Hospital Charlotte-Concord-Gastonia, NC-SC

Gaston Memorial Hospital

Gaston Memorial Hospital in Mount Holly, NC publishes cash prices for 410 common procedures listed here, from its own machine-readable price file updated May 11, 2026. Compared with other hospitals in the state, its outpatient cash prices are above the North Carolina median for 378 of 405 procedures and below it for 13. By typical cash price it ranks #54 of 61 North Carolina hospitals and #14 of 17 hospitals in the Charlotte, NC area, cheapest first. Select a procedure to compare it with other hospitals nearby.

451 E Charlotte Ave, Mount Holly, NC 28120 Collected Sep 23, 2026 Source price file Check a bill from this hospital (704) 834-4891

Acute care hospital Nonprofit hospital Emergency department CMS star rating 4 of 5 CCN 340032 · CMS hospital register NPI 1013918960

The price file shows no self-pay discount

For 1340 of the 1340 prices listed here, the cash price in Gaston Memorial Hospital's file equals its full list price (chargemaster), so the file publishes no self-pay discount. That is why it compares as expensive. Many hospitals still reduce bills for uninsured patients or offer financial assistance based on income: before a planned visit, ask the billing office for its self-pay rate and discount policy in writing. Other US hospitals whose cash price is their full list price.

Financial assistance

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

Gaston Memorial 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.

