Hospital

Providence Valdez Medical Center

Listed in its price file as “City of Valdez”.

Providence Valdez Medical Center in Valdez, AK publishes cash prices for 389 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 Alaska median for 251 of 381 procedures and above it for 100. By typical cash price it ranks #5 of 16 Alaska hospitals, cheapest first. Select a procedure to compare it with other hospitals nearby.

911 Meals Ave, Valdez, AK 99686 Collected Sep 23, 2026 Source price file Check a bill from this hospital (907) 835-2249

Critical access hospital (rural, 25 beds or fewer) Government-owned hospital Emergency department CCN 021301 · CMS hospital register NPI 1750485488

Financial assistance

Public hospital: ask for its charity care or sliding-scale discount

Providence Valdez Medical Center is government-owned (CMS register). The federal financial assistance rules for nonprofit hospitals do not always apply to public ones, but many public hospitals run charity care or sliding-scale discounts for uninsured and low-income patients. Ask the billing office for its financial assistance or charity care policy and application before you pay. Letters you can copy.

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs Alaska	Off list
Abdominal CT scan without and with contrast CPT 74170 HC CT ABDOMEN WO & W CONTRAST	$5,356.26	$6,867.00	—	59% above	22%
Abdominal CT scan without and with contrast inpatient CPT 74170 HC CT ABDOMEN WO & W CONTRAST	$5,356.26	$6,867.00	—	—	22%
Abdominal X-ray, 2 views CPT 74019 HC XR ABDOMEN 2 VIEWS	$435.24	$558.00	—	24% below	22%
Abdominal X-ray, 2 views inpatient CPT 74019 HC XR ABDOMEN 2 VIEWS	$435.24	$558.00	—	—	22%
Ankle X-ray, complete, 3 or more views CPT 73610 HC XR ANKLE COMPLETE MIN 3 VIEWS	$384.54	$493.00	—	17% below	22%
Ankle X-ray, complete, 3 or more views inpatient CPT 73610 HC XR ANKLE COMPLETE MIN 3 VIEWS	$384.54	$493.00	—	—	22%
Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 HC CT UPPER EXTREMITY WO CONTRAST	$3,369.60	$4,320.00	—	58% above	22%
Arm CT scan without contrast (shoulder to hand, any part) inpatient CPT 73200 HC CT UPPER EXTREMITY WO CONTRAST	$3,369.60	$4,320.00	—	—	22%
Breast ultrasound, complete, one breast CPT 76641 HC US BREAST UNI COMPLETE	$687.18	$881.00	—	22% above	22%
Breast ultrasound, complete, one breast inpatient CPT 76641 HC US BREAST UNI COMPLETE	$687.18	$881.00	—	—	22%
Breast ultrasound, limited (one breast or one area) CPT 76642 HC US BREAST UNI LIMITED	$584.22	$749.00	—	25% above	22%
Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 HC US BREAST UNI LIMITED	$584.22	$749.00	—	—	22%
CT angiography (CTA) of the abdomen and pelvis CPT 74174 HC CTA ABDOMEN PELVIS	$714.48	$916.00	—	85% below	22%
CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 HC CTA ABDOMEN PELVIS	$714.48	$916.00	—	—	22%
CT angiography (CTA) of the head CPT 70496 HC CT ANGIOGRAPHY HEAD W CONTRAST	$3,839.16	$4,922.00	—	11% above	22%
CT angiography (CTA) of the head inpatient CPT 70496 HC CT ANGIOGRAPHY HEAD W CONTRAST	$3,839.16	$4,922.00	—	—	22%
CT angiography (CTA) of the neck CPT 70498 HC CT ANGIOGRAPHY NECK W CONTRAST	$3,914.82	$5,019.00	—	14% above	22%
CT angiography (CTA) of the neck inpatient CPT 70498 HC CT ANGIOGRAPHY NECK W CONTRAST	$3,914.82	$5,019.00	—	—	22%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 HC CT ANGIOGRAPHY CHEST	$6,227.52	$7,984.00	—	101% above	22%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 HC CT ANGIOGRAPHY CHEST	$6,227.52	$7,984.00	—	—	22%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 HC CT ABD & PELVIS WO CONTRAST	$5,705.70	$7,315.00	—	49% above	22%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 HC CT ABD & PELVIS WO CONTRAST	$5,705.70	$7,315.00	—	—	22%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 HC CT ABDOMEN & PELVIS W CONTRAST	$6,576.18	$8,431.00	—	52% above	22%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 HC CT ABDOMEN & PELVIS W CONTRAST	$6,576.18	$8,431.00	—	—	22%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 HC CT ABDOMEN & PELVIS W WO CONTRAST	$7,649.46	$9,807.00	—	58% above	22%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 HC CT ABDOMEN & PELVIS W WO CONTRAST	$7,649.46	$9,807.00	—	—	22%
CT scan of the abdomen with contrast CPT 74160 HC CT ABDOMEN W CONTRAST	$4,240.08	$5,436.00	—	65% above	22%
CT scan of the abdomen with contrast inpatient CPT 74160 HC CT ABDOMEN W CONTRAST	$4,240.08	$5,436.00	—	—	22%
CT scan of the abdomen without contrast CPT 74150 HC CT ABDOMEN WO CONTRAST	$3,435.12	$4,404.00	—	44% above	22%
CT scan of the abdomen without contrast inpatient CPT 74150 HC CT ABDOMEN WO CONTRAST	$3,435.12	$4,404.00	—	—	22%
CT scan of the face and sinuses, no contrast dye CPT 70486 HC CT MAXILLOFACIAL W/O DYE LIMITED	$2,114.58	$2,711.00	—	13% above	22%
CT scan of the face and sinuses, no contrast dye CPT 70486 HC CT MAXILLOFACIAL WO CONTRAST	$2,643.42	$3,389.00	—	41% above	22%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 HC CT MAXILLOFACIAL W/O DYE LIMITED	$2,114.58	$2,711.00	—	—	22%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 HC CT MAXILLOFACIAL WO CONTRAST	$2,643.42	$3,389.00	—	—	22%
CT scan of the head or brain, no contrast dye CPT 70450 HC CT HEAD/BRAIN WO CONTRAST	$2,352.48	$3,016.00	—	9% above	22%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 HC CT HEAD/BRAIN WO CONTRAST	$2,352.48	$3,016.00	—	—	22%
CT scan of the head with contrast CPT 70460 HC CT HEAD/BRAIN W CONTRAST	$2,717.52	$3,484.00	—	14% above	22%
CT scan of the head with contrast inpatient CPT 70460 HC CT HEAD/BRAIN W CONTRAST	$2,717.52	$3,484.00	—	—	22%
CT scan of the head without and with contrast CPT 70470 HC CT HEAD/BRAIN WO & W CONTRAST	$3,355.56	$4,302.00	—	27% above	22%
CT scan of the head without and with contrast inpatient CPT 70470 HC CT HEAD/BRAIN WO & W CONTRAST	$3,355.56	$4,302.00	—	—	22%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 HC CT LUMBAR SPINE WO CONTRAST	$3,532.62	$4,529.00	—	67% above	22%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 HC CT LUMBAR SPINE WO CONTRAST	$3,532.62	$4,529.00	—	—	22%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 HC CT NECK SPINE WO CONTRAST	$2,754.18	$3,531.00	—	33% above	22%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 HC CT NECK SPINE WO CONTRAST	$2,754.18	$3,531.00	—	—	22%
CT scan of the pelvis, with contrast dye CPT 72193 HC CT PELVIS W CONTRAST	$3,975.66	$5,097.00	—	64% above	22%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 HC CT PELVIS W CONTRAST	$3,975.66	$5,097.00	—	—	22%
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 HC DUPLEX SCAN EXTRACRANIAL ART COMPL BI STUDY	$1,144.26	$1,467.00	—	—	22%
Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 HC DUPLEX SCAN EXTRACRANIAL ART COMPL BI STUDY	$1,144.26	$1,467.00	—	—	22%
Chest CT scan without and with contrast CPT 71270 HC CT THORAX WO & W CONTRAST	$4,455.36	$5,712.00	—	53% above	22%
Chest CT scan without and with contrast inpatient CPT 71270 HC CT THORAX WO & W CONTRAST	$4,455.36	$5,712.00	—	—	22%
Chest X-ray, 2 views CPT 71046 HC XR CHEST 2 VIEWS	$266.76	$342.00	—	39% below	22%
Chest X-ray, 2 views inpatient CPT 71046 HC XR CHEST 2 VIEWS	$266.76	$342.00	—	—	22%
Chest X-ray, single view CPT 71045 HC XR CHEST PORTABLE 1 VIEW	$223.08	$286.00	—	43% below	22%
Chest X-ray, single view CPT 71045 HC XR CHEST 1 VIEW	$223.08	$286.00	—	43% below	22%
Chest X-ray, single view inpatient CPT 71045 HC XR CHEST PORTABLE 1 VIEW	$223.08	$286.00	—	—	22%
Chest X-ray, single view inpatient CPT 71045 HC XR CHEST 1 VIEW	$223.08	$286.00	—	—	22%
Collarbone (clavicle) X-ray, complete CPT 73000 HC XR CLAVICLE COMPLETE	$354.90	$455.00	—	15% below	22%
Collarbone (clavicle) X-ray, complete inpatient CPT 73000 HC XR CLAVICLE COMPLETE	$354.90	$455.00	—	—	22%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 HC US RETROPERITONEAL COMPLETE	$1,155.96	$1,482.00	—	20% above	22%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 HC US RETROPERITONEAL COMPLETE	$1,155.96	$1,482.00	—	—	22%
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 HC US OB DETAILED SINGLE FETUS	$524.16	$672.00	—	58% below	22%
Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 HC US OB DETAILED SINGLE FETUS	$524.16	$672.00	—	—	22%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 HC CT THORAX WO CONTRAST	$3,371.94	$4,323.00	—	55% above	22%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 HC CT THORAX WO CONTRAST	$3,371.94	$4,323.00	—	—	22%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 HC CT THORAX W CONTRAST	$4,045.86	$5,187.00	—	35% above	22%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 HC CT THORAX W CONTRAST	$4,045.86	$5,187.00	—	—	22%
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 HC DUP-SCAN LXTR ART/ARTL BPGS COMPL BI STUDY	$2,238.60	$2,870.00	—	—	22%
Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 HC DUP-SCAN LXTR ART/ARTL BPGS COMPL BI STUDY	$2,238.60	$2,870.00	—	—	22%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 HC DUP-SCAN XTR VEINS COMPLETE BILATERAL STUDY	$1,776.06	$2,277.00	—	—	22%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 HC DUP-SCAN XTR VEINS COMPLETE BILATERAL STUDY	$1,776.06	$2,277.00	—	—	22%
Elbow X-ray, 2 views CPT 73070 HC XR ELBOW 2 VIEWS	$333.06	$427.00	—	15% below	22%
Elbow X-ray, 2 views inpatient CPT 73070 HC XR ELBOW 2 VIEWS	$333.06	$427.00	—	—	22%
Elbow X-ray, complete, 3 or more views CPT 73080 HC XR ELBOW COMPLETE MIN 3 VIEWS	$411.06	$527.00	—	7% below	22%
Elbow X-ray, complete, 3 or more views inpatient CPT 73080 HC XR ELBOW COMPLETE MIN 3 VIEWS	$411.06	$527.00	—	—	22%
Eye socket (orbit) CT scan without contrast CPT 70480 HC CT ORBIT/EAR/FOSSA WO CONTRAST	$1,950.78	$2,501.00	—	at median	22%
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 HC CT ORBIT/EAR/FOSSA WO CONTRAST	$1,950.78	$2,501.00	—	—	22%
Facial bones X-ray, complete, 3 or more views CPT 70150 HC XR FACIAL BONES MIN 3 VIEWS	$551.46	$707.00	—	1% below	22%
Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 HC XR FACIAL BONES MIN 3 VIEWS	$551.46	$707.00	—	—	22%
Forearm X-ray (radius and ulna), 2 views CPT 73090 HC XR FOREARM 1 VIEW	$354.90	$455.00	—	31% below	22%
Forearm X-ray (radius and ulna), 2 views CPT 73090 HC XR FOREARM 2 VIEWS	$354.90	$455.00	—	31% below	22%
Forearm X-ray (radius and ulna), 2 views inpatient CPT 73090 HC XR FOREARM 1 VIEW	$354.90	$455.00	—	—	22%
Forearm X-ray (radius and ulna), 2 views inpatient CPT 73090 HC XR FOREARM 2 VIEWS	$354.90	$455.00	—	—	22%
Hand X-ray, 2 views CPT 73120 HC XR HAND 2 VIEWS	$310.44	$398.00	—	23% below	22%
Hand X-ray, 2 views CPT 73120 HC XR HAND 1 VIEW	$310.44	$398.00	—	23% below	22%
Hand X-ray, 2 views inpatient CPT 73120 HC XR HAND 2 VIEWS	$310.44	$398.00	—	—	22%
Hand X-ray, 2 views inpatient CPT 73120 HC XR HAND 1 VIEW	$310.44	$398.00	—	—	22%
Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 HC XR HEEL MIN 2 VIEWS	$329.94	$423.00	—	15% below	22%
Heel bone (calcaneus) X-ray, 2 or more views inpatient CPT 73650 HC XR HEEL MIN 2 VIEWS	$329.94	$423.00	—	—	22%
Knee X-ray, 3 views CPT 73562 HC XR KNEE 3 VIEWS	$429.78	$551.00	—	15% below	22%
Knee X-ray, 3 views inpatient CPT 73562 HC XR KNEE 3 VIEWS	$429.78	$551.00	—	—	22%
Knee X-ray, complete, 4 or more views CPT 73564 HC XR KNEE 4+ VIEWS	$482.82	$619.00	—	26% below	22%
Knee X-ray, complete, 4 or more views inpatient CPT 73564 HC XR KNEE 4+ VIEWS	$482.82	$619.00	—	—	22%
Leg CT scan without contrast (hip to foot, any part) CPT 73700 HC CT LOWER EXTREMITY WO CONTRAST	$3,339.18	$4,281.00	—	57% above	22%
Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 HC CT LOWER EXTREMITY WO CONTRAST	$3,339.18	$4,281.00	—	—	22%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HC US ABDOMEN LIMITED	$906.36	$1,162.00	—	45% above	22%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 HC US ABDOMEN LIMITED	$906.36	$1,162.00	—	—	22%
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 HC US LMTD JT/FCL EVAL NONVASC XTR STRUX R-T W/IMG CDM	$604.50	$775.00	—	27% above	22%
Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 HC US LMTD JT/FCL EVAL NONVASC XTR STRUX R-T W/IMG CDM	$604.50	$775.00	—	—	22%
Lower leg X-ray (tibia and fibula), 2 views CPT 73590 HC XR LOWER LEG 2 VIEWS	$398.58	$511.00	—	12% below	22%
Lower leg X-ray (tibia and fibula), 2 views CPT 73590 HC XR LOWER LEG LIMITED	$398.58	$511.00	—	12% below	22%
Lower leg X-ray (tibia and fibula), 2 views inpatient CPT 73590 HC XR LOWER LEG LIMITED	$398.58	$511.00	—	—	22%
Lower leg X-ray (tibia and fibula), 2 views inpatient CPT 73590 HC XR LOWER LEG 2 VIEWS	$398.58	$511.00	—	—	22%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HC MRI LOWER EXTREMITY JOINT WO CONTRAST	$4,509.96	$5,782.00	—	40% above	22%
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 HC MRI LOWER EXTREMITY JOINT WO CONTRAST	$4,509.96	$5,782.00	—	—	22%
MRI of the brain, no contrast dye CPT 70551 HC MRI BRAIN W/O DYE	$4,056.78	$5,201.00	—	23% above	22%
MRI of the brain, no contrast dye inpatient CPT 70551 HC MRI BRAIN W/O DYE	$4,056.78	$5,201.00	—	—	22%
MRI of the brain, with and without contrast dye CPT 70553 HC MRI BRAIN W/O & W/DYE	$5,486.52	$7,034.00	—	26% above	22%
MRI of the brain, with and without contrast dye inpatient CPT 70553 HC MRI BRAIN W/O & W/DYE	$5,486.52	$7,034.00	—	—	22%
MRI of the lower back, no contrast dye CPT 72148 HC MRI LUMBAR SPINE W/O DYE LIMITED	$4,582.50	$5,875.00	—	33% above	22%
MRI of the lower back, no contrast dye CPT 72148 HC MRI LUMBAR SPINE W/O DYE	$4,582.50	$5,875.00	—	33% above	22%
MRI of the lower back, no contrast dye inpatient CPT 72148 HC MRI LUMBAR SPINE W/O DYE	$4,582.50	$5,875.00	—	—	22%
MRI of the lower back, no contrast dye inpatient CPT 72148 HC MRI LUMBAR SPINE W/O DYE LIMITED	$4,582.50	$5,875.00	—	—	22%
MRI of the lower back, without and then with contrast dye CPT 72158 HC MRI LUMBAR SPINE W/O & W/DYE	$5,265.00	$6,750.00	—	25% above	22%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 HC MRI LUMBAR SPINE W/O & W/DYE	$5,265.00	$6,750.00	—	—	22%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 HC MRI THORACIC SPINE W/O DYE	$3,531.84	$4,528.00	—	13% above	22%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 HC MRI THORACIC SPINE W/O DYE	$3,531.84	$4,528.00	—	—	22%
MRI of the neck (cervical spine), no contrast dye CPT 72141 HC MRI CERVICAL SPINE W/O DYE	$3,641.82	$4,669.00	—	4% above	22%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 HC MRI CERVICAL SPINE W/O DYE	$3,641.82	$4,669.00	—	—	22%
MRI of the pelvis without and with contrast CPT 72197 HC MRI PELVIS WO & W CONTRAST	$4,893.72	$6,274.00	—	4% above	22%
MRI of the pelvis without and with contrast inpatient CPT 72197 HC MRI PELVIS WO & W CONTRAST	$4,893.72	$6,274.00	—	—	22%
MRI of the pelvis, no contrast dye CPT 72195 HC MRI PELVIS WO CONTRAST	$3,984.24	$5,108.00	—	26% above	22%
MRI of the pelvis, no contrast dye inpatient CPT 72195 HC MRI PELVIS WO CONTRAST	$3,984.24	$5,108.00	—	—	22%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 HC MRI UPPER EXTREMITY JOINT WO CONTRAST	$4,459.26	$5,717.00	—	40% above	22%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 HC MRI UPPER EXTREMITY JOINT WO CONTRAST	$4,459.26	$5,717.00	—	—	22%
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 HC XR SPINE CERVICAL 4 OR 5 VIEWS	$624.00	$800.00	—	17% below	22%
Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 HC XR SPINE CERVICAL 4 OR 5 VIEWS	$624.00	$800.00	—	—	22%
Neck soft tissue CT scan with contrast CPT 70491 HC CT SOFT TISSUE NECK W CONTRAST	$2,974.92	$3,814.00	—	28% above	22%
Neck soft tissue CT scan with contrast inpatient CPT 70491 HC CT SOFT TISSUE NECK W CONTRAST	$2,974.92	$3,814.00	—	—	22%
Neck soft tissue CT scan without contrast CPT 70490 HC CT SOFT TISSUE NECK WO CONTRAST	$2,620.80	$3,360.00	—	35% above	22%
Neck soft tissue CT scan without contrast inpatient CPT 70490 HC CT SOFT TISSUE NECK WO CONTRAST	$2,620.80	$3,360.00	—	—	22%
Neck soft tissue X-ray CPT 70360 HC XR NECK SOFT TISSUE	$318.24	$408.00	—	6% below	22%
Neck soft tissue X-ray inpatient CPT 70360 HC XR NECK SOFT TISSUE	$318.24	$408.00	—	—	22%
Pelvic CT scan without contrast CPT 72192 HC CT PELVIS WO CONTRAST	$3,336.84	$4,278.00	—	52% above	22%
Pelvic CT scan without contrast inpatient CPT 72192 HC CT PELVIS WO CONTRAST	$3,336.84	$4,278.00	—	—	22%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 HC US EXAM PELVIC LIMITED	$967.20	$1,240.00	—	78% above	22%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 HC US EXAM PELVIC LIMITED	$967.20	$1,240.00	—	—	22%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 HC US PELVIC NON-OB COMPLETE	$982.80	$1,260.00	—	5% above	22%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 HC US PELVIC NON-OB COMPLETE	$982.80	$1,260.00	—	—	22%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HC US OB >= 14 WKS SINGLE FETUS	$1,098.24	$1,408.00	—	4% above	22%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 HC US OB >= 14 WKS SINGLE FETUS	$1,098.24	$1,408.00	—	—	22%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 HC US OB < 14 WKS SINGLE FETUS	$1,030.38	$1,321.00	—	33% above	22%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 HC US OB < 14 WKS SINGLE FETUS	$1,030.38	$1,321.00	—	—	22%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 HC US OB LIMITED FETUS(S)	$404.04	$518.00	—	30% below	22%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 HC US OB LIMITED FETUS(S)	$404.04	$518.00	—	—	22%
Rib X-ray, one side, 2 views CPT 71100 HC XR RIBS UNI 2 VIEWS	$398.58	$511.00	—	14% below	22%
Rib X-ray, one side, 2 views inpatient CPT 71100 HC XR RIBS UNI 2 VIEWS	$398.58	$511.00	—	—	22%
Rib X-ray, one side, with a chest view, 3 or more views CPT 71101 HC XR RIBS/CHEST UNI MIN 3 VIEWS	$475.80	$610.00	—	13% below	22%
Rib X-ray, one side, with a chest view, 3 or more views inpatient CPT 71101 HC XR RIBS/CHEST UNI MIN 3 VIEWS	$475.80	$610.00	—	—	22%
Shoulder X-ray, complete, 2 or more views CPT 73030 HC XR SHOULDER COMPLETE MIN 2 VIEWS	$411.84	$528.00	—	34% below	22%
Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 HC XR SHOULDER COMPLETE MIN 2 VIEWS	$411.84	$528.00	—	—	22%
Sinus X-ray, complete, 3 or more views CPT 70220 HC XR SINUSES PARANASAL MIN 3 VIEWS	$460.20	$590.00	—	14% below	22%
Sinus X-ray, complete, 3 or more views inpatient CPT 70220 HC XR SINUSES PARANASAL MIN 3 VIEWS	$460.20	$590.00	—	—	22%
Skull X-ray, fewer than 4 views CPT 70250 HC XR SKULL 1-3 VIEWS	$416.52	$534.00	—	21% below	22%
Skull X-ray, fewer than 4 views inpatient CPT 70250 HC XR SKULL 1-3 VIEWS	$416.52	$534.00	—	—	22%
Swallow study (modified barium swallow, video X-ray) CPT 74230 HC XR SWALLOW STUDY W CONTRAST	$964.08	$1,236.00	—	at median	22%
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 HC XR SWALLOW STUDY W CONTRAST	$964.08	$1,236.00	—	—	22%
Thigh bone (femur) X-ray, 2 or more views CPT 73552 HC XR FEMUR MIN 2 VIEWS	$575.64	$738.00	—	at median	22%
Thigh bone (femur) X-ray, 2 or more views inpatient CPT 73552 HC XR FEMUR MIN 2 VIEWS	$575.64	$738.00	—	—	22%
Thoracic spine (mid back) CT scan without contrast CPT 72128 HC CT CHEST SPINE WO CONTRAST	$3,510.78	$4,501.00	—	39% above	22%
Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 HC CT CHEST SPINE WO CONTRAST	$3,510.78	$4,501.00	—	—	22%
Toe X-ray, 2 or more views CPT 73660 HC XR TOE(S) MIN 2 VIEWS	$303.42	$389.00	—	31% below	22%
Toe X-ray, 2 or more views inpatient CPT 73660 HC XR TOE(S) MIN 2 VIEWS	$303.42	$389.00	—	—	22%
Transvaginal pelvic ultrasound CPT 76830 HC US TRANSVAGINAL NON-OB	$1,209.00	$1,550.00	—	109% above	22%
Transvaginal pelvic ultrasound inpatient CPT 76830 HC US TRANSVAGINAL NON-OB	$1,209.00	$1,550.00	—	—	22%
Transvaginal ultrasound during pregnancy CPT 76817 HC US OB TRANSVAGINAL	$1,030.38	$1,321.00	—	45% above	22%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 HC US OB TRANSVAGINAL	$1,030.38	$1,321.00	—	—	22%
Ultrasound of the abdomen, complete CPT 76700 HC US EXAM ABDOMEN COMPLETE	$1,209.00	$1,550.00	—	14% above	22%
Ultrasound of the abdomen, complete inpatient CPT 76700 HC US EXAM ABDOMEN COMPLETE	$1,209.00	$1,550.00	—	—	22%
Ultrasound of the scrotum and testicles CPT 76870 HC US EXAM SCROTUM & CONTENTS	$906.36	$1,162.00	—	2% below	22%
Ultrasound of the scrotum and testicles inpatient CPT 76870 HC US EXAM SCROTUM & CONTENTS	$906.36	$1,162.00	—	—	22%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 HC US EXAM OF HEAD AND NECK	$960.96	$1,232.00	—	9% above	22%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 HC US EXAM OF HEAD AND NECK	$960.96	$1,232.00	—	—	22%
Upper arm X-ray (humerus), 2 views CPT 73060 HC XR HUMERUS MIN 2 VIEWS	$364.26	$467.00	—	19% below	22%
Upper arm X-ray (humerus), 2 views inpatient CPT 73060 HC XR HUMERUS MIN 2 VIEWS	$364.26	$467.00	—	—	22%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 HC DUP-SCAN XTR VEINS UNILATERAL/LIMITED STUDY	$1,226.94	$1,573.00	—	4% above	22%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 HC DUP-SCAN XTR VEINS UNILATERAL/LIMITED STUDY	$1,226.94	$1,573.00	—	—	22%
Wrist X-ray, 2 views CPT 73100 HC XR WRIST 1 VIEW	$329.94	$423.00	—	2% above	22%
Wrist X-ray, 2 views CPT 73100 HC XR WRIST 2 VIEWS	$329.94	$423.00	—	2% above	22%
