Hospital

Erlanger Murphy Medical Center

Listed in its price file as “Murphy Medical Center INC”.

Erlanger Murphy Medical Center in Murphy, NC publishes cash prices for 363 common procedures listed here, from its own machine-readable price file updated Jan 25, 2026. Compared with other hospitals in the state, its outpatient cash prices are above the North Carolina median for 185 of 356 procedures and below it for 166. By typical cash price it ranks #38 of 61 North Carolina hospitals, cheapest first. Select a procedure to compare it with other hospitals nearby.

3990 East US Highway 64, Murphy, NC 28906 Collected Sep 23, 2026 Source price file Check a bill from this hospital (828) 837-8161

Critical access hospital (rural, 25 beds or fewer) Nonprofit hospital Emergency department CMS star rating 4 of 5 CCN 341328 · CMS hospital register NPI 1801831102

Financial assistance

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

Erlanger Murphy 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.

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs North Carolina	Off list
Abdominal CT scan without and with contrast CPT 74170 HC Abdomen,CT,W/WO Cont	$1,950.20	$2,786.00	$563.33–$2,618.84	22% below	30%
Abdominal CT scan without and with contrast inpatient CPT 74170 HC Abdomen,CT,W/WO Cont	$1,950.20	$2,786.00	$563.33–$2,618.84	—	30%
Abdominal X-ray, 2 views CPT 74019 HC Abdomen 2 Views	$326.20	$466.00	$94.23–$438.04	18% above	30%
Abdominal X-ray, 2 views inpatient CPT 74019 HC Abdomen 2 Views	$326.20	$466.00	$94.23–$438.04	—	30%
Ankle X-ray, complete, 3 or more views CPT 73610 HC Ankle Min 3 Views	$273.70	$391.00	$79.06–$367.54	4% below	30%
Ankle X-ray, complete, 3 or more views inpatient CPT 73610 HC Ankle Min 3 Views	$273.70	$391.00	$79.06–$367.54	—	30%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 HC Bil Ltd Upr or Lwr Ext Art	$352.80	$504.00	$101.91–$473.76	at median	30%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 HC Bil Ltd Upr or Lwr Ext Art	$352.80	$504.00	$101.91–$473.76	—	30%
Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 HC Upper Extrem,CT,W/O Contrast	$1,164.80	$1,664.00	$336.46–$1,564.16	20% below	30%
Arm CT scan without contrast (shoulder to hand, any part) inpatient CPT 73200 HC Upper Extrem,CT,W/O Contrast	$1,164.80	$1,664.00	$336.46–$1,564.16	—	30%
Barium swallow (esophagus X-ray with contrast) CPT 74220 HC Esophagram,Barium Swallow	$522.20	$746.00	$150.84–$701.24	18% above	30%
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 HC Esophagram,Barium Swallow	$522.20	$746.00	$150.84–$701.24	—	30%
Bone scan, whole body (nuclear medicine) CPT 78306 HC Bone Scan,Whole Body	$1,869.00	$2,670.00	$539.87–$2,509.80	28% above	30%
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 HC Bone Scan,Whole Body	$1,869.00	$2,670.00	$539.87–$2,509.80	—	30%
Breast ultrasound, complete, one breast one side CPT 76641 HC US Breast Unilat Comp	$532.00	$760.00	$153.67–$714.40	16% above	30%
Breast ultrasound, complete, one breast inpatient one side CPT 76641 HC US Breast Unilat Comp	$532.00	$760.00	$153.67–$714.40	—	30%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 HC US Breast Unilat Limited	$461.30	$659.00	$133.25–$619.46	28% above	30%
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 HC US Breast Unilat Limited	$461.30	$659.00	$133.25–$619.46	—	30%
CT angiography (CTA) of the abdomen and pelvis CPT 74174 HC Cta Abd Pel W Cont W Recon	$1,633.10	$2,333.00	$471.73–$2,193.02	45% below	30%
CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 HC Cta Abd Pel W Cont W Recon	$1,633.10	$2,333.00	$471.73–$2,193.02	—	30%
CT angiography (CTA) of the head CPT 70496 HC Cta Head Wcontrst Wrecon	$1,668.80	$2,384.00	$482.04–$2,240.96	22% below	30%
CT angiography (CTA) of the head inpatient CPT 70496 HC Cta Head Wcontrst Wrecon	$1,668.80	$2,384.00	$482.04–$2,240.96	—	30%
CT angiography (CTA) of the neck CPT 70498 HC Cta Neck W Contrast W/Recon	$1,216.60	$1,738.00	$351.42–$1,633.72	48% below	30%
CT angiography (CTA) of the neck inpatient CPT 70498 HC Cta Neck W Contrast W/Recon	$1,216.60	$1,738.00	$351.42–$1,633.72	—	30%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 HC Cta Chest W Contrast W/Recon	$1,586.90	$2,267.00	$458.39–$2,130.98	27% below	30%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 HC Cta Chest W Contrast W/Recon	$1,586.90	$2,267.00	$458.39–$2,130.98	—	30%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 HC CT Angio Hrt W/3d Image	$1,894.90	$2,707.00	$547.36–$2,544.58	3% above	30%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 HC CT Angio Hrt W/3d Image	$1,894.90	$2,707.00	$547.36–$2,544.58	—	30%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 HC CT Hrt W/O Contrast, Eval Coronry Calc	$186.90	$267.00	$53.99–$250.98	21% below	30%
CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 HC CT Hrt W/O Contrast, Eval Coronry Calc	$186.90	$267.00	$53.99–$250.98	—	30%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 HC CT Abd Pelvis W/O Cont	$1,974.70	$2,821.00	$570.41–$2,651.74	34% below	30%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 HC CT Abd Pelvis W/O Cont	$1,974.70	$2,821.00	$570.41–$2,651.74	—	30%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 HC CT Abd Pelvis W Cont	$3,040.10	$4,343.00	$878.15–$4,082.42	9% below	30%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 HC CT Abd Pelvis W Cont	$3,040.10	$4,343.00	$878.15–$4,082.42	—	30%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 HC Eim CT Abd Pelv Wwo Cont	$3,395.70	$4,851.00	$980.87–$4,559.94	14% below	30%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 HC Eim CT Abd Pelv Wwo Cont	$3,395.70	$4,851.00	$980.87–$4,559.94	—	30%
CT scan of the abdomen with contrast CPT 74160 HC Abdomen,CT,W/Contrast	$1,762.60	$2,518.00	$509.14–$2,366.92	18% below	30%
CT scan of the abdomen with contrast inpatient CPT 74160 HC Abdomen,CT,W/Contrast	$1,762.60	$2,518.00	$509.14–$2,366.92	—	30%
CT scan of the abdomen without contrast CPT 74150 HC Abdomen,CT,W/O Contrast	$1,115.10	$1,593.00	$322.10–$1,497.42	25% below	30%
CT scan of the abdomen without contrast inpatient CPT 74150 HC Abdomen,CT,W/O Contrast	$1,115.10	$1,593.00	$322.10–$1,497.42	—	30%
CT scan of the face and sinuses, no contrast dye CPT 70486 HC Maxillofacial,CT,W/O Contrast	$1,086.40	$1,552.00	$313.81–$1,458.88	13% below	30%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 HC Maxillofacial,CT,W/O Contrast	$1,086.40	$1,552.00	$313.81–$1,458.88	—	30%
CT scan of the head or brain, no contrast dye CPT 70450 HC CT Brain W/O Contrast	$924.00	$1,320.00	$266.90–$1,240.80	30% below	30%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 HC CT Brain W/O Contrast	$924.00	$1,320.00	$266.90–$1,240.80	—	30%
CT scan of the head with contrast CPT 70460 HC Head,CT,W/Contrast	$1,199.10	$1,713.00	$346.37–$1,610.22	25% below	30%
CT scan of the head with contrast inpatient CPT 70460 HC Head,CT,W/Contrast	$1,199.10	$1,713.00	$346.37–$1,610.22	—	30%
CT scan of the head without and with contrast CPT 70470 HC Head,CT,W/WO Contrast	$1,449.00	$2,070.00	$418.55–$1,945.80	27% below	30%
CT scan of the head without and with contrast inpatient CPT 70470 HC Head,CT,W/WO Contrast	$1,449.00	$2,070.00	$418.55–$1,945.80	—	30%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 HC Spine,CT,Lumbar,W/O Contrast	$1,395.10	$1,993.00	$402.98–$1,873.42	11% below	30%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 HC Spine,CT,Lumbar,W/O Contrast	$1,395.10	$1,993.00	$402.98–$1,873.42	—	30%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 HC Spine,CT,Cervical,W/O Contrast	$1,290.80	$1,844.00	$372.86–$1,733.36	18% below	30%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 HC Spine,CT,Cervical,W/O Contrast	$1,290.80	$1,844.00	$372.86–$1,733.36	—	30%
CT scan of the pelvis, with contrast dye CPT 72193 HC Pelvis,CT,W/Cont	$1,929.20	$2,756.00	$557.26–$2,590.64	13% above	30%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 HC Pelvis,CT,W/Cont	$1,929.20	$2,756.00	$557.26–$2,590.64	—	30%
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 HC Carotid Dup Imaging Bilateral	$756.70	$1,081.00	$218.58–$1,016.14	—	30%
Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 HC Carotid Dup Imaging Bilateral	$756.70	$1,081.00	$218.58–$1,016.14	—	30%
Chest CT scan without and with contrast CPT 71270 HC Thorax,CT,W/WO Contrast	$1,483.30	$2,119.00	$428.46–$1,991.86	32% below	30%
Chest CT scan without and with contrast inpatient CPT 71270 HC Thorax,CT,W/WO Contrast	$1,483.30	$2,119.00	$428.46–$1,991.86	—	30%
Chest X-ray, 2 views CPT 71046 HC Chest 2 Views	$247.80	$354.00	$71.58–$332.76	2% above	30%
Chest X-ray, 2 views inpatient CPT 71046 HC Chest 2 Views	$247.80	$354.00	$71.58–$332.76	—	30%
Chest X-ray, single view CPT 71045 HC Chest Single View	$189.70	$271.00	$54.80–$254.74	3% below	30%
Chest X-ray, single view inpatient CPT 71045 HC Chest Single View	$189.70	$271.00	$54.80–$254.74	—	30%
Collarbone (clavicle) X-ray, complete CPT 73000 HC Clavicle,Complete	$222.60	$318.00	$64.30–$298.92	4% below	30%
Collarbone (clavicle) X-ray, complete inpatient CPT 73000 HC Clavicle,Complete	$222.60	$318.00	$64.30–$298.92	—	30%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 HC Retroperitoneal,US	$667.10	$953.00	$192.70–$895.82	16% above	30%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 HC Retroperitoneal,US	$667.10	$953.00	$192.70–$895.82	—	30%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 HC Bone Density,Dual Energy	$519.40	$742.00	$150.03–$697.48	21% above	30%
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 HC Bone Density,Dual Energy	$519.40	$742.00	$150.03–$697.48	—	30%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 HC Bone Density Extremity	$90.30	$129.00	$26.08–$121.26	56% below	30%
DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 HC Bone Density Extremity	$90.30	$129.00	$26.08–$121.26	—	30%
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 HC Preg Ut Comp Sngl/1st Gest	$413.70	$591.00	$119.50–$555.54	28% below	30%
Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 HC Preg Ut Comp Sngl/1st Gest	$413.70	$591.00	$119.50–$555.54	—	30%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 HC Thorax,CT,W/O Contrast	$842.10	$1,203.00	$243.25–$1,130.82	40% below	30%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 HC Thorax,CT,W/O Contrast	$842.10	$1,203.00	$243.25–$1,130.82	—	30%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 HC Thorax,CT,W/Contrast	$1,335.60	$1,908.00	$385.80–$1,793.52	20% below	30%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 HC Thorax,CT,W/Contrast	$1,335.60	$1,908.00	$385.80–$1,793.52	—	30%
Diagnostic mammogram, both breasts both sides CPT 77066 HC Mammo Dx Bilateral	$137.20	$196.00	$39.63–$184.24	—	30%
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 HC Mammo Dx Bilateral	$137.20	$196.00	$39.63–$184.24	—	30%
Diagnostic mammogram, one breast one side CPT 77065 HC Mammo Dx Unilateral	$107.80	$154.00	$31.14–$144.76	55% below	30%
Diagnostic mammogram, one breast inpatient one side CPT 77065 HC Mammo Dx Unilateral	$107.80	$154.00	$31.14–$144.76	—	30%
Duplex ultrasound of the leg arteries, both legs CPT 93925 HC Duplex Artery Ultrasound Bil	$906.50	$1,295.00	$261.85–$1,217.30	84% above	30%
Duplex ultrasound of the leg arteries, both legs inpatient CPT 93925 HC Duplex Artery Ultrasound Bil	$906.50	$1,295.00	$261.85–$1,217.30	—	30%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 HC Duplex Scan Extrem Veins,Bilat	$906.50	$1,295.00	$261.85–$1,217.30	—	30%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 HC Duplex Scan Extrem Veins,Bilat	$906.50	$1,295.00	$261.85–$1,217.30	—	30%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 HC Echo 2d W Dopp Spec Colr Comp	$1,528.10	$2,183.00	$441.40–$2,052.02	8% below	30%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 HC Echo 2d W Dopp Spec Colr Wcont	$2,853.20	$4,076.00	$824.17–$3,831.44	72% above	30%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 HC Echo 2d W Dopp Spec Colr Comp	$1,528.10	$2,183.00	$441.40–$2,052.02	—	30%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 HC Echo 2d W Dopp Spec Colr Wcont	$2,853.20	$4,076.00	$824.17–$3,831.44	—	30%
Elbow X-ray, 2 views CPT 73070 HC Elbow 2 Views	$222.60	$318.00	$64.30–$298.92	4% above	30%
Elbow X-ray, 2 views inpatient CPT 73070 HC Elbow 2 Views	$222.60	$318.00	$64.30–$298.92	—	30%
Elbow X-ray, complete, 3 or more views CPT 73080 HC Elbow,Min 3 Vws	$282.80	$404.00	$81.69–$379.76	3% above	30%
Elbow X-ray, complete, 3 or more views inpatient CPT 73080 HC Elbow,Min 3 Vws	$282.80	$404.00	$81.69–$379.76	—	30%
Eye socket (orbit) CT scan without contrast CPT 70480 HC Orbit,Sella,Temp Bone W/O Cont	$1,334.20	$1,906.00	$385.39–$1,791.64	4% below	30%
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 HC Orbit,Sella,Temp Bone W/O Cont	$1,334.20	$1,906.00	$385.39–$1,791.64	—	30%
Facial bones X-ray, complete, 3 or more views CPT 70150 HC Facial Bones Min 3vws	$351.40	$502.00	$101.50–$471.88	at median	30%
Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 HC Facial Bones Min 3vws	$351.40	$502.00	$101.50–$471.88	—	30%
Forearm X-ray (radius and ulna), 2 views CPT 73090 HC Forearm 2 Views	$247.10	$353.00	$71.38–$331.82	2% below	30%
Forearm X-ray (radius and ulna), 2 views inpatient CPT 73090 HC Forearm 2 Views	$247.10	$353.00	$71.38–$331.82	—	30%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HC Hida Scan No Intervention	$1,087.80	$1,554.00	$314.22–$1,460.76	27% below	30%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 HC Hida Scan No Intervention	$1,087.80	$1,554.00	$314.22–$1,460.76	—	30%
Hand X-ray, 2 views CPT 73120 HC Hand 2 Vws	$206.50	$295.00	$59.65–$277.30	2% below	30%
Hand X-ray, 2 views inpatient CPT 73120 HC Hand 2 Vws	$206.50	$295.00	$59.65–$277.30	—	30%
Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 HC Calcaneus,Min 2 Vws	$246.40	$352.00	$71.17–$330.88	12% above	30%
Heel bone (calcaneus) X-ray, 2 or more views inpatient CPT 73650 HC Calcaneus,Min 2 Vws	$246.40	$352.00	$71.17–$330.88	—	30%
Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 HC Sleep Study Unattnd Rec Hr/Oxy/Resp Airflw/Effrt	$1,382.50	$1,975.00	$399.35–$1,856.50	228% above	30%
Home sleep apnea test, unattended, recording breathing and oxygen inpatient CPT 95806 HC Sleep Study Unattnd Rec Hr/Oxy/Resp Airflw/Effrt	$1,382.50	$1,975.00	$399.35–$1,856.50	—	30%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 HC Polysmnogrm >/= 6yrs 4+ W/Cpap < 6 Hours	$5,960.50	$8,515.00	$1,721.73–$8,004.10	72% above	30%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 HC Polysmnogrm >/= 6yrs 4+ W/Cpap	$5,960.50	$8,515.00	$1,721.73–$8,004.10	72% above	30%
In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 HC Polysmnogrm >/= 6yrs 4+ W/Cpap < 6 Hours	$5,960.50	$8,515.00	$1,721.73–$8,004.10	—	30%
In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 HC Polysmnogrm >/= 6yrs 4+ W/Cpap	$5,960.50	$8,515.00	$1,721.73–$8,004.10	—	30%
Knee X-ray, 3 views CPT 73562 HC Knee,3 Views	$270.20	$386.00	$78.05–$362.84	7% below	30%