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs North Carolina	Off list
Abdominal CT scan without and with contrast CPT 74170 HCHG CT ABDOMEN W/WO CONT LTD	$4,407.00	$4,407.00	$179.20–$4,186.65	76% above	—
Abdominal CT scan without and with contrast CPT 74170 HCHG CT ABDOMEN W/WO CONT	$4,847.00	$4,847.00	$179.20–$4,604.65	94% above	—
Abdominal CT scan without and with contrast inpatient CPT 74170 HCHG CT ABDOMEN W/WO CONT LTD	$4,407.00	$4,407.00	—	—	—
Abdominal CT scan without and with contrast inpatient CPT 74170 HCHG CT ABDOMEN W/WO CONT	$4,847.00	$4,847.00	—	—	—
Abdominal X-ray, 2 views CPT 74019 HCHG XR ABDOMEN 2 VIEWS	$461.00	$461.00	$69.38–$437.95	67% above	—
Abdominal X-ray, 2 views inpatient CPT 74019 HCHG XR ABDOMEN 2 VIEWS	$461.00	$461.00	—	—	—
Ankle X-ray, complete, 3 or more views one side CPT 73610 HCHG XR ANKLE COMPLETE MIN 3V LT	$382.00	$382.00	$57.49–$362.90	34% above	—
Ankle X-ray, complete, 3 or more views one side CPT 73610 HCHG XR ANKLE COMPLETE MIN 3V RT	$382.00	$382.00	$57.49–$362.90	34% above	—
Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 HCHG XR ANKLE COMPLETE MIN 3V LT	$382.00	$382.00	—	—	—
Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 HCHG XR ANKLE COMPLETE MIN 3V RT	$382.00	$382.00	—	—	—
Ankle-brachial index (ABI), blood pressure test for leg arteries both sides CPT 93922 HCHG US ART LOWER EXT 1-2 LEV LMTD BILAT	$709.00	$709.00	$106.70–$673.55	—	—
Ankle-brachial index (ABI), blood pressure test for leg arteries both sides CPT 93922 HCHG US ART UPPER EXT 1-2 LEV LMTD BILAT	$709.00	$709.00	$106.70–$673.55	—	—
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 HCHG EXT ART STUDY 1-2 LEV LIM BIL	$644.00	$644.00	$96.92–$611.80	82% above	—
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 HCHG ART STDY 1 ARM OR LEG PADNET	$709.00	$709.00	$106.70–$673.55	100% above	—
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 HCHG ART STDY UPPR OR LWR EXT BIL LTD 1-2LVL PADNET	$709.00	$709.00	$106.70–$673.55	100% above	—
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient both sides CPT 93922 HCHG US ART UPPER EXT 1-2 LEV LMTD BILAT	$709.00	$709.00	—	—	—
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient both sides CPT 93922 HCHG US ART LOWER EXT 1-2 LEV LMTD BILAT	$709.00	$709.00	—	—	—
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 HCHG EXT ART STUDY 1-2 LEV LIM BIL	$644.00	$644.00	—	—	—
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 HCHG ART STDY 1 ARM OR LEG PADNET	$709.00	$709.00	—	—	—
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 HCHG ART STDY UPPR OR LWR EXT BIL LTD 1-2LVL PADNET	$709.00	$709.00	—	—	—
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 HCHG CT EXTREMITY UPPER WO CONT RT	$3,024.00	$3,024.00	$106.81–$2,872.80	107% above	—
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 HCHG CT EXTREMITY UPPER WO CONT LT	$3,024.00	$3,024.00	$106.81–$2,872.80	107% above	—
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 HCHG CT EXTREMITY UPPER WO CONT RT	$3,024.00	$3,024.00	—	—	—
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 HCHG CT EXTREMITY UPPER WO CONT LT	$3,024.00	$3,024.00	—	—	—
Barium swallow (esophagus X-ray with contrast) CPT 74220 HCHG XR ESOPHAGUS/BARIUM SWALLOW SGL CONT	$830.00	$830.00	$124.92–$788.50	87% above	—
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 HCHG XR ESOPHAGUS/BARIUM SWALLOW SGL CONT	$830.00	$830.00	—	—	—
Bone scan, whole body (nuclear medicine) CPT 78306 HCHG NM BONE AND OR JNT IMAG WHOL BODY	$2,581.00	$2,581.00	$388.44–$2,451.95	77% above	—
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 HCHG NM BONE AND OR JNT IMAG WHOL BODY	$2,581.00	$2,581.00	—	—	—
Breast ultrasound, complete, one breast both sides CPT 76641 HCHG ABUS BREAST SCREEN- BILATERAL	$644.00	$644.00	$96.92–$611.80	—	—
Breast ultrasound, complete, one breast one side CPT 76641 HCHG US BREAST UNIL LT COMP	$618.00	$618.00	$93.01–$587.10	35% above	—
Breast ultrasound, complete, one breast one side CPT 76641 HCHG US BREAST UNIL RT COMP	$618.00	$618.00	$93.01–$587.10	35% above	—
Breast ultrasound, complete, one breast inpatient both sides CPT 76641 HCHG ABUS BREAST SCREEN- BILATERAL	$644.00	$644.00	—	—	—
Breast ultrasound, complete, one breast inpatient one side CPT 76641 HCHG US BREAST UNIL RT COMP	$618.00	$618.00	—	—	—
Breast ultrasound, complete, one breast inpatient one side CPT 76641 HCHG US BREAST UNIL LT COMP	$618.00	$618.00	—	—	—
Breast ultrasound, limited (one breast or one area) one side CPT 76642 HCHG US BREAST LT UNILATERAL LMTD INC AX	$638.00	$638.00	$88.91–$606.10	77% above	—
Breast ultrasound, limited (one breast or one area) one side CPT 76642 HCHG US BREAST RT UNILATERAL LMTD INC AX	$638.00	$638.00	$88.91–$606.10	77% above	—
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 HCHG US BREAST LT UNILATERAL LMTD INC AX	$638.00	$638.00	—	—	—
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 HCHG US BREAST RT UNILATERAL LMTD INC AX	$638.00	$638.00	—	—	—
CT angiography (CTA) of the abdomen and pelvis CPT 74174 HCHG CTA ABD PELVIS WWO CONTRAST	$5,054.00	$5,054.00	$356.43–$4,801.30	71% above	—
CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 HCHG CTA ABD PELVIS WWO CONTRAST	$5,054.00	$5,054.00	—	—	—
CT angiography (CTA) of the head CPT 70496 HCHG CTA HEAD W/WO CONT	$4,062.00	$4,062.00	$179.20–$3,858.90	90% above	—
CT angiography (CTA) of the head inpatient CPT 70496 HCHG CTA HEAD W/WO CONT	$4,062.00	$4,062.00	—	—	—
CT angiography (CTA) of the neck CPT 70498 HCHG CTA NECK W AND/OR WO CONTRAST	$4,580.00	$4,580.00	$179.20–$4,351.00	97% above	—
CT angiography (CTA) of the neck inpatient CPT 70498 HCHG CTA NECK W AND/OR WO CONTRAST	$4,580.00	$4,580.00	—	—	—
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 HCHG CTA CHEST W/WO CONT	$3,538.00	$3,538.00	$179.20–$3,361.10	62% above	—
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 HCHG CTA CHEST W/WO CONT	$3,538.00	$3,538.00	—	—	—
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 HCHG CTA HEART W CONTR W 3D	$2,064.00	$2,064.00	$291.55–$1,960.80	12% above	—
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 HCHG CTA HEART W CONTR W 3D	$2,064.00	$2,064.00	—	—	—
CT of the heart without contrast dye to measure coronary calcium CPT 75571 HCHG CT HEART WO CONT EVAL CORON CALC	$407.00	$407.00	$61.25–$1,063.00	73% above	—
CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 HCHG CT HEART WO CONT EVAL CORON CALC	$407.00	$407.00	—	—	—
CT scan of abdomen and pelvis, no contrast dye CPT 74176 HCHG CT ABD PELVIS WITHOUT CONTRAST	$5,835.00	$5,835.00	$243.77–$5,543.25	95% above	—
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 HCHG CT ABD PELVIS WITHOUT CONTRAST	$5,835.00	$5,835.00	—	—	—
CT scan of abdomen and pelvis, with contrast dye CPT 74177 HCHG CT ABD PELVIS WITH CONTRAST	$7,873.00	$7,873.00	$356.43–$7,479.35	135% above	—
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 HCHG CT ABD PELVIS WITH CONTRAST	$7,873.00	$7,873.00	—	—	—
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 HCHG CT ABD PELVIS WO CONT THEN W CONT	$9,150.00	$9,150.00	$356.43–$8,692.50	131% above	—
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 HCHG CT ABD PELVIS WO CONT THEN W CONT	$9,150.00	$9,150.00	—	—	—
CT scan of the abdomen with contrast CPT 74160 HCHG CT ABDOMEN W CONTRAST	$3,941.00	$3,941.00	$179.20–$3,743.95	82% above	—
CT scan of the abdomen with contrast inpatient CPT 74160 HCHG CT ABDOMEN W CONTRAST	$3,941.00	$3,941.00	—	—	—
CT scan of the abdomen without contrast CPT 74150 HCHG CT ABDOMEN WO CONT	$2,518.00	$2,518.00	$106.81–$2,392.10	70% above	—
CT scan of the abdomen without contrast inpatient CPT 74150 HCHG CT ABDOMEN WO CONT	$2,518.00	$2,518.00	—	—	—
CT scan of the face and sinuses, no contrast dye CPT 70486 HCHG CT MAXILLOFACIAL WO CONT LIMITED	$3,076.00	$3,076.00	$106.81–$2,922.20	146% above	—
CT scan of the face and sinuses, no contrast dye CPT 70486 HCHG CT MAXILLOFACIAL AREA WO CONT	$3,076.00	$3,076.00	$106.81–$2,922.20	146% above	—
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 HCHG CT MAXILLOFACIAL AREA WO CONT	$3,076.00	$3,076.00	—	—	—
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 HCHG CT MAXILLOFACIAL WO CONT LIMITED	$3,076.00	$3,076.00	—	—	—
CT scan of the head or brain, no contrast dye CPT 70450 HCHG CT HEAD/BRAIN WO CONT	$2,564.00	$2,564.00	$106.81–$2,435.80	94% above	—
CT scan of the head or brain, no contrast dye inpatient CPT 70450 HCHG CT HEAD/BRAIN WO CONT	$2,564.00	$2,564.00	—	—	—
CT scan of the head with contrast CPT 70460 HCHG CT HEAD/BRAIN W CONT	$3,192.00	$3,192.00	$179.20–$3,032.40	99% above	—
CT scan of the head with contrast inpatient CPT 70460 HCHG CT HEAD/BRAIN W CONT	$3,192.00	$3,192.00	—	—	—
CT scan of the head without and with contrast CPT 70470 HCHG CT HEAD/BRAIN W/WO CONT	$3,978.00	$3,978.00	$179.20–$3,779.10	100% above	—
CT scan of the head without and with contrast inpatient CPT 70470 HCHG CT HEAD/BRAIN W/WO CONT	$3,978.00	$3,978.00	—	—	—
CT scan of the lower back (lumbar spine) without contrast CPT 72131 HCHG CT LUMBAR SPINE WO CONT	$3,921.00	$3,921.00	$106.81–$3,724.95	150% above	—
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 HCHG CT LUMBAR SPINE WO CONT	$3,921.00	$3,921.00	—	—	—
CT scan of the neck (cervical spine), no contrast dye CPT 72125 HCHG CT CERVICAL SPINE WO CONT	$3,901.00	$3,901.00	$106.81–$3,705.95	147% above	—
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 HCHG CT CERVICAL SPINE WO CONT	$3,901.00	$3,901.00	—	—	—
CT scan of the pelvis, with contrast dye CPT 72193 HCHG CT PELVIS W CONTRAST	$4,218.00	$4,218.00	$179.20–$4,007.10	146% above	—
CT scan of the pelvis, with contrast dye inpatient CPT 72193 HCHG CT PELVIS W CONTRAST	$4,218.00	$4,218.00	—	—	—
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 HCHG US CAROTID DUPLEX BILAT	$1,626.00	$1,626.00	$243.77–$1,544.70	—	—
Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 HCHG US CAROTID DUPLEX BILAT	$1,626.00	$1,626.00	—	—	—
Chest CT scan without and with contrast CPT 71270 HCHG CT CHEST W/WO CONT DIAGNOSTIC	$5,160.00	$5,160.00	$179.20–$4,902.00	135% above	—
Chest CT scan without and with contrast inpatient CPT 71270 HCHG CT CHEST W/WO CONT DIAGNOSTIC	$5,160.00	$5,160.00	—	—	—
Chest X-ray, 2 views CPT 71046 HCHG XR CHEST 2 VIEWS	$400.00	$400.00	$60.20–$380.00	65% above	—
Chest X-ray, 2 views inpatient CPT 71046 HCHG XR CHEST 2 VIEWS	$400.00	$400.00	—	—	—
Chest X-ray, single view CPT 71045 HCHG XR CHEST SINGLE VIEW	$387.00	$387.00	$58.24–$367.65	98% above	—
Chest X-ray, single view inpatient CPT 71045 HCHG XR CHEST SINGLE VIEW	$387.00	$387.00	—	—	—
Collarbone (clavicle) X-ray, complete both sides CPT 73000 HCHG XR CLAVICLE COMPLETE BI	$668.00	$668.00	$88.91–$634.60	—	—
Collarbone (clavicle) X-ray, complete one side CPT 73000 HCHG XR CLAVICLE COMPLETE RT	$335.00	$335.00	$50.42–$318.25	45% above	—
Collarbone (clavicle) X-ray, complete one side CPT 73000 HCHG XR CLAVICLE COMPLETE LT	$335.00	$335.00	$50.42–$318.25	45% above	—
Collarbone (clavicle) X-ray, complete inpatient both sides CPT 73000 HCHG XR CLAVICLE COMPLETE BI	$668.00	$668.00	—	—	—
Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 HCHG XR CLAVICLE COMPLETE LT	$335.00	$335.00	—	—	—
Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 HCHG XR CLAVICLE COMPLETE RT	$335.00	$335.00	—	—	—
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 HCHG US RETROPERITONEUM COMPLETE	$1,196.00	$1,196.00	$106.81–$1,136.20	108% above	—
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 HCHG US RETROPERITONEUM COMPLETE	$1,196.00	$1,196.00	—	—	—
DEXA bone density scan of the hip, pelvis or spine CPT 77080 HCHG XR DXA BONE DENSITY AXIAL	$1,086.00	$1,086.00	$106.81–$1,031.70	152% above	—
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 HCHG XR DXA BONE DENSITY AXIAL	$1,086.00	$1,086.00	—	—	—
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 HCHG XR DXA BONE DENSITY APPENDICULAR	$357.00	$357.00	$53.73–$339.15	72% above	—
DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 HCHG XR DXA BONE DENSITY APPENDICULAR	$357.00	$357.00	—	—	—
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 HCHG US PREG UTER W DETL FETL	$1,488.00	$1,488.00	$223.94–$1,413.60	158% above	—
Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 HCHG US PREG UTER W DETL FETL	$1,488.00	$1,488.00	—	—	—
Diagnostic CT scan of the chest, no contrast dye CPT 71250 HCHG CT CHEST WO CONTRAST DIAGNOSTIC	$2,943.00	$2,943.00	$106.81–$2,795.85	109% above	—
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 HCHG CT CHEST WO CONTRAST DIAGNOSTIC	$2,943.00	$2,943.00	—	—	—
Diagnostic CT scan of the chest, with contrast dye CPT 71260 HCHG CT CHEST W CONT DIAGNOSTIC	$4,034.00	$4,034.00	$179.20–$3,832.30	141% above	—
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 HCHG CT CHEST W CONT DIAGNOSTIC	$4,034.00	$4,034.00	—	—	—
Diagnostic mammogram, both breasts both sides CPT 77066 HCHG DIAG MAMMOGRAM W CAD BILAT	$415.00	$415.00	$43.99–$536.38	—	—
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 HCHG DIAG MAMMOGRAM W CAD BILAT	$415.00	$415.00	—	—	—
Diagnostic mammogram, one breast CPT 77065 HCHG DIAG MAMMOGRAM W CAD UNIL	$207.00	$207.00	$31.15–$421.10	14% below	—
Diagnostic mammogram, one breast inpatient CPT 77065 HCHG DIAG MAMMOGRAM W CAD UNIL	$207.00	$207.00	—	—	—
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 HCHG DUPLEX LWR EXT ART BILAT	$1,450.00	$1,450.00	$218.23–$1,377.50	—	—
Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 HCHG DUPLEX LWR EXT ART BILAT	$1,450.00	$1,450.00	—	—	—
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 HCHG US VENOUS LWR EXT BILAT	$1,820.00	$1,820.00	$243.77–$1,729.00	—	—
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 HCHG US VENOUS UPR EXT BILAT	$1,820.00	$1,820.00	$243.77–$1,729.00	—	—
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 HCHG US VENOUS UPR EXT BILAT	$1,820.00	$1,820.00	—	—	—
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 HCHG US VENOUS LWR EXT BILAT	$1,820.00	$1,820.00	—	—	—
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 HCHG 2D ECHO DPLR/CLRFLW W CONTRAST	$3,594.00	$3,594.00	$540.90–$3,414.30	117% above	—
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 HCHG 2D ECHO W DPLR & COLORFLOW	$3,594.00	$3,594.00	$540.90–$3,414.30	117% above	—
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 HCHG 2D ECHO DPLR/CLRFLW W CONTRAST	$3,594.00	$3,594.00	—	—	—
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 HCHG 2D ECHO W DPLR & COLORFLOW	$3,594.00	$3,594.00	—	—	—
Elbow X-ray, 2 views one side CPT 73070 HCHG XR ELBOW 2 VIEWS LT	$373.00	$373.00	$56.14–$354.35	74% above	—
Elbow X-ray, 2 views one side CPT 73070 HCHG XR ELBOW 2 VIEWS RT	$373.00	$373.00	$56.14–$354.35	74% above	—
Elbow X-ray, 2 views inpatient one side CPT 73070 HCHG XR ELBOW 2 VIEWS RT	$373.00	$373.00	—	—	—
Elbow X-ray, 2 views inpatient one side CPT 73070 HCHG XR ELBOW 2 VIEWS LT	$373.00	$373.00	—	—	—
Elbow X-ray, complete, 3 or more views one side CPT 73080 HCHG XR ELBOW COMPLETE MIN 3 VIEWS RT	$382.00	$382.00	$57.49–$362.90	39% above	—
Elbow X-ray, complete, 3 or more views one side CPT 73080 HCHG XR ELBOW COMPLETE MIN 3 VIEWS LT	$382.00	$382.00	$57.49–$362.90	39% above	—
Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 HCHG XR ELBOW COMPLETE MIN 3 VIEWS LT	$382.00	$382.00	—	—	—
Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 HCHG XR ELBOW COMPLETE MIN 3 VIEWS RT	$382.00	$382.00	—	—	—
Eye socket (orbit) CT scan without contrast CPT 70480 HCHG CT ORBIT/SELLA/IAC/FOSSA WO CONT	$2,831.00	$2,831.00	$106.81–$2,689.45	103% above	—
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 HCHG CT ORBIT/SELLA/IAC/FOSSA WO CONT	$2,831.00	$2,831.00	—	—	—
Facial bones X-ray, complete, 3 or more views CPT 70150 HCHG XR FACIAL BONES COMP MIN 3 VIEWS	$643.00	$643.00	$96.77–$610.85	83% above	—
Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 HCHG XR FACIAL BONES COMP MIN 3 VIEWS	$643.00	$643.00	—	—	—
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 HCHG XR FOREARM 2 VIEWS RT	$382.00	$382.00	$57.49–$362.90	52% above	—
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 HCHG XR FOREARM 2 VIEWS LT	$382.00	$382.00	$57.49–$362.90	52% above	—
Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 HCHG XR FOREARM 2 VIEWS RT	$382.00	$382.00	—	—	—
Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 HCHG XR FOREARM 2 VIEWS LT	$382.00	$382.00	—	—	—
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HCHG NM HEPATOBILIARY SYSTEM	$2,561.00	$2,561.00	$385.43–$2,432.95	71% above	—
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 HCHG NM HEPATOBILIARY SYSTEM	$2,561.00	$2,561.00	—	—	—
Hand X-ray, 2 views one side CPT 73120 HCHG XR HAND 2 VIEWS RIGHT	$335.00	$335.00	$50.42–$318.25	59% above	—
Hand X-ray, 2 views one side CPT 73120 HCHG XR HAND 2 VIEWS LEFT	$335.00	$335.00	$50.42–$318.25	59% above	—
Hand X-ray, 2 views inpatient one side CPT 73120 HCHG XR HAND 2 VIEWS LEFT	$335.00	$335.00	—	—	—
Hand X-ray, 2 views inpatient one side CPT 73120 HCHG XR HAND 2 VIEWS RIGHT	$335.00	$335.00	—	—	—
Heel bone (calcaneus) X-ray, 2 or more views both sides CPT 73650 HCHG XR CALCANEUS MIN 2V BI	$680.00	$680.00	$88.91–$646.00	—	—
Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 HCHG XR CALCANEUS MIN 2V RT	$339.00	$339.00	$51.02–$322.05	54% above	—
Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 HCHG XR CALCANEUS MIN 2V LT	$339.00	$339.00	$51.02–$322.05	54% above	—
Heel bone (calcaneus) X-ray, 2 or more views inpatient both sides CPT 73650 HCHG XR CALCANEUS MIN 2V BI	$680.00	$680.00	—	—	—
Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 HCHG XR CALCANEUS MIN 2V RT	$339.00	$339.00	—	—	—
Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 HCHG XR CALCANEUS MIN 2V LT	$339.00	$339.00	—	—	—
Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 HCHG SLEEP STUDY UNATTENDED	$1,009.00	$1,009.00	$151.85–$958.55	139% above	—
Home sleep apnea test, unattended, recording breathing and oxygen inpatient CPT 95806 HCHG SLEEP STUDY UNATTENDED	$1,009.00	$1,009.00	—	—	—
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 HCHG POLYSOMNOGRAM W/CPAP	$7,288.00	$7,288.00	$877.34–$6,923.60	110% above	—
In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 HCHG POLYSOMNOGRAM W/CPAP	$7,288.00	$7,288.00	—	—	—
Knee X-ray, 3 views both sides CPT 73562 HCHG XR KNEE 3 VIEWS BILATERAL	$736.00	$736.00	$88.91–$699.20	—	—
Knee X-ray, 3 views one side CPT 73562 HCHG XR KNEE 3 VIEWS RIGHT	$367.00	$367.00	$55.23–$348.65	27% above	—
Knee X-ray, 3 views one side CPT 73562 HCHG XR KNEE 3 VIEWS LEFT	$367.00	$367.00	$55.23–$348.65	27% above	—
Knee X-ray, 3 views inpatient both sides CPT 73562 HCHG XR KNEE 3 VIEWS BILATERAL	$736.00	$736.00	—	—	—
Knee X-ray, 3 views inpatient one side CPT 73562 HCHG XR KNEE 3 VIEWS LEFT	$367.00	$367.00	—	—	—
Knee X-ray, 3 views inpatient one side CPT 73562 HCHG XR KNEE 3 VIEWS RIGHT	$367.00	$367.00	—	—	—
Knee X-ray, complete, 4 or more views both sides CPT 73564 HCHG XR KNEE COMPLETE MIN 4V BI	$1,078.00	$1,078.00	$106.81–$1,024.10	—	—
Knee X-ray, complete, 4 or more views one side CPT 73564 HCHG XR KNEE COMPLETE MIN 4V RT	$537.00	$537.00	$80.82–$510.15	54% above	—
Knee X-ray, complete, 4 or more views one side CPT 73564 HCHG XR KNEE COMPLETE MIN 4V LT	$537.00	$537.00	$80.82–$510.15	54% above	—
Knee X-ray, complete, 4 or more views inpatient both sides CPT 73564 HCHG XR KNEE COMPLETE MIN 4V BI	$1,078.00	$1,078.00	—	—	—
Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 HCHG XR KNEE COMPLETE MIN 4V LT	$537.00	$537.00	—	—	—
Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 HCHG XR KNEE COMPLETE MIN 4V RT	$537.00	$537.00	—	—	—
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 HCHG CT EXTREMITY LOWER WO CONT LT	$3,024.00	$3,024.00	$106.81–$2,872.80	132% above	—
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 HCHG CT EXTREMITY LOWER WO CONT RT	$3,024.00	$3,024.00	$106.81–$2,872.80	132% above	—
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 HCHG CT EXTREMITY LOWER WO CONT LT	$3,024.00	$3,024.00	—	—	—
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 HCHG CT EXTREMITY LOWER WO CONT RT	$3,024.00	$3,024.00	—	—	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HCHG ER US ABDOMEN LIMITED	$1,227.00	$1,227.00	$106.81–$1,165.65	125% above	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HCHG US ABDOMEN LIMITED	$1,227.00	$1,227.00	$106.81–$1,165.65	125% above	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 HCHG ER US ABDOMEN LIMITED	$1,227.00	$1,227.00	—	—	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 HCHG US ABDOMEN LIMITED	$1,227.00	$1,227.00	—	—	—
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 HCHG ER US LMTD JNT/NONVAS EXT STRUCTR+IMG DOCUMNTN	$579.00	$579.00	$87.14–$550.05	41% above	—
Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 HCHG US LMTD JNT/NONVAS EXT STRUCTR+IMG DOCUMNTN LT	$579.00	$579.00	$87.14–$550.05	41% above	—
Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 HCHG US LMTD JNT/NONVAS EXT STRUCTR+IMG DOCUMNTN RT	$579.00	$579.00	$87.14–$550.05	41% above	—
Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 HCHG ER US LMTD JNT/NONVAS EXT STRUCTR+IMG DOCUMNTN	$579.00	$579.00	—	—	—
Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 HCHG US LMTD JNT/NONVAS EXT STRUCTR+IMG DOCUMNTN LT	$579.00	$579.00	—	—	—
Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 HCHG US LMTD JNT/NONVAS EXT STRUCTR+IMG DOCUMNTN RT	$579.00	$579.00	—	—	—
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 HCHG CT LUNG CANCER SCRN NO CONTR	$2,794.00	$2,794.00	$106.81–$2,654.30	670% above	—
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 HCHG CT LUNG CANCER SCRN NO CONTR	$2,794.00	$2,794.00	—	—	—
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 HCHG XR TIBIA AND FIBULA 2V RT	$397.00	$397.00	$59.75–$377.15	78% above	—
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 HCHG XR TIBIA AND FIBULA 2V LT	$397.00	$397.00	$59.75–$377.15	78% above	—
Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 HCHG XR TIBIA AND FIBULA 2V RT	$397.00	$397.00	—	—	—
Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 HCHG XR TIBIA AND FIBULA 2V LT	$397.00	$397.00	—	—	—
MR angiography (MRA) of the head without contrast CPT 70544 HCHG MRA HEAD WO CONT	$4,186.00	$4,186.00	$243.77–$3,976.70	131% above	—
MR angiography (MRA) of the head without contrast inpatient CPT 70544 HCHG MRA HEAD WO CONT	$4,186.00	$4,186.00	—	—	—
MRI of both breasts, without and then with contrast dye CPT 77049 HCHG CAD+MRI BREAST W/WO CONT BIL	$7,708.00	$7,708.00	$320.37–$7,322.60	61% above	—
MRI of both breasts, without and then with contrast dye inpatient CPT 77049 HCHG CAD+MRI BREAST W/WO CONT BIL	$7,708.00	$7,708.00	—	—	—
