Dayton Osteopathic Hospital
Dayton Osteopathic Hospital in Dayton, OH publishes cash prices for 351 common procedures listed here, from its own machine-readable price file updated Apr 1, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the Ohio median for 252 of 349 procedures and above it for 78. By typical cash price it ranks #16 of 139 Ohio hospitals and #2 of 10 hospitals in the Dayton, OH area, cheapest first. Select a procedure to compare it with other hospitals nearby.
405 Grand Avenue, Dayton, OH 45405,405 W Grand Avenue, Dayton, OH 45405,8701 Old Troy Pike, Huber Heights, OH 45424,450F Washington Jackson Rd, Eaton, OH 45320,1997 Miamisburg-Centerville Road, Dayton, OH 45459 Collected Sep 23, 2026 Source price file Check a bill from this hospital (937) 723-3410
Acute care hospital Nonprofit hospital No emergency department CMS star rating 4 of 5 CCN 360133 · CMS hospital register NPI 1053339507
Financial assistance
Nonprofit hospital: it must offer free or discounted care to patients who qualify. How to apply
Dayton Osteopathic Hospital is a nonprofit hospital in the CMS register. Under section 501(r) of the federal tax code it must have a written Financial Assistance Policy with a free application, publish both on its website, and charge patients who qualify no more than the amounts generally billed to insured patients for emergency and other medically necessary care. Who qualifies depends on household income; the policy states the limits.
You can apply up to 240 days after the first bill. Before collection actions such as credit reporting or a lawsuit, the hospital must tell you about the policy and wait at least 120 days after that bill. Ask the billing office for the policy and the application before you pay, or search the hospital's website for “financial assistance”. Letters you can copy.
Source: IRS, section 501(r) requirements for nonprofit hospitals.
State law
This state limits hospital bills for lower-income patients
Ohio's Hospital Care Assurance Program (HCAP): Ohio residents who are not on Medicaid and whose income is at or below 100% of the federal poverty level get basic, medically necessary hospital services free at hospitals in the program; physician bills are not included. Ask the hospital's billing office for an HCAP application. Other states' laws.
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs Ohio | Off list |
|---|---|---|---|---|---|
| Abdominal CT scan without and with contrast CPT 74170 Hc Ct Abdomen W/Wo Contrast | $1,137.20 | $2,843.00 | — | 14% below | 60% |
| Abdominal CT scan without and with contrast inpatient CPT 74170 Hc Ct Abdomen W/Wo Contrast | $1,137.20 | $2,843.00 | — | — | 60% |
| Abdominal X-ray, 2 views CPT 74019 Hc Abd Complete W Decub Or Erect | $201.60 | $504.00 | — | 40% below | 60% |
| Abdominal X-ray, 2 views inpatient CPT 74019 Hc Abd Complete W Decub Or Erect | $201.60 | $504.00 | — | — | 60% |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 Hc Ankle Complete Lt 3 Or More Views | $183.60 | $459.00 | — | 43% below | 60% |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 Hc Ankle Complete Rt 3 Or More Views | $183.60 | $459.00 | — | 43% below | 60% |
| Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 Hc Ankle Complete Lt 3 Or More Views | $183.60 | $459.00 | — | — | 60% |
| Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 Hc Ankle Complete Rt 3 Or More Views | $183.60 | $459.00 | — | — | 60% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 Hc Doppler Single Level Ext Bil | $85.60 | $214.00 | — | 82% below | 60% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 Hc Dop Ue/Le Ankle/Braci Indices Bil | $303.20 | $758.00 | — | 37% below | 60% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 Hc Doppler Single Level Ext Bil | $85.60 | $214.00 | — | — | 60% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 Hc Dop Ue/Le Ankle/Braci Indices Bil | $303.20 | $758.00 | — | — | 60% |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 Hc Ct Ext Upper Rt Wo Con | $944.40 | $2,361.00 | — | at median | 60% |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 Hc Ct Ext Upper Lt Wo Con | $944.40 | $2,361.00 | — | at median | 60% |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 Hc Ct Ext Upper Rt Wo Con | $944.40 | $2,361.00 | — | — | 60% |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 Hc Ct Ext Upper Lt Wo Con | $944.40 | $2,361.00 | — | — | 60% |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 Hc Esophogram | $337.20 | $843.00 | — | 24% below | 60% |
| Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 Hc Esophogram | $337.20 | $843.00 | — | — | 60% |
| Bone scan, whole body (nuclear medicine) CPT 78306 Hc Bone Scan Whole Body | $897.20 | $2,243.00 | — | 42% below | 60% |
| Bone scan, whole body (nuclear medicine) inpatient CPT 78306 Hc Bone Scan Whole Body | $897.20 | $2,243.00 | — | — | 60% |
| Breast ultrasound, complete, one breast one side CPT 76641 Hc Ultrasound Breast Complete Rt | $483.20 | $1,208.00 | — | 1% above | 60% |
| Breast ultrasound, complete, one breast one side CPT 76641 Hc Ultrasound Breast Complete Lt | $483.20 | $1,208.00 | — | 1% above | 60% |
| Breast ultrasound, complete, one breast inpatient one side CPT 76641 Hc Ultrasound Breast Complete Rt | $483.20 | $1,208.00 | — | — | 60% |
| Breast ultrasound, complete, one breast inpatient one side CPT 76641 Hc Ultrasound Breast Complete Lt | $483.20 | $1,208.00 | — | — | 60% |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 Hc Ultrasound Breast Limited Lt | $224.00 | $560.00 | — | 45% below | 60% |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 Hc Ultrasound Breast Limited Rt | $224.00 | $560.00 | — | 45% below | 60% |
| Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 Hc Ultrasound Breast Limited Rt | $224.00 | $560.00 | — | — | 60% |
| Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 Hc Ultrasound Breast Limited Lt | $224.00 | $560.00 | — | — | 60% |
| CT angiography (CTA) of the abdomen and pelvis CPT 74174 Hc Cta Abd And Pelvis W/C Inc Noncon Images, Postprocess | $1,280.40 | $3,201.00 | — | 40% below | 60% |
| CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 Hc Cta Abd And Pelvis W/C Inc Noncon Images, Postprocess | $1,280.40 | $3,201.00 | — | — | 60% |
| CT angiography (CTA) of the head CPT 70496 Hc Ct Ang Head Wo/W Contr W/Post Img | $1,596.40 | $3,991.00 | — | 19% above | 60% |
| CT angiography (CTA) of the head inpatient CPT 70496 Hc Ct Ang Head Wo/W Contr W/Post Img | $1,596.40 | $3,991.00 | — | — | 60% |
| CT angiography (CTA) of the neck CPT 70498 Hc Ct Ang Neck Wo/W Contr W/Post Img | $1,304.40 | $3,261.00 | — | at median | 60% |
| CT angiography (CTA) of the neck inpatient CPT 70498 Hc Ct Ang Neck Wo/W Contr W/Post Img | $1,304.40 | $3,261.00 | — | — | 60% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 Hc Ct Ang Chest Wo/W Contr W/Post Img | $1,414.40 | $3,536.00 | — | at median | 60% |
| CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 Hc Ct Ang Chest Wo/W Contr W/Post Img | $1,414.40 | $3,536.00 | — | — | 60% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 Hc Pet Ct Heart Arteries/Bypass W/Con | $1,049.60 | $2,624.00 | — | 34% below | 60% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 Hc Ct Heart Art/Bypass W/Con W/Cf | $1,049.60 | $2,624.00 | — | 34% below | 60% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 Hc Pet Ct Heart Arteries/Bypass W/Con | $1,049.60 | $2,624.00 | — | — | 60% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 Hc Ct Heart Art/Bypass W/Con W/Cf | $1,049.60 | $2,624.00 | — | — | 60% |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 Hc Ct Heart Wo/Con Coronary Ca Score | $850.40 | $2,126.00 | — | 204% above | 60% |
| CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 Hc Ct Heart Wo/Con Coronary Ca Score | $850.40 | $2,126.00 | — | — | 60% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 Hc Ct Abd/Pelvis Wo Con | $1,022.40 | $2,556.00 | — | 36% below | 60% |
| CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 Hc Ct Abd/Pelvis Wo Con | $1,022.40 | $2,556.00 | — | — | 60% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 Hc Ct Abd/Pelvis W/Con | $1,604.40 | $4,011.00 | — | 19% below | 60% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 Hc Ct Abd/Pelvis W/Con | $1,604.40 | $4,011.00 | — | — | 60% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 Hc Ct Abd/Pelvis Wo/W Con | $1,764.80 | $4,412.00 | — | 24% below | 60% |
| CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 Hc Ct Abd/Pelvis Wo/W Con | $1,764.80 | $4,412.00 | — | — | 60% |
| CT scan of the abdomen with contrast CPT 74160 Hc Ct Abdomen W Contrast | $1,078.00 | $2,695.00 | — | 8% below | 60% |
| CT scan of the abdomen with contrast inpatient CPT 74160 Hc Ct Abdomen W Contrast | $1,078.00 | $2,695.00 | — | — | 60% |
| CT scan of the abdomen without contrast CPT 74150 Hc Ct Abdomen Wo Contrast | $1,049.60 | $2,624.00 | — | at median | 60% |
| CT scan of the abdomen without contrast inpatient CPT 74150 Hc Ct Abdomen Wo Contrast | $1,049.60 | $2,624.00 | — | — | 60% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 Hc Ct Maxillofacial Wo Cont | $724.80 | $1,812.00 | — | 17% below | 60% |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 Hc Ct Maxillofacial Wo Cont | $724.80 | $1,812.00 | — | — | 60% |
| CT scan of the head or brain, no contrast dye CPT 70450 Hc Ct Head Wo Contrast | $637.20 | $1,593.00 | — | 24% below | 60% |
| CT scan of the head or brain, no contrast dye CPT 70450 Hc Ct Hyperacute Head Wo/Con Stroke | $637.20 | $1,593.00 | — | 24% below | 60% |
| CT scan of the head or brain, no contrast dye CPT 70450 Hc Ct Head/Orbit Wo Contrast | $637.20 | $1,593.00 | — | 24% below | 60% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 Hc Ct Head/Orbit Wo Contrast | $637.20 | $1,593.00 | — | — | 60% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 Hc Ct Hyperacute Head Wo/Con Stroke | $637.20 | $1,593.00 | — | — | 60% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 Hc Ct Head Wo Contrast | $637.20 | $1,593.00 | — | — | 60% |
| CT scan of the head with contrast CPT 70460 Hc Ct Head/Orbit W/Contrast | $795.20 | $1,988.00 | — | 21% below | 60% |
| CT scan of the head with contrast CPT 70460 Hc Ct Head W/Contrast | $795.20 | $1,988.00 | — | 21% below | 60% |
| CT scan of the head with contrast inpatient CPT 70460 Hc Ct Head W/Contrast | $795.20 | $1,988.00 | — | — | 60% |
| CT scan of the head with contrast inpatient CPT 70460 Hc Ct Head/Orbit W/Contrast | $795.20 | $1,988.00 | — | — | 60% |
| CT scan of the head without and with contrast CPT 70470 Hc Ct Head/Orbit W/Wo Contrast | $908.80 | $2,272.00 | — | 24% below | 60% |
| CT scan of the head without and with contrast CPT 70470 Hc Ct Head W/Wo Contrast | $908.80 | $2,272.00 | — | 24% below | 60% |
| CT scan of the head without and with contrast inpatient CPT 70470 Hc Ct Head/Orbit W/Wo Contrast | $908.80 | $2,272.00 | — | — | 60% |
| CT scan of the head without and with contrast inpatient CPT 70470 Hc Ct Head W/Wo Contrast | $908.80 | $2,272.00 | — | — | 60% |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 Hc Ct Lumbar Spine Wo Contrast | $1,166.00 | $2,915.00 | — | 6% above | 60% |
| CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 Hc Ct Lumbar Spine Wo Contrast | $1,166.00 | $2,915.00 | — | — | 60% |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 Hc Ct Cervical Spine Wo Contrast | $790.80 | $1,977.00 | — | 26% below | 60% |
| CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 Hc Ct Cervical Spine Wo Contrast | $790.80 | $1,977.00 | — | — | 60% |
| CT scan of the pelvis, with contrast dye CPT 72193 Hc Ct Pelvis W Contrast | $1,243.60 | $3,109.00 | — | 2% above | 60% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 Hc Ct Pelvis W Contrast | $1,243.60 | $3,109.00 | — | — | 60% |
| Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 Hc Duplex Carotid Doppler Bil | $724.80 | $1,812.00 | — | at median | 60% |
| Carotid artery ultrasound (duplex), both sides of the neck inpatient CPT 93880 Hc Duplex Carotid Doppler Bil | $724.80 | $1,812.00 | — | — | 60% |
| Chest CT scan without and with contrast CPT 71270 Hc Ct Chest, Diagnostic; W/Wo Contrast | $1,218.00 | $3,045.00 | — | 19% below | 60% |
| Chest CT scan without and with contrast inpatient CPT 71270 Hc Ct Chest, Diagnostic; W/Wo Contrast | $1,218.00 | $3,045.00 | — | — | 60% |
| Chest X-ray, 2 views CPT 71046 Hc Chest Pa & Lat | $183.60 | $459.00 | — | 30% below | 60% |
| Chest X-ray, 2 views inpatient CPT 71046 Hc Chest Pa & Lat | $183.60 | $459.00 | — | — | 60% |
| Chest X-ray, single view CPT 71045 Hc Chest Single View Portable | $166.80 | $417.00 | — | 25% below | 60% |
| Chest X-ray, single view CPT 71045 Hc Chest Single View | $166.80 | $417.00 | — | 25% below | 60% |
| Chest X-ray, single view inpatient CPT 71045 Hc Chest Single View Portable | $166.80 | $417.00 | — | — | 60% |
| Chest X-ray, single view inpatient CPT 71045 Hc Chest Single View | $166.80 | $417.00 | — | — | 60% |
| Collarbone (clavicle) X-ray, complete one side CPT 73000 Hc Clavicle Right | $166.80 | $417.00 | — | 38% below | 60% |
| Collarbone (clavicle) X-ray, complete one side CPT 73000 Hc Clavicle Left | $166.80 | $417.00 | — | 38% below | 60% |
| Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 Hc Clavicle Right | $166.80 | $417.00 | — | — | 60% |
| Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 Hc Clavicle Left | $166.80 | $417.00 | — | — | 60% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 Hc Us Retroperitineum | $766.40 | $1,916.00 | — | 8% above | 60% |
| Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 Hc Us Retroperitineum | $766.40 | $1,916.00 | — | — | 60% |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 Hc Bone Density Dexa Axial Skeleton | $452.80 | $1,132.00 | — | at median | 60% |
| DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 Hc Bone Density Dexa Axial Skeleton | $452.80 | $1,132.00 | — | — | 60% |
| DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 Hc Bone Density Dexa Appendicular Skeleton | $132.00 | $330.00 | — | 49% below | 60% |
| DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 Hc Bone Density Dexa Appendicular Skeleton | $132.00 | $330.00 | — | — | 60% |
| Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 Hc Us Ob W Detailed First Gest | $247.20 | $618.00 | — | 71% below | 60% |
| Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 Hc Us Ob W Detailed First Gest | $247.20 | $618.00 | — | — | 60% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 Hc Ct Chest, Diagnostic; Wo Contrast | $708.00 | $1,770.00 | — | 25% below | 60% |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 Hc Ct Chest, Diagnostic; Wo Contrast | $708.00 | $1,770.00 | — | — | 60% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 Hc Ct Chest, Diagnostic; W Contrast | $946.00 | $2,365.00 | — | 22% below | 60% |
| Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 Hc Ct Chest, Diagnostic; W Contrast | $946.00 | $2,365.00 | — | — | 60% |
| Diagnostic mammogram, both breasts both sides CPT 77066 Hc Dx Mammo, Incl Cad, Bilateral | $217.60 | $544.00 | — | — | 60% |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 Hc Dx Mammo, Incl Cad, Bilateral | $217.60 | $544.00 | — | — | 60% |
| Diagnostic mammogram, one breast one side CPT 77065 Hc Dx Mammo, Incl Cad, Unilateral | $140.40 | $351.00 | — | 61% below | 60% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 Hc Dx Mammo, Incl Cad, Unilateral | $140.40 | $351.00 | — | — | 60% |
| Duplex ultrasound of the leg arteries, both legs CPT 93925 Hc Duplex Le Art/Bypass Graft Complt Bil | $1,266.00 | $3,165.00 | — | 41% above | 60% |
| Duplex ultrasound of the leg arteries, both legs CPT 93925 Hc Us Dop Art Le Cmplt W Duplex | $1,266.00 | $3,165.00 | — | 41% above | 60% |
| Duplex ultrasound of the leg arteries, both legs inpatient CPT 93925 Hc Duplex Le Art/Bypass Graft Complt Bil | $1,266.00 | $3,165.00 | — | — | 60% |
| Duplex ultrasound of the leg arteries, both legs inpatient CPT 93925 Hc Us Dop Art Le Cmplt W Duplex | $1,266.00 | $3,165.00 | — | — | 60% |
| Duplex ultrasound of the leg veins, both legs CPT 93970 Hc Venous Duplex/Dop W Or Wo Map Upper Comp Bil | $1,459.20 | $3,648.00 | — | 63% above | 60% |
| Duplex ultrasound of the leg veins, both legs CPT 93970 Hc Venous Duplex/Dop W Or Wo Map Lower Comp Bil | $1,459.20 | $3,648.00 | — | 63% above | 60% |
| Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 Hc Venous Duplex/Dop W Or Wo Map Upper Comp Bil | $1,459.20 | $3,648.00 | — | — | 60% |
| Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 Hc Venous Duplex/Dop W Or Wo Map Lower Comp Bil | $1,459.20 | $3,648.00 | — | — | 60% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 Hc Echo Tthor W/Mm W/Cf/Dop Wo/Con | $1,501.20 | $3,753.00 | — | 11% below | 60% |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 Hc Echo Tthor W/Mm W/Cf/Dop Wo/Con | $1,501.20 | $3,753.00 | — | — | 60% |
| Elbow X-ray, 2 views one side CPT 73070 Hc Elbow Rt 2 Views | $166.80 | $417.00 | — | 36% below | 60% |
| Elbow X-ray, 2 views one side CPT 73070 Hc Elbow Lt 2 Views | $166.80 | $417.00 | — | 36% below | 60% |
| Elbow X-ray, 2 views inpatient one side CPT 73070 Hc Elbow Rt 2 Views | $166.80 | $417.00 | — | — | 60% |
| Elbow X-ray, 2 views inpatient one side CPT 73070 Hc Elbow Lt 2 Views | $166.80 | $417.00 | — | — | 60% |
| Elbow X-ray, complete, 3 or more views one side CPT 73080 Hc Elbow Lt Complete 3 Or More Views | $183.60 | $459.00 | — | 42% below | 60% |
| Elbow X-ray, complete, 3 or more views one side CPT 73080 Hc Elbow Rt Complete 3 Or More Views | $183.60 | $459.00 | — | 42% below | 60% |
| Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 Hc Elbow Lt Complete 3 Or More Views | $183.60 | $459.00 | — | — | 60% |
| Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 Hc Elbow Rt Complete 3 Or More Views | $183.60 | $459.00 | — | — | 60% |
| Eye socket (orbit) CT scan without contrast CPT 70480 Hc Ct Orbit/Sella/Pfossa/Ear Wo Con | $854.00 | $2,135.00 | — | 1% below | 60% |
| Eye socket (orbit) CT scan without contrast inpatient CPT 70480 Hc Ct Orbit/Sella/Pfossa/Ear Wo Con | $854.00 | $2,135.00 | — | — | 60% |
| Facial bones X-ray, complete, 3 or more views CPT 70150 Hc Facial Bones Complete 3 Or More Views | $201.60 | $504.00 | — | 47% below | 60% |
| Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 Hc Facial Bones Complete 3 Or More Views | $201.60 | $504.00 | — | — | 60% |
| Forearm X-ray (radius and ulna), 2 views one side CPT 73090 Hc Forearm Right 2V | $166.80 | $417.00 | — | 39% below | 60% |
