CPT 74160 CT ABDOMEN W IV CONTRAST | $1,092.00 | $1,092.00 | $851.76–$1,059.24 | 6% below | — |
| CT scan of the abdomen with contrast inpatient CPT 74160 CT ABDOMEN W IV CONTRAST | $1,092.00 | $1,092.00 | $851.76–$1,059.24 | — | — |
| CT scan of the abdomen without contrast CPT 74150 CT ABDOMEN WO IV CONTRAST | $1,092.00 | $1,092.00 | $851.76–$1,059.24 | 4% above | — |
| CT scan of the abdomen without contrast inpatient CPT 74150 CT ABDOMEN WO IV CONTRAST | $1,092.00 | $1,092.00 | $851.76–$1,059.24 | — | — |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT MAX/FACIAL WO IV CONTR | $896.00 | $896.00 | $698.88–$869.12 | 2% above | — |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT SINUS WO IV CONTRAST | $896.00 | $896.00 | $698.88–$869.12 | 2% above | — |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT MAX/FACIAL WO IV CONTR | $896.00 | $896.00 | $698.88–$869.12 | — | — |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT SINUS WO IV CONTRAST | $896.00 | $896.00 | $698.88–$869.12 | — | — |
| CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD WO IV CONTRAST | $1,092.00 | $1,092.00 | $851.76–$1,059.24 | 31% above | — |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT HEAD WO IV CONTRAST | $1,092.00 | $1,092.00 | $851.76–$1,059.24 | — | — |
| CT scan of the head with contrast CPT 70460 CT HEAD W IV CONTRAST | $1,092.00 | $1,092.00 | $851.76–$1,059.24 | 9% above | — |
| CT scan of the head with contrast inpatient CPT 70460 CT HEAD W IV CONTRAST | $1,092.00 | $1,092.00 | $851.76–$1,059.24 | — | — |
| CT scan of the head without and with contrast CPT 70470 CT HEAD W/WO IV CONTRAST | $1,092.00 | $1,092.00 | $851.76–$1,059.24 | 8% below | — |
| CT scan of the head without and with contrast inpatient CPT 70470 CT HEAD W/WO IV CONTRAST | $1,092.00 | $1,092.00 | $851.76–$1,059.24 | — | — |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT LUMBAR SP WO IV CONTRA | $1,092.00 | $1,092.00 | $851.76–$1,059.24 | 1% below | — |
| CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT LUMBAR SP WO IV CONTRA | $1,092.00 | $1,092.00 | $851.76–$1,059.24 | — | — |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT CERVICAL SPINE WO IV C | $1,092.00 | $1,092.00 | $851.76–$1,059.24 | 2% above | — |
| CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT CERVICAL SPINE WO IV C | $1,092.00 | $1,092.00 | $851.76–$1,059.24 | — | — |
| CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W/CONTRAST | $1,092.00 | $1,092.00 | $851.76–$1,059.24 | 11% below | — |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT PELVIS W/CONTRAST | $1,092.00 | $1,092.00 | $851.76–$1,059.24 | — | — |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 US CAROTID COMPLETE BILAT | $463.50 | $463.50 | $361.53–$449.60 | — | — |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 DUPLEX XCRAN ART COM BI | $533.50 | $533.50 | $416.13–$517.50 | — | — |
| Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 US CAROTID COMPLETE BILAT | $463.50 | $463.50 | $361.53–$449.60 | — | — |
| Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 DUPLEX XCRAN ART COM BI | $533.50 | $533.50 | $416.13–$517.50 | — | — |
| Chest CT scan without and with contrast CPT 71270 CT THORAX W/WO CONT | $1,092.00 | $1,092.00 | $851.76–$1,059.24 | 28% below | — |
| Chest CT scan without and with contrast inpatient CPT 71270 CT THORAX W/WO CONT | $1,092.00 | $1,092.00 | $851.76–$1,059.24 | — | — |
| Chest X-ray, 2 views CPT 71046 CHEST 2 VIEWS | $301.00 | $301.00 | $234.78–$291.97 | 14% above | — |
| Chest X-ray, 2 views CPT 71046 CHEST PA AND LATERAL - NB | $301.00 | $301.00 | $234.78–$291.97 | 14% above | — |
| Chest X-ray, 2 views CPT 71046 CHEST 2 VW W/ EXPIRATION | $379.75 | $379.75 | $296.21–$368.36 | 44% above | — |
| Chest X-ray, 2 views inpatient CPT 71046 CHEST 2 VIEWS | $301.00 | $301.00 | $234.78–$291.97 | — | — |
| Chest X-ray, 2 views inpatient CPT 71046 CHEST PA AND LATERAL - NB | $301.00 | $301.00 | $234.78–$291.97 | — | — |
| Chest X-ray, 2 views inpatient CPT 71046 CHEST 2 VW W/ EXPIRATION | $379.75 | $379.75 | $296.21–$368.36 | — | — |
| Chest X-ray, single view CPT 71045 CHEST 1 VIEW | $239.50 | $239.50 | $186.81–$232.32 | 7% above | — |
| Chest X-ray, single view CPT 71045 CHEST PA - NB | $239.50 | $239.50 | $186.81–$232.32 | 7% above | — |
| Chest X-ray, single view inpatient CPT 71045 CHEST 1 VIEW | $239.50 | $239.50 | $186.81–$232.32 | — | — |
| Chest X-ray, single view inpatient CPT 71045 CHEST PA - NB | $239.50 | $239.50 | $186.81–$232.32 | — | — |
| Collarbone (clavicle) X-ray, complete CPT 73000 CLAVICLE - NB | $279.75 | $279.75 | $218.21–$271.36 | 3% above | — |
| Collarbone (clavicle) X-ray, complete CPT 73000 CLAVICLE | $280.25 | $280.25 | $218.60–$271.84 | 3% above | — |
| Collarbone (clavicle) X-ray, complete inpatient CPT 73000 CLAVICLE - NB | $279.75 | $279.75 | $218.21–$271.36 | — | — |
| Collarbone (clavicle) X-ray, complete inpatient CPT 73000 CLAVICLE | $280.25 | $280.25 | $218.60–$271.84 | — | — |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US RETROPERITONEAL CMP | $542.75 | $542.75 | $423.35–$526.47 | 23% below | — |
| Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US RETROPERITONEAL CMP | $542.75 | $542.75 | $423.35–$526.47 | — | — |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 DEXA, BONE DEN HIP/SPINE | $703.00 | $703.00 | $548.34–$681.91 | 55% above | — |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 DEXA, WHOLE BODY | $703.00 | $703.00 | $548.34–$681.91 | 55% above | — |
| DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 DEXA, BONE DEN HIP/SPINE | $703.00 | $703.00 | $548.34–$681.91 | — | — |
| DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 DEXA, WHOLE BODY | $703.00 | $703.00 | $548.34–$681.91 | — | — |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT THORAX WO CONT | $1,092.00 | $1,092.00 | $851.76–$1,059.24 | 16% above | — |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT THORAX WO CONT | $1,092.00 | $1,092.00 | $851.76–$1,059.24 | — | — |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT THORAX W CONTRAST | $1,092.00 | $1,092.00 | $851.76–$1,059.24 | 10% below | — |
| Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT THORAX W CONTRAST | $1,092.00 | $1,092.00 | $851.76–$1,059.24 | — | — |
| Diagnostic mammogram, both breasts both sides CPT 77066 MAMMO DIGITAL DIAG BILAT | $362.50 | $362.50 | $282.75–$351.63 | — | — |
| Diagnostic mammogram, both breasts both sides CPT 77066 MAM DIG MAG OR SPECIAL VWS - BILAT | $362.50 | $362.50 | $282.75–$351.63 | — | — |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 MAM DIG MAG OR SPECIAL VWS - BILAT | $362.50 | $362.50 | $282.75–$351.63 | — | — |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 MAMMO DIGITAL DIAG BILAT | $362.50 | $362.50 | $282.75–$351.63 | — | — |
| Diagnostic mammogram, one breast one side CPT 77065 MAMMO DIGITAL DIAG UNILAT | $306.75 | $306.75 | $239.27–$297.55 | 15% below | — |
| Diagnostic mammogram, one breast one side CPT 77065 MAM DIG MAG OR SPECIAL VWS-UNILAT | $307.50 | $307.50 | $239.85–$298.28 | 15% below | — |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 MAMMO DIGITAL DIAG UNILAT | $306.75 | $306.75 | $239.27–$297.55 | — | — |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 MAM DIG MAG OR SPECIAL VWS-UNILAT | $307.50 | $307.50 | $239.85–$298.28 | — | — |
| Duplex ultrasound of the leg arteries, both legs CPT 93925 DUPLEX OF LOW EXT ART,BIL | $773.25 | $773.25 | $603.14–$750.05 | 14% below | — |
| Duplex ultrasound of the leg arteries, both legs inpatient CPT 93925 DUPLEX OF LOW EXT ART,BIL | $773.25 | $773.25 | $603.14–$750.05 | — | — |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US VENOUS STUDY BILATERAL | $463.50 | $463.50 | $361.53–$449.60 | — | — |
| Duplex ultrasound of the leg veins, both legs CPT 93970 VENOUS DUPLEX SCAN, BIL | $547.25 | $547.25 | $426.86–$530.83 | 39% below | — |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 US VENOUS STUDY BILATERAL | $463.50 | $463.50 | $361.53–$449.60 | — | — |
| Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 VENOUS DUPLEX SCAN, BIL | $547.25 | $547.25 | $426.86–$530.83 | — | — |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 ECHO - COMPLETE | $1,025.00 | $1,025.00 | $799.50–$994.25 | 39% below | — |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 ECHO - COMPLETE | $1,025.00 | $1,025.00 | $799.50–$994.25 | — | — |
| Elbow X-ray, 2 views CPT 73070 ELBOW 2 VIEWS | $235.50 | $235.50 | $183.69–$228.44 | 10% below | — |
| Elbow X-ray, 2 views inpatient CPT 73070 ELBOW 2 VIEWS | $235.50 | $235.50 | $183.69–$228.44 | — | — |
| Elbow X-ray, complete, 3 or more views CPT 73080 ELBOW COMPLETE 3+ - NB | $274.50 | $274.50 | $214.11–$266.27 | 13% below | — |
| Elbow X-ray, complete, 3 or more views CPT 73080 ELBOW, COMPLETE, 3+ VIEWS | $274.50 | $274.50 | $214.11–$266.27 | 13% below | — |
| Elbow X-ray, complete, 3 or more views inpatient CPT 73080 ELBOW, COMPLETE, 3+ VIEWS | $274.50 | $274.50 | $214.11–$266.27 | — | — |
| Elbow X-ray, complete, 3 or more views inpatient CPT 73080 ELBOW COMPLETE 3+ - NB | $274.50 | $274.50 | $214.11–$266.27 | — | — |
| Eye socket (orbit) CT scan without contrast CPT 70480 CT SELLA,PF,IAC WO | $1,092.00 | $1,092.00 | $851.76–$1,059.24 | 27% above | — |
| Eye socket (orbit) CT scan without contrast CPT 70480 CT ORBITS WO CONTRAS | $1,092.00 | $1,092.00 | $851.76–$1,059.24 | 27% above | — |
| Eye socket (orbit) CT scan without contrast inpatient CPT 70480 CT ORBITS WO CONTRAS | $1,092.00 | $1,092.00 | $851.76–$1,059.24 | — | — |
| Eye socket (orbit) CT scan without contrast inpatient CPT 70480 CT SELLA,PF,IAC WO | $1,092.00 | $1,092.00 | $851.76–$1,059.24 | — | — |
| Facial bones X-ray, complete, 3 or more views CPT 70150 ZYGOMAS | $282.50 | $282.50 | $220.35–$274.03 | 25% below | — |
| Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 ZYGOMAS | $282.50 | $282.50 | $220.35–$274.03 | — | — |
| Forearm X-ray (radius and ulna), 2 views CPT 73090 FOREARM - NB | $272.50 | $272.50 | $212.55–$264.33 | at median | — |
| Forearm X-ray (radius and ulna), 2 views CPT 73090 FOREARM | $272.50 | $272.50 | $212.55–$264.33 | at median | — |
| Forearm X-ray (radius and ulna), 2 views inpatient CPT 73090 FOREARM | $272.50 | $272.50 | $212.55–$264.33 | — | — |
| Forearm X-ray (radius and ulna), 2 views inpatient CPT 73090 FOREARM - NB | $272.50 | $272.50 | $212.55–$264.33 | — | — |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HEPATOBILIARY IMAGING | $1,286.75 | $1,286.75 | $1,003.67–$1,248.15 | 19% below | — |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 HEPATOBILIARY IMAGING | $1,286.75 | $1,286.75 | $1,003.67–$1,248.15 | — | — |
| Hand X-ray, 2 views CPT 73120 HAND 2-VIEW | $242.75 | $242.75 | $189.35–$235.47 | 9% below | — |
| Hand X-ray, 2 views inpatient CPT 73120 HAND 2-VIEW | $242.75 | $242.75 | $189.35–$235.47 | — | — |
| Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 OS CALCIS | $272.50 | $272.50 | $212.55–$264.33 | at median | — |
| Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 CALCANEUS (HEEL) - NB | $272.50 | $272.50 | $212.55–$264.33 | at median | — |
| Heel bone (calcaneus) X-ray, 2 or more views inpatient CPT 73650 OS CALCIS | $272.50 | $272.50 | $212.55–$264.33 | — | — |
| Heel bone (calcaneus) X-ray, 2 or more views inpatient CPT 73650 CALCANEUS (HEEL) - NB | $272.50 | $272.50 | $212.55–$264.33 | — | — |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 ATTENDED SLEEP W CPAP/BIP | $3,437.00 | $3,437.00 | $2,680.86–$3,333.89 | 16% below | — |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 ATTENDED SLEEP W CPAP/BIP | $3,437.00 | $3,437.00 | $2,680.86–$3,333.89 | — | — |
| Knee X-ray, 3 views CPT 73562 KNEE 3 VIEW | $299.00 | $299.00 | $233.22–$290.03 | 15% below | — |
| Knee X-ray, 3 views CPT 73562 KNEE 3 VIEWS - NB | $299.00 | $299.00 | $233.22–$290.03 | 15% below | — |
| Knee X-ray, 3 views inpatient CPT 73562 KNEE 3 VIEW | $299.00 | $299.00 | $233.22–$290.03 | — | — |
| Knee X-ray, 3 views inpatient CPT 73562 KNEE 3 VIEWS - NB | $299.00 | $299.00 | $233.22–$290.03 | — | — |
| Knee X-ray, complete, 4 or more views CPT 73564 KNEE 4 VIEWS - NB | $303.75 | $303.75 | $236.93–$294.64 | 23% below | — |
| Knee X-ray, complete, 4 or more views CPT 73564 KNEE - 4 VIEWS | $328.50 | $328.50 | $256.23–$318.65 | 16% below | — |
| Knee X-ray, complete, 4 or more views inpatient CPT 73564 KNEE 4 VIEWS - NB | $303.75 | $303.75 | $236.93–$294.64 | — | — |
| Knee X-ray, complete, 4 or more views inpatient CPT 73564 KNEE - 4 VIEWS | $328.50 | $328.50 | $256.23–$318.65 | — | — |
| Leg CT scan without contrast (hip to foot, any part) CPT 73700 CT TRUMATCH KNEE | $571.00 | $571.00 | $445.38–$553.87 | 40% below | — |
| Leg CT scan without contrast (hip to foot, any part) CPT 73700 CT LOWER EXT WO IV CONTRA | $1,092.00 | $1,092.00 | $851.76–$1,059.24 | 16% above | — |
| Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 CT TRUMATCH KNEE | $571.00 | $571.00 | $445.38–$553.87 | — | — |
| Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 CT LOWER EXT WO IV CONTRA | $1,092.00 | $1,092.00 | $851.76–$1,059.24 | — | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ABDOMEN LIMITED | $542.75 | $542.75 | $423.35–$526.47 | 2% below | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US LIVER | $542.75 | $542.75 | $423.35–$526.47 | 2% below | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US GALLBLADDER | $542.75 | $542.75 | $423.35–$526.47 | 2% below | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US PANCREAS | $542.75 | $542.75 | $423.35–$526.47 | 2% below | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US SPLEEN | $542.75 | $542.75 | $423.35–$526.47 | 2% below | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ABDOMEN INFANT PYLORIC | $542.75 | $542.75 | $423.35–$526.47 | 2% below | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US ABDOMEN INFANT PYLORIC | $542.75 | $542.75 | $423.35–$526.47 | — | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US ABDOMEN LIMITED | $542.75 | $542.75 | $423.35–$526.47 | — | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US GALLBLADDER | $542.75 | $542.75 | $423.35–$526.47 | — | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US SPLEEN | $542.75 | $542.75 | $423.35–$526.47 | — | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US PANCREAS | $542.75 | $542.75 | $423.35–$526.47 | — | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US LIVER | $542.75 | $542.75 | $423.35–$526.47 | — | — |
| Limited ultrasound of an arm or leg (non-vascular) CPT 76882 U S EXTREMITY LTD. NON VASC | $384.25 | $384.25 | $299.72–$372.72 | 19% below | — |
| Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 U S EXTREMITY LTD. NON VASC | $384.25 | $384.25 | $299.72–$372.72 | — | — |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT LOW DOSE LUNG SCREENING | $239.00 | $239.00 | $186.42–$231.83 | 19% below | — |
| Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 CT LOW DOSE LUNG SCREENING | $239.00 | $239.00 | $186.42–$231.83 | — | — |
| Lower leg X-ray (tibia and fibula), 2 views CPT 73590 TIBIA FIBULA - NB | $272.50 | $272.50 | $212.55–$264.33 | at median | — |
| Lower leg X-ray (tibia and fibula), 2 views CPT 73590 LEG (LOWER) | $272.50 | $272.50 | $212.55–$264.33 | at median | — |
| Lower leg X-ray (tibia and fibula), 2 views inpatient CPT 73590 LEG (LOWER) | $272.50 | $272.50 | $212.55–$264.33 | — | — |
| Lower leg X-ray (tibia and fibula), 2 views inpatient CPT 73590 TIBIA FIBULA - NB | $272.50 | $272.50 | $212.55–$264.33 | — | — |
| MR angiography (MRA) of the head without contrast CPT 70544 MRA HEAD WO CONTRAST | $1,431.00 | $1,431.00 | $1,116.18–$1,388.07 | 1% below | — |
| MR angiography (MRA) of the head without contrast inpatient CPT 70544 MRA HEAD WO CONTRAST | $1,431.00 | $1,431.00 | $1,116.18–$1,388.07 | — | — |
| MRI of both breasts, without and then with contrast dye both sides CPT 77049 MRI BREAST BILAT W & WO CONTRAST | $1,613.75 | $1,613.75 | $1,258.73–$1,565.34 | — | — |
| MRI of both breasts, without and then with contrast dye inpatient both sides CPT 77049 MRI BREAST BILAT W & WO CONTRAST | $1,613.75 | $1,613.75 | $1,258.73–$1,565.34 | — | — |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI SIGNATURE KNEE | $841.50 | $841.50 | $656.37–$816.26 | 52% below | — |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI LOWER EXT-JOINT W/O C | $1,611.50 | $1,611.50 | $1,256.97–$1,563.16 | 8% below | — |
| MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 MRI SIGNATURE KNEE | $841.50 | $841.50 | $656.37–$816.26 | — | — |
| MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 MRI LOWER EXT-JOINT W/O C | $1,611.50 | $1,611.50 | $1,256.97–$1,563.16 | — | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI LOWER EXT-JOINT W&WO | $2,139.00 | $2,139.00 | $1,668.42–$2,074.83 | 11% below | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 MRI LOWER EXT-JOINT W&WO | $2,139.00 | $2,139.00 | $1,668.42–$2,074.83 | — | — |
| MRI of the abdomen without contrast CPT 74181 MRI ABDOMEN WO CONTRAST | $1,611.50 | $1,611.50 | $1,256.97–$1,563.16 | 13% below | — |
| MRI of the abdomen without contrast inpatient CPT 74181 MRI ABDOMEN WO CONTRAST | $1,611.50 | $1,611.50 | $1,256.97–$1,563.16 | — | — |
| MRI of the abdomen, without and then with contrast dye CPT 74183 MRI ABDOMEN W & W/O CONTR | $1,887.00 | $1,887.00 | $1,471.86–$1,830.39 | 18% below | — |
| MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MRI ABDOMEN W & W/O CONTR | $1,887.00 | $1,887.00 | $1,471.86–$1,830.39 | — | — |
| MRI of the brain, no contrast dye CPT 70551 MRI BRAIN W/O CONTRAST | $1,611.50 | $1,611.50 | $1,256.97–$1,563.16 | at median | — |
| MRI of the brain, no contrast dye inpatient CPT 70551 MRI BRAIN W/O CONTRAST | $1,611.50 | $1,611.50 | $1,256.97–$1,563.16 | — | — |
| MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN W & W/O CONT. | $1,887.00 | $1,887.00 | $1,471.86–$1,830.39 | 14% below | — |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI BRAIN W & W/O CONT. | $1,887.00 | $1,887.00 | $1,471.86–$1,830.39 | — | — |
| MRI of the lower back, no contrast dye CPT 72148 MRI LUMBAR WO CONTRAST | $1,611.50 | $1,611.50 | $1,256.97–$1,563.16 | 3% below | — |
| MRI of the lower back, no contrast dye inpatient CPT 72148 MRI LUMBAR WO CONTRAST | $1,611.50 | $1,611.50 | $1,256.97–$1,563.16 | — | — |
| MRI of the lower back, without and then with contrast dye CPT 72158 MRI LUMBAR W & W/O CONT. | $1,887.00 | $1,887.00 | $1,471.86–$1,830.39 | 19% below | — |
| MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MRI LUMBAR W & W/O CONT. | $1,887.00 | $1,887.00 | $1,471.86–$1,830.39 | — | — |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI THORACIC WO CONTRAST | $1,611.50 | $1,611.50 | $1,256.97–$1,563.16 | 4% below | — |
| MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MRI THORACIC WO CONTRAST | $1,611.50 | $1,611.50 | $1,256.97–$1,563.16 | — | — |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI CERVICAL W & W/O CONT | $1,887.00 | $1,887.00 | $1,471.86–$1,830.39 | 17% below | — |
| MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MRI CERVICAL W & W/O CONT | $1,887.00 | $1,887.00 | $1,471.86–$1,830.39 | — | — |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI CERVICAL SPINE W/O CO | $1,611.50 | $1,611.50 | $1,256.97–$1,563.16 | 2% below | — |
| MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MRI CERVICAL SPINE W/O CO | $1,611.50 | $1,611.50 | $1,256.97–$1,563.16 | — | — |
| MRI of the pelvis without and with contrast CPT 72197 MRI PELVIS W & W/O CONTRA | $1,887.00 | $1,887.00 | $1,471.86–$1,830.39 | 4% below | — |
| MRI of the pelvis without and with contrast inpatient CPT 72197 MRI PELVIS W & W/O CONTRA | $1,887.00 | $1,887.00 | $1,471.86–$1,830.39 | — | — |
| MRI of the pelvis, no contrast dye CPT 72195 MRI PELVIS W/O CONTRAST | $2,072.75 | $2,072.75 | $1,616.75–$2,010.57 | 36% above | — |
| MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI PELVIS W/O CONTRAST | $2,072.75 | $2,072.75 | $1,616.75–$2,010.57 | — | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MRI UPPER EXT-JOINT WO CO | $1,611.50 | $1,611.50 | $1,256.97–$1,563.16 | 7% above | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 MRI UPPER EXT-JOINT WO CO | $1,611.50 | $1,611.50 | $1,256.97–$1,563.16 | — | — |
| Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 CERVICAL SPINE MIN 4 OR 5 VIEWS | $352.25 | $352.25 | $274.76–$341.68 | 22% below | — |
| Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 CERV SPINE W/OBLS - NB | $352.25 | $352.25 | $274.76–$341.68 | 22% below | — |
| Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 CERV SPINE W/OBLS - NB | $352.25 | $352.25 | $274.76–$341.68 | — | — |
| Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 CERVICAL SPINE MIN 4 OR 5 VIEWS | $352.25 | $352.25 | $274.76–$341.68 | — | — |
| Neck soft tissue CT scan with contrast CPT 70491 CT NECK W IV CONTRAST | $1,092.00 | $1,092.00 | $851.76–$1,059.24 | 8% below | — |
| Neck soft tissue CT scan with contrast inpatient CPT 70491 CT NECK W IV CONTRAST | $1,092.00 | $1,092.00 | $851.76–$1,059.24 | — | — |
| Neck soft tissue CT scan without contrast CPT 70490 CT NECK WO IV CONTRAST | $995.00 | $995.00 | $776.10–$965.15 | 8% above | — |
| Neck soft tissue CT scan without contrast inpatient CPT 70490 CT NECK WO IV CONTRAST | $995.00 | $995.00 | $776.10–$965.15 | — | — |
| Neck soft tissue X-ray CPT 70360 NECK SOFT TISSUE | $208.00 | $208.00 | $162.24–$201.76 | 20% below | — |
| Neck soft tissue X-ray CPT 70360 NECK SOFT TISSUE - NB | $208.00 | $208.00 | $162.24–$201.76 | 20% below | — |
| Neck soft tissue X-ray inpatient CPT 70360 NECK SOFT TISSUE | $208.00 | $208.00 | $162.24–$201.76 | — | — |
| Neck soft tissue X-ray inpatient CPT 70360 NECK SOFT TISSUE - NB | $208.00 | $208.00 | $162.24–$201.76 | — | — |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 MYCARD REST&STRESS SPECT | $2,998.50 | $2,998.50 | $2,338.83–$2,908.55 | 25% below | — |
| Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 MYCARD REST&STRESS SPECT | $2,998.50 | $2,998.50 | $2,338.83–$2,908.55 | — | — |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET/CT SKULL BASE TO MID THIGH | $3,495.50 | $3,495.50 | $2,726.49–$3,390.64 | 28% below | — |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 PET/CT SKULL BASE TO MID THIGH | $3,495.50 | $3,495.50 | $2,726.49–$3,390.64 | — | — |
| Pelvic CT scan without contrast CPT 72192 CT PELVIS WO CONT | $1,092.00 | $1,092.00 | $851.76–$1,059.24 | 9% above | — |
| Pelvic CT scan without contrast inpatient CPT 72192 CT PELVIS WO CONT | $1,092.00 | $1,092.00 | $851.76–$1,059.24 | — | — |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US NONOB PELVIC LIMITED | $403.50 | $403.50 | $314.73–$391.40 | 7% below | — |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US PELVIC NON OB LTD | $607.75 | $607.75 | $474.05–$589.52 | 40% above | — |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US NONOB PELVIC LIMITED | $403.50 | $403.50 | $314.73–$391.40 | — | — |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US PELVIC NON OB LTD | $607.75 | $607.75 | $474.05–$589.52 | — | — |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US PELVIC NON OB COM | $406.75 | $406.75 | $317.27–$394.55 | 19% below | — |
| Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US PELVIC NON OB COM | $406.75 | $406.75 | $317.27–$394.55 | — | — |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US OB >1ST TRIM 1ST GEST | $602.50 | $602.50 | $469.95–$584.43 | at median | — |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US OB >1ST TRIM 1ST GEST | $602.50 | $602.50 | $469.95–$584.43 | — | — |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US OB 1ST TRIM 1ST GESTAT | $602.50 | $602.50 | $469.95–$584.43 | 10% above | — |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 US OB 1ST TRIM 1ST GESTAT | $602.50 | $602.50 | $469.95–$584.43 | — | — |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US OB LIMITED 1 OR MORE | $348.25 | $348.25 | $271.64–$337.80 | 27% below | — |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 US OB LIMITED 1 OR MORE | $348.25 | $348.25 | $271.64–$337.80 | — | — |
