Hospital Lebanon-Claremont, NH-VT

Valley Regional Hospital

Valley Regional Hospital in Claremont, NH publishes cash prices for 466 common procedures listed here, from its own machine-readable price file updated Jun 6, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the New Hampshire median for 395 of 429 procedures and above it for 29. By typical cash price it ranks #1 of 20 New Hampshire hospitals and #2 of 6 hospitals in the Lebanon, NH area, cheapest first. Select a procedure to compare it with other hospitals nearby.

243 ELM STREET,CLAREMONT,NH,03743-2005 Collected Sep 23, 2026 Source price file Check a bill from this hospital (603) 542-7771

Critical access hospital (rural, 25 beds or fewer) Nonprofit hospital Emergency department CMS star rating 3 of 5 CCN 301308 · CMS hospital register NPI 1306933619

Financial assistance

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

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

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

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

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 1 action for a hospital named Valley Regional Hospital in Claremont, NH:

Jul 29, 2026 Warning notice

Warning notice: CMS reviewed the hospital and told it that it had found possible violations of the price transparency rules.

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

Procedure	Cash price	List price	Insurers pay	vs New Hampshire	Off list
Abdominal CT scan without and with contrast CPT 74170 CT ABD WO CNTRST FLWD CNTRST	$1,735.80	$3,156.00	$144.34–$3,156.00	19% below	45%
Abdominal CT scan without and with contrast CPT 74170 CT ABDOMEN W/O, W/C	$1,735.80	$3,156.00	$144.34–$3,156.00	19% below	45%
Abdominal CT scan without and with contrast inpatient CPT 74170 CT ABDOMEN W/O, W/C	$1,735.80	$3,156.00	$144.34–$3,156.00	—	45%
Abdominal CT scan without and with contrast inpatient CPT 74170 CT ABD WO CNTRST FLWD CNTRST	$1,735.80	$3,156.00	$144.34–$3,156.00	—	45%
Abdominal X-ray, 2 views CPT 74019 ABDOMEN 2 VWS RPT PRO SAME MD	$215.05	$391.00	$21.60–$1,173.00	18% below	45%
Abdominal X-ray, 2 views CPT 74019 ABDOMEN 2 VWS	$215.05	$391.00	$21.60–$1,173.00	18% below	45%
Abdominal X-ray, 2 views CPT 74019 ABDOMEN 2VWS REPEAT DIFF MD	$215.05	$391.00	$21.60–$1,173.00	18% below	45%
Abdominal X-ray, 2 views CPT 74019 RADEX ABDOMEN 2 VIEWS	$215.05	$391.00	$21.60–$1,173.00	18% below	45%
Abdominal X-ray, 2 views inpatient CPT 74019 RADEX ABDOMEN 2 VIEWS	$215.05	$391.00	$21.60–$1,173.00	—	45%
Abdominal X-ray, 2 views inpatient CPT 74019 ABDOMEN 2 VWS	$215.05	$391.00	$21.60–$1,173.00	—	45%
Abdominal X-ray, 2 views inpatient CPT 74019 ABDOMEN 2 VWS RPT PRO SAME MD	$215.05	$391.00	$21.60–$1,173.00	—	45%
Abdominal X-ray, 2 views inpatient CPT 74019 ABDOMEN 2VWS REPEAT DIFF MD	$215.05	$391.00	$21.60–$1,173.00	—	45%
Ankle X-ray, complete, 3 or more views CPT 73610 X-RAY EXAM OF ANKLE	$232.10	$422.00	$15.47–$1,688.00	15% below	45%
Ankle X-ray, complete, 3 or more views one side CPT 73610 ANKLE RT (3 VWS)	$232.10	$422.00	$15.47–$1,688.00	15% below	45%
Ankle X-ray, complete, 3 or more views one side CPT 73610 ANKLE LT (3 VWS)	$232.10	$422.00	$15.47–$1,688.00	15% below	45%
Ankle X-ray, complete, 3 or more views inpatient CPT 73610 X-RAY EXAM OF ANKLE	$232.10	$422.00	$15.47–$1,688.00	—	45%
Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 ANKLE RT (3 VWS)	$232.10	$422.00	$15.47–$1,688.00	—	45%
Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 ANKLE LT (3 VWS)	$232.10	$422.00	$15.47–$1,688.00	—	45%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 VS_NON INVASIVE U/L EXT ART SNGLE RED	$238.70	$434.00	$61.86–$1,102.00	47% below	45%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 UPR/L XTREMITY ART 2 LEVELS	$367.40	$668.00	$61.86–$1,102.00	19% below	45%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 VS_NON INVASIVE U/L EXT ART SINGL	$367.40	$668.00	$61.86–$1,102.00	19% below	45%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 VS_NON INVASIVE U/L EXT ART SNGLE RED	$238.70	$434.00	$61.86–$1,102.00	—	45%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 UPR/L XTREMITY ART 2 LEVELS	$367.40	$668.00	$61.86–$1,102.00	—	45%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 VS_NON INVASIVE U/L EXT ART SINGL	$367.40	$668.00	$61.86–$1,102.00	—	45%
Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 CT UPPER EXTREMITY W/O DYE	$1,012.55	$1,841.00	$142.92–$3,682.00	27% below	45%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT UPPER EXT W/O -LT	$1,012.55	$1,841.00	$142.92–$3,682.00	27% below	45%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT UPPER EXT W/O -RT	$1,012.55	$1,841.00	$142.92–$3,682.00	27% below	45%
Arm CT scan without contrast (shoulder to hand, any part) inpatient CPT 73200 CT UPPER EXTREMITY W/O DYE	$1,012.55	$1,841.00	$142.92–$3,682.00	—	45%
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT UPPER EXT W/O -LT	$1,012.55	$1,841.00	$142.92–$3,682.00	—	45%
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT UPPER EXT W/O -RT	$1,012.55	$1,841.00	$142.92–$3,682.00	—	45%
Barium swallow (esophagus X-ray with contrast) CPT 74220 X-RAY XM ESOPHAGUS 1CNTRST	$519.75	$945.00	$20.62–$1,890.00	14% below	45%
Barium swallow (esophagus X-ray with contrast) CPT 74220 BARIUM SWALLOW SINGLE CONTRAST	$519.75	$945.00	$20.62–$1,890.00	14% below	45%
Barium swallow (esophagus X-ray with contrast) CPT 74220 BARIUM SWALLOW SINGLE CONTRAST RED SVC	$519.75	$945.00	$20.62–$1,890.00	14% below	45%
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 BARIUM SWALLOW SINGLE CONTRAST RED SVC	$519.75	$945.00	$20.62–$1,890.00	—	45%
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 BARIUM SWALLOW SINGLE CONTRAST	$519.75	$945.00	$20.62–$1,890.00	—	45%
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 X-RAY XM ESOPHAGUS 1CNTRST	$519.75	$945.00	$20.62–$1,890.00	—	45%
Breast ultrasound, complete, one breast CPT 76641 ULTRASOUND BREAST COMPLETE	$187.00	$340.00	$66.90–$915.48	66% below	45%
Breast ultrasound, complete, one breast one side CPT 76641 US BREAST COMPLETE RIGHT	$187.00	$340.00	$66.90–$915.48	66% below	45%
Breast ultrasound, complete, one breast one side CPT 76641 US BREAST COMPLETE LEFT	$187.00	$340.00	$66.90–$915.48	66% below	45%
Breast ultrasound, complete, one breast inpatient CPT 76641 ULTRASOUND BREAST COMPLETE	$187.00	$340.00	$66.90–$915.48	—	45%
Breast ultrasound, complete, one breast inpatient one side CPT 76641 US BREAST COMPLETE RIGHT	$187.00	$340.00	$66.90–$915.48	—	45%
Breast ultrasound, complete, one breast inpatient one side CPT 76641 US BREAST COMPLETE LEFT	$187.00	$340.00	$66.90–$915.48	—	45%
Breast ultrasound, limited (one breast or one area) CPT 76642 ULTRASOUND BREAST LIMITED	$358.05	$651.00	$54.95–$1,302.00	2% below	45%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 US BREAST LIMITED LEFT	$358.05	$651.00	$54.95–$1,302.00	2% below	45%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 US BREAST LIMITED RIGHT	$358.05	$651.00	$54.95–$1,302.00	2% below	45%
Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 ULTRASOUND BREAST LIMITED	$358.05	$651.00	$54.95–$1,302.00	—	45%
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 US BREAST LIMITED RIGHT	$358.05	$651.00	$54.95–$1,302.00	—	45%
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 US BREAST LIMITED LEFT	$358.05	$651.00	$54.95–$1,302.00	—	45%
CT angiography (CTA) of the abdomen and pelvis CPT 74174 CTA ABD&PLVS W/CONTRAST	$2,528.90	$4,598.00	$260.82–$4,598.00	4% below	45%
CT angiography (CTA) of the abdomen and pelvis CPT 74174 CTA ABD/PELV W/O & W/C	$2,528.90	$4,598.00	$260.82–$4,598.00	4% below	45%
CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 CTA ABD/PELV W/O & W/C	$2,528.90	$4,598.00	$260.82–$4,598.00	—	45%
CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 CTA ABD&PLVS W/CONTRAST	$2,528.90	$4,598.00	$260.82–$4,598.00	—	45%
CT angiography (CTA) of the head CPT 70496 CTA HEAD	$1,871.10	$3,402.00	$240.93–$3,402.00	10% below	45%
CT angiography (CTA) of the head CPT 70496 CT ANGIOGRAPHY HEAD	$1,871.10	$3,402.00	$240.93–$3,402.00	10% below	45%
CT angiography (CTA) of the head inpatient CPT 70496 CT ANGIOGRAPHY HEAD	$1,871.10	$3,402.00	$240.93–$3,402.00	—	45%
CT angiography (CTA) of the head inpatient CPT 70496 CTA HEAD	$1,871.10	$3,402.00	$240.93–$3,402.00	—	45%
CT angiography (CTA) of the neck CPT 70498 CT ANGIOGRAPHY NECK	$1,857.90	$3,378.00	$240.93–$3,378.00	11% below	45%
CT angiography (CTA) of the neck CPT 70498 CTA NECK	$1,857.90	$3,378.00	$240.93–$3,378.00	11% below	45%
CT angiography (CTA) of the neck inpatient CPT 70498 CTA NECK	$1,857.90	$3,378.00	$240.93–$3,378.00	—	45%
CT angiography (CTA) of the neck inpatient CPT 70498 CT ANGIOGRAPHY NECK	$1,857.90	$3,378.00	$240.93–$3,378.00	—	45%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT ANGIOGRAPHY CHEST	$1,883.75	$3,425.00	$248.35–$3,425.00	10% below	45%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CTA CHEST WO&W CONTRAST & REFORMATS	$1,883.75	$3,425.00	$248.35–$3,425.00	10% below	45%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CTA CHEST WO&W CONTRAST & REFORMATS	$1,883.75	$3,425.00	$248.35–$3,425.00	—	45%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CT ANGIOGRAPHY CHEST	$1,883.75	$3,425.00	$248.35–$3,425.00	—	45%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT HEART WO CONTRAST	$630.30	$1,146.00	$42.28–$1,146.00	139% above	45%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT HRT W/O DYE W/CA TEST	$630.30	$1,146.00	$42.28–$1,146.00	139% above	45%
CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 CT HRT W/O DYE W/CA TEST	$630.30	$1,146.00	$42.28–$1,146.00	—	45%
CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 CT HEART WO CONTRAST	$630.30	$1,146.00	$42.28–$1,146.00	—	45%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABD & PELVIS W/O CONTRAST	$2,060.30	$3,746.00	$103.23–$3,746.00	17% below	45%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT ABD & PELVIS W/O CONTRAST	$2,060.30	$3,746.00	$103.23–$3,746.00	—	45%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABD & PELVIS W/CONTRAST	$2,435.95	$4,429.00	$163.43–$4,429.00	14% below	45%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABDOMEN & PELVIS W/CONTRAST	$2,435.95	$4,429.00	$163.43–$4,429.00	14% below	45%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABDOMEN & PELVIS W/CONTRAST	$2,435.95	$4,429.00	$163.43–$4,429.00	—	45%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABD & PELVIS W/CONTRAST	$2,435.95	$4,429.00	$163.43–$4,429.00	—	45%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABD&PLV WO CNTR FLWD CNTR	$3,017.30	$5,486.00	$207.33–$5,486.00	3% below	45%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABD & PELVIS 1+ SECT/REGN W/OW/C	$3,017.30	$5,486.00	$207.33–$5,486.00	3% below	45%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT ABD&PLV WO CNTR FLWD CNTR	$3,017.30	$5,486.00	$207.33–$5,486.00	—	45%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT ABD & PELVIS 1+ SECT/REGN W/OW/C	$3,017.30	$5,486.00	$207.33–$5,486.00	—	45%
CT scan of the abdomen with contrast CPT 74160 CT ABDOMEN W/C	$1,602.70	$2,914.00	$158.77–$2,914.00	4% below	45%
CT scan of the abdomen with contrast CPT 74160 CT ABDOMEN W/CONTRAST	$1,602.70	$2,914.00	$158.77–$2,914.00	4% below	45%
CT scan of the abdomen with contrast inpatient CPT 74160 CT ABDOMEN W/C	$1,602.70	$2,914.00	$158.77–$2,914.00	—	45%
CT scan of the abdomen with contrast inpatient CPT 74160 CT ABDOMEN W/CONTRAST	$1,602.70	$2,914.00	$158.77–$2,914.00	—	45%
CT scan of the abdomen without contrast CPT 74150 CT ABDOMEN W/O	$1,007.60	$1,832.00	$116.86–$1,832.00	27% below	45%
CT scan of the abdomen without contrast CPT 74150 CT ABDOMEN W/O CONTRAST	$1,007.60	$1,832.00	$116.86–$1,832.00	27% below	45%
CT scan of the abdomen without contrast inpatient CPT 74150 CT ABDOMEN W/O CONTRAST	$1,007.60	$1,832.00	$116.86–$1,832.00	—	45%
CT scan of the abdomen without contrast inpatient CPT 74150 CT ABDOMEN W/O	$1,007.60	$1,832.00	$116.86–$1,832.00	—	45%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT MAXILLOFACIAL/SINUS W/O	$876.70	$1,594.00	$112.99–$1,594.00	44% below	45%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT MAXILLOFACIAL W/O DYE	$876.70	$1,594.00	$112.99–$1,594.00	44% below	45%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT MAXILLOFACIAL/SINUS W/O	$876.70	$1,594.00	$112.99–$1,594.00	—	45%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT MAXILLOFACIAL W/O DYE	$876.70	$1,594.00	$112.99–$1,594.00	—	45%
CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD/BRAIN W/O DYE	$839.85	$1,527.00	$93.23–$1,527.00	36% below	45%
CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD W/O	$839.85	$1,527.00	$93.23–$1,527.00	36% below	45%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT HEAD/BRAIN W/O DYE	$839.85	$1,527.00	$93.23–$1,527.00	—	45%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT HEAD W/O	$839.85	$1,527.00	$93.23–$1,527.00	—	45%
CT scan of the head with contrast CPT 70460 CT HEAD W/C	$1,007.60	$1,832.00	$130.12–$1,832.00	34% below	45%
CT scan of the head with contrast CPT 70460 CT HEAD/BRAIN W/DYE	$1,007.60	$1,832.00	$130.12–$1,832.00	34% below	45%
CT scan of the head with contrast inpatient CPT 70460 CT HEAD W/C	$1,007.60	$1,832.00	$130.12–$1,832.00	—	45%
CT scan of the head with contrast inpatient CPT 70460 CT HEAD/BRAIN W/DYE	$1,007.60	$1,832.00	$130.12–$1,832.00	—	45%
CT scan of the head without and with contrast CPT 70470 CT HEAD W/O, W/C	$1,258.95	$2,289.00	$153.11–$2,289.00	35% below	45%
CT scan of the head without and with contrast CPT 70470 CT HEAD/BRAIN W/O & W/DYE	$1,258.95	$2,289.00	$153.11–$2,289.00	35% below	45%
CT scan of the head without and with contrast inpatient CPT 70470 CT HEAD/BRAIN W/O & W/DYE	$1,258.95	$2,289.00	$153.11–$2,289.00	—	45%
CT scan of the head without and with contrast inpatient CPT 70470 CT HEAD W/O, W/C	$1,258.95	$2,289.00	$153.11–$2,289.00	—	45%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT SPINE LUMBAR W/O	$1,052.70	$1,914.00	$113.42–$1,914.00	25% below	45%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT LUMBAR SPINE W/O DYE	$1,052.70	$1,914.00	$113.42–$1,914.00	25% below	45%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT LUMBAR SPINE W/O DYE	$1,052.70	$1,914.00	$113.42–$1,914.00	—	45%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT SPINE LUMBAR W/O	$1,052.70	$1,914.00	$113.42–$1,914.00	—	45%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT NECK SPINE W/O DYE	$1,052.70	$1,914.00	$113.99–$1,914.00	27% below	45%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT SPINE CERVICAL W/O	$1,052.70	$1,914.00	$113.99–$1,914.00	27% below	45%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT SPINE CERVICAL W/O	$1,052.70	$1,914.00	$113.99–$1,914.00	—	45%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT NECK SPINE W/O DYE	$1,052.70	$1,914.00	$113.99–$1,914.00	—	45%
CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W/C	$1,338.15	$2,433.00	$158.77–$2,433.00	18% below	45%
CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W/DYE	$1,338.15	$2,433.00	$158.77–$2,433.00	18% below	45%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT PELVIS W/DYE	$1,338.15	$2,433.00	$158.77–$2,433.00	—	45%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT PELVIS W/C	$1,338.15	$2,433.00	$158.77–$2,433.00	—	45%
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 EXTRACRANIAL BILAT STUDY	$659.45	$1,199.00	$105.16–$2,074.68	—	45%
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 VS_CAROTID DUPLEX-BILATERAL COMPL	$659.45	$1,199.00	$105.16–$2,074.68	—	45%
Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 VS_CAROTID DUPLEX-BILATERAL COMPL	$659.45	$1,199.00	$105.16–$2,074.68	—	45%
Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 EXTRACRANIAL BILAT STUDY	$659.45	$1,199.00	$105.16–$2,074.68	—	45%
Chest CT scan without and with contrast CPT 71270 CT THORAX DX C-/C+	$1,722.05	$3,131.00	$173.51–$3,131.00	31% below	45%
Chest CT scan without and with contrast CPT 71270 CT CHEST W/O, W/C	$1,722.05	$3,131.00	$173.51–$3,131.00	31% below	45%
Chest CT scan without and with contrast inpatient CPT 71270 CT CHEST W/O, W/C	$1,722.05	$3,131.00	$173.51–$3,131.00	—	45%
Chest CT scan without and with contrast inpatient CPT 71270 CT THORAX DX C-/C+	$1,722.05	$3,131.00	$173.51–$3,131.00	—	45%
Chest X-ray, 2 views CPT 71046 CHEST (2 VW) REPEAT/DIFF MD	$194.70	$354.00	$19.75–$1,976.00	24% below	45%
Chest X-ray, 2 views CPT 71046 CHEST PRE-PLACEMENT PRIORITY CARE	$194.70	$354.00	$19.75–$1,976.00	24% below	45%
Chest X-ray, 2 views CPT 71046 CHEST PA/LAT(2VWS)	$194.70	$354.00	$19.75–$1,976.00	24% below	45%
Chest X-ray, 2 views CPT 71046 X-RAY EXAM CHEST 2 VIEWS	$194.70	$354.00	$19.75–$1,976.00	24% below	45%
Chest X-ray, 2 views CPT 71046 CHEST (2 VW) REPEAT SAME MD	$194.70	$354.00	$19.75–$1,976.00	24% below	45%
Chest X-ray, 2 views CPT 71046 CHEST FLUOROSCOPY	$308.00	$560.00	$19.75–$1,976.00	20% above	45%
Chest X-ray, 2 views inpatient CPT 71046 CHEST (2 VW) REPEAT SAME MD	$194.70	$354.00	$19.75–$1,976.00	—	45%
Chest X-ray, 2 views inpatient CPT 71046 CHEST (2 VW) REPEAT/DIFF MD	$194.70	$354.00	$19.75–$1,976.00	—	45%
Chest X-ray, 2 views inpatient CPT 71046 CHEST PRE-PLACEMENT PRIORITY CARE	$194.70	$354.00	$19.75–$1,976.00	—	45%
Chest X-ray, 2 views inpatient CPT 71046 X-RAY EXAM CHEST 2 VIEWS	$194.70	$354.00	$19.75–$1,976.00	—	45%
Chest X-ray, 2 views inpatient CPT 71046 CHEST PA/LAT(2VWS)	$194.70	$354.00	$19.75–$1,976.00	—	45%
Chest X-ray, 2 views inpatient CPT 71046 CHEST FLUOROSCOPY	$308.00	$560.00	$19.75–$1,976.00	—	45%
Chest X-ray, single view CPT 71045 CHEST (1 VW) REPEAT DIFF MD	$146.30	$266.00	$12.82–$1,596.00	35% below	45%
Chest X-ray, single view CPT 71045 CHEST PORTABLE	$146.30	$266.00	$12.82–$1,596.00	35% below	45%
Chest X-ray, single view CPT 71045 CHEST (1 VW) REPEAT SAME MD	$146.30	$266.00	$12.82–$1,596.00	35% below	45%
Chest X-ray, single view CPT 71045 X-RAY EXAM CHEST 1 VIEW	$146.30	$266.00	$12.82–$1,596.00	35% below	45%
Chest X-ray, single view CPT 71045 CHEST (1 VW) REPEAT/DIFF MD	$146.30	$266.00	$12.82–$1,596.00	35% below	45%
Chest X-ray, single view CPT 71045 CHEST(1VW)	$146.30	$266.00	$12.82–$1,596.00	35% below	45%
Chest X-ray, single view CPT 71045 CHEST PORT LINE PLACEMENT	$146.30	$266.00	$12.82–$1,596.00	35% below	45%
Chest X-ray, single view inpatient CPT 71045 CHEST PORT LINE PLACEMENT	$146.30	$266.00	$12.82–$1,596.00	—	45%
Chest X-ray, single view inpatient CPT 71045 X-RAY EXAM CHEST 1 VIEW	$146.30	$266.00	$12.82–$1,596.00	—	45%
Chest X-ray, single view inpatient CPT 71045 CHEST (1 VW) REPEAT DIFF MD	$146.30	$266.00	$12.82–$1,596.00	—	45%
Chest X-ray, single view inpatient CPT 71045 CHEST (1 VW) REPEAT SAME MD	$146.30	$266.00	$12.82–$1,596.00	—	45%
Chest X-ray, single view inpatient CPT 71045 CHEST (1 VW) REPEAT/DIFF MD	$146.30	$266.00	$12.82–$1,596.00	—	45%
Chest X-ray, single view inpatient CPT 71045 CHEST(1VW)	$146.30	$266.00	$12.82–$1,596.00	—	45%
Chest X-ray, single view inpatient CPT 71045 CHEST PORTABLE	$146.30	$266.00	$12.82–$1,596.00	—	45%
Collarbone (clavicle) X-ray, complete CPT 73000 X-RAY EXAM OF COLLAR BONE	$202.40	$368.00	$12.37–$1,472.00	20% below	45%
Collarbone (clavicle) X-ray, complete one side CPT 73000 CLAVICLE -LT	$202.40	$368.00	$12.37–$1,472.00	20% below	45%
Collarbone (clavicle) X-ray, complete one side CPT 73000 CLAVICLE -RT	$202.40	$368.00	$12.37–$1,472.00	20% below	45%
Collarbone (clavicle) X-ray, complete inpatient CPT 73000 X-RAY EXAM OF COLLAR BONE	$202.40	$368.00	$12.37–$1,472.00	—	45%
Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 CLAVICLE -LT	$202.40	$368.00	$12.37–$1,472.00	—	45%
Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 CLAVICLE -RT	$202.40	$368.00	$12.37–$1,472.00	—	45%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US EXAM ABDO BACK WALL COMP	$600.05	$1,091.00	$57.74–$1,091.00	3% below	45%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 RETROPERITONEAL US B-SCAN &/OR REAL	$600.05	$1,091.00	$57.74–$1,091.00	3% below	45%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 RETROPERITONEAL US B-SCAN &/OR REAL	$600.05	$1,091.00	$57.74–$1,091.00	—	45%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US EXAM ABDO BACK WALL COMP	$600.05	$1,091.00	$57.74–$1,091.00	—	45%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 DEXA SCAN HIP/PELVIS/SP	$282.70	$514.00	$32.39–$514.00	35% below	45%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 DXA BONE DENSITY AXIAL	$282.70	$514.00	$32.39–$514.00	35% below	45%
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 DEXA SCAN HIP/PELVIS/SP	$282.70	$514.00	$32.39–$514.00	—	45%
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 DXA BONE DENSITY AXIAL	$282.70	$514.00	$32.39–$514.00	—	45%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 DEXA SCAN WRIST	$142.45	$259.00	$23.40–$285.09	73% below	45%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 DXA BONE DENSITY APPENDICULR	$142.45	$259.00	$23.40–$285.09	73% below	45%
DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 DEXA SCAN WRIST	$142.45	$259.00	$23.40–$285.09	—	45%
DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 DXA BONE DENSITY APPENDICULR	$142.45	$259.00	$23.40–$285.09	—	45%
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 OB US DETAILED SNGL FETUS	$670.45	$1,219.00	$108.46–$1,219.00	37% below	45%
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 PREG UTERUS W/DETAILED FETAL ANATOM	$670.45	$1,219.00	$108.46–$1,219.00	37% below	45%
Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 PREG UTERUS W/DETAILED FETAL ANATOM	$670.45	$1,219.00	$108.46–$1,219.00	—	45%
Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 OB US DETAILED SNGL FETUS	$670.45	$1,219.00	$108.46–$1,219.00	—	45%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT CHEST W/O	$1,052.70	$1,914.00	$116.99–$1,914.00	24% below	45%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT THORAX DX C-	$1,052.70	$1,914.00	$116.99–$1,914.00	24% below	45%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT CHEST W/O	$1,052.70	$1,914.00	$116.99–$1,914.00	—	45%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT THORAX DX C-	$1,052.70	$1,914.00	$116.99–$1,914.00	—	45%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT CHEST W/C	$1,507.55	$2,741.00	$146.95–$2,741.00	9% below	45%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT THORAX DX C+	$1,507.55	$2,741.00	$146.95–$2,741.00	9% below	45%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT CHEST W/C	$1,507.55	$2,741.00	$146.95–$2,741.00	—	45%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT THORAX DX C+	$1,507.55	$2,741.00	$146.95–$2,741.00	—	45%
Diagnostic mammogram, both breasts both sides CPT 77066 DX MAMMO INCL CAD BI	$501.05	$911.00	$94.88–$1,822.00	—	45%
Diagnostic mammogram, both breasts both sides CPT 77066 MM MAMMO DX COMBO BILAT	$501.05	$911.00	$94.88–$1,822.00	—	45%
Diagnostic mammogram, both breasts CPT 77066 MM BIL DIAGNOSTIC	$501.05	$911.00	$94.88–$1,822.00	7% below	45%
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 DX MAMMO INCL CAD BI	$501.05	$911.00	$94.88–$1,822.00	—	45%
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 MM MAMMO DX COMBO BILAT	$501.05	$911.00	$94.88–$1,822.00	—	45%
Diagnostic mammogram, both breasts inpatient CPT 77066 MM BIL DIAGNOSTIC	$501.05	$911.00	$94.88–$1,822.00	—	45%
Diagnostic mammogram, one breast CPT 77065 DX MAMMO INCL CAD UNI	$283.80	$516.00	$83.90–$2,064.00	53% below	45%
Diagnostic mammogram, one breast one side CPT 77065 MM UNILAT LT	$283.80	$516.00	$83.90–$2,064.00	53% below	45%
Diagnostic mammogram, one breast one side CPT 77065 MM MAMMO DX COMBO RT	$283.80	$516.00	$83.90–$2,064.00	53% below	45%
Diagnostic mammogram, one breast one side CPT 77065 MM MAMMO DX COMBO LT	$283.80	$516.00	$83.90–$2,064.00	53% below	45%
Diagnostic mammogram, one breast one side CPT 77065 MM UNILAT RT	$283.80	$516.00	$83.90–$2,064.00	53% below	45%
Diagnostic mammogram, one breast inpatient CPT 77065 DX MAMMO INCL CAD UNI	$283.80	$516.00	$83.90–$2,064.00	—	45%
Diagnostic mammogram, one breast inpatient one side CPT 77065 MM UNILAT LT	$283.80	$516.00	$83.90–$2,064.00	—	45%
Diagnostic mammogram, one breast inpatient one side CPT 77065 MM UNILAT RT	$283.80	$516.00	$83.90–$2,064.00	—	45%
Diagnostic mammogram, one breast inpatient one side CPT 77065 MM MAMMO DX COMBO LT	$283.80	$516.00	$83.90–$2,064.00	—	45%
Diagnostic mammogram, one breast inpatient one side CPT 77065 MM MAMMO DX COMBO RT	$283.80	$516.00	$83.90–$2,064.00	—	45%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 VS_DUP EXT BILAT VEINS COMPLETE S	$694.65	$1,263.00	$123.72–$2,083.98	—	45%
Duplex ultrasound of the leg veins, both legs CPT 93970 EXTREMITY STUDY	$694.65	$1,263.00	$123.72–$2,083.98	84% below	45%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 VS_DUP EXT BILAT VEINS COMPLETE S	$694.65	$1,263.00	$123.72–$2,083.98	—	45%
Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 EXTREMITY STUDY	$694.65	$1,263.00	$123.72–$2,083.98	—	45%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 US ECHOCARDIOGRAM COMPLETE	$1,487.75	$2,705.00	$166.10–$2,705.00	5% below	45%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 TTE W/DOPPLER COMPLETE	$1,487.75	$2,705.00	$166.10–$2,705.00	5% below	45%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 TTE W/DOPPLER COMPLETE	$1,487.75	$2,705.00	$166.10–$2,705.00	—	45%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 US ECHOCARDIOGRAM COMPLETE	$1,487.75	$2,705.00	$166.10–$2,705.00	—	45%
Elbow X-ray, 2 views CPT 73070 X-RAY EXAM OF ELBOW	$177.10	$322.00	$11.44–$1,610.00	34% below	45%
Elbow X-ray, 2 views CPT 73070 ELBOW RED SERV	$177.10	$322.00	$11.44–$1,610.00	34% below	45%
Elbow X-ray, 2 views one side CPT 73070 ELBOW -LT(2 VWS)	$177.10	$322.00	$11.44–$1,610.00	34% below	45%
Elbow X-ray, 2 views one side CPT 73070 ELBOW -RT(2VWS)	$177.10	$322.00	$11.44–$1,610.00	34% below	45%
Elbow X-ray, 2 views inpatient CPT 73070 X-RAY EXAM OF ELBOW	$177.10	$322.00	$11.44–$1,610.00	—	45%
Elbow X-ray, 2 views inpatient CPT 73070 ELBOW RED SERV	$177.10	$322.00	$11.44–$1,610.00	—	45%
Elbow X-ray, 2 views inpatient one side CPT 73070 ELBOW -LT(2 VWS)	$177.10	$322.00	$11.44–$1,610.00	—	45%
Elbow X-ray, 2 views inpatient one side CPT 73070 ELBOW -RT(2VWS)	$177.10	$322.00	$11.44–$1,610.00	—	45%
Elbow X-ray, complete, 3 or more views CPT 73080 X-RAY EXAM OF ELBOW	$200.20	$364.00	$18.56–$1,456.00	31% below	45%
Elbow X-ray, complete, 3 or more views one side CPT 73080 ELBOW -RT(3VWS)	$200.20	$364.00	$18.56–$1,456.00	31% below	45%
Elbow X-ray, complete, 3 or more views one side CPT 73080 ELBOW -LT(3 VWS)	$200.20	$364.00	$18.56–$1,456.00	31% below	45%
Elbow X-ray, complete, 3 or more views inpatient CPT 73080 X-RAY EXAM OF ELBOW	$200.20	$364.00	$18.56–$1,456.00	—	45%
Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 ELBOW -RT(3VWS)	$200.20	$364.00	$18.56–$1,456.00	—	45%
Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 ELBOW -LT(3 VWS)	$200.20	$364.00	$18.56–$1,456.00	—	45%
Eye socket (orbit) CT scan without contrast CPT 70480 CT ORBIT/EAR/FOSSA W/O DYE	$839.85	$1,527.00	$139.39–$1,527.00	43% below	45%
Eye socket (orbit) CT scan without contrast CPT 70480 CT - ORBIT, SELLA, MID/INN EAR W/O	$839.85	$1,527.00	$139.39–$1,527.00	43% below	45%
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 CT ORBIT/EAR/FOSSA W/O DYE	$839.85	$1,527.00	$139.39–$1,527.00	—	45%
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 CT - ORBIT, SELLA, MID/INN EAR W/O	$839.85	$1,527.00	$139.39–$1,527.00	—	45%
Facial bones X-ray, complete, 3 or more views CPT 70150 X-RAY EXAM OF FACIAL BONES	$252.45	$459.00	$25.78–$459.00	32% below	45%
Facial bones X-ray, complete, 3 or more views CPT 70150 FACIAL BONES COMPLT(3+VWS)	$252.45	$459.00	$25.78–$459.00	32% below	45%
Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 FACIAL BONES COMPLT(3+VWS)	$252.45	$459.00	$25.78–$459.00	—	45%
Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 X-RAY EXAM OF FACIAL BONES	$252.45	$459.00	$25.78–$459.00	—	45%
Forearm X-ray (radius and ulna), 2 views CPT 73090 FOREARM RED SERV	$181.50	$330.00	$10.31–$1,650.00	28% below	45%
Forearm X-ray (radius and ulna), 2 views CPT 73090 X-RAY EXAM OF FOREARM	$181.50	$330.00	$10.31–$1,650.00	28% below	45%
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 FOREARM -RT(2VWS)	$181.50	$330.00	$10.31–$1,650.00	28% below	45%
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 FOREARM -LT(2VWS)	$181.50	$330.00	$10.31–$1,650.00	28% below	45%
Forearm X-ray (radius and ulna), 2 views inpatient CPT 73090 X-RAY EXAM OF FOREARM	$181.50	$330.00	$10.31–$1,650.00	—	45%
Forearm X-ray (radius and ulna), 2 views inpatient CPT 73090 FOREARM RED SERV	$181.50	$330.00	$10.31–$1,650.00	—	45%
Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 FOREARM -RT(2VWS)	$181.50	$330.00	$10.31–$1,650.00	—	45%
Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 FOREARM -LT(2VWS)	$181.50	$330.00	$10.31–$1,650.00	—	45%
Hand X-ray, 2 views CPT 73120 X-RAY EXAM OF HAND	$194.70	$354.00	$12.37–$1,770.00	28% below	45%
Hand X-ray, 2 views CPT 73120 HAND REDUCED SERVICE	$194.70	$354.00	$12.37–$1,770.00	28% below	45%
Hand X-ray, 2 views one side CPT 73120 HAND -LT(2VWS)	$194.70	$354.00	$12.37–$1,770.00	28% below	45%
Hand X-ray, 2 views one side CPT 73120 HAND -RT(2VWS)	$194.70	$354.00	$12.37–$1,770.00	28% below	45%
Hand X-ray, 2 views inpatient CPT 73120 HAND REDUCED SERVICE	$194.70	$354.00	$12.37–$1,770.00	—	45%
Hand X-ray, 2 views inpatient CPT 73120 X-RAY EXAM OF HAND	$194.70	$354.00	$12.37–$1,770.00	—	45%
Hand X-ray, 2 views inpatient one side CPT 73120 HAND -RT(2VWS)	$194.70	$354.00	$12.37–$1,770.00	—	45%
Hand X-ray, 2 views inpatient one side CPT 73120 HAND -LT(2VWS)	$194.70	$354.00	$12.37–$1,770.00	—	45%
Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 CALCANEUS REDUCED SERVICE	$177.10	$322.00	$20.62–$1,610.00	28% below	45%
Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 X-RAY EXAM OF HEEL	$177.10	$322.00	$20.62–$1,610.00	28% below	45%
Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 CALCANEUS -LT(2+VWS)	$177.10	$322.00	$20.62–$1,610.00	28% below	45%
Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 CALCANEUS RT(2 VW)	$177.10	$322.00	$20.62–$1,610.00	28% below	45%
Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 CALCANEUS LT(2 VW)	$177.10	$322.00	$20.62–$1,610.00	28% below	45%
Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 CALCANEUS -RT(2+VWS)	$177.10	$322.00	$20.62–$1,610.00	28% below	45%
Heel bone (calcaneus) X-ray, 2 or more views inpatient CPT 73650 CALCANEUS REDUCED SERVICE	$177.10	$322.00	$20.62–$1,610.00	—	45%
Heel bone (calcaneus) X-ray, 2 or more views inpatient CPT 73650 X-RAY EXAM OF HEEL	$177.10	$322.00	$20.62–$1,610.00	—	45%
Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 CALCANEUS -LT(2+VWS)	$177.10	$322.00	$20.62–$1,610.00	—	45%
Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 CALCANEUS LT(2 VW)	$177.10	$322.00	$20.62–$1,610.00	—	45%
Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 CALCANEUS -RT(2+VWS)	$177.10	$322.00	$20.62–$1,610.00	—	45%
Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 CALCANEUS RT(2 VW)	$177.10	$322.00	$20.62–$1,610.00	—	45%
Knee X-ray, 3 views CPT 73562 X-RAY EXAM OF KNEE 3	$262.35	$477.00	$15.47–$1,908.00	24% below	45%
Knee X-ray, 3 views one side CPT 73562 KNEE -LT(3VWS)	$262.35	$477.00	$15.47–$1,908.00	24% below	45%
Knee X-ray, 3 views one side CPT 73562 KNEE -RT(3VWS)	$262.35	$477.00	$15.47–$1,908.00	24% below	45%
Knee X-ray, 3 views inpatient CPT 73562 X-RAY EXAM OF KNEE 3	$262.35	$477.00	$15.47–$1,908.00	—	45%
Knee X-ray, 3 views inpatient one side CPT 73562 KNEE -RT(3VWS)	$262.35	$477.00	$15.47–$1,908.00	—	45%
Knee X-ray, 3 views inpatient one side CPT 73562 KNEE -LT(3VWS)	$262.35	$477.00	$15.47–$1,908.00	—	45%
Knee X-ray, complete, 4 or more views both sides CPT 73564 KNEE 4+ VW BILATERAL	$576.95	$1,049.00	$15.47–$4,154.00	—	45%
Knee X-ray, complete, 4 or more views CPT 73564 X-RAY EXAM KNEE 4 OR MORE	$288.20	$524.00	$15.47–$4,154.00	13% below	45%
Knee X-ray, complete, 4 or more views one side CPT 73564 KNEE -RT(4+VWS)	$288.20	$524.00	$15.47–$4,154.00	13% below	45%
Knee X-ray, complete, 4 or more views one side CPT 73564 KNEE -LT(4+VWS)	$288.20	$524.00	$15.47–$4,154.00	13% below	45%
Knee X-ray, complete, 4 or more views inpatient both sides CPT 73564 KNEE 4+ VW BILATERAL	$576.95	$1,049.00	$15.47–$4,154.00	—	45%
Knee X-ray, complete, 4 or more views inpatient CPT 73564 X-RAY EXAM KNEE 4 OR MORE	$288.20	$524.00	$15.47–$4,154.00	—	45%
Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 KNEE -RT(4+VWS)	$288.20	$524.00	$15.47–$4,154.00	—	45%
Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 KNEE -LT(4+VWS)	$288.20	$524.00	$15.47–$4,154.00	—	45%
Leg CT scan without contrast (hip to foot, any part) both sides CPT 73700 CT SCANOGRAM BONE LENGTH BILATERAL	$253.00	$460.00	$113.70–$4,052.00	—	45%
Leg CT scan without contrast (hip to foot, any part) CPT 73700 CT LOWER EXTREMITY W/O DYE	$987.80	$1,796.00	$113.70–$4,052.00	29% below	45%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT LOWER EXT W/O,-LT	$987.80	$1,796.00	$113.70–$4,052.00	29% below	45%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT LOWER EXT W/O -RT	$987.80	$1,796.00	$113.70–$4,052.00	29% below	45%
Leg CT scan without contrast (hip to foot, any part) inpatient both sides CPT 73700 CT SCANOGRAM BONE LENGTH BILATERAL	$253.00	$460.00	$113.70–$4,052.00	—	45%
Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 CT LOWER EXTREMITY W/O DYE	$987.80	$1,796.00	$113.70–$4,052.00	—	45%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT LOWER EXT W/O,-LT	$987.80	$1,796.00	$113.70–$4,052.00	—	45%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT LOWER EXT W/O -RT	$987.80	$1,796.00	$113.70–$4,052.00	—	45%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 ECHO EXAM OF ABDOMEN	$495.00	$900.00	$72.17–$900.00	2% below	45%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 UL ABDOMEN LIMITED	$495.00	$900.00	$72.17–$900.00	2% below	45%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 UL ABDOMEN LIMITED	$495.00	$900.00	$72.17–$900.00	—	45%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 ECHO EXAM OF ABDOMEN	$495.00	$900.00	$72.17–$900.00	—	45%
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 US LMTD JT/FCL EVL NVASC XTR	$292.60	$532.00	$14.07–$1,064.00	12% below	45%
Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 US XTR NON-VASC LMTD RT	$292.60	$532.00	$14.07–$1,064.00	12% below	45%
Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 US XTR NON-VASC LMTD LT	$292.60	$532.00	$14.07–$1,064.00	12% below	45%
Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 US LMTD JT/FCL EVL NVASC XTR	$292.60	$532.00	$14.07–$1,064.00	—	45%
Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 US XTR NON-VASC LMTD LT	$292.60	$532.00	$14.07–$1,064.00	—	45%
Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 US XTR NON-VASC LMTD RT	$292.60	$532.00	$14.07–$1,064.00	—	45%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT THORAX LD LUNG CA SCRN W/O CONTRAST	$787.05	$1,431.00	$121.00–$1,431.00	6% above	45%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT THORAX LUNG CANCER SCR C-	$787.05	$1,431.00	$121.00–$1,431.00	6% above	45%
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 CT THORAX LD LUNG CA SCRN W/O CONTRAST	$787.05	$1,431.00	$121.00–$1,431.00	—	45%
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 CT THORAX LUNG CANCER SCR C-	$787.05	$1,431.00	$121.00–$1,431.00	—	45%
Lower leg X-ray (tibia and fibula), 2 views CPT 73590 X-RAY EXAM OF LOWER LEG	$199.65	$363.00	$15.47–$1,815.00	26% below	45%
Lower leg X-ray (tibia and fibula), 2 views CPT 73590 TIB/FIB REDUCED SERVICE	$199.65	$363.00	$15.47–$1,815.00	26% below	45%
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 TIB/FIB -LT(2VWS)	$199.65	$363.00	$15.47–$1,815.00	26% below	45%
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 TIB/FIB -RT(2VWS)	$199.65	$363.00	$15.47–$1,815.00	26% below	45%
Lower leg X-ray (tibia and fibula), 2 views inpatient CPT 73590 TIB/FIB REDUCED SERVICE	$199.65	$363.00	$15.47–$1,815.00	—	45%
Lower leg X-ray (tibia and fibula), 2 views inpatient CPT 73590 X-RAY EXAM OF LOWER LEG	$199.65	$363.00	$15.47–$1,815.00	—	45%
Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 TIB/FIB -LT(2VWS)	$199.65	$363.00	$15.47–$1,815.00	—	45%
Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 TIB/FIB -RT(2VWS)	$199.65	$363.00	$15.47–$1,815.00	—	45%
MR angiography (MRA) of the head without contrast CPT 70544 MR ANGIOGRAPHY HEAD W/O DYE	$1,993.20	$3,624.00	$191.03–$3,624.00	1% above	45%
MR angiography (MRA) of the head without contrast CPT 70544 MR ANGIO HEAD W/O	$1,993.20	$3,624.00	$191.03–$3,624.00	1% above	45%
MR angiography (MRA) of the head without contrast inpatient CPT 70544 MR ANGIO HEAD W/O	$1,993.20	$3,624.00	$191.03–$3,624.00	—	45%
MR angiography (MRA) of the head without contrast inpatient CPT 70544 MR ANGIOGRAPHY HEAD W/O DYE	$1,993.20	$3,624.00	$191.03–$3,624.00	—	45%
MRI of both breasts, without and then with contrast dye both sides CPT 77049 MRI BREAST C-+ W/CAD BI	$4,091.45	$7,439.00	$263.06–$7,439.00	—	45%
MRI of both breasts, without and then with contrast dye both sides CPT 77049 MR BREAST W/O, W/C BILATERAL	$4,091.45	$7,439.00	$263.06–$7,439.00	—	45%
MRI of both breasts, without and then with contrast dye inpatient both sides CPT 77049 MR BREAST W/O, W/C BILATERAL	$4,091.45	$7,439.00	$263.06–$7,439.00	—	45%
MRI of both breasts, without and then with contrast dye inpatient both sides CPT 77049 MRI BREAST C-+ W/CAD BI	$4,091.45	$7,439.00	$263.06–$7,439.00	—	45%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MR LWR EXT JOINT RED SERVICE	$1,685.75	$3,065.00	$179.10–$9,195.00	23% below	45%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI JNT OF LWR EXTRE W/O DYE	$1,685.75	$3,065.00	$179.10–$9,195.00	23% below	45%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MR LWR EXT JOINT RT W/O	$1,685.75	$3,065.00	$179.10–$9,195.00	23% below	45%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MR LWR EXT JOINT LT W/O	$1,685.75	$3,065.00	$179.10–$9,195.00	23% below	45%
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 MR LWR EXT JOINT RED SERVICE	$1,685.75	$3,065.00	$179.10–$9,195.00	—	45%
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 MRI JNT OF LWR EXTRE W/O DYE	$1,685.75	$3,065.00	$179.10–$9,195.00	—	45%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MR LWR EXT JOINT LT W/O	$1,685.75	$3,065.00	$179.10–$9,195.00	—	45%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MR LWR EXT JOINT RT W/O	$1,685.75	$3,065.00	$179.10–$9,195.00	—	45%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI JOINT LWR EXTR W/O&W/DYE	$3,281.30	$5,966.00	$344.82–$11,932.00	16% below	45%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MR LWR EXT JOINT LT W/O,W/C	$3,281.30	$5,966.00	$344.82–$11,932.00	16% below	45%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MR LWR EXT JOINT RT W/O,W/C	$3,281.30	$5,966.00	$344.82–$11,932.00	16% below	45%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 MRI JOINT LWR EXTR W/O&W/DYE	$3,281.30	$5,966.00	$344.82–$11,932.00	—	45%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MR LWR EXT JOINT LT W/O,W/C	$3,281.30	$5,966.00	$344.82–$11,932.00	—	45%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MR LWR EXT JOINT RT W/O,W/C	$3,281.30	$5,966.00	$344.82–$11,932.00	—	45%
MRI of the abdomen without contrast CPT 74181 MR ABDOMEN RED SERVICE	$2,019.05	$3,671.00	$173.80–$7,342.00	18% below	45%
MRI of the abdomen without contrast CPT 74181 MRI ABDOMEN W/O CONTRAST	$2,019.05	$3,671.00	$173.80–$7,342.00	18% below	45%
MRI of the abdomen without contrast CPT 74181 MR ABDOMEN W/O	$2,019.05	$3,671.00	$173.80–$7,342.00	18% below	45%
MRI of the abdomen without contrast inpatient CPT 74181 MRI ABDOMEN W/O CONTRAST	$2,019.05	$3,671.00	$173.80–$7,342.00	—	45%
MRI of the abdomen without contrast inpatient CPT 74181 MR ABDOMEN RED SERVICE	$2,019.05	$3,671.00	$173.80–$7,342.00	—	45%
MRI of the abdomen without contrast inpatient CPT 74181 MR ABDOMEN W/O	$2,019.05	$3,671.00	$173.80–$7,342.00	—	45%
MRI of the abdomen, without and then with contrast dye CPT 74183 MRI ABD W/O CNTR FLWD CNTR	$3,556.85	$6,467.00	$301.22–$12,934.00	4% below	45%
MRI of the abdomen, without and then with contrast dye CPT 74183 MR ABDOMEN LEVEL II W/O, W/C	$3,556.85	$6,467.00	$301.22–$12,934.00	4% below	45%
MRI of the abdomen, without and then with contrast dye CPT 74183 MR ABDOMEN W/O,W/C	$3,556.85	$6,467.00	$301.22–$12,934.00	4% below	45%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MR ABDOMEN W/O,W/C	$3,556.85	$6,467.00	$301.22–$12,934.00	—	45%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MRI ABD W/O CNTR FLWD CNTR	$3,556.85	$6,467.00	$301.22–$12,934.00	—	45%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MR ABDOMEN LEVEL II W/O, W/C	$3,556.85	$6,467.00	$301.22–$12,934.00	—	45%
MRI of the brain, no contrast dye CPT 70551 MR BRAIN W/O	$1,554.85	$2,827.00	$173.21–$5,654.00	32% below	45%
MRI of the brain, no contrast dye CPT 70551 MRI BRAIN STEM W/O DYE	$1,554.85	$2,827.00	$173.21–$5,654.00	32% below	45%
MRI of the brain, no contrast dye CPT 70551 MR BRAIN RED SERVICE W/O	$1,554.85	$2,827.00	$173.21–$5,654.00	32% below	45%
MRI of the brain, no contrast dye inpatient CPT 70551 MRI BRAIN STEM W/O DYE	$1,554.85	$2,827.00	$173.21–$5,654.00	—	45%
MRI of the brain, no contrast dye inpatient CPT 70551 MR BRAIN RED SERVICE W/O	$1,554.85	$2,827.00	$173.21–$5,654.00	—	45%
MRI of the brain, no contrast dye inpatient CPT 70551 MR BRAIN W/O	$1,554.85	$2,827.00	$173.21–$5,654.00	—	45%
MRI of the brain, with and without contrast dye CPT 70553 MR BRAIN W/O, W/C	$3,051.40	$5,548.00	$282.48–$11,242.00	17% below	45%
MRI of the brain, with and without contrast dye CPT 70553 MR BRAIN LEVEL II W/O, W/C	$3,131.70	$5,694.00	$282.48–$11,242.00	14% below	45%
MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN STEM W/O & W/DYE	$3,131.70	$5,694.00	$282.48–$11,242.00	14% below	45%
MRI of the brain, with and without contrast dye inpatient CPT 70553 MR BRAIN W/O, W/C	$3,051.40	$5,548.00	$282.48–$11,242.00	—	45%
MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI BRAIN STEM W/O & W/DYE	$3,131.70	$5,694.00	$282.48–$11,242.00	—	45%
MRI of the brain, with and without contrast dye inpatient CPT 70553 MR BRAIN LEVEL II W/O, W/C	$3,131.70	$5,694.00	$282.48–$11,242.00	—	45%
MRI of the lower back, no contrast dye CPT 72148 MRI LUMBAR SPINE W/O DYE	$2,019.05	$3,671.00	$168.91–$7,342.00	18% below	45%
MRI of the lower back, no contrast dye CPT 72148 MR SPINE LUMBAR W/O	$2,019.05	$3,671.00	$168.91–$7,342.00	18% below	45%
MRI of the lower back, no contrast dye CPT 72148 MR SPINE LUMBAR RED SERVICE W/O	$2,019.05	$3,671.00	$168.91–$7,342.00	18% below	45%
MRI of the lower back, no contrast dye inpatient CPT 72148 MR SPINE LUMBAR W/O	$2,019.05	$3,671.00	$168.91–$7,342.00	—	45%
MRI of the lower back, no contrast dye inpatient CPT 72148 MR SPINE LUMBAR RED SERVICE W/O	$2,019.05	$3,671.00	$168.91–$7,342.00	—	45%
MRI of the lower back, no contrast dye inpatient CPT 72148 MRI LUMBAR SPINE W/O DYE	$2,019.05	$3,671.00	$168.91–$7,342.00	—	45%
MRI of the lower back, without and then with contrast dye CPT 72158 MR SPINE LUMBAR W/O,W/C	$3,131.70	$5,694.00	$283.34–$11,513.00	19% below	45%
MRI of the lower back, without and then with contrast dye CPT 72158 MR SPINE LUMBAR LEVEL II W/O,W/C	$3,200.45	$5,819.00	$283.34–$11,513.00	17% below	45%
MRI of the lower back, without and then with contrast dye CPT 72158 MRI LUMBAR SPINE W/O & W/DYE	$3,200.45	$5,819.00	$283.34–$11,513.00	17% below	45%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MR SPINE LUMBAR W/O,W/C	$3,131.70	$5,694.00	$283.34–$11,513.00	—	45%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MRI LUMBAR SPINE W/O & W/DYE	$3,200.45	$5,819.00	$283.34–$11,513.00	—	45%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MR SPINE LUMBAR LEVEL II W/O,W/C	$3,200.45	$5,819.00	$283.34–$11,513.00	—	45%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MR SPINE THORACIC RED SERVICE W/O	$2,024.55	$3,681.00	$168.34–$7,362.00	19% below	45%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI CHEST SPINE W/O DYE	$2,024.55	$3,681.00	$168.34–$7,362.00	19% below	45%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MR SPINE THORACIC W/O	$2,024.55	$3,681.00	$168.34–$7,362.00	19% below	45%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MR SPINE THORACIC RED SERVICE W/O	$2,024.55	$3,681.00	$168.34–$7,362.00	—	45%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MRI CHEST SPINE W/O DYE	$2,024.55	$3,681.00	$168.34–$7,362.00	—	45%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MR SPINE THORACIC W/O	$2,024.55	$3,681.00	$168.34–$7,362.00	—	45%
MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI NECK SPINE W/O & W/DYE	$3,073.40	$5,588.00	$283.91–$5,588.00	20% below	45%
MRI of the neck (cervical spine) without and with contrast CPT 72156 MR SPINE CERVICAL W/O,W/C	$3,073.40	$5,588.00	$283.91–$5,588.00	20% below	45%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MRI NECK SPINE W/O & W/DYE	$3,073.40	$5,588.00	$283.91–$5,588.00	—	45%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MR SPINE CERVICAL W/O,W/C	$3,073.40	$5,588.00	$283.91–$5,588.00	—	45%
MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI NECK SPINE W/O DYE	$1,993.20	$3,624.00	$168.34–$7,248.00	19% below	45%
MRI of the neck (cervical spine), no contrast dye CPT 72141 MR SPINE CERVICAL W/O	$1,993.20	$3,624.00	$168.34–$7,248.00	19% below	45%
MRI of the neck (cervical spine), no contrast dye CPT 72141 MR SPINE CERVICAL RED SERVICE W/O	$1,993.20	$3,624.00	$168.34–$7,248.00	19% below	45%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MR SPINE CERVICAL RED SERVICE W/O	$1,993.20	$3,624.00	$168.34–$7,248.00	—	45%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MR SPINE CERVICAL W/O	$1,993.20	$3,624.00	$168.34–$7,248.00	—	45%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MRI NECK SPINE W/O DYE	$1,993.20	$3,624.00	$168.34–$7,248.00	—	45%
MRI of the pelvis without and with contrast CPT 72197 MR PELVIS W/O,W/C	$3,547.50	$6,450.00	$300.08–$6,450.00	1% above	45%
MRI of the pelvis without and with contrast CPT 72197 MRI PELVIS W/O & W/DYE	$3,547.50	$6,450.00	$300.08–$6,450.00	1% above	45%
MRI of the pelvis without and with contrast inpatient CPT 72197 MR PELVIS W/O,W/C	$3,547.50	$6,450.00	$300.08–$6,450.00	—	45%
MRI of the pelvis without and with contrast inpatient CPT 72197 MRI PELVIS W/O & W/DYE	$3,547.50	$6,450.00	$300.08–$6,450.00	—	45%
MRI of the pelvis, no contrast dye CPT 72195 MRI PELVIS W/O DYE	$1,971.20	$3,584.00	$203.59–$3,584.00	26% below	45%
MRI of the pelvis, no contrast dye CPT 72195 MR PELVIS W/O	$1,971.20	$3,584.00	$203.59–$3,584.00	26% below	45%
MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI PELVIS W/O DYE	$1,971.20	$3,584.00	$203.59–$3,584.00	—	45%
MRI of the pelvis, no contrast dye inpatient CPT 72195 MR PELVIS W/O	$1,971.20	$3,584.00	$203.59–$3,584.00	—	45%
MRI of the shoulder, elbow or wrist joint, no contrast dye both sides CPT 73221 MR UPPR EXT JOINT W/O BILATERAL	$3,793.90	$6,898.00	$179.39–$17,248.00	—	45%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MRI JOINT UPR EXTREM W/O DYE	$1,897.50	$3,450.00	$179.39–$17,248.00	9% below	45%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MR UPPR EXT JOINT RED SERVICE W/O	$1,897.50	$3,450.00	$179.39–$17,248.00	9% below	45%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MR UPPR EXT JOINT W/O -LT	$1,897.50	$3,450.00	$179.39–$17,248.00	9% below	45%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MR UPPR EXT JOINT W/O -RT	$1,897.50	$3,450.00	$179.39–$17,248.00	9% below	45%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient both sides CPT 73221 MR UPPR EXT JOINT W/O BILATERAL	$3,793.90	$6,898.00	$179.39–$17,248.00	—	45%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 MR UPPR EXT JOINT RED SERVICE W/O	$1,897.50	$3,450.00	$179.39–$17,248.00	—	45%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 MRI JOINT UPR EXTREM W/O DYE	$1,897.50	$3,450.00	$179.39–$17,248.00	—	45%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MR UPPR EXT JOINT W/O -RT	$1,897.50	$3,450.00	$179.39–$17,248.00	—	45%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MR UPPR EXT JOINT W/O -LT	$1,897.50	$3,450.00	$179.39–$17,248.00	—	45%
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 SPINE CERVICAL W/OBL(4+ VWS)	$326.15	$593.00	$20.62–$1,186.00	20% below	45%
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 X-RAY EXAM NECK SPINE 4/5VWS	$326.15	$593.00	$20.62–$1,186.00	20% below	45%
Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 X-RAY EXAM NECK SPINE 4/5VWS	$326.15	$593.00	$20.62–$1,186.00	—	45%
Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 SPINE CERVICAL W/OBL(4+ VWS)	$326.15	$593.00	$20.62–$1,186.00	—	45%
Neck soft tissue CT scan with contrast CPT 70491 CT SOFT TISSUE NECK W/DYE	$1,187.45	$2,159.00	$154.65–$2,159.00	25% below	45%
Neck soft tissue CT scan with contrast CPT 70491 CT NECK W/C	$1,187.45	$2,159.00	$154.65–$2,159.00	25% below	45%
Neck soft tissue CT scan with contrast inpatient CPT 70491 CT SOFT TISSUE NECK W/DYE	$1,187.45	$2,159.00	$154.65–$2,159.00	—	45%
Neck soft tissue CT scan with contrast inpatient CPT 70491 CT NECK W/C	$1,187.45	$2,159.00	$154.65–$2,159.00	—	45%
Neck soft tissue CT scan without contrast CPT 70490 CT NECK W/O	$893.20	$1,624.00	$130.84–$1,624.00	36% below	45%
Neck soft tissue CT scan without contrast CPT 70490 CT SOFT TISSUE NECK W/O DYE	$893.20	$1,624.00	$130.84–$1,624.00	36% below	45%
Neck soft tissue CT scan without contrast inpatient CPT 70490 CT NECK W/O	$893.20	$1,624.00	$130.84–$1,624.00	—	45%
Neck soft tissue CT scan without contrast inpatient CPT 70490 CT SOFT TISSUE NECK W/O DYE	$893.20	$1,624.00	$130.84–$1,624.00	—	45%
Neck soft tissue X-ray CPT 70360 NECK SOFT TISSUE	$190.30	$346.00	$12.37–$692.00	14% below	45%
Neck soft tissue X-ray CPT 70360 NECK SOFT TISSUE (1 VW)	$190.30	$346.00	$12.37–$692.00	14% below	45%
Neck soft tissue X-ray CPT 70360 X-RAY EXAM OF NECK	$190.30	$346.00	$12.37–$692.00	14% below	45%
Neck soft tissue X-ray inpatient CPT 70360 X-RAY EXAM OF NECK	$190.30	$346.00	$12.37–$692.00	—	45%
Neck soft tissue X-ray inpatient CPT 70360 NECK SOFT TISSUE	$190.30	$346.00	$12.37–$692.00	—	45%
Neck soft tissue X-ray inpatient CPT 70360 NECK SOFT TISSUE (1 VW)	$190.30	$346.00	$12.37–$692.00	—	45%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM HT MUSCLE IMAGE SPECT, MULT	$1,112.65	$2,023.00	$189.72–$5,146.97	61% below	45%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 HT MUSCLE IMAGE SPECT MULT	$1,112.65	$2,023.00	$189.72–$5,146.97	61% below	45%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 NM HT MUSCLE IMAGE SPECT, MULT	$1,112.65	$2,023.00	$189.72–$5,146.97	—	45%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 HT MUSCLE IMAGE SPECT MULT	$1,112.65	$2,023.00	$189.72–$5,146.97	—	45%
Pelvic CT scan without contrast CPT 72192 CT PELVIS W/O	$987.80	$1,796.00	$116.98–$1,796.00	33% below	45%
Pelvic CT scan without contrast CPT 72192 CT PELVIS W/O DYE	$987.80	$1,796.00	$116.98–$1,796.00	33% below	45%
Pelvic CT scan without contrast inpatient CPT 72192 CT PELVIS W/O DYE	$987.80	$1,796.00	$116.98–$1,796.00	—	45%
Pelvic CT scan without contrast inpatient CPT 72192 CT PELVIS W/O	$987.80	$1,796.00	$116.98–$1,796.00	—	45%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 PELVIC LIMITED ULTRS REAL TIME	$300.30	$546.00	$31.18–$546.00	18% below	45%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US EXAM PELVIC LIMITED	$300.30	$546.00	$31.18–$546.00	18% below	45%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 PELVIC LIMITED ULTRS REAL TIME	$300.30	$546.00	$31.18–$546.00	—	45%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US EXAM PELVIC LIMITED	$300.30	$546.00	$31.18–$546.00	—	45%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 PELVIC US B-SCAN REAL TIME COMPLETE	$443.85	$807.00	$83.51–$975.22	23% below	45%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US EXAM PELVIC COMPLETE	$443.85	$807.00	$83.51–$975.22	23% below	45%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US EXAM PELVIC COMPLETE	$443.85	$807.00	$83.51–$975.22	—	45%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 PELVIC US B-SCAN REAL TIME COMPLETE	$443.85	$807.00	$83.51–$975.22	—	45%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 OBS PREG UTERUS > 14 WEEKS	$584.10	$1,062.00	$65.98–$1,168.50	6% below	45%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 OB US >/= 14 WKS SNGL FETUS	$584.10	$1,062.00	$65.98–$1,168.50	6% below	45%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 OBS PREG UTERUS > 14 WEEKS	$584.10	$1,062.00	$65.98–$1,168.50	—	45%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 OB US >/= 14 WKS SNGL FETUS	$584.10	$1,062.00	$65.98–$1,168.50	—	45%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 PREGNANCY UTERUS < 14 WEEKS GESTAT	$375.65	$683.00	$57.65–$938.49	37% below	45%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 OB US < 14 WKS SINGLE FETUS	$375.65	$683.00	$57.65–$938.49	37% below	45%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 PREGNANCY UTERUS < 14 WEEKS GESTAT	$375.65	$683.00	$57.65–$938.49	—	45%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 OB US < 14 WKS SINGLE FETUS	$375.65	$683.00	$57.65–$938.49	—	45%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 PREG LIMITED	$306.90	$558.00	$46.40–$667.00	27% below	45%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 OB US LIMITED FETUS(S)	$306.90	$558.00	$46.40–$667.00	27% below	45%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 OB US LIMITED FETUS(S)	$306.90	$558.00	$46.40–$667.00	—	45%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 PREG LIMITED	$306.90	$558.00	$46.40–$667.00	—	45%
Rib X-ray, one side, 2 views CPT 71100 X-RAY EXAM RIBS UNI 2 VIEWS	$215.05	$391.00	$16.50–$1,564.00	11% below	45%
Rib X-ray, one side, 2 views one side CPT 71100 RIBS -RT(2 VWS)	$215.05	$391.00	$16.50–$1,564.00	11% below	45%
Rib X-ray, one side, 2 views one side CPT 71100 RIBS -LT(2 VWS)	$215.05	$391.00	$16.50–$1,564.00	11% below	45%
