Hospital Yuma, AZ

Yuma Regional Medical Center

Yuma Regional Medical Center in Yuma, AZ publishes cash prices for 433 common procedures listed here, from its own machine-readable price file updated Sep 30, 2026. Compared with other hospitals in the state, its outpatient cash prices are above the Arizona median for 261 of 409 procedures and below it for 138. By typical cash price it ranks #37 of 53 Arizona hospitals, cheapest first. Select a procedure to compare it with other hospitals nearby.

2400 South Avenue A, Yuma, AZ 85364 Collected Oct 2, 2026 Source price file Check a bill from this hospital (928) 336-7600

Acute care hospital Nonprofit hospital Emergency department CMS star rating 2 of 5 CCN 030013 · CMS hospital register NPI 1194706655

Financial assistance

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

Yuma Regional Medical Center 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.

CMS price transparency record

The federal Centers for Medicare & Medicaid Services (CMS) enforces the rule that makes hospitals publish their prices. Its public enforcement list shows 2 actions for a hospital named Yuma Regional Medical Center in Yuma, AZ:

Apr 9, 2025 Met requirements
Jul 21, 2026 Met requirements

Met requirements: CMS reviewed the hospital and found it met the requirements, so no further action was taken.

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

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs Arizona	Off list
Abdominal CT scan without and with contrast CPT 74170 HC CT ABDOMEN W & WO	$2,945.80	$4,532.00	$187.17–$189.74	90% above	35%
Abdominal CT scan without and with contrast inpatient CPT 74170 HC CT ABDOMEN W & WO	$2,945.80	$4,532.00	$2,719.20–$4,396.04	—	35%
Abdominal X-ray, 2 views CPT 74019 HC XR ABDOMEN EXAM; 2 VIEWS	$442.00	$680.00	$111.56–$113.34	106% above	35%
Abdominal X-ray, 2 views inpatient CPT 74019 HC XR ABDOMEN EXAM; 2 VIEWS	$442.00	$680.00	$408.00–$659.60	—	35%
Ankle X-ray, complete, 3 or more views CPT 73610 HC XR ANKLE COMPL 3 VIEWS MINIMUM	$535.60	$824.00	$494.40–$799.28	245% above	35%
Ankle X-ray, complete, 3 or more views inpatient CPT 73610 HC XR ANKLE COMPL 3 VIEWS MINIMUM	$535.60	$824.00	$494.40–$799.28	—	35%
Ankle-brachial index (ABI), blood pressure test for leg arteries both sides CPT 93922 HC ABI LIMITED/BILAT,UP/LOW EXT ART TCP02 1-2LEVLS	$506.35	$779.00	$467.40–$755.63	—	35%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient both sides CPT 93922 HC ABI LIMITED/BILAT,UP/LOW EXT ART TCP02 1-2LEVLS	$506.35	$779.00	$467.40–$755.63	—	35%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient one side CPT 93922 HC ABI LIMITED/UNILAT,UP/LOW EXT ART TCP02 =>3LEVLS	$506.35	$779.00	$192.41–$755.63	—	35%
Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 HC CT UPPER EXTREMITY WO	$1,898.00	$2,920.00	$1,752.00–$2,832.40	106% above	35%
Arm CT scan without contrast (shoulder to hand, any part) inpatient CPT 73200 HC CT UPPER EXTREMITY WO	$1,898.00	$2,920.00	$1,752.00–$2,832.40	—	35%
Barium swallow (esophagus X-ray with contrast) CPT 74220 HC XR ESOPHAGUS,INC SCOUT CHEST & DELAYED IMG,WHEN PERFORM, SNGL	$715.00	$1,100.00	$133.01–$189.74	98% above	35%
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 HC XR ESOPHAGUS,INC SCOUT CHEST & DELAYED IMG,WHEN PERFORM, SNGL	$715.00	$1,100.00	$660.00–$1,067.00	—	35%
Bone scan, whole body (nuclear medicine) CPT 78306 HC BONE AND/OR JOINT IMAGE-WHOLE BODY	$2,481.70	$3,818.00	$280.93–$428.28	59% above	35%
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 HC BONE AND/OR JOINT IMAGE-WHOLE BODY	$2,481.70	$3,818.00	$2,290.80–$3,703.46	—	35%
Breast ultrasound, complete, one breast one side CPT 76641 HC US BREAST,UNILAT, COMPLETE	$873.60	$1,344.00	$111.56–$113.34	249% above	35%
Breast ultrasound, complete, one breast inpatient one side CPT 76641 HC US BREAST,UNILAT, COMPLETE	$873.60	$1,344.00	$806.40–$1,303.68	—	35%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 HC POCUS BREAST,UNILAT, LIMITED	$131.30	$202.00	$92.86–$93.85	36% below	35%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 HC US BREAST,UNILAT, LIMITED	$404.95	$623.00	$92.86–$93.85	98% above	35%
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 HC POCUS BREAST,UNILAT, LIMITED	$131.30	$202.00	$121.20–$195.94	—	35%
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 HC US BREAST,UNILAT, LIMITED	$404.95	$623.00	$373.80–$604.31	—	35%
CT angiography (CTA) of the abdomen and pelvis CPT 74174 HC CTA ABD PEL W,INC NONCON IMGE/PRO	$3,874.65	$5,961.00	$248.47–$380.64	133% above	35%
CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 HC CTA ABD PEL W,INC NONCON IMGE/PRO	$3,874.65	$5,961.00	$3,576.60–$5,782.17	—	35%
CT angiography (CTA) of the head CPT 70496 HC CT ANGIO HEAD W INC PROC	$2,944.50	$4,530.00	$187.17–$189.74	150% above	35%
CT angiography (CTA) of the head inpatient CPT 70496 HC CT ANGIO HEAD W INC PROC	$2,944.50	$4,530.00	$2,718.00–$4,394.10	—	35%
CT angiography (CTA) of the neck CPT 70498 HC CT ANGIO NECK W INC PROC	$2,709.85	$4,169.00	$187.17–$189.74	129% above	35%
CT angiography (CTA) of the neck inpatient CPT 70498 HC CT ANGIO NECK W INC PROC	$2,709.85	$4,169.00	$2,501.40–$4,043.93	—	35%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 HC CT ANGIO CHEST NC W	$2,457.00	$3,780.00	$187.17–$189.74	87% above	35%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 HC CT ANGIO CHEST NC W	$2,457.00	$3,780.00	$2,268.00–$3,666.60	—	35%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 HC CT ANGIO HEART W FOR EVAL CARDIAC STRUCT/MORPH INC 3D	$2,230.80	$3,432.00	$133.01–$380.64	168% above	35%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 HC CT ANGIO HEART W FOR EVAL CARDIAC STRUCT/MORPH INC 3D	$2,230.80	$3,432.00	$2,059.20–$3,329.04	—	35%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 HC CT HEART WO CONTRAST W EVAL CORONARY CALCIUM	$990.60	$1,524.00	$92.86–$93.85	203% above	35%
CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 HC CT HEART WO CONTRAST W EVAL CORONARY CALCIUM	$990.60	$1,524.00	$914.40–$1,478.28	—	35%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 HC CT ABDOMEN WO & PELVIS WO	$3,761.55	$5,787.00	$254.61–$257.63	187% above	35%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 HC CT ABDOMEN WO & PELVIS WO	$3,761.55	$5,787.00	$3,472.20–$5,613.39	—	35%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 HC CT ABDOMEN W & PELVIS W	$4,316.00	$6,640.00	$372.28–$380.64	113% above	35%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 HC CT ABDOMEN W & PELVIS W	$4,316.00	$6,640.00	$3,984.00–$6,440.80	—	35%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 HC CT ABDOMEN W/WO PELVIS W	$4,829.50	$7,430.00	$372.28–$380.64	105% above	35%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 HC CT ABDOMEN W/WO PELVIS W/WO	$4,829.50	$7,430.00	$372.28–$380.64	105% above	35%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 HC CT ABDOMEN W/WO PELVIS W/WO	$4,829.50	$7,430.00	$4,458.00–$7,207.10	—	35%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 HC CT ABDOMEN W/WO PELVIS W	$4,829.50	$7,430.00	$4,458.00–$7,207.10	—	35%
CT scan of the abdomen with contrast CPT 74160 HC CT ABDOMEN W	$2,694.25	$4,145.00	$2,487.00–$4,020.65	114% above	35%
CT scan of the abdomen with contrast inpatient CPT 74160 HC CT ABDOMEN W	$2,694.25	$4,145.00	$2,487.00–$4,020.65	—	35%
CT scan of the abdomen without contrast CPT 74150 HC CT ABDOMEN WO	$2,070.90	$3,186.00	$1,911.60–$3,090.42	136% above	35%
CT scan of the abdomen without contrast inpatient CPT 74150 HC CT ABDOMEN WO	$2,070.90	$3,186.00	$1,911.60–$3,090.42	—	35%
CT scan of the face and sinuses, no contrast dye CPT 70486 HC CT MAXILLOFACIAL AREA WO	$1,523.60	$2,344.00	$1,406.40–$2,273.68	91% above	35%
CT scan of the face and sinuses, no contrast dye CPT 70486 HC CT BRAINLAB PROTOCOL	$1,523.60	$2,344.00	$1,406.40–$2,273.68	91% above	35%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 HC CT BRAINLAB PROTOCOL	$1,523.60	$2,344.00	$1,406.40–$2,273.68	—	35%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 HC CT MAXILLOFACIAL AREA WO	$1,523.60	$2,344.00	$1,406.40–$2,273.68	—	35%
CT scan of the head or brain, no contrast dye CPT 70450 HC CT HEAD/BRAIN WO	$1,981.20	$3,048.00	$1,828.80–$2,956.56	116% above	35%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 HC CT HEAD/BRAIN WO	$1,981.20	$3,048.00	$1,828.80–$2,956.56	—	35%
CT scan of the head with contrast CPT 70460 HC CT HEAD/BRAIN W	$2,307.50	$3,550.00	$187.17–$189.74	96% above	35%
CT scan of the head with contrast inpatient CPT 70460 HC CT HEAD/BRAIN W	$2,307.50	$3,550.00	$2,130.00–$3,443.50	—	35%
CT scan of the head without and with contrast CPT 70470 HC CT HEAD/BRAIN W & WO	$2,689.70	$4,138.00	$2,482.80–$4,013.86	90% above	35%
CT scan of the head without and with contrast inpatient CPT 70470 HC CT HEAD/BRAIN W & WO	$2,689.70	$4,138.00	$2,482.80–$4,013.86	—	35%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 HC CT LUMBAR SPINE WO	$2,894.45	$4,453.00	$2,671.80–$4,319.41	156% above	35%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 HC CT LUMBAR SPINE WO	$2,894.45	$4,453.00	$2,671.80–$4,319.41	—	35%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 HC CT CERVICAL SPINE WO	$2,715.05	$4,177.00	$111.56–$113.34	140% above	35%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 HC CT CERVICAL SPINE WO	$2,715.05	$4,177.00	$2,506.20–$4,051.69	—	35%
CT scan of the pelvis, with contrast dye CPT 72193 HC CT PELVIS W	$2,811.25	$4,325.00	$187.17–$189.74	153% above	35%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 HC CT PELVIS W	$2,811.25	$4,325.00	$2,595.00–$4,195.25	—	35%
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 HC DUPLEX SCAN CAROTIDS-COMPLETE BILAT	$1,225.25	$1,885.00	$171.43–$257.63	—	35%
Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 HC DUPLEX SCAN CAROTIDS-COMPLETE BILAT	$1,225.25	$1,885.00	$1,131.00–$1,828.45	—	35%
Chest CT scan without and with contrast CPT 71270 HC CT CHEST,DIAG; W W/O CONTRAST	$2,642.25	$4,065.00	$2,439.00–$3,943.05	93% above	35%
Chest CT scan without and with contrast inpatient CPT 71270 HC CT CHEST,DIAG; W W/O CONTRAST	$2,642.25	$4,065.00	$2,439.00–$3,943.05	—	35%
Chest X-ray, 2 views CPT 71046 HC XR CHEST EXAM; 2 VIEWS	$399.10	$614.00	$368.40–$595.58	128% above	35%
Chest X-ray, 2 views inpatient CPT 71046 HC XR CHEST EXAM; 2 VIEWS	$399.10	$614.00	$368.40–$595.58	—	35%
Chest X-ray, single view CPT 71045 HC XR CHEST EXAM; SINGLE VIEW	$358.80	$552.00	$92.86–$93.85	219% above	35%
Chest X-ray, single view inpatient CPT 71045 HC XR CHEST EXAM; SINGLE VIEW	$358.80	$552.00	$331.20–$535.44	—	35%
Collarbone (clavicle) X-ray, complete CPT 73000 HC XR CLAVICLE COMPLETE	$426.40	$656.00	$393.60–$636.32	122% above	35%
Collarbone (clavicle) X-ray, complete inpatient CPT 73000 HC XR CLAVICLE COMPLETE	$426.40	$656.00	$393.60–$636.32	—	35%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 HC US RETROPERITONEAL COMPLETE	$801.45	$1,233.00	$111.56–$113.34	90% above	35%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 HC US RETROPERITONEAL COMPLETE	$801.45	$1,233.00	$739.80–$1,196.01	—	35%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 HC DXA BONE DENSITY STUDY=>1 SITE,AXIAL SKELETON	$650.00	$1,000.00	$81.17–$113.34	113% above	35%
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 HC DXA BONE DENSITY STUDY=>1 SITE,AXIAL SKELETON	$650.00	$1,000.00	$600.00–$970.00	—	35%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 HC DXA BONE DENSITY APPENDICULAR	$356.85	$549.00	$329.40–$532.53	73% above	35%
DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 HC DXA BONE DENSITY APPENDICULAR	$356.85	$549.00	$329.40–$532.53	—	35%
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 HC US PREG DETAIL FETAL ANATOMIC EXM SNGLE/FIRST GESTATION	$1,019.85	$1,569.00	$941.40–$1,521.93	162% above	35%
Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 HC US PREG DETAIL FETAL ANATOMIC EXM SNGLE/FIRST GESTATION	$1,019.85	$1,569.00	$941.40–$1,521.93	—	35%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 HC CT CHEST,DIAG; WO CONTRAST	$1,726.40	$2,656.00	$1,593.60–$2,576.32	94% above	35%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 HC CT CHEST,DIAG; WO CONTRAST	$1,726.40	$2,656.00	$1,593.60–$2,576.32	—	35%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 HC CT CHEST,DIAG; W CONTRAST	$2,479.75	$3,815.00	$2,289.00–$3,700.55	100% above	35%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 HC CT CHEST,DIAG; W CONTRAST	$2,479.75	$3,815.00	$2,289.00–$3,700.55	—	35%
Diagnostic mammogram, both breasts both sides CPT 77066 HC MAMMO DIAGNOSTIC, INCL CAD; BILATERAL	$555.10	$854.00	$149.76–$152.83	—	35%
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 HC MAMMO DIAGNOSTIC, INCL CAD; BILATERAL	$555.10	$854.00	$112.30–$828.38	—	35%
Diagnostic mammogram, one breast one side CPT 77065 HC MAMMO DIAGNOSTIC, INCL CAD; UNILATERAL	$464.10	$714.00	$118.82–$120.67	85% above	35%
Diagnostic mammogram, one breast inpatient one side CPT 77065 HC MAMMO DIAGNOSTIC, INCL CAD; UNILATERAL	$464.10	$714.00	$93.89–$692.58	—	35%
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 HC DUPLEX SCAN LOW EXT ART/GRAFT,COMPL/BILAT	$1,388.40	$2,136.00	$1,281.60–$2,071.92	—	35%
Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 HC DUPLEX SCAN LOW EXT ART/GRAFT,COMPL/BILAT	$1,388.40	$2,136.00	$1,281.60–$2,071.92	—	35%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 HC DUPLEX SCAN EXTREMITY VEINS-COMPLETE BILATERAL	$1,869.40	$2,876.00	$171.43–$257.63	—	35%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 HC DUPLEX SCAN EXTREMITY VEINS-COMPLETE BILATERAL	$1,869.40	$2,876.00	$1,725.60–$2,789.72	—	35%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 HC TTE,2D COMPLETE,M-MODE IF PERF,W/SPECT&COLOR FLOW DOPPLER	$1,306.50	$2,010.00	$359.73–$584.39	30% above	35%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 HC TTE,2D COMPLETE,M-MODE IF PERF,W/SPECT&COLOR FLOW DOPPLER	$1,306.50	$2,010.00	$1,206.00–$1,949.70	—	35%
Elbow X-ray, 2 views CPT 73070 HC XR ELBOW 2 VIEWS	$427.70	$658.00	$92.86–$93.85	126% above	35%
Elbow X-ray, 2 views inpatient CPT 73070 HC XR ELBOW 2 VIEWS	$427.70	$658.00	$394.80–$638.26	—	35%
Elbow X-ray, complete, 3 or more views CPT 73080 HC XR ELBOW COMPLETE 3 VIEWS MINIMUM	$471.90	$726.00	$92.86–$93.85	236% above	35%
Elbow X-ray, complete, 3 or more views inpatient CPT 73080 HC XR ELBOW COMPLETE 3 VIEWS MINIMUM	$471.90	$726.00	$435.60–$704.22	—	35%
Eye socket (orbit) CT scan without contrast CPT 70480 HC CT ORBIT/SELLA/POST IAC WO	$2,109.25	$3,245.00	$111.56–$113.34	131% above	35%
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 HC CT ORBIT/SELLA/POST IAC WO	$2,109.25	$3,245.00	$1,947.00–$3,147.65	—	35%
Facial bones X-ray, complete, 3 or more views CPT 70150 HC XR FACIAL BONES => 3 VIEWS	$670.80	$1,032.00	$619.20–$1,001.04	165% above	35%
Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 HC XR FACIAL BONES => 3 VIEWS	$670.80	$1,032.00	$619.20–$1,001.04	—	35%
Forearm X-ray (radius and ulna), 2 views CPT 73090 HC XR FOREARM 2 VIEWS	$436.15	$671.00	$92.86–$93.85	151% above	35%
Forearm X-ray (radius and ulna), 2 views inpatient CPT 73090 HC XR FOREARM 2 VIEWS	$436.15	$671.00	$402.60–$650.87	—	35%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HC HEPATOBILIARY SCAN WO	$1,831.05	$2,817.00	$280.93–$428.28	83% above	35%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 HC HEPATOBILIARY SCAN WO	$1,831.05	$2,817.00	$1,690.20–$2,732.49	—	35%
Hand X-ray, 2 views CPT 73120 HC XR HAND 2 VIEWS	$420.55	$647.00	$111.56–$113.34	273% above	35%
Hand X-ray, 2 views inpatient CPT 73120 HC XR HAND 2 VIEWS	$420.55	$647.00	$388.20–$627.59	—	35%
Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 HC XR CALCANEUS 2 VIEWS MINIMUM	$421.85	$649.00	$92.86–$93.85	250% above	35%
Heel bone (calcaneus) X-ray, 2 or more views inpatient CPT 73650 HC XR CALCANEUS 2 VIEWS MINIMUM	$421.85	$649.00	$389.40–$629.53	—	35%
Knee X-ray, 3 views CPT 73562 HC XR KNEE 3 VIEWS	$507.65	$781.00	$468.60–$757.57	147% above	35%
Knee X-ray, 3 views inpatient CPT 73562 HC XR KNEE 3 VIEWS	$507.65	$781.00	$468.60–$757.57	—	35%
Knee X-ray, complete, 4 or more views CPT 73564 HC XR KNEE COMPL 4 VIEWS OR MORE	$553.80	$852.00	$511.20–$826.44	102% above	35%
Knee X-ray, complete, 4 or more views inpatient CPT 73564 HC XR KNEE COMPL 4 VIEWS OR MORE	$553.80	$852.00	$511.20–$826.44	—	35%
Leg CT scan without contrast (hip to foot, any part) CPT 73700 HC CT LOWER EXTREMITY WO	$2,130.70	$3,278.00	$1,966.80–$3,179.66	98% above	35%
Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 HC CT LOWER EXTREMITY WO	$2,130.70	$3,278.00	$1,966.80–$3,179.66	—	35%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HC POCUS ABDOMINAL LIMITED/FOLLOW-UP (E.G. SINGLE ORGAN, QUADRAN	$222.30	$342.00	$111.56–$113.34	43% below	35%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HC US ABDOMINAL LIMITED/FOLLOW-UP (E.G. SINGLE ORGAN, QUADRANT)	$901.55	$1,387.00	$111.56–$113.34	131% above	35%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 HC POCUS ABDOMINAL LIMITED/FOLLOW-UP (E.G. SINGLE ORGAN, QUADRAN	$222.30	$342.00	$205.20–$331.74	—	35%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 HC US ABDOMINAL LIMITED/FOLLOW-UP (E.G. SINGLE ORGAN, QUADRANT)	$901.55	$1,387.00	$832.20–$1,345.39	—	35%
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 HC POCUS EXTREM NONVASCULAR LIMITED ANATOMIC SPECIFIC	$265.85	$409.00	$245.40–$396.73	37% above	35%
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 HC US EXTREM NONVASCULAR LIMITED ANATOMIC SPECIFIC	$433.55	$667.00	$81.17–$113.34	124% above	35%
Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 HC POCUS EXTREM NONVASCULAR LIMITED ANATOMIC SPECIFIC	$265.85	$409.00	$245.40–$396.73	—	35%
Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 HC US EXTREM NONVASCULAR LIMITED ANATOMIC SPECIFIC	$433.55	$667.00	$400.20–$646.99	—	35%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 HC CT,THORAX,LOW DOSE LUNG CANCER SCREENING,W/O CONTRAST	$293.15	$451.00	$270.60–$437.47	111% above	35%
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 HC CT,THORAX,LOW DOSE LUNG CANCER SCREENING,W/O CONTRAST	$293.15	$451.00	$270.60–$437.47	—	35%
Lower leg X-ray (tibia and fibula), 2 views CPT 73590 HC XR TIBIA AND FIBULA 2 VIEWS	$482.30	$742.00	$92.86–$93.85	282% above	35%
Lower leg X-ray (tibia and fibula), 2 views inpatient CPT 73590 HC XR TIBIA AND FIBULA 2 VIEWS	$482.30	$742.00	$445.20–$719.74	—	35%
MR angiography (MRA) of the head without contrast CPT 70544 HC MRA HEAD WO-DISTINCT PROC	$2,180.10	$3,354.00	$2,012.40–$3,253.38	90% above	35%
MR angiography (MRA) of the head without contrast CPT 70544 HC MRA HEAD WO	$2,180.10	$3,354.00	$254.61–$257.63	90% above	35%
MR angiography (MRA) of the head without contrast inpatient CPT 70544 HC MRA HEAD WO-DISTINCT PROC	$2,180.10	$3,354.00	$2,012.40–$3,253.38	—	35%
MR angiography (MRA) of the head without contrast inpatient CPT 70544 HC MRA HEAD WO	$2,180.10	$3,354.00	$2,012.40–$3,253.38	—	35%
MRI of both breasts, without and then with contrast dye both sides CPT 77049 HC MRI BREAST BILAT W & WO	$3,218.15	$4,951.00	$651.06–$4,802.47	—	35%
MRI of both breasts, without and then with contrast dye inpatient both sides CPT 77049 HC MRI BREAST BILAT W & WO	$3,218.15	$4,951.00	$651.06–$4,802.47	—	35%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HC MRI LOWER EXTREMITY JOINT WO	$2,743.00	$4,220.00	$2,532.00–$4,093.40	83% above	35%
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 HC MRI LOWER EXTREMITY JOINT WO	$2,743.00	$4,220.00	$2,532.00–$4,093.40	—	35%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 HC MRI LOWER EXTREMITY JOINT W & WO	$4,272.45	$6,573.00	$3,943.80–$6,375.81	104% above	35%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 HC MRI LOWER EXTREMITY JOINT W & WO	$4,272.45	$6,573.00	$3,943.80–$6,375.81	—	35%
MRI of the abdomen without contrast CPT 74181 HC MRI ABDOMEN WO	$2,580.50	$3,970.00	$2,382.00–$3,850.90	128% above	35%
MRI of the abdomen without contrast inpatient CPT 74181 HC MRI ABDOMEN WO	$2,580.50	$3,970.00	$2,382.00–$3,850.90	—	35%
MRI of the abdomen, without and then with contrast dye CPT 74183 HC MRI ABDOMEN W & WO	$3,801.20	$5,848.00	$3,508.80–$5,672.56	72% above	35%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 HC MRI ABDOMEN W & WO	$3,801.20	$5,848.00	$3,508.80–$5,672.56	—	35%
MRI of the brain, no contrast dye CPT 70551 HC MRI BRAIN W/O (IAC, PITUITARY)	$2,284.10	$3,514.00	$2,108.40–$3,408.58	74% above	35%
MRI of the brain, no contrast dye inpatient CPT 70551 HC MRI BRAIN W/O (IAC, PITUITARY)	$2,284.10	$3,514.00	$2,108.40–$3,408.58	—	35%
MRI of the brain, with and without contrast dye CPT 70553 HC MRI BRAIN W & W/O (IAC, PITUITARY)	$3,560.05	$5,477.00	$3,286.20–$5,312.69	89% above	35%
MRI of the brain, with and without contrast dye inpatient CPT 70553 HC MRI BRAIN W & W/O (IAC, PITUITARY)	$3,560.05	$5,477.00	$3,286.20–$5,312.69	—	35%
MRI of the lower back, no contrast dye CPT 72148 HC MRI LUMBAR SPINE WO	$2,765.75	$4,255.00	$2,553.00–$4,127.35	58% above	35%
MRI of the lower back, no contrast dye inpatient CPT 72148 HC MRI LUMBAR SPINE WO	$2,765.75	$4,255.00	$2,553.00–$4,127.35	—	35%
MRI of the lower back, without and then with contrast dye CPT 72158 HC MRI LUMBAR SPINE W & WO	$3,871.40	$5,956.00	$3,573.60–$5,777.32	57% above	35%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 HC MRI LUMBAR SPINE W & WO	$3,871.40	$5,956.00	$3,573.60–$5,777.32	—	35%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 HC MRI THORACIC SPINE WO	$2,801.50	$4,310.00	$2,586.00–$4,180.70	55% above	35%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 HC MRI THORACIC SPINE WO	$2,801.50	$4,310.00	$2,586.00–$4,180.70	—	35%
MRI of the neck (cervical spine) without and with contrast CPT 72156 HC MRI CERVICAL SPINE W & WO	$3,821.35	$5,879.00	$3,527.40–$5,702.63	73% above	35%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 HC MRI CERVICAL SPINE W & WO	$3,821.35	$5,879.00	$3,527.40–$5,702.63	—	35%
MRI of the neck (cervical spine), no contrast dye CPT 72141 HC MRI CERVICAL SPINE WO	$2,863.25	$4,405.00	$254.61–$257.63	99% above	35%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 HC MRI CERVICAL SPINE WO	$2,863.25	$4,405.00	$2,643.00–$4,272.85	—	35%
MRI of the pelvis without and with contrast CPT 72197 HC MRI PELVIS W & WO	$3,753.10	$5,774.00	$3,464.40–$5,600.78	91% above	35%
MRI of the pelvis without and with contrast inpatient CPT 72197 HC MRI PELVIS W & WO	$3,753.10	$5,774.00	$3,464.40–$5,600.78	—	35%
MRI of the pelvis, no contrast dye CPT 72195 HC MRI PELVIS WO	$2,320.50	$3,570.00	$254.61–$257.63	84% above	35%
MRI of the pelvis, no contrast dye inpatient CPT 72195 HC MRI PELVIS WO	$2,320.50	$3,570.00	$2,142.00–$3,462.90	—	35%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 HC MRI UPPER EXTREMITY ANY-JOINT WO	$2,407.60	$3,704.00	$2,222.40–$3,592.88	66% above	35%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 HC MRI UPPER EXTREMITY ANY-JOINT WO	$2,407.60	$3,704.00	$2,222.40–$3,592.88	—	35%
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 HC XR C-SPINE 4 VIEWS MINIMUM	$632.45	$973.00	$583.80–$943.81	126% above	35%
Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 HC XR C-SPINE 4 VIEWS MINIMUM	$632.45	$973.00	$583.80–$943.81	—	35%
Neck soft tissue CT scan with contrast CPT 70491 HC CT NECK SOFT TISSUE W	$2,386.80	$3,672.00	$2,203.20–$3,561.84	99% above	35%
Neck soft tissue CT scan with contrast inpatient CPT 70491 HC CT NECK SOFT TISSUE W	$2,386.80	$3,672.00	$2,203.20–$3,561.84	—	35%
Neck soft tissue CT scan without contrast CPT 70490 HC CT NECK SOFT TISSUE WO	$2,121.60	$3,264.00	$1,958.40–$3,166.08	135% above	35%