| Rib X-ray, one side, 2 views CPT 71100 RIBS UNILATERIAL | $324.75 | $324.75 | $253.31–$315.01 | 7% above | — |
| Rib X-ray, one side, 2 views one side CPT 71100 RIBS UNILATERAL - NB | $324.75 | $324.75 | $253.31–$315.01 | 7% above | — |
| Rib X-ray, one side, 2 views inpatient CPT 71100 RIBS UNILATERIAL | $324.75 | $324.75 | $253.31–$315.01 | — | — |
| Rib X-ray, one side, 2 views inpatient one side CPT 71100 RIBS UNILATERAL - NB | $324.75 | $324.75 | $253.31–$315.01 | — | — |
| Rib X-ray, one side, with a chest view, 3 or more views CPT 71101 RIBS ONE SIDE W/CHEST - NB | $405.50 | $405.50 | $316.29–$393.34 | 6% above | — |
| Rib X-ray, one side, with a chest view, 3 or more views CPT 71101 RIBS/CHEST 3 VIEWS | $405.50 | $405.50 | $316.29–$393.34 | 6% above | — |
| Rib X-ray, one side, with a chest view, 3 or more views inpatient CPT 71101 RIBS/CHEST 3 VIEWS | $405.50 | $405.50 | $316.29–$393.34 | — | — |
| Rib X-ray, one side, with a chest view, 3 or more views inpatient CPT 71101 RIBS ONE SIDE W/CHEST - NB | $405.50 | $405.50 | $316.29–$393.34 | — | — |
| Screening mammogram, both breasts CPT 77067 MAMMO DIGITAL SCREENING | $165.00 | $165.00 | $128.70–$160.05 | 14% below | — |
| Screening mammogram, both breasts inpatient CPT 77067 MAMMO DIGITAL SCREENING | $165.00 | $165.00 | $128.70–$160.05 | — | — |
| Shoulder X-ray, complete, 2 or more views CPT 73030 SHOULDER - NB | $299.00 | $299.00 | $233.22–$290.03 | 11% below | — |
| Shoulder X-ray, complete, 2 or more views CPT 73030 SHOULDER (MINIMUM 2 VIEW) | $308.00 | $308.00 | $240.24–$298.76 | 9% below | — |
| Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 SHOULDER - NB | $299.00 | $299.00 | $233.22–$290.03 | — | — |
| Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 SHOULDER (MINIMUM 2 VIEW) | $308.00 | $308.00 | $240.24–$298.76 | — | — |
| Sinus X-ray, complete, 3 or more views CPT 70220 SINUS SERIES 3 VIEW | $296.75 | $296.75 | $231.47–$287.85 | 18% below | — |
| Sinus X-ray, complete, 3 or more views CPT 70220 SINUS SERIES 3 VIEW - NB | $297.00 | $297.00 | $231.66–$288.09 | 18% below | — |
| Sinus X-ray, complete, 3 or more views inpatient CPT 70220 SINUS SERIES 3 VIEW | $296.75 | $296.75 | $231.47–$287.85 | — | — |
| Sinus X-ray, complete, 3 or more views inpatient CPT 70220 SINUS SERIES 3 VIEW - NB | $297.00 | $297.00 | $231.66–$288.09 | — | — |
| Skull X-ray, fewer than 4 views CPT 70250 SKULL PARTIAL - NB | $282.75 | $282.75 | $220.55–$274.27 | 2% below | — |
| Skull X-ray, fewer than 4 views CPT 70250 SKULL PARTIAL | $296.75 | $296.75 | $231.47–$287.85 | 3% above | — |
| Skull X-ray, fewer than 4 views inpatient CPT 70250 SKULL PARTIAL - NB | $282.75 | $282.75 | $220.55–$274.27 | — | — |
| Skull X-ray, fewer than 4 views inpatient CPT 70250 SKULL PARTIAL | $296.75 | $296.75 | $231.47–$287.85 | — | — |
| Sleep study in a lab (polysomnography) CPT 95810 ATTENDED SLEEP W 4+ PARAM | $3,201.25 | $3,201.25 | $2,496.98–$3,105.21 | 11% below | — |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 ATTENDED SLEEP W 4+ PARAM | $3,201.25 | $3,201.25 | $2,496.98–$3,105.21 | — | — |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 VIDEOFLUOROSCOPY | $380.75 | $380.75 | $296.99–$369.33 | 25% below | — |
| Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 VIDEOFLUOROSCOPY | $380.75 | $380.75 | $296.99–$369.33 | — | — |
| Thigh bone (femur) X-ray, 2 or more views CPT 73552 FEMUR - NB | $277.75 | $277.75 | $216.65–$269.42 | 2% above | — |
| Thigh bone (femur) X-ray, 2 or more views CPT 73552 FEMUR | $277.75 | $277.75 | $216.65–$269.42 | 2% above | — |
| Thigh bone (femur) X-ray, 2 or more views inpatient CPT 73552 FEMUR | $277.75 | $277.75 | $216.65–$269.42 | — | — |
| Thigh bone (femur) X-ray, 2 or more views inpatient CPT 73552 FEMUR - NB | $277.75 | $277.75 | $216.65–$269.42 | — | — |
| Thoracic spine (mid back) CT scan without contrast CPT 72128 CT THORACIC SP WO | $1,092.00 | $1,092.00 | $851.76–$1,059.24 | 21% above | — |
| Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 CT THORACIC SP WO | $1,092.00 | $1,092.00 | $851.76–$1,059.24 | — | — |
| Toe X-ray, 2 or more views CPT 73660 TOES | $229.50 | $229.50 | $179.01–$222.62 | 8% below | — |
| Toe X-ray, 2 or more views inpatient CPT 73660 TOES | $229.50 | $229.50 | $179.01–$222.62 | — | — |
| Transvaginal pelvic ultrasound CPT 76830 US TRANSVAGINAL NON OB | $406.75 | $406.75 | $317.27–$394.55 | 28% below | — |
| Transvaginal pelvic ultrasound inpatient CPT 76830 US TRANSVAGINAL NON OB | $406.75 | $406.75 | $317.27–$394.55 | — | — |
| Transvaginal ultrasound during pregnancy CPT 76817 US TRANSVAGINAL OB | $368.75 | $368.75 | $287.63–$357.69 | 26% below | — |
| Transvaginal ultrasound during pregnancy inpatient CPT 76817 US TRANSVAGINAL OB | $368.75 | $368.75 | $287.63–$357.69 | — | — |
| Ultrasound of the abdomen, complete CPT 76700 US ABDOMEN | $542.75 | $542.75 | $423.35–$526.47 | 13% below | — |
| Ultrasound of the abdomen, complete inpatient CPT 76700 US ABDOMEN | $542.75 | $542.75 | $423.35–$526.47 | — | — |
| Ultrasound of the scrotum and testicles CPT 76870 US TESTICULAR | $512.00 | $512.00 | $399.36–$496.64 | 5% below | — |
| Ultrasound of the scrotum and testicles inpatient CPT 76870 US TESTICULAR | $512.00 | $512.00 | $399.36–$496.64 | — | — |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US THYROID | $360.50 | $360.50 | $281.19–$349.69 | 37% below | — |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US HEAD & NECK | $360.50 | $360.50 | $281.19–$349.69 | 37% below | — |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US THYROID | $360.50 | $360.50 | $281.19–$349.69 | — | — |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US HEAD & NECK | $360.50 | $360.50 | $281.19–$349.69 | — | — |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 UGI & SM BOWEL | $673.75 | $673.75 | $525.53–$653.54 | 14% above | — |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 UGI W OR W/O ESOPHAGUS | $769.50 | $769.50 | $600.21–$746.42 | 30% above | — |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 UGI & SM BOWEL | $673.75 | $673.75 | $525.53–$653.54 | — | — |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 UGI W OR W/O ESOPHAGUS | $769.50 | $769.50 | $600.21–$746.42 | — | — |
| Upper arm X-ray (humerus), 2 views CPT 73060 HUMERUS - NB | $272.50 | $272.50 | $212.55–$264.33 | 1% below | — |
| Upper arm X-ray (humerus), 2 views CPT 73060 HUMERUS | $272.50 | $272.50 | $212.55–$264.33 | 1% below | — |
| Upper arm X-ray (humerus), 2 views inpatient CPT 73060 HUMERUS - NB | $272.50 | $272.50 | $212.55–$264.33 | — | — |
| Upper arm X-ray (humerus), 2 views inpatient CPT 73060 HUMERUS | $272.50 | $272.50 | $212.55–$264.33 | — | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 VENOUS DUPLEX SCAN, UNI | $347.25 | $347.25 | $270.86–$336.83 | 53% below | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US VENOUS STUDIES UNILAT | $257.50 | $257.50 | $200.85–$249.78 | 65% below | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 VENOUS DUPLEX SCAN, UNI | $347.25 | $347.25 | $270.86–$336.83 | — | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US VENOUS STUDIES UNILAT | $257.50 | $257.50 | $200.85–$249.78 | — | — |
| Wrist X-ray, 2 views CPT 73100 WRIST 2-VIEW | $248.75 | $248.75 | $194.03–$241.29 | 5% below | — |
| Wrist X-ray, 2 views inpatient CPT 73100 WRIST 2-VIEW | $248.75 | $248.75 | $194.03–$241.29 | — | — |
| Wrist X-ray, complete, 3 or more views CPT 73110 WRIST 3-VIEW | $272.50 | $272.50 | $212.55–$264.33 | 19% below | — |
| Wrist X-ray, complete, 3 or more views CPT 73110 WRIST - NB | $272.50 | $272.50 | $212.55–$264.33 | 19% below | — |
| Wrist X-ray, complete, 3 or more views inpatient CPT 73110 WRIST 3-VIEW | $272.50 | $272.50 | $212.55–$264.33 | — | — |
| Wrist X-ray, complete, 3 or more views inpatient CPT 73110 WRIST - NB | $272.50 | $272.50 | $212.55–$264.33 | — | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 HIP 2 VIEWS - NB | $150.75 | $150.75 | $117.59–$146.23 | 51% below | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HIP W/WO PELVIS RT | $150.75 | $150.75 | $117.59–$146.23 | 51% below | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HIP W/WO PELVIS LT | $150.75 | $150.75 | $117.59–$146.23 | 51% below | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient CPT 73502 HIP 2 VIEWS - NB | $150.75 | $150.75 | $117.59–$146.23 | — | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 HIP W/WO PELVIS LT | $150.75 | $150.75 | $117.59–$146.23 | — | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 HIP W/WO PELVIS RT | $150.75 | $150.75 | $117.59–$146.23 | — | — |
| X-ray of the abdomen, 1 view CPT 74018 ABDOMEN 1 VIEW | $347.00 | $347.00 | $270.66–$336.59 | 35% above | — |
| X-ray of the abdomen, 1 view CPT 74018 ABDOMEN - NB | $347.00 | $347.00 | $270.66–$336.59 | 35% above | — |
| X-ray of the abdomen, 1 view inpatient CPT 74018 ABDOMEN 1 VIEW | $347.00 | $347.00 | $270.66–$336.59 | — | — |
| X-ray of the abdomen, 1 view inpatient CPT 74018 ABDOMEN - NB | $347.00 | $347.00 | $270.66–$336.59 | — | — |
| X-ray of the ankle, 2 views CPT 73600 ANKLE 2-VIEW | $244.75 | $244.75 | $190.91–$237.41 | 2% below | — |
| X-ray of the ankle, 2 views inpatient CPT 73600 ANKLE 2-VIEW | $244.75 | $244.75 | $190.91–$237.41 | — | — |
| X-ray of the finger(s), 2 or more views CPT 73140 FINGERS | $258.00 | $258.00 | $201.24–$250.26 | at median | — |
| X-ray of the finger(s), 2 or more views CPT 73140 FINGERS - NB | $258.00 | $258.00 | $201.24–$250.26 | at median | — |
| X-ray of the finger(s), 2 or more views inpatient CPT 73140 FINGERS - NB | $258.00 | $258.00 | $201.24–$250.26 | — | — |
| X-ray of the finger(s), 2 or more views inpatient CPT 73140 FINGERS | $258.00 | $258.00 | $201.24–$250.26 | — | — |
| X-ray of the foot, 2 views CPT 73620 FOOT 2-VIEW | $234.50 | $234.50 | $182.91–$227.47 | 1% above | — |
| X-ray of the foot, 2 views inpatient CPT 73620 FOOT 2-VIEW | $234.50 | $234.50 | $182.91–$227.47 | — | — |
| X-ray of the foot, complete, 3 or more views CPT 73630 FOOT 3 VIEWS - NB | $272.50 | $272.50 | $212.55–$264.33 | 11% below | — |
| X-ray of the foot, complete, 3 or more views CPT 73630 FOOT 3-VIEW | $272.50 | $272.50 | $212.55–$264.33 | 11% below | — |
| X-ray of the foot, complete, 3 or more views inpatient CPT 73630 FOOT 3 VIEWS - NB | $272.50 | $272.50 | $212.55–$264.33 | — | — |
| X-ray of the foot, complete, 3 or more views inpatient CPT 73630 FOOT 3-VIEW | $272.50 | $272.50 | $212.55–$264.33 | — | — |
| X-ray of the hand, 3 or more views CPT 73130 HAND 3 VIEW | $272.50 | $272.50 | $212.55–$264.33 | 17% below | — |
| X-ray of the hand, 3 or more views CPT 73130 HAND 3 VIEWS - NB | $272.50 | $272.50 | $212.55–$264.33 | 17% below | — |
| X-ray of the hand, 3 or more views inpatient CPT 73130 HAND 3 VIEWS - NB | $272.50 | $272.50 | $212.55–$264.33 | — | — |
| X-ray of the hand, 3 or more views inpatient CPT 73130 HAND 3 VIEW | $272.50 | $272.50 | $212.55–$264.33 | — | — |
| X-ray of the knee, 1 or 2 views CPT 73560 KNEE 2-VIEW | $250.25 | $250.25 | $195.20–$242.74 | 8% below | — |
| X-ray of the knee, 1 or 2 views CPT 73560 KNEE 1-2 VIEWS - NB | $250.25 | $250.25 | $195.20–$242.74 | 8% below | — |
| X-ray of the knee, 1 or 2 views inpatient CPT 73560 KNEE 1-2 VIEWS - NB | $250.25 | $250.25 | $195.20–$242.74 | — | — |
| X-ray of the knee, 1 or 2 views inpatient CPT 73560 KNEE 2-VIEW | $250.25 | $250.25 | $195.20–$242.74 | — | — |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 LUMBAR SPINE - NB | $353.25 | $353.25 | $275.54–$342.65 | 10% above | — |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 LUMBAR SPINE 2-3 VIEWS | $354.25 | $354.25 | $276.32–$343.62 | 10% above | — |
| X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 LUMBAR SPINE - NB | $353.25 | $353.25 | $275.54–$342.65 | — | — |
| X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 LUMBAR SPINE 2-3 VIEWS | $354.25 | $354.25 | $276.32–$343.62 | — | — |
| X-ray of the lower back, 4 or more views CPT 72110 LUMBAR SPINE W/OBLS - NB | $379.75 | $379.75 | $296.21–$368.36 | 19% below | — |
| X-ray of the lower back, 4 or more views CPT 72110 LUMBAR SPINE W/OBLS | $379.75 | $379.75 | $296.21–$368.36 | 19% below | — |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 LUMBAR SPINE W/OBLS - NB | $379.75 | $379.75 | $296.21–$368.36 | — | — |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 LUMBAR SPINE W/OBLS | $379.75 | $379.75 | $296.21–$368.36 | — | — |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 THORACIC SPINE 2 VIEWS | $301.00 | $301.00 | $234.78–$291.97 | at median | — |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 THORACIC SPINE 2 VIEWS - NB | $301.00 | $301.00 | $234.78–$291.97 | at median | — |
| X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 THORACIC SPINE 2 VIEWS | $301.00 | $301.00 | $234.78–$291.97 | — | — |
| X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 THORACIC SPINE 2 VIEWS - NB | $301.00 | $301.00 | $234.78–$291.97 | — | — |
| X-ray of the nasal bones, 3 or more views CPT 70160 NASAL BONES | $235.50 | $235.50 | $183.69–$228.44 | 19% below | — |
| X-ray of the nasal bones, 3 or more views CPT 70160 NASAL BONES - NB | $235.50 | $235.50 | $183.69–$228.44 | 19% below | — |
| X-ray of the nasal bones, 3 or more views inpatient CPT 70160 NASAL BONES | $235.50 | $235.50 | $183.69–$228.44 | — | — |
| X-ray of the nasal bones, 3 or more views inpatient CPT 70160 NASAL BONES - NB | $235.50 | $235.50 | $183.69–$228.44 | — | — |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 CERVICAL SPINE 2-3 VIEWS - NB | $383.75 | $383.75 | $299.33–$372.24 | 15% above | — |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 CERVICAL SPINE 2 OR 3 VIEWS | $383.75 | $383.75 | $299.33–$372.24 | 15% above | — |
| X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 CERVICAL SPINE 2 OR 3 VIEWS | $383.75 | $383.75 | $299.33–$372.24 | — | — |
| X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 CERVICAL SPINE 2-3 VIEWS - NB | $383.75 | $383.75 | $299.33–$372.24 | — | — |
| X-ray of the pelvis, 1 or 2 views CPT 72170 PELVIS | $299.00 | $299.00 | $233.22–$290.03 | 19% above | — |
| X-ray of the pelvis, 1 or 2 views CPT 72170 PELVIS 1-2 VIEWS - NB | $299.00 | $299.00 | $233.22–$290.03 | 19% above | — |
| X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 PELVIS | $299.00 | $299.00 | $233.22–$290.03 | — | — |
| X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 PELVIS 1-2 VIEWS - NB | $299.00 | $299.00 | $233.22–$290.03 | — | — |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 SACRUM/COCCYX - NB | $263.25 | $263.25 | $205.34–$255.35 | 11% below | — |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 SACRUM AND/OR COCCYX | $263.25 | $263.25 | $205.34–$255.35 | 11% below | — |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 SACRUM AND/OR COCCYX | $263.25 | $263.25 | $205.34–$255.35 | — | — |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 SACRUM/COCCYX - NB | $263.25 | $263.25 | $205.34–$255.35 | — | — |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Ohio | Off list |
|---|---|---|---|---|---|
| ACTH blood test CPT 82024 ACTH | $63.62 | $63.62 | $49.62–$61.71 | 52% below | — |
| ACTH blood test CPT 82024 ACTH - **when encounter is for Outpatient Labs Only** | $63.62 | $63.62 | $19.07–$61.71 | 52% below | — |
| ACTH blood test inpatient CPT 82024 ACTH | $63.62 | $63.62 | $49.62–$61.71 | — | — |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALT - **when encounter is for Outpatient Labs Only** | $33.30 | $33.30 | $2.51–$32.30 | 19% above | — |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALT | $33.30 | $33.30 | $25.97–$32.30 | 19% above | — |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 ALT | $33.30 | $33.30 | $25.97–$32.30 | — | — |
| AST (aspartate aminotransferase) enzyme test CPT 84450 AST - **when encounter is for Outpatient Labs Only** | $33.30 | $33.30 | $2.44–$32.30 | 32% above | — |
| AST (aspartate aminotransferase) enzyme test CPT 84450 AST | $33.30 | $33.30 | $25.97–$32.30 | 32% above | — |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 AST | $33.30 | $33.30 | $25.97–$32.30 | — | — |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 ACUTE HEPATITIS PANEL | $57.75 | $57.75 | $45.05–$56.02 | 73% below | — |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 ACUTE HEPATITIS PANEL - **when encounter is for Outpatient Labs Only** | $57.75 | $57.75 | $23.52–$56.02 | 73% below | — |
| Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 ACUTE HEPATITIS PANEL | $57.75 | $57.75 | $45.05–$56.02 | — | — |
| Albumin blood test CPT 82040 ALBUMIN - **when encounter is for Outpatient Labs Only** | $19.25 | $19.25 | $2.71–$18.67 | 13% below | — |
| Albumin blood test CPT 82040 ALBUMIN | $19.25 | $19.25 | $15.02–$18.67 | 13% below | — |
| Albumin blood test CPT 82040 IGG SYNTHESIS RATE, CNS INDEX COMPONENT 2 | $20.15 | $20.15 | $15.72–$19.55 | 9% below | — |
| Albumin blood test CPT 82040 IGG SYNTHESIS RATE, CNS INDEX COMPONENT 2 - **when encounter is for Outpatient Labs Only** | $20.15 | $20.15 | $2.71–$19.55 | 9% below | — |
| Albumin blood test CPT 82040 TESTOSTERONE, FREE BIOAVAILABLE AND TOTAL COMPONENT - 1 - **when encounter is for Outpatient Labs Only** | $37.55 | $37.55 | $2.71–$36.42 | 70% above | — |
| Albumin blood test CPT 82040 TESTOSTERONE, FREE BIOAVAILABLE AND TOTAL COMPONENT - 1 | $37.55 | $37.55 | $29.29–$36.42 | 70% above | — |
| Albumin blood test inpatient CPT 82040 ALBUMIN | $19.25 | $19.25 | $15.02–$18.67 | — | — |
| Albumin blood test inpatient CPT 82040 IGG SYNTHESIS RATE, CNS INDEX COMPONENT 2 | $20.15 | $20.15 | $15.72–$19.55 | — | — |
| Albumin blood test inpatient CPT 82040 TESTOSTERONE, FREE BIOAVAILABLE AND TOTAL COMPONENT - 1 | $37.55 | $37.55 | $29.29–$36.42 | — | — |
| Aldosterone blood test CPT 82088 ALDOSTERONE 24HR URINE - **when encounter is for Outpatient Labs Only** | $65.75 | $65.75 | $20.12–$63.78 | 53% below | — |
| Aldosterone blood test CPT 82088 ALDOSTERONE 24HR URINE | $65.75 | $65.75 | $51.29–$63.78 | 53% below | — |
| Aldosterone blood test CPT 82088 ALDOSTERONE, LC/MS/MS, SERUM - **when encounter is for Outpatient Labs Only** | $123.30 | $123.30 | $20.12–$119.60 | 12% below | — |
| Aldosterone blood test CPT 82088 ALDOSTERONE, LC/MS/MS, SERUM | $123.30 | $123.30 | $96.17–$119.60 | 12% below | — |
| Aldosterone blood test CPT 82088 ALDOSTERONE/PLASMA RENIN ACTIVITY RATIO, LC/MS/MS 2ND COMPONENT | $419.95 | $419.95 | $327.56–$407.35 | 200% above | — |
| Aldosterone blood test CPT 82088 ALDOSTERONE/PLASMA RENIN ACTIVITY RATIO, LC/MS/MS 2ND COMPONENT - **when encounter is for Outpatient Labs Only** | $419.95 | $419.95 | $20.12–$407.35 | 200% above | — |
| Aldosterone blood test inpatient CPT 82088 ALDOSTERONE 24HR URINE | $65.75 | $65.75 | $51.29–$63.78 | — | — |
| Aldosterone blood test inpatient CPT 82088 ALDOSTERONE, LC/MS/MS, SERUM | $123.30 | $123.30 | $96.17–$119.60 | — | — |
| Aldosterone blood test inpatient CPT 82088 ALDOSTERONE/PLASMA RENIN ACTIVITY RATIO, LC/MS/MS 2ND COMPONENT | $419.95 | $419.95 | $327.56–$407.35 | — | — |
| Alkaline phosphatase (ALP) blood test CPT 84075 ALK PHOS - **when encounter is for Outpatient Labs Only** | $20.45 | $20.45 | $2.45–$19.84 | 15% below | — |
| Alkaline phosphatase (ALP) blood test CPT 84075 ALK PHOS | $20.45 | $20.45 | $15.95–$19.84 | 15% below | — |
| Alkaline phosphatase (ALP) blood test CPT 84075 ALKALINE PHOSPHATASE ISOENZYMES 1ST COMPONENT - **when encounter is for Outpatient Labs Only** | $20.95 | $20.95 | $2.45–$20.32 | 13% below | — |
| Alkaline phosphatase (ALP) blood test CPT 84075 ALKALINE PHOSPHATASE ISOENZYMES 1ST COMPONENT | $20.95 | $20.95 | $16.34–$20.32 | 13% below | — |
| Alkaline phosphatase (ALP) blood test inpatient CPT 84075 ALK PHOS | $20.45 | $20.45 | $15.95–$19.84 | — | — |
| Alkaline phosphatase (ALP) blood test inpatient CPT 84075 ALKALINE PHOSPHATASE ISOENZYMES 1ST COMPONENT | $20.95 | $20.95 | $16.34–$20.32 | — | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 MERI.VAL. E-95/A-95 IGE - **when encounter is for Outpatient Labs Only** | $2.55 | $2.55 | $1.99–$2.47 | 89% below | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 MERI.VAL. E-95/A-95 IGE | $2.55 | $2.55 | $1.99–$2.47 | 89% below | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 CHILDHOOD ALLERGY (FOOD & ENVIRONMENTAL) PROFILE - COMPONENT - 2 | $11.25 | $11.25 | $8.78–$10.91 | 52% below | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY TESTS | $11.25 | $11.25 | $8.78–$10.91 | 52% below | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY TESTS - **when encounter is for Outpatient Labs Only** | $11.25 | $11.25 | $2.96–$10.91 | 52% below | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 PENICILLOYL G IGE | $11.25 | $11.25 | $8.78–$10.91 | 52% below | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 PENICILLOYL G IGE - **when encounter is for Outpatient Labs Only** | $11.25 | $11.25 | $2.96–$10.91 | 52% below | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 PENICILLOYL V IGE | $11.25 | $11.25 | $8.78–$10.91 | 52% below | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 PENICILLOYL V IGE - **when encounter is for Outpatient Labs Only** | $11.25 | $11.25 | $2.96–$10.91 | 52% below | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 LATEX IGE | $11.25 | $11.25 | $8.78–$10.91 | 52% below | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 LATEX IGE - **when encounter is for Outpatient Labs Only** | $11.25 | $11.25 | $2.96–$10.91 | 52% below | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 RESPIRATORY ALLERGY PROFILE REGION V - COMPONENT - 2 | $11.25 | $11.25 | $8.78–$10.91 | 52% below | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 RESPIRATORY ALLERGY PROFILE REGION V - COMPONENT - 2 - **when encounter is for Outpatient Labs Only** | $11.25 | $11.25 | $2.96–$10.91 | 52% below | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 CHILDHOOD ALLERGY (FOOD & ENVIRONMENTAL) PROFILE - COMPONENT - 2 - **when encounter is for Outpatient Labs Only** | $11.25 | $11.25 | $2.96–$10.91 | 52% below | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 FOOD ALLERGY PROFILE - COMPONENT 1 | $11.25 | $11.25 | $8.78–$10.91 | 52% below | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 FOOD ALLERGY PROFILE - COMPONENT 1 - **when encounter is for Outpatient Labs Only** | $11.25 | $11.25 | $2.96–$10.91 | 52% below | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 AMOXICILLIN IGE | $11.25 | $11.25 | $8.78–$10.91 | 52% below | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 AMOXICILLIN IGE - **when encounter is for Outpatient Labs Only** | $11.25 | $11.25 | $2.96–$10.91 | 52% below | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY INHALENT PANEL COMPONENT 1 | $11.25 | $11.25 | $8.78–$10.91 | 52% below | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY INHALENT PANEL COMPONENT 1 - **when encounter is for Outpatient Labs Only** | $11.25 | $11.25 | $2.96–$10.91 | 52% below | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 WCH ENT ALLERGY PANEL-COMPONENT 1 | $11.25 | $11.25 | $8.78–$10.91 | 52% below | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 WCH ENT ALLERGY PANEL-COMPONENT 1 - **when encounter is for Outpatient Labs Only** | $11.25 | $11.25 | $2.96–$10.91 | 52% below | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MERI.VAL. E-95/A-95 IGE | $2.55 | $2.55 | $1.99–$2.47 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY TESTS | $11.25 | $11.25 | $8.78–$10.91 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY INHALENT PANEL COMPONENT 1 | $11.25 | $11.25 | $8.78–$10.91 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 AMOXICILLIN IGE | $11.25 | $11.25 | $8.78–$10.91 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 FOOD ALLERGY PROFILE - COMPONENT 1 | $11.25 | $11.25 | $8.78–$10.91 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CHILDHOOD ALLERGY (FOOD & ENVIRONMENTAL) PROFILE - COMPONENT - 2 | $11.25 | $11.25 | $8.78–$10.91 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RESPIRATORY ALLERGY PROFILE REGION V - COMPONENT - 2 | $11.25 | $11.25 | $8.78–$10.91 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 LATEX IGE | $11.25 | $11.25 | $8.78–$10.91 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PENICILLOYL V IGE | $11.25 | $11.25 | $8.78–$10.91 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PENICILLOYL G IGE | $11.25 | $11.25 | $8.78–$10.91 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 WCH ENT ALLERGY PANEL-COMPONENT 1 | $11.25 | $11.25 | $8.78–$10.91 | — | — |