Knee X-ray, 3 views inpatient CPT 73562 HC Knee,3 Views	$270.20	$386.00	$78.05–$362.84	—	30%
Knee X-ray, complete, 4 or more views CPT 73564 HC Knee 4 or More Views	$371.70	$531.00	$107.37–$499.14	7% above	30%
Knee X-ray, complete, 4 or more views inpatient CPT 73564 HC Knee 4 or More Views	$371.70	$531.00	$107.37–$499.14	—	30%
Leg CT scan without contrast (hip to foot, any part) CPT 73700 HC Lower Extrem,CT,W/O Contrast	$1,082.90	$1,547.00	$312.80–$1,454.18	17% below	30%
Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 HC Lower Extrem,CT,W/O Contrast	$1,082.90	$1,547.00	$312.80–$1,454.18	—	30%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HC Abdomen,US,Lmtd	$525.00	$750.00	$151.65–$705.00	4% below	30%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 HC Abdomen,US,Lmtd	$525.00	$750.00	$151.65–$705.00	—	30%
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 HC US Extremity Limited	$462.70	$661.00	$133.65–$621.34	12% above	30%
Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 HC US Extremity Limited	$462.70	$661.00	$133.65–$621.34	—	30%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 HC CT, Thorax, Low Dose- Lung Cancer Screen,W/O Contrast	$269.50	$385.00	$77.85–$361.90	26% below	30%
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 HC CT, Thorax, Low Dose- Lung Cancer Screen,W/O Contrast	$269.50	$385.00	$77.85–$361.90	—	30%
Lower leg X-ray (tibia and fibula), 2 views CPT 73590 HC Tibia/Fibula 2 Views	$295.40	$422.00	$85.33–$396.68	33% above	30%
Lower leg X-ray (tibia and fibula), 2 views inpatient CPT 73590 HC Tibia/Fibula 2 Views	$295.40	$422.00	$85.33–$396.68	—	30%
MR angiography (MRA) of the head without contrast CPT 70544 HC Mra Head W/O Contrast	$1,085.00	$1,550.00	$313.41–$1,457.00	40% below	30%
MR angiography (MRA) of the head without contrast inpatient CPT 70544 HC Mra Head W/O Contrast	$1,085.00	$1,550.00	$313.41–$1,457.00	—	30%
MRI of both breasts, without and then with contrast dye both sides CPT 77049 HC MRI Breast W/WO Contrast Bilateral	$2,431.10	$3,473.00	$702.24–$3,264.62	—	30%
MRI of both breasts, without and then with contrast dye inpatient both sides CPT 77049 HC MRI Breast W/WO Contrast Bilateral	$2,431.10	$3,473.00	$702.24–$3,264.62	—	30%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HC MRI Lower Ext Any Jnt W/O Con	$1,248.80	$1,784.00	$360.72–$1,676.96	39% below	30%
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 HC MRI Lower Ext Any Jnt W/O Con	$1,248.80	$1,784.00	$360.72–$1,676.96	—	30%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 HC MRI Lower Ext Any Jnt W/WO Con	$1,934.10	$2,763.00	$558.68–$2,597.22	34% below	30%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 HC MRI Lower Ext Any Jnt W/WO Con	$1,934.10	$2,763.00	$558.68–$2,597.22	—	30%
MRI of the abdomen without contrast CPT 74181 HC MRI Abdomen W/O Cont	$1,534.40	$2,192.00	$443.22–$2,060.48	27% below	30%
MRI of the abdomen without contrast inpatient CPT 74181 HC MRI Abdomen W/O Cont	$1,534.40	$2,192.00	$443.22–$2,060.48	—	30%
MRI of the abdomen, without and then with contrast dye CPT 74183 HC MRI Abdomen W/WO Cont	$1,934.10	$2,763.00	$558.68–$2,597.22	34% below	30%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 HC MRI Abdomen W/WO Cont	$1,934.10	$2,763.00	$558.68–$2,597.22	—	30%
MRI of the brain, no contrast dye CPT 70551 HC MRI Brain W/O Contrast	$1,202.60	$1,718.00	$347.38–$1,614.92	40% below	30%
MRI of the brain, no contrast dye inpatient CPT 70551 HC MRI Brain W/O Contrast	$1,202.60	$1,718.00	$347.38–$1,614.92	—	30%
MRI of the brain, with and without contrast dye CPT 70553 HC MRI Brain W/WO Contrast	$1,850.10	$2,643.00	$534.41–$2,484.42	34% below	30%
MRI of the brain, with and without contrast dye inpatient CPT 70553 HC MRI Brain W/WO Contrast	$1,850.10	$2,643.00	$534.41–$2,484.42	—	30%
MRI of the lower back, no contrast dye CPT 72148 HC MRI Spine Lumbar W/O Contrast	$1,248.80	$1,784.00	$360.72–$1,676.96	44% below	30%
MRI of the lower back, no contrast dye inpatient CPT 72148 HC MRI Spine Lumbar W/O Contrast	$1,248.80	$1,784.00	$360.72–$1,676.96	—	30%
MRI of the lower back, without and then with contrast dye CPT 72158 HC MRI Spine Lumbar W/WO Cont	$1,905.40	$2,722.00	$550.39–$2,558.68	34% below	30%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 HC MRI Spine Lumbar W/WO Cont	$1,905.40	$2,722.00	$550.39–$2,558.68	—	30%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 HC MRI Spine Thoracic W/O Contrast	$1,225.00	$1,750.00	$353.85–$1,645.00	42% below	30%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 HC MRI Spine Thoracic W/O Contrast	$1,225.00	$1,750.00	$353.85–$1,645.00	—	30%
MRI of the neck (cervical spine) without and with contrast CPT 72156 HC MRI Spine Cervical W/WO Cont	$1,724.80	$2,464.00	$498.22–$2,316.16	35% below	30%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 HC MRI Spine Cervical W/WO Cont	$1,724.80	$2,464.00	$498.22–$2,316.16	—	30%
MRI of the neck (cervical spine), no contrast dye CPT 72141 HC MRI Spine Cervical W/O Contrast	$1,157.80	$1,654.00	$334.44–$1,554.76	44% below	30%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 HC MRI Spine Cervical W/O Contrast	$1,157.80	$1,654.00	$334.44–$1,554.76	—	30%
MRI of the pelvis without and with contrast CPT 72197 HC MRI Pelvis W & W/O Contrast	$1,934.10	$2,763.00	$558.68–$2,597.22	30% below	30%
MRI of the pelvis without and with contrast inpatient CPT 72197 HC MRI Pelvis W & W/O Contrast	$1,934.10	$2,763.00	$558.68–$2,597.22	—	30%
MRI of the pelvis, no contrast dye CPT 72195 HC MRI Pelvis W/O Contrast	$1,248.80	$1,784.00	$360.72–$1,676.96	29% below	30%
MRI of the pelvis, no contrast dye inpatient CPT 72195 HC MRI Pelvis W/O Contrast	$1,248.80	$1,784.00	$360.72–$1,676.96	—	30%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 HC MRI Upper Extrem Any Joint W/O	$1,248.80	$1,784.00	$360.72–$1,676.96	38% below	30%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 HC MRI Upper Extrem Any Joint W/O	$1,248.80	$1,784.00	$360.72–$1,676.96	—	30%
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 HC Spine,Cervical,Min.4 Vws	$576.80	$824.00	$166.61–$774.56	36% above	30%
Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 HC Spine,Cervical,Min.4 Vws	$576.80	$824.00	$166.61–$774.56	—	30%
Neck soft tissue CT scan with contrast CPT 70491 HC Neck,Soft Tissue,CT,W/Contrast	$1,297.10	$1,853.00	$374.68–$1,741.82	25% below	30%
Neck soft tissue CT scan with contrast inpatient CPT 70491 HC Neck,Soft Tissue,CT,W/Contrast	$1,297.10	$1,853.00	$374.68–$1,741.82	—	30%
Neck soft tissue CT scan without contrast CPT 70490 HC Neck,Soft Tissue,CT,W/O Contrast	$1,076.60	$1,538.00	$310.98–$1,445.72	24% below	30%
Neck soft tissue CT scan without contrast inpatient CPT 70490 HC Neck,Soft Tissue,CT,W/O Contrast	$1,076.60	$1,538.00	$310.98–$1,445.72	—	30%
Neck soft tissue X-ray CPT 70360 HC Neck,Soft Tissue	$207.90	$297.00	$60.05–$279.18	16% below	30%
Neck soft tissue X-ray inpatient CPT 70360 HC Neck,Soft Tissue	$207.90	$297.00	$60.05–$279.18	—	30%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 HC Mycard Prf Rst Strs Spect Mlti	$3,690.40	$5,272.00	$1,066.00–$4,955.68	6% above	30%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 HC Mycard Prf Rst Strs Spect Mlti	$3,690.40	$5,272.00	$1,066.00–$4,955.68	—	30%
PET/CT scan from the base of the skull to mid-thigh CPT 78815 HC Pet CT Skull to Thigh	$3,566.50	$5,095.00	$1,030.21–$4,789.30	10% below	30%
PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 HC Pet CT Skull to Thigh	$3,566.50	$5,095.00	$1,030.21–$4,789.30	—	30%
Pelvic CT scan without contrast CPT 72192 HC Pelvis,CT,W/O Cont	$1,220.80	$1,744.00	$352.64–$1,639.36	16% below	30%
Pelvic CT scan without contrast inpatient CPT 72192 HC Pelvis,CT,W/O Cont	$1,220.80	$1,744.00	$352.64–$1,639.36	—	30%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 HC Pelvis,US,Limited or F/U	$404.60	$578.00	$116.87–$543.32	29% above	30%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 HC Pelvis,US,Limited or F/U	$404.60	$578.00	$116.87–$543.32	—	30%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 HC Pelvis,US	$633.50	$905.00	$182.99–$850.70	6% below	30%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 HC Pelvis,US	$633.50	$905.00	$182.99–$850.70	—	30%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HC Preg Uter >1st Tri>/=14 Wks Sn	$548.10	$783.00	$158.32–$736.02	2% above	30%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 HC Preg Uter >1st Tri>/=14 Wks Sn	$548.10	$783.00	$158.32–$736.02	—	30%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 HC Preg Ut 1st Tr<14wk Sng/1st G	$482.30	$689.00	$139.32–$647.66	2% above	30%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 HC Preg Ut 1st Tr<14wk Sng/1st G	$482.30	$689.00	$139.32–$647.66	—	30%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 HC Ultrasnd, OB, Limited	$402.50	$575.00	$116.27–$540.50	26% above	30%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 HC Ultrasnd, OB, Limited	$402.50	$575.00	$116.27–$540.50	—	30%
Rib X-ray, one side, 2 views one side CPT 71100 HC Ribs,Unilat 2 Vws	$298.20	$426.00	$86.14–$400.44	23% above	30%
Rib X-ray, one side, 2 views inpatient one side CPT 71100 HC Ribs,Unilat 2 Vws	$298.20	$426.00	$86.14–$400.44	—	30%
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 HC Ribs,Unilat W/Pa Cxr Min 3 Vws	$359.10	$513.00	$103.73–$482.22	11% above	30%
Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 HC Ribs,Unilat W/Pa Cxr Min 3 Vws	$359.10	$513.00	$103.73–$482.22	—	30%
Screening mammogram, both breasts both sides CPT 77067 HC Mammo Screen Bilateral	$137.20	$196.00	$39.63–$184.24	—	30%
Screening mammogram, both breasts inpatient both sides CPT 77067 HC Mammo Screen Bilateral	$137.20	$196.00	$39.63–$184.24	—	30%
Shoulder X-ray, complete, 2 or more views CPT 73030 HC Shoulder,Complete,Min 2 Vws	$289.80	$414.00	$83.71–$389.16	at median	30%
Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 HC Shoulder,Complete,Min 2 Vws	$289.80	$414.00	$83.71–$389.16	—	30%
Sinus X-ray, complete, 3 or more views CPT 70220 HC Sinuses,Paranasal,Min 3 Vws	$519.40	$742.00	$150.03–$697.48	54% above	30%
Sinus X-ray, complete, 3 or more views inpatient CPT 70220 HC Sinuses,Paranasal,Min 3 Vws	$519.40	$742.00	$150.03–$697.48	—	30%
Skull X-ray, fewer than 4 views CPT 70250 HC Skull,<4 Vws	$296.10	$423.00	$85.53–$397.62	1% below	30%
Skull X-ray, fewer than 4 views inpatient CPT 70250 HC Skull,<4 Vws	$296.10	$423.00	$85.53–$397.62	—	30%
Sleep study in a lab (polysomnography) CPT 95810 HC Polysmnogrm >/=? 6yrs 4+ Paramtr < 6 Hours	$4,672.50	$6,675.00	$1,349.69–$6,274.50	41% above	30%
Sleep study in a lab (polysomnography) CPT 95810 HC Polysmnogrm >/= 6yrs 4+ Paramtr	$5,064.50	$7,235.00	$1,462.92–$6,800.90	53% above	30%
Sleep study in a lab (polysomnography) inpatient CPT 95810 HC Polysmnogrm >/=? 6yrs 4+ Paramtr < 6 Hours	$4,672.50	$6,675.00	$1,349.69–$6,274.50	—	30%
Sleep study in a lab (polysomnography) inpatient CPT 95810 HC Polysmnogrm >/= 6yrs 4+ Paramtr	$5,064.50	$7,235.00	$1,462.92–$6,800.90	—	30%
Stress echocardiogram, complete, including the stress test and supervision CPT 93351 HC Str Echo Monitored Phys Superv	$4,389.00	$6,270.00	$1,267.79–$5,893.80	248% above	30%
Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 HC Str Echo Monitored Phys Superv	$4,389.00	$6,270.00	$1,267.79–$5,893.80	—	30%
Swallow study (modified barium swallow, video X-ray) CPT 74230 HC Swallowing Study	$259.00	$370.00	$74.81–$347.80	32% below	30%
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 HC Swallowing Study	$259.00	$370.00	$74.81–$347.80	—	30%
Thigh bone (femur) X-ray, 2 or more views CPT 73552 HC Femur Min 2 Views	$246.40	$352.00	$71.17–$330.88	14% above	30%
Thigh bone (femur) X-ray, 2 or more views inpatient CPT 73552 HC Femur Min 2 Views	$246.40	$352.00	$71.17–$330.88	—	30%
Thoracic spine (mid back) CT scan without contrast CPT 72128 HC Spine,CT,Thoracic,W/O Contrast	$1,349.60	$1,928.00	$389.84–$1,812.32	9% below	30%
Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 HC Spine,CT,Thoracic,W/O Contrast	$1,349.60	$1,928.00	$389.84–$1,812.32	—	30%
Toe X-ray, 2 or more views CPT 73660 HC Toe(S),Min 2 Vws	$201.60	$288.00	$58.23–$270.72	6% above	30%
Toe X-ray, 2 or more views inpatient CPT 73660 HC Toe(S),Min 2 Vws	$201.60	$288.00	$58.23–$270.72	—	30%
Transvaginal pelvic ultrasound CPT 76830 HC Transvaginal,US	$644.00	$920.00	$186.02–$864.80	18% above	30%
Transvaginal pelvic ultrasound inpatient CPT 76830 HC Transvaginal,US	$644.00	$920.00	$186.02–$864.80	—	30%
Transvaginal ultrasound during pregnancy CPT 76817 HC Transvaginal U/S, OB	$452.90	$647.00	$130.82–$608.18	1% above	30%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 HC Transvaginal U/S, OB	$452.90	$647.00	$130.82–$608.18	—	30%
Ultrasound of the abdomen, complete CPT 76700 HC Abdomen,US,Complete	$691.60	$988.00	$199.77–$928.72	at median	30%
Ultrasound of the abdomen, complete inpatient CPT 76700 HC Abdomen,US,Complete	$691.60	$988.00	$199.77–$928.72	—	30%
Ultrasound of the scrotum and testicles CPT 76870 HC Scrotum/Contents,US	$567.70	$811.00	$163.98–$762.34	5% above	30%
Ultrasound of the scrotum and testicles inpatient CPT 76870 HC Scrotum/Contents,US	$567.70	$811.00	$163.98–$762.34	—	30%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 HC US Soft Tissue Head Neck	$535.50	$765.00	$154.68–$719.10	6% below	30%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 HC US Soft Tissue Head Neck	$535.50	$765.00	$154.68–$719.10	—	30%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 HC Upper GI Single Cont W/O Kub	$649.60	$928.00	$187.64–$872.32	25% above	30%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 HC Upper GI Single Cont W/O Kub	$649.60	$928.00	$187.64–$872.32	—	30%
Upper arm X-ray (humerus), 2 views CPT 73060 HC Humerus,Min 2 Vws	$214.20	$306.00	$61.87–$287.64	11% below	30%
Upper arm X-ray (humerus), 2 views inpatient CPT 73060 HC Humerus,Min 2 Vws	$214.20	$306.00	$61.87–$287.64	—	30%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 HC Duplex Scan Extrem Veins,Lmtd	$578.20	$826.00	$167.02–$776.44	4% above	30%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 HC Duplex Scan Extrem Veins,Lmtd	$578.20	$826.00	$167.02–$776.44	—	30%
Wrist X-ray, 2 views CPT 73100 HC Wrist 2 Vws	$226.10	$323.00	$65.31–$303.62	21% above	30%
Wrist X-ray, 2 views inpatient CPT 73100 HC Wrist 2 Vws	$226.10	$323.00	$65.31–$303.62	—	30%
Wrist X-ray, complete, 3 or more views CPT 73110 HC Wrist Min 3 Vws	$266.00	$380.00	$76.84–$357.20	11% above	30%
Wrist X-ray, complete, 3 or more views inpatient CPT 73110 HC Wrist Min 3 Vws	$266.00	$380.00	$76.84–$357.20	—	30%
X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 HC Hip Uni 2-3 Vws W /Ap Pelvis	$238.00	$340.00	$68.75–$319.60	1% below	30%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient CPT 73502 HC Hip Uni 2-3 Vws W /Ap Pelvis	$238.00	$340.00	$68.75–$319.60	—	30%
X-ray of the abdomen, 1 view CPT 74018 HC Abdomen Single View	$224.70	$321.00	$64.91–$301.74	4% below	30%
