Hospital Riverside-San Bernardino-Ontario, CA

Loma Linda University Medical Center

Loma Linda University Medical Center in Loma Linda, CA publishes cash prices for 410 common procedures listed here, from its own machine-readable price file updated Sep 2, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the California median for 238 of 405 procedures and above it for 158. By typical cash price it ranks #100 of 226 California hospitals and #16 of 27 hospitals in the Riverside, CA area, cheapest first. Select a procedure to compare it with other hospitals nearby.

11234 Anderson Street, Loma Linda, CA 92354 Collected Sep 23, 2026 Source price file Check a bill from this hospital (909) 558-4000

Acute care hospital Nonprofit hospital Emergency department CMS star rating 4 of 5 CCN 050327 · CMS hospital register NPI 1194731935

Financial assistance

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

Loma Linda University Medical Center is a nonprofit hospital in the CMS register. Under section 501(r) of the federal tax code it must have a written Financial Assistance Policy with a free application, publish both on its website, and charge patients who qualify no more than the amounts generally billed to insured patients for emergency and other medically necessary care. Who qualifies depends on household income; the policy states the limits.

You can apply up to 240 days after the first bill. Before collection actions such as credit reporting or a lawsuit, the hospital must tell you about the policy and wait at least 120 days after that bill. Ask the billing office for the policy and the application before you pay, or search the hospital's website for “financial assistance”. Letters you can copy.

Source: IRS, section 501(r) requirements for nonprofit hospitals.

State law

This state limits hospital bills for lower-income patients

California law (Health and Safety Code §127405): if you are uninsured or have high medical costs and your family income is at or below 400% of the federal poverty level, a hospital may not expect you to pay more than it would expect from Medicare or Medi-Cal, whichever is greater. That can be less than the cash prices below; ask the hospital for its discount payment policy. A separate physician fee may still apply. Other states' laws.

CMS price transparency record

The federal Centers for Medicare & Medicaid Services (CMS) enforces the rule that makes hospitals publish their prices. Its public enforcement list shows 3 actions for a hospital named Loma Linda University Medical Center in Loma Linda, CA:

  • Nov 19, 2024 Warning notice
  • Feb 21, 2025 Case closed
  • Mar 18, 2025 Met requirements

Warning notice: CMS reviewed the hospital and told it that it had found possible violations of the price transparency rules. Case closed: CMS closed the case after the hospital addressed the problems. Met requirements: CMS reviewed the hospital and found it met the requirements, so no further action was taken.

A notice records a step in a CMS review; it is not a court finding. Source: CMS, Hospital Price Transparency Enforcement Activities and Outcomes, actions through Jul 31, 2026.

Scans and imaging

ProcedureCash priceList priceInsurers payvs CaliforniaOff list
Abdominal CT scan without and with contrast CPT 74170 HC CT ABDOMEN W/WO CONT $2,809.35 $6,243.00 $225.59–$5,618.70 1% below 55%
Abdominal CT scan without and with contrast inpatient CPT 74170 HC CT ABDOMEN W/WO CONT $2,809.35 $6,243.00 $1,248.60–$5,618.70 — 55%
Abdominal X-ray, 2 views CPT 74019 HC ABDOMEN TWO VIEWS $303.30 $674.00 $51.70–$606.60 30% below 55%
Abdominal X-ray, 2 views inpatient CPT 74019 HC ABDOMEN TWO VIEWS $303.30 $674.00 $134.80–$606.60 — 55%
Ankle X-ray, complete, 3 or more views CPT 73610 HC ANKLE COMPLETE $505.35 $1,123.00 $43.24–$1,010.70 2% below 55%
Ankle X-ray, complete, 3 or more views inpatient CPT 73610 HC ANKLE COMPLETE $505.35 $1,123.00 $224.60–$1,010.70 — 55%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 HC EXTREMITY STUDY SIMPLE $547.20 $1,216.00 $89.61–$1,588.00 2% below 55%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 HC EXTREMITY STUDY SIMPLE $547.20 $1,216.00 $243.20–$1,094.40 — 55%
Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 HC CT UPPR EXTR WO CONT $1,892.25 $4,205.00 $134.46–$3,784.50 17% below 55%
Arm CT scan without contrast (shoulder to hand, any part) inpatient CPT 73200 HC CT UPPR EXTR WO CONT $1,892.25 $4,205.00 $841.00–$3,784.50 — 55%
Barium swallow (esophagus X-ray with contrast) CPT 74220 HC RDLGC XM ESPHGS SNGL CNTST STY $539.10 $1,198.00 $65.51–$1,078.20 11% below 55%
Barium swallow (esophagus X-ray with contrast) CPT 74220 HC ESOPHOGRAM $539.10 $1,198.00 $65.51–$1,078.20 11% below 55%
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 HC ESOPHOGRAM $539.10 $1,198.00 $239.60–$1,078.20 — 55%
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 HC RDLGC XM ESPHGS SNGL CNTST STY $539.10 $1,198.00 $239.60–$1,078.20 — 55%
Bone scan, whole body (nuclear medicine) CPT 78306 HC BONE SCAN WHOLE BODY $1,306.80 $2,904.00 $242.57–$2,613.60 38% below 55%
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 HC BONE SCAN WHOLE BODY $1,306.80 $2,904.00 $580.80–$2,613.60 — 55%
Breast ultrasound, complete, one breast CPT 76641 HC ULTRASOUND BREAST COMPLETE $176.85 $393.00 $78.60–$516.02 75% below 55%
Breast ultrasound, complete, one breast inpatient CPT 76641 HC ULTRASOUND BREAST COMPLETE $176.85 $393.00 $78.60–$353.70 — 55%
Breast ultrasound, limited (one breast or one area) CPT 76642 HC ULTRASOUND BREAST LIMITED $88.65 $197.00 $39.40–$395.05 83% below 55%
Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 HC ULTRASOUND BREAST LIMITED $88.65 $197.00 $39.40–$177.30 — 55%
CT angiography (CTA) of the abdomen and pelvis CPT 74174 HC CT ANGIO ABDOMEN/PELVIS $3,048.30 $6,774.00 $448.71–$6,096.60 44% below 55%
CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 HC CT ANGIO ABDOMEN/PELVIS $3,048.30 $6,774.00 $1,354.80–$6,096.60 — 55%
CT angiography (CTA) of the head CPT 70496 HC CT ANGIO HEAD W/WO CONTRAST $2,747.70 $6,106.00 $225.59–$5,495.40 8% below 55%
CT angiography (CTA) of the head inpatient CPT 70496 HC CT ANGIO HEAD W/WO CONTRAST $2,747.70 $6,106.00 $1,221.20–$5,495.40 — 55%
CT angiography (CTA) of the neck CPT 70498 HC CT ANGIO NECK W/WO CONTRAST $2,747.70 $6,106.00 $225.59–$5,495.40 7% below 55%
CT angiography (CTA) of the neck inpatient CPT 70498 HC CT ANGIO NECK W/WO CONTRAST $2,747.70 $6,106.00 $1,221.20–$5,495.40 — 55%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 HC CT ANGIO CHEST W/WO CONTRAST $2,559.60 $5,688.00 $225.59–$5,119.20 25% below 55%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 HC CT ANGIO CHEST W/WO CONTRAST $2,559.60 $5,688.00 $1,137.60–$5,119.20 — 55%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 HC CORONARY CTA W/MORPH W/O CCS $2,064.15 $4,587.00 $255.00–$4,128.30 24% below 55%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 HC CORONARY CTA W/MORPH W/O CCS $2,064.15 $4,587.00 $917.40–$4,128.30 — 55%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 HC CT CARDIAC SCORING $432.45 $961.00 $25.00–$2,364.00 15% above 55%
CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 HC CT CARDIAC SCORING $432.45 $961.00 $192.20–$864.90 — 55%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 HC CT ABDOMEN & PELVIS W/O CONTRA $2,871.45 $6,381.00 $299.81–$5,742.90 10% below 55%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 HC CT ABDOMEN & PELVIS W/O CONTRA $2,871.45 $6,381.00 $1,276.20–$5,742.90 — 55%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 HC CT ABDOMEN & PELVIS W/CONTRAST $3,179.70 $7,066.00 $448.71–$6,359.40 23% below 55%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 HC CT ABDOMEN & PELVIS W/CONTRAST $3,179.70 $7,066.00 $1,413.20–$6,359.40 — 55%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 HC CT ABDOMEN & PELVIS W & W/O CO $3,451.50 $7,670.00 $448.71–$6,903.00 27% below 55%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 HC CT ABDOMEN & PELVIS W & W/O CO $3,451.50 $7,670.00 $1,534.00–$6,903.00 — 55%
CT scan of the abdomen with contrast CPT 74160 HC CT ABDOMEN W CONTRAS $2,601.45 $5,781.00 $225.59–$5,202.90 3% above 55%
CT scan of the abdomen with contrast inpatient CPT 74160 HC CT ABDOMEN W CONTRAS $2,601.45 $5,781.00 $1,156.20–$5,202.90 — 55%
CT scan of the abdomen without contrast CPT 74150 HC CT ABDOMEN WO CONTR $2,155.95 $4,791.00 $134.46–$4,311.90 13% above 55%
CT scan of the abdomen without contrast inpatient CPT 74150 HC CT ABDOMEN WO CONTR $2,155.95 $4,791.00 $958.20–$4,311.90 — 55%
CT scan of the face and sinuses, no contrast dye CPT 70486 HC CT MAXILLOFAC W/O CO $1,702.35 $3,783.00 $134.46–$3,404.70 22% below 55%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 HC CT MAXILLOFAC W/O CO $1,702.35 $3,783.00 $756.60–$3,404.70 — 55%
CT scan of the head or brain, no contrast dye CPT 70450 HC CT HEAD NO CONTRAST $2,034.90 $4,522.00 $134.46–$4,069.80 11% below 55%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 HC CT HEAD NO CONTRAST $2,034.90 $4,522.00 $904.40–$4,069.80 — 55%
CT scan of the head with contrast CPT 70460 HC CT HEAD W CONTRAST $2,374.65 $5,277.00 $225.59–$4,749.30 12% below 55%
CT scan of the head with contrast inpatient CPT 70460 HC CT HEAD W CONTRAST $2,374.65 $5,277.00 $1,055.40–$4,749.30 — 55%
CT scan of the head without and with contrast CPT 70470 HC CT HEAD W/WO CONTRAS $2,466.90 $5,482.00 $225.59–$4,933.80 20% below 55%
CT scan of the head without and with contrast inpatient CPT 70470 HC CT HEAD W/WO CONTRAS $2,466.90 $5,482.00 $1,096.40–$4,933.80 — 55%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 HC CT BONE L-SPINE W/O CONTRAST $2,044.35 $4,543.00 $134.46–$4,088.70 29% below 55%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 HC CT BONE L-SPINE W/O CONTRAST $2,044.35 $4,543.00 $908.60–$4,088.70 — 55%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 HC CT CSPINE WO CONTRAST $2,151.00 $4,780.00 $134.46–$4,302.00 26% below 55%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 HC CT CSPINE WO CONTRAST $2,151.00 $4,780.00 $956.00–$4,302.00 — 55%
CT scan of the pelvis, with contrast dye CPT 72193 HC CT BONE PELVIS W CONTRAST $2,213.10 $4,918.00 $225.59–$4,426.20 13% below 55%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 HC CT BONE PELVIS W CONTRAST $2,213.10 $4,918.00 $983.60–$4,426.20 — 55%
Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 HC DUP SCAN EXTRACRANIAL ART COMPLEX $883.80 $1,964.00 $220.00–$1,767.60 28% below 55%
Carotid artery ultrasound (duplex), both sides of the neck inpatient CPT 93880 HC DUP SCAN EXTRACRANIAL ART COMPLEX $883.80 $1,964.00 $392.80–$1,767.60 — 55%
Chest CT scan without and with contrast CPT 71270 HC CT CHEST W WO CONTRA $2,624.85 $5,833.00 $225.59–$5,249.70 20% below 55%
Chest CT scan without and with contrast inpatient CPT 71270 HC CT CHEST W WO CONTRA $2,624.85 $5,833.00 $1,166.60–$5,249.70 — 55%
Chest X-ray, 2 views CPT 71046 HC CHEST 2 VIEWS $374.85 $833.00 $47.25–$749.70 8% below 55%
Chest X-ray, 2 views inpatient CPT 71046 HC CHEST 2 VIEWS $374.85 $833.00 $166.60–$749.70 — 55%
Chest X-ray, single view CPT 71045 HC CHEST SINGLE VIEW $373.50 $830.00 $30.36–$747.00 3% above 55%
Chest X-ray, single view inpatient CPT 71045 HC CHEST SINGLE VIEW $373.50 $830.00 $166.00–$747.00 — 55%
Collarbone (clavicle) X-ray, complete CPT 73000 HC CLAVICLE $422.55 $939.00 $35.74–$845.10 13% below 55%
Collarbone (clavicle) X-ray, complete inpatient CPT 73000 HC CLAVICLE $422.55 $939.00 $187.80–$845.10 — 55%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 HC ULTRASOUND RETROPERITONEAL COMPLETE $1,093.50 $2,430.00 $134.46–$2,187.00 29% above 55%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 HC ULTRASOUND RETROPERITONEAL COMPLETE $1,093.50 $2,430.00 $486.00–$2,187.00 — 55%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 HC DXA BONE DENSITY AXIAL $258.30 $574.00 $58.94–$825.93 49% below 55%
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 HC DXA BONE DENSITY AXIAL $258.30 $574.00 $114.80–$516.60 — 55%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 HC DXA BONE DENSITY APPENDICULAR $148.50 $330.00 $43.17–$439.04 46% below 55%
DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 HC DXA BONE DENSITY APPENDICULAR $148.50 $330.00 $66.00–$297.00 — 55%
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 HC ULTRASOUND OB DETAILED SINGLE FETUS $998.10 $2,218.00 $272.93–$1,996.20 11% above 55%
Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 HC ULTRASOUND OB DETAILED SINGLE FETUS $998.10 $2,218.00 $443.60–$1,996.20 — 55%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 HC CT CHEST W/O CONTRAST $1,802.25 $4,005.00 $134.46–$3,604.50 11% below 55%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 HC CT CHEST W/O CONTRAST $1,802.25 $4,005.00 $801.00–$3,604.50 — 55%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 HC CT CHEST W CONTRAST $2,213.10 $4,918.00 $225.59–$4,426.20 23% below 55%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 HC CT CHEST W CONTRAST $2,213.10 $4,918.00 $983.60–$4,426.20 — 55%
Diagnostic mammogram, both breasts both sides CPT 77066 HC MAMMOGRAPHY DIGITAL BILAT $472.50 $1,050.00 $210.00–$945.00 — 55%
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 HC MAMMOGRAPHY DIGITAL BILAT $472.50 $1,050.00 $210.00–$945.00 — 55%
Diagnostic mammogram, one breast one side CPT 77065 HC MAMMOGRAPHY DIGITAL UNILAT ALL VIEWS $384.30 $854.00 $170.80–$768.60 2% above 55%
Diagnostic mammogram, one breast inpatient one side CPT 77065 HC MAMMOGRAPHY DIGITAL UNILAT ALL VIEWS $384.30 $854.00 $170.80–$768.60 — 55%
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 HC DUPLX LO EXT ARTERY BILAT $1,312.20 $2,916.00 $166.62–$2,624.40 — 55%
Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 HC DUPLX LO EXT ARTERY BILAT $1,312.20 $2,916.00 $583.20–$2,624.40 — 55%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 HC DUPLX EXT VEIN BILAT $1,443.60 $3,208.00 $289.37–$2,887.20 — 55%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 HC DUPLX EXT VEIN BILAT $1,443.60 $3,208.00 $641.60–$2,887.20 — 55%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 HC ECHO TTE W DOPPLER COMPLETE $1,769.40 $3,932.00 $412.39–$3,538.80 34% below 55%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 HC ECHO TTE W DOPPLER COMPLETE $1,769.40 $3,932.00 $786.40–$3,538.80 — 55%
Elbow X-ray, 2 views CPT 73070 HC ELBOW LIMITED 2 VIEW $393.75 $875.00 $35.74–$787.50 1% below 55%
Elbow X-ray, 2 views inpatient CPT 73070 HC ELBOW LIMITED 2 VIEW $393.75 $875.00 $175.00–$787.50 — 55%
Elbow X-ray, complete, 3 or more views CPT 73080 HC ELBOW COMPLETE $557.10 $1,238.00 $44.69–$1,114.20 15% above 55%
Elbow X-ray, complete, 3 or more views inpatient CPT 73080 HC ELBOW COMPLETE $557.10 $1,238.00 $247.60–$1,114.20 — 55%
Eye socket (orbit) CT scan without contrast CPT 70480 HC CT ORB/SEL/PFOSSA/EAR WO CONTR $2,128.50 $4,730.00 $134.46–$4,257.00 7% below 55%
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 HC CT ORB/SEL/PFOSSA/EAR WO CONTR $2,128.50 $4,730.00 $946.00–$4,257.00 — 55%
Facial bones X-ray, complete, 3 or more views CPT 70150 HC FACIAL BONES COMPLETE $762.75 $1,695.00 $64.12–$1,525.50 54% above 55%
Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 HC FACIAL BONES COMPLETE $762.75 $1,695.00 $339.00–$1,525.50 — 55%
Forearm X-ray (radius and ulna), 2 views CPT 73090 HC FOREARM $394.65 $877.00 $35.74–$789.30 8% below 55%
Forearm X-ray (radius and ulna), 2 views inpatient CPT 73090 HC FOREARM $394.65 $877.00 $175.40–$789.30 — 55%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HC GALLBLDR/LIVER FUNC $1,068.75 $2,375.00 $475.00–$2,455.87 40% below 55%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 HC GALLBLDR/LIVER FUNC $1,068.75 $2,375.00 $475.00–$2,137.50 — 55%
Hand X-ray, 2 views CPT 73120 HC HAND LIMITED 2 VIEWS $484.20 $1,076.00 $29.76–$968.40 19% above 55%
Hand X-ray, 2 views inpatient CPT 73120 HC HAND LIMITED 2 VIEWS $484.20 $1,076.00 $215.20–$968.40 — 55%
Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 HC OSCALSIS (HEEL) $383.40 $852.00 $32.71–$766.80 9% above 55%
Heel bone (calcaneus) X-ray, 2 or more views inpatient CPT 73650 HC OSCALSIS (HEEL) $383.40 $852.00 $170.40–$766.80 — 55%
Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 HC SLEEP STUDY UNATTENDEDD $746.10 $1,658.00 $142.28–$1,492.20 3% below 55%
Home sleep apnea test, unattended, recording breathing and oxygen inpatient CPT 95806 HC SLEEP STUDY UNATTENDEDD $746.10 $1,658.00 $331.60–$1,492.20 — 55%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 HC POLYSOMNOGRAM W/NASAL CPAP $3,352.95 $7,451.00 $615.28–$7,061.00 8% below 55%
In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 HC POLYSOMNOGRAM W/NASAL CPAP $3,352.95 $7,451.00 $1,490.20–$6,705.90 — 55%
Knee X-ray, 3 views CPT 73562 HC KNEE 3 VIEWS $455.85 $1,013.00 $40.21–$911.70 1% below 55%
Knee X-ray, 3 views inpatient CPT 73562 HC KNEE 3 VIEWS $455.85 $1,013.00 $202.60–$911.70 — 55%
Knee X-ray, complete, 4 or more views CPT 73564 HC KNEE COMPLETE 4 VIEWS $559.80 $1,244.00 $47.64–$1,119.60 4% below 55%
Knee X-ray, complete, 4 or more views inpatient CPT 73564 HC KNEE COMPLETE 4 VIEWS $559.80 $1,244.00 $248.80–$1,119.60 — 55%
Leg CT scan without contrast (hip to foot, any part) CPT 73700 HC CT LOWER EXT WO CONT $2,036.25 $4,525.00 $134.46–$4,072.50 5% below 55%
Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 HC CT LOWER EXT WO CONT $2,036.25 $4,525.00 $905.00–$4,072.50 — 55%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HC ULTRASOUND LIMITED SINGLE AREA $988.65 $2,197.00 $104.47–$1,977.30 19% above 55%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 HC ULTRASOUND LIMITED SINGLE AREA $988.65 $2,197.00 $439.40–$1,977.30 — 55%
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 HC US SOFT TISS EXT LMTD $903.15 $2,007.00 $45.13–$1,806.30 66% above 55%
Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 HC US SOFT TISS EXT LMTD $903.15 $2,007.00 $401.40–$1,806.30 — 55%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 HC CT, THX, LD FOR LC SCRN WO CON $182.70 $406.00 $81.20–$2,364.00 49% below 55%
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 HC CT, THX, LD FOR LC SCRN WO CON $182.70 $406.00 $81.20–$365.40 — 55%
Lower leg X-ray (tibia and fibula), 2 views CPT 73590 HC TIBIA FIBULA $455.85 $1,013.00 $35.74–$911.70 5% above 55%
Lower leg X-ray (tibia and fibula), 2 views inpatient CPT 73590 HC TIBIA FIBULA $455.85 $1,013.00 $202.60–$911.70 — 55%
MR angiography (MRA) of the head without contrast CPT 70544 HC MRI ANGIO HEAD WO CNTRAST $4,597.20 $10,216.00 $306.88–$9,194.40 59% above 55%
MR angiography (MRA) of the head without contrast inpatient CPT 70544 HC MRI ANGIO HEAD WO CNTRAST $4,597.20 $10,216.00 $2,043.20–$9,194.40 — 55%
MRI of both breasts, without and then with contrast dye both sides CPT 77049 HC MRI BRST BI W WO CNTRST W CAD $5,506.20 $12,236.00 $581.08–$11,012.40 — 55%
MRI of both breasts, without and then with contrast dye inpatient both sides CPT 77049 HC MRI BRST BI W WO CNTRST W CAD $5,506.20 $12,236.00 $2,447.20–$11,012.40 — 55%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HC MRI LOWER EXTREM JOINT WO CONT $3,729.15 $8,287.00 $306.88–$7,458.30 23% above 55%
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 HC MRI LOWER EXTREM JOINT WO CONT $3,729.15 $8,287.00 $1,657.40–$7,458.30 — 55%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 HC MRI LOWER EXTREM JOIN W & WO CONT $6,036.30 $13,414.00 $448.71–$12,072.60 31% above 55%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 HC MRI LOWER EXTREM JOIN W & WO CONT $6,036.30 $13,414.00 $2,682.80–$12,072.60 — 55%
MRI of the abdomen without contrast CPT 74181 HC MRI ABDOMEN W/O CONTRAST $4,950.90 $11,002.00 $306.88–$9,901.80 77% above 55%
MRI of the abdomen without contrast inpatient CPT 74181 HC MRI ABDOMEN W/O CONTRAST $4,950.90 $11,002.00 $2,200.40–$9,901.80 — 55%
MRI of the abdomen, without and then with contrast dye CPT 74183 HC MRI ABDOMEN W WO CONTRAST $6,644.25 $14,765.00 $448.71–$13,288.50 52% above 55%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 HC MRI ABDOMEN W WO CONTRAST $6,644.25 $14,765.00 $2,953.00–$13,288.50 — 55%
MRI of the brain, no contrast dye CPT 70551 HC MRI BRAIN WO CONTRAST $4,972.95 $11,051.00 $306.88–$9,945.90 71% above 55%
MRI of the brain, no contrast dye inpatient CPT 70551 HC MRI BRAIN WO CONTRAST $4,972.95 $11,051.00 $2,210.20–$9,945.90 — 55%
MRI of the brain, with and without contrast dye CPT 70553 HC MRI BRAIN W WO CONTRAST $5,883.75 $13,075.00 $448.71–$11,767.50 36% above 55%
MRI of the brain, with and without contrast dye inpatient CPT 70553 HC MRI BRAIN W WO CONTRAST $5,883.75 $13,075.00 $2,615.00–$11,767.50 — 55%
MRI of the lower back, no contrast dye CPT 72148 HC MRI LUMBAR SPINE WO CONTR $4,753.35 $10,563.00 $306.88–$9,506.70 55% above 55%
MRI of the lower back, no contrast dye inpatient CPT 72148 HC MRI LUMBAR SPINE WO CONTR $4,753.35 $10,563.00 $2,112.60–$9,506.70 — 55%
MRI of the lower back, without and then with contrast dye CPT 72158 HC MRI L-SPINE W & WO CONTRAST $5,555.70 $12,346.00 $448.71–$11,111.40 23% above 55%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 HC MRI L-SPINE W & WO CONTRAST $5,555.70 $12,346.00 $2,469.20–$11,111.40 — 55%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 HC MRI THORACIC SPINE WO CON $4,624.20 $10,276.00 $306.88–$9,248.40 60% above 55%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 HC MRI THORACIC SPINE WO CON $4,624.20 $10,276.00 $2,055.20–$9,248.40 — 55%
MRI of the neck (cervical spine) without and with contrast CPT 72156 HC MRI C-SPINE W & WO CONTRAST $5,555.70 $12,346.00 $448.71–$11,111.40 25% above 55%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 HC MRI C-SPINE W & WO CONTRAST $5,555.70 $12,346.00 $2,469.20–$11,111.40 — 55%
MRI of the neck (cervical spine), no contrast dye CPT 72141 HC MRI CERVICAL SPINE WO CONT $4,624.20 $10,276.00 $306.88–$9,248.40 54% above 55%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 HC MRI CERVICAL SPINE WO CONT $4,624.20 $10,276.00 $2,055.20–$9,248.40 — 55%
MRI of the pelvis without and with contrast CPT 72197 HC MRI PELVIS W & WO CONTRAST $6,057.00 $13,460.00 $448.71–$12,114.00 46% above 55%
MRI of the pelvis without and with contrast inpatient CPT 72197 HC MRI PELVIS W & WO CONTRAST $6,057.00 $13,460.00 $2,692.00–$12,114.00 — 55%
MRI of the pelvis, no contrast dye CPT 72195 HC MRI PELVIS W/O CONTRAST $4,796.55 $10,659.00 $306.88–$9,593.10 87% above 55%
MRI of the pelvis, no contrast dye inpatient CPT 72195 HC MRI PELVIS W/O CONTRAST $4,796.55 $10,659.00 $2,131.80–$9,593.10 — 55%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 HC MRI UPPER EXTREM JOINT WO CONT $3,790.80 $8,424.00 $306.88–$7,581.60 44% above 55%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 HC MRI UPPER EXTREM JOINT WO CONT $3,790.80 $8,424.00 $1,684.80–$7,581.60 — 55%
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 HC SPINE MINIMUM 4 VIEWS $791.10 $1,758.00 $68.80–$1,582.20 23% above 55%
Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 HC SPINE MINIMUM 4 VIEWS $791.10 $1,758.00 $351.60–$1,582.20 — 55%
Neck soft tissue CT scan with contrast CPT 70491 HC CT SOFT TIS NCK W CONTR $2,196.90 $4,882.00 $225.59–$4,393.80 20% below 55%
Neck soft tissue CT scan with contrast inpatient CPT 70491 HC CT SOFT TIS NCK W CONTR $2,196.90 $4,882.00 $976.40–$4,393.80 — 55%
Neck soft tissue CT scan without contrast CPT 70490 HC CT SOFT TIS NCK WO CONTR $1,949.85 $4,333.00 $134.46–$3,899.70 8% below 55%
Neck soft tissue CT scan without contrast inpatient CPT 70490 HC CT SOFT TIS NCK WO CONTR $1,949.85 $4,333.00 $866.60–$3,899.70 — 55%
Neck soft tissue X-ray CPT 70360 HC NECK SOFT TISSUE $295.65 $657.00 $29.76–$591.30 9% below 55%
Neck soft tissue X-ray inpatient CPT 70360 HC NECK SOFT TISSUE $295.65 $657.00 $131.40–$591.30 — 55%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 HC CARDIOLITE PERFUSION SCAN 1 DY $2,423.25 $5,385.00 $598.77–$4,846.50 40% below 55%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 HC CARDIOLITE PERFUSION SCAN 1 DY $2,423.25 $5,385.00 $1,077.00–$4,846.50 — 55%
PET/CT scan from the base of the skull to mid-thigh CPT 78815 HC PET/CT -TUMOR SKULL BASE-THIGH $4,823.55 $10,719.00 $1,839.15–$9,647.10 33% below 55%
PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 HC PET/CT -TUMOR SKULL BASE-THIGH $4,823.55 $10,719.00 $2,143.80–$9,647.10 — 55%
Pelvic CT scan without contrast CPT 72192 HC CT BONE PELVIS W/O CONTRAST $2,036.25 $4,525.00 $134.46–$4,072.50 4% above 55%
Pelvic CT scan without contrast inpatient CPT 72192 HC CT BONE PELVIS W/O CONTRAST $2,036.25 $4,525.00 $905.00–$4,072.50 — 55%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 HC PEL OVULATION STUDY $526.50 $1,170.00 $72.53–$1,053.00 2% below 55%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 HC PEL OVULATION STUDY $526.50 $1,170.00 $234.00–$1,053.00 — 55%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 HC ULTRASOUND PELVIC $1,180.35 $2,623.00 $116.36–$2,360.70 25% above 55%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 HC ULTRASOUND PELVIC $1,180.35 $2,623.00 $524.60–$2,360.70 — 55%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HC ULTRASOUND OB GT 14 WK SINGLE FETUS $926.55 $2,059.00 $134.46–$1,853.10 7% above 55%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 HC ULTRASOUND OB GT 14 WK SINGLE FETUS $926.55 $2,059.00 $411.80–$1,853.10 — 55%
Pregnancy ultrasound before 14 weeks, through the belly, one baby one side CPT 76801 HC ULTRASND OB LT 14 WK SNGL FETUS $847.35 $1,883.00 $134.46–$1,694.70 9% above 55%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient one side CPT 76801 HC ULTRASND OB LT 14 WK SNGL FETUS $847.35 $1,883.00 $376.60–$1,694.70 — 55%
Rib X-ray, one side, 2 views one side CPT 71100 HC RIBS UNILATERAL $558.00 $1,240.00 $46.72–$1,116.00 21% above 55%
Rib X-ray, one side, 2 views inpatient one side CPT 71100 HC RIBS UNILATERAL $558.00 $1,240.00 $248.00–$1,116.00 — 55%
Rib X-ray, one side, with a chest view, 3 or more views CPT 71101 HC XR RIBS UNI & PA CHEST $535.50 $1,190.00 $55.59–$1,071.00 13% below 55%
Rib X-ray, one side, with a chest view, 3 or more views inpatient CPT 71101 HC XR RIBS UNI & PA CHEST $535.50 $1,190.00 $238.00–$1,071.00 — 55%
Screening mammogram, both breasts both sides CPT 77067 HC DIGITAL-SCREENING MAMMO, BILAT $358.65 $797.00 $159.40–$717.30 — 55%
Screening mammogram, both breasts inpatient both sides CPT 77067 HC DIGITAL-SCREENING MAMMO, BILAT $358.65 $797.00 $159.40–$717.30 — 55%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 HC SHOULDER COMPLETE UNILAT $518.85 $1,153.00 $44.48–$1,037.70 6% below 55%
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 HC SHOULDER COMPLETE UNILAT $518.85 $1,153.00 $230.60–$1,037.70 — 55%
Sinus X-ray, complete, 3 or more views CPT 70220 HC SINUS/ PARANASAL COMPLETE $774.90 $1,722.00 $57.36–$1,549.80 70% above 55%
Sinus X-ray, complete, 3 or more views inpatient CPT 70220 HC SINUS/ PARANASAL COMPLETE $774.90 $1,722.00 $344.40–$1,549.80 — 55%
Skull X-ray, fewer than 4 views CPT 70250 HC SKULL LIMITED $527.85 $1,173.00 $44.69–$1,055.70 30% above 55%
Skull X-ray, fewer than 4 views CPT 70250 HC XRAY SKULL RADIOGRAPH LTD $527.85 $1,173.00 $44.69–$1,055.70 30% above 55%
Skull X-ray, fewer than 4 views inpatient CPT 70250 HC SKULL LIMITED $527.85 $1,173.00 $234.60–$1,055.70 — 55%
Skull X-ray, fewer than 4 views inpatient CPT 70250 HC XRAY SKULL RADIOGRAPH LTD $527.85 $1,173.00 $234.60–$1,055.70 — 55%
Sleep study in a lab (polysomnography) CPT 95810 HC POLYSOMNOGRAM $2,816.10 $6,258.00 $598.68–$7,061.00 42% below 55%
Sleep study in a lab (polysomnography) inpatient CPT 95810 HC POLYSOMNOGRAM $2,816.10 $6,258.00 $1,251.60–$5,632.20 — 55%
Stress echocardiogram, complete, including the stress test and supervision CPT 93351 HC ECHO STRESS TTE COMPLETE $1,371.15 $3,047.00 $425.34–$2,742.30 57% below 55%
Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 HC ECHO STRESS TTE COMPLETE $1,371.15 $3,047.00 $609.40–$2,742.30 — 55%
Swallow study (modified barium swallow, video X-ray) CPT 74230 HC SWALLOWING STUDY W VIDEO $469.80 $1,044.00 $89.29–$939.60 29% below 55%
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 HC SWALLOWING STUDY W VIDEO $469.80 $1,044.00 $208.80–$939.60 — 55%
Thigh bone (femur) X-ray, 2 or more views CPT 73552 HC XRAY FEMUR MIN 2 VIEWS $294.75 $655.00 $50.14–$589.50 28% below 55%
Thigh bone (femur) X-ray, 2 or more views inpatient CPT 73552 HC XRAY FEMUR MIN 2 VIEWS $294.75 $655.00 $131.00–$589.50 — 55%
Thoracic spine (mid back) CT scan without contrast CPT 72128 HC CT TSPINE WO CONTRAST $2,044.35 $4,543.00 $134.46–$4,088.70 27% below 55%
Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 HC CT TSPINE WO CONTRAST $2,044.35 $4,543.00 $908.60–$4,088.70 — 55%
Toe X-ray, 2 or more views CPT 73660 HC TOES $333.00 $740.00 $26.81–$666.00 1% above 55%
Toe X-ray, 2 or more views inpatient CPT 73660 HC TOES $333.00 $740.00 $148.00–$666.00 — 55%
Transvaginal pelvic ultrasound CPT 76830 HC ULTRASOUND TRANSVAGINAL $1,064.70 $2,366.00 $116.36–$2,129.40 49% above 55%
Transvaginal pelvic ultrasound inpatient CPT 76830 HC ULTRASOUND TRANSVAGINAL $1,064.70 $2,366.00 $473.20–$2,129.40 — 55%
Transvaginal ultrasound during pregnancy CPT 76817 HC ULTRASOUND TRANSVAGINAL OB $726.75 $1,615.00 $134.46–$1,453.50 9% above 55%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 HC ULTRASOUND TRANSVAGINAL OB $726.75 $1,615.00 $323.00–$1,453.50 — 55%
Ultrasound of the abdomen, complete CPT 76700 HC ULTRASOUND ABDOMINAL COMPLETE $1,306.80 $2,904.00 $134.46–$2,613.60 19% above 55%
Ultrasound of the abdomen, complete inpatient CPT 76700 HC ULTRASOUND ABDOMINAL COMPLETE $1,306.80 $2,904.00 $580.80–$2,613.60 — 55%
Ultrasound of the scrotum and testicles CPT 76870 HC SCAN & EVAL TESTICLE $1,044.90 $2,322.00 $102.82–$2,089.80 17% above 55%
Ultrasound of the scrotum and testicles inpatient CPT 76870 HC SCAN & EVAL TESTICLE $1,044.90 $2,322.00 $464.40–$2,089.80 — 55%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 HC US SOFT TISSUE MASS,HEAD/NECK $823.95 $1,831.00 $102.75–$1,647.90 1% below 55%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 HC US SOFT TISSUE MASS,HEAD/NECK $823.95 $1,831.00 $366.20–$1,647.90 — 55%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 HC GASTRO UGI SNGL CNTRST $501.75 $1,115.00 $175.49–$1,003.50 19% below 55%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 HC RDLGC XM UPR GI TRC SNGL CNTST $501.75 $1,115.00 $175.49–$1,003.50 19% below 55%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 HC GASTRO UGI SNGL CNTRST $501.75 $1,115.00 $223.00–$1,003.50 — 55%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 HC RDLGC XM UPR GI TRC SNGL CNTST $501.75 $1,115.00 $223.00–$1,003.50 — 55%
Upper arm X-ray (humerus), 2 views CPT 73060 HC HUMERUS $470.70 $1,046.00 $35.74–$941.40 10% above 55%
Upper arm X-ray (humerus), 2 views inpatient CPT 73060 HC HUMERUS $470.70 $1,046.00 $209.20–$941.40 — 55%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 HC DUPLX EXT VEIN UNILAT $908.55 $2,019.00 $134.46–$1,817.10 1% above 55%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 HC DUPLX EXT VEIN UNILAT $908.55 $2,019.00 $403.80–$1,817.10 — 55%
Wrist X-ray, 2 views CPT 73100 HC WRIST LIMITED $413.55 $919.00 $29.76–$827.10 6% above 55%
Wrist X-ray, 2 views inpatient CPT 73100 HC WRIST LIMITED $413.55 $919.00 $183.80–$827.10 — 55%
Wrist X-ray, complete, 3 or more views CPT 73110 HC WRIST COMPLETE MIN 3 VIEWS $497.70 $1,106.00 $43.24–$995.40 1% below 55%
Wrist X-ray, complete, 3 or more views inpatient CPT 73110 HC WRIST COMPLETE MIN 3 VIEWS $497.70 $1,106.00 $221.20–$995.40 — 55%
X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 HC XRAY HIP W/PELVIS UNI 2-3 VIEW $497.70 $1,106.00 $64.12–$995.40 24% above 55%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient CPT 73502 HC XRAY HIP W/PELVIS UNI 2-3 VIEW $497.70 $1,106.00 $221.20–$995.40 — 55%
X-ray of the abdomen, 1 view CPT 74018 HC ABDOMEN KUB SUPINE $242.55 $539.00 $42.31–$485.10 20% below 55%
X-ray of the abdomen, 1 view CPT 74018 HC ABDOMEN SINGLE AP VIEW $242.55 $539.00 $42.31–$485.10 20% below 55%
X-ray of the abdomen, 1 view inpatient CPT 74018 HC ABDOMEN KUB SUPINE $242.55 $539.00 $107.80–$485.10 — 55%
X-ray of the abdomen, 1 view inpatient CPT 74018 HC ABDOMEN SINGLE AP VIEW $242.55 $539.00 $107.80–$485.10 — 55%
X-ray of the ankle, 2 views CPT 73600 HC ANKLE LIMITED $431.55 $959.00 $32.71–$863.10 10% above 55%
X-ray of the ankle, 2 views inpatient CPT 73600 HC ANKLE LIMITED $431.55 $959.00 $191.80–$863.10 — 55%
X-ray of the finger(s), 2 or more views CPT 73140 HC FINGERS MIN 2 VIEWS $331.20 $736.00 $26.81–$662.40 9% below 55%
X-ray of the finger(s), 2 or more views inpatient CPT 73140 HC FINGERS MIN 2 VIEWS $331.20 $736.00 $147.20–$662.40 — 55%
X-ray of the foot, 2 views CPT 73620 HC FOOT LIMITED 2 VIEWS $383.40 $852.00 $29.76–$766.80 5% below 55%
X-ray of the foot, 2 views inpatient CPT 73620 HC FOOT LIMITED 2 VIEWS $383.40 $852.00 $170.40–$766.80 — 55%
X-ray of the foot, complete, 3 or more views CPT 73630 HC FOOT COMPLETE $494.10 $1,098.00 $41.66–$988.20 at median 55%
X-ray of the foot, complete, 3 or more views inpatient CPT 73630 HC FOOT COMPLETE $494.10 $1,098.00 $219.60–$988.20 — 55%
X-ray of the hand, 3 or more views CPT 73130 HC HAND COMPLETE MIN 3 VIEWS $485.55 $1,079.00 $43.24–$971.10 5% below 55%
X-ray of the hand, 3 or more views inpatient CPT 73130 HC HAND COMPLETE MIN 3 VIEWS $485.55 $1,079.00 $215.80–$971.10 — 55%
X-ray of the knee, 1 or 2 views CPT 73560 HC KNEE 1-2 VIEWS $396.90 $882.00 $32.71–$793.80 at median 55%
X-ray of the knee, 1 or 2 views inpatient CPT 73560 HC KNEE 1-2 VIEWS $396.90 $882.00 $176.40–$793.80 — 55%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 HC LUMBAR SPINE LIMITED $108.45 $241.00 $48.20–$221.86 77% below 55%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 HC LUMBAR SPINE AP AND LATERAL $546.30 $1,214.00 $52.10–$1,092.60 16% above 55%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 HC LUMBAR SPINE LIMITED $108.45 $241.00 $48.20–$216.90 — 55%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 HC LUMBAR SPINE AP AND LATERAL $546.30 $1,214.00 $242.80–$1,092.60 — 55%
X-ray of the lower back, 4 or more views CPT 72110 HC LUM SPINE W/OBLIQUES $720.00 $1,600.00 $75.42–$1,440.00 10% above 55%
X-ray of the lower back, 4 or more views inpatient CPT 72110 HC LUM SPINE W/OBLIQUES $720.00 $1,600.00 $320.00–$1,440.00 — 55%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 HC THORACIC SPINE 2VIEWS $509.85 $1,133.00 $48.23–$1,019.70 10% above 55%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 HC THORACIC SPINE 2VIEWS $509.85 $1,133.00 $226.60–$1,019.70 — 55%
X-ray of the nasal bones, 3 or more views CPT 70160 HC NASAL BONES $527.85 $1,173.00 $42.64–$1,055.70 22% above 55%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 HC NASAL BONES $527.85 $1,173.00 $234.60–$1,055.70 — 55%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 HC SPINE 2-3 VIEWS $509.85 $1,133.00 $44.69–$1,019.70 13% above 55%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 HC SPINE 2-3 VIEWS $509.85 $1,133.00 $226.60–$1,019.70 — 55%
X-ray of the pelvis, 1 or 2 views CPT 72170 HC PELVIS 1 OR 2 VIEWS $413.55 $919.00 $37.19–$827.10 7% above 55%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 HC PELVIS 1 OR 2 VIEWS $413.55 $919.00 $183.80–$827.10 — 55%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 HC SACRUM AND COCCYX $517.95 $1,151.00 $43.03–$1,035.90 10% above 55%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 HC SACRUM AND COCCYX $517.95 $1,151.00 $230.20–$1,035.90 — 55%