| Alpha-fetoprotein (AFP) blood test CPT 82105 ALPHA-FETOPROTEIN (AFP) TUMOR MARKER | $41.77 | $41.77 | $32.58–$40.52 | 31% below | — |
| Alpha-fetoprotein (AFP) blood test CPT 82105 AFP MATERNAL SERUM - **when encounter is for Outpatient Labs Only** | $41.77 | $41.77 | $8.28–$40.52 | 31% below | — |
| Alpha-fetoprotein (AFP) blood test CPT 82105 AFP MATERNAL SERUM | $41.77 | $41.77 | $32.58–$40.52 | 31% below | — |
| Alpha-fetoprotein (AFP) blood test CPT 82105 ALPHA-FETOPROTEIN (AFP) TUMOR MARKER - **when encounter is for Outpatient Labs Only** | $41.77 | $41.77 | $8.28–$40.52 | 31% below | — |
| Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 AFP MATERNAL SERUM | $41.77 | $41.77 | $32.58–$40.52 | — | — |
| Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 ALPHA-FETOPROTEIN (AFP) TUMOR MARKER | $41.77 | $41.77 | $32.58–$40.52 | — | — |
| Ammonia blood test CPT 82140 AMMONIA - **when encounter is for Outpatient Labs Only** | $79.90 | $79.90 | $7.20–$77.50 | 46% above | — |
| Ammonia blood test CPT 82140 AMMONIA | $79.90 | $79.90 | $62.32–$77.50 | 46% above | — |
| Ammonia blood test inpatient CPT 82140 AMMONIA | $79.90 | $79.90 | $62.32–$77.50 | — | — |
| Amylase blood test CPT 82150 AMYLASE, PERITONEAL FLUID | $22.23 | $22.23 | $17.34–$21.56 | 54% below | — |
| Amylase blood test CPT 82150 AMYLASE, PERITONEAL FLUID - **when encounter is for Outpatient Labs Only** | $22.23 | $22.23 | $3.07–$21.56 | 54% below | — |
| Amylase blood test CPT 82150 MACROAMYLASE - **when encounter is for Outpatient Labs Only** | $27.80 | $27.80 | $3.07–$26.97 | 42% below | — |
| Amylase blood test CPT 82150 MACROAMYLASE | $27.80 | $27.80 | $21.68–$26.97 | 42% below | — |
| Amylase blood test CPT 82150 AMYLASE ISOENZYMES 1ST COMPONENT - **when encounter is for Outpatient Labs Only** | $47.20 | $47.20 | $3.07–$45.78 | 1% below | — |
| Amylase blood test CPT 82150 AMYLASE ISOENZYMES 2ND COMPONENT - **when encounter is for Outpatient Labs Only** | $47.20 | $47.20 | $3.07–$45.78 | 1% below | — |
| Amylase blood test CPT 82150 AMYLASE ISOENZYMES 1ST COMPONENT | $47.20 | $47.20 | $36.82–$45.78 | 1% below | — |
| Amylase blood test CPT 82150 AMYLASE ISOENZYMES 2ND COMPONENT | $47.20 | $47.20 | $36.82–$45.78 | 1% below | — |
| Amylase blood test CPT 82150 AMYLASE, URINE | $49.65 | $49.65 | $38.73–$48.16 | 4% above | — |
| Amylase blood test CPT 82150 AMYLASE, URINE - **when encounter is for Outpatient Labs Only** | $49.65 | $49.65 | $3.07–$48.16 | 4% above | — |
| Amylase blood test CPT 82150 AMYLASE | $58.85 | $58.85 | $45.90–$57.08 | 23% above | — |
| Amylase blood test CPT 82150 AMYLASE, PLEURAL FLUID - **when encounter is for Outpatient Labs Only** | $58.85 | $58.85 | $3.07–$57.08 | 23% above | — |
| Amylase blood test CPT 82150 AMYLASE, PLEURAL FLUID | $58.85 | $58.85 | $45.90–$57.08 | 23% above | — |
| Amylase blood test CPT 82150 AMYLASE - **when encounter is for Outpatient Labs Only** | $58.85 | $58.85 | $3.07–$57.08 | 23% above | — |
| Amylase blood test inpatient CPT 82150 AMYLASE, PERITONEAL FLUID | $22.23 | $22.23 | $17.34–$21.56 | — | — |
| Amylase blood test inpatient CPT 82150 MACROAMYLASE | $27.80 | $27.80 | $21.68–$26.97 | — | — |
| Amylase blood test inpatient CPT 82150 AMYLASE ISOENZYMES 1ST COMPONENT | $47.20 | $47.20 | $36.82–$45.78 | — | — |
| Amylase blood test inpatient CPT 82150 AMYLASE ISOENZYMES 2ND COMPONENT | $47.20 | $47.20 | $36.82–$45.78 | — | — |
| Amylase blood test inpatient CPT 82150 AMYLASE, URINE | $49.65 | $49.65 | $38.73–$48.16 | — | — |
| Amylase blood test inpatient CPT 82150 AMYLASE | $58.85 | $58.85 | $45.90–$57.08 | — | — |
| Amylase blood test inpatient CPT 82150 AMYLASE, PLEURAL FLUID | $58.85 | $58.85 | $45.90–$57.08 | — | — |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CYCLIC CITRULLINATED PEPTIDE (CCP) IGG ABS | $37.95 | $37.95 | $29.60–$36.81 | 34% below | — |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CYCLIC CITRULLINATED PEPTIDE (CCP) IGG ABS - **when encounter is for Outpatient Labs Only** | $37.95 | $37.95 | $6.39–$36.81 | 34% below | — |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CYCLIC CITRULLINATED PEPTIDE (CCP) IGG ABS | $37.95 | $37.95 | $29.60–$36.81 | — | — |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 LUPUS (12) PANEL-ANALYZER 1ST COMPONENT - **when encounter is for Outpatient Labs Only** | $30.65 | $30.65 | $5.97–$29.73 | 45% below | — |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 LUPUS (12) PANEL-ANALYZER 1ST COMPONENT | $30.65 | $30.65 | $23.91–$29.73 | 45% below | — |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA | $37.09 | $37.09 | $28.93–$35.98 | 33% below | — |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA - **when encounter is for Outpatient Labs Only** | $37.09 | $37.09 | $5.97–$35.98 | 33% below | — |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA REFLEX TO DS,DNA - **when encounter is for Outpatient Labs Only** | $77.45 | $77.45 | $5.97–$75.13 | 40% above | — |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA REFLEX TO DS,DNA | $77.45 | $77.45 | $60.41–$75.13 | 40% above | — |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 LUPUS (12) PANEL-ANALYZER 1ST COMPONENT | $30.65 | $30.65 | $23.91–$29.73 | — | — |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA | $37.09 | $37.09 | $28.93–$35.98 | — | — |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA REFLEX TO DS,DNA | $77.45 | $77.45 | $60.41–$75.13 | — | — |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 NT - PROBNP - **when encounter is for Outpatient Labs Only** | $49.10 | $49.10 | $16.06–$47.63 | 67% below | — |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 NT - PROBNP | $49.10 | $49.10 | $38.30–$47.63 | 67% below | — |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 NT - PROBNP | $49.10 | $49.10 | $38.30–$47.63 | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 TISSUE CULTURE | $73.10 | $73.10 | $57.02–$70.91 | 11% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE BODY FLUIDS | $73.10 | $73.10 | $57.02–$70.91 | 11% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE ONLY OTHER - **when encounter is for Outpatient Labs Only** | $73.10 | $73.10 | $4.26–$70.91 | 11% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE ONLY OTHER | $73.10 | $73.10 | $57.02–$70.91 | 11% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 TISSUE CULTURE - **when encounter is for Outpatient Labs Only** | $73.10 | $73.10 | $4.26–$70.91 | 11% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE ONLY THROAT/NOSE - **when encounter is for Outpatient Labs Only** | $73.10 | $73.10 | $4.26–$70.91 | 11% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE ONLY THROAT/NOSE | $73.10 | $73.10 | $57.02–$70.91 | 11% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE BODY FLUIDS - **when encounter is for Outpatient Labs Only** | $73.10 | $73.10 | $4.26–$70.91 | 11% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE ONLY THROAT/NOSE | $73.10 | $73.10 | $57.02–$70.91 | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 TISSUE CULTURE | $73.10 | $73.10 | $57.02–$70.91 | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE BODY FLUIDS | $73.10 | $73.10 | $57.02–$70.91 | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE ONLY OTHER | $73.10 | $73.10 | $57.02–$70.91 | — | — |
| Basic metabolic panel (blood test) CPT 80048 BASIC PANEL (CHEM 8) | $110.25 | $110.25 | $86.00–$106.94 | 68% above | — |
| Basic metabolic panel (blood test) CPT 80048 BASIC PANEL (CHEM 8) - **when encounter is for Outpatient Labs Only** | $110.25 | $110.25 | $3.47–$106.94 | 68% above | — |
| Basic metabolic panel (blood test) inpatient CPT 80048 BASIC PANEL (CHEM 8) | $110.25 | $110.25 | $86.00–$106.94 | — | — |
| Bilirubin blood test, total CPT 82247 BILIRUBIN, TOTAL | $19.25 | $19.25 | $15.02–$18.67 | 20% below | — |
| Bilirubin blood test, total CPT 82247 BILIRUBIN, TOTAL - **when encounter is for Outpatient Labs Only** | $19.25 | $19.25 | $1.91–$18.67 | 20% below | — |
| Bilirubin blood test, total inpatient CPT 82247 BILIRUBIN, TOTAL | $19.25 | $19.25 | $15.02–$18.67 | — | — |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 SURG PATH 4 | $175.75 | $175.75 | $137.09–$170.48 | 14% below | — |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 SURG PATH 4 - **when encounter is for Outpatient Labs Only** | $175.75 | $175.75 | $28.61–$170.48 | 14% below | — |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 SURG PATH 4 | $175.75 | $175.75 | $137.09–$170.48 | — | — |
| Blood culture for bacteria CPT 87040 CULTURE ONLY BLOOD | $86.70 | $86.70 | $67.63–$84.10 | 7% below | — |
| Blood culture for bacteria CPT 87040 CULTURE ONLY BLOOD - **when encounter is for Outpatient Labs Only** | $86.70 | $86.70 | $5.10–$84.10 | 7% below | — |
| Blood culture for bacteria inpatient CPT 87040 CULTURE ONLY BLOOD | $86.70 | $86.70 | $67.63–$84.10 | — | — |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE | $18.55 | $18.55 | $14.47–$17.99 | 17% above | — |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE - **when encounter is for Outpatient Labs Only** | $18.55 | $18.55 | $6.50–$17.99 | 17% above | — |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 SPECIMEN COLLECTION FEE | $25.00 | $25.00 | $19.50–$24.25 | 57% above | — |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 SPECIMEN COLLECTION FEE - **when encounter is for Outpatient Labs Only** | $25.00 | $25.00 | $6.50–$24.25 | 57% above | — |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 SPECIMEN PROCUREMENT/PROC | $35.00 | $35.00 | $27.30–$33.95 | 120% above | — |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 SPECIMEN PROCUREMENT/PROC - **when encounter is for Outpatient Labs Only** | $35.00 | $35.00 | $6.50–$33.95 | 120% above | — |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENIPUNCTURE | $18.55 | $18.55 | $14.47–$17.99 | — | — |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 SPECIMEN COLLECTION FEE | $25.00 | $25.00 | $19.50–$24.25 | — | — |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 SPECIMEN PROCUREMENT/PROC | $35.00 | $35.00 | $27.30–$33.95 | — | — |
| Blood glucose (sugar) test CPT 82947 GLUCOSE | $19.25 | $19.25 | $15.02–$18.67 | 18% below | — |
| Blood glucose (sugar) test CPT 82947 GLUCOSE 2HR POST PRANDIAL - **when encounter is for Outpatient Labs Only** | $19.25 | $19.25 | $1.94–$18.67 | 18% below | — |
| Blood glucose (sugar) test CPT 82947 GLUCOSE 2HR POST PRANDIAL | $19.25 | $19.25 | $15.02–$18.67 | 18% below | — |
| Blood glucose (sugar) test CPT 82947 GLUCOSE, RANDOM - **when encounter is for Outpatient Labs Only** | $19.25 | $19.25 | $1.94–$18.67 | 18% below | — |
| Blood glucose (sugar) test CPT 82947 GLUCOSE, RANDOM | $19.25 | $19.25 | $15.02–$18.67 | 18% below | — |
| Blood glucose (sugar) test CPT 82947 GLUCOSE - **when encounter is for Outpatient Labs Only** | $19.25 | $19.25 | $1.94–$18.67 | 18% below | — |
| Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE 2HR POST PRANDIAL | $19.25 | $19.25 | $15.02–$18.67 | — | — |
| Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE | $19.25 | $19.25 | $15.02–$18.67 | — | — |
| Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE, RANDOM | $19.25 | $19.25 | $15.02–$18.67 | — | — |
| Blood lead test CPT 83655 LEAD, BLOOD (OSHA) | $37.11 | $37.11 | $28.95–$36.00 | 24% below | — |
| Blood lead test CPT 83655 LEAD, BLOOD (OSHA) - **when encounter is for Outpatient Labs Only** | $37.11 | $37.11 | $7.00–$36.00 | 24% below | — |
| Blood lead test CPT 83655 LEAD WHOLE BLOOD - **when encounter is for Outpatient Labs Only** | $37.11 | $37.11 | $7.00–$36.00 | 24% below | — |
| Blood lead test CPT 83655 LEAD WHOLE BLOOD | $37.11 | $37.11 | $28.95–$36.00 | 24% below | — |
| Blood lead test CPT 83655 HEAVY METALS URINE RANDOM 1ST COMPONENT | $44.25 | $44.25 | $34.52–$42.92 | 9% below | — |
| Blood lead test CPT 83655 HEAVY METALS URINE RANDOM 1ST COMPONENT - **when encounter is for Outpatient Labs Only** | $44.25 | $44.25 | $7.00–$42.92 | 9% below | — |
| Blood lead test CPT 83655 HEAVY METALS WHOLE BLOOD 3RD COMPONENT | $52.35 | $52.35 | $40.83–$50.78 | 8% above | — |
| Blood lead test CPT 83655 HEAVY METALS WHOLE BLOOD 3RD COMPONENT - **when encounter is for Outpatient Labs Only** | $52.35 | $52.35 | $7.00–$50.78 | 8% above | — |
| Blood lead test CPT 83655 HEAVY METALS 24HR URINE 2ND COMPONENT - **when encounter is for Outpatient Labs Only** | $59.00 | $59.00 | $7.00–$57.23 | 21% above | — |
| Blood lead test CPT 83655 HEAVY METALS 24HR URINE 2ND COMPONENT | $59.00 | $59.00 | $46.02–$57.23 | 21% above | — |
| Blood lead test CPT 83655 HEAVY METALS URINE RANDOM WITH CADMIUM - COMPONENT 1 - **when encounter is for Outpatient Labs Only** | $110.85 | $110.85 | $7.00–$107.52 | 128% above | — |
| Blood lead test CPT 83655 HEAVY METALS URINE RANDOM WITH CADMIUM - COMPONENT 1 | $110.85 | $110.85 | $86.46–$107.52 | 128% above | — |
| Blood lead test inpatient CPT 83655 LEAD WHOLE BLOOD | $37.11 | $37.11 | $28.95–$36.00 | — | — |
| Blood lead test inpatient CPT 83655 LEAD, BLOOD (OSHA) | $37.11 | $37.11 | $28.95–$36.00 | — | — |
| Blood lead test inpatient CPT 83655 HEAVY METALS URINE RANDOM 1ST COMPONENT | $44.25 | $44.25 | $34.52–$42.92 | — | — |
| Blood lead test inpatient CPT 83655 HEAVY METALS WHOLE BLOOD 3RD COMPONENT | $52.35 | $52.35 | $40.83–$50.78 | — | — |
| Blood lead test inpatient CPT 83655 HEAVY METALS 24HR URINE 2ND COMPONENT | $59.00 | $59.00 | $46.02–$57.23 | — | — |
| Blood lead test inpatient CPT 83655 HEAVY METALS URINE RANDOM WITH CADMIUM - COMPONENT 1 | $110.85 | $110.85 | $86.46–$107.52 | — | — |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 URINE PREGNANCY TEST | $54.50 | $54.50 | $42.51–$52.87 | at median | — |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 URINE PREGNANCY TEST - **when encounter is for Outpatient Labs Only** | $54.50 | $54.50 | $3.55–$52.87 | at median | — |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HCG QUALITATIVE - **when encounter is for Outpatient Labs Only** | $56.95 | $56.95 | $3.55–$55.24 | 4% above | — |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HCG QUALITATIVE | $56.95 | $56.95 | $44.42–$55.24 | 4% above | — |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 URINE PREGNANCY TEST | $54.50 | $54.50 | $42.51–$52.87 | — | — |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HCG QUALITATIVE | $56.95 | $56.95 | $44.42–$55.24 | — | — |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO TYPING - **when encounter is for Outpatient Labs Only** | $34.70 | $34.70 | $1.48–$33.66 | 42% below | — |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO TYPING | $34.70 | $34.70 | $27.07–$33.66 | 42% below | — |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 ABO TYPING | $34.70 | $34.70 | $27.07–$33.66 | — | — |
| Blood urea nitrogen (BUN) test CPT 84520 BUN | $19.25 | $19.25 | $15.02–$18.67 | 18% below | — |
| Blood urea nitrogen (BUN) test CPT 84520 BUN - **when encounter is for Outpatient Labs Only** | $19.25 | $19.25 | $1.95–$18.67 | 18% below | — |
| Blood urea nitrogen (BUN) test inpatient CPT 84520 BUN | $19.25 | $19.25 | $15.02–$18.67 | — | — |
| C-peptide blood test CPT 84681 C-PEPTIDE | $45.81 | $45.81 | $35.73–$44.44 | 42% below | — |
| C-peptide blood test CPT 84681 C-PEPTIDE - **when encounter is for Outpatient Labs Only** | $45.81 | $45.81 | $10.28–$44.44 | 42% below | — |
| C-peptide blood test inpatient CPT 84681 C-PEPTIDE | $45.81 | $45.81 | $35.73–$44.44 | — | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-REACTIVE PROTEIN QUANT | $36.55 | $36.55 | $28.51–$35.45 | 27% below | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-REACTIVE PROTEIN QUANT - **when encounter is for Outpatient Labs Only** | $36.55 | $36.55 | $2.45–$35.45 | 27% below | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C-REACTIVE PROTEIN QUANT | $36.55 | $36.55 | $28.51–$35.45 | — | — |
| C. difficile toxin gene test (stool PCR) CPT 87493 C DIFFICILE TOXIGENIC - **when encounter is for Outpatient Labs Only** | $85.45 | $85.45 | $17.33–$82.89 | 34% below | — |
| C. difficile toxin gene test (stool PCR) CPT 87493 C DIFFICILE TOXIGENIC | $85.45 | $85.45 | $66.65–$82.89 | 34% below | — |
| C. difficile toxin gene test (stool PCR) inpatient CPT 87493 C DIFFICILE TOXIGENIC | $85.45 | $85.45 | $66.65–$82.89 | — | — |
| CA 19-9 blood test (tumor marker) CPT 86301 CA 19-9 | $45.81 | $45.81 | $35.73–$44.44 | 37% below | — |
| CA 19-9 blood test (tumor marker) CPT 86301 CA 19-9 - **when encounter is for Outpatient Labs Only** | $45.81 | $45.81 | $10.28–$44.44 | 37% below | — |
| CA 19-9 blood test (tumor marker) inpatient CPT 86301 CA 19-9 | $45.81 | $45.81 | $35.73–$44.44 | — | — |
| CA-125 blood test (ovarian cancer marker) CPT 86304 CA 125 - **when encounter is for Outpatient Labs Only** | $101.55 | $101.55 | $10.28–$98.50 | 8% above | — |
| CA-125 blood test (ovarian cancer marker) CPT 86304 CA 125 | $101.55 | $101.55 | $79.21–$98.50 | 8% above | — |
| CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 CA 125 | $101.55 | $101.55 | $79.21–$98.50 | — | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 RAPID COVID-19, RNA - **when encounter is for Outpatient Labs Only** | $150.00 | $150.00 | $51.31–$145.50 | 6% above | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 RAPID COVID-19, RNA | $150.00 | $150.00 | $117.00–$145.50 | 6% above | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID 19 (WCH) | $225.00 | $225.00 | $175.50–$218.25 | 60% above | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID 19 (WCH) - **when encounter is for Outpatient Labs Only** | $225.00 | $225.00 | $51.31–$218.25 | 60% above | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) one side CPT 87635 COVID 19, RT-PCR - **when encounter is for Outpatient Labs Only** | $150.00 | $150.00 | $51.31–$145.50 | 6% above | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) one side CPT 87635 COVID 19, RT-PCR | $150.00 | $150.00 | $117.00–$145.50 | 6% above | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 RAPID COVID-19, RNA | $150.00 | $150.00 | $117.00–$145.50 | — | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 COVID 19 (WCH) | $225.00 | $225.00 | $175.50–$218.25 | — | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient one side CPT 87635 COVID 19, RT-PCR | $150.00 | $150.00 | $117.00–$145.50 | — | — |
| Calcium blood test, total CPT 82310 CALCIUM | $19.25 | $19.25 | $15.02–$18.67 | 39% below | — |
| Calcium blood test, total CPT 82310 CALCIUM - **when encounter is for Outpatient Labs Only** | $19.25 | $19.25 | $2.55–$18.67 | 39% below | — |
| Calcium blood test, total inpatient CPT 82310 CALCIUM | $19.25 | $19.25 | $15.02–$18.67 | — | — |
| Carcinoembryonic antigen (CEA) test CPT 82378 CEA - **when encounter is for Outpatient Labs Only** | $94.80 | $94.80 | $9.36–$91.96 | 9% above | — |
| Carcinoembryonic antigen (CEA) test CPT 82378 CEA | $94.80 | $94.80 | $73.94–$91.96 | 9% above | — |
| Carcinoembryonic antigen (CEA) test inpatient CPT 82378 CEA | $94.80 | $94.80 | $73.94–$91.96 | — | — |
| Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA-ZOSTER VIRUS ANTIBODY (IGG) - **when encounter is for Outpatient Labs Only** | $37.88 | $37.88 | $6.36–$36.74 | 35% below | — |
| Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA-ZOSTER VIRUS ANTIBODY (IGG) | $37.88 | $37.88 | $29.55–$36.74 | 35% below | — |
| Chickenpox (varicella) immunity blood test CPT 86787 VARICELL-ZOSTER VIRUS ANTIBODY (IGM) | $37.88 | $37.88 | $29.55–$36.74 | 35% below | — |
| Chickenpox (varicella) immunity blood test CPT 86787 VARICELL-ZOSTER VIRUS ANTIBODY (IGM) - **when encounter is for Outpatient Labs Only** | $37.88 | $37.88 | $6.36–$36.74 | 35% below | — |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 VARICELL-ZOSTER VIRUS ANTIBODY (IGM) | $37.88 | $37.88 | $29.55–$36.74 | — | — |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 VARICELLA-ZOSTER VIRUS ANTIBODY (IGG) | $37.88 | $37.88 | $29.55–$36.74 | — | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA - IN HOUSE - **when encounter is for Outpatient Labs Only** | $45.09 | $45.09 | $19.88–$43.74 | 51% below | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA - IN HOUSE | $45.09 | $45.09 | $35.17–$43.74 | 51% below | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA - IN HOUSE | $45.09 | $45.09 | $35.17–$43.74 | — | — |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 CARDIO IQ, COMPONENT 4 - **when encounter is for Outpatient Labs Only** | $33.04 | $33.04 | $6.02–$32.05 | 38% below | — |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 CARDIO IQ, COMPONENT 4 | $33.04 | $33.04 | $25.77–$32.05 | 38% below | — |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL - **when encounter is for Outpatient Labs Only** | $104.75 | $104.75 | $6.02–$101.61 | 98% above | — |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL | $104.75 | $104.75 | $81.71–$101.61 | 98% above | — |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 CARDIO IQ, COMPONENT 4 | $33.04 | $33.04 | $25.77–$32.05 | — | — |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PANEL | $104.75 | $104.75 | $81.71–$101.61 | — | — |
| Complete blood count (CBC) with differential CPT 85025 CBC WITH DIFF | $79.90 | $79.90 | $62.32–$77.50 | 120% above | — |
| Complete blood count (CBC) with differential CPT 85025 CBC WITH DIFF - **when encounter is for Outpatient Labs Only** | $79.90 | $79.90 | $3.68–$77.50 | 120% above | — |
| Complete blood count (CBC) with differential inpatient CPT 85025 CBC WITH DIFF | $79.90 | $79.90 | $62.32–$77.50 | — | — |
| Complete blood count (CBC), no differential CPT 85027 CBC W/O DIFF | $66.15 | $66.15 | $51.60–$64.17 | 95% above | — |
| Complete blood count (CBC), no differential CPT 85027 CBC W/O DIFF - **when encounter is for Outpatient Labs Only** | $66.15 | $66.15 | $3.06–$64.17 | 95% above | — |
| Complete blood count (CBC), no differential inpatient CPT 85027 CBC W/O DIFF | $66.15 | $66.15 | $51.60–$64.17 | — | — |
| Comprehensive metabolic panel (blood test) CPT 80053 METABOLIC PANEL, COMP. | $137.80 | $137.80 | $107.48–$133.67 | 117% above | — |
| Comprehensive metabolic panel (blood test) CPT 80053 METABOLIC PANEL, COMP. - **when encounter is for Outpatient Labs Only** | $137.80 | $137.80 | $5.99–$133.67 | 117% above | — |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 METABOLIC PANEL, COMP. | $137.80 | $137.80 | $107.48–$133.67 | — | — |
| Cortisol blood test, total CPT 82533 DEXAMETHASONE SUPRESSION TEST | $41.30 | $41.30 | $32.21–$40.06 | 43% below | — |
| Cortisol blood test, total CPT 82533 DEXAMETHASONE SUPRESSION TEST - **when encounter is for Outpatient Labs Only** | $41.30 | $41.30 | $8.05–$40.06 | 43% below | — |
| Cortisol blood test, total CPT 82533 CORTISOL, TOTAL | $89.80 | $89.80 | $70.04–$87.11 | 24% above | — |
| Cortisol blood test, total CPT 82533 CORTISOL, TOTAL - **when encounter is for Outpatient Labs Only** | $89.80 | $89.80 | $8.05–$87.11 | 24% above | — |