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 HCHG MRI EXTR LWR JT WO CONT RT	$5,241.00	$5,241.00	$243.77–$4,978.95	154% above	—
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 HCHG MRI EXTR LWR JT WO CONT LT	$5,241.00	$5,241.00	$243.77–$4,978.95	154% above	—
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 HCHG MRI EXTR LWR JT WO CONT LT	$5,241.00	$5,241.00	—	—	—
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 HCHG MRI EXTR LWR JT WO CONT RT	$5,241.00	$5,241.00	—	—	—
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 HCHG MRI EXTR LWR JT W/WO CONT RT	$6,780.00	$6,780.00	$356.43–$6,441.00	132% above	—
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 HCHG MRI EXTR LWR JT W/WO CONT LT	$6,780.00	$6,780.00	$356.43–$6,441.00	132% above	—
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 HCHG MRI EXTR LWR JT W/WO CONT RT	$6,780.00	$6,780.00	—	—	—
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 HCHG MRI EXTR LWR JT W/WO CONT LT	$6,780.00	$6,780.00	—	—	—
MRI of the abdomen without contrast CPT 74181 HCHG MRI ABDOMEN WO CONT	$4,708.00	$4,708.00	$243.77–$4,472.60	125% above	—
MRI of the abdomen without contrast inpatient CPT 74181 HCHG MRI ABDOMEN WO CONT	$4,708.00	$4,708.00	—	—	—
MRI of the abdomen, without and then with contrast dye CPT 74183 HCHG MRI ABDOMEN W/WO CONT	$6,620.00	$6,620.00	$356.43–$6,289.00	127% above	—
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 HCHG MRI ABDOMEN W/WO CONT	$6,620.00	$6,620.00	—	—	—
MRI of the brain, no contrast dye CPT 70551 HCHG MRI BRAIN WO CONT	$3,449.00	$3,449.00	$243.77–$3,276.55	73% above	—
MRI of the brain, no contrast dye inpatient CPT 70551 HCHG MRI BRAIN WO CONT	$3,449.00	$3,449.00	—	—	—
MRI of the brain, with and without contrast dye CPT 70553 HCHG MRI BRAIN W/WO CONT	$6,909.00	$6,909.00	$356.43–$6,563.55	146% above	—
MRI of the brain, with and without contrast dye inpatient CPT 70553 HCHG MRI BRAIN W/WO CONT	$6,909.00	$6,909.00	—	—	—
MRI of the lower back, no contrast dye CPT 72148 HCHG MRI LUMBAR SPINE WO CONT	$5,275.00	$5,275.00	$243.77–$5,011.25	137% above	—
MRI of the lower back, no contrast dye inpatient CPT 72148 HCHG MRI LUMBAR SPINE WO CONT	$5,275.00	$5,275.00	—	—	—
MRI of the lower back, without and then with contrast dye CPT 72158 HCHG MRI LUMBAR SPINE W/WO CONT	$7,482.00	$7,482.00	$356.43–$7,107.90	159% above	—
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 HCHG MRI LUMBAR SPINE W/WO CONT	$7,482.00	$7,482.00	—	—	—
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 HCHG MRI THORACIC SPINE WO CONT	$5,290.00	$5,290.00	$243.77–$5,025.50	152% above	—
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 HCHG MRI THORACIC SPINE WO CONT	$5,290.00	$5,290.00	—	—	—
MRI of the neck (cervical spine) without and with contrast CPT 72156 HCHG MRI CERVICAL SPINE W/WO CONT	$7,145.00	$7,145.00	$356.43–$6,787.75	171% above	—
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 HCHG MRI CERVICAL SPINE W/WO CONT	$7,145.00	$7,145.00	—	—	—
MRI of the neck (cervical spine), no contrast dye CPT 72141 HCHG MRI CERVICAL SPINE WO CONT	$5,054.00	$5,054.00	$243.77–$4,801.30	146% above	—
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 HCHG MRI CERVICAL SPINE WO CONT	$5,054.00	$5,054.00	—	—	—
MRI of the pelvis without and with contrast CPT 72197 HCHG MRI PELVIS W/WO CONT	$6,559.00	$6,559.00	$356.43–$6,231.05	138% above	—
MRI of the pelvis without and with contrast inpatient CPT 72197 HCHG MRI PELVIS W/WO CONT	$6,559.00	$6,559.00	—	—	—
MRI of the pelvis, no contrast dye CPT 72195 HCHG MRI PELVIS WO CONT	$4,716.00	$4,716.00	$243.77–$4,480.20	166% above	—
MRI of the pelvis, no contrast dye inpatient CPT 72195 HCHG MRI PELVIS WO CONT	$4,716.00	$4,716.00	—	—	—
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 HCHG MRI EXTR UPPR JT WO CONT LT	$5,290.00	$5,290.00	$243.77–$5,025.50	162% above	—
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 HCHG MRI EXTR UPPR JT WO CONT RT	$5,290.00	$5,290.00	$243.77–$5,025.50	162% above	—
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 HCHG MRI EXTR UPPR JT WO CONT RT	$5,290.00	$5,290.00	—	—	—
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 HCHG MRI EXTR UPPR JT WO CONT LT	$5,290.00	$5,290.00	—	—	—
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 HCHG XR SPINE CERVICAL 4 OR 5 VIEWS	$751.00	$751.00	$106.81–$713.45	77% above	—
Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 HCHG XR SPINE CERVICAL 4 OR 5 VIEWS	$751.00	$751.00	—	—	—
Neck soft tissue CT scan with contrast CPT 70491 HCHG CT SOFT TISSUE NECK W CONT	$3,835.00	$3,835.00	$179.20–$3,643.25	121% above	—
Neck soft tissue CT scan with contrast inpatient CPT 70491 HCHG CT SOFT TISSUE NECK W CONT	$3,835.00	$3,835.00	—	—	—
Neck soft tissue CT scan without contrast CPT 70490 HCHG CT SOFT TISSUE NECK WO CONT	$2,816.00	$2,816.00	$106.81–$2,675.20	98% above	—
Neck soft tissue CT scan without contrast inpatient CPT 70490 HCHG CT SOFT TISSUE NECK WO CONT	$2,816.00	$2,816.00	—	—	—
Neck soft tissue X-ray CPT 70360 HCHG XR SOFT TISSUE NECK	$476.00	$476.00	$71.64–$452.20	92% above	—
Neck soft tissue X-ray inpatient CPT 70360 HCHG XR SOFT TISSUE NECK	$476.00	$476.00	—	—	—
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 HCHG MYCRD PERF W WALL MOT&EJEC FRT MULT	$5,713.00	$5,713.00	$859.81–$5,427.35	64% above	—
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 HCHG MYCRD PERF W WALL MOT&EJEC FRT MULT	$5,713.00	$5,713.00	—	—	—
PET/CT scan from the base of the skull to mid-thigh CPT 78815 HCHG NM PET IMAG W CT SKL BASE MID THG	$7,898.00	$7,898.00	$1,188.65–$7,503.10	100% above	—
PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 HCHG NM PET IMAG W CT SKL BASE MID THG	$7,898.00	$7,898.00	—	—	—
Pelvic CT scan without contrast CPT 72192 HCHG CT PELVIS WO CONT	$3,194.00	$3,194.00	$106.81–$3,034.30	121% above	—
Pelvic CT scan without contrast inpatient CPT 72192 HCHG CT PELVIS WO CONT	$3,194.00	$3,194.00	—	—	—
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 HCHG ER US PELVIC LIMITED	$520.00	$520.00	$78.26–$494.00	65% above	—
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 HCHG US PELVIC NON OB LIMITED F/U	$562.00	$562.00	$84.58–$533.90	79% above	—
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 HCHG ER US PELVIC LIMITED	$520.00	$520.00	—	—	—
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 HCHG US PELVIC NON OB LIMITED F/U	$562.00	$562.00	—	—	—
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 HCHG US PELVIC NON OB COMPLETE	$1,276.00	$1,276.00	$106.81–$1,212.20	90% above	—
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 HCHG US PELVIC NON OB COMPLETE	$1,276.00	$1,276.00	—	—	—
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HCHG US OB 14+WKS SGL GEST	$895.00	$895.00	$106.81–$850.25	67% above	—
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 HCHG US OB 14+WKS SGL GEST	$895.00	$895.00	—	—	—
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 HCHG US PREG UTERUS <14 WEEKS GESTATION	$952.00	$952.00	$106.81–$904.40	101% above	—
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 HCHG US PREG UTERUS <14 WEEKS GESTATION	$952.00	$952.00	—	—	—
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 HCHG US PREG UTER LTD 1 OR MORE FETUS	$609.00	$609.00	$91.65–$578.55	91% above	—
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 HCHG ER US PREG UTERUS 1+ FETUS LTD	$704.00	$704.00	$105.95–$668.80	121% above	—
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 HCHG US PREG UTER LTD 1 OR MORE FETUS	$609.00	$609.00	—	—	—
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 HCHG ER US PREG UTERUS 1+ FETUS LTD	$704.00	$704.00	—	—	—
Rib X-ray, one side, 2 views one side CPT 71100 HCHG XR RIBS 2 VIEWS LT	$387.00	$387.00	$58.24–$367.65	59% above	—
Rib X-ray, one side, 2 views one side CPT 71100 HCHG XR RIBS 2 VIEWS RT	$387.00	$387.00	$58.24–$367.65	59% above	—
Rib X-ray, one side, 2 views inpatient one side CPT 71100 HCHG XR RIBS 2 VIEWS RT	$387.00	$387.00	—	—	—
Rib X-ray, one side, 2 views inpatient one side CPT 71100 HCHG XR RIBS 2 VIEWS LT	$387.00	$387.00	—	—	—
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 HCHG XR RIBS LT MIN 3 VWS	$424.00	$424.00	$63.81–$402.80	32% above	—
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 HCHG XR RIBS RT MIN 3 VWS	$424.00	$424.00	$63.81–$402.80	32% above	—
Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 HCHG XR RIBS RT MIN 3 VWS	$424.00	$424.00	—	—	—
Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 HCHG XR RIBS LT MIN 3 VWS	$424.00	$424.00	—	—	—
Screening mammogram, both breasts both sides CPT 77067 HCHG SCRN MAMMOGRAM W CAD BILAT	$573.00	$573.00	$33.83–$544.35	—	—
Screening mammogram, both breasts CPT 77067 HCHG SCRN MAMMOGRAM W CAD UNIL	$382.00	$382.00	$33.83–$443.52	67% above	—
Screening mammogram, both breasts inpatient both sides CPT 77067 HCHG SCRN MAMMOGRAM W CAD BILAT	$573.00	$573.00	—	—	—
Screening mammogram, both breasts inpatient CPT 77067 HCHG SCRN MAMMOGRAM W CAD UNIL	$382.00	$382.00	—	—	—
Shoulder X-ray, complete, 2 or more views both sides CPT 73030 HCHG XR SHOULDER COMPLETE MIN 2V BI	$736.00	$736.00	$88.91–$699.20	—	—
Shoulder X-ray, complete, 2 or more views one side CPT 73030 HCHG XR SHOULDER COMPLETE MIN 2V LT	$367.00	$367.00	$55.23–$348.65	26% above	—
Shoulder X-ray, complete, 2 or more views one side CPT 73030 HCHG XR SHOULDER COMPLETE MIN 2V RT	$367.00	$367.00	$55.23–$348.65	26% above	—
Shoulder X-ray, complete, 2 or more views inpatient both sides CPT 73030 HCHG XR SHOULDER COMPLETE MIN 2V BI	$736.00	$736.00	—	—	—
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 HCHG XR SHOULDER COMPLETE MIN 2V RT	$367.00	$367.00	—	—	—
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 HCHG XR SHOULDER COMPLETE MIN 2V LT	$367.00	$367.00	—	—	—
Sinus X-ray, complete, 3 or more views CPT 70220 HCHG XR SINUSES PARANASAL COMP MIN 3V	$494.00	$494.00	$74.35–$469.30	46% above	—
Sinus X-ray, complete, 3 or more views inpatient CPT 70220 HCHG XR SINUSES PARANASAL COMP MIN 3V	$494.00	$494.00	—	—	—
Skull X-ray, fewer than 4 views CPT 70250 HCHG XR SKULL <4 VIEWS	$779.00	$779.00	$106.81–$740.05	160% above	—
Skull X-ray, fewer than 4 views inpatient CPT 70250 HCHG XR SKULL <4 VIEWS	$779.00	$779.00	—	—	—
Sleep study in a lab (polysomnography) CPT 95810 HCHG POLYSOMNOGRAM	$6,631.00	$6,631.00	$877.34–$6,299.45	100% above	—
Sleep study in a lab (polysomnography) CPT 95810 HCHG POLYSOM ATTENDED >3 CHN 6/> YRS	$6,631.00	$6,631.00	$877.34–$6,299.45	100% above	—
Sleep study in a lab (polysomnography) inpatient CPT 95810 HCHG POLYSOMNOGRAM	$6,631.00	$6,631.00	—	—	—
Sleep study in a lab (polysomnography) inpatient CPT 95810 HCHG POLYSOM ATTENDED >3 CHN 6/> YRS	$6,631.00	$6,631.00	—	—	—
Swallow study (modified barium swallow, video X-ray) CPT 74230 HCHG XR SWALLOWING FUNCTN W VIDEO+CONT	$821.00	$821.00	$123.56–$779.95	116% above	—
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 HCHG XR SWALLOWING FUNCTN W VIDEO+CONT	$821.00	$821.00	—	—	—
Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 HCHG XRAY FEMUR MIN 2 VWS LT	$426.00	$426.00	$64.11–$404.70	97% above	—
Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 HCHG XRAY FEMUR MIN 2 VWS RT	$426.00	$426.00	$64.11–$404.70	97% above	—
Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 HCHG XRAY FEMUR MIN 2 VWS RT	$426.00	$426.00	—	—	—
Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 HCHG XRAY FEMUR MIN 2 VWS LT	$426.00	$426.00	—	—	—
Thoracic spine (mid back) CT scan without contrast CPT 72128 HCHG CT THORACIC SPINE WO CONT	$2,193.00	$2,193.00	$106.81–$2,083.35	48% above	—
Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 HCHG CT THORACIC SPINE WO CONT	$2,193.00	$2,193.00	—	—	—
Toe X-ray, 2 or more views one side CPT 73660 HCHG XR TOE/S MIN 2V LT	$307.00	$307.00	$46.20–$291.65	61% above	—
Toe X-ray, 2 or more views one side CPT 73660 HCHG XR TOE/S MIN 2V RT	$307.00	$307.00	$46.20–$291.65	61% above	—
Toe X-ray, 2 or more views inpatient one side CPT 73660 HCHG XR TOE/S MIN 2V LT	$307.00	$307.00	—	—	—
Toe X-ray, 2 or more views inpatient one side CPT 73660 HCHG XR TOE/S MIN 2V RT	$307.00	$307.00	—	—	—
Transvaginal pelvic ultrasound CPT 76830 HCHG US TRANSVAGINAL NON OB	$1,057.00	$1,057.00	$106.81–$1,004.15	94% above	—
Transvaginal pelvic ultrasound inpatient CPT 76830 HCHG US TRANSVAGINAL NON OB	$1,057.00	$1,057.00	—	—	—
Transvaginal ultrasound during pregnancy CPT 76817 HCHG US OB TRANSVAGINAL	$1,034.00	$1,034.00	$106.81–$982.30	132% above	—
Transvaginal ultrasound during pregnancy inpatient CPT 76817 HCHG US OB TRANSVAGINAL	$1,034.00	$1,034.00	—	—	—
Ultrasound of the abdomen, complete CPT 76700 HCHG US ABDOMEN COMPLETE	$1,729.00	$1,729.00	$106.81–$1,642.55	149% above	—
Ultrasound of the abdomen, complete inpatient CPT 76700 HCHG US ABDOMEN COMPLETE	$1,729.00	$1,729.00	—	—	—
Ultrasound of the scrotum and testicles CPT 76870 HCHG US SCROTUM AND CONTENTS	$1,140.00	$1,140.00	$106.81–$1,083.00	112% above	—
Ultrasound of the scrotum and testicles inpatient CPT 76870 HCHG US SCROTUM AND CONTENTS	$1,140.00	$1,140.00	—	—	—
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 HCHG US HEAD/NECK SOFT TISSUE	$1,145.00	$1,145.00	$106.81–$1,087.75	101% above	—
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 HCHG US HEAD/NECK SOFT TISSUE	$1,145.00	$1,145.00	—	—	—
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 HCHG XR UPPER GI W FILM SGL CONT	$1,333.00	$1,333.00	$179.20–$1,266.35	157% above	—
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 HCHG XR UPPER GI W FILM SGL CONT	$1,333.00	$1,333.00	—	—	—
Upper arm X-ray (humerus), 2 views one side CPT 73060 HCHG XR HUMERUS MIN 2 VIEWS RT	$363.00	$363.00	$54.63–$344.85	50% above	—
Upper arm X-ray (humerus), 2 views one side CPT 73060 HCHG XR HUMERUS MIN 2 VIEWS LT	$363.00	$363.00	$54.63–$344.85	50% above	—
Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 HCHG XR HUMERUS MIN 2 VIEWS LT	$363.00	$363.00	—	—	—
Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 HCHG XR HUMERUS MIN 2 VIEWS RT	$363.00	$363.00	—	—	—
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 HCHG VENOUS US ARM, LEFT	$1,483.00	$1,483.00	$106.81–$1,408.85	165% above	—
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 HCHG VENOUS US LEG, RIGHT	$1,483.00	$1,483.00	$106.81–$1,408.85	165% above	—
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 HCHG VENOUS US ARM, RIGHT	$1,483.00	$1,483.00	$106.81–$1,408.85	165% above	—
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 HCHG VENOUS US LEG, LEFT	$1,483.00	$1,483.00	$106.81–$1,408.85	165% above	—
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 HCHG VENOUS U/S EXTREM VEINS UNILAT	$1,483.00	$1,483.00	$106.81–$1,408.85	165% above	—
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 HCHG VENOUS U/S EXTREM VEINS UNILAT	$1,483.00	$1,483.00	—	—	—
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 HCHG VENOUS US LEG, LEFT	$1,483.00	$1,483.00	—	—	—
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 HCHG VENOUS US ARM, RIGHT	$1,483.00	$1,483.00	—	—	—
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 HCHG VENOUS US LEG, RIGHT	$1,483.00	$1,483.00	—	—	—
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 HCHG VENOUS US ARM, LEFT	$1,483.00	$1,483.00	—	—	—
Wrist X-ray, 2 views one side CPT 73100 HCHG XR WRIST 2 VIEWS LEFT	$357.00	$357.00	$53.73–$339.15	90% above	—
Wrist X-ray, 2 views one side CPT 73100 HCHG XR WRIST 2 VIEWS RIGHT	$357.00	$357.00	$53.73–$339.15	90% above	—
Wrist X-ray, 2 views inpatient one side CPT 73100 HCHG XR WRIST 2 VIEWS LEFT	$357.00	$357.00	—	—	—
Wrist X-ray, 2 views inpatient one side CPT 73100 HCHG XR WRIST 2 VIEWS RIGHT	$357.00	$357.00	—	—	—
Wrist X-ray, complete, 3 or more views one side CPT 73110 HCHG XR WRIST COMPLETE MIN 3V LT	$388.00	$388.00	$58.39–$368.60	62% above	—
Wrist X-ray, complete, 3 or more views one side CPT 73110 HCHG XR WRIST COMPLETE MIN 3V RT	$388.00	$388.00	$58.39–$368.60	62% above	—
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 HCHG XR WRIST COMPLETE MIN 3V RT	$388.00	$388.00	—	—	—
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 HCHG XR WRIST COMPLETE MIN 3V LT	$388.00	$388.00	—	—	—
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HCHG XR HIP UNILAT LT 2-3 VW INCL PELVIS	$426.00	$426.00	$64.11–$404.70	78% above	—
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HCHG XR HIP UNILAT RT 2-3 VW INCL PELVIS	$426.00	$426.00	$64.11–$404.70	78% above	—
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 HCHG XR HIP UNILAT LT 2-3 VW INCL PELVIS	$426.00	$426.00	—	—	—
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 HCHG XR HIP UNILAT RT 2-3 VW INCL PELVIS	$426.00	$426.00	—	—	—
X-ray of the abdomen, 1 view CPT 74018 HCHG XR ABDOMEN 1VIEW	$387.00	$387.00	$58.24–$367.65	65% above	—
X-ray of the abdomen, 1 view inpatient CPT 74018 HCHG XR ABDOMEN 1VIEW	$387.00	$387.00	—	—	—
X-ray of the ankle, 2 views one side CPT 73600 HCHG XR ANKLE 2 VIEWS RIGHT	$355.00	$355.00	$53.43–$337.25	53% above	—
X-ray of the ankle, 2 views one side CPT 73600 HCHG XR ANKLE 2 VIEWS LEFT	$355.00	$355.00	$53.43–$337.25	53% above	—
X-ray of the ankle, 2 views inpatient one side CPT 73600 HCHG XR ANKLE 2 VIEWS RIGHT	$355.00	$355.00	—	—	—
X-ray of the ankle, 2 views inpatient one side CPT 73600 HCHG XR ANKLE 2 VIEWS LEFT	$355.00	$355.00	—	—	—
X-ray of the finger(s), 2 or more views both sides CPT 73140 HCHG XR FINGER/S MIN 2 VIEWS BI	$611.00	$611.00	$88.91–$580.45	—	—
X-ray of the finger(s), 2 or more views one side CPT 73140 HCHG XR FINGER/S MIN 2 VIEWS LT	$307.00	$307.00	$46.20–$291.65	57% above	—
X-ray of the finger(s), 2 or more views one side CPT 73140 HCHG XR FINGER/S MIN 2 VIEWS RT	$307.00	$307.00	$46.20–$291.65	57% above	—
X-ray of the finger(s), 2 or more views inpatient both sides CPT 73140 HCHG XR FINGER/S MIN 2 VIEWS BI	$611.00	$611.00	—	—	—
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 HCHG XR FINGER/S MIN 2 VIEWS LT	$307.00	$307.00	—	—	—
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 HCHG XR FINGER/S MIN 2 VIEWS RT	$307.00	$307.00	—	—	—
X-ray of the foot, 2 views both sides CPT 73620 HCHG XR FOOT 2 VIEWS BILATERAL	$709.00	$709.00	$88.91–$673.55	—	—
X-ray of the foot, 2 views one side CPT 73620 HCHG XR FOOT 2 VIEWS RIGHT	$355.00	$355.00	$53.43–$337.25	49% above	—
X-ray of the foot, 2 views one side CPT 73620 HCHG XR FOOT 2 VIEWS LEFT	$355.00	$355.00	$53.43–$337.25	49% above	—
X-ray of the foot, 2 views inpatient both sides CPT 73620 HCHG XR FOOT 2 VIEWS BILATERAL	$709.00	$709.00	—	—	—
X-ray of the foot, 2 views inpatient one side CPT 73620 HCHG XR FOOT 2 VIEWS RIGHT	$355.00	$355.00	—	—	—
X-ray of the foot, 2 views inpatient one side CPT 73620 HCHG XR FOOT 2 VIEWS LEFT	$355.00	$355.00	—	—	—
X-ray of the foot, complete, 3 or more views both sides CPT 73630 HCHG XR FOOT COMPLETE MIN 3V BI	$559.00	$559.00	$84.13–$531.05	—	—
X-ray of the foot, complete, 3 or more views one side CPT 73630 HCHG XR FOOT COMPLETE MIN 3V LT	$382.00	$382.00	$57.49–$362.90	31% above	—
X-ray of the foot, complete, 3 or more views one side CPT 73630 HCHG XR FOOT COMPLETE MIN 3V RT	$382.00	$382.00	$57.49–$362.90	31% above	—
X-ray of the foot, complete, 3 or more views inpatient both sides CPT 73630 HCHG XR FOOT COMPLETE MIN 3V BI	$559.00	$559.00	—	—	—
X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 HCHG XR FOOT COMPLETE MIN 3V RT	$382.00	$382.00	—	—	—
X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 HCHG XR FOOT COMPLETE MIN 3V LT	$382.00	$382.00	—	—	—
X-ray of the hand, 3 or more views both sides CPT 73130 HCHG XR HAND COMPLETE MIN 3V BI	$777.00	$777.00	$88.91–$738.15	—	—
X-ray of the hand, 3 or more views one side CPT 73130 HCHG XR HAND COMPLETE MIN 3V RT	$388.00	$388.00	$58.39–$368.60	40% above	—
X-ray of the hand, 3 or more views one side CPT 73130 HCHG XR HAND COMPLETE MIN 3V LT	$388.00	$388.00	$58.39–$368.60	40% above	—
X-ray of the hand, 3 or more views inpatient both sides CPT 73130 HCHG XR HAND COMPLETE MIN 3V BI	$777.00	$777.00	—	—	—
X-ray of the hand, 3 or more views inpatient one side CPT 73130 HCHG XR HAND COMPLETE MIN 3V LT	$388.00	$388.00	—	—	—
X-ray of the hand, 3 or more views inpatient one side CPT 73130 HCHG XR HAND COMPLETE MIN 3V RT	$388.00	$388.00	—	—	—
X-ray of the knee, 1 or 2 views both sides CPT 73560 HCHG XR KNEE 1 OR 2 VIEWS BILATERAL	$680.00	$680.00	$88.91–$646.00	—	—
X-ray of the knee, 1 or 2 views one side CPT 73560 HCHG XR KNEE 1 OR 2 VIEWS RIGHT	$339.00	$339.00	$51.02–$322.05	42% above	—
X-ray of the knee, 1 or 2 views one side CPT 73560 HCHG XR KNEE 1 OR 2 VIEWS LEFT	$339.00	$339.00	$51.02–$322.05	42% above	—
X-ray of the knee, 1 or 2 views inpatient both sides CPT 73560 HCHG XR KNEE 1 OR 2 VIEWS BILATERAL	$680.00	$680.00	—	—	—
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 HCHG XR KNEE 1 OR 2 VIEWS LEFT	$339.00	$339.00	—	—	—
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 HCHG XR KNEE 1 OR 2 VIEWS RIGHT	$339.00	$339.00	—	—	—
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 HCHG XR SPINE LUMBAR 2 OR 3 VIEWS	$747.00	$747.00	$106.81–$709.65	148% above	—
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 HCHG XR SPINE LUMBAR 2 OR 3 VIEWS	$747.00	$747.00	—	—	—
X-ray of the lower back, 4 or more views CPT 72110 HCHG XR SPINE LUMBAR MIN 4 VIEWS	$742.00	$742.00	$106.81–$704.90	61% above	—
X-ray of the lower back, 4 or more views inpatient CPT 72110 HCHG XR SPINE LUMBAR MIN 4 VIEWS	$742.00	$742.00	—	—	—
X-ray of the mid back (thoracic spine), 2 views CPT 72070 HCHG XR SPINE THORACIC 2 VIEWS	$633.00	$633.00	$95.27–$601.35	113% above	—
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 HCHG XR SPINE THORACIC 2 VIEWS	$633.00	$633.00	—	—	—
X-ray of the nasal bones, 3 or more views CPT 70160 HCHG XR NASAL BONES COMP MIN 3 VIEWS	$505.00	$505.00	$76.00–$479.75	62% above	—
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 HCHG XR NASAL BONES COMP MIN 3 VIEWS	$505.00	$505.00	—	—	—
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 HCHG XR SPINE CERVICAL 2-3 VIEWS	$525.00	$525.00	$79.01–$498.75	68% above	—
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 HCHG XR SPINE CERVICAL 2-3 VIEWS	$525.00	$525.00	—	—	—
X-ray of the pelvis, 1 or 2 views CPT 72170 HCHG XR PELVIS 1 OR 2 VIEWS	$476.00	$476.00	$71.64–$452.20	86% above	—
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 HCHG XR PELVIS 1 OR 2 VIEWS	$476.00	$476.00	—	—	—
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 HCHG XR SACRUM AND COCCYX MIN 2 VIEWS	$476.00	$476.00	$71.64–$452.20	79% above	—
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 HCHG XR SACRUM AND COCCYX MIN 2 VIEWS	$476.00	$476.00	—	—	—

