Hospital Allentown-Bethlehem-Easton, PA-NJ

Hackettstown Medical Center

Hackettstown Medical Center in Hackettstown, NJ publishes cash prices for 516 common procedures listed here, from its own machine-readable price file updated Apr 1, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the New Jersey median for 207 of 514 procedures and above it for 169. By typical cash price it ranks #28 of 55 New Jersey hospitals and #1 of 9 hospitals in the Allentown, PA area, cheapest first. Select a procedure to compare it with other hospitals nearby.

651 Willow Grove St, Hackettstown, NJ 07840 Collected Sep 23, 2026 Source price file Check a bill from this hospital (908) 852-5100

Acute care hospital Nonprofit hospital Emergency department CMS star rating 4 of 5 CCN 310115 · CMS hospital register NPI 1518969419

Financial assistance

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

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

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

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

State law

This state limits hospital bills for lower-income patients

Why New Jersey prices look low: under state law (P.L.2008, c.60), a hospital may not charge an uninsured New Jersey resident whose family income is below 500% of the federal poverty level more than 115% of what Medicare pays for the same service. If that is you, ask the hospital's billing office to apply this limit; a separate physician fee may still apply. Other states' laws.

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs New Jersey	Off list
Abdominal CT scan without and with contrast CPT 74170 CT Abdomen W&WO	$223.70	$6,994.00	—	68% below	97%
Abdominal CT scan without and with contrast CPT 74170 CT Abdomen W&WO	$223.70	$7,148.60	—	68% below	97%
Abdominal CT scan without and with contrast inpatient CPT 74170 CT Abdomen W&WO	$223.70	$6,994.00	—	—	97%
Abdominal X-ray, 2 views CPT 74019 Xr Abdomen 2 Vw	$110.64	$1,165.00	—	10% below	91%
Abdominal X-ray, 2 views CPT 74019 Xr Abdomen 2 Vw	$141.90	$583.00	—	15% above	76%
Abdominal X-ray, 2 views inpatient CPT 74019 Xr Abdomen 2 Vw	$141.90	$583.00	—	—	76%
Ankle X-ray, complete, 3 or more views CPT 73610 Xr Ankle 3+ Vw	$110.64	$767.00	—	6% below	86%
Ankle X-ray, complete, 3 or more views CPT 73610 Xr Ankle 3+ Vw	$110.64	$1,349.00	—	6% below	92%
Ankle X-ray, complete, 3 or more views inpatient CPT 73610 Xr Ankle 3+ Vw	$110.64	$767.00	—	—	86%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 Nips Art Upp/Low Extrm 3+ Lev Uni/1-2 Lev Bil	$161.98	$1,350.00	—	8% below	88%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 Nips Art Upp/Low Extrm 3+ Lev Uni/1-2 Lev Bil	$161.98	$1,350.00	—	8% below	88%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 Nips Art Upp/Low Extrm 3+ Lev Uni/1-2 Lev Bil	$161.98	$1,350.00	—	—	88%
Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 CT Upp Extrm WO	$133.63	$7,029.00	—	71% below	98%
Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 CT Upp Extrm WO	$133.63	$7,029.00	—	71% below	98%
Arm CT scan without contrast (shoulder to hand, any part) inpatient CPT 73200 CT Upp Extrm WO	$133.63	$7,029.00	—	—	98%
Barium swallow (esophagus X-ray with contrast) CPT 74220 Dx Esophagus Inc Delay Sng Cntrst	$223.70	$1,108.10	—	7% above	80%
Barium swallow (esophagus X-ray with contrast) CPT 74220 Dx Esophagus Inc Delay Sng Cntrst	$223.70	$1,089.00	—	7% above	79%
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 Dx Esophagus Inc Delay Sng Cntrst	$223.70	$1,089.00	—	—	79%
Bone scan, whole body (nuclear medicine) CPT 78306 NM Bone/Joint Whole Body	$504.94	$6,327.90	—	4% below	92%
Bone scan, whole body (nuclear medicine) CPT 78306 NM Bone/Joint Whole Body	$504.94	$6,134.00	—	4% below	92%
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 NM Bone/Joint Whole Body	$504.94	$6,134.00	—	—	92%
Breast ultrasound, complete, one breast CPT 76641 US Breast Uni Cmplt	$133.63	$1,183.00	—	6% below	89%
Breast ultrasound, complete, one breast CPT 76641 US Breast Uni Cmplt	$277.20	$3,365.00	—	94% above	92%
Breast ultrasound, complete, one breast inpatient CPT 76641 US Breast Uni Cmplt	$133.63	$1,183.00	—	—	89%
Breast ultrasound, limited (one breast or one area) CPT 76642 US Breast Uni Lmt	$110.64	$911.00	—	21% below	88%
Breast ultrasound, limited (one breast or one area) CPT 76642 US Breast Uni Lmt	$238.14	$1,838.00	—	70% above	87%
Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 US Breast Uni Lmt	$110.64	$911.00	—	—	88%
CT angiography (CTA) of the abdomen and pelvis CPT 74174 Cta Abd & Pelvis W&WO	$448.77	$6,203.00	—	30% below	93%
CT angiography (CTA) of the abdomen and pelvis CPT 74174 Cta Abd & Pelvis W&WO	$448.77	$6,363.54	—	30% below	93%
CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 Cta Abd & Pelvis W&WO	$448.77	$6,203.00	—	—	93%
CT angiography (CTA) of the head CPT 70496 Cta Head W&WO	$223.70	$6,203.00	—	59% below	96%
CT angiography (CTA) of the head CPT 70496 Cta Head W&WO	$546.77	$12,560.99	—	1% above	96%
CT angiography (CTA) of the head inpatient CPT 70496 Cta Head W&WO	$223.70	$6,203.00	—	—	96%
CT angiography (CTA) of the neck CPT 70498 Cta Neck W&WO	$223.70	$6,203.00	—	67% below	96%
CT angiography (CTA) of the neck CPT 70498 Cta Neck W&WO	$546.77	$12,561.89	—	19% below	96%
CT angiography (CTA) of the neck inpatient CPT 70498 Cta Neck W&WO	$223.70	$6,203.00	—	—	96%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 Cta Chest W&WO	$223.70	$6,203.00	—	70% below	96%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 Cta Chest W&WO	$223.70	$6,364.11	—	70% below	96%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 Cta Chest W&WO	$223.70	$6,203.00	—	—	96%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 Cta Heart Struct/Morph 3d W	$476.54	$7,758.00	—	at median	94%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 Cta Heart Struct/Morph 3d W	$476.54	$3,924.47	—	at median	88%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 Cta Heart Struct/Morph 3d W	$476.54	$7,758.00	—	—	94%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT Heart W/Ca+ Test WO	$99.00	$900.00	—	at median	89%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT Heart W/Ca+ Test WO	$99.00	$900.00	—	at median	89%
CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 CT Heart W/Ca+ Test WO	$99.00	$900.00	—	—	89%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT Abd & Pelvis WO	$303.75	$10,735.00	—	52% below	97%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT Abd & Pelvis WO	$303.75	$10,735.00	—	52% below	97%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT Abd & Pelvis WO	$303.75	$10,735.00	—	—	97%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT Abd & Pelvis W	$448.77	$11,817.00	—	40% below	96%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT Abd & Pelvis W	$546.77	$17,344.32	—	27% below	97%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT Abd & Pelvis W	$448.77	$11,817.00	—	—	96%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT Abd & Pelvis W&WO	$448.77	$12,576.00	—	52% below	96%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT Abd & Pelvis W&WO	$448.77	$12,730.70	—	52% below	96%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT Abd & Pelvis W&WO	$448.77	$12,576.00	—	—	96%
CT scan of the abdomen with contrast CPT 74160 CT Abdomen W	$223.70	$6,533.66	—	61% below	97%
CT scan of the abdomen with contrast CPT 74160 CT Abdomen W	$223.70	$6,371.00	—	61% below	96%
CT scan of the abdomen with contrast inpatient CPT 74160 CT Abdomen W	$223.70	$6,371.00	—	—	96%
CT scan of the abdomen without contrast CPT 74150 CT Abdomen WO	$133.63	$5,084.00	—	69% below	97%
CT scan of the abdomen without contrast CPT 74150 CT Abdomen WO	$133.63	$5,084.00	—	69% below	97%
CT scan of the abdomen without contrast inpatient CPT 74150 CT Abdomen WO	$133.63	$5,084.00	—	—	97%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT Maxillofacial WO	$133.63	$6,399.00	—	74% below	98%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT Maxillofacial WO	$133.63	$6,399.00	—	74% below	98%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT Maxillofacial WO	$133.63	$6,399.00	—	—	98%
CT scan of the head or brain, no contrast dye CPT 70450 CT Head WO	$133.63	$4,246.00	—	68% below	97%
CT scan of the head or brain, no contrast dye CPT 70450 CT Head WO	$133.63	$4,246.00	—	68% below	97%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT Head WO	$133.63	$4,246.00	—	—	97%
CT scan of the head with contrast CPT 70460 CT Head W	$223.70	$4,165.00	—	53% below	95%
CT scan of the head with contrast CPT 70460 CT Head W	$546.77	$8,693.70	—	14% above	94%
CT scan of the head with contrast inpatient CPT 70460 CT Head W	$223.70	$4,165.00	—	—	95%
CT scan of the head without and with contrast CPT 70470 CT Head W&WO	$237.54	$5,903.00	—	61% below	96%
CT scan of the head without and with contrast CPT 70470 CT Head W&WO	$237.54	$4,374.02	—	61% below	95%
CT scan of the head without and with contrast inpatient CPT 70470 CT Head W&WO	$237.54	$5,903.00	—	—	96%
CT scan of the pelvis, with contrast dye CPT 72193 CT Pelvis W	$237.54	$4,384.08	—	54% below	95%
CT scan of the pelvis, with contrast dye CPT 72193 CT Pelvis W	$237.54	$7,137.00	—	54% below	97%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT Pelvis W	$237.54	$7,137.00	—	—	97%
Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 Duplex Extracranial Art Cmplt	$303.75	$2,663.00	—	6% below	89%
Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 Duplex Extracranial Art Cmplt	$303.75	$2,663.00	—	6% below	89%
Carotid artery ultrasound (duplex), both sides of the neck inpatient CPT 93880 Duplex Extracranial Art Cmplt	$303.75	$2,663.00	—	—	89%
Chest CT scan without and with contrast CPT 71270 CT Thorax Dx W&WO	$237.54	$4,820.00	—	69% below	95%
Chest CT scan without and with contrast CPT 71270 CT Thorax Dx W&WO	$2,019.50	$8,408.26	—	162% above	76%
Chest CT scan without and with contrast inpatient CPT 71270 CT Thorax Dx W&WO	$237.54	$4,820.00	—	—	95%
Chest X-ray, 2 views CPT 71046 Xr Chest 2 Vw	$110.64	$582.00	—	1% below	81%
Chest X-ray, 2 views CPT 71046 Xr Chest 2 Vw	$110.64	$582.00	—	1% below	81%
Chest X-ray, 2 views inpatient CPT 71046 Xr Chest 2 Vw	$110.64	$582.00	—	—	81%
Chest X-ray, single view CPT 71045 Xr Chest 1vw	$110.64	$591.00	—	6% above	81%
Chest X-ray, single view CPT 71045 Xr Chest 1vw	$501.95	$5,060.26	—	382% above	90%
Chest X-ray, single view inpatient CPT 71045 Xr Chest 1vw	$110.64	$591.00	—	—	81%
Collarbone (clavicle) X-ray, complete CPT 73000 Xr Clavicle Cmplt	$110.64	$1,350.00	—	6% below	92%
Collarbone (clavicle) X-ray, complete CPT 73000 Xr Clavicle Cmplt	$110.64	$675.00	—	6% below	84%
Collarbone (clavicle) X-ray, complete inpatient CPT 73000 Xr Clavicle Cmplt	$110.64	$675.00	—	—	84%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US Retroperitoneal Cmplt	$133.63	$1,381.00	—	36% below	90%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US Retroperitoneal Cmplt	$133.63	$1,381.00	—	36% below	90%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US Retroperitoneal Cmplt	$133.63	$1,381.00	—	—	90%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 DXA Bone Density 1+ Site Axial	$133.63	$1,637.00	—	6% below	92%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 DXA Bone Density 1+ Site Axial	$133.63	$1,637.00	—	6% below	92%
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 DXA Bone Density 1+ Site Axial	$133.63	$1,637.00	—	—	92%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 DXA Bone Density 1+ Site Appendicular	$463.00	$463.00	—	344% above	—
DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 DXA Bone Density 1+ Site Appendicular	$463.00	$463.00	—	—	—
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 US Uterus OB Det Anat Sng Fetus	$322.54	$3,185.00	—	4% above	90%
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 US Uterus OB Det Anat Sng Fetus	$322.54	$773.00	—	4% above	58%
Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 US Uterus OB Det Anat Sng Fetus	$322.54	$3,185.00	—	—	90%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT Thorax Dx WO	$133.63	$4,275.00	—	74% below	97%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT Thorax Dx WO	$133.63	$4,275.00	—	74% below	97%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT Thorax Dx WO	$133.63	$4,275.00	—	—	97%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT Thorax Dx W	$223.70	$5,397.00	—	63% below	96%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT Thorax Dx W	$546.77	$17,369.01	—	11% below	97%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT Thorax Dx W	$223.70	$5,397.00	—	—	96%
Diagnostic mammogram, both breasts CPT 77066 Mammogram Dx Dig Bil	$137.79	$1,112.00	—	13% below	88%
Diagnostic mammogram, both breasts CPT 77066 Mammogram Dx Dig Bil	$290.75	$3,650.00	—	85% above	92%
Diagnostic mammogram, both breasts inpatient CPT 77066 Mammogram Dx Dig Bil	$137.79	$1,112.00	—	—	88%
Diagnostic mammogram, one breast CPT 77065 Mammogram Dx Dig Uni	$108.17	$748.00	—	34% below	86%
Diagnostic mammogram, one breast CPT 77065 Mammogram Dx Dig Uni	$261.13	$2,110.00	—	59% above	88%
Diagnostic mammogram, one breast inpatient CPT 77065 Mammogram Dx Dig Uni	$108.17	$748.00	—	—	86%
Duplex ultrasound of the leg arteries, both legs CPT 93925 Duplex Art/Grft(S) Low Extrm Cmplt Bil	$303.75	$2,709.00	—	at median	89%
Duplex ultrasound of the leg arteries, both legs CPT 93925 Duplex Art/Grft(S) Low Extrm Cmplt Bil	$381.57	$3,426.71	—	26% above	89%
Duplex ultrasound of the leg arteries, both legs inpatient CPT 93925 Duplex Art/Grft(S) Low Extrm Cmplt Bil	$303.75	$2,709.00	—	—	89%
Duplex ultrasound of the leg veins, both legs CPT 93970 Duplex Veins Extrm Cmplt Bil	$303.75	$2,709.00	—	6% below	89%
Duplex ultrasound of the leg veins, both legs CPT 93970 Duplex Veins Extrm Cmplt Bil	$303.75	$2,709.00	—	6% below	89%
Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 Duplex Veins Extrm Cmplt Bil	$303.75	$2,709.00	—	—	89%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 Tte WO Cntr W Clr&Dpl Cmplt	$689.00	$9,314.00	—	6% below	93%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 Tte WO Cntr W Clr&Dpl Cmplt	$689.00	$9,314.00	—	6% below	93%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 Tte WO Cntr W Clr&Dpl Cmplt	$689.00	$9,314.00	—	—	93%
Elbow X-ray, 2 views CPT 73070 Xr Elbow 2 Vw	$110.64	$641.00	—	1% below	83%
Elbow X-ray, 2 views CPT 73070 Xr Elbow 2 Vw	$110.64	$641.00	—	1% below	83%
Elbow X-ray, 2 views inpatient CPT 73070 Xr Elbow 2 Vw	$110.64	$641.00	—	—	83%
Elbow X-ray, complete, 3 or more views CPT 73080 Xr Elbow 3+ Vw	$110.64	$746.00	—	6% below	85%
Elbow X-ray, complete, 3 or more views CPT 73080 Xr Elbow 3+ Vw	$110.64	$2,287.00	—	6% below	95%
Elbow X-ray, complete, 3 or more views inpatient CPT 73080 Xr Elbow 3+ Vw	$110.64	$746.00	—	—	85%
Eye socket (orbit) CT scan without contrast CPT 70480 CT Orbit Sella Mid/Inner Ear WO	$133.63	$5,075.00	—	68% below	97%
Eye socket (orbit) CT scan without contrast CPT 70480 CT Orbit Sella Mid/Inner Ear WO	$133.63	$5,075.00	—	68% below	97%
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 CT Orbit Sella Mid/Inner Ear WO	$133.63	$5,075.00	—	—	97%
Facial bones X-ray, complete, 3 or more views CPT 70150 Xr Facial Bones 3+ Vw	$141.90	$1,463.00	—	1% above	90%
Facial bones X-ray, complete, 3 or more views CPT 70150 Xr Facial Bones 3+ Vw	$141.90	$1,156.00	—	1% above	88%
Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 Xr Facial Bones 3+ Vw	$141.90	$1,156.00	—	—	88%
Forearm X-ray (radius and ulna), 2 views CPT 73090 Xr Forearm 2 Vw	$110.64	$705.00	—	6% below	84%
Forearm X-ray (radius and ulna), 2 views CPT 73090 Xr Forearm 2 Vw	$133.63	$1,862.00	—	14% above	93%
Forearm X-ray (radius and ulna), 2 views inpatient CPT 73090 Xr Forearm 2 Vw	$110.64	$705.00	—	—	84%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 NM Hepatobiliary Sys	$511.48	$1,866.00	—	at median	73%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 NM Hepatobiliary Sys	$536.19	$3,266.84	—	5% above	84%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 NM Hepatobiliary Sys	$511.48	$1,866.00	—	—	73%
Hand X-ray, 2 views CPT 73120 Xr Hand 2 Vw	$133.63	$800.00	—	1% below	83%
Hand X-ray, 2 views CPT 73120 Xr Hand 2 Vw	$133.63	$390.00	—	1% below	66%
Hand X-ray, 2 views inpatient CPT 73120 Xr Hand 2 Vw	$133.63	$390.00	—	—	66%
Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 Xr Calcaneous 2+ Vw	$110.64	$627.00	—	4% below	82%
Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 Xr Calcaneous 2+ Vw	$110.64	$1,394.00	—	4% below	92%
Heel bone (calcaneus) X-ray, 2 or more views inpatient CPT 73650 Xr Calcaneous 2+ Vw	$110.64	$627.00	—	—	82%
Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 Sleep Study Unattd W Resp Effort	$199.16	$950.00	—	46% below	79%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 Polysom 6+ Yrs 4+ Parameters Init Cpap	$1,357.57	$13,397.00	—	at median	90%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 Polysom 6+ Yrs 4+ Parameters Init Cpap	$1,357.57	$12,655.00	—	at median	89%
In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 Polysom 6+ Yrs 4+ Parameters Init Cpap	$1,357.57	$13,397.00	—	—	90%
Knee X-ray, 3 views CPT 73562 Xr Knee 3 Vw	$110.64	$851.00	—	6% below	87%
Knee X-ray, 3 views CPT 73562 Xr Knee 3 Vw	$133.63	$1,261.00	—	14% above	89%
Knee X-ray, 3 views inpatient CPT 73562 Xr Knee 3 Vw	$110.64	$851.00	—	—	87%
Knee X-ray, complete, 4 or more views CPT 73564 Xr Knee 4+ Vw	$133.63	$992.00	—	6% below	87%
Knee X-ray, complete, 4 or more views CPT 73564 Xr Knee 4+ Vw	$133.63	$992.00	—	6% below	87%
Knee X-ray, complete, 4 or more views inpatient CPT 73564 Xr Knee 4+ Vw	$133.63	$992.00	—	—	87%
Leg CT scan without contrast (hip to foot, any part) CPT 73700 CT Lwr Extrm WO	$133.63	$6,711.00	—	71% below	98%
Leg CT scan without contrast (hip to foot, any part) CPT 73700 CT Lwr Extrm WO	$133.63	$6,711.00	—	71% below	98%
Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 CT Lwr Extrm WO	$133.63	$6,711.00	—	—	98%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US Abdomen Lmt	$133.63	$1,535.00	—	18% below	91%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US Abdomen Lmt	$133.63	$1,535.00	—	18% below	91%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US Abdomen Lmt	$133.63	$1,535.00	—	—	91%
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 US Joint/Nonvasc Struct Extrm Lmt	$133.63	$947.00	—	2% below	86%