| Forearm X-ray (radius and ulna), 2 views one side CPT 73090 Hc Forearm Left 2V | $166.80 | $417.00 | — | 39% below | 60% |
| Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 Hc Forearm Right 2V | $166.80 | $417.00 | — | — | 60% |
| Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 Hc Forearm Left 2V | $166.80 | $417.00 | — | — | 60% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 Hc Gallbladder(Hepatobiliary) | $799.20 | $1,998.00 | — | 50% below | 60% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 Hc Gallbladder(Hepatobiliary) | $799.20 | $1,998.00 | — | — | 60% |
| Hand X-ray, 2 views one side CPT 73120 Hc Hand Right 2 Or More Views | $166.80 | $417.00 | — | 37% below | 60% |
| Hand X-ray, 2 views one side CPT 73120 Hc Hand Left 2 Or More Views | $166.80 | $417.00 | — | 37% below | 60% |
| Hand X-ray, 2 views inpatient one side CPT 73120 Hc Hand Right 2 Or More Views | $166.80 | $417.00 | — | — | 60% |
| Hand X-ray, 2 views inpatient one side CPT 73120 Hc Hand Left 2 Or More Views | $166.80 | $417.00 | — | — | 60% |
| Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 Hc Heel Left (Calcaneus) | $166.80 | $417.00 | — | 39% below | 60% |
| Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 Hc Heel Right (Calcaneus) | $166.80 | $417.00 | — | 39% below | 60% |
| Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 Hc Heel Left (Calcaneus) | $166.80 | $417.00 | — | — | 60% |
| Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 Hc Heel Right (Calcaneus) | $166.80 | $417.00 | — | — | 60% |
| Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 Hc Sleep Study Unattended, Resp Effort | $414.00 | $1,035.00 | — | 41% below | 60% |
| Home sleep apnea test, unattended, recording breathing and oxygen inpatient CPT 95806 Hc Sleep Study Unattended, Resp Effort | $414.00 | $1,035.00 | — | — | 60% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 Hc Polysomnogram Night - Cpap | $2,396.00 | $5,990.00 | — | 42% below | 60% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 Hc Polysomnogram Night - Cpap | $2,396.00 | $5,990.00 | — | — | 60% |
| Knee X-ray, 3 views one side CPT 73562 Hc Knee Left 3 Views | $183.60 | $459.00 | — | 48% below | 60% |
| Knee X-ray, 3 views one side CPT 73562 Hc Knee Right 3 Views | $183.60 | $459.00 | — | 48% below | 60% |
| Knee X-ray, 3 views inpatient one side CPT 73562 Hc Knee Left 3 Views | $183.60 | $459.00 | — | — | 60% |
| Knee X-ray, 3 views inpatient one side CPT 73562 Hc Knee Right 3 Views | $183.60 | $459.00 | — | — | 60% |
| Knee X-ray, complete, 4 or more views one side CPT 73564 Hc Knee Rt Complete 4 Or More Views | $201.60 | $504.00 | — | 49% below | 60% |
| Knee X-ray, complete, 4 or more views one side CPT 73564 Hc Knee Left W Stndng 4 Or More V | $201.60 | $504.00 | — | 49% below | 60% |
| Knee X-ray, complete, 4 or more views one side CPT 73564 Hc Knee Right W Tunnel/Patella 4 Or More V | $201.60 | $504.00 | — | 49% below | 60% |
| Knee X-ray, complete, 4 or more views one side CPT 73564 Hc Knee Left Complete 4 Or More Views | $201.60 | $504.00 | — | 49% below | 60% |
| Knee X-ray, complete, 4 or more views one side CPT 73564 Hc Knee Right Complete 4 Or More V | $201.60 | $504.00 | — | 49% below | 60% |
| Knee X-ray, complete, 4 or more views one side CPT 73564 Hc Knees 4 Views Or More Left (B) | $201.60 | $504.00 | — | 49% below | 60% |
| Knee X-ray, complete, 4 or more views one side CPT 73564 Hc Knee Left W Tunnel/Patella 4 Or More V | $201.60 | $504.00 | — | 49% below | 60% |
| Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 Hc Knee Right Complete 4 Or More V | $201.60 | $504.00 | — | — | 60% |
| Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 Hc Knee Right W Tunnel/Patella 4 Or More V | $201.60 | $504.00 | — | — | 60% |
| Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 Hc Knee Left W Tunnel/Patella 4 Or More V | $201.60 | $504.00 | — | — | 60% |
| Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 Hc Knee Rt Complete 4 Or More Views | $201.60 | $504.00 | — | — | 60% |
| Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 Hc Knee Left Complete 4 Or More Views | $201.60 | $504.00 | — | — | 60% |
| Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 Hc Knees 4 Views Or More Left (B) | $201.60 | $504.00 | — | — | 60% |
| Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 Hc Knee Left W Stndng 4 Or More V | $201.60 | $504.00 | — | — | 60% |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 Hc Ct Ext Lwr Lt Wo Contrast | $944.40 | $2,361.00 | — | at median | 60% |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 Hc Ct Ext Lwr Rt Wo Contrast | $944.40 | $2,361.00 | — | at median | 60% |
| Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 Hc Ct Ext Lwr Lt Wo Contrast | $944.40 | $2,361.00 | — | — | 60% |
| Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 Hc Ct Ext Lwr Rt Wo Contrast | $944.40 | $2,361.00 | — | — | 60% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Hc Us Abd Ltd | $552.00 | $1,380.00 | — | at median | 60% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 Hc Us Abd Ltd | $552.00 | $1,380.00 | — | — | 60% |
| Limited ultrasound of an arm or leg (non-vascular) CPT 76882 Hc Us Upr Ext Nonvasc Limited Anatomi Spec | $356.80 | $892.00 | — | 25% below | 60% |
| Limited ultrasound of an arm or leg (non-vascular) CPT 76882 Hc Us Lwr Ext Nonvasc Limited Anatomi Spec | $356.80 | $892.00 | — | 25% below | 60% |
| Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 Hc Us Lwr Ext Nonvasc Limited Anatomi Spec | $356.80 | $892.00 | — | — | 60% |
| Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 Hc Us Upr Ext Nonvasc Limited Anatomi Spec | $356.80 | $892.00 | — | — | 60% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 Hc Ct Ldct Lung Screen Wo Contrast | $708.00 | $1,770.00 | — | 140% above | 60% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 Hc Ct Ldct Lung Screen Wo Contrast | $708.00 | $1,770.00 | — | — | 60% |
| Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 Hc Tibia-Fibula Left 2V | $166.80 | $417.00 | — | 39% below | 60% |
| Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 Hc Tibia-Fibula Left (B) 2 Views | $166.80 | $417.00 | — | 39% below | 60% |
| Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 Hc Tibia Fibula Right 2 Views | $166.80 | $417.00 | — | 39% below | 60% |
| Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 Hc Tibia-Fibula Right 2V | $166.80 | $417.00 | — | 39% below | 60% |
| Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 Hc Tibia Fibula Left 2 Views | $166.80 | $417.00 | — | 39% below | 60% |
| Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 Hc Tibia Fibula Right 2 Views | $166.80 | $417.00 | — | — | 60% |
| Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 Hc Tibia Fibula Left 2 Views | $166.80 | $417.00 | — | — | 60% |
| Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 Hc Tibia-Fibula Right 2V | $166.80 | $417.00 | — | — | 60% |
| Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 Hc Tibia-Fibula Left (B) 2 Views | $166.80 | $417.00 | — | — | 60% |
| Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 Hc Tibia-Fibula Left 2V | $166.80 | $417.00 | — | — | 60% |
| MR angiography (MRA) of the head without contrast CPT 70544 Hc Mr Angio Head Wo Contrast | $1,033.20 | $2,583.00 | — | 29% below | 60% |
| MR angiography (MRA) of the head without contrast inpatient CPT 70544 Hc Mr Angio Head Wo Contrast | $1,033.20 | $2,583.00 | — | — | 60% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 Hc Mri Lwr Ext Joint Wo Con Left | $1,013.20 | $2,533.00 | — | 42% below | 60% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 Hc Mri Lwr Ext Joint Wo Con Right | $1,013.20 | $2,533.00 | — | 42% below | 60% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 Hc Mri Lwr Ext Joint Wo Con Left | $1,013.20 | $2,533.00 | — | — | 60% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 Hc Mri Lwr Ext Joint Wo Con Right | $1,013.20 | $2,533.00 | — | — | 60% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 Hc Mri Lwr Ext Joint Wo/W Con Rt | $1,325.60 | $3,314.00 | — | 45% below | 60% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 Hc Mri Lwr Ext Joint Wo/W Con Lt | $1,325.60 | $3,314.00 | — | 45% below | 60% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 Hc Mri Lwr Ext Joint Wo/W Con Rt | $1,325.60 | $3,314.00 | — | — | 60% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 Hc Mri Lwr Ext Joint Wo/W Con Lt | $1,325.60 | $3,314.00 | — | — | 60% |
| MRI of the abdomen without contrast CPT 74181 Hc Mri Abdomen Wo Contrast | $1,032.80 | $2,582.00 | — | 44% below | 60% |
| MRI of the abdomen without contrast inpatient CPT 74181 Hc Mri Abdomen Wo Contrast | $1,032.80 | $2,582.00 | — | — | 60% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 Hc Mri Abdomen W/Wo Contrast | $1,238.40 | $3,096.00 | — | 46% below | 60% |
| MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 Hc Mri Abdomen W/Wo Contrast | $1,238.40 | $3,096.00 | — | — | 60% |
| MRI of the brain, no contrast dye CPT 70551 Hc Mri Brain/Orbit Wo Contrast | $1,033.20 | $2,583.00 | — | 36% below | 60% |
| MRI of the brain, no contrast dye CPT 70551 Hc Mri Brain Wo Contrast | $1,033.20 | $2,583.00 | — | 36% below | 60% |
| MRI of the brain, no contrast dye inpatient CPT 70551 Hc Mri Brain Wo Contrast | $1,033.20 | $2,583.00 | — | — | 60% |
| MRI of the brain, no contrast dye inpatient CPT 70551 Hc Mri Brain/Orbit Wo Contrast | $1,033.20 | $2,583.00 | — | — | 60% |
| MRI of the brain, with and without contrast dye CPT 70553 Hc Mri Brain W & Wo Contrast | $1,301.60 | $3,254.00 | — | 40% below | 60% |
| MRI of the brain, with and without contrast dye CPT 70553 Hc Mri Brain/Orbit W/Wo Contrast | $1,301.60 | $3,254.00 | — | 40% below | 60% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 Hc Mri Brain/Orbit W/Wo Contrast | $1,301.60 | $3,254.00 | — | — | 60% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 Hc Mri Brain W & Wo Contrast | $1,301.60 | $3,254.00 | — | — | 60% |
| MRI of the lower back, no contrast dye CPT 72148 Hc Mri Lumbar Spine Wo Contrast | $965.20 | $2,413.00 | — | 42% below | 60% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 Hc Mri Lumbar Spine Wo Contrast | $965.20 | $2,413.00 | — | — | 60% |
| MRI of the lower back, without and then with contrast dye CPT 72158 Hc Mri Lumbar Spine W/Wo Contrast | $1,496.00 | $3,740.00 | — | 36% below | 60% |
| MRI of the lower back, without and then with contrast dye inpatient CPT 72158 Hc Mri Lumbar Spine W/Wo Contrast | $1,496.00 | $3,740.00 | — | — | 60% |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 Hc Mri Thoracic Spine Wo Contrast | $1,032.80 | $2,582.00 | — | 38% below | 60% |
| MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 Hc Mri Thoracic Spine Wo Contrast | $1,032.80 | $2,582.00 | — | — | 60% |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 Hc Mri Cervical Spine W/Wo Contrast | $1,351.20 | $3,378.00 | — | 40% below | 60% |
| MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 Hc Mri Cervical Spine W/Wo Contrast | $1,351.20 | $3,378.00 | — | — | 60% |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 Hc Mri Cervical Spine Wo Contrast | $1,033.20 | $2,583.00 | — | 37% below | 60% |
| MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 Hc Mri Cervical Spine Wo Contrast | $1,033.20 | $2,583.00 | — | — | 60% |
| MRI of the pelvis without and with contrast CPT 72197 Hc Mri Pelvis Wo/W Contrast | $1,262.80 | $3,157.00 | — | 35% below | 60% |
| MRI of the pelvis without and with contrast inpatient CPT 72197 Hc Mri Pelvis Wo/W Contrast | $1,262.80 | $3,157.00 | — | — | 60% |
| MRI of the pelvis, no contrast dye CPT 72195 Hc Mri Pelvis Wo Contrast | $1,013.60 | $2,534.00 | — | 33% below | 60% |
| MRI of the pelvis, no contrast dye inpatient CPT 72195 Hc Mri Pelvis Wo Contrast | $1,013.60 | $2,534.00 | — | — | 60% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 Hc Mri Up Ext Joint Lt Wo Con | $974.00 | $2,435.00 | — | 36% below | 60% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 Hc Mri Up Ext Joint Rt Wo Con | $974.00 | $2,435.00 | — | 36% below | 60% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 Hc Mri Up Ext Joint Lt Wo Con | $974.00 | $2,435.00 | — | — | 60% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 Hc Mri Up Ext Joint Rt Wo Con | $974.00 | $2,435.00 | — | — | 60% |
| Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 Hc Cervical Spine Complete 4 Or More Views | $201.60 | $504.00 | — | 55% below | 60% |
| Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 Hc Cervical Spine Complete 4 Or More Views | $201.60 | $504.00 | — | — | 60% |
| Neck soft tissue CT scan with contrast CPT 70491 Hc Ct Neck Soft Tissue W Contrast | $751.60 | $1,879.00 | — | 36% below | 60% |
| Neck soft tissue CT scan with contrast inpatient CPT 70491 Hc Ct Neck Soft Tissue W Contrast | $751.60 | $1,879.00 | — | — | 60% |
| Neck soft tissue CT scan without contrast CPT 70490 Hc Ct Neck Soft Tissue Wo Contrast | $627.60 | $1,569.00 | — | 32% below | 60% |
| Neck soft tissue CT scan without contrast inpatient CPT 70490 Hc Ct Neck Soft Tissue Wo Contrast | $627.60 | $1,569.00 | — | — | 60% |
| Neck soft tissue X-ray CPT 70360 Hc Neck Soft Tissue 2 Views | $166.80 | $417.00 | — | 36% below | 60% |
| Neck soft tissue X-ray inpatient CPT 70360 Hc Neck Soft Tissue 2 Views | $166.80 | $417.00 | — | — | 60% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 Hc Myo Perf Spect W/Ef/Wm/Renj Mult | $3,528.00 | $8,820.00 | — | 12% below | 60% |
| Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 Hc Myo Perf Spect W/Ef/Wm/Renj Mult | $3,528.00 | $8,820.00 | — | — | 60% |
| OCT scan of the retina (optical coherence tomography) CPT 92134 Hc Oct Scan Opthalmic Posteror Retin | $42.80 | $107.00 | — | 46% below | 60% |
| OCT scan of the retina (optical coherence tomography) inpatient CPT 92134 Hc Oct Scan Opthalmic Posteror Retin | $42.80 | $107.00 | — | — | 60% |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 Hc Pet/Ct Skull/Thigh Mc Initial | $3,175.60 | $7,939.00 | — | 35% below | 60% |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 Hc Pet/Ct Skull/Thigh Mc Treatmnt Stratgey | $3,175.60 | $7,939.00 | — | 35% below | 60% |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 Hc Pet/Ct Imaging Skull Base To Thig | $3,175.60 | $7,939.00 | — | 35% below | 60% |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 Hc Pet/Ct Skull/Thigh Mc Initial | $3,175.60 | $7,939.00 | — | — | 60% |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 Hc Pet/Ct Imaging Skull Base To Thig | $3,175.60 | $7,939.00 | — | — | 60% |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 Hc Pet/Ct Skull/Thigh Mc Treatmnt Stratgey | $3,175.60 | $7,939.00 | — | — | 60% |
| Pelvic CT scan without contrast CPT 72192 Hc Ct Pelvis Wo Contrast | $944.40 | $2,361.00 | — | 6% below | 60% |
| Pelvic CT scan without contrast inpatient CPT 72192 Hc Ct Pelvis Wo Contrast | $944.40 | $2,361.00 | — | — | 60% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 Hc Us Pelvic Non Ob Limited Urod | $94.00 | $235.00 | — | 78% below | 60% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 Hc Us Pelvis Ltd (Spec Instr) | $368.40 | $921.00 | — | 15% below | 60% |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 Hc Us Pelvic Non Ob Limited Urod | $94.00 | $235.00 | — | — | 60% |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 Hc Us Pelvis Ltd (Spec Instr) | $368.40 | $921.00 | — | — | 60% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 Hc Us Pelvis Complete * | $520.00 | $1,300.00 | — | 3% above | 60% |
| Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 Hc Us Pelvis Complete * | $520.00 | $1,300.00 | — | — | 60% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 Hc Us Ob > 14 Weeks, Transabdominal, Single Gestation | $515.20 | $1,288.00 | — | 14% below | 60% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 Hc Us Ob > 14 Weeks, Transabdominal, Single Gestation | $515.20 | $1,288.00 | — | — | 60% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 Hc Us Ob < 14 Weeks, Transabdominal, Single Gestation | $550.00 | $1,375.00 | — | at median | 60% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 Hc Us Ob < 14 Weeks, Transabdominal, Single Gestation | $550.00 | $1,375.00 | — | — | 60% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 Hc Us Ob Ltd (Spec Instr), 1 Or More Fetuses | $479.60 | $1,199.00 | — | 1% above | 60% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 Hc Us Ld Preg Uterus Limited, 1 Or More Fetuses | $479.60 | $1,199.00 | — | 1% above | 60% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 Hc Us Ob Ltd (Spec Instr), 1 Or More Fetuses | $479.60 | $1,199.00 | — | — | 60% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 Hc Us Ld Preg Uterus Limited, 1 Or More Fetuses | $479.60 | $1,199.00 | — | — | 60% |
| Rib X-ray, one side, 2 views one side CPT 71100 Hc Ribs Unilateral 2 Views Rt | $166.80 | $417.00 | — | 45% below | 60% |
| Rib X-ray, one side, 2 views one side CPT 71100 Hc Ribs Unilateral 2 Views Lt | $166.80 | $417.00 | — | 45% below | 60% |
| Rib X-ray, one side, 2 views inpatient one side CPT 71100 Hc Ribs Unilateral 2 Views Lt | $166.80 | $417.00 | — | — | 60% |
| Rib X-ray, one side, 2 views inpatient one side CPT 71100 Hc Ribs Unilateral 2 Views Rt | $166.80 | $417.00 | — | — | 60% |
| Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 Hc Ribs Unilateral W/Pa Chest 3 Views Rt | $183.60 | $459.00 | — | 52% below | 60% |
| Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 Hc Ribs Unilateral W/Pa Chest 3 Views Lt | $183.60 | $459.00 | — | 52% below | 60% |
| Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 Hc Ribs Unilateral W/Pa Chest 3 Views Rt | $183.60 | $459.00 | — | — | 60% |
| Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 Hc Ribs Unilateral W/Pa Chest 3 Views Lt | $183.60 | $459.00 | — | — | 60% |
| Screening mammogram, both breasts both sides CPT 77067 Hc Screen Mammo, Incl Cad, Bilateral | $160.40 | $401.00 | — | — | 60% |
| Screening mammogram, both breasts inpatient both sides CPT 77067 Hc Screen Mammo, Incl Cad, Bilateral | $160.40 | $401.00 | — | — | 60% |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 Hc Shoulder Left 2 Or More Views | $183.60 | $459.00 | — | 46% below | 60% |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 Hc Shoulder Right 2 Or More Views | $183.60 | $459.00 | — | 46% below | 60% |
| Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 Hc Shoulder Right 2 Or More Views | $183.60 | $459.00 | — | — | 60% |
| Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 Hc Shoulder Left 2 Or More Views | $183.60 | $459.00 | — | — | 60% |