Lab tests

Procedure	Cash price	List price	Insurers pay	vs North Carolina	Off list
ACTH blood test CPT 82024 CHG ACTH ADRENOCORTICOTROPIC HORMONE	$348.00	$348.00	$21.00–$330.60	230% above	—
ACTH blood test inpatient CPT 82024 CHG ACTH ADRENOCORTICOTROPIC HORMONE	$348.00	$348.00	—	—	—
ALT (alanine aminotransferase) liver enzyme test CPT 84460 CHG ALT SGPT	$117.00	$117.00	$2.88–$111.15	169% above	—
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 CHG ALT SGPT	$117.00	$117.00	—	—	—
AST (aspartate aminotransferase) enzyme test CPT 84450 CHG AST SGOT	$121.00	$121.00	$2.82–$114.95	166% above	—
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 CHG AST SGOT	$121.00	$121.00	—	—	—
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 CHG HEPATITIS PANEL ACUTE	$473.00	$473.00	$24.89–$449.35	71% above	—
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 CHG HEPATITIS PANEL ACUTE	$473.00	$473.00	—	—	—
Albumin blood test CPT 82040 CHG ALBUMIN SERUM	$74.00	$74.00	$2.69–$70.30	131% above	—
Albumin blood test inpatient CPT 82040 CHG ALBUMIN SERUM	$74.00	$74.00	—	—	—
Aldosterone blood test CPT 82088 CHG ALDOSTERONE	$285.00	$285.00	$22.16–$270.75	215% above	—
Aldosterone blood test inpatient CPT 82088 CHG ALDOSTERONE	$285.00	$285.00	—	—	—
Alkaline phosphatase (ALP) blood test CPT 84075 CHG ALKALINE PHOSPHATASE	$121.00	$121.00	$2.82–$114.95	284% above	—
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 CHG ALKALINE PHOSPHATASE	$121.00	$121.00	—	—	—
Allergy blood test, specific IgE, per allergen CPT 86003 CHG LC ALLERGEN SPECIFIC, IGE EACH	$19.00	$19.00	$3.13–$26.00	at median	—
Allergy blood test, specific IgE, per allergen CPT 86003 CHG ALLERGEN SPEC IGG EACH	$26.00	$26.00	$3.13–$26.00	37% above	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CHG LC ALLERGEN SPECIFIC, IGE EACH	$19.00	$19.00	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CHG ALLERGEN SPEC IGG EACH	$26.00	$26.00	—	—	—
Alpha-fetoprotein (AFP) blood test CPT 82105 CHG ALPHA-FETO PROTEIN SERUM	$177.00	$177.00	$6.50–$168.15	178% above	—
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 CHG ALPHA-FETO PROTEIN SERUM	$177.00	$177.00	—	—	—
Ammonia blood test CPT 82140 CHG AMMONIA	$187.00	$187.00	$7.92–$177.65	167% above	—
Ammonia blood test inpatient CPT 82140 CHG AMMONIA	$187.00	$187.00	—	—	—
Amylase blood test CPT 82150 CHG AMYLASE FLUID	$110.00	$110.00	$3.53–$104.50	103% above	—
Amylase blood test inpatient CPT 82150 CHG AMYLASE FLUID	$110.00	$110.00	—	—	—
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CHG CYCLIC CITRULLINATED PEPTIDE, ANTIBODY	$165.00	$165.00	$7.77–$156.75	124% above	—
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CHG CYCLIC CITRULLINATED PEPTIDE, ANTIBODY	$165.00	$165.00	—	—	—
Antinuclear antibody (ANA) blood test, screen CPT 86038 CHG NUCLEAR AB, W/REFLEX	$39.00	$39.00	$7.25–$39.68	23% below	—
Antinuclear antibody (ANA) blood test, screen CPT 86038 CHG ANTINUCLEAR ANTIBODIES	$105.00	$105.00	$7.25–$99.75	108% above	—
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 CHG NUCLEAR AB, W/REFLEX	$39.00	$39.00	—	—	—
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 CHG ANTINUCLEAR ANTIBODIES	$105.00	$105.00	—	—	—
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 CHG BRAIN NATRIURETIC PEPTIDE	$350.00	$350.00	$19.61–$332.50	207% above	—
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 CHG BRAIN NATRIURETIC PEPTIDE	$350.00	$350.00	—	—	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CHG CULTURE BODY FLUID	$200.00	$200.00	$5.17–$190.00	179% above	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CHG CULTURE BODY FLUID	$200.00	$200.00	—	—	—
Basic metabolic panel (blood test) CPT 80048 CHG BASIC METABOLIC PNL CALCIUM TOTAL	$201.00	$201.00	$4.29–$190.95	57% above	—
Basic metabolic panel (blood test) inpatient CPT 80048 CHG BASIC METABOLIC PNL CALCIUM TOTAL	$201.00	$201.00	—	—	—
Bilirubin blood test, total CPT 82247 CHG BILIRUBIN TOTAL	$122.00	$122.00	$2.73–$115.90	154% above	—
Bilirubin blood test, total one side CPT 82247 CHG RT NICU WBLD TOT BILIRIBIN	$122.00	$122.00	$2.73–$115.90	154% above	—
Bilirubin blood test, total inpatient CPT 82247 CHG BILIRUBIN TOTAL	$122.00	$122.00	—	—	—
Bilirubin blood test, total inpatient one side CPT 82247 CHG RT NICU WBLD TOT BILIRIBIN	$122.00	$122.00	—	—	—
Biopsy tissue exam by a pathologist (level IV) CPT 88305 CHG PATH: LEVEL IV GROSS/MICRO	$340.00	$340.00	$22.75–$323.00	90% above	—
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 CHG PATH: LEVEL IV GROSS/MICRO	$340.00	$340.00	—	—	—
Blood culture for bacteria CPT 87040 CHG CULTURE BLOOD BACTERIAL	$276.00	$276.00	$6.19–$262.20	81% above	—
Blood culture for bacteria inpatient CPT 87040 CHG CULTURE BLOOD BACTERIAL	$276.00	$276.00	—	—	—
Blood draw from a vein (venipuncture), collection fee only CPT 36415 CHG ROUTINE VENI FEE (PSS)	$35.00	$35.00	$1.74–$33.25	295% above	—
Blood draw from a vein (venipuncture), collection fee only CPT 36415 CHG ROUTINE VENI FEE (OP LAB)	$35.00	$35.00	$1.74–$33.25	295% above	—
Blood draw from a vein (venipuncture), collection fee only CPT 36415 HCHG ROUTINE VENIPUNCTURE - DRAW	$35.00	$35.00	$1.74–$33.25	295% above	—
Blood draw from a vein (venipuncture), collection fee only CPT 36415 CHG VENIPUNCTURE	$36.00	$36.00	$1.74–$34.20	306% above	—
Blood draw from a vein (venipuncture), collection fee only CPT 36415 HCHG ROUTINE VENIPUNCTURE	$36.00	$36.00	$1.74–$34.20	306% above	—
Blood draw from a vein (venipuncture), collection fee only CPT 36415 HCHG VENI FEE - RAD ONC	$36.00	$36.00	$1.74–$34.20	306% above	—
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 CHG ROUTINE VENI FEE (OP LAB)	$35.00	$35.00	—	—	—
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 HCHG ROUTINE VENIPUNCTURE - DRAW	$35.00	$35.00	—	—	—
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 CHG ROUTINE VENI FEE (PSS)	$35.00	$35.00	—	—	—
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 CHG VENIPUNCTURE	$36.00	$36.00	—	—	—
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 HCHG ROUTINE VENIPUNCTURE	$36.00	$36.00	—	—	—
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 HCHG VENI FEE - RAD ONC	$36.00	$36.00	—	—	—
Blood glucose (sugar) test CPT 82947 CHG GLUCOSE QUANT BLOOD	$96.00	$96.00	$2.14–$91.20	167% above	—
Blood glucose (sugar) test one side CPT 82947 CHG RT WBLD GLUCOSE	$96.00	$96.00	$2.14–$91.20	167% above	—
Blood glucose (sugar) test inpatient CPT 82947 CHG GLUCOSE QUANT BLOOD	$96.00	$96.00	—	—	—
Blood glucose (sugar) test inpatient one side CPT 82947 CHG RT WBLD GLUCOSE	$96.00	$96.00	—	—	—
Blood lead test CPT 83655 CHG LEAD SERUM	$102.00	$102.00	$6.59–$96.90	186% above	—
Blood lead test inpatient CPT 83655 CHG LEAD SERUM	$102.00	$102.00	—	—	—
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 CHG HCG QUAL PREGNANCY SCREEN	$245.00	$245.00	$4.09–$232.75	101% above	—
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 CHG HCG QUAL PREGNANCY SCREEN	$245.00	$245.00	—	—	—
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 CHG ABO BLOOD TYPING	$55.00	$55.00	$1.79–$339.83	6% above	—
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 CHG ABO BLOOD TYPING	$55.00	$55.00	—	—	—
Blood urea nitrogen (BUN) test CPT 84520 CHG BUN QUANTITATIVE	$109.00	$109.00	$2.15–$103.55	146% above	—
Blood urea nitrogen (BUN) test inpatient CPT 84520 CHG BUN QUANTITATIVE	$109.00	$109.00	—	—	—
C-peptide blood test CPT 84681 CHG C PEPTIDE	$160.00	$160.00	$9.19–$152.00	113% above	—
C-peptide blood test inpatient CPT 84681 CHG C PEPTIDE	$160.00	$160.00	—	—	—
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 CHG CRP QUANTITATIVE	$159.00	$159.00	$3.11–$151.05	163% above	—
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 CHG CRP QUANTITATIVE	$159.00	$159.00	—	—	—
C. difficile toxin gene test (stool PCR) CPT 87493 CHG CLOSTRIDIUM DIFFICILE AMP PROBE	$309.00	$309.00	$22.36–$293.55	146% above	—
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 CHG CLOSTRIDIUM DIFFICILE AMP PROBE	$309.00	$309.00	—	—	—
CA 19-9 blood test (tumor marker) CPT 86301 CHG CA 19 9	$206.00	$206.00	$12.49–$195.70	132% above	—
CA 19-9 blood test (tumor marker) inpatient CPT 86301 CHG CA 19 9	$206.00	$206.00	—	—	—
CA-125 blood test (ovarian cancer marker) CPT 86304 CHG CA 125	$209.00	$209.00	$12.49–$198.55	149% above	—
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 CHG CA 125	$209.00	$209.00	—	—	—
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 CHG COVID RNA RAPID, ID NOW	$215.00	$215.00	$26.00–$204.25	142% above	—
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 CHG SARS COV2, RNA DETECTION	$215.00	$215.00	$21.55–$204.25	142% above	—
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 CHG SARS-COV-2 COVID-19 BD MAX	$221.00	$221.00	$21.55–$209.95	148% above	—
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 CHG COVID-19	$249.00	$249.00	$26.00–$236.55	180% above	—
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 CHG COVID RNA RAPID, ID NOW	$215.00	$215.00	—	—	—
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 CHG SARS COV2, RNA DETECTION	$215.00	$215.00	—	—	—
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 CHG SARS-COV-2 COVID-19 BD MAX	$221.00	$221.00	—	—	—
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 CHG COVID-19	$249.00	$249.00	—	—	—
Calcium blood test, total CPT 82310 CHG CALCIUM TOTAL	$104.00	$104.00	$2.81–$98.80	154% above	—
Calcium blood test, total inpatient CPT 82310 CHG CALCIUM TOTAL	$104.00	$104.00	—	—	—
Carcinoembryonic antigen (CEA) test CPT 82378 CHG CARCINOEMBRYONIC ANTIGEN CEA	$293.00	$293.00	$10.31–$278.35	95% above	—
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 CHG CARCINOEMBRYONIC ANTIGEN CEA	$293.00	$293.00	—	—	—
Chickenpox (varicella) immunity blood test CPT 86787 CHG VARICELLA ZOSTER AB IGG	$164.00	$164.00	$7.73–$155.80	218% above	—
Chickenpox (varicella) immunity blood test inpatient CPT 86787 CHG VARICELLA ZOSTER AB IGG	$164.00	$164.00	—	—	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHG CHLAMYDIA AMPLIF PROBE	$231.00	$231.00	$21.05–$219.45	114% above	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHG CHLAMYDIA AMPLIF PROBE	$231.00	$231.00	—	—	—
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 CHG LIPID PANEL	$159.00	$159.00	$8.03–$151.05	89% above	—
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 CHG LIPID PANEL	$159.00	$159.00	—	—	—
Complete blood count (CBC) with differential CPT 85025 CHG CBC W AUTO DIFF	$152.00	$152.00	$4.66–$144.40	50% above	—
Complete blood count (CBC) with differential inpatient CPT 85025 CHG CBC W AUTO DIFF	$152.00	$152.00	—	—	—
Complete blood count (CBC), no differential CPT 85027 CHG CBC AUTOMATED WO DIFF	$137.00	$137.00	$3.88–$130.15	114% above	—
Complete blood count (CBC), no differential inpatient CPT 85027 CHG CBC AUTOMATED WO DIFF	$137.00	$137.00	—	—	—
Comprehensive metabolic panel (blood test) CPT 80053 CHG COMPREHENSIVE METABOLIC PANEL	$229.00	$229.00	$5.42–$217.55	48% above	—
Comprehensive metabolic panel (blood test) inpatient CPT 80053 CHG COMPREHENSIVE METABOLIC PANEL	$229.00	$229.00	—	—	—
Cortisol blood test, total CPT 82533 CHG LC CORTISOL TOTAL SALIVARY MS	$60.00	$60.00	$8.87–$57.00	34% below	—
Cortisol blood test, total CPT 82533 CHG CORTISOL TOTAL	$237.00	$237.00	$8.87–$225.15	162% above	—
Cortisol blood test, total inpatient CPT 82533 CHG LC CORTISOL TOTAL SALIVARY MS	$60.00	$60.00	—	—	—
Cortisol blood test, total inpatient CPT 82533 CHG CORTISOL TOTAL	$237.00	$237.00	—	—	—
Creatine kinase (CK) blood test, total CPT 82550 CHG CPK CREATINE KINASE TOTAL	$117.00	$117.00	$3.54–$111.15	70% above	—
Creatine kinase (CK) blood test, total inpatient CPT 82550 CHG CPK CREATINE KINASE TOTAL	$117.00	$117.00	—	—	—
Creatinine blood test CPT 82565 CHG CREATININE	$114.00	$114.00	$2.78–$108.30	118% above	—
Creatinine blood test one side CPT 82565 CHG RT CREATININE	$114.00	$114.00	$2.78–$108.30	118% above	—
Creatinine blood test inpatient CPT 82565 CHG CREATININE	$114.00	$114.00	—	—	—
Creatinine blood test inpatient one side CPT 82565 CHG RT CREATININE	$114.00	$114.00	—	—	—
Cytomegalovirus (CMV) antibody test CPT 86644 CHG CYTOMEGALOVIRUS IGG ANTIBODY	$141.00	$141.00	$8.63–$133.95	183% above	—
Cytomegalovirus (CMV) antibody test CPT 86644 CHG ANTIBODY CYTOMEGALOVIRUS CMV	$183.00	$183.00	$8.63–$173.85	267% above	—
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 CHG CYTOMEGALOVIRUS IGG ANTIBODY	$141.00	$141.00	—	—	—
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 CHG ANTIBODY CYTOMEGALOVIRUS CMV	$183.00	$183.00	—	—	—
D-dimer blood test (blood clot marker) CPT 85379 CHG D DIMER QUANTITATIVE	$232.00	$232.00	$6.11–$220.40	59% above	—
D-dimer blood test (blood clot marker) inpatient CPT 85379 CHG D DIMER QUANTITATIVE	$232.00	$232.00	—	—	—
DHEA sulfate (DHEA-S) blood test CPT 82627 CHG DHEA SULFATE	$215.00	$215.00	$12.09–$204.25	107% above	—
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 CHG DHEA SULFATE	$215.00	$215.00	—	—	—
Drug screen by lab instrument (any number of drug classes) CPT 80307 CHG BENZODIAZEPINES, URINE	$114.00	$114.00	$26.00–$191.38	135% above	—
Drug screen by lab instrument (any number of drug classes) CPT 80307 CHG COCAINE, URINE	$114.00	$114.00	$26.00–$191.38	135% above	—
Drug screen by lab instrument (any number of drug classes) CPT 80307 CHG RAPID URINE, BARBITURATES	$114.00	$114.00	$26.00–$191.38	135% above	—
Drug screen by lab instrument (any number of drug classes) CPT 80307 CHG AMPHETAMINES, URINE	$114.00	$114.00	$26.00–$191.38	135% above	—
Drug screen by lab instrument (any number of drug classes) CPT 80307 CHG OPIATES, URINE	$114.00	$114.00	$26.00–$191.38	135% above	—
Drug screen by lab instrument (any number of drug classes) CPT 80307 CHG PHENCYCLIDINE, URINE	$114.00	$114.00	$26.00–$191.38	135% above	—
Drug screen by lab instrument (any number of drug classes) CPT 80307 CHG RAPID UR, THC METABOLITE	$114.00	$114.00	$26.00–$191.38	135% above	—
Drug screen by lab instrument (any number of drug classes) CPT 80307 CHG FENTANYL, URINE QUALITATIVE	$114.00	$114.00	$26.00–$191.38	135% above	—
Drug screen by lab instrument (any number of drug classes) CPT 80307 CHG BUPRENORPHINE, URINE QUALITATIVE	$114.00	$114.00	$26.00–$191.38	135% above	—
Drug screen by lab instrument (any number of drug classes) CPT 80307 CHG DRUG DETECT, UMBILICAL CORD GRP B	$120.00	$120.00	$26.00–$191.38	147% above	—
Drug screen by lab instrument (any number of drug classes) CPT 80307 CHG DRUGS OF ABUSE, UR NON COC	$138.00	$138.00	$26.00–$191.38	185% above	—
Drug screen by lab instrument (any number of drug classes) CPT 80307 CHG DRUG DETECT, UMBILICAL CORD GRP A	$162.00	$162.00	$26.00–$191.38	234% above	—
Drug screen by lab instrument (any number of drug classes) CPT 80307 CHG LC DRUG CLASS PROFILE PRESUMP ANY NUMBER ANALYZER	$227.00	$227.00	$26.00–$215.65	368% above	—
Drug screen by lab instrument (any number of drug classes) CPT 80307 CHG COTININE (NICOTINE) SCRN URINE	$249.00	$249.00	$26.00–$236.55	413% above	—
Drug screen by lab instrument (any number of drug classes) CPT 80307 CHG TRICYCLICS SCREEN	$266.00	$266.00	$26.00–$252.70	448% above	—
Drug screen by lab instrument (any number of drug classes) CPT 80307 CHG DRUG SCREEN, WHOLE BLOOD	$314.00	$314.00	$26.00–$298.30	547% above	—
Drug screen by lab instrument (any number of drug classes) CPT 80307 CHG DRUG SCRN URINE & TRICYCLICS	$315.00	$315.00	$26.00–$299.25	549% above	—
Drug screen by lab instrument (any number of drug classes) CPT 80307 CHG PAIN MGMT DRUG PANEL, ALL	$415.00	$415.00	$26.00–$394.25	756% above	—
Drug screen by lab instrument (any number of drug classes) CPT 80307 CHG DRUG SCR RAPID, PRESUMPTIVE	$781.00	$781.00	$26.00–$741.95	1510% above	—
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 CHG FENTANYL, URINE QUALITATIVE	$114.00	$114.00	—	—	—
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 CHG PHENCYCLIDINE, URINE	$114.00	$114.00	—	—	—
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 CHG RAPID URINE, BARBITURATES	$114.00	$114.00	—	—	—
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 CHG BENZODIAZEPINES, URINE	$114.00	$114.00	—	—	—
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 CHG RAPID UR, THC METABOLITE	$114.00	$114.00	—	—	—
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 CHG OPIATES, URINE	$114.00	$114.00	—	—	—
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 CHG BUPRENORPHINE, URINE QUALITATIVE	$114.00	$114.00	—	—	—
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 CHG COCAINE, URINE	$114.00	$114.00	—	—	—
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 CHG AMPHETAMINES, URINE	$114.00	$114.00	—	—	—
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 CHG DRUG DETECT, UMBILICAL CORD GRP B	$120.00	$120.00	—	—	—
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 CHG DRUGS OF ABUSE, UR NON COC	$138.00	$138.00	—	—	—
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 CHG DRUG DETECT, UMBILICAL CORD GRP A	$162.00	$162.00	—	—	—
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 CHG LC DRUG CLASS PROFILE PRESUMP ANY NUMBER ANALYZER	$227.00	$227.00	—	—	—
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 CHG COTININE (NICOTINE) SCRN URINE	$249.00	$249.00	—	—	—
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 CHG TRICYCLICS SCREEN	$266.00	$266.00	—	—	—
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 CHG DRUG SCREEN, WHOLE BLOOD	$314.00	$314.00	—	—	—
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 CHG DRUG SCRN URINE & TRICYCLICS	$315.00	$315.00	—	—	—
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 CHG PAIN MGMT DRUG PANEL, ALL	$415.00	$415.00	—	—	—
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 CHG DRUG SCR RAPID, PRESUMPTIVE	$781.00	$781.00	—	—	—
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 CHG ELECTROLYTE PANEL	$121.00	$121.00	$3.37–$114.95	56% above	—
Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 CHG ELECTROLYTE PANEL	$121.00	$121.00	—	—	—
Epstein-Barr virus (EBV) antibody test CPT 86665 CHG EBV VIRAL CAPSID ANTIBODIES	$67.00	$67.00	$10.88–$63.65	1% below	—
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 CHG EBV VIRAL CAPSID ANTIBODIES	$67.00	$67.00	—	—	—
Estradiol blood test CPT 82670 CHG ESTRADIOL TOTAL	$210.00	$210.00	$13.76–$199.50	80% above	—
Estradiol blood test inpatient CPT 82670 CHG ESTRADIOL TOTAL	$210.00	$210.00	—	—	—
FSH (follicle-stimulating hormone) test CPT 83001 CHG FSH FOLLICLE STIMULATING HORMONE	$137.00	$137.00	$10.10–$130.15	47% above	—
FSH (follicle-stimulating hormone) test inpatient CPT 83001 CHG FSH FOLLICLE STIMULATING HORMONE	$137.00	$137.00	—	—	—
Fecal calprotectin (stool inflammation test) CPT 83993 CHG CALPROTECTIN FECAL	$253.00	$253.00	$10.67–$240.35	48% above	—
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 CHG CALPROTECTIN FECAL	$253.00	$253.00	—	—	—
Ferritin blood test (iron stores) CPT 82728 CHG FERRITIN	$179.00	$179.00	$7.41–$170.05	110% above	—
Ferritin blood test (iron stores) inpatient CPT 82728 CHG FERRITIN	$179.00	$179.00	—	—	—
Fibrinogen blood test CPT 85384 CHG FIBRINOGEN ACTIVITY	$209.00	$209.00	$5.64–$198.55	143% above	—
Fibrinogen blood test inpatient CPT 85384 CHG FIBRINOGEN ACTIVITY	$209.00	$209.00	—	—	—
Folate (folic acid) blood test CPT 82746 CHG FOLATE	$112.00	$112.00	$8.00–$106.40	31% above	—
Folate (folic acid) blood test inpatient CPT 82746 CHG FOLATE	$112.00	$112.00	—	—	—
Free T3 thyroid hormone test CPT 84481 CHG T3 FREE	$71.00	$71.00	$9.79–$67.45	16% below	—
Free T3 thyroid hormone test inpatient CPT 84481 CHG T3 FREE	$71.00	$71.00	—	—	—
Free T4 (free thyroxine) thyroid blood test CPT 84439 CHG T4 THYROXINE FREE	$98.00	$98.00	$5.21–$93.10	52% above	—
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 CHG T4 THYROXINE FREE	$98.00	$98.00	—	—	—
Free testosterone test CPT 84402 CHG TESTOSTERONE FREE	$221.00	$221.00	$13.85–$209.95	211% above	—
Free testosterone test inpatient CPT 84402 CHG TESTOSTERONE FREE	$221.00	$221.00	—	—	—
Gamma-glutamyl transferase (GGT) blood test CPT 82977 CHG GGT GLUTAMYLTRANSFERASE GAMMA	$74.00	$74.00	$3.92–$70.30	28% above	—
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 CHG GGT GLUTAMYLTRANSFERASE GAMMA	$74.00	$74.00	—	—	—
General health panel: metabolic panel, blood count and TSH in one order CPT 80050 CHG GENERAL HEALTH PANEL	$518.00	$518.00	$15.49–$492.10	2% above	—
General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 CHG GENERAL HEALTH PANEL	$518.00	$518.00	—	—	—
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 CHG GLUCOSE POST GLUCOSE DOSE	$136.00	$136.00	$2.58–$129.20	249% above	—
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 CHG GLUCOSE POST GLUCOSE DOSE	$136.00	$136.00	—	—	—
Glucose tolerance test, 3 samples CPT 82951 CHG GLUCOSE TOL TEST 3 SPECIMEN	$136.00	$136.00	$7.00–$129.20	39% above	—
Glucose tolerance test, 3 samples inpatient CPT 82951 CHG GLUCOSE TOL TEST 3 SPECIMEN	$136.00	$136.00	—	—	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 CHG NEIS GONOR AMPLIF PROBE	$226.00	$226.00	$21.05–$214.70	143% above	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 CHG NEIS GONOR AMPLIF PROBE	$226.00	$226.00	—	—	—
H. pylori antibody blood test CPT 86677 CHG HELICOBACTER PYLORI ANTIBODY	$162.00	$162.00	$9.77–$153.90	21% above	—
H. pylori antibody blood test inpatient CPT 86677 CHG HELICOBACTER PYLORI ANTIBODY	$162.00	$162.00	—	—	—
H. pylori stool antigen test CPT 87338 CHG HELICOBACTER PYLORI STOOL EIA	$214.00	$214.00	$8.63–$203.30	92% above	—
H. pylori stool antigen test inpatient CPT 87338 CHG HELICOBACTER PYLORI STOOL EIA	$214.00	$214.00	—	—	—
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 CHG HIV RNA BY NAAT	$796.00	$796.00	$26.00–$756.20	242% above	—
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 CHG HIV RNA BY NAAT	$796.00	$796.00	—	—	—
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 CHG HIV-1 AG W HIV-1 & 2 AB EIA	$120.00	$120.00	$14.45–$114.00	68% above	—
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 CHG HIV-1 AG W HIV-1 & 2 AB EIA	$120.00	$120.00	—	—	—
HPV test for high-risk types, one combined (pooled) result CPT 87624 CHG HPV HIGH RISK, REFLEXIVE	$196.00	$196.00	$21.05–$186.20	65% above	—
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 CHG HPV HIGH RISK, REFLEXIVE	$196.00	$196.00	—	—	—
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 CHG HEMOGLOBIN A1C GLYCATED	$120.00	$120.00	$5.83–$114.00	63% above	—
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 CHG HEMOGLOBIN A1C GLYCATED	$120.00	$120.00	—	—	—
Hemoglobin blood test CPT 85018 CHG HEMOGLOBIN	$50.00	$50.00	$1.42–$47.50	108% above	—
Hemoglobin blood test one side CPT 85018 CHG RT HEMOGLOBIN	$50.00	$50.00	$1.42–$47.50	108% above	—
Hemoglobin blood test inpatient CPT 85018 CHG HEMOGLOBIN	$50.00	$50.00	—	—	—
Hemoglobin blood test inpatient one side CPT 85018 CHG RT HEMOGLOBIN	$50.00	$50.00	—	—	—
Hepatitis B core antibody test (total) CPT 86704 CHG HEPATITIS B CORE ANTIBODY TOTAL	$58.00	$58.00	$7.23–$55.10	35% below	—
Hepatitis B core antibody test (total) inpatient CPT 86704 CHG HEPATITIS B CORE ANTIBODY TOTAL	$58.00	$58.00	—	—	—
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 CHG HEPATITIS B SURFACE AB QUAL	$87.00	$87.00	$6.44–$82.65	18% above	—
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 CHG HEPATITIS B SURFACE AB QUAL	$87.00	$87.00	—	—	—
Hepatitis B surface antigen (HBsAg) test CPT 87340 CHG HEPATITIS B SURFACE ANTIGEN EIA	$96.00	$96.00	$6.20–$91.20	17% above	—
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 CHG HEPATITIS B SURFACE ANTIGEN EIA	$96.00	$96.00	—	—	—
Hepatitis C antibody blood test (screening) CPT 86803 CHG HEPATITIS C ANTIBODY	$108.00	$108.00	$8.56–$102.60	15% below	—
Hepatitis C antibody blood test (screening) inpatient CPT 86803 CHG HEPATITIS C ANTIBODY	$108.00	$108.00	—	—	—
Hepatitis C viral load (HCV RNA) test CPT 87522 CHG HEPATITIS C RNA QUANT	$435.00	$435.00	$25.70–$413.25	169% above	—
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 CHG HEPATITIS C RNA QUANT	$435.00	$435.00	—	—	—
Herpes blood test, HSV-1 antibody CPT 86695 CHG HERPES SIMPLEX AB TYPE 1	$90.00	$90.00	$7.91–$85.50	98% above	—
Herpes blood test, HSV-1 antibody inpatient CPT 86695 CHG HERPES SIMPLEX AB TYPE 1	$90.00	$90.00	—	—	—
Herpes blood test, HSV-2 antibody CPT 86696 CHG HERPES SIMPLEX AB TYPE 2	$87.00	$87.00	$11.61–$82.65	33% above	—
Herpes blood test, HSV-2 antibody inpatient CPT 86696 CHG HERPES SIMPLEX AB TYPE 2	$87.00	$87.00	—	—	—
High-sensitivity CRP (hs-CRP) test CPT 86141 CHG C REACTIVE PROTEIN HIGH SENSITIVE	$175.00	$175.00	$7.77–$166.25	133% above	—
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 CHG C REACTIVE PROTEIN HIGH SENSITIVE	$175.00	$175.00	—	—	—
Homocysteine blood test CPT 83090 CHG HOMOCYSTEINE	$159.00	$159.00	$9.74–$151.05	92% above	—
Homocysteine blood test inpatient CPT 83090 CHG HOMOCYSTEINE	$159.00	$159.00	—	—	—
Insulin blood test CPT 83525 CHG INSULIN TOTAL	$117.00	$117.00	$6.22–$111.15	117% above	—
Insulin blood test inpatient CPT 83525 CHG INSULIN TOTAL	$117.00	$117.00	—	—	—
Iron blood test (serum iron) CPT 83540 CHG IRON	$116.00	$116.00	$3.52–$110.20	81% above	—
Iron blood test (serum iron) inpatient CPT 83540 CHG IRON	$116.00	$116.00	—	—	—
Kidney function blood test panel CPT 80069 CHG RENAL FUNCTION PANEL	$273.00	$273.00	$4.17–$259.35	130% above	—
Kidney function blood test panel inpatient CPT 80069 CHG RENAL FUNCTION PANEL	$273.00	$273.00	—	—	—
LH (luteinizing hormone) test CPT 83002 CHG LH LUTEINIZING HORMONE	$143.00	$143.00	$10.07–$135.85	47% above	—
LH (luteinizing hormone) test inpatient CPT 83002 CHG LH LUTEINIZING HORMONE	$143.00	$143.00	—	—	—
Lactate (lactic acid) blood test CPT 83605 CHG LACTIC ACID	$191.00	$191.00	$6.17–$181.45	126% above	—
Lactate (lactic acid) blood test one side CPT 83605 CHG RT WBLD LACTIC ACID	$193.00	$193.00	$6.17–$183.35	128% above	—
Lactate (lactic acid) blood test inpatient CPT 83605 CHG LACTIC ACID	$191.00	$191.00	—	—	—
Lactate (lactic acid) blood test inpatient one side CPT 83605 CHG RT WBLD LACTIC ACID	$193.00	$193.00	—	—	—
Lactate dehydrogenase (LDH) blood test CPT 83615 CHG LDH LACTATE DEHYDROGENASE FLUID	$110.00	$110.00	$3.29–$104.50	154% above	—
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 CHG LDH LACTATE DEHYDROGENASE FLUID	$110.00	$110.00	—	—	—
Lipase blood test (pancreas enzyme) CPT 83690 CHG LIPASE	$202.00	$202.00	$3.98–$191.90	117% above	—
Lipase blood test (pancreas enzyme) inpatient CPT 83690 CHG LIPASE	$202.00	$202.00	—	—	—
Liver function blood test panel CPT 80076 CHG HEPATIC FUNCTION PANEL	$157.00	$157.00	$4.28–$149.15	at median	—
Liver function blood test panel inpatient CPT 80076 CHG HEPATIC FUNCTION PANEL	$157.00	$157.00	—	—	—
Lyme disease antibody test CPT 86618 CHG LYME DISEASE ANTIBODIES	$163.00	$163.00	$10.22–$154.85	127% above	—
Lyme disease antibody test inpatient CPT 86618 CHG LYME DISEASE ANTIBODIES	$163.00	$163.00	—	—	—
Magnesium blood test CPT 83735 CHG MAGNESIUM	$127.00	$127.00	$3.65–$120.65	218% above	—
Magnesium blood test inpatient CPT 83735 CHG MAGNESIUM	$127.00	$127.00	—	—	—
Measles (rubeola) antibody test CPT 86765 CHG RUBEOLA ANTIBODY IGG	$91.00	$91.00	$7.73–$86.45	90% above	—
Measles (rubeola) antibody test inpatient CPT 86765 CHG RUBEOLA ANTIBODY IGG	$91.00	$91.00	—	—	—
Mono test (heterophile antibody, Monospot) CPT 86308 CHG MONOTEST HETEROPHILE AB SCREEN	$174.00	$174.00	$3.11–$165.30	112% above	—
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 CHG MONOTEST HETEROPHILE AB SCREEN	$174.00	$174.00	—	—	—
Mumps immunity blood test CPT 86735 CHG MUMPS IGG ANTIBODY	$90.00	$90.00	$7.83–$85.50	53% above	—
Mumps immunity blood test inpatient CPT 86735 CHG MUMPS IGG ANTIBODY	$90.00	$90.00	—	—	—
PSA (prostate-specific antigen) blood test, free CPT 84154 CHG PSA FREE	$114.00	$114.00	$10.00–$108.30	71% above	—
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 CHG PSA FREE	$114.00	$114.00	—	—	—
PSA (prostate-specific antigen) blood test, total CPT 84153 CHG PROSTATE SP AG TOTAL	$138.00	$138.00	$10.63–$131.10	43% above	—
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 CHG PROSTATE SP AG TOTAL	$138.00	$138.00	—	—	—
Pap test (liquid-based, automated screening with review) CPT 88175 CHG CYTO: PAP THIN LAYER AUTO	$159.00	$159.00	$15.97–$151.05	106% above	—
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 CHG CYTO: PAP THIN LAYER AUTO	$159.00	$159.00	—	—	—
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 CHG CYTO: PAP THIN LAYER	$159.00	$159.00	$12.16–$151.05	160% above	—
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 CHG CYTO: PAP THIN LAYER	$159.00	$159.00	—	—	—
Parathyroid hormone (PTH) blood test CPT 83970 CHG PARATHYROID HORMONE INTACT	$258.00	$258.00	$22.45–$245.10	96% above	—
Parathyroid hormone (PTH) blood test inpatient CPT 83970 CHG PARATHYROID HORMONE INTACT	$258.00	$258.00	—	—	—
Partial thromboplastin time (PTT) clotting test CPT 85730 CHG LC PART THROMBO (PTT)	$22.00	$22.00	$3.61–$26.00	55% below	—
Partial thromboplastin time (PTT) clotting test CPT 85730 CHG PART THROMBO (PTT)	$121.00	$121.00	$3.61–$114.95	147% above	—
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 CHG LC PART THROMBO (PTT)	$22.00	$22.00	—	—	—
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 CHG PART THROMBO (PTT)	$121.00	$121.00	—	—	—
Phosphorus (phosphate) blood test CPT 84100 CHG PHOSPHORUS	$108.00	$108.00	$2.58–$102.60	126% above	—
Phosphorus (phosphate) blood test inpatient CPT 84100 CHG PHOSPHORUS	$108.00	$108.00	—	—	—
Potassium blood test CPT 84132 CHG POTASSIUM	$84.00	$84.00	$2.59–$79.80	105% above	—
Potassium blood test one side CPT 84132 CHG RT WBLD POTASSIUM	$49.00	$49.00	$2.59–$46.55	20% above	—
Potassium blood test inpatient CPT 84132 CHG POTASSIUM	$84.00	$84.00	—	—	—
Potassium blood test inpatient one side CPT 84132 CHG RT WBLD POTASSIUM	$49.00	$49.00	—	—	—
Progesterone blood test CPT 84144 CHG PROGESTERONE	$201.00	$201.00	$11.34–$190.95	136% above	—
Progesterone blood test inpatient CPT 84144 CHG PROGESTERONE	$201.00	$201.00	—	—	—
Prolactin blood test CPT 84146 CHG PROLACTIN	$266.00	$266.00	$10.54–$252.70	127% above	—
Prolactin blood test inpatient CPT 84146 CHG PROLACTIN	$266.00	$266.00	—	—	—
Prothrombin time (PT/INR) clotting test CPT 85610 CHG LC PROTHROMBIN TIME	$16.00	$16.00	$2.53–$26.00	60% below	—
Prothrombin time (PT/INR) clotting test CPT 85610 CHG PROTHROMBIN TIME	$89.00	$89.00	$2.53–$84.55	120% above	—
Prothrombin time (PT/INR) clotting test CPT 85610 CHG PROTHROMBIN TIME (POC)	$112.00	$112.00	$2.53–$106.40	177% above	—
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 CHG LC PROTHROMBIN TIME	$16.00	$16.00	—	—	—
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 CHG PROTHROMBIN TIME	$89.00	$89.00	—	—	—
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 CHG PROTHROMBIN TIME (POC)	$112.00	$112.00	—	—	—
Rapid flu test (influenza antigen) CPT 87804 CHG INFLUENZA RAPID A & B	$62.00	$62.00	$9.60–$58.90	23% above	—
Rapid flu test (influenza antigen) inpatient CPT 87804 CHG INFLUENZA RAPID A & B	$62.00	$62.00	—	—	—
Renin blood test CPT 84244 CHG RENIN	$202.00	$202.00	$11.96–$191.90	278% above	—
Renin blood test inpatient CPT 84244 CHG RENIN	$202.00	$202.00	—	—	—
Rh blood typing CPT 86901 CHG RH (D) BLOOD TYPING	$82.00	$82.00	$1.79–$95.40	74% above	—
Rh blood typing inpatient CPT 86901 CHG RH (D) BLOOD TYPING	$82.00	$82.00	—	—	—
Rheumatoid factor (RF) test CPT 86431 CHG RHEUMATOID FACTOR QUANTITATIVE	$112.00	$112.00	$3.40–$106.40	163% above	—
Rheumatoid factor (RF) test inpatient CPT 86431 CHG RHEUMATOID FACTOR QUANTITATIVE	$112.00	$112.00	—	—	—
Rubella antibody test (immunity check) CPT 86762 CHG RUBELLA ANTIBODY	$161.00	$161.00	$8.63–$152.95	255% above	—
Rubella antibody test (immunity check) inpatient CPT 86762 CHG RUBELLA ANTIBODY	$161.00	$161.00	—	—	—
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 CHG SEDIMENTATION RATE AUTOMATED	$105.00	$105.00	$1.62–$99.75	39% above	—
Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 CHG SEDIMENTATION RATE AUTOMATED	$105.00	$105.00	—	—	—
Semen analysis: volume, sperm count, motility and morphology CPT 89320 CHG SEMEN ANALYSIS COMPLETE	$253.00	$253.00	$7.39–$240.35	81% above	—
Semen analysis: volume, sperm count, motility and morphology inpatient CPT 89320 CHG SEMEN ANALYSIS COMPLETE	$253.00	$253.00	—	—	—
Sodium blood test CPT 84295 CHG SODIUM, BLOOD	$77.00	$77.00	$2.62–$73.15	75% above	—
Sodium blood test one side CPT 84295 CHG RT SODIUM PLASMA/WB	$49.00	$49.00	$2.62–$46.55	11% above	—
Sodium blood test inpatient CPT 84295 CHG SODIUM, BLOOD	$77.00	$77.00	—	—	—
Sodium blood test inpatient one side CPT 84295 CHG RT SODIUM PLASMA/WB	$49.00	$49.00	—	—	—
Stool ova and parasites exam CPT 87177 CHG OVA AND PARASITES	$148.00	$148.00	$5.34–$140.60	353% above	—
Stool ova and parasites exam inpatient CPT 87177 CHG OVA AND PARASITES	$148.00	$148.00	—	—	—
Stool test for hidden blood (guaiac FOBT) CPT 82270 CHG OCCULT BLOOD 3 DET ASYMPTOM	$84.00	$84.00	$1.88–$79.80	409% above	—
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 CHG OCCULT BLOOD 3 DET ASYMPTOM	$84.00	$84.00	—	—	—
Stool test for hidden blood by immunoassay (FIT) CPT 82274 CHG FECAL OCCULT BLOOD (IA) QUALTV	$83.00	$83.00	$8.66–$78.85	42% above	—
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 CHG FECAL OCCULT BLOOD (IA) QUALTV	$83.00	$83.00	—	—	—
Syphilis antibody test (Treponema pallidum) CPT 86780 CHG TREPONEMA PALLIDUM AB	$101.00	$101.00	$7.94–$95.95	76% above	—
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 CHG TREPONEMA PALLIDUM AB	$101.00	$101.00	—	—	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 CHG RPR NON-TREPONEMAL AB QUAL	$97.00	$97.00	$2.56–$92.15	65% above	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 CHG RPR NON-TREPONEMAL AB QUAL	$97.00	$97.00	—	—	—
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 CHG TB CELL MEDIATED AG RESPONSE	$335.00	$335.00	$26.00–$318.25	185% above	—
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 CHG TB CELL MEDIATED AG RESPONSE	$335.00	$335.00	—	—	—
Testosterone blood test, total (not free testosterone) CPT 84403 CHG TESTOSTERONE TOTAL	$179.00	$179.00	$14.91–$170.05	102% above	—
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 CHG TESTOSTERONE TOTAL	$179.00	$179.00	—	—	—
Thyroid peroxidase (TPO) antibody test CPT 86376 CHG THYROID MICROSOMAL AB	$94.00	$94.00	$8.73–$89.30	132% above	—
Thyroid peroxidase (TPO) antibody test CPT 86376 CHG LIVER KIDNEY MICROSOMAL AB EACH	$183.00	$183.00	$8.73–$173.85	352% above	—
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 CHG THYROID MICROSOMAL AB	$94.00	$94.00	—	—	—
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 CHG LIVER KIDNEY MICROSOMAL AB EACH	$183.00	$183.00	—	—	—
Thyroid-stimulating hormone (TSH) blood test CPT 84443 CHG TSH	$138.00	$138.00	$10.08–$131.10	85% above	—
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 CHG TSH	$138.00	$138.00	—	—	—
Total IgE blood test CPT 82785 CHG IGE	$174.00	$174.00	$8.95–$165.30	192% above	—
Total IgE blood test inpatient CPT 82785 CHG IGE	$174.00	$174.00	—	—	—
Total cholesterol blood test CPT 82465 CHG CHOLESTEROL TOTAL	$104.00	$104.00	$2.36–$98.80	270% above	—
Total cholesterol blood test CPT 82465 CHG POC CHOLESTEROL	$112.00	$112.00	$2.36–$106.40	298% above	—
Total cholesterol blood test inpatient CPT 82465 CHG CHOLESTEROL TOTAL	$104.00	$104.00	—	—	—
Total cholesterol blood test inpatient CPT 82465 CHG POC CHOLESTEROL	$112.00	$112.00	—	—	—
Total thyroxine (T4) blood test CPT 84436 CHG T4 THYROXINE TOTAL	$116.00	$116.00	$3.33–$110.20	58% above	—
Total thyroxine (T4) blood test inpatient CPT 84436 CHG T4 THYROXINE TOTAL	$116.00	$116.00	—	—	—
Total triiodothyronine (T3) blood test CPT 84480 CHG T3 TOTAL	$248.00	$248.00	$7.71–$235.60	288% above	—
Total triiodothyronine (T3) blood test inpatient CPT 84480 CHG T3 TOTAL	$248.00	$248.00	—	—	—
Transferrin blood test CPT 84466 CHG TRANSFERRIN	$169.00	$169.00	$6.94–$160.55	142% above	—
Transferrin blood test inpatient CPT 84466 CHG TRANSFERRIN	$169.00	$169.00	—	—	—
Triglycerides blood test CPT 84478 CHG TRIGLYCERIDES	$134.00	$134.00	$3.12–$127.30	176% above	—
Triglycerides blood test inpatient CPT 84478 CHG TRIGLYCERIDES	$134.00	$134.00	—	—	—
Troponin test, quantitative CPT 84484 CHG TROPONIN QUANTITATIVE	$249.00	$249.00	$5.25–$236.55	139% above	—
Troponin test, quantitative inpatient CPT 84484 CHG TROPONIN QUANTITATIVE	$249.00	$249.00	—	—	—
Uric acid blood test CPT 84550 CHG URIC ACID BLOOD	$80.00	$80.00	$2.46–$76.00	35% above	—
Uric acid blood test inpatient CPT 84550 CHG URIC ACID BLOOD	$80.00	$80.00	—	—	—
Urinalysis with microscope exam, automated CPT 81001 CHG URINALYSIS AUTOMATED W MICRO	$109.00	$109.00	$1.90–$103.55	137% above	—
Urinalysis with microscope exam, automated inpatient CPT 81001 CHG URINALYSIS AUTOMATED W MICRO	$109.00	$109.00	—	—	—
Urinalysis without microscope exam, automated CPT 81003 CHG URINE KETONES AUTOMATED	$75.00	$75.00	$1.27–$71.25	90% above	—
Urinalysis without microscope exam, automated inpatient CPT 81003 CHG URINE KETONES AUTOMATED	$75.00	$75.00	—	—	—
Urine culture for bacteria, with colony count CPT 87086 CHG CULTURE URINE BACTERIAL QUANT CNT	$175.00	$175.00	$4.84–$166.25	373% above	—
Urine culture for bacteria, with colony count inpatient CPT 87086 CHG CULTURE URINE BACTERIAL QUANT CNT	$175.00	$175.00	—	—	—
Urine microalbumin (albumin) test CPT 82043 CHG MICROALBUMIN URINE	$107.00	$107.00	$3.34–$101.65	130% above	—
Urine microalbumin (albumin) test inpatient CPT 82043 CHG MICROALBUMIN URINE	$107.00	$107.00	—	—	—
Urine pregnancy test, read by color change CPT 81025 CHG UHCG,URINE SCREEN	$174.00	$174.00	$3.79–$165.30	132% above	—
Urine pregnancy test, read by color change inpatient CPT 81025 CHG UHCG,URINE SCREEN	$174.00	$174.00	—	—	—
Vitamin B12 (cobalamin) blood test CPT 82607 CHG VITAMIN B12	$187.00	$187.00	$8.71–$177.65	169% above	—
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 CHG VITAMIN B12	$187.00	$187.00	—	—	—
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 CHG VITAMIN D 25 HYDROXY	$281.00	$281.00	$17.76–$266.95	132% above	—
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 CHG VITAMIN D 25 HYDROXY	$281.00	$281.00	—	—	—
Vitamin D, 1,25-dihydroxy blood test CPT 82652 CHG VITAMIN D 1 25 DIHYDROXY	$140.00	$140.00	$22.24–$133.00	at median	—
Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 CHG VITAMIN D 1 25 DIHYDROXY	$140.00	$140.00	—	—	—
Zinc blood test CPT 84630 CHG ZINC, SERUM OR PLASMA	$43.00	$43.00	$6.20–$40.85	17% above	—
Zinc blood test inpatient CPT 84630 CHG ZINC, SERUM OR PLASMA	$43.00	$43.00	—	—	—
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 CHG HCG QUANT BETA	$308.00	$308.00	$5.06–$292.60	101% above	—
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 CHG HCG QUANT BETA	$308.00	$308.00	—	—	—