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 US Joint/Nonvasc Struct Extrm Lmt	$133.63	$947.00	—	2% below	86%
Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 US Joint/Nonvasc Struct Extrm Lmt	$133.63	$947.00	—	—	86%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT Thorax Scrn Lung Ca WO	$133.63	$3,070.00	—	6% below	96%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT Thorax Scrn Lung Ca WO	$133.63	$3,070.00	—	6% below	96%
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 CT Thorax Scrn Lung Ca WO	$133.63	$3,070.00	—	—	96%
Lower leg X-ray (tibia and fibula), 2 views CPT 73590 Xr Tibia & Fibula 2 Vw	$110.64	$1,493.00	—	6% below	93%
Lower leg X-ray (tibia and fibula), 2 views CPT 73590 Xr Tibia & Fibula 2 Vw	$110.64	$726.00	—	6% below	85%
Lower leg X-ray (tibia and fibula), 2 views inpatient CPT 73590 Xr Tibia & Fibula 2 Vw	$110.64	$726.00	—	—	85%
MR angiography (MRA) of the head without contrast CPT 70544 Mra Head WO	$322.54	$7,391.00	—	54% below	96%
MR angiography (MRA) of the head without contrast CPT 70544 Mra Head WO	$720.92	$8,780.00	—	4% above	92%
MR angiography (MRA) of the head without contrast inpatient CPT 70544 Mra Head WO	$322.54	$7,391.00	—	—	96%
MRI of both breasts, without and then with contrast dye both sides CPT 77049 MRI Breast Without&With Contrast W/Cad Bilateral	$294.12	$6,968.72	—	—	96%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI Joint Lwr Extrm WO	$322.54	$4,469.00	—	22% below	93%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI Joint Lwr Extrm WO	$322.54	$11,801.00	—	22% below	97%
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 MRI Joint Lwr Extrm WO	$322.54	$11,801.00	—	—	97%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI Joint Lwr Extrm W&WO	$476.54	$7,086.80	—	34% below	93%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI Joint Lwr Extrm W&WO	$476.54	$16,577.00	—	34% below	97%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 MRI Joint Lwr Extrm W&WO	$476.54	$16,577.00	—	—	97%
MRI of the abdomen without contrast CPT 74181 MRI Abdomen WO	$322.54	$7,804.00	—	50% below	96%
MRI of the abdomen without contrast CPT 74181 MRI Abdomen WO	$322.54	$4,469.00	—	50% below	93%
MRI of the abdomen without contrast inpatient CPT 74181 MRI Abdomen WO	$322.54	$7,804.00	—	—	96%
MRI of the abdomen, without and then with contrast dye CPT 74183 MRI Abdomen W&WO	$476.54	$11,801.00	—	49% below	96%
MRI of the abdomen, without and then with contrast dye CPT 74183 MRI Abdomen W&WO	$476.54	$7,086.80	—	49% below	93%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MRI Abdomen W&WO	$476.54	$11,801.00	—	—	96%
MRI of the brain, no contrast dye CPT 70551 MRI Brain WO	$322.54	$4,469.00	—	52% below	93%
MRI of the brain, no contrast dye CPT 70551 MRI Brain WO	$322.54	$7,491.00	—	52% below	96%
MRI of the brain, no contrast dye inpatient CPT 70551 MRI Brain WO	$322.54	$7,491.00	—	—	96%
MRI of the brain, with and without contrast dye CPT 70553 MRI Brain W&WO	$476.54	$7,086.80	—	53% below	93%
MRI of the brain, with and without contrast dye CPT 70553 MRI Brain W&WO	$476.54	$14,637.00	—	53% below	97%
MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI Brain W&WO	$476.54	$14,637.00	—	—	97%
MRI of the lower back, no contrast dye CPT 72148 MRI Spine Lumb WO	$322.54	$9,545.00	—	46% below	97%
MRI of the lower back, no contrast dye CPT 72148 MRI Spine Lumb WO	$322.54	$4,469.00	—	46% below	93%
MRI of the lower back, no contrast dye inpatient CPT 72148 MRI Spine Lumb WO	$322.54	$9,545.00	—	—	97%
MRI of the lower back, without and then with contrast dye CPT 72158 MRI Spine Lumb W&WO	$476.54	$16,310.00	—	53% below	97%
MRI of the lower back, without and then with contrast dye CPT 72158 MRI Spine Lumb W&WO	$618.44	$9,575.80	—	39% below	94%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MRI Spine Lumb W&WO	$476.54	$16,310.00	—	—	97%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI Spine Thor WO	$322.54	$10,136.00	—	48% below	97%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI Spine Thor WO	$678.91	$8,852.00	—	9% above	92%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MRI Spine Thor WO	$322.54	$10,136.00	—	—	97%
MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI Spine Cerv W&WO	$476.54	$11,210.00	—	52% below	96%
MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI Spine Cerv W&WO	$1,140.66	$13,397.80	—	14% above	91%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MRI Spine Cerv W&WO	$476.54	$11,210.00	—	—	96%
MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI Spine Cerv WO	$322.54	$7,606.00	—	44% below	96%
MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI Spine Cerv WO	$322.54	$5,390.00	—	44% below	94%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MRI Spine Cerv WO	$322.54	$7,606.00	—	—	96%
MRI of the pelvis without and with contrast CPT 72197 MRI Pelvis W&WO	$476.54	$7,037.34	—	54% below	93%
MRI of the pelvis without and with contrast CPT 72197 MRI Pelvis W&WO	$476.54	$10,437.00	—	54% below	95%
MRI of the pelvis without and with contrast inpatient CPT 72197 MRI Pelvis W&WO	$476.54	$10,437.00	—	—	95%
MRI of the pelvis, no contrast dye CPT 72195 MRI Pelvis WO	$322.54	$7,117.00	—	51% below	95%
MRI of the pelvis, no contrast dye CPT 72195 MRI Pelvis WO	$322.54	$4,469.00	—	51% below	93%
MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI Pelvis WO	$322.54	$7,117.00	—	—	95%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MRI Joint Upp Extrm WO	$322.54	$4,722.00	—	22% below	93%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MRI Joint Upp Extrm WO	$322.54	$4,469.00	—	22% below	93%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 MRI Joint Upp Extrm WO	$322.54	$4,722.00	—	—	93%
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 Xr Spine Cerv 4-5 Vw	$133.63	$902.00	—	23% below	85%
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 Xr Spine Cerv 4-5 Vw	$133.63	$902.00	—	23% below	85%
Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 Xr Spine Cerv 4-5 Vw	$133.63	$902.00	—	—	85%
