Boston Medical Center
Boston Medical Center in Boston, MA publishes cash prices for 490 common procedures listed here, from its own machine-readable price file updated Mar 13, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the Massachusetts median for 417 of 478 procedures and above it for 48. By typical cash price it ranks #5 of 33 Massachusetts hospitals and #4 of 27 hospitals in the Boston, MA area, cheapest first. Select a procedure to compare it with other hospitals nearby.
One Boston Medical Center Pl, Boston, MA 02118 Collected Sep 22, 2026 Source price file Check a bill from this hospital (617) 638-8000
Acute care hospital Nonprofit hospital Emergency department CMS star rating 3 of 5 CCN 220031 · CMS hospital register NPI 1346218294
Financial assistance
Nonprofit hospital: it must offer free or discounted care to patients who qualify. How to apply
Boston 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 4 actions for a hospital named Boston Medical Center in Boston, MA:
- Mar 29, 2023 Warning notice
- Jul 13, 2023 Case closed
- Mar 25, 2025 Warning notice
- Jun 25, 2025 Case closed
Warning notice: CMS reviewed the hospital and told it that it had found possible violations of the price transparency rules. Case closed: CMS closed the case after the hospital addressed the problems.
A notice records a step in a CMS review; it is not a court finding. Source: CMS, Hospital Price Transparency Enforcement Activities and Outcomes, actions through Jul 31, 2026.
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs Massachusetts | Off list |
|---|---|---|---|---|---|
| Abdominal CT scan without and with contrast CPT 74170 HC CT Abdomen With and Without Contrast | $1,538.55 | $3,419.00 | $179.20–$2,906.15 | 15% below | 55% |
| Abdominal CT scan without and with contrast inpatient CPT 74170 HC CT Abdomen With and Without Contrast | $1,538.55 | $3,419.00 | $179.20–$2,906.15 | — | 55% |
| Abdominal X-ray, 2 views CPT 74019 HC Xray Abd 2 Views | $252.90 | $562.00 | $106.81–$512.54 | 32% below | 55% |
| Abdominal X-ray, 2 views inpatient CPT 74019 HC Xray Abd 2 Views | $252.90 | $562.00 | $106.81–$512.54 | — | 55% |
| Ankle X-ray, complete, 3 or more views CPT 73610 HC Chg Radex Ankle Complete Minimum 3 Views | $226.35 | $503.00 | $26.84–$512.54 | 12% below | 55% |
| Ankle X-ray, complete, 3 or more views inpatient CPT 73610 HC Chg Radex Ankle Complete Minimum 3 Views | $226.35 | $503.00 | $26.84–$512.54 | — | 55% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 HC Non-Invas Physiologic Std Extremity Art 2 Level | $203.40 | $452.00 | $133.70–$512.54 | 44% below | 55% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 HC Non-Invas Physiologic Std Extremity Art 2 Level | $203.40 | $452.00 | $133.70–$512.54 | — | 55% |
| Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 HC Chg CT Upper Extremity W/O Contrast Material | $939.60 | $2,088.00 | $106.81–$1,774.80 | 10% below | 55% |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient CPT 73200 HC Chg CT Upper Extremity W/O Contrast Material | $939.60 | $2,088.00 | $106.81–$1,774.80 | — | 55% |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 HC Chg Radex Esophagus | $470.70 | $1,046.00 | $71.76–$889.10 | 12% below | 55% |
| Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 HC Chg Radex Esophagus | $470.70 | $1,046.00 | $71.76–$889.10 | — | 55% |
| Bone scan, whole body (nuclear medicine) CPT 78306 HC Chg Bone &/Joint Imaging Whole Body | $890.55 | $1,979.00 | $237.66–$1,682.15 | 32% below | 55% |
| Bone scan, whole body (nuclear medicine) inpatient CPT 78306 HC Chg Bone &/Joint Imaging Whole Body | $890.55 | $1,979.00 | $237.66–$1,682.15 | — | 55% |
| Breast ultrasound, complete, one breast CPT 76641 HC Chg US Breast Uni Real Time With Image Complete | $287.10 | $638.00 | $106.81–$542.30 | 31% below | 55% |
| Breast ultrasound, complete, one breast inpatient CPT 76641 HC Chg US Breast Uni Real Time With Image Complete | $287.10 | $638.00 | $106.81–$542.30 | — | 55% |
| Breast ultrasound, limited (one breast or one area) CPT 76642 HC Chg US Breast Uni Real Time With Image Limited | $258.30 | $574.00 | $62.30–$512.54 | 41% below | 55% |
| Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 HC Chg US Breast Uni Real Time With Image Limited | $258.30 | $574.00 | $62.30–$512.54 | — | 55% |
| CT angiography (CTA) of the abdomen and pelvis CPT 74174 HC Chg CT Angio Abd&Plvis Cntrst Mtrl W/WO Cntrst Img | $1,838.70 | $4,086.00 | $356.43–$3,473.10 | 20% below | 55% |
| CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 HC Chg CT Angio Abd&Plvis Cntrst Mtrl W/WO Cntrst Img | $1,838.70 | $4,086.00 | $356.43–$3,473.10 | — | 55% |
| CT angiography (CTA) of the head CPT 70496 HC Chg CT Angiography Head W/Contrast/Noncontrast | $1,377.00 | $3,060.00 | $179.20–$2,601.00 | 20% below | 55% |
| CT angiography (CTA) of the head inpatient CPT 70496 HC Chg CT Angiography Head W/Contrast/Noncontrast | $1,377.00 | $3,060.00 | $179.20–$2,601.00 | — | 55% |
| CT angiography (CTA) of the neck CPT 70498 HC Chg CT Angiography Neck W/Contrast/Noncontrast | $1,280.70 | $2,846.00 | $179.20–$2,419.10 | 2% below | 55% |
| CT angiography (CTA) of the neck inpatient CPT 70498 HC Chg CT Angiography Neck W/Contrast/Noncontrast | $1,280.70 | $2,846.00 | $179.20–$2,419.10 | — | 55% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 HC Chg CT Angiography Chest W/Contrast/Noncontrast | $1,715.40 | $3,812.00 | $179.20–$3,240.20 | 9% above | 55% |
| CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 HC Chg CT Angiography Chest W/Contrast/Noncontrast | $1,715.40 | $3,812.00 | $179.20–$3,240.20 | — | 55% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 HC Chg Cta Hrt Cornry Art/Bypass Grfts Contrst 3d Post | $2,010.15 | $4,467.00 | $201.74–$3,796.95 | 170% above | 55% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 HC Chg Cta Hrt Cornry Art/Bypass Grfts Contrst 3d Post | $2,010.15 | $4,467.00 | $201.74–$3,796.95 | — | 55% |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 HC CT,Heart;W/Ocm;Cor Cal | $138.60 | $308.00 | $88.91–$512.54 | 30% below | 55% |
| CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 HC CT,Heart;W/Ocm;Cor Cal | $138.60 | $308.00 | $88.91–$512.54 | — | 55% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 HC Chg CT Abdomen & Pelvis W/O Contrast Material | $1,064.70 | $2,366.00 | $230.56–$2,011.10 | 28% below | 55% |
| CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 HC Chg CT Abdomen & Pelvis W/O Contrast Material | $1,064.70 | $2,366.00 | $230.56–$2,011.10 | — | 55% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 HC Chg CT Abdomen & Pelvis W/Contrast Material | $1,685.25 | $3,745.00 | $356.43–$3,183.25 | 31% below | 55% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 HC Chg CT Abdomen & Pelvis W/Contrast Material | $1,685.25 | $3,745.00 | $356.43–$3,183.25 | — | 55% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 HC Chg CT Abdomen & Pelvis W/O Contrst 1/> Body Re | $2,027.25 | $4,505.00 | $356.43–$3,829.25 | 23% below | 55% |
| CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 HC Chg CT Abdomen & Pelvis W/O Contrst 1/> Body Re | $2,027.25 | $4,505.00 | $356.43–$3,829.25 | — | 55% |
| CT scan of the abdomen with contrast CPT 74160 HC Chg CT Abdomen W/Contrast Material | $1,484.10 | $3,298.00 | $179.20–$2,803.30 | 4% below | 55% |
| CT scan of the abdomen with contrast inpatient CPT 74160 HC Chg CT Abdomen W/Contrast Material | $1,484.10 | $3,298.00 | $179.20–$2,803.30 | — | 55% |
| CT scan of the abdomen without contrast CPT 74150 HC Chg CT Abdomen W/O Contrast Material | $909.90 | $2,022.00 | $106.81–$1,718.70 | 6% below | 55% |
| CT scan of the abdomen without contrast inpatient CPT 74150 HC Chg CT Abdomen W/O Contrast Material | $909.90 | $2,022.00 | $106.81–$1,718.70 | — | 55% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 HC Chg CT Maxillofacial W/O Contrast Material | $1,083.15 | $2,407.00 | $106.81–$2,045.95 | 6% above | 55% |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 HC Chg CT Maxillofacial W/O Contrast Material | $1,083.15 | $2,407.00 | $106.81–$2,045.95 | — | 55% |
| CT scan of the head or brain, no contrast dye CPT 70450 HC Chg CT Head/Brain W/O Contrast Material | $856.35 | $1,903.00 | $106.81–$1,617.55 | 18% below | 55% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 HC Chg CT Head/Brain W/O Contrast Material | $856.35 | $1,903.00 | $106.81–$1,617.55 | — | 55% |
| CT scan of the head with contrast CPT 70460 HC Chg CT Head/Brain W/Contrast Material | $1,123.65 | $2,497.00 | $179.20–$2,122.45 | 7% below | 55% |
| CT scan of the head with contrast inpatient CPT 70460 HC Chg CT Head/Brain W/Contrast Material | $1,123.65 | $2,497.00 | $179.20–$2,122.45 | — | 55% |
| CT scan of the head without and with contrast CPT 70470 HC Chg CT Head/Brain W/O & W/Contrast Material | $1,257.30 | $2,794.00 | $179.20–$2,374.90 | 16% below | 55% |
| CT scan of the head without and with contrast inpatient CPT 70470 HC Chg CT Head/Brain W/O & W/Contrast Material | $1,257.30 | $2,794.00 | $179.20–$2,374.90 | — | 55% |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 HC Chg CT Lumbar Spine W/O Contrast Material | $957.15 | $2,127.00 | $106.81–$1,807.95 | 1% below | 55% |
| CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 HC Chg CT Lumbar Spine W/O Contrast Material | $957.15 | $2,127.00 | $106.81–$1,807.95 | — | 55% |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 HC Chg CT Cervical Spine W/O Contrast Material | $1,246.05 | $2,769.00 | $106.81–$2,353.65 | 10% below | 55% |
| CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 HC Chg CT Cervical Spine W/O Contrast Material | $1,246.05 | $2,769.00 | $106.81–$2,353.65 | — | 55% |
| CT scan of the pelvis, with contrast dye CPT 72193 HC Chg CT Pelvis W/Contrast Material | $1,282.50 | $2,850.00 | $179.20–$2,422.50 | 23% below | 55% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 HC Chg CT Pelvis W/Contrast Material | $1,282.50 | $2,850.00 | $179.20–$2,422.50 | — | 55% |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 HC Duplex Scan Extracranial Art Compl Bi Study | $1,048.50 | $2,330.00 | $261.47–$1,980.50 | — | 55% |
| Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 HC Duplex Scan Extracranial Art Compl Bi Study | $1,048.50 | $2,330.00 | $261.47–$1,980.50 | — | 55% |
| Chest CT scan without and with contrast CPT 71270 HC Chg CT Thorax W/O & W/Contrast Material | $2,216.70 | $4,926.00 | $179.20–$4,187.10 | 20% above | 55% |
| Chest CT scan without and with contrast inpatient CPT 71270 HC Chg CT Thorax W/O & W/Contrast Material | $2,216.70 | $4,926.00 | $179.20–$4,187.10 | — | 55% |
| Chest X-ray, 2 views CPT 71046 HC Chg Radiologic Exam Chest 2 Views | $247.95 | $551.00 | $71.24–$512.54 | 2% below | 55% |
| Chest X-ray, 2 views inpatient CPT 71046 HC Chg Radiologic Exam Chest 2 Views | $247.95 | $551.00 | $71.24–$512.54 | — | 55% |
| Chest X-ray, single view CPT 71045 HC Chg Radiologic Exam Chest Single View | $186.30 | $414.00 | $71.24–$512.54 | 31% below | 55% |
| Chest X-ray, single view inpatient CPT 71045 HC Chg Radiologic Exam Chest Single View | $186.30 | $414.00 | $71.24–$512.54 | — | 55% |
| Collarbone (clavicle) X-ray, complete CPT 73000 HC Chg Radex Clavicle Complete | $193.50 | $430.00 | $24.07–$512.54 | 27% below | 55% |
| Collarbone (clavicle) X-ray, complete inpatient CPT 73000 HC Chg Radex Clavicle Complete | $193.50 | $430.00 | $24.07–$512.54 | — | 55% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 HC Chg US Retroperitoneal Real Time W/Image Complete | $525.60 | $1,168.00 | $106.81–$992.80 | 17% below | 55% |
| Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 HC Chg US Retroperitoneal Real Time W/Image Complete | $525.60 | $1,168.00 | $106.81–$992.80 | — | 55% |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 HC Chg DXA Bone Density Study 1/> Sites Axial Skel | $311.40 | $692.00 | $100.37–$588.20 | 37% below | 55% |
| DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 HC Chg DXA Bone Density Study 1/> Sites Axial Skel | $311.40 | $692.00 | $100.37–$588.20 | — | 55% |
| DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 HC Chg DXA Bone Density Study 1/>Sites Appendiclr Skel | $140.40 | $312.00 | $28.20–$512.54 | 43% below | 55% |
| DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 HC Chg DXA Bone Density Study 1/>Sites Appendiclr Skel | $140.40 | $312.00 | $28.20–$512.54 | — | 55% |
| Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 HC Chg US Preg Uterus W/Detail Fetal Anat 1st Gestation | $765.90 | $1,702.00 | $151.89–$1,446.70 | 4% below | 55% |
| Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 HC Chg US Preg Uterus W/Detail Fetal Anat 1st Gestation | $765.90 | $1,702.00 | $151.89–$1,446.70 | — | 55% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 HC Chg CT Thorax W/O Contrast Material | $996.75 | $2,215.00 | $106.81–$1,882.75 | 17% below | 55% |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 HC Chg CT Thorax W/O Contrast Material | $996.75 | $2,215.00 | $106.81–$1,882.75 | — | 55% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 HC Chg CT Thorax W/Contrast Material | $1,282.50 | $2,850.00 | $179.20–$2,422.50 | 17% below | 55% |
| Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 HC Chg CT Thorax W/Contrast Material | $1,282.50 | $2,850.00 | $179.20–$2,422.50 | — | 55% |
| Diagnostic mammogram, both breasts both sides CPT 77066 HC Chg Diagnostic Mammography Computer-Aided Detcj Bi | $431.55 | $959.00 | $131.80–$815.15 | — | 55% |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 HC Chg Diagnostic Mammography Computer-Aided Detcj Bi | $431.55 | $959.00 | $131.80–$815.15 | — | 55% |
| Diagnostic mammogram, one breast CPT 77065 HC Chg Diagnostic Mammography Computer-Aided Detcj Uni | $348.75 | $775.00 | $102.79–$658.75 | 12% below | 55% |
| Diagnostic mammogram, one breast inpatient CPT 77065 HC Chg Diagnostic Mammography Computer-Aided Detcj Uni | $348.75 | $775.00 | $102.79–$658.75 | — | 55% |
| Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 HC Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study | $797.40 | $1,772.00 | $261.47–$1,506.20 | — | 55% |
| Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 HC Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study | $797.40 | $1,772.00 | $261.47–$1,506.20 | — | 55% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 HC Dup-Scan Xtr Veins Complete Bilateral Study | $753.30 | $1,674.00 | $261.47–$1,422.90 | — | 55% |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 HC Dup-Scan Xtr Veins Complete Bilateral Study | $753.30 | $1,674.00 | $261.47–$1,422.90 | — | 55% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 HC Echo Tthrc R-T 2d W/Wom-Mode Compl Spec&Colr D | $1,309.50 | $2,910.00 | $431.24–$2,473.50 | 26% below | 55% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 HC Echo Tthrc R-T 2d W/Wom-Mode Compl Spec&Colr D With Contrast | $1,309.50 | $2,910.00 | $431.24–$2,473.50 | 26% below | 55% |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 HC Echo Tthrc R-T 2d W/Wom-Mode Compl Spec&Colr D | $1,309.50 | $2,910.00 | $431.24–$2,473.50 | — | 55% |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 HC Echo Tthrc R-T 2d W/Wom-Mode Compl Spec&Colr D With Contrast | $1,309.50 | $2,910.00 | $431.24–$2,473.50 | — | 55% |
| Elbow X-ray, 2 views CPT 73070 HC Chg Radex Elbow 2 Views | $238.50 | $530.00 | $24.07–$512.54 | at median | 55% |
| Elbow X-ray, 2 views inpatient CPT 73070 HC Chg Radex Elbow 2 Views | $238.50 | $530.00 | $24.07–$512.54 | — | 55% |
| Elbow X-ray, complete, 3 or more views CPT 73080 HC Chg Radex Elbow Complete Minimum 3 Views | $282.15 | $627.00 | $30.20–$532.95 | at median | 55% |
| Elbow X-ray, complete, 3 or more views inpatient CPT 73080 HC Chg Radex Elbow Complete Minimum 3 Views | $282.15 | $627.00 | $30.20–$532.95 | — | 55% |
| Eye socket (orbit) CT scan without contrast CPT 70480 HC Chg CT Orbit Sella/Post Fossa/Ear W/O Contrast Matrl | $1,140.75 | $2,535.00 | $106.81–$2,154.75 | 18% above | 55% |
| Eye socket (orbit) CT scan without contrast inpatient CPT 70480 HC Chg CT Orbit Sella/Post Fossa/Ear W/O Contrast Matrl | $1,140.75 | $2,535.00 | $106.81–$2,154.75 | — | 55% |
| Facial bones X-ray, complete, 3 or more views CPT 70150 HC Chg Radex Facial Bones Complete Minimum 3 Views | $325.80 | $724.00 | $36.94–$615.40 | 18% below | 55% |
| Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 HC Chg Radex Facial Bones Complete Minimum 3 Views | $325.80 | $724.00 | $36.94–$615.40 | — | 55% |
| Forearm X-ray (radius and ulna), 2 views CPT 73090 HC Chg Radex Forearm 2 Views | $233.55 | $519.00 | $24.07–$512.54 | 16% below | 55% |
| Forearm X-ray (radius and ulna), 2 views inpatient CPT 73090 HC Chg Radex Forearm 2 Views | $233.55 | $519.00 | $24.07–$512.54 | — | 55% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HC Chg Hepatobiliary Syst Imaging Including Gallbladder | $897.75 | $1,995.00 | $404.24–$1,695.75 | 31% below | 55% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 HC Chg Hepatobiliary Syst Imaging Including Gallbladder | $897.75 | $1,995.00 | $404.24–$1,695.75 | — | 55% |
| Hand X-ray, 2 views CPT 73120 HC Chg Radex Hand 2 Views | $238.95 | $531.00 | $23.61–$512.54 | 14% below | 55% |
| Hand X-ray, 2 views inpatient CPT 73120 HC Chg Radex Hand 2 Views | $238.95 | $531.00 | $23.61–$512.54 | — | 55% |
| Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 HC Chg Radex Calcaneus Minimum 2 Views | $235.80 | $524.00 | $22.69–$512.54 | 10% below | 55% |
| Heel bone (calcaneus) X-ray, 2 or more views inpatient CPT 73650 HC Chg Radex Calcaneus Minimum 2 Views | $235.80 | $524.00 | $22.69–$512.54 | — | 55% |
| Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 HC Sleep Std Airflow Hrt Rate&O2 Sat Effort Unatt | $228.60 | $508.00 | $153.36–$616.24 | 66% below | 55% |
| Home sleep apnea test, unattended, recording breathing and oxygen inpatient CPT 95806 HC Sleep Std Airflow Hrt Rate&O2 Sat Effort Unatt | $228.60 | $508.00 | $153.36–$616.24 | — | 55% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 HC Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd | $1,820.70 | $4,046.00 | $431.24–$3,439.10 | 51% below | 55% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 HC Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd | $1,820.70 | $4,046.00 | $431.24–$3,439.10 | — | 55% |
| Knee X-ray, 3 views CPT 73562 HC Chg Radiologic Examination Knee 3 Views | $317.25 | $705.00 | $29.74–$599.25 | at median | 55% |
| Knee X-ray, 3 views inpatient CPT 73562 HC Chg Radiologic Examination Knee 3 Views | $317.25 | $705.00 | $29.74–$599.25 | — | 55% |
| Knee X-ray, complete, 4 or more views CPT 73564 HC Chg Radiologic Exam Knee Complete 4/More Views | $367.20 | $816.00 | $33.42–$693.60 | 5% above | 55% |
| Knee X-ray, complete, 4 or more views inpatient CPT 73564 HC Chg Radiologic Exam Knee Complete 4/More Views | $367.20 | $816.00 | $33.42–$693.60 | — | 55% |
| Leg CT scan without contrast (hip to foot, any part) CPT 73700 HC Chg CT Lower Extremity W/O Contrast Material | $1,251.90 | $2,782.00 | $106.81–$2,364.70 | 20% above | 55% |
| Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 HC Chg CT Lower Extremity W/O Contrast Material | $1,251.90 | $2,782.00 | $106.81–$2,364.70 | — | 55% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HC Chg US Abdominal Real Time W/Image Limited | $436.50 | $970.00 | $84.33–$824.50 | 19% below | 55% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 HC Chg US Abdominal Real Time W/Image Limited | $436.50 | $970.00 | $84.33–$824.50 | — | 55% |
| Limited ultrasound of an arm or leg (non-vascular) CPT 76882 HC Chg US Extremity Focal Evaluation of Non-Vasc Real-Time Img Lmtd | $222.75 | $495.00 | $106.81–$512.54 | 34% below | 55% |
| Limited ultrasound of an arm or leg (non-vascular) CPT 76882 HC Chg US Extremity or Focal Evaluation of Non-Vasc Real-Time Img Lmtd | $222.75 | $495.00 | $106.81–$512.54 | 34% below | 55% |
| Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 HC Chg US Extremity Focal Evaluation of Non-Vasc Real-Time Img Lmtd | $222.75 | $495.00 | $106.81–$512.54 | — | 55% |
| Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 HC Chg US Extremity or Focal Evaluation of Non-Vasc Real-Time Img Lmtd | $222.75 | $495.00 | $106.81–$512.54 | — | 55% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 HC CT Thorax Lung Cancer Scr C- | $198.00 | $440.00 | $62.30–$512.54 | 58% below | 55% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 HC CT Thorax Lung Cancer Scr C- | $198.00 | $440.00 | $62.30–$512.54 | — | 55% |
| Lower leg X-ray (tibia and fibula), 2 views CPT 73590 HC Chg Radiologic Examination Tibia & Fibula 2 Views | $228.60 | $508.00 | $23.61–$512.54 | 15% below | 55% |
| Lower leg X-ray (tibia and fibula), 2 views inpatient CPT 73590 HC Chg Radiologic Examination Tibia & Fibula 2 Views | $228.60 | $508.00 | $23.61–$512.54 | — | 55% |
| MR angiography (MRA) of the head without contrast CPT 70544 HC Chg Mra Head W/O Contrst Material | $2,003.40 | $4,452.00 | $230.56–$3,784.20 | 12% above | 55% |
| MR angiography (MRA) of the head without contrast inpatient CPT 70544 HC Chg Mra Head W/O Contrst Material | $2,003.40 | $4,452.00 | $230.56–$3,784.20 | — | 55% |
| MRI of both breasts, without and then with contrast dye both sides CPT 77049 HC MRI Breast C-+ W/Cad Bi | $767.70 | $1,706.00 | $278.86–$1,450.10 | — | 55% |
| MRI of both breasts, without and then with contrast dye inpatient both sides CPT 77049 HC MRI Breast C-+ W/Cad Bi | $767.70 | $1,706.00 | $278.86–$1,450.10 | — | 55% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HC Chg MRI Any Jt Lower Extrem W/O Contrast Matrl | $2,075.85 | $4,613.00 | $230.56–$3,921.05 | 13% above | 55% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 HC Chg MRI Any Jt Lower Extrem W/O Contrast Matrl | $2,075.85 | $4,613.00 | $230.56–$3,921.05 | — | 55% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 HC Chg MRI Any Jt Lower Extrem W/O & W/Contrast Matrl | $4,099.95 | $9,111.00 | $356.43–$7,744.35 | 38% above | 55% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 HC Chg MRI Any Jt Lower Extrem W/O & W/Contrast Matrl | $4,099.95 | $9,111.00 | $356.43–$7,744.35 | — | 55% |
| MRI of the abdomen without contrast CPT 74181 HC Chg MRI Abdomen W/O Contrast Material | $1,729.35 | $3,843.00 | $230.56–$3,266.55 | 13% above | 55% |
| MRI of the abdomen without contrast inpatient CPT 74181 HC Chg MRI Abdomen W/O Contrast Material | $1,729.35 | $3,843.00 | $230.56–$3,266.55 | — | 55% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 HC Chg MRI Abdomen W/O & W/Contrast Material | $2,756.25 | $6,125.00 | $356.43–$5,206.25 | 2% below | 55% |
| MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 HC Chg MRI Abdomen W/O & W/Contrast Material | $2,756.25 | $6,125.00 | $356.43–$5,206.25 | — | 55% |