| Sinus X-ray, complete, 3 or more views CPT 70220 Hc Sinuses 3 Or More Views | $183.60 | $459.00 | — | 49% below | 60% |
| Sinus X-ray, complete, 3 or more views inpatient CPT 70220 Hc Sinuses 3 Or More Views | $183.60 | $459.00 | — | — | 60% |
| Skull X-ray, fewer than 4 views CPT 70250 Hc Skull < 4 Views | $201.60 | $504.00 | — | 30% below | 60% |
| Skull X-ray, fewer than 4 views inpatient CPT 70250 Hc Skull < 4 Views | $201.60 | $504.00 | — | — | 60% |
| Sleep study in a lab (polysomnography) CPT 95810 Hc Polysomnogram 4+ Parameters | $2,168.00 | $5,420.00 | — | 40% below | 60% |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 Hc Polysomnogram 4+ Parameters | $2,168.00 | $5,420.00 | — | — | 60% |
| Stress echocardiogram, complete, including the stress test and supervision CPT 93351 Hc Stress Echo Study/Ekg Exercise W/O Contrast | $2,234.00 | $5,585.00 | — | 9% above | 60% |
| Stress echocardiogram, complete, including the stress test and supervision CPT 93351 Hc Dobutamine Stress Echo/Ekg W/O Contrast | $2,234.00 | $5,585.00 | — | 9% above | 60% |
| Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 Hc Dobutamine Stress Echo/Ekg W/O Contrast | $2,234.00 | $5,585.00 | — | — | 60% |
| Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 Hc Stress Echo Study/Ekg Exercise W/O Contrast | $2,234.00 | $5,585.00 | — | — | 60% |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 Hc Esoph Video Fleuro W Dysph The | $337.20 | $843.00 | — | 33% below | 60% |
| Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 Hc Esoph Video Fleuro W Dysph The | $337.20 | $843.00 | — | — | 60% |
| Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 Hc Femur 2/> View Rt | $183.60 | $459.00 | — | 32% below | 60% |
| Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 Hc Femur 2/> View Lt | $183.60 | $459.00 | — | 32% below | 60% |
| Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 Hc Femur 2/> View Rt | $183.60 | $459.00 | — | — | 60% |
| Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 Hc Femur 2/> View Lt | $183.60 | $459.00 | — | — | 60% |
| Thoracic spine (mid back) CT scan without contrast CPT 72128 Hc Ct Thoracic Spine Wo Con | $852.80 | $2,132.00 | — | 6% below | 60% |
| Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 Hc Ct Thoracic Spine Wo Con | $852.80 | $2,132.00 | — | — | 60% |
| Toe X-ray, 2 or more views one side CPT 73660 Hc Toe(S) Right | $166.80 | $417.00 | — | 33% below | 60% |
| Toe X-ray, 2 or more views one side CPT 73660 Hc Toe(S) Left | $166.80 | $417.00 | — | 33% below | 60% |
| Toe X-ray, 2 or more views inpatient one side CPT 73660 Hc Toe(S) Left | $166.80 | $417.00 | — | — | 60% |
| Toe X-ray, 2 or more views inpatient one side CPT 73660 Hc Toe(S) Right | $166.80 | $417.00 | — | — | 60% |
| Transvaginal pelvic ultrasound CPT 76830 Hc Us Transvaginal | $83.60 | $209.00 | — | 85% below | 60% |
| Transvaginal pelvic ultrasound CPT 76830 Hc Us Transvag Non Ob | $552.00 | $1,380.00 | — | 2% below | 60% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 Hc Us Transvaginal | $83.60 | $209.00 | — | — | 60% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 Hc Us Transvag Non Ob | $552.00 | $1,380.00 | — | — | 60% |
| Transvaginal ultrasound during pregnancy CPT 76817 Hc Us Ob Transvaginal (1 Or More Fetuses) | $501.60 | $1,254.00 | — | at median | 60% |
| Transvaginal ultrasound during pregnancy inpatient CPT 76817 Hc Us Ob Transvaginal (1 Or More Fetuses) | $501.60 | $1,254.00 | — | — | 60% |
| Ultrasound of the abdomen, complete CPT 76700 Hc Us Abd Complete | $674.00 | $1,685.00 | — | 7% above | 60% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 Hc Us Abd Complete | $674.00 | $1,685.00 | — | — | 60% |
| Ultrasound of the scrotum and testicles CPT 76870 Hc Us Scrotum / Testes | $448.00 | $1,120.00 | — | 17% below | 60% |
| Ultrasound of the scrotum and testicles inpatient CPT 76870 Hc Us Scrotum / Testes | $448.00 | $1,120.00 | — | — | 60% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 Hc Us Thyroid / Neck | $436.00 | $1,090.00 | — | 24% below | 60% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 Hc Us Thyroid / Neck | $436.00 | $1,090.00 | — | — | 60% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 Hc Ugi Single Contrast | $337.20 | $843.00 | — | 43% below | 60% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 Hc Ugi Single Contrast | $337.20 | $843.00 | — | — | 60% |
| Upper arm X-ray (humerus), 2 views one side CPT 73060 Hc Humerus Lt Complete | $166.80 | $417.00 | — | 39% below | 60% |
| Upper arm X-ray (humerus), 2 views one side CPT 73060 Hc Humerus Lt Ltd | $166.80 | $417.00 | — | 39% below | 60% |
| Upper arm X-ray (humerus), 2 views one side CPT 73060 Hc Humerus Rt Ltd | $166.80 | $417.00 | — | 39% below | 60% |
| Upper arm X-ray (humerus), 2 views one side CPT 73060 Hc Humerus Rt Complete | $166.80 | $417.00 | — | 39% below | 60% |
| Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 Hc Humerus Lt Ltd | $166.80 | $417.00 | — | — | 60% |
| Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 Hc Humerus Rt Ltd | $166.80 | $417.00 | — | — | 60% |
| Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 Hc Humerus Rt Complete | $166.80 | $417.00 | — | — | 60% |
| Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 Hc Humerus Lt Complete | $166.80 | $417.00 | — | — | 60% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 Hc Venous Duplex/Dop W Or Wo Map Up Ext Rt Lmt/Unil | $1,032.80 | $2,582.00 | — | 40% above | 60% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 Hc Venous Duplex/Dop W Or Wo Map Low Ext Lt Lmt/Unil | $1,032.80 | $2,582.00 | — | 40% above | 60% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 Hc Venous Duplex/Dop W Or Wo Map Up Ext Lt Lmt/Unil | $1,032.80 | $2,582.00 | — | 40% above | 60% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 Hc Venous Duplex/Dop W Or Wo Map Low Ext Rt Lmt/Unil | $1,032.80 | $2,582.00 | — | 40% above | 60% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 Hc Venous Duplex/Dop W Or Wo Map Up Ext Rt Lmt/Unil | $1,032.80 | $2,582.00 | — | — | 60% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 Hc Venous Duplex/Dop W Or Wo Map Up Ext Lt Lmt/Unil | $1,032.80 | $2,582.00 | — | — | 60% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 Hc Venous Duplex/Dop W Or Wo Map Low Ext Rt Lmt/Unil | $1,032.80 | $2,582.00 | — | — | 60% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 Hc Venous Duplex/Dop W Or Wo Map Low Ext Lt Lmt/Unil | $1,032.80 | $2,582.00 | — | — | 60% |
| Wrist X-ray, 2 views one side CPT 73100 Hc Wrist Left 2 Views | $166.80 | $417.00 | — | 36% below | 60% |
| Wrist X-ray, 2 views one side CPT 73100 Hc Wrist Right 2 Views | $166.80 | $417.00 | — | 36% below | 60% |
| Wrist X-ray, 2 views inpatient one side CPT 73100 Hc Wrist Left 2 Views | $166.80 | $417.00 | — | — | 60% |
| Wrist X-ray, 2 views inpatient one side CPT 73100 Hc Wrist Right 2 Views | $166.80 | $417.00 | — | — | 60% |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 Hc Wrist Right 3 Or More Views | $183.60 | $459.00 | — | 45% below | 60% |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 Hc Wrist Left 3 Or More Views | $183.60 | $459.00 | — | 45% below | 60% |
| Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 Hc Wrist Left 3 Or More Views | $183.60 | $459.00 | — | — | 60% |
| Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 Hc Wrist Right 3 Or More Views | $183.60 | $459.00 | — | — | 60% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 Hc Hip Left 2-3 View W/Pelvis Unilat | $183.60 | $459.00 | — | 40% below | 60% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 Hc Hip Right 2-3 View W/Pelvis Unilat | $183.60 | $459.00 | — | 40% below | 60% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 Hc Hip Right 2-3 View W/Pelvis Unilat | $183.60 | $459.00 | — | — | 60% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 Hc Hip Left 2-3 View W/Pelvis Unilat | $183.60 | $459.00 | — | — | 60% |
| X-ray of the abdomen, 1 view CPT 74018 Hc Abdomen 1 View | $166.80 | $417.00 | — | 35% below | 60% |
| X-ray of the abdomen, 1 view inpatient CPT 74018 Hc Abdomen 1 View | $166.80 | $417.00 | — | — | 60% |
| X-ray of the ankle, 2 views one side CPT 73600 Hc Ankle Lt 2 Views | $166.80 | $417.00 | — | 33% below | 60% |
| X-ray of the ankle, 2 views one side CPT 73600 Hc Ankle Rt 2 Views | $166.80 | $417.00 | — | 33% below | 60% |
| X-ray of the ankle, 2 views inpatient one side CPT 73600 Hc Ankle Rt 2 Views | $166.80 | $417.00 | — | — | 60% |
| X-ray of the ankle, 2 views inpatient one side CPT 73600 Hc Ankle Lt 2 Views | $166.80 | $417.00 | — | — | 60% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 Hc Finger/Thumb Left | $166.80 | $417.00 | — | 35% below | 60% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 Hc Finger/Thumb Right | $166.80 | $417.00 | — | 35% below | 60% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 Hc Finger/Thumb Right | $166.80 | $417.00 | — | — | 60% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 Hc Finger/Thumb Left | $166.80 | $417.00 | — | — | 60% |
| X-ray of the foot, 2 views one side CPT 73620 Hc Foot Right Standing 2 Views | $166.80 | $417.00 | — | 28% below | 60% |
| X-ray of the foot, 2 views one side CPT 73620 Hc Foot Left 2 Views | $166.80 | $417.00 | — | 28% below | 60% |
| X-ray of the foot, 2 views one side CPT 73620 Hc Foot Right 2 Views | $166.80 | $417.00 | — | 28% below | 60% |
| X-ray of the foot, 2 views one side CPT 73620 Hc Foot Left Standing 2 Views | $166.80 | $417.00 | — | 28% below | 60% |
| X-ray of the foot, 2 views inpatient one side CPT 73620 Hc Foot Left 2 Views | $166.80 | $417.00 | — | — | 60% |
| X-ray of the foot, 2 views inpatient one side CPT 73620 Hc Foot Right Standing 2 Views | $166.80 | $417.00 | — | — | 60% |
| X-ray of the foot, 2 views inpatient one side CPT 73620 Hc Foot Left Standing 2 Views | $166.80 | $417.00 | — | — | 60% |
| X-ray of the foot, 2 views inpatient one side CPT 73620 Hc Foot Right 2 Views | $166.80 | $417.00 | — | — | 60% |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 Hc Foot Right 3 Or More Views | $183.60 | $459.00 | — | 40% below | 60% |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 Hc Foot Left 3 Or More Views | $183.60 | $459.00 | — | 40% below | 60% |
| X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 Hc Foot Right 3 Or More Views | $183.60 | $459.00 | — | — | 60% |
| X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 Hc Foot Left 3 Or More Views | $183.60 | $459.00 | — | — | 60% |
| X-ray of the hand, 3 or more views one side CPT 73130 Hc Hand Left 3 Or More Views | $201.60 | $504.00 | — | 38% below | 60% |
| X-ray of the hand, 3 or more views one side CPT 73130 Hc Hand Right 3 Or More Views | $201.60 | $504.00 | — | 38% below | 60% |
| X-ray of the hand, 3 or more views inpatient one side CPT 73130 Hc Hand Left 3 Or More Views | $201.60 | $504.00 | — | — | 60% |
| X-ray of the hand, 3 or more views inpatient one side CPT 73130 Hc Hand Right 3 Or More Views | $201.60 | $504.00 | — | — | 60% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 Hc Knee Left 1 Or 2 Views | $166.80 | $417.00 | — | 39% below | 60% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 Hc Patella Pa Lat Axial 1/2 View Right | $166.80 | $417.00 | — | 39% below | 60% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 Hc Knee Left (B) 1 Or 2 Views | $166.80 | $417.00 | — | 39% below | 60% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 Hc Patella Pa Lat Axial 1/2 View Left | $166.80 | $417.00 | — | 39% below | 60% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 Hc Knee Right 1 Or 2 Views | $166.80 | $417.00 | — | 39% below | 60% |
| X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 Hc Knee Left (B) 1 Or 2 Views | $166.80 | $417.00 | — | — | 60% |
| X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 Hc Patella Pa Lat Axial 1/2 View Left | $166.80 | $417.00 | — | — | 60% |
| X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 Hc Knee Right 1 Or 2 Views | $166.80 | $417.00 | — | — | 60% |
| X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 Hc Knee Left 1 Or 2 Views | $166.80 | $417.00 | — | — | 60% |
| X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 Hc Patella Pa Lat Axial 1/2 View Right | $166.80 | $417.00 | — | — | 60% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 Hc Lumbar Spine 2/3 Views | $201.60 | $504.00 | — | 37% below | 60% |
| X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 Hc Lumbar Spine 2/3 Views | $201.60 | $504.00 | — | — | 60% |
| X-ray of the lower back, 4 or more views CPT 72110 Hc Lumbar Spine 4/5 Views | $221.60 | $554.00 | — | 53% below | 60% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 Hc Lumbar Spine 4/5 Views | $221.60 | $554.00 | — | — | 60% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 Hc Thoracic Spine 2 Views | $201.60 | $504.00 | — | 33% below | 60% |
| X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 Hc Thoracic Spine 2 Views | $201.60 | $504.00 | — | — | 60% |
| X-ray of the nasal bones, 3 or more views CPT 70160 Hc Nasal Bones 3 Or More Views | $166.80 | $417.00 | — | 43% below | 60% |
| X-ray of the nasal bones, 3 or more views inpatient CPT 70160 Hc Nasal Bones 3 Or More Views | $166.80 | $417.00 | — | — | 60% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 Hc Cervical Spine 2/3 Views | $166.80 | $417.00 | — | 50% below | 60% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 Hc Cervical Spine Flex & Ext | $166.80 | $417.00 | — | 50% below | 60% |
| X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 Hc Cervical Spine Flex & Ext | $166.80 | $417.00 | — | — | 60% |
| X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 Hc Cervical Spine 2/3 Views | $166.80 | $417.00 | — | — | 60% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 Hc Pelvis 1/2 View | $201.60 | $504.00 | — | 20% below | 60% |
| X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 Hc Pelvis 1/2 View | $201.60 | $504.00 | — | — | 60% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 Hc Sacrum / Coccyx | $166.80 | $417.00 | — | 44% below | 60% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 Hc Sacrum / Coccyx | $166.80 | $417.00 | — | — | 60% |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Ohio | Off list |
|---|---|---|---|---|---|
| ACTH blood test CPT 82024 Hc Adrenocorticotropic Hormone (Acth), Lc | $34.80 | $87.00 | — | 74% below | 60% |
| ACTH blood test inpatient CPT 82024 Hc Adrenocorticotropic Hormone (Acth), Lc | $34.80 | $87.00 | — | — | 60% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 Hc Sgpt /Glutamate Pyruvate Tran | $35.60 | $89.00 | — | 27% above | 60% |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 Hc Sgpt /Glutamate Pyruvate Tran | $35.60 | $89.00 | — | — | 60% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 Hc Sgot/Glutamate Oxalacetic Tran | $35.60 | $89.00 | — | 41% above | 60% |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 Hc Sgot/Glutamate Oxalacetic Tran | $35.60 | $89.00 | — | — | 60% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 Hc Acute Hepatitis Panel | $213.60 | $534.00 | — | 2% below | 60% |
| Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 Hc Acute Hepatitis Panel | $213.60 | $534.00 | — | — | 60% |
| Albumin blood test CPT 82040 Hc Albumin Serum, Plasma, Or Whole Blood, Lc | $12.40 | $31.00 | — | 44% below | 60% |
| Albumin blood test CPT 82040 Hc Albumin Serum | $35.20 | $88.00 | — | 59% above | 60% |
| Albumin blood test inpatient CPT 82040 Hc Albumin Serum, Plasma, Or Whole Blood, Lc | $12.40 | $31.00 | — | — | 60% |
| Albumin blood test inpatient CPT 82040 Hc Albumin Serum | $35.20 | $88.00 | — | — | 60% |
| Aldosterone blood test CPT 82088 Hc Aldosterone, Lc | $56.40 | $141.00 | — | 60% below | 60% |
| Aldosterone blood test inpatient CPT 82088 Hc Aldosterone, Lc | $56.40 | $141.00 | — | — | 60% |
| Alkaline phosphatase (ALP) blood test CPT 84075 Hc Phosphatase Alkaline | $24.40 | $61.00 | — | 2% above | 60% |
| Alkaline phosphatase (ALP) blood test CPT 84075 Hc Phosphatase Alkaline, Enzymes, Lc | $54.00 | $135.00 | — | 125% above | 60% |
| Alkaline phosphatase (ALP) blood test inpatient CPT 84075 Hc Phosphatase Alkaline | $24.40 | $61.00 | — | — | 60% |
| Alkaline phosphatase (ALP) blood test inpatient CPT 84075 Hc Phosphatase Alkaline, Enzymes, Lc | $54.00 | $135.00 | — | — | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Hc Allergen Specific Ige Quant/Semiquant Each Allergen, Lc | $16.80 | $42.00 | — | 28% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Hc Allergen Spec Ige Each Allergen | $20.00 | $50.00 | — | 15% below | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc Allergen Specific Ige Quant/Semiquant Each Allergen, Lc | $16.80 | $42.00 | — | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc Allergen Spec Ige Each Allergen | $20.00 | $50.00 | — | — | 60% |
| Alpha-fetoprotein (AFP) blood test CPT 82105 Hc Alpha-Fetoprotein (Afp), Serum, Lc | $59.20 | $148.00 | — | 2% below | 60% |
| Alpha-fetoprotein (AFP) blood test CPT 82105 Hc Afp, Tumor Marker | $94.80 | $237.00 | — | 56% above | 60% |
| Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 Hc Alpha-Fetoprotein (Afp), Serum, Lc | $59.20 | $148.00 | — | — | 60% |
| Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 Hc Afp, Tumor Marker | $94.80 | $237.00 | — | — | 60% |
| Ammonia blood test CPT 82140 Hc Ammonia, Urine, Lc | $36.00 | $90.00 | — | 34% below | 60% |
| Ammonia blood test CPT 82140 Hc Ammonia Blood | $60.00 | $150.00 | — | 10% above | 60% |
| Ammonia blood test inpatient CPT 82140 Hc Ammonia, Urine, Lc | $36.00 | $90.00 | — | — | 60% |
| Ammonia blood test inpatient CPT 82140 Hc Ammonia Blood | $60.00 | $150.00 | — | — | 60% |
| Amylase blood test CPT 82150 Hc Amylase Fluid | $65.20 | $163.00 | — | 36% above | 60% |
| Amylase blood test CPT 82150 Hc Amylase Serum | $65.20 | $163.00 | — | 36% above | 60% |
| Amylase blood test CPT 82150 Hc Amylase Urine Timed | $65.20 | $163.00 | — | 36% above | 60% |
| Amylase blood test CPT 82150 Hc Amylase, Lc | $133.20 | $333.00 | — | 178% above | 60% |
| Amylase blood test inpatient CPT 82150 Hc Amylase Fluid | $65.20 | $163.00 | — | — | 60% |
| Amylase blood test inpatient CPT 82150 Hc Amylase Serum | $65.20 | $163.00 | — | — | 60% |
| Amylase blood test inpatient CPT 82150 Hc Amylase Urine Timed | $65.20 | $163.00 | — | — | 60% |