Neck soft tissue CT scan without contrast inpatient CPT 70490 HC CT NECK SOFT TISSUE WO	$2,121.60	$3,264.00	$1,958.40–$3,166.08	—	35%
Neck soft tissue X-ray CPT 70360 HC XR NECK SOFT TISSUE	$388.05	$597.00	$92.86–$93.85	118% above	35%
Neck soft tissue X-ray inpatient CPT 70360 HC XR NECK SOFT TISSUE	$388.05	$597.00	$358.20–$579.09	—	35%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 HC MYOCARDIAL PERF IMGE,SPECT-MULT INC WALLMOTION/EJECT	$5,123.30	$7,882.00	$972.85–$1,391.41	90% above	35%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 HC MYOCARDIAL PERF IMGE,SPECT-MULT INC WALLMOTION/EJECT	$5,123.30	$7,882.00	$4,729.20–$7,645.54	—	35%
OCT scan of the retina (optical coherence tomography) both sides CPT 92134 HC COMP OPHTH DX IMG (OCT) POSTERIOR SEG, RETINA,UNI/BILAT I&R	$126.75	$195.00	$41.46–$63.31	—	35%
OCT scan of the retina (optical coherence tomography) inpatient both sides CPT 92134 HC COMP OPHTH DX IMG (OCT) POSTERIOR SEG, RETINA,UNI/BILAT I&R	$126.75	$195.00	$117.00–$189.15	—	35%
PET/CT scan from the base of the skull to mid-thigh CPT 78815 HC PET W CT-SKULL BASE TO MID-THIGH	$5,396.30	$8,302.00	$4,981.20–$8,052.94	6% below	35%
PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 HC PET W CT-SKULL BASE TO MID-THIGH	$5,396.30	$8,302.00	$4,981.20–$8,052.94	—	35%
Pelvic CT scan without contrast CPT 72192 HC CT PELVIS WO CONTRAST	$2,224.95	$3,423.00	$111.56–$113.34	110% above	35%
Pelvic CT scan without contrast inpatient CPT 72192 HC CT PELVIS WO CONTRAST	$2,224.95	$3,423.00	$2,053.80–$3,320.31	—	35%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 HC POCUS PELVIC LIMITED OR FOLLOW-UP NON-OB	$221.65	$341.00	$204.60–$330.77	31% below	35%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 HC US PELVIC LIMITED OR FOLLOW-UP NON-OB	$647.40	$996.00	$597.60–$966.12	102% above	35%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 HC POCUS PELVIC LIMITED OR FOLLOW-UP NON-OB	$221.65	$341.00	$204.60–$330.77	—	35%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 HC US PELVIC LIMITED OR FOLLOW-UP NON-OB	$647.40	$996.00	$597.60–$966.12	—	35%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 HC US PELVIC COMPLETE NON-OB	$915.20	$1,408.00	$111.56–$113.34	122% above	35%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 HC US PELVIC COMPLETE NON-OB	$915.20	$1,408.00	$844.80–$1,365.76	—	35%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HC US PREG SNGL/FIRST GESTATION =>14 WKS	$898.95	$1,383.00	$829.80–$1,341.51	114% above	35%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 HC US PREG SNGL/FIRST GESTATION =>14 WKS	$898.95	$1,383.00	$829.80–$1,341.51	—	35%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 HC US PREG SINGL/FIRST GESTATION < 14WKS	$778.05	$1,197.00	$718.20–$1,161.09	130% above	35%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 HC US PREG SINGL/FIRST GESTATION < 14WKS	$778.05	$1,197.00	$718.20–$1,161.09	—	35%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 HC POCUS PREG LIMITED 1 OR MORE FETUS	$221.65	$341.00	$204.60–$330.77	30% below	35%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 HC US PREG LIMITED 1 OR MORE FETUS	$639.60	$984.00	$590.40–$954.48	101% above	35%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 HC POCUS PREG LIMITED 1 OR MORE FETUS	$221.65	$341.00	$204.60–$330.77	—	35%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 HC US PREG LIMITED 1 OR MORE FETUS	$639.60	$984.00	$590.40–$954.48	—	35%
Rib X-ray, one side, 2 views one side CPT 71100 HC XR RIBS UNILAT 2 VIEWS	$450.45	$693.00	$415.80–$672.21	217% above	35%
Rib X-ray, one side, 2 views inpatient one side CPT 71100 HC XR RIBS UNILAT 2 VIEWS	$450.45	$693.00	$415.80–$672.21	—	35%
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 HC XR RIBS UNILAT W PA CHEST 3 VIEWS MINIMUM	$488.15	$751.00	$450.60–$728.47	61% above	35%
Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 HC XR RIBS UNILAT W PA CHEST 3 VIEWS MINIMUM	$488.15	$751.00	$450.60–$728.47	—	35%
Screening mammogram, both breasts both sides CPT 77067 HC MAMMO SCREENING, BILAT, INCL CAD	$456.95	$703.00	$92.44–$681.91	—	35%
Screening mammogram, both breasts inpatient both sides CPT 77067 HC MAMMO SCREENING, BILAT, INCL CAD	$456.95	$703.00	$92.44–$681.91	—	35%
Shoulder X-ray, complete, 2 or more views CPT 73030 HC XR SHOULDER COMPL 2 VIEWS MINIMUM	$567.45	$873.00	$92.86–$93.85	258% above	35%
Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 HC XR SHOULDER COMPL 2 VIEWS MINIMUM	$567.45	$873.00	$523.80–$846.81	—	35%
Sinus X-ray, complete, 3 or more views CPT 70220 HC XR SINUSES PARANASLA COMPL 3 VIEWS MINIMUM	$741.00	$1,140.00	$684.00–$1,105.80	336% above	35%
Sinus X-ray, complete, 3 or more views inpatient CPT 70220 HC XR SINUSES PARANASLA COMPL 3 VIEWS MINIMUM	$741.00	$1,140.00	$684.00–$1,105.80	—	35%
Skull X-ray, fewer than 4 views CPT 70250 HC XR SKULL <4 VIEWS	$500.50	$770.00	$111.56–$113.34	125% above	35%
Skull X-ray, fewer than 4 views inpatient CPT 70250 HC XR SKULL <4 VIEWS	$500.50	$770.00	$462.00–$746.90	—	35%
Stress echocardiogram, complete, including the stress test and supervision CPT 93351 HC ECHO 2D STRESS TEST, INCL CONT ECG MONITER,SUPERVISED, I&R	$1,776.45	$2,733.00	$359.73–$584.39	75% above	35%
Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 HC ECHO 2D STRESS TEST, INCL CONT ECG MONITER,SUPERVISED, I&R	$1,776.45	$2,733.00	$1,639.80–$2,651.01	—	35%
Swallow study (modified barium swallow, video X-ray) CPT 74230 HC XR SWALLOW FUNCT W/FLUORO VIDEO,INC SCOUT NECK & DELAYED IMG,	$732.55	$1,127.00	$133.01–$189.74	80% above	35%
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 HC XR SWALLOW FUNCT W/FLUORO VIDEO,INC SCOUT NECK & DELAYED IMG,	$732.55	$1,127.00	$676.20–$1,093.19	—	35%
Thigh bone (femur) X-ray, 2 or more views CPT 73552 HC XR FEMUR; MINIMUM 2 VIEWS	$409.50	$630.00	$92.86–$93.85	126% above	35%
Thigh bone (femur) X-ray, 2 or more views inpatient CPT 73552 HC XR FEMUR; MINIMUM 2 VIEWS	$409.50	$630.00	$378.00–$611.10	—	35%
Thoracic spine (mid back) CT scan without contrast CPT 72128 HC CT THORACIC SPINE WO	$2,715.05	$4,177.00	$2,506.20–$4,051.69	140% above	35%
Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 HC CT THORACIC SPINE WO	$2,715.05	$4,177.00	$2,506.20–$4,051.69	—	35%
Toe X-ray, 2 or more views CPT 73660 HC XR TOE(S) 2 VIEWS MINIMUM	$306.80	$472.00	$92.86–$93.85	189% above	35%
Toe X-ray, 2 or more views inpatient CPT 73660 HC XR TOE(S) 2 VIEWS MINIMUM	$306.80	$472.00	$283.20–$457.84	—	35%
Transvaginal pelvic ultrasound CPT 76830 HC US TRANSVAGINAL NON-OB	$842.40	$1,296.00	$81.17–$113.34	124% above	35%
Transvaginal pelvic ultrasound inpatient CPT 76830 HC US TRANSVAGINAL NON-OB	$842.40	$1,296.00	$777.60–$1,257.12	—	35%
Transvaginal ultrasound during pregnancy CPT 76817 HC POCUS PREG TRANSVAGINAL	$221.65	$341.00	$204.60–$330.77	37% below	35%
Transvaginal ultrasound during pregnancy CPT 76817 HC US PREG TRANSVAGINAL	$791.70	$1,218.00	$730.80–$1,181.46	127% above	35%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 HC POCUS PREG TRANSVAGINAL	$221.65	$341.00	$204.60–$330.77	—	35%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 HC US PREG TRANSVAGINAL	$791.70	$1,218.00	$730.80–$1,181.46	—	35%
Ultrasound of the abdomen, complete CPT 76700 HC US ABDOMINAL COMPLETE	$1,340.95	$2,063.00	$111.56–$113.34	165% above	35%
Ultrasound of the abdomen, complete inpatient CPT 76700 HC US ABDOMINAL COMPLETE	$1,340.95	$2,063.00	$1,237.80–$2,001.11	—	35%
Ultrasound of the scrotum and testicles CPT 76870 HC US SCROTUM AND CONTENTS	$801.45	$1,233.00	$739.80–$1,196.01	109% above	35%
Ultrasound of the scrotum and testicles inpatient CPT 76870 HC US SCROTUM AND CONTENTS	$801.45	$1,233.00	$739.80–$1,196.01	—	35%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 HC POCUS HEAD&NECK SOFT TISSUE(THYROID,PARATHRYOID,PAROTID)	$221.65	$341.00	$81.17–$113.34	33% below	35%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 HC US HEAD&NECK SOFT TISSUE(THYROID,PARATHRYOID,PAROTID)	$713.70	$1,098.00	$658.80–$1,065.06	115% above	35%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 HC POCUS HEAD&NECK SOFT TISSUE(THYROID,PARATHRYOID,PAROTID)	$221.65	$341.00	$204.60–$330.77	—	35%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 HC US HEAD&NECK SOFT TISSUE(THYROID,PARATHRYOID,PAROTID)	$713.70	$1,098.00	$658.80–$1,065.06	—	35%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 HC XR GI TRACT UPPER,INC SCOUT ABD & DELAYED IMG,WHEN PERFORM,SN	$745.55	$1,147.00	$133.01–$189.74	88% above	35%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 HC XR GI TRACT UPPER,INC SCOUT ABD & DELAYED IMG,WHEN PERFORM,SN	$745.55	$1,147.00	$688.20–$1,112.59	—	35%
Upper arm X-ray (humerus), 2 views CPT 73060 HC XR HUMERUS 2 VIEW MINIMUM	$479.05	$737.00	$92.86–$93.85	115% above	35%
Upper arm X-ray (humerus), 2 views inpatient CPT 73060 HC XR HUMERUS 2 VIEW MINIMUM	$479.05	$737.00	$442.20–$714.89	—	35%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 HC DUPLEX SCAN EXTREMITY VEINS-UNILATERAL/LIMITED	$1,158.95	$1,783.00	$81.17–$113.34	180% above	35%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 HC DUPLEX SCAN EXTREMITY VEINS-UNILATERAL/LIMITED	$1,158.95	$1,783.00	$1,069.80–$1,729.51	—	35%
Wrist X-ray, 2 views CPT 73100 HC XR WRIST 2 VIEWS	$427.05	$657.00	$92.86–$93.85	177% above	35%
Wrist X-ray, 2 views inpatient CPT 73100 HC XR WRIST 2 VIEWS	$427.05	$657.00	$394.20–$637.29	—	35%
Wrist X-ray, complete, 3 or more views CPT 73110 HC XR WRIST COMPL 3 VIEWS MINIMUM	$507.00	$780.00	$92.86–$93.85	130% above	35%
Wrist X-ray, complete, 3 or more views inpatient CPT 73110 HC XR WRIST COMPL 3 VIEWS MINIMUM	$507.00	$780.00	$468.00–$756.60	—	35%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HC XR HIP UNILAT, W PELVIS WHEN DONE; 2-3 VIEWS	$482.95	$743.00	$445.80–$720.71	97% above	35%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 HC XR HIP UNILAT, W PELVIS WHEN DONE; 2-3 VIEWS	$482.95	$743.00	$445.80–$720.71	—	35%
X-ray of the abdomen, 1 view CPT 74018 HC XR ABDOMEN EXAM; 1 VIEW	$355.55	$547.00	$328.20–$530.59	84% above	35%
X-ray of the abdomen, 1 view inpatient CPT 74018 HC XR ABDOMEN EXAM; 1 VIEW	$355.55	$547.00	$328.20–$530.59	—	35%
X-ray of the ankle, 2 views CPT 73600 HC XR ANKLE 2 VIEWS	$427.70	$658.00	$394.80–$638.26	196% above	35%
X-ray of the ankle, 2 views inpatient CPT 73600 HC XR ANKLE 2 VIEWS	$427.70	$658.00	$394.80–$638.26	—	35%
X-ray of the finger(s), 2 or more views CPT 73140 HC XR FINGER(S) 2 VIEWS MINIMUM	$327.60	$504.00	$92.86–$93.85	201% above	35%
X-ray of the finger(s), 2 or more views inpatient CPT 73140 HC XR FINGER(S) 2 VIEWS MINIMUM	$327.60	$504.00	$302.40–$488.88	—	35%
X-ray of the foot, 2 views CPT 73620 HC XR FOOT 2 VIEWS	$358.80	$552.00	$331.20–$535.44	291% above	35%
X-ray of the foot, 2 views inpatient CPT 73620 HC XR FOOT 2 VIEWS	$358.80	$552.00	$331.20–$535.44	—	35%
X-ray of the foot, complete, 3 or more views CPT 73630 HC XR FOOT COMPL 3 VIEWS MINIMUM	$497.25	$765.00	$459.00–$742.05	325% above	35%
X-ray of the foot, complete, 3 or more views inpatient CPT 73630 HC XR FOOT COMPL 3 VIEWS MINIMUM	$497.25	$765.00	$459.00–$742.05	—	35%
X-ray of the hand, 3 or more views CPT 73130 HC XR HAND 3 VIEWS MINIMUM	$538.20	$828.00	$92.86–$93.85	164% above	35%
X-ray of the hand, 3 or more views inpatient CPT 73130 HC XR HAND 3 VIEWS MINIMUM	$538.20	$828.00	$496.80–$803.16	—	35%
X-ray of the knee, 1 or 2 views CPT 73560 HC XR KNEE 1 OR 2 VIEWS	$407.55	$627.00	$92.86–$93.85	163% above	35%
X-ray of the knee, 1 or 2 views inpatient CPT 73560 HC XR KNEE 1 OR 2 VIEWS	$407.55	$627.00	$376.20–$608.19	—	35%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 HC XR LUMBOSACRAL SPINE 2 OR 3 VIEWS	$611.00	$940.00	$111.56–$113.34	218% above	35%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 HC XR LUMBOSACRAL SPINE 2 OR 3 VIEWS	$611.00	$940.00	$564.00–$911.80	—	35%
X-ray of the lower back, 4 or more views CPT 72110 HC XR LUMBOSACRAL SPINE 4 VIEWS MINIMUM	$765.70	$1,178.00	$706.80–$1,142.66	126% above	35%
X-ray of the lower back, 4 or more views inpatient CPT 72110 HC XR LUMBOSACRAL SPINE 4 VIEWS MINIMUM	$765.70	$1,178.00	$706.80–$1,142.66	—	35%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 HC XR T-SPINE 2 VIEWS	$462.15	$711.00	$111.56–$113.34	88% above	35%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 HC XR T-SPINE 2 VIEWS	$462.15	$711.00	$426.60–$689.67	—	35%
X-ray of the nasal bones, 3 or more views CPT 70160 HC XR NASAL BONES COMPLETE =>3 VIEWS	$398.45	$613.00	$92.86–$93.85	257% above	35%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 HC XR NASAL BONES COMPLETE =>3 VIEWS	$398.45	$613.00	$367.80–$594.61	—	35%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 HC XR C-SPINE 2 OR 3 VIEWS	$538.20	$828.00	$496.80–$803.16	147% above	35%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 HC XR C-SPINE 2 OR 3 VIEWS	$538.20	$828.00	$496.80–$803.16	—	35%
X-ray of the pelvis, 1 or 2 views CPT 72170 HC XR PELVIS 1 OR 2 VIEWS	$447.20	$688.00	$412.80–$667.36	136% above	35%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 HC XR PELVIS 1 OR 2 VIEWS	$447.20	$688.00	$412.80–$667.36	—	35%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 HC XR SACRUM & COCCYX 2 VIEWS MINIMUM	$482.30	$742.00	$92.86–$93.85	275% above	35%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 HC XR SACRUM & COCCYX 2 VIEWS MINIMUM	$482.30	$742.00	$445.20–$719.74	—	35%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs Arizona	Off list
ACTH blood test CPT 82024 HC ADRENOCORTICOTROPIC HORMONE (ACTH) S/O	$41.60	$64.00	$38.62	51% below	35%
ACTH blood test inpatient CPT 82024 HC ADRENOCORTICOTROPIC HORMONE (ACTH) S/O	$41.60	$64.00	$38.40–$62.08	—	35%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 HC ALANIN AMINO TRANSFERASE (ALT) (SGPT), S/O	$31.20	$48.00	$5.30	32% above	35%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 HC ALT(SGPT),TRANSFERASE ALANINE AMINO	$148.85	$229.00	$5.30	528% above	35%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 HC ALANIN AMINO TRANSFERASE (ALT) (SGPT), S/O	$31.20	$48.00	$28.80–$46.56	—	35%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 HC ALT(SGPT),TRANSFERASE ALANINE AMINO	$148.85	$229.00	$137.40–$222.13	—	35%
AST (aspartate aminotransferase) enzyme test CPT 84450 HC ASPART AMINTRNSF (AST) (SGOT), S/O	$33.80	$52.00	$5.18	26% above	35%
AST (aspartate aminotransferase) enzyme test CPT 84450 HC AST(SGOT),TRANSFERASE ASPARTATE AMINO	$135.85	$209.00	$125.40–$202.73	407% above	35%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 HC ASPART AMINTRNSF (AST) (SGOT), S/O	$33.80	$52.00	$31.20–$50.44	—	35%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 HC AST(SGOT),TRANSFERASE ASPARTATE AMINO	$135.85	$209.00	$125.40–$202.73	—	35%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HC ACUTE HEPATITIS PANEL	$597.35	$919.00	$47.63	529% above	35%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HC ACUTE HEPATITIS PANEL	$597.35	$919.00	$551.40–$891.43	—	35%
Albumin blood test CPT 82040 HC ALBUMIN-SERUM,PLASMA/WHOLE BLOOD S/O	$14.30	$22.00	$4.95	3% below	35%
Albumin blood test CPT 82040 HC ALBUMIN RATIO;SERUM,PLASMA OR WHOLE BLOOD S/O	$37.05	$57.00	$4.95	153% above	35%
Albumin blood test CPT 82040 HC ALBUMIN-SERUM,PLASMA OR WHOLE BLOOD	$146.90	$226.00	$4.95	901% above	35%
Albumin blood test inpatient CPT 82040 HC ALBUMIN-SERUM,PLASMA/WHOLE BLOOD S/O	$14.30	$22.00	$13.20–$21.34	—	35%
Albumin blood test inpatient CPT 82040 HC ALBUMIN RATIO;SERUM,PLASMA OR WHOLE BLOOD S/O	$37.05	$57.00	$34.20–$55.29	—	35%
Albumin blood test inpatient CPT 82040 HC ALBUMIN-SERUM,PLASMA OR WHOLE BLOOD	$146.90	$226.00	$135.60–$219.22	—	35%
Aldosterone blood test CPT 82088 HC ALDOSTERONE, PLASMA S/O	$39.65	$61.00	$36.60–$59.17	53% below	35%
Aldosterone blood test CPT 82088 HC ALDOSTERONE SERUM S/O	$44.20	$68.00	$40.75	48% below	35%
Aldosterone blood test CPT 82088 HC ALDOSTERONE 24HR URINE S/O	$66.30	$102.00	$40.75	22% below	35%
Aldosterone blood test inpatient CPT 82088 HC ALDOSTERONE, PLASMA S/O	$39.65	$61.00	$36.60–$59.17	—	35%
Aldosterone blood test inpatient CPT 82088 HC ALDOSTERONE SERUM S/O	$44.20	$68.00	$40.80–$65.96	—	35%
Aldosterone blood test inpatient CPT 82088 HC ALDOSTERONE 24HR URINE S/O	$66.30	$102.00	$61.20–$98.94	—	35%
Alkaline phosphatase (ALP) blood test CPT 84075 HC ALKALINE PHOSPHATASE S/O	$12.35	$19.00	$5.18	26% below	35%
Alkaline phosphatase (ALP) blood test CPT 84075 HC ALKALINE PHOSPHATASE	$128.05	$197.00	$5.18	668% above	35%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 HC ALKALINE PHOSPHATASE S/O	$12.35	$19.00	$11.40–$18.43	—	35%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 HC ALKALINE PHOSPHATASE	$128.05	$197.00	$118.20–$191.09	—	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC HONEY, IGE, QUANT/SEMIQUANT, EA S/O	$11.70	$18.00	$5.22	1% below	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC MANGO FRUIT, IGE, EA S/O	$11.70	$18.00	$5.22	1% below	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC SEMINAL FLUID, IGE, EA S/O	$11.70	$18.00	$10.80–$17.46	1% below	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC CLAM,IGE S/O	$12.35	$19.00	$5.22	4% above	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC PENICILLIN G,SGE SERUM, EA S/O	$12.35	$19.00	$11.40–$18.43	4% above	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC PENICILIN V, IGE SERUM,EA S/O	$12.35	$19.00	$11.40–$18.43	4% above	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC STINGING INSECTS ALLERGEN,IGE S/O	$12.35	$19.00	$11.40–$18.43	4% above	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC EGG WHITE ALLERGEN,IGE S/O	$16.90	$26.00	$15.60–$25.22	43% above	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC DOG DANDER ALLERGEN,IGE S/O	$16.90	$26.00	$15.60–$25.22	43% above	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC PISTACHIO, IGE, S/O	$16.90	$26.00	$5.22	43% above	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC CASHEW ALLERGEN,IGE S/O	$16.90	$26.00	$5.22	43% above	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC GRAPE ALLERGEN,IGE S/O	$16.90	$26.00	$15.60–$25.22	43% above	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC PINEAPPLE ALLERGEN,IGE S/O	$16.90	$26.00	$5.22	43% above	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC GLUTEN ALLERGEN,IGE S/O	$16.90	$26.00	$5.22	43% above	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC LETTUCE ALLERGEN,IGE S/O	$16.90	$26.00	$15.60–$25.22	43% above	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC COCKROACH ALLERGEN,IGE S/O	$16.90	$26.00	$5.22	43% above	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC CLOVE ALLERGEN,IGE S/O	$16.90	$26.00	$5.22	43% above	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC LATEX ALLERGEN,IGE S/O	$16.90	$26.00	$15.60–$25.22	43% above	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC CINNAMON ALLERGEN,IGE S/O	$16.90	$26.00	$5.22	43% above	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC GREEN BEAN ALLERGEN,IGE S/O	$16.90	$26.00	$5.22	43% above	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC CHICKEN ALLERGEN,IGE S/O	$16.90	$26.00	$5.22	43% above	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC CARROT ALLERGEN,IGE S/O	$16.90	$26.00	$5.22	43% above	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC COW MILK ALLERGEN,IGE S/O	$16.90	$26.00	$15.60–$25.22	43% above	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC BEEF ALLERGEN,IGE S/O	$16.90	$26.00	$5.22	43% above	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC BASIL ALLERGEN,IGE S/O	$16.90	$26.00	$5.22	43% above	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ONION ALLERGEN,IGE S/O	$16.90	$26.00	$15.60–$25.22	43% above	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC BANANA ALLERGEN,IGE S/O	$16.90	$26.00	$5.22	43% above	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC AVOCADO ALLERGEN,IGE S/O	$16.90	$26.00	$5.22	43% above	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC WATERMELON ALLERGEN,IGE S/O	$16.90	$26.00	$15.60–$25.22	43% above	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC RICE ALLERGEN,IGE S/O	$16.90	$26.00	$15.60–$25.22	43% above	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC PAPRICKA ALLERGEN,IGE S/O	$16.90	$26.00	$5.22	43% above	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC PORK ALLERGEN,IGE S/O	$16.90	$26.00	$5.22	43% above	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC APPLE ALLERGEN,IGE S/O	$16.90	$26.00	$15.60–$25.22	43% above	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC LOBSTER ALLERGEN,IGE S/O	$16.90	$26.00	$5.22	43% above	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC CRAB ALLERGEN,IGE S/O	$16.90	$26.00	$5.22	43% above	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC POTATO ALLERGEN,IGE S/O	$16.90	$26.00	$5.22	43% above	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC CHERRY ALLERGEN,IGE S/O	$16.90	$26.00	$15.60–$25.22	43% above	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC SCALLOP ALLERGEN,IGE S/O	$16.90	$26.00	$15.60–$25.22	43% above	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC DATE/FRUIT ALLERGEN,IGE S/O	$16.90	$26.00	$15.60–$25.22	43% above	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC BEET(BEETROOT) ALLERGEN,IGE S/O	$16.90	$26.00	$15.60–$25.22	43% above	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC TOBACCO ALLERGEN,IGE S/O	$16.90	$26.00	$15.60–$25.22	43% above	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC HALIBUT ALLERGEN,IGE S/O	$16.90	$26.00	$15.60–$25.22	43% above	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC STRAWBERRY ALLERGEN,IGE S/O	$16.90	$26.00	$15.60–$25.22	43% above	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC CORN FOOD ALLERGEN,IGE S/O	$16.90	$26.00	$15.60–$25.22	43% above	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC RYE ALLERGEN,IGE S/O	$16.90	$26.00	$15.60–$25.22	43% above	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC TOMATO ALLERGEN,IGE S/O	$16.90	$26.00	$5.22	43% above	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC SOYBEAN ALLERGEN,IGE S/O	$16.90	$26.00	$15.60–$25.22	43% above	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC TURKEY ALLERGEN,IGE S/O	$16.90	$26.00	$5.22	43% above	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC WHEAT ALLERGEN,IGE S/O	$16.90	$26.00	$15.60–$25.22	43% above	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC SHRIMP ALLERGEN,IGE S/O	$16.90	$26.00	$15.60–$25.22	43% above	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC WALNUT-FOOD ALLERGEN,IGE S/O	$16.90	$26.00	$15.60–$25.22	43% above	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC OTA ALLERGEN,IGE S/O	$16.90	$26.00	$15.60–$25.22	43% above	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC CACAO/COCOA ALLERGEN,IGE S/O	$16.90	$26.00	$5.22	43% above	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC GINGER ALLERGEN,IGE S/O	$16.90	$26.00	$15.60–$25.22	43% above	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC BAKERS YEAST ALLERGEN,IGE S/O	$16.90	$26.00	$5.22	43% above	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC GARLIC ALLERGEN,IGE S/O	$16.90	$26.00	$5.22	43% above	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC GREEN PEPPER ALLERGEN,IGE S/O	$16.90	$26.00	$15.60–$25.22	43% above	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC EGG YOLK ALLERGEN,IGE S/O	$16.90	$26.00	$5.22	43% above	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPECIFIC IGE; QUANT/SEMI, CRUDE ALLGN EXTRT, EACH S/	$22.10	$34.00	$20.40–$32.98	87% above	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALFALFA IGE S/O	$39.00	$60.00	$36.00–$58.20	230% above	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC HOUSE DUST ALLERGEN,IGE S/O	$39.65	$61.00	$5.22	235% above	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC SEAFOOD ALLERGEN,IGE S/O	$39.65	$61.00	$36.60–$59.17	235% above	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ANIMAL ALLERGEN,IGE S/O	$39.65	$61.00	$5.22	235% above	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC FOOD ALLERGEN,IGE S/O	$39.65	$61.00	$36.60–$59.17	235% above	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC FOOD NUT ALLERGEN SCREEN S/O	$39.65	$61.00	$5.22	235% above	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ECHINOCOCCUS ALLERGEN,IGE S/O	$40.30	$62.00	$5.22	241% above	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC FEATHER PANEL #2 S/O	$41.60	$64.00	$5.22	252% above	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC FLOUNDER IGE S/O	$46.80	$72.00	$43.20–$69.84	296% above	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC CARMINE DYE/RED DYE COCHINEAL (DACTYLOPIUS COCCUS) IGE, EA S/	$53.95	$83.00	$49.80–$80.51	356% above	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC MOLD PANEL, S/O	$70.85	$109.00	$5.22	499% above	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC TREE PANEL #2, S/O	$70.85	$109.00	$5.22	499% above	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC FOOD-FRUIT PANEL S/O	$70.85	$109.00	$5.22	499% above	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC FOOD-NUT PANEL #2, S/O	$70.85	$109.00	$5.22	499% above	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC FOOD-MEAT PANEL, S/O	$70.85	$109.00	$5.22	499% above	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC SEMINAL FLUID, IGE, EA S/O	$11.70	$18.00	$10.80–$17.46	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC MANGO FRUIT, IGE, EA S/O	$11.70	$18.00	$10.80–$17.46	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC HONEY, IGE, QUANT/SEMIQUANT, EA S/O	$11.70	$18.00	$10.80–$17.46	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC PENICILIN V, IGE SERUM,EA S/O	$12.35	$19.00	$11.40–$18.43	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC PENICILLIN G,SGE SERUM, EA S/O	$12.35	$19.00	$11.40–$18.43	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC STINGING INSECTS ALLERGEN,IGE S/O	$12.35	$19.00	$11.40–$18.43	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC CLAM,IGE S/O	$12.35	$19.00	$11.40–$18.43	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC CHICKEN ALLERGEN,IGE S/O	$16.90	$26.00	$15.60–$25.22	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC PISTACHIO, IGE, S/O	$16.90	$26.00	$15.60–$25.22	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC WATERMELON ALLERGEN,IGE S/O	$16.90	$26.00	$15.60–$25.22	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC RICE ALLERGEN,IGE S/O	$16.90	$26.00	$15.60–$25.22	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC APPLE ALLERGEN,IGE S/O	$16.90	$26.00	$15.60–$25.22	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC LOBSTER ALLERGEN,IGE S/O	$16.90	$26.00	$15.60–$25.22	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC CRAB ALLERGEN,IGE S/O	$16.90	$26.00	$15.60–$25.22	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC CHERRY ALLERGEN,IGE S/O	$16.90	$26.00	$15.60–$25.22	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC SCALLOP ALLERGEN,IGE S/O	$16.90	$26.00	$15.60–$25.22	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC DATE/FRUIT ALLERGEN,IGE S/O	$16.90	$26.00	$15.60–$25.22	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC BEET(BEETROOT) ALLERGEN,IGE S/O	$16.90	$26.00	$15.60–$25.22	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC TOBACCO ALLERGEN,IGE S/O	$16.90	$26.00	$15.60–$25.22	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC HALIBUT ALLERGEN,IGE S/O	$16.90	$26.00	$15.60–$25.22	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC STRAWBERRY ALLERGEN,IGE S/O	$16.90	$26.00	$15.60–$25.22	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC CORN FOOD ALLERGEN,IGE S/O	$16.90	$26.00	$15.60–$25.22	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC RYE ALLERGEN,IGE S/O	$16.90	$26.00	$15.60–$25.22	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC SOYBEAN ALLERGEN,IGE S/O	$16.90	$26.00	$15.60–$25.22	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC SHRIMP ALLERGEN,IGE S/O	$16.90	$26.00	$15.60–$25.22	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC OTA ALLERGEN,IGE S/O	$16.90	$26.00	$15.60–$25.22	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC CACAO/COCOA ALLERGEN,IGE S/O	$16.90	$26.00	$15.60–$25.22	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC BAKERS YEAST ALLERGEN,IGE S/O	$16.90	$26.00	$15.60–$25.22	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC GARLIC ALLERGEN,IGE S/O	$16.90	$26.00	$15.60–$25.22	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC EGG YOLK ALLERGEN,IGE S/O	$16.90	$26.00	$15.60–$25.22	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC EGG WHITE ALLERGEN,IGE S/O	$16.90	$26.00	$15.60–$25.22	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC DOG DANDER ALLERGEN,IGE S/O	$16.90	$26.00	$15.60–$25.22	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC CASHEW ALLERGEN,IGE S/O	$16.90	$26.00	$15.60–$25.22	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC PINEAPPLE ALLERGEN,IGE S/O	$16.90	$26.00	$15.60–$25.22	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC GLUTEN ALLERGEN,IGE S/O	$16.90	$26.00	$15.60–$25.22	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC COCKROACH ALLERGEN,IGE S/O	$16.90	$26.00	$15.60–$25.22	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC CLOVE ALLERGEN,IGE S/O	$16.90	$26.00	$15.60–$25.22	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC CINNAMON ALLERGEN,IGE S/O	$16.90	$26.00	$15.60–$25.22	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC CARROT ALLERGEN,IGE S/O	$16.90	$26.00	$15.60–$25.22	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC BEEF ALLERGEN,IGE S/O	$16.90	$26.00	$15.60–$25.22	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC BASIL ALLERGEN,IGE S/O	$16.90	$26.00	$15.60–$25.22	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC BANANA ALLERGEN,IGE S/O	$16.90	$26.00	$15.60–$25.22	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC AVOCADO ALLERGEN,IGE S/O	$16.90	$26.00	$15.60–$25.22	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC WALNUT-FOOD ALLERGEN,IGE S/O	$16.90	$26.00	$15.60–$25.22	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC WHEAT ALLERGEN,IGE S/O	$16.90	$26.00	$15.60–$25.22	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC TURKEY ALLERGEN,IGE S/O	$16.90	$26.00	$15.60–$25.22	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC TOMATO ALLERGEN,IGE S/O	$16.90	$26.00	$15.60–$25.22	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC POTATO ALLERGEN,IGE S/O	$16.90	$26.00	$15.60–$25.22	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC PORK ALLERGEN,IGE S/O	$16.90	$26.00	$15.60–$25.22	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC PAPRICKA ALLERGEN,IGE S/O	$16.90	$26.00	$15.60–$25.22	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ONION ALLERGEN,IGE S/O	$16.90	$26.00	$15.60–$25.22	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC COW MILK ALLERGEN,IGE S/O	$16.90	$26.00	$15.60–$25.22	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC LATEX ALLERGEN,IGE S/O	$16.90	$26.00	$15.60–$25.22	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC LETTUCE ALLERGEN,IGE S/O	$16.90	$26.00	$15.60–$25.22	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC GRAPE ALLERGEN,IGE S/O	$16.90	$26.00	$15.60–$25.22	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC GREEN PEPPER ALLERGEN,IGE S/O	$16.90	$26.00	$15.60–$25.22	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC GINGER ALLERGEN,IGE S/O	$16.90	$26.00	$15.60–$25.22	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC GREEN BEAN ALLERGEN,IGE S/O	$16.90	$26.00	$15.60–$25.22	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPECIFIC IGE; QUANT/SEMI, CRUDE ALLGN EXTRT, EACH S/	$22.10	$34.00	$20.40–$32.98	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALFALFA IGE S/O	$39.00	$60.00	$36.00–$58.20	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC FOOD ALLERGEN,IGE S/O	$39.65	$61.00	$36.60–$59.17	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC FOOD NUT ALLERGEN SCREEN S/O	$39.65	$61.00	$36.60–$59.17	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC SEAFOOD ALLERGEN,IGE S/O	$39.65	$61.00	$36.60–$59.17	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ANIMAL ALLERGEN,IGE S/O	$39.65	$61.00	$36.60–$59.17	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC HOUSE DUST ALLERGEN,IGE S/O	$39.65	$61.00	$36.60–$59.17	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ECHINOCOCCUS ALLERGEN,IGE S/O	$40.30	$62.00	$37.20–$60.14	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC FEATHER PANEL #2 S/O	$41.60	$64.00	$38.40–$62.08	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC FLOUNDER IGE S/O	$46.80	$72.00	$43.20–$69.84	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC CARMINE DYE/RED DYE COCHINEAL (DACTYLOPIUS COCCUS) IGE, EA S/	$53.95	$83.00	$49.80–$80.51	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC MOLD PANEL, S/O	$70.85	$109.00	$65.40–$105.73	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC FOOD-FRUIT PANEL S/O	$70.85	$109.00	$65.40–$105.73	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC FOOD-NUT PANEL #2, S/O	$70.85	$109.00	$65.40–$105.73	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC FOOD-MEAT PANEL, S/O	$70.85	$109.00	$65.40–$105.73	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC TREE PANEL #2, S/O	$70.85	$109.00	$65.40–$105.73	—	35%
Alpha-fetoprotein (AFP) blood test CPT 82105 HC ALPHA-FETOPROTEIN, AFP SINGLE MARKER SCRN S/O	$22.75	$35.00	$21.00–$33.95	42% below	35%
Alpha-fetoprotein (AFP) blood test CPT 82105 HC ALPHA-FETOPROTEIN (AFP); SERUM	$42.90	$66.00	$16.77	9% above	35%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 HC ALPHA-FETOPROTEIN, AFP SINGLE MARKER SCRN S/O	$22.75	$35.00	$21.00–$33.95	—	35%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 HC ALPHA-FETOPROTEIN (AFP); SERUM	$42.90	$66.00	$39.60–$64.02	—	35%
Ammonia blood test CPT 82140 HC AMONIUM 24 HR, U, S/O	$61.10	$94.00	$56.40–$91.18	7% below	35%
Ammonia blood test CPT 82140 HC AMMONIA,NH3	$239.20	$368.00	$14.57	266% above	35%
Ammonia blood test inpatient CPT 82140 HC AMONIUM 24 HR, U, S/O	$61.10	$94.00	$56.40–$91.18	—	35%
Ammonia blood test inpatient CPT 82140 HC AMMONIA,NH3	$239.20	$368.00	$220.80–$356.96	—	35%
Amylase blood test CPT 82150 HC AMYLASE, BF S/O	$42.90	$66.00	$6.48	229% above	35%
Amylase blood test CPT 82150 HC AMYLASE,PANCREATIC CYST S/O	$195.65	$301.00	$180.60–$291.97	1402% above	35%
Amylase blood test CPT 82150 HC AMYLASE	$204.75	$315.00	$6.48	1471% above	35%
Amylase blood test inpatient CPT 82150 HC AMYLASE, BF S/O	$42.90	$66.00	$39.60–$64.02	—	35%
Amylase blood test inpatient CPT 82150 HC AMYLASE,PANCREATIC CYST S/O	$195.65	$301.00	$180.60–$291.97	—	35%
Amylase blood test inpatient CPT 82150 HC AMYLASE	$204.75	$315.00	$189.00–$305.55	—	35%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 HC CCP (CYCLIC CITRULLINATED PEPTIDE), AB S/O	$36.40	$56.00	$12.95	24% above	35%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 HC CCP (CYCLIC CITRULLINATED PEPTIDE), AB S/O	$36.40	$56.00	$33.60–$54.32	—	35%
Antinuclear antibody (ANA) blood test, screen CPT 86038 HC ANTINUCLEAR AB, S/O	$31.85	$49.00	$12.09	16% above	35%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 HC ANTINUCLEAR AB, S/O	$31.85	$49.00	$29.40–$47.53	—	35%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 HC NT-PRO BNP,S S/O	$66.95	$103.00	$39.26	13% below	35%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 HC NT-PRO/BNP,BRAIN NATRIURETIC PEPTIDE	$320.45	$493.00	$295.80–$478.21	315% above	35%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 HC NT-PRO BNP,S S/O	$66.95	$103.00	$61.80–$99.91	—	35%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 HC NT-PRO/BNP,BRAIN NATRIURETIC PEPTIDE	$320.45	$493.00	$295.80–$478.21	—	35%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULTURE, BACT; ANY OTH SRCE XCPT URINE, BLOOD/STOOL, AERO, W/	$282.75	$435.00	$261.00–$421.95	364% above	35%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC CULTURE, BACT; ANY OTH SRCE XCPT URINE, BLOOD/STOOL, AERO, W/	$282.75	$435.00	$261.00–$421.95	—	35%
Basic metabolic panel (blood test) CPT 80048 HC BASIC METABOLIC PANEL (CALCIUM,TOTAL)	$297.05	$457.00	$274.20–$443.29	314% above	35%
Basic metabolic panel (blood test) inpatient CPT 80048 HC BASIC METABOLIC PANEL (CALCIUM,TOTAL)	$297.05	$457.00	$274.20–$443.29	—	35%
Bilirubin blood test, total CPT 82247 HC BILIRUBIN SERUM S/O	$40.30	$62.00	$5.02	100% above	35%
Bilirubin blood test, total CPT 82247 HC BILIRUBIN, BF, TOTAL S/O	$88.40	$136.00	$5.02	338% above	35%
Bilirubin blood test, total CPT 82247 HC BILIRUBIN,TOTAL	$148.85	$229.00	$5.02	637% above	35%
Bilirubin blood test, total inpatient CPT 82247 HC BILIRUBIN SERUM S/O	$40.30	$62.00	$37.20–$60.14	—	35%
Bilirubin blood test, total inpatient CPT 82247 HC BILIRUBIN, BF, TOTAL S/O	$88.40	$136.00	$81.60–$131.92	—	35%
Bilirubin blood test, total inpatient CPT 82247 HC BILIRUBIN,TOTAL	$148.85	$229.00	$137.40–$222.13	—	35%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC GROSS & MICROSCOPIC EXAM,SURG PATHOLOGY LEVEL IV, NEPHRO S/O	$65.65	$101.00	$60.60–$97.97	24% below	35%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC GROSS & MICROSCOP EXAM,SURG PATHOLOGY LEVEL IV (NEOGEN/BOST),	$395.20	$608.00	$55.61–$56.95	360% above	35%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC GROSS & MICROSCOPIC EXAM, SURG PATHOLOGY - LEVEL IV	$455.00	$700.00	$55.61–$56.95	429% above	35%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HC GROSS & MICROSCOPIC EXAM,SURG PATHOLOGY LEVEL IV, NEPHRO S/O	$65.65	$101.00	$60.60–$97.97	—	35%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HC GROSS & MICROSCOP EXAM,SURG PATHOLOGY LEVEL IV (NEOGEN/BOST),	$395.20	$608.00	$364.80–$589.76	—	35%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HC GROSS & MICROSCOPIC EXAM, SURG PATHOLOGY - LEVEL IV	$455.00	$700.00	$420.00–$679.00	—	35%
Blood culture for bacteria CPT 87040 HC CULTURE, BACT; BLOOD, AEROBIC W/ID ISOLATES	$267.15	$411.00	$246.60–$398.67	111% above	35%
Blood culture for bacteria inpatient CPT 87040 HC CULTURE, BACT; BLOOD, AEROBIC W/ID ISOLATES	$267.15	$411.00	$246.60–$398.67	—	35%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 HC COLLECT VENOUS BLOOD,VENIPUNCTURE	$10.40	$16.00	$9.09–$9.34	37% below	35%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 HC COLLECT VENOUS BLOOD,VENIPUNCTURE	$10.40	$16.00	$9.60–$15.52	—	35%
Blood glucose (sugar) test CPT 82947 HC GLUCOSE,BLOOD,QUANT S/O	$20.15	$31.00	$3.93	55% below	35%
Blood glucose (sugar) test CPT 82947 HC GLUCOSE,BLOOD,QUANT(OTHER THAN REAGENT STRIP)	$70.20	$108.00	$64.80–$104.76	55% above	35%
Blood glucose (sugar) test inpatient CPT 82947 HC GLUCOSE,BLOOD,QUANT S/O	$20.15	$31.00	$18.60–$30.07	—	35%
Blood glucose (sugar) test inpatient CPT 82947 HC GLUCOSE,BLOOD,QUANT(OTHER THAN REAGENT STRIP)	$70.20	$108.00	$64.80–$104.76	—	35%
Blood lead test CPT 83655 HC LEAD, BLOOD S/O	$16.25	$25.00	$15.00–$24.25	37% below	35%
Blood lead test CPT 83655 HC LEAD, 24 HR, URINE S/O	$31.85	$49.00	$29.40–$47.53	23% above	35%
Blood lead test inpatient CPT 83655 HC LEAD, BLOOD S/O	$16.25	$25.00	$15.00–$24.25	—	35%
Blood lead test inpatient CPT 83655 HC LEAD, 24 HR, URINE S/O	$31.85	$49.00	$29.40–$47.53	—	35%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HC HCG(GONADOTROPIN,CHORIONIC),QUAL	$259.35	$399.00	$7.52	287% above	35%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HC HCG(GONADOTROPIN,CHORIONIC),QUAL	$259.35	$399.00	$239.40–$387.03	—	35%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HC BLOOD TYPING,ABO	$123.50	$190.00	$137.38–$141.97	52% above	35%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HC ABO GROUPING, ABO DISCREP (INCL A2 CELLS&ANTI-A,B) S/O	$242.45	$373.00	$137.38–$141.97	197% above	35%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HC BLOOD TYPING,ABO	$123.50	$190.00	$114.00–$184.30	—	35%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HC ABO GROUPING, ABO DISCREP (INCL A2 CELLS&ANTI-A,B) S/O	$242.45	$373.00	$223.80–$361.81	—	35%
Blood urea nitrogen (BUN) test CPT 84520 HC UREA NITROGEN, BF, QUANT S/O	$18.85	$29.00	$17.40–$28.13	16% above	35%
Blood urea nitrogen (BUN) test CPT 84520 HC ASSAY OF UREA NITROGEN, QUANT	$156.00	$240.00	$3.95	859% above	35%
Blood urea nitrogen (BUN) test inpatient CPT 84520 HC UREA NITROGEN, BF, QUANT S/O	$18.85	$29.00	$17.40–$28.13	—	35%
Blood urea nitrogen (BUN) test inpatient CPT 84520 HC ASSAY OF UREA NITROGEN, QUANT	$156.00	$240.00	$144.00–$232.80	—	35%
C-peptide blood test CPT 84681 HC C-PEPTIDE S/O	$22.75	$35.00	$21.00–$33.95	60% below	35%
C-peptide blood test inpatient CPT 84681 HC C-PEPTIDE S/O	$22.75	$35.00	$21.00–$33.95	—	35%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 HC C-REACTIVE PROTEIN	$108.55	$167.00	$5.18	126% above	35%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 HC C-REACTIVE PROTEIN	$108.55	$167.00	$100.20–$161.99	—	35%
C. difficile toxin gene test (stool PCR) CPT 87493 HC C.DIFF AMP PROBE	$167.05	$257.00	$154.20–$249.29	127% above	35%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 HC C.DIFF AMP PROBE	$167.05	$257.00	$154.20–$249.29	—	35%
CA 19-9 blood test (tumor marker) CPT 86301 HC CA 19-9 QUANT S/O	$22.75	$35.00	$21.00–$33.95	19% below	35%
CA 19-9 blood test (tumor marker) CPT 86301 HC CA 19-9,PERITONEAL FLUID S/O	$68.90	$106.00	$20.81	144% above	35%
CA 19-9 blood test (tumor marker) CPT 86301 HC CA 19-9,PLEURAL FLUID S/O	$68.90	$106.00	$20.81	144% above	35%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 HC CA 19-9 QUANT S/O	$22.75	$35.00	$21.00–$33.95	—	35%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 HC CA 19-9,PERITONEAL FLUID S/O	$68.90	$106.00	$63.60–$102.82	—	35%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 HC CA 19-9,PLEURAL FLUID S/O	$68.90	$106.00	$63.60–$102.82	—	35%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HC INFECT AGENT DETEC, PCR, SARS-COV-2 COVID-19	$67.60	$104.00	$62.40–$100.88	4% above	35%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 HC INFECT AGENT DETEC, PCR, SARS-COV-2 COVID-19	$67.60	$104.00	$62.40–$100.88	—	35%
Calcium blood test, total CPT 82310 HC CALCIUM,TOTAL	$165.75	$255.00	$153.00–$247.35	1002% above	35%
Calcium blood test, total inpatient CPT 82310 HC CALCIUM,TOTAL	$165.75	$255.00	$153.00–$247.35	—	35%
Carcinoembryonic antigen (CEA) test CPT 82378 HC CEA,PANCREATIC CYST S/O	$98.15	$151.00	$90.60–$146.47	71% above	35%
Carcinoembryonic antigen (CEA) test CPT 82378 HC CEA,PLEURAL FLUID S/O	$101.40	$156.00	$18.96	76% above	35%
Carcinoembryonic antigen (CEA) test CPT 82378 HC CEA,PERITONEAL FLUID S/O	$101.40	$156.00	$18.96	76% above	35%
Carcinoembryonic antigen (CEA) test CPT 82378 HC CEA(CARCINOEMBRYONIC ANTIGEN)	$364.00	$560.00	$18.96	533% above	35%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 HC CEA,PANCREATIC CYST S/O	$98.15	$151.00	$90.60–$146.47	—	35%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 HC CEA,PERITONEAL FLUID S/O	$101.40	$156.00	$93.60–$151.32	—	35%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 HC CEA,PLEURAL FLUID S/O	$101.40	$156.00	$93.60–$151.32	—	35%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 HC CEA(CARCINOEMBRYONIC ANTIGEN)	$364.00	$560.00	$336.00–$543.20	—	35%
Chickenpox (varicella) immunity blood test CPT 86787 HC VARICELLA ZOSTER IGM AB S/O	$14.30	$22.00	$13.20–$21.34	31% below	35%
Chickenpox (varicella) immunity blood test CPT 86787 HC VARICELLA ZOSTER IGG AB S/O	$15.60	$24.00	$14.40–$23.28	25% below	35%
Chickenpox (varicella) immunity blood test CPT 86787 HC VARICELLA ZOSTER IGG	$105.95	$163.00	$12.88	413% above	35%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 HC VARICELLA ZOSTER IGM AB S/O	$14.30	$22.00	$13.20–$21.34	—	35%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 HC VARICELLA ZOSTER IGG AB S/O	$15.60	$24.00	$14.40–$23.28	—	35%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 HC VARICELLA ZOSTER IGG	$105.95	$163.00	$97.80–$158.11	—	35%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC CHLAMYDIA TRACH.MISC, APLIFIED PROBE TECH S/O	$98.80	$152.00	$35.09	59% above	35%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC CHLAMYDIA TRACHOMATIS,APLIFIED PROBE TECH	$134.55	$207.00	$124.20–$200.79	117% above	35%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HC CHLAMYDIA TRACH.MISC, APLIFIED PROBE TECH S/O	$98.80	$152.00	$91.20–$147.44	—	35%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HC CHLAMYDIA TRACHOMATIS,APLIFIED PROBE TECH	$134.55	$207.00	$124.20–$200.79	—	35%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LIPID PANEL S/O	$44.20	$68.00	$40.80–$65.96	12% above	35%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LIPID PANEL	$409.50	$630.00	$13.39	940% above	35%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC LIPID PANEL S/O	$44.20	$68.00	$40.80–$65.96	—	35%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC LIPID PANEL	$409.50	$630.00	$378.00–$611.10	—	35%
Complete blood count (CBC) with differential CPT 85025 HC BLOOD COUNT,CBC W DIFF WBC AND PLATELET	$199.55	$307.00	$7.77	232% above	35%
Complete blood count (CBC) with differential inpatient CPT 85025 HC BLOOD COUNT,CBC W DIFF WBC AND PLATELET	$199.55	$307.00	$184.20–$297.79	—	35%
Complete blood count (CBC), no differential CPT 85027 HC BLOOD COUNT,CBC(HEMOGRAM,NO DIFF)	$159.25	$245.00	$147.00–$237.65	228% above	35%
Complete blood count (CBC), no differential inpatient CPT 85027 HC BLOOD COUNT,CBC(HEMOGRAM,NO DIFF)	$159.25	$245.00	$147.00–$237.65	—	35%
Comprehensive metabolic panel (blood test) CPT 80053 HC COMPREHENSIVE METABOLIC PANEL	$516.10	$794.00	$10.56	292% above	35%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 HC COMPREHENSIVE METABOLIC PANEL	$516.10	$794.00	$476.40–$770.18	—	35%
Cortisol blood test, total CPT 82533 HC CORTISOL,TOTAL S/O	$51.35	$79.00	$16.30	25% above	35%
Cortisol blood test, total CPT 82533 HC CORTISOL,TOTAL	$263.90	$406.00	$243.60–$393.82	543% above	35%
Cortisol blood test, total inpatient CPT 82533 HC CORTISOL,TOTAL S/O	$51.35	$79.00	$47.40–$76.63	—	35%
Cortisol blood test, total inpatient CPT 82533 HC CORTISOL,TOTAL	$263.90	$406.00	$243.60–$393.82	—	35%
Creatine kinase (CK) blood test, total CPT 82550 HC CREATINE KINASE ISOENZYME REFLEX S S/O	$18.85	$29.00	$6.51	34% above	35%
Creatine kinase (CK) blood test, total CPT 82550 HC CK(CREATINE KINASE)(CPK),TOTAL	$176.15	$271.00	$162.60–$262.87	1156% above	35%
Creatine kinase (CK) blood test, total inpatient CPT 82550 HC CREATINE KINASE ISOENZYME REFLEX S S/O	$18.85	$29.00	$17.40–$28.13	—	35%
Creatine kinase (CK) blood test, total inpatient CPT 82550 HC CK(CREATINE KINASE)(CPK),TOTAL	$176.15	$271.00	$162.60–$262.87	—	35%
Creatinine blood test CPT 82565 HC POCT CREATININE; BLOOD	$15.60	$24.00	$14.40–$23.28	4% above	35%
Creatinine blood test CPT 82565 HC CREATININE,BLOOD	$146.90	$226.00	$5.12	877% above	35%
Creatinine blood test inpatient CPT 82565 HC POCT CREATININE; BLOOD	$15.60	$24.00	$14.40–$23.28	—	35%
Creatinine blood test inpatient CPT 82565 HC CREATININE,BLOOD	$146.90	$226.00	$135.60–$219.22	—	35%
Cytomegalovirus (CMV) antibody test CPT 86644 HC AB CYTOMEGALOVIRUS (CMV) S/O	$17.55	$27.00	$14.39	43% below	35%