| MRI of the brain, no contrast dye CPT 70551 HC Chg MRI Brain Brain Stem W/O Contrast Material | $2,065.95 | $4,591.00 | $230.56–$3,902.35 | at median | 55% |
| MRI of the brain, no contrast dye inpatient CPT 70551 HC Chg MRI Brain Brain Stem W/O Contrast Material | $2,065.95 | $4,591.00 | $230.56–$3,902.35 | — | 55% |
| MRI of the brain, with and without contrast dye CPT 70553 HC Chg MRI Brain Brain Stem W/O W/Contrast Material | $2,684.70 | $5,966.00 | $356.43–$5,071.10 | 11% below | 55% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 HC Chg MRI Brain Brain Stem W/O W/Contrast Material | $2,684.70 | $5,966.00 | $356.43–$5,071.10 | — | 55% |
| MRI of the lower back, no contrast dye CPT 72148 HC Chg MRI Spinal Canal Lumbar W/O Contrast Material | $1,815.30 | $4,034.00 | $230.56–$3,428.90 | 1% above | 55% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 HC Chg MRI Spinal Canal Lumbar W/O Contrast Material | $1,815.30 | $4,034.00 | $230.56–$3,428.90 | — | 55% |
| MRI of the lower back, without and then with contrast dye CPT 72158 HC Chg MRI Spinal Canal Lumbar W/O & W/Contr Matrl | $2,637.90 | $5,862.00 | $356.43–$4,982.70 | 4% below | 55% |
| MRI of the lower back, without and then with contrast dye inpatient CPT 72158 HC Chg MRI Spinal Canal Lumbar W/O & W/Contr Matrl | $2,637.90 | $5,862.00 | $356.43–$4,982.70 | — | 55% |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 HC Chg MRI Spinal Canal Thoracic W/O Contrast Matrl | $1,832.85 | $4,073.00 | $230.56–$3,462.05 | at median | 55% |
| MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 HC Chg MRI Spinal Canal Thoracic W/O Contrast Matrl | $1,832.85 | $4,073.00 | $230.56–$3,462.05 | — | 55% |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 HC Chg MRI Spinal Canal Cervical W/O & W/Contr Matrl | $2,669.40 | $5,932.00 | $356.43–$5,042.20 | 8% below | 55% |
| MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 HC Chg MRI Spinal Canal Cervical W/O & W/Contr Matrl | $2,669.40 | $5,932.00 | $356.43–$5,042.20 | — | 55% |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 HC Chg MRI Spinal Canal Cervical W/O Contrast Matrl | $1,827.45 | $4,061.00 | $230.56–$3,451.85 | at median | 55% |
| MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 HC Chg MRI Spinal Canal Cervical W/O Contrast Matrl | $1,827.45 | $4,061.00 | $230.56–$3,451.85 | — | 55% |
| MRI of the pelvis without and with contrast CPT 72197 HC Chg MRI Pelvis W/O & W/Contrast Material | $2,750.40 | $6,112.00 | $356.43–$5,195.20 | 2% below | 55% |
| MRI of the pelvis without and with contrast inpatient CPT 72197 HC Chg MRI Pelvis W/O & W/Contrast Material | $2,750.40 | $6,112.00 | $356.43–$5,195.20 | — | 55% |
| MRI of the pelvis, no contrast dye CPT 72195 HC Chg MRI Pelvis W/O Contrast Material | $2,050.20 | $4,556.00 | $230.56–$3,872.60 | 14% above | 55% |
| MRI of the pelvis, no contrast dye inpatient CPT 72195 HC Chg MRI Pelvis W/O Contrast Material | $2,050.20 | $4,556.00 | $230.56–$3,872.60 | — | 55% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 HC Chg MRI Any Jt Upper Extremity W/O Contrast Matrl | $1,984.95 | $4,411.00 | $230.56–$3,749.35 | 11% above | 55% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 HC Chg MRI Any Jt Upper Extremity W/O Contrast Matrl | $1,984.95 | $4,411.00 | $230.56–$3,749.35 | — | 55% |
| Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 HC Chg Radex Spine Cervical 4 or 5 Views | $389.70 | $866.00 | $44.60–$736.10 | 14% below | 55% |
| Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 HC Chg Radex Spine Cervical 4 or 5 Views | $389.70 | $866.00 | $44.60–$736.10 | — | 55% |
| Neck soft tissue CT scan with contrast CPT 70491 HC Chg CT Soft Tissue Neck W/Contrast Material | $1,282.05 | $2,849.00 | $179.20–$2,421.65 | 13% below | 55% |
| Neck soft tissue CT scan with contrast inpatient CPT 70491 HC Chg CT Soft Tissue Neck W/Contrast Material | $1,282.05 | $2,849.00 | $179.20–$2,421.65 | — | 55% |
| Neck soft tissue CT scan without contrast CPT 70490 HC Chg CT Soft Tissue Neck W/O Contrast Material | $972.45 | $2,161.00 | $106.81–$1,836.85 | 19% below | 55% |
| Neck soft tissue CT scan without contrast inpatient CPT 70490 HC Chg CT Soft Tissue Neck W/O Contrast Material | $972.45 | $2,161.00 | $106.81–$1,836.85 | — | 55% |
| Neck soft tissue X-ray CPT 70360 HC Chg Radiologic Examination Neck Soft Tissue | $186.30 | $414.00 | $21.77–$512.54 | 36% below | 55% |
| Neck soft tissue X-ray inpatient CPT 70360 HC Chg Radiologic Examination Neck Soft Tissue | $186.30 | $414.00 | $21.77–$512.54 | — | 55% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 HC NM Myo Perf Multi Spect | $2,454.30 | $5,454.00 | $431.24–$4,635.90 | 41% below | 55% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 HC Chg Myocardial Spect Multiple Studies | $2,454.30 | $5,454.00 | $431.24–$4,635.90 | 41% below | 55% |
| Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 HC Chg Myocardial Spect Multiple Studies | $2,454.30 | $5,454.00 | $431.24–$4,635.90 | — | 55% |
| Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 HC NM Myo Perf Multi Spect | $2,454.30 | $5,454.00 | $431.24–$4,635.90 | — | 55% |
| OCT scan of the retina (optical coherence tomography) CPT 92134 HC Computerized Ophthalmic Imaging Retina | $144.90 | $322.00 | $59.78–$512.54 | 36% below | 55% |
| OCT scan of the retina (optical coherence tomography) inpatient CPT 92134 HC Computerized Ophthalmic Imaging Retina | $144.90 | $322.00 | $59.78–$512.54 | — | 55% |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 HC Chg Pet Imaging CT Attenuation Skull Base Mid-Thigh | $2,796.30 | $6,214.00 | $431.24–$5,281.90 | 50% below | 55% |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 HC Chg Pet Imaging CT Attenuation Skull Base Mid-Thigh | $2,796.30 | $6,214.00 | $431.24–$5,281.90 | — | 55% |
| Pelvic CT scan without contrast CPT 72192 HC Chg CT Pelvis W/O Contrast Material | $1,149.75 | $2,555.00 | $106.81–$2,171.75 | 10% above | 55% |
| Pelvic CT scan without contrast inpatient CPT 72192 HC Chg CT Pelvis W/O Contrast Material | $1,149.75 | $2,555.00 | $106.81–$2,171.75 | — | 55% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 HC Chg US Pelvic Nonobstetric Image Dcmtn Limited/F/U | $317.25 | $705.00 | $85.51–$599.25 | 13% below | 55% |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 HC Chg US Pelvic Nonobstetric Image Dcmtn Limited/F/U | $317.25 | $705.00 | $85.51–$599.25 | — | 55% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 HC Chg US Pelvic Nonobstetric Real-Time Image Complete | $483.30 | $1,074.00 | $106.81–$912.90 | 24% below | 55% |
| Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 HC Chg US Pelvic Nonobstetric Real-Time Image Complete | $483.30 | $1,074.00 | $106.81–$912.90 | — | 55% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HC Chg US Preg Uterus After 1st Trimest 1/1st Gestation | $482.85 | $1,073.00 | $106.81–$912.05 | 17% below | 55% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 HC Chg US Preg Uterus After 1st Trimest 1/1st Gestation | $482.85 | $1,073.00 | $106.81–$912.05 | — | 55% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 HC Chg US Pregnant Uterus 14 Wk Transabdl 1/1st Gestat | $412.65 | $917.00 | $101.64–$779.45 | 15% below | 55% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 HC Chg US Pregnant Uterus 14 Wk Transabdl 1/1st Gestat | $412.65 | $917.00 | $101.64–$779.45 | — | 55% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 HC Chg US Pregnant Uterus Limited 1/> Fetuses | $350.55 | $779.00 | $71.90–$662.15 | 14% below | 55% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 HC Chg US Pregnant Uterus Limited 1/> Fetuses | $350.55 | $779.00 | $71.90–$662.15 | — | 55% |
| Rib X-ray, one side, 2 views one side CPT 71100 HC Chg X-Ray Ribs 2vw Unilat | $186.30 | $414.00 | $26.97–$512.54 | 38% below | 55% |
| Rib X-ray, one side, 2 views inpatient one side CPT 71100 HC Chg X-Ray Ribs 2vw Unilat | $186.30 | $414.00 | $26.97–$512.54 | — | 55% |
| Rib X-ray, one side, with a chest view, 3 or more views CPT 71101 HC Chg Radex Ribs Uni W/Posteroant Ch Minimum 3 Views | $326.25 | $725.00 | $32.04–$616.25 | 13% below | 55% |
| Rib X-ray, one side, with a chest view, 3 or more views inpatient CPT 71101 HC Chg Radex Ribs Uni W/Posteroant Ch Minimum 3 Views | $326.25 | $725.00 | $32.04–$616.25 | — | 55% |
| Screening mammogram, both breasts both sides CPT 77067 HC Scr Mamm Cad, Bi | $329.40 | $732.00 | $108.77–$622.20 | — | 55% |
| Screening mammogram, both breasts inpatient both sides CPT 77067 HC Scr Mamm Cad, Bi | $329.40 | $732.00 | $108.77–$622.20 | — | 55% |
| Shoulder X-ray, complete, 2 or more views CPT 73030 HC Chg Radex Shoulder Complete Minimum 2 Views | $256.05 | $569.00 | $26.05–$512.54 | 10% below | 55% |
| Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 HC Chg Radex Shoulder Complete Minimum 2 Views | $256.05 | $569.00 | $26.05–$512.54 | — | 55% |
| Sinus X-ray, complete, 3 or more views CPT 70220 HC Chg Radex Sinuses Paranasal Compl Minimum 3 Views | $322.20 | $716.00 | $34.64–$608.60 | 12% below | 55% |
| Sinus X-ray, complete, 3 or more views inpatient CPT 70220 HC Chg Radex Sinuses Paranasal Compl Minimum 3 Views | $322.20 | $716.00 | $34.64–$608.60 | — | 55% |
| Skull X-ray, fewer than 4 views CPT 70250 HC Chg Radiologic Examination Skull 4/> Views | $309.60 | $688.00 | $29.74–$584.80 | at median | 55% |
| Skull X-ray, fewer than 4 views CPT 70250 HC X-Ray Skull <4 Vw | $309.60 | $688.00 | $29.74–$584.80 | at median | 55% |
| Skull X-ray, fewer than 4 views inpatient CPT 70250 HC X-Ray Skull <4 Vw | $309.60 | $688.00 | $29.74–$584.80 | — | 55% |
| Skull X-ray, fewer than 4 views inpatient CPT 70250 HC Chg Radiologic Examination Skull 4/> Views | $309.60 | $688.00 | $29.74–$584.80 | — | 55% |
| Sleep study in a lab (polysomnography) CPT 95810 HC Polysom 6/>Yrs Sleep 4/> Addl Param Attnd | $1,694.25 | $3,765.00 | $431.24–$3,200.25 | 51% below | 55% |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 HC Polysom 6/>Yrs Sleep 4/> Addl Param Attnd | $1,694.25 | $3,765.00 | $431.24–$3,200.25 | — | 55% |
| Stress echocardiogram, complete, including the stress test and supervision CPT 93351 HC Echo Tthrc R-T 2d W/WO M-Mode Rest&Strs Cont Ecg With Contrast | $1,127.25 | $2,505.00 | $431.24–$2,237.30 | 34% below | 55% |
| Stress echocardiogram, complete, including the stress test and supervision CPT 93351 HC Echo Tthrc R-T 2d W/WO M-Mode Rest&Strs Cont Ecg | $1,127.25 | $2,505.00 | $431.24–$2,129.25 | 34% below | 55% |
| Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 HC Echo Tthrc R-T 2d W/WO M-Mode Rest&Strs Cont Ecg With Contrast | $1,127.25 | $2,505.00 | $431.24–$2,237.30 | — | 55% |
| Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 HC Echo Tthrc R-T 2d W/WO M-Mode Rest&Strs Cont Ecg | $1,127.25 | $2,505.00 | $431.24–$2,129.25 | — | 55% |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 HC Chg Swallowing Funcj W/Cineradiograpy/Vidradiog | $412.20 | $916.00 | $72.98–$778.60 | 26% below | 55% |
| Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 HC Chg Swallowing Funcj W/Cineradiograpy/Vidradiog | $412.20 | $916.00 | $72.98–$778.60 | — | 55% |
| Thigh bone (femur) X-ray, 2 or more views CPT 73552 HC Chg Radiologic Examination Femur Minimum 2 Views | $186.30 | $414.00 | $71.24–$512.54 | 19% below | 55% |
| Thigh bone (femur) X-ray, 2 or more views inpatient CPT 73552 HC Chg Radiologic Examination Femur Minimum 2 Views | $186.30 | $414.00 | $71.24–$512.54 | — | 55% |
| Thoracic spine (mid back) CT scan without contrast CPT 72128 HC Chg CT Thoracic Spine W/O Contrast Material | $958.50 | $2,130.00 | $106.81–$1,810.50 | 24% below | 55% |
| Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 HC Chg CT Thoracic Spine W/O Contrast Material | $958.50 | $2,130.00 | $106.81–$1,810.50 | — | 55% |
| Toe X-ray, 2 or more views CPT 73660 HC Chg Radex Toe Minimum 2 Views | $191.25 | $425.00 | $24.07–$512.54 | 19% below | 55% |
| Toe X-ray, 2 or more views inpatient CPT 73660 HC Chg Radex Toe Minimum 2 Views | $191.25 | $425.00 | $24.07–$512.54 | — | 55% |
| Transvaginal pelvic ultrasound CPT 76830 HC Chg US Transvaginal | $366.75 | $815.00 | $106.81–$692.75 | 28% below | 55% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 HC Chg US Transvaginal | $366.75 | $815.00 | $106.81–$692.75 | — | 55% |
| Transvaginal ultrasound during pregnancy CPT 76817 HC Chg US Preg Uterus Real Time W/Image Dcmtn Transvag | $446.40 | $992.00 | $106.81–$843.20 | 25% below | 55% |
| Transvaginal ultrasound during pregnancy inpatient CPT 76817 HC Chg US Preg Uterus Real Time W/Image Dcmtn Transvag | $446.40 | $992.00 | $106.81–$843.20 | — | 55% |
| Ultrasound of the abdomen, complete CPT 76700 HC Chg US Abdominal Real Time W/Image Documentation | $544.95 | $1,211.00 | $106.81–$1,029.35 | 21% below | 55% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 HC Chg US Abdominal Real Time W/Image Documentation | $544.95 | $1,211.00 | $106.81–$1,029.35 | — | 55% |
| Ultrasound of the scrotum and testicles CPT 76870 HC Chg US Scrotum & Contents | $464.40 | $1,032.00 | $106.81–$877.20 | 19% below | 55% |
| Ultrasound of the scrotum and testicles inpatient CPT 76870 HC Chg US Scrotum & Contents | $464.40 | $1,032.00 | $106.81–$877.20 | — | 55% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 HC Chg US Soft Tissue Head & Neck Real Time Imge Docm | $456.75 | $1,015.00 | $92.61–$862.75 | 5% below | 55% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 HC Chg US Soft Tissue Head & Neck Real Time Imge Docm | $456.75 | $1,015.00 | $92.61–$862.75 | — | 55% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 HC Xray Upper GI Tract | $416.70 | $926.00 | $83.41–$787.10 | 33% below | 55% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 HC Xray Upper GI Tract | $416.70 | $926.00 | $83.41–$787.10 | — | 55% |
| Upper arm X-ray (humerus), 2 views CPT 73060 HC Chg Radex Humerus Minimum 2 Views | $253.35 | $563.00 | $26.05–$512.54 | at median | 55% |
| Upper arm X-ray (humerus), 2 views inpatient CPT 73060 HC Chg Radex Humerus Minimum 2 Views | $253.35 | $563.00 | $26.05–$512.54 | — | 55% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 HC Dup-Scan Xtr Veins Unilateral/Limited Study | $499.50 | $1,110.00 | $119.97–$943.50 | 15% below | 55% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 HC Dup-Scan Xtr Veins Unilateral/Limited Study | $499.50 | $1,110.00 | $119.97–$943.50 | — | 55% |
| Wrist X-ray, 2 views CPT 73100 Xtrnl Ecg & 48 Hr Recording | $261.90 | $582.00 | $24.53–$512.54 | at median | 55% |
| Wrist X-ray, 2 views inpatient CPT 73100 Xtrnl Ecg & 48 Hr Recording | $261.90 | $582.00 | $24.53–$512.54 | — | 55% |
| Wrist X-ray, complete, 3 or more views CPT 73110 HC Chg Radex Wrist Complete Minimum 3 Views | $292.95 | $651.00 | $29.14–$553.35 | 5% above | 55% |
| Wrist X-ray, complete, 3 or more views inpatient CPT 73110 HC Chg Radex Wrist Complete Minimum 3 Views | $292.95 | $651.00 | $29.14–$553.35 | — | 55% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HC Chg Radex Hip Unilateral With Pelvis 2-3 Views | $186.30 | $414.00 | $71.24–$512.54 | 31% below | 55% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 HC Chg Radex Hip Unilateral With Pelvis 2-3 Views | $186.30 | $414.00 | $71.24–$512.54 | — | 55% |
| X-ray of the abdomen, 1 view CPT 74018 HC X-Ray Exam Abdomen 1 View | $186.30 | $414.00 | $71.24–$512.54 | 34% below | 55% |
| X-ray of the abdomen, 1 view CPT 74018 HC Chg Radiologic Exam Abdomen 1 View | $186.30 | $414.00 | $71.24–$512.54 | 34% below | 55% |
| X-ray of the abdomen, 1 view inpatient CPT 74018 HC X-Ray Exam Abdomen 1 View | $186.30 | $414.00 | $71.24–$512.54 | — | 55% |
| X-ray of the abdomen, 1 view inpatient CPT 74018 HC Chg Radiologic Exam Abdomen 1 View | $186.30 | $414.00 | $71.24–$512.54 | — | 55% |
| X-ray of the ankle, 2 views CPT 73600 HC Chg Radiologic Examination Ankle 2 Views | $214.65 | $477.00 | $23.61–$512.54 | 13% below | 55% |
| X-ray of the ankle, 2 views inpatient CPT 73600 HC Chg Radiologic Examination Ankle 2 Views | $214.65 | $477.00 | $23.61–$512.54 | — | 55% |
| X-ray of the finger(s), 2 or more views CPT 73140 HC Chg Radex Fingr Minimum 2 Views | $187.65 | $417.00 | $24.99–$512.54 | 20% below | 55% |
| X-ray of the finger(s), 2 or more views inpatient CPT 73140 HC Chg Radex Fingr Minimum 2 Views | $187.65 | $417.00 | $24.99–$512.54 | — | 55% |
| X-ray of the foot, 2 views CPT 73620 HC Chg Radiologic Examination Foot 2 Views | $233.55 | $519.00 | $23.15–$512.54 | 3% below | 55% |
| X-ray of the foot, 2 views inpatient CPT 73620 HC Chg Radiologic Examination Foot 2 Views | $233.55 | $519.00 | $23.15–$512.54 | — | 55% |
| X-ray of the foot, complete, 3 or more views CPT 73630 HC Chg Radex Foot Complete Minimum 3 Views | $263.25 | $585.00 | $26.84–$512.54 | at median | 55% |
| X-ray of the foot, complete, 3 or more views inpatient CPT 73630 HC Chg Radex Foot Complete Minimum 3 Views | $263.25 | $585.00 | $26.84–$512.54 | — | 55% |
| X-ray of the hand, 3 or more views CPT 73130 HC Chg Radex Hand Minimum 3 Views | $242.10 | $538.00 | $26.84–$512.54 | 19% below | 55% |
| X-ray of the hand, 3 or more views inpatient CPT 73130 HC Chg Radex Hand Minimum 3 Views | $242.10 | $538.00 | $26.84–$512.54 | — | 55% |
| X-ray of the knee, 1 or 2 views CPT 73560 HC Chg Radiologic Examination Knee 1/2 Views | $263.70 | $586.00 | $24.53–$512.54 | 14% below | 55% |
| X-ray of the knee, 1 or 2 views inpatient CPT 73560 HC Chg Radiologic Examination Knee 1/2 Views | $263.70 | $586.00 | $24.53–$512.54 | — | 55% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 HC Chg Radex Spine Lumbosacral 2/3 Views | $245.25 | $545.00 | $33.42–$512.54 | 34% below | 55% |
| X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 HC Chg Radex Spine Lumbosacral 2/3 Views | $245.25 | $545.00 | $33.42–$512.54 | — | 55% |
| X-ray of the lower back, 4 or more views CPT 72110 HC Chg Radex Spine Lumbosacral Minimum 4 Views | $349.65 | $777.00 | $46.45–$660.45 | 30% below | 55% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 HC Chg Radex Spine Lumbosacral Minimum 4 Views | $349.65 | $777.00 | $46.45–$660.45 | — | 55% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 HC Chg Radex Spine Thoracic 2 Views | $238.95 | $531.00 | $29.28–$512.54 | 34% below | 55% |
| X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 HC Chg Radex Spine Thoracic 2 Views | $238.95 | $531.00 | $29.28–$512.54 | — | 55% |
| X-ray of the nasal bones, 3 or more views CPT 70160 HC Chg Radex Nasal Bones Complete Minimum 3 Views | $275.40 | $612.00 | $27.30–$520.20 | 13% below | 55% |
| X-ray of the nasal bones, 3 or more views inpatient CPT 70160 HC Chg Radex Nasal Bones Complete Minimum 3 Views | $275.40 | $612.00 | $27.30–$520.20 | — | 55% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 HC Chg Radex Spine Cervical 2 or 3 Views | $216.45 | $481.00 | $31.12–$512.54 | 29% below | 55% |
| X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 HC Chg Radex Spine Cervical 2 or 3 Views | $216.45 | $481.00 | $31.12–$512.54 | — | 55% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 HC Chg Radiologic Examination Pelvis 1/2 Views | $230.40 | $512.00 | $22.69–$512.54 | 21% below | 55% |
| X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 HC Chg Radiologic Examination Pelvis 1/2 Views | $230.40 | $512.00 | $22.69–$512.54 | — | 55% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 HC Chg Radex Sacrum & Coccyx Minimum 2 Views | $215.10 | $478.00 | $26.51–$512.54 | 27% below | 55% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 HC Chg Radex Sacrum & Coccyx Minimum 2 Views | $215.10 | $478.00 | $26.51–$512.54 | — | 55% |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Massachusetts | Off list |
|---|---|---|---|---|---|
| ACTH blood test CPT 82024 HC Chg Adrenocorticotropic Hormone Acth | $133.20 | $296.00 | $33.41–$512.54 | 28% below | 55% |
| ACTH blood test inpatient CPT 82024 HC Chg Adrenocorticotropic Hormone Acth | $133.20 | $296.00 | $33.41–$512.54 | — | 55% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 HC Chg Transferase Alanine Amino Alt Sgpt | $25.65 | $57.00 | $4.58–$512.54 | 39% below | 55% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 HC Chg Transferase Alanine Amino (Alt) (Sgpt) | $25.65 | $57.00 | $4.58–$512.54 | 39% below | 55% |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 HC Chg Transferase Alanine Amino (Alt) (Sgpt) | $25.65 | $57.00 | $4.58–$512.54 | — | 55% |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 HC Chg Transferase Alanine Amino Alt Sgpt | $25.65 | $57.00 | $4.58–$512.54 | — | 55% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 HC Chg Transferase Aspartate Amino Ast Sgot | $18.90 | $42.00 | $4.48–$512.54 | 46% below | 55% |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 HC Chg Transferase Aspartate Amino Ast Sgot | $18.90 | $42.00 | $4.48–$512.54 | — | 55% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HC Chg Acute Hepatitis Panel | $182.70 | $406.00 | $41.20–$512.54 | at median | 55% |
| Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HC Chg Acute Hepatitis Panel | $182.70 | $406.00 | $41.20–$512.54 | — | 55% |
| Albumin blood test CPT 82040 HC Chg Albumin Serum Plasma/Whole Blood Lss | $18.00 | $40.00 | $4.28–$512.54 | 33% below | 55% |
| Albumin blood test CPT 82040 HC Chg Albumin Serum Plasma/Whole Blood | $18.00 | $40.00 | $4.28–$512.54 | 33% below | 55% |
| Albumin blood test inpatient CPT 82040 HC Chg Albumin Serum Plasma/Whole Blood Lss | $18.00 | $40.00 | $4.28–$512.54 | — | 55% |
| Albumin blood test inpatient CPT 82040 HC Chg Albumin Serum Plasma/Whole Blood | $18.00 | $40.00 | $4.28–$512.54 | — | 55% |
| Aldosterone blood test CPT 82088 HC Chg Assay of Aldosterone | $118.80 | $264.00 | $35.25–$512.54 | 25% below | 55% |
| Aldosterone blood test inpatient CPT 82088 HC Chg Assay of Aldosterone | $118.80 | $264.00 | $35.25–$512.54 | — | 55% |
| Alkaline phosphatase (ALP) blood test CPT 84075 HC Chg Assay of Phosphatase Alkaline | $21.15 | $47.00 | $4.48–$512.54 | 41% below | 55% |
| Alkaline phosphatase (ALP) blood test CPT 84075 HC Chg Assay of Phosphatase Alkaline Lss | $21.15 | $47.00 | $4.48–$512.54 | 41% below | 55% |
| Alkaline phosphatase (ALP) blood test inpatient CPT 84075 HC Chg Assay of Phosphatase Alkaline | $21.15 | $47.00 | $4.48–$512.54 | — | 55% |
| Alkaline phosphatase (ALP) blood test inpatient CPT 84075 HC Chg Assay of Phosphatase Alkaline Lss | $21.15 | $47.00 | $4.48–$512.54 | — | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Chg Allergen Specific Ige Quan/Semiquan Ea Allergen | $21.60 | $48.00 | $4.52–$512.54 | 45% below | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Chg Allergen Specific Ige Quan/Semiquan Ea Allergen | $21.60 | $48.00 | $4.52–$512.54 | — | 55% |
