Ascension St Vincent's Riverside
Listed in its price file as “St. Vincent's Medical Center, Inc. (FL)”.
Ascension St Vincent's Riverside in Jacksonville, FL publishes cash prices for 316 common procedures listed here, from its own machine-readable price file updated Jan 1, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the Florida median for 284 of 314 procedures and above it for 25. By typical cash price it ranks #16 of 171 Florida hospitals and #3 of 13 hospitals in the Jacksonville, FL area, cheapest first. Select a procedure to compare it with other hospitals nearby.
1 Shircliff Way Jacksonville FL 32204 Collected Sep 23, 2026 Source price file Check a bill from this hospital (904) 308-7300
Acute care hospital Nonprofit hospital Emergency department CMS star rating 3 of 5 CCN 100040 · CMS hospital register NPI 1134117575
Financial assistance
Nonprofit hospital: it must offer free or discounted care to patients who qualify. How to apply
Ascension St Vincent's Riverside 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 Florida | Off list |
|---|---|---|---|---|---|
| Abdominal CT scan without and with contrast CPT 74170 CT ABDOMEN W/WO CONTRAST | $693.10 | $1,873.25 | $374.65–$693.10 | 83% below | 63% |
| Abdominal CT scan without and with contrast CPT 74170 CT ABDOMEN W/WO CONTRAST | $693.10 | $1,873.25 | $374.65–$693.10 | 83% below | 63% |
| Abdominal CT scan without and with contrast inpatient CPT 74170 CT ABDOMEN W/WO CONTRAST | $693.10 | $1,873.25 | $374.65–$693.10 | — | 63% |
| Abdominal X-ray, 2 views CPT 74019 XR ABDOMEN 2 VIEW | $174.46 | $471.50 | $70.60–$174.46 | 73% below | 63% |
| Abdominal X-ray, 2 views CPT 74019 XR ABDOMEN 2 VIEW | $174.46 | $471.50 | $70.60–$174.46 | 73% below | 63% |
| Abdominal X-ray, 2 views inpatient CPT 74019 XR ABDOMEN 2 VIEW | $174.46 | $471.50 | $70.60–$174.46 | — | 63% |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 XR ANKLE COMP 3+ VIEWS LT | $206.83 | $559.00 | $75.77–$206.83 | 67% below | 63% |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 XR ANKLE COMP + 3 VIEWS LT | $206.83 | $559.00 | $75.77–$206.83 | 67% below | 63% |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 XR ANKLE COMP 3+ VIEWS LT | $206.83 | $559.00 | $75.77–$206.83 | 67% below | 63% |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 XR ANKLE COMP + 3 VIEWS RT | $206.83 | $559.00 | $75.77–$206.83 | 67% below | 63% |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 XR ANKLE COMP + 3 VIEWS LT | $206.83 | $559.00 | $75.77–$206.83 | 67% below | 63% |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 XR ANKLE COMP 3+ VIEWS RT | $206.83 | $559.00 | $75.77–$206.83 | 67% below | 63% |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 XR ANKLE COMP + 3 VIEWS RT | $206.83 | $559.00 | $75.77–$206.83 | 67% below | 63% |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 XR ANKLE COMP 3+ VIEWS RT | $206.83 | $559.00 | $75.77–$206.83 | 67% below | 63% |
| Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 XR ANKLE COMP + 3 VIEWS RT | $206.83 | $559.00 | $75.77–$206.83 | — | 63% |
| Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 XR ANKLE COMP 3+ VIEWS LT | $206.83 | $559.00 | $75.77–$206.83 | — | 63% |
| Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 XR ANKLE COMP + 3 VIEWS LT | $206.83 | $559.00 | $75.77–$206.83 | — | 63% |
| Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 XR ANKLE COMP 3+ VIEWS RT | $206.83 | $559.00 | $75.77–$206.83 | — | 63% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries both sides CPT 93922 PBB KS EXT ART 1-2 LEVEL BILAT | $304.14 | $822.00 | $160.48–$304.14 | — | 63% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries both sides CPT 93922 PBB OP EXT ART 1-2 LEVEL BILAT | $304.14 | $822.00 | $160.48–$304.14 | — | 63% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries both sides CPT 93922 PBB KS EXT ART 1-2 LEVEL BILAT | $304.14 | $822.00 | $160.48–$304.14 | — | 63% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries both sides CPT 93922 PBB OP EXT ART 1-2 LEVEL BILAT | $304.14 | $822.00 | $160.48–$304.14 | — | 63% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries both sides CPT 93922 EXT ART 1-2 LEVEL BILAT | $437.99 | $1,183.75 | $160.48–$1,140.00 | — | 63% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries both sides CPT 93922 EXT ART 1-2 LEVEL BILAT | $437.99 | $1,183.75 | $160.48–$1,140.00 | — | 63% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 EXT ART 1-2 LEVELS BIL | $437.99 | $1,183.75 | $160.48–$1,140.00 | 29% below | 63% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 VI EXT ART 1-2 LEVELS BIL | $437.99 | $1,183.75 | $160.48–$1,140.00 | 29% below | 63% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 DOPPLER ART EXT LTD BIL | $437.99 | $1,183.75 | $160.48–$1,140.00 | 29% below | 63% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 VI EXT ART 1-2 LEVELS BIL | $437.99 | $1,183.75 | $160.48–$1,140.00 | 29% below | 63% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 DOPPLER ART EXT LTD BIL | $437.99 | $1,183.75 | $160.48–$1,140.00 | 29% below | 63% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 EXT ART 1-2 LEVELS BIL | $437.99 | $1,183.75 | $160.48–$1,140.00 | 29% below | 63% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient both sides CPT 93922 PBB KS EXT ART 1-2 LEVEL BILAT | $304.14 | $822.00 | $160.48–$304.14 | — | 63% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient both sides CPT 93922 PBB OP EXT ART 1-2 LEVEL BILAT | $304.14 | $822.00 | $160.48–$304.14 | — | 63% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient both sides CPT 93922 EXT ART 1-2 LEVEL BILAT | $437.99 | $1,183.75 | $160.48–$1,140.00 | — | 63% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 DOPPLER ART EXT LTD BIL | $437.99 | $1,183.75 | $160.48–$1,140.00 | — | 63% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 VI EXT ART 1-2 LEVELS BIL | $437.99 | $1,183.75 | $160.48–$1,140.00 | — | 63% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 EXT ART 1-2 LEVELS BIL | $437.99 | $1,183.75 | $160.48–$1,140.00 | — | 63% |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT UPPER EXT W/O CONTRAST LT | $601.44 | $1,625.50 | $235.69–$601.43 | 74% below | 63% |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT UPPER EXT W/O CONTRAST RT | $601.44 | $1,625.50 | $235.69–$601.43 | 74% below | 63% |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT UPPER EXT W/O CONTRAST RT | $601.44 | $1,625.50 | $235.69–$601.43 | 74% below | 63% |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT UPPER EXT W/O CONTRAST LT | $601.44 | $1,625.50 | $235.69–$601.43 | 74% below | 63% |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT UPPER EXT W/O CONTRAST LT | $601.44 | $1,625.50 | $235.69–$601.43 | — | 63% |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT UPPER EXT W/O CONTRAST RT | $601.44 | $1,625.50 | $235.69–$601.43 | — | 63% |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 XR ESOPHAGUS | $419.77 | $1,134.50 | $192.25–$419.76 | 50% below | 63% |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 XR ESOPHAGUS | $419.77 | $1,134.50 | $192.25–$419.76 | 50% below | 63% |
| Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 XR ESOPHAGUS | $419.77 | $1,134.50 | $192.25–$419.76 | — | 63% |
| Bone scan, whole body (nuclear medicine) CPT 78306 NM BONE WHOLE BODY | $1,665.83 | $4,502.25 | $766.47–$1,665.83 | 34% below | 63% |
| Bone scan, whole body (nuclear medicine) CPT 78306 NM BONE WHOLE BODY | $1,665.83 | $4,502.25 | $766.47–$1,665.83 | 34% below | 63% |
| Bone scan, whole body (nuclear medicine) inpatient CPT 78306 NM BONE WHOLE BODY | $1,665.83 | $4,502.25 | $766.47–$1,665.83 | — | 63% |
| Breast ultrasound, complete, one breast both sides CPT 76641 US BREAST UNILAT COMPLETE BI | $754.80 | $2,040.00 | $205.66–$754.80 | — | 63% |
| Breast ultrasound, complete, one breast both sides CPT 76641 US BREAST UNILAT COMPLETE BI | $754.80 | $2,040.00 | $205.66–$754.80 | — | 63% |
| Breast ultrasound, complete, one breast one side CPT 76641 US BREAST UNILAT COMPLETE LT | $377.40 | $1,020.00 | $204.00–$377.40 | 35% below | 63% |
| Breast ultrasound, complete, one breast one side CPT 76641 US BREAST UNILAT COMPLETE RT | $377.40 | $1,020.00 | $204.00–$377.40 | 35% below | 63% |
| Breast ultrasound, complete, one breast one side CPT 76641 US BREAST UNILAT COMPLETE RT | $377.40 | $1,020.00 | $204.00–$377.40 | 35% below | 63% |
| Breast ultrasound, complete, one breast one side CPT 76641 US BREAST UNILAT COMPLETE LT | $377.40 | $1,020.00 | $204.00–$377.40 | 35% below | 63% |
| Breast ultrasound, complete, one breast inpatient both sides CPT 76641 US BREAST UNILAT COMPLETE BI | $754.80 | $2,040.00 | $205.66–$754.80 | — | 63% |
| Breast ultrasound, complete, one breast inpatient one side CPT 76641 US BREAST UNILAT COMPLETE RT | $377.40 | $1,020.00 | $204.00–$377.40 | — | 63% |
| Breast ultrasound, complete, one breast inpatient one side CPT 76641 US BREAST UNILAT COMPLETE LT | $377.40 | $1,020.00 | $204.00–$377.40 | — | 63% |
| Breast ultrasound, limited (one breast or one area) both sides CPT 76642 US BREAST UNILAT LIMITED BI | $666.00 | $1,800.00 | $156.16–$666.00 | — | 63% |
| Breast ultrasound, limited (one breast or one area) both sides CPT 76642 US BREAST UNILAT LIMITED BI | $666.00 | $1,800.00 | $156.16–$666.00 | — | 63% |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 US BREAST UNILAT LIMITED RT | $333.00 | $900.00 | $156.16–$333.00 | 36% below | 63% |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 US BREAST UNILAT LIMITED LT | $333.00 | $900.00 | $156.16–$333.00 | 36% below | 63% |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 US BREAST UNILAT LIMITED LT | $333.00 | $900.00 | $156.16–$333.00 | 36% below | 63% |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 US BREAST UNILAT LIMITED RT | $333.00 | $900.00 | $156.16–$333.00 | 36% below | 63% |
| Breast ultrasound, limited (one breast or one area) inpatient both sides CPT 76642 US BREAST UNILAT LIMITED BI | $666.00 | $1,800.00 | $156.16–$666.00 | — | 63% |
| Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 US BREAST UNILAT LIMITED RT | $333.00 | $900.00 | $156.16–$333.00 | — | 63% |
| Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 US BREAST UNILAT LIMITED LT | $333.00 | $900.00 | $156.16–$333.00 | — | 63% |
| CT angiography (CTA) of the abdomen and pelvis CPT 74174 CT ANGIO ABD/PELVIS W/WO CONTRAST | $647.32 | $1,749.50 | $349.90–$857.26 | 89% below | 63% |
| CT angiography (CTA) of the abdomen and pelvis CPT 74174 CT ANGIO ABD/PELVIS W/WO CONTRAST | $647.32 | $1,749.50 | $349.90–$857.26 | 89% below | 63% |
| CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 CT ANGIO ABD/PELVIS W/WO CONTRAST | $647.32 | $1,749.50 | $349.90–$857.26 | — | 63% |
| CT angiography (CTA) of the head CPT 70496 CT STROKE HEAD CTA/RAPID AI | $647.32 | $1,749.50 | $349.90–$764.00 | 82% below | 63% |
| CT angiography (CTA) of the head CPT 70496 CT ANGIO HEAD W/WO CONTRAST | $647.32 | $1,749.50 | $349.90–$764.00 | 82% below | 63% |
| CT angiography (CTA) of the head CPT 70496 CT ANGIO HEAD W/WO CONTRAST | $647.32 | $1,749.50 | $349.90–$764.00 | 82% below | 63% |
| CT angiography (CTA) of the head CPT 70496 CT STROKE HEAD CTA/RAPID AI | $647.32 | $1,749.50 | $349.90–$764.00 | 82% below | 63% |
| CT angiography (CTA) of the head inpatient CPT 70496 CT ANGIO HEAD W/WO CONTRAST | $647.32 | $1,749.50 | $349.90–$764.00 | — | 63% |
| CT angiography (CTA) of the head inpatient CPT 70496 CT STROKE HEAD CTA/RAPID AI | $647.32 | $1,749.50 | $349.90–$764.00 | — | 63% |
| CT angiography (CTA) of the neck CPT 70498 CT ANGIO NECK W/WO CONTRAST | $647.32 | $1,749.50 | $349.90–$764.00 | 85% below | 63% |
| CT angiography (CTA) of the neck CPT 70498 CT ANGIO NECK W/WO CONTRAST | $647.32 | $1,749.50 | $349.90–$764.00 | 85% below | 63% |
| CT angiography (CTA) of the neck inpatient CPT 70498 CT ANGIO NECK W/WO CONTRAST | $647.32 | $1,749.50 | $349.90–$764.00 | — | 63% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT ANGIO CHEST W/WO CONTRAST | $647.32 | $1,749.50 | $349.90–$647.32 | 86% below | 63% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT ANGIO CHEST W/WO CONTRAST | $647.32 | $1,749.50 | $349.90–$647.32 | 86% below | 63% |
| CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CT ANGIO CHEST W/WO CONTRAST | $647.32 | $1,749.50 | $349.90–$647.32 | — | 63% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CT ANGIO CARDIAC W/CONTRAST | $647.32 | $1,749.50 | $349.90–$647.32 | 67% below | 63% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CT ANGIO CARDIAC W/CONTRAST | $647.32 | $1,749.50 | $349.90–$647.32 | 67% below | 63% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 CT ANGIO CARDIAC W/CONTRAST | $647.32 | $1,749.50 | $349.90–$647.32 | — | 63% |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT CARDIAC CALCIUM SCORE | $38.85 | $105.00 | $21.00–$38.85 | 93% below | 63% |
| CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 CT CARDIAC CALCIUM SCORE | $38.85 | $105.00 | $21.00–$38.85 | — | 63% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABD/PELV W/O CONTRAST | $647.32 | $1,749.50 | $326.31–$647.32 | 88% below | 63% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABD/PELV W/O CONTRAST | $647.32 | $1,749.50 | $326.31–$647.32 | 88% below | 63% |
| CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT ABD/PELV W/O CONTRAST | $647.32 | $1,749.50 | $326.31–$647.32 | — | 63% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABD/PELV W/CONTRAST | $693.10 | $1,873.25 | $374.65–$824.45 | 88% below | 63% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABD/PELV W/CONTRAST | $693.10 | $1,873.25 | $374.65–$824.45 | 88% below | 63% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABD/PELV W/CONTRAST | $693.10 | $1,873.25 | $374.65–$824.45 | — | 63% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABD/PELV W/WO CONTRAST | $738.98 | $1,997.25 | $399.45–$824.45 | 89% below | 63% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABD/PELV W/WO CONTRAST | $738.98 | $1,997.25 | $399.45–$824.45 | 89% below | 63% |
| CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT ABD/PELV W/WO CONTRAST | $738.98 | $1,997.25 | $399.45–$824.45 | — | 63% |
| CT scan of the abdomen with contrast CPT 74160 CT ABDOMEN W/CONTRAST | $647.32 | $1,749.50 | $349.90–$647.32 | 81% below | 63% |
| CT scan of the abdomen with contrast CPT 74160 CT ABDOMEN W/CONTRAST | $647.32 | $1,749.50 | $349.90–$647.32 | 81% below | 63% |
| CT scan of the abdomen with contrast inpatient CPT 74160 CT ABDOMEN W/CONTRAST | $647.32 | $1,749.50 | $349.90–$647.32 | — | 63% |
| CT scan of the abdomen without contrast CPT 74150 CT ABDOMEN W/O CONTRAST | $601.44 | $1,625.50 | $235.69–$601.43 | 81% below | 63% |
| CT scan of the abdomen without contrast CPT 74150 CT ABDOMEN W/O CONTRAST | $601.44 | $1,625.50 | $235.69–$601.43 | 81% below | 63% |
| CT scan of the abdomen without contrast inpatient CPT 74150 CT ABDOMEN W/O CONTRAST | $601.44 | $1,625.50 | $235.69–$601.43 | — | 63% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT FACIAL/SINUS W/O CONTRAST | $601.44 | $1,625.50 | $235.69–$764.00 | 79% below | 63% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT FACIAL/SINUS W/O CONTRAST | $601.44 | $1,625.50 | $235.69–$764.00 | 79% below | 63% |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT FACIAL/SINUS W/O CONTRAST | $601.44 | $1,625.50 | $235.69–$764.00 | — | 63% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD/BRAIN W/O CONTRAST | $676.55 | $1,828.50 | $235.69–$764.00 | 78% below | 63% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD/BRAIN W/O CONTRAST | $676.55 | $1,828.50 | $235.69–$764.00 | 78% below | 63% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT HEAD/BRAIN W/O CONTRAST | $676.55 | $1,828.50 | $235.69–$764.00 | — | 63% |
| CT scan of the head with contrast CPT 70460 CT HEAD/BRAIN W/ CONTRAST | $722.43 | $1,952.50 | $390.50–$764.00 | 81% below | 63% |
| CT scan of the head with contrast CPT 70460 CT HEAD/BRAIN W/ CONTRAST | $722.43 | $1,952.50 | $390.50–$764.00 | 81% below | 63% |
| CT scan of the head with contrast inpatient CPT 70460 CT HEAD/BRAIN W/ CONTRAST | $722.43 | $1,952.50 | $390.50–$764.00 | — | 63% |
| CT scan of the head without and with contrast CPT 70470 CT HEAD/BRAIN W/WO CONTRAST | $768.31 | $2,076.50 | $393.89–$768.30 | 83% below | 63% |
| CT scan of the head without and with contrast CPT 70470 CT HEAD/BRAIN W/WO CONTRAST | $768.31 | $2,076.50 | $393.89–$768.30 | 83% below | 63% |
| CT scan of the head without and with contrast inpatient CPT 70470 CT HEAD/BRAIN W/WO CONTRAST | $768.31 | $2,076.50 | $393.89–$768.30 | — | 63% |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 IO CT SPINE LUMBER W/O CONTRAST | $601.44 | $1,625.50 | $235.69–$601.43 | 82% below | 63% |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT SPINE LUMBAR W/O CONTRAST | $601.44 | $1,625.50 | $235.69–$601.43 | 82% below | 63% |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT SPINE LUMBAR W/O CONTRAST | $601.44 | $1,625.50 | $235.69–$601.43 | 82% below | 63% |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 IO CT SPINE LUMBER W/O CONTRAST | $601.44 | $1,625.50 | $235.69–$601.43 | 82% below | 63% |
| CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT SPINE LUMBAR W/O CONTRAST | $601.44 | $1,625.50 | $235.69–$601.43 | — | 63% |
| CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 IO CT SPINE LUMBER W/O CONTRAST | $601.44 | $1,625.50 | $235.69–$601.43 | — | 63% |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT SPINE CERVICAL W/O CONTRAST | $647.32 | $1,749.50 | $235.69–$647.32 | 81% below | 63% |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT SPINE CERVICAL W/O CONTRAST | $647.32 | $1,749.50 | $235.69–$647.32 | 81% below | 63% |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 IO CT SPINE CERVICAL W/O CONTRAST | $647.32 | $1,749.50 | $235.69–$647.32 | 81% below | 63% |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 IO CT SPINE CERVICAL W/O CONTRAST | $647.32 | $1,749.50 | $235.69–$647.32 | 81% below | 63% |
| CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT SPINE CERVICAL W/O CONTRAST | $647.32 | $1,749.50 | $235.69–$647.32 | — | 63% |
| CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 IO CT SPINE CERVICAL W/O CONTRAST | $647.32 | $1,749.50 | $235.69–$647.32 | — | 63% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W/CONTRAST | $670.16 | $1,811.25 | $362.25–$670.16 | 84% below | 63% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W/CONTRAST | $670.16 | $1,811.25 | $362.25–$670.16 | 84% below | 63% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT PELVIS W/CONTRAST | $670.16 | $1,811.25 | $362.25–$670.16 | — | 63% |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 EXTRACRAN/CAROTID DUPLEX BILAT | $1,107.60 | $2,993.50 | $343.35–$1,140.00 | — | 63% |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 EXTRACRAN/CAROTID DUPLEX BILAT | $1,107.60 | $2,993.50 | $343.35–$1,140.00 | — | 63% |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 EXTRACRANIAL/CAROTID DUPLEX BILAT | $1,107.60 | $2,993.50 | $343.35–$1,140.00 | — | 63% |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 EXTRACRANIAL/CAROTID DUPLEX BILAT | $1,107.60 | $2,993.50 | $343.35–$1,140.00 | — | 63% |
| Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 PBB KS DUPL SCAN EXTRACRN ART BIL | $769.14 | $2,078.75 | $343.35–$1,140.00 | 69% below | 63% |
| Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 PBB KS DUPL SCAN EXTRACRN ART BIL | $769.14 | $2,078.75 | $343.35–$1,140.00 | 69% below | 63% |
| Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 PBB OP DUPL SCAN EXTRACRN ART BIL | $769.14 | $2,078.75 | $343.35–$1,140.00 | 69% below | 63% |
| Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 PBB OP DUPL SCAN EXTRACRN ART BIL | $769.14 | $2,078.75 | $343.35–$1,140.00 | 69% below | 63% |
| Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 DUPLEX EXTRACRAN/CARTD BIL | $1,107.60 | $2,993.50 | $343.35–$1,140.00 | 55% below | 63% |
| Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 DUPLEX EXTRACRAN/CARTD BIL | $1,107.60 | $2,993.50 | $343.35–$1,140.00 | 55% below | 63% |
| Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 EXTRACRAN/CAROTID DUPLEX BILAT | $1,107.60 | $2,993.50 | $343.35–$1,140.00 | — | 63% |
| Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 EXTRACRANIAL/CAROTID DUPLEX BILAT | $1,107.60 | $2,993.50 | $343.35–$1,140.00 | — | 63% |
| Carotid artery ultrasound (duplex), both sides of the neck inpatient CPT 93880 PBB KS DUPL SCAN EXTRACRN ART BIL | $769.14 | $2,078.75 | $343.35–$1,140.00 | — | 63% |
| Carotid artery ultrasound (duplex), both sides of the neck inpatient CPT 93880 PBB OP DUPL SCAN EXTRACRN ART BIL | $769.14 | $2,078.75 | $343.35–$1,140.00 | — | 63% |
| Carotid artery ultrasound (duplex), both sides of the neck inpatient CPT 93880 DUPLEX EXTRACRAN/CARTD BIL | $1,107.60 | $2,993.50 | $343.35–$1,140.00 | — | 63% |
| Chest CT scan without and with contrast CPT 71270 CT CHEST W/WO CONTRAST | $738.98 | $1,997.25 | $393.89–$738.98 | 81% below | 63% |
| Chest CT scan without and with contrast CPT 71270 CT CHEST W/WO CONTRAST | $738.98 | $1,997.25 | $393.89–$738.98 | 81% below | 63% |
| Chest CT scan without and with contrast inpatient CPT 71270 CT CHEST W/WO CONTRAST | $738.98 | $1,997.25 | $393.89–$738.98 | — | 63% |
| Chest X-ray, 2 views CPT 71046 XR CHEST 2 VIEW | $141.90 | $383.50 | $63.39–$141.90 | 71% below | 63% |
| Chest X-ray, 2 views CPT 71046 XR CHEST 2 VIEWS | $141.90 | $383.50 | $63.39–$141.90 | 71% below | 63% |
| Chest X-ray, 2 views CPT 71046 XR CHEST 2 VIEW | $141.90 | $383.50 | $63.39–$141.90 | 71% below | 63% |
| Chest X-ray, 2 views CPT 71046 XR CHEST 2 VIEWS | $141.90 | $383.50 | $63.39–$141.90 | 71% below | 63% |
| Chest X-ray, 2 views inpatient CPT 71046 XR CHEST 2 VIEWS | $141.90 | $383.50 | $63.39–$141.90 | — | 63% |
| Chest X-ray, 2 views inpatient CPT 71046 XR CHEST 2 VIEW | $141.90 | $383.50 | $63.39–$141.90 | — | 63% |
| Chest X-ray, single view CPT 71045 XR CHEST 1 VIEW | $130.98 | $354.00 | $47.93–$130.98 | 69% below | 63% |
| Chest X-ray, single view CPT 71045 XR CHEST 1 VIEW | $130.98 | $354.00 | $47.93–$130.98 | 69% below | 63% |
| Chest X-ray, single view inpatient CPT 71045 XR CHEST 1 VIEW | $130.98 | $354.00 | $47.93–$130.98 | — | 63% |
| Collarbone (clavicle) X-ray, complete one side CPT 73000 XR CLAVICLE COMPLETE LT | $179.64 | $485.50 | $66.47–$194.81 | 67% below | 63% |
| Collarbone (clavicle) X-ray, complete one side CPT 73000 XR CLAVICLE COMPLETE LT | $179.64 | $485.50 | $66.47–$194.81 | 67% below | 63% |
| Collarbone (clavicle) X-ray, complete one side CPT 73000 XR CLAVICLE COMPLETE RT | $179.64 | $485.50 | $66.47–$194.81 | 67% below | 63% |
| Collarbone (clavicle) X-ray, complete one side CPT 73000 XR CLAVICLE COMP RT | $179.64 | $485.50 | $66.47–$194.81 | 67% below | 63% |
| Collarbone (clavicle) X-ray, complete one side CPT 73000 XR CLAVICLE COMP LT | $179.64 | $485.50 | $66.47–$194.81 | 67% below | 63% |
| Collarbone (clavicle) X-ray, complete one side CPT 73000 XR CLAVICLE COMPLETE RT | $179.64 | $485.50 | $66.47–$194.81 | 67% below | 63% |
| Collarbone (clavicle) X-ray, complete one side CPT 73000 XR CLAVICLE COMP RT | $179.64 | $485.50 | $66.47–$194.81 | 67% below | 63% |
| Collarbone (clavicle) X-ray, complete one side CPT 73000 XR CLAVICLE COMP LT | $179.64 | $485.50 | $66.47–$194.81 | 67% below | 63% |
| Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 XR CLAVICLE COMP RT | $179.64 | $485.50 | $66.47–$194.81 | — | 63% |
| Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 XR CLAVICLE COMPLETE LT | $179.64 | $485.50 | $66.47–$194.81 | — | 63% |
| Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 XR CLAVICLE COMPLETE RT | $179.64 | $485.50 | $66.47–$194.81 | — | 63% |
| Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 XR CLAVICLE COMP LT | $179.64 | $485.50 | $66.47–$194.81 | — | 63% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US RETROPERITONEAL COMPLETE | $565.36 | $1,528.00 | $222.18–$565.36 | 56% below | 63% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US RETROPERITONEAL COMPLETE | $565.36 | $1,528.00 | $222.18–$565.36 | 56% below | 63% |
| Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US RETROPERITONEAL COMPLETE | $565.36 | $1,528.00 | $222.18–$565.36 | — | 63% |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 XR BONE DENSITY AXIAL | $250.40 | $676.75 | $86.07–$250.40 | 59% below | 63% |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 XR BONE DENSITY AXIAL | $250.40 | $676.75 | $86.07–$250.40 | 59% below | 63% |
| DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 XR BONE DENSITY AXIAL | $250.40 | $676.75 | $86.07–$250.40 | — | 63% |
| DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 XR BONE DENSITY DEXA APPEND | $129.69 | $350.50 | $64.42–$129.69 | 54% below | 63% |
| DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 XR BONE DENSITY DEXA APPEND | $129.69 | $350.50 | $64.42–$129.69 | 54% below | 63% |
| DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 XR BONE DENSITY DEXA APPEND | $129.69 | $350.50 | $64.42–$129.69 | — | 63% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT CHEST W/O CONTRAST | $647.32 | $1,749.50 | $235.69–$647.32 | 78% below | 63% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT CHEST W/O CONTRAST | $647.32 | $1,749.50 | $235.69–$647.32 | 78% below | 63% |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT CHEST W/O CONTRAST | $647.32 | $1,749.50 | $235.69–$647.32 | — | 63% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT CHEST W/ CONTRAST | $693.10 | $1,873.25 | $374.65–$693.10 | 82% below | 63% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT CHEST W/CONTRAST | $693.10 | $1,873.25 | $374.65–$693.10 | 82% below | 63% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT CHEST W/ CONTRAST | $693.10 | $1,873.25 | $374.65–$693.10 | 82% below | 63% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT CHEST W/CONTRAST | $693.10 | $1,873.25 | $374.65–$693.10 | 82% below | 63% |
| Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT CHEST W/ CONTRAST | $693.10 | $1,873.25 | $374.65–$693.10 | — | 63% |
| Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT CHEST W/CONTRAST | $693.10 | $1,873.25 | $374.65–$693.10 | — | 63% |
| Diagnostic mammogram, both breasts both sides CPT 77066 MA DX MAMMO BILATERAL | $303.96 | $821.50 | $164.30–$344.86 | — | 63% |
| Diagnostic mammogram, both breasts both sides CPT 77066 MA DX MAMMO BILATERAL | $303.96 | $821.50 | $164.30–$344.86 | — | 63% |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 MA DX MAMMO BILATERAL | $303.96 | $821.50 | $164.30–$344.86 | — | 63% |
| Diagnostic mammogram, one breast one side CPT 77065 MA DX MAMMO UNILATERAL RT | $301.55 | $815.00 | $163.00–$301.55 | 31% below | 63% |
| Diagnostic mammogram, one breast one side CPT 77065 MA DX MAMMO UNILATERAL RT | $301.55 | $815.00 | $163.00–$301.55 | 31% below | 63% |
| Diagnostic mammogram, one breast one side CPT 77065 MA DX MAMMO UNILATERAL LT | $301.55 | $815.00 | $163.00–$301.55 | 31% below | 63% |
| Diagnostic mammogram, one breast one side CPT 77065 MA DX MAMMO UNILATERAL LT | $301.55 | $815.00 | $163.00–$301.55 | 31% below | 63% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 MA DX MAMMO UNILATERAL RT | $301.55 | $815.00 | $163.00–$301.55 | — | 63% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 MA DX MAMMO UNILATERAL LT | $301.55 | $815.00 | $163.00–$301.55 | — | 63% |
| Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 PBB OP DUPLX STUDY LOWER BILAT | $594.50 | $1,606.75 | $321.35–$1,140.00 | — | 63% |
| Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 PBB OP DUPLX STUDY LOWER BILAT | $594.50 | $1,606.75 | $321.35–$1,140.00 | — | 63% |
| Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 PBB KS DUPLX STUDY LOWER BILAT | $594.50 | $1,606.75 | $321.35–$1,140.00 | — | 63% |
| Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 PBB KS DUPLX STUDY LOWER BILAT | $594.50 | $1,606.75 | $321.35–$1,140.00 | — | 63% |
| Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 LOWER EXTREMITY DUPLEX BILAT | $856.00 | $2,313.50 | $456.28–$1,140.00 | — | 63% |
| Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 VI LOWER EXTREMITY DUPLEX BILAT | $856.00 | $2,313.50 | $456.28–$1,140.00 | — | 63% |
| Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 VI LOWER EXTREMITY DUPLEX BILAT | $856.00 | $2,313.50 | $456.28–$1,140.00 | — | 63% |
| Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 LOWER EXTREMITY DUPLEX BILAT | $856.00 | $2,313.50 | $456.28–$1,140.00 | — | 63% |
| Duplex ultrasound of the leg arteries, both legs CPT 93925 DUPLEX ARTERIAL LWR EXT BIL | $856.00 | $2,313.50 | $456.28–$1,140.00 | 59% below | 63% |
| Duplex ultrasound of the leg arteries, both legs CPT 93925 DUPLEX ARTERIAL LWR EXT BIL | $856.00 | $2,313.50 | $456.28–$1,140.00 | 59% below | 63% |
| Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 PBB KS DUPLX STUDY LOWER BILAT | $594.50 | $1,606.75 | $321.35–$1,140.00 | — | 63% |
| Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 PBB OP DUPLX STUDY LOWER BILAT | $594.50 | $1,606.75 | $321.35–$1,140.00 | — | 63% |
| Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 LOWER EXTREMITY DUPLEX BILAT | $856.00 | $2,313.50 | $456.28–$1,140.00 | — | 63% |
| Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 VI LOWER EXTREMITY DUPLEX BILAT | $856.00 | $2,313.50 | $456.28–$1,140.00 | — | 63% |
| Duplex ultrasound of the leg arteries, both legs inpatient CPT 93925 DUPLEX ARTERIAL LWR EXT BIL | $856.00 | $2,313.50 | $456.28–$1,140.00 | — | 63% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 VC SC EXTREM VENOUS DUPLX BILAT | $906.87 | $2,451.00 | $348.68–$1,140.00 | — | 63% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 VC SC EXTREM VENOUS DUPLX BILAT | $906.87 | $2,451.00 | $348.68–$1,140.00 | — | 63% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 VI EXTREMITY VENOUS DUPLEX BILAT | $1,088.26 | $2,941.25 | $348.68–$1,140.00 | — | 63% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 EXTREMITY VENOUS DUPLEX BILAT | $1,088.26 | $2,941.25 | $348.68–$1,140.00 | — | 63% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 EXTREMITY VENOUS DUPLEX BILAT | $1,088.26 | $2,941.25 | $348.68–$1,140.00 | — | 63% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 VI EXTREMITY VENOUS DUPLEX BILAT | $1,088.26 | $2,941.25 | $348.68–$1,140.00 | — | 63% |
| Duplex ultrasound of the leg veins, both legs CPT 93970 PBB KS EXTREMITY VENOUS DUPLX BIL | $755.73 | $2,042.50 | $348.68–$1,140.00 | 59% below | 63% |
| Duplex ultrasound of the leg veins, both legs CPT 93970 PBB KS EXTREMITY VENOUS DUPLX BIL | $755.73 | $2,042.50 | $348.68–$1,140.00 | 59% below | 63% |