Cytomegalovirus (CMV) antibody test CPT 86644 HC CMV (CYTOMEGALOVIRUS) AB,IGG S/O	$133.25	$205.00	$123.00–$198.85	332% above	35%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 HC AB CYTOMEGALOVIRUS (CMV) S/O	$17.55	$27.00	$16.20–$26.19	—	35%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 HC CMV (CYTOMEGALOVIRUS) AB,IGG S/O	$133.25	$205.00	$123.00–$198.85	—	35%
D-dimer blood test (blood clot marker) CPT 85379 HC D-DIMER,QUANT S/O	$74.75	$115.00	$10.18	26% below	35%
D-dimer blood test (blood clot marker) CPT 85379 HC D-DIMER,QUANT	$238.55	$367.00	$220.20–$355.99	135% above	35%
D-dimer blood test (blood clot marker) inpatient CPT 85379 HC D-DIMER,QUANT S/O	$74.75	$115.00	$69.00–$111.55	—	35%
D-dimer blood test (blood clot marker) inpatient CPT 85379 HC D-DIMER,QUANT	$238.55	$367.00	$220.20–$355.99	—	35%
DHEA sulfate (DHEA-S) blood test CPT 82627 HC DHEA SULFATE S/O	$26.00	$40.00	$22.23	51% below	35%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 HC DHEA SULFATE S/O	$26.00	$40.00	$24.00–$38.80	—	35%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG OF ABUSE SCREEN, CONFIRMED, CHEM ANLYZR, UA S/O	$60.45	$93.00	$62.14	28% below	35%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG SCREEN, MECONIUM, PRSMV CHEM ANLYZR, UA S/O	$60.45	$93.00	$55.80–$90.21	28% below	35%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG SCREEN, RX/OTC PRSMC CHEM ANLYZR, S/O	$61.10	$94.00	$62.14	28% below	35%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC OXYCODONE SCREEN, U S/O	$61.10	$94.00	$56.40–$91.18	28% below	35%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUGS OF ABUSE SCREEN (10 PANEL), S, PER DATE S/O	$78.65	$121.00	$72.60–$117.37	7% below	35%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC FENTANYL, DRUG TST PRSMV CHEM ANALYZER PER DOS	$85.80	$132.00	$79.20–$128.04	2% above	35%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC OXYCODONE CHEM ANALYZER PER DOS	$94.25	$145.00	$87.00–$140.65	12% above	35%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC GHB SCREEN, S/P S/O	$98.15	$151.00	$90.60–$146.47	16% above	35%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC ETHYL GLUCURONIDE SCREEN, U, PER DOS S/O	$115.70	$178.00	$106.80–$172.66	37% above	35%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC ETHYL GLUCURONIDE SCREEN W/REFLEX, U S/O	$115.70	$178.00	$106.80–$172.66	37% above	35%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC FENTANYL SCREEN W/REFLEX, U, PER DOS S/O	$120.90	$186.00	$62.14	43% above	35%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG SCREEN, COMPREHENSIVE, UC, CHEM ANLYZR S/O	$184.60	$284.00	$62.14	119% above	35%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC PAIN CLINIC DRUG SCREEN, S/O	$295.75	$455.00	$62.14	251% above	35%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG SCREEN, DRUG TEST PRSMV CHEM ANLYZR	$645.45	$993.00	$595.80–$963.21	665% above	35%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG OF ABUSE SCREEN, CONFIRMED, CHEM ANLYZR, UA S/O	$60.45	$93.00	$55.80–$90.21	—	35%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG SCREEN, MECONIUM, PRSMV CHEM ANLYZR, UA S/O	$60.45	$93.00	$55.80–$90.21	—	35%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG SCREEN, RX/OTC PRSMC CHEM ANLYZR, S/O	$61.10	$94.00	$56.40–$91.18	—	35%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC OXYCODONE SCREEN, U S/O	$61.10	$94.00	$56.40–$91.18	—	35%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUGS OF ABUSE SCREEN (10 PANEL), S, PER DATE S/O	$78.65	$121.00	$72.60–$117.37	—	35%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC FENTANYL, DRUG TST PRSMV CHEM ANALYZER PER DOS	$85.80	$132.00	$79.20–$128.04	—	35%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC OXYCODONE CHEM ANALYZER PER DOS	$94.25	$145.00	$87.00–$140.65	—	35%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC GHB SCREEN, S/P S/O	$98.15	$151.00	$90.60–$146.47	—	35%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC ETHYL GLUCURONIDE SCREEN W/REFLEX, U S/O	$115.70	$178.00	$106.80–$172.66	—	35%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC ETHYL GLUCURONIDE SCREEN, U, PER DOS S/O	$115.70	$178.00	$106.80–$172.66	—	35%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC FENTANYL SCREEN W/REFLEX, U, PER DOS S/O	$120.90	$186.00	$111.60–$180.42	—	35%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG SCREEN, COMPREHENSIVE, UC, CHEM ANLYZR S/O	$184.60	$284.00	$170.40–$275.48	—	35%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC PAIN CLINIC DRUG SCREEN, S/O	$295.75	$455.00	$273.00–$441.35	—	35%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG SCREEN, DRUG TEST PRSMV CHEM ANLYZR	$645.45	$993.00	$595.80–$963.21	—	35%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 HC ELECTROLYTE PANEL (RT)	$247.65	$381.00	$7.01	337% above	35%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 HC ELECTROLYTE PANEL	$247.65	$381.00	$228.60–$369.57	337% above	35%
Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 HC ELECTROLYTE PANEL (RT)	$247.65	$381.00	$228.60–$369.57	—	35%
Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 HC ELECTROLYTE PANEL	$247.65	$381.00	$228.60–$369.57	—	35%
Epstein-Barr virus (EBV) antibody test CPT 86665 HC VCA IGG AB S/O	$19.50	$30.00	$18.14	10% below	35%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 HC VCA IGG AB S/O	$19.50	$30.00	$18.00–$29.10	—	35%
Estradiol blood test CPT 82670 HC ESTRADIOL;TOTAL S/O	$63.70	$98.00	$27.94	at median	35%
Estradiol blood test CPT 82670 HC ESTRADIOL;TOTAL	$66.95	$103.00	$61.80–$99.91	5% above	35%
Estradiol blood test inpatient CPT 82670 HC ESTRADIOL;TOTAL S/O	$63.70	$98.00	$58.80–$95.06	—	35%
Estradiol blood test inpatient CPT 82670 HC ESTRADIOL;TOTAL	$66.95	$103.00	$61.80–$99.91	—	35%
FSH (follicle-stimulating hormone) test CPT 83001 HC FSH, GONADOTROPIN S/O	$58.50	$90.00	$54.00–$87.30	at median	35%
FSH (follicle-stimulating hormone) test CPT 83001 HC FSH,GONADOTROPIN	$210.60	$324.00	$18.58	260% above	35%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 HC FSH, GONADOTROPIN S/O	$58.50	$90.00	$54.00–$87.30	—	35%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 HC FSH,GONADOTROPIN	$210.60	$324.00	$194.40–$314.28	—	35%
Fecal calprotectin (stool inflammation test) CPT 83993 HC CALPROTECTIN S/O	$128.70	$198.00	$118.80–$192.06	159% above	35%
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 HC CALPROTECTIN S/O	$128.70	$198.00	$118.80–$192.06	—	35%
Ferritin blood test (iron stores) CPT 82728 HC ASSAY OF FERRITIN S/O	$144.30	$222.00	$13.63	84% above	35%
Ferritin blood test (iron stores) CPT 82728 HC FERRITIN	$269.75	$415.00	$13.63	244% above	35%
Ferritin blood test (iron stores) inpatient CPT 82728 HC ASSAY OF FERRITIN S/O	$144.30	$222.00	$133.20–$215.34	—	35%
Ferritin blood test (iron stores) inpatient CPT 82728 HC FERRITIN	$269.75	$415.00	$249.00–$402.55	—	35%
Fibrinogen blood test CPT 85384 HC FIBROGEN;ACTIVITY (TEG ANALYZER)	$38.35	$59.00	$35.40–$57.23	21% below	35%
Fibrinogen blood test CPT 85384 HC FIBRINOGEN,ACTIVITY S/O	$69.55	$107.00	$9.72	43% above	35%
Fibrinogen blood test CPT 85384 HC FIBRINOGEN,ACTIVITY	$157.95	$243.00	$145.80–$235.71	225% above	35%
Fibrinogen blood test inpatient CPT 85384 HC FIBROGEN;ACTIVITY (TEG ANALYZER)	$38.35	$59.00	$35.40–$57.23	—	35%
Fibrinogen blood test inpatient CPT 85384 HC FIBRINOGEN,ACTIVITY S/O	$69.55	$107.00	$64.20–$103.79	—	35%
Fibrinogen blood test inpatient CPT 85384 HC FIBRINOGEN,ACTIVITY	$157.95	$243.00	$145.80–$235.71	—	35%
Folate (folic acid) blood test CPT 82746 HC FOLIC ACID,SERUM	$133.25	$205.00	$14.70	56% above	35%
Folate (folic acid) blood test inpatient CPT 82746 HC FOLIC ACID,SERUM	$133.25	$205.00	$123.00–$198.85	—	35%
Free T3 thyroid hormone test CPT 84481 HC TRIIODOTHYRONINE T3 FREE, SERUM S/O	$19.50	$30.00	$16.94	51% below	35%
Free T3 thyroid hormone test CPT 84481 HC T3 TRIIODOTHYRONINE,FREE	$110.50	$170.00	$16.94	175% above	35%
Free T3 thyroid hormone test inpatient CPT 84481 HC TRIIODOTHYRONINE T3 FREE, SERUM S/O	$19.50	$30.00	$18.00–$29.10	—	35%
Free T3 thyroid hormone test inpatient CPT 84481 HC T3 TRIIODOTHYRONINE,FREE	$110.50	$170.00	$102.00–$164.90	—	35%
Free T4 (free thyroxine) thyroid blood test CPT 84439 HC THRYOXINE,FREE S/O	$27.95	$43.00	$25.80–$41.71	48% below	35%
Free T4 (free thyroxine) thyroid blood test CPT 84439 HC THRYOXINE,FREE	$199.55	$307.00	$9.02	270% above	35%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 HC THRYOXINE,FREE S/O	$27.95	$43.00	$25.80–$41.71	—	35%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 HC THRYOXINE,FREE	$199.55	$307.00	$184.20–$297.79	—	35%
Free testosterone test CPT 84402 HC TESTOSTERONE,FREE S/O	$45.50	$70.00	$42.00–$67.90	3% above	35%
Free testosterone test inpatient CPT 84402 HC TESTOSTERONE,FREE S/O	$45.50	$70.00	$42.00–$67.90	—	35%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 HC GLUTAMYLTRANSFERASE,GAMMA (GGT) S/O	$31.20	$48.00	$7.20	9% above	35%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 HC GLUTAMYLTRANSFERASE,GAMMA(GGT)	$218.40	$336.00	$7.20	660% above	35%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 HC GLUTAMYLTRANSFERASE,GAMMA (GGT) S/O	$31.20	$48.00	$28.80–$46.56	—	35%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 HC GLUTAMYLTRANSFERASE,GAMMA(GGT)	$218.40	$336.00	$201.60–$325.92	—	35%
General health panel: metabolic panel, blood count and TSH in one order CPT 80050 HC GENERAL HEALTH PANEL	$258.70	$398.00	$52.34–$386.06	58% below	35%
General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 HC GENERAL HEALTH PANEL	$258.70	$398.00	$52.34–$386.06	—	35%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 HC GLUCOSE,POST GLUCOSE DOSE(INCLUDES GLUCOSE)	$89.70	$138.00	$82.80–$133.86	1% above	35%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 HC GLUCOSE,POST GLUCOSE DOSE(INCLUDES GLUCOSE)	$89.70	$138.00	$82.80–$133.86	—	35%
Glucose tolerance test, 3 samples CPT 82951 HC GLUCOSE,TOLERANCE TESTS, 3 SPECIMENS	$203.45	$313.00	$187.80–$303.61	102% above	35%
Glucose tolerance test, 3 samples inpatient CPT 82951 HC GLUCOSE,TOLERANCE TESTS, 3 SPECIMENS	$203.45	$313.00	$187.80–$303.61	—	35%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC NEISSERIA GONORRHOEAE AGENT DETECT,AMP PROBE TECH	$90.35	$139.00	$83.40–$134.83	49% above	35%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC NEISSERIA GONORRHOEAE AGENT DETECT,AMP PROBE TECH S/O	$98.80	$152.00	$91.20–$147.44	63% above	35%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HC NEISSERIA GONORRHOEAE AGENT DETECT,AMP PROBE TECH	$90.35	$139.00	$83.40–$134.83	—	35%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HC NEISSERIA GONORRHOEAE AGENT DETECT,AMP PROBE TECH S/O	$98.80	$152.00	$91.20–$147.44	—	35%
H. pylori stool antigen test CPT 87338 HC H PYLORI,STOOL ANTIGEN BY IMMUNOASSAY TECH (EIA, ELISA, IMCA)	$42.90	$66.00	$39.60–$64.02	1% below	35%
H. pylori stool antigen test CPT 87338 HC HELICOBACTER PYLORI STOOL ANTIGEN	$65.65	$101.00	$60.60–$97.97	52% above	35%
H. pylori stool antigen test inpatient CPT 87338 HC H PYLORI,STOOL ANTIGEN BY IMMUNOASSAY TECH (EIA, ELISA, IMCA)	$42.90	$66.00	$39.60–$64.02	—	35%
H. pylori stool antigen test inpatient CPT 87338 HC HELICOBACTER PYLORI STOOL ANTIGEN	$65.65	$101.00	$60.60–$97.97	—	35%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HC HIV-1 AGENT DETECT,RNA,QUANT S/O	$92.30	$142.00	$85.10	24% below	35%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HC HIV-1 AGENT DETECT,RNA,QUANT W/RFLX GENOTYPE S/O	$92.30	$142.00	$85.20–$137.74	24% below	35%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HC HIV-1 AGENT DETECT,RNA,QUANT W/RFLX GENOTYPE S/O	$92.30	$142.00	$85.20–$137.74	—	35%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HC HIV-1 AGENT DETECT,RNA,QUANT S/O	$92.30	$142.00	$85.20–$137.74	—	35%
HIV-1 and HIV-2 antibody test CPT 86703 HC HIV 1/2 AB SNGLE ASSAY	$223.60	$344.00	$206.40–$333.68	486% above	35%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 HC HIV 1/2 AB SNGLE ASSAY	$223.60	$344.00	$206.40–$333.68	—	35%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HC HIV 1/2 ANTIBODIES & ANTIGEN, SINGLE RESULT	$92.30	$142.00	$85.20–$137.74	125% above	35%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HC HIV-1/-2 AG AND AB SCREEN, S/O	$102.70	$158.00	$94.80–$153.26	151% above	35%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HC HIV 1/2 ANTIBODIES & ANTIGEN, SINGLE RESULT	$92.30	$142.00	$85.20–$137.74	—	35%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HC HIV-1/-2 AG AND AB SCREEN, S/O	$102.70	$158.00	$94.80–$153.26	—	35%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HC IADNA HPV HIGH RISK TYPES, POOLED RESULT	$111.15	$171.00	$102.60–$165.87	103% above	35%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HC IADNA HPV DNA TISSUE TEST, HIGH RISK TYPES, POOLED RESULT, NE	$395.20	$608.00	$364.80–$589.76	621% above	35%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HC IADNA HPV HIGH RISK TYPES, POOLED RESULT	$111.15	$171.00	$102.60–$165.87	—	35%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HC IADNA HPV DNA TISSUE TEST, HIGH RISK TYPES, POOLED RESULT, NE	$395.20	$608.00	$364.80–$589.76	—	35%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HC HEMOGLOBIN A1C, B S/O	$16.25	$25.00	$15.00–$24.25	66% below	35%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HC POCT HEMOGLOBIN,GLYCOSYLATED(A1C)	$43.55	$67.00	$9.71	10% below	35%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HC HEMOGLOBIN,GLYCOSYLATED(A1C)	$176.80	$272.00	$163.20–$263.84	265% above	35%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HC HEMOGLOBIN A1C, B S/O	$16.25	$25.00	$15.00–$24.25	—	35%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HC POCT HEMOGLOBIN,GLYCOSYLATED(A1C)	$43.55	$67.00	$40.20–$64.99	—	35%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HC HEMOGLOBIN,GLYCOSYLATED(A1C)	$176.80	$272.00	$163.20–$263.84	—	35%
Hemoglobin blood test CPT 85018 HC BLOOD COUNT,HEMOGLOBIN(HGB)	$44.85	$69.00	$41.40–$66.93	74% above	35%
Hemoglobin blood test inpatient CPT 85018 HC POCT BLOOD COUNT,HEMOGLOBIN(HGB)	$14.95	$23.00	$5.68–$22.31	—	35%
Hemoglobin blood test inpatient CPT 85018 HC BLOOD COUNT,HEMOGLOBIN(HGB)	$44.85	$69.00	$41.40–$66.93	—	35%
Hepatitis B core antibody test (total) CPT 86704 HC HEPATITIS B CORE AB,TOTAL S/O	$20.80	$32.00	$12.05	24% below	35%
Hepatitis B core antibody test (total) inpatient CPT 86704 HC HEPATITIS B CORE AB,TOTAL S/O	$20.80	$32.00	$19.20–$31.04	—	35%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HC HEPATITIS B SURFACE AB S/O	$20.15	$31.00	$10.74	31% below	35%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HC HEPATITIS B SURFACE AB,IGM	$178.75	$275.00	$10.74	513% above	35%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HC HEPATITIS B SURFACE AB S/O	$20.15	$31.00	$18.60–$30.07	—	35%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HC HEPATITIS B SURFACE AB,IGM	$178.75	$275.00	$165.00–$266.75	—	35%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HC HEP B SURF ANTIGEN W RFLX CONF BY IMMUNASSAY TECH (EIA, ELISA	$20.80	$32.00	$19.20–$31.04	6% below	35%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HC HEPATITIS B SURFACE ANTIGEN BY IMMUNOASSAY TECH (EIA, ELISA,	$148.20	$228.00	$136.80–$221.16	571% above	35%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HC HEP B SURF ANTIGEN W RFLX CONF BY IMMUNASSAY TECH (EIA, ELISA	$20.80	$32.00	$19.20–$31.04	—	35%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HC HEPATITIS B SURFACE ANTIGEN BY IMMUNOASSAY TECH (EIA, ELISA,	$148.20	$228.00	$136.80–$221.16	—	35%
Hepatitis C antibody blood test (screening) CPT 86803 HC HCV AB REFLEX-PCR S/O	$106.60	$164.00	$14.27	179% above	35%
Hepatitis C antibody blood test (screening) CPT 86803 HC HEPATITIS C AB	$250.25	$385.00	$231.00–$373.45	556% above	35%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HC HCV AB REFLEX-PCR S/O	$106.60	$164.00	$98.40–$159.08	—	35%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HC HEPATITIS C AB	$250.25	$385.00	$231.00–$373.45	—	35%
Hepatitis C viral load (HCV RNA) test CPT 87522 HC HEPATITIS C AGENT DETECT,QUANT S/O	$80.60	$124.00	$42.84	9% below	35%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HC HEPATITIS C AGENT DETECT,QUANT S/O	$80.60	$124.00	$74.40–$120.28	—	35%
Herpes blood test, HSV-1 antibody CPT 86695 HC HSV TYPE 1 AB,IGG S/O	$15.60	$24.00	$13.19	49% below	35%
Herpes blood test, HSV-1 antibody CPT 86695 HC ANTIBODY;HERPES SIMPLEX, TYPE 1 S/O	$16.90	$26.00	$13.19	45% below	35%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HC HSV TYPE 1 AB,IGG S/O	$15.60	$24.00	$14.40–$23.28	—	35%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HC ANTIBODY;HERPES SIMPLEX, TYPE 1 S/O	$16.90	$26.00	$15.60–$25.22	—	35%
Herpes blood test, HSV-2 antibody CPT 86696 HC ANTIBODY;HERPES SIMPLEX, TYPE 2 S/O	$21.45	$33.00	$19.35	35% below	35%
Herpes blood test, HSV-2 antibody CPT 86696 HC HSV TYPE 2 AB,IGG S/O	$21.45	$33.00	$19.35	35% below	35%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HC HSV TYPE 2 AB,IGG S/O	$21.45	$33.00	$19.80–$32.01	—	35%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HC ANTIBODY;HERPES SIMPLEX, TYPE 2 S/O	$21.45	$33.00	$19.80–$32.01	—	35%
High-sensitivity CRP (hs-CRP) test CPT 86141 HC C-REACTIVE PROT, HIGH SENS S/O	$57.85	$89.00	$53.40–$86.33	4% above	35%
High-sensitivity CRP (hs-CRP) test CPT 86141 HC C-REACTIVE PROTEIN,HIGH SENSITIVITY(HSCRP)	$160.55	$247.00	$12.95	190% above	35%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 HC C-REACTIVE PROT, HIGH SENS S/O	$57.85	$89.00	$53.40–$86.33	—	35%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 HC C-REACTIVE PROTEIN,HIGH SENSITIVITY(HSCRP)	$160.55	$247.00	$148.20–$239.59	—	35%
Homocysteine blood test CPT 83090 HC HOMOCYSTEINE, TOTAL, S/O	$52.65	$81.00	$48.60–$78.57	62% below	35%
Homocysteine blood test inpatient CPT 83090 HC HOMOCYSTEINE, TOTAL, S/O	$52.65	$81.00	$48.60–$78.57	—	35%
Insulin blood test CPT 83525 HC INSULIN,TOTAL S/O	$44.20	$68.00	$11.43	62% above	35%
Insulin blood test inpatient CPT 83525 HC INSULIN,TOTAL S/O	$44.20	$68.00	$40.80–$65.96	—	35%
Iron blood test (serum iron) CPT 83540 HC IRON S/O	$14.30	$22.00	$6.47	62% below	35%
Iron blood test (serum iron) CPT 83540 HC IRON LIVER TISSUE S/O	$62.40	$96.00	$57.60–$93.12	65% above	35%
Iron blood test (serum iron) CPT 83540 HC IRON,RANDOM U S/O	$110.50	$170.00	$102.00–$164.90	193% above	35%
Iron blood test (serum iron) CPT 83540 HC IRON	$144.95	$223.00	$6.47	284% above	35%
Iron blood test (serum iron) inpatient CPT 83540 HC IRON S/O	$14.30	$22.00	$13.20–$21.34	—	35%
Iron blood test (serum iron) inpatient CPT 83540 HC IRON LIVER TISSUE S/O	$62.40	$96.00	$57.60–$93.12	—	35%
Iron blood test (serum iron) inpatient CPT 83540 HC IRON,RANDOM U S/O	$110.50	$170.00	$102.00–$164.90	—	35%
Iron blood test (serum iron) inpatient CPT 83540 HC IRON	$144.95	$223.00	$133.80–$216.31	—	35%
Iron-binding capacity (TIBC) test CPT 83550 HC IRON BINDING CAPACITY S/O	$17.55	$27.00	$16.20–$26.19	78% below	35%
Iron-binding capacity (TIBC) test CPT 83550 HC IRON BINDING CAPACITY	$116.35	$179.00	$8.74	44% above	35%
Iron-binding capacity (TIBC) test inpatient CPT 83550 HC IRON BINDING CAPACITY S/O	$17.55	$27.00	$16.20–$26.19	—	35%
Iron-binding capacity (TIBC) test inpatient CPT 83550 HC IRON BINDING CAPACITY	$116.35	$179.00	$107.40–$173.63	—	35%
Kidney function blood test panel CPT 80069 HC RENAL FUNCTION PANEL	$367.25	$565.00	$8.68	324% above	35%
Kidney function blood test panel inpatient CPT 80069 HC RENAL FUNCTION PANEL	$367.25	$565.00	$339.00–$548.05	—	35%
LH (luteinizing hormone) test CPT 83002 HC LUTEINIZING HORMONE (LH), S (ESTX) S/O	$65.65	$101.00	$60.60–$97.97	9% above	35%
LH (luteinizing hormone) test CPT 83002 HC LH (LUTEINIZING HORMONE)	$205.40	$316.00	$18.52	242% above	35%
LH (luteinizing hormone) test inpatient CPT 83002 HC LUTEINIZING HORMONE (LH), S (ESTX) S/O	$65.65	$101.00	$60.60–$97.97	—	35%
LH (luteinizing hormone) test inpatient CPT 83002 HC LH (LUTEINIZING HORMONE)	$205.40	$316.00	$189.60–$306.52	—	35%
Lactate (lactic acid) blood test CPT 83605 HC LACTATE BF S/O	$22.10	$34.00	$11.57	22% below	35%
Lactate (lactic acid) blood test CPT 83605 HC LACTATE ACID, SERUM (RT)	$150.15	$231.00	$11.57	428% above	35%
Lactate (lactic acid) blood test CPT 83605 HC LACTATE ACID, SERUM	$150.15	$231.00	$11.57	428% above	35%
Lactate (lactic acid) blood test inpatient CPT 83605 HC LACTATE BF S/O	$22.10	$34.00	$20.40–$32.98	—	35%
Lactate (lactic acid) blood test inpatient CPT 83605 HC LACTATE ACID, SERUM	$150.15	$231.00	$138.60–$224.07	—	35%
Lactate (lactic acid) blood test inpatient CPT 83605 HC LACTATE ACID, SERUM (RT)	$150.15	$231.00	$138.60–$224.07	—	35%
Lactate dehydrogenase (LDH) blood test CPT 83615 HC LACTATE DEHYDROGENASE S/O	$59.80	$92.00	$6.04	85% above	35%
Lactate dehydrogenase (LDH) blood test CPT 83615 HC LACTATE DEHYDROGENASE(LD),(LDH)	$172.25	$265.00	$159.00–$257.05	432% above	35%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 HC LACTATE DEHYDROGENASE S/O	$59.80	$92.00	$55.20–$89.24	—	35%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 HC LACTATE DEHYDROGENASE(LD),(LDH)	$172.25	$265.00	$159.00–$257.05	—	35%
Lipase blood test (pancreas enzyme) CPT 83690 HC LIPASE, BF S/O	$31.85	$49.00	$29.40–$47.53	17% above	35%
Lipase blood test (pancreas enzyme) CPT 83690 HC LIPASE	$202.80	$312.00	$187.20–$302.64	648% above	35%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 HC LIPASE, BF S/O	$31.85	$49.00	$29.40–$47.53	—	35%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 HC LIPASE	$202.80	$312.00	$187.20–$302.64	—	35%
Liver function blood test panel CPT 80076 HC HEPATIC FUNCTION	$322.40	$496.00	$8.17	300% above	35%
Liver function blood test panel inpatient CPT 80076 HC HEPATIC FUNCTION	$322.40	$496.00	$297.60–$481.12	—	35%
Lyme disease antibody test CPT 86618 HC LYME DISEASE SEROLOGYS/O	$24.70	$38.00	$17.03	29% below	35%
Lyme disease antibody test CPT 86618 HC LYME DISEASE AB TOTAL S/O	$44.85	$69.00	$17.03	28% above	35%
Lyme disease antibody test inpatient CPT 86618 HC LYME DISEASE SEROLOGYS/O	$24.70	$38.00	$22.80–$36.86	—	35%
Lyme disease antibody test inpatient CPT 86618 HC LYME DISEASE AB TOTAL S/O	$44.85	$69.00	$41.40–$66.93	—	35%
Magnesium blood test CPT 83735 HC MAGNESIUM, URINE, S/O	$33.80	$52.00	$6.70	145% above	35%
Magnesium blood test CPT 83735 HC MAGNESIUM, FECES S/O	$37.05	$57.00	$34.20–$55.29	168% above	35%
Magnesium blood test CPT 83735 HC MAGNESIUM,RBC S/O	$37.05	$57.00	$34.20–$55.29	168% above	35%
Magnesium blood test CPT 83735 HC MAGNESIUM,PLASMA/SERUM	$140.40	$216.00	$6.70	916% above	35%
Magnesium blood test inpatient CPT 83735 HC MAGNESIUM, URINE, S/O	$33.80	$52.00	$31.20–$50.44	—	35%
Magnesium blood test inpatient CPT 83735 HC MAGNESIUM, FECES S/O	$37.05	$57.00	$34.20–$55.29	—	35%
Magnesium blood test inpatient CPT 83735 HC MAGNESIUM,RBC S/O	$37.05	$57.00	$34.20–$55.29	—	35%
Magnesium blood test inpatient CPT 83735 HC MAGNESIUM,PLASMA/SERUM	$140.40	$216.00	$129.60–$209.52	—	35%
Measles (rubeola) antibody test CPT 86765 HC AB; RUBEOLA S/O	$24.05	$37.00	$22.20–$35.89	44% above	35%
Measles (rubeola) antibody test CPT 86765 HC RUBEOLA AB	$60.45	$93.00	$55.80–$90.21	262% above	35%
Measles (rubeola) antibody test inpatient CPT 86765 HC AB; RUBEOLA S/O	$24.05	$37.00	$22.20–$35.89	—	35%
Measles (rubeola) antibody test inpatient CPT 86765 HC RUBEOLA AB	$60.45	$93.00	$55.80–$90.21	—	35%
Mono test (heterophile antibody, Monospot) CPT 86308 HC HETEROPHILE AB,REFLEX TO TITER S/O	$55.90	$86.00	$51.60–$83.42	25% below	35%
Mono test (heterophile antibody, Monospot) CPT 86308 HC MONO TEST,SCREEN	$161.85	$249.00	$149.40–$241.53	118% above	35%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 HC HETEROPHILE AB,REFLEX TO TITER S/O	$55.90	$86.00	$51.60–$83.42	—	35%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 HC MONO TEST,SCREEN	$161.85	$249.00	$149.40–$241.53	—	35%