| Alpha-fetoprotein (AFP) blood test CPT 82105 HC Chg Alpha-Fetoprotein Serum | $32.85 | $73.00 | $14.51–$512.54 | 60% below | 55% |
| Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 HC Chg Alpha-Fetoprotein Serum | $32.85 | $73.00 | $14.51–$512.54 | — | 55% |
| Ammonia blood test CPT 82140 HC Chg Assay of Ammonia | $53.10 | $118.00 | $12.60–$512.54 | 42% below | 55% |
| Ammonia blood test inpatient CPT 82140 HC Chg Assay of Ammonia | $53.10 | $118.00 | $12.60–$512.54 | — | 55% |
| Amylase blood test CPT 82150 HC Assay of Amylase | $24.30 | $54.00 | $5.61–$512.54 | 46% below | 55% |
| Amylase blood test CPT 82150 HC Chg Assay of Amylase | $29.25 | $65.00 | $5.61–$512.54 | 35% below | 55% |
| Amylase blood test inpatient CPT 82150 HC Assay of Amylase | $24.30 | $54.00 | $5.61–$512.54 | — | 55% |
| Amylase blood test inpatient CPT 82150 HC Chg Assay of Amylase | $29.25 | $65.00 | $5.61–$512.54 | — | 55% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 HC Chg Cyclic Citrullinated Peptide Antibody | $38.70 | $86.00 | $11.20–$512.54 | 23% below | 55% |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 HC Chg Cyclic Citrullinated Peptide Antibody | $38.70 | $86.00 | $11.20–$512.54 | — | 55% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 HC Chg Antinuclear Antibodies Ana | $86.40 | $192.00 | $10.46–$512.54 | 73% above | 55% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 HC Chg Antinuclear Antibodies Ana | $86.40 | $192.00 | $10.46–$512.54 | — | 55% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 HC Chg Natriuretic Peptide | $102.60 | $228.00 | $33.96–$512.54 | 38% below | 55% |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 HC Chg Natriuretic Peptide | $102.60 | $228.00 | $33.96–$512.54 | — | 55% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC Chg Cul Bact Xcpt Urine Blood/Stool Aerobic Isol | $41.85 | $93.00 | $7.46–$512.54 | 5% above | 55% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC Chg Cul Bact Xcpt Urine Blood/Stool Aerobic Isol | $41.85 | $93.00 | $7.46–$512.54 | — | 55% |
| Basic metabolic panel (blood test) CPT 80048 HC Chg Basic Metabolic Panel Calcium Total | $63.90 | $142.00 | $7.32–$512.54 | 18% below | 55% |
| Basic metabolic panel (blood test) inpatient CPT 80048 HC Chg Basic Metabolic Panel Calcium Total | $63.90 | $142.00 | $7.32–$512.54 | — | 55% |
| Bilirubin blood test, total CPT 82247 HC Chg Bilirubin Total | $13.50 | $30.00 | $4.34–$512.54 | 56% below | 55% |
| Bilirubin blood test, total inpatient CPT 82247 HC Chg Bilirubin Total | $13.50 | $30.00 | $4.34–$512.54 | — | 55% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC Chg Level IV Surg Pathology Gross&Microscopic Exam | $199.35 | $443.00 | $35.03–$512.54 | 16% above | 55% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC Chg Level IV Surg Pathology Gross&Microscopic Exam Hema | $199.35 | $443.00 | $35.03–$512.54 | 16% above | 55% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HC Chg Level IV Surg Pathology Gross&Microscopic Exam | $199.35 | $443.00 | $35.03–$512.54 | — | 55% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HC Chg Level IV Surg Pathology Gross&Microscopic Exam Hema | $199.35 | $443.00 | $35.03–$512.54 | — | 55% |
| Blood culture for bacteria CPT 87040 HC Chg Culture Bacterial Blood Aerobic W/ID Isolates | $49.05 | $109.00 | $8.93–$512.54 | 38% below | 55% |
| Blood culture for bacteria inpatient CPT 87040 HC Chg Culture Bacterial Blood Aerobic W/ID Isolates | $49.05 | $109.00 | $8.93–$512.54 | — | 55% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 HC Collection Venous Blood Venipuncture | $9.90 | $22.00 | $2.40–$512.54 | 34% below | 55% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 HC Collection Venous Blood Venipuncture | $9.90 | $22.00 | $2.40–$512.54 | — | 55% |
| Blood glucose (sugar) test CPT 82947 HC Chg Glucose Quantitative Blood Xcpt Reagent Strip | $11.25 | $25.00 | $3.40–$512.54 | 64% below | 55% |
| Blood glucose (sugar) test CPT 82947 HC Chg Glucose Quantitative Blood Xcpt Reagent Strip POC | $11.25 | $25.00 | $3.40–$512.54 | 64% below | 55% |
| Blood glucose (sugar) test inpatient CPT 82947 HC Chg Glucose Quantitative Blood Xcpt Reagent Strip POC | $11.25 | $25.00 | $3.40–$512.54 | — | 55% |
| Blood glucose (sugar) test inpatient CPT 82947 HC Chg Glucose Quantitative Blood Xcpt Reagent Strip | $11.25 | $25.00 | $3.40–$512.54 | — | 55% |
| Blood lead test CPT 83655 HC Chg Assay of Lead | $25.65 | $57.00 | $10.48–$512.54 | 65% below | 55% |
| Blood lead test inpatient CPT 83655 HC Chg Assay of Lead | $25.65 | $57.00 | $10.48–$512.54 | — | 55% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HC Gonad,Chor(Hcg);Ql | $21.15 | $47.00 | $6.50–$512.54 | 54% below | 55% |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HC Gonad,Chor(Hcg);Ql | $21.15 | $47.00 | $6.50–$512.54 | — | 55% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HC Chg Blood Typing Serologic Abo | $159.30 | $354.00 | $2.59–$512.54 | 18% below | 55% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HC Chg Blood Typing Serologic Abo | $159.30 | $354.00 | $2.59–$512.54 | — | 55% |
| Blood urea nitrogen (BUN) test CPT 84520 HC Chg Assay of Urea Nitrogen Quantitative | $13.05 | $29.00 | $3.42–$512.54 | 52% below | 55% |
| Blood urea nitrogen (BUN) test inpatient CPT 84520 HC Chg Assay of Urea Nitrogen Quantitative | $13.05 | $29.00 | $3.42–$512.54 | — | 55% |
| C-peptide blood test CPT 84681 HC Chg Assay of C-Peptide | $30.60 | $68.00 | $18.00–$512.54 | 74% below | 55% |
| C-peptide blood test inpatient CPT 84681 HC Chg Assay of C-Peptide | $30.60 | $68.00 | $18.00–$512.54 | — | 55% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-Reactive Protein | $39.15 | $87.00 | $4.48–$512.54 | at median | 55% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C-Reactive Protein | $39.15 | $87.00 | $4.48–$512.54 | — | 55% |
| C. difficile toxin gene test (stool PCR) CPT 87493 HC Chg Inf Agent Det Nucleic Acid Clostridium Amp Probe | $104.85 | $233.00 | $32.24–$512.54 | 38% below | 55% |
| C. difficile toxin gene test (stool PCR) inpatient CPT 87493 HC Chg Inf Agent Det Nucleic Acid Clostridium Amp Probe | $104.85 | $233.00 | $32.24–$512.54 | — | 55% |
| CA 19-9 blood test (tumor marker) CPT 86301 HC Chg Immunoassay Tumor Antigen Quantitative Ca 19-9 | $77.85 | $173.00 | $18.00–$512.54 | 16% below | 55% |
| CA 19-9 blood test (tumor marker) inpatient CPT 86301 HC Chg Immunoassay Tumor Antigen Quantitative Ca 19-9 | $77.85 | $173.00 | $18.00–$512.54 | — | 55% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 HC Crl;Ca-125 | $81.90 | $182.00 | $18.00–$512.54 | 28% below | 55% |
| CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 HC Crl;Ca-125 | $81.90 | $182.00 | $18.00–$512.54 | — | 55% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HC Sars-Cov-2 Covid-19 Amp Prb | $63.45 | $141.00 | $44.38–$512.54 | 62% below | 55% |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 HC Sars-Cov-2 Covid-19 Amp Prb | $63.45 | $141.00 | $44.38–$512.54 | — | 55% |
| Calcium blood test, total CPT 82310 HC Chg Calcium Total | $18.90 | $42.00 | $4.46–$512.54 | 44% below | 55% |
| Calcium blood test, total inpatient CPT 82310 HC Chg Calcium Total | $18.90 | $42.00 | $4.46–$512.54 | — | 55% |
| Carcinoembryonic antigen (CEA) test CPT 82378 HC Carcinoembryonic Antigen Cea | $83.25 | $185.00 | $16.40–$512.54 | 12% below | 55% |
| Carcinoembryonic antigen (CEA) test CPT 82378 HC Chg Carcinoembryonic Antigen Cea | $83.25 | $185.00 | $16.40–$512.54 | 12% below | 55% |
| Carcinoembryonic antigen (CEA) test inpatient CPT 82378 HC Carcinoembryonic Antigen Cea | $83.25 | $185.00 | $16.40–$512.54 | — | 55% |
| Carcinoembryonic antigen (CEA) test inpatient CPT 82378 HC Chg Carcinoembryonic Antigen Cea | $83.25 | $185.00 | $16.40–$512.54 | — | 55% |
| Chickenpox (varicella) immunity blood test CPT 86787 HC Chg Antibody Varicella-Zoster | $55.80 | $124.00 | $11.14–$512.54 | 10% below | 55% |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 HC Chg Antibody Varicella-Zoster | $55.80 | $124.00 | $11.14–$512.54 | — | 55% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC Chg Iadna Chlamydia Trachomatis Amplified Probe Tq | $97.20 | $216.00 | $28.79–$512.54 | 43% below | 55% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HC Chg Iadna Chlamydia Trachomatis Amplified Probe Tq | $97.20 | $216.00 | $28.79–$512.54 | — | 55% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC Chg Lipid Panel | $42.75 | $95.00 | $11.58–$512.54 | 58% below | 55% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC Chg Lipid Panel | $42.75 | $95.00 | $11.58–$512.54 | — | 55% |
| Complete blood count (CBC) with differential CPT 85025 HC Chg Blood Count Complete Auto&Auto Difrntl Wbc | $28.80 | $64.00 | $6.72–$512.54 | 46% below | 55% |
| Complete blood count (CBC) with differential inpatient CPT 85025 HC Chg Blood Count Complete Auto&Auto Difrntl Wbc | $28.80 | $64.00 | $6.72–$512.54 | — | 55% |
| Complete blood count (CBC), no differential CPT 85027 HC Chg Blood Count Complete Automated | $27.90 | $62.00 | $5.60–$512.54 | 35% below | 55% |
| Complete blood count (CBC), no differential inpatient CPT 85027 HC Chg Blood Count Complete Automated | $27.90 | $62.00 | $5.60–$512.54 | — | 55% |
| Comprehensive metabolic panel (blood test) CPT 80053 HC Chg Comprehensive Metabolic Panel | $77.85 | $173.00 | $9.13–$512.54 | 24% below | 55% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 HC Chg Comprehensive Metabolic Panel | $77.85 | $173.00 | $9.13–$512.54 | — | 55% |
| Cortisol blood test, total CPT 82533 HC Chg Cortisol Total | $76.95 | $171.00 | $14.10–$512.54 | 2% below | 55% |
| Cortisol blood test, total inpatient CPT 82533 HC Chg Cortisol Total | $76.95 | $171.00 | $14.10–$512.54 | — | 55% |
| Creatine kinase (CK) blood test, total CPT 82550 HC Chg Creatine Kinase Total | $23.85 | $53.00 | $5.63–$512.54 | 44% below | 55% |
| Creatine kinase (CK) blood test, total inpatient CPT 82550 HC Chg Creatine Kinase Total | $23.85 | $53.00 | $5.63–$512.54 | — | 55% |
| Creatinine blood test CPT 82565 HC Chg Creatinine Blood POC | $13.50 | $30.00 | $4.43–$512.54 | 56% below | 55% |
| Creatinine blood test CPT 82565 HC Chg Creatinine Blood | $13.50 | $30.00 | $4.43–$512.54 | 56% below | 55% |
| Creatinine blood test inpatient CPT 82565 HC Chg Creatinine Blood | $13.50 | $30.00 | $4.43–$512.54 | — | 55% |
| Creatinine blood test inpatient CPT 82565 HC Chg Creatinine Blood POC | $13.50 | $30.00 | $4.43–$512.54 | — | 55% |
| Cytomegalovirus (CMV) antibody test CPT 86644 HC Chg Antibody Cytomegalovirus Cmv | $41.85 | $93.00 | $12.45–$512.54 | 40% below | 55% |
| Cytomegalovirus (CMV) antibody test inpatient CPT 86644 HC Chg Antibody Cytomegalovirus Cmv | $41.85 | $93.00 | $12.45–$512.54 | — | 55% |
| D-dimer blood test (blood clot marker) CPT 85379 HC Chg Fibrin Dgradj Products D-Dimer Quantitative | $49.05 | $109.00 | $8.81–$512.54 | 17% below | 55% |
| D-dimer blood test (blood clot marker) inpatient CPT 85379 HC Chg Fibrin Dgradj Products D-Dimer Quantitative | $49.05 | $109.00 | $8.81–$512.54 | — | 55% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 HC Chg Dehydroepiandrosterone-Sulfate | $105.30 | $234.00 | $19.23–$512.54 | 12% below | 55% |
| DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 HC Chg Dehydroepiandrosterone-Sulfate | $105.30 | $234.00 | $19.23–$512.54 | — | 55% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC Chg Drug Test Prsmv Instrmnt Chemistry Analyzers Lss | $159.30 | $354.00 | $47.55–$512.54 | 4% below | 55% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC Chg Drug Test Prsmv Instrmnt Chemistry Analyzers | $159.30 | $354.00 | $47.55–$512.54 | 4% below | 55% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC Chg Drug Test Prsmv Instrmnt Chemistry Analyzers | $159.30 | $354.00 | $47.55–$512.54 | — | 55% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC Chg Drug Test Prsmv Instrmnt Chemistry Analyzers Lss | $159.30 | $354.00 | $47.55–$512.54 | — | 55% |
| Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 HC Chg Electrolyte Panel | $34.20 | $76.00 | $6.06–$512.54 | 32% below | 55% |
| Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 HC Chg Electrolyte Panel | $34.20 | $76.00 | $6.06–$512.54 | — | 55% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 HC Chg Antibody Epstein-Barr Eb Virus Viral Capsid Vca | $35.10 | $78.00 | $15.69–$512.54 | 61% below | 55% |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 HC Chg Antibody Epstein-Barr Eb Virus Viral Capsid Vca | $35.10 | $78.00 | $15.69–$512.54 | — | 55% |
| Estradiol blood test CPT 82670 HC Chg Assay of Estradiol | $64.80 | $144.00 | $24.17–$512.54 | 63% below | 55% |
| Estradiol blood test CPT 82670 HC Q;Estradiol, Ultrasens Lss | $64.80 | $144.00 | $24.17–$512.54 | 63% below | 55% |
| Estradiol blood test inpatient CPT 82670 HC Q;Estradiol, Ultrasens Lss | $64.80 | $144.00 | $24.17–$512.54 | — | 55% |
| Estradiol blood test inpatient CPT 82670 HC Chg Assay of Estradiol | $64.80 | $144.00 | $24.17–$512.54 | — | 55% |
| FSH (follicle-stimulating hormone) test CPT 83001 HC Chg Gonadotropin Follicle Stimulating Hormone | $78.75 | $175.00 | $16.07–$512.54 | 35% below | 55% |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 HC Chg Gonadotropin Follicle Stimulating Hormone | $78.75 | $175.00 | $16.07–$512.54 | — | 55% |
| Fecal calprotectin (stool inflammation test) CPT 83993 HC Chg Assay of Calprotectin Fecal | $90.00 | $200.00 | $16.98–$512.54 | 29% below | 55% |
| Fecal calprotectin (stool inflammation test) inpatient CPT 83993 HC Chg Assay of Calprotectin Fecal | $90.00 | $200.00 | $16.98–$512.54 | — | 55% |
| Ferritin blood test (iron stores) CPT 82728 HC Chg Assay of Ferritin | $39.60 | $88.00 | $11.79–$512.54 | 52% below | 55% |
| Ferritin blood test (iron stores) inpatient CPT 82728 HC Chg Assay of Ferritin | $39.60 | $88.00 | $11.79–$512.54 | — | 55% |
| Fibrinogen blood test CPT 85384 HC Chg Fibrinogen Activity | $31.05 | $69.00 | $8.41–$512.54 | 40% below | 55% |
| Fibrinogen blood test inpatient CPT 85384 HC Chg Fibrinogen Activity | $31.05 | $69.00 | $8.41–$512.54 | — | 55% |
| Folate (folic acid) blood test CPT 82746 HC Chg Assay of Folic Acid Serum | $58.05 | $129.00 | $12.72–$512.54 | 18% below | 55% |
| Folate (folic acid) blood test inpatient CPT 82746 HC Chg Assay of Folic Acid Serum | $58.05 | $129.00 | $12.72–$512.54 | — | 55% |
| Free T3 thyroid hormone test CPT 84481 HC Chg Assay of Triiodothyronine T3 Free | $50.40 | $112.00 | $14.65–$512.54 | 51% below | 55% |
| Free T3 thyroid hormone test inpatient CPT 84481 HC Chg Assay of Triiodothyronine T3 Free | $50.40 | $112.00 | $14.65–$512.54 | — | 55% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 HC Chg Assay of Free Thyroxine | $42.30 | $94.00 | $7.80–$512.54 | 36% below | 55% |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 HC Chg Assay of Free Thyroxine | $42.30 | $94.00 | $7.80–$512.54 | — | 55% |
| Free testosterone test CPT 84402 HC Chg Assay of Testosterone Free | $70.20 | $156.00 | $22.03–$512.54 | 43% below | 55% |
| Free testosterone test inpatient CPT 84402 HC Chg Assay of Testosterone Free | $70.20 | $156.00 | $22.03–$512.54 | — | 55% |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 HC Chg Assay of Glutamyltrase Gamma | $20.25 | $45.00 | $6.23–$512.54 | 59% below | 55% |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 HC Chg Assay of Ggt | $20.25 | $45.00 | $6.23–$512.54 | 59% below | 55% |
| Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 HC Chg Assay of Ggt | $20.25 | $45.00 | $6.23–$512.54 | — | 55% |
| Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 HC Chg Assay of Glutamyltrase Gamma | $20.25 | $45.00 | $6.23–$512.54 | — | 55% |
| General health panel: metabolic panel, blood count and TSH in one order CPT 80050 HC General Health Panel | $81.90 | $182.00 | $7.96–$512.54 | 57% below | 55% |
| General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 HC General Health Panel | $81.90 | $182.00 | $7.96–$512.54 | — | 55% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 HC Chg Glucose Post Glucose Dose | $22.50 | $50.00 | $4.11–$512.54 | 6% below | 55% |
| Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 HC Chg Glucose Post Glucose Dose | $22.50 | $50.00 | $4.11–$512.54 | — | 55% |
| Glucose tolerance test, 3 samples CPT 82951 HC Chg Glucose Tolerance Test Gtt 3 Specimens | $36.90 | $82.00 | $11.13–$512.54 | 32% below | 55% |
| Glucose tolerance test, 3 samples inpatient CPT 82951 HC Chg Glucose Tolerance Test Gtt 3 Specimens | $36.90 | $82.00 | $11.13–$512.54 | — | 55% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC Chg Iadna Neisseria Gonorrhoeae Amplified Probe Tq | $97.20 | $216.00 | $28.79–$512.54 | 43% below | 55% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HC Chg Iadna Neisseria Gonorrhoeae Amplified Probe Tq | $97.20 | $216.00 | $28.79–$512.54 | — | 55% |
| H. pylori antibody blood test CPT 86677 HC Chg Antibody Helicobacter Pylori | $25.65 | $57.00 | $14.58–$512.54 | 70% below | 55% |
| H. pylori antibody blood test inpatient CPT 86677 HC Chg Antibody Helicobacter Pylori | $25.65 | $57.00 | $14.58–$512.54 | — | 55% |
| H. pylori stool antigen test CPT 87338 HC Chg Iaad Ia Hpylori Stool | $49.95 | $111.00 | $12.44–$512.54 | 52% below | 55% |
| H. pylori stool antigen test inpatient CPT 87338 HC Chg Iaad Ia Hpylori Stool | $49.95 | $111.00 | $12.44–$512.54 | — | 55% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HC Chg Iadna Hiv-1 Quant & Reverse Transcription | $225.00 | $500.00 | $62.14–$512.54 | 40% below | 55% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HC Chg Iadna Hiv-1 Quant & Reverse Transcription Lss | $225.00 | $500.00 | $62.14–$512.54 | 40% below | 55% |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HC Chg Iadna Hiv-1 Quant & Reverse Transcription Lss | $225.00 | $500.00 | $62.14–$512.54 | — | 55% |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HC Chg Iadna Hiv-1 Quant & Reverse Transcription | $225.00 | $500.00 | $62.14–$512.54 | — | 55% |
| HIV-1 and HIV-2 antibody test CPT 86703 HC Chg Antibody Hiv-1&Hiv-2 Single Result | $18.45 | $41.00 | $11.67–$512.54 | 73% below | 55% |
| HIV-1 and HIV-2 antibody test CPT 86703 HC Hiv 1/2 Antibody | $34.20 | $76.00 | $11.67–$512.54 | 50% below | 55% |
| HIV-1 and HIV-2 antibody test inpatient CPT 86703 HC Chg Antibody Hiv-1&Hiv-2 Single Result | $18.45 | $41.00 | $11.67–$512.54 | — | 55% |
| HIV-1 and HIV-2 antibody test inpatient CPT 86703 HC Hiv 1/2 Antibody | $34.20 | $76.00 | $11.67–$512.54 | — | 55% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HC Chg Laad La Hiv-1 Ag W/Hiv-1 & Hiv-2 Antbdy Single (Lss) | $63.45 | $141.00 | $20.83–$512.54 | 43% below | 55% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HC Chg Iaad Ia Hiv-1 Ag W/Hiv-1 & Hiv-2 Antbdy Single | $63.45 | $141.00 | $20.83–$512.54 | 43% below | 55% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HC Chg Laad La Hiv-1 Ag W/Hiv-1 & Hiv-2 Antbdy Single (Lss) | $63.45 | $141.00 | $20.83–$512.54 | — | 55% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HC Chg Iaad Ia Hiv-1 Ag W/Hiv-1 & Hiv-2 Antbdy Single | $63.45 | $141.00 | $20.83–$512.54 | — | 55% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 HC Chg Iadna Human Papillomavirus High-Risk Types | $52.20 | $116.00 | $30.35–$512.54 | 62% below | 55% |
| HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HC Chg Iadna Human Papillomavirus High-Risk Types | $52.20 | $116.00 | $30.35–$512.54 | — | 55% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HC Chg Hemoglobin Glycosylated A1c | $27.00 | $60.00 | $8.40–$512.54 | 47% below | 55% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HC Chg Hemoglobin Glycosylated A1c POC | $27.00 | $60.00 | $8.40–$512.54 | 47% below | 55% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HC Hemoglobin Glycosylated A1c Lss | $36.00 | $80.00 | $8.40–$512.54 | 29% below | 55% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HC Chg Hemoglobin Glycosylated A1c POC | $27.00 | $60.00 | $8.40–$512.54 | — | 55% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HC Chg Hemoglobin Glycosylated A1c | $27.00 | $60.00 | $8.40–$512.54 | — | 55% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HC Hemoglobin Glycosylated A1c Lss | $36.00 | $80.00 | $8.40–$512.54 | — | 55% |
| Hemoglobin blood test CPT 85018 HC Chg Blood Count Hemoglobin | $12.60 | $28.00 | $2.05–$512.54 | 24% below | 55% |
| Hemoglobin blood test CPT 85018 HC Hemoglobin | $12.60 | $28.00 | $2.05–$512.54 | 24% below | 55% |
| Hemoglobin blood test inpatient CPT 85018 HC Chg Blood Count Hemoglobin | $12.60 | $28.00 | $2.05–$512.54 | — | 55% |
| Hemoglobin blood test inpatient CPT 85018 HC Hemoglobin | $12.60 | $28.00 | $2.05–$512.54 | — | 55% |
| Hepatitis B core antibody test (total) CPT 86704 HC Chg Hepatitis B Core Antibody Hbcab Total | $49.05 | $109.00 | $10.42–$512.54 | 37% below | 55% |
| Hepatitis B core antibody test (total) CPT 86704 HC Chg Hepatitis B Core Antibody Hbcab Total (Lss) | $49.05 | $109.00 | $10.42–$512.54 | 37% below | 55% |
| Hepatitis B core antibody test (total) inpatient CPT 86704 HC Chg Hepatitis B Core Antibody Hbcab Total | $49.05 | $109.00 | $10.42–$512.54 | — | 55% |
| Hepatitis B core antibody test (total) inpatient CPT 86704 HC Chg Hepatitis B Core Antibody Hbcab Total (Lss) | $49.05 | $109.00 | $10.42–$512.54 | — | 55% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HC Chg Hepatitis B Surf Antibody Hbsab | $36.45 | $81.00 | $9.29–$512.54 | 46% below | 55% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HC Chg Hepatitis B Surf Antibody Hbsab | $36.45 | $81.00 | $9.29–$512.54 | — | 55% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HC Chg Laad La Hepatitis B Surface Antigen (Lss) | $36.90 | $82.00 | $8.94–$512.54 | 60% below | 55% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HC Chg Iaad Ia Hepatitis B Surface Antigen | $36.90 | $82.00 | $8.94–$512.54 | 60% below | 55% |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HC Chg Iaad Ia Hepatitis B Surface Antigen | $36.90 | $82.00 | $8.94–$512.54 | — | 55% |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HC Chg Laad La Hepatitis B Surface Antigen (Lss) | $36.90 | $82.00 | $8.94–$512.54 | — | 55% |
| Hepatitis C antibody blood test (screening) CPT 86803 HC Chg Hepatitis C Antibody | $36.00 | $80.00 | $12.34–$512.54 | 68% below | 55% |