| Duplex ultrasound of the leg veins, both legs CPT 93970 DUPLEX VENOUS EXT BIL | $1,088.26 | $2,941.25 | $348.68–$1,140.00 | 40% below | 63% |
| Duplex ultrasound of the leg veins, both legs CPT 93970 DUPLEX VENOUS EXT BIL | $1,088.26 | $2,941.25 | $348.68–$1,140.00 | 40% below | 63% |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 VC SC EXTREM VENOUS DUPLX BILAT | $906.87 | $2,451.00 | $348.68–$1,140.00 | — | 63% |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 VI EXTREMITY VENOUS DUPLEX BILAT | $1,088.26 | $2,941.25 | $348.68–$1,140.00 | — | 63% |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 EXTREMITY VENOUS DUPLEX BILAT | $1,088.26 | $2,941.25 | $348.68–$1,140.00 | — | 63% |
| Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 PBB KS EXTREMITY VENOUS DUPLX BIL | $755.73 | $2,042.50 | $348.68–$1,140.00 | — | 63% |
| Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 DUPLEX VENOUS EXT BIL | $1,088.26 | $2,941.25 | $348.68–$1,140.00 | — | 63% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 PBB KS ECHOCARDIOGR COMPLETE | $1,624.39 | $4,390.25 | $289.38–$1,597.00 | 51% below | 63% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 PBB OP ECHOCARDIOGR COMPLETE | $1,624.39 | $4,390.25 | $289.38–$1,597.00 | 51% below | 63% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 OI ECHO COMP SPECT DOP WO CONT | $2,144.15 | $5,795.00 | $289.38–$1,597.00 | 36% below | 63% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 ECHO COMP SPECT DOP W/CONT | $2,144.15 | $5,795.00 | $289.38–$1,597.00 | 36% below | 63% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 ECHO COMP SPECT DOP WO CONT | $2,144.15 | $5,795.00 | $289.38–$1,597.00 | 36% below | 63% |
| Elbow X-ray, 2 views one side CPT 73070 XR ELBOW AP&LAT LT | $130.24 | $352.00 | $58.23–$194.81 | 74% below | 63% |
| Elbow X-ray, 2 views one side CPT 73070 XR ELBOW AP & LAT RT | $130.24 | $352.00 | $58.23–$194.81 | 74% below | 63% |
| Elbow X-ray, 2 views one side CPT 73070 XR ELBOW AP & LAT LT | $130.24 | $352.00 | $58.23–$194.81 | 74% below | 63% |
| Elbow X-ray, 2 views one side CPT 73070 XR ELBOW AP&LAT RT | $130.24 | $352.00 | $58.23–$194.81 | 74% below | 63% |
| Elbow X-ray, 2 views one side CPT 73070 XR ELBOW AP&LAT LT | $130.24 | $352.00 | $58.23–$194.81 | 74% below | 63% |
| Elbow X-ray, 2 views one side CPT 73070 XR ELBOW AP & LAT RT | $130.24 | $352.00 | $58.23–$194.81 | 74% below | 63% |
| Elbow X-ray, 2 views one side CPT 73070 XR ELBOW AP & LAT LT | $130.24 | $352.00 | $58.23–$194.81 | 74% below | 63% |
| Elbow X-ray, 2 views one side CPT 73070 XR ELBOW AP&LAT RT | $130.24 | $352.00 | $58.23–$194.81 | 74% below | 63% |
| Elbow X-ray, 2 views inpatient one side CPT 73070 XR ELBOW AP & LAT LT | $130.24 | $352.00 | $58.23–$194.81 | — | 63% |
| Elbow X-ray, 2 views inpatient one side CPT 73070 XR ELBOW AP&LAT RT | $130.24 | $352.00 | $58.23–$194.81 | — | 63% |
| Elbow X-ray, 2 views inpatient one side CPT 73070 XR ELBOW AP & LAT RT | $130.24 | $352.00 | $58.23–$194.81 | — | 63% |
| Elbow X-ray, 2 views inpatient one side CPT 73070 XR ELBOW AP&LAT LT | $130.24 | $352.00 | $58.23–$194.81 | — | 63% |
| Elbow X-ray, complete, 3 or more views one side CPT 73080 XR ELBOW COMP 3+ VIEWS RT | $145.50 | $393.25 | $64.42–$194.81 | 76% below | 63% |
| Elbow X-ray, complete, 3 or more views one side CPT 73080 XR ELBOW COMP 3+ V LT | $145.50 | $393.25 | $64.42–$194.81 | 76% below | 63% |
| Elbow X-ray, complete, 3 or more views one side CPT 73080 XR ELBOW COMP 3+ V RT | $145.50 | $393.25 | $64.42–$194.81 | 76% below | 63% |
| Elbow X-ray, complete, 3 or more views one side CPT 73080 XR ELBOW COMP 3+ VIEWS LT | $145.50 | $393.25 | $64.42–$194.81 | 76% below | 63% |
| Elbow X-ray, complete, 3 or more views one side CPT 73080 XR ELBOW COMP 3+ V LT | $145.50 | $393.25 | $64.42–$194.81 | 76% below | 63% |
| Elbow X-ray, complete, 3 or more views one side CPT 73080 XR ELBOW COMP 3+ V RT | $145.50 | $393.25 | $64.42–$194.81 | 76% below | 63% |
| Elbow X-ray, complete, 3 or more views one side CPT 73080 XR ELBOW COMP 3+ VIEWS LT | $145.50 | $393.25 | $64.42–$194.81 | 76% below | 63% |
| Elbow X-ray, complete, 3 or more views one side CPT 73080 XR ELBOW COMP 3+ VIEWS RT | $145.50 | $393.25 | $64.42–$194.81 | 76% below | 63% |
| Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 XR ELBOW COMP 3+ VIEWS RT | $145.50 | $393.25 | $64.42–$194.81 | — | 63% |
| Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 XR ELBOW COMP 3+ V RT | $145.50 | $393.25 | $64.42–$194.81 | — | 63% |
| Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 XR ELBOW COMP 3+ V LT | $145.50 | $393.25 | $64.42–$194.81 | — | 63% |
| Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 XR ELBOW COMP 3+ VIEWS LT | $145.50 | $393.25 | $64.42–$194.81 | — | 63% |
| Eye socket (orbit) CT scan without contrast CPT 70480 CT ORBIT/SELLA/FOSSA/EAR W/O CONTRA | $578.40 | $1,563.25 | $235.69–$764.00 | 78% below | 63% |
| Eye socket (orbit) CT scan without contrast CPT 70480 CT ORBIT/SELLA/FOSSA/EAR W/O CONTRA | $578.40 | $1,563.25 | $235.69–$764.00 | 78% below | 63% |
| Eye socket (orbit) CT scan without contrast inpatient CPT 70480 CT ORBIT/SELLA/FOSSA/EAR W/O CONTRA | $578.40 | $1,563.25 | $235.69–$764.00 | — | 63% |
| Facial bones X-ray, complete, 3 or more views CPT 70150 XR FACIAL BONES COMPLETE 3+ VIEWS | $163.26 | $441.25 | $88.25–$163.26 | 78% below | 63% |
| Facial bones X-ray, complete, 3 or more views CPT 70150 XR FACIAL BONES COMPLETE 3+ VIEWS | $163.26 | $441.25 | $88.25–$163.26 | 78% below | 63% |
| Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 XR FACIAL BONES COMPLETE 3+ VIEWS | $163.26 | $441.25 | $88.25–$163.26 | — | 63% |
| Forearm X-ray (radius and ulna), 2 views one side CPT 73090 XR FOREARM AP & LAT RT | $185.37 | $501.00 | $59.26–$194.81 | 67% below | 63% |
| Forearm X-ray (radius and ulna), 2 views one side CPT 73090 XR FOREARM AP & LAT RT | $185.37 | $501.00 | $59.26–$194.81 | 67% below | 63% |
| Forearm X-ray (radius and ulna), 2 views one side CPT 73090 XR FOREARM AP & LAT LT | $185.37 | $501.00 | $59.26–$194.81 | 67% below | 63% |
| Forearm X-ray (radius and ulna), 2 views one side CPT 73090 XR FOREARM AP&LAT RT | $185.37 | $501.00 | $59.26–$194.81 | 67% below | 63% |
| Forearm X-ray (radius and ulna), 2 views one side CPT 73090 XR FOREARM AP&LAT RT | $185.37 | $501.00 | $59.26–$194.81 | 67% below | 63% |
| Forearm X-ray (radius and ulna), 2 views one side CPT 73090 XR FOREARM AP & LAT LT | $185.37 | $501.00 | $59.26–$194.81 | 67% below | 63% |
| Forearm X-ray (radius and ulna), 2 views one side CPT 73090 XR FOREARM AP&LAT LT | $185.37 | $501.00 | $59.26–$194.81 | 67% below | 63% |
| Forearm X-ray (radius and ulna), 2 views one side CPT 73090 XR FOREARM AP&LAT LT | $185.37 | $501.00 | $59.26–$194.81 | 67% below | 63% |
| Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 XR FOREARM AP & LAT RT | $185.37 | $501.00 | $59.26–$194.81 | — | 63% |
| Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 XR FOREARM AP&LAT RT | $185.37 | $501.00 | $59.26–$194.81 | — | 63% |
| Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 XR FOREARM AP&LAT LT | $185.37 | $501.00 | $59.26–$194.81 | — | 63% |
| Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 XR FOREARM AP & LAT LT | $185.37 | $501.00 | $59.26–$194.81 | — | 63% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 NM HEPATOB DUCT INC GB | $1,550.95 | $4,191.75 | $838.35–$1,550.95 | 24% below | 63% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 NM HEPATOB DUCT INC GB | $1,550.95 | $4,191.75 | $838.35–$1,550.95 | 24% below | 63% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 NM HEPATOB DUCT INC GB | $1,550.95 | $4,191.75 | $838.35–$1,550.95 | — | 63% |
| Hand X-ray, 2 views one side CPT 73120 XR HAND LIMIT 2 VIEWS LT | $189.53 | $512.25 | $63.39–$235.69 | 63% below | 63% |
| Hand X-ray, 2 views one side CPT 73120 XR HAND 2 VIEWS RT | $189.53 | $512.25 | $63.39–$235.69 | 63% below | 63% |
| Hand X-ray, 2 views one side CPT 73120 XR HAND 2 VIEWS LT | $189.53 | $512.25 | $63.39–$235.69 | 63% below | 63% |
| Hand X-ray, 2 views one side CPT 73120 XR HAND LIMIT 2 VIEWS RT | $189.53 | $512.25 | $63.39–$235.69 | 63% below | 63% |
| Hand X-ray, 2 views one side CPT 73120 XR HAND LIMIT 2 VIEWS LT | $189.53 | $512.25 | $63.39–$235.69 | 63% below | 63% |
| Hand X-ray, 2 views one side CPT 73120 XR HAND 2 VIEWS LT | $189.53 | $512.25 | $63.39–$235.69 | 63% below | 63% |
| Hand X-ray, 2 views one side CPT 73120 XR HAND 2 VIEWS RT | $189.53 | $512.25 | $63.39–$235.69 | 63% below | 63% |
| Hand X-ray, 2 views one side CPT 73120 XR HAND LIMIT 2 VIEWS RT | $189.53 | $512.25 | $63.39–$235.69 | 63% below | 63% |
| Hand X-ray, 2 views inpatient one side CPT 73120 XR HAND 2 VIEWS RT | $189.53 | $512.25 | $63.39–$235.69 | — | 63% |
| Hand X-ray, 2 views inpatient one side CPT 73120 XR HAND 2 VIEWS LT | $189.53 | $512.25 | $63.39–$235.69 | — | 63% |
| Hand X-ray, 2 views inpatient one side CPT 73120 XR HAND LIMIT 2 VIEWS LT | $189.53 | $512.25 | $63.39–$235.69 | — | 63% |
| Hand X-ray, 2 views inpatient one side CPT 73120 XR HAND LIMIT 2 VIEWS RT | $189.53 | $512.25 | $63.39–$235.69 | — | 63% |
| Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 XR CALCANEOUS 2+VIEWS RT | $181.12 | $489.50 | $58.23–$194.81 | 63% below | 63% |
| Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 XR CALCANEOUS 2+VIEWS LT | $181.12 | $489.50 | $58.23–$194.81 | 63% below | 63% |
| Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 XR CALCANEOUS 2+VIEWS RT | $181.12 | $489.50 | $58.23–$194.81 | 63% below | 63% |
| Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 XR CALCANEOUS 2+VIEWS LT | $181.12 | $489.50 | $58.23–$194.81 | 63% below | 63% |
| Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 XR CALCANEOUS 2+VIEWS LT | $181.12 | $489.50 | $58.23–$194.81 | — | 63% |
| Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 XR CALCANEOUS 2+VIEWS RT | $181.12 | $489.50 | $58.23–$194.81 | — | 63% |
| Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 JV SLEEP STUDY UNATT&RESP EFFT | $619.94 | $1,675.50 | $121.73–$703.71 | 16% below | 63% |
| Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 JV SLEEP STUDY UNATT&RESP EFFT | $619.94 | $1,675.50 | $121.73–$703.71 | 16% below | 63% |
| Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 SLEEP STUDY UNATT&RESP EFFT | $619.94 | $1,675.50 | $121.73–$703.71 | 16% below | 63% |
| Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 SLEEP STUDY UNATT&RESP EFFT | $619.94 | $1,675.50 | $121.73–$703.71 | 16% below | 63% |
| Home sleep apnea test, unattended, recording breathing and oxygen inpatient CPT 95806 SLEEP STUDY UNATT&RESP EFFT | $619.94 | $1,675.50 | $121.73–$703.71 | — | 63% |
| Home sleep apnea test, unattended, recording breathing and oxygen inpatient CPT 95806 JV SLEEP STUDY UNATT&RESP EFFT | $619.94 | $1,675.50 | $121.73–$703.71 | — | 63% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 JV SLEEP/CPAP STUDY 6YRS + | $5,143.00 | $13,900.00 | $1,229.13–$5,838.00 | at median | 63% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 SLEEP/CPAP STUDY 6YRS + | $5,143.00 | $13,900.00 | $1,229.13–$5,838.00 | at median | 63% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 SLEEP/CPAP STUDY 6YRS + | $5,143.00 | $13,900.00 | $1,229.13–$5,838.00 | at median | 63% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 JV SLEEP/CPAP STUDY 6YRS + | $5,143.00 | $13,900.00 | $1,229.13–$5,838.00 | at median | 63% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 JV SLEEP/CPAP STUDY 6YRS + | $5,143.00 | $13,900.00 | $1,229.13–$5,838.00 | — | 63% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 SLEEP/CPAP STUDY 6YRS + | $5,143.00 | $13,900.00 | $1,229.13–$5,838.00 | — | 63% |
| Knee X-ray, 3 views one side CPT 73562 XR KNEE/AP/LAT/OBL 3V RT | $235.51 | $636.50 | $86.07–$235.50 | 66% below | 63% |
| Knee X-ray, 3 views one side CPT 73562 XR KNEE AP/LAT/OBLIQ/3+VIEW RT | $235.51 | $636.50 | $86.07–$235.50 | 66% below | 63% |
| Knee X-ray, 3 views one side CPT 73562 XR KNEE AP/LAT/OBL 3V LT | $235.51 | $636.50 | $86.07–$235.50 | 66% below | 63% |
| Knee X-ray, 3 views one side CPT 73562 XR KNEE AP/LAT/OBL 3V RT | $235.51 | $636.50 | $86.07–$235.50 | 66% below | 63% |
| Knee X-ray, 3 views one side CPT 73562 XR KNEE AP/LAT/OBLIQ/3+VIEW LT | $235.51 | $636.50 | $86.07–$235.50 | 66% below | 63% |
| Knee X-ray, 3 views one side CPT 73562 XR KNEE/AP/LAT/OBL 3V RT | $235.51 | $636.50 | $86.07–$235.50 | 66% below | 63% |
| Knee X-ray, 3 views one side CPT 73562 XR KNEE AP/LAT/OBLIQ/3+VIEW RT | $235.51 | $636.50 | $86.07–$235.50 | 66% below | 63% |
| Knee X-ray, 3 views one side CPT 73562 XR KNEE AP/LAT/OBLIQ/3+VIEW LT | $235.51 | $636.50 | $86.07–$235.50 | 66% below | 63% |
| Knee X-ray, 3 views one side CPT 73562 XR KNEE AP/LAT/OBL 3V RT | $235.51 | $636.50 | $86.07–$235.50 | 66% below | 63% |
| Knee X-ray, 3 views one side CPT 73562 XR KNEE AP/LAT/OBL 3V LT | $235.51 | $636.50 | $86.07–$235.50 | 66% below | 63% |
| Knee X-ray, 3 views inpatient one side CPT 73562 XR KNEE AP/LAT/OBLIQ/3+VIEW RT | $235.51 | $636.50 | $86.07–$235.50 | — | 63% |
| Knee X-ray, 3 views inpatient one side CPT 73562 XR KNEE AP/LAT/OBL 3V RT | $235.51 | $636.50 | $86.07–$235.50 | — | 63% |
| Knee X-ray, 3 views inpatient one side CPT 73562 XR KNEE AP/LAT/OBL 3V LT | $235.51 | $636.50 | $86.07–$235.50 | — | 63% |
| Knee X-ray, 3 views inpatient one side CPT 73562 XR KNEE AP/LAT/OBLIQ/3+VIEW LT | $235.51 | $636.50 | $86.07–$235.50 | — | 63% |
| Knee X-ray, 3 views inpatient one side CPT 73562 XR KNEE/AP/LAT/OBL 3V RT | $235.51 | $636.50 | $86.07–$235.50 | — | 63% |
| Knee X-ray, complete, 4 or more views one side CPT 73564 XR KNEE COMP AP/LAT/OBLIQ/PATEL RT | $275.74 | $745.25 | $94.31–$275.74 | 64% below | 63% |
| Knee X-ray, complete, 4 or more views one side CPT 73564 XR KNEE COMP AP/LAT/OBLIQ/PATEL RT | $275.74 | $745.25 | $94.31–$275.74 | 64% below | 63% |
| Knee X-ray, complete, 4 or more views one side CPT 73564 XR KNEE COMP AP/LAT/OBLIQ/PATEL LT | $275.74 | $745.25 | $94.31–$275.74 | 64% below | 63% |
| Knee X-ray, complete, 4 or more views one side CPT 73564 XR KNEE COMP AP/LAT/OBLIQ/PATEL LT | $275.74 | $745.25 | $94.31–$275.74 | 64% below | 63% |
| Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 XR KNEE COMP AP/LAT/OBLIQ/PATEL RT | $275.74 | $745.25 | $94.31–$275.74 | — | 63% |
| Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 XR KNEE COMP AP/LAT/OBLIQ/PATEL LT | $275.74 | $745.25 | $94.31–$275.74 | — | 63% |
| Leg CT scan without contrast (hip to foot, any part) both sides CPT 73700 CT LOWER EXT W/O CONTRAST BI | $833.24 | $2,252.00 | $235.69–$833.24 | — | 63% |
| Leg CT scan without contrast (hip to foot, any part) both sides CPT 73700 CT LOWER EXT W/O CONTRAST BI | $833.24 | $2,252.00 | $235.69–$833.24 | — | 63% |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT LOWER EXT W/O CONTRAST RT | $555.56 | $1,501.50 | $235.69–$555.55 | 79% below | 63% |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT LOWER EXT W/O CONTRAST LT | $555.56 | $1,501.50 | $235.69–$555.55 | 79% below | 63% |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT LOWER EXT W/O CONTRAST LT | $555.56 | $1,501.50 | $235.69–$555.55 | 79% below | 63% |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT LOWER EXT W/O CONTRAST RT | $555.56 | $1,501.50 | $235.69–$555.55 | 79% below | 63% |
| Leg CT scan without contrast (hip to foot, any part) inpatient both sides CPT 73700 CT LOWER EXT W/O CONTRAST BI | $833.24 | $2,252.00 | $235.69–$833.24 | — | 63% |
| Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT LOWER EXT W/O CONTRAST RT | $555.56 | $1,501.50 | $235.69–$555.55 | — | 63% |
| Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT LOWER EXT W/O CONTRAST LT | $555.56 | $1,501.50 | $235.69–$555.55 | — | 63% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ABDOMEN LIMITED | $875.70 | $2,366.75 | $179.90–$875.70 | 23% below | 63% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ABDOMEN LIMITED | $875.70 | $2,366.75 | $179.90–$875.70 | 23% below | 63% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US ABDOMEN LIMITED | $875.70 | $2,366.75 | $179.90–$875.70 | — | 63% |
| Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 MA US AXILLA LT | $684.22 | $1,849.25 | $95.34–$684.22 | 7% above | 63% |
| Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 US JNT OR NON VASC LMT W/IMAGE RT | $684.22 | $1,849.25 | $95.34–$684.22 | 7% above | 63% |
| Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 US JNT OR NON VASC LMT W/IMAGE LT | $684.22 | $1,849.25 | $95.34–$684.22 | 7% above | 63% |
| Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 MA US AXILLA LT | $684.22 | $1,849.25 | $95.34–$684.22 | 7% above | 63% |
| Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 MA US AXILLA RT | $684.22 | $1,849.25 | $95.34–$684.22 | 7% above | 63% |
| Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 US JNT OR NON VASC LMT W/IMAGE LT | $684.22 | $1,849.25 | $95.34–$684.22 | 7% above | 63% |
| Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 US JNT OR NON VASC LMT W/IMAGE RT | $684.22 | $1,849.25 | $95.34–$684.22 | 7% above | 63% |
| Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 MA US AXILLA RT | $684.22 | $1,849.25 | $95.34–$684.22 | 7% above | 63% |
| Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 MA US AXILLA LT | $684.22 | $1,849.25 | $95.34–$684.22 | — | 63% |
| Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 US JNT OR NON VASC LMT W/IMAGE LT | $684.22 | $1,849.25 | $95.34–$684.22 | — | 63% |
| Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 MA US AXILLA RT | $684.22 | $1,849.25 | $95.34–$684.22 | — | 63% |
| Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 US JNT OR NON VASC LMT W/IMAGE RT | $684.22 | $1,849.25 | $95.34–$684.22 | — | 63% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 OI CT THORAX LUNG CANCER SCR | $647.32 | $1,749.50 | $235.69–$764.00 | 11% below | 63% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 OI CT THORAX LUNG CANCER SCR | $647.32 | $1,749.50 | $235.69–$764.00 | 11% below | 63% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT THORAX LUNG CANCER SCR | $647.32 | $1,749.50 | $235.69–$764.00 | 11% below | 63% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT THORAX LUNG CANCER SCR | $647.32 | $1,749.50 | $235.69–$764.00 | 11% below | 63% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 OI CT THORAX LUNG CANCER SCR | $647.32 | $1,749.50 | $235.69–$764.00 | — | 63% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 CT THORAX LUNG CANCER SCR | $647.32 | $1,749.50 | $235.69–$764.00 | — | 63% |
| Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 XR TIBIA/FIBULA AP&LAT RT | $215.53 | $582.50 | $65.44–$215.53 | 66% below | 63% |
| Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 XR TIBIA/FIBULA AP&LAT RT | $215.53 | $582.50 | $65.44–$215.53 | 66% below | 63% |
| Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 XR TIBIA/FIBULA AP&LAT LT | $215.53 | $582.50 | $65.44–$215.53 | 66% below | 63% |
| Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 XR TIBIA/FIBULA AP & LAT RT | $215.53 | $582.50 | $65.44–$215.53 | 66% below | 63% |
| Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 XR TIBIA/FIBULA AP & LAT LT | $215.53 | $582.50 | $65.44–$215.53 | 66% below | 63% |
| Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 XR TIBIA/FIBULA AP & LAT LT | $215.53 | $582.50 | $65.44–$215.53 | 66% below | 63% |
| Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 XR TIBIA/FIBULA AP&LAT LT | $215.53 | $582.50 | $65.44–$215.53 | 66% below | 63% |
| Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 XR TIBIA/FIBULA AP & LAT RT | $215.53 | $582.50 | $65.44–$215.53 | 66% below | 63% |
| Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 XR TIBIA/FIBULA AP & LAT RT | $215.53 | $582.50 | $65.44–$215.53 | — | 63% |
| Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 XR TIBIA/FIBULA AP&LAT LT | $215.53 | $582.50 | $65.44–$215.53 | — | 63% |
| Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 XR TIBIA/FIBULA AP&LAT RT | $215.53 | $582.50 | $65.44–$215.53 | — | 63% |
| Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 XR TIBIA/FIBULA AP & LAT LT | $215.53 | $582.50 | $65.44–$215.53 | — | 63% |
| MR angiography (MRA) of the head without contrast CPT 70544 OI MRA HEAD W/O CONTRAST | $574.06 | $1,551.50 | $310.30–$574.05 | 80% below | 63% |
| MR angiography (MRA) of the head without contrast CPT 70544 MRI MRA HEAD W/O CONTRAST | $574.06 | $1,551.50 | $310.30–$574.05 | 80% below | 63% |
| MR angiography (MRA) of the head without contrast CPT 70544 OI MRA HEAD W/O CONTRAST | $574.06 | $1,551.50 | $310.30–$574.05 | 80% below | 63% |
| MR angiography (MRA) of the head without contrast CPT 70544 MRI MRA HEAD W/O CONTRAST | $574.06 | $1,551.50 | $310.30–$574.05 | 80% below | 63% |
| MR angiography (MRA) of the head without contrast inpatient CPT 70544 OI MRA HEAD W/O CONTRAST | $574.06 | $1,551.50 | $310.30–$574.05 | — | 63% |
| MR angiography (MRA) of the head without contrast inpatient CPT 70544 MRI MRA HEAD W/O CONTRAST | $574.06 | $1,551.50 | $310.30–$574.05 | — | 63% |
| MRI of both breasts, without and then with contrast dye both sides CPT 77049 MRI BRST W/WO CONTRAST W/CAD BI | $670.44 | $1,812.00 | $362.40–$818.60 | — | 63% |
| MRI of both breasts, without and then with contrast dye both sides CPT 77049 MRI BRST W/WO CONTRAST W/CAD BI | $670.44 | $1,812.00 | $362.40–$818.60 | — | 63% |
| MRI of both breasts, without and then with contrast dye inpatient both sides CPT 77049 MRI BRST W/WO CONTRAST W/CAD BI | $670.44 | $1,812.00 | $362.40–$818.60 | — | 63% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI LOW EXT JOINT W/O RT | $590.15 | $1,595.00 | $319.00–$590.15 | 83% below | 63% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI LOW EXT JOINT LT | $590.15 | $1,595.00 | $319.00–$590.15 | 83% below | 63% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI LOW EXT JOINT W/O LT | $590.15 | $1,595.00 | $319.00–$590.15 | 83% below | 63% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI LOW EXT JOINT W/O LT | $590.15 | $1,595.00 | $319.00–$590.15 | 83% below | 63% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI LOW EXT JOINT W/O RT | $590.15 | $1,595.00 | $319.00–$590.15 | 83% below | 63% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI LOW EXT JOINT LT | $590.15 | $1,595.00 | $319.00–$590.15 | 83% below | 63% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI LOW EXT JOINT RT | $590.15 | $1,595.00 | $319.00–$590.15 | 83% below | 63% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI LOW EXT JOINT RT | $590.15 | $1,595.00 | $319.00–$590.15 | 83% below | 63% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI LOW EXT JOINT LT | $590.15 | $1,595.00 | $319.00–$590.15 | — | 63% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI LOW EXT JOINT W/O RT | $590.15 | $1,595.00 | $319.00–$590.15 | — | 63% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI LOW EXT JOINT RT | $590.15 | $1,595.00 | $319.00–$590.15 | — | 63% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI LOW EXT JOINT W/O LT | $590.15 | $1,595.00 | $319.00–$590.15 | — | 63% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI LOW EXT JOINT W/WO RT | $654.35 | $1,768.50 | $353.70–$996.97 | 87% below | 63% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI LOW EXT JOINT W/WO LT | $654.35 | $1,768.50 | $353.70–$996.97 | 87% below | 63% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI LOW EXT JOINT W/WO RT | $654.35 | $1,768.50 | $353.70–$996.97 | 87% below | 63% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI LOW EXT JOINT W/WO LT | $654.35 | $1,768.50 | $353.70–$996.97 | 87% below | 63% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI LOW EXT JOINT W/WO LT | $654.35 | $1,768.50 | $353.70–$996.97 | — | 63% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI LOW EXT JOINT W/WO RT | $654.35 | $1,768.50 | $353.70–$996.97 | — | 63% |
| MRI of the abdomen without contrast CPT 74181 MRI ABDOMEN W/O CONTRAST | $558.05 | $1,508.25 | $301.65–$558.05 | 84% below | 63% |
| MRI of the abdomen without contrast CPT 74181 MRI ABDOMEN W/O CONTRAST | $558.05 | $1,508.25 | $301.65–$558.05 | 84% below | 63% |
| MRI of the abdomen without contrast inpatient CPT 74181 MRI ABDOMEN W/O CONTRAST | $558.05 | $1,508.25 | $301.65–$558.05 | — | 63% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 MRI ABD W/WO CONTRAST | $622.25 | $1,681.75 | $336.35–$824.45 | 85% below | 63% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 MRI ABD W/WO CONTRAST | $622.25 | $1,681.75 | $336.35–$824.45 | 85% below | 63% |
| MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MRI ABD W/WO CONTRAST | $622.25 | $1,681.75 | $336.35–$824.45 | — | 63% |
| MRI of the brain, no contrast dye CPT 70551 MRI BRAIN W/O CONTRAST | $1,127.02 | $3,046.00 | $525.31–$1,127.02 | 68% below | 63% |
| MRI of the brain, no contrast dye CPT 70551 MRI BRAIN W/O CONTRAST | $1,127.02 | $3,046.00 | $525.31–$1,127.02 | 68% below | 63% |
| MRI of the brain, no contrast dye inpatient CPT 70551 MRI BRAIN W/O CONTRAST | $1,127.02 | $3,046.00 | $525.31–$1,127.02 | — | 63% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN W/WO CONTRAST | $622.25 | $1,681.75 | $336.35–$824.45 | 87% below | 63% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN W/WO CONTRAST | $622.25 | $1,681.75 | $336.35–$824.45 | 87% below | 63% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI BRAIN W/WO CONTRAST | $622.25 | $1,681.75 | $336.35–$824.45 | — | 63% |
| MRI of the lower back, no contrast dye CPT 72148 MRI SPINE LUMBAR W/O CONTRAST | $1,136.27 | $3,071.00 | $413.95–$1,136.27 | 69% below | 63% |
| MRI of the lower back, no contrast dye CPT 72148 MRI SPINE LUMBAR W/O CONTRAST | $1,136.27 | $3,071.00 | $413.95–$1,136.27 | 69% below | 63% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 MRI SPINE LUMBAR W/O CONTRAST | $1,136.27 | $3,071.00 | $413.95–$1,136.27 | — | 63% |
| MRI of the lower back, without and then with contrast dye CPT 72158 MRI SPINE LUMB W/WO CONT | $654.35 | $1,768.50 | $353.70–$824.45 | 87% below | 63% |
| MRI of the lower back, without and then with contrast dye CPT 72158 MRI SPINE LUMB W/WO CONT | $654.35 | $1,768.50 | $353.70–$824.45 | 87% below | 63% |
| MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MRI SPINE LUMB W/WO CONT | $654.35 | $1,768.50 | $353.70–$824.45 | — | 63% |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI SPINE THORACIC W/O CONTRAST | $558.05 | $1,508.25 | $301.65–$558.05 | 85% below | 63% |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI SPINE THORACIC W/O CONTRAST | $558.05 | $1,508.25 | $301.65–$558.05 | 85% below | 63% |
| MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MRI SPINE THORACIC W/O CONTRAST | $558.05 | $1,508.25 | $301.65–$558.05 | — | 63% |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI SPINE CERVICAL W/WO CONT | $606.15 | $1,638.25 | $327.65–$824.45 | 87% below | 63% |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI SPINE CERVICAL W/WO CONT | $606.15 | $1,638.25 | $327.65–$824.45 | 87% below | 63% |
| MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MRI SPINE CERVICAL W/WO CONT | $606.15 | $1,638.25 | $327.65–$824.45 | — | 63% |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI SPINE CERVICAL W/O CONT | $558.05 | $1,508.25 | $301.65–$558.05 | 85% below | 63% |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI SPINE CERVICAL W/O CONT | $558.05 | $1,508.25 | $301.65–$558.05 | 85% below | 63% |
| MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MRI SPINE CERVICAL W/O CONT | $558.05 | $1,508.25 | $301.65–$558.05 | — | 63% |
| MRI of the pelvis without and with contrast CPT 72197 MRI PELVIS W/WO CONTRAST | $590.15 | $1,595.00 | $319.00–$824.45 | 84% below | 63% |
| MRI of the pelvis without and with contrast CPT 72197 MRI PELVIS W/WO CONTRAST | $590.15 | $1,595.00 | $319.00–$824.45 | 84% below | 63% |
| MRI of the pelvis without and with contrast inpatient CPT 72197 MRI PELVIS W/WO CONTRAST | $590.15 | $1,595.00 | $319.00–$824.45 | — | 63% |
| MRI of the pelvis, no contrast dye CPT 72195 MRI PELVIS W/O CONTRAST | $525.86 | $1,421.25 | $284.25–$558.79 | 84% below | 63% |
| MRI of the pelvis, no contrast dye CPT 72195 MRI PELVIS W/O CONTRAST | $525.86 | $1,421.25 | $284.25–$558.79 | 84% below | 63% |
| MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI PELVIS W/O CONTRAST | $525.86 | $1,421.25 | $284.25–$558.79 | — | 63% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI UPPER EXT JOINT W/O LT | $1,136.27 | $3,071.00 | $467.01–$1,136.27 | 66% below | 63% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI UPPER EXT JOINT W/O RT | $1,136.27 | $3,071.00 | $467.01–$1,136.27 | 66% below | 63% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI UPPER EXT JOINT W/O LT | $1,136.27 | $3,071.00 | $467.01–$1,136.27 | 66% below | 63% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI UPPER EXT JOINT RT | $1,136.27 | $3,071.00 | $467.01–$1,136.27 | 66% below | 63% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI UPPER EXT JOINT LT | $1,136.27 | $3,071.00 | $467.01–$1,136.27 | 66% below | 63% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI UPPER EXT JOINT W/O RT | $1,136.27 | $3,071.00 | $467.01–$1,136.27 | 66% below | 63% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI UPPER EXT JOINT RT | $1,136.27 | $3,071.00 | $467.01–$1,136.27 | 66% below | 63% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI UPPER EXT JOINT LT | $1,136.27 | $3,071.00 | $467.01–$1,136.27 | 66% below | 63% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI UPPER EXT JOINT W/O LT | $1,136.27 | $3,071.00 | $467.01–$1,136.27 | — | 63% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI UPPER EXT JOINT RT | $1,136.27 | $3,071.00 | $467.01–$1,136.27 | — | 63% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI UPPER EXT JOINT LT | $1,136.27 | $3,071.00 | $467.01–$1,136.27 | — | 63% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI UPPER EXT JOINT W/O RT | $1,136.27 | $3,071.00 | $467.01–$1,136.27 | — | 63% |
| Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 XR SPINE CERVICAL 4 OR 5 VIEWS | $352.33 | $952.25 | $106.70–$352.33 | 60% below | 63% |
| Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 XR SPINE CERVICAL 4 OR 5 VIEWS | $352.33 | $952.25 | $106.70–$352.33 | 60% below | 63% |
| Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 XR SPINE CERVICAL 4 OR 5 VIEWS | $352.33 | $952.25 | $106.70–$352.33 | — | 63% |
| Neck soft tissue CT scan with contrast CPT 70491 CT NECK W/ CONTRAST | $647.32 | $1,749.50 | $349.90–$764.00 | 81% below | 63% |
| Neck soft tissue CT scan with contrast CPT 70491 CT NECK W/ CONTRAST | $647.32 | $1,749.50 | $349.90–$764.00 | 81% below | 63% |
| Neck soft tissue CT scan with contrast inpatient CPT 70491 CT NECK W/ CONTRAST | $647.32 | $1,749.50 | $349.90–$764.00 | — | 63% |