Mumps immunity blood test CPT 86735 HC MUMPS AB,IGG S/O	$16.25	$25.00	$15.00–$24.25	45% below	35%
Mumps immunity blood test CPT 86735 HC MUMPS AB,IGM S/O	$50.05	$77.00	$13.05	69% above	35%
Mumps immunity blood test CPT 86735 HC MUMPS IGG	$66.95	$103.00	$13.05	126% above	35%
Mumps immunity blood test inpatient CPT 86735 HC MUMPS AB,IGG S/O	$16.25	$25.00	$15.00–$24.25	—	35%
Mumps immunity blood test inpatient CPT 86735 HC MUMPS AB,IGM S/O	$50.05	$77.00	$46.20–$74.69	—	35%
Mumps immunity blood test inpatient CPT 86735 HC MUMPS IGG	$66.95	$103.00	$61.80–$99.91	—	35%
PSA (prostate-specific antigen) blood test, free CPT 84154 HC PSA(PROSTATE SPECIFIC ANTIGEN),FREE S/O	$20.15	$31.00	$18.60–$30.07	63% below	35%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 HC PSA(PROSTATE SPECIFIC ANTIGEN),FREE S/O	$20.15	$31.00	$18.60–$30.07	—	35%
PSA (prostate-specific antigen) blood test, total CPT 84153 HC PSA(PROSTATE SPEC ANTIGEN),TOTAL S/O	$20.15	$31.00	$18.39	66% below	35%
PSA (prostate-specific antigen) blood test, total CPT 84153 HC PSA(PROSTATE SPECIFIC ANTIGEN),TOTAL	$181.35	$279.00	$167.40–$270.63	207% above	35%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC PSA(PROSTATE SPEC ANTIGEN),TOTAL S/O	$20.15	$31.00	$18.60–$30.07	—	35%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC PSA(PROSTATE SPECIFIC ANTIGEN),TOTAL	$181.35	$279.00	$167.40–$270.63	—	35%
Pap test (liquid-based, automated screening with review) CPT 88175 HC CYTOPATH, CERVICAL OR VAGINAL AUTO THIN PREP W AUTO/MANUAL SC	$133.25	$205.00	$123.00–$198.85	234% above	35%
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 HC CYTOPATH, CERVICAL OR VAGINAL AUTO THIN PREP W AUTO/MANUAL SC	$133.25	$205.00	$123.00–$198.85	—	35%
Parathyroid hormone (PTH) blood test CPT 83970 HC PARATHYROID HORMONE (PTH) S/O	$40.30	$62.00	$37.20–$60.14	49% below	35%
Parathyroid hormone (PTH) blood test CPT 83970 HC PTH PARATHYROID HORMONE	$238.55	$367.00	$220.20–$355.99	204% above	35%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 HC PARATHYROID HORMONE (PTH) S/O	$40.30	$62.00	$37.20–$60.14	—	35%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 HC PTH PARATHYROID HORMONE	$238.55	$367.00	$220.20–$355.99	—	35%
Partial thromboplastin time (PTT) clotting test CPT 85730 HC PTT, BLOOD S/O	$52.00	$80.00	$6.01	175% above	35%
Partial thromboplastin time (PTT) clotting test CPT 85730 HC PTT	$128.70	$198.00	$118.80–$192.06	581% above	35%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC PTT, BLOOD S/O	$52.00	$80.00	$48.00–$77.60	—	35%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC PTT	$128.70	$198.00	$118.80–$192.06	—	35%
Phosphorus (phosphate) blood test CPT 84100 HC PHOSPHORUS INORGANIC, FECES S/O	$27.95	$43.00	$4.74	24% above	35%
Phosphorus (phosphate) blood test CPT 84100 HC PHOSPHORUS INORGANIC	$127.40	$196.00	$4.74	465% above	35%
Phosphorus (phosphate) blood test inpatient CPT 84100 HC PHOSPHORUS INORGANIC, FECES S/O	$27.95	$43.00	$25.80–$41.71	—	35%
Phosphorus (phosphate) blood test inpatient CPT 84100 HC PHOSPHORUS INORGANIC	$127.40	$196.00	$117.60–$190.12	—	35%
Potassium blood test CPT 84132 HC POTASSIUM SERUM,PLASMA OR WHOLE BLOOD	$129.35	$199.00	$119.40–$193.03	406% above	35%
Potassium blood test inpatient CPT 84132 HC POTASSIUM SERUM,PLASMA OR WHOLE BLOOD	$129.35	$199.00	$119.40–$193.03	—	35%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 HC MATERNI T21 PLUS S/O	$627.25	$965.00	$759.05	64% below	35%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) inpatient CPT 81420 HC MATERNI T21 PLUS S/O	$627.25	$965.00	$579.00–$936.05	—	35%
Progesterone blood test CPT 84144 HC PROGESTERONE S/O	$24.70	$38.00	$22.80–$36.86	70% below	35%
Progesterone blood test CPT 84144 HC PROGESTERONE LEVEL	$43.55	$67.00	$40.20–$64.99	48% below	35%
Progesterone blood test inpatient CPT 84144 HC PROGESTERONE S/O	$24.70	$38.00	$22.80–$36.86	—	35%
Progesterone blood test inpatient CPT 84144 HC PROGESTERONE LEVEL	$43.55	$67.00	$40.20–$64.99	—	35%
Prolactin blood test CPT 84146 HC PROLACTIN, SERUM/PITUITARY MACROADENOMA S/O	$49.40	$76.00	$19.38	5% below	35%
Prolactin blood test CPT 84146 HC PROLACTIN	$364.65	$561.00	$19.38	601% above	35%
Prolactin blood test inpatient CPT 84146 HC PROLACTIN, SERUM/PITUITARY MACROADENOMA S/O	$49.40	$76.00	$45.60–$73.72	—	35%
Prolactin blood test inpatient CPT 84146 HC PROLACTIN	$364.65	$561.00	$336.60–$544.17	—	35%
Prothrombin time (PT/INR) clotting test CPT 85610 HC POCT PROTIME	$18.85	$29.00	$17.40–$28.13	at median	35%
Prothrombin time (PT/INR) clotting test CPT 85610 HC PROTIME S/O	$37.70	$58.00	$4.29	100% above	35%
Prothrombin time (PT/INR) clotting test CPT 85610 HC PROTIME	$101.40	$156.00	$4.29	438% above	35%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC POCT PROTIME	$18.85	$29.00	$17.40–$28.13	—	35%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC PROTIME S/O	$37.70	$58.00	$34.80–$56.26	—	35%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC PROTIME	$101.40	$156.00	$93.60–$151.32	—	35%
Rapid flu test (influenza antigen) CPT 87804 HC INFLUENZA AGENT DETECT IMM DIRECT OPT OBSERVATION	$188.50	$290.00	$174.00–$281.30	697% above	35%
Rapid flu test (influenza antigen) inpatient CPT 87804 HC POCT INFLUENZA A AND B	$44.20	$68.00	$16.80–$65.96	—	35%
Rapid flu test (influenza antigen) inpatient CPT 87804 HC INFLUENZA AGENT DETECT IMM DIRECT OPT OBSERVATION	$188.50	$290.00	$174.00–$281.30	—	35%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 HC POCT STREP, GROUP A, ASSAY W/OPTIC	$53.95	$83.00	$16.53	77% above	35%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 HC INFECT AGENT DETECT, STREP A ASSAY W/OPTIC	$76.70	$118.00	$70.80–$114.46	151% above	35%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 HC POCT STREP, GROUP A, ASSAY W/OPTIC	$53.95	$83.00	$49.80–$80.51	—	35%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 HC INFECT AGENT DETECT, STREP A ASSAY W/OPTIC	$76.70	$118.00	$70.80–$114.46	—	35%
Renin blood test CPT 84244 HC RENIN S/O	$24.05	$37.00	$21.99	60% below	35%
Renin blood test inpatient CPT 84244 HC RENIN S/O	$24.05	$37.00	$22.20–$35.89	—	35%
Rh blood typing CPT 86901 HC BLOOD TYPING; RH(D)/ RH DISCREPANCY S/O	$73.45	$113.00	$39.86–$41.83	64% above	35%
Rh blood typing CPT 86901 HC BLOOD TYPING,RH(D)	$74.75	$115.00	$39.86–$41.83	67% above	35%
Rh blood typing inpatient CPT 86901 HC BLOOD TYPING; RH(D)/ RH DISCREPANCY S/O	$73.45	$113.00	$67.80–$109.61	—	35%
Rh blood typing inpatient CPT 86901 HC BLOOD TYPING,RH(D)	$74.75	$115.00	$69.00–$111.55	—	35%
Rheumatoid factor (RF) test CPT 86431 HC RHEUMATOID FACTOR SERUM, QUANT S/O	$18.85	$29.00	$17.40–$28.13	20% above	35%
Rheumatoid factor (RF) test CPT 86431 HC RHEUMATOID FACTOR, QUANT S/O	$57.20	$88.00	$52.80–$85.36	264% above	35%
Rheumatoid factor (RF) test CPT 86431 HC RHEUMATOID FACTOR QUANT	$96.20	$148.00	$5.67	512% above	35%
Rheumatoid factor (RF) test inpatient CPT 86431 HC RHEUMATOID FACTOR SERUM, QUANT S/O	$18.85	$29.00	$17.40–$28.13	—	35%
Rheumatoid factor (RF) test inpatient CPT 86431 HC RHEUMATOID FACTOR, QUANT S/O	$57.20	$88.00	$52.80–$85.36	—	35%
Rheumatoid factor (RF) test inpatient CPT 86431 HC RHEUMATOID FACTOR QUANT	$96.20	$148.00	$88.80–$143.56	—	35%
Rubella antibody test (immunity check) CPT 86762 HC RUBELLA AB IGG S/O	$24.05	$37.00	$22.20–$35.89	12% below	35%
Rubella antibody test (immunity check) CPT 86762 HC RUBELLA SCREEN	$105.30	$162.00	$97.20–$157.14	286% above	35%
Rubella antibody test (immunity check) inpatient CPT 86762 HC RUBELLA AB IGG S/O	$24.05	$37.00	$22.20–$35.89	—	35%
Rubella antibody test (immunity check) inpatient CPT 86762 HC RUBELLA SCREEN	$105.30	$162.00	$97.20–$157.14	—	35%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 HC ESR AUTOMATED	$165.10	$254.00	$152.40–$246.38	161% above	35%
Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 HC ESR AUTOMATED	$165.10	$254.00	$152.40–$246.38	—	35%
Semen analysis: volume, sperm count, motility and morphology CPT 89320 HC SEMEN ANALYS,VOLUME COUNT,MOTILITY & DIFF	$70.20	$108.00	$64.80–$104.76	76% below	35%
Semen analysis: volume, sperm count, motility and morphology inpatient CPT 89320 HC SEMEN ANALYS,VOLUME COUNT,MOTILITY & DIFF	$70.20	$108.00	$64.80–$104.76	—	35%
Sodium blood test CPT 84295 HC SODIUM, SERUM, PLASMA OR BLOOD	$94.90	$146.00	$87.60–$141.62	388% above	35%
Sodium blood test inpatient CPT 84295 HC SODIUM, SERUM, PLASMA OR BLOOD	$94.90	$146.00	$87.60–$141.62	—	35%
Stool ova and parasites exam CPT 87177 HC OVA&PARASITES, DIRECT SMEAR CONCENTRATION & ID S/O	$17.55	$27.00	$16.20–$26.19	38% below	35%
Stool ova and parasites exam CPT 87177 HC OVA & PARASITES DIRECT SMEARS,CONCENTRATE & ID	$101.40	$156.00	$93.60–$151.32	260% above	35%
Stool ova and parasites exam inpatient CPT 87177 HC OVA&PARASITES, DIRECT SMEAR CONCENTRATION & ID S/O	$17.55	$27.00	$16.20–$26.19	—	35%
Stool ova and parasites exam inpatient CPT 87177 HC OVA & PARASITES DIRECT SMEARS,CONCENTRATE & ID	$101.40	$156.00	$93.60–$151.32	—	35%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 HC POCT BLOOD, OCCULT, HGB DETER IA, QUAL, FECES, 1-3 SIMUL DETE	$55.25	$85.00	$15.92	202% above	35%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 HC BLOOD, OCCULT, HGB DETER IA, QUAL, FECES, 1-3 SIMUL DETERM	$83.20	$128.00	$15.92	354% above	35%
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 HC POCT BLOOD, OCCULT, HGB DETER IA, QUAL, FECES, 1-3 SIMUL DETE	$55.25	$85.00	$51.00–$82.45	—	35%
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 HC BLOOD, OCCULT, HGB DETER IA, QUAL, FECES, 1-3 SIMUL DETERM	$83.20	$128.00	$76.80–$124.16	—	35%
Syphilis antibody test (Treponema pallidum) CPT 86780 HC TREPONEMA PALLIDUM AB S/O	$44.20	$68.00	$13.24	70% above	35%
Syphilis antibody test (Treponema pallidum) CPT 86780 HC TREPONEMA PALLIDUM AB IMMUNOASSAY	$44.85	$69.00	$41.40–$66.93	73% above	35%
Syphilis antibody test (Treponema pallidum) CPT 86780 HC SYPHILLIS ANTIBODY,IGG S/O	$46.80	$72.00	$13.24	80% above	35%
Syphilis antibody test (Treponema pallidum) CPT 86780 HC FTA-ABS IGG W REFLX TREPON PALLIDUM AB S/O	$61.10	$94.00	$13.24	136% above	35%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 HC TREPONEMA PALLIDUM AB S/O	$44.20	$68.00	$40.80–$65.96	—	35%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 HC TREPONEMA PALLIDUM AB IMMUNOASSAY	$44.85	$69.00	$41.40–$66.93	—	35%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 HC SYPHILLIS ANTIBODY,IGG S/O	$46.80	$72.00	$43.20–$69.84	—	35%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 HC FTA-ABS IGG W REFLX TREPON PALLIDUM AB S/O	$61.10	$94.00	$56.40–$91.18	—	35%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC VDRL,CSF,SYPHILIS TEST NON-TREPONEMAL AB QUAL S/O	$23.40	$36.00	$21.60–$34.92	80% above	35%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC RPR W/REFLEX TO TP-PA, S, QUAL S/O	$44.85	$69.00	$4.27	245% above	35%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC RPR,SYPHILLIS TEST, NON-TREPONEMAL AB QUAL	$94.25	$145.00	$87.00–$140.65	625% above	35%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC VDRL,CSF,SYPHILIS TEST NON-TREPONEMAL AB QUAL S/O	$23.40	$36.00	$21.60–$34.92	—	35%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC RPR W/REFLEX TO TP-PA, S, QUAL S/O	$44.85	$69.00	$41.40–$66.93	—	35%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC RPR,SYPHILLIS TEST, NON-TREPONEMAL AB QUAL	$94.25	$145.00	$87.00–$140.65	—	35%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 HC QUANTIFERON-TB GOLD PLUS,B S/O	$60.45	$93.00	$55.80–$90.21	17% below	35%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 HC QUANTIFERON GOLD TB	$299.65	$461.00	$61.98	313% above	35%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 HC QUANTIFERON-TB GOLD PLUS,B S/O	$60.45	$93.00	$55.80–$90.21	—	35%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 HC QUANTIFERON GOLD TB	$299.65	$461.00	$276.60–$447.17	—	35%
Testosterone blood test, total (not free testosterone) CPT 84403 HC TESTOSTERONE TOTAL ONLY MAYO S/O	$25.35	$39.00	$25.81	27% below	35%
Testosterone blood test, total (not free testosterone) CPT 84403 HC TESTOSTERONE,TOTAL S/O	$137.80	$212.00	$127.20–$205.64	299% above	35%
Testosterone blood test, total (not free testosterone) CPT 84403 HC TESTOSTERONE, TOTAL	$221.00	$340.00	$25.81	539% above	35%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HC TESTOSTERONE TOTAL ONLY MAYO S/O	$25.35	$39.00	$23.40–$37.83	—	35%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HC TESTOSTERONE,TOTAL S/O	$137.80	$212.00	$127.20–$205.64	—	35%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HC TESTOSTERONE, TOTAL	$221.00	$340.00	$204.00–$329.80	—	35%
Thyroid peroxidase (TPO) antibody test CPT 86376 HC LIVER KIDNEY MICROSOME 1AB EA,S/O	$18.20	$28.00	$16.80–$27.16	20% below	35%
Thyroid peroxidase (TPO) antibody test CPT 86376 HC THYROID PEROXIDASE (TPO) AB, EA	$28.60	$44.00	$26.40–$42.68	26% above	35%
Thyroid peroxidase (TPO) antibody test CPT 86376 HC THYROPEROXIDASE AB-SERUM,EA S/O	$40.95	$63.00	$14.55	80% above	35%
Thyroid peroxidase (TPO) antibody test CPT 86376 HC THYROID PEROXIDASE (TPO) AB (ESTX) S/O	$52.65	$81.00	$48.60–$78.57	132% above	35%
Thyroid peroxidase (TPO) antibody test CPT 86376 HC MICROSOMAL AB,EA S/O	$73.45	$113.00	$67.80–$109.61	224% above	35%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HC LIVER KIDNEY MICROSOME 1AB EA,S/O	$18.20	$28.00	$16.80–$27.16	—	35%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HC THYROID PEROXIDASE (TPO) AB, EA	$28.60	$44.00	$26.40–$42.68	—	35%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HC THYROPEROXIDASE AB-SERUM,EA S/O	$40.95	$63.00	$37.80–$61.11	—	35%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HC THYROID PEROXIDASE (TPO) AB (ESTX) S/O	$52.65	$81.00	$48.60–$78.57	—	35%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HC MICROSOMAL AB,EA S/O	$73.45	$113.00	$67.80–$109.61	—	35%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC THYROID FUNCT CASCADE, S S/O	$37.05	$57.00	$16.80	40% below	35%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC THYROID STIMULATING HORMONE (TSH) S/O	$83.85	$129.00	$77.40–$125.13	36% above	35%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC TSH (THYROID STIMULATING HORMONE)	$334.75	$515.00	$16.80	443% above	35%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC THYROID FUNCT CASCADE, S S/O	$37.05	$57.00	$34.20–$55.29	—	35%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC THYROID STIMULATING HORMONE (TSH) S/O	$83.85	$129.00	$77.40–$125.13	—	35%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC TSH (THYROID STIMULATING HORMONE)	$334.75	$515.00	$309.00–$499.55	—	35%
Total IgE blood test CPT 82785 HC IGE,GAMMAGLOBULINE(IMMUNOGLOBULIN) S/O	$40.30	$62.00	$37.20–$60.14	48% above	35%
Total IgE blood test inpatient CPT 82785 HC IGE,GAMMAGLOBULINE(IMMUNOGLOBULIN) S/O	$40.30	$62.00	$37.20–$60.14	—	35%
Total cholesterol blood test CPT 82465 HC CHOLESTEROL, TOTAL, CDC, S/O	$34.45	$53.00	$31.80–$51.41	64% above	35%
Total cholesterol blood test CPT 82465 HC CHOLESTEROL,SERUM OR WHOLE BLOOD,TOTAL	$150.15	$231.00	$138.60–$224.07	616% above	35%
Total cholesterol blood test inpatient CPT 82465 HC CHOLESTEROL, TOTAL, CDC, S/O	$34.45	$53.00	$31.80–$51.41	—	35%
Total cholesterol blood test inpatient CPT 82465 HC CHOLESTEROL,SERUM OR WHOLE BLOOD,TOTAL	$150.15	$231.00	$138.60–$224.07	—	35%
Total thyroxine (T4) blood test CPT 84436 HC THYROXINE; TOTAL S/O	$15.60	$24.00	$14.40–$23.28	50% below	35%
Total thyroxine (T4) blood test CPT 84436 HC THYROXINE,TOTAL	$159.90	$246.00	$147.60–$238.62	409% above	35%
Total thyroxine (T4) blood test inpatient CPT 84436 HC THYROXINE; TOTAL S/O	$15.60	$24.00	$14.40–$23.28	—	35%
Total thyroxine (T4) blood test inpatient CPT 84436 HC THYROXINE,TOTAL	$159.90	$246.00	$147.60–$238.62	—	35%
Total triiodothyronine (T3) blood test CPT 84480 HC T3 TOTAL ONLY SERUM S/O	$16.90	$26.00	$14.18	83% below	35%
Total triiodothyronine (T3) blood test CPT 84480 HC T3 TRIIODOTHYRONINE,TOTAL	$217.10	$334.00	$14.18	112% above	35%
Total triiodothyronine (T3) blood test inpatient CPT 84480 HC T3 TOTAL ONLY SERUM S/O	$16.90	$26.00	$15.60–$25.22	—	35%
Total triiodothyronine (T3) blood test inpatient CPT 84480 HC T3 TRIIODOTHYRONINE,TOTAL	$217.10	$334.00	$200.40–$323.98	—	35%
Transferrin blood test CPT 84466 HC TRANSFERRIN S/O	$18.20	$28.00	$12.76	70% below	35%
Transferrin blood test inpatient CPT 84466 HC TRANSFERRIN S/O	$18.20	$28.00	$16.80–$27.16	—	35%
Trichomonas test (NAAT) CPT 87661 HC TRICHOMONAS VAGINALIS AMPLIFIED RNA S/O	$105.95	$163.00	$97.80–$158.11	111% above	35%
Trichomonas test (NAAT) CPT 87661 HC TRICHOMONAS VAGINALIS AMPLIFIED RNA	$114.40	$176.00	$105.60–$170.72	128% above	35%
Trichomonas test (NAAT) inpatient CPT 87661 HC TRICHOMONAS VAGINALIS AMPLIFIED RNA S/O	$105.95	$163.00	$97.80–$158.11	—	35%
Trichomonas test (NAAT) inpatient CPT 87661 HC TRICHOMONAS VAGINALIS AMPLIFIED RNA	$114.40	$176.00	$105.60–$170.72	—	35%
Triglycerides blood test CPT 84478 HC TRIGLYCERIDES, CDC, S/O	$37.05	$57.00	$34.20–$55.29	111% above	35%
Triglycerides blood test CPT 84478 HC TRIGLYCERIDES	$112.45	$173.00	$5.74	541% above	35%
Triglycerides blood test CPT 84478 HC TRIGLYCERIDES,BF S/O	$143.65	$221.00	$5.74	719% above	35%
Triglycerides blood test inpatient CPT 84478 HC TRIGLYCERIDES, CDC, S/O	$37.05	$57.00	$34.20–$55.29	—	35%
Triglycerides blood test inpatient CPT 84478 HC TRIGLYCERIDES	$112.45	$173.00	$103.80–$167.81	—	35%
Triglycerides blood test inpatient CPT 84478 HC TRIGLYCERIDES,BF S/O	$143.65	$221.00	$132.60–$214.37	—	35%
Troponin test, quantitative CPT 84484 HC TROPONIN T, 5TH GEN, P, QUANT S/O	$48.75	$75.00	$12.47	1% above	35%
Troponin test, quantitative CPT 84484 HC TROPONIN I, HIGH SENSITIVITY, P QUANT S/O	$136.50	$210.00	$12.47	182% above	35%
Troponin test, quantitative CPT 84484 HC TROPONIN QUANT	$263.90	$406.00	$12.47	444% above	35%
Troponin test, quantitative inpatient CPT 84484 HC TROPONIN T, 5TH GEN, P, QUANT S/O	$48.75	$75.00	$45.00–$72.75	—	35%
Troponin test, quantitative inpatient CPT 84484 HC TROPONIN I, HIGH SENSITIVITY, P QUANT S/O	$136.50	$210.00	$126.00–$203.70	—	35%
Troponin test, quantitative inpatient CPT 84484 HC TROPONIN QUANT	$263.90	$406.00	$243.60–$393.82	—	35%
Uric acid blood test CPT 84550 HC URIC ACID,BLOOD	$195.65	$301.00	$4.52	177% above	35%
Uric acid blood test inpatient CPT 84550 HC URIC ACID,BLOOD	$195.65	$301.00	$180.60–$291.97	—	35%
Urinalysis with microscope exam, automated CPT 81001 HC URINALYSIS AUTOMATED W MICROSCOPY	$102.70	$158.00	$94.80–$153.26	167% above	35%
Urinalysis with microscope exam, automated inpatient CPT 81001 HC URINALYSIS AUTOMATED W MICROSCOPY	$102.70	$158.00	$94.80–$153.26	—	35%
Urinalysis without microscope exam, automated CPT 81003 HC POCT URINALYSIS AUTOMATED WO MICROSCOPY	$38.35	$59.00	$2.25	98% above	35%
Urinalysis without microscope exam, automated CPT 81003 HC KETONE, QL, U, AUTO W/O SCOPE S/O	$50.70	$78.00	$46.80–$75.66	162% above	35%
Urinalysis without microscope exam, automated CPT 81003 HC URINALYSIS AUTO W/O MICRO	$83.85	$129.00	$2.25	334% above	35%
Urinalysis without microscope exam, automated CPT 81003 HC URINALYSIS AUTOMATED WO MICROSCOPY	$90.35	$139.00	$83.40–$134.83	368% above	35%
Urinalysis without microscope exam, automated inpatient CPT 81003 HC POCT URINALYSIS AUTOMATED WO MICROSCOPY	$38.35	$59.00	$35.40–$57.23	—	35%
Urinalysis without microscope exam, automated inpatient CPT 81003 HC KETONE, QL, U, AUTO W/O SCOPE S/O	$50.70	$78.00	$46.80–$75.66	—	35%
Urinalysis without microscope exam, automated inpatient CPT 81003 HC URINALYSIS AUTO W/O MICRO	$83.85	$129.00	$77.40–$125.13	—	35%
Urinalysis without microscope exam, automated inpatient CPT 81003 HC URINALYSIS AUTOMATED WO MICROSCOPY	$90.35	$139.00	$83.40–$134.83	—	35%
Urinalysis without microscope exam, manual CPT 81002 HC BILIRUBIN, RANDOM, U,NON-AUTO,W/O MICROSCOPY S/O	$40.30	$62.00	$3.48	460% above	35%
Urinalysis without microscope exam, manual CPT 81002 HC URINALYSIS NON-AUTOMATED, W/O MICROSCOPY	$43.55	$67.00	$40.20–$64.99	505% above	35%
Urinalysis without microscope exam, manual inpatient CPT 81002 HC BILIRUBIN, RANDOM, U,NON-AUTO,W/O MICROSCOPY S/O	$40.30	$62.00	$37.20–$60.14	—	35%
Urinalysis without microscope exam, manual inpatient CPT 81002 HC URINALYSIS NON-AUTOMATED, W/O MICROSCOPY	$43.55	$67.00	$40.20–$64.99	—	35%
Urine culture for bacteria, with colony count CPT 87086 HC CULTURE, AEROBIC BACT, U, QUANT COLONY COUNT URINE S/O	$27.95	$43.00	$25.80–$41.71	48% below	35%
Urine culture for bacteria, with colony count CPT 87086 HC CULTURE,BACTERIAL QUANT,URINE	$228.80	$352.00	$211.20–$341.44	325% above	35%
Urine culture for bacteria, with colony count inpatient CPT 87086 HC CULTURE, AEROBIC BACT, U, QUANT COLONY COUNT URINE S/O	$27.95	$43.00	$25.80–$41.71	—	35%
Urine culture for bacteria, with colony count inpatient CPT 87086 HC CULTURE,BACTERIAL QUANT,URINE	$228.80	$352.00	$211.20–$341.44	—	35%
Urine microalbumin (albumin) test CPT 82043 HC MICROALBUMINURIA,24 HR,URINE S/O	$25.35	$39.00	$23.40–$37.83	at median	35%
Urine microalbumin (albumin) test CPT 82043 HC MICROALBUMIN; URINE RANDOM	$38.35	$59.00	$35.40–$57.23	51% above	35%
Urine microalbumin (albumin) test inpatient CPT 82043 HC MICROALBUMINURIA,24 HR,URINE S/O	$25.35	$39.00	$23.40–$37.83	—	35%
Urine microalbumin (albumin) test inpatient CPT 82043 HC MICROALBUMIN; URINE RANDOM	$38.35	$59.00	$35.40–$57.23	—	35%
Urine pregnancy test, read by color change CPT 81025 HC POCT PREGN TEST,VISUAL COLOR COMPARE METHD	$48.10	$74.00	$44.40–$71.78	8% below	35%
Urine pregnancy test, read by color change inpatient CPT 81025 HC POCT PREGN TEST,VISUAL COLOR COMPARE METHD	$48.10	$74.00	$44.40–$71.78	—	35%
Vitamin B12 (cobalamin) blood test CPT 82607 HC VITAMIN B-12(CYANOCOBALAMIN)	$149.50	$230.00	$15.08	130% above	35%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 HC VITAMIN B-12(CYANOCOBALAMIN)	$149.50	$230.00	$138.00–$223.10	—	35%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HC 25 HYDROXYVITAMIN D2 AND D3 S/O	$70.20	$108.00	$64.80–$104.76	4% above	35%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HC VITAMIN D 25-OH,TOTAL	$246.35	$379.00	$29.60	264% above	35%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 HC 25 HYDROXYVITAMIN D2 AND D3 S/O	$70.20	$108.00	$64.80–$104.76	—	35%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 HC VITAMIN D 25-OH,TOTAL	$246.35	$379.00	$227.40–$367.63	—	35%
Vitamin D, 1,25-dihydroxy blood test CPT 82652 HC VITAMIN D;1,25 DIHYDROXY,INCL FRACT S/O	$37.70	$58.00	$38.50	55% below	35%
Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 HC VITAMIN D;1,25 DIHYDROXY,INCL FRACT S/O	$37.70	$58.00	$34.80–$56.26	—	35%
Zinc blood test CPT 84630 HC ZINC S/O	$25.35	$39.00	$23.40–$37.83	4% above	35%
Zinc blood test inpatient CPT 84630 HC ZINC S/O	$25.35	$39.00	$23.40–$37.83	—	35%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HC HCG(GONADOTROPIN,CHORIONIC),QUANT S/O	$21.45	$33.00	$19.80–$32.01	20% below	35%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HC GONADOTROPIN CHORIONIC (HCG); QUANT S/O	$93.60	$144.00	$15.05	250% above	35%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HC HCG(GONADOTROPIN,CHORIONIC),QUANT	$375.70	$578.00	$346.80–$560.66	1304% above	35%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HC HCG(GONADOTROPIN,CHORIONIC),QUANT S/O	$21.45	$33.00	$19.80–$32.01	—	35%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HC GONADOTROPIN CHORIONIC (HCG); QUANT S/O	$93.60	$144.00	$86.40–$139.68	—	35%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HC HCG(GONADOTROPIN,CHORIONIC),QUANT	$375.70	$578.00	$346.80–$560.66	—	35%