Wrist X-ray, 2 views inpatient CPT 73100 HC XR WRIST 1 VIEW	$329.94	$423.00	—	—	22%
Wrist X-ray, 2 views inpatient CPT 73100 HC XR WRIST 2 VIEWS	$329.94	$423.00	—	—	22%
Wrist X-ray, complete, 3 or more views CPT 73110 HC XR WRIST COMPLETE MIN 3 VIEWS	$396.24	$508.00	—	15% below	22%
Wrist X-ray, complete, 3 or more views inpatient CPT 73110 HC XR WRIST COMPLETE MIN 3 VIEWS	$396.24	$508.00	—	—	22%
X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 HC XR HIPS UNI W PELVIS 2-3 VIEWS	$404.04	$518.00	—	8% below	22%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient CPT 73502 HC XR HIPS UNI W PELVIS 2-3 VIEWS	$404.04	$518.00	—	—	22%
X-ray of the abdomen, 1 view CPT 74018 HC XR ABDOMEN 1 VIEW	$395.46	$507.00	—	5% below	22%
X-ray of the abdomen, 1 view inpatient CPT 74018 HC XR ABDOMEN 1 VIEW	$395.46	$507.00	—	—	22%
X-ray of the ankle, 2 views CPT 73600 HC XR ANKLE 2 VIEWS	$354.90	$455.00	—	at median	22%
X-ray of the ankle, 2 views inpatient CPT 73600 HC XR ANKLE 2 VIEWS	$354.90	$455.00	—	—	22%
X-ray of the finger(s), 2 or more views CPT 73140 HC XR FINGERS(S) MIN 2 VIEWS	$292.50	$375.00	—	21% below	22%
X-ray of the finger(s), 2 or more views inpatient CPT 73140 HC XR FINGERS(S) MIN 2 VIEWS	$292.50	$375.00	—	—	22%
X-ray of the foot, 2 views CPT 73620 HC XR FOOT 2 VIEWS	$368.16	$472.00	—	at median	22%
X-ray of the foot, 2 views inpatient CPT 73620 HC XR FOOT 2 VIEWS	$368.16	$472.00	—	—	22%
X-ray of the foot, complete, 3 or more views CPT 73630 HC XR FOOT MIN 3 VIEWS	$384.54	$493.00	—	17% below	22%
X-ray of the foot, complete, 3 or more views inpatient CPT 73630 HC XR FOOT MIN 3 VIEWS	$384.54	$493.00	—	—	22%
X-ray of the hand, 3 or more views CPT 73130 HC XR HAND MIN 3 VIEWS	$365.82	$469.00	—	22% below	22%
X-ray of the hand, 3 or more views inpatient CPT 73130 HC XR HAND MIN 3 VIEWS	$365.82	$469.00	—	—	22%
X-ray of the knee, 1 or 2 views CPT 73560 HC XR KNEE 1-2 VIEWS	$368.16	$472.00	—	12% below	22%
X-ray of the knee, 1 or 2 views inpatient CPT 73560 HC XR KNEE 1-2 VIEWS	$368.16	$472.00	—	—	22%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 HC XR SPINE LUMBOSACRAL 2 OR 3 VIEWS	$468.00	$600.00	—	9% below	22%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 HC XR SPINE LUMBOSACRAL 2 OR 3 VIEWS	$468.00	$600.00	—	—	22%
X-ray of the lower back, 4 or more views CPT 72110 HC SPINE LUMBOSACRAL MIN 4 VIEWS	$626.34	$803.00	—	1% below	22%
X-ray of the lower back, 4 or more views inpatient CPT 72110 HC SPINE LUMBOSACRAL MIN 4 VIEWS	$626.34	$803.00	—	—	22%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 HC XR SPINE THORACIC 2 VIEWS	$429.78	$551.00	—	at median	22%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 HC XR SPINE THORACIC 2 VIEWS	$429.78	$551.00	—	—	22%
X-ray of the nasal bones, 3 or more views CPT 70160 HC XR NASAL BONES MIN 3 VIEWS	$383.76	$492.00	—	13% below	22%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 HC XR NASAL BONES MIN 3 VIEWS	$383.76	$492.00	—	—	22%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 HC XR SPINE CERVICAL 2 OR 3 VIEWS	$437.58	$561.00	—	10% below	22%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 HC XR SPINE CERVICAL 2 OR 3 VIEWS	$437.58	$561.00	—	—	22%
X-ray of the pelvis, 1 or 2 views CPT 72170 HC XR PELVIS 1-2 VIEWS	$378.30	$485.00	—	10% below	22%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 HC XR PELVIS 1-2 VIEWS	$378.30	$485.00	—	—	22%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 HC XR TAILBONE MIN 2 VIEWS	$400.14	$513.00	—	4% above	22%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 HC XR TAILBONE MIN 2 VIEWS	$400.14	$513.00	—	—	22%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs Alaska	Off list
ACTH blood test CPT 82024 HC ASSAY OF ACTH	$432.12	$554.00	—	105% above	22%
ACTH blood test inpatient CPT 82024 HC ASSAY OF ACTH	$432.12	$554.00	—	—	22%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 HC TRANSFERASE ALANINE AMINO ALT SGPT #	$7.02	$9.00	—	88% below	22%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 HC SGPT (ALT)	$51.48	$66.00	—	12% below	22%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 HC TRANSFERASE ALANINE AMINO ALT SGPT #	$7.02	$9.00	—	—	22%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 HC SGPT (ALT)	$51.48	$66.00	—	—	22%
AST (aspartate aminotransferase) enzyme test CPT 84450 HC TRANSFERASE ASPARTATE AMINO AST SGOT #	$7.02	$9.00	—	87% below	22%
AST (aspartate aminotransferase) enzyme test CPT 84450 HC SGOT (AST)	$46.80	$60.00	—	12% below	22%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 HC TRANSFERASE ASPARTATE AMINO AST SGOT #	$7.02	$9.00	—	—	22%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 HC SGOT (AST)	$46.80	$60.00	—	—	22%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HC HEPATITIS ACUTE PANEL	$202.02	$259.00	—	41% below	22%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HC HEPATITIS ACUTE PANEL	$202.02	$259.00	—	—	22%
Albumin blood test CPT 82040 HC ALBUMIN SERUM PLASMA/WHOLE BLOOD #	$6.24	$8.00	—	86% below	22%
Albumin blood test CPT 82040 HC ASSAY OF SERUM ALBUMIN (RL)	$34.32	$44.00	—	23% below	22%
Albumin blood test CPT 82040 HC ASSAY OF SERUM ALBUMIN	$39.78	$51.00	—	11% below	22%
Albumin blood test inpatient CPT 82040 HC ALBUMIN SERUM PLASMA/WHOLE BLOOD #	$6.24	$8.00	—	—	22%
Albumin blood test inpatient CPT 82040 HC ASSAY OF SERUM ALBUMIN (RL)	$34.32	$44.00	—	—	22%
Albumin blood test inpatient CPT 82040 HC ASSAY OF SERUM ALBUMIN	$39.78	$51.00	—	—	22%
Aldosterone blood test CPT 82088 HC ASSAY OF ALDOSTERONE PLASMA #	$46.02	$59.00	—	66% below	22%
Aldosterone blood test inpatient CPT 82088 HC ASSAY OF ALDOSTERONE PLASMA #	$46.02	$59.00	—	—	22%
Alkaline phosphatase (ALP) blood test CPT 84075 HC ASSAY OF PHOSPHATASE ALKALINE #	$17.16	$22.00	—	56% below	22%
Alkaline phosphatase (ALP) blood test CPT 84075 HC ALKALINE PHOS	$40.56	$52.00	—	3% above	22%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 HC ASSAY OF PHOSPHATASE ALKALINE #	$17.16	$22.00	—	—	22%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 HC ALKALINE PHOS	$40.56	$52.00	—	—	22%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE CRUDE ALLERGEN EXTRACT X 33#	$8.58	$11.00	—	35% below	22%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE CRUDE ALLERGEN EXTRACT EACH #	$8.58	$11.00	—	35% below	22%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE CRUDE ALLERGEN EXTRACT X 1#	$8.58	$11.00	—	35% below	22%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLG SPEC IGE CRUDE XTRC EA (RL)	$8.58	$11.00	—	35% below	22%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN STACHYBOTRYS CHARTARUM IGE CRUDE ALLERGEN EXTRACT EACH #	$13.26	$17.00	—	at median	22%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPECIFIC IGE	$29.64	$38.00	—	123% above	22%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLG SPEC IGE CRUDE XTRC EA (RL)	$8.58	$11.00	—	—	22%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE CRUDE ALLERGEN EXTRACT EACH #	$8.58	$11.00	—	—	22%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE CRUDE ALLERGEN EXTRACT X 1#	$8.58	$11.00	—	—	22%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE CRUDE ALLERGEN EXTRACT X 33#	$8.58	$11.00	—	—	22%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN STACHYBOTRYS CHARTARUM IGE CRUDE ALLERGEN EXTRACT EACH #	$13.26	$17.00	—	—	22%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPECIFIC IGE	$29.64	$38.00	—	—	22%
Alpha-fetoprotein (AFP) blood test CPT 82105 HC ALPHA-FETOPROTEIN SERUM #	$31.20	$40.00	—	55% below	22%
Alpha-fetoprotein (AFP) blood test CPT 82105 HC AFP MATERNAL SERUM	$54.60	$70.00	—	21% below	22%
Alpha-fetoprotein (AFP) blood test CPT 82105 HC AFP TUMOR MARKER	$219.96	$282.00	—	217% above	22%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 HC ALPHA-FETOPROTEIN SERUM #	$31.20	$40.00	—	—	22%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 HC AFP MATERNAL SERUM	$54.60	$70.00	—	—	22%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 HC AFP TUMOR MARKER	$219.96	$282.00	—	—	22%
Ammonia blood test CPT 82140 HC ASSAY OF AMMONIA #	$17.16	$22.00	—	89% below	22%
Ammonia blood test inpatient CPT 82140 HC ASSAY OF AMMONIA #	$17.16	$22.00	—	—	22%
Amylase blood test CPT 82150 HC ASSAY OF AMYLASE ISOENZYME PANCREATIC	$28.08	$36.00	—	51% below	22%
Amylase blood test CPT 82150 HC ASSAY OF AMYLASE #	$82.68	$106.00	—	43% above	22%
Amylase blood test CPT 82150 HC AMYLASE	$82.68	$106.00	—	43% above	22%
Amylase blood test inpatient CPT 82150 HC ASSAY OF AMYLASE ISOENZYME PANCREATIC	$28.08	$36.00	—	—	22%
Amylase blood test inpatient CPT 82150 HC AMYLASE	$82.68	$106.00	—	—	22%
Amylase blood test inpatient CPT 82150 HC ASSAY OF AMYLASE #	$82.68	$106.00	—	—	22%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 HC CCP ANTIBODY	$40.56	$52.00	—	57% below	22%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 HC CYCLIC CITRULLINATED PEPTIDE ANTIBODY #	$43.68	$56.00	—	53% below	22%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 HC CCP ANTIBODY	$40.56	$52.00	—	—	22%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 HC CYCLIC CITRULLINATED PEPTIDE ANTIBODY #	$43.68	$56.00	—	—	22%
Antinuclear antibody (ANA) blood test, screen CPT 86038 HC ANTINUCLEAR ANTIBODIES ANA #	$21.06	$27.00	—	72% below	22%
Antinuclear antibody (ANA) blood test, screen CPT 86038 HC ANTINUCLEAR ANTIBODIES	$198.90	$255.00	—	161% above	22%
Antinuclear antibody (ANA) blood test, screen CPT 86038 HC ANTINUCLEAR ANTIBODIES - ANA	$258.18	$331.00	—	239% above	22%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 HC ANTINUCLEAR ANTIBODIES ANA #	$21.06	$27.00	—	—	22%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 HC ANTINUCLEAR ANTIBODIES	$198.90	$255.00	—	—	22%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 HC ANTINUCLEAR ANTIBODIES - ANA	$258.18	$331.00	—	—	22%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 HC NATRIURETIC PEPTIDE	$311.22	$399.00	—	6% above	22%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 HC NATRIURETIC PEPTIDE #	$311.22	$399.00	—	6% above	22%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 HC NATRIURETIC PEPTIDE	$311.22	$399.00	—	—	22%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 HC NATRIURETIC PEPTIDE #	$311.22	$399.00	—	—	22%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CUL BACT XCPT URINE BLOOD/STOOL AEROBIC ISOL #	$41.34	$53.00	—	71% below	22%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CUL BACT XCPT URINE BLOOD/STOOL AEROBIC ISOL (RL)	$73.32	$94.00	—	49% below	22%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULTURE BACTERIA OTHER	$141.96	$182.00	—	2% below	22%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC CUL BACT XCPT URINE BLOOD/STOOL AEROBIC ISOL #	$41.34	$53.00	—	—	22%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC CUL BACT XCPT URINE BLOOD/STOOL AEROBIC ISOL (RL)	$73.32	$94.00	—	—	22%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC CULTURE BACTERIA OTHER	$141.96	$182.00	—	—	22%
Basic metabolic panel (blood test) CPT 80048 HC BASIC METABOLIC PANEL	$101.40	$130.00	—	24% below	22%
Basic metabolic panel (blood test) inpatient CPT 80048 HC BASIC METABOLIC PANEL	$101.40	$130.00	—	—	22%
Bilirubin blood test, total CPT 82247 HC BILIRUBIN TOTAL #	$7.02	$9.00	—	88% below	22%
Bilirubin blood test, total CPT 82247 HC BILIRUBIN TOTAL	$39.78	$51.00	—	29% below	22%
Bilirubin blood test, total inpatient CPT 82247 HC BILIRUBIN TOTAL #	$7.02	$9.00	—	—	22%
Bilirubin blood test, total inpatient CPT 82247 HC BILIRUBIN TOTAL	$39.78	$51.00	—	—	22%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC LEVEL IV SURG PATHOLOGY GROSS&MICROSCOPIC EXAM #	$365.82	$469.00	—	26% above	22%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HC LEVEL IV SURG PATHOLOGY GROSS&MICROSCOPIC EXAM #	$365.82	$469.00	—	—	22%
Blood culture for bacteria CPT 87040 HC BLOOD CULTURE FOR BACTERIA	$214.50	$275.00	—	3% above	22%
Blood culture for bacteria inpatient CPT 87040 HC BLOOD CULTURE FOR BACTERIA	$214.50	$275.00	—	—	22%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 HC ED ROUTINE VENIPUNCTURE OR LEGAL DRAW CDM	$24.96	$32.00	—	34% below	22%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 HC ROUTINE VENIPUNCTURE - REFERRAL DRAW FEE	$24.96	$32.00	—	34% below	22%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 HC ROUTINE VENIPUNCTURE - COLLECTION VENOUS BLD	$24.96	$32.00	—	34% below	22%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 HC ED ROUTINE VENIPUNCTURE OR LEGAL DRAW CDM	$24.96	$32.00	—	—	22%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 HC ROUTINE VENIPUNCTURE - REFERRAL DRAW FEE	$24.96	$32.00	—	—	22%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 HC ROUTINE VENIPUNCTURE - COLLECTION VENOUS BLD	$24.96	$32.00	—	—	22%
Blood glucose (sugar) test CPT 82947 HC GLUCOSE QUANTITATIVE BLOOD XCPT REAGENT STRIP #	$17.16	$22.00	—	60% below	22%
Blood glucose (sugar) test CPT 82947 HC GLUCOSE QUANTITATIVE BLOOD (EXCEPT REAGENT STRIP)	$42.90	$55.00	—	at median	22%
Blood glucose (sugar) test inpatient CPT 82947 HC GLUCOSE QUANTITATIVE BLOOD XCPT REAGENT STRIP #	$17.16	$22.00	—	—	22%
Blood glucose (sugar) test inpatient CPT 82947 HC GLUCOSE QUANTITATIVE BLOOD (EXCEPT REAGENT STRIP)	$42.90	$55.00	—	—	22%
Blood lead test CPT 83655 HC ASSAY OF LEAD #	$14.82	$19.00	—	81% below	22%
Blood lead test CPT 83655 HC LEAD (RL)	$21.06	$27.00	—	73% below	22%
Blood lead test CPT 83655 HC HVY MET UR - LEAD	$21.84	$28.00	—	72% below	22%
Blood lead test CPT 83655 HC LEAD BLOOD	$144.30	$185.00	—	87% above	22%
Blood lead test CPT 83655 HC HVY MET BLD - LEAD	$144.30	$185.00	—	87% above	22%
Blood lead test inpatient CPT 83655 HC ASSAY OF LEAD #	$14.82	$19.00	—	—	22%
Blood lead test inpatient CPT 83655 HC LEAD (RL)	$21.06	$27.00	—	—	22%
Blood lead test inpatient CPT 83655 HC HVY MET UR - LEAD	$21.84	$28.00	—	—	22%
Blood lead test inpatient CPT 83655 HC HVY MET BLD - LEAD	$144.30	$185.00	—	—	22%
Blood lead test inpatient CPT 83655 HC LEAD BLOOD	$144.30	$185.00	—	—	22%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HC HCG SCREEN (SERUM)	$101.40	$130.00	—	at median	22%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HC HCG SCREEN (SERUM)	$101.40	$130.00	—	—	22%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HC BLOOD TYPING SEROLOGIC ABO (RL)	$28.08	$36.00	—	50% below	22%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HC BLOOD TYPING SEROLOGIC ABO #	$74.10	$95.00	—	31% above	22%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HC BLOOD TYPING SEROLOGIC ABO (RL)	$28.08	$36.00	—	—	22%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HC BLOOD TYPING SEROLOGIC ABO #	$74.10	$95.00	—	—	22%
Blood urea nitrogen (BUN) test CPT 84520 HC UREA NITROGEN BODY FLUID	$14.04	$18.00	—	71% below	22%
Blood urea nitrogen (BUN) test CPT 84520 HC BUN	$40.56	$52.00	—	16% below	22%
Blood urea nitrogen (BUN) test CPT 84520 HC ASSAY OF UREA NITROGEN QUANTITATIVE #	$40.56	$52.00	—	16% below	22%
Blood urea nitrogen (BUN) test inpatient CPT 84520 HC UREA NITROGEN BODY FLUID	$14.04	$18.00	—	—	22%
Blood urea nitrogen (BUN) test inpatient CPT 84520 HC ASSAY OF UREA NITROGEN QUANTITATIVE #	$40.56	$52.00	—	—	22%
Blood urea nitrogen (BUN) test inpatient CPT 84520 HC BUN	$40.56	$52.00	—	—	22%
C-peptide blood test CPT 84681 HC ASSAY OF C PEPTIDE #	$23.17	$29.70	—	86% below	22%
C-peptide blood test CPT 84681 HC C PEPTIDE	$23.40	$30.00	—	86% below	22%
C-peptide blood test inpatient CPT 84681 HC ASSAY OF C PEPTIDE #	$23.17	$29.70	—	—	22%
C-peptide blood test inpatient CPT 84681 HC C PEPTIDE	$23.40	$30.00	—	—	22%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 HC C-REACTIVE PROTEIN #	$14.04	$18.00	—	78% below	22%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 HC C-REACTIVE PROTEIN	$151.32	$194.00	—	139% above	22%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 HC C-REACTIVE PROTEIN #	$14.04	$18.00	—	—	22%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 HC C-REACTIVE PROTEIN	$151.32	$194.00	—	—	22%
C. difficile toxin gene test (stool PCR) CPT 87493 HC CLOSTRIDIUM DIFFICILE TOXINS AMPLIFIED PROBE	$291.72	$374.00	—	25% above	22%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 HC CLOSTRIDIUM DIFFICILE TOXINS AMPLIFIED PROBE	$291.72	$374.00	—	—	22%
CA 19-9 blood test (tumor marker) CPT 86301 HC IMMUNOASSAY TUMOR CA 19-9	$350.22	$449.00	—	52% above	22%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 HC IMMUNOASSAY TUMOR CA 19-9	$350.22	$449.00	—	—	22%
CA-125 blood test (ovarian cancer marker) CPT 86304 HC IMMUNOASSAY TUMOR CA 125	$381.42	$489.00	—	118% above	22%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 HC IMMUNOASSAY TUMOR CA 125	$381.42	$489.00	—	—	22%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HC COVID-19 AMP PRB POCT	$145.08	$186.00	—	40% above	22%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HC IADNA SARS-COV-2 COVID-19 AMPLIFIED PROBE TQ #	$145.08	$186.00	—	40% above	22%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 HC IADNA SARS-COV-2 COVID-19 AMPLIFIED PROBE TQ #	$145.08	$186.00	—	—	22%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 HC COVID-19 AMP PRB POCT	$145.08	$186.00	—	—	22%
Calcium blood test, total CPT 82310 HC CALCIUM SERUM	$78.00	$100.00	—	11% above	22%
Calcium blood test, total CPT 82310 HC CALCIUM TOTAL #	$78.00	$100.00	—	11% above	22%
Calcium blood test, total inpatient CPT 82310 HC CALCIUM SERUM	$78.00	$100.00	—	—	22%
Calcium blood test, total inpatient CPT 82310 HC CALCIUM TOTAL #	$78.00	$100.00	—	—	22%
Carcinoembryonic antigen (CEA) test CPT 82378 HC CEA BODY FLUID	$31.98	$41.00	—	83% below	22%
Carcinoembryonic antigen (CEA) test CPT 82378 HC CEA-CARCINOEMBRYONIC ANTIGEN	$278.46	$357.00	—	49% above	22%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 HC CEA BODY FLUID	$31.98	$41.00	—	—	22%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 HC CEA-CARCINOEMBRYONIC ANTIGEN	$278.46	$357.00	—	—	22%
Chickenpox (varicella) immunity blood test CPT 86787 HC VARICELLA-ZOSTER ANTIBODY - IGG	$21.84	$28.00	—	74% below	22%
Chickenpox (varicella) immunity blood test CPT 86787 HC VARICELLA-ZOSTER ANTIBODY - IGG PAML	$28.86	$37.00	—	65% below	22%
Chickenpox (varicella) immunity blood test CPT 86787 HC VARICELLA-ZOSTER ANTIBODY - IGM PAML	$28.86	$37.00	—	65% below	22%
Chickenpox (varicella) immunity blood test CPT 86787 HC VARICELLA-ZOSTER ANTIBODY	$303.42	$389.00	—	268% above	22%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 HC VARICELLA-ZOSTER ANTIBODY - IGG	$21.84	$28.00	—	—	22%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 HC VARICELLA-ZOSTER ANTIBODY - IGG PAML	$28.86	$37.00	—	—	22%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 HC VARICELLA-ZOSTER ANTIBODY - IGM PAML	$28.86	$37.00	—	—	22%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 HC VARICELLA-ZOSTER ANTIBODY	$303.42	$389.00	—	—	22%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC CHLAMYDIA TRACHOMATIS AMPLIFIED DNA	$44.46	$57.00	—	71% below	22%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC CHLAMYDIA TRACHOMATIS PCR	$67.08	$86.00	—	56% below	22%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC IADNA CHLAMYDIA TRACHOMATIS AMPLIFIED PROBE TQ #	$105.30	$135.00	—	31% below	22%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HC CHLAMYDIA TRACHOMATIS AMPLIFIED DNA	$44.46	$57.00	—	—	22%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HC CHLAMYDIA TRACHOMATIS PCR	$67.08	$86.00	—	—	22%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HC IADNA CHLAMYDIA TRACHOMATIS AMPLIFIED PROBE TQ #	$105.30	$135.00	—	—	22%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LIPID PANEL #	$17.16	$22.00	—	83% below	22%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LIPID PANEL	$111.54	$143.00	—	13% above	22%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC LIPID PANEL #	$17.16	$22.00	—	—	22%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC LIPID PANEL	$111.54	$143.00	—	—	22%
Complete blood count (CBC) with differential CPT 85025 HC BLOOD COUNT COMPLETE AUTO&AUTO DIFRNTL WBC #	$19.50	$25.00	—	82% below	22%
Complete blood count (CBC) with differential CPT 85025 HC CBC WITH DIFF AUTO	$85.80	$110.00	—	21% below	22%
Complete blood count (CBC) with differential inpatient CPT 85025 HC BLOOD COUNT COMPLETE AUTO&AUTO DIFRNTL WBC #	$19.50	$25.00	—	—	22%
Complete blood count (CBC) with differential inpatient CPT 85025 HC CBC WITH DIFF AUTO	$85.80	$110.00	—	—	22%
Complete blood count (CBC), no differential CPT 85027 HC BLOOD COUNT COMPLETE AUTOMATED #	$45.24	$58.00	—	45% below	22%
Complete blood count (CBC), no differential CPT 85027 HC BLOOD COUNT COMPLETE AUTOMATED	$78.78	$101.00	—	4% below	22%
Complete blood count (CBC), no differential inpatient CPT 85027 HC BLOOD COUNT COMPLETE AUTOMATED #	$45.24	$58.00	—	—	22%
Complete blood count (CBC), no differential inpatient CPT 85027 HC BLOOD COUNT COMPLETE AUTOMATED	$78.78	$101.00	—	—	22%
Comprehensive metabolic panel (blood test) CPT 80053 HC COMPREHEN METABOLIC PANEL	$117.78	$151.00	—	31% below	22%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 HC COMPREHEN METABOLIC PANEL	$117.78	$151.00	—	—	22%
Cortisol blood test, total CPT 82533 HC CORTISOL TOTAL #	$28.86	$37.00	—	70% below	22%
Cortisol blood test, total CPT 82533 HC CORTISOL TOTAL (RL)	$50.70	$65.00	—	46% below	22%