| Neck soft tissue CT scan without contrast CPT 70490 CT NECK W/O CONTRAST | $601.44 | $1,625.50 | $235.69–$764.00 | 80% below | 63% |
| Neck soft tissue CT scan without contrast CPT 70490 CT NECK W/O CONTRAST | $601.44 | $1,625.50 | $235.69–$764.00 | 80% below | 63% |
| Neck soft tissue CT scan without contrast inpatient CPT 70490 CT NECK W/O CONTRAST | $601.44 | $1,625.50 | $235.69–$764.00 | — | 63% |
| Neck soft tissue X-ray CPT 70360 XR NECK SOFT TISSUE | $159.38 | $430.75 | $62.36–$159.38 | 71% below | 63% |
| Neck soft tissue X-ray CPT 70360 XR NECK SOFT TISSUE | $159.38 | $430.75 | $62.36–$159.38 | 71% below | 63% |
| Neck soft tissue X-ray inpatient CPT 70360 XR NECK SOFT TISSUE | $159.38 | $430.75 | $62.36–$159.38 | — | 63% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 PBB OP MYOCAR PERFUS IMAG MULTI | $1,036.00 | $2,800.00 | $560.00–$1,157.66 | 81% below | 63% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 PBB KS MYOCARD PERFUS IMG MULTI | $1,036.00 | $2,800.00 | $560.00–$1,157.66 | 81% below | 63% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 PBB OP MYOCAR PERFUS IMAG MULTI | $1,036.00 | $2,800.00 | $560.00–$1,157.66 | 81% below | 63% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 PBB KS MYOCARD PERFUS IMG MULTI | $1,036.00 | $2,800.00 | $560.00–$1,157.66 | 81% below | 63% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NC MYCARD PERF MULTISCAN | $1,608.39 | $4,347.00 | $869.40–$3,044.09 | 71% below | 63% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NC MYCARD PERF MULTISCAN | $1,608.39 | $4,347.00 | $869.40–$3,044.09 | 71% below | 63% |
| Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 PBB OP MYOCAR PERFUS IMAG MULTI | $1,036.00 | $2,800.00 | $560.00–$1,157.66 | — | 63% |
| Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 PBB KS MYOCARD PERFUS IMG MULTI | $1,036.00 | $2,800.00 | $560.00–$1,157.66 | — | 63% |
| Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 NC MYCARD PERF MULTISCAN | $1,608.39 | $4,347.00 | $869.40–$3,044.09 | — | 63% |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 OI PET/CT SKULL/THIGH TREATMT | $1,998.00 | $5,400.00 | $1,080.00–$3,353.85 | 65% below | 63% |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 OI PET/CT SKULL/THIGH TREATMT | $1,998.00 | $5,400.00 | $1,080.00–$3,353.85 | 65% below | 63% |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 OI PET/CT SKULL/THIGH TREATMT | $1,998.00 | $5,400.00 | $1,080.00–$3,353.85 | — | 63% |
| Pelvic CT scan without contrast CPT 72192 CT PELVIS W/O CONTRAST | $624.28 | $1,687.25 | $235.69–$624.28 | 79% below | 63% |
| Pelvic CT scan without contrast CPT 72192 CT PELVIS W/O CONTRAST | $624.28 | $1,687.25 | $235.69–$624.28 | 79% below | 63% |
| Pelvic CT scan without contrast inpatient CPT 72192 CT PELVIS W/O CONTRAST | $624.28 | $1,687.25 | $235.69–$624.28 | — | 63% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US PELVIC NON OB LIMITED | $429.66 | $1,161.25 | $69.58–$429.66 | 51% below | 63% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US PELVIS NON-OB LIMITED | $429.66 | $1,161.25 | $69.58–$429.66 | 51% below | 63% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US PELVIC NON OB LIMITED | $429.66 | $1,161.25 | $69.58–$429.66 | 51% below | 63% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US PELVIS NON-OB LIMITED | $429.66 | $1,161.25 | $69.58–$429.66 | 51% below | 63% |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US PELVIS NON-OB LIMITED | $429.66 | $1,161.25 | $69.58–$429.66 | — | 63% |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US PELVIC NON OB LIMITED | $429.66 | $1,161.25 | $69.58–$429.66 | — | 63% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US PELVIS NON-OB COMPLETE | $552.78 | $1,494.00 | $219.07–$552.78 | 58% below | 63% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US PELVIS NON-OB COMPLETE | $552.78 | $1,494.00 | $219.07–$552.78 | 58% below | 63% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US PELVIC NON-OB COMPLETE | $762.76 | $2,061.50 | $219.07–$762.75 | 43% below | 63% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US PELVIC NON-OB COMPLETE | $762.76 | $2,061.50 | $219.07–$762.75 | 43% below | 63% |
| Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US PELVIS NON-OB COMPLETE | $552.78 | $1,494.00 | $219.07–$552.78 | — | 63% |
| Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US PELVIC NON-OB COMPLETE | $762.76 | $2,061.50 | $219.07–$762.75 | — | 63% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 OB FETAL MATERNAL EVAL | $340.96 | $921.50 | $184.30–$340.95 | 58% below | 63% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US OB FETAL MATERNAL EVAL | $340.96 | $921.50 | $184.30–$340.95 | 58% below | 63% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 OB FETAL MATERNAL EVAL | $340.96 | $921.50 | $184.30–$340.95 | 58% below | 63% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US OB FETAL MATERNAL EVAL | $340.96 | $921.50 | $184.30–$340.95 | 58% below | 63% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 OB FETAL MATERNAL EVAL | $340.96 | $921.50 | $184.30–$340.95 | — | 63% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US OB FETAL MATERNAL EVAL | $340.96 | $921.50 | $184.30–$340.95 | — | 63% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US IUP 1ST TRIMEST TRANSABD | $542.33 | $1,465.75 | $210.82–$542.33 | 28% below | 63% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US IUP 1ST TRIMEST TRANSABD | $542.33 | $1,465.75 | $210.82–$542.33 | 28% below | 63% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 US IUP 1ST TRIMEST TRANSABD | $542.33 | $1,465.75 | $210.82–$542.33 | — | 63% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 ECHO PREG UTERUS LIMITED | $247.07 | $667.75 | $133.55–$247.07 | 62% below | 63% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 ECHO PREG UTERUS LIMITED | $247.07 | $667.75 | $133.55–$247.07 | 62% below | 63% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US OB LIMITED 1 OR > FETUSES | $340.96 | $921.50 | $150.00–$340.95 | 47% below | 63% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US OB LIMITED 1 OR > FETUSES | $340.96 | $921.50 | $150.00–$340.95 | 47% below | 63% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 ECHO PREG UTERUS LIMITED | $247.07 | $667.75 | $133.55–$247.07 | — | 63% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 US OB LIMITED 1 OR > FETUSES | $340.96 | $921.50 | $150.00–$340.95 | — | 63% |
| Rib X-ray, one side, 2 views one side CPT 71100 XR RIBS UNILAT 2 VIEW LT | $267.23 | $722.25 | $70.60–$267.23 | 54% below | 63% |
| Rib X-ray, one side, 2 views one side CPT 71100 XR RIBS UNILAT 2 VIEW RT | $267.23 | $722.25 | $70.60–$267.23 | 54% below | 63% |
| Rib X-ray, one side, 2 views one side CPT 71100 XR RIBS UNILAT 2 VIEW LT | $267.23 | $722.25 | $70.60–$267.23 | 54% below | 63% |
| Rib X-ray, one side, 2 views one side CPT 71100 XR RIBS UNILAT 2 VIEW RT | $267.23 | $722.25 | $70.60–$267.23 | 54% below | 63% |
| Rib X-ray, one side, 2 views inpatient one side CPT 71100 XR RIBS UNILAT 2 VIEW LT | $267.23 | $722.25 | $70.60–$267.23 | — | 63% |
| Rib X-ray, one side, 2 views inpatient one side CPT 71100 XR RIBS UNILAT 2 VIEW RT | $267.23 | $722.25 | $70.60–$267.23 | — | 63% |
| Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 XR RIBS UNILAT W/CHEST 3+ V RT | $272.04 | $735.25 | $79.88–$272.04 | 60% below | 63% |
| Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 XR RIBS UNILAT W/CHEST 3 VIEW LT | $272.04 | $735.25 | $79.88–$272.04 | 60% below | 63% |
| Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 XR RIBS UNILAT W/CHEST 3+ V LT | $272.04 | $735.25 | $79.88–$272.04 | 60% below | 63% |
| Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 XR RIBS UNILAT W/CHEST 3+ V RT | $272.04 | $735.25 | $79.88–$272.04 | 60% below | 63% |
| Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 XR RIBS UNILAT W/CHEST 3 VIEW LT | $272.04 | $735.25 | $79.88–$272.04 | 60% below | 63% |
| Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 XR RIBS UNILAT W/CHEST 3+ V LT | $272.04 | $735.25 | $79.88–$272.04 | 60% below | 63% |
| Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 XR RIBS UNILAT W/CHEST 3+ V RT | $272.04 | $735.25 | $79.88–$272.04 | — | 63% |
| Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 XR RIBS UNILAT W/CHEST 3 VIEW LT | $272.04 | $735.25 | $79.88–$272.04 | — | 63% |
| Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 XR RIBS UNILAT W/CHEST 3+ V LT | $272.04 | $735.25 | $79.88–$272.04 | — | 63% |
| Screening mammogram, both breasts both sides CPT 77067 MA SCREEN MAMMO BILAT MOBILE | $287.12 | $776.00 | $155.20–$287.12 | — | 63% |
| Screening mammogram, both breasts both sides CPT 77067 MA SCREEN MAMMO BILATERAL | $287.12 | $776.00 | $155.20–$287.12 | — | 63% |
| Screening mammogram, both breasts both sides CPT 77067 MA SCREEN MAMMO BILAT MOBILE | $287.12 | $776.00 | $155.20–$287.12 | — | 63% |
| Screening mammogram, both breasts both sides CPT 77067 MA SCREEN MAMMO BILATERAL | $287.12 | $776.00 | $155.20–$287.12 | — | 63% |
| Screening mammogram, both breasts one side CPT 77067 MA SCREEN MAMMO LT MOBILE | $256.87 | $694.25 | $138.85–$256.87 | 36% below | 63% |
| Screening mammogram, both breasts one side CPT 77067 MA SCREEN MAMMO RT | $256.87 | $694.25 | $138.85–$256.87 | 36% below | 63% |
| Screening mammogram, both breasts one side CPT 77067 MA SCREEN MAMMO LT | $256.87 | $694.25 | $138.85–$256.87 | 36% below | 63% |
| Screening mammogram, both breasts one side CPT 77067 MA SCREEN MAMMO RT MOBILE | $256.87 | $694.25 | $138.85–$256.87 | 36% below | 63% |
| Screening mammogram, both breasts one side CPT 77067 MA SCREEN MAMMO RT MOBILE | $256.87 | $694.25 | $138.85–$256.87 | 36% below | 63% |
| Screening mammogram, both breasts one side CPT 77067 MA SCREEN MAMMO LT MOBILE | $256.87 | $694.25 | $138.85–$256.87 | 36% below | 63% |
| Screening mammogram, both breasts one side CPT 77067 MA SCREEN MAMMO RT | $256.87 | $694.25 | $138.85–$256.87 | 36% below | 63% |
| Screening mammogram, both breasts one side CPT 77067 MA SCREEN MAMMO LT | $256.87 | $694.25 | $138.85–$256.87 | 36% below | 63% |
| Screening mammogram, both breasts inpatient both sides CPT 77067 MA SCREEN MAMMO BILAT MOBILE | $287.12 | $776.00 | $155.20–$287.12 | — | 63% |
| Screening mammogram, both breasts inpatient both sides CPT 77067 MA SCREEN MAMMO BILATERAL | $287.12 | $776.00 | $155.20–$287.12 | — | 63% |
| Screening mammogram, both breasts inpatient one side CPT 77067 MA SCREEN MAMMO RT | $256.87 | $694.25 | $138.85–$256.87 | — | 63% |
| Screening mammogram, both breasts inpatient one side CPT 77067 MA SCREEN MAMMO RT MOBILE | $256.87 | $694.25 | $138.85–$256.87 | — | 63% |
| Screening mammogram, both breasts inpatient one side CPT 77067 MA SCREEN MAMMO LT | $256.87 | $694.25 | $138.85–$256.87 | — | 63% |
| Screening mammogram, both breasts inpatient one side CPT 77067 MA SCREEN MAMMO LT MOBILE | $256.87 | $694.25 | $138.85–$256.87 | — | 63% |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR SHOULDER COMP 2+VIEW LT | $210.90 | $570.00 | $68.56–$210.90 | 71% below | 63% |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR SHOULDER COMP 2+VIEW RT | $210.90 | $570.00 | $68.56–$210.90 | 71% below | 63% |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR SHOULDER COMP 2+ V RT | $210.90 | $570.00 | $68.56–$210.90 | 71% below | 63% |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR SHOULDER COMP 2+ V LT | $210.90 | $570.00 | $68.56–$210.90 | 71% below | 63% |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR SHOULDER COMP 2+ V RT | $210.90 | $570.00 | $68.56–$210.90 | 71% below | 63% |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR SHOULDER COMP 2+VIEW LT | $210.90 | $570.00 | $68.56–$210.90 | 71% below | 63% |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR SHOULDER COMP 2+ V LT | $210.90 | $570.00 | $68.56–$210.90 | 71% below | 63% |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR SHOULDER COMP 2+VIEW RT | $210.90 | $570.00 | $68.56–$210.90 | 71% below | 63% |
| Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 XR SHOULDER COMP 2+ V LT | $210.90 | $570.00 | $68.56–$210.90 | — | 63% |
| Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 XR SHOULDER COMP 2+VIEW RT | $210.90 | $570.00 | $68.56–$210.90 | — | 63% |
| Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 XR SHOULDER COMP 2+VIEW LT | $210.90 | $570.00 | $68.56–$210.90 | — | 63% |
| Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 XR SHOULDER COMP 2+ V RT | $210.90 | $570.00 | $68.56–$210.90 | — | 63% |
| Sinus X-ray, complete, 3 or more views CPT 70220 XR SINUSES COMPLETE 3+ VIEWS | $210.72 | $569.50 | $73.69–$210.72 | 75% below | 63% |
| Sinus X-ray, complete, 3 or more views CPT 70220 XR SINUSES COMPLETE 3+ VIEWS | $210.72 | $569.50 | $73.69–$210.72 | 75% below | 63% |
| Sinus X-ray, complete, 3 or more views inpatient CPT 70220 XR SINUSES COMPLETE 3+ VIEWS | $210.72 | $569.50 | $73.69–$210.72 | — | 63% |
| Skull X-ray, fewer than 4 views CPT 70250 XR SKULL < 4 VIEWS | $213.68 | $577.50 | $73.69–$213.68 | 67% below | 63% |
| Skull X-ray, fewer than 4 views CPT 70250 XR SKULL < 4 VIEWS | $213.68 | $577.50 | $73.69–$213.68 | 67% below | 63% |
| Skull X-ray, fewer than 4 views inpatient CPT 70250 XR SKULL < 4 VIEWS | $213.68 | $577.50 | $73.69–$213.68 | — | 63% |
| Sleep study in a lab (polysomnography) CPT 95810 POLYSOMNOGRAPHY SLEEP STUDY 6YRS + | $5,160.76 | $13,948.00 | $1,172.88–$5,858.16 | 3% below | 63% |
| Sleep study in a lab (polysomnography) CPT 95810 JV TERMINATED POLYSOMNOGRPHY 6YR+ | $5,160.76 | $13,948.00 | $1,172.88–$5,858.16 | 3% below | 63% |
| Sleep study in a lab (polysomnography) CPT 95810 POLYSOMNOGRAPHY SLEEP STUDY 6YRS + | $5,160.76 | $13,948.00 | $1,172.88–$5,858.16 | 3% below | 63% |
| Sleep study in a lab (polysomnography) CPT 95810 JV POLYSOMNOGRPHY SLEEP STDY 6YR+ | $5,160.76 | $13,948.00 | $1,172.88–$5,858.16 | 3% below | 63% |
| Sleep study in a lab (polysomnography) CPT 95810 JV POLYSOMNOGRPHY SLEEP STDY 6YR+ | $5,160.76 | $13,948.00 | $1,172.88–$5,858.16 | 3% below | 63% |
| Sleep study in a lab (polysomnography) CPT 95810 JV TERMINATED POLYSOMNOGRPHY 6YR+ | $5,160.76 | $13,948.00 | $1,172.88–$5,858.16 | 3% below | 63% |
| Sleep study in a lab (polysomnography) CPT 95810 TERMINATED POLYSOMNOGRAPY 6YRS + | $5,160.76 | $13,948.00 | $1,172.88–$5,858.16 | 3% below | 63% |
| Sleep study in a lab (polysomnography) CPT 95810 TERMINATED POLYSOMNOGRAPY 6YRS + | $5,160.76 | $13,948.00 | $1,172.88–$5,858.16 | 3% below | 63% |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 TERMINATED POLYSOMNOGRAPY 6YRS + | $5,160.76 | $13,948.00 | $1,172.88–$5,858.16 | — | 63% |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 POLYSOMNOGRAPHY SLEEP STUDY 6YRS + | $5,160.76 | $13,948.00 | $1,172.88–$5,858.16 | — | 63% |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 JV POLYSOMNOGRPHY SLEEP STDY 6YR+ | $5,160.76 | $13,948.00 | $1,172.88–$5,858.16 | — | 63% |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 JV TERMINATED POLYSOMNOGRPHY 6YR+ | $5,160.76 | $13,948.00 | $1,172.88–$5,858.16 | — | 63% |
| Stress echocardiogram, complete, including the stress test and supervision CPT 93351 PBB KS STRESS ECHO W/WO CON W/MON | $2,217.87 | $5,994.25 | $340.73–$1,597.00 | 17% below | 63% |
| Stress echocardiogram, complete, including the stress test and supervision CPT 93351 PBB OP STRESS ECHO W/WO CON W/MON | $2,217.87 | $5,994.25 | $340.73–$1,597.00 | 17% below | 63% |
| Stress echocardiogram, complete, including the stress test and supervision CPT 93351 STRESS ECHO W/MONT & CONTRAST | $3,220.20 | $8,703.25 | $340.73–$1,597.00 | 21% above | 63% |
| Stress echocardiogram, complete, including the stress test and supervision CPT 93351 STRESS ECHO W/MONT W/O CONTRAST | $3,220.20 | $8,703.25 | $340.73–$1,597.00 | 21% above | 63% |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 XR PHARYNX/ESOPH SWALLOW | $216.82 | $586.00 | $117.20–$298.47 | 78% below | 63% |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 XR PHARYNX/ESOPH SWALLOW | $216.82 | $586.00 | $117.20–$298.47 | 78% below | 63% |
| Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 XR PHARYNX/ESOPH SWALLOW | $216.82 | $586.00 | $117.20–$298.47 | — | 63% |
| Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 XR FEMUR MIN 2 VIEWS RT | $227.83 | $615.75 | $73.69–$227.83 | 57% below | 63% |
| Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 XR FEMUR MIN 2 VIEWS LT | $227.83 | $615.75 | $73.69–$227.83 | 57% below | 63% |
| Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 XR FEMUR MIN 2 VIEWS RT | $227.83 | $615.75 | $73.69–$227.83 | 57% below | 63% |
| Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 XR FEMUR MIN 2 VIEWS LT | $227.83 | $615.75 | $73.69–$227.83 | 57% below | 63% |
| Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 XR FEMUR MIN 2 VIEWS LT | $227.83 | $615.75 | $73.69–$227.83 | — | 63% |
| Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 XR FEMUR MIN 2 VIEWS RT | $227.83 | $615.75 | $73.69–$227.83 | — | 63% |
| Thoracic spine (mid back) CT scan without contrast CPT 72128 CT SPINE THORACIC W/O CONTRAST | $578.40 | $1,563.25 | $235.69–$578.40 | 81% below | 63% |
| Thoracic spine (mid back) CT scan without contrast CPT 72128 CT SPINE THORACIC W/O CONTRAST | $578.40 | $1,563.25 | $235.69–$578.40 | 81% below | 63% |
| Thoracic spine (mid back) CT scan without contrast CPT 72128 IO CT SPINE THORACIC W/O CONTRAST | $578.40 | $1,563.25 | $235.69–$578.40 | 81% below | 63% |
| Thoracic spine (mid back) CT scan without contrast CPT 72128 IO CT SPINE THORACIC W/O CONTRAST | $578.40 | $1,563.25 | $235.69–$578.40 | 81% below | 63% |
| Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 IO CT SPINE THORACIC W/O CONTRAST | $578.40 | $1,563.25 | $235.69–$578.40 | — | 63% |
| Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 CT SPINE THORACIC W/O CONTRAST | $578.40 | $1,563.25 | $235.69–$578.40 | — | 63% |
| Toe X-ray, 2 or more views one side CPT 73660 XR TOE(S) 2+ VIEW LT | $130.98 | $354.00 | $62.36–$130.98 | 73% below | 63% |
| Toe X-ray, 2 or more views one side CPT 73660 XR TOE(S) 2+ VIEW RT | $130.98 | $354.00 | $62.36–$194.81 | 73% below | 63% |
| Toe X-ray, 2 or more views one side CPT 73660 XR TOE(S) 2+ VIEW LT | $130.98 | $354.00 | $62.36–$194.81 | 73% below | 63% |
| Toe X-ray, 2 or more views one side CPT 73660 XR TOE(S) 2+ VIEW RT | $130.98 | $354.00 | $62.36–$194.81 | 73% below | 63% |
| Toe X-ray, 2 or more views inpatient one side CPT 73660 XR TOE(S) 2+ VIEW LT | $130.98 | $354.00 | $62.36–$130.98 | — | 63% |
| Toe X-ray, 2 or more views inpatient one side CPT 73660 XR TOE(S) 2+ VIEW RT | $130.98 | $354.00 | $62.36–$194.81 | — | 63% |
| Transvaginal pelvic ultrasound CPT 76830 US TRANSVAGINAL | $710.31 | $1,919.75 | $235.69–$710.31 | 29% below | 63% |
| Transvaginal pelvic ultrasound CPT 76830 US TRANSVAGINAL | $710.31 | $1,919.75 | $235.69–$710.31 | 29% below | 63% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 US TRANSVAGINAL | $710.31 | $1,919.75 | $235.69–$710.31 | — | 63% |
| Transvaginal ultrasound during pregnancy CPT 76817 US OB TRANSVAGINAL | $549.27 | $1,484.50 | $169.57–$549.26 | 40% below | 63% |
| Transvaginal ultrasound during pregnancy CPT 76817 US OB TRANSVAGINAL | $549.27 | $1,484.50 | $169.57–$549.26 | 40% below | 63% |
| Transvaginal ultrasound during pregnancy inpatient CPT 76817 US OB TRANSVAGINAL | $549.27 | $1,484.50 | $169.57–$549.26 | — | 63% |
| Ultrasound of the abdomen, complete CPT 76700 US ABDOMEN COMPLETE | $897.07 | $2,424.50 | $235.69–$897.07 | 42% below | 63% |
| Ultrasound of the abdomen, complete CPT 76700 US ABDOMEN COMPLETE | $897.07 | $2,424.50 | $235.69–$897.07 | 42% below | 63% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 US ABDOMEN COMPLETE | $897.07 | $2,424.50 | $235.69–$897.07 | — | 63% |
| Ultrasound of the scrotum and testicles CPT 76870 US SCROTUM | $632.61 | $1,709.75 | $212.88–$632.61 | 41% below | 63% |
| Ultrasound of the scrotum and testicles CPT 76870 US SCROTUM | $632.61 | $1,709.75 | $212.88–$632.61 | 41% below | 63% |
| Ultrasound of the scrotum and testicles inpatient CPT 76870 US SCROTUM | $632.61 | $1,709.75 | $212.88–$632.61 | — | 63% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US SOFT TISSUE HEAD/NECK | $656.01 | $1,773.00 | $235.69–$656.01 | 44% below | 63% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US SOFT TISSUE HEAD/NECK | $656.01 | $1,773.00 | $235.69–$656.01 | 44% below | 63% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US SOFT TISSUE HEAD/NECK | $656.01 | $1,773.00 | $235.69–$656.01 | — | 63% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 XR UGI W/SCOUT INCL SNGL CONTRST | $581.27 | $1,571.00 | $231.45–$581.27 | 48% below | 63% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 XR UGI W/SCOUT INCL SNGL CONTRST | $581.27 | $1,571.00 | $231.45–$581.27 | 48% below | 63% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 XR UGI W/SCOUT INCL SNGL CONTRST | $581.27 | $1,571.00 | $231.45–$581.27 | — | 63% |
| Upper arm X-ray (humerus), 2 views one side CPT 73060 XR HUMERUS 2+ VIEWS LT | $157.53 | $425.75 | $66.47–$194.81 | 73% below | 63% |
| Upper arm X-ray (humerus), 2 views one side CPT 73060 XR HUMERUS 2+VIEWS RT | $157.53 | $425.75 | $66.47–$194.81 | 73% below | 63% |
| Upper arm X-ray (humerus), 2 views one side CPT 73060 XR HUMERUS 2+VIEWS LT | $157.53 | $425.75 | $66.47–$194.81 | 73% below | 63% |
| Upper arm X-ray (humerus), 2 views one side CPT 73060 XR HUMERUS 2+ VIEWS RT | $157.53 | $425.75 | $66.47–$194.81 | 73% below | 63% |
| Upper arm X-ray (humerus), 2 views one side CPT 73060 XR HUMERUS 2+VIEWS RT | $157.53 | $425.75 | $66.47–$194.81 | 73% below | 63% |
| Upper arm X-ray (humerus), 2 views one side CPT 73060 XR HUMERUS 2+VIEWS LT | $157.53 | $425.75 | $66.47–$194.81 | 73% below | 63% |
| Upper arm X-ray (humerus), 2 views one side CPT 73060 XR HUMERUS 2+ VIEWS RT | $157.53 | $425.75 | $66.47–$194.81 | 73% below | 63% |
| Upper arm X-ray (humerus), 2 views one side CPT 73060 XR HUMERUS 2+ VIEWS LT | $157.53 | $425.75 | $66.47–$194.81 | 73% below | 63% |
| Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 XR HUMERUS 2+ VIEWS RT | $157.53 | $425.75 | $66.47–$194.81 | — | 63% |
| Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 XR HUMERUS 2+ VIEWS LT | $157.53 | $425.75 | $66.47–$194.81 | — | 63% |
| Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 XR HUMERUS 2+VIEWS RT | $157.53 | $425.75 | $66.47–$194.81 | — | 63% |
| Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 XR HUMERUS 2+VIEWS LT | $157.53 | $425.75 | $66.47–$194.81 | — | 63% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 PBB KS EXT VENOUS DUPLX LIMITED | $479.89 | $1,297.00 | $222.80–$1,140.00 | 44% below | 63% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 PBB KS EXT VENOUS DUPLX LIMITED | $479.89 | $1,297.00 | $222.80–$1,140.00 | 44% below | 63% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 VC SC EXT VENOUS DUPLX UNI/LMTD | $575.91 | $1,556.50 | $222.80–$1,140.00 | 33% below | 63% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 VC SC EXT VENOUS DUPLX UNI/LMTD | $575.91 | $1,556.50 | $222.80–$1,140.00 | 33% below | 63% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 EXT VENOUS DUPLX UNI RT | $691.07 | $1,867.75 | $222.80–$1,140.00 | 20% below | 63% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 VI EXT VENOUS DUPLX UNI LT | $691.07 | $1,867.75 | $222.80–$1,140.00 | 20% below | 63% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 EXT VENOUS DUPLX UNI RT | $691.07 | $1,867.75 | $222.80–$1,140.00 | 20% below | 63% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 VI EXT VENOUS DUPLX UNI LT | $691.07 | $1,867.75 | $222.80–$1,140.00 | 20% below | 63% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 VI EXT VENOUS DUPLX UNI RT | $691.07 | $1,867.75 | $222.80–$1,140.00 | 20% below | 63% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 DUPLEX VENOUS EXT UNILAT/LTD | $691.07 | $1,867.75 | $222.80–$1,140.00 | 20% below | 63% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 EXT VENOUS DUPLX UNI LT | $691.07 | $1,867.75 | $222.80–$1,140.00 | 20% below | 63% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 DUPLEX VENOUS EXT UNILAT/LTD | $691.07 | $1,867.75 | $222.80–$1,140.00 | 20% below | 63% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 EXT VENOUS DUPLX UNI LT | $691.07 | $1,867.75 | $222.80–$1,140.00 | 20% below | 63% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 VI EXT VENOUS DUPLX UNI RT | $691.07 | $1,867.75 | $222.80–$1,140.00 | 20% below | 63% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 PBB KS EXT VENOUS DUPLX LIMITED | $479.89 | $1,297.00 | $222.80–$1,140.00 | — | 63% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 VC SC EXT VENOUS DUPLX UNI/LMTD | $575.91 | $1,556.50 | $222.80–$1,140.00 | — | 63% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 DUPLEX VENOUS EXT UNILAT/LTD | $691.07 | $1,867.75 | $222.80–$1,140.00 | — | 63% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 VI EXT VENOUS DUPLX UNI RT | $691.07 | $1,867.75 | $222.80–$1,140.00 | — | 63% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 EXT VENOUS DUPLX UNI RT | $691.07 | $1,867.75 | $222.80–$1,140.00 | — | 63% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 VI EXT VENOUS DUPLX UNI LT | $691.07 | $1,867.75 | $222.80–$1,140.00 | — | 63% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 EXT VENOUS DUPLX UNI LT | $691.07 | $1,867.75 | $222.80–$1,140.00 | — | 63% |
| Wrist X-ray, 2 views one side CPT 73100 XR WRIST AP & LAT RT | $210.62 | $569.25 | $70.60–$210.62 | 66% below | 63% |
| Wrist X-ray, 2 views one side CPT 73100 XR WRIST AP & LAT LT | $210.62 | $569.25 | $70.60–$210.62 | 66% below | 63% |
| Wrist X-ray, 2 views one side CPT 73100 XR WRIST AP & LAT RT | $210.62 | $569.25 | $70.60–$210.62 | 66% below | 63% |
| Wrist X-ray, 2 views one side CPT 73100 XR WRIST AP & LAT LT | $210.62 | $569.25 | $70.60–$210.62 | 66% below | 63% |
| Wrist X-ray, 2 views inpatient one side CPT 73100 XR WRIST AP & LAT RT | $210.62 | $569.25 | $70.60–$210.62 | — | 63% |
| Wrist X-ray, 2 views inpatient one side CPT 73100 XR WRIST AP & LAT LT | $210.62 | $569.25 | $70.60–$210.62 | — | 63% |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 XR WRIST COMP 3+ V LT | $220.24 | $595.25 | $87.10–$220.24 | 69% below | 63% |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 XR WRIST COMP 3+ V RT | $220.24 | $595.25 | $87.10–$220.24 | 69% below | 63% |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 XR WRIST COMP 3+VIEW LT | $220.24 | $595.25 | $87.10–$220.24 | 69% below | 63% |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 XR WRIST COMP 3+VIEW RT | $220.24 | $595.25 | $87.10–$220.24 | 69% below | 63% |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 XR WRIST COMP 3+VIEW LT | $220.24 | $595.25 | $87.10–$220.24 | 69% below | 63% |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 XR WRIST COMP 3+ V RT | $220.24 | $595.25 | $87.10–$220.24 | 69% below | 63% |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 XR WRIST COMP 3+ V LT | $220.24 | $595.25 | $87.10–$220.24 | 69% below | 63% |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 XR WRIST COMP 3+VIEW RT | $220.24 | $595.25 | $87.10–$220.24 | 69% below | 63% |
| Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 XR WRIST COMP 3+VIEW RT | $220.24 | $595.25 | $87.10–$220.24 | — | 63% |
| Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 XR WRIST COMP 3+ V RT | $220.24 | $595.25 | $87.10–$220.24 | — | 63% |
| Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 XR WRIST COMP 3+ V LT | $220.24 | $595.25 | $87.10–$220.24 | — | 63% |
| Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 XR WRIST COMP 3+VIEW LT | $220.24 | $595.25 | $87.10–$220.24 | — | 63% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR HIP UNI W/PELVIS 2-3 VW RT | $175.38 | $474.00 | $94.80–$194.81 | 70% below | 63% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR HIP UNI W/PELVIS 2-3 VW LT | $175.38 | $474.00 | $94.80–$194.81 | 70% below | 63% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR HIP UNI W/PELVIS 2-3 VW RT | $175.38 | $474.00 | $94.80–$194.81 | 70% below | 63% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR HIP UNI W/PELVIS 2-3 VW LT | $175.38 | $474.00 | $94.80–$194.81 | 70% below | 63% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 XR HIP UNI W/PELVIS 2-3 VW RT | $175.38 | $474.00 | $94.80–$194.81 | — | 63% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 XR HIP UNI W/PELVIS 2-3 VW LT | $175.38 | $474.00 | $94.80–$194.81 | — | 63% |
| X-ray of the abdomen, 1 view CPT 74018 XR ABDOMEN 1 VIEW | $162.99 | $440.50 | $58.23–$162.99 | 67% below | 63% |
| X-ray of the abdomen, 1 view CPT 74018 XR ABDOMEN 1 VIEW | $162.99 | $440.50 | $58.23–$162.99 | 67% below | 63% |
| X-ray of the abdomen, 1 view inpatient CPT 74018 XR ABDOMEN 1 VIEW | $162.99 | $440.50 | $58.23–$162.99 | — | 63% |
| X-ray of the ankle, 2 views one side CPT 73600 XR ANKLE AP & LAT LT | $191.48 | $517.50 | $67.50–$194.81 | 61% below | 63% |
| X-ray of the ankle, 2 views one side CPT 73600 XR ANKLE AP & LAT RT | $191.48 | $517.50 | $67.50–$194.81 | 61% below | 63% |
| X-ray of the ankle, 2 views one side CPT 73600 XR ANKLE AP & LAT LT | $191.48 | $517.50 | $67.50–$194.81 | 61% below | 63% |
| X-ray of the ankle, 2 views one side CPT 73600 XR ANKLE AP & LAT RT | $191.48 | $517.50 | $67.50–$194.81 | 61% below | 63% |
| X-ray of the ankle, 2 views inpatient one side CPT 73600 XR ANKLE AP & LAT LT | $191.48 | $517.50 | $67.50–$194.81 | — | 63% |
| X-ray of the ankle, 2 views inpatient one side CPT 73600 XR ANKLE AP & LAT RT | $191.48 | $517.50 | $67.50–$194.81 | — | 63% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 XR FINGER(S) LT | $156.60 | $423.25 | $82.99–$156.60 | 67% below | 63% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 XR FINGER(S) LT | $156.60 | $423.25 | $82.99–$194.81 | 67% below | 63% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 XR FINGER(S) RT | $156.60 | $423.25 | $82.99–$194.81 | 67% below | 63% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 XR FINGER(S) RT | $156.60 | $423.25 | $82.99–$194.81 | 67% below | 63% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR FINGER(S) LT | $156.60 | $423.25 | $82.99–$156.60 | — | 63% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR FINGER(S) RT | $156.60 | $423.25 | $82.99–$194.81 | — | 63% |
| X-ray of the foot, 2 views one side CPT 73620 XR FOOT AP & LAT RT | $194.90 | $526.75 | $58.23–$194.90 | 60% below | 63% |
| X-ray of the foot, 2 views one side CPT 73620 XR FOOT AP & LAT RT | $194.90 | $526.75 | $58.23–$194.90 | 60% below | 63% |
| X-ray of the foot, 2 views one side CPT 73620 XR FOOT AP & LAT LT | $194.90 | $526.75 | $58.23–$194.90 | 60% below | 63% |