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs Arizona	Off list
Balloon dilation of the maxillary sinus opening, one side CPT 31295 HC NASAL/SINUS ENDO, SURG; W/DILAT MAXILLARY SINUS, TRANSNASAL O	$5,510.70	$8,478.00	$5,086.80–$8,223.66	—	35%
Balloon dilation of the maxillary sinus opening, one side inpatient CPT 31295 HC NASAL/SINUS ENDO, SURG; W/DILAT MAXILLARY SINUS, TRANSNASAL O	$5,510.70	$8,478.00	$5,086.80–$8,223.66	—	35%
Botox injections for chronic migraine CPT 64615 HC CHEMODENERVATION MUSCLE(S),INNERVATED FACIAL/TRIGEMINAL/CERVC	$423.80	$652.00	$391.20–$632.44	1% above	35%
Botox injections for chronic migraine inpatient CPT 64615 HC CHEMODENERVATION MUSCLE(S),INNERVATED FACIAL/TRIGEMINAL/CERVC	$423.80	$652.00	$391.20–$632.44	—	35%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 HC BREAST BX W LOC DEV, PERQ,1ST LESION,STEREOTACTIC GUIDE	$3,041.35	$4,679.00	$2,807.40–$4,538.63	7% below	35%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 HC BREAST BX W LOC DEV, PERQ,1ST LESION,STEREOTACTIC GUIDE	$3,041.35	$4,679.00	$2,807.40–$4,538.63	—	35%
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 HC CLOSED TX DISTAL FIBULAR FRACT(LATERAL MALLEOLUS),WO MANIP	$375.70	$578.00	$346.80–$560.66	71% below	35%
Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 HC CLOSED TX DISTAL FIBULAR FRACT(LATERAL MALLEOLUS),WO MANIP	$375.70	$578.00	$346.80–$560.66	—	35%
Broken foot (metatarsal) treatment without surgery or setting CPT 28470 HC CLOSED TX METATARSAL FRACT,WO MANIP, EACH	$455.65	$701.00	$153.60–$263.21	64% below	35%
Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 HC CLOSED TX METATARSAL FRACT,WO MANIP, EACH	$455.65	$701.00	$420.60–$679.97	—	35%
Cardiac catheterization with coronary angiogram one side CPT 93458 HC LT HEART CATH W/LT VENTRIC&CORONARIES, S&I	$20,536.75	$31,595.00	$2,159.59–$3,459.41	152% above	35%
Cardiac catheterization with coronary angiogram inpatient one side CPT 93458 HC LT HEART CATH W/LT VENTRIC&CORONARIES, S&I	$20,536.75	$31,595.00	$18,957.00–$30,647.15	—	35%
Cardioversion, elective (restoring heart rhythm) CPT 92960 HC CARDIOVERSION ELECTIVE; EXTERNAL	$1,876.55	$2,887.00	$1,732.20–$2,800.39	102% above	35%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 HC CARDIOVERSION ELECTIVE; EXTERNAL	$1,876.55	$2,887.00	$1,732.20–$2,800.39	—	35%
Catheter ablation for atrial fibrillation CPT 93656 HC ABLATION,PULM VEIN AF W COMP EPS,W TRANSEP,3D MAP & ICE	$44,666.70	$68,718.00	$41,230.80–$66,656.46	33% above	35%
Catheter ablation for atrial fibrillation inpatient CPT 93656 HC ABLATION,PULM VEIN AF W COMP EPS,W TRANSEP,3D MAP & ICE	$44,666.70	$68,718.00	$41,230.80–$66,656.46	—	35%
Cervical biopsy CPT 57500 HC BIOPSY CERVIX, SNGL/MULT/LOCAL EXCISION LESION	$636.35	$979.00	$471.85–$982.84	90% below	35%
Cervical biopsy inpatient CPT 57500 HC BIOPSY CERVIX, SNGL/MULT/LOCAL EXCISION LESION	$636.35	$979.00	$587.40–$949.63	—	35%
Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 HC CIRCUMCISION,SURG EXCISION OTHER THAN CLAMP, DEVICE, OR DORSA	$1,376.70	$2,118.00	$1,335.67–$2,230.61	46% below	35%
Circumcision by surgical excision, older than 28 days (children and adults) inpatient CPT 54161 HC CIRCUMCISION,SURG EXCISION OTHER THAN CLAMP, DEVICE, OR DORSA	$1,376.70	$2,118.00	$1,270.80–$2,054.46	—	35%
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 HC CIRCUMCISION W REGIONAL DORSAL PENILE/BLOCK	$175.50	$270.00	$2,183.34–$2,230.61	31% below	35%
Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 HC CIRCUMCISION W REGIONAL DORSAL PENILE/BLOCK	$175.50	$270.00	$162.00–$261.90	—	35%
Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 HC CIRCUMCISION WO DORSAL PENILE/BLOCK	$175.50	$270.00	$66.69–$261.90	—	35%
Circumcision, surgical, older than a newborn CPT 54160 HC CIRCUM,SURG,NOT CLAMP/DEV<28DAYS	$1,569.75	$2,415.00	$1,449.00–$2,342.55	83% above	35%
Circumcision, surgical, older than a newborn inpatient CPT 54160 HC CIRCUM,SURG,NOT CLAMP/DEV<28DAYS	$1,569.75	$2,415.00	$1,449.00–$2,342.55	—	35%
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 HC CLOSED TX DISTAL RADIAL FRACT WO MANIP	$577.20	$888.00	$153.60–$263.21	63% below	35%
Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 HC CLOSED TX DISTAL RADIAL FRACT WO MANIP	$577.20	$888.00	$532.80–$861.36	—	35%
Colonoscopy with endoscopic ultrasound CPT 45391 HC COLONOSCOPY FLEX W/ENDO US EXAM	$2,215.20	$3,408.00	$2,044.80–$3,305.76	at median	35%
Colonoscopy with endoscopic ultrasound inpatient CPT 45391 HC COLONOSCOPY FLEX W/ENDO US EXAM	$2,215.20	$3,408.00	$2,044.80–$3,305.76	—	35%
Colonoscopy with polyp removal CPT 45385 HC COLONOSCOPY,FLEX,W/RMVE TUMOR,SNARE	$2,731.30	$4,202.00	$772.47–$1,276.92	6% below	35%
Colonoscopy with polyp removal inpatient CPT 45385 HC COLONOSCOPY,FLEX,W/RMVE TUMOR,SNARE	$2,731.30	$4,202.00	$2,521.20–$4,075.94	—	35%
Colonoscopy with tissue sample CPT 45380 HC COLONOSCOPY,FLEX,W/BIOPSY	$2,627.30	$4,042.00	$772.47–$1,276.92	14% below	35%
Colonoscopy with tissue sample inpatient CPT 45380 HC COLONOSCOPY,FLEX,W/BIOPSY	$2,627.30	$4,042.00	$2,425.20–$3,920.74	—	35%
Colonoscopy, diagnostic CPT 45378 HC COLONOSCOPY,FLEX;DIAG,INC COLLECT SPEC	$2,516.15	$3,871.00	$2,322.60–$3,754.87	11% above	35%
Colonoscopy, diagnostic inpatient CPT 45378 HC COLONOSCOPY,FLEX;DIAG,INC COLLECT SPEC	$2,516.15	$3,871.00	$2,322.60–$3,754.87	—	35%
Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 HC COLPOSC CERVIX INCL ADJ VAGINA;W/BX & ENDOCRV CURRETAGE	$305.50	$470.00	$209.68–$325.17	93% below	35%
Colposcopy with cervical biopsy and scraping of the cervical canal inpatient CPT 57454 HC COLPOSC CERVIX INCL ADJ VAGINA;W/BX & ENDOCRV CURRETAGE	$305.50	$470.00	$282.00–$455.90	—	35%
Coronary stent placement, one artery CPT 92928 HC PERQ TRANSCATH PLACE(BMS),INTRACOR STENT(S)INC PTCA,SNGL ART/	$22,922.90	$35,266.00	$12,087.01–$12,318.60	70% above	35%
Coronary stent placement, one artery inpatient CPT 92928 HC PERQ TRANSCATH PLACE(BMS),INTRACOR STENT(S)INC PTCA,SNGL ART/	$22,922.90	$35,266.00	$21,159.60–$34,208.02	—	35%
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 HC CYSTOURETHROSCOPY	$1,260.35	$1,939.00	$428.17–$744.07	at median	35%
Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 HC CYSTOURETHROSCOPY	$1,260.35	$1,939.00	$1,163.40–$1,880.83	—	35%
D&C (dilation and curettage), not related to pregnancy CPT 58120 HC DILATION AND CURETTAGE,DIAG AND/OR THERAPEUTIC NON-OB	$2,100.15	$3,231.00	$1,954.13–$3,454.28	85% below	35%
D&C (dilation and curettage), not related to pregnancy inpatient CPT 58120 HC DILATION AND CURETTAGE,DIAG AND/OR THERAPEUTIC NON-OB	$2,100.15	$3,231.00	$1,938.60–$3,134.07	—	35%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 HC DESTRUCT,PREMALIG LESION,FIRST LESION	$209.95	$323.00	$193.80–$313.31	10% above	35%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 HC DESTRUCT,PREMALIG LESION,FIRST LESION	$209.95	$323.00	$193.80–$313.31	—	35%
Ear tube placement (tympanostomy) with local anesthesia, one ear CPT 69433 HC TYMPANOSTOMY, LOCAL/TOPICAL ANESTHESIA	$506.35	$779.00	$467.40–$755.63	—	35%
Ear tube placement (tympanostomy) with local anesthesia, one ear inpatient CPT 69433 HC TYMPANOSTOMY, LOCAL/TOPICAL ANESTHESIA	$506.35	$779.00	$467.40–$755.63	—	35%
Earwax removal by irrigation (rinsing), one ear one side CPT 69209 HC REMOVAL IMPACTED CERUMEN, IRR/LAV; UNILAT	$217.10	$334.00	$62.95–$63.31	51% below	35%
Earwax removal by irrigation (rinsing), one ear inpatient one side CPT 69209 HC REMOVAL IMPACTED CERUMEN, IRR/LAV; UNILAT	$217.10	$334.00	$200.40–$323.98	—	35%
Earwax removal with instruments, one ear one side CPT 69210 HC REMOVAL IMPACT CERUMEN INSTRUMENTATION, UNILAT	$331.50	$510.00	$306.00–$494.70	17% below	35%
Earwax removal with instruments, one ear inpatient one side CPT 69210 HC REMOVAL IMPACT CERUMEN INSTRUMENTATION, UNILAT	$331.50	$510.00	$306.00–$494.70	—	35%
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 HC ENDOMETRIAL SAMPLING,BX,WO CERVICAL DILATION,ANY METHOD	$391.30	$602.00	$361.20–$583.94	72% below	35%
Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 HC ENDOMETRIAL SAMPLING,BX,WO CERVICAL DILATION,ANY METHOD	$391.30	$602.00	$361.20–$583.94	—	35%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 HC INJECT, EPIDURAL/SUBARACHNOID, INCL NEEDLE/CATH PLMT, CERVICA	$1,769.95	$2,723.00	$738.10–$753.23	26% above	35%
Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 HC INJECT, EPIDURAL/SUBARACHNOID, INCL NEEDLE/CATH PLMT, CERVICA	$1,769.95	$2,723.00	$1,633.80–$2,641.31	—	35%
Eye injection into the vitreous (intravitreal injection) CPT 67028 HC INJECT INTRAVITREAL PHARMACOLOGIC AGENT,SEPARATE PX	$460.85	$709.00	$231.49–$353.52	—	35%
Eye injection into the vitreous (intravitreal injection) inpatient CPT 67028 HC INJECT INTRAVITREAL PHARMACOLOGIC AGENT,SEPARATE PX	$460.85	$709.00	$425.40–$687.73	—	35%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 HC INJECT DX/THER AGENT PARAVERT FACET JOINT/MEDIAL BRANCH LUMBA	$1,391.65	$2,141.00	$612.68–$948.89	17% above	35%
Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 HC INJECT DX/THER AGENT PARAVERT FACET JOINT/MEDIAL BRANCH LUMBA	$1,391.65	$2,141.00	$1,284.60–$2,076.77	—	35%
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 HC SIGMOIDOSCOPY,FLEX,DIAG,INC COLLECT SPEC	$2,592.85	$3,989.00	$591.22–$992.34	1% below	35%
Flexible sigmoidoscopy, diagnostic (lower colon only) inpatient CPT 45330 HC SIGMOIDOSCOPY,FLEX,DIAG,INC COLLECT SPEC	$2,592.85	$3,989.00	$2,393.40–$3,869.33	—	35%
Hammertoe correction surgery CPT 28285 HC CORRECTION, HAMMERTOE	$2,575.30	$3,962.00	$2,377.20–$3,843.14	78% below	35%
Hammertoe correction surgery inpatient CPT 28285 HC CORRECTION, HAMMERTOE	$2,575.30	$3,962.00	$2,377.20–$3,843.14	—	35%
Hemorrhoid banding (rubber band ligation) CPT 46221 HC HEMORRHOID,LIGATION,RUBBERBAND	$984.10	$1,514.00	$591.22–$992.34	25% below	35%
Hemorrhoid banding (rubber band ligation) inpatient CPT 46221 HC HEMORRHOID,LIGATION,RUBBERBAND	$984.10	$1,514.00	$908.40–$1,468.58	—	35%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 HC CATH & INTRO SALINE/CONTRAST SIS OR HYSTEROSALPINGOGRAPHY	$659.75	$1,015.00	$133.47–$984.55	181% above	35%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 HC CATH & INTRO SALINE/CONTRAST SIS OR HYSTEROSALPINGOGRAPHY	$659.75	$1,015.00	$133.47–$984.55	—	35%
Hysteroscopy with endometrial ablation CPT 58563 HC HYSTEROSCOPY W ENDOMETRIAL ABLATION	$3,669.25	$5,645.00	$3,387.00–$5,475.65	58% below	35%
Hysteroscopy with endometrial ablation inpatient CPT 58563 HC HYSTEROSCOPY W ENDOMETRIAL ABLATION	$3,669.25	$5,645.00	$3,387.00–$5,475.65	—	35%
Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 HC HYSTEROSCOPY,SURGICAL;W BX OF ENDOMETRIUM,W WO D&C	$2,520.05	$3,877.00	$2,326.20–$3,760.69	74% below	35%
Hysteroscopy with uterine lining sampling and/or polyp removal inpatient CPT 58558 HC HYSTEROSCOPY,SURGICAL;W BX OF ENDOMETRIUM,W WO D&C	$2,520.05	$3,877.00	$2,326.20–$3,760.69	—	35%
Incision and drainage of a simple or single skin abscess CPT 10060 HC I & D ABSCESS SIMPLE/SINGLE	$425.10	$654.00	$133.75–$214.09	2% above	35%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 HC I & D ABSCESS SIMPLE/SINGLE	$425.10	$654.00	$392.40–$634.38	—	35%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 HC INJECT(S), SINGLE TENDON SHEATH/LIGAMENT (EG, PLANTAR FASCIA)	$629.20	$968.00	$194.56–$327.54	67% above	35%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 HC INJECT(S), SINGLE TENDON SHEATH/LIGAMENT (EG, PLANTAR FASCIA)	$629.20	$968.00	$580.80–$938.96	—	35%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HC ARTHRO ASPIR/INJECT MAJOR JOINT/BURSA W/O US GUIDE	$910.00	$1,400.00	$840.00–$1,358.00	60% above	35%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 HC ARTHRO ASPIR/INJECT MAJOR JOINT/BURSA W/O US GUIDE	$910.00	$1,400.00	$840.00–$1,358.00	—	35%
Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 HC INSERT, DRUG DELIVERY IMPLANT	$116.35	$179.00	$107.40–$173.63	29% below	35%
Insertion of a drug-delivery implant, such as the arm birth control implant inpatient CPT 11981 HC INSERT, DRUG DELIVERY IMPLANT	$116.35	$179.00	$107.40–$173.63	—	35%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 HC ARTHRO ASPIR/INJECT INTERMED JOINT/BURSA W/O US GUIDE	$698.10	$1,074.00	$194.56–$327.54	58% above	35%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 HC ARTHRO ASPIR/INJECT INTERMED JOINT/BURSA W/O US GUIDE	$698.10	$1,074.00	$644.40–$1,041.78	—	35%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 HC ARTHRO ASPIR/INJECT SMALL JOINT/BURSA W/O US GUIDE	$486.85	$749.00	$194.56–$327.54	34% above	35%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 HC ARTHRO ASPIR/INJECT SMALL JOINT/BURSA W/O US GUIDE	$486.85	$749.00	$449.40–$726.53	—	35%
Laser treatment of clouding after cataract surgery (YAG) CPT 66821 HC DISCISSION SECONDARY MEMBRANOUS CATARACT; LASER SGY,=>1 STAGE	$775.45	$1,193.00	$375.35–$586.89	7% above	35%
Laser treatment of clouding after cataract surgery (YAG) inpatient CPT 66821 HC DISCISSION SECONDARY MEMBRANOUS CATARACT; LASER SGY,=>1 STAGE	$775.45	$1,193.00	$715.80–$1,157.21	—	35%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 HC INTERMEDIATE REPAIR,SCALP,AX,TRUNK,EXT(EXCL:HND/FT);2.5CM/LES	$951.60	$1,464.00	$257.63–$433.79	3% below	35%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 HC INTERMEDIATE REPAIR,SCALP,AX,TRUNK,EXT(EXCL:HND/FT);2.5CM/LES	$951.60	$1,464.00	$878.40–$1,420.08	—	35%
Left heart catheterization, diagnostic one side CPT 93452 HC LEFT HEART CATH W/ANGIOGRAPHY,WHEN DONE,NO CORONARIES	$8,570.90	$13,186.00	$2,159.59–$3,459.41	121% above	35%
Left heart catheterization, diagnostic inpatient one side CPT 93452 HC LEFT HEART CATH W/ANGIOGRAPHY,WHEN DONE,NO CORONARIES	$8,570.90	$13,186.00	$7,911.60–$12,790.42	—	35%
Lower-back epidural injection, with imaging guidance CPT 62323 HC INJECT, EPIDURAL/SUBARACHNOID, INCL NEEDLE/CATH PLMT, LUMBAR/	$2,209.35	$3,399.00	$738.10–$753.23	61% above	35%
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 HC INJECT, EPIDURAL/SUBARACHNOID, INCL NEEDLE/CATH PLMT, LUMBAR/	$2,209.35	$3,399.00	$2,039.40–$3,297.03	—	35%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 HC INJECTION TRANSFORAM EPIDURAL W GUIDE,LUMBAR/SACRAL, SNGLE LE	$2,112.50	$3,250.00	$1,950.00–$3,152.50	92% above	35%
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 HC INJECTION TRANSFORAM EPIDURAL W GUIDE,LUMBAR/SACRAL, SNGLE LE	$2,112.50	$3,250.00	$1,950.00–$3,152.50	—	35%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 HC EXCISION BENIGN LESION,NOT TAG,=<05.CM, TRUNK,ARM,LEG	$601.25	$925.00	$555.00–$897.25	9% below	35%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 HC EXCISION BENIGN LESION,NOT TAG,=<05.CM, TRUNK,ARM,LEG	$601.25	$925.00	$555.00–$897.25	—	35%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 HC EXCISION BENIGN LESION,NOT TAG, =<0.5CM,FACE	$721.50	$1,110.00	$666.00–$1,076.70	9% below	35%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 HC EXCISION BENIGN LESION,NOT TAG, =<0.5CM,FACE	$721.50	$1,110.00	$666.00–$1,076.70	—	35%
Nail removal (partial or complete), one nail CPT 11730 HC AVULSION NAIL PLATE/COMPLETE SIMPLE;SINGLE	$515.45	$793.00	$475.80–$769.21	112% above	35%
Nail removal (partial or complete), one nail inpatient CPT 11730 HC AVULSION NAIL PLATE/COMPLETE SIMPLE;SINGLE	$515.45	$793.00	$475.80–$769.21	—	35%
Occipital nerve block (injection for headaches) CPT 64405 HC INJ(S) ANESTHETIC AGENT(S) AND/OR STEROID; GREATER OCCIPITAL	$846.95	$1,303.00	$781.80–$1,263.91	136% above	35%
Occipital nerve block (injection for headaches) inpatient CPT 64405 HC INJ(S) ANESTHETIC AGENT(S) AND/OR STEROID; GREATER OCCIPITAL	$846.95	$1,303.00	$781.80–$1,263.91	—	35%
Pacemaker implant (dual chamber) CPT 33208 HC INSERT/REPL PERM PACEMAKER (RA/RV,LEAD)	$27,252.55	$41,927.00	$25,156.20–$40,669.19	84% above	35%
Pacemaker implant (dual chamber) inpatient CPT 33208 HC INSERT/REPL PERM PACEMAKER (RA/RV,LEAD)	$27,252.55	$41,927.00	$25,156.20–$40,669.19	—	35%
Paracentesis with imaging guidance CPT 49083 HC ABD PARACENTESIS W IMGE GUIDANCE	$1,720.55	$2,647.00	$1,588.20–$2,567.59	16% above	35%
Paracentesis with imaging guidance inpatient CPT 49083 HC ABD PARACENTESIS W IMGE GUIDANCE	$1,720.55	$2,647.00	$1,588.20–$2,567.59	—	35%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 HC EXCISION NAIL PARTIAL/COMP, PERMANENT REMOVAL	$1,816.10	$2,794.00	$257.63–$433.79	214% above	35%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 HC EXCISION NAIL PARTIAL/COMP, PERMANENT REMOVAL	$1,816.10	$2,794.00	$1,676.40–$2,710.18	—	35%
Prostate biopsy CPT 55700 HC BX PROSTATE NDLE/PUNCH SING/MULT ANY APPROACH	$3,665.35	$5,639.00	$1,392.83–$5,469.83	11% above	35%
Prostate biopsy inpatient CPT 55700 HC BX PROSTATE NDLE/PUNCH SING/MULT ANY APPROACH	$3,665.35	$5,639.00	$1,392.83–$5,469.83	—	35%
Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 HC DESTRUCT NEUROLYTIC AGENT,PARVERTEB FCT JNT NERVE(S),W IMG GU	$2,380.30	$3,662.00	$2,197.20–$3,552.14	99% above	35%
Radiofrequency ablation of facet joint nerves, lower back, one level inpatient CPT 64635 HC DESTRUCT NEUROLYTIC AGENT,PARVERTEB FCT JNT NERVE(S),W IMG GU	$2,380.30	$3,662.00	$2,197.20–$3,552.14	—	35%
Removal of a foreign object under the skin, simple CPT 10120 HC INCISION & REMOVAL FB SUBQ SIMPLE	$1,375.40	$2,116.00	$257.63–$433.79	72% above	35%
Removal of a foreign object under the skin, simple inpatient CPT 10120 HC INCISION & REMOVAL FB SUBQ SIMPLE	$1,375.40	$2,116.00	$1,269.60–$2,052.52	—	35%
Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 HC COLORECTAL CANCER SCREENING; COLONOSCOPY INDV NOT MEETING CRI	$2,398.50	$3,690.00	$591.22–$992.34	3% above	35%
Screening colonoscopy for a person at average risk (Medicare code) inpatient HCPCS G0121 HC COLORECTAL CANCER SCREENING; COLONOSCOPY INDV NOT MEETING CRI	$2,398.50	$3,690.00	$2,214.00–$3,579.30	—	35%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 HC COLORECTAL CANCER SCREENING; COLONOSCOPY INDV HIGH RISK	$2,587.65	$3,981.00	$591.22–$992.34	6% above	35%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) inpatient HCPCS G0105 HC COLORECTAL CANCER SCREENING; COLONOSCOPY INDV HIGH RISK	$2,587.65	$3,981.00	$2,388.60–$3,861.57	—	35%
Short arm cast (elbow to hand) CPT 29075 HC APPLICATION,CAST;ELBOW TO FINGER(SHORT ARM)	$518.70	$798.00	$179.66–$298.45	72% below	35%
Short arm cast (elbow to hand) inpatient CPT 29075 HC APPLICATION,CAST;ELBOW TO FINGER(SHORT ARM)	$518.70	$798.00	$478.80–$774.06	—	35%
Short arm splint (forearm and hand) CPT 29125 HC APPL SPLINT FOREARM-HAND SHORTARM STATIC	$450.45	$693.00	$415.80–$672.21	57% below	35%
Short arm splint (forearm and hand) inpatient CPT 29125 HC APPL SPLINT FOREARM-HAND SHORTARM STATIC	$450.45	$693.00	$415.80–$672.21	—	35%
Short leg cast (below the knee) CPT 29405 HC APPLICATION SHORT LEG CAST(BELOW KNEE TO TOES)	$521.30	$802.00	$481.20–$777.94	52% above	35%
Short leg cast (below the knee) inpatient CPT 29405 HC APPLICATION SHORT LEG CAST(BELOW KNEE TO TOES)	$521.30	$802.00	$481.20–$777.94	—	35%
Short leg splint (calf to foot) CPT 29515 HC APPL SPLINT CALF-FOOT SHORTLEG	$514.15	$791.00	$105.17–$173.40	47% above	35%
Short leg splint (calf to foot) inpatient CPT 29515 HC APPL SPLINT CALF-FOOT SHORTLEG	$514.15	$791.00	$474.60–$767.27	—	35%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 HC SIMPLE REPAIR SCALP,NECK,AX,EX GEN,TRNK,EXTRM(HAND/FT);2.5CM/	$521.30	$802.00	$481.20–$777.94	132% above	35%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 HC SIMPLE REPAIR SCALP,NECK,AX,EX GEN,TRNK,EXTRM(HAND/FT);2.5CM/	$521.30	$802.00	$481.20–$777.94	—	35%
Skin biopsy, punch, one lesion CPT 11104 HC BIOPSY SKIN PUNCH; SINGLE LESION	$513.50	$790.00	$474.00–$766.30	3% above	35%
Skin biopsy, punch, one lesion inpatient CPT 11104 HC BIOPSY SKIN PUNCH; SINGLE LESION	$513.50	$790.00	$474.00–$766.30	—	35%
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 HC EXCISION MALIGNANT LESION, =<0.5CM, TRUNK,ARM,LEG	$601.25	$925.00	$463.33–$755.64	18% below	35%
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11600 HC EXCISION MALIGNANT LESION, =<0.5CM, TRUNK,ARM,LEG	$601.25	$925.00	$555.00–$897.25	—	35%
Skin tag removal, up to 15 tags CPT 11200 HC REMOVAL OF SKIN TAGS 1-15 LESIONS	$908.70	$1,398.00	$133.75–$214.09	279% above	35%
Skin tag removal, up to 15 tags inpatient CPT 11200 HC REMOVAL OF SKIN TAGS 1-15 LESIONS	$908.70	$1,398.00	$838.80–$1,356.06	—	35%
Spinal tap (lumbar puncture), diagnostic CPT 62270 HC PUNCTURE SPINAL LUMBAR DIAG	$1,160.25	$1,785.00	$1,071.00–$1,731.45	79% above	35%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 HC PUNCTURE SPINAL LUMBAR DIAG	$1,160.25	$1,785.00	$1,071.00–$1,731.45	—	35%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 HC SIMPLE REPAIR SCALP,NECK,AX,EX GEN,TRNK,EXTRM(HAND/FT);2.6CM-	$575.25	$885.00	$531.00–$858.45	82% above	35%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 HC SIMPLE REPAIR SCALP,NECK,AX,EX GEN,TRNK,EXTRM(HAND/FT);2.6CM-	$575.25	$885.00	$531.00–$858.45	—	35%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 HC SIMPLE REPAIR FACE,EAR,EYELID,NOSE,LIP,MUC MEMB;2.5/LESS	$579.15	$891.00	$534.60–$864.27	63% below	35%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 HC SIMPLE REPAIR FACE,EAR,EYELID,NOSE,LIP,MUC MEMB;2.5/LESS	$579.15	$891.00	$534.60–$864.27	—	35%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 HC BIOPSY SKIN TANGENITAL; SINGLE LESION	$386.75	$595.00	$211.78–$433.79	at median	35%
Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 HC BIOPSY SKIN TANGENITAL; SINGLE LESION	$386.75	$595.00	$357.00–$577.15	—	35%
Thoracentesis with imaging guidance CPT 32555 HC THORACENTESIS ASPIRATE PLEURA W IMAGE	$2,013.70	$3,098.00	$658.95–$669.38	71% above	35%
Thoracentesis with imaging guidance inpatient CPT 32555 HC THORACENTESIS ASPIRATE PLEURA W IMAGE	$2,013.70	$3,098.00	$1,858.80–$3,005.06	—	35%
Trigger finger release surgery CPT 26055 HC TENDON SHEATH INCISION, (EG FOR TRIGGER FINGER)	$2,548.65	$3,921.00	$1,037.21–$1,715.86	43% below	35%
Trigger finger release surgery inpatient CPT 26055 HC TENDON SHEATH INCISION, (EG FOR TRIGGER FINGER)	$2,548.65	$3,921.00	$2,352.60–$3,803.37	—	35%
Trigger point injections, 1 or 2 muscles CPT 20552 HC INJECT SINGLE/MULTI TRIGGER POINT 1-2 MUSCLE(S)	$1,018.55	$1,567.00	$940.20–$1,519.99	131% above	35%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 HC INJECT SINGLE/MULTI TRIGGER POINT 1-2 MUSCLE(S)	$1,018.55	$1,567.00	$940.20–$1,519.99	—	35%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 HC BREAST BX W LOC DEV,PERQ,1ST LESION,US GUIDE	$2,668.90	$4,106.00	$2,463.60–$3,982.82	20% above	35%
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 HC BREAST BX W LOC DEV,PERQ,1ST LESION,US GUIDE	$2,668.90	$4,106.00	$2,463.60–$3,982.82	—	35%
Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 HC UPPER GI ENDO W/ESOPH BALLOON DILAT<30MM	$2,044.25	$3,145.00	$1,210.54–$2,047.63	47% below	35%
Upper endoscopy (EGD) with balloon widening of the esophagus inpatient CPT 43249 HC UPPER GI ENDO W/ESOPH BALLOON DILAT<30MM	$2,044.25	$3,145.00	$1,887.00–$3,050.65	—	35%
Upper endoscopy (EGD) with biopsy CPT 43239 HC UPPER GI ENDO W/BIOPSY	$2,061.15	$3,171.00	$1,902.60–$3,075.87	14% below	35%
Upper endoscopy (EGD) with biopsy inpatient CPT 43239 HC UPPER GI ENDO W/BIOPSY	$2,061.15	$3,171.00	$1,902.60–$3,075.87	—	35%
Upper endoscopy (EGD) with injection into the lining CPT 43236 HC UPPER GI ENDO SCOPE W/SUBMUCOSAL INJ	$1,989.65	$3,061.00	$1,836.60–$2,969.17	3% above	35%
Upper endoscopy (EGD) with injection into the lining inpatient CPT 43236 HC UPPER GI ENDO SCOPE W/SUBMUCOSAL INJ	$1,989.65	$3,061.00	$1,836.60–$2,969.17	—	35%
Upper endoscopy (EGD) with polyp removal by snare CPT 43251 HC UPPER GI ENDO/TUMOR BY SNARE	$2,161.25	$3,325.00	$1,995.00–$3,225.25	40% below	35%
Upper endoscopy (EGD) with polyp removal by snare inpatient CPT 43251 HC UPPER GI ENDO/TUMOR BY SNARE	$2,161.25	$3,325.00	$1,995.00–$3,225.25	—	35%
Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 HC UPPER GI ENDO W/INSERT GUIDEWIRE	$2,223.00	$3,420.00	$603.10–$999.27	50% above	35%
Upper endoscopy (EGD) with widening of the esophagus over a guide wire inpatient CPT 43248 HC UPPER GI ENDO W/INSERT GUIDEWIRE	$2,223.00	$3,420.00	$2,052.00–$3,317.40	—	35%
Upper endoscopy (EGD), diagnostic CPT 43235 HC UPPER GI ENDO,DIAGNOSTIC	$2,802.80	$4,312.00	$2,587.20–$4,182.64	31% above	35%
Upper endoscopy (EGD), diagnostic inpatient CPT 43235 HC UPPER GI ENDO,DIAGNOSTIC	$2,802.80	$4,312.00	$2,587.20–$4,182.64	—	35%
Upper endoscopy with drainage of a pseudocyst through the stomach wall CPT 43240 HC EGD, FLEX, TRANSORAL; W/TRANSMURAL DRAINAGE PSEUDOCYST	$4,221.75	$6,495.00	$3,897.00–$6,300.15	—	35%
Upper endoscopy with drainage of a pseudocyst through the stomach wall inpatient CPT 43240 HC EGD, FLEX, TRANSORAL; W/TRANSMURAL DRAINAGE PSEUDOCYST	$4,221.75	$6,495.00	$3,897.00–$6,300.15	—	35%
Vasectomy, one or both sides, including follow-up semen testing both sides CPT 55250 HC VASECTOMY, UNILAT/BILAT, INCL, POSTOP SEMEN EXAM(S)	$1,794.65	$2,761.00	$1,335.67–$2,230.61	—	35%
Vasectomy, one or both sides, including follow-up semen testing inpatient both sides CPT 55250 HC VASECTOMY, UNILAT/BILAT, INCL, POSTOP SEMEN EXAM(S)	$1,794.65	$2,761.00	$1,656.60–$2,678.17	—	35%
Vein ablation, radiofrequency, first vein CPT 36475 HC ENDOVEN ABLATION THRPY, EXTRM, GUIDE/MONIT, PERQ, RADIOFREQ;	$5,516.55	$8,487.00	$5,092.20–$8,232.39	at median	35%
Vein ablation, radiofrequency, first vein inpatient CPT 36475 HC ENDOVEN ABLATION THRPY, EXTRM, GUIDE/MONIT, PERQ, RADIOFREQ;	$5,516.55	$8,487.00	$5,092.20–$8,232.39	—	35%
Wart removal, up to 14 warts CPT 17110 HC DESTRUCT,BENIGN LESION,NOT TAG, UP TO 14 LESIONS	$209.95	$323.00	$133.75–$214.09	9% below	35%
Wart removal, up to 14 warts inpatient CPT 17110 HC DESTRUCT,BENIGN LESION,NOT TAG, UP TO 14 LESIONS	$209.95	$323.00	$193.80–$313.31	—	35%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 HC DEBRIDE SUBQ TISSUE 1ST 20SQCM/LESS	$1,459.25	$2,245.00	$1,347.00–$2,177.65	103% above	35%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 HC DEBRIDE SUBQ TISSUE 1ST 20SQCM/LESS	$1,459.25	$2,245.00	$1,347.00–$2,177.65	—	35%