| Amylase blood test inpatient CPT 82150 Hc Amylase, Lc | $133.20 | $333.00 | — | — | 60% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Hc Cyclic Citrullinated Peptide (Ccp) Ab, Lc | $75.60 | $189.00 | — | 31% above | 60% |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 Hc Cyclic Citrullinated Peptide (Ccp) Ab, Lc | $75.60 | $189.00 | — | — | 60% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 Hc Antinuclear Ab (Ana), Lc | $17.60 | $44.00 | — | 68% below | 60% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 Hc Antinuclear Ab, Ana Body Fluid, Lc | $132.40 | $331.00 | — | 140% above | 60% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 Hc Ana /Antinuclear Antibodies | $267.20 | $668.00 | — | 384% above | 60% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 Hc Antinuclear Ab (Ana), Lc | $17.60 | $44.00 | — | — | 60% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 Hc Antinuclear Ab, Ana Body Fluid, Lc | $132.40 | $331.00 | — | — | 60% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 Hc Ana /Antinuclear Antibodies | $267.20 | $668.00 | — | — | 60% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 Hc Natriuretic Peptide (Bnp) | $110.40 | $276.00 | — | 26% below | 60% |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 Hc Natriuretic Peptide (Bnp) | $110.40 | $276.00 | — | — | 60% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Hc Culture Bacteria Aerobic, Aerobe, Lc | $26.00 | $65.00 | — | 61% below | 60% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Hc Cult Bacterial Other Source | $118.80 | $297.00 | — | 80% above | 60% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Hc Culture Bact Any Other Source | $118.80 | $297.00 | — | 80% above | 60% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Hc Culture Bacteria Aerobic, Aerobe, Lc | $26.00 | $65.00 | — | — | 60% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Hc Culture Bact Any Other Source | $118.80 | $297.00 | — | — | 60% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Hc Cult Bacterial Other Source | $118.80 | $297.00 | — | — | 60% |
| Basic metabolic panel (blood test) CPT 80048 Hc Basic Metabolic Panel W/Calcium | $80.40 | $201.00 | — | 22% above | 60% |
| Basic metabolic panel (blood test) inpatient CPT 80048 Hc Basic Metabolic Panel W/Calcium | $80.40 | $201.00 | — | — | 60% |
| Bilirubin blood test, total CPT 82247 Hc Bilirubin Total | $35.20 | $88.00 | — | 47% above | 60% |
| Bilirubin blood test, total inpatient CPT 82247 Hc Bilirubin Total | $35.20 | $88.00 | — | — | 60% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 Hc Surg Path Aipl | $88.00 | $220.00 | — | 57% below | 60% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 Hc Surg Path Specimen Level Iv | $134.80 | $337.00 | — | 34% below | 60% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 Hc Surg Path Exam Level Iv Osu | $134.80 | $337.00 | — | 34% below | 60% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Hc Surg Path Aipl | $88.00 | $220.00 | — | — | 60% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Hc Surg Path Exam Level Iv Osu | $134.80 | $337.00 | — | — | 60% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Hc Surg Path Specimen Level Iv | $134.80 | $337.00 | — | — | 60% |
| Blood culture for bacteria CPT 87040 Hc Culture Blood | $148.80 | $372.00 | — | 59% above | 60% |
| Blood culture for bacteria inpatient CPT 87040 Hc Culture Blood | $148.80 | $372.00 | — | — | 60% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 Hc Venipuncture Venous | $14.80 | $37.00 | — | 7% below | 60% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Hc Venipuncture Venous | $14.80 | $37.00 | — | — | 60% |
| Blood glucose (sugar) test CPT 82947 Hc Abg Glucose Resp-Gv | $27.20 | $68.00 | — | 15% above | 60% |
| Blood glucose (sugar) test CPT 82947 Hc Glucose Random | $27.20 | $68.00 | — | 15% above | 60% |
| Blood glucose (sugar) test CPT 82947 Hc Glucose Fasting | $27.20 | $68.00 | — | 15% above | 60% |
| Blood glucose (sugar) test inpatient CPT 82947 Hc Abg Glucose Resp-Gv | $27.20 | $68.00 | — | — | 60% |
| Blood glucose (sugar) test inpatient CPT 82947 Hc Glucose Random | $27.20 | $68.00 | — | — | 60% |
| Blood glucose (sugar) test inpatient CPT 82947 Hc Glucose Fasting | $27.20 | $68.00 | — | — | 60% |
| Blood lead test CPT 83655 Hc Lead, Lc | $14.40 | $36.00 | — | 70% below | 60% |
| Blood lead test inpatient CPT 83655 Hc Lead, Lc | $14.40 | $36.00 | — | — | 60% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Hc Hcg Qual (Preg Test Serum) | $78.00 | $195.00 | — | 43% above | 60% |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 Hc Hcg Qual (Preg Test Serum) | $78.00 | $195.00 | — | — | 60% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Hc Resolution Of Abo Discrepancy Community Blood Center | $78.80 | $197.00 | — | 33% above | 60% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Hc Abo Blood Group | $78.80 | $197.00 | — | 33% above | 60% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 Hc Resolution Of Abo Discrepancy Community Blood Center | $78.80 | $197.00 | — | — | 60% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 Hc Abo Blood Group | $78.80 | $197.00 | — | — | 60% |
| Blood urea nitrogen (BUN) test CPT 84520 Hc Bun /Urea Nitrogen | $22.40 | $56.00 | — | 4% below | 60% |
| Blood urea nitrogen (BUN) test CPT 84520 Hc Blood Urea Nitrogen Body Fluid Mayo | $36.00 | $90.00 | — | 54% above | 60% |
| Blood urea nitrogen (BUN) test CPT 84520 Hc Urea Body Fluid, Lc | $76.48 | $191.20 | — | 227% above | 60% |
| Blood urea nitrogen (BUN) test inpatient CPT 84520 Hc Bun /Urea Nitrogen | $22.40 | $56.00 | — | — | 60% |
| Blood urea nitrogen (BUN) test inpatient CPT 84520 Hc Blood Urea Nitrogen Body Fluid Mayo | $36.00 | $90.00 | — | — | 60% |
| Blood urea nitrogen (BUN) test inpatient CPT 84520 Hc Urea Body Fluid, Lc | $76.48 | $191.20 | — | — | 60% |
| C-peptide blood test CPT 84681 Hc C-Peptide, Lc | $19.60 | $49.00 | — | 75% below | 60% |
| C-peptide blood test CPT 84681 Hc C-Peptide Reactivity | $92.00 | $230.00 | — | 16% above | 60% |
| C-peptide blood test inpatient CPT 84681 Hc C-Peptide, Lc | $19.60 | $49.00 | — | — | 60% |
| C-peptide blood test inpatient CPT 84681 Hc C-Peptide Reactivity | $92.00 | $230.00 | — | — | 60% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 Hc C Reactive Protein | $126.40 | $316.00 | — | 152% above | 60% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 Hc C Reactive Protein | $126.40 | $316.00 | — | — | 60% |
| C. difficile toxin gene test (stool PCR) CPT 87493 Hc Clostridium Difficile Toxin Amp Probe | $52.80 | $132.00 | — | 60% below | 60% |
| C. difficile toxin gene test (stool PCR) inpatient CPT 87493 Hc Clostridium Difficile Toxin Amp Probe | $52.80 | $132.00 | — | — | 60% |
| CA 19-9 blood test (tumor marker) CPT 86301 Hc Immunoassay Tumor Antigen, Quantitative, Ca 19-9, Lc | $15.20 | $38.00 | — | 79% below | 60% |
| CA 19-9 blood test (tumor marker) CPT 86301 Hc Tumor Ant Quant: Ca 19-9 | $91.60 | $229.00 | — | 25% above | 60% |
| CA 19-9 blood test (tumor marker) inpatient CPT 86301 Hc Immunoassay Tumor Antigen, Quantitative, Ca 19-9, Lc | $15.20 | $38.00 | — | — | 60% |
| CA 19-9 blood test (tumor marker) inpatient CPT 86301 Hc Tumor Ant Quant: Ca 19-9 | $91.60 | $229.00 | — | — | 60% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 Hc Tumor Ant Quant: Ca 125 | $99.20 | $248.00 | — | 6% above | 60% |
| CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 Hc Tumor Ant Quant: Ca 125 | $99.20 | $248.00 | — | — | 60% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Hc Iadna Sars Covid 19 Amplified Probe | $41.20 | $103.00 | — | 71% below | 60% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Hc Infectious Agent Detection By Nucleic Acid (Dna Or Rna), Sars-Cov-2, Amplified Probe Tech, Diathe | $82.40 | $206.00 | — | 42% below | 60% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Hc Infectious Agent Detection By Nucleic Acid (Dna Or Rna), Sars-Cov-2, Amplified Probe Tech | $82.40 | $206.00 | — | 42% below | 60% |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 Hc Iadna Sars Covid 19 Amplified Probe | $41.20 | $103.00 | — | — | 60% |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 Hc Infectious Agent Detection By Nucleic Acid (Dna Or Rna), Sars-Cov-2, Amplified Probe Tech | $82.40 | $206.00 | — | — | 60% |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 Hc Infectious Agent Detection By Nucleic Acid (Dna Or Rna), Sars-Cov-2, Amplified Probe Tech, Diathe | $82.40 | $206.00 | — | — | 60% |
| Calcium blood test, total CPT 82310 Hc Calcium Serum | $31.60 | $79.00 | — | at median | 60% |
| Calcium blood test, total CPT 82310 Hc Calcium Total, Lc | $35.60 | $89.00 | — | 13% above | 60% |
| Calcium blood test, total inpatient CPT 82310 Hc Calcium Serum | $31.60 | $79.00 | — | — | 60% |
| Calcium blood test, total inpatient CPT 82310 Hc Calcium Total, Lc | $35.60 | $89.00 | — | — | 60% |
| Carcinoembryonic antigen (CEA) test CPT 82378 Hc Carcinoemryonic Antigen (Cea), Lc | $54.00 | $135.00 | — | 38% below | 60% |
| Carcinoembryonic antigen (CEA) test CPT 82378 Hc Cea Plasma | $116.40 | $291.00 | — | 34% above | 60% |
| Carcinoembryonic antigen (CEA) test inpatient CPT 82378 Hc Carcinoemryonic Antigen (Cea), Lc | $54.00 | $135.00 | — | — | 60% |
| Carcinoembryonic antigen (CEA) test inpatient CPT 82378 Hc Cea Plasma | $116.40 | $291.00 | — | — | 60% |
| Chickenpox (varicella) immunity blood test CPT 86787 Hc Varicella Zoster Ab, Lc | $50.40 | $126.00 | — | 13% below | 60% |
| Chickenpox (varicella) immunity blood test CPT 86787 Hc Varicella Zoster Disease | $71.60 | $179.00 | — | 24% above | 60% |
| Chickenpox (varicella) immunity blood test CPT 86787 Hc Varicella Zoster Ab, Csf, Lc | $170.80 | $427.00 | — | 195% above | 60% |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 Hc Varicella Zoster Ab, Lc | $50.40 | $126.00 | — | — | 60% |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 Hc Varicella Zoster Disease | $71.60 | $179.00 | — | — | 60% |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 Hc Varicella Zoster Ab, Csf, Lc | $170.80 | $427.00 | — | — | 60% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Hc Chlamydia Trachmatis Amplified Probe (Dna Or Rna) | $95.60 | $239.00 | — | 3% above | 60% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Hc Chlamydia Trachmatis Diatherix | $206.00 | $515.00 | — | 123% above | 60% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Hc Chlamydia Trachmatis Amplified Probe (Dna Or Rna) | $95.60 | $239.00 | — | — | 60% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Hc Chlamydia Trachmatis Diatherix | $206.00 | $515.00 | — | — | 60% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Hc Lipid Panel, Lc | $27.60 | $69.00 | — | 48% below | 60% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Hc Lipid Profile | $100.00 | $250.00 | — | 89% above | 60% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Hc Lipid Panel, Lc | $27.60 | $69.00 | — | — | 60% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Hc Lipid Profile | $100.00 | $250.00 | — | — | 60% |
| Complete blood count (CBC) with differential CPT 85025 Hc Cbc/Complete Blood Count (Auto Diff) | $46.00 | $115.00 | — | 26% above | 60% |
| Complete blood count (CBC) with differential inpatient CPT 85025 Hc Cbc/Complete Blood Count (Auto Diff) | $46.00 | $115.00 | — | — | 60% |
| Complete blood count (CBC), no differential CPT 85027 Hc Hemogram W/Platelet | $28.40 | $71.00 | — | 16% below | 60% |
| Complete blood count (CBC), no differential inpatient CPT 85027 Hc Hemogram W/Platelet | $28.40 | $71.00 | — | — | 60% |
| Comprehensive metabolic panel (blood test) CPT 80053 Hc Comprehensive Metabolic Panel | $111.20 | $278.00 | — | 75% above | 60% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 Hc Comprehensive Metabolic Panel | $111.20 | $278.00 | — | — | 60% |
| Cortisol blood test, total CPT 82533 Hc Cortisol Total, Lc | $10.00 | $25.00 | — | 86% below | 60% |
| Cortisol blood test, total CPT 82533 Hc Cortisol Total, Salivary, Lc | $40.00 | $100.00 | — | 45% below | 60% |
| Cortisol blood test, total CPT 82533 Hc Cortisol Total | $83.20 | $208.00 | — | 15% above | 60% |
| Cortisol blood test, total inpatient CPT 82533 Hc Cortisol Total, Lc | $10.00 | $25.00 | — | — | 60% |
| Cortisol blood test, total inpatient CPT 82533 Hc Cortisol Total, Salivary, Lc | $40.00 | $100.00 | — | — | 60% |
| Cortisol blood test, total inpatient CPT 82533 Hc Cortisol Total | $83.20 | $208.00 | — | — | 60% |
| Creatine kinase (CK) blood test, total CPT 82550 Hc Creatine Kinase (Ck) /Creatine Phosphokinase (Cpk) Total, Lc | $14.80 | $37.00 | — | 58% below | 60% |
| Creatine kinase (CK) blood test, total CPT 82550 Hc Cpk /Creatine Phosphokinase | $50.80 | $127.00 | — | 44% above | 60% |
| Creatine kinase (CK) blood test, total inpatient CPT 82550 Hc Creatine Kinase (Ck) /Creatine Phosphokinase (Cpk) Total, Lc | $14.80 | $37.00 | — | — | 60% |
| Creatine kinase (CK) blood test, total inpatient CPT 82550 Hc Cpk /Creatine Phosphokinase | $50.80 | $127.00 | — | — | 60% |
| Creatinine blood test CPT 82565 Hc Creatinine Blood, Lc | $12.00 | $30.00 | — | 51% below | 60% |
| Creatinine blood test CPT 82565 Hc Creatinine Blood | $22.40 | $56.00 | — | 9% below | 60% |
| Creatinine blood test inpatient CPT 82565 Hc Creatinine Blood, Lc | $12.00 | $30.00 | — | — | 60% |
| Creatinine blood test inpatient CPT 82565 Hc Creatinine Blood | $22.40 | $56.00 | — | — | 60% |
| Cytomegalovirus (CMV) antibody test CPT 86644 Hc Cytomegalovirus (Cmv) Ab, Lc | $24.40 | $61.00 | — | 64% below | 60% |
| Cytomegalovirus (CMV) antibody test CPT 86644 Hc Cytomegalovirus Antibody Igg | $72.80 | $182.00 | — | 6% above | 60% |
| Cytomegalovirus (CMV) antibody test CPT 86644 Hc Cytomegalovirus Negative Unit | $72.80 | $182.00 | — | 6% above | 60% |
| Cytomegalovirus (CMV) antibody test inpatient CPT 86644 Hc Cytomegalovirus (Cmv) Ab, Lc | $24.40 | $61.00 | — | — | 60% |
| Cytomegalovirus (CMV) antibody test inpatient CPT 86644 Hc Cytomegalovirus Antibody Igg | $72.80 | $182.00 | — | — | 60% |
| Cytomegalovirus (CMV) antibody test inpatient CPT 86644 Hc Cytomegalovirus Negative Unit | $72.80 | $182.00 | — | — | 60% |
| D-dimer blood test (blood clot marker) CPT 85379 Hc D-Dimer Quantitative | $34.40 | $86.00 | — | 51% below | 60% |
| D-dimer blood test (blood clot marker) inpatient CPT 85379 Hc D-Dimer Quantitative | $34.40 | $86.00 | — | — | 60% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 Hc Dehydroepiandrosterone-Sulfate (Dhea-S), Lc | $26.00 | $65.00 | — | 74% below | 60% |
| DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 Hc Dehydroepiandrosterone-Sulfate (Dhea-S), Lc | $26.00 | $65.00 | — | — | 60% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Hc Drug Screen, Presumptive, Any Number Of Drug Classes, By Chem Analyzer, Propoxyphene, Lc | $34.80 | $87.00 | — | 64% below | 60% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Hc Confirmed Drug Abuse 12,U Ref | $40.00 | $100.00 | — | 58% below | 60% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Hc Drug Screen, Presump, Chem Analyzer, Buprenophrine | $55.60 | $139.00 | — | 42% below | 60% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Hc Drug Screen, Presump, Chem Analyzer, Oxycodone | $55.60 | $139.00 | — | 42% below | 60% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Hc Drug Screen, Presump, Chem Analyzer, Pcp | $55.60 | $139.00 | — | 42% below | 60% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Hc Drug Screen, Presump, Chem Analyzer, Methadone | $55.60 | $139.00 | — | 42% below | 60% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Hc Drug Screen, Presumptive, Any Number Of Drug Classes, By Chem Analyzer, Gabapentin, Lc | $60.00 | $150.00 | — | 37% below | 60% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Hc Drug Scrn,Presumpt,Sgle Drug Class List B,By Immuas Or Non-Tlc Chromaw/Out Mass Spectro,Ea Proce | $64.80 | $162.00 | — | 32% below | 60% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Hc Drug Screen Immuno Assay Each Drug Clas | $64.80 | $162.00 | — | 32% below | 60% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Hc Mc Drug Screen Single Class Ech Class | $64.80 | $162.00 | — | 32% below | 60% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Hc Drug Screen :Amphetamine | $64.80 | $162.00 | — | 32% below | 60% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Hc Drug Screen :Barbiturate | $64.80 | $162.00 | — | 32% below | 60% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Hc Drug Screen :Benzodiazepine | $64.80 | $162.00 | — | 32% below | 60% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Hc Drug Screen :Cannabinoids | $64.80 | $162.00 | — | 32% below | 60% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Hc Drug Screen :Opiates | $64.80 | $162.00 | — | 32% below | 60% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Hc Drug Screen :Cocaine | $64.80 | $162.00 | — | 32% below | 60% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Hc Drug Scrn,Any # Drug Class List A;Sgl Method ,By Instrum Test Syst,Per Dos | $64.80 | $162.00 | — | 32% below | 60% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Hc Salicylate | $64.80 | $162.00 | — | 32% below | 60% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Hc Acetaminophen Lab | $64.80 | $162.00 | — | 32% below | 60% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Hc Drug Screen, Any # Drug Class, Sngl/Mult Drug Class Method;Nos Presumptive, Ea Proc | $64.80 | $162.00 | — | 32% below | 60% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Hc Pain Clin Drug Scrn,Any # Drug Clases List A;Sgl Method, By Instr Test Syst,Per Dos | $64.80 | $162.00 | — | 32% below | 60% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Hc Drug Screen, Presumptive, Any Number Of Drug Classes, By Chem Analyzer, Uds 9 + Etoh, Lc | $65.20 | $163.00 | — | 32% below | 60% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Hc Drug Screen, Presumptive, Any Number Of Drug Classes, By Chem Analyzer, Medtox, Lc | $68.00 | $170.00 | — | 29% below | 60% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Hc Drug Screen, Presumptive, Any Number Of Drug Classes, By Chem Analyzer, 9 Urine, Lc | $71.60 | $179.00 | — | 25% below | 60% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Hc Drug Screen, Presumptive, Any Number Of Drug Classes, By Chem Analyzer, Cocaine Meconium, Lc | $91.00 | $227.50 | — | 5% below | 60% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Hc Drugs Of Abuse, Umbilical Cord Testing, Arup | $92.00 | $230.00 | — | 4% below | 60% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Hc Drug Screen, Presumptive, Any Number Of Drug Classes, By Chem Analyzer, Amphetamine Meconium, Lc | $95.60 | $239.00 | — | at median | 60% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Hc Drug Screen, Presump, Any Num Of Drug Class, By Chem Analyzer, Whole Blood 10 