Rib X-ray, one side, 2 views inpatient CPT 71100 X-RAY EXAM RIBS UNI 2 VIEWS	$215.05	$391.00	$16.50–$1,564.00	—	45%
Rib X-ray, one side, 2 views inpatient one side CPT 71100 RIBS -RT(2 VWS)	$215.05	$391.00	$16.50–$1,564.00	—	45%
Rib X-ray, one side, 2 views inpatient one side CPT 71100 RIBS -LT(2 VWS)	$215.05	$391.00	$16.50–$1,564.00	—	45%
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 X-RAY EXAM UNILAT RIBS/CHEST	$244.20	$444.00	$16.50–$888.00	32% below	45%
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 RIBS W/PA CHEST -RT	$244.20	$444.00	$16.50–$888.00	32% below	45%
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 RIBS W/PA CHEST -LT	$244.20	$444.00	$16.50–$888.00	32% below	45%
Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 RIBS W/PA CHEST -LT	$244.20	$444.00	$16.50–$888.00	—	45%
Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 X-RAY EXAM UNILAT RIBS/CHEST	$244.20	$444.00	$16.50–$888.00	—	45%
Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 RIBS W/PA CHEST -RT	$244.20	$444.00	$16.50–$888.00	—	45%
Screening mammogram, both breasts both sides CPT 77067 SCR MAMMO BI INCL CAD	$405.90	$738.00	$98.11–$2,956.00	—	45%
Screening mammogram, both breasts both sides CPT 77067 MM BILATERAL SCREENING	$405.90	$738.00	$98.11–$2,956.00	—	45%
Screening mammogram, both breasts both sides CPT 77067 MM MAMMO SCREEN COMBO BILAT	$405.90	$738.00	$98.11–$2,956.00	—	45%
Screening mammogram, both breasts one side CPT 77067 MM MAMMO SCREEN RT	$203.50	$370.00	$98.11–$2,956.00	57% below	45%
Screening mammogram, both breasts one side CPT 77067 MM MAMMO SCREEN LT	$203.50	$370.00	$98.11–$2,956.00	57% below	45%
Screening mammogram, both breasts one side CPT 77067 MM MAMMO SCREEN COMBO RT	$203.50	$370.00	$98.11–$2,956.00	57% below	45%
Screening mammogram, both breasts one side CPT 77067 MM MAMMO SCREEN COMBO LT	$203.50	$370.00	$98.11–$2,956.00	57% below	45%
Screening mammogram, both breasts inpatient both sides CPT 77067 MM BILATERAL SCREENING	$405.90	$738.00	$98.11–$2,956.00	—	45%
Screening mammogram, both breasts inpatient both sides CPT 77067 SCR MAMMO BI INCL CAD	$405.90	$738.00	$98.11–$2,956.00	—	45%
Screening mammogram, both breasts inpatient both sides CPT 77067 MM MAMMO SCREEN COMBO BILAT	$405.90	$738.00	$98.11–$2,956.00	—	45%
Screening mammogram, both breasts inpatient one side CPT 77067 MM MAMMO SCREEN COMBO RT	$203.50	$370.00	$98.11–$2,956.00	—	45%
Screening mammogram, both breasts inpatient one side CPT 77067 MM MAMMO SCREEN RT	$203.50	$370.00	$98.11–$2,956.00	—	45%
Screening mammogram, both breasts inpatient one side CPT 77067 MM MAMMO SCREEN LT	$203.50	$370.00	$98.11–$2,956.00	—	45%
Screening mammogram, both breasts inpatient one side CPT 77067 MM MAMMO SCREEN COMBO LT	$203.50	$370.00	$98.11–$2,956.00	—	45%
Shoulder X-ray, complete, 2 or more views CPT 73030 X-RAY EXAM OF SHOULDER	$209.55	$381.00	$15.47–$1,524.00	24% below	45%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 SHOULDER -RT(2+VWS)	$209.55	$381.00	$15.47–$1,524.00	24% below	45%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 SHOULDER -LT(2+VWS)	$209.55	$381.00	$15.47–$1,524.00	24% below	45%
Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 X-RAY EXAM OF SHOULDER	$209.55	$381.00	$15.47–$1,524.00	—	45%
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 SHOULDER -LT(2+VWS)	$209.55	$381.00	$15.47–$1,524.00	—	45%
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 SHOULDER -RT(2+VWS)	$209.55	$381.00	$15.47–$1,524.00	—	45%
Sinus X-ray, complete, 3 or more views CPT 70220 SINUSES(3+ VWS)	$224.95	$409.00	$24.73–$409.00	36% below	45%
Sinus X-ray, complete, 3 or more views CPT 70220 X-RAY EXAM OF SINUSES	$224.95	$409.00	$24.73–$409.00	36% below	45%
Sinus X-ray, complete, 3 or more views inpatient CPT 70220 SINUSES(3+ VWS)	$224.95	$409.00	$24.73–$409.00	—	45%
Sinus X-ray, complete, 3 or more views inpatient CPT 70220 X-RAY EXAM OF SINUSES	$224.95	$409.00	$24.73–$409.00	—	45%
Skull X-ray, fewer than 4 views CPT 70250 SKULL(1-3 VWS)	$210.10	$382.00	$18.56–$382.00	23% below	45%
Skull X-ray, fewer than 4 views CPT 70250 X-RAY EXAM OF SKULL	$210.10	$382.00	$18.56–$382.00	23% below	45%
Skull X-ray, fewer than 4 views inpatient CPT 70250 SKULL(1-3 VWS)	$210.10	$382.00	$18.56–$382.00	—	45%
Skull X-ray, fewer than 4 views inpatient CPT 70250 X-RAY EXAM OF SKULL	$210.10	$382.00	$18.56–$382.00	—	45%
Swallow study (modified barium swallow, video X-ray) CPT 74230 BARIUM SWALLOW MODIFIED RED SERV	$323.95	$589.00	$41.24–$1,329.58	51% below	45%
Swallow study (modified barium swallow, video X-ray) CPT 74230 X-RAY XM SWLNG FUNCJ C+	$323.95	$589.00	$41.24–$1,329.58	51% below	45%
Swallow study (modified barium swallow, video X-ray) CPT 74230 BARIUM SWALLOW MODIFIED	$323.95	$589.00	$41.24–$1,329.58	51% below	45%
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 BARIUM SWALLOW MODIFIED	$323.95	$589.00	$41.24–$1,329.58	—	45%
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 BARIUM SWALLOW MODIFIED RED SERV	$323.95	$589.00	$41.24–$1,329.58	—	45%
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 X-RAY XM SWLNG FUNCJ C+	$323.95	$589.00	$41.24–$1,329.58	—	45%
Thigh bone (femur) X-ray, 2 or more views CPT 73552 X-RAY EXAM OF FEMUR 2/>	$224.95	$409.00	$21.02–$1,636.00	24% below	45%
Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 FEMUR (2 VWS) RT	$224.95	$409.00	$21.02–$1,636.00	24% below	45%
Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 FEMUR (2 VWS) LT	$224.95	$409.00	$21.02–$1,636.00	24% below	45%
Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 FEMUR -LT(2VWS)	$224.95	$409.00	$21.02–$1,636.00	24% below	45%
Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 FEMUR -RT(2 VWS)	$224.95	$409.00	$21.02–$1,636.00	24% below	45%
Thigh bone (femur) X-ray, 2 or more views inpatient CPT 73552 X-RAY EXAM OF FEMUR 2/>	$224.95	$409.00	$21.02–$1,636.00	—	45%
Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 FEMUR -RT(2 VWS)	$224.95	$409.00	$21.02–$1,636.00	—	45%
Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 FEMUR (2 VWS) RT	$224.95	$409.00	$21.02–$1,636.00	—	45%
Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 FEMUR (2 VWS) LT	$224.95	$409.00	$21.02–$1,636.00	—	45%
Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 FEMUR -LT(2VWS)	$224.95	$409.00	$21.02–$1,636.00	—	45%
Thoracic spine (mid back) CT scan without contrast CPT 72128 CT SPINE THORACIC W/O	$1,052.70	$1,914.00	$113.99–$1,914.00	18% below	45%
Thoracic spine (mid back) CT scan without contrast CPT 72128 CT CHEST SPINE W/O DYE	$1,052.70	$1,914.00	$113.99–$1,914.00	18% below	45%
Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 CT SPINE THORACIC W/O	$1,052.70	$1,914.00	$113.99–$1,914.00	—	45%
Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 CT CHEST SPINE W/O DYE	$1,052.70	$1,914.00	$113.99–$1,914.00	—	45%
Toe X-ray, 2 or more views CPT 73660 X-RAY EXAM OF TOE(S)	$190.30	$346.00	$10.31–$3,806.00	14% below	45%
Toe X-ray, 2 or more views one side CPT 73660 TOE(S) -LT 5	$190.30	$346.00	$10.31–$3,806.00	14% below	45%
Toe X-ray, 2 or more views one side CPT 73660 TOE(S) -RT 5	$190.30	$346.00	$10.31–$3,806.00	14% below	45%
Toe X-ray, 2 or more views one side CPT 73660 TOE(S) -RT 2	$190.30	$346.00	$10.31–$3,806.00	14% below	45%
Toe X-ray, 2 or more views one side CPT 73660 TOE(S) -RT HALLUX	$190.30	$346.00	$10.31–$3,806.00	14% below	45%
Toe X-ray, 2 or more views one side CPT 73660 TOE(S) -RT 4	$190.30	$346.00	$10.31–$3,806.00	14% below	45%
Toe X-ray, 2 or more views one side CPT 73660 TOE(S) -LT 3	$190.30	$346.00	$10.31–$3,806.00	14% below	45%
Toe X-ray, 2 or more views one side CPT 73660 TOE(S) -LT HALLUX	$190.30	$346.00	$10.31–$3,806.00	14% below	45%
Toe X-ray, 2 or more views one side CPT 73660 TOE(S) -LT 2	$190.30	$346.00	$10.31–$3,806.00	14% below	45%
Toe X-ray, 2 or more views one side CPT 73660 TOE(S) -LT 4	$190.30	$346.00	$10.31–$3,806.00	14% below	45%
Toe X-ray, 2 or more views one side CPT 73660 TOE(S) -RT 3	$190.30	$346.00	$10.31–$3,806.00	14% below	45%
Toe X-ray, 2 or more views inpatient CPT 73660 X-RAY EXAM OF TOE(S)	$190.30	$346.00	$10.31–$3,806.00	—	45%
Toe X-ray, 2 or more views inpatient one side CPT 73660 TOE(S) -LT 2	$190.30	$346.00	$10.31–$3,806.00	—	45%
Toe X-ray, 2 or more views inpatient one side CPT 73660 TOE(S) -LT 3	$190.30	$346.00	$10.31–$3,806.00	—	45%
Toe X-ray, 2 or more views inpatient one side CPT 73660 TOE(S) -LT 4	$190.30	$346.00	$10.31–$3,806.00	—	45%
Toe X-ray, 2 or more views inpatient one side CPT 73660 TOE(S) -LT 5	$190.30	$346.00	$10.31–$3,806.00	—	45%
Toe X-ray, 2 or more views inpatient one side CPT 73660 TOE(S) -RT HALLUX	$190.30	$346.00	$10.31–$3,806.00	—	45%
Toe X-ray, 2 or more views inpatient one side CPT 73660 TOE(S) -RT 2	$190.30	$346.00	$10.31–$3,806.00	—	45%
Toe X-ray, 2 or more views inpatient one side CPT 73660 TOE(S) -RT 3	$190.30	$346.00	$10.31–$3,806.00	—	45%
Toe X-ray, 2 or more views inpatient one side CPT 73660 TOE(S) -RT 4	$190.30	$346.00	$10.31–$3,806.00	—	45%
Toe X-ray, 2 or more views inpatient one side CPT 73660 TOE(S) -RT 5	$190.30	$346.00	$10.31–$3,806.00	—	45%
Toe X-ray, 2 or more views inpatient one side CPT 73660 TOE(S) -LT HALLUX	$190.30	$346.00	$10.31–$3,806.00	—	45%
Transvaginal pelvic ultrasound CPT 76830 TRANSVAGINAL US	$443.85	$807.00	$56.71–$1,768.00	20% below	45%
Transvaginal pelvic ultrasound CPT 76830 TRANSVAGINAL US NON-OB	$528.55	$961.00	$56.71–$1,768.00	5% below	45%
Transvaginal pelvic ultrasound CPT 76830 PELVIC TRANSVAGINAL W OTHER STUDY	$528.55	$961.00	$56.71–$1,768.00	5% below	45%
Transvaginal pelvic ultrasound inpatient CPT 76830 TRANSVAGINAL US	$443.85	$807.00	$56.71–$1,768.00	—	45%
Transvaginal pelvic ultrasound inpatient CPT 76830 TRANSVAGINAL US NON-OB	$528.55	$961.00	$56.71–$1,768.00	—	45%
Transvaginal pelvic ultrasound inpatient CPT 76830 PELVIC TRANSVAGINAL W OTHER STUDY	$528.55	$961.00	$56.71–$1,768.00	—	45%
Transvaginal ultrasound during pregnancy CPT 76817 PREGNANCY UTERUS TRANS VAGINAL	$528.55	$961.00	$60.10–$961.00	19% above	45%
Transvaginal ultrasound during pregnancy CPT 76817 TRANSVAGINAL US OBSTETRIC	$528.55	$961.00	$60.10–$961.00	19% above	45%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 TRANSVAGINAL US OBSTETRIC	$528.55	$961.00	$60.10–$961.00	—	45%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 PREGNANCY UTERUS TRANS VAGINAL	$528.55	$961.00	$60.10–$961.00	—	45%
Ultrasound of the abdomen, complete CPT 76700 UL ABDOMEN COMPLT	$692.45	$1,259.00	$99.57–$1,259.00	3% above	45%
Ultrasound of the abdomen, complete CPT 76700 US EXAM ABDOM COMPLETE	$692.45	$1,259.00	$99.57–$1,259.00	3% above	45%
Ultrasound of the abdomen, complete inpatient CPT 76700 UL ABDOMEN COMPLT	$692.45	$1,259.00	$99.57–$1,259.00	—	45%
Ultrasound of the abdomen, complete inpatient CPT 76700 US EXAM ABDOM COMPLETE	$692.45	$1,259.00	$99.57–$1,259.00	—	45%
Ultrasound of the scrotum and testicles CPT 76870 SCROTUM AND CONTENTS US	$561.55	$1,021.00	$61.86–$1,021.00	5% above	45%
Ultrasound of the scrotum and testicles CPT 76870 US EXAM SCROTUM	$561.55	$1,021.00	$61.86–$1,021.00	5% above	45%
Ultrasound of the scrotum and testicles inpatient CPT 76870 US EXAM SCROTUM	$561.55	$1,021.00	$61.86–$1,021.00	—	45%
Ultrasound of the scrotum and testicles inpatient CPT 76870 SCROTUM AND CONTENTS US	$561.55	$1,021.00	$61.86–$1,021.00	—	45%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US EXAM OF HEAD AND NECK	$506.00	$920.00	$51.55–$1,136.30	at median	45%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 SOFT TISSUE HEAD/NECK US REAL TIME	$506.00	$920.00	$51.55–$1,136.30	at median	45%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 SOFT TISSUE HEAD/NECK US REAL TIME	$506.00	$920.00	$51.55–$1,136.30	—	45%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US EXAM OF HEAD AND NECK	$506.00	$920.00	$51.55–$1,136.30	—	45%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 UGI W/ OR W/O KUB RED SVC	$428.45	$779.00	$41.24–$1,558.00	41% below	45%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 UGI W/ OR W/O KUB	$428.45	$779.00	$41.24–$1,558.00	41% below	45%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 X-RAY XM UPR GI TRC 1CNTRST	$428.45	$779.00	$41.24–$1,558.00	41% below	45%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 UGI W/ OR W/O KUB RED SVC	$428.45	$779.00	$41.24–$1,558.00	—	45%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 X-RAY XM UPR GI TRC 1CNTRST	$428.45	$779.00	$41.24–$1,558.00	—	45%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 UGI W/ OR W/O KUB	$428.45	$779.00	$41.24–$1,558.00	—	45%
Upper arm X-ray (humerus), 2 views CPT 73060 HUMERUS RED SERV	$202.40	$368.00	$12.37–$1,840.00	26% below	45%
Upper arm X-ray (humerus), 2 views CPT 73060 X-RAY EXAM OF HUMERUS	$202.40	$368.00	$12.37–$1,840.00	26% below	45%
Upper arm X-ray (humerus), 2 views one side CPT 73060 HUMERUS LT(2VWS)	$202.40	$368.00	$12.37–$1,840.00	26% below	45%
Upper arm X-ray (humerus), 2 views one side CPT 73060 HUMERUS RT(2VWS)	$202.40	$368.00	$12.37–$1,840.00	26% below	45%
Upper arm X-ray (humerus), 2 views inpatient CPT 73060 HUMERUS RED SERV	$202.40	$368.00	$12.37–$1,840.00	—	45%
Upper arm X-ray (humerus), 2 views inpatient CPT 73060 X-RAY EXAM OF HUMERUS	$202.40	$368.00	$12.37–$1,840.00	—	45%
Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 HUMERUS LT(2VWS)	$202.40	$368.00	$12.37–$1,840.00	—	45%
Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 HUMERUS RT(2VWS)	$202.40	$368.00	$12.37–$1,840.00	—	45%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 EXTREMITY STUDY	$553.30	$1,006.00	$79.18–$1,292.74	33% below	45%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 VS_DUP EXT UNILAT/FU VEINS STUDY	$553.30	$1,006.00	$79.18–$1,292.74	33% below	45%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 EXTREMITY STUDY	$553.30	$1,006.00	$79.18–$1,292.74	—	45%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 VS_DUP EXT UNILAT/FU VEINS STUDY	$553.30	$1,006.00	$79.18–$1,292.74	—	45%
Wrist X-ray, 2 views CPT 73100 WRIST RED SERV	$160.60	$292.00	$10.31–$1,460.00	37% below	45%
Wrist X-ray, 2 views CPT 73100 X-RAY EXAM OF WRIST	$160.60	$292.00	$10.31–$1,460.00	37% below	45%
Wrist X-ray, 2 views one side CPT 73100 WRIST -RT(2VWS)	$160.60	$292.00	$10.31–$1,460.00	37% below	45%
Wrist X-ray, 2 views one side CPT 73100 WRIST LT(2VWS)	$160.60	$292.00	$10.31–$1,460.00	37% below	45%
Wrist X-ray, 2 views inpatient CPT 73100 WRIST RED SERV	$160.60	$292.00	$10.31–$1,460.00	—	45%
Wrist X-ray, 2 views inpatient CPT 73100 X-RAY EXAM OF WRIST	$160.60	$292.00	$10.31–$1,460.00	—	45%
Wrist X-ray, 2 views inpatient one side CPT 73100 WRIST -RT(2VWS)	$160.60	$292.00	$10.31–$1,460.00	—	45%
Wrist X-ray, 2 views inpatient one side CPT 73100 WRIST LT(2VWS)	$160.60	$292.00	$10.31–$1,460.00	—	45%
Wrist X-ray, complete, 3 or more views CPT 73110 X-RAY EXAM OF WRIST	$256.30	$466.00	$17.32–$1,864.00	8% below	45%
Wrist X-ray, complete, 3 or more views one side CPT 73110 WRIST LT(3VWS)	$256.30	$466.00	$17.32–$1,864.00	8% below	45%
Wrist X-ray, complete, 3 or more views one side CPT 73110 WRIST -RT(3VWS)	$256.30	$466.00	$17.32–$1,864.00	8% below	45%
Wrist X-ray, complete, 3 or more views inpatient CPT 73110 X-RAY EXAM OF WRIST	$256.30	$466.00	$17.32–$1,864.00	—	45%
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 WRIST LT(3VWS)	$256.30	$466.00	$17.32–$1,864.00	—	45%
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 WRIST -RT(3VWS)	$256.30	$466.00	$17.32–$1,864.00	—	45%
X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 X-RAY EXAM HIP UNI 2-3 VIEWS	$276.65	$503.00	$26.84–$2,012.00	15% below	45%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HIP/PELVIS 2V RT	$276.65	$503.00	$26.84–$2,012.00	15% below	45%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR HIP/PELVIS 2V RT	$276.65	$503.00	$26.84–$2,012.00	15% below	45%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR HIP/PELVIS 2V LT	$276.65	$503.00	$26.84–$2,012.00	15% below	45%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HIP/PELVIS 2V LT	$276.65	$503.00	$26.84–$2,012.00	15% below	45%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient CPT 73502 X-RAY EXAM HIP UNI 2-3 VIEWS	$276.65	$503.00	$26.84–$2,012.00	—	45%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 XR HIP/PELVIS 2V LT	$276.65	$503.00	$26.84–$2,012.00	—	45%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 HIP/PELVIS 2V RT	$276.65	$503.00	$26.84–$2,012.00	—	45%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 HIP/PELVIS 2V LT	$276.65	$503.00	$26.84–$2,012.00	—	45%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 XR HIP/PELVIS 2V RT	$276.65	$503.00	$26.84–$2,012.00	—	45%
X-ray of the abdomen, 1 view CPT 74018 ABDOMEN/KUB(1VW-DIFF DR)	$177.10	$322.00	$17.70–$1,288.00	25% below	45%
X-ray of the abdomen, 1 view CPT 74018 ABDOMEN/KUB(1VW-SAME DR)	$177.10	$322.00	$17.70–$1,288.00	25% below	45%
X-ray of the abdomen, 1 view CPT 74018 ABDOMEN/KUB(1VW-KUB ONLY)	$177.10	$322.00	$17.70–$1,288.00	25% below	45%
X-ray of the abdomen, 1 view CPT 74018 RADEX ABDOMEN 1 VIEW	$177.10	$322.00	$17.70–$1,288.00	25% below	45%
X-ray of the abdomen, 1 view CPT 74018 ABDOMEN/KUB(1VW-PORT)	$177.10	$322.00	$17.70–$1,288.00	25% below	45%
X-ray of the abdomen, 1 view inpatient CPT 74018 RADEX ABDOMEN 1 VIEW	$177.10	$322.00	$17.70–$1,288.00	—	45%
X-ray of the abdomen, 1 view inpatient CPT 74018 ABDOMEN/KUB(1VW-DIFF DR)	$177.10	$322.00	$17.70–$1,288.00	—	45%
X-ray of the abdomen, 1 view inpatient CPT 74018 ABDOMEN/KUB(1VW-PORT)	$177.10	$322.00	$17.70–$1,288.00	—	45%
X-ray of the abdomen, 1 view inpatient CPT 74018 ABDOMEN/KUB(1VW-KUB ONLY)	$177.10	$322.00	$17.70–$1,288.00	—	45%
X-ray of the abdomen, 1 view inpatient CPT 74018 ABDOMEN/KUB(1VW-SAME DR)	$177.10	$322.00	$17.70–$1,288.00	—	45%
X-ray of the ankle, 2 views CPT 73600 X-RAY EXAM OF ANKLE	$157.30	$286.00	$10.31–$1,716.00	35% below	45%
X-ray of the ankle, 2 views one side CPT 73600 ANKLE RT 1 VW	$157.30	$286.00	$10.31–$1,716.00	35% below	45%
X-ray of the ankle, 2 views one side CPT 73600 ANKLE RT (2 VWS)	$157.30	$286.00	$10.31–$1,716.00	35% below	45%
X-ray of the ankle, 2 views one side CPT 73600 ANKLE LT 1 VW	$157.30	$286.00	$10.31–$1,716.00	35% below	45%
X-ray of the ankle, 2 views one side CPT 73600 ANKLE LT (2 VWS)	$157.30	$286.00	$10.31–$1,716.00	35% below	45%
X-ray of the ankle, 2 views inpatient CPT 73600 X-RAY EXAM OF ANKLE	$157.30	$286.00	$10.31–$1,716.00	—	45%
X-ray of the ankle, 2 views inpatient one side CPT 73600 ANKLE LT (2 VWS)	$157.30	$286.00	$10.31–$1,716.00	—	45%
X-ray of the ankle, 2 views inpatient one side CPT 73600 ANKLE RT 1 VW	$157.30	$286.00	$10.31–$1,716.00	—	45%
X-ray of the ankle, 2 views inpatient one side CPT 73600 ANKLE LT 1 VW	$157.30	$286.00	$10.31–$1,716.00	—	45%
X-ray of the ankle, 2 views inpatient one side CPT 73600 ANKLE RT (2 VWS)	$157.30	$286.00	$10.31–$1,716.00	—	45%
X-ray of the finger(s), 2 or more views CPT 73140 X-RAY EXAM OF FINGER(S)	$204.05	$371.00	$7.73–$7,420.00	2% below	45%
X-ray of the finger(s), 2 or more views one side CPT 73140 FINGER-LT 2 DIGIT F1	$204.05	$371.00	$7.73–$7,420.00	2% below	45%
X-ray of the finger(s), 2 or more views one side CPT 73140 FINGER-LT 5 DIGIT F4	$204.05	$371.00	$7.73–$7,420.00	2% below	45%
X-ray of the finger(s), 2 or more views one side CPT 73140 FINGER-RT 5 DIGIT	$204.05	$371.00	$7.73–$7,420.00	2% below	45%
X-ray of the finger(s), 2 or more views one side CPT 73140 FINGER-RT 4 DIGIT	$204.05	$371.00	$7.73–$7,420.00	2% below	45%
X-ray of the finger(s), 2 or more views one side CPT 73140 FINGER-RT 3 DIGIT	$204.05	$371.00	$7.73–$7,420.00	2% below	45%
X-ray of the finger(s), 2 or more views one side CPT 73140 THUMB LT	$204.05	$371.00	$7.73–$7,420.00	2% below	45%
X-ray of the finger(s), 2 or more views one side CPT 73140 FINGER-LT 5 DIGIT	$204.05	$371.00	$7.73–$7,420.00	2% below	45%
X-ray of the finger(s), 2 or more views one side CPT 73140 FINGER-LT 2 DIGIT	$204.05	$371.00	$7.73–$7,420.00	2% below	45%
X-ray of the finger(s), 2 or more views one side CPT 73140 FINGER-LT 3 DIGIT	$204.05	$371.00	$7.73–$7,420.00	2% below	45%
X-ray of the finger(s), 2 or more views one side CPT 73140 FINGER-LT 4 DIGIT	$204.05	$371.00	$7.73–$7,420.00	2% below	45%
X-ray of the finger(s), 2 or more views one side CPT 73140 THUMB RT	$204.05	$371.00	$7.73–$7,420.00	2% below	45%
X-ray of the finger(s), 2 or more views one side CPT 73140 FINGER-RT 2 DIGIT	$204.05	$371.00	$7.73–$7,420.00	2% below	45%
X-ray of the finger(s), 2 or more views one side CPT 73140 FINGER-RT 4 DIGIT F8	$204.05	$371.00	$7.73–$7,420.00	2% below	45%
X-ray of the finger(s), 2 or more views one side CPT 73140 FINGER-RT 3 DIGIT F7	$204.05	$371.00	$7.73–$7,420.00	2% below	45%
X-ray of the finger(s), 2 or more views one side CPT 73140 FINGER-RT 2 DIGIT F6	$204.05	$371.00	$7.73–$7,420.00	2% below	45%
X-ray of the finger(s), 2 or more views one side CPT 73140 THUMB RT F5	$204.05	$371.00	$7.73–$7,420.00	2% below	45%
X-ray of the finger(s), 2 or more views one side CPT 73140 THUMB LT FA	$204.05	$371.00	$7.73–$7,420.00	2% below	45%
X-ray of the finger(s), 2 or more views one side CPT 73140 FINGER-RT 5 DIGIT F9	$204.05	$371.00	$7.73–$7,420.00	2% below	45%
X-ray of the finger(s), 2 or more views one side CPT 73140 FINGER-LT 4 DIGIT F3	$204.05	$371.00	$7.73–$7,420.00	2% below	45%
X-ray of the finger(s), 2 or more views one side CPT 73140 FINGER-LT 3 DIGIT F2	$204.05	$371.00	$7.73–$7,420.00	2% below	45%
X-ray of the finger(s), 2 or more views inpatient CPT 73140 X-RAY EXAM OF FINGER(S)	$204.05	$371.00	$7.73–$7,420.00	—	45%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 THUMB RT	$204.05	$371.00	$7.73–$7,420.00	—	45%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 FINGER-RT 4 DIGIT F8	$204.05	$371.00	$7.73–$7,420.00	—	45%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 FINGER-RT 3 DIGIT F7	$204.05	$371.00	$7.73–$7,420.00	—	45%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 FINGER-RT 2 DIGIT F6	$204.05	$371.00	$7.73–$7,420.00	—	45%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 THUMB RT F5	$204.05	$371.00	$7.73–$7,420.00	—	45%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 THUMB LT FA	$204.05	$371.00	$7.73–$7,420.00	—	45%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 FINGER-RT 5 DIGIT F9	$204.05	$371.00	$7.73–$7,420.00	—	45%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 FINGER-LT 4 DIGIT F3	$204.05	$371.00	$7.73–$7,420.00	—	45%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 FINGER-LT 3 DIGIT F2	$204.05	$371.00	$7.73–$7,420.00	—	45%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 FINGER-LT 2 DIGIT F1	$204.05	$371.00	$7.73–$7,420.00	—	45%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 FINGER-LT 5 DIGIT F4	$204.05	$371.00	$7.73–$7,420.00	—	45%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 FINGER-RT 5 DIGIT	$204.05	$371.00	$7.73–$7,420.00	—	45%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 FINGER-RT 4 DIGIT	$204.05	$371.00	$7.73–$7,420.00	—	45%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 FINGER-RT 3 DIGIT	$204.05	$371.00	$7.73–$7,420.00	—	45%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 FINGER-RT 2 DIGIT	$204.05	$371.00	$7.73–$7,420.00	—	45%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 FINGER-LT 4 DIGIT	$204.05	$371.00	$7.73–$7,420.00	—	45%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 FINGER-LT 3 DIGIT	$204.05	$371.00	$7.73–$7,420.00	—	45%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 FINGER-LT 2 DIGIT	$204.05	$371.00	$7.73–$7,420.00	—	45%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 FINGER-LT 5 DIGIT	$204.05	$371.00	$7.73–$7,420.00	—	45%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 THUMB LT	$204.05	$371.00	$7.73–$7,420.00	—	45%
X-ray of the foot, 2 views both sides CPT 73620 FOOT 2 VIEW BILATERAL	$331.10	$602.00	$15.47–$2,107.00	—	45%
X-ray of the foot, 2 views CPT 73620 FOOT REDUCED SERVICE	$165.55	$301.00	$15.47–$2,107.00	28% below	45%
X-ray of the foot, 2 views CPT 73620 X-RAY EXAM OF FOOT	$165.55	$301.00	$15.47–$2,107.00	28% below	45%
X-ray of the foot, 2 views one side CPT 73620 FOOT -LT(2VWS)	$165.55	$301.00	$15.47–$2,107.00	28% below	45%
X-ray of the foot, 2 views one side CPT 73620 FOOT -RT(2VWS)	$165.55	$301.00	$15.47–$2,107.00	28% below	45%
X-ray of the foot, 2 views inpatient both sides CPT 73620 FOOT 2 VIEW BILATERAL	$331.10	$602.00	$15.47–$2,107.00	—	45%
X-ray of the foot, 2 views inpatient CPT 73620 X-RAY EXAM OF FOOT	$165.55	$301.00	$15.47–$2,107.00	—	45%
X-ray of the foot, 2 views inpatient CPT 73620 FOOT REDUCED SERVICE	$165.55	$301.00	$15.47–$2,107.00	—	45%
X-ray of the foot, 2 views inpatient one side CPT 73620 FOOT -LT(2VWS)	$165.55	$301.00	$15.47–$2,107.00	—	45%
X-ray of the foot, 2 views inpatient one side CPT 73620 FOOT -RT(2VWS)	$165.55	$301.00	$15.47–$2,107.00	—	45%
X-ray of the foot, complete, 3 or more views CPT 73630 X-RAY EXAM OF FOOT	$215.05	$391.00	$15.47–$1,564.00	32% below	45%
X-ray of the foot, complete, 3 or more views one side CPT 73630 FOOT -RT(3VWS)	$215.05	$391.00	$15.47–$1,564.00	32% below	45%
X-ray of the foot, complete, 3 or more views one side CPT 73630 FOOT -LT(3VWS)	$215.05	$391.00	$15.47–$1,564.00	32% below	45%
X-ray of the foot, complete, 3 or more views inpatient CPT 73630 X-RAY EXAM OF FOOT	$215.05	$391.00	$15.47–$1,564.00	—	45%
X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 FOOT -LT(3VWS)	$215.05	$391.00	$15.47–$1,564.00	—	45%
X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 FOOT -RT(3VWS)	$215.05	$391.00	$15.47–$1,564.00	—	45%
X-ray of the hand, 3 or more views both sides CPT 73130 HAND 3VWS BILATERAL	$462.55	$841.00	$12.37–$2,529.00	—	45%
X-ray of the hand, 3 or more views CPT 73130 X-RAY EXAM OF HAND	$232.10	$422.00	$12.37–$2,529.00	16% below	45%
X-ray of the hand, 3 or more views one side CPT 73130 HAND -LT(3VWS)	$232.10	$422.00	$12.37–$2,529.00	16% below	45%
X-ray of the hand, 3 or more views one side CPT 73130 HAND -RT(3VWS)	$232.10	$422.00	$12.37–$2,529.00	16% below	45%
X-ray of the hand, 3 or more views inpatient both sides CPT 73130 HAND 3VWS BILATERAL	$462.55	$841.00	$12.37–$2,529.00	—	45%
X-ray of the hand, 3 or more views inpatient CPT 73130 X-RAY EXAM OF HAND	$232.10	$422.00	$12.37–$2,529.00	—	45%
X-ray of the hand, 3 or more views inpatient one side CPT 73130 HAND -RT(3VWS)	$232.10	$422.00	$12.37–$2,529.00	—	45%
X-ray of the hand, 3 or more views inpatient one side CPT 73130 HAND -LT(3VWS)	$232.10	$422.00	$12.37–$2,529.00	—	45%
X-ray of the knee, 1 or 2 views CPT 73560 X-RAY EXAM OF KNEE 1 OR 2	$222.20	$404.00	$13.15–$1,616.00	14% below	45%
X-ray of the knee, 1 or 2 views one side CPT 73560 KNEE -RT(1-2VWS)	$222.20	$404.00	$13.15–$1,616.00	14% below	45%
X-ray of the knee, 1 or 2 views one side CPT 73560 KNEE -LT(1-2VWS)	$222.20	$404.00	$13.15–$1,616.00	14% below	45%
X-ray of the knee, 1 or 2 views inpatient CPT 73560 X-RAY EXAM OF KNEE 1 OR 2	$222.20	$404.00	$13.15–$1,616.00	—	45%
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 KNEE -RT(1-2VWS)	$222.20	$404.00	$13.15–$1,616.00	—	45%
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 KNEE -LT(1-2VWS)	$222.20	$404.00	$13.15–$1,616.00	—	45%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 SPINE LUMBAR(2-3 VWS)	$237.60	$432.00	$18.56–$864.00	22% below	45%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 X-RAY EXAM L-S SPINE 2/3 VWS	$237.60	$432.00	$18.56–$864.00	22% below	45%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 SPINE LUMBAR(2-3 VWS)	$237.60	$432.00	$18.56–$864.00	—	45%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 X-RAY EXAM L-S SPINE 2/3 VWS	$237.60	$432.00	$18.56–$864.00	—	45%
X-ray of the lower back, 4 or more views CPT 72110 SPINE LUMBAR W/OBL(4+ VWS)	$313.50	$570.00	$25.78–$1,140.00	20% below	45%
X-ray of the lower back, 4 or more views CPT 72110 X-RAY EXAM L-2 SPINE 4/>VWS	$313.50	$570.00	$25.78–$1,140.00	20% below	45%
X-ray of the lower back, 4 or more views inpatient CPT 72110 X-RAY EXAM L-2 SPINE 4/>VWS	$313.50	$570.00	$25.78–$1,140.00	—	45%
X-ray of the lower back, 4 or more views inpatient CPT 72110 SPINE LUMBAR W/OBL(4+ VWS)	$313.50	$570.00	$25.78–$1,140.00	—	45%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 X-RAY EXAM THORAC SPINE 2VWS	$204.05	$371.00	$18.56–$742.00	30% below	45%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 SPINE THORACIC(2 VWS)	$204.05	$371.00	$18.56–$742.00	30% below	45%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 X-RAY EXAM THORAC SPINE 2VWS	$204.05	$371.00	$18.56–$742.00	—	45%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 SPINE THORACIC(2 VWS)	$204.05	$371.00	$18.56–$742.00	—	45%
X-ray of the nasal bones, 3 or more views CPT 70160 X-RAY EXAM OF NASAL BONES	$244.20	$444.00	$15.47–$444.00	17% below	45%
X-ray of the nasal bones, 3 or more views CPT 70160 NASAL BONES COMPLT(3+VWS)	$244.20	$444.00	$15.47–$444.00	17% below	45%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 NASAL BONES COMPLT(3+VWS)	$244.20	$444.00	$15.47–$444.00	—	45%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 X-RAY EXAM OF NASAL BONES	$244.20	$444.00	$15.47–$444.00	—	45%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 SPINE CERVICAL(2-3 VWS)	$237.60	$432.00	$20.63–$864.00	14% below	45%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 X-RAY EXAM NECK SPINE 2-3 VW	$237.60	$432.00	$20.63–$864.00	14% below	45%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 SPINE CERVICAL(2-3 VWS)	$237.60	$432.00	$20.63–$864.00	—	45%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 X-RAY EXAM NECK SPINE 2-3 VW	$237.60	$432.00	$20.63–$864.00	—	45%
X-ray of the pelvis, 1 or 2 views CPT 72170 X-RAY EXAM OF PELVIS	$173.80	$316.00	$15.48–$632.00	33% below	45%
X-ray of the pelvis, 1 or 2 views CPT 72170 PELVIS(1 - 2 VWS)	$173.80	$316.00	$15.48–$632.00	33% below	45%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 X-RAY EXAM OF PELVIS	$173.80	$316.00	$15.48–$632.00	—	45%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 PELVIS(1 - 2 VWS)	$173.80	$316.00	$15.48–$632.00	—	45%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 SACRUM/COCCYX(2 < VWS) RED SERV	$199.65	$363.00	$21.14–$1,089.00	19% below	45%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 X-RAY EXAM SACRUM TAILBONE	$199.65	$363.00	$21.14–$1,089.00	19% below	45%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 SACRUM/COCCYX(2+ VWS)	$199.65	$363.00	$21.14–$1,089.00	19% below	45%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 SACRUM/COCCYX(2 < VWS) RED SERV	$199.65	$363.00	$21.14–$1,089.00	—	45%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 X-RAY EXAM SACRUM TAILBONE	$199.65	$363.00	$21.14–$1,089.00	—	45%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 SACRUM/COCCYX(2+ VWS)	$199.65	$363.00	$21.14–$1,089.00	—	45%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs New Hampshire	Off list
ACTH blood test CPT 82024 ACTH#1	$27.50	$50.00	$19.70–$613.00	89% below	45%
ACTH blood test CPT 82024 ACTH#3	$27.50	$50.00	$19.70–$613.00	89% below	45%
ACTH blood test CPT 82024 ACTH#2	$27.50	$50.00	$19.70–$613.00	89% below	45%
ACTH blood test CPT 82024 ASSAY OF ACTH	$254.65	$463.00	$19.70–$613.00	1% below	45%
ACTH blood test CPT 82024 ACTH	$254.65	$463.00	$19.70–$613.00	1% below	45%
ACTH blood test inpatient CPT 82024 ACTH#1	$27.50	$50.00	$19.70–$613.00	—	45%
ACTH blood test inpatient CPT 82024 ACTH#3	$27.50	$50.00	$19.70–$613.00	—	45%
ACTH blood test inpatient CPT 82024 ACTH#2	$27.50	$50.00	$19.70–$613.00	—	45%
ACTH blood test inpatient CPT 82024 ASSAY OF ACTH	$254.65	$463.00	$19.70–$613.00	—	45%
ACTH blood test inpatient CPT 82024 ACTH	$254.65	$463.00	$19.70–$613.00	—	45%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALT	$26.40	$48.00	$2.70–$189.00	57% below	45%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 SOALT	$29.15	$53.00	$2.70–$189.00	52% below	45%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALT/SGPT	$48.40	$88.00	$2.70–$189.00	21% below	45%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALANINE AMINO (ALT) (SGPT)	$48.40	$88.00	$2.70–$189.00	21% below	45%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 ALT	$26.40	$48.00	$2.70–$189.00	—	45%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 SOALT	$29.15	$53.00	$2.70–$189.00	—	45%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 ALANINE AMINO (ALT) (SGPT)	$48.40	$88.00	$2.70–$189.00	—	45%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 ALT/SGPT	$48.40	$88.00	$2.70–$189.00	—	45%
AST (aspartate aminotransferase) enzyme test CPT 84450 SOAST	$31.35	$57.00	$2.64–$143.00	40% below	45%
AST (aspartate aminotransferase) enzyme test CPT 84450 TRANSFERASE (AST) (SGOT)	$47.30	$86.00	$2.64–$143.00	10% below	45%
AST (aspartate aminotransferase) enzyme test CPT 84450 AST/SGOT	$47.30	$86.00	$2.64–$143.00	10% below	45%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 SOAST	$31.35	$57.00	$2.64–$143.00	—	45%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 TRANSFERASE (AST) (SGOT)	$47.30	$86.00	$2.64–$143.00	—	45%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 AST/SGOT	$47.30	$86.00	$2.64–$143.00	—	45%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HEPATITIS PANEL	$78.10	$142.00	$24.29–$446.24	78% below	45%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 ACUTE HEPATITIS PANEL	$78.10	$142.00	$24.29–$446.24	78% below	45%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HEPATITIS PANEL	$78.10	$142.00	$24.29–$446.24	—	45%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 ACUTE HEPATITIS PANEL	$78.10	$142.00	$24.29–$446.24	—	45%
Albumin blood test CPT 82040 ALBUMIN, SERUM	$11.55	$21.00	$2.52–$432.00	76% below	45%
Albumin blood test CPT 82040 IGG SYNTHESIS RATE, ALB SERUM	$25.30	$46.00	$2.52–$432.00	47% below	45%
Albumin blood test CPT 82040 ALBUMIN SERUM	$29.15	$53.00	$2.52–$432.00	38% below	45%
Albumin blood test CPT 82040 ASSAY OF SERUM ALBUMIN	$29.15	$53.00	$2.52–$432.00	38% below	45%
Albumin blood test CPT 82040 ALBUMIN SERUM IGG INDEX SYTHESIS	$38.50	$70.00	$2.52–$432.00	19% below	45%
Albumin blood test CPT 82040 RFX LYME CSF INDEX SERUM ALBUMIN DH	$133.10	$242.00	$2.52–$432.00	181% above	45%
Albumin blood test inpatient CPT 82040 ALBUMIN, SERUM	$11.55	$21.00	$2.52–$432.00	—	45%
Albumin blood test inpatient CPT 82040 IGG SYNTHESIS RATE, ALB SERUM	$25.30	$46.00	$2.52–$432.00	—	45%
Albumin blood test inpatient CPT 82040 ASSAY OF SERUM ALBUMIN	$29.15	$53.00	$2.52–$432.00	—	45%
Albumin blood test inpatient CPT 82040 ALBUMIN SERUM	$29.15	$53.00	$2.52–$432.00	—	45%
Albumin blood test inpatient CPT 82040 ALBUMIN SERUM IGG INDEX SYTHESIS	$38.50	$70.00	$2.52–$432.00	—	45%
Albumin blood test inpatient CPT 82040 RFX LYME CSF INDEX SERUM ALBUMIN DH	$133.10	$242.00	$2.52–$432.00	—	45%
Aldosterone blood test CPT 82088 ALDOSTERONE BLOOD	$28.05	$51.00	$20.78–$381.78	89% below	45%
Aldosterone blood test CPT 82088 ASSAY OF ALDOSTERONE	$28.05	$51.00	$20.78–$381.78	89% below	45%
Aldosterone blood test CPT 82088 ALDOSTERONE, 24 HOUR URINE	$39.05	$71.00	$20.78–$381.78	84% below	45%
Aldosterone blood test CPT 82088 ALDOSTERONE	$57.75	$105.00	$20.78–$381.78	77% below	45%
Aldosterone blood test inpatient CPT 82088 ALDOSTERONE BLOOD	$28.05	$51.00	$20.78–$381.78	—	45%
Aldosterone blood test inpatient CPT 82088 ASSAY OF ALDOSTERONE	$28.05	$51.00	$20.78–$381.78	—	45%
Aldosterone blood test inpatient CPT 82088 ALDOSTERONE, 24 HOUR URINE	$39.05	$71.00	$20.78–$381.78	—	45%
Aldosterone blood test inpatient CPT 82088 ALDOSTERONE	$57.75	$105.00	$20.78–$381.78	—	45%
Alkaline phosphatase (ALP) blood test CPT 84075 ALK PHOS (TOTAL) ISOENZYMES	$22.00	$40.00	$2.64–$118.00	67% below	45%
Alkaline phosphatase (ALP) blood test CPT 84075 ASSAY ALKALINE PHOSPHATASE	$22.00	$40.00	$2.64–$118.00	67% below	45%
Alkaline phosphatase (ALP) blood test CPT 84075 ALKALINE PHOSPHATASE	$42.90	$78.00	$2.64–$118.00	36% below	45%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 ASSAY ALKALINE PHOSPHATASE	$22.00	$40.00	$2.64–$118.00	—	45%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 ALK PHOS (TOTAL) ISOENZYMES	$22.00	$40.00	$2.64–$118.00	—	45%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 ALKALINE PHOSPHATASE	$42.90	$78.00	$2.64–$118.00	—	45%
Allergy blood test, specific IgE, per allergen CPT 86003 PEDIATRIC ENVIRONMENTAL ALLERGEN	$6.60	$12.00	$2.66–$1,587.00	80% below	45%
Allergy blood test, specific IgE, per allergen CPT 86003 STRAWBERRY, IGE	$6.60	$12.00	$2.66–$1,587.00	80% below	45%
Allergy blood test, specific IgE, per allergen CPT 86003 BERMUDA GRASS IGE	$6.60	$12.00	$2.66–$1,587.00	80% below	45%
Allergy blood test, specific IgE, per allergen CPT 86003 SHEEP SORREL IGE	$6.60	$12.00	$2.66–$1,587.00	80% below	45%
Allergy blood test, specific IgE, per allergen CPT 86003 JOHNSON GRASS IGE	$6.60	$12.00	$2.66–$1,587.00	80% below	45%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGENS VARIOUS	$6.60	$12.00	$2.66–$1,587.00	80% below	45%
Allergy blood test, specific IgE, per allergen CPT 86003 PEDIATRIC FOOD ALLERGEN	$6.60	$12.00	$2.66–$1,587.00	80% below	45%
Allergy blood test, specific IgE, per allergen CPT 86003 SHELLFISH ALLERGEN	$8.80	$16.00	$2.66–$1,587.00	73% below	45%
Allergy blood test, specific IgE, per allergen CPT 86003 IGE COCONUT	$9.35	$17.00	$2.66–$1,587.00	72% below	45%
Allergy blood test, specific IgE, per allergen CPT 86003 COTTONWOOD IGE	$9.90	$18.00	$2.66–$1,587.00	70% below	45%
Allergy blood test, specific IgE, per allergen CPT 86003 PLANTAIN, ENGLISH IGE	$9.90	$18.00	$2.66–$1,587.00	70% below	45%
Allergy blood test, specific IgE, per allergen CPT 86003 HONEYBEE IGE	$9.90	$18.00	$2.66–$1,587.00	70% below	45%
Allergy blood test, specific IgE, per allergen CPT 86003 HORNET, WHITE IGE	$9.90	$18.00	$2.66–$1,587.00	70% below	45%
Allergy blood test, specific IgE, per allergen CPT 86003 YELLOW JACKET IGE	$9.90	$18.00	$2.66–$1,587.00	70% below	45%
Allergy blood test, specific IgE, per allergen CPT 86003 PAPER WASP IGE	$9.90	$18.00	$2.66–$1,587.00	70% below	45%
Allergy blood test, specific IgE, per allergen CPT 86003 HORNET, YELLOW IGE	$9.90	$18.00	$2.66–$1,587.00	70% below	45%
Allergy blood test, specific IgE, per allergen CPT 86003 PIGWEED, COMMON IGE	$9.90	$18.00	$2.66–$1,587.00	70% below	45%
Allergy blood test, specific IgE, per allergen CPT 86003 MUGWORT IGE	$9.90	$18.00	$2.66–$1,587.00	70% below	45%
Allergy blood test, specific IgE, per allergen CPT 86003 CLADOSPORIUM HERBARUM IGE	$9.90	$18.00	$2.66–$1,587.00	70% below	45%
Allergy blood test, specific IgE, per allergen CPT 86003 LAMB'S QUARTERS IGE	$9.90	$18.00	$2.66–$1,587.00	70% below	45%
Allergy blood test, specific IgE, per allergen CPT 86003 PENICILLIUM CHRYSOGENUM IGE	$9.90	$18.00	$2.66–$1,587.00	70% below	45%
Allergy blood test, specific IgE, per allergen CPT 86003 WHEAT, IGE	$11.00	$20.00	$2.66–$1,587.00	67% below	45%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE	$11.55	$21.00	$2.66–$1,587.00	65% below	45%
Allergy blood test, specific IgE, per allergen CPT 86003 SOYBEAN IGE	$11.55	$21.00	$2.66–$1,587.00	65% below	45%
Allergy blood test, specific IgE, per allergen CPT 86003 LATEX IGE	$12.65	$23.00	$2.66–$1,587.00	62% below	45%
Allergy blood test, specific IgE, per allergen CPT 86003 BEEF ALLERGEN	$12.65	$23.00	$2.66–$1,587.00	62% below	45%
Allergy blood test, specific IgE, per allergen CPT 86003 SHRIMP IGE	$12.65	$23.00	$2.66–$1,587.00	62% below	45%
Allergy blood test, specific IgE, per allergen CPT 86003 CAT HAIR/DANDER	$12.65	$23.00	$2.66–$1,587.00	62% below	45%
Allergy blood test, specific IgE, per allergen CPT 86003 BANANA IGE	$12.65	$23.00	$2.66–$1,587.00	62% below	45%
Allergy blood test, specific IgE, per allergen CPT 86003 DOG HAIR/DANDER	$12.65	$23.00	$2.66–$1,587.00	62% below	45%
Allergy blood test, specific IgE, per allergen CPT 86003 CHICKEN ALLERGEN	$12.65	$23.00	$2.66–$1,587.00	62% below	45%
Allergy blood test, specific IgE, per allergen CPT 86003 WALNUT ALLERGEN	$12.65	$23.00	$2.66–$1,587.00	62% below	45%
Allergy blood test, specific IgE, per allergen CPT 86003 ALMOND ALLERGEN	$12.65	$23.00	$2.66–$1,587.00	62% below	45%
Allergy blood test, specific IgE, per allergen CPT 86003 IGE RABBIT EPITHELIA	$12.65	$23.00	$2.66–$1,587.00	62% below	45%
Allergy blood test, specific IgE, per allergen CPT 86003 CHEDDAR CHEESE ALLERGEN	$12.65	$23.00	$2.66–$1,587.00	62% below	45%
Allergy blood test, specific IgE, per allergen CPT 86003 SESAME SEED ALLERGEN	$12.65	$23.00	$2.66–$1,587.00	62% below	45%
Allergy blood test, specific IgE, per allergen CPT 86003 PECAN ALLERGEN	$12.65	$23.00	$2.66–$1,587.00	62% below	45%
Allergy blood test, specific IgE, per allergen CPT 86003 HAZEL NUT ALLERGEN	$12.65	$23.00	$2.66–$1,587.00	62% below	45%
Allergy blood test, specific IgE, per allergen CPT 86003 BRAZIL NUT ALLERGEN	$12.65	$23.00	$2.66–$1,587.00	62% below	45%
Allergy blood test, specific IgE, per allergen CPT 86003 CHOCOLATE/CACAO IGE	$12.65	$23.00	$2.66–$1,587.00	62% below	45%
Allergy blood test, specific IgE, per allergen CPT 86003 GLUTEN	$12.65	$23.00	$2.66–$1,587.00	62% below	45%
Allergy blood test, specific IgE, per allergen CPT 86003 PISTACHIO ALLERGEN	$12.65	$23.00	$2.66–$1,587.00	62% below	45%
Allergy blood test, specific IgE, per allergen CPT 86003 SCALLOP IGE	$14.30	$26.00	$2.66–$1,587.00	57% below	45%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGENS	$19.80	$36.00	$2.66–$1,587.00	40% below	45%
Allergy blood test, specific IgE, per allergen CPT 86003 NUTMEG ALLERGEN	$19.80	$36.00	$2.66–$1,587.00	40% below	45%
Allergy blood test, specific IgE, per allergen CPT 86003 FOOD ALRGY EVALR COW MILK LGE	$20.35	$37.00	$2.66–$1,587.00	38% below	45%
Allergy blood test, specific IgE, per allergen CPT 86003 FOOD ALRGY EVALR PEANUT LGE	$20.35	$37.00	$2.66–$1,587.00	38% below	45%
Allergy blood test, specific IgE, per allergen CPT 86003 FOOD ALRGY EVALR CODFISH LGE	$20.35	$37.00	$2.66–$1,587.00	38% below	45%
Allergy blood test, specific IgE, per allergen CPT 86003 FOOD ALRGY EVALR SOYBEAN LGE	$20.35	$37.00	$2.66–$1,587.00	38% below	45%
Allergy blood test, specific IgE, per allergen CPT 86003 FOOD ALRGY EVALR WHEAT LGE	$20.35	$37.00	$2.66–$1,587.00	38% below	45%
Allergy blood test, specific IgE, per allergen CPT 86003 GRAIN ALLERGY RYE	$20.35	$37.00	$2.66–$1,587.00	38% below	45%
Allergy blood test, specific IgE, per allergen CPT 86003 GRAIN ALLERGY BARLEY	$20.35	$37.00	$2.66–$1,587.00	38% below	45%
Allergy blood test, specific IgE, per allergen CPT 86003 GRAIN ALLERGY OAT	$20.35	$37.00	$2.66–$1,587.00	38% below	45%
Allergy blood test, specific IgE, per allergen CPT 86003 GRAIN ALLERGY CORN	$20.35	$37.00	$2.66–$1,587.00	38% below	45%
Allergy blood test, specific IgE, per allergen CPT 86003 GRAIN ALLERGY RICE	$20.35	$37.00	$2.66–$1,587.00	38% below	45%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLG SPEC IGE CRUDE XTRC EA	$20.35	$37.00	$2.66–$1,587.00	38% below	45%
Allergy blood test, specific IgE, per allergen CPT 86003 FOOD ALRGY EVALR EGG LGE	$20.35	$37.00	$2.66–$1,587.00	38% below	45%
Allergy blood test, specific IgE, per allergen CPT 86003 FOOD ALLERGEN	$22.00	$40.00	$2.66–$1,587.00	33% below	45%
Allergy blood test, specific IgE, per allergen CPT 86003 IGE CASHEW NUT	$25.30	$46.00	$2.66–$1,587.00	23% below	45%
Allergy blood test, specific IgE, per allergen CPT 86003 DERMATOPHAGOIDES MICROCERAS	$40.70	$74.00	$2.66–$1,587.00	23% above	45%
Allergy blood test, specific IgE, per allergen CPT 86003 F202-IGE CASHEW NUT REFLEX TEST	$62.15	$113.00	$2.66–$1,587.00	88% above	45%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 JOHNSON GRASS IGE	$6.60	$12.00	$2.66–$1,587.00	—	45%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PEDIATRIC ENVIRONMENTAL ALLERGEN	$6.60	$12.00	$2.66–$1,587.00	—	45%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PEDIATRIC FOOD ALLERGEN	$6.60	$12.00	$2.66–$1,587.00	—	45%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SHEEP SORREL IGE	$6.60	$12.00	$2.66–$1,587.00	—	45%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGENS VARIOUS	$6.60	$12.00	$2.66–$1,587.00	—	45%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BERMUDA GRASS IGE	$6.60	$12.00	$2.66–$1,587.00	—	45%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 STRAWBERRY, IGE	$6.60	$12.00	$2.66–$1,587.00	—	45%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SHELLFISH ALLERGEN	$8.80	$16.00	$2.66–$1,587.00	—	45%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IGE COCONUT	$9.35	$17.00	$2.66–$1,587.00	—	45%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PLANTAIN, ENGLISH IGE	$9.90	$18.00	$2.66–$1,587.00	—	45%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 LAMB'S QUARTERS IGE	$9.90	$18.00	$2.66–$1,587.00	—	45%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CLADOSPORIUM HERBARUM IGE	$9.90	$18.00	$2.66–$1,587.00	—	45%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 COTTONWOOD IGE	$9.90	$18.00	$2.66–$1,587.00	—	45%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MUGWORT IGE	$9.90	$18.00	$2.66–$1,587.00	—	45%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PIGWEED, COMMON IGE	$9.90	$18.00	$2.66–$1,587.00	—	45%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HORNET, YELLOW IGE	$9.90	$18.00	$2.66–$1,587.00	—	45%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PAPER WASP IGE	$9.90	$18.00	$2.66–$1,587.00	—	45%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 YELLOW JACKET IGE	$9.90	$18.00	$2.66–$1,587.00	—	45%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HORNET, WHITE IGE	$9.90	$18.00	$2.66–$1,587.00	—	45%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HONEYBEE IGE	$9.90	$18.00	$2.66–$1,587.00	—	45%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PENICILLIUM CHRYSOGENUM IGE	$9.90	$18.00	$2.66–$1,587.00	—	45%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 WHEAT, IGE	$11.00	$20.00	$2.66–$1,587.00	—	45%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SOYBEAN IGE	$11.55	$21.00	$2.66–$1,587.00	—	45%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE	$11.55	$21.00	$2.66–$1,587.00	—	45%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CHEDDAR CHEESE ALLERGEN	$12.65	$23.00	$2.66–$1,587.00	—	45%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BEEF ALLERGEN	$12.65	$23.00	$2.66–$1,587.00	—	45%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CHICKEN ALLERGEN	$12.65	$23.00	$2.66–$1,587.00	—	45%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HAZEL NUT ALLERGEN	$12.65	$23.00	$2.66–$1,587.00	—	45%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BRAZIL NUT ALLERGEN	$12.65	$23.00	$2.66–$1,587.00	—	45%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 DOG HAIR/DANDER	$12.65	$23.00	$2.66–$1,587.00	—	45%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALMOND ALLERGEN	$12.65	$23.00	$2.66–$1,587.00	—	45%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CAT HAIR/DANDER	$12.65	$23.00	$2.66–$1,587.00	—	45%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PECAN ALLERGEN	$12.65	$23.00	$2.66–$1,587.00	—	45%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SHRIMP IGE	$12.65	$23.00	$2.66–$1,587.00	—	45%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SESAME SEED ALLERGEN	$12.65	$23.00	$2.66–$1,587.00	—	45%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 LATEX IGE	$12.65	$23.00	$2.66–$1,587.00	—	45%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PISTACHIO ALLERGEN	$12.65	$23.00	$2.66–$1,587.00	—	45%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BANANA IGE	$12.65	$23.00	$2.66–$1,587.00	—	45%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CHOCOLATE/CACAO IGE	$12.65	$23.00	$2.66–$1,587.00	—	45%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 GLUTEN	$12.65	$23.00	$2.66–$1,587.00	—	45%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IGE RABBIT EPITHELIA	$12.65	$23.00	$2.66–$1,587.00	—	45%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 WALNUT ALLERGEN	$12.65	$23.00	$2.66–$1,587.00	—	45%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SCALLOP IGE	$14.30	$26.00	$2.66–$1,587.00	—	45%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGENS	$19.80	$36.00	$2.66–$1,587.00	—	45%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 NUTMEG ALLERGEN	$19.80	$36.00	$2.66–$1,587.00	—	45%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 GRAIN ALLERGY OAT	$20.35	$37.00	$2.66–$1,587.00	—	45%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 FOOD ALRGY EVALR EGG LGE	$20.35	$37.00	$2.66–$1,587.00	—	45%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 FOOD ALRGY EVALR COW MILK LGE	$20.35	$37.00	$2.66–$1,587.00	—	45%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 FOOD ALRGY EVALR PEANUT LGE	$20.35	$37.00	$2.66–$1,587.00	—	45%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLG SPEC IGE CRUDE XTRC EA	$20.35	$37.00	$2.66–$1,587.00	—	45%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 FOOD ALRGY EVALR CODFISH LGE	$20.35	$37.00	$2.66–$1,587.00	—	45%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 GRAIN ALLERGY BARLEY	$20.35	$37.00	$2.66–$1,587.00	—	45%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 FOOD ALRGY EVALR SOYBEAN LGE	$20.35	$37.00	$2.66–$1,587.00	—	45%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 GRAIN ALLERGY RICE	$20.35	$37.00	$2.66–$1,587.00	—	45%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 FOOD ALRGY EVALR WHEAT LGE	$20.35	$37.00	$2.66–$1,587.00	—	45%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 GRAIN ALLERGY CORN	$20.35	$37.00	$2.66–$1,587.00	—	45%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 GRAIN ALLERGY RYE	$20.35	$37.00	$2.66–$1,587.00	—	45%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 FOOD ALLERGEN	$22.00	$40.00	$2.66–$1,587.00	—	45%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IGE CASHEW NUT	$25.30	$46.00	$2.66–$1,587.00	—	45%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 DERMATOPHAGOIDES MICROCERAS	$40.70	$74.00	$2.66–$1,587.00	—	45%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F202-IGE CASHEW NUT REFLEX TEST	$62.15	$113.00	$2.66–$1,587.00	—	45%
Alpha-fetoprotein (AFP) blood test CPT 82105 AFP QUAD AFP SERUM/AFPQ0	$34.65	$63.00	$8.55–$371.00	70% below	45%
Alpha-fetoprotein (AFP) blood test CPT 82105 ALPHA-FETOPROTEIN SERUM	$34.65	$63.00	$8.55–$371.00	70% below	45%
Alpha-fetoprotein (AFP) blood test CPT 82105 AFP TRIPLE SCREEN	$34.65	$63.00	$8.55–$371.00	70% below	45%
Alpha-fetoprotein (AFP) blood test CPT 82105 ALPHA FETOPROTEIN TM	$134.75	$245.00	$8.55–$371.00	16% above	45%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 AFP QUAD AFP SERUM/AFPQ0	$34.65	$63.00	$8.55–$371.00	—	45%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 ALPHA-FETOPROTEIN SERUM	$34.65	$63.00	$8.55–$371.00	—	45%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 AFP TRIPLE SCREEN	$34.65	$63.00	$8.55–$371.00	—	45%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 ALPHA FETOPROTEIN TM	$134.75	$245.00	$8.55–$371.00	—	45%
Ammonia blood test CPT 82140 AMMONIA (BLOOD)	$62.15	$113.00	$7.43–$136.50	35% below	45%
Ammonia blood test CPT 82140 ASSAY OF AMMONIA	$62.15	$113.00	$7.43–$136.50	35% below	45%
Ammonia blood test inpatient CPT 82140 AMMONIA (BLOOD)	$62.15	$113.00	$7.43–$136.50	—	45%
Ammonia blood test inpatient CPT 82140 ASSAY OF AMMONIA	$62.15	$113.00	$7.43–$136.50	—	45%
Amylase blood test CPT 82150 AMYLASE (URINE)	$15.95	$29.00	$3.30–$513.00	79% below	45%
Amylase blood test CPT 82150 AMYLASE ISOENZYMES 3 OF 3	$23.65	$43.00	$3.30–$513.00	69% below	45%
Amylase blood test CPT 82150 AMYLASE (FLUID)	$29.15	$53.00	$3.30–$513.00	61% below	45%
Amylase blood test CPT 82150 ASSAY OF AMYLASE	$29.15	$53.00	$3.30–$513.00	61% below	45%
Amylase blood test CPT 82150 PANCREATIC AMYLASE	$30.25	$55.00	$3.30–$513.00	60% below	45%
Amylase blood test CPT 82150 SALIVARY AMYLASE	$30.25	$55.00	$3.30–$513.00	60% below	45%
Amylase blood test CPT 82150 AMYLASE ISOENZYMES 1 OF 3	$47.85	$87.00	$3.30–$513.00	36% below	45%
Amylase blood test CPT 82150 AMYLASE ISOENZYMES 2 OF 3	$47.85	$87.00	$3.30–$513.00	36% below	45%
Amylase blood test CPT 82150 AMYLASE (SERUM)	$57.20	$104.00	$3.30–$513.00	24% below	45%
Amylase blood test inpatient CPT 82150 AMYLASE (URINE)	$15.95	$29.00	$3.30–$513.00	—	45%
Amylase blood test inpatient CPT 82150 AMYLASE ISOENZYMES 3 OF 3	$23.65	$43.00	$3.30–$513.00	—	45%
Amylase blood test inpatient CPT 82150 ASSAY OF AMYLASE	$29.15	$53.00	$3.30–$513.00	—	45%
Amylase blood test inpatient CPT 82150 AMYLASE (FLUID)	$29.15	$53.00	$3.30–$513.00	—	45%
Amylase blood test inpatient CPT 82150 SALIVARY AMYLASE	$30.25	$55.00	$3.30–$513.00	—	45%
Amylase blood test inpatient CPT 82150 PANCREATIC AMYLASE	$30.25	$55.00	$3.30–$513.00	—	45%
Amylase blood test inpatient CPT 82150 AMYLASE ISOENZYMES 1 OF 3	$47.85	$87.00	$3.30–$513.00	—	45%
Amylase blood test inpatient CPT 82150 AMYLASE ISOENZYMES 2 OF 3	$47.85	$87.00	$3.30–$513.00	—	45%
Amylase blood test inpatient CPT 82150 AMYLASE (SERUM)	$57.20	$104.00	$3.30–$513.00	—	45%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CYCLIC CITRULLINATED PEPTIDE IGG	$54.45	$99.00	$6.60–$337.00	46% below	45%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CCP ANTIBODY	$54.45	$99.00	$6.60–$337.00	46% below	45%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CCP ANTIBODIES IGG/IGA	$61.05	$111.00	$6.60–$337.00	40% below	45%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 ANTI-CCP IGG & IGM	$69.85	$127.00	$6.60–$337.00	31% below	45%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CYCLIC CITRULLINATED PEPTIDE IGG	$54.45	$99.00	$6.60–$337.00	—	45%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CCP ANTIBODY	$54.45	$99.00	$6.60–$337.00	—	45%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CCP ANTIBODIES IGG/IGA	$61.05	$111.00	$6.60–$337.00	—	45%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 ANTI-CCP IGG & IGM	$69.85	$127.00	$6.60–$337.00	—	45%
Antinuclear antibody (ANA) blood test, screen CPT 86038 LUPUS ANALYZER 1000 CPT2	$12.65	$23.00	$6.17–$285.00	87% below	45%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA WITH REFLEX CASCADE	$14.85	$27.00	$6.17–$285.00	85% below	45%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTINUCLEAR ANTIBODIES	$18.70	$34.00	$6.17–$285.00	81% below	45%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA	$18.70	$34.00	$6.17–$285.00	81% below	45%