X-ray of the abdomen, 1 view inpatient CPT 74018 HC Abdomen Single View	$224.70	$321.00	$64.91–$301.74	—	30%
X-ray of the ankle, 2 views CPT 73600 HC Ankle,2 Views	$238.00	$340.00	$68.75–$319.60	2% above	30%
X-ray of the ankle, 2 views inpatient CPT 73600 HC Ankle,2 Views	$238.00	$340.00	$68.75–$319.60	—	30%
X-ray of the finger(s), 2 or more views CPT 73140 HC Finger(S),Min 2 Vws	$202.30	$289.00	$58.44–$271.66	3% above	30%
X-ray of the finger(s), 2 or more views inpatient CPT 73140 HC Finger(S),Min 2 Vws	$202.30	$289.00	$58.44–$271.66	—	30%
X-ray of the foot, 2 views CPT 73620 HC Foot 2 Vws	$254.10	$363.00	$73.40–$341.22	6% above	30%
X-ray of the foot, 2 views inpatient CPT 73620 HC Foot 2 Vws	$254.10	$363.00	$73.40–$341.22	—	30%
X-ray of the foot, complete, 3 or more views CPT 73630 HC Foot,Min 3 Vws	$298.20	$426.00	$86.14–$400.44	2% above	30%
X-ray of the foot, complete, 3 or more views inpatient CPT 73630 HC Foot,Min 3 Vws	$298.20	$426.00	$86.14–$400.44	—	30%
X-ray of the hand, 3 or more views CPT 73130 HC Hand Min 3vws	$240.10	$343.00	$69.35–$322.42	14% below	30%
X-ray of the hand, 3 or more views inpatient CPT 73130 HC Hand Min 3vws	$240.10	$343.00	$69.35–$322.42	—	30%
X-ray of the knee, 1 or 2 views CPT 73560 HC Knee 1 or 2 Views	$266.70	$381.00	$77.04–$358.14	12% above	30%
X-ray of the knee, 1 or 2 views inpatient CPT 73560 HC Knee 1 or 2 Views	$266.70	$381.00	$77.04–$358.14	—	30%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 HC Spine,Lumbar 2 or 3 Vws	$343.70	$491.00	$99.28–$461.54	14% above	30%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 HC Spine,Lumbar 2 or 3 Vws	$343.70	$491.00	$99.28–$461.54	—	30%
X-ray of the lower back, 4 or more views CPT 72110 HC Spine,Lumbar Min 4 Views	$478.10	$683.00	$138.10–$642.02	4% above	30%
X-ray of the lower back, 4 or more views inpatient CPT 72110 HC Spine,Lumbar Min 4 Views	$478.10	$683.00	$138.10–$642.02	—	30%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 HC Spine,Thoracic,2 Views	$297.50	$425.00	$85.94–$399.50	at median	30%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 HC Spine,Thoracic,2 Views	$297.50	$425.00	$85.94–$399.50	—	30%
X-ray of the nasal bones, 3 or more views CPT 70160 HC Nasal Bones,Complete	$212.80	$304.00	$61.47–$285.76	32% below	30%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 HC Nasal Bones,Complete	$212.80	$304.00	$61.47–$285.76	—	30%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 HC Spine, Cervical 2 or 3 Vws	$415.10	$593.00	$119.90–$557.42	33% above	30%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 HC Spine, Cervical 2 or 3 Vws	$415.10	$593.00	$119.90–$557.42	—	30%
X-ray of the pelvis, 1 or 2 views CPT 72170 HC Pelvis 1 or 2 Views	$222.60	$318.00	$64.30–$298.92	13% below	30%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 HC Pelvis 1 or 2 Views	$222.60	$318.00	$64.30–$298.92	—	30%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 HC Sacrum/Coccyx Min 2 Vws	$314.30	$449.00	$90.79–$422.06	18% above	30%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 HC Sacrum/Coccyx Min 2 Vws	$314.30	$449.00	$90.79–$422.06	—	30%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs North Carolina	Off list
ACTH blood test CPT 82024 HC Acth	$51.10	$73.00	$18.25–$68.62	52% below	30%
ACTH blood test inpatient CPT 82024 HC Acth	$51.10	$73.00	$18.25–$68.62	—	30%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 HC Sgpt	$25.20	$36.00	$9.00–$33.84	42% below	30%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 HC Pbc Sgpt	$119.00	$170.00	$42.50–$159.80	174% above	30%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 HC Sgpt	$25.20	$36.00	$9.00–$33.84	—	30%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 HC Pbc Sgpt	$119.00	$170.00	$42.50–$159.80	—	30%
AST (aspartate aminotransferase) enzyme test CPT 84450 HC Sgot	$69.30	$99.00	$24.75–$93.06	52% above	30%
AST (aspartate aminotransferase) enzyme test CPT 84450 HC Pbc Sgot	$122.50	$175.00	$43.75–$164.50	169% above	30%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 HC Sgot	$69.30	$99.00	$24.75–$93.06	—	30%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 HC Pbc Sgot	$122.50	$175.00	$43.75–$164.50	—	30%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HC Hepatitis Panel,Acute	$59.50	$85.00	$21.25–$79.90	78% below	30%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HC Pbc Hepatitis Panel Acute	$326.20	$466.00	$116.50–$438.04	18% above	30%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HC Hepatitis Panel,Acute	$59.50	$85.00	$21.25–$79.90	—	30%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HC Pbc Hepatitis Panel Acute	$326.20	$466.00	$116.50–$438.04	—	30%
Albumin blood test CPT 82040 HC Albumin Serum	$5.60	$8.00	$2.00–$7.52	82% below	30%
Albumin blood test CPT 82040 HC Pbc Albumin Serum	$136.50	$195.00	$48.75–$183.30	327% above	30%
Albumin blood test inpatient CPT 82040 HC Albumin Serum	$5.60	$8.00	$2.00–$7.52	—	30%
Albumin blood test inpatient CPT 82040 HC Pbc Albumin Serum	$136.50	$195.00	$48.75–$183.30	—	30%
Aldosterone blood test CPT 82088 HC Aldosterone	$27.30	$39.00	$9.75–$36.66	70% below	30%
Aldosterone blood test inpatient CPT 82088 HC Aldosterone	$27.30	$39.00	$9.75–$36.66	—	30%
Alkaline phosphatase (ALP) blood test CPT 84075 HC Alkaline Phosphatase	$102.90	$147.00	$36.75–$138.18	227% above	30%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 HC Alkaline Phosphatase	$102.90	$147.00	$36.75–$138.18	—	30%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Rast Each Allergen	$11.20	$16.00	$4.00–$15.04	41% below	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Rast Each Allergen	$11.20	$16.00	$4.00–$15.04	—	30%
Alpha-fetoprotein (AFP) blood test CPT 82105 HC Alpha-1-Fetoprotein Tm	$114.80	$164.00	$41.00–$154.16	81% above	30%
Alpha-fetoprotein (AFP) blood test CPT 82105 HC Pbc Alpha-1-Fetoprtin Tm	$262.50	$375.00	$93.75–$352.50	313% above	30%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 HC Alpha-1-Fetoprotein Tm	$114.80	$164.00	$41.00–$154.16	—	30%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 HC Pbc Alpha-1-Fetoprtin Tm	$262.50	$375.00	$93.75–$352.50	—	30%
Ammonia blood test CPT 82140 HC Ammonia,Plasma	$69.30	$99.00	$24.75–$93.06	1% below	30%
Ammonia blood test CPT 82140 HC Pbc Ammonia,Plasma	$536.90	$767.00	$191.75–$720.98	667% above	30%
Ammonia blood test inpatient CPT 82140 HC Ammonia,Plasma	$69.30	$99.00	$24.75–$93.06	—	30%
Ammonia blood test inpatient CPT 82140 HC Pbc Ammonia,Plasma	$536.90	$767.00	$191.75–$720.98	—	30%
Amylase blood test CPT 82150 HC Amylase	$123.20	$176.00	$44.00–$165.44	127% above	30%
Amylase blood test CPT 82150 HC Pbc Amylase,Serum	$269.50	$385.00	$96.25–$361.90	397% above	30%
Amylase blood test inpatient CPT 82150 HC Amylase	$123.20	$176.00	$44.00–$165.44	—	30%
Amylase blood test inpatient CPT 82150 HC Pbc Amylase,Serum	$269.50	$385.00	$96.25–$361.90	—	30%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 HC Cyclic Citrullinie Peptide	$25.20	$36.00	$9.00–$33.84	66% below	30%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 HC Pbc Cyclic Citrull Peptde	$39.20	$56.00	$14.00–$52.64	47% below	30%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 HC Cyclic Citrullinie Peptide	$25.20	$36.00	$9.00–$33.84	—	30%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 HC Pbc Cyclic Citrull Peptde	$39.20	$56.00	$14.00–$52.64	—	30%
Antinuclear antibody (ANA) blood test, screen CPT 86038 HC Pbc Antinuclear Antibdy	$144.90	$207.00	$51.75–$194.58	187% above	30%
Antinuclear antibody (ANA) blood test, screen CPT 86038 HC Antinuclear Antibody	$186.20	$266.00	$66.50–$250.04	269% above	30%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 HC Pbc Antinuclear Antibdy	$144.90	$207.00	$51.75–$194.58	—	30%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 HC Antinuclear Antibody	$186.20	$266.00	$66.50–$250.04	—	30%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 HC B Natriuretic Peptide	$139.30	$199.00	$49.75–$187.06	22% above	30%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 HC Pbc B Natriuretic Peptide	$277.20	$396.00	$99.00–$372.24	143% above	30%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 HC Pbc Bnp Istat	$277.20	$396.00	$99.00–$372.24	143% above	30%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 HC B Natriuretic Peptide	$139.30	$199.00	$49.75–$187.06	—	30%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 HC Pbc Bnp Istat	$277.20	$396.00	$99.00–$372.24	—	30%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 HC Pbc B Natriuretic Peptide	$277.20	$396.00	$99.00–$372.24	—	30%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC Culture Bacterial Except Urine Blood/Stool	$128.10	$183.00	$45.75–$172.02	78% above	30%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC Culture Bacterial Except Urine Blood/Stool	$128.10	$183.00	$45.75–$172.02	—	30%
Basic metabolic panel (blood test) CPT 80048 HC Basic Metabolic Panel,Elec P/G	$115.50	$165.00	$41.25–$155.10	10% below	30%
Basic metabolic panel (blood test) inpatient CPT 80048 HC Basic Metabolic Panel,Elec P/G	$115.50	$165.00	$41.25–$155.10	—	30%
Bilirubin blood test, total CPT 82247 HC Bilirubin Total	$9.80	$14.00	$3.50–$13.16	80% below	30%
Bilirubin blood test, total CPT 82247 HC Pbc Bilirubin Total	$119.00	$170.00	$42.50–$159.80	148% above	30%
Bilirubin blood test, total CPT 82247 HC Pbc Bilirubin W/ Fractions	$119.00	$170.00	$42.50–$159.80	148% above	30%
Bilirubin blood test, total inpatient CPT 82247 HC Bilirubin Total	$9.80	$14.00	$3.50–$13.16	—	30%
Bilirubin blood test, total inpatient CPT 82247 HC Pbc Bilirubin Total	$119.00	$170.00	$42.50–$159.80	—	30%
Bilirubin blood test, total inpatient CPT 82247 HC Pbc Bilirubin W/ Fractions	$119.00	$170.00	$42.50–$159.80	—	30%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC Surg Path Lev IV Gross & Micro	$83.30	$119.00	$29.75–$111.86	53% below	30%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HC Surg Path Lev IV Gross & Micro	$83.30	$119.00	$29.75–$111.86	—	30%
Blood culture for bacteria CPT 87040 HC Culture,Blood	$77.00	$110.00	$27.50–$103.40	49% below	30%
Blood culture for bacteria inpatient CPT 87040 HC Culture,Blood	$77.00	$110.00	$27.50–$103.40	—	30%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 HC Venous Phlebotomy Fee	$23.80	$34.00	$6.87–$31.96	169% above	30%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 HC Venous Phlebotomy Fee	$23.80	$34.00	$6.87–$31.96	—	30%
Blood glucose (sugar) test CPT 82947 HC Glucose,Serum	$18.90	$27.00	$6.75–$25.38	47% below	30%
Blood glucose (sugar) test inpatient CPT 82947 HC Glucose,Serum	$18.90	$27.00	$6.75–$25.38	—	30%
Blood lead test CPT 83655 HC Lead	$17.50	$25.00	$6.25–$23.50	51% below	30%
Blood lead test CPT 83655 HC Pbc Lead Blood	$218.40	$312.00	$78.00–$293.28	513% above	30%
Blood lead test inpatient CPT 83655 HC Lead	$17.50	$25.00	$6.25–$23.50	—	30%
Blood lead test inpatient CPT 83655 HC Pbc Lead Blood	$218.40	$312.00	$78.00–$293.28	—	30%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HC Pregnancy Serum Qual	$137.20	$196.00	$49.00–$184.24	13% above	30%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HC Pbc Preg Serum Qual	$373.80	$534.00	$133.50–$501.96	207% above	30%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HC Pregnancy Serum Qual	$137.20	$196.00	$49.00–$184.24	—	30%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HC Pbc Preg Serum Qual	$373.80	$534.00	$133.50–$501.96	—	30%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HC Type and Screen	$74.90	$107.00	$26.75–$100.58	44% above	30%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HC Type and Screen	$74.90	$107.00	$26.75–$100.58	—	30%
Blood urea nitrogen (BUN) test CPT 84520 HC Bun,Serum	$18.90	$27.00	$6.75–$25.38	57% below	30%
Blood urea nitrogen (BUN) test CPT 84520 HC Pbc Urea Nitrogen Istat	$214.20	$306.00	$76.50–$287.64	384% above	30%
Blood urea nitrogen (BUN) test CPT 84520 HC Pbc Bun,Serum	$214.20	$306.00	$76.50–$287.64	384% above	30%
Blood urea nitrogen (BUN) test inpatient CPT 84520 HC Bun,Serum	$18.90	$27.00	$6.75–$25.38	—	30%
Blood urea nitrogen (BUN) test inpatient CPT 84520 HC Pbc Bun,Serum	$214.20	$306.00	$76.50–$287.64	—	30%
Blood urea nitrogen (BUN) test inpatient CPT 84520 HC Pbc Urea Nitrogen Istat	$214.20	$306.00	$76.50–$287.64	—	30%
C-peptide blood test CPT 84681 HC C-Peptide	$200.90	$287.00	$71.75–$269.78	167% above	30%
C-peptide blood test inpatient CPT 84681 HC C-Peptide	$200.90	$287.00	$71.75–$269.78	—	30%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 HC C-Reactive Protein	$98.00	$140.00	$35.00–$131.60	62% above	30%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 HC C-Reactive Protein	$98.00	$140.00	$35.00–$131.60	—	30%
C. difficile toxin gene test (stool PCR) CPT 87493 HC C Difficile Naat	$52.50	$75.00	$15.17–$70.50	58% below	30%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 HC C Difficile Naat	$52.50	$75.00	$15.17–$70.50	—	30%
CA 19-9 blood test (tumor marker) CPT 86301 HC Ca 19-9	$88.90	$127.00	$31.75–$119.38	at median	30%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 HC Ca 19-9	$88.90	$127.00	$31.75–$119.38	—	30%
CA-125 blood test (ovarian cancer marker) CPT 86304 HC Ca 125	$137.20	$196.00	$49.00–$184.24	63% above	30%
CA-125 blood test (ovarian cancer marker) CPT 86304 HC Pbc Ca 125	$175.70	$251.00	$62.75–$235.94	109% above	30%
CA-125 blood test (ovarian cancer marker) CPT 86304 HC Dinf Ca 125	$175.70	$251.00	$62.75–$235.94	109% above	30%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 HC Ca 125	$137.20	$196.00	$49.00–$184.24	—	30%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 HC Dinf Ca 125	$175.70	$251.00	$62.75–$235.94	—	30%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 HC Pbc Ca 125	$175.70	$251.00	$62.75–$235.94	—	30%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HC Sars-Cov-2	$37.80	$54.00	$13.50–$50.76	58% below	30%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 HC Sars-Cov-2	$37.80	$54.00	$13.50–$50.76	—	30%
Calcium blood test, total CPT 82310 HC Calcium Total	$79.10	$113.00	$28.25–$106.22	93% above	30%
Calcium blood test, total CPT 82310 HC Pbc Calcium Serum	$114.80	$164.00	$41.00–$154.16	181% above	30%
Calcium blood test, total inpatient CPT 82310 HC Calcium Total	$79.10	$113.00	$28.25–$106.22	—	30%
Calcium blood test, total inpatient CPT 82310 HC Pbc Calcium Serum	$114.80	$164.00	$41.00–$154.16	—	30%
Carcinoembryonic antigen (CEA) test CPT 82378 HC Cea	$144.90	$207.00	$51.75–$194.58	4% below	30%
Carcinoembryonic antigen (CEA) test CPT 82378 HC Pbc Cea	$424.20	$606.00	$151.50–$569.64	182% above	30%
Carcinoembryonic antigen (CEA) test CPT 82378 HC Dinf Cea	$424.20	$606.00	$151.50–$569.64	182% above	30%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 HC Cea	$144.90	$207.00	$51.75–$194.58	—	30%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 HC Dinf Cea	$424.20	$606.00	$151.50–$569.64	—	30%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 HC Pbc Cea	$424.20	$606.00	$151.50–$569.64	—	30%