Tests, Lc | $113.60 | $284.00 | — | 19% above | 60% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Hc Drug Scr, Presum, Any Num Of Drg Cls, Chem Analy, Drug Screen 13 W/Conf, Lc | $141.60 | $354.00 | — | 48% above | 60% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Hc Drug Screen, Presumptive, Any Number Of Drug Classes, By Chem Analyzer, Comprehensive Uds, Lc | $150.00 | $375.00 | — | 57% above | 60% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Hc Drug Screen, Presumptive, Any Number Of Drug Classes, By Chem Analyzer, Oxycodone, Lc | $162.40 | $406.00 | — | 70% above | 60% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Hc Drug Screen, Presumptive, Any Number Of Drug Classes, By Chem Analyzer, Lc | $220.80 | $552.00 | — | 131% above | 60% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Hc Drug Screen, Presumptive, Any Number Of Drug Classes, By Chem Analyzer, Medical Prof Profile, Lc | $229.60 | $574.00 | — | 140% above | 60% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Hc Drug Screen, Presumptive, Any Number Of Drug Classes, By Chem Analyzer, Opiate Mec, Lc | $258.80 | $647.00 | — | 171% above | 60% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Hc Drug Screen, Presumptive, Any Number Of Drug Classes, By Chem Analyzer, Thc Wb, Lc | $306.40 | $766.00 | — | 221% above | 60% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Hc Drugs Of Abuse Scr,Meconium Ref | $370.80 | $927.00 | — | 288% above | 60% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Hc Drug Screen, Presumptive, Any Number Of Drug Classes, By Chem Analyzer, Propoxyphene, Lc | $34.80 | $87.00 | — | — | 60% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Hc Confirmed Drug Abuse 12,U Ref | $40.00 | $100.00 | — | — | 60% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Hc Drug Screen, Presump, Chem Analyzer, Pcp | $55.60 | $139.00 | — | — | 60% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Hc Drug Screen, Presump, Chem Analyzer, Buprenophrine | $55.60 | $139.00 | — | — | 60% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Hc Drug Screen, Presump, Chem Analyzer, Oxycodone | $55.60 | $139.00 | — | — | 60% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Hc Drug Screen, Presump, Chem Analyzer, Methadone | $55.60 | $139.00 | — | — | 60% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Hc Drug Screen, Presumptive, Any Number Of Drug Classes, By Chem Analyzer, Gabapentin, Lc | $60.00 | $150.00 | — | — | 60% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Hc Drug Screen :Opiates | $64.80 | $162.00 | — | — | 60% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Hc Drug Scrn,Presumpt,Sgle Drug Class List B,By Immuas Or Non-Tlc Chromaw/Out Mass Spectro,Ea Proce | $64.80 | $162.00 | — | — | 60% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Hc Pain Clin Drug Scrn,Any # Drug Clases List A;Sgl Method, By Instr Test Syst,Per Dos | $64.80 | $162.00 | — | — | 60% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Hc Drug Screen, Any # Drug Class, Sngl/Mult Drug Class Method;Nos Presumptive, Ea Proc | $64.80 | $162.00 | — | — | 60% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Hc Acetaminophen Lab | $64.80 | $162.00 | — | — | 60% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Hc Salicylate | $64.80 | $162.00 | — | — | 60% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Hc Drug Scrn,Any # Drug Class List A;Sgl Method ,By Instrum Test Syst,Per Dos | $64.80 | $162.00 | — | — | 60% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Hc Drug Screen :Cocaine | $64.80 | $162.00 | — | — | 60% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Hc Drug Screen :Cannabinoids | $64.80 | $162.00 | — | — | 60% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Hc Drug Screen :Benzodiazepine | $64.80 | $162.00 | — | — | 60% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Hc Drug Screen :Barbiturate | $64.80 | $162.00 | — | — | 60% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Hc Drug Screen :Amphetamine | $64.80 | $162.00 | — | — | 60% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Hc Mc Drug Screen Single Class Ech Class | $64.80 | $162.00 | — | — | 60% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Hc Drug Screen Immuno Assay Each Drug Clas | $64.80 | $162.00 | — | — | 60% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Hc Drug Screen, Presumptive, Any Number Of Drug Classes, By Chem Analyzer, Uds 9 + Etoh, Lc | $65.20 | $163.00 | — | — | 60% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Hc Drug Screen, Presumptive, Any Number Of Drug Classes, By Chem Analyzer, Medtox, Lc | $68.00 | $170.00 | — | — | 60% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Hc Drug Screen, Presumptive, Any Number Of Drug Classes, By Chem Analyzer, 9 Urine, Lc | $71.60 | $179.00 | — | — | 60% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Hc Drug Screen, Presumptive, Any Number Of Drug Classes, By Chem Analyzer, Cocaine Meconium, Lc | $91.00 | $227.50 | — | — | 60% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Hc Drugs Of Abuse, Umbilical Cord Testing, Arup | $92.00 | $230.00 | — | — | 60% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Hc Drug Screen, Presumptive, Any Number Of Drug Classes, By Chem Analyzer, Amphetamine Meconium, Lc | $95.60 | $239.00 | — | — | 60% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Hc Drug Screen, Presump, Any Num Of Drug Class, By Chem Analyzer, Whole Blood 10 Tests, Lc | $113.60 | $284.00 | — | — | 60% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Hc Drug Scr, Presum, Any Num Of Drg Cls, Chem Analy, Drug Screen 13 W/Conf, Lc | $141.60 | $354.00 | — | — | 60% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Hc Drug Screen, Presumptive, Any Number Of Drug Classes, By Chem Analyzer, Comprehensive Uds, Lc | $150.00 | $375.00 | — | — | 60% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Hc Drug Screen, Presumptive, Any Number Of Drug Classes, By Chem Analyzer, Oxycodone, Lc | $162.40 | $406.00 | — | — | 60% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Hc Drug Screen, Presumptive, Any Number Of Drug Classes, By Chem Analyzer, Lc | $220.80 | $552.00 | — | — | 60% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Hc Drug Screen, Presumptive, Any Number Of Drug Classes, By Chem Analyzer, Medical Prof Profile, Lc | $229.60 | $574.00 | — | — | 60% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Hc Drug Screen, Presumptive, Any Number Of Drug Classes, By Chem Analyzer, Opiate Mec, Lc | $258.80 | $647.00 | — | — | 60% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Hc Drug Screen, Presumptive, Any Number Of Drug Classes, By Chem Analyzer, Thc Wb, Lc | $306.40 | $766.00 | — | — | 60% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Hc Drugs Of Abuse Scr,Meconium Ref | $370.80 | $927.00 | — | — | 60% |
| Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 Hc Electrolyte Panel | $62.00 | $155.00 | — | 30% above | 60% |
| Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 Hc Electrolyte Panel | $62.00 | $155.00 | — | — | 60% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 Hc Epstein-Barr (Eb) Virus Ab, Viral Capsid Antigen (Vca), Lc | $51.60 | $129.00 | — | 21% below | 60% |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 Hc Epstein-Barr (Eb) Virus Ab, Viral Capsid Antigen (Vca), Lc | $51.60 | $129.00 | — | — | 60% |
| Estradiol blood test CPT 82670 Hc Estradiol, Lc | $72.40 | $181.00 | — | 35% below | 60% |
| Estradiol blood test CPT 82670 Hc Estradiol Serum | $120.00 | $300.00 | — | 7% above | 60% |
| Estradiol blood test inpatient CPT 82670 Hc Estradiol, Lc | $72.40 | $181.00 | — | — | 60% |
| Estradiol blood test inpatient CPT 82670 Hc Estradiol Serum | $120.00 | $300.00 | — | — | 60% |
| FSH (follicle-stimulating hormone) test CPT 83001 Hc Fsh (Foll Stim Hormone)Serum | $95.20 | $238.00 | — | 11% above | 60% |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 Hc Fsh (Foll Stim Hormone)Serum | $95.20 | $238.00 | — | — | 60% |
| Fecal calprotectin (stool inflammation test) CPT 83993 Hc Calprotectin, Fecal, Lc | $647.60 | $1,619.00 | — | 333% above | 60% |
| Fecal calprotectin (stool inflammation test) inpatient CPT 83993 Hc Calprotectin, Fecal, Lc | $647.60 | $1,619.00 | — | — | 60% |
| Ferritin blood test (iron stores) CPT 82728 Hc Ferritin | $92.80 | $232.00 | — | 22% above | 60% |
| Ferritin blood test (iron stores) inpatient CPT 82728 Hc Ferritin | $92.80 | $232.00 | — | — | 60% |
| Fibrinogen blood test CPT 85384 Hc Fibrinogen Activity, Lc | $42.40 | $106.00 | — | 6% below | 60% |
| Fibrinogen blood test CPT 85384 Hc Fibrinogen Activity | $88.80 | $222.00 | — | 97% above | 60% |
| Fibrinogen blood test inpatient CPT 85384 Hc Fibrinogen Activity, Lc | $42.40 | $106.00 | — | — | 60% |
| Fibrinogen blood test inpatient CPT 85384 Hc Fibrinogen Activity | $88.80 | $222.00 | — | — | 60% |
| Folate (folic acid) blood test CPT 82746 Hc Folate Acid Serum Lab | $97.20 | $243.00 | — | 44% above | 60% |
| Folate (folic acid) blood test inpatient CPT 82746 Hc Folate Acid Serum Lab | $97.20 | $243.00 | — | — | 60% |
| Free T3 thyroid hormone test CPT 84481 Hc Triiodothyronine T3 Free | $94.80 | $237.00 | — | 25% above | 60% |
| Free T3 thyroid hormone test inpatient CPT 84481 Hc Triiodothyronine T3 Free | $94.80 | $237.00 | — | — | 60% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 Hc Free T4 | $94.00 | $235.00 | — | 121% above | 60% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 Hc Thyroxine, Free T4 Dialysis Mass Spec, Lc | $259.20 | $648.00 | — | 510% above | 60% |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 Hc Free T4 | $94.00 | $235.00 | — | — | 60% |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 Hc Thyroxine, Free T4 Dialysis Mass Spec, Lc | $259.20 | $648.00 | — | — | 60% |
| Free testosterone test CPT 84402 Hc Testosterone Free, Lc | $59.60 | $149.00 | — | 39% below | 60% |
| Free testosterone test inpatient CPT 84402 Hc Testosterone Free, Lc | $59.60 | $149.00 | — | — | 60% |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 Hc Ggt /Gamma Glutamyl Transferas | $48.80 | $122.00 | — | 15% above | 60% |
| Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 Hc Ggt /Gamma Glutamyl Transferas | $48.80 | $122.00 | — | — | 60% |
| General health panel: metabolic panel, blood count and TSH in one order CPT 80050 Hc General Health Panel | $227.60 | $569.00 | — | 3% above | 60% |
| General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 Hc General Health Panel | $227.60 | $569.00 | — | — | 60% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 Hc Glucose 2Hr Or 1Hr Postprandial (Glucola) | $29.20 | $73.00 | — | 24% below | 60% |
| Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 Hc Glucose 2Hr Or 1Hr Postprandial (Glucola) | $29.20 | $73.00 | — | — | 60% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Hc Gonorrhea Dna Probe Diatherix | $52.80 | $132.00 | — | 43% below | 60% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Hc Neisseria Gonorrhea Detection By Nucleic Acid (Dna Or Rna), Amplified Probe Tech, Lc | $86.40 | $216.00 | — | 7% below | 60% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Hc Gonorrhea Dna Probe | $95.60 | $239.00 | — | 3% above | 60% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Hc Neisseria Gonorrhoeae, Amplified Probe (Dna Or Rna) | $95.60 | $239.00 | — | 3% above | 60% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 Hc Gonorrhea Dna Probe Diatherix | $52.80 | $132.00 | — | — | 60% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 Hc Neisseria Gonorrhea Detection By Nucleic Acid (Dna Or Rna), Amplified Probe Tech, Lc | $86.40 | $216.00 | — | — | 60% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 Hc Gonorrhea Dna Probe | $95.60 | $239.00 | — | — | 60% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 Hc Neisseria Gonorrhoeae, Amplified Probe (Dna Or Rna) | $95.60 | $239.00 | — | — | 60% |
| H. pylori antibody blood test CPT 86677 Hc Helicobacter Pylori Ab, Lc | $24.00 | $60.00 | — | 68% below | 60% |
| H. pylori antibody blood test CPT 86677 Hc Helicobacter Pylori Ab Igg, Iga, Igm Serum Lab Corp | $40.00 | $100.00 | — | 47% below | 60% |
| H. pylori antibody blood test inpatient CPT 86677 Hc Helicobacter Pylori Ab, Lc | $24.00 | $60.00 | — | — | 60% |
| H. pylori antibody blood test inpatient CPT 86677 Hc Helicobacter Pylori Ab Igg, Iga, Igm Serum Lab Corp | $40.00 | $100.00 | — | — | 60% |
| H. pylori stool antigen test CPT 87338 Hc Helicobacter Pylori Stool | $66.40 | $166.00 | — | 5% below | 60% |
| H. pylori stool antigen test CPT 87338 Hc Helicobacter Pylori Antigen Detection By Immunoassy, Qual Or Semiquant, Multiple Step Method, Lc | $120.80 | $302.00 | — | 73% above | 60% |
| H. pylori stool antigen test inpatient CPT 87338 Hc Helicobacter Pylori Stool | $66.40 | $166.00 | — | — | 60% |
| H. pylori stool antigen test inpatient CPT 87338 Hc Helicobacter Pylori Antigen Detection By Immunoassy, Qual Or Semiquant, Multiple Step Method, Lc | $120.80 | $302.00 | — | — | 60% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 Hc Hiv-1 Detection By Nucleic Acid (Dna Or Rna), Quantification, Includes Reverse Transcription When | $443.60 | $1,109.00 | — | 24% above | 60% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 Hc Hiv-1 Quantification | $443.60 | $1,109.00 | — | 24% above | 60% |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 Hc Hiv-1 Quantification | $443.60 | $1,109.00 | — | — | 60% |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 Hc Hiv-1 Detection By Nucleic Acid (Dna Or Rna), Quantification, Includes Reverse Transcription When | $443.60 | $1,109.00 | — | — | 60% |
| HIV-1 and HIV-2 antibody test CPT 86703 Hc Hiv (Human Immunodef Virus) Ab, Hiv1/Hiv2, Single Result, Lc | $20.00 | $50.00 | — | 68% below | 60% |
| HIV-1 and HIV-2 antibody test CPT 86703 Hc Hiv (Human Immunodef Virus) Hiv1/Hiv2 | $46.40 | $116.00 | — | 25% below | 60% |
| HIV-1 and HIV-2 antibody test inpatient CPT 86703 Hc Hiv (Human Immunodef Virus) Ab, Hiv1/Hiv2, Single Result, Lc | $20.00 | $50.00 | — | — | 60% |
| HIV-1 and HIV-2 antibody test inpatient CPT 86703 Hc Hiv (Human Immunodef Virus) Hiv1/Hiv2 | $46.40 | $116.00 | — | — | 60% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 Hc Hiv 1 Ag W/Hiv 1 & Hiv 2 Ab, Lc | $33.60 | $84.00 | — | 55% below | 60% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 Hc Hiv 1 Ag/Hiv 2 Ab | $63.20 | $158.00 | — | 15% below | 60% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 Hc Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab Needlestick | $63.20 | $158.00 | — | 15% below | 60% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 Hc Hiv 1 Ag W/Hiv 1 & Hiv 2 Ab, Lc | $33.60 | $84.00 | — | — | 60% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 Hc Hiv 1 Ag/Hiv 2 Ab | $63.20 | $158.00 | — | — | 60% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 Hc Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab Needlestick | $63.20 | $158.00 | — | — | 60% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 Hc Hpv | $103.60 | $259.00 | — | 13% below | 60% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 Hc Hpv Ref | $108.80 | $272.00 | — | 8% below | 60% |
| HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 Hc Hpv | $103.60 | $259.00 | — | — | 60% |
| HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 Hc Hpv Ref | $108.80 | $272.00 | — | — | 60% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hc Hgb A1C Glycohemoglobin | $8.00 | $20.00 | — | 82% below | 60% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hc Hemoglobin, Glycosated (A1C), Lc | $94.40 | $236.00 | — | 107% above | 60% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hc Hba1C-Glycohemoglobin | $111.20 | $278.00 | — | 144% above | 60% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 Hc Hgb A1C Glycohemoglobin | $8.00 | $20.00 | — | — | 60% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 Hc Hemoglobin, Glycosated (A1C), Lc | $94.40 | $236.00 | — | — | 60% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 Hc Hba1C-Glycohemoglobin | $111.20 | $278.00 | — | — | 60% |
| Hemoglobin blood test CPT 85018 Hc Abg Hemoglobin Resp-Gv | $16.00 | $40.00 | — | 1% below | 60% |
| Hemoglobin blood test CPT 85018 Hc Hemoglobin | $16.00 | $40.00 | — | 1% below | 60% |
| Hemoglobin blood test inpatient CPT 85018 Hc Hemoglobin | $16.00 | $40.00 | — | — | 60% |
| Hemoglobin blood test inpatient CPT 85018 Hc Abg Hemoglobin Resp-Gv | $16.00 | $40.00 | — | — | 60% |
| Hepatitis B core antibody test (total) CPT 86704 Hc Hepatitis B Core Ab (Hbcab), Total, Lc | $12.00 | $30.00 | — | 78% below | 60% |
| Hepatitis B core antibody test (total) inpatient CPT 86704 Hc Hepatitis B Core Ab (Hbcab), Total, Lc | $12.00 | $30.00 | — | — | 60% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Hc Hepatitis B Surface Ab (Hbsab), Lc | $10.40 | $26.00 | — | 78% below | 60% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Hc Hepatitis B Surface Antibody | $70.40 | $176.00 | — | 46% above | 60% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 Hc Hepatitis B Surface Ab (Hbsab), Lc | $10.40 | $26.00 | — | — | 60% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 Hc Hepatitis B Surface Antibody | $70.40 | $176.00 | — | — | 60% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 Hc Hepatitis B Surface Antigen (Hbsag) Detection By Immunoassay, Qual Or Semiquant, Multiple Step Me | $92.80 | $232.00 | — | 96% above | 60% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 Hc Hepatitis B Surface Antigen | $92.80 | $232.00 | — | 96% above | 60% |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 Hc Hepatitis B Surface Antigen | $92.80 | $232.00 | — | — | 60% |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 Hc Hepatitis B Surface Antigen (Hbsag) Detection By Immunoassay, Qual Or Semiquant, Multiple Step Me | $92.80 | $232.00 | — | — | 60% |
| Hepatitis C antibody blood test (screening) CPT 86803 Hc Hepatitis C Antibody | $109.60 | $274.00 | — | 71% above | 60% |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 Hc Hepatitis C Antibody | $109.60 | $274.00 | — | — | 60% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 Hc Hepatitis C Detection By Nucleic Acid (Dna Or Rna), Quantification, Lc | $571.60 | $1,429.00 | — | 197% above | 60% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 Hc Hepatitis C Quantification | $746.00 | $1,865.00 | — | 288% above | 60% |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 Hc Hepatitis C Detection By Nucleic Acid (Dna Or Rna), Quantification, Lc | $571.60 | $1,429.00 | — | — | 60% |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 Hc Hepatitis C Quantification | $746.00 | $1,865.00 | — | — | 60% |