Neck soft tissue CT scan with contrast CPT 70491 CT Neck Soft Tissue W	$223.70	$4,374.00	—	62% below	95%
Neck soft tissue CT scan with contrast CPT 70491 CT Neck Soft Tissue W	$334.34	$5,111.01	—	44% below	93%
Neck soft tissue CT scan with contrast inpatient CPT 70491 CT Neck Soft Tissue W	$223.70	$4,374.00	—	—	95%
Neck soft tissue CT scan without contrast CPT 70490 CT Neck Soft Tissue WO	$133.63	$4,107.00	—	73% below	97%
Neck soft tissue CT scan without contrast CPT 70490 CT Neck Soft Tissue WO	$282.17	$8,382.00	—	44% below	97%
Neck soft tissue CT scan without contrast inpatient CPT 70490 CT Neck Soft Tissue WO	$133.63	$4,107.00	—	—	97%
Neck soft tissue X-ray CPT 70360 Xr Neck Soft Tissue	$112.08	$1,186.00	—	at median	91%
Neck soft tissue X-ray CPT 70360 Xr Neck Soft Tissue	$117.49	$591.00	—	5% above	80%
Neck soft tissue X-ray inpatient CPT 70360 Xr Neck Soft Tissue	$117.49	$591.00	—	—	80%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM Myocard Spect Mult	$1,640.47	$12,843.00	—	7% above	87%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM Myocard Spect Mult	$1,640.47	$18,244.79	—	7% above	91%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 NM Myocard Spect Mult	$1,640.47	$12,843.00	—	—	87%
PET/CT scan from the base of the skull to mid-thigh CPT 78815 Pet CT Neck to Thigh	$1,832.87	$10,537.00	—	1% below	83%
PET/CT scan from the base of the skull to mid-thigh CPT 78815 Pet CT Neck to Thigh	$1,832.87	$11,087.29	—	1% below	83%
PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 Pet CT Neck to Thigh	$1,832.87	$10,537.00	—	—	83%
Pelvic CT scan without contrast CPT 72192 CT Pelvis WO	$133.63	$6,455.00	—	68% below	98%
Pelvic CT scan without contrast CPT 72192 CT Pelvis WO	$133.63	$6,455.00	—	68% below	98%
Pelvic CT scan without contrast inpatient CPT 72192 CT Pelvis WO	$133.63	$6,455.00	—	—	98%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US Pelvic Lmt	$133.63	$742.00	—	at median	82%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US Pelvic Lmt	$133.63	$742.00	—	at median	82%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US Pelvic Lmt	$133.63	$742.00	—	—	82%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US Pelvic Cmplt	$133.63	$2,102.00	—	43% below	94%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US Pelvic Cmplt	$267.26	$4,328.00	—	13% above	94%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US Pelvic Cmplt	$133.63	$2,102.00	—	—	94%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US Uterus OB 14+ Wks Sng Fetus	$141.90	$663.00	—	25% below	79%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US Uterus OB 14+ Wks Sng Fetus	$141.90	$663.00	—	25% below	79%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US Uterus OB 14+ Wks Sng Fetus	$141.90	$663.00	—	—	79%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US Uterus OB <14 Wks Sng Fetus	$141.90	$1,219.00	—	at median	88%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US Uterus OB <14 Wks Sng Fetus	$141.90	$2,124.00	—	at median	93%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 US Uterus OB <14 Wks Sng Fetus	$141.90	$2,124.00	—	—	93%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US Uterus OB 1+ Fetus Lmt	$135.36	$2,135.00	—	25% below	94%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US Uterus OB 1+ Fetus Lmt	$141.90	$846.00	—	22% below	83%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 US Uterus OB 1+ Fetus Lmt	$135.36	$2,135.00	—	—	94%
Rib X-ray, one side, 2 views CPT 71100 Xr Ribs Uni 2 Vw	$110.64	$410.00	—	1% below	73%
Rib X-ray, one side, 2 views CPT 71100 Xr Ribs Uni 2 Vw	$110.64	$992.00	—	1% below	89%
Rib X-ray, one side, 2 views inpatient CPT 71100 Xr Ribs Uni 2 Vw	$110.64	$410.00	—	—	73%
Rib X-ray, one side, with a chest view, 3 or more views CPT 71101 Xr Ribs Uni W/Pa Chest 3+ Vw	$133.63	$569.00	—	at median	77%
Rib X-ray, one side, with a chest view, 3 or more views CPT 71101 Xr Ribs Uni W/Pa Chest 3+ Vw	$133.63	$569.00	—	at median	77%
Rib X-ray, one side, with a chest view, 3 or more views inpatient CPT 71101 Xr Ribs Uni W/Pa Chest 3+ Vw	$133.63	$569.00	—	—	77%
Screening mammogram, both breasts CPT 77067 Mammogram Scrn Dig Bil	$113.95	$827.00	—	12% below	86%
Screening mammogram, both breasts CPT 77067 Mammogram Scrn Dig Uni	$113.95	$779.00	—	12% below	85%
Screening mammogram, both breasts CPT 77067 Mammogram Scrn Dig Bil	$143.57	$1,006.00	—	11% above	86%
Screening mammogram, both breasts inpatient CPT 77067 Mammogram Scrn Dig Uni	$113.95	$779.00	—	—	85%
Screening mammogram, both breasts inpatient CPT 77067 Mammogram Scrn Dig Bil	$113.95	$827.00	—	—	86%
Shoulder X-ray, complete, 2 or more views CPT 73030 Xr Shoulder 2+ Vw	$110.64	$774.00	—	6% below	86%
Shoulder X-ray, complete, 2 or more views CPT 73030 Xr Shoulder 2+ Vw	$133.63	$1,184.00	—	14% above	89%
Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 Xr Shoulder 2+ Vw	$110.64	$774.00	—	—	86%
Sinus X-ray, complete, 3 or more views CPT 70220 Xr Sinuses 3+ Vw	$110.64	$1,049.00	—	2% below	89%
Sinus X-ray, complete, 3 or more views CPT 70220 Xr Sinuses 3+ Vw	$110.64	$1,049.00	—	2% below	89%
Sinus X-ray, complete, 3 or more views inpatient CPT 70220 Xr Sinuses 3+ Vw	$110.64	$1,049.00	—	—	89%
Skull X-ray, fewer than 4 views CPT 70250 Xr Skull <4 Vw	$110.64	$1,894.00	—	8% below	94%
Skull X-ray, fewer than 4 views CPT 70250 Xr Skull <4 Vw	$133.63	$564.00	—	11% above	76%
Skull X-ray, fewer than 4 views inpatient CPT 70250 Xr Skull <4 Vw	$133.63	$564.00	—	—	76%
Sleep study in a lab (polysomnography) CPT 95810 Polysom 6+ Yrs 4+ Paramtrs	$1,357.57	$9,070.00	—	3% above	85%
Sleep study in a lab (polysomnography) CPT 95810 Polysom 6+ Yrs 4+ Paramtrs	$1,357.57	$12,032.00	—	3% above	89%
Sleep study in a lab (polysomnography) inpatient CPT 95810 Polysom 6+ Yrs 4+ Paramtrs	$1,357.57	$12,032.00	—	—	89%
Stress echocardiogram, complete, including the stress test and supervision CPT 93351 Stress Tte Cmplt WO Cntr	$689.00	$7,672.00	—	2% below	91%
Stress echocardiogram, complete, including the stress test and supervision CPT 93351 Stress Tte Cmplt WO Cntr	$689.00	$7,672.00	—	2% below	91%
Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 Stress Tte Cmplt WO Cntr	$689.00	$7,672.00	—	—	91%