| Hepatitis C antibody blood test (screening) CPT 86803 HC Chg Hepatitis C Antibody (Lss) | $54.00 | $120.00 | $12.34–$512.54 | 53% below | 55% |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 HC Chg Hepatitis C Antibody | $36.00 | $80.00 | $12.34–$512.54 | — | 55% |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 HC Chg Hepatitis C Antibody (Lss) | $54.00 | $120.00 | $12.34–$512.54 | — | 55% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HC Arup;Hep C Vir Rna Qn | $167.85 | $373.00 | $37.06–$512.54 | 15% below | 55% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HC Chg Iadna Hepatitis C Quant & Reverse Transcription | $167.85 | $373.00 | $37.06–$512.54 | 15% below | 55% |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HC Chg Iadna Hepatitis C Quant & Reverse Transcription | $167.85 | $373.00 | $37.06–$512.54 | — | 55% |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HC Arup;Hep C Vir Rna Qn | $167.85 | $373.00 | $37.06–$512.54 | — | 55% |
| Herpes blood test, HSV-1 antibody CPT 86695 HC Chg Antibody Herpes Smplx Type 1 Lss | $32.85 | $73.00 | $11.41–$512.54 | 44% below | 55% |
| Herpes blood test, HSV-1 antibody CPT 86695 HC Chg Antibody Herpes Smplx Type 1 | $32.85 | $73.00 | $11.41–$512.54 | 44% below | 55% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HC Chg Antibody Herpes Smplx Type 1 | $32.85 | $73.00 | $11.41–$512.54 | — | 55% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HC Chg Antibody Herpes Smplx Type 1 Lss | $32.85 | $73.00 | $11.41–$512.54 | — | 55% |
| Herpes blood test, HSV-2 antibody CPT 86696 HC Chg Antibody Herpes Smplx Type 2 | $28.80 | $64.00 | $16.74–$512.54 | 56% below | 55% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HC Chg Antibody Herpes Smplx Type 2 | $28.80 | $64.00 | $16.74–$512.54 | — | 55% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 HC Crl;Cardio Crp | $60.30 | $134.00 | $11.20–$512.54 | at median | 55% |
| High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 HC Crl;Cardio Crp | $60.30 | $134.00 | $11.20–$512.54 | — | 55% |
| Homocysteine blood test CPT 83090 HC Chg Assay of Homocysteine | $51.75 | $115.00 | $15.50–$512.54 | 55% below | 55% |
| Homocysteine blood test inpatient CPT 83090 HC Chg Assay of Homocysteine | $51.75 | $115.00 | $15.50–$512.54 | — | 55% |
| Insulin blood test CPT 83525 HC Chg Assay of Insulin Total | $36.90 | $82.00 | $9.89–$512.54 | 38% below | 55% |
| Insulin blood test inpatient CPT 83525 HC Chg Assay of Insulin Total | $36.90 | $82.00 | $9.89–$512.54 | — | 55% |
| Iron blood test (serum iron) CPT 83540 HC Chg Assay of Iron | $20.70 | $46.00 | $5.60–$512.54 | 34% below | 55% |
| Iron blood test (serum iron) inpatient CPT 83540 HC Chg Assay of Iron | $20.70 | $46.00 | $5.60–$512.54 | — | 55% |
| Iron-binding capacity (TIBC) test CPT 83550 HC Chg Iron Binding Capacity | $27.00 | $60.00 | $7.56–$512.54 | 28% below | 55% |
| Iron-binding capacity (TIBC) test inpatient CPT 83550 HC Chg Iron Binding Capacity | $27.00 | $60.00 | $7.56–$512.54 | — | 55% |
| Kidney function blood test panel CPT 80069 HC Chg Renal Function Panel | $66.60 | $148.00 | $7.51–$512.54 | 14% below | 55% |
| Kidney function blood test panel inpatient CPT 80069 HC Chg Renal Function Panel | $66.60 | $148.00 | $7.51–$512.54 | — | 55% |
| LH (luteinizing hormone) test CPT 83002 HC Chg Gonadotropin Luteinizing Hormone | $65.70 | $146.00 | $16.02–$512.54 | 36% below | 55% |
| LH (luteinizing hormone) test inpatient CPT 83002 HC Chg Gonadotropin Luteinizing Hormone | $65.70 | $146.00 | $16.02–$512.54 | — | 55% |
| Lactate (lactic acid) blood test CPT 83605 HC Chg Assay of Lactate | $33.30 | $74.00 | $10.01–$512.54 | 53% below | 55% |
| Lactate (lactic acid) blood test inpatient CPT 83605 HC Chg Assay of Lactate | $33.30 | $74.00 | $10.01–$512.54 | — | 55% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 HC Chg Lactate Dehydrogenase Ldh | $23.40 | $52.00 | $5.22–$512.54 | 35% below | 55% |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 HC Chg Lactate Dehydrogenase Ldh | $23.40 | $52.00 | $5.22–$512.54 | — | 55% |
| Lipase blood test (pancreas enzyme) CPT 83690 HC Assay of Lipase | $26.55 | $59.00 | $5.96–$512.54 | 38% below | 55% |
| Lipase blood test (pancreas enzyme) CPT 83690 HC Chg Assay of Lipase | $27.45 | $61.00 | $5.96–$512.54 | 36% below | 55% |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 HC Assay of Lipase | $26.55 | $59.00 | $5.96–$512.54 | — | 55% |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 HC Chg Assay of Lipase | $27.45 | $61.00 | $5.96–$512.54 | — | 55% |
| Liver function blood test panel CPT 80076 HC Chg Hepatic Function Panel | $54.90 | $122.00 | $7.07–$512.54 | 43% below | 55% |
| Liver function blood test panel inpatient CPT 80076 HC Chg Hepatic Function Panel | $54.90 | $122.00 | $7.07–$512.54 | — | 55% |
| Lyme disease antibody test CPT 86618 HC Antibody Borrelia Burgdorferi Lyme Disease | $36.90 | $82.00 | $14.73–$512.54 | 54% below | 55% |
| Lyme disease antibody test CPT 86618 HC Q;Lyme Ab Index Cns Infec | $88.20 | $196.00 | $14.73–$512.54 | 9% above | 55% |
| Lyme disease antibody test inpatient CPT 86618 HC Antibody Borrelia Burgdorferi Lyme Disease | $36.90 | $82.00 | $14.73–$512.54 | — | 55% |
| Lyme disease antibody test inpatient CPT 86618 HC Q;Lyme Ab Index Cns Infec | $88.20 | $196.00 | $14.73–$512.54 | — | 55% |
| Magnesium blood test CPT 83735 HC Chg Assay of Magnesium | $32.40 | $72.00 | $5.80–$512.54 | 15% below | 55% |
| Magnesium blood test inpatient CPT 83735 HC Chg Assay of Magnesium | $32.40 | $72.00 | $5.80–$512.54 | — | 55% |
| Measles (rubeola) antibody test CPT 86765 HC Chg Antibody Rubeola | $55.35 | $123.00 | $11.14–$512.54 | 29% below | 55% |
| Measles (rubeola) antibody test inpatient CPT 86765 HC Chg Antibody Rubeola | $55.35 | $123.00 | $11.14–$512.54 | — | 55% |
| Mono test (heterophile antibody, Monospot) CPT 86308 HC Chg Heterophile Antibodies Screen | $14.40 | $32.00 | $4.48–$512.54 | 68% below | 55% |
| Mono test (heterophile antibody, Monospot) inpatient CPT 86308 HC Chg Heterophile Antibodies Screen | $14.40 | $32.00 | $4.48–$512.54 | — | 55% |
| Mumps immunity blood test CPT 86735 HC Chg Antibody Mumps Lss | $42.75 | $95.00 | $11.29–$512.54 | 37% below | 55% |
| Mumps immunity blood test CPT 86735 HC Chg Antibody Mumps | $42.75 | $95.00 | $11.29–$512.54 | 37% below | 55% |
| Mumps immunity blood test inpatient CPT 86735 HC Chg Antibody Mumps | $42.75 | $95.00 | $11.29–$512.54 | — | 55% |
| Mumps immunity blood test inpatient CPT 86735 HC Chg Antibody Mumps Lss | $42.75 | $95.00 | $11.29–$512.54 | — | 55% |
| Obstetric blood test panel CPT 80055 HC Chg Obstetric Panel | $70.20 | $156.00 | $18.32–$512.54 | 49% below | 55% |
| Obstetric blood test panel inpatient CPT 80055 HC Chg Obstetric Panel | $70.20 | $156.00 | $18.32–$512.54 | — | 55% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 HC Assay of Prostate Specific Antigen Free | $22.95 | $51.00 | $15.91–$512.54 | 77% below | 55% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 HC Assay of Prostate Specific Antigen Free | $22.95 | $51.00 | $15.91–$512.54 | — | 55% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC Assay of Prostate Specific Antigen Total | $43.20 | $96.00 | $15.91–$512.54 | 51% below | 55% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC Chg Assay of Prostate Specific Antigen Total | $56.70 | $126.00 | $15.91–$512.54 | 35% below | 55% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC Assay of Prostate Specific Antigen Total | $43.20 | $96.00 | $15.91–$512.54 | — | 55% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC Chg Assay of Prostate Specific Antigen Total | $56.70 | $126.00 | $15.91–$512.54 | — | 55% |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 HC Chg Cytp Cerv/Vag Auto Thin Layer Prep Mnl Screen | $91.80 | $204.00 | $17.52–$512.54 | at median | 55% |
| Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 HC Chg Cytp Cerv/Vag Auto Thin Layer Prep Mnl Screen | $91.80 | $204.00 | $17.52–$512.54 | — | 55% |
| Parathyroid hormone (PTH) blood test CPT 83970 HC Assay of Parathormone | $96.30 | $214.00 | $35.71–$512.54 | 47% below | 55% |
| Parathyroid hormone (PTH) blood test CPT 83970 HC Chg Assay of Parathormone | $125.10 | $278.00 | $35.71–$512.54 | 31% below | 55% |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 HC Assay of Parathormone | $96.30 | $214.00 | $35.71–$512.54 | — | 55% |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 HC Chg Assay of Parathormone | $125.10 | $278.00 | $35.71–$512.54 | — | 55% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC Chg Thromboplastin Time Partial Plasma/Whole Blood POC | $20.70 | $46.00 | $5.20–$512.54 | 30% below | 55% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC Chg Thromboplastin Time Partial Plasma/Whole Blood | $20.70 | $46.00 | $5.20–$512.54 | 30% below | 55% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC Chg Thromboplastin Time Partial Plasma/Whole Blood POC | $20.70 | $46.00 | $5.20–$512.54 | — | 55% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC Chg Thromboplastin Time Partial Plasma/Whole Blood | $20.70 | $46.00 | $5.20–$512.54 | — | 55% |
| Phosphorus (phosphate) blood test CPT 84100 HC Chg Assay of Phosphorus Inorganic | $22.50 | $50.00 | $4.10–$512.54 | 13% below | 55% |
| Phosphorus (phosphate) blood test inpatient CPT 84100 HC Chg Assay of Phosphorus Inorganic | $22.50 | $50.00 | $4.10–$512.54 | — | 55% |
| Potassium blood test CPT 84132 HC Chg Potassium Serum Plasma/Whole Blood | $12.60 | $28.00 | $4.12–$512.54 | 59% below | 55% |
| Potassium blood test CPT 84132 HC Chg Potassium Serum Plasma/Whole Blood POC | $12.60 | $28.00 | $4.12–$512.54 | 59% below | 55% |
| Potassium blood test inpatient CPT 84132 HC Chg Potassium Serum Plasma/Whole Blood POC | $12.60 | $28.00 | $4.12–$512.54 | — | 55% |
| Potassium blood test inpatient CPT 84132 HC Chg Potassium Serum Plasma/Whole Blood | $12.60 | $28.00 | $4.12–$512.54 | — | 55% |
| Progesterone blood test CPT 84144 HC Chg Assay of Progesterone | $63.90 | $142.00 | $18.04–$512.54 | 53% below | 55% |
| Progesterone blood test inpatient CPT 84144 HC Chg Assay of Progesterone | $63.90 | $142.00 | $18.04–$512.54 | — | 55% |
| Prolactin blood test CPT 84146 HC Assay of Prolactin | $70.65 | $157.00 | $16.76–$512.54 | 25% below | 55% |
| Prolactin blood test CPT 84146 HC Chg Assay of Prolactin | $91.80 | $204.00 | $16.76–$512.54 | 2% below | 55% |
| Prolactin blood test inpatient CPT 84146 HC Assay of Prolactin | $70.65 | $157.00 | $16.76–$512.54 | — | 55% |
| Prolactin blood test inpatient CPT 84146 HC Chg Assay of Prolactin | $91.80 | $204.00 | $16.76–$512.54 | — | 55% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC Chg Prothrombin Time | $21.15 | $47.00 | $3.71–$512.54 | 11% above | 55% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC Chg Prothrombin Time POC | $21.15 | $47.00 | $3.71–$512.54 | 11% above | 55% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC Chg Prothrombin Time POC | $21.15 | $47.00 | $3.71–$512.54 | — | 55% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC Chg Prothrombin Time | $21.15 | $47.00 | $3.71–$512.54 | — | 55% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 HC Chg Iaadiadoo Streptococcus Group A | $38.25 | $85.00 | $12.67–$512.54 | 41% below | 55% |
| Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 HC Chg Iaadiadoo Streptococcus Group A | $38.25 | $85.00 | $12.67–$512.54 | — | 55% |
| Renin blood test CPT 84244 HC Chg Assay of Renin | $98.55 | $219.00 | $19.02–$512.54 | 10% below | 55% |
| Renin blood test inpatient CPT 84244 HC Chg Assay of Renin | $98.55 | $219.00 | $19.02–$512.54 | — | 55% |
| Rh blood typing CPT 86901 HC Chg Blood Typing Serologic Rh (D) | $50.40 | $112.00 | $2.59–$512.54 | 44% below | 55% |
| Rh blood typing inpatient CPT 86901 HC Chg Blood Typing Serologic Rh (D) | $50.40 | $112.00 | $2.59–$512.54 | — | 55% |
| Rheumatoid factor (RF) test CPT 86431 HC Chg Rheumatoid Factor Quantitative | $22.05 | $49.00 | $4.90–$512.54 | 25% below | 55% |
| Rheumatoid factor (RF) test inpatient CPT 86431 HC Chg Rheumatoid Factor Quantitative | $22.05 | $49.00 | $4.90–$512.54 | — | 55% |
| Rubella antibody test (immunity check) CPT 86762 HC Antibody Rubella Lss | $33.30 | $74.00 | $12.45–$512.54 | 58% below | 55% |
| Rubella antibody test (immunity check) CPT 86762 HC Chg Antibody Rubella | $41.40 | $92.00 | $12.45–$512.54 | 48% below | 55% |
| Rubella antibody test (immunity check) inpatient CPT 86762 HC Antibody Rubella Lss | $33.30 | $74.00 | $12.45–$512.54 | — | 55% |
| Rubella antibody test (immunity check) inpatient CPT 86762 HC Chg Antibody Rubella | $41.40 | $92.00 | $12.45–$512.54 | — | 55% |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 HC Chg Sedimentation Rate RBC Automated | $9.00 | $20.00 | $2.34–$512.54 | 31% below | 55% |
| Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 HC Chg Sedimentation Rate RBC Automated | $9.00 | $20.00 | $2.34–$512.54 | — | 55% |
| Semen analysis: volume, sperm count, motility and morphology CPT 89320 HC Chg Semen Analysis Volume Count Motility Different | $69.30 | $154.00 | $10.65–$512.54 | at median | 55% |
| Semen analysis: volume, sperm count, motility and morphology inpatient CPT 89320 HC Chg Semen Analysis Volume Count Motility Different | $69.30 | $154.00 | $10.65–$512.54 | — | 55% |
| Sodium blood test CPT 84295 HC Chg Sodium Serum Plasma or Whole Blood POC | $12.60 | $28.00 | $4.16–$512.54 | 55% below | 55% |
| Sodium blood test CPT 84295 HC Chg Sodium Serum Plasma or Whole Blood | $12.60 | $28.00 | $4.16–$512.54 | 55% below | 55% |
| Sodium blood test inpatient CPT 84295 HC Chg Sodium Serum Plasma or Whole Blood POC | $12.60 | $28.00 | $4.16–$512.54 | — | 55% |
| Sodium blood test inpatient CPT 84295 HC Chg Sodium Serum Plasma or Whole Blood | $12.60 | $28.00 | $4.16–$512.54 | — | 55% |
| Stool ova and parasites exam CPT 87177 HC Chg Ova&Parasites Direct Smears Concentration & ID | $42.30 | $94.00 | $7.70–$512.54 | at median | 55% |
| Stool ova and parasites exam inpatient CPT 87177 HC Chg Ova&Parasites Direct Smears Concentration & ID | $42.30 | $94.00 | $7.70–$512.54 | — | 55% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 HC Chg Blood Occult Peroxidase Actv Qual Feces 1 Deter | $9.90 | $22.00 | $3.59–$512.54 | 50% below | 55% |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 HC Chg Blood Occult Peroxidase Actv Qual Feces 1 Deter | $9.90 | $22.00 | $3.59–$512.54 | — | 55% |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 HC Chg Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 | $62.55 | $139.00 | $13.77–$512.54 | 7% below | 55% |
| Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 HC Chg Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 | $62.55 | $139.00 | $13.77–$512.54 | — | 55% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 HC Chg Antibody Treponema Pallidum | $46.80 | $104.00 | $11.45–$512.54 | 24% below | 55% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 HC Syphillis Igg/Igm Eia | $46.80 | $104.00 | $11.45–$512.54 | 24% below | 55% |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 HC Syphillis Igg/Igm Eia | $46.80 | $104.00 | $11.45–$512.54 | — | 55% |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 HC Chg Antibody Treponema Pallidum | $46.80 | $104.00 | $11.45–$512.54 | — | 55% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC Syphilis Test, Non-Treponemal Antibody; Qualitative | $5.40 | $12.00 | $3.69–$512.54 | 78% below | 55% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC Chg Syphilis Test Non-Treponemal Antibody Qual | $17.10 | $38.00 | $3.69–$512.54 | 30% below | 55% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC Syphilis Test, Non-Treponemal Antibody; Qualitative | $5.40 | $12.00 | $3.69–$512.54 | — | 55% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC Chg Syphilis Test Non-Treponemal Antibody Qual | $17.10 | $38.00 | $3.69–$512.54 | — | 55% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 HC Chg TB Cell Mediated Antign Respnse Gamma Interferon | $76.50 | $170.00 | $53.61–$512.54 | 63% below | 55% |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 HC Chg TB Cell Mediated Antign Respnse Gamma Interferon | $76.50 | $170.00 | $53.61–$512.54 | — | 55% |
| Testosterone blood test, total (not free testosterone) CPT 84403 HC Chg Assay of Testosterone Total | $64.35 | $143.00 | $22.33–$512.54 | 53% below | 55% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HC Chg Assay of Testosterone Total | $64.35 | $143.00 | $22.33–$512.54 | — | 55% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 HC Chg Microsomal Antibodies Each | $46.35 | $103.00 | $12.59–$512.54 | 36% below | 55% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HC Chg Microsomal Antibodies Each | $46.35 | $103.00 | $12.59–$512.54 | — | 55% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC Chg Assay of Thyroid Stimulating Hormone Tsh | $65.70 | $146.00 | $14.53–$512.54 | 10% below | 55% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC Chg Assay of Thyroid Stimulating Hormone Tsh | $65.70 | $146.00 | $14.53–$512.54 | — | 55% |
| Total IgE blood test CPT 82785 HC Chg Assay of Gammaglobulin Ige | $78.30 | $174.00 | $14.24–$512.54 | 13% below | 55% |
| Total IgE blood test inpatient CPT 82785 HC Chg Assay of Gammaglobulin Ige | $78.30 | $174.00 | $14.24–$512.54 | — | 55% |
| Total cholesterol blood test CPT 82465 HC Chg Cholesterol Serum/Whole Blood Total | $10.80 | $24.00 | $3.76–$512.54 | 63% below | 55% |
| Total cholesterol blood test inpatient CPT 82465 HC Chg Cholesterol Serum/Whole Blood Total | $10.80 | $24.00 | $3.76–$512.54 | — | 55% |
| Total thyroxine (T4) blood test CPT 84436 HC Chg Assay of Thyroxine Total | $29.25 | $65.00 | $5.94–$512.54 | 12% below | 55% |
| Total thyroxine (T4) blood test inpatient CPT 84436 HC Chg Assay of Thyroxine Total | $29.25 | $65.00 | $5.94–$512.54 | — | 55% |
| Total triiodothyronine (T3) blood test CPT 84480 HC Chg Assay of Triiodothyronine T3 Total Tt3 | $67.05 | $149.00 | $12.27–$512.54 | 22% below | 55% |
| Total triiodothyronine (T3) blood test inpatient CPT 84480 HC Chg Assay of Triiodothyronine T3 Total Tt3 | $67.05 | $149.00 | $12.27–$512.54 | — | 55% |
| Transferrin blood test CPT 84466 HC Assay of L7383transferrin | $23.85 | $53.00 | $11.04–$512.54 | 61% below | 55% |
| Transferrin blood test CPT 84466 HC Chg Assay of L7383transferrin | $23.85 | $53.00 | $11.04–$512.54 | 61% below | 55% |
| Transferrin blood test inpatient CPT 84466 HC Assay of L7383transferrin | $23.85 | $53.00 | $11.04–$512.54 | — | 55% |
| Transferrin blood test inpatient CPT 84466 HC Chg Assay of L7383transferrin | $23.85 | $53.00 | $11.04–$512.54 | — | 55% |
| Trichomonas test (NAAT) CPT 87661 HC Chg Iadna Trichomonas Vaginalis Amplified Probe Tech | $107.10 | $238.00 | $30.35–$512.54 | 3% above | 55% |
| Trichomonas test (NAAT) inpatient CPT 87661 HC Chg Iadna Trichomonas Vaginalis Amplified Probe Tech | $107.10 | $238.00 | $30.35–$512.54 | — | 55% |
| Triglycerides blood test CPT 84478 HC Chg Assay of Triglycerides | $12.15 | $27.00 | $4.97–$512.54 | 56% below | 55% |
| Triglycerides blood test inpatient CPT 84478 HC Chg Assay of Triglycerides | $12.15 | $27.00 | $4.97–$512.54 | — | 55% |
| Troponin test, quantitative CPT 84484 HC Chg Assay of Troponin Quantitative | $47.25 | $105.00 | $10.79–$512.54 | 34% below | 55% |
| Troponin test, quantitative inpatient CPT 84484 HC Chg Assay of Troponin Quantitative | $47.25 | $105.00 | $10.79–$512.54 | — | 55% |
| Uric acid blood test CPT 84550 HC Chg Assay of Blood/Uric Acid | $15.30 | $34.00 | $3.91–$512.54 | 49% below | 55% |
| Uric acid blood test inpatient CPT 84550 HC Chg Assay of Blood/Uric Acid | $15.30 | $34.00 | $3.91–$512.54 | — | 55% |
| Urinalysis with microscope exam, automated CPT 81001 HC Chg Urnls Dip Stick/Tablet Reagent Auto Microscopy | $17.10 | $38.00 | $2.74–$512.54 | 50% below | 55% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 HC Chg Urnls Dip Stick/Tablet Reagent Auto Microscopy | $17.10 | $38.00 | $2.74–$512.54 | — | 55% |
| Urinalysis with microscope exam, manual CPT 81000 HC Chg Urinls Dip Stick/Tablet Reagnt Non-Auto Micrscpy | $6.75 | $15.00 | $3.48–$512.54 | 53% below | 55% |
| Urinalysis with microscope exam, manual inpatient CPT 81000 HC Chg Urinls Dip Stick/Tablet Reagnt Non-Auto Micrscpy | $6.75 | $15.00 | $3.48–$512.54 | — | 55% |
| Urinalysis without microscope exam, automated CPT 81003 HC Chg Urnls Dip Stick/Tablet Rgnt Auto W/O Microscopy POC | $12.60 | $28.00 | $1.95–$512.54 | 40% below | 55% |
| Urinalysis without microscope exam, automated CPT 81003 HC Chg Urnls Dip Stick/Tablet Rgnt Auto W/O Microscopy | $12.60 | $28.00 | $1.95–$512.54 | 40% below | 55% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HC Chg Urnls Dip Stick/Tablet Rgnt Auto W/O Microscopy | $12.60 | $28.00 | $1.95–$512.54 | — | 55% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HC Chg Urnls Dip Stick/Tablet Rgnt Auto W/O Microscopy POC | $12.60 | $28.00 | $1.95–$512.54 | — | 55% |
| Urinalysis without microscope exam, manual CPT 81002 HC Chg Urnls Dip Stick/Tablet Rgnt Non-Auto W/O Micrscp | $8.10 | $18.00 | $2.83–$512.54 | 65% below | 55% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 HC Chg Urnls Dip Stick/Tablet Rgnt Non-Auto W/O Micrscp | $8.10 | $18.00 | $2.83–$512.54 | — | 55% |
| Urine culture for bacteria, with colony count CPT 87086 HC Chg Culture Bacterial Quanttative Colony Count Urine | $38.70 | $86.00 | $6.98–$512.54 | 1% below | 55% |
| Urine culture for bacteria, with colony count inpatient CPT 87086 HC Chg Culture Bacterial Quanttative Colony Count Urine | $38.70 | $86.00 | $6.98–$512.54 | — | 55% |
| Urine microalbumin (albumin) test CPT 82043 HC Chg Albumin Urine Microalbumin Quantiative | $26.55 | $59.00 | $5.00–$512.54 | 37% below | 55% |
| Urine microalbumin (albumin) test inpatient CPT 82043 HC Chg Albumin Urine Microalbumin Quantiative | $26.55 | $59.00 | $5.00–$512.54 | — | 55% |
| Urine pregnancy test, read by color change CPT 81025 HC Chg Urine Pregnancy Test Visual Color Cmprsn Meths | $20.25 | $45.00 | $6.99–$512.54 | 28% below | 55% |
| Urine pregnancy test, read by color change inpatient CPT 81025 HC Chg Urine Pregnancy Test Visual Color Cmprsn Meths | $20.25 | $45.00 | $6.99–$512.54 | — | 55% |
| Vitamin B12 (cobalamin) blood test CPT 82607 HC Chg Cyanocobalamin Vitamin B-12 | $47.70 | $106.00 | $13.04–$512.54 | 37% below | 55% |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 HC Chg Cyanocobalamin Vitamin B-12 | $47.70 | $106.00 | $13.04–$512.54 | — | 55% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HC Chg 25 Hydroxy Includes Fractions if Performed | $71.55 | $159.00 | $25.60–$512.54 | 52% below | 55% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 HC Chg 25 Hydroxy Includes Fractions if Performed | $71.55 | $159.00 | $25.60–$512.54 | — | 55% |
| Vitamin D, 1,25-dihydroxy blood test CPT 82652 HC Chg 1 25 Dihydroxy Includes Fractions if Performed | $89.55 | $199.00 | $33.30–$512.54 | 50% below | 55% |
| Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 HC Chg 1 25 Dihydroxy Includes Fractions if Performed | $89.55 | $199.00 | $33.30–$512.54 | — | 55% |
| Zinc blood test CPT 84630 HC Chg Assay of Zinc | $18.00 | $40.00 | $9.85–$512.54 | 76% below | 55% |