Antinuclear antibody (ANA) blood test, screen CPT 86038 PAN-ANCA ANTI NUCLEAR AB	$23.65	$43.00	$6.17–$285.00	75% below	45%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA DIRECT	$86.90	$158.00	$6.17–$285.00	10% below	45%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 LUPUS ANALYZER 1000 CPT2	$12.65	$23.00	$6.17–$285.00	—	45%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA WITH REFLEX CASCADE	$14.85	$27.00	$6.17–$285.00	—	45%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANTINUCLEAR ANTIBODIES	$18.70	$34.00	$6.17–$285.00	—	45%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA	$18.70	$34.00	$6.17–$285.00	—	45%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 PAN-ANCA ANTI NUCLEAR AB	$23.65	$43.00	$6.17–$285.00	—	45%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA DIRECT	$86.90	$158.00	$6.17–$285.00	—	45%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 ASSAY OF NATRIURETIC PEPTIDE	$127.05	$231.00	$20.02–$498.00	36% below	45%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 BRAIN NATRIURETIC PEPTIDE	$127.05	$231.00	$20.02–$498.00	36% below	45%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 NT-PROBNP	$146.85	$267.00	$20.02–$498.00	26% below	45%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 BRAIN NATRIURETIC PEPTIDE	$127.05	$231.00	$20.02–$498.00	—	45%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 ASSAY OF NATRIURETIC PEPTIDE	$127.05	$231.00	$20.02–$498.00	—	45%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 NT-PROBNP	$146.85	$267.00	$20.02–$498.00	—	45%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 AEROBIC CULTURE	$23.10	$42.00	$4.40–$1,120.00	78% below	45%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 LOWER RESPIRATORY CULTURE	$34.10	$62.00	$4.40–$1,120.00	68% below	45%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 WOUND ASPIRATE/ABSCESS CULTURE	$37.95	$69.00	$4.40–$1,120.00	64% below	45%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 SKIN/SUPERFICIAL WOUND CULUTRE	$37.95	$69.00	$4.40–$1,120.00	64% below	45%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 TISSUE CULTURE	$37.95	$69.00	$4.40–$1,120.00	64% below	45%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 EAR CULTURE	$37.95	$69.00	$4.40–$1,120.00	64% below	45%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 BONE CULTURE	$37.95	$69.00	$4.40–$1,120.00	64% below	45%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 BORDATELLA CULTURE NASOPHARENGEAL	$46.75	$85.00	$4.40–$1,120.00	56% below	45%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 GENITAL CULTURE	$55.00	$100.00	$4.40–$1,120.00	48% below	45%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE THROAT/NOSE	$64.90	$118.00	$4.40–$1,120.00	38% below	45%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE OTHR SPECIMN AEROBIC	$65.45	$119.00	$4.40–$1,120.00	38% below	45%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE BODY FLUID	$65.45	$119.00	$4.40–$1,120.00	38% below	45%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CSF CULTURE	$65.45	$119.00	$4.40–$1,120.00	38% below	45%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CATHETER TIP CULTURE	$71.50	$130.00	$4.40–$1,120.00	32% below	45%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 AEROBIC CULTURE	$23.10	$42.00	$4.40–$1,120.00	—	45%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 LOWER RESPIRATORY CULTURE	$34.10	$62.00	$4.40–$1,120.00	—	45%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 BONE CULTURE	$37.95	$69.00	$4.40–$1,120.00	—	45%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 EAR CULTURE	$37.95	$69.00	$4.40–$1,120.00	—	45%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 TISSUE CULTURE	$37.95	$69.00	$4.40–$1,120.00	—	45%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 WOUND ASPIRATE/ABSCESS CULTURE	$37.95	$69.00	$4.40–$1,120.00	—	45%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 SKIN/SUPERFICIAL WOUND CULUTRE	$37.95	$69.00	$4.40–$1,120.00	—	45%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 BORDATELLA CULTURE NASOPHARENGEAL	$46.75	$85.00	$4.40–$1,120.00	—	45%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 GENITAL CULTURE	$55.00	$100.00	$4.40–$1,120.00	—	45%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE THROAT/NOSE	$64.90	$118.00	$4.40–$1,120.00	—	45%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CSF CULTURE	$65.45	$119.00	$4.40–$1,120.00	—	45%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE OTHR SPECIMN AEROBIC	$65.45	$119.00	$4.40–$1,120.00	—	45%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE BODY FLUID	$65.45	$119.00	$4.40–$1,120.00	—	45%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CATHETER TIP CULTURE	$71.50	$130.00	$4.40–$1,120.00	—	45%
Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC	$64.90	$118.00	$4.31–$118.00	6% below	45%
Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PNL TOTAL CA	$64.90	$118.00	$4.31–$118.00	6% below	45%
Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METABOLIC PNL TOTAL CA	$64.90	$118.00	$4.31–$118.00	—	45%
Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METABOLIC	$64.90	$118.00	$4.31–$118.00	—	45%
Bilirubin blood test, total CPT 82247 SOBILIRUBIN	$20.35	$37.00	$2.56–$222.00	48% below	45%
Bilirubin blood test, total CPT 82247 BILIRUBIN TOTAL	$28.05	$51.00	$2.56–$222.00	28% below	45%
Bilirubin blood test, total CPT 82247 BILIRUBIN	$29.15	$53.00	$2.56–$222.00	25% below	45%
Bilirubin blood test, total CPT 82247 TOTAL/DIRECT BILIRUBIN	$44.55	$81.00	$2.56–$222.00	15% above	45%
Bilirubin blood test, total inpatient CPT 82247 SOBILIRUBIN	$20.35	$37.00	$2.56–$222.00	—	45%
Bilirubin blood test, total inpatient CPT 82247 BILIRUBIN TOTAL	$28.05	$51.00	$2.56–$222.00	—	45%
Bilirubin blood test, total inpatient CPT 82247 BILIRUBIN	$29.15	$53.00	$2.56–$222.00	—	45%
Bilirubin blood test, total inpatient CPT 82247 TOTAL/DIRECT BILIRUBIN	$44.55	$81.00	$2.56–$222.00	—	45%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 TISSUE EXAM BY PATHOLOGIST	$23.10	$42.00	$32.99–$397.00	91% below	45%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 ADDITIONAL CELL BLOCK	$23.10	$42.00	$32.99–$397.00	91% below	45%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 LEVEL IV-PATH	$195.25	$355.00	$32.99–$397.00	26% below	45%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 TISSUE EXAM BY PATHOLOGIST	$23.10	$42.00	$32.99–$397.00	—	45%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 ADDITIONAL CELL BLOCK	$23.10	$42.00	$32.99–$397.00	—	45%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 LEVEL IV-PATH	$195.25	$355.00	$32.99–$397.00	—	45%
Blood culture for bacteria CPT 87040 BLOOD CULTURE FOR BACTERIA	$97.90	$178.00	$5.26–$356.00	30% below	45%
Blood culture for bacteria CPT 87040 BLOOD CULTURE DH	$97.90	$178.00	$5.26–$356.00	30% below	45%
Blood culture for bacteria CPT 87040 BLOOD CULTURE SET	$97.90	$178.00	$5.26–$356.00	30% below	45%
Blood culture for bacteria inpatient CPT 87040 BLOOD CULTURE DH	$97.90	$178.00	$5.26–$356.00	—	45%
Blood culture for bacteria inpatient CPT 87040 BLOOD CULTURE SET	$97.90	$178.00	$5.26–$356.00	—	45%
Blood culture for bacteria inpatient CPT 87040 BLOOD CULTURE FOR BACTERIA	$97.90	$178.00	$5.26–$356.00	—	45%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE UB ONLY	$13.75	$25.00	$2.97–$357.00	17% below	45%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 MD-VENIPUNCTURE	$13.75	$25.00	$2.97–$357.00	17% below	45%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 PHLEBOTOMY FEE	$13.75	$25.00	$2.97–$357.00	17% below	45%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE	$13.75	$25.00	$2.97–$357.00	17% below	45%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE 1500 ONLY	$13.75	$25.00	$2.97–$357.00	17% below	45%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 ROUTINE VENIPUNCTURE ONCOLOGY	$16.50	$30.00	$2.97–$357.00	1% below	45%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 PHLEBOTOMY W/MOD	$16.50	$30.00	$2.97–$357.00	1% below	45%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 COLL VENOUS BLD VENIPUNCTURE	$16.50	$30.00	$2.97–$357.00	1% below	45%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 PHLEBOT COLLECT VENOUS BLOOD	$16.50	$30.00	$2.97–$357.00	1% below	45%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 LEGAL BLOOD DRAW	$78.10	$142.00	$2.97–$357.00	370% above	45%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 PHLEBOTOMY FEE	$13.75	$25.00	$2.97–$357.00	—	45%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENIPUNCTURE	$13.75	$25.00	$2.97–$357.00	—	45%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENIPUNCTURE UB ONLY	$13.75	$25.00	$2.97–$357.00	—	45%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENIPUNCTURE 1500 ONLY	$13.75	$25.00	$2.97–$357.00	—	45%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 MD-VENIPUNCTURE	$13.75	$25.00	$2.97–$357.00	—	45%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 COLL VENOUS BLD VENIPUNCTURE	$16.50	$30.00	$2.97–$357.00	—	45%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 ROUTINE VENIPUNCTURE ONCOLOGY	$16.50	$30.00	$2.97–$357.00	—	45%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 PHLEBOTOMY W/MOD	$16.50	$30.00	$2.97–$357.00	—	45%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 PHLEBOT COLLECT VENOUS BLOOD	$16.50	$30.00	$2.97–$357.00	—	45%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 LEGAL BLOOD DRAW	$78.10	$142.00	$2.97–$357.00	—	45%
Blood glucose (sugar) test CPT 82947 GLUCOSE POC	$19.80	$36.00	$2.00–$206.00	43% below	45%
Blood glucose (sugar) test CPT 82947 ASSAY GLUCOSE BLOOD QUANT	$29.70	$54.00	$2.00–$206.00	15% below	45%
Blood glucose (sugar) test CPT 82947 GLUCOSE 2 HR PP	$29.70	$54.00	$2.00–$206.00	15% below	45%
Blood glucose (sugar) test CPT 82947 GLUCOSE FASTING	$31.90	$58.00	$2.00–$206.00	8% below	45%
Blood glucose (sugar) test CPT 82947 GLUCOSE RANDOM	$31.90	$58.00	$2.00–$206.00	8% below	45%
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE POC	$19.80	$36.00	$2.00–$206.00	—	45%
Blood glucose (sugar) test inpatient CPT 82947 ASSAY GLUCOSE BLOOD QUANT	$29.70	$54.00	$2.00–$206.00	—	45%
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE 2 HR PP	$29.70	$54.00	$2.00–$206.00	—	45%
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE FASTING	$31.90	$58.00	$2.00–$206.00	—	45%
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE RANDOM	$31.90	$58.00	$2.00–$206.00	—	45%
Blood lead test CPT 83655 LEAD URINE	$11.55	$21.00	$6.18–$451.00	84% below	45%
Blood lead test CPT 83655 LEAD TEST	$15.40	$28.00	$6.18–$451.00	79% below	45%
Blood lead test CPT 83655 LEAD BLOOD FOR HEAVY METAL PANEL	$33.55	$61.00	$6.18–$451.00	54% below	45%
Blood lead test CPT 83655 ASSAY OF LEAD	$48.95	$89.00	$6.18–$451.00	33% below	45%
Blood lead test CPT 83655 HEAVY METAL SCREEN LEAD BLOOD	$48.95	$89.00	$6.18–$451.00	33% below	45%
Blood lead test CPT 83655 LEAD	$69.30	$126.00	$6.18–$451.00	6% below	45%
Blood lead test CPT 83655 LEAD (BLOOD) INDUSTRIAL	$69.30	$126.00	$6.18–$451.00	6% below	45%
Blood lead test inpatient CPT 83655 LEAD URINE	$11.55	$21.00	$6.18–$451.00	—	45%
Blood lead test inpatient CPT 83655 LEAD TEST	$15.40	$28.00	$6.18–$451.00	—	45%
Blood lead test inpatient CPT 83655 LEAD BLOOD FOR HEAVY METAL PANEL	$33.55	$61.00	$6.18–$451.00	—	45%
Blood lead test inpatient CPT 83655 HEAVY METAL SCREEN LEAD BLOOD	$48.95	$89.00	$6.18–$451.00	—	45%
Blood lead test inpatient CPT 83655 ASSAY OF LEAD	$48.95	$89.00	$6.18–$451.00	—	45%
Blood lead test inpatient CPT 83655 LEAD (BLOOD) INDUSTRIAL	$69.30	$126.00	$6.18–$451.00	—	45%
Blood lead test inpatient CPT 83655 LEAD	$69.30	$126.00	$6.18–$451.00	—	45%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 PREGNANCY TEST	$35.75	$65.00	$3.84–$300.00	63% below	45%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 PREGNANCY TEST UB	$35.75	$65.00	$3.84–$300.00	63% below	45%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 PREGNANCY TEST 1500	$35.75	$65.00	$3.84–$300.00	63% below	45%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 CHORIONIC GONADOTROPIN ASSAY	$57.75	$105.00	$3.84–$300.00	40% below	45%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 PREGNANCY TEST-SERUM	$57.75	$105.00	$3.84–$300.00	40% below	45%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 PREGNANCY TEST	$35.75	$65.00	$3.84–$300.00	—	45%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 PREGNANCY TEST 1500	$35.75	$65.00	$3.84–$300.00	—	45%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 PREGNANCY TEST UB	$35.75	$65.00	$3.84–$300.00	—	45%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 PREGNANCY TEST-SERUM	$57.75	$105.00	$3.84–$300.00	—	45%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 CHORIONIC GONADOTROPIN ASSAY	$57.75	$105.00	$3.84–$300.00	—	45%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ARC0 ABO TYPE	$17.60	$32.00	$1.52–$556.00	64% below	45%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO GROUP ONLY	$53.35	$97.00	$1.52–$556.00	8% above	45%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BLOOD TYPING SEROLOGIC ABO	$53.35	$97.00	$1.52–$556.00	8% above	45%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 DHMC0 ABO TYPE	$83.60	$152.00	$1.52–$556.00	69% above	45%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ARC17 ABO DISCREPANCY RESOLUTION	$151.25	$275.00	$1.52–$556.00	206% above	45%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 ARC0 ABO TYPE	$17.60	$32.00	$1.52–$556.00	—	45%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 ABO GROUP ONLY	$53.35	$97.00	$1.52–$556.00	—	45%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 BLOOD TYPING SEROLOGIC ABO	$53.35	$97.00	$1.52–$556.00	—	45%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 DHMC0 ABO TYPE	$83.60	$152.00	$1.52–$556.00	—	45%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 ARC17 ABO DISCREPANCY RESOLUTION	$151.25	$275.00	$1.52–$556.00	—	45%
Blood urea nitrogen (BUN) test CPT 84520 BUN SERUM	$16.50	$30.00	$2.01–$115.00	45% below	45%
Blood urea nitrogen (BUN) test CPT 84520 UREA NITROGEN QUANTITATIVE	$46.75	$85.00	$2.01–$115.00	57% above	45%
Blood urea nitrogen (BUN) test CPT 84520 ASSAY OF UREA NITROGEN	$46.75	$85.00	$2.01–$115.00	57% above	45%
Blood urea nitrogen (BUN) test inpatient CPT 84520 BUN SERUM	$16.50	$30.00	$2.01–$115.00	—	45%
Blood urea nitrogen (BUN) test inpatient CPT 84520 UREA NITROGEN QUANTITATIVE	$46.75	$85.00	$2.01–$115.00	—	45%
Blood urea nitrogen (BUN) test inpatient CPT 84520 ASSAY OF UREA NITROGEN	$46.75	$85.00	$2.01–$115.00	—	45%
C-peptide blood test CPT 84681 ASSAY OF C-PEPTIDE	$60.50	$110.00	$10.61–$194.96	56% below	45%
C-peptide blood test CPT 84681 C-PEPTIDE	$60.50	$110.00	$10.61–$194.96	56% below	45%
C-peptide blood test inpatient CPT 84681 C-PEPTIDE	$60.50	$110.00	$10.61–$194.96	—	45%
C-peptide blood test inpatient CPT 84681 ASSAY OF C-PEPTIDE	$60.50	$110.00	$10.61–$194.96	—	45%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-REACTIVE PROTEIN	$45.10	$82.00	$2.64–$82.00	34% below	45%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C-REACTIVE PROTEIN	$45.10	$82.00	$2.64–$82.00	—	45%
C. difficile toxin gene test (stool PCR) CPT 87493 C DIFFICILE PCR	$114.95	$209.00	$19.01–$349.18	45% below	45%
C. difficile toxin gene test (stool PCR) CPT 87493 C DIFF AMPLIFIED PROBE	$114.95	$209.00	$19.01–$349.18	45% below	45%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 C DIFF AMPLIFIED PROBE	$114.95	$209.00	$19.01–$349.18	—	45%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 C DIFFICILE PCR	$114.95	$209.00	$19.01–$349.18	—	45%
CA 19-9 blood test (tumor marker) CPT 86301 CA-19-9	$123.20	$224.00	$10.61–$224.00	14% below	45%
CA 19-9 blood test (tumor marker) CPT 86301 IMMUNOASSAY TUMOR CA 19-9	$123.20	$224.00	$10.61–$224.00	14% below	45%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 CA-19-9	$123.20	$224.00	$10.61–$224.00	—	45%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 IMMUNOASSAY TUMOR CA 19-9	$123.20	$224.00	$10.61–$224.00	—	45%
CA-125 blood test (ovarian cancer marker) CPT 86304 IMMUNOASSAY TUMOR CA 125	$141.90	$258.00	$10.61–$258.00	6% below	45%
CA-125 blood test (ovarian cancer marker) CPT 86304 CA-125	$141.90	$258.00	$10.61–$258.00	6% below	45%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 IMMUNOASSAY TUMOR CA 125	$141.90	$258.00	$10.61–$258.00	—	45%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 CA-125	$141.90	$258.00	$10.61–$258.00	—	45%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID-19 PCR, DH	$155.10	$282.00	$50.80–$884.00	24% above	45%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 RAPID COVID-19 PCR, DH	$160.60	$292.00	$50.80–$884.00	28% above	45%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS-COV-2 COVID-19 AMP PRB	$170.50	$310.00	$50.80–$884.00	36% above	45%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 2019 NOVEL CORONAVIRUS LABCORP	$170.50	$310.00	$50.80–$884.00	36% above	45%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 COVID-19 PCR, DH	$155.10	$282.00	$50.80–$884.00	—	45%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 RAPID COVID-19 PCR, DH	$160.60	$292.00	$50.80–$884.00	—	45%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 SARS-COV-2 COVID-19 AMP PRB	$170.50	$310.00	$50.80–$884.00	—	45%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 2019 NOVEL CORONAVIRUS LABCORP	$170.50	$310.00	$50.80–$884.00	—	45%
Calcium blood test, total CPT 82310 ASSAY OF CALCIUM	$40.15	$73.00	$2.63–$73.00	20% above	45%
Calcium blood test, total CPT 82310 CALCIUM	$40.15	$73.00	$2.63–$73.00	20% above	45%
Calcium blood test, total inpatient CPT 82310 ASSAY OF CALCIUM	$40.15	$73.00	$2.63–$73.00	—	45%
Calcium blood test, total inpatient CPT 82310 CALCIUM	$40.15	$73.00	$2.63–$73.00	—	45%
Carcinoembryonic antigen (CEA) test CPT 82378 CARCINOEMBRYONIC ANTIGEN	$122.65	$223.00	$9.67–$223.00	11% below	45%
Carcinoembryonic antigen (CEA) test CPT 82378 CEA	$122.65	$223.00	$9.67–$223.00	11% below	45%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 CARCINOEMBRYONIC ANTIGEN	$122.65	$223.00	$9.67–$223.00	—	45%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 CEA	$122.65	$223.00	$9.67–$223.00	—	45%
Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA ZOSTER	$22.00	$40.00	$6.57–$120.67	79% below	45%
Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA-ZOSTER ANTIBODY	$22.00	$40.00	$6.57–$120.67	79% below	45%
Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA ZOSTER ANTIBODIES IGM	$39.60	$72.00	$6.57–$120.67	62% below	45%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 VARICELLA ZOSTER	$22.00	$40.00	$6.57–$120.67	—	45%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 VARICELLA-ZOSTER ANTIBODY	$22.00	$40.00	$6.57–$120.67	—	45%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 VARICELLA ZOSTER ANTIBODIES IGM	$39.60	$72.00	$6.57–$120.67	—	45%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA/GC TC 7438SW CPT#1	$51.15	$93.00	$17.90–$730.00	70% below	45%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA TRACHOMATIS TC7437SW	$57.20	$104.00	$17.90–$730.00	67% below	45%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC CHLAMYDIA TRACOMATIS BY PCR (THIN PRE	$58.30	$106.00	$17.90–$730.00	66% below	45%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA/GC TC 7438U CPT #1	$68.20	$124.00	$17.90–$730.00	60% below	45%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA	$70.95	$129.00	$17.90–$730.00	59% below	45%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLMYD TRACH DNA AMP PROBE	$95.70	$174.00	$17.90–$730.00	44% below	45%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA/GC NAA CONFIRMATION	$95.70	$174.00	$17.90–$730.00	44% below	45%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA/GC TC 7438SW CPT#1	$51.15	$93.00	$17.90–$730.00	—	45%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA TRACHOMATIS TC7437SW	$57.20	$104.00	$17.90–$730.00	—	45%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HC CHLAMYDIA TRACOMATIS BY PCR (THIN PRE	$58.30	$106.00	$17.90–$730.00	—	45%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA/GC TC 7438U CPT #1	$68.20	$124.00	$17.90–$730.00	—	45%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA	$70.95	$129.00	$17.90–$730.00	—	45%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA/GC NAA CONFIRMATION	$95.70	$174.00	$17.90–$730.00	—	45%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLMYD TRACH DNA AMP PROBE	$95.70	$174.00	$17.90–$730.00	—	45%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL	$30.25	$55.00	$6.83–$235.00	75% below	45%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPOPRO PROFILE	$99.00	$180.00	$6.83–$235.00	19% below	45%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PANEL	$30.25	$55.00	$6.83–$235.00	—	45%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPOPRO PROFILE	$99.00	$180.00	$6.83–$235.00	—	45%
Complete blood count (CBC) with differential CPT 85025 CBC WITH AUTO DIFFERENTIAL	$57.75	$105.00	$3.96–$231.00	30% above	45%
Complete blood count (CBC) with differential CPT 85025 COMPLETE CBC W/AUTO DIFF WBC	$57.75	$105.00	$3.96–$231.00	30% above	45%
Complete blood count (CBC) with differential inpatient CPT 85025 CBC WITH AUTO DIFFERENTIAL	$57.75	$105.00	$3.96–$231.00	—	45%
Complete blood count (CBC) with differential inpatient CPT 85025 COMPLETE CBC W/AUTO DIFF WBC	$57.75	$105.00	$3.96–$231.00	—	45%
Complete blood count (CBC), no differential CPT 85027 COMPLETE CBC AUTOMATED	$58.30	$106.00	$3.30–$299.00	12% above	45%
Complete blood count (CBC), no differential CPT 85027 CBC WITHOUT DIFFERENTIAL	$58.30	$106.00	$3.30–$299.00	12% above	45%
Complete blood count (CBC), no differential CPT 85027 CBCSO	$58.30	$106.00	$3.30–$299.00	12% above	45%
Complete blood count (CBC), no differential inpatient CPT 85027 CBCSO	$58.30	$106.00	$3.30–$299.00	—	45%
Complete blood count (CBC), no differential inpatient CPT 85027 COMPLETE CBC AUTOMATED	$58.30	$106.00	$3.30–$299.00	—	45%
Complete blood count (CBC), no differential inpatient CPT 85027 CBC WITHOUT DIFFERENTIAL	$58.30	$106.00	$3.30–$299.00	—	45%
Comprehensive metabolic panel (blood test) CPT 80053 COMPREHEN METABOLIC PANEL	$78.10	$142.00	$5.39–$142.00	17% below	45%
Comprehensive metabolic panel (blood test) CPT 80053 COMPREHENSIVE METABOLIC	$78.10	$142.00	$5.39–$142.00	17% below	45%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMPREHEN METABOLIC PANEL	$78.10	$142.00	$5.39–$142.00	—	45%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMPREHENSIVE METABOLIC	$78.10	$142.00	$5.39–$142.00	—	45%
Cortisol blood test, total CPT 82533 SALIVARY CORTISOL	$51.15	$93.00	$8.31–$620.00	58% below	45%
Cortisol blood test, total CPT 82533 CORTISOL	$51.15	$93.00	$8.31–$620.00	58% below	45%
Cortisol blood test, total CPT 82533 CORTISOL-SERUM TOTAL	$119.35	$217.00	$8.31–$620.00	1% below	45%
Cortisol blood test, total CPT 82533 DEXAMETHASONE SUPPRESSION 8AM	$119.35	$217.00	$8.31–$620.00	1% below	45%
Cortisol blood test, total CPT 82533 TOTAL CORTISOL	$119.35	$217.00	$8.31–$620.00	1% below	45%
Cortisol blood test, total inpatient CPT 82533 CORTISOL	$51.15	$93.00	$8.31–$620.00	—	45%
Cortisol blood test, total inpatient CPT 82533 SALIVARY CORTISOL	$51.15	$93.00	$8.31–$620.00	—	45%
Cortisol blood test, total inpatient CPT 82533 TOTAL CORTISOL	$119.35	$217.00	$8.31–$620.00	—	45%
Cortisol blood test, total inpatient CPT 82533 CORTISOL-SERUM TOTAL	$119.35	$217.00	$8.31–$620.00	—	45%
Cortisol blood test, total inpatient CPT 82533 DEXAMETHASONE SUPPRESSION 8AM	$119.35	$217.00	$8.31–$620.00	—	45%
Creatine kinase (CK) blood test, total CPT 82550 CREATINEKINASE ISOENZYMES TOTAL	$58.30	$106.00	$3.32–$212.00	13% below	45%
Creatine kinase (CK) blood test, total CPT 82550 CPK	$58.30	$106.00	$3.32–$212.00	13% below	45%
Creatine kinase (CK) blood test, total CPT 82550 ASSAY OF CK (CPK)	$58.30	$106.00	$3.32–$212.00	13% below	45%
Creatine kinase (CK) blood test, total inpatient CPT 82550 CPK	$58.30	$106.00	$3.32–$212.00	—	45%
Creatine kinase (CK) blood test, total inpatient CPT 82550 ASSAY OF CK (CPK)	$58.30	$106.00	$3.32–$212.00	—	45%
Creatine kinase (CK) blood test, total inpatient CPT 82550 CREATINEKINASE ISOENZYMES TOTAL	$58.30	$106.00	$3.32–$212.00	—	45%
Creatinine blood test CPT 82565 CREATININE SERUM	$16.50	$30.00	$2.61–$99.00	63% below	45%
Creatinine blood test CPT 82565 ASSAY OF CREATININE	$37.95	$69.00	$2.61–$99.00	15% below	45%
Creatinine blood test CPT 82565 CREATININE	$37.95	$69.00	$2.61–$99.00	15% below	45%
Creatinine blood test inpatient CPT 82565 CREATININE SERUM	$16.50	$30.00	$2.61–$99.00	—	45%
Creatinine blood test inpatient CPT 82565 ASSAY OF CREATININE	$37.95	$69.00	$2.61–$99.00	—	45%
Creatinine blood test inpatient CPT 82565 CREATININE	$37.95	$69.00	$2.61–$99.00	—	45%
Cytomegalovirus (CMV) antibody test CPT 86644 TORCH CYTOM IGG CPT#5	$15.95	$29.00	$7.34–$551.00	87% below	45%
Cytomegalovirus (CMV) antibody test CPT 86644 CMV ANTIBODY	$26.40	$48.00	$7.34–$551.00	78% below	45%
Cytomegalovirus (CMV) antibody test CPT 86644 ARC27 ANTI CMV NEG PER TEST	$26.40	$48.00	$7.34–$551.00	78% below	45%
Cytomegalovirus (CMV) antibody test CPT 86644 CYTOMEGALOVIRUS CMV	$118.80	$216.00	$7.34–$551.00	3% below	45%
Cytomegalovirus (CMV) antibody test CPT 86644 CMV IGG AVIDITY	$141.90	$258.00	$7.34–$551.00	16% above	45%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 TORCH CYTOM IGG CPT#5	$15.95	$29.00	$7.34–$551.00	—	45%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 CMV ANTIBODY	$26.40	$48.00	$7.34–$551.00	—	45%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 ARC27 ANTI CMV NEG PER TEST	$26.40	$48.00	$7.34–$551.00	—	45%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 CYTOMEGALOVIRUS CMV	$118.80	$216.00	$7.34–$551.00	—	45%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 CMV IGG AVIDITY	$141.90	$258.00	$7.34–$551.00	—	45%
D-dimer blood test (blood clot marker) CPT 85379 FIBRIN DEGRADATION QUANT	$89.65	$163.00	$5.19–$163.00	19% below	45%
D-dimer blood test (blood clot marker) CPT 85379 D-DIMER QUANTITATIVE	$89.65	$163.00	$5.19–$163.00	19% below	45%
D-dimer blood test (blood clot marker) inpatient CPT 85379 D-DIMER QUANTITATIVE	$89.65	$163.00	$5.19–$163.00	—	45%
D-dimer blood test (blood clot marker) inpatient CPT 85379 FIBRIN DEGRADATION QUANT	$89.65	$163.00	$5.19–$163.00	—	45%
DHEA sulfate (DHEA-S) blood test CPT 82627 DEHYDROEPIANDROSTERONE	$108.35	$197.00	$11.34–$208.27	25% below	45%
DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA-SULFATE	$108.35	$197.00	$11.34–$208.27	25% below	45%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DHEA-SULFATE	$108.35	$197.00	$11.34–$208.27	—	45%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DEHYDROEPIANDROSTERONE	$108.35	$197.00	$11.34–$208.27	—	45%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN SERUM BARBIT	$15.40	$28.00	$14.56–$6,940.00	93% below	45%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN SERUM BENZO	$15.40	$28.00	$14.56–$6,940.00	93% below	45%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN SERUM METHODONE	$15.40	$28.00	$14.56–$6,940.00	93% below	45%
Drug screen by lab instrument (any number of drug classes) CPT 80307 EZ SCREEN 4 PANEL	$23.10	$42.00	$14.56–$6,940.00	90% below	45%
Drug screen by lab instrument (any number of drug classes) CPT 80307 EZ SCREEN 5 PANEL	$24.75	$45.00	$14.56–$6,940.00	89% below	45%
Drug screen by lab instrument (any number of drug classes) CPT 80307 EZ SCREEN 9 PANEL	$28.60	$52.00	$14.56–$6,940.00	88% below	45%
Drug screen by lab instrument (any number of drug classes) CPT 80307 EZ SCREEN 10 PANEL	$30.25	$55.00	$14.56–$6,940.00	87% below	45%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN SERUM AMPHET	$33.55	$61.00	$14.56–$6,940.00	85% below	45%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN SERUM PHENCYCLIDINE	$33.55	$61.00	$14.56–$6,940.00	85% below	45%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN SERUM OPIATES	$33.55	$61.00	$14.56–$6,940.00	85% below	45%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN SERUM CANNA	$33.55	$61.00	$14.56–$6,940.00	85% below	45%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN SERUM COCAINE	$33.55	$61.00	$14.56–$6,940.00	85% below	45%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG TEST PRSMV CHEM ANLYZR	$33.55	$61.00	$14.56–$6,940.00	85% below	45%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCR SERUM PROPOXYPHENE	$33.55	$61.00	$14.56–$6,940.00	85% below	45%
Drug screen by lab instrument (any number of drug classes) CPT 80307 EZ SCREEN 11 PANEL	$36.30	$66.00	$14.56–$6,940.00	84% below	45%
Drug screen by lab instrument (any number of drug classes) CPT 80307 SUBOXONE SCREEN URINE	$37.95	$69.00	$14.56–$6,940.00	84% below	45%
Drug screen by lab instrument (any number of drug classes) CPT 80307 NICOTINE/COTININE, SCN W/CONFIRM, UR	$40.70	$74.00	$14.56–$6,940.00	82% below	45%
Drug screen by lab instrument (any number of drug classes) CPT 80307 FLUNITRAZEPAM SCREEN, URINE	$53.35	$97.00	$14.56–$6,940.00	77% below	45%
Drug screen by lab instrument (any number of drug classes) CPT 80307 SUBOXONE CONFIRMATORY URINE	$57.75	$105.00	$14.56–$6,940.00	75% below	45%
Drug screen by lab instrument (any number of drug classes) CPT 80307 OXYCODONE/OXYMORPHONE, URINE	$68.20	$124.00	$14.56–$6,940.00	70% below	45%
Drug screen by lab instrument (any number of drug classes) CPT 80307 BUPRENORPHINE SCREEN URINE	$118.80	$216.00	$14.56–$6,940.00	49% below	45%
Drug screen by lab instrument (any number of drug classes) CPT 80307 GABAPENTIN URINE	$128.70	$234.00	$14.56–$6,940.00	44% below	45%
Drug screen by lab instrument (any number of drug classes) CPT 80307 MILLENIUM PRESUMPTIVE DRUG TEST	$131.45	$239.00	$14.56–$6,940.00	43% below	45%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN 10 W/ REFLEX CONFIRMATION, S	$146.85	$267.00	$14.56–$6,940.00	36% below	45%
Drug screen by lab instrument (any number of drug classes) CPT 80307 MED PRO 12 DRUGS SCREEN & CONFIRM URINE	$146.85	$267.00	$14.56–$6,940.00	36% below	45%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCRN 10 + MDMA-BUND	$149.05	$271.00	$14.56–$6,940.00	35% below	45%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN 13 W/ REFLEX CONFIRMATION, S	$170.50	$310.00	$14.56–$6,940.00	26% below	45%
Drug screen by lab instrument (any number of drug classes) CPT 80307 URINE DRUG SCREEN	$174.35	$317.00	$14.56–$6,940.00	25% below	45%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN & CONFIRM 11 DRUG	$183.15	$333.00	$14.56–$6,940.00	21% below	45%
Drug screen by lab instrument (any number of drug classes) CPT 80307 GAMMA-HYDROXYBUTYRIC (GHB) ACID SCREEN,	$214.50	$390.00	$14.56–$6,940.00	7% below	45%
Drug screen by lab instrument (any number of drug classes) CPT 80307 ETHYL GLUCURONIDE/ETHYL SULFATE, SCREEN	$226.60	$412.00	$14.56–$6,940.00	2% below	45%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN 17 WITH REFLEX CONFIRMATION,	$349.80	$636.00	$14.56–$6,940.00	51% above	45%
Drug screen by lab instrument (any number of drug classes) CPT 80307 NMS LABS NOVEL PSYCHOACTIVE SUBST.(NPS)	$424.60	$772.00	$14.56–$6,940.00	84% above	45%
Drug screen by lab instrument (any number of drug classes) CPT 80307 NMS LABS DRUG SCREEN-EXPANDED, URINE	$603.35	$1,097.00	$14.56–$6,940.00	161% above	45%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG SCREEN SERUM BARBIT	$15.40	$28.00	$14.56–$6,940.00	—	45%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG SCREEN SERUM METHODONE	$15.40	$28.00	$14.56–$6,940.00	—	45%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG SCREEN SERUM BENZO	$15.40	$28.00	$14.56–$6,940.00	—	45%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 EZ SCREEN 4 PANEL	$23.10	$42.00	$14.56–$6,940.00	—	45%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 EZ SCREEN 5 PANEL	$24.75	$45.00	$14.56–$6,940.00	—	45%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 EZ SCREEN 9 PANEL	$28.60	$52.00	$14.56–$6,940.00	—	45%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 EZ SCREEN 10 PANEL	$30.25	$55.00	$14.56–$6,940.00	—	45%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG SCREEN SERUM CANNA	$33.55	$61.00	$14.56–$6,940.00	—	45%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG SCREEN SERUM OPIATES	$33.55	$61.00	$14.56–$6,940.00	—	45%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG SCREEN SERUM PHENCYCLIDINE	$33.55	$61.00	$14.56–$6,940.00	—	45%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG SCR SERUM PROPOXYPHENE	$33.55	$61.00	$14.56–$6,940.00	—	45%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG TEST PRSMV CHEM ANLYZR	$33.55	$61.00	$14.56–$6,940.00	—	45%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG SCREEN SERUM COCAINE	$33.55	$61.00	$14.56–$6,940.00	—	45%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG SCREEN SERUM AMPHET	$33.55	$61.00	$14.56–$6,940.00	—	45%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 EZ SCREEN 11 PANEL	$36.30	$66.00	$14.56–$6,940.00	—	45%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 SUBOXONE SCREEN URINE	$37.95	$69.00	$14.56–$6,940.00	—	45%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 NICOTINE/COTININE, SCN W/CONFIRM, UR	$40.70	$74.00	$14.56–$6,940.00	—	45%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 FLUNITRAZEPAM SCREEN, URINE	$53.35	$97.00	$14.56–$6,940.00	—	45%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 SUBOXONE CONFIRMATORY URINE	$57.75	$105.00	$14.56–$6,940.00	—	45%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 OXYCODONE/OXYMORPHONE, URINE	$68.20	$124.00	$14.56–$6,940.00	—	45%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 BUPRENORPHINE SCREEN URINE	$118.80	$216.00	$14.56–$6,940.00	—	45%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 GABAPENTIN URINE	$128.70	$234.00	$14.56–$6,940.00	—	45%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 MILLENIUM PRESUMPTIVE DRUG TEST	$131.45	$239.00	$14.56–$6,940.00	—	45%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 MED PRO 12 DRUGS SCREEN & CONFIRM URINE	$146.85	$267.00	$14.56–$6,940.00	—	45%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG SCREEN 10 W/ REFLEX CONFIRMATION, S	$146.85	$267.00	$14.56–$6,940.00	—	45%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG SCRN 10 + MDMA-BUND	$149.05	$271.00	$14.56–$6,940.00	—	45%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG SCREEN 13 W/ REFLEX CONFIRMATION, S	$170.50	$310.00	$14.56–$6,940.00	—	45%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 URINE DRUG SCREEN	$174.35	$317.00	$14.56–$6,940.00	—	45%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG SCREEN & CONFIRM 11 DRUG	$183.15	$333.00	$14.56–$6,940.00	—	45%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 GAMMA-HYDROXYBUTYRIC (GHB) ACID SCREEN,	$214.50	$390.00	$14.56–$6,940.00	—	45%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 ETHYL GLUCURONIDE/ETHYL SULFATE, SCREEN	$226.60	$412.00	$14.56–$6,940.00	—	45%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG SCREEN 17 WITH REFLEX CONFIRMATION,	$349.80	$636.00	$14.56–$6,940.00	—	45%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 NMS LABS NOVEL PSYCHOACTIVE SUBST.(NPS)	$424.60	$772.00	$14.56–$6,940.00	—	45%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 NMS LABS DRUG SCREEN-EXPANDED, URINE	$603.35	$1,097.00	$14.56–$6,940.00	—	45%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 PLEURAL FLUID ELECTROLYTE	$31.90	$58.00	$3.58–$144.00	40% below	45%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 ELECTROLYTE PANEL	$47.30	$86.00	$3.58–$144.00	10% below	45%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 ELECTROLYTES PROFILE	$47.30	$86.00	$3.58–$144.00	10% below	45%
Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 PLEURAL FLUID ELECTROLYTE	$31.90	$58.00	$3.58–$144.00	—	45%
Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 ELECTROLYTES PROFILE	$47.30	$86.00	$3.58–$144.00	—	45%
Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 ELECTROLYTE PANEL	$47.30	$86.00	$3.58–$144.00	—	45%
Epstein-Barr virus (EBV) antibody test CPT 86665 EBV EVALUATR VCA IGG	$11.00	$20.00	$9.25–$308.00	90% below	45%
Epstein-Barr virus (EBV) antibody test CPT 86665 EPSTEIN-BARR CAPSID VCA	$11.00	$20.00	$9.25–$308.00	90% below	45%
Epstein-Barr virus (EBV) antibody test CPT 86665 EBV EVALUATR VCA IGM	$11.00	$20.00	$9.25–$308.00	90% below	45%
Epstein-Barr virus (EBV) antibody test CPT 86665 EPSTEIN BAER VIRUS CAPSID	$74.25	$135.00	$9.25–$308.00	29% below	45%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 EBV EVALUATR VCA IGG	$11.00	$20.00	$9.25–$308.00	—	45%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 EPSTEIN-BARR CAPSID VCA	$11.00	$20.00	$9.25–$308.00	—	45%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 EBV EVALUATR VCA IGM	$11.00	$20.00	$9.25–$308.00	—	45%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 EPSTEIN BAER VIRUS CAPSID	$74.25	$135.00	$9.25–$308.00	—	45%
Estradiol blood test CPT 82670 ESTRADIOL	$13.20	$24.00	$12.48–$402.00	92% below	45%
Estradiol blood test CPT 82670 ASSAY OF TOTAL ESTRADIOL	$13.20	$24.00	$12.48–$402.00	92% below	45%
Estradiol blood test CPT 82670 ESTRADIOL SERUM	$48.95	$89.00	$12.48–$402.00	69% below	45%
Estradiol blood test CPT 82670 ESTRADIOL, SENSITIVE, LC/MS	$158.95	$289.00	$12.48–$402.00	at median	45%
Estradiol blood test inpatient CPT 82670 ASSAY OF TOTAL ESTRADIOL	$13.20	$24.00	$12.48–$402.00	—	45%
Estradiol blood test inpatient CPT 82670 ESTRADIOL	$13.20	$24.00	$12.48–$402.00	—	45%
Estradiol blood test inpatient CPT 82670 ESTRADIOL SERUM	$48.95	$89.00	$12.48–$402.00	—	45%
Estradiol blood test inpatient CPT 82670 ESTRADIOL, SENSITIVE, LC/MS	$158.95	$289.00	$12.48–$402.00	—	45%
FSH (follicle-stimulating hormone) test CPT 83001 FSH-LH CPT1	$56.65	$103.00	$9.48–$229.00	55% below	45%
FSH (follicle-stimulating hormone) test CPT 83001 FSH	$69.30	$126.00	$9.48–$229.00	45% below	45%
FSH (follicle-stimulating hormone) test CPT 83001 ASSAY OF GONADOTROPIN (FSH)	$69.30	$126.00	$9.48–$229.00	45% below	45%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 FSH-LH CPT1	$56.65	$103.00	$9.48–$229.00	—	45%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 FSH	$69.30	$126.00	$9.48–$229.00	—	45%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 ASSAY OF GONADOTROPIN (FSH)	$69.30	$126.00	$9.48–$229.00	—	45%
Fecal calprotectin (stool inflammation test) CPT 83993 CALPROTECTIN FECAL	$157.30	$286.00	$10.01–$286.00	26% below	45%
Fecal calprotectin (stool inflammation test) CPT 83993 ASSAY FOR CALPROTECTIN FECAL	$157.30	$286.00	$10.01–$286.00	26% below	45%
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 ASSAY FOR CALPROTECTIN FECAL	$157.30	$286.00	$10.01–$286.00	—	45%
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 CALPROTECTIN FECAL	$157.30	$286.00	$10.01–$286.00	—	45%
Ferritin blood test (iron stores) CPT 82728 ASSAY OF FERRITIN	$74.80	$136.00	$6.95–$281.00	31% below	45%
Ferritin blood test (iron stores) CPT 82728 FERRITIN	$74.80	$136.00	$6.95–$281.00	31% below	45%
Ferritin blood test (iron stores) inpatient CPT 82728 ASSAY OF FERRITIN	$74.80	$136.00	$6.95–$281.00	—	45%
Ferritin blood test (iron stores) inpatient CPT 82728 FERRITIN	$74.80	$136.00	$6.95–$281.00	—	45%
Fibrinogen blood test CPT 85384 FIBRINOGEN ACTIVITY	$48.95	$89.00	$4.96–$99.00	40% below	45%
Fibrinogen blood test inpatient CPT 85384 FIBRINOGEN ACTIVITY	$48.95	$89.00	$4.96–$99.00	—	45%
Folate (folic acid) blood test CPT 82746 ASSAY OF FOLIC ACID SERUM	$44.55	$81.00	$7.50–$137.72	50% below	45%
Folate (folic acid) blood test CPT 82746 FOLIC ACID	$44.55	$81.00	$7.50–$137.72	50% below	45%
Folate (folic acid) blood test inpatient CPT 82746 FOLIC ACID	$44.55	$81.00	$7.50–$137.72	—	45%
Folate (folic acid) blood test inpatient CPT 82746 ASSAY OF FOLIC ACID SERUM	$44.55	$81.00	$7.50–$137.72	—	45%
Free T3 thyroid hormone test CPT 84481 FREE ASSAY (FT-3)	$109.45	$199.00	$8.64–$199.00	33% below	45%
Free T3 thyroid hormone test CPT 84481 FREE T-3	$109.45	$199.00	$8.64–$199.00	33% below	45%
Free T3 thyroid hormone test inpatient CPT 84481 FREE ASSAY (FT-3)	$109.45	$199.00	$8.64–$199.00	—	45%
Free T3 thyroid hormone test inpatient CPT 84481 FREE T-3	$109.45	$199.00	$8.64–$199.00	—	45%
Free T4 (free thyroxine) thyroid blood test CPT 84439 ASSAY OF FREE THYROXINE	$74.25	$135.00	$4.60–$135.00	24% below	45%
Free T4 (free thyroxine) thyroid blood test CPT 84439 T4 FREE	$74.25	$135.00	$4.60–$135.00	24% below	45%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 T4 FREE	$74.25	$135.00	$4.60–$135.00	—	45%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 ASSAY OF FREE THYROXINE	$74.25	$135.00	$4.60–$135.00	—	45%
Free testosterone test CPT 84402 ASSAY OF FREE TESTOSTERONE	$31.90	$58.00	$12.99–$238.62	77% below	45%
Free testosterone test CPT 84402 TESTOSTERONE FREE	$40.70	$74.00	$12.99–$238.62	71% below	45%
Free testosterone test CPT 84402 TESTOSTERONE BIOAVAILABLE	$46.75	$85.00	$12.99–$238.62	67% below	45%
Free testosterone test inpatient CPT 84402 ASSAY OF FREE TESTOSTERONE	$31.90	$58.00	$12.99–$238.62	—	45%
Free testosterone test inpatient CPT 84402 TESTOSTERONE FREE	$40.70	$74.00	$12.99–$238.62	—	45%
Free testosterone test inpatient CPT 84402 TESTOSTERONE BIOAVAILABLE	$46.75	$85.00	$12.99–$238.62	—	45%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 SOGGT	$39.60	$72.00	$3.67–$232.00	39% below	45%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 GGT	$40.15	$73.00	$3.67–$232.00	38% below	45%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 GAMMA GT	$47.85	$87.00	$3.67–$232.00	26% below	45%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 ASSAY OF GGT	$47.85	$87.00	$3.67–$232.00	26% below	45%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 SOGGT	$39.60	$72.00	$3.67–$232.00	—	45%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 GGT	$40.15	$73.00	$3.67–$232.00	—	45%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 ASSAY OF GGT	$47.85	$87.00	$3.67–$232.00	—	45%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 GAMMA GT	$47.85	$87.00	$3.67–$232.00	—	45%
General health panel: metabolic panel, blood count and TSH in one order CPT 80050 GENERAL HEALTH PANEL 3, CBC NO DIFF, CMP	$167.20	$304.00	$7.50–$1,436.00	28% below	45%
General health panel: metabolic panel, blood count and TSH in one order CPT 80050 GENERAL HEALTH PANEL 2, CBC/AUTO, CMP	$167.20	$304.00	$7.50–$1,436.00	28% below	45%
General health panel: metabolic panel, blood count and TSH in one order CPT 80050 GENERAL HEALTH PANEL 1, CBC/AUTO,CMP,TSH	$227.70	$414.00	$7.50–$1,436.00	2% below	45%
General health panel: metabolic panel, blood count and TSH in one order CPT 80050 GEN HEALTH PANEL 4 CBC NO DIFF,CMP,TSH	$227.70	$414.00	$7.50–$1,436.00	2% below	45%
General health panel: metabolic panel, blood count and TSH in one order CPT 80050 GENERAL HEALTH PANEL	$227.70	$414.00	$7.50–$1,436.00	2% below	45%
General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 GENERAL HEALTH PANEL 3, CBC NO DIFF, CMP	$167.20	$304.00	$7.50–$1,436.00	—	45%
General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 GENERAL HEALTH PANEL 2, CBC/AUTO, CMP	$167.20	$304.00	$7.50–$1,436.00	—	45%
General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 GEN HEALTH PANEL 4 CBC NO DIFF,CMP,TSH	$227.70	$414.00	$7.50–$1,436.00	—	45%
General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 GENERAL HEALTH PANEL	$227.70	$414.00	$7.50–$1,436.00	—	45%
General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 GENERAL HEALTH PANEL 1, CBC/AUTO,CMP,TSH	$227.70	$414.00	$7.50–$1,436.00	—	45%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE-2 HR POST GLUCOLA	$26.95	$49.00	$2.42–$135.00	48% below	45%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE TEST	$47.30	$86.00	$2.42–$135.00	9% below	45%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE-1 HR POST GLUCOLA	$47.30	$86.00	$2.42–$135.00	9% below	45%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 GLUCOSE-2 HR POST GLUCOLA	$26.95	$49.00	$2.42–$135.00	—	45%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 GLUCOSE-1 HR POST GLUCOLA	$47.30	$86.00	$2.42–$135.00	—	45%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 GLUCOSE TEST	$47.30	$86.00	$2.42–$135.00	—	45%
Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOL 5H TOL 3 SPEC	$37.95	$69.00	$6.56–$347.00	69% below	45%
Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOLERANCE 2 HR	$63.25	$115.00	$6.56–$347.00	49% below	45%
Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOL 3 H TOL	$89.65	$163.00	$6.56–$347.00	27% below	45%
Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOLERANCE TEST (GTT)	$89.65	$163.00	$6.56–$347.00	27% below	45%
Glucose tolerance test, 3 samples inpatient CPT 82951 GLUCOSE TOL 5H TOL 3 SPEC	$37.95	$69.00	$6.56–$347.00	—	45%
Glucose tolerance test, 3 samples inpatient CPT 82951 GLUCOSE TOLERANCE 2 HR	$63.25	$115.00	$6.56–$347.00	—	45%
Glucose tolerance test, 3 samples inpatient CPT 82951 GLUCOSE TOLERANCE TEST (GTT)	$89.65	$163.00	$6.56–$347.00	—	45%
Glucose tolerance test, 3 samples inpatient CPT 82951 GLUCOSE TOL 3 H TOL	$89.65	$163.00	$6.56–$347.00	—	45%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 GC GENE AMP DH	$28.60	$52.00	$17.90–$580.00	86% below	45%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 GONOCOCCUS	$41.80	$76.00	$17.90–$580.00	80% below	45%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 CHLAMYDIA/GC TC 7438SW CPT#2	$51.15	$93.00	$17.90–$580.00	76% below	45%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N.GONORRHOEAE DNA AMP PROB	$51.15	$93.00	$17.90–$580.00	76% below	45%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC NEISSERIA GONORRHOEAE BY PCR (THIN PR	$58.30	$106.00	$17.90–$580.00	72% below	45%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 CHLAMYDIA/GC TC 7438U CPT#2	$68.20	$124.00	$17.90–$580.00	68% below	45%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 NEISSERIA GONORRHOEAE TC 2932U	$70.95	$129.00	$17.90–$580.00	66% below	45%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 GC GENE AMP DH	$28.60	$52.00	$17.90–$580.00	—	45%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 GONOCOCCUS	$41.80	$76.00	$17.90–$580.00	—	45%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 N.GONORRHOEAE DNA AMP PROB	$51.15	$93.00	$17.90–$580.00	—	45%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 CHLAMYDIA/GC TC 7438SW CPT#2	$51.15	$93.00	$17.90–$580.00	—	45%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HC NEISSERIA GONORRHOEAE BY PCR (THIN PR	$58.30	$106.00	$17.90–$580.00	—	45%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 CHLAMYDIA/GC TC 7438U CPT#2	$68.20	$124.00	$17.90–$580.00	—	45%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 NEISSERIA GONORRHOEAE TC 2932U	$70.95	$129.00	$17.90–$580.00	—	45%
H. pylori antibody blood test CPT 86677 HELICOBACTER PYLORI ANTIBODY	$15.40	$28.00	$8.59–$202.00	91% below	45%
H. pylori antibody blood test CPT 86677 HELICOBACTER PYLORI AB	$15.40	$28.00	$8.59–$202.00	91% below	45%
H. pylori antibody blood test CPT 86677 HELICOBACTER PYLORI, IGM AB	$47.85	$87.00	$8.59–$202.00	74% below	45%
H. pylori antibody blood test CPT 86677 H PYLORI AB, IGA	$47.85	$87.00	$8.59–$202.00	74% below	45%
H. pylori antibody blood test inpatient CPT 86677 HELICOBACTER PYLORI ANTIBODY	$15.40	$28.00	$8.59–$202.00	—	45%
H. pylori antibody blood test inpatient CPT 86677 HELICOBACTER PYLORI AB	$15.40	$28.00	$8.59–$202.00	—	45%
H. pylori antibody blood test inpatient CPT 86677 HELICOBACTER PYLORI, IGM AB	$47.85	$87.00	$8.59–$202.00	—	45%
H. pylori antibody blood test inpatient CPT 86677 H PYLORI AB, IGA	$47.85	$87.00	$8.59–$202.00	—	45%
H. pylori stool antigen test CPT 87338 H PYLORI STOOL AG	$89.10	$162.00	$7.33–$162.00	21% below	45%
H. pylori stool antigen test CPT 87338 HPYLORI STOOL AG IA	$89.10	$162.00	$7.33–$162.00	21% below	45%
H. pylori stool antigen test inpatient CPT 87338 HPYLORI STOOL AG IA	$89.10	$162.00	$7.33–$162.00	—	45%
H. pylori stool antigen test inpatient CPT 87338 H PYLORI STOOL AG	$89.10	$162.00	$7.33–$162.00	—	45%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV RNA QUANT PCR	$104.50	$190.00	$43.40–$2,947.00	76% below	45%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV-1 RNA (DDNA)	$190.85	$347.00	$43.40–$2,947.00	56% below	45%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV, RNA BY ULTRA SENSITIVE PCR	$302.50	$550.00	$43.40–$2,947.00	30% below	45%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV-1 QUANT&REVRSE TRNSCRPJ	$302.50	$550.00	$43.40–$2,947.00	30% below	45%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV RNA VIRAL LOAD	$388.85	$707.00	$43.40–$2,947.00	10% below	45%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 REFLEX QUANTITATIVE HIV RNA PCR	$526.35	$957.00	$43.40–$2,947.00	22% above	45%
HIV viral load test (HIV-1 RNA, quantitative) one side CPT 87536 HIV-1, QUANT, RT-PCR NON-GRAPH	$107.80	$196.00	$43.40–$2,947.00	75% below	45%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV RNA QUANT PCR	$104.50	$190.00	$43.40–$2,947.00	—	45%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV-1 RNA (DDNA)	$190.85	$347.00	$43.40–$2,947.00	—	45%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV-1 QUANT&REVRSE TRNSCRPJ	$302.50	$550.00	$43.40–$2,947.00	—	45%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV, RNA BY ULTRA SENSITIVE PCR	$302.50	$550.00	$43.40–$2,947.00	—	45%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV RNA VIRAL LOAD	$388.85	$707.00	$43.40–$2,947.00	—	45%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 REFLEX QUANTITATIVE HIV RNA PCR	$526.35	$957.00	$43.40–$2,947.00	—	45%
HIV viral load test (HIV-1 RNA, quantitative) inpatient one side CPT 87536 HIV-1, QUANT, RT-PCR NON-GRAPH	$107.80	$196.00	$43.40–$2,947.00	—	45%
HIV-1 and HIV-2 antibody test CPT 86703 HIV-1; HIV-2 SEND OUT TO LITTLETON	$42.90	$78.00	$6.99–$128.45	24% below	45%
HIV-1 and HIV-2 antibody test CPT 86703 HIV-1/HIV-2 1 RESULT ANTBDY	$42.90	$78.00	$6.99–$128.45	24% below	45%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 HIV-1; HIV-2 SEND OUT TO LITTLETON	$42.90	$78.00	$6.99–$128.45	—	45%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 HIV-1/HIV-2 1 RESULT ANTBDY	$42.90	$78.00	$6.99–$128.45	—	45%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV-1 AG W/HIV-1&-2 AB AG IA	$52.80	$96.00	$12.28–$225.60	58% below	45%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV 1/2 WITH REFLEX, 4TH GEN	$52.80	$96.00	$12.28–$225.60	58% below	45%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HIV 1/2 WITH REFLEX, 4TH GEN	$52.80	$96.00	$12.28–$225.60	—	45%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HIV-1 AG W/HIV-1&-2 AB AG IA	$52.80	$96.00	$12.28–$225.60	—	45%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV HI-RISK TYP POOLED RSLT	$95.70	$174.00	$17.90–$328.75	51% below	45%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV 16 18 SUBTYPING	$95.70	$174.00	$17.90–$328.75	51% below	45%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HPV HI-RISK TYP POOLED RSLT	$95.70	$174.00	$17.90–$328.75	—	45%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HPV 16 18 SUBTYPING	$95.70	$174.00	$17.90–$328.75	—	45%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 GLYCOSYLATED HEMOGLOBIN A1C UB	$13.75	$25.00	$4.95–$204.00	81% below	45%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 GLYCOSYLATED HEMOGLOBIN A1C	$13.75	$25.00	$4.95–$204.00	81% below	45%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN A1C	$13.75	$25.00	$4.95–$204.00	81% below	45%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 GLYCOSYLATED HEMOGLOBIN A1C 1500	$13.75	$25.00	$4.95–$204.00	81% below	45%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 GLYCOSOLATED HEMOGLOBIN	$57.20	$104.00	$4.95–$204.00	19% below	45%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN GLYCOSYLATED A1C	$57.20	$104.00	$4.95–$204.00	19% below	45%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 GLYCOSYLATED HEMOGLOBIN A1C 1500	$13.75	$25.00	$4.95–$204.00	—	45%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 GLYCOSYLATED HEMOGLOBIN A1C	$13.75	$25.00	$4.95–$204.00	—	45%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 GLYCOSYLATED HEMOGLOBIN A1C UB	$13.75	$25.00	$4.95–$204.00	—	45%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HEMOGLOBIN A1C	$13.75	$25.00	$4.95–$204.00	—	45%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 GLYCOSOLATED HEMOGLOBIN	$57.20	$104.00	$4.95–$204.00	—	45%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HEMOGLOBIN GLYCOSYLATED A1C	$57.20	$104.00	$4.95–$204.00	—	45%
Hemoglobin blood test CPT 85018 HEMOGLOBIN 1500	$13.75	$25.00	$1.21–$270.00	37% below	45%
Hemoglobin blood test CPT 85018 HEMOGLOBIN UB	$13.75	$25.00	$1.21–$270.00	37% below	45%
Hemoglobin blood test CPT 85018 HEMOGLOBIN POC	$13.75	$25.00	$1.21–$270.00	37% below	45%
Hemoglobin blood test CPT 85018 HEMOGLOBIN/HEMATOCRIT CPT#1	$20.35	$37.00	$1.21–$270.00	7% below	45%
Hemoglobin blood test CPT 85018 HEMATOCRIT/HEMOGLOBIN CPT#2	$23.65	$43.00	$1.21–$270.00	8% above	45%
Hemoglobin blood test CPT 85018 HEMOGLOBIN	$24.75	$45.00	$1.21–$270.00	13% above	45%
Hemoglobin blood test CPT 85018 AVOX HGB	$24.75	$45.00	$1.21–$270.00	13% above	45%
Hemoglobin blood test inpatient CPT 85018 HEMOGLOBIN UB	$13.75	$25.00	$1.21–$270.00	—	45%
Hemoglobin blood test inpatient CPT 85018 HEMOGLOBIN POC	$13.75	$25.00	$1.21–$270.00	—	45%
Hemoglobin blood test inpatient CPT 85018 HEMOGLOBIN 1500	$13.75	$25.00	$1.21–$270.00	—	45%
Hemoglobin blood test inpatient CPT 85018 HEMOGLOBIN/HEMATOCRIT CPT#1	$20.35	$37.00	$1.21–$270.00	—	45%
Hemoglobin blood test inpatient CPT 85018 HEMATOCRIT/HEMOGLOBIN CPT#2	$23.65	$43.00	$1.21–$270.00	—	45%
Hemoglobin blood test inpatient CPT 85018 AVOX HGB	$24.75	$45.00	$1.21–$270.00	—	45%
Hemoglobin blood test inpatient CPT 85018 HEMOGLOBIN	$24.75	$45.00	$1.21–$270.00	—	45%
Hepatitis B core antibody test (total) CPT 86704 HEPATITIS B CORE ANTIBODY	$14.30	$26.00	$6.15–$112.89	80% below	45%
Hepatitis B core antibody test (total) CPT 86704 HEP B CORE ANTIBODY TOTAL	$14.30	$26.00	$6.15–$112.89	80% below	45%
Hepatitis B core antibody test (total) inpatient CPT 86704 HEPATITIS B CORE ANTIBODY	$14.30	$26.00	$6.15–$112.89	—	45%
Hepatitis B core antibody test (total) inpatient CPT 86704 HEP B CORE ANTIBODY TOTAL	$14.30	$26.00	$6.15–$112.89	—	45%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEPATITIS B SURFACE ANTIBODY	$15.95	$29.00	$5.48–$100.62	78% below	45%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEP B SURFACE ANTIBODY	$15.95	$29.00	$5.48–$100.62	78% below	45%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEPATITIS B SURFACE ANTIBODY	$15.95	$29.00	$5.48–$100.62	—	45%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEP B SURFACE ANTIBODY	$15.95	$29.00	$5.48–$100.62	—	45%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B SURFACE AG IA	$11.00	$20.00	$5.27–$96.78	86% below	45%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B SURFACE ANTIGEN	$11.00	$20.00	$5.27–$96.78	86% below	45%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEPATITIS B SURFACE AG IA	$11.00	$20.00	$5.27–$96.78	—	45%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEPATITIS B SURFACE ANTIGEN	$11.00	$20.00	$5.27–$96.78	—	45%
Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C AB TEST	$99.55	$181.00	$7.28–$181.00	36% below	45%
Hepatitis C antibody blood test (screening) CPT 86803 HCV AB W/RFX PCR QNT(DIAGNOSTIC)	$99.55	$181.00	$7.28–$181.00	36% below	45%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C AB TEST	$99.55	$181.00	$7.28–$181.00	—	45%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HCV AB W/RFX PCR QNT(DIAGNOSTIC)	$99.55	$181.00	$7.28–$181.00	—	45%
Hepatitis C viral load (HCV RNA) test CPT 87522 HEPATITIS C VIRUS RNA ACCUQUANT	$113.85	$207.00	$21.85–$2,013.00	76% below	45%
Hepatitis C viral load (HCV RNA) test CPT 87522 HEPATITIS C REVRS TRNSCRPJ	$113.85	$207.00	$21.85–$2,013.00	76% below	45%
Hepatitis C viral load (HCV RNA) test CPT 87522 HEPATITIS CRNA (PCR QUANIT)	$190.30	$346.00	$21.85–$2,013.00	60% below	45%
Hepatitis C viral load (HCV RNA) test CPT 87522 HCV, PCR W RFLX TO GENO	$233.75	$425.00	$21.85–$2,013.00	51% below	45%
Hepatitis C viral load (HCV RNA) test CPT 87522 HEP C RNA QUANT&LOG10, DIAGNOSTIC	$261.25	$475.00	$21.85–$2,013.00	46% below	45%
Hepatitis C viral load (HCV RNA) test CPT 87522 HEPATITIS C VIRUS GT1 NS5A PROFILE	$308.00	$560.00	$21.85–$2,013.00	36% below	45%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HEPATITIS C REVRS TRNSCRPJ	$113.85	$207.00	$21.85–$2,013.00	—	45%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HEPATITIS C VIRUS RNA ACCUQUANT	$113.85	$207.00	$21.85–$2,013.00	—	45%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HEPATITIS CRNA (PCR QUANIT)	$190.30	$346.00	$21.85–$2,013.00	—	45%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HCV, PCR W RFLX TO GENO	$233.75	$425.00	$21.85–$2,013.00	—	45%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HEP C RNA QUANT&LOG10, DIAGNOSTIC	$261.25	$475.00	$21.85–$2,013.00	—	45%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HEPATITIS C VIRUS GT1 NS5A PROFILE	$308.00	$560.00	$21.85–$2,013.00	—	45%
Herpes blood test, HSV-1 antibody CPT 86695 TORCH HSV 1 IGG CPT#7	$15.95	$29.00	$6.73–$228.00	85% below	45%
Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX AB TYPE I, IGG	$30.25	$55.00	$6.73–$228.00	71% below	45%
Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX AB TYPE I, IGM	$30.25	$55.00	$6.73–$228.00	71% below	45%
Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX TYPE 1 TEST	$48.95	$89.00	$6.73–$228.00	53% below	45%
Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX TYPE 1	$48.95	$89.00	$6.73–$228.00	53% below	45%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 TORCH HSV 1 IGG CPT#7	$15.95	$29.00	$6.73–$228.00	—	45%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HERPES SIMPLEX AB TYPE I, IGM	$30.25	$55.00	$6.73–$228.00	—	45%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HERPES SIMPLEX AB TYPE I, IGG	$30.25	$55.00	$6.73–$228.00	—	45%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HERPES SIMPLEX TYPE 1	$48.95	$89.00	$6.73–$228.00	—	45%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HERPES SIMPLEX TYPE 1 TEST	$48.95	$89.00	$6.73–$228.00	—	45%
Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX TYPE 2 TEST	$15.95	$29.00	$9.87–$395.00	87% below	45%
Herpes blood test, HSV-2 antibody CPT 86696 TORCH HSV 2 IGG CPT#8	$15.95	$29.00	$9.87–$395.00	87% below	45%
Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX AB TYPE II, IGG	$44.55	$81.00	$9.87–$395.00	64% below	45%
Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX AB TYPE II, IGM	$44.55	$81.00	$9.87–$395.00	64% below	45%
Herpes blood test, HSV-2 antibody CPT 86696 HSV-2 IGG SUPPLEMENTAL TEST	$112.20	$204.00	$9.87–$395.00	8% below	45%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 TORCH HSV 2 IGG CPT#8	$15.95	$29.00	$9.87–$395.00	—	45%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HERPES SIMPLEX TYPE 2 TEST	$15.95	$29.00	$9.87–$395.00	—	45%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HERPES SIMPLEX AB TYPE II, IGM	$44.55	$81.00	$9.87–$395.00	—	45%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HERPES SIMPLEX AB TYPE II, IGG	$44.55	$81.00	$9.87–$395.00	—	45%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HSV-2 IGG SUPPLEMENTAL TEST	$112.20	$204.00	$9.87–$395.00	—	45%
High-sensitivity CRP (hs-CRP) test CPT 86141 C-REACTIVE PROTEIN HIGH SENSITIVITY	$95.70	$174.00	$6.60–$174.00	2% below	45%
High-sensitivity CRP (hs-CRP) test CPT 86141 C-REACTIVE PROTEIN HS	$95.70	$174.00	$6.60–$174.00	2% below	45%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 C-REACTIVE PROTEIN HIGH SENSITIVITY	$95.70	$174.00	$6.60–$174.00	—	45%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 C-REACTIVE PROTEIN HS	$95.70	$174.00	$6.60–$174.00	—	45%
Homocysteine blood test CPT 83090 HOMOCYSTEINE FOR DH PANEL	$81.40	$148.00	$9.14–$511.00	38% below	45%
Homocysteine blood test CPT 83090 HOMOCYSTEIN QUANTITATIVE	$199.65	$363.00	$9.14–$511.00	52% above	45%
Homocysteine blood test CPT 83090 ASSAY OF HOMOCYSTEINE	$199.65	$363.00	$9.14–$511.00	52% above	45%
Homocysteine blood test inpatient CPT 83090 HOMOCYSTEINE FOR DH PANEL	$81.40	$148.00	$9.14–$511.00	—	45%
Homocysteine blood test inpatient CPT 83090 ASSAY OF HOMOCYSTEINE	$199.65	$363.00	$9.14–$511.00	—	45%
Homocysteine blood test inpatient CPT 83090 HOMOCYSTEIN QUANTITATIVE	$199.65	$363.00	$9.14–$511.00	—	45%
Insulin blood test CPT 83525 INSULIN TOTAL	$29.70	$54.00	$5.83–$208.00	68% below	45%
Insulin blood test CPT 83525 ASSAY OF INSULIN	$84.70	$154.00	$5.83–$208.00	8% below	45%
Insulin blood test CPT 83525 INSULIN LEVEL	$84.70	$154.00	$5.83–$208.00	8% below	45%
Insulin blood test inpatient CPT 83525 INSULIN TOTAL	$29.70	$54.00	$5.83–$208.00	—	45%
Insulin blood test inpatient CPT 83525 INSULIN LEVEL	$84.70	$154.00	$5.83–$208.00	—	45%
Insulin blood test inpatient CPT 83525 ASSAY OF INSULIN	$84.70	$154.00	$5.83–$208.00	—	45%
Iron blood test (serum iron) CPT 83540 IRON	$48.40	$88.00	$3.30–$305.00	24% below	45%
Iron blood test (serum iron) CPT 83540 ASSAY OF IRON	$48.40	$88.00	$3.30–$305.00	24% below	45%
Iron blood test (serum iron) CPT 83540 QUALITATIVE IRON	$119.35	$217.00	$3.30–$305.00	88% above	45%
Iron blood test (serum iron) inpatient CPT 83540 ASSAY OF IRON	$48.40	$88.00	$3.30–$305.00	—	45%
Iron blood test (serum iron) inpatient CPT 83540 IRON	$48.40	$88.00	$3.30–$305.00	—	45%
Iron blood test (serum iron) inpatient CPT 83540 QUALITATIVE IRON	$119.35	$217.00	$3.30–$305.00	—	45%
Iron-binding capacity (TIBC) test CPT 83550 TIBC	$47.30	$86.00	$4.46–$86.00	8% below	45%
Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING TEST	$47.30	$86.00	$4.46–$86.00	8% below	45%
Iron-binding capacity (TIBC) test inpatient CPT 83550 IRON BINDING TEST	$47.30	$86.00	$4.46–$86.00	—	45%
Iron-binding capacity (TIBC) test inpatient CPT 83550 TIBC	$47.30	$86.00	$4.46–$86.00	—	45%
Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL	$47.30	$86.00	$4.43–$86.00	34% below	45%
Kidney function blood test panel inpatient CPT 80069 RENAL FUNCTION PANEL	$47.30	$86.00	$4.43–$86.00	—	45%
LH (luteinizing hormone) test CPT 83002 FSH-LH CPT2	$56.65	$103.00	$9.45–$308.00	57% below	45%
LH (luteinizing hormone) test CPT 83002 ASSAY OF GONADOTROPIN (LH)	$56.65	$103.00	$9.45–$308.00	57% below	45%
LH (luteinizing hormone) test CPT 83002 LH	$112.75	$205.00	$9.45–$308.00	15% below	45%
LH (luteinizing hormone) test inpatient CPT 83002 ASSAY OF GONADOTROPIN (LH)	$56.65	$103.00	$9.45–$308.00	—	45%
LH (luteinizing hormone) test inpatient CPT 83002 FSH-LH CPT2	$56.65	$103.00	$9.45–$308.00	—	45%
LH (luteinizing hormone) test inpatient CPT 83002 LH	$112.75	$205.00	$9.45–$308.00	—	45%
Lactate (lactic acid) blood test CPT 83605 LACTATE-PLASMA	$78.10	$142.00	$5.90–$142.00	27% below	45%
Lactate (lactic acid) blood test CPT 83605 ASSAY OF LACTIC ACID	$78.10	$142.00	$5.90–$142.00	27% below	45%
Lactate (lactic acid) blood test inpatient CPT 83605 ASSAY OF LACTIC ACID	$78.10	$142.00	$5.90–$142.00	—	45%
Lactate (lactic acid) blood test inpatient CPT 83605 LACTATE-PLASMA	$78.10	$142.00	$5.90–$142.00	—	45%
Lactate dehydrogenase (LDH) blood test CPT 83615 BODY FLUID-LD	$18.70	$34.00	$3.08–$295.00	62% below	45%
Lactate dehydrogenase (LDH) blood test CPT 83615 LACTATE (LD) (LDH) ENZYME	$18.70	$34.00	$3.08–$295.00	62% below	45%
Lactate dehydrogenase (LDH) blood test CPT 83615 FLUID-MISC FOR LDH	$26.40	$48.00	$3.08–$295.00	47% below	45%
Lactate dehydrogenase (LDH) blood test CPT 83615 LDH ISO #1	$34.65	$63.00	$3.08–$295.00	30% below	45%
Lactate dehydrogenase (LDH) blood test CPT 83615 LDH-SPINAL FLUID	$38.50	$70.00	$3.08–$295.00	22% below	45%
Lactate dehydrogenase (LDH) blood test CPT 83615 LDH	$44.00	$80.00	$3.08–$295.00	11% below	45%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LACTATE (LD) (LDH) ENZYME	$18.70	$34.00	$3.08–$295.00	—	45%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 BODY FLUID-LD	$18.70	$34.00	$3.08–$295.00	—	45%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 FLUID-MISC FOR LDH	$26.40	$48.00	$3.08–$295.00	—	45%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LDH ISO #1	$34.65	$63.00	$3.08–$295.00	—	45%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LDH-SPINAL FLUID	$38.50	$70.00	$3.08–$295.00	—	45%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LDH	$44.00	$80.00	$3.08–$295.00	—	45%
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE-URINE	$31.35	$57.00	$3.51–$219.00	58% below	45%
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE BODY FLUID	$38.50	$70.00	$3.51–$219.00	49% below	45%
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE SERUM	$50.60	$92.00	$3.51–$219.00	32% below	45%
Lipase blood test (pancreas enzyme) CPT 83690 ASSAY OF LIPASE	$50.60	$92.00	$3.51–$219.00	32% below	45%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE-URINE	$31.35	$57.00	$3.51–$219.00	—	45%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE BODY FLUID	$38.50	$70.00	$3.51–$219.00	—	45%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE SERUM	$50.60	$92.00	$3.51–$219.00	—	45%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 ASSAY OF LIPASE	$50.60	$92.00	$3.51–$219.00	—	45%
Liver function blood test panel CPT 80076 LIVER PROFILE	$61.60	$112.00	$4.17–$328.00	9% below	45%
Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL	$61.60	$112.00	$4.17–$328.00	9% below	45%
Liver function blood test panel CPT 80076 HEPATIC FUNCTION DH	$118.80	$216.00	$4.17–$328.00	76% above	45%
Liver function blood test panel inpatient CPT 80076 HEPATIC FUNCTION PANEL	$61.60	$112.00	$4.17–$328.00	—	45%
Liver function blood test panel inpatient CPT 80076 LIVER PROFILE	$61.60	$112.00	$4.17–$328.00	—	45%
Liver function blood test panel inpatient CPT 80076 HEPATIC FUNCTION DH	$118.80	$216.00	$4.17–$328.00	—	45%
Lyme disease antibody test CPT 86618 LYME IGM	$15.40	$28.00	$8.69–$3,258.00	85% below	45%
Lyme disease antibody test CPT 86618 LYME IGG	$15.40	$28.00	$8.69–$3,258.00	85% below	45%
Lyme disease antibody test CPT 86618 RFX LYME ANTIBODY IGG&IGM, ELISA DH	$30.25	$55.00	$8.69–$3,258.00	71% below	45%
Lyme disease antibody test CPT 86618 LYMES TITRE CPT1	$31.90	$58.00	$8.69–$3,258.00	70% below	45%
Lyme disease antibody test CPT 86618 LYME DISEASE ANTIBODY	$31.90	$58.00	$8.69–$3,258.00	70% below	45%
Lyme disease antibody test CPT 86618 LYME, C6 AG, REFLEX TO WESTERN BLOT	$103.40	$188.00	$8.69–$3,258.00	1% below	45%
Lyme disease antibody test CPT 86618 LYME CSF IGG W/ ANTIBODY INDEX REFLEX DH	$123.75	$225.00	$8.69–$3,258.00	18% above	45%
Lyme disease antibody test CPT 86618 LYME IGG EIA	$184.80	$336.00	$8.69–$3,258.00	76% above	45%
Lyme disease antibody test CPT 86618 LYME DISEASE TOTAL AB W/ RFX IMMUNOASSAY	$184.80	$336.00	$8.69–$3,258.00	76% above	45%
Lyme disease antibody test CPT 86618 LYME IGM EIA	$184.80	$336.00	$8.69–$3,258.00	76% above	45%
Lyme disease antibody test CPT 86618 RFX LYME CSF INDEX; LYME AB DH	$917.40	$1,668.00	$8.69–$3,258.00	776% above	45%
Lyme disease antibody test inpatient CPT 86618 LYME IGM	$15.40	$28.00	$8.69–$3,258.00	—	45%
Lyme disease antibody test inpatient CPT 86618 LYME IGG	$15.40	$28.00	$8.69–$3,258.00	—	45%
Lyme disease antibody test inpatient CPT 86618 RFX LYME ANTIBODY IGG&IGM, ELISA DH	$30.25	$55.00	$8.69–$3,258.00	—	45%
Lyme disease antibody test inpatient CPT 86618 LYME DISEASE ANTIBODY	$31.90	$58.00	$8.69–$3,258.00	—	45%
Lyme disease antibody test inpatient CPT 86618 LYMES TITRE CPT1	$31.90	$58.00	$8.69–$3,258.00	—	45%
Lyme disease antibody test inpatient CPT 86618 LYME, C6 AG, REFLEX TO WESTERN BLOT	$103.40	$188.00	$8.69–$3,258.00	—	45%
Lyme disease antibody test inpatient CPT 86618 LYME CSF IGG W/ ANTIBODY INDEX REFLEX DH	$123.75	$225.00	$8.69–$3,258.00	—	45%
Lyme disease antibody test inpatient CPT 86618 LYME IGG EIA	$184.80	$336.00	$8.69–$3,258.00	—	45%
Lyme disease antibody test inpatient CPT 86618 LYME IGM EIA	$184.80	$336.00	$8.69–$3,258.00	—	45%
Lyme disease antibody test inpatient CPT 86618 LYME DISEASE TOTAL AB W/ RFX IMMUNOASSAY	$184.80	$336.00	$8.69–$3,258.00	—	45%
Lyme disease antibody test inpatient CPT 86618 RFX LYME CSF INDEX; LYME AB DH	$917.40	$1,668.00	$8.69–$3,258.00	—	45%
Magnesium blood test CPT 83735 MAGNESIUM, RANDOM URINE	$24.20	$44.00	$3.42–$372.00	54% below	45%
Magnesium blood test CPT 83735 ASSAY OF MAGNESIUM	$29.15	$53.00	$3.42–$372.00	45% below	45%
Magnesium blood test CPT 83735 24 HR URINE MAGNESIUM	$29.15	$53.00	$3.42–$372.00	45% below	45%
Magnesium blood test CPT 83735 MAGNESIUM	$48.95	$89.00	$3.42–$372.00	7% below	45%
Magnesium blood test CPT 83735 RBC MAGNESIUM	$102.30	$186.00	$3.42–$372.00	94% above	45%
Magnesium blood test inpatient CPT 83735 MAGNESIUM, RANDOM URINE	$24.20	$44.00	$3.42–$372.00	—	45%
Magnesium blood test inpatient CPT 83735 ASSAY OF MAGNESIUM	$29.15	$53.00	$3.42–$372.00	—	45%
Magnesium blood test inpatient CPT 83735 24 HR URINE MAGNESIUM	$29.15	$53.00	$3.42–$372.00	—	45%
Magnesium blood test inpatient CPT 83735 MAGNESIUM	$48.95	$89.00	$3.42–$372.00	—	45%
Magnesium blood test inpatient CPT 83735 RBC MAGNESIUM	$102.30	$186.00	$3.42–$372.00	—	45%
Measles (rubeola) antibody test CPT 86765 RUBEOLA ANTIBODY	$15.40	$28.00	$6.57–$120.67	83% below	45%
Measles (rubeola) antibody test CPT 86765 RUBEOLA	$15.40	$28.00	$6.57–$120.67	83% below	45%
Measles (rubeola) antibody test CPT 86765 MEASLES (RUBELOA) IGM AB	$22.00	$40.00	$6.57–$120.67	76% below	45%
Measles (rubeola) antibody test inpatient CPT 86765 RUBEOLA	$15.40	$28.00	$6.57–$120.67	—	45%
Measles (rubeola) antibody test inpatient CPT 86765 RUBEOLA ANTIBODY	$15.40	$28.00	$6.57–$120.67	—	45%
Measles (rubeola) antibody test inpatient CPT 86765 MEASLES (RUBELOA) IGM AB	$22.00	$40.00	$6.57–$120.67	—	45%
Mono test (heterophile antibody, Monospot) CPT 86308 MONONUCLEOSIS TEST, QUAL W/ REFLEX TO TI	$12.65	$23.00	$2.64–$333.00	80% below	45%
Mono test (heterophile antibody, Monospot) CPT 86308 MONONUCLEOSIS SCRN UB ONLY	$29.15	$53.00	$2.64–$333.00	53% below	45%
Mono test (heterophile antibody, Monospot) CPT 86308 MONONUCLEOSIS SCRN 1500 ONLY	$29.15	$53.00	$2.64–$333.00	53% below	45%
Mono test (heterophile antibody, Monospot) CPT 86308 MONONUCLEOSIS SCRN DH	$29.15	$53.00	$2.64–$333.00	53% below	45%
Mono test (heterophile antibody, Monospot) CPT 86308 HETEROPHILE ANTIBODIES SCRNG	$29.15	$53.00	$2.64–$333.00	53% below	45%
Mono test (heterophile antibody, Monospot) CPT 86308 INFECTIOUS MONO SCREEN	$53.90	$98.00	$2.64–$333.00	14% below	45%
Mono test (heterophile antibody, Monospot) CPT 86308 HETEROPHILE ANTIBODY SCREEN	$53.90	$98.00	$2.64–$333.00	14% below	45%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 MONONUCLEOSIS TEST, QUAL W/ REFLEX TO TI	$12.65	$23.00	$2.64–$333.00	—	45%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 MONONUCLEOSIS SCRN DH	$29.15	$53.00	$2.64–$333.00	—	45%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 MONONUCLEOSIS SCRN 1500 ONLY	$29.15	$53.00	$2.64–$333.00	—	45%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 HETEROPHILE ANTIBODIES SCRNG	$29.15	$53.00	$2.64–$333.00	—	45%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 MONONUCLEOSIS SCRN UB ONLY	$29.15	$53.00	$2.64–$333.00	—	45%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 HETEROPHILE ANTIBODY SCREEN	$53.90	$98.00	$2.64–$333.00	—	45%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 INFECTIOUS MONO SCREEN	$53.90	$98.00	$2.64–$333.00	—	45%
Mumps immunity blood test CPT 86735 MUMPS VIRUS	$22.00	$40.00	$6.66–$122.26	77% below	45%
Mumps immunity blood test CPT 86735 MUMPS ANTIBODY	$22.00	$40.00	$6.66–$122.26	77% below	45%
Mumps immunity blood test inpatient CPT 86735 MUMPS VIRUS	$22.00	$40.00	$6.66–$122.26	—	45%
Mumps immunity blood test inpatient CPT 86735 MUMPS ANTIBODY	$22.00	$40.00	$6.66–$122.26	—	45%
Obstetric blood test panel CPT 80055 PRENATAL PROFILE	$352.00	$640.00	$18.78–$640.00	32% above	45%
Obstetric blood test panel CPT 80055 OBSTETRIC PANEL	$352.00	$640.00	$18.78–$640.00	32% above	45%
Obstetric blood test panel inpatient CPT 80055 OBSTETRIC PANEL	$352.00	$640.00	$18.78–$640.00	—	45%
Obstetric blood test panel inpatient CPT 80055 PRENATAL PROFILE	$352.00	$640.00	$18.78–$640.00	—	45%
PSA (prostate-specific antigen) blood test, free CPT 84154 ASSAY OF PSA FREE	$36.85	$67.00	$9.38–$172.29	67% below	45%
PSA (prostate-specific antigen) blood test, free CPT 84154 PSA FREE AND TOTAL CPT#1	$36.85	$67.00	$9.38–$172.29	67% below	45%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PSA FREE AND TOTAL CPT#1	$36.85	$67.00	$9.38–$172.29	—	45%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 ASSAY OF PSA FREE	$36.85	$67.00	$9.38–$172.29	—	45%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA FREE AND TOTAL CPT#2	$36.85	$67.00	$9.38–$485.00	65% below	45%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA DIAGNOSTIC	$107.80	$196.00	$9.38–$485.00	3% above	45%
PSA (prostate-specific antigen) blood test, total CPT 84153 ASSAY OF PSA TOTAL	$107.80	$196.00	$9.38–$485.00	3% above	45%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA ULTRASENSITIVE	$122.10	$222.00	$9.38–$485.00	17% above	45%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA FREE AND TOTAL CPT#2	$36.85	$67.00	$9.38–$485.00	—	45%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA DIAGNOSTIC	$107.80	$196.00	$9.38–$485.00	—	45%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 ASSAY OF PSA TOTAL	$107.80	$196.00	$9.38–$485.00	—	45%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA ULTRASENSITIVE	$122.10	$222.00	$9.38–$485.00	—	45%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 CYTOLOGY THIN LAYER PAP SMEAR	$101.20	$184.00	$10.33–$189.81	6% below	45%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 CYTOPATH C/V THIN LAYER	$101.20	$184.00	$10.33–$189.81	6% below	45%
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 CYTOPATH C/V THIN LAYER	$101.20	$184.00	$10.33–$189.81	—	45%
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 CYTOLOGY THIN LAYER PAP SMEAR	$101.20	$184.00	$10.33–$189.81	—	45%
Parathyroid hormone (PTH) blood test CPT 83970 PARATHYROID HORMONE	$248.60	$452.00	$21.05–$452.00	1% above	45%
Parathyroid hormone (PTH) blood test CPT 83970 ASSAY OF PARATHORMONE	$248.60	$452.00	$21.05–$452.00	1% above	45%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 PARATHYROID HORMONE	$248.60	$452.00	$21.05–$452.00	—	45%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 ASSAY OF PARATHORMONE	$248.60	$452.00	$21.05–$452.00	—	45%
Partial thromboplastin time (PTT) clotting test CPT 85730 PARTIAL THROMBOPLASTIN TIME FOR DH PANEL	$4.95	$9.00	$3.07–$284.00	92% below	45%
Partial thromboplastin time (PTT) clotting test CPT 85730 VONWILLEBRANDS FACTOR ASSAY #4	$24.20	$44.00	$3.07–$284.00	61% below	45%
Partial thromboplastin time (PTT) clotting test CPT 85730 THROMBOPLASTIN TIME PARTIAL PTT	$28.60	$52.00	$3.07–$284.00	53% below	45%
Partial thromboplastin time (PTT) clotting test CPT 85730 APS 5	$47.30	$86.00	$3.07–$284.00	23% below	45%
Partial thromboplastin time (PTT) clotting test CPT 85730 APTT	$51.15	$93.00	$3.07–$284.00	17% below	45%
Partial thromboplastin time (PTT) clotting test CPT 85730 THROMBOPLASTIN TIME PARTIAL	$51.15	$93.00	$3.07–$284.00	17% below	45%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PARTIAL THROMBOPLASTIN TIME FOR DH PANEL	$4.95	$9.00	$3.07–$284.00	—	45%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 VONWILLEBRANDS FACTOR ASSAY #4	$24.20	$44.00	$3.07–$284.00	—	45%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 THROMBOPLASTIN TIME PARTIAL PTT	$28.60	$52.00	$3.07–$284.00	—	45%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 APS 5	$47.30	$86.00	$3.07–$284.00	—	45%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 APTT	$51.15	$93.00	$3.07–$284.00	—	45%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 THROMBOPLASTIN TIME PARTIAL	$51.15	$93.00	$3.07–$284.00	—	45%
Phosphorus (phosphate) blood test CPT 84100 ASSAY OF PHOSPHORUS	$40.70	$74.00	$2.42–$74.00	36% below	45%
Phosphorus (phosphate) blood test CPT 84100 PHOSPHORUS (BLOOD)	$40.70	$74.00	$2.42–$74.00	36% below	45%
Phosphorus (phosphate) blood test inpatient CPT 84100 ASSAY OF PHOSPHORUS	$40.70	$74.00	$2.42–$74.00	—	45%
Phosphorus (phosphate) blood test inpatient CPT 84100 PHOSPHORUS (BLOOD)	$40.70	$74.00	$2.42–$74.00	—	45%
Potassium blood test CPT 84132 ASSAY OF SERUM POTASSIUM	$28.05	$51.00	$2.43–$51.00	48% below	45%
Potassium blood test CPT 84132 POTASSIUM	$28.05	$51.00	$2.43–$51.00	48% below	45%
Potassium blood test inpatient CPT 84132 ASSAY OF SERUM POTASSIUM	$28.05	$51.00	$2.43–$51.00	—	45%
Potassium blood test inpatient CPT 84132 POTASSIUM	$28.05	$51.00	$2.43–$51.00	—	45%
Progesterone blood test CPT 84144 ASSAY OF PROGESTERONE	$56.65	$103.00	$10.64–$195.43	63% below	45%
Progesterone blood test CPT 84144 PROGESTERONE	$56.65	$103.00	$10.64–$195.43	63% below	45%
Progesterone blood test inpatient CPT 84144 ASSAY OF PROGESTERONE	$56.65	$103.00	$10.64–$195.43	—	45%
Progesterone blood test inpatient CPT 84144 PROGESTERONE	$56.65	$103.00	$10.64–$195.43	—	45%
Prolactin blood test CPT 84146 ASSAY OF PROLACTIN	$141.90	$258.00	$9.88–$258.00	at median	45%
Prolactin blood test CPT 84146 PROLACTIN	$141.90	$258.00	$9.88–$258.00	at median	45%
Prolactin blood test inpatient CPT 84146 ASSAY OF PROLACTIN	$141.90	$258.00	$9.88–$258.00	—	45%
Prolactin blood test inpatient CPT 84146 PROLACTIN	$141.90	$258.00	$9.88–$258.00	—	45%
Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME FOR DH PANEL	$4.95	$9.00	$2.19–$259.00	89% below	45%
Prothrombin time (PT/INR) clotting test CPT 85610 PROTHOMBIN TIME	$18.70	$34.00	$2.19–$259.00	59% below	45%
Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME UB	$18.70	$34.00	$2.19–$259.00	59% below	45%
Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME 1500	$18.70	$34.00	$2.19–$259.00	59% below	45%
Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME	$29.15	$53.00	$2.19–$259.00	35% below	45%
Prothrombin time (PT/INR) clotting test CPT 85610 APS 2	$33.55	$61.00	$2.19–$259.00	26% below	45%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME FOR DH PANEL	$4.95	$9.00	$2.19–$259.00	—	45%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME UB	$18.70	$34.00	$2.19–$259.00	—	45%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHOMBIN TIME	$18.70	$34.00	$2.19–$259.00	—	45%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME 1500	$18.70	$34.00	$2.19–$259.00	—	45%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME	$29.15	$53.00	$2.19–$259.00	—	45%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 APS 2	$33.55	$61.00	$2.19–$259.00	—	45%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 DRUG TEST PRSMV DIR OPT OBS	$24.75	$45.00	$6.43–$118.05	12% below	45%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 DRUG TEST PRESUMPTIVE DIRECT OPTICAL	$24.75	$45.00	$6.43–$118.05	12% below	45%
Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 DRUG TEST PRESUMPTIVE DIRECT OPTICAL	$24.75	$45.00	$6.43–$118.05	—	45%
Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 DRUG TEST PRSMV DIR OPT OBS	$24.75	$45.00	$6.43–$118.05	—	45%
Rapid flu test (influenza antigen) CPT 87804 INFLUENZA A/B ASSAY W/OPTIC	$22.00	$40.00	$8.44–$352.00	83% below	45%
Rapid flu test (influenza antigen) CPT 87804 INFLUENZA A/B ASSAY W/OPTIC 1500	$22.00	$40.00	$8.44–$352.00	83% below	45%
Rapid flu test (influenza antigen) CPT 87804 INFLUENZA A/B ASSAY W/OPTIC UB	$22.00	$40.00	$8.44–$352.00	83% below	45%
Rapid flu test (influenza antigen) CPT 87804 INFLUENZA ASSAY W/OPTIC	$63.80	$116.00	$8.44–$352.00	51% below	45%
Rapid flu test (influenza antigen) CPT 87804 INFLUENZA B	$63.80	$116.00	$8.44–$352.00	51% below	45%
Rapid flu test (influenza antigen) CPT 87804 INFULUENZA A	$63.80	$116.00	$8.44–$352.00	51% below	45%
Rapid flu test (influenza antigen) inpatient CPT 87804 INFLUENZA A/B ASSAY W/OPTIC	$22.00	$40.00	$8.44–$352.00	—	45%
Rapid flu test (influenza antigen) inpatient CPT 87804 INFLUENZA A/B ASSAY W/OPTIC 1500	$22.00	$40.00	$8.44–$352.00	—	45%
Rapid flu test (influenza antigen) inpatient CPT 87804 INFLUENZA A/B ASSAY W/OPTIC UB	$22.00	$40.00	$8.44–$352.00	—	45%
Rapid flu test (influenza antigen) inpatient CPT 87804 INFLUENZA B	$63.80	$116.00	$8.44–$352.00	—	45%
Rapid flu test (influenza antigen) inpatient CPT 87804 INFULUENZA A	$63.80	$116.00	$8.44–$352.00	—	45%
Rapid flu test (influenza antigen) inpatient CPT 87804 INFLUENZA ASSAY W/OPTIC	$63.80	$116.00	$8.44–$352.00	—	45%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 STREPTOCOCCUS, GROUP A	$22.00	$40.00	$8.43–$220.00	72% below	45%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 STREPTOCOCCUS, GROUP A UB	$22.00	$40.00	$8.43–$220.00	72% below	45%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 STREPTOCOCCUS, GROUP A 1500	$22.00	$40.00	$8.43–$220.00	72% below	45%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 STREP A ASSAY W/OPTIC	$27.50	$50.00	$8.43–$220.00	65% below	45%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 RAPID STREP SCREEN	$27.50	$50.00	$8.43–$220.00	65% below	45%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 STREPTOCOCCUS, GROUP A	$22.00	$40.00	$8.43–$220.00	—	45%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 STREPTOCOCCUS, GROUP A 1500	$22.00	$40.00	$8.43–$220.00	—	45%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 STREPTOCOCCUS, GROUP A UB	$22.00	$40.00	$8.43–$220.00	—	45%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 STREP A ASSAY W/OPTIC	$27.50	$50.00	$8.43–$220.00	—	45%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 RAPID STREP SCREEN	$27.50	$50.00	$8.43–$220.00	—	45%
Renin blood test CPT 84244 RENIN ACTIVITY	$24.20	$44.00	$11.21–$206.02	84% below	45%
Renin blood test CPT 84244 RENIN	$27.50	$50.00	$11.21–$206.02	82% below	45%
Renin blood test CPT 84244 ASSAY OF RENIN	$27.50	$50.00	$11.21–$206.02	82% below	45%
Renin blood test inpatient CPT 84244 RENIN ACTIVITY	$24.20	$44.00	$11.21–$206.02	—	45%
Renin blood test inpatient CPT 84244 ASSAY OF RENIN	$27.50	$50.00	$11.21–$206.02	—	45%
Renin blood test inpatient CPT 84244 RENIN	$27.50	$50.00	$11.21–$206.02	—	45%
Rh blood typing CPT 86901 ARC1 RH TYPE	$11.55	$21.00	$1.52–$526.00	79% below	45%
Rh blood typing CPT 86901 RH ONLY	$64.90	$118.00	$1.52–$526.00	16% above	45%
Rh blood typing CPT 86901 ANTIGEN TYPING 2 DONOR UNITS	$82.50	$150.00	$1.52–$526.00	48% above	45%
Rh blood typing CPT 86901 BLOOD TYPING SEROLOGIC RH(D)	$82.50	$150.00	$1.52–$526.00	48% above	45%
Rh blood typing CPT 86901 DHMC1 RH TYPE	$130.35	$237.00	$1.52–$526.00	133% above	45%
Rh blood typing inpatient CPT 86901 ARC1 RH TYPE	$11.55	$21.00	$1.52–$526.00	—	45%
Rh blood typing inpatient CPT 86901 RH ONLY	$64.90	$118.00	$1.52–$526.00	—	45%
Rh blood typing inpatient CPT 86901 BLOOD TYPING SEROLOGIC RH(D)	$82.50	$150.00	$1.52–$526.00	—	45%
Rh blood typing inpatient CPT 86901 ANTIGEN TYPING 2 DONOR UNITS	$82.50	$150.00	$1.52–$526.00	—	45%
Rh blood typing inpatient CPT 86901 DHMC1 RH TYPE	$130.35	$237.00	$1.52–$526.00	—	45%
Rheumatoid factor (RF) test CPT 86431 RA QUANT	$4.95	$9.00	$2.89–$511.00	90% below	45%
Rheumatoid factor (RF) test CPT 86431 LUPUS ANALYZER 1000 CPT12	$12.65	$23.00	$2.89–$511.00	76% below	45%
Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR QUANT	$12.65	$23.00	$2.89–$511.00	76% below	45%
Rheumatoid factor (RF) test CPT 86431 RHEUMATOID ARTHRITIS (RA) FACTOR, QUANT	$45.10	$82.00	$2.89–$511.00	13% below	45%
Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR-FLUID	$46.20	$84.00	$2.89–$511.00	11% below	45%
Rheumatoid factor (RF) test CPT 86431 RA QUANTITATIVE (INHOUSE)	$50.60	$92.00	$2.89–$511.00	3% below	45%
Rheumatoid factor (RF) test CPT 86431 RA LATEX TURBID	$53.90	$98.00	$2.89–$511.00	4% above	45%
Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR	$67.65	$123.00	$2.89–$511.00	30% above	45%
Rheumatoid factor (RF) test inpatient CPT 86431 RA QUANT	$4.95	$9.00	$2.89–$511.00	—	45%
Rheumatoid factor (RF) test inpatient CPT 86431 RHEUMATOID FACTOR QUANT	$12.65	$23.00	$2.89–$511.00	—	45%
Rheumatoid factor (RF) test inpatient CPT 86431 LUPUS ANALYZER 1000 CPT12	$12.65	$23.00	$2.89–$511.00	—	45%
Rheumatoid factor (RF) test inpatient CPT 86431 RHEUMATOID ARTHRITIS (RA) FACTOR, QUANT	$45.10	$82.00	$2.89–$511.00	—	45%
Rheumatoid factor (RF) test inpatient CPT 86431 RHEUMATOID FACTOR-FLUID	$46.20	$84.00	$2.89–$511.00	—	45%
Rheumatoid factor (RF) test inpatient CPT 86431 RA QUANTITATIVE (INHOUSE)	$50.60	$92.00	$2.89–$511.00	—	45%
Rheumatoid factor (RF) test inpatient CPT 86431 RA LATEX TURBID	$53.90	$98.00	$2.89–$511.00	—	45%
Rheumatoid factor (RF) test inpatient CPT 86431 RHEUMATOID FACTOR	$67.65	$123.00	$2.89–$511.00	—	45%
Rubella antibody test (immunity check) CPT 86762 RUBELLA SCREEN	$15.40	$28.00	$7.34–$211.00	80% below	45%
Rubella antibody test (immunity check) CPT 86762 RUBELLA IGG	$15.40	$28.00	$7.34–$211.00	80% below	45%
Rubella antibody test (immunity check) CPT 86762 TORCH RUB IGM CPT#4	$15.95	$29.00	$7.34–$211.00	79% below	45%
Rubella antibody test (immunity check) CPT 86762 TORCH RUB IGG CPT#3	$15.95	$29.00	$7.34–$211.00	79% below	45%
Rubella antibody test (immunity check) CPT 86762 RUBELLA IGM AB	$23.10	$42.00	$7.34–$211.00	70% below	45%
Rubella antibody test (immunity check) CPT 86762 PREMARITAL RUBELLA	$30.25	$55.00	$7.34–$211.00	61% below	45%
Rubella antibody test (immunity check) CPT 86762 RUBELLA ANTIBODY	$30.25	$55.00	$7.34–$211.00	61% below	45%
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA IGG	$15.40	$28.00	$7.34–$211.00	—	45%
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA SCREEN	$15.40	$28.00	$7.34–$211.00	—	45%
Rubella antibody test (immunity check) inpatient CPT 86762 TORCH RUB IGM CPT#4	$15.95	$29.00	$7.34–$211.00	—	45%
Rubella antibody test (immunity check) inpatient CPT 86762 TORCH RUB IGG CPT#3	$15.95	$29.00	$7.34–$211.00	—	45%
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA IGM AB	$23.10	$42.00	$7.34–$211.00	—	45%
Rubella antibody test (immunity check) inpatient CPT 86762 PREMARITAL RUBELLA	$30.25	$55.00	$7.34–$211.00	—	45%
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA ANTIBODY	$30.25	$55.00	$7.34–$211.00	—	45%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 RBC SED RATE AUTOMATED	$25.30	$46.00	$1.38–$46.00	30% below	45%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 SEDIMENTATION RATE AUTOMATED	$25.30	$46.00	$1.38–$46.00	30% below	45%
Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 SEDIMENTATION RATE AUTOMATED	$25.30	$46.00	$1.38–$46.00	—	45%
Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 RBC SED RATE AUTOMATED	$25.30	$46.00	$1.38–$46.00	—	45%
Semen analysis: volume, sperm count, motility and morphology CPT 89320 COMPLETE SEMEN ANALYSIS	$77.00	$140.00	$6.28–$140.00	80% below	45%
Semen analysis: volume, sperm count, motility and morphology CPT 89320 SEMEN ANAL VOL/COUNT/MOT	$77.00	$140.00	$6.28–$140.00	80% below	45%
Semen analysis: volume, sperm count, motility and morphology inpatient CPT 89320 SEMEN ANAL VOL/COUNT/MOT	$77.00	$140.00	$6.28–$140.00	—	45%
Semen analysis: volume, sperm count, motility and morphology inpatient CPT 89320 COMPLETE SEMEN ANALYSIS	$77.00	$140.00	$6.28–$140.00	—	45%
Sodium blood test CPT 84295 SODIUM	$31.90	$58.00	$2.45–$58.00	6% below	45%
Sodium blood test CPT 84295 ASSAY OF SERUM SODIUM	$31.90	$58.00	$2.45–$58.00	6% below	45%
Sodium blood test inpatient CPT 84295 SODIUM	$31.90	$58.00	$2.45–$58.00	—	45%
Sodium blood test inpatient CPT 84295 ASSAY OF SERUM SODIUM	$31.90	$58.00	$2.45–$58.00	—	45%
Stool ova and parasites exam CPT 87177 OVA AND PARASITES SMEARS	$19.80	$36.00	$4.54–$205.00	82% below	45%
Stool ova and parasites exam CPT 87177 OVA & PARA COMP EXAM	$19.80	$36.00	$4.54–$205.00	82% below	45%
Stool ova and parasites exam CPT 87177 OVA & PARA ROUT EXAM	$41.80	$76.00	$4.54–$205.00	62% below	45%
Stool ova and parasites exam CPT 87177 TRICHOMONADS	$51.15	$93.00	$4.54–$205.00	54% below	45%
Stool ova and parasites exam inpatient CPT 87177 OVA AND PARASITES SMEARS	$19.80	$36.00	$4.54–$205.00	—	45%
Stool ova and parasites exam inpatient CPT 87177 OVA & PARA COMP EXAM	$19.80	$36.00	$4.54–$205.00	—	45%
Stool ova and parasites exam inpatient CPT 87177 OVA & PARA ROUT EXAM	$41.80	$76.00	$4.54–$205.00	—	45%
Stool ova and parasites exam inpatient CPT 87177 TRICHOMONADS	$51.15	$93.00	$4.54–$205.00	—	45%
Stool test for hidden blood (guaiac FOBT) CPT 82270 FECAL OCCULT BLD MULTIPLE SPECIMENS	$14.85	$27.00	$2.23–$73.00	60% below	45%
Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULT BLOOD FECES	$14.85	$27.00	$2.23–$73.00	60% below	45%
Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULT BLOOD (NEOPLASM SCREENING)	$25.30	$46.00	$2.23–$73.00	31% below	45%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 OCCULT BLOOD FECES	$14.85	$27.00	$2.23–$73.00	—	45%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 FECAL OCCULT BLD MULTIPLE SPECIMENS	$14.85	$27.00	$2.23–$73.00	—	45%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 OCCULT BLOOD (NEOPLASM SCREENING)	$25.30	$46.00	$2.23–$73.00	—	45%
Syphilis antibody test (Treponema pallidum) CPT 86780 SYPHILIS CASCADE	$16.50	$30.00	$6.75–$342.00	86% below	45%
Syphilis antibody test (Treponema pallidum) CPT 86780 FTA-ABS	$34.10	$62.00	$6.75–$342.00	70% below	45%
Syphilis antibody test (Treponema pallidum) CPT 86780 TREPONEMA PALLIDUM	$34.10	$62.00	$6.75–$342.00	70% below	45%
Syphilis antibody test (Treponema pallidum) CPT 86780 TREPONEMA PALLIDUM/SYPHILIS ABS	$42.90	$78.00	$6.75–$342.00	63% below	45%
Syphilis antibody test (Treponema pallidum) CPT 86780 TREPONEMA PALLIDUM IGG ELISA	$94.60	$172.00	$6.75–$342.00	18% below	45%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 SYPHILIS CASCADE	$16.50	$30.00	$6.75–$342.00	—	45%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 FTA-ABS	$34.10	$62.00	$6.75–$342.00	—	45%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 TREPONEMA PALLIDUM	$34.10	$62.00	$6.75–$342.00	—	45%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 TREPONEMA PALLIDUM/SYPHILIS ABS	$42.90	$78.00	$6.75–$342.00	—	45%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 TREPONEMA PALLIDUM IGG ELISA	$94.60	$172.00	$6.75–$342.00	—	45%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR,RFX QN RPR CONFIRM TP	$11.00	$20.00	$2.18–$139.00	71% below	45%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR	$11.00	$20.00	$2.18–$139.00	71% below	45%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 SYPHILIS TEST NON-TREP QUAL	$24.20	$44.00	$2.18–$139.00	35% below	45%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 PREMARITAL RPR	$24.20	$44.00	$2.18–$139.00	35% below	45%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VDRL-CSF	$30.25	$55.00	$2.18–$139.00	19% below	45%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 RPR,RFX QN RPR CONFIRM TP	$11.00	$20.00	$2.18–$139.00	—	45%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 RPR	$11.00	$20.00	$2.18–$139.00	—	45%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 SYPHILIS TEST NON-TREP QUAL	$24.20	$44.00	$2.18–$139.00	—	45%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 PREMARITAL RPR	$24.20	$44.00	$2.18–$139.00	—	45%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 VDRL-CSF	$30.25	$55.00	$2.18–$139.00	—	45%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QUANTIFERON OHS ONLY	$40.70	$74.00	$31.61–$580.68	82% below	45%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QUANTIFERON TB GOLD	$108.90	$198.00	$31.61–$580.68	51% below	45%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 TB TEST CELL IMMUN MEASURE	$108.90	$198.00	$31.61–$580.68	51% below	45%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 QUANTIFERON OHS ONLY	$40.70	$74.00	$31.61–$580.68	—	45%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 TB TEST CELL IMMUN MEASURE	$108.90	$198.00	$31.61–$580.68	—	45%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 QUANTIFERON TB GOLD	$108.90	$198.00	$31.61–$580.68	—	45%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE TOTAL	$15.40	$28.00	$13.16–$394.00	90% below	45%
Testosterone blood test, total (not free testosterone) CPT 84403 ASSAY OF TOTAL TESTOSTERONE	$15.40	$28.00	$13.16–$394.00	90% below	45%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE WEAKLY BOUND	$58.30	$106.00	$13.16–$394.00	63% below	45%
Testosterone blood test, total (not free testosterone) CPT 84403 TOTAL TESTOSTERONE	$95.70	$174.00	$13.16–$394.00	39% below	45%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE TOTAL	$15.40	$28.00	$13.16–$394.00	—	45%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 ASSAY OF TOTAL TESTOSTERONE	$15.40	$28.00	$13.16–$394.00	—	45%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE WEAKLY BOUND	$58.30	$106.00	$13.16–$394.00	—	45%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TOTAL TESTOSTERONE	$95.70	$174.00	$13.16–$394.00	—	45%
Thyroid peroxidase (TPO) antibody test CPT 86376 LUPUS ANALYZER 1000 CPT11	$12.65	$23.00	$7.42–$521.00	90% below	45%
Thyroid peroxidase (TPO) antibody test CPT 86376 THYROID PEROXIDASE	$24.75	$45.00	$7.42–$521.00	80% below	45%
Thyroid peroxidase (TPO) antibody test CPT 86376 THYROID MICROSOMAL AB	$36.85	$67.00	$7.42–$521.00	71% below	45%
Thyroid peroxidase (TPO) antibody test CPT 86376 ANTITHYROID MICROSOMAL AB	$42.90	$78.00	$7.42–$521.00	66% below	45%
Thyroid peroxidase (TPO) antibody test CPT 86376 MICROSOMAL ANTIBODY EACH	$42.90	$78.00	$7.42–$521.00	66% below	45%
Thyroid peroxidase (TPO) antibody test CPT 86376 LKM ANTIBODIES	$46.75	$85.00	$7.42–$521.00	63% below	45%
Thyroid peroxidase (TPO) antibody test CPT 86376 ANTI-THYROID PEROXIDASE AB	$60.50	$110.00	$7.42–$521.00	52% below	45%
Thyroid peroxidase (TPO) antibody test CPT 86376 THYROID MICROSOMAL ANTIBODY	$62.15	$113.00	$7.42–$521.00	51% below	45%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 LUPUS ANALYZER 1000 CPT11	$12.65	$23.00	$7.42–$521.00	—	45%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 THYROID PEROXIDASE	$24.75	$45.00	$7.42–$521.00	—	45%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 THYROID MICROSOMAL AB	$36.85	$67.00	$7.42–$521.00	—	45%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 ANTITHYROID MICROSOMAL AB	$42.90	$78.00	$7.42–$521.00	—	45%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 MICROSOMAL ANTIBODY EACH	$42.90	$78.00	$7.42–$521.00	—	45%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 LKM ANTIBODIES	$46.75	$85.00	$7.42–$521.00	—	45%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 ANTI-THYROID PEROXIDASE AB	$60.50	$110.00	$7.42–$521.00	—	45%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 THYROID MICROSOMAL ANTIBODY	$62.15	$113.00	$7.42–$521.00	—	45%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 THYROID CASCADE	$51.15	$93.00	$8.57–$259.00	57% below	45%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 ASSAY THYROID STIM HORMONE	$91.30	$166.00	$8.57–$259.00	23% below	45%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 THYROID STIMULATING HORMONE	$91.30	$166.00	$8.57–$259.00	23% below	45%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 THYROID CASCADE	$51.15	$93.00	$8.57–$259.00	—	45%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 ASSAY THYROID STIM HORMONE	$91.30	$166.00	$8.57–$259.00	—	45%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 THYROID STIMULATING HORMONE	$91.30	$166.00	$8.57–$259.00	—	45%
Total IgE blood test CPT 82785 IMMUNOGLOBULIN E (IGE)	$27.50	$50.00	$8.39–$154.21	71% below	45%
Total IgE blood test CPT 82785 ASSAY OF IGE	$27.50	$50.00	$8.39–$154.21	71% below	45%
Total IgE blood test inpatient CPT 82785 ASSAY OF IGE	$27.50	$50.00	$8.39–$154.21	—	45%
Total IgE blood test inpatient CPT 82785 IMMUNOGLOBULIN E (IGE)	$27.50	$50.00	$8.39–$154.21	—	45%
Total cholesterol blood test CPT 82465 SOCHOLESTEROL	$13.75	$25.00	$2.22–$104.00	67% below	45%
Total cholesterol blood test CPT 82465 CHOLESTEROL	$13.75	$25.00	$2.22–$104.00	67% below	45%
Total cholesterol blood test CPT 82465 ASSAY BLD/SERUM CHOLESTEROL	$13.75	$25.00	$2.22–$104.00	67% below	45%
Total cholesterol blood test CPT 82465 TOTAL CHOLESTEROL	$29.70	$54.00	$2.22–$104.00	28% below	45%
Total cholesterol blood test inpatient CPT 82465 CHOLESTEROL	$13.75	$25.00	$2.22–$104.00	—	45%
Total cholesterol blood test inpatient CPT 82465 ASSAY BLD/SERUM CHOLESTEROL	$13.75	$25.00	$2.22–$104.00	—	45%
Total cholesterol blood test inpatient CPT 82465 SOCHOLESTEROL	$13.75	$25.00	$2.22–$104.00	—	45%
Total cholesterol blood test inpatient CPT 82465 TOTAL CHOLESTEROL	$29.70	$54.00	$2.22–$104.00	—	45%
Total thyroxine (T4) blood test CPT 84436 T4 THROXINE	$31.90	$58.00	$3.50–$150.00	53% below	45%
Total thyroxine (T4) blood test CPT 84436 ASSAY OF TOTAL THYROXINE	$31.90	$58.00	$3.50–$150.00	53% below	45%
Total thyroxine (T4) blood test CPT 84436 THYROXINE, TOTAL	$50.60	$92.00	$3.50–$150.00	26% below	45%
Total thyroxine (T4) blood test inpatient CPT 84436 T4 THROXINE	$31.90	$58.00	$3.50–$150.00	—	45%
Total thyroxine (T4) blood test inpatient CPT 84436 ASSAY OF TOTAL THYROXINE	$31.90	$58.00	$3.50–$150.00	—	45%
Total thyroxine (T4) blood test inpatient CPT 84436 THYROXINE, TOTAL	$50.60	$92.00	$3.50–$150.00	—	45%
Total triiodothyronine (T3) blood test CPT 84480 TOTAL T-3	$66.00	$120.00	$7.23–$132.85	38% below	45%
Total triiodothyronine (T3) blood test CPT 84480 ASSAY TRIIODOTHYRONINE (T3)	$66.00	$120.00	$7.23–$132.85	38% below	45%
Total triiodothyronine (T3) blood test inpatient CPT 84480 ASSAY TRIIODOTHYRONINE (T3)	$66.00	$120.00	$7.23–$132.85	—	45%
Total triiodothyronine (T3) blood test inpatient CPT 84480 TOTAL T-3	$66.00	$120.00	$7.23–$132.85	—	45%
Transferrin blood test CPT 84466 TRANSFERRIN	$57.75	$105.00	$6.51–$119.55	64% below	45%
Transferrin blood test CPT 84466 ASSAY OF TRANSFERRIN	$57.75	$105.00	$6.51–$119.55	64% below	45%
Transferrin blood test inpatient CPT 84466 TRANSFERRIN	$57.75	$105.00	$6.51–$119.55	—	45%
Transferrin blood test inpatient CPT 84466 ASSAY OF TRANSFERRIN	$57.75	$105.00	$6.51–$119.55	—	45%
Trichomonas test (NAAT) CPT 87661 TRICHOMONAS VAG	$19.80	$36.00	$17.90–$328.75	89% below	45%
Trichomonas test (NAAT) CPT 87661 TRICHOMONAS VAGINALIS NAA	$60.50	$110.00	$17.90–$328.75	65% below	45%
Trichomonas test (NAAT) CPT 87661 TRICHOMONAS VAGINALIS AMPLIF	$60.50	$110.00	$17.90–$328.75	65% below	45%
Trichomonas test (NAAT) inpatient CPT 87661 TRICHOMONAS VAG	$19.80	$36.00	$17.90–$328.75	—	45%
Trichomonas test (NAAT) inpatient CPT 87661 TRICHOMONAS VAGINALIS AMPLIF	$60.50	$110.00	$17.90–$328.75	—	45%
Trichomonas test (NAAT) inpatient CPT 87661 TRICHOMONAS VAGINALIS NAA	$60.50	$110.00	$17.90–$328.75	—	45%
Triglycerides blood test CPT 84478 TRIGYCERIDE BODY FLUID	$14.30	$26.00	$2.93–$168.00	76% below	45%
Triglycerides blood test CPT 84478 SOTRIGLYCERIDE	$34.10	$62.00	$2.93–$168.00	44% below	45%
Triglycerides blood test CPT 84478 ASSAY OF TRIGLYCERIDES	$44.00	$80.00	$2.93–$168.00	27% below	45%
Triglycerides blood test CPT 84478 TRIGLYCERIDE	$44.00	$80.00	$2.93–$168.00	27% below	45%
Triglycerides blood test inpatient CPT 84478 TRIGYCERIDE BODY FLUID	$14.30	$26.00	$2.93–$168.00	—	45%
Triglycerides blood test inpatient CPT 84478 SOTRIGLYCERIDE	$34.10	$62.00	$2.93–$168.00	—	45%
Triglycerides blood test inpatient CPT 84478 TRIGLYCERIDE	$44.00	$80.00	$2.93–$168.00	—	45%
Triglycerides blood test inpatient CPT 84478 ASSAY OF TRIGLYCERIDES	$44.00	$80.00	$2.93–$168.00	—	45%
Troponin test, quantitative CPT 84484 TROPONIN-I	$90.75	$165.00	$6.36–$333.00	27% below	45%
Troponin test, quantitative CPT 84484 ASSAY OF TROPONIN QUANT	$90.75	$165.00	$6.36–$333.00	27% below	45%
Troponin test, quantitative CPT 84484 TROPONIN ISTAT	$92.40	$168.00	$6.36–$333.00	26% below	45%
Troponin test, quantitative inpatient CPT 84484 TROPONIN-I	$90.75	$165.00	$6.36–$333.00	—	45%
Troponin test, quantitative inpatient CPT 84484 ASSAY OF TROPONIN QUANT	$90.75	$165.00	$6.36–$333.00	—	45%
Troponin test, quantitative inpatient CPT 84484 TROPONIN ISTAT	$92.40	$168.00	$6.36–$333.00	—	45%
Uric acid blood test CPT 84550 URIC ACID	$50.60	$92.00	$2.31–$92.00	13% below	45%
Uric acid blood test CPT 84550 ASSAY OF BLOOD/URIC ACID	$50.60	$92.00	$2.31–$92.00	13% below	45%
Uric acid blood test inpatient CPT 84550 ASSAY OF BLOOD/URIC ACID	$50.60	$92.00	$2.31–$92.00	—	45%
Uric acid blood test inpatient CPT 84550 URIC ACID	$50.60	$92.00	$2.31–$92.00	—	45%
Urinalysis with microscope exam, automated CPT 81001 URINALYSIS AUTO WITH MICRO	$24.75	$45.00	$1.62–$90.00	51% below	45%
Urinalysis with microscope exam, automated CPT 81001 URINALYSIS AUTO W/SCOPE	$24.75	$45.00	$1.62–$90.00	51% below	45%
Urinalysis with microscope exam, automated CPT 81001 URINE AUTOMATED WITH MICROSCOPE	$24.75	$45.00	$1.62–$90.00	51% below	45%
Urinalysis with microscope exam, automated inpatient CPT 81001 URINALYSIS AUTO WITH MICRO	$24.75	$45.00	$1.62–$90.00	—	45%
Urinalysis with microscope exam, automated inpatient CPT 81001 URINE AUTOMATED WITH MICROSCOPE	$24.75	$45.00	$1.62–$90.00	—	45%
Urinalysis with microscope exam, automated inpatient CPT 81001 URINALYSIS AUTO W/SCOPE	$24.75	$45.00	$1.62–$90.00	—	45%
Urinalysis with microscope exam, manual CPT 81000 NONAUTOMATED URINE W/MICROSCOPY	$19.25	$35.00	$2.05–$37.66	4% above	45%
Urinalysis with microscope exam, manual CPT 81000 URINALYSIS NONAUTO W/SCOPE	$19.25	$35.00	$2.05–$37.66	4% above	45%
Urinalysis with microscope exam, manual inpatient CPT 81000 URINALYSIS NONAUTO W/SCOPE	$19.25	$35.00	$2.05–$37.66	—	45%
Urinalysis with microscope exam, manual inpatient CPT 81000 NONAUTOMATED URINE W/MICROSCOPY	$19.25	$35.00	$2.05–$37.66	—	45%
Urinalysis without microscope exam, automated CPT 81003 URINALYSIS DIPSTICK ONLY AUTO	$19.80	$36.00	$1.15–$36.00	22% below	45%
Urinalysis without microscope exam, automated CPT 81003 URINALYSIS AUTO W/O SCOPE	$19.80	$36.00	$1.15–$36.00	22% below	45%
Urinalysis without microscope exam, automated inpatient CPT 81003 URINALYSIS AUTO W/O SCOPE	$19.80	$36.00	$1.15–$36.00	—	45%
Urinalysis without microscope exam, automated inpatient CPT 81003 URINALYSIS DIPSTICK ONLY AUTO	$19.80	$36.00	$1.15–$36.00	—	45%
Urinalysis without microscope exam, manual CPT 81002 URINE HEMOGLOBIN	$4.95	$9.00	$1.77–$164.00	74% below	45%
Urinalysis without microscope exam, manual CPT 81002 URINALYSIS NONAUTO W/O SCOPE	$4.95	$9.00	$1.77–$164.00	74% below	45%
Urinalysis without microscope exam, manual CPT 81002 URINE PH	$9.90	$18.00	$1.77–$164.00	48% below	45%
Urinalysis without microscope exam, manual CPT 81002 URINE SPECIFIC GRAVITY	$10.45	$19.00	$1.77–$164.00	45% below	45%
Urinalysis without microscope exam, manual CPT 81002 URINE DIPSTICK 1500	$11.00	$20.00	$1.77–$164.00	42% below	45%
Urinalysis without microscope exam, manual CPT 81002 URINE DIPSTICK UB	$11.00	$20.00	$1.77–$164.00	42% below	45%
Urinalysis without microscope exam, manual CPT 81002 URINE DIPSTICK	$11.00	$20.00	$1.77–$164.00	42% below	45%
Urinalysis without microscope exam, manual inpatient CPT 81002 URINALYSIS NONAUTO W/O SCOPE	$4.95	$9.00	$1.77–$164.00	—	45%
Urinalysis without microscope exam, manual inpatient CPT 81002 URINE HEMOGLOBIN	$4.95	$9.00	$1.77–$164.00	—	45%
Urinalysis without microscope exam, manual inpatient CPT 81002 URINE PH	$9.90	$18.00	$1.77–$164.00	—	45%
Urinalysis without microscope exam, manual inpatient CPT 81002 URINE SPECIFIC GRAVITY	$10.45	$19.00	$1.77–$164.00	—	45%
Urinalysis without microscope exam, manual inpatient CPT 81002 URINE DIPSTICK UB	$11.00	$20.00	$1.77–$164.00	—	45%
Urinalysis without microscope exam, manual inpatient CPT 81002 URINE DIPSTICK	$11.00	$20.00	$1.77–$164.00	—	45%
Urinalysis without microscope exam, manual inpatient CPT 81002 URINE DIPSTICK 1500	$11.00	$20.00	$1.77–$164.00	—	45%
Urine culture for bacteria, with colony count CPT 87086 URINE CULTURE/COLONY COUNT	$44.00	$80.00	$4.12–$80.00	47% below	45%
Urine culture for bacteria, with colony count CPT 87086 CULTURE URINE	$44.00	$80.00	$4.12–$80.00	47% below	45%
Urine culture for bacteria, with colony count inpatient CPT 87086 URINE CULTURE/COLONY COUNT	$44.00	$80.00	$4.12–$80.00	—	45%
Urine culture for bacteria, with colony count inpatient CPT 87086 CULTURE URINE	$44.00	$80.00	$4.12–$80.00	—	45%
Urine microalbumin (albumin) test CPT 82043 URINE MICROALBUMIN	$40.70	$74.00	$2.95–$315.00	52% below	45%
Urine microalbumin (albumin) test CPT 82043 MICROALBUMIN RANDOM URINE CPT1	$46.75	$85.00	$2.95–$315.00	45% below	45%
Urine microalbumin (albumin) test CPT 82043 MICROALBUMIN 24 HOUR URINE	$85.80	$156.00	$2.95–$315.00	1% above	45%
Urine microalbumin (albumin) test CPT 82043 UR ALBUMIN QUANTITATIVE	$85.80	$156.00	$2.95–$315.00	1% above	45%
Urine microalbumin (albumin) test inpatient CPT 82043 URINE MICROALBUMIN	$40.70	$74.00	$2.95–$315.00	—	45%
Urine microalbumin (albumin) test inpatient CPT 82043 MICROALBUMIN RANDOM URINE CPT1	$46.75	$85.00	$2.95–$315.00	—	45%
Urine microalbumin (albumin) test inpatient CPT 82043 UR ALBUMIN QUANTITATIVE	$85.80	$156.00	$2.95–$315.00	—	45%
Urine microalbumin (albumin) test inpatient CPT 82043 MICROALBUMIN 24 HOUR URINE	$85.80	$156.00	$2.95–$315.00	—	45%
Urine pregnancy test, read by color change CPT 81025 URINE PREGNACY TEST	$18.70	$34.00	$4.39–$437.00	49% below	45%
Urine pregnancy test, read by color change CPT 81025 URINE PREGNACY TEST 1500	$20.35	$37.00	$4.39–$437.00	45% below	45%
Urine pregnancy test, read by color change CPT 81025 URINE PREGNACY TEST UB	$20.35	$37.00	$4.39–$437.00	45% below	45%
Urine pregnancy test, read by color change CPT 81025 URINE HCG	$46.75	$85.00	$4.39–$437.00	27% above	45%
Urine pregnancy test, read by color change CPT 81025 PREGNANCY TEST	$46.75	$85.00	$4.39–$437.00	27% above	45%
Urine pregnancy test, read by color change CPT 81025 URINE PREGNANCY TEST	$46.75	$85.00	$4.39–$437.00	27% above	45%
Urine pregnancy test, read by color change inpatient CPT 81025 URINE PREGNACY TEST	$18.70	$34.00	$4.39–$437.00	—	45%
Urine pregnancy test, read by color change inpatient CPT 81025 URINE PREGNACY TEST 1500	$20.35	$37.00	$4.39–$437.00	—	45%
Urine pregnancy test, read by color change inpatient CPT 81025 URINE PREGNACY TEST UB	$20.35	$37.00	$4.39–$437.00	—	45%
Urine pregnancy test, read by color change inpatient CPT 81025 PREGNANCY TEST	$46.75	$85.00	$4.39–$437.00	—	45%
Urine pregnancy test, read by color change inpatient CPT 81025 URINE HCG	$46.75	$85.00	$4.39–$437.00	—	45%
Urine pregnancy test, read by color change inpatient CPT 81025 URINE PREGNANCY TEST	$46.75	$85.00	$4.39–$437.00	—	45%
Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B-12	$88.00	$160.00	$7.69–$160.00	11% below	45%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 VITAMIN B-12	$88.00	$160.00	$7.69–$160.00	—	45%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25 HYDROXY	$145.20	$264.00	$15.10–$618.00	27% below	45%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D	$145.20	$264.00	$15.10–$618.00	27% below	45%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D TOTAL INC D2 AND D3	$194.70	$354.00	$15.10–$618.00	2% below	45%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D	$145.20	$264.00	$15.10–$618.00	—	45%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D 25 HYDROXY	$145.20	$264.00	$15.10–$618.00	—	45%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D TOTAL INC D2 AND D3	$194.70	$354.00	$15.10–$618.00	—	45%
Vitamin D, 1,25-dihydroxy blood test CPT 82652 VITAMIN D 1,25-DIHYDROXY	$71.50	$130.00	$19.64–$360.70	78% below	45%
Vitamin D, 1,25-dihydroxy blood test CPT 82652 VIT D 1 25-DIHYDROXY	$71.50	$130.00	$19.64–$360.70	78% below	45%
Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 VITAMIN D 1,25-DIHYDROXY	$71.50	$130.00	$19.64–$360.70	—	45%
Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 VIT D 1 25-DIHYDROXY	$71.50	$130.00	$19.64–$360.70	—	45%
Zinc blood test CPT 84630 ZINC RBC	$15.40	$28.00	$5.81–$147.00	84% below	45%
Zinc blood test CPT 84630 ZINC	$65.45	$119.00	$5.81–$147.00	30% below	45%
Zinc blood test CPT 84630 ASSAY OF ZINC	$65.45	$119.00	$5.81–$147.00	30% below	45%
Zinc blood test inpatient CPT 84630 ZINC RBC	$15.40	$28.00	$5.81–$147.00	—	45%
Zinc blood test inpatient CPT 84630 ZINC	$65.45	$119.00	$5.81–$147.00	—	45%
Zinc blood test inpatient CPT 84630 ASSAY OF ZINC	$65.45	$119.00	$5.81–$147.00	—	45%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 CHORIONIC GONADOTROPIN TEST	$34.65	$63.00	$7.68–$288.00	74% below	45%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 AFP HCG QUANT	$34.65	$63.00	$7.68–$288.00	74% below	45%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 AFP QUAD HCG QUAN/AFPQ2	$34.65	$63.00	$7.68–$288.00	74% below	45%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 BETA HCG-QUANTITATIVE	$89.10	$162.00	$7.68–$288.00	32% below	45%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 AFP HCG QUANT	$34.65	$63.00	$7.68–$288.00	—	45%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 AFP QUAD HCG QUAN/AFPQ2	$34.65	$63.00	$7.68–$288.00	—	45%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 CHORIONIC GONADOTROPIN TEST	$34.65	$63.00	$7.68–$288.00	—	45%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 BETA HCG-QUANTITATIVE	$89.10	$162.00	$7.68–$288.00	—	45%