| Cortisol blood test, total inpatient CPT 82533 DEXAMETHASONE SUPRESSION TEST | $41.30 | $41.30 | $32.21–$40.06 | — | — |
| Cortisol blood test, total inpatient CPT 82533 CORTISOL, TOTAL | $89.80 | $89.80 | $70.04–$87.11 | — | — |
| Creatine kinase (CK) blood test, total CPT 82550 CREATINE KINASE (CK) ISOENZYMES 2ND COMPONENT - **when encounter is for Outpatient Labs Only** | $22.40 | $22.40 | $3.08–$21.73 | 37% below | — |
| Creatine kinase (CK) blood test, total CPT 82550 CREATINE KINASE (CK) ISOENZYMES 2ND COMPONENT | $22.40 | $22.40 | $17.47–$21.73 | 37% below | — |
| Creatine kinase (CK) blood test, total CPT 82550 CK | $47.05 | $47.05 | $36.70–$45.64 | 33% above | — |
| Creatine kinase (CK) blood test, total CPT 82550 CK - **when encounter is for Outpatient Labs Only** | $47.05 | $47.05 | $3.08–$45.64 | 33% above | — |
| Creatine kinase (CK) blood test, total inpatient CPT 82550 CREATINE KINASE (CK) ISOENZYMES 2ND COMPONENT | $22.40 | $22.40 | $17.47–$21.73 | — | — |
| Creatine kinase (CK) blood test, total inpatient CPT 82550 CK | $47.05 | $47.05 | $36.70–$45.64 | — | — |
| Creatinine blood test CPT 82565 CREATININE | $19.25 | $19.25 | $15.02–$18.67 | 22% below | — |
| Creatinine blood test CPT 82565 CREATININE - **when encounter is for Outpatient Labs Only** | $19.25 | $19.25 | $2.53–$18.67 | 22% below | — |
| Creatinine blood test inpatient CPT 82565 CREATININE | $19.25 | $19.25 | $15.02–$18.67 | — | — |
| Cytomegalovirus (CMV) antibody test CPT 86644 CMV NEGATIVE | $39.39 | $39.39 | $30.72–$38.21 | 43% below | — |
| Cytomegalovirus (CMV) antibody test CPT 86644 CYTOMEGALOVIRUS IGG AB - **when encounter is for Outpatient Labs Only** | $39.39 | $39.39 | $7.11–$38.21 | 43% below | — |
| Cytomegalovirus (CMV) antibody test CPT 86644 CMV NEGATIVE - **when encounter is for Outpatient Labs Only** | $39.39 | $39.39 | $7.11–$38.21 | 43% below | — |
| Cytomegalovirus (CMV) antibody test CPT 86644 CYTOMEGALOVIRUS IGG AB | $39.39 | $39.39 | $30.72–$38.21 | 43% below | — |
| Cytomegalovirus (CMV) antibody test inpatient CPT 86644 CYTOMEGALOVIRUS IGG AB | $39.39 | $39.39 | $30.72–$38.21 | — | — |
| Cytomegalovirus (CMV) antibody test inpatient CPT 86644 CMV NEGATIVE | $39.39 | $39.39 | $30.72–$38.21 | — | — |
| D-dimer blood test (blood clot marker) CPT 85379 D-DIMER QUANTITATIVE | $125.10 | $125.10 | $97.58–$121.35 | 80% above | — |
| D-dimer blood test (blood clot marker) CPT 85379 D-DIMER QUANTITATIVE - **when encounter is for Outpatient Labs Only** | $125.10 | $125.10 | $5.02–$121.35 | 80% above | — |
| D-dimer blood test (blood clot marker) inpatient CPT 85379 D-DIMER QUANTITATIVE | $125.10 | $125.10 | $97.58–$121.35 | — | — |
| DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA-S - **when encounter is for Outpatient Labs Only** | $47.33 | $47.33 | $10.98–$45.91 | 52% below | — |
| DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA-S | $47.33 | $47.33 | $36.92–$45.91 | 52% below | — |
| DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DHEA-S | $47.33 | $47.33 | $36.92–$45.91 | — | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 RW DOT COLLECTION THEIR FORM - **when encounter is for Outpatient Labs Only** | $25.00 | $25.00 | $19.50–$24.25 | 74% below | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 RW DOT COLLECTION THEIR FORM | $25.00 | $25.00 | $19.50–$24.25 | 74% below | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HAIR COLLECTION THEIR FRM | $30.00 | $30.00 | $23.40–$29.10 | 69% below | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HAIR COLLECTION THEIR FRM - **when encounter is for Outpatient Labs Only** | $30.00 | $30.00 | $23.40–$29.10 | 69% below | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 RW DOT COLLECTION | $45.00 | $45.00 | $35.10–$43.65 | 53% below | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 RW DOT COLLECTION - **when encounter is for Outpatient Labs Only** | $45.00 | $45.00 | $31.92–$43.65 | 53% below | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HAIR COLLECT & ANALYSIS | $65.00 | $65.00 | $50.70–$63.05 | 32% below | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HAIR COLLECT & ANALYSIS - **when encounter is for Outpatient Labs Only** | $65.00 | $65.00 | $31.92–$63.05 | 32% below | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 OXYCODONE SCREEN, URINE | $74.50 | $74.50 | $58.11–$72.27 | 22% below | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 BUPRENORPHINE SCREEN, URINE - **when encounter is for Outpatient Labs Only** | $74.50 | $74.50 | $31.92–$72.27 | 22% below | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 BUPRENORPHINE SCREEN, URINE | $74.50 | $74.50 | $58.11–$72.27 | 22% below | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 OXYCODONE SCREEN, URINE - **when encounter is for Outpatient Labs Only** | $74.50 | $74.50 | $31.92–$72.27 | 22% below | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HEROIN METABOLITE SCREEN, URINE | $74.50 | $74.50 | $58.11–$72.27 | 22% below | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HEROIN METABOLITE SCREEN, URINE - **when encounter is for Outpatient Labs Only** | $74.50 | $74.50 | $31.92–$72.27 | 22% below | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 ALCOHOL, URINE | $113.10 | $113.10 | $88.22–$109.71 | 18% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 ALCOHOL, URINE - **when encounter is for Outpatient Labs Only** | $113.10 | $113.10 | $31.92–$109.71 | 18% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 MECONIUM DRUG TEST | $118.53 | $118.53 | $92.45–$114.97 | 24% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 MECONIUM DRUG TEST - **when encounter is for Outpatient Labs Only** | $118.53 | $118.53 | $31.92–$114.97 | 24% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 URINE DRUGS OF ABUSE. | $144.00 | $144.00 | $112.32–$139.68 | 51% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 URINE DRUGS OF ABUSE. - **when encounter is for Outpatient Labs Only** | $144.00 | $144.00 | $31.92–$139.68 | 51% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 PAIN MANAGEMENT PROFILE 5 | $174.00 | $174.00 | $135.72–$168.78 | 82% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 PAIN MANAGEMENT PROFILE 5 - **when encounter is for Outpatient Labs Only** | $174.00 | $174.00 | $31.92–$168.78 | 82% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUGS OF ABUSE SCREEN SERUM | $227.50 | $227.50 | $177.45–$220.68 | 138% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUGS OF ABUSE SCREEN SERUM - **when encounter is for Outpatient Labs Only** | $227.50 | $227.50 | $31.92–$220.68 | 138% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 PAIN MANAGEMENT PROFILE 5 EXTENDED | $244.00 | $244.00 | $190.32–$236.68 | 155% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 PAIN MANAGEMENT PROFILE 5 EXTENDED - **when encounter is for Outpatient Labs Only** | $244.00 | $244.00 | $31.92–$236.68 | 155% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 COMPREHENSIVE DRUG SCREEN, UMBILICAL CORD - **when encounter is for Outpatient Labs Only** | $446.00 | $446.00 | $31.92–$432.62 | 367% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 COMPREHENSIVE DRUG SCREEN, UMBILICAL CORD | $446.00 | $446.00 | $347.88–$432.62 | 367% above | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 RW DOT COLLECTION THEIR FORM | $25.00 | $25.00 | $19.50–$24.25 | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HAIR COLLECTION THEIR FRM | $30.00 | $30.00 | $23.40–$29.10 | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 RW DOT COLLECTION | $45.00 | $45.00 | $35.10–$43.65 | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HAIR COLLECT & ANALYSIS | $65.00 | $65.00 | $50.70–$63.05 | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 BUPRENORPHINE SCREEN, URINE | $74.50 | $74.50 | $58.11–$72.27 | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 OXYCODONE SCREEN, URINE | $74.50 | $74.50 | $58.11–$72.27 | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HEROIN METABOLITE SCREEN, URINE | $74.50 | $74.50 | $58.11–$72.27 | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 ALCOHOL, URINE | $113.10 | $113.10 | $88.22–$109.71 | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 MECONIUM DRUG TEST | $118.53 | $118.53 | $92.45–$114.97 | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 URINE DRUGS OF ABUSE. | $144.00 | $144.00 | $112.32–$139.68 | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 PAIN MANAGEMENT PROFILE 5 | $174.00 | $174.00 | $135.72–$168.78 | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUGS OF ABUSE SCREEN SERUM | $227.50 | $227.50 | $177.45–$220.68 | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 PAIN MANAGEMENT PROFILE 5 EXTENDED | $244.00 | $244.00 | $190.32–$236.68 | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 COMPREHENSIVE DRUG SCREEN, UMBILICAL CORD | $446.00 | $446.00 | $347.88–$432.62 | — | — |
| Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 ELECTROLYTES - **when encounter is for Outpatient Labs Only** | $66.90 | $66.90 | $2.14–$64.89 | 40% above | — |
| Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 ELECTROLYTES | $66.90 | $66.90 | $52.18–$64.89 | 40% above | — |
| Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 ELECTROLYTES | $66.90 | $66.90 | $52.18–$64.89 | — | — |
| Epstein-Barr virus (EBV) antibody test CPT 86665 EPSTEIN BARR VIRUS AB PANEL - CAPSID VCA - **when encounter is for Outpatient Labs Only** | $47.18 | $47.18 | $8.96–$45.76 | 27% below | — |
| Epstein-Barr virus (EBV) antibody test CPT 86665 EPSTEIN BARR VIRUS AB PANEL - CAPSID VCA | $47.18 | $47.18 | $36.80–$45.76 | 27% below | — |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 EPSTEIN BARR VIRUS AB PANEL - CAPSID VCA | $47.18 | $47.18 | $36.80–$45.76 | — | — |
| Estradiol blood test CPT 82670 ESTRADIOL | $105.30 | $105.30 | $82.13–$102.14 | 6% below | — |
| Estradiol blood test CPT 82670 ESTRADIOL - **when encounter is for Outpatient Labs Only** | $105.30 | $105.30 | $13.80–$102.14 | 6% below | — |
| Estradiol blood test CPT 82670 ESTRADIOL LVL, ULTRASENSITIVE - **when encounter is for Outpatient Labs Only** | $120.63 | $120.63 | $13.80–$117.01 | 8% above | — |
| Estradiol blood test CPT 82670 ESTRADIOL LVL, ULTRASENSITIVE | $120.63 | $120.63 | $94.09–$117.01 | 8% above | — |
| Estradiol blood test inpatient CPT 82670 ESTRADIOL | $105.30 | $105.30 | $82.13–$102.14 | — | — |
| Estradiol blood test inpatient CPT 82670 ESTRADIOL LVL, ULTRASENSITIVE | $120.63 | $120.63 | $94.09–$117.01 | — | — |
| FSH (follicle-stimulating hormone) test CPT 83001 FSH | $91.05 | $91.05 | $71.02–$88.32 | 6% above | — |
| FSH (follicle-stimulating hormone) test CPT 83001 FSH - **when encounter is for Outpatient Labs Only** | $91.05 | $91.05 | $8.79–$88.32 | 6% above | — |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 FSH | $91.05 | $91.05 | $71.02–$88.32 | — | — |
| Fecal calprotectin (stool inflammation test) CPT 83993 CALPROTECTIN, STL | $122.50 | $122.50 | $95.55–$118.83 | 18% below | — |
| Fecal calprotectin (stool inflammation test) CPT 83993 CALPROTECTIN, STL - **when encounter is for Outpatient Labs Only** | $122.50 | $122.50 | $9.70–$118.83 | 18% below | — |
| Fecal calprotectin (stool inflammation test) inpatient CPT 83993 CALPROTECTIN, STL | $122.50 | $122.50 | $95.55–$118.83 | — | — |
| Ferritin blood test (iron stores) CPT 82728 FERRITIN - **when encounter is for Outpatient Labs Only** | $75.55 | $75.55 | $6.73–$73.28 | 1% below | — |
| Ferritin blood test (iron stores) CPT 82728 FERRITIN | $75.55 | $75.55 | $58.93–$73.28 | 1% below | — |
| Ferritin blood test (iron stores) inpatient CPT 82728 FERRITIN | $75.55 | $75.55 | $58.93–$73.28 | — | — |
| Fibrinogen blood test CPT 85384 FIBRINOGEN ACTIVITY | $50.20 | $50.20 | $39.16–$48.69 | 12% above | — |
| Fibrinogen blood test CPT 85384 FIBRINOGEN ACTIVITY - **when encounter is for Outpatient Labs Only** | $50.20 | $50.20 | $4.20–$48.69 | 12% above | — |
| Fibrinogen blood test inpatient CPT 85384 FIBRINOGEN ACTIVITY | $50.20 | $50.20 | $39.16–$48.69 | — | — |
| Folate (folic acid) blood test CPT 82746 FOLATE, SERUM - **when encounter is for Outpatient Labs Only** | $67.55 | $67.55 | $7.26–$65.52 | at median | — |
| Folate (folic acid) blood test CPT 82746 FOLATE, SERUM | $67.55 | $67.55 | $52.69–$65.52 | at median | — |
| Folate (folic acid) blood test inpatient CPT 82746 FOLATE, SERUM | $67.55 | $67.55 | $52.69–$65.52 | — | — |
| Free T3 thyroid hormone test CPT 84481 T3, FREE | $100.30 | $100.30 | $78.23–$97.29 | 32% above | — |
| Free T3 thyroid hormone test CPT 84481 T3, FREE - **when encounter is for Outpatient Labs Only** | $100.30 | $100.30 | $8.37–$97.29 | 32% above | — |
| Free T3 thyroid hormone test inpatient CPT 84481 T3, FREE | $100.30 | $100.30 | $78.23–$97.29 | — | — |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 T-4 FREE | $79.90 | $79.90 | $62.32–$77.50 | 88% above | — |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 T-4 FREE - **when encounter is for Outpatient Labs Only** | $79.90 | $79.90 | $5.11–$77.50 | 88% above | — |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 T-4 FREE | $79.90 | $79.90 | $62.32–$77.50 | — | — |
| Free testosterone test CPT 84402 TESTOSTERONE, FREE - **when encounter is for Outpatient Labs Only** | $50.47 | $50.47 | $12.58–$48.96 | 48% below | — |
| Free testosterone test CPT 84402 TESTOSTERONE, FREE | $50.47 | $50.47 | $39.37–$48.96 | 48% below | — |
| Free testosterone test CPT 84402 TESTOSTERONE, FREE AND TOTAL LC/MS/MS 1COMPONENT | $143.30 | $143.30 | $111.77–$139.00 | 47% above | — |
| Free testosterone test CPT 84402 TESTOSTERONE, FREE AND TOTAL LC/MS/MS 1COMPONENT - **when encounter is for Outpatient Labs Only** | $143.30 | $143.30 | $12.58–$139.00 | 47% above | — |
| Free testosterone test inpatient CPT 84402 TESTOSTERONE, FREE | $50.47 | $50.47 | $39.37–$48.96 | — | — |
| Free testosterone test inpatient CPT 84402 TESTOSTERONE, FREE AND TOTAL LC/MS/MS 1COMPONENT | $143.30 | $143.30 | $111.77–$139.00 | — | — |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 GGT - **when encounter is for Outpatient Labs Only** | $30.35 | $30.35 | $3.41–$29.44 | 29% below | — |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 GGT | $30.35 | $30.35 | $23.67–$29.44 | 29% below | — |
| Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 GGT | $30.35 | $30.35 | $23.67–$29.44 | — | — |
| General health panel: metabolic panel, blood count and TSH in one order CPT 80050 GENERAL HEALTH PANEL WITHOUT DIFF | $319.15 | $319.15 | $248.94–$309.58 | 44% above | — |
| General health panel: metabolic panel, blood count and TSH in one order CPT 80050 GENERAL HEALTH PANEL WITHOUT DIFF - **when encounter is for Outpatient Labs Only** | $319.15 | $319.15 | $17.36–$309.58 | 44% above | — |
| General health panel: metabolic panel, blood count and TSH in one order CPT 80050 GENERAL HEALTH PANEL WITH DIFF | $332.90 | $332.90 | $259.66–$322.91 | 50% above | — |
| General health panel: metabolic panel, blood count and TSH in one order CPT 80050 GENERAL HEALTH PANEL WITH DIFF - **when encounter is for Outpatient Labs Only** | $332.90 | $332.90 | $17.36–$322.91 | 50% above | — |
| General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 GENERAL HEALTH PANEL WITHOUT DIFF | $319.15 | $319.15 | $248.94–$309.58 | — | — |
| General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 GENERAL HEALTH PANEL WITH DIFF | $332.90 | $332.90 | $259.66–$322.91 | — | — |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE, 1 HR POST | $19.25 | $19.25 | $15.02–$18.67 | 50% below | — |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE, 1 HR POST - **when encounter is for Outpatient Labs Only** | $19.25 | $19.25 | $2.25–$18.67 | 50% below | — |
| Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 GLUCOSE, 1 HR POST | $19.25 | $19.25 | $15.02–$18.67 | — | — |
| Glucose tolerance test, 3 samples CPT 82951 GTT < 4 SPECIMENS - **when encounter is for Outpatient Labs Only** | $77.45 | $77.45 | $4.63–$75.13 | 15% above | — |
| Glucose tolerance test, 3 samples CPT 82951 GTT < 4 SPECIMENS | $77.45 | $77.45 | $60.41–$75.13 | 15% above | — |
| Glucose tolerance test, 3 samples inpatient CPT 82951 GTT < 4 SPECIMENS | $77.45 | $77.45 | $60.41–$75.13 | — | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 GC (NEISSERIA) - IN HOUSE | $45.09 | $45.09 | $35.17–$43.74 | 51% below | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 GC (NEISSERIA) - IN HOUSE - **when encounter is for Outpatient Labs Only** | $45.09 | $45.09 | $19.88–$43.74 | 51% below | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 GC (NEISSERIA) - IN HOUSE | $45.09 | $45.09 | $35.17–$43.74 | — | — |
| H. pylori stool antigen test CPT 87338 HELICOBACTER PYLORI ANTIGEN STOOL - **when encounter is for Outpatient Labs Only** | $70.02 | $70.02 | $7.10–$67.92 | at median | — |
| H. pylori stool antigen test CPT 87338 HELICOBACTER PYLORI ANTIGEN STOOL | $70.02 | $70.02 | $54.62–$67.92 | at median | — |
| H. pylori stool antigen test inpatient CPT 87338 HELICOBACTER PYLORI ANTIGEN STOOL | $70.02 | $70.02 | $54.62–$67.92 | — | — |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV -1, RNA, QUANTITATIVE, REAL-TIME, PCR - **when encounter is for Outpatient Labs Only** | $154.00 | $154.00 | $42.02–$149.38 | 57% below | — |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV -1, RNA, QUANTITATIVE, REAL-TIME, PCR | $154.00 | $154.00 | $120.12–$149.38 | 57% below | — |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV -1, RNA, QUANTITATIVE, REAL-TIME, PCR | $154.00 | $154.00 | $120.12–$149.38 | — | — |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV COMBO SCREEN - **when encounter is for Outpatient Labs Only** | $29.00 | $29.00 | $11.89–$28.13 | 61% below | — |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV COMBO SCREEN | $29.00 | $29.00 | $22.62–$28.13 | 61% below | — |
| HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HIV COMBO SCREEN | $29.00 | $29.00 | $22.62–$28.13 | — | — |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV HIGH RISK | $95.60 | $95.60 | $74.57–$92.73 | 20% below | — |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV HIGH RISK - **when encounter is for Outpatient Labs Only** | $95.60 | $95.60 | $19.10–$92.73 | 20% below | — |
| HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HPV HIGH RISK | $95.60 | $95.60 | $74.57–$92.73 | — | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 GLYCOSYLATED HEMOGLOBIN - **when encounter is for Outpatient Labs Only** | $77.45 | $77.45 | $9.00–$75.13 | 70% above | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 GLYCOSYLATED HEMOGLOBIN | $77.45 | $77.45 | $60.41–$75.13 | 70% above | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 GLYCOSYLATED HEMOGLOBIN | $77.45 | $77.45 | $60.41–$75.13 | — | — |
| Hemoglobin blood test CPT 85018 HEMOGLOBINOPATHY EVALUATION - COMPONENT - 2 - **when encounter is for Outpatient Labs Only** | $18.00 | $18.00 | $2.98–$17.46 | 11% above | — |
| Hemoglobin blood test CPT 85018 HEMOGLOBINOPATHY EVALUATION - COMPONENT - 2 | $18.00 | $18.00 | $14.04–$17.46 | 11% above | — |
| Hemoglobin blood test CPT 85018 HEMOGLOBIN - **when encounter is for Outpatient Labs Only** | $21.85 | $21.85 | $2.98–$21.19 | 35% above | — |
| Hemoglobin blood test CPT 85018 HEMOGLOBIN | $21.85 | $21.85 | $17.04–$21.19 | 35% above | — |
| Hemoglobin blood test inpatient CPT 85018 HEMOGLOBINOPATHY EVALUATION - COMPONENT - 2 | $18.00 | $18.00 | $14.04–$17.46 | — | — |
| Hemoglobin blood test inpatient CPT 85018 HEMOGLOBIN | $21.85 | $21.85 | $17.04–$21.19 | — | — |
| Hepatitis B core antibody test (total) CPT 86704 HEP B CORE AB - **when encounter is for Outpatient Labs Only** | $61.95 | $61.95 | $5.95–$60.09 | 15% above | — |
| Hepatitis B core antibody test (total) CPT 86704 HEP B CORE AB | $61.95 | $61.95 | $48.32–$60.09 | 15% above | — |
| Hepatitis B core antibody test (total) inpatient CPT 86704 HEP B CORE AB | $61.95 | $61.95 | $48.32–$60.09 | — | — |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEP B SURFACE AB - **when encounter is for Outpatient Labs Only** | $58.85 | $58.85 | $5.30–$57.08 | 22% above | — |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEP B SURFACE AB | $58.85 | $58.85 | $45.90–$57.08 | 22% above | — |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEP B SURFACE AB | $58.85 | $58.85 | $45.90–$57.08 | — | — |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B SURFACE ANTIGEN WITH REFLEX TO CONFIRMATION | $46.00 | $46.00 | $35.88–$44.62 | 3% below | — |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B SURFACE ANTIGEN WITH REFLEX TO CONFIRMATION - **when encounter is for Outpatient Labs Only** | $46.00 | $46.00 | $5.10–$44.62 | 3% below | — |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HEP B SURFACE AG - **when encounter is for Outpatient Labs Only** | $73.75 | $73.75 | $5.10–$71.54 | 56% above | — |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HEP B SURFACE AG | $73.75 | $73.75 | $57.53–$71.54 | 56% above | — |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEPATITIS B SURFACE ANTIGEN WITH REFLEX TO CONFIRMATION | $46.00 | $46.00 | $35.88–$44.62 | — | — |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEP B SURFACE AG | $73.75 | $73.75 | $57.53–$71.54 | — | — |
| Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C ANTIBODY | $18.00 | $18.00 | $14.04–$17.46 | 72% below | — |
| Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C ANTIBODY - **when encounter is for Outpatient Labs Only** | $18.00 | $18.00 | $6.23–$17.46 | 72% below | — |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C ANTIBODY | $18.00 | $18.00 | $14.04–$17.46 | — | — |
| Hepatitis C viral load (HCV RNA) test one side CPT 87522 HEPATITIS C VIRAL RNA, QUAN RT-PCR (REFLEX FOR 8472) | $279.45 | $279.45 | $217.97–$271.07 | 45% above | — |
| Hepatitis C viral load (HCV RNA) test one side CPT 87522 HEPATITIS C VIRAL RNA, QUAN RT-PCR (REFLEX FOR 8472) - **when encounter is for Outpatient Labs Only** | $279.45 | $279.45 | $21.15–$271.07 | 45% above | — |
| Hepatitis C viral load (HCV RNA) test inpatient one side CPT 87522 HEPATITIS C VIRAL RNA, QUAN RT-PCR (REFLEX FOR 8472) | $279.45 | $279.45 | $217.97–$271.07 | — | — |
| Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX VIRUS 1 & 2 TYPE AB (IGM) - AB HSV TYPE 1 | $45.23 | $45.23 | $35.28–$43.87 | 24% below | — |
| Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX VIRUS 1 & 2 TYPE AB (IGM) - AB HSV TYPE 1 - **when encounter is for Outpatient Labs Only** | $45.23 | $45.23 | $6.51–$43.87 | 24% below | — |
| Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX VIRUS TYPES 1 & 2 IGG ABS (HERPESELECT) 1ST COMPONENT - **when encounter is for Outpatient Labs Only** | $71.05 | $71.05 | $6.51–$68.92 | 20% above | — |
| Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX VIRUS TYPES 1 & 2 IGG ABS (HERPESELECT) 1ST COMPONENT | $71.05 | $71.05 | $55.42–$68.92 | 20% above | — |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HERPES SIMPLEX VIRUS 1 & 2 TYPE AB (IGM) - AB HSV TYPE 1 | $45.23 | $45.23 | $35.28–$43.87 | — | — |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HERPES SIMPLEX VIRUS TYPES 1 & 2 IGG ABS (HERPESELECT) 1ST COMPONENT | $71.05 | $71.05 | $55.42–$68.92 | — | — |
| Herpes blood test, HSV-2 antibody CPT 86696 HSV 2 IGG ABS | $44.35 | $44.35 | $34.59–$43.02 | 33% below | — |
| Herpes blood test, HSV-2 antibody CPT 86696 HSV 2 IGG ABS - **when encounter is for Outpatient Labs Only** | $44.35 | $44.35 | $9.56–$43.02 | 33% below | — |
| Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX VIRUS 1 &2 TYPE AB (IGM) - AB HSV TYPE 2 | $66.38 | $66.38 | $51.78–$64.39 | at median | — |
| Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX VIRUS 1 &2 TYPE AB (IGM) - AB HSV TYPE 2 - **when encounter is for Outpatient Labs Only** | $66.38 | $66.38 | $9.56–$64.39 | at median | — |
| Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX VIRUS TYPES 1 & 2 IGG ABS (HERPESELECT) 2ND COMPONENT - **when encounter is for Outpatient Labs Only** | $71.05 | $71.05 | $9.56–$68.92 | 7% above | — |
| Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX VIRUS TYPES 1 & 2 IGG ABS (HERPESELECT) 2ND COMPONENT | $71.05 | $71.05 | $55.42–$68.92 | 7% above | — |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HSV 2 IGG ABS | $44.35 | $44.35 | $34.59–$43.02 | — | — |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HERPES SIMPLEX VIRUS 1 &2 TYPE AB (IGM) - AB HSV TYPE 2 | $66.38 | $66.38 | $51.78–$64.39 | — | — |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HERPES SIMPLEX VIRUS TYPES 1 & 2 IGG ABS (HERPESELECT) 2ND COMPONENT | $71.05 | $71.05 | $55.42–$68.92 | — | — |
| High-sensitivity CRP (hs-CRP) test CPT 86141 CARDIO CRP | $60.10 | $60.10 | $46.88–$58.30 | 11% below | — |
| High-sensitivity CRP (hs-CRP) test CPT 86141 CARDIO CRP - **when encounter is for Outpatient Labs Only** | $60.10 | $60.10 | $6.39–$58.30 | 11% below | — |
| High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 CARDIO CRP | $60.10 | $60.10 | $46.88–$58.30 | — | — |
| Homocysteine blood test CPT 83090 HOMOCYSTEINE | $42.92 | $42.92 | $33.48–$41.63 | 47% below | — |
| Homocysteine blood test CPT 83090 HOMOCYSTEINE - **when encounter is for Outpatient Labs Only** | $42.92 | $42.92 | $8.33–$41.63 | 47% below | — |
| Homocysteine blood test inpatient CPT 83090 HOMOCYSTEINE | $42.92 | $42.92 | $33.48–$41.63 | — | — |
| Insulin blood test CPT 83525 INSULIN - **when encounter is for Outpatient Labs Only** | $64.40 | $64.40 | $5.64–$62.47 | 25% above | — |
| Insulin blood test CPT 83525 INSULIN | $64.40 | $64.40 | $50.23–$62.47 | 25% above | — |
| Insulin blood test inpatient CPT 83525 INSULIN | $64.40 | $64.40 | $50.23–$62.47 | — | — |
| Iron blood test (serum iron) CPT 83540 IRON, SERUM | $34.70 | $34.70 | $27.07–$33.66 | 9% below | — |
| Iron blood test (serum iron) CPT 83540 IRON, SERUM - **when encounter is for Outpatient Labs Only** | $34.70 | $34.70 | $3.20–$33.66 | 9% below | — |
| Iron blood test (serum iron) inpatient CPT 83540 IRON, SERUM | $34.70 | $34.70 | $27.07–$33.66 | — | — |
| Iron-binding capacity (TIBC) test CPT 83550 TIBC | $53.10 | $53.10 | $41.42–$51.51 | 36% above | — |
| Iron-binding capacity (TIBC) test CPT 83550 TIBC - **when encounter is for Outpatient Labs Only** | $53.10 | $53.10 | $4.32–$51.51 | 36% above | — |
| Iron-binding capacity (TIBC) test inpatient CPT 83550 TIBC | $53.10 | $53.10 | $41.42–$51.51 | — | — |
| Kidney function blood test panel CPT 80069 RENAL PANEL - **when encounter is for Outpatient Labs Only** | $92.30 | $92.30 | $4.11–$89.53 | 28% above | — |
| Kidney function blood test panel CPT 80069 RENAL PANEL | $92.30 | $92.30 | $71.99–$89.53 | 28% above | — |
| Kidney function blood test panel inpatient CPT 80069 RENAL PANEL | $92.30 | $92.30 | $71.99–$89.53 | — | — |
| LH (luteinizing hormone) test CPT 83002 LUTEINIZING HORMONE - **when encounter is for Outpatient Labs Only** | $96.00 | $96.00 | $8.76–$93.12 | at median | — |
| LH (luteinizing hormone) test CPT 83002 LUTEINIZING HORMONE | $96.00 | $96.00 | $74.88–$93.12 | at median | — |
| LH (luteinizing hormone) test inpatient CPT 83002 LUTEINIZING HORMONE | $96.00 | $96.00 | $74.88–$93.12 | — | — |
| Lactate (lactic acid) blood test CPT 83605 LACTIC ACID | $95.35 | $95.35 | $74.37–$92.49 | 83% above | — |
| Lactate (lactic acid) blood test CPT 83605 LACTIC ACID - **when encounter is for Outpatient Labs Only** | $95.35 | $95.35 | $5.05–$92.49 | 83% above | — |
| Lactate (lactic acid) blood test inpatient CPT 83605 LACTIC ACID | $95.35 | $95.35 | $74.37–$92.49 | — | — |
| Lactate dehydrogenase (LDH) blood test CPT 83615 LACTATE DEHYDROGENASE (LD) ISOENZYMES 2ND COMPONENT | $30.00 | $30.00 | $23.40–$29.10 | 10% above | — |
| Lactate dehydrogenase (LDH) blood test CPT 83615 LACTATE DEHYDROGENASE (LD) ISOENZYMES 2ND COMPONENT - **when encounter is for Outpatient Labs Only** | $30.00 | $30.00 | $2.98–$29.10 | 10% above | — |
| Lactate dehydrogenase (LDH) blood test CPT 83615 LDH PLEURAL FLUID - **when encounter is for Outpatient Labs Only** | $35.35 | $35.35 | $2.98–$34.29 | 29% above | — |
| Lactate dehydrogenase (LDH) blood test CPT 83615 LDH PLEURAL FLUID | $35.35 | $35.35 | $27.57–$34.29 | 29% above | — |
| Lactate dehydrogenase (LDH) blood test CPT 83615 LDH | $36.85 | $36.85 | $28.74–$35.74 | 35% above | — |
| Lactate dehydrogenase (LDH) blood test CPT 83615 LDH - **when encounter is for Outpatient Labs Only** | $36.85 | $36.85 | $2.98–$35.74 | 35% above | — |
| Lactate dehydrogenase (LDH) blood test CPT 83615 LDH PERITONEAL FLUID | $50.26 | $50.26 | $39.20–$48.75 | 84% above | — |
| Lactate dehydrogenase (LDH) blood test CPT 83615 LDH PERITONEAL FLUID - **when encounter is for Outpatient Labs Only** | $50.26 | $50.26 | $2.98–$48.75 | 84% above | — |
| Lactate dehydrogenase (LDH) blood test CPT 83615 LDH, BODY FLUID - **when encounter is for Outpatient Labs Only** | $78.75 | $78.75 | $2.98–$76.39 | 188% above | — |
| Lactate dehydrogenase (LDH) blood test CPT 83615 LDH, BODY FLUID | $78.75 | $78.75 | $61.43–$76.39 | 188% above | — |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LACTATE DEHYDROGENASE (LD) ISOENZYMES 2ND COMPONENT | $30.00 | $30.00 | $23.40–$29.10 | — | — |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LDH PLEURAL FLUID | $35.35 | $35.35 | $27.57–$34.29 | — | — |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LDH | $36.85 | $36.85 | $28.74–$35.74 | — | — |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LDH PERITONEAL FLUID | $50.26 | $50.26 | $39.20–$48.75 | — | — |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LDH, BODY FLUID | $78.75 | $78.75 | $61.43–$76.39 | — | — |
| Lipase blood test (pancreas enzyme) CPT 83690 LIPASE - **when encounter is for Outpatient Labs Only** | $56.40 | $56.40 | $3.40–$54.71 | 3% below | — |
| Lipase blood test (pancreas enzyme) CPT 83690 LIPASE | $56.40 | $56.40 | $43.99–$54.71 | 3% below | — |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE | $56.40 | $56.40 | $43.99–$54.71 | — | — |
| Liver function blood test panel CPT 80076 HEPATIC PANEL - **when encounter is for Outpatient Labs Only** | $87.65 | $87.65 | $4.04–$85.02 | 45% above | — |
| Liver function blood test panel CPT 80076 HEPATIC PANEL | $87.65 | $87.65 | $68.37–$85.02 | 45% above | — |
| Liver function blood test panel inpatient CPT 80076 HEPATIC PANEL | $87.65 | $87.65 | $68.37–$85.02 | — | — |
| Lyme disease antibody test CPT 86618 LYME DISEASE AB WITH REFLEX TO BLOT (IgG, IgM) - **when encounter is for Outpatient Labs Only** | $49.90 | $49.90 | $8.41–$48.40 | 35% below | — |
| Lyme disease antibody test CPT 86618 LYME DISEASE AB WITH REFLEX TO BLOT (IgG, IgM) | $49.90 | $49.90 | $38.92–$48.40 | 35% below | — |
| Lyme disease antibody test inpatient CPT 86618 LYME DISEASE AB WITH REFLEX TO BLOT (IgG, IgM) | $49.90 | $49.90 | $38.92–$48.40 | — | — |
| Magnesium blood test CPT 83735 MAGNESIUM RBC | $31.70 | $31.70 | $24.73–$30.75 | 6% below | — |
| Magnesium blood test CPT 83735 MAGNESIUM 24HR URINE | $31.70 | $31.70 | $24.73–$30.75 | 6% below | — |
| Magnesium blood test CPT 83735 MAGNESIUM 24HR URINE - **when encounter is for Outpatient Labs Only** | $31.70 | $31.70 | $3.31–$30.75 | 6% below | — |
| Magnesium blood test CPT 83735 MAGNESIUM RBC - **when encounter is for Outpatient Labs Only** | $31.70 | $31.70 | $3.31–$30.75 | 6% below | — |
| Magnesium blood test CPT 83735 URORISK DIAGNOSTIC PROFILE 9TH COMPONENT | $32.55 | $32.55 | $25.39–$31.57 | 4% below | — |
| Magnesium blood test CPT 83735 URORISK DIAGNOSTIC PROFILE 9TH COMPONENT - **when encounter is for Outpatient Labs Only** | $32.55 | $32.55 | $3.31–$31.57 | 4% below | — |
| Magnesium blood test CPT 83735 MAGNESIUM | $42.75 | $42.75 | $33.35–$41.47 | 27% above | — |
| Magnesium blood test CPT 83735 MAGNESIUM - **when encounter is for Outpatient Labs Only** | $42.75 | $42.75 | $3.31–$41.47 | 27% above | — |
| Magnesium blood test CPT 83735 IONIZED MAGNESIUM (ST. CHARLES) | $114.10 | $114.10 | $89.00–$110.68 | 238% above | — |
| Magnesium blood test CPT 83735 IONIZED MAGNESIUM (ST. CHARLES) - **when encounter is for Outpatient Labs Only** | $114.10 | $114.10 | $3.31–$110.68 | 238% above | — |
| Magnesium blood test inpatient CPT 83735 MAGNESIUM 24HR URINE | $31.70 | $31.70 | $24.73–$30.75 | — | — |
| Magnesium blood test inpatient CPT 83735 MAGNESIUM RBC | $31.70 | $31.70 | $24.73–$30.75 | — | — |
| Magnesium blood test inpatient CPT 83735 URORISK DIAGNOSTIC PROFILE 9TH COMPONENT | $32.55 | $32.55 | $25.39–$31.57 | — | — |
| Magnesium blood test inpatient CPT 83735 MAGNESIUM | $42.75 | $42.75 | $33.35–$41.47 | — | — |
| Magnesium blood test inpatient CPT 83735 IONIZED MAGNESIUM (ST. CHARLES) | $114.10 | $114.10 | $89.00–$110.68 | — | — |
| Measles (rubeola) antibody test CPT 86765 MEASLES ANTIBODY (IgG) | $22.88 | $22.88 | $17.85–$22.19 | 60% below | — |
| Measles (rubeola) antibody test CPT 86765 MEASLES ANTIBODY (IgG) - **when encounter is for Outpatient Labs Only** | $22.88 | $22.88 | $6.36–$22.19 | 60% below | — |
| Measles (rubeola) antibody test inpatient CPT 86765 MEASLES ANTIBODY (IgG) | $22.88 | $22.88 | $17.85–$22.19 | — | — |
| Mono test (heterophile antibody, Monospot) CPT 86308 MONOTEST | $53.25 | $53.25 | $41.54–$51.65 | at median | — |
| Mono test (heterophile antibody, Monospot) CPT 86308 MONOTEST - **when encounter is for Outpatient Labs Only** | $53.25 | $53.25 | $2.45–$51.65 | at median | — |
| Mono test (heterophile antibody, Monospot) inpatient CPT 86308 MONOTEST | $53.25 | $53.25 | $41.54–$51.65 | — | — |
| Mumps immunity blood test CPT 86735 MUMPS IGG - **when encounter is for Outpatient Labs Only** | $23.05 | $23.05 | $6.44–$22.36 | 61% below | — |
| Mumps immunity blood test CPT 86735 MUMPS IGG | $23.05 | $23.05 | $17.98–$22.36 | 61% below | — |
| Mumps immunity blood test inpatient CPT 86735 MUMPS IGG | $23.05 | $23.05 | $17.98–$22.36 | — | — |
| Obstetric blood test panel CPT 80055 PRENATAL PANEL | $330.70 | $330.70 | $257.95–$320.78 | 54% above | — |
| Obstetric blood test panel CPT 80055 PRENATAL PANEL - **when encounter is for Outpatient Labs Only** | $330.70 | $330.70 | $23.61–$320.78 | 54% above | — |
| Obstetric blood test panel inpatient CPT 80055 PRENATAL PANEL | $330.70 | $330.70 | $257.95–$320.78 | — | — |
| PSA (prostate-specific antigen) blood test, free CPT 84154 PSA FREE AND TOTAL - COMPONENT 2 - **when encounter is for Outpatient Labs Only** | $23.39 | $23.39 | $9.08–$22.69 | 72% below | — |
| PSA (prostate-specific antigen) blood test, free CPT 84154 PSA FREE AND TOTAL - COMPONENT 2 | $23.39 | $23.39 | $18.24–$22.69 | 72% below | — |
| PSA (prostate-specific antigen) blood test, free CPT 84154 PSA, FREE | $43.39 | $43.39 | $33.84–$42.09 | 47% below | — |
| PSA (prostate-specific antigen) blood test, free CPT 84154 PSA, FREE - **when encounter is for Outpatient Labs Only** | $43.39 | $43.39 | $9.08–$42.09 | 47% below | — |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PSA FREE AND TOTAL - COMPONENT 2 | $23.39 | $23.39 | $18.24–$22.69 | — | — |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PSA, FREE | $43.39 | $43.39 | $33.84–$42.09 | — | — |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA FREE AND TOTAL - COMPONENT 1 - **when encounter is for Outpatient Labs Only** | $23.39 | $23.39 | $10.42–$22.69 | 70% below | — |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA FREE AND TOTAL - COMPONENT 1 | $23.39 | $23.39 | $18.24–$22.69 | 70% below | — |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA - **when encounter is for Outpatient Labs Only** | $91.65 | $91.65 | $10.42–$88.90 | 16% above | — |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA, POST PROSTATECTOMY | $91.65 | $91.65 | $71.49–$88.90 | 16% above | — |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA - YEARLY SCREEN ONLY - **when encounter is for Outpatient Labs Only** | $91.65 | $91.65 | $10.42–$88.90 | 16% above | — |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA | $91.65 | $91.65 | $71.49–$88.90 | 16% above | — |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA, POST PROSTATECTOMY - **when encounter is for Outpatient Labs Only** | $91.65 | $91.65 | $10.42–$88.90 | 16% above | — |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA - YEARLY SCREEN ONLY | $91.65 | $91.65 | $71.49–$88.90 | 16% above | — |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA FREE AND TOTAL - COMPONENT 1 | $23.39 | $23.39 | $18.24–$22.69 | — | — |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA - YEARLY SCREEN ONLY | $91.65 | $91.65 | $71.49–$88.90 | — | — |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA, POST PROSTATECTOMY | $91.65 | $91.65 | $71.49–$88.90 | — | — |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA | $91.65 | $91.65 | $71.49–$88.90 | — | — |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 THIN PREP, BETHESDA | $89.15 | $89.15 | $69.54–$86.48 | 2% below | — |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 THIN PREP, BETHESDA - **when encounter is for Outpatient Labs Only** | $89.15 | $89.15 | $11.48–$86.48 | 2% below | — |
| Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 THIN PREP, BETHESDA | $89.15 | $89.15 | $69.54–$86.48 | — | — |
| Parathyroid hormone (PTH) blood test CPT 83970 PTH INTACT | $146.25 | $146.25 | $114.08–$141.86 | 3% above | — |
| Parathyroid hormone (PTH) blood test CPT 83970 PTH INTACT - **when encounter is for Outpatient Labs Only** | $146.25 | $146.25 | $20.38–$141.86 | 3% above | — |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 PTH INTACT | $146.25 | $146.25 | $114.08–$141.86 | — | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 VON WILLEBRAND EVALUATION WITH MULTIMERS 5TH COMPONENT | $39.58 | $39.58 | $30.87–$38.39 | 5% above | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 VON WILLEBRAND EVALUATION WITH MULTIMERS 5TH COMPONENT - **when encounter is for Outpatient Labs Only** | $39.58 | $39.58 | $2.97–$38.39 | 5% above | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 APTT | $47.05 | $47.05 | $36.70–$45.64 | 25% above | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 APTT - **when encounter is for Outpatient Labs Only** | $47.05 | $47.05 | $2.97–$45.64 | 25% above | — |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 VON WILLEBRAND EVALUATION WITH MULTIMERS 5TH COMPONENT | $39.58 | $39.58 | $30.87–$38.39 | — | — |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 APTT | $47.05 | $47.05 | $36.70–$45.64 | — | — |
| Phosphorus (phosphate) blood test CPT 84100 PHOSPHOROUS | $29.70 | $29.70 | $23.17–$28.81 | 17% below | — |
| Phosphorus (phosphate) blood test CPT 84100 PHOSPHOROUS - **when encounter is for Outpatient Labs Only** | $29.70 | $29.70 | $2.34–$28.81 | 17% below | — |
| Phosphorus (phosphate) blood test inpatient CPT 84100 PHOSPHOROUS | $29.70 | $29.70 | $23.17–$28.81 | — | — |
| Potassium blood test CPT 84132 POTASSIUM - **when encounter is for Outpatient Labs Only** | $19.25 | $19.25 | $2.27–$18.67 | 18% below | — |
| Potassium blood test CPT 84132 POTASSIUM | $19.25 | $19.25 | $15.02–$18.67 | 18% below | — |
| Potassium blood test inpatient CPT 84132 POTASSIUM | $19.25 | $19.25 | $15.02–$18.67 | — | — |
| Progesterone blood test CPT 84144 PROGESTERONE - **when encounter is for Outpatient Labs Only** | $45.86 | $45.86 | $10.30–$44.48 | 43% below | — |
| Progesterone blood test CPT 84144 PROGESTERONE | $45.86 | $45.86 | $35.77–$44.48 | 43% below | — |
| Progesterone blood test inpatient CPT 84144 PROGESTERONE | $45.86 | $45.86 | $35.77–$44.48 | — | — |
| Prolactin blood test CPT 84146 PROLACTIN - **when encounter is for Outpatient Labs Only** | $109.65 | $109.65 | $9.57–$106.36 | 26% above | — |
| Prolactin blood test CPT 84146 PROLACTIN | $109.65 | $109.65 | $85.53–$106.36 | 26% above | — |
| Prolactin blood test inpatient CPT 84146 PROLACTIN | $109.65 | $109.65 | $85.53–$106.36 | — | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 PRO TIME - **when encounter is for Outpatient Labs Only** | $42.75 | $42.75 | $5.13–$41.47 | 78% above | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 PRO TIME | $42.75 | $42.75 | $33.35–$41.47 | 78% above | — |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PRO TIME | $42.75 | $42.75 | $33.35–$41.47 | — | — |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 STREP SCREEN, RAPID - **when encounter is for Outpatient Labs Only** | $47.05 | $47.05 | $11.39–$45.64 | 18% below | — |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 STREP SCREEN, RAPID | $47.05 | $47.05 | $36.70–$45.64 | 18% below | — |
| Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 STREP SCREEN, RAPID | $47.05 | $47.05 | $36.70–$45.64 | — | — |
| Renin blood test CPT 84244 RENIN ACTIVITY PLASMA - **when encounter is for Outpatient Labs Only** | $46.99 | $46.99 | $10.86–$45.58 | 45% below | — |
| Renin blood test CPT 84244 RENIN ACTIVITY PLASMA | $46.99 | $46.99 | $36.65–$45.58 | 45% below | — |
| Renin blood test CPT 84244 ALDOSTERONE/PLASMA RENIN ACTIVITY RATIO, LC/MS/MS 1ST COMPONENT | $209.95 | $209.95 | $163.76–$203.65 | 146% above | — |
| Renin blood test CPT 84244 ALDOSTERONE/PLASMA RENIN ACTIVITY RATIO, LC/MS/MS 1ST COMPONENT - **when encounter is for Outpatient Labs Only** | $209.95 | $209.95 | $10.86–$203.65 | 146% above | — |
| Renin blood test inpatient CPT 84244 RENIN ACTIVITY PLASMA | $46.99 | $46.99 | $36.65–$45.58 | — | — |
| Renin blood test inpatient CPT 84244 ALDOSTERONE/PLASMA RENIN ACTIVITY RATIO, LC/MS/MS 1ST COMPONENT | $209.95 | $209.95 | $163.76–$203.65 | — | — |
| Rh blood typing CPT 86901 RH TYPE ONLY | $34.70 | $34.70 | $27.07–$33.66 | 7% below | — |
| Rh blood typing CPT 86901 RH TYPE ONLY - **when encounter is for Outpatient Labs Only** | $34.70 | $34.70 | $1.48–$33.66 | 7% below | — |
| Rh blood typing inpatient CPT 86901 RH TYPE ONLY | $34.70 | $34.70 | $27.07–$33.66 | — | — |
| Rheumatoid factor (RF) test CPT 86431 LUPUS (12) PANEL-ANALYZER 10TH COMPONENT - **when encounter is for Outpatient Labs Only** | $30.65 | $30.65 | $2.80–$29.73 | 8% below | — |
| Rheumatoid factor (RF) test CPT 86431 LUPUS (12) PANEL-ANALYZER 10TH COMPONENT | $30.65 | $30.65 | $23.91–$29.73 | 8% below | — |
| Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR - **when encounter is for Outpatient Labs Only** | $40.30 | $40.30 | $2.80–$39.09 | 22% above | — |
| Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR | $40.30 | $40.30 | $31.43–$39.09 | 22% above | — |
| Rheumatoid factor (RF) test inpatient CPT 86431 LUPUS (12) PANEL-ANALYZER 10TH COMPONENT | $30.65 | $30.65 | $23.91–$29.73 | — | — |
| Rheumatoid factor (RF) test inpatient CPT 86431 RHEUMATOID FACTOR | $40.30 | $40.30 | $31.43–$39.09 | — | — |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA IGG - **when encounter is for Outpatient Labs Only** | $60.70 | $60.70 | $7.11–$58.88 | 23% above | — |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA IGG | $60.70 | $60.70 | $47.35–$58.88 | 23% above | — |
| Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA IGG | $60.70 | $60.70 | $47.35–$58.88 | — | — |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 WESTERGREN SED RATE - **when encounter is for Outpatient Labs Only** | $45.80 | $45.80 | $2.05–$44.43 | 21% above | — |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 WESTERGREN SED RATE | $45.80 | $45.80 | $35.72–$44.43 | 21% above | — |
| Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 WESTERGREN SED RATE | $45.80 | $45.80 | $35.72–$44.43 | — | — |
| Sodium blood test CPT 84295 SODIUM - **when encounter is for Outpatient Labs Only** | $19.25 | $19.25 | $2.38–$18.67 | 29% below | — |
| Sodium blood test CPT 84295 SODIUM | $19.25 | $19.25 | $15.02–$18.67 | 29% below | — |
| Sodium blood test inpatient CPT 84295 SODIUM | $19.25 | $19.25 | $15.02–$18.67 | — | — |
| Stool ova and parasites exam CPT 87177 OVA AND PARASITE, CONCENTRATE-COMPONENT 1 | $20.80 | $20.80 | $16.22–$20.18 | 48% below | — |
| Stool ova and parasites exam CPT 87177 OVA AND PARASITE, CONCENTRATE-COMPONENT 1 - **when encounter is for Outpatient Labs Only** | $20.80 | $20.80 | $4.40–$20.18 | 48% below | — |
| Stool ova and parasites exam inpatient CPT 87177 OVA AND PARASITE, CONCENTRATE-COMPONENT 1 | $20.80 | $20.80 | $16.22–$20.18 | — | — |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 BLOOD OCCULT FECAL (POC) - **when encounter is for Outpatient Labs Only** | $7.80 | $7.80 | $3.28–$7.57 | 73% below | — |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 BLOOD OCCULT FECAL (POC) | $7.80 | $7.80 | $6.08–$7.57 | 73% below | — |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 BLOOD OCCULT FECAL (POC) | $7.80 | $7.80 | $6.08–$7.57 | — | — |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 OCCULT BLOOD BY FECAL HEMOGLOBIN | $23.90 | $23.90 | $18.64–$23.18 | 55% below | — |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 OCCULT BLOOD BY FECAL HEMOGLOBIN - **when encounter is for Outpatient Labs Only** | $23.90 | $23.90 | $7.86–$23.18 | 55% below | — |
| Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 OCCULT BLOOD BY FECAL HEMOGLOBIN | $23.90 | $23.90 | $18.64–$23.18 | — | — |
| Syphilis antibody test (Treponema pallidum) CPT 86780 TREPONEMA PALLIDUM TOTAL ABS (IFA) - **when encounter is for Outpatient Labs Only** | $68.40 | $68.40 | $2.49–$66.35 | 18% above | — |
| Syphilis antibody test (Treponema pallidum) CPT 86780 TREPONEMA PALLIDUM TOTAL ABS (IFA) | $68.40 | $68.40 | $53.35–$66.35 | 18% above | — |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 TREPONEMA PALLIDUM TOTAL ABS (IFA) | $68.40 | $68.40 | $53.35–$66.35 | — | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VDRL CSF | $29.27 | $29.27 | $22.83–$28.39 | 23% above | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VDRL CSF - **when encounter is for Outpatient Labs Only** | $29.27 | $29.27 | $2.11–$28.39 | 23% above | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR - **when encounter is for Outpatient Labs Only** | $41.50 | $41.50 | $2.11–$40.26 | 74% above | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR | $41.50 | $41.50 | $32.37–$40.26 | 74% above | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 VDRL CSF | $29.27 | $29.27 | $22.83–$28.39 | — | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 RPR | $41.50 | $41.50 | $32.37–$40.26 | — | — |
| Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE, FREE, BIOAVAILABLE AND TOTAL COMPONENT - 3 | $37.55 | $37.55 | $29.29–$36.42 | 59% below | — |
| Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE, FREE, BIOAVAILABLE AND TOTAL COMPONENT - 3 - **when encounter is for Outpatient Labs Only** | $37.55 | $37.55 | $12.75–$36.42 | 59% below | — |
| Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE, TOTAL - **when encounter is for Outpatient Labs Only** | $125.75 | $125.75 | $12.75–$121.98 | 36% above | — |
| Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE, TOTAL | $125.75 | $125.75 | $98.09–$121.98 | 36% above | — |
| Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE, FREE AND TOTAL LC/MS/MS 2ND COMPONENT - **when encounter is for Outpatient Labs Only** | $143.30 | $143.30 | $12.75–$139.00 | 56% above | — |
| Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE, FREE AND TOTAL LC/MS/MS 2ND COMPONENT | $143.30 | $143.30 | $111.77–$139.00 | 56% above | — |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE, FREE, BIOAVAILABLE AND TOTAL COMPONENT - 3 | $37.55 | $37.55 | $29.29–$36.42 | — | — |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE, TOTAL | $125.75 | $125.75 | $98.09–$121.98 | — | — |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE, FREE AND TOTAL LC/MS/MS 2ND COMPONENT | $143.30 | $143.30 | $111.77–$139.00 | — | — |
| Thyroid peroxidase (TPO) antibody test CPT 86376 LUPUS (12) PANEL-ANALYZER 7TH COMPONENT | $30.65 | $30.65 | $23.91–$29.73 | 53% below | — |