Chickenpox (varicella) immunity blood test CPT 86787 HC Varicella-Zoster Ifa	$18.20	$26.00	$6.50–$24.44	65% below	30%
Chickenpox (varicella) immunity blood test CPT 86787 HC Pbc Varicella-Zoster Ifa	$34.30	$49.00	$12.25–$46.06	33% below	30%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 HC Varicella-Zoster Ifa	$18.20	$26.00	$6.50–$24.44	—	30%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 HC Pbc Varicella-Zoster Ifa	$34.30	$49.00	$12.25–$46.06	—	30%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC Chlamydia/Gc Dna	$25.90	$37.00	$9.25–$34.78	76% below	30%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HC Chlamydia/Gc Dna	$25.90	$37.00	$9.25–$34.78	—	30%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC Lipid Panel	$144.90	$207.00	$51.75–$194.58	72% above	30%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC Pbc Lipid Panel	$285.60	$408.00	$102.00–$383.52	240% above	30%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC Lipid Panel	$144.90	$207.00	$51.75–$194.58	—	30%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC Pbc Lipid Panel	$285.60	$408.00	$102.00–$383.52	—	30%
Complete blood count (CBC) with differential CPT 85025 HC Cbc W/Auto Diff	$80.50	$115.00	$28.75–$108.10	21% below	30%
Complete blood count (CBC) with differential CPT 85025 HC Pbc Cbc W/Auto Diff	$175.00	$250.00	$62.50–$235.00	73% above	30%
Complete blood count (CBC) with differential inpatient CPT 85025 HC Cbc W/Auto Diff	$80.50	$115.00	$28.75–$108.10	—	30%
Complete blood count (CBC) with differential inpatient CPT 85025 HC Pbc Cbc W/Auto Diff	$175.00	$250.00	$62.50–$235.00	—	30%
Complete blood count (CBC), no differential CPT 85027 HC Cbc W/Man Diff	$80.50	$115.00	$28.75–$108.10	26% above	30%
Complete blood count (CBC), no differential CPT 85027 HC Pbc Cbc W/Man Diff	$175.00	$250.00	$62.50–$235.00	173% above	30%
Complete blood count (CBC), no differential inpatient CPT 85027 HC Cbc W/Man Diff	$80.50	$115.00	$28.75–$108.10	—	30%
Complete blood count (CBC), no differential inpatient CPT 85027 HC Pbc Cbc W/Man Diff	$175.00	$250.00	$62.50–$235.00	—	30%
Comprehensive metabolic panel (blood test) CPT 80053 HC Comprehen Metabolic Panel	$152.60	$218.00	$54.50–$204.92	2% below	30%
Comprehensive metabolic panel (blood test) CPT 80053 HC Pbc Comp Metabolic Pnl	$305.90	$437.00	$109.25–$410.78	97% above	30%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 HC Comprehen Metabolic Panel	$152.60	$218.00	$54.50–$204.92	—	30%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 HC Pbc Comp Metabolic Pnl	$305.90	$437.00	$109.25–$410.78	—	30%
Cortisol blood test, total CPT 82533 HC Cortisol,Total	$223.30	$319.00	$79.75–$299.86	147% above	30%
Cortisol blood test, total CPT 82533 HC Pbc Cortisol,Plasma	$424.20	$606.00	$151.50–$569.64	369% above	30%
Cortisol blood test, total inpatient CPT 82533 HC Cortisol,Total	$223.30	$319.00	$79.75–$299.86	—	30%
Cortisol blood test, total inpatient CPT 82533 HC Pbc Cortisol,Plasma	$424.20	$606.00	$151.50–$569.64	—	30%
Creatine kinase (CK) blood test, total CPT 82550 HC Cpk,Serum	$119.70	$171.00	$42.75–$160.74	74% above	30%
Creatine kinase (CK) blood test, total CPT 82550 HC Pbc Cpk,Serum	$147.00	$210.00	$52.50–$197.40	113% above	30%
Creatine kinase (CK) blood test, total inpatient CPT 82550 HC Cpk,Serum	$119.70	$171.00	$42.75–$160.74	—	30%
Creatine kinase (CK) blood test, total inpatient CPT 82550 HC Pbc Cpk,Serum	$147.00	$210.00	$52.50–$197.40	—	30%
Creatinine blood test CPT 82565 HC Creatinine	$79.10	$113.00	$28.25–$106.22	51% above	30%
Creatinine blood test CPT 82565 HC Pbc Creatinine,Serum	$241.50	$345.00	$86.25–$324.30	361% above	30%
Creatinine blood test CPT 82565 HC Pbc Creatinine Istat	$241.50	$345.00	$86.25–$324.30	361% above	30%
Creatinine blood test inpatient CPT 82565 HC Creatinine	$79.10	$113.00	$28.25–$106.22	—	30%
Creatinine blood test inpatient CPT 82565 HC Pbc Creatinine Istat	$241.50	$345.00	$86.25–$324.30	—	30%
Creatinine blood test inpatient CPT 82565 HC Pbc Creatinine,Serum	$241.50	$345.00	$86.25–$324.30	—	30%
Cytomegalovirus (CMV) antibody test CPT 86644 HC Cmv Antibody	$18.90	$27.00	$6.75–$25.38	62% below	30%
Cytomegalovirus (CMV) antibody test CPT 86644 HC Pbc Cmv Igg	$226.10	$323.00	$80.75–$303.62	353% above	30%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 HC Cmv Antibody	$18.90	$27.00	$6.75–$25.38	—	30%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 HC Pbc Cmv Igg	$226.10	$323.00	$80.75–$303.62	—	30%
D-dimer blood test (blood clot marker) CPT 85379 HC D-Dimer	$116.90	$167.00	$41.75–$156.98	20% below	30%
D-dimer blood test (blood clot marker) CPT 85379 HC Pbc D-Dimer	$350.00	$500.00	$125.00–$470.00	139% above	30%
D-dimer blood test (blood clot marker) inpatient CPT 85379 HC D-Dimer	$116.90	$167.00	$41.75–$156.98	—	30%
D-dimer blood test (blood clot marker) inpatient CPT 85379 HC Pbc D-Dimer	$350.00	$500.00	$125.00–$470.00	—	30%
DHEA sulfate (DHEA-S) blood test CPT 82627 HC Dhea-S	$121.10	$173.00	$43.25–$162.62	16% above	30%
DHEA sulfate (DHEA-S) blood test CPT 82627 HC Pbc Dhea-S -Es	$193.90	$277.00	$69.25–$260.38	87% above	30%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 HC Dhea-S	$121.10	$173.00	$43.25–$162.62	—	30%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 HC Pbc Dhea-S -Es	$193.90	$277.00	$69.25–$260.38	—	30%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC Pbc Drug Scrn Quest	$92.40	$132.00	$33.00–$124.08	91% above	30%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC Drug Screen by Instrument Analysis	$168.00	$240.00	$60.00–$225.60	246% above	30%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC Pbc Drug Scrn Quest	$92.40	$132.00	$33.00–$124.08	—	30%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC Drug Screen by Instrument Analysis	$168.00	$240.00	$60.00–$225.60	—	30%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 HC Electrolytes	$72.80	$104.00	$26.00–$97.76	6% below	30%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 HC Pbc Electrolytes	$175.00	$250.00	$62.50–$235.00	126% above	30%
Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 HC Electrolytes	$72.80	$104.00	$26.00–$97.76	—	30%
Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 HC Pbc Electrolytes	$175.00	$250.00	$62.50–$235.00	—	30%
Epstein-Barr virus (EBV) antibody test CPT 86665 HC Ebv Antibody Panel	$100.10	$143.00	$35.75–$134.42	48% above	30%
Epstein-Barr virus (EBV) antibody test CPT 86665 HC Pbc Ebv Antibody Panel	$189.00	$270.00	$67.50–$253.80	180% above	30%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 HC Ebv Antibody Panel	$100.10	$143.00	$35.75–$134.42	—	30%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 HC Pbc Ebv Antibody Panel	$189.00	$270.00	$67.50–$253.80	—	30%
Estradiol blood test CPT 82670 HC Estradiol	$238.70	$341.00	$85.25–$320.54	104% above	30%
Estradiol blood test CPT 82670 HC Pbc Estradiol	$702.80	$1,004.00	$251.00–$943.76	501% above	30%
Estradiol blood test inpatient CPT 82670 HC Estradiol	$238.70	$341.00	$85.25–$320.54	—	30%
Estradiol blood test inpatient CPT 82670 HC Pbc Estradiol	$702.80	$1,004.00	$251.00–$943.76	—	30%
FSH (follicle-stimulating hormone) test CPT 83001 HC Fhs	$207.90	$297.00	$74.25–$279.18	124% above	30%
FSH (follicle-stimulating hormone) test CPT 83001 HC Pbc Fhs	$451.50	$645.00	$161.25–$606.30	385% above	30%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 HC Fhs	$207.90	$297.00	$74.25–$279.18	—	30%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 HC Pbc Fhs	$451.50	$645.00	$161.25–$606.30	—	30%
Fecal calprotectin (stool inflammation test) CPT 83993 HC Calprotectin, Fecal	$216.30	$309.00	$77.25–$290.46	27% above	30%
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 HC Calprotectin, Fecal	$216.30	$309.00	$77.25–$290.46	—	30%
Ferritin blood test (iron stores) CPT 82728 HC Ferritin	$104.30	$149.00	$37.25–$140.06	22% above	30%
Ferritin blood test (iron stores) CPT 82728 HC Pbc Ferritin	$504.70	$721.00	$180.25–$677.74	493% above	30%
Ferritin blood test (iron stores) inpatient CPT 82728 HC Ferritin	$104.30	$149.00	$37.25–$140.06	—	30%
Ferritin blood test (iron stores) inpatient CPT 82728 HC Pbc Ferritin	$504.70	$721.00	$180.25–$677.74	—	30%
Fibrinogen blood test CPT 85384 HC Fibrinogen	$78.40	$112.00	$28.00–$105.28	9% below	30%
Fibrinogen blood test inpatient CPT 85384 HC Fibrinogen	$78.40	$112.00	$28.00–$105.28	—	30%
Folate (folic acid) blood test CPT 82746 HC Folate	$69.30	$99.00	$24.75–$93.06	19% below	30%
Folate (folic acid) blood test CPT 82746 HC Pbc Folate	$128.80	$184.00	$46.00–$172.96	50% above	30%
Folate (folic acid) blood test inpatient CPT 82746 HC Folate	$69.30	$99.00	$24.75–$93.06	—	30%
Folate (folic acid) blood test inpatient CPT 82746 HC Pbc Folate	$128.80	$184.00	$46.00–$172.96	—	30%
Free T3 thyroid hormone test CPT 84481 HC Pbc Free T3	$66.50	$95.00	$23.75–$89.30	21% below	30%
Free T3 thyroid hormone test CPT 84481 HC Free T3	$174.30	$249.00	$62.25–$234.06	106% above	30%
Free T3 thyroid hormone test inpatient CPT 84481 HC Pbc Free T3	$66.50	$95.00	$23.75–$89.30	—	30%
Free T3 thyroid hormone test inpatient CPT 84481 HC Free T3	$174.30	$249.00	$62.25–$234.06	—	30%
Free T4 (free thyroxine) thyroid blood test CPT 84439 HC Free T4	$78.40	$112.00	$28.00–$105.28	22% above	30%
Free T4 (free thyroxine) thyroid blood test CPT 84439 HC Pbc Free T4	$243.60	$348.00	$87.00–$327.12	278% above	30%
Free T4 (free thyroxine) thyroid blood test CPT 84439 HC Dinf Free T4	$243.60	$348.00	$87.00–$327.12	278% above	30%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 HC Free T4	$78.40	$112.00	$28.00–$105.28	—	30%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 HC Pbc Free T4	$243.60	$348.00	$87.00–$327.12	—	30%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 HC Dinf Free T4	$243.60	$348.00	$87.00–$327.12	—	30%
Free testosterone test CPT 84402 HC Testosterone,Free	$83.30	$119.00	$29.75–$111.86	17% above	30%
Free testosterone test CPT 84402 HC Pbc Testost Free	$579.60	$828.00	$207.00–$778.32	716% above	30%
Free testosterone test inpatient CPT 84402 HC Testosterone,Free	$83.30	$119.00	$29.75–$111.86	—	30%
Free testosterone test inpatient CPT 84402 HC Pbc Testost Free	$579.60	$828.00	$207.00–$778.32	—	30%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 HC Gt,Serum	$137.90	$197.00	$49.25–$185.18	138% above	30%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 HC Pbc Gt,Serum	$247.10	$353.00	$88.25–$331.82	326% above	30%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 HC Gt,Serum	$137.90	$197.00	$49.25–$185.18	—	30%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 HC Pbc Gt,Serum	$247.10	$353.00	$88.25–$331.82	—	30%
General health panel: metabolic panel, blood count and TSH in one order CPT 80050 HC General Health Panel	$173.60	$248.00	$50.15–$233.12	66% below	30%
General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 HC General Health Panel	$173.60	$248.00	$50.15–$233.12	—	30%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 HC Glucose Challenge	$57.40	$82.00	$20.50–$77.08	47% above	30%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 HC Glucose Challenge	$57.40	$82.00	$20.50–$77.08	—	30%
Glucose tolerance test, 3 samples CPT 82951 HC Glucose Tolerance 3 Specimens	$107.80	$154.00	$38.50–$144.76	10% above	30%
Glucose tolerance test, 3 samples CPT 82951 HC Glucose Tolerance 4 Hr	$406.00	$580.00	$145.00–$545.20	313% above	30%
Glucose tolerance test, 3 samples inpatient CPT 82951 HC Glucose Tolerance 3 Specimens	$107.80	$154.00	$38.50–$144.76	—	30%
Glucose tolerance test, 3 samples inpatient CPT 82951 HC Glucose Tolerance 4 Hr	$406.00	$580.00	$145.00–$545.20	—	30%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC Gonorrhoaeae Pcr	$28.70	$41.00	$10.25–$38.54	69% below	30%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HC Gonorrhoaeae Pcr	$28.70	$41.00	$10.25–$38.54	—	30%
H. pylori antibody blood test CPT 86677 HC Helicobacter Pylori Ab	$130.20	$186.00	$46.50–$174.84	3% below	30%
H. pylori antibody blood test inpatient CPT 86677 HC Helicobacter Pylori Ab	$130.20	$186.00	$46.50–$174.84	—	30%
H. pylori stool antigen test CPT 87338 HC H Pylori Antigen Feces	$167.30	$239.00	$59.75–$224.66	50% above	30%
H. pylori stool antigen test inpatient CPT 87338 HC H Pylori Antigen Feces	$167.30	$239.00	$59.75–$224.66	—	30%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HC Pbc Hiv Rna by Pcr	$305.90	$437.00	$109.25–$410.78	31% above	30%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HC Hiv Rna by Pcr	$416.50	$595.00	$148.75–$559.30	79% above	30%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HC Pbc Hiv Rna by Pcr	$305.90	$437.00	$109.25–$410.78	—	30%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HC Hiv Rna by Pcr	$416.50	$595.00	$148.75–$559.30	—	30%
HIV-1 and HIV-2 antibody test CPT 86703 HC Antibody; Hiv-1 and Hiv-2, Single Result	$137.20	$196.00	$49.00–$184.24	143% above	30%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 HC Antibody; Hiv-1 and Hiv-2, Single Result	$137.20	$196.00	$49.00–$184.24	—	30%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HC Hiv 4th Gen W/Reflex	$163.10	$233.00	$58.25–$219.02	128% above	30%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HC Hiv 4th Gen W/Reflex	$163.10	$233.00	$58.25–$219.02	—	30%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HC Chg Iadna Human Papillomavirus High-Risk Types	$63.00	$90.00	$22.50–$84.60	47% below	30%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HC Chg Iadna Human Papillomavirus High-Risk Types	$63.00	$90.00	$22.50–$84.60	—	30%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HC Hemoglobin A1c	$119.70	$171.00	$42.75–$160.74	63% above	30%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HC Pbc Hemoglobin A1c	$262.50	$375.00	$93.75–$352.50	257% above	30%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HC Hemoglobin A1c	$119.70	$171.00	$42.75–$160.74	—	30%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HC Pbc Hemoglobin A1c	$262.50	$375.00	$93.75–$352.50	—	30%
Hemoglobin blood test CPT 85018 HC Hemoglobin Only	$11.90	$17.00	$4.25–$15.98	50% below	30%
Hemoglobin blood test CPT 85018 HC Pbc Hgb/ Hct	$116.20	$166.00	$41.50–$156.04	384% above	30%
Hemoglobin blood test CPT 85018 HC Pbc Hemoglobin Only	$116.20	$166.00	$41.50–$156.04	384% above	30%
Hemoglobin blood test inpatient CPT 85018 HC Hemoglobin Only	$11.90	$17.00	$4.25–$15.98	—	30%
Hemoglobin blood test inpatient CPT 85018 HC Pbc Hemoglobin Only	$116.20	$166.00	$41.50–$156.04	—	30%
Hemoglobin blood test inpatient CPT 85018 HC Pbc Hgb/ Hct	$116.20	$166.00	$41.50–$156.04	—	30%
Hepatitis B core antibody test (total) CPT 86704 HC Pbc Hepb Core Ab Ttl	$39.20	$56.00	$14.00–$52.64	56% below	30%
Hepatitis B core antibody test (total) CPT 86704 HC Hepatitis B Core Ab,Total	$55.30	$79.00	$19.75–$74.26	38% below	30%
Hepatitis B core antibody test (total) inpatient CPT 86704 HC Pbc Hepb Core Ab Ttl	$39.20	$56.00	$14.00–$52.64	—	30%