| X-ray of the foot, 2 views one side CPT 73620 XR FOOT AP & LAT LT | $194.90 | $526.75 | $58.23–$194.90 | 60% below | 63% |
| X-ray of the foot, 2 views inpatient one side CPT 73620 XR FOOT AP & LAT LT | $194.90 | $526.75 | $58.23–$194.90 | — | 63% |
| X-ray of the foot, 2 views inpatient one side CPT 73620 XR FOOT AP & LAT RT | $194.90 | $526.75 | $58.23–$194.90 | — | 63% |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 XR FOOT COMP 3+VIEWS RT | $197.03 | $532.50 | $70.60–$197.03 | 67% below | 63% |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 XR FOOT COMP 3+ VIEWS LT | $197.03 | $532.50 | $70.60–$197.03 | 67% below | 63% |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 XR FOOT COMP 3+ VIEWS RT | $197.03 | $532.50 | $70.60–$197.03 | 67% below | 63% |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 XR FOOT COMP 3+VIEWS LT | $197.03 | $532.50 | $70.60–$197.03 | 67% below | 63% |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 XR FOOT COMP 3+VIEWS RT | $197.03 | $532.50 | $70.60–$197.03 | 67% below | 63% |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 XR FOOT COMP 3+VIEWS LT | $197.03 | $532.50 | $70.60–$197.03 | 67% below | 63% |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 XR FOOT COMP 3+ VIEWS RT | $197.03 | $532.50 | $70.60–$197.03 | 67% below | 63% |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 XR FOOT COMP 3+ VIEWS LT | $197.03 | $532.50 | $70.60–$197.03 | 67% below | 63% |
| X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 XR FOOT COMP 3+VIEWS RT | $197.03 | $532.50 | $70.60–$197.03 | — | 63% |
| X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 XR FOOT COMP 3+VIEWS LT | $197.03 | $532.50 | $70.60–$197.03 | — | 63% |
| X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 XR FOOT COMP 3+ VIEWS LT | $197.03 | $532.50 | $70.60–$197.03 | — | 63% |
| X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 XR FOOT COMP 3+ VIEWS RT | $197.03 | $532.50 | $70.60–$197.03 | — | 63% |
| X-ray of the hand, 3 or more views one side CPT 73130 XR HAND COMP 3+ VIEWS RT | $199.15 | $538.25 | $75.77–$199.15 | 69% below | 63% |
| X-ray of the hand, 3 or more views one side CPT 73130 XR HAND COMP 3+VIEWS LT | $199.15 | $538.25 | $75.77–$199.15 | 69% below | 63% |
| X-ray of the hand, 3 or more views one side CPT 73130 XR HAND COMP 3+ VIEWS LT | $199.15 | $538.25 | $75.77–$199.15 | 69% below | 63% |
| X-ray of the hand, 3 or more views one side CPT 73130 XR HAND COMP 3+VIEWS LT | $199.15 | $538.25 | $75.77–$199.15 | 69% below | 63% |
| X-ray of the hand, 3 or more views one side CPT 73130 XR HAND COMP 3+ VIEWS RT | $199.15 | $538.25 | $75.77–$199.15 | 69% below | 63% |
| X-ray of the hand, 3 or more views one side CPT 73130 XR HAND COMP 3+VIEWS RT | $199.15 | $538.25 | $75.77–$199.15 | 69% below | 63% |
| X-ray of the hand, 3 or more views one side CPT 73130 XR HAND COMP 3+VIEWS RT | $199.15 | $538.25 | $75.77–$199.15 | 69% below | 63% |
| X-ray of the hand, 3 or more views one side CPT 73130 XR HAND COMP 3+ VIEWS LT | $199.15 | $538.25 | $75.77–$199.15 | 69% below | 63% |
| X-ray of the hand, 3 or more views inpatient one side CPT 73130 XR HAND COMP 3+VIEWS RT | $199.15 | $538.25 | $75.77–$199.15 | — | 63% |
| X-ray of the hand, 3 or more views inpatient one side CPT 73130 XR HAND COMP 3+ VIEWS LT | $199.15 | $538.25 | $75.77–$199.15 | — | 63% |
| X-ray of the hand, 3 or more views inpatient one side CPT 73130 XR HAND COMP 3+ VIEWS RT | $199.15 | $538.25 | $75.77–$199.15 | — | 63% |
| X-ray of the hand, 3 or more views inpatient one side CPT 73130 XR HAND COMP 3+VIEWS LT | $199.15 | $538.25 | $75.77–$199.15 | — | 63% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 XR KNEE AP&LAT RT | $210.62 | $569.25 | $72.66–$210.62 | 65% below | 63% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 XR KNEE AP & LAT RT | $210.62 | $569.25 | $72.66–$210.62 | 65% below | 63% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 XR KNEE AP&LAT LT | $210.62 | $569.25 | $72.66–$210.62 | 65% below | 63% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 XR KNEE AP & LAT LT | $210.62 | $569.25 | $72.66–$210.62 | 65% below | 63% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 XR KNEE AP&LAT RT | $210.62 | $569.25 | $72.66–$210.62 | 65% below | 63% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 XR KNEE AP&LAT LT | $210.62 | $569.25 | $72.66–$210.62 | 65% below | 63% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 XR KNEE AP & LAT RT | $210.62 | $569.25 | $72.66–$210.62 | 65% below | 63% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 XR KNEE AP & LAT LT | $210.62 | $569.25 | $72.66–$210.62 | 65% below | 63% |
| X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 XR KNEE AP&LAT RT | $210.62 | $569.25 | $72.66–$210.62 | — | 63% |
| X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 XR KNEE AP&LAT LT | $210.62 | $569.25 | $72.66–$210.62 | — | 63% |
| X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 XR KNEE AP & LAT RT | $210.62 | $569.25 | $72.66–$210.62 | — | 63% |
| X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 XR KNEE AP & LAT LT | $210.62 | $569.25 | $72.66–$210.62 | — | 63% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 XR SPINE LUMBOSACRAL 2 OR 3 VIEWS | $261.78 | $707.50 | $77.83–$261.77 | 62% below | 63% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 XR SPINE LUMBOSACRAL 2 OR 3 VIEWS | $261.78 | $707.50 | $77.83–$261.77 | 62% below | 63% |
| X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 XR SPINE LUMBOSACRAL 2 OR 3 VIEWS | $261.78 | $707.50 | $77.83–$261.77 | — | 63% |
| X-ray of the lower back, 4 or more views CPT 72110 XR SPINE LUMBAR COMP W/OBLIQUES | $371.20 | $1,003.25 | $102.56–$371.20 | 67% below | 63% |
| X-ray of the lower back, 4 or more views CPT 72110 XR SPINE LUMBAR COMP W/OBLIQUES | $371.20 | $1,003.25 | $102.56–$371.20 | 67% below | 63% |
| X-ray of the lower back, 4 or more views CPT 72110 XR SPINE LUMBAR COMP 4+VIEWS | $371.20 | $1,003.25 | $102.56–$371.20 | 67% below | 63% |
| X-ray of the lower back, 4 or more views CPT 72110 XR SPINE LUMBAR COMP 4+VIEWS | $371.20 | $1,003.25 | $102.56–$371.20 | 67% below | 63% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 XR SPINE LUMBAR COMP W/OBLIQUES | $371.20 | $1,003.25 | $102.56–$371.20 | — | 63% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 XR SPINE LUMBAR COMP 4+VIEWS | $371.20 | $1,003.25 | $102.56–$371.20 | — | 63% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 XR SPINE THORACIC AP/LAT | $124.51 | $336.50 | $62.36–$124.50 | 80% below | 63% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 XR SPINE THORACIC AP/LAT | $124.51 | $336.50 | $62.36–$124.50 | 80% below | 63% |
| X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 XR SPINE THORACIC AP/LAT | $124.51 | $336.50 | $62.36–$124.50 | — | 63% |
| X-ray of the nasal bones, 3 or more views CPT 70160 XR NASAL BONES COMPLETE 3+ VIEWS | $215.62 | $582.75 | $79.88–$215.62 | 67% below | 63% |
| X-ray of the nasal bones, 3 or more views CPT 70160 XR NASAL BONES COMPLETE 3+ VIEWS | $215.62 | $582.75 | $79.88–$215.62 | 67% below | 63% |
| X-ray of the nasal bones, 3 or more views inpatient CPT 70160 XR NASAL BONES COMPLETE 3+ VIEWS | $215.62 | $582.75 | $79.88–$215.62 | — | 63% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 XR SPINE CERVICAL 2 OR 3 VIEWS | $234.77 | $634.50 | $77.83–$234.76 | 66% below | 63% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 XR SPINE CERVICAL 2 OR 3 VIEWS | $234.77 | $634.50 | $77.83–$234.76 | 66% below | 63% |
| X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 XR SPINE CERVICAL 2 OR 3 VIEWS | $234.77 | $634.50 | $77.83–$234.76 | — | 63% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 XR PELVIS 1 OR 2 VIEWS | $150.50 | $406.75 | $57.20–$150.50 | 76% below | 63% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 XR PELVIS 1 OR 2 VIEWS | $150.50 | $406.75 | $57.20–$150.50 | 76% below | 63% |
| X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 XR PELVIS 1 OR 2 VIEWS | $150.50 | $406.75 | $57.20–$150.50 | — | 63% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 XR SACRUM/COCCYX 2+VIEWS | $166.04 | $448.75 | $65.44–$166.04 | 75% below | 63% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 XR SACRUM/COCCYX 2+VIEWS | $166.04 | $448.75 | $65.44–$166.04 | 75% below | 63% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 XR SACRUM/COCCYX 2+ VIEWS | $166.04 | $448.75 | $65.44–$166.04 | 75% below | 63% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 XR SACRUM/COCCYX 2+ VIEWS | $166.04 | $448.75 | $65.44–$166.04 | 75% below | 63% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 XR SACRUM/COCCYX 2+VIEWS | $166.04 | $448.75 | $65.44–$166.04 | — | 63% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 XR SACRUM/COCCYX 2+ VIEWS | $166.04 | $448.75 | $65.44–$166.04 | — | 63% |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Florida | Off list |
|---|---|---|---|---|---|
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALT (SGPT) BODY FLUID | $10.45 | $28.25 | $4.67–$13.25 | 73% below | 63% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 TRANSAMINASE GLUTAMIC PYRUVIC(SGPT) | $10.45 | $28.25 | $4.67–$13.25 | 73% below | 63% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALT (SGPT) BODY FLUID | $10.45 | $28.25 | $4.67–$13.25 | 73% below | 63% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 TRANSAMINASE GLUTAMIC PYRUVIC(SGPT) | $10.45 | $28.25 | $4.67–$13.25 | 73% below | 63% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 REF LIVER FIB ALT | $21.09 | $57.00 | $4.67–$21.09 | 46% below | 63% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 REF LIVER FIB ALT | $21.09 | $57.00 | $4.67–$21.09 | 46% below | 63% |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 TRANSAMINASE GLUTAMIC PYRUVIC(SGPT) | $10.45 | $28.25 | $4.67–$13.25 | — | 63% |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 ALT (SGPT) BODY FLUID | $10.45 | $28.25 | $4.67–$13.25 | — | 63% |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 REF LIVER FIB ALT | $21.09 | $57.00 | $4.67–$21.09 | — | 63% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 TRANSAMINASE GLUTAMIC OXALACE(GOT) | $10.45 | $28.25 | $4.56–$12.95 | 81% below | 63% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 AST (SGOT) BODY FLUID | $10.45 | $28.25 | $4.56–$12.95 | 81% below | 63% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 AST (SGOT) BODY FLUID | $10.45 | $28.25 | $4.56–$12.95 | 81% below | 63% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 TRANSAMINASE GLUTAMIC OXALACE(GOT) | $10.45 | $28.25 | $4.56–$12.95 | 81% below | 63% |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 AST (SGOT) BODY FLUID | $10.45 | $28.25 | $4.56–$12.95 | — | 63% |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 TRANSAMINASE GLUTAMIC OXALACE(GOT) | $10.45 | $28.25 | $4.56–$12.95 | — | 63% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 ACUTE HEPATITIS PANL 2000 | $163.91 | $443.00 | $41.91–$163.91 | 1% above | 63% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 ACUTE HEPATITIS PANL 2000 | $163.91 | $443.00 | $41.91–$163.91 | 1% above | 63% |
| Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 ACUTE HEPATITIS PANL 2000 | $163.91 | $443.00 | $41.91–$163.91 | — | 63% |
| Albumin blood test CPT 82040 ALBUMIN SERUM | $7.22 | $19.50 | $3.90–$12.38 | 57% below | 63% |
| Albumin blood test CPT 82040 ALBUMIN SERUM | $7.22 | $19.50 | $3.90–$12.38 | 57% below | 63% |
| Albumin blood test CPT 82040 REF ALBUMIN SERUM | $19.61 | $53.00 | $4.36–$19.61 | 16% above | 63% |
| Albumin blood test CPT 82040 REF ALBUMIN SERUM | $19.61 | $53.00 | $4.36–$19.61 | 16% above | 63% |
| Albumin blood test inpatient CPT 82040 ALBUMIN SERUM | $7.22 | $19.50 | $3.90–$12.38 | — | 63% |
| Albumin blood test inpatient CPT 82040 REF ALBUMIN SERUM | $19.61 | $53.00 | $4.36–$19.61 | — | 63% |
| Aldosterone blood test CPT 82088 REF ALDOSTERONE URINE-A | $9.07 | $24.50 | $4.90–$9.06 | 68% below | 63% |
| Aldosterone blood test inpatient CPT 82088 REF ALDOSTERONE URINE-A | $9.07 | $24.50 | $4.90–$9.06 | — | 63% |
| Alkaline phosphatase (ALP) blood test CPT 84075 ALKALINE PHOSPHATASE BLOOD | $7.77 | $21.00 | $4.20–$12.95 | 82% below | 63% |
| Alkaline phosphatase (ALP) blood test CPT 84075 ALKALINE PHOSPHATASE BLOOD | $7.77 | $21.00 | $4.20–$12.95 | 82% below | 63% |
| Alkaline phosphatase (ALP) blood test CPT 84075 ALK PHOS (BODY FLUID) | $7.77 | $21.00 | $4.20–$12.95 | 82% below | 63% |
| Alkaline phosphatase (ALP) blood test CPT 84075 ALK PHOS (BODY FLUID) | $7.77 | $21.00 | $4.20–$12.95 | 82% below | 63% |
| Alkaline phosphatase (ALP) blood test inpatient CPT 84075 ALK PHOS (BODY FLUID) | $7.77 | $21.00 | $4.20–$12.95 | — | 63% |
| Alkaline phosphatase (ALP) blood test inpatient CPT 84075 ALKALINE PHOSPHATASE BLOOD | $7.77 | $21.00 | $4.20–$12.95 | — | 63% |
| Allergy blood test, specific IgE, per allergen CPT 86003 REF ALLERGEN-A | $1.48 | $4.00 | $0.80–$1.48 | 81% below | 63% |
| Allergy blood test, specific IgE, per allergen CPT 86003 REF LATEX IGE OCCUP-A | $1.57 | $4.25 | $0.85–$1.57 | 80% below | 63% |
| Allergy blood test, specific IgE, per allergen CPT 86003 REF LTX SPC IGE HM-BF-CLO XT42375 | $44.03 | $119.00 | $4.60–$44.03 | 464% above | 63% |
| Allergy blood test, specific IgE, per allergen CPT 86003 REF LTX SPC IGE HM-BF-CLO XT42375 | $44.03 | $119.00 | $4.60–$44.03 | 464% above | 63% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 REF ALLERGEN-A | $1.48 | $4.00 | $0.80–$1.48 | — | 63% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 REF LATEX IGE OCCUP-A | $1.57 | $4.25 | $0.85–$1.57 | — | 63% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 REF LTX SPC IGE HM-BF-CLO XT42375 | $44.03 | $119.00 | $4.60–$44.03 | — | 63% |
| Alpha-fetoprotein (AFP) blood test CPT 82105 ALPHAFETOPROTEIN SERUM | $27.20 | $73.50 | $14.70–$41.93 | 19% below | 63% |
| Alpha-fetoprotein (AFP) blood test CPT 82105 ALPHAFETOPROTEIN SERUM | $27.20 | $73.50 | $14.70–$41.93 | 19% below | 63% |
| Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 ALPHAFETOPROTEIN SERUM | $27.20 | $73.50 | $14.70–$41.93 | — | 63% |
| Ammonia blood test CPT 82140 AMMONIA BLOOD | $75.02 | $202.75 | $12.82–$75.02 | 34% below | 63% |
| Ammonia blood test CPT 82140 AMMONIA BLOOD | $75.02 | $202.75 | $12.82–$75.02 | 34% below | 63% |
| Ammonia blood test inpatient CPT 82140 AMMONIA BLOOD | $75.02 | $202.75 | $12.82–$75.02 | — | 63% |
| Amylase blood test CPT 82150 AMYLASE URINE (RANDOM) | $58.09 | $157.00 | $5.70–$58.09 | 85% above | 63% |
| Amylase blood test CPT 82150 AMYLASE SERUM | $58.09 | $157.00 | $5.70–$58.09 | 85% above | 63% |
| Amylase blood test CPT 82150 AMYLASE URINE (TIMED) | $58.09 | $157.00 | $5.70–$58.09 | 85% above | 63% |
| Amylase blood test CPT 82150 FLUID AMYLASE | $58.09 | $157.00 | $5.70–$58.09 | 85% above | 63% |
| Amylase blood test CPT 82150 AMYLASE URINE (RANDOM) | $58.09 | $157.00 | $5.70–$58.09 | 85% above | 63% |
| Amylase blood test CPT 82150 FLUID AMYLASE | $58.09 | $157.00 | $5.70–$58.09 | 85% above | 63% |
| Amylase blood test CPT 82150 AMYLASE URINE (TIMED) | $58.09 | $157.00 | $5.70–$58.09 | 85% above | 63% |
| Amylase blood test CPT 82150 AMYLASE SERUM | $58.09 | $157.00 | $5.70–$58.09 | 85% above | 63% |
| Amylase blood test inpatient CPT 82150 FLUID AMYLASE | $58.09 | $157.00 | $5.70–$58.09 | — | 63% |
| Amylase blood test inpatient CPT 82150 AMYLASE URINE (RANDOM) | $58.09 | $157.00 | $5.70–$58.09 | — | 63% |
| Amylase blood test inpatient CPT 82150 AMYLASE SERUM | $58.09 | $157.00 | $5.70–$58.09 | — | 63% |
| Amylase blood test inpatient CPT 82150 AMYLASE URINE (TIMED) | $58.09 | $157.00 | $5.70–$58.09 | — | 63% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTINUCLEAR ANTIBODIES (BURLINGTON) | $21.55 | $58.25 | $10.64–$30.23 | 26% below | 63% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTINUCLEAR ANTIBODIES (BURLINGTON) | $21.55 | $58.25 | $10.64–$30.23 | 26% below | 63% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTINUCLEAR ANTIBODIES(ANA) | $116.09 | $313.75 | $10.64–$116.09 | 301% above | 63% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTINUCLEAR ANTIBODIES(ANA) | $116.09 | $313.75 | $10.64–$116.09 | 301% above | 63% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANTINUCLEAR ANTIBODIES (BURLINGTON) | $21.55 | $58.25 | $10.64–$30.23 | — | 63% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANTINUCLEAR ANTIBODIES(ANA) | $116.09 | $313.75 | $10.64–$116.09 | — | 63% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 B-TYPE NATRIURETIC PEPTIDE | $48.19 | $130.25 | $26.05–$98.15 | 71% below | 63% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 B-TYPE NATRIURETIC PEPTIDE | $48.19 | $130.25 | $26.05–$98.15 | 71% below | 63% |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 B-TYPE NATRIURETIC PEPTIDE | $48.19 | $130.25 | $26.05–$98.15 | — | 63% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE AEROBIC | $9.71 | $26.25 | $5.25–$21.55 | 87% below | 63% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE AEROBIC | $9.71 | $26.25 | $5.25–$21.55 | 87% below | 63% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULT ENVIR/INF CONT ANY SOURCE ID | $10.08 | $27.25 | $5.45–$21.55 | 86% below | 63% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULT TRANSFUSION RXN | $10.08 | $27.25 | $5.45–$21.55 | 86% below | 63% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULT TRANSFUSION RXN | $10.08 | $27.25 | $5.45–$21.55 | 86% below | 63% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULT ENVIR/INF CONT ANY SOURCE ID | $10.08 | $27.25 | $5.45–$21.55 | 86% below | 63% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 REF LEGION SP CULTURE | $12.76 | $34.48 | $6.90–$21.55 | 83% below | 63% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 REF LEGION SP CULTURE | $12.76 | $34.48 | $6.90–$21.55 | 83% below | 63% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULT SPEC BACTERIA AEROB 87070 | $19.43 | $52.50 | $7.59–$21.55 | 74% below | 63% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULT SPEC BACTERIA AEROB 87070 | $19.43 | $52.50 | $7.59–$21.55 | 74% below | 63% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 IDENTIFICATION REFERAL | $25.25 | $68.25 | $7.59–$25.25 | 66% below | 63% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE THROAT | $25.25 | $68.25 | $7.59–$25.25 | 66% below | 63% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE THROAT | $25.25 | $68.25 | $7.59–$25.25 | 66% below | 63% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 IDENTIFICATION REFERAL | $25.25 | $68.25 | $7.59–$25.25 | 66% below | 63% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 ENCORE SPUTUM CULTURE | $25.35 | $68.50 | $7.59–$25.34 | 66% below | 63% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 ENCORE SPUTUM CULTURE | $25.35 | $68.50 | $7.59–$25.34 | 66% below | 63% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE CATH TIP | $78.44 | $212.00 | $7.59–$78.44 | 5% above | 63% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE CATH TIP | $78.44 | $212.00 | $7.59–$78.44 | 5% above | 63% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE GENITAL | $78.44 | $212.00 | $7.59–$78.44 | 5% above | 63% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE GENITAL | $78.44 | $212.00 | $7.59–$78.44 | 5% above | 63% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE FLUID | $83.53 | $225.75 | $7.59–$83.53 | 12% above | 63% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE FLUID | $83.53 | $225.75 | $7.59–$83.53 | 12% above | 63% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 FLUID BY BROTH CULTURE | $87.04 | $235.25 | $7.59–$87.04 | 17% above | 63% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 FLUID BY BROTH CULTURE | $87.04 | $235.25 | $7.59–$87.04 | 17% above | 63% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE WOUND | $89.36 | $241.50 | $7.59–$89.36 | 20% above | 63% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE WOUND | $89.36 | $241.50 | $7.59–$89.36 | 20% above | 63% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE SPUTUM | $89.36 | $241.50 | $7.59–$89.36 | 20% above | 63% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE SPUTUM | $89.36 | $241.50 | $7.59–$89.36 | 20% above | 63% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE ANEROBIC/AEROBIC | $89.73 | $242.50 | $7.59–$89.72 | 20% above | 63% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE ANEROBIC/AEROBIC | $89.73 | $242.50 | $7.59–$89.72 | 20% above | 63% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE CSF | $92.50 | $250.00 | $7.59–$92.50 | 24% above | 63% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE CSF | $92.50 | $250.00 | $7.59–$92.50 | 24% above | 63% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 BRONCHIAL WASHING | $92.50 | $250.00 | $7.59–$92.50 | 24% above | 63% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 BRONCHIAL WASHING | $92.50 | $250.00 | $7.59–$92.50 | 24% above | 63% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULT CYSTIC FIBROSIS SPUTUM | $99.07 | $267.75 | $7.59–$99.07 | 33% above | 63% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULT CYSTIC FIBROSIS SPUTUM | $99.07 | $267.75 | $7.59–$99.07 | 33% above | 63% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE BONE MARROW | $99.44 | $268.75 | $7.59–$99.44 | 33% above | 63% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE BONE MARROW | $99.44 | $268.75 | $7.59–$99.44 | 33% above | 63% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE TISSUE | $140.60 | $380.00 | $7.59–$140.60 | 88% above | 63% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE TISSUE | $140.60 | $380.00 | $7.59–$140.60 | 88% above | 63% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE EYE | $160.49 | $433.75 | $7.59–$160.49 | 115% above | 63% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE EYE | $160.49 | $433.75 | $7.59–$160.49 | 115% above | 63% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE AEROBIC | $9.71 | $26.25 | $5.25–$21.55 | — | 63% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULT ENVIR/INF CONT ANY SOURCE ID | $10.08 | $27.25 | $5.45–$21.55 | — | 63% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULT TRANSFUSION RXN | $10.08 | $27.25 | $5.45–$21.55 | — | 63% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 REF LEGION SP CULTURE | $12.76 | $34.48 | $6.90–$21.55 | — | 63% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULT SPEC BACTERIA AEROB 87070 | $19.43 | $52.50 | $7.59–$21.55 | — | 63% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 IDENTIFICATION REFERAL | $25.25 | $68.25 | $7.59–$25.25 | — | 63% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE THROAT | $25.25 | $68.25 | $7.59–$25.25 | — | 63% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 ENCORE SPUTUM CULTURE | $25.35 | $68.50 | $7.59–$25.34 | — | 63% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE CATH TIP | $78.44 | $212.00 | $7.59–$78.44 | — | 63% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE GENITAL | $78.44 | $212.00 | $7.59–$78.44 | — | 63% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE FLUID | $83.53 | $225.75 | $7.59–$83.53 | — | 63% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 FLUID BY BROTH CULTURE | $87.04 | $235.25 | $7.59–$87.04 | — | 63% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE WOUND | $89.36 | $241.50 | $7.59–$89.36 | — | 63% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE SPUTUM | $89.36 | $241.50 | $7.59–$89.36 | — | 63% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE ANEROBIC/AEROBIC | $89.73 | $242.50 | $7.59–$89.72 | — | 63% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 BRONCHIAL WASHING | $92.50 | $250.00 | $7.59–$92.50 | — | 63% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE CSF | $92.50 | $250.00 | $7.59–$92.50 | — | 63% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULT CYSTIC FIBROSIS SPUTUM | $99.07 | $267.75 | $7.59–$99.07 | — | 63% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE BONE MARROW | $99.44 | $268.75 | $7.59–$99.44 | — | 63% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE TISSUE | $140.60 | $380.00 | $7.59–$140.60 | — | 63% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE EYE | $160.49 | $433.75 | $7.59–$160.49 | — | 63% |
| Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PROF 2000 | $71.50 | $193.25 | $7.45–$71.50 | 78% below | 63% |
| Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PROF 2000 | $71.50 | $193.25 | $7.45–$71.50 | 78% below | 63% |
| Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METABOLIC PROF 2000 | $71.50 | $193.25 | $7.45–$71.50 | — | 63% |
| Bilirubin blood test, total CPT 82247 REF LIVER FIB BILIRUBIN | $21.09 | $57.00 | $4.42–$21.09 | 11% below | 63% |
| Bilirubin blood test, total CPT 82247 REF LIVER FIB BILIRUBIN | $21.09 | $57.00 | $4.42–$21.09 | 11% below | 63% |
| Bilirubin blood test, total CPT 82247 BILIRUBIN TOTAL NEONATAL | $49.77 | $134.50 | $4.42–$49.77 | 111% above | 63% |
| Bilirubin blood test, total CPT 82247 BODY FLUID BILIRUBIN TOTAL | $49.77 | $134.50 | $4.42–$49.77 | 111% above | 63% |
| Bilirubin blood test, total CPT 82247 BILIRUBIN FRACTIONATED | $49.77 | $134.50 | $4.42–$49.77 | 111% above | 63% |
| Bilirubin blood test, total CPT 82247 BILIRUBIN TOTAL NEONATAL | $49.77 | $134.50 | $4.42–$49.77 | 111% above | 63% |
| Bilirubin blood test, total CPT 82247 BILIRUBIN BLOOD TOTAL | $49.77 | $134.50 | $4.42–$49.77 | 111% above | 63% |
| Bilirubin blood test, total CPT 82247 BODY FLUID BILIRUBIN TOTAL | $49.77 | $134.50 | $4.42–$49.77 | 111% above | 63% |
| Bilirubin blood test, total CPT 82247 BILIRUBIN BLOOD TOTAL | $49.77 | $134.50 | $4.42–$49.77 | 111% above | 63% |
| Bilirubin blood test, total CPT 82247 BILIRUBIN FRACTIONATED | $49.77 | $134.50 | $4.42–$49.77 | 111% above | 63% |
| Bilirubin blood test, total inpatient CPT 82247 REF LIVER FIB BILIRUBIN | $21.09 | $57.00 | $4.42–$21.09 | — | 63% |
| Bilirubin blood test, total inpatient CPT 82247 BILIRUBIN TOTAL NEONATAL | $49.77 | $134.50 | $4.42–$49.77 | — | 63% |
| Bilirubin blood test, total inpatient CPT 82247 BILIRUBIN FRACTIONATED | $49.77 | $134.50 | $4.42–$49.77 | — | 63% |
| Bilirubin blood test, total inpatient CPT 82247 BILIRUBIN BLOOD TOTAL | $49.77 | $134.50 | $4.42–$49.77 | — | 63% |
| Bilirubin blood test, total inpatient CPT 82247 BODY FLUID BILIRUBIN TOTAL | $49.77 | $134.50 | $4.42–$49.77 | — | 63% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 REF ARK TISS EXAM PATH 88305 | $23.96 | $64.75 | $12.95–$49.47 | 79% below | 63% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 REF ARK TISS EXAM PATH 88305 | $23.96 | $64.75 | $12.95–$49.47 | 79% below | 63% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 REF MBX GLOBAL LEVEL IV PATH G/M | $43.11 | $116.50 | $23.30–$81.78 | 63% below | 63% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 REF NERVE BX/SURG PATH G&M IV | $43.11 | $116.50 | $23.30–$81.78 | 63% below | 63% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 REF RENAL BX SC SECCUT LEV IV | $43.11 | $116.50 | $23.30–$81.78 | 63% below | 63% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 REF RENAL BX-SC-TECH | $43.11 | $116.50 | $23.30–$81.78 | 63% below | 63% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 REF RENAL BX SC SECCUT LEV IV | $43.11 | $116.50 | $23.30–$81.78 | 63% below | 63% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 REF NERVE BX/SURG PATH G&M IV | $43.11 | $116.50 | $23.30–$81.78 | 63% below | 63% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 GROSS & MICRO LEVEL IV | $43.11 | $116.50 | $23.30–$81.78 | 63% below | 63% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 REF MBX GLOBAL LEVEL IV PATH G/M | $43.11 | $116.50 | $23.30–$81.78 | 63% below | 63% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 GROSS & MICRO LEVEL IV | $43.11 | $116.50 | $23.30–$81.78 | 63% below | 63% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 REF RENAL BX-SC-TECH | $43.11 | $116.50 | $23.30–$81.78 | 63% below | 63% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 REF ARK TISS EXAM PATH 88305 | $23.96 | $64.75 | $12.95–$49.47 | — | 63% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 REF RENAL BX-SC-TECH | $43.11 | $116.50 | $23.30–$81.78 | — | 63% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 REF RENAL BX SC SECCUT LEV IV | $43.11 | $116.50 | $23.30–$81.78 | — | 63% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 REF MBX GLOBAL LEVEL IV PATH G/M | $43.11 | $116.50 | $23.30–$81.78 | — | 63% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 GROSS & MICRO LEVEL IV | $43.11 | $116.50 | $23.30–$81.78 | — | 63% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 REF NERVE BX/SURG PATH G&M IV | $43.11 | $116.50 | $23.30–$81.78 | — | 63% |
| Blood culture for bacteria CPT 87040 MANUAL BLOOD CULTURE | $99.07 | $267.75 | $9.08–$99.07 | 71% below | 63% |
| Blood culture for bacteria CPT 87040 MANUAL BLOOD CULTURE | $99.07 | $267.75 | $9.08–$99.07 | 71% below | 63% |
| Blood culture for bacteria CPT 87040 CULTURE BLOOD | $99.07 | $267.75 | $9.08–$99.07 | 71% below | 63% |
| Blood culture for bacteria CPT 87040 CULTURE BLOOD | $99.07 | $267.75 | $9.08–$99.07 | 71% below | 63% |
| Blood culture for bacteria inpatient CPT 87040 CULTURE BLOOD | $99.07 | $267.75 | $9.08–$99.07 | — | 63% |
| Blood culture for bacteria inpatient CPT 87040 MANUAL BLOOD CULTURE | $99.07 | $267.75 | $9.08–$99.07 | — | 63% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE | $5.00 | $13.50 | $2.70–$5.00 | 74% below | 63% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 PAT VENIPUNCTURE | $5.00 | $13.50 | $2.70–$5.00 | 74% below | 63% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE 36415 | $5.00 | $13.50 | $2.70–$5.00 | 74% below | 63% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 NURSING VENIPUNCTURE | $5.00 | $13.50 | $2.70–$5.00 | 74% below | 63% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 SV WOUND CARE VENIPUNCTURE | $5.00 | $13.50 | $2.70–$5.00 | 74% below | 63% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 ED VENIPUNCTURE | $5.00 | $13.50 | $2.70–$5.00 | 74% below | 63% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE | $5.00 | $13.50 | $2.70–$5.00 | 74% below | 63% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 PAT VENIPUNCTURE | $5.00 | $13.50 | $2.70–$5.00 | 74% below | 63% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE 36415 | $5.00 | $13.50 | $2.70–$5.00 | 74% below | 63% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 NURSING VENIPUNCTURE | $5.00 | $13.50 | $2.70–$5.00 | 74% below | 63% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 SV WOUND CARE VENIPUNCTURE | $5.00 | $13.50 | $2.70–$5.00 | 74% below | 63% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 ED VENIPUNCTURE | $5.00 | $13.50 | $2.70–$5.00 | 74% below | 63% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 SV WOUND CARE VENIPUNCTURE | $5.00 | $13.50 | $2.70–$5.00 | — | 63% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 PAT VENIPUNCTURE | $5.00 | $13.50 | $2.70–$5.00 | — | 63% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENIPUNCTURE 36415 | $5.00 | $13.50 | $2.70–$5.00 | — | 63% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 NURSING VENIPUNCTURE | $5.00 | $13.50 | $2.70–$5.00 | — | 63% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENIPUNCTURE | $5.00 | $13.50 | $2.70–$5.00 | — | 63% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 ED VENIPUNCTURE | $5.00 | $13.50 | $2.70–$5.00 | — | 63% |