Cortisol blood test, total CPT 82533 HC CORTISOL	$238.68	$306.00	—	152% above	22%
Cortisol blood test, total inpatient CPT 82533 HC CORTISOL TOTAL #	$28.86	$37.00	—	—	22%
Cortisol blood test, total inpatient CPT 82533 HC CORTISOL TOTAL (RL)	$50.70	$65.00	—	—	22%
Cortisol blood test, total inpatient CPT 82533 HC CORTISOL	$238.68	$306.00	—	—	22%
Creatine kinase (CK) blood test, total CPT 82550 HC CPK TOTAL	$15.60	$20.00	—	85% below	22%
Creatine kinase (CK) blood test, total CPT 82550 HC CREATINE KINASE TOTAL #	$70.20	$90.00	—	32% below	22%
Creatine kinase (CK) blood test, total CPT 82550 HC CK TOTAL	$70.20	$90.00	—	32% below	22%
Creatine kinase (CK) blood test, total inpatient CPT 82550 HC CPK TOTAL	$15.60	$20.00	—	—	22%
Creatine kinase (CK) blood test, total inpatient CPT 82550 HC CK TOTAL	$70.20	$90.00	—	—	22%
Creatine kinase (CK) blood test, total inpatient CPT 82550 HC CREATINE KINASE TOTAL #	$70.20	$90.00	—	—	22%
Creatinine blood test CPT 82565 HC ASSAY CREATININE	$46.80	$60.00	—	22% below	22%
Creatinine blood test inpatient CPT 82565 HC ASSAY CREATININE	$46.80	$60.00	—	—	22%
Cytomegalovirus (CMV) antibody test CPT 86644 HC ANTIBODY CYTOMEGALOVIRUS CMV #	$17.94	$23.00	—	70% below	22%
Cytomegalovirus (CMV) antibody test CPT 86644 HC CMV ANTIBODY - TORCH	$33.54	$43.00	—	43% below	22%
Cytomegalovirus (CMV) antibody test CPT 86644 HC CMV ANTIBODY	$337.74	$433.00	—	471% above	22%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 HC ANTIBODY CYTOMEGALOVIRUS CMV #	$17.94	$23.00	—	—	22%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 HC CMV ANTIBODY - TORCH	$33.54	$43.00	—	—	22%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 HC CMV ANTIBODY	$337.74	$433.00	—	—	22%
D-dimer blood test (blood clot marker) CPT 85379 HC DDIMER QUANT	$216.06	$277.00	—	6% above	22%
D-dimer blood test (blood clot marker) inpatient CPT 85379 HC DDIMER QUANT	$216.06	$277.00	—	—	22%
DHEA sulfate (DHEA-S) blood test CPT 82627 HC DEHYDROEPIANDROSTERONE-SULFATE #	$168.48	$216.00	—	15% above	22%
DHEA sulfate (DHEA-S) blood test CPT 82627 HC DHEA SULFATE.	$262.86	$337.00	—	80% above	22%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 HC DEHYDROEPIANDROSTERONE-SULFATE #	$168.48	$216.00	—	—	22%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 HC DHEA SULFATE.	$262.86	$337.00	—	—	22%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG TST PRSMV INSTRMNT CHEMAN	$21.06	$27.00	—	88% below	22%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUGS OF ABUSE URINE	$67.08	$86.00	—	62% below	22%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG TST PRSMV INSTRMNT CHEM ANALYZERS PR DATE #	$73.32	$94.00	—	58% below	22%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG TEST PRSMV CHEM ANLYZR ALCOHOL PER DOS	$120.90	$155.00	—	32% below	22%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG TEST PRSMV CHEM ANLYZR PER DOS	$151.32	$194.00	—	14% below	22%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG TST PRSMV INSTRMNT CHEMAN	$21.06	$27.00	—	—	22%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUGS OF ABUSE URINE	$67.08	$86.00	—	—	22%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG TST PRSMV INSTRMNT CHEM ANALYZERS PR DATE #	$73.32	$94.00	—	—	22%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG TEST PRSMV CHEM ANLYZR ALCOHOL PER DOS	$120.90	$155.00	—	—	22%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG TEST PRSMV CHEM ANLYZR PER DOS	$151.32	$194.00	—	—	22%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 HC ELECTROLYTE PANEL	$86.58	$111.00	—	12% below	22%
Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 HC ELECTROLYTE PANEL	$86.58	$111.00	—	—	22%
Epstein-Barr virus (EBV) antibody test CPT 86665 HC ANTIBODY EPSTEIN-BARR EB VIRUS VIRAL CAPSID VCA #	$30.42	$39.00	—	59% below	22%
Epstein-Barr virus (EBV) antibody test CPT 86665 HC EPSTEIN-BARR ANTIBODY - VIRAL CAPSID	$277.68	$356.00	—	270% above	22%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 HC ANTIBODY EPSTEIN-BARR EB VIRUS VIRAL CAPSID VCA #	$30.42	$39.00	—	—	22%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 HC EPSTEIN-BARR ANTIBODY - VIRAL CAPSID	$277.68	$356.00	—	—	22%
Estradiol blood test CPT 82670 HC ASSAY OF TOTAL ESTRADIOL #	$84.24	$108.00	—	51% below	22%
Estradiol blood test CPT 82670 HC ESTRADIOL ENHANCED	$231.66	$297.00	—	34% above	22%
Estradiol blood test CPT 82670 HC ASSAY OF ESTRADIOL #	$304.20	$390.00	—	76% above	22%
Estradiol blood test CPT 82670 HC ESTRADIOL	$304.20	$390.00	—	76% above	22%
Estradiol blood test inpatient CPT 82670 HC ASSAY OF TOTAL ESTRADIOL #	$84.24	$108.00	—	—	22%
Estradiol blood test inpatient CPT 82670 HC ESTRADIOL ENHANCED	$231.66	$297.00	—	—	22%
Estradiol blood test inpatient CPT 82670 HC ASSAY OF ESTRADIOL #	$304.20	$390.00	—	—	22%
Estradiol blood test inpatient CPT 82670 HC ESTRADIOL	$304.20	$390.00	—	—	22%
FSH (follicle-stimulating hormone) test CPT 83001 HC FSH	$194.22	$249.00	—	at median	22%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 HC FSH	$194.22	$249.00	—	—	22%
Fecal calprotectin (stool inflammation test) CPT 83993 HC CALPROTECTIN FECAL	$479.70	$615.00	—	4% above	22%
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 HC CALPROTECTIN FECAL	$479.70	$615.00	—	—	22%
Ferritin blood test (iron stores) CPT 82728 HC ASSAY OF FERRITIN #	$39.78	$51.00	—	66% below	22%
Ferritin blood test (iron stores) CPT 82728 HC FERRITIN	$190.32	$244.00	—	62% above	22%
Ferritin blood test (iron stores) inpatient CPT 82728 HC ASSAY OF FERRITIN #	$39.78	$51.00	—	—	22%
Ferritin blood test (iron stores) inpatient CPT 82728 HC FERRITIN	$190.32	$244.00	—	—	22%
Fibrinogen blood test CPT 85384 HC FIBRINOGEN	$212.94	$273.00	—	47% above	22%
Fibrinogen blood test inpatient CPT 85384 HC FIBRINOGEN	$212.94	$273.00	—	—	22%
Folate (folic acid) blood test CPT 82746 HC FOLATE	$179.40	$230.00	—	30% above	22%
Folate (folic acid) blood test inpatient CPT 82746 HC FOLATE	$179.40	$230.00	—	—	22%
Free T3 thyroid hormone test CPT 84481 HC FREE T-3 ICMA	$253.50	$325.00	—	60% above	22%
Free T3 thyroid hormone test inpatient CPT 84481 HC FREE T-3 ICMA	$253.50	$325.00	—	—	22%
Free T4 (free thyroxine) thyroid blood test CPT 84439 HC ASSAY OF FREE THYROXINE #	$17.16	$22.00	—	88% below	22%
Free T4 (free thyroxine) thyroid blood test CPT 84439 HC FREE T4	$131.82	$169.00	—	4% below	22%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 HC ASSAY OF FREE THYROXINE #	$17.16	$22.00	—	—	22%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 HC FREE T4	$131.82	$169.00	—	—	22%
Free testosterone test CPT 84402 HC ASSAY OF TESTOSTERONE FREE #	$28.08	$36.00	—	78% below	22%
Free testosterone test CPT 84402 HC TESTOSTERONE FREE	$32.76	$42.00	—	74% below	22%
Free testosterone test inpatient CPT 84402 HC ASSAY OF TESTOSTERONE FREE #	$28.08	$36.00	—	—	22%
Free testosterone test inpatient CPT 84402 HC TESTOSTERONE FREE	$32.76	$42.00	—	—	22%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 HC GAMMA GT TOTAL	$63.18	$81.00	—	10% below	22%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 HC GAMMA GT TOTAL	$63.18	$81.00	—	—	22%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 HC GESTATIONAL GLUCOSE 1 HOUR	$7.80	$10.00	—	88% below	22%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 HC GLUCOSE POST GLUCOSE DOSE #	$17.16	$22.00	—	73% below	22%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 HC GLUCOSE POST GLUCOSE DOSE	$84.24	$108.00	—	32% above	22%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 HC GESTATIONAL GLUCOSE 1 HOUR	$7.80	$10.00	—	—	22%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 HC GLUCOSE POST GLUCOSE DOSE #	$17.16	$22.00	—	—	22%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 HC GLUCOSE POST GLUCOSE DOSE	$84.24	$108.00	—	—	22%
Glucose tolerance test, 3 samples CPT 82951 HC GLUCOSE TOLERANCE TEST GTT 3 SPECIMENS #	$18.72	$24.00	—	83% below	22%
Glucose tolerance test, 3 samples CPT 82951 HC GLUCOSE TOLERANCE TEST (GTT) 3 SPECIMENS	$225.42	$289.00	—	106% above	22%
Glucose tolerance test, 3 samples inpatient CPT 82951 HC GLUCOSE TOLERANCE TEST GTT 3 SPECIMENS #	$18.72	$24.00	—	—	22%
Glucose tolerance test, 3 samples inpatient CPT 82951 HC GLUCOSE TOLERANCE TEST (GTT) 3 SPECIMENS	$225.42	$289.00	—	—	22%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC GC AMPLIFICATION APTIMA	$53.04	$68.00	—	54% below	22%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC IADNA NEISSERIA GONORRHOEAE AMPLIFIED PROBE TQ #	$67.08	$86.00	—	42% below	22%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HC GC AMPLIFICATION APTIMA	$53.04	$68.00	—	—	22%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HC IADNA NEISSERIA GONORRHOEAE AMPLIFIED PROBE TQ #	$67.08	$86.00	—	—	22%
H. pylori antibody blood test CPT 86677 HC HELICOBACTER PYLORI - IGM	$26.52	$34.00	—	72% below	22%
H. pylori antibody blood test CPT 86677 HC ANTIBODY HELICOBACTER PYLORI #	$35.88	$46.00	—	62% below	22%
H. pylori antibody blood test CPT 86677 HC HELICOBACTER PYLORI	$99.06	$127.00	—	5% above	22%
H. pylori antibody blood test inpatient CPT 86677 HC HELICOBACTER PYLORI - IGM	$26.52	$34.00	—	—	22%
H. pylori antibody blood test inpatient CPT 86677 HC ANTIBODY HELICOBACTER PYLORI #	$35.88	$46.00	—	—	22%
H. pylori antibody blood test inpatient CPT 86677 HC HELICOBACTER PYLORI	$99.06	$127.00	—	—	22%
H. pylori stool antigen test CPT 87338 HC H PYLORI ANTIGEN STOOL	$111.54	$143.00	—	39% below	22%
H. pylori stool antigen test inpatient CPT 87338 HC H PYLORI ANTIGEN STOOL	$111.54	$143.00	—	—	22%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HC IADNA HIV-1 QUANT & REVERSE TRANSCRIPTION #	$120.90	$155.00	—	67% below	22%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HC HIV ULTRA SENSITIVE PCR	$120.90	$155.00	—	67% below	22%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HC HIV ULTRA SENSITIVE PCR	$120.90	$155.00	—	—	22%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HC IADNA HIV-1 QUANT & REVERSE TRANSCRIPTION #	$120.90	$155.00	—	—	22%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HC HIV-1 AG W/HIV-1 & HIV-2 AB	$87.36	$112.00	—	23% below	22%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HC IAAD IA HIV-1 AG W/HIV-1 & HIV-2 ANTBDY SINGLE #	$87.36	$112.00	—	23% below	22%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HC IAAD IA HIV-1 AG W/HIV-1 & HIV-2 ANTBDY SINGLE #	$87.36	$112.00	—	—	22%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HC HIV-1 AG W/HIV-1 & HIV-2 AB	$87.36	$112.00	—	—	22%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HC IADNA HUMAN PAPILLOMAVIRUS HIGH-RISK TYPES #	$92.04	$118.00	—	11% below	22%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HC IADNA HUMAN PAPILLOMAVIRUS HIGH-RISK TYPES #	$92.04	$118.00	—	—	22%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HC SENDOUT GLYCOSYLATED HEMOGLOBIN	$92.82	$119.00	—	24% below	22%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HC GLYCOSYLATED HEMOGLOBIN	$127.14	$163.00	—	4% above	22%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HC HEMOGLOBIN GLYCOSYLATED A1C #	$127.14	$163.00	—	4% above	22%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HC SENDOUT GLYCOSYLATED HEMOGLOBIN	$92.82	$119.00	—	—	22%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HC GLYCOSYLATED HEMOGLOBIN	$127.14	$163.00	—	—	22%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HC HEMOGLOBIN GLYCOSYLATED A1C #	$127.14	$163.00	—	—	22%
Hemoglobin blood test CPT 85018 HC BLOOD COUNT HEMOGLOBIN #	$36.66	$47.00	—	22% below	22%
Hemoglobin blood test CPT 85018 HC HEMOGLOBIN (HGB)	$36.66	$47.00	—	22% below	22%
Hemoglobin blood test inpatient CPT 85018 HC BLOOD COUNT HEMOGLOBIN #	$36.66	$47.00	—	—	22%
Hemoglobin blood test inpatient CPT 85018 HC HEMOGLOBIN (HGB)	$36.66	$47.00	—	—	22%
Hepatitis B core antibody test (total) CPT 86704 HC HEPATITIS B CORE ANTIBODY HBCAB TOTAL #	$18.72	$24.00	—	74% below	22%
Hepatitis B core antibody test (total) CPT 86704 HC HEP B CORE ANTIBODY TOTAL	$258.18	$331.00	—	253% above	22%
Hepatitis B core antibody test (total) inpatient CPT 86704 HC HEPATITIS B CORE ANTIBODY HBCAB TOTAL #	$18.72	$24.00	—	—	22%
Hepatitis B core antibody test (total) inpatient CPT 86704 HC HEP B CORE ANTIBODY TOTAL	$258.18	$331.00	—	—	22%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HC HEPATITIS B SURF ANTIBODY HBSAB #	$30.42	$39.00	—	67% below	22%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HC HEP B SURFACE AB	$53.04	$68.00	—	42% below	22%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HC HEPATITIS B SURF ANTIBODY HBSAB #	$30.42	$39.00	—	—	22%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HC HEP B SURFACE AB	$53.04	$68.00	—	—	22%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HC IAAD IA HEPATITIS B SURFACE ANTIGEN #	$53.82	$69.00	—	24% below	22%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HC HEPATITIS B SURFACE ANTIGEN	$53.82	$69.00	—	24% below	22%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HC HEPATITIS B SURFACE ANTIGEN	$53.82	$69.00	—	—	22%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HC IAAD IA HEPATITIS B SURFACE ANTIGEN #	$53.82	$69.00	—	—	22%
Hepatitis C antibody blood test (screening) CPT 86803 HC HEPATITIS C ANTIBODY #	$21.84	$28.00	—	77% below	22%
Hepatitis C antibody blood test (screening) CPT 86803 HC HEPATITIS C AB TEST	$70.20	$90.00	—	27% below	22%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HC HEPATITIS C ANTIBODY #	$21.84	$28.00	—	—	22%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HC HEPATITIS C AB TEST	$70.20	$90.00	—	—	22%
Hepatitis C viral load (HCV RNA) test CPT 87522 HC HEPATITIS C QUANTITATIVE PCR PAML	$125.58	$161.00	—	61% below	22%
Hepatitis C viral load (HCV RNA) test CPT 87522 HC IADNA HEPATITIS C QUANT & REVERSE TRANSCRIPTION #	$166.14	$213.00	—	49% below	22%
Hepatitis C viral load (HCV RNA) test one side CPT 87522 HC HEPATITIS C QUANTITATIVE PCR BY RT	$597.48	$766.00	—	85% above	22%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HC HEPATITIS C QUANTITATIVE PCR PAML	$125.58	$161.00	—	—	22%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HC IADNA HEPATITIS C QUANT & REVERSE TRANSCRIPTION #	$166.14	$213.00	—	—	22%
Hepatitis C viral load (HCV RNA) test inpatient one side CPT 87522 HC HEPATITIS C QUANTITATIVE PCR BY RT	$597.48	$766.00	—	—	22%
Herpes blood test, HSV-1 antibody CPT 86695 HC ANTIBODY HERPES SMPLX TYPE 1 #	$30.42	$39.00	—	46% below	22%
Herpes blood test, HSV-1 antibody CPT 86695 HC HERPES SIMPLEX 1 TEST	$33.54	$43.00	—	40% below	22%
Herpes blood test, HSV-1 antibody CPT 86695 HC HERPES SIMPLEX TEST - TYPE 1 IGG	$205.14	$263.00	—	267% above	22%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HC ANTIBODY HERPES SMPLX TYPE 1 #	$30.42	$39.00	—	—	22%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HC HERPES SIMPLEX 1 TEST	$33.54	$43.00	—	—	22%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HC HERPES SIMPLEX TEST - TYPE 1 IGG	$205.14	$263.00	—	—	22%
Herpes blood test, HSV-2 antibody CPT 86696 HC ANTIBODY HERPES SMPLX TYPE 2 #	$30.42	$39.00	—	63% below	22%
Herpes blood test, HSV-2 antibody CPT 86696 HC HERPES SIMPLEX TYPE 2	$33.54	$43.00	—	59% below	22%
Herpes blood test, HSV-2 antibody CPT 86696 HC HERPES SIMPLEX TYPE 2 -HSV 1&2 IGG-HSV TYPE 2	$205.14	$263.00	—	153% above	22%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HC ANTIBODY HERPES SMPLX TYPE 2 #	$30.42	$39.00	—	—	22%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HC HERPES SIMPLEX TYPE 2	$33.54	$43.00	—	—	22%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HC HERPES SIMPLEX TYPE 2 -HSV 1&2 IGG-HSV TYPE 2	$205.14	$263.00	—	—	22%
High-sensitivity CRP (hs-CRP) test CPT 86141 HC CRP HIGH SENSITIVITY	$198.90	$255.00	—	22% above	22%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 HC CRP HIGH SENSITIVITY	$198.90	$255.00	—	—	22%
Homocysteine blood test CPT 83090 HC ASSAY OF HOMOCYSTEINE #	$69.42	$89.00	—	67% below	22%
Homocysteine blood test inpatient CPT 83090 HC ASSAY OF HOMOCYSTEINE #	$69.42	$89.00	—	—	22%
Insulin blood test CPT 83525 HC ASSAY OF INSULIN TOTAL #	$42.90	$55.00	—	at median	22%
Insulin blood test CPT 83525 HC ASSAY OF INSULIN	$47.58	$61.00	—	11% above	22%
Insulin blood test CPT 83525 HC INSULIN LEVEL ASSAY	$170.82	$219.00	—	298% above	22%
Insulin blood test inpatient CPT 83525 HC ASSAY OF INSULIN TOTAL #	$42.90	$55.00	—	—	22%
Insulin blood test inpatient CPT 83525 HC ASSAY OF INSULIN	$47.58	$61.00	—	—	22%
Insulin blood test inpatient CPT 83525 HC INSULIN LEVEL ASSAY	$170.82	$219.00	—	—	22%
Iron blood test (serum iron) CPT 83540 HC IRON	$79.56	$102.00	—	1% above	22%
Iron blood test (serum iron) inpatient CPT 83540 HC IRON	$79.56	$102.00	—	—	22%
Kidney function blood test panel CPT 80069 HC RENAL PANEL	$99.84	$128.00	—	34% below	22%
Kidney function blood test panel inpatient CPT 80069 HC RENAL PANEL	$99.84	$128.00	—	—	22%
LH (luteinizing hormone) test CPT 83002 HC LH	$195.00	$250.00	—	5% below	22%
LH (luteinizing hormone) test inpatient CPT 83002 HC LH	$195.00	$250.00	—	—	22%
Lactate (lactic acid) blood test CPT 83605 HC ASSAY OF LACTATE #	$174.72	$224.00	—	10% above	22%
Lactate (lactic acid) blood test CPT 83605 HC LACTATE (LACTIC ACID)	$174.72	$224.00	—	10% above	22%
Lactate (lactic acid) blood test inpatient CPT 83605 HC ASSAY OF LACTATE #	$174.72	$224.00	—	—	22%
Lactate (lactic acid) blood test inpatient CPT 83605 HC LACTATE (LACTIC ACID)	$174.72	$224.00	—	—	22%
Lactate dehydrogenase (LDH) blood test CPT 83615 HC LDH ISO-LD TOTAL	$56.16	$72.00	—	27% below	22%
Lactate dehydrogenase (LDH) blood test CPT 83615 HC LDH BODY FLUID	$63.18	$81.00	—	17% below	22%
Lactate dehydrogenase (LDH) blood test CPT 83615 HC LDH SERUM	$63.18	$81.00	—	17% below	22%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 HC LDH ISO-LD TOTAL	$56.16	$72.00	—	—	22%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 HC LDH SERUM	$63.18	$81.00	—	—	22%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 HC LDH BODY FLUID	$63.18	$81.00	—	—	22%
Lipase blood test (pancreas enzyme) CPT 83690 HC LIPASE	$101.40	$130.00	—	16% below	22%
Lipase blood test (pancreas enzyme) CPT 83690 HC ASSAY OF LIPASE #	$101.40	$130.00	—	16% below	22%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 HC ASSAY OF LIPASE #	$101.40	$130.00	—	—	22%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 HC LIPASE	$101.40	$130.00	—	—	22%
Liver function blood test panel CPT 80076 HC HEPATIC FUNCTION PANEL #	$18.72	$24.00	—	81% below	22%
Liver function blood test panel CPT 80076 HC HEPATIC FUNCTION PANEL	$95.94	$123.00	—	5% below	22%
Liver function blood test panel inpatient CPT 80076 HC HEPATIC FUNCTION PANEL #	$18.72	$24.00	—	—	22%
Liver function blood test panel inpatient CPT 80076 HC HEPATIC FUNCTION PANEL	$95.94	$123.00	—	—	22%
Lyme disease antibody test CPT 86618 HC ANTIBODY BORRELIA BURGDORFERI LYME DISEASE #	$38.22	$49.00	—	67% below	22%
Lyme disease antibody test CPT 86618 HC LYME DISEASE ANTIBODY - CSF	$124.80	$160.00	—	7% above	22%
Lyme disease antibody test inpatient CPT 86618 HC ANTIBODY BORRELIA BURGDORFERI LYME DISEASE #	$38.22	$49.00	—	—	22%
Lyme disease antibody test inpatient CPT 86618 HC LYME DISEASE ANTIBODY - CSF	$124.80	$160.00	—	—	22%
Magnesium blood test CPT 83735 HC MAGNESIUM RANDOM URINE	$60.84	$78.00	—	18% below	22%
Magnesium blood test CPT 83735 HC MAGNESIUM	$100.62	$129.00	—	36% above	22%
Magnesium blood test CPT 83735 HC ASSAY OF MAGNESIUM #	$202.02	$259.00	—	173% above	22%
Magnesium blood test inpatient CPT 83735 HC MAGNESIUM RANDOM URINE	$60.84	$78.00	—	—	22%
Magnesium blood test inpatient CPT 83735 HC MAGNESIUM	$100.62	$129.00	—	—	22%
Magnesium blood test inpatient CPT 83735 HC ASSAY OF MAGNESIUM #	$202.02	$259.00	—	—	22%
Measles (rubeola) antibody test CPT 86765 HC RUBEOLA ANTIBODY - IGG	$15.60	$20.00	—	73% below	22%
Measles (rubeola) antibody test CPT 86765 HC ANTIBODY RUBEOLA #	$19.50	$25.00	—	66% below	22%
Measles (rubeola) antibody test CPT 86765 HC RUBEOLA AB-IGG	$58.50	$75.00	—	3% above	22%
Measles (rubeola) antibody test inpatient CPT 86765 HC RUBEOLA ANTIBODY - IGG	$15.60	$20.00	—	—	22%
Measles (rubeola) antibody test inpatient CPT 86765 HC ANTIBODY RUBEOLA #	$19.50	$25.00	—	—	22%
Measles (rubeola) antibody test inpatient CPT 86765 HC RUBEOLA AB-IGG	$58.50	$75.00	—	—	22%
Mono test (heterophile antibody, Monospot) CPT 86308 HC HETEROPHILE ANTIBODIES SCREEN #	$24.18	$31.00	—	69% below	22%
Mono test (heterophile antibody, Monospot) CPT 86308 HC HETEROPHILE ANTIBODIES	$125.58	$161.00	—	63% above	22%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 HC HETEROPHILE ANTIBODIES SCREEN #	$24.18	$31.00	—	—	22%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 HC HETEROPHILE ANTIBODIES	$125.58	$161.00	—	—	22%
Mumps immunity blood test CPT 86735 HC ANTIBODY MUMPS #	$16.38	$21.00	—	80% below	22%
Mumps immunity blood test CPT 86735 HC MUMPS ANTIBODY - IGG	$16.38	$21.00	—	80% below	22%
Mumps immunity blood test CPT 86735 HC MUMPS ANTIBODY - VIRUS IGM	$61.62	$79.00	—	26% below	22%
Mumps immunity blood test CPT 86735 HC MUMPS ANTIBODY	$291.72	$374.00	—	249% above	22%
Mumps immunity blood test inpatient CPT 86735 HC ANTIBODY MUMPS #	$16.38	$21.00	—	—	22%
Mumps immunity blood test inpatient CPT 86735 HC MUMPS ANTIBODY - IGG	$16.38	$21.00	—	—	22%