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs New Hampshire	Off list
Appendectomy for a ruptured appendix with abscess or peritonitis CPT 44960 APPENDECTOMY	$1,047.20	$1,904.00	$231.98–$3,808.00	—	45%
Appendectomy for a ruptured appendix with abscess or peritonitis CPT 44960 APPENDECTOMY RUPTURED IP	$1,047.20	$1,904.00	$231.98–$3,808.00	—	45%
Appendectomy for a ruptured appendix with abscess or peritonitis CPT 44960 APPENDECTOMY RUPTURED OP	$1,047.20	$1,904.00	$231.98–$3,808.00	—	45%
Appendectomy for a ruptured appendix with abscess or peritonitis inpatient CPT 44960 APPENDECTOMY	$1,047.20	$1,904.00	$231.98–$3,808.00	—	45%
Appendectomy for a ruptured appendix with abscess or peritonitis inpatient CPT 44960 APPENDECTOMY RUPTURED IP	$1,047.20	$1,904.00	$231.98–$3,808.00	—	45%
Appendectomy for a ruptured appendix with abscess or peritonitis inpatient CPT 44960 APPENDECTOMY RUPTURED OP	$1,047.20	$1,904.00	$231.98–$3,808.00	—	45%
Appendectomy, open surgery CPT 44950 APPENDECTOMY IP	$770.00	$1,400.00	$292.80–$2,800.00	—	45%
Appendectomy, open surgery CPT 44950 APPENDECTOMY	$770.00	$1,400.00	$292.80–$2,800.00	—	45%
Appendectomy, open surgery CPT 44950 APPENDECTOMY OP	$770.00	$1,400.00	$292.80–$2,800.00	—	45%
Appendectomy, open surgery inpatient CPT 44950 APPENDECTOMY	$770.00	$1,400.00	$292.80–$2,800.00	—	45%
Appendectomy, open surgery inpatient CPT 44950 APPENDECTOMY IP	$770.00	$1,400.00	$292.80–$2,800.00	—	45%
Appendectomy, open surgery inpatient CPT 44950 APPENDECTOMY OP	$770.00	$1,400.00	$292.80–$2,800.00	—	45%
Arthroscopic ACL reconstruction or repair of the knee CPT 29888 ARTHROSCOPY AIDED ACL REPAIR IP	$1,244.65	$2,263.00	$745.27–$5,658.00	at median	45%
Arthroscopic ACL reconstruction or repair of the knee CPT 29888 ARTHROSCOPY AIDED ACL REPAIR OP	$1,244.65	$2,263.00	$745.27–$5,658.00	at median	45%
Arthroscopic ACL reconstruction or repair of the knee CPT 29888 ARTHRS AID ACL RPR/AGMNTJ	$1,244.65	$2,263.00	$745.27–$5,658.00	at median	45%
Arthroscopic ACL reconstruction or repair of the knee inpatient CPT 29888 ARTHROSCOPY AIDED ACL REPAIR OP	$1,244.65	$2,263.00	$745.27–$5,658.00	—	45%
Arthroscopic ACL reconstruction or repair of the knee inpatient CPT 29888 ARTHRS AID ACL RPR/AGMNTJ	$1,244.65	$2,263.00	$745.27–$5,658.00	—	45%
Arthroscopic ACL reconstruction or repair of the knee inpatient CPT 29888 ARTHROSCOPY AIDED ACL REPAIR IP	$1,244.65	$2,263.00	$745.27–$5,658.00	—	45%
Arthroscopic rotator cuff repair of the shoulder CPT 29827 ARTHRO ROTATOR CUFF REPR IP	$1,557.05	$2,831.00	$650.26–$7,078.00	at median	45%
Arthroscopic rotator cuff repair of the shoulder CPT 29827 SHO ARTHRS SRG RT8TR CUF RPR	$1,557.05	$2,831.00	$650.26–$7,078.00	at median	45%
Arthroscopic rotator cuff repair of the shoulder CPT 29827 ARTHRO ROTATOR CUFF REPR OP	$1,557.05	$2,831.00	$650.26–$7,078.00	at median	45%
Arthroscopic rotator cuff repair of the shoulder inpatient CPT 29827 ARTHRO ROTATOR CUFF REPR IP	$1,557.05	$2,831.00	$650.26–$7,078.00	—	45%
Arthroscopic rotator cuff repair of the shoulder inpatient CPT 29827 ARTHRO ROTATOR CUFF REPR OP	$1,557.05	$2,831.00	$650.26–$7,078.00	—	45%
Arthroscopic rotator cuff repair of the shoulder inpatient CPT 29827 SHO ARTHRS SRG RT8TR CUF RPR	$1,557.05	$2,831.00	$650.26–$7,078.00	—	45%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 BX BREAST 1ST LESION STRTCTC	$603.35	$1,097.00	$115.11–$2,194.00	78% below	45%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 BX BREAST 1ST LESION STRTCTC IP	$603.35	$1,097.00	$115.11–$2,194.00	78% below	45%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 BX BREAST 1ST LESION STRTCTC OP	$603.35	$1,097.00	$115.11–$2,194.00	78% below	45%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 BX BREAST 1ST LESION STRTCTC IP	$603.35	$1,097.00	$115.11–$2,194.00	—	45%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 BX BREAST 1ST LESION STRTCTC	$603.35	$1,097.00	$115.11–$2,194.00	—	45%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 BX BREAST 1ST LESION STRTCTC OP	$603.35	$1,097.00	$115.11–$2,194.00	—	45%
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 FX DIS FIB CLSD TX W/O MANIP FAC	$127.60	$232.00	$127.60–$2,652.00	49% below	45%
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 FX DIS FIB CLSD TX W/O MANIP PRO	$237.05	$431.00	$127.60–$2,652.00	6% below	45%
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 TREATMENT OF ANKLE FRACTURE	$364.65	$663.00	$127.60–$2,652.00	44% above	45%
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 FX DIS FIB CLSD TX W/O MANIP IP	$364.65	$663.00	$127.60–$2,652.00	44% above	45%
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 FX DIS FIB CLSD TX W/O MANIP OP	$364.65	$663.00	$127.60–$2,652.00	44% above	45%
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 FX DIS FIB CLSD TX W/O MANIP MD	$364.65	$663.00	$127.60–$2,652.00	44% above	45%
Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 FX DIS FIB CLSD TX W/O MANIP FAC	$127.60	$232.00	$127.60–$2,652.00	—	45%
Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 FX DIS FIB CLSD TX W/O MANIP PRO	$237.05	$431.00	$127.60–$2,652.00	—	45%
Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 FX DIS FIB CLSD TX W/O MANIP OP	$364.65	$663.00	$127.60–$2,652.00	—	45%
Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 FX DIS FIB CLSD TX W/O MANIP IP	$364.65	$663.00	$127.60–$2,652.00	—	45%
Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 FX DIS FIB CLSD TX W/O MANIP MD	$364.65	$663.00	$127.60–$2,652.00	—	45%
Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 TREATMENT OF ANKLE FRACTURE	$364.65	$663.00	$127.60–$2,652.00	—	45%
Broken foot (metatarsal) treatment without surgery or setting CPT 28470 TREAT METATARSAL FRACTURE FAC	$74.80	$136.00	$92.79–$1,556.00	70% below	45%
Broken foot (metatarsal) treatment without surgery or setting CPT 28470 TREAT METATARSAL FRACTURE PRO	$139.15	$253.00	$92.79–$1,556.00	44% below	45%
Broken foot (metatarsal) treatment without surgery or setting CPT 28470 CLTX METATARSAL FX WO MNP EA	$213.95	$389.00	$92.79–$1,556.00	14% below	45%
Broken foot (metatarsal) treatment without surgery or setting CPT 28470 TREAT METATARSAL FRACTURE OP	$213.95	$389.00	$92.79–$1,556.00	14% below	45%
Broken foot (metatarsal) treatment without surgery or setting CPT 28470 TREAT METATARSAL FRACTURE IP	$213.95	$389.00	$92.79–$1,556.00	14% below	45%
Broken foot (metatarsal) treatment without surgery or setting CPT 28470 TREAT METATARSAL FRACTURE MD	$213.95	$389.00	$92.79–$1,556.00	14% below	45%
Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 TREAT METATARSAL FRACTURE FAC	$74.80	$136.00	$92.79–$1,556.00	—	45%
Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 TREAT METATARSAL FRACTURE PRO	$139.15	$253.00	$92.79–$1,556.00	—	45%
Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 TREAT METATARSAL FRACTURE IP	$213.95	$389.00	$92.79–$1,556.00	—	45%
Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 CLTX METATARSAL FX WO MNP EA	$213.95	$389.00	$92.79–$1,556.00	—	45%
Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 TREAT METATARSAL FRACTURE OP	$213.95	$389.00	$92.79–$1,556.00	—	45%
Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 TREAT METATARSAL FRACTURE MD	$213.95	$389.00	$92.79–$1,556.00	—	45%
Bunion correction with a bone cut near the head of the first metatarsal CPT 28296 COR HLX VLGS DSTL MTAR OSTEO	$701.80	$1,276.00	$445.39–$3,190.00	—	45%
Bunion correction with a bone cut near the head of the first metatarsal CPT 28296 CORRECTION BUNION MET OSTEOTOMY IP	$701.80	$1,276.00	$445.39–$3,190.00	—	45%
Bunion correction with a bone cut near the head of the first metatarsal CPT 28296 CORRECTION BUNION MET OSTEOTOMY OP	$701.80	$1,276.00	$445.39–$3,190.00	—	45%
Bunion correction with a bone cut near the head of the first metatarsal inpatient CPT 28296 CORRECTION BUNION MET OSTEOTOMY IP	$701.80	$1,276.00	$445.39–$3,190.00	—	45%
Bunion correction with a bone cut near the head of the first metatarsal inpatient CPT 28296 CORRECTION BUNION MET OSTEOTOMY OP	$701.80	$1,276.00	$445.39–$3,190.00	—	45%
Bunion correction with a bone cut near the head of the first metatarsal inpatient CPT 28296 COR HLX VLGS DSTL MTAR OSTEO	$701.80	$1,276.00	$445.39–$3,190.00	—	45%
Bunion correction with removal of part of the big toe joint CPT 28292 COR HLX VLGS RSC PRX PHLX BS	$736.45	$1,339.00	$334.04–$3,013.00	—	45%
Bunion correction with removal of part of the big toe joint CPT 28292 CORRECTION BUNION KELLER OP	$736.45	$1,339.00	$334.04–$3,013.00	—	45%
Bunion correction with removal of part of the big toe joint CPT 28292 CORRECTION BUNION KELLER IP	$736.45	$1,339.00	$334.04–$3,013.00	—	45%
Bunion correction with removal of part of the big toe joint inpatient CPT 28292 CORRECTION BUNION KELLER OP	$736.45	$1,339.00	$334.04–$3,013.00	—	45%
Bunion correction with removal of part of the big toe joint inpatient CPT 28292 COR HLX VLGS RSC PRX PHLX BS	$736.45	$1,339.00	$334.04–$3,013.00	—	45%
Bunion correction with removal of part of the big toe joint inpatient CPT 28292 CORRECTION BUNION KELLER IP	$736.45	$1,339.00	$334.04–$3,013.00	—	45%
Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION EXT 92960	$224.40	$408.00	$83.51–$1,600.00	80% below	45%
Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION ELECTRIC EXT	$224.40	$408.00	$83.51–$1,600.00	80% below	45%
Cardioversion, elective (restoring heart rhythm) CPT 92960 MD-CARDIOVERSION	$224.40	$408.00	$83.51–$1,600.00	80% below	45%
Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION ELECTIVE	$431.20	$784.00	$83.51–$1,600.00	61% below	45%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION ELECTRIC EXT	$224.40	$408.00	$83.51–$1,600.00	—	45%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 MD-CARDIOVERSION	$224.40	$408.00	$83.51–$1,600.00	—	45%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION EXT 92960	$224.40	$408.00	$83.51–$1,600.00	—	45%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION ELECTIVE	$431.20	$784.00	$83.51–$1,600.00	—	45%
Carpal tunnel release, open surgery CPT 64721 CARPAL TUNNEL SURGERY	$491.15	$893.00	$206.20–$1,786.00	73% below	45%
Carpal tunnel release, open surgery CPT 64721 NEUROPLASTY CARPAL TNL IP	$491.15	$893.00	$206.20–$1,786.00	73% below	45%
Carpal tunnel release, open surgery CPT 64721 NEUROPLASTY CARPAL TNL OP	$491.15	$893.00	$206.20–$1,786.00	73% below	45%
Carpal tunnel release, open surgery inpatient CPT 64721 NEUROPLASTY CARPAL TNL IP	$491.15	$893.00	$206.20–$1,786.00	—	45%
Carpal tunnel release, open surgery inpatient CPT 64721 NEUROPLASTY CARPAL TNL OP	$491.15	$893.00	$206.20–$1,786.00	—	45%
Carpal tunnel release, open surgery inpatient CPT 64721 CARPAL TUNNEL SURGERY	$491.15	$893.00	$206.20–$1,786.00	—	45%
Cervical biopsy CPT 57500 BX CERVIX SINGLE/MULTIPLE PRO	$104.50	$190.00	$20.62–$1,172.00	69% below	45%
Cervical biopsy CPT 57500 BIOPSY SINGLE OR MUTIPLE IP	$161.15	$293.00	$20.62–$1,172.00	52% below	45%
Cervical biopsy CPT 57500 BIOPSY SINGLE OR MUTIPLE OP	$161.15	$293.00	$20.62–$1,172.00	52% below	45%
Cervical biopsy CPT 57500 BX CERVIX SINGLE/MULTIPLE MD	$161.15	$293.00	$20.62–$1,172.00	52% below	45%
Cervical biopsy CPT 57500 BIOPSY OF CERVIX	$161.15	$293.00	$20.62–$1,172.00	52% below	45%
Cervical biopsy inpatient CPT 57500 BX CERVIX SINGLE/MULTIPLE PRO	$104.50	$190.00	$20.62–$1,172.00	—	45%
Cervical biopsy inpatient CPT 57500 BX CERVIX SINGLE/MULTIPLE MD	$161.15	$293.00	$20.62–$1,172.00	—	45%
Cervical biopsy inpatient CPT 57500 BIOPSY OF CERVIX	$161.15	$293.00	$20.62–$1,172.00	—	45%
Cervical biopsy inpatient CPT 57500 BIOPSY SINGLE OR MUTIPLE OP	$161.15	$293.00	$20.62–$1,172.00	—	45%
Cervical biopsy inpatient CPT 57500 BIOPSY SINGLE OR MUTIPLE IP	$161.15	$293.00	$20.62–$1,172.00	—	45%
Cesarean delivery, including prenatal and postpartum care CPT 59510 C-SECTION TOTAL CARE IPA	$613.25	$1,115.00	$1,237.20–$5,578.00	—	45%
Cesarean delivery, including prenatal and postpartum care CPT 59510 CESAREAN DELIVERY	$2,454.65	$4,463.00	$1,237.20–$5,578.00	—	45%
Cesarean delivery, including prenatal and postpartum care CPT 59510 C-SECTION TOTAL CARE IP	$2,454.65	$4,463.00	$1,237.20–$5,578.00	—	45%
Cesarean delivery, including prenatal and postpartum care inpatient CPT 59510 C-SECTION TOTAL CARE IPA	$613.25	$1,115.00	$1,237.20–$5,578.00	—	45%
Cesarean delivery, including prenatal and postpartum care inpatient CPT 59510 C-SECTION TOTAL CARE IP	$2,454.65	$4,463.00	$1,237.20–$5,578.00	—	45%
Cesarean delivery, including prenatal and postpartum care inpatient CPT 59510 CESAREAN DELIVERY	$2,454.65	$4,463.00	$1,237.20–$5,578.00	—	45%
Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 CIRCUMCISION 28 DAYS OR OLDER IP	$221.10	$402.00	$85.06–$804.00	85% below	45%
Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 CIRCUMCISION 28 DAYS OR OLDER OP	$221.10	$402.00	$85.06–$804.00	85% below	45%
Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 CIRCUM 28 DAYS OR OLDER	$221.10	$402.00	$85.06–$804.00	85% below	45%
Circumcision by surgical excision, older than 28 days (children and adults) inpatient CPT 54161 CIRCUM 28 DAYS OR OLDER	$221.10	$402.00	$85.06–$804.00	—	45%
Circumcision by surgical excision, older than 28 days (children and adults) inpatient CPT 54161 CIRCUMCISION 28 DAYS OR OLDER OP	$221.10	$402.00	$85.06–$804.00	—	45%
Circumcision by surgical excision, older than 28 days (children and adults) inpatient CPT 54161 CIRCUMCISION 28 DAYS OR OLDER IP	$221.10	$402.00	$85.06–$804.00	—	45%
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 CIRCUMCISION W/REGIONL BLOCK	$210.65	$383.00	$82.48–$766.00	53% below	45%
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 CIRCUMCISION MD	$210.65	$383.00	$82.48–$766.00	53% below	45%
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 CIRCUMCISION W/CLAMP IP	$210.65	$383.00	$82.48–$766.00	53% below	45%
Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 CIRCUMCISION W/CLAMP IP	$210.65	$383.00	$82.48–$766.00	—	45%
Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 CIRCUMCISION MD	$210.65	$383.00	$82.48–$766.00	—	45%
Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 CIRCUMCISION W/REGIONL BLOCK	$210.65	$383.00	$82.48–$766.00	—	45%
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 TREAT DISTAL RADIAL FRACTURE FAC	$114.95	$209.00	$107.22–$2,995.00	57% below	45%
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 TREAT DISTAL RADIAL FRACTURE PRO	$214.50	$390.00	$107.22–$2,995.00	20% below	45%
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 CLTX DST RDL FX/EPHYS SEP WO	$329.45	$599.00	$107.22–$2,995.00	23% above	45%
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 TREAT DISTAL RADIAL FRACTURE MD	$329.45	$599.00	$107.22–$2,995.00	23% above	45%
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 TREAT DISTAL RADIAL FRACTURE IP	$329.45	$599.00	$107.22–$2,995.00	23% above	45%
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 TREAT DISTAL RADIAL FRACTURE OP	$329.45	$599.00	$107.22–$2,995.00	23% above	45%
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 MD-TREAT DISTAL RADIAL FRACTURE	$329.45	$599.00	$107.22–$2,995.00	23% above	45%
Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 TREAT DISTAL RADIAL FRACTURE FAC	$114.95	$209.00	$107.22–$2,995.00	—	45%
Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 TREAT DISTAL RADIAL FRACTURE PRO	$214.50	$390.00	$107.22–$2,995.00	—	45%
Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 TREAT DISTAL RADIAL FRACTURE MD	$329.45	$599.00	$107.22–$2,995.00	—	45%
Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 TREAT DISTAL RADIAL FRACTURE OP	$329.45	$599.00	$107.22–$2,995.00	—	45%
Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 MD-TREAT DISTAL RADIAL FRACTURE	$329.45	$599.00	$107.22–$2,995.00	—	45%
Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 CLTX DST RDL FX/EPHYS SEP WO	$329.45	$599.00	$107.22–$2,995.00	—	45%
Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 TREAT DISTAL RADIAL FRACTURE IP	$329.45	$599.00	$107.22–$2,995.00	—	45%
Colonoscopy with polyp removal CPT 45385 COLONOSCOPY W/LESION REMOVAL	$663.30	$1,206.00	$235.36–$2,412.00	67% below	45%
Colonoscopy with polyp removal CPT 45385 COLONOSCOPY FLEX W/REM LESIONS SNARE IP	$663.30	$1,206.00	$235.36–$2,412.00	67% below	45%
Colonoscopy with polyp removal CPT 45385 COLONOSCOPY FLEX W/REM LESIONS SNARE OP	$663.30	$1,206.00	$235.36–$2,412.00	67% below	45%
Colonoscopy with polyp removal inpatient CPT 45385 COLONOSCOPY FLEX W/REM LESIONS SNARE OP	$663.30	$1,206.00	$235.36–$2,412.00	—	45%
Colonoscopy with polyp removal inpatient CPT 45385 COLONOSCOPY FLEX W/REM LESIONS SNARE IP	$663.30	$1,206.00	$235.36–$2,412.00	—	45%
Colonoscopy with polyp removal inpatient CPT 45385 COLONOSCOPY W/LESION REMOVAL	$663.30	$1,206.00	$235.36–$2,412.00	—	45%
Colonoscopy with tissue sample CPT 45380 COLONOSCOPY AND BIOPSY	$632.50	$1,150.00	$180.43–$2,300.00	64% below	45%
Colonoscopy with tissue sample CPT 45380 COLONOSCOPY FLEX W/BIOPSY IP	$632.50	$1,150.00	$180.43–$2,300.00	64% below	45%
Colonoscopy with tissue sample CPT 45380 COLONOSCOPY FLEX W/BIOPSY OP	$632.50	$1,150.00	$180.43–$2,300.00	64% below	45%
Colonoscopy with tissue sample inpatient CPT 45380 COLONOSCOPY AND BIOPSY	$632.50	$1,150.00	$180.43–$2,300.00	—	45%
Colonoscopy with tissue sample inpatient CPT 45380 COLONOSCOPY FLEX W/BIOPSY OP	$632.50	$1,150.00	$180.43–$2,300.00	—	45%
Colonoscopy with tissue sample inpatient CPT 45380 COLONOSCOPY FLEX W/BIOPSY IP	$632.50	$1,150.00	$180.43–$2,300.00	—	45%
Colonoscopy, diagnostic CPT 45378 COLONOSCOPY FLEX DIAGNOSTIC IP	$512.05	$931.00	$154.65–$1,862.00	60% below	45%
Colonoscopy, diagnostic CPT 45378 COLONOSCOPY FLEX DIAGNOSTIC OP	$512.05	$931.00	$154.65–$1,862.00	60% below	45%
Colonoscopy, diagnostic CPT 45378 DIAGNOSTIC COLONOSCOPY	$512.05	$931.00	$154.65–$1,862.00	60% below	45%
Colonoscopy, diagnostic inpatient CPT 45378 COLONOSCOPY FLEX DIAGNOSTIC IP	$512.05	$931.00	$154.65–$1,862.00	—	45%
Colonoscopy, diagnostic inpatient CPT 45378 COLONOSCOPY FLEX DIAGNOSTIC OP	$512.05	$931.00	$154.65–$1,862.00	—	45%
Colonoscopy, diagnostic inpatient CPT 45378 DIAGNOSTIC COLONOSCOPY	$512.05	$931.00	$154.65–$1,862.00	—	45%
Colposcopy with LEEP (loop electrosurgical excision) CPT 57460 COLPOSCOPY WITH LEEP IP	$364.65	$663.00	$149.71–$1,326.00	—	45%
Colposcopy with LEEP (loop electrosurgical excision) CPT 57460 BX OF CERVIX W/SCOPE LEEP	$364.65	$663.00	$149.71–$1,326.00	—	45%
Colposcopy with LEEP (loop electrosurgical excision) CPT 57460 COLPOSCOPY WITH LEEP OP	$364.65	$663.00	$149.71–$1,326.00	—	45%
Colposcopy with LEEP (loop electrosurgical excision) inpatient CPT 57460 COLPOSCOPY WITH LEEP IP	$364.65	$663.00	$149.71–$1,326.00	—	45%
Colposcopy with LEEP (loop electrosurgical excision) inpatient CPT 57460 BX OF CERVIX W/SCOPE LEEP	$364.65	$663.00	$149.71–$1,326.00	—	45%
Colposcopy with LEEP (loop electrosurgical excision) inpatient CPT 57460 COLPOSCOPY WITH LEEP OP	$364.65	$663.00	$149.71–$1,326.00	—	45%
Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 COLPOSCOPY WITH BIOPSY FAC	$68.75	$125.00	$68.75–$1,428.00	71% below	45%
Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 COLPOSCOPY WITH BIOPSY PRO	$127.60	$232.00	$68.75–$1,428.00	46% below	45%
Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 COLPOSCOPY WITH BIOPSY IP	$196.35	$357.00	$68.75–$1,428.00	17% below	45%
Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 BX/CURETT OF CERVIX W/SCOPE	$196.35	$357.00	$68.75–$1,428.00	17% below	45%
Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 COLPOSCOPY WITH BIOPSY OP	$196.35	$357.00	$68.75–$1,428.00	17% below	45%
Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 COLPOSCOPY WITH BIOPSY MD	$196.35	$357.00	$68.75–$1,428.00	17% below	45%
Colposcopy with cervical biopsy and scraping of the cervical canal inpatient CPT 57454 COLPOSCOPY WITH BIOPSY FAC	$68.75	$125.00	$68.75–$1,428.00	—	45%
Colposcopy with cervical biopsy and scraping of the cervical canal inpatient CPT 57454 COLPOSCOPY WITH BIOPSY PRO	$127.60	$232.00	$68.75–$1,428.00	—	45%
Colposcopy with cervical biopsy and scraping of the cervical canal inpatient CPT 57454 COLPOSCOPY WITH BIOPSY MD	$196.35	$357.00	$68.75–$1,428.00	—	45%
Colposcopy with cervical biopsy and scraping of the cervical canal inpatient CPT 57454 COLPOSCOPY WITH BIOPSY OP	$196.35	$357.00	$68.75–$1,428.00	—	45%
Colposcopy with cervical biopsy and scraping of the cervical canal inpatient CPT 57454 COLPOSCOPY WITH BIOPSY IP	$196.35	$357.00	$68.75–$1,428.00	—	45%
Colposcopy with cervical biopsy and scraping of the cervical canal inpatient CPT 57454 BX/CURETT OF CERVIX W/SCOPE	$196.35	$357.00	$68.75–$1,428.00	—	45%
Cystoscopy with ureteral stent placement CPT 52332 CYSTOSCOPY AND TREATMENT	$520.30	$946.00	$149.97–$2,838.00	72% below	45%
Cystoscopy with ureteral stent placement CPT 52332 CYSTOSC AND TREAT W INS OF INDWELL MD	$520.30	$946.00	$149.97–$2,838.00	72% below	45%
Cystoscopy with ureteral stent placement CPT 52332 CYSTOSC AND TREAT W INS OF INDWELL OP	$520.30	$946.00	$149.97–$2,838.00	72% below	45%
Cystoscopy with ureteral stent placement CPT 52332 CYSTOSC AND TREAT W INS OF INDWELL IP	$520.30	$946.00	$149.97–$2,838.00	72% below	45%
Cystoscopy with ureteral stent placement inpatient CPT 52332 CYSTOSC AND TREAT W INS OF INDWELL IP	$520.30	$946.00	$149.97–$2,838.00	—	45%
Cystoscopy with ureteral stent placement inpatient CPT 52332 CYSTOSC AND TREAT W INS OF INDWELL MD	$520.30	$946.00	$149.97–$2,838.00	—	45%
Cystoscopy with ureteral stent placement inpatient CPT 52332 CYSTOSC AND TREAT W INS OF INDWELL OP	$520.30	$946.00	$149.97–$2,838.00	—	45%
Cystoscopy with ureteral stent placement inpatient CPT 52332 CYSTOSCOPY AND TREATMENT	$520.30	$946.00	$149.97–$2,838.00	—	45%
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 CYSTOURETHROSCOPY FAC	$81.40	$148.00	$51.55–$1,692.00	90% below	45%
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 CYSTOURETHROSCOPY PRO	$151.25	$275.00	$51.55–$1,692.00	81% below	45%
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 CYSTOURETHROSCOPY	$232.65	$423.00	$51.55–$1,692.00	71% below	45%
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 CYSTOURETHROSCOPY MD	$232.65	$423.00	$51.55–$1,692.00	71% below	45%
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 CYSTOURETHROSCOPY IP	$232.65	$423.00	$51.55–$1,692.00	71% below	45%
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 CYSTOURETHROSCOPY OP	$232.65	$423.00	$51.55–$1,692.00	71% below	45%
Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 CYSTOURETHROSCOPY FAC	$81.40	$148.00	$51.55–$1,692.00	—	45%
Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 CYSTOURETHROSCOPY PRO	$151.25	$275.00	$51.55–$1,692.00	—	45%
Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 CYSTOURETHROSCOPY IP	$232.65	$423.00	$51.55–$1,692.00	—	45%
Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 CYSTOURETHROSCOPY OP	$232.65	$423.00	$51.55–$1,692.00	—	45%
Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 CYSTOURETHROSCOPY MD	$232.65	$423.00	$51.55–$1,692.00	—	45%
Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 CYSTOURETHROSCOPY	$232.65	$423.00	$51.55–$1,692.00	—	45%
D&C (dilation and curettage), not related to pregnancy CPT 58120 D&C NON-OB MD	$315.70	$574.00	$180.43–$1,722.00	83% below	45%
D&C (dilation and curettage), not related to pregnancy CPT 58120 D&C NON-OB IP	$315.70	$574.00	$180.43–$1,722.00	83% below	45%
D&C (dilation and curettage), not related to pregnancy CPT 58120 D&C NON-OB OP	$315.70	$574.00	$180.43–$1,722.00	83% below	45%
D&C (dilation and curettage), not related to pregnancy CPT 58120 DILATION AND CURETTAGE	$315.70	$574.00	$180.43–$1,722.00	83% below	45%
D&C (dilation and curettage), not related to pregnancy inpatient CPT 58120 DILATION AND CURETTAGE	$315.70	$574.00	$180.43–$1,722.00	—	45%
D&C (dilation and curettage), not related to pregnancy inpatient CPT 58120 D&C NON-OB MD	$315.70	$574.00	$180.43–$1,722.00	—	45%
D&C (dilation and curettage), not related to pregnancy inpatient CPT 58120 D&C NON-OB IP	$315.70	$574.00	$180.43–$1,722.00	—	45%
D&C (dilation and curettage), not related to pregnancy inpatient CPT 58120 D&C NON-OB OP	$315.70	$574.00	$180.43–$1,722.00	—	45%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 LESION DESTRUCTION 1ST LESN FAC	$24.75	$45.00	$22.08–$640.00	66% below	45%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 LESION DESTRUCTION 1ST LESN PRO	$45.65	$83.00	$22.08–$640.00	37% below	45%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 DESTR PREMALIGN LESION IP	$70.40	$128.00	$22.08–$640.00	3% below	45%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 DESTRUCT PREMALG LESION	$70.40	$128.00	$22.08–$640.00	3% below	45%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 DESTR PREMALIGN LESION OP	$70.40	$128.00	$22.08–$640.00	3% below	45%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 LESION DESTRUCTION 1ST LESN MD	$70.40	$128.00	$22.08–$640.00	3% below	45%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 MD-LESION DESTRUCTION 1ST LES	$70.40	$128.00	$22.08–$640.00	3% below	45%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 LESION DESTRUCTION 1ST LESN FAC	$24.75	$45.00	$22.08–$640.00	—	45%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 LESION DESTRUCTION 1ST LESN PRO	$45.65	$83.00	$22.08–$640.00	—	45%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 DESTR PREMALIGN LESION OP	$70.40	$128.00	$22.08–$640.00	—	45%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 MD-LESION DESTRUCTION 1ST LES	$70.40	$128.00	$22.08–$640.00	—	45%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 DESTRUCT PREMALG LESION	$70.40	$128.00	$22.08–$640.00	—	45%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 LESION DESTRUCTION 1ST LESN MD	$70.40	$128.00	$22.08–$640.00	—	45%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 DESTR PREMALIGN LESION IP	$70.40	$128.00	$22.08–$640.00	—	45%
Earwax removal by irrigation (rinsing), one ear CPT 69209 REM IMPACT CERUMEN IRRIG/LAVAGE MD	$34.10	$62.00	$8.40–$324.00	53% below	45%
Earwax removal by irrigation (rinsing), one ear CPT 69209 REM IMPACT CERUMEN IRRIG/LAVAGE UB ONLY	$34.10	$62.00	$8.40–$324.00	53% below	45%
Earwax removal by irrigation (rinsing), one ear CPT 69209 MD-REM IMPACT CERUMEN IRRIG/LAVAGE	$34.10	$62.00	$8.40–$324.00	53% below	45%
Earwax removal by irrigation (rinsing), one ear CPT 69209 REM IMPACT CERUMEN IRRIG/LAVAGE 1500	$34.10	$62.00	$8.40–$324.00	53% below	45%
Earwax removal by irrigation (rinsing), one ear CPT 69209 REMOVE IMPACTED EAR WAX UNI	$34.10	$62.00	$8.40–$324.00	53% below	45%
Earwax removal by irrigation (rinsing), one ear CPT 69209 REM IMPACT CERUMEN IRRIG/LAVAGE	$41.80	$76.00	$8.40–$324.00	42% below	45%
Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 REMOVE IMPACTED EAR WAX UNI	$34.10	$62.00	$8.40–$324.00	—	45%
Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 REM IMPACT CERUMEN IRRIG/LAVAGE UB ONLY	$34.10	$62.00	$8.40–$324.00	—	45%
Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 REM IMPACT CERUMEN IRRIG/LAVAGE MD	$34.10	$62.00	$8.40–$324.00	—	45%
Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 REM IMPACT CERUMEN IRRIG/LAVAGE 1500	$34.10	$62.00	$8.40–$324.00	—	45%
Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 MD-REM IMPACT CERUMEN IRRIG/LAVAGE	$34.10	$62.00	$8.40–$324.00	—	45%
Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 REM IMPACT CERUMEN IRRIG/LAVAGE	$41.80	$76.00	$8.40–$324.00	—	45%
Earwax removal with instruments, one ear CPT 69210 REMOVE IMPACTED EAR WAX W/ INSTR UB FAC	$14.85	$27.00	$12.37–$653.00	77% below	45%
Earwax removal with instruments, one ear CPT 69210 REMOVE IMPACTED EAR WAX W/ INSTR FAC	$14.85	$27.00	$12.37–$653.00	77% below	45%
Earwax removal with instruments, one ear CPT 69210 REMOVE IMPACTED EAR WAX W/ INSTR PRO	$28.60	$52.00	$12.37–$653.00	56% below	45%
Earwax removal with instruments, one ear CPT 69210 REMOVE IMPACTED EAR WAX W/ INSTR PR	$28.60	$52.00	$12.37–$653.00	56% below	45%
Earwax removal with instruments, one ear CPT 69210 MD-REMOVE IMPACKED CERUMEN W/INSTRUMENT	$43.45	$79.00	$12.37–$653.00	34% below	45%
Earwax removal with instruments, one ear CPT 69210 REMOVE IMPACTED EAR WAX W/ INSTR UB ONLY	$43.45	$79.00	$12.37–$653.00	34% below	45%
Earwax removal with instruments, one ear CPT 69210 REMOVE IMPACTED EAR WAX W/ INSTR MD	$43.45	$79.00	$12.37–$653.00	34% below	45%
Earwax removal with instruments, one ear CPT 69210 REMOVE IMPACTED EAR WAX W/ INSTR 1500 ON	$43.45	$79.00	$12.37–$653.00	34% below	45%
Earwax removal with instruments, one ear CPT 69210 REMOVE IMPACKED CERUMEN W/INSTRUMENTS	$55.00	$100.00	$12.37–$653.00	16% below	45%
Earwax removal with instruments, one ear CPT 69210 REMOVE IMPACTED EAR WAX UNI	$55.00	$100.00	$12.37–$653.00	16% below	45%
Earwax removal with instruments, one ear inpatient CPT 69210 REMOVE IMPACTED EAR WAX W/ INSTR UB FAC	$14.85	$27.00	$12.37–$653.00	—	45%
Earwax removal with instruments, one ear inpatient CPT 69210 REMOVE IMPACTED EAR WAX W/ INSTR FAC	$14.85	$27.00	$12.37–$653.00	—	45%
Earwax removal with instruments, one ear inpatient CPT 69210 REMOVE IMPACTED EAR WAX W/ INSTR PRO	$28.60	$52.00	$12.37–$653.00	—	45%
Earwax removal with instruments, one ear inpatient CPT 69210 REMOVE IMPACTED EAR WAX W/ INSTR PR	$28.60	$52.00	$12.37–$653.00	—	45%
Earwax removal with instruments, one ear inpatient CPT 69210 REMOVE IMPACTED EAR WAX W/ INSTR MD	$43.45	$79.00	$12.37–$653.00	—	45%
Earwax removal with instruments, one ear inpatient CPT 69210 REMOVE IMPACTED EAR WAX W/ INSTR 1500 ON	$43.45	$79.00	$12.37–$653.00	—	45%
Earwax removal with instruments, one ear inpatient CPT 69210 REMOVE IMPACTED EAR WAX W/ INSTR UB ONLY	$43.45	$79.00	$12.37–$653.00	—	45%
Earwax removal with instruments, one ear inpatient CPT 69210 MD-REMOVE IMPACKED CERUMEN W/INSTRUMENT	$43.45	$79.00	$12.37–$653.00	—	45%
Earwax removal with instruments, one ear inpatient CPT 69210 REMOVE IMPACKED CERUMEN W/INSTRUMENTS	$55.00	$100.00	$12.37–$653.00	—	45%
Earwax removal with instruments, one ear inpatient CPT 69210 REMOVE IMPACTED EAR WAX UNI	$55.00	$100.00	$12.37–$653.00	—	45%
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 ENDOMETRIAL BIOPSY FAC	$48.95	$89.00	$25.78–$1,020.00	79% below	45%
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 ENDOMETRIAL BIOPSY PRO	$91.30	$166.00	$25.78–$1,020.00	61% below	45%
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 BIOPSY OF UTERUS LINING	$140.25	$255.00	$25.78–$1,020.00	40% below	45%
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 ENDOMETRIAL BIOPSY MD	$140.25	$255.00	$25.78–$1,020.00	40% below	45%
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 ENDOMETRIAL BIOPSY OP	$140.25	$255.00	$25.78–$1,020.00	40% below	45%
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 ENDOMETRIAL BIOPSY IP	$140.25	$255.00	$25.78–$1,020.00	40% below	45%
Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 ENDOMETRIAL BIOPSY FAC	$48.95	$89.00	$25.78–$1,020.00	—	45%
Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 ENDOMETRIAL BIOPSY PRO	$91.30	$166.00	$25.78–$1,020.00	—	45%
Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 BIOPSY OF UTERUS LINING	$140.25	$255.00	$25.78–$1,020.00	—	45%
Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 ENDOMETRIAL BIOPSY MD	$140.25	$255.00	$25.78–$1,020.00	—	45%
Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 ENDOMETRIAL BIOPSY IP	$140.25	$255.00	$25.78–$1,020.00	—	45%
Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 ENDOMETRIAL BIOPSY OP	$140.25	$255.00	$25.78–$1,020.00	—	45%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 INJ PARAVERT F JNT L/S 1 LEV	$1,520.20	$2,764.00	$43.53–$5,528.00	12% above	45%
Facet joint injection, lower back, one level, with imaging guidance one side CPT 64493 CT INJ PARAVERT F JNT L/S 1 LEV LT	$1,520.20	$2,764.00	$43.53–$5,528.00	12% above	45%
Facet joint injection, lower back, one level, with imaging guidance one side CPT 64493 CT INJ PARAVERT F JNT L/S 1 LEV RT	$1,520.20	$2,764.00	$43.53–$5,528.00	12% above	45%
Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 INJ PARAVERT F JNT L/S 1 LEV	$1,520.20	$2,764.00	$43.53–$5,528.00	—	45%
Facet joint injection, lower back, one level, with imaging guidance inpatient one side CPT 64493 CT INJ PARAVERT F JNT L/S 1 LEV LT	$1,520.20	$2,764.00	$43.53–$5,528.00	—	45%
Facet joint injection, lower back, one level, with imaging guidance inpatient one side CPT 64493 CT INJ PARAVERT F JNT L/S 1 LEV RT	$1,520.20	$2,764.00	$43.53–$5,528.00	—	45%
First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm CPT 49593 RPR AA HRN 1ST 3-10 RDC	$951.50	$1,730.00	$535.22–$3,460.00	—	45%
First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm CPT 49593 REP ANTERIOR ABD HERNIA INITIAL IP	$951.50	$1,730.00	$535.22–$3,460.00	—	45%
First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm CPT 49593 REP ANTERIOR ABD HERNIA INITIAL OP	$951.50	$1,730.00	$535.22–$3,460.00	—	45%
First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm inpatient CPT 49593 REP ANTERIOR ABD HERNIA INITIAL OP	$951.50	$1,730.00	$535.22–$3,460.00	—	45%
First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm inpatient CPT 49593 REP ANTERIOR ABD HERNIA INITIAL IP	$951.50	$1,730.00	$535.22–$3,460.00	—	45%
First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm inpatient CPT 49593 RPR AA HRN 1ST 3-10 RDC	$951.50	$1,730.00	$535.22–$3,460.00	—	45%
First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm CPT 49591 REP OF ANT ABD HERNIA(S)<3CM RED IP	$554.40	$1,008.00	$319.75–$2,016.00	85% below	45%
First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm CPT 49591 RPR AA HRN 1ST < 3 CM RDC	$554.40	$1,008.00	$319.75–$2,016.00	85% below	45%
First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm CPT 49591 REP OF ANT ABD HERNIA(S)<3CM RED OP	$554.40	$1,008.00	$319.75–$2,016.00	85% below	45%
First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm inpatient CPT 49591 REP OF ANT ABD HERNIA(S)<3CM RED IP	$554.40	$1,008.00	$319.75–$2,016.00	—	45%
First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm inpatient CPT 49591 REP OF ANT ABD HERNIA(S)<3CM RED OP	$554.40	$1,008.00	$319.75–$2,016.00	—	45%
First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm inpatient CPT 49591 RPR AA HRN 1ST < 3 CM RDC	$554.40	$1,008.00	$319.75–$2,016.00	—	45%
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 DIAGNOSTIC SIGMOIDOSCOPY PRO	$126.50	$230.00	$46.40–$1,416.00	79% below	45%
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 DIAGNOSTIC SIGMOIDOSCOPY	$194.70	$354.00	$46.40–$1,416.00	68% below	45%
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 DIAGNOSTIC SIGMOIDOSCOPY IP	$194.70	$354.00	$46.40–$1,416.00	68% below	45%
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 DIAGNOSTIC SIGMOIDOSCOPY MD	$194.70	$354.00	$46.40–$1,416.00	68% below	45%
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 DIAGNOSTIC SIGMOIDOSCOPY OP	$194.70	$354.00	$46.40–$1,416.00	68% below	45%
Flexible sigmoidoscopy, diagnostic (lower colon only) inpatient CPT 45330 DIAGNOSTIC SIGMOIDOSCOPY PRO	$126.50	$230.00	$46.40–$1,416.00	—	45%
Flexible sigmoidoscopy, diagnostic (lower colon only) inpatient CPT 45330 DIAGNOSTIC SIGMOIDOSCOPY MD	$194.70	$354.00	$46.40–$1,416.00	—	45%
Flexible sigmoidoscopy, diagnostic (lower colon only) inpatient CPT 45330 DIAGNOSTIC SIGMOIDOSCOPY IP	$194.70	$354.00	$46.40–$1,416.00	—	45%
Flexible sigmoidoscopy, diagnostic (lower colon only) inpatient CPT 45330 DIAGNOSTIC SIGMOIDOSCOPY OP	$194.70	$354.00	$46.40–$1,416.00	—	45%
Flexible sigmoidoscopy, diagnostic (lower colon only) inpatient CPT 45330 DIAGNOSTIC SIGMOIDOSCOPY	$194.70	$354.00	$46.40–$1,416.00	—	45%
Gallbladder removal, laparoscopic CPT 47562 CHOLECYSTECTOMY LAP OP	$841.50	$1,530.00	$210.65–$3,826.00	86% below	45%
Gallbladder removal, laparoscopic CPT 47562 LAPAROSCOPIC CHOLECYSTECTOMY	$841.50	$1,530.00	$210.65–$3,826.00	86% below	45%
Gallbladder removal, laparoscopic CPT 47562 CHOLECYSTECTOMY LAP IP	$841.50	$1,530.00	$210.65–$3,826.00	86% below	45%
Gallbladder removal, laparoscopic inpatient CPT 47562 LAPAROSCOPIC CHOLECYSTECTOMY	$841.50	$1,530.00	$210.65–$3,826.00	—	45%
Gallbladder removal, laparoscopic inpatient CPT 47562 CHOLECYSTECTOMY LAP OP	$841.50	$1,530.00	$210.65–$3,826.00	—	45%
Gallbladder removal, laparoscopic inpatient CPT 47562 CHOLECYSTECTOMY LAP IP	$841.50	$1,530.00	$210.65–$3,826.00	—	45%
Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery CPT 47563 LAPARO CHOLECYSTECTOMY/GRAPH	$858.55	$1,561.00	$215.05–$3,904.00	—	45%
Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery CPT 47563 CHOLECYSTECTOMY W/CHOLANGIO LAP OP	$858.55	$1,561.00	$215.05–$3,904.00	—	45%
Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery CPT 47563 CHOLECYSTECTOMY W/CHOLANGIO LAP IP	$858.55	$1,561.00	$215.05–$3,904.00	—	45%
Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery inpatient CPT 47563 CHOLECYSTECTOMY W/CHOLANGIO LAP IP	$858.55	$1,561.00	$215.05–$3,904.00	—	45%
Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery inpatient CPT 47563 LAPARO CHOLECYSTECTOMY/GRAPH	$858.55	$1,561.00	$215.05–$3,904.00	—	45%
Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery inpatient CPT 47563 CHOLECYSTECTOMY W/CHOLANGIO LAP OP	$858.55	$1,561.00	$215.05–$3,904.00	—	45%
Gallbladder removal, open surgery through a larger incision CPT 47600 CHOLECYSTECTOMY OPEN IPA	$254.65	$463.00	$383.53–$4,622.00	—	45%
Gallbladder removal, open surgery through a larger incision CPT 47600 CHOLECYSTECTOMY OPEN OPA	$254.65	$463.00	$383.53–$4,622.00	—	45%
Gallbladder removal, open surgery through a larger incision CPT 47600 CHOLECYSTECTOMY OPEN IP	$1,016.40	$1,848.00	$383.53–$4,622.00	—	45%
Gallbladder removal, open surgery through a larger incision CPT 47600 CHOLECYSTECTOMY OPEN OP	$1,016.40	$1,848.00	$383.53–$4,622.00	—	45%
Gallbladder removal, open surgery through a larger incision CPT 47600 CHOLECYSTECTOMY	$1,016.40	$1,848.00	$383.53–$4,622.00	—	45%
Gallbladder removal, open surgery through a larger incision inpatient CPT 47600 CHOLECYSTECTOMY OPEN OPA	$254.65	$463.00	$383.53–$4,622.00	—	45%
Gallbladder removal, open surgery through a larger incision inpatient CPT 47600 CHOLECYSTECTOMY OPEN IPA	$254.65	$463.00	$383.53–$4,622.00	—	45%
Gallbladder removal, open surgery through a larger incision inpatient CPT 47600 CHOLECYSTECTOMY	$1,016.40	$1,848.00	$383.53–$4,622.00	—	45%
Gallbladder removal, open surgery through a larger incision inpatient CPT 47600 CHOLECYSTECTOMY OPEN IP	$1,016.40	$1,848.00	$383.53–$4,622.00	—	45%
Gallbladder removal, open surgery through a larger incision inpatient CPT 47600 CHOLECYSTECTOMY OPEN OP	$1,016.40	$1,848.00	$383.53–$4,622.00	—	45%
Hammertoe correction surgery CPT 28285 CORRECTION HAMMER TOE IP	$480.15	$873.00	$219.60–$1,746.00	—	45%
Hammertoe correction surgery CPT 28285 CORRECTION HAMMER TOE OP	$480.15	$873.00	$219.60–$1,746.00	—	45%
Hammertoe correction surgery CPT 28285 REPAIR OF HAMMERTOE	$480.15	$873.00	$219.60–$1,746.00	—	45%
Hammertoe correction surgery inpatient CPT 28285 REPAIR OF HAMMERTOE	$480.15	$873.00	$219.60–$1,746.00	—	45%
Hammertoe correction surgery inpatient CPT 28285 CORRECTION HAMMER TOE IP	$480.15	$873.00	$219.60–$1,746.00	—	45%
Hammertoe correction surgery inpatient CPT 28285 CORRECTION HAMMER TOE OP	$480.15	$873.00	$219.60–$1,746.00	—	45%
Hemorrhoid banding (rubber band ligation) CPT 46221 HEMORRHOIDECTOMY BAND PRO	$155.10	$282.00	$30.93–$1,736.00	72% below	45%
Hemorrhoid banding (rubber band ligation) CPT 46221 HEMORRHOIDECTOMY BAND MD	$238.70	$434.00	$30.93–$1,736.00	57% below	45%
Hemorrhoid banding (rubber band ligation) CPT 46221 HEMORRHOIDECTOMY BAND OP	$238.70	$434.00	$30.93–$1,736.00	57% below	45%
Hemorrhoid banding (rubber band ligation) CPT 46221 LIGATION OF HEMORRHOID(S)	$238.70	$434.00	$30.93–$1,736.00	57% below	45%
Hemorrhoid banding (rubber band ligation) CPT 46221 HEMORRHOIDECTOMY BAND IP	$238.70	$434.00	$30.93–$1,736.00	57% below	45%
Hemorrhoid banding (rubber band ligation) inpatient CPT 46221 HEMORRHOIDECTOMY BAND PRO	$155.10	$282.00	$30.93–$1,736.00	—	45%
Hemorrhoid banding (rubber band ligation) inpatient CPT 46221 HEMORRHOIDECTOMY BAND MD	$238.70	$434.00	$30.93–$1,736.00	—	45%
Hemorrhoid banding (rubber band ligation) inpatient CPT 46221 HEMORRHOIDECTOMY BAND IP	$238.70	$434.00	$30.93–$1,736.00	—	45%
Hemorrhoid banding (rubber band ligation) inpatient CPT 46221 HEMORRHOIDECTOMY BAND OP	$238.70	$434.00	$30.93–$1,736.00	—	45%
Hemorrhoid banding (rubber band ligation) inpatient CPT 46221 LIGATION OF HEMORRHOID(S)	$238.70	$434.00	$30.93–$1,736.00	—	45%
Hemorrhoidectomy (internal and external), one area CPT 46255 REMOVE INT/EXT HEM 1 GROUP	$472.45	$859.00	$159.81–$2,577.00	93% below	45%
Hemorrhoidectomy (internal and external), one area CPT 46255 HEMORRHOIDECTOMY INT/EXTERNAL OP	$472.45	$859.00	$159.81–$2,577.00	93% below	45%
Hemorrhoidectomy (internal and external), one area CPT 46255 MD-HEMORRHOIDECTOMY INT/EXTERNAL	$472.45	$859.00	$159.81–$2,577.00	93% below	45%
Hemorrhoidectomy (internal and external), one area CPT 46255 HEMORRHOIDECTOMY INT/EXTERNAL IP	$472.45	$859.00	$159.81–$2,577.00	93% below	45%
Hemorrhoidectomy (internal and external), one area inpatient CPT 46255 HEMORRHOIDECTOMY INT/EXTERNAL OP	$472.45	$859.00	$159.81–$2,577.00	—	45%
Hemorrhoidectomy (internal and external), one area inpatient CPT 46255 MD-HEMORRHOIDECTOMY INT/EXTERNAL	$472.45	$859.00	$159.81–$2,577.00	—	45%
Hemorrhoidectomy (internal and external), one area inpatient CPT 46255 REMOVE INT/EXT HEM 1 GROUP	$472.45	$859.00	$159.81–$2,577.00	—	45%
Hemorrhoidectomy (internal and external), one area inpatient CPT 46255 HEMORRHOIDECTOMY INT/EXTERNAL IP	$472.45	$859.00	$159.81–$2,577.00	—	45%
Hip replacement after an earlier hip surgery (conversion to total hip) CPT 27132 CONV PREV HIP TO THR IPA	$525.80	$956.00	$979.45–$9,564.00	—	45%
Hip replacement after an earlier hip surgery (conversion to total hip) CPT 27132 CONV PREV HIP TO THR OPA	$525.80	$956.00	$979.45–$9,564.00	—	45%
Hip replacement after an earlier hip surgery (conversion to total hip) CPT 27132 TOTAL HIP ARTHROPLASTY	$2,104.30	$3,826.00	$979.45–$9,564.00	—	45%
Hip replacement after an earlier hip surgery (conversion to total hip) CPT 27132 CONV PREV HIP TO THR IP	$2,104.30	$3,826.00	$979.45–$9,564.00	—	45%
Hip replacement after an earlier hip surgery (conversion to total hip) CPT 27132 CONV PREV HIP TO THR OP	$2,104.30	$3,826.00	$979.45–$9,564.00	—	45%
Hip replacement after an earlier hip surgery (conversion to total hip) inpatient CPT 27132 CONV PREV HIP TO THR OPA	$525.80	$956.00	$979.45–$9,564.00	—	45%
Hip replacement after an earlier hip surgery (conversion to total hip) inpatient CPT 27132 CONV PREV HIP TO THR IPA	$525.80	$956.00	$979.45–$9,564.00	—	45%
Hip replacement after an earlier hip surgery (conversion to total hip) inpatient CPT 27132 TOTAL HIP ARTHROPLASTY	$2,104.30	$3,826.00	$979.45–$9,564.00	—	45%
Hip replacement after an earlier hip surgery (conversion to total hip) inpatient CPT 27132 CONV PREV HIP TO THR OP	$2,104.30	$3,826.00	$979.45–$9,564.00	—	45%
Hip replacement after an earlier hip surgery (conversion to total hip) inpatient CPT 27132 CONV PREV HIP TO THR IP	$2,104.30	$3,826.00	$979.45–$9,564.00	—	45%
Hysterectomy through an abdominal incision (total) CPT 58150 TOT ABD HYST W/WO REM TUBES OPA	$303.05	$551.00	$618.60–$5,514.00	—	45%
Hysterectomy through an abdominal incision (total) CPT 58150 TOT ABD HYST W/WO REM TUBES IPA	$303.05	$551.00	$618.60–$5,514.00	—	45%
Hysterectomy through an abdominal incision (total) CPT 58150 TOTAL ABDOMINAL HYSTERECTOMY OP	$1,213.30	$2,206.00	$618.60–$5,514.00	—	45%
Hysterectomy through an abdominal incision (total) CPT 58150 TOTAL HYSTERECTOMY	$1,213.30	$2,206.00	$618.60–$5,514.00	—	45%
Hysterectomy through an abdominal incision (total) CPT 58150 TOTAL ABDOMINAL HYSTERECTOMY IP	$1,213.30	$2,206.00	$618.60–$5,514.00	—	45%
Hysterectomy through an abdominal incision (total) inpatient CPT 58150 TOT ABD HYST W/WO REM TUBES OPA	$303.05	$551.00	$618.60–$5,514.00	—	45%
Hysterectomy through an abdominal incision (total) inpatient CPT 58150 TOT ABD HYST W/WO REM TUBES IPA	$303.05	$551.00	$618.60–$5,514.00	—	45%
Hysterectomy through an abdominal incision (total) inpatient CPT 58150 TOTAL HYSTERECTOMY	$1,213.30	$2,206.00	$618.60–$5,514.00	—	45%
Hysterectomy through an abdominal incision (total) inpatient CPT 58150 TOTAL ABDOMINAL HYSTERECTOMY OP	$1,213.30	$2,206.00	$618.60–$5,514.00	—	45%
Hysterectomy through an abdominal incision (total) inpatient CPT 58150 TOTAL ABDOMINAL HYSTERECTOMY IP	$1,213.30	$2,206.00	$618.60–$5,514.00	—	45%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 HYSTEROSALPINGOGRAPHY FAC	$55.55	$101.00	$54.16–$1,767.00	83% below	45%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 HYSTEROSALPINGOGRAPHY PRO	$102.30	$186.00	$54.16–$1,767.00	68% below	45%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 HYSTEROSALPINGOGRAPHY OP	$157.85	$287.00	$54.16–$1,767.00	51% below	45%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 HYSTEROSALPINGOGRAPHY MD	$157.85	$287.00	$54.16–$1,767.00	51% below	45%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 HYSTEROSALPINGOGRAPHY IP	$157.85	$287.00	$54.16–$1,767.00	51% below	45%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 CATHETER FOR HYSTEROGRAPHY	$340.45	$619.00	$54.16–$1,767.00	5% above	45%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 HYSTEROSALPINGOGRAM INJ	$340.45	$619.00	$54.16–$1,767.00	5% above	45%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 HYSTEROSALPINGOGRAPHY FAC	$55.55	$101.00	$54.16–$1,767.00	—	45%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 HYSTEROSALPINGOGRAPHY PRO	$102.30	$186.00	$54.16–$1,767.00	—	45%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 HYSTEROSALPINGOGRAPHY OP	$157.85	$287.00	$54.16–$1,767.00	—	45%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 HYSTEROSALPINGOGRAPHY MD	$157.85	$287.00	$54.16–$1,767.00	—	45%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 HYSTEROSALPINGOGRAPHY IP	$157.85	$287.00	$54.16–$1,767.00	—	45%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 HYSTEROSALPINGOGRAM INJ	$340.45	$619.00	$54.16–$1,767.00	—	45%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 CATHETER FOR HYSTEROGRAPHY	$340.45	$619.00	$54.16–$1,767.00	—	45%
Hysteroscopy with endometrial ablation CPT 58563 HSTEROSCOPY ABLATION OP	$1,531.75	$2,785.00	$230.79–$5,570.00	22% below	45%
Hysteroscopy with endometrial ablation CPT 58563 HSTEROSCOPY ABLATION IP	$1,531.75	$2,785.00	$230.79–$5,570.00	22% below	45%
Hysteroscopy with endometrial ablation CPT 58563 HYSTEROSCOPY ABLATION	$1,531.75	$2,785.00	$230.79–$5,570.00	22% below	45%
Hysteroscopy with endometrial ablation inpatient CPT 58563 HSTEROSCOPY ABLATION IP	$1,531.75	$2,785.00	$230.79–$5,570.00	—	45%
Hysteroscopy with endometrial ablation inpatient CPT 58563 HYSTEROSCOPY ABLATION	$1,531.75	$2,785.00	$230.79–$5,570.00	—	45%
Hysteroscopy with endometrial ablation inpatient CPT 58563 HSTEROSCOPY ABLATION OP	$1,531.75	$2,785.00	$230.79–$5,570.00	—	45%
Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 HYSTEROSCOPY BIOPSY	$403.15	$733.00	$100.65–$1,832.00	81% below	45%
Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 HYSTEROSCOPY SURG W/SMPL BIOP IP	$403.15	$733.00	$100.65–$1,832.00	81% below	45%
Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 HYSTEROSCOPY SURG W/SMPL BIOP OP	$403.15	$733.00	$100.65–$1,832.00	81% below	45%
Hysteroscopy with uterine lining sampling and/or polyp removal inpatient CPT 58558 HYSTEROSCOPY BIOPSY	$403.15	$733.00	$100.65–$1,832.00	—	45%
Hysteroscopy with uterine lining sampling and/or polyp removal inpatient CPT 58558 HYSTEROSCOPY SURG W/SMPL BIOP IP	$403.15	$733.00	$100.65–$1,832.00	—	45%
Hysteroscopy with uterine lining sampling and/or polyp removal inpatient CPT 58558 HYSTEROSCOPY SURG W/SMPL BIOP OP	$403.15	$733.00	$100.65–$1,832.00	—	45%
IUD insertion (the device itself billed separately) CPT 58300 IUD INSERTION FAC	$34.10	$62.00	$40.21–$716.00	94% below	45%
IUD insertion (the device itself billed separately) CPT 58300 IUD INSERTION PRO	$64.35	$117.00	$40.21–$716.00	88% below	45%
IUD insertion (the device itself billed separately) CPT 58300 IUD INSERTION MD	$98.45	$179.00	$40.21–$716.00	82% below	45%
IUD insertion (the device itself billed separately) CPT 58300 IUD INSERTION IP	$98.45	$179.00	$40.21–$716.00	82% below	45%
IUD insertion (the device itself billed separately) CPT 58300 INSERT INTRAUTERINE DEVICE	$98.45	$179.00	$40.21–$716.00	82% below	45%
IUD insertion (the device itself billed separately) CPT 58300 IUD INSERTION OP	$98.45	$179.00	$40.21–$716.00	82% below	45%
IUD insertion (the device itself billed separately) inpatient CPT 58300 IUD INSERTION FAC	$34.10	$62.00	$40.21–$716.00	—	45%
IUD insertion (the device itself billed separately) inpatient CPT 58300 IUD INSERTION PRO	$64.35	$117.00	$40.21–$716.00	—	45%
IUD insertion (the device itself billed separately) inpatient CPT 58300 IUD INSERTION IP	$98.45	$179.00	$40.21–$716.00	—	45%
IUD insertion (the device itself billed separately) inpatient CPT 58300 IUD INSERTION MD	$98.45	$179.00	$40.21–$716.00	—	45%
IUD insertion (the device itself billed separately) inpatient CPT 58300 IUD INSERTION OP	$98.45	$179.00	$40.21–$716.00	—	45%
IUD insertion (the device itself billed separately) inpatient CPT 58300 INSERT INTRAUTERINE DEVICE	$98.45	$179.00	$40.21–$716.00	—	45%
Incision and drainage of a simple or single skin abscess CPT 10060 INCISION & DRAIN ABSCESS FAC	$44.00	$80.00	$35.00–$2,070.00	79% below	45%
Incision and drainage of a simple or single skin abscess CPT 10060 INCISION & DRAIN ABSCESS UB FAC	$44.00	$80.00	$35.00–$2,070.00	79% below	45%
Incision and drainage of a simple or single skin abscess CPT 10060 INCISION & DRAIN ABSCESS PRO	$82.50	$150.00	$35.00–$2,070.00	61% below	45%
Incision and drainage of a simple or single skin abscess CPT 10060 INCISION & DRAIN ABSCESS PRO	$82.50	$150.00	$35.00–$2,070.00	61% below	45%
Incision and drainage of a simple or single skin abscess CPT 10060 INCISION & DRAIN ABSCESS UB ONLY	$126.50	$230.00	$35.00–$2,070.00	41% below	45%
Incision and drainage of a simple or single skin abscess CPT 10060 I&D ABSCESS SIMPLE/SINGLE	$126.50	$230.00	$35.00–$2,070.00	41% below	45%
Incision and drainage of a simple or single skin abscess CPT 10060 I&D SIMPLE ABSCESS	$126.50	$230.00	$35.00–$2,070.00	41% below	45%
Incision and drainage of a simple or single skin abscess CPT 10060 INCISION & DRAIN ABSCESS MD	$126.50	$230.00	$35.00–$2,070.00	41% below	45%
Incision and drainage of a simple or single skin abscess CPT 10060 INCISION & DRAIN ABSCESS IP	$126.50	$230.00	$35.00–$2,070.00	41% below	45%
Incision and drainage of a simple or single skin abscess CPT 10060 INCISION & DRAIN ABSCESS OP	$126.50	$230.00	$35.00–$2,070.00	41% below	45%
Incision and drainage of a simple or single skin abscess CPT 10060 MD-I&D SIMPLE ABSCESS	$126.50	$230.00	$35.00–$2,070.00	41% below	45%
Incision and drainage of a simple or single skin abscess CPT 10060 INCISION & DRAIN ABSCESS 1500 ONLY	$126.50	$230.00	$35.00–$2,070.00	41% below	45%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 INCISION & DRAIN ABSCESS FAC	$44.00	$80.00	$35.00–$2,070.00	—	45%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 INCISION & DRAIN ABSCESS UB FAC	$44.00	$80.00	$35.00–$2,070.00	—	45%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 INCISION & DRAIN ABSCESS PRO	$82.50	$150.00	$35.00–$2,070.00	—	45%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 INCISION & DRAIN ABSCESS PRO	$82.50	$150.00	$35.00–$2,070.00	—	45%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I&D SIMPLE ABSCESS	$126.50	$230.00	$35.00–$2,070.00	—	45%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 INCISION & DRAIN ABSCESS UB ONLY	$126.50	$230.00	$35.00–$2,070.00	—	45%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 INCISION & DRAIN ABSCESS OP	$126.50	$230.00	$35.00–$2,070.00	—	45%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 INCISION & DRAIN ABSCESS 1500 ONLY	$126.50	$230.00	$35.00–$2,070.00	—	45%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 MD-I&D SIMPLE ABSCESS	$126.50	$230.00	$35.00–$2,070.00	—	45%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I&D ABSCESS SIMPLE/SINGLE	$126.50	$230.00	$35.00–$2,070.00	—	45%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 INCISION & DRAIN ABSCESS IP	$126.50	$230.00	$35.00–$2,070.00	—	45%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 INCISION & DRAIN ABSCESS MD	$126.50	$230.00	$35.00–$2,070.00	—	45%
Inguinal (groin) hernia repair, age 5 or older CPT 49505 HERNIA INIT INGUINAL 5+ YRS OP	$491.15	$893.00	$281.46–$1,786.00	92% below	45%
Inguinal (groin) hernia repair, age 5 or older CPT 49505 PRP I/HERN INIT REDUC >5 YR	$491.15	$893.00	$281.46–$1,786.00	92% below	45%
Inguinal (groin) hernia repair, age 5 or older CPT 49505 HERNIA INIT INGUINAL 5+ YRS IP	$491.15	$893.00	$281.46–$1,786.00	92% below	45%
Inguinal (groin) hernia repair, age 5 or older inpatient CPT 49505 PRP I/HERN INIT REDUC >5 YR	$491.15	$893.00	$281.46–$1,786.00	—	45%
Inguinal (groin) hernia repair, age 5 or older inpatient CPT 49505 HERNIA INIT INGUINAL 5+ YRS IP	$491.15	$893.00	$281.46–$1,786.00	—	45%
Inguinal (groin) hernia repair, age 5 or older inpatient CPT 49505 HERNIA INIT INGUINAL 5+ YRS OP	$491.15	$893.00	$281.46–$1,786.00	—	45%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJ SINGLE TENDON OR LIGAM PRO	$62.15	$113.00	$33.00–$865.00	79% below	45%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 MD-INJ SINGLE TENDON OR LIGAM	$95.15	$173.00	$33.00–$865.00	67% below	45%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJ SINGLE TENDON OR LIGAM MD	$95.15	$173.00	$33.00–$865.00	67% below	45%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJ SGL TENDON SHTH OR LIG OP	$95.15	$173.00	$33.00–$865.00	67% below	45%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJ SGL TENDON SHTH OR LIG IP	$95.15	$173.00	$33.00–$865.00	67% below	45%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 NJX 1 TENDON SHEATH/LIGAMENT	$95.15	$173.00	$33.00–$865.00	67% below	45%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 INJ SINGLE TENDON OR LIGAM PRO	$62.15	$113.00	$33.00–$865.00	—	45%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 MD-INJ SINGLE TENDON OR LIGAM	$95.15	$173.00	$33.00–$865.00	—	45%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 INJ SINGLE TENDON OR LIGAM MD	$95.15	$173.00	$33.00–$865.00	—	45%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 INJ SGL TENDON SHTH OR LIG IP	$95.15	$173.00	$33.00–$865.00	—	45%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 INJ SGL TENDON SHTH OR LIG OP	$95.15	$173.00	$33.00–$865.00	—	45%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 NJX 1 TENDON SHEATH/LIGAMENT	$95.15	$173.00	$33.00–$865.00	—	45%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 INJECT DRAIN JOINT BURSA PRO	$62.15	$113.00	$22.68–$3,124.00	82% below	45%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 INJECT DRAIN JOINT BURSA PRO	$62.15	$113.00	$22.68–$3,124.00	82% below	45%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 MD-ARTHROCENTESIS LARGE JOINT	$95.15	$173.00	$22.68–$3,124.00	72% below	45%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 INJECT DRAIN JOINT BURSA 1500 ONLY	$95.15	$173.00	$22.68–$3,124.00	72% below	45%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 INJECT DRAIN JOINT BURSA UB ONLY	$95.15	$173.00	$22.68–$3,124.00	72% below	45%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 INJECT DRAIN JOINT BURSA MD	$95.15	$173.00	$22.68–$3,124.00	72% below	45%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 INJECT DRAIN JOINT BURSA IP	$95.15	$173.00	$22.68–$3,124.00	72% below	45%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 INJECT DRAIN JOINT BURSA OP	$95.15	$173.00	$22.68–$3,124.00	72% below	45%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 DRAIN/INJ JOINT/BURSA W/O US	$95.15	$173.00	$22.68–$3,124.00	72% below	45%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 CT DRAIN/INJ MAJOR JNT/BURSA RT	$239.25	$435.00	$22.68–$3,124.00	29% below	45%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 INJECTION MAJOR JNT RT (PANEL)	$239.25	$435.00	$22.68–$3,124.00	29% below	45%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 CT DRAIN/INJ MAJOR JNT/BURSA LT	$239.25	$435.00	$22.68–$3,124.00	29% below	45%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 INJECTION MAJOR JNT LT (PANEL)	$239.25	$435.00	$22.68–$3,124.00	29% below	45%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 INJECT DRAIN JOINT BURSA PRO	$62.15	$113.00	$22.68–$3,124.00	—	45%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 INJECT DRAIN JOINT BURSA PRO	$62.15	$113.00	$22.68–$3,124.00	—	45%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 INJECT DRAIN JOINT BURSA 1500 ONLY	$95.15	$173.00	$22.68–$3,124.00	—	45%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 DRAIN/INJ JOINT/BURSA W/O US	$95.15	$173.00	$22.68–$3,124.00	—	45%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 MD-ARTHROCENTESIS LARGE JOINT	$95.15	$173.00	$22.68–$3,124.00	—	45%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 INJECT DRAIN JOINT BURSA OP	$95.15	$173.00	$22.68–$3,124.00	—	45%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 INJECT DRAIN JOINT BURSA IP	$95.15	$173.00	$22.68–$3,124.00	—	45%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 INJECT DRAIN JOINT BURSA MD	$95.15	$173.00	$22.68–$3,124.00	—	45%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 INJECT DRAIN JOINT BURSA UB ONLY	$95.15	$173.00	$22.68–$3,124.00	—	45%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient one side CPT 20610 INJECTION MAJOR JNT RT (PANEL)	$239.25	$435.00	$22.68–$3,124.00	—	45%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient one side CPT 20610 INJECTION MAJOR JNT LT (PANEL)	$239.25	$435.00	$22.68–$3,124.00	—	45%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient one side CPT 20610 CT DRAIN/INJ MAJOR JNT/BURSA RT	$239.25	$435.00	$22.68–$3,124.00	—	45%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient one side CPT 20610 CT DRAIN/INJ MAJOR JNT/BURSA LT	$239.25	$435.00	$22.68–$3,124.00	—	45%
Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 INSERTION DRUG DELIV IMPLANT FAC	$43.45	$79.00	$58.51–$900.00	50% below	45%
Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 INSERTION DRUG DELIV IMPLANT PRO	$80.30	$146.00	$58.51–$900.00	8% below	45%
Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 INSERTION NON BIO DRUG IMPLANT OP	$123.75	$225.00	$58.51–$900.00	42% above	45%
Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 INSERTION DRUG DELIV IMPLANT MD	$123.75	$225.00	$58.51–$900.00	42% above	45%
Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 INSERTION DRUG DLVR IMPLANT	$123.75	$225.00	$58.51–$900.00	42% above	45%
Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 INSERTION NON BIO DRUG IMPLANT IP	$123.75	$225.00	$58.51–$900.00	42% above	45%
Insertion of a drug-delivery implant, such as the arm birth control implant inpatient CPT 11981 INSERTION DRUG DELIV IMPLANT FAC	$43.45	$79.00	$58.51–$900.00	—	45%
Insertion of a drug-delivery implant, such as the arm birth control implant inpatient CPT 11981 INSERTION DRUG DELIV IMPLANT PRO	$80.30	$146.00	$58.51–$900.00	—	45%
Insertion of a drug-delivery implant, such as the arm birth control implant inpatient CPT 11981 INSERTION DRUG DELIV IMPLANT MD	$123.75	$225.00	$58.51–$900.00	—	45%
Insertion of a drug-delivery implant, such as the arm birth control implant inpatient CPT 11981 INSERTION NON BIO DRUG IMPLANT IP	$123.75	$225.00	$58.51–$900.00	—	45%
Insertion of a drug-delivery implant, such as the arm birth control implant inpatient CPT 11981 INSERTION NON BIO DRUG IMPLANT OP	$123.75	$225.00	$58.51–$900.00	—	45%
Insertion of a drug-delivery implant, such as the arm birth control implant inpatient CPT 11981 INSERTION DRUG DLVR IMPLANT	$123.75	$225.00	$58.51–$900.00	—	45%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 DRAINAGE MED JOINT BURSA CYST PRO	$50.05	$91.00	$15.47–$1,786.00	82% below	45%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 DRAINAGE MED JOINT BURSA CYST PRO	$50.05	$91.00	$15.47–$1,786.00	82% below	45%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 DRAIN/INJ JOINT/BURSA W/O US	$77.00	$140.00	$15.47–$1,786.00	72% below	45%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 MD-ARTHROCENTESIS MED JOINT	$77.00	$140.00	$15.47–$1,786.00	72% below	45%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 DRAINAGE MED JOINT BURSA CYST 1500 ONLY	$77.00	$140.00	$15.47–$1,786.00	72% below	45%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 DRAINAGE MED JOINT BURSA CYST UB ONLY	$77.00	$140.00	$15.47–$1,786.00	72% below	45%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 DRAINAGE MED JOINT BURSA CYST MD	$77.00	$140.00	$15.47–$1,786.00	72% below	45%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 DRAINAGE MED JOINT BURSA CYST IP	$77.00	$140.00	$15.47–$1,786.00	72% below	45%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 DRAINAGE MED JOINT BURSA CYST OP	$77.00	$140.00	$15.47–$1,786.00	72% below	45%
Joint injection or drainage, medium joint (wrist, elbow, ankle) one side CPT 20605 INJECTION MEDIUM JNT LT (PANEL)	$183.15	$333.00	$15.47–$1,786.00	34% below	45%
Joint injection or drainage, medium joint (wrist, elbow, ankle) one side CPT 20605 INJECTION MEDIUM JNT RT (PANEL)	$183.15	$333.00	$15.47–$1,786.00	34% below	45%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 DRAINAGE MED JOINT BURSA CYST PRO	$50.05	$91.00	$15.47–$1,786.00	—	45%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 DRAINAGE MED JOINT BURSA CYST PRO	$50.05	$91.00	$15.47–$1,786.00	—	45%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 DRAIN/INJ JOINT/BURSA W/O US	$77.00	$140.00	$15.47–$1,786.00	—	45%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 DRAINAGE MED JOINT BURSA CYST 1500 ONLY	$77.00	$140.00	$15.47–$1,786.00	—	45%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 DRAINAGE MED JOINT BURSA CYST UB ONLY	$77.00	$140.00	$15.47–$1,786.00	—	45%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 DRAINAGE MED JOINT BURSA CYST OP	$77.00	$140.00	$15.47–$1,786.00	—	45%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 DRAINAGE MED JOINT BURSA CYST IP	$77.00	$140.00	$15.47–$1,786.00	—	45%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 DRAINAGE MED JOINT BURSA CYST MD	$77.00	$140.00	$15.47–$1,786.00	—	45%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 MD-ARTHROCENTESIS MED JOINT	$77.00	$140.00	$15.47–$1,786.00	—	45%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient one side CPT 20605 INJECTION MEDIUM JNT RT (PANEL)	$183.15	$333.00	$15.47–$1,786.00	—	45%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient one side CPT 20605 INJECTION MEDIUM JNT LT (PANEL)	$183.15	$333.00	$15.47–$1,786.00	—	45%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 ANTHROCENT/SM JNT FINGERS/TOES PRO	$50.05	$91.00	$13.40–$1,252.00	81% below	45%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 DRAIN/INJ JOINT/BURSA W/O US	$77.00	$140.00	$13.40–$1,252.00	70% below	45%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 ANTHROCENT/SM JNT FINGERS/TOES MD	$77.00	$140.00	$13.40–$1,252.00	70% below	45%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 DRAINAGE SMALL JOINT BURSA CYST IP	$77.00	$140.00	$13.40–$1,252.00	70% below	45%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 DRAINAGE SMALL JOINT BURSA CYST OP	$77.00	$140.00	$13.40–$1,252.00	70% below	45%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 MD-ARTHROCENTESIS SM JOINT	$77.00	$140.00	$13.40–$1,252.00	70% below	45%
Joint injection or drainage, small joint (fingers, toes) one side CPT 20600 INJECTION SMALL JNT LT (PANEL)	$151.80	$276.00	$13.40–$1,252.00	41% below	45%
Joint injection or drainage, small joint (fingers, toes) one side CPT 20600 INJECTION SMALL JNT RT (PANEL)	$151.80	$276.00	$13.40–$1,252.00	41% below	45%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 ANTHROCENT/SM JNT FINGERS/TOES PRO	$50.05	$91.00	$13.40–$1,252.00	—	45%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 MD-ARTHROCENTESIS SM JOINT	$77.00	$140.00	$13.40–$1,252.00	—	45%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 DRAINAGE SMALL JOINT BURSA CYST IP	$77.00	$140.00	$13.40–$1,252.00	—	45%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 ANTHROCENT/SM JNT FINGERS/TOES MD	$77.00	$140.00	$13.40–$1,252.00	—	45%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 DRAINAGE SMALL JOINT BURSA CYST OP	$77.00	$140.00	$13.40–$1,252.00	—	45%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 DRAIN/INJ JOINT/BURSA W/O US	$77.00	$140.00	$13.40–$1,252.00	—	45%
Joint injection or drainage, small joint (fingers, toes) inpatient one side CPT 20600 INJECTION SMALL JNT LT (PANEL)	$151.80	$276.00	$13.40–$1,252.00	—	45%
Joint injection or drainage, small joint (fingers, toes) inpatient one side CPT 20600 INJECTION SMALL JNT RT (PANEL)	$151.80	$276.00	$13.40–$1,252.00	—	45%
Knee arthroscopy with meniscus repair (one side of the knee) CPT 29882 ARTHROSCOPY REPAIR MENI MED/LAT IP	$858.55	$1,561.00	$510.35–$3,904.00	68% below	45%
Knee arthroscopy with meniscus repair (one side of the knee) CPT 29882 ARTHROSCOPY REPAIR MENI MED/LAT OP	$858.55	$1,561.00	$510.35–$3,904.00	68% below	45%
Knee arthroscopy with meniscus repair (one side of the knee) CPT 29882 ARTHRS KNE SRG MNISC RPR M/L	$858.55	$1,561.00	$510.35–$3,904.00	68% below	45%
Knee arthroscopy with meniscus repair (one side of the knee) inpatient CPT 29882 ARTHRS KNE SRG MNISC RPR M/L	$858.55	$1,561.00	$510.35–$3,904.00	—	45%
Knee arthroscopy with meniscus repair (one side of the knee) inpatient CPT 29882 ARTHROSCOPY REPAIR MENI MED/LAT OP	$858.55	$1,561.00	$510.35–$3,904.00	—	45%
Knee arthroscopy with meniscus repair (one side of the knee) inpatient CPT 29882 ARTHROSCOPY REPAIR MENI MED/LAT IP	$858.55	$1,561.00	$510.35–$3,904.00	—	45%
Knee arthroscopy with meniscus trim CPT 29881 ARTHRS KNE SRG MNISECTMY M/L	$789.25	$1,435.00	$476.32–$3,588.00	85% below	45%
Knee arthroscopy with meniscus trim CPT 29881 ARTHROSCOPY MENISCECT MED/LAT IP	$789.25	$1,435.00	$476.32–$3,588.00	85% below	45%
Knee arthroscopy with meniscus trim CPT 29881 ARTHROSCOPY MENISCECT MED/LAT OP	$789.25	$1,435.00	$476.32–$3,588.00	85% below	45%
Knee arthroscopy with meniscus trim inpatient CPT 29881 ARTHROSCOPY MENISCECT MED/LAT OP	$789.25	$1,435.00	$476.32–$3,588.00	—	45%
Knee arthroscopy with meniscus trim inpatient CPT 29881 ARTHROSCOPY MENISCECT MED/LAT IP	$789.25	$1,435.00	$476.32–$3,588.00	—	45%
Knee arthroscopy with meniscus trim inpatient CPT 29881 ARTHRS KNE SRG MNISECTMY M/L	$789.25	$1,435.00	$476.32–$3,588.00	—	45%
Knee arthroscopy with removal of both torn meniscus parts CPT 29880 ARTHROSCOPY MENISCECT MED&LAT IP	$841.50	$1,530.00	$515.50–$3,826.00	86% below	45%
Knee arthroscopy with removal of both torn meniscus parts CPT 29880 ARTHRS KNE SRG MNISECTMY M&L	$841.50	$1,530.00	$515.50–$3,826.00	86% below	45%
Knee arthroscopy with removal of both torn meniscus parts CPT 29880 ARTHROSCOPY MENISCECT MED&LAT OP	$841.50	$1,530.00	$515.50–$3,826.00	86% below	45%
Knee arthroscopy with removal of both torn meniscus parts inpatient CPT 29880 ARTHROSCOPY MENISCECT MED&LAT OP	$841.50	$1,530.00	$515.50–$3,826.00	—	45%
Knee arthroscopy with removal of both torn meniscus parts inpatient CPT 29880 ARTHROSCOPY MENISCECT MED&LAT IP	$841.50	$1,530.00	$515.50–$3,826.00	—	45%
Knee arthroscopy with removal of both torn meniscus parts inpatient CPT 29880 ARTHRS KNE SRG MNISECTMY M&L	$841.50	$1,530.00	$515.50–$3,826.00	—	45%
Knee arthroscopy with smoothing of damaged cartilage (chondroplasty) CPT 29877 ARTHRO KNEE DEBRIDE ART CARTTY OP	$754.05	$1,371.00	$388.27–$3,428.00	—	45%
Knee arthroscopy with smoothing of damaged cartilage (chondroplasty) CPT 29877 ARTHRS KNEE SURG DBRDMT/SHVG	$754.05	$1,371.00	$388.27–$3,428.00	—	45%
Knee arthroscopy with smoothing of damaged cartilage (chondroplasty) CPT 29877 ARTHRO KNEE DEBRIDE ART CARTTY IP	$754.05	$1,371.00	$388.27–$3,428.00	—	45%
Knee arthroscopy with smoothing of damaged cartilage (chondroplasty) inpatient CPT 29877 ARTHRS KNEE SURG DBRDMT/SHVG	$754.05	$1,371.00	$388.27–$3,428.00	—	45%
Knee arthroscopy with smoothing of damaged cartilage (chondroplasty) inpatient CPT 29877 ARTHRO KNEE DEBRIDE ART CARTTY IP	$754.05	$1,371.00	$388.27–$3,428.00	—	45%
Knee arthroscopy with smoothing of damaged cartilage (chondroplasty) inpatient CPT 29877 ARTHRO KNEE DEBRIDE ART CARTTY OP	$754.05	$1,371.00	$388.27–$3,428.00	—	45%
Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 LAPAROSCOPY APPENDECTOMY	$680.90	$1,238.00	$170.50–$2,786.00	90% below	45%
Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 APPENDECTOMY LAPROSCOPIC IP	$680.90	$1,238.00	$170.50–$2,786.00	90% below	45%
Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 APPENDECTOMY LAPROSCOPIC OP	$680.90	$1,238.00	$170.50–$2,786.00	90% below	45%
Laparoscopic appendectomy (appendix removal through small cuts) inpatient CPT 44970 LAPAROSCOPY APPENDECTOMY	$680.90	$1,238.00	$170.50–$2,786.00	—	45%
Laparoscopic appendectomy (appendix removal through small cuts) inpatient CPT 44970 APPENDECTOMY LAPROSCOPIC IP	$680.90	$1,238.00	$170.50–$2,786.00	—	45%
Laparoscopic appendectomy (appendix removal through small cuts) inpatient CPT 44970 APPENDECTOMY LAPROSCOPIC OP	$680.90	$1,238.00	$170.50–$2,786.00	—	45%
Laparoscopic fundoplication (anti-reflux surgery) CPT 43280 LAPAROSCOPY FUNDOPLASTY	$1,244.65	$2,263.00	$686.69–$5,658.00	—	45%
Laparoscopic fundoplication (anti-reflux surgery) CPT 43280 LAP NISSEN OP	$1,244.65	$2,263.00	$686.69–$5,658.00	—	45%
Laparoscopic fundoplication (anti-reflux surgery) CPT 43280 LAP NISSEN IP	$1,244.65	$2,263.00	$686.69–$5,658.00	—	45%
Laparoscopic fundoplication (anti-reflux surgery) inpatient CPT 43280 LAP NISSEN OP	$1,244.65	$2,263.00	$686.69–$5,658.00	—	45%
Laparoscopic fundoplication (anti-reflux surgery) inpatient CPT 43280 LAP NISSEN IP	$1,244.65	$2,263.00	$686.69–$5,658.00	—	45%
Laparoscopic fundoplication (anti-reflux surgery) inpatient CPT 43280 LAPAROSCOPY FUNDOPLASTY	$1,244.65	$2,263.00	$686.69–$5,658.00	—	45%
Laparoscopic hysterectomy (uterus 250 g or less) CPT 58570 LAPAROSCOPY TOTAL HYST <= 250G OP	$1,122.00	$2,040.00	$454.10–$4,080.00	59% below	45%
Laparoscopic hysterectomy (uterus 250 g or less) CPT 58570 TLH UTERUS 250 G OR LESS	$1,122.00	$2,040.00	$454.10–$4,080.00	59% below	45%
Laparoscopic hysterectomy (uterus 250 g or less) CPT 58570 LAPAROSCOPY TOTAL HYST <= 250G IP	$1,122.00	$2,040.00	$454.10–$4,080.00	59% below	45%
Laparoscopic hysterectomy (uterus 250 g or less) inpatient CPT 58570 LAPAROSCOPY TOTAL HYST <= 250G IP	$1,122.00	$2,040.00	$454.10–$4,080.00	—	45%
Laparoscopic hysterectomy (uterus 250 g or less) inpatient CPT 58570 TLH UTERUS 250 G OR LESS	$1,122.00	$2,040.00	$454.10–$4,080.00	—	45%
Laparoscopic hysterectomy (uterus 250 g or less) inpatient CPT 58570 LAPAROSCOPY TOTAL HYST <= 250G OP	$1,122.00	$2,040.00	$454.10–$4,080.00	—	45%
Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries CPT 58571 LAPA HYST W/REMV TUB/OVR <=250G OP	$1,227.05	$2,231.00	$497.53–$5,624.00	—	45%
Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries CPT 58571 TLH W/T/O 250 G OR LESS	$1,227.05	$2,231.00	$497.53–$5,624.00	—	45%
Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries CPT 58571 LAPA HYST W/REMV TUB/OVR <=250G IP	$1,227.05	$2,231.00	$497.53–$5,624.00	—	45%
Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries inpatient CPT 58571 TLH W/T/O 250 G OR LESS	$1,227.05	$2,231.00	$497.53–$5,624.00	—	45%
Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries inpatient CPT 58571 LAPA HYST W/REMV TUB/OVR <=250G OP	$1,227.05	$2,231.00	$497.53–$5,624.00	—	45%
Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries inpatient CPT 58571 LAPA HYST W/REMV TUB/OVR <=250G IP	$1,227.05	$2,231.00	$497.53–$5,624.00	—	45%
Laparoscopic inguinal (groin) hernia repair, first repair on that side CPT 49650 LAP ING HERNIA REPAIR INIT	$491.15	$893.00	$250.92–$1,786.00	—	45%
Laparoscopic inguinal (groin) hernia repair, first repair on that side CPT 49650 HERNIA LAP INIT INGUINAL HERNIA IP	$491.15	$893.00	$250.92–$1,786.00	—	45%
Laparoscopic inguinal (groin) hernia repair, first repair on that side CPT 49650 HERNIA LAP INIT INGUINAL HERNIA OP	$491.15	$893.00	$250.92–$1,786.00	—	45%
Laparoscopic inguinal (groin) hernia repair, first repair on that side inpatient CPT 49650 HERNIA LAP INIT INGUINAL HERNIA IP	$491.15	$893.00	$250.92–$1,786.00	—	45%
Laparoscopic inguinal (groin) hernia repair, first repair on that side inpatient CPT 49650 LAP ING HERNIA REPAIR INIT	$491.15	$893.00	$250.92–$1,786.00	—	45%
Laparoscopic inguinal (groin) hernia repair, first repair on that side inpatient CPT 49650 HERNIA LAP INIT INGUINAL HERNIA OP	$491.15	$893.00	$250.92–$1,786.00	—	45%
Laparoscopic inguinal (groin) hernia repair, recurrent hernia CPT 49651 LAP ING HERNIA REPAIR RECUR	$631.40	$1,148.00	$321.59–$2,296.00	—	45%
Laparoscopic inguinal (groin) hernia repair, recurrent hernia CPT 49651 HERNIA RECURRENT LAP IP	$631.40	$1,148.00	$321.59–$2,296.00	—	45%
Laparoscopic inguinal (groin) hernia repair, recurrent hernia CPT 49651 HERNIA RECURRENT LAP OP	$631.40	$1,148.00	$321.59–$2,296.00	—	45%
Laparoscopic inguinal (groin) hernia repair, recurrent hernia inpatient CPT 49651 LAP ING HERNIA REPAIR RECUR	$631.40	$1,148.00	$321.59–$2,296.00	—	45%
Laparoscopic inguinal (groin) hernia repair, recurrent hernia inpatient CPT 49651 HERNIA RECURRENT LAP IP	$631.40	$1,148.00	$321.59–$2,296.00	—	45%
Laparoscopic inguinal (groin) hernia repair, recurrent hernia inpatient CPT 49651 HERNIA RECURRENT LAP OP	$631.40	$1,148.00	$321.59–$2,296.00	—	45%
Laparoscopic removal of fallopian tubes and/or ovaries CPT 58661 LAPAROSCOPY W/RMV ADNEXAL IP	$823.90	$1,498.00	$205.70–$3,744.00	72% below	45%
Laparoscopic removal of fallopian tubes and/or ovaries CPT 58661 LAPAROSCOPY W/RMV ADNEXAL OP	$823.90	$1,498.00	$205.70–$3,744.00	72% below	45%
Laparoscopic removal of fallopian tubes and/or ovaries CPT 58661 LAPAROSCOPY REMOVE ADNEXA	$823.90	$1,498.00	$205.70–$3,744.00	72% below	45%
Laparoscopic removal of fallopian tubes and/or ovaries inpatient CPT 58661 LAPAROSCOPY W/RMV ADNEXAL OP	$823.90	$1,498.00	$205.70–$3,744.00	—	45%
Laparoscopic removal of fallopian tubes and/or ovaries inpatient CPT 58661 LAPAROSCOPY W/RMV ADNEXAL IP	$823.90	$1,498.00	$205.70–$3,744.00	—	45%
Laparoscopic removal of fallopian tubes and/or ovaries inpatient CPT 58661 LAPAROSCOPY REMOVE ADNEXA	$823.90	$1,498.00	$205.70–$3,744.00	—	45%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 LAYER CLOSURE SCALP <2.5 CM FAC	$75.35	$137.00	$114.30–$3,144.00	79% below	45%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 LAYER CLOSURE SCALP <2.5 CM FAC	$75.35	$137.00	$114.30–$3,144.00	79% below	45%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 LAYER CLOSURE SCALP <2.5 CM PRO	$140.80	$256.00	$114.30–$3,144.00	61% below	45%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 LAYER CLOSURE SCALP <2.5 CM PRO	$140.80	$256.00	$114.30–$3,144.00	61% below	45%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 INTMD RPR S/A/T/EXT 2.5 CM/<	$216.15	$393.00	$114.30–$3,144.00	40% below	45%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 MD-INTERMED LAC SCALP THRUNK 2.5CM	$216.15	$393.00	$114.30–$3,144.00	40% below	45%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 LAYER CLOSURE SCALP <2.5 CM OP	$216.15	$393.00	$114.30–$3,144.00	40% below	45%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 LAYER CLOSURE SCALP <2.5 CM IP	$216.15	$393.00	$114.30–$3,144.00	40% below	45%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 LAYER CLOSURE SCALP <2.5 CM MD	$216.15	$393.00	$114.30–$3,144.00	40% below	45%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 LAYER CLOSURE SCALP <2.5 CM UB ONLY	$216.15	$393.00	$114.30–$3,144.00	40% below	45%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 LAYER CLOSURE SCALP <2.5 CM 1500 ONLY	$216.15	$393.00	$114.30–$3,144.00	40% below	45%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 LAYER CLOSURE SCALP <2.5 CM FAC	$75.35	$137.00	$114.30–$3,144.00	—	45%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 LAYER CLOSURE SCALP <2.5 CM FAC	$75.35	$137.00	$114.30–$3,144.00	—	45%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 LAYER CLOSURE SCALP <2.5 CM PRO	$140.80	$256.00	$114.30–$3,144.00	—	45%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 LAYER CLOSURE SCALP <2.5 CM PRO	$140.80	$256.00	$114.30–$3,144.00	—	45%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 MD-INTERMED LAC SCALP THRUNK 2.5CM	$216.15	$393.00	$114.30–$3,144.00	—	45%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 LAYER CLOSURE SCALP <2.5 CM MD	$216.15	$393.00	$114.30–$3,144.00	—	45%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 LAYER CLOSURE SCALP <2.5 CM OP	$216.15	$393.00	$114.30–$3,144.00	—	45%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 INTMD RPR S/A/T/EXT 2.5 CM/<	$216.15	$393.00	$114.30–$3,144.00	—	45%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 LAYER CLOSURE SCALP <2.5 CM IP	$216.15	$393.00	$114.30–$3,144.00	—	45%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 LAYER CLOSURE SCALP <2.5 CM 1500 ONLY	$216.15	$393.00	$114.30–$3,144.00	—	45%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 LAYER CLOSURE SCALP <2.5 CM UB ONLY	$216.15	$393.00	$114.30–$3,144.00	—	45%