| Blood glucose (sugar) test CPT 82947 GLUCOSE SERUM-QUANT 82947 | $6.85 | $18.50 | $3.46–$9.83 | 85% below | 63% |
| Blood glucose (sugar) test CPT 82947 GLUCOSE | $6.85 | $18.50 | $3.46–$9.83 | 85% below | 63% |
| Blood glucose (sugar) test CPT 82947 GLUCOSE POC (POINT OF CARE) | $6.85 | $18.50 | $3.46–$9.83 | 85% below | 63% |
| Blood glucose (sugar) test CPT 82947 GLUCOSE SERUM-QUANT 82947 | $6.85 | $18.50 | $3.46–$9.83 | 85% below | 63% |
| Blood glucose (sugar) test CPT 82947 GLUCOSE POC (POINT OF CARE) | $6.85 | $18.50 | $3.46–$9.83 | 85% below | 63% |
| Blood glucose (sugar) test CPT 82947 GLUCOSE | $6.85 | $18.50 | $3.46–$9.83 | 85% below | 63% |
| Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE SERUM-QUANT 82947 | $6.85 | $18.50 | $3.46–$9.83 | — | 63% |
| Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE POC (POINT OF CARE) | $6.85 | $18.50 | $3.46–$9.83 | — | 63% |
| Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE | $6.85 | $18.50 | $3.46–$9.83 | — | 63% |
| Blood lead test CPT 83655 REF LEAD INDUSTRIAL WHOLE BLOOD-A | $4.44 | $12.00 | $2.40–$10.66 | 59% below | 63% |
| Blood lead test CPT 83655 REF LEAD INDUSTRIAL WHOLE BLOOD-A | $4.44 | $12.00 | $2.40–$10.66 | 59% below | 63% |
| Blood lead test inpatient CPT 83655 REF LEAD INDUSTRIAL WHOLE BLOOD-A | $4.44 | $12.00 | $2.40–$10.66 | — | 63% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 B HCB/QUAL | $59.85 | $161.75 | $6.62–$59.85 | 52% below | 63% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 URINE TEST FOR PREG-QUAL 84703 | $59.85 | $161.75 | $6.62–$59.85 | 52% below | 63% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 URINE HCG QUALITATIVE POC | $59.85 | $161.75 | $6.62–$59.85 | 52% below | 63% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 URINE TEST FOR PREG-QUAL 84703 | $59.85 | $161.75 | $6.62–$59.85 | 52% below | 63% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 B HCB/QUAL | $59.85 | $161.75 | $6.62–$59.85 | 52% below | 63% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 URINE HCG QUALITATIVE POC | $59.85 | $161.75 | $6.62–$59.85 | 52% below | 63% |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 B HCB/QUAL | $59.85 | $161.75 | $6.62–$59.85 | — | 63% |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 URINE HCG QUALITATIVE POC | $59.85 | $161.75 | $6.62–$59.85 | — | 63% |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 URINE TEST FOR PREG-QUAL 84703 | $59.85 | $161.75 | $6.62–$59.85 | — | 63% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 REF BB ABO TYPE | $32.84 | $88.75 | $2.63–$32.84 | 31% below | 63% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 REF BB ABO TYPE | $32.84 | $88.75 | $2.63–$32.84 | 31% below | 63% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BLOOD TYPING ABO ONLY | $36.45 | $98.50 | $2.63–$36.45 | 23% below | 63% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BLOOD TYPING ABO ONLY | $36.45 | $98.50 | $2.63–$36.45 | 23% below | 63% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 REF BB ABO TYPE | $32.84 | $88.75 | $2.63–$32.84 | — | 63% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 BLOOD TYPING ABO ONLY | $36.45 | $98.50 | $2.63–$36.45 | — | 63% |
| Blood urea nitrogen (BUN) test CPT 84520 UREA NITROGEN FLUID | $10.55 | $28.50 | $3.48–$10.54 | 77% below | 63% |
| Blood urea nitrogen (BUN) test CPT 84520 BUN POC (POINT OF CARE) | $10.55 | $28.50 | $3.48–$10.54 | 77% below | 63% |
| Blood urea nitrogen (BUN) test CPT 84520 UREA NITROGEN BLOOD (BUN) | $10.55 | $28.50 | $3.48–$10.54 | 77% below | 63% |
| Blood urea nitrogen (BUN) test CPT 84520 UREA NITROGEN BLOOD (BUN) | $10.55 | $28.50 | $3.48–$10.54 | 77% below | 63% |
| Blood urea nitrogen (BUN) test CPT 84520 UREA NITROGEN FLUID | $10.55 | $28.50 | $3.48–$10.54 | 77% below | 63% |
| Blood urea nitrogen (BUN) test CPT 84520 BUN POC (POINT OF CARE) | $10.55 | $28.50 | $3.48–$10.54 | 77% below | 63% |
| Blood urea nitrogen (BUN) test inpatient CPT 84520 BUN POC (POINT OF CARE) | $10.55 | $28.50 | $3.48–$10.54 | — | 63% |
| Blood urea nitrogen (BUN) test inpatient CPT 84520 UREA NITROGEN BLOOD (BUN) | $10.55 | $28.50 | $3.48–$10.54 | — | 63% |
| Blood urea nitrogen (BUN) test inpatient CPT 84520 UREA NITROGEN FLUID | $10.55 | $28.50 | $3.48–$10.54 | — | 63% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 REF SYNOVASURE (CRP)-A | $5.64 | $15.25 | $3.05–$12.95 | 92% below | 63% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 REF SYNOVASURE (CRP)-A | $5.64 | $15.25 | $3.05–$12.95 | 92% below | 63% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C REACT PROT QT | $38.85 | $105.00 | $4.56–$38.85 | 46% below | 63% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C REACT PROT QT | $38.85 | $105.00 | $4.56–$38.85 | 46% below | 63% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 REF SYNOVASURE (CRP)-A | $5.64 | $15.25 | $3.05–$12.95 | — | 63% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C REACT PROT QT | $38.85 | $105.00 | $4.56–$38.85 | — | 63% |
| C. difficile toxin gene test (stool PCR) CPT 87493 C.DIFF TOX A+B GENPROBE | $68.73 | $185.75 | $32.80–$93.18 | 39% below | 63% |
| C. difficile toxin gene test (stool PCR) CPT 87493 C DIFF TOXIN GENE(S) AMP PRB | $68.73 | $185.75 | $32.80–$93.18 | 39% below | 63% |
| C. difficile toxin gene test (stool PCR) CPT 87493 C.DIFF TOX A+B GENPROBE | $68.73 | $185.75 | $32.80–$93.18 | 39% below | 63% |
| C. difficile toxin gene test (stool PCR) CPT 87493 C DIFF TOXIN GENE(S) AMP PRB | $68.73 | $185.75 | $32.80–$93.18 | 39% below | 63% |
| C. difficile toxin gene test (stool PCR) inpatient CPT 87493 C DIFF TOXIN GENE(S) AMP PRB | $68.73 | $185.75 | $32.80–$93.18 | — | 63% |
| C. difficile toxin gene test (stool PCR) inpatient CPT 87493 C.DIFF TOX A+B GENPROBE | $68.73 | $185.75 | $32.80–$93.18 | — | 63% |
| CA 19-9 blood test (tumor marker) CPT 86301 CA 19-9 | $51.62 | $139.50 | $18.31–$52.03 | 6% below | 63% |
| CA 19-9 blood test (tumor marker) CPT 86301 CA 19-9 | $51.62 | $139.50 | $18.31–$52.03 | 6% below | 63% |
| CA 19-9 blood test (tumor marker) inpatient CPT 86301 CA 19-9 | $51.62 | $139.50 | $18.31–$52.03 | — | 63% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 REF CA 125 PERITONEAL FLUID | $35.15 | $95.00 | $18.31–$52.03 | 58% below | 63% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 REF CA 125 CSF | $35.15 | $95.00 | $18.31–$52.03 | 58% below | 63% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 REF CA 125 CSF | $35.15 | $95.00 | $18.31–$52.03 | 58% below | 63% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 REF CA 125 PLEURAL FLUID | $35.15 | $95.00 | $18.31–$52.03 | 58% below | 63% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 REF CA 125 PLEURAL FLUID | $35.15 | $95.00 | $18.31–$52.03 | 58% below | 63% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 REF CA 125 PERITONEAL FLUID | $35.15 | $95.00 | $18.31–$52.03 | 58% below | 63% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 CA 125 | $39.59 | $107.00 | $18.31–$52.03 | 52% below | 63% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 CA 125 | $39.59 | $107.00 | $18.31–$52.03 | 52% below | 63% |
| CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 REF CA 125 PERITONEAL FLUID | $35.15 | $95.00 | $18.31–$52.03 | — | 63% |
| CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 REF CA 125 CSF | $35.15 | $95.00 | $18.31–$52.03 | — | 63% |
| CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 REF CA 125 PLEURAL FLUID | $35.15 | $95.00 | $18.31–$52.03 | — | 63% |
| CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 CA 125 | $39.59 | $107.00 | $18.31–$52.03 | — | 63% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 2019 NOVEL CORONA VIRUS RNA | $20.35 | $55.00 | $11.00–$51.31 | 77% below | 63% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 2019 NOVEL CORONA VIRUS RNA | $20.35 | $55.00 | $11.00–$51.31 | 77% below | 63% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 REF 2019 NOVEL CORONAVIRUS 87635 | $25.53 | $69.00 | $13.80–$51.31 | 71% below | 63% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 REF 2019 NOVEL CORONAVIRUS 87635 | $25.53 | $69.00 | $13.80–$51.31 | 71% below | 63% |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 2019 NOVEL CORONA VIRUS RNA | $20.35 | $55.00 | $11.00–$51.31 | — | 63% |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 REF 2019 NOVEL CORONAVIRUS 87635 | $25.53 | $69.00 | $13.80–$51.31 | — | 63% |
| Calcium blood test, total CPT 82310 CALCIUM BLOOD CHEMICAL | $8.14 | $22.00 | $4.40–$12.90 | 84% below | 63% |
| Calcium blood test, total CPT 82310 CALCIUM FLUID | $8.14 | $22.00 | $4.40–$12.90 | 84% below | 63% |
| Calcium blood test, total CPT 82310 CALCIUM BLOOD CHEMICAL | $8.14 | $22.00 | $4.40–$12.90 | 84% below | 63% |
| Calcium blood test, total CPT 82310 CALCIUM FLUID | $8.14 | $22.00 | $4.40–$12.90 | 84% below | 63% |
| Calcium blood test, total inpatient CPT 82310 CALCIUM BLOOD CHEMICAL | $8.14 | $22.00 | $4.40–$12.90 | — | 63% |
| Calcium blood test, total inpatient CPT 82310 CALCIUM FLUID | $8.14 | $22.00 | $4.40–$12.90 | — | 63% |
| Carcinoembryonic antigen (CEA) test CPT 82378 REF CEA BODY FLUID | $19.24 | $52.00 | $10.40–$47.40 | 84% below | 63% |
| Carcinoembryonic antigen (CEA) test CPT 82378 REF CEA BODY FLUID | $19.24 | $52.00 | $10.40–$47.40 | 84% below | 63% |
| Carcinoembryonic antigen (CEA) test CPT 82378 REF CEA PERITONEAL FLUID | $31.08 | $84.00 | $16.68–$47.40 | 74% below | 63% |
| Carcinoembryonic antigen (CEA) test CPT 82378 REF CEA PERICARDIAL FLUID | $31.08 | $84.00 | $16.68–$47.40 | 74% below | 63% |
| Carcinoembryonic antigen (CEA) test CPT 82378 REF CEA PERITONEAL FLUID | $31.08 | $84.00 | $16.68–$47.40 | 74% below | 63% |
| Carcinoembryonic antigen (CEA) test CPT 82378 REF CEA CSF | $31.08 | $84.00 | $16.68–$47.40 | 74% below | 63% |
| Carcinoembryonic antigen (CEA) test CPT 82378 REF CEA CSF | $31.08 | $84.00 | $16.68–$47.40 | 74% below | 63% |
| Carcinoembryonic antigen (CEA) test CPT 82378 REF CEA PERICARDIAL FLUID | $31.08 | $84.00 | $16.68–$47.40 | 74% below | 63% |
| Carcinoembryonic antigen (CEA) test CPT 82378 REF CEA PLEURAL FLUID | $35.15 | $95.00 | $16.68–$47.40 | 70% below | 63% |
| Carcinoembryonic antigen (CEA) test CPT 82378 REF CEA PLEURAL FLUID | $35.15 | $95.00 | $16.68–$47.40 | 70% below | 63% |
| Carcinoembryonic antigen (CEA) test CPT 82378 REF CEA PANCREATIC CYST FLUID | $37.74 | $102.00 | $16.68–$47.40 | 68% below | 63% |
| Carcinoembryonic antigen (CEA) test CPT 82378 REF CEA PANCREATIC CYST FLUID | $37.74 | $102.00 | $16.68–$47.40 | 68% below | 63% |
| Carcinoembryonic antigen (CEA) test CPT 82378 CARCINOEMBRYONIC ANTIGEN | $41.90 | $113.25 | $16.68–$47.40 | 64% below | 63% |
| Carcinoembryonic antigen (CEA) test CPT 82378 CARCINOEMBRYONIC ANTIGEN | $41.90 | $113.25 | $16.68–$47.40 | 64% below | 63% |
| Carcinoembryonic antigen (CEA) test inpatient CPT 82378 REF CEA BODY FLUID | $19.24 | $52.00 | $10.40–$47.40 | — | 63% |
| Carcinoembryonic antigen (CEA) test inpatient CPT 82378 REF CEA PERICARDIAL FLUID | $31.08 | $84.00 | $16.68–$47.40 | — | 63% |
| Carcinoembryonic antigen (CEA) test inpatient CPT 82378 REF CEA CSF | $31.08 | $84.00 | $16.68–$47.40 | — | 63% |
| Carcinoembryonic antigen (CEA) test inpatient CPT 82378 REF CEA PERITONEAL FLUID | $31.08 | $84.00 | $16.68–$47.40 | — | 63% |
| Carcinoembryonic antigen (CEA) test inpatient CPT 82378 REF CEA PLEURAL FLUID | $35.15 | $95.00 | $16.68–$47.40 | — | 63% |
| Carcinoembryonic antigen (CEA) test inpatient CPT 82378 REF CEA PANCREATIC CYST FLUID | $37.74 | $102.00 | $16.68–$47.40 | — | 63% |
| Carcinoembryonic antigen (CEA) test inpatient CPT 82378 CARCINOEMBRYONIC ANTIGEN | $41.90 | $113.25 | $16.68–$47.40 | — | 63% |
| Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA ZOSTER IGG | $10.45 | $28.25 | $5.65–$12.88 | 43% below | 63% |
| Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA ZOSTER IGG | $10.45 | $28.25 | $5.65–$12.88 | 43% below | 63% |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 VARICELLA ZOSTER IGG | $10.45 | $28.25 | $5.65–$12.88 | — | 63% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 REF C TRACHOM RRNA DETECTION SWAB | $11.10 | $30.00 | $6.00–$11.10 | 74% below | 63% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 REF C. TRACHOMATIS TMA RECTAL AMP | $25.90 | $70.00 | $14.00–$35.09 | 38% below | 63% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 REF C. TRACHOMATIS TMA THROAT AMP | $25.90 | $70.00 | $14.00–$35.09 | 38% below | 63% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 REF C. TRACHOMATIS TMA RECTAL AMP | $25.90 | $70.00 | $14.00–$35.09 | 38% below | 63% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 REF C. TRACHOMATIS TMA THROAT AMP | $25.90 | $70.00 | $14.00–$35.09 | 38% below | 63% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA DNA AMPLICATION | $49.21 | $133.00 | $26.60–$87.73 | 17% above | 63% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 C. TRACHOMATIS DNA BY PCR | $49.21 | $133.00 | $26.60–$87.73 | 17% above | 63% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA DNA AMPLICATION | $49.21 | $133.00 | $26.60–$87.73 | 17% above | 63% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 C. TRACHOMATIS DNA BY PCR | $49.21 | $133.00 | $26.60–$87.73 | 17% above | 63% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 REF C TRACHOM RRNA DETECTION SWAB | $11.10 | $30.00 | $6.00–$11.10 | — | 63% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 REF C. TRACHOMATIS TMA THROAT AMP | $25.90 | $70.00 | $14.00–$35.09 | — | 63% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 REF C. TRACHOMATIS TMA RECTAL AMP | $25.90 | $70.00 | $14.00–$35.09 | — | 63% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 C. TRACHOMATIS DNA BY PCR | $49.21 | $133.00 | $26.60–$87.73 | — | 63% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA DNA AMPLICATION | $49.21 | $133.00 | $26.60–$87.73 | — | 63% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PROFILE | $156.97 | $424.25 | $11.78–$156.97 | 55% above | 63% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PROFILE | $156.97 | $424.25 | $11.78–$156.97 | 55% above | 63% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PROFILE-TOTAL 80061 | $156.97 | $424.25 | $11.78–$156.97 | 55% above | 63% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PROFILE-TOTAL 80061 | $156.97 | $424.25 | $11.78–$156.97 | 55% above | 63% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PROFILE | $156.97 | $424.25 | $11.78–$156.97 | — | 63% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PROFILE-TOTAL 80061 | $156.97 | $424.25 | $11.78–$156.97 | — | 63% |
| Complete blood count (CBC) with differential CPT 85025 CBC W/DIFFERENTIAL | $51.25 | $138.50 | $6.84–$51.24 | 24% below | 63% |
| Complete blood count (CBC) with differential CPT 85025 CBC W/DIFFERENTIAL | $51.25 | $138.50 | $6.84–$51.24 | 24% below | 63% |
| Complete blood count (CBC) with differential CPT 85025 CBC W/DIFFERENTIAL 85025 | $51.25 | $138.50 | $6.84–$51.24 | 24% below | 63% |
| Complete blood count (CBC) with differential CPT 85025 CBC W/DIFFERENTIAL 85025 | $51.25 | $138.50 | $6.84–$51.24 | 24% below | 63% |
| Complete blood count (CBC) with differential inpatient CPT 85025 CBC W/DIFFERENTIAL | $51.25 | $138.50 | $6.84–$51.24 | — | 63% |
| Complete blood count (CBC) with differential inpatient CPT 85025 CBC W/DIFFERENTIAL 85025 | $51.25 | $138.50 | $6.84–$51.24 | — | 63% |
| Complete blood count (CBC), no differential CPT 85027 HEMOGRAM CBC 85027 | $46.62 | $126.00 | $5.69–$46.62 | 53% below | 63% |
| Complete blood count (CBC), no differential CPT 85027 HEMOGRAM CBC 85027 | $46.62 | $126.00 | $5.69–$46.62 | 53% below | 63% |
| Complete blood count (CBC), no differential CPT 85027 CBC W/O DIFFERENTIAL | $46.62 | $126.00 | $5.69–$46.62 | 53% below | 63% |
| Complete blood count (CBC), no differential CPT 85027 CBC W/O DIFFERENTIAL | $46.62 | $126.00 | $5.69–$46.62 | 53% below | 63% |
| Complete blood count (CBC), no differential inpatient CPT 85027 HEMOGRAM CBC 85027 | $46.62 | $126.00 | $5.69–$46.62 | — | 63% |
| Complete blood count (CBC), no differential inpatient CPT 85027 CBC W/O DIFFERENTIAL | $46.62 | $126.00 | $5.69–$46.62 | — | 63% |
| Comprehensive metabolic panel (blood test) CPT 80053 COMP METABOLIC PANEL 2000 | $122.38 | $330.75 | $9.29–$122.38 | 73% below | 63% |
| Comprehensive metabolic panel (blood test) CPT 80053 COMP METABOLIC PANEL 2000 | $122.38 | $330.75 | $9.29–$122.38 | 73% below | 63% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMP METABOLIC PANEL 2000 | $122.38 | $330.75 | $9.29–$122.38 | — | 63% |
| Cortisol blood test, total CPT 82533 REF CORTISOL, SALIVA-A | $9.16 | $24.75 | $4.95–$16.30 | 86% below | 63% |
| Cortisol blood test, total CPT 82533 REF CORTISOL, SALIVA-A | $9.16 | $24.75 | $4.95–$16.30 | 86% below | 63% |
| Cortisol blood test, total CPT 82533 CORTISOL RIA BLOOD | $67.62 | $182.75 | $14.35–$67.62 | 5% above | 63% |
| Cortisol blood test, total CPT 82533 CORTISOL RIA BLOOD | $67.62 | $182.75 | $14.35–$67.62 | 5% above | 63% |
| Cortisol blood test, total inpatient CPT 82533 REF CORTISOL, SALIVA-A | $9.16 | $24.75 | $4.95–$16.30 | — | 63% |
| Cortisol blood test, total inpatient CPT 82533 CORTISOL RIA BLOOD | $67.62 | $182.75 | $14.35–$67.62 | — | 63% |
| Creatine kinase (CK) blood test, total CPT 82550 CPK TOTAL | $53.65 | $145.00 | $5.73–$53.65 | 28% below | 63% |
| Creatine kinase (CK) blood test, total CPT 82550 CPK TOTAL | $53.65 | $145.00 | $5.73–$53.65 | 28% below | 63% |
| Creatine kinase (CK) blood test, total inpatient CPT 82550 CPK TOTAL | $53.65 | $145.00 | $5.73–$53.65 | — | 63% |
| Creatinine blood test CPT 82565 CREATININE POC (POINT OF CARE) | $7.12 | $19.25 | $3.85–$12.80 | 87% below | 63% |
| Creatinine blood test CPT 82565 CREATININE BLOOD | $7.12 | $19.25 | $3.85–$12.80 | 87% below | 63% |
| Creatinine blood test CPT 82565 CREATININE BLOOD | $7.12 | $19.25 | $3.85–$12.80 | 87% below | 63% |
| Creatinine blood test CPT 82565 CREATININE POC (POINT OF CARE) | $7.12 | $19.25 | $3.85–$12.80 | 87% below | 63% |
| Creatinine blood test inpatient CPT 82565 CREATININE BLOOD | $7.12 | $19.25 | $3.85–$12.80 | — | 63% |
| Creatinine blood test inpatient CPT 82565 CREATININE POC (POINT OF CARE) | $7.12 | $19.25 | $3.85–$12.80 | — | 63% |
| Cytomegalovirus (CMV) antibody test CPT 86644 CMV IGG | $16.37 | $44.25 | $8.85–$35.98 | 42% below | 63% |
| Cytomegalovirus (CMV) antibody test CPT 86644 REF CMV AB(BC) | $16.37 | $44.25 | $8.85–$35.98 | 42% below | 63% |
| Cytomegalovirus (CMV) antibody test CPT 86644 REF BB CMV TEST | $16.37 | $44.25 | $8.85–$35.98 | 42% below | 63% |
| Cytomegalovirus (CMV) antibody test CPT 86644 CMV IGG | $16.37 | $44.25 | $8.85–$35.98 | 42% below | 63% |
| Cytomegalovirus (CMV) antibody test CPT 86644 REF BB CMV TEST | $16.37 | $44.25 | $8.85–$35.98 | 42% below | 63% |
| Cytomegalovirus (CMV) antibody test CPT 86644 REF CMV AB(BC) | $16.37 | $44.25 | $8.85–$35.98 | 42% below | 63% |
| Cytomegalovirus (CMV) antibody test inpatient CPT 86644 CMV IGG | $16.37 | $44.25 | $8.85–$35.98 | — | 63% |
| Cytomegalovirus (CMV) antibody test inpatient CPT 86644 REF BB CMV TEST | $16.37 | $44.25 | $8.85–$35.98 | — | 63% |
| Cytomegalovirus (CMV) antibody test inpatient CPT 86644 REF CMV AB(BC) | $16.37 | $44.25 | $8.85–$35.98 | — | 63% |
| D-dimer blood test (blood clot marker) CPT 85379 REF MAYO D-DIMER | $16.65 | $45.00 | $8.96–$25.45 | 92% below | 63% |
| D-dimer blood test (blood clot marker) CPT 85379 REF MAYO D-DIMER | $16.65 | $45.00 | $8.96–$25.45 | 92% below | 63% |
| D-dimer blood test (blood clot marker) CPT 85379 FDP D-DIMER QUAN | $27.20 | $73.50 | $8.96–$27.20 | 86% below | 63% |
| D-dimer blood test (blood clot marker) CPT 85379 FDP D-DIMER QUAN | $27.20 | $73.50 | $8.96–$27.20 | 86% below | 63% |
| D-dimer blood test (blood clot marker) inpatient CPT 85379 REF MAYO D-DIMER | $16.65 | $45.00 | $8.96–$25.45 | — | 63% |
| D-dimer blood test (blood clot marker) inpatient CPT 85379 FDP D-DIMER QUAN | $27.20 | $73.50 | $8.96–$27.20 | — | 63% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA-S | $58.28 | $157.50 | $19.56–$58.27 | 30% above | 63% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA-S | $58.28 | $157.50 | $19.56–$58.27 | 30% above | 63% |
| DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DHEA-S | $58.28 | $157.50 | $19.56–$58.27 | — | 63% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG TEST PRESMPT 1 DRUG CLASS | $34.97 | $94.50 | $18.90–$62.14 | 45% below | 63% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG TEST PRESMPT 1 DRUG CLASS | $34.97 | $94.50 | $18.90–$62.14 | 45% below | 63% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG TEST PRESMPT 2 DRUG CLASSES | $69.93 | $189.00 | $37.80–$155.35 | 10% above | 63% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG TEST PRESMPT 2 DRUG CLASSES | $69.93 | $189.00 | $37.80–$155.35 | 10% above | 63% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG TEST PRESMPT 3 DRUG CLASSES | $104.90 | $283.50 | $54.68–$155.35 | 65% above | 63% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG TEST PRESMPT 3 DRUG CLASSES | $104.90 | $283.50 | $54.68–$155.35 | 65% above | 63% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG TEST PRESMPT 4 DRUG CLASSES | $139.86 | $378.00 | $54.68–$155.35 | 120% above | 63% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG TEST PRESMPT 4 DRUG CLASSES | $139.86 | $378.00 | $54.68–$155.35 | 120% above | 63% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG TEST PRESMPT 5 DRUG CLASSES | $174.83 | $472.50 | $54.68–$174.82 | 175% above | 63% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG TEST PRESMPT 5 DRUG CLASSES | $174.83 | $472.50 | $54.68–$174.82 | 175% above | 63% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG TEST PRESMPT 6 DRUG CLASSES | $209.79 | $567.00 | $54.68–$209.79 | 229% above | 63% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG TEST PRESMPT 6 DRUG CLASSES | $209.79 | $567.00 | $54.68–$209.79 | 229% above | 63% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG TEST PRESMPT 7 DRUG CLASSES | $244.76 | $661.50 | $54.68–$244.75 | 284% above | 63% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG TEST PRESMPT 7 DRUG CLASSES | $244.76 | $661.50 | $54.68–$244.75 | 284% above | 63% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG TEST PRESMPT 8 DRUG CLASSES | $279.72 | $756.00 | $54.68–$279.72 | 339% above | 63% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG TEST PRESMPT 8 DRUG CLASSES | $279.72 | $756.00 | $54.68–$279.72 | 339% above | 63% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG TEST PRESMPT 9 DRUG CLASSES | $314.69 | $850.50 | $54.68–$314.69 | 394% above | 63% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG TEST PRESMPT 9 DRUG CLASSES | $314.69 | $850.50 | $54.68–$314.69 | 394% above | 63% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG TEST PRESMPT 10 DRUG CLASSES | $349.65 | $945.00 | $54.68–$349.65 | 449% above | 63% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG TEST PRESMPT 10 DRUG CLASSES | $349.65 | $945.00 | $54.68–$349.65 | 449% above | 63% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG TEST PRESMPT 1 DRUG CLASS | $34.97 | $94.50 | $18.90–$62.14 | — | 63% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG TEST PRESMPT 2 DRUG CLASSES | $69.93 | $189.00 | $37.80–$155.35 | — | 63% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG TEST PRESMPT 3 DRUG CLASSES | $104.90 | $283.50 | $54.68–$155.35 | — | 63% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG TEST PRESMPT 4 DRUG CLASSES | $139.86 | $378.00 | $54.68–$155.35 | — | 63% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG TEST PRESMPT 5 DRUG CLASSES | $174.83 | $472.50 | $54.68–$174.82 | — | 63% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG TEST PRESMPT 6 DRUG CLASSES | $209.79 | $567.00 | $54.68–$209.79 | — | 63% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG TEST PRESMPT 7 DRUG CLASSES | $244.76 | $661.50 | $54.68–$244.75 | — | 63% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG TEST PRESMPT 8 DRUG CLASSES | $279.72 | $756.00 | $54.68–$279.72 | — | 63% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG TEST PRESMPT 9 DRUG CLASSES | $314.69 | $850.50 | $54.68–$314.69 | — | 63% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG TEST PRESMPT 10 DRUG CLASSES | $349.65 | $945.00 | $54.68–$349.65 | — | 63% |
| Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 ELECTROLYTES POC | $38.48 | $104.00 | $6.17–$38.48 | 82% below | 63% |
| Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 ELECTROLYTE PANEL | $38.48 | $104.00 | $6.17–$38.48 | 82% below | 63% |
| Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 ELECTROLYTES POC | $38.48 | $104.00 | $6.17–$38.48 | 82% below | 63% |
| Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 ELECTROLYTE PANEL | $38.48 | $104.00 | $6.17–$38.48 | 82% below | 63% |
| Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 ELECTROLYTES POC | $38.48 | $104.00 | $6.17–$38.48 | — | 63% |
| Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 ELECTROLYTE PANEL | $38.48 | $104.00 | $6.17–$38.48 | — | 63% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 EBV VCA AB | $11.75 | $31.75 | $6.35–$18.14 | 59% below | 63% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 EBV VCA AB | $11.75 | $31.75 | $6.35–$18.14 | 59% below | 63% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 REF EBV VCA | $26.85 | $72.56 | $14.51–$45.35 | 7% below | 63% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 REF EBV VCA | $26.85 | $72.56 | $14.51–$45.35 | 7% below | 63% |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 EBV VCA AB | $11.75 | $31.75 | $6.35–$18.14 | — | 63% |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 REF EBV VCA | $26.85 | $72.56 | $14.51–$45.35 | — | 63% |
| Estradiol blood test CPT 82670 TOTAL ESTRADIOL | $20.63 | $55.75 | $11.15–$27.94 | 36% below | 63% |
| Estradiol blood test CPT 82670 TOTAL ESTRADIOL | $20.63 | $55.75 | $11.15–$27.94 | 36% below | 63% |
| Estradiol blood test CPT 82670 REF ESTRADIOL | $41.35 | $111.76 | $22.35–$69.85 | 27% above | 63% |
| Estradiol blood test CPT 82670 REF ESTRADIOL | $41.35 | $111.76 | $22.35–$69.85 | 27% above | 63% |
| Estradiol blood test CPT 82670 REF FREE ESTRADIOL-A | $75.11 | $203.00 | $24.59–$75.11 | 131% above | 63% |
| Estradiol blood test CPT 82670 REF FREE ESTRADIOL-A | $75.11 | $203.00 | $24.59–$75.11 | 131% above | 63% |
| Estradiol blood test inpatient CPT 82670 TOTAL ESTRADIOL | $20.63 | $55.75 | $11.15–$27.94 | — | 63% |
| Estradiol blood test inpatient CPT 82670 REF ESTRADIOL | $41.35 | $111.76 | $22.35–$69.85 | — | 63% |
| Estradiol blood test inpatient CPT 82670 REF FREE ESTRADIOL-A | $75.11 | $203.00 | $24.59–$75.11 | — | 63% |
| FSH (follicle-stimulating hormone) test CPT 83001 FSH | $55.59 | $150.25 | $16.35–$55.59 | 12% below | 63% |
| FSH (follicle-stimulating hormone) test CPT 83001 FSH | $55.59 | $150.25 | $16.35–$55.59 | 12% below | 63% |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 FSH | $55.59 | $150.25 | $16.35–$55.59 | — | 63% |
| Fecal calprotectin (stool inflammation test) CPT 83993 REF FECAL CALPROTECTIN-A | $51.99 | $140.50 | $17.27–$51.98 | 56% below | 63% |
| Fecal calprotectin (stool inflammation test) CPT 83993 REF FECAL CALPROTECTIN-A | $51.99 | $140.50 | $17.27–$51.98 | 56% below | 63% |
| Fecal calprotectin (stool inflammation test) inpatient CPT 83993 REF FECAL CALPROTECTIN-A | $51.99 | $140.50 | $17.27–$51.98 | — | 63% |
| Ferritin blood test (iron stores) CPT 82728 FERRITIN RIA BLOOD | $82.33 | $222.50 | $11.99–$82.33 | 34% below | 63% |
| Ferritin blood test (iron stores) CPT 82728 FERRITIN RIA BLOOD | $82.33 | $222.50 | $11.99–$82.33 | 34% below | 63% |
| Ferritin blood test (iron stores) inpatient CPT 82728 FERRITIN RIA BLOOD | $82.33 | $222.50 | $11.99–$82.33 | — | 63% |
| Fibrinogen blood test CPT 85384 FIBRINOGEN ACTIVITY | $38.11 | $103.00 | $8.55–$38.11 | 52% below | 63% |
| Fibrinogen blood test CPT 85384 FIBRINOGEN ACTIVITY | $38.11 | $103.00 | $8.55–$38.11 | 52% below | 63% |
| Fibrinogen blood test inpatient CPT 85384 FIBRINOGEN ACTIVITY | $38.11 | $103.00 | $8.55–$38.11 | — | 63% |
| Folate (folic acid) blood test CPT 82746 SERUM FOLATE | $38.48 | $104.00 | $12.94–$38.48 | 69% below | 63% |
| Folate (folic acid) blood test CPT 82746 SERUM FOLATE | $38.48 | $104.00 | $12.94–$38.48 | 69% below | 63% |
| Folate (folic acid) blood test inpatient CPT 82746 SERUM FOLATE | $38.48 | $104.00 | $12.94–$38.48 | — | 63% |
| Free T3 thyroid hormone test CPT 84481 FREE TRIIODOTHYRONINE T3 | $16.28 | $44.00 | $8.80–$42.35 | 74% below | 63% |
| Free T3 thyroid hormone test CPT 84481 FREE TRIIODOTHYRONINE T3 | $16.28 | $44.00 | $8.80–$42.35 | 74% below | 63% |
| Free T3 thyroid hormone test inpatient CPT 84481 FREE TRIIODOTHYRONINE T3 | $16.28 | $44.00 | $8.80–$42.35 | — | 63% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 FREE THYROXINE | $128.95 | $348.50 | $7.94–$128.94 | 53% above | 63% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 FREE THYROXINE | $128.95 | $348.50 | $7.94–$128.94 | 53% above | 63% |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 FREE THYROXINE | $128.95 | $348.50 | $7.94–$128.94 | — | 63% |
| Free testosterone test CPT 84402 REF TESTOSTERONE FREE | $37.70 | $101.90 | $20.38–$63.68 | 35% above | 63% |
| Free testosterone test CPT 84402 REF TESTOSTERONE FREE | $37.70 | $101.90 | $20.38–$63.68 | 35% above | 63% |
| Free testosterone test inpatient CPT 84402 REF TESTOSTERONE FREE | $37.70 | $101.90 | $20.38–$63.68 | — | 63% |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 REF LIVER FIB GGT | $21.09 | $57.00 | $6.34–$21.09 | 54% below | 63% |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 REF LIVER FIB GGT | $21.09 | $57.00 | $6.34–$21.09 | 54% below | 63% |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 GLUTAMYL TRANSPEPTIDASE GAMMA(GGT) | $50.88 | $137.50 | $6.34–$50.88 | 10% above | 63% |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 GLUTAMYL TRANSPEPTIDASE GAMMA(GGT) | $50.88 | $137.50 | $6.34–$50.88 | 10% above | 63% |
| Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 REF LIVER FIB GGT | $21.09 | $57.00 | $6.34–$21.09 | — | 63% |
| Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 GLUTAMYL TRANSPEPTIDASE GAMMA(GGT) | $50.88 | $137.50 | $6.34–$50.88 | — | 63% |
| General health panel: metabolic panel, blood count and TSH in one order CPT 80050 GENERAL HEALTH PANEL | $148.74 | $402.00 | $47.28–$148.74 | at median | 63% |
| General health panel: metabolic panel, blood count and TSH in one order CPT 80050 GENERAL HEALTH PANEL | $148.74 | $402.00 | $47.28–$148.74 | at median | 63% |
| General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 GENERAL HEALTH PANEL | $148.74 | $402.00 | $47.28–$148.74 | — | 63% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE 1 HOUR 82950 | $29.14 | $78.75 | $4.18–$29.14 | 59% below | 63% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE 2 HR SCREEN | $29.14 | $78.75 | $4.18–$29.14 | 59% below | 63% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE 1 HOUR 82950 | $29.14 | $78.75 | $4.18–$29.14 | 59% below | 63% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE 2 HR SCREEN | $29.14 | $78.75 | $4.18–$29.14 | 59% below | 63% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE POST GLUCOSE DOSE | $29.14 | $78.75 | $4.18–$29.14 | 59% below | 63% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE POST GLUCOSE DOSE | $29.14 | $78.75 | $4.18–$29.14 | 59% below | 63% |
| Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 GLUCOSE POST GLUCOSE DOSE | $29.14 | $78.75 | $4.18–$29.14 | — | 63% |
| Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 GLUCOSE 2 HR SCREEN | $29.14 | $78.75 | $4.18–$29.14 | — | 63% |
| Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 GLUCOSE 1 HOUR 82950 | $29.14 | $78.75 | $4.18–$29.14 | — | 63% |
| Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOL TEST-3 SPECS 82951 | $79.27 | $214.25 | $11.32–$79.27 | 37% below | 63% |
| Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOLERANCE 3HR | $79.27 | $214.25 | $11.32–$79.27 | 37% below | 63% |
| Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOLERANCE 2HR | $79.27 | $214.25 | $11.32–$79.27 | 37% below | 63% |
| Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOL TEST-3 SPECS 82951 | $79.27 | $214.25 | $11.32–$79.27 | 37% below | 63% |
| Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOLERANCE 3HR | $79.27 | $214.25 | $11.32–$79.27 | 37% below | 63% |
| Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOLERANCE 2HR | $79.27 | $214.25 | $11.32–$79.27 | 37% below | 63% |
| Glucose tolerance test, 3 samples inpatient CPT 82951 GLUCOSE TOLERANCE 3HR | $79.27 | $214.25 | $11.32–$79.27 | — | 63% |
| Glucose tolerance test, 3 samples inpatient CPT 82951 GLUCOSE TOL TEST-3 SPECS 82951 | $79.27 | $214.25 | $11.32–$79.27 | — | 63% |
| Glucose tolerance test, 3 samples inpatient CPT 82951 GLUCOSE TOLERANCE 2HR | $79.27 | $214.25 | $11.32–$79.27 | — | 63% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 REF NEISSERIA GONORRHOEAE TMA-A | $11.01 | $29.75 | $5.95–$11.01 | 73% below | 63% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 REF N. GONORRHOEAE TMA RECTAL AMP | $25.90 | $70.00 | $14.00–$35.09 | 38% below | 63% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 REF N. GONORRHOEAE TMA RECTAL AMP | $25.90 | $70.00 | $14.00–$35.09 | 38% below | 63% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 REF N. GONORRHOEAE TMA THROAT AMP | $25.90 | $70.00 | $14.00–$35.09 | 38% below | 63% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 REF N. GONORRHOEAE TMA THROAT AMP | $25.90 | $70.00 | $14.00–$35.09 | 38% below | 63% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 GC DNA AMPLICATION | $49.21 | $133.00 | $26.60–$87.73 | 19% above | 63% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 GC DNA AMPLICATION | $49.21 | $133.00 | $26.60–$87.73 | 19% above | 63% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N. GONORRHOEAE DNA BY PCR | $49.21 | $133.00 | $26.60–$87.73 | 19% above | 63% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N. GONORRHOEAE DNA BY PCR | $49.21 | $133.00 | $26.60–$87.73 | 19% above | 63% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 REF NEISSERIA GONORRHOEAE TMA-A | $11.01 | $29.75 | $5.95–$11.01 | — | 63% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 REF N. GONORRHOEAE TMA RECTAL AMP | $25.90 | $70.00 | $14.00–$35.09 | — | 63% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 REF N. GONORRHOEAE TMA THROAT AMP | $25.90 | $70.00 | $14.00–$35.09 | — | 63% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 GC DNA AMPLICATION | $49.21 | $133.00 | $26.60–$87.73 | — | 63% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 N. GONORRHOEAE DNA BY PCR | $49.21 | $133.00 | $26.60–$87.73 | — | 63% |
| H. pylori antibody blood test CPT 86677 HELICOBACTER PYLORI IGG | $7.86 | $21.25 | $4.25–$16.85 | 76% below | 63% |
| H. pylori antibody blood test CPT 86677 HELICOBACTER PYLORI IGG | $7.86 | $21.25 | $4.25–$16.85 | 76% below | 63% |
| H. pylori antibody blood test inpatient CPT 86677 HELICOBACTER PYLORI IGG | $7.86 | $21.25 | $4.25–$16.85 | — | 63% |
| H. pylori stool antigen test CPT 87338 REF H. PYLORI FECAL AG-A | $16.28 | $44.00 | $8.80–$35.95 | 66% below | 63% |
| H. pylori stool antigen test CPT 87338 REF H. PYLORI FECAL AG-A | $16.28 | $44.00 | $8.80–$35.95 | 66% below | 63% |
| H. pylori stool antigen test inpatient CPT 87338 REF H. PYLORI FECAL AG-A | $16.28 | $44.00 | $8.80–$35.95 | — | 63% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 REF INF AGT DT BY NA-HIV1 ROCH UL | $29.97 | $81.00 | $16.20–$74.89 | 73% below | 63% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 REF INF AGT DT BY NA-HIV1 ROCH UL | $29.97 | $81.00 | $16.20–$74.89 | 73% below | 63% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 REF INF AGT DT BY NA-HIV1 QNT AMP | $36.63 | $99.00 | $19.80–$85.10 | 67% below | 63% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 REF INF AGT DT BY NA-HIV1 QNT AMP | $36.63 | $99.00 | $19.80–$85.10 | 67% below | 63% |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 REF INF AGT DT BY NA-HIV1 ROCH UL | $29.97 | $81.00 | $16.20–$74.89 | — | 63% |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 REF INF AGT DT BY NA-HIV1 QNT AMP | $36.63 | $99.00 | $19.80–$85.10 | — | 63% |
| HIV-1 and HIV-2 antibody test CPT 86703 HIV 1+2 AB SCRN SNG RESULT 86703 | $50.88 | $137.50 | $12.06–$50.88 | 2% above | 63% |
| HIV-1 and HIV-2 antibody test CPT 86703 HIV 1+2 ANTIBODY SCREEN SNG RESULT | $50.88 | $137.50 | $12.06–$50.88 | 2% above | 63% |
| HIV-1 and HIV-2 antibody test CPT 86703 HIV 1+2 AB SCRN SNG RESULT 86703 | $50.88 | $137.50 | $12.06–$50.88 | 2% above | 63% |
| HIV-1 and HIV-2 antibody test CPT 86703 HIV 1+2 ANTIBODY SCREEN SNG RESULT | $50.88 | $137.50 | $12.06–$50.88 | 2% above | 63% |
| HIV-1 and HIV-2 antibody test inpatient CPT 86703 HIV 1+2 AB SCRN SNG RESULT 86703 | $50.88 | $137.50 | $12.06–$50.88 | — | 63% |
| HIV-1 and HIV-2 antibody test inpatient CPT 86703 HIV 1+2 ANTIBODY SCREEN SNG RESULT | $50.88 | $137.50 | $12.06–$50.88 | — | 63% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV1/2 AG/AB COMBO | $40.79 | $110.25 | $21.19–$60.20 | 48% below | 63% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV1/2 AG/AB COMBO | $40.79 | $110.25 | $21.19–$60.20 | 48% below | 63% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HIV1/2 AG/AB COMBO | $40.79 | $110.25 | $21.19–$60.20 | — | 63% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 REF HUMAN PAPILLOMAVIRUS RISK | $7.40 | $20.00 | $4.00–$7.40 | 80% below | 63% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 REF HPV HI RISK BY TMA-A | $9.99 | $27.00 | $5.40–$9.99 | 73% below | 63% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 REF HUMAN PAPILLOMAVIRUS SPEC | $13.32 | $36.00 | $7.20–$35.09 | 63% below | 63% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 REF HUMAN PAPILLOMAVIRUS SPEC | $13.32 | $36.00 | $7.20–$35.09 | 63% below | 63% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 REF HPV HIGH RISK DETECTR | $14.80 | $40.00 | $8.00–$35.09 | 59% below | 63% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 REF HUM PAPILLOMAV HI&LO RISK DTR | $14.80 | $40.00 | $8.00–$35.09 | 59% below | 63% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 REF HUM PAPILLOMAV HI&LO RISK DTR | $14.80 | $40.00 | $8.00–$35.09 | 59% below | 63% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 REF HPV HIGH RISK DETECTR | $14.80 | $40.00 | $8.00–$35.09 | 59% below | 63% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 REF HPV HIGH RISK DETION W/REFLX | $35.15 | $95.00 | $19.00–$87.73 | 3% below | 63% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 REF HPV HIGH RISK DETION W/REFLX | $35.15 | $95.00 | $19.00–$87.73 | 3% below | 63% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 HUMAN PAPILLOMA VIRUS HIGH RISK | $62.99 | $170.25 | $30.88–$87.73 | 73% above | 63% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 HUMAN PAPILLOMA VIRUS HIGH RISK | $62.99 | $170.25 | $30.88–$87.73 | 73% above | 63% |
| HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 REF HUMAN PAPILLOMAVIRUS RISK | $7.40 | $20.00 | $4.00–$7.40 | — | 63% |
| HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 REF HPV HI RISK BY TMA-A | $9.99 | $27.00 | $5.40–$9.99 | — | 63% |
| HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 REF HUMAN PAPILLOMAVIRUS SPEC | $13.32 | $36.00 | $7.20–$35.09 | — | 63% |
| HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 REF HUM PAPILLOMAV HI&LO RISK DTR | $14.80 | $40.00 | $8.00–$35.09 | — | 63% |
| HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 REF HPV HIGH RISK DETECTR | $14.80 | $40.00 | $8.00–$35.09 | — | 63% |
| HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 REF HPV HIGH RISK DETION W/REFLX | $35.15 | $95.00 | $19.00–$87.73 | — | 63% |
| HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HUMAN PAPILLOMA VIRUS HIGH RISK | $62.99 | $170.25 | $30.88–$87.73 | — | 63% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 GLYCATED HGB | $11.38 | $30.75 | $6.15–$24.28 | 84% below | 63% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN GLYCATED A1C 83036 | $11.38 | $30.75 | $6.15–$24.28 | 84% below | 63% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 GLYCATED HGB | $11.38 | $30.75 | $6.15–$24.28 | 84% below | 63% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN GLYCATED A1C 83036 | $11.38 | $30.75 | $6.15–$24.28 | 84% below | 63% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HEMOGLOBIN GLYCATED A1C 83036 | $11.38 | $30.75 | $6.15–$24.28 | — | 63% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 GLYCATED HGB | $11.38 | $30.75 | $6.15–$24.28 | — | 63% |
| Hemoglobin blood test CPT 85018 CO-OX HEMOGLOBIN-A | $6.01 | $16.25 | $2.09–$6.01 | 89% below | 63% |
| Hemoglobin blood test CPT 85018 CO-OX HEMOGLOBIN-A | $6.01 | $16.25 | $2.09–$6.01 | 89% below | 63% |
| Hemoglobin blood test CPT 85018 HEMOGLOBIN | $15.91 | $43.00 | $2.09–$15.91 | 71% below | 63% |
| Hemoglobin blood test CPT 85018 HEMOGLOBIN 85018 | $15.91 | $43.00 | $2.09–$15.91 | 71% below | 63% |
| Hemoglobin blood test CPT 85018 HEMOGLOBIN | $15.91 | $43.00 | $2.09–$15.91 | 71% below | 63% |
| Hemoglobin blood test CPT 85018 HEMOGLOBIN 85018 | $15.91 | $43.00 | $2.09–$15.91 | 71% below | 63% |
| Hemoglobin blood test inpatient CPT 85018 CO-OX HEMOGLOBIN-A | $6.01 | $16.25 | $2.09–$6.01 | — | 63% |
| Hemoglobin blood test inpatient CPT 85018 HEMOGLOBIN 85018 | $15.91 | $43.00 | $2.09–$15.91 | — | 63% |
| Hemoglobin blood test inpatient CPT 85018 HEMOGLOBIN | $15.91 | $43.00 | $2.09–$15.91 | — | 63% |
| Hepatitis B core antibody test (total) CPT 86704 HEPATITIS B CORE AB (HBC) | $42.74 | $115.50 | $10.60–$42.73 | 20% above | 63% |
| Hepatitis B core antibody test (total) CPT 86704 HEPATITIS B CORE AB (HBC) | $42.74 | $115.50 | $10.60–$42.73 | 20% above | 63% |
| Hepatitis B core antibody test (total) inpatient CPT 86704 HEPATITIS B CORE AB (HBC) | $42.74 | $115.50 | $10.60–$42.73 | — | 63% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEPATITIS B SURFACE ANTI | $51.25 | $138.50 | $9.45–$51.24 | 16% above | 63% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEPATITIS B SURFACE ANTI | $51.25 | $138.50 | $9.45–$51.24 | 16% above | 63% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEPATITIS B SURFACE ANTI | $51.25 | $138.50 | $9.45–$51.24 | — | 63% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 REF HEPATITIS B S AG CONFIRM | $17.76 | $48.00 | $9.09–$25.83 | 51% below | 63% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 REF HEPATITIS B S AG CONFIRM | $17.76 | $48.00 | $9.09–$25.83 | 51% below | 63% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B SURFAC ANTI | $32.47 | $87.75 | $9.09–$32.47 | 10% below | 63% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B SURFAC ANTI | $32.47 | $87.75 | $9.09–$32.47 | 10% below | 63% |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 REF HEPATITIS B S AG CONFIRM | $17.76 | $48.00 | $9.09–$25.83 | — | 63% |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEPATITIS B SURFAC ANTI | $32.47 | $87.75 | $9.09–$32.47 | — | 63% |
| Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C | $46.62 | $126.00 | $12.56–$46.62 | at median | 63% |
| Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C | $46.62 | $126.00 | $12.56–$46.62 | at median | 63% |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C | $46.62 | $126.00 | $12.56–$46.62 | — | 63% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 REF HEPATITIS C (HCV) NAAT QUANT | $21.83 | $59.00 | $11.80–$42.84 | 81% below | 63% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 REF HEPC RNA QNT PCR-A | $21.83 | $59.00 | $11.80–$42.84 | 81% below | 63% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 REF HEPC RNA QNT PCR-A | $21.83 | $59.00 | $11.80–$42.84 | 81% below | 63% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 REF INF AGT DT-NA-HEP C PCR QUAN | $21.83 | $59.00 | $11.80–$42.84 | 81% below | 63% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 REF INF AGT DT-NA-HEP C PCR QUAN | $21.83 | $59.00 | $11.80–$42.84 | 81% below | 63% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 REF HEPATITIS C (HCV) NAAT QUANT | $21.83 | $59.00 | $11.80–$42.84 | 81% below | 63% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 REF INF AGT DT-NA-HCV 3 BDNA QUN | $29.60 | $80.00 | $16.00–$42.84 | 74% below | 63% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 REF INF AGT DT-NA-HCV 3 BDNA QUN | $29.60 | $80.00 | $16.00–$42.84 | 74% below | 63% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 REF INF AGT DET BY NA-HEP C RFLX | $44.40 | $120.00 | $24.00–$107.10 | 61% below | 63% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 REF INF AGT DET BY NA-HEP C RFLX | $44.40 | $120.00 | $24.00–$107.10 | 61% below | 63% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 REF INF AGT DT-NA-HEP C QUAN RFL | $45.88 | $124.00 | $24.80–$107.10 | 59% below | 63% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 REF INF AGT DT-NA-HEP C QUAN RFL | $45.88 | $124.00 | $24.80–$107.10 | 59% below | 63% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 REF INF AGT DETEC BY NA-HCV ULTRA | $54.76 | $148.00 | $29.60–$107.10 | 52% below | 63% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 REF INF AGT DETEC BY NA-HCV ULTRA | $54.76 | $148.00 | $29.60–$107.10 | 52% below | 63% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 REF INF AGT DT BY NA-HCV QUAN HEP | $156.14 | $422.00 | $37.70–$156.14 | 38% above | 63% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 REF INF AGT DT BY NA-HCV QUAN HEP | $156.14 | $422.00 | $37.70–$156.14 | 38% above | 63% |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 REF INF AGT DT-NA-HEP C PCR QUAN | $21.83 | $59.00 | $11.80–$42.84 | — | 63% |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 REF HEPATITIS C (HCV) NAAT QUANT | $21.83 | $59.00 | $11.80–$42.84 | — | 63% |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 REF HEPC RNA QNT PCR-A | $21.83 | $59.00 | $11.80–$42.84 | — | 63% |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 REF INF AGT DT-NA-HCV 3 BDNA QUN | $29.60 | $80.00 | $16.00–$42.84 | — | 63% |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 REF INF AGT DET BY NA-HEP C RFLX | $44.40 | $120.00 | $24.00–$107.10 | — | 63% |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 REF INF AGT DT-NA-HEP C QUAN RFL | $45.88 | $124.00 | $24.80–$107.10 | — | 63% |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 REF INF AGT DETEC BY NA-HCV ULTRA | $54.76 | $148.00 | $29.60–$107.10 | — | 63% |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 REF INF AGT DT BY NA-HCV QUAN HEP | $156.14 | $422.00 | $37.70–$156.14 | — | 63% |
| Herpes blood test, HSV-1 antibody CPT 86695 REF HERPES SIMPLEX ABS HSV IGM | $5.83 | $15.75 | $3.15–$13.19 | 75% below | 63% |
| Herpes blood test, HSV-1 antibody CPT 86695 REF HERPES SIMPLEX ABS HSV IGM | $5.83 | $15.75 | $3.15–$13.19 | 75% below | 63% |
| Herpes blood test, HSV-1 antibody CPT 86695 REF HSV1 IGM ABS CSF | $5.92 | $16.00 | $3.20–$13.19 | 75% below | 63% |
| Herpes blood test, HSV-1 antibody CPT 86695 REF HERPES SIMPLEX 1 | $5.92 | $16.00 | $3.20–$13.19 | 75% below | 63% |
| Herpes blood test, HSV-1 antibody CPT 86695 REF HERPES SIMPLEX 1 | $5.92 | $16.00 | $3.20–$13.19 | 75% below | 63% |
| Herpes blood test, HSV-1 antibody CPT 86695 REF HSV1 IGM ABS CSF | $5.92 | $16.00 | $3.20–$13.19 | 75% below | 63% |
| Herpes blood test, HSV-1 antibody CPT 86695 REF HSV1 AB SPEC | $19.52 | $52.76 | $10.55–$32.98 | 17% below | 63% |
| Herpes blood test, HSV-1 antibody CPT 86695 REF HSV1 AB SPEC | $19.52 | $52.76 | $10.55–$32.98 | 17% below | 63% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 REF HERPES SIMPLEX ABS HSV IGM | $5.83 | $15.75 | $3.15–$13.19 | — | 63% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 REF HSV1 IGM ABS CSF | $5.92 | $16.00 | $3.20–$13.19 | — | 63% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 REF HERPES SIMPLEX 1 | $5.92 | $16.00 | $3.20–$13.19 | — | 63% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 REF HSV1 AB SPEC | $19.52 | $52.76 | $10.55–$32.98 | — | 63% |
| Herpes blood test, HSV-2 antibody CPT 86696 REF HSV HERPES TYPE 2 | $5.92 | $16.00 | $3.20–$5.92 | 82% below | 63% |
| Herpes blood test, HSV-2 antibody CPT 86696 REF HSV2 AB SPEC | $28.64 | $77.40 | $15.48–$48.38 | 13% below | 63% |
| Herpes blood test, HSV-2 antibody CPT 86696 REF HSV2 AB SPEC | $28.64 | $77.40 | $15.48–$48.38 | 13% below | 63% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 REF HSV HERPES TYPE 2 | $5.92 | $16.00 | $3.20–$5.92 | — | 63% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 REF HSV2 AB SPEC | $28.64 | $77.40 | $15.48–$48.38 | — | 63% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 CRP ULTRASENSITIVE | $17.48 | $47.25 | $9.45–$32.38 | 59% below | 63% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 CRP ULTRASENSITIVE | $17.48 | $47.25 | $9.45–$32.38 | 59% below | 63% |
| High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 CRP ULTRASENSITIVE | $17.48 | $47.25 | $9.45–$32.38 | — | 63% |
| Homocysteine blood test CPT 83090 HOMOCYSTEINE | $46.25 | $125.00 | $15.77–$46.25 | 14% below | 63% |
| Homocysteine blood test CPT 83090 HOMOCYSTEINE | $46.25 | $125.00 | $15.77–$46.25 | 14% below | 63% |
| Homocysteine blood test inpatient CPT 83090 HOMOCYSTEINE | $46.25 | $125.00 | $15.77–$46.25 | — | 63% |
| Insulin blood test CPT 83525 INSULIN LEVEL TOTAL | $31.45 | $85.00 | $10.06–$31.45 | 25% above | 63% |
| Insulin blood test CPT 83525 INSULIN LEVEL TOTAL | $31.45 | $85.00 | $10.06–$31.45 | 25% above | 63% |
| Insulin blood test inpatient CPT 83525 INSULIN LEVEL TOTAL | $31.45 | $85.00 | $10.06–$31.45 | — | 63% |
| Iron blood test (serum iron) CPT 83540 REF IRON TISSUE | $43.48 | $117.50 | $5.69–$43.48 | 20% below | 63% |
| Iron blood test (serum iron) CPT 83540 IRON | $43.48 | $117.50 | $5.69–$43.48 | 20% below | 63% |
| Iron blood test (serum iron) CPT 83540 REF IRON TISSUE | $43.48 | $117.50 | $5.69–$43.48 | 20% below | 63% |
| Iron blood test (serum iron) CPT 83540 IRON | $43.48 | $117.50 | $5.69–$43.48 | 20% below | 63% |
| Iron blood test (serum iron) inpatient CPT 83540 REF IRON TISSUE | $43.48 | $117.50 | $5.69–$43.48 | — | 63% |
| Iron blood test (serum iron) inpatient CPT 83540 IRON | $43.48 | $117.50 | $5.69–$43.48 | — | 63% |
| Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL 2000 | $77.70 | $210.00 | $7.64–$77.70 | 81% below | 63% |
| Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL 2000 | $77.70 | $210.00 | $7.64–$77.70 | 81% below | 63% |
| Kidney function blood test panel inpatient CPT 80069 RENAL FUNCTION PANEL 2000 | $77.70 | $210.00 | $7.64–$77.70 | — | 63% |
| LH (luteinizing hormone) test CPT 83002 LUTEINIZING HORMONE | $49.30 | $133.25 | $16.30–$49.30 | 22% below | 63% |
| LH (luteinizing hormone) test CPT 83002 LUTEINIZING HORMONE | $49.30 | $133.25 | $16.30–$49.30 | 22% below | 63% |
| LH (luteinizing hormone) test inpatient CPT 83002 LUTEINIZING HORMONE | $49.30 | $133.25 | $16.30–$49.30 | — | 63% |
| Lactate (lactic acid) blood test CPT 83605 LACTATE ARTERIAL | $56.33 | $152.25 | $10.18–$56.33 | 24% below | 63% |
| Lactate (lactic acid) blood test CPT 83605 LACTATE ARTERIAL | $56.33 | $152.25 | $10.18–$56.33 | 24% below | 63% |
| Lactate (lactic acid) blood test CPT 83605 LACTATE(LACTIC ACID) | $56.33 | $152.25 | $10.18–$56.33 | 24% below | 63% |
| Lactate (lactic acid) blood test CPT 83605 LACTIC ACID (CSF) | $56.33 | $152.25 | $10.18–$56.33 | 24% below | 63% |
| Lactate (lactic acid) blood test CPT 83605 LACTATE(LACTIC ACID) | $56.33 | $152.25 | $10.18–$56.33 | 24% below | 63% |
| Lactate (lactic acid) blood test CPT 83605 LACTIC ACID (CSF) | $56.33 | $152.25 | $10.18–$56.33 | 24% below | 63% |
| Lactate (lactic acid) blood test inpatient CPT 83605 LACTIC ACID (CSF) | $56.33 | $152.25 | $10.18–$56.33 | — | 63% |
| Lactate (lactic acid) blood test inpatient CPT 83605 LACTATE(LACTIC ACID) | $56.33 | $152.25 | $10.18–$56.33 | — | 63% |
| Lactate (lactic acid) blood test inpatient CPT 83605 LACTATE ARTERIAL | $56.33 | $152.25 | $10.18–$56.33 | — | 63% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 REF LDH TOTAL-A | $4.44 | $12.00 | $2.40–$6.04 | 92% below | 63% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 REF LDH TOTAL-A | $4.44 | $12.00 | $2.40–$6.04 | 92% below | 63% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 LDH FLUID | $61.88 | $167.25 | $5.32–$61.88 | 15% above | 63% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 LACTIC DEHYDROGENASE(CSF) | $61.88 | $167.25 | $5.32–$61.88 | 15% above | 63% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 LACTIC DEHYDROGENASE(CSF) | $61.88 | $167.25 | $5.32–$61.88 | 15% above | 63% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 LACTIC DEHYDROGENASE (LDH) | $61.88 | $167.25 | $5.32–$61.88 | 15% above | 63% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 LACTIC DEHYDROGENASE (LDH) | $61.88 | $167.25 | $5.32–$61.88 | 15% above | 63% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 LDH FLUID | $61.88 | $167.25 | $5.32–$61.88 | 15% above | 63% |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 REF LDH TOTAL-A | $4.44 | $12.00 | $2.40–$6.04 | — | 63% |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LACTIC DEHYDROGENASE (LDH) | $61.88 | $167.25 | $5.32–$61.88 | — | 63% |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LACTIC DEHYDROGENASE(CSF) | $61.88 | $167.25 | $5.32–$61.88 | — | 63% |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LDH FLUID | $61.88 | $167.25 | $5.32–$61.88 | — | 63% |
| Lipase blood test (pancreas enzyme) CPT 83690 LIPASE BLOOD | $66.79 | $180.50 | $6.06–$66.78 | 15% above | 63% |
| Lipase blood test (pancreas enzyme) CPT 83690 LIPASE BLOOD | $66.79 | $180.50 | $6.06–$66.78 | 15% above | 63% |
| Lipase blood test (pancreas enzyme) CPT 83690 BODY FLUID LIPASE | $66.79 | $180.50 | $6.06–$66.78 | 15% above | 63% |
| Lipase blood test (pancreas enzyme) CPT 83690 BODY FLUID LIPASE | $66.79 | $180.50 | $6.06–$66.78 | 15% above | 63% |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 BODY FLUID LIPASE | $66.79 | $180.50 | $6.06–$66.78 | — | 63% |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE BLOOD | $66.79 | $180.50 | $6.06–$66.78 | — | 63% |
| Liver function blood test panel CPT 80076 HEPATIC PANEL 2000 | $50.14 | $135.50 | $7.19–$50.13 | 78% below | 63% |
| Liver function blood test panel CPT 80076 HEPATIC PANEL 2000 | $50.14 | $135.50 | $7.19–$50.13 | 78% below | 63% |
| Liver function blood test panel inpatient CPT 80076 HEPATIC PANEL 2000 | $50.14 | $135.50 | $7.19–$50.13 | — | 63% |
| Lyme disease antibody test CPT 86618 LYME AB | $15.36 | $41.50 | $8.30–$17.03 | 41% below | 63% |
| Lyme disease antibody test CPT 86618 LYME AB | $15.36 | $41.50 | $8.30–$17.03 | 41% below | 63% |
| Lyme disease antibody test inpatient CPT 86618 LYME AB | $15.36 | $41.50 | $8.30–$17.03 | — | 63% |
| Magnesium blood test CPT 83735 REF MAGNESIUM RBC-A | $5.00 | $13.50 | $2.70–$6.70 | 62% below | 63% |
| Magnesium blood test CPT 83735 REF MAGNESIUM RBC-A | $5.00 | $13.50 | $2.70–$6.70 | 62% below | 63% |
| Magnesium blood test CPT 83735 MAGNESIUM FLUID | $7.03 | $19.00 | $3.80–$16.75 | 47% below | 63% |
| Magnesium blood test CPT 83735 MAGNESIUM URINE | $7.03 | $19.00 | $3.80–$16.75 | 47% below | 63% |
| Magnesium blood test CPT 83735 MAGNESIUM FLUID | $7.03 | $19.00 | $3.80–$16.75 | 47% below | 63% |
| Magnesium blood test CPT 83735 MAGNESIUM URINE | $7.03 | $19.00 | $3.80–$16.75 | 47% below | 63% |
| Magnesium blood test CPT 83735 MAGNESIUM URINE (RANDOM) | $7.03 | $19.00 | $3.80–$16.75 | 47% below | 63% |
| Magnesium blood test CPT 83735 MAGNESIUM URINE (RANDOM) | $7.03 | $19.00 | $3.80–$16.75 | 47% below | 63% |
| Magnesium blood test CPT 83735 MAGNESIUM BLOOD CHEMICAL | $40.05 | $108.25 | $5.90–$40.05 | 202% above | 63% |
| Magnesium blood test CPT 83735 MAGNESIUM BLOOD CHEMICAL | $40.05 | $108.25 | $5.90–$40.05 | 202% above | 63% |
| Magnesium blood test inpatient CPT 83735 REF MAGNESIUM RBC-A | $5.00 | $13.50 | $2.70–$6.70 | — | 63% |
| Magnesium blood test inpatient CPT 83735 MAGNESIUM URINE | $7.03 | $19.00 | $3.80–$16.75 | — | 63% |
| Magnesium blood test inpatient CPT 83735 MAGNESIUM URINE (RANDOM) | $7.03 | $19.00 | $3.80–$16.75 | — | 63% |
| Magnesium blood test inpatient CPT 83735 MAGNESIUM FLUID | $7.03 | $19.00 | $3.80–$16.75 | — | 63% |
| Magnesium blood test inpatient CPT 83735 MAGNESIUM BLOOD CHEMICAL | $40.05 | $108.25 | $5.90–$40.05 | — | 63% |
| Measles (rubeola) antibody test CPT 86765 REF RUBEOLA-IGM MEASLES(8781) | $4.81 | $13.00 | $2.60–$12.88 | 82% below | 63% |
| Measles (rubeola) antibody test CPT 86765 REF RUBEOLA-IGM MEASLES(8781) | $4.81 | $13.00 | $2.60–$12.88 | 82% below | 63% |
| Measles (rubeola) antibody test CPT 86765 IFA RUBEOLA MEASLES | $30.71 | $83.00 | $11.33–$32.20 | 16% above | 63% |
| Measles (rubeola) antibody test CPT 86765 IFA RUBEOLA MEASLES | $30.71 | $83.00 | $11.33–$32.20 | 16% above | 63% |
| Measles (rubeola) antibody test inpatient CPT 86765 REF RUBEOLA-IGM MEASLES(8781) | $4.81 | $13.00 | $2.60–$12.88 | — | 63% |
| Measles (rubeola) antibody test inpatient CPT 86765 IFA RUBEOLA MEASLES | $30.71 | $83.00 | $11.33–$32.20 | — | 63% |
| Mono test (heterophile antibody, Monospot) CPT 86308 ANTIBODY QUALITATIVE SLI | $69.93 | $189.00 | $4.56–$69.93 | 59% below | 63% |
| Mono test (heterophile antibody, Monospot) CPT 86308 ANTIBODY QUALITATIVE SLI | $69.93 | $189.00 | $4.56–$69.93 | 59% below | 63% |
| Mono test (heterophile antibody, Monospot) inpatient CPT 86308 ANTIBODY QUALITATIVE SLI | $69.93 | $189.00 | $4.56–$69.93 | — | 63% |
| Mumps immunity blood test CPT 86735 MUMPS IGG | $23.22 | $62.75 | $11.48–$32.63 | 43% above | 63% |
| Mumps immunity blood test CPT 86735 MUMPS IGG | $23.22 | $62.75 | $11.48–$32.63 | 43% above | 63% |
| Mumps immunity blood test inpatient CPT 86735 MUMPS IGG | $23.22 | $62.75 | $11.48–$32.63 | — | 63% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PROSTATE SPECIFIC ANTIGEN | $12.67 | $34.25 | $6.85–$18.39 | 77% below | 63% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PROSTATE SPECIFIC ANTIGEN | $12.67 | $34.25 | $6.85–$18.39 | 77% below | 63% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PROSTATE SPECIFIC ANTIGEN | $12.67 | $34.25 | $6.85–$18.39 | — | 63% |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 GYN LIQ BASE THIN LAYER | $23.68 | $64.00 | $12.80–$50.65 | 54% below | 63% |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 GYN LIQ BASE THIN LAYER | $23.68 | $64.00 | $12.80–$50.65 | 54% below | 63% |
| Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 GYN LIQ BASE THIN LAYER | $23.68 | $64.00 | $12.80–$50.65 | — | 63% |
| Parathyroid hormone (PTH) blood test CPT 83970 PTH INTACT W/CALCIUM | $104.90 | $283.50 | $36.33–$104.89 | 6% above | 63% |
| Parathyroid hormone (PTH) blood test CPT 83970 PTH INTACT W/CALCIUM | $104.90 | $283.50 | $36.33–$104.89 | 6% above | 63% |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 PTH INTACT W/CALCIUM | $104.90 | $283.50 | $36.33–$104.89 | — | 63% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 REF FACTOR 2 INHIB PTT | $16.65 | $45.00 | $5.29–$16.65 | 57% below | 63% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 REF FACTOR 2 INHIB PTT SUB | $16.65 | $45.00 | $5.29–$16.65 | 57% below | 63% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 REF FACTOR 2 INHIB PTT SUB | $16.65 | $45.00 | $5.29–$16.65 | 57% below | 63% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 REF FACTOR 2 INHIB PTT | $16.65 | $45.00 | $5.29–$16.65 | 57% below | 63% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 REF MAYO PTT | $22.20 | $60.00 | $5.29–$22.20 | 42% below | 63% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 REF MAYO PTT | $22.20 | $60.00 | $5.29–$22.20 | 42% below | 63% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 REF THROMBOPLAST TM (PTT) (APC-P) | $27.38 | $74.00 | $5.29–$27.38 | 29% below | 63% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 REF THROMBOPLAST TM (PTT) (APC-P) | $27.38 | $74.00 | $5.29–$27.38 | 29% below | 63% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 PARTIAL THROMBOPLASTIN TIME PTT | $48.56 | $131.25 | $5.29–$48.56 | 26% above | 63% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 PARTIAL THROMBOPLASTIN TIME PTT | $48.56 | $131.25 | $5.29–$48.56 | 26% above | 63% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 REF FAC IX PTT (S44096) | $88.06 | $238.00 | $5.29–$88.06 | 129% above | 63% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 REF FAC IX PTT (S44096) | $88.06 | $238.00 | $5.29–$88.06 | 129% above | 63% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 REF FACTOR 2 INHIB PTT SUB | $16.65 | $45.00 | $5.29–$16.65 | — | 63% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 REF FACTOR 2 INHIB PTT | $16.65 | $45.00 | $5.29–$16.65 | — | 63% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 REF MAYO PTT | $22.20 | $60.00 | $5.29–$22.20 | — | 63% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 REF THROMBOPLAST TM (PTT) (APC-P) | $27.38 | $74.00 | $5.29–$27.38 | — | 63% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PARTIAL THROMBOPLASTIN TIME PTT | $48.56 | $131.25 | $5.29–$48.56 | — | 63% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 REF FAC IX PTT (S44096) | $88.06 | $238.00 | $5.29–$88.06 | — | 63% |