Swallow study (modified barium swallow, video X-ray) CPT 74230 Dx Swallow Func Cine/Video Inc Delay W Cntrst	$223.70	$1,121.00	—	2% below	80%
Swallow study (modified barium swallow, video X-ray) CPT 74230 Dx Swallow Func Cine/Video Inc Delay W Cntrst	$333.58	$2,842.14	—	47% above	88%
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 Dx Swallow Func Cine/Video Inc Delay W Cntrst	$223.70	$1,121.00	—	—	80%
Thigh bone (femur) X-ray, 2 or more views CPT 73552 Xr Femur 2+ Vw	$110.64	$531.00	—	2% below	79%
Thigh bone (femur) X-ray, 2 or more views CPT 73552 Xr Femur 2+ Vw	$133.63	$1,359.00	—	19% above	90%
Thigh bone (femur) X-ray, 2 or more views inpatient CPT 73552 Xr Femur 2+ Vw	$110.64	$531.00	—	—	79%
Thoracic spine (mid back) CT scan without contrast CPT 72128 CT Spine Thor WO	$141.90	$5,109.00	—	70% below	97%
Thoracic spine (mid back) CT scan without contrast CPT 72128 CT Spine Thor WO	$299.63	$4,734.00	—	38% below	94%
Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 CT Spine Thor WO	$141.90	$5,109.00	—	—	97%
Toe X-ray, 2 or more views CPT 73660 Xr Toes(S) 2+ Vw	$110.64	$410.00	—	1% below	73%
Toe X-ray, 2 or more views CPT 73660 Xr Toes(S) 2+ Vw	$110.64	$410.00	—	1% below	73%
Toe X-ray, 2 or more views inpatient CPT 73660 Xr Toes(S) 2+ Vw	$110.64	$410.00	—	—	73%
Transvaginal pelvic ultrasound CPT 76830 US Transvaginal Non OB	$133.63	$2,226.00	—	40% below	94%
Transvaginal pelvic ultrasound CPT 76830 US Transvaginal Non OB	$267.26	$4,328.00	—	21% above	94%
Transvaginal pelvic ultrasound inpatient CPT 76830 US Transvaginal Non OB	$133.63	$2,226.00	—	—	94%
Transvaginal ultrasound during pregnancy CPT 76817 US Uterus OB Transvaginal	$135.36	$1,241.00	—	5% below	89%
Transvaginal ultrasound during pregnancy CPT 76817 US Uterus OB Transvaginal	$141.90	$1,344.00	—	at median	89%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 US Uterus OB Transvaginal	$135.36	$1,241.00	—	—	89%
Ultrasound of the abdomen, complete CPT 76700 US Abdomen Cmplt	$133.63	$2,359.00	—	40% below	94%
Ultrasound of the abdomen, complete CPT 76700 US Abdomen Cmplt	$133.63	$2,359.00	—	40% below	94%
Ultrasound of the abdomen, complete inpatient CPT 76700 US Abdomen Cmplt	$133.63	$2,359.00	—	—	94%
Ultrasound of the scrotum and testicles CPT 76870 US Scrotum	$133.63	$1,706.00	—	29% below	92%
Ultrasound of the scrotum and testicles CPT 76870 US Scrotum	$133.63	$3,488.00	—	29% below	96%
Ultrasound of the scrotum and testicles inpatient CPT 76870 US Scrotum	$133.63	$1,706.00	—	—	92%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US Head & Neck	$133.63	$1,654.00	—	42% below	92%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US Head & Neck	$133.63	$1,654.00	—	42% below	92%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US Head & Neck	$133.63	$1,654.00	—	—	92%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 Dx Ugi Inc Delay Sng Cntrst	$223.70	$1,150.00	—	4% below	81%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 Dx Ugi Inc Delay Sng Cntrst	$223.70	$1,165.56	—	4% below	81%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 Dx Ugi Inc Delay Sng Cntrst	$223.70	$1,150.00	—	—	81%
Upper arm X-ray (humerus), 2 views CPT 73060 Xr Humerus 2+ Vw	$110.64	$489.00	—	6% below	77%
Upper arm X-ray (humerus), 2 views CPT 73060 Xr Humerus 2+ Vw	$110.64	$1,263.00	—	6% below	91%
Upper arm X-ray (humerus), 2 views inpatient CPT 73060 Xr Humerus 2+ Vw	$110.64	$489.00	—	—	77%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 Duplex Veins Extrm Uni/Lmt	$133.63	$1,721.00	—	33% below	92%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 Duplex Veins Extrm Uni/Lmt	$133.63	$1,721.00	—	33% below	92%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 Duplex Veins Extrm Uni/Lmt	$133.63	$1,721.00	—	—	92%
Wrist X-ray, 2 views CPT 73100 Xr Wrist 2 Vw	$110.64	$786.00	—	1% below	86%
Wrist X-ray, 2 views CPT 73100 Xr Wrist 2 Vw	$110.64	$786.00	—	1% below	86%
Wrist X-ray, 2 views inpatient CPT 73100 Xr Wrist 2 Vw	$110.64	$786.00	—	—	86%
Wrist X-ray, complete, 3 or more views CPT 73110 Xr Wrist 3+ Vw	$110.64	$767.00	—	6% below	86%
Wrist X-ray, complete, 3 or more views CPT 73110 Xr Wrist 3+ Vw	$110.64	$1,489.00	—	6% below	93%
Wrist X-ray, complete, 3 or more views inpatient CPT 73110 Xr Wrist 3+ Vw	$110.64	$767.00	—	—	86%
X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 Xr Hip Uni W/Pelvis 2-3 Vw	$110.64	$583.00	—	2% below	81%
X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 Xr Hip Uni W/Pelvis 2-3 Vw	$133.63	$1,115.00	—	19% above	88%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient CPT 73502 Xr Hip Uni W/Pelvis 2-3 Vw	$110.64	$583.00	—	—	81%
X-ray of the abdomen, 1 view CPT 74018 Xr Abdomen 1 Vw	$110.64	$748.00	—	at median	85%
X-ray of the abdomen, 1 view CPT 74018 Xr Abdomen 1 Vw	$110.64	$748.00	—	at median	85%
X-ray of the abdomen, 1 view inpatient CPT 74018 Xr Abdomen 1 Vw	$110.64	$748.00	—	—	85%
X-ray of the ankle, 2 views CPT 73600 Xr Ankle 2 Vw	$110.64	$687.00	—	2% below	84%
X-ray of the ankle, 2 views CPT 73600 Xr Ankle 2 Vw	$110.64	$687.00	—	2% below	84%
X-ray of the ankle, 2 views inpatient CPT 73600 Xr Ankle 2 Vw	$110.64	$687.00	—	—	84%
X-ray of the finger(s), 2 or more views CPT 73140 Xr Finger(S) 2+ Vw	$110.64	$410.00	—	1% below	73%
X-ray of the finger(s), 2 or more views CPT 73140 Xr Finger(S) 2+ Vw	$110.64	$410.00	—	1% below	73%
X-ray of the finger(s), 2 or more views inpatient CPT 73140 Xr Finger(S) 2+ Vw	$110.64	$410.00	—	—	73%
X-ray of the foot, 2 views CPT 73620 Xr Foot 2 Vw	$110.64	$582.00	—	5% below	81%
X-ray of the foot, 2 views CPT 73620 Xr Foot 2 Vw	$110.64	$582.00	—	5% below	81%
X-ray of the foot, 2 views inpatient CPT 73620 Xr Foot 2 Vw	$110.64	$582.00	—	—	81%
X-ray of the foot, complete, 3 or more views CPT 73630 Xr Foot 3+ Vw	$110.64	$767.00	—	6% below	86%
X-ray of the foot, complete, 3 or more views CPT 73630 Xr Foot 3+ Vw	$110.64	$767.00	—	6% below	86%
X-ray of the foot, complete, 3 or more views inpatient CPT 73630 Xr Foot 3+ Vw	$110.64	$767.00	—	—	86%
X-ray of the hand, 3 or more views CPT 73130 Xr Hand 3+ Vw	$110.64	$1,489.00	—	6% below	93%