Mumps immunity blood test inpatient CPT 86735 HC MUMPS ANTIBODY - VIRUS IGM	$61.62	$79.00	—	—	22%
Mumps immunity blood test inpatient CPT 86735 HC MUMPS ANTIBODY	$291.72	$374.00	—	—	22%
PSA (prostate-specific antigen) blood test, free CPT 84154 HC PSA FREE	$21.06	$27.00	—	74% below	22%
PSA (prostate-specific antigen) blood test, free CPT 84154 HC ASSAY OF PROSTATE SPECIFIC ANTIGEN FREE #	$138.06	$177.00	—	74% above	22%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 HC PSA FREE	$21.06	$27.00	—	—	22%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 HC ASSAY OF PROSTATE SPECIFIC ANTIGEN FREE #	$138.06	$177.00	—	—	22%
PSA (prostate-specific antigen) blood test, total CPT 84153 HC ASSAY OF PROSTATE SPECIFIC ANTIGEN TOTAL #	$180.96	$232.00	—	9% above	22%
PSA (prostate-specific antigen) blood test, total CPT 84153 HC PSA SCREENING	$180.96	$232.00	—	9% above	22%
PSA (prostate-specific antigen) blood test, total CPT 84153 HC PROSTATE SPECIFIC ANTIGEN (PSA) TOTAL	$180.96	$232.00	—	9% above	22%
PSA (prostate-specific antigen) blood test, total CPT 84153 HC PSA ULTRASENSITIVE	$180.96	$232.00	—	9% above	22%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC PROSTATE SPECIFIC ANTIGEN (PSA) TOTAL	$180.96	$232.00	—	—	22%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC PSA ULTRASENSITIVE	$180.96	$232.00	—	—	22%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC ASSAY OF PROSTATE SPECIFIC ANTIGEN TOTAL #	$180.96	$232.00	—	—	22%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC PSA SCREENING	$180.96	$232.00	—	—	22%
Pap test (liquid-based, automated screening with review) CPT 88175 HC CYTP C/V AUTO THIN LYR PREPJ SCR MNL RESCR PHYS #	$75.66	$97.00	—	24% below	22%
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 HC CYTP C/V AUTO THIN LYR PREPJ SCR MNL RESCR PHYS #	$75.66	$97.00	—	—	22%
Parathyroid hormone (PTH) blood test CPT 83970 HC PARATHORMONE (PARATHYROID HORMONE)	$454.74	$583.00	—	38% above	22%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 HC PARATHORMONE (PARATHYROID HORMONE)	$454.74	$583.00	—	—	22%
Partial thromboplastin time (PTT) clotting test CPT 85730 HC THROMBOPLASTIN TIME PARTIAL PLASMA/WHOLE BLOOD #	$13.26	$17.00	—	86% below	22%
Partial thromboplastin time (PTT) clotting test CPT 85730 HC THROMBOPLASTIN TIME PARTIAL	$95.16	$122.00	—	at median	22%
Partial thromboplastin time (PTT) clotting test CPT 85730 HC LUPUS ANTICOAG-PTT	$134.16	$172.00	—	41% above	22%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC THROMBOPLASTIN TIME PARTIAL PLASMA/WHOLE BLOOD #	$13.26	$17.00	—	—	22%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC THROMBOPLASTIN TIME PARTIAL	$95.16	$122.00	—	—	22%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC LUPUS ANTICOAG-PTT	$134.16	$172.00	—	—	22%
Phosphorus (phosphate) blood test CPT 84100 HC ASSAY PHOSPHORUS	$56.94	$73.00	—	14% below	22%
Phosphorus (phosphate) blood test inpatient CPT 84100 HC ASSAY PHOSPHORUS	$56.94	$73.00	—	—	22%
Potassium blood test CPT 84132 HC POTASSIUM	$53.04	$68.00	—	14% below	22%
Potassium blood test CPT 84132 HC RBC POTASSIUM	$171.60	$220.00	—	179% above	22%
Potassium blood test inpatient CPT 84132 HC POTASSIUM	$53.04	$68.00	—	—	22%
Potassium blood test inpatient CPT 84132 HC RBC POTASSIUM	$171.60	$220.00	—	—	22%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 HC FETAL CHROMOSOMAL ANEUPLOIDY GENOMIC SEQ ANALYS #	$926.64	$1,188.00	—	25% below	22%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) inpatient CPT 81420 HC FETAL CHROMOSOMAL ANEUPLOIDY GENOMIC SEQ ANALYS #	$926.64	$1,188.00	—	—	22%
Progesterone blood test CPT 84144 HC PROGESTERONE ASSAY (RL)	$50.70	$65.00	—	77% below	22%
Progesterone blood test CPT 84144 HC PROGESTERONE	$229.32	$294.00	—	3% above	22%
Progesterone blood test inpatient CPT 84144 HC PROGESTERONE ASSAY (RL)	$50.70	$65.00	—	—	22%
Progesterone blood test inpatient CPT 84144 HC PROGESTERONE	$229.32	$294.00	—	—	22%
Prolactin blood test CPT 84146 HC PROLACTIN ASSAY (RL)	$70.20	$90.00	—	64% below	22%
Prolactin blood test CPT 84146 HC PROLACTIN	$229.32	$294.00	—	17% above	22%
Prolactin blood test inpatient CPT 84146 HC PROLACTIN ASSAY (RL)	$70.20	$90.00	—	—	22%
Prolactin blood test inpatient CPT 84146 HC PROLACTIN	$229.32	$294.00	—	—	22%
Prothrombin time (PT/INR) clotting test CPT 85610 HC PROTHROMBIN TIME #	$13.26	$17.00	—	67% below	22%
Prothrombin time (PT/INR) clotting test CPT 85610 HC PROTHROMBIN TIME	$60.84	$78.00	—	53% above	22%
Prothrombin time (PT/INR) clotting test CPT 85610 HC LUPUS ANTICOAG-PT	$77.22	$99.00	—	94% above	22%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC PROTHROMBIN TIME #	$13.26	$17.00	—	—	22%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC PROTHROMBIN TIME	$60.84	$78.00	—	—	22%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC LUPUS ANTICOAG-PT	$77.22	$99.00	—	—	22%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 HC DRUG TEST PRSMV DIRECT OPT OBS PER DOS	$78.78	$101.00	—	5% below	22%
Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 HC DRUG TEST PRSMV DIRECT OPT OBS PER DOS	$78.78	$101.00	—	—	22%
Rapid flu test (influenza antigen) CPT 87804 HC INFLUENZA B SCREEN	$28.08	$36.00	—	65% below	22%
Rapid flu test (influenza antigen) CPT 87804 HC INFLUENZA A SCREEN	$28.08	$36.00	—	65% below	22%
Rapid flu test (influenza antigen) inpatient CPT 87804 HC INFLUENZA A SCREEN	$28.08	$36.00	—	—	22%
Rapid flu test (influenza antigen) inpatient CPT 87804 HC INFLUENZA B SCREEN	$28.08	$36.00	—	—	22%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 HC IAADIADOO STREPTOCOCCUS GROUP A #	$95.94	$123.00	—	9% above	22%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 HC IAADIADOO STREPTOCOCCUS GROUP A #	$95.94	$123.00	—	—	22%
Renin blood test CPT 84244 HC RENIN	$25.74	$33.00	—	69% below	22%
Renin blood test inpatient CPT 84244 HC RENIN	$25.74	$33.00	—	—	22%
Rh blood typing CPT 86901 HC BLOOD TYPING SEROLOGIC RH (D) #	$10.92	$14.00	—	78% below	22%
Rh blood typing CPT 86901 HC BLOOD TYPING SEROLOGIC RH(D) (RL)	$28.08	$36.00	—	43% below	22%
Rh blood typing CPT 86901 HC RH TYPE	$62.40	$80.00	—	26% above	22%
Rh blood typing inpatient CPT 86901 HC BLOOD TYPING SEROLOGIC RH (D) #	$10.92	$14.00	—	—	22%
Rh blood typing inpatient CPT 86901 HC BLOOD TYPING SEROLOGIC RH(D) (RL)	$28.08	$36.00	—	—	22%
Rh blood typing inpatient CPT 86901 HC RH TYPE	$62.40	$80.00	—	—	22%
Rheumatoid factor (RF) test CPT 86431 HC RHEUMATOID FACTOR QUANTITATIVE #	$19.50	$25.00	—	71% below	22%
Rheumatoid factor (RF) test CPT 86431 HC RHEUMATOID FACTOR QUANT	$163.02	$209.00	—	141% above	22%
Rheumatoid factor (RF) test inpatient CPT 86431 HC RHEUMATOID FACTOR QUANTITATIVE #	$19.50	$25.00	—	—	22%
Rheumatoid factor (RF) test inpatient CPT 86431 HC RHEUMATOID FACTOR QUANT	$163.02	$209.00	—	—	22%
Rubella antibody test (immunity check) CPT 86762 HC ANTIBODY RUBELLA #	$17.94	$23.00	—	72% below	22%
Rubella antibody test (immunity check) CPT 86762 HC RUBELLA ANTIBODY - IGG ANTIBODY	$17.94	$23.00	—	72% below	22%
Rubella antibody test (immunity check) CPT 86762 HC RUBELLA ANTIBODY -TORCH IGG	$33.54	$43.00	—	47% below	22%
Rubella antibody test (immunity check) CPT 86762 HC RUBELLA ANTIBODY - AB IGM	$58.50	$75.00	—	7% below	22%
Rubella antibody test (immunity check) CPT 86762 HC RUBELLA ANTIBODY	$217.62	$279.00	—	245% above	22%
Rubella antibody test (immunity check) inpatient CPT 86762 HC ANTIBODY RUBELLA #	$17.94	$23.00	—	—	22%
Rubella antibody test (immunity check) inpatient CPT 86762 HC RUBELLA ANTIBODY - IGG ANTIBODY	$17.94	$23.00	—	—	22%
Rubella antibody test (immunity check) inpatient CPT 86762 HC RUBELLA ANTIBODY -TORCH IGG	$33.54	$43.00	—	—	22%
Rubella antibody test (immunity check) inpatient CPT 86762 HC RUBELLA ANTIBODY - AB IGM	$58.50	$75.00	—	—	22%
Rubella antibody test (immunity check) inpatient CPT 86762 HC RUBELLA ANTIBODY	$217.62	$279.00	—	—	22%
Semen analysis: volume, sperm count, motility and morphology CPT 89320 HC SEMEN ANALYSIS VOLUME COUNT MOTILITY DIFFERENT #	$106.08	$136.00	—	at median	22%
Semen analysis: volume, sperm count, motility and morphology inpatient CPT 89320 HC SEMEN ANALYSIS VOLUME COUNT MOTILITY DIFFERENT #	$106.08	$136.00	—	—	22%
Sodium blood test CPT 84295 HC SODIUM	$40.56	$52.00	—	22% below	22%
Sodium blood test inpatient CPT 84295 HC SODIUM	$40.56	$52.00	—	—	22%
Stool ova and parasites exam CPT 87177 HC OVA AND PARASITES SMEARS	$162.24	$208.00	—	55% above	22%
Stool ova and parasites exam inpatient CPT 87177 HC OVA AND PARASITES SMEARS	$162.24	$208.00	—	—	22%
Stool test for hidden blood (guaiac FOBT) CPT 82270 HC FECAL OCCULT BLD (1-3 SAMPLES)	$46.80	$60.00	—	23% below	22%
Stool test for hidden blood (guaiac FOBT) CPT 82270 HC OCCULT BLOOD FECES	$46.80	$60.00	—	23% below	22%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 HC FECAL OCCULT BLD (1-3 SAMPLES)	$46.80	$60.00	—	—	22%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 HC OCCULT BLOOD FECES	$46.80	$60.00	—	—	22%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 HC ASSAY TEST FOR BLOOD FECAL	$25.74	$33.00	—	54% below	22%
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 HC ASSAY TEST FOR BLOOD FECAL	$25.74	$33.00	—	—	22%
Syphilis antibody test (Treponema pallidum) CPT 86780 HC TREPONEMA PALLIDUM - AB	$18.72	$24.00	—	57% below	22%
Syphilis antibody test (Treponema pallidum) CPT 86780 HC TREPONEMA PALLIDUM	$210.60	$270.00	—	383% above	22%
Syphilis antibody test (Treponema pallidum) CPT 86780 HC ANTIBODY TREPONEMA PALLIDUM #	$210.60	$270.00	—	383% above	22%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 HC TREPONEMA PALLIDUM - AB	$18.72	$24.00	—	—	22%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 HC TREPONEMA PALLIDUM	$210.60	$270.00	—	—	22%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 HC ANTIBODY TREPONEMA PALLIDUM #	$210.60	$270.00	—	—	22%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC SYPHILIS TEST NON-TREPONEMAL ANTIBODY QUAL #	$50.70	$65.00	—	18% below	22%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC SYPHILIS TEST NON-TREP QUAL	$50.70	$65.00	—	18% below	22%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC SYPHILIS TEST NON-TREP QUAL - CSF	$134.94	$173.00	—	119% above	22%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC SYPHILIS TEST NON-TREPONEMAL ANTIBODY QUAL #	$50.70	$65.00	—	—	22%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC SYPHILIS TEST NON-TREP QUAL	$50.70	$65.00	—	—	22%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC SYPHILIS TEST NON-TREP QUAL - CSF	$134.94	$173.00	—	—	22%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 HC TB CELL MEDIATED ANTIGN RESPNSE GAMMA INTERFERON #	$101.40	$130.00	—	at median	22%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 HC TB TEST CELL IMMUN MEASURE	$205.92	$264.00	—	103% above	22%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 HC TB CELL MEDIATED ANTIGN RESPNSE GAMMA INTERFERON #	$101.40	$130.00	—	—	22%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 HC TB TEST CELL IMMUN MEASURE	$205.92	$264.00	—	—	22%
Testosterone blood test, total (not free testosterone) CPT 84403 HC ASSAY OF TESTOSTERONE TOTAL #	$27.30	$35.00	—	70% below	22%
Testosterone blood test, total (not free testosterone) CPT 84403 HC TESTOSTERONE TOTAL (RL)	$50.70	$65.00	—	44% below	22%
Testosterone blood test, total (not free testosterone) CPT 84403 HC TESTOSTERONE	$284.70	$365.00	—	215% above	22%
Testosterone blood test, total (not free testosterone) CPT 84403 HC TESTOSTERONE TOTAL	$284.70	$365.00	—	215% above	22%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HC ASSAY OF TESTOSTERONE TOTAL #	$27.30	$35.00	—	—	22%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HC TESTOSTERONE TOTAL (RL)	$50.70	$65.00	—	—	22%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HC TESTOSTERONE	$284.70	$365.00	—	—	22%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HC TESTOSTERONE TOTAL	$284.70	$365.00	—	—	22%
Thyroid peroxidase (TPO) antibody test CPT 86376 HC MICROSOMAL ANTIBODIES EACH #	$18.72	$24.00	—	81% below	22%
Thyroid peroxidase (TPO) antibody test CPT 86376 HC MICROSOMAL ANTIBODY	$150.54	$193.00	—	50% above	22%
Thyroid peroxidase (TPO) antibody test CPT 86376 HC MICROSOMAL ANTIBODY - LIVER/KIDNEY	$421.20	$540.00	—	321% above	22%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HC MICROSOMAL ANTIBODIES EACH #	$18.72	$24.00	—	—	22%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HC MICROSOMAL ANTIBODY	$150.54	$193.00	—	—	22%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HC MICROSOMAL ANTIBODY - LIVER/KIDNEY	$421.20	$540.00	—	—	22%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC ASSAY OF THYROID STIMULATING HORMONE TSH #	$18.72	$24.00	—	88% below	22%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC TSH	$92.82	$119.00	—	40% below	22%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC TSH REFLEX TO FT4	$124.80	$160.00	—	19% below	22%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC THYROID STIMULATING HORMONE (TSH)	$124.80	$160.00	—	19% below	22%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC ASSAY OF THYROID STIMULATING HORMONE TSH #	$18.72	$24.00	—	—	22%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC TSH	$92.82	$119.00	—	—	22%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC THYROID STIMULATING HORMONE (TSH)	$124.80	$160.00	—	—	22%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC TSH REFLEX TO FT4	$124.80	$160.00	—	—	22%
Total IgE blood test CPT 82785 HC ASSAY OF GAMMAGLOBULIN IGE	$17.94	$23.00	—	75% below	22%
Total IgE blood test CPT 82785 HC ASSAY OF GAMMAGLOBULIN IGE #	$18.72	$24.00	—	74% below	22%
Total IgE blood test CPT 82785 HC ASSAY OF GAMMAGLOBULIN IGE (RL)	$24.96	$32.00	—	66% below	22%
Total IgE blood test inpatient CPT 82785 HC ASSAY OF GAMMAGLOBULIN IGE	$17.94	$23.00	—	—	22%
Total IgE blood test inpatient CPT 82785 HC ASSAY OF GAMMAGLOBULIN IGE #	$18.72	$24.00	—	—	22%
Total IgE blood test inpatient CPT 82785 HC ASSAY OF GAMMAGLOBULIN IGE (RL)	$24.96	$32.00	—	—	22%
Total thyroxine (T4) blood test CPT 84436 HC ASSAY OF THYROXINE TOTAL #	$14.82	$19.00	—	83% below	22%
Total thyroxine (T4) blood test CPT 84436 HC THYROXINE T4	$78.78	$101.00	—	7% below	22%
Total thyroxine (T4) blood test inpatient CPT 84436 HC ASSAY OF THYROXINE TOTAL #	$14.82	$19.00	—	—	22%
Total thyroxine (T4) blood test inpatient CPT 84436 HC THYROXINE T4	$78.78	$101.00	—	—	22%
Total triiodothyronine (T3) blood test CPT 84480 HC ASSAY OF TRIIODOTHYRONINE T3 TOTAL TT3 #	$175.50	$225.00	—	at median	22%
Total triiodothyronine (T3) blood test inpatient CPT 84480 HC ASSAY OF TRIIODOTHYRONINE T3 TOTAL TT3 #	$175.50	$225.00	—	—	22%
Transferrin blood test CPT 84466 HC ASSAY TRANSFERRIN	$155.22	$199.00	—	28% above	22%
Transferrin blood test inpatient CPT 84466 HC ASSAY TRANSFERRIN	$155.22	$199.00	—	—	22%
Trichomonas test (NAAT) CPT 87661 HC TRICHOMONAS VAGINALIS AMPLIF	$53.04	$68.00	—	46% below	22%
Trichomonas test (NAAT) CPT 87661 HC IADNA TRICHOMONAS VAGINALIS AMPLIFIED PROBE TECH #	$105.30	$135.00	—	8% above	22%
Trichomonas test (NAAT) inpatient CPT 87661 HC TRICHOMONAS VAGINALIS AMPLIF	$53.04	$68.00	—	—	22%
Trichomonas test (NAAT) inpatient CPT 87661 HC IADNA TRICHOMONAS VAGINALIS AMPLIFIED PROBE TECH #	$105.30	$135.00	—	—	22%
Triglycerides blood test CPT 84478 HC TRIGLYCERIDES	$53.04	$68.00	—	4% below	22%
Triglycerides blood test CPT 84478 HC ASSAY OF TRIGLYCERIDES #	$53.04	$68.00	—	4% below	22%
Triglycerides blood test inpatient CPT 84478 HC ASSAY OF TRIGLYCERIDES #	$53.04	$68.00	—	—	22%
Triglycerides blood test inpatient CPT 84478 HC TRIGLYCERIDES	$53.04	$68.00	—	—	22%
Troponin test, quantitative CPT 84484 HC TROPONIN QUANTITATIVE	$199.68	$256.00	—	4% below	22%
Troponin test, quantitative CPT 84484 HC ASSAY OF TROPONIN QUANTITATIVE #	$199.68	$256.00	—	4% below	22%
Troponin test, quantitative inpatient CPT 84484 HC ASSAY OF TROPONIN QUANTITATIVE #	$199.68	$256.00	—	—	22%
Troponin test, quantitative inpatient CPT 84484 HC TROPONIN QUANTITATIVE	$199.68	$256.00	—	—	22%
Uric acid blood test CPT 84550 HC ASSAY OF BLOOD/URIC ACID #	$20.28	$26.00	—	66% below	22%
Uric acid blood test CPT 84550 HC URIC ACID BLOOD	$56.16	$72.00	—	6% below	22%
Uric acid blood test inpatient CPT 84550 HC ASSAY OF BLOOD/URIC ACID #	$20.28	$26.00	—	—	22%
Uric acid blood test inpatient CPT 84550 HC URIC ACID BLOOD	$56.16	$72.00	—	—	22%
Urinalysis with microscope exam, automated CPT 81001 HC URNLS DIP STICK/TABLET REAGENT AUTO MICROSCOPY #	$109.98	$141.00	—	at median	22%
Urinalysis with microscope exam, automated CPT 81001 HC URINALYSIS AUTO W/SCOPE	$109.98	$141.00	—	at median	22%
Urinalysis with microscope exam, automated inpatient CPT 81001 HC URNLS DIP STICK/TABLET REAGENT AUTO MICROSCOPY #	$109.98	$141.00	—	—	22%
Urinalysis with microscope exam, automated inpatient CPT 81001 HC URINALYSIS AUTO W/SCOPE	$109.98	$141.00	—	—	22%
Urinalysis with microscope exam, manual CPT 81000 HC URINALYSIS BY DIPSTICK	$23.40	$30.00	—	72% below	22%
Urinalysis with microscope exam, manual inpatient CPT 81000 HC URINALYSIS BY DIPSTICK	$23.40	$30.00	—	—	22%
Urinalysis without microscope exam, automated CPT 81003 HC URNLS DIP STICK/TABLET RGNT AUTO W/O MICROSCOPY #	$14.82	$19.00	—	70% below	22%
Urinalysis without microscope exam, automated CPT 81003 HC URINALYSIS AUTO W/O SCOPE	$82.68	$106.00	—	68% above	22%
Urinalysis without microscope exam, automated inpatient CPT 81003 HC URNLS DIP STICK/TABLET RGNT AUTO W/O MICROSCOPY #	$14.82	$19.00	—	—	22%
Urinalysis without microscope exam, automated inpatient CPT 81003 HC URINALYSIS AUTO W/O SCOPE	$82.68	$106.00	—	—	22%
Urinalysis without microscope exam, manual CPT 81002 HC URINALYSIS NONAUTO W/O SCOPE	$39.00	$50.00	—	1% below	22%
Urinalysis without microscope exam, manual inpatient CPT 81002 HC URINALYSIS NONAUTO W/O SCOPE	$39.00	$50.00	—	—	22%
Urine culture for bacteria, with colony count CPT 87086 HC BACT CULTURE - URINE QUAN COUNT (RL)	$72.54	$93.00	—	31% below	22%
Urine culture for bacteria, with colony count CPT 87086 HC URINE CULTURE/COLONY COUNT	$130.26	$167.00	—	24% above	22%
Urine culture for bacteria, with colony count CPT 87086 HC CULTURE BACTERIAL QUANTTATIVE COLONY COUNT URINE #	$130.26	$167.00	—	24% above	22%
Urine culture for bacteria, with colony count inpatient CPT 87086 HC BACT CULTURE - URINE QUAN COUNT (RL)	$72.54	$93.00	—	—	22%
Urine culture for bacteria, with colony count inpatient CPT 87086 HC URINE CULTURE/COLONY COUNT	$130.26	$167.00	—	—	22%
Urine culture for bacteria, with colony count inpatient CPT 87086 HC CULTURE BACTERIAL QUANTTATIVE COLONY COUNT URINE #	$130.26	$167.00	—	—	22%
Urine microalbumin (albumin) test CPT 82043 HC URINE ALBUMIN QUANTITATIVE #	$75.66	$97.00	—	15% below	22%
Urine microalbumin (albumin) test CPT 82043 HC MICROALBUMIN QUANTITATIVE	$75.66	$97.00	—	15% below	22%
Urine microalbumin (albumin) test inpatient CPT 82043 HC MICROALBUMIN QUANTITATIVE	$75.66	$97.00	—	—	22%
Urine microalbumin (albumin) test inpatient CPT 82043 HC URINE ALBUMIN QUANTITATIVE #	$75.66	$97.00	—	—	22%
Urine pregnancy test, read by color change CPT 81025 HC URINE PREGNANCY TEST	$100.62	$129.00	—	12% above	22%
Urine pregnancy test, read by color change inpatient CPT 81025 HC URINE PREGNANCY TEST	$100.62	$129.00	—	—	22%
Vitamin B12 (cobalamin) blood test CPT 82607 HC CYANOCOBALAMIN VITAMIN B-12 #	$17.94	$23.00	—	85% below	22%
Vitamin B12 (cobalamin) blood test CPT 82607 HC VITAMIN-B12	$175.50	$225.00	—	51% above	22%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 HC CYANOCOBALAMIN VITAMIN B-12 #	$17.94	$23.00	—	—	22%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 HC VITAMIN-B12	$175.50	$225.00	—	—	22%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HC VITAMIN D 25 HYDROXY	$52.26	$67.00	—	65% below	22%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HC 25 HYDROXY INCLUDES FRACTIONS IF PERFORMED #	$84.24	$108.00	—	43% below	22%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 HC VITAMIN D 25 HYDROXY	$52.26	$67.00	—	—	22%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 HC 25 HYDROXY INCLUDES FRACTIONS IF PERFORMED #	$84.24	$108.00	—	—	22%
Vitamin D, 1,25-dihydroxy blood test CPT 82652 HC VITAMIN D 1 25 DIHYDRO	$469.56	$602.00	—	64% above	22%
Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 HC VITAMIN D 1 25 DIHYDRO	$469.56	$602.00	—	—	22%
Zinc blood test CPT 84630 HC ZINC URINE	$38.22	$49.00	—	35% below	22%
Zinc blood test CPT 84630 HC ASSAY OF ZINC (RL)	$80.34	$103.00	—	37% above	22%
Zinc blood test CPT 84630 HC ASSAY OF ZINC #	$143.52	$184.00	—	144% above	22%
Zinc blood test CPT 84630 HC ZINC SERUM	$143.52	$184.00	—	144% above	22%
Zinc blood test inpatient CPT 84630 HC ZINC URINE	$38.22	$49.00	—	—	22%
Zinc blood test inpatient CPT 84630 HC ASSAY OF ZINC (RL)	$80.34	$103.00	—	—	22%
Zinc blood test inpatient CPT 84630 HC ASSAY OF ZINC #	$143.52	$184.00	—	—	22%
Zinc blood test inpatient CPT 84630 HC ZINC SERUM	$143.52	$184.00	—	—	22%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HC GONADOTROPIN CHORIONIC QUANTITATIVE #	$31.20	$40.00	—	77% below	22%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HC GONADOTROPIN CHORIONIC QUANTITATIVE #	$31.20	$40.00	—	—	22%