| Phosphorus (phosphate) blood test CPT 84100 PHOSPHORUS BLOOD | $42.37 | $114.50 | $4.17–$42.37 | 31% below | 63% |
| Phosphorus (phosphate) blood test CPT 84100 PHOSPHORUS BLOOD | $42.37 | $114.50 | $4.17–$42.37 | 31% below | 63% |
| Phosphorus (phosphate) blood test inpatient CPT 84100 PHOSPHORUS BLOOD | $42.37 | $114.50 | $4.17–$42.37 | — | 63% |
| Potassium blood test CPT 84132 POTASSIUM POC (POINT OF CARE) | $7.96 | $21.50 | $4.19–$11.90 | 88% below | 63% |
| Potassium blood test CPT 84132 ASSAY SERUM POTASSIUM 84132 | $7.96 | $21.50 | $4.19–$11.90 | 88% below | 63% |
| Potassium blood test CPT 84132 POTASSIUM SERUM | $7.96 | $21.50 | $4.19–$11.90 | 88% below | 63% |
| Potassium blood test CPT 84132 POTASSIUM BODY FLUID | $7.96 | $21.50 | $4.19–$11.90 | 88% below | 63% |
| Potassium blood test CPT 84132 POTASSIUM PLASMA | $7.96 | $21.50 | $4.19–$11.90 | 88% below | 63% |
| Potassium blood test CPT 84132 POTASSIUM POC(POINT OF CARE) | $7.96 | $21.50 | $4.19–$11.90 | 88% below | 63% |
| Potassium blood test CPT 84132 POTASSIUM POC (POINT OF CARE) | $7.96 | $21.50 | $4.19–$11.90 | 88% below | 63% |
| Potassium blood test CPT 84132 POTASSIUM BODY FLUID | $7.96 | $21.50 | $4.19–$11.90 | 88% below | 63% |
| Potassium blood test CPT 84132 ASSAY SERUM POTASSIUM 84132 | $7.96 | $21.50 | $4.19–$11.90 | 88% below | 63% |
| Potassium blood test CPT 84132 POTASSIUM SERUM | $7.96 | $21.50 | $4.19–$11.90 | 88% below | 63% |
| Potassium blood test CPT 84132 POTASSIUM PLASMA | $7.96 | $21.50 | $4.19–$11.90 | 88% below | 63% |
| Potassium blood test CPT 84132 POTASSIUM POC(POINT OF CARE) | $7.96 | $21.50 | $4.19–$11.90 | 88% below | 63% |
| Potassium blood test inpatient CPT 84132 POTASSIUM BODY FLUID | $7.96 | $21.50 | $4.19–$11.90 | — | 63% |
| Potassium blood test inpatient CPT 84132 ASSAY SERUM POTASSIUM 84132 | $7.96 | $21.50 | $4.19–$11.90 | — | 63% |
| Potassium blood test inpatient CPT 84132 POTASSIUM POC (POINT OF CARE) | $7.96 | $21.50 | $4.19–$11.90 | — | 63% |
| Potassium blood test inpatient CPT 84132 POTASSIUM POC(POINT OF CARE) | $7.96 | $21.50 | $4.19–$11.90 | — | 63% |
| Potassium blood test inpatient CPT 84132 POTASSIUM PLASMA | $7.96 | $21.50 | $4.19–$11.90 | — | 63% |
| Potassium blood test inpatient CPT 84132 POTASSIUM SERUM | $7.96 | $21.50 | $4.19–$11.90 | — | 63% |
| Progesterone blood test CPT 84144 PROGESTERONE | $15.91 | $43.00 | $8.60–$20.86 | 66% below | 63% |
| Progesterone blood test CPT 84144 PROGESTERONE | $15.91 | $43.00 | $8.60–$20.86 | 66% below | 63% |
| Progesterone blood test inpatient CPT 84144 PROGESTERONE | $15.91 | $43.00 | $8.60–$20.86 | — | 63% |
| Prolactin blood test CPT 84146 PROLACTIN | $63.73 | $172.25 | $17.06–$63.73 | 2% below | 63% |
| Prolactin blood test CPT 84146 PROLACTIN | $63.73 | $172.25 | $17.06–$63.73 | 2% below | 63% |
| Prolactin blood test inpatient CPT 84146 PROLACTIN | $63.73 | $172.25 | $17.06–$63.73 | — | 63% |
| Prothrombin time (PT/INR) clotting test CPT 85610 REF MAYO PROTHOMBIN TIME | $9.25 | $25.00 | $3.78–$10.73 | 75% below | 63% |
| Prothrombin time (PT/INR) clotting test CPT 85610 REF MAYO PROTHOMBIN TIME | $9.25 | $25.00 | $3.78–$10.73 | 75% below | 63% |
| Prothrombin time (PT/INR) clotting test CPT 85610 REF FACTOR 2 INHIBIT PROTIME | $16.65 | $45.00 | $3.78–$16.65 | 54% below | 63% |
| Prothrombin time (PT/INR) clotting test CPT 85610 REF FACTOR 2 INHIBIT PROTIME | $16.65 | $45.00 | $3.78–$16.65 | 54% below | 63% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME 85610 | $21.46 | $58.00 | $3.78–$21.46 | 41% below | 63% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME 85610 | $21.46 | $58.00 | $3.78–$21.46 | 41% below | 63% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME WITH INR | $21.46 | $58.00 | $3.78–$21.46 | 41% below | 63% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME WITH INR | $21.46 | $58.00 | $3.78–$21.46 | 41% below | 63% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 REF MAYO PROTHOMBIN TIME | $9.25 | $25.00 | $3.78–$10.73 | — | 63% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 REF FACTOR 2 INHIBIT PROTIME | $16.65 | $45.00 | $3.78–$16.65 | — | 63% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME 85610 | $21.46 | $58.00 | $3.78–$21.46 | — | 63% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME WITH INR | $21.46 | $58.00 | $3.78–$21.46 | — | 63% |
| Rapid flu test (influenza antigen) CPT 87804 RAPID FLU TEST | $24.33 | $65.75 | $13.15–$41.38 | 81% below | 63% |
| Rapid flu test (influenza antigen) CPT 87804 RAPID FLU TEST | $24.33 | $65.75 | $13.15–$41.38 | 81% below | 63% |
| Rapid flu test (influenza antigen) inpatient CPT 87804 RAPID FLU TEST | $24.33 | $65.75 | $13.15–$41.38 | — | 63% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 STREPTOCOCCUS GRP A OBS 87880 | $27.94 | $75.50 | $14.55–$41.33 | 76% below | 63% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 STREPTOCOCCUS GRP A OBS 87880 | $27.94 | $75.50 | $14.55–$41.33 | 76% below | 63% |
| Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 STREPTOCOCCUS GRP A OBS 87880 | $27.94 | $75.50 | $14.55–$41.33 | — | 63% |
| Rh blood typing CPT 86901 REF BB RH TYPE | $38.57 | $104.25 | $2.63–$38.57 | 8% below | 63% |
| Rh blood typing CPT 86901 REF BB RH TYPE | $38.57 | $104.25 | $2.63–$38.57 | 8% below | 63% |
| Rh blood typing CPT 86901 BLOOD TYPING RH ONLY | $38.57 | $104.25 | $2.63–$38.57 | 8% below | 63% |
| Rh blood typing CPT 86901 BLOOD TYPING RH ONLY | $38.57 | $104.25 | $2.63–$38.57 | 8% below | 63% |
| Rh blood typing inpatient CPT 86901 REF BB RH TYPE | $38.57 | $104.25 | $2.63–$38.57 | — | 63% |
| Rh blood typing inpatient CPT 86901 BLOOD TYPING RH ONLY | $38.57 | $104.25 | $2.63–$38.57 | — | 63% |
| Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR(RA)BLD | $13.23 | $35.75 | $4.99–$14.18 | 46% below | 63% |
| Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR(RA)BLD | $13.23 | $35.75 | $4.99–$14.18 | 46% below | 63% |
| Rheumatoid factor (RF) test inpatient CPT 86431 RHEUMATOID FACTOR(RA)BLD | $13.23 | $35.75 | $4.99–$14.18 | — | 63% |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA AB SCREEN | $10.36 | $28.00 | $5.60–$14.39 | 45% below | 63% |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA AB SCREEN | $10.36 | $28.00 | $5.60–$14.39 | 45% below | 63% |
| Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA AB SCREEN | $10.36 | $28.00 | $5.60–$14.39 | — | 63% |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 SEDIMENTATION RATE BLOOD | $42.00 | $113.50 | $2.38–$41.99 | 62% below | 63% |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 SEDIMENTATION RATE BLOOD | $42.00 | $113.50 | $2.38–$41.99 | 62% below | 63% |
| Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 SEDIMENTATION RATE BLOOD | $42.00 | $113.50 | $2.38–$41.99 | — | 63% |
| Semen analysis: volume, sperm count, motility and morphology CPT 89320 SEMEN ANALYSIS COMPLETE | $54.76 | $148.00 | $10.83–$54.76 | 78% below | 63% |
| Semen analysis: volume, sperm count, motility and morphology CPT 89320 SEMEN ANALYSIS COMPLETE | $54.76 | $148.00 | $10.83–$54.76 | 78% below | 63% |
| Semen analysis: volume, sperm count, motility and morphology inpatient CPT 89320 SEMEN ANALYSIS COMPLETE | $54.76 | $148.00 | $10.83–$54.76 | — | 63% |
| Sodium blood test CPT 84295 SODIUM POC (POINT OF CARE) | $6.85 | $18.50 | $3.70–$12.03 | 90% below | 63% |
| Sodium blood test CPT 84295 SODIUM POC (POINT OF CARE) | $6.85 | $18.50 | $3.70–$12.03 | 90% below | 63% |
| Sodium blood test CPT 84295 SODIUM BLOOD | $6.85 | $18.50 | $3.70–$12.03 | 90% below | 63% |
| Sodium blood test CPT 84295 SODIUM BLOOD | $6.85 | $18.50 | $3.70–$12.03 | 90% below | 63% |
| Sodium blood test inpatient CPT 84295 SODIUM BLOOD | $6.85 | $18.50 | $3.70–$12.03 | — | 63% |
| Sodium blood test inpatient CPT 84295 SODIUM POC (POINT OF CARE) | $6.85 | $18.50 | $3.70–$12.03 | — | 63% |
| Stool ova and parasites exam CPT 87177 OVA & PARASITES EXAM | $54.02 | $146.00 | $7.83–$54.02 | 30% above | 63% |
| Stool ova and parasites exam CPT 87177 SMEAR OVA AND PARASITE | $54.02 | $146.00 | $7.83–$54.02 | 30% above | 63% |
| Stool ova and parasites exam CPT 87177 OVA & PARASITES EXAM | $54.02 | $146.00 | $7.83–$54.02 | 30% above | 63% |
| Stool ova and parasites exam CPT 87177 STRONGYLOIDES EXAM | $54.02 | $146.00 | $7.83–$54.02 | 30% above | 63% |
| Stool ova and parasites exam CPT 87177 ACANTHAMOEBA/NAEGLERIIA EXAM | $54.02 | $146.00 | $7.83–$54.02 | 30% above | 63% |
| Stool ova and parasites exam CPT 87177 PINWORM PREP/SMEAR 87177 | $54.02 | $146.00 | $7.83–$54.02 | 30% above | 63% |
| Stool ova and parasites exam CPT 87177 SMEAR OVA AND PARASITE | $54.02 | $146.00 | $7.83–$54.02 | 30% above | 63% |
| Stool ova and parasites exam CPT 87177 PINWORM PREP/SMEAR 87177 | $54.02 | $146.00 | $7.83–$54.02 | 30% above | 63% |
| Stool ova and parasites exam CPT 87177 ACANTHAMOEBA/NAEGLERIIA EXAM | $54.02 | $146.00 | $7.83–$54.02 | 30% above | 63% |
| Stool ova and parasites exam CPT 87177 STRONGYLOIDES EXAM | $54.02 | $146.00 | $7.83–$54.02 | 30% above | 63% |
| Stool ova and parasites exam inpatient CPT 87177 STRONGYLOIDES EXAM | $54.02 | $146.00 | $7.83–$54.02 | — | 63% |
| Stool ova and parasites exam inpatient CPT 87177 OVA & PARASITES EXAM | $54.02 | $146.00 | $7.83–$54.02 | — | 63% |
| Stool ova and parasites exam inpatient CPT 87177 ACANTHAMOEBA/NAEGLERIIA EXAM | $54.02 | $146.00 | $7.83–$54.02 | — | 63% |
| Stool ova and parasites exam inpatient CPT 87177 SMEAR OVA AND PARASITE | $54.02 | $146.00 | $7.83–$54.02 | — | 63% |
| Stool ova and parasites exam inpatient CPT 87177 PINWORM PREP/SMEAR 87177 | $54.02 | $146.00 | $7.83–$54.02 | — | 63% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 BLD OCCULT FECES CONSEC SAMPLES | $14.80 | $40.00 | $3.86–$14.80 | 72% below | 63% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULT BLD FECES-QUAL-SGL 82270 | $14.80 | $40.00 | $3.86–$14.80 | 72% below | 63% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULT BLD FECES-QUAL-SGL 82270 | $14.80 | $40.00 | $3.86–$14.80 | 72% below | 63% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 FECAL OCCULT BLOOD 1 SLH | $14.80 | $40.00 | $3.86–$14.80 | 72% below | 63% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 BLD OCCULT FECES CONSEC SAMPLES | $14.80 | $40.00 | $3.86–$14.80 | 72% below | 63% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 FECAL OCCULT BLOOD 1 SLH | $14.80 | $40.00 | $3.86–$14.80 | 72% below | 63% |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 OCCULT BLD FECES-QUAL-SGL 82270 | $14.80 | $40.00 | $3.86–$14.80 | — | 63% |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 BLD OCCULT FECES CONSEC SAMPLES | $14.80 | $40.00 | $3.86–$14.80 | — | 63% |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 FECAL OCCULT BLOOD 1 SLH | $14.80 | $40.00 | $3.86–$14.80 | — | 63% |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 REF FECAL GLOB BY IMMUNOCHEMISTRY | $22.20 | $60.00 | $12.00–$39.80 | 56% below | 63% |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 REF FECAL GLOB BY IMMUNOCHEMISTRY | $22.20 | $60.00 | $12.00–$39.80 | 56% below | 63% |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 FECAL HGB BY IMMUNOCHEM | $40.33 | $109.00 | $14.01–$40.33 | 19% below | 63% |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 FECAL HGB BY IMMUNOCHEM | $40.33 | $109.00 | $14.01–$40.33 | 19% below | 63% |
| Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 REF FECAL GLOB BY IMMUNOCHEMISTRY | $22.20 | $60.00 | $12.00–$39.80 | — | 63% |
| Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 FECAL HGB BY IMMUNOCHEM | $40.33 | $109.00 | $14.01–$40.33 | — | 63% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 TREPONEMA PALLIDUM IGG | $23.50 | $63.50 | $11.65–$33.10 | 61% above | 63% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 TREPONEMA PALLIDUM IGG | $23.50 | $63.50 | $11.65–$33.10 | 61% above | 63% |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 TREPONEMA PALLIDUM IGG | $23.50 | $63.50 | $11.65–$33.10 | — | 63% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VDRL SERUM | $36.72 | $99.25 | $3.76–$36.72 | 85% above | 63% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 SYPHILLIS TEST RPR | $36.72 | $99.25 | $3.76–$36.72 | 85% above | 63% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VDRL SERUM | $36.72 | $99.25 | $3.76–$36.72 | 85% above | 63% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 SYPHILLIS TEST RPR | $36.72 | $99.25 | $3.76–$36.72 | 85% above | 63% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 SYPHILLIS TEST RPR | $36.72 | $99.25 | $3.76–$36.72 | — | 63% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 VDRL SERUM | $36.72 | $99.25 | $3.76–$36.72 | — | 63% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 REF QTF TB GOLD-A | $17.39 | $47.00 | $9.40–$17.39 | 72% below | 63% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 REF TB TEST CELL IMMUN MEASURE | $110.08 | $297.50 | $54.54–$154.95 | 79% above | 63% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 REF TB TEST CELL IMMUN MEASURE | $110.08 | $297.50 | $54.54–$154.95 | 79% above | 63% |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 REF QTF TB GOLD-A | $17.39 | $47.00 | $9.40–$17.39 | — | 63% |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 REF TB TEST CELL IMMUN MEASURE | $110.08 | $297.50 | $54.54–$154.95 | — | 63% |
| Testosterone blood test, total (not free testosterone) CPT 84403 REF TESTOSTERONE SERUM | $19.98 | $54.00 | $10.80–$25.81 | 33% below | 63% |
| Testosterone blood test, total (not free testosterone) CPT 84403 REF TESTOSTERONE SERUM | $19.98 | $54.00 | $10.80–$25.81 | 33% below | 63% |
| Testosterone blood test, total (not free testosterone) CPT 84403 REF TESTOSTERONE TOTAL | $38.18 | $103.20 | $20.64–$64.53 | 27% above | 63% |
| Testosterone blood test, total (not free testosterone) CPT 84403 REF TESTOSTERONE TOTAL | $38.18 | $103.20 | $20.64–$64.53 | 27% above | 63% |
| Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE SERUM TOTAL | $75.39 | $203.75 | $22.71–$75.39 | 151% above | 63% |
| Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE SERUM TOTAL | $75.39 | $203.75 | $22.71–$75.39 | 151% above | 63% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 REF TESTOSTERONE SERUM | $19.98 | $54.00 | $10.80–$25.81 | — | 63% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 REF TESTOSTERONE TOTAL | $38.18 | $103.20 | $20.64–$64.53 | — | 63% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE SERUM TOTAL | $75.39 | $203.75 | $22.71–$75.39 | — | 63% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 REF LIVER-KIDNEY HICROSOMAL ABS | $5.92 | $16.00 | $3.20–$14.55 | 56% below | 63% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 REF LIVER-KIDNEY HICROSOMAL ABS | $5.92 | $16.00 | $3.20–$14.55 | 56% below | 63% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 THYROID PEROXIDASE AB | $36.08 | $97.50 | $12.80–$36.38 | 165% above | 63% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 THYROID PEROXIDASE AB | $36.08 | $97.50 | $12.80–$36.38 | 165% above | 63% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 REF LIVER-KIDNEY HICROSOMAL ABS | $5.92 | $16.00 | $3.20–$14.55 | — | 63% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 THYROID PEROXIDASE AB | $36.08 | $97.50 | $12.80–$36.38 | — | 63% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HTSH II ULTRASENSITIVE | $36.17 | $97.75 | $14.78–$42.00 | 71% below | 63% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HTSH II ULTRASENSITIVE | $36.17 | $97.75 | $14.78–$42.00 | 71% below | 63% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH - ED FAST TSH | $36.17 | $97.75 | $14.78–$42.00 | 71% below | 63% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 ULTRASENSITIVE TSH3 | $36.17 | $97.75 | $14.78–$42.00 | 71% below | 63% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH - ED FAST TSH | $36.17 | $97.75 | $14.78–$42.00 | 71% below | 63% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 ULTRASENSITIVE TSH3 | $36.17 | $97.75 | $14.78–$42.00 | 71% below | 63% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH - ED FAST TSH | $36.17 | $97.75 | $14.78–$42.00 | — | 63% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 ULTRASENSITIVE TSH3 | $36.17 | $97.75 | $14.78–$42.00 | — | 63% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HTSH II ULTRASENSITIVE | $36.17 | $97.75 | $14.78–$42.00 | — | 63% |
| Total IgE blood test CPT 82785 TOTAL IGE | $23.68 | $64.00 | $12.80–$41.15 | at median | 63% |
| Total IgE blood test CPT 82785 TOTAL IGE | $23.68 | $64.00 | $12.80–$41.15 | at median | 63% |
| Total IgE blood test inpatient CPT 82785 TOTAL IGE | $23.68 | $64.00 | $12.80–$41.15 | — | 63% |
| Total cholesterol blood test CPT 82465 REF CHOLESTEROL (LPE) | $3.70 | $10.00 | $2.00–$4.35 | 87% below | 63% |
| Total cholesterol blood test CPT 82465 REF CHOLESTEROL (LPE) | $3.70 | $10.00 | $2.00–$4.35 | 87% below | 63% |
| Total cholesterol blood test CPT 82465 CHOLESTEROL FLUID | $47.82 | $129.25 | $3.83–$47.82 | 65% above | 63% |
| Total cholesterol blood test CPT 82465 ASSAY SERUM CHOLEST-TOT 82465 | $47.82 | $129.25 | $3.83–$47.82 | 65% above | 63% |
| Total cholesterol blood test CPT 82465 CHOLESTEROL SERUM OR W/BLOOD TOTAL | $47.82 | $129.25 | $3.83–$47.82 | 65% above | 63% |
| Total cholesterol blood test CPT 82465 ASSAY SERUM CHOLEST-TOT 82465 | $47.82 | $129.25 | $3.83–$47.82 | 65% above | 63% |
| Total cholesterol blood test CPT 82465 CHOLESTEROL FLUID | $47.82 | $129.25 | $3.83–$47.82 | 65% above | 63% |
| Total cholesterol blood test CPT 82465 CHOLESTEROL SERUM OR W/BLOOD TOTAL | $47.82 | $129.25 | $3.83–$47.82 | 65% above | 63% |
| Total cholesterol blood test inpatient CPT 82465 REF CHOLESTEROL (LPE) | $3.70 | $10.00 | $2.00–$4.35 | — | 63% |
| Total cholesterol blood test inpatient CPT 82465 CHOLESTEROL SERUM OR W/BLOOD TOTAL | $47.82 | $129.25 | $3.83–$47.82 | — | 63% |
| Total cholesterol blood test inpatient CPT 82465 CHOLESTEROL FLUID | $47.82 | $129.25 | $3.83–$47.82 | — | 63% |
| Total cholesterol blood test inpatient CPT 82465 ASSAY SERUM CHOLEST-TOT 82465 | $47.82 | $129.25 | $3.83–$47.82 | — | 63% |
| Total thyroxine (T4) blood test CPT 84436 THYROXIN TRUE (T-4)RIA | $137.18 | $370.75 | $6.04–$137.18 | 50% above | 63% |
| Total thyroxine (T4) blood test CPT 84436 THYROXIN TRUE (T-4)RIA | $137.18 | $370.75 | $6.04–$137.18 | 50% above | 63% |
| Total thyroxine (T4) blood test inpatient CPT 84436 THYROXIN TRUE (T-4)RIA | $137.18 | $370.75 | $6.04–$137.18 | — | 63% |
| Total triiodothyronine (T3) blood test CPT 84480 T-3 TOTAL BLOOD | $145.69 | $393.75 | $12.48–$145.69 | 88% above | 63% |
| Total triiodothyronine (T3) blood test CPT 84480 T-3 TOTAL BLOOD | $145.69 | $393.75 | $12.48–$145.69 | 88% above | 63% |
| Total triiodothyronine (T3) blood test inpatient CPT 84480 T-3 TOTAL BLOOD | $145.69 | $393.75 | $12.48–$145.69 | — | 63% |
| Transferrin blood test CPT 84466 TRANSFERRIN | $36.17 | $97.75 | $11.23–$36.17 | 53% below | 63% |
| Transferrin blood test CPT 84466 TRANSFERRIN | $36.17 | $97.75 | $11.23–$36.17 | 53% below | 63% |
| Transferrin blood test inpatient CPT 84466 TRANSFERRIN | $36.17 | $97.75 | $11.23–$36.17 | — | 63% |
| Trichomonas test (NAAT) CPT 87661 REF TRICH VAGINOSIS | $14.06 | $38.00 | $7.60–$35.09 | 71% below | 63% |
| Trichomonas test (NAAT) CPT 87661 REF TRICH VAGINOSIS | $14.06 | $38.00 | $7.60–$35.09 | 71% below | 63% |
| Trichomonas test (NAAT) CPT 87661 REF TRICH VAG NAAT-A | $20.35 | $55.00 | $11.00–$35.09 | 58% below | 63% |
| Trichomonas test (NAAT) CPT 87661 REF TRICH VAG NAAT-A | $20.35 | $55.00 | $11.00–$35.09 | 58% below | 63% |
| Trichomonas test (NAAT) CPT 87661 REF TRICHOMONAS VAGINALIS TMA-A | $24.05 | $65.00 | $13.00–$35.09 | 51% below | 63% |
| Trichomonas test (NAAT) CPT 87661 REF TRICHOMONAS VAGINALIS TMA-A | $24.05 | $65.00 | $13.00–$35.09 | 51% below | 63% |
| Trichomonas test (NAAT) CPT 87661 TRICHOMONAS VAGINALIS RNA AMP | $24.79 | $67.00 | $13.40–$35.09 | 49% below | 63% |
| Trichomonas test (NAAT) CPT 87661 TRICHOMONAS VAGINALIS RNA AMP | $24.79 | $67.00 | $13.40–$35.09 | 49% below | 63% |
| Trichomonas test (NAAT) CPT 87661 REF T VAG-RNA-TMA-PAP | $51.80 | $140.00 | $28.00–$87.73 | 6% above | 63% |
| Trichomonas test (NAAT) CPT 87661 REF T VAG-RNA-TMA-PAP | $51.80 | $140.00 | $28.00–$87.73 | 6% above | 63% |
| Trichomonas test (NAAT) inpatient CPT 87661 REF TRICH VAGINOSIS | $14.06 | $38.00 | $7.60–$35.09 | — | 63% |
| Trichomonas test (NAAT) inpatient CPT 87661 REF TRICH VAG NAAT-A | $20.35 | $55.00 | $11.00–$35.09 | — | 63% |
| Trichomonas test (NAAT) inpatient CPT 87661 REF TRICHOMONAS VAGINALIS TMA-A | $24.05 | $65.00 | $13.00–$35.09 | — | 63% |
| Trichomonas test (NAAT) inpatient CPT 87661 TRICHOMONAS VAGINALIS RNA AMP | $24.79 | $67.00 | $13.40–$35.09 | — | 63% |
| Trichomonas test (NAAT) inpatient CPT 87661 REF T VAG-RNA-TMA-PAP | $51.80 | $140.00 | $28.00–$87.73 | — | 63% |
| Triglycerides blood test CPT 84478 REF TRIGLYCERIDES (LPE) | $3.70 | $10.00 | $2.00–$5.74 | 88% below | 63% |
| Triglycerides blood test CPT 84478 REF TRIGLYCERIDES (LPE) | $3.70 | $10.00 | $2.00–$5.74 | 88% below | 63% |
| Triglycerides blood test CPT 84478 REF VAP TRIGLYCERIDES-A | $8.14 | $22.00 | $4.40–$14.35 | 74% below | 63% |
| Triglycerides blood test CPT 84478 REF VAP TRIGLYCERIDES-A | $8.14 | $22.00 | $4.40–$14.35 | 74% below | 63% |
| Triglycerides blood test CPT 84478 TRIGLYCERIDES BLOOD | $68.08 | $184.00 | $5.05–$68.08 | 115% above | 63% |
| Triglycerides blood test CPT 84478 ASSAY TRIGLYCERIDES 84478 | $68.08 | $184.00 | $5.05–$68.08 | 115% above | 63% |
| Triglycerides blood test CPT 84478 TRIGLYCERIDES BLOOD | $68.08 | $184.00 | $5.05–$68.08 | 115% above | 63% |
| Triglycerides blood test CPT 84478 ASSAY TRIGLYCERIDES 84478 | $68.08 | $184.00 | $5.05–$68.08 | 115% above | 63% |
| Triglycerides blood test CPT 84478 TRIGLYCERIDE FLUID | $68.08 | $184.00 | $5.05–$68.08 | 115% above | 63% |
| Triglycerides blood test CPT 84478 TRIGLYCERIDE FLUID | $68.08 | $184.00 | $5.05–$68.08 | 115% above | 63% |
| Triglycerides blood test inpatient CPT 84478 REF TRIGLYCERIDES (LPE) | $3.70 | $10.00 | $2.00–$5.74 | — | 63% |
| Triglycerides blood test inpatient CPT 84478 REF VAP TRIGLYCERIDES-A | $8.14 | $22.00 | $4.40–$14.35 | — | 63% |
| Triglycerides blood test inpatient CPT 84478 TRIGLYCERIDE FLUID | $68.08 | $184.00 | $5.05–$68.08 | — | 63% |
| Triglycerides blood test inpatient CPT 84478 TRIGLYCERIDES BLOOD | $68.08 | $184.00 | $5.05–$68.08 | — | 63% |
| Triglycerides blood test inpatient CPT 84478 ASSAY TRIGLYCERIDES 84478 | $68.08 | $184.00 | $5.05–$68.08 | — | 63% |
| Troponin test, quantitative CPT 84484 I-STAT TROPONIN | $23.03 | $62.25 | $10.97–$31.18 | 85% below | 63% |
| Troponin test, quantitative CPT 84484 I-STAT TROPONIN | $23.03 | $62.25 | $10.97–$31.18 | 85% below | 63% |
| Troponin test, quantitative CPT 84484 TROPONIN I CMIA | $55.96 | $151.25 | $10.97–$55.96 | 63% below | 63% |
| Troponin test, quantitative CPT 84484 TROPONIN QUANT | $55.96 | $151.25 | $10.97–$55.96 | 63% below | 63% |
| Troponin test, quantitative CPT 84484 TROPONIN I CMIA | $55.96 | $151.25 | $10.97–$55.96 | 63% below | 63% |
| Troponin test, quantitative CPT 84484 TROPONIN QUANT | $55.96 | $151.25 | $10.97–$55.96 | 63% below | 63% |
| Troponin test, quantitative inpatient CPT 84484 I-STAT TROPONIN | $23.03 | $62.25 | $10.97–$31.18 | — | 63% |
| Troponin test, quantitative inpatient CPT 84484 TROPONIN I CMIA | $55.96 | $151.25 | $10.97–$55.96 | — | 63% |
| Troponin test, quantitative inpatient CPT 84484 TROPONIN QUANT | $55.96 | $151.25 | $10.97–$55.96 | — | 63% |
| Uric acid blood test CPT 84550 URIC ACID BLOOD CHEMCIAL | $50.14 | $135.50 | $3.98–$50.13 | 39% below | 63% |
| Uric acid blood test CPT 84550 URIC ACID BLOOD CHEMCIAL | $50.14 | $135.50 | $3.98–$50.13 | 39% below | 63% |
| Uric acid blood test inpatient CPT 84550 URIC ACID BLOOD CHEMCIAL | $50.14 | $135.50 | $3.98–$50.13 | — | 63% |
| Urinalysis with microscope exam, automated CPT 81001 URINALYSIS ROUT W/MICROSCOPIC | $22.20 | $60.00 | $2.79–$22.20 | 86% below | 63% |
| Urinalysis with microscope exam, automated CPT 81001 URINALYSIS ROUT W/MICROSCOPIC | $22.20 | $60.00 | $2.79–$22.20 | 86% below | 63% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 URINALYSIS ROUT W/MICROSCOPIC | $22.20 | $60.00 | $2.79–$22.20 | — | 63% |
| Urinalysis with microscope exam, manual CPT 81000 URINALY NON-AUTO W/MICRO 81000 | $12.03 | $32.50 | $3.54–$12.03 | 70% below | 63% |
| Urinalysis with microscope exam, manual CPT 81000 URINALY NON-AUTO W/MICRO 81000 | $12.03 | $32.50 | $3.54–$12.03 | 70% below | 63% |
| Urinalysis with microscope exam, manual inpatient CPT 81000 URINALY NON-AUTO W/MICRO 81000 | $12.03 | $32.50 | $3.54–$12.03 | — | 63% |
| Urinalysis without microscope exam, automated CPT 81003 UA MACROSCOPIC AUTO WO MICRO | $10.45 | $28.25 | $1.98–$10.45 | 88% below | 63% |
| Urinalysis without microscope exam, automated CPT 81003 UA COMPONENT PH AUTO WO MICRO | $10.45 | $28.25 | $1.98–$10.45 | 88% below | 63% |
| Urinalysis without microscope exam, automated CPT 81003 URINALYSIS AUTOMATED W/O MICRO | $10.45 | $28.25 | $1.98–$10.45 | 88% below | 63% |
| Urinalysis without microscope exam, automated CPT 81003 UA MACROSCOPIC AUTO WO MICRO | $10.45 | $28.25 | $1.98–$10.45 | 88% below | 63% |
| Urinalysis without microscope exam, automated CPT 81003 UA COMPONENT PH AUTO WO MICRO | $10.45 | $28.25 | $1.98–$10.45 | 88% below | 63% |
| Urinalysis without microscope exam, automated CPT 81003 URINALYSIS AUTOMATED W/O MICRO | $10.45 | $28.25 | $1.98–$10.45 | 88% below | 63% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 UA MACROSCOPIC AUTO WO MICRO | $10.45 | $28.25 | $1.98–$10.45 | — | 63% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 UA COMPONENT PH AUTO WO MICRO | $10.45 | $28.25 | $1.98–$10.45 | — | 63% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 URINALYSIS AUTOMATED W/O MICRO | $10.45 | $28.25 | $1.98–$10.45 | — | 63% |
| Urinalysis without microscope exam, manual CPT 81002 UA SPEC GRAVIT NON-AUTO WO MICR | $4.90 | $13.25 | $2.65–$8.70 | 76% below | 63% |
| Urinalysis without microscope exam, manual CPT 81002 UA NONAUTO W/0 SCOPE 81002 | $4.90 | $13.25 | $2.65–$8.70 | 76% below | 63% |
| Urinalysis without microscope exam, manual CPT 81002 UA SPEC GRAVIT NON-AUTO WO MICR | $4.90 | $13.25 | $2.65–$8.70 | 76% below | 63% |
| Urinalysis without microscope exam, manual CPT 81002 UA NONAUTO W/0 SCOPE 81002 | $4.90 | $13.25 | $2.65–$8.70 | 76% below | 63% |
| Urinalysis without microscope exam, manual CPT 81002 UA REDUCING SUB NON-AU WO MICR | $4.90 | $13.25 | $2.65–$8.70 | 76% below | 63% |
| Urinalysis without microscope exam, manual CPT 81002 UA REDUCING SUB NON-AU WO MICR | $4.90 | $13.25 | $2.65–$8.70 | 76% below | 63% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 UA NONAUTO W/0 SCOPE 81002 | $4.90 | $13.25 | $2.65–$8.70 | — | 63% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 UA REDUCING SUB NON-AU WO MICR | $4.90 | $13.25 | $2.65–$8.70 | — | 63% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 UA SPEC GRAVIT NON-AUTO WO MICR | $4.90 | $13.25 | $2.65–$8.70 | — | 63% |
| Urine culture for bacteria, with colony count CPT 87086 CULTURE URINE QUANT | $80.01 | $216.25 | $7.10–$80.01 | 53% below | 63% |
| Urine culture for bacteria, with colony count CPT 87086 CULT URINE COLONY COUNT 87086 | $80.01 | $216.25 | $7.10–$80.01 | 53% below | 63% |
| Urine culture for bacteria, with colony count CPT 87086 CULTURE URINE QUANT | $80.01 | $216.25 | $7.10–$80.01 | 53% below | 63% |
| Urine culture for bacteria, with colony count CPT 87086 CULT URINE COLONY COUNT 87086 | $80.01 | $216.25 | $7.10–$80.01 | 53% below | 63% |
| Urine culture for bacteria, with colony count inpatient CPT 87086 CULT URINE COLONY COUNT 87086 | $80.01 | $216.25 | $7.10–$80.01 | — | 63% |
| Urine culture for bacteria, with colony count inpatient CPT 87086 CULTURE URINE QUANT | $80.01 | $216.25 | $7.10–$80.01 | — | 63% |
| Urine microalbumin (albumin) test CPT 82043 REF MICROALBUMINURIA QUANT | $13.32 | $36.00 | $5.09–$14.45 | 53% below | 63% |
| Urine microalbumin (albumin) test CPT 82043 REF MICROALBUMINURIA QUANT | $13.32 | $36.00 | $5.09–$14.45 | 53% below | 63% |
| Urine microalbumin (albumin) test CPT 82043 MICROALBUMIN UA/QUAN | $29.88 | $80.75 | $5.09–$29.88 | 6% above | 63% |
| Urine microalbumin (albumin) test CPT 82043 MICROALBUMIN URINE | $29.88 | $80.75 | $5.09–$29.88 | 6% above | 63% |
| Urine microalbumin (albumin) test CPT 82043 MICROALBUMIN UA/QUAN 82043 | $29.88 | $80.75 | $5.09–$29.88 | 6% above | 63% |
| Urine microalbumin (albumin) test CPT 82043 MICROALBUMIN UA/QUAN 82043 | $29.88 | $80.75 | $5.09–$29.88 | 6% above | 63% |
| Urine microalbumin (albumin) test CPT 82043 MICROALBUMIN URINE | $29.88 | $80.75 | $5.09–$29.88 | 6% above | 63% |
| Urine microalbumin (albumin) test CPT 82043 MICROALBUMIN UA/QUAN | $29.88 | $80.75 | $5.09–$29.88 | 6% above | 63% |
| Urine microalbumin (albumin) test inpatient CPT 82043 REF MICROALBUMINURIA QUANT | $13.32 | $36.00 | $5.09–$14.45 | — | 63% |
| Urine microalbumin (albumin) test inpatient CPT 82043 MICROALBUMIN URINE | $29.88 | $80.75 | $5.09–$29.88 | — | 63% |
| Urine microalbumin (albumin) test inpatient CPT 82043 MICROALBUMIN UA/QUAN | $29.88 | $80.75 | $5.09–$29.88 | — | 63% |
| Urine microalbumin (albumin) test inpatient CPT 82043 MICROALBUMIN UA/QUAN 82043 | $29.88 | $80.75 | $5.09–$29.88 | — | 63% |
| Urine pregnancy test, read by color change CPT 81025 URINE PREG TEST VISUAL COMPARSN | $12.86 | $34.75 | $6.95–$21.53 | 90% below | 63% |
| Urine pregnancy test, read by color change CPT 81025 URINE PREG TEST VISUAL COMPARSN | $12.86 | $34.75 | $6.95–$21.53 | 90% below | 63% |
| Urine pregnancy test, read by color change CPT 81025 POC UHCG | $15.54 | $42.00 | $7.58–$21.53 | 88% below | 63% |
| Urine pregnancy test, read by color change CPT 81025 POC UHCG | $15.54 | $42.00 | $7.58–$21.53 | 88% below | 63% |
| Urine pregnancy test, read by color change CPT 81025 HCG QUALITATIVE URINE | $75.94 | $205.25 | $7.58–$75.94 | 39% below | 63% |
| Urine pregnancy test, read by color change CPT 81025 HCG QUALITATIVE URINE | $75.94 | $205.25 | $7.58–$75.94 | 39% below | 63% |