X-ray of the hand, 3 or more views CPT 73130 Xr Hand 3+ Vw	$110.64	$722.00	—	6% below	85%
X-ray of the hand, 3 or more views inpatient CPT 73130 Xr Hand 3+ Vw	$110.64	$722.00	—	—	85%
X-ray of the knee, 1 or 2 views CPT 73560 Xr Knee 1-2 Vw	$110.64	$669.00	—	6% below	83%
X-ray of the knee, 1 or 2 views CPT 73560 Xr Knee 1-2 Vw	$110.64	$669.00	—	6% below	83%
X-ray of the knee, 1 or 2 views inpatient CPT 73560 Xr Knee 1-2 Vw	$110.64	$669.00	—	—	83%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 Xr Spine Lumbosacr 2-3 Vw	$133.63	$1,048.00	—	3% above	87%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 Xr Spine Lumbosacr 2-3 Vw	$133.63	$1,458.00	—	3% above	91%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 Xr Spine Lumbosacr 2-3 Vw	$133.63	$1,048.00	—	—	87%
X-ray of the lower back, 4 or more views CPT 72110 Xr Spine Lumbosacr 4+ Vw	$133.63	$1,530.00	—	17% below	91%
X-ray of the lower back, 4 or more views CPT 72110 Xr Spine Lumbosacr 4+ Vw	$133.63	$1,530.00	—	17% below	91%
X-ray of the lower back, 4 or more views inpatient CPT 72110 Xr Spine Lumbosacr 4+ Vw	$133.63	$1,530.00	—	—	91%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 Xr Spine Thor 2 Vw	$133.63	$410.00	—	at median	67%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 Xr Spine Thor 2 Vw	$133.63	$1,458.00	—	at median	91%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 Xr Spine Thor 2 Vw	$133.63	$410.00	—	—	67%
X-ray of the nasal bones, 3 or more views CPT 70160 Xr Nasal Bones 3+ Vw	$117.49	$876.00	—	3% above	87%
X-ray of the nasal bones, 3 or more views CPT 70160 Xr Nasal Bones 3+ Vw	$117.49	$541.00	—	3% above	78%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 Xr Nasal Bones 3+ Vw	$117.49	$876.00	—	—	87%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 Xr Spine Cerv 2-3 Vw	$110.64	$582.00	—	6% below	81%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 Xr Spine Cerv 2-3 Vw	$133.63	$992.00	—	14% above	87%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 Xr Spine Cerv 2-3 Vw	$110.64	$582.00	—	—	81%
X-ray of the pelvis, 1 or 2 views CPT 72170 Xr Pelvis 1-2 Vw	$133.63	$1,383.00	—	7% above	90%
X-ray of the pelvis, 1 or 2 views CPT 72170 Xr Pelvis 1-2 Vw	$133.63	$532.00	—	7% above	75%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 Xr Pelvis 1-2 Vw	$133.63	$532.00	—	—	75%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 Xr Sacrum Coccyx 2+ Vw	$110.64	$795.00	—	6% below	86%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 Xr Sacrum Coccyx 2+ Vw	$110.64	$795.00	—	6% below	86%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 Xr Sacrum Coccyx 2+ Vw	$110.64	$795.00	—	—	86%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs New Jersey	Off list
ACTH blood test CPT 82024 ACTH	$44.41	$113.00	—	at median	61%
ACTH blood test CPT 82024 ACTH	$162.18	$2,278.00	—	265% above	93%
ACTH blood test inpatient CPT 82024 ACTH	$44.41	$113.00	—	—	61%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 Transferase Alt Sgt	$6.10	$249.00	—	at median	98%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 Transferase Alt Sgt	$174.64	$4,876.00	—	2763% above	96%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 Transferase Alt Sgt	$6.10	$249.00	—	—	98%
AST (aspartate aminotransferase) enzyme test CPT 84450 Transferase Ast Sgot	$5.96	$124.00	—	at median	95%
AST (aspartate aminotransferase) enzyme test CPT 84450 Transferase Ast Sgot	$174.64	$4,876.00	—	2830% above	96%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 Transferase Ast Sgot	$5.96	$124.00	—	—	95%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 Acute Hepatitis Panel	$54.77	$1,294.00	—	at median	96%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 Acute Hepatitis Panel	$110.74	$4,056.00	—	102% above	97%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 Acute Hepatitis Panel	$54.77	$1,294.00	—	—	96%
Albumin blood test CPT 82040 Albumin Serum	$5.69	$124.00	—	at median	95%
Albumin blood test CPT 82040 Albumin Serum	$174.64	$4,876.00	—	2969% above	96%
Albumin blood test inpatient CPT 82040 Albumin Serum	$5.69	$124.00	—	—	95%
Aldosterone blood test CPT 82088 Aldosterone Serum	$46.86	$82.00	—	at median	43%
Aldosterone blood test CPT 82088 Aldosterone Urine 24 Hr	$46.86	$1,225.00	—	at median	96%
Aldosterone blood test CPT 82088 Aldosterone Serum	$166.76	$4,236.00	—	256% above	96%
Aldosterone blood test inpatient CPT 82088 Aldosterone Serum	$46.86	$82.00	—	—	43%
Aldosterone blood test inpatient CPT 82088 Aldosterone Urine 24 Hr	$46.86	$1,225.00	—	—	96%
Alkaline phosphatase (ALP) blood test CPT 84075 Phosphatase Alkaline	$5.96	$60.00	—	at median	90%
Alkaline phosphatase (ALP) blood test CPT 84075 Phosphatase Alkaline	$158.84	$4,801.00	—	2565% above	97%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 Phosphatase Alkaline	$5.96	$60.00	—	—	90%
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Spec Ige Quant/Semiquant	$6.00	$34.00	—	at median	82%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige Panels Ea	$6.00	$6.00	—	at median	—
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Spec Ige Quant/Semiquant	$171.62	$1,710.43	—	2760% above	90%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige Panels Ea	$6.00	$6.00	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Spec Ige Quant/Semiquant	$6.00	$34.00	—	—	82%
Alpha-fetoprotein (AFP) blood test CPT 82105 Alpha Fetoprotein Serum	$19.29	$36.00	—	at median	46%
Alpha-fetoprotein (AFP) blood test CPT 82105 Alpha Fetoprotein Serum	$137.28	$652.00	—	612% above	79%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 Alpha Fetoprotein Serum	$19.29	$36.00	—	—	46%
Ammonia blood test CPT 82140 Ammonia	$16.76	$405.00	—	at median	96%
Ammonia blood test CPT 82140 Ammonia	$79.48	$2,847.00	—	374% above	97%
Ammonia blood test inpatient CPT 82140 Ammonia	$16.76	$405.00	—	—	96%
Amylase blood test CPT 82150 Amylase Body Fluid	$7.45	$274.00	—	at median	97%
Amylase blood test CPT 82150 Amylase	$7.45	$298.00	—	at median	98%
Amylase blood test CPT 82150 Amylase Urine 24 Hr	$7.45	$298.00	—	at median	98%
Amylase blood test CPT 82150 Amylase Urine	$7.45	$130.00	—	at median	94%