| Zinc blood test inpatient CPT 84630 HC Chg Assay of Zinc | $18.00 | $40.00 | $9.85–$512.54 | — | 55% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HC Chg Gonadotropin Chorionic Quantitative | $42.75 | $95.00 | $13.02–$512.54 | 58% below | 55% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HC Hcg Tumor Marker | $42.75 | $95.00 | $13.02–$512.54 | 58% below | 55% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HC Hcg Tumor Marker | $42.75 | $95.00 | $13.02–$512.54 | — | 55% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HC Chg Gonadotropin Chorionic Quantitative | $42.75 | $95.00 | $13.02–$512.54 | — | 55% |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Massachusetts | Off list |
|---|---|---|---|---|---|
| Adenoid removal (adenoidectomy), child under 12 CPT 42830 HC Removal of Adenoids | $3,554.55 | $7,899.00 | $431.24–$9,462.27 | 63% below | 55% |
| Adenoid removal (adenoidectomy), child under 12 inpatient CPT 42830 HC Removal of Adenoids | $3,554.55 | $7,899.00 | $431.24–$9,462.27 | — | 55% |
| Arthroscopic ACL reconstruction or repair of the knee CPT 29888 HC Knee Scope,Aid Ant Cruciate Repair | $2,474.55 | $5,499.00 | $431.24–$20,709.13 | 91% below | 55% |
| Arthroscopic ACL reconstruction or repair of the knee inpatient CPT 29888 HC Knee Scope,Aid Ant Cruciate Repair | $2,474.55 | $5,499.00 | $431.24–$20,709.13 | — | 55% |
| Arthroscopic rotator cuff repair of the shoulder CPT 29827 HC Shldr Arthroscop,Surg,W/Rotat Cuff Repr | $4,133.25 | $9,185.00 | $431.24–$20,709.13 | 60% below | 55% |
| Arthroscopic rotator cuff repair of the shoulder inpatient CPT 29827 HC Shldr Arthroscop,Surg,W/Rotat Cuff Repr | $4,133.25 | $9,185.00 | $431.24–$20,709.13 | — | 55% |
| Botox injections for chronic migraine CPT 64615 HC Chemodervate Facial/Trigem/Cerv Musc Migraine | $282.15 | $627.00 | $225.72–$960.40 | 47% below | 55% |
| Botox injections for chronic migraine inpatient CPT 64615 HC Chemodervate Facial/Trigem/Cerv Musc Migraine | $282.15 | $627.00 | $225.72–$960.40 | — | 55% |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 HC Bx Breast W/Device 1st Lesion Stereotactic Guid | $1,221.75 | $2,715.00 | $431.24–$4,713.63 | 48% below | 55% |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 HC Bx Breast W/Device 1st Lesion Stereotactic Guid | $1,221.75 | $2,715.00 | $431.24–$4,713.63 | — | 55% |
| Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 HC Cltx Dstl Fibular Fx Lat Malls W/O Manj | $641.70 | $1,426.00 | $225.09–$1,505.24 | 34% below | 55% |
| Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 HC Cltx Dstl Fibular Fx Lat Malls W/O Manj | $641.70 | $1,426.00 | $225.09–$1,505.24 | — | 55% |
| Broken foot (metatarsal) treatment without surgery or setting CPT 28470 HC Closed Tx Metatarsal Fracture W/O Manipulation | $715.50 | $1,590.00 | $225.09–$1,351.50 | 2% above | 55% |
| Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 HC Closed Tx Metatarsal Fracture W/O Manipulation | $715.50 | $1,590.00 | $225.09–$1,351.50 | — | 55% |
| Bunion correction with a bone cut near the head of the first metatarsal CPT 28296 HC Corrj Hallux Valgus W Bun/Sesmdc W/Dist Metar Osteot | $3,424.95 | $7,611.00 | $431.24–$9,338.24 | 52% below | 55% |
| Bunion correction with a bone cut near the head of the first metatarsal inpatient CPT 28296 HC Corrj Hallux Valgus W Bun/Sesmdc W/Dist Metar Osteot | $3,424.95 | $7,611.00 | $431.24–$9,338.24 | — | 55% |
| Cardiac catheterization with coronary angiogram CPT 93458 HC Cath Plmt L Hrt & Arts W/Njx & Angio Img S&I | $9,256.95 | $20,571.00 | $431.24–$17,485.35 | 13% above | 55% |
| Cardiac catheterization with coronary angiogram inpatient CPT 93458 HC Cath Plmt L Hrt & Arts W/Njx & Angio Img S&I | $9,256.95 | $20,571.00 | $431.24–$17,485.35 | — | 55% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 HC Cardioversion Elective Arrhythmia External | $1,025.10 | $2,278.00 | $324.71–$1,936.30 | 20% below | 55% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 HC Cardioversion Elective Arrhythmia External | $1,025.10 | $2,278.00 | $324.71–$1,936.30 | — | 55% |
| Carpal tunnel release, open surgery CPT 64721 HC Neuroplasty &/Transpos Median Nrv Carpal Tunne | $1,847.70 | $4,106.00 | $431.24–$5,573.05 | 60% below | 55% |
| Carpal tunnel release, open surgery inpatient CPT 64721 HC Neuroplasty &/Transpos Median Nrv Carpal Tunne | $1,847.70 | $4,106.00 | $431.24–$5,573.05 | — | 55% |
| Cataract surgery with lens implant CPT 66984 HC Remv Cataract Extracap, Insert Lens | $1,321.65 | $2,937.00 | $431.24–$6,586.50 | 86% below | 55% |
| Cataract surgery with lens implant inpatient CPT 66984 HC Remv Cataract Extracap, Insert Lens | $1,321.65 | $2,937.00 | $431.24–$6,586.50 | — | 55% |
| Catheter ablation for atrial fibrillation CPT 93656 HC Compre Ep Eval Abltj Atr Fib | $29,926.80 | $66,504.00 | $431.24–$74,597.06 | 34% below | 55% |
| Catheter ablation for atrial fibrillation inpatient CPT 93656 HC Compre Ep Eval Abltj Atr Fib | $29,926.80 | $66,504.00 | $431.24–$74,597.06 | — | 55% |
| Cervical biopsy CPT 57500 HC Biopsy Cervix Single/Mult/Excision of Lesion Spx | $355.95 | $791.00 | $284.76–$2,628.66 | 73% below | 55% |
| Cervical biopsy inpatient CPT 57500 HC Biopsy Cervix Single/Mult/Excision of Lesion Spx | $355.95 | $791.00 | $284.76–$2,628.66 | — | 55% |
| Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 HC Circum 28 Days or Older | $1,613.70 | $3,586.00 | $431.24–$5,965.92 | 64% below | 55% |
| Circumcision by surgical excision, older than 28 days (children and adults) inpatient CPT 54161 HC Circum 28 Days or Older | $1,613.70 | $3,586.00 | $431.24–$5,965.92 | — | 55% |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 HC Circumcision W/Clamp/Oth Dev W/Block | $1,608.75 | $3,575.00 | $431.24–$5,965.92 | 18% below | 55% |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 HC Circumcision W/Clamp/Oth Dev W/Block | $1,608.75 | $3,575.00 | $431.24–$5,965.92 | — | 55% |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 HC Cltx Dstl Radial Fx/Epiphysl Sep W/O Manj | $835.65 | $1,857.00 | $225.09–$1,578.45 | 35% above | 55% |
| Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 HC Cltx Dstl Radial Fx/Epiphysl Sep W/O Manj | $835.65 | $1,857.00 | $225.09–$1,578.45 | — | 55% |
| Colonoscopy with endoscopic ultrasound CPT 45391 HC Colsc Flx W/Ndsc US Xm Rctm Et Al Lmtd&Adj Strux | $1,973.70 | $4,386.00 | $431.24–$3,728.10 | 26% below | 55% |
| Colonoscopy with endoscopic ultrasound inpatient CPT 45391 HC Colsc Flx W/Ndsc US Xm Rctm Et Al Lmtd&Adj Strux | $1,973.70 | $4,386.00 | $431.24–$3,728.10 | — | 55% |
| Colonoscopy with polyp removal CPT 45385 HC Colsc Flx W/Rmvl of Tumor Polyp Lesion Snare Tq | $1,558.80 | $3,464.00 | $431.24–$3,415.20 | 45% below | 55% |
| Colonoscopy with polyp removal inpatient CPT 45385 HC Colsc Flx W/Rmvl of Tumor Polyp Lesion Snare Tq | $1,558.80 | $3,464.00 | $431.24–$3,415.20 | — | 55% |
| Colonoscopy with tissue sample CPT 45380 HC Colonoscopy W/Biopsy Single/Multiple | $1,582.20 | $3,516.00 | $431.24–$3,415.20 | 32% below | 55% |
| Colonoscopy with tissue sample inpatient CPT 45380 HC Colonoscopy W/Biopsy Single/Multiple | $1,582.20 | $3,516.00 | $431.24–$3,415.20 | — | 55% |
| Colonoscopy, diagnostic CPT 45378 HC Colorectal Scn; Hi Risk Ind | $1,454.40 | $3,232.00 | $395.43–$2,747.20 | 36% below | 55% |
| Colonoscopy, diagnostic CPT 45378 HC Colonoscopy Flx Dx W/Collj Spec When Pfrmd | $1,454.40 | $3,232.00 | $395.43–$2,747.20 | 36% below | 55% |
| Colonoscopy, diagnostic inpatient CPT 45378 HC Colorectal Scn; Hi Risk Ind | $1,454.40 | $3,232.00 | $395.43–$2,747.20 | — | 55% |
| Colonoscopy, diagnostic inpatient CPT 45378 HC Colonoscopy Flx Dx W/Collj Spec When Pfrmd | $1,454.40 | $3,232.00 | $395.43–$2,747.20 | — | 55% |
| Colposcopy with LEEP (loop electrosurgical excision) CPT 57460 HC Colposcopy Cervix Vag Loop Eltrd Bx Cervix | $1,096.20 | $2,436.00 | $431.24–$9,238.71 | 66% below | 55% |
| Colposcopy with LEEP (loop electrosurgical excision) inpatient CPT 57460 HC Colposcopy Cervix Vag Loop Eltrd Bx Cervix | $1,096.20 | $2,436.00 | $431.24–$9,238.71 | — | 55% |
| Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 HC Colposcopy Cervix Bx Cervix & Endocrv Curretage | $419.40 | $932.00 | $273.00–$960.40 | 66% below | 55% |
| Colposcopy with cervical biopsy and scraping of the cervical canal inpatient CPT 57454 HC Colposcopy Cervix Bx Cervix & Endocrv Curretage | $419.40 | $932.00 | $273.00–$960.40 | — | 55% |
| Complex cataract surgery with lens implant CPT 66982 HC Remv Cataract Extracap,Insert Lens,Comp | $1,201.50 | $2,670.00 | $431.24–$6,586.50 | 90% below | 55% |
| Complex cataract surgery with lens implant inpatient CPT 66982 HC Remv Cataract Extracap,Insert Lens,Comp | $1,201.50 | $2,670.00 | $431.24–$6,586.50 | — | 55% |
| Coronary stent placement, one artery CPT 92928 HC Perq Tcat Plmt Ntrac St 1 Les 1+C Segments | $11,524.95 | $25,611.00 | $431.24–$32,946.95 | 39% below | 55% |
| Coronary stent placement, one artery inpatient CPT 92928 HC Perq Tcat Plmt Ntrac St 1 Les 1+C Segments | $11,524.95 | $25,611.00 | $431.24–$32,946.95 | — | 55% |
| Cystoscopy with ureteral stent placement CPT 52332 HC Cystoscopy, Insert Ureteral Stent | $2,290.50 | $5,090.00 | $431.24–$10,060.24 | 67% below | 55% |
| Cystoscopy with ureteral stent placement inpatient CPT 52332 HC Cystoscopy, Insert Ureteral Stent | $2,290.50 | $5,090.00 | $431.24–$10,060.24 | — | 55% |
| Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 HC Cystourethroscopy | $891.00 | $1,980.00 | $431.24–$1,990.08 | 55% below | 55% |
| Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 HC Cystourethroscopy | $891.00 | $1,980.00 | $431.24–$1,990.08 | — | 55% |
| D&C (dilation and curettage), not related to pregnancy CPT 58120 HC Dilation & Curettage Dx&/Ther Nonobstetric | $2,037.15 | $4,527.00 | $431.24–$9,238.71 | 44% below | 55% |
| D&C (dilation and curettage), not related to pregnancy inpatient CPT 58120 HC Dilation & Curettage Dx&/Ther Nonobstetric | $2,037.15 | $4,527.00 | $431.24–$9,238.71 | — | 55% |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 HC Destruction Premalignant Lesion 1st | $237.15 | $527.00 | $112.04–$572.61 | 13% below | 55% |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 HC Destruction Premalignant Lesion 1st | $237.15 | $527.00 | $112.04–$572.61 | — | 55% |
| Ear tube placement (tympanostomy) under general anesthesia, one ear CPT 69436 HC Create Eardrum Opening,Gen Anesth | $959.85 | $2,133.00 | $431.24–$4,428.20 | 79% below | 55% |
| Ear tube placement (tympanostomy) under general anesthesia, one ear inpatient CPT 69436 HC Create Eardrum Opening,Gen Anesth | $959.85 | $2,133.00 | $431.24–$4,428.20 | — | 55% |
| Ear tube placement (tympanostomy) with local anesthesia, one ear CPT 69433 HC Tympanostomy Local/Topical Anesthesia | $918.90 | $2,042.00 | $431.24–$1,735.70 | 35% below | 55% |
| Ear tube placement (tympanostomy) with local anesthesia, one ear inpatient CPT 69433 HC Tympanostomy Local/Topical Anesthesia | $918.90 | $2,042.00 | $431.24–$1,735.70 | — | 55% |
| Earwax removal by irrigation (rinsing), one ear one side CPT 69209 HC Removal Impacted Cerumen Irrigation/Lvg Unilat | $103.95 | $231.00 | $63.92–$695.29 | 50% below | 55% |
| Earwax removal by irrigation (rinsing), one ear inpatient one side CPT 69209 HC Removal Impacted Cerumen Irrigation/Lvg Unilat | $103.95 | $231.00 | $63.92–$695.29 | — | 55% |
| Earwax removal with instruments, one ear one side CPT 69210 HC Removal Impacted Cerumen Instrumentation Unilat | $144.45 | $321.00 | $63.92–$695.29 | 47% below | 55% |
| Earwax removal with instruments, one ear inpatient one side CPT 69210 HC Removal Impacted Cerumen Instrumentation Unilat | $144.45 | $321.00 | $63.92–$695.29 | — | 55% |
| Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 HC Endometrial Bx W/WO Endocervix Bx W/O Dilat Spx | $448.20 | $996.00 | $165.93–$846.60 | 16% below | 55% |
| Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 HC Endometrial Bx W/WO Endocervix Bx W/O Dilat Spx | $448.20 | $996.00 | $165.93–$846.60 | — | 55% |
| Endoscopic sinus surgery: opening the maxillary (cheek) sinus CPT 31256 HC Exploration Maxillary Sinus | $2,224.80 | $4,944.00 | $431.24–$10,640.64 | 81% below | 55% |
| Endoscopic sinus surgery: opening the maxillary (cheek) sinus inpatient CPT 31256 HC Exploration Maxillary Sinus | $2,224.80 | $4,944.00 | $431.24–$10,640.64 | — | 55% |
| Endoscopic sinus surgery: opening the maxillary sinus with removal of tissue CPT 31267 HC Nasal/Sinus Endoscopy,Rmv Tiss Maxill Sinus | $2,610.90 | $5,802.00 | $431.24–$20,141.88 | 61% below | 55% |
| Endoscopic sinus surgery: opening the maxillary sinus with removal of tissue inpatient CPT 31267 HC Nasal/Sinus Endoscopy,Rmv Tiss Maxill Sinus | $2,610.90 | $5,802.00 | $431.24–$20,141.88 | — | 55% |
| Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 Hr Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn | $1,003.05 | $2,229.00 | $431.24–$2,014.57 | 37% below | 55% |
| Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 Hr Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn | $1,003.05 | $2,229.00 | $431.24–$2,014.57 | — | 55% |
| Eye injection into the vitreous (intravitreal injection) CPT 67028 HC Intravitreal Njx Pharmacologic Agt Spx | $370.80 | $824.00 | $296.64–$960.40 | 71% below | 55% |
| Eye injection into the vitreous (intravitreal injection) inpatient CPT 67028 HC Intravitreal Njx Pharmacologic Agt Spx | $370.80 | $824.00 | $296.64–$960.40 | — | 55% |
| Facet joint injection, lower back, one level, with imaging guidance CPT 64493 HC Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level | $1,878.75 | $4,175.00 | $431.24–$3,548.75 | 24% below | 55% |
| Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 HC Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level | $1,878.75 | $4,175.00 | $431.24–$3,548.75 | — | 55% |
| First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm CPT 49593 HC Rpr Aa Hernia 1st 3-10 Rdc | $1,856.25 | $4,125.00 | $431.24–$18,476.19 | 77% below | 55% |
| First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm inpatient CPT 49593 HC Rpr Aa Hernia 1st 3-10 Rdc | $1,856.25 | $4,125.00 | $431.24–$18,476.19 | — | 55% |
| First repair of a front abdominal hernia larger than 10 cm CPT 49595 HC Rpr Aa Hernia 1st > 10 Rdc | $1,695.15 | $3,767.00 | $431.24–$18,476.19 | 74% below | 55% |
| First repair of a front abdominal hernia larger than 10 cm inpatient CPT 49595 HC Rpr Aa Hernia 1st > 10 Rdc | $1,695.15 | $3,767.00 | $431.24–$18,476.19 | — | 55% |
| First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm CPT 49591 HC Rpr Aa Hernia 1st < 3 Cm Rdc | $2,782.80 | $6,184.00 | $431.24–$10,218.41 | 62% below | 55% |
| First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm inpatient CPT 49591 HC Rpr Aa Hernia 1st < 3 Cm Rdc | $2,782.80 | $6,184.00 | $431.24–$10,218.41 | — | 55% |
| Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 HC Sigmoidoscopy Flx Dx W/Collj Spec Br/Wa if Pfrmd | $718.20 | $1,596.00 | $88.25–$2,654.09 | 61% below | 55% |
| Flexible sigmoidoscopy, diagnostic (lower colon only) inpatient CPT 45330 HC Sigmoidoscopy Flx Dx W/Collj Spec Br/Wa if Pfrmd | $718.20 | $1,596.00 | $88.25–$2,654.09 | — | 55% |
| Hammertoe correction surgery CPT 28285 HC Correction Hammertoe | $1,256.40 | $2,792.00 | $431.24–$9,338.24 | 76% below | 55% |
| Hammertoe correction surgery inpatient CPT 28285 HC Correction Hammertoe | $1,256.40 | $2,792.00 | $431.24–$9,338.24 | — | 55% |
| Hemorrhoid banding (rubber band ligation) CPT 46221 HC Hemorrhoidectomy Internal Rubber Band Ligations | $966.60 | $2,148.00 | $431.24–$2,654.09 | 50% below | 55% |
| Hemorrhoid banding (rubber band ligation) inpatient CPT 46221 HC Hemorrhoidectomy Internal Rubber Band Ligations | $966.60 | $2,148.00 | $431.24–$2,654.09 | — | 55% |
| Hemorrhoidectomy (internal and external), one area CPT 46255 HC Hemorrhoidectomy,Int/Ext,1 Column/Group | $2,313.45 | $5,141.00 | $431.24–$7,921.69 | 73% below | 55% |
| Hemorrhoidectomy (internal and external), one area inpatient CPT 46255 HC Hemorrhoidectomy,Int/Ext,1 Column/Group | $2,313.45 | $5,141.00 | $431.24–$7,921.69 | — | 55% |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 HC Cath & Saline/Contrast Sonohyster/Hysterosalpi | $384.75 | $855.00 | $307.80–$726.75 | 5% below | 55% |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 HC Cath & Saline/Contrast Sonohyster/Hysterosalpi | $384.75 | $855.00 | $307.80–$726.75 | — | 55% |
| Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 HC Hysteroscopy Bx Endometrium&/Polypc W/WO D&C | $2,403.45 | $5,341.00 | $431.24–$9,238.71 | 62% below | 55% |
| Hysteroscopy with uterine lining sampling and/or polyp removal inpatient CPT 58558 HC Hysteroscopy Bx Endometrium&/Polypc W/WO D&C | $2,403.45 | $5,341.00 | $431.24–$9,238.71 | — | 55% |
| IUD insertion (the device itself billed separately) CPT 58300 HC Insertion Intrauterine Device Iud | $365.40 | $812.00 | $53.55–$695.29 | 39% below | 55% |
| IUD insertion (the device itself billed separately) inpatient CPT 58300 HC Insertion Intrauterine Device Iud | $365.40 | $812.00 | $53.55–$695.29 | — | 55% |
| Incision and drainage of a simple or single skin abscess CPT 10060 HC Incision & Drainage Abscess Simple/Single | $178.20 | $396.00 | $142.56–$695.29 | 64% below | 55% |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 HC Incision & Drainage Abscess Simple/Single | $178.20 | $396.00 | $142.56–$695.29 | — | 55% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 HC Injection 1 Tendon Sheath/Ligament Aponeurosis | $295.65 | $657.00 | $225.22–$876.04 | 36% below | 55% |
| Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 HC Injection 1 Tendon Sheath/Ligament Aponeurosis | $295.65 | $657.00 | $225.22–$876.04 | — | 55% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HC Arthrocentesis Aspir&/Inj Major Jt/Bursa W/O US | $342.45 | $761.00 | $225.22–$876.04 | 40% below | 55% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 HC Arthrocentesis Aspir&/Inj Major Jt/Bursa W/O US | $342.45 | $761.00 | $225.22–$876.04 | — | 55% |
| Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 HC Insertion Drug Dlvr Implant | $536.40 | $1,192.00 | $121.77–$1,013.20 | 2% below | 55% |
| Insertion of a drug-delivery implant, such as the arm birth control implant inpatient CPT 11981 HC Insertion Drug Dlvr Implant | $536.40 | $1,192.00 | $121.77–$1,013.20 | — | 55% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 HC Arthrocentesis Aspir&/Inj Interm Jt/Burs W/O US | $294.30 | $654.00 | $225.22–$876.04 | 46% below | 55% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 HC Arthrocentesis Aspir&/Inj Interm Jt/Burs W/O US | $294.30 | $654.00 | $225.22–$876.04 | — | 55% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 HC Arthrocentesis Aspir&/Inj Small Jt/Bursa W/O US | $276.75 | $615.00 | $221.40–$876.04 | 49% below | 55% |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 HC Arthrocentesis Aspir&/Inj Small Jt/Bursa W/O US | $276.75 | $615.00 | $221.40–$876.04 | — | 55% |
| Knee arthroscopy with meniscus repair (one side of the knee) CPT 29882 HC Knee Scope,Med or Lat Menis Repair | $1,133.10 | $2,518.00 | $431.24–$9,338.24 | 89% below | 55% |
| Knee arthroscopy with meniscus repair (one side of the knee) inpatient CPT 29882 HC Knee Scope,Med or Lat Menis Repair | $1,133.10 | $2,518.00 | $431.24–$9,338.24 | — | 55% |
| Knee arthroscopy with meniscus trim CPT 29881 HC Knee Scope Single Meniscectomy | $2,454.75 | $5,455.00 | $431.24–$9,338.24 | 76% below | 55% |
| Knee arthroscopy with meniscus trim inpatient CPT 29881 HC Knee Scope Single Meniscectomy | $2,454.75 | $5,455.00 | $431.24–$9,338.24 | — | 55% |
| Knee arthroscopy with smoothing of damaged cartilage (chondroplasty) CPT 29877 HC Knee Scope, Shave Articular Cart | $1,143.00 | $2,540.00 | $431.24–$9,338.24 | 82% below | 55% |
| Knee arthroscopy with smoothing of damaged cartilage (chondroplasty) inpatient CPT 29877 HC Knee Scope, Shave Articular Cart | $1,143.00 | $2,540.00 | $431.24–$9,338.24 | — | 55% |
| Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 HC Laparoscopic Appendectomy | $2,599.65 | $5,777.00 | $431.24–$17,253.85 | 74% below | 55% |
| Laparoscopic appendectomy (appendix removal through small cuts) inpatient CPT 44970 HC Laparoscopic Appendectomy | $2,599.65 | $5,777.00 | $431.24–$17,253.85 | — | 55% |
| Laser treatment of clouding after cataract surgery (YAG) CPT 66821 HC Post-Cataract Laser Surgery | $1,138.95 | $2,531.00 | $431.24–$2,151.35 | 49% below | 55% |
| Laser treatment of clouding after cataract surgery (YAG) inpatient CPT 66821 HC Post-Cataract Laser Surgery | $1,138.95 | $2,531.00 | $431.24–$2,151.35 | — | 55% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 HC Repair Intermediate S/a/T/E 2.5 Cm/< | $900.90 | $2,002.00 | $314.08–$1,701.70 | 14% above | 55% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 HC Repair Intermediate S/a/T/E 2.5 Cm/< | $900.90 | $2,002.00 | $314.08–$1,701.70 | — | 55% |
| Left heart catheterization, diagnostic CPT 93452 HC L Hrt Cath W/Njx L Ventriculography Img S&I | $3,797.55 | $8,439.00 | $431.24–$9,252.42 | 57% below | 55% |
| Left heart catheterization, diagnostic inpatient CPT 93452 HC L Hrt Cath W/Njx L Ventriculography Img S&I | $3,797.55 | $8,439.00 | $431.24–$9,252.42 | — | 55% |
| Lower-back epidural injection, with imaging guidance CPT 62323 HC Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn | $1,003.05 | $2,229.00 | $431.24–$2,014.57 | 43% below | 55% |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 HC Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn | $1,003.05 | $2,229.00 | $431.24–$2,014.57 | — | 55% |
| Lower-back epidural injection, without imaging guidance CPT 62322 HC Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn | $963.00 | $2,140.00 | $431.24–$2,524.27 | 32% below | 55% |
| Lower-back epidural injection, without imaging guidance inpatient CPT 62322 HC Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn | $963.00 | $2,140.00 | $431.24–$2,524.27 | — | 55% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 HC Njx Anes&/Strd W/Img Tfrml Edrl Lmbr/Sac 1 Lvl | $1,043.55 | $2,319.00 | $431.24–$2,524.27 | 43% below | 55% |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 HC Njx Anes&/Strd W/Img Tfrml Edrl Lmbr/Sac 1 Lvl | $1,043.55 | $2,319.00 | $431.24–$2,524.27 | — | 55% |
| Lumpectomy (partial mastectomy) CPT 19301 HC PR Mastectomy, Partial | $3,761.55 | $8,359.00 | $431.24–$11,174.59 | 68% below | 55% |
| Lumpectomy (partial mastectomy) inpatient CPT 19301 HC PR Mastectomy, Partial | $3,761.55 | $8,359.00 | $431.24–$11,174.59 | — | 55% |
| Miscarriage treatment with D&C, first trimester CPT 59820 HC Tx Missed Abortion First Trimester Surgical | $1,608.75 | $3,575.00 | $431.24–$9,238.71 | 66% below | 55% |