| Urine pregnancy test, read by color change inpatient CPT 81025 URINE PREG TEST VISUAL COMPARSN | $12.86 | $34.75 | $6.95–$21.53 | — | 63% |
| Urine pregnancy test, read by color change inpatient CPT 81025 POC UHCG | $15.54 | $42.00 | $7.58–$21.53 | — | 63% |
| Urine pregnancy test, read by color change inpatient CPT 81025 HCG QUALITATIVE URINE | $75.94 | $205.25 | $7.58–$75.94 | — | 63% |
| Vitamin B12 (cobalamin) blood test CPT 82607 CYANOCOBALAMIN(VITAMIN) | $55.96 | $151.25 | $13.27–$55.96 | 55% below | 63% |
| Vitamin B12 (cobalamin) blood test CPT 82607 CYANOCOBALAMIN(VITAMIN) | $55.96 | $151.25 | $13.27–$55.96 | 55% below | 63% |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 CYANOCOBALAMIN(VITAMIN) | $55.96 | $151.25 | $13.27–$55.96 | — | 63% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25-OH LEVEL | $71.04 | $192.00 | $26.05–$74.00 | 54% above | 63% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25-OH LEVEL | $71.04 | $192.00 | $26.05–$74.00 | 54% above | 63% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D 25-OH LEVEL | $71.04 | $192.00 | $26.05–$74.00 | — | 63% |
| Zinc blood test CPT 84630 REF ZINC RBC-A | $26.64 | $72.00 | $10.02–$28.48 | 78% above | 63% |
| Zinc blood test CPT 84630 REF ZINC RBC-A | $26.64 | $72.00 | $10.02–$28.48 | 78% above | 63% |
| Zinc blood test inpatient CPT 84630 REF ZINC RBC-A | $26.64 | $72.00 | $10.02–$28.48 | — | 63% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 BETA HCG QT | $77.70 | $210.00 | $13.24–$77.70 | 32% above | 63% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 BETA HCG QT | $77.70 | $210.00 | $13.24–$77.70 | 32% above | 63% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 BETA HCG QT | $77.70 | $210.00 | $13.24–$77.70 | — | 63% |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Florida | Off list |
|---|---|---|---|---|---|
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION | $1,152.18 | $3,114.00 | $364.68 | 45% below | 63% |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Florida | Off list |
|---|---|---|---|---|---|
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 AIRWAY INHAL TX INIT 94640 | $53.10 | $143.50 | $18.68 | 80% below | 63% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 AIRWAY INHAL TX ADDL 94640 | $53.10 | $143.50 | $18.68 | 80% below | 63% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 NEBULIZER TREATMENT | $61.05 | $165.00 | $18.68 | 77% below | 63% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 AIRWAY INHALATION TX INITIAL | $61.05 | $165.00 | $18.68 | 77% below | 63% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 IPPB TREATMENT SUBSEQUENT | $61.05 | $165.00 | $18.68 | 77% below | 63% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 AEROSOL TREATMENT SUBSEQUENT | $61.05 | $165.00 | $18.68 | 77% below | 63% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 SPUTUM INDUCTION | $61.05 | $165.00 | $18.68 | 77% below | 63% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 MDI TREATMENT INITIAL | $61.05 | $165.00 | $18.68 | 77% below | 63% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 IPPB TX INITIAL | $61.05 | $165.00 | $18.68 | 77% below | 63% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 AEROSOL TX INITIAL | $61.05 | $165.00 | $18.68 | 77% below | 63% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 MDI TREATMENT SUBSEQUENT | $61.05 | $165.00 | $18.68 | 77% below | 63% |
| Chemotherapy IV infusion, first hour CPT 96413 4W CHEMO ADM INITIAL IV 16-90MIN | $977.91 | $2,643.00 | $284.40–$299.72 | 1% above | 63% |
| Chemotherapy IV infusion, first hour CPT 96413 IC CHEMO ADM INITIAL IV 16-90MIN | $977.91 | $2,643.00 | $284.40–$299.72 | 1% above | 63% |
| Chemotherapy IV infusion, first hour CPT 96413 3W CHEMO ADM INITIAL IV 16-90MIN | $977.91 | $2,643.00 | $284.40–$299.72 | 1% above | 63% |
| Chemotherapy IV infusion, first hour CPT 96413 2W CHEMO ADM INITIAL IV 16-90MIN | $977.91 | $2,643.00 | $284.40–$299.72 | 1% above | 63% |
| Chemotherapy IV infusion, first hour CPT 96413 SCU CHEMO ADM INITIAL IV 16-90MIN | $977.91 | $2,643.00 | $284.40–$299.72 | 1% above | 63% |
| Chemotherapy IV infusion, first hour CPT 96413 2C CHEMO ADM INITIAL IV 16-90MIN | $977.91 | $2,643.00 | $284.40–$299.72 | 1% above | 63% |
| Chemotherapy IV infusion, first hour CPT 96413 CHEMO ADM INITIAL IV 16-90MIN | $977.91 | $2,643.00 | $284.40–$299.72 | 1% above | 63% |
| Chemotherapy IV infusion, first hour CPT 96413 3C CHEMO ADM INITIAL IV 16-90MIN | $977.91 | $2,643.00 | $284.40–$299.72 | 1% above | 63% |
| Chemotherapy IV infusion, first hour CPT 96413 CCU CHEMO ADM INITIAL IV 16-90MIN | $977.91 | $2,643.00 | $284.40–$299.72 | 1% above | 63% |
| Chemotherapy IV infusion, first hour CPT 96413 OHR CHEMO ADM INITIAL IV 16-90MIN | $977.91 | $2,643.00 | $284.40–$299.72 | 1% above | 63% |
| Chemotherapy IV infusion, first hour CPT 96413 4E CHEMO ADM INITIAL IV 16-90MIN | $977.91 | $2,643.00 | $284.40–$299.72 | 1% above | 63% |
| Critical care, first 30 to 74 minutes CPT 99291 ED CRITIC CARE E&M INI 30-74MN | $1,534.67 | $4,147.75 | $1,455.00–$3,918.00 | 69% below | 63% |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 EEG AWAKE/DROWSY | $536.22 | $1,449.25 | $758.80–$891.93 | 65% below | 63% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG TRACING ONLY | $109.34 | $295.50 | $14.88 | 70% below | 63% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG-12 LEAD TRACE ONLY | $109.34 | $295.50 | $14.88 | 70% below | 63% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ECG TRACE ONLY W/O I&R 93005 | $136.72 | $369.50 | $14.88 | 63% below | 63% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ED LEVEL 1 EMERGENCY CARE | $211.73 | $572.25 | $202.00–$447.00 | 57% below | 63% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ED LEVEL 1 EMERG CARE SEP EVAL | $211.73 | $572.25 | $28.33–$447.00 | 57% below | 63% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 ED LEVEL 2 EMERG CARE SEP EVAL | $491.18 | $1,327.50 | $423.00–$1,255.00 | 46% below | 63% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 ED LEVEL 2 EMERGENCY CARE | $491.18 | $1,327.50 | $423.00–$1,193.00 | 46% below | 63% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 ED LEVEL 3 EMERGENCY CARE | $1,319.05 | $3,565.00 | $423.00–$3,266.00 | 19% below | 63% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 ED LEVEL 3 EMERG CARE SEP EVAL | $1,319.05 | $3,565.00 | $423.00–$3,266.00 | 19% below | 63% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 ED LEVEL 4 EMERG CARE SEP EVAL | $1,327.56 | $3,588.00 | $934.00–$2,956.00 | 46% below | 63% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 ED LEVEL 4 EMERGENCY CARE | $1,327.56 | $3,588.00 | $1,455.00–$2,956.00 | 46% below | 63% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 ED LEVEL 5 EMERG CARE SEP EVAL | $1,395.46 | $3,771.50 | $934.00–$3,270.00 | 59% below | 63% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 ED LEVEL 5 EMERGENCY CARE | $1,395.46 | $3,771.50 | $1,455.00–$3,270.00 | 59% below | 63% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 PBB OP EXERC STRESS TRACING ONLY | $872.92 | $2,359.25 | $88.28–$1,597.00 | 42% below | 63% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 PBB EXERC STRESS TRACING ONLY | $872.92 | $2,359.25 | $88.28–$1,597.00 | 42% below | 63% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 NUC STRESS - LEXISCAN | $1,382.69 | $3,737.00 | $88.28–$1,597.00 | 8% below | 63% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 NUC STRESS - ADENOSINE | $1,382.69 | $3,737.00 | $88.28–$1,597.00 | 8% below | 63% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 NUC STRESS - WALK | $1,382.69 | $3,737.00 | $88.28–$1,597.00 | 8% below | 63% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 NUC STRESS - PERSANTINE | $1,382.69 | $3,737.00 | $88.28–$1,597.00 | 8% below | 63% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 NUC STRESS - DOBUTAMINE | $1,382.69 | $3,737.00 | $88.28–$1,597.00 | 8% below | 63% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV HYDRAT INITIAL 31-90 MIN | $602.18 | $1,627.50 | $71.95 | 7% above | 63% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 PACU IV HYDRAT INITL 31-90 MIN | $602.18 | $1,627.50 | $71.95 | 7% above | 63% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IC IV HYDRAT INITL 31-90 MIN | $602.18 | $1,627.50 | $71.95 | 7% above | 63% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 3W IV HYDRAT INITL 31-90 MIN | $602.18 | $1,627.50 | $71.95 | 7% above | 63% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 2W IV HYDRAT INITL 31-90 MIN | $602.18 | $1,627.50 | $71.95 | 7% above | 63% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 SCU IV HYDRAT INITL 31-90 MIN | $602.18 | $1,627.50 | $71.95 | 7% above | 63% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 2C IV HYDRAT INITL 31-90 MIN | $602.18 | $1,627.50 | $71.95 | 7% above | 63% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 4E ICU IV HYDRAT INITL 31-90 MIN | $602.18 | $1,627.50 | $71.95 | 7% above | 63% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV HYDRAT INITL 31-90 MIN | $602.18 | $1,627.50 | $71.95 | 7% above | 63% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 3C IV HYDRAT INITL 31-90 MIN | $602.18 | $1,627.50 | $71.95 | 7% above | 63% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 5C IV HYDRAT INITL 31-90 MIN | $602.18 | $1,627.50 | $71.95 | 7% above | 63% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 4W IV HYDRAT INITL 31-90 MIN | $602.18 | $1,627.50 | $71.95 | 7% above | 63% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 CCU IV HYDRAT INITL 31-90 MIN | $602.18 | $1,627.50 | $71.95 | 7% above | 63% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 OHR IV HYDRAT INITL 31-90 MIN | $602.18 | $1,627.50 | $71.95 | 7% above | 63% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 4E IV HYDRAT INITL 31-90 MIN | $602.18 | $1,627.50 | $71.95 | 7% above | 63% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 ED HYDRATION IV INF INIT | $727.14 | $1,965.25 | $257.04 | 29% above | 63% |
| IV infusion of a medicine, first hour CPT 96365 IV INF THER INIT 16-90 MIN | $656.29 | $1,773.75 | $138.80 | at median | 63% |
| IV infusion of a medicine, first hour CPT 96365 4E ICU IV INF THER INIT 16-90 MIN | $754.71 | $2,039.75 | $138.80 | 15% above | 63% |
| IV infusion of a medicine, first hour CPT 96365 3C IV INF THER INIT 16-90 MIN | $754.71 | $2,039.75 | $138.80 | 15% above | 63% |
| IV infusion of a medicine, first hour CPT 96365 5C IV INF THER INIT 16-90 MIN | $754.71 | $2,039.75 | $138.80 | 15% above | 63% |
| IV infusion of a medicine, first hour CPT 96365 4W IV INF THER INIT 16-90 MIN | $754.71 | $2,039.75 | $138.80 | 15% above | 63% |
| IV infusion of a medicine, first hour CPT 96365 CCU IV INF THER INIT 16-90 MIN | $754.71 | $2,039.75 | $138.80 | 15% above | 63% |
| IV infusion of a medicine, first hour CPT 96365 OHR IV INF THER INIT 16-90 MIN | $754.71 | $2,039.75 | $138.80 | 15% above | 63% |
| IV infusion of a medicine, first hour CPT 96365 4E IV INF THER INIT 16-90 MIN | $754.71 | $2,039.75 | $138.80 | 15% above | 63% |
| IV infusion of a medicine, first hour CPT 96365 PACU IV INF THER INIT 16-90 MIN | $754.71 | $2,039.75 | $138.80 | 15% above | 63% |
| IV infusion of a medicine, first hour CPT 96365 SCU IV INF THER INIT 16-90 MIN | $754.71 | $2,039.75 | $138.80 | 15% above | 63% |
| IV infusion of a medicine, first hour CPT 96365 2C IV INF THER INIT 16-90 MIN | $754.71 | $2,039.75 | $138.80 | 15% above | 63% |
| IV infusion of a medicine, first hour CPT 96365 IC IV INF THER INIT 16-90 MIN | $754.71 | $2,039.75 | $138.80 | 15% above | 63% |
| IV infusion of a medicine, first hour CPT 96365 3W IV INF THER INIT 16-90 MIN | $754.71 | $2,039.75 | $138.80 | 15% above | 63% |
| IV infusion of a medicine, first hour CPT 96365 2W IV INF THER INIT 16-90 MIN | $754.71 | $2,039.75 | $138.80 | 15% above | 63% |
| IV push of a medicine, first drug CPT 96374 PACU IVP INITIAL OR SINGLE | $257.24 | $695.25 | $81.55 | 19% below | 63% |
| IV push of a medicine, first drug CPT 96374 2W IVP INITIAL OR SINGLE | $257.24 | $695.25 | $81.55 | 19% below | 63% |
| IV push of a medicine, first drug CPT 96374 CCU IVP INITIAL OR SINGLE | $257.24 | $695.25 | $81.55 | 19% below | 63% |
| IV push of a medicine, first drug CPT 96374 3W IVP INITIAL OR SINGLE | $257.24 | $695.25 | $81.55 | 19% below | 63% |
| IV push of a medicine, first drug CPT 96374 4W IVP INITIAL OR SINGLE | $257.24 | $695.25 | $81.55 | 19% below | 63% |
| IV push of a medicine, first drug CPT 96374 IC IVP INITIAL OR SINGLE | $257.24 | $695.25 | $81.55 | 19% below | 63% |
| IV push of a medicine, first drug CPT 96374 OHR IVP INITIAL OR SINGLE | $257.24 | $695.25 | $81.55 | 19% below | 63% |
| IV push of a medicine, first drug CPT 96374 4E IVP INITIAL OR SINGLE | $257.24 | $695.25 | $81.55 | 19% below | 63% |
| IV push of a medicine, first drug CPT 96374 IVP INITIAL OR SINGLE | $257.24 | $695.25 | $81.55 | 19% below | 63% |
| IV push of a medicine, first drug CPT 96374 5C IVP INITIAL OR SINGLE | $257.24 | $695.25 | $81.55 | 19% below | 63% |
| IV push of a medicine, first drug CPT 96374 3C IVP INITIAL OR SINGLE | $257.24 | $695.25 | $81.55 | 19% below | 63% |
| IV push of a medicine, first drug CPT 96374 4E ICU IVP INITIAL OR SINGLE | $257.24 | $695.25 | $81.55 | 19% below | 63% |
| IV push of a medicine, first drug CPT 96374 2C IVP INITIAL OR SINGLE | $257.24 | $695.25 | $81.55 | 19% below | 63% |
| IV push of a medicine, first drug CPT 96374 SCU IVP INITIAL OR SINGLE | $257.24 | $695.25 | $81.55 | 19% below | 63% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 4E ICU INJ SQ/IM THER PROPH DIAG | $130.24 | $352.00 | $33.93 | 28% below | 63% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 2C INJ SQ/IM THER PROPH DIAG | $130.24 | $352.00 | $33.93 | 28% below | 63% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 SCU INJ SQ/IM THER PROPH DIAG | $130.24 | $352.00 | $33.93 | 28% below | 63% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 2W INJ SQ/IM THER PROPH DIAG | $130.24 | $352.00 | $33.93 | 28% below | 63% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 3W INJ SQ/IM THER PROPH DIAG | $130.24 | $352.00 | $33.93 | 28% below | 63% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 WCC INJ SQ/IM THER PRO DIAG | $130.24 | $352.00 | $33.93 | 28% below | 63% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 IC INJ SQ/IM THER PROPH DIAG | $130.24 | $352.00 | $33.93 | 28% below | 63% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 FMC INJ SQ/IM THER PROPH DX | $130.24 | $352.00 | $33.93 | 28% below | 63% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 3C INJ SQ/IM THER PROPH DIAG | $130.24 | $352.00 | $33.93 | 28% below | 63% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJ SQ/IM THER PROPH DIAG | $130.24 | $352.00 | $33.93 | 28% below | 63% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 OHR INJ SQ/IM THER PROPH DIAG | $130.24 | $352.00 | $33.93 | 28% below | 63% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 4E INJ SQ/IM THER PROPH DIAG | $130.24 | $352.00 | $33.93 | 28% below | 63% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 5C INJ SQ/IM THER PROPH DIAG | $130.24 | $352.00 | $33.93 | 28% below | 63% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 4W INJ SQ/IM THER PROPH DIAG | $130.24 | $352.00 | $33.93 | 28% below | 63% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 PACU INJ SQ/IM THER PROPH DIAG | $130.24 | $352.00 | $33.93 | 28% below | 63% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 CCU INJ SQ/IM THER PROPH DIAG | $130.24 | $352.00 | $33.93 | 28% below | 63% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 ED TX/PRO/DX INJ SQ/IM DIST PROC | $157.25 | $425.00 | $33.93 | 13% below | 63% |
| Nerve conduction study, 7 or 8 nerve studies CPT 95910 NERVE CONDUCTION STUDIES 7-8 | $2,395.47 | $6,474.25 | $160.05–$407.63 | 124% above | 63% |
| Neuromuscular re-education, 15 minutes CPT 97112 PT PELVIC FLR NEURO RE-ED 15M PTA | $39.59 | $107.00 | $78.10 | 73% below | 63% |
| Neuromuscular re-education, 15 minutes CPT 97112 PT PELVIC FLOOR NEURO RE-ED 15 MIN | $39.59 | $107.00 | $78.10 | 73% below | 63% |
| Neuromuscular re-education, 15 minutes CPT 97112 OT NEUROMUSC RE-ED 15M OTA | $39.59 | $107.00 | $78.10 | 73% below | 63% |
| Neuromuscular re-education, 15 minutes CPT 97112 OT NEUROMUSC RE-ED 15MIN | $39.59 | $107.00 | $78.10 | 73% below | 63% |
| Neuromuscular re-education, 15 minutes CPT 97112 PT NEUROMUSC RE-ED 15MIN | $39.59 | $107.00 | $78.10 | 73% below | 63% |
| Neuromuscular re-education, 15 minutes CPT 97112 PT NEUROMUSC RE-ED 15M PTA | $39.59 | $107.00 | $78.10 | 73% below | 63% |
| New patient office visit, about 30 minutes CPT 99203 OFFICE VISIT NEW PT LEVEL III | $135.70 | $366.75 | $270.75 | 70% below | 63% |
| New patient office visit, about 45 minutes CPT 99204 OFFICE VISIT NEW PT LEVEL IV | $186.11 | $503.00 | $406.73 | 71% below | 63% |
| New patient office visit, about 60 minutes CPT 99205 OFFICE VISIT NEW PT LEVEL V | $313.67 | $847.75 | $538.48 | 59% below | 63% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 OFFICE VISIT NEW PT LEVEL II | $104.53 | $282.50 | $171.68 | 60% below | 63% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 BAR-MNT NUTR INIT THER EA/15MIN | $58.46 | $158.00 | $86.63 | 12% below | 63% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT LYMPH EVAL HIGH 4+ ELEMENTS | $100.92 | $272.75 | $239.50–$266.00 | 81% below | 63% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT EVAL HIGH CMPLX 4+ ELEMENTS | $100.92 | $272.75 | $239.50–$266.00 | 81% below | 63% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT PELVIC FLR EVAL HIGH 4+ ELMNTS | $100.92 | $272.75 | $239.50–$266.00 | 81% below | 63% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT PELVIC FLR EVAL HIGH 4+ ELMNTS | $100.92 | $272.75 | $239.50–$266.00 | 81% below | 63% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT LYMPH EVAL HIGH 4+ ELEMENTS | $100.92 | $272.75 | $239.50–$266.00 | 81% below | 63% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT EVAL HIGH CMPLX 4+ ELEMENTS | $100.92 | $272.75 | $239.50–$266.00 | 81% below | 63% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 PT EVAL HIGH CMPLX 4+ ELEMENTS | $100.92 | $272.75 | $239.50–$266.00 | — | 63% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 PT LYMPH EVAL HIGH 4+ ELEMENTS | $100.92 | $272.75 | $239.50–$266.00 | — | 63% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 PT PELVIC FLR EVAL HIGH 4+ ELMNTS | $100.92 | $272.75 | $239.50–$266.00 | — | 63% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT LYMPH EVAL LOW 1-2 ELEMENTS | $100.92 | $272.75 | $239.50–$266.00 | 78% below | 63% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT EVAL LOW CMPLX 1-2 ELEMENTS | $100.92 | $272.75 | $239.50–$266.00 | 78% below | 63% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT PELVIC FLR EVAL LOW 1-2 ELMNTS | $100.92 | $272.75 | $239.50–$266.00 | 78% below | 63% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT LYMPH EVAL LOW 1-2 ELEMENTS | $100.92 | $272.75 | $239.50–$266.00 | 78% below | 63% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT EVAL LOW CMPLX 1-2 ELEMENTS | $100.92 | $272.75 | $239.50–$266.00 | 78% below | 63% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT PELVIC FLR EVAL LOW 1-2 ELMNTS | $100.92 | $272.75 | $239.50–$266.00 | 78% below | 63% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 PT PELVIC FLR EVAL LOW 1-2 ELMNTS | $100.92 | $272.75 | $239.50–$266.00 | — | 63% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 PT LYMPH EVAL LOW 1-2 ELEMENTS | $100.92 | $272.75 | $239.50–$266.00 | — | 63% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 PT EVAL LOW CMPLX 1-2 ELEMENTS | $100.92 | $272.75 | $239.50–$266.00 | — | 63% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT EVAL MOD CMPLX 3 ELEMENTS | $100.92 | $272.75 | $239.50–$266.00 | 78% below | 63% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT PELVIC FLR EVAL MOD 3 ELMNTS | $100.92 | $272.75 | $239.50–$266.00 | 78% below | 63% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT LYMPH EVAL MOD 3 ELEMENTS | $100.92 | $272.75 | $239.50–$266.00 | 78% below | 63% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT EVAL MOD CMPLX 3 ELEMENTS | $100.92 | $272.75 | $239.50–$266.00 | 78% below | 63% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT PELVIC FLR EVAL MOD 3 ELMNTS | $100.92 | $272.75 | $239.50–$266.00 | 78% below | 63% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT LYMPH EVAL MOD 3 ELEMENTS | $100.92 | $272.75 | $239.50–$266.00 | 78% below | 63% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 PT PELVIC FLR EVAL MOD 3 ELMNTS | $100.92 | $272.75 | $239.50–$266.00 | — | 63% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 PT LYMPH EVAL MOD 3 ELEMENTS | $100.92 | $272.75 | $239.50–$266.00 | — | 63% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 PT EVAL MOD CMPLX 3 ELEMENTS | $100.92 | $272.75 | $239.50–$266.00 | — | 63% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 PT PELVIC FLR MANUAL 15M PTA | $36.26 | $98.00 | $66.38 | 72% below | 63% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 OT MANUAL THERAPY 15 MIN | $36.26 | $98.00 | $66.38 | 72% below | 63% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 PT PELVIC FLOOR MANUAL 15 MIN | $36.26 | $98.00 | $66.38 | 72% below | 63% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 OT LYMPH MANUAL THERAPY 15M OTA | $36.26 | $98.00 | $66.38 | 72% below | 63% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 PT MANUAL THERAPY 15 MIN | $36.26 | $98.00 | $66.38 | 72% below | 63% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 OT LYMPH MANUAL THERAPY 15MIN | $36.26 | $98.00 | $66.38 | 72% below | 63% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 PT MANUAL THERAPY 15M PTA | $36.26 | $98.00 | $66.38 | 72% below | 63% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 PT LYMPH MANUAL THERAPY 15 MIN | $36.26 | $98.00 | $66.38 | 72% below | 63% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 PT LYMPH MANUAL THERAPY 15M PTA | $36.26 | $98.00 | $66.38 | 72% below | 63% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 OT MANUAL THERAPY 15M OTA | $36.26 | $98.00 | $66.38 | 72% below | 63% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 OT THERAPEUTIC EXER 15M OTA | $32.10 | $86.75 | $70.25 | 78% below | 63% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PT THERAPEUTIC EXER 15M PTA | $32.10 | $86.75 | $70.25 | 78% below | 63% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PT LYMPH THERAPEUT EXER 15M PTA | $32.10 | $86.75 | $70.25 | 78% below | 63% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PT THERAPEUTIC EXER 15MIN | $32.10 | $86.75 | $70.25 | 78% below | 63% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PT LYMPH THERAPEUT EXERCISE 15 MIN | $32.10 | $86.75 | $70.25 | 78% below | 63% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 OT LYMPH THERAPEUTIC EX 15M OTA | $32.10 | $86.75 | $70.25 | 78% below | 63% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 OT LYMPH THERAPEUTIC EX 15MIN | $32.10 | $86.75 | $70.25 | 78% below | 63% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 OT THERAPEUTIC EXER 15 MN | $32.10 | $86.75 | $70.25 | 78% below | 63% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PT PELVIC FLOOR THER EXER 15 MIN | $32.10 | $86.75 | $70.25 | 78% below | 63% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PT PELVIC FLR THER EXER 15M PTA | $32.10 | $86.75 | $70.25 | 78% below | 63% |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 SMOKING CESSATION COUNSEL 3-10MIN | $50.04 | $135.25 | $34.70 | 19% below | 63% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 OFFICE VISIT EST PT LEVEL V | $262.70 | $710.00 | $435.30 | 59% below | 63% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 OFFICE VISIT EST PT LEVEL III | $116.18 | $314.00 | $219.60 | 67% below | 63% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OFFICE VISIT EST PT LEVEL IV | $117.29 | $317.00 | $309.88 | 78% below | 63% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OFFICE VISIT EST PT LEVEL II | $81.03 | $219.00 | $134.75 | 76% below | 63% |
| Speech and language evaluation CPT 92523 EVAL OF PROD W COMPREH & EXPRESN | $147.72 | $399.25 | $266.00 | 75% below | 63% |
| Speech and language evaluation inpatient CPT 92523 EVAL OF PROD W COMPREH & EXPRESN | $147.72 | $399.25 | $266.00 | — | 63% |
| Spirometry (breathing test) CPT 94010 SPIROMETRY 94010 | $203.13 | $549.00 | $44.50–$64.00 | 33% below | 63% |
| Spirometry (breathing test) CPT 94010 SPIROMETRY/PFT SIMPLE | $233.56 | $631.25 | $44.50–$64.00 | 22% below | 63% |
| Spirometry before and after a bronchodilator CPT 94060 EVAL OF WHEEZING 94060 | $440.76 | $1,191.25 | $66.55–$90.85 | 51% below | 63% |
| Spirometry before and after a bronchodilator CPT 94060 SPIRO/PFT PRE/POST BRONCH | $506.90 | $1,370.00 | $66.55–$90.85 | 44% below | 63% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 REF THERAPEUTIC PHLEBOTOMY | $217.01 | $586.50 | $206.18 | 30% below | 63% |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Florida | Off list |
|---|---|---|---|---|---|
| Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 VARICELLA VACCINATION SUBQ | $136.16 | $368.00 | $307.44 | 52% below | 63% |
| DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 DIPH-TET-PER 25/10/58 (INFANRIX) | $45.31 | $122.45 | $43.55–$75.98 | 54% below | 63% |
| DTaP, polio and Hib combination vaccine (Pentacel) CPT 90698 DTAP-HIB-IP VACCINE IM | $187.87 | $507.75 | $164.69–$328.33 | 54% below | 63% |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 FLU VIRUS VAC SPLIT PF 3+Y TRI IM | $34.04 | $92.00 | $33.15–$55.88 | 54% below | 63% |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 INFLUENZA TRIVALENT 0.5ML SDV PF | $48.29 | $130.50 | $27.27–$55.88 | 35% below | 63% |
| Hepatitis A and B combination vaccine, adult (Twinrix) CPT 90636 HEPATITIS A&B ADULT IM 90636 | $108.78 | $294.00 | $162.35–$212.01 | 67% below | 63% |
| Hepatitis A vaccine, adult dose CPT 90632 HEPATITIS A ADULT IM 90632 | $92.87 | $251.00 | $88.04–$179.02 | 46% below | 63% |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEP B VACCINE ADULT IM 3 DOSES | $67.71 | $183.00 | $115.61–$175.94 | 73% below | 63% |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HEPATITIS-B PRES FREE INJ VAC (PED) | $47.36 | $128.01 | $46.89–$76.93 | 53% below | 63% |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HEP B VAC PED/ADOL 3 DOSE IM | $67.34 | $182.00 | $46.89–$76.93 | 33% below | 63% |
| Hib vaccine (Haemophilus influenzae type b), 3-dose schedule (PedvaxHIB) CPT 90647 HIB (PRP-OMP)3 DOSE SCHED IM | $47.36 | $128.00 | $51.38–$81.93 | 43% below | 63% |
| Hib vaccine (Haemophilus influenzae type b), 3-dose schedule (PedvaxHIB) CPT 90647 HAEMOPHILUS B CONJ INJ VAC-3 DOSE | $48.14 | $130.10 | $51.38–$81.93 | 42% below | 63% |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 MMR VIRUS VACCINE LIVE SUBQ | $52.17 | $141.00 | $138.82 | 73% below | 63% |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENINGOCOCC CONJUG VACC MENACWY-D | $247.62 | $669.25 | $226.37–$410.58 | 56% below | 63% |
| Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 MENINGOCOCCAL VACC SC/JET INJ | $163.54 | $442.00 | $375.90 | 78% below | 63% |
| Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 PNEUMOCOCCAL VACCINE PREVNAR 13 | $306.27 | $827.75 | $380.40–$644.97 | 48% below | 63% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PNEUMOCOCCAL VACC 20 VALENT PCV20 I | $506.16 | $1,368.00 | $381.74–$745.09 | 47% below | 63% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOCOCCAL VACCINE PREVNAR 23 | $150.13 | $405.75 | $196.70–$333.68 | 62% below | 63% |
| Rabies vaccine, one dose CPT 90675 RABIES INJ VACCINE (HDC) | $439.36 | $1,187.46 | $387.56–$819.44 | 63% below | 63% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 DIP-TET TOX INJ (ADULT) 0.5ML PFS | $48.07 | $129.92 | $67.73–$83.71 | 67% below | 63% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TD ABSORBED +7YO IM PRES FREE | $177.60 | $480.00 | $67.73–$83.71 | 21% above | 63% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TDAP VACCINE | $46.25 | $125.00 | $79.62–$96.57 | 77% below | 63% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TDAP ACEL INJ ADULT IM 2.5/5/18.5 | $48.10 | $130.00 | $79.62–$96.57 | 76% below | 63% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 DIPH-TET-PER 2/5/15.5 (ADACEL TDAP) | $48.18 | $130.21 | $47.67–$96.57 | 76% below | 63% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 CCU IMM ADM TDAP ADULT>18YO | $53.37 | $144.25 | $48.38 | 56% below | 63% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 5C IMMUN ADMIN 1 VACCINE | $53.37 | $144.25 | $48.38 | 56% below | 63% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 4E ICU ADMIN VACCINE INITIAL | $53.37 | $144.25 | $48.38 | 56% below | 63% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HEP B ADMIN IMMUNIZ | $53.37 | $144.25 | $48.38 | 56% below | 63% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ED IMM ADM TDAP ADULT>18YO | $53.37 | $144.25 | $48.38 | 56% below | 63% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ED IMMUN ADMIN 1 VACCINE | $53.37 | $144.25 | $48.38 | 56% below | 63% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ED IMM ADM TETANUS ADULT >18YO | $53.37 | $144.25 | $48.38 | 56% below | 63% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ED IMM ADM TD ADULT>18YO | $53.37 | $144.25 | $48.38 | 56% below | 63% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMIN PNEUMONIA VACCINE | $53.37 | $144.25 | $48.38 | 56% below | 63% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADM FLU VIRUS VACCINE | $53.37 | $144.25 | $48.38 | 56% below | 63% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMM ADM TETANUS ADULT >18YO | $53.37 | $144.25 | $48.38 | 56% below | 63% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUN ADMIN 1 VACCINE 90471 | $53.37 | $144.25 | $48.38 | 56% below | 63% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 CCU ADMIN VACCINE INITIAL | $53.37 | $144.25 | $48.38 | 56% below | 63% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUN ADMIN EA ADDL VAC 90472 | $52.63 | $142.25 | $34.60 | 52% below | 63% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 ADM PNEUMONIA 2ND VACCINE | $52.63 | $142.25 | $34.60 | 52% below | 63% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 4E ICU ADMIN VACCINE EA ADD | $52.63 | $142.25 | $34.60 | 52% below | 63% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 ED IMMUN ADMIN EA ADD VACCINE | $52.63 | $142.25 | $34.60 | 52% below | 63% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 CCU ADMIN VACCINE EA ADD | $52.63 | $142.25 | $34.60 | 52% below | 63% |