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs North Carolina	Off list
Adenoid removal (adenoidectomy), child under 12 CPT 42830 HCHG ASC ADENOIDECTOMY UNDER 12	$5,527.00	$5,527.00	$831.81–$9,971.00	16% above	—
Adenoid removal (adenoidectomy), child under 12 inpatient CPT 42830 HCHG ASC ADENOIDECTOMY UNDER 12	$5,527.00	$5,527.00	—	—	—
Balloon dilation of the maxillary sinus opening, one side CPT 31295 HCHG ASC NASAL/SINUS ENDO DIL MAXILLARY	$12,244.00	$12,244.00	$1,270.23–$19,395.76	at median	—
Balloon dilation of the maxillary sinus opening, one side inpatient CPT 31295 HCHG ASC NASAL/SINUS ENDO DIL MAXILLARY	$12,244.00	$12,244.00	—	—	—
Botox injections for chronic migraine both sides CPT 64615 HCHG CHEMODNRV FAC/TRIG/CERV BILAT	$1,443.00	$1,443.00	$217.17–$1,370.85	—	—
Botox injections for chronic migraine inpatient both sides CPT 64615 HCHG CHEMODNRV FAC/TRIG/CERV BILAT	$1,443.00	$1,443.00	—	—	—
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 HCHG BX BREAST STEREOTACTIC PERCUTANEOUS	$6,395.00	$6,395.00	$962.45–$6,824.00	119% above	—
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 HCHG BX BREAST STEREOTACTIC PERCUTANEOUS	$6,395.00	$6,395.00	—	—	—
Broken foot (metatarsal) treatment without surgery or setting CPT 28470 HCHG ER CLSD TX METATARSAL FX WO MAN EACH	$1,108.00	$1,108.00	$166.75–$1,052.60	209% above	—
Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 HCHG ER CLSD TX METATARSAL FX WO MAN EACH	$1,108.00	$1,108.00	—	—	—
Bunion correction with a bone cut near the head of the first metatarsal CPT 28296 HCHG ASC BUNIONECTMY W OSTEOTMY	$5,688.00	$5,688.00	$856.04–$12,515.00	at median	—
Bunion correction with a bone cut near the head of the first metatarsal inpatient CPT 28296 HCHG ASC BUNIONECTMY W OSTEOTMY	$5,688.00	$5,688.00	—	—	—
Bunion correction with removal of part of the big toe joint CPT 28292 HCHG ASC BUNIONECTMY W RESCTN	$5,295.00	$5,295.00	$796.90–$12,515.00	at median	—
Bunion correction with removal of part of the big toe joint inpatient CPT 28292 HCHG ASC BUNIONECTMY W RESCTN	$5,295.00	$5,295.00	—	—	—
Cardiac catheterization with coronary angiogram one side CPT 93458 HCHG CORON ANG/LT HEART CATH	$26,990.00	$26,990.00	$3,312.15–$25,640.50	142% above	—
Cardiac catheterization with coronary angiogram inpatient one side CPT 93458 HCHG CORON ANG/LT HEART CATH	$26,990.00	$26,990.00	—	—	—
Cardioversion, elective (restoring heart rhythm) CPT 92960 HCHG ELECTIVE CARDIOVERSION	$2,679.00	$2,679.00	$403.19–$2,545.05	166% above	—
Cardioversion, elective (restoring heart rhythm) CPT 92960 HCHG CARDIOVERSION, ELECTIVE	$2,703.00	$2,703.00	$406.80–$2,567.85	169% above	—
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 HCHG ELECTIVE CARDIOVERSION	$2,679.00	$2,679.00	—	—	—
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 HCHG CARDIOVERSION, ELECTIVE	$2,703.00	$2,703.00	—	—	—
Carpal tunnel release, open surgery CPT 64721 HCHG ASC CARPEL TUNNEL RELEASE	$4,101.00	$4,101.00	$617.20–$9,971.00	12% above	—
Carpal tunnel release, open surgery inpatient CPT 64721 HCHG ASC CARPEL TUNNEL RELEASE	$4,101.00	$4,101.00	—	—	—
Cataract surgery with lens implant CPT 66984 HCHG ASC REMV EXTRA CATAR W/IOL INSERT	$8,033.00	$8,033.00	$1,208.97–$9,971.00	138% above	—
Cataract surgery with lens implant inpatient CPT 66984 HCHG ASC REMV EXTRA CATAR W/IOL INSERT	$8,033.00	$8,033.00	—	—	—
Catheter ablation for atrial fibrillation CPT 93656 HCHG EP W PULMONARY VEIN ISO	$94,021.00	$94,021.00	$14,150.16–$89,319.95	96% above	—
Catheter ablation for atrial fibrillation inpatient CPT 93656 HCHG EP W PULMONARY VEIN ISO	$94,021.00	$94,021.00	—	—	—
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 HCHG CIRCUMCISION NEWBORN	$10,404.00	$10,404.00	$779.96–$9,883.80	2129% above	—
Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 HCHG CIRCUMCISION NEWBORN	$10,404.00	$10,404.00	—	—	—
Circumcision, surgical, older than a newborn CPT 54160 HCHG CIRCUMCISION OTH THAN CLAMP	$10,100.00	$10,100.00	$712.40–$9,595.00	777% above	—
Circumcision, surgical, older than a newborn inpatient CPT 54160 HCHG CIRCUMCISION OTH THAN CLAMP	$10,100.00	$10,100.00	—	—	—
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 HCHG CL TX DIST RAD FX WO MAN	$807.00	$807.00	$121.45–$779.96	96% above	—
Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 HCHG CL TX DIST RAD FX WO MAN	$807.00	$807.00	—	—	—
Colonoscopy with endoscopic ultrasound CPT 45391 HCHG COLON W ENDOSCOPIC U/S	$5,708.00	$5,708.00	$779.96–$6,824.00	259% above	—
Colonoscopy with endoscopic ultrasound inpatient CPT 45391 HCHG COLON W ENDOSCOPIC U/S	$5,708.00	$5,708.00	—	—	—
Colonoscopy with polyp removal CPT 45385 HCHG ASC COLON W/REM TUM/POLYP SNARE	$4,627.00	$4,627.00	$696.36–$4,395.65	172% above	—
Colonoscopy with polyp removal CPT 45385 HCHG COLONSCPY W POLYP REMVL SNARE	$5,422.00	$5,422.00	$816.01–$5,150.90	219% above	—
Colonoscopy with polyp removal inpatient CPT 45385 HCHG ASC COLON W/REM TUM/POLYP SNARE	$4,627.00	$4,627.00	—	—	—
Colonoscopy with polyp removal inpatient CPT 45385 HCHG COLONSCPY W POLYP REMVL SNARE	$5,422.00	$5,422.00	—	—	—
Colonoscopy with tissue sample CPT 45380 HCHG ASC COLON W/BX SGL/MULTI COLD	$3,351.00	$3,351.00	$504.33–$3,288.69	109% above	—
Colonoscopy with tissue sample CPT 45380 HCHG COLONOSCOPY W BIOPSY (COLD)	$4,880.00	$4,880.00	$734.44–$4,636.00	204% above	—
Colonoscopy with tissue sample inpatient CPT 45380 HCHG ASC COLON W/BX SGL/MULTI COLD	$3,351.00	$3,351.00	—	—	—
Colonoscopy with tissue sample inpatient CPT 45380 HCHG COLONOSCOPY W BIOPSY (COLD)	$4,880.00	$4,880.00	—	—	—
Colonoscopy, diagnostic CPT 45378 HCHG ASC COLONOSCOPY DX/SCREENING	$3,437.00	$3,437.00	$517.27–$3,265.15	140% above	—
Colonoscopy, diagnostic CPT 45378 HCHG COLONOSCOPY FLEX DIAG/SCREEN	$4,027.00	$4,027.00	$606.06–$3,825.65	181% above	—
Colonoscopy, diagnostic inpatient CPT 45378 HCHG ASC COLONOSCOPY DX/SCREENING	$3,437.00	$3,437.00	—	—	—
Colonoscopy, diagnostic inpatient CPT 45378 HCHG COLONOSCOPY FLEX DIAG/SCREEN	$4,027.00	$4,027.00	—	—	—
Complex cataract surgery with lens implant CPT 66982 HCHG ASC CATARACT SURGERY COMPLEX	$8,063.00	$8,063.00	$1,213.48–$9,971.00	1% above	—
Complex cataract surgery with lens implant inpatient CPT 66982 HCHG ASC CATARACT SURGERY COMPLEX	$8,063.00	$8,063.00	—	—	—
Coronary stent placement, one artery CPT 92928 HCHG PRQ CARD DE STNT+ANGIO 1 LES 1+C SEGMENTS	$51,545.00	$51,545.00	$7,757.52–$48,967.75	331% above	—
Coronary stent placement, one artery CPT 92928 HCHG PRQ CARD BM STNT+ANGIO 1 LES 1+C SEGMENTS	$51,545.00	$51,545.00	$7,757.52–$48,967.75	331% above	—
Coronary stent placement, one artery inpatient CPT 92928 HCHG PRQ CARD BM STNT+ANGIO 1 LES 1+C SEGMENTS	$51,545.00	$51,545.00	—	—	—
Coronary stent placement, one artery inpatient CPT 92928 HCHG PRQ CARD DE STNT+ANGIO 1 LES 1+C SEGMENTS	$51,545.00	$51,545.00	—	—	—
Ear tube placement (tympanostomy) under general anesthesia, one ear one side CPT 69436 HCHG ASC TYMPANOSTOMY- UNILATERAL	$4,551.00	$4,551.00	$684.93–$6,824.00	104% above	—
Ear tube placement (tympanostomy) under general anesthesia, one ear inpatient one side CPT 69436 HCHG ASC TYMPANOSTOMY- UNILATERAL	$4,551.00	$4,551.00	—	—	—
Earwax removal by irrigation (rinsing), one ear both sides CPT 69209 HCHG REMV IMPACTD CERUMN BILAT IRRIGN	$720.00	$720.00	$60.27–$684.00	—	—
Earwax removal by irrigation (rinsing), one ear CPT 69209 HCHG REMV IMPACTD CERUMN UNIL IRRIGN	$360.00	$360.00	$54.18–$342.00	239% above	—
Earwax removal by irrigation (rinsing), one ear inpatient both sides CPT 69209 HCHG REMV IMPACTD CERUMN BILAT IRRIGN	$720.00	$720.00	—	—	—
Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 HCHG REMV IMPACTD CERUMN UNIL IRRIGN	$360.00	$360.00	—	—	—
Earwax removal with instruments, one ear both sides CPT 69210 HCHG RMV EAR WAX W INSTRMNT BILAT	$779.00	$779.00	$60.27–$740.05	—	—
Earwax removal with instruments, one ear both sides CPT 69210 HCHG ASC RMV EAR WAX W INSTRMNT BILAT	$3,755.00	$3,755.00	$60.27–$3,567.25	—	—
Earwax removal with instruments, one ear CPT 69210 HCHG ASC RMVL EAR WAX W INSTRMNT UNILA	$1,783.00	$1,783.00	$60.27–$2,325.00	1122% above	—
Earwax removal with instruments, one ear one side CPT 69210 HCHG RMV EAR WAX W INSTRMNT UNILAT	$426.00	$426.00	$60.27–$404.70	192% above	—
Earwax removal with instruments, one ear inpatient both sides CPT 69210 HCHG RMV EAR WAX W INSTRMNT BILAT	$779.00	$779.00	—	—	—
Earwax removal with instruments, one ear inpatient both sides CPT 69210 HCHG ASC RMV EAR WAX W INSTRMNT BILAT	$3,755.00	$3,755.00	—	—	—
Earwax removal with instruments, one ear inpatient CPT 69210 HCHG ASC RMVL EAR WAX W INSTRMNT UNILA	$1,783.00	$1,783.00	—	—	—
Earwax removal with instruments, one ear inpatient one side CPT 69210 HCHG RMV EAR WAX W INSTRMNT UNILAT	$426.00	$426.00	—	—	—
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 HCHG ER ENDOMETRIAL BIOPSY	$1,530.00	$1,530.00	$206.55–$1,453.50	374% above	—
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 HCHG ENDOMETRIAL BX WO CERV DILATN	$1,530.00	$1,530.00	$206.55–$2,325.00	374% above	—
Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 HCHG ENDOMETRIAL BX WO CERV DILATN	$1,530.00	$1,530.00	—	—	—
Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 HCHG ER ENDOMETRIAL BIOPSY	$1,530.00	$1,530.00	—	—	—
Endoscopic sinus surgery: full ethmoid sinus opening CPT 31255 HCHG ASC NASAL ENDO/ETHMOID TOTAL	$6,076.00	$6,076.00	$914.44–$19,395.76	at median	—
Endoscopic sinus surgery: full ethmoid sinus opening inpatient CPT 31255 HCHG ASC NASAL ENDO/ETHMOID TOTAL	$6,076.00	$6,076.00	—	—	—
Endoscopic sinus surgery: opening the frontal sinus CPT 31276 HCHG ASC NASAL ENDO W/FRNTL SINUS EXPLO	$4,857.00	$4,857.00	$730.98–$19,395.76	at median	—
Endoscopic sinus surgery: opening the frontal sinus inpatient CPT 31276 HCHG ASC NASAL ENDO W/FRNTL SINUS EXPLO	$4,857.00	$4,857.00	—	—	—
Endoscopic sinus surgery: opening the maxillary (cheek) sinus CPT 31256 HCHG ASC NASAL ENDO. SURG W/MAXILLARY	$4,857.00	$4,857.00	$730.98–$10,246.48	17% above	—
Endoscopic sinus surgery: opening the maxillary (cheek) sinus inpatient CPT 31256 HCHG ASC NASAL ENDO. SURG W/MAXILLARY	$4,857.00	$4,857.00	—	—	—
Endoscopic sinus surgery: opening the maxillary sinus with removal of tissue CPT 31267 HCHG ASC ENDO. WITH REMVL OF MUCAS ME	$4,857.00	$4,857.00	$730.98–$19,395.76	24% above	—
Endoscopic sinus surgery: opening the maxillary sinus with removal of tissue inpatient CPT 31267 HCHG ASC ENDO. WITH REMVL OF MUCAS ME	$4,857.00	$4,857.00	—	—	—
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 HCHG INJ INTRLAMNR EPIDURAL C/T + GUID	$3,354.00	$3,354.00	$504.78–$3,186.30	149% above	—
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 HCHG CERV/THOR EPID INJ + IMAG GUID	$3,449.00	$3,449.00	$519.07–$4,278.00	156% above	—
Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 HCHG INJ INTRLAMNR EPIDURAL C/T + GUID	$3,354.00	$3,354.00	—	—	—
Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 HCHG CERV/THOR EPID INJ + IMAG GUID	$3,449.00	$3,449.00	—	—	—
Eye injection into the vitreous (intravitreal injection) CPT 67028 HCHG ASC INJECT INTRAVITREAL MEDICATION	$607.00	$607.00	$91.35–$2,325.00	19% above	—
Eye injection into the vitreous (intravitreal injection) inpatient CPT 67028 HCHG ASC INJECT INTRAVITREAL MEDICATION	$607.00	$607.00	—	—	—
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 HCHG INJ FACET JT L/S 1LEV UNI+GUID	$2,445.00	$2,445.00	$278.55–$2,430.76	89% above	—
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 HCHG INJ PARAVERT FACET JNT L/S 1ST LEV	$3,190.00	$3,190.00	$278.55–$4,278.00	146% above	—
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 HCHG INJ FACET JT L/S 1LEV BIL+GUID	$4,891.00	$4,891.00	$278.55–$4,646.45	278% above	—
Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 HCHG INJ FACET JT L/S 1LEV UNI+GUID	$2,445.00	$2,445.00	—	—	—
Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 HCHG INJ PARAVERT FACET JNT L/S 1ST LEV	$3,190.00	$3,190.00	—	—	—
Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 HCHG INJ FACET JT L/S 1LEV BIL+GUID	$4,891.00	$4,891.00	—	—	—
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 HCHG ASC SIGMOIDOSCOPY FLEX DX	$2,073.00	$2,073.00	$311.99–$4,278.00	70% above	—
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 HCHG FLEX SIGMOIDOSCOPY	$2,744.00	$2,744.00	$412.97–$4,278.00	125% above	—
Flexible sigmoidoscopy, diagnostic (lower colon only) inpatient CPT 45330 HCHG ASC SIGMOIDOSCOPY FLEX DX	$2,073.00	$2,073.00	—	—	—
Flexible sigmoidoscopy, diagnostic (lower colon only) inpatient CPT 45330 HCHG FLEX SIGMOIDOSCOPY	$2,744.00	$2,744.00	—	—	—
Gallbladder removal, laparoscopic CPT 47562 HCHG ASC LAP CHOLECYSTECTOMY	$13,055.00	$13,055.00	$779.96–$17,271.00	at median	—
Gallbladder removal, laparoscopic inpatient CPT 47562 HCHG ASC LAP CHOLECYSTECTOMY	$13,055.00	$13,055.00	—	—	—
Hammertoe correction surgery CPT 28285 HCHG ASC CORRECT HAMMERTOE	$4,951.00	$4,951.00	$745.13–$9,971.00	22% above	—
Hammertoe correction surgery inpatient CPT 28285 HCHG ASC CORRECT HAMMERTOE	$4,951.00	$4,951.00	—	—	—
Hemorrhoid banding (rubber band ligation) CPT 46221 HCHG HEMORRHOID BAND INTERNAL	$3,585.00	$3,585.00	$539.54–$4,278.00	388% above	—
Hemorrhoid banding (rubber band ligation) inpatient CPT 46221 HCHG HEMORRHOID BAND INTERNAL	$3,585.00	$3,585.00	—	—	—
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 HCHG CATH/INJ HYSTEROSALPINGOGRAPHY	$637.00	$637.00	$95.87–$2,325.00	188% above	—
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 HCHG CATH/INJ HYSTEROSALPINGOGRAPHY	$637.00	$637.00	—	—	—
Incision and drainage of a simple or single skin abscess CPT 10060 HCHG INC AND DRAIN - SIMPLE OR SING	$766.00	$766.00	$115.28–$779.96	108% above	—
Incision and drainage of a simple or single skin abscess CPT 10060 HCHG I/D ABSCESS SIMPLE	$766.00	$766.00	$115.28–$779.96	108% above	—
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 HCHG INC AND DRAIN - SIMPLE OR SING	$766.00	$766.00	—	—	—
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 HCHG I/D ABSCESS SIMPLE	$766.00	$766.00	—	—	—
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 HCHG ASC INJECT TENDON SHEATH/LIGAMENT	$281.00	$281.00	$42.29–$2,325.00	24% below	—
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 HCHG ER INJ SGL TENDON SHEATH/LIGAMENT	$720.00	$720.00	$108.36–$843.58	94% above	—
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 HCHG INJ SGL TENDON SHEATH/LIGAMENT	$720.00	$720.00	$108.36–$843.58	94% above	—
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 HCHG ASC INJECT TENDON SHEATH/LIGAMENT	$281.00	$281.00	—	—	—
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 HCHG ER INJ SGL TENDON SHEATH/LIGAMENT	$720.00	$720.00	—	—	—
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 HCHG INJ SGL TENDON SHEATH/LIGAMENT	$720.00	$720.00	—	—	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HCHG INJ/ASP OF MAJOR JOINT W/O US	$1,525.00	$1,525.00	$229.51–$1,448.75	264% above	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HCHG ARTHROCENT ASP MAJOR JT WO US	$1,525.00	$1,525.00	$229.51–$1,448.75	264% above	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 HCHG ARTHROCENT MAJOR JT RT WO US	$1,525.00	$1,525.00	$229.51–$2,325.00	264% above	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 HCHG ARTHROCENT MAJOR JT LT WO US	$1,525.00	$1,525.00	$229.51–$2,325.00	264% above	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 HCHG INJ/ASP OF MAJOR JOINT W/O US	$1,525.00	$1,525.00	—	—	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 HCHG ARTHROCENT ASP MAJOR JT WO US	$1,525.00	$1,525.00	—	—	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient one side CPT 20610 HCHG ARTHROCENT MAJOR JT RT WO US	$1,525.00	$1,525.00	—	—	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient one side CPT 20610 HCHG ARTHROCENT MAJOR JT LT WO US	$1,525.00	$1,525.00	—	—	—
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 HCHG ASC ARTHROCENTESIS INTERM JOINT	$805.00	$805.00	$121.15–$2,325.00	132% above	—
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 HCHG ARTHROCENT ASP INTERMED JT	$1,487.00	$1,487.00	$223.79–$1,412.65	329% above	—
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 HCHG INJ - INTERMEDIATE JOINT	$1,487.00	$1,487.00	$223.79–$1,412.65	329% above	—
Joint injection or drainage, medium joint (wrist, elbow, ankle) one side CPT 20605 HCHG ARTHROCENT MED JNT RT	$1,487.00	$1,487.00	$223.79–$2,325.00	329% above	—
Joint injection or drainage, medium joint (wrist, elbow, ankle) one side CPT 20605 HCHG ARTHROCENT MED JNT LT	$1,487.00	$1,487.00	$223.79–$2,325.00	329% above	—
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 HCHG ASC ARTHROCENTESIS INTERM JOINT	$805.00	$805.00	—	—	—
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 HCHG INJ - INTERMEDIATE JOINT	$1,487.00	$1,487.00	—	—	—
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 HCHG ARTHROCENT ASP INTERMED JT	$1,487.00	$1,487.00	—	—	—
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient one side CPT 20605 HCHG ARTHROCENT MED JNT LT	$1,487.00	$1,487.00	—	—	—
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient one side CPT 20605 HCHG ARTHROCENT MED JNT RT	$1,487.00	$1,487.00	—	—	—
Joint injection or drainage, small joint (fingers, toes) CPT 20600 HCHG ASC DRAIN/INJECTIONJOINT/BURSA	$178.00	$178.00	$26.79–$2,325.00	42% below	—
Joint injection or drainage, small joint (fingers, toes) CPT 20600 HCHG INJ OF MINOR JOINT	$691.00	$691.00	$104.00–$843.58	126% above	—
Joint injection or drainage, small joint (fingers, toes) CPT 20600 HCHG ASP/INJ SMALL JNT/BURSA WO US	$1,368.00	$1,368.00	$205.88–$1,299.60	348% above	—
Joint injection or drainage, small joint (fingers, toes) one side CPT 20600 HCHG ARTHROCENT SMALL JT LT	$1,368.00	$1,368.00	$205.88–$2,325.00	348% above	—
Joint injection or drainage, small joint (fingers, toes) one side CPT 20600 HCHG ARTHROCENT SMALL JT RT	$1,368.00	$1,368.00	$205.88–$2,325.00	348% above	—
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 HCHG ASC DRAIN/INJECTIONJOINT/BURSA	$178.00	$178.00	—	—	—
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 HCHG INJ OF MINOR JOINT	$691.00	$691.00	—	—	—
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 HCHG ASP/INJ SMALL JNT/BURSA WO US	$1,368.00	$1,368.00	—	—	—
Joint injection or drainage, small joint (fingers, toes) inpatient one side CPT 20600 HCHG ARTHROCENT SMALL JT RT	$1,368.00	$1,368.00	—	—	—
Joint injection or drainage, small joint (fingers, toes) inpatient one side CPT 20600 HCHG ARTHROCENT SMALL JT LT	$1,368.00	$1,368.00	—	—	—
Laparoscopic inguinal (groin) hernia repair, first repair on that side CPT 49650 HCHG ASC LAP INGUINAL HERNIA REPAIR	$13,055.00	$13,055.00	$1,270.23–$17,271.00	at median	—
Laparoscopic inguinal (groin) hernia repair, first repair on that side inpatient CPT 49650 HCHG ASC LAP INGUINAL HERNIA REPAIR	$13,055.00	$13,055.00	—	—	—
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 HCHG ASC LYR CLS SCLP/AXIL/TRK TO 2.5CM	$805.00	$805.00	$121.15–$2,325.00	94% above	—
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 HCHG INT REP SC/AX/TR/EXT 2.5/<	$940.00	$940.00	$141.47–$1,117.21	127% above	—
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 HCHG ASC LYR CLS SCLP/AXIL/TRK TO 2.5CM	$805.00	$805.00	—	—	—
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 HCHG INT REP SC/AX/TR/EXT 2.5/<	$940.00	$940.00	—	—	—
Left heart catheterization, diagnostic one side CPT 93452 HCHG LT HEART CATH	$23,536.00	$23,536.00	$3,312.15–$22,359.20	171% above	—
Left heart catheterization, diagnostic inpatient one side CPT 93452 HCHG LT HEART CATH	$23,536.00	$23,536.00	—	—	—
Lower-back epidural injection, with imaging guidance CPT 62323 HCHG INJ INTRLAMNR EPIDURAL L/S + GUID	$3,354.00	$3,354.00	$504.78–$3,186.30	177% above	—
Lower-back epidural injection, with imaging guidance CPT 62323 HCHG L/S EPIDURAL INJ + IMAG GUID	$3,449.00	$3,449.00	$519.07–$4,278.00	185% above	—