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs Alaska	Off list
Balloon dilation of the maxillary sinus opening, one side CPT 31295 HC ED SINUS ENDO W/BALLOON DILATION CDM	$13,874.64	$17,788.00	—	4% above	22%
Balloon dilation of the maxillary sinus opening, one side inpatient CPT 31295 HC ED SINUS ENDO W/BALLOON DILATION CDM	$13,874.64	$17,788.00	—	—	22%
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 HC ED CLOSED TREATMENT OF ANKLE FRACTURE W/O MANIP CDM	$229.32	$294.00	—	71% below	22%
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 HC PR ED 27786 CLOSED TREATMENT OF ANKLE FRACTURE W/O MANIP CDM	$2,163.72	$2,774.00	—	171% above	22%
Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 HC ED CLOSED TREATMENT OF ANKLE FRACTURE W/O MANIP CDM	$229.32	$294.00	—	—	22%
Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 HC PR ED 27786 CLOSED TREATMENT OF ANKLE FRACTURE W/O MANIP CDM	$2,163.72	$2,774.00	—	—	22%
Broken foot (metatarsal) treatment without surgery or setting CPT 28470 HC ED TREAT METATARSAL FRACTURE W/O MANIPULATION CDM	$229.32	$294.00	—	59% below	22%
Broken foot (metatarsal) treatment without surgery or setting CPT 28470 HC PR ED 28470 TREAT METATARSAL FRACTURE W/O MANIPULATION CDM	$1,550.64	$1,988.00	—	175% above	22%
Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 HC ED TREAT METATARSAL FRACTURE W/O MANIPULATION CDM	$229.32	$294.00	—	—	22%
Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 HC PR ED 28470 TREAT METATARSAL FRACTURE W/O MANIPULATION CDM	$1,550.64	$1,988.00	—	—	22%
Bunion correction with a bone cut near the head of the first metatarsal CPT 28296 HC ED CORRECTION OF BUNION CDM	$5,804.76	$7,442.00	—	at median	22%
Bunion correction with a bone cut near the head of the first metatarsal inpatient CPT 28296 HC ED CORRECTION OF BUNION CDM	$5,804.76	$7,442.00	—	—	22%
Cardioversion, elective (restoring heart rhythm) CPT 92960 HC PR ED 92960 CARDIOVERSION ELECTIVE EXTERNAL CDM	$968.76	$1,242.00	—	33% below	22%
Cardioversion, elective (restoring heart rhythm) CPT 92960 HC CARDIOVERSION ELECTIVE ARRHYTHMIA EXTERNAL	$1,040.52	$1,334.00	—	28% below	22%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 HC PR ED 92960 CARDIOVERSION ELECTIVE EXTERNAL CDM	$968.76	$1,242.00	—	—	22%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 HC CARDIOVERSION ELECTIVE ARRHYTHMIA EXTERNAL	$1,040.52	$1,334.00	—	—	22%
Carpal tunnel release, open surgery CPT 64721 HC ED NEUROPLASTY MEDIAN NERVE AT CARP TUNNEL CDM	$3,505.32	$4,494.00	—	at median	22%
Carpal tunnel release, open surgery inpatient CPT 64721 HC ED NEUROPLASTY MEDIAN NERVE AT CARP TUNNEL CDM	$3,505.32	$4,494.00	—	—	22%
Cervical biopsy CPT 57500 HC ED BIOPSY OF CERVIX CDM	$1,372.02	$1,759.00	—	50% above	22%
Cervical biopsy inpatient CPT 57500 HC ED BIOPSY OF CERVIX CDM	$1,372.02	$1,759.00	—	—	22%
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 HC PR 54150 CIRCUMCISION W/REGIONAL BLOCK	$310.44	$398.00	—	42% below	22%
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 HC CIRCUMCISION W/REGIONL BLOCK	$2,751.84	$3,528.00	—	416% above	22%
Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 HC PR 54150 CIRCUMCISION W/REGIONAL BLOCK	$310.44	$398.00	—	—	22%
Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 HC CIRCUMCISION W/REGIONL BLOCK	$2,751.84	$3,528.00	—	—	22%
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 HC ED TREAT DISTAL RADIAL FRACTURE RADIUS/ULNA W/O MANIP CDM	$229.32	$294.00	—	54% below	22%
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 HC PR 25600 CLTX DSTL RADIAL FX/EPIPHYSL SEP W/O MANJ CDM	$1,084.98	$1,391.00	—	119% above	22%
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 HC PR ED 25600 TREAT DISTAL RADIAL FRACTURE RADIUS/UNA W/O MANIP CDM	$1,867.32	$2,394.00	—	277% above	22%
Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 HC ED TREAT DISTAL RADIAL FRACTURE RADIUS/ULNA W/O MANIP CDM	$229.32	$294.00	—	—	22%
Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 HC PR 25600 CLTX DSTL RADIAL FX/EPIPHYSL SEP W/O MANJ CDM	$1,084.98	$1,391.00	—	—	22%
Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 HC PR ED 25600 TREAT DISTAL RADIAL FRACTURE RADIUS/UNA W/O MANIP CDM	$1,867.32	$2,394.00	—	—	22%
Colonoscopy with polyp removal CPT 45385 HC PR 45385 COLSC FLX W/RMVL OF TUMOR POLYP LESION SNARE TQ CDM	$810.42	$1,039.00	—	66% below	22%
Colonoscopy with polyp removal inpatient CPT 45385 HC PR 45385 COLSC FLX W/RMVL OF TUMOR POLYP LESION SNARE TQ CDM	$810.42	$1,039.00	—	—	22%
Colonoscopy with tissue sample CPT 45380 HC PR 45380 COLONOSCOPY W/BIOPSY SINGLE/MULTIPLE CDM	$641.16	$822.00	—	64% below	22%
Colonoscopy with tissue sample CPT 45380 HC PR 45380 COLONOSCOPY AND BIOPSY	$641.94	$823.00	—	64% below	22%
Colonoscopy with tissue sample inpatient CPT 45380 HC PR 45380 COLONOSCOPY W/BIOPSY SINGLE/MULTIPLE CDM	$641.16	$822.00	—	—	22%
Colonoscopy with tissue sample inpatient CPT 45380 HC PR 45380 COLONOSCOPY AND BIOPSY	$641.94	$823.00	—	—	22%
Colonoscopy, diagnostic CPT 45378 HC PR 45378 COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFRMD CDM	$589.68	$756.00	—	64% below	22%
Colonoscopy, diagnostic CPT 45378 HC ED COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFRMD CDM	$1,620.84	$2,078.00	—	at median	22%
Colonoscopy, diagnostic inpatient CPT 45378 HC PR 45378 COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFRMD CDM	$589.68	$756.00	—	—	22%
Colonoscopy, diagnostic inpatient CPT 45378 HC ED COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFRMD CDM	$1,620.84	$2,078.00	—	—	22%
Colposcopy with LEEP (loop electrosurgical excision) CPT 57460 HC PR 57460 BX OF CERVIX W/SCOPE LEEP	$517.14	$663.00	—	75% below	22%
Colposcopy with LEEP (loop electrosurgical excision) inpatient CPT 57460 HC PR 57460 BX OF CERVIX W/SCOPE LEEP	$517.14	$663.00	—	—	22%
Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 HC PR 57454 COLPOSCOPY CERVIX BX CERVIX & ENDOCRV CURRETAGE CDM	$431.34	$553.00	—	44% below	22%
Colposcopy with cervical biopsy and scraping of the cervical canal inpatient CPT 57454 HC PR 57454 COLPOSCOPY CERVIX BX CERVIX & ENDOCRV CURRETAGE CDM	$431.34	$553.00	—	—	22%
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 HC ED CYSTOURETHROSCOPY CDM	$1,401.66	$1,797.00	—	10% above	22%
Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 HC ED CYSTOURETHROSCOPY CDM	$1,401.66	$1,797.00	—	—	22%
D&C (dilation and curettage), not related to pregnancy CPT 58120 HC PR 58120 DILATION AND CURETTAGE	$762.06	$977.00	—	65% below	22%
D&C (dilation and curettage), not related to pregnancy CPT 58120 HC ED DILATION AND CURETTAGE CDM	$5,513.82	$7,069.00	—	151% above	22%
D&C (dilation and curettage), not related to pregnancy inpatient CPT 58120 HC PR 58120 DILATION AND CURETTAGE	$762.06	$977.00	—	—	22%
D&C (dilation and curettage), not related to pregnancy inpatient CPT 58120 HC ED DILATION AND CURETTAGE CDM	$5,513.82	$7,069.00	—	—	22%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 HC PR 17000 DESTRUCTION PREMALIGNANT LESION 1ST CDM	$177.84	$228.00	—	13% below	22%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 HC PR 17000 DESTRUCT PREMALG LESION FIRST LESION	$177.84	$228.00	—	13% below	22%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 HC ED DESTRUCT PREMALG LESION FIRST LESION CDM	$351.78	$451.00	—	73% above	22%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 HC PR 17000 DESTRUCTION PREMALIGNANT LESION 1ST CDM	$177.84	$228.00	—	—	22%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 HC PR 17000 DESTRUCT PREMALG LESION FIRST LESION	$177.84	$228.00	—	—	22%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 HC ED DESTRUCT PREMALG LESION FIRST LESION CDM	$351.78	$451.00	—	—	22%
Earwax removal by irrigation (rinsing), one ear CPT 69209 HC ED REMOVE IMPACTED EAR WAX UNI CDM	$199.68	$256.00	—	119% above	22%
Earwax removal by irrigation (rinsing), one ear one side CPT 69209 HC PR ED 69209 REMOVAL IMPACTED CERUMEN IRRIGATION/LVG UNILAT CDM	$91.26	$117.00	—	at median	22%
Earwax removal by irrigation (rinsing), one ear one side CPT 69209 HC PR 69209 REMOVAL IMPACTED CERUMEN IRRIGATION/LVG UNILAT CDM	$91.26	$117.00	—	at median	22%
Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 HC ED REMOVE IMPACTED EAR WAX UNI CDM	$199.68	$256.00	—	—	22%
Earwax removal by irrigation (rinsing), one ear inpatient one side CPT 69209 HC PR 69209 REMOVAL IMPACTED CERUMEN IRRIGATION/LVG UNILAT CDM	$91.26	$117.00	—	—	22%
Earwax removal by irrigation (rinsing), one ear inpatient one side CPT 69209 HC PR ED 69209 REMOVAL IMPACTED CERUMEN IRRIGATION/LVG UNILAT CDM	$91.26	$117.00	—	—	22%
Earwax removal with instruments, one ear CPT 69210 HC PR ED 69210 REMOVE IMPACTED EAR WAX CDM	$200.46	$257.00	—	at median	22%
Earwax removal with instruments, one ear CPT 69210 HC PR 69210 REMOVE IMPACTED EAR WAX	$200.46	$257.00	—	at median	22%
Earwax removal with instruments, one ear CPT 69210 HC ED REMOVE IMPACTED EAR WAX CDM	$229.32	$294.00	—	14% above	22%
Earwax removal with instruments, one ear inpatient CPT 69210 HC PR 69210 REMOVE IMPACTED EAR WAX	$200.46	$257.00	—	—	22%
Earwax removal with instruments, one ear inpatient CPT 69210 HC PR ED 69210 REMOVE IMPACTED EAR WAX CDM	$200.46	$257.00	—	—	22%
Earwax removal with instruments, one ear inpatient CPT 69210 HC ED REMOVE IMPACTED EAR WAX CDM	$229.32	$294.00	—	—	22%
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 HC PR 58100 BIOPSY OF UTERUS LINING	$202.02	$259.00	—	42% below	22%
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 HC ED ENDOMETRIAL BX W/WO ENDOCERVIX BX W/O DILAT SPX CDM	$347.10	$445.00	—	at median	22%
Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 HC PR 58100 BIOPSY OF UTERUS LINING	$202.02	$259.00	—	—	22%
Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 HC ED ENDOMETRIAL BX W/WO ENDOCERVIX BX W/O DILAT SPX CDM	$347.10	$445.00	—	—	22%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 HC ED INJ INTERLAMINR CRV-THOR W IMG CDM	$1,256.58	$1,611.00	—	23% below	22%
Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 HC ED INJ INTERLAMINR CRV-THOR W IMG CDM	$1,256.58	$1,611.00	—	—	22%
Eye injection into the vitreous (intravitreal injection) CPT 67028 HC ED INTRAVITREAL NJX PHARMACOLOGIC AGT SPX CDM	$648.96	$832.00	—	6% below	22%
Eye injection into the vitreous (intravitreal injection) inpatient CPT 67028 HC ED INTRAVITREAL NJX PHARMACOLOGIC AGT SPX CDM	$648.96	$832.00	—	—	22%
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 HC ED SIGMOID DX FLX W WO SPEC COLL CDM	$1,620.84	$2,078.00	—	at median	22%
Flexible sigmoidoscopy, diagnostic (lower colon only) inpatient CPT 45330 HC ED SIGMOID DX FLX W WO SPEC COLL CDM	$1,620.84	$2,078.00	—	—	22%
Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery CPT 47563 HC ED LAPARO CHOLECYSTECTOMY/GRAPH CDM	$11,687.52	$14,984.00	—	1% below	22%
Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery inpatient CPT 47563 HC ED LAPARO CHOLECYSTECTOMY/GRAPH CDM	$11,687.52	$14,984.00	—	—	22%
Hemorrhoid banding (rubber band ligation) CPT 46221 HC ED HEMORRHOIDECTOMY INTERNAL RUBBER BAND LIGATIONS CDM	$1,620.84	$2,078.00	—	at median	22%
Hemorrhoid banding (rubber band ligation) inpatient CPT 46221 HC ED HEMORRHOIDECTOMY INTERNAL RUBBER BAND LIGATIONS CDM	$1,620.84	$2,078.00	—	—	22%
Hemorrhoidectomy (internal and external), one area CPT 46255 HC ED HEMORRHOIDECTOMY NTRNL & XTRNL 1 COLUMN/GROUP CDM	$5,010.72	$6,424.00	—	at median	22%
Hemorrhoidectomy (internal and external), one area inpatient CPT 46255 HC ED HEMORRHOIDECTOMY NTRNL & XTRNL 1 COLUMN/GROUP CDM	$5,010.72	$6,424.00	—	—	22%
IUD insertion (the device itself billed separately) CPT 58300 HC PR 58300 INSERT INTRAUTERINE DEVICE	$163.02	$209.00	—	57% below	22%
IUD insertion (the device itself billed separately) CPT 58300 HC ED INSERTION INTRAUTERINE DEVICE IUD CDM	$347.10	$445.00	—	9% below	22%
IUD insertion (the device itself billed separately) inpatient CPT 58300 HC PR 58300 INSERT INTRAUTERINE DEVICE	$163.02	$209.00	—	—	22%
IUD insertion (the device itself billed separately) inpatient CPT 58300 HC ED INSERTION INTRAUTERINE DEVICE IUD CDM	$347.10	$445.00	—	—	22%
Incision and drainage of a simple or single skin abscess CPT 10060 HC ED DRAINAGE OF SKIN ABSCESS SIMPLE OR SINGLE CDM	$229.32	$294.00	—	42% below	22%
Incision and drainage of a simple or single skin abscess CPT 10060 HC PR ED 10060 DRAINAGE OF SKIN ABSCESS SIMPLE OR SINGLE CDM	$524.16	$672.00	—	33% above	22%
Incision and drainage of a simple or single skin abscess CPT 10060 HC PR 10060 DRAINAGE OF SKIN ABSCESS SIMPLE OR SINGLE	$524.16	$672.00	—	33% above	22%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 HC ED DRAINAGE OF SKIN ABSCESS SIMPLE OR SINGLE CDM	$229.32	$294.00	—	—	22%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 HC PR 10060 DRAINAGE OF SKIN ABSCESS SIMPLE OR SINGLE	$524.16	$672.00	—	—	22%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 HC PR ED 10060 DRAINAGE OF SKIN ABSCESS SIMPLE OR SINGLE CDM	$524.16	$672.00	—	—	22%
Inguinal (groin) hernia repair, age 5 or older CPT 49505 HC ED RPR 1ST INGUN HRNA AGE 5 YRS/> REDUCIBLE CDM	$6,906.90	$8,855.00	—	at median	22%
Inguinal (groin) hernia repair, age 5 or older inpatient CPT 49505 HC ED RPR 1ST INGUN HRNA AGE 5 YRS/> REDUCIBLE CDM	$6,906.90	$8,855.00	—	—	22%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 HC PR 20550 INJ TENDON SHEATH/LIGAMENT	$307.32	$394.00	—	11% below	22%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 HC PR ED 20550 INJ TENDON SHEATH/LIGAMENT CDM	$307.32	$394.00	—	11% below	22%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 HC ED INJ TENDON SHEATH/LIGAMENT CDM	$430.56	$552.00	—	25% above	22%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 HC PR 20550 INJ TENDON SHEATH/LIGAMENT	$307.32	$394.00	—	—	22%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 HC PR ED 20550 INJ TENDON SHEATH/LIGAMENT CDM	$307.32	$394.00	—	—	22%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 HC ED INJ TENDON SHEATH/LIGAMENT CDM	$430.56	$552.00	—	—	22%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HC PR 20610 ARTHROCENTESIS ASPIR&/INJ MAJOR JT/BURSA W/O US CDM	$370.50	$475.00	—	11% below	22%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HC PR ED 20610 DRAIN/INJECT JOINT/BURSA MAJOR JOINT W/O US GUIDANCE CDM	$382.20	$490.00	—	9% below	22%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HC PR ED 20610 DRAIN/INJECT JOINT/BURSA MAJOR CDM	$382.20	$490.00	—	9% below	22%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HC ED ARTHROCENTESIS ASPIR&/INJ MAJOR JT/BURSA W/O US CDM	$804.96	$1,032.00	—	93% above	22%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 HC PR 20610 ARTHROCENTESIS ASPIR&/INJ MAJOR JT/BURSA W/O US CDM	$370.50	$475.00	—	—	22%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 HC PR ED 20610 DRAIN/INJECT JOINT/BURSA MAJOR CDM	$382.20	$490.00	—	—	22%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 HC PR ED 20610 DRAIN/INJECT JOINT/BURSA MAJOR JOINT W/O US GUIDANCE CDM	$382.20	$490.00	—	—	22%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 HC ED ARTHROCENTESIS ASPIR&/INJ MAJOR JT/BURSA W/O US CDM	$804.96	$1,032.00	—	—	22%
Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 HC PR 11981 INSJ NON-BIODEGRADABLE DRUG DELIVERY IMPLANT CDM	$202.80	$260.00	—	34% below	22%
Insertion of a drug-delivery implant, such as the arm birth control implant inpatient CPT 11981 HC PR 11981 INSJ NON-BIODEGRADABLE DRUG DELIVERY IMPLANT CDM	$202.80	$260.00	—	—	22%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 HC PR 20605 DRAIN/INJECT JOINT/BURSA INTERM W/O ULTRASOUND GUIDANCE	$283.92	$364.00	—	22% below	22%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 HC PR ED 20605 DRAIN/INJECT JOINT/BURSA INTERM W/O ULTRASOUND GUIDANCE CDM	$291.72	$374.00	—	20% below	22%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 HC ED ARTHROCENTESIS ASPIR&/INJ INTERM JT/BURS W/O US CDM	$694.20	$890.00	—	91% above	22%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 HC PR 20605 DRAIN/INJECT JOINT/BURSA INTERM W/O ULTRASOUND GUIDANCE	$283.92	$364.00	—	—	22%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 HC PR ED 20605 DRAIN/INJECT JOINT/BURSA INTERM W/O ULTRASOUND GUIDANCE CDM	$291.72	$374.00	—	—	22%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 HC ED ARTHROCENTESIS ASPIR&/INJ INTERM JT/BURS W/O US CDM	$694.20	$890.00	—	—	22%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 HC PR 20600 DRAIN/INJECT JOINT/BURSA SMALL W/O ULTRASOUND GUIDANCE	$235.56	$302.00	—	33% below	22%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 HC PR ED 20600 DRAIN/INJECT JOINT/BURSA SMALL W/O ULTRASOUND GUIDANCE CDM	$241.80	$310.00	—	31% below	22%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 HC ED ARTHROCENTESIS ASPIR&/INJ SMALL JT/BURSA W/O US CDM	$500.76	$642.00	—	43% above	22%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 HC PR 20600 DRAIN/INJECT JOINT/BURSA SMALL W/O ULTRASOUND GUIDANCE	$235.56	$302.00	—	—	22%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 HC PR ED 20600 DRAIN/INJECT JOINT/BURSA SMALL W/O ULTRASOUND GUIDANCE CDM	$241.80	$310.00	—	—	22%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 HC ED ARTHROCENTESIS ASPIR&/INJ SMALL JT/BURSA W/O US CDM	$500.76	$642.00	—	—	22%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 HC ED INTMD WND REPAIR S/TR/EXT UP TO 2.5CM CDM	$430.56	$552.00	—	41% below	22%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 HC PR ED 12031 INTMD WND REPAIR S/TR/EXT UP TO 2.5CM CDM	$824.46	$1,057.00	—	12% above	22%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 HC ED INTMD WND REPAIR S/TR/EXT UP TO 2.5CM CDM	$430.56	$552.00	—	—	22%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 HC PR ED 12031 INTMD WND REPAIR S/TR/EXT UP TO 2.5CM CDM	$824.46	$1,057.00	—	—	22%
Lower-back epidural injection, with imaging guidance CPT 62323 HC ED INJ EPI LUMB/SACRAL W IMAGING CDM	$1,256.58	$1,611.00	—	50% below	22%
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 HC ED INJ EPI LUMB/SACRAL W IMAGING CDM	$1,256.58	$1,611.00	—	—	22%