Lower-back epidural injection, without imaging guidance CPT 62322 NJX INTERLAMINAR LMBR/SAC	$611.05	$1,111.00	$54.10–$1,111.00	31% below	45%
Lower-back epidural injection, without imaging guidance inpatient CPT 62322 NJX INTERLAMINAR LMBR/SAC	$611.05	$1,111.00	$54.10–$1,111.00	—	45%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 INJ FORAMEN EPIDURAL	$482.35	$877.00	$105.95–$877.00	59% below	45%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 NJX AA&/STRD TFRM EPI L/S 1	$482.35	$877.00	$105.95–$877.00	59% below	45%
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 INJ FORAMEN EPIDURAL	$482.35	$877.00	$105.95–$877.00	—	45%
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 NJX AA&/STRD TFRM EPI L/S 1	$482.35	$877.00	$105.95–$877.00	—	45%
Lumpectomy (partial mastectomy) CPT 19301 MASTECTOMY PARTIAL IP	$701.80	$1,276.00	$214.14–$2,552.00	—	45%
Lumpectomy (partial mastectomy) CPT 19301 PARTIAL MASTECTOMY	$701.80	$1,276.00	$214.14–$2,552.00	—	45%
Lumpectomy (partial mastectomy) CPT 19301 MASTECTOMY PARTIAL OP	$701.80	$1,276.00	$214.14–$2,552.00	—	45%
Lumpectomy (partial mastectomy) inpatient CPT 19301 MASTECTOMY PARTIAL IP	$701.80	$1,276.00	$214.14–$2,552.00	—	45%
Lumpectomy (partial mastectomy) inpatient CPT 19301 MASTECTOMY PARTIAL OP	$701.80	$1,276.00	$214.14–$2,552.00	—	45%
Lumpectomy (partial mastectomy) inpatient CPT 19301 PARTIAL MASTECTOMY	$701.80	$1,276.00	$214.14–$2,552.00	—	45%
Mastectomy (total removal of the breast) CPT 19303 MAST SIMPLE COMPLETE	$1,086.80	$1,976.00	$458.48–$3,952.00	—	45%
Mastectomy (total removal of the breast) CPT 19303 BREAST SIMPLE MASTECTOMY IP	$1,086.80	$1,976.00	$458.48–$3,952.00	—	45%
Mastectomy (total removal of the breast) CPT 19303 BREAST SIMPLE MASTECTOMY OP	$1,086.80	$1,976.00	$458.48–$3,952.00	—	45%
Mastectomy (total removal of the breast) inpatient CPT 19303 BREAST SIMPLE MASTECTOMY OP	$1,086.80	$1,976.00	$458.48–$3,952.00	—	45%
Mastectomy (total removal of the breast) inpatient CPT 19303 BREAST SIMPLE MASTECTOMY IP	$1,086.80	$1,976.00	$458.48–$3,952.00	—	45%
Mastectomy (total removal of the breast) inpatient CPT 19303 MAST SIMPLE COMPLETE	$1,086.80	$1,976.00	$458.48–$3,952.00	—	45%
Miscarriage treatment with D&C, first trimester CPT 59820 CARE OF MISCARRIAGE	$491.15	$893.00	$139.19–$2,679.00	49% below	45%
Miscarriage treatment with D&C, first trimester CPT 59820 SURG TX MISSED ABORT 1ST TRI OP	$491.15	$893.00	$139.19–$2,679.00	49% below	45%
Miscarriage treatment with D&C, first trimester CPT 59820 SURG TX MISSED ABORT 1ST TRI IP	$491.15	$893.00	$139.19–$2,679.00	49% below	45%
Miscarriage treatment with D&C, first trimester CPT 59820 SURG TX MISSED ABORT 1ST TRI MD	$491.15	$893.00	$139.19–$2,679.00	49% below	45%
Miscarriage treatment with D&C, first trimester inpatient CPT 59820 SURG TX MISSED ABORT 1ST TRI MD	$491.15	$893.00	$139.19–$2,679.00	—	45%
Miscarriage treatment with D&C, first trimester inpatient CPT 59820 CARE OF MISCARRIAGE	$491.15	$893.00	$139.19–$2,679.00	—	45%
Miscarriage treatment with D&C, first trimester inpatient CPT 59820 SURG TX MISSED ABORT 1ST TRI OP	$491.15	$893.00	$139.19–$2,679.00	—	45%
Miscarriage treatment with D&C, first trimester inpatient CPT 59820 SURG TX MISSED ABORT 1ST TRI IP	$491.15	$893.00	$139.19–$2,679.00	—	45%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 EXCISION BEN LESN TRUNK<.5CM PRO	$69.85	$127.00	$25.78–$1,560.00	77% below	45%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 EXCISION BEN LESN TRUNK<.5CM MD	$107.25	$195.00	$25.78–$1,560.00	64% below	45%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 EXCISION BEN LESN TRUNK<.5CM 1500 ONLY	$107.25	$195.00	$25.78–$1,560.00	64% below	45%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 MD-EXCISION BEN LESN TRUNK<.5CM	$107.25	$195.00	$25.78–$1,560.00	64% below	45%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 EXC TR-EXT B9+MARG 0.5 CM<	$107.25	$195.00	$25.78–$1,560.00	64% below	45%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 EXCISION BEN LESN TRUNK<.5CM OP	$107.25	$195.00	$25.78–$1,560.00	64% below	45%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 EXCISION BEN LESN TRUNK<.5CM IP	$107.25	$195.00	$25.78–$1,560.00	64% below	45%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 EXCISION BEN LESN TRUNK<.5CM UB ONLY	$107.25	$195.00	$25.78–$1,560.00	64% below	45%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 EXCISION BEN LESN TRUNK<.5CM PRO	$69.85	$127.00	$25.78–$1,560.00	—	45%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 EXCISION BEN LESN TRUNK<.5CM 1500 ONLY	$107.25	$195.00	$25.78–$1,560.00	—	45%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 EXCISION BEN LESN TRUNK<.5CM UB ONLY	$107.25	$195.00	$25.78–$1,560.00	—	45%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 EXCISION BEN LESN TRUNK<.5CM MD	$107.25	$195.00	$25.78–$1,560.00	—	45%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 EXCISION BEN LESN TRUNK<.5CM IP	$107.25	$195.00	$25.78–$1,560.00	—	45%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 EXC TR-EXT B9+MARG 0.5 CM<	$107.25	$195.00	$25.78–$1,560.00	—	45%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 MD-EXCISION BEN LESN TRUNK<.5CM	$107.25	$195.00	$25.78–$1,560.00	—	45%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 EXCISION BEN LESN TRUNK<.5CM OP	$107.25	$195.00	$25.78–$1,560.00	—	45%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 EXCISN BEN LESN FACE < 0.5 CM PRO	$77.55	$141.00	$30.93–$868.00	76% below	45%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 EXCISN BEN LESN FACE < 0.5 CM MD	$119.35	$217.00	$30.93–$868.00	63% below	45%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 EXCISN BEN LESN FACE < 0.5 CM OP	$119.35	$217.00	$30.93–$868.00	63% below	45%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 EXCISN BEN LESN FACE < 0.5 CM IP	$119.35	$217.00	$30.93–$868.00	63% below	45%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 EXC FACE-MM B9+MARG 0.5 CM/<	$119.35	$217.00	$30.93–$868.00	63% below	45%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 EXCISN BEN LESN FACE < 0.5 CM PRO	$77.55	$141.00	$30.93–$868.00	—	45%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 EXCISN BEN LESN FACE < 0.5 CM MD	$119.35	$217.00	$30.93–$868.00	—	45%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 EXCISN BEN LESN FACE < 0.5 CM IP	$119.35	$217.00	$30.93–$868.00	—	45%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 EXCISN BEN LESN FACE < 0.5 CM OP	$119.35	$217.00	$30.93–$868.00	—	45%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 EXC FACE-MM B9+MARG 0.5 CM/<	$119.35	$217.00	$30.93–$868.00	—	45%
Nail removal (partial or complete), one nail CPT 11730 AVULSION NAIL PLATE UB FAC	$36.30	$66.00	$22.68–$1,528.00	79% below	45%
Nail removal (partial or complete), one nail CPT 11730 AVULSION NAIL PLATE FAC	$36.30	$66.00	$22.68–$1,528.00	79% below	45%
Nail removal (partial or complete), one nail CPT 11730 AVULSION NAIL PLATE PRO	$68.75	$125.00	$22.68–$1,528.00	61% below	45%
Nail removal (partial or complete), one nail CPT 11730 AVULSION NAIL PLATE PRO	$68.75	$125.00	$22.68–$1,528.00	61% below	45%
Nail removal (partial or complete), one nail CPT 11730 MD-AVULSION OF NAIL PLATE	$105.05	$191.00	$22.68–$1,528.00	40% below	45%
Nail removal (partial or complete), one nail CPT 11730 AVULSION NAIL PLATE 1500 ONLY	$105.05	$191.00	$22.68–$1,528.00	40% below	45%
Nail removal (partial or complete), one nail CPT 11730 AVULSION NAIL PLATE MD	$105.05	$191.00	$22.68–$1,528.00	40% below	45%
Nail removal (partial or complete), one nail CPT 11730 AVULSION NAIL PLATE UB ONLY	$105.05	$191.00	$22.68–$1,528.00	40% below	45%
Nail removal (partial or complete), one nail CPT 11730 AVULSION NAIL PLATE SINGLE IP	$105.05	$191.00	$22.68–$1,528.00	40% below	45%
Nail removal (partial or complete), one nail CPT 11730 AVULSION NAIL PLATE SIMPLE 1	$105.05	$191.00	$22.68–$1,528.00	40% below	45%
Nail removal (partial or complete), one nail CPT 11730 AVULSION NAIL PLATE SINGLE OP	$105.05	$191.00	$22.68–$1,528.00	40% below	45%
Nail removal (partial or complete), one nail inpatient CPT 11730 AVULSION NAIL PLATE UB FAC	$36.30	$66.00	$22.68–$1,528.00	—	45%
Nail removal (partial or complete), one nail inpatient CPT 11730 AVULSION NAIL PLATE FAC	$36.30	$66.00	$22.68–$1,528.00	—	45%
Nail removal (partial or complete), one nail inpatient CPT 11730 AVULSION NAIL PLATE PRO	$68.75	$125.00	$22.68–$1,528.00	—	45%
Nail removal (partial or complete), one nail inpatient CPT 11730 AVULSION NAIL PLATE PRO	$68.75	$125.00	$22.68–$1,528.00	—	45%
Nail removal (partial or complete), one nail inpatient CPT 11730 AVULSION NAIL PLATE UB ONLY	$105.05	$191.00	$22.68–$1,528.00	—	45%
Nail removal (partial or complete), one nail inpatient CPT 11730 AVULSION NAIL PLATE 1500 ONLY	$105.05	$191.00	$22.68–$1,528.00	—	45%
Nail removal (partial or complete), one nail inpatient CPT 11730 AVULSION NAIL PLATE MD	$105.05	$191.00	$22.68–$1,528.00	—	45%
Nail removal (partial or complete), one nail inpatient CPT 11730 AVULSION NAIL PLATE SINGLE OP	$105.05	$191.00	$22.68–$1,528.00	—	45%
Nail removal (partial or complete), one nail inpatient CPT 11730 AVULSION NAIL PLATE SINGLE IP	$105.05	$191.00	$22.68–$1,528.00	—	45%
Nail removal (partial or complete), one nail inpatient CPT 11730 MD-AVULSION OF NAIL PLATE	$105.05	$191.00	$22.68–$1,528.00	—	45%
Nail removal (partial or complete), one nail inpatient CPT 11730 AVULSION NAIL PLATE SIMPLE 1	$105.05	$191.00	$22.68–$1,528.00	—	45%
Occipital nerve block (injection for headaches) CPT 64405 NERVE BLOCK OCCIPITAL PRO	$61.60	$112.00	$15.47–$1,106.00	84% below	45%
Occipital nerve block (injection for headaches) CPT 64405 NERVE BLOCK OCCIPITAL MD	$94.60	$172.00	$15.47–$1,106.00	75% below	45%
Occipital nerve block (injection for headaches) CPT 64405 MD-NERVE BLOCK OCCIPITAL	$94.60	$172.00	$15.47–$1,106.00	75% below	45%
Occipital nerve block (injection for headaches) CPT 64405 INJ ANESTH GREATER OCCIPITAL NERVE	$324.50	$590.00	$15.47–$1,106.00	15% below	45%
Occipital nerve block (injection for headaches) CPT 64405 NJX AA&/STRD GR OCPL NRV	$324.50	$590.00	$15.47–$1,106.00	15% below	45%
Occipital nerve block (injection for headaches) inpatient CPT 64405 NERVE BLOCK OCCIPITAL PRO	$61.60	$112.00	$15.47–$1,106.00	—	45%
Occipital nerve block (injection for headaches) inpatient CPT 64405 NERVE BLOCK OCCIPITAL MD	$94.60	$172.00	$15.47–$1,106.00	—	45%
Occipital nerve block (injection for headaches) inpatient CPT 64405 MD-NERVE BLOCK OCCIPITAL	$94.60	$172.00	$15.47–$1,106.00	—	45%
Occipital nerve block (injection for headaches) inpatient CPT 64405 INJ ANESTH GREATER OCCIPITAL NERVE	$324.50	$590.00	$15.47–$1,106.00	—	45%
Occipital nerve block (injection for headaches) inpatient CPT 64405 NJX AA&/STRD GR OCPL NRV	$324.50	$590.00	$15.47–$1,106.00	—	45%
Paracentesis with imaging guidance CPT 49083 ABDOMINAL PARACENTESIS W/ IMAGING IP	$287.65	$523.00	$35.00–$6,964.00	72% below	45%
Paracentesis with imaging guidance CPT 49083 ABDOMINAL PARACENTESIS W/ IMAGING OP	$287.65	$523.00	$35.00–$6,964.00	72% below	45%
Paracentesis with imaging guidance CPT 49083 ABD PARACENTESIS W/IMAGING	$287.65	$523.00	$35.00–$6,964.00	72% below	45%
Paracentesis with imaging guidance CPT 49083 MD-ABDOMINAL PARACENTESIS W/ IMAGING	$287.65	$523.00	$35.00–$6,964.00	72% below	45%
Paracentesis with imaging guidance CPT 49083 ABDOMINAL PARACENTESIS W/ IMAGING	$1,339.80	$2,436.00	$35.00–$6,964.00	32% above	45%
Paracentesis with imaging guidance CPT 49083 UL ABD PARACENTESIS W/IMAGING	$1,339.80	$2,436.00	$35.00–$6,964.00	32% above	45%
Paracentesis with imaging guidance inpatient CPT 49083 ABDOMINAL PARACENTESIS W/ IMAGING OP	$287.65	$523.00	$35.00–$6,964.00	—	45%
Paracentesis with imaging guidance inpatient CPT 49083 MD-ABDOMINAL PARACENTESIS W/ IMAGING	$287.65	$523.00	$35.00–$6,964.00	—	45%
Paracentesis with imaging guidance inpatient CPT 49083 ABDOMINAL PARACENTESIS W/ IMAGING IP	$287.65	$523.00	$35.00–$6,964.00	—	45%
Paracentesis with imaging guidance inpatient CPT 49083 ABD PARACENTESIS W/IMAGING	$287.65	$523.00	$35.00–$6,964.00	—	45%
Paracentesis with imaging guidance inpatient CPT 49083 ABDOMINAL PARACENTESIS W/ IMAGING	$1,339.80	$2,436.00	$35.00–$6,964.00	—	45%
Paracentesis with imaging guidance inpatient CPT 49083 UL ABD PARACENTESIS W/IMAGING	$1,339.80	$2,436.00	$35.00–$6,964.00	—	45%
Partial knee replacement (one compartment) CPT 27446 ARTHROPLASTY KNEE MED OR LAT IP	$1,411.30	$2,566.00	$837.25–$6,422.00	—	45%
Partial knee replacement (one compartment) CPT 27446 ARTHROPLASTY KNEE MED OR LAT OP	$1,411.30	$2,566.00	$837.25–$6,422.00	—	45%
Partial knee replacement (one compartment) CPT 27446 REVISION OF KNEE JOINT	$1,411.30	$2,566.00	$837.25–$6,422.00	—	45%
Partial knee replacement (one compartment) inpatient CPT 27446 ARTHROPLASTY KNEE MED OR LAT OP	$1,411.30	$2,566.00	$837.25–$6,422.00	—	45%
Partial knee replacement (one compartment) inpatient CPT 27446 REVISION OF KNEE JOINT	$1,411.30	$2,566.00	$837.25–$6,422.00	—	45%
Partial knee replacement (one compartment) inpatient CPT 27446 ARTHROPLASTY KNEE MED OR LAT IP	$1,411.30	$2,566.00	$837.25–$6,422.00	—	45%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 EXCISN NAIL FOR PERM REMOV FAC	$67.10	$122.00	$67.10–$2,800.00	84% below	45%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 EXCISN NAIL FOR PERM REMOV UB FAC	$67.10	$122.00	$67.10–$2,800.00	84% below	45%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 EXCISN NAIL FOR PERM REMOV PRO	$125.40	$228.00	$67.10–$2,800.00	70% below	45%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 EXCISN NAIL FOR PERM REMOV PRO	$125.40	$228.00	$67.10–$2,800.00	70% below	45%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 EXCISN NAIL FOR PERM REMOV OP	$192.50	$350.00	$67.10–$2,800.00	54% below	45%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 EXCISION NAIL&NAIL MATRIX	$192.50	$350.00	$67.10–$2,800.00	54% below	45%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 MD-EXCISN NAIL FOR PERM REMOV	$192.50	$350.00	$67.10–$2,800.00	54% below	45%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 EXCISN NAIL FOR PERM REMOV IP	$192.50	$350.00	$67.10–$2,800.00	54% below	45%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 EXCISN NAIL FOR PERM REMOV MD	$192.50	$350.00	$67.10–$2,800.00	54% below	45%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 EXCISN NAIL FOR PERM REMOV UB ONLY	$192.50	$350.00	$67.10–$2,800.00	54% below	45%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 EXCISN NAIL FOR PERM REMOV 1500 ONLY	$192.50	$350.00	$67.10–$2,800.00	54% below	45%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 EXCISN NAIL FOR PERM REMOV UB FAC	$67.10	$122.00	$67.10–$2,800.00	—	45%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 EXCISN NAIL FOR PERM REMOV FAC	$67.10	$122.00	$67.10–$2,800.00	—	45%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 EXCISN NAIL FOR PERM REMOV PRO	$125.40	$228.00	$67.10–$2,800.00	—	45%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 EXCISN NAIL FOR PERM REMOV PRO	$125.40	$228.00	$67.10–$2,800.00	—	45%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 EXCISN NAIL FOR PERM REMOV OP	$192.50	$350.00	$67.10–$2,800.00	—	45%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 EXCISN NAIL FOR PERM REMOV MD	$192.50	$350.00	$67.10–$2,800.00	—	45%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 EXCISION NAIL&NAIL MATRIX	$192.50	$350.00	$67.10–$2,800.00	—	45%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 EXCISN NAIL FOR PERM REMOV IP	$192.50	$350.00	$67.10–$2,800.00	—	45%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 MD-EXCISN NAIL FOR PERM REMOV	$192.50	$350.00	$67.10–$2,800.00	—	45%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 EXCISN NAIL FOR PERM REMOV 1500 ONLY	$192.50	$350.00	$67.10–$2,800.00	—	45%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 EXCISN NAIL FOR PERM REMOV UB ONLY	$192.50	$350.00	$67.10–$2,800.00	—	45%
Removal of a breast lump, open surgery CPT 19120 BREAST EXCISIONAL BX PRO	$341.00	$620.00	$103.10–$3,808.00	80% below	45%
Removal of a breast lump, open surgery CPT 19120 REMOVAL OF BREAST LESION	$523.60	$952.00	$103.10–$3,808.00	69% below	45%
Removal of a breast lump, open surgery CPT 19120 BREAST EXCISIONAL BX OP	$523.60	$952.00	$103.10–$3,808.00	69% below	45%
Removal of a breast lump, open surgery CPT 19120 BREAST EXCISIONAL BX IP	$523.60	$952.00	$103.10–$3,808.00	69% below	45%
Removal of a breast lump, open surgery CPT 19120 BREAST EXCISIONAL BX MD	$523.60	$952.00	$103.10–$3,808.00	69% below	45%
Removal of a breast lump, open surgery inpatient CPT 19120 BREAST EXCISIONAL BX PRO	$341.00	$620.00	$103.10–$3,808.00	—	45%
Removal of a breast lump, open surgery inpatient CPT 19120 BREAST EXCISIONAL BX MD	$523.60	$952.00	$103.10–$3,808.00	—	45%
Removal of a breast lump, open surgery inpatient CPT 19120 REMOVAL OF BREAST LESION	$523.60	$952.00	$103.10–$3,808.00	—	45%
Removal of a breast lump, open surgery inpatient CPT 19120 BREAST EXCISIONAL BX OP	$523.60	$952.00	$103.10–$3,808.00	—	45%
Removal of a breast lump, open surgery inpatient CPT 19120 BREAST EXCISIONAL BX IP	$523.60	$952.00	$103.10–$3,808.00	—	45%
Removal of a foreign object under the skin, simple CPT 10120 INCIS/REMV SUBCUTANEOUS SIMPLE FAC	$48.95	$89.00	$12.89–$2,295.00	84% below	45%
Removal of a foreign object under the skin, simple CPT 10120 INCIS/REMV SUBCUTANEOUS SIMP UB FAC	$48.95	$89.00	$12.89–$2,295.00	84% below	45%
Removal of a foreign object under the skin, simple CPT 10120 INCIS/REMV SUBCUTANEOUS SIMP PRO	$91.30	$166.00	$12.89–$2,295.00	70% below	45%
Removal of a foreign object under the skin, simple CPT 10120 INCIS/REMV SUBCUTANEOUS SIMPLE PRO	$91.30	$166.00	$12.89–$2,295.00	70% below	45%
Removal of a foreign object under the skin, simple CPT 10120 INCIS/REMV SUBCUTANEOUS SIMP 1500 ONLY	$140.25	$255.00	$12.89–$2,295.00	54% below	45%
Removal of a foreign object under the skin, simple CPT 10120 INCIS/REMV SUBCUTANEOUS SIMPLE MD	$140.25	$255.00	$12.89–$2,295.00	54% below	45%
Removal of a foreign object under the skin, simple CPT 10120 INCIS/REMV SUBCUTANEOUS SIMPLE	$140.25	$255.00	$12.89–$2,295.00	54% below	45%
Removal of a foreign object under the skin, simple CPT 10120 INCIS/REMV SUBCUTANEOUS SIMP UB ONLY	$140.25	$255.00	$12.89–$2,295.00	54% below	45%
Removal of a foreign object under the skin, simple CPT 10120 INC&RMVL FB SUBQ TISS SMPL	$140.25	$255.00	$12.89–$2,295.00	54% below	45%
Removal of a foreign object under the skin, simple CPT 10120 MD-INCISION & REMOVAL FB SQ SMPL	$140.25	$255.00	$12.89–$2,295.00	54% below	45%
Removal of a foreign object under the skin, simple CPT 10120 INCIS/REMV SUBCUTANEOUS SIMPLE OP	$140.25	$255.00	$12.89–$2,295.00	54% below	45%
Removal of a foreign object under the skin, simple CPT 10120 INCIS/REMV SUBCUTANEOUS SIMPLE IP	$140.25	$255.00	$12.89–$2,295.00	54% below	45%
Removal of a foreign object under the skin, simple inpatient CPT 10120 INCIS/REMV SUBCUTANEOUS SIMP UB FAC	$48.95	$89.00	$12.89–$2,295.00	—	45%
Removal of a foreign object under the skin, simple inpatient CPT 10120 INCIS/REMV SUBCUTANEOUS SIMPLE FAC	$48.95	$89.00	$12.89–$2,295.00	—	45%
Removal of a foreign object under the skin, simple inpatient CPT 10120 INCIS/REMV SUBCUTANEOUS SIMPLE PRO	$91.30	$166.00	$12.89–$2,295.00	—	45%
Removal of a foreign object under the skin, simple inpatient CPT 10120 INCIS/REMV SUBCUTANEOUS SIMP PRO	$91.30	$166.00	$12.89–$2,295.00	—	45%
Removal of a foreign object under the skin, simple inpatient CPT 10120 INCIS/REMV SUBCUTANEOUS SIMPLE IP	$140.25	$255.00	$12.89–$2,295.00	—	45%
Removal of a foreign object under the skin, simple inpatient CPT 10120 INC&RMVL FB SUBQ TISS SMPL	$140.25	$255.00	$12.89–$2,295.00	—	45%
Removal of a foreign object under the skin, simple inpatient CPT 10120 MD-INCISION & REMOVAL FB SQ SMPL	$140.25	$255.00	$12.89–$2,295.00	—	45%
Removal of a foreign object under the skin, simple inpatient CPT 10120 INCIS/REMV SUBCUTANEOUS SIMPLE OP	$140.25	$255.00	$12.89–$2,295.00	—	45%
Removal of a foreign object under the skin, simple inpatient CPT 10120 INCIS/REMV SUBCUTANEOUS SIMPLE MD	$140.25	$255.00	$12.89–$2,295.00	—	45%
Removal of a foreign object under the skin, simple inpatient CPT 10120 INCIS/REMV SUBCUTANEOUS SIMPLE	$140.25	$255.00	$12.89–$2,295.00	—	45%
Removal of a foreign object under the skin, simple inpatient CPT 10120 INCIS/REMV SUBCUTANEOUS SIMP UB ONLY	$140.25	$255.00	$12.89–$2,295.00	—	45%
Removal of a foreign object under the skin, simple inpatient CPT 10120 INCIS/REMV SUBCUTANEOUS SIMP 1500 ONLY	$140.25	$255.00	$12.89–$2,295.00	—	45%
Removal of one lobe of the thyroid (lobectomy) CPT 60220 THRYOID LOBECTOMY IP	$894.30	$1,626.00	$360.85–$3,658.00	—	45%
Removal of one lobe of the thyroid (lobectomy) CPT 60220 PARTIAL REMOVAL OF THYROID	$894.30	$1,626.00	$360.85–$3,658.00	—	45%
Removal of one lobe of the thyroid (lobectomy) CPT 60220 THRYOID LOBECTOMY OP	$894.30	$1,626.00	$360.85–$3,658.00	—	45%
Removal of one lobe of the thyroid (lobectomy) inpatient CPT 60220 PARTIAL REMOVAL OF THYROID	$894.30	$1,626.00	$360.85–$3,658.00	—	45%
Removal of one lobe of the thyroid (lobectomy) inpatient CPT 60220 THRYOID LOBECTOMY IP	$894.30	$1,626.00	$360.85–$3,658.00	—	45%
Removal of one lobe of the thyroid (lobectomy) inpatient CPT 60220 THRYOID LOBECTOMY OP	$894.30	$1,626.00	$360.85–$3,658.00	—	45%
Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 COLON CA SCRN NOT HI RSK IND	$512.05	$931.00	$121.30–$4,168.20	71% below	45%
Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 COLO SCREEN LO RISK MCR IP	$512.05	$931.00	$121.30–$4,168.20	71% below	45%
Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 COLO SCREEN LO RISK MCR OP	$512.05	$931.00	$121.30–$4,168.20	71% below	45%
Screening colonoscopy for a person at average risk (Medicare code) inpatient HCPCS G0121 COLO SCREEN LO RISK MCR IP	$512.05	$931.00	$121.30–$4,168.20	—	45%
Screening colonoscopy for a person at average risk (Medicare code) inpatient HCPCS G0121 COLON CA SCRN NOT HI RSK IND	$512.05	$931.00	$121.30–$4,168.20	—	45%
Screening colonoscopy for a person at average risk (Medicare code) inpatient HCPCS G0121 COLO SCREEN LO RISK MCR OP	$512.05	$931.00	$121.30–$4,168.20	—	45%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 COLO SCREEN HI RISK MCR OP	$512.05	$931.00	$169.58–$1,862.00	70% below	45%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 COLO SCREEN HI RISK MCR IP	$512.05	$931.00	$169.58–$1,862.00	70% below	45%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 COLORECTAL SCRN; HI RISK IND	$512.05	$931.00	$169.58–$1,862.00	70% below	45%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) inpatient HCPCS G0105 COLO SCREEN HI RISK MCR IP	$512.05	$931.00	$169.58–$1,862.00	—	45%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) inpatient HCPCS G0105 COLO SCREEN HI RISK MCR OP	$512.05	$931.00	$169.58–$1,862.00	—	45%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) inpatient HCPCS G0105 COLORECTAL SCRN; HI RISK IND	$512.05	$931.00	$169.58–$1,862.00	—	45%
Shock-wave lithotripsy to break up kidney stones (from outside the body) CPT 50590 LITHOTRIPSY EXTRACORPOREAL SHOCK WAVE IP	$842.60	$1,532.00	$557.48–$14,032.00	—	45%
Shock-wave lithotripsy to break up kidney stones (from outside the body) CPT 50590 LITHOTRIPSY EXTRACORPOREAL SHOCK WAVE OP	$842.60	$1,532.00	$557.48–$14,032.00	—	45%
Shock-wave lithotripsy to break up kidney stones (from outside the body) CPT 50590 FRAGMENTING OF KIDNEY STONE	$6,032.40	$10,968.00	$557.48–$14,032.00	—	45%
Shock-wave lithotripsy to break up kidney stones (from outside the body) CPT 50590 ESWL	$6,032.40	$10,968.00	$557.48–$14,032.00	—	45%
Shock-wave lithotripsy to break up kidney stones (from outside the body) inpatient CPT 50590 LITHOTRIPSY EXTRACORPOREAL SHOCK WAVE IP	$842.60	$1,532.00	$557.48–$14,032.00	—	45%
Shock-wave lithotripsy to break up kidney stones (from outside the body) inpatient CPT 50590 LITHOTRIPSY EXTRACORPOREAL SHOCK WAVE OP	$842.60	$1,532.00	$557.48–$14,032.00	—	45%
Shock-wave lithotripsy to break up kidney stones (from outside the body) inpatient CPT 50590 ESWL	$6,032.40	$10,968.00	$557.48–$14,032.00	—	45%
Shock-wave lithotripsy to break up kidney stones (from outside the body) inpatient CPT 50590 FRAGMENTING OF KIDNEY STONE	$6,032.40	$10,968.00	$557.48–$14,032.00	—	45%
Short arm cast (elbow to hand) CPT 29075 APPLY FOREARM CAST UB FAC	$30.25	$55.00	$30.25–$1,272.00	77% below	45%
Short arm cast (elbow to hand) CPT 29075 APPLY FOREARM CAST FAC	$30.25	$55.00	$30.25–$1,272.00	77% below	45%
Short arm cast (elbow to hand) CPT 29075 APPLY FOREARM CAST PRO	$57.20	$104.00	$30.25–$1,272.00	56% below	45%
Short arm cast (elbow to hand) CPT 29075 APPLY FOREARM CAST PRO	$57.20	$104.00	$30.25–$1,272.00	56% below	45%
Short arm cast (elbow to hand) CPT 29075 APPLY FOREARM CAST IP	$87.45	$159.00	$30.25–$1,272.00	33% below	45%
Short arm cast (elbow to hand) CPT 29075 APPLY FOREARM CAST OP	$87.45	$159.00	$30.25–$1,272.00	33% below	45%
Short arm cast (elbow to hand) CPT 29075 APPL CST ELBW FNGR SHORT ARM	$87.45	$159.00	$30.25–$1,272.00	33% below	45%
Short arm cast (elbow to hand) CPT 29075 MD-APPLY SHORT ARM CAST	$87.45	$159.00	$30.25–$1,272.00	33% below	45%
Short arm cast (elbow to hand) CPT 29075 APPLY FOREARM CAST 1500 ONLY	$87.45	$159.00	$30.25–$1,272.00	33% below	45%
Short arm cast (elbow to hand) CPT 29075 APPLY FOREARM CAST UB ONLY	$87.45	$159.00	$30.25–$1,272.00	33% below	45%
Short arm cast (elbow to hand) CPT 29075 APPLY FOREARM CAST MD	$87.45	$159.00	$30.25–$1,272.00	33% below	45%
Short arm cast (elbow to hand) inpatient CPT 29075 APPLY FOREARM CAST UB FAC	$30.25	$55.00	$30.25–$1,272.00	—	45%
Short arm cast (elbow to hand) inpatient CPT 29075 APPLY FOREARM CAST FAC	$30.25	$55.00	$30.25–$1,272.00	—	45%
Short arm cast (elbow to hand) inpatient CPT 29075 APPLY FOREARM CAST PRO	$57.20	$104.00	$30.25–$1,272.00	—	45%
Short arm cast (elbow to hand) inpatient CPT 29075 APPLY FOREARM CAST PRO	$57.20	$104.00	$30.25–$1,272.00	—	45%
Short arm cast (elbow to hand) inpatient CPT 29075 APPLY FOREARM CAST 1500 ONLY	$87.45	$159.00	$30.25–$1,272.00	—	45%
Short arm cast (elbow to hand) inpatient CPT 29075 APPLY FOREARM CAST UB ONLY	$87.45	$159.00	$30.25–$1,272.00	—	45%
Short arm cast (elbow to hand) inpatient CPT 29075 APPLY FOREARM CAST MD	$87.45	$159.00	$30.25–$1,272.00	—	45%
Short arm cast (elbow to hand) inpatient CPT 29075 MD-APPLY SHORT ARM CAST	$87.45	$159.00	$30.25–$1,272.00	—	45%
Short arm cast (elbow to hand) inpatient CPT 29075 APPLY FOREARM CAST IP	$87.45	$159.00	$30.25–$1,272.00	—	45%
Short arm cast (elbow to hand) inpatient CPT 29075 APPL CST ELBW FNGR SHORT ARM	$87.45	$159.00	$30.25–$1,272.00	—	45%
Short arm cast (elbow to hand) inpatient CPT 29075 APPLY FOREARM CAST OP	$87.45	$159.00	$30.25–$1,272.00	—	45%
Short arm splint (forearm and hand) CPT 29125 APPLY FOREARM SPLINT FAC	$37.95	$69.00	$18.56–$2,321.00	68% below	45%
Short arm splint (forearm and hand) CPT 29125 APPLY FOREARM SPLINT UB FAC	$37.95	$69.00	$18.56–$2,321.00	68% below	45%
Short arm splint (forearm and hand) CPT 29125 APPLY FOREARM SPLINT PRO	$71.50	$130.00	$18.56–$2,321.00	40% below	45%
Short arm splint (forearm and hand) CPT 29125 APPLY FOREARM SPLINT PRO	$71.50	$130.00	$18.56–$2,321.00	40% below	45%
Short arm splint (forearm and hand) CPT 29125 APPLY FOREARM SPLINT OP	$109.45	$199.00	$18.56–$2,321.00	7% below	45%
Short arm splint (forearm and hand) CPT 29125 APPLY FOREARM SPLINT IP	$109.45	$199.00	$18.56–$2,321.00	7% below	45%
Short arm splint (forearm and hand) CPT 29125 MD-SHORT ARM SPLINT	$109.45	$199.00	$18.56–$2,321.00	7% below	45%
Short arm splint (forearm and hand) CPT 29125 APPLY FOREARM SPLINT MD	$109.45	$199.00	$18.56–$2,321.00	7% below	45%
Short arm splint (forearm and hand) CPT 29125 APPLY FOREARM SPLINT UB ONLY	$109.45	$199.00	$18.56–$2,321.00	7% below	45%
Short arm splint (forearm and hand) CPT 29125 APPLY FOREARM SPLINT 1500 ONLY	$109.45	$199.00	$18.56–$2,321.00	7% below	45%
Short arm splint (forearm and hand) CPT 29125 APPL SHORT ARM SPLINT STATIC	$145.75	$265.00	$18.56–$2,321.00	23% above	45%
Short arm splint (forearm and hand) CPT 29125 SHORT ARM SPLINT	$145.75	$265.00	$18.56–$2,321.00	23% above	45%
Short arm splint (forearm and hand) inpatient CPT 29125 APPLY FOREARM SPLINT UB FAC	$37.95	$69.00	$18.56–$2,321.00	—	45%
Short arm splint (forearm and hand) inpatient CPT 29125 APPLY FOREARM SPLINT FAC	$37.95	$69.00	$18.56–$2,321.00	—	45%
Short arm splint (forearm and hand) inpatient CPT 29125 APPLY FOREARM SPLINT PRO	$71.50	$130.00	$18.56–$2,321.00	—	45%
Short arm splint (forearm and hand) inpatient CPT 29125 APPLY FOREARM SPLINT PRO	$71.50	$130.00	$18.56–$2,321.00	—	45%
Short arm splint (forearm and hand) inpatient CPT 29125 MD-SHORT ARM SPLINT	$109.45	$199.00	$18.56–$2,321.00	—	45%
Short arm splint (forearm and hand) inpatient CPT 29125 APPLY FOREARM SPLINT MD	$109.45	$199.00	$18.56–$2,321.00	—	45%
Short arm splint (forearm and hand) inpatient CPT 29125 APPLY FOREARM SPLINT 1500 ONLY	$109.45	$199.00	$18.56–$2,321.00	—	45%
Short arm splint (forearm and hand) inpatient CPT 29125 APPLY FOREARM SPLINT IP	$109.45	$199.00	$18.56–$2,321.00	—	45%
Short arm splint (forearm and hand) inpatient CPT 29125 APPLY FOREARM SPLINT OP	$109.45	$199.00	$18.56–$2,321.00	—	45%
Short arm splint (forearm and hand) inpatient CPT 29125 APPLY FOREARM SPLINT UB ONLY	$109.45	$199.00	$18.56–$2,321.00	—	45%
Short arm splint (forearm and hand) inpatient CPT 29125 APPL SHORT ARM SPLINT STATIC	$145.75	$265.00	$18.56–$2,321.00	—	45%
Short arm splint (forearm and hand) inpatient CPT 29125 SHORT ARM SPLINT	$145.75	$265.00	$18.56–$2,321.00	—	45%
Short leg cast (below the knee) CPT 29405 APPLY SHORT LEG CAST FAC	$36.30	$66.00	$19.59–$1,528.00	85% below	45%
Short leg cast (below the knee) CPT 29405 APPLY SHORT LEG CAST UB FAC	$36.30	$66.00	$19.59–$1,528.00	85% below	45%
Short leg cast (below the knee) CPT 29405 APPLY SHORT LEG CAST PRO	$68.75	$125.00	$19.59–$1,528.00	71% below	45%
Short leg cast (below the knee) CPT 29405 APPLY SHORT LEG CAST PRO	$68.75	$125.00	$19.59–$1,528.00	71% below	45%
Short leg cast (below the knee) CPT 29405 MD-APPLY SH LEG CAST	$105.05	$191.00	$19.59–$1,528.00	56% below	45%
Short leg cast (below the knee) CPT 29405 APPLY SHORT LEG CAST MD	$105.05	$191.00	$19.59–$1,528.00	56% below	45%
Short leg cast (below the knee) CPT 29405 APPLY SHORT LEG CAST UB ONLY	$105.05	$191.00	$19.59–$1,528.00	56% below	45%
Short leg cast (below the knee) CPT 29405 APPL SHORT LEG CAST	$105.05	$191.00	$19.59–$1,528.00	56% below	45%
Short leg cast (below the knee) CPT 29405 APPLY SHORT LEG CAST IP	$105.05	$191.00	$19.59–$1,528.00	56% below	45%
Short leg cast (below the knee) CPT 29405 APPLY SHORT LEG CAST OP	$105.05	$191.00	$19.59–$1,528.00	56% below	45%
Short leg cast (below the knee) CPT 29405 APPLY SHORT LEG CAST 1500 ONLY	$105.05	$191.00	$19.59–$1,528.00	56% below	45%
Short leg cast (below the knee) inpatient CPT 29405 APPLY SHORT LEG CAST UB FAC	$36.30	$66.00	$19.59–$1,528.00	—	45%
Short leg cast (below the knee) inpatient CPT 29405 APPLY SHORT LEG CAST FAC	$36.30	$66.00	$19.59–$1,528.00	—	45%
Short leg cast (below the knee) inpatient CPT 29405 APPLY SHORT LEG CAST PRO	$68.75	$125.00	$19.59–$1,528.00	—	45%
Short leg cast (below the knee) inpatient CPT 29405 APPLY SHORT LEG CAST PRO	$68.75	$125.00	$19.59–$1,528.00	—	45%
Short leg cast (below the knee) inpatient CPT 29405 MD-APPLY SH LEG CAST	$105.05	$191.00	$19.59–$1,528.00	—	45%
Short leg cast (below the knee) inpatient CPT 29405 APPLY SHORT LEG CAST 1500 ONLY	$105.05	$191.00	$19.59–$1,528.00	—	45%
Short leg cast (below the knee) inpatient CPT 29405 APPLY SHORT LEG CAST UB ONLY	$105.05	$191.00	$19.59–$1,528.00	—	45%
Short leg cast (below the knee) inpatient CPT 29405 APPLY SHORT LEG CAST MD	$105.05	$191.00	$19.59–$1,528.00	—	45%
Short leg cast (below the knee) inpatient CPT 29405 APPLY SHORT LEG CAST IP	$105.05	$191.00	$19.59–$1,528.00	—	45%
Short leg cast (below the knee) inpatient CPT 29405 APPLY SHORT LEG CAST OP	$105.05	$191.00	$19.59–$1,528.00	—	45%
Short leg cast (below the knee) inpatient CPT 29405 APPL SHORT LEG CAST	$105.05	$191.00	$19.59–$1,528.00	—	45%
Short leg splint (calf to foot) CPT 29515 APPLY LOWER LEG SPLINT UB FAC	$46.20	$84.00	$20.62–$2,239.00	60% below	45%
Short leg splint (calf to foot) CPT 29515 APPLY LOWER LEG SPLINT FAC	$46.20	$84.00	$20.62–$2,239.00	60% below	45%
Short leg splint (calf to foot) CPT 29515 APPLY LOWER LEG SPLINT PRO	$85.80	$156.00	$20.62–$2,239.00	25% below	45%
Short leg splint (calf to foot) CPT 29515 APPLY LOWER LEG SPLINT PRO	$85.80	$156.00	$20.62–$2,239.00	25% below	45%
Short leg splint (calf to foot) CPT 29515 APPLY LOWER LEG SPLINT IP	$132.00	$240.00	$20.62–$2,239.00	15% above	45%
Short leg splint (calf to foot) CPT 29515 APPLY LOWER LEG SPLINT OP	$132.00	$240.00	$20.62–$2,239.00	15% above	45%
Short leg splint (calf to foot) CPT 29515 APPLY LOWER LEG SPLINT 1500 ONLY	$132.00	$240.00	$20.62–$2,239.00	15% above	45%
Short leg splint (calf to foot) CPT 29515 APPLY LOWER LEG SPLINT UB ONLY	$132.00	$240.00	$20.62–$2,239.00	15% above	45%
Short leg splint (calf to foot) CPT 29515 APPLY LOWER LEG SPLINT MD	$132.00	$240.00	$20.62–$2,239.00	15% above	45%
Short leg splint (calf to foot) CPT 29515 MD-SHORT LEG SPLINT	$132.00	$240.00	$20.62–$2,239.00	15% above	45%
Short leg splint (calf to foot) CPT 29515 APPLICATION SHORT LEG SPLINT	$175.45	$319.00	$20.62–$2,239.00	53% above	45%
Short leg splint (calf to foot) CPT 29515 SHORT LEG SPLINT	$175.45	$319.00	$20.62–$2,239.00	53% above	45%
Short leg splint (calf to foot) inpatient CPT 29515 APPLY LOWER LEG SPLINT FAC	$46.20	$84.00	$20.62–$2,239.00	—	45%
Short leg splint (calf to foot) inpatient CPT 29515 APPLY LOWER LEG SPLINT UB FAC	$46.20	$84.00	$20.62–$2,239.00	—	45%
Short leg splint (calf to foot) inpatient CPT 29515 APPLY LOWER LEG SPLINT PRO	$85.80	$156.00	$20.62–$2,239.00	—	45%
Short leg splint (calf to foot) inpatient CPT 29515 APPLY LOWER LEG SPLINT PRO	$85.80	$156.00	$20.62–$2,239.00	—	45%
Short leg splint (calf to foot) inpatient CPT 29515 APPLY LOWER LEG SPLINT OP	$132.00	$240.00	$20.62–$2,239.00	—	45%
Short leg splint (calf to foot) inpatient CPT 29515 MD-SHORT LEG SPLINT	$132.00	$240.00	$20.62–$2,239.00	—	45%
Short leg splint (calf to foot) inpatient CPT 29515 APPLY LOWER LEG SPLINT UB ONLY	$132.00	$240.00	$20.62–$2,239.00	—	45%
Short leg splint (calf to foot) inpatient CPT 29515 APPLY LOWER LEG SPLINT 1500 ONLY	$132.00	$240.00	$20.62–$2,239.00	—	45%
Short leg splint (calf to foot) inpatient CPT 29515 APPLY LOWER LEG SPLINT MD	$132.00	$240.00	$20.62–$2,239.00	—	45%
Short leg splint (calf to foot) inpatient CPT 29515 APPLY LOWER LEG SPLINT IP	$132.00	$240.00	$20.62–$2,239.00	—	45%
Short leg splint (calf to foot) inpatient CPT 29515 SHORT LEG SPLINT	$175.45	$319.00	$20.62–$2,239.00	—	45%
Short leg splint (calf to foot) inpatient CPT 29515 APPLICATION SHORT LEG SPLINT	$175.45	$319.00	$20.62–$2,239.00	—	45%
Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle) CPT 29824 DISTL CL INCL DISTL ARTIC IP	$823.90	$1,498.00	$376.11–$3,744.00	—	45%
Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle) CPT 29824 DISTL CL INCL DISTL ARTIC OP	$823.90	$1,498.00	$376.11–$3,744.00	—	45%
Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle) CPT 29824 SHO ARTHRS SRG DSTL CLAVICLC	$823.90	$1,498.00	$376.11–$3,744.00	—	45%
Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle) inpatient CPT 29824 DISTL CL INCL DISTL ARTIC IP	$823.90	$1,498.00	$376.11–$3,744.00	—	45%
Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle) inpatient CPT 29824 DISTL CL INCL DISTL ARTIC OP	$823.90	$1,498.00	$376.11–$3,744.00	—	45%
Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle) inpatient CPT 29824 SHO ARTHRS SRG DSTL CLAVICLC	$823.90	$1,498.00	$376.11–$3,744.00	—	45%
Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) CPT 29826 ARTHROSCP SHLDR SURG DECOM OPA	$205.70	$374.00	$167.83–$3,744.00	—	45%
Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) CPT 29826 ARTHROSCP SHLDR SURG DECOMP IPA	$205.70	$374.00	$167.83–$3,744.00	—	45%
Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) CPT 29826 ARTHROSC SHLDR DECOM SA SP W PA OP	$823.90	$1,498.00	$167.83–$3,744.00	—	45%
Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) CPT 29826 SHO ARTHRS SRG DECOMPRESSION	$823.90	$1,498.00	$167.83–$3,744.00	—	45%
Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) CPT 29826 ARTHROSC SHLDR DECOM SA SP W PA IP	$823.90	$1,498.00	$167.83–$3,744.00	—	45%
Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) inpatient CPT 29826 ARTHROSCP SHLDR SURG DECOMP IPA	$205.70	$374.00	$167.83–$3,744.00	—	45%
Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) inpatient CPT 29826 ARTHROSCP SHLDR SURG DECOM OPA	$205.70	$374.00	$167.83–$3,744.00	—	45%
Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) inpatient CPT 29826 ARTHROSC SHLDR DECOM SA SP W PA IP	$823.90	$1,498.00	$167.83–$3,744.00	—	45%
Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) inpatient CPT 29826 SHO ARTHRS SRG DECOMPRESSION	$823.90	$1,498.00	$167.83–$3,744.00	—	45%
Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) inpatient CPT 29826 ARTHROSC SHLDR DECOM SA SP W PA OP	$823.90	$1,498.00	$167.83–$3,744.00	—	45%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 SREP S/N/A/G/TR/E <=2.5CM UB FAC	$45.65	$83.00	$30.41–$1,896.00	80% below	45%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 SMPL REPR SUP WOUNDS <=2.5CM FAC	$45.65	$83.00	$30.41–$1,896.00	80% below	45%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 SMPL REPR SUP WOUNDS <=2.5CM PRO	$84.70	$154.00	$30.41–$1,896.00	63% below	45%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 SREP S/N/A/G/TR/E <=2.5CM PRO	$84.70	$154.00	$30.41–$1,896.00	63% below	45%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 SMPL REPR SUP WOUNDS <=2.5CM IP	$130.35	$237.00	$30.41–$1,896.00	43% below	45%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 SREP S/N/A/G/TR/E <=2.5CM UB ONLY	$130.35	$237.00	$30.41–$1,896.00	43% below	45%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 SREP S/N/A/G/TR/E <=2.5CM 1500 ONLY	$130.35	$237.00	$30.41–$1,896.00	43% below	45%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 SMPL REPR SUP WOUNDS <=2.5CM MD	$130.35	$237.00	$30.41–$1,896.00	43% below	45%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 SMPL REPR SUP WOUNDS <=2.5CM OP	$130.35	$237.00	$30.41–$1,896.00	43% below	45%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 MD-SIM LAC NON-FACIAL 2.5CM OR <	$130.35	$237.00	$30.41–$1,896.00	43% below	45%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 RPR S/N/AX/GEN/TRNK 2.5CM/<	$130.35	$237.00	$30.41–$1,896.00	43% below	45%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 SMPL REPR SUP WOUNDS <=2.5CM FAC	$45.65	$83.00	$30.41–$1,896.00	—	45%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 SREP S/N/A/G/TR/E <=2.5CM UB FAC	$45.65	$83.00	$30.41–$1,896.00	—	45%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 SMPL REPR SUP WOUNDS <=2.5CM PRO	$84.70	$154.00	$30.41–$1,896.00	—	45%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 SREP S/N/A/G/TR/E <=2.5CM PRO	$84.70	$154.00	$30.41–$1,896.00	—	45%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 MD-SIM LAC NON-FACIAL 2.5CM OR <	$130.35	$237.00	$30.41–$1,896.00	—	45%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 RPR S/N/AX/GEN/TRNK 2.5CM/<	$130.35	$237.00	$30.41–$1,896.00	—	45%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 SREP S/N/A/G/TR/E <=2.5CM 1500 ONLY	$130.35	$237.00	$30.41–$1,896.00	—	45%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 SMPL REPR SUP WOUNDS <=2.5CM IP	$130.35	$237.00	$30.41–$1,896.00	—	45%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 SMPL REPR SUP WOUNDS <=2.5CM OP	$130.35	$237.00	$30.41–$1,896.00	—	45%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 SREP S/N/A/G/TR/E <=2.5CM UB ONLY	$130.35	$237.00	$30.41–$1,896.00	—	45%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 SMPL REPR SUP WOUNDS <=2.5CM MD	$130.35	$237.00	$30.41–$1,896.00	—	45%
Skin biopsy, punch, one lesion CPT 11104 PUNCH BX SKIN SINGLE LESION PRO	$63.25	$115.00	$34.10–$708.00	59% below	45%
Skin biopsy, punch, one lesion CPT 11104 PUNCH BX SKIN SINGLE LESION MD	$97.35	$177.00	$34.10–$708.00	37% below	45%
Skin biopsy, punch, one lesion CPT 11104 PUNCH BX SKIN SINGLE LESION IP	$97.35	$177.00	$34.10–$708.00	37% below	45%
Skin biopsy, punch, one lesion CPT 11104 PUNCH BX SKIN SINGLE LESION OP	$97.35	$177.00	$34.10–$708.00	37% below	45%
Skin biopsy, punch, one lesion CPT 11104 PUNCH BX SKIN SINGLE LESION	$97.35	$177.00	$34.10–$708.00	37% below	45%
Skin biopsy, punch, one lesion inpatient CPT 11104 PUNCH BX SKIN SINGLE LESION PRO	$63.25	$115.00	$34.10–$708.00	—	45%
Skin biopsy, punch, one lesion inpatient CPT 11104 PUNCH BX SKIN SINGLE LESION	$97.35	$177.00	$34.10–$708.00	—	45%
Skin biopsy, punch, one lesion inpatient CPT 11104 PUNCH BX SKIN SINGLE LESION MD	$97.35	$177.00	$34.10–$708.00	—	45%
Skin biopsy, punch, one lesion inpatient CPT 11104 PUNCH BX SKIN SINGLE LESION IP	$97.35	$177.00	$34.10–$708.00	—	45%
Skin biopsy, punch, one lesion inpatient CPT 11104 PUNCH BX SKIN SINGLE LESION OP	$97.35	$177.00	$34.10–$708.00	—	45%
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 EXC MAL LESN TRNK 0.5 OR LESS PRO	$102.85	$187.00	$30.93–$574.00	58% below	45%
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 EXC TR-EXT MAL+MARG 0.5 CM/<	$157.85	$287.00	$30.93–$574.00	36% below	45%
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 EXCISN MAL LESN TRNK 0.5 OR LESS	$157.85	$287.00	$30.93–$574.00	36% below	45%
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11600 EXC MAL LESN TRNK 0.5 OR LESS PRO	$102.85	$187.00	$30.93–$574.00	—	45%
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11600 EXC TR-EXT MAL+MARG 0.5 CM/<	$157.85	$287.00	$30.93–$574.00	—	45%
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11600 EXCISN MAL LESN TRNK 0.5 OR LESS	$157.85	$287.00	$30.93–$574.00	—	45%
Skin tag removal, up to 15 tags CPT 11200 REMOVAL SKIN TAGS UP TO 15 FAC	$25.85	$47.00	$25.78–$938.00	82% below	45%
Skin tag removal, up to 15 tags CPT 11200 REMOVAL SKIN TAGS UP TO 15 UB FAC	$25.85	$47.00	$25.78–$938.00	82% below	45%
Skin tag removal, up to 15 tags CPT 11200 REMOVAL SKIN TAGS UP TO 15 PRO	$47.85	$87.00	$25.78–$938.00	67% below	45%
Skin tag removal, up to 15 tags CPT 11200 REMOVAL SKIN TAGS UP TO 15 PRO	$47.85	$87.00	$25.78–$938.00	67% below	45%
Skin tag removal, up to 15 tags CPT 11200 REMOVAL SKIN TAGS OP	$73.70	$134.00	$25.78–$938.00	50% below	45%
Skin tag removal, up to 15 tags CPT 11200 REMOVAL SKIN TAGS UP TO 15 UB ONLY	$73.70	$134.00	$25.78–$938.00	50% below	45%
Skin tag removal, up to 15 tags CPT 11200 REMOVAL SKIN TAGS UP TO 15 1500 ONLY	$73.70	$134.00	$25.78–$938.00	50% below	45%
Skin tag removal, up to 15 tags CPT 11200 REMOVAL SKIN TAGS UP TO 15 IP	$73.70	$134.00	$25.78–$938.00	50% below	45%
Skin tag removal, up to 15 tags CPT 11200 REMOVAL SKIN TAGS UP TO 15 MD	$73.70	$134.00	$25.78–$938.00	50% below	45%
Skin tag removal, up to 15 tags CPT 11200 RMVL SKIN TAGS UP TO&INC 15	$73.70	$134.00	$25.78–$938.00	50% below	45%
Skin tag removal, up to 15 tags inpatient CPT 11200 REMOVAL SKIN TAGS UP TO 15 UB FAC	$25.85	$47.00	$25.78–$938.00	—	45%
Skin tag removal, up to 15 tags inpatient CPT 11200 REMOVAL SKIN TAGS UP TO 15 FAC	$25.85	$47.00	$25.78–$938.00	—	45%
Skin tag removal, up to 15 tags inpatient CPT 11200 REMOVAL SKIN TAGS UP TO 15 PRO	$47.85	$87.00	$25.78–$938.00	—	45%
Skin tag removal, up to 15 tags inpatient CPT 11200 REMOVAL SKIN TAGS UP TO 15 PRO	$47.85	$87.00	$25.78–$938.00	—	45%
Skin tag removal, up to 15 tags inpatient CPT 11200 REMOVAL SKIN TAGS UP TO 15 IP	$73.70	$134.00	$25.78–$938.00	—	45%
Skin tag removal, up to 15 tags inpatient CPT 11200 REMOVAL SKIN TAGS UP TO 15 1500 ONLY	$73.70	$134.00	$25.78–$938.00	—	45%
Skin tag removal, up to 15 tags inpatient CPT 11200 REMOVAL SKIN TAGS UP TO 15 UB ONLY	$73.70	$134.00	$25.78–$938.00	—	45%
Skin tag removal, up to 15 tags inpatient CPT 11200 REMOVAL SKIN TAGS UP TO 15 MD	$73.70	$134.00	$25.78–$938.00	—	45%
Skin tag removal, up to 15 tags inpatient CPT 11200 RMVL SKIN TAGS UP TO&INC 15	$73.70	$134.00	$25.78–$938.00	—	45%
Skin tag removal, up to 15 tags inpatient CPT 11200 REMOVAL SKIN TAGS OP	$73.70	$134.00	$25.78–$938.00	—	45%
Spinal tap (lumbar puncture), diagnostic CPT 62270 DX LMBR SPI PNXR	$141.90	$258.00	$38.15–$4,227.00	74% below	45%
Spinal tap (lumbar puncture), diagnostic CPT 62270 MD-LUMBAR PUNCTURE DIAGNOSTIC	$187.55	$341.00	$38.15–$4,227.00	66% below	45%
Spinal tap (lumbar puncture), diagnostic CPT 62270 SPINE LUMBAR PUNCTURE DX	$498.85	$907.00	$38.15–$4,227.00	9% below	45%
Spinal tap (lumbar puncture), diagnostic CPT 62270 SPINAL PUNCTURE LUMBAR DIAG TXRM	$498.85	$907.00	$38.15–$4,227.00	9% below	45%
Spinal tap (lumbar puncture), diagnostic CPT 62270 LUMBAR SPINAL PUCTURE DIAG OBS	$498.85	$907.00	$38.15–$4,227.00	9% below	45%
Spinal tap (lumbar puncture), diagnostic CPT 62270 LUMBAR PUNCTURE DIAGNOSTIC	$498.85	$907.00	$38.15–$4,227.00	9% below	45%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 DX LMBR SPI PNXR	$141.90	$258.00	$38.15–$4,227.00	—	45%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 MD-LUMBAR PUNCTURE DIAGNOSTIC	$187.55	$341.00	$38.15–$4,227.00	—	45%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 SPINE LUMBAR PUNCTURE DX	$498.85	$907.00	$38.15–$4,227.00	—	45%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 LUMBAR SPINAL PUCTURE DIAG OBS	$498.85	$907.00	$38.15–$4,227.00	—	45%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 SPINAL PUNCTURE LUMBAR DIAG TXRM	$498.85	$907.00	$38.15–$4,227.00	—	45%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 LUMBAR PUNCTURE DIAGNOSTIC	$498.85	$907.00	$38.15–$4,227.00	—	45%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 SMPL REPR SUP WOUNDS 2.6-7.5CM UB FAC	$48.40	$88.00	$37.89–$2,024.00	82% below	45%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 SMPL REPR SUP WOUNDS 2.6-7.5CM FAC	$48.40	$88.00	$37.89–$2,024.00	82% below	45%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 SMPL REPR SUP WOUNDS 2.6-7.5CM PRO	$90.75	$165.00	$37.89–$2,024.00	66% below	45%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 MD-SIM LAC NON-FACIAL 2.6-7.5CM	$139.15	$253.00	$37.89–$2,024.00	48% below	45%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 SMPL REPR SUP WOUNDS 2.6-7.5CM MD	$139.15	$253.00	$37.89–$2,024.00	48% below	45%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 SMPL REPR SUP WOUNDS 2.6-7.5CM UB ONLY	$139.15	$253.00	$37.89–$2,024.00	48% below	45%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 SMPL REPR SUP WOUNDS 2.6-7.5CM IP	$139.15	$253.00	$37.89–$2,024.00	48% below	45%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 SMPL REPR SUP WOUNDS 2.6-7.5CM OP	$139.15	$253.00	$37.89–$2,024.00	48% below	45%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 RPR S/N/AX/GEN/TRNK2.6-7.5CM	$139.15	$253.00	$37.89–$2,024.00	48% below	45%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 SMPL REPR SUP WOUNDS 2.6-7.5CM 1500 ONL	$139.15	$253.00	$37.89–$2,024.00	48% below	45%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 SMPL REPR SUP WOUNDS 2.6-7.5CM FAC	$48.40	$88.00	$37.89–$2,024.00	—	45%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 SMPL REPR SUP WOUNDS 2.6-7.5CM UB FAC	$48.40	$88.00	$37.89–$2,024.00	—	45%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 SMPL REPR SUP WOUNDS 2.6-7.5CM PRO	$90.75	$165.00	$37.89–$2,024.00	—	45%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 SMPL REPR SUP WOUNDS 2.6-7.5CM MD	$139.15	$253.00	$37.89–$2,024.00	—	45%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 RPR S/N/AX/GEN/TRNK2.6-7.5CM	$139.15	$253.00	$37.89–$2,024.00	—	45%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 MD-SIM LAC NON-FACIAL 2.6-7.5CM	$139.15	$253.00	$37.89–$2,024.00	—	45%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 SMPL REPR SUP WOUNDS 2.6-7.5CM OP	$139.15	$253.00	$37.89–$2,024.00	—	45%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 SMPL REPR SUP WOUNDS 2.6-7.5CM IP	$139.15	$253.00	$37.89–$2,024.00	—	45%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 SMPL REPR SUP WOUNDS 2.6-7.5CM 1500 ONL	$139.15	$253.00	$37.89–$2,024.00	—	45%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 SMPL REPR SUP WOUNDS 2.6-7.5CM UB ONLY	$139.15	$253.00	$37.89–$2,024.00	—	45%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 REPR SUPRFCL WND FACE <2.5CM UB FAC	$46.75	$85.00	$31.39–$1,470.00	81% below	45%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 REPR SUPRFCL WND FACE <2.5CM FAC	$46.75	$85.00	$31.39–$1,470.00	81% below	45%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 REPR SUPRFCL WND FACE <2.5CM PRO	$88.00	$160.00	$31.39–$1,470.00	63% below	45%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 REPR SUPRFCL WND FACE <2.5CM PRO	$88.00	$160.00	$31.39–$1,470.00	63% below	45%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 MD-SIM LAC FACIAL 2.5CM OR LESS	$134.75	$245.00	$31.39–$1,470.00	44% below	45%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 RPR F/E/E/N/L/M 2.5 CM/<	$134.75	$245.00	$31.39–$1,470.00	44% below	45%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 REPR SUPRFCL WND FACE <2.5CM MD	$134.75	$245.00	$31.39–$1,470.00	44% below	45%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 REPR SUPRFCL WND FACE <2.5CM 1500 ONLY	$134.75	$245.00	$31.39–$1,470.00	44% below	45%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 REPR SUPRFCL WND FACE <2.5CM UB ONLY	$134.75	$245.00	$31.39–$1,470.00	44% below	45%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 REPR SUPRFCL WND FACE <2.5CM FAC	$46.75	$85.00	$31.39–$1,470.00	—	45%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 REPR SUPRFCL WND FACE <2.5CM UB FAC	$46.75	$85.00	$31.39–$1,470.00	—	45%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 REPR SUPRFCL WND FACE <2.5CM PRO	$88.00	$160.00	$31.39–$1,470.00	—	45%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 REPR SUPRFCL WND FACE <2.5CM PRO	$88.00	$160.00	$31.39–$1,470.00	—	45%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 REPR SUPRFCL WND FACE <2.5CM 1500 ONLY	$134.75	$245.00	$31.39–$1,470.00	—	45%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 MD-SIM LAC FACIAL 2.5CM OR LESS	$134.75	$245.00	$31.39–$1,470.00	—	45%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 REPR SUPRFCL WND FACE <2.5CM UB ONLY	$134.75	$245.00	$31.39–$1,470.00	—	45%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 RPR F/E/E/N/L/M 2.5 CM/<	$134.75	$245.00	$31.39–$1,470.00	—	45%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 REPR SUPRFCL WND FACE <2.5CM MD	$134.75	$245.00	$31.39–$1,470.00	—	45%
TURP (transurethral resection of the prostate) CPT 52601 TRANSUR ELECTR RESECTION PROSTATE IP	$1,059.30	$1,926.00	$494.88–$21,206.00	—	45%
TURP (transurethral resection of the prostate) CPT 52601 PROSTATECTOMY (TURP)	$1,059.30	$1,926.00	$494.88–$21,206.00	—	45%
TURP (transurethral resection of the prostate) CPT 52601 TRANSUR ELECTR RESECTION PROSTATE OP	$1,059.30	$1,926.00	$494.88–$21,206.00	—	45%
TURP (transurethral resection of the prostate) CPT 52601 TRANSUR ELECTR RESECTION PROSTATE	$9,544.70	$17,354.00	$494.88–$21,206.00	—	45%
TURP (transurethral resection of the prostate) inpatient CPT 52601 TRANSUR ELECTR RESECTION PROSTATE OP	$1,059.30	$1,926.00	$494.88–$21,206.00	—	45%
TURP (transurethral resection of the prostate) inpatient CPT 52601 TRANSUR ELECTR RESECTION PROSTATE IP	$1,059.30	$1,926.00	$494.88–$21,206.00	—	45%
TURP (transurethral resection of the prostate) inpatient CPT 52601 PROSTATECTOMY (TURP)	$1,059.30	$1,926.00	$494.88–$21,206.00	—	45%
TURP (transurethral resection of the prostate) inpatient CPT 52601 TRANSUR ELECTR RESECTION PROSTATE	$9,544.70	$17,354.00	$494.88–$21,206.00	—	45%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 TANGENTIAL BX SKIN SINGLE LESION IP	$60.50	$110.00	$35.47–$220.00	40% below	45%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 TANGENTIAL BX SKIN SINGLE LESION OP	$60.50	$110.00	$35.47–$220.00	40% below	45%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 TANGNTL BX SKIN SINGLE LES	$60.50	$110.00	$35.47–$220.00	40% below	45%
Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 TANGENTIAL BX SKIN SINGLE LESION IP	$60.50	$110.00	$35.47–$220.00	—	45%
Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 TANGNTL BX SKIN SINGLE LES	$60.50	$110.00	$35.47–$220.00	—	45%
Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 TANGENTIAL BX SKIN SINGLE LESION OP	$60.50	$110.00	$35.47–$220.00	—	45%
Thoracentesis with imaging guidance CPT 32555 THORACENTESIS W/IMAGING OP	$256.30	$466.00	$35.00–$5,434.00	76% below	45%
Thoracentesis with imaging guidance CPT 32555 MD-THORACENTESIS PLEURAL SPACE W/IMAG	$256.30	$466.00	$35.00–$5,434.00	76% below	45%
Thoracentesis with imaging guidance CPT 32555 THORACENTESIS W/IMAGING IP	$256.30	$466.00	$35.00–$5,434.00	76% below	45%
Thoracentesis with imaging guidance CPT 32555 THORACENTESIS PLEURAL SPACE W/IMAGING	$654.50	$1,190.00	$35.00–$5,434.00	38% below	45%
Thoracentesis with imaging guidance CPT 32555 ASPIRATE PLEURA W/ IMAGING	$654.50	$1,190.00	$35.00–$5,434.00	38% below	45%
Thoracentesis with imaging guidance one side CPT 32555 THORACENTESIS W/IMAGING RT	$654.50	$1,190.00	$35.00–$5,434.00	38% below	45%
Thoracentesis with imaging guidance one side CPT 32555 THORACENTESIS W/IMAGING LT	$654.50	$1,190.00	$35.00–$5,434.00	38% below	45%
Thoracentesis with imaging guidance inpatient CPT 32555 THORACENTESIS W/IMAGING OP	$256.30	$466.00	$35.00–$5,434.00	—	45%
Thoracentesis with imaging guidance inpatient CPT 32555 THORACENTESIS W/IMAGING IP	$256.30	$466.00	$35.00–$5,434.00	—	45%
Thoracentesis with imaging guidance inpatient CPT 32555 MD-THORACENTESIS PLEURAL SPACE W/IMAG	$256.30	$466.00	$35.00–$5,434.00	—	45%
Thoracentesis with imaging guidance inpatient CPT 32555 THORACENTESIS PLEURAL SPACE W/IMAGING	$654.50	$1,190.00	$35.00–$5,434.00	—	45%
Thoracentesis with imaging guidance inpatient CPT 32555 ASPIRATE PLEURA W/ IMAGING	$654.50	$1,190.00	$35.00–$5,434.00	—	45%
Thoracentesis with imaging guidance inpatient one side CPT 32555 THORACENTESIS W/IMAGING LT	$654.50	$1,190.00	$35.00–$5,434.00	—	45%
Thoracentesis with imaging guidance inpatient one side CPT 32555 THORACENTESIS W/IMAGING RT	$654.50	$1,190.00	$35.00–$5,434.00	—	45%
Total hip replacement CPT 27130 TOTAL HIP JOINT REPLACE IP	$1,805.65	$3,283.00	$451.55–$8,208.00	71% below	45%
Total hip replacement CPT 27130 TOTAL HIP ARTHROPLASTY	$1,805.65	$3,283.00	$451.55–$8,208.00	71% below	45%
Total hip replacement CPT 27130 TOTAL HIP JOINT REPLACE OP	$1,805.65	$3,283.00	$451.55–$8,208.00	71% below	45%
Total hip replacement inpatient CPT 27130 TOTAL HIP ARTHROPLASTY	$1,805.65	$3,283.00	$451.55–$8,208.00	—	45%
Total hip replacement inpatient CPT 27130 TOTAL HIP JOINT REPLACE OP	$1,805.65	$3,283.00	$451.55–$8,208.00	—	45%
Total hip replacement inpatient CPT 27130 TOTAL HIP JOINT REPLACE IP	$1,805.65	$3,283.00	$451.55–$8,208.00	—	45%
Total knee replacement CPT 27447 TOTAL KNEE REPLACEMENT IPA	$481.80	$876.00	$1,164.88–$8,766.00	96% below	45%
Total knee replacement CPT 27447 TOTAL KNEE REPLACEMENT OPA	$481.80	$876.00	$1,164.88–$8,766.00	96% below	45%
Total knee replacement CPT 27447 TOTAL KNEE REPLACEMENT OP	$1,928.85	$3,507.00	$1,164.88–$8,766.00	83% below	45%
Total knee replacement CPT 27447 TOTAL KNEE ARTHROPLASTY	$1,928.85	$3,507.00	$1,164.88–$8,766.00	83% below	45%
Total knee replacement CPT 27447 TOTAL KNEE REPLACEMENT IP	$1,928.85	$3,507.00	$1,164.88–$8,766.00	83% below	45%
Total knee replacement inpatient CPT 27447 TOTAL KNEE REPLACEMENT OPA	$481.80	$876.00	$1,164.88–$8,766.00	—	45%
Total knee replacement inpatient CPT 27447 TOTAL KNEE REPLACEMENT IPA	$481.80	$876.00	$1,164.88–$8,766.00	—	45%
Total knee replacement inpatient CPT 27447 TOTAL KNEE ARTHROPLASTY	$1,928.85	$3,507.00	$1,164.88–$8,766.00	—	45%
Total knee replacement inpatient CPT 27447 TOTAL KNEE REPLACEMENT IP	$1,928.85	$3,507.00	$1,164.88–$8,766.00	—	45%
Total knee replacement inpatient CPT 27447 TOTAL KNEE REPLACEMENT OP	$1,928.85	$3,507.00	$1,164.88–$8,766.00	—	45%
Total shoulder replacement CPT 23472 ARTHROPLSTY TOTAL SHLDR IPA	$473.55	$861.00	$515.50–$8,608.00	92% below	45%
Total shoulder replacement CPT 23472 ARTHROPLSTY TOTAL SHLDR OPA	$473.55	$861.00	$515.50–$8,608.00	92% below	45%
Total shoulder replacement CPT 23472 RECONSTRUCT SHOULDER JOINT	$1,893.65	$3,443.00	$515.50–$8,608.00	68% below	45%
Total shoulder replacement CPT 23472 ARTHROPLSTY TOTAL SHLDR OP	$1,893.65	$3,443.00	$515.50–$8,608.00	68% below	45%
Total shoulder replacement CPT 23472 ARTHROPLSTY TOTAL SHLDR IP	$1,893.65	$3,443.00	$515.50–$8,608.00	68% below	45%
Total shoulder replacement inpatient CPT 23472 ARTHROPLSTY TOTAL SHLDR IPA	$473.55	$861.00	$515.50–$8,608.00	—	45%
Total shoulder replacement inpatient CPT 23472 ARTHROPLSTY TOTAL SHLDR OPA	$473.55	$861.00	$515.50–$8,608.00	—	45%
Total shoulder replacement inpatient CPT 23472 ARTHROPLSTY TOTAL SHLDR IP	$1,893.65	$3,443.00	$515.50–$8,608.00	—	45%
Total shoulder replacement inpatient CPT 23472 ARTHROPLSTY TOTAL SHLDR OP	$1,893.65	$3,443.00	$515.50–$8,608.00	—	45%
Total shoulder replacement inpatient CPT 23472 RECONSTRUCT SHOULDER JOINT	$1,893.65	$3,443.00	$515.50–$8,608.00	—	45%
Total thyroid removal (thyroidectomy) CPT 60240 THYROIDECTOMY TOTAL/COMP OP	$1,139.60	$2,072.00	$412.40–$4,144.00	—	45%
Total thyroid removal (thyroidectomy) CPT 60240 REMOVAL OF THYROID	$1,139.60	$2,072.00	$412.40–$4,144.00	—	45%
Total thyroid removal (thyroidectomy) CPT 60240 THYROIDECTOMY TOTAL/COMP IP	$1,139.60	$2,072.00	$412.40–$4,144.00	—	45%
Total thyroid removal (thyroidectomy) inpatient CPT 60240 THYROIDECTOMY TOTAL/COMP OP	$1,139.60	$2,072.00	$412.40–$4,144.00	—	45%
Total thyroid removal (thyroidectomy) inpatient CPT 60240 THYROIDECTOMY TOTAL/COMP IP	$1,139.60	$2,072.00	$412.40–$4,144.00	—	45%
Total thyroid removal (thyroidectomy) inpatient CPT 60240 REMOVAL OF THYROID	$1,139.60	$2,072.00	$412.40–$4,144.00	—	45%
Trigger finger release surgery CPT 26055 INCISE FINGR TENDN SHEATH IP	$492.80	$896.00	$103.10–$1,951.25	38% below	45%
Trigger finger release surgery CPT 26055 INCISE FINGR TENDN SHEATH OP	$492.80	$896.00	$103.10–$1,951.25	38% below	45%
Trigger finger release surgery CPT 26055 INCISE FINGER TENDON SHEATH	$492.80	$896.00	$103.10–$1,951.25	38% below	45%
Trigger finger release surgery inpatient CPT 26055 INCISE FINGR TENDN SHEATH OP	$492.80	$896.00	$103.10–$1,951.25	—	45%
Trigger finger release surgery inpatient CPT 26055 INCISE FINGR TENDN SHEATH IP	$492.80	$896.00	$103.10–$1,951.25	—	45%
Trigger finger release surgery inpatient CPT 26055 INCISE FINGER TENDON SHEATH	$492.80	$896.00	$103.10–$1,951.25	—	45%
Trigger point injections, 1 or 2 muscles CPT 20552 TRIGGER 1 OR 2 MUSCLE GROUP PRO	$50.05	$91.00	$26.95–$1,120.00	82% below	45%
Trigger point injections, 1 or 2 muscles CPT 20552 TRIGGER 1 OR 2 MUSCLE GROUP PRO	$50.05	$91.00	$26.95–$1,120.00	82% below	45%
Trigger point injections, 1 or 2 muscles CPT 20552 TRIGGER 1 OR 2 MUSCLE GROUP MD	$77.00	$140.00	$26.95–$1,120.00	72% below	45%
Trigger point injections, 1 or 2 muscles CPT 20552 INJECT TRIGGER POINT1-2 MUSCLES IP	$77.00	$140.00	$26.95–$1,120.00	72% below	45%
Trigger point injections, 1 or 2 muscles CPT 20552 MD-INJ TRIGGER POINT, 1/2 MUSCL	$77.00	$140.00	$26.95–$1,120.00	72% below	45%
Trigger point injections, 1 or 2 muscles CPT 20552 INJECT TRIGGER POINT1-2 MUSCLES OP	$77.00	$140.00	$26.95–$1,120.00	72% below	45%
Trigger point injections, 1 or 2 muscles CPT 20552 TRIGGER 1 OR 2 MUSCLE GROUP 1500 ONLY	$77.00	$140.00	$26.95–$1,120.00	72% below	45%
Trigger point injections, 1 or 2 muscles CPT 20552 TRIGGER 1 OR 2 MUSCLE GROUP UB ONLY	$77.00	$140.00	$26.95–$1,120.00	72% below	45%
Trigger point injections, 1 or 2 muscles CPT 20552 NJX 1/MLT TRIGGER POINT 1/2	$77.00	$140.00	$26.95–$1,120.00	72% below	45%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 TRIGGER 1 OR 2 MUSCLE GROUP PRO	$50.05	$91.00	$26.95–$1,120.00	—	45%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 TRIGGER 1 OR 2 MUSCLE GROUP PRO	$50.05	$91.00	$26.95–$1,120.00	—	45%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 TRIGGER 1 OR 2 MUSCLE GROUP 1500 ONLY	$77.00	$140.00	$26.95–$1,120.00	—	45%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 MD-INJ TRIGGER POINT, 1/2 MUSCL	$77.00	$140.00	$26.95–$1,120.00	—	45%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 TRIGGER 1 OR 2 MUSCLE GROUP UB ONLY	$77.00	$140.00	$26.95–$1,120.00	—	45%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 INJECT TRIGGER POINT1-2 MUSCLES OP	$77.00	$140.00	$26.95–$1,120.00	—	45%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 INJECT TRIGGER POINT1-2 MUSCLES IP	$77.00	$140.00	$26.95–$1,120.00	—	45%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 NJX 1/MLT TRIGGER POINT 1/2	$77.00	$140.00	$26.95–$1,120.00	—	45%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 TRIGGER 1 OR 2 MUSCLE GROUP MD	$77.00	$140.00	$26.95–$1,120.00	—	45%
Tubal ligation, laparoscopic (tubes sealed by cautery) CPT 58670 LAPAROSCOPY W FULGRATION IP	$455.95	$829.00	$233.21–$2,072.00	—	45%
Tubal ligation, laparoscopic (tubes sealed by cautery) CPT 58670 LAPAROSCOPY W FULGRATION OP	$455.95	$829.00	$233.21–$2,072.00	—	45%
Tubal ligation, laparoscopic (tubes sealed by cautery) CPT 58670 LAPAROSCOPY TUBAL CAUTERY	$455.95	$829.00	$233.21–$2,072.00	—	45%
Tubal ligation, laparoscopic (tubes sealed by cautery) inpatient CPT 58670 LAPAROSCOPY W FULGRATION OP	$455.95	$829.00	$233.21–$2,072.00	—	45%
Tubal ligation, laparoscopic (tubes sealed by cautery) inpatient CPT 58670 LAPAROSCOPY TUBAL CAUTERY	$455.95	$829.00	$233.21–$2,072.00	—	45%
Tubal ligation, laparoscopic (tubes sealed by cautery) inpatient CPT 58670 LAPAROSCOPY W FULGRATION IP	$455.95	$829.00	$233.21–$2,072.00	—	45%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 BX BREAST 1ST LESION US IMAG IP	$583.55	$1,061.00	$107.93–$4,786.00	63% below	45%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 BX BREAST 1ST LESION US IMAG	$583.55	$1,061.00	$107.93–$4,786.00	63% below	45%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 BX BREAST 1ST LESION US IMAG OP	$583.55	$1,061.00	$107.93–$4,786.00	63% below	45%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 US BX BREAST 1ST LESION US IMAG	$1,465.20	$2,664.00	$107.93–$4,786.00	6% below	45%
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 BX BREAST 1ST LESION US IMAG IP	$583.55	$1,061.00	$107.93–$4,786.00	—	45%
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 BX BREAST 1ST LESION US IMAG OP	$583.55	$1,061.00	$107.93–$4,786.00	—	45%
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 BX BREAST 1ST LESION US IMAG	$583.55	$1,061.00	$107.93–$4,786.00	—	45%
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 US BX BREAST 1ST LESION US IMAG	$1,465.20	$2,664.00	$107.93–$4,786.00	—	45%
Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 ESOPH EGD DILATION <30 MM OP	$306.35	$557.00	$137.71–$1,550.25	78% below	45%
Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 ESOPH EGD DILATION <30 MM	$306.35	$557.00	$137.71–$1,550.25	78% below	45%
Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 ESOPH EGD DILATION <30 MM IP	$306.35	$557.00	$137.71–$1,550.25	78% below	45%
Upper endoscopy (EGD) with balloon widening of the esophagus inpatient CPT 43249 ESOPH EGD DILATION <30 MM IP	$306.35	$557.00	$137.71–$1,550.25	—	45%
Upper endoscopy (EGD) with balloon widening of the esophagus inpatient CPT 43249 ESOPH EGD DILATION <30 MM	$306.35	$557.00	$137.71–$1,550.25	—	45%
Upper endoscopy (EGD) with balloon widening of the esophagus inpatient CPT 43249 ESOPH EGD DILATION <30 MM OP	$306.35	$557.00	$137.71–$1,550.25	—	45%
Upper endoscopy (EGD) with biopsy CPT 43239 UPPER ENDOSCOPY W/BX OP	$513.70	$934.00	$128.42–$1,868.00	62% below	45%
Upper endoscopy (EGD) with biopsy CPT 43239 UPPER ENDOSCOPY W/BX IP	$513.70	$934.00	$128.42–$1,868.00	62% below	45%
Upper endoscopy (EGD) with biopsy CPT 43239 EGD BIOPSY SINGLE/MULTIPLE	$513.70	$934.00	$128.42–$1,868.00	62% below	45%
Upper endoscopy (EGD) with biopsy inpatient CPT 43239 UPPER ENDOSCOPY W/BX IP	$513.70	$934.00	$128.42–$1,868.00	—	45%
Upper endoscopy (EGD) with biopsy inpatient CPT 43239 UPPER ENDOSCOPY W/BX OP	$513.70	$934.00	$128.42–$1,868.00	—	45%
Upper endoscopy (EGD) with biopsy inpatient CPT 43239 EGD BIOPSY SINGLE/MULTIPLE	$513.70	$934.00	$128.42–$1,868.00	—	45%
Upper endoscopy (EGD) with polyp removal by snare CPT 43251 EGD REMOVE LESION SNARE	$656.70	$1,194.00	$171.25–$2,388.00	62% below	45%
Upper endoscopy (EGD) with polyp removal by snare CPT 43251 EGD REMOVE LESION SNARE IP	$656.70	$1,194.00	$171.25–$2,388.00	62% below	45%
Upper endoscopy (EGD) with polyp removal by snare CPT 43251 EGD REMOVE LESION SNARE OP	$656.70	$1,194.00	$171.25–$2,388.00	62% below	45%
Upper endoscopy (EGD) with polyp removal by snare inpatient CPT 43251 EGD REMOVE LESION SNARE	$656.70	$1,194.00	$171.25–$2,388.00	—	45%
Upper endoscopy (EGD) with polyp removal by snare inpatient CPT 43251 EGD REMOVE LESION SNARE IP	$656.70	$1,194.00	$171.25–$2,388.00	—	45%
Upper endoscopy (EGD) with polyp removal by snare inpatient CPT 43251 EGD REMOVE LESION SNARE OP	$656.70	$1,194.00	$171.25–$2,388.00	—	45%
Upper endoscopy (EGD), diagnostic CPT 43235 UPPER ENDOSCOPY IP	$402.60	$732.00	$113.89–$1,464.00	72% below	45%
Upper endoscopy (EGD), diagnostic CPT 43235 UPPER ENDOSCOPY OP	$402.60	$732.00	$113.89–$1,464.00	72% below	45%
Upper endoscopy (EGD), diagnostic CPT 43235 EGD DIAGNOSTIC BRUSH WASH	$402.60	$732.00	$113.89–$1,464.00	72% below	45%
Upper endoscopy (EGD), diagnostic inpatient CPT 43235 EGD DIAGNOSTIC BRUSH WASH	$402.60	$732.00	$113.89–$1,464.00	—	45%
Upper endoscopy (EGD), diagnostic inpatient CPT 43235 UPPER ENDOSCOPY OP	$402.60	$732.00	$113.89–$1,464.00	—	45%
Upper endoscopy (EGD), diagnostic inpatient CPT 43235 UPPER ENDOSCOPY IP	$402.60	$732.00	$113.89–$1,464.00	—	45%
Ureteroscopy with laser stone breaking (lithotripsy) CPT 52353 CYSTO W LITHOTRIPSY OP	$498.30	$906.00	$302.72–$1,812.00	—	45%
Ureteroscopy with laser stone breaking (lithotripsy) CPT 52353 CYSTO W LITHOTRIPSY IP	$498.30	$906.00	$302.72–$1,812.00	—	45%
Ureteroscopy with laser stone breaking (lithotripsy) CPT 52353 CYSTOURETERO W/LITHOTRIPSY	$498.30	$906.00	$302.72–$1,812.00	—	45%
Ureteroscopy with laser stone breaking (lithotripsy) inpatient CPT 52353 CYSTO W LITHOTRIPSY OP	$498.30	$906.00	$302.72–$1,812.00	—	45%
Ureteroscopy with laser stone breaking (lithotripsy) inpatient CPT 52353 CYSTO W LITHOTRIPSY IP	$498.30	$906.00	$302.72–$1,812.00	—	45%
Ureteroscopy with laser stone breaking (lithotripsy) inpatient CPT 52353 CYSTOURETERO W/LITHOTRIPSY	$498.30	$906.00	$302.72–$1,812.00	—	45%
Ureteroscopy with laser stone breaking and stent placement CPT 52356 CYSTO/URETERO W/LITHOTRIPSY IP	$543.40	$988.00	$263.46–$1,976.00	—	45%
Ureteroscopy with laser stone breaking and stent placement CPT 52356 CYSTO/URETERO W/LITHOTRIPSY	$543.40	$988.00	$263.46–$1,976.00	—	45%
Ureteroscopy with laser stone breaking and stent placement CPT 52356 CYSTO/URETERO W/LITHOTRIPSY OP	$543.40	$988.00	$263.46–$1,976.00	—	45%
Ureteroscopy with laser stone breaking and stent placement inpatient CPT 52356 CYSTO/URETERO W/LITHOTRIPSY IP	$543.40	$988.00	$263.46–$1,976.00	—	45%
Ureteroscopy with laser stone breaking and stent placement inpatient CPT 52356 CYSTO/URETERO W/LITHOTRIPSY OP	$543.40	$988.00	$263.46–$1,976.00	—	45%
Ureteroscopy with laser stone breaking and stent placement inpatient CPT 52356 CYSTO/URETERO W/LITHOTRIPSY	$543.40	$988.00	$263.46–$1,976.00	—	45%
Vaginal birth after cesarean (VBAC), including prenatal and postpartum care CPT 59610 VBAC TOTAL CARE IP	$2,244.00	$4,080.00	$1,237.20–$4,080.00	—	45%
Vaginal birth after cesarean (VBAC), including prenatal and postpartum care CPT 59610 VBAC DELIVERY	$2,244.00	$4,080.00	$1,237.20–$4,080.00	—	45%
Vaginal birth after cesarean (VBAC), including prenatal and postpartum care inpatient CPT 59610 VBAC TOTAL CARE IP	$2,244.00	$4,080.00	$1,237.20–$4,080.00	—	45%
Vaginal birth after cesarean (VBAC), including prenatal and postpartum care inpatient CPT 59610 VBAC DELIVERY	$2,244.00	$4,080.00	$1,237.20–$4,080.00	—	45%
Vaginal delivery, including prenatal and postpartum care CPT 59400 VAGINAL DELIVERY TOTAL CARE IP	$2,104.30	$3,826.00	$1,237.20–$7,652.00	22% below	45%
Vaginal delivery, including prenatal and postpartum care CPT 59400 VAGINAL DELIVERY TOTAL CARE OP	$2,104.30	$3,826.00	$1,237.20–$7,652.00	22% below	45%
Vaginal delivery, including prenatal and postpartum care CPT 59400 OBSTETRICAL CARE	$2,104.30	$3,826.00	$1,237.20–$7,652.00	22% below	45%
Vaginal delivery, including prenatal and postpartum care inpatient CPT 59400 VAGINAL DELIVERY TOTAL CARE IP	$2,104.30	$3,826.00	$1,237.20–$7,652.00	—	45%
Vaginal delivery, including prenatal and postpartum care inpatient CPT 59400 VAGINAL DELIVERY TOTAL CARE OP	$2,104.30	$3,826.00	$1,237.20–$7,652.00	—	45%
Vaginal delivery, including prenatal and postpartum care inpatient CPT 59400 OBSTETRICAL CARE	$2,104.30	$3,826.00	$1,237.20–$7,652.00	—	45%
Vasectomy, one or both sides, including follow-up semen testing both sides CPT 55250 VASECTOMY UNIL/BILATERAL FAC	$208.45	$379.00	$138.15–$4,340.00	—	45%
Vasectomy, one or both sides, including follow-up semen testing both sides CPT 55250 VASECTOMY UNIL/BILATERAL PRO	$388.30	$706.00	$138.15–$4,340.00	—	45%
Vasectomy, one or both sides, including follow-up semen testing both sides CPT 55250 VASECTOMY UNIL/BILATERAL IP	$596.75	$1,085.00	$138.15–$4,340.00	—	45%
Vasectomy, one or both sides, including follow-up semen testing both sides CPT 55250 VASECTOMY UNIL/BILATERAL MD	$596.75	$1,085.00	$138.15–$4,340.00	—	45%
Vasectomy, one or both sides, including follow-up semen testing both sides CPT 55250 VASECTOMY UNIL/BILATERAL OP	$596.75	$1,085.00	$138.15–$4,340.00	—	45%
Vasectomy, one or both sides, including follow-up semen testing CPT 55250 REMOVAL OF SPERM DUCT(S)	$596.75	$1,085.00	$138.15–$4,340.00	—	45%
Vasectomy, one or both sides, including follow-up semen testing inpatient both sides CPT 55250 VASECTOMY UNIL/BILATERAL FAC	$208.45	$379.00	$138.15–$4,340.00	—	45%
Vasectomy, one or both sides, including follow-up semen testing inpatient both sides CPT 55250 VASECTOMY UNIL/BILATERAL PRO	$388.30	$706.00	$138.15–$4,340.00	—	45%
Vasectomy, one or both sides, including follow-up semen testing inpatient both sides CPT 55250 VASECTOMY UNIL/BILATERAL MD	$596.75	$1,085.00	$138.15–$4,340.00	—	45%
Vasectomy, one or both sides, including follow-up semen testing inpatient both sides CPT 55250 VASECTOMY UNIL/BILATERAL OP	$596.75	$1,085.00	$138.15–$4,340.00	—	45%
Vasectomy, one or both sides, including follow-up semen testing inpatient both sides CPT 55250 VASECTOMY UNIL/BILATERAL IP	$596.75	$1,085.00	$138.15–$4,340.00	—	45%
Vasectomy, one or both sides, including follow-up semen testing inpatient CPT 55250 REMOVAL OF SPERM DUCT(S)	$596.75	$1,085.00	$138.15–$4,340.00	—	45%
Wart removal, up to 14 warts CPT 17110 DESTR BEN LESN UP TO 14 FAC	$32.45	$59.00	$17.33–$338.00	56% below	45%
Wart removal, up to 14 warts CPT 17110 DESTR BEN LESN UP TO 14 PRO	$60.50	$110.00	$17.33–$338.00	17% below	45%
Wart removal, up to 14 warts CPT 17110 DESTR BEN LESN UP TO 14 MD	$92.95	$169.00	$17.33–$338.00	27% above	45%
Wart removal, up to 14 warts CPT 17110 DESTRUCTION B9 LES UP TO 14	$92.95	$169.00	$17.33–$338.00	27% above	45%
Wart removal, up to 14 warts inpatient CPT 17110 DESTR BEN LESN UP TO 14 FAC	$32.45	$59.00	$17.33–$338.00	—	45%
Wart removal, up to 14 warts inpatient CPT 17110 DESTR BEN LESN UP TO 14 PRO	$60.50	$110.00	$17.33–$338.00	—	45%
Wart removal, up to 14 warts inpatient CPT 17110 DESTRUCTION B9 LES UP TO 14	$92.95	$169.00	$17.33–$338.00	—	45%
Wart removal, up to 14 warts inpatient CPT 17110 DESTR BEN LESN UP TO 14 MD	$92.95	$169.00	$17.33–$338.00	—	45%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEB SUBQ TISSUE 20 SQ CM/< PRO	$82.50	$150.00	$25.78–$2,070.00	75% below	45%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEB SUBQ TISSUE 20 SQ CM/< PRO	$82.50	$150.00	$25.78–$2,070.00	75% below	45%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEB SUBQ TISSUE 20 SQ CM/< UB ONLY	$126.50	$230.00	$25.78–$2,070.00	62% below	45%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEB SUBQ TISSUE 20 SQ CM/< OP	$126.50	$230.00	$25.78–$2,070.00	62% below	45%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEB SUBQ TISSUE 20 SQ CM/< MD	$126.50	$230.00	$25.78–$2,070.00	62% below	45%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEB SUBQ TISSUE 20 SQ CM/< 1500 ONLY	$126.50	$230.00	$25.78–$2,070.00	62% below	45%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DBRDMT SUBQ TIS 1ST 20SQCM/<	$126.50	$230.00	$25.78–$2,070.00	62% below	45%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEB SUBQ TISSUE 20 SQ CM/<	$126.50	$230.00	$25.78–$2,070.00	62% below	45%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEB SUBQ TISSUE 20 SQ CM/< IP	$126.50	$230.00	$25.78–$2,070.00	62% below	45%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 DEB SUBQ TISSUE 20 SQ CM/< PRO	$82.50	$150.00	$25.78–$2,070.00	—	45%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 DEB SUBQ TISSUE 20 SQ CM/< PRO	$82.50	$150.00	$25.78–$2,070.00	—	45%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 DBRDMT SUBQ TIS 1ST 20SQCM/<	$126.50	$230.00	$25.78–$2,070.00	—	45%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 DEB SUBQ TISSUE 20 SQ CM/< MD	$126.50	$230.00	$25.78–$2,070.00	—	45%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 DEB SUBQ TISSUE 20 SQ CM/< 1500 ONLY	$126.50	$230.00	$25.78–$2,070.00	—	45%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 DEB SUBQ TISSUE 20 SQ CM/< IP	$126.50	$230.00	$25.78–$2,070.00	—	45%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 DEB SUBQ TISSUE 20 SQ CM/<	$126.50	$230.00	$25.78–$2,070.00	—	45%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 DEB SUBQ TISSUE 20 SQ CM/< UB ONLY	$126.50	$230.00	$25.78–$2,070.00	—	45%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 DEB SUBQ TISSUE 20 SQ CM/< OP	$126.50	$230.00	$25.78–$2,070.00	—	45%
Wrist fracture surgery (plate and screws), distal radius CPT 25607 OPTX DST RD XARTC FX/EPI SEP	$866.25	$1,575.00	$378.01–$3,938.00	—	45%
Wrist fracture surgery (plate and screws), distal radius CPT 25607 ORIF FX DISL RAD W/HRDWRE IP	$866.25	$1,575.00	$378.01–$3,938.00	—	45%
Wrist fracture surgery (plate and screws), distal radius CPT 25607 ORIF FX DISL RAD W/HRDWRE OP	$866.25	$1,575.00	$378.01–$3,938.00	—	45%
Wrist fracture surgery (plate and screws), distal radius inpatient CPT 25607 ORIF FX DISL RAD W/HRDWRE OP	$866.25	$1,575.00	$378.01–$3,938.00	—	45%
Wrist fracture surgery (plate and screws), distal radius inpatient CPT 25607 ORIF FX DISL RAD W/HRDWRE IP	$866.25	$1,575.00	$378.01–$3,938.00	—	45%
Wrist fracture surgery (plate and screws), distal radius inpatient CPT 25607 OPTX DST RD XARTC FX/EPI SEP	$866.25	$1,575.00	$378.01–$3,938.00	—	45%