Lab tests

ProcedureCash priceList priceInsurers payvs CaliforniaOff list
ACTH blood test CPT 82024 HC ACTH $74.25 $165.00 $31.28–$390.63 10% above 55%
ACTH blood test inpatient CPT 82024 HC ACTH $74.25 $165.00 $33.00–$148.50 — 55%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 HC ALT SINGLE $44.10 $98.00 $4.29–$88.20 2% above 55%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 HC ALT $44.10 $98.00 $4.29–$88.20 2% above 55%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 HC ALT SINGLE $44.10 $98.00 $19.60–$88.20 — 55%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 HC ALT $44.10 $98.00 $19.60–$88.20 — 55%
AST (aspartate aminotransferase) enzyme test CPT 84450 HC AST $44.10 $98.00 $4.19–$88.20 3% below 55%
AST (aspartate aminotransferase) enzyme test CPT 84450 HC AST INDIVIDUAL $44.10 $98.00 $4.19–$88.20 3% below 55%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 HC AST INDIVIDUAL $44.10 $98.00 $19.60–$88.20 — 55%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 HC AST $44.10 $98.00 $19.60–$88.20 — 55%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HC ACUTE HEPATITIS PANEL $390.15 $867.00 $38.58–$780.30 43% above 55%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HC ACUTE HEPATITIS PANEL $390.15 $867.00 $173.40–$780.30 — 55%
Albumin blood test CPT 82040 HC LAB REF ALBUMIN CHARGE - SO $3.60 $8.00 $1.60–$50.11 86% below 55%
Albumin blood test CPT 82040 HC SOM CSF IGG INDEX ALB S $5.51 $5.51 $1.10–$50.11 78% below —
Albumin blood test CPT 82040 HC ALBUMIN $44.10 $98.00 $4.01–$88.20 77% above 55%
Albumin blood test inpatient CPT 82040 HC LAB REF ALBUMIN CHARGE - SO $3.60 $8.00 $1.60–$7.20 — 55%
Albumin blood test inpatient CPT 82040 HC SOM CSF IGG INDEX ALB S $5.51 $5.51 $1.10–$4.96 — —
Albumin blood test inpatient CPT 82040 HC ALBUMIN $44.10 $98.00 $19.60–$88.20 — 55%
Aldosterone blood test CPT 82088 HC SOM ALDOSTERONE $15.00 $15.00 $3.00–$412.22 50% below —
Aldosterone blood test CPT 82088 HC SOM ALDOSTERONE URINE $54.00 $54.00 $10.80–$412.22 80% above —
Aldosterone blood test inpatient CPT 82088 HC SOM ALDOSTERONE $15.00 $15.00 $3.00–$13.50 — —
Aldosterone blood test inpatient CPT 82088 HC SOM ALDOSTERONE URINE $54.00 $54.00 $10.80–$48.60 — —
Alkaline phosphatase (ALP) blood test CPT 84075 HC SOM ALK PHOS TOTAL (SO) $5.73 $5.73 $1.15–$52.29 84% below —
Alkaline phosphatase (ALP) blood test CPT 84075 HC ALKALINE PHOSPHATASE $42.30 $94.00 $4.19–$84.60 14% above 55%
Alkaline phosphatase (ALP) blood test CPT 84075 HC ALKALINE PHOSPHATASE INDIV $44.10 $98.00 $4.19–$88.20 19% above 55%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 HC SOM ALK PHOS TOTAL (SO) $5.73 $5.73 $1.15–$5.16 — —
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 HC ALKALINE PHOSPHATASE $42.30 $94.00 $18.80–$84.60 — 55%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 HC ALKALINE PHOSPHATASE INDIV $44.10 $98.00 $19.60–$88.20 — 55%
Allergy blood test, specific IgE, per allergen CPT 86003 HC LAB REF ALLERGEN INDIVIDUAL (RAST) $3.60 $8.00 $1.60–$159.88 28% below 55%
Allergy blood test, specific IgE, per allergen CPT 86003 HC SILVERBIRCHE $3.99 $8.87 $1.77–$159.88 20% below 55%
Allergy blood test, specific IgE, per allergen CPT 86003 HC SOM PENICILLIN G IGE $4.75 $4.75 $0.95–$159.88 5% below —
Allergy blood test, specific IgE, per allergen CPT 86003 HC SOM MILK PROCESSED IGE $4.75 $4.75 $0.95–$159.88 5% below —
Allergy blood test, specific IgE, per allergen CPT 86003 HC SOM PENICILLIN V IGE $4.75 $4.75 $0.95–$159.88 5% below —
Allergy blood test, specific IgE, per allergen CPT 86003 HC LAB REF GREEN COFFEE BEAN IGE $5.85 $13.00 $2.60–$159.88 17% above 55%
Allergy blood test, specific IgE, per allergen CPT 86003 HC LAB REF KIDNEY BEAN (RED) IGE $5.85 $13.00 $2.60–$159.88 17% above 55%
Allergy blood test, specific IgE, per allergen CPT 86003 HC LAB REF WHITE BEAN IGE $5.85 $13.00 $2.60–$159.88 17% above 55%
Allergy blood test, specific IgE, per allergen CPT 86003 HC LAB REF ECHINOCOCCUS IGE $5.85 $13.00 $2.60–$159.88 17% above 55%
Allergy blood test, specific IgE, per allergen CPT 86003 HC SOM CHESTNUT IGE $7.47 $7.47 $1.49–$159.88 49% above —
Allergy blood test, specific IgE, per allergen CPT 86003 HC SOM PASSION FRUIT IGE $7.47 $7.47 $1.49–$159.88 49% above —
Allergy blood test, specific IgE, per allergen CPT 86003 HC SOM LYSO 86003 $7.47 $7.47 $1.49–$159.88 49% above —
Allergy blood test, specific IgE, per allergen CPT 86003 HC SOM WHEY IGE $7.47 $7.47 $1.49–$159.88 49% above —
Allergy blood test, specific IgE, per allergen CPT 86003 HC SOSTL ABPA ALLERG SP IGE $11.25 $25.00 $4.23–$159.88 125% above 55%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN MILK COW IGE $29.70 $66.00 $4.23–$159.88 494% above 55%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN POTATO SWEET IGE $29.70 $66.00 $4.23–$159.88 494% above 55%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN MILK GOAT IGE $29.70 $66.00 $4.23–$159.88 494% above 55%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN PINEAPPLE IGE $29.70 $66.00 $4.23–$159.88 494% above 55%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN PIGWEED IGE $29.70 $66.00 $4.23–$159.88 494% above 55%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN PEPPER BLACK/WHITE IGE $29.70 $66.00 $4.23–$159.88 494% above 55%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN PENICILLIUM IGE $29.70 $66.00 $4.23–$159.88 494% above 55%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN PORK IGE $29.70 $66.00 $4.23–$159.88 494% above 55%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN MTN CEDAR IGE $29.70 $66.00 $4.23–$159.88 494% above 55%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN PECAN IGE $29.70 $66.00 $4.23–$159.88 494% above 55%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN PEAR IGE $29.70 $66.00 $4.23–$159.88 494% above 55%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN MUGWORT IGE $29.70 $66.00 $4.23–$159.88 494% above 55%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN MULBERRY IGE $29.70 $66.00 $4.23–$159.88 494% above 55%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN MUSHROOM IGE $29.70 $66.00 $4.23–$159.88 494% above 55%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN PEANUT IGE $29.70 $66.00 $4.23–$159.88 494% above 55%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN PEACH IGE $29.70 $66.00 $4.23–$159.88 494% above 55%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN PAPRIKA IGE $29.70 $66.00 $4.23–$159.88 494% above 55%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN OYSTER IGE $29.70 $66.00 $4.23–$159.88 494% above 55%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN OREGANO IGE $29.70 $66.00 $4.23–$159.88 494% above 55%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN ORANGE IGE $29.70 $66.00 $4.23–$159.88 494% above 55%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN ONION IGE $29.70 $66.00 $4.23–$159.88 494% above 55%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN MUSTARD IGE $29.70 $66.00 $4.23–$159.88 494% above 55%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN OAK IGE $29.70 $66.00 $4.23–$159.88 494% above 55%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN OLIVETREE IGE $29.70 $66.00 $4.23–$159.88 494% above 55%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN OLIVE IGE $29.70 $66.00 $4.23–$159.88 494% above 55%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN OAT IGE $29.70 $66.00 $4.23–$159.88 494% above 55%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN PISTACHIO IGE $29.70 $66.00 $4.23–$159.88 494% above 55%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALELRGEN CUCUMBER IGE $29.70 $66.00 $4.23–$159.88 494% above 55%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALELRGEN GRAPEFRUIT IGE $29.70 $66.00 $4.23–$159.88 494% above 55%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLELRGEN GREEN PEPPER IGE $29.70 $66.00 $4.23–$159.88 494% above 55%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN A ALTERNATA IGE $29.70 $66.00 $4.23–$159.88 494% above 55%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN ALDER E IGE $29.70 $66.00 $4.23–$159.88 494% above 55%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN ALMOND IGE $29.70 $66.00 $4.23–$159.88 494% above 55%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN APPLE IGE $29.70 $66.00 $4.23–$159.88 494% above 55%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN ASPERGILLUS FUM IGE $29.70 $66.00 $4.23–$159.88 494% above 55%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN AVOCADO IGE $29.70 $66.00 $4.23–$159.88 494% above 55%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN BAHIA GRASS IGE $29.70 $66.00 $4.23–$159.88 494% above 55%
Allergy blood test, specific IgE, per allergen CPT 86003 HC WASP VENOM IGE $29.70 $66.00 $4.23–$159.88 494% above 55%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN BANANA IGE $29.70 $66.00 $4.23–$159.88 494% above 55%
Allergy blood test, specific IgE, per allergen CPT 86003 HC WALNUT TREE IGE $29.70 $66.00 $4.23–$159.88 494% above 55%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN BARLEY IGE $29.70 $66.00 $4.23–$159.88 494% above 55%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN BEEF IGE $29.70 $66.00 $4.23–$159.88 494% above 55%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN BEETS IGE $29.70 $66.00 $4.23–$159.88 494% above 55%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN BERMUDA GRASS IGE $29.70 $66.00 $4.23–$159.88 494% above 55%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN BLUE MUSSEL IGE $29.70 $66.00 $4.23–$159.88 494% above 55%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN BOX ELDER IGE $29.70 $66.00 $4.23–$159.88 494% above 55%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN BRAZILNUT IGE $29.70 $66.00 $4.23–$159.88 494% above 55%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN BROCCOLI IGE $29.70 $66.00 $4.23–$159.88 494% above 55%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN BROME GRASS IGE $29.70 $66.00 $4.23–$159.88 494% above 55%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN BRUSSEL SPROUT IGE $29.70 $66.00 $4.23–$159.88 494% above 55%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN BUCKWHEAT IGE $29.70 $66.00 $4.23–$159.88 494% above 55%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN C HERBARUM IGE $29.70 $66.00 $4.23–$159.88 494% above 55%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN CABBAGE IGE $29.70 $66.00 $4.23–$159.88 494% above 55%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN CANDIDA ALBICANS IGE $29.70 $66.00 $4.23–$159.88 494% above 55%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN CARROT IGE $29.70 $66.00 $4.23–$159.88 494% above 55%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN CASEIN IGE $29.70 $66.00 $4.23–$159.88 494% above 55%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN TOMATO IGE $29.70 $66.00 $4.23–$159.88 494% above 55%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN TOBACCO IGE $29.70 $66.00 $4.23–$159.88 494% above 55%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN GREEN PEA IGE $29.70 $66.00 $4.23–$159.88 494% above 55%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN TIMOTHY GRASS IGE $29.70 $66.00 $4.23–$159.88 494% above 55%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN GREEN STRING BEAN IGE $29.70 $66.00 $4.23–$159.88 494% above 55%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN TEA IGE $29.70 $66.00 $4.23–$159.88 494% above 55%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN GUINEA PIG EPITHELIUM IGE $29.70 $66.00 $4.23–$159.88 494% above 55%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SWEET GUM IGE $29.70 $66.00 $4.23–$159.88 494% above 55%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN HALIBUT IGE $29.70 $66.00 $4.23–$159.88 494% above 55%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SUNFLOWER SEED IGE $29.70 $66.00 $4.23–$159.88 494% above 55%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN HAMSTER EPITHELIUM IGE $29.70 $66.00 $4.23–$159.88 494% above 55%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN STRAWBERRY IGE $29.70 $66.00 $4.23–$159.88 494% above 55%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN HAZELNUT IGE $29.70 $66.00 $4.23–$159.88 494% above 55%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPRUCE TREE IGE $29.70 $66.00 $4.23–$159.88 494% above 55%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN HD MITE DF IGE $29.70 $66.00 $4.23–$159.88 494% above 55%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPINACH IGE $29.70 $66.00 $4.23–$159.88 494% above 55%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN HD MITE DP IGE $29.70 $66.00 $4.23–$159.88 494% above 55%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SOYBEAN IGE $29.70 $66.00 $4.23–$159.88 494% above 55%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN HONEYBEE VENOM IGE $29.70 $66.00 $4.23–$159.88 494% above 55%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SHRIMP IGE $29.70 $66.00 $4.23–$159.88 494% above 55%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN HORSE DANDER IGE $29.70 $66.00 $4.23–$159.88 494% above 55%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SESAME IGE $29.70 $66.00 $4.23–$159.88 494% above 55%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN HOUSE DUST MITES IGE $29.70 $66.00 $4.23–$159.88 494% above 55%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SCALLOPS IGE $29.70 $66.00 $4.23–$159.88 494% above 55%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN JAPANESE CEDAR IGE $29.70 $66.00 $4.23–$159.88 494% above 55%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SCALE IGE $29.70 $66.00 $4.23–$159.88 494% above 55%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN JOHNSON GRASS IGE $29.70 $66.00 $4.23–$159.88 494% above 55%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SALMON IGE $29.70 $66.00 $4.23–$159.88 494% above 55%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN KENTUCKY GRASS IGE $29.70 $66.00 $4.23–$159.88 494% above 55%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN KIWI IGE $29.70 $66.00 $4.23–$159.88 494% above 55%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN LAMB IGE $29.70 $66.00 $4.23–$159.88 494% above 55%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN RYE GRASS IGE $29.70 $66.00 $4.23–$159.88 494% above 55%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN LAMB'S QUARTERS IGE $29.70 $66.00 $4.23–$159.88 494% above 55%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN RUSSIAN THISTLE IGE $29.70 $66.00 $4.23–$159.88 494% above 55%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN LATEX IGE $29.70 $66.00 $4.23–$159.88 494% above 55%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN RICE IGE $29.70 $66.00 $4.23–$159.88 494% above 55%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN LEMON IGE $29.70 $66.00 $4.23–$159.88 494% above 55%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN LETTUCE IGE $29.70 $66.00 $4.23–$159.88 494% above 55%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN LIME IGE $29.70 $66.00 $4.23–$159.88 494% above 55%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN RASPBERRY IGE $29.70 $66.00 $4.23–$159.88 494% above 55%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN LOBSTER IGE $29.70 $66.00 $4.23–$159.88 494% above 55%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN RAGWEED IGE $29.70 $66.00 $4.23–$159.88 494% above 55%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN MANDARIN IGE $29.70 $66.00 $4.23–$159.88 494% above 55%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN RABBIT IGE $29.70 $66.00 $4.23–$159.88 494% above 55%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN MANGO IGE $29.70 $66.00 $4.23–$159.88 494% above 55%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN POTATO WHITE IGE $29.70 $66.00 $4.23–$159.88 494% above 55%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ASPARAGUS IGE $29.70 $66.00 $4.23–$159.88 494% above 55%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN E SYCAMORE IGE $29.70 $66.00 $4.23–$159.88 494% above 55%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN YELLOW JACKET VENOM IGE $29.70 $66.00 $4.23–$159.88 494% above 55%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN EGG WHITE IGE $29.70 $66.00 $4.23–$159.88 494% above 55%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN WHEAT IGE $29.70 $66.00 $4.23–$159.88 494% above 55%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN EGG YOLK IGE $29.70 $66.00 $4.23–$159.88 494% above 55%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN WALNUT IGE $29.70 $66.00 $4.23–$159.88 494% above 55%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN ELM IGE $29.70 $66.00 $4.23–$159.88 494% above 55%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN VANILLA IGE $29.70 $66.00 $4.23–$159.88 494% above 55%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN GARLIC IGE $29.70 $66.00 $4.23–$159.88 494% above 55%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN TURKEY IGE $29.70 $66.00 $4.23–$159.88 494% above 55%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN GERBIL EPITHELIUM IGE $29.70 $66.00 $4.23–$159.88 494% above 55%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN TUNA IGE $29.70 $66.00 $4.23–$159.88 494% above 55%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN GLUTEN IGE $29.70 $66.00 $4.23–$159.88 494% above 55%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN GRAPE IGE $29.70 $66.00 $4.23–$159.88 494% above 55%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN CASHEW, IGE $29.70 $66.00 $4.23–$159.88 494% above 55%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN CAT EPITHELIUM IGE $29.70 $66.00 $4.23–$159.88 494% above 55%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN CAULIFLOWER IGE $29.70 $66.00 $4.23–$159.88 494% above 55%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN CEDAR IGE $29.70 $66.00 $4.23–$159.88 494% above 55%
Allergy blood test, specific IgE, per allergen CPT 86003 HC RYE IGE $29.70 $66.00 $4.23–$159.88 494% above 55%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN CELERY IGE $29.70 $66.00 $4.23–$159.88 494% above 55%
Allergy blood test, specific IgE, per allergen CPT 86003 HC RAGWEED WESTERN IGE $29.70 $66.00 $4.23–$159.88 494% above 55%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN CHEESE CHEDDAR IGE $29.70 $66.00 $4.23–$159.88 494% above 55%
Allergy blood test, specific IgE, per allergen CPT 86003 HC PERSIMMON IGE $29.70 $66.00 $4.23–$159.88 494% above 55%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN CHICKEN IGE $29.70 $66.00 $4.23–$159.88 494% above 55%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN CINNAMON IGE $29.70 $66.00 $4.23–$159.88 494% above 55%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN CLADOSPORIUM IGE $29.70 $66.00 $4.23–$159.88 494% above 55%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN CLAM IGE $29.70 $66.00 $4.23–$159.88 494% above 55%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN COCKROACH IGE $29.70 $66.00 $4.23–$159.88 494% above 55%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN COCONUT IGE $29.70 $66.00 $4.23–$159.88 494% above 55%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN CODFISH IGE $29.70 $66.00 $4.23–$159.88 494% above 55%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN CORN IGE $29.70 $66.00 $4.23–$159.88 494% above 55%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN COTTON SEED IGE $29.70 $66.00 $4.23–$159.88 494% above 55%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN COTTONWOOD IGE $29.70 $66.00 $4.23–$159.88 494% above 55%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN COW IGE $29.70 $66.00 $4.23–$159.88 494% above 55%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN CRAB, IGE $29.70 $66.00 $4.23–$159.88 494% above 55%
Allergy blood test, specific IgE, per allergen CPT 86003 HC DERMATOPHAGOIDES MICROCERAS IGE $29.70 $66.00 $4.23–$159.88 494% above 55%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN CULT OAT IGE $29.70 $66.00 $4.23–$159.88 494% above 55%
Allergy blood test, specific IgE, per allergen CPT 86003 HC CHILI PEPPER IGE $29.70 $66.00 $4.23–$159.88 494% above 55%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN DANDELION IGE $29.70 $66.00 $4.23–$159.88 494% above 55%
Allergy blood test, specific IgE, per allergen CPT 86003 HC CHICKEN FEATHERS IGE $29.70 $66.00 $4.23–$159.88 494% above 55%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN DATE TREE IGE $29.70 $66.00 $4.23–$159.88 494% above 55%
Allergy blood test, specific IgE, per allergen CPT 86003 HC BAKER'S YEAST IGE $29.70 $66.00 $4.23–$159.88 494% above 55%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN DOG EPITHELIUM IGE $29.70 $66.00 $4.23–$159.88 494% above 55%
Allergy blood test, specific IgE, per allergen CPT 86003 HC SOM TREE4 86003 $61.13 $61.13 $4.23–$159.88 1123% above —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC LAB REF ALLERGEN INDIVIDUAL (RAST) $3.60 $8.00 $1.60–$7.20 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC SILVERBIRCHE $3.99 $8.87 $1.77–$7.98 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC SOM MILK PROCESSED IGE $4.75 $4.75 $0.95–$4.28 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC SOM PENICILLIN V IGE $4.75 $4.75 $0.95–$4.28 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC SOM PENICILLIN G IGE $4.75 $4.75 $0.95–$4.28 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC LAB REF WHITE BEAN IGE $5.85 $13.00 $2.60–$11.70 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC LAB REF KIDNEY BEAN (RED) IGE $5.85 $13.00 $2.60–$11.70 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC LAB REF ECHINOCOCCUS IGE $5.85 $13.00 $2.60–$11.70 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC LAB REF GREEN COFFEE BEAN IGE $5.85 $13.00 $2.60–$11.70 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC SOM WHEY IGE $7.47 $7.47 $1.49–$6.72 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC SOM CHESTNUT IGE $7.47 $7.47 $1.49–$6.72 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC SOM LYSO 86003 $7.47 $7.47 $1.49–$6.72 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC SOM PASSION FRUIT IGE $7.47 $7.47 $1.49–$6.72 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC SOSTL ABPA ALLERG SP IGE $11.25 $25.00 $5.00–$22.50 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN CODFISH IGE $29.70 $66.00 $13.20–$59.40 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALELRGEN CUCUMBER IGE $29.70 $66.00 $13.20–$59.40 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALELRGEN GRAPEFRUIT IGE $29.70 $66.00 $13.20–$59.40 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLELRGEN GREEN PEPPER IGE $29.70 $66.00 $13.20–$59.40 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN A ALTERNATA IGE $29.70 $66.00 $13.20–$59.40 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN ALDER E IGE $29.70 $66.00 $13.20–$59.40 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN ALMOND IGE $29.70 $66.00 $13.20–$59.40 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN APPLE IGE $29.70 $66.00 $13.20–$59.40 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN ASPERGILLUS FUM IGE $29.70 $66.00 $13.20–$59.40 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN AVOCADO IGE $29.70 $66.00 $13.20–$59.40 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN BAHIA GRASS IGE $29.70 $66.00 $13.20–$59.40 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN BANANA IGE $29.70 $66.00 $13.20–$59.40 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN BARLEY IGE $29.70 $66.00 $13.20–$59.40 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN BEEF IGE $29.70 $66.00 $13.20–$59.40 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN BEETS IGE $29.70 $66.00 $13.20–$59.40 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN BERMUDA GRASS IGE $29.70 $66.00 $13.20–$59.40 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN BLUE MUSSEL IGE $29.70 $66.00 $13.20–$59.40 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN BOX ELDER IGE $29.70 $66.00 $13.20–$59.40 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN BRAZILNUT IGE $29.70 $66.00 $13.20–$59.40 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN BROCCOLI IGE $29.70 $66.00 $13.20–$59.40 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN BROME GRASS IGE $29.70 $66.00 $13.20–$59.40 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN BRUSSEL SPROUT IGE $29.70 $66.00 $13.20–$59.40 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN BUCKWHEAT IGE $29.70 $66.00 $13.20–$59.40 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN C HERBARUM IGE $29.70 $66.00 $13.20–$59.40 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN CABBAGE IGE $29.70 $66.00 $13.20–$59.40 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN CANDIDA ALBICANS IGE $29.70 $66.00 $13.20–$59.40 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN CARROT IGE $29.70 $66.00 $13.20–$59.40 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN CASEIN IGE $29.70 $66.00 $13.20–$59.40 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN CASHEW, IGE $29.70 $66.00 $13.20–$59.40 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN CAT EPITHELIUM IGE $29.70 $66.00 $13.20–$59.40 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN CAULIFLOWER IGE $29.70 $66.00 $13.20–$59.40 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN CEDAR IGE $29.70 $66.00 $13.20–$59.40 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN CELERY IGE $29.70 $66.00 $13.20–$59.40 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN CHEESE CHEDDAR IGE $29.70 $66.00 $13.20–$59.40 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN CHICKEN IGE $29.70 $66.00 $13.20–$59.40 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN CINNAMON IGE $29.70 $66.00 $13.20–$59.40 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN CLADOSPORIUM IGE $29.70 $66.00 $13.20–$59.40 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN CLAM IGE $29.70 $66.00 $13.20–$59.40 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN COCKROACH IGE $29.70 $66.00 $13.20–$59.40 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN COCONUT IGE $29.70 $66.00 $13.20–$59.40 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN CORN IGE $29.70 $66.00 $13.20–$59.40 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN COTTON SEED IGE $29.70 $66.00 $13.20–$59.40 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN COTTONWOOD IGE $29.70 $66.00 $13.20–$59.40 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN COW IGE $29.70 $66.00 $13.20–$59.40 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN CRAB, IGE $29.70 $66.00 $13.20–$59.40 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN CULT OAT IGE $29.70 $66.00 $13.20–$59.40 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN DANDELION IGE $29.70 $66.00 $13.20–$59.40 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN DATE TREE IGE $29.70 $66.00 $13.20–$59.40 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN DOG EPITHELIUM IGE $29.70 $66.00 $13.20–$59.40 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN E SYCAMORE IGE $29.70 $66.00 $13.20–$59.40 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN EGG WHITE IGE $29.70 $66.00 $13.20–$59.40 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN EGG YOLK IGE $29.70 $66.00 $13.20–$59.40 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN ELM IGE $29.70 $66.00 $13.20–$59.40 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN GARLIC IGE $29.70 $66.00 $13.20–$59.40 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN GERBIL EPITHELIUM IGE $29.70 $66.00 $13.20–$59.40 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN GLUTEN IGE $29.70 $66.00 $13.20–$59.40 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN GRAPE IGE $29.70 $66.00 $13.20–$59.40 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN GREEN PEA IGE $29.70 $66.00 $13.20–$59.40 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN GREEN STRING BEAN IGE $29.70 $66.00 $13.20–$59.40 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN GUINEA PIG EPITHELIUM IGE $29.70 $66.00 $13.20–$59.40 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN HALIBUT IGE $29.70 $66.00 $13.20–$59.40 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN HAMSTER EPITHELIUM IGE $29.70 $66.00 $13.20–$59.40 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN HAZELNUT IGE $29.70 $66.00 $13.20–$59.40 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN HD MITE DF IGE $29.70 $66.00 $13.20–$59.40 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN HD MITE DP IGE $29.70 $66.00 $13.20–$59.40 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN HONEYBEE VENOM IGE $29.70 $66.00 $13.20–$59.40 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN HORSE DANDER IGE $29.70 $66.00 $13.20–$59.40 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN HOUSE DUST MITES IGE $29.70 $66.00 $13.20–$59.40 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN JAPANESE CEDAR IGE $29.70 $66.00 $13.20–$59.40 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN JOHNSON GRASS IGE $29.70 $66.00 $13.20–$59.40 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN KENTUCKY GRASS IGE $29.70 $66.00 $13.20–$59.40 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN KIWI IGE $29.70 $66.00 $13.20–$59.40 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN LAMB IGE $29.70 $66.00 $13.20–$59.40 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN LAMB'S QUARTERS IGE $29.70 $66.00 $13.20–$59.40 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN LATEX IGE $29.70 $66.00 $13.20–$59.40 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN LEMON IGE $29.70 $66.00 $13.20–$59.40 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN LETTUCE IGE $29.70 $66.00 $13.20–$59.40 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN LIME IGE $29.70 $66.00 $13.20–$59.40 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN LOBSTER IGE $29.70 $66.00 $13.20–$59.40 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN MANDARIN IGE $29.70 $66.00 $13.20–$59.40 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN MANGO IGE $29.70 $66.00 $13.20–$59.40 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN MILK COW IGE $29.70 $66.00 $13.20–$59.40 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN MILK GOAT IGE $29.70 $66.00 $13.20–$59.40 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN MTN CEDAR IGE $29.70 $66.00 $13.20–$59.40 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN MUGWORT IGE $29.70 $66.00 $13.20–$59.40 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN MULBERRY IGE $29.70 $66.00 $13.20–$59.40 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN MUSHROOM IGE $29.70 $66.00 $13.20–$59.40 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN MUSTARD IGE $29.70 $66.00 $13.20–$59.40 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN OAK IGE $29.70 $66.00 $13.20–$59.40 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN OAT IGE $29.70 $66.00 $13.20–$59.40 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN OLIVE IGE $29.70 $66.00 $13.20–$59.40 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN OLIVETREE IGE $29.70 $66.00 $13.20–$59.40 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN ONION IGE $29.70 $66.00 $13.20–$59.40 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN ORANGE IGE $29.70 $66.00 $13.20–$59.40 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN OREGANO IGE $29.70 $66.00 $13.20–$59.40 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN OYSTER IGE $29.70 $66.00 $13.20–$59.40 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN PAPRIKA IGE $29.70 $66.00 $13.20–$59.40 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN PEACH IGE $29.70 $66.00 $13.20–$59.40 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN PEANUT IGE $29.70 $66.00 $13.20–$59.40 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN PEAR IGE $29.70 $66.00 $13.20–$59.40 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN PECAN IGE $29.70 $66.00 $13.20–$59.40 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN PENICILLIUM IGE $29.70 $66.00 $13.20–$59.40 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN PEPPER BLACK/WHITE IGE $29.70 $66.00 $13.20–$59.40 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN PIGWEED IGE $29.70 $66.00 $13.20–$59.40 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN PINEAPPLE IGE $29.70 $66.00 $13.20–$59.40 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN PISTACHIO IGE $29.70 $66.00 $13.20–$59.40 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN PORK IGE $29.70 $66.00 $13.20–$59.40 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN POTATO SWEET IGE $29.70 $66.00 $13.20–$59.40 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN POTATO WHITE IGE $29.70 $66.00 $13.20–$59.40 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN RABBIT IGE $29.70 $66.00 $13.20–$59.40 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN RAGWEED IGE $29.70 $66.00 $13.20–$59.40 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN RASPBERRY IGE $29.70 $66.00 $13.20–$59.40 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN RICE IGE $29.70 $66.00 $13.20–$59.40 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN RUSSIAN THISTLE IGE $29.70 $66.00 $13.20–$59.40 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN RYE GRASS IGE $29.70 $66.00 $13.20–$59.40 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SALMON IGE $29.70 $66.00 $13.20–$59.40 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SCALE IGE $29.70 $66.00 $13.20–$59.40 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SCALLOPS IGE $29.70 $66.00 $13.20–$59.40 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SESAME IGE $29.70 $66.00 $13.20–$59.40 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SHRIMP IGE $29.70 $66.00 $13.20–$59.40 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SOYBEAN IGE $29.70 $66.00 $13.20–$59.40 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPINACH IGE $29.70 $66.00 $13.20–$59.40 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPRUCE TREE IGE $29.70 $66.00 $13.20–$59.40 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN STRAWBERRY IGE $29.70 $66.00 $13.20–$59.40 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SUNFLOWER SEED IGE $29.70 $66.00 $13.20–$59.40 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SWEET GUM IGE $29.70 $66.00 $13.20–$59.40 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN TEA IGE $29.70 $66.00 $13.20–$59.40 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN TIMOTHY GRASS IGE $29.70 $66.00 $13.20–$59.40 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN TOBACCO IGE $29.70 $66.00 $13.20–$59.40 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN TOMATO IGE $29.70 $66.00 $13.20–$59.40 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN TUNA IGE $29.70 $66.00 $13.20–$59.40 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN TURKEY IGE $29.70 $66.00 $13.20–$59.40 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN VANILLA IGE $29.70 $66.00 $13.20–$59.40 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN WALNUT IGE $29.70 $66.00 $13.20–$59.40 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN WHEAT IGE $29.70 $66.00 $13.20–$59.40 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN YELLOW JACKET VENOM IGE $29.70 $66.00 $13.20–$59.40 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ASPARAGUS IGE $29.70 $66.00 $13.20–$59.40 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC BAKER'S YEAST IGE $29.70 $66.00 $13.20–$59.40 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC CHICKEN FEATHERS IGE $29.70 $66.00 $13.20–$59.40 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC CHILI PEPPER IGE $29.70 $66.00 $13.20–$59.40 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC DERMATOPHAGOIDES MICROCERAS IGE $29.70 $66.00 $13.20–$59.40 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC PERSIMMON IGE $29.70 $66.00 $13.20–$59.40 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC RAGWEED WESTERN IGE $29.70 $66.00 $13.20–$59.40 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC RYE IGE $29.70 $66.00 $13.20–$59.40 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC WALNUT TREE IGE $29.70 $66.00 $13.20–$59.40 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC WASP VENOM IGE $29.70 $66.00 $13.20–$59.40 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC SOM TREE4 86003 $61.13 $61.13 $12.23–$55.02 — —