| Thyroid peroxidase (TPO) antibody test CPT 86376 LUPUS (12) PANEL-ANALYZER 7TH COMPONENT - **when encounter is for Outpatient Labs Only** | $30.65 | $30.65 | $7.18–$29.73 | 53% below | — |
| Thyroid peroxidase (TPO) antibody test CPT 86376 THYROID PEROXIDASE AB | $39.55 | $39.55 | $30.85–$38.36 | 39% below | — |
| Thyroid peroxidase (TPO) antibody test CPT 86376 THYROID PEROXIDASE AB - **when encounter is for Outpatient Labs Only** | $39.55 | $39.55 | $7.18–$38.36 | 39% below | — |
| Thyroid peroxidase (TPO) antibody test CPT 86376 LIVER-KIDNEY MICROSOME (LKM-1) IGG AUTOABS | $60.87 | $60.87 | $47.48–$59.04 | 6% below | — |
| Thyroid peroxidase (TPO) antibody test CPT 86376 LIVER-KIDNEY MICROSOME (LKM-1) IGG AUTOABS - **when encounter is for Outpatient Labs Only** | $60.87 | $60.87 | $7.18–$59.04 | 6% below | — |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 LUPUS (12) PANEL-ANALYZER 7TH COMPONENT | $30.65 | $30.65 | $23.91–$29.73 | — | — |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 THYROID PEROXIDASE AB | $39.55 | $39.55 | $30.85–$38.36 | — | — |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 LIVER-KIDNEY MICROSOME (LKM-1) IGG AUTOABS | $60.87 | $60.87 | $47.48–$59.04 | — | — |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH - **when encounter is for Outpatient Labs Only** | $115.20 | $115.20 | $7.95–$111.74 | 53% above | — |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH | $115.20 | $115.20 | $89.86–$111.74 | 53% above | — |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH | $115.20 | $115.20 | $89.86–$111.74 | — | — |
| Total IgE blood test CPT 82785 IGE LEVEL | $26.46 | $26.46 | $20.64–$25.67 | 57% below | — |
| Total IgE blood test CPT 82785 WCH ENT ALLERGY PANEL- COMPONENT 3 - **when encounter is for Outpatient Labs Only** | $26.46 | $26.46 | $8.13–$25.67 | 57% below | — |
| Total IgE blood test CPT 82785 WCH ENT ALLERGY PANEL- COMPONENT 3 | $26.46 | $26.46 | $20.64–$25.67 | 57% below | — |
| Total IgE blood test CPT 82785 CHILDHOOD ALLERGY (FOOD & ENVIRONMENT) PROFILE - COMPONENT - 1 - **when encounter is for Outpatient Labs Only** | $26.46 | $26.46 | $8.13–$25.67 | 57% below | — |
| Total IgE blood test CPT 82785 CHILDHOOD ALLERGY (FOOD & ENVIRONMENT) PROFILE - COMPONENT - 1 | $26.46 | $26.46 | $20.64–$25.67 | 57% below | — |
| Total IgE blood test CPT 82785 RESPIRATORY ALLERGY PROFILE REGION V - COMPONENT - 1 - **when encounter is for Outpatient Labs Only** | $26.46 | $26.46 | $8.13–$25.67 | 57% below | — |
| Total IgE blood test CPT 82785 RESPIRATORY ALLERGY PROFILE REGION V - COMPONENT - 1 | $26.46 | $26.46 | $20.64–$25.67 | 57% below | — |
| Total IgE blood test CPT 82785 IGE LEVEL - **when encounter is for Outpatient Labs Only** | $26.46 | $26.46 | $8.13–$25.67 | 57% below | — |
| Total IgE blood test inpatient CPT 82785 WCH ENT ALLERGY PANEL- COMPONENT 3 | $26.46 | $26.46 | $20.64–$25.67 | — | — |
| Total IgE blood test inpatient CPT 82785 IGE LEVEL | $26.46 | $26.46 | $20.64–$25.67 | — | — |
| Total IgE blood test inpatient CPT 82785 RESPIRATORY ALLERGY PROFILE REGION V - COMPONENT - 1 | $26.46 | $26.46 | $20.64–$25.67 | — | — |
| Total IgE blood test inpatient CPT 82785 CHILDHOOD ALLERGY (FOOD & ENVIRONMENT) PROFILE - COMPONENT - 1 | $26.46 | $26.46 | $20.64–$25.67 | — | — |
| Total cholesterol blood test CPT 82465 CHOLESTEROL - **when encounter is for Outpatient Labs Only** | $40.30 | $40.30 | $2.06–$39.09 | 10% above | — |
| Total cholesterol blood test CPT 82465 CHOLESTEROL | $40.30 | $40.30 | $31.43–$39.09 | 10% above | — |
| Total cholesterol blood test inpatient CPT 82465 CHOLESTEROL | $40.30 | $40.30 | $31.43–$39.09 | — | — |
| Total thyroxine (T4) blood test CPT 84436 T-4 - **when encounter is for Outpatient Labs Only** | $58.20 | $58.20 | $3.39–$56.45 | 39% above | — |
| Total thyroxine (T4) blood test CPT 84436 T-4 | $58.20 | $58.20 | $45.40–$56.45 | 39% above | — |
| Total thyroxine (T4) blood test inpatient CPT 84436 T-4 | $58.20 | $58.20 | $45.40–$56.45 | — | — |
| Total triiodothyronine (T3) blood test CPT 84480 T3, TOTAL | $74.30 | $74.30 | $57.95–$72.07 | 24% above | — |
| Total triiodothyronine (T3) blood test CPT 84480 T3, TOTAL - **when encounter is for Outpatient Labs Only** | $74.30 | $74.30 | $7.00–$72.07 | 24% above | — |
| Total triiodothyronine (T3) blood test inpatient CPT 84480 T3, TOTAL | $74.30 | $74.30 | $57.95–$72.07 | — | — |
| Transferrin blood test CPT 84466 TRANSFERRIN - **when encounter is for Outpatient Labs Only** | $61.35 | $61.35 | $6.30–$59.51 | 17% below | — |
| Transferrin blood test CPT 84466 TRANSFERRIN | $61.35 | $61.35 | $47.85–$59.51 | 17% below | — |
| Transferrin blood test inpatient CPT 84466 TRANSFERRIN | $61.35 | $61.35 | $47.85–$59.51 | — | — |
| Trichomonas test (NAAT) CPT 87661 TRICHOMONAS rRNA - **when encounter is for Outpatient Labs Only** | $110.85 | $110.85 | $19.15–$107.52 | 28% above | — |
| Trichomonas test (NAAT) CPT 87661 TRICHOMONAS rRNA | $110.85 | $110.85 | $86.46–$107.52 | 28% above | — |
| Trichomonas test (NAAT) inpatient CPT 87661 TRICHOMONAS rRNA | $110.85 | $110.85 | $86.46–$107.52 | — | — |
| Triglycerides blood test CPT 84478 TRIGLYCERIDE, PERITONEAL FLUID - **when encounter is for Outpatient Labs Only** | $19.70 | $19.70 | $2.72–$19.11 | 43% below | — |
| Triglycerides blood test CPT 84478 TRIGLYCERIDE, PERITONEAL FLUID | $19.70 | $19.70 | $15.37–$19.11 | 43% below | — |
| Triglycerides blood test CPT 84478 TRIGLYCERIDE - **when encounter is for Outpatient Labs Only** | $34.70 | $34.70 | $2.72–$33.66 | 1% above | — |
| Triglycerides blood test CPT 84478 TRIGLYCERIDE | $34.70 | $34.70 | $27.07–$33.66 | 1% above | — |
| Triglycerides blood test CPT 84478 TRIGLYCERIDE, PLEURAL FLUID - **when encounter is for Outpatient Labs Only** | $36.55 | $36.55 | $2.72–$35.45 | 6% above | — |
| Triglycerides blood test CPT 84478 TRIGLYCERIDE, PLEURAL FLUID | $36.55 | $36.55 | $28.51–$35.45 | 6% above | — |
| Triglycerides blood test inpatient CPT 84478 TRIGLYCERIDE, PERITONEAL FLUID | $19.70 | $19.70 | $15.37–$19.11 | — | — |
| Triglycerides blood test inpatient CPT 84478 TRIGLYCERIDE | $34.70 | $34.70 | $27.07–$33.66 | — | — |
| Triglycerides blood test inpatient CPT 84478 TRIGLYCERIDE, PLEURAL FLUID | $36.55 | $36.55 | $28.51–$35.45 | — | — |
| Troponin test, quantitative CPT 84484 TROPONIN I - **when encounter is for Outpatient Labs Only** | $70.60 | $70.60 | $4.99–$68.48 | 16% below | — |
| Troponin test, quantitative CPT 84484 TROPONIN I | $70.60 | $70.60 | $55.07–$68.48 | 16% below | — |
| Troponin test, quantitative inpatient CPT 84484 TROPONIN I | $70.60 | $70.60 | $55.07–$68.48 | — | — |
| Uric acid blood test CPT 84550 URIC ACID | $22.95 | $22.95 | $17.90–$22.26 | 35% below | — |
| Uric acid blood test CPT 84550 URIC ACID - **when encounter is for Outpatient Labs Only** | $22.95 | $22.95 | $2.14–$22.26 | 35% below | — |
| Uric acid blood test inpatient CPT 84550 URIC ACID | $22.95 | $22.95 | $17.90–$22.26 | — | — |
| Urinalysis with microscope exam, automated CPT 81001 URINE CHARGE W/MICRO | $48.30 | $48.30 | $37.67–$46.85 | 79% above | — |
| Urinalysis with microscope exam, automated CPT 81001 URINE CHARGE W/MICRO - **when encounter is for Outpatient Labs Only** | $48.30 | $48.30 | $3.90–$46.85 | 79% above | — |
| Urinalysis with microscope exam, automated inpatient CPT 81001 URINE CHARGE W/MICRO | $48.30 | $48.30 | $37.67–$46.85 | — | — |
| Urinalysis without microscope exam, automated CPT 81003 UA2 (NO MICRO) | $43.35 | $43.35 | $33.81–$42.05 | 85% above | — |
| Urinalysis without microscope exam, automated CPT 81003 UA2 (NO MICRO) - **when encounter is for Outpatient Labs Only** | $43.35 | $43.35 | $1.06–$42.05 | 85% above | — |
| Urinalysis without microscope exam, automated inpatient CPT 81003 UA2 (NO MICRO) | $43.35 | $43.35 | $33.81–$42.05 | — | — |
| Urinalysis without microscope exam, manual CPT 81002 URINE FASTING GLUCOSE - GTT | $14.85 | $14.85 | $11.58–$14.40 | 8% below | — |
| Urinalysis without microscope exam, manual CPT 81002 URINE FASTING GLUCOSE - GTT - **when encounter is for Outpatient Labs Only** | $14.85 | $14.85 | $2.77–$14.40 | 8% below | — |
| Urinalysis without microscope exam, manual CPT 81002 URINE DIPSTICK (POC) - **when encounter is for Outpatient Labs Only** | $14.85 | $14.85 | $2.77–$14.40 | 8% below | — |
| Urinalysis without microscope exam, manual CPT 81002 URINE DIPSTICK (POC) | $14.85 | $14.85 | $11.58–$14.40 | 8% below | — |
| Urinalysis without microscope exam, manual inpatient CPT 81002 URINE FASTING GLUCOSE - GTT | $14.85 | $14.85 | $11.58–$14.40 | — | — |
| Urinalysis without microscope exam, manual inpatient CPT 81002 URINE DIPSTICK (POC) | $14.85 | $14.85 | $11.58–$14.40 | — | — |
| Urine culture for bacteria, with colony count CPT 87086 CULTURE, ROUTINE URINE | $61.35 | $61.35 | $47.85–$59.51 | 8% above | — |
| Urine culture for bacteria, with colony count CPT 87086 CULTURE, ROUTINE URINE - **when encounter is for Outpatient Labs Only** | $61.35 | $61.35 | $3.98–$59.51 | 8% above | — |
| Urine culture for bacteria, with colony count inpatient CPT 87086 CULTURE, ROUTINE URINE | $61.35 | $61.35 | $47.85–$59.51 | — | — |
| Urine microalbumin (albumin) test CPT 82043 MICROALBUMIN, 24HR URINE | $76.20 | $76.20 | $59.44–$73.91 | 50% above | — |
| Urine microalbumin (albumin) test CPT 82043 MICROALBUMIN (U) - **when encounter is for Outpatient Labs Only** | $76.20 | $76.20 | $2.86–$73.91 | 50% above | — |
| Urine microalbumin (albumin) test CPT 82043 MICROALBUMIN (U) | $76.20 | $76.20 | $59.44–$73.91 | 50% above | — |
| Urine microalbumin (albumin) test CPT 82043 MICROALBUMIN, 24HR URINE - **when encounter is for Outpatient Labs Only** | $76.20 | $76.20 | $2.86–$73.91 | 50% above | — |
| Urine microalbumin (albumin) test inpatient CPT 82043 MICROALBUMIN, 24HR URINE | $76.20 | $76.20 | $59.44–$73.91 | — | — |
| Urine microalbumin (albumin) test inpatient CPT 82043 MICROALBUMIN (U) | $76.20 | $76.20 | $59.44–$73.91 | — | — |
| Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B12 | $73.75 | $73.75 | $57.53–$71.54 | 1% below | — |
| Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B12 - **when encounter is for Outpatient Labs Only** | $73.75 | $73.75 | $8.54–$71.54 | 1% below | — |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 VITAMIN B12 | $73.75 | $73.75 | $57.53–$71.54 | — | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D, 25-HYDROXY TOTAL - **when encounter is for Outpatient Labs Only** | $32.50 | $32.50 | $16.78–$31.53 | 66% below | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D, 25-HYDROXY TOTAL | $32.50 | $32.50 | $25.35–$31.53 | 66% below | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D, 25-HYDROXY TOTAL | $32.50 | $32.50 | $25.35–$31.53 | — | — |
| Vitamin D, 1,25-dihydroxy blood test CPT 82652 VITAMIN DM 1, 25-DIHYDROXY, LC/MS/MS - **when encounter is for Outpatient Labs Only** | $63.50 | $63.50 | $19.01–$61.60 | 59% below | — |
| Vitamin D, 1,25-dihydroxy blood test CPT 82652 VITAMIN DM 1, 25-DIHYDROXY, LC/MS/MS | $63.50 | $63.50 | $49.53–$61.60 | 59% below | — |
| Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 VITAMIN DM 1, 25-DIHYDROXY, LC/MS/MS | $63.50 | $63.50 | $49.53–$61.60 | — | — |
| Zinc blood test CPT 84630 ZINC | $36.39 | $36.39 | $28.38–$35.30 | 29% below | — |
| Zinc blood test CPT 84630 ZINC - **when encounter is for Outpatient Labs Only** | $36.39 | $36.39 | $5.62–$35.30 | 29% below | — |
| Zinc blood test inpatient CPT 84630 ZINC | $36.39 | $36.39 | $28.38–$35.30 | — | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG, TOTAL QUANTITATIVE | $47.00 | $47.00 | $36.66–$45.59 | 30% below | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG, TOTAL QUANTITATIVE - **when encounter is for Outpatient Labs Only** | $47.00 | $47.00 | $7.44–$45.59 | 30% below | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG , QUANT | $86.70 | $86.70 | $67.63–$84.10 | 28% above | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG , QUANT - **when encounter is for Outpatient Labs Only** | $86.70 | $86.70 | $7.44–$84.10 | 28% above | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HCG, TOTAL QUANTITATIVE | $47.00 | $47.00 | $36.66–$45.59 | — | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HCG , QUANT | $86.70 | $86.70 | $67.63–$84.10 | — | — |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Ohio | Off list |
|---|---|---|---|---|---|
| Botox injections for chronic migraine both sides CPT 64615 CHEMODENERV MUSC MIGRAINE BILATERAL | $558.00 | $558.00 | $435.24–$541.26 | — | — |
| Botox injections for chronic migraine inpatient both sides CPT 64615 CHEMODENERV MUSC MIGRAINE BILATERAL | $558.00 | $558.00 | $435.24–$541.26 | — | — |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 BREAST BX/LOCAL (CLIP,WIRE,SEEDS) 1ST LESION INC STEROTACTIC GUIDANCE | $2,718.00 | $2,718.00 | $2,120.04–$2,636.46 | 32% below | — |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 BREAST BX/LOCAL (CLIP,WIRE,SEEDS) 1ST LESION INC STEROTACTIC GUIDANCE | $2,718.00 | $2,718.00 | $2,120.04–$2,636.46 | — | — |
| Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 CLD TX DIST FIB FX NO MAN | $447.00 | $447.00 | $348.66–$433.59 | 18% above | — |
| Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 CLD TX DIST FIB FX NO MAN | $447.00 | $447.00 | $348.66–$433.59 | — | — |
| Broken foot (metatarsal) treatment without surgery or setting CPT 28470 CLD TX METARSAL FX NO MAN | $435.75 | $435.75 | $339.89–$422.68 | 20% above | — |
| Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 CLD TX METARSAL FX NO MAN | $435.75 | $435.75 | $339.89–$422.68 | — | — |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION | $1,150.00 | $1,150.00 | $897.00–$1,115.50 | 44% below | — |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION | $1,150.00 | $1,150.00 | $897.00–$1,115.50 | — | — |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 CIRCUMCISION WITH CLAMP W/REGIONAL BLOCK | $2,007.75 | $2,007.75 | $1,566.05–$1,947.52 | 14% above | — |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 CIRCUMCISION WITH CLAMP W/REGIONAL BLOCK | $2,007.75 | $2,007.75 | $1,566.05–$1,947.52 | — | — |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 CL TX DISTAL RAD FX W/WO | $462.75 | $462.75 | $360.95–$448.87 | 13% above | — |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 CLOSED TX DISTAL RADIAL FX/EPIPHYSEAL SEP WO MNP | $533.75 | $533.75 | $416.33–$517.74 | 30% above | — |
| Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 CL TX DISTAL RAD FX W/WO | $462.75 | $462.75 | $360.95–$448.87 | — | — |
| Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 CLOSED TX DISTAL RADIAL FX/EPIPHYSEAL SEP WO MNP | $533.75 | $533.75 | $416.33–$517.74 | — | — |
| Earwax removal by irrigation (rinsing), one ear one side CPT 69209 REMOVAL IMPACTED CERUMEN USING IRRIGATION/LAVAGE - UNILATERAL | $154.00 | $154.00 | $120.12–$149.38 | at median | — |
| Earwax removal by irrigation (rinsing), one ear inpatient one side CPT 69209 REMOVAL IMPACTED CERUMEN USING IRRIGATION/LAVAGE - UNILATERAL | $154.00 | $154.00 | $120.12–$149.38 | — | — |
| Earwax removal with instruments, one ear CPT 69210 REMOVAL IMPACTED CERUMEN | $113.50 | $113.50 | $88.53–$110.10 | 27% below | — |
| Earwax removal with instruments, one ear CPT 69210 CERUMEN REMOVAL | $171.00 | $171.00 | $133.38–$165.87 | 11% above | — |
| Earwax removal with instruments, one ear inpatient CPT 69210 REMOVAL IMPACTED CERUMEN | $113.50 | $113.50 | $88.53–$110.10 | — | — |
| Earwax removal with instruments, one ear inpatient CPT 69210 CERUMEN REMOVAL | $171.00 | $171.00 | $133.38–$165.87 | — | — |
| Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 ENDOMETRIAL BIOPSY | $330.75 | $330.75 | $257.99–$320.83 | 14% below | — |
| Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 ENDOMETRIAL BIOPSY W/WO ENDOCERVICAL BIOPSY | $385.50 | $385.50 | $300.69–$373.94 | at median | — |
| Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 ENDOMETRIAL BIOPSY | $330.75 | $330.75 | $257.99–$320.83 | — | — |
| Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 ENDOMETRIAL BIOPSY W/WO ENDOCERVICAL BIOPSY | $385.50 | $385.50 | $300.69–$373.94 | — | — |
| Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 EPIDURAL INJECTION - CERV/THORACIC W/GUIDANCE - SINGLE | $1,498.75 | $1,498.75 | $1,169.03–$1,453.79 | 33% below | — |
| Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 EPIDURAL INJECTION - CERV/THORACIC W/GUIDANCE - SINGLE | $1,498.75 | $1,498.75 | $1,169.03–$1,453.79 | — | — |
| Facet joint injection, lower back, one level, with imaging guidance CPT 64493 INJ PARAVERTEBRAL FACET JOINT L/S 1ST LEVEL | $1,558.75 | $1,558.75 | $1,215.83–$1,511.99 | 29% below | — |
| Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 INJ PARAVERTEBRAL FACET JOINT L/S 1ST LEVEL | $1,558.75 | $1,558.75 | $1,215.83–$1,511.99 | — | — |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 CATH & INTRO OF CONTRAST | $301.00 | $301.00 | $234.78–$291.97 | 21% below | — |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 CATH & INTRO OF CONTRAST | $301.00 | $301.00 | $234.78–$291.97 | — | — |
| IUD insertion (the device itself billed separately) CPT 58300 INSERTION IUD | $240.75 | $240.75 | $187.79–$233.53 | 52% below | — |
| IUD insertion (the device itself billed separately) inpatient CPT 58300 INSERTION IUD | $240.75 | $240.75 | $187.79–$233.53 | — | — |
| Incision and drainage of a simple or single skin abscess CPT 10060 I & D SKIN ABSCESS - SIMPLE - INDUSTRIAL MEDICINE | $354.75 | $354.75 | $276.71–$344.11 | 8% below | — |
| Incision and drainage of a simple or single skin abscess CPT 10060 I & D SKIN ABSCESS, SIMPLE | $357.25 | $357.25 | $278.66–$346.53 | 8% below | — |
| Incision and drainage of a simple or single skin abscess CPT 10060 I & D ABCESS, SIMPLE | $366.50 | $366.50 | $285.87–$355.51 | 5% below | — |
| Incision and drainage of a simple or single skin abscess CPT 10060 I & D SKIN ABSCESS SIMPLE - ER | $382.25 | $382.25 | $298.16–$370.78 | 1% below | — |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I & D SKIN ABSCESS - SIMPLE - INDUSTRIAL MEDICINE | $354.75 | $354.75 | $276.71–$344.11 | — | — |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I & D SKIN ABSCESS, SIMPLE | $357.25 | $357.25 | $278.66–$346.53 | — | — |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I & D ABCESS, SIMPLE | $366.50 | $366.50 | $285.87–$355.51 | — | — |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I & D SKIN ABSCESS SIMPLE - ER | $382.25 | $382.25 | $298.16–$370.78 | — | — |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJECT SINGLE TENDON SHEATH OR LIGAMENT | $342.75 | $342.75 | $267.35–$332.47 | 1% above | — |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 TENDON SHEATH OR LIGAMENT APONUEROSIS SINGLE INJECTION | $557.00 | $557.00 | $434.46–$540.29 | 64% above | — |
| Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 INJECT SINGLE TENDON SHEATH OR LIGAMENT | $342.75 | $342.75 | $267.35–$332.47 | — | — |
| Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 TENDON SHEATH OR LIGAMENT APONUEROSIS SINGLE INJECTION | $557.00 | $557.00 | $434.46–$540.29 | — | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ASPIRAT/INJ BURSA LARGE | $508.50 | $508.50 | $396.63–$493.25 | 27% below | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 INJECT. MAJOR JOINT | $514.25 | $514.25 | $401.12–$498.82 | 26% below | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 INJECTION MAJOR JOINT | $557.00 | $557.00 | $434.46–$540.29 | 20% below | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ARTHROCENTESIS MAJ JNT | $588.00 | $588.00 | $458.64–$570.36 | 16% below | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 MAJOR JOINT INJ BURSA | $590.25 | $590.25 | $460.40–$572.54 | 15% below | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 ASPIRAT/INJ BURSA LARGE | $508.50 | $508.50 | $396.63–$493.25 | — | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 INJECT. MAJOR JOINT | $514.25 | $514.25 | $401.12–$498.82 | — | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 INJECTION MAJOR JOINT | $557.00 | $557.00 | $434.46–$540.29 | — | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 ARTHROCENTESIS MAJ JNT | $588.00 | $588.00 | $458.64–$570.36 | — | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 MAJOR JOINT INJ BURSA | $590.25 | $590.25 | $460.40–$572.54 | — | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ASPIRAT/INJ BURSA INT | $525.25 | $525.25 | $409.70–$509.49 | 15% below | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 INJECT. INTERMEDIATE JT. | $546.00 | $546.00 | $425.88–$529.62 | 12% below | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 DRAIN/INJ INTERM JOINT/BURSA | $559.50 | $559.50 | $436.41–$542.72 | 9% below | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 DRAIN/INJECT INTERMEDIATE JOINT/BURSA | $590.25 | $590.25 | $460.40–$572.54 | 4% below | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ARTHROCENTESIS INT JOINT | $612.75 | $612.75 | $477.95–$594.37 | 1% below | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 ASPIRAT/INJ BURSA INT | $525.25 | $525.25 | $409.70–$509.49 | — | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 INJECT. INTERMEDIATE JT. | $546.00 | $546.00 | $425.88–$529.62 | — | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 DRAIN/INJ INTERM JOINT/BURSA | $559.50 | $559.50 | $436.41–$542.72 | — | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 DRAIN/INJECT INTERMEDIATE JOINT/BURSA | $590.25 | $590.25 | $460.40–$572.54 | — | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 ARTHROCENTESIS INT JOINT | $612.75 | $612.75 | $477.95–$594.37 | — | — |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 INJECT. SMALL JOINT | $423.75 | $423.75 | $330.53–$411.04 | 14% below | — |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 DRAIN/ INJ SMALL JOINT/ BURSA W/O US | $488.00 | $488.00 | $380.64–$473.36 | 1% below | — |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 INJECT, SMALL JOINT | $557.00 | $557.00 | $434.46–$540.29 | 13% above | — |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 INJECT. SMALL JOINT | $423.75 | $423.75 | $330.53–$411.04 | — | — |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 DRAIN/ INJ SMALL JOINT/ BURSA W/O US | $488.00 | $488.00 | $380.64–$473.36 | — | — |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 INJECT, SMALL JOINT | $557.00 | $557.00 | $434.46–$540.29 | — | — |
| Laser treatment of clouding after cataract surgery (YAG) CPT 66821 YAG LASER | $1,285.50 | $1,285.50 | $1,002.69–$1,246.94 | 9% below | — |
| Laser treatment of clouding after cataract surgery (YAG) inpatient CPT 66821 YAG LASER | $1,285.50 | $1,285.50 | $1,002.69–$1,246.94 | — | — |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 LAY CLS TRUNK < 2.5CM | $705.25 | $705.25 | $550.10–$684.09 | 32% above | — |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 LAY CLS TRUNK <2.5CM | $781.00 | $781.00 | $609.18–$757.57 | 46% above | — |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 LAY CLS TRUNK < 2.5CM | $705.25 | $705.25 | $550.10–$684.09 | — | — |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 LAY CLS TRUNK <2.5CM | $781.00 | $781.00 | $609.18–$757.57 | — | — |
| Lower-back epidural injection, with imaging guidance CPT 62323 EPIDURAL INJECTION - LUMBAR/ SACRA/ CAUDAL W/ GUIDANCE - SINGLE | $1,420.00 | $1,420.00 | $1,107.60–$1,377.40 | 30% below | — |
| Lower-back epidural injection, with imaging guidance CPT 62323 EPIDURAL INJECTION - LUMBAR/SACRA/CAUDAL W/GUIDANCE - SINGLE | $1,498.75 | $1,498.75 | $1,169.03–$1,453.79 | 26% below | — |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 EPIDURAL INJECTION - LUMBAR/ SACRA/ CAUDAL W/ GUIDANCE - SINGLE | $1,420.00 | $1,420.00 | $1,107.60–$1,377.40 | — | — |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 EPIDURAL INJECTION - LUMBAR/SACRA/CAUDAL W/GUIDANCE - SINGLE | $1,498.75 | $1,498.75 | $1,169.03–$1,453.79 | — | — |