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs New Hampshire	Off list
Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION BLOOD LESS 2HOUR	$474.65	$863.00	$18.56–$20,622.00	42% below	45%
Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION BLOOD LESS 2HRS	$474.65	$863.00	$18.56–$20,622.00	42% below	45%
Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION BLOOD < 2HRS	$474.65	$863.00	$18.56–$20,622.00	42% below	45%
Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION BLOOD/PRODUCTS <2 HRS	$474.65	$863.00	$18.56–$20,622.00	42% below	45%
Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION BLD/BLD COMPNT	$474.65	$863.00	$18.56–$20,622.00	42% below	45%
Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION BLOOD LESS 2 HR	$474.65	$863.00	$18.56–$20,622.00	42% below	45%
Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION BLOOD/PRODUCTS < 2HRS	$474.65	$863.00	$18.56–$20,622.00	42% below	45%
Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION BLOOD 2TO4 HR	$651.20	$1,184.00	$18.56–$20,622.00	20% below	45%
Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION BLOOD/PRODUCTS 2-4HRS	$651.20	$1,184.00	$18.56–$20,622.00	20% below	45%
Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION BLOOD 2TO4 HR OR	$651.20	$1,184.00	$18.56–$20,622.00	20% below	45%
Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION BLOOD 2-4 HRS	$651.20	$1,184.00	$18.56–$20,622.00	20% below	45%
Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION BLOOD 2TO 4 HRS	$651.20	$1,184.00	$18.56–$20,622.00	20% below	45%
Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION BLOOD/PRODUCTS > 4 HRS	$764.50	$1,390.00	$18.56–$20,622.00	6% below	45%
Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION BLOOD > 4HRS	$764.50	$1,390.00	$18.56–$20,622.00	6% below	45%
Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION BLOOD MORE 4H OR	$764.50	$1,390.00	$18.56–$20,622.00	6% below	45%
Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION BLOOD MORE 4HRS	$764.50	$1,390.00	$18.56–$20,622.00	6% below	45%
Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION BLOOD/PRODUCTS >4 HRS	$764.50	$1,390.00	$18.56–$20,622.00	6% below	45%
Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION BLOOD GREATER 4H	$764.50	$1,390.00	$18.56–$20,622.00	6% below	45%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSFUSION BLOOD/PRODUCTS < 2HRS	$474.65	$863.00	$18.56–$20,622.00	—	45%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSFUSION BLD/BLD COMPNT	$474.65	$863.00	$18.56–$20,622.00	—	45%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSFUSION BLOOD LESS 2HOUR	$474.65	$863.00	$18.56–$20,622.00	—	45%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSFUSION BLOOD/PRODUCTS <2 HRS	$474.65	$863.00	$18.56–$20,622.00	—	45%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSFUSION BLOOD LESS 2 HR	$474.65	$863.00	$18.56–$20,622.00	—	45%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSFUSION BLOOD LESS 2HRS	$474.65	$863.00	$18.56–$20,622.00	—	45%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSFUSION BLOOD < 2HRS	$474.65	$863.00	$18.56–$20,622.00	—	45%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSFUSION BLOOD/PRODUCTS 2-4HRS	$651.20	$1,184.00	$18.56–$20,622.00	—	45%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSFUSION BLOOD 2TO4 HR OR	$651.20	$1,184.00	$18.56–$20,622.00	—	45%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSFUSION BLOOD 2-4 HRS	$651.20	$1,184.00	$18.56–$20,622.00	—	45%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSFUSION BLOOD 2TO 4 HRS	$651.20	$1,184.00	$18.56–$20,622.00	—	45%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSFUSION BLOOD 2TO4 HR	$651.20	$1,184.00	$18.56–$20,622.00	—	45%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSFUSION BLOOD/PRODUCTS > 4 HRS	$764.50	$1,390.00	$18.56–$20,622.00	—	45%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSFUSION BLOOD MORE 4H OR	$764.50	$1,390.00	$18.56–$20,622.00	—	45%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSFUSION BLOOD GREATER 4H	$764.50	$1,390.00	$18.56–$20,622.00	—	45%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSFUSION BLOOD MORE 4HRS	$764.50	$1,390.00	$18.56–$20,622.00	—	45%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSFUSION BLOOD/PRODUCTS >4 HRS	$764.50	$1,390.00	$18.56–$20,622.00	—	45%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSFUSION BLOOD > 4HRS	$764.50	$1,390.00	$18.56–$20,622.00	—	45%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 AIRWAY INHALATION TREATMENT 1500	$61.60	$112.00	$8.76–$862.00	52% below	45%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 AIRWAY INHALATION TREATMENT	$61.60	$112.00	$8.76–$862.00	52% below	45%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 AIRWAY INHALATION TREATMENT UB	$61.60	$112.00	$8.76–$862.00	52% below	45%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 NEBULIZER INITIAL W/INSTRUCTION CHARGE	$75.90	$138.00	$8.76–$862.00	41% below	45%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 MDI TREATMENT SUBSEQUENT	$75.90	$138.00	$8.76–$862.00	41% below	45%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 NEBULIZER SUBSEQUENT CHARGE	$75.90	$138.00	$8.76–$862.00	41% below	45%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 AIRWAY INHALATION TREATMENT UB	$61.60	$112.00	$8.76–$862.00	—	45%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 AIRWAY INHALATION TREATMENT	$61.60	$112.00	$8.76–$862.00	—	45%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 AIRWAY INHALATION TREATMENT 1500	$61.60	$112.00	$8.76–$862.00	—	45%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 MDI TREATMENT SUBSEQUENT	$75.90	$138.00	$8.76–$862.00	—	45%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 NEBULIZER INITIAL W/INSTRUCTION CHARGE	$75.90	$138.00	$8.76–$862.00	—	45%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 NEBULIZER SUBSEQUENT CHARGE	$75.90	$138.00	$8.76–$862.00	—	45%
Chemotherapy IV infusion, first hour CPT 96413 CHEMO INFUSION - INITIAL HOUR	$363.00	$660.00	$104.48–$660.00	36% below	45%
Chemotherapy IV infusion, first hour CPT 96413 CHEMO IV INFUSION 1 HR	$363.00	$660.00	$104.48–$660.00	36% below	45%
Chemotherapy IV infusion, first hour inpatient CPT 96413 CHEMO IV INFUSION 1 HR	$363.00	$660.00	$104.48–$660.00	—	45%
Chemotherapy IV infusion, first hour inpatient CPT 96413 CHEMO INFUSION - INITIAL HOUR	$363.00	$660.00	$104.48–$660.00	—	45%
Comprehensive hearing test: tone and speech audiometry, both ears both sides CPT 92557 VA COMPLETE AUDIOMETRY BILAT PROC	$73.15	$133.00	$25.78–$568.00	—	45%
Comprehensive hearing test: tone and speech audiometry, both ears both sides CPT 92557 COMPLETE AUDIOMETRY BILATERAL PROC	$162.25	$295.00	$25.78–$568.00	—	45%
Comprehensive hearing test: tone and speech audiometry, both ears CPT 92557 VA C&P AUDIOLOGY EXAM	$77.00	$140.00	$25.78–$568.00	39% below	45%
Comprehensive hearing test: tone and speech audiometry, both ears CPT 92557 COMPREHENSIVE HEARING TEST	$162.25	$295.00	$25.78–$568.00	28% above	45%
Comprehensive hearing test: tone and speech audiometry, both ears inpatient both sides CPT 92557 VA COMPLETE AUDIOMETRY BILAT PROC	$73.15	$133.00	$25.78–$568.00	—	45%
Comprehensive hearing test: tone and speech audiometry, both ears inpatient both sides CPT 92557 COMPLETE AUDIOMETRY BILATERAL PROC	$162.25	$295.00	$25.78–$568.00	—	45%
Comprehensive hearing test: tone and speech audiometry, both ears inpatient CPT 92557 VA C&P AUDIOLOGY EXAM	$77.00	$140.00	$25.78–$568.00	—	45%
Comprehensive hearing test: tone and speech audiometry, both ears inpatient CPT 92557 COMPREHENSIVE HEARING TEST	$162.25	$295.00	$25.78–$568.00	—	45%
Critical care, first 30 to 74 minutes CPT 99291 MD-CRITICAL CARE 1ST 30-74"	$287.10	$522.00	$35.00–$4,740.00	86% below	45%
Critical care, first 30 to 74 minutes CPT 99291 CRITICAL CARE FIRST HOUR	$287.10	$522.00	$35.00–$4,740.00	86% below	45%
Critical care, first 30 to 74 minutes CPT 99291 CRITICAL CARE FIRST HOUR IP	$287.10	$522.00	$35.00–$4,740.00	86% below	45%
Critical care, first 30 to 74 minutes CPT 99291 CRITICAL CARE FIRST HOUR OP	$287.10	$522.00	$35.00–$4,740.00	86% below	45%
Critical care, first 30 to 74 minutes CPT 99291 CRITICAL CARE 1ST HOUR 99291	$287.10	$522.00	$35.00–$4,740.00	86% below	45%
Critical care, first 30 to 74 minutes CPT 99291 LEVEL VI CRITICAL CARE 1ST 30-74MIN	$1,458.60	$2,652.00	$35.00–$4,740.00	30% below	45%
Critical care, first 30 to 74 minutes inpatient CPT 99291 CRITICAL CARE FIRST HOUR	$287.10	$522.00	$35.00–$4,740.00	—	45%
Critical care, first 30 to 74 minutes inpatient CPT 99291 CRITICAL CARE 1ST HOUR 99291	$287.10	$522.00	$35.00–$4,740.00	—	45%
Critical care, first 30 to 74 minutes inpatient CPT 99291 CRITICAL CARE FIRST HOUR IP	$287.10	$522.00	$35.00–$4,740.00	—	45%
Critical care, first 30 to 74 minutes inpatient CPT 99291 CRITICAL CARE FIRST HOUR OP	$287.10	$522.00	$35.00–$4,740.00	—	45%
Critical care, first 30 to 74 minutes inpatient CPT 99291 MD-CRITICAL CARE 1ST 30-74"	$287.10	$522.00	$35.00–$4,740.00	—	45%
Critical care, first 30 to 74 minutes inpatient CPT 99291 LEVEL VI CRITICAL CARE 1ST 30-74MIN	$1,458.60	$2,652.00	$35.00–$4,740.00	—	45%
EEG (brain wave test), awake and drowsy, routine CPT 95816 EEG AWAKE AND DROWSY	$641.85	$1,167.00	$59.80–$1,167.00	22% below	45%
EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 EEG AWAKE AND DROWSY	$641.85	$1,167.00	$59.80–$1,167.00	—	45%
Electrocardiogram (ECG/EKG) with interpretation CPT 93000 PRIORITY CARE EKG	$73.15	$133.00	$14.04–$589.00	46% above	45%
Electrocardiogram (ECG/EKG) with interpretation CPT 93000 ELECTROCARDIOGRAM COMPLETE	$73.15	$133.00	$14.04–$589.00	46% above	45%
Electrocardiogram (ECG/EKG) with interpretation CPT 93000 ELECTROCARDIOGRAM COMPLETE MD	$83.60	$152.00	$14.04–$589.00	66% above	45%
Electrocardiogram (ECG/EKG) with interpretation CPT 93000 ELECTROCARDIOGRAM COMPLETE UB ONLY	$83.60	$152.00	$14.04–$589.00	66% above	45%
Electrocardiogram (ECG/EKG) with interpretation CPT 93000 ELECTROCARDIOGRAM COMPLETE 1500 ONLY	$83.60	$152.00	$14.04–$589.00	66% above	45%
Electrocardiogram (ECG/EKG) with interpretation inpatient CPT 93000 ELECTROCARDIOGRAM COMPLETE	$73.15	$133.00	$14.04–$589.00	—	45%
Electrocardiogram (ECG/EKG) with interpretation inpatient CPT 93000 PRIORITY CARE EKG	$73.15	$133.00	$14.04–$589.00	—	45%
Electrocardiogram (ECG/EKG) with interpretation inpatient CPT 93000 ELECTROCARDIOGRAM COMPLETE 1500 ONLY	$83.60	$152.00	$14.04–$589.00	—	45%
Electrocardiogram (ECG/EKG) with interpretation inpatient CPT 93000 ELECTROCARDIOGRAM COMPLETE UB ONLY	$83.60	$152.00	$14.04–$589.00	—	45%
Electrocardiogram (ECG/EKG) with interpretation inpatient CPT 93000 ELECTROCARDIOGRAM COMPLETE MD	$83.60	$152.00	$14.04–$589.00	—	45%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG TRACING ONLY MD	$29.15	$53.00	$6.29–$1,249.00	81% below	45%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ELECTROCARDIOGRAM TRACING ONLY FAC	$29.15	$53.00	$6.29–$1,249.00	81% below	45%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ELECTROCARDIOGRAM TRACING ONLY UB FAC	$29.15	$53.00	$6.29–$1,249.00	81% below	45%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG TRACING	$62.70	$114.00	$6.29–$1,249.00	59% below	45%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG TRACING ONLY CHARGE	$134.20	$244.00	$6.29–$1,249.00	13% below	45%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG 2ND IN 24H REPEAT BY SAME MD	$134.20	$244.00	$6.29–$1,249.00	13% below	45%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ELECTROCARDIOGRAM TRACING	$134.20	$244.00	$6.29–$1,249.00	13% below	45%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG 2ND IN 24H DIFFERENT MD	$134.20	$244.00	$6.29–$1,249.00	13% below	45%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ROUTINE 12 LEAD EKG TRACING ONLY	$134.20	$244.00	$6.29–$1,249.00	13% below	45%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 ELECTROCARDIOGRAM TRACING ONLY FAC	$29.15	$53.00	$6.29–$1,249.00	—	45%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 ELECTROCARDIOGRAM TRACING ONLY UB FAC	$29.15	$53.00	$6.29–$1,249.00	—	45%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG TRACING ONLY MD	$29.15	$53.00	$6.29–$1,249.00	—	45%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG TRACING	$62.70	$114.00	$6.29–$1,249.00	—	45%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG 2ND IN 24H REPEAT BY SAME MD	$134.20	$244.00	$6.29–$1,249.00	—	45%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG 2ND IN 24H DIFFERENT MD	$134.20	$244.00	$6.29–$1,249.00	—	45%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG TRACING ONLY CHARGE	$134.20	$244.00	$6.29–$1,249.00	—	45%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 ROUTINE 12 LEAD EKG TRACING ONLY	$134.20	$244.00	$6.29–$1,249.00	—	45%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 ELECTROCARDIOGRAM TRACING	$134.20	$244.00	$6.29–$1,249.00	—	45%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 MD-LEVEL 1 BRIEF	$56.65	$103.00	$11.10–$344.00	71% below	45%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 EMR DPT VST MAYX REQ PHY/QHP	$132.55	$241.00	$11.10–$344.00	31% below	45%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 LEVEL I BRIEF FACILITY	$132.55	$241.00	$11.10–$344.00	31% below	45%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 MD-LEVEL 1 BRIEF	$56.65	$103.00	$11.10–$344.00	—	45%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 LEVEL I BRIEF FACILITY	$132.55	$241.00	$11.10–$344.00	—	45%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 EMR DPT VST MAYX REQ PHY/QHP	$132.55	$241.00	$11.10–$344.00	—	45%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 MD-LEVEL 2 LIMITED	$93.50	$170.00	$25.40–$910.00	68% below	45%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 SANE LEVEL I	$190.30	$346.00	$25.40–$910.00	34% below	45%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 LEVEL II LIMITED FACILITY	$216.70	$394.00	$25.40–$910.00	25% below	45%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 EMERGENCY DEPT VISIT SF MDM	$216.70	$394.00	$25.40–$910.00	25% below	45%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 MD-LEVEL 2 LIMITED	$93.50	$170.00	$25.40–$910.00	—	45%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 SANE LEVEL I	$190.30	$346.00	$25.40–$910.00	—	45%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 LEVEL II LIMITED FACILITY	$216.70	$394.00	$25.40–$910.00	—	45%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 EMERGENCY DEPT VISIT SF MDM	$216.70	$394.00	$25.40–$910.00	—	45%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 MD-LEVEL 3 INTERMEDIATE	$139.15	$253.00	$41.57–$1,806.00	74% below	45%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 LEVEL III INTERMEDIATE FACILITY	$404.80	$736.00	$41.57–$1,806.00	24% below	45%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 EMERGENCY DEPT VISIT LOW MDM	$404.80	$736.00	$41.57–$1,806.00	24% below	45%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 SANE LEVEL II	$449.35	$817.00	$41.57–$1,806.00	16% below	45%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 MD-LEVEL 3 INTERMEDIATE	$139.15	$253.00	$41.57–$1,806.00	—	45%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 LEVEL III INTERMEDIATE FACILITY	$404.80	$736.00	$41.57–$1,806.00	—	45%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 EMERGENCY DEPT VISIT LOW MDM	$404.80	$736.00	$41.57–$1,806.00	—	45%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 SANE LEVEL II	$449.35	$817.00	$41.57–$1,806.00	—	45%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 LEVEL IV COMPLEX FACILITY	$617.65	$1,123.00	$62.35–$2,888.00	33% below	45%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 EMERGENCY DEPT VISIT MOD MDM	$617.65	$1,123.00	$62.35–$2,888.00	33% below	45%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 SANE LEVEL III	$778.80	$1,416.00	$62.35–$2,888.00	16% below	45%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 LEVEL IV COMPLEX FACILITY	$617.65	$1,123.00	$62.35–$2,888.00	—	45%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 EMERGENCY DEPT VISIT MOD MDM	$617.65	$1,123.00	$62.35–$2,888.00	—	45%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 SANE LEVEL III	$778.80	$1,416.00	$62.35–$2,888.00	—	45%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 SANE LEVEL IV	$851.40	$1,548.00	$97.00–$3,562.00	35% below	45%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 EMERGENCY DEPT VISIT HI MDM	$876.15	$1,593.00	$97.00–$3,562.00	33% below	45%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 LEVEL V COMPREHENSIVE FACILITY	$876.15	$1,593.00	$97.00–$3,562.00	33% below	45%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 SANE LEVEL IV	$851.40	$1,548.00	$97.00–$3,562.00	—	45%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 EMERGENCY DEPT VISIT HI MDM	$876.15	$1,593.00	$97.00–$3,562.00	—	45%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 LEVEL V COMPREHENSIVE FACILITY	$876.15	$1,593.00	$97.00–$3,562.00	—	45%
Exercise stress test, tracing only, the hospital charge CPT 93017 CARDIAC STRESS TEST CHARGE	$416.90	$758.00	$30.93–$758.00	51% below	45%
Exercise stress test, tracing only, the hospital charge CPT 93017 CV STRESS TEST TRACING ONLY	$416.90	$758.00	$30.93–$758.00	51% below	45%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 CV STRESS TEST TRACING ONLY	$416.90	$758.00	$30.93–$758.00	—	45%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 CARDIAC STRESS TEST CHARGE	$416.90	$758.00	$30.93–$758.00	—	45%
Family therapy with the patient, 50 minutes CPT 90847 FAMILY THERAPY W/PT 50 MINS	$141.35	$257.00	$59.80–$257.00	87% below	45%
Family therapy with the patient, 50 minutes CPT 90847 FAMILY PSYTX W/PT 50 MIN	$141.35	$257.00	$59.80–$257.00	87% below	45%
Family therapy with the patient, 50 minutes inpatient CPT 90847 FAMILY THERAPY W/PT 50 MINS	$141.35	$257.00	$59.80–$257.00	—	45%
Family therapy with the patient, 50 minutes inpatient CPT 90847 FAMILY PSYTX W/PT 50 MIN	$141.35	$257.00	$59.80–$257.00	—	45%
Family therapy without the patient, 50 minutes CPT 90846 FAMILY PSYTX W/O PT 50 MIN FAC	$47.30	$86.00	$51.55–$492.00	96% below	45%
Family therapy without the patient, 50 minutes CPT 90846 FAMILY PSYTX W/O PT 50 MIN PRO	$88.00	$160.00	$51.55–$492.00	92% below	45%
Family therapy without the patient, 50 minutes CPT 90846 FAMILY PSYTX W/O PT 50 MIN MD	$135.30	$246.00	$51.55–$492.00	87% below	45%
Family therapy without the patient, 50 minutes CPT 90846 FAMILY PSYTX W/O PT 50 MIN	$135.30	$246.00	$51.55–$492.00	87% below	45%
Family therapy without the patient, 50 minutes inpatient CPT 90846 FAMILY PSYTX W/O PT 50 MIN FAC	$47.30	$86.00	$51.55–$492.00	—	45%
Family therapy without the patient, 50 minutes inpatient CPT 90846 FAMILY PSYTX W/O PT 50 MIN PRO	$88.00	$160.00	$51.55–$492.00	—	45%
Family therapy without the patient, 50 minutes inpatient CPT 90846 FAMILY PSYTX W/O PT 50 MIN MD	$135.30	$246.00	$51.55–$492.00	—	45%
Family therapy without the patient, 50 minutes inpatient CPT 90846 FAMILY PSYTX W/O PT 50 MIN	$135.30	$246.00	$51.55–$492.00	—	45%
Group psychotherapy session CPT 90853 GROUP THERAPY PROCESS NON-FAMILY	$33.55	$61.00	$21.77–$61.00	93% below	45%
Group psychotherapy session CPT 90853 GROUP PSYCHOTHERAPY	$33.55	$61.00	$21.77–$61.00	93% below	45%
Group psychotherapy session inpatient CPT 90853 GROUP PSYCHOTHERAPY	$33.55	$61.00	$21.77–$61.00	—	45%
Group psychotherapy session inpatient CPT 90853 GROUP THERAPY PROCESS NON-FAMILY	$33.55	$61.00	$21.77–$61.00	—	45%
Holter monitor, heart rhythm recording up to 48 hours, with report CPT 93224 ECG MONITOR/REPORT, 24 HRS	$206.25	$375.00	$71.69–$375.00	—	45%
Holter monitor, heart rhythm recording up to 48 hours, with report CPT 93224 XTRNL ECG REC UP TO 48 HRS	$206.25	$375.00	$71.69–$375.00	—	45%
Holter monitor, heart rhythm recording up to 48 hours, with report inpatient CPT 93224 ECG MONITOR/REPORT, 24 HRS	$206.25	$375.00	$71.69–$375.00	—	45%
Holter monitor, heart rhythm recording up to 48 hours, with report inpatient CPT 93224 XTRNL ECG REC UP TO 48 HRS	$206.25	$375.00	$71.69–$375.00	—	45%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HYDRATION INITIAL 31 TO 60 MIN	$204.05	$371.00	$32.07–$1,113.00	39% below	45%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HYDRATION INITIAL 31 MIN TO 1 HR	$204.05	$371.00	$32.07–$1,113.00	39% below	45%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HYDRATION IV INFUSION INIT	$204.05	$371.00	$32.07–$1,113.00	39% below	45%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV HYDRATION INITIAL 31 TO 60 MINS	$204.05	$371.00	$32.07–$1,113.00	39% below	45%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HYDRATION IV INFUSION INIT	$204.05	$371.00	$32.07–$1,113.00	—	45%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV HYDRATION INITIAL 31 TO 60 MINS	$204.05	$371.00	$32.07–$1,113.00	—	45%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HYDRATION INITIAL 31 MIN TO 1 HR	$204.05	$371.00	$32.07–$1,113.00	—	45%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HYDRATION INITIAL 31 TO 60 MIN	$204.05	$371.00	$32.07–$1,113.00	—	45%
IV infusion of a medicine, first hour CPT 96365 IV INFUSION INITIAL UP TO 1HR	$256.30	$466.00	$43.19–$1,398.00	24% below	45%
IV infusion of a medicine, first hour CPT 96365 IV INFUSION INITIAL UP TO 1H	$256.30	$466.00	$43.19–$1,398.00	24% below	45%
IV infusion of a medicine, first hour CPT 96365 THER/PROPH/DIAG IV INF INIT	$256.30	$466.00	$43.19–$1,398.00	24% below	45%
IV infusion of a medicine, first hour CPT 96365 NON-CHEMO INF INITIAL UP TO 1 HR	$256.30	$466.00	$43.19–$1,398.00	24% below	45%
IV infusion of a medicine, first hour inpatient CPT 96365 IV INFUSION INITIAL UP TO 1HR	$256.30	$466.00	$43.19–$1,398.00	—	45%
IV infusion of a medicine, first hour inpatient CPT 96365 NON-CHEMO INF INITIAL UP TO 1 HR	$256.30	$466.00	$43.19–$1,398.00	—	45%
IV infusion of a medicine, first hour inpatient CPT 96365 THER/PROPH/DIAG IV INF INIT	$256.30	$466.00	$43.19–$1,398.00	—	45%
IV infusion of a medicine, first hour inpatient CPT 96365 IV INFUSION INITIAL UP TO 1H	$256.30	$466.00	$43.19–$1,398.00	—	45%
IV push of a medicine, first drug CPT 96374 IV PUSH INITIAL RXRM	$142.45	$259.00	$34.33–$1,763.00	26% below	45%
IV push of a medicine, first drug CPT 96374 IV PUSH INITIAL	$142.45	$259.00	$34.33–$1,763.00	26% below	45%
IV push of a medicine, first drug CPT 96374 THER/PROPH/DIAG INJ IV PUSH	$142.45	$259.00	$34.33–$1,763.00	26% below	45%
IV push of a medicine, first drug CPT 96374 IV PUSH INITIAL OBS	$142.45	$259.00	$34.33–$1,763.00	26% below	45%
IV push of a medicine, first drug CPT 96374 NON CHEMO IV PUSH INITIAL	$142.45	$259.00	$34.33–$1,763.00	26% below	45%
IV push of a medicine, first drug CPT 96374 IV PUSH INITIAL ED	$142.45	$259.00	$34.33–$1,763.00	26% below	45%
IV push of a medicine, first drug inpatient CPT 96374 THER/PROPH/DIAG INJ IV PUSH	$142.45	$259.00	$34.33–$1,763.00	—	45%
IV push of a medicine, first drug inpatient CPT 96374 IV PUSH INITIAL OBS	$142.45	$259.00	$34.33–$1,763.00	—	45%
IV push of a medicine, first drug inpatient CPT 96374 IV PUSH INITIAL	$142.45	$259.00	$34.33–$1,763.00	—	45%
IV push of a medicine, first drug inpatient CPT 96374 NON CHEMO IV PUSH INITIAL	$142.45	$259.00	$34.33–$1,763.00	—	45%
IV push of a medicine, first drug inpatient CPT 96374 IV PUSH INITIAL ED	$142.45	$259.00	$34.33–$1,763.00	—	45%
IV push of a medicine, first drug inpatient CPT 96374 IV PUSH INITIAL RXRM	$142.45	$259.00	$34.33–$1,763.00	—	45%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 THER/PROPH/DIAG INJ SC/IM	$26.95	$49.00	$13.17–$525.00	68% below	45%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 THER/PROPH/DIAG INJ, SC/IM 1500	$29.15	$53.00	$13.17–$525.00	66% below	45%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 THER/PROPH/DIAG INJ, SC/IM UB	$29.15	$53.00	$13.17–$525.00	66% below	45%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 THER/PROPH/DIAG INJ, SC/IM	$29.15	$53.00	$13.17–$525.00	66% below	45%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 SC/IM INJECTION TREATMENT ROOM	$36.30	$66.00	$13.17–$525.00	58% below	45%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 SC/IM INJECTION OBS	$36.30	$66.00	$13.17–$525.00	58% below	45%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 SC/IM INJECTION ED	$36.30	$66.00	$13.17–$525.00	58% below	45%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 NON CHEMO INJECTION SC/IM	$36.30	$66.00	$13.17–$525.00	58% below	45%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 THER/PROPH/DIAG INJ SC/IM	$26.95	$49.00	$13.17–$525.00	—	45%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 THER/PROPH/DIAG INJ, SC/IM 1500	$29.15	$53.00	$13.17–$525.00	—	45%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 THER/PROPH/DIAG INJ, SC/IM	$29.15	$53.00	$13.17–$525.00	—	45%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 THER/PROPH/DIAG INJ, SC/IM UB	$29.15	$53.00	$13.17–$525.00	—	45%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 SC/IM INJECTION ED	$36.30	$66.00	$13.17–$525.00	—	45%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 SC/IM INJECTION OBS	$36.30	$66.00	$13.17–$525.00	—	45%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 SC/IM INJECTION TREATMENT ROOM	$36.30	$66.00	$13.17–$525.00	—	45%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 NON CHEMO INJECTION SC/IM	$36.30	$66.00	$13.17–$525.00	—	45%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 PSYCH DIAGNOSTIC EVALUATION FAC	$68.75	$125.00	$90.54–$1,432.00	86% below	45%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 PSYCH DIAGNOSTIC EVALUATION PRO	$128.15	$233.00	$90.54–$1,432.00	75% below	45%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 PSYCH DIAGNOSTIC EVALUATION MD	$196.90	$358.00	$90.54–$1,432.00	61% below	45%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 PSYCH DIAGNOSTIC EVALUATION	$196.90	$358.00	$90.54–$1,432.00	61% below	45%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 PSYCH DIAGNOSTIC EVALUATION OP	$196.90	$358.00	$90.54–$1,432.00	61% below	45%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 PSYCH DIAGNOSTIC EVALUATION IP	$196.90	$358.00	$90.54–$1,432.00	61% below	45%
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 PSYCH DIAGNOSTIC EVALUATION FAC	$68.75	$125.00	$90.54–$1,432.00	—	45%
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 PSYCH DIAGNOSTIC EVALUATION PRO	$128.15	$233.00	$90.54–$1,432.00	—	45%
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 PSYCH DIAGNOSTIC EVALUATION OP	$196.90	$358.00	$90.54–$1,432.00	—	45%
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 PSYCH DIAGNOSTIC EVALUATION IP	$196.90	$358.00	$90.54–$1,432.00	—	45%
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 PSYCH DIAGNOSTIC EVALUATION MD	$196.90	$358.00	$90.54–$1,432.00	—	45%
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 PSYCH DIAGNOSTIC EVALUATION	$196.90	$358.00	$90.54–$1,432.00	—	45%
Nerve conduction study, 7 or 8 nerve studies CPT 95910 NRV CNDJ TEST 7-8 STUDIES	$133.65	$243.00	$85.34–$243.00	81% below	45%
Nerve conduction study, 7 or 8 nerve studies CPT 95910 NRV CNDJ TEST 7-8 STUDIES MD	$133.65	$243.00	$85.34–$243.00	81% below	45%
Nerve conduction study, 7 or 8 nerve studies inpatient CPT 95910 NRV CNDJ TEST 7-8 STUDIES	$133.65	$243.00	$85.34–$243.00	—	45%
Nerve conduction study, 7 or 8 nerve studies inpatient CPT 95910 NRV CNDJ TEST 7-8 STUDIES MD	$133.65	$243.00	$85.34–$243.00	—	45%
Neuromuscular re-education, 15 minutes CPT 97112 HH NEUROMUS RE-ED 15	$58.30	$106.00	$23.97–$366.00	41% below	45%
Neuromuscular re-education, 15 minutes CPT 97112 PT NEUROMUSCULAR RE-EDUCATION 15 MIN	$71.50	$130.00	$23.97–$366.00	28% below	45%
Neuromuscular re-education, 15 minutes CPT 97112 NEUROMUSCULAR REEDUCATION	$71.50	$130.00	$23.97–$366.00	28% below	45%
Neuromuscular re-education, 15 minutes CPT 97112 OT NEUROMUSCULAR RE-EDUCATION 15 MIN	$71.50	$130.00	$23.97–$366.00	28% below	45%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 HH NEUROMUS RE-ED 15	$58.30	$106.00	$23.97–$366.00	—	45%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 PT NEUROMUSCULAR RE-EDUCATION 15 MIN	$71.50	$130.00	$23.97–$366.00	—	45%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 NEUROMUSCULAR REEDUCATION	$71.50	$130.00	$23.97–$366.00	—	45%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 OT NEUROMUSCULAR RE-EDUCATION 15 MIN	$71.50	$130.00	$23.97–$366.00	—	45%
New patient office visit, about 30 minutes CPT 99203 NEW PATIENT DET/LOW 30 UB FAC	$39.05	$71.00	$35.00–$2,328.00	75% below	45%
New patient office visit, about 30 minutes CPT 99203 NEW PATIENT DET/LOW 30 FAC	$39.05	$71.00	$35.00–$2,328.00	75% below	45%
New patient office visit, about 30 minutes CPT 99203 NEW PATIENT DET/LOW 30 FAC	$39.05	$71.00	$35.00–$2,328.00	75% below	45%
New patient office visit, about 30 minutes CPT 99203 IND PREP INTERMEDIATE EXAM	$52.25	$95.00	$35.00–$2,328.00	66% below	45%
New patient office visit, about 30 minutes CPT 99203 NEW PATIENT DET/LOW 30 PRO	$72.60	$132.00	$35.00–$2,328.00	53% below	45%
New patient office visit, about 30 minutes CPT 99203 NEW PATIENT DET/LOW 30 PRO	$72.60	$132.00	$35.00–$2,328.00	53% below	45%
New patient office visit, about 30 minutes CPT 99203 NEW PATIENT DET/LOW 30 PRO	$72.60	$132.00	$35.00–$2,328.00	53% below	45%
New patient office visit, about 30 minutes CPT 99203 NEW PATIENT DET/LOW 30 UB ONLY	$111.65	$203.00	$35.00–$2,328.00	28% below	45%
New patient office visit, about 30 minutes CPT 99203 OFFICE/OUTPATIENT VISIT, NEW LEV 3	$111.65	$203.00	$35.00–$2,328.00	28% below	45%
New patient office visit, about 30 minutes CPT 99203 OFFICE O/P NEW LOW 30 MIN	$111.65	$203.00	$35.00–$2,328.00	28% below	45%
New patient office visit, about 30 minutes CPT 99203 NEW PATIENT DET/LOW 30 1500 ONLY	$111.65	$203.00	$35.00–$2,328.00	28% below	45%
New patient office visit, about 30 minutes CPT 99203 NEW PATIENT DET/LOW 30 OP	$111.65	$203.00	$35.00–$2,328.00	28% below	45%
New patient office visit, about 30 minutes CPT 99203 NEW PATIENT DET/LOW 30 MD	$111.65	$203.00	$35.00–$2,328.00	28% below	45%
New patient office visit, about 30 minutes CPT 99203 NEW INTERMEDIATE EVALUATION	$111.65	$203.00	$35.00–$2,328.00	28% below	45%
New patient office visit, about 30 minutes CPT 99203 NEW PATIENT DET/LOW 30 IP	$111.65	$203.00	$35.00–$2,328.00	28% below	45%
New patient office visit, about 30 minutes CPT 99203 NEW PATIENT DET/LOW 30 MD	$111.65	$203.00	$35.00–$2,328.00	28% below	45%
New patient office visit, about 30 minutes inpatient CPT 99203 NEW PATIENT DET/LOW 30 UB FAC	$39.05	$71.00	$35.00–$2,328.00	—	45%
New patient office visit, about 30 minutes inpatient CPT 99203 NEW PATIENT DET/LOW 30 FAC	$39.05	$71.00	$35.00–$2,328.00	—	45%
New patient office visit, about 30 minutes inpatient CPT 99203 NEW PATIENT DET/LOW 30 FAC	$39.05	$71.00	$35.00–$2,328.00	—	45%
New patient office visit, about 30 minutes inpatient CPT 99203 IND PREP INTERMEDIATE EXAM	$52.25	$95.00	$35.00–$2,328.00	—	45%
New patient office visit, about 30 minutes inpatient CPT 99203 NEW PATIENT DET/LOW 30 PRO	$72.60	$132.00	$35.00–$2,328.00	—	45%
New patient office visit, about 30 minutes inpatient CPT 99203 NEW PATIENT DET/LOW 30 PRO	$72.60	$132.00	$35.00–$2,328.00	—	45%
New patient office visit, about 30 minutes inpatient CPT 99203 NEW PATIENT DET/LOW 30 PRO	$72.60	$132.00	$35.00–$2,328.00	—	45%
New patient office visit, about 30 minutes inpatient CPT 99203 OFFICE/OUTPATIENT VISIT, NEW LEV 3	$111.65	$203.00	$35.00–$2,328.00	—	45%
New patient office visit, about 30 minutes inpatient CPT 99203 OFFICE O/P NEW LOW 30 MIN	$111.65	$203.00	$35.00–$2,328.00	—	45%
New patient office visit, about 30 minutes inpatient CPT 99203 NEW INTERMEDIATE EVALUATION	$111.65	$203.00	$35.00–$2,328.00	—	45%
New patient office visit, about 30 minutes inpatient CPT 99203 NEW PATIENT DET/LOW 30 UB ONLY	$111.65	$203.00	$35.00–$2,328.00	—	45%
New patient office visit, about 30 minutes inpatient CPT 99203 NEW PATIENT DET/LOW 30 OP	$111.65	$203.00	$35.00–$2,328.00	—	45%
New patient office visit, about 30 minutes inpatient CPT 99203 NEW PATIENT DET/LOW 30 IP	$111.65	$203.00	$35.00–$2,328.00	—	45%
New patient office visit, about 30 minutes inpatient CPT 99203 NEW PATIENT DET/LOW 30 MD	$111.65	$203.00	$35.00–$2,328.00	—	45%
New patient office visit, about 30 minutes inpatient CPT 99203 NEW PATIENT DET/LOW 30 MD	$111.65	$203.00	$35.00–$2,328.00	—	45%
New patient office visit, about 30 minutes inpatient CPT 99203 NEW PATIENT DET/LOW 30 1500 ONLY	$111.65	$203.00	$35.00–$2,328.00	—	45%
New patient office visit, about 45 minutes CPT 99204 NEW PATIENT COM/MOD 45 FAC	$57.20	$104.00	$35.00–$3,417.00	73% below	45%
New patient office visit, about 45 minutes CPT 99204 NEW PATIENT COM/MOD 45 UB FAC	$57.20	$104.00	$35.00–$3,417.00	73% below	45%
New patient office visit, about 45 minutes CPT 99204 NEW PATIENT COM/MOD 45 FAC	$57.20	$104.00	$35.00–$3,417.00	73% below	45%
New patient office visit, about 45 minutes CPT 99204 DOT-PHYSICAL EXAM	$82.50	$150.00	$35.00–$3,417.00	61% below	45%
New patient office visit, about 45 minutes CPT 99204 NEW PATIENT COM/MOD 45 PRO	$106.15	$193.00	$35.00–$3,417.00	50% below	45%
New patient office visit, about 45 minutes CPT 99204 NEW PATIENT COM/MOD 45 PRO	$106.15	$193.00	$35.00–$3,417.00	50% below	45%
New patient office visit, about 45 minutes CPT 99204 NEW PATIENT COM/MOD 45 OP	$163.35	$297.00	$35.00–$3,417.00	24% below	45%
New patient office visit, about 45 minutes CPT 99204 NEW PATIENT COM/MOD 45 1500 ONLY	$163.35	$297.00	$35.00–$3,417.00	24% below	45%
New patient office visit, about 45 minutes CPT 99204 NEW PATIENT COM/MOD 45	$163.35	$297.00	$35.00–$3,417.00	24% below	45%
New patient office visit, about 45 minutes CPT 99204 OFFICE/OUTPATIENT VISIT, NEW LEV 4	$163.35	$297.00	$35.00–$3,417.00	24% below	45%
New patient office visit, about 45 minutes CPT 99204 NEW PATIENT COM/MOD 45 UB ONLY	$163.35	$297.00	$35.00–$3,417.00	24% below	45%
New patient office visit, about 45 minutes CPT 99204 OFFICE O/P NEW MOD 45 MIN	$163.35	$297.00	$35.00–$3,417.00	24% below	45%
New patient office visit, about 45 minutes CPT 99204 NEW PATIENT COM/MOD 45 MD	$163.35	$297.00	$35.00–$3,417.00	24% below	45%
New patient office visit, about 45 minutes CPT 99204 NEW PATIENT COM/MOD 45 IP	$163.35	$297.00	$35.00–$3,417.00	24% below	45%
New patient office visit, about 45 minutes CPT 99204 NEW EXTENDED EVALUATION	$163.35	$297.00	$35.00–$3,417.00	24% below	45%
New patient office visit, about 45 minutes inpatient CPT 99204 NEW PATIENT COM/MOD 45 UB FAC	$57.20	$104.00	$35.00–$3,417.00	—	45%
New patient office visit, about 45 minutes inpatient CPT 99204 NEW PATIENT COM/MOD 45 FAC	$57.20	$104.00	$35.00–$3,417.00	—	45%
New patient office visit, about 45 minutes inpatient CPT 99204 NEW PATIENT COM/MOD 45 FAC	$57.20	$104.00	$35.00–$3,417.00	—	45%
New patient office visit, about 45 minutes inpatient CPT 99204 DOT-PHYSICAL EXAM	$82.50	$150.00	$35.00–$3,417.00	—	45%
New patient office visit, about 45 minutes inpatient CPT 99204 NEW PATIENT COM/MOD 45 PRO	$106.15	$193.00	$35.00–$3,417.00	—	45%
New patient office visit, about 45 minutes inpatient CPT 99204 NEW PATIENT COM/MOD 45 PRO	$106.15	$193.00	$35.00–$3,417.00	—	45%
New patient office visit, about 45 minutes inpatient CPT 99204 NEW PATIENT COM/MOD 45 IP	$163.35	$297.00	$35.00–$3,417.00	—	45%
New patient office visit, about 45 minutes inpatient CPT 99204 OFFICE O/P NEW MOD 45 MIN	$163.35	$297.00	$35.00–$3,417.00	—	45%
New patient office visit, about 45 minutes inpatient CPT 99204 NEW PATIENT COM/MOD 45 OP	$163.35	$297.00	$35.00–$3,417.00	—	45%
New patient office visit, about 45 minutes inpatient CPT 99204 NEW PATIENT COM/MOD 45 1500 ONLY	$163.35	$297.00	$35.00–$3,417.00	—	45%
New patient office visit, about 45 minutes inpatient CPT 99204 NEW PATIENT COM/MOD 45 MD	$163.35	$297.00	$35.00–$3,417.00	—	45%
New patient office visit, about 45 minutes inpatient CPT 99204 NEW PATIENT COM/MOD 45	$163.35	$297.00	$35.00–$3,417.00	—	45%
New patient office visit, about 45 minutes inpatient CPT 99204 NEW PATIENT COM/MOD 45 UB ONLY	$163.35	$297.00	$35.00–$3,417.00	—	45%
New patient office visit, about 45 minutes inpatient CPT 99204 NEW EXTENDED EVALUATION	$163.35	$297.00	$35.00–$3,417.00	—	45%
New patient office visit, about 45 minutes inpatient CPT 99204 OFFICE/OUTPATIENT VISIT, NEW LEV 4	$163.35	$297.00	$35.00–$3,417.00	—	45%
New patient office visit, about 60 minutes CPT 99205 NEW PATIENT COM/HIGH 60 FAC	$73.15	$133.00	$73.15–$4,720.00	73% below	45%
New patient office visit, about 60 minutes CPT 99205 NEW PATIENT COM/HIGH 60 UB FAC	$73.15	$133.00	$73.15–$4,720.00	73% below	45%
New patient office visit, about 60 minutes CPT 99205 NEW PATIENT COM/HIGH 60 FAC	$73.15	$133.00	$73.15–$4,720.00	73% below	45%
New patient office visit, about 60 minutes CPT 99205 IND PREMP COMP EXAM	$88.00	$160.00	$73.15–$4,720.00	68% below	45%
New patient office visit, about 60 minutes CPT 99205 NEW PATIENT COM/HIGH 60 PRO	$135.85	$247.00	$73.15–$4,720.00	50% below	45%
New patient office visit, about 60 minutes CPT 99205 NEW PATIENT COM/HIGH 60 PRO	$135.85	$247.00	$73.15–$4,720.00	50% below	45%
New patient office visit, about 60 minutes CPT 99205 NEW PATIENT COM/HIGH 60 PRO	$135.85	$247.00	$73.15–$4,720.00	50% below	45%
New patient office visit, about 60 minutes CPT 99205 OFFICE/OUTPATIENT VISIT, NEW LEV 5	$209.00	$380.00	$73.15–$4,720.00	23% below	45%
New patient office visit, about 60 minutes CPT 99205 NEW PATIENT COM/HIGH 60	$209.00	$380.00	$73.15–$4,720.00	23% below	45%
New patient office visit, about 60 minutes CPT 99205 NEW PATIENT COM/HIGH 60 1500 ONLY	$209.00	$380.00	$73.15–$4,720.00	23% below	45%
New patient office visit, about 60 minutes CPT 99205 NEW PATIENT COM/HIGH 60 OP	$209.00	$380.00	$73.15–$4,720.00	23% below	45%
New patient office visit, about 60 minutes CPT 99205 NEW PATIENT COM/HIGH 60 IP	$209.00	$380.00	$73.15–$4,720.00	23% below	45%
New patient office visit, about 60 minutes CPT 99205 NEW PATIENT COM/HIGH 60 UB ONLY	$209.00	$380.00	$73.15–$4,720.00	23% below	45%
New patient office visit, about 60 minutes CPT 99205 OFFICE O/P NEW HI 60 MIN	$209.00	$380.00	$73.15–$4,720.00	23% below	45%
New patient office visit, about 60 minutes CPT 99205 NEW PATIENT COM/HIGH 60 MD	$209.00	$380.00	$73.15–$4,720.00	23% below	45%
New patient office visit, about 60 minutes CPT 99205 NEW PATIENT COM/HIGH 60 OP	$209.00	$380.00	$73.15–$4,720.00	23% below	45%
New patient office visit, about 60 minutes inpatient CPT 99205 NEW PATIENT COM/HIGH 60 UB FAC	$73.15	$133.00	$73.15–$4,720.00	—	45%
New patient office visit, about 60 minutes inpatient CPT 99205 NEW PATIENT COM/HIGH 60 FAC	$73.15	$133.00	$73.15–$4,720.00	—	45%
New patient office visit, about 60 minutes inpatient CPT 99205 NEW PATIENT COM/HIGH 60 FAC	$73.15	$133.00	$73.15–$4,720.00	—	45%
New patient office visit, about 60 minutes inpatient CPT 99205 IND PREMP COMP EXAM	$88.00	$160.00	$73.15–$4,720.00	—	45%
New patient office visit, about 60 minutes inpatient CPT 99205 NEW PATIENT COM/HIGH 60 PRO	$135.85	$247.00	$73.15–$4,720.00	—	45%
New patient office visit, about 60 minutes inpatient CPT 99205 NEW PATIENT COM/HIGH 60 PRO	$135.85	$247.00	$73.15–$4,720.00	—	45%
New patient office visit, about 60 minutes inpatient CPT 99205 NEW PATIENT COM/HIGH 60 PRO	$135.85	$247.00	$73.15–$4,720.00	—	45%
New patient office visit, about 60 minutes inpatient CPT 99205 NEW PATIENT COM/HIGH 60 UB ONLY	$209.00	$380.00	$73.15–$4,720.00	—	45%
New patient office visit, about 60 minutes inpatient CPT 99205 NEW PATIENT COM/HIGH 60 IP	$209.00	$380.00	$73.15–$4,720.00	—	45%
New patient office visit, about 60 minutes inpatient CPT 99205 NEW PATIENT COM/HIGH 60 1500 ONLY	$209.00	$380.00	$73.15–$4,720.00	—	45%
New patient office visit, about 60 minutes inpatient CPT 99205 NEW PATIENT COM/HIGH 60 OP	$209.00	$380.00	$73.15–$4,720.00	—	45%
New patient office visit, about 60 minutes inpatient CPT 99205 OFFICE/OUTPATIENT VISIT, NEW LEV 5	$209.00	$380.00	$73.15–$4,720.00	—	45%
New patient office visit, about 60 minutes inpatient CPT 99205 NEW PATIENT COM/HIGH 60 MD	$209.00	$380.00	$73.15–$4,720.00	—	45%
New patient office visit, about 60 minutes inpatient CPT 99205 NEW PATIENT COM/HIGH 60 OP	$209.00	$380.00	$73.15–$4,720.00	—	45%
New patient office visit, about 60 minutes inpatient CPT 99205 NEW PATIENT COM/HIGH 60	$209.00	$380.00	$73.15–$4,720.00	—	45%
New patient office visit, about 60 minutes inpatient CPT 99205 OFFICE O/P NEW HI 60 MIN	$209.00	$380.00	$73.15–$4,720.00	—	45%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 NEW PATIENT EXPRIB/STR 20 UB FAC	$28.60	$52.00	$28.60–$1,910.00	76% below	45%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 NEW PATIENT EXPRIB/STR 20 FAC	$28.60	$52.00	$28.60–$1,910.00	76% below	45%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 NEW PATIENT EXPRIB/STR 20 FAC	$28.60	$52.00	$28.60–$1,910.00	76% below	45%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 IND PREP BASIC EXAM	$46.75	$85.00	$28.60–$1,910.00	61% below	45%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 NEW PATIENT EXPRIB/STR 20 PRO	$53.90	$98.00	$28.60–$1,910.00	55% below	45%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 NEW PATIENT EXPRIB/STR 20 PRO	$53.90	$98.00	$28.60–$1,910.00	55% below	45%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 NEW PATIENT EXPRIB/STR 20 IP	$82.50	$150.00	$28.60–$1,910.00	31% below	45%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 NEW PATIENT EXPRIB/STR 20 1500 ONL	$82.50	$150.00	$28.60–$1,910.00	31% below	45%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 NEW PATIENT EXPRIB/STR 20 UB ONLY	$82.50	$150.00	$28.60–$1,910.00	31% below	45%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 OFFICE/OUTPATIENT VISIT, NEW LEV 2	$82.50	$150.00	$28.60–$1,910.00	31% below	45%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 NEW PATIENT EXPRIB/STR 20 MD	$82.50	$150.00	$28.60–$1,910.00	31% below	45%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 NEW PATIENT EXPRIB/STR 20 MD	$82.50	$150.00	$28.60–$1,910.00	31% below	45%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 OFFICE O/P NEW SF 15 MIN	$82.50	$150.00	$28.60–$1,910.00	31% below	45%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 NEW PATIENT EXPRIB/STR 20 OP	$82.50	$150.00	$28.60–$1,910.00	31% below	45%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 NEW LIMITED EVALUATION	$85.25	$155.00	$28.60–$1,910.00	28% below	45%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 NEW PATIENT EXPRIB/STR 20 FAC	$28.60	$52.00	$28.60–$1,910.00	—	45%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 NEW PATIENT EXPRIB/STR 20 FAC	$28.60	$52.00	$28.60–$1,910.00	—	45%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 NEW PATIENT EXPRIB/STR 20 UB FAC	$28.60	$52.00	$28.60–$1,910.00	—	45%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 IND PREP BASIC EXAM	$46.75	$85.00	$28.60–$1,910.00	—	45%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 NEW PATIENT EXPRIB/STR 20 PRO	$53.90	$98.00	$28.60–$1,910.00	—	45%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 NEW PATIENT EXPRIB/STR 20 PRO	$53.90	$98.00	$28.60–$1,910.00	—	45%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 NEW PATIENT EXPRIB/STR 20 UB ONLY	$82.50	$150.00	$28.60–$1,910.00	—	45%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 NEW PATIENT EXPRIB/STR 20 1500 ONL	$82.50	$150.00	$28.60–$1,910.00	—	45%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 NEW PATIENT EXPRIB/STR 20 OP	$82.50	$150.00	$28.60–$1,910.00	—	45%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 NEW PATIENT EXPRIB/STR 20 MD	$82.50	$150.00	$28.60–$1,910.00	—	45%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 NEW PATIENT EXPRIB/STR 20 IP	$82.50	$150.00	$28.60–$1,910.00	—	45%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 OFFICE O/P NEW SF 15 MIN	$82.50	$150.00	$28.60–$1,910.00	—	45%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 NEW PATIENT EXPRIB/STR 20 MD	$82.50	$150.00	$28.60–$1,910.00	—	45%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 OFFICE/OUTPATIENT VISIT, NEW LEV 2	$82.50	$150.00	$28.60–$1,910.00	—	45%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 NEW LIMITED EVALUATION	$85.25	$155.00	$28.60–$1,910.00	—	45%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 MEDICAL NUTRITION INDIV IN	$57.75	$105.00	$20.19–$210.00	3% below	45%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 MNT INITIAL ASSESS EA 15 MIN DIAB	$57.75	$105.00	$20.19–$210.00	3% below	45%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 MNT INITIAL ASSESSMENT EA 15 MIN	$57.75	$105.00	$20.19–$210.00	3% below	45%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 MEDICAL NUTRITION INDIV IN	$57.75	$105.00	$20.19–$210.00	—	45%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 MNT INITIAL ASSESSMENT EA 15 MIN	$57.75	$105.00	$20.19–$210.00	—	45%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 MNT INITIAL ASSESS EA 15 MIN DIAB	$57.75	$105.00	$20.19–$210.00	—	45%
Occupational therapy evaluation, low complexity CPT 97165 HH EVAL LOW COMPLEXITY	$166.10	$302.00	$44.51–$672.00	30% below	45%
Occupational therapy evaluation, low complexity CPT 97165 OT EVAL LOW COMPLEXITY	$203.50	$370.00	$44.51–$672.00	15% below	45%
Occupational therapy evaluation, low complexity CPT 97165 OT EVAL LOW COMPLEX 30 MIN	$203.50	$370.00	$44.51–$672.00	15% below	45%
Occupational therapy evaluation, low complexity inpatient CPT 97165 HH EVAL LOW COMPLEXITY	$166.10	$302.00	$44.51–$672.00	—	45%
Occupational therapy evaluation, low complexity inpatient CPT 97165 OT EVAL LOW COMPLEXITY	$203.50	$370.00	$44.51–$672.00	—	45%
Occupational therapy evaluation, low complexity inpatient CPT 97165 OT EVAL LOW COMPLEX 30 MIN	$203.50	$370.00	$44.51–$672.00	—	45%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT LSRVNA PT EVAL	$98.45	$179.01	$49.08–$535.01	64% below	45%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT EVAL HIGH COMPLEX 45 MIN	$195.80	$356.00	$49.08–$535.01	28% below	45%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT EVAL HIGH COMPLEXITY	$195.80	$356.00	$49.08–$535.01	28% below	45%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 PT LSRVNA PT EVAL	$98.45	$179.01	$49.08–$535.01	—	45%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 PT EVAL HIGH COMPLEXITY	$195.80	$356.00	$49.08–$535.01	—	45%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 PT EVAL HIGH COMPLEX 45 MIN	$195.80	$356.00	$49.08–$535.01	—	45%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT EVAL LOW COMPLEX 20 MIN	$195.80	$356.00	$49.08–$356.00	13% below	45%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT EVAL LOW COMPLEXITY	$195.80	$356.00	$49.08–$356.00	13% below	45%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 PT EVAL LOW COMPLEXITY	$195.80	$356.00	$49.08–$356.00	—	45%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 PT EVAL LOW COMPLEX 20 MIN	$195.80	$356.00	$49.08–$356.00	—	45%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT EVAL MODERATE COMPLEXITY	$195.80	$356.00	$49.08–$356.00	19% below	45%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT EVAL MOD COMPLEX 30 MIN	$195.80	$356.00	$49.08–$356.00	19% below	45%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 PT EVAL MODERATE COMPLEXITY	$195.80	$356.00	$49.08–$356.00	—	45%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 PT EVAL MOD COMPLEX 30 MIN	$195.80	$356.00	$49.08–$356.00	—	45%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HH MANUAL THERAPY 15	$75.35	$137.00	$21.98–$473.00	14% below	45%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 PT MANUAL THERAPY 15 MINUTES	$92.40	$168.00	$21.98–$473.00	6% above	45%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 OT MANUAL THERAPY; EA 15 MIN	$92.40	$168.00	$21.98–$473.00	6% above	45%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MANUAL THERAPY 1/> REGIONS	$92.40	$168.00	$21.98–$473.00	6% above	45%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HH MANUAL THERAPY 15	$75.35	$137.00	$21.98–$473.00	—	45%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 OT MANUAL THERAPY; EA 15 MIN	$92.40	$168.00	$21.98–$473.00	—	45%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 PT MANUAL THERAPY 15 MINUTES	$92.40	$168.00	$21.98–$473.00	—	45%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 MANUAL THERAPY 1/> REGIONS	$92.40	$168.00	$21.98–$473.00	—	45%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HH THER EX 15	$63.80	$116.00	$23.49–$400.00	36% below	45%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PT THERAPEUTIC EXERCISE 15 MINUTES	$78.10	$142.00	$23.49–$400.00	21% below	45%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAPEUTIC EXERCISES	$78.10	$142.00	$23.49–$400.00	21% below	45%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 OT THERAPEUTIC EXERCISE 15 MIN	$78.10	$142.00	$23.49–$400.00	21% below	45%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HH THER EX 15	$63.80	$116.00	$23.49–$400.00	—	45%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 OT THERAPEUTIC EXERCISE 15 MIN	$78.10	$142.00	$23.49–$400.00	—	45%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERAPEUTIC EXERCISES	$78.10	$142.00	$23.49–$400.00	—	45%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 PT THERAPEUTIC EXERCISE 15 MINUTES	$78.10	$142.00	$23.49–$400.00	—	45%
Preventive checkup, new patient aged 18–39 CPT 99385 PREV VISIT NEW AGE 18-39	$150.70	$274.00	$41.57–$274.00	38% above	45%
Preventive checkup, new patient aged 18–39 CPT 99385 PREVENTIVE NEW 18-39 YRS	$150.70	$274.00	$41.57–$274.00	38% above	45%
Preventive checkup, new patient aged 18–39 inpatient CPT 99385 PREVENTIVE NEW 18-39 YRS	$150.70	$274.00	$41.57–$274.00	—	45%
Preventive checkup, new patient aged 18–39 inpatient CPT 99385 PREV VISIT NEW AGE 18-39	$150.70	$274.00	$41.57–$274.00	—	45%
Preventive checkup, new patient aged 40–64 CPT 99386 PREVENTIVE NEW 40-64 YRS	$173.80	$316.00	$41.57–$316.00	127% above	45%
Preventive checkup, new patient aged 40–64 CPT 99386 PREV VISIT NEW AGE 40-64	$173.80	$316.00	$41.57–$316.00	127% above	45%
Preventive checkup, new patient aged 40–64 inpatient CPT 99386 PREVENTIVE NEW 40-64 YRS	$173.80	$316.00	$41.57–$316.00	—	45%
Preventive checkup, new patient aged 40–64 inpatient CPT 99386 PREV VISIT NEW AGE 40-64	$173.80	$316.00	$41.57–$316.00	—	45%
Preventive checkup, new patient aged 65 or older CPT 99387 INIT PM E/M NEW PAT 65+ YRS	$190.85	$347.00	$41.57–$347.00	39% above	45%
Preventive checkup, new patient aged 65 or older CPT 99387 PREVENTIVE NEW 65+ YRS	$190.85	$347.00	$41.57–$347.00	39% above	45%
Preventive checkup, new patient aged 65 or older inpatient CPT 99387 INIT PM E/M NEW PAT 65+ YRS	$190.85	$347.00	$41.57–$347.00	—	45%
Preventive checkup, new patient aged 65 or older inpatient CPT 99387 PREVENTIVE NEW 65+ YRS	$190.85	$347.00	$41.57–$347.00	—	45%
Preventive checkup, returning patient aged 18–39 CPT 99395 PREVENTIVE EST 18-39 YRS	$129.80	$236.00	$41.57–$236.00	118% above	45%
Preventive checkup, returning patient aged 18–39 CPT 99395 PREV VISIT EST AGE 18-39	$129.80	$236.00	$41.57–$236.00	118% above	45%
Preventive checkup, returning patient aged 18–39 inpatient CPT 99395 PREVENTIVE EST 18-39 YRS	$129.80	$236.00	$41.57–$236.00	—	45%
Preventive checkup, returning patient aged 18–39 inpatient CPT 99395 PREV VISIT EST AGE 18-39	$129.80	$236.00	$41.57–$236.00	—	45%
Preventive checkup, returning patient aged 40–64 CPT 99396 PREVENTIVE EST 40-64 YRS	$141.35	$257.00	$41.57–$257.00	123% above	45%
Preventive checkup, returning patient aged 40–64 CPT 99396 PREV VISIT EST AGE 40-64	$141.35	$257.00	$41.57–$257.00	123% above	45%
Preventive checkup, returning patient aged 40–64 inpatient CPT 99396 PREVENTIVE EST 40-64 YRS	$141.35	$257.00	$41.57–$257.00	—	45%
Preventive checkup, returning patient aged 40–64 inpatient CPT 99396 PREV VISIT EST AGE 40-64	$141.35	$257.00	$41.57–$257.00	—	45%
Preventive checkup, returning patient aged 65 or older CPT 99397 PER PM REEVAL EST PAT 65+ YR	$158.40	$288.00	$41.57–$288.00	131% above	45%
Preventive checkup, returning patient aged 65 or older CPT 99397 PREVENTIVE EST 65+ YRS	$158.40	$288.00	$41.57–$288.00	131% above	45%
Preventive checkup, returning patient aged 65 or older inpatient CPT 99397 PER PM REEVAL EST PAT 65+ YR	$158.40	$288.00	$41.57–$288.00	—	45%
Preventive checkup, returning patient aged 65 or older inpatient CPT 99397 PREVENTIVE EST 65+ YRS	$158.40	$288.00	$41.57–$288.00	—	45%
Psychiatric evaluation with medical services CPT 90792 PSYCH DIAG EVAL W/MED SRVCS FAC	$78.65	$143.00	$67.02–$820.00	52% below	45%
Psychiatric evaluation with medical services CPT 90792 PSYCH DIAG EVAL W/MED SRVCS PRO	$146.85	$267.00	$67.02–$820.00	11% below	45%
Psychiatric evaluation with medical services CPT 90792 PSYCH DIAG EVAL W/MED SRVCS	$225.50	$410.00	$67.02–$820.00	37% above	45%
Psychiatric evaluation with medical services CPT 90792 PSYCH DIAG EVAL W/MED SRVCS MD	$225.50	$410.00	$67.02–$820.00	37% above	45%
Psychiatric evaluation with medical services inpatient CPT 90792 PSYCH DIAG EVAL W/MED SRVCS FAC	$78.65	$143.00	$67.02–$820.00	—	45%
Psychiatric evaluation with medical services inpatient CPT 90792 PSYCH DIAG EVAL W/MED SRVCS PRO	$146.85	$267.00	$67.02–$820.00	—	45%
Psychiatric evaluation with medical services inpatient CPT 90792 PSYCH DIAG EVAL W/MED SRVCS	$225.50	$410.00	$67.02–$820.00	—	45%
Psychiatric evaluation with medical services inpatient CPT 90792 PSYCH DIAG EVAL W/MED SRVCS MD	$225.50	$410.00	$67.02–$820.00	—	45%
Psychotherapy for crisis, first 60 minutes CPT 90839 PSYTX CRISIS INITIAL 60 MIN FAC	$62.70	$114.00	$86.51–$1,304.00	—	45%
Psychotherapy for crisis, first 60 minutes CPT 90839 PSYTX CRISIS INITIAL 60 MIN PRO	$116.60	$212.00	$86.51–$1,304.00	—	45%
Psychotherapy for crisis, first 60 minutes CPT 90839 PSYTX CRISIS INITIAL 60 MIN	$179.30	$326.00	$86.51–$1,304.00	—	45%
Psychotherapy for crisis, first 60 minutes CPT 90839 PSYTX CRISIS INITIAL 60 MIN MD	$179.30	$326.00	$86.51–$1,304.00	—	45%
Psychotherapy for crisis, first 60 minutes CPT 90839 PSYTX CRISIS INITIAL 60 MIN IP	$179.30	$326.00	$86.51–$1,304.00	—	45%
Psychotherapy for crisis, first 60 minutes CPT 90839 PSYTX CRISIS INITIAL 60 MIN OP	$179.30	$326.00	$86.51–$1,304.00	—	45%
Psychotherapy for crisis, first 60 minutes inpatient CPT 90839 PSYTX CRISIS INITIAL 60 MIN FAC	$62.70	$114.00	$86.51–$1,304.00	—	45%
Psychotherapy for crisis, first 60 minutes inpatient CPT 90839 PSYTX CRISIS INITIAL 60 MIN PRO	$116.60	$212.00	$86.51–$1,304.00	—	45%
Psychotherapy for crisis, first 60 minutes inpatient CPT 90839 PSYTX CRISIS INITIAL 60 MIN IP	$179.30	$326.00	$86.51–$1,304.00	—	45%
Psychotherapy for crisis, first 60 minutes inpatient CPT 90839 PSYTX CRISIS INITIAL 60 MIN OP	$179.30	$326.00	$86.51–$1,304.00	—	45%
Psychotherapy for crisis, first 60 minutes inpatient CPT 90839 PSYTX CRISIS INITIAL 60 MIN MD	$179.30	$326.00	$86.51–$1,304.00	—	45%
Psychotherapy for crisis, first 60 minutes inpatient CPT 90839 PSYTX CRISIS INITIAL 60 MIN	$179.30	$326.00	$86.51–$1,304.00	—	45%
Psychotherapy session, 30 minutes CPT 90832 PSYTX 30 MIN W/ PT FAC	$33.00	$60.00	$33.51–$346.00	90% below	45%
Psychotherapy session, 30 minutes CPT 90832 PSYTX 30 MIN W/ PT PRO	$62.15	$113.00	$33.51–$346.00	82% below	45%
Psychotherapy session, 30 minutes CPT 90832 PSYTX 30 MIN W/ PT MD	$95.15	$173.00	$33.51–$346.00	72% below	45%
Psychotherapy session, 30 minutes CPT 90832 PSYTX W PT 30 MINUTES	$95.15	$173.00	$33.51–$346.00	72% below	45%
Psychotherapy session, 30 minutes inpatient CPT 90832 PSYTX 30 MIN W/ PT FAC	$33.00	$60.00	$33.51–$346.00	—	45%
Psychotherapy session, 30 minutes inpatient CPT 90832 PSYTX 30 MIN W/ PT PRO	$62.15	$113.00	$33.51–$346.00	—	45%
Psychotherapy session, 30 minutes inpatient CPT 90832 PSYTX 30 MIN W/ PT MD	$95.15	$173.00	$33.51–$346.00	—	45%
Psychotherapy session, 30 minutes inpatient CPT 90832 PSYTX W PT 30 MINUTES	$95.15	$173.00	$33.51–$346.00	—	45%
Psychotherapy session, 45 minutes CPT 90834 PSYTX 45 MINS W/PT FAC	$43.45	$79.00	$67.02–$456.00	95% below	45%
Psychotherapy session, 45 minutes CPT 90834 PSYTX 45 MINS W/PT PRO	$81.95	$149.00	$67.02–$456.00	91% below	45%
Psychotherapy session, 45 minutes CPT 90834 PSYTX W PT 45 MINUTES	$125.40	$228.00	$67.02–$456.00	86% below	45%
Psychotherapy session, 45 minutes CPT 90834 PSYTX 45 MINS W/PT MD	$125.40	$228.00	$67.02–$456.00	86% below	45%
Psychotherapy session, 45 minutes inpatient CPT 90834 PSYTX 45 MINS W/PT FAC	$43.45	$79.00	$67.02–$456.00	—	45%
Psychotherapy session, 45 minutes inpatient CPT 90834 PSYTX 45 MINS W/PT PRO	$81.95	$149.00	$67.02–$456.00	—	45%
Psychotherapy session, 45 minutes inpatient CPT 90834 PSYTX W PT 45 MINUTES	$125.40	$228.00	$67.02–$456.00	—	45%
Psychotherapy session, 45 minutes inpatient CPT 90834 PSYTX 45 MINS W/PT MD	$125.40	$228.00	$67.02–$456.00	—	45%
Psychotherapy session, 60 minutes CPT 90837 PSYTX W PT 60 MINUTES FAC	$64.35	$117.00	$74.23–$674.00	90% below	45%
Psychotherapy session, 60 minutes CPT 90837 PSYTX W PT 60 MINUTES PRO	$121.00	$220.00	$74.23–$674.00	82% below	45%
Psychotherapy session, 60 minutes CPT 90837 PSYTX W PT 60 MINUTES MD	$185.35	$337.00	$74.23–$674.00	72% below	45%
Psychotherapy session, 60 minutes CPT 90837 PSYTX W PT 60 MINUTES	$185.35	$337.00	$74.23–$674.00	72% below	45%
Psychotherapy session, 60 minutes inpatient CPT 90837 PSYTX W PT 60 MINUTES FAC	$64.35	$117.00	$74.23–$674.00	—	45%
Psychotherapy session, 60 minutes inpatient CPT 90837 PSYTX W PT 60 MINUTES PRO	$121.00	$220.00	$74.23–$674.00	—	45%
Psychotherapy session, 60 minutes inpatient CPT 90837 PSYTX W PT 60 MINUTES	$185.35	$337.00	$74.23–$674.00	—	45%
Psychotherapy session, 60 minutes inpatient CPT 90837 PSYTX W PT 60 MINUTES MD	$185.35	$337.00	$74.23–$674.00	—	45%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 SMOKE/TOBACO COUNSELING 3-10 MINS	$19.25	$35.00	$8.58–$105.00	47% below	45%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 SMOKE/TOBACO COUNSELING 3-10 MINS 1500	$19.25	$35.00	$8.58–$105.00	47% below	45%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 BEHAV CHNG SMOKING 3-10 MIN	$19.25	$35.00	$8.58–$105.00	47% below	45%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 SMOKE/TOBACO COUNSELING 3-10 MINS UB	$19.25	$35.00	$8.58–$105.00	47% below	45%
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 SMOKE/TOBACO COUNSELING 3-10 MINS UB	$19.25	$35.00	$8.58–$105.00	—	45%
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 SMOKE/TOBACO COUNSELING 3-10 MINS	$19.25	$35.00	$8.58–$105.00	—	45%
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 BEHAV CHNG SMOKING 3-10 MIN	$19.25	$35.00	$8.58–$105.00	—	45%
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 SMOKE/TOBACO COUNSELING 3-10 MINS 1500	$19.25	$35.00	$8.58–$105.00	—	45%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 OV EST COMP/HIGH FAC	$46.20	$84.00	$46.20–$2,410.00	78% below	45%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 EST PATIENT COM/HIGH 40 UB FAC	$46.20	$84.00	$46.20–$2,410.00	78% below	45%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 EST PATIENT COM/HIGH 40 FAC	$46.20	$84.00	$46.20–$2,410.00	78% below	45%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 OV EST COMP/HIGH PRO	$86.35	$157.00	$46.20–$2,410.00	60% below	45%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 EST PATIENT COM/HIGH 40 PRO	$86.35	$157.00	$46.20–$2,410.00	60% below	45%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 EST PATIENT COM/HIGH 40 PRO	$86.35	$157.00	$46.20–$2,410.00	60% below	45%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 EST PT COMPREHENSIVE	$132.55	$241.00	$46.20–$2,410.00	38% below	45%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 EST PATIENT COM/HIGH 40 1500 ONLY	$132.55	$241.00	$46.20–$2,410.00	38% below	45%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 OFFICE/OUTPATIENT VISIT, EST LEV 5	$132.55	$241.00	$46.20–$2,410.00	38% below	45%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 EST PATIENT COM/HIGH 40 UB ONLY	$132.55	$241.00	$46.20–$2,410.00	38% below	45%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 EST PATIENT COM/HIGH 40 OP	$132.55	$241.00	$46.20–$2,410.00	38% below	45%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 OFFICE O/P EST HI 40 MIN	$132.55	$241.00	$46.20–$2,410.00	38% below	45%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 OV EST COMP/HIGH MD	$132.55	$241.00	$46.20–$2,410.00	38% below	45%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 EST PATIENT COM/HIGH 40 MD	$132.55	$241.00	$46.20–$2,410.00	38% below	45%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 EST PATIENT COM/HIGH 40 UB FAC	$46.20	$84.00	$46.20–$2,410.00	—	45%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 OV EST COMP/HIGH FAC	$46.20	$84.00	$46.20–$2,410.00	—	45%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 EST PATIENT COM/HIGH 40 FAC	$46.20	$84.00	$46.20–$2,410.00	—	45%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 EST PATIENT COM/HIGH 40 PRO	$86.35	$157.00	$46.20–$2,410.00	—	45%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 OV EST COMP/HIGH PRO	$86.35	$157.00	$46.20–$2,410.00	—	45%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 EST PATIENT COM/HIGH 40 PRO	$86.35	$157.00	$46.20–$2,410.00	—	45%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 EST PATIENT COM/HIGH 40 UB ONLY	$132.55	$241.00	$46.20–$2,410.00	—	45%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 EST PATIENT COM/HIGH 40 MD	$132.55	$241.00	$46.20–$2,410.00	—	45%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 EST PATIENT COM/HIGH 40 OP	$132.55	$241.00	$46.20–$2,410.00	—	45%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 EST PATIENT COM/HIGH 40 1500 ONLY	$132.55	$241.00	$46.20–$2,410.00	—	45%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 OFFICE O/P EST HI 40 MIN	$132.55	$241.00	$46.20–$2,410.00	—	45%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 EST PT COMPREHENSIVE	$132.55	$241.00	$46.20–$2,410.00	—	45%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 OFFICE/OUTPATIENT VISIT, EST LEV 5	$132.55	$241.00	$46.20–$2,410.00	—	45%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 OV EST COMP/HIGH MD	$132.55	$241.00	$46.20–$2,410.00	—	45%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 EST PATIENT EXPRB/LOW 15 FAC	$23.65	$43.00	$23.65–$1,362.00	74% below	45%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 EST PATIENT EXPRB/LOW 15 UB FAC	$23.65	$43.00	$23.65–$1,362.00	74% below	45%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 OV EST EXPROB FAC	$23.65	$43.00	$23.65–$1,362.00	74% below	45%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 OV EST EXPROB PRO	$43.45	$79.00	$23.65–$1,362.00	53% below	45%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 EST PATIENT EXPRB/LOW 15 PRO	$43.45	$79.00	$23.65–$1,362.00	53% below	45%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 EST PATIENT EXPRB/LOW 15 PRO	$43.45	$79.00	$23.65–$1,362.00	53% below	45%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 EST PATIENT EXPRB/LOW 15 1500 ONLY	$67.10	$122.00	$23.65–$1,362.00	27% below	45%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 EST PATIENT EXPRB/LOW 15 UB ONLY	$67.10	$122.00	$23.65–$1,362.00	27% below	45%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 EST PATIENT EXPRB/LOW 15 IP	$67.10	$122.00	$23.65–$1,362.00	27% below	45%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 EST PATIENT EXPRB/LOW 15 OP	$67.10	$122.00	$23.65–$1,362.00	27% below	45%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 OFFICE O/P EST LOW 20 MIN	$67.10	$122.00	$23.65–$1,362.00	27% below	45%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 OFFICE/OUTPATIENT VISIT, EST LEV 3	$67.10	$122.00	$23.65–$1,362.00	27% below	45%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 OV EST EXPROB MD	$67.10	$122.00	$23.65–$1,362.00	27% below	45%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 EST PATIENT EXPRB/LOW 15 MD	$67.10	$122.00	$23.65–$1,362.00	27% below	45%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 EST PT EXPANDED	$78.10	$142.00	$23.65–$1,362.00	16% below	45%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 OV EST EXPROB FAC	$23.65	$43.00	$23.65–$1,362.00	—	45%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 EST PATIENT EXPRB/LOW 15 UB FAC	$23.65	$43.00	$23.65–$1,362.00	—	45%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 EST PATIENT EXPRB/LOW 15 FAC	$23.65	$43.00	$23.65–$1,362.00	—	45%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 OV EST EXPROB PRO	$43.45	$79.00	$23.65–$1,362.00	—	45%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 EST PATIENT EXPRB/LOW 15 PRO	$43.45	$79.00	$23.65–$1,362.00	—	45%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 EST PATIENT EXPRB/LOW 15 PRO	$43.45	$79.00	$23.65–$1,362.00	—	45%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 OFFICE O/P EST LOW 20 MIN	$67.10	$122.00	$23.65–$1,362.00	—	45%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 OV EST EXPROB MD	$67.10	$122.00	$23.65–$1,362.00	—	45%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 EST PATIENT EXPRB/LOW 15 IP	$67.10	$122.00	$23.65–$1,362.00	—	45%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 EST PATIENT EXPRB/LOW 15 MD	$67.10	$122.00	$23.65–$1,362.00	—	45%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 EST PATIENT EXPRB/LOW 15 OP	$67.10	$122.00	$23.65–$1,362.00	—	45%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 OFFICE/OUTPATIENT VISIT, EST LEV 3	$67.10	$122.00	$23.65–$1,362.00	—	45%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 EST PATIENT EXPRB/LOW 15 1500 ONLY	$67.10	$122.00	$23.65–$1,362.00	—	45%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 EST PATIENT EXPRB/LOW 15 UB ONLY	$67.10	$122.00	$23.65–$1,362.00	—	45%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 EST PT EXPANDED	$78.10	$142.00	$23.65–$1,362.00	—	45%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OV EST DETAILED FAC	$34.10	$62.00	$34.10–$1,969.00	76% below	45%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OFFICE VIS EST DETAILED FAC	$34.10	$62.00	$34.10–$1,969.00	76% below	45%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OFFICE VIS EST DETAILED UB FAC	$34.10	$62.00	$34.10–$1,969.00	76% below	45%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OFFICE VIS EST DETAILED PRO	$64.35	$117.00	$34.10–$1,969.00	54% below	45%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OFFICE VIS EST DETAILED PRO	$64.35	$117.00	$34.10–$1,969.00	54% below	45%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OV EST DETAILED PRO	$64.35	$117.00	$34.10–$1,969.00	54% below	45%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OFFICE VIS EST DETAILED 1500 ONLY	$98.45	$179.00	$34.10–$1,969.00	29% below	45%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OFFICE VIS EST DETAILED IP	$98.45	$179.00	$34.10–$1,969.00	29% below	45%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OFFICE VIS EST DETAILED UB ONLY	$98.45	$179.00	$34.10–$1,969.00	29% below	45%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 EST PT DETAILED	$98.45	$179.00	$34.10–$1,969.00	29% below	45%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OFFICE VIS EST DETAILED MD	$98.45	$179.00	$34.10–$1,969.00	29% below	45%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OFFICE/OUTPATIENT VISIT, EST LEV 4	$98.45	$179.00	$34.10–$1,969.00	29% below	45%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OFFICE O/P EST MOD 30 MIN	$98.45	$179.00	$34.10–$1,969.00	29% below	45%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OV EST DETAILED MD	$98.45	$179.00	$34.10–$1,969.00	29% below	45%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OFFICE VIS EST DETAILED OP	$98.45	$179.00	$34.10–$1,969.00	29% below	45%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 OFFICE VIS EST DETAILED FAC	$34.10	$62.00	$34.10–$1,969.00	—	45%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 OFFICE VIS EST DETAILED UB FAC	$34.10	$62.00	$34.10–$1,969.00	—	45%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 OV EST DETAILED FAC	$34.10	$62.00	$34.10–$1,969.00	—	45%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 OV EST DETAILED PRO	$64.35	$117.00	$34.10–$1,969.00	—	45%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 OFFICE VIS EST DETAILED PRO	$64.35	$117.00	$34.10–$1,969.00	—	45%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 OFFICE VIS EST DETAILED PRO	$64.35	$117.00	$34.10–$1,969.00	—	45%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 OFFICE VIS EST DETAILED MD	$98.45	$179.00	$34.10–$1,969.00	—	45%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 OFFICE/OUTPATIENT VISIT, EST LEV 4	$98.45	$179.00	$34.10–$1,969.00	—	45%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 EST PT DETAILED	$98.45	$179.00	$34.10–$1,969.00	—	45%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 OFFICE VIS EST DETAILED UB ONLY	$98.45	$179.00	$34.10–$1,969.00	—	45%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 OV EST DETAILED MD	$98.45	$179.00	$34.10–$1,969.00	—	45%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 OFFICE VIS EST DETAILED OP	$98.45	$179.00	$34.10–$1,969.00	—	45%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 OFFICE VIS EST DETAILED 1500 ONLY	$98.45	$179.00	$34.10–$1,969.00	—	45%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 OFFICE O/P EST MOD 30 MIN	$98.45	$179.00	$34.10–$1,969.00	—	45%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 OFFICE VIS EST DETAILED IP	$98.45	$179.00	$34.10–$1,969.00	—	45%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 MEDICAL RESPIRATOR CLEARANCE	$15.95	$29.00	$15.95–$1,114.00	83% below	45%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OFFICE VIS EST PROB FOC FAC	$17.05	$31.00	$15.95–$1,114.00	81% below	45%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OFFICE VIS EST PROB FOC UB FAC	$17.05	$31.00	$15.95–$1,114.00	81% below	45%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OFFICE VIS EST PROB FOC FAC	$17.05	$31.00	$15.95–$1,114.00	81% below	45%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 DOT RETURN FOR INCOMPLETE/FAILED EXAM	$19.25	$35.00	$15.95–$1,114.00	79% below	45%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OFFICE VIS EST PROB FOC PRO	$32.45	$59.00	$15.95–$1,114.00	64% below	45%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OFFICE VIS EST PROB FOC PRO	$32.45	$59.00	$15.95–$1,114.00	64% below	45%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OFFICE VIS EST PROB FOC PRO	$32.45	$59.00	$15.95–$1,114.00	64% below	45%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 DOT INCOMPLETE/INELIGIBLE	$33.00	$60.00	$15.95–$1,114.00	64% below	45%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OFFICE VIS EST PROB FOC MD	$49.50	$90.00	$15.95–$1,114.00	46% below	45%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OFFICE VIS EST PROB FOC MD	$49.50	$90.00	$15.95–$1,114.00	46% below	45%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OFFICE VIS EST PROB FOC 1500 ONLY	$49.50	$90.00	$15.95–$1,114.00	46% below	45%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OFFICE O/P EST SF 10 MIN	$49.50	$90.00	$15.95–$1,114.00	46% below	45%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OFFICE/OUTPATIENT VISIT, EST LEV 2	$49.50	$90.00	$15.95–$1,114.00	46% below	45%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OFFICE VIS EST PROB FOC UB ONLY	$49.50	$90.00	$15.95–$1,114.00	46% below	45%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 EST PT LIMITED	$49.50	$90.00	$15.95–$1,114.00	46% below	45%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OFFICE VIS EST PROB FOC OP	$49.50	$90.00	$15.95–$1,114.00	46% below	45%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OFFICE VIS EST PROB FOC IP	$49.50	$90.00	$15.95–$1,114.00	46% below	45%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 MEDICAL RESPIRATOR CLEARANCE	$15.95	$29.00	$15.95–$1,114.00	—	45%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 OFFICE VIS EST PROB FOC FAC	$17.05	$31.00	$15.95–$1,114.00	—	45%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 OFFICE VIS EST PROB FOC FAC	$17.05	$31.00	$15.95–$1,114.00	—	45%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 OFFICE VIS EST PROB FOC UB FAC	$17.05	$31.00	$15.95–$1,114.00	—	45%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 DOT RETURN FOR INCOMPLETE/FAILED EXAM	$19.25	$35.00	$15.95–$1,114.00	—	45%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 OFFICE VIS EST PROB FOC PRO	$32.45	$59.00	$15.95–$1,114.00	—	45%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 OFFICE VIS EST PROB FOC PRO	$32.45	$59.00	$15.95–$1,114.00	—	45%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 OFFICE VIS EST PROB FOC PRO	$32.45	$59.00	$15.95–$1,114.00	—	45%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 DOT INCOMPLETE/INELIGIBLE	$33.00	$60.00	$15.95–$1,114.00	—	45%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 EST PT LIMITED	$49.50	$90.00	$15.95–$1,114.00	—	45%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 OFFICE VIS EST PROB FOC MD	$49.50	$90.00	$15.95–$1,114.00	—	45%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 OFFICE VIS EST PROB FOC IP	$49.50	$90.00	$15.95–$1,114.00	—	45%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 OFFICE O/P EST SF 10 MIN	$49.50	$90.00	$15.95–$1,114.00	—	45%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 OFFICE VIS EST PROB FOC OP	$49.50	$90.00	$15.95–$1,114.00	—	45%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 OFFICE VIS EST PROB FOC MD	$49.50	$90.00	$15.95–$1,114.00	—	45%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 OFFICE/OUTPATIENT VISIT, EST LEV 2	$49.50	$90.00	$15.95–$1,114.00	—	45%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 OFFICE VIS EST PROB FOC UB ONLY	$49.50	$90.00	$15.95–$1,114.00	—	45%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 OFFICE VIS EST PROB FOC 1500 ONLY	$49.50	$90.00	$15.95–$1,114.00	—	45%
Specialist consultation, low complexity or 30+ minutes CPT 99243 CONSULT DET/LOW 40 FAC	$50.60	$92.00	$75.06–$1,584.00	at median	45%
Specialist consultation, low complexity or 30+ minutes CPT 99243 CONSULT DETLOW 40 PRO	$94.60	$172.00	$75.06–$1,584.00	87% above	45%
Specialist consultation, low complexity or 30+ minutes CPT 99243 OFF/OP CNSLTJ NEW/EST LOW 30	$145.20	$264.00	$75.06–$1,584.00	187% above	45%
Specialist consultation, low complexity or 30+ minutes CPT 99243 CONSULT OUTPATIENT 99243	$145.20	$264.00	$75.06–$1,584.00	187% above	45%
Specialist consultation, low complexity or 30+ minutes CPT 99243 CONSULT DET/LOW 40	$145.20	$264.00	$75.06–$1,584.00	187% above	45%
Specialist consultation, low complexity or 30+ minutes CPT 99243 CONSULT DET/LOW 40 MD	$145.20	$264.00	$75.06–$1,584.00	187% above	45%
Specialist consultation, low complexity or 30+ minutes CPT 99243 CONSULT DEL/LOW 40 IP	$145.20	$264.00	$75.06–$1,584.00	187% above	45%
Specialist consultation, low complexity or 30+ minutes CPT 99243 CONSULT DET/LOW 40 OP	$145.20	$264.00	$75.06–$1,584.00	187% above	45%
Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 CONSULT DET/LOW 40 FAC	$50.60	$92.00	$75.06–$1,584.00	—	45%
Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 CONSULT DETLOW 40 PRO	$94.60	$172.00	$75.06–$1,584.00	—	45%
Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 CONSULT DET/LOW 40 MD	$145.20	$264.00	$75.06–$1,584.00	—	45%
Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 CONSULT OUTPATIENT 99243	$145.20	$264.00	$75.06–$1,584.00	—	45%
Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 CONSULT DEL/LOW 40 IP	$145.20	$264.00	$75.06–$1,584.00	—	45%
Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 OFF/OP CNSLTJ NEW/EST LOW 30	$145.20	$264.00	$75.06–$1,584.00	—	45%
Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 CONSULT DET/LOW 40 OP	$145.20	$264.00	$75.06–$1,584.00	—	45%
Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 CONSULT DET/LOW 40	$145.20	$264.00	$75.06–$1,584.00	—	45%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 CONSULT COM/MOD 60 FAC	$71.50	$130.00	$90.07–$2,232.00	11% below	45%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 CONSULT COM/MOD 60 PRO	$133.10	$242.00	$90.07–$2,232.00	65% above	45%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 OFF/OP CNSLTJ NEW/EST MOD 40	$204.60	$372.00	$90.07–$2,232.00	154% above	45%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 CONSULT COM/MOD 60 MD	$204.60	$372.00	$90.07–$2,232.00	154% above	45%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 CONSULT COM/MOD 60 IP	$204.60	$372.00	$90.07–$2,232.00	154% above	45%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 CONSULT COM/MOD 60	$204.60	$372.00	$90.07–$2,232.00	154% above	45%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 CONSULT COM/MOD 60 OP	$204.60	$372.00	$90.07–$2,232.00	154% above	45%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 CONSULT OUTPATIENT 99244	$204.60	$372.00	$90.07–$2,232.00	154% above	45%
Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 CONSULT COM/MOD 60 FAC	$71.50	$130.00	$90.07–$2,232.00	—	45%
Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 CONSULT COM/MOD 60 PRO	$133.10	$242.00	$90.07–$2,232.00	—	45%
Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 OFF/OP CNSLTJ NEW/EST MOD 40	$204.60	$372.00	$90.07–$2,232.00	—	45%
Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 CONSULT OUTPATIENT 99244	$204.60	$372.00	$90.07–$2,232.00	—	45%
Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 CONSULT COM/MOD 60	$204.60	$372.00	$90.07–$2,232.00	—	45%
Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 CONSULT COM/MOD 60 MD	$204.60	$372.00	$90.07–$2,232.00	—	45%
Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 CONSULT COM/MOD 60 IP	$204.60	$372.00	$90.07–$2,232.00	—	45%
Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 CONSULT COM/MOD 60 OP	$204.60	$372.00	$90.07–$2,232.00	—	45%
Speech and language evaluation CPT 92523 SPEECH SOUND LANG COMPREHEN	$246.95	$449.00	$121.63–$449.00	30% below	45%
Speech and language evaluation CPT 92523 ST EVAL OF SPEECH SOUND PROD W/COMP&EXP	$246.95	$449.00	$121.63–$449.00	30% below	45%
Speech and language evaluation inpatient CPT 92523 SPEECH SOUND LANG COMPREHEN	$246.95	$449.00	$121.63–$449.00	—	45%
Speech and language evaluation inpatient CPT 92523 ST EVAL OF SPEECH SOUND PROD W/COMP&EXP	$246.95	$449.00	$121.63–$449.00	—	45%
Speech therapy session, individual CPT 92507 SPEECH/LANG TREATMENT	$130.90	$238.00	$63.88–$238.00	45% below	45%
Speech therapy session, individual CPT 92507 TX SP LANG VOICE COMM INDIV	$130.90	$238.00	$63.88–$238.00	45% below	45%
Speech therapy session, individual inpatient CPT 92507 SPEECH/LANG TREATMENT	$130.90	$238.00	$63.88–$238.00	—	45%
Speech therapy session, individual inpatient CPT 92507 TX SP LANG VOICE COMM INDIV	$130.90	$238.00	$63.88–$238.00	—	45%
Spirometry (breathing test) CPT 94010 BREATHING CAPACITY TEST	$42.35	$77.00	$18.56–$166.00	78% below	45%
Spirometry (breathing test) CPT 94010 PFT PRIORITY CARE	$48.95	$89.00	$18.56–$166.00	75% below	45%
Spirometry (breathing test) inpatient CPT 94010 BREATHING CAPACITY TEST	$42.35	$77.00	$18.56–$166.00	—	45%
Spirometry (breathing test) inpatient CPT 94010 PFT PRIORITY CARE	$48.95	$89.00	$18.56–$166.00	—	45%
Spirometry before and after a bronchodilator CPT 94060 EVALUATION OF WHEEZING	$61.05	$111.00	$25.78–$751.00	82% below	45%
Spirometry before and after a bronchodilator CPT 94060 BRONCHOSPASM EVALUATION CHARGE	$352.00	$640.00	$25.78–$751.00	3% above	45%
Spirometry before and after a bronchodilator inpatient CPT 94060 EVALUATION OF WHEEZING	$61.05	$111.00	$25.78–$751.00	—	45%
Spirometry before and after a bronchodilator inpatient CPT 94060 BRONCHOSPASM EVALUATION CHARGE	$352.00	$640.00	$25.78–$751.00	—	45%
Therapeutic activities (functional training), 15 minutes CPT 97530 HH FUNCTIONAL ACT 15	$58.30	$106.00	$24.20–$366.00	37% below	45%
Therapeutic activities (functional training), 15 minutes CPT 97530 OT FUNCTIONAL ACTIVITY DIRECT 15 MIN	$71.50	$130.00	$24.20–$366.00	23% below	45%
Therapeutic activities (functional training), 15 minutes CPT 97530 PT FUNCTIONAL ACTIVITY DIRECT 15 MIN	$71.50	$130.00	$24.20–$366.00	23% below	45%
Therapeutic activities (functional training), 15 minutes CPT 97530 THERAPEUTIC ACTIVITIES	$71.50	$130.00	$24.20–$366.00	23% below	45%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HH FUNCTIONAL ACT 15	$58.30	$106.00	$24.20–$366.00	—	45%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 THERAPEUTIC ACTIVITIES	$71.50	$130.00	$24.20–$366.00	—	45%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 OT FUNCTIONAL ACTIVITY DIRECT 15 MIN	$71.50	$130.00	$24.20–$366.00	—	45%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 PT FUNCTIONAL ACTIVITY DIRECT 15 MIN	$71.50	$130.00	$24.20–$366.00	—	45%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 PHLEBOTOMY	$144.65	$263.00	$10.31–$779.00	41% below	45%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 THERAPEUTIC PHLEBOTOMY	$144.65	$263.00	$10.31–$779.00	41% below	45%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 THERAPEUTIC PHLEBOTOMY	$144.65	$263.00	$10.31–$779.00	—	45%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 PHLEBOTOMY	$144.65	$263.00	$10.31–$779.00	—	45%