Alpha-fetoprotein (AFP) blood test CPT 82105 HC ALPHA-FETOPROTEIN BLOOD $121.50 $270.00 $13.58–$243.00 58% above 55%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 HC ALPHA-FETOPROTEIN BLOOD $121.50 $270.00 $54.00–$243.00 — 55%
Ammonia blood test CPT 82140 HC AMMONIA $202.05 $449.00 $11.80–$404.10 12% above 55%
Ammonia blood test inpatient CPT 82140 HC AMMONIA $202.05 $449.00 $89.80–$404.10 — 55%
Amylase blood test CPT 82150 HC SOM AMYLASE BF $15.00 $15.00 $3.00–$65.64 71% below —
Amylase blood test CPT 82150 HC AMYLASE BODY FLUID $25.20 $56.00 $5.25–$65.64 51% below 55%
Amylase blood test CPT 82150 HC AMYLASE URINE $116.10 $258.00 $5.25–$232.20 127% above 55%
Amylase blood test CPT 82150 HC AMYLASE $116.10 $258.00 $5.25–$232.20 127% above 55%
Amylase blood test CPT 82150 HC AMYLASE URINE 24 HOURS $116.10 $258.00 $5.25–$232.20 127% above 55%
Amylase blood test CPT 82150 HC AMYLASE URINE RANDOM $116.10 $258.00 $5.25–$232.20 127% above 55%
Amylase blood test inpatient CPT 82150 HC SOM AMYLASE BF $15.00 $15.00 $3.00–$13.50 — —
Amylase blood test inpatient CPT 82150 HC AMYLASE BODY FLUID $25.20 $56.00 $11.20–$50.40 — 55%
Amylase blood test inpatient CPT 82150 HC AMYLASE $116.10 $258.00 $51.60–$232.20 — 55%
Amylase blood test inpatient CPT 82150 HC AMYLASE URINE RANDOM $116.10 $258.00 $51.60–$232.20 — 55%
Amylase blood test inpatient CPT 82150 HC AMYLASE URINE 24 HOURS $116.10 $258.00 $51.60–$232.20 — 55%
Amylase blood test inpatient CPT 82150 HC AMYLASE URINE $116.10 $258.00 $51.60–$232.20 — 55%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 HC CYCLIC CITRUL PEPT AB $34.65 $77.00 $10.49–$128.08 71% above 55%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 HC CITRULLINATED PEPTIDE AB $55.80 $124.00 $10.49–$128.08 175% above 55%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 HC CYCLIC CITRUL PEPT AB $34.65 $77.00 $15.40–$69.30 — 55%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 HC CITRULLINATED PEPTIDE AB $55.80 $124.00 $24.80–$111.60 — 55%
Antinuclear antibody (ANA) blood test, screen CPT 86038 HC SOM FANBF 86038 $75.00 $75.00 $9.79–$122.22 133% above —
Antinuclear antibody (ANA) blood test, screen CPT 86038 HC ANTINUCLEAR ANTIBODIES (ANA) $100.35 $223.00 $9.79–$200.70 211% above 55%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 HC SOM FANBF 86038 $75.00 $75.00 $15.00–$67.50 — —
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 HC ANTINUCLEAR ANTIBODIES (ANA) $100.35 $223.00 $44.60–$200.70 — 55%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 HC SOM BNP 83880 $170.78 $170.78 $31.80–$343.38 8% below —
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 HC PROB-NATRIURETIC PEPTIDE $294.75 $655.00 $31.80–$589.50 59% above 55%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 HC SOM BNP 83880 $170.78 $170.78 $34.16–$153.70 — —
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 HC PROB-NATRIURETIC PEPTIDE $294.75 $655.00 $131.00–$589.50 — 55%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULTURE THROAT $104.40 $232.00 $6.98–$225.00 13% below 55%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULTURE MRSA SURVELLIANCE $149.40 $332.00 $6.98–$298.80 24% above 55%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULTURE PHARMACY COMPOUNDING $165.15 $367.00 $6.98–$330.30 37% above 55%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULTURE,INVASIVE LOWER RESP $175.50 $390.00 $6.98–$351.00 45% above 55%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULTURE BORDATELLA PERTUSS $175.50 $390.00 $6.98–$351.00 45% above 55%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULTURE OTIC $175.50 $390.00 $6.98–$351.00 45% above 55%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULTURE RESPIRATORY $175.50 $390.00 $6.98–$351.00 45% above 55%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULTURE SPUTUM $175.50 $390.00 $6.98–$351.00 45% above 55%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULTURE SURGICAL WOUND $175.50 $390.00 $6.98–$351.00 45% above 55%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULTURE BODY FLUID $175.50 $390.00 $6.98–$351.00 45% above 55%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULTURE BRONCHIAL WASH/BRUSH $175.50 $390.00 $6.98–$351.00 45% above 55%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULTURE TISSUE $175.50 $390.00 $6.98–$351.00 45% above 55%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULTURE CATHETER TIP $175.50 $390.00 $6.98–$351.00 45% above 55%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULTURE TRACHEAL ASPIRATE $175.50 $390.00 $6.98–$351.00 45% above 55%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULTURE CSF $175.50 $390.00 $6.98–$351.00 45% above 55%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULTURE CYSTIC FIBROSIS $175.50 $390.00 $6.98–$351.00 45% above 55%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULTURE ENVIORNMENTAL $175.50 $390.00 $6.98–$351.00 45% above 55%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULTURE ENVIRONMENTAL $175.50 $390.00 $6.98–$351.00 45% above 55%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULTURE G.C. $175.50 $390.00 $6.98–$351.00 45% above 55%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULTURE GASTRIC ASPIRATE $175.50 $390.00 $6.98–$351.00 45% above 55%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULTURE UROGENITAL $175.50 $390.00 $6.98–$351.00 45% above 55%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULTURE WOUND $175.50 $390.00 $6.98–$351.00 45% above 55%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULTURE GROUP B STREP $175.50 $390.00 $6.98–$351.00 45% above 55%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULTURE LEGIONELLA $175.50 $390.00 $6.98–$351.00 45% above 55%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULTURE MISCELLANEOUS $175.50 $390.00 $6.98–$351.00 45% above 55%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC CULTURE THROAT $104.40 $232.00 $46.40–$208.80 — 55%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC CULTURE MRSA SURVELLIANCE $149.40 $332.00 $66.40–$298.80 — 55%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC CULTURE PHARMACY COMPOUNDING $165.15 $367.00 $73.40–$330.30 — 55%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC CULTURE CATHETER TIP $175.50 $390.00 $78.00–$351.00 — 55%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC CULTURE OTIC $175.50 $390.00 $78.00–$351.00 — 55%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC CULTURE CYSTIC FIBROSIS $175.50 $390.00 $78.00–$351.00 — 55%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC CULTURE ENVIORNMENTAL $175.50 $390.00 $78.00–$351.00 — 55%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC CULTURE,INVASIVE LOWER RESP $175.50 $390.00 $78.00–$351.00 — 55%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC CULTURE ENVIRONMENTAL $175.50 $390.00 $78.00–$351.00 — 55%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC CULTURE TRACHEAL ASPIRATE $175.50 $390.00 $78.00–$351.00 — 55%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC CULTURE G.C. $175.50 $390.00 $78.00–$351.00 — 55%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC CULTURE BODY FLUID $175.50 $390.00 $78.00–$351.00 — 55%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC CULTURE SURGICAL WOUND $175.50 $390.00 $78.00–$351.00 — 55%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC CULTURE MISCELLANEOUS $175.50 $390.00 $78.00–$351.00 — 55%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC CULTURE CSF $175.50 $390.00 $78.00–$351.00 — 55%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC CULTURE SPUTUM $175.50 $390.00 $78.00–$351.00 — 55%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC CULTURE UROGENITAL $175.50 $390.00 $78.00–$351.00 — 55%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC CULTURE BORDATELLA PERTUSS $175.50 $390.00 $78.00–$351.00 — 55%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC CULTURE GASTRIC ASPIRATE $175.50 $390.00 $78.00–$351.00 — 55%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC CULTURE LEGIONELLA $175.50 $390.00 $78.00–$351.00 — 55%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC CULTURE GROUP B STREP $175.50 $390.00 $78.00–$351.00 — 55%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC CULTURE WOUND $175.50 $390.00 $78.00–$351.00 — 55%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC CULTURE BRONCHIAL WASH/BRUSH $175.50 $390.00 $78.00–$351.00 — 55%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC CULTURE TISSUE $175.50 $390.00 $78.00–$351.00 — 55%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC CULTURE RESPIRATORY $175.50 $390.00 $78.00–$351.00 — 55%
Basic metabolic panel (blood test) CPT 80048 HC BASIC METABOLIC PANEL $202.50 $450.00 $6.85–$405.00 3% above 55%
Basic metabolic panel (blood test) inpatient CPT 80048 HC BASIC METABOLIC PANEL $202.50 $450.00 $90.00–$405.00 — 55%
Bilirubin blood test, total CPT 82247 HC BILIRUBIN TOTAL INDIVIDUAL $22.50 $50.00 $4.07–$50.59 50% below 55%
Bilirubin blood test, total CPT 82247 HC BILIRUBIN TOTAL $42.30 $94.00 $4.07–$84.60 6% below 55%
Bilirubin blood test, total inpatient CPT 82247 HC BILIRUBIN TOTAL INDIVIDUAL $22.50 $50.00 $10.00–$45.00 — 55%
Bilirubin blood test, total inpatient CPT 82247 HC BILIRUBIN TOTAL $42.30 $94.00 $18.80–$84.60 — 55%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC LEVEL IV PG $64.35 $143.00 $28.60–$442.26 50% below 55%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC LEVEL IV-GROSS & MICRO EXAM $420.30 $934.00 $41.11–$840.60 223% above 55%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HC LEVEL IV PG $64.35 $143.00 $28.60–$128.70 — 55%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HC LEVEL IV-GROSS & MICRO EXAM $420.30 $934.00 $186.80–$840.60 — 55%
Blood culture for bacteria CPT 87040 HC CULTURE BLOOD $175.50 $390.00 $8.36–$351.00 36% below 55%
Blood culture for bacteria inpatient CPT 87040 HC CULTURE BLOOD $175.50 $390.00 $78.00–$351.00 — 55%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 HC VENIPUNCTURE W/SPECIMEN $24.30 $54.00 $2.43–$48.60 16% above 55%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 HC VENIPUNCTURE W SPECIMEN $24.30 $54.00 $2.43–$48.60 16% above 55%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 HC SBBB PHLEBOTOMY $200.00 $200.00 $2.43–$180.00 851% above —
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 HC VENIPUNCTURE W/SPECIMEN $24.30 $54.00 $10.80–$48.60 — 55%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 HC VENIPUNCTURE W SPECIMEN $24.30 $54.00 $10.80–$48.60 — 55%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 HC SBBB PHLEBOTOMY $200.00 $200.00 $40.00–$180.00 — —
Blood glucose (sugar) test CPT 82947 HC GLUCOSE RANDOM $44.10 $98.00 $3.19–$88.20 18% above 55%
Blood glucose (sugar) test CPT 82947 HC GLUCOSE FASTING $44.10 $98.00 $3.19–$88.20 18% above 55%
Blood glucose (sugar) test CPT 82947 HC GLUCOSE $44.10 $98.00 $3.19–$88.20 18% above 55%
Blood glucose (sugar) test CPT 82947 HC GLUCOSE FAST RANDOM $48.60 $108.00 $3.19–$97.20 30% above 55%
Blood glucose (sugar) test inpatient CPT 82947 HC GLUCOSE FASTING $44.10 $98.00 $19.60–$88.20 — 55%
Blood glucose (sugar) test inpatient CPT 82947 HC GLUCOSE RANDOM $44.10 $98.00 $19.60–$88.20 — 55%
Blood glucose (sugar) test inpatient CPT 82947 HC GLUCOSE $44.10 $98.00 $19.60–$88.20 — 55%
Blood glucose (sugar) test inpatient CPT 82947 HC GLUCOSE FAST RANDOM $48.60 $108.00 $21.60–$97.20 — 55%
Blood lead test CPT 83655 HC SOM HMUCR LEAD/CREAT, RAND, U $7.72 $7.72 $1.54–$122.43 25% below —
Blood lead test CPT 83655 HC SOM LEAD BLOOD $9.10 $9.10 $1.82–$122.43 11% below —
Blood lead test CPT 83655 HC LAB REF HEAVY METALS UR LEAD $22.50 $50.00 $9.81–$122.43 120% above 55%
Blood lead test CPT 83655 HC SOM LEAD URINE $29.96 $29.96 $5.99–$122.43 192% above —
Blood lead test inpatient CPT 83655 HC SOM HMUCR LEAD/CREAT, RAND, U $7.72 $7.72 $1.54–$6.95 — —
Blood lead test inpatient CPT 83655 HC SOM LEAD BLOOD $9.10 $9.10 $1.82–$8.19 — —
Blood lead test inpatient CPT 83655 HC LAB REF HEAVY METALS UR LEAD $22.50 $50.00 $10.00–$45.00 — 55%
Blood lead test inpatient CPT 83655 HC SOM LEAD URINE $29.96 $29.96 $5.99–$26.96 — —
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HC BETA HCG, QUAL $84.60 $188.00 $6.09–$169.20 47% below 55%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HC BETA HCG POC $84.60 $188.00 $6.09–$169.20 47% below 55%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HC BETA HCG, QUAL $84.60 $188.00 $37.60–$169.20 — 55%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HC BETA HCG POC $84.60 $188.00 $37.60–$169.20 — 55%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HC SBBB ABO $29.00 $29.00 $2.99–$676.00 72% below —
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HC ABO BLOOD GROUP $113.85 $253.00 $2.42–$227.70 11% above 55%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HC ABO UNIT CONFIRMATION $113.85 $253.00 $2.99–$676.00 11% above 55%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HC SBBB ABO DISCREP ADD'L TEST $172.00 $172.00 $2.42–$154.80 67% above —
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HC SBBB ABO $29.00 $29.00 $5.80–$26.10 — —
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HC ABO BLOOD GROUP $113.85 $253.00 $50.60–$227.70 — 55%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HC ABO UNIT CONFIRMATION $113.85 $253.00 $50.60–$227.70 — 55%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HC SBBB ABO DISCREP ADD'L TEST $172.00 $172.00 $34.40–$154.80 — —
Blood urea nitrogen (BUN) test CPT 84520 HC BUN BODY FLUID $18.90 $42.00 $3.20–$39.90 43% below 55%
Blood urea nitrogen (BUN) test CPT 84520 HC BUN INDIVIDUAL $22.50 $50.00 $3.20–$45.00 32% below 55%
Blood urea nitrogen (BUN) test CPT 84520 HC BUN $44.10 $98.00 $3.20–$88.20 33% above 55%
Blood urea nitrogen (BUN) test inpatient CPT 84520 HC BUN BODY FLUID $18.90 $42.00 $8.40–$37.80 — 55%
Blood urea nitrogen (BUN) test inpatient CPT 84520 HC BUN INDIVIDUAL $22.50 $50.00 $10.00–$45.00 — 55%
Blood urea nitrogen (BUN) test inpatient CPT 84520 HC BUN $44.10 $98.00 $19.60–$88.20 — 55%
C-peptide blood test CPT 84681 HC SOM C-PEPTIDE $10.00 $10.00 $2.00–$171.52 84% below —
C-peptide blood test inpatient CPT 84681 HC SOM C-PEPTIDE $10.00 $10.00 $2.00–$9.00 — —
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 HC C-REACTIVE PROTEIN $45.00 $100.00 $4.19–$90.00 17% below 55%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 HC C-REACTIVE PROTEIN $45.00 $100.00 $20.00–$90.00 — 55%
C. difficile toxin gene test (stool PCR) CPT 87493 HC CDIFF NUCLEIC ACID TEST $87.30 $194.00 $30.19–$435.37 43% below 55%
C. difficile toxin gene test (stool PCR) CPT 87493 HC SOM C DIFF PCR STOOL $96.00 $96.00 $19.20–$435.37 37% below —
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 HC CDIFF NUCLEIC ACID TEST $87.30 $194.00 $38.80–$174.60 — 55%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 HC SOM C DIFF PCR STOOL $96.00 $96.00 $19.20–$86.40 — —
CA 19-9 blood test (tumor marker) CPT 86301 HC SOM 199PC 86301 $29.81 $29.81 $5.96–$210.33 40% below —
CA 19-9 blood test (tumor marker) CPT 86301 HC IMMUNOASSAY QUAN CA 19-9 $148.95 $331.00 $16.86–$297.90 198% above 55%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 HC SOM 199PC 86301 $29.81 $29.81 $5.96–$26.83 — —
CA 19-9 blood test (tumor marker) inpatient CPT 86301 HC IMMUNOASSAY QUAN CA 19-9 $148.95 $331.00 $66.20–$297.90 — 55%
CA-125 blood test (ovarian cancer marker) CPT 86304 HC IMMUNOASSAY QUAN CA 125 $148.95 $331.00 $16.86–$297.90 8% above 55%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 HC IMMUNOASSAY QUAN CA 125 $148.95 $331.00 $66.20–$297.90 — 55%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HC SOQ SARS-COV-2 $31.05 $69.00 $13.80–$364.89 67% below 55%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HC LIAT COVID-19 RNA $63.90 $142.00 $28.40–$364.89 32% below 55%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HB COVID-19 RNA $68.40 $152.00 $30.40–$364.89 28% below 55%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HC SARS-COV2-2 RNA POC $80.10 $178.00 $35.60–$364.89 15% below 55%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HC SARS-COV-2 BY AUTOMATED PCR $159.30 $354.00 $41.56–$364.89 68% above 55%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HC COVID19 RNA STAT $166.50 $370.00 $41.56–$364.89 76% above 55%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HC COVID19 SCREEN POOL $173.70 $386.00 $41.56–$364.89 84% above 55%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 HC SOQ SARS-COV-2 $31.05 $69.00 $13.80–$62.10 — 55%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 HC LIAT COVID-19 RNA $63.90 $142.00 $28.40–$127.80 — 55%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 HB COVID-19 RNA $68.40 $152.00 $30.40–$136.80 — 55%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 HC SARS-COV2-2 RNA POC $80.10 $178.00 $35.60–$160.20 — 55%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 HC SARS-COV-2 BY AUTOMATED PCR $159.30 $354.00 $70.80–$318.60 — 55%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 HC COVID19 RNA STAT $166.50 $370.00 $74.00–$333.00 — 55%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 HC COVID19 SCREEN POOL $173.70 $386.00 $77.20–$347.40 — 55%
Calcium blood test, total CPT 82310 HC CALCIUM TOTAL INDIVIDUAL $22.50 $50.00 $4.18–$52.02 64% below 55%
Calcium blood test, total CPT 82310 HC CALCIUM TOTAL $44.10 $98.00 $4.18–$88.20 29% below 55%
Calcium blood test, total inpatient CPT 82310 HC CALCIUM TOTAL INDIVIDUAL $22.50 $50.00 $10.00–$45.00 — 55%
Calcium blood test, total inpatient CPT 82310 HC CALCIUM TOTAL $44.10 $98.00 $19.60–$88.20 — 55%
Carcinoembryonic antigen (CEA) test CPT 82378 HC SOM CEA PANCREATIC CYST $55.00 $55.00 $11.00–$191.54 34% below —
Carcinoembryonic antigen (CEA) test CPT 82378 HC SOM CEA PLEURAL FLUID $60.00 $60.00 $12.00–$191.54 28% below —
Carcinoembryonic antigen (CEA) test CPT 82378 HC SOM CEA PERITONEAL FLUID $60.12 $60.12 $12.02–$191.54 28% below —
Carcinoembryonic antigen (CEA) test CPT 82378 HC CARCINOEMBRYONIC ANTIGEN (CEA) $180.00 $400.00 $15.35–$360.00 115% above 55%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 HC SOM CEA PANCREATIC CYST $55.00 $55.00 $11.00–$49.50 — —
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 HC SOM CEA PLEURAL FLUID $60.00 $60.00 $12.00–$54.00 — —
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 HC SOM CEA PERITONEAL FLUID $60.12 $60.12 $12.02–$54.11 — —
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 HC CARCINOEMBRYONIC ANTIGEN (CEA) $180.00 $400.00 $80.00–$360.00 — 55%
Chickenpox (varicella) immunity blood test CPT 86787 HC VZVIGG $6.75 $15.00 $3.00–$130.32 80% below 55%
Chickenpox (varicella) immunity blood test CPT 86787 HC SOM VARICELLA ZOSTER ANTIBODY $14.17 $14.17 $2.83–$130.32 58% below —
Chickenpox (varicella) immunity blood test CPT 86787 HC SOM MMRV 86787 $29.73 $29.73 $5.95–$130.32 13% below —
Chickenpox (varicella) immunity blood test CPT 86787 HC LAB REF VZV AB IMMUNITY SCREEN $39.15 $87.00 $10.43–$130.32 15% above 55%
Chickenpox (varicella) immunity blood test CPT 86787 HC VARICELLA ZOSTER ANTIBODY $63.90 $142.00 $10.43–$130.32 88% above 55%
Chickenpox (varicella) immunity blood test CPT 86787 HC VZV AB $92.70 $206.00 $10.43–$185.40 173% above 55%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 HC VZVIGG $6.75 $15.00 $3.00–$13.50 — 55%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 HC SOM VARICELLA ZOSTER ANTIBODY $14.17 $14.17 $2.83–$12.75 — —
Chickenpox (varicella) immunity blood test inpatient CPT 86787 HC SOM MMRV 86787 $29.73 $29.73 $5.95–$26.76 — —
Chickenpox (varicella) immunity blood test inpatient CPT 86787 HC LAB REF VZV AB IMMUNITY SCREEN $39.15 $87.00 $17.40–$78.30 — 55%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 HC VARICELLA ZOSTER ANTIBODY $63.90 $142.00 $28.40–$127.80 — 55%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 HC VZV AB $92.70 $206.00 $41.20–$185.40 — 55%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC CHLAMYDIA AMPLIFICATION $156.60 $348.00 $28.42–$343.45 187% above 55%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HC CHLAMYDIA AMPLIFICATION $156.60 $348.00 $69.60–$313.20 — 55%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LAB REF LIPID PANEL, CARDIAC $9.90 $22.00 $4.40–$135.43 90% below 55%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LIPID PANEL MC $19.80 $44.00 $8.80–$135.43 80% below 55%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC LIPID PANEL MC $19.80 $44.00 $8.80–$39.60 — 55%
Complete blood count (CBC) with differential CPT 85025 HC CBC W WBC AUTO DIFFERENTIAL INDIV $65.25 $145.00 $6.29–$130.50 41% below 55%
Complete blood count (CBC) with differential CPT 85025 HC CBC W WBC AUTO DIFF $67.50 $150.00 $6.29–$135.00 39% below 55%
Complete blood count (CBC) with differential inpatient CPT 85025 HC CBC W WBC AUTO DIFFERENTIAL INDIV $65.25 $145.00 $29.00–$130.50 — 55%
Complete blood count (CBC) with differential inpatient CPT 85025 HC CBC W WBC AUTO DIFF $67.50 $150.00 $30.00–$135.00 — 55%
Complete blood count (CBC), no differential CPT 85027 HC CBC W DIFFERENTIAL $42.30 $94.00 $5.24–$84.60 52% below 55%
Complete blood count (CBC), no differential CPT 85027 HC CBC W WO DIFFERENTIAL INDIVIDUAL $42.30 $94.00 $5.24–$84.60 52% below 55%
Complete blood count (CBC), no differential CPT 85027 HC CBC WO DIFFERENTIAL $46.80 $104.00 $5.24–$93.60 47% below 55%
Complete blood count (CBC), no differential CPT 85027 HC CBC WITHOUT DIFFERENTIAL $46.80 $104.00 $5.24–$93.60 47% below 55%
Complete blood count (CBC), no differential inpatient CPT 85027 HC CBC W DIFFERENTIAL $42.30 $94.00 $18.80–$84.60 — 55%
Complete blood count (CBC), no differential inpatient CPT 85027 HC CBC W WO DIFFERENTIAL INDIVIDUAL $42.30 $94.00 $18.80–$84.60 — 55%
Complete blood count (CBC), no differential inpatient CPT 85027 HC CBC WITHOUT DIFFERENTIAL $46.80 $104.00 $20.80–$93.60 — 55%
Complete blood count (CBC), no differential inpatient CPT 85027 HC CBC WO DIFFERENTIAL $46.80 $104.00 $20.80–$93.60 — 55%
Comprehensive metabolic panel (blood test) CPT 80053 HC COMPREHENSIVE METABOLIC PANEL $357.75 $795.00 $8.55–$715.50 40% above 55%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 HC COMPREHENSIVE METABOLIC PANEL $357.75 $795.00 $159.00–$715.50 — 55%
Cortisol blood test, total CPT 82533 HC SOM CAH CORTISOL $42.84 $42.84 $8.57–$165.05 55% below —
Cortisol blood test, total CPT 82533 HC CORTISOL $133.20 $296.00 $13.20–$266.40 39% above 55%
Cortisol blood test, total inpatient CPT 82533 HC SOM CAH CORTISOL $42.84 $42.84 $8.57–$38.56 — —
Cortisol blood test, total inpatient CPT 82533 HC CORTISOL $133.20 $296.00 $59.20–$266.40 — 55%
Creatine kinase (CK) blood test, total CPT 82550 HC CREATINE KINASE $68.85 $153.00 $5.27–$137.70 21% below 55%
Creatine kinase (CK) blood test, total inpatient CPT 82550 HC CREATINE KINASE $68.85 $153.00 $30.60–$137.70 — 55%
Creatinine blood test CPT 82565 HC CREATININE $44.10 $98.00 $4.15–$88.20 5% below 55%
Creatinine blood test CPT 82565 HC CREATININE INDIVIDUAL $44.10 $98.00 $4.15–$88.20 5% below 55%
Creatinine blood test inpatient CPT 82565 HC CREATININE INDIVIDUAL $44.10 $98.00 $19.60–$88.20 — 55%
Creatinine blood test inpatient CPT 82565 HC CREATININE $44.10 $98.00 $19.60–$88.20 — 55%
Cytomegalovirus (CMV) antibody test CPT 86644 HC CMVABG $8.10 $18.00 $3.60–$145.10 71% below 55%
Cytomegalovirus (CMV) antibody test CPT 86644 HC SBBB ANTI-CMV $42.00 $42.00 $8.40–$676.00 53% above —
Cytomegalovirus (CMV) antibody test CPT 86644 HC CMV ANTIBODY IGG $60.30 $134.00 $11.65–$145.10 119% above 55%
Cytomegalovirus (CMV) antibody test CPT 86644 HC CMV AB IGG $122.85 $273.00 $11.65–$245.70 346% above 55%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 HC CMVABG $8.10 $18.00 $3.60–$16.20 — 55%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 HC SBBB ANTI-CMV $42.00 $42.00 $8.40–$37.80 — —
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 HC CMV ANTIBODY IGG $60.30 $134.00 $26.80–$120.60 — 55%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 HC CMV AB IGG $122.85 $273.00 $54.60–$245.70 — 55%
D-dimer blood test (blood clot marker) CPT 85379 HC D-DIMER $27.00 $60.00 $8.24–$102.88 81% below 55%
D-dimer blood test (blood clot marker) CPT 85379 HC D DIMER $110.25 $245.00 $8.24–$220.50 23% below 55%
D-dimer blood test (blood clot marker) inpatient CPT 85379 HC D-DIMER $27.00 $60.00 $12.00–$54.00 — 55%
D-dimer blood test (blood clot marker) inpatient CPT 85379 HC D DIMER $110.25 $245.00 $49.00–$220.50 — 55%
DHEA sulfate (DHEA-S) blood test CPT 82627 HC DHEA-S $54.45 $121.00 $18.01–$224.83 46% below 55%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 HC DHEA-S $54.45 $121.00 $24.20–$108.90 — 55%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC SOM CONTROLLED SUB MON 2 $20.25 $20.25 $4.05–$623.23 67% below —
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC SOM DRUG SCRN MECONIUM AMPHETAMINE $50.00 $50.00 $10.00–$623.23 19% below —
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC SOM ETHCHLORVINYL (PLACIDYL) $55.00 $55.00 $11.00–$623.23 11% below —
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC SOM DRUG SCREEN PRESCRIPTION/OTC U $63.30 $63.30 $12.66–$623.23 2% above —
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC SOMTOX 20323 DRUG SCRN 11 $69.76 $155.03 $31.01–$623.23 13% above 55%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG SCREEN AMPHETAMINES $125.10 $278.00 $50.34–$623.23 102% above 55%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG SCREEN BARBITUATES $125.10 $278.00 $50.34–$623.23 102% above 55%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG SCREEN OPIATES $125.10 $278.00 $50.34–$623.23 102% above 55%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG SCREEN BENZODIAZPINES $125.10 $278.00 $50.34–$623.23 102% above 55%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG SCREEN PHENCYCLIDINE $125.10 $278.00 $50.34–$623.23 102% above 55%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG SCREEN COCAINE $125.10 $278.00 $50.34–$623.23 102% above 55%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG SCREEN CANNABINOIDS $125.10 $278.00 $50.34–$623.23 102% above 55%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUGS OF ABUSE SCREEN,URINE(5) $139.50 $310.00 $50.34–$623.23 125% above 55%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC SOM CONF HC DRUG ABUSE SUR 12, U $150.00 $150.00 $30.00–$623.23 142% above —
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC SALICYLATES $228.60 $508.00 $50.34–$623.23 269% above 55%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC WEAK ACIDIC DRUG CONF & ID $280.80 $624.00 $50.34–$623.23 353% above 55%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC LOW MIGRAT STAGE IV CONF & ID $280.80 $624.00 $50.34–$623.23 353% above 55%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUGS ABUSE SCREEN,URINE(7)COC $506.70 $1,126.00 $50.34–$1,013.40 717% above 55%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUGS OF ABUSE SCREEN,URINE(7) $506.70 $1,126.00 $50.34–$1,013.40 717% above 55%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG SCREEN, PRE-EMPLOYMENT $506.70 $1,126.00 $50.34–$1,013.40 717% above 55%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC SOM CONTROLLED SUB MON 2 $20.25 $20.25 $4.05–$18.23 — —
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC SOM DRUG SCRN MECONIUM AMPHETAMINE $50.00 $50.00 $10.00–$45.00 — —
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC SOM ETHCHLORVINYL (PLACIDYL) $55.00 $55.00 $11.00–$49.50 — —
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC SOM DRUG SCREEN PRESCRIPTION/OTC U $63.30 $63.30 $12.66–$56.97 — —
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC SOMTOX 20323 DRUG SCRN 11 $69.76 $155.03 $31.01–$139.53 — 55%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG SCREEN BARBITUATES $125.10 $278.00 $55.60–$250.20 — 55%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG SCREEN AMPHETAMINES $125.10 $278.00 $55.60–$250.20 — 55%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG SCREEN OPIATES $125.10 $278.00 $55.60–$250.20 — 55%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG SCREEN PHENCYCLIDINE $125.10 $278.00 $55.60–$250.20 — 55%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG SCREEN CANNABINOIDS $125.10 $278.00 $55.60–$250.20 — 55%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG SCREEN BENZODIAZPINES $125.10 $278.00 $55.60–$250.20 — 55%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG SCREEN COCAINE $125.10 $278.00 $55.60–$250.20 — 55%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUGS OF ABUSE SCREEN,URINE(5) $139.50 $310.00 $62.00–$279.00 — 55%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC SOM CONF HC DRUG ABUSE SUR 12, U $150.00 $150.00 $30.00–$135.00 — —
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC SALICYLATES $228.60 $508.00 $101.60–$457.20 — 55%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC LOW MIGRAT STAGE IV CONF & ID $280.80 $624.00 $124.80–$561.60 — 55%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC WEAK ACIDIC DRUG CONF & ID $280.80 $624.00 $124.80–$561.60 — 55%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUGS ABUSE SCREEN,URINE(7)COC $506.70 $1,126.00 $225.20–$1,013.40 — 55%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUGS OF ABUSE SCREEN,URINE(7) $506.70 $1,126.00 $225.20–$1,013.40 — 55%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG SCREEN, PRE-EMPLOYMENT $506.70 $1,126.00 $225.20–$1,013.40 — 55%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 HC ELECTROLYTE PANEL $103.50 $230.00 $5.68–$207.00 23% above 55%
Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 HC ELECTROLYTE PANEL $103.50 $230.00 $46.00–$207.00 — 55%
Epstein-Barr virus (EBV) antibody test CPT 86665 HC SOM SEBV IGG $8.79 $8.79 $1.76–$163.08 67% below —
Epstein-Barr virus (EBV) antibody test CPT 86665 HC SOM SEBV IGM $8.79 $8.79 $1.76–$163.08 67% below —
Epstein-Barr virus (EBV) antibody test CPT 86665 HC EPSTEIN BARR VIRAL CAPSID IGM $60.30 $134.00 $14.70–$163.08 128% above 55%
Epstein-Barr virus (EBV) antibody test CPT 86665 HC EPSTEIN BARR VIRAL CAPSID IGG $60.30 $134.00 $14.70–$163.08 128% above 55%
Epstein-Barr virus (EBV) antibody test CPT 86665 HC EBV-VCA IGG/IGM $121.50 $270.00 $14.70–$243.00 359% above 55%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 HC SOM SEBV IGM $8.79 $8.79 $1.76–$7.91 — —
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 HC SOM SEBV IGG $8.79 $8.79 $1.76–$7.91 — —
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 HC EPSTEIN BARR VIRAL CAPSID IGG $60.30 $134.00 $26.80–$120.60 — 55%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 HC EPSTEIN BARR VIRAL CAPSID IGM $60.30 $134.00 $26.80–$120.60 — 55%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 HC EBV-VCA IGG/IGM $121.50 $270.00 $54.00–$243.00 — 55%
Estradiol blood test CPT 82670 HC ESTRADIOL $113.40 $252.00 $22.64–$282.64 29% above 55%
Estradiol blood test inpatient CPT 82670 HC ESTRADIOL $113.40 $252.00 $50.40–$226.80 — 55%
FSH (follicle-stimulating hormone) test CPT 83001 HC FSH $121.50 $270.00 $15.05–$243.00 19% above 55%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 HC FSH $121.50 $270.00 $54.00–$243.00 — 55%
Fecal calprotectin (stool inflammation test) CPT 83993 HC SOM CALPROTECTIN $60.00 $60.00 $12.00–$198.48 18% below —
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 HC SOM CALPROTECTIN $60.00 $60.00 $12.00–$54.00 — —
Ferritin blood test (iron stores) CPT 82728 HC FERRITIN $121.50 $270.00 $11.04–$243.00 14% above 55%
Ferritin blood test (iron stores) inpatient CPT 82728 HC FERRITIN $121.50 $270.00 $54.00–$243.00 — 55%
Fibrinogen blood test CPT 85384 HC FIBRINOGEN ASSAY $134.55 $299.00 $7.88–$269.10 1% above 55%
Fibrinogen blood test inpatient CPT 85384 HC FIBRINOGEN ASSAY $134.55 $299.00 $59.80–$269.10 — 55%
Folate (folic acid) blood test CPT 82746 HC FOLIC ACID (SERUM) $121.50 $270.00 $11.91–$243.00 11% above 55%
Folate (folic acid) blood test inpatient CPT 82746 HC FOLIC ACID (SERUM) $121.50 $270.00 $54.00–$243.00 — 55%
Free T3 thyroid hormone test CPT 84481 HC TRIIODOTHYRONINE, FREE $137.25 $305.00 $13.72–$274.50 69% above 55%
Free T3 thyroid hormone test inpatient CPT 84481 HC TRIIODOTHYRONINE, FREE $137.25 $305.00 $61.00–$274.50 — 55%
Free T4 (free thyroxine) thyroid blood test CPT 84439 HC SOM THYROXINE (T4), FREE $29.39 $29.39 $5.88–$91.17 57% below —
Free T4 (free thyroxine) thyroid blood test CPT 84439 HC FREE T4 BY EIA $121.50 $270.00 $7.31–$243.00 78% above 55%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 HC SOM THYROXINE (T4), FREE $29.39 $29.39 $5.88–$26.45 — —
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 HC FREE T4 BY EIA $121.50 $270.00 $54.00–$243.00 — 55%
Free testosterone test CPT 84402 HC SOM TESTOSTERONE FREE $8.94 $8.94 $1.79–$263.03 67% below —
Free testosterone test CPT 84402 HC SOM TTFB 84402A $81.10 $81.10 $16.22–$263.03 196% above —
Free testosterone test CPT 84402 HC SOM TTFB 84402B $81.10 $81.10 $16.22–$263.03 196% above —
Free testosterone test inpatient CPT 84402 HC SOM TESTOSTERONE FREE $8.94 $8.94 $1.79–$8.05 — —
Free testosterone test inpatient CPT 84402 HC SOM TTFB 84402A $81.10 $81.10 $16.22–$72.99 — —
Free testosterone test inpatient CPT 84402 HC SOM TTFB 84402B $81.10 $81.10 $16.22–$72.99 — —
Gamma-glutamyl transferase (GGT) blood test CPT 82977 HC GAMMA GLUTAMYL TRANSFERASE $121.50 $270.00 $5.83–$243.00 167% above 55%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 HC GAMMA GLUTAMYL TRANSFERASE $121.50 $270.00 $54.00–$243.00 — 55%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 HC GLUCOSE LOADING 1 HR $47.25 $105.00 $3.85–$94.50 9% below 55%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 HC GLUCOSE LOADING 1 HR $47.25 $105.00 $21.00–$94.50 — 55%
Glucose tolerance test, 3 samples CPT 82951 HC GLUCOSE TOLERANCE TEST 2 HR $101.70 $226.00 $10.42–$203.40 26% below 55%
Glucose tolerance test, 3 samples CPT 82951 HC GLUCOSE TOLERANCE TEST 3 HR $101.70 $226.00 $10.42–$203.40 26% below 55%
Glucose tolerance test, 3 samples CPT 82951 HC LACTOSE TOLERANCE $101.70 $226.00 $10.42–$203.40 26% below 55%
Glucose tolerance test, 3 samples inpatient CPT 82951 HC GLUCOSE TOLERANCE TEST 3 HR $101.70 $226.00 $45.20–$203.40 — 55%
Glucose tolerance test, 3 samples inpatient CPT 82951 HC LACTOSE TOLERANCE $101.70 $226.00 $45.20–$203.40 — 55%
Glucose tolerance test, 3 samples inpatient CPT 82951 HC GLUCOSE TOLERANCE TEST 2 HR $101.70 $226.00 $45.20–$203.40 — 55%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC SOM N.GONORRHOEAE AMP DNA FEMALE U $26.27 $26.27 $5.25–$343.45 56% below —
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC N GONNORHOEAE AMPLIFICATION $211.50 $470.00 $28.42–$423.00 254% above 55%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HC SOM N.GONORRHOEAE AMP DNA FEMALE U $26.27 $26.27 $5.25–$23.64 — —
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HC N GONNORHOEAE AMPLIFICATION $211.50 $470.00 $94.00–$423.00 — 55%
H. pylori antibody blood test CPT 86677 HC H. PYLORI AB, IGG $121.50 $270.00 $13.65–$243.00 7% above 55%
H. pylori antibody blood test inpatient CPT 86677 HC H. PYLORI AB, IGG $121.50 $270.00 $54.00–$243.00 — 55%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HC SOM HIV DNA (PCR) $65.00 $65.00 $13.00–$624.55 36% below —
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HC SOM HIV-1 RNA QUANT WITH REFLEX $65.00 $65.00 $13.00–$624.55 36% below —
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HC SOM HIV-1 RNA QUANT WITH REFLEX $65.00 $65.00 $13.00–$58.50 — —
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HC SOM HIV DNA (PCR) $65.00 $65.00 $13.00–$58.50 — —