| Herpes blood test, HSV-1 antibody CPT 86695 Hc Herpes Simplex Ab, Type 1, Lc | $42.00 | $105.00 | — | 29% below | 60% |
| Herpes blood test, HSV-1 antibody CPT 86695 Hc Hsv 1 Igg | $63.60 | $159.00 | — | 8% above | 60% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 Hc Herpes Simplex Ab, Type 1, Lc | $42.00 | $105.00 | — | — | 60% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 Hc Hsv 1 Igg | $63.60 | $159.00 | — | — | 60% |
| Herpes blood test, HSV-2 antibody CPT 86696 Hc Herpes Simplex, Type 2, Ab, Lc | $58.80 | $147.00 | — | 11% below | 60% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 Hc Herpes Simplex, Type 2, Ab, Lc | $58.80 | $147.00 | — | — | 60% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 Hc C Reactive Protien High Sensitivity | $126.40 | $316.00 | — | 87% above | 60% |
| High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 Hc C Reactive Protien High Sensitivity | $126.40 | $316.00 | — | — | 60% |
| Homocysteine blood test CPT 83090 Hc Homocystine | $133.20 | $333.00 | — | 65% above | 60% |
| Homocysteine blood test inpatient CPT 83090 Hc Homocystine | $133.20 | $333.00 | — | — | 60% |
| Insulin blood test CPT 83525 Hc Insulin Total, Lc | $15.20 | $38.00 | — | 70% below | 60% |
| Insulin blood test inpatient CPT 83525 Hc Insulin Total, Lc | $15.20 | $38.00 | — | — | 60% |
| Iron blood test (serum iron) CPT 83540 Hc Iron, Lc | $14.80 | $37.00 | — | 61% below | 60% |
| Iron blood test (serum iron) CPT 83540 Hc Iron | $31.20 | $78.00 | — | 18% below | 60% |
| Iron blood test (serum iron) inpatient CPT 83540 Hc Iron, Lc | $14.80 | $37.00 | — | — | 60% |
| Iron blood test (serum iron) inpatient CPT 83540 Hc Iron | $31.20 | $78.00 | — | — | 60% |
| Iron-binding capacity (TIBC) test CPT 83550 Hc Total Iron Binding Capacity | $34.80 | $87.00 | — | 11% below | 60% |
| Iron-binding capacity (TIBC) test inpatient CPT 83550 Hc Total Iron Binding Capacity | $34.80 | $87.00 | — | — | 60% |
| Kidney function blood test panel CPT 80069 Hc Renal Chemistry Panel | $86.40 | $216.00 | — | 20% above | 60% |
| Kidney function blood test panel inpatient CPT 80069 Hc Renal Chemistry Panel | $86.40 | $216.00 | — | — | 60% |
| LH (luteinizing hormone) test CPT 83002 Hc Luteinizing Hormone | $108.00 | $270.00 | — | 13% above | 60% |
| LH (luteinizing hormone) test inpatient CPT 83002 Hc Luteinizing Hormone | $108.00 | $270.00 | — | — | 60% |
| Lactate (lactic acid) blood test CPT 83605 Hc Lactate /Lactic Acid | $46.40 | $116.00 | — | 11% below | 60% |
| Lactate (lactic acid) blood test inpatient CPT 83605 Hc Lactate /Lactic Acid | $46.40 | $116.00 | — | — | 60% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 Hc Lactate Dehydrogenase (Ld) (Ldh) Enzyme, Lc | $14.80 | $37.00 | — | 46% below | 60% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 Hc Ldh /Lactate Dehydrogenase | $42.40 | $106.00 | — | 55% above | 60% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 Hc Ldh Fluid | $42.40 | $106.00 | — | 55% above | 60% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 Hc Lactate Dehydrogenase Body Fluid Mayo | $67.60 | $169.00 | — | 148% above | 60% |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 Hc Lactate Dehydrogenase (Ld) (Ldh) Enzyme, Lc | $14.80 | $37.00 | — | — | 60% |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 Hc Ldh Fluid | $42.40 | $106.00 | — | — | 60% |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 Hc Ldh /Lactate Dehydrogenase | $42.40 | $106.00 | — | — | 60% |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 Hc Lactate Dehydrogenase Body Fluid Mayo | $67.60 | $169.00 | — | — | 60% |
| Lipase blood test (pancreas enzyme) CPT 83690 Hc Lipase Serum | $67.20 | $168.00 | — | 15% above | 60% |
| Lipase blood test (pancreas enzyme) CPT 83690 Hc Lipase Body Fluid Mayo Ref | $68.80 | $172.00 | — | 18% above | 60% |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 Hc Lipase Serum | $67.20 | $168.00 | — | — | 60% |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 Hc Lipase Body Fluid Mayo Ref | $68.80 | $172.00 | — | — | 60% |
| Liver function blood test panel CPT 80076 Hc Hepatic/Liver Function Panel | $86.40 | $216.00 | — | 43% above | 60% |
| Liver function blood test panel inpatient CPT 80076 Hc Hepatic/Liver Function Panel | $86.40 | $216.00 | — | — | 60% |
| Lyme disease antibody test CPT 86618 Hc Borrelia Burgdorferi (Lyme Disease) Ab, Lc | $35.60 | $89.00 | — | 54% below | 60% |
| Lyme disease antibody test inpatient CPT 86618 Hc Borrelia Burgdorferi (Lyme Disease) Ab, Lc | $35.60 | $89.00 | — | — | 60% |
| Magnesium blood test CPT 83735 Hc Urine Magnesium, Lc | $31.20 | $78.00 | — | 8% below | 60% |
| Magnesium blood test CPT 83735 Hc Magnesium Blood Or Urine | $60.40 | $151.00 | — | 79% above | 60% |
| Magnesium blood test inpatient CPT 83735 Hc Urine Magnesium, Lc | $31.20 | $78.00 | — | — | 60% |
| Magnesium blood test inpatient CPT 83735 Hc Magnesium Blood Or Urine | $60.40 | $151.00 | — | — | 60% |
| Measles (rubeola) antibody test CPT 86765 Hc Rubeola Ab, Lc | $31.60 | $79.00 | — | 45% below | 60% |
| Measles (rubeola) antibody test CPT 86765 Hc Rubeola | $64.80 | $162.00 | — | 13% above | 60% |
| Measles (rubeola) antibody test CPT 86765 Hc Rubeola Ab, Igm, Lc | $107.00 | $267.50 | — | 87% above | 60% |
| Measles (rubeola) antibody test inpatient CPT 86765 Hc Rubeola Ab, Lc | $31.60 | $79.00 | — | — | 60% |
| Measles (rubeola) antibody test inpatient CPT 86765 Hc Rubeola | $64.80 | $162.00 | — | — | 60% |
| Measles (rubeola) antibody test inpatient CPT 86765 Hc Rubeola Ab, Igm, Lc | $107.00 | $267.50 | — | — | 60% |
| Mono test (heterophile antibody, Monospot) CPT 86308 Hc Mononucleosis Test | $68.00 | $170.00 | — | 28% above | 60% |
| Mono test (heterophile antibody, Monospot) inpatient CPT 86308 Hc Mononucleosis Test | $68.00 | $170.00 | — | — | 60% |
| Mumps immunity blood test CPT 86735 Hc Mumps Ab, Lc | $38.80 | $97.00 | — | 34% below | 60% |
| Mumps immunity blood test CPT 86735 Hc Mumps | $71.60 | $179.00 | — | 22% above | 60% |
| Mumps immunity blood test inpatient CPT 86735 Hc Mumps Ab, Lc | $38.80 | $97.00 | — | — | 60% |
| Mumps immunity blood test inpatient CPT 86735 Hc Mumps | $71.60 | $179.00 | — | — | 60% |
| Obstetric blood test panel CPT 80055 Hc Obstetric Panel | $100.80 | $252.00 | — | 53% below | 60% |
| Obstetric blood test panel inpatient CPT 80055 Hc Obstetric Panel | $100.80 | $252.00 | — | — | 60% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 Hc Psa (Free) | $90.40 | $226.00 | — | 10% above | 60% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 Hc Psa (Free) | $90.40 | $226.00 | — | — | 60% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 Hc Psa Total | $102.00 | $255.00 | — | 29% above | 60% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 Hc Psa Total | $102.00 | $255.00 | — | — | 60% |
| Pap test (liquid-based, automated screening with review) CPT 88175 Hc Pap Automated W/Review | $145.60 | $364.00 | — | 49% above | 60% |
| Pap test (liquid-based, automated screening with review) inpatient CPT 88175 Hc Pap Automated W/Review | $145.60 | $364.00 | — | — | 60% |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 Hc Pap C/V Thin Layer | $90.00 | $225.00 | — | 1% below | 60% |
| Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 Hc Pap C/V Thin Layer | $90.00 | $225.00 | — | — | 60% |
| Parathyroid hormone (PTH) blood test CPT 83970 Hc Parathormone (Parathyroid Hormone) (Pth), Lc | $24.00 | $60.00 | — | 83% below | 60% |
| Parathyroid hormone (PTH) blood test CPT 83970 Hc Pth /Parathyroid Hormone | $193.60 | $484.00 | — | 37% above | 60% |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 Hc Parathormone (Parathyroid Hormone) (Pth), Lc | $24.00 | $60.00 | — | — | 60% |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 Hc Pth /Parathyroid Hormone | $193.60 | $484.00 | — | — | 60% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Hc Thromboplastin Time, Partial (Ptt), Plasma Or Whole Blood, Lc | $18.00 | $45.00 | — | 52% below | 60% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Hc Ptt /Partial Thromboplast Time | $71.20 | $178.00 | — | 90% above | 60% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Hc Thromboplastin Time, Partial (Ptt), Plasma Or Whole Blood, Lc | $18.00 | $45.00 | — | — | 60% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Hc Ptt /Partial Thromboplast Time | $71.20 | $178.00 | — | — | 60% |
| Phosphorus (phosphate) blood test CPT 84100 Hc Phosphorus Inorganic (Phosphate), Lc | $12.00 | $30.00 | — | 66% below | 60% |
| Phosphorus (phosphate) blood test CPT 84100 Hc Phosphorus Serum | $35.20 | $88.00 | — | 2% below | 60% |
| Phosphorus (phosphate) blood test inpatient CPT 84100 Hc Phosphorus Inorganic (Phosphate), Lc | $12.00 | $30.00 | — | — | 60% |
| Phosphorus (phosphate) blood test inpatient CPT 84100 Hc Phosphorus Serum | $35.20 | $88.00 | — | — | 60% |
| Potassium blood test CPT 84132 Hc Abg Potassium Resp-Gv | $22.00 | $55.00 | — | 6% below | 60% |
| Potassium blood test CPT 84132 Hc Potassium Serum | $22.00 | $55.00 | — | 6% below | 60% |
| Potassium blood test inpatient CPT 84132 Hc Potassium Serum | $22.00 | $55.00 | — | — | 60% |
| Potassium blood test inpatient CPT 84132 Hc Abg Potassium Resp-Gv | $22.00 | $55.00 | — | — | 60% |
| Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 Hc Fetal Chromosomal Aneuploidy Genomic Sequence Analysis, Maternit21, Lc | $601.75 | $1,504.38 | — | 59% below | 60% |
| Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) inpatient CPT 81420 Hc Fetal Chromosomal Aneuploidy Genomic Sequence Analysis, Maternit21, Lc | $601.75 | $1,504.38 | — | — | 60% |
| Progesterone blood test CPT 84144 Hc Progesterone, Lc | $34.80 | $87.00 | — | 57% below | 60% |
| Progesterone blood test CPT 84144 Hc Progesterone | $116.00 | $290.00 | — | 43% above | 60% |
| Progesterone blood test inpatient CPT 84144 Hc Progesterone, Lc | $34.80 | $87.00 | — | — | 60% |
| Progesterone blood test inpatient CPT 84144 Hc Progesterone | $116.00 | $290.00 | — | — | 60% |
| Prolactin blood test CPT 84146 Hc Prolactin, Lc | $14.40 | $36.00 | — | 83% below | 60% |
| Prolactin blood test CPT 84146 Hc Macroprolactin, Lc | $43.20 | $108.00 | — | 50% below | 60% |
| Prolactin blood test CPT 84146 Hc Prolactin | $120.40 | $301.00 | — | 38% above | 60% |
| Prolactin blood test inpatient CPT 84146 Hc Prolactin, Lc | $14.40 | $36.00 | — | — | 60% |
| Prolactin blood test inpatient CPT 84146 Hc Macroprolactin, Lc | $43.20 | $108.00 | — | — | 60% |
| Prolactin blood test inpatient CPT 84146 Hc Prolactin | $120.40 | $301.00 | — | — | 60% |
| Prothrombin time (PT/INR) clotting test CPT 85610 Hc Prothrombin Time, Lc | $14.40 | $36.00 | — | 40% below | 60% |
| Prothrombin time (PT/INR) clotting test CPT 85610 Hc Coagucheck Map | $20.80 | $52.00 | — | 14% below | 60% |
| Prothrombin time (PT/INR) clotting test CPT 85610 Hc Prothrombin Time | $35.60 | $89.00 | — | 48% above | 60% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Hc Prothrombin Time, Lc | $14.40 | $36.00 | — | — | 60% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Hc Coagucheck Map | $20.80 | $52.00 | — | — | 60% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Hc Prothrombin Time | $35.60 | $89.00 | — | — | 60% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 Hc Drug Scrn Qualtative Multiple Drug Clss | $46.00 | $115.00 | — | 20% below | 60% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 Hc S A Screen (Dot) | $151.60 | $379.00 | — | 162% above | 60% |
| Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 Hc Drug Scrn Qualtative Multiple Drug Clss | $46.00 | $115.00 | — | — | 60% |
| Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 Hc S A Screen (Dot) | $151.60 | $379.00 | — | — | 60% |
| Rapid flu test (influenza antigen) CPT 87804 Hc Influenza Microbiology | $13.60 | $34.00 | — | 79% below | 60% |
| Rapid flu test (influenza antigen) inpatient CPT 87804 Hc Influenza Microbiology | $13.60 | $34.00 | — | — | 60% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 Hc Strep A Screen | $13.60 | $34.00 | — | 76% below | 60% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 Hc Strep Screen | $30.40 | $76.00 | — | 47% below | 60% |
| Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 Hc Strep A Screen | $13.60 | $34.00 | — | — | 60% |
| Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 Hc Strep Screen | $30.40 | $76.00 | — | — | 60% |
| Renin blood test CPT 84244 Hc Renin, Lc | $56.40 | $141.00 | — | 34% below | 60% |
| Renin blood test inpatient CPT 84244 Hc Renin, Lc | $56.40 | $141.00 | — | — | 60% |
| Rh blood typing CPT 86901 Hc Rho D Type | $90.40 | $226.00 | — | 142% above | 60% |
| Rh blood typing CPT 86901 Hc Blood Typing, Serologic; Rh (D), Weak D, Lc | $408.00 | $1,020.00 | — | 994% above | 60% |
| Rh blood typing inpatient CPT 86901 Hc Rho D Type | $90.40 | $226.00 | — | — | 60% |
| Rh blood typing inpatient CPT 86901 Hc Blood Typing, Serologic; Rh (D), Weak D, Lc | $408.00 | $1,020.00 | — | — | 60% |
| Rheumatoid factor (RF) test CPT 86431 Hc Rheumatoid Factor; Quant, Lc | $8.80 | $22.00 | — | 73% below | 60% |
| Rheumatoid factor (RF) test CPT 86431 Hc Rheumatoid Factor | $117.20 | $293.00 | — | 254% above | 60% |
| Rheumatoid factor (RF) test inpatient CPT 86431 Hc Rheumatoid Factor; Quant, Lc | $8.80 | $22.00 | — | — | 60% |
| Rheumatoid factor (RF) test inpatient CPT 86431 Hc Rheumatoid Factor | $117.20 | $293.00 | — | — | 60% |
| Rubella antibody test (immunity check) CPT 86762 Hc Rubella Ab, Lc | $10.40 | $26.00 | — | 79% below | 60% |
| Rubella antibody test (immunity check) CPT 86762 Hc Rubella Ab, Igm, Lc | $41.60 | $104.00 | — | 15% below | 60% |
| Rubella antibody test (immunity check) CPT 86762 Hc Antibody Rubella | $105.60 | $264.00 | — | 115% above | 60% |
| Rubella antibody test (immunity check) inpatient CPT 86762 Hc Rubella Ab, Lc | $10.40 | $26.00 | — | — | 60% |
| Rubella antibody test (immunity check) inpatient CPT 86762 Hc Rubella Ab, Igm, Lc | $41.60 | $104.00 | — | — | 60% |
| Rubella antibody test (immunity check) inpatient CPT 86762 Hc Antibody Rubella | $105.60 | $264.00 | — | — | 60% |
| Sodium blood test CPT 84295 Hc Sodium | $27.20 | $68.00 | — | at median | 60% |
| Sodium blood test CPT 84295 Hc Abg Sodium Resp-Gv | $27.20 | $68.00 | — | at median | 60% |
| Sodium blood test inpatient CPT 84295 Hc Sodium | $27.20 | $68.00 | — | — | 60% |
| Sodium blood test inpatient CPT 84295 Hc Abg Sodium Resp-Gv | $27.20 | $68.00 | — | — | 60% |
| Stool ova and parasites exam CPT 87177 Hc Ova And Parasites, Direct Smears, Concentration And Identification, Lc | $71.20 | $178.00 | — | 80% above | 60% |
| Stool ova and parasites exam CPT 87177 Hc Ova And Parasites | $107.60 | $269.00 | — | 171% above | 60% |
| Stool ova and parasites exam inpatient CPT 87177 Hc Ova And Parasites, Direct Smears, Concentration And Identification, Lc | $71.20 | $178.00 | — | — | 60% |
| Stool ova and parasites exam inpatient CPT 87177 Hc Ova And Parasites | $107.60 | $269.00 | — | — | 60% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 Hc Hemoccult Screen 1-3 Spec | $8.80 | $22.00 | — | 69% below | 60% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 Hc Occult Blood - Feces | $8.80 | $22.00 | — | 69% below | 60% |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 Hc Occult Blood - Feces | $8.80 | $22.00 | — | — | 60% |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 Hc Hemoccult Screen 1-3 Spec | $8.80 | $22.00 | — | — | 60% |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 Hc Blood Occult Fecal Hgb Immunoassay | $47.60 | $119.00 | — | 11% below | 60% |
| Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 Hc Blood Occult Fecal Hgb Immunoassay | $47.60 | $119.00 | — | — | 60% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 Hc Antibody; Treponema Pallidum | $23.60 | $59.00 | — | 59% below | 60% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 Hc Treponema Pallidum Ab, Lc | $30.80 | $77.00 | — | 47% below | 60% |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 Hc Antibody; Treponema Pallidum | $23.60 | $59.00 | — | — | 60% |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 Hc Treponema Pallidum Ab, Lc | $30.80 | $77.00 | — | — | 60% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Hc Syphilis Test, Non-Reponemal Ab, Qualitative (Vcrl, Rpr, Art), Lc | $14.00 | $35.00 | — | 41% below | 60% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Hc Syphilis Test Rpr,Vdrl | $59.20 | $148.00 | — | 148% above | 60% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 Hc Syphilis Test, Non-Reponemal Ab, Qualitative (Vcrl, Rpr, Art), Lc | $14.00 | $35.00 | — | — | 60% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 Hc Syphilis Test Rpr,Vdrl | $59.20 | $148.00 | — | — | 60% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 Hc Quantiferon Tb Test, Lc | $111.20 | $278.00 | — | 5% below | 60% |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 Hc Quantiferon Tb Test, Lc | $111.20 | $278.00 | — | — | 60% |
| Testosterone blood test, total (not free testosterone) CPT 84403 Hc Testosterone Total, Lc | $27.20 | $68.00 | — | 70% below | 60% |
| Testosterone blood test, total (not free testosterone) CPT 84403 Hc Testosterone Serum | $132.00 | $330.00 | — | 43% above | 60% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Hc Testosterone Total, Lc | $27.20 | $68.00 | — | — | 60% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Hc Testosterone Serum | $132.00 | $330.00 | — | — | 60% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 Hc Microsomal Ab, Each, Lc | $45.20 | $113.00 | — | 30% below | 60% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Hc Microsomal Ab, Each, Lc | $45.20 | $113.00 | — | — | 60% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 Hc Tsh (Thyroid Stimulat Hormone) | $75.20 | $188.00 | — | at median | 60% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 Hc Tsh (Thyroid Stimulat Hormone) | $75.20 | $188.00 | — | — | 60% |
| Total IgE blood test CPT 82785 Hc Gammaglobulin (Immunoglobulin); Ige, Lc | $22.00 | $55.00 | — | 65% below | 60% |
| Total IgE blood test inpatient CPT 82785 Hc Gammaglobulin (Immunoglobulin); Ige, Lc | $22.00 | $55.00 | — | — | 60% |
| Total cholesterol blood test CPT 82465 Hc Cholesterol | $44.40 | $111.00 | — | 21% above | 60% |
| Total cholesterol blood test inpatient CPT 82465 Hc Cholesterol | $44.40 | $111.00 | — | — | 60% |
| Total thyroxine (T4) blood test CPT 84436 Hc Thyroxine Total, Lc | $10.00 | $25.00 | — | 76% below | 60% |
| Total thyroxine (T4) blood test CPT 84436 Hc T 4 | $82.80 | $207.00 | — | 98% above | 60% |