| Miscarriage treatment with D&C, first trimester inpatient CPT 59820 HC Tx Missed Abortion First Trimester Surgical | $1,608.75 | $3,575.00 | $431.24–$9,238.71 | — | 55% |
| Mohs surgery for skin cancer, first stage, head, neck, hands, feet or genitals CPT 17311 HC Mohs Micrographic H/N/H/F/G 1st Stage 5 Blocks | $829.80 | $1,844.00 | $431.24–$2,109.30 | 32% below | 55% |
| Mohs surgery for skin cancer, first stage, head, neck, hands, feet or genitals inpatient CPT 17311 HC Mohs Micrographic H/N/H/F/G 1st Stage 5 Blocks | $829.80 | $1,844.00 | $431.24–$2,109.30 | — | 55% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 HC Exc B9 Lesion Mrgn Xcp Sk Tg T/a/L 0.5 Cm/< | $554.40 | $1,232.00 | $431.24–$2,021.00 | 41% below | 55% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 HC Exc B9 Lesion Mrgn Xcp Sk Tg T/a/L 0.5 Cm/< | $554.40 | $1,232.00 | $431.24–$2,021.00 | — | 55% |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 HC Exc B9 Lesion Mrgn Xcp Sk Tg F/E/E/N/L/M 0.5cm/< | $688.50 | $1,530.00 | $431.24–$2,021.00 | 23% below | 55% |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 HC Exc B9 Lesion Mrgn Xcp Sk Tg F/E/E/N/L/M 0.5cm/< | $688.50 | $1,530.00 | $431.24–$2,021.00 | — | 55% |
| Nail removal (partial or complete), one nail CPT 11730 HC Avulsion Nail Plate Partial/Complete Simple 1 | $197.55 | $439.00 | $158.04–$695.29 | 50% below | 55% |
| Nail removal (partial or complete), one nail inpatient CPT 11730 HC Avulsion Nail Plate Partial/Complete Simple 1 | $197.55 | $439.00 | $158.04–$695.29 | — | 55% |
| Occipital nerve block (injection for headaches) CPT 64405 HC Injection Anesthetic Agent Greater Occipital Nrv | $576.00 | $1,280.00 | $247.48–$1,088.00 | 35% below | 55% |
| Occipital nerve block (injection for headaches) inpatient CPT 64405 HC Injection Anesthetic Agent Greater Occipital Nrv | $576.00 | $1,280.00 | $247.48–$1,088.00 | — | 55% |
| Pacemaker implant (dual chamber) CPT 33208 HC Ins New/Rplcmt Prm Pm W/Transv Eltrd Atrial&Vent | $5,838.30 | $12,974.00 | $431.24–$29,829.84 | 63% below | 55% |
| Pacemaker implant (dual chamber) inpatient CPT 33208 HC Ins New/Rplcmt Prm Pm W/Transv Eltrd Atrial&Vent | $5,838.30 | $12,974.00 | $431.24–$29,829.84 | — | 55% |
| Paracentesis with imaging guidance CPT 49083 HC Abdom Paracentesis Dx/Ther W/Imaging Guidance | $770.85 | $1,713.00 | $431.24–$2,588.52 | 56% below | 55% |
| Paracentesis with imaging guidance inpatient CPT 49083 HC Abdom Paracentesis Dx/Ther W/Imaging Guidance | $770.85 | $1,713.00 | $431.24–$2,588.52 | — | 55% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 HC Excision Nail Matrix Permanent Removal | $407.25 | $905.00 | $314.08–$1,160.19 | 60% below | 55% |
| Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 HC Excision Nail Matrix Permanent Removal | $407.25 | $905.00 | $314.08–$1,160.19 | — | 55% |
| Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 HC Dstr Nrolytc Agnt Parverteb Fct Sngl Lmbr/Sacral | $2,327.85 | $5,173.00 | $431.24–$5,573.05 | 25% below | 55% |
| Radiofrequency ablation of facet joint nerves, lower back, one level inpatient CPT 64635 HC Dstr Nrolytc Agnt Parverteb Fct Sngl Lmbr/Sacral | $2,327.85 | $5,173.00 | $431.24–$5,573.05 | — | 55% |
| Removal of a breast lump, open surgery CPT 19120 HC Exc Cyst/Aberrant Breast Tissue Open 1/> Lesion | $2,952.90 | $6,562.00 | $431.24–$11,174.59 | 55% below | 55% |
| Removal of a breast lump, open surgery inpatient CPT 19120 HC Exc Cyst/Aberrant Breast Tissue Open 1/> Lesion | $2,952.90 | $6,562.00 | $431.24–$11,174.59 | — | 55% |
| Removal of a foreign object under the skin, simple CPT 10120 HC Incision & Removal Foreign Body Subq Tiss Simple | $185.40 | $412.00 | $148.32–$1,160.19 | 66% below | 55% |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 HC Incision & Removal Foreign Body Subq Tiss Simple | $185.40 | $412.00 | $148.32–$1,160.19 | — | 55% |
| Removal of one lobe of the thyroid (lobectomy) one side CPT 60220 HC Thyroid Lobectomy,Unilat | $2,493.90 | $5,542.00 | $431.24–$17,253.85 | 69% below | 55% |
| Removal of one lobe of the thyroid (lobectomy) inpatient one side CPT 60220 HC Thyroid Lobectomy,Unilat | $2,493.90 | $5,542.00 | $431.24–$17,253.85 | — | 55% |
| Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 HC Colorectal Scrn; Hi Risk Ind | $989.10 | $2,198.00 | $431.24–$2,654.09 | 51% below | 55% |
| Screening colonoscopy, high risk of colorectal cancer (Medicare code) inpatient HCPCS G0105 HC Colorectal Scrn; Hi Risk Ind | $989.10 | $2,198.00 | $431.24–$2,654.09 | — | 55% |
| Septoplasty to straighten the nasal septum CPT 30520 HC Repair of Nasal Septum | $1,921.50 | $4,270.00 | $431.24–$9,462.27 | 71% below | 55% |
| Septoplasty to straighten the nasal septum inpatient CPT 30520 HC Repair of Nasal Septum | $1,921.50 | $4,270.00 | $431.24–$9,462.27 | — | 55% |
| Short arm cast (elbow to hand) CPT 29075 HC Application Cast Elbow Finger Short Arm | $326.70 | $726.00 | $235.58–$798.24 | 49% below | 55% |
| Short arm cast (elbow to hand) inpatient CPT 29075 HC Application Cast Elbow Finger Short Arm | $326.70 | $726.00 | $235.58–$798.24 | — | 55% |
| Short arm splint (forearm and hand) CPT 29125 HC Application Short Arm Splint Forearm-Hand Static | $214.65 | $477.00 | $121.77–$695.29 | 35% below | 55% |
| Short arm splint (forearm and hand) inpatient CPT 29125 HC Application Short Arm Splint Forearm-Hand Static | $214.65 | $477.00 | $121.77–$695.29 | — | 55% |
| Short leg cast (below the knee) CPT 29405 HC Application Short Leg Cast Below Knee-Toe | $340.20 | $756.00 | $235.58–$798.24 | 45% below | 55% |
| Short leg cast (below the knee) inpatient CPT 29405 HC Application Short Leg Cast Below Knee-Toe | $340.20 | $756.00 | $235.58–$798.24 | — | 55% |
| Short leg splint (calf to foot) CPT 29515 HC Application Short Leg Splint Calf Foot | $175.50 | $390.00 | $134.62–$695.29 | 49% below | 55% |
| Short leg splint (calf to foot) inpatient CPT 29515 HC Application Short Leg Splint Calf Foot | $175.50 | $390.00 | $134.62–$695.29 | — | 55% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 HC Simple Repair Scalp/Neck/Ax/Genit/Trunk 2.5cm/< | $311.85 | $693.00 | $176.45–$695.29 | 33% below | 55% |
| 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/Genit/Trunk 2.5cm/< | $311.85 | $693.00 | $176.45–$695.29 | — | 55% |
| Skin biopsy, punch, one lesion CPT 11104 HC Punch Bx Skin Single Lesion | $198.00 | $440.00 | $158.40–$1,160.19 | 64% below | 55% |
| Skin biopsy, punch, one lesion inpatient CPT 11104 HC Punch Bx Skin Single Lesion | $198.00 | $440.00 | $158.40–$1,160.19 | — | 55% |
| Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 HC Exc Skin Malig <0.5 Cm Trunk,Arm,Leg | $625.05 | $1,389.00 | $431.24–$2,021.00 | 40% below | 55% |
| Skin cancer removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11600 HC Exc Skin Malig <0.5 Cm Trunk,Arm,Leg | $625.05 | $1,389.00 | $431.24–$2,021.00 | — | 55% |
| Skin tag removal, up to 15 tags CPT 11200 HC Removal Skn Tags Mlt Fibrq Tags Any Area Upw/15 | $182.25 | $405.00 | $162.00–$572.61 | 52% below | 55% |
| Skin tag removal, up to 15 tags inpatient CPT 11200 HC Removal Skn Tags Mlt Fibrq Tags Any Area Upw/15 | $182.25 | $405.00 | $162.00–$572.61 | — | 55% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 HC Spinal Puncture Lumbar Diagnostic | $535.95 | $1,191.00 | $428.76–$2,014.57 | 63% below | 55% |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 HC Spinal Puncture Lumbar Diagnostic | $535.95 | $1,191.00 | $428.76–$2,014.57 | — | 55% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 HC Smpl Repair Scalp/Neck/Ax/Genit/Trunk 2.6-7.5cm | $391.50 | $870.00 | $176.45–$739.50 | 18% below | 55% |
| 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 Smpl Repair Scalp/Neck/Ax/Genit/Trunk 2.6-7.5cm | $391.50 | $870.00 | $176.45–$739.50 | — | 55% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 HC Simple Repair F/E/E/N/L/M 2.5cm/< | $372.60 | $828.00 | $176.45–$1,505.24 | 57% below | 55% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 HC Simple Repair F/E/E/N/L/M 2.5cm/< | $372.60 | $828.00 | $176.45–$1,505.24 | — | 55% |
| TURP (transurethral resection of the prostate) CPT 52601 HC Prostatectomy (Turp) | $4,673.70 | $10,386.00 | $431.24–$15,302.49 | 40% below | 55% |
| TURP (transurethral resection of the prostate) inpatient CPT 52601 HC Prostatectomy (Turp) | $4,673.70 | $10,386.00 | $431.24–$15,302.49 | — | 55% |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 HC Tangntl Bx Skin Single Les | $200.70 | $446.00 | $160.56–$1,160.19 | 54% below | 55% |
| Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 HC Tangntl Bx Skin Single Les | $200.70 | $446.00 | $160.56–$1,160.19 | — | 55% |
| Thoracentesis with imaging guidance CPT 32555 HC Thoracentesis Needle/Cath Pleura W/Imaging | $778.05 | $1,729.00 | $431.24–$1,790.31 | 56% below | 55% |
| Thoracentesis with imaging guidance inpatient CPT 32555 HC Thoracentesis Needle/Cath Pleura W/Imaging | $778.05 | $1,729.00 | $431.24–$1,790.31 | — | 55% |
| Tonsil removal (tonsillectomy) only, age 12 or older CPT 42826 HC Tonsillectomy Primary/Secondary Age 12/> | $1,772.10 | $3,938.00 | $431.24–$9,462.27 | 72% below | 55% |
| Tonsil removal (tonsillectomy) only, age 12 or older inpatient CPT 42826 HC Tonsillectomy Primary/Secondary Age 12/> | $1,772.10 | $3,938.00 | $431.24–$9,462.27 | — | 55% |
| Total knee replacement CPT 27447 HC Total Knee Arthroplasty | $8,000.10 | $17,778.00 | $431.24–$36,641.41 | 58% below | 55% |
| Total knee replacement inpatient CPT 27447 HC Total Knee Arthroplasty | $8,000.10 | $17,778.00 | $431.24–$36,641.41 | — | 55% |
| Trigger finger release surgery CPT 26055 HC Tendon Sheath Incision | $2,067.30 | $4,594.00 | $431.24–$4,589.18 | 53% below | 55% |
| Trigger finger release surgery inpatient CPT 26055 HC Tendon Sheath Incision | $2,067.30 | $4,594.00 | $431.24–$4,589.18 | — | 55% |
| Trigger point injections, 1 or 2 muscles CPT 20552 HC Injection Single/Mlt Trigger Point 1/2 Muscles | $272.25 | $605.00 | $217.80–$876.04 | 48% below | 55% |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 HC Injection Single/Mlt Trigger Point 1/2 Muscles | $272.25 | $605.00 | $217.80–$876.04 | — | 55% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 HC Bx Breast W/Device 1st Lesion Ultrasound Guid | $1,192.50 | $2,650.00 | $431.24–$4,713.63 | 45% below | 55% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 HC Bx Breast W/Device 1st Lesion Ultrasound Guid | $1,192.50 | $2,650.00 | $431.24–$4,713.63 | — | 55% |
| Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 HC Egd Balloon Dilation Esophagus <30 Mm Diam | $1,232.10 | $2,738.00 | $431.24–$5,476.53 | 59% below | 55% |
| Upper endoscopy (EGD) with balloon widening of the esophagus inpatient CPT 43249 HC Egd Balloon Dilation Esophagus <30 Mm Diam | $1,232.10 | $2,738.00 | $431.24–$5,476.53 | — | 55% |
| Upper endoscopy (EGD) with biopsy CPT 43239 HC Egd Transoral Biopsy Single/Multiple | $996.75 | $2,215.00 | $431.24–$2,588.52 | 47% below | 55% |
| Upper endoscopy (EGD) with biopsy inpatient CPT 43239 HC Egd Transoral Biopsy Single/Multiple | $996.75 | $2,215.00 | $431.24–$2,588.52 | — | 55% |
| Upper endoscopy (EGD) with injection into the lining CPT 43236 HC Esophagogastroduodenoscopy Submucosal Injection | $337.50 | $750.00 | $270.00–$2,588.52 | 87% below | 55% |
| Upper endoscopy (EGD) with injection into the lining inpatient CPT 43236 HC Esophagogastroduodenoscopy Submucosal Injection | $337.50 | $750.00 | $270.00–$2,588.52 | — | 55% |
| Upper endoscopy (EGD) with polyp removal by snare CPT 43251 HC Egd Removal Tumor Polyp/Other Lesion Snare Tech | $1,218.60 | $2,708.00 | $379.98–$5,476.53 | 74% below | 55% |
| Upper endoscopy (EGD) with polyp removal by snare inpatient CPT 43251 HC Egd Removal Tumor Polyp/Other Lesion Snare Tech | $1,218.60 | $2,708.00 | $379.98–$5,476.53 | — | 55% |
| Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 HC Egd Insert Guide Wire Dilator Passage Esophagus | $1,084.50 | $2,410.00 | $431.24–$3,587.95 | 63% below | 55% |
| Upper endoscopy (EGD) with widening of the esophagus over a guide wire inpatient CPT 43248 HC Egd Insert Guide Wire Dilator Passage Esophagus | $1,084.50 | $2,410.00 | $431.24–$3,587.95 | — | 55% |
| Upper endoscopy (EGD), diagnostic CPT 43235 HC Esophagogastroduodenoscopy Transoral Diagnostic | $1,058.85 | $2,353.00 | $431.24–$2,588.52 | 41% below | 55% |
| Upper endoscopy (EGD), diagnostic inpatient CPT 43235 HC Esophagogastroduodenoscopy Transoral Diagnostic | $1,058.85 | $2,353.00 | $431.24–$2,588.52 | — | 55% |
| Upper endoscopy with drainage of a pseudocyst through the stomach wall CPT 43240 HC Egd Transoral Transmural Drainage Pseudocyst | $961.20 | $2,136.00 | $431.24–$17,326.25 | 94% below | 55% |
| Upper endoscopy with drainage of a pseudocyst through the stomach wall inpatient CPT 43240 HC Egd Transoral Transmural Drainage Pseudocyst | $961.20 | $2,136.00 | $431.24–$17,326.25 | — | 55% |
| Ureteroscopy with laser stone breaking and stent placement CPT 52356 HC Cysto/Uretero W/Lithotripsy &Indwell Stent Insrt | $3,650.40 | $8,112.00 | $431.24–$15,302.49 | 76% below | 55% |
| Ureteroscopy with laser stone breaking and stent placement inpatient CPT 52356 HC Cysto/Uretero W/Lithotripsy &Indwell Stent Insrt | $3,650.40 | $8,112.00 | $431.24–$15,302.49 | — | 55% |
| Vasectomy, one or both sides, including follow-up semen testing both sides CPT 55250 HC Vasectomy Uni/Bi Spx W/Postop Semen Exams | $2,594.70 | $5,766.00 | $431.24–$5,965.92 | — | 55% |
| Vasectomy, one or both sides, including follow-up semen testing inpatient both sides CPT 55250 HC Vasectomy Uni/Bi Spx W/Postop Semen Exams | $2,594.70 | $5,766.00 | $431.24–$5,965.92 | — | 55% |
| Vein ablation, radiofrequency, first vein CPT 36475 HC Endoven Abltj Incmptnt Vein Xtr Rf 1st Vein | $3,093.30 | $6,874.00 | $431.24–$9,011.40 | 41% below | 55% |
| Vein ablation, radiofrequency, first vein inpatient CPT 36475 HC Endoven Abltj Incmptnt Vein Xtr Rf 1st Vein | $3,093.30 | $6,874.00 | $431.24–$9,011.40 | — | 55% |
| Wart removal, up to 14 warts CPT 17110 HC Destruction Benign Lesions Up to 14 | $326.70 | $726.00 | $112.04–$617.10 | 8% below | 55% |
| Wart removal, up to 14 warts inpatient CPT 17110 HC Destruction Benign Lesions Up to 14 | $326.70 | $726.00 | $112.04–$617.10 | — | 55% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 HC Debridement Subcutaneous Tissue 20 Sq Cm/< | $446.85 | $993.00 | $225.22–$1,160.19 | 52% below | 55% |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 HC Debridement Subcutaneous Tissue 20 Sq Cm/< | $446.85 | $993.00 | $225.22–$1,160.19 | — | 55% |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Massachusetts | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 HC Transfusion Blood/Blood Components | $673.20 | $1,496.00 | $431.24–$1,271.60 | 27% below | 55% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 HC Transfusion Blood/Blood Components | $673.20 | $1,496.00 | $431.24–$1,271.60 | — | 55% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC Pressurized/Nonpressurized Inhalation Treatment | $248.40 | $552.00 | $16.25–$624.96 | 15% below | 55% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC Pressurized/Nonpressurized Inhalation Treatment | $248.40 | $552.00 | $16.25–$624.96 | — | 55% |
| Chemotherapy IV infusion, first hour CPT 96413 HC Chemotx Admn IV Nfs Tq Up 1 Hr 1/1st Sbst/Drug | $506.70 | $1,126.00 | $191.93–$966.12 | 42% below | 55% |
| Chemotherapy IV infusion, first hour inpatient CPT 96413 HC Chemotx Admn IV Nfs Tq Up 1 Hr 1/1st Sbst/Drug | $506.70 | $1,126.00 | $191.93–$966.12 | — | 55% |
| Comprehensive eye exam by an eye doctor, new patient CPT 92004 HC Ophth Medical Xm&Eval Compre New Pt 1/> Vst | $175.05 | $389.00 | $25.61–$512.54 | 16% below | 55% |
| Comprehensive eye exam by an eye doctor, new patient inpatient CPT 92004 HC Ophth Medical Xm&Eval Compre New Pt 1/> Vst | $175.05 | $389.00 | $25.61–$512.54 | — | 55% |
| Comprehensive eye exam, returning patient CPT 92014 HC Ophth Medical Xm&Eval Comprhnsv Estab Pt 1/> | $164.70 | $366.00 | $21.85–$512.54 | 25% below | 55% |
| Comprehensive eye exam, returning patient inpatient CPT 92014 HC Ophth Medical Xm&Eval Comprhnsv Estab Pt 1/> | $164.70 | $366.00 | $21.85–$512.54 | — | 55% |
| Comprehensive hearing test: tone and speech audiometry, both ears CPT 92557 HC Compre Audiometry Threshold Eval Sp Recognij | $190.80 | $424.00 | $56.94–$512.54 | 42% below | 55% |
| Comprehensive hearing test: tone and speech audiometry, both ears inpatient CPT 92557 HC Compre Audiometry Threshold Eval Sp Recognij | $190.80 | $424.00 | $56.94–$512.54 | — | 55% |
| Critical care, first 30 to 74 minutes CPT 99291 HC Critical Care Ill/Injured Patient Init 30-74 Min | $1,155.60 | $2,568.00 | $431.24–$2,357.47 | 57% below | 55% |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 HC Critical Care Ill/Injured Patient Init 30-74 Min | $1,155.60 | $2,568.00 | $431.24–$2,357.47 | — | 55% |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 HC Electroencephalogram W/Rec Awake&Drowsy | $467.10 | $1,038.00 | $192.17–$882.30 | 46% below | 55% |
| EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 HC Electroencephalogram W/Rec Awake&Drowsy | $467.10 | $1,038.00 | $192.17–$882.30 | — | 55% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 HC Ecg Routine Ecg W/Least 12 Lds Trcg Only W/O I&R | $98.10 | $218.00 | $17.17–$512.54 | 46% below | 55% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 HC Ecg Routine Ecg W/Least 12 Lds Trcg Only W/O I&R | $98.10 | $218.00 | $17.17–$512.54 | — | 55% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 HC Emergency Department Visit That May Not Require the Presence of a Physician or Other Qualified Health Care Professional | $444.15 | $987.00 | $97.96–$1,302.10 | 7% above | 55% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 HC Emergency Department Visit That May Not Require the Presence of a Physician or Other Qualified Health Care Professional | $444.15 | $987.00 | $97.96–$1,302.10 | — | 55% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 HC Emergency Department Visit Which Requires a Medically Appropriate History and/or Examination and Straightforward Medical Decision Making | $504.00 | $1,120.00 | $100.98–$1,302.10 | 8% below | 55% |
| Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 HC Emergency Department Visit Which Requires a Medically Appropriate History and/or Examination and Straightforward Medical Decision Making | $504.00 | $1,120.00 | $100.98–$1,302.10 | — | 55% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 HC Emergency Department Visit Which Requires a Medically Appropriate History and/or Examination and Low Level of Medical Decision Making | $650.70 | $1,446.00 | $178.39–$1,302.10 | 21% below | 55% |
| Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 HC Emergency Department Visit Which Requires a Medically Appropriate History and/or Examination and Low Level of Medical Decision Making | $650.70 | $1,446.00 | $178.39–$1,302.10 | — | 55% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 HC Emergency Department Visit Which Requires a Medically Appropriate History and/or Examination and Moderate Level of Medical Decision Making | $949.95 | $2,111.00 | $306.72–$1,794.35 | 25% below | 55% |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 HC Emergency Department Visit Which Requires a Medically Appropriate History and/or Examination and Moderate Level of Medical Decision Making | $949.95 | $2,111.00 | $306.72–$1,794.35 | — | 55% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HC Emergency Dept Visit Which Requires a Medically Appropriate History and/or Examination and High Level of Medical Decision Making | $1,122.30 | $2,494.00 | $306.72–$2,119.90 | 33% below | 55% |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 HC Emergency Dept Visit Which Requires a Medically Appropriate History and/or Examination and High Level of Medical Decision Making | $1,122.30 | $2,494.00 | $306.72–$2,119.90 | — | 55% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 HC Cv Strs Tst Xers&/or Rx Cont Ecg Trcg Only | $533.25 | $1,185.00 | $77.40–$1,007.25 | 42% below | 55% |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 HC Cv Strs Tst Xers&/or Rx Cont Ecg Trcg Only | $533.25 | $1,185.00 | $77.40–$1,007.25 | — | 55% |
| Eye exam, returning patient, intermediate CPT 92012 HC Ophth Medical Xm&Eval Intermediate Estab Pt | $153.90 | $342.00 | $21.85–$512.54 | 1% below | 55% |
| Eye exam, returning patient, intermediate inpatient CPT 92012 HC Ophth Medical Xm&Eval Intermediate Estab Pt | $153.90 | $342.00 | $21.85–$512.54 | — | 55% |
| Family therapy with the patient, 50 minutes CPT 90847 HC Family Psychotherapy W/Patient Present 50 Mins | $129.15 | $287.00 | $30.90–$512.54 | 50% below | 55% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 HC Family Psychotherapy W/Patient Present 50 Mins | $129.15 | $287.00 | $30.90–$512.54 | — | 55% |
| Family therapy without the patient, 50 minutes CPT 90846 HC Family Psychotherapy W/O Patient Present 50 Mins | $116.10 | $258.00 | $30.90–$512.54 | 58% below | 55% |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 HC Family Psychotherapy W/O Patient Present 50 Mins | $116.10 | $258.00 | $30.90–$512.54 | — | 55% |
| Group psychotherapy session CPT 90853 HC Group Psychotherapy | $64.35 | $143.00 | $15.63–$512.54 | 54% below | 55% |
| Group psychotherapy session inpatient CPT 90853 HC Group Psychotherapy | $64.35 | $143.00 | $15.63–$512.54 | — | 55% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV Infusion, Hydration, 31-60 Min | $46.35 | $103.00 | $37.08–$607.05 | 91% below | 55% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HC IV Infusion Hydration Initial 31 Min-1 Hour | $291.60 | $648.00 | $115.52–$607.05 | 43% below | 55% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV Infusion, Hydration, 31-60 Min | $46.35 | $103.00 | $37.08–$607.05 | — | 55% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HC IV Infusion Hydration Initial 31 Min-1 Hour | $291.60 | $648.00 | $115.52–$607.05 | — | 55% |
| IV infusion of a medicine, first hour CPT 96365 HC IV Infusion Therapy/Prophylaxis /Dx 1st to 1 Hr | $393.30 | $874.00 | $193.50–$742.90 | 32% below | 55% |
| IV infusion of a medicine, first hour inpatient CPT 96365 HC IV Infusion Therapy/Prophylaxis /Dx 1st to 1 Hr | $393.30 | $874.00 | $193.50–$742.90 | — | 55% |
| IV push of a medicine, first drug CPT 96374 HC Ther Proph/Dx Njx IV Push Single/1st Sbst/Drug | $311.40 | $692.00 | $57.15–$607.05 | 15% below | 55% |