HIV-1 and HIV-2 antibody test CPT 86703 HC SOM HIVE 86703 $114.45 $114.45 $11.11–$142.92 95% above —
HIV-1 and HIV-2 antibody test CPT 86703 HC HIV 1 2 AB CONFIRMATION $114.75 $255.00 $11.11–$229.50 95% above 55%
HIV-1 and HIV-2 antibody test CPT 86703 HC HIV RAPID TESTING $121.50 $270.00 $11.11–$243.00 107% above 55%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 HC SOM HIVE 86703 $114.45 $114.45 $22.89–$103.00 — —
HIV-1 and HIV-2 antibody test inpatient CPT 86703 HC HIV 1 2 AB CONFIRMATION $114.75 $255.00 $51.00–$229.50 — 55%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 HC HIV RAPID TESTING $121.50 $270.00 $54.00–$243.00 — 55%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HC HIV ANTIGEN, ANTIBODY $25.65 $57.00 $11.40–$198.82 71% below 55%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HC HIV-1,2 AG AB SCREEN $50.85 $113.00 $19.50–$198.82 42% below 55%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HC HIV ANTIGEN, ANTIBODY $25.65 $57.00 $11.40–$51.30 — 55%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HC HIV-1,2 AG AB SCREEN $50.85 $113.00 $22.60–$101.70 — 55%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HC SOM HPV $45.00 $45.00 $9.00–$266.23 67% below —
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HC SOM HPV $45.00 $45.00 $9.00–$40.50 — —
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HC CAPILLARY HA1C $36.00 $80.00 $7.87–$98.19 45% below 55%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HC HEMOGLOBIN A1C (POC) $105.75 $235.00 $7.87–$211.50 62% above 55%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HC HEMOGLOBIN A1C $105.75 $235.00 $7.87–$211.50 62% above 55%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HC CAPILLARY HA1C $36.00 $80.00 $16.00–$72.00 — 55%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HC HEMOGLOBIN A1C (POC) $105.75 $235.00 $47.00–$211.50 — 55%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HC HEMOGLOBIN A1C $105.75 $235.00 $47.00–$211.50 — 55%
Hemoglobin blood test CPT 85018 HC TOTAL HEMOGLOBIN $8.55 $19.00 $1.92–$23.90 79% below 55%
Hemoglobin blood test CPT 85018 HC HEMOGLOBIN (POC) $42.75 $95.00 $1.92–$85.50 6% above 55%
Hemoglobin blood test inpatient CPT 85018 HC TOTAL HEMOGLOBIN $8.55 $19.00 $3.80–$17.10 — 55%
Hemoglobin blood test inpatient CPT 85018 HC HEMOGLOBIN (POC) $42.75 $95.00 $19.00–$85.50 — 55%
Hepatitis B core antibody test (total) CPT 86704 HC HEPATITIS B CORE AB $35.10 $78.00 $9.77–$118.00 at median 55%
Hepatitis B core antibody test (total) CPT 86704 HC LAB REF HEPATITIS B CORE AB $76.95 $171.00 $9.77–$153.90 119% above 55%
Hepatitis B core antibody test (total) inpatient CPT 86704 HC HEPATITIS B CORE AB $35.10 $78.00 $15.60–$70.20 — 55%
Hepatitis B core antibody test (total) inpatient CPT 86704 HC LAB REF HEPATITIS B CORE AB $76.95 $171.00 $34.20–$153.90 — 55%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HC HEPATITIS B SURFACE ANTIBODY $100.35 $223.00 $8.70–$200.70 135% above 55%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HC HEPATITIS B SURFACE ANTIBODY $100.35 $223.00 $44.60–$200.70 — 55%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HC HEPATITIS B SURFACE AG $62.10 $138.00 $8.37–$124.20 13% below 55%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HC HEPATITIS B SURFACE AG INDIVIDUAL $62.10 $138.00 $8.37–$124.20 13% below 55%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HC HEPATITIS B SURFACE AG $62.10 $138.00 $27.60–$124.20 — 55%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HC HEPATITIS B SURFACE AG INDIVIDUAL $62.10 $138.00 $27.60–$124.20 — 55%
Hepatitis C antibody blood test (screening) CPT 86803 HC HEPATITIS C AB TOTAL INDIVIDUAL $143.55 $319.00 $11.56–$287.10 162% above 55%
Hepatitis C antibody blood test (screening) CPT 86803 HC HEPATITIS C AB TOTAL $143.55 $319.00 $11.56–$287.10 162% above 55%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HC HEPATITIS C AB TOTAL $143.55 $319.00 $63.80–$287.10 — 55%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HC HEPATITIS C AB TOTAL INDIVIDUAL $143.55 $319.00 $63.80–$287.10 — 55%
Hepatitis C viral load (HCV RNA) test CPT 87522 HC HCV RNA QUANT PCR TEST $72.00 $160.00 $32.00–$314.39 18% below 55%
Hepatitis C viral load (HCV RNA) test CPT 87522 HC HCV RNA QUANT $289.35 $643.00 $34.70–$578.70 229% above 55%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HC HCV RNA QUANT PCR TEST $72.00 $160.00 $32.00–$144.00 — 55%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HC HCV RNA QUANT $289.35 $643.00 $128.60–$578.70 — 55%
Herpes blood test, HSV-1 antibody CPT 86695 HC HSV1ABG $7.20 $16.00 $3.20–$133.39 63% below 55%
Herpes blood test, HSV-1 antibody CPT 86695 HC LAB REF HSV 1 IGG $7.20 $16.00 $3.20–$133.39 63% below 55%
Herpes blood test, HSV-1 antibody CPT 86695 HC SOM HSV TYPE 1 AB, IGG, S $11.75 $11.75 $2.35–$133.39 39% below —
Herpes blood test, HSV-1 antibody CPT 86695 HC SOM HSV 1 AB IGM IFA $30.97 $30.97 $6.19–$133.39 60% above —
Herpes blood test, HSV-1 antibody CPT 86695 HC HERPES SIMPLEX TYPE 1 $60.30 $134.00 $10.68–$133.39 211% above 55%
Herpes blood test, HSV-1 antibody CPT 86695 HC HSV 1 IGG $105.75 $235.00 $10.68–$211.50 446% above 55%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HC LAB REF HSV 1 IGG $7.20 $16.00 $3.20–$14.40 — 55%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HC HSV1ABG $7.20 $16.00 $3.20–$14.40 — 55%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HC SOM HSV TYPE 1 AB, IGG, S $11.75 $11.75 $2.35–$10.57 — —
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HC SOM HSV 1 AB IGM IFA $30.97 $30.97 $6.19–$27.87 — —
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HC HERPES SIMPLEX TYPE 1 $60.30 $134.00 $26.80–$120.60 — 55%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HC HSV 1 IGG $105.75 $235.00 $47.00–$211.50 — 55%
Herpes blood test, HSV-2 antibody CPT 86696 HC LAB REF HSV 2 IGG $7.20 $16.00 $3.20–$195.62 69% below 55%
Herpes blood test, HSV-2 antibody CPT 86696 HC HSV2ABG $10.80 $24.00 $4.80–$195.62 54% below 55%
Herpes blood test, HSV-2 antibody CPT 86696 HC SOM HSV TYPE 2 AB, IGG, S $17.25 $17.25 $3.45–$195.62 27% below —
Herpes blood test, HSV-2 antibody CPT 86696 HC SOM FHSII 86696 $37.37 $37.37 $7.47–$195.62 59% above —
Herpes blood test, HSV-2 antibody CPT 86696 HC SOM HSV 2 AB IGM IFA $45.45 $45.45 $9.09–$195.62 93% above —
Herpes blood test, HSV-2 antibody CPT 86696 HC HERPES SIMPLEX TYPE 2 $60.30 $134.00 $15.68–$195.62 157% above 55%
Herpes blood test, HSV-2 antibody CPT 86696 HC HSV 2 IGG $105.75 $235.00 $15.68–$211.50 350% above 55%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HC LAB REF HSV 2 IGG $7.20 $16.00 $3.20–$14.40 — 55%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HC HSV2ABG $10.80 $24.00 $4.80–$21.60 — 55%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HC SOM HSV TYPE 2 AB, IGG, S $17.25 $17.25 $3.45–$15.53 — —
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HC SOM FHSII 86696 $37.37 $37.37 $7.47–$33.63 — —
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HC SOM HSV 2 AB IGM IFA $45.45 $45.45 $9.09–$40.91 — —
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HC HERPES SIMPLEX TYPE 2 $60.30 $134.00 $26.80–$120.60 — 55%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HC HSV 2 IGG $105.75 $235.00 $47.00–$211.50 — 55%
High-sensitivity CRP (hs-CRP) test CPT 86141 HC C-REACTIVE PROTEIN HI SENSITIVITY $141.75 $315.00 $10.49–$283.50 132% above 55%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 HC C-REACTIVE PROTEIN HI SENSITIVITY $141.75 $315.00 $63.00–$283.50 — 55%
Homocysteine blood test CPT 83090 HC SOM HOMOCYSTEINE $17.92 $17.92 $3.58–$170.50 76% below —
Homocysteine blood test inpatient CPT 83090 HC SOM HOMOCYSTEINE $17.92 $17.92 $3.58–$16.13 — —
Insulin blood test CPT 83525 HC INSULIN $80.55 $179.00 $9.26–$161.10 109% above 55%
Insulin blood test inpatient CPT 83525 HC INSULIN $80.55 $179.00 $35.80–$161.10 — 55%
Iron blood test (serum iron) CPT 83540 HC SOM IRON LIVER TISSUE $9.28 $9.28 $1.86–$65.50 84% below —
Iron blood test (serum iron) CPT 83540 HC IRON TOTAL $64.80 $144.00 $5.24–$129.60 11% above 55%
Iron blood test (serum iron) inpatient CPT 83540 HC SOM IRON LIVER TISSUE $9.28 $9.28 $1.86–$8.35 — —
Iron blood test (serum iron) inpatient CPT 83540 HC IRON TOTAL $64.80 $144.00 $28.80–$129.60 — 55%
Iron-binding capacity (TIBC) test CPT 83550 HC IRON BINDING CAPACITY $80.55 $179.00 $7.08–$161.10 10% above 55%
Iron-binding capacity (TIBC) test inpatient CPT 83550 HC IRON BINDING CAPACITY $80.55 $179.00 $35.80–$161.10 — 55%
Kidney function blood test panel CPT 80069 HC RENAL FUNCTION PANEL $252.45 $561.00 $7.03–$504.90 77% above 55%
Kidney function blood test panel inpatient CPT 80069 HC RENAL FUNCTION PANEL $252.45 $561.00 $112.20–$504.90 — 55%
LH (luteinizing hormone) test CPT 83002 HC LUTEINIZING HORMON $135.90 $302.00 $15.00–$271.80 31% above 55%
LH (luteinizing hormone) test inpatient CPT 83002 HC LUTEINIZING HORMON $135.90 $302.00 $60.40–$271.80 — 55%
Lactate (lactic acid) blood test CPT 83605 HC LACTATE (CSF/POC) $138.60 $308.00 $9.37–$277.20 4% above 55%
Lactate (lactic acid) blood test inpatient CPT 83605 HC LACTATE (CSF/POC) $138.60 $308.00 $61.60–$277.20 — 55%
Lactate dehydrogenase (LDH) blood test CPT 83615 HC SOM LD ACTIVITY TOTAL $11.23 $11.23 $2.25–$60.87 69% below —
Lactate dehydrogenase (LDH) blood test CPT 83615 HC LACTATE DEHYDROGENASE BODY FL $25.20 $56.00 $4.90–$60.87 30% below 55%
Lactate dehydrogenase (LDH) blood test CPT 83615 HC LACTATE DEHYDROGENASE $68.40 $152.00 $4.90–$136.80 89% above 55%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 HC SOM LD ACTIVITY TOTAL $11.23 $11.23 $2.25–$10.11 — —
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 HC LACTATE DEHYDROGENASE BODY FL $25.20 $56.00 $11.20–$50.40 — 55%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 HC LACTATE DEHYDROGENASE $68.40 $152.00 $30.40–$136.80 — 55%
Lipase blood test (pancreas enzyme) CPT 83690 HC SOM LIPASE BF $25.00 $25.00 $5.00–$69.59 74% below —
Lipase blood test (pancreas enzyme) CPT 83690 HC LIPASE BODY FLUID $31.50 $70.00 $5.58–$69.59 67% below 55%
Lipase blood test (pancreas enzyme) CPT 83690 HC SOM LIPASE RANDOM URINE $67.10 $67.10 $5.58–$69.59 30% below —
Lipase blood test (pancreas enzyme) CPT 83690 HC LIPASE $99.00 $220.00 $5.58–$198.00 3% above 55%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 HC SOM LIPASE BF $25.00 $25.00 $5.00–$22.50 — —
Lipase blood test (pancreas enzyme) inpatient CPT 83690 HC LIPASE BODY FLUID $31.50 $70.00 $14.00–$63.00 — 55%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 HC SOM LIPASE RANDOM URINE $67.10 $67.10 $13.42–$60.39 — —
Lipase blood test (pancreas enzyme) inpatient CPT 83690 HC LIPASE $99.00 $220.00 $44.00–$198.00 — 55%
Liver function blood test panel CPT 80076 HC HEPATIC FUNCTION PANEL $181.35 $403.00 $6.62–$362.70 20% above 55%
Liver function blood test panel inpatient CPT 80076 HC HEPATIC FUNCTION PANEL $181.35 $403.00 $80.60–$362.70 — 55%
Lyme disease antibody test CPT 86618 HC SOM LYME DISEASE AB SERUM $16.30 $16.30 $3.26–$162.94 23% below —
Lyme disease antibody test inpatient CPT 86618 HC SOM LYME DISEASE AB SERUM $16.30 $16.30 $3.26–$14.67 — —
Magnesium blood test CPT 83735 HC SOM MAGNESIUM RANDOM UR $7.41 $7.41 $1.48–$67.34 88% below —
Magnesium blood test CPT 83735 HC SOM MAGNESIUM, URINE $25.03 $25.03 $5.01–$67.34 60% below —
Magnesium blood test CPT 83735 HC MAGNESIUM $68.40 $152.00 $5.43–$136.80 8% above 55%
Magnesium blood test inpatient CPT 83735 HC SOM MAGNESIUM RANDOM UR $7.41 $7.41 $1.48–$6.67 — —
Magnesium blood test inpatient CPT 83735 HC SOM MAGNESIUM, URINE $25.03 $25.03 $5.01–$22.53 — —
Magnesium blood test inpatient CPT 83735 HC MAGNESIUM $68.40 $152.00 $30.40–$136.80 — 55%
Measles (rubeola) antibody test CPT 86765 HC SOM MMRV 86765 $17.90 $17.90 $3.58–$130.32 43% below —
Measles (rubeola) antibody test CPT 86765 HC LAB REF MMR RUBEOLA IGG IFA $23.85 $53.00 $10.43–$130.32 24% below 55%
Measles (rubeola) antibody test CPT 86765 HC SOM MEASLES AB IGM CSF $24.15 $24.15 $4.83–$130.32 23% below —
Measles (rubeola) antibody test CPT 86765 HC SOM MEASLES AB CSF IGG $24.16 $24.16 $4.83–$130.32 23% below —
Measles (rubeola) antibody test CPT 86765 HC RUBEOLA ANTIBODY $51.30 $114.00 $10.43–$130.32 64% above 55%
Measles (rubeola) antibody test CPT 86765 HC MEASLES AB $94.50 $210.00 $10.43–$189.00 202% above 55%
Measles (rubeola) antibody test inpatient CPT 86765 HC SOM MMRV 86765 $17.90 $17.90 $3.58–$16.11 — —
Measles (rubeola) antibody test inpatient CPT 86765 HC LAB REF MMR RUBEOLA IGG IFA $23.85 $53.00 $10.60–$47.70 — 55%
Measles (rubeola) antibody test inpatient CPT 86765 HC SOM MEASLES AB IGM CSF $24.15 $24.15 $4.83–$21.73 — —
Measles (rubeola) antibody test inpatient CPT 86765 HC SOM MEASLES AB CSF IGG $24.16 $24.16 $4.83–$21.74 — —
Measles (rubeola) antibody test inpatient CPT 86765 HC RUBEOLA ANTIBODY $51.30 $114.00 $22.80–$102.60 — 55%
Measles (rubeola) antibody test inpatient CPT 86765 HC MEASLES AB $94.50 $210.00 $42.00–$189.00 — 55%
Mono test (heterophile antibody, Monospot) CPT 86308 HC EPSTEIN ANTIBODY SCREEN IGM $34.65 $77.00 $4.19–$69.30 66% below 55%
Mono test (heterophile antibody, Monospot) CPT 86308 HC MONOSPOT (INFECT. MONO TEST) $89.10 $198.00 $4.19–$178.20 13% below 55%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 HC EPSTEIN ANTIBODY SCREEN IGM $34.65 $77.00 $15.40–$69.30 — 55%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 HC MONOSPOT (INFECT. MONO TEST) $89.10 $198.00 $39.60–$178.20 — 55%
Mumps immunity blood test CPT 86735 HC LAB REF MUMPS AB IGM $9.45 $21.00 $4.20–$133.39 41% below 55%
Mumps immunity blood test CPT 86735 HC LAB REF MUMPS AB IGG $9.45 $21.00 $4.20–$133.39 41% below 55%
Mumps immunity blood test CPT 86735 HC LAB REF MMR MUMPS IGG IFA $24.30 $54.00 $10.57–$133.39 52% above 55%
Mumps immunity blood test CPT 86735 HC SOM MUMPS AB IGM CSF $27.38 $27.38 $5.48–$133.39 71% above —
Mumps immunity blood test CPT 86735 HC SOM MUMPS AB IGG CSF $27.38 $27.38 $5.48–$133.39 71% above —
Mumps immunity blood test CPT 86735 HC MUMPS ANTIBODY $60.30 $134.00 $10.57–$133.39 276% above 55%
Mumps immunity blood test CPT 86735 HC MUMPS AB $90.00 $200.00 $10.57–$180.00 462% above 55%
Mumps immunity blood test CPT 86735 HC SOM MMRV 86735 $100.43 $100.43 $10.57–$133.39 527% above —
Mumps immunity blood test inpatient CPT 86735 HC LAB REF MUMPS AB IGG $9.45 $21.00 $4.20–$18.90 — 55%
Mumps immunity blood test inpatient CPT 86735 HC LAB REF MUMPS AB IGM $9.45 $21.00 $4.20–$18.90 — 55%
Mumps immunity blood test inpatient CPT 86735 HC LAB REF MMR MUMPS IGG IFA $24.30 $54.00 $10.80–$48.60 — 55%
Mumps immunity blood test inpatient CPT 86735 HC SOM MUMPS AB IGM CSF $27.38 $27.38 $5.48–$24.64 — —
Mumps immunity blood test inpatient CPT 86735 HC SOM MUMPS AB IGG CSF $27.38 $27.38 $5.48–$24.64 — —
Mumps immunity blood test inpatient CPT 86735 HC MUMPS ANTIBODY $60.30 $134.00 $26.80–$120.60 — 55%
Mumps immunity blood test inpatient CPT 86735 HC MUMPS AB $90.00 $200.00 $40.00–$180.00 — 55%
Mumps immunity blood test inpatient CPT 86735 HC SOM MMRV 86735 $100.43 $100.43 $20.09–$90.39 — —
Obstetric blood test panel CPT 80055 HC OBSTETRIC PANEL $127.80 $284.00 $38.73–$376.18 44% below 55%
Obstetric blood test panel inpatient CPT 80055 HC OBSTETRIC PANEL $127.80 $284.00 $56.80–$255.60 — 55%
PSA (prostate-specific antigen) blood test, free CPT 84154 HC SOM PHI FREE PSA $30.36 $30.36 $6.07–$185.20 50% below —
PSA (prostate-specific antigen) blood test, free CPT 84154 HC PROSTATE SPECIFIC AG. FREE $85.50 $190.00 $14.89–$185.20 42% above 55%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 HC SOM PHI FREE PSA $30.36 $30.36 $6.07–$27.32 — —
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 HC PROSTATE SPECIFIC AG. FREE $85.50 $190.00 $38.00–$171.00 — 55%
PSA (prostate-specific antigen) blood test, total CPT 84153 HC SOM PROSTATE HEALTH INDEX $13.68 $13.68 $2.74–$186.02 77% below —
PSA (prostate-specific antigen) blood test, total CPT 84153 HC SOM FPSAP 84153 $89.50 $89.50 $14.89–$186.02 50% above —
PSA (prostate-specific antigen) blood test, total CPT 84153 HC PROSTATE CANCER SCREEN (PSA) $105.75 $235.00 $14.89–$211.50 77% above 55%
PSA (prostate-specific antigen) blood test, total CPT 84153 HC PROSTATE SPECIFIC ANTIGEN $121.50 $270.00 $14.89–$243.00 103% above 55%
PSA (prostate-specific antigen) blood test, total CPT 84153 HC SOM PSA ULTRASENSITIVE $123.40 $123.40 $14.89–$186.02 107% above —
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC SOM PROSTATE HEALTH INDEX $13.68 $13.68 $2.74–$12.31 — —
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC SOM FPSAP 84153 $89.50 $89.50 $17.90–$80.55 — —
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC PROSTATE CANCER SCREEN (PSA) $105.75 $235.00 $47.00–$211.50 — 55%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC PROSTATE SPECIFIC ANTIGEN $121.50 $270.00 $54.00–$243.00 — 55%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC SOM PSA ULTRASENSITIVE $123.40 $123.40 $24.68–$111.06 — —
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 HC PAP S EAR-THIN PREP PG $26.55 $59.00 $11.80–$148.67 71% below 55%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 HC CYTOPATH THINPREP PAP $75.60 $168.00 $16.41–$151.20 17% below 55%
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 HC PAP S EAR-THIN PREP PG $26.55 $59.00 $11.80–$53.10 — 55%
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 HC CYTOPATH THINPREP PAP $75.60 $168.00 $33.60–$151.20 — 55%
Parathyroid hormone (PTH) blood test CPT 83970 HC INTACT PTH $343.35 $763.00 $33.44–$686.70 212% above 55%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 HC INTACT PTH $343.35 $763.00 $152.60–$686.70 — 55%
Partial thromboplastin time (PTT) clotting test CPT 85730 HC SLOW ACTIVATION $72.90 $162.00 $4.87–$145.80 17% above 55%
Partial thromboplastin time (PTT) clotting test CPT 85730 HC PTT $82.80 $184.00 $4.87–$165.60 32% above 55%
Partial thromboplastin time (PTT) clotting test CPT 85730 HC LUPUS SCREEN PTT $82.80 $184.00 $4.87–$165.60 32% above 55%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC SLOW ACTIVATION $72.90 $162.00 $32.40–$145.80 — 55%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC PTT $82.80 $184.00 $36.80–$165.60 — 55%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC LUPUS SCREEN PTT $82.80 $184.00 $36.80–$165.60 — 55%
Phosphorus (phosphate) blood test CPT 84100 HC PHOSPHORUS $77.85 $173.00 $3.84–$155.70 3% above 55%
Phosphorus (phosphate) blood test inpatient CPT 84100 HC PHOSPHORUS $77.85 $173.00 $34.60–$155.70 — 55%
Potassium blood test CPT 84132 HC POTASSIUM POC $40.95 $91.00 $3.85–$81.90 44% below 55%
Potassium blood test CPT 84132 HC POTASSIUM $44.10 $98.00 $3.85–$88.20 40% below 55%
Potassium blood test CPT 84132 HC BLOOD GAS POTASSIUM $54.90 $122.00 $3.85–$109.80 25% below 55%
Potassium blood test inpatient CPT 84132 HC POTASSIUM POC $40.95 $91.00 $18.20–$81.90 — 55%
Potassium blood test inpatient CPT 84132 HC POTASSIUM $44.10 $98.00 $19.60–$88.20 — 55%
Potassium blood test inpatient CPT 84132 HC BLOOD GAS POTASSIUM $54.90 $122.00 $24.40–$109.80 — 55%
Progesterone blood test CPT 84144 HC SOM CAH PROGESTERONE $54.83 $54.83 $10.97–$211.01 34% below —
Progesterone blood test CPT 84144 HC PROGESTERONE $112.50 $250.00 $16.89–$225.00 36% above 55%
Progesterone blood test inpatient CPT 84144 HC SOM CAH PROGESTERONE $54.83 $54.83 $10.97–$49.35 — —
Progesterone blood test inpatient CPT 84144 HC PROGESTERONE $112.50 $250.00 $50.00–$225.00 — 55%
Prolactin blood test CPT 84146 HC PROLACTIN $198.00 $440.00 $15.70–$396.00 85% above 55%
Prolactin blood test inpatient CPT 84146 HC PROLACTIN $198.00 $440.00 $88.00–$396.00 — 55%
Prothrombin time (PT/INR) clotting test CPT 85610 HC PROTHROMBIN TIME QUICK $54.90 $122.00 $3.47–$109.80 at median 55%
Prothrombin time (PT/INR) clotting test CPT 85610 HC PROTHROMBIN TIME (POC) $54.90 $122.00 $3.47–$109.80 at median 55%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC PROTHROMBIN TIME (POC) $54.90 $122.00 $24.40–$109.80 — 55%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC PROTHROMBIN TIME QUICK $54.90 $122.00 $24.40–$109.80 — 55%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 HC STREPTOCARD STREP A $11.25 $25.00 $5.00–$90.90 90% below 55%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 HC STREPTOCARD STREP A $11.25 $25.00 $5.00–$22.50 — 55%
Renin blood test CPT 84244 HC SOM RENIN ACT PLASMA $13.72 $13.72 $2.74–$222.45 45% below —
Renin blood test inpatient CPT 84244 HC SOM RENIN ACT PLASMA $13.72 $13.72 $2.74–$12.35 — —
Rh blood typing CPT 86901 HC SBBB RH D TYPING $23.00 $23.00 $2.42–$63.73 59% below —
Rh blood typing CPT 86901 HC RH BLOOD GROUP $52.65 $117.00 $2.42–$105.30 5% below 55%
Rh blood typing CPT 86901 HC RH UNIT CONFIRMATION $52.65 $117.00 $2.99–$676.00 5% below 55%
Rh blood typing CPT 86901 HC SBBB RH DISCREP ADD'L TEST $89.00 $89.00 $2.42–$80.10 60% above —
Rh blood typing inpatient CPT 86901 HC SBBB RH D TYPING $23.00 $23.00 $4.60–$20.70 — —
Rh blood typing inpatient CPT 86901 HC RH UNIT CONFIRMATION $52.65 $117.00 $23.40–$105.30 — 55%
Rh blood typing inpatient CPT 86901 HC RH BLOOD GROUP $52.65 $117.00 $23.40–$105.30 — 55%
Rh blood typing inpatient CPT 86901 HC SBBB RH DISCREP ADD'L TEST $89.00 $89.00 $17.80–$80.10 — —
Rheumatoid factor (RF) test CPT 86431 HC RHEUMATOID FACTOR $76.50 $170.00 $4.59–$153.00 480% above 55%
Rheumatoid factor (RF) test inpatient CPT 86431 HC RHEUMATOID FACTOR $76.50 $170.00 $34.00–$153.00 — 55%
Rubella antibody test (immunity check) CPT 86762 HC LAB REF MMR RUBELLA IGG ELISA $27.00 $60.00 $11.65–$145.10 47% below 55%
Rubella antibody test (immunity check) CPT 86762 HC RUBELLA ANTIBODY IGG QUANT $60.30 $134.00 $11.65–$145.10 19% above 55%
Rubella antibody test (immunity check) CPT 86762 HC RUBELLA ANTIBODY $60.30 $134.00 $11.65–$145.10 19% above 55%
Rubella antibody test (immunity check) CPT 86762 HC SOM MMRV 86762 $70.05 $70.05 $11.65–$145.10 38% above —
Rubella antibody test (immunity check) inpatient CPT 86762 HC LAB REF MMR RUBELLA IGG ELISA $27.00 $60.00 $12.00–$54.00 — 55%
Rubella antibody test (immunity check) inpatient CPT 86762 HC RUBELLA ANTIBODY IGG QUANT $60.30 $134.00 $26.80–$120.60 — 55%
Rubella antibody test (immunity check) inpatient CPT 86762 HC RUBELLA ANTIBODY $60.30 $134.00 $26.80–$120.60 — 55%
Rubella antibody test (immunity check) inpatient CPT 86762 HC SOM MMRV 86762 $70.05 $70.05 $14.01–$63.05 — —
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 HC SED RATE WESTERGRN AUTOMATED $56.25 $125.00 $2.19–$112.50 at median 55%
Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 HC SED RATE WESTERGRN AUTOMATED $56.25 $125.00 $25.00–$112.50 — 55%
Semen analysis: volume, sperm count, motility and morphology CPT 89320 HC SEMEN ANALYSIS $178.65 $397.00 $9.97–$357.30 29% above 55%
Semen analysis: volume, sperm count, motility and morphology inpatient CPT 89320 HC SEMEN ANALYSIS $178.65 $397.00 $79.40–$357.30 — 55%
Sodium blood test CPT 84295 HC SODIUM $40.05 $89.00 $3.90–$80.10 39% below 55%
Sodium blood test CPT 84295 HC NA (POC) $40.95 $91.00 $3.90–$81.90 38% below 55%
Sodium blood test CPT 84295 HC BLOOD GAS SODIUM $54.90 $122.00 $3.90–$109.80 16% below 55%
Sodium blood test inpatient CPT 84295 HC SODIUM $40.05 $89.00 $17.80–$80.10 — 55%
Sodium blood test inpatient CPT 84295 HC NA (POC) $40.95 $91.00 $18.20–$81.90 — 55%
Sodium blood test inpatient CPT 84295 HC BLOOD GAS SODIUM $54.90 $122.00 $24.40–$109.80 — 55%
Stool ova and parasites exam CPT 87177 HC OVA & PARASITES, PRESERVED $63.90 $142.00 $7.21–$127.80 206% above 55%
Stool ova and parasites exam inpatient CPT 87177 HC OVA & PARASITES, PRESERVED $63.90 $142.00 $28.40–$127.80 — 55%
Stool test for hidden blood (guaiac FOBT) CPT 82270 HC OCCULT BLOOD, FECES 1-3 SIMUL $90.00 $200.00 $3.55–$180.00 131% above 55%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 HC OCCULT BLOOD, FECES 1-3 SIMUL $90.00 $200.00 $40.00–$180.00 — 55%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 HC BLOOD OCCULT FECES $60.75 $135.00 $12.90–$121.50 24% above 55%
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 HC BLOOD OCCULT FECES $60.75 $135.00 $27.00–$121.50 — 55%
Syphilis antibody test (Treponema pallidum) CPT 86780 HC SOM FFTP 86780 $28.60 $28.60 $5.72–$175.47 77% above —
Syphilis antibody test (Treponema pallidum) CPT 86780 HC SOM TPPA 86780 $32.00 $32.00 $6.40–$175.47 98% above —
Syphilis antibody test (Treponema pallidum) CPT 86780 HC SYPHILLIS IGG $83.70 $186.00 $10.73–$175.47 417% above 55%
Syphilis antibody test (Treponema pallidum) CPT 86780 HC SYPHILLIS IGG INDIVIDUAL $83.70 $186.00 $10.73–$175.47 417% above 55%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 HC SOM FFTP 86780 $28.60 $28.60 $5.72–$25.74 — —
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 HC SOM TPPA 86780 $32.00 $32.00 $6.40–$28.80 — —
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 HC SYPHILLIS IGG INDIVIDUAL $83.70 $186.00 $37.20–$167.40 — 55%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 HC SYPHILLIS IGG $83.70 $186.00 $37.20–$167.40 — 55%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC SYPHILIS NON TREP QUAL RPR $34.65 $77.00 $3.46–$69.30 158% above 55%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC SYPHILLIS TEST RPR INDIVIDUAL $81.90 $182.00 $3.46–$163.80 510% above 55%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC SYPHILLIS TEST RPR $81.90 $182.00 $3.46–$163.80 510% above 55%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC SYPHILLIS TEST VDRL/ CSF $81.90 $182.00 $3.46–$163.80 510% above 55%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC SYPHILIS NON TREP QUAL RPR $34.65 $77.00 $15.40–$69.30 — 55%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC SYPHILLIS TEST RPR INDIVIDUAL $81.90 $182.00 $36.40–$163.80 — 55%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC SYPHILLIS TEST RPR $81.90 $182.00 $36.40–$163.80 — 55%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC SYPHILLIS TEST VDRL/ CSF $81.90 $182.00 $36.40–$163.80 — 55%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 HC SOM QUANTIFERON TB GOLD $30.00 $30.00 $6.00–$613.15 65% below —
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 HC SOM QUANTIFERON TB GOLD $30.00 $30.00 $6.00–$27.00 — —
Testosterone blood test, total (not free testosterone) CPT 84403 HC SOM TESTOSTERONE TOTAL $9.06 $9.06 $1.81–$261.06 77% below —
Testosterone blood test, total (not free testosterone) CPT 84403 HC SOM CAH TESTOSTERONE $67.83 $67.83 $13.57–$261.06 69% above —
Testosterone blood test, total (not free testosterone) CPT 84403 HC SOM TTFB 84403 $82.23 $82.23 $16.45–$261.06 105% above —
Testosterone blood test, total (not free testosterone) CPT 84403 HC TESTOSTERONE TOTAL $108.00 $240.00 $20.91–$261.06 170% above 55%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HC SOM TESTOSTERONE TOTAL $9.06 $9.06 $1.81–$8.15 — —
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HC SOM CAH TESTOSTERONE $67.83 $67.83 $13.57–$61.05 — —
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HC SOM TTFB 84403 $82.23 $82.23 $16.45–$74.01 — —
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HC TESTOSTERONE TOTAL $108.00 $240.00 $48.00–$216.00 — 55%
Thyroid peroxidase (TPO) antibody test CPT 86376 HC SOM THYROPEROXIDASE AB $10.00 $10.00 $2.00–$148.10 56% below —
Thyroid peroxidase (TPO) antibody test CPT 86376 HC SOM ANTI-LIVERKIDNEY MICROSOMAL AB $13.50 $13.50 $2.70–$148.10 41% below —
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HC SOM THYROPEROXIDASE AB $10.00 $10.00 $2.00–$9.00 — —
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HC SOM ANTI-LIVERKIDNEY MICROSOMAL AB $13.50 $13.50 $2.70–$12.15 — —
Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC SOM TSH SENSITIVE, SERUM $24.06 $24.06 $4.81–$169.95 74% below —
Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC TSH (THYROTROPIN) $137.25 $305.00 $13.61–$274.50 48% above 55%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC SOM TSH SENSITIVE, SERUM $24.06 $24.06 $4.81–$21.65 — —
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC TSH (THYROTROPIN) $137.25 $305.00 $61.00–$274.50 — 55%
Total IgE blood test CPT 82785 HC SOSTL ABPA TOTAL IGE $33.75 $75.00 $13.33–$166.55 46% below 55%
Total IgE blood test CPT 82785 HC IMMUNOGLOBULIN E $80.55 $179.00 $13.33–$166.55 28% above 55%
Total IgE blood test inpatient CPT 82785 HC SOSTL ABPA TOTAL IGE $33.75 $75.00 $15.00–$67.50 — 55%
Total IgE blood test inpatient CPT 82785 HC IMMUNOGLOBULIN E $80.55 $179.00 $35.80–$161.10 — 55%
Total cholesterol blood test CPT 82465 HC CHOLESTEROL TOTAL INDIVIDUAL $44.10 $98.00 $3.53–$88.20 5% above 55%
Total cholesterol blood test CPT 82465 HC CHOLESTEROL TOTAL $44.10 $98.00 $3.53–$88.20 5% above 55%
Total cholesterol blood test inpatient CPT 82465 HC CHOLESTEROL TOTAL $44.10 $98.00 $19.60–$88.20 — 55%
Total cholesterol blood test inpatient CPT 82465 HC CHOLESTEROL TOTAL INDIVIDUAL $44.10 $98.00 $19.60–$88.20 — 55%
Total thyroxine (T4) blood test CPT 84436 HC SOM THYROXIN TOTAL $9.84 $9.84 $1.97–$69.52 75% below —
Total thyroxine (T4) blood test CPT 84436 HC THYROXIN T4 $68.85 $153.00 $5.56–$137.70 76% above 55%
Total thyroxine (T4) blood test inpatient CPT 84436 HC SOM THYROXIN TOTAL $9.84 $9.84 $1.97–$8.86 — —
Total thyroxine (T4) blood test inpatient CPT 84436 HC THYROXIN T4 $68.85 $153.00 $30.60–$137.70 — 55%
Total triiodothyronine (T3) blood test CPT 84480 HC THYROID HORMONE T3 $129.60 $288.00 $11.48–$259.20 66% above 55%
Total triiodothyronine (T3) blood test inpatient CPT 84480 HC THYROID HORMONE T3 $129.60 $288.00 $57.60–$259.20 — 55%
Transferrin blood test CPT 84466 HC SOM TRSF 84466 $27.28 $27.28 $5.46–$132.91 49% below —
Transferrin blood test CPT 84466 HC TRANSFERRIN $107.55 $239.00 $10.33–$215.10 99% above 55%
Transferrin blood test inpatient CPT 84466 HC SOM TRSF 84466 $27.28 $27.28 $5.46–$24.55 — —
Transferrin blood test inpatient CPT 84466 HC TRANSFERRIN $107.55 $239.00 $47.80–$215.10 — 55%
Triglycerides blood test CPT 84478 HC TRIGLYCERIDES BODY FLUID $25.20 $56.00 $4.65–$57.88 39% below 55%
Triglycerides blood test CPT 84478 HC TRIGLYCERIDES $44.10 $98.00 $4.65–$88.20 7% above 55%
Triglycerides blood test CPT 84478 HC TRIGLYCERIDES INDIVIDUAL $44.10 $98.00 $4.65–$88.20 7% above 55%
Triglycerides blood test inpatient CPT 84478 HC TRIGLYCERIDES BODY FLUID $25.20 $56.00 $11.20–$50.40 — 55%
Triglycerides blood test inpatient CPT 84478 HC TRIGLYCERIDES INDIVIDUAL $44.10 $98.00 $19.60–$88.20 — 55%
Triglycerides blood test inpatient CPT 84478 HC TRIGLYCERIDES $44.10 $98.00 $19.60–$88.20 — 55%
Troponin test, quantitative CPT 84484 HC HSTROPONIN T $39.60 $88.00 $10.10–$192.97 78% below 55%
Troponin test, quantitative CPT 84484 HC TROPONIN-T $141.75 $315.00 $10.10–$283.50 21% below 55%
Troponin test, quantitative CPT 84484 HC TROPONIN - I $456.30 $1,014.00 $10.10–$912.60 155% above 55%
Troponin test, quantitative inpatient CPT 84484 HC HSTROPONIN T $39.60 $88.00 $17.60–$79.20 — 55%
Troponin test, quantitative inpatient CPT 84484 HC TROPONIN-T $141.75 $315.00 $63.00–$283.50 — 55%
Troponin test, quantitative inpatient CPT 84484 HC TROPONIN - I $456.30 $1,014.00 $202.80–$912.60 — 55%
Uric acid blood test CPT 84550 HC URIC ACID $61.20 $136.00 $3.66–$122.40 7% below 55%
Uric acid blood test inpatient CPT 84550 HC URIC ACID $61.20 $136.00 $27.20–$122.40 — 55%
Urinalysis with microscope exam, automated CPT 81001 HC ROUTINE URINALYSIS $60.75 $135.00 $2.56–$121.50 27% below 55%
Urinalysis with microscope exam, automated inpatient CPT 81001 HC ROUTINE URINALYSIS $60.75 $135.00 $27.00–$121.50 — 55%
Urinalysis without microscope exam, automated CPT 81003 HC URINE CHEMISTRY SCREEN $39.15 $87.00 $1.83–$78.30 30% below 55%
Urinalysis without microscope exam, automated CPT 81003 HC URINE CHEM SCREEN POC $39.15 $87.00 $1.83–$78.30 30% below 55%
Urinalysis without microscope exam, automated CPT 81003 HC MYOGLOBIN SCREEN $43.20 $96.00 $1.83–$86.40 23% below 55%
Urinalysis without microscope exam, automated inpatient CPT 81003 HC URINE CHEM SCREEN POC $39.15 $87.00 $17.40–$78.30 — 55%
Urinalysis without microscope exam, automated inpatient CPT 81003 HC URINE CHEMISTRY SCREEN $39.15 $87.00 $17.40–$78.30 — 55%
Urinalysis without microscope exam, automated inpatient CPT 81003 HC MYOGLOBIN SCREEN $43.20 $96.00 $19.20–$86.40 — 55%
Urinalysis without microscope exam, manual CPT 81002 HC BILIRUBIN ICTOTEST $34.20 $76.00 $2.82–$68.40 at median 55%
Urinalysis without microscope exam, manual CPT 81002 HC SPEC GRAVITY HEMATOLOGY $36.00 $80.00 $2.82–$72.00 5% above 55%
Urinalysis without microscope exam, manual CPT 81002 HC URINALYSIS NON AUTOMATED WO MICROSCOPY $60.30 $134.00 $2.82–$120.60 76% above 55%
Urinalysis without microscope exam, manual inpatient CPT 81002 HC BILIRUBIN ICTOTEST $34.20 $76.00 $15.20–$68.40 — 55%
Urinalysis without microscope exam, manual inpatient CPT 81002 HC SPEC GRAVITY HEMATOLOGY $36.00 $80.00 $16.00–$72.00 — 55%
Urinalysis without microscope exam, manual inpatient CPT 81002 HC URINALYSIS NON AUTOMATED WO MICROSCOPY $60.30 $134.00 $26.80–$120.60 — 55%
Urine microalbumin (albumin) test CPT 82043 HC MICROALBUMIN URINE 24 HOURS $96.75 $215.00 $4.68–$193.50 163% above 55%
Urine microalbumin (albumin) test CPT 82043 HC MICROALBUMIN URINE RANDOM $96.75 $215.00 $4.68–$193.50 163% above 55%
Urine microalbumin (albumin) test CPT 82043 HC MICROALBUMIN $96.75 $215.00 $4.68–$193.50 163% above 55%
Urine microalbumin (albumin) test inpatient CPT 82043 HC MICROALBUMIN $96.75 $215.00 $43.00–$193.50 — 55%
Urine microalbumin (albumin) test inpatient CPT 82043 HC MICROALBUMIN URINE 24 HOURS $96.75 $215.00 $43.00–$193.50 — 55%
Urine microalbumin (albumin) test inpatient CPT 82043 HC MICROALBUMIN URINE RANDOM $96.75 $215.00 $43.00–$193.50 — 55%
Urine pregnancy test, read by color change CPT 81025 HC PREGNANCY TEST URINE $108.45 $241.00 $4.82–$216.90 23% above 55%
Urine pregnancy test, read by color change inpatient CPT 81025 HC PREGNANCY TEST URINE $108.45 $241.00 $48.20–$216.90 — 55%
Vitamin B12 (cobalamin) blood test CPT 82607 HC SOM PERNIC ANEM CASC B12 $79.28 $79.28 $12.21–$152.45 16% below —
Vitamin B12 (cobalamin) blood test CPT 82607 HC VITAMIN B12 $121.50 $270.00 $12.21–$243.00 29% above 55%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 HC SOM PERNIC ANEM CASC B12 $79.28 $79.28 $15.86–$71.35 — —
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 HC VITAMIN B12 $121.50 $270.00 $54.00–$243.00 — 55%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HC SOM VITAMIN D 25-HYDROXY $17.22 $17.22 $3.44–$299.39 73% below —
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HC 25 CH VITAMIN D2 D3 $71.10 $158.00 $23.98–$299.39 11% above 55%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HC VITAMIN D TOTAL $95.85 $213.00 $23.98–$299.39 50% above 55%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 HC SOM VITAMIN D 25-HYDROXY $17.22 $17.22 $3.44–$15.50 — —
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 HC 25 CH VITAMIN D2 D3 $71.10 $158.00 $31.60–$142.20 — 55%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 HC VITAMIN D TOTAL $95.85 $213.00 $42.60–$191.70 — 55%
Zinc blood test CPT 84630 HC SOM ZINC $12.17 $12.17 $2.43–$115.21 11% above —
Zinc blood test CPT 84630 HC SOM ZINC URINE $35.72 $35.72 $7.14–$115.21 225% above —
Zinc blood test inpatient CPT 84630 HC SOM ZINC $12.17 $12.17 $2.43–$10.95 — —
Zinc blood test inpatient CPT 84630 HC SOM ZINC URINE $35.72 $35.72 $7.14–$32.15 — —
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HC SOM HCG HIGH SENSITIVITY $16.77 $16.77 $3.35–$145.71 91% below —
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HC SOM BETA HCG CSF $43.10 $43.10 $8.62–$145.71 76% below —
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HC BETA HCG, QUANT $202.05 $449.00 $12.20–$404.10 13% above 55%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HC SOM HCG HIGH SENSITIVITY $16.77 $16.77 $3.35–$15.09 — —
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HC SOM BETA HCG CSF $43.10 $43.10 $8.62–$38.79 — —
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HC BETA HCG, QUANT $202.05 $449.00 $89.80–$404.10 — 55%