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs Arizona	Off list
Blood transfusion (giving blood or blood components) CPT 36430 HC BLOOD TRANSFUSION	$1,045.20	$1,608.00	$295.79–$470.77	93% above	35%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 HC BLOOD TRANSFUSION	$1,045.20	$1,608.00	$964.80–$1,559.76	—	35%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC SVN EVAL&TREATMENT, INITIAL	$151.45	$233.00	$139.96–$233.67	42% below	35%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC SVN EVAL&TREATMENT, INITIAL	$151.45	$233.00	$139.80–$226.01	—	35%
Chemotherapy IV infusion, first hour CPT 96413 HC CHEMO ADMIN IV INFUSION UP TO 1HOUR,SNGL OR INITL DRUG	$893.10	$1,374.00	$231.49–$353.52	103% above	35%
Chemotherapy IV infusion, first hour inpatient CPT 96413 HC CHEMO ADMIN IV INFUSION UP TO 1HOUR,SNGL OR INITL DRUG	$893.10	$1,374.00	$824.40–$1,332.78	—	35%
Comprehensive eye exam by an eye doctor, new patient CPT 92004 HC EYE EXAM/EVAL; COMPREHENSIVE, NEW PT	$155.35	$239.00	$137.35–$142.07	5% below	35%
Comprehensive eye exam by an eye doctor, new patient inpatient CPT 92004 HC EYE EXAM/EVAL; COMPREHENSIVE, NEW PT	$155.35	$239.00	$143.40–$231.83	—	35%
Comprehensive eye exam, returning patient CPT 92014 HC EYE EXAM/EVAL; COMPREHENSIVE, ESTAB PT	$135.85	$209.00	$137.35–$142.07	17% below	35%
Comprehensive eye exam, returning patient inpatient CPT 92014 HC EYE EXAM/EVAL; COMPREHENSIVE, ESTAB PT	$135.85	$209.00	$125.40–$202.73	—	35%
Comprehensive hearing test: tone and speech audiometry, both ears CPT 92557 HC COMPREHENSIVE AUDIOMETRY THRESHOLD EVAL SPEECH RECOGNITION	$122.20	$188.00	$137.30–$166.76	81% below	35%
Comprehensive hearing test: tone and speech audiometry, both ears inpatient CPT 92557 HC COMPREHENSIVE AUDIOMETRY THRESHOLD EVAL SPEECH RECOGNITION	$122.20	$188.00	$112.80–$182.36	—	35%
Critical care, first 30 to 74 minutes CPT 99291 HC ER SERVICE LEVEL-CRITICAL CARE,FIRST 30-74MIN	$6,676.80	$10,272.00	$6,163.20–$9,963.84	140% above	35%
Critical care, first 30 to 74 minutes CPT 99291 HC OB TRIAGE LEVEL-CRITICAL CARE,FIRST 30-74MIN	$6,676.80	$10,272.00	$6,163.20–$9,963.84	140% above	35%
Critical care, first 30 to 74 minutes inpatient CPT 99291 HC ER SERVICE LEVEL-CRITICAL CARE,FIRST 30-74MIN W MOD 25	$6,676.80	$10,272.00	$2,537.18–$9,963.84	—	35%
Critical care, first 30 to 74 minutes inpatient CPT 99291 HC ER SERVICE LEVEL-CRITICAL CARE,FIRST 30-74MIN	$6,676.80	$10,272.00	$6,163.20–$9,963.84	—	35%
Critical care, first 30 to 74 minutes inpatient CPT 99291 HC OB TRIAGE LEVEL-CRITICAL CARE,FIRST 30-74MIN	$6,676.80	$10,272.00	$6,163.20–$9,963.84	—	35%
Critical care, first 30 to 74 minutes inpatient CPT 99291 HC OB TRIAGE SERVICE-CRITICAL CARE-FIRST30-74MIN,MOD25	$6,676.80	$10,272.00	$2,537.18–$9,963.84	—	35%
EEG (brain wave test), awake and drowsy, routine CPT 95816 HC EEG INC RECORD AWAKE AND DROWSY	$719.55	$1,107.00	$197.00–$331.90	23% above	35%
EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 HC EEG INC RECORD AWAKE AND DROWSY	$719.55	$1,107.00	$664.20–$1,073.79	—	35%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 HC ECG TRACING 12 LEADS TRACING ONLY W/O I&R	$302.25	$465.00	$26.70–$63.31	133% above	35%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 HC ECG TRACING 12 LEADS TRACING ONLY W/O I&R	$302.25	$465.00	$279.00–$451.05	—	35%
Electroconvulsive therapy (ECT), one session CPT 90870 HC ELECTROCONVULSIVE THERAPY (INCL MONITORING)	$378.30	$582.00	$363.37–$916.35	60% below	35%
Electroconvulsive therapy (ECT), one session inpatient CPT 90870 HC ELECTROCONVULSIVE THERAPY (INCL MONITORING)	$378.30	$582.00	$349.20–$564.54	—	35%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 HC OB TRIAGE SERVICE LEVEL 1	$945.10	$1,454.00	$73.41–$93.85	279% above	35%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 HC ER SERVICE LEVEL 1	$945.10	$1,454.00	$73.41–$93.85	279% above	35%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 HC OB TRIAGE SERVICE LEVEL 1	$945.10	$1,454.00	$872.40–$1,410.38	—	35%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 HC ER SERVICE LEVEL 1 W MODIFIER 25	$945.10	$1,454.00	$359.14–$1,410.38	—	35%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 HC ER SERVICE LEVEL 1	$945.10	$1,454.00	$872.40–$1,410.38	—	35%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 HC OB TRIAGE SERVICE LEVEL 1 MOD25	$945.10	$1,454.00	$359.14–$1,410.38	—	35%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 HC ER SERVICE LEVEL 2	$1,067.95	$1,643.00	$119.62–$168.78	182% above	35%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 HC OB TRIAGE SERVICE LEVEL 2	$1,067.95	$1,643.00	$985.80–$1,593.71	182% above	35%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 HC ER SERVICE LEVEL 2	$1,067.95	$1,643.00	$985.80–$1,593.71	—	35%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 HC OB TRIAGE SERVICE LEVEL 2 MOD25	$1,067.95	$1,643.00	$405.82–$1,593.71	—	35%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 HC OB TRIAGE SERVICE LEVEL 2	$1,067.95	$1,643.00	$985.80–$1,593.71	—	35%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 HC ER SERVICE LEVEL 2 W MODIFIER 25	$1,067.95	$1,643.00	$405.82–$1,593.71	—	35%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 HC ER SERVICE LEVEL 3	$1,548.30	$2,382.00	$1,429.20–$2,310.54	124% above	35%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 HC OB TRIAGE SERVICE LEVEL 3	$1,548.30	$2,382.00	$1,429.20–$2,310.54	124% above	35%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 HC OB TRIAGE SERVICE LEVEL 3 MOD25	$1,548.30	$2,382.00	$588.35–$2,310.54	—	35%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 HC ER SERVICE LEVEL 3 W MODIFIER 25	$1,548.30	$2,382.00	$588.35–$2,310.54	—	35%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 HC ER SERVICE LEVEL 3	$1,548.30	$2,382.00	$1,429.20–$2,310.54	—	35%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 HC OB TRIAGE SERVICE LEVEL 3	$1,548.30	$2,382.00	$1,429.20–$2,310.54	—	35%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 HC OB TRIAGE SERVICE LEVEL 4	$2,860.65	$4,401.00	$2,640.60–$4,268.97	151% above	35%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 HC ER SERVICE LEVEL 4	$2,860.65	$4,401.00	$2,640.60–$4,268.97	151% above	35%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 HC ER SERVICE LEVEL 4 W MODIFIER 25	$2,860.65	$4,401.00	$1,087.05–$4,268.97	—	35%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 HC ER SERVICE LEVEL 4	$2,860.65	$4,401.00	$2,640.60–$4,268.97	—	35%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 HC OB TRIAGE SERVICE LEVEL 4 MOD25	$2,860.65	$4,401.00	$1,087.05–$4,268.97	—	35%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 HC OB TRIAGE SERVICE LEVEL 4	$2,860.65	$4,401.00	$2,640.60–$4,268.97	—	35%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HC ER SERVICE LEVEL 5	$4,767.10	$7,334.00	$4,400.40–$7,113.98	187% above	35%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HC OB TRIAGE SERVICE LEVEL 5	$4,767.10	$7,334.00	$4,400.40–$7,113.98	187% above	35%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 HC OB TRIAGE SERVICE LEVEL 5 MOD25	$4,767.10	$7,334.00	$1,811.50–$7,113.98	—	35%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 HC ER SERVICE LEVEL 5	$4,767.10	$7,334.00	$4,400.40–$7,113.98	—	35%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 HC ER SERVICE LEVEL 5 W MODIFIER 25	$4,767.10	$7,334.00	$1,811.50–$7,113.98	—	35%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 HC OB TRIAGE SERVICE LEVEL 5	$4,767.10	$7,334.00	$4,400.40–$7,113.98	—	35%
Exercise stress test, tracing only, the hospital charge CPT 93017 HC CARDIOVASC STRESS TEST TRACE ONLY	$1,057.55	$1,627.00	$230.41–$331.90	64% above	35%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 HC CARDIOVASC STRESS TEST TRACE ONLY	$1,057.55	$1,627.00	$976.20–$1,578.19	—	35%
Eye exam, returning patient, intermediate CPT 92012 HC EYE EXAM/EVAL; INTERMED, ESTAB PT	$126.10	$194.00	$137.35–$142.07	23% below	35%
Eye exam, returning patient, intermediate inpatient CPT 92012 HC EYE EXAM/EVAL; INTERMED, ESTAB PT	$126.10	$194.00	$116.40–$188.18	—	35%
Family therapy with the patient, 50 minutes CPT 90847 HC FAMILY PSYCHOTHERAPY W/PATIENT, 50 MIN	$172.90	$266.00	$159.60–$258.02	11% above	35%
Family therapy with the patient, 50 minutes inpatient CPT 90847 HC FAMILY PSYCHOTHERAPY W/PATIENT, 50 MIN	$172.90	$266.00	$159.60–$258.02	—	35%
Family therapy without the patient, 50 minutes CPT 90846 HC FAMILY PSYCHOTHERAPY W/O PATIENT, 50 MIN	$137.80	$212.00	$127.20–$205.64	11% below	35%
Family therapy without the patient, 50 minutes inpatient CPT 90846 HC FAMILY PSYCHOTHERAPY W/O PATIENT, 50 MIN	$137.80	$212.00	$127.20–$205.64	—	35%
Group psychotherapy session CPT 90853 HC GROUP PSYCHOTHERAPY,NOT MULT-FAM GROUP	$206.70	$318.00	$98.59–$108.40	56% above	35%
Group psychotherapy session inpatient CPT 90853 HC GROUP PSYCHOTHERAPY,NOT MULT-FAM GROUP	$206.70	$318.00	$190.80–$308.46	—	35%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HC IV INFUSION, HYDRATION; INITL, 31MIN - 1HR	$454.35	$699.00	$419.40–$678.03	143% above	35%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HC IV INFUSION, HYDRATION; INITL, 31MIN - 1HR	$454.35	$699.00	$419.40–$678.03	—	35%
IV infusion of a medicine, first hour CPT 96365 HC IV INFUSION THER/PROPH/DIAG INITIAL UP TO 1 HOUR	$553.15	$851.00	$510.60–$825.47	114% above	35%
IV infusion of a medicine, first hour inpatient CPT 96365 HC IV INFUSION THER/PROPH/DIAG INITIAL UP TO 1 HOUR	$553.15	$851.00	$510.60–$825.47	—	35%
IV push of a medicine, first drug CPT 96374 HC INJECT IV PUSH SNGL INITIAL DRUG THER/PROPH/DIAG	$369.85	$569.00	$79.93–$226.97	126% above	35%
IV push of a medicine, first drug inpatient CPT 96374 HC INJECT IV PUSH SNGL INITIAL DRUG THER/PROPH/DIAG	$369.85	$569.00	$341.40–$551.93	—	35%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 HC INJECTION THER/PROPH/DIAG; SUBQ/IM	$171.60	$264.00	$46.17–$76.83	148% above	35%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 HC INJECTION THER/PROPH/DIAG; SUBQ/IM	$171.60	$264.00	$158.40–$256.08	—	35%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 HC PSYCHIATRIC DIAGNOSTIC EVALUATION	$210.60	$324.00	$171.25–$189.40	3% below	35%
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 HC PSYCHIATRIC DIAGNOSTIC EVALUATION	$210.60	$324.00	$194.40–$314.28	—	35%
Nerve conduction study, 7 or 8 nerve studies CPT 95910 HC NERVE CONDUCTION STUDY,7-8 STUDIES	$393.25	$605.00	$331.90–$398.19	97% above	35%
Nerve conduction study, 7 or 8 nerve studies inpatient CPT 95910 HC NERVE CONDUCTION STUDY,7-8 STUDIES	$393.25	$605.00	$363.00–$586.85	—	35%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 HC THERAPEUTIC EXERC 1+AREAS NEUROMUSCULAR EA 15MIN	$106.60	$164.00	$21.57–$159.08	—	35%
New patient office visit, about 30 minutes CPT 99203 HC OFFICE/OUTPATIENT,TECH,NEW,LOW/30 MIN REQ	$145.60	$224.00	$55.33–$217.28	20% below	35%
New patient office visit, about 30 minutes inpatient CPT 99203 HC OFFICE/OUPATIENT,TECH,NEW,LOW/30 MIN REQ,MOD 25	$145.60	$224.00	$55.33–$217.28	—	35%
New patient office visit, about 30 minutes inpatient CPT 99203 HC OFFICE/OUTPATIENT,TECH,NEW,LOW/30 MIN REQ	$145.60	$224.00	$55.33–$217.28	—	35%
New patient office visit, about 45 minutes CPT 99204 HC OFFICE/OUTPATIENT,TECH,NEW,MOD/45 MIN REQ	$145.60	$224.00	$55.33–$217.28	26% below	35%
New patient office visit, about 45 minutes inpatient CPT 99204 HC OFFICE/OUTPATIENT,TECH,NEW,MOD/45 MIN REQ	$145.60	$224.00	$55.33–$217.28	—	35%
New patient office visit, about 45 minutes inpatient CPT 99204 HC OFFICE/OUTPATIENT,TECH,NEW,MOD/45 MIN REQ,MOD25	$145.60	$224.00	$55.33–$217.28	—	35%
New patient office visit, about 60 minutes CPT 99205 HC OFFICE/OUTPATIENT,TECH,NEW,HIGH/60 MIN REQ	$145.60	$224.00	$55.33–$217.28	36% below	35%
New patient office visit, about 60 minutes inpatient CPT 99205 HC OFFICE/OUTPATIENT,TECH,NEW,HIGH/60 MIN REQ	$145.60	$224.00	$55.33–$217.28	—	35%
New patient office visit, about 60 minutes inpatient CPT 99205 HC OFFICE/OUTPATIENT,TECH,NEW,HIGH/60 MIN REQ,MOD25	$145.60	$224.00	$55.33–$217.28	—	35%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 HC OFFICE/OUTPATIENT,TECH,NEW,15MIN REQ	$145.60	$224.00	$55.33–$217.28	1% below	35%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 HC OFFICE/OUTPATIENT,TECH,NEW,15MIN REQ,MOD25	$145.60	$224.00	$55.33–$217.28	—	35%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 HC OFFICE/OUTPATIENT,TECH,NEW,15MIN REQ	$145.60	$224.00	$55.33–$217.28	—	35%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 HC MEDICAL NUTRITION THERAPY,INITIAL EA 15MIN	$54.60	$84.00	$26.08–$30.66	63% below	35%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 HC MEDICAL NUTRITION THERAPY,INITIAL EA 15MIN	$54.60	$84.00	$11.05–$81.48	—	35%
Occupational therapy evaluation, low complexity inpatient CPT 97165 HC OCCUPATIONAL THERAPY; LOW COMPLEXITY, 30 MIN	$267.80	$412.00	$54.18–$399.64	—	35%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 HC PHYSICAL THERAPY; HIGH COMPLEXITY, 45 MIN	$369.85	$569.00	$74.82–$551.93	—	35%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 HC PHYSICAL THERAPY; LOW COMPLEXITY, 20 MIN	$261.95	$403.00	$52.99–$390.91	—	35%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 HC PHYSICAL THERAPY; MODERATE COMPLEXITY, 30 MIN	$333.45	$513.00	$67.46–$497.61	—	35%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HC MANUAL THERAPY TECH 1+REGION EA 15MIN	$161.20	$248.00	$32.61–$240.56	—	35%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC THERAPEUTIC EXERC 1+AREAS EA 15MIN	$123.50	$190.00	$24.99–$184.30	—	35%
Psychiatric evaluation with medical services CPT 90792 HC PSYCHIATRIC DIAGNOSTIC EVAL W/MEDICAL SERVICES	$221.00	$340.00	$171.25–$189.40	2% below	35%
Psychiatric evaluation with medical services inpatient CPT 90792 HC PSYCHIATRIC DIAGNOSTIC EVAL W/MEDICAL SERVICES	$221.00	$340.00	$204.00–$329.80	—	35%
Psychological testing evaluation by a psychologist or physician, first hour CPT 96130 HC PSYCHOLOGICAL TEST EVAL SVC PHYS/QHP 1ST HR	$235.95	$363.00	$217.80–$352.11	20% below	35%
Psychological testing evaluation by a psychologist or physician, first hour inpatient CPT 96130 HC PSYCHOLOGICAL TEST EVAL SVC PHYS/QHP 1ST HR	$235.95	$363.00	$217.80–$352.11	—	35%
Psychotherapy for crisis, first 60 minutes CPT 90839 HC PSYCHOTHERAPY,CRISIS,FIRST 60MIN	$200.85	$309.00	$185.40–$299.73	8% below	35%
Psychotherapy for crisis, first 60 minutes inpatient CPT 90839 HC PSYCHOTHERAPY,CRISIS,FIRST 60MIN	$200.85	$309.00	$185.40–$299.73	—	35%
Psychotherapy session, 30 minutes CPT 90832 HC PSYCHOTHERAPY, W/PATIENT 30 MIN	$126.10	$194.00	$116.40–$188.18	19% below	35%
Psychotherapy session, 30 minutes inpatient CPT 90832 HC PSYCHOTHERAPY, W/PATIENT 30 MIN	$126.10	$194.00	$116.40–$188.18	—	35%
Psychotherapy session, 45 minutes CPT 90834 HC PSYCHOTHERAPY, W/PATIENT 45 MIN	$150.80	$232.00	$139.20–$225.04	17% below	35%
Psychotherapy session, 45 minutes inpatient CPT 90834 HC PSYCHOTHERAPY, W/PATIENT 45 MIN	$150.80	$232.00	$139.20–$225.04	—	35%
Psychotherapy session, 60 minutes CPT 90837 HC PSYCHOTHERAPY, W/PATIENT 60 MIN	$176.15	$271.00	$171.25–$189.40	15% below	35%
Psychotherapy session, 60 minutes inpatient CPT 90837 HC PSYCHOTHERAPY, W/PATIENT 60 MIN	$176.15	$271.00	$162.60–$262.87	—	35%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 HC SMOKING/TOBACCO CESSATION COUNSEL,INTERM, 3-10MIN	$33.80	$52.00	$31.75–$39.98	9% above	35%
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 HC SMOKING/TOBACCO CESSATION COUNSEL,INTERM, 3-10MIN	$33.80	$52.00	$31.20–$50.44	—	35%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 HC OFFICE/OUTPATIENT,TECH,ESTAB,HIGH/40 MIN REQ	$145.60	$224.00	$55.33–$217.28	34% below	35%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 HC OFFICE/OUTPATIENT,TECH,ESTAB,HIGH/40 MIN REQ,MOD 25	$145.60	$224.00	$55.33–$217.28	—	35%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 HC OFFICE/OUTPATIENT,TECH,ESTAB,HIGH/40 MIN REQ	$145.60	$224.00	$55.33–$217.28	—	35%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 HC OFFICE/OUTPATIENT,TECH,ESTAB,LOW/20 MIN REQ	$145.60	$224.00	$55.33–$217.28	4% above	35%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 HC OFFICE/OUTPATIENT,TECH,ESTAB,LOW/20 MIN REQ	$145.60	$224.00	$55.33–$217.28	—	35%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 HC OFFICE/OUTPATIENT,TECH,ESTAB,LOW/20 MIN REQ,MOD 25	$145.60	$224.00	$55.33–$217.28	—	35%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HC OFFICE/OUTPATIENT,TECH,ESTAB,MOD/30 MIN REQ	$145.60	$224.00	$55.33–$217.28	39% below	35%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 HC OFFICE/OUTPATIENT,TECH,ESTAB,MOD/30 MIN REQ	$145.60	$224.00	$55.33–$217.28	—	35%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 HC OFFICE/OUTPATIENT,TECH,ESTAB,MOD/30 MIN REQ,MOD 25	$145.60	$224.00	$55.33–$217.28	—	35%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HC OFFICE/OUTPATIENT,TECH,ESTAB,MIN/10 MIN REQ	$145.60	$224.00	$55.33–$217.28	4% above	35%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 HC OFFICE/OUTPATIENT,TECH,ESTAB,MIN/10 MIN REQ	$145.60	$224.00	$55.33–$217.28	—	35%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 HC OFFICE/OUTPATIENT,TECH,ESTAB,MIN/10 MIN REQ,MOD 25	$145.60	$224.00	$55.33–$217.28	—	35%
Specialist consultation, low complexity or 30+ minutes CPT 99243 HC OFFICE/OP CONSLTJ NEW/EST PT LOW MDM 30 MINUTES	$133.25	$205.00	$26.96–$198.85	34% above	35%
Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 HC OFFICE/OP CONSLTJ NEW/EST PT LOW MDM 30 MINUTES	$133.25	$205.00	$26.96–$198.85	—	35%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 HC OFFICE/OP CONSLTJ NEW/EST PT MOD MDM 40 MINUTES	$133.25	$205.00	$26.96–$198.85	at median	35%
Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 HC OFFICE/OP CONSLTJ NEW/EST PT MOD MDM 40 MINUTES	$133.25	$205.00	$26.96–$198.85	—	35%
Speech and language evaluation inpatient CPT 92523 HC EVAL SPEECH SOUND PRODUCTION W/EVAL LANG COMP/XPRESSN	$456.95	$703.00	$92.44–$681.91	—	35%
Speech therapy session, individual inpatient CPT 92507 HC SPEECH/HEARING THERAPY; INDIVIDUAL	$218.40	$336.00	$44.18–$325.92	—	35%
Spirometry (breathing test) CPT 94010 HC SPIROMETRY W GRAPH REC & MEASUREMENTS	$193.70	$298.00	$166.76–$230.41	at median	35%
Spirometry (breathing test) inpatient CPT 94010 HC SPIROMETRY W GRAPH REC & MEASUREMENTS	$193.70	$298.00	$178.80–$289.06	—	35%
Spirometry before and after a bronchodilator CPT 94060 HC BRONCHODILATION RESP SPIROMTRY PRE/POST W GRPH&MEAS	$536.90	$826.00	$197.00–$398.19	75% above	35%
Spirometry before and after a bronchodilator inpatient CPT 94060 HC BRONCHODILATION RESP SPIROMTRY PRE/POST W GRPH&MEAS	$536.90	$826.00	$495.60–$801.22	—	35%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HC THERAPEUTIC ACTIV DIRECT PT CONTACT EA 15MIN	$118.30	$182.00	$23.93–$176.54	—	35%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 HC PHLEBOTOMY,THERAPEUTIC(SEPARATE PX)	$474.50	$730.00	$438.00–$708.10	73% above	35%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 HC PHLEBOTOMY,THERAPEUTIC(SEPARATE PX)	$474.50	$730.00	$438.00–$708.10	—	35%
Visual field test, extended CPT 92083 HC VISUAL FIELD EXAM,EXTENDED,I&R	$118.95	$183.00	$109.80–$177.51	—	35%
Visual field test, extended inpatient CPT 92083 HC VISUAL FIELD EXAM,EXTENDED,I&R	$118.95	$183.00	$109.80–$177.51	—	35%