Lower-back epidural injection, without imaging guidance CPT 62322 HC ED INJ EPI LUMB/SACRAL WO IMAGING CDM	$1,661.40	$2,130.00	—	5% below	22%
Lower-back epidural injection, without imaging guidance inpatient CPT 62322 HC ED INJ EPI LUMB/SACRAL WO IMAGING CDM	$1,661.40	$2,130.00	—	—	22%
Miscarriage treatment with D&C, first trimester CPT 59820 HC ED SPONTANEOUS ABORTION FAC CDM	$5,513.82	$7,069.00	—	at median	22%
Miscarriage treatment with D&C, first trimester inpatient CPT 59820 HC ED SPONTANEOUS ABORTION FAC CDM	$5,513.82	$7,069.00	—	—	22%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 HC PR 11400 EXC TR-EXT B9+MARG 0.5CM/< CDM	$273.00	$350.00	—	63% below	22%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 HC ED EXC B9 LESION MRGN XCP SK TG T/A/L 0.5 CM/< CDM	$1,265.16	$1,622.00	—	73% above	22%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 HC PR 11400 EXC TR-EXT B9+MARG 0.5CM/< CDM	$273.00	$350.00	—	—	22%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 HC ED EXC B9 LESION MRGN XCP SK TG T/A/L 0.5 CM/< CDM	$1,265.16	$1,622.00	—	—	22%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 HC PR 11440 EXC B9 LESION MRGN XCP SK TG F/E/E/N/L/M 0.5CM/< CDM	$345.54	$443.00	—	57% below	22%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 HC ED EXC B9 LESION MRGN XCP SK TG F/E/E/N/L/M 0.5CM/< CDM	$1,391.52	$1,784.00	—	73% above	22%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 HC PR 11440 EXC B9 LESION MRGN XCP SK TG F/E/E/N/L/M 0.5CM/< CDM	$345.54	$443.00	—	—	22%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 HC ED EXC B9 LESION MRGN XCP SK TG F/E/E/N/L/M 0.5CM/< CDM	$1,391.52	$1,784.00	—	—	22%
Nail removal (partial or complete), one nail CPT 11730 HC ED REMOVAL OF NAIL PLATE CDM	$229.32	$294.00	—	35% below	22%
Nail removal (partial or complete), one nail CPT 11730 HC PR 11730 REMOVAL OF NAIL PLATE	$331.50	$425.00	—	7% below	22%
Nail removal (partial or complete), one nail CPT 11730 HC PR ED 11730 REMOVAL OF NAIL PLATE CDM	$331.50	$425.00	—	7% below	22%
Nail removal (partial or complete), one nail inpatient CPT 11730 HC ED REMOVAL OF NAIL PLATE CDM	$229.32	$294.00	—	—	22%
Nail removal (partial or complete), one nail inpatient CPT 11730 HC PR ED 11730 REMOVAL OF NAIL PLATE CDM	$331.50	$425.00	—	—	22%
Nail removal (partial or complete), one nail inpatient CPT 11730 HC PR 11730 REMOVAL OF NAIL PLATE	$331.50	$425.00	—	—	22%
Occipital nerve block (injection for headaches) CPT 64405 HC ED NERVE BLOCK INJ OCCIPITAL CDM	$554.58	$711.00	—	32% below	22%
Occipital nerve block (injection for headaches) inpatient CPT 64405 HC ED NERVE BLOCK INJ OCCIPITAL CDM	$554.58	$711.00	—	—	22%
Paracentesis with imaging guidance CPT 49083 HC PR ED 49083 ABD PARACENT W/IMAG GUIDANCE CDM	$1,068.60	$1,370.00	—	17% below	22%
Paracentesis with imaging guidance CPT 49083 HC ED ABD PARACENTESIS W/IMAG GUIDANCE CDM	$2,581.80	$3,310.00	—	100% above	22%
Paracentesis with imaging guidance inpatient CPT 49083 HC PR ED 49083 ABD PARACENT W/IMAG GUIDANCE CDM	$1,068.60	$1,370.00	—	—	22%
Paracentesis with imaging guidance inpatient CPT 49083 HC ED ABD PARACENTESIS W/IMAG GUIDANCE CDM	$2,581.80	$3,310.00	—	—	22%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 HC ED REMOVAL OF NAIL BED CDM	$554.58	$711.00	—	36% below	22%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 HC PR 11750 REMOVAL OF NAIL BED	$845.52	$1,084.00	—	2% below	22%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 HC PR ED 11750 REMOVAL OF NAIL BED CDM	$845.52	$1,084.00	—	2% below	22%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 HC ED REMOVAL OF NAIL BED CDM	$554.58	$711.00	—	—	22%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 HC PR 11750 REMOVAL OF NAIL BED	$845.52	$1,084.00	—	—	22%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 HC PR ED 11750 REMOVAL OF NAIL BED CDM	$845.52	$1,084.00	—	—	22%
Removal of a foreign object under the skin, simple CPT 10120 HC ED REMOVE FOREIGN BODY SIMPLE CDM	$430.56	$552.00	—	27% below	22%
Removal of a foreign object under the skin, simple CPT 10120 HC PR 10120 REMOVE FOREIGN BODY SIMPLE	$605.28	$776.00	—	2% above	22%
Removal of a foreign object under the skin, simple CPT 10120 HC PR ED 10120 REMOVE FOREIGN BODY SIMPLE CDM	$605.28	$776.00	—	2% above	22%
Removal of a foreign object under the skin, simple inpatient CPT 10120 HC ED REMOVE FOREIGN BODY SIMPLE CDM	$430.56	$552.00	—	—	22%
Removal of a foreign object under the skin, simple inpatient CPT 10120 HC PR ED 10120 REMOVE FOREIGN BODY SIMPLE CDM	$605.28	$776.00	—	—	22%
Removal of a foreign object under the skin, simple inpatient CPT 10120 HC PR 10120 REMOVE FOREIGN BODY SIMPLE	$605.28	$776.00	—	—	22%
Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 HC PR G0121 SCRN COLONOSCOPY PT NOT HI RISK CDM	$591.24	$758.00	—	63% below	22%
Screening colonoscopy for a person at average risk (Medicare code) inpatient HCPCS G0121 HC PR G0121 SCRN COLONOSCOPY PT NOT HI RISK CDM	$591.24	$758.00	—	—	22%
Septoplasty to straighten the nasal septum CPT 30520 HC ED REPAIR OF NASAL SEPTUM CDM	$5,548.14	$7,113.00	—	at median	22%
Septoplasty to straighten the nasal septum inpatient CPT 30520 HC ED REPAIR OF NASAL SEPTUM CDM	$5,548.14	$7,113.00	—	—	22%
Short arm cast (elbow to hand) CPT 29075 HC PR 29075 APPLICATION CAST ELBOW FINGER SHORT ARM	$417.30	$535.00	—	3% below	22%
Short arm cast (elbow to hand) CPT 29075 HC PR ED 29075 APPLICATION CAST ELBOW FINGER SHORT ARM CDM	$417.30	$535.00	—	3% below	22%
Short arm cast (elbow to hand) CPT 29075 HC ED SHORT ARM CAST APPLICATION CDM	$430.56	$552.00	—	at median	22%
Short arm cast (elbow to hand) inpatient CPT 29075 HC PR ED 29075 APPLICATION CAST ELBOW FINGER SHORT ARM CDM	$417.30	$535.00	—	—	22%
Short arm cast (elbow to hand) inpatient CPT 29075 HC PR 29075 APPLICATION CAST ELBOW FINGER SHORT ARM	$417.30	$535.00	—	—	22%
Short arm cast (elbow to hand) inpatient CPT 29075 HC ED SHORT ARM CAST APPLICATION CDM	$430.56	$552.00	—	—	22%
Short arm splint (forearm and hand) CPT 29125 HC ED SHORT ARM SPLINT APPLICATION CDM	$229.32	$294.00	—	14% below	22%
Short arm splint (forearm and hand) CPT 29125 HC PR 29125 SHORT ARM SPLINT APPLICATION	$259.74	$333.00	—	2% below	22%
Short arm splint (forearm and hand) CPT 29125 HC PR ED 29125 SHORT ARM SPLINT APPLICATION CDM	$259.74	$333.00	—	2% below	22%
Short arm splint (forearm and hand) inpatient CPT 29125 HC ED SHORT ARM SPLINT APPLICATION CDM	$229.32	$294.00	—	—	22%
Short arm splint (forearm and hand) inpatient CPT 29125 HC PR 29125 SHORT ARM SPLINT APPLICATION	$259.74	$333.00	—	—	22%
Short arm splint (forearm and hand) inpatient CPT 29125 HC PR ED 29125 SHORT ARM SPLINT APPLICATION CDM	$259.74	$333.00	—	—	22%
Short leg cast (below the knee) CPT 29405 HC ED SHORT LEG CAST APPLICATION CDM	$430.56	$552.00	—	at median	22%
Short leg cast (below the knee) CPT 29405 HC PR ED 29405 SHORT LEG CAST APPLICATION CDM	$480.48	$616.00	—	11% above	22%
Short leg cast (below the knee) CPT 29405 HC PR 29405 SHORT LEG CAST APPLICATION	$480.48	$616.00	—	11% above	22%
Short leg cast (below the knee) inpatient CPT 29405 HC ED SHORT LEG CAST APPLICATION CDM	$430.56	$552.00	—	—	22%
Short leg cast (below the knee) inpatient CPT 29405 HC PR 29405 SHORT LEG CAST APPLICATION	$480.48	$616.00	—	—	22%
Short leg cast (below the knee) inpatient CPT 29405 HC PR ED 29405 SHORT LEG CAST APPLICATION CDM	$480.48	$616.00	—	—	22%
Short leg splint (calf to foot) CPT 29515 HC ED SHORT LEG SPLINT APPLICATION CDM	$229.32	$294.00	—	16% below	22%
Short leg splint (calf to foot) CPT 29515 HC PR 29515 SHORT LEG SPLINT APPLICATION	$317.46	$407.00	—	16% above	22%
Short leg splint (calf to foot) CPT 29515 HC PR ED 29515 SHORT LEG SPLINT APPLICATION CDM	$326.04	$418.00	—	19% above	22%
Short leg splint (calf to foot) inpatient CPT 29515 HC ED SHORT LEG SPLINT APPLICATION CDM	$229.32	$294.00	—	—	22%
Short leg splint (calf to foot) inpatient CPT 29515 HC PR 29515 SHORT LEG SPLINT APPLICATION	$317.46	$407.00	—	—	22%
Short leg splint (calf to foot) inpatient CPT 29515 HC PR ED 29515 SHORT LEG SPLINT APPLICATION CDM	$326.04	$418.00	—	—	22%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 HC ED REPAIR SUPERFICL WOUND(S)< 2.5CM SLP NK AX EXGEN TRNK EXTR HND FT CDM	$229.32	$294.00	—	47% below	22%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 HC PR ED 12001 REPAIR SUPERFIC WOUND(S)< 2.5CM SLP NK AX EXGEN TRNK EX CDM	$596.70	$765.00	—	39% above	22%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 HC PR 12001 REPAIR SUPERFICIAL WOUND(S)< 2.5CM SLP NK AX EXGEN TRNK EX	$596.70	$765.00	—	39% above	22%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 HC ED REPAIR SUPERFICL WOUND(S)< 2.5CM SLP NK AX EXGEN TRNK EXTR HND FT CDM	$229.32	$294.00	—	—	22%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 HC PR ED 12001 REPAIR SUPERFIC WOUND(S)< 2.5CM SLP NK AX EXGEN TRNK EX CDM	$596.70	$765.00	—	—	22%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 HC PR 12001 REPAIR SUPERFICIAL WOUND(S)< 2.5CM SLP NK AX EXGEN TRNK EX	$596.70	$765.00	—	—	22%
Skin biopsy, punch, one lesion CPT 11104 HC PR 11104 PUNCH BIOPSY SKIN SINGLE LESION	$152.10	$195.00	—	66% below	22%
Skin biopsy, punch, one lesion CPT 11104 HC ED PUNCH BIOPSY SKIN SINGLE LESION CDM	$861.12	$1,104.00	—	92% above	22%
Skin biopsy, punch, one lesion inpatient CPT 11104 HC PR 11104 PUNCH BIOPSY SKIN SINGLE LESION	$152.10	$195.00	—	—	22%
Skin biopsy, punch, one lesion inpatient CPT 11104 HC ED PUNCH BIOPSY SKIN SINGLE LESION CDM	$861.12	$1,104.00	—	—	22%
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 HC PR 11600 EXC TR-EXT MLG+MARG 0.5 < CM	$396.24	$508.00	—	40% below	22%
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11600 HC PR 11600 EXC TR-EXT MLG+MARG 0.5 < CM	$396.24	$508.00	—	—	22%
Skin tag removal, up to 15 tags CPT 11200 HC PR 11200 REMOVAL SKN TAGS MLT FIBRQ TAGS ANY AREA UPW/15 CDM	$287.82	$369.00	—	27% below	22%
Skin tag removal, up to 15 tags CPT 11200 HC ED REMOVAL OF SKIN TAGS CDM	$602.16	$772.00	—	54% above	22%
Skin tag removal, up to 15 tags inpatient CPT 11200 HC PR 11200 REMOVAL SKN TAGS MLT FIBRQ TAGS ANY AREA UPW/15 CDM	$287.82	$369.00	—	—	22%
Skin tag removal, up to 15 tags inpatient CPT 11200 HC ED REMOVAL OF SKIN TAGS CDM	$602.16	$772.00	—	—	22%
Spinal tap (lumbar puncture), diagnostic CPT 62270 HC DIAGNOSTIC LUMBAR SPINAL PUNCTURE	$554.58	$711.00	—	38% below	22%
Spinal tap (lumbar puncture), diagnostic CPT 62270 HC ED SPINAL PUNCTURE LUMBAR DIAGNOSTIC CDM	$554.58	$711.00	—	38% below	22%
Spinal tap (lumbar puncture), diagnostic CPT 62270 HC PR ED 62270 SPINAL FLUID TAP DIAGNOSTIC CDM	$833.82	$1,069.00	—	7% below	22%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 HC ED SPINAL PUNCTURE LUMBAR DIAGNOSTIC CDM	$554.58	$711.00	—	—	22%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 HC DIAGNOSTIC LUMBAR SPINAL PUNCTURE	$554.58	$711.00	—	—	22%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 HC PR ED 62270 SPINAL FLUID TAP DIAGNOSTIC CDM	$833.82	$1,069.00	—	—	22%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 HC ED REPAIR SUPERFICIAL WND(S) 2.6-7.5CM SLP NK AX EXGEN TRNK EXTR HN CDM	$251.94	$323.00	—	62% below	22%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 HC PR ED 12002 REPAIR SUPERFIC WOUND(S) 2.6 TO 7.5CM SLP NK AX EXGEN T CDM	$799.50	$1,025.00	—	20% above	22%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 HC PR 12002 REPAIR SUPERFICIAL WOUND(S) 2.6 TO 7.5CM SLP NK AX EXGEN T	$799.50	$1,025.00	—	20% above	22%
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 ED REPAIR SUPERFICIAL WND(S) 2.6-7.5CM SLP NK AX EXGEN TRNK EXTR HN CDM	$251.94	$323.00	—	—	22%
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 PR 12002 REPAIR SUPERFICIAL WOUND(S) 2.6 TO 7.5CM SLP NK AX EXGEN T	$799.50	$1,025.00	—	—	22%
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 PR ED 12002 REPAIR SUPERFIC WOUND(S) 2.6 TO 7.5CM SLP NK AX EXGEN T CDM	$799.50	$1,025.00	—	—	22%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 HC ED REPAIR SUPERFICIAL WOUND(S) <2.5 FACE ERS EYLD NSE LPS MUC CDM	$229.32	$294.00	—	51% below	22%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 HC PR ED 12011 REPAIR SUPERFIC WOUND(S) <2.5 FACE ERS EYLD NSE LPS MUC CDM	$736.32	$944.00	—	58% above	22%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 HC PR 12011 REPAIR SUPERFICIAL WOUND(S) <2.5 FACE ERS EYLD NSE LPS MUC	$736.32	$944.00	—	58% above	22%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 HC ED REPAIR SUPERFICIAL WOUND(S) <2.5 FACE ERS EYLD NSE LPS MUC CDM	$229.32	$294.00	—	—	22%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 HC PR ED 12011 REPAIR SUPERFIC WOUND(S) <2.5 FACE ERS EYLD NSE LPS MUC CDM	$736.32	$944.00	—	—	22%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 HC PR 12011 REPAIR SUPERFICIAL WOUND(S) <2.5 FACE ERS EYLD NSE LPS MUC	$736.32	$944.00	—	—	22%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 HC PR 11102 TANGENTIAL BIOPSY SKIN SINGLE LESION	$120.12	$154.00	—	67% below	22%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 HC TANGENTIAL BIOPSY SKIN SINGLE LESION	$351.78	$451.00	—	3% below	22%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 HC ED TANGENTIAL BIOPSY SKIN SINGLE LESION CDM	$351.78	$451.00	—	3% below	22%
Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 HC PR 11102 TANGENTIAL BIOPSY SKIN SINGLE LESION	$120.12	$154.00	—	—	22%
Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 HC TANGENTIAL BIOPSY SKIN SINGLE LESION	$351.78	$451.00	—	—	22%
Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 HC ED TANGENTIAL BIOPSY SKIN SINGLE LESION CDM	$351.78	$451.00	—	—	22%
Thoracentesis with imaging guidance CPT 32555 HC ED THORACENTESIS NEEDLE/CATH PLEURA W/IMAGING CDM	$1,881.36	$2,412.00	—	15% below	22%
Thoracentesis with imaging guidance inpatient CPT 32555 HC ED THORACENTESIS NEEDLE/CATH PLEURA W/IMAGING CDM	$1,881.36	$2,412.00	—	—	22%
Trigger point injections, 1 or 2 muscles CPT 20552 HC PR ED 20552 INJ TRIGGER POINT 1/2 MUSCL CDM	$352.56	$452.00	—	at median	22%
Trigger point injections, 1 or 2 muscles CPT 20552 HC PR 20552 INJ TRIGGER POINT 1/2 MUSCL	$352.56	$452.00	—	at median	22%
Trigger point injections, 1 or 2 muscles CPT 20552 HC ED INJ TRIGGER POINT 1/2 MUSCL CDM	$430.56	$552.00	—	22% above	22%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 HC PR 20552 INJ TRIGGER POINT 1/2 MUSCL	$352.56	$452.00	—	—	22%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 HC PR ED 20552 INJ TRIGGER POINT 1/2 MUSCL CDM	$352.56	$452.00	—	—	22%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 HC ED INJ TRIGGER POINT 1/2 MUSCL CDM	$430.56	$552.00	—	—	22%
Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 HC ED UGI W DILATION ESOPHAGUS BAL CDM	$2,592.72	$3,324.00	—	24% below	22%
Upper endoscopy (EGD) with balloon widening of the esophagus inpatient CPT 43249 HC ED UGI W DILATION ESOPHAGUS BAL CDM	$2,592.72	$3,324.00	—	—	22%
Upper endoscopy (EGD) with biopsy CPT 43239 HC PR 43239 EGD TRANSORAL BIOPSY SINGLE/MULTIPLE CDM	$441.48	$566.00	—	71% below	22%
Upper endoscopy (EGD) with biopsy CPT 43239 HC ED EGD TRANSORAL BIOPSY SINGLE/MULTIPLE CDM	$1,770.60	$2,270.00	—	16% above	22%
Upper endoscopy (EGD) with biopsy inpatient CPT 43239 HC PR 43239 EGD TRANSORAL BIOPSY SINGLE/MULTIPLE CDM	$441.48	$566.00	—	—	22%
Upper endoscopy (EGD) with biopsy inpatient CPT 43239 HC ED EGD TRANSORAL BIOPSY SINGLE/MULTIPLE CDM	$1,770.60	$2,270.00	—	—	22%
Upper endoscopy (EGD), diagnostic CPT 43235 HC PR 43235 ESOPHAGOGASTRODUODENOSCOPY TRANSORAL DIAGNOSTIC CDM	$391.56	$502.00	—	71% below	22%
Upper endoscopy (EGD), diagnostic CPT 43235 HC ED ESOPHAGOGASTRODUODENOSCOPY TRANSORAL DIAGNOSTIC CDM	$1,609.92	$2,064.00	—	18% above	22%
Upper endoscopy (EGD), diagnostic inpatient CPT 43235 HC PR 43235 ESOPHAGOGASTRODUODENOSCOPY TRANSORAL DIAGNOSTIC CDM	$391.56	$502.00	—	—	22%
Upper endoscopy (EGD), diagnostic inpatient CPT 43235 HC ED ESOPHAGOGASTRODUODENOSCOPY TRANSORAL DIAGNOSTIC CDM	$1,609.92	$2,064.00	—	—	22%
Vaginal delivery, including prenatal and postpartum care CPT 59400 HC PR 59400 TOTAL OB/VAGINAL DELIVERY/PP CARE	$3,448.38	$4,421.00	—	—	22%
Vaginal delivery, including prenatal and postpartum care inpatient CPT 59400 HC PR 59400 TOTAL OB/VAGINAL DELIVERY/PP CARE	$3,448.38	$4,421.00	—	—	22%
Vasectomy, one or both sides, including follow-up semen testing both sides CPT 55250 HC PR 55250 VASECTOMY UNI/BI SPX W/POSTOP SEMEN EXAMS CDM	$739.44	$948.00	—	—	22%
Vasectomy, one or both sides, including follow-up semen testing inpatient both sides CPT 55250 HC PR 55250 VASECTOMY UNI/BI SPX W/POSTOP SEMEN EXAMS CDM	$739.44	$948.00	—	—	22%
Wart removal, up to 14 warts CPT 17110 HC PR 17110 DESTRUCT B9 LESION 1-14	$218.40	$280.00	—	at median	22%
Wart removal, up to 14 warts CPT 17110 HC PR 17110 DESTRUCTION BENIGN LESIONS UP TO 14 CDM	$218.40	$280.00	—	at median	22%
Wart removal, up to 14 warts CPT 17110 HC ED DESTRUCTION BENIGN LESIONS UP TO 14 CDM	$351.78	$451.00	—	61% above	22%
Wart removal, up to 14 warts inpatient CPT 17110 HC PR 17110 DESTRUCTION BENIGN LESIONS UP TO 14 CDM	$218.40	$280.00	—	—	22%
Wart removal, up to 14 warts inpatient CPT 17110 HC PR 17110 DESTRUCT B9 LESION 1-14	$218.40	$280.00	—	—	22%
Wart removal, up to 14 warts inpatient CPT 17110 HC ED DESTRUCTION BENIGN LESIONS UP TO 14 CDM	$351.78	$451.00	—	—	22%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 HC ED DEB SUBQ TISSUE 20 SQ CM/< - DEBRIDE SKIN CDM	$430.56	$552.00	—	14% below	22%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 HC PR ED 11042 DEB SUBQ TISSUE 20 SQ CM/< CDM	$602.16	$772.00	—	20% above	22%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 HC ED DEB SUBQ TISSUE 20 SQ CM/< - DEBRIDE SKIN CDM	$430.56	$552.00	—	—	22%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 HC PR ED 11042 DEB SUBQ TISSUE 20 SQ CM/< CDM	$602.16	$772.00	—	—	22%
Wrist fracture surgery (plate and screws), distal radius CPT 25607 HC ED TREAT FX RAD EXTRA-ARTICUL CDM	$12,898.86	$16,537.00	—	at median	22%
Wrist fracture surgery (plate and screws), distal radius inpatient CPT 25607 HC ED TREAT FX RAD EXTRA-ARTICUL CDM	$12,898.86	$16,537.00	—	—	22%