Surgery and procedures

ProcedureCash priceList priceInsurers payvs CaliforniaOff list
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 HC BX BREAST 1ST LESION STRTCTC $2,397.15 $5,327.00 $1,065.40–$27,467.00 45% below 55%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 HC BX BREAST 1ST LESION STRTCTC $2,397.15 $5,327.00 $1,065.40–$4,794.30 — 55%
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 HC CL TREAT DIST FIB FRAC W/O MAN $1,171.80 $2,604.00 $317.26–$5,523.00 119% above 55%
Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 HC CL TREAT DIST FIB FRAC W/O MAN $1,171.80 $2,604.00 $520.80–$2,343.60 — 55%
Broken foot (metatarsal) treatment without surgery or setting CPT 28470 HC CL TREAT OF MET FRAC W/O MANIP $1,163.70 $2,586.00 $263.45–$5,523.00 116% above 55%
Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 HC CL TREAT OF MET FRAC W/O MANIP $1,163.70 $2,586.00 $517.20–$2,327.40 — 55%
Cardiac catheterization with coronary angiogram CPT 93458 HC LHC, CORONARY ANGIO, W/WO LV $7,309.80 $16,244.00 $1,634.02–$26,788.00 43% below 55%
Cardiac catheterization with coronary angiogram inpatient CPT 93458 HC LHC, CORONARY ANGIO, W/WO LV $7,309.80 $16,244.00 $3,248.80–$14,619.60 — 55%
Cardioversion, elective (restoring heart rhythm) CPT 92960 HC CARDIOVERSION EXTERNAL ELECTIVE $3,127.95 $6,951.00 $232.67–$6,255.90 63% above 55%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 HC CARDIOVERSION EXTERNAL ELECTIVE $3,127.95 $6,951.00 $1,390.20–$6,255.90 — 55%
Catheter ablation for atrial fibrillation CPT 93656 HC EPS COMP W PULM VEIN AFIB ABL $21,298.95 $47,331.00 $1,514.41–$55,469.12 36% below 55%
Catheter ablation for atrial fibrillation inpatient CPT 93656 HC EPS COMP W PULM VEIN AFIB ABL $21,298.95 $47,331.00 $9,466.20–$42,597.90 — 55%
Cervical biopsy CPT 57500 HC BIOPSY OF CERVIX $1,348.65 $2,997.00 $77.03–$5,523.00 31% below 55%
Cervical biopsy inpatient CPT 57500 HC BIOPSY OF CERVIX $1,348.65 $2,997.00 $599.40–$2,697.30 — 55%
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 HC CL TREAT OF DIS RAD FX W/O MAN $1,324.35 $2,943.00 $317.26–$6,587.00 137% above 55%
Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 HC CL TREAT OF DIS RAD FX W/O MAN $1,324.35 $2,943.00 $588.60–$2,648.70 — 55%
Colonoscopy with endoscopic ultrasound CPT 45391 HC COLONOSCOPY W ENDOS US EXAM $2,502.90 $5,562.00 $292.00–$27,467.00 9% above 55%
Colonoscopy with endoscopic ultrasound inpatient CPT 45391 HC COLONOSCOPY W ENDOS US EXAM $2,502.90 $5,562.00 $1,112.40–$5,005.80 — 55%
Colonoscopy with polyp removal CPT 45385 HC COLONOSCOPY W/TUMOR SNARE RMVL $2,750.40 $6,112.00 $688.38–$27,467.00 20% above 55%
Colonoscopy with polyp removal inpatient CPT 45385 HC COLONOSCOPY W/TUMOR SNARE RMVL $2,750.40 $6,112.00 $1,222.40–$5,500.80 — 55%
Colonoscopy with tissue sample CPT 45380 HC COLONOSCOPY W BX $2,750.40 $6,112.00 $568.00–$27,467.00 18% above 55%
Colonoscopy with tissue sample inpatient CPT 45380 HC COLONOSCOPY W BX $2,750.40 $6,112.00 $1,222.40–$5,500.80 — 55%
Colonoscopy, diagnostic CPT 45378 HC COLONOSCOPY DX W WO COLLECT $2,750.40 $6,112.00 $507.80–$27,467.00 32% above 55%
Colonoscopy, diagnostic inpatient CPT 45378 HC COLONOSCOPY DX W WO COLLECT $2,750.40 $6,112.00 $1,222.40–$5,500.80 — 55%
Colposcopy with LEEP (loop electrosurgical excision) CPT 57460 HC LEEP $3,381.30 $7,514.00 $503.77–$27,467.00 27% below 55%
Colposcopy with LEEP (loop electrosurgical excision) inpatient CPT 57460 HC LEEP $3,381.30 $7,514.00 $1,502.80–$6,762.60 — 55%
Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 HC COLPOSCOPY W/BIOPSY CERVIX $723.15 $1,607.00 $163.67–$6,587.00 24% below 55%
Colposcopy with cervical biopsy and scraping of the cervical canal inpatient CPT 57454 HC COLPOSCOPY W/BIOPSY CERVIX $723.15 $1,607.00 $321.40–$1,446.30 — 55%
Coronary stent placement, one artery CPT 92928 HC CORONARY STENT SINGLE VESSEL $8,985.60 $19,968.00 $830.85–$28,817.00 40% below 55%
Coronary stent placement, one artery inpatient CPT 92928 HC CORONARY STENT SINGLE VESSEL $8,985.60 $19,968.00 $3,993.60–$17,971.20 — 55%
Cystoscopy with ureteral stent placement CPT 52332 HC STENT INSERTION INDWELLING DBL $6,077.70 $13,506.00 $947.08–$27,467.00 19% below 55%
Cystoscopy with ureteral stent placement inpatient CPT 52332 HC STENT INSERTION INDWELLING DBL $6,077.70 $13,506.00 $2,701.20–$12,155.40 — 55%
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 HC CYSTOURETHROSCOPY $2,231.55 $4,959.00 $164.82–$6,587.00 38% above 55%
Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 HC CYSTOURETHROSCOPY $2,231.55 $4,959.00 $991.80–$4,463.10 — 55%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 HC DEST BENIGN/PREMAL 1ST LESION $184.05 $409.00 $81.80–$5,523.00 42% below 55%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 HC DEST BENIGN/PREMAL 1ST LESION $184.05 $409.00 $81.80–$368.10 — 55%
Earwax removal by irrigation (rinsing), one ear CPT 69209 HC RMVL EAR WX IRRGTN/LAVAGE UNI $186.75 $415.00 $27.68–$2,696.00 5% above 55%
Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 HC RMVL EAR WX IRRGTN/LAVAGE UNI $186.75 $415.00 $83.00–$373.50 — 55%
Earwax removal with instruments, one ear CPT 69210 HC RMVL IMPACTED CERUMEN $663.75 $1,475.00 $58.01–$5,523.00 251% above 55%
Earwax removal with instruments, one ear inpatient CPT 69210 HC RMVL IMPACTED CERUMEN $663.75 $1,475.00 $295.00–$1,327.50 — 55%
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 HC ENDOMETRIAL BIOPSY $407.25 $905.00 $70.59–$27,467.00 25% below 55%
Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 HC ENDOMETRIAL BIOPSY $407.25 $905.00 $181.00–$814.50 — 55%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 HC INJ INTER CRV/THRC WGUID $1,969.65 $4,377.00 $384.21–$27,467.00 19% below 55%
Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 HC INJ INTER CRV/THRC WGUID $1,969.65 $4,377.00 $875.40–$3,939.30 — 55%
Eye injection into the vitreous (intravitreal injection) CPT 67028 HC INJECTION EYE DRUG $931.50 $2,070.00 $400.00–$5,523.00 5% above 55%
Eye injection into the vitreous (intravitreal injection) inpatient CPT 67028 HC INJECTION EYE DRUG $931.50 $2,070.00 $414.00–$1,863.00 — 55%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 HC LUMBAR/SACRAL FACET INJECT/INT $1,286.10 $2,858.00 $248.45–$27,467.00 38% below 55%
Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 HC LUMBAR/SACRAL FACET INJECT/INT $1,286.10 $2,858.00 $571.60–$2,572.20 — 55%
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 HC SIGMDSCPY DX W WO COLLECT $2,209.50 $4,910.00 $94.14–$5,523.00 21% above 55%
Flexible sigmoidoscopy, diagnostic (lower colon only) inpatient CPT 45330 HC SIGMDSCPY DX W WO COLLECT $2,209.50 $4,910.00 $982.00–$4,419.00 — 55%
Hemorrhoid banding (rubber band ligation) CPT 46221 HC LIGATION HEMORRHOID(S) $3,022.20 $6,716.00 $146.43–$6,044.40 61% above 55%
Hemorrhoid banding (rubber band ligation) inpatient CPT 46221 HC LIGATION HEMORRHOID(S) $3,022.20 $6,716.00 $1,343.20–$6,044.40 — 55%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 HC HYSTEROSALPINGOGRAM $210.15 $467.00 $93.40–$27,467.00 66% below 55%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 HC HYSTEROSALPINGOGRAM $210.15 $467.00 $93.40–$420.30 — 55%
IUD insertion (the device itself billed separately) CPT 58300 HC IUD INSERTION $611.55 $1,359.00 $271.80–$1,223.10 4% above 55%
IUD insertion (the device itself billed separately) inpatient CPT 58300 HC IUD INSERTION $611.55 $1,359.00 $271.80–$1,223.10 — 55%
Incision and drainage of a simple or single skin abscess CPT 10060 HC I & D ABSCESS SIMPLE $1,052.55 $2,339.00 $73.00–$27,467.00 125% above 55%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 HC I & D ABSCESS SIMPLE $1,052.55 $2,339.00 $467.80–$2,105.10 — 55%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 HC INJ TEN SHEATH LIG TRIG PNTS $740.70 $1,646.00 $78.76–$27,467.00 12% above 55%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 HC INJ TEN SHEATH LIG TRIG PNTS $740.70 $1,646.00 $329.20–$1,481.40 — 55%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HC ASPIR/INJ MAJOR JOINT/BURSA $1,026.00 $2,280.00 $78.76–$27,467.00 8% above 55%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 HC ASPIR/INJ MAJOR JOINT/BURSA $1,026.00 $2,280.00 $456.00–$2,052.00 — 55%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 HC ARTHO ASP &/OR INJ INTER JOINT $580.05 $1,289.00 $65.31–$6,587.00 5% below 55%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 HC JOINT ASPIR/INJ-INTER JOINT $868.95 $1,931.00 $65.31–$27,467.00 43% above 55%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 HC ARTHO ASP &/OR INJ INTER JOINT $580.05 $1,289.00 $257.80–$1,160.10 — 55%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 HC JOINT ASPIR/INJ-INTER JOINT $868.95 $1,931.00 $386.20–$1,737.90 — 55%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 HC ARTHO ASP &/OR INJ SM JOINT $796.95 $1,771.00 $55.71–$27,467.00 9% above 55%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 HC ARTHO ASP &/OR INJ SM JOINT $796.95 $1,771.00 $354.20–$1,593.90 — 55%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs one side CPT 12031 HC LAY CLOS OF WND LT 2.5 CM SCALP $868.50 $1,930.00 $386.00–$6,587.00 at median 55%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient one side CPT 12031 HC LAY CLOS OF WND LT 2.5 CM SCALP $868.50 $1,930.00 $386.00–$1,737.00 — 55%
Left heart catheterization, diagnostic one side CPT 93452 HC LEFT HEART CATH W/WO LV $4,124.70 $9,166.00 $1,312.12–$26,788.00 58% below 55%
Left heart catheterization, diagnostic inpatient one side CPT 93452 HC LEFT HEART CATH W/WO LV $4,124.70 $9,166.00 $1,833.20–$8,249.40 — 55%
Lower-back epidural injection, with imaging guidance CPT 62323 HC INJ INTER LMBR/SAC W GUID $2,245.95 $4,991.00 $378.45–$27,467.00 1% above 55%
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 HC INJ INTER LMBR/SAC W GUID $2,245.95 $4,991.00 $998.20–$4,491.90 — 55%
Lower-back epidural injection, without imaging guidance CPT 62322 HC INJ INTER LMBR/SAC WO GUID $1,790.10 $3,978.00 $238.22–$27,467.00 at median 55%
Lower-back epidural injection, without imaging guidance inpatient CPT 62322 HC INJ INTER LMBR/SAC WO GUID $1,790.10 $3,978.00 $795.60–$3,580.20 — 55%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 HC INJ FORAMEN EPIDURAL L/S $1,790.10 $3,978.00 $246.54–$27,467.00 12% below 55%
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 HC INJ FORAMEN EPIDURAL L/S $1,790.10 $3,978.00 $795.60–$3,580.20 — 55%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm one side CPT 11400 HC EXC BEN LES TRUNK LT 0.5 CM $1,440.00 $3,200.00 $99.90–$27,467.00 9% above 55%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient one side CPT 11400 HC EXC BEN LES TRUNK LT 0.5 CM $1,440.00 $3,200.00 $640.00–$2,880.00 — 55%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm one side CPT 11440 HC EXC FACIAL LESION LT 0.5 CM $1,440.00 $3,200.00 $122.38–$6,587.00 2% below 55%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient one side CPT 11440 HC EXC FACIAL LESION LT 0.5 CM $1,440.00 $3,200.00 $640.00–$2,880.00 — 55%
Nail removal (partial or complete), one nail CPT 11730 HC AVUL OF NAIL PL PART OR COMPL $470.70 $1,046.00 $60.84–$5,523.00 6% below 55%
Nail removal (partial or complete), one nail inpatient CPT 11730 HC AVUL OF NAIL PL PART OR COMPL $470.70 $1,046.00 $209.20–$941.40 — 55%
Occipital nerve block (injection for headaches) CPT 64405 HC INJ ANES AGNT,GRTR OCCIPITAL N $1,068.75 $2,375.00 $119.55–$5,523.00 22% above 55%
Occipital nerve block (injection for headaches) inpatient CPT 64405 HC INJ ANES AGNT,GRTR OCCIPITAL N $1,068.75 $2,375.00 $475.00–$2,137.50 — 55%
Pacemaker implant (dual chamber) CPT 33208 HC PACER INSERT/RPL, W A & V LEAD $10,448.10 $23,218.00 $1,280.71–$53,714.00 44% below 55%
Pacemaker implant (dual chamber) inpatient CPT 33208 HC PACER INSERT/RPL, W A & V LEAD $10,448.10 $23,218.00 $4,643.60–$20,896.20 — 55%
Paracentesis with imaging guidance CPT 49083 HC ABD PARACENTESIS W IMAG GUID $963.00 $2,140.00 $428.00–$6,587.00 48% below 55%
Paracentesis with imaging guidance CPT 49083 HC ABD PARACENTESIS W IMAGE GUID $1,255.50 $2,790.00 $476.25–$27,467.00 32% below 55%
Paracentesis with imaging guidance CPT 49083 HC PUNCTURE PERITONEAL CAVITY W IMAGING GUIDANCE $1,255.50 $2,790.00 $476.25–$27,467.00 32% below 55%
Paracentesis with imaging guidance inpatient CPT 49083 HC ABD PARACENTESIS W IMAG GUID $963.00 $2,140.00 $428.00–$1,926.00 — 55%
Paracentesis with imaging guidance inpatient CPT 49083 HC ABD PARACENTESIS W IMAGE GUID $1,255.50 $2,790.00 $558.00–$2,511.00 — 55%
Paracentesis with imaging guidance inpatient CPT 49083 HC PUNCTURE PERITONEAL CAVITY W IMAGING GUIDANCE $1,255.50 $2,790.00 $558.00–$2,511.00 — 55%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 HC EX OF NAIL & MAT PART OR COMP $904.50 $2,010.00 $281.41–$5,523.00 30% below 55%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 HC EX OF NAIL & MAT PART OR COMP $904.50 $2,010.00 $402.00–$1,809.00 — 55%
Prostate biopsy CPT 55700 HC PROSTATE BIOPSY $2,884.95 $6,411.00 $1,282.20–$27,467.00 52% below 55%
Prostate biopsy inpatient CPT 55700 HC PROSTATE BIOPSY $2,884.95 $6,411.00 $1,282.20–$5,769.90 — 55%
Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 HC RFA NERVE ROOT LUM SINGLE LEVEL $3,236.40 $7,192.00 $336.19–$27,467.00 32% below 55%
Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 HC ABLAT LUM/SAC NERVE SNGL LEVEL $3,236.40 $7,192.00 $336.19–$27,467.00 32% below 55%
Radiofrequency ablation of facet joint nerves, lower back, one level inpatient CPT 64635 HC ABLAT LUM/SAC NERVE SNGL LEVEL $3,236.40 $7,192.00 $1,438.40–$6,472.80 — 55%
Radiofrequency ablation of facet joint nerves, lower back, one level inpatient CPT 64635 HC RFA NERVE ROOT LUM SINGLE LEVEL $3,236.40 $7,192.00 $1,438.40–$6,472.80 — 55%
Removal of a breast lump, open surgery CPT 19120 HC EXCISION OF CYST, FIBROADENOMA OR OTHER BENIGN OR MAGLIGNANT TUMOR $5,964.30 $13,254.00 $362.44–$27,467.00 19% above 55%
Removal of a breast lump, open surgery inpatient CPT 19120 HC EXCISION OF CYST, FIBROADENOMA OR OTHER BENIGN OR MAGLIGNANT TUMOR $5,964.30 $13,254.00 $2,650.80–$11,928.60 — 55%
Removal of a foreign object under the skin, simple CPT 10120 HC INC & REM FB SUBQ TISSUE $1,096.65 $2,437.00 $98.33–$5,523.00 11% above 55%
Removal of a foreign object under the skin, simple inpatient CPT 10120 HC INC & REM FB SUBQ TISSUE $1,096.65 $2,437.00 $487.40–$2,193.30 — 55%
Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 HC COLORCTL CNCR SCRN NON HGH RSK $990.45 $2,201.00 $440.20–$27,467.00 58% below 55%
Screening colonoscopy for a person at average risk (Medicare code) inpatient HCPCS G0121 HC COLORCTL CNCR SCRN NON HGH RSK $990.45 $2,201.00 $440.20–$1,980.90 — 55%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 HC COLORECTAL CANCER SCRN HIGH RISK $990.45 $2,201.00 $440.20–$27,467.00 59% below 55%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) inpatient HCPCS G0105 HC COLORECTAL CANCER SCRN HIGH RISK $990.45 $2,201.00 $440.20–$1,980.90 — 55%
Short arm cast (elbow to hand) CPT 29075 HC APP OF SHORT ARM CAST $464.85 $1,033.00 $157.03–$5,523.00 7% below 55%
Short arm cast (elbow to hand) inpatient CPT 29075 HC APP OF SHORT ARM CAST $464.85 $1,033.00 $206.60–$929.70 — 55%
Short arm splint (forearm and hand) CPT 29125 HC APP OF SHORT ARM SPLINT MCARE COMM $739.35 $1,643.00 $106.04–$5,523.00 76% above 55%
Short arm splint (forearm and hand) CPT 29125 HC APP OF SHORT ARM SPLINT $739.35 $1,643.00 $106.04–$5,523.00 76% above 55%
Short arm splint (forearm and hand) CPT 29125 HC APP OF SHORT ARM SPLINT MCAL $739.35 $1,643.00 $106.04–$5,523.00 76% above 55%
Short arm splint (forearm and hand) inpatient CPT 29125 HC APP OF SHORT ARM SPLINT MCAL $739.35 $1,643.00 $328.60–$1,478.70 — 55%
Short arm splint (forearm and hand) inpatient CPT 29125 HC APP OF SHORT ARM SPLINT $739.35 $1,643.00 $328.60–$1,478.70 — 55%
Short arm splint (forearm and hand) inpatient CPT 29125 HC APP OF SHORT ARM SPLINT MCARE COMM $739.35 $1,643.00 $328.60–$1,478.70 — 55%
Short leg cast (below the knee) CPT 29405 HC APP SHORT LEG CAST $639.00 $1,420.00 $161.99–$5,523.00 28% above 55%
Short leg cast (below the knee) inpatient CPT 29405 HC APP SHORT LEG CAST $639.00 $1,420.00 $284.00–$1,278.00 — 55%
Short leg splint (calf to foot) CPT 29515 HC APP SHORT LEG SPLINT $787.95 $1,751.00 $107.52–$5,523.00 60% above 55%
Short leg splint (calf to foot) inpatient CPT 29515 HC APP SHORT LEG SPLINT $787.95 $1,751.00 $350.20–$1,575.90 — 55%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs one side CPT 12001 HC SIMP REP SUP WND LT 2.5 CM $1,013.40 $2,252.00 $120.38–$27,467.00 84% above 55%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient one side CPT 12001 HC SIMP REP SUP WND LT 2.5 CM $1,013.40 $2,252.00 $450.40–$2,026.80 — 55%
Skin biopsy, punch, one lesion CPT 11104 HC PUNCH BX SKIN SINGLE LESION $388.80 $864.00 $172.80–$27,467.00 46% below 55%
Skin biopsy, punch, one lesion inpatient CPT 11104 HC PUNCH BX SKIN SINGLE LESION $388.80 $864.00 $172.80–$777.60 — 55%
Skin tag removal, up to 15 tags CPT 11200 HC RMVL OF SKIN TAGS 1-15 LESIONS $278.55 $619.00 $54.44–$27,467.00 30% below 55%
Skin tag removal, up to 15 tags inpatient CPT 11200 HC RMVL OF SKIN TAGS 1-15 LESIONS $278.55 $619.00 $123.80–$557.10 — 55%
Spinal tap (lumbar puncture), diagnostic CPT 62270 HC SPINAL LUMBAR PUNCTURE DIAGNOSTIC $1,431.00 $3,180.00 $140.89–$27,467.00 8% above 55%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 HC SPINAL LUMBAR PUNCTURE DIAGNOSTIC $1,431.00 $3,180.00 $636.00–$2,862.00 — 55%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 HC SIMP REP SUP WND 2.6-7.5 CM $1,046.25 $2,325.00 $179.22–$27,467.00 40% above 55%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 HC SIMP REP SUP WND 2.6-7.5 CM $1,046.25 $2,325.00 $465.00–$2,092.50 — 55%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair one side CPT 12011 HC SIMP REP SUP WND LT 2.5CM FACE $1,008.90 $2,242.00 $125.51–$27,467.00 53% above 55%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient one side CPT 12011 HC SIMP REP SUP WND LT 2.5CM FACE $1,008.90 $2,242.00 $448.40–$2,017.80 — 55%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 HC TANGNTL BX SKIN SINGLE LESION $388.80 $864.00 $153.68–$27,467.00 30% below 55%
Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 HC TANGNTL BX SKIN SINGLE LESION $388.80 $864.00 $172.80–$777.60 — 55%
Thoracentesis with imaging guidance CPT 32555 HC THORACENTESIS ASPIRATN W GUID $2,593.80 $5,764.00 $158.81–$27,467.00 28% above 55%
Thoracentesis with imaging guidance inpatient CPT 32555 HC THORACENTESIS ASPIRATN W GUID $2,593.80 $5,764.00 $1,152.80–$5,187.60 — 55%
Trigger point injections, 1 or 2 muscles CPT 20552 HC INJECT TRIGGER POINT 1 OR 2 $868.50 $1,930.00 $90.28–$27,467.00 36% above 55%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 HC INJECT TRIGGER POINT 1 OR 2 $868.50 $1,930.00 $386.00–$1,737.00 — 55%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 HC BX BREAST 1ST LESION US IMAG $2,997.00 $6,660.00 $1,055.94–$27,467.00 7% below 55%
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 HC BX BREAST 1ST LESION US IMAG $2,997.00 $6,660.00 $1,332.00–$5,994.00 — 55%
Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 HC EGD W BLLN DLTN ESO $1,932.30 $4,294.00 $400.00–$6,587.00 21% below 55%
Upper endoscopy (EGD) with balloon widening of the esophagus inpatient CPT 43249 HC EGD W BLLN DLTN ESO $1,932.30 $4,294.00 $858.80–$3,864.60 — 55%
Upper endoscopy (EGD) with biopsy CPT 43239 HC EGD W BX SNGL OR MULTI $2,613.60 $5,808.00 $400.00–$6,587.00 48% above 55%
Upper endoscopy (EGD) with biopsy inpatient CPT 43239 HC EGD W BX SNGL OR MULTI $2,613.60 $5,808.00 $1,161.60–$5,227.20 — 55%
Upper endoscopy (EGD) with injection into the lining CPT 43236 HC BOTOX INJECTION $2,019.15 $4,487.00 $418.15–$27,467.00 8% above 55%
Upper endoscopy (EGD) with injection into the lining CPT 43236 HC EGD DIAG W/SUBMUC INJ ANY SUBSTANCE $2,019.15 $4,487.00 $418.15–$27,467.00 8% above 55%
Upper endoscopy (EGD) with injection into the lining inpatient CPT 43236 HC BOTOX INJECTION $2,019.15 $4,487.00 $897.40–$4,038.30 — 55%
Upper endoscopy (EGD) with injection into the lining inpatient CPT 43236 HC EGD DIAG W/SUBMUC INJ ANY SUBSTANCE $2,019.15 $4,487.00 $897.40–$4,038.30 — 55%
Upper endoscopy (EGD) with polyp removal by snare CPT 43251 HC EGD W/REMOV TUMOR/POLYP/LESION $1,597.95 $3,551.00 $710.20–$27,467.00 51% below 55%
Upper endoscopy (EGD) with polyp removal by snare inpatient CPT 43251 HC EGD W/REMOV TUMOR/POLYP/LESION $1,597.95 $3,551.00 $710.20–$3,195.90 — 55%
Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 HC EGD W/INSRT GIDE WIRE $1,779.75 $3,955.00 $254.22–$27,467.00 5% below 55%
Upper endoscopy (EGD) with widening of the esophagus over a guide wire inpatient CPT 43248 HC EGD W/INSRT GIDE WIRE $1,779.75 $3,955.00 $791.00–$3,559.50 — 55%
Upper endoscopy (EGD), diagnostic CPT 43235 HC EGD DIAG W/ OR W/O COLLECTION $2,019.15 $4,487.00 $400.00–$6,587.00 8% above 55%
Upper endoscopy (EGD), diagnostic CPT 43235 HC EGD DIAG W WO COLLECTION $2,019.15 $4,487.00 $400.00–$6,587.00 8% above 55%
Upper endoscopy (EGD), diagnostic inpatient CPT 43235 HC EGD DIAG W/ OR W/O COLLECTION $2,019.15 $4,487.00 $897.40–$4,038.30 — 55%
Upper endoscopy (EGD), diagnostic inpatient CPT 43235 HC EGD DIAG W WO COLLECTION $2,019.15 $4,487.00 $897.40–$4,038.30 — 55%
Upper endoscopy with drainage of a pseudocyst through the stomach wall CPT 43240 HC EGD W/TRNSMRL DRNG/ PSEUDOCYST $2,577.60 $5,728.00 $601.93–$27,467.00 64% below 55%
Upper endoscopy with drainage of a pseudocyst through the stomach wall inpatient CPT 43240 HC EGD W/TRNSMRL DRNG/ PSEUDOCYST $2,577.60 $5,728.00 $1,145.60–$5,155.20 — 55%
Ureteroscopy with laser stone breaking and stent placement CPT 52356 HC CYSTOURETHRO W LITHO INC STNT $7,822.35 $17,383.00 $400.00–$15,644.70 35% below 55%
Ureteroscopy with laser stone breaking and stent placement inpatient CPT 52356 HC CYSTOURETHRO W LITHO INC STNT $7,822.35 $17,383.00 $3,476.60–$15,644.70 — 55%
Vaginal delivery, including prenatal and postpartum care CPT 59400 HC VAG DEL PLUS ANTE/POST PARTUM $4,168.80 $9,264.00 $581.00–$12,884.97 48% above 55%
Vaginal delivery, including prenatal and postpartum care inpatient CPT 59400 HC VAG DEL PLUS ANTE/POST PARTUM $4,168.80 $9,264.00 $1,852.80–$8,337.60 — 55%
Vein ablation, radiofrequency, first vein CPT 36475 HC ENOVENOUS ABLATION THERAPY $8,567.10 $19,038.00 $3,421.42–$27,467.00 at median 55%
Vein ablation, radiofrequency, first vein inpatient CPT 36475 HC ENOVENOUS ABLATION THERAPY $8,567.10 $19,038.00 $3,807.60–$17,134.20 — 55%
Wart removal, up to 14 warts CPT 17110 HC DEST FLAT WARTS UP TO 14 LESIONS $270.45 $601.00 $120.20–$5,523.00 25% below 55%
Wart removal, up to 14 warts inpatient CPT 17110 HC DEST FLAT WARTS UP TO 14 LESIONS $270.45 $601.00 $120.20–$540.90 — 55%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 HC DEB SKIN & SUBQ TISSUE $1,053.45 $2,341.00 $178.66–$27,467.00 55% above 55%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 HC DEB SKIN & SUBQ TISSUE $1,053.45 $2,341.00 $468.20–$2,106.90 — 55%