| Lower-back epidural injection, without imaging guidance CPT 62322 INJECTION, INTERLAMINAR, LUMBAR OR SACRAL W/O IMAGING | $1,168.00 | $1,168.00 | $911.04–$1,132.96 | 28% below | — |
| Lower-back epidural injection, without imaging guidance CPT 62322 EPIDURAL INJECTION - LUMBAR/SAC W/O IMAGING | $1,498.75 | $1,498.75 | $1,169.03–$1,453.79 | 8% below | — |
| Lower-back epidural injection, without imaging guidance inpatient CPT 62322 INJECTION, INTERLAMINAR, LUMBAR OR SACRAL W/O IMAGING | $1,168.00 | $1,168.00 | $911.04–$1,132.96 | — | — |
| Lower-back epidural injection, without imaging guidance inpatient CPT 62322 EPIDURAL INJECTION - LUMBAR/SAC W/O IMAGING | $1,498.75 | $1,498.75 | $1,169.03–$1,453.79 | — | — |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 TRANSFORAMINAL EPIDURAL LUMBAR/SACRAL 1ST LEVEL | $1,498.75 | $1,498.75 | $1,169.03–$1,453.79 | 28% below | — |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 TRANSFORAMINAL EPIDURAL LUMBAR/SACRAL 1ST LEVEL | $1,498.75 | $1,498.75 | $1,169.03–$1,453.79 | — | — |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 0.5CM OR LESS EXCISION BENIGN LESION (TRUNK,ARMS OR LEGS) | $1,321.75 | $1,321.75 | $1,030.97–$1,282.10 | 2% below | — |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 0.5CM OR LESS EXCISION BENIGN LESION (TRUNK,ARMS OR LEGS) | $1,321.75 | $1,321.75 | $1,030.97–$1,282.10 | — | — |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 EXCISON BENIGN LESION FACE,EAR,EYELID,NOSE,LIP, MUC MEMBRANE 0.5CM OR LESS | $1,321.75 | $1,321.75 | $1,030.97–$1,282.10 | 4% below | — |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 EXCISON BENIGN LESION FACE,EAR,EYELID,NOSE,LIP, MUC MEMBRANE 0.5CM OR LESS | $1,321.75 | $1,321.75 | $1,030.97–$1,282.10 | — | — |
| Nail removal (partial or complete), one nail CPT 11730 NAIL PLATE AVULSION | $331.25 | $331.25 | $258.38–$321.31 | 4% above | — |
| Nail removal (partial or complete), one nail CPT 11730 AVULSION NAILPLATE | $336.75 | $336.75 | $262.67–$326.65 | 6% above | — |
| Nail removal (partial or complete), one nail CPT 11730 AVULSED NAILPLATE | $362.25 | $362.25 | $282.56–$351.38 | 14% above | — |
| Nail removal (partial or complete), one nail CPT 11730 AVULSION NAIL PLATE | $366.50 | $366.50 | $285.87–$355.51 | 15% above | — |
| Nail removal (partial or complete), one nail inpatient CPT 11730 NAIL PLATE AVULSION | $331.25 | $331.25 | $258.38–$321.31 | — | — |
| Nail removal (partial or complete), one nail inpatient CPT 11730 AVULSION NAILPLATE | $336.75 | $336.75 | $262.67–$326.65 | — | — |
| Nail removal (partial or complete), one nail inpatient CPT 11730 AVULSED NAILPLATE | $362.25 | $362.25 | $282.56–$351.38 | — | — |
| Nail removal (partial or complete), one nail inpatient CPT 11730 AVULSION NAIL PLATE | $366.50 | $366.50 | $285.87–$355.51 | — | — |
| Occipital nerve block (injection for headaches) CPT 64405 GREATER OCCIPITAL NERVE BLOCK | $575.25 | $575.25 | $448.70–$557.99 | 27% below | — |
| Occipital nerve block (injection for headaches) CPT 64405 NERVE BLOCK INJECTION | $782.25 | $782.25 | $610.16–$758.78 | 1% below | — |
| Occipital nerve block (injection for headaches) inpatient CPT 64405 GREATER OCCIPITAL NERVE BLOCK | $575.25 | $575.25 | $448.70–$557.99 | — | — |
| Occipital nerve block (injection for headaches) inpatient CPT 64405 NERVE BLOCK INJECTION | $782.25 | $782.25 | $610.16–$758.78 | — | — |
| Paracentesis with imaging guidance CPT 49083 PARACENTIESIS ABD W/IMAGING | $1,090.25 | $1,090.25 | $850.40–$1,057.54 | 37% below | — |
| Paracentesis with imaging guidance inpatient CPT 49083 PARACENTIESIS ABD W/IMAGING | $1,090.25 | $1,090.25 | $850.40–$1,057.54 | — | — |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 REMOVAL OF NAIL BED | $705.25 | $705.25 | $550.10–$684.09 | 9% below | — |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 EXC NAIL & MATRX PERM RML | $1,130.50 | $1,130.50 | $881.79–$1,096.59 | 45% above | — |
| Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 REMOVAL OF NAIL BED | $705.25 | $705.25 | $550.10–$684.09 | — | — |
| Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 EXC NAIL & MATRX PERM RML | $1,130.50 | $1,130.50 | $881.79–$1,096.59 | — | — |
| Prostate biopsy CPT 55700 PROSTATE BX XRAY | $1,104.25 | $1,104.25 | $861.32–$1,071.12 | 45% below | — |
| Prostate biopsy inpatient CPT 55700 PROSTATE BX XRAY | $1,104.25 | $1,104.25 | $861.32–$1,071.12 | — | — |
| Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 DESTROY LUMB/SAC FACET JOINT | $2,925.75 | $2,925.75 | $2,282.09–$2,837.98 | 12% below | — |
| Radiofrequency ablation of facet joint nerves, lower back, one level inpatient CPT 64635 DESTROY LUMB/SAC FACET JOINT | $2,925.75 | $2,925.75 | $2,282.09–$2,837.98 | — | — |
| Removal of a foreign object under the skin, simple CPT 10120 SIMP FOREIGN BODY REMOVAL | $646.00 | $646.00 | $503.88–$626.62 | 4% below | — |
| Removal of a foreign object under the skin, simple CPT 10120 INCISION AND REMOVAL FB, SUBCUTANEOUS, SIMPLE | $705.25 | $705.25 | $550.10–$684.09 | 5% above | — |
| Removal of a foreign object under the skin, simple CPT 10120 SIMPLE I&D REMOVE SUBQ FB | $705.50 | $705.50 | $550.29–$684.34 | 5% above | — |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 SIMP FOREIGN BODY REMOVAL | $646.00 | $646.00 | $503.88–$626.62 | — | — |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 INCISION AND REMOVAL FB, SUBCUTANEOUS, SIMPLE | $705.25 | $705.25 | $550.10–$684.09 | — | — |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 SIMPLE I&D REMOVE SUBQ FB | $705.50 | $705.50 | $550.29–$684.34 | — | — |
| Shock-wave lithotripsy to break up kidney stones (from outside the body) CPT 50590 LITHOTRIPSY | $7,660.00 | $7,660.00 | $5,974.80–$7,430.20 | 23% below | — |
| Shock-wave lithotripsy to break up kidney stones (from outside the body) inpatient CPT 50590 LITHOTRIPSY | $7,660.00 | $7,660.00 | $5,974.80–$7,430.20 | — | — |
| Short arm cast (elbow to hand) CPT 29075 SHORT ARM CAST | $332.25 | $332.25 | $259.16–$322.28 | 10% above | — |
| Short arm cast (elbow to hand) CPT 29075 SHORT ARM CAST APPLICATION | $584.50 | $584.50 | $455.91–$566.97 | 94% above | — |
| Short arm cast (elbow to hand) inpatient CPT 29075 SHORT ARM CAST | $332.25 | $332.25 | $259.16–$322.28 | — | — |
| Short arm cast (elbow to hand) inpatient CPT 29075 SHORT ARM CAST APPLICATION | $584.50 | $584.50 | $455.91–$566.97 | — | — |
| Short arm splint (forearm and hand) CPT 29125 SPLINT, APPL - SHORT ARM | $239.25 | $239.25 | $186.62–$232.07 | 18% below | — |
| Short arm splint (forearm and hand) CPT 29125 APPLY SHT ARM STATIC SPLT | $286.75 | $286.75 | $223.67–$278.15 | 1% below | — |
| Short arm splint (forearm and hand) CPT 29125 SHORT ARM SPLINT APPLICATION | $360.75 | $360.75 | $281.39–$349.93 | 24% above | — |
| Short arm splint (forearm and hand) inpatient CPT 29125 SPLINT, APPL - SHORT ARM | $239.25 | $239.25 | $186.62–$232.07 | — | — |
| Short arm splint (forearm and hand) inpatient CPT 29125 APPLY SHT ARM STATIC SPLT | $286.75 | $286.75 | $223.67–$278.15 | — | — |
| Short arm splint (forearm and hand) inpatient CPT 29125 SHORT ARM SPLINT APPLICATION | $360.75 | $360.75 | $281.39–$349.93 | — | — |
| Short leg cast (below the knee) CPT 29405 SHORT LEG CAST | $332.25 | $332.25 | $259.16–$322.28 | 13% below | — |
| Short leg cast (below the knee) CPT 29405 SHORT LEG CAST APPLICATION | $338.50 | $338.50 | $264.03–$328.35 | 11% below | — |
| Short leg cast (below the knee) inpatient CPT 29405 SHORT LEG CAST | $332.25 | $332.25 | $259.16–$322.28 | — | — |
| Short leg cast (below the knee) inpatient CPT 29405 SHORT LEG CAST APPLICATION | $338.50 | $338.50 | $264.03–$328.35 | — | — |
| Short leg splint (calf to foot) CPT 29515 SPLINT, APPL - SHORT LEG | $251.25 | $251.25 | $195.98–$243.71 | 15% below | — |
| Short leg splint (calf to foot) CPT 29515 APPLY SHORT LEG SPLINT | $290.00 | $290.00 | $226.20–$281.30 | 2% below | — |
| Short leg splint (calf to foot) inpatient CPT 29515 SPLINT, APPL - SHORT LEG | $251.25 | $251.25 | $195.98–$243.71 | — | — |
| Short leg splint (calf to foot) inpatient CPT 29515 APPLY SHORT LEG SPLINT | $290.00 | $290.00 | $226.20–$281.30 | — | — |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 SIMPLE REPAIR <2.5 | $255.25 | $255.25 | $199.10–$247.59 | 23% below | — |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 SIMPLE REPAIR 2.5 OR LESS | $293.25 | $293.25 | $228.74–$284.45 | 11% below | — |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 SIMPLE REPAIR 2.5 OR LESS | $295.50 | $295.50 | $230.49–$286.64 | 10% below | — |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 SIMPLE REPAIR <2.5 | $255.25 | $255.25 | $199.10–$247.59 | — | — |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 SIMPLE REPAIR 2.5 OR LESS | $293.25 | $293.25 | $228.74–$284.45 | — | — |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 SIMPLE REPAIR 2.5 OR LESS | $295.50 | $295.50 | $230.49–$286.64 | — | — |
| Skin biopsy, punch, one lesion CPT 11104 PUNCH BIOPSY OF SKIN; SINGLE LESION | $665.50 | $665.50 | $519.09–$645.54 | 49% above | — |
| Skin biopsy, punch, one lesion inpatient CPT 11104 PUNCH BIOPSY OF SKIN; SINGLE LESION | $665.50 | $665.50 | $519.09–$645.54 | — | — |
| Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 EXCISION MALIG LESION TRUNK, ARMS, OR LEGS .05 CM OR LESS | $1,503.00 | $1,503.00 | $1,172.34–$1,457.91 | 10% above | — |
| Skin cancer removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11600 EXCISION MALIG LESION TRUNK, ARMS, OR LEGS .05 CM OR LESS | $1,503.00 | $1,503.00 | $1,172.34–$1,457.91 | — | — |
| Skin tag removal, up to 15 tags CPT 11200 Remove Skin Tags 1-15 Treatment Room | $285.25 | $285.25 | $222.50–$276.69 | 2% below | — |
| Skin tag removal, up to 15 tags inpatient CPT 11200 Remove Skin Tags 1-15 Treatment Room | $285.25 | $285.25 | $222.50–$276.69 | — | — |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 LUMBAR SPINE PUNC - RADIOLOGY | $1,261.75 | $1,261.75 | $984.17–$1,223.90 | 18% above | — |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 LUMBAR PUNCTURE - TMT ROOM | $1,364.00 | $1,364.00 | $1,063.92–$1,323.08 | 27% above | — |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 SPINAL TAP, DIAG (ED) | $1,416.50 | $1,416.50 | $1,104.87–$1,374.01 | 32% above | — |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 LUMBAR SPINE PUNC - RADIOLOGY | $1,261.75 | $1,261.75 | $984.17–$1,223.90 | — | — |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 LUMBAR PUNCTURE - TMT ROOM | $1,364.00 | $1,364.00 | $1,063.92–$1,323.08 | — | — |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 SPINAL TAP, DIAG (ED) | $1,416.50 | $1,416.50 | $1,104.87–$1,374.01 | — | — |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 SIMPLE REPAIR S/N/A/G/TR/E 2.6-7.5 CM | $346.50 | $346.50 | $270.27–$336.11 | 2% below | — |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 SIMPLE RPR SCALP/EXTREMITIES 2.6-7.5 | $350.00 | $350.00 | $273.00–$339.50 | 1% below | — |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 SIMPLE REPAIR 2.6-7.5 | $366.50 | $366.50 | $285.87–$355.51 | 4% above | — |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 SIMPLE REPAIR S/N/A/G/TR/E 2.6-7.5 CM | $346.50 | $346.50 | $270.27–$336.11 | — | — |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 SIMPLE RPR SCALP/EXTREMITIES 2.6-7.5 | $350.00 | $350.00 | $273.00–$339.50 | — | — |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 SIMPLE REPAIR 2.6-7.5 | $366.50 | $366.50 | $285.87–$355.51 | — | — |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 SIMPLE REPAIR FACE <2.5 | $362.25 | $362.25 | $282.56–$351.38 | 14% above | — |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 SIMPLE REPAIR F/E/N/L/MM < 2.5 CM | $391.75 | $391.75 | $305.57–$380.00 | 23% above | — |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 SIMPLE REPAIR FACE 2.5 CM | $407.25 | $407.25 | $317.66–$395.03 | 28% above | — |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 SIMPLE REPAIR FACE <2.5 | $362.25 | $362.25 | $282.56–$351.38 | — | — |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 SIMPLE REPAIR F/E/N/L/MM < 2.5 CM | $391.75 | $391.75 | $305.57–$380.00 | — | — |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 SIMPLE REPAIR FACE 2.5 CM | $407.25 | $407.25 | $317.66–$395.03 | — | — |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 TANGENTIAL BIOPSY OF SKIN; SINGLE LESION | $377.25 | $377.25 | $294.26–$365.93 | 25% above | — |
| Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 TANGENTIAL BIOPSY OF SKIN; SINGLE LESION | $377.25 | $377.25 | $294.26–$365.93 | — | — |
| Thoracentesis with imaging guidance CPT 32555 THORACENTESIS WITH IMG GUIDANCE | $1,184.50 | $1,184.50 | $923.91–$1,148.97 | 32% below | — |
| Thoracentesis with imaging guidance CPT 32555 THORACENTESIS PUNCTURE OF PLEURAL CAVITY FOR ASPIRATION , INITIAL OR SUBSEQUENT | $1,466.75 | $1,466.75 | $1,144.07–$1,422.75 | 16% below | — |
| Thoracentesis with imaging guidance CPT 32555 THORACENTESIS PUNCTURE OF PLEURAL CAVITY FOR ASPITATION, INITIAL OR SUBSQUENT | $1,497.25 | $1,497.25 | $1,167.86–$1,452.33 | 14% below | — |
| Thoracentesis with imaging guidance inpatient CPT 32555 THORACENTESIS WITH IMG GUIDANCE | $1,184.50 | $1,184.50 | $923.91–$1,148.97 | — | — |
| Thoracentesis with imaging guidance inpatient CPT 32555 THORACENTESIS PUNCTURE OF PLEURAL CAVITY FOR ASPIRATION , INITIAL OR SUBSEQUENT | $1,466.75 | $1,466.75 | $1,144.07–$1,422.75 | — | — |
| Thoracentesis with imaging guidance inpatient CPT 32555 THORACENTESIS PUNCTURE OF PLEURAL CAVITY FOR ASPITATION, INITIAL OR SUBSQUENT | $1,497.25 | $1,497.25 | $1,167.86–$1,452.33 | — | — |
| Trigger point injections, 1 or 2 muscles CPT 20552 TRIGGER POINT INJ 1-2 MUS TMT ROOM | $252.00 | $252.00 | $196.56–$244.44 | 64% below | — |
| Trigger point injections, 1 or 2 muscles CPT 20552 INJECT TRIGGER PT 1-2 MUS - ER | $354.75 | $354.75 | $276.71–$344.11 | 49% below | — |
| Trigger point injections, 1 or 2 muscles CPT 20552 TRIGGER POINT INJECTION 1-2 MUSCLES | $557.00 | $557.00 | $434.46–$540.29 | 20% below | — |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 TRIGGER POINT INJ 1-2 MUS TMT ROOM | $252.00 | $252.00 | $196.56–$244.44 | — | — |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 INJECT TRIGGER PT 1-2 MUS - ER | $354.75 | $354.75 | $276.71–$344.11 | — | — |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 TRIGGER POINT INJECTION 1-2 MUSCLES | $557.00 | $557.00 | $434.46–$540.29 | — | — |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 US BREAST BX/LOCAL (CLIP,WIRE,SEEDS) 1ST LESION INCLUDING ULTRASOUND | $2,595.50 | $2,595.50 | $2,024.49–$2,517.64 | 22% below | — |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 US BREAST BX/LOCAL (CLIP,WIRE,SEEDS) 1ST LESION INCLUDING ULTRASOUND | $2,595.50 | $2,595.50 | $2,024.49–$2,517.64 | — | — |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRIDEMENT SKIN & SUBQ | $537.25 | $537.25 | $419.06–$521.13 | 31% below | — |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRIDEMENT, SKIN, AND SUCUTANEOUS TISSUE | $544.25 | $544.25 | $424.52–$527.92 | 30% below | — |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 SUBCUTANEOUS TISSUE (WC) | $705.25 | $705.25 | $550.10–$684.09 | 10% below | — |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 DEBRIDEMENT SKIN & SUBQ | $537.25 | $537.25 | $419.06–$521.13 | — | — |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 DEBRIDEMENT, SKIN, AND SUCUTANEOUS TISSUE | $544.25 | $544.25 | $424.52–$527.92 | — | — |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 SUBCUTANEOUS TISSUE (WC) | $705.25 | $705.25 | $550.10–$684.09 | — | — |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Ohio | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSFUSION | $700.00 | $700.00 | $546.00–$679.00 | 37% below | — |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD TRANSFUSION | $700.00 | $700.00 | $546.00–$679.00 | — | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 MNRX/MDI/IPPB SUBS TX | $223.25 | $223.25 | $174.14–$216.55 | 27% above | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 MNRX/MDI/IPPB 1ST DLY TX | $278.50 | $278.50 | $217.23–$270.15 | 59% above | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 MNRX/MDI/IPPB SUBS TX | $223.25 | $223.25 | $174.14–$216.55 | — | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 MNRX/MDI/IPPB 1ST DLY TX | $278.50 | $278.50 | $217.23–$270.15 | — | — |
| Chemotherapy IV infusion, first hour CPT 96413 CHEMO IV INFUSION 1 HR | $655.75 | $655.75 | $511.49–$636.08 | 14% below | — |
| Chemotherapy IV infusion, first hour inpatient CPT 96413 CHEMO IV INFUSION 1 HR | $655.75 | $655.75 | $511.49–$636.08 | — | — |
| Critical care, first 30 to 74 minutes CPT 99291 CRITICAL CARE 1ST HOUR (ER LEVEL 6) | $2,150.00 | $2,150.00 | $1,677.00–$2,085.50 | 27% below | — |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 CRITICAL CARE 1ST HOUR (ER LEVEL 6) | $2,150.00 | $2,150.00 | $1,677.00–$2,085.50 | — | — |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 EEG AWAKE/DROWSY | $597.25 | $597.25 | $465.86–$579.33 | 37% below | — |
| EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 EEG AWAKE/DROWSY | $597.25 | $597.25 | $465.86–$579.33 | — | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG | $168.00 | $168.00 | $131.04–$162.96 | 9% below | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG | $168.00 | $168.00 | $131.04–$162.96 | — | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 LV 1 EMERGENCY DEPARTMENT VISIT | $145.00 | $145.00 | $113.10–$140.65 | 54% below | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 LV 1 EMERGENCY DEPARTMENT VISIT | $145.00 | $145.00 | $113.10–$140.65 | — | — |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 LV 2 EMERGENCY DEPARTMENT VISIT | $310.00 | $310.00 | $241.80–$300.70 | 39% below | — |
| Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 LV 2 EMERGENCY DEPARTMENT VISIT | $310.00 | $310.00 | $241.80–$300.70 | — | — |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 LV 3 EMERGENCY DEPARTMENT VISIT | $580.00 | $580.00 | $452.40–$562.60 | 31% below | — |
| Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 LV 3 EMERGENCY DEPARTMENT VISIT | $580.00 | $580.00 | $452.40–$562.60 | — | — |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 LV 4 EMERGENCY DEPARTMENT VISIT | $1,050.00 | $1,050.00 | $819.00–$1,018.50 | 21% below | — |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 LV 4 EMERGENCY DEPARTMENT VISIT | $1,050.00 | $1,050.00 | $819.00–$1,018.50 | — | — |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 LV 5 EMERGENCY DEPARTMENT VISIT | $1,600.00 | $1,600.00 | $1,248.00–$1,552.00 | 8% below | — |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 LV 5 EMERGENCY DEPARTMENT VISIT | $1,600.00 | $1,600.00 | $1,248.00–$1,552.00 | — | — |
| Exercise stress test, tracing only, the hospital charge CPT 93017 STRESS TEST | $735.00 | $735.00 | $573.30–$712.95 | 18% below | — |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 STRESS TEST | $735.00 | $735.00 | $573.30–$712.95 | — | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV (ER) INFUSION, HYDRATION INITIAL UP TO 1 HR | $394.25 | $394.25 | $307.52–$382.42 | 6% below | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV (23HR) INFUSION, HYDRATION INITIAL UP TO 1HR | $405.50 | $405.50 | $316.29–$393.34 | 3% below | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV INFUSION, HYDRATION INITIAL UP TO 1HR | $406.50 | $406.50 | $317.07–$394.31 | 3% below | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV (ER) INFUSION, HYDRATION INITIAL UP TO 1 HR | $394.25 | $394.25 | $307.52–$382.42 | — | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV (23HR) INFUSION, HYDRATION INITIAL UP TO 1HR | $405.50 | $405.50 | $316.29–$393.34 | — | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV INFUSION, HYDRATION INITIAL UP TO 1HR | $406.50 | $406.50 | $317.07–$394.31 | — | — |
| IV infusion of a medicine, first hour CPT 96365 IV THERAPY - ER | $394.25 | $394.25 | $307.52–$382.42 | 9% below | — |
| IV infusion of a medicine, first hour CPT 96365 IV (23HR) INFUSION INITITAL UP TO 1 HR | $417.50 | $417.50 | $325.65–$404.98 | 4% below | — |
| IV infusion of a medicine, first hour CPT 96365 IV INFUSION INITIAL UP TO 1 HR | $417.50 | $417.50 | $325.65–$404.98 | 4% below | — |
| IV infusion of a medicine, first hour inpatient CPT 96365 IV THERAPY - ER | $394.25 | $394.25 | $307.52–$382.42 | — | — |
| IV infusion of a medicine, first hour inpatient CPT 96365 IV (23HR) INFUSION INITITAL UP TO 1 HR | $417.50 | $417.50 | $325.65–$404.98 | — | — |
| IV infusion of a medicine, first hour inpatient CPT 96365 IV INFUSION INITIAL UP TO 1 HR | $417.50 | $417.50 | $325.65–$404.98 | — | — |
| IV push of a medicine, first drug CPT 96374 IV PUSH (ER) SINGLE OR INITIAL | $394.25 | $394.25 | $307.52–$382.42 | 54% above | — |
| IV push of a medicine, first drug CPT 96374 IV PUSH (23HR) SINGLE OR INITIAL | $417.50 | $417.50 | $325.65–$404.98 | 63% above | — |
| IV push of a medicine, first drug CPT 96374 IV PUSH SINGLE OR INITIAL | $417.50 | $417.50 | $325.65–$404.98 | 63% above | — |
| IV push of a medicine, first drug inpatient CPT 96374 IV PUSH (ER) SINGLE OR INITIAL | $394.25 | $394.25 | $307.52–$382.42 | — | — |
| IV push of a medicine, first drug inpatient CPT 96374 IV PUSH SINGLE OR INITIAL | $417.50 | $417.50 | $325.65–$404.98 | — | — |
| IV push of a medicine, first drug inpatient CPT 96374 IV PUSH (23HR) SINGLE OR INITIAL | $417.50 | $417.50 | $325.65–$404.98 | — | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 MEDICATION ADMINISTRATION FEE | $70.00 | $70.00 | $54.60–$67.90 | 50% below | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION IM | $119.25 | $119.25 | $93.02–$115.67 | 16% below | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 IM INJECTION | $125.00 | $125.00 | $97.50–$121.25 | 12% below | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 SUBQ/IM INJECTION | $129.50 | $129.50 | $101.01–$125.62 | 8% below | — |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 MEDICATION ADMINISTRATION FEE | $70.00 | $70.00 | $54.60–$67.90 | — | — |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJECTION IM | $119.25 | $119.25 | $93.02–$115.67 | — | — |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 IM INJECTION | $125.00 | $125.00 | $97.50–$121.25 | — | — |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 SUBQ/IM INJECTION | $129.50 | $129.50 | $101.01–$125.62 | — | — |
| New patient office visit, about 30 minutes CPT 99203 NEW PATIENT VISIT INTERMEDIATE (HFC) | $166.00 | $166.00 | $129.48–$161.02 | 51% above | — |
| New patient office visit, about 30 minutes CPT 99203 NEW PATIENT VISIT 3 (RAD ONC) | $212.25 | $212.25 | $165.56–$205.88 | 93% above | — |
| New patient office visit, about 30 minutes CPT 99203 NEW PATIENT VISIT 3 (WC) | $221.00 | $221.00 | $172.38–$214.37 | 101% above | — |
| New patient office visit, about 30 minutes CPT 99203 OB - 99203-TREATMENT ROOM NEW PATIENT LEVEL 3 | $225.00 | $225.00 | $175.50–$218.25 | 105% above | — |
| New patient office visit, about 30 minutes CPT 99203 99203 OFFICE/OUTPATIENT VISIT - NEW LEVEL 3 (VS) | $240.75 | $240.75 | $187.79–$233.53 | 119% above | — |
| New patient office visit, about 30 minutes CPT 99203 99203 OFFICE/OUTPATIENT VISIT - NEW LEVEL 3 (PC) | $240.75 | $240.75 | $187.79–$233.53 | 119% above | — |
| New patient office visit, about 30 minutes CPT 99203 PROCEDURE ROOM NEW PATIENT - LEVEL 3 | $256.50 | $256.50 | $200.07–$248.81 | 134% above | — |
| New patient office visit, about 30 minutes inpatient CPT 99203 NEW PATIENT VISIT INTERMEDIATE (HFC) | $166.00 | $166.00 | $129.48–$161.02 | — | — |
| New patient office visit, about 30 minutes inpatient CPT 99203 NEW PATIENT VISIT 3 (RAD ONC) | $212.25 | $212.25 | $165.56–$205.88 | — | — |