| Total thyroxine (T4) blood test inpatient CPT 84436 Hc Thyroxine Total, Lc | $10.00 | $25.00 | — | — | 60% |
| Total thyroxine (T4) blood test inpatient CPT 84436 Hc T 4 | $82.80 | $207.00 | — | — | 60% |
| Total triiodothyronine (T3) blood test CPT 84480 Hc Triiodothyronine T3 Total (Tt-3), Lc | $16.00 | $40.00 | — | 73% below | 60% |
| Total triiodothyronine (T3) blood test inpatient CPT 84480 Hc Triiodothyronine T3 Total (Tt-3), Lc | $16.00 | $40.00 | — | — | 60% |
| Transferrin blood test CPT 84466 Hc Transferrin | $104.00 | $260.00 | — | 40% above | 60% |
| Transferrin blood test inpatient CPT 84466 Hc Transferrin | $104.00 | $260.00 | — | — | 60% |
| Trichomonas test (NAAT) CPT 87661 Hc Trichomonas Detection By Nucleic Acid (Dna Or Rna), Amplified Probe Tech, Lc | $86.40 | $216.00 | — | at median | 60% |
| Trichomonas test (NAAT) CPT 87661 Hc Trichomonas Vaginalis Amplif | $99.60 | $249.00 | — | 15% above | 60% |
| Trichomonas test (NAAT) inpatient CPT 87661 Hc Trichomonas Detection By Nucleic Acid (Dna Or Rna), Amplified Probe Tech, Lc | $86.40 | $216.00 | — | — | 60% |
| Trichomonas test (NAAT) inpatient CPT 87661 Hc Trichomonas Vaginalis Amplif | $99.60 | $249.00 | — | — | 60% |
| Triglycerides blood test CPT 84478 Hc Triglycerides, Self Pay Kh K&V | $3.20 | $8.00 | — | 91% below | 60% |
| Triglycerides blood test CPT 84478 Hc Triglycerides | $59.20 | $148.00 | — | 72% above | 60% |
| Triglycerides blood test inpatient CPT 84478 Hc Triglycerides, Self Pay Kh K&V | $3.20 | $8.00 | — | — | 60% |
| Triglycerides blood test inpatient CPT 84478 Hc Triglycerides | $59.20 | $148.00 | — | — | 60% |
| Troponin test, quantitative CPT 84484 Hc Troponin Quantitative | $92.00 | $230.00 | — | 10% above | 60% |
| Troponin test, quantitative inpatient CPT 84484 Hc Troponin Quantitative | $92.00 | $230.00 | — | — | 60% |
| Uric acid blood test CPT 84550 Hc Uric Acid | $35.20 | $88.00 | — | at median | 60% |
| Uric acid blood test inpatient CPT 84550 Hc Uric Acid | $35.20 | $88.00 | — | — | 60% |
| Urinalysis with microscope exam, automated CPT 81001 Hc Urinalysis Routine With Micro | $26.40 | $66.00 | — | 2% below | 60% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 Hc Urinalysis Routine With Micro | $26.40 | $66.00 | — | — | 60% |
| Urinalysis with microscope exam, manual CPT 81000 Hc Ictotest, Bilirubin Confirmation W/ Tablet | $8.80 | $22.00 | — | 52% below | 60% |
| Urinalysis with microscope exam, manual CPT 81000 Hc Specific Gravity Urine | $16.00 | $40.00 | — | 12% below | 60% |
| Urinalysis with microscope exam, manual inpatient CPT 81000 Hc Ictotest, Bilirubin Confirmation W/ Tablet | $8.80 | $22.00 | — | — | 60% |
| Urinalysis with microscope exam, manual inpatient CPT 81000 Hc Specific Gravity Urine | $16.00 | $40.00 | — | — | 60% |
| Urinalysis without microscope exam, automated CPT 81003 Hc Urinalysis, Auto, W/O Microscopy | $4.80 | $12.00 | — | 79% below | 60% |
| Urinalysis without microscope exam, automated CPT 81003 Hc Ua, Lc | $10.40 | $26.00 | — | 56% below | 60% |
| Urinalysis without microscope exam, automated CPT 81003 Hc Urinalysis Routine W/O Micro | $19.20 | $48.00 | — | 18% below | 60% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Hc Urinalysis, Auto, W/O Microscopy | $4.80 | $12.00 | — | — | 60% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Hc Ua, Lc | $10.40 | $26.00 | — | — | 60% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Hc Urinalysis Routine W/O Micro | $19.20 | $48.00 | — | — | 60% |
| Urinalysis without microscope exam, manual CPT 81002 Hc Urine Multistck | $6.40 | $16.00 | — | 60% below | 60% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 Hc Urine Multistck | $6.40 | $16.00 | — | — | 60% |
| Urine culture for bacteria, with colony count CPT 87086 Hc Urine Culture, Bacterial, Quant Colony Count, Lc | $43.60 | $109.00 | — | 23% below | 60% |
| Urine culture for bacteria, with colony count CPT 87086 Hc Culture, Urine With Colony Cnt | $68.80 | $172.00 | — | 21% above | 60% |
| Urine culture for bacteria, with colony count inpatient CPT 87086 Hc Urine Culture, Bacterial, Quant Colony Count, Lc | $43.60 | $109.00 | — | — | 60% |
| Urine culture for bacteria, with colony count inpatient CPT 87086 Hc Culture, Urine With Colony Cnt | $68.80 | $172.00 | — | — | 60% |
| Urine microalbumin (albumin) test CPT 82043 Hc Urine Microalbumin, Quant | $62.40 | $156.00 | — | 23% above | 60% |
| Urine microalbumin (albumin) test inpatient CPT 82043 Hc Urine Microalbumin, Quant | $62.40 | $156.00 | — | — | 60% |
| Urine pregnancy test, read by color change CPT 81025 Hc Pregnancy Test Urine | $21.60 | $54.00 | — | 56% below | 60% |
| Urine pregnancy test, read by color change CPT 81025 Hc Pregnancy Test-Urine | $71.20 | $178.00 | — | 46% above | 60% |
| Urine pregnancy test, read by color change inpatient CPT 81025 Hc Pregnancy Test Urine | $21.60 | $54.00 | — | — | 60% |
| Urine pregnancy test, read by color change inpatient CPT 81025 Hc Pregnancy Test-Urine | $71.20 | $178.00 | — | — | 60% |
| Vitamin B12 (cobalamin) blood test CPT 82607 Hc Vitamin B12 Lab | $97.20 | $243.00 | — | 31% above | 60% |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 Hc Vitamin B12 Lab | $97.20 | $243.00 | — | — | 60% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Hc Vitamin D 25 Hydroxy, Lc | $164.40 | $411.00 | — | 74% above | 60% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Hc Vitamin D, 25 Oh | $248.00 | $620.00 | — | 163% above | 60% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 Hc Vitamin D 25 Hydroxy, Lc | $164.40 | $411.00 | — | — | 60% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 Hc Vitamin D, 25 Oh | $248.00 | $620.00 | — | — | 60% |
| Vitamin D, 1,25-dihydroxy blood test CPT 82652 Hc Vitamin D 1, 25-Dihydroxy, Lc | $78.00 | $195.00 | — | 49% below | 60% |
| Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 Hc Vitamin D 1, 25-Dihydroxy, Lc | $78.00 | $195.00 | — | — | 60% |
| Zinc blood test CPT 84630 Hc Zinc, Lc | $19.60 | $49.00 | — | 62% below | 60% |
| Zinc blood test inpatient CPT 84630 Hc Zinc, Lc | $19.60 | $49.00 | — | — | 60% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Hc Gonadotropin, Chorionic (Hcg), Quant, Lc | $72.00 | $180.00 | — | 7% above | 60% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Hc Hcg Beta Subunit Quant Serum | $113.20 | $283.00 | — | 67% above | 60% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 Hc Gonadotropin, Chorionic (Hcg), Quant, Lc | $72.00 | $180.00 | — | — | 60% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 Hc Hcg Beta Subunit Quant Serum | $113.20 | $283.00 | — | — | 60% |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Ohio | Off list |
|---|---|---|---|---|---|
| Botox injections for chronic migraine CPT 64615 Hc Chemodenerv Musc Migraine | $339.20 | $848.00 | — | 39% below | 60% |
| Botox injections for chronic migraine inpatient CPT 64615 Hc Chemodenerv Musc Migraine | $339.20 | $848.00 | — | — | 60% |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 Hc Breast Bx Percu W/Wout Loc Device, Strtctc, 1St Lesion | $2,798.40 | $6,996.00 | — | 30% below | 60% |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 Hc Breast Bx Percu W/Wout Loc Device, Strtctc, 1St Lesion | $2,798.40 | $6,996.00 | — | — | 60% |
| Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 Hc Closed Tx Distal Fib Fx Lat Mal Wo Manip | $267.60 | $669.00 | — | 29% below | 60% |
| Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 Hc Closed Tx Distal Fib Fx Lat Mal Wo Manip | $267.60 | $669.00 | — | — | 60% |
| Broken foot (metatarsal) treatment without surgery or setting CPT 28470 Hc Closed Tx Metatarsal Fx Wo Manip Each | $267.60 | $669.00 | — | 26% below | 60% |
| Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 Hc Closed Tx Metatarsal Fx Wo Manip Each | $267.60 | $669.00 | — | — | 60% |
| Cardiac catheterization with coronary angiogram one side CPT 93458 Hc Cplace Coro Art W/Lt Hrt Cth W/Inj | $14,159.60 | $35,399.00 | — | 18% above | 60% |
| Cardiac catheterization with coronary angiogram inpatient one side CPT 93458 Hc Cplace Coro Art W/Lt Hrt Cth W/Inj | $14,159.60 | $35,399.00 | — | — | 60% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 Hc Cardioversion/Defib External | $1,890.00 | $4,725.00 | — | 8% below | 60% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 Hc Elective Cardiover, Ext | $1,890.00 | $4,725.00 | — | 8% below | 60% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 Hc Elective Cardiover, Ext | $1,890.00 | $4,725.00 | — | — | 60% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 Hc Cardioversion/Defib External | $1,890.00 | $4,725.00 | — | — | 60% |
| Catheter ablation for atrial fibrillation CPT 93656 Hc Ep & Ablate Af By Pulm Vein Isol W/Transseptal Include Map | $21,833.20 | $54,583.00 | — | 36% below | 60% |
| Catheter ablation for atrial fibrillation inpatient CPT 93656 Hc Ep & Ablate Af By Pulm Vein Isol W/Transseptal Include Map | $21,833.20 | $54,583.00 | — | — | 60% |
| Cervical biopsy CPT 57500 Hc Biopsy/Excision Lesion Cervix | $822.00 | $2,055.00 | — | 53% below | 60% |
| Cervical biopsy CPT 57500 Hc Cervical Bx | $889.60 | $2,224.00 | — | 49% below | 60% |
| Cervical biopsy inpatient CPT 57500 Hc Biopsy/Excision Lesion Cervix | $822.00 | $2,055.00 | — | — | 60% |
| Cervical biopsy inpatient CPT 57500 Hc Cervical Bx | $889.60 | $2,224.00 | — | — | 60% |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 Hc Nn-Circumcision Newborn W/Cl | $2,808.40 | $7,021.00 | — | 59% above | 60% |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 Hc Nn-Circumcision Newborn W/Cl | $2,808.40 | $7,021.00 | — | — | 60% |
| Circumcision, surgical, older than a newborn CPT 54160 Hc Nn-Circumcision Newborn Wo/Clamp | $2,808.40 | $7,021.00 | — | 41% above | 60% |
| Circumcision, surgical, older than a newborn inpatient CPT 54160 Hc Nn-Circumcision Newborn Wo/Clamp | $2,808.40 | $7,021.00 | — | — | 60% |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 Hc Cld Tx Distal Radial Fx W/O Manip | $232.80 | $582.00 | — | 43% below | 60% |
| Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 Hc Cld Tx Distal Radial Fx W/O Manip | $232.80 | $582.00 | — | — | 60% |
| Colposcopy with LEEP (loop electrosurgical excision) CPT 57460 Hc Colposcopy Cervix W/Loop Biopsy | $2,649.60 | $6,624.00 | — | 32% below | 60% |
| Colposcopy with LEEP (loop electrosurgical excision) inpatient CPT 57460 Hc Colposcopy Cervix W/Loop Biopsy | $2,649.60 | $6,624.00 | — | — | 60% |
| Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 Hc Colposcopy Cervix W/Bx And Ecc | $327.60 | $819.00 | — | 64% below | 60% |
| Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 Hc Colposcopy Cervix W/Bx | $336.80 | $842.00 | — | 63% below | 60% |
| Colposcopy with cervical biopsy and scraping of the cervical canal inpatient CPT 57454 Hc Colposcopy Cervix W/Bx And Ecc | $327.60 | $819.00 | — | — | 60% |
| Colposcopy with cervical biopsy and scraping of the cervical canal inpatient CPT 57454 Hc Colposcopy Cervix W/Bx | $336.80 | $842.00 | — | — | 60% |
| Coronary stent placement, one artery CPT 92928 Hc Place Bms Stent W Or Wo Ptca;Sgle Major Art Or Branc | $6,436.00 | $16,090.00 | — | 50% below | 60% |
| Coronary stent placement, one artery inpatient CPT 92928 Hc Place Bms Stent W Or Wo Ptca;Sgle Major Art Or Branc | $6,436.00 | $16,090.00 | — | — | 60% |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 Hc Dstr Ben, Lesion 1St | $202.40 | $506.00 | — | at median | 60% |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 Hc Dstr Ben, Lesion 1St | $202.40 | $506.00 | — | — | 60% |
| Earwax removal with instruments, one ear CPT 69210 Hc Cerum Removal | $86.80 | $217.00 | — | 44% below | 60% |
| Earwax removal with instruments, one ear inpatient CPT 69210 Hc Cerum Removal | $86.80 | $217.00 | — | — | 60% |
| Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 Hc Endometrial Bx-W/O D&C | $221.60 | $554.00 | — | 42% below | 60% |
| Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 Hc Endometrial Bx | $373.60 | $934.00 | — | 3% below | 60% |
| Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 Hc Endometrial Bx-W/O D&C | $221.60 | $554.00 | — | — | 60% |
| Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 Hc Endometrial Bx | $373.60 | $934.00 | — | — | 60% |
| Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 Hc Inj Dx Or Therap, Interlaminar Crv/Thrc W Image Guidance | $2,020.00 | $5,050.00 | — | 10% below | 60% |
| Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 Hc Inj Dx Or Therap, Interlaminar Crv/Thrc W Image Guidance | $2,020.00 | $5,050.00 | — | — | 60% |
| Eye injection into the vitreous (intravitreal injection) CPT 67028 Hc Eye Intravitreal Injection Pharmco Agent | $361.20 | $903.00 | — | 8% below | 60% |
| Eye injection into the vitreous (intravitreal injection) inpatient CPT 67028 Hc Eye Intravitreal Injection Pharmco Agent | $361.20 | $903.00 | — | — | 60% |
| Facet joint injection, lower back, one level, with imaging guidance CPT 64493 Hc Inject Facet L/S Spine Initial Lvl | $3,085.60 | $7,714.00 | — | 41% above | 60% |
| Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 Hc Inject Facet L/S Spine Initial Lvl | $3,085.60 | $7,714.00 | — | — | 60% |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 Hc Inject Hysterosalpingogram | $381.60 | $954.00 | — | at median | 60% |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 Hc Inject Hysterosalpingogram | $381.60 | $954.00 | — | — | 60% |
| IUD insertion (the device itself billed separately) CPT 58300 Hc Iud Insertion | $180.80 | $452.00 | — | 64% below | 60% |
| IUD insertion (the device itself billed separately) inpatient CPT 58300 Hc Iud Insertion | $180.80 | $452.00 | — | — | 60% |
| Incision and drainage of a simple or single skin abscess CPT 10060 Hc I/D Absecss; Paronychia | $279.20 | $698.00 | — | 28% below | 60% |
| Incision and drainage of a simple or single skin abscess CPT 10060 Hc Drainage Of Abcess | $369.20 | $923.00 | — | 5% below | 60% |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 Hc I/D Absecss; Paronychia | $279.20 | $698.00 | — | — | 60% |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 Hc Drainage Of Abcess | $369.20 | $923.00 | — | — | 60% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 Hc Inject(S) Single Tendon Sheath,Lig,Aponeurosis | $339.20 | $848.00 | — | at median | 60% |
| Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 Hc Inject(S) Single Tendon Sheath,Lig,Aponeurosis | $339.20 | $848.00 | — | — | 60% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Hc Inj/Drain Joint Bursa Large W/O Us | $391.20 | $978.00 | — | 44% below | 60% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Hc Arthrocentesis Asp/Inj Major Joint/Burs (W/O Us) | $1,327.60 | $3,319.00 | — | 91% above | 60% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 Hc Inj/Drain Joint Bursa Large W/O Us | $391.20 | $978.00 | — | — | 60% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 Hc Arthrocentesis Asp/Inj Major Joint/Burs (W/O Us) | $1,327.60 | $3,319.00 | — | — | 60% |
| Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 Hc Insertion, Drug Delivery Implant | $149.60 | $374.00 | — | 60% below | 60% |
| Insertion of a drug-delivery implant, such as the arm birth control implant inpatient CPT 11981 Hc Insertion, Drug Delivery Implant | $149.60 | $374.00 | — | — | 60% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Hc Inj/Drain Joint Bursa Medium W/O Us | $368.00 | $920.00 | — | 40% below | 60% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Hc Arthrocentesis Inj/Asp Medium Joint/Bursa (W/O Us) | $1,159.20 | $2,898.00 | — | 88% above | 60% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 Hc Inj/Drain Joint Bursa Medium W/O Us | $368.00 | $920.00 | — | — | 60% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 Hc Arthrocentesis Inj/Asp Medium Joint/Bursa (W/O Us) | $1,159.20 | $2,898.00 | — | — | 60% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 Hc Inj/Drain Joint Bursa Small (W/O Us) | $340.40 | $851.00 | — | 31% below | 60% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 Hc Arthrocentesis Asp/Inj Small Joint/Bursa W/O Us | $861.60 | $2,154.00 | — | 75% above | 60% |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 Hc Inj/Drain Joint Bursa Small (W/O Us) | $340.40 | $851.00 | — | — | 60% |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 Hc Arthrocentesis Asp/Inj Small Joint/Bursa W/O Us | $861.60 | $2,154.00 | — | — | 60% |
| Laser treatment of clouding after cataract surgery (YAG) CPT 66821 Hc Eye Laser Posterior Capsulotomy | $585.20 | $1,463.00 | — | 59% below | 60% |
| Laser treatment of clouding after cataract surgery (YAG) inpatient CPT 66821 Hc Eye Laser Posterior Capsulotomy | $585.20 | $1,463.00 | — | — | 60% |
| Left heart catheterization, diagnostic one side CPT 93452 Hc Lt Heart Cath W/Inj Ventrcgrphy | $12,456.80 | $31,142.00 | — | 34% above | 60% |
| Left heart catheterization, diagnostic inpatient one side CPT 93452 Hc Lt Heart Cath W/Inj Ventrcgrphy | $12,456.80 | $31,142.00 | — | — | 60% |
| Lower-back epidural injection, with imaging guidance CPT 62323 Hc Inj Dx Or Therap, Interlaminar Lmbr/Sac W Image Guidance | $1,580.80 | $3,952.00 | — | 22% below | 60% |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 Hc Inj Dx Or Therap, Interlaminar Lmbr/Sac W Image Guidance | $1,580.80 | $3,952.00 | — | — | 60% |
| Lower-back epidural injection, without imaging guidance CPT 62322 Hc Inj Dx Or Therap, Interlaminar Lmbr/Sac Wo Image Guidance | $1,532.00 | $3,830.00 | — | 6% below | 60% |
| Lower-back epidural injection, without imaging guidance inpatient CPT 62322 Hc Inj Dx Or Therap, Interlaminar Lmbr/Sac Wo Image Guidance | $1,532.00 | $3,830.00 | — | — | 60% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 Hc Inj Transfor Epi Lum/Sacral Single Lvl | $1,034.00 | $2,585.00 | — | 50% below | 60% |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 Hc Inj Transfor Epi Lum/Sacral Single Lvl | $1,034.00 | $2,585.00 | — | — | 60% |
| Nail removal (partial or complete), one nail CPT 11730 Hc Avulsion Nail Plate Part/Comp Simple Sin | $232.80 | $582.00 | — | 27% below | 60% |
| Nail removal (partial or complete), one nail CPT 11730 Hc Avulsion Nail Plate | $636.00 | $1,590.00 | — | 100% above | 60% |
| Nail removal (partial or complete), one nail inpatient CPT 11730 Hc Avulsion Nail Plate Part/Comp Simple Sin | $232.80 | $582.00 | — | — | 60% |
| Nail removal (partial or complete), one nail inpatient CPT 11730 Hc Avulsion Nail Plate | $636.00 | $1,590.00 | — | — | 60% |