Doctor visits and therapy

ProcedureCash priceList priceInsurers payvs CaliforniaOff list
Blood transfusion (giving blood or blood components) CPT 36430 HC TRANSFUS BLOOD OR BLOOD COMPONENT $1,525.95 $3,391.00 $229.60–$5,523.00 75% above 55%
Blood transfusion (giving blood or blood components) CPT 36430 HC TRANSFUS BLOOD/BLOOD COMPONENT $1,525.95 $3,391.00 $229.60–$5,523.00 75% above 55%
Blood transfusion (giving blood or blood components) CPT 36430 HC TRANSFUS BLOOD OR BLOOD COMPONENTS $1,525.95 $3,391.00 $229.60–$5,523.00 75% above 55%
Blood transfusion (giving blood or blood components) CPT 36430 HC TRANSFUSION BLOOD OR BLOOD COMPONENTS $1,525.95 $3,391.00 $229.60–$5,523.00 75% above 55%
Blood transfusion (giving blood or blood components) CPT 36430 HC BLOOD ADMINISTRATION $1,525.95 $3,391.00 $229.60–$5,523.00 75% above 55%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 HC TRANSFUS BLOOD OR BLOOD COMPONENTS $1,525.95 $3,391.00 $678.20–$3,051.90 — 55%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 HC TRANSFUSION BLOOD OR BLOOD COMPONENTS $1,525.95 $3,391.00 $678.20–$3,051.90 — 55%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 HC BLOOD ADMINISTRATION $1,525.95 $3,391.00 $678.20–$3,051.90 — 55%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 HC TRANSFUS BLOOD/BLOOD COMPONENT $1,525.95 $3,391.00 $678.20–$3,051.90 — 55%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 HC TRANSFUS BLOOD OR BLOOD COMPONENT $1,525.95 $3,391.00 $678.20–$3,051.90 — 55%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC IPV INITIAL $258.75 $575.00 $20.12–$536.00 20% below 55%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC AERO INHAL SVN INITIAL $258.75 $575.00 $20.12–$27,467.00 20% below 55%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC IPV SUB $258.75 $575.00 $20.12–$536.00 20% below 55%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC AERO INHAL MDI/DPI SUB $258.75 $575.00 $20.12–$536.00 20% below 55%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC AERO INHAL SPUTUM IND INITIAL $258.75 $575.00 $20.12–$536.00 20% below 55%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC AERO INHAL SPUTUM IND SUB $258.75 $575.00 $20.12–$536.00 20% below 55%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC AERO INHAL SVN SUB $258.75 $575.00 $20.12–$536.00 20% below 55%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC AERO INHAL MDI/DPI INITIAL $258.75 $575.00 $20.12–$536.00 20% below 55%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC AERO INHAL MDI/DPI SUB $258.75 $575.00 $115.00–$517.50 — 55%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC AERO INHAL SVN SUB $258.75 $575.00 $115.00–$517.50 — 55%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC AERO INHAL SPUTUM IND INITIAL $258.75 $575.00 $115.00–$517.50 — 55%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC AERO INHAL SVN INITIAL $258.75 $575.00 $115.00–$517.50 — 55%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC IPV SUB $258.75 $575.00 $115.00–$517.50 — 55%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC IPV INITIAL $258.75 $575.00 $115.00–$517.50 — 55%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC AERO INHAL SPUTUM IND SUB $258.75 $575.00 $115.00–$517.50 — 55%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC AERO INHAL MDI/DPI INITIAL $258.75 $575.00 $115.00–$517.50 — 55%
Chemotherapy IV infusion, first hour CPT 96413 HC CHEMO INFUSION INITIAL $794.70 $1,766.00 $54.32–$1,589.40 9% below 55%
Chemotherapy IV infusion, first hour inpatient CPT 96413 HC CHEMO INFUSION INITIAL $794.70 $1,766.00 $353.20–$1,589.40 — 55%
Critical care, first 30 to 74 minutes CPT 99291 HC CRITICAL CARE E&M 30-74 MIN $7,501.95 $16,671.00 $231.04–$15,003.90 37% above 55%
Critical care, first 30 to 74 minutes inpatient CPT 99291 HC CRITICAL CARE E&M 30-74 MIN $7,501.95 $16,671.00 $3,334.20–$15,003.90 — 55%
EEG (brain wave test), awake and drowsy, routine CPT 95816 HC EEG,AWAKE/DROWSY $1,330.65 $2,957.00 $130.00–$2,661.30 30% above 55%
EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 HC EEG,AWAKE/DROWSY $1,330.65 $2,957.00 $591.40–$2,661.30 — 55%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 HC ECG TRACING ONLY RSPC CH $524.25 $1,165.00 $28.21–$1,048.50 55% above 55%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 HC ECG TRACING ONLY RSPC MC $524.25 $1,165.00 $28.21–$1,048.50 55% above 55%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 HC ECG TRACING ONLY RSPC HSH $524.25 $1,165.00 $28.21–$1,048.50 55% above 55%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 HC ECG TRACING ONLY RSPC EC $524.25 $1,165.00 $28.21–$1,048.50 55% above 55%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 HC ECG TRACING ONLY $524.25 $1,165.00 $28.21–$1,048.50 55% above 55%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 HC ECG TRACING ONLY RSPC CH $524.25 $1,165.00 $233.00–$1,048.50 — 55%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 HC ECG TRACING ONLY RSPC EC $524.25 $1,165.00 $233.00–$1,048.50 — 55%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 HC ECG TRACING ONLY RSPC HSH $524.25 $1,165.00 $233.00–$1,048.50 — 55%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 HC ECG TRACING ONLY RSPC MC $524.25 $1,165.00 $233.00–$1,048.50 — 55%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 HC ECG TRACING ONLY $524.25 $1,165.00 $233.00–$1,048.50 — 55%
Electroconvulsive therapy (ECT), one session CPT 90870 HC ELECTROCONVULSIVE THERAPY $1,298.70 $2,886.00 $130.32–$2,597.40 46% below 55%
Electroconvulsive therapy (ECT), one session inpatient CPT 90870 HC ELECTROCONVULSIVE THERAPY $1,298.70 $2,886.00 $577.20–$2,597.40 — 55%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 HC ED EVAL & MGMT $600.30 $1,334.00 $28.84–$2,696.00 43% above 55%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 HC ED EVAL & MGMT $600.30 $1,334.00 $266.80–$1,200.60 — 55%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 HC ED EVAL & MGMT MINOR $903.60 $2,008.00 $36.48–$2,696.00 4% above 55%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 HC ED EVAL & MGMT MINOR $903.60 $2,008.00 $401.60–$1,807.20 — 55%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 HC ED EVAL & MGMT LOW $1,486.35 $3,303.00 $84.74–$3,390.00 1% below 55%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 HC ED EVAL & MGMT LOW $1,486.35 $3,303.00 $660.60–$2,972.70 — 55%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 HC ED EVAL & MGMT MODERATE $2,069.10 $4,598.00 $102.28–$6,324.00 24% below 55%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 HC ED EVAL & MGMT MODERATE $2,069.10 $4,598.00 $919.60–$4,138.20 — 55%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HC ED EVAL & MGMT HIGH $3,167.10 $7,038.00 $205.35–$6,334.20 11% below 55%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 HC ED EVAL & MGMT HIGH $3,167.10 $7,038.00 $1,407.60–$6,334.20 — 55%
Exercise stress test, tracing only, the hospital charge CPT 93017 HC CARDIAC STRESS TEST $1,956.60 $4,348.00 $90.30–$3,913.20 39% above 55%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 HC CARDIAC STRESS TEST $1,956.60 $4,348.00 $869.60–$3,913.20 — 55%
Family therapy with the patient, 50 minutes CPT 90847 HC PHP MURR YOUTH IOP FAMILY THERAPY $161.55 $359.00 $71.80–$797.64 53% below 55%
Family therapy with the patient, 50 minutes CPT 90847 HC FAMILY PSYCH W PT 50 MIN $227.25 $505.00 $87.72–$797.64 34% below 55%
Family therapy with the patient, 50 minutes CPT 90847 HC PHP MURRIETA FAMILY THERAPY $238.05 $529.00 $87.72–$800.00 30% below 55%
Family therapy with the patient, 50 minutes CPT 90847 HC PHP YOUTH FAMILY THERAPY $238.05 $529.00 $87.72–$800.00 30% below 55%
Family therapy with the patient, 50 minutes CPT 90847 HC PHP MURR IOP FAMILY THERAPY $238.05 $529.00 $87.72–$797.64 30% below 55%
Family therapy with the patient, 50 minutes CPT 90847 HC PHP YOUTH IOP FAMILY THERAPY $238.05 $529.00 $87.72–$797.64 30% below 55%
Family therapy with the patient, 50 minutes CPT 90847 HC ED FAMILY THERAPY WITH PATIENT $248.85 $553.00 $87.72–$797.64 27% below 55%
Family therapy with the patient, 50 minutes CPT 90847 HC FAMILY THERAPY WITH PATIENT $248.85 $553.00 $87.72–$800.00 27% below 55%
Family therapy with the patient, 50 minutes CPT 90847 HC IOP ED FAMILY THERAPY W PATIENT $248.85 $553.00 $87.72–$797.64 27% below 55%
Family therapy with the patient, 50 minutes inpatient CPT 90847 HC PHP MURR YOUTH IOP FAMILY THERAPY $161.55 $359.00 $71.80–$323.10 — 55%
Family therapy with the patient, 50 minutes inpatient CPT 90847 HC FAMILY PSYCH W PT 50 MIN $227.25 $505.00 $101.00–$454.50 — 55%
Family therapy with the patient, 50 minutes inpatient CPT 90847 HC PHP YOUTH IOP FAMILY THERAPY $238.05 $529.00 $105.80–$476.10 — 55%
Family therapy with the patient, 50 minutes inpatient CPT 90847 HC PHP MURRIETA FAMILY THERAPY $238.05 $529.00 $105.80–$476.10 — 55%
Family therapy with the patient, 50 minutes inpatient CPT 90847 HC PHP YOUTH FAMILY THERAPY $238.05 $529.00 $105.80–$476.10 — 55%
Family therapy with the patient, 50 minutes inpatient CPT 90847 HC PHP MURR IOP FAMILY THERAPY $238.05 $529.00 $105.80–$476.10 — 55%
Family therapy with the patient, 50 minutes inpatient CPT 90847 HC IOP ED FAMILY THERAPY W PATIENT $248.85 $553.00 $110.60–$497.70 — 55%
Family therapy with the patient, 50 minutes inpatient CPT 90847 HC ED FAMILY THERAPY WITH PATIENT $248.85 $553.00 $110.60–$497.70 — 55%
Family therapy with the patient, 50 minutes inpatient CPT 90847 HC FAMILY THERAPY WITH PATIENT $248.85 $553.00 $110.60–$497.70 — 55%
Family therapy without the patient, 50 minutes CPT 90846 HC FAMILY PSYCH WO PT 50 MIN $217.35 $483.00 $96.60–$797.64 37% below 55%
Family therapy without the patient, 50 minutes inpatient CPT 90846 HC FAMILY PSYCH WO PT 50 MIN $217.35 $483.00 $96.60–$434.70 — 55%
Group psychotherapy session CPT 90853 HC IOP OT TASK GROUP $107.55 $239.00 $41.21–$610.00 62% below 55%
Group psychotherapy session CPT 90853 HC PHP YOUTH IOP HEALTH EDUCATION $117.90 $262.00 $41.21–$824.00 59% below 55%
Group psychotherapy session CPT 90853 HC PHP MURR YOUTH IOP OCCUPATIONAL THERAPY $117.90 $262.00 $41.21–$610.00 59% below 55%
Group psychotherapy session CPT 90853 HC PHP MURR YOUTH IOP COGNITIVE THERAPY $117.90 $262.00 $41.21–$610.00 59% below 55%
Group psychotherapy session CPT 90853 HC PHP MURR YOUTH IOP COPING RECOVERY $117.90 $262.00 $41.21–$610.00 59% below 55%
Group psychotherapy session CPT 90853 HC PHP MURRIETA OCCUPATIONAL THERAPY $117.90 $262.00 $41.21–$800.00 59% below 55%
Group psychotherapy session CPT 90853 HC PHP SHIELD GROUP $117.90 $262.00 $41.21–$800.00 59% below 55%
Group psychotherapy session CPT 90853 HC PHP YOUTH IOP COGNITIVE THERAPY $117.90 $262.00 $41.21–$610.00 59% below 55%
Group psychotherapy session CPT 90853 HC PHP MURR IOP OCCUPATIONAL THERAPY $117.90 $262.00 $41.21–$610.00 59% below 55%
Group psychotherapy session CPT 90853 HC PHP WISDOM GROUP $135.45 $301.00 $41.21–$800.00 53% below 55%
Group psychotherapy session CPT 90853 HC ED OT TASK GROUP $161.55 $359.00 $41.21–$800.00 44% below 55%
Group psychotherapy session CPT 90853 HC PHP YOUTH OCCUPATIONAL THERAPY $168.30 $374.00 $41.21–$800.00 41% below 55%
Group psychotherapy session CPT 90853 HC PHP MURR YOUTH IOP PROCESS $168.30 $374.00 $41.21–$610.00 41% below 55%
Group psychotherapy session CPT 90853 HC PHP YOUTH MULTI FAMILY $168.30 $374.00 $41.21–$800.00 41% below 55%
Group psychotherapy session CPT 90853 HC PHP YOUTH MENTAL HEALTH ED $168.30 $374.00 $41.21–$800.00 41% below 55%
Group psychotherapy session CPT 90853 HC PHP YOUTH IOP COPING RECOVERY $168.30 $374.00 $41.21–$610.00 41% below 55%
Group psychotherapy session CPT 90853 HC PHP YOUTH HEALTH EDUCATION $168.30 $374.00 $41.21–$800.00 41% below 55%
Group psychotherapy session CPT 90853 HC PHP YOUTH IOP MENTAL HEALTH ED $168.30 $374.00 $41.21–$610.00 41% below 55%
Group psychotherapy session CPT 90853 HC PHP YOUTH COPING RECOVERY $168.30 $374.00 $41.21–$800.00 41% below 55%
Group psychotherapy session CPT 90853 HC PHP YOUTH IOP MULTI FAMILY $168.30 $374.00 $41.21–$610.00 41% below 55%
Group psychotherapy session CPT 90853 HC PHP YOUTH IOP OCCUPATIONAL THERAPY $168.30 $374.00 $41.21–$610.00 41% below 55%
Group psychotherapy session CPT 90853 HC PHP MURR YOUTH IOP HEALTH EDUCATION $168.30 $374.00 $41.21–$824.00 41% below 55%
Group psychotherapy session CPT 90853 HC PHP MURR IOP MENTAL HEALTH ED $168.30 $374.00 $41.21–$610.00 41% below 55%
Group psychotherapy session CPT 90853 HC ADULT IOP MEND GROUP $168.30 $374.00 $41.21–$610.00 41% below 55%
Group psychotherapy session CPT 90853 HC ADOLESCENT IOP MEND GROUP $168.30 $374.00 $41.21–$610.00 41% below 55%
Group psychotherapy session CPT 90853 HC SVC STRESS MANAGEMENT $168.30 $374.00 $41.21–$800.00 41% below 55%
Group psychotherapy session CPT 90853 HC PHP MURR IOP PROCESS $168.30 $374.00 $41.21–$610.00 41% below 55%
Group psychotherapy session CPT 90853 HC SVC MENTAL HEALTH EDUCATION $168.30 $374.00 $41.21–$800.00 41% below 55%
Group psychotherapy session CPT 90853 HC SVC HEALTH EDUCATION $168.30 $374.00 $41.21–$800.00 41% below 55%
Group psychotherapy session CPT 90853 HC PHP MURR YOUTH IOP MENTAL HEALTH ED $168.30 $374.00 $41.21–$610.00 41% below 55%
Group psychotherapy session CPT 90853 HC PHP MURR YOUTH IOP MULTI FAMILY $168.30 $374.00 $41.21–$610.00 41% below 55%
Group psychotherapy session CPT 90853 HC SVC COPING SKILLS $168.30 $374.00 $41.21–$800.00 41% below 55%
Group psychotherapy session CPT 90853 HC PHP MURR IOP COGNITIVE THERAPY $168.30 $374.00 $41.21–$610.00 41% below 55%
Group psychotherapy session CPT 90853 HC SVC ANGER-PROBLEM SOLVING $168.30 $374.00 $41.21–$800.00 41% below 55%
Group psychotherapy session CPT 90853 HC PHP MURR IOP COPING RECOVERY $168.30 $374.00 $41.21–$610.00 41% below 55%
Group psychotherapy session CPT 90853 HC PHP YOUTH PROCESS $168.30 $374.00 $41.21–$800.00 41% below 55%
Group psychotherapy session CPT 90853 HC PHP MURRIETA HEALTH EDUCATION $168.30 $374.00 $41.21–$800.00 41% below 55%
Group psychotherapy session CPT 90853 HC PHP MURRIETA COPING RECOVERY $168.30 $374.00 $41.21–$800.00 41% below 55%
Group psychotherapy session CPT 90853 HC PHP MURRIETA COGNITIVE THERAPY $168.30 $374.00 $41.21–$800.00 41% below 55%
Group psychotherapy session CPT 90853 HC PHP MEND GROUP $168.30 $374.00 $41.21–$800.00 41% below 55%
Group psychotherapy session CPT 90853 HC PHP YOUTH-COGNITIVE THERAPY $168.30 $374.00 $41.21–$800.00 41% below 55%
Group psychotherapy session CPT 90853 HC OT TASK GROUP $168.30 $374.00 $41.21–$800.00 41% below 55%
Group psychotherapy session CPT 90853 HC IOP SHIELD GROUP $168.30 $374.00 $41.21–$610.00 41% below 55%
Group psychotherapy session CPT 90853 HC EDUCATION MENTAL HEALTH $168.30 $374.00 $41.21–$800.00 41% below 55%
Group psychotherapy session CPT 90853 HC PHP YOUTH IOP PROCESS $168.30 $374.00 $41.21–$610.00 41% below 55%
Group psychotherapy session CPT 90853 HC PHP MURRIETA PROCESS $168.30 $374.00 $41.21–$800.00 41% below 55%
Group psychotherapy session CPT 90853 HC TRMNT ANGER-PROBLEM SOLVING $168.30 $374.00 $41.21–$610.00 41% below 55%
Group psychotherapy session CPT 90853 HC PHP MURRIETA MENTAL HEALTH ED $168.30 $374.00 $41.21–$800.00 41% below 55%
Group psychotherapy session CPT 90853 HC SVC ED HEALTH EDUCATION $173.25 $385.00 $41.21–$800.00 39% below 55%
Group psychotherapy session CPT 90853 HC TRMNT ED HEALTH EDUCATION $173.25 $385.00 $41.21–$610.00 39% below 55%
Group psychotherapy session CPT 90853 HC TRMNT MENTAL HEALTH EDUCATION $173.25 $385.00 $41.21–$610.00 39% below 55%
Group psychotherapy session CPT 90853 HC TRMNT ED MENTAL HEALTH EDUCATION $173.25 $385.00 $41.21–$610.00 39% below 55%
Group psychotherapy session CPT 90853 HC EDUCATION ED MENTAL HEALTH $173.25 $385.00 $41.21–$824.00 39% below 55%
Group psychotherapy session CPT 90853 HC SVC ED MENTAL HEALTH EDUCATION $173.25 $385.00 $41.21–$800.00 39% below 55%
Group psychotherapy session CPT 90853 HC IOP CONNECTION GROUP $175.95 $391.00 $41.21–$610.00 38% below 55%
Group psychotherapy session CPT 90853 HC INDIV THERAPY $175.95 $391.00 $41.21–$800.00 38% below 55%
Group psychotherapy session CPT 90853 HC IOP PROCESS GROUP $193.50 $430.00 $41.21–$610.00 32% below 55%
Group psychotherapy session CPT 90853 HC IOP WISDOM GROUP $193.50 $430.00 $41.21–$610.00 32% below 55%
Group psychotherapy session CPT 90853 HC GROUP PSYCHOTHERAPY-MOTIVATION $193.50 $430.00 $41.21–$800.00 32% below 55%
Group psychotherapy session CPT 90853 HC INTERACTIVE GROUP THERAPY $193.50 $430.00 $41.21–$800.00 32% below 55%
Group psychotherapy session CPT 90853 HC PHP COGNITIVE THERAPY $193.50 $430.00 $41.21–$800.00 32% below 55%
Group psychotherapy session CPT 90853 HC IOP COGNITIVE THERAPY $193.50 $430.00 $41.21–$610.00 32% below 55%
Group psychotherapy session CPT 90853 HC IOP COPING SKILLS $193.50 $430.00 $41.21–$610.00 32% below 55%
Group psychotherapy session CPT 90853 HC IOP ED PROCESS GROUP $199.35 $443.00 $41.21–$610.00 30% below 55%
Group psychotherapy session CPT 90853 HC PHP ED PROCESS GROUP $199.35 $443.00 $41.21–$800.00 30% below 55%
Group psychotherapy session CPT 90853 HC IOP ED COGNITIVE THERAPY $199.35 $443.00 $41.21–$610.00 30% below 55%
Group psychotherapy session CPT 90853 HC ED INTERACTIVE GROUP THERAPY $199.35 $443.00 $41.21–$800.00 30% below 55%
Group psychotherapy session CPT 90853 HC IOP ED COPING SKILLS $199.35 $443.00 $41.21–$610.00 30% below 55%
Group psychotherapy session CPT 90853 HC GROUP THERAPY 60 MIN $237.60 $528.00 $41.21–$475.20 17% below 55%
Group psychotherapy session CPT 90853 HC GROUP PSYCH NOT MULTI FAMILY $237.60 $528.00 $41.21–$475.20 17% below 55%
Group psychotherapy session CPT 90853 HC INTENSIVE OP SHIELD/ADOL/CHILD $352.80 $784.00 $41.21–$705.60 23% above 55%
Group psychotherapy session CPT 90853 HC ED INTENSIVE OUT (ADOL) $358.20 $796.00 $41.21–$716.40 25% above 55%
Group psychotherapy session CPT 90853 HC RECOVERY INTENSIVE OP $499.50 $1,110.00 $41.21–$999.00 75% above 55%
Group psychotherapy session CPT 90853 HC RECOVERY PART HOSP-FULL(12HRS) $833.40 $1,852.00 $41.21–$1,666.80 191% above 55%
Group psychotherapy session inpatient CPT 90853 HC IOP OT TASK GROUP $107.55 $239.00 $47.80–$215.10 — 55%
Group psychotherapy session inpatient CPT 90853 HC PHP YOUTH IOP HEALTH EDUCATION $117.90 $262.00 $52.40–$235.80 — 55%
Group psychotherapy session inpatient CPT 90853 HC PHP MURR YOUTH IOP COPING RECOVERY $117.90 $262.00 $52.40–$235.80 — 55%
Group psychotherapy session inpatient CPT 90853 HC PHP MURR YOUTH IOP OCCUPATIONAL THERAPY $117.90 $262.00 $52.40–$235.80 — 55%
Group psychotherapy session inpatient CPT 90853 HC PHP MURRIETA OCCUPATIONAL THERAPY $117.90 $262.00 $52.40–$235.80 — 55%
Group psychotherapy session inpatient CPT 90853 HC PHP SHIELD GROUP $117.90 $262.00 $52.40–$235.80 — 55%
Group psychotherapy session inpatient CPT 90853 HC PHP MURR IOP OCCUPATIONAL THERAPY $117.90 $262.00 $52.40–$235.80 — 55%
Group psychotherapy session inpatient CPT 90853 HC PHP MURR YOUTH IOP COGNITIVE THERAPY $117.90 $262.00 $52.40–$235.80 — 55%
Group psychotherapy session inpatient CPT 90853 HC PHP YOUTH IOP COGNITIVE THERAPY $117.90 $262.00 $52.40–$235.80 — 55%
Group psychotherapy session inpatient CPT 90853 HC PHP WISDOM GROUP $135.45 $301.00 $60.20–$270.90 — 55%
Group psychotherapy session inpatient CPT 90853 HC ED OT TASK GROUP $161.55 $359.00 $71.80–$323.10 — 55%
Group psychotherapy session inpatient CPT 90853 HC PHP MURR YOUTH IOP HEALTH EDUCATION $168.30 $374.00 $74.80–$336.60 — 55%
Group psychotherapy session inpatient CPT 90853 HC EDUCATION MENTAL HEALTH $168.30 $374.00 $74.80–$336.60 — 55%
Group psychotherapy session inpatient CPT 90853 HC OT TASK GROUP $168.30 $374.00 $74.80–$336.60 — 55%
Group psychotherapy session inpatient CPT 90853 HC PHP YOUTH-COGNITIVE THERAPY $168.30 $374.00 $74.80–$336.60 — 55%
Group psychotherapy session inpatient CPT 90853 HC PHP MURR IOP COGNITIVE THERAPY $168.30 $374.00 $74.80–$336.60 — 55%
Group psychotherapy session inpatient CPT 90853 HC PHP MEND GROUP $168.30 $374.00 $74.80–$336.60 — 55%
Group psychotherapy session inpatient CPT 90853 HC PHP MURRIETA COGNITIVE THERAPY $168.30 $374.00 $74.80–$336.60 — 55%
Group psychotherapy session inpatient CPT 90853 HC PHP MURRIETA COPING RECOVERY $168.30 $374.00 $74.80–$336.60 — 55%
Group psychotherapy session inpatient CPT 90853 HC PHP MURRIETA HEALTH EDUCATION $168.30 $374.00 $74.80–$336.60 — 55%
Group psychotherapy session inpatient CPT 90853 HC PHP MURRIETA MENTAL HEALTH ED $168.30 $374.00 $74.80–$336.60 — 55%
Group psychotherapy session inpatient CPT 90853 HC TRMNT ANGER-PROBLEM SOLVING $168.30 $374.00 $74.80–$336.60 — 55%
Group psychotherapy session inpatient CPT 90853 HC PHP YOUTH IOP PROCESS $168.30 $374.00 $74.80–$336.60 — 55%
Group psychotherapy session inpatient CPT 90853 HC PHP MURRIETA PROCESS $168.30 $374.00 $74.80–$336.60 — 55%
Group psychotherapy session inpatient CPT 90853 HC PHP YOUTH IOP OCCUPATIONAL THERAPY $168.30 $374.00 $74.80–$336.60 — 55%
Group psychotherapy session inpatient CPT 90853 HC PHP YOUTH IOP MULTI FAMILY $168.30 $374.00 $74.80–$336.60 — 55%
Group psychotherapy session inpatient CPT 90853 HC PHP YOUTH IOP MENTAL HEALTH ED $168.30 $374.00 $74.80–$336.60 — 55%
Group psychotherapy session inpatient CPT 90853 HC PHP YOUTH COPING RECOVERY $168.30 $374.00 $74.80–$336.60 — 55%
Group psychotherapy session inpatient CPT 90853 HC PHP YOUTH IOP COPING RECOVERY $168.30 $374.00 $74.80–$336.60 — 55%
Group psychotherapy session inpatient CPT 90853 HC PHP YOUTH HEALTH EDUCATION $168.30 $374.00 $74.80–$336.60 — 55%
Group psychotherapy session inpatient CPT 90853 HC PHP YOUTH MENTAL HEALTH ED $168.30 $374.00 $74.80–$336.60 — 55%
Group psychotherapy session inpatient CPT 90853 HC PHP MURR YOUTH IOP PROCESS $168.30 $374.00 $74.80–$336.60 — 55%
Group psychotherapy session inpatient CPT 90853 HC PHP YOUTH MULTI FAMILY $168.30 $374.00 $74.80–$336.60 — 55%
Group psychotherapy session inpatient CPT 90853 HC PHP YOUTH OCCUPATIONAL THERAPY $168.30 $374.00 $74.80–$336.60 — 55%
Group psychotherapy session inpatient CPT 90853 HC IOP SHIELD GROUP $168.30 $374.00 $74.80–$336.60 — 55%
Group psychotherapy session inpatient CPT 90853 HC PHP YOUTH PROCESS $168.30 $374.00 $74.80–$336.60 — 55%
Group psychotherapy session inpatient CPT 90853 HC SVC ANGER-PROBLEM SOLVING $168.30 $374.00 $74.80–$336.60 — 55%
Group psychotherapy session inpatient CPT 90853 HC PHP MURR YOUTH IOP MULTI FAMILY $168.30 $374.00 $74.80–$336.60 — 55%
Group psychotherapy session inpatient CPT 90853 HC SVC COPING SKILLS $168.30 $374.00 $74.80–$336.60 — 55%
Group psychotherapy session inpatient CPT 90853 HC PHP MURR YOUTH IOP MENTAL HEALTH ED $168.30 $374.00 $74.80–$336.60 — 55%
Group psychotherapy session inpatient CPT 90853 HC SVC HEALTH EDUCATION $168.30 $374.00 $74.80–$336.60 — 55%
Group psychotherapy session inpatient CPT 90853 HC PHP MURR IOP PROCESS $168.30 $374.00 $74.80–$336.60 — 55%
Group psychotherapy session inpatient CPT 90853 HC SVC MENTAL HEALTH EDUCATION $168.30 $374.00 $74.80–$336.60 — 55%