Hepatitis B core antibody test (total) inpatient CPT 86704 HC Hepatitis B Core Ab,Total	$55.30	$79.00	$19.75–$74.26	—	30%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HC Pbc Hepatitis B Srface Abody	$102.90	$147.00	$36.75–$138.18	39% above	30%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HC Hepatitis B Surface Antibody	$111.30	$159.00	$39.75–$149.46	50% above	30%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HC Pbc Hepatitis B Srface Abody	$102.90	$147.00	$36.75–$138.18	—	30%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HC Hepatitis B Surface Antibody	$111.30	$159.00	$39.75–$149.46	—	30%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HC Pbc Hepatitis B Srface Antgn	$117.60	$168.00	$42.00–$157.92	44% above	30%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HC Hepatitis B Surface Antigen	$119.70	$171.00	$42.75–$160.74	46% above	30%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HC Pbc Hepatitis B Srface Antgn	$117.60	$168.00	$42.00–$157.92	—	30%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HC Hepatitis B Surface Antigen	$119.70	$171.00	$42.75–$160.74	—	30%
Hepatitis C antibody blood test (screening) CPT 86803 HC Hepatitis C	$140.70	$201.00	$50.25–$188.94	11% above	30%
Hepatitis C antibody blood test (screening) CPT 86803 HC Pbc Hepatitis C	$148.40	$212.00	$53.00–$199.28	17% above	30%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HC Hepatitis C	$140.70	$201.00	$50.25–$188.94	—	30%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HC Pbc Hepatitis C	$148.40	$212.00	$53.00–$199.28	—	30%
Hepatitis C viral load (HCV RNA) test CPT 87522 HC Hepatitis C Rna by Pcr Quant	$114.80	$164.00	$41.00–$154.16	29% below	30%
Hepatitis C viral load (HCV RNA) test CPT 87522 HC Pbc Hep C Rna Pcr Quant	$326.90	$467.00	$116.75–$438.98	102% above	30%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HC Hepatitis C Rna by Pcr Quant	$114.80	$164.00	$41.00–$154.16	—	30%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HC Pbc Hep C Rna Pcr Quant	$326.90	$467.00	$116.75–$438.98	—	30%
Herpes blood test, HSV-1 antibody CPT 86695 HC Hsv 1	$27.30	$39.00	$9.75–$36.66	40% below	30%
Herpes blood test, HSV-1 antibody CPT 86695 HC Pbc Herpes 1 & 2 Igg Abs	$27.30	$39.00	$9.75–$36.66	40% below	30%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HC Hsv 1	$27.30	$39.00	$9.75–$36.66	—	30%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HC Pbc Herpes 1 & 2 Igg Abs	$27.30	$39.00	$9.75–$36.66	—	30%
Herpes blood test, HSV-2 antibody CPT 86696 HC Hsv 2	$25.90	$37.00	$9.25–$34.78	60% below	30%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HC Hsv 2	$25.90	$37.00	$9.25–$34.78	—	30%
High-sensitivity CRP (hs-CRP) test CPT 86141 HC Crp Quant Highly Sensitive	$100.10	$143.00	$35.75–$134.42	33% above	30%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 HC Crp Quant Highly Sensitive	$100.10	$143.00	$35.75–$134.42	—	30%
Homocysteine blood test CPT 83090 HC Homocysteine,Urine	$91.70	$131.00	$32.75–$123.14	11% above	30%
Homocysteine blood test CPT 83090 HC Pbc Homocysteine	$91.70	$131.00	$32.75–$123.14	11% above	30%
Homocysteine blood test CPT 83090 HC Homocysteine	$176.40	$252.00	$63.00–$236.88	113% above	30%
Homocysteine blood test inpatient CPT 83090 HC Homocysteine,Urine	$91.70	$131.00	$32.75–$123.14	—	30%
Homocysteine blood test inpatient CPT 83090 HC Pbc Homocysteine	$91.70	$131.00	$32.75–$123.14	—	30%
Homocysteine blood test inpatient CPT 83090 HC Homocysteine	$176.40	$252.00	$63.00–$236.88	—	30%
Insulin blood test CPT 83525 HC Insulin Assay, Total	$48.30	$69.00	$17.25–$64.86	11% below	30%
Insulin blood test CPT 83525 HC Insulin	$241.50	$345.00	$86.25–$324.30	347% above	30%
Insulin blood test inpatient CPT 83525 HC Insulin Assay, Total	$48.30	$69.00	$17.25–$64.86	—	30%
Insulin blood test inpatient CPT 83525 HC Insulin	$241.50	$345.00	$86.25–$324.30	—	30%
Iron blood test (serum iron) CPT 83540 HC Pbc Iron,Serum	$56.70	$81.00	$20.25–$76.14	12% below	30%
Iron blood test (serum iron) CPT 83540 HC Iron,Serum	$62.30	$89.00	$22.25–$83.66	3% below	30%
Iron blood test (serum iron) inpatient CPT 83540 HC Pbc Iron,Serum	$56.70	$81.00	$20.25–$76.14	—	30%
Iron blood test (serum iron) inpatient CPT 83540 HC Iron,Serum	$62.30	$89.00	$22.25–$83.66	—	30%
Iron-binding capacity (TIBC) test CPT 83550 HC Pbc Total Iron Binding Cap	$99.40	$142.00	$35.50–$133.48	114% above	30%
Iron-binding capacity (TIBC) test CPT 83550 HC Total Iron Binding Capacity	$127.40	$182.00	$45.50–$171.08	174% above	30%
Iron-binding capacity (TIBC) test inpatient CPT 83550 HC Pbc Total Iron Binding Cap	$99.40	$142.00	$35.50–$133.48	—	30%
Iron-binding capacity (TIBC) test inpatient CPT 83550 HC Total Iron Binding Capacity	$127.40	$182.00	$45.50–$171.08	—	30%
Kidney function blood test panel CPT 80069 HC Pbc Renal Function Panel	$63.00	$90.00	$22.50–$84.60	47% below	30%
Kidney function blood test panel CPT 80069 HC Renal Function Panel	$346.50	$495.00	$123.75–$465.30	192% above	30%
Kidney function blood test panel inpatient CPT 80069 HC Pbc Renal Function Panel	$63.00	$90.00	$22.50–$84.60	—	30%
Kidney function blood test panel inpatient CPT 80069 HC Renal Function Panel	$346.50	$495.00	$123.75–$465.30	—	30%
LH (luteinizing hormone) test CPT 83002 HC Lutenizing Hormone	$207.90	$297.00	$74.25–$279.18	113% above	30%
LH (luteinizing hormone) test CPT 83002 HC Pbc Lutenizing Hormone	$479.50	$685.00	$171.25–$643.90	392% above	30%
LH (luteinizing hormone) test inpatient CPT 83002 HC Lutenizing Hormone	$207.90	$297.00	$74.25–$279.18	—	30%
LH (luteinizing hormone) test inpatient CPT 83002 HC Pbc Lutenizing Hormone	$479.50	$685.00	$171.25–$643.90	—	30%
Lactate (lactic acid) blood test CPT 83605 HC Lactic Acid	$57.40	$82.00	$20.50–$77.08	32% below	30%
Lactate (lactic acid) blood test CPT 83605 HC Pbc Lactic Acid,Plasma	$104.30	$149.00	$37.25–$140.06	23% above	30%
Lactate (lactic acid) blood test inpatient CPT 83605 HC Lactic Acid	$57.40	$82.00	$20.50–$77.08	—	30%
Lactate (lactic acid) blood test inpatient CPT 83605 HC Pbc Lactic Acid,Plasma	$104.30	$149.00	$37.25–$140.06	—	30%
Lactate dehydrogenase (LDH) blood test CPT 83615 HC Lactic Dehydrogenase (Ldh)	$127.40	$182.00	$45.50–$171.08	194% above	30%
Lactate dehydrogenase (LDH) blood test CPT 83615 HC Pbc Ldh Serum	$241.50	$345.00	$86.25–$324.30	457% above	30%
Lactate dehydrogenase (LDH) blood test CPT 83615 HC Ldh Serum-A	$241.50	$345.00	$86.25–$324.30	457% above	30%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 HC Lactic Dehydrogenase (Ldh)	$127.40	$182.00	$45.50–$171.08	—	30%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 HC Pbc Ldh Serum	$241.50	$345.00	$86.25–$324.30	—	30%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 HC Ldh Serum-A	$241.50	$345.00	$86.25–$324.30	—	30%
Lipase blood test (pancreas enzyme) CPT 83690 HC Lipase	$197.40	$282.00	$70.50–$265.08	112% above	30%
Lipase blood test (pancreas enzyme) CPT 83690 HC Pbc Lipase Serum	$275.10	$393.00	$98.25–$369.42	195% above	30%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 HC Lipase	$197.40	$282.00	$70.50–$265.08	—	30%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 HC Pbc Lipase Serum	$275.10	$393.00	$98.25–$369.42	—	30%
Liver function blood test panel CPT 80076 HC Hepatic Function Panel	$118.30	$169.00	$42.25–$158.86	25% below	30%
Liver function blood test panel CPT 80076 HC Pbc Hepatic Function Pnl	$240.80	$344.00	$86.00–$323.36	53% above	30%
Liver function blood test panel inpatient CPT 80076 HC Hepatic Function Panel	$118.30	$169.00	$42.25–$158.86	—	30%
Liver function blood test panel inpatient CPT 80076 HC Pbc Hepatic Function Pnl	$240.80	$344.00	$86.00–$323.36	—	30%
Lyme disease antibody test CPT 86618 HC Pbc Lyme Disease Antibdy	$46.20	$66.00	$16.50–$62.04	36% below	30%
Lyme disease antibody test CPT 86618 HC Lyme Disease Antibodies	$112.00	$160.00	$40.00–$150.40	56% above	30%
Lyme disease antibody test inpatient CPT 86618 HC Pbc Lyme Disease Antibdy	$46.20	$66.00	$16.50–$62.04	—	30%
Lyme disease antibody test inpatient CPT 86618 HC Lyme Disease Antibodies	$112.00	$160.00	$40.00–$150.40	—	30%
Magnesium blood test CPT 83735 HC Magnesium Serum	$69.30	$99.00	$24.75–$93.06	73% above	30%
Magnesium blood test CPT 83735 HC Pbc Magnesium Serum	$135.80	$194.00	$48.50–$182.36	240% above	30%
Magnesium blood test inpatient CPT 83735 HC Magnesium Serum	$69.30	$99.00	$24.75–$93.06	—	30%
Magnesium blood test inpatient CPT 83735 HC Pbc Magnesium Serum	$135.80	$194.00	$48.50–$182.36	—	30%
Measles (rubeola) antibody test CPT 86765 HC Rubeola	$17.50	$25.00	$6.25–$23.50	64% below	30%
Measles (rubeola) antibody test inpatient CPT 86765 HC Rubeola	$17.50	$25.00	$6.25–$23.50	—	30%
Mono test (heterophile antibody, Monospot) CPT 86308 HC Mono Test (Heterophile)	$8.40	$12.00	$3.00–$11.28	90% below	30%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 HC Mono Test (Heterophile)	$8.40	$12.00	$3.00–$11.28	—	30%
Mumps immunity blood test CPT 86735 HC Mumps Virus	$50.40	$72.00	$18.00–$67.68	15% below	30%
Mumps immunity blood test inpatient CPT 86735 HC Mumps Virus	$50.40	$72.00	$18.00–$67.68	—	30%
PSA (prostate-specific antigen) blood test, free CPT 84154 HC Psa Free W/Total	$98.00	$140.00	$35.00–$131.60	47% above	30%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 HC Psa Free W/Total	$98.00	$140.00	$35.00–$131.60	—	30%
PSA (prostate-specific antigen) blood test, total CPT 84153 HC Prostatic Specific Ag	$164.50	$235.00	$58.75–$220.90	70% above	30%
PSA (prostate-specific antigen) blood test, total CPT 84153 HC Pbc Psa Screening	$352.10	$503.00	$125.75–$472.82	265% above	30%
PSA (prostate-specific antigen) blood test, total CPT 84153 HC Pbc Prostatic Specific Ag	$352.10	$503.00	$125.75–$472.82	265% above	30%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC Prostatic Specific Ag	$164.50	$235.00	$58.75–$220.90	—	30%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC Pbc Psa Screening	$352.10	$503.00	$125.75–$472.82	—	30%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC Pbc Prostatic Specific Ag	$352.10	$503.00	$125.75–$472.82	—	30%
Pap test (liquid-based, automated screening with review) CPT 88175 HC Pap Test	$63.00	$90.00	$22.50–$84.60	19% below	30%
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 HC Pap Test	$63.00	$90.00	$22.50–$84.60	—	30%
Parathyroid hormone (PTH) blood test CPT 83970 HC Pth Intact (Irma)	$271.60	$388.00	$97.00–$364.72	106% above	30%
Parathyroid hormone (PTH) blood test CPT 83970 HC Pbc Pth Intact (Irma)	$610.40	$872.00	$218.00–$819.68	363% above	30%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 HC Pth Intact (Irma)	$271.60	$388.00	$97.00–$364.72	—	30%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 HC Pbc Pth Intact (Irma)	$610.40	$872.00	$218.00–$819.68	—	30%
Partial thromboplastin time (PTT) clotting test CPT 85730 HC Pbc Ptt	$119.00	$170.00	$42.50–$159.80	143% above	30%
Partial thromboplastin time (PTT) clotting test CPT 85730 HC Ptt Part Thromboplastin	$133.70	$191.00	$47.75–$179.54	173% above	30%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC Pbc Ptt	$119.00	$170.00	$42.50–$159.80	—	30%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC Ptt Part Thromboplastin	$133.70	$191.00	$47.75–$179.54	—	30%
Phosphorus (phosphate) blood test CPT 84100 HC Phosphorus,Serum	$109.20	$156.00	$39.00–$146.64	129% above	30%
Phosphorus (phosphate) blood test CPT 84100 HC Dinf Phosphorus	$161.00	$230.00	$57.50–$216.20	238% above	30%
Phosphorus (phosphate) blood test CPT 84100 HC Pbc Phosphorus,Serum	$161.00	$230.00	$57.50–$216.20	238% above	30%
Phosphorus (phosphate) blood test inpatient CPT 84100 HC Phosphorus,Serum	$109.20	$156.00	$39.00–$146.64	—	30%
Phosphorus (phosphate) blood test inpatient CPT 84100 HC Dinf Phosphorus	$161.00	$230.00	$57.50–$216.20	—	30%
Phosphorus (phosphate) blood test inpatient CPT 84100 HC Pbc Phosphorus,Serum	$161.00	$230.00	$57.50–$216.20	—	30%
Potassium blood test CPT 84132 HC Potassium,Serum	$93.10	$133.00	$33.25–$125.02	127% above	30%
Potassium blood test CPT 84132 HC Pbc Potassium,Serum	$102.90	$147.00	$36.75–$138.18	151% above	30%
Potassium blood test CPT 84132 HC Pbc Potassium Istat	$102.90	$147.00	$36.75–$138.18	151% above	30%
Potassium blood test inpatient CPT 84132 HC Potassium,Serum	$93.10	$133.00	$33.25–$125.02	—	30%
Potassium blood test inpatient CPT 84132 HC Pbc Potassium Istat	$102.90	$147.00	$36.75–$138.18	—	30%
Potassium blood test inpatient CPT 84132 HC Pbc Potassium,Serum	$102.90	$147.00	$36.75–$138.18	—	30%
Progesterone blood test CPT 84144 HC Progesterone	$79.80	$114.00	$28.50–$107.16	6% below	30%
Progesterone blood test CPT 84144 HC Pbc Progesterone	$389.90	$557.00	$139.25–$523.58	359% above	30%
Progesterone blood test inpatient CPT 84144 HC Progesterone	$79.80	$114.00	$28.50–$107.16	—	30%
Progesterone blood test inpatient CPT 84144 HC Pbc Progesterone	$389.90	$557.00	$139.25–$523.58	—	30%
Prolactin blood test CPT 84146 HC Prolactin	$172.90	$247.00	$61.75–$232.18	47% above	30%
Prolactin blood test CPT 84146 HC Pbc Prolactin	$504.00	$720.00	$180.00–$676.80	330% above	30%
Prolactin blood test inpatient CPT 84146 HC Prolactin	$172.90	$247.00	$61.75–$232.18	—	30%
Prolactin blood test inpatient CPT 84146 HC Pbc Prolactin	$504.00	$720.00	$180.00–$676.80	—	30%
Prothrombin time (PT/INR) clotting test CPT 85610 HC Prothrombin Time	$58.80	$84.00	$21.00–$78.96	45% above	30%
Prothrombin time (PT/INR) clotting test CPT 85610 HC Pbc Prothrombin Time	$60.20	$86.00	$21.50–$80.84	49% above	30%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC Prothrombin Time	$58.80	$84.00	$21.00–$78.96	—	30%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC Pbc Prothrombin Time	$60.20	$86.00	$21.50–$80.84	—	30%
Rapid flu test (influenza antigen) CPT 87804 HC Influenzae B W/Influenzae Anti	$168.00	$240.00	$60.00–$225.60	234% above	30%
Rapid flu test (influenza antigen) inpatient CPT 87804 HC Influenzae B W/Influenzae Anti	$168.00	$240.00	$60.00–$225.60	—	30%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 HC Grp a Strep Assay W/Optic Obs	$119.00	$170.00	$42.50–$159.80	108% above	30%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 HC Grp a Strep Assay W/Optic Obs	$119.00	$170.00	$42.50–$159.80	—	30%
Renin blood test CPT 84244 HC Renin	$26.60	$38.00	$9.50–$35.72	50% below	30%
Renin blood test inpatient CPT 84244 HC Renin	$26.60	$38.00	$9.50–$35.72	—	30%
Rh blood typing CPT 86901 HC Rh With Type & Screen	$74.90	$107.00	$26.75–$100.58	59% above	30%
Rh blood typing inpatient CPT 86901 HC Rh With Type & Screen	$74.90	$107.00	$26.75–$100.58	—	30%
Rheumatoid factor (RF) test CPT 86431 HC Ra Titer	$79.10	$113.00	$28.25–$106.22	86% above	30%
Rheumatoid factor (RF) test inpatient CPT 86431 HC Ra Titer	$79.10	$113.00	$28.25–$106.22	—	30%
Rubella antibody test (immunity check) CPT 86762 HC Rubella Antibody	$18.90	$27.00	$6.75–$25.38	58% below	30%
Rubella antibody test (immunity check) CPT 86762 HC Pbc Rubella Antibody	$80.50	$115.00	$28.75–$108.10	77% above	30%
Rubella antibody test (immunity check) CPT 86762 HC Rubella Antibody Titer	$80.50	$115.00	$28.75–$108.10	77% above	30%
Rubella antibody test (immunity check) inpatient CPT 86762 HC Rubella Antibody	$18.90	$27.00	$6.75–$25.38	—	30%