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs Alaska	Off list
Blood transfusion (giving blood or blood components) CPT 36430 HC BLOOD TRANSFUSION EA UNIT	$870.48	$1,116.00	—	26% below	22%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 HC BLOOD TRANSFUSION EA UNIT	$870.48	$1,116.00	—	—	22%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC PR 94640 AIRWAY INHALATION TREATMENT	$29.64	$38.00	—	93% below	22%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC NEBULIZER SMALL VOLUME	$541.32	$694.00	—	28% above	22%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC ED PRESSURIZED/NONPRESSURIZED INHALATION TREATMENT CDM	$541.32	$694.00	—	28% above	22%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC PR 94640 AIRWAY INHALATION TREATMENT	$29.64	$38.00	—	—	22%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC NEBULIZER SMALL VOLUME	$541.32	$694.00	—	—	22%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC ED PRESSURIZED/NONPRESSURIZED INHALATION TREATMENT CDM	$541.32	$694.00	—	—	22%
Chemotherapy IV infusion, first hour CPT 96413 HC CHEMO IV INFUSION INITIAL HR	$870.48	$1,116.00	—	4% below	22%
Chemotherapy IV infusion, first hour inpatient CPT 96413 HC CHEMO IV INFUSION INITIAL HR	$870.48	$1,116.00	—	—	22%
Comprehensive eye exam by an eye doctor, new patient CPT 92004 HC PR 92004 OPH SVCS MEDICAL XM&EVAL COMPRE NEW PT 1/> VST	$383.76	$492.00	—	—	22%
Comprehensive eye exam by an eye doctor, new patient inpatient CPT 92004 HC PR 92004 OPH SVCS MEDICAL XM&EVAL COMPRE NEW PT 1/> VST	$383.76	$492.00	—	—	22%
Comprehensive eye exam, returning patient CPT 92014 HC PR 92014 OPH SVCS MEDICAL XM&EVAL COMPRE EST PT 1/>VST CDM	$446.16	$572.00	—	—	22%
Comprehensive eye exam, returning patient CPT 92014 HC PR ED 92014 ER OPHTH SERV: MED EXAM & EVAL CDM	$446.16	$572.00	—	—	22%
Comprehensive eye exam, returning patient inpatient CPT 92014 HC PR ED 92014 ER OPHTH SERV: MED EXAM & EVAL CDM	$446.16	$572.00	—	—	22%
Comprehensive eye exam, returning patient inpatient CPT 92014 HC PR 92014 OPH SVCS MEDICAL XM&EVAL COMPRE EST PT 1/>VST CDM	$446.16	$572.00	—	—	22%
Critical care, first 30 to 74 minutes CPT 99291 HC PR 99291 CRITICAL CARE ILL/INJURED PATIENT INIT 30-74 MIN CDM	$1,330.68	$1,706.00	—	61% below	22%
Critical care, first 30 to 74 minutes CPT 99291 HC PR ED 99291 CRITICAL CARE FIRST HOUR CDM	$1,330.68	$1,706.00	—	61% below	22%
Critical care, first 30 to 74 minutes CPT 99291 HC ED CRITICAL CARE FIRST HOUR CDM	$4,835.22	$6,199.00	—	40% above	22%
Critical care, first 30 to 74 minutes inpatient CPT 99291 HC PR 99291 CRITICAL CARE ILL/INJURED PATIENT INIT 30-74 MIN CDM	$1,330.68	$1,706.00	—	—	22%
Critical care, first 30 to 74 minutes inpatient CPT 99291 HC PR ED 99291 CRITICAL CARE FIRST HOUR CDM	$1,330.68	$1,706.00	—	—	22%
Critical care, first 30 to 74 minutes inpatient CPT 99291 HC ED CRITICAL CARE FIRST HOUR CDM	$4,835.22	$6,199.00	—	—	22%
Electrocardiogram (ECG/EKG) with interpretation CPT 93000 HC PR 93000 ECG 12 LEAD W/INTERP & REPORT	$46.02	$59.00	—	62% below	22%
Electrocardiogram (ECG/EKG) with interpretation inpatient CPT 93000 HC PR 93000 ECG 12 LEAD W/INTERP & REPORT	$46.02	$59.00	—	—	22%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 HC ECG 12 LEAD TRACING ONLY	$19.50	$25.00	—	94% below	22%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 HC ECG 12 LEAD TRACING ONLY	$19.50	$25.00	—	—	22%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 HC PR ED 99281 VISIT MINOR PROBLEM MAY NOT REQ PHYS/QHP CDM	$194.22	$249.00	—	48% below	22%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 HC ED FAC E&M VISIT LEVEL 1 CDM	$259.74	$333.00	—	30% below	22%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 HC PR ED 99281 VISIT MINOR PROBLEM MAY NOT REQ PHYS/QHP CDM	$194.22	$249.00	—	—	22%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 HC ED FAC E&M VISIT LEVEL 1 CDM	$259.74	$333.00	—	—	22%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 HC PR ED 99282 VISIT STRAIGHTFORWARD MDM CDM	$288.60	$370.00	—	45% below	22%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 HC ED FAC E&M VISIT LEVEL 2 CDM	$454.74	$583.00	—	14% below	22%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 HC PR ED 99282 VISIT STRAIGHTFORWARD MDM CDM	$288.60	$370.00	—	—	22%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 HC ED FAC E&M VISIT LEVEL 2 CDM	$454.74	$583.00	—	—	22%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 HC PR ED 99283 VISIT LOW MDM CDM	$465.66	$597.00	—	41% below	22%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 HC ED FAC E&M VISIT LEVEL 3 CDM	$821.34	$1,053.00	—	3% above	22%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 HC PR ED 99283 VISIT LOW MDM CDM	$465.66	$597.00	—	—	22%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 HC ED FAC E&M VISIT LEVEL 3 CDM	$821.34	$1,053.00	—	—	22%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 HC PR ED 99284 VISIT MODERATE MDM CDM	$737.10	$945.00	—	45% below	22%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 HC ED SEXUAL ASSAULT EXAM CDM	$744.12	$954.00	—	45% below	22%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 HC ED FAC E&M VISIT LEVEL 4 CDM	$1,784.64	$2,288.00	—	32% above	22%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 HC PR ED 99284 VISIT MODERATE MDM CDM	$737.10	$945.00	—	—	22%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 HC ED SEXUAL ASSAULT EXAM CDM	$744.12	$954.00	—	—	22%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 HC ED FAC E&M VISIT LEVEL 4 CDM	$1,784.64	$2,288.00	—	—	22%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HC PR ED 99285 VISIT HIGH MDM CDM	$1,063.14	$1,363.00	—	54% below	22%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HC ED FAC E&M VISIT LEVEL 5 CDM	$2,814.24	$3,608.00	—	22% above	22%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 HC PR ED 99285 VISIT HIGH MDM CDM	$1,063.14	$1,363.00	—	—	22%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 HC ED FAC E&M VISIT LEVEL 5 CDM	$2,814.24	$3,608.00	—	—	22%
Exercise stress test, tracing only, the hospital charge CPT 93017 HC CV STRS TST XERS&/OR RX CONT ECG TRCG ONLY	$744.90	$955.00	—	36% below	22%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 HC CV STRS TST XERS&/OR RX CONT ECG TRCG ONLY	$744.90	$955.00	—	—	22%
Eye exam, returning patient, intermediate CPT 92012 HC PR 92012 EST PAT INTERMED OPHTHALMOLOGY CDM	$240.24	$308.00	—	at median	22%
Eye exam, returning patient, intermediate inpatient CPT 92012 HC PR 92012 EST PAT INTERMED OPHTHALMOLOGY CDM	$240.24	$308.00	—	—	22%
Holter monitor, heart rhythm recording up to 48 hours, with report CPT 93224 HC PRHOLTER MONITOR W/INTERP & REPT	$236.34	$303.00	—	at median	22%
Holter monitor, heart rhythm recording up to 48 hours, with report inpatient CPT 93224 HC PRHOLTER MONITOR W/INTERP & REPT	$236.34	$303.00	—	—	22%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HC IV HYDRATION INITIAL HR	$744.12	$954.00	—	16% above	22%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HC ED IV HYDRATION INITIAL HR CDM	$744.12	$954.00	—	16% above	22%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HC ED IV HYDRATION INITIAL HR CDM	$744.12	$954.00	—	—	22%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HC IV HYDRATION INITIAL HR	$744.12	$954.00	—	—	22%
IV infusion of a medicine, first hour CPT 96365 HC IV INFUSION INITIAL HR	$811.20	$1,040.00	—	41% above	22%
IV infusion of a medicine, first hour CPT 96365 HC ED IV INFUSION THERAPY/PROPHYLAXIS /DX 1ST TO 1 HR CDM	$811.20	$1,040.00	—	41% above	22%
IV infusion of a medicine, first hour inpatient CPT 96365 HC ED IV INFUSION THERAPY/PROPHYLAXIS /DX 1ST TO 1 HR CDM	$811.20	$1,040.00	—	—	22%
IV infusion of a medicine, first hour inpatient CPT 96365 HC IV INFUSION INITIAL HR	$811.20	$1,040.00	—	—	22%
IV push of a medicine, first drug CPT 96374 HC INJ IV PUSH INITIAL DRUG	$401.70	$515.00	—	15% above	22%
IV push of a medicine, first drug CPT 96374 HC ED IV INJECTION THERAPEUTIC PROPH/DX PUSH SINGLE/1ST SBST/DRUG CDM	$401.70	$515.00	—	15% above	22%
IV push of a medicine, first drug inpatient CPT 96374 HC INJ IV PUSH INITIAL DRUG	$401.70	$515.00	—	—	22%
IV push of a medicine, first drug inpatient CPT 96374 HC ED IV INJECTION THERAPEUTIC PROPH/DX PUSH SINGLE/1ST SBST/DRUG CDM	$401.70	$515.00	—	—	22%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 HC PR 96372 THER/PROPH/DIAG INJ SC/IM	$45.24	$58.00	—	65% below	22%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 HC INJ SQ OR IM	$248.82	$319.00	—	90% above	22%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 HC ED THERAPEUTIC PROPHYLACTIC/DX INJECTION SUBQ/IM CDM	$248.82	$319.00	—	90% above	22%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 HC PR 96372 THER/PROPH/DIAG INJ SC/IM	$45.24	$58.00	—	—	22%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 HC INJ SQ OR IM	$248.82	$319.00	—	—	22%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 HC ED THERAPEUTIC PROPHYLACTIC/DX INJECTION SUBQ/IM CDM	$248.82	$319.00	—	—	22%
Neuromuscular re-education, 15 minutes CPT 97112 HC NEUROMUSC REEDUCA THER PX 1/> AREAS EACH 15 MIN	$222.30	$285.00	—	30% above	22%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 HC NEUROMUSC REEDUCA THER PX 1/> AREAS EACH 15 MIN	$222.30	$285.00	—	—	22%
New patient office visit, about 30 minutes CPT 99203 HC PR 99203 NEW PT VISIT - LEVEL 3	$255.84	$328.00	—	21% below	22%
New patient office visit, about 30 minutes inpatient CPT 99203 HC PR 99203 NEW PT VISIT - LEVEL 3	$255.84	$328.00	—	—	22%
New patient office visit, about 45 minutes CPT 99204 HC PR 99204 NEW PT VISIT - LEVEL 4	$360.36	$462.00	—	44% below	22%
New patient office visit, about 45 minutes CPT 99204 HC PR 99204 CONSULT LEVEL 4	$468.78	$601.00	—	28% below	22%
New patient office visit, about 45 minutes inpatient CPT 99204 HC PR 99204 NEW PT VISIT - LEVEL 4	$360.36	$462.00	—	—	22%
New patient office visit, about 45 minutes inpatient CPT 99204 HC PR 99204 CONSULT LEVEL 4	$468.78	$601.00	—	—	22%
New patient office visit, about 60 minutes CPT 99205 HC PR 99205 NEW PT VISIT - LEVEL 5	$489.84	$628.00	—	33% below	22%
New patient office visit, about 60 minutes inpatient CPT 99205 HC PR 99205 NEW PT VISIT - LEVEL 5	$489.84	$628.00	—	—	22%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 HC PR 99202 NEW PT VISIT - LEVEL 2	$195.78	$251.00	—	17% below	22%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 HC PR 99202 NEW PT VISIT - LEVEL 2	$195.78	$251.00	—	—	22%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 HC NUTRITIONAL THERAPY - INITIAL	$94.38	$121.00	—	22% above	22%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 HC NUTRITIONAL THERAPY - INITIAL	$94.38	$121.00	—	—	22%
Occupational therapy evaluation, low complexity CPT 97165 HC OT EVALUATION LOW COMPLEX	$561.60	$720.00	—	36% above	22%
Occupational therapy evaluation, low complexity inpatient CPT 97165 HC OT EVALUATION LOW COMPLEX	$561.60	$720.00	—	—	22%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 HC PT EVALUATION HIGH COMPLEX	$679.38	$871.00	—	29% above	22%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 HC PT EVALUATION HIGH COMPLEX	$679.38	$871.00	—	—	22%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 HC PT EVALUATION LOW COMPLEX	$561.60	$720.00	—	35% above	22%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 HC PT EVALUATION LOW COMPLEX	$561.60	$720.00	—	—	22%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 HC PT EVALUATION MOD COMPLEX	$617.76	$792.00	—	30% above	22%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 HC PT EVALUATION MOD COMPLEX	$617.76	$792.00	—	—	22%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HC MANUAL THERAPY TQS 1/> REGIONS EACH 15 MINUTES	$222.30	$285.00	—	25% above	22%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HC MANUAL THERAPY TQS 1/> REGIONS EACH 15 MINUTES	$222.30	$285.00	—	—	22%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC CRISIS TELEH 97110 THERAPEUTIC EXERCISES EA 15 MIN CDM	$222.30	$285.00	—	31% above	22%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC THER EXERCISES PX 1/> AREAS EACH 15 MIN	$222.30	$285.00	—	31% above	22%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC THER EXERCISES PX 1/> AREAS EACH 15 MIN	$222.30	$285.00	—	—	22%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC CRISIS TELEH 97110 THERAPEUTIC EXERCISES EA 15 MIN CDM	$222.30	$285.00	—	—	22%
Preventive checkup, new patient aged 18–39 CPT 99385 HC PR 99385 DOT PHYSICAL AGE 18-39 NEW PT	$163.80	$210.00	—	32% below	22%
Preventive checkup, new patient aged 18–39 CPT 99385 HC PR 99385 DOT PHYSICAL/VISION AGE 18-39	$163.80	$210.00	—	32% below	22%
Preventive checkup, new patient aged 18–39 CPT 99385 HC PR 99385 PREV VISIT NEW AGE 18-39	$297.18	$381.00	—	23% above	22%
Preventive checkup, new patient aged 18–39 inpatient CPT 99385 HC PR 99385 DOT PHYSICAL/VISION AGE 18-39	$163.80	$210.00	—	—	22%
Preventive checkup, new patient aged 18–39 inpatient CPT 99385 HC PR 99385 DOT PHYSICAL AGE 18-39 NEW PT	$163.80	$210.00	—	—	22%
Preventive checkup, new patient aged 18–39 inpatient CPT 99385 HC PR 99385 PREV VISIT NEW AGE 18-39	$297.18	$381.00	—	—	22%
Preventive checkup, new patient aged 40–64 CPT 99386 HC PR 99386 DOT PHYSICAL/VISION AGE 40-64	$163.80	$210.00	—	35% below	22%
Preventive checkup, new patient aged 40–64 CPT 99386 HC PR 99386 DOT PHYSICAL AGE 40-64 NEW PT	$163.80	$210.00	—	35% below	22%
Preventive checkup, new patient aged 40–64 CPT 99386 HC PR 99386 PREV VISIT NEW AGE 40-64	$358.80	$460.00	—	42% above	22%
Preventive checkup, new patient aged 40–64 inpatient CPT 99386 HC PR 99386 DOT PHYSICAL/VISION AGE 40-64	$163.80	$210.00	—	—	22%
Preventive checkup, new patient aged 40–64 inpatient CPT 99386 HC PR 99386 DOT PHYSICAL AGE 40-64 NEW PT	$163.80	$210.00	—	—	22%
Preventive checkup, new patient aged 40–64 inpatient CPT 99386 HC PR 99386 PREV VISIT NEW AGE 40-64	$358.80	$460.00	—	—	22%
Preventive checkup, new patient aged 65 or older CPT 99387 HC PR 99387 DOT PHYSICAL AGE >65 YRS NEW	$163.80	$210.00	—	32% below	22%
Preventive checkup, new patient aged 65 or older inpatient CPT 99387 HC PR 99387 DOT PHYSICAL AGE >65 YRS NEW	$163.80	$210.00	—	—	22%
Preventive checkup, returning patient aged 18–39 CPT 99395 HC PR 99395 DOT PHYSICAL AGE 18-39 EST PT	$163.80	$210.00	—	32% below	22%
Preventive checkup, returning patient aged 18–39 CPT 99395 HC PR 99395 PREV VISIT EST AGE 18-39	$256.62	$329.00	—	6% above	22%
Preventive checkup, returning patient aged 18–39 inpatient CPT 99395 HC PR 99395 DOT PHYSICAL AGE 18-39 EST PT	$163.80	$210.00	—	—	22%
Preventive checkup, returning patient aged 18–39 inpatient CPT 99395 HC PR 99395 PREV VISIT EST AGE 18-39	$256.62	$329.00	—	—	22%
Preventive checkup, returning patient aged 40–64 CPT 99396 HC PR 99396 DOT PHYSICAL AGE 40-64 EST PT	$163.80	$210.00	—	47% below	22%
Preventive checkup, returning patient aged 40–64 CPT 99396 HC PR 99396 PREV VISIT EST AGE 40-64	$271.44	$348.00	—	13% below	22%
Preventive checkup, returning patient aged 40–64 inpatient CPT 99396 HC PR 99396 DOT PHYSICAL AGE 40-64 EST PT	$163.80	$210.00	—	—	22%
Preventive checkup, returning patient aged 40–64 inpatient CPT 99396 HC PR 99396 PREV VISIT EST AGE 40-64	$271.44	$348.00	—	—	22%
Preventive checkup, returning patient aged 65 or older CPT 99397 HC PR 99397 DOT PHYSICAL AGE >65 YRS EST	$163.80	$210.00	—	32% below	22%
Preventive checkup, returning patient aged 65 or older CPT 99397 HC PR 99397 PER PM REEVAL EST PAT 65+ YR	$352.56	$452.00	—	46% above	22%
Preventive checkup, returning patient aged 65 or older inpatient CPT 99397 HC PR 99397 DOT PHYSICAL AGE >65 YRS EST	$163.80	$210.00	—	—	22%
Preventive checkup, returning patient aged 65 or older inpatient CPT 99397 HC PR 99397 PER PM REEVAL EST PAT 65+ YR	$352.56	$452.00	—	—	22%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 HC PR 99215 ESTAB PT VISIT - LEVEL 5	$379.86	$487.00	—	28% below	22%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 HC L&D TRIAGE ESTAB PATIENT LVL 5 CDM	$2,952.30	$3,785.00	—	459% above	22%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 HC PR 99215 ESTAB PT VISIT - LEVEL 5	$379.86	$487.00	—	—	22%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 HC L&D TRIAGE ESTAB PATIENT LVL 5 CDM	$2,952.30	$3,785.00	—	—	22%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 HC PR 99213 ESTAB PT VISIT - LEVEL 3	$163.80	$210.00	—	23% below	22%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 HC ESTAB PT VISIT - LEVEL 3	$857.22	$1,099.00	—	303% above	22%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 HC L&D TRIAGE ESTAB PATIENT LVL 3 CDM	$857.22	$1,099.00	—	303% above	22%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 HC PR 99213 ESTAB PT VISIT - LEVEL 3	$163.80	$210.00	—	—	22%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 HC L&D TRIAGE ESTAB PATIENT LVL 3 CDM	$857.22	$1,099.00	—	—	22%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 HC ESTAB PT VISIT - LEVEL 3	$857.22	$1,099.00	—	—	22%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HC PR 99214 ESTAB PT VISIT - LEVEL 4	$237.90	$305.00	—	17% below	22%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HC L&D TRIAGE ESTAB PATIENT LVL 4 CDM	$1,613.04	$2,068.00	—	460% above	22%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 HC PR 99214 ESTAB PT VISIT - LEVEL 4	$237.90	$305.00	—	—	22%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 HC L&D TRIAGE ESTAB PATIENT LVL 4 CDM	$1,613.04	$2,068.00	—	—	22%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HC PR 99212 ESTAB PT VISIT - LEVEL 2	$130.26	$167.00	—	11% below	22%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HC ESTAB PT VISIT - LEVEL 2	$441.48	$566.00	—	202% above	22%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HC L&D TRIAGE ESTAB PATIENT LVL 2 CDM	$441.48	$566.00	—	202% above	22%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 HC PR 99212 ESTAB PT VISIT - LEVEL 2	$130.26	$167.00	—	—	22%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 HC L&D TRIAGE ESTAB PATIENT LVL 2 CDM	$441.48	$566.00	—	—	22%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 HC ESTAB PT VISIT - LEVEL 2	$441.48	$566.00	—	—	22%
Speech and language evaluation CPT 92523 HC SPEECH SOUND LANG COMPREHEN	$606.84	$778.00	—	7% below	22%
Speech and language evaluation inpatient CPT 92523 HC SPEECH SOUND LANG COMPREHEN	$606.84	$778.00	—	—	22%
Speech therapy session, individual CPT 92507 HC SPEECH/HEARING THERAPY - INDIV	$478.92	$614.00	—	5% above	22%
Speech therapy session, individual inpatient CPT 92507 HC SPEECH/HEARING THERAPY - INDIV	$478.92	$614.00	—	—	22%
Spirometry (breathing test) CPT 94010 HC PR 94010 SPIROMETRY	$88.14	$113.00	—	79% below	22%
Spirometry (breathing test) inpatient CPT 94010 HC PR 94010 SPIROMETRY	$88.14	$113.00	—	—	22%
Therapeutic activities (functional training), 15 minutes CPT 97530 HC THERAPEUT ACTVITY DIRECT PT CONTACT EACH 15 MIN	$222.30	$285.00	—	34% above	22%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HC THERAPEUT ACTVITY DIRECT PT CONTACT EACH 15 MIN	$222.30	$285.00	—	—	22%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 HC ED PHLEBOTOMY THERAPEUTIC SEPARATE PROCEDURE CDM	$172.38	$221.00	—	39% below	22%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 HC THERAPUTIC PHLEBOTOMY	$172.38	$221.00	—	39% below	22%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 HC ED PHLEBOTOMY THERAPEUTIC SEPARATE PROCEDURE CDM	$172.38	$221.00	—	—	22%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 HC THERAPUTIC PHLEBOTOMY	$172.38	$221.00	—	—	22%
Treadmill or drug stress test with ECG, supervision and report CPT 93015 HC PR 93015 CARDIO STRESS TESTSUPV INTERP & REPT	$228.54	$293.00	—	—	22%
Treadmill or drug stress test with ECG, supervision and report CPT 93015 HC CARDIO STRESS TEST SUPV INTERP & REPT	$1,774.50	$2,275.00	—	—	22%
Treadmill or drug stress test with ECG, supervision and report inpatient CPT 93015 HC PR 93015 CARDIO STRESS TESTSUPV INTERP & REPT	$228.54	$293.00	—	—	22%
Treadmill or drug stress test with ECG, supervision and report inpatient CPT 93015 HC CARDIO STRESS TEST SUPV INTERP & REPT	$1,774.50	$2,275.00	—	—	22%