Group psychotherapy session inpatient CPT 90853 HC SVC STRESS MANAGEMENT $168.30 $374.00 $74.80–$336.60 — 55%
Group psychotherapy session inpatient CPT 90853 HC PHP MURR IOP MENTAL HEALTH ED $168.30 $374.00 $74.80–$336.60 — 55%
Group psychotherapy session inpatient CPT 90853 HC ADOLESCENT IOP MEND GROUP $168.30 $374.00 $74.80–$336.60 — 55%
Group psychotherapy session inpatient CPT 90853 HC ADULT IOP MEND GROUP $168.30 $374.00 $74.80–$336.60 — 55%
Group psychotherapy session inpatient CPT 90853 HC PHP MURR IOP COPING RECOVERY $168.30 $374.00 $74.80–$336.60 — 55%
Group psychotherapy session inpatient CPT 90853 HC SVC ED MENTAL HEALTH EDUCATION $173.25 $385.00 $77.00–$346.50 — 55%
Group psychotherapy session inpatient CPT 90853 HC SVC ED HEALTH EDUCATION $173.25 $385.00 $77.00–$346.50 — 55%
Group psychotherapy session inpatient CPT 90853 HC EDUCATION ED MENTAL HEALTH $173.25 $385.00 $77.00–$346.50 — 55%
Group psychotherapy session inpatient CPT 90853 HC TRMNT ED HEALTH EDUCATION $173.25 $385.00 $77.00–$346.50 — 55%
Group psychotherapy session inpatient CPT 90853 HC TRMNT MENTAL HEALTH EDUCATION $173.25 $385.00 $77.00–$346.50 — 55%
Group psychotherapy session inpatient CPT 90853 HC TRMNT ED MENTAL HEALTH EDUCATION $173.25 $385.00 $77.00–$346.50 — 55%
Group psychotherapy session inpatient CPT 90853 HC INDIV THERAPY $175.95 $391.00 $78.20–$351.90 — 55%
Group psychotherapy session inpatient CPT 90853 HC IOP CONNECTION GROUP $175.95 $391.00 $78.20–$351.90 — 55%
Group psychotherapy session inpatient CPT 90853 HC IOP WISDOM GROUP $193.50 $430.00 $86.00–$387.00 — 55%
Group psychotherapy session inpatient CPT 90853 HC INTERACTIVE GROUP THERAPY $193.50 $430.00 $86.00–$387.00 — 55%
Group psychotherapy session inpatient CPT 90853 HC GROUP PSYCHOTHERAPY-MOTIVATION $193.50 $430.00 $86.00–$387.00 — 55%
Group psychotherapy session inpatient CPT 90853 HC IOP COPING SKILLS $193.50 $430.00 $86.00–$387.00 — 55%
Group psychotherapy session inpatient CPT 90853 HC PHP COGNITIVE THERAPY $193.50 $430.00 $86.00–$387.00 — 55%
Group psychotherapy session inpatient CPT 90853 HC IOP PROCESS GROUP $193.50 $430.00 $86.00–$387.00 — 55%
Group psychotherapy session inpatient CPT 90853 HC IOP COGNITIVE THERAPY $193.50 $430.00 $86.00–$387.00 — 55%
Group psychotherapy session inpatient CPT 90853 HC IOP ED COPING SKILLS $199.35 $443.00 $88.60–$398.70 — 55%
Group psychotherapy session inpatient CPT 90853 HC PHP ED PROCESS GROUP $199.35 $443.00 $88.60–$398.70 — 55%
Group psychotherapy session inpatient CPT 90853 HC ED INTERACTIVE GROUP THERAPY $199.35 $443.00 $88.60–$398.70 — 55%
Group psychotherapy session inpatient CPT 90853 HC IOP ED PROCESS GROUP $199.35 $443.00 $88.60–$398.70 — 55%
Group psychotherapy session inpatient CPT 90853 HC IOP ED COGNITIVE THERAPY $199.35 $443.00 $88.60–$398.70 — 55%
Group psychotherapy session inpatient CPT 90853 HC GROUP PSYCH NOT MULTI FAMILY $237.60 $528.00 $105.60–$475.20 — 55%
Group psychotherapy session inpatient CPT 90853 HC GROUP THERAPY 60 MIN $237.60 $528.00 $105.60–$475.20 — 55%
Group psychotherapy session inpatient CPT 90853 HC INTENSIVE OP SHIELD/ADOL/CHILD $352.80 $784.00 $156.80–$705.60 — 55%
Group psychotherapy session inpatient CPT 90853 HC ED INTENSIVE OUT (ADOL) $358.20 $796.00 $159.20–$716.40 — 55%
Group psychotherapy session inpatient CPT 90853 HC RECOVERY INTENSIVE OP $499.50 $1,110.00 $222.00–$999.00 — 55%
Group psychotherapy session inpatient CPT 90853 HC RECOVERY PART HOSP-FULL(12HRS) $833.40 $1,852.00 $370.40–$1,666.80 — 55%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HC HYDRATION INFUSION INITIAL 31-90MIN $481.05 $1,069.00 $88.24–$962.10 3% below 55%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HC HYDRATION INFUSION INITIAL 31-90MIN $481.05 $1,069.00 $213.80–$962.10 — 55%
IV infusion of a medicine, first hour CPT 96365 HC INFUSION INITAL HOUR GT 16MIN $463.05 $1,029.00 $107.67–$1,029.00 21% below 55%
IV infusion of a medicine, first hour CPT 96365 HC IV INFUS THER/PROP/DIA/INIT HR $463.05 $1,029.00 $107.67–$1,029.00 21% below 55%
IV infusion of a medicine, first hour CPT 96365 HC IV INFUS THER/PROP/DIA INIT HR $463.05 $1,029.00 $107.67–$1,029.00 21% below 55%
IV infusion of a medicine, first hour CPT 96365 HC IV INFUS THER PROP DIA INIT HR $463.05 $1,029.00 $107.67–$1,029.00 21% below 55%
IV infusion of a medicine, first hour CPT 96365 HC INFUSION INITIAL HOUR GT 16MIN $463.05 $1,029.00 $107.67–$1,029.00 21% below 55%
IV infusion of a medicine, first hour CPT 96365 HC INFUSION INITIAL GT 16 MIN TO HR $463.05 $1,029.00 $107.67–$1,029.00 21% below 55%
IV infusion of a medicine, first hour inpatient CPT 96365 HC INFUSION INITIAL HOUR GT 16MIN $463.05 $1,029.00 $205.80–$926.10 — 55%
IV infusion of a medicine, first hour inpatient CPT 96365 HC INFUSION INITAL HOUR GT 16MIN $463.05 $1,029.00 $205.80–$926.10 — 55%
IV infusion of a medicine, first hour inpatient CPT 96365 HC IV INFUS THER/PROP/DIA INIT HR $463.05 $1,029.00 $205.80–$926.10 — 55%
IV infusion of a medicine, first hour inpatient CPT 96365 HC INFUSION INITIAL GT 16 MIN TO HR $463.05 $1,029.00 $205.80–$926.10 — 55%
IV infusion of a medicine, first hour inpatient CPT 96365 HC IV INFUS THER PROP DIA INIT HR $463.05 $1,029.00 $205.80–$926.10 — 55%
IV infusion of a medicine, first hour inpatient CPT 96365 HC IV INFUS THER/PROP/DIA/INIT HR $463.05 $1,029.00 $205.80–$926.10 — 55%
IV push of a medicine, first drug CPT 96374 HC IV PUSH SINGLER OR INIT DRUG $269.10 $598.00 $85.69–$1,029.00 24% below 55%
IV push of a medicine, first drug CPT 96374 HC IV PUSH SINGLE OR INIT DRUG $269.10 $598.00 $85.69–$1,029.00 24% below 55%
IV push of a medicine, first drug inpatient CPT 96374 HC IV PUSH SINGLE OR INIT DRUG $269.10 $598.00 $119.60–$538.20 — 55%
IV push of a medicine, first drug inpatient CPT 96374 HC IV PUSH SINGLER OR INIT DRUG $269.10 $598.00 $119.60–$538.20 — 55%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 HC INJECT THER/PROP/DIAG SC/IM $213.30 $474.00 $32.25–$1,029.00 19% above 55%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 HC INJECT THER/PROP/DIAG SC/IM $213.30 $474.00 $94.80–$426.60 — 55%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 HC PSYCH DIAGNOSTIC EVALUATION $67.50 $150.00 $30.00–$1,570.00 82% below 55%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 HC PSYCHIATRIC DIAGNOSTIC EVAL $271.35 $603.00 $120.60–$1,012.39 29% below 55%
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 HC PSYCH DIAGNOSTIC EVALUATION $67.50 $150.00 $30.00–$135.00 — 55%
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 HC PSYCHIATRIC DIAGNOSTIC EVAL $271.35 $603.00 $120.60–$542.70 — 55%
Nerve conduction study, 7 or 8 nerve studies CPT 95910 HC MOTOR & SENS 7-8 NRV CNDJ TEST $580.50 $1,290.00 $258.00–$1,161.00 37% below 55%
Nerve conduction study, 7 or 8 nerve studies inpatient CPT 95910 HC MOTOR & SENS 7-8 NRV CNDJ TEST $580.50 $1,290.00 $258.00–$1,161.00 — 55%
Neuromuscular re-education, 15 minutes CPT 97112 HC NEUROMUSC RE-ED 15 MIN OT $114.30 $254.00 $21.02–$465.00 10% below 55%
Neuromuscular re-education, 15 minutes CPT 97112 HC NEUROMUSC RE ED 15MIN PT $114.30 $254.00 $21.02–$465.00 10% below 55%
Neuromuscular re-education, 15 minutes CPT 97112 HC NEUROMUSC RE-ED 15 MIN PT $114.30 $254.00 $21.02–$465.00 10% below 55%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 HC NEUROMUSC RE-ED 15 MIN OT $114.30 $254.00 $50.80–$228.60 — 55%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 HC NEUROMUSC RE ED 15MIN PT $114.30 $254.00 $50.80–$228.60 — 55%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 HC NEUROMUSC RE-ED 15 MIN PT $114.30 $254.00 $50.80–$228.60 — 55%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 HC NUTR THER INIT EVAL 15 MIN $151.20 $336.00 $52.20–$824.00 52% above 55%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 HC NUTR THER INIT EVAL 15 MIN $151.20 $336.00 $67.20–$302.40 — 55%
Occupational therapy evaluation, low complexity CPT 97165 HC OT INIT EVAL LOW $253.35 $563.00 $204.37–$506.70 3% below 55%
Occupational therapy evaluation, low complexity inpatient CPT 97165 HC OT INIT EVAL LOW $253.35 $563.00 $112.60–$506.70 — 55%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 HC PT INIT EVAL HIGH $427.95 $951.00 $206.00–$855.90 9% above 55%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 HC PT INIT EVAL HIGH $427.95 $951.00 $190.20–$855.90 — 55%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 HC PT INIT EVAL LOW $285.30 $634.00 $206.00–$570.60 21% above 55%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 HC PT INIT EVAL LOW $285.30 $634.00 $126.80–$570.60 — 55%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 HC PT INIT EVAL MODERATE $356.40 $792.00 $206.00–$712.80 1% above 55%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 HC PT INIT EVAL MODERATE $356.40 $792.00 $158.40–$712.80 — 55%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HC MANUAL THRPY TECHNIQUES 15 MIN PT $110.70 $246.00 $38.20–$465.00 8% below 55%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HC MANUAL THRPY TECHNIQUES 15 MIN OT $110.70 $246.00 $38.20–$465.00 8% below 55%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HC MANUAL THRPY TECHNIQUES 15 MIN MCAL $110.70 $246.00 $38.20–$465.00 8% below 55%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HC MANUAL THRPY TECHNIQUES 15 MIN OT $110.70 $246.00 $49.20–$221.40 — 55%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HC MANUAL THRPY TECHNIQUES 15 MIN MCAL $110.70 $246.00 $49.20–$221.40 — 55%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HC MANUAL THRPY TECHNIQUES 15 MIN PT $110.70 $246.00 $49.20–$221.40 — 55%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC THERAPEUTIC PROCEDURE 15 MIN ST $108.45 $241.00 $18.85–$465.00 16% below 55%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC THERAPEUTIC PROCEDURE 15 MIN MCAL $108.45 $241.00 $18.85–$465.00 16% below 55%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC THERAPEUTIC PROCEDURE 15 MIN PT $108.45 $241.00 $18.85–$465.00 16% below 55%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC THERAPEUTIC PROCEDURE 15 MIN MCARE COMM $108.45 $241.00 $18.85–$465.00 16% below 55%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC THERAPEUTIC PROCEDURE ADDL 15MIN PT $108.45 $241.00 $18.85–$465.00 16% below 55%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC THERAPEUTIC PROCEDURE 15MIN OT $108.45 $241.00 $18.85–$465.00 16% below 55%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC THERAPEUTIC PROCEDURE 30 MIN OT $156.60 $348.00 $18.85–$465.00 21% above 55%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC THERAPEUTIC PROCEDURE ADDL 15MIN PT $108.45 $241.00 $48.20–$216.90 — 55%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC THERAPEUTIC PROCEDURE 15 MIN MCAL $108.45 $241.00 $48.20–$216.90 — 55%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC THERAPEUTIC PROCEDURE 15 MIN ST $108.45 $241.00 $48.20–$216.90 — 55%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC THERAPEUTIC PROCEDURE 15MIN OT $108.45 $241.00 $48.20–$216.90 — 55%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC THERAPEUTIC PROCEDURE 15 MIN MCARE COMM $108.45 $241.00 $48.20–$216.90 — 55%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC THERAPEUTIC PROCEDURE 15 MIN PT $108.45 $241.00 $48.20–$216.90 — 55%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC THERAPEUTIC PROCEDURE 30 MIN OT $156.60 $348.00 $69.60–$313.20 — 55%
Psychotherapy for crisis, first 60 minutes CPT 90839 HC PSYCH CRISIS FIRST 60 MIN $246.15 $547.00 $65.38–$1,012.39 28% below 55%
Psychotherapy for crisis, first 60 minutes inpatient CPT 90839 HC PSYCH CRISIS FIRST 60 MIN $246.15 $547.00 $109.40–$492.30 — 55%
Psychotherapy session, 30 minutes CPT 90832 HC PHP YOUTH INDIVIDUAL BRIEF $117.90 $262.00 $52.40–$464.17 63% below 55%
Psychotherapy session, 30 minutes CPT 90832 HC PSYCHOTHERAPY 30 MIN W PT $130.50 $290.00 $58.00–$464.17 59% below 55%
Psychotherapy session, 30 minutes CPT 90832 HC PHP MURRIETA INDIVIDUAL BRIEF $168.30 $374.00 $74.80–$464.17 47% below 55%
Psychotherapy session, 30 minutes CPT 90832 HC PHP MURR IOP INDIVIDUAL BRIEF $168.30 $374.00 $74.80–$464.17 47% below 55%
Psychotherapy session, 30 minutes CPT 90832 HC PHP MURR YOUTH IOP INDIVIDUAL BRIEF $168.30 $374.00 $74.80–$464.17 47% below 55%
Psychotherapy session, 30 minutes CPT 90832 HC PHP YOUTH IOP INDIVIDUAL BRIEF $168.30 $374.00 $74.80–$464.17 47% below 55%
Psychotherapy session, 30 minutes CPT 90832 HC INDIV BRIEF THERAPY $175.95 $391.00 $78.20–$464.17 45% below 55%
Psychotherapy session, 30 minutes CPT 90832 HC ED INDIV BRIEF THERAPY $181.80 $404.00 $80.80–$464.17 43% below 55%
Psychotherapy session, 30 minutes inpatient CPT 90832 HC PHP YOUTH INDIVIDUAL BRIEF $117.90 $262.00 $52.40–$235.80 — 55%
Psychotherapy session, 30 minutes inpatient CPT 90832 HC PSYCHOTHERAPY 30 MIN W PT $130.50 $290.00 $58.00–$261.00 — 55%
Psychotherapy session, 30 minutes inpatient CPT 90832 HC PHP YOUTH IOP INDIVIDUAL BRIEF $168.30 $374.00 $74.80–$336.60 — 55%
Psychotherapy session, 30 minutes inpatient CPT 90832 HC PHP MURR IOP INDIVIDUAL BRIEF $168.30 $374.00 $74.80–$336.60 — 55%
Psychotherapy session, 30 minutes inpatient CPT 90832 HC PHP MURRIETA INDIVIDUAL BRIEF $168.30 $374.00 $74.80–$336.60 — 55%
Psychotherapy session, 30 minutes inpatient CPT 90832 HC PHP MURR YOUTH IOP INDIVIDUAL BRIEF $168.30 $374.00 $74.80–$336.60 — 55%
Psychotherapy session, 30 minutes inpatient CPT 90832 HC INDIV BRIEF THERAPY $175.95 $391.00 $78.20–$351.90 — 55%
Psychotherapy session, 30 minutes inpatient CPT 90832 HC ED INDIV BRIEF THERAPY $181.80 $404.00 $80.80–$363.60 — 55%
Psychotherapy session, 45 minutes CPT 90834 HC PHP YOUTH IOP STRESS MANAGEMENT $117.90 $262.00 $52.40–$674.93 63% below 55%
Psychotherapy session, 45 minutes CPT 90834 HC PHP MURR YOUTH IOP STRESS MANAGEMENT $117.90 $262.00 $52.40–$674.93 63% below 55%
Psychotherapy session, 45 minutes CPT 90834 HC SVC LIFE-PROBLEM SOLVING $117.90 $262.00 $52.40–$800.00 63% below 55%
Psychotherapy session, 45 minutes CPT 90834 HC TRMNT ED STRESS MANAGEMENT $180.90 $402.00 $80.40–$674.93 43% below 55%
Psychotherapy session, 45 minutes CPT 90834 HC PHP MURRIETA STRESS MANAGEMENT $180.90 $402.00 $80.40–$800.00 43% below 55%
Psychotherapy session, 45 minutes CPT 90834 HC PHP YOUTH STRESS MANAGEMENT $180.90 $402.00 $80.40–$800.00 43% below 55%
Psychotherapy session, 45 minutes CPT 90834 HC SVC ED STRESS MANAGEMENT $180.90 $402.00 $80.40–$800.00 43% below 55%
Psychotherapy session, 45 minutes CPT 90834 HC TRMNT STRESS MANAGEMENT $180.90 $402.00 $80.40–$674.93 43% below 55%
Psychotherapy session, 45 minutes CPT 90834 HC PHP MURR IOP STRESS MANAGEMENT $180.90 $402.00 $80.40–$674.93 43% below 55%
Psychotherapy session, 45 minutes CPT 90834 HC PHP MURRIETA INDIVIDUAL FULL $201.60 $448.00 $89.60–$800.00 37% below 55%
Psychotherapy session, 45 minutes CPT 90834 HC PHP YOUTH IOP INDIVIDUAL FULL $201.60 $448.00 $89.60–$674.93 37% below 55%
Psychotherapy session, 45 minutes CPT 90834 HC PHP MURR YOUTH IOP INDIVIDUAL FULL $201.60 $448.00 $89.60–$674.93 37% below 55%
Psychotherapy session, 45 minutes CPT 90834 HC PHP MURR IOP INDIVIDUAL FULL $201.60 $448.00 $89.60–$674.93 37% below 55%
Psychotherapy session, 45 minutes CPT 90834 HC PHP YOUTH INDIVIDUAL FULL $201.60 $448.00 $89.60–$800.00 37% below 55%
Psychotherapy session, 45 minutes CPT 90834 HC PSYCHOTHERAPY 45 MIN W PT $217.35 $483.00 $96.60–$674.93 32% below 55%
Psychotherapy session, 45 minutes CPT 90834 HC IOP ED INDIV THERAPY $230.40 $512.00 $102.40–$674.93 28% below 55%
Psychotherapy session, 45 minutes CPT 90834 HC ED INDIV THERAPY $230.40 $512.00 $102.40–$674.93 28% below 55%
Psychotherapy session, 45 minutes inpatient CPT 90834 HC PHP MURR YOUTH IOP STRESS MANAGEMENT $117.90 $262.00 $52.40–$235.80 — 55%
Psychotherapy session, 45 minutes inpatient CPT 90834 HC SVC LIFE-PROBLEM SOLVING $117.90 $262.00 $52.40–$235.80 — 55%
Psychotherapy session, 45 minutes inpatient CPT 90834 HC PHP YOUTH IOP STRESS MANAGEMENT $117.90 $262.00 $52.40–$235.80 — 55%
Psychotherapy session, 45 minutes inpatient CPT 90834 HC TRMNT STRESS MANAGEMENT $180.90 $402.00 $80.40–$361.80 — 55%
Psychotherapy session, 45 minutes inpatient CPT 90834 HC TRMNT ED STRESS MANAGEMENT $180.90 $402.00 $80.40–$361.80 — 55%
Psychotherapy session, 45 minutes inpatient CPT 90834 HC PHP YOUTH STRESS MANAGEMENT $180.90 $402.00 $80.40–$361.80 — 55%
Psychotherapy session, 45 minutes inpatient CPT 90834 HC PHP MURR IOP STRESS MANAGEMENT $180.90 $402.00 $80.40–$361.80 — 55%
Psychotherapy session, 45 minutes inpatient CPT 90834 HC PHP MURRIETA STRESS MANAGEMENT $180.90 $402.00 $80.40–$361.80 — 55%
Psychotherapy session, 45 minutes inpatient CPT 90834 HC SVC ED STRESS MANAGEMENT $180.90 $402.00 $80.40–$361.80 — 55%
Psychotherapy session, 45 minutes inpatient CPT 90834 HC PHP MURRIETA INDIVIDUAL FULL $201.60 $448.00 $89.60–$403.20 — 55%
Psychotherapy session, 45 minutes inpatient CPT 90834 HC PHP YOUTH INDIVIDUAL FULL $201.60 $448.00 $89.60–$403.20 — 55%
Psychotherapy session, 45 minutes inpatient CPT 90834 HC PHP MURR YOUTH IOP INDIVIDUAL FULL $201.60 $448.00 $89.60–$403.20 — 55%
Psychotherapy session, 45 minutes inpatient CPT 90834 HC PHP YOUTH IOP INDIVIDUAL FULL $201.60 $448.00 $89.60–$403.20 — 55%
Psychotherapy session, 45 minutes inpatient CPT 90834 HC PHP MURR IOP INDIVIDUAL FULL $201.60 $448.00 $89.60–$403.20 — 55%
Psychotherapy session, 45 minutes inpatient CPT 90834 HC PSYCHOTHERAPY 45 MIN W PT $217.35 $483.00 $96.60–$434.70 — 55%
Psychotherapy session, 45 minutes inpatient CPT 90834 HC ED INDIV THERAPY $230.40 $512.00 $102.40–$460.80 — 55%
Psychotherapy session, 45 minutes inpatient CPT 90834 HC IOP ED INDIV THERAPY $230.40 $512.00 $102.40–$460.80 — 55%
Psychotherapy session, 60 minutes CPT 90837 HC PSYCHOTHERAPY 60 MIN W PT $271.35 $603.00 $120.60–$924.10 26% below 55%
Psychotherapy session, 60 minutes inpatient CPT 90837 HC PSYCHOTHERAPY 60 MIN W PT $271.35 $603.00 $120.60–$542.70 — 55%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 HC SMOKING CESSATION 3 - 10 MIN $44.10 $98.00 $17.91–$824.00 40% below 55%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 HC SMOKING/TOBACCO VISIT 3-10 MIN $47.70 $106.00 $17.91–$824.00 35% below 55%
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 HC SMOKING CESSATION 3 - 10 MIN $44.10 $98.00 $19.60–$88.20 — 55%
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 HC SMOKING/TOBACCO VISIT 3-10 MIN $47.70 $106.00 $21.20–$95.40 — 55%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 HC ESTAB OP VISIT LOW TO MOD $306.00 $680.00 $41.28–$824.00 114% above 55%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 HC ESTAB OP VISIT LOW TO MOD $306.00 $680.00 $136.00–$612.00 — 55%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HC ESTAB OP VISIT MINOR $231.30 $514.00 $19.63–$27,467.00 101% above 55%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HC ESTAB OP VISIT MINOR OSCP $231.30 $514.00 $19.63–$27,467.00 101% above 55%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 HC ESTAB OP VISIT MINOR OSCP $231.30 $514.00 $102.80–$462.60 — 55%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 HC ESTAB OP VISIT MINOR $231.30 $514.00 $102.80–$462.60 — 55%
Speech and language evaluation CPT 92523 HC EVAL SPEECH SOUND PROD W LANG COMP EXPRES $348.30 $774.00 $206.00–$1,068.16 24% below 55%
Speech and language evaluation inpatient CPT 92523 HC EVAL SPEECH SOUND PROD W LANG COMP EXPRES $348.30 $774.00 $154.80–$696.60 — 55%
Speech therapy session, individual CPT 92507 HC SPEECH & LANG TRT $278.55 $619.00 $51.12–$557.10 at median 55%
Speech therapy session, individual CPT 92507 HC TRMNT SPEECH/LANG/VOICE INDIV MCAL $348.30 $774.00 $51.12–$696.60 25% above 55%
Speech therapy session, individual CPT 92507 HC TRT SPEECH/LANG/VOICE INDIV $348.30 $774.00 $51.12–$696.60 25% above 55%
Speech therapy session, individual CPT 92507 HC SPEECH & LANG INDIV TRT $348.30 $774.00 $51.12–$696.60 25% above 55%
Speech therapy session, individual CPT 92507 HC EVAL SPEECH/LANGUAGE/VOICE PRELIM MCAL $446.85 $993.00 $51.12–$893.70 61% above 55%
Speech therapy session, individual inpatient CPT 92507 HC SPEECH & LANG TRT $278.55 $619.00 $123.80–$557.10 — 55%
Speech therapy session, individual inpatient CPT 92507 HC TRMNT SPEECH/LANG/VOICE INDIV MCAL $348.30 $774.00 $154.80–$696.60 — 55%
Speech therapy session, individual inpatient CPT 92507 HC SPEECH & LANG INDIV TRT $348.30 $774.00 $154.80–$696.60 — 55%
Speech therapy session, individual inpatient CPT 92507 HC TRT SPEECH/LANG/VOICE INDIV $348.30 $774.00 $154.80–$696.60 — 55%
Speech therapy session, individual inpatient CPT 92507 HC EVAL SPEECH/LANGUAGE/VOICE PRELIM MCAL $446.85 $993.00 $198.60–$893.70 — 55%
Spirometry (breathing test) CPT 94010 HC SPIROMETRY STUDIES $278.10 $618.00 $42.31–$764.00 27% below 55%
Spirometry (breathing test) inpatient CPT 94010 HC SPIROMETRY STUDIES $278.10 $618.00 $123.60–$556.20 — 55%
Spirometry before and after a bronchodilator CPT 94060 HC PRE POST CHALLENGE SPIROMETRY $580.05 $1,289.00 $77.45–$1,160.10 28% below 55%
Spirometry before and after a bronchodilator inpatient CPT 94060 HC PRE POST CHALLENGE SPIROMETRY $580.05 $1,289.00 $257.80–$1,160.10 — 55%
Therapeutic activities (functional training), 15 minutes CPT 97530 HC THERAPEUTIC ACTIVITY 15 MIN MCAL $106.20 $236.00 $19.16–$465.00 23% below 55%
Therapeutic activities (functional training), 15 minutes CPT 97530 HC THERAPEUTIC ACTIVITY 15 MIN PT COMM MCARE $106.20 $236.00 $19.16–$465.00 23% below 55%
Therapeutic activities (functional training), 15 minutes CPT 97530 HC THERAPEUTIC ACTIVITY 15MIN MCAL $106.20 $236.00 $19.16–$465.00 23% below 55%
Therapeutic activities (functional training), 15 minutes CPT 97530 HC THERAPEUTIC ACTIVITY 15 MIN PT $106.20 $236.00 $19.16–$465.00 23% below 55%
Therapeutic activities (functional training), 15 minutes CPT 97530 HC THERAPEUTIC ACTIVITY 15 MIN OT $106.20 $236.00 $19.16–$465.00 23% below 55%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HC THERAPEUTIC ACTIVITY 15 MIN PT COMM MCARE $106.20 $236.00 $47.20–$212.40 — 55%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HC THERAPEUTIC ACTIVITY 15MIN MCAL $106.20 $236.00 $47.20–$212.40 — 55%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HC THERAPEUTIC ACTIVITY 15 MIN MCAL $106.20 $236.00 $47.20–$212.40 — 55%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HC THERAPEUTIC ACTIVITY 15 MIN OT $106.20 $236.00 $47.20–$212.40 — 55%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HC THERAPEUTIC ACTIVITY 15 MIN PT $106.20 $236.00 $47.20–$212.40 — 55%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 HC THERAPEUTIC PHLEBOTOMY $332.55 $739.00 $147.80–$5,523.00 3% above 55%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 HC PHLEBOTOMY THERAPEUTIC $332.55 $739.00 $147.80–$5,523.00 3% above 55%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 HC THERAPEUTIC PHLEBOTOMY $332.55 $739.00 $147.80–$665.10 — 55%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 HC PHLEBOTOMY THERAPEUTIC $332.55 $739.00 $147.80–$665.10 — 55%