| IV push of a medicine, first drug inpatient CPT 96374 HC Ther Proph/Dx Njx IV Push Single/1st Sbst/Drug | $311.40 | $692.00 | $57.15–$607.05 | — | 55% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 HC Therapeutic Prophylactic/Dx Injection Subq/Im | $102.15 | $227.00 | $39.19–$695.29 | 43% below | 55% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 HC Therapeutic Prophylactic/Dx Injection Subq/Im | $102.15 | $227.00 | $39.19–$695.29 | — | 55% |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 HC Psychiatric Diagnostic Evaluation | $165.60 | $368.00 | $27.84–$512.54 | 45% below | 55% |
| Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 HC Psychiatric Diagnostic Evaluation | $165.60 | $368.00 | $27.84–$512.54 | — | 55% |
| Nerve conduction study, 7 or 8 nerve studies CPT 95910 HC Nerve Conduction Studies 7-8 Studies | $608.40 | $1,352.00 | $348.62–$1,149.20 | 23% below | 55% |
| Nerve conduction study, 7 or 8 nerve studies inpatient CPT 95910 HC Nerve Conduction Studies 7-8 Studies | $608.40 | $1,352.00 | $348.62–$1,149.20 | — | 55% |
| Neuromuscular re-education, 15 minutes CPT 97112 HC Ther Px 1/> Areas Each 15 Min Neuromusc Reeduca | $150.75 | $335.00 | $24.32–$512.54 | 25% above | 55% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 HC Ther Px 1/> Areas Each 15 Min Neuromusc Reeduca | $150.75 | $335.00 | $24.32–$512.54 | — | 55% |
| New patient office visit, about 30 minutes CPT 99203 HC Office Outpatient New 30 Minutes | $280.35 | $623.00 | $23.27–$529.55 | 30% above | 55% |
| New patient office visit, about 30 minutes CPT 99203 HC Office Outpatient New 30 Mins Met or Exceeded | $280.35 | $623.00 | $23.27–$529.55 | 30% above | 55% |
| New patient office visit, about 30 minutes inpatient CPT 99203 HC Office Outpatient New 30 Mins Met or Exceeded | $280.35 | $623.00 | $23.27–$529.55 | — | 55% |
| New patient office visit, about 30 minutes inpatient CPT 99203 HC Office Outpatient New 30 Minutes | $280.35 | $623.00 | $23.27–$529.55 | — | 55% |
| New patient office visit, about 45 minutes CPT 99204 HC Office Outpatient New 45 Minutes | $476.55 | $1,059.00 | $23.27–$900.15 | 35% above | 55% |
| New patient office visit, about 45 minutes CPT 99204 HC Office Outpatient New 45 Mins Met or Exceeded | $476.55 | $1,059.00 | $23.27–$900.15 | 35% above | 55% |
| New patient office visit, about 45 minutes inpatient CPT 99204 HC Office Outpatient New 45 Mins Met or Exceeded | $476.55 | $1,059.00 | $23.27–$900.15 | — | 55% |
| New patient office visit, about 45 minutes inpatient CPT 99204 HC Office Outpatient New 45 Minutes | $476.55 | $1,059.00 | $23.27–$900.15 | — | 55% |
| New patient office visit, about 60 minutes CPT 99205 HC Office Outpatient New 60 Minutes | $607.05 | $1,349.00 | $23.27–$1,146.65 | 57% above | 55% |
| New patient office visit, about 60 minutes CPT 99205 HC Office Outpatient New 60 Mins Met or Exceeded | $607.05 | $1,349.00 | $23.27–$1,146.65 | 57% above | 55% |
| New patient office visit, about 60 minutes inpatient CPT 99205 HC Office Outpatient New 60 Minutes | $607.05 | $1,349.00 | $23.27–$1,146.65 | — | 55% |
| New patient office visit, about 60 minutes inpatient CPT 99205 HC Office Outpatient New 60 Mins Met or Exceeded | $607.05 | $1,349.00 | $23.27–$1,146.65 | — | 55% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 HC Office Outpatient New 15 Mins Met or Exceeded | $184.95 | $411.00 | $23.27–$512.54 | 12% above | 55% |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 HC Office Outpatient New 15 Mins Met or Exceeded | $184.95 | $411.00 | $23.27–$512.54 | — | 55% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 HC Medical Nutrition Assmt&Ivntj Indiv Each 15 Mi | $127.80 | $284.00 | $28.70–$512.54 | 28% above | 55% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 HC Medical Nutrition Assmt&Ivntj Indiv Each 15 Mi | $127.80 | $284.00 | $28.70–$512.54 | — | 55% |
| Occupational therapy evaluation, low complexity CPT 97165 HC Occupational Therapy Eval Low Complex 30 Mins | $242.55 | $539.00 | $112.07–$512.54 | 28% below | 55% |
| Occupational therapy evaluation, low complexity inpatient CPT 97165 HC Occupational Therapy Eval Low Complex 30 Mins | $242.55 | $539.00 | $112.07–$512.54 | — | 55% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 HC Physical Therapy Evaluation High Complex 45 Mins | $246.60 | $548.00 | $108.88–$512.54 | 32% below | 55% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 HC Physical Therapy Evaluation High Complex 45 Mins | $246.60 | $548.00 | $108.88–$512.54 | — | 55% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 HC Physical Therapy Evaluation Low Complex 20 Mins | $246.60 | $548.00 | $108.88–$512.54 | 29% below | 55% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 HC Physical Therapy Evaluation Low Complex 20 Mins | $246.60 | $548.00 | $108.88–$512.54 | — | 55% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 HC Physical Therapy Evaluation Mod Complex 30 Mins | $246.60 | $548.00 | $108.88–$512.54 | 30% below | 55% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 HC Physical Therapy Evaluation Mod Complex 30 Mins | $246.60 | $548.00 | $108.88–$512.54 | — | 55% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HC Manual Therapy Tqs 1/> Regions Each 15 Minutes | $126.90 | $282.00 | $21.61–$512.54 | 6% above | 55% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HC Manual Therapy Tqs 1/> Regions Each 15 Minutes | $126.90 | $282.00 | $21.61–$512.54 | — | 55% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC Therapeutic Px 1/> Areas Each 15 Min Exercises | $147.15 | $327.00 | $23.10–$512.54 | 32% above | 55% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC Therapeutic Px 1/> Areas Each 15 Min Exercises | $147.15 | $327.00 | $23.10–$512.54 | — | 55% |
| Preventive checkup, new patient aged 18–39 CPT 99385 HC Initial Preventive Medicine New Pt Age 18-39yrs | $358.20 | $796.00 | $23.27–$512.54 | 96% above | 55% |
| Preventive checkup, new patient aged 18–39 inpatient CPT 99385 HC Initial Preventive Medicine New Pt Age 18-39yrs | $358.20 | $796.00 | $23.27–$512.54 | — | 55% |
| Preventive checkup, new patient aged 40–64 CPT 99386 HC Initial Preventive Medicine New Patient 40-64yrs | $432.00 | $960.00 | $23.27–$600.48 | 137% above | 55% |
| Preventive checkup, new patient aged 40–64 inpatient CPT 99386 HC Initial Preventive Medicine New Patient 40-64yrs | $432.00 | $960.00 | $23.27–$600.48 | — | 55% |
| Preventive checkup, new patient aged 65 or older CPT 99387 HC Initial Preventive Medicine New Patient 65yrs&> | $465.75 | $1,035.00 | $23.27–$647.39 | 148% above | 55% |
| Preventive checkup, new patient aged 65 or older inpatient CPT 99387 HC Initial Preventive Medicine New Patient 65yrs&> | $465.75 | $1,035.00 | $23.27–$647.39 | — | 55% |
| Preventive checkup, returning patient aged 18–39 CPT 99395 HC Periodic Preventive Med Est Patient 18-39 Yrs | $323.55 | $719.00 | $23.27–$512.54 | 227% above | 55% |
| Preventive checkup, returning patient aged 18–39 inpatient CPT 99395 HC Periodic Preventive Med Est Patient 18-39 Yrs | $323.55 | $719.00 | $23.27–$512.54 | — | 55% |
| Preventive checkup, returning patient aged 40–64 CPT 99396 HC Periodic Preventive Med Est Patient 40-64yrs | $351.00 | $780.00 | $23.27–$512.54 | 126% above | 55% |
| Preventive checkup, returning patient aged 40–64 inpatient CPT 99396 HC Periodic Preventive Med Est Patient 40-64yrs | $351.00 | $780.00 | $23.27–$512.54 | — | 55% |
| Preventive checkup, returning patient aged 65 or older CPT 99397 HC Periodic Preventive Med Est Patient 65yrs& Older | $371.70 | $826.00 | $23.27–$516.66 | 211% above | 55% |
| Preventive checkup, returning patient aged 65 or older inpatient CPT 99397 HC Periodic Preventive Med Est Patient 65yrs& Older | $371.70 | $826.00 | $23.27–$516.66 | — | 55% |
| Psychiatric evaluation with medical services CPT 90792 HC Psychiatric Diagnostic Eval W/Medical Services | $123.30 | $274.00 | $27.84–$512.54 | 66% below | 55% |
| Psychiatric evaluation with medical services inpatient CPT 90792 HC Psychiatric Diagnostic Eval W/Medical Services | $123.30 | $274.00 | $27.84–$512.54 | — | 55% |
| Psychological testing evaluation by a psychologist or physician, first hour CPT 96130 HC Psychological Tst Eval Svc Phys/Qhp First Hour | $191.25 | $425.00 | $49.25–$512.54 | 58% below | 55% |
| Psychological testing evaluation by a psychologist or physician, first hour inpatient CPT 96130 HC Psychological Tst Eval Svc Phys/Qhp First Hour | $191.25 | $425.00 | $49.25–$512.54 | — | 55% |
| Psychotherapy for crisis, first 60 minutes CPT 90839 HC Psychotherapy for Crisis Initial 60 Minutes | $107.55 | $239.00 | $27.84–$512.54 | 73% below | 55% |
| Psychotherapy for crisis, first 60 minutes inpatient CPT 90839 HC Psychotherapy for Crisis Initial 60 Minutes | $107.55 | $239.00 | $27.84–$512.54 | — | 55% |
| Psychotherapy session, 30 minutes CPT 90832 HC Psychotherapy W/Patient 30 Minutes | $107.55 | $239.00 | $21.97–$512.54 | 57% below | 55% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 HC Psychotherapy W/Patient 30 Minutes | $107.55 | $239.00 | $21.97–$512.54 | — | 55% |
| Psychotherapy session, 45 minutes CPT 90834 HC Psychotherapy W/Patient 45 Minutes | $114.30 | $254.00 | $27.84–$512.54 | 54% below | 55% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 HC Psychotherapy W/Patient 45 Minutes | $114.30 | $254.00 | $27.84–$512.54 | — | 55% |
| Psychotherapy session, 60 minutes CPT 90837 HC Psychotherapy W/Patient 60 Minutes | $165.60 | $368.00 | $27.84–$512.54 | 44% below | 55% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 HC Psychotherapy W/Patient 60 Minutes | $165.60 | $368.00 | $27.84–$512.54 | — | 55% |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 HC Tobacco Use Cessation Intermediate 3-10 Minutes | $72.90 | $162.00 | $33.61–$512.54 | 36% below | 55% |
| Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 HC Tobacco Use Cessation Intermediate 3-10 Minutes | $72.90 | $162.00 | $33.61–$512.54 | — | 55% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 HC Office Outpatient Visit 40 Mins Met or Exceeded | $401.85 | $893.00 | $23.27–$759.05 | 34% above | 55% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 HC Office Outpatient Visit 40 Minutes | $401.85 | $893.00 | $23.27–$759.05 | 34% above | 55% |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 HC Office Outpatient Visit 40 Mins Met or Exceeded | $401.85 | $893.00 | $23.27–$759.05 | — | 55% |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 HC Office Outpatient Visit 40 Minutes | $401.85 | $893.00 | $23.27–$759.05 | — | 55% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 HC Office Outpatient Visit 15 Minutes | $187.65 | $417.00 | $23.27–$512.54 | at median | 55% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 HC Office Outpatient Visit 20 Mins Met or Exceeded | $187.65 | $417.00 | $23.27–$512.54 | at median | 55% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 HC Office Outpatient Visit 20 Mins Met or Exceeded | $187.65 | $417.00 | $23.27–$512.54 | — | 55% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 HC Office Outpatient Visit 15 Minutes | $187.65 | $417.00 | $23.27–$512.54 | — | 55% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HC Office Outpatient Visit 30 Mins Met or Exceeded | $285.30 | $634.00 | $23.27–$538.90 | 28% above | 55% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HC Office Outpatient Visit 25 Minutes | $285.30 | $634.00 | $23.27–$538.90 | 28% above | 55% |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 HC Office Outpatient Visit 25 Minutes | $285.30 | $634.00 | $23.27–$538.90 | — | 55% |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 HC Office Outpatient Visit 30 Mins Met or Exceeded | $285.30 | $634.00 | $23.27–$538.90 | — | 55% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HC Office Outpatient Visit 10 Mins Met or Exceeded | $99.45 | $221.00 | $23.27–$512.54 | 23% below | 55% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HC Office Outpatient Visit 10 Minutes | $99.45 | $221.00 | $23.27–$512.54 | 23% below | 55% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 HC Office Outpatient Visit 10 Mins Met or Exceeded | $99.45 | $221.00 | $23.27–$512.54 | — | 55% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 HC Office Outpatient Visit 10 Minutes | $99.45 | $221.00 | $23.27–$512.54 | — | 55% |
| Speech and language evaluation CPT 92523 HC Eval Speech Sound Product Language Comprehension | $793.35 | $1,763.00 | $163.44–$1,498.55 | 35% above | 55% |
| Speech and language evaluation inpatient CPT 92523 HC Eval Speech Sound Product Language Comprehension | $793.35 | $1,763.00 | $163.44–$1,498.55 | — | 55% |
| Speech therapy session, individual CPT 92507 HC Tx Speech Lang Voice Commj &/Auditory Proc Ind | $311.85 | $693.00 | $56.92–$589.05 | 4% above | 55% |
| Speech therapy session, individual inpatient CPT 92507 HC Tx Speech Lang Voice Commj &/Auditory Proc Ind | $311.85 | $693.00 | $56.92–$589.05 | — | 55% |
| Spirometry (breathing test) CPT 94010 HC Spmtry W/Vc Expiratory Flo W/WO Mxml Vol Vntj | $220.95 | $491.00 | $30.98–$616.24 | 45% below | 55% |
| Spirometry (breathing test) inpatient CPT 94010 HC Spmtry W/Vc Expiratory Flo W/WO Mxml Vol Vntj | $220.95 | $491.00 | $30.98–$616.24 | — | 55% |
| Spirometry before and after a bronchodilator CPT 94060 HC Brncdilat Rspse Spmtry Pre&Post-Brncdilat Admn | $384.75 | $855.00 | $52.89–$1,064.99 | 46% below | 55% |
| Spirometry before and after a bronchodilator inpatient CPT 94060 HC Brncdilat Rspse Spmtry Pre&Post-Brncdilat Admn | $384.75 | $855.00 | $52.89–$1,064.99 | — | 55% |
| TMS (transcranial magnetic stimulation), first session with mapping CPT 90867 HC Transcranial Magnetic Stimulation Treatment,Planning | $366.30 | $814.00 | $250.83–$813.96 | 61% below | 55% |
| TMS (transcranial magnetic stimulation), first session with mapping inpatient CPT 90867 HC Transcranial Magnetic Stimulation Treatment,Planning | $366.30 | $814.00 | $250.83–$813.96 | — | 55% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 HC Therapeut Actvity Direct Pt Contact Each 15 Min | $150.75 | $335.00 | $24.78–$512.54 | 6% above | 55% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HC Therapeut Actvity Direct Pt Contact Each 15 Min | $150.75 | $335.00 | $24.78–$512.54 | — | 55% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 HC Phlebotomy Therapeutic Separate Procedure | $395.55 | $879.00 | $69.64–$747.15 | 40% above | 55% |
| Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 HC Phlebotomy Therapeutic Separate Procedure | $395.55 | $879.00 | $69.64–$747.15 | — | 55% |
| Visual field test, extended both sides CPT 92083 HC Visual Field Xm Uni/Bi W/Interp Extended Exam | $227.70 | $506.00 | $59.22–$512.54 | — | 55% |
| Visual field test, extended inpatient both sides CPT 92083 HC Visual Field Xm Uni/Bi W/Interp Extended Exam | $227.70 | $506.00 | $59.22–$512.54 | — | 55% |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Massachusetts | Off list |
|---|---|---|---|---|---|
| Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older CPT 90653 HC Iiv Adjuvanted Vaccine for Intramuscular Use | $63.00 | $140.00 | $50.40–$512.54 | 55% below | 55% |
| Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older CPT 90653 FLU VACC 2025-26(65YR UP)-MF59C(PF) 45 MCG(15 MCGX3)/0.5 ML IM SYRINGE | $121.61 | $270.24 | $57.10–$512.54 | 14% below | 55% |
| Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older inpatient CPT 90653 HC Iiv Adjuvanted Vaccine for Intramuscular Use | $63.00 | $140.00 | $50.40–$512.54 | — | 55% |
| Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older inpatient CPT 90653 FLU VACC 2025-26(65YR UP)-MF59C(PF) 45 MCG(15 MCGX3)/0.5 ML IM SYRINGE | $121.61 | $270.24 | $57.10–$512.54 | — | 55% |
| COVID-19 vaccine (Moderna), age 12 and older CPT 91322 HC Sarscov2 Vac 50 Mcg/0.5ml Im | $162.90 | $362.00 | $130.32–$512.54 | 32% below | 55% |
| COVID-19 vaccine (Moderna), age 12 and older CPT 91322 COVID VACC 2025-26 (12 YRS UP) (MODERNA)(PF) 50 MCG/0.5 ML IM SYRINGE | $226.69 | $503.75 | $139.21–$512.54 | 5% below | 55% |
| COVID-19 vaccine (Moderna), age 12 and older inpatient CPT 91322 HC Sarscov2 Vac 50 Mcg/0.5ml Im | $162.90 | $362.00 | $130.32–$512.54 | — | 55% |
| COVID-19 vaccine (Moderna), age 12 and older inpatient CPT 91322 COVID VACC 2025-26 (12 YRS UP) (MODERNA)(PF) 50 MCG/0.5 ML IM SYRINGE | $226.69 | $503.75 | $139.21–$512.54 | — | 55% |
| COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 HC Sarscv2 Vac 30mcg Trs-Suc Im | $132.30 | $294.00 | $105.84–$512.54 | 68% below | 55% |
| COVID-19 vaccine (Pfizer-BioNTech), age 12 and older inpatient CPT 91320 HC Sarscv2 Vac 30mcg Trs-Suc Im | $132.30 | $294.00 | $105.84–$512.54 | — | 55% |
| Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 HC Chicken Pox Vaccine, Live, Sub-Q | $210.60 | $468.00 | $66.89–$512.54 | 46% below | 55% |
| Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 VARICELLA VIRUS VACCINE LIVE (PF) 1,350 UNIT/0.5 ML SUBCUTANEOUS SUSP | $277.99 | $617.75 | $66.89–$577.86 | 28% below | 55% |
| Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 HC Chicken Pox Vaccine, Live, Sub-Q | $210.60 | $468.00 | $66.89–$512.54 | — | 55% |
| Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 VARICELLA VIRUS VACCINE LIVE (PF) 1,350 UNIT/0.5 ML SUBCUTANEOUS SUSP | $277.99 | $617.75 | $66.89–$577.86 | — | 55% |
| DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 HC Dtap Immunization Im <7 Yo | $31.95 | $71.00 | $22.77–$512.54 | 50% below | 55% |
| DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 DIPH,PERTUS(ACEL),TET PED(PF) 25 LF UNIT-58 MCG-10 LF/0.5ML IM SYRINGE | $34.27 | $76.16 | $22.77–$512.54 | 47% below | 55% |
| DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 DIPH,PERTUS(ACEL),TET PEDI (PF) 15 LF UNIT-10 MCG-5 LF/0.5 ML IM SUSP | $44.99 | $99.97 | $22.77–$512.54 | 30% below | 55% |
| DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 HC Dtap Immunization Im <7 Yo | $31.95 | $71.00 | $22.77–$512.54 | — | 55% |
| DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 DIPH,PERTUS(ACEL),TET PED(PF) 25 LF UNIT-58 MCG-10 LF/0.5ML IM SYRINGE | $34.27 | $76.16 | $22.77–$512.54 | — | 55% |
| DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 DIPH,PERTUS(ACEL),TET PEDI (PF) 15 LF UNIT-10 MCG-5 LF/0.5 ML IM SUSP | $44.99 | $99.97 | $22.77–$512.54 | — | 55% |
| DTaP, hepatitis B and polio combination vaccine (Pediarix) CPT 90723 HEP B-DP(A)T-POLIO VACC (PF) 10 MCG-25LF-25 MCG-10LF/0.5 ML IM SYRINGE | $159.66 | $354.79 | $66.89–$512.54 | 22% below | 55% |
| DTaP, hepatitis B and polio combination vaccine (Pediarix) inpatient CPT 90723 HEP B-DP(A)T-POLIO VACC (PF) 10 MCG-25LF-25 MCG-10LF/0.5 ML IM SYRINGE | $159.66 | $354.79 | $66.89–$512.54 | — | 55% |
| DTaP, polio and Hib combination vaccine (Pentacel) CPT 90698 DTAP-IPV COMPONENT 1OF2(PF) 15 LF-48MCG-5 LF-62 DU/0.5ML IM SUSPENSION | $159.76 | $355.01 | $68.67–$512.54 | 38% below | 55% |
| DTaP, polio and Hib combination vaccine (Pentacel) CPT 90698 HAEMOPHILUS B CONJ-TET,COMPONENT 2 OF 2 (PF) 10 MCG/0.5 ML IM SOLUTION | $185.94 | $413.20 | $68.67–$512.54 | 28% below | 55% |
| DTaP, polio and Hib combination vaccine (Pentacel) inpatient CPT 90698 DTAP-IPV COMPONENT 1OF2(PF) 15 LF-48MCG-5 LF-62 DU/0.5ML IM SUSPENSION | $159.76 | $355.01 | $68.67–$512.54 | — | 55% |
| DTaP, polio and Hib combination vaccine (Pentacel) inpatient CPT 90698 HAEMOPHILUS B CONJ-TET,COMPONENT 2 OF 2 (PF) 10 MCG/0.5 ML IM SOLUTION | $185.94 | $413.20 | $68.67–$512.54 | — | 55% |
| DTaP, polio, Hib and hepatitis B combination vaccine (Vaxelis) CPT 90697 DIP,PERT(A)TET-HEPB-POLIO-HIB PED(PF) 15-5 UNIT-10 MCG/0.5 ML IM SUSP | $222.07 | $493.48 | $177.65–$512.54 | 34% below | 55% |
| DTaP, polio, Hib and hepatitis B combination vaccine (Vaxelis) CPT 90697 HC Dtap-Ipv-Hib-Hepb Vaccine Im | $232.20 | $516.00 | $185.76–$512.54 | 31% below | 55% |
| DTaP, polio, Hib and hepatitis B combination vaccine (Vaxelis) inpatient CPT 90697 DIP,PERT(A)TET-HEPB-POLIO-HIB PED(PF) 15-5 UNIT-10 MCG/0.5 ML IM SUSP | $222.07 | $493.48 | $177.65–$512.54 | — | 55% |
| DTaP, polio, Hib and hepatitis B combination vaccine (Vaxelis) inpatient CPT 90697 HC Dtap-Ipv-Hib-Hepb Vaccine Im | $232.20 | $516.00 | $185.76–$512.54 | — | 55% |
| Flu shot, recombinant, egg-free (Flublok) CPT 90673 HC Influenza Virus Vaccine Trivalen Riv3 Prsr Fr Im | $57.15 | $127.00 | $38.48–$512.54 | 74% below | 55% |
| Flu shot, recombinant, egg-free (Flublok) inpatient CPT 90673 HC Influenza Virus Vaccine Trivalen Riv3 Prsr Fr Im | $57.15 | $127.00 | $38.48–$512.54 | — | 55% |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 HC Iiv3 Vacc Preservative Free 0.5 Ml Dosage Im Usage | $16.20 | $36.00 | $12.96–$512.54 | 69% below | 55% |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 FLU VACCINE TS 2025-26(6MOS UP)(PF) 45 MCG(15MCG X3)/0.5 ML IM SYRINGE | $22.53 | $50.06 | $17.84–$512.54 | 57% below | 55% |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 FLU VACC TS2025-26 (36 MOS UP)(PF)45 MCG (15 MCG X3)/0.5 ML IM SYRINGE | $33.62 | $74.71 | $19.77–$512.54 | 36% below | 55% |
| Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 HC Iiv3 Vacc Preservative Free 0.5 Ml Dosage Im Usage | $16.20 | $36.00 | $12.96–$512.54 | — | 55% |
| Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 FLU VACCINE TS 2025-26(6MOS UP)(PF) 45 MCG(15MCG X3)/0.5 ML IM SYRINGE | $22.53 | $50.06 | $17.84–$512.54 | — | 55% |
| Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 FLU VACC TS2025-26 (36 MOS UP)(PF)45 MCG (15 MCG X3)/0.5 ML IM SYRINGE | $33.62 | $74.71 | $19.77–$512.54 | — | 55% |
| HPV vaccine, 9-valent (Gardasil 9) CPT 90651 Human Papilloma Virus Nonavalent Hpv 3 Dose Im | $336.15 | $747.00 | $169.51–$634.95 | 46% below | 55% |
| HPV vaccine, 9-valent (Gardasil 9) CPT 90651 HUMAN PAPILLOMAVIRUS VACCINE,9-VALENT(PF) 0.5 ML INTRAMUSCULAR SYRINGE | $453.25 | $1,007.22 | $169.51–$991.47 | 27% below | 55% |
| HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 Human Papilloma Virus Nonavalent Hpv 3 Dose Im | $336.15 | $747.00 | $169.51–$634.95 | — | 55% |
| HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 HUMAN PAPILLOMAVIRUS VACCINE,9-VALENT(PF) 0.5 ML INTRAMUSCULAR SYRINGE | $453.25 | $1,007.22 | $169.51–$991.47 | — | 55% |
| Hepatitis A and B combination vaccine, adult (Twinrix) CPT 90636 HC Iiv3 Vacc Preservative Free 0.5 Ml Dosage Im Use | $55.35 | $123.00 | $44.28–$512.54 | 77% below | 55% |
| Hepatitis A and B combination vaccine, adult (Twinrix) inpatient CPT 90636 HC Iiv3 Vacc Preservative Free 0.5 Ml Dosage Im Use | $55.35 | $123.00 | $44.28–$512.54 | — | 55% |
| Hepatitis A vaccine, adult dose CPT 90632 HEPATITIS A VIRUS VACCINE (PF) 50 UNIT/ML INTRAMUSCULAR SYRINGE | $49.67 | $110.37 | $32.61–$512.54 | 71% below | 55% |
| Hepatitis A vaccine, adult dose CPT 90632 HC Hepa Vaccine Adult | $92.25 | $205.00 | $73.80–$512.54 | 46% below | 55% |
| Hepatitis A vaccine, adult dose CPT 90632 HEPATITIS A VACCINE (PF) 1,440 ELISA UNIT/ML INTRAMUSCULAR SYRINGE | $106.32 | $236.26 | $74.31–$512.54 | 38% below | 55% |