Vaccines

Procedure	Cash price	List price	Insurers pay	vs Arizona	Off list
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 varicella (Varivax) vaccine lyophilized component (1 of 2)	$209.65	$322.54	$79.67–$312.86	28% below	35%
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 varicella (Varivax) vaccine lyophilized component (1 of 2)	$209.65	$322.54	$79.67–$312.86	28% below	35%
Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 varicella (Varivax) vaccine lyophilized component (1 of 2)	$209.65	$322.54	$79.67–$312.86	—	35%
Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 varicella (Varivax) vaccine lyophilized component (1 of 2)	$209.65	$322.54	$79.67–$312.86	—	35%
DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) CPT 90696 DTaP-IPV (PF) (QuadraceL) 0.5 mL injection	$46.83	$72.04	$17.79–$69.88	64% below	35%
DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) CPT 90696 DTaP-IPV (PF) (QuadraceL) 0.5 mL injection	$46.83	$72.04	$17.79–$69.88	64% below	35%
DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) CPT 90696 DTAP-IPV (PF) (Kinrix) 0.5 mL injection	$97.22	$149.57	$36.94–$145.08	26% below	35%
DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) CPT 90696 DTAP-IPV (PF) (Kinrix) 0.5 mL injection	$97.22	$149.57	$36.94–$145.08	26% below	35%
DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) inpatient CPT 90696 DTaP-IPV (PF) (QuadraceL) 0.5 mL injection	$46.83	$72.04	$17.79–$69.88	—	35%
DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) inpatient CPT 90696 DTaP-IPV (PF) (QuadraceL) 0.5 mL injection	$46.83	$72.04	$17.79–$69.88	—	35%
DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) inpatient CPT 90696 DTAP-IPV (PF) (Kinrix) 0.5 mL injection	$97.22	$149.57	$36.94–$145.08	—	35%
DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) inpatient CPT 90696 DTAP-IPV (PF) (Kinrix) 0.5 mL injection	$97.22	$149.57	$36.94–$145.08	—	35%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 DTaP (age < 7) diphpertusstet vaccine (PF) (Infanrix) 0.5 mL injection	$45.58	$70.12	$17.32–$68.02	34% below	35%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 DTaP (age < 7) diphpertusstet vaccine (PF) (Infanrix) 0.5 mL injection	$45.58	$70.12	$17.32–$68.02	34% below	35%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 DTaP (age < 7) diphpertusstet vaccine (PF) (DaptaceL) 0.5 mL injection	$46.83	$72.04	$17.79–$69.88	32% below	35%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 DTaP (age < 7) diphpertusstet vaccine (PF) (DaptaceL) 0.5 mL injection	$46.83	$72.04	$17.79–$69.88	32% below	35%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 DTaP (age < 7) diphpertusstet vaccine (PF) (Infanrix) 0.5 mL injection	$45.58	$70.12	$17.32–$68.02	—	35%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 DTaP (age < 7) diphpertusstet vaccine (PF) (Infanrix) 0.5 mL injection	$45.58	$70.12	$17.32–$68.02	—	35%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 DTaP (age < 7) diphpertusstet vaccine (PF) (DaptaceL) 0.5 mL injection	$46.83	$72.04	$17.79–$69.88	—	35%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 DTaP (age < 7) diphpertusstet vaccine (PF) (DaptaceL) 0.5 mL injection	$46.83	$72.04	$17.79–$69.88	—	35%
DTaP, hepatitis B and polio combination vaccine (Pediarix) CPT 90723 hep B-DTaP-IPV (PF) (Pediarix) 0.5 mL injection	$160.67	$247.19	$61.06–$239.77	18% below	35%
DTaP, hepatitis B and polio combination vaccine (Pediarix) CPT 90723 hep B-DTaP-IPV (PF) (Pediarix) 0.5 mL injection	$160.67	$247.19	$61.06–$239.77	18% below	35%
DTaP, hepatitis B and polio combination vaccine (Pediarix) inpatient CPT 90723 hep B-DTaP-IPV (PF) (Pediarix) 0.5 mL injection	$160.67	$247.19	$61.06–$239.77	—	35%
DTaP, hepatitis B and polio combination vaccine (Pediarix) inpatient CPT 90723 hep B-DTaP-IPV (PF) (Pediarix) 0.5 mL injection	$160.67	$247.19	$61.06–$239.77	—	35%
DTaP, polio and Hib combination vaccine (Pentacel) CPT 90698 DTaP-IPV/Hib (PF) (PentaceL) injection 0.5 mL	$115.26	$177.33	$43.80–$172.01	28% above	35%
DTaP, polio and Hib combination vaccine (Pentacel) CPT 90698 DTaP-IPV/Hib (PF) (PentaceL) injection 0.5 mL	$115.26	$177.33	$43.80–$172.01	28% above	35%
DTaP, polio and Hib combination vaccine (Pentacel) inpatient CPT 90698 DTaP-IPV/Hib (PF) (PentaceL) injection 0.5 mL	$115.26	$177.33	$43.80–$172.01	—	35%
DTaP, polio and Hib combination vaccine (Pentacel) inpatient CPT 90698 DTaP-IPV/Hib (PF) (PentaceL) injection 0.5 mL	$115.26	$177.33	$43.80–$172.01	—	35%
HPV vaccine, 9-valent (Gardasil 9) CPT 90651 hpv vaccine (PF) (GardasiL 9) 0.5 mL injection	$479.67	$737.96	$182.28–$715.82	7% above	35%
HPV vaccine, 9-valent (Gardasil 9) CPT 90651 hpv vaccine (PF) (GardasiL 9) 0.5 mL injection	$479.67	$737.96	$182.28–$715.82	7% above	35%
HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 hpv vaccine (PF) (GardasiL 9) 0.5 mL injection	$479.67	$737.96	$182.28–$715.82	—	35%
HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 hpv vaccine (PF) (GardasiL 9) 0.5 mL injection	$479.67	$737.96	$182.28–$715.82	—	35%
Hepatitis A and B combination vaccine, adult (Twinrix) CPT 90636 hepatitis A and B vaccine (PF) (Twinrix) 1 mL injection	$118.89	$182.91	$45.18–$177.42	25% below	35%
Hepatitis A and B combination vaccine, adult (Twinrix) CPT 90636 hepatitis A and B vaccine (PF) (Twinrix) 1 mL injection	$118.89	$182.91	$45.18–$177.42	25% below	35%
Hepatitis A and B combination vaccine, adult (Twinrix) inpatient CPT 90636 hepatitis A and B vaccine (PF) (Twinrix) 1 mL injection	$118.89	$182.91	$45.18–$177.42	—	35%
Hepatitis A and B combination vaccine, adult (Twinrix) inpatient CPT 90636 hepatitis A and B vaccine (PF) (Twinrix) 1 mL injection	$118.89	$182.91	$45.18–$177.42	—	35%
Hepatitis A vaccine, adult dose CPT 90632 Hepatitis A vaccine (PF) (Havrix) 1440 units/1 mL injection	$44.49	$68.44	$16.90–$66.39	54% below	35%
Hepatitis A vaccine, adult dose CPT 90632 Hepatitis A vaccine (PF) (Havrix) 1440 units/1 mL injection	$44.49	$68.44	$16.90–$66.39	54% below	35%
Hepatitis A vaccine, adult dose CPT 90632 hepatitis A vaccine (PF) (VAQTA) injection 50 units/1 mL	$75.85	$116.69	$28.82–$113.19	22% below	35%
Hepatitis A vaccine, adult dose CPT 90632 hepatitis A vaccine (PF) (VAQTA) injection 50 units/1 mL	$75.85	$116.69	$28.82–$113.19	22% below	35%
Hepatitis A vaccine, adult dose inpatient CPT 90632 Hepatitis A vaccine (PF) (Havrix) 1440 units/1 mL injection	$44.49	$68.44	$16.90–$66.39	—	35%
Hepatitis A vaccine, adult dose inpatient CPT 90632 Hepatitis A vaccine (PF) (Havrix) 1440 units/1 mL injection	$44.49	$68.44	$16.90–$66.39	—	35%
Hepatitis A vaccine, adult dose inpatient CPT 90632 hepatitis A vaccine (PF) (VAQTA) injection 50 units/1 mL	$75.85	$116.69	$28.82–$113.19	—	35%
Hepatitis A vaccine, adult dose inpatient CPT 90632 hepatitis A vaccine (PF) (VAQTA) injection 50 units/1 mL	$75.85	$116.69	$28.82–$113.19	—	35%
Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 hepatitis A vaccine (PF) (Vaqta) 25 units/0.5 mL injection	$1,949.56	$2,999.33	$740.83–$2,909.35	1628% above	35%
Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 hepatitis A vaccine (PF) (Vaqta) 25 units/0.5 mL injection	$1,949.56	$2,999.33	$740.83–$2,909.35	1628% above	35%
Hepatitis A vaccine, child and teen dose (2-dose schedule) inpatient CPT 90633 hepatitis A vaccine (PF) (Vaqta) 25 units/0.5 mL injection	$1,949.56	$2,999.33	$740.83–$2,909.35	—	35%
Hepatitis A vaccine, child and teen dose (2-dose schedule) inpatient CPT 90633 hepatitis A vaccine (PF) (Vaqta) 25 units/0.5 mL injection	$1,949.56	$2,999.33	$740.83–$2,909.35	—	35%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 hepatitis B vaccine (PF) (Engerix-B) 1 mL injection	$39.58	$60.89	$15.04–$59.06	48% below	35%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 hepatitis B vaccine (PF) (Engerix-B) 1 mL injection	$39.58	$60.89	$15.04–$59.06	48% below	35%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 hepatitis B vaccine (RECOMBIVAX HB) (PF) injection	$59.47	$91.49	$22.60–$88.75	22% below	35%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 hepatitis B vaccine (RECOMBIVAX HB) (PF) injection	$59.47	$91.49	$22.60–$88.75	22% below	35%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 hepatitis B vaccine (PF) (Engerix-B) 1 mL injection	$39.58	$60.89	$15.04–$59.06	—	35%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 hepatitis B vaccine (PF) (Engerix-B) 1 mL injection	$39.58	$60.89	$15.04–$59.06	—	35%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 hepatitis B vaccine (RECOMBIVAX HB) (PF) injection	$59.47	$91.49	$22.60–$88.75	—	35%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 hepatitis B vaccine (RECOMBIVAX HB) (PF) injection	$59.47	$91.49	$22.60–$88.75	—	35%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 hepatitis B vaccine (PF) (Recombivax HB) (Peds) 0.5 mL injection	$43.34	$66.68	$16.47–$64.68	44% below	35%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 hepatitis B vaccine (Engerix-B) (PF) (Pediatric) IM injection	$43.34	$66.68	$16.47–$64.68	44% below	35%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 hepatitis B vaccine (Engerix-B) (PF) (Pediatric) IM injection	$43.34	$66.68	$16.47–$64.68	44% below	35%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 hepatitis B vaccine (PF) (Recombivax HB) (Peds) 0.5 mL injection	$43.34	$66.68	$16.47–$64.68	44% below	35%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 NULL	$59.47	$91.49	$22.60–$88.75	23% below	35%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 NULL	$59.47	$91.49	$22.60–$88.75	23% below	35%
Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 hepatitis B vaccine (Engerix-B) (PF) (Pediatric) IM injection	$43.34	$66.68	$16.47–$64.68	—	35%
Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 hepatitis B vaccine (Engerix-B) (PF) (Pediatric) IM injection	$43.34	$66.68	$16.47–$64.68	—	35%
Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 hepatitis B vaccine (PF) (Recombivax HB) (Peds) 0.5 mL injection	$43.34	$66.68	$16.47–$64.68	—	35%
Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 hepatitis B vaccine (PF) (Recombivax HB) (Peds) 0.5 mL injection	$43.34	$66.68	$16.47–$64.68	—	35%
Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 NULL	$59.47	$91.49	$22.60–$88.75	—	35%
Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 NULL	$59.47	$91.49	$22.60–$88.75	—	35%
Hib vaccine (Haemophilus influenzae type b), 3-dose schedule (PedvaxHIB) CPT 90647 haemophilus B conjugate (PedvaxHIB) (PF) 0.5 mL injection	$101.82	$156.65	$38.69–$151.95	81% above	35%
Hib vaccine (Haemophilus influenzae type b), 3-dose schedule (PedvaxHIB) CPT 90647 haemophilus B conjugate (PedvaxHIB) (PF) 0.5 mL injection	$101.82	$156.65	$38.69–$151.95	81% above	35%
Hib vaccine (Haemophilus influenzae type b), 3-dose schedule (PedvaxHIB) inpatient CPT 90647 haemophilus B conjugate (PedvaxHIB) (PF) 0.5 mL injection	$101.82	$156.65	$38.69–$151.95	—	35%
Hib vaccine (Haemophilus influenzae type b), 3-dose schedule (PedvaxHIB) inpatient CPT 90647 haemophilus B conjugate (PedvaxHIB) (PF) 0.5 mL injection	$101.82	$156.65	$38.69–$151.95	—	35%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 haemophilus b polysac/tetanus toxoid (PF) (ActHIB;Hiberix) injection 0.5 mL	$15.81	$24.32	$6.01–$23.59	58% below	35%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 haemophilus b polysac/tetanus toxoid (PF) (ActHIB;Hiberix) injection 0.5 mL	$15.81	$24.32	$6.01–$23.59	58% below	35%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) inpatient CPT 90648 haemophilus b polysac/tetanus toxoid (PF) (ActHIB;Hiberix) injection 0.5 mL	$15.81	$24.32	$6.01–$23.59	—	35%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) inpatient CPT 90648 haemophilus b polysac/tetanus toxoid (PF) (ActHIB;Hiberix) injection 0.5 mL	$15.81	$24.32	$6.01–$23.59	—	35%
MMR vaccine (measles, mumps and rubella), live CPT 90707 measles mumps and rubella (PF) (M-M-R II) vaccine lyophilized component (1 of 2)	$245.08	$377.05	$93.13–$365.74	38% above	35%
MMR vaccine (measles, mumps and rubella), live CPT 90707 measles mumps and rubella (PF) (M-M-R II) vaccine lyophilized component (1 of 2)	$245.08	$377.05	$93.13–$365.74	38% above	35%
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 measles mumps and rubella (PF) (M-M-R II) vaccine lyophilized component (1 of 2)	$245.08	$377.05	$93.13–$365.74	—	35%
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 measles mumps and rubella (PF) (M-M-R II) vaccine lyophilized component (1 of 2)	$245.08	$377.05	$93.13–$365.74	—	35%
MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) CPT 90710 measles-mumps-rubella-varicella (PF) (ProQuad) vaccine lyophilized component (1 of 2)	$85.51	$131.55	$32.49–$127.60	68% below	35%
MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) CPT 90710 measles-mumps-rubella-varicella (PF) (ProQuad) vaccine lyophilized component (1 of 2)	$85.51	$131.55	$32.49–$127.60	68% below	35%
MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) inpatient CPT 90710 measles-mumps-rubella-varicella (PF) (ProQuad) vaccine lyophilized component (1 of 2)	$85.51	$131.55	$32.49–$127.60	—	35%
MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) inpatient CPT 90710 measles-mumps-rubella-varicella (PF) (ProQuad) vaccine lyophilized component (1 of 2)	$85.51	$131.55	$32.49–$127.60	—	35%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 meningococcaL polysaccharide (PF) (Menactra) 0.5 mL injection	$263.97	$406.10	$100.31–$393.92	32% below	35%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 meningococcaL polysaccharide (PF) (Menactra) 0.5 mL injection	$263.97	$406.10	$100.31–$393.92	32% below	35%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 meningococcaL oligosaccharide (PF) (Menveo) 0.5 mL injection	$367.93	$566.05	$139.81–$549.07	5% below	35%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 meningococcaL oligosaccharide (PF) (Menveo) 0.5 mL injection	$367.93	$566.05	$139.81–$549.07	5% below	35%
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 meningococcaL polysaccharide (PF) (Menactra) 0.5 mL injection	$263.97	$406.10	$100.31–$393.92	—	35%
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 meningococcaL polysaccharide (PF) (Menactra) 0.5 mL injection	$263.97	$406.10	$100.31–$393.92	—	35%
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 meningococcaL oligosaccharide (PF) (Menveo) 0.5 mL injection	$367.93	$566.05	$139.81–$549.07	—	35%
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 meningococcaL oligosaccharide (PF) (Menveo) 0.5 mL injection	$367.93	$566.05	$139.81–$549.07	—	35%
Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 meningococcaL group B (Bexsero) 0.5 mL injection	$369.72	$568.80	$140.49–$551.74	36% below	35%
Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 meningococcaL group B (Bexsero) 0.5 mL injection	$369.72	$568.80	$140.49–$551.74	36% below	35%
Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 meningococcaL group B (Bexsero) 0.5 mL injection	$369.72	$568.80	$140.49–$551.74	—	35%
Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 meningococcaL group B (Bexsero) 0.5 mL injection	$369.72	$568.80	$140.49–$551.74	—	35%
Meningococcal B vaccine (Trumenba) CPT 90621 meningococcal group B vaccine (Trumenba) 0.5 mL injection	$323.22	$497.26	$122.82–$482.34	25% below	35%
Meningococcal B vaccine (Trumenba) CPT 90621 meningococcal group B vaccine (Trumenba) 0.5 mL injection	$323.22	$497.26	$122.82–$482.34	25% below	35%
Meningococcal B vaccine (Trumenba) inpatient CPT 90621 meningococcal group B vaccine (Trumenba) 0.5 mL injection	$323.22	$497.26	$122.82–$482.34	—	35%
Meningococcal B vaccine (Trumenba) inpatient CPT 90621 meningococcal group B vaccine (Trumenba) 0.5 mL injection	$323.22	$497.26	$122.82–$482.34	—	35%
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 pneumococcaL (Prevnar-13) (PF) 0.5 mL injection	$440.54	$677.75	$167.40–$657.42	86% above	35%
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 pneumococcaL (Prevnar-13) (PF) 0.5 mL injection	$440.54	$677.75	$167.40–$657.42	86% above	35%
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) inpatient CPT 90670 pneumococcaL (Prevnar-13) (PF) 0.5 mL injection	$440.54	$677.75	$167.40–$657.42	—	35%
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) inpatient CPT 90670 pneumococcaL (Prevnar-13) (PF) 0.5 mL injection	$440.54	$677.75	$167.40–$657.42	—	35%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 pneumococcaL (Pneumovax-23) 0.5 mL vaccine	$246.16	$378.70	$93.54–$367.34	236% above	35%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 pneumococcaL (Pneumovax-23) 0.5 mL vaccine	$246.16	$378.70	$93.54–$367.34	236% above	35%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 pneumococcaL (Pneumovax-23) 0.5 mL vaccine	$246.16	$378.70	$93.54–$367.34	—	35%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 pneumococcaL (Pneumovax-23) 0.5 mL vaccine	$246.16	$378.70	$93.54–$367.34	—	35%
Polio vaccine, inactivated (IPV) CPT 90713 poliovirus vaccine (IPOL) injection 0.5 mL	$328.14	$504.83	$124.69–$489.69	515% above	35%
Polio vaccine, inactivated (IPV) CPT 90713 poliovirus vaccine (IPOL) injection 0.5 mL	$328.14	$504.83	$124.69–$489.69	515% above	35%
Polio vaccine, inactivated (IPV) inpatient CPT 90713 poliovirus vaccine (IPOL) injection 0.5 mL	$328.14	$504.83	$124.69–$489.69	—	35%
Polio vaccine, inactivated (IPV) inpatient CPT 90713 poliovirus vaccine (IPOL) injection 0.5 mL	$328.14	$504.83	$124.69–$489.69	—	35%
Rabies vaccine, one dose CPT 90675 rabies PCEC (PF) (RabAvert) vaccine lyophilized component	$875.55	$1,347.00	$312.03–$331.97	138% above	35%
Rabies vaccine, one dose CPT 90675 rabies PCEC (PF) (RabAvert) vaccine lyophilized component	$875.55	$1,347.00	$808.20–$1,306.59	138% above	35%
Rabies vaccine, one dose inpatient CPT 90675 rabies PCEC (PF) (RabAvert) vaccine lyophilized component	$875.55	$1,347.00	$808.20–$1,306.59	—	35%
Rabies vaccine, one dose inpatient CPT 90675 rabies PCEC (PF) (RabAvert) vaccine lyophilized component	$875.55	$1,347.00	$808.20–$1,306.59	—	35%
Rotavirus vaccine, oral, 2-dose schedule (Rotarix) CPT 90681 rotavirus vaccine (live) (Rotarix) 1 mL oral suspension	$119.70	$184.16	$45.49–$178.64	at median	35%
Rotavirus vaccine, oral, 2-dose schedule (Rotarix) CPT 90681 rotavirus vaccine (live) (Rotarix) 1 mL oral suspension	$119.70	$184.16	$45.49–$178.64	at median	35%
Rotavirus vaccine, oral, 2-dose schedule (Rotarix) inpatient CPT 90681 rotavirus vaccine (live) (Rotarix) 1 mL oral suspension	$119.70	$184.16	$45.49–$178.64	—	35%
Rotavirus vaccine, oral, 2-dose schedule (Rotarix) inpatient CPT 90681 rotavirus vaccine (live) (Rotarix) 1 mL oral suspension	$119.70	$184.16	$45.49–$178.64	—	35%
Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) CPT 90680 rotavirus vaccine (live) (RotaTeq) 2 mL oral solution	$92.17	$141.80	$35.02–$137.55	17% below	35%
Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) CPT 90680 rotavirus vaccine (live) (RotaTeq) 2 mL oral solution	$92.17	$141.80	$35.02–$137.55	17% below	35%
Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) inpatient CPT 90680 rotavirus vaccine (live) (RotaTeq) 2 mL oral solution	$92.17	$141.80	$35.02–$137.55	—	35%
Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) inpatient CPT 90680 rotavirus vaccine (live) (RotaTeq) 2 mL oral solution	$92.17	$141.80	$35.02–$137.55	—	35%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 tetanus-diphtheria toxoids (Tenivac) (PF) 0.5 mL injection (adult)	$23.82	$36.65	$9.05–$35.55	78% below	35%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 tetanus-diphtheria toxoids (Tenivac) (PF) 0.5 mL injection (adult)	$23.82	$36.65	$9.05–$35.55	78% below	35%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 tetanus-diphtheria toxoids (TDVAX) injection 0.5 mL (adult)	$51.21	$78.78	$19.46–$76.42	52% below	35%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 tetanus-diphtheria toxoids (TDVAX) injection 0.5 mL (adult)	$51.21	$78.78	$19.46–$76.42	52% below	35%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 tetanus-diphtheria toxoids (Tenivac) (PF) 0.5 mL injection (adult)	$23.82	$36.65	$9.05–$35.55	—	35%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 tetanus-diphtheria toxoids (Tenivac) (PF) 0.5 mL injection (adult)	$23.82	$36.65	$9.05–$35.55	—	35%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 tetanus-diphtheria toxoids (TDVAX) injection 0.5 mL (adult)	$51.21	$78.78	$19.46–$76.42	—	35%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 tetanus-diphtheria toxoids (TDVAX) injection 0.5 mL (adult)	$51.21	$78.78	$19.46–$76.42	—	35%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Tdap (Boostrix) 0.5 mL injection	$57.94	$89.14	$22.02–$86.47	57% below	35%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Tdap (Boostrix) 0.5 mL injection	$57.94	$89.14	$22.02–$86.47	57% below	35%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Tdap (PF) (AdaceL) (age 7+) 0.5 mL injection	$76.17	$117.18	$28.94–$113.66	44% below	35%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Tdap (PF) (AdaceL) (age 7+) 0.5 mL injection	$76.17	$117.18	$28.94–$113.66	44% below	35%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 Tdap (Boostrix) 0.5 mL injection	$57.94	$89.14	$22.02–$86.47	—	35%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 Tdap (Boostrix) 0.5 mL injection	$57.94	$89.14	$22.02–$86.47	—	35%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 Tdap (PF) (AdaceL) (age 7+) 0.5 mL injection	$76.17	$117.18	$28.94–$113.66	—	35%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 Tdap (PF) (AdaceL) (age 7+) 0.5 mL injection	$76.17	$117.18	$28.94–$113.66	—	35%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC IMMUNIZATION ADMIN,1 VACCINE	$95.55	$147.00	$88.20–$142.59	74% above	35%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC IMMUNIZATION ADMIN,1 VACCINE	$95.55	$147.00	$88.20–$142.59	—	35%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 HC IMMUNIZATION ADMIN,EA ADDL VACCINE	$72.80	$112.00	$27.66–$108.64	105% above	35%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 HC IMMUNIZATION ADMIN,EA ADDL VACCINE	$72.80	$112.00	$27.66–$108.64	—	35%

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://yumaregional.pt.panaceainc.com/MRFDownload/yumaregional/yumaregionalmedicalcenter