| New patient office visit, about 30 minutes inpatient CPT 99203 NEW PATIENT VISIT 3 (WC) | $221.00 | $221.00 | $172.38–$214.37 | — | — |
| New patient office visit, about 30 minutes inpatient CPT 99203 OB - 99203-TREATMENT ROOM NEW PATIENT LEVEL 3 | $225.00 | $225.00 | $175.50–$218.25 | — | — |
| New patient office visit, about 30 minutes inpatient CPT 99203 99203 OFFICE/OUTPATIENT VISIT - NEW LEVEL 3 (PC) | $240.75 | $240.75 | $187.79–$233.53 | — | — |
| New patient office visit, about 30 minutes inpatient CPT 99203 99203 OFFICE/OUTPATIENT VISIT - NEW LEVEL 3 (VS) | $240.75 | $240.75 | $187.79–$233.53 | — | — |
| New patient office visit, about 30 minutes inpatient CPT 99203 PROCEDURE ROOM NEW PATIENT - LEVEL 3 | $256.50 | $256.50 | $200.07–$248.81 | — | — |
| New patient office visit, about 45 minutes CPT 99204 NEW PATIENT VISIT COMPLEX (HFC) | $182.00 | $182.00 | $141.96–$176.54 | 50% above | — |
| New patient office visit, about 45 minutes CPT 99204 OB - 99204-TREATMENT ROOM NEW PATIENT LEVEL 4 | $258.00 | $258.00 | $201.24–$250.26 | 113% above | — |
| New patient office visit, about 45 minutes CPT 99204 NEW PATIENT VISIT 4 (WC) | $292.00 | $292.00 | $227.76–$283.24 | 141% above | — |
| New patient office visit, about 45 minutes CPT 99204 99204 OFFICE/OUTPATIENT VISIT - NEW LEVEL 4 (VS) | $317.00 | $317.00 | $247.26–$307.49 | 162% above | — |
| New patient office visit, about 45 minutes CPT 99204 99204 OFFICE/OUTPATIENT VISIT - NEW LEVEL 4 (PC) | $317.00 | $317.00 | $247.26–$307.49 | 162% above | — |
| New patient office visit, about 45 minutes CPT 99204 NEW PATIENT VISIT 4 (RAD ONC) | $319.75 | $319.75 | $249.41–$310.16 | 164% above | — |
| New patient office visit, about 45 minutes CPT 99204 PROCEDURE ROOM NEW PATIENT - LEVEL 4 | $345.75 | $345.75 | $269.69–$335.38 | 185% above | — |
| New patient office visit, about 45 minutes inpatient CPT 99204 NEW PATIENT VISIT COMPLEX (HFC) | $182.00 | $182.00 | $141.96–$176.54 | — | — |
| New patient office visit, about 45 minutes inpatient CPT 99204 OB - 99204-TREATMENT ROOM NEW PATIENT LEVEL 4 | $258.00 | $258.00 | $201.24–$250.26 | — | — |
| New patient office visit, about 45 minutes inpatient CPT 99204 NEW PATIENT VISIT 4 (WC) | $292.00 | $292.00 | $227.76–$283.24 | — | — |
| New patient office visit, about 45 minutes inpatient CPT 99204 99204 OFFICE/OUTPATIENT VISIT - NEW LEVEL 4 (VS) | $317.00 | $317.00 | $247.26–$307.49 | — | — |
| New patient office visit, about 45 minutes inpatient CPT 99204 99204 OFFICE/OUTPATIENT VISIT - NEW LEVEL 4 (PC) | $317.00 | $317.00 | $247.26–$307.49 | — | — |
| New patient office visit, about 45 minutes inpatient CPT 99204 NEW PATIENT VISIT 4 (RAD ONC) | $319.75 | $319.75 | $249.41–$310.16 | — | — |
| New patient office visit, about 45 minutes inpatient CPT 99204 PROCEDURE ROOM NEW PATIENT - LEVEL 4 | $345.75 | $345.75 | $269.69–$335.38 | — | — |
| New patient office visit, about 60 minutes CPT 99205 NEW PATIENT VISIT EXTENDED (HFC) | $215.00 | $215.00 | $167.70–$208.55 | 24% above | — |
| New patient office visit, about 60 minutes CPT 99205 OB - 99205-TREATMENT ROOM NEW PATIENT LEVEL 5 | $335.00 | $335.00 | $261.30–$324.95 | 94% above | — |
| New patient office visit, about 60 minutes CPT 99205 NEW PATIENT VISIT 5 (WC) | $399.25 | $399.25 | $311.42–$387.27 | 131% above | — |
| New patient office visit, about 60 minutes CPT 99205 99205 OFFICE/OUTPATIENT VISIT - NEW LEVEL 5 (VS) | $418.00 | $418.00 | $326.04–$405.46 | 142% above | — |
| New patient office visit, about 60 minutes CPT 99205 99205 OFFICE/OUTPATIENT VISIT - NEW LEVEL 5 (PC) | $418.00 | $418.00 | $326.04–$405.46 | 142% above | — |
| New patient office visit, about 60 minutes CPT 99205 NEW PATIENT VISIT 5 (RAD ONC) | $426.25 | $426.25 | $332.48–$413.46 | 147% above | — |
| New patient office visit, about 60 minutes CPT 99205 PROCEDURE ROOM NEW PATIENT - LEVEL 5 | $447.50 | $447.50 | $349.05–$434.08 | 159% above | — |
| New patient office visit, about 60 minutes inpatient CPT 99205 NEW PATIENT VISIT EXTENDED (HFC) | $215.00 | $215.00 | $167.70–$208.55 | — | — |
| New patient office visit, about 60 minutes inpatient CPT 99205 OB - 99205-TREATMENT ROOM NEW PATIENT LEVEL 5 | $335.00 | $335.00 | $261.30–$324.95 | — | — |
| New patient office visit, about 60 minutes inpatient CPT 99205 NEW PATIENT VISIT 5 (WC) | $399.25 | $399.25 | $311.42–$387.27 | — | — |
| New patient office visit, about 60 minutes inpatient CPT 99205 99205 OFFICE/OUTPATIENT VISIT - NEW LEVEL 5 (VS) | $418.00 | $418.00 | $326.04–$405.46 | — | — |
| New patient office visit, about 60 minutes inpatient CPT 99205 99205 OFFICE/OUTPATIENT VISIT - NEW LEVEL 5 (PC) | $418.00 | $418.00 | $326.04–$405.46 | — | — |
| New patient office visit, about 60 minutes inpatient CPT 99205 NEW PATIENT VISIT 5 (RAD ONC) | $426.25 | $426.25 | $332.48–$413.46 | — | — |
| New patient office visit, about 60 minutes inpatient CPT 99205 PROCEDURE ROOM NEW PATIENT - LEVEL 5 | $447.50 | $447.50 | $349.05–$434.08 | — | — |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 NEW PATIENT VISIT LIMITED (HFC) | $114.00 | $114.00 | $88.92–$110.58 | 12% above | — |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 PROCEDURE ROOM NEW PATIENT - LEVEL 1 | $143.00 | $143.00 | $111.54–$138.71 | 41% above | — |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 OB - 99202-TREATMENT ROOM NEW PATIENT LEVEL 2 | $155.00 | $155.00 | $120.90–$150.35 | 53% above | — |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 NEW PATIENT VISIT 2 (WC) | $168.00 | $168.00 | $131.04–$162.96 | 66% above | — |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 99202 OFFICE/OUTPATIENT VISIT - NEW LEVEL 2 (VS) | $182.75 | $182.75 | $142.55–$177.27 | 80% above | — |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 NEW PATIENT VISIT 2 (RAD ONC) | $183.75 | $183.75 | $143.33–$178.24 | 81% above | — |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 99202 OFFICE/OUTPATIENT VISIT - NEW LEVEL 2 (PC) | $189.25 | $189.25 | $147.62–$183.57 | 87% above | — |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 PROCEDURE ROOM NEW PATIENT - LEVEL 2 | $197.00 | $197.00 | $153.66–$191.09 | 94% above | — |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 NEW PATIENT VISIT LIMITED (HFC) | $114.00 | $114.00 | $88.92–$110.58 | — | — |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 PROCEDURE ROOM NEW PATIENT - LEVEL 1 | $143.00 | $143.00 | $111.54–$138.71 | — | — |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 OB - 99202-TREATMENT ROOM NEW PATIENT LEVEL 2 | $155.00 | $155.00 | $120.90–$150.35 | — | — |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 NEW PATIENT VISIT 2 (WC) | $168.00 | $168.00 | $131.04–$162.96 | — | — |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 99202 OFFICE/OUTPATIENT VISIT - NEW LEVEL 2 (VS) | $182.75 | $182.75 | $142.55–$177.27 | — | — |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 NEW PATIENT VISIT 2 (RAD ONC) | $183.75 | $183.75 | $143.33–$178.24 | — | — |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 99202 OFFICE/OUTPATIENT VISIT - NEW LEVEL 2 (PC) | $189.25 | $189.25 | $147.62–$183.57 | — | — |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 PROCEDURE ROOM NEW PATIENT - LEVEL 2 | $197.00 | $197.00 | $153.66–$191.09 | — | — |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 NUTRITIONAL COUNSEL, INIT 15 MIN | $51.50 | $51.50 | $40.17–$49.96 | 20% below | — |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 NUTRITIONAL COUNSEL, INIT 15 MIN | $51.50 | $51.50 | $40.17–$49.96 | — | — |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 SMOKING CESSATION COUNSELING 3 - 10 MIN | $58.75 | $58.75 | $45.83–$56.99 | 34% above | — |
| Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 SMOKING CESSATION COUNSELING 3 - 10 MIN | $58.75 | $58.75 | $45.83–$56.99 | — | — |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 ESTABLISHED PATIENT VISIT EXTENDED (HFC) | $197.00 | $197.00 | $153.66–$191.09 | 17% above | — |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 OB - 99215 TREATMENT ROOM ESTABLISHED PATIENT LEVEL 5 | $295.00 | $295.00 | $230.10–$286.15 | 75% above | — |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 99215 OFFICE/OUTPATIENT VISIT - ESTABLISHED LEVEL 5 (PC) | $304.75 | $304.75 | $237.71–$295.61 | 81% above | — |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 99215 OFFICE/OUTPATIENT VISIT - ESTABLISHED LEVEL 5 (VS) | $305.00 | $305.00 | $237.90–$295.85 | 81% above | — |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 ESTABLISHED PATIENT VISIT 5 (WC) | $399.25 | $399.25 | $311.42–$387.27 | 137% above | — |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 ESTABLISHED PATIENT VISIT 5 (RAD ONC) | $426.25 | $426.25 | $332.48–$413.46 | 153% above | — |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 PROCEDURE ROOM ESTABLISHED PATIENT - LEVEL 5 | $460.00 | $460.00 | $358.80–$446.20 | 173% above | — |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 ESTABLISHED PATIENT VISIT EXTENDED (HFC) | $197.00 | $197.00 | $153.66–$191.09 | — | — |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 OB - 99215 TREATMENT ROOM ESTABLISHED PATIENT LEVEL 5 | $295.00 | $295.00 | $230.10–$286.15 | — | — |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 99215 OFFICE/OUTPATIENT VISIT - ESTABLISHED LEVEL 5 (PC) | $304.75 | $304.75 | $237.71–$295.61 | — | — |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 99215 OFFICE/OUTPATIENT VISIT - ESTABLISHED LEVEL 5 (VS) | $305.00 | $305.00 | $237.90–$295.85 | — | — |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 ESTABLISHED PATIENT VISIT 5 (WC) | $399.25 | $399.25 | $311.42–$387.27 | — | — |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 ESTABLISHED PATIENT VISIT 5 (RAD ONC) | $426.25 | $426.25 | $332.48–$413.46 | — | — |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 PROCEDURE ROOM ESTABLISHED PATIENT - LEVEL 5 | $460.00 | $460.00 | $358.80–$446.20 | — | — |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 ESTABLISHED PATIENT VISIT INTERMEDIATE (HFC) | $119.00 | $119.00 | $92.82–$115.43 | 2% above | — |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 OB - 99213 TREATMENT ROOM ESTABLISHED PATIENT LEVEL 3 | $140.00 | $140.00 | $109.20–$135.80 | 21% above | — |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 99213 OFFICE/OUTPATIENT VISIT - ESTABLISHED LEVEL 3 (VS) | $182.75 | $182.75 | $142.55–$177.27 | 57% above | — |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 99213 OFFICE/OUTPATIENT VISIT - ESTABLISHED LEVEL 3 (PC) | $182.75 | $182.75 | $142.55–$177.27 | 57% above | — |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 ESTABLISHED PATIENT VISIT 3 (RAD ONC) | $212.25 | $212.25 | $165.56–$205.88 | 83% above | — |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 ESTABLISHED PATIENT VISIT 3 (WC) | $221.00 | $221.00 | $172.38–$214.37 | 90% above | — |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 PROCEDURE ROOM ESTABLISHED PATIENT - LEVEL 3 | $232.75 | $232.75 | $181.55–$225.77 | 100% above | — |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 ESTABLISHED PATIENT VISIT INTERMEDIATE (HFC) | $119.00 | $119.00 | $92.82–$115.43 | — | — |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 OB - 99213 TREATMENT ROOM ESTABLISHED PATIENT LEVEL 3 | $140.00 | $140.00 | $109.20–$135.80 | — | — |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 99213 OFFICE/OUTPATIENT VISIT - ESTABLISHED LEVEL 3 (VS) | $182.75 | $182.75 | $142.55–$177.27 | — | — |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 99213 OFFICE/OUTPATIENT VISIT - ESTABLISHED LEVEL 3 (PC) | $182.75 | $182.75 | $142.55–$177.27 | — | — |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 ESTABLISHED PATIENT VISIT 3 (RAD ONC) | $212.25 | $212.25 | $165.56–$205.88 | — | — |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 ESTABLISHED PATIENT VISIT 3 (WC) | $221.00 | $221.00 | $172.38–$214.37 | — | — |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 PROCEDURE ROOM ESTABLISHED PATIENT - LEVEL 3 | $232.75 | $232.75 | $181.55–$225.77 | — | — |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 ESTABLISHED PATIENT VISIT COMPLEX (HFC) | $150.00 | $150.00 | $117.00–$145.50 | 10% above | — |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OB - 99214 TREATMENT ROOM ESTABLISHED PATIENT LEVEL 4 | $214.00 | $214.00 | $166.92–$207.58 | 56% above | — |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 99214 OFFICE/OUTPATIENT VISIT - ESTABLISHED LEVEL 4 (PC) | $239.50 | $239.50 | $186.81–$232.32 | 75% above | — |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 99214 OFFICE/OUTPATIENT VISIT - ESTABLISHED LEVEL 4 (VS) | $239.50 | $239.50 | $186.81–$232.32 | 75% above | — |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 ESTABLISHED PATIENT VISIT 4 (WC) | $292.00 | $292.00 | $227.76–$283.24 | 113% above | — |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 ESTABLISHED PATIENT VISIT 4 (RAD ONC) | $319.75 | $319.75 | $249.41–$310.16 | 134% above | — |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 PROCEDURE ROOM ESTABLISHED PATIENT - LEVEL 4 | $340.75 | $340.75 | $265.79–$330.53 | 149% above | — |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 ESTABLISHED PATIENT VISIT COMPLEX (HFC) | $150.00 | $150.00 | $117.00–$145.50 | — | — |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 OB - 99214 TREATMENT ROOM ESTABLISHED PATIENT LEVEL 4 | $214.00 | $214.00 | $166.92–$207.58 | — | — |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 99214 OFFICE/OUTPATIENT VISIT - ESTABLISHED LEVEL 4 (PC) | $239.50 | $239.50 | $186.81–$232.32 | — | — |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 99214 OFFICE/OUTPATIENT VISIT - ESTABLISHED LEVEL 4 (VS) | $239.50 | $239.50 | $186.81–$232.32 | — | — |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 ESTABLISHED PATIENT VISIT 4 (WC) | $292.00 | $292.00 | $227.76–$283.24 | — | — |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 ESTABLISHED PATIENT VISIT 4 (RAD ONC) | $319.75 | $319.75 | $249.41–$310.16 | — | — |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 PROCEDURE ROOM ESTABLISHED PATIENT - LEVEL 4 | $340.75 | $340.75 | $265.79–$330.53 | — | — |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 ESTABLISHED PATIENT VISIT LIMITED (HFC) | $110.00 | $110.00 | $85.80–$106.70 | 9% above | — |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OB - 99212-TREATMENT ROOM ESTABLISHED PATIENT LEVEL 2 | $121.00 | $121.00 | $94.38–$117.37 | 20% above | — |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 99212 OFFICE/OUTPATIENT VISIT - ESTABLISHED LEVEL 2 (VS) | $167.75 | $167.75 | $130.85–$162.72 | 66% above | — |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 99212 OFFICE/OUTPATIENT VISIT - ESTABLISHED LEVEL 2 (PC) | $167.75 | $167.75 | $130.85–$162.72 | 66% above | — |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 ESTABLISHED PATIENT VISIT 2 (WC) | $168.00 | $168.00 | $131.04–$162.96 | 67% above | — |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 ESTABLISHED PATIENT VISIT 2 (RAD ONC) | $183.75 | $183.75 | $143.33–$178.24 | 82% above | — |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 PROCEDURE ROOM ESTABLISHED PATIENT - LEVEL 2 | $203.00 | $203.00 | $158.34–$196.91 | 101% above | — |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 ESTABLISHED PATIENT VISIT LIMITED (HFC) | $110.00 | $110.00 | $85.80–$106.70 | — | — |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 OB - 99212-TREATMENT ROOM ESTABLISHED PATIENT LEVEL 2 | $121.00 | $121.00 | $94.38–$117.37 | — | — |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 99212 OFFICE/OUTPATIENT VISIT - ESTABLISHED LEVEL 2 (PC) | $167.75 | $167.75 | $130.85–$162.72 | — | — |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 99212 OFFICE/OUTPATIENT VISIT - ESTABLISHED LEVEL 2 (VS) | $167.75 | $167.75 | $130.85–$162.72 | — | — |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 ESTABLISHED PATIENT VISIT 2 (WC) | $168.00 | $168.00 | $131.04–$162.96 | — | — |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 ESTABLISHED PATIENT VISIT 2 (RAD ONC) | $183.75 | $183.75 | $143.33–$178.24 | — | — |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 PROCEDURE ROOM ESTABLISHED PATIENT - LEVEL 2 | $203.00 | $203.00 | $158.34–$196.91 | — | — |
| Spirometry (breathing test) CPT 94010 SPIROMETRY | $289.50 | $289.50 | $225.81–$280.82 | 7% below | — |
| Spirometry (breathing test) inpatient CPT 94010 SPIROMETRY | $289.50 | $289.50 | $225.81–$280.82 | — | — |
| Spirometry before and after a bronchodilator CPT 94060 SPIROMETRY PRE/POST | $429.00 | $429.00 | $334.62–$416.13 | 25% below | — |
| Spirometry before and after a bronchodilator inpatient CPT 94060 SPIROMETRY PRE/POST | $429.00 | $429.00 | $334.62–$416.13 | — | — |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 THERAPEUTIC PHLEBOTOMY | $222.50 | $222.50 | $173.55–$215.83 | 6% below | — |
| Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 THERAPEUTIC PHLEBOTOMY | $222.50 | $222.50 | $173.55–$215.83 | — | — |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Ohio | Off list |
|---|---|---|---|---|---|
| Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 VARICELLA VIRUS VACCINE 0.5 mL SDV | $348.20 | $348.20 | $271.60–$337.75 | 6% below | — |
| Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 VARICELLA VIRUS VACCINE 0.5 mL SDV | $348.20 | $348.20 | $271.60–$337.75 | — | — |
| Flu shot, recombinant, egg-free (Flublok) CPT 90673 INFLUENZA VACCINE (FLUBLOK) 0.5 ML | $116.85 | $116.85 | $91.14–$113.34 | 37% below | — |
| Flu shot, recombinant, egg-free (Flublok) inpatient CPT 90673 INFLUENZA VACCINE (FLUBLOK) 0.5 ML | $116.85 | $116.85 | $91.14–$113.34 | — | — |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 RECOMBIVAX HB 1DOSE(I) | $46.75 | $46.75 | $36.47–$45.35 | 22% below | — |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 RECOMBIVAX HB 1DOSE(I) | $46.75 | $46.75 | $36.47–$45.35 | — | — |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 FLUZONE HIGH-DOSE INFLUENZA VIRUS VACCINE | $204.70 | $204.70 | $159.67–$198.56 | 98% above | — |
| High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 FLUZONE HIGH-DOSE INFLUENZA VIRUS VACCINE | $204.70 | $204.70 | $159.67–$198.56 | — | — |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 MMR VACCINE (WCH ONLY) | $112.50 | $112.50 | $87.75–$109.13 | 46% below | — |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 MEASLES/MUMPS/RUBELLA VIA | $266.40 | $266.40 | $207.79–$258.41 | 28% above | — |
| MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 MMR VACCINE (WCH ONLY) | $112.50 | $112.50 | $87.75–$109.13 | — | — |
| MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 MEASLES/MUMPS/RUBELLA VIA | $266.40 | $266.40 | $207.79–$258.41 | — | — |
| Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 PREVNAR 13 PFS 0.5ML | $592.75 | $592.75 | $462.35–$574.97 | 35% above | — |
| Pneumonia vaccine, 13-valent conjugate (Prevnar 13) inpatient CPT 90670 PREVNAR 13 PFS 0.5ML | $592.75 | $592.75 | $462.35–$574.97 | — | — |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNU-IMMUNE 23 SYRINGE/INJ | $335.60 | $335.60 | $261.77–$325.53 | 22% above | — |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNU-IMMUNE 23 SYRINGE/INJ | $335.60 | $335.60 | $261.77–$325.53 | — | — |
| Rabies vaccine, one dose CPT 90675 RABIES VACCINE 1DOSE/INJ. | $981.30 | $981.30 | $765.41–$951.86 | 3% above | — |
| Rabies vaccine, one dose CPT 90675 RABIES VACCINE 1DOSE/INJ (IMOVAX) | $986.85 | $986.85 | $769.74–$957.24 | 4% above | — |
| Rabies vaccine, one dose inpatient CPT 90675 RABIES VACCINE 1DOSE/INJ. | $981.30 | $981.30 | $765.41–$951.86 | — | — |
| Rabies vaccine, one dose inpatient CPT 90675 RABIES VACCINE 1DOSE/INJ (IMOVAX) | $986.85 | $986.85 | $769.74–$957.24 | — | — |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS/DIPTHERIA INJJ | $67.60 | $67.60 | $52.73–$65.57 | 25% below | — |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS/DIPTHERIA INJJ | $67.60 | $67.60 | $52.73–$65.57 | — | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 BOOSTRIX SDV 0.5mL | $120.45 | $120.45 | $93.95–$116.84 | 9% above | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TDAP (TETANUS/DIPHTHERIA/PERTUSSIS) VACCINE | $131.50 | $131.50 | $102.57–$127.56 | 19% above | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 BOOSTRIX SDV 0.5mL | $120.45 | $120.45 | $93.95–$116.84 | — | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 TDAP (TETANUS/DIPHTHERIA/PERTUSSIS) VACCINE | $131.50 | $131.50 | $102.57–$127.56 | — | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNE ADMIN, 1 VACCINE | $20.00 | $20.00 | $15.60–$19.40 | 51% below | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 PNEUMOCOCCAL ADMINISTRATION | $115.00 | $115.00 | $89.70–$111.55 | 183% above | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 INFLUENZA ADMIN | $115.00 | $115.00 | $89.70–$111.55 | 183% above | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HEPATITIS B VAC ADM | $123.00 | $123.00 | $95.94–$119.31 | 202% above | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION ADMINISTRATION, ONE VACCINE | $125.50 | $125.50 | $97.89–$121.74 | 208% above | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUNE ADMIN, 1 VACCINE | $20.00 | $20.00 | $15.60–$19.40 | — | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 PNEUMOCOCCAL ADMINISTRATION | $115.00 | $115.00 | $89.70–$111.55 | — | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 INFLUENZA ADMIN | $115.00 | $115.00 | $89.70–$111.55 | — | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HEPATITIS B VAC ADM | $123.00 | $123.00 | $95.94–$119.31 | — | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUNIZATION ADMINISTRATION, ONE VACCINE | $125.50 | $125.50 | $97.89–$121.74 | — | — |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUNIZATION ADMINISTRATION - EACH ADDITIONAL | $43.75 | $43.75 | $34.13–$42.44 | 26% above | — |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 IMMUNIZATION ADMINISTRATION - EACH ADDITIONAL | $43.75 | $43.75 | $34.13–$42.44 | — | — |
Procedure The service, with its billing code (CPT or HCPCS) and, in small type, the line exactly as the hospital wrote it in its price file. More
Cash price The hospital's own price for a patient paying without insurance (“discounted cash” in its price file). Hospitals must publish it under federal law, 45 CFR 180.50. Call to confirm it before booking. More
List price The hospital's full chargemaster price (“gross charge”) before any discount. Almost nobody pays it; the gap to the cash price shows what the self-pay discount is worth. More
Insurers pay The lowest and highest rates this hospital has agreed with insurance plans for the same item, from its price file. If the cash price is below what your plan pays and you have not met your deductible, paying cash can cost you less. More
Against the state median This hospital's cash price compared with the median cash price of hospitals in the state for the same code. Shown when at least three hospitals in the state price it.
Off list How much lower the cash price is than the list price.
No cash discount This line's cash price equals the hospital's full list price. Many hospitals still reduce bills for uninsured patients: ask the billing office for its self-pay discount in writing. More
At or below Medicare This cash price is at or below what Medicare pays a hospital for the same service, which is unusually low. It is what the hospital's file says; confirm it and what it includes before booking. More
Check the item The description in the hospital file looks like a supply or device (a catheter, a brace, an implant), not this procedure. The hospital may have filed it under the wrong code: ask before relying on this price.
Source file: https://www.woodcountyhospital.org/media/0x5fw0tn/344440884_wood-county_standardcharges.csv