Vaccines

ProcedureCash priceList priceInsurers payvs CaliforniaOff list
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 VARICELLA VIRUS VACCINE LIVE (PF) 1,350 UNIT/0.5 ML SUBCUTANEOUS SUSP [14757] $103.34 $229.64 $45.93–$1,144.49 67% below 55%
Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 VARICELLA VIRUS VACCINE LIVE (PF) 1,350 UNIT/0.5 ML SUBCUTANEOUS SUSP [14757] $103.34 $229.64 $45.93–$206.68 — 55%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 DIPH,PERTUS(ACEL),TET PED(PF) 25 LF UNIT-58 MCG-10 LF/0.5ML IM SYRINGE [19451] $30.71 $68.24 $13.65–$191.43 57% below 55%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 DIPH,PERTUS(ACEL),TET PEDI (PF) 15 LF UNIT-10 MCG-5 LF/0.5 ML IM SUSP [119613] $31.61 $70.25 $14.05–$191.43 56% below 55%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 DIPH,PERTUS(ACEL),TET PED(PF) 25 LF UNIT-58 MCG-10 LF/0.5ML IM SYRINGE [19451] $30.71 $68.24 $13.65–$61.42 — 55%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 DIPH,PERTUS(ACEL),TET PEDI (PF) 15 LF UNIT-10 MCG-5 LF/0.5 ML IM SUSP [119613] $31.61 $70.25 $14.05–$63.23 — 55%
DTaP, hepatitis B and polio combination vaccine (Pediarix) CPT 90723 HEP B-DP(A)T-POLIO VACC (PF) 10 MCG-25LF-25 MCG-10LF/0.5 ML IM SYRINGE [34550] $116.06 $257.90 $51.58–$674.93 30% below 55%
DTaP, hepatitis B and polio combination vaccine (Pediarix) inpatient CPT 90723 HEP B-DP(A)T-POLIO VACC (PF) 10 MCG-25LF-25 MCG-10LF/0.5 ML IM SYRINGE [34550] $116.06 $257.90 $51.58–$232.11 — 55%
DTaP, polio and Hib combination vaccine (Pentacel) CPT 90698 DIP-PERT-TET-POLIO-HIB(PF) 15 LF-20 MCG-5 LF-62 DU-10MCG/0.5 ML IM KIT [227486] $68.46 $152.14 $30.43–$782.61 67% below 55%
DTaP, polio and Hib combination vaccine (Pentacel) inpatient CPT 90698 DIP-PERT-TET-POLIO-HIB(PF) 15 LF-20 MCG-5 LF-62 DU-10MCG/0.5 ML IM KIT [227486] $68.46 $152.14 $30.43–$136.93 — 55%
Flu shot, recombinant, egg-free (Flublok) CPT 90673 FLU VACCINE TV2025(9 YR UP)RCMB(PF)135 MCG(45 MCGX3)/0.5 ML IM SYRINGE [246640] $92.32 $205.15 $41.03–$512.27 at median 55%
Flu shot, recombinant, egg-free (Flublok) inpatient CPT 90673 FLU VACCINE TV2025(9 YR UP)RCMB(PF)135 MCG(45 MCGX3)/0.5 ML IM SYRINGE [246640] $92.32 $205.15 $41.03–$184.63 — 55%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 FLU VACCINE TS 2025-26(6MOS UP)(PF) 45 MCG(15MCG X3)/0.5 ML IM SYRINGE [246638] $21.32 $47.37 $9.47–$137.13 50% below 55%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 HC VACCINE INFLUENZA >3YR $21.97 $48.83 $9.77–$137.13 49% below 55%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 HC VACCINE INFLUENZA PRESERV FREE GT 3YR $27.45 $61.00 $12.20–$137.13 36% below 55%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 HC ADMIN FLU VACCINE GT 3 YRS NOS $27.45 $61.00 $12.20–$137.13 36% below 55%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 HC VACCINE INFLUENZA GT 3 YR $27.45 $61.00 $12.20–$137.13 36% below 55%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 HC ADMIN VACCINE INFLUENZA GT 3 YR $27.45 $61.00 $12.20–$137.13 36% below 55%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 FLU VACCINE TS 2025-26(6MOS UP)(PF) 45 MCG(15MCG X3)/0.5 ML IM SYRINGE [246638] $21.32 $47.37 $9.47–$42.63 — 55%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 HC VACCINE INFLUENZA >3YR $21.97 $48.83 $9.77–$43.95 — 55%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 HC ADMIN VACCINE INFLUENZA GT 3 YR $27.45 $61.00 $12.20–$54.90 — 55%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 HC VACCINE INFLUENZA PRESERV FREE GT 3YR $27.45 $61.00 $12.20–$54.90 — 55%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 HC VACCINE INFLUENZA GT 3 YR $27.45 $61.00 $12.20–$54.90 — 55%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 HC ADMIN FLU VACCINE GT 3 YRS NOS $27.45 $61.00 $12.20–$54.90 — 55%
HPV vaccine, 9-valent (Gardasil 9) CPT 90651 HUMAN PAPILLOMAVIRUS VACCINE,9-VALENT(PF) 0.5 ML INTRAMUSCULAR SYRINGE [208396] $354.61 $788.02 $157.60–$1,924.34 8% below 55%
HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 HUMAN PAPILLOMAVIRUS VACCINE,9-VALENT(PF) 0.5 ML INTRAMUSCULAR SYRINGE [208396] $354.61 $788.02 $157.60–$709.22 — 55%
Hepatitis A and B combination vaccine, adult (Twinrix) CPT 90636 HEPATITIS A AND B VIRUS VACCINE(PF)720 ELISA UNIT-20 MCG/ML IM SYRINGE [118915] $75.65 $168.12 $33.62–$827.28 65% below 55%
Hepatitis A and B combination vaccine, adult (Twinrix) inpatient CPT 90636 HEPATITIS A AND B VIRUS VACCINE(PF)720 ELISA UNIT-20 MCG/ML IM SYRINGE [118915] $75.65 $168.12 $33.62–$151.31 — 55%
Hepatitis A vaccine, adult dose CPT 90632 HEPATITIS A VACCINE (PF) 1,440 ELISA UNIT/ML INTRAMUSCULAR SYRINGE [118741] $47.96 $106.58 $21.32–$442.75 66% below 55%
Hepatitis A vaccine, adult dose inpatient CPT 90632 HEPATITIS A VACCINE (PF) 1,440 ELISA UNIT/ML INTRAMUSCULAR SYRINGE [118741] $47.96 $106.58 $21.32–$95.92 — 55%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPATITIS B VIRUS VACCINE RECOMB (PF) 20 MCG/ML INTRAMUSCULAR SYRINGE [118608] $40.15 $89.22 $17.84–$431.83 67% below 55%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HEPATITIS B VIRUS VACCINE RECOMB (PF) 20 MCG/ML INTRAMUSCULAR SYRINGE [118608] $40.15 $89.22 $17.84–$80.30 — 55%
Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) CPT 90739 HEPATITIS B VACCINE 20 MCG/0.5 ML-ADJUVANT CPG 1018 (PF) IM SYRINGE [222472] $178.30 $396.23 $79.25–$1,089.45 30% below 55%
Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) inpatient CPT 90739 HEPATITIS B VACCINE 20 MCG/0.5 ML-ADJUVANT CPG 1018 (PF) IM SYRINGE [222472] $178.30 $396.23 $79.25–$356.61 — 55%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HEPATITIS B VIRUS VACCINE RECOMB (PF) 10 MCG/0.5 ML INTRAMUSCULAR. [4081931] $31.71 $70.46 $14.09–$194.32 45% below 55%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HEPATITIS B VIRUS VACCINE RECOMB (PF) 10 MCG/0.5 ML IM SYRINGE [118672] $31.71 $70.46 $14.09–$194.32 45% below 55%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HEPATITIS B VIRUS VACCINE RECOMB (PF) 10 MCG/ML INTRAMUSCULAR SUSP [119731] $38.59 $85.76 $17.15–$194.32 33% below 55%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HC ADMIN VACCINE MEDI-CAL HEP B PEDS ADULT $47.25 $105.00 $21.00–$194.32 18% below 55%
Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 HEPATITIS B VIRUS VACCINE RECOMB (PF) 10 MCG/0.5 ML INTRAMUSCULAR. [4081931] $31.71 $70.46 $14.09–$63.41 — 55%
Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 HEPATITIS B VIRUS VACCINE RECOMB (PF) 10 MCG/0.5 ML IM SYRINGE [118672] $31.71 $70.46 $14.09–$63.41 — 55%
Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 HEPATITIS B VIRUS VACCINE RECOMB (PF) 10 MCG/ML INTRAMUSCULAR SUSP [119731] $38.59 $85.76 $17.15–$77.18 — 55%
Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 HC ADMIN VACCINE MEDI-CAL HEP B PEDS ADULT $47.25 $105.00 $21.00–$94.50 — 55%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 HAEMOPHILUS B POLYSACCHARID CONJ-TETANUS TOX(PF) 10 MCG/0.5 ML IM SOLN [11931] $7.11 $15.79 $3.16–$86.21 83% below 55%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 HC ADMIN VACCINE HAEMOPHILUS FLU B $37.80 $84.00 $16.80–$86.21 10% below 55%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 HC ADMIN VACCINE INFLUENZA MEDI-CAL HEMOPH $37.80 $84.00 $16.80–$86.21 10% below 55%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) inpatient CPT 90648 HAEMOPHILUS B POLYSACCHARID CONJ-TETANUS TOX(PF) 10 MCG/0.5 ML IM SOLN [11931] $7.11 $15.79 $3.16–$14.21 — 55%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) inpatient CPT 90648 HC ADMIN VACCINE INFLUENZA MEDI-CAL HEMOPH $37.80 $84.00 $16.80–$75.60 — 55%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) inpatient CPT 90648 HC ADMIN VACCINE HAEMOPHILUS FLU B $37.80 $84.00 $16.80–$75.60 — 55%
MMR vaccine (measles, mumps and rubella), live CPT 90707 HC ADMIN VACCINE MEDI-CAL MMR $37.78 $83.96 $16.79–$614.43 73% below 55%
MMR vaccine (measles, mumps and rubella), live CPT 90707 MEASLES,MUMPS,RUBELLA VACCINE LIVE(PF)1,000-12,500TCID50/0.5 ML SUBCUT [10512] $51.70 $114.89 $22.98–$614.43 63% below 55%
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 HC ADMIN VACCINE MEDI-CAL MMR $37.78 $83.96 $16.79–$75.56 — 55%
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 MEASLES,MUMPS,RUBELLA VACCINE LIVE(PF)1,000-12,500TCID50/0.5 ML SUBCUT [10512] $51.70 $114.89 $22.98–$103.40 — 55%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 HC ADMIN VACCINE MENINGOCOCCAL $37.80 $84.00 $16.80–$1,042.82 86% below 55%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENINGOC VAC A,C,Y,W-135 DIP(PF) 10 MCG-5 MCG/0.5 ML INTRAMUSCULAR KIT. [408101034] $137.16 $304.80 $60.96–$1,042.82 48% below 55%
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 HC ADMIN VACCINE MENINGOCOCCAL $37.80 $84.00 $16.80–$75.60 — 55%
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 MENINGOC VAC A,C,Y,W-135 DIP(PF) 10 MCG-5 MCG/0.5 ML INTRAMUSCULAR KIT. [408101034] $137.16 $304.80 $60.96–$274.32 — 55%
Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 MENINGOCOCCAL B VAC,4-CMP 50 MCG-50 MCG-50 MCG-25 MCG/0.5ML IM SYRINGE [208665] $270.60 $601.34 $120.27–$1,483.24 39% below 55%
Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 MENINGOCOCCAL B VAC,4-CMP 50 MCG-50 MCG-50 MCG-25 MCG/0.5ML IM SYRINGE [208665] $270.60 $601.34 $120.27–$541.21 — 55%
Meningococcal B vaccine (Trumenba) CPT 90621 N.MENINGITIDIS GROUP B,LIPID FHBP 120 MCG/0.5 ML INTRAMUSCULAR SYRINGE [207979] $243.17 $540.38 $108.08–$2,039.00 21% above 55%
Meningococcal B vaccine (Trumenba) inpatient CPT 90621 N.MENINGITIDIS GROUP B,LIPID FHBP 120 MCG/0.5 ML INTRAMUSCULAR SYRINGE [207979] $243.17 $540.38 $108.08–$486.34 — 55%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE [231988] $341.72 $759.38 $151.88–$1,919.86 34% below 55%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 PNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE [231988] $341.72 $759.38 $151.88–$683.44 — 55%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 HC ADMIN VACCINE MEDI-CAL PNEUMOCOCCAL GT 2YR $37.80 $84.00 $16.80–$818.93 77% below 55%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 HC ADMIN VACCINE MEDI-CAL PNEUMOCOCCAL $46.35 $103.00 $20.60–$1,833.00 71% below 55%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 HC VACCINE PNEUMOCOCCAL 23 SDV $90.90 $202.00 $34.41–$818.93 44% below 55%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 HC VACCINE PNEUMOCOCCAL 23SDV $90.90 $202.00 $34.41–$818.93 44% below 55%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOCOCCAL 23 POLYVALENT VACCINE 25 MCG/0.5 ML INJECTION SYRINGE [113995] $126.45 $280.99 $34.41–$818.93 22% below 55%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOCOCCAL 23 POLYVALENT VACCINE 25 MCG/0.5 ML INJECTION WRAP. [408113995] $126.45 $280.99 $34.41–$818.93 22% below 55%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 HC ADMIN VACCINE MEDI-CAL PNEUMOCOCCAL GT 2YR $37.80 $84.00 $16.80–$75.60 — 55%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 HC ADMIN VACCINE MEDI-CAL PNEUMOCOCCAL $46.35 $103.00 $20.60–$92.70 — 55%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 HC VACCINE PNEUMOCOCCAL 23 SDV $90.90 $202.00 $40.40–$181.80 — 55%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 HC VACCINE PNEUMOCOCCAL 23SDV $90.90 $202.00 $40.40–$181.80 — 55%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMOCOCCAL 23 POLYVALENT VACCINE 25 MCG/0.5 ML INJECTION SYRINGE [113995] $126.45 $280.99 $56.20–$252.89 — 55%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMOCOCCAL 23 POLYVALENT VACCINE 25 MCG/0.5 ML INJECTION WRAP. [408113995] $126.45 $280.99 $56.20–$252.89 — 55%
Polio vaccine, inactivated (IPV) CPT 90713 POLIOVIRUS VACCINE 40 UNIT-8 UNIT-32 UNIT/0.5 ML INJECTION SUSPENSION [108127] $50.83 $112.95 $22.59–$292.30 44% below 55%
Polio vaccine, inactivated (IPV) inpatient CPT 90713 POLIOVIRUS VACCINE 40 UNIT-8 UNIT-32 UNIT/0.5 ML INJECTION SUSPENSION [108127] $50.83 $112.95 $22.59–$101.66 — 55%
RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) CPT 90381 NIRSEVIMAB-ALIP 100 MG/ML INTRAMUSCULAR SYRINGE [239073] $321.33 $714.07 $142.81–$3,252.84 66% below 55%
RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) inpatient CPT 90381 NIRSEVIMAB-ALIP 100 MG/ML INTRAMUSCULAR SYRINGE [239073] $321.33 $714.07 $142.81–$642.66 — 55%
RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 NIRSEVIMAB-ALIP 50 MG/0.5 ML INTRAMUSCULAR SYRINGE [239072] $642.66 $1,428.14 $285.63–$3,252.84 34% below 55%
RSV antibody shot for infants, seasonal dose (0.5 mL) inpatient CPT 90380 NIRSEVIMAB-ALIP 50 MG/0.5 ML INTRAMUSCULAR SYRINGE [239072] $642.66 $1,428.14 $285.63–$1,285.33 — 55%
Rabies vaccine, one dose CPT 90675 RABIES VACCINE,HUMAN DIPLOID (PF) 2.5 UNIT INTRAMUSCULAR SOLUTION [11257] $234.26 $520.57 $104.11–$1,949.13 67% below 55%
Rabies vaccine, one dose CPT 90675 RABIES VACCINE, PURIFIED CHICKEN EMBRYO CELL (PF) 2.5 UNIT IM SUSP [22120] $244.08 $542.39 $108.48–$1,949.13 65% below 55%
Rabies vaccine, one dose inpatient CPT 90675 RABIES VACCINE,HUMAN DIPLOID (PF) 2.5 UNIT INTRAMUSCULAR SOLUTION [11257] $234.26 $520.57 $104.11–$468.51 — 55%
Rabies vaccine, one dose inpatient CPT 90675 RABIES VACCINE, PURIFIED CHICKEN EMBRYO CELL (PF) 2.5 UNIT IM SUSP [22120] $244.08 $542.39 $108.48–$488.15 — 55%
Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) CPT 90680 ROTAVIRUS VACCINE LIVE, PENTAVALENT 2 ML ORAL SOLUTION [70476] $27.54 $61.20 $12.24–$617.68 85% below 55%
Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) inpatient CPT 90680 ROTAVIRUS VACCINE LIVE, PENTAVALENT 2 ML ORAL SOLUTION [70476] $27.54 $61.20 $12.24–$55.08 — 55%
Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 VARICELLA-ZOSTER GLYCOP E VACCINE (VIAL 2 OF 2) 50 MCG IM SUSPENSION [219986] $126.73 $281.63 $56.33–$1,348.75 42% below 55%
Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 VARICELLA-ZOSTER GLYCOP E VACCINE (VIAL 2 OF 2) 50 MCG IM SUSPENSION [219986] $126.73 $281.63 $56.33–$253.47 — 55%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 HC TD VACCINE NO PRSRV GT/= 7YR IM $47.11 $104.69 $20.94–$2,696.00 42% below 55%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS AND DIPHTHERIA TOX (PF) 5 LF UNIT-2 LF UNIT/0.5 ML IM SYRINGE [119618] $47.97 $106.59 $21.32–$208.37 41% below 55%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 HC TD VACCINE NO PRSRV GT/= 7YR IM $47.11 $104.69 $20.94–$94.22 — 55%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS AND DIPHTHERIA TOX (PF) 5 LF UNIT-2 LF UNIT/0.5 ML IM SYRINGE [119618] $47.97 $106.59 $21.32–$95.93 — 55%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 DIPHTH,PERTUSSIS(ACEL),TETANUS 2.5 LF UNIT-8 MCG-5 LF/0.5ML IM SYRINGE [186293] $51.72 $114.94 $22.99–$239.72 55% below 55%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 DIPHTH,PERTUS(AC)TETANUS VAC (PF) 2 LF-(5-3-5MCG)-5LF/0.5ML IM WRAP [408119727] $52.74 $117.19 $23.44–$239.72 54% below 55%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 DIPHTH,PERTUSSIS(ACEL),TETANUS 2.5 LF UNIT-8 MCG-5 LF/0.5ML IM SYRINGE [186293] $51.72 $114.94 $22.99–$103.45 — 55%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 DIPHTH,PERTUS(AC)TETANUS VAC (PF) 2 LF-(5-3-5MCG)-5LF/0.5ML IM WRAP [408119727] $52.74 $117.19 $23.44–$105.47 — 55%
Typhoid vaccine, injectable (Vi polysaccharide) CPT 90691 TYPHOID VI POLYSACCH VACCINE 25 MCG/0.5 ML INTRAMUSCULAR SYRINGE [14678] $174.53 $387.84 $77.57–$917.29 at median 55%
Typhoid vaccine, injectable (Vi polysaccharide) inpatient CPT 90691 TYPHOID VI POLYSACCH VACCINE 25 MCG/0.5 ML INTRAMUSCULAR SYRINGE [14678] $174.53 $387.84 $77.57–$349.06 — 55%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC ADMIN VACCINE SINGLE $39.60 $88.00 $7.67–$152.79 62% below 55%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC ADMIN VACCINE DIPTHERIA TET TOX $39.60 $88.00 $7.67–$152.79 62% below 55%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC ADMIN VACCINE HEPATITIS B $39.60 $88.00 $7.67–$152.79 62% below 55%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC ADMIN VACCINE MMR $39.60 $88.00 $7.67–$152.79 62% below 55%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC INJECTION ADMIN SYNAGIS $39.60 $88.00 $7.67–$152.79 62% below 55%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC ADMIN VACCINE MONKEYPOX 1ST $54.45 $121.00 $7.67–$152.79 48% below 55%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC ADMIN VACCINE HEPATITIS B $39.60 $88.00 $17.60–$79.20 — 55%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC ADMIN VACCINE SINGLE $39.60 $88.00 $17.60–$79.20 — 55%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC ADMIN VACCINE MMR $39.60 $88.00 $17.60–$79.20 — 55%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC ADMIN VACCINE DIPTHERIA TET TOX $39.60 $88.00 $17.60–$79.20 — 55%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC INJECTION ADMIN SYNAGIS $39.60 $88.00 $17.60–$79.20 — 55%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC ADMIN VACCINE MONKEYPOX 1ST $54.45 $121.00 $24.20–$108.90 — 55%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 HC ADMIN VACCINE EA ADDIT $31.95 $71.00 $14.20–$1,833.00 60% below 55%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 HC ADMIN VACCINE MONKEYPOX EA ADD $54.45 $121.00 $24.20–$108.90 32% below 55%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 HC ADMIN VACCINE EA ADDIT $31.95 $71.00 $14.20–$63.90 — 55%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 HC ADMIN VACCINE MONKEYPOX EA ADD $54.45 $121.00 $24.20–$108.90 — 55%
Procedure The service, with its billing code (CPT or HCPCS) and, in small type, the line exactly as the hospital wrote it in its price file. More
Cash price The hospital's own price for a patient paying without insurance (“discounted cash” in its price file). Hospitals must publish it under federal law, 45 CFR 180.50. Call to confirm it before booking. More
List price The hospital's full chargemaster price (“gross charge”) before any discount. Almost nobody pays it; the gap to the cash price shows what the self-pay discount is worth. More
Insurers pay The lowest and highest rates this hospital has agreed with insurance plans for the same item, from its price file. If the cash price is below what your plan pays and you have not met your deductible, paying cash can cost you less. More
Against the state median This hospital's cash price compared with the median cash price of hospitals in the state for the same code. Shown when at least three hospitals in the state price it.
Off list How much lower the cash price is than the list price.
No cash discount This line's cash price equals the hospital's full list price. Many hospitals still reduce bills for uninsured patients: ask the billing office for its self-pay discount in writing. More
At or below Medicare This cash price is at or below what Medicare pays a hospital for the same service, which is unusually low. It is what the hospital's file says; confirm it and what it includes before booking. More
Check the item The description in the hospital file looks like a supply or device (a catheter, a brace, an implant), not this procedure. The hospital may have filed it under the wrong code: ask before relying on this price.

Source file: https://pricetransparency.healthcare/llu-mc/charges/export