Vaccines

Procedure	Cash price	List price	Insurers pay	vs New Hampshire	Off list
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older CPT 90653 FLUAD 65+	$69.30	$126.00	$51.14–$378.00	3% above	45%
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older CPT 90653 IIV ADJUVANT VACCINE IM	$69.30	$126.00	$51.14–$378.00	3% above	45%
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older CPT 90653 FLU VAC IIV FLUAD	$69.30	$126.00	$51.14–$378.00	3% above	45%
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older inpatient CPT 90653 FLU VAC IIV FLUAD	$69.30	$126.00	$51.14–$378.00	—	45%
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older inpatient CPT 90653 FLUAD 65+	$69.30	$126.00	$51.14–$378.00	—	45%
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older inpatient CPT 90653 IIV ADJUVANT VACCINE IM	$69.30	$126.00	$51.14–$378.00	—	45%
COVID-19 vaccine (Moderna), age 12 and older CPT 91322 SARSCOV2 MRNA-LNP 50MCG/0.5ML	$195.25	$355.00	$195.25–$710.01	27% above	45%
COVID-19 vaccine (Moderna), age 12 and older CPT 91322 SARSCOV2 VAC 50 MCG/0.5ML IM	$195.25	$355.00	$195.25–$710.01	27% above	45%
COVID-19 vaccine (Moderna), age 12 and older inpatient CPT 91322 SARSCOV2 VAC 50 MCG/0.5ML IM	$195.25	$355.00	$195.25–$710.01	—	45%
COVID-19 vaccine (Moderna), age 12 and older inpatient CPT 91322 SARSCOV2 MRNA-LNP 50MCG/0.5ML	$195.25	$355.00	$195.25–$710.01	—	45%
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 CHICKEN POX VACCINE, SC	$167.20	$304.00	$126.31–$623.00	65% below	45%
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 VARICELLA VACCINE	$167.20	$304.00	$126.31–$623.00	65% below	45%
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 VAR VACCINE LIVE SUBQ	$167.20	$304.00	$126.31–$623.00	65% below	45%
Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 VARICELLA VACCINE	$167.20	$304.00	$126.31–$623.00	—	45%
Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 CHICKEN POX VACCINE, SC	$167.20	$304.00	$126.31–$623.00	—	45%
Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 VAR VACCINE LIVE SUBQ	$167.20	$304.00	$126.31–$623.00	—	45%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 DTAP VACCINE IM	$33.00	$60.00	$26.46–$260.01	30% above	45%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 DTAP VACCINE < 7 YRS IM	$110.00	$200.00	$26.46–$260.01	332% above	45%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 DTAP VACCINE IM	$33.00	$60.00	$26.46–$260.01	—	45%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 DTAP VACCINE < 7 YRS IM	$110.00	$200.00	$26.46–$260.01	—	45%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 FLU VAC IIV3 PF 0.5ML AFLURIA	$18.15	$33.00	$12.66–$99.01	32% below	45%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 IIV3 VACC NO PRSV 0.5 ML IM	$18.15	$0.01	$12.66–$99.01	32% below	-181400%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 AFLURIA FLU VAC	$18.15	$33.00	$12.66–$99.01	32% below	45%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 AFLURIA FLU VAC	$18.15	$33.00	$12.66–$99.01	—	45%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 IIV3 VACC NO PRSV 0.5 ML IM	$18.15	$0.01	$12.66–$99.01	—	-181400%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 FLU VAC IIV3 PF 0.5ML AFLURIA	$18.15	$33.00	$12.66–$99.01	—	45%
HPV vaccine, 9-valent (Gardasil 9) CPT 90651 9VHPV VACCINE 2/3 DOSE IM	$241.45	$439.00	$165.67–$1,046.20	13% below	45%
HPV vaccine, 9-valent (Gardasil 9) CPT 90651 HPV TYPE 6,11,16,18,31,33,45,52,58	$241.45	$439.00	$165.67–$1,046.20	13% below	45%
HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 HPV TYPE 6,11,16,18,31,33,45,52,58	$241.45	$439.00	$165.67–$1,046.20	—	45%
HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 9VHPV VACCINE 2/3 DOSE IM	$241.45	$439.00	$165.67–$1,046.20	—	45%
Hepatitis A and B combination vaccine, adult (Twinrix) CPT 90636 HEPATITIS A & B VACCINE HEPA-HEPB ADULT	$138.60	$252.00	$111.12–$504.01	26% above	45%
Hepatitis A and B combination vaccine, adult (Twinrix) CPT 90636 HEP A AND HEP B ADULT	$138.60	$252.00	$111.12–$504.01	26% above	45%
Hepatitis A and B combination vaccine, adult (Twinrix) CPT 90636 HEP A/HEP B VACC ADULT IM	$138.60	$252.00	$111.12–$504.01	26% above	45%
Hepatitis A and B combination vaccine, adult (Twinrix) inpatient CPT 90636 HEP A AND HEP B ADULT	$138.60	$252.00	$111.12–$504.01	—	45%
Hepatitis A and B combination vaccine, adult (Twinrix) inpatient CPT 90636 HEP A/HEP B VACC ADULT IM	$138.60	$252.00	$111.12–$504.01	—	45%
Hepatitis A and B combination vaccine, adult (Twinrix) inpatient CPT 90636 HEPATITIS A & B VACCINE HEPA-HEPB ADULT	$138.60	$252.00	$111.12–$504.01	—	45%
Hepatitis A vaccine, adult dose CPT 90632 HEP A VACCINE	$73.70	$134.00	$62.89–$268.24	at median	45%
Hepatitis A vaccine, adult dose CPT 90632 HEP A VACCINE ADULT IM	$73.70	$134.00	$62.89–$268.24	at median	45%
Hepatitis A vaccine, adult dose CPT 90632 HEPA VACCINE ADULT IM	$73.70	$134.00	$62.89–$268.24	at median	45%
Hepatitis A vaccine, adult dose inpatient CPT 90632 HEP A VACCINE ADULT IM	$73.70	$134.00	$62.89–$268.24	—	45%
Hepatitis A vaccine, adult dose inpatient CPT 90632 HEPA VACCINE ADULT IM	$73.70	$134.00	$62.89–$268.24	—	45%
Hepatitis A vaccine, adult dose inpatient CPT 90632 HEP A VACCINE	$73.70	$134.00	$62.89–$268.24	—	45%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPB VACCINE 3 DOSE ADULT IM	$95.70	$174.00	$67.02–$722.00	45% below	45%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPATITIS B VACCINE	$95.70	$174.00	$67.02–$722.00	45% below	45%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPB VACCINE, ADULT, IM	$95.70	$174.00	$67.02–$722.00	45% below	45%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPATITIS B RECOMB 20MCG/ML SDV	$110.00	$200.00	$67.02–$722.00	37% below	45%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HEPB VACCINE, ADULT, IM	$95.70	$174.00	$67.02–$722.00	—	45%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HEPATITIS B VACCINE	$95.70	$174.00	$67.02–$722.00	—	45%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HEPB VACCINE 3 DOSE ADULT IM	$95.70	$174.00	$67.02–$722.00	—	45%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HEPATITIS B RECOMB 20MCG/ML SDV	$110.00	$200.00	$67.02–$722.00	—	45%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HEPB VACCINE, PED/ADOL, IM	$77.00	$140.00	$28.25–$340.01	50% below	45%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HEPB VACC 3 DOSE PED/ADOL IM	$110.00	$200.00	$28.25–$340.01	29% below	45%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HEPATITIS B PEDI VACCINE 0.5 ML	$110.00	$200.00	$28.25–$340.01	29% below	45%
Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 HEPB VACCINE, PED/ADOL, IM	$77.00	$140.00	$28.25–$340.01	—	45%
Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 HEPATITIS B PEDI VACCINE 0.5 ML	$110.00	$200.00	$28.25–$340.01	—	45%
Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 HEPB VACC 3 DOSE PED/ADOL IM	$110.00	$200.00	$28.25–$340.01	—	45%
Hib vaccine (Haemophilus influenzae type b), 3-dose schedule (PedvaxHIB) CPT 90647 HIB PRP-OMP VACC 3 DOSE IM	$110.00	$200.00	$0.01–$200.01	74% below	45%
Hib vaccine (Haemophilus influenzae type b), 3-dose schedule (PedvaxHIB) CPT 90647 ACTHIB SDV	$110.00	$200.00	$0.01–$200.01	74% below	45%
Hib vaccine (Haemophilus influenzae type b), 3-dose schedule (PedvaxHIB) inpatient CPT 90647 HIB PRP-OMP VACC 3 DOSE IM	$110.00	$200.00	$0.01–$200.01	—	45%
Hib vaccine (Haemophilus influenzae type b), 3-dose schedule (PedvaxHIB) inpatient CPT 90647 ACTHIB SDV	$110.00	$200.00	$0.01–$200.01	—	45%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 HIB PRP-T VACCINE 4 DOSE IM	$110.00	$0.01	$11.49–$200.01	384% above	-1099900%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 HIBERIX VACCINE	$110.00	$200.00	$11.49–$200.01	384% above	45%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) inpatient CPT 90648 HIBERIX VACCINE	$110.00	$200.00	$11.49–$200.01	—	45%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) inpatient CPT 90648 HIB PRP-T VACCINE 4 DOSE IM	$110.00	$0.01	$11.49–$200.01	—	-1099900%
MMR vaccine (measles, mumps and rubella), live CPT 90707 MMR VACCINE, SC	$95.15	$173.00	$73.71–$719.01	12% below	45%
MMR vaccine (measles, mumps and rubella), live CPT 90707 MMR VACCINE SC	$95.15	$173.00	$73.71–$719.01	12% below	45%
MMR vaccine (measles, mumps and rubella), live CPT 90707 MMR VACCINE	$95.15	$173.00	$73.71–$719.01	12% below	45%
MMR vaccine (measles, mumps and rubella), live CPT 90707 MMR (MEASLES, MUMPS, RUBELLA)	$110.00	$200.00	$73.71–$719.01	1% above	45%
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 MMR VACCINE	$95.15	$173.00	$73.71–$719.01	—	45%
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 MMR VACCINE SC	$95.15	$173.00	$73.71–$719.01	—	45%
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 MMR VACCINE, SC	$95.15	$173.00	$73.71–$719.01	—	45%
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 MMR (MEASLES, MUMPS, RUBELLA)	$110.00	$200.00	$73.71–$719.01	—	45%
MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) CPT 90710 MMRV VACCINE, SC	$40.70	$74.00	$27.92–$1,032.47	63% below	45%
MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) CPT 90710 MMRV VACCINE SC	$40.70	$74.00	$27.92–$1,032.47	63% below	45%
MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) inpatient CPT 90710 MMRV VACCINE SC	$40.70	$74.00	$27.92–$1,032.47	—	45%
MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) inpatient CPT 90710 MMRV VACCINE, SC	$40.70	$74.00	$27.92–$1,032.47	—	45%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENACWYD/MENACWYCRM VACC IM	$110.00	$200.00	$115.07–$589.26	10% below	45%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENINGOCOCCAL VACINE	$110.00	$200.00	$115.07–$589.26	10% below	45%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENACTRA VACCINE	$110.00	$200.00	$115.07–$589.26	10% below	45%
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 MENACWYD/MENACWYCRM VACC IM	$110.00	$200.00	$115.07–$589.26	—	45%
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 MENACTRA VACCINE	$110.00	$200.00	$115.07–$589.26	—	45%
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 MENINGOCOCCAL VACINE	$110.00	$200.00	$115.07–$589.26	—	45%
Meningococcal ACWY vaccine (MenQuadfi) CPT 90619 MENACWY-TT VACCINE IM	$212.30	$0.01	$141.43–$386.01	—	-2122900%
Meningococcal ACWY vaccine (MenQuadfi) CPT 90619 MENACWY-TT 10MCG/0.5ML	$212.30	$386.00	$141.43–$386.01	—	45%
Meningococcal ACWY vaccine (MenQuadfi) inpatient CPT 90619 MENACWY-TT 10MCG/0.5ML	$212.30	$386.00	$141.43–$386.01	—	45%
Meningococcal ACWY vaccine (MenQuadfi) inpatient CPT 90619 MENACWY-TT VACCINE IM	$212.30	$0.01	$141.43–$386.01	—	-2122900%
Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 MENB RP W/OMV VACCINE (BEXSERO)	$220.46	$400.84	$151.27–$822.76	20% above	45%
Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 MENB-4C VACCINE IM	$220.46	$0.01	$151.27–$822.76	20% above	-2204500%
Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 MENB RP W/OMV VACCINE (BEXSERO)	$220.46	$400.84	$151.27–$822.76	—	45%
Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 MENB-4C VACCINE IM	$220.46	$0.01	$151.27–$822.76	—	-2204500%
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 PCV13 VACCINE IM	$238.70	$434.00	$140.36–$1,056.34	62% below	45%
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 PNEUMOCOCCAL VACCINE 13 VALENT ADULT	$238.70	$434.00	$140.36–$1,056.34	62% below	45%
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) inpatient CPT 90670 PCV13 VACCINE IM	$238.70	$434.00	$140.36–$1,056.34	—	45%
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) inpatient CPT 90670 PNEUMOCOCCAL VACCINE 13 VALENT ADULT	$238.70	$434.00	$140.36–$1,056.34	—	45%
Pneumonia vaccine, 15-valent conjugate (Vaxneuvance) CPT 90671 PCV15 VACCINE IM	$210.10	$382.00	$144.16–$382.00	84% below	45%
Pneumonia vaccine, 15-valent conjugate (Vaxneuvance) CPT 90671 PNEUMOCOCAL VACCINE 15 VALENT	$210.10	$382.00	$144.16–$382.00	84% below	45%
Pneumonia vaccine, 15-valent conjugate (Vaxneuvance) inpatient CPT 90671 PNEUMOCOCAL VACCINE 15 VALENT	$210.10	$382.00	$144.16–$382.00	—	45%
Pneumonia vaccine, 15-valent conjugate (Vaxneuvance) inpatient CPT 90671 PCV15 VACCINE IM	$210.10	$382.00	$144.16–$382.00	—	45%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PNEUMOCOCCAL VACCINE 20 VALENT	$110.00	$200.00	$110.00–$657.01	78% below	45%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PCV20 VACCINE IM	$251.35	$457.00	$110.00–$657.01	49% below	45%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 PNEUMOCOCCAL VACCINE 20 VALENT	$110.00	$200.00	$110.00–$657.01	—	45%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 PCV20 VACCINE IM	$251.35	$457.00	$110.00–$657.01	—	45%
Pneumonia vaccine, 21-valent conjugate (Capvaxive) CPT 90684 PNEUMOCOCCAL VACCINE 21 VALENT	$247.50	$450.00	$169.83–$450.00	12% below	45%
Pneumonia vaccine, 21-valent conjugate (Capvaxive) inpatient CPT 90684 PNEUMOCOCCAL VACCINE 21 VALENT	$247.50	$450.00	$169.83–$450.00	—	45%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOCOCCAL VACCINE 23 VALENT ADULT	$121.00	$220.00	$83.02–$550.43	46% below	45%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PPSV23 VACC 2 YRS+ SUBQ/IM	$121.00	$220.00	$83.02–$550.43	46% below	45%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PPSV23 VACC 2 YRS+ SUBQ/IM	$121.00	$220.00	$83.02–$550.43	—	45%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMOCOCCAL VACCINE 23 VALENT ADULT	$121.00	$220.00	$83.02–$550.43	—	45%
Polio vaccine, inactivated (IPV) CPT 90713 POLIOVIRUS IPV SC/IM	$23.65	$43.00	$16.22–$161.43	72% below	45%
Polio vaccine, inactivated (IPV) CPT 90713 POLIOVIRUS, IPV, SC	$23.65	$43.00	$16.22–$161.43	72% below	45%
Polio vaccine, inactivated (IPV) inpatient CPT 90713 POLIOVIRUS, IPV, SC	$23.65	$43.00	$16.22–$161.43	—	45%
Polio vaccine, inactivated (IPV) inpatient CPT 90713 POLIOVIRUS IPV SC/IM	$23.65	$43.00	$16.22–$161.43	—	45%
Rabies vaccine, one dose CPT 90675 RABIES VACCINE IM	$565.40	$1,028.00	$161.87–$3,109.00	10% below	45%
Rabies vaccine, one dose CPT 90675 RABIES VIRUS VAC (IMOVAX) 2.5 UNITS/ML	$565.81	$1,028.75	$161.87–$3,109.00	10% below	45%
Rabies vaccine, one dose CPT 90675 RABIES VACCINE 2.5 IU B	$578.73	$1,052.25	$161.87–$3,109.00	7% below	45%
Rabies vaccine, one dose inpatient CPT 90675 RABIES VACCINE IM	$565.40	$1,028.00	$161.87–$3,109.00	—	45%
Rabies vaccine, one dose inpatient CPT 90675 RABIES VIRUS VAC (IMOVAX) 2.5 UNITS/ML	$565.81	$1,028.75	$161.87–$3,109.00	—	45%
Rabies vaccine, one dose inpatient CPT 90675 RABIES VACCINE 2.5 IU B	$578.73	$1,052.25	$161.87–$3,109.00	—	45%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TD VACCINE, IM 7 YEARS AND OLDER	$68.75	$125.00	$23.20–$843.36	8% below	45%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS/DIPTHERIA	$68.75	$125.00	$23.20–$843.36	8% below	45%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TD VACC NO PRESV 7 YRS+ IM	$68.75	$125.00	$23.20–$843.36	8% below	45%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS/DIPHTHERIA TOXOIDS ADS	$326.34	$593.35	$23.20–$843.36	338% above	45%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TD VACCINE, IM 7 YEARS AND OLDER	$68.75	$125.00	$23.20–$843.36	—	45%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS/DIPTHERIA	$68.75	$125.00	$23.20–$843.36	—	45%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TD VACC NO PRESV 7 YRS+ IM	$68.75	$125.00	$23.20–$843.36	—	45%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS/DIPHTHERIA TOXOIDS ADS	$326.34	$593.35	$23.20–$843.36	—	45%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TDAP VACCINE	$56.65	$103.00	$35.32–$709.01	at median	45%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TDAP VACCINE 7 YRS AND OLDER	$56.65	$103.00	$35.32–$709.01	at median	45%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TDAP VACCINE 7 YRS/> IM	$56.65	$103.00	$35.32–$709.01	at median	45%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TET-DIPHTH-ACELL PERUSS DTAP	$110.00	$200.00	$35.32–$709.01	94% above	45%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TET TOX-DIPH-ACELL PERTUSS BOOSTRIX	$110.00	$200.00	$35.32–$709.01	94% above	45%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 TDAP VACCINE 7 YRS AND OLDER	$56.65	$103.00	$35.32–$709.01	—	45%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 TDAP VACCINE	$56.65	$103.00	$35.32–$709.01	—	45%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 TDAP VACCINE 7 YRS/> IM	$56.65	$103.00	$35.32–$709.01	—	45%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 TET-DIPHTH-ACELL PERUSS DTAP	$110.00	$200.00	$35.32–$709.01	—	45%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 TET TOX-DIPH-ACELL PERTUSS BOOSTRIX	$110.00	$200.00	$35.32–$709.01	—	45%
Typhoid vaccine, injectable (Vi polysaccharide) CPT 90691 TYPHOID VACCINE VICPS IM	$82.50	$150.00	$41.24–$344.98	5% above	45%
Typhoid vaccine, injectable (Vi polysaccharide) CPT 90691 TYPHOID VACCINE IM	$82.50	$150.00	$41.24–$344.98	5% above	45%
Typhoid vaccine, injectable (Vi polysaccharide) inpatient CPT 90691 TYPHOID VACCINE VICPS IM	$82.50	$150.00	$41.24–$344.98	—	45%
Typhoid vaccine, injectable (Vi polysaccharide) inpatient CPT 90691 TYPHOID VACCINE IM	$82.50	$150.00	$41.24–$344.98	—	45%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUN SGLE FOR MEDICAID & VFC ELIG	$12.11	$22.02	$5.16–$465.02	62% below	45%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUN ADMIN 1 VACCINE	$19.25	$35.00	$5.16–$465.02	39% below	45%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION ADMIN, SINGLE	$22.00	$40.00	$5.16–$465.02	30% below	45%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION ADMIN, SINGLE UB	$22.00	$40.00	$5.16–$465.02	30% below	45%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION ADMIN, SINGLE 1500	$22.00	$40.00	$5.16–$465.02	30% below	45%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUN VACCINE/TOXOID INITIAL	$34.10	$62.00	$5.16–$465.02	8% above	45%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION ADMIN	$34.10	$62.00	$5.16–$465.02	8% above	45%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUN VAC TOX INITIAL	$34.10	$62.00	$5.16–$465.02	8% above	45%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUN SGLE FOR MEDICAID & VFC ELIG	$12.11	$22.02	$5.16–$465.02	—	45%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUN ADMIN 1 VACCINE	$19.25	$35.00	$5.16–$465.02	—	45%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUNIZATION ADMIN, SINGLE UB	$22.00	$40.00	$5.16–$465.02	—	45%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUNIZATION ADMIN, SINGLE 1500	$22.00	$40.00	$5.16–$465.02	—	45%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUNIZATION ADMIN, SINGLE	$22.00	$40.00	$5.16–$465.02	—	45%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUN VACCINE/TOXOID INITIAL	$34.10	$62.00	$5.16–$465.02	—	45%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUNIZATION ADMIN	$34.10	$62.00	$5.16–$465.02	—	45%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUN VAC TOX INITIAL	$34.10	$62.00	$5.16–$465.02	—	45%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUN EA ADDTL MEDICAID & VFC ELIG	$12.11	$22.02	$3.14–$245.02	63% below	45%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUNIZATION ADM; EA ADDTL VACCINE	$14.30	$26.00	$3.14–$245.02	56% below	45%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUNIZATION ADM; EA ADDTL VAC UB ONLY	$14.30	$26.00	$3.14–$245.02	56% below	45%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUNIZATION ADM; EA ADDTL VAC 1500 ONLY	$14.30	$26.00	$3.14–$245.02	56% below	45%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUN VAC TOX EA ADD	$17.05	$31.00	$3.14–$245.02	48% below	45%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUN VACCINE/TOXOID EA ADD	$17.05	$31.00	$3.14–$245.02	48% below	45%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUNIZATION ADMIN EACH ADD	$17.05	$31.00	$3.14–$245.02	48% below	45%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 IMMUN EA ADDTL MEDICAID & VFC ELIG	$12.11	$22.02	$3.14–$245.02	—	45%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 IMMUNIZATION ADM; EA ADDTL VAC UB ONLY	$14.30	$26.00	$3.14–$245.02	—	45%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 IMMUNIZATION ADM; EA ADDTL VAC 1500 ONLY	$14.30	$26.00	$3.14–$245.02	—	45%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 IMMUNIZATION ADM; EA ADDTL VACCINE	$14.30	$26.00	$3.14–$245.02	—	45%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 IMMUN VACCINE/TOXOID EA ADD	$17.05	$31.00	$3.14–$245.02	—	45%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 IMMUN VAC TOX EA ADD	$17.05	$31.00	$3.14–$245.02	—	45%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 IMMUNIZATION ADMIN EACH ADD	$17.05	$31.00	$3.14–$245.02	—	45%
Yellow fever vaccine, live CPT 90717 YELLOW FEVER VACCINE SC	$68.75	$125.00	$47.17–$645.63	30% below	45%
Yellow fever vaccine, live CPT 90717 YELLOW FEVER VACCINE SUBQ	$68.75	$125.00	$47.17–$645.63	30% below	45%
Yellow fever vaccine, live inpatient CPT 90717 YELLOW FEVER VACCINE SUBQ	$68.75	$125.00	$47.17–$645.63	—	45%
Yellow fever vaccine, live inpatient CPT 90717 YELLOW FEVER VACCINE SC	$68.75	$125.00	$47.17–$645.63	—	45%

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://s3.amazonaws.com/ycubaa-production-marlin-1-charge-management-public/facilities/e8ee7c31-a93d-41f9-b0b7-1df54697d98f/020222118_VALLEY-REGIONAL-HOSPITAL_standardcharges.zip