Rubella antibody test (immunity check) inpatient CPT 86762 HC Rubella Antibody Titer	$80.50	$115.00	$28.75–$108.10	—	30%
Rubella antibody test (immunity check) inpatient CPT 86762 HC Pbc Rubella Antibody	$80.50	$115.00	$28.75–$108.10	—	30%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 HC Sed Rate	$81.90	$117.00	$29.25–$109.98	8% above	30%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 HC Pbc Sed Rate	$156.10	$223.00	$55.75–$209.62	106% above	30%
Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 HC Sed Rate	$81.90	$117.00	$29.25–$109.98	—	30%
Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 HC Pbc Sed Rate	$156.10	$223.00	$55.75–$209.62	—	30%
Sodium blood test CPT 84295 HC Sodium Serum	$11.90	$17.00	$4.25–$15.98	73% below	30%
Sodium blood test CPT 84295 HC Pbc Sodium Istat	$107.10	$153.00	$38.25–$143.82	143% above	30%
Sodium blood test CPT 84295 HC Pbc Sodium Serum	$107.10	$153.00	$38.25–$143.82	143% above	30%
Sodium blood test inpatient CPT 84295 HC Sodium Serum	$11.90	$17.00	$4.25–$15.98	—	30%
Sodium blood test inpatient CPT 84295 HC Pbc Sodium Istat	$107.10	$153.00	$38.25–$143.82	—	30%
Sodium blood test inpatient CPT 84295 HC Pbc Sodium Serum	$107.10	$153.00	$38.25–$143.82	—	30%
Stool ova and parasites exam CPT 87177 HC Ova and Parasite	$137.90	$197.00	$49.25–$185.18	322% above	30%
Stool ova and parasites exam inpatient CPT 87177 HC Ova and Parasite	$137.90	$197.00	$49.25–$185.18	—	30%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 HC Assay Test for Blood Fecal	$84.70	$121.00	$30.25–$113.74	45% above	30%
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 HC Assay Test for Blood Fecal	$84.70	$121.00	$30.25–$113.74	—	30%
Syphilis antibody test (Treponema pallidum) CPT 86780 HC Pbc Treponema Ab	$34.30	$49.00	$9.91–$46.06	40% below	30%
Syphilis antibody test (Treponema pallidum) CPT 86780 HC Treponema Ab	$119.70	$171.00	$34.58–$160.74	109% above	30%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 HC Pbc Treponema Ab	$34.30	$49.00	$9.91–$46.06	—	30%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 HC Treponema Ab	$119.70	$171.00	$34.58–$160.74	—	30%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC Rpr	$119.70	$171.00	$42.75–$160.74	104% above	30%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC Rpr	$119.70	$171.00	$42.75–$160.74	—	30%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 HC Quantiferon TB Gold	$93.80	$134.00	$33.50–$125.96	20% below	30%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 HC Quantiferon TB Gold	$93.80	$134.00	$33.50–$125.96	—	30%
Testosterone blood test, total (not free testosterone) CPT 84403 HC Testosterone	$246.40	$352.00	$88.00–$330.88	178% above	30%
Testosterone blood test, total (not free testosterone) CPT 84403 HC Pbc Test Free &Total	$596.40	$852.00	$213.00–$800.88	572% above	30%
Testosterone blood test, total (not free testosterone) CPT 84403 HC Pbc Testosterone	$596.40	$852.00	$213.00–$800.88	572% above	30%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HC Testosterone	$246.40	$352.00	$88.00–$330.88	—	30%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HC Pbc Test Free &Total	$596.40	$852.00	$213.00–$800.88	—	30%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HC Pbc Testosterone	$596.40	$852.00	$213.00–$800.88	—	30%
Thyroid peroxidase (TPO) antibody test CPT 86376 HC Microsomal Abdy Each	$102.20	$146.00	$36.50–$137.24	152% above	30%
Thyroid peroxidase (TPO) antibody test CPT 86376 HC Pbc Thyrd Micrso Abdy	$128.80	$184.00	$46.00–$172.96	218% above	30%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HC Microsomal Abdy Each	$102.20	$146.00	$36.50–$137.24	—	30%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HC Pbc Thyrd Micrso Abdy	$128.80	$184.00	$46.00–$172.96	—	30%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC Tsh	$113.40	$162.00	$40.50–$152.28	52% above	30%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC Pbc Tsh	$389.90	$557.00	$139.25–$523.58	423% above	30%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC Dinf Tsh	$389.90	$557.00	$139.25–$523.58	423% above	30%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC Tsh	$113.40	$162.00	$40.50–$152.28	—	30%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC Pbc Tsh	$389.90	$557.00	$139.25–$523.58	—	30%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC Dinf Tsh	$389.90	$557.00	$139.25–$523.58	—	30%
Total IgE blood test CPT 82785 HC Ig E	$83.30	$119.00	$29.75–$111.86	40% above	30%
Total IgE blood test CPT 82785 HC Pbc Ig E	$304.50	$435.00	$108.75–$408.90	412% above	30%
Total IgE blood test inpatient CPT 82785 HC Ig E	$83.30	$119.00	$29.75–$111.86	—	30%
Total IgE blood test inpatient CPT 82785 HC Pbc Ig E	$304.50	$435.00	$108.75–$408.90	—	30%
Total cholesterol blood test CPT 82465 HC Cholesterol Serum	$46.20	$66.00	$16.50–$62.04	64% above	30%
Total cholesterol blood test CPT 82465 HC Pbc Cholesterol Serum	$193.20	$276.00	$69.00–$259.44	587% above	30%
Total cholesterol blood test inpatient CPT 82465 HC Cholesterol Serum	$46.20	$66.00	$16.50–$62.04	—	30%
Total cholesterol blood test inpatient CPT 82465 HC Pbc Cholesterol Serum	$193.20	$276.00	$69.00–$259.44	—	30%
Total thyroxine (T4) blood test CPT 84436 HC T-4	$73.50	$105.00	$26.25–$98.70	at median	30%
Total thyroxine (T4) blood test CPT 84436 HC Pbc T-4	$187.60	$268.00	$67.00–$251.92	155% above	30%
Total thyroxine (T4) blood test inpatient CPT 84436 HC T-4	$73.50	$105.00	$26.25–$98.70	—	30%
Total thyroxine (T4) blood test inpatient CPT 84436 HC Pbc T-4	$187.60	$268.00	$67.00–$251.92	—	30%
Total triiodothyronine (T3) blood test CPT 84480 HC T3 Total	$120.40	$172.00	$43.00–$161.68	88% above	30%
Total triiodothyronine (T3) blood test CPT 84480 HC Pbc T3 Total	$256.90	$367.00	$91.75–$344.98	301% above	30%
Total triiodothyronine (T3) blood test CPT 84480 HC Dinf Total T3	$256.90	$367.00	$91.75–$344.98	301% above	30%
Total triiodothyronine (T3) blood test inpatient CPT 84480 HC T3 Total	$120.40	$172.00	$43.00–$161.68	—	30%
Total triiodothyronine (T3) blood test inpatient CPT 84480 HC Dinf Total T3	$256.90	$367.00	$91.75–$344.98	—	30%
Total triiodothyronine (T3) blood test inpatient CPT 84480 HC Pbc T3 Total	$256.90	$367.00	$91.75–$344.98	—	30%
Transferrin blood test CPT 84466 HC Transferrin	$100.10	$143.00	$35.75–$134.42	43% above	30%
Transferrin blood test CPT 84466 HC Pbc Transferrin	$236.60	$338.00	$84.50–$317.72	238% above	30%
Transferrin blood test inpatient CPT 84466 HC Transferrin	$100.10	$143.00	$35.75–$134.42	—	30%
Transferrin blood test inpatient CPT 84466 HC Pbc Transferrin	$236.60	$338.00	$84.50–$317.72	—	30%
Trichomonas test (NAAT) CPT 87661 HC Detection Test by Nucleic Acid for Trichomonas	$28.70	$41.00	$10.25–$38.54	52% below	30%
Trichomonas test (NAAT) inpatient CPT 87661 HC Detection Test by Nucleic Acid for Trichomonas	$28.70	$41.00	$10.25–$38.54	—	30%
Triglycerides blood test CPT 84478 HC Triglycerides,Serum	$58.80	$84.00	$21.00–$78.96	21% above	30%
Triglycerides blood test CPT 84478 HC Dinf Triglycerides	$144.90	$207.00	$51.75–$194.58	199% above	30%
Triglycerides blood test CPT 84478 HC Pbc Triglycerides,Serum	$144.90	$207.00	$51.75–$194.58	199% above	30%
Triglycerides blood test CPT 84478 HC Triglyceride With Vap	$144.90	$207.00	$51.75–$194.58	199% above	30%
Triglycerides blood test inpatient CPT 84478 HC Triglycerides,Serum	$58.80	$84.00	$21.00–$78.96	—	30%
Triglycerides blood test inpatient CPT 84478 HC Dinf Triglycerides	$144.90	$207.00	$51.75–$194.58	—	30%
Triglycerides blood test inpatient CPT 84478 HC Pbc Triglycerides,Serum	$144.90	$207.00	$51.75–$194.58	—	30%
Triglycerides blood test inpatient CPT 84478 HC Triglyceride With Vap	$144.90	$207.00	$51.75–$194.58	—	30%
Troponin test, quantitative CPT 84484 HC Troponin I	$170.80	$244.00	$61.00–$229.36	64% above	30%
Troponin test, quantitative CPT 84484 HC Pbc Troponin Istat	$366.10	$523.00	$130.75–$491.62	252% above	30%
Troponin test, quantitative CPT 84484 HC Pbc Troponin I	$366.10	$523.00	$130.75–$491.62	252% above	30%
Troponin test, quantitative inpatient CPT 84484 HC Troponin I	$170.80	$244.00	$61.00–$229.36	—	30%
Troponin test, quantitative inpatient CPT 84484 HC Pbc Troponin I	$366.10	$523.00	$130.75–$491.62	—	30%
Troponin test, quantitative inpatient CPT 84484 HC Pbc Troponin Istat	$366.10	$523.00	$130.75–$491.62	—	30%
Uric acid blood test CPT 84550 HC Uric Acid,Serum	$55.30	$79.00	$19.75–$74.26	7% below	30%
Uric acid blood test CPT 84550 HC Pbc Uric Acid,Serum	$197.40	$282.00	$70.50–$265.08	232% above	30%
Uric acid blood test inpatient CPT 84550 HC Uric Acid,Serum	$55.30	$79.00	$19.75–$74.26	—	30%
Uric acid blood test inpatient CPT 84550 HC Pbc Uric Acid,Serum	$197.40	$282.00	$70.50–$265.08	—	30%
Urinalysis with microscope exam, automated CPT 81001 HC Pbc Urinalysis W/ Micro	$57.40	$82.00	$20.50–$77.08	25% above	30%
Urinalysis with microscope exam, automated CPT 81001 HC Urinalysis W/ Micro	$121.80	$174.00	$43.50–$163.56	165% above	30%
Urinalysis with microscope exam, automated inpatient CPT 81001 HC Pbc Urinalysis W/ Micro	$57.40	$82.00	$20.50–$77.08	—	30%
Urinalysis with microscope exam, automated inpatient CPT 81001 HC Urinalysis W/ Micro	$121.80	$174.00	$43.50–$163.56	—	30%
Urinalysis without microscope exam, automated CPT 81003 HC Urinalysis Auto Without Micro	$53.90	$77.00	$19.25–$72.38	37% above	30%
Urinalysis without microscope exam, automated inpatient CPT 81003 HC Urinalysis Auto Without Micro	$53.90	$77.00	$19.25–$72.38	—	30%
Urinalysis without microscope exam, manual CPT 81002 HC Urinalysis Non Auto, Without Micro	$14.70	$21.00	$5.25–$19.74	44% below	30%
Urinalysis without microscope exam, manual inpatient CPT 81002 HC Urinalysis Non Auto, Without Micro	$14.70	$21.00	$5.25–$19.74	—	30%
Urine culture for bacteria, with colony count CPT 87086 HC Culture,Urine	$96.60	$138.00	$34.50–$129.72	161% above	30%
Urine culture for bacteria, with colony count inpatient CPT 87086 HC Culture,Urine	$96.60	$138.00	$34.50–$129.72	—	30%
Urine microalbumin (albumin) test CPT 82043 HC Albumin Urine Quant	$40.60	$58.00	$14.50–$54.52	13% below	30%
Urine microalbumin (albumin) test CPT 82043 HC Pbc Micralb/Creat Rand UR	$430.50	$615.00	$153.75–$578.10	826% above	30%
Urine microalbumin (albumin) test inpatient CPT 82043 HC Albumin Urine Quant	$40.60	$58.00	$14.50–$54.52	—	30%
Urine microalbumin (albumin) test inpatient CPT 82043 HC Pbc Micralb/Creat Rand UR	$430.50	$615.00	$153.75–$578.10	—	30%
Urine pregnancy test, read by color change CPT 81025 HC Pregnancy Test Urine	$88.90	$127.00	$31.75–$119.38	19% above	30%
Urine pregnancy test, read by color change inpatient CPT 81025 HC Pregnancy Test Urine	$88.90	$127.00	$31.75–$119.38	—	30%
Vitamin B12 (cobalamin) blood test CPT 82607 HC B-12	$72.10	$103.00	$25.75–$96.82	4% above	30%
Vitamin B12 (cobalamin) blood test CPT 82607 HC Pbc B-12	$146.30	$209.00	$52.25–$196.46	111% above	30%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 HC B-12	$72.10	$103.00	$25.75–$96.82	—	30%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 HC Pbc B-12	$146.30	$209.00	$52.25–$196.46	—	30%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HC 25-Hydroxy Vitamin D	$163.80	$234.00	$58.50–$219.96	35% above	30%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HC Pbc 25-Hydroxy Vit D	$539.70	$771.00	$192.75–$724.74	345% above	30%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 HC 25-Hydroxy Vitamin D	$163.80	$234.00	$58.50–$219.96	—	30%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 HC Pbc 25-Hydroxy Vit D	$539.70	$771.00	$192.75–$724.74	—	30%
Vitamin D, 1,25-dihydroxy blood test CPT 82652 HC 1,25 Dihydroxy Vit D	$50.40	$72.00	$18.00–$67.68	64% below	30%
Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 HC 1,25 Dihydroxy Vit D	$50.40	$72.00	$18.00–$67.68	—	30%
Zinc blood test CPT 84630 HC Zinc Assay	$16.80	$24.00	$6.00–$22.56	54% below	30%
Zinc blood test inpatient CPT 84630 HC Zinc Assay	$16.80	$24.00	$6.00–$22.56	—	30%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HC Beta Hcg Total	$338.10	$483.00	$120.75–$454.02	121% above	30%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HC Dinf Beta Hcg	$414.40	$592.00	$148.00–$556.48	171% above	30%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HC Pbc Beta Hcg Total	$414.40	$592.00	$148.00–$556.48	171% above	30%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HC Beta Hcg Total	$338.10	$483.00	$120.75–$454.02	—	30%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HC Dinf Beta Hcg	$414.40	$592.00	$148.00–$556.48	—	30%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HC Pbc Beta Hcg Total	$414.40	$592.00	$148.00–$556.48	—	30%

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs North Carolina	Off list
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 HC Clsd Dist Fib W/O Manip	$3,423.00	$4,890.00	$988.76–$4,596.60	848% above	30%
Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 HC Clsd Dist Fib W/O Manip	$3,423.00	$4,890.00	$988.76–$4,596.60	—	30%
Broken foot (metatarsal) treatment without surgery or setting CPT 28470 HC Clsd Trmt Metatar W/O Manip	$865.20	$1,236.00	$249.92–$1,161.84	141% above	30%
Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 HC Clsd Trmt Metatar W/O Manip	$865.20	$1,236.00	$249.92–$1,161.84	—	30%
Cardiac catheterization with coronary angiogram CPT 93458 HC Coronary Angio W/Lhc and Lv	$8,855.70	$12,651.00	$2,558.03–$11,891.94	21% below	30%
Cardiac catheterization with coronary angiogram inpatient CPT 93458 HC Coronary Angio W/Lhc and Lv	$8,855.70	$12,651.00	$2,558.03–$11,891.94	—	30%
Cardioversion, elective (restoring heart rhythm) CPT 92960 HC Cardioversion	$364.70	$521.00	$105.35–$489.74	64% below	30%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 HC Cardioversion	$364.70	$521.00	$105.35–$489.74	—	30%
Catheter ablation for atrial fibrillation CPT 93656 HC Eps W Afib Pv Ablation	$17,993.50	$25,705.00	$5,197.55–$24,162.70	62% below	30%
Catheter ablation for atrial fibrillation inpatient CPT 93656 HC Eps W Afib Pv Ablation	$17,993.50	$25,705.00	$5,197.55–$24,162.70	—	30%
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 HC Clsd Dist Radial W/O Manip	$2,716.70	$3,881.00	$784.74–$3,648.14	560% above	30%
Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 HC Clsd Dist Radial W/O Manip	$2,716.70	$3,881.00	$784.74–$3,648.14	—	30%
Coronary stent placement, one artery CPT 92928 HC Stent/Ptca Rc	$13,863.50	$19,805.00	$4,004.57–$18,616.70	16% above	30%
Coronary stent placement, one artery CPT 92928 HC Stent/Ptca Ri	$13,863.50	$19,805.00	$4,004.57–$18,616.70	16% above	30%
Coronary stent placement, one artery CPT 92928 HC Stent/Ptca Lc	$13,863.50	$19,805.00	$4,004.57–$18,616.70	16% above	30%
Coronary stent placement, one artery CPT 92928 HC Stent/Ptca Ld	$13,863.50	$19,805.00	$4,004.57–$18,616.70	16% above	30%
Coronary stent placement, one artery CPT 92928 HC Stent/Ptca Lm	$13,863.50	$19,805.00	$4,004.57–$18,616.70	16% above	30%
Coronary stent placement, one artery CPT 92928 HC Drug Eluting Stent/Ptca Lm	$20,966.40	$29,952.00	$6,056.29–$28,154.88	75% above	30%