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 HCHG INJ INTRLAMNR EPIDURAL L/S + GUID	$3,354.00	$3,354.00	—	—	—
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 HCHG L/S EPIDURAL INJ + IMAG GUID	$3,449.00	$3,449.00	—	—	—
Lower-back epidural injection, without imaging guidance CPT 62322 HCHG INJ INTRLAMNR EPIDURAL L/S WO GUID	$3,113.00	$3,113.00	$468.51–$2,957.35	154% above	—
Lower-back epidural injection, without imaging guidance CPT 62322 HCHG L/S EPIDURAL INJ WO IMAG GUID	$3,113.00	$3,113.00	$468.51–$4,278.00	154% above	—
Lower-back epidural injection, without imaging guidance inpatient CPT 62322 HCHG L/S EPIDURAL INJ WO IMAG GUID	$3,113.00	$3,113.00	—	—	—
Lower-back epidural injection, without imaging guidance inpatient CPT 62322 HCHG INJ INTRLAMNR EPIDURAL L/S WO GUID	$3,113.00	$3,113.00	—	—	—
Lower-back nerve root steroid injection, with imaging guidance both sides CPT 64483 HCHG INJ ANES/STER BILAT EPID L/S 1LEV+GUIDE	$3,845.00	$3,845.00	$278.55–$4,278.00	—	—
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 HCHG INJ ANES/STER UNIL EPID L/S 1LEV WGUID	$1,533.00	$1,533.00	$230.72–$4,278.00	at median	—
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 HCHG INJ ANES/STEROID EPID L/S 1LEV UNIL+GUID	$1,543.00	$1,543.00	$232.22–$2,430.76	1% above	—
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 HCHG INJ ANES/STEROID EPID L/S 1LEV BIL+GUID	$2,804.00	$2,804.00	$278.55–$2,663.80	83% above	—
Lower-back nerve root steroid injection, with imaging guidance inpatient both sides CPT 64483 HCHG INJ ANES/STER BILAT EPID L/S 1LEV+GUIDE	$3,845.00	$3,845.00	—	—	—
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 HCHG INJ ANES/STER UNIL EPID L/S 1LEV WGUID	$1,533.00	$1,533.00	—	—	—
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 HCHG INJ ANES/STEROID EPID L/S 1LEV UNIL+GUID	$1,543.00	$1,543.00	—	—	—
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 HCHG INJ ANES/STEROID EPID L/S 1LEV BIL+GUID	$2,804.00	$2,804.00	—	—	—
Mastectomy (total removal of the breast) CPT 19303 HCHG ASC MASTECTOMY SIMPLE COMPLETE	$13,237.00	$13,237.00	$1,270.23–$18,248.93	at median	—
Mastectomy (total removal of the breast) inpatient CPT 19303 HCHG ASC MASTECTOMY SIMPLE COMPLETE	$13,237.00	$13,237.00	—	—	—
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 HCHG EXC BENIGN LESION EXT/TR 0.5CM/<	$2,156.00	$2,156.00	$324.48–$2,048.20	357% above	—
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 HCHG EXC BENIGN LESION EXT/TR 0.5CM/<	$2,156.00	$2,156.00	—	—	—
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 HCHG ASC EXC BN LS FACEEARLIDNOSE	$1,067.00	$1,067.00	$160.58–$4,278.00	66% above	—
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 HCHG EXC BENIGN LES F/EEN/LIP 0.5CM/<	$1,552.00	$1,552.00	$233.58–$1,946.13	142% above	—
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 HCHG ASC EXC BN LS FACEEARLIDNOSE	$1,067.00	$1,067.00	—	—	—
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 HCHG EXC BENIGN LES F/EEN/LIP 0.5CM/<	$1,552.00	$1,552.00	—	—	—
Nail removal (partial or complete), one nail CPT 11730 HCHG ASC AVUL NAIL PLT PART/COMPLETE	$328.00	$328.00	$49.36–$2,325.00	54% above	—
Nail removal (partial or complete), one nail CPT 11730 HCHG AVULSION NAIL PLATE SINGLE	$397.00	$397.00	$59.75–$779.96	86% above	—
Nail removal (partial or complete), one nail CPT 11730 HCHG AVUL NAIL PLATE PAR OR COMP	$630.00	$630.00	$94.82–$779.96	196% above	—
Nail removal (partial or complete), one nail inpatient CPT 11730 HCHG ASC AVUL NAIL PLT PART/COMPLETE	$328.00	$328.00	—	—	—
Nail removal (partial or complete), one nail inpatient CPT 11730 HCHG AVULSION NAIL PLATE SINGLE	$397.00	$397.00	—	—	—
Nail removal (partial or complete), one nail inpatient CPT 11730 HCHG AVUL NAIL PLATE PAR OR COMP	$630.00	$630.00	—	—	—
Occipital nerve block (injection for headaches) CPT 64405 HCHG ER INJ ANES/STEROID GREATER OCC NRV UNIL	$1,607.00	$1,607.00	$241.85–$1,526.65	170% above	—
Occipital nerve block (injection for headaches) CPT 64405 HCHG INJ ANES/STEROID GTR OCCIPITAL NERVE	$1,607.00	$1,607.00	$241.85–$2,325.00	170% above	—
Occipital nerve block (injection for headaches) CPT 64405 HCHG INJ ANES/STEROID GREATER OCCIPITAL NRV	$1,607.00	$1,607.00	$241.85–$1,526.65	170% above	—
Occipital nerve block (injection for headaches) CPT 64405 HCHG ER INJ ANES/STEROID GREATER OCC NRV BIL	$3,214.00	$3,214.00	$278.55–$3,053.30	441% above	—
Occipital nerve block (injection for headaches) inpatient CPT 64405 HCHG ER INJ ANES/STEROID GREATER OCC NRV UNIL	$1,607.00	$1,607.00	—	—	—
Occipital nerve block (injection for headaches) inpatient CPT 64405 HCHG INJ ANES/STEROID GTR OCCIPITAL NERVE	$1,607.00	$1,607.00	—	—	—
Occipital nerve block (injection for headaches) inpatient CPT 64405 HCHG INJ ANES/STEROID GREATER OCCIPITAL NRV	$1,607.00	$1,607.00	—	—	—
Occipital nerve block (injection for headaches) inpatient CPT 64405 HCHG ER INJ ANES/STEROID GREATER OCC NRV BIL	$3,214.00	$3,214.00	—	—	—
Pacemaker implant (dual chamber) CPT 33208 HCHG PLC/REPL PERM PM LEAD(S) A/V	$47,960.00	$47,960.00	$1,504.22–$45,562.00	508% above	—
Pacemaker implant (dual chamber) inpatient CPT 33208 HCHG PLC/REPL PERM PM LEAD(S) A/V	$47,960.00	$47,960.00	—	—	—
Paracentesis with imaging guidance CPT 49083 HCHG ABD PARACENTESIS W IMAGING	$1,914.00	$1,914.00	$288.06–$2,492.63	49% above	—
Paracentesis with imaging guidance CPT 49083 HCHG ABD PARACENTESIS IMAG GUIDED	$3,768.00	$3,768.00	$567.08–$6,824.00	193% above	—
Paracentesis with imaging guidance inpatient CPT 49083 HCHG ABD PARACENTESIS W IMAGING	$1,914.00	$1,914.00	—	—	—
Paracentesis with imaging guidance inpatient CPT 49083 HCHG ABD PARACENTESIS IMAG GUIDED	$3,768.00	$3,768.00	—	—	—
Permanent removal of a nail and nail root (partial or complete) CPT 11750 HCHG ASC EXC NAIL/NAIL MATRIX PART/COMP	$559.00	$559.00	$84.13–$2,325.00	3% below	—
Permanent removal of a nail and nail root (partial or complete) CPT 11750 HCHG EXC NAIL/MATRIX PERM REM	$1,490.00	$1,490.00	$224.25–$1,415.50	158% above	—
Permanent removal of a nail and nail root (partial or complete) CPT 11750 HCHG EXC NAIL & NAIL MATRIX PART O	$1,490.00	$1,490.00	$224.25–$1,415.50	158% above	—
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 HCHG ASC EXC NAIL/NAIL MATRIX PART/COMP	$559.00	$559.00	—	—	—
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 HCHG EXC NAIL & NAIL MATRIX PART O	$1,490.00	$1,490.00	—	—	—
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 HCHG EXC NAIL/MATRIX PERM REM	$1,490.00	$1,490.00	—	—	—
Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 HCHG NRV LYSIS SGL FACET JT L/S W IMAGE	$7,896.00	$7,896.00	$779.96–$9,971.00	163% above	—
Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 HCHG LYSIS FT JT L/S SGL+IMG UNIL	$8,218.00	$8,218.00	$779.96–$7,807.10	174% above	—
Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 HCHG LYSIS FT JT L/S SGL+IMG BIL	$14,946.00	$14,946.00	$779.96–$14,198.70	398% above	—
Radiofrequency ablation of facet joint nerves, lower back, one level inpatient CPT 64635 HCHG NRV LYSIS SGL FACET JT L/S W IMAGE	$7,896.00	$7,896.00	—	—	—
Radiofrequency ablation of facet joint nerves, lower back, one level inpatient CPT 64635 HCHG LYSIS FT JT L/S SGL+IMG UNIL	$8,218.00	$8,218.00	—	—	—
Radiofrequency ablation of facet joint nerves, lower back, one level inpatient CPT 64635 HCHG LYSIS FT JT L/S SGL+IMG BIL	$14,946.00	$14,946.00	—	—	—
Removal of a breast lump, open surgery CPT 19120 HCHG ASC EXCISE BREAST LESION 1 +	$4,955.00	$4,955.00	$745.73–$10,760.65	3% above	—
Removal of a breast lump, open surgery inpatient CPT 19120 HCHG ASC EXCISE BREAST LESION 1 +	$4,955.00	$4,955.00	—	—	—
Removal of a foreign object under the skin, simple CPT 10120 HCHG ASC RMV FB SUBQ TISSUE SIMPLE	$1,961.00	$1,961.00	$295.13–$2,325.00	338% above	—
Removal of a foreign object under the skin, simple CPT 10120 HCHG REMOVE FB SUBC TISS SIMPLE	$1,966.00	$1,966.00	$295.88–$1,867.70	339% above	—
Removal of a foreign object under the skin, simple inpatient CPT 10120 HCHG ASC RMV FB SUBQ TISSUE SIMPLE	$1,961.00	$1,961.00	—	—	—
Removal of a foreign object under the skin, simple inpatient CPT 10120 HCHG REMOVE FB SUBC TISS SIMPLE	$1,966.00	$1,966.00	—	—	—
Septoplasty to straighten the nasal septum CPT 30520 HCHG ASC SEPTOPLASTY	$5,665.00	$5,665.00	$779.96–$9,971.00	22% above	—
Septoplasty to straighten the nasal septum inpatient CPT 30520 HCHG ASC SEPTOPLASTY	$5,665.00	$5,665.00	—	—	—
Shock-wave lithotripsy to break up kidney stones (from outside the body) CPT 50590 HCHG LITHOTRIPSY	$27,206.00	$27,206.00	$3,601.33–$25,845.70	455% above	—
Shock-wave lithotripsy to break up kidney stones (from outside the body) inpatient CPT 50590 HCHG LITHOTRIPSY	$27,206.00	$27,206.00	—	—	—
Short arm cast (elbow to hand) CPT 29075 HCHG APPLICATION OF FOREARM CAST	$723.00	$723.00	$108.81–$768.67	118% above	—
Short arm cast (elbow to hand) inpatient CPT 29075 HCHG APPLICATION OF FOREARM CAST	$723.00	$723.00	—	—	—
Short arm splint (forearm and hand) CPT 29125 HCHG APPLY FOREARM SPLINT	$579.00	$579.00	$87.14–$550.05	128% above	—
Short arm splint (forearm and hand) inpatient CPT 29125 HCHG APPLY FOREARM SPLINT	$579.00	$579.00	—	—	—
Short leg splint (calf to foot) CPT 29515 HCHG APPLY SHORT LEG SPLINT	$421.00	$421.00	$63.36–$446.59	91% above	—
Short leg splint (calf to foot) inpatient CPT 29515 HCHG APPLY SHORT LEG SPLINT	$421.00	$421.00	—	—	—
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 HCHG SIMP REP S/NK/TR/EXT 2.5/<	$861.00	$861.00	$129.58–$817.95	159% above	—
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 HCHG SIMP REP S/NK/TR/EXT 2.5/<	$861.00	$861.00	—	—	—
Skin biopsy, punch, one lesion CPT 11104 HCHG PUNCH BX SKIN SINGLE LESION	$526.00	$526.00	$79.16–$1,117.21	80% above	—
Skin biopsy, punch, one lesion inpatient CPT 11104 HCHG PUNCH BX SKIN SINGLE LESION	$526.00	$526.00	—	—	—
Skin tag removal, up to 15 tags CPT 11200 HCHG ASC RMV SKIN TAGS UP TO 15 LESIONS	$503.00	$503.00	$75.70–$2,325.00	77% above	—
Skin tag removal, up to 15 tags CPT 11200 HCHG REMOVE SKIN TAGS UP TO 15 LESIONS	$664.00	$664.00	$99.93–$779.96	134% above	—
Skin tag removal, up to 15 tags CPT 11200 HCHG REMV SKIN TAGS UP TO 15 LESIONS	$664.00	$664.00	$99.93–$779.96	134% above	—
Skin tag removal, up to 15 tags inpatient CPT 11200 HCHG ASC RMV SKIN TAGS UP TO 15 LESIONS	$503.00	$503.00	—	—	—
Skin tag removal, up to 15 tags inpatient CPT 11200 HCHG REMOVE SKIN TAGS UP TO 15 LESIONS	$664.00	$664.00	—	—	—
Skin tag removal, up to 15 tags inpatient CPT 11200 HCHG REMV SKIN TAGS UP TO 15 LESIONS	$664.00	$664.00	—	—	—
Spinal tap (lumbar puncture), diagnostic CPT 62270 HCHG LUMBAR PUNCTURE DX	$2,612.00	$2,612.00	$278.55–$2,481.40	221% above	—
Spinal tap (lumbar puncture), diagnostic CPT 62270 HCHG LUMBAR PUNCTURE DIAGNOSTIC	$2,612.00	$2,612.00	$278.55–$4,278.00	221% above	—
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 HCHG LUMBAR PUNCTURE DX	$2,612.00	$2,612.00	—	—	—
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 HCHG LUMBAR PUNCTURE DIAGNOSTIC	$2,612.00	$2,612.00	—	—	—
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 HCHG ASC SIMP REP S/NK/TR/EXT 2.6-7.5CM	$597.00	$597.00	$89.85–$2,325.00	58% above	—
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 HCHG SIMP REP S/NK/TR/EXT 2.6 TO 7.5CM	$861.00	$861.00	$129.58–$817.95	127% above	—
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 HCHG ASC SIMP REP S/NK/TR/EXT 2.6-7.5CM	$597.00	$597.00	—	—	—
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 HCHG SIMP REP S/NK/TR/EXT 2.6 TO 7.5CM	$861.00	$861.00	—	—	—
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 HCHG SIMP REP F/EEN/LP/MM 2.5CM/<	$861.00	$861.00	$129.58–$817.95	166% above	—
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 HCHG SIMP REP F/EEN/LP/MM 2.5CM/<	$861.00	$861.00	—	—	—
Tangential (shave-style) skin biopsy, one lesion CPT 11102 HCHG TANGENTIAL BX SKIN SINGLE LESION	$526.00	$526.00	$79.16–$1,117.21	111% above	—
Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 HCHG TANGENTIAL BX SKIN SINGLE LESION	$526.00	$526.00	—	—	—
Thoracentesis with imaging guidance CPT 32555 HCHG ER THORACENTESIS PLEURA W/IMAGING	$2,936.00	$2,936.00	$441.87–$2,789.20	185% above	—
Thoracentesis with imaging guidance CPT 32555 HCHG THORACENT PLRL ASP W IMAGING	$4,013.00	$4,013.00	$603.96–$4,278.00	290% above	—
Thoracentesis with imaging guidance inpatient CPT 32555 HCHG ER THORACENTESIS PLEURA W/IMAGING	$2,936.00	$2,936.00	—	—	—
Thoracentesis with imaging guidance inpatient CPT 32555 HCHG THORACENT PLRL ASP W IMAGING	$4,013.00	$4,013.00	—	—	—
Tonsil and adenoid removal, age 12 or older CPT 42821 HCHG ASC T&A 12 AND OLDER	$6,041.00	$6,041.00	$909.17–$9,971.00	at median	—
Tonsil and adenoid removal, age 12 or older inpatient CPT 42821 HCHG ASC T&A 12 AND OLDER	$6,041.00	$6,041.00	—	—	—
Tonsil and adenoid removal, child under 12 CPT 42820 HCHG ASC T&A UNDER AGE 12	$5,060.00	$5,060.00	$761.53–$16,269.25	at median	—
Tonsil and adenoid removal, child under 12 inpatient CPT 42820 HCHG ASC T&A UNDER AGE 12	$5,060.00	$5,060.00	—	—	—
Tonsil removal (tonsillectomy) only, age 12 or older CPT 42826 HCHG ASC TONSILLECTOMY 12 AND OLDER	$5,804.00	$5,804.00	$873.50–$9,971.00	26% above	—
Tonsil removal (tonsillectomy) only, age 12 or older inpatient CPT 42826 HCHG ASC TONSILLECTOMY 12 AND OLDER	$5,804.00	$5,804.00	—	—	—
Tonsil removal (tonsillectomy) only, child under 12 CPT 42825 HCHG ASC TONSILLECTOMY UNDER 12	$5,804.00	$5,804.00	$873.50–$16,269.25	14% above	—
Tonsil removal (tonsillectomy) only, child under 12 inpatient CPT 42825 HCHG ASC TONSILLECTOMY UNDER 12	$5,804.00	$5,804.00	—	—	—
Trigger finger release surgery CPT 26055 HCHG ASC INCISION TENDON SHEATH	$3,966.00	$3,966.00	$596.88–$6,824.00	3% above	—
Trigger finger release surgery inpatient CPT 26055 HCHG ASC INCISION TENDON SHEATH	$3,966.00	$3,966.00	—	—	—
Trigger point injections, 1 or 2 muscles CPT 20552 HCHG TRIGGER PT INJ 1-2 MUSCLES	$1,492.00	$1,492.00	$224.55–$1,417.40	224% above	—
Trigger point injections, 1 or 2 muscles CPT 20552 HCHG INJ TRIGGER PT 1-2 MUSCLES	$1,492.00	$1,492.00	$224.55–$1,417.40	224% above	—
Trigger point injections, 1 or 2 muscles CPT 20552 HCHG INJ TRIGGER POINT 1-2 MUSCLES	$1,573.00	$1,573.00	$236.74–$2,325.00	242% above	—
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 HCHG TRIGGER PT INJ 1-2 MUSCLES	$1,492.00	$1,492.00	—	—	—
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 HCHG INJ TRIGGER PT 1-2 MUSCLES	$1,492.00	$1,492.00	—	—	—
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 HCHG INJ TRIGGER POINT 1-2 MUSCLES	$1,573.00	$1,573.00	—	—	—
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 HCHG BX BREAST U/S PERCUTANEOUS 1ST LESN	$6,033.00	$6,033.00	$907.97–$5,731.35	198% above	—
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 HCHG BX BREAST U/S PERCUTANEOUS 1ST LESN	$6,033.00	$6,033.00	—	—	—
Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 HCHG ASC EGD FLEX BALLOON DILATION<30	$3,751.00	$3,751.00	$564.53–$6,824.00	54% above	—
Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 HCHG EGD FLEX BALLOON DILATION<30	$4,476.00	$4,476.00	$673.64–$6,824.00	84% above	—
Upper endoscopy (EGD) with balloon widening of the esophagus inpatient CPT 43249 HCHG ASC EGD FLEX BALLOON DILATION<30	$3,751.00	$3,751.00	—	—	—
Upper endoscopy (EGD) with balloon widening of the esophagus inpatient CPT 43249 HCHG EGD FLEX BALLOON DILATION<30	$4,476.00	$4,476.00	—	—	—
Upper endoscopy (EGD) with biopsy CPT 43239 HCHG ASC EGD FLEX/ORAL W BX SGL/MULT	$2,923.00	$2,923.00	$439.91–$6,824.00	84% above	—
Upper endoscopy (EGD) with biopsy CPT 43239 HCHG ER EGD WITH BIOPSY SGL/MULT	$3,702.00	$3,702.00	$557.15–$3,516.90	134% above	—
Upper endoscopy (EGD) with biopsy CPT 43239 HCHG EGD FLEX/ORAL W BX SGL/MULT	$3,968.00	$3,968.00	$597.18–$6,824.00	150% above	—
Upper endoscopy (EGD) with biopsy inpatient CPT 43239 HCHG ASC EGD FLEX/ORAL W BX SGL/MULT	$2,923.00	$2,923.00	—	—	—
Upper endoscopy (EGD) with biopsy inpatient CPT 43239 HCHG ER EGD WITH BIOPSY SGL/MULT	$3,702.00	$3,702.00	—	—	—
Upper endoscopy (EGD) with biopsy inpatient CPT 43239 HCHG EGD FLEX/ORAL W BX SGL/MULT	$3,968.00	$3,968.00	—	—	—
Upper endoscopy (EGD) with injection into the lining CPT 43236 HCHG ASC EGD FLEX/ORAL INJ SUBMUCOSAL	$2,120.00	$2,120.00	$319.06–$6,824.00	60% above	—
Upper endoscopy (EGD) with injection into the lining CPT 43236 HCHG EGD FLEX/ORAL INJ SUBMUCOSAL	$4,293.00	$4,293.00	$646.10–$6,824.00	225% above	—
Upper endoscopy (EGD) with injection into the lining inpatient CPT 43236 HCHG ASC EGD FLEX/ORAL INJ SUBMUCOSAL	$2,120.00	$2,120.00	—	—	—
Upper endoscopy (EGD) with injection into the lining inpatient CPT 43236 HCHG EGD FLEX/ORAL INJ SUBMUCOSAL	$4,293.00	$4,293.00	—	—	—
Upper endoscopy (EGD) with polyp removal by snare CPT 43251 HCHG ASC EGD LESION RMVL W SNARE	$2,935.00	$2,935.00	$441.72–$6,824.00	24% above	—
Upper endoscopy (EGD) with polyp removal by snare CPT 43251 HCHG EGD FLEX LESION RMVL W SNARE	$7,040.00	$7,040.00	$1,059.52–$6,824.00	198% above	—
Upper endoscopy (EGD) with polyp removal by snare inpatient CPT 43251 HCHG ASC EGD LESION RMVL W SNARE	$2,935.00	$2,935.00	—	—	—
Upper endoscopy (EGD) with polyp removal by snare inpatient CPT 43251 HCHG EGD FLEX LESION RMVL W SNARE	$7,040.00	$7,040.00	—	—	—
Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 HCHG EGD FLEX W GWIRE DILATION	$3,833.00	$3,833.00	$576.87–$6,824.00	224% above	—
Upper endoscopy (EGD) with widening of the esophagus over a guide wire inpatient CPT 43248 HCHG EGD FLEX W GWIRE DILATION	$3,833.00	$3,833.00	—	—	—
Upper endoscopy (EGD), diagnostic CPT 43235 HCHG ASC EGD FLEX/TRANSORAL DX	$2,645.00	$2,645.00	$398.07–$6,824.00	75% above	—
Upper endoscopy (EGD), diagnostic CPT 43235 HCHG EGD FLEX/TRANSORAL DX	$3,169.00	$3,169.00	$476.93–$6,824.00	110% above	—
Upper endoscopy (EGD), diagnostic inpatient CPT 43235 HCHG ASC EGD FLEX/TRANSORAL DX	$2,645.00	$2,645.00	—	—	—
Upper endoscopy (EGD), diagnostic inpatient CPT 43235 HCHG EGD FLEX/TRANSORAL DX	$3,169.00	$3,169.00	—	—	—
Upper endoscopy with drainage of a pseudocyst through the stomach wall CPT 43240 HCHG EGD DRAINAGE OF PSEUDOCYST	$9,143.00	$9,143.00	$1,270.23–$16,684.43	140% above	—
Upper endoscopy with drainage of a pseudocyst through the stomach wall inpatient CPT 43240 HCHG EGD DRAINAGE OF PSEUDOCYST	$9,143.00	$9,143.00	—	—	—
Wart removal, up to 14 warts CPT 17110 HCHG ASC DESTRUCT BENIGN LESN TO 14	$470.00	$470.00	$70.74–$2,325.00	188% above	—
Wart removal, up to 14 warts inpatient CPT 17110 HCHG ASC DESTRUCT BENIGN LESN TO 14	$470.00	$470.00	—	—	—
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 HCHG ASC DBRD SUBQ TISS 1ST 20 SQ CM/<	$1,525.00	$1,525.00	$229.51–$2,325.00	252% above	—
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 HCHG DBRD SUBQ TISS 1ST 20 SQ CM/<	$1,597.00	$1,597.00	$240.35–$1,517.15	268% above	—
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 HCHG DEBRID SUBQ 1ST 20SQCM/<	$1,597.00	$1,597.00	$240.35–$1,517.15	268% above	—
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 HCHG DEBRID SUBCUTANEOUS TISSUE	$1,597.00	$1,597.00	$240.35–$1,517.15	268% above	—
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 HCHG ASC DBRD SUBQ TISS 1ST 20 SQ CM/<	$1,525.00	$1,525.00	—	—	—
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 HCHG DEBRID SUBCUTANEOUS TISSUE	$1,597.00	$1,597.00	—	—	—
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 HCHG DEBRID SUBQ 1ST 20SQCM/<	$1,597.00	$1,597.00	—	—	—
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 HCHG DBRD SUBQ TISS 1ST 20 SQ CM/<	$1,597.00	$1,597.00	—	—	—
Wrist fracture surgery (plate and screws), distal radius CPT 25607 HCHG ASC ORIF DIST RADIAL XTRART FX	$11,140.00	$11,140.00	$540.70–$19,941.99	9% above	—
Wrist fracture surgery (plate and screws), distal radius inpatient CPT 25607 HCHG ASC ORIF DIST RADIAL XTRART FX	$11,140.00	$11,140.00	—	—	—