| Hepatitis A vaccine, adult dose inpatient CPT 90632 HEPATITIS A VIRUS VACCINE (PF) 50 UNIT/ML INTRAMUSCULAR SYRINGE | $49.67 | $110.37 | $32.61–$512.54 | — | 55% |
| Hepatitis A vaccine, adult dose inpatient CPT 90632 HC Hepa Vaccine Adult | $92.25 | $205.00 | $73.80–$512.54 | — | 55% |
| Hepatitis A vaccine, adult dose inpatient CPT 90632 HEPATITIS A VACCINE (PF) 1,440 ELISA UNIT/ML INTRAMUSCULAR SYRINGE | $106.32 | $236.26 | $74.31–$512.54 | — | 55% |
| Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 HEPATITIS A VIRUS VACCINE (PF) 25 UNIT/0.5 ML INTRAMUSCULAR SYRINGE | $53.49 | $118.87 | $42.79–$765.00 | 29% below | 55% |
| Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 HEPATITIS A VIRUS VACCINE (PF) 25 UNIT/0.5 ML INTRAMUSCULAR SUSPENSION | $56.24 | $124.98 | $44.99–$765.00 | 26% below | 55% |
| Hepatitis A vaccine, child and teen dose (2-dose schedule) inpatient CPT 90633 HEPATITIS A VIRUS VACCINE (PF) 25 UNIT/0.5 ML INTRAMUSCULAR SYRINGE | $53.49 | $118.87 | $42.79–$765.00 | — | 55% |
| Hepatitis A vaccine, child and teen dose (2-dose schedule) inpatient CPT 90633 HEPATITIS A VIRUS VACCINE (PF) 25 UNIT/0.5 ML INTRAMUSCULAR SUSPENSION | $56.24 | $124.98 | $44.99–$765.00 | — | 55% |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPATITIS B VIRUS VACCINE RECOMB (PF) 20 MCG/ML INTRAMUSCULAR SUSP | $70.99 | $157.75 | $56.79–$512.54 | 47% below | 55% |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HC Hepatitis B Vaccine Adult 3 Dose Im | $77.40 | $172.00 | $61.92–$512.54 | 42% below | 55% |
| Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HEPATITIS B VIRUS VACCINE RECOMB (PF) 20 MCG/ML INTRAMUSCULAR SUSP | $70.99 | $157.75 | $56.79–$512.54 | — | 55% |
| Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HC Hepatitis B Vaccine Adult 3 Dose Im | $77.40 | $172.00 | $61.92–$512.54 | — | 55% |
| Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) CPT 90739 HEPATITIS B VACCINE 20 MCG/0.5 ML-ADJUVANT CPG 1018 (PF) IM SYRINGE | $152.87 | $339.70 | $113.27–$512.54 | 52% below | 55% |
| Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) CPT 90739 HC Hepatitis B Vaccine Adult 2 Dose Im | $184.05 | $409.00 | $113.27–$512.54 | 42% below | 55% |
| Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) inpatient CPT 90739 HEPATITIS B VACCINE 20 MCG/0.5 ML-ADJUVANT CPG 1018 (PF) IM SYRINGE | $152.87 | $339.70 | $113.27–$512.54 | — | 55% |
| Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) inpatient CPT 90739 HC Hepatitis B Vaccine Adult 2 Dose Im | $184.05 | $409.00 | $113.27–$512.54 | — | 55% |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HEPATITIS B VIRUS VACCINE RECOMB (PF) 10 MCG/0.5 ML IM SYRINGE | $30.51 | $67.80 | $0.06–$512.54 | 48% below | 55% |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HC Hep B,Pedi/Adol(3dose),Im | $33.75 | $75.00 | $27.00–$512.54 | 43% below | 55% |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HEPATITIS B VIRUS VACCINE RECMB(PF) 5 MCG/0.5 ML INTRAMUSCULAR SYRINGE | $39.16 | $87.01 | $29.04–$512.54 | 34% below | 55% |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 HEPATITIS B VIRUS VACCINE RECOMB (PF) 10 MCG/0.5 ML IM SYRINGE | $30.51 | $67.80 | $0.06–$512.54 | — | 55% |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 HC Hep B,Pedi/Adol(3dose),Im | $33.75 | $75.00 | $27.00–$512.54 | — | 55% |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 HEPATITIS B VIRUS VACCINE RECMB(PF) 5 MCG/0.5 ML INTRAMUSCULAR SYRINGE | $39.16 | $87.01 | $29.04–$512.54 | — | 55% |
| Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 HC Hib Vaccine Prp-T, Im | $13.95 | $31.00 | $11.16–$512.54 | 51% below | 55% |
| Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 HAEMOPHILUS B POLYSACCHARID CONJ-TETANUS TOX(PF) 10 MCG/0.5 ML IM SOLN | $20.24 | $44.98 | $14.96–$512.54 | 29% below | 55% |
| Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) inpatient CPT 90648 HC Hib Vaccine Prp-T, Im | $13.95 | $31.00 | $11.16–$512.54 | — | 55% |
| Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) inpatient CPT 90648 HAEMOPHILUS B POLYSACCHARID CONJ-TETANUS TOX(PF) 10 MCG/0.5 ML IM SOLN | $20.24 | $44.98 | $14.96–$512.54 | — | 55% |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 HC Flu Vaccine, Increase Antigen Presv Free | $58.05 | $129.00 | $36.12–$512.54 | 73% below | 55% |
| High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 HC Flu Vaccine, Increase Antigen Presv Free | $58.05 | $129.00 | $36.12–$512.54 | — | 55% |
| Japanese encephalitis vaccine (Ixiaro), 2-dose schedule CPT 90738 HC Japanese Enceph Vacc, Inactivated, Im | $338.85 | $753.00 | $60.49–$640.05 | 51% below | 55% |
| Japanese encephalitis vaccine (Ixiaro), 2-dose schedule inpatient CPT 90738 HC Japanese Enceph Vacc, Inactivated, Im | $338.85 | $753.00 | $60.49–$640.05 | — | 55% |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 HC Mmr Virus Immunization, Subcut | $104.40 | $232.00 | $45.54–$512.54 | 44% below | 55% |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 MEASLES,MUMPS,RUBELLA VACCINE LIVE(PF)1,000-12,500TCID50/0.5 ML SUBCUT | $137.71 | $306.01 | $45.54–$512.54 | 25% below | 55% |
| MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 HC Mmr Virus Immunization, Subcut | $104.40 | $232.00 | $45.54–$512.54 | — | 55% |
| MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 MEASLES,MUMPS,RUBELLA VACCINE LIVE(PF)1,000-12,500TCID50/0.5 ML SUBCUT | $137.71 | $306.01 | $45.54–$512.54 | — | 55% |
| MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) CPT 90710 HC Dph;Mmrv,Live,Ped,2,Sq | $319.50 | $710.00 | $255.60–$603.50 | 4% above | 55% |
| MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) inpatient CPT 90710 HC Dph;Mmrv,Live,Ped,2,Sq | $319.50 | $710.00 | $255.60–$603.50 | — | 55% |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENINGOC VAC A,C,Y,W-135 DIP(PF) 10 MCG-5 MCG/0.5 ML IM KIT (2 VIALS) | $169.72 | $377.16 | $135.78–$512.54 | 38% below | 55% |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 HC Mcv4/Menacwy Conj Vacc Grps Acyw-135 Im Use | $178.65 | $397.00 | $142.92–$512.54 | 34% below | 55% |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENINGOCOCCAL VAC A,C,Y,W-135 DIP(PF) 10 MCG-5 MCG/0.5 ML IM SOLUTION | $265.37 | $589.71 | $135.78–$512.54 | 3% below | 55% |
| Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 MENINGOC VAC A,C,Y,W-135 DIP(PF) 10 MCG-5 MCG/0.5 ML IM KIT (2 VIALS) | $169.72 | $377.16 | $135.78–$512.54 | — | 55% |
| Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 HC Mcv4/Menacwy Conj Vacc Grps Acyw-135 Im Use | $178.65 | $397.00 | $142.92–$512.54 | — | 55% |
| Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 MENINGOCOCCAL VAC A,C,Y,W-135 DIP(PF) 10 MCG-5 MCG/0.5 ML IM SOLUTION | $265.37 | $589.71 | $135.78–$512.54 | — | 55% |
| Meningococcal ACWY vaccine (MenQuadfi) CPT 90619 HC Menacwy-Tt Vaccine Im | $184.05 | $409.00 | $147.24–$512.54 | 57% below | 55% |
| Meningococcal ACWY vaccine (MenQuadfi) inpatient CPT 90619 HC Menacwy-Tt Vaccine Im | $184.05 | $409.00 | $147.24–$512.54 | — | 55% |
| Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 HC Menb-4c Recombnt Prot & Outer Memb Vesic Vacc Im | $265.50 | $590.00 | $140.71–$512.54 | 42% below | 55% |
| Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 MENINGOCOCCAL B VAC,4-CMP 50 MCG-50 MCG-50 MCG-25 MCG/0.5ML IM SYRINGE | $377.88 | $839.73 | $140.71–$713.77 | 18% below | 55% |
| Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 HC Menb-4c Recombnt Prot & Outer Memb Vesic Vacc Im | $265.50 | $590.00 | $140.71–$512.54 | — | 55% |
| Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 MENINGOCOCCAL B VAC,4-CMP 50 MCG-50 MCG-50 MCG-25 MCG/0.5ML IM SYRINGE | $377.88 | $839.73 | $140.71–$713.77 | — | 55% |
| Meningococcal B vaccine (Trumenba) CPT 90621 HC Menb-Fhbp Recombnt Lipoprotein Vacc 2/3 Dose Im | $199.80 | $444.00 | $101.29–$512.54 | 48% below | 55% |
| Meningococcal B vaccine (Trumenba) inpatient CPT 90621 HC Menb-Fhbp Recombnt Lipoprotein Vacc 2/3 Dose Im | $199.80 | $444.00 | $101.29–$512.54 | — | 55% |
| Mpox and smallpox vaccine (Jynneos), 2-dose schedule CPT 90611 HC Jynneos Monkeypox Vaccine | $310.50 | $690.00 | $0.01–$586.50 | 77% below | 55% |
| Mpox and smallpox vaccine (Jynneos), 2-dose schedule inpatient CPT 90611 HC Jynneos Monkeypox Vaccine | $310.50 | $690.00 | $0.01–$586.50 | — | 55% |
| Nasal spray flu vaccine, live (FluMist) CPT 90660 HC Influenza Virus Vaccine Line Intranasal | $29.25 | $65.00 | $18.02–$512.54 | — | 55% |
| Nasal spray flu vaccine, live (FluMist) inpatient CPT 90660 HC Influenza Virus Vaccine Line Intranasal | $29.25 | $65.00 | $18.02–$512.54 | — | 55% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 HC Pcv20 Vaccine Im | $279.90 | $622.00 | $223.92–$528.70 | 50% below | 55% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE | $357.87 | $795.27 | $283.72–$675.98 | 37% below | 55% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 HC Pcv20 Vaccine Im | $279.90 | $622.00 | $223.92–$528.70 | — | 55% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 PNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE | $357.87 | $795.27 | $283.72–$675.98 | — | 55% |
| Pneumonia vaccine, 21-valent conjugate (Capvaxive) CPT 90684 HC Pcv21 Vaccine Im | $308.25 | $685.00 | $246.60–$582.25 | 64% below | 55% |
| Pneumonia vaccine, 21-valent conjugate (Capvaxive) inpatient CPT 90684 HC Pcv21 Vaccine Im | $308.25 | $685.00 | $246.60–$582.25 | — | 55% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 HC Pneumococcal Vaccine,23-Valent,Adult | $158.18 | $351.51 | $110.45–$512.54 | 43% below | 55% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOCOCCAL 23 POLYVALENT VACCINE 25 MCG/0.5 ML INJECTION SYRINGE | $187.17 | $415.94 | $110.45–$512.54 | 33% below | 55% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOCOCCAL 23 POLYVALENT VACCINE 25 MCG/0.5 ML INJECTION WRAPPER | $187.17 | $415.94 | $110.45–$512.54 | 33% below | 55% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 HC Pneumococcal Vaccine,23-Valent,Adult | $158.18 | $351.51 | $110.45–$512.54 | — | 55% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMOCOCCAL 23 POLYVALENT VACCINE 25 MCG/0.5 ML INJECTION WRAPPER | $187.17 | $415.94 | $110.45–$512.54 | — | 55% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMOCOCCAL 23 POLYVALENT VACCINE 25 MCG/0.5 ML INJECTION SYRINGE | $187.17 | $415.94 | $110.45–$512.54 | — | 55% |
| Polio vaccine, inactivated (IPV) CPT 90713 HC Poliomyelitis Immunizatn,Inactv,Sub-Q | $49.95 | $111.00 | $25.97–$512.54 | 45% below | 55% |
| Polio vaccine, inactivated (IPV) CPT 90713 POLIOVIRUS VACCINE 40 UNIT-8 UNIT-32 UNIT/0.5 ML INJECTION SUSPENSION | $70.31 | $156.25 | $25.97–$512.54 | 23% below | 55% |
| Polio vaccine, inactivated (IPV) inpatient CPT 90713 HC Poliomyelitis Immunizatn,Inactv,Sub-Q | $49.95 | $111.00 | $25.97–$512.54 | — | 55% |
| Polio vaccine, inactivated (IPV) inpatient CPT 90713 POLIOVIRUS VACCINE 40 UNIT-8 UNIT-32 UNIT/0.5 ML INJECTION SUSPENSION | $70.31 | $156.25 | $25.97–$512.54 | — | 55% |
| RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) CPT 90381 HC Rsv Monoc Antb Seasn 1 Ml Im | $568.35 | $1,263.00 | $431.24–$1,073.55 | 56% below | 55% |
| RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) inpatient CPT 90381 HC Rsv Monoc Antb Seasn 1 Ml Im | $568.35 | $1,263.00 | $431.24–$1,073.55 | — | 55% |
| RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 HC Rsv Monoc Antb Seasn .5ml Im | $568.35 | $1,263.00 | $431.24–$1,073.55 | 71% below | 55% |
| RSV antibody shot for infants, seasonal dose (0.5 mL) inpatient CPT 90380 HC Rsv Monoc Antb Seasn .5ml Im | $568.35 | $1,263.00 | $431.24–$1,073.55 | — | 55% |
| RSV vaccine (Abrysvo), one dose for older adults or during pregnancy CPT 90678 HC Rsv Vacc Pref Bivalent Im | $315.90 | $702.00 | $252.72–$596.70 | 55% below | 55% |
| RSV vaccine (Abrysvo), one dose for older adults or during pregnancy inpatient CPT 90678 HC Rsv Vacc Pref Bivalent Im | $315.90 | $702.00 | $252.72–$596.70 | — | 55% |
| Rabies vaccine, one dose CPT 90675 HC Rabies Vaccine, Im | $542.70 | $1,206.00 | $296.43–$1,025.10 | 40% below | 55% |
| Rabies vaccine, one dose CPT 90675 RABIES VACCINE,HUMAN DIPLOID (PF) 2.5 UNIT INTRAMUSCULAR SOLUTION | $616.91 | $1,370.91 | $296.43–$1,165.27 | 31% below | 55% |
| Rabies vaccine, one dose CPT 90675 RABIES VACCINE, PURIFIED CHICKEN EMBRYO CELL (PF) 2.5 UNIT IM SUSP | $660.04 | $1,466.76 | $296.43–$1,312.37 | 27% below | 55% |
| Rabies vaccine, one dose inpatient CPT 90675 HC Rabies Vaccine, Im | $542.70 | $1,206.00 | $296.43–$1,025.10 | — | 55% |
| Rabies vaccine, one dose inpatient CPT 90675 RABIES VACCINE,HUMAN DIPLOID (PF) 2.5 UNIT INTRAMUSCULAR SOLUTION | $616.91 | $1,370.91 | $296.43–$1,165.27 | — | 55% |
| Rabies vaccine, one dose inpatient CPT 90675 RABIES VACCINE, PURIFIED CHICKEN EMBRYO CELL (PF) 2.5 UNIT IM SUSP | $660.04 | $1,466.76 | $296.43–$1,312.37 | — | 55% |
| Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 Hzv Zoster Vacc Recombinant Adjuvanted Im Njx | $139.95 | $311.00 | $111.96–$512.54 | 53% below | 55% |
| Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 VARICELLA-ZOSTER GLYCOE VACC-AS01B ADJ(PF) 50 MCG/0.5 ML IM SUSP, KIT | $243.20 | $540.45 | $144.20–$545.33 | 19% below | 55% |
| Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 Hzv Zoster Vacc Recombinant Adjuvanted Im Njx | $139.95 | $311.00 | $111.96–$512.54 | — | 55% |
| Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 VARICELLA-ZOSTER GLYCOE VACC-AS01B ADJ(PF) 50 MCG/0.5 ML IM SUSP, KIT | $243.20 | $540.45 | $144.20–$545.33 | — | 55% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 HC Td Vaccine No Prsrv >/= 7 Yo, Im | $40.05 | $89.00 | $32.04–$512.54 | 54% below | 55% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 HC Td Vaccine No Prsrv >/= 7 Yo, Im | $40.05 | $89.00 | $32.04–$512.54 | — | 55% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 DIPHTH,PERTUS(ACEL)TETANUS(PF)2LF-(2.5-5-3-5MCG)-5 LF/0.5 ML IM SUSP | $54.52 | $121.15 | $40.08–$512.54 | 44% below | 55% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 DIPHTH,PERTUSSIS(ACEL),TETANUS 2.5 LF UNIT-8 MCG-5 LF/0.5ML IM SYRINGE | $57.53 | $127.84 | $40.08–$512.54 | 41% below | 55% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 HC Tdap Vaccine >7 Yo, Im | $81.00 | $180.00 | $40.08–$512.54 | 16% below | 55% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 DIPHTH,PERTUS(ACEL)TETANUS(PF)2LF-(2.5-5-3-5MCG)-5 LF/0.5 ML IM SUSP | $54.52 | $121.15 | $40.08–$512.54 | — | 55% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 DIPHTH,PERTUSSIS(ACEL),TETANUS 2.5 LF UNIT-8 MCG-5 LF/0.5ML IM SYRINGE | $57.53 | $127.84 | $40.08–$512.54 | — | 55% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 HC Tdap Vaccine >7 Yo, Im | $81.00 | $180.00 | $40.08–$512.54 | — | 55% |
| Typhoid vaccine, injectable (Vi polysaccharide) CPT 90691 HC Typhoid Vaccine, Im | $149.40 | $332.00 | $49.82–$512.54 | 29% below | 55% |
| Typhoid vaccine, injectable (Vi polysaccharide) CPT 90691 TYPHOID VI POLYSACCH VACCINE 25 MCG/0.5 ML INTRAMUSCULAR SYRINGE | $216.44 | $480.98 | $49.82–$512.54 | 4% above | 55% |
| Typhoid vaccine, injectable (Vi polysaccharide) inpatient CPT 90691 HC Typhoid Vaccine, Im | $149.40 | $332.00 | $49.82–$512.54 | — | 55% |
| Typhoid vaccine, injectable (Vi polysaccharide) inpatient CPT 90691 TYPHOID VI POLYSACCH VACCINE 25 MCG/0.5 ML INTRAMUSCULAR SYRINGE | $216.44 | $480.98 | $49.82–$512.54 | — | 55% |
| Typhoid vaccine, oral capsules (Vivotif) CPT 90690 HC Typhoid Vaccine, Oral | $23.40 | $52.00 | $18.72–$512.54 | 86% below | 55% |
| Typhoid vaccine, oral capsules (Vivotif) inpatient CPT 90690 HC Typhoid Vaccine, Oral | $23.40 | $52.00 | $18.72–$512.54 | — | 55% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC Immunization Admin Sp Sl Vaccine | $10.48 | $23.29 | $8.38–$512.54 | 90% below | 55% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Admin Hepatitis B Vaccine | $24.30 | $54.00 | $19.44–$512.54 | 78% below | 55% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Admin Influenza Virus Vac | $29.70 | $66.00 | $23.59–$512.54 | 73% below | 55% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC Admin Pneumococcal Vaccine | $35.55 | $79.00 | $23.59–$512.54 | 68% below | 55% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC Admin Hepatitis B Vaccine | $35.55 | $79.00 | $23.59–$512.54 | 68% below | 55% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC Im Adm Prq ID Subq/Im Njxs 1 Vaccine | $35.55 | $79.00 | $23.59–$512.54 | 68% below | 55% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC Admin Influenza Virus Vac | $35.55 | $79.00 | $23.59–$512.54 | 68% below | 55% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC Immunization Admin Sp Sl Vaccine | $10.48 | $23.29 | $8.38–$512.54 | — | 55% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Admin Hepatitis B Vaccine | $24.30 | $54.00 | $19.44–$512.54 | — | 55% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Admin Influenza Virus Vac | $29.70 | $66.00 | $23.59–$512.54 | — | 55% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC Im Adm Prq ID Subq/Im Njxs 1 Vaccine | $35.55 | $79.00 | $23.59–$512.54 | — | 55% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC Admin Pneumococcal Vaccine | $35.55 | $79.00 | $23.59–$512.54 | — | 55% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC Admin Influenza Virus Vac | $35.55 | $79.00 | $23.59–$512.54 | — | 55% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC Admin Hepatitis B Vaccine | $35.55 | $79.00 | $23.59–$512.54 | — | 55% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 HC Immunization Admin Each Add Sp Sl Vaccine | $10.48 | $23.29 | $8.38–$512.54 | 79% below | 55% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Immuniz,Admin,Each Addl | $18.90 | $42.00 | $11.40–$512.54 | 62% below | 55% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 HC Im Adm Prq ID Subq/Im Njxs Ea Vaccine | $33.75 | $75.00 | $11.40–$512.54 | 32% below | 55% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 HC Admin Hepatitis B Vaccine | $33.75 | $75.00 | $11.40–$512.54 | 32% below | 55% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 HC Admin Pneumococcal Vaccine | $33.75 | $75.00 | $11.40–$512.54 | 32% below | 55% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 HC Admin Influenza Virus Vac | $33.75 | $75.00 | $11.40–$512.54 | 32% below | 55% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 HC Immunization Admin Each Add Sp Sl Vaccine | $10.48 | $23.29 | $8.38–$512.54 | — | 55% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 Immuniz,Admin,Each Addl | $18.90 | $42.00 | $11.40–$512.54 | — | 55% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 HC Admin Hepatitis B Vaccine | $33.75 | $75.00 | $11.40–$512.54 | — | 55% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 HC Admin Influenza Virus Vac | $33.75 | $75.00 | $11.40–$512.54 | — | 55% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 HC Admin Pneumococcal Vaccine | $33.75 | $75.00 | $11.40–$512.54 | — | 55% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 HC Im Adm Prq ID Subq/Im Njxs Ea Vaccine | $33.75 | $75.00 | $11.40–$512.54 | — | 55% |
| Yellow fever vaccine, live CPT 90717 Yellow fever vaccine subq | $93.60 | $208.00 | $74.88–$512.54 | 74% below | 55% |
| Yellow fever vaccine, live CPT 90717 YELLOW FEVER VACCINE LIVE(PF) 10 EXP4.74 UNIT/0.5 ML SUBCUTANEOUS SUSP | $375.94 | $835.43 | $77.57–$710.12 | 5% above | 55% |
| Yellow fever vaccine, live inpatient CPT 90717 Yellow fever vaccine subq | $93.60 | $208.00 | $74.88–$512.54 | — | 55% |
| Yellow fever vaccine, live inpatient CPT 90717 YELLOW FEVER VACCINE LIVE(PF) 10 EXP4.74 UNIT/0.5 ML SUBCUTANEOUS SUSP | $375.94 | $835.43 | $77.57–$710.12 | — | 55% |
Dental
| Procedure | Cash price | List price | Insurers pay | vs Massachusetts | Off list |
|---|---|---|---|---|---|
| Porcelain crown CDT D2740 HC Porcelain/Ceramic Crown | $50.40 | $112.00 | $40.32–$1,875.75 | — | 55% |
| Porcelain crown inpatient CDT D2740 HC Porcelain/Ceramic Crown | $50.40 | $112.00 | $40.32–$1,875.75 | — | 55% |
| Removal of an impacted tooth fully covered by bone, often a wisdom tooth CDT D7240 HC Complete Bony Ext | $477.00 | $1,060.00 | $381.60–$3,834.61 | — | 55% |
| Removal of an impacted tooth fully covered by bone, often a wisdom tooth inpatient CDT D7240 HC Complete Bony Ext | $477.00 | $1,060.00 | $381.60–$3,834.61 | — | 55% |
| Routine teeth cleaning (prophylaxis), adult or teen CDT D1110 HC Prophylaxis-Adult 14+ | $29.25 | $65.00 | $23.40–$512.54 | — | 55% |
| Routine teeth cleaning (prophylaxis), adult or teen inpatient CDT D1110 HC Prophylaxis-Adult 14+ | $29.25 | $65.00 | $23.40–$512.54 | — | 55% |
| Simple extraction of a tooth or exposed root that is above the gum CDT D7140 HC Extract - Erupt/Exposed | $378.45 | $841.00 | $302.76–$3,834.61 | 79% below | 55% |
| Simple extraction of a tooth or exposed root that is above the gum inpatient CDT D7140 HC Extract - Erupt/Exposed | $378.45 | $841.00 | $302.76–$3,834.61 | — | 55% |
Procedure The service, with its billing code (CPT or HCPCS) and, in small type, the line exactly as the hospital wrote it in its price file. More
Cash price The hospital's own price for a patient paying without insurance (“discounted cash” in its price file). Hospitals must publish it under federal law, 45 CFR 180.50. Call to confirm it before booking. More
List price The hospital's full chargemaster price (“gross charge”) before any discount. Almost nobody pays it; the gap to the cash price shows what the self-pay discount is worth. More
Insurers pay The lowest and highest rates this hospital has agreed with insurance plans for the same item, from its price file. If the cash price is below what your plan pays and you have not met your deductible, paying cash can cost you less. More
Against the state median This hospital's cash price compared with the median cash price of hospitals in the state for the same code. Shown when at least three hospitals in the state price it.
Off list How much lower the cash price is than the list price.
No cash discount This line's cash price equals the hospital's full list price. Many hospitals still reduce bills for uninsured patients: ask the billing office for its self-pay discount in writing. More
At or below Medicare This cash price is at or below what Medicare pays a hospital for the same service, which is unusually low. It is what the hospital's file says; confirm it and what it includes before booking. More
Check the item The description in the hospital file looks like a supply or device (a catheter, a brace, an implant), not this procedure. The hospital may have filed it under the wrong code: ask before relying on this price.
Source file: https://www.bmchealthsystem.org/wp-content/uploads/043314093_BostonMedicalCenter_standardcharges.csv.zip