Coronary stent placement, one artery CPT 92928 HC Drug Eluting Stent/Ptca Lc	$20,966.40	$29,952.00	$6,056.29–$28,154.88	75% above	30%
Coronary stent placement, one artery CPT 92928 HC Drug Eluting Stent/Ptca Rc	$20,966.40	$29,952.00	$6,056.29–$28,154.88	75% above	30%
Coronary stent placement, one artery CPT 92928 HC Drug Eluting Stent/Ptca Ld	$20,966.40	$29,952.00	$6,056.29–$28,154.88	75% above	30%
Coronary stent placement, one artery CPT 92928 HC Drug Eluting Stent/Ptca Ri	$20,966.40	$29,952.00	$6,056.29–$28,154.88	75% above	30%
Coronary stent placement, one artery inpatient CPT 92928 HC Stent/Ptca Ri	$13,863.50	$19,805.00	$4,004.57–$18,616.70	—	30%
Coronary stent placement, one artery inpatient CPT 92928 HC Stent/Ptca Rc	$13,863.50	$19,805.00	$4,004.57–$18,616.70	—	30%
Coronary stent placement, one artery inpatient CPT 92928 HC Stent/Ptca Lm	$13,863.50	$19,805.00	$4,004.57–$18,616.70	—	30%
Coronary stent placement, one artery inpatient CPT 92928 HC Stent/Ptca Ld	$13,863.50	$19,805.00	$4,004.57–$18,616.70	—	30%
Coronary stent placement, one artery inpatient CPT 92928 HC Stent/Ptca Lc	$13,863.50	$19,805.00	$4,004.57–$18,616.70	—	30%
Coronary stent placement, one artery inpatient CPT 92928 HC Drug Eluting Stent/Ptca Ld	$20,966.40	$29,952.00	$6,056.29–$28,154.88	—	30%
Coronary stent placement, one artery inpatient CPT 92928 HC Drug Eluting Stent/Ptca Ri	$20,966.40	$29,952.00	$6,056.29–$28,154.88	—	30%
Coronary stent placement, one artery inpatient CPT 92928 HC Drug Eluting Stent/Ptca Lm	$20,966.40	$29,952.00	$6,056.29–$28,154.88	—	30%
Coronary stent placement, one artery inpatient CPT 92928 HC Drug Eluting Stent/Ptca Rc	$20,966.40	$29,952.00	$6,056.29–$28,154.88	—	30%
Coronary stent placement, one artery inpatient CPT 92928 HC Drug Eluting Stent/Ptca Lc	$20,966.40	$29,952.00	$6,056.29–$28,154.88	—	30%
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 HC Cystourethroscopy/ ED	$700.00	$1,000.00	$202.20–$940.00	49% above	30%
Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 HC Cystourethroscopy/ ED	$700.00	$1,000.00	$202.20–$940.00	—	30%
Earwax removal by irrigation (rinsing), one ear CPT 69209 HC Removal Impacted Cerumen Irriga/ Lvg Uni	$63.00	$90.00	$18.20–$84.60	41% below	30%
Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 HC Removal Impacted Cerumen Irriga/ Lvg Uni	$63.00	$90.00	$18.20–$84.60	—	30%
Earwax removal with instruments, one ear CPT 69210 HC Rem Impacted Cerumen	$63.00	$90.00	$18.20–$84.60	57% below	30%
Earwax removal with instruments, one ear inpatient CPT 69210 HC Rem Impacted Cerumen	$63.00	$90.00	$18.20–$84.60	—	30%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 HC Esi CT Spine W Image	$3,177.30	$4,539.00	$917.79–$4,266.66	136% above	30%
Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 HC Esi CT Spine W Image	$3,177.30	$4,539.00	$917.79–$4,266.66	—	30%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 HC Facet Inj Lb/Sac Sngl W/Img	$3,620.40	$5,172.00	$1,045.78–$4,861.68	180% above	30%
Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 HC Facet Inj Lb/Sac Sngl W/Img	$3,620.40	$5,172.00	$1,045.78–$4,861.68	—	30%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 HC US Sonohysterography Infusion	$1,003.10	$1,433.00	$289.75–$1,347.02	354% above	30%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 HC US Sonohysterography Infusion	$1,003.10	$1,433.00	$289.75–$1,347.02	—	30%
Incision and drainage of a simple or single skin abscess CPT 10060 HC I&D Simple Skin Abscess	$291.90	$417.00	$84.32–$391.98	21% below	30%
Incision and drainage of a simple or single skin abscess CPT 10060 HC CT I&D Simple Skin Abscess	$605.50	$865.00	$174.90–$813.10	64% above	30%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 HC I&D Simple Skin Abscess	$291.90	$417.00	$84.32–$391.98	—	30%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 HC CT I&D Simple Skin Abscess	$605.50	$865.00	$174.90–$813.10	—	30%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 HC Inj Tendon Sheath/Ligament	$400.40	$572.00	$115.66–$537.68	8% above	30%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 HC Inj Tendon Sheath/Ligament	$400.40	$572.00	$115.66–$537.68	—	30%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HC Inj/Asp Major Jnt Site	$210.70	$301.00	$60.86–$282.94	50% below	30%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 HC Inj/Asp Major Jnt Site	$210.70	$301.00	$60.86–$282.94	—	30%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 HC Inj Asp Intermed Jnt	$181.30	$259.00	$52.37–$243.46	48% below	30%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 HC Inj Asp Intermed Jnt	$181.30	$259.00	$52.37–$243.46	—	30%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 HC Arthrocen Sm Joint	$385.00	$550.00	$111.21–$517.00	26% above	30%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 HC Arthrocen Sm Joint	$385.00	$550.00	$111.21–$517.00	—	30%
Laser treatment of clouding after cataract surgery (YAG) CPT 66821 HC Post Capsulotomy	$928.90	$1,327.00	$268.32–$1,247.38	61% above	30%
Laser treatment of clouding after cataract surgery (YAG) inpatient CPT 66821 HC Post Capsulotomy	$928.90	$1,327.00	$268.32–$1,247.38	—	30%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 HC Int Rep Scalp/Tru <2.5cm	$325.50	$465.00	$94.02–$437.10	21% below	30%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 HC Int Rep Scalp/Tru <2.5cm	$325.50	$465.00	$94.02–$437.10	—	30%
Left heart catheterization, diagnostic CPT 93452 HC Lhc W/WO Lv Inc S& I	$8,855.70	$12,651.00	$2,558.03–$11,891.94	2% above	30%
Left heart catheterization, diagnostic inpatient CPT 93452 HC Lhc W/WO Lv Inc S& I	$8,855.70	$12,651.00	$2,558.03–$11,891.94	—	30%
Lower-back epidural injection, with imaging guidance CPT 62323 HC Esi L-S Spine W Image	$3,177.30	$4,539.00	$917.79–$4,266.66	162% above	30%
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 HC Esi L-S Spine W Image	$3,177.30	$4,539.00	$917.79–$4,266.66	—	30%
Lower-back epidural injection, without imaging guidance CPT 62322 HC Injection Dx Ther Agnt Epid, Lmbr, Sac W/O Imge Guidnce	$2,998.10	$4,283.00	$866.02–$4,026.02	144% above	30%
Lower-back epidural injection, without imaging guidance inpatient CPT 62322 HC Injection Dx Ther Agnt Epid, Lmbr, Sac W/O Imge Guidnce	$2,998.10	$4,283.00	$866.02–$4,026.02	—	30%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 HC Inj Epid L/Sac Init	$3,091.20	$4,416.00	$892.92–$4,151.04	102% above	30%
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 HC Inj Epid L/Sac Init	$3,091.20	$4,416.00	$892.92–$4,151.04	—	30%
Nail removal (partial or complete), one nail CPT 11730 HC Avuls Nail Plate Single	$185.50	$265.00	$53.58–$249.10	13% below	30%
Nail removal (partial or complete), one nail inpatient CPT 11730 HC Avuls Nail Plate Single	$185.50	$265.00	$53.58–$249.10	—	30%
Occipital nerve block (injection for headaches) CPT 64405 HC Inj Anes Grtr Occ Nerv	$1,788.50	$2,555.00	$516.62–$2,401.70	201% above	30%
Occipital nerve block (injection for headaches) inpatient CPT 64405 HC Inj Anes Grtr Occ Nerv	$1,788.50	$2,555.00	$516.62–$2,401.70	—	30%
Paracentesis with imaging guidance CPT 49083 HC Paracentesis W Guidance	$642.60	$918.00	$185.62–$862.92	50% below	30%
Paracentesis with imaging guidance CPT 49083 HC CT Abd Paracentesis W Guid	$3,054.10	$4,363.00	$882.20–$4,101.22	137% above	30%
Paracentesis with imaging guidance CPT 49083 HC Abd Paracentesis W/Guidance	$3,054.10	$4,363.00	$882.20–$4,101.22	137% above	30%
Paracentesis with imaging guidance inpatient CPT 49083 HC Paracentesis W Guidance	$642.60	$918.00	$185.62–$862.92	—	30%
Paracentesis with imaging guidance inpatient CPT 49083 HC Abd Paracentesis W/Guidance	$3,054.10	$4,363.00	$882.20–$4,101.22	—	30%
Paracentesis with imaging guidance inpatient CPT 49083 HC CT Abd Paracentesis W Guid	$3,054.10	$4,363.00	$882.20–$4,101.22	—	30%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 HC Removal of Nail Plate	$289.10	$413.00	$83.51–$388.22	50% below	30%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 HC Removal of Nail Plate	$289.10	$413.00	$83.51–$388.22	—	30%
Prostate biopsy CPT 55700 HC CT Biopsy Prostate	$1,667.40	$2,382.00	$481.64–$2,239.08	15% above	30%
Prostate biopsy inpatient CPT 55700 HC CT Biopsy Prostate	$1,667.40	$2,382.00	$481.64–$2,239.08	—	30%
Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 HC Dest W/Neuro Agnt Lumb/Sac Sngl Jt	$2,444.40	$3,492.00	$706.08–$3,282.48	19% below	30%
Radiofrequency ablation of facet joint nerves, lower back, one level inpatient CPT 64635 HC Dest W/Neuro Agnt Lumb/Sac Sngl Jt	$2,444.40	$3,492.00	$706.08–$3,282.48	—	30%
Removal of a foreign object under the skin, simple CPT 10120 HC FB Removal Tissue Simple	$763.70	$1,091.00	$220.60–$1,025.54	71% above	30%
Removal of a foreign object under the skin, simple inpatient CPT 10120 HC FB Removal Tissue Simple	$763.70	$1,091.00	$220.60–$1,025.54	—	30%
Short arm cast (elbow to hand) CPT 29075 HC Cast Elbow/Finger Sht Arm	$982.10	$1,403.00	$283.69–$1,318.82	196% above	30%
Short arm cast (elbow to hand) inpatient CPT 29075 HC Cast Elbow/Finger Sht Arm	$982.10	$1,403.00	$283.69–$1,318.82	—	30%
Short arm splint (forearm and hand) CPT 29125 HC App Splint Short Arm	$784.70	$1,121.00	$226.67–$1,053.74	209% above	30%
Short arm splint (forearm and hand) inpatient CPT 29125 HC App Splint Short Arm	$784.70	$1,121.00	$226.67–$1,053.74	—	30%
Short leg cast (below the knee) CPT 29405 HC App Short Leg Cast	$1,019.20	$1,456.00	$294.40–$1,368.64	168% above	30%
Short leg cast (below the knee) inpatient CPT 29405 HC App Short Leg Cast	$1,019.20	$1,456.00	$294.40–$1,368.64	—	30%
Short leg splint (calf to foot) CPT 29515 HC App Short Leg Splint	$1,371.30	$1,959.00	$396.11–$1,841.46	522% above	30%
Short leg splint (calf to foot) inpatient CPT 29515 HC App Short Leg Splint	$1,371.30	$1,959.00	$396.11–$1,841.46	—	30%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 HC Smpl Rep Scalp/Tru <2.5cm	$382.90	$547.00	$110.60–$514.18	15% above	30%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 HC Smpl Rep Scalp/Tru <2.5cm	$382.90	$547.00	$110.60–$514.18	—	30%
Skin biopsy, punch, one lesion CPT 11104 HC Punch Biopsy of Skin	$352.10	$503.00	$101.71–$472.82	20% above	30%
Skin biopsy, punch, one lesion inpatient CPT 11104 HC Punch Biopsy of Skin	$352.10	$503.00	$101.71–$472.82	—	30%
Skin tag removal, up to 15 tags CPT 11200 HC Rem Skin Tags, Multiple Fibrocut Tags, Up to/Inc 15 Lesions	$203.70	$291.00	$58.84–$273.54	28% below	30%
Skin tag removal, up to 15 tags inpatient CPT 11200 HC Rem Skin Tags, Multiple Fibrocut Tags, Up to/Inc 15 Lesions	$203.70	$291.00	$58.84–$273.54	—	30%
Spinal tap (lumbar puncture), diagnostic CPT 62270 HC Spine Puncture Lumbar Diag	$782.60	$1,118.00	$226.06–$1,050.92	4% below	30%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 HC Spine Puncture Lumbar Diag	$782.60	$1,118.00	$226.06–$1,050.92	—	30%
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 Rep Scalp/Tru 2.6 - 7.5	$424.90	$607.00	$122.74–$570.58	12% above	30%
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 Rep Scalp/Tru 2.6 - 7.5	$424.90	$607.00	$122.74–$570.58	—	30%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 HC Smpl Rep Face/Ears/<2.5cm	$361.20	$516.00	$104.34–$485.04	12% above	30%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 HC Smpl Rep Face/Ears/<2.5cm	$361.20	$516.00	$104.34–$485.04	—	30%
Thoracentesis with imaging guidance CPT 32555 HC Thora W Image Guide	$642.60	$918.00	$185.62–$862.92	38% below	30%
Thoracentesis with imaging guidance inpatient CPT 32555 HC Thora W Image Guide	$642.60	$918.00	$185.62–$862.92	—	30%
Trigger point injections, 1 or 2 muscles CPT 20552 HC Inj Sing/Mult Trig Point(S) 1-2 Musc	$577.50	$825.00	$166.82–$775.50	25% above	30%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 HC Inj Sing/Mult Trig Point(S) 1-2 Musc	$577.50	$825.00	$166.82–$775.50	—	30%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 HC Brst Bx US Guid 1st Lesion	$1,362.20	$1,946.00	$393.48–$1,829.24	33% below	30%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 HC Bx Breast W/Device 1st Lesion Ultrasound Guid	$2,748.90	$3,927.00	$794.04–$3,691.38	36% above	30%
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 HC Brst Bx US Guid 1st Lesion	$1,362.20	$1,946.00	$393.48–$1,829.24	—	30%
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 HC Bx Breast W/Device 1st Lesion Ultrasound Guid	$2,748.90	$3,927.00	$794.04–$3,691.38	—	30%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 HC Deb Subc Tiss 1st 20 Sqcm	$1,094.10	$1,563.00	$316.04–$1,469.22	152% above	30%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 HC Deb Subc Tiss 1st 20 Sqcm	$1,094.10	$1,563.00	$316.04–$1,469.22	—	30%

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs North Carolina	Off list
Blood transfusion (giving blood or blood components) CPT 36430 HC Transfusion Blood or Bld Comp	$745.50	$1,065.00	$215.34–$1,001.10	at median	30%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 HC Transfusion Blood or Bld Comp	$745.50	$1,065.00	$215.34–$1,001.10	—	30%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC Aerosol /Mdi Tx Init Inc Pt Educ	$26.60	$38.00	$7.68–$35.72	75% below	30%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC Aerosol /Mdi Tx Init Inc Pt Educ	$26.60	$38.00	$7.68–$35.72	—	30%
Chemotherapy IV infusion, first hour CPT 96413 HC Chemo. Infus 1hr Initial Med	$488.60	$698.00	$141.14–$656.12	20% below	30%
Chemotherapy IV infusion, first hour inpatient CPT 96413 HC Chemo. Infus 1hr Initial Med	$488.60	$698.00	$141.14–$656.12	—	30%
Comprehensive hearing test: tone and speech audiometry, both ears CPT 92557 HC Comprehensive Hearing Test	$582.40	$832.00	$168.23–$782.08	267% above	30%
Comprehensive hearing test: tone and speech audiometry, both ears inpatient CPT 92557 HC Comprehensive Hearing Test	$582.40	$832.00	$168.23–$782.08	—	30%
Critical care, first 30 to 74 minutes CPT 99291 HC Critical Care First 30-74min	$2,448.60	$3,498.00	$707.30–$3,288.12	3% above	30%
Critical care, first 30 to 74 minutes CPT 99291 HC Critical Care/ Trauma W/O Pre Notification	$8,470.00	$12,100.00	$2,446.62–$11,374.00	258% above	30%
Critical care, first 30 to 74 minutes inpatient CPT 99291 HC Critical Care First 30-74min	$2,448.60	$3,498.00	$707.30–$3,288.12	—	30%
Critical care, first 30 to 74 minutes inpatient CPT 99291 HC Critical Care/ Trauma W/O Pre Notification	$8,470.00	$12,100.00	$2,446.62–$11,374.00	—	30%
EEG (brain wave test), awake and drowsy, routine CPT 95816 HC Eeg/Awake and Drowsy	$1,390.90	$1,987.00	$401.77–$1,867.78	72% above	30%
EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 HC Eeg/Awake and Drowsy	$1,390.90	$1,987.00	$401.77–$1,867.78	—	30%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 HC Ekg 12 Lead	$181.30	$259.00	$52.37–$243.46	4% above	30%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 HC Ekg 12 Lead	$181.30	$259.00	$52.37–$243.46	—	30%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 HC Emergency Care I	$308.70	$441.00	$89.17–$414.54	62% above	30%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 HC Emergency Care I	$308.70	$441.00	$89.17–$414.54	—	30%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 HC Emergency Care II-Brief	$617.40	$882.00	$178.34–$829.08	31% above	30%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 HC Emergency Care II-Brief	$617.40	$882.00	$178.34–$829.08	—	30%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 HC Emergency Care III-Limited	$919.10	$1,313.00	$265.49–$1,234.22	7% above	30%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 HC Emergency Care III-Limited	$919.10	$1,313.00	$265.49–$1,234.22	—	30%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 HC Emergency Care IV-Intermediate	$1,463.00	$2,090.00	$422.60–$1,964.60	19% above	30%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 HC Emergency Care IV-Intermediate	$1,463.00	$2,090.00	$422.60–$1,964.60	—	30%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HC Emergency Care V-Extended	$1,785.70	$2,551.00	$515.81–$2,397.94	5% below	30%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 HC Emergency Care V-Extended	$1,785.70	$2,551.00	$515.81–$2,397.94	—	30%
Exercise stress test, tracing only, the hospital charge CPT 93017 HC Cardiovasc Stress Test Tracing	$907.90	$1,297.00	$262.25–$1,219.18	11% below	30%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 HC Cardiovasc Stress Test Tracing	$907.90	$1,297.00	$262.25–$1,219.18	—	30%
Family therapy with the patient, 50 minutes CPT 90847 HC Family Psychotherapy With Pt Present, 50	$112.00	$160.00	$32.35–$150.40	24% below	30%
Family therapy with the patient, 50 minutes CPT 90847 HC Family Psychotherapy With Pt Present, 50 Mins	$112.00	$160.00	$32.35–$150.40	24% below	30%
Family therapy with the patient, 50 minutes inpatient CPT 90847 HC Family Psychotherapy With Pt Present, 50 Mins	$112.00	$160.00	$32.35–$150.40	—	30%
Family therapy with the patient, 50 minutes inpatient CPT 90847 HC Family Psychotherapy With Pt Present, 50	$112.00	$160.00	$32.35–$150.40	—	30%
Family therapy without the patient, 50 minutes CPT 90846 HC Family Psychotherapy WO Pt Present, 50 Mins	$112.00	$160.00	$32.35–$150.40	34% above	30%
Family therapy without the patient, 50 minutes CPT 90846 HC Family Psychotherapy WO Pt Present, 50 M	$112.00	$160.00	$32.35–$150.40	34% above	30%
Family therapy without the patient, 50 minutes inpatient CPT 90846 HC Family Psychotherapy WO Pt Present, 50 M	$112.00	$160.00	$32.35–$150.40	—	30%
Family therapy without the patient, 50 minutes inpatient CPT 90846 HC Family Psychotherapy WO Pt Present, 50 Mins	$112.00	$160.00	$32.35–$150.40	—	30%
Group psychotherapy session CPT 90853 HC Group Psychotherapy, Other Than Multi Fam	$224.00	$320.00	$64.70–$300.80	113% above	30%
Group psychotherapy session CPT 90853 HC Group Psychotherapy, Other Than Multi Fa	$224.00	$320.00	$64.70–$300.80	113% above	30%
Group psychotherapy session inpatient CPT 90853 HC Group Psychotherapy, Other Than Multi Fam	$224.00	$320.00	$64.70–$300.80	—	30%
Group psychotherapy session inpatient CPT 90853 HC Group Psychotherapy, Other Than Multi Fa	$224.00	$320.00	$64.70–$300.80	—	30%
Holter monitor, heart rhythm recording up to 48 hours, with report CPT 93224 Pbb HC Xtrnl Ecg & 48 Hr Record Scan Stor W/R&I	$133.70	$191.00	$38.62–$179.54	—	30%
Holter monitor, heart rhythm recording up to 48 hours, with report inpatient CPT 93224 Pbb HC Xtrnl Ecg & 48 Hr Record Scan Stor W/R&I	$133.70	$191.00	$38.62–$179.54	—	30%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HC Hydratn Infusn Init 31 Min 1hr	$407.40	$582.00	$117.68–$547.08	33% above	30%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HC Hydratn Infusn Init 31 Min 1hr	$407.40	$582.00	$117.68–$547.08	—	30%
IV infusion of a medicine, first hour CPT 96365 HC Therapeutic Infusion Init 1hr	$371.00	$530.00	$107.17–$498.20	13% above	30%
IV infusion of a medicine, first hour inpatient CPT 96365 HC Therapeutic Infusion Init 1hr	$371.00	$530.00	$107.17–$498.20	—	30%
IV push of a medicine, first drug CPT 96374 HC Injection Intravenous Initial	$149.80	$214.00	$43.27–$201.16	32% below	30%
IV push of a medicine, first drug CPT 96374 HC Therapeutic Inj Chem Cardvrsn	$224.70	$321.00	$64.91–$301.74	3% above	30%
IV push of a medicine, first drug inpatient CPT 96374 HC Injection Intravenous Initial	$149.80	$214.00	$43.27–$201.16	—	30%
IV push of a medicine, first drug inpatient CPT 96374 HC Therapeutic Inj Chem Cardvrsn	$224.70	$321.00	$64.91–$301.74	—	30%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 HC Inj Subq/Intramusc	$149.80	$214.00	$43.27–$201.16	50% above	30%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 HC Inj Subq/Intramusc	$149.80	$214.00	$43.27–$201.16	—	30%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 HC Psychiatric Diagnostic Evaluation	$175.00	$250.00	$50.55–$235.00	12% above	30%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 HC Psychiatric Ex Eval	$175.00	$250.00	$50.55–$235.00	12% above	30%
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 HC Psychiatric Ex Eval	$175.00	$250.00	$50.55–$235.00	—	30%
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 HC Psychiatric Diagnostic Evaluation	$175.00	$250.00	$50.55–$235.00	—	30%
Nerve conduction study, 7 or 8 nerve studies CPT 95910 HC Nerve Conduction Studies; 7-8 Studies	$631.40	$902.00	$182.38–$847.88	21% below	30%
Nerve conduction study, 7 or 8 nerve studies CPT 95910 HC Nerve Conduction 7-8 Studies	$770.70	$1,101.00	$222.62–$1,034.94	4% below	30%
Nerve conduction study, 7 or 8 nerve studies inpatient CPT 95910 HC Nerve Conduction Studies; 7-8 Studies	$631.40	$902.00	$182.38–$847.88	—	30%
Nerve conduction study, 7 or 8 nerve studies inpatient CPT 95910 HC Nerve Conduction 7-8 Studies	$770.70	$1,101.00	$222.62–$1,034.94	—	30%
Neuromuscular re-education, 15 minutes CPT 97112 HC Neuromuscular Reeduct 15min	$115.50	$165.00	$33.36–$155.10	24% above	30%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 HC Neuromuscular Reeduct 15min	$115.50	$165.00	$33.36–$155.10	—	30%
New patient office visit, about 30 minutes CPT 99203 HC Visit Level 3 New Patient	$270.20	$386.00	$78.05–$362.84	34% above	30%
New patient office visit, about 30 minutes inpatient CPT 99203 HC Visit Level 3 New Patient	$270.20	$386.00	$78.05–$362.84	—	30%
New patient office visit, about 45 minutes CPT 99204 HC Visit Level 4 New Patient	$358.40	$512.00	$103.53–$481.28	47% above	30%
New patient office visit, about 45 minutes inpatient CPT 99204 HC Visit Level 4 New Patient	$358.40	$512.00	$103.53–$481.28	—	30%
New patient office visit, about 60 minutes CPT 99205 HC Visit Level 5 New Patient	$490.70	$701.00	$141.74–$658.94	66% above	30%
New patient office visit, about 60 minutes inpatient CPT 99205 HC Visit Level 5 New Patient	$490.70	$701.00	$141.74–$658.94	—	30%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 HC Visit Level 2 New Patient	$205.80	$294.00	$59.45–$276.36	20% above	30%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 HC Visit Level 2 New Patient	$205.80	$294.00	$59.45–$276.36	—	30%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 HC Med Nutr Tx Initial Assm Ea 15 Min	$48.30	$69.00	$13.95–$64.86	4% above	30%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 HC Med Nutr Tx Initial Assm Ea 15 Min	$48.30	$69.00	$13.95–$64.86	—	30%
Occupational therapy evaluation, low complexity CPT 97165 Pbb HC Ot Eval Level 1-Low Comp	$195.30	$279.00	$56.41–$262.26	4% above	30%
Occupational therapy evaluation, low complexity CPT 97165 HC Ot Eval Level 1-Low Comp	$210.70	$301.00	$60.86–$282.94	12% above	30%
Occupational therapy evaluation, low complexity inpatient CPT 97165 Pbb HC Ot Eval Level 1-Low Comp	$195.30	$279.00	$56.41–$262.26	—	30%
Occupational therapy evaluation, low complexity inpatient CPT 97165 HC Ot Eval Level 1-Low Comp	$210.70	$301.00	$60.86–$282.94	—	30%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 Pbb HC Pt Eval Level 3-High Comp	$121.10	$173.00	$34.98–$162.62	59% below	30%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 HC Pt Eval Level 3-High Comp	$207.90	$297.00	$60.05–$279.18	30% below	30%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 Pbb HC Pt Eval Level 3-High Comp	$121.10	$173.00	$34.98–$162.62	—	30%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 HC Pt Eval Level 3-High Comp	$207.90	$297.00	$60.05–$279.18	—	30%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 Pbb HC Pt Eval Level 1-Low Comp	$121.10	$173.00	$34.98–$162.62	42% below	30%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 HC Pt Eval Level 1-Low Comp	$207.90	$297.00	$60.05–$279.18	1% below	30%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 Pbb HC Pt Eval Level 1-Low Comp	$121.10	$173.00	$34.98–$162.62	—	30%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 HC Pt Eval Level 1-Low Comp	$207.90	$297.00	$60.05–$279.18	—	30%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 Pbb HC Pt Eval Level 2-Mod Comp	$121.10	$173.00	$34.98–$162.62	52% below	30%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 HC Pt Eval Level 2-Mod Comp	$207.90	$297.00	$60.05–$279.18	17% below	30%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 Pbb HC Pt Eval Level 2-Mod Comp	$121.10	$173.00	$34.98–$162.62	—	30%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 HC Pt Eval Level 2-Mod Comp	$207.90	$297.00	$60.05–$279.18	—	30%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HC Manual Ther Tech 15min	$101.50	$145.00	$29.32–$136.30	20% below	30%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HC Manual Ther Tech 15min	$101.50	$145.00	$29.32–$136.30	—	30%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC Therapeutic Procd 15min	$115.50	$165.00	$33.36–$155.10	18% above	30%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC Therapeutic Procd 15min	$115.50	$165.00	$33.36–$155.10	—	30%
Psychiatric evaluation with medical services CPT 90792 HC Psychiatric Ex Eval W/ Med Eval	$245.00	$350.00	$70.77–$329.00	135% above	30%
Psychiatric evaluation with medical services inpatient CPT 90792 HC Psychiatric Ex Eval W/ Med Eval	$245.00	$350.00	$70.77–$329.00	—	30%
Psychotherapy for crisis, first 60 minutes CPT 90839 HC Psychotherapy Crisis First 60 Mins	$157.50	$225.00	$45.50–$211.50	38% above	30%
Psychotherapy for crisis, first 60 minutes inpatient CPT 90839 HC Psychotherapy Crisis First 60 Mins	$157.50	$225.00	$45.50–$211.50	—	30%
Psychotherapy session, 30 minutes CPT 90832 HC Psychotherapy 30 Mins W/ Pt	$84.00	$120.00	$24.26–$112.80	1% below	30%
Psychotherapy session, 30 minutes inpatient CPT 90832 HC Psychotherapy 30 Mins W/ Pt	$84.00	$120.00	$24.26–$112.80	—	30%
Psychotherapy session, 45 minutes CPT 90834 HC Psychotherapy 45 Mins W/ Pt	$112.00	$160.00	$32.35–$150.40	at median	30%
Psychotherapy session, 45 minutes inpatient CPT 90834 HC Psychotherapy 45 Mins W/ Pt	$112.00	$160.00	$32.35–$150.40	—	30%
Psychotherapy session, 60 minutes CPT 90837 HC Psychotherapy 60 Mins W/ Pt	$224.00	$320.00	$64.70–$300.80	66% above	30%
Psychotherapy session, 60 minutes inpatient CPT 90837 HC Psychotherapy 60 Mins W/ Pt	$224.00	$320.00	$64.70–$300.80	—	30%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 HC Smoking Cess Intermed3-10mins	$19.60	$28.00	$5.66–$26.32	11% below	30%
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 HC Smoking Cess Intermed3-10mins	$19.60	$28.00	$5.66–$26.32	—	30%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 HC Est Patient Level 5	$358.40	$512.00	$103.53–$481.28	55% above	30%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 HC Est Patient Level 5	$358.40	$512.00	$103.53–$481.28	—	30%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 HC Est Patient Level 3	$205.80	$294.00	$59.45–$276.36	7% above	30%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 HC Est Patient Level 3	$205.80	$294.00	$59.45–$276.36	—	30%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HC Est Patient Level 4	$270.20	$386.00	$78.05–$362.84	26% above	30%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 HC Est Patient Level 4	$270.20	$386.00	$78.05–$362.84	—	30%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HC Est Patient Level 2	$205.80	$294.00	$59.45–$276.36	7% below	30%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 HC Est Patient Level 2	$205.80	$294.00	$59.45–$276.36	—	30%
Speech and language evaluation CPT 92523 HC Speech and Language Eval	$205.80	$294.00	$59.45–$276.36	35% below	30%
Speech and language evaluation inpatient CPT 92523 HC Speech and Language Eval	$205.80	$294.00	$59.45–$276.36	—	30%
Speech therapy session, individual CPT 92507 HC Speech Ther Individual	$107.10	$153.00	$30.94–$143.82	40% below	30%
Speech therapy session, individual inpatient CPT 92507 HC Speech Ther Individual	$107.10	$153.00	$30.94–$143.82	—	30%
Spirometry (breathing test) CPT 94010 HC Spirometry	$167.30	$239.00	$48.33–$224.66	32% below	30%
Spirometry (breathing test) inpatient CPT 94010 HC Spirometry	$167.30	$239.00	$48.33–$224.66	—	30%
Spirometry before and after a bronchodilator CPT 94060 HC Spirometry,B&a Brochodilator	$721.70	$1,031.00	$208.47–$969.14	38% above	30%
Spirometry before and after a bronchodilator inpatient CPT 94060 HC Spirometry,B&a Brochodilator	$721.70	$1,031.00	$208.47–$969.14	—	30%
Therapeutic activities (functional training), 15 minutes CPT 97530 HC Therapeutic Activities 15 Min	$73.50	$105.00	$21.23–$98.70	31% below	30%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HC Therapeutic Activities 15 Min	$73.50	$105.00	$21.23–$98.70	—	30%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 HC Therapeutic Phlebotomy	$189.70	$271.00	$54.80–$254.74	12% below	30%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 HC Therapeutic Phlebotomy	$189.70	$271.00	$54.80–$254.74	—	30%
Treadmill or drug stress test with ECG, supervision and report CPT 93015 Pbb HC Cv Strs Tst Xers&/or Rx Cont Ecg W/Si&R	$112.70	$161.00	$32.55–$151.34	—	30%
Treadmill or drug stress test with ECG, supervision and report inpatient CPT 93015 Pbb HC Cv Strs Tst Xers&/or Rx Cont Ecg W/Si&R	$112.70	$161.00	$32.55–$151.34	—	30%

Vaccines

Procedure	Cash price	List price	Insurers pay	vs North Carolina	Off list
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC Admin Immunization Single	$126.70	$181.00	$36.60–$170.14	76% above	30%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC Admin,Pneumonia Vaccine	$134.40	$192.00	$38.82–$180.48	87% above	30%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC Admin Immunization Single	$126.70	$181.00	$36.60–$170.14	—	30%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC Admin,Pneumonia Vaccine	$134.40	$192.00	$38.82–$180.48	—	30%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 HC Administration Vaccine, Ea Add	$126.70	$181.00	$36.60–$170.14	111% above	30%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 HC Administration Vaccine, Ea Add	$126.70	$181.00	$36.60–$170.14	—	30%

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://erlanger.pt.panaceainc.com/MRFDownload/erlanger/westcarolina