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs North Carolina	Off list
Blood transfusion (giving blood or blood components) CPT 36430 HCHG ER BLOOD ADMINISTRATION EA BAG	$471.00	$471.00	$70.89–$1,212.46	37% below	—
Blood transfusion (giving blood or blood components) CPT 36430 HCHG BLOOD ADMINISTRATION EA BAG	$471.00	$471.00	$70.89–$1,212.46	37% below	—
Blood transfusion (giving blood or blood components) inpatient CPT 36430 HCHG BLOOD ADMINISTRATION EA BAG	$471.00	$471.00	—	—	—
Blood transfusion (giving blood or blood components) inpatient CPT 36430 HCHG ER BLOOD ADMINISTRATION EA BAG	$471.00	$471.00	—	—	—
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HCHG MDI TX-SUBSEQ	$161.00	$161.00	$24.23–$601.81	54% above	—
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HCHG NEBULIZER TX SUBSEQ	$161.00	$161.00	$24.23–$601.81	54% above	—
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HCHG NEBULIZER TREATMENT	$288.00	$288.00	$43.34–$601.81	176% above	—
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HCHG METERED DOSE INHALER TX	$784.00	$784.00	$117.99–$744.80	651% above	—
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HCHG NEBULIZER TX SUBSEQ	$161.00	$161.00	—	—	—
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HCHG MDI TX-SUBSEQ	$161.00	$161.00	—	—	—
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HCHG NEBULIZER TREATMENT	$288.00	$288.00	—	—	—
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HCHG METERED DOSE INHALER TX	$784.00	$784.00	—	—	—
Chemotherapy IV infusion, first hour CPT 96413 HCHG INITIAL CHEMO IV INFUS TO 1 HR	$1,470.00	$1,470.00	$221.24–$1,396.50	140% above	—
Chemotherapy IV infusion, first hour CPT 96413 HCHG PSM ADMIN INIT CHEMO IV INFUSN TO 1HR	$1,612.00	$1,612.00	$242.61–$1,531.40	163% above	—
Chemotherapy IV infusion, first hour inpatient CPT 96413 HCHG INITIAL CHEMO IV INFUS TO 1 HR	$1,470.00	$1,470.00	—	—	—
Chemotherapy IV infusion, first hour inpatient CPT 96413 HCHG PSM ADMIN INIT CHEMO IV INFUSN TO 1HR	$1,612.00	$1,612.00	—	—	—
Critical care, first 30 to 74 minutes CPT 99291 HCHG TRAUMA PT/ER CC LEVEL	$4,869.00	$4,869.00	$732.78–$4,625.55	106% above	—
Critical care, first 30 to 74 minutes CPT 99291 HCHG ER DEPT CRITICAL CARE	$4,869.00	$4,869.00	$732.78–$4,625.55	106% above	—
Critical care, first 30 to 74 minutes CPT 99291 HCHG ALERT WO EMS+INITL CC ED LVL	$8,052.00	$8,052.00	$843.92–$7,649.40	240% above	—
Critical care, first 30 to 74 minutes CPT 99291 HCHG CODE 1 WO EMS+INITL CC ED LVL	$16,882.00	$16,882.00	$843.92–$16,037.90	613% above	—
Critical care, first 30 to 74 minutes inpatient CPT 99291 HCHG TRAUMA PT/ER CC LEVEL	$4,869.00	$4,869.00	—	—	—
Critical care, first 30 to 74 minutes inpatient CPT 99291 HCHG ER DEPT CRITICAL CARE	$4,869.00	$4,869.00	—	—	—
Critical care, first 30 to 74 minutes inpatient CPT 99291 HCHG ALERT WO EMS+INITL CC ED LVL	$8,052.00	$8,052.00	—	—	—
Critical care, first 30 to 74 minutes inpatient CPT 99291 HCHG CODE 1 WO EMS+INITL CC ED LVL	$16,882.00	$16,882.00	—	—	—
EEG (brain wave test), awake and drowsy, routine CPT 95816 HCHG E E G	$1,358.00	$1,358.00	$204.38–$1,290.10	68% above	—
EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 HCHG E E G	$1,358.00	$1,358.00	—	—	—
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 HCHG EKG	$268.00	$268.00	$40.33–$254.60	54% above	—
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 HCHG EKG	$268.00	$268.00	—	—	—
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 HCHG OB ED LEV I W MOD	$401.00	$401.00	$60.35–$380.95	110% above	—
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 HCHG OB ED LEV I	$401.00	$401.00	$60.35–$380.95	110% above	—
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 HCHG EMERGENCY DEPT LEVEL I	$401.00	$401.00	$60.35–$380.95	110% above	—
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 HCHG OB ED LEV I W MOD	$401.00	$401.00	—	—	—
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 HCHG EMERGENCY DEPT LEVEL I	$401.00	$401.00	—	—	—
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 HCHG OB ED LEV I	$401.00	$401.00	—	—	—
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 HCHG OB ED LEV II W MOD	$1,277.00	$1,277.00	$156.87–$1,213.15	172% above	—
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 HCHG EMERGENCY DEPT LEVEL II	$1,277.00	$1,277.00	$156.87–$1,213.15	172% above	—
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 HCHG OB ED LEV II	$1,277.00	$1,277.00	$156.87–$1,213.15	172% above	—
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 HCHG OB ED LEV II	$1,277.00	$1,277.00	—	—	—
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 HCHG EMERGENCY DEPT LEVEL II	$1,277.00	$1,277.00	—	—	—
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 HCHG OB ED LEV II W MOD	$1,277.00	$1,277.00	—	—	—
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 HCHG OB ED LEV III	$2,485.00	$2,485.00	$278.89–$2,360.75	189% above	—
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 HCHG OB ED LEV III W MOD	$2,485.00	$2,485.00	$278.89–$2,360.75	189% above	—
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 HCHG EMERGENCY DEPT LEVEL III	$2,485.00	$2,485.00	$278.89–$2,360.75	189% above	—
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 HCHG EMERGENCY DEPT LEVEL III	$2,485.00	$2,485.00	—	—	—
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 HCHG OB ED LEV III	$2,485.00	$2,485.00	—	—	—
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 HCHG OB ED LEV III W MOD	$2,485.00	$2,485.00	—	—	—
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 HCHG EMERGENCY DEPT LEVEL IV	$2,887.00	$2,887.00	$426.30–$3,030.00	134% above	—
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 HCHG OB ED LEV IV	$2,887.00	$2,887.00	$426.30–$3,030.00	134% above	—
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 HCHG OB ED LEV IV W MOD	$2,887.00	$2,887.00	$426.30–$3,030.00	134% above	—
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 HCHG OB ED LEV IV	$2,887.00	$2,887.00	—	—	—
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 HCHG EMERGENCY DEPT LEVEL IV	$2,887.00	$2,887.00	—	—	—
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 HCHG OB ED LEV IV W MOD	$2,887.00	$2,887.00	—	—	—
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HCHG OB ED LEV V	$3,289.00	$3,289.00	$494.99–$4,480.00	75% above	—
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HCHG EMERGENCY DEPT LEVEL V	$3,289.00	$3,289.00	$494.99–$4,480.00	75% above	—
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HCHG OB ED LEV V W MOD	$3,289.00	$3,289.00	$494.99–$4,480.00	75% above	—
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HCHG TRAUMA PT/ER LEVEL 5	$3,289.00	$3,289.00	$494.99–$4,480.00	75% above	—
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HCHG ALERT WO EMS+ED LEVEL 5	$5,889.00	$5,889.00	$608.43–$5,594.55	213% above	—
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HCHG CODE 1 WO EMS+ED LEVEL 5	$13,843.00	$13,843.00	$608.43–$13,150.85	635% above	—
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 HCHG OB ED LEV V W MOD	$3,289.00	$3,289.00	—	—	—
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 HCHG OB ED LEV V	$3,289.00	$3,289.00	—	—	—
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 HCHG EMERGENCY DEPT LEVEL V	$3,289.00	$3,289.00	—	—	—
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 HCHG TRAUMA PT/ER LEVEL 5	$3,289.00	$3,289.00	—	—	—
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 HCHG ALERT WO EMS+ED LEVEL 5	$5,889.00	$5,889.00	—	—	—
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 HCHG CODE 1 WO EMS+ED LEVEL 5	$13,843.00	$13,843.00	—	—	—
Exercise stress test, tracing only, the hospital charge CPT 93017 HCHG IV DOBUTAMINE STRESS	$1,901.00	$1,901.00	$220.60–$1,805.95	86% above	—
Exercise stress test, tracing only, the hospital charge CPT 93017 HCHG MYOVIEW STRESS	$1,901.00	$1,901.00	$220.60–$1,805.95	86% above	—
Exercise stress test, tracing only, the hospital charge CPT 93017 HCHG EKG WITH STRESS	$1,901.00	$1,901.00	$220.60–$1,805.95	86% above	—
Exercise stress test, tracing only, the hospital charge CPT 93017 HCHG LEXISCAN STRESS TEST	$1,901.00	$1,901.00	$220.60–$1,805.95	86% above	—
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 HCHG EKG WITH STRESS	$1,901.00	$1,901.00	—	—	—
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 HCHG MYOVIEW STRESS	$1,901.00	$1,901.00	—	—	—
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 HCHG LEXISCAN STRESS TEST	$1,901.00	$1,901.00	—	—	—
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 HCHG IV DOBUTAMINE STRESS	$1,901.00	$1,901.00	—	—	—
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HCHG ER INIT IV HYDRATN 1ST HR	$814.00	$814.00	$122.51–$773.30	166% above	—
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HCHG NUR INITIAL IV HYDRA 1ST HR	$861.00	$861.00	$129.58–$817.95	182% above	—
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HCHG INITIAL IV HYDRA 1ST HR	$861.00	$861.00	$129.58–$817.95	182% above	—
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HCHG ER INIT IV HYDRATN 1ST HR	$814.00	$814.00	—	—	—
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HCHG NUR INITIAL IV HYDRA 1ST HR	$861.00	$861.00	—	—	—
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HCHG INITIAL IV HYDRA 1ST HR	$861.00	$861.00	—	—	—
IV infusion of a medicine, first hour CPT 96365 HCHG ER INIT IV THER UP TO 1HR	$877.00	$877.00	$131.99–$833.15	166% above	—
IV infusion of a medicine, first hour CPT 96365 HCHG INITIAL IV THER UP TO 1 HR	$877.00	$877.00	$131.99–$833.15	166% above	—
IV infusion of a medicine, first hour CPT 96365 HCHG NUR INIT IV THER TO 1HR	$877.00	$877.00	$131.99–$833.15	166% above	—
IV infusion of a medicine, first hour CPT 96365 HCHG PSM ADMIN INIT IV THER TO 1HR	$964.00	$964.00	$145.08–$915.80	193% above	—
IV infusion of a medicine, first hour inpatient CPT 96365 HCHG NUR INIT IV THER TO 1HR	$877.00	$877.00	—	—	—
IV infusion of a medicine, first hour inpatient CPT 96365 HCHG INITIAL IV THER UP TO 1 HR	$877.00	$877.00	—	—	—
IV infusion of a medicine, first hour inpatient CPT 96365 HCHG ER INIT IV THER UP TO 1HR	$877.00	$877.00	—	—	—
IV infusion of a medicine, first hour inpatient CPT 96365 HCHG PSM ADMIN INIT IV THER TO 1HR	$964.00	$964.00	—	—	—
IV push of a medicine, first drug CPT 96374 HCHG INITIAL/SINGLE IV INJ	$425.00	$425.00	$63.96–$584.56	94% above	—
IV push of a medicine, first drug CPT 96374 HCHG NUR IV PUSH INJ INIT/SINGLE	$425.00	$425.00	$63.96–$584.56	94% above	—
IV push of a medicine, first drug CPT 96374 HCHG ER INJ IV INIT/SINGLE	$425.00	$425.00	$63.96–$584.56	94% above	—
IV push of a medicine, first drug CPT 96374 HCHG PSM ADMIN IV PUSH INIT/SINGLE	$468.00	$468.00	$70.43–$584.56	114% above	—
IV push of a medicine, first drug inpatient CPT 96374 HCHG INITIAL/SINGLE IV INJ	$425.00	$425.00	—	—	—
IV push of a medicine, first drug inpatient CPT 96374 HCHG ER INJ IV INIT/SINGLE	$425.00	$425.00	—	—	—
IV push of a medicine, first drug inpatient CPT 96374 HCHG NUR IV PUSH INJ INIT/SINGLE	$425.00	$425.00	—	—	—
IV push of a medicine, first drug inpatient CPT 96374 HCHG PSM ADMIN IV PUSH INIT/SINGLE	$468.00	$468.00	—	—	—
Injection under the skin or into a muscle, for treatment or testing CPT 96372 HCHG RAD/ONC INJECTION SUBQ IM	$253.00	$253.00	$38.08–$240.35	154% above	—
Injection under the skin or into a muscle, for treatment or testing CPT 96372 HCHG NUR INJECTION SQ/IM	$253.00	$253.00	$38.08–$240.35	154% above	—
Injection under the skin or into a muscle, for treatment or testing CPT 96372 HCHG ER INJECTION SQ/IM	$253.00	$253.00	$38.08–$240.35	154% above	—
Injection under the skin or into a muscle, for treatment or testing CPT 96372 HCHG PSM ADMIN SQ/IM INJECTION	$280.00	$280.00	$42.14–$266.00	181% above	—
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 HCHG NUR INJECTION SQ/IM	$253.00	$253.00	—	—	—
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 HCHG RAD/ONC INJECTION SUBQ IM	$253.00	$253.00	—	—	—
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 HCHG ER INJECTION SQ/IM	$253.00	$253.00	—	—	—
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 HCHG PSM ADMIN SQ/IM INJECTION	$280.00	$280.00	—	—	—
Nerve conduction study, 7 or 8 nerve studies CPT 95910 HCHG NERVE CONDUCT STUDIES 7-8 STUDIES	$1,297.00	$1,297.00	$195.20–$1,232.15	61% above	—
Nerve conduction study, 7 or 8 nerve studies inpatient CPT 95910 HCHG NERVE CONDUCT STUDIES 7-8 STUDIES	$1,297.00	$1,297.00	—	—	—
Neuromuscular re-education, 15 minutes CPT 97112 HCHG PT ASSESS/TREAT NEO 15 MIN	$150.00	$150.00	$22.58–$148.00	60% above	—
Neuromuscular re-education, 15 minutes CPT 97112 HCHG OT NEURO RE ED 1 OR > AREA EA 15M	$157.00	$157.00	$23.63–$149.15	68% above	—
Neuromuscular re-education, 15 minutes CPT 97112 HCHG PT NEURO RE ED 1 OR > AREA EA 15M	$157.00	$157.00	$23.63–$149.15	68% above	—
Neuromuscular re-education, 15 minutes inpatient CPT 97112 HCHG PT ASSESS/TREAT NEO 15 MIN	$150.00	$150.00	—	—	—
Neuromuscular re-education, 15 minutes inpatient CPT 97112 HCHG OT NEURO RE ED 1 OR > AREA EA 15M	$157.00	$157.00	—	—	—
Neuromuscular re-education, 15 minutes inpatient CPT 97112 HCHG PT NEURO RE ED 1 OR > AREA EA 15M	$157.00	$157.00	—	—	—
New patient office visit, about 30 minutes CPT 99203 HCHG NP VISIT LVL3 LOW MDM/30+MIN	$685.00	$685.00	$103.09–$650.75	239% above	—
New patient office visit, about 30 minutes CPT 99203 HCHG NP OV LVL3 LOW MDM/30+MIN	$685.00	$685.00	$103.09–$650.75	239% above	—
New patient office visit, about 30 minutes CPT 99203 HCHG LACTATION NP LVL3 LOW MDM/30+ MIN	$685.00	$685.00	$103.09–$650.75	239% above	—
New patient office visit, about 30 minutes CPT 99203 HCHG NP VISIT LV3 LOW MDM/30+MIN	$685.00	$685.00	$103.09–$650.75	239% above	—
New patient office visit, about 30 minutes CPT 99203 HCHG NP OV LVL3 LOW MDM/30+MIN &PROC	$685.00	$685.00	$103.09–$650.75	239% above	—
New patient office visit, about 30 minutes inpatient CPT 99203 HCHG NP VISIT LVL3 LOW MDM/30+MIN	$685.00	$685.00	—	—	—
New patient office visit, about 30 minutes inpatient CPT 99203 HCHG NP OV LVL3 LOW MDM/30+MIN &PROC	$685.00	$685.00	—	—	—
New patient office visit, about 30 minutes inpatient CPT 99203 HCHG LACTATION NP LVL3 LOW MDM/30+ MIN	$685.00	$685.00	—	—	—
New patient office visit, about 30 minutes inpatient CPT 99203 HCHG NP VISIT LV3 LOW MDM/30+MIN	$685.00	$685.00	—	—	—
New patient office visit, about 30 minutes inpatient CPT 99203 HCHG NP OV LVL3 LOW MDM/30+MIN	$685.00	$685.00	—	—	—
New patient office visit, about 45 minutes CPT 99204 HCHG LACTATION NP LVL4 MOD MDM/45+MIN	$849.00	$849.00	$127.77–$806.55	249% above	—
New patient office visit, about 45 minutes CPT 99204 HCHG NP VISIT LVL4 MOD MDM/45+MIN	$849.00	$849.00	$127.77–$806.55	249% above	—
New patient office visit, about 45 minutes CPT 99204 HCHG NP OV LVL4 MOD MDM/45+MIN	$849.00	$849.00	$127.77–$806.55	249% above	—
New patient office visit, about 45 minutes CPT 99204 HCHG NP VISIT LV4 MOD MDM/45+MIN	$849.00	$849.00	$127.77–$806.55	249% above	—
New patient office visit, about 45 minutes CPT 99204 HCHG NP OV LVL4 MOD MDM/45+MIN &PROC	$849.00	$849.00	$127.77–$806.55	249% above	—
New patient office visit, about 45 minutes inpatient CPT 99204 HCHG LACTATION NP LVL4 MOD MDM/45+MIN	$849.00	$849.00	—	—	—
New patient office visit, about 45 minutes inpatient CPT 99204 HCHG NP OV LVL4 MOD MDM/45+MIN	$849.00	$849.00	—	—	—
New patient office visit, about 45 minutes inpatient CPT 99204 HCHG NP OV LVL4 MOD MDM/45+MIN &PROC	$849.00	$849.00	—	—	—
New patient office visit, about 45 minutes inpatient CPT 99204 HCHG NP VISIT LVL4 MOD MDM/45+MIN	$849.00	$849.00	—	—	—
New patient office visit, about 45 minutes inpatient CPT 99204 HCHG NP VISIT LV4 MOD MDM/45+MIN	$849.00	$849.00	—	—	—
New patient office visit, about 60 minutes CPT 99205 HCHG NP VISIT LV5 HIGH MDM/60+MIN	$1,140.00	$1,140.00	$136.02–$1,083.00	285% above	—
New patient office visit, about 60 minutes CPT 99205 HCHG NP VISIT LVL5 HIGH MDM/60+MIN	$1,140.00	$1,140.00	$136.02–$1,083.00	285% above	—
New patient office visit, about 60 minutes CPT 99205 HCHG NP OV LVL5 HIGH MDM/60+MIN	$1,140.00	$1,140.00	$136.02–$1,083.00	285% above	—
New patient office visit, about 60 minutes CPT 99205 HCHG LACTATION NP LVL5 HIGH MDM/60+MIN	$1,140.00	$1,140.00	$136.02–$1,083.00	285% above	—
New patient office visit, about 60 minutes CPT 99205 HCHG NP OV LVL5 HIGH MDM/60+MIN &PROC	$1,140.00	$1,140.00	$136.02–$1,083.00	285% above	—
New patient office visit, about 60 minutes inpatient CPT 99205 HCHG NP VISIT LV5 HIGH MDM/60+MIN	$1,140.00	$1,140.00	—	—	—
New patient office visit, about 60 minutes inpatient CPT 99205 HCHG NP OV LVL5 HIGH MDM/60+MIN	$1,140.00	$1,140.00	—	—	—
New patient office visit, about 60 minutes inpatient CPT 99205 HCHG NP OV LVL5 HIGH MDM/60+MIN &PROC	$1,140.00	$1,140.00	—	—	—
New patient office visit, about 60 minutes inpatient CPT 99205 HCHG LACTATION NP LVL5 HIGH MDM/60+MIN	$1,140.00	$1,140.00	—	—	—
New patient office visit, about 60 minutes inpatient CPT 99205 HCHG NP VISIT LVL5 HIGH MDM/60+MIN	$1,140.00	$1,140.00	—	—	—
New patient office visit, straightforward problem or 15+ minutes CPT 99202 HCHG COAG CLINIC NP LV2 SF MDM/15+MIN	$201.00	$201.00	$30.25–$365.89	17% above	—
New patient office visit, straightforward problem or 15+ minutes CPT 99202 HCHG NP OV SF MDM/15+ MIN LVL2	$364.00	$364.00	$54.78–$365.89	112% above	—
New patient office visit, straightforward problem or 15+ minutes CPT 99202 HCHG NP VISIT LV2 SF MDM/15+MIN	$364.00	$364.00	$54.78–$365.89	112% above	—
New patient office visit, straightforward problem or 15+ minutes CPT 99202 HCHG LACTATION NP LV2 SF MDM/15+MIN	$364.00	$364.00	$54.78–$365.89	112% above	—
New patient office visit, straightforward problem or 15+ minutes CPT 99202 HCHG NP OV SF MDM/15+MIN LVL2+PROC	$364.00	$364.00	$54.78–$365.89	112% above	—
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 HCHG COAG CLINIC NP LV2 SF MDM/15+MIN	$201.00	$201.00	—	—	—
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 HCHG NP OV SF MDM/15+MIN LVL2+PROC	$364.00	$364.00	—	—	—
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 HCHG LACTATION NP LV2 SF MDM/15+MIN	$364.00	$364.00	—	—	—
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 HCHG NP VISIT LV2 SF MDM/15+MIN	$364.00	$364.00	—	—	—
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 HCHG NP OV SF MDM/15+ MIN LVL2	$364.00	$364.00	—	—	—
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 HCHG MNT INIT INDIV 15MIN DIAB TELEHEALTH	$90.00	$90.00	$13.55–$95.14	94% above	—
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 HCHG MED NUTRIT TX INIT INDIV 15MIN RENAL	$93.00	$93.00	$14.00–$95.14	100% above	—
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 HCHG MNT INIT INDIV 15MIN FOR DIAB	$93.00	$93.00	$14.00–$95.14	100% above	—
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 HCHG MN THERAPY INIT 15M INDIV HF	$93.00	$93.00	$14.00–$95.14	100% above	—
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 HCHG MNT INIT INDIV 15MIN DIAB TELEHEALTH	$90.00	$90.00	—	—	—
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 HCHG MED NUTRIT TX INIT INDIV 15MIN RENAL	$93.00	$93.00	—	—	—
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 HCHG MN THERAPY INIT 15M INDIV HF	$93.00	$93.00	—	—	—
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 HCHG MNT INIT INDIV 15MIN FOR DIAB	$93.00	$93.00	—	—	—
Occupational therapy evaluation, low complexity CPT 97165 HCHG OT EVAL LOW COMPLEXITY	$426.00	$426.00	$64.11–$404.70	127% above	—
Occupational therapy evaluation, low complexity inpatient CPT 97165 HCHG OT EVAL LOW COMPLEXITY	$426.00	$426.00	—	—	—
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 HCHG PT EVAL HIGH COMPLEXITY	$529.00	$529.00	$79.61–$502.55	77% above	—
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 HCHG PT EVAL HIGH COMPLEXITY	$529.00	$529.00	—	—	—
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 HCHG PT EVAL LOW COMPLEXITY	$426.00	$426.00	$64.11–$404.70	102% above	—
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 HCHG PT EVAL LOW COMPLEXITY	$426.00	$426.00	—	—	—
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 HCHG PT EVAL MOD COMPLEXITY	$486.00	$486.00	$73.14–$461.70	94% above	—
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 HCHG PT EVAL MOD COMPLEXITY	$486.00	$486.00	—	—	—
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HCHG OT MANUAL THERAPY 15 MIN	$141.00	$141.00	$21.22–$148.00	11% above	—
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HCHG PT MANUAL THERAPY 15 MIN	$149.00	$149.00	$22.42–$148.00	17% above	—
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HCHG OT MANUAL THERAPY 15 MIN	$141.00	$141.00	—	—	—
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HCHG PT MANUAL THERAPY 15 MIN	$149.00	$149.00	—	—	—
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HCHG OT THERAPEUTIC EXERCISE 15 MIN	$149.00	$149.00	$22.42–$148.00	52% above	—
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HCHG PT EMPLOYEE SCREENINGS	$149.00	$149.00	$22.42–$148.00	52% above	—
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HCHG OT THER EXER 1 OR > AREA EA 15M	$157.00	$157.00	$23.63–$149.15	60% above	—
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HCHG PT THER EXER 1 OR > AREA EA 15M	$157.00	$157.00	$23.63–$149.15	60% above	—
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HCHG OT THERAPEUTIC EXERCISE 15 MIN	$149.00	$149.00	—	—	—
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HCHG PT EMPLOYEE SCREENINGS	$149.00	$149.00	—	—	—
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HCHG OT THER EXER 1 OR > AREA EA 15M	$157.00	$157.00	—	—	—
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HCHG PT THER EXER 1 OR > AREA EA 15M	$157.00	$157.00	—	—	—
Returning patient office visit, high complexity or 40+ minutes CPT 99215 HCHG EST PT OV LVL5 HIGH MDM/40+MIN &PROC	$849.00	$849.00	$127.77–$806.55	267% above	—
Returning patient office visit, high complexity or 40+ minutes CPT 99215 HCHG EST PT VISIT LVL5 HIGH MDM/40+MIN	$849.00	$849.00	$127.77–$806.55	267% above	—
Returning patient office visit, high complexity or 40+ minutes CPT 99215 HCHG EST PT OV LVL5 HIGH MDM/40+MIN	$849.00	$849.00	$127.77–$806.55	267% above	—
Returning patient office visit, high complexity or 40+ minutes CPT 99215 HCHG EST PT VISIT LV5 HIGH MDM/40+MIN	$849.00	$849.00	$127.77–$806.55	267% above	—
Returning patient office visit, high complexity or 40+ minutes CPT 99215 HCHG LACTATION EST PT LV5 HI MDM/40+MIN	$849.00	$849.00	$127.77–$806.55	267% above	—
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 HCHG EST PT VISIT LV5 HIGH MDM/40+MIN	$849.00	$849.00	—	—	—
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 HCHG EST PT OV LVL5 HIGH MDM/40+MIN	$849.00	$849.00	—	—	—
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 HCHG EST PT OV LVL5 HIGH MDM/40+MIN &PROC	$849.00	$849.00	—	—	—
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 HCHG LACTATION EST PT LV5 HI MDM/40+MIN	$849.00	$849.00	—	—	—
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 HCHG EST PT VISIT LVL5 HIGH MDM/40+MIN	$849.00	$849.00	—	—	—
Returning patient office visit, low complexity or 20+ minutes CPT 99213 HCHG LACTATION EST PT LV3 LOW MDM/20+MIN	$489.00	$489.00	$73.59–$464.55	155% above	—
Returning patient office visit, low complexity or 20+ minutes CPT 99213 HCHG EST PT OV LVL3 LOW MDM/20+MIN &PROC	$489.00	$489.00	$73.59–$464.55	155% above	—
Returning patient office visit, low complexity or 20+ minutes CPT 99213 HCHG EST PT VISIT LV3 LOW MDM/20+MIN	$489.00	$489.00	$73.59–$464.55	155% above	—
Returning patient office visit, low complexity or 20+ minutes CPT 99213 HCHG EST PT VISIT LVL3 LOW MDM/20+MIN	$489.00	$489.00	$73.59–$464.55	155% above	—
Returning patient office visit, low complexity or 20+ minutes CPT 99213 HCHG EST PT OV LVL3 LOW MDM/20+MIN	$489.00	$489.00	$73.59–$464.55	155% above	—
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 HCHG LACTATION EST PT LV3 LOW MDM/20+MIN	$489.00	$489.00	—	—	—
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 HCHG EST PT VISIT LV3 LOW MDM/20+MIN	$489.00	$489.00	—	—	—
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 HCHG EST PT VISIT LVL3 LOW MDM/20+MIN	$489.00	$489.00	—	—	—
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 HCHG EST PT OV LVL3 LOW MDM/20+MIN	$489.00	$489.00	—	—	—
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 HCHG EST PT OV LVL3 LOW MDM/20+MIN &PROC	$489.00	$489.00	—	—	—
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HCHG EST PT OV LVL4 MOD MDM/30+MIN &PROC	$606.00	$606.00	$91.20–$575.70	182% above	—
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HCHG EST PT VISIT LV4 MOD MDM/30+MIN	$606.00	$606.00	$91.20–$575.70	182% above	—
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HCHG LACTATION EST PT LV4 MOD MDM/30+MIN	$606.00	$606.00	$91.20–$575.70	182% above	—
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HCHG EST PT OV LVL4 MOD MDM/30+MIN	$606.00	$606.00	$91.20–$575.70	182% above	—
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HCHG EST PT VISIT LVL 4 MOD MDM/30+MIN	$606.00	$606.00	$91.20–$575.70	182% above	—
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 HCHG EST PT OV LVL4 MOD MDM/30+MIN	$606.00	$606.00	—	—	—
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 HCHG EST PT VISIT LV4 MOD MDM/30+MIN	$606.00	$606.00	—	—	—
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 HCHG LACTATION EST PT LV4 MOD MDM/30+MIN	$606.00	$606.00	—	—	—
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 HCHG EST PT VISIT LVL 4 MOD MDM/30+MIN	$606.00	$606.00	—	—	—
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 HCHG EST PT OV LVL4 MOD MDM/30+MIN &PROC	$606.00	$606.00	—	—	—
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HCHG EST PT VISIT LV2 SF MDM/10+MIN	$413.00	$413.00	$56.45–$392.35	88% above	—
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HCHG EST PT OV LVL2 SF MDM/10+MIN	$413.00	$413.00	$56.45–$392.35	88% above	—
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HCHG EST PT OV LVL2 SF MDM/10+MIN &PROC	$413.00	$413.00	$56.45–$392.35	88% above	—
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HCHG EST PT VISIT LVL2 SF MDM/10+MIN	$413.00	$413.00	$56.45–$392.35	88% above	—
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HCHG LACTATION EST PT LV2 SF MDM/10+MIN	$413.00	$413.00	$56.45–$392.35	88% above	—
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 HCHG EST PT OV LVL2 SF MDM/10+MIN &PROC	$413.00	$413.00	—	—	—
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 HCHG LACTATION EST PT LV2 SF MDM/10+MIN	$413.00	$413.00	—	—	—
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 HCHG EST PT VISIT LV2 SF MDM/10+MIN	$413.00	$413.00	—	—	—
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 HCHG EST PT VISIT LVL2 SF MDM/10+MIN	$413.00	$413.00	—	—	—
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 HCHG EST PT OV LVL2 SF MDM/10+MIN	$413.00	$413.00	—	—	—
Speech and language evaluation CPT 92523 HCHG EVAL SPCH LANG COMPRHN/EXPRSN	$446.00	$446.00	$67.12–$591.21	40% above	—
Speech and language evaluation inpatient CPT 92523 HCHG EVAL SPCH LANG COMPRHN/EXPRSN	$446.00	$446.00	—	—	—
Speech therapy session, individual CPT 92507 HCHG SPEECH THERAPY	$224.00	$224.00	$33.71–$212.80	26% above	—
Speech therapy session, individual inpatient CPT 92507 HCHG SPEECH THERAPY	$224.00	$224.00	—	—	—
Spirometry (breathing test) CPT 94010 HCHG SPIROMETRY W/WO MAX VOLUNTARY VNT	$340.00	$340.00	$51.17–$593.41	38% above	—
Spirometry (breathing test) inpatient CPT 94010 HCHG SPIROMETRY W/WO MAX VOLUNTARY VNT	$340.00	$340.00	—	—	—
Spirometry before and after a bronchodilator CPT 94060 HCHG SPIROMTRY PRE/POST BRONCHODIL	$572.00	$572.00	$86.09–$1,025.54	9% above	—
Spirometry before and after a bronchodilator inpatient CPT 94060 HCHG SPIROMTRY PRE/POST BRONCHODIL	$572.00	$572.00	—	—	—
Therapeutic activities (functional training), 15 minutes CPT 97530 HCHG OT THERAPEUTIC ACTIVITY 15 MIN	$154.00	$154.00	$23.18–$148.00	45% above	—
Therapeutic activities (functional training), 15 minutes CPT 97530 HCHG OT ADL EA 15 MINUTES	$154.00	$154.00	$23.18–$148.00	45% above	—
Therapeutic activities (functional training), 15 minutes CPT 97530 HCHG PT THERAPEUTIC ACTIVITY 15 MIN	$154.00	$154.00	$23.18–$148.00	45% above	—
Therapeutic activities (functional training), 15 minutes CPT 97530 HCHG PT TX W/MANU 15 MIN	$154.00	$154.00	$23.18–$148.00	45% above	—
Therapeutic activities (functional training), 15 minutes CPT 97530 HCHG OT THER ACTIVITY	$154.00	$154.00	$23.18–$148.00	45% above	—
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HCHG OT THERAPEUTIC ACTIVITY 15 MIN	$154.00	$154.00	—	—	—
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HCHG OT THER ACTIVITY	$154.00	$154.00	—	—	—
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HCHG PT TX W/MANU 15 MIN	$154.00	$154.00	—	—	—
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HCHG PT THERAPEUTIC ACTIVITY 15 MIN	$154.00	$154.00	—	—	—
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HCHG OT ADL EA 15 MINUTES	$154.00	$154.00	—	—	—
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 CHG THERAPEUTIC PHLEB OPCHM	$503.00	$503.00	$72.38–$477.85	133% above	—
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 CHG PHLEBOTOMY THERAPEUTIC	$503.00	$503.00	$72.38–$477.85	133% above	—
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 HCHG THERAPEUTIC PHLEBOTOMY ATTEMPTED	$529.00	$529.00	$72.38–$502.55	145% above	—
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 HCHG THERAPEUTIC PHLEBOTOMY	$529.00	$529.00	$72.38–$502.55	145% above	—
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 CHG PHLEBOTOMY THERAPEUTIC	$503.00	$503.00	—	—	—
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 CHG THERAPEUTIC PHLEB OPCHM	$503.00	$503.00	—	—	—
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 HCHG THERAPEUTIC PHLEBOTOMY	$529.00	$529.00	—	—	—
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 HCHG THERAPEUTIC PHLEBOTOMY ATTEMPTED	$529.00	$529.00	—	—	—