| Occipital nerve block (injection for headaches) CPT 64405 Hc Occipital Nerve Blk | $339.20 | $848.00 | — | 57% below | 60% |
| Occipital nerve block (injection for headaches) inpatient CPT 64405 Hc Occipital Nerve Blk | $339.20 | $848.00 | — | — | 60% |
| Pacemaker implant (dual chamber) CPT 33208 Hc Insert Perm Pacemaker A & V | $8,327.60 | $20,819.00 | — | 47% below | 60% |
| Pacemaker implant (dual chamber) inpatient CPT 33208 Hc Insert Perm Pacemaker A & V | $8,327.60 | $20,819.00 | — | — | 60% |
| Paracentesis with imaging guidance CPT 49083 Hc Abd Paracentesis With Imaging Guide | $791.60 | $1,979.00 | — | 54% below | 60% |
| Paracentesis with imaging guidance inpatient CPT 49083 Hc Abd Paracentesis With Imaging Guide | $791.60 | $1,979.00 | — | — | 60% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 Hc Exc Nail Partial Or Compl Permanent | $448.80 | $1,122.00 | — | 42% below | 60% |
| Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 Hc Exc Nail Partial Or Compl Permanent | $448.80 | $1,122.00 | — | — | 60% |
| Prostate biopsy CPT 55700 Hc Biopsy Needle Prostate | $1,343.60 | $3,359.00 | — | 33% below | 60% |
| Prostate biopsy inpatient CPT 55700 Hc Biopsy Needle Prostate | $1,343.60 | $3,359.00 | — | — | 60% |
| Removal of a foreign object under the skin, simple CPT 10120 Hc Remove Fb Skin Simple | $448.80 | $1,122.00 | — | 33% below | 60% |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 Hc Remove Fb Skin Simple | $448.80 | $1,122.00 | — | — | 60% |
| Short arm cast (elbow to hand) CPT 29075 Hc Application Of Forearm Cast | $272.40 | $681.00 | — | 9% below | 60% |
| Short arm cast (elbow to hand) inpatient CPT 29075 Hc Application Of Forearm Cast | $272.40 | $681.00 | — | — | 60% |
| Short arm splint (forearm and hand) CPT 29125 Hc Apply Splint Forearm | $126.40 | $316.00 | — | 57% below | 60% |
| Short arm splint (forearm and hand) inpatient CPT 29125 Hc Apply Splint Forearm | $126.40 | $316.00 | — | — | 60% |
| Short leg cast (below the knee) CPT 29405 Hc Apply Short Leg Cast | $272.40 | $681.00 | — | 28% below | 60% |
| Short leg cast (below the knee) inpatient CPT 29405 Hc Apply Short Leg Cast | $272.40 | $681.00 | — | — | 60% |
| Short leg splint (calf to foot) CPT 29515 Hc Application Lower Leg Splint | $159.60 | $399.00 | — | 46% below | 60% |
| Short leg splint (calf to foot) inpatient CPT 29515 Hc Application Lower Leg Splint | $159.60 | $399.00 | — | — | 60% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 Hc Repair Simple Sc/Nk/Ax/Tr/Ext/G < 2.5Cm | $232.80 | $582.00 | — | 29% below | 60% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 Hc Repair Simple Sc/Nk/Ax/Tr/Ext/G < 2.5Cm | $232.80 | $582.00 | — | — | 60% |
| Skin biopsy, punch, one lesion CPT 11104 Hc Punch Biopsy Of Skin (Incl Simple Closure, When Performed), Single Lesion | $448.80 | $1,122.00 | — | 1% above | 60% |
| Skin biopsy, punch, one lesion inpatient CPT 11104 Hc Punch Biopsy Of Skin (Incl Simple Closure, When Performed), Single Lesion | $448.80 | $1,122.00 | — | — | 60% |
| Skin tag removal, up to 15 tags CPT 11200 Hc Remove Skin Tags 1-15 Lesions | $232.80 | $582.00 | — | 20% below | 60% |
| Skin tag removal, up to 15 tags inpatient CPT 11200 Hc Remove Skin Tags 1-15 Lesions | $232.80 | $582.00 | — | — | 60% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 Hc Spinal Puncture Lumbar Diagnostic | $606.40 | $1,516.00 | — | 43% below | 60% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 Hc Lumbar Puncture Diagnostic | $881.20 | $2,203.00 | — | 18% below | 60% |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 Hc Spinal Puncture Lumbar Diagnostic | $606.40 | $1,516.00 | — | — | 60% |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 Hc Lumbar Puncture Diagnostic | $881.20 | $2,203.00 | — | — | 60% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 Hc Repair Simple Sc/Nk/Ax/Tr/Ext 2.6-7.5 Cm | $232.80 | $582.00 | — | 34% below | 60% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 Hc Repair Simple Sc/Nk/Ax/Tr/Ext 2.6-7.5 Cm | $232.80 | $582.00 | — | — | 60% |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 Hc Tangential Biopsy Of Skin ( Eg, Shave, Scoop, Saucerize, Curette), Single Lesion | $232.80 | $582.00 | — | 23% below | 60% |
| Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 Hc Tangential Biopsy Of Skin ( Eg, Shave, Scoop, Saucerize, Curette), Single Lesion | $232.80 | $582.00 | — | — | 60% |
| Thoracentesis with imaging guidance CPT 32555 Hc Thoracentesis For Aspiration With Imaging | $4,806.00 | $12,015.00 | — | 177% above | 60% |
| Thoracentesis with imaging guidance inpatient CPT 32555 Hc Thoracentesis For Aspiration With Imaging | $4,806.00 | $12,015.00 | — | — | 60% |
| Trigger point injections, 1 or 2 muscles CPT 20552 Hc Inj Single/Multi Trigger Point 1 Or 2 Muscles | $294.80 | $737.00 | — | 58% below | 60% |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 Hc Inj Single/Multi Trigger Point 1 Or 2 Muscles | $294.80 | $737.00 | — | — | 60% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 Hc Breast Bx Percu W/Wout Loc Device, Us Imag, 1St Lesion | $1,733.60 | $4,334.00 | — | 48% below | 60% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 Hc Breast Bx Percu W/Wout Loc Device, Us Imag, 1St Lesion | $1,733.60 | $4,334.00 | — | — | 60% |
| Wart removal, up to 14 warts CPT 17110 Hc Remove Warts 1-14 | $202.40 | $506.00 | — | 36% below | 60% |
| Wart removal, up to 14 warts inpatient CPT 17110 Hc Remove Warts 1-14 | $202.40 | $506.00 | — | — | 60% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Hc Debride Skin/Subq Tissue,1St 20 Sq Cm | $448.80 | $1,122.00 | — | 42% below | 60% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Hc Debride Skin & Subq | $1,204.00 | $3,010.00 | — | 54% above | 60% |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 Hc Debride Skin/Subq Tissue,1St 20 Sq Cm | $448.80 | $1,122.00 | — | — | 60% |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 Hc Debride Skin & Subq | $1,204.00 | $3,010.00 | — | — | 60% |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Ohio | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 Hc Transfusion Blood Admin Per Day | $1,900.80 | $4,752.00 | — | 71% above | 60% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 Hc Transfusion Blood Admin Per Day | $1,900.80 | $4,752.00 | — | — | 60% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Hc Er Aerosol Inhal Tx Initial Per Day | $160.80 | $402.00 | — | 8% below | 60% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Hc Aerosol Treatment | $160.80 | $402.00 | — | 8% below | 60% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Hc Aerosol Inhal Tx Initial Per Day | $160.80 | $402.00 | — | 8% below | 60% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Hc Aerosol Inhal Tx Initial Per Day | $160.80 | $402.00 | — | — | 60% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Hc Er Aerosol Inhal Tx Initial Per Day | $160.80 | $402.00 | — | — | 60% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Hc Aerosol Treatment | $160.80 | $402.00 | — | — | 60% |
| Chemotherapy IV infusion, first hour CPT 96413 Hc Med Chemo Iv Infuse 1St Hr | $443.60 | $1,109.00 | — | 42% below | 60% |
| Chemotherapy IV infusion, first hour CPT 96413 Hc Chemo Infusion Initial Hr | $443.60 | $1,109.00 | — | 42% below | 60% |
| Chemotherapy IV infusion, first hour inpatient CPT 96413 Hc Chemo Infusion Initial Hr | $443.60 | $1,109.00 | — | — | 60% |
| Chemotherapy IV infusion, first hour inpatient CPT 96413 Hc Med Chemo Iv Infuse 1St Hr | $443.60 | $1,109.00 | — | — | 60% |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 Hc Eeg Awake/Drowsy | $675.60 | $1,689.00 | — | 29% below | 60% |
| EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 Hc Eeg Awake/Drowsy | $675.60 | $1,689.00 | — | — | 60% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Hc Standard Ekg | $226.00 | $565.00 | — | 22% above | 60% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 Hc Standard Ekg | $226.00 | $565.00 | — | — | 60% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 Hc Stress Test Dobutamine | $897.60 | $2,244.00 | — | at median | 60% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 Hc Stress Test Adenosine | $897.60 | $2,244.00 | — | at median | 60% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 Hc Stress Test W/Resp | $897.60 | $2,244.00 | — | at median | 60% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 Hc Stress Test Treadmill | $897.60 | $2,244.00 | — | at median | 60% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 Hc Stress Test Lexiscan | $897.60 | $2,244.00 | — | at median | 60% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 Hc Stress Test Thallium | $897.60 | $2,244.00 | — | at median | 60% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 Hc Stress Test Persantine | $897.60 | $2,244.00 | — | at median | 60% |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 Hc Stress Test Thallium | $897.60 | $2,244.00 | — | — | 60% |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 Hc Stress Test Dobutamine | $897.60 | $2,244.00 | — | — | 60% |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 Hc Stress Test Adenosine | $897.60 | $2,244.00 | — | — | 60% |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 Hc Stress Test W/Resp | $897.60 | $2,244.00 | — | — | 60% |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 Hc Stress Test Treadmill | $897.60 | $2,244.00 | — | — | 60% |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 Hc Stress Test Lexiscan | $897.60 | $2,244.00 | — | — | 60% |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 Hc Stress Test Persantine | $897.60 | $2,244.00 | — | — | 60% |
| Eye exam, returning patient, intermediate CPT 92012 Hc Eye Intermediate Est | $332.00 | $830.00 | — | 9% above | 60% |
| Eye exam, returning patient, intermediate inpatient CPT 92012 Hc Eye Intermediate Est | $332.00 | $830.00 | — | — | 60% |
| Family therapy with the patient, 50 minutes CPT 90847 Hc Php Family Psychotherapy W/Pt 50 Minutes (>26 Mins) | $225.60 | $564.00 | — | 24% below | 60% |
| Family therapy with the patient, 50 minutes CPT 90847 Hc Iop Family Psychotherapy W/Pt 50 Minutes (>26 Mins) | $225.60 | $564.00 | — | 24% below | 60% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 Hc Php Family Psychotherapy W/Pt 50 Minutes (>26 Mins) | $225.60 | $564.00 | — | — | 60% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 Hc Iop Family Psychotherapy W/Pt 50 Minutes (>26 Mins) | $225.60 | $564.00 | — | — | 60% |
| Family therapy without the patient, 50 minutes CPT 90846 Hc Php Fam Psychothery W/O Pt 50 Minutes (>26 Mins) | $262.00 | $655.00 | — | 15% below | 60% |
| Family therapy without the patient, 50 minutes CPT 90846 Hc Iop Fam Psychothery W/O Pt 50 Minutes (>26 Mins) | $262.00 | $655.00 | — | 15% below | 60% |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 Hc Php Fam Psychothery W/O Pt 50 Minutes (>26 Mins) | $262.00 | $655.00 | — | — | 60% |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 Hc Iop Fam Psychothery W/O Pt 50 Minutes (>26 Mins) | $262.00 | $655.00 | — | — | 60% |
| Group psychotherapy session CPT 90853 Hc Iop Group Psychotherapy Not Multifamily Group | $205.60 | $514.00 | — | 20% above | 60% |
| Group psychotherapy session inpatient CPT 90853 Hc Iop Group Psychotherapy Not Multifamily Group | $205.60 | $514.00 | — | — | 60% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 Hc Ed Iv Hydration First Hr | $291.20 | $728.00 | — | 30% below | 60% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 Hc Iv Hydration Initial Hr | $291.20 | $728.00 | — | 30% below | 60% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 Hc Iv Hydration Initial Hr | $291.20 | $728.00 | — | — | 60% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 Hc Ed Iv Hydration First Hr | $291.20 | $728.00 | — | — | 60% |
| IV infusion of a medicine, first hour CPT 96365 Hc Ed Non Chemo Iv Infusion First Hr | $291.20 | $728.00 | — | 33% below | 60% |
| IV infusion of a medicine, first hour CPT 96365 Hc Non Chemo Iv Infuse Initial Hr | $291.20 | $728.00 | — | 33% below | 60% |
| IV infusion of a medicine, first hour inpatient CPT 96365 Hc Non Chemo Iv Infuse Initial Hr | $291.20 | $728.00 | — | — | 60% |
| IV infusion of a medicine, first hour inpatient CPT 96365 Hc Ed Non Chemo Iv Infusion First Hr | $291.20 | $728.00 | — | — | 60% |
| IV push of a medicine, first drug CPT 96374 Hc Iv Push Initial Medication | $140.80 | $352.00 | — | 45% below | 60% |
| IV push of a medicine, first drug CPT 96374 Hc Ed Iv Push Med Initial Push | $140.80 | $352.00 | — | 45% below | 60% |
| IV push of a medicine, first drug inpatient CPT 96374 Hc Ed Iv Push Med Initial Push | $140.80 | $352.00 | — | — | 60% |
| IV push of a medicine, first drug inpatient CPT 96374 Hc Iv Push Initial Medication | $140.80 | $352.00 | — | — | 60% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 Hc Im/Sq Inj Thera/Diag | $123.60 | $309.00 | — | 13% below | 60% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 Hc Ed Im/Sq Injection Thera/Diag | $123.60 | $309.00 | — | 13% below | 60% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 Hc Im/Sq Injection Thera/Diag | $123.60 | $309.00 | — | 13% below | 60% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Hc Im/Sq Injection Thera/Diag | $123.60 | $309.00 | — | — | 60% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Hc Im/Sq Inj Thera/Diag | $123.60 | $309.00 | — | — | 60% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Hc Ed Im/Sq Injection Thera/Diag | $123.60 | $309.00 | — | — | 60% |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 Hc Psychiatric Diagnostic Interview Exam | $441.60 | $1,104.00 | — | 41% above | 60% |
| Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 Hc Psychiatric Diagnostic Interview Exam | $441.60 | $1,104.00 | — | — | 60% |
| Nerve conduction study, 7 or 8 nerve studies CPT 95910 Hc Nvs Lat Motor&Sens 7-8 Nrv Cndj Test | $1,380.00 | $3,450.00 | — | at median | 60% |
| Nerve conduction study, 7 or 8 nerve studies inpatient CPT 95910 Hc Nvs Lat Motor&Sens 7-8 Nrv Cndj Test | $1,380.00 | $3,450.00 | — | — | 60% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 Hc Mnt Ed Initial Ind/15 Min | $85.60 | $214.00 | — | 32% above | 60% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 Hc Mnt Ed Initial Ind/15 Min | $85.60 | $214.00 | — | — | 60% |
| Psychotherapy for crisis, first 60 minutes CPT 90839 Hc Crisis Psychotherapy First 30-74 Minutes | $858.40 | $2,146.00 | — | 174% above | 60% |
| Psychotherapy for crisis, first 60 minutes inpatient CPT 90839 Hc Crisis Psychotherapy First 30-74 Minutes | $858.40 | $2,146.00 | — | — | 60% |
| Psychotherapy session, 30 minutes CPT 90832 Hc Php Ind Psychotherapy 16-37 Min | $131.60 | $329.00 | — | 30% below | 60% |
| Psychotherapy session, 30 minutes CPT 90832 Hc Iop Ind Psychotherapy 16-37 Min | $131.60 | $329.00 | — | 30% below | 60% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 Hc Php Ind Psychotherapy 16-37 Min | $131.60 | $329.00 | — | — | 60% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 Hc Iop Ind Psychotherapy 16-37 Min | $131.60 | $329.00 | — | — | 60% |
| Psychotherapy session, 45 minutes CPT 90834 Hc Php Ind Psychotherapy 38-52 Min | $220.00 | $550.00 | — | 18% below | 60% |
| Psychotherapy session, 45 minutes CPT 90834 Hc Iop Ind Psychotherapy 38-52 Min | $220.00 | $550.00 | — | 18% below | 60% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 Hc Iop Ind Psychotherapy 38-52 Min | $220.00 | $550.00 | — | — | 60% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 Hc Php Ind Psychotherapy 38-52 Min | $220.00 | $550.00 | — | — | 60% |
| Psychotherapy session, 60 minutes CPT 90837 Hc Iop Ind Psychotherapy 53-60 Min | $246.00 | $615.00 | — | 21% below | 60% |
| Psychotherapy session, 60 minutes CPT 90837 Hc Php Ind Psychotherapy 53-60 Min | $246.00 | $615.00 | — | 21% below | 60% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 Hc Iop Ind Psychotherapy 53-60 Min | $246.00 | $615.00 | — | — | 60% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 Hc Php Ind Psychotherapy 53-60 Min | $246.00 | $615.00 | — | — | 60% |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 Hc Counsel Cease Smoking 3 To 10 Min | $28.80 | $72.00 | — | 34% below | 60% |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 Hc Smoking Cessation Intermed 3-10 Min | $29.60 | $74.00 | — | 32% below | 60% |
| Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 Hc Counsel Cease Smoking 3 To 10 Min | $28.80 | $72.00 | — | — | 60% |
| Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 Hc Smoking Cessation Intermed 3-10 Min | $29.60 | $74.00 | — | — | 60% |
| Spirometry (breathing test) CPT 94010 Hc Pft Spirometry Only | $144.00 | $360.00 | — | 54% below | 60% |
| Spirometry (breathing test) inpatient CPT 94010 Hc Pft Spirometry Only | $144.00 | $360.00 | — | — | 60% |
| Spirometry before and after a bronchodilator CPT 94060 Hc Pre/Post Bronch Spirogram | $184.80 | $462.00 | — | 68% below | 60% |
| Spirometry before and after a bronchodilator inpatient CPT 94060 Hc Pre/Post Bronch Spirogram | $184.80 | $462.00 | — | — | 60% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 Phlebotomy, Therapeutic | $130.00 | $325.00 | — | 45% below | 60% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 Hc Phlebotomy, Therapeutic (Separate Procedure) | $133.60 | $334.00 | — | 44% below | 60% |
| Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 Phlebotomy, Therapeutic | $130.00 | $325.00 | — | — | 60% |
| Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 Hc Phlebotomy, Therapeutic (Separate Procedure) | $133.60 | $334.00 | — | — | 60% |
| Visual field test, extended CPT 92083 Hc Eye Humphrey Visual Field | $122.00 | $305.00 | — | 21% below | 60% |
| Visual field test, extended inpatient CPT 92083 Hc Eye Humphrey Visual Field | $122.00 | $305.00 | — | — | 60% |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Ohio | Off list |
|---|---|---|---|---|---|
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Hc Imm Single Dose Vaccine Im/Sq | $49.20 | $123.00 | — | 21% above | 60% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Hc Vaccine Single Admin Nur | $49.20 | $123.00 | — | 21% above | 60% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Hc Vaccine Single Admin Nur | $49.20 | $123.00 | — | — | 60% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Hc Imm Single Dose Vaccine Im/Sq | $49.20 | $123.00 | — | — | 60% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Hc Admin Each Additional Vaccine | $34.80 | $87.00 | — | at median | 60% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 Hc Admin Each Additional Vaccine | $34.80 | $87.00 | — | — | 60% |