Vaccines

Procedure	Cash price	List price	Insurers pay	vs Alaska	Off list
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older CPT 90653 INFLUENZA VAC TYPE A&B SURFACE ANT ADJ SUSP PREF SYR 0.5 ML	$409.03	$524.40	—	at median	22%
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older inpatient CPT 90653 INFLUENZA VAC TYPE A&B SURFACE ANT ADJ SUSP PREF SYR 0.5 ML	$409.03	$524.40	—	—	22%
COVID-19 vaccine (Moderna), age 12 and older CPT 91322 HC PR RX COVID-19 VACCINE SINGLE DOSE (MODERNA) PF IM 50 MCG/0.5 ML	$227.64	$291.84	—	11% below	22%
COVID-19 vaccine (Moderna), age 12 and older inpatient CPT 91322 HC PR RX COVID-19 VACCINE SINGLE DOSE (MODERNA) PF IM 50 MCG/0.5 ML	$227.64	$291.84	—	—	22%
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 HC PR RX COVID-19 VACCINE SINGLE DOSE (PFIZER) PF TRIS-SUC IM 30 MCG/0.3 ML	$204.52	$262.20	—	at median	22%
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older inpatient CPT 91320 HC PR RX COVID-19 VACCINE SINGLE DOSE (PFIZER) PF TRIS-SUC IM 30 MCG/0.3 ML	$204.52	$262.20	—	—	22%
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 HC PR RX VARICELLA VACCINE LIVE SQ 0.5 ML	$158.40	$203.08	—	36% below	22%
Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 HC PR RX VARICELLA VACCINE LIVE SQ 0.5 ML	$158.40	$203.08	—	—	22%
DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) CPT 90696 HC PR RX DTAP-IPV VACCINE CHILD 4-6 YRS IM 0.5 ML	$126.84	$162.62	—	at median	22%
DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) inpatient CPT 90696 HC PR RX DTAP-IPV VACCINE CHILD 4-6 YRS IM 0.5 ML	$126.84	$162.62	—	—	22%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 HC PR RX DIPHTH TETANUS TOX ACELL PERTUSSIS VACCINE < 7 YR IM 0.5 ML	$55.89	$71.65	—	36% below	22%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 DIPH, ACELLULAR PERT & TET TOX INJ 25 LF-58 MCG-10 LF/0.5ML	$153.67	$197.01	—	77% above	22%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 HC PR RX DIPHTH TETANUS TOX ACELL PERTUSSIS VACCINE < 7 YR IM 0.5 ML	$55.89	$71.65	—	—	22%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 DIPH, ACELLULAR PERT & TET TOX INJ 25 LF-58 MCG-10 LF/0.5ML	$153.67	$197.01	—	—	22%
DTaP, hepatitis B and polio combination vaccine (Pediarix) CPT 90723 HC PR RX DTAP-HEPB-IPV VACCINE IM 0.5 ML	$193.83	$248.50	—	at median	22%
DTaP, hepatitis B and polio combination vaccine (Pediarix) inpatient CPT 90723 HC PR RX DTAP-HEPB-IPV VACCINE IM 0.5 ML	$193.83	$248.50	—	—	22%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 INFLUENZA VIRUS VACCINE SPLIT PF SUSP PREF SYRINGE 0.5 ML	$93.62	$120.03	—	51% above	22%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 INFLUENZA VIRUS VACCINE SPLIT PF SUSP PREF SYRINGE 0.5 ML	$93.62	$120.03	—	—	22%
HPV vaccine, 9-valent (Gardasil 9) CPT 90651 HC PR RX 9VHPV VACCINE 2/3 DOSE IM 0.5 ML	$503.61	$645.66	—	4% above	22%
HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 HC PR RX 9VHPV VACCINE 2/3 DOSE IM 0.5 ML	$503.61	$645.66	—	—	22%
Hepatitis A and B combination vaccine, adult (Twinrix) CPT 90636 HC PR RX HEPATITIS A & B VACCINE ADULT IM 1 ML	$118.37	$151.75	—	20% below	22%
Hepatitis A and B combination vaccine, adult (Twinrix) inpatient CPT 90636 HC PR RX HEPATITIS A & B VACCINE ADULT IM 1 ML	$118.37	$151.75	—	—	22%
Hepatitis A vaccine, adult dose CPT 90632 HC PR RX HEPATITUS A VACCINE ADULT IM 1 ML	$138.39	$177.42	—	7% above	22%
Hepatitis A vaccine, adult dose inpatient CPT 90632 HC PR RX HEPATITUS A VACCINE ADULT IM 1 ML	$138.39	$177.42	—	—	22%
Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 HC PR RX HEPATITUS A VACCINE PEDIATRIC 2 DOSE IM 0.5 ML	$55.07	$70.60	—	57% below	22%
Hepatitis A vaccine, child and teen dose (2-dose schedule) inpatient CPT 90633 HC PR RX HEPATITUS A VACCINE PEDIATRIC 2 DOSE IM 0.5 ML	$55.07	$70.60	—	—	22%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HC PR RX HEPB VACCINE ADULT 3 DOSE IM 1 ML	$65.16	$83.54	—	43% below	22%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPATITIS B VACCINE (RECOMBINANT) SUSP 20 MCG/ML,HEPATITIS B VACCINE (RECOMBINANT) SUSP PREF SYR 20 MCG/ML	$358.37	$459.45	—	211% above	22%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HC PR RX HEPB VACCINE ADULT 3 DOSE IM 1 ML	$65.16	$83.54	—	—	22%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HEPATITIS B VACCINE (RECOMBINANT) SUSP 20 MCG/ML,HEPATITIS B VACCINE (RECOMBINANT) SUSP PREF SYR 20 MCG/ML	$358.37	$459.45	—	—	22%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HC PR RX HEPB VACCINE PED/ADOLESC 3 DOSE IM 0.5 ML	$55.06	$70.59	—	43% below	22%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HEPATITIS B VACCINE (RECOMBINANT) SUSP PREF SYR 10 MCG/0.5ML,HEPATITIS B VACCINE (RECOMBINANT) 10 MCG/0.5ML,HEPATITIS B VACCINE (RECOMBINANT) SUSP 10 MCG/0.5ML	$89.46	$114.69	—	8% below	22%
Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 HC PR RX HEPB VACCINE PED/ADOLESC 3 DOSE IM 0.5 ML	$55.06	$70.59	—	—	22%
Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 HEPATITIS B VACCINE (RECOMBINANT) SUSP PREF SYR 10 MCG/0.5ML,HEPATITIS B VACCINE (RECOMBINANT) 10 MCG/0.5ML,HEPATITIS B VACCINE (RECOMBINANT) SUSP 10 MCG/0.5ML	$89.46	$114.69	—	—	22%
Hib vaccine (Haemophilus influenzae type b), 3-dose schedule (PedvaxHIB) CPT 90647 HC PR RX HIB PRP-OMP VACCINE 3 DOSE IM 0.5 ML	$56.36	$72.26	—	65% below	22%
Hib vaccine (Haemophilus influenzae type b), 3-dose schedule (PedvaxHIB) inpatient CPT 90647 HC PR RX HIB PRP-OMP VACCINE 3 DOSE IM 0.5 ML	$56.36	$72.26	—	—	22%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 HC PR RX HIB PRP-T VACCINE 4 DOSE IM 1 EA	$56.37	$72.27	—	23% below	22%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) inpatient CPT 90648 HC PR RX HIB PRP-T VACCINE 4 DOSE IM 1 EA	$56.37	$72.27	—	—	22%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 INFLUENZA VIRUS VAC SPLIT HIGH-DOSE PF SUSP PREF SYR 0.5ML	$264.09	$338.58	—	66% above	22%
High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 INFLUENZA VIRUS VAC SPLIT HIGH-DOSE PF SUSP PREF SYR 0.5ML	$264.09	$338.58	—	—	22%
MMR vaccine (measles, mumps and rubella), live CPT 90707 HC PR RX MEASLES MUMPS RUBELLA VACCINE LIVE SQ 1 EA	$94.65	$121.34	—	52% below	22%
MMR vaccine (measles, mumps and rubella), live CPT 90707 MEASLES-MUMPS-RUBELLA VIRUS VACCINES FOR INJ SOLN	$501.02	$642.33	—	154% above	22%
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 HC PR RX MEASLES MUMPS RUBELLA VACCINE LIVE SQ 1 EA	$94.65	$121.34	—	—	22%
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 MEASLES-MUMPS-RUBELLA VIRUS VACCINES FOR INJ SOLN	$501.02	$642.33	—	—	22%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 HC PR RX MENACWYD/MENACWY-CRM CONJ VACCINE GRPS ACYW IM 0.5 ML	$225.35	$288.91	—	5% below	22%
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 HC PR RX MENACWYD/MENACWY-CRM CONJ VACCINE GRPS ACYW IM 0.5 ML	$225.35	$288.91	—	—	22%
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 HC PR RX PNEUMOCOCCAL VACCINE 13 VALENT IM 0.5 ML	$455.08	$583.43	—	17% below	22%
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 PNEUMOCOCCAL 13-VALENT CONJUGATE VACCINE INJ	$667.77	$856.12	—	22% above	22%
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) inpatient CPT 90670 HC PR RX PNEUMOCOCCAL VACCINE 13 VALENT IM 0.5 ML	$455.08	$583.43	—	—	22%
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) inpatient CPT 90670 PNEUMOCOCCAL 13-VALENT CONJUGATE VACCINE INJ	$667.77	$856.12	—	—	22%
Pneumonia vaccine, 15-valent conjugate (Vaxneuvance) CPT 90671 HC PR RX PNEUMOCOCCAL CONJ 15 VALENT VACCINE (PCV15) IM 1 EA	$445.19	$570.75	—	57% below	22%
Pneumonia vaccine, 15-valent conjugate (Vaxneuvance) inpatient CPT 90671 HC PR RX PNEUMOCOCCAL CONJ 15 VALENT VACCINE (PCV15) IM 1 EA	$445.19	$570.75	—	—	22%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 HC PR RX PNEUMOCOCCAL CONJ 20 VALENT VACCINE (PCV20) IM 1 EA	$498.79	$639.47	—	22% below	22%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PNEUMOCOCCAL 20-VALENT CONJUGATE VACCINE SUS PREF SYR 0.5 ML	$1,204.06	$1,543.67	—	88% above	22%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 HC PR RX PNEUMOCOCCAL CONJ 20 VALENT VACCINE (PCV20) IM 1 EA	$498.79	$639.47	—	—	22%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 PNEUMOCOCCAL 20-VALENT CONJUGATE VACCINE SUS PREF SYR 0.5 ML	$1,204.06	$1,543.67	—	—	22%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 HC PR RX PNEUMOCOCCAL VACCINE 23 VALENT 2 YRS OR OLDER SQ/IM 0.5 ML	$122.46	$157.00	—	67% below	22%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOCOCCAL VACCINE POLYVALENT SOLN PREF SYR 25 MCG/0.5ML	$565.20	$724.62	—	53% above	22%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 HC PR RX PNEUMOCOCCAL VACCINE 23 VALENT 2 YRS OR OLDER SQ/IM 0.5 ML	$122.46	$157.00	—	—	22%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMOCOCCAL VACCINE POLYVALENT SOLN PREF SYR 25 MCG/0.5ML	$565.20	$724.62	—	—	22%
Polio vaccine, inactivated (IPV) CPT 90713 HC PR RX POLIOVIRUS VACCINE INACTIVATED SQ/IM 0.5 ML	$53.88	$69.08	—	61% below	22%
Polio vaccine, inactivated (IPV) inpatient CPT 90713 HC PR RX POLIOVIRUS VACCINE INACTIVATED SQ/IM 0.5 ML	$53.88	$69.08	—	—	22%
Rabies vaccine, one dose CPT 90675 HC PR RX RABIES VACCINE IM 1 ML	$596.14	$764.28	—	at median	22%
Rabies vaccine, one dose CPT 90675 RABIES VIRUS VACCINE, HDC FOR INJ SUSP	$1,974.52	$2,531.43	—	231% above	22%
Rabies vaccine, one dose inpatient CPT 90675 HC PR RX RABIES VACCINE IM 1 ML	$596.14	$764.28	—	—	22%
Rabies vaccine, one dose inpatient CPT 90675 RABIES VIRUS VACCINE, HDC FOR INJ SUSP	$1,974.52	$2,531.43	—	—	22%
Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) CPT 90680 HC PR RX ROTOVIRUS VACCINE (RV5) 3 DOSE ORAL 2 ML	$177.51	$227.58	—	3% below	22%
Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) inpatient CPT 90680 HC PR RX ROTOVIRUS VACCINE (RV5) 3 DOSE ORAL 2 ML	$177.51	$227.58	—	—	22%
Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 HC PR RX HZV ZOSTER VACCINE RECOMBINANT ADJUVANTED IM 0.5 ML	$393.28	$504.21	—	55% above	22%
Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 HC PR RX HZV ZOSTER VACCINE RECOMBINANT ADJUVANTED IM 0.5 ML	$393.28	$504.21	—	—	22%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS-DIPHTHERIA TOXOIDS (TD) INJ 2-2 LF/0.5ML	$130.35	$167.12	—	7% below	22%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS-DIPHTHERIA TOXOIDS (TD) INJ 5-2 LF/0.5ML	$149.13	$191.19	—	7% above	22%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS-DIPHTHERIA TOXOIDS (TD) INJ 2-2 LF/0.5ML	$130.35	$167.12	—	—	22%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS-DIPHTHERIA TOXOIDS (TD) INJ 5-2 LF/0.5ML	$149.13	$191.19	—	—	22%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 HC PR RX TDAP VACCINE 7 YRS OR OLDER IM 0.5 ML	$93.97	$120.47	—	40% below	22%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TET-DIPH-ACELL PERTUSS AD PREF SYR 5-2.5-18.5 LF-MCG/0.5ML	$258.41	$331.29	—	66% above	22%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TET TOX-DIPH-ACELL PERTUSS AD INJ 5-2.5-18.5 LF-LF-MCG/0.5ML	$278.13	$356.58	—	79% above	22%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 HC PR RX TDAP VACCINE 7 YRS OR OLDER IM 0.5 ML	$93.97	$120.47	—	—	22%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 TET-DIPH-ACELL PERTUSS AD PREF SYR 5-2.5-18.5 LF-MCG/0.5ML	$258.41	$331.29	—	—	22%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 TET TOX-DIPH-ACELL PERTUSS AD INJ 5-2.5-18.5 LF-LF-MCG/0.5ML	$278.13	$356.58	—	—	22%
Typhoid vaccine, injectable (Vi polysaccharide) CPT 90691 HC PR RX TYPHOID VACCINE VI CAPSULAR POLYSACCHARIDE IM 0.5 ML	$205.22	$263.10	—	3% above	22%
Typhoid vaccine, injectable (Vi polysaccharide) inpatient CPT 90691 HC PR RX TYPHOID VACCINE VI CAPSULAR POLYSACCHARIDE IM 0.5 ML	$205.22	$263.10	—	—	22%
Typhoid vaccine, oral capsules (Vivotif) CPT 90690 HC PR RX TYPHOID VACCINE LIVE ORAL 1 EA	$49.97	$64.07	—	58% below	22%
Typhoid vaccine, oral capsules (Vivotif) inpatient CPT 90690 HC PR RX TYPHOID VACCINE LIVE ORAL 1 EA	$49.97	$64.07	—	—	22%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC PR ADMIN VACCINE INITIAL VFC	$19.32	$24.77	—	77% below	22%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC PR ADMIN VACCINE INITIAL	$63.18	$81.00	—	25% below	22%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC PR ADMIN VACCINE HEPATITIS B	$63.18	$81.00	—	25% below	22%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC PR ADMIN VACCINE PNEUMONIA	$63.18	$81.00	—	25% below	22%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC PR ADMIN VACCINE INFLUENZA	$63.18	$81.00	—	25% below	22%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC IMMUNIZATION ADMIN	$128.70	$165.00	—	54% above	22%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC ADMIN HEPATITIS B VACCINE	$128.70	$165.00	—	54% above	22%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC ADMIN PNEUMOCOCCAL VACCINE	$128.70	$165.00	—	54% above	22%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC ADMIN INFLUENZA VIRUS VAC	$128.70	$165.00	—	54% above	22%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC PR ADMIN VACCINE INITIAL VFC	$19.32	$24.77	—	—	22%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC PR ADMIN VACCINE HEPATITIS B	$63.18	$81.00	—	—	22%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC PR ADMIN VACCINE INITIAL	$63.18	$81.00	—	—	22%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC PR ADMIN VACCINE INFLUENZA	$63.18	$81.00	—	—	22%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC PR ADMIN VACCINE PNEUMONIA	$63.18	$81.00	—	—	22%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC ADMIN HEPATITIS B VACCINE	$128.70	$165.00	—	—	22%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC ADMIN INFLUENZA VIRUS VAC	$128.70	$165.00	—	—	22%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC IMMUNIZATION ADMIN	$128.70	$165.00	—	—	22%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC ADMIN PNEUMOCOCCAL VACCINE	$128.70	$165.00	—	—	22%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 HC PR ADMIN VACCINE EA ADDL VFC	$19.32	$24.77	—	62% below	22%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 HC PR 90472 ADMIN VACCINE EA ADDL	$45.24	$58.00	—	11% below	22%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 HC PR ADMIN VACCINE EA ADDL VFC	$19.32	$24.77	—	—	22%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 HC PR 90472 ADMIN VACCINE EA ADDL	$45.24	$58.00	—	—	22%
Yellow fever vaccine, live CPT 90717 HC PR RX YELLOW FEVER VACCINE INJ 1 EA	$420.33	$538.89	—	38% below	22%
Yellow fever vaccine, live inpatient CPT 90717 HC PR RX YELLOW FEVER VACCINE INJ 1 EA	$420.33	$538.89	—	—	22%

Procedure The service, with its billing code (CPT or HCPCS) and, in small type, the line exactly as the hospital wrote it in its price file. More

Cash price The hospital's own price for a patient paying without insurance (“discounted cash” in its price file). Hospitals must publish it under federal law, 45 CFR 180.50. Call to confirm it before booking. More

List price The hospital's full chargemaster price (“gross charge”) before any discount. Almost nobody pays it; the gap to the cash price shows what the self-pay discount is worth. More

Insurers pay The lowest and highest rates this hospital has agreed with insurance plans for the same item, from its price file. If the cash price is below what your plan pays and you have not met your deductible, paying cash can cost you less. More

Against the state median This hospital's cash price compared with the median cash price of hospitals in the state for the same code. Shown when at least three hospitals in the state price it.

Off list How much lower the cash price is than the list price.

No cash discount This line's cash price equals the hospital's full list price. Many hospitals still reduce bills for uninsured patients: ask the billing office for its self-pay discount in writing. More

At or below Medicare This cash price is at or below what Medicare pays a hospital for the same service, which is unusually low. It is what the hospital's file says; confirm it and what it includes before booking. More

Check the item The description in the hospital file looks like a supply or device (a catheter, a brace, an implant), not this procedure. The hospital may have filed it under the wrong code: ask before relying on this price.

Source file: https://pricetransparency.providence.org/alaska/live/830412123_providence-valdez-medical-center_standardcharges.json