Vaccines

Procedure	Cash price	List price	Insurers pay	vs North Carolina	Off list
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 VARICELLA VIRUS VACCINE LIVE (PF) 1,350 UNIT/0.5 ML SUBCUTANEOUS SUSP	$1,464.50	$1,464.50	$220.41–$1,391.28	353% above	—
Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 VARICELLA VIRUS VACCINE LIVE (PF) 1,350 UNIT/0.5 ML SUBCUTANEOUS SUSP	$1,464.50	$1,464.50	—	—	—
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 DIPH,PERTUS(ACEL),TET PED(PF) 25 LF UNIT-58 MCG-10 LF/0.5ML IM SYRINGE	$263.90	$263.90	$39.72–$250.71	320% above	—
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 DIPH,PERTUS(ACEL),TET PEDI (PF) 15 LF UNIT-10 MCG-5 LF/0.5 ML IM SUSP	$270.20	$270.20	$40.67–$256.69	330% above	—
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 DIPH,PERTUS(ACEL),TET PED(PF) 25 LF UNIT-58 MCG-10 LF/0.5ML IM SYRINGE	$263.90	$263.90	—	—	—
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 DIPH,PERTUS(ACEL),TET PEDI (PF) 15 LF UNIT-10 MCG-5 LF/0.5 ML IM SUSP	$270.20	$270.20	—	—	—
DTaP, polio and Hib combination vaccine (Pentacel) CPT 90698 HAEMOPHILUS B CONJ-TET,COMPONENT 2 OF 2 (PF) 10 MCG/0.5 ML IM SOLUTION	$953.50	$953.50	$143.50–$905.83	427% above	—
DTaP, polio and Hib combination vaccine (Pentacel) inpatient CPT 90698 HAEMOPHILUS B CONJ-TET,COMPONENT 2 OF 2 (PF) 10 MCG/0.5 ML IM SOLUTION	$953.50	$953.50	—	—	—
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 FLU VACCINE TS 2025-26(6MOS UP)(PF) 45 MCG(15MCG X3)/0.5 ML IM SYRINGE	$164.00	$164.00	$23.22–$155.80	315% above	—
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 FLU VACCINE TS 2025-26(6MOS UP)(PF) 45 MCG(15MCG X3)/0.5 ML IM SYRINGE	$164.00	$164.00	—	—	—
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPATITIS B VIRUS VACCINE RECOMB (PF) 20 MCG/ML INTRAMUSCULAR SYRINGE	$606.10	$606.10	$75.15–$575.80	364% above	—
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HEPATITIS B VIRUS VACCINE RECOMB (PF) 20 MCG/ML INTRAMUSCULAR SYRINGE	$606.10	$606.10	—	—	—
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HEPATITIS B VIRUS VACCINE RECOMB (PF) 5 MCG/0.5 ML INTRAMUSCULAR SUSP	$262.50	$262.50	$33.20–$249.38	149% above	—
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HEPATITIS B VIRUS VACCINE RECMB(PF) 5 MCG/0.5 ML INTRAMUSCULAR SYRINGE	$262.50	$262.50	$33.20–$249.38	149% above	—
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HEPATITIS B VIRUS VACCINE RECOMB (PF) 10 MCG/0.5 ML INTRAMUSCULAR SUSP	$272.90	$272.90	$33.20–$259.26	158% above	—
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HEPATITIS B VIRUS VACCINE RECOMB (PF) 10 MCG/ML INTRAMUSCULAR SYRINGE	$579.50	$579.50	$33.20–$550.53	449% above	—
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HEPATITIS B VIRUS VACCINE RECOMB (PF) 20 MCG/ML INTRAMUSCULAR SUSP	$606.10	$606.10	$33.20–$575.80	474% above	—
Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 HEPATITIS B VIRUS VACCINE RECOMB (PF) 5 MCG/0.5 ML INTRAMUSCULAR SUSP	$262.50	$262.50	—	—	—
Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 HEPATITIS B VIRUS VACCINE RECMB(PF) 5 MCG/0.5 ML INTRAMUSCULAR SYRINGE	$262.50	$262.50	—	—	—
Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 HEPATITIS B VIRUS VACCINE RECOMB (PF) 10 MCG/0.5 ML INTRAMUSCULAR SUSP	$272.90	$272.90	—	—	—
Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 HEPATITIS B VIRUS VACCINE RECOMB (PF) 10 MCG/ML INTRAMUSCULAR SYRINGE	$579.50	$579.50	—	—	—
Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 HEPATITIS B VIRUS VACCINE RECOMB (PF) 20 MCG/ML INTRAMUSCULAR SUSP	$606.10	$606.10	—	—	—
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 HAEMOPHILUS B POLYSACCHARID CONJ-TETANUS TOX(PF) 10 MCG/0.5 ML IM SOLN	$150.20	$150.20	$22.61–$142.69	332% above	—
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) inpatient CPT 90648 HAEMOPHILUS B POLYSACCHARID CONJ-TETANUS TOX(PF) 10 MCG/0.5 ML IM SOLN	$150.10	$150.10	—	—	—
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 FLU VACCINE TS2024-25(65YR UP)(PF)180 MCG/0.5 ML INTRAMUSCULAR SYRINGE	$570.80	$570.80	$85.91–$542.26	1358% above	—
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 FLU VACCINE TS2025-26(65YR UP)(PF)180 MCG/0.5 ML INTRAMUSCULAR SYRINGE	$615.80	$615.80	$92.68–$585.01	1473% above	—
High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 FLU VACCINE TS2024-25(65YR UP)(PF)180 MCG/0.5 ML INTRAMUSCULAR SYRINGE	$570.80	$570.80	—	—	—
High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 FLU VACCINE TS2025-26(65YR UP)(PF)180 MCG/0.5 ML INTRAMUSCULAR SYRINGE	$615.80	$615.80	—	—	—
MMR vaccine (measles, mumps and rubella), live CPT 90707 MEASLES,MUMPS,RUBELLA VACCINE LIVE(PF)1,000-12,500TCID50/0.5 ML SUBCUT	$772.40	$772.40	$116.25–$733.78	253% above	—
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 MEASLES,MUMPS,RUBELLA VACCINE LIVE(PF)1,000-12,500TCID50/0.5 ML SUBCUT	$772.40	$772.40	—	—	—
Meningococcal ACWY vaccine (MenQuadfi) CPT 90619 MENINGOCOCCAL VAC A,C,Y,W-135,CONJ TET (PF) 10 MCG/0.5 ML IM SOLUTION	$1,379.00	$1,379.00	$207.54–$1,310.05	425% above	—
Meningococcal ACWY vaccine (MenQuadfi) inpatient CPT 90619 MENINGOCOCCAL VAC A,C,Y,W-135,CONJ TET (PF) 10 MCG/0.5 ML IM SOLUTION	$1,379.00	$1,379.00	—	—	—
Meningococcal B vaccine (Trumenba) CPT 90621 MENINGOCOCCAL B VACCINE,LIPID FHBP (TRUMENBA) 120MCG/0.5ML IM SYRINGE	$1,653.00	$1,653.00	$248.78–$1,570.35	210% above	—
Meningococcal B vaccine (Trumenba) inpatient CPT 90621 MENINGOCOCCAL B VACCINE,LIPID FHBP (TRUMENBA) 120MCG/0.5ML IM SYRINGE	$1,653.00	$1,653.00	—	—	—
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 PNEUMOCOCCAL 13-VAL CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE	$1,801.10	$1,801.10	$257.99–$1,711.05	353% above	—
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) inpatient CPT 90670 PNEUMOCOCCAL 13-VAL CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE	$1,801.10	$1,801.10	—	—	—
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE	$2,241.10	$2,241.10	$312.90–$2,129.05	192% above	—
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 PNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE	$2,241.10	$2,241.10	—	—	—
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOCOCCAL 23 POLYVALENT VACCINE 25 MCG/0.5 ML INJECTION SOLUTION	$959.40	$959.40	$133.47–$911.43	262% above	—
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMOCOCCAL 23 POLYVALENT VACCINE 25 MCG/0.5 ML INJECTION SOLUTION	$959.40	$959.40	—	—	—
RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) CPT 90381 NIRSEVIMAB-ALIP 100 MG/ML INTRAMUSCULAR SYRINGE	$4,362.10	$4,362.10	$656.50–$4,144.00	209% above	—
RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) inpatient CPT 90381 NIRSEVIMAB-ALIP 100 MG/ML INTRAMUSCULAR SYRINGE	$4,362.10	$4,362.10	—	—	—
RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 NIRSEVIMAB-ALIP 50 MG/0.5 ML INTRAMUSCULAR SYRINGE	$4,430.10	$4,430.10	$666.73–$4,208.60	275% above	—
RSV antibody shot for infants, seasonal dose (0.5 mL) inpatient CPT 90380 NIRSEVIMAB-ALIP 50 MG/0.5 ML INTRAMUSCULAR SYRINGE	$4,430.10	$4,430.10	—	—	—
Rabies vaccine, one dose CPT 90675 RABIES VACCINE, PURIFIED CHICKEN EMBRYO CELL (PF) 2.5 UNIT IM SUSP	$3,259.90	$3,259.90	$315.22–$3,096.91	349% above	—
Rabies vaccine, one dose CPT 90675 RABIES VACCINE,HUMAN DIPLOID (PF) 2.5 UNIT INTRAMUSCULAR SOLUTION	$3,548.50	$3,548.50	$315.22–$3,371.08	389% above	—
Rabies vaccine, one dose inpatient CPT 90675 RABIES VACCINE, PURIFIED CHICKEN EMBRYO CELL (PF) 2.5 UNIT IM SUSP	$3,259.90	$3,259.90	—	—	—
Rabies vaccine, one dose inpatient CPT 90675 RABIES VACCINE,HUMAN DIPLOID (PF) 2.5 UNIT INTRAMUSCULAR SOLUTION	$3,548.50	$3,548.50	—	—	—
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS-DIPHTHERIA TOXOIDS-TD 2 LF UNIT-2 LF UNIT/0.5 ML IM SUSPENSION	$268.90	$268.90	$40.47–$255.46	165% above	—
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS AND DIPHTHERIA TOX (PF) 5 LF UNIT-2 LF UNIT/0.5 ML IM SYRINGE	$352.80	$352.80	$53.10–$335.16	248% above	—
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS AND DIPHTHERIA TOX (PF) 5 LF UNIT-2 LF UNIT/0.5 ML IM SUSP	$352.80	$352.80	$53.10–$335.16	248% above	—
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS-DIPHTHERIA TOXOIDS-TD 2 LF UNIT-2 LF UNIT/0.5 ML IM SUSPENSION	$268.90	$268.90	—	—	—
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS AND DIPHTHERIA TOX (PF) 5 LF UNIT-2 LF UNIT/0.5 ML IM SUSP	$352.80	$352.80	—	—	—
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS AND DIPHTHERIA TOX (PF) 5 LF UNIT-2 LF UNIT/0.5 ML IM SYRINGE	$352.80	$352.80	—	—	—
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 DIPHTH,PERTUS(ACEL)TETANUS(PF)2LF-(2.5-5-3-5MCG)-5 LF/0.5 ML IM SUSP	$415.90	$415.90	$62.59–$395.11	271% above	—
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 DIPHTH,PERTUS(ACEL)TETANUS(PF)2LF-(2.5-5-3-5MCG)-5 LF/0.5 ML IM SUSP	$415.90	$415.90	—	—	—
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HCHG ER IMMUN ADMIN 1ST VACCINE	$211.00	$211.00	$31.76–$200.45	193% above	—
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HCHG IMMUN ADMIN 1ST VACCINE	$211.00	$211.00	$31.76–$200.45	193% above	—
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HCHG ER IMMUN ADMIN 1ST VACCINE	$211.00	$211.00	—	—	—
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HCHG IMMUN ADMIN 1ST VACCINE	$211.00	$211.00	—	—	—
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 HCHG ER IMMUN EA ADDL VACCINE	$95.00	$95.00	$14.30–$90.25	58% above	—
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 HCHG IMMUN EA ADDL VACCINE	$95.00	$95.00	$14.30–$90.25	58% above	—
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 HCHG IMMUN EA ADDL VACCINE	$95.00	$95.00	—	—	—
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 HCHG ER IMMUN EA ADDL VACCINE	$95.00	$95.00	—	—	—

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://sthpiprd.blob.core.windows.net/machine-readable-files/100269/560619359_gaston-memorial-hospital_standardcharges.csv