Amylase blood test CPT 82150 Amylase	$110.64	$3,648.00	—	1385% above	97%
Amylase blood test inpatient CPT 82150 Amylase Urine 24 Hr	$7.45	$298.00	—	—	98%
Amylase blood test inpatient CPT 82150 Amylase Body Fluid	$7.45	$274.00	—	—	97%
Amylase blood test inpatient CPT 82150 Amylase Urine	$7.45	$130.00	—	—	94%
Amylase blood test inpatient CPT 82150 Amylase	$7.45	$298.00	—	—	98%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Cyclic Citrullin Peptide Ab	$14.89	$40.00	—	at median	63%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Cyclic Citrullin Peptide Ab	$143.96	$5,610.00	—	867% above	97%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 Cyclic Citrullin Peptide Ab	$14.89	$40.00	—	—	63%
Antinuclear antibody (ANA) blood test, screen CPT 86038 Antinuclear Ab Ana	$13.90	$746.00	—	5% above	98%
Antinuclear antibody (ANA) blood test, screen CPT 86038 Antinuclear Ab Ana	$110.64	$5,813.00	—	732% above	98%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 Antinuclear Ab Ana	$13.90	$746.00	—	—	98%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 Natriuretic Peptide Bnp	$45.15	$371.00	—	at median	88%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 Natriuretic Peptide Bnp	$130.65	$2,801.00	—	189% above	95%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 Natriuretic Peptide Bnp	$45.15	$371.00	—	—	88%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Culture Bact Aerobic Body Fld	$9.91	$489.00	—	at median	98%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Culture Bact Aerobic Genital	$9.91	$288.00	—	at median	97%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Culture Bact Aerobic Tissue/Wound	$9.91	$292.00	—	at median	97%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Culture Bact Aerobic Respiratory	$9.91	$461.00	—	at median	98%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Culture Bact Aerobic Other	$9.91	$57.00	—	at median	83%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Culture Bact Aerobic Tissue/Wound	$67.14	$9,792.01	—	577% above	99%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Culture Bact Aerobic Genital	$9.91	$288.00	—	—	97%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Culture Bact Aerobic Other	$9.91	$57.00	—	—	83%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Culture Bact Aerobic Respiratory	$9.91	$461.00	—	—	98%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Culture Bact Aerobic Body Fld	$9.91	$489.00	—	—	98%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Culture Bact Aerobic Tissue/Wound	$9.91	$292.00	—	—	97%
Basic metabolic panel (blood test) CPT 80048 Basic Metabolic Panel Total Ca	$9.73	$362.00	—	at median	97%
Basic metabolic panel (blood test) CPT 80048 Basic Metabolic Panel Total Ca	$40.96	$915.00	—	321% above	96%
Basic metabolic panel (blood test) inpatient CPT 80048 Basic Metabolic Panel Total Ca	$9.73	$362.00	—	—	97%
Bilirubin blood test, total CPT 82247 Bilirubin Total	$5.77	$237.00	—	at median	98%
Bilirubin blood test, total CPT 82247 Bilirubin Total Amniotic Fluid	$5.77	$237.00	—	at median	98%
Bilirubin blood test, total CPT 82247 Bilirubin Total Cord Blood	$5.77	$237.00	—	at median	98%
Bilirubin blood test, total CPT 82247 Bilirubin Total Body Fluid	$5.77	$237.00	—	at median	98%
Bilirubin blood test, total CPT 82247 Bilirubin Total	$16.22	$252.00	—	181% above	94%
Bilirubin blood test, total inpatient CPT 82247 Bilirubin Total Cord Blood	$5.77	$237.00	—	—	98%
Bilirubin blood test, total inpatient CPT 82247 Bilirubin Total Amniotic Fluid	$5.77	$237.00	—	—	98%
Bilirubin blood test, total inpatient CPT 82247 Bilirubin Total Body Fluid	$5.77	$237.00	—	—	98%
Bilirubin blood test, total inpatient CPT 82247 Bilirubin Total	$5.77	$237.00	—	—	98%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 Surg Path Gross & Micro Level 4	$67.14	$505.00	—	31% below	87%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 Surg Path Gross & Micro Level 4	$2,036.00	$8,151.29	—	1979% above	75%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Surg Path Gross & Micro Level 4	$67.14	$505.00	—	—	87%
Blood culture for bacteria CPT 87040 Culture Bact Aerobic Blood	$78.13	$1,748.00	—	41% above	96%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 Venipuncture	$10.45	$15.00	—	8% above	30%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 Venipuncture	$119.49	$1,920.00	—	1131% above	94%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Venipuncture	$10.45	$15.00	—	—	30%
Blood glucose (sugar) test CPT 82947 Glucose Quant Blood	$4.52	$159.00	—	at median	97%
Blood glucose (sugar) test CPT 82947 Glucose Quant Blood	$156.18	$4,853.00	—	3355% above	97%
Blood glucose (sugar) test inpatient CPT 82947 Glucose Quant Blood	$4.52	$159.00	—	—	97%
Blood lead test CPT 83655 Lead, Capillary	$13.93	$133.00	—	at median	90%
Blood lead test CPT 83655 LEAD	$13.93	$54.00	—	at median	74%
Blood lead test CPT 83655 LEAD	$33.32	$357.00	—	139% above	91%
Blood lead test inpatient CPT 83655 LEAD	$13.93	$54.00	—	—	74%
Blood lead test inpatient CPT 83655 Lead, Capillary	$13.93	$133.00	—	—	90%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Hcg Qual	$8.65	$399.00	—	at median	98%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Hcg Qual Urine	$8.65	$355.00	—	at median	98%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Hcg Qual	$112.08	$2,693.00	—	1196% above	96%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 Hcg Qual Urine	$8.65	$355.00	—	—	98%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 Hcg Qual	$8.65	$399.00	—	—	98%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Blood Typing Abo	$161.98	$179.00	—	14% above	10%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Blood Typing Abo	$177.38	$4,210.00	—	24% above	96%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 Blood Typing Abo	$161.98	$179.00	—	—	10%
Blood urea nitrogen (BUN) test CPT 84520 Urea Nitrogen Quant	$4.54	$332.00	—	at median	99%
Blood urea nitrogen (BUN) test CPT 84520 Urea Nitrogen Quant	$20.88	$603.00	—	360% above	97%
Blood urea nitrogen (BUN) test inpatient CPT 84520 Urea Nitrogen Quant	$4.54	$332.00	—	—	99%
C-peptide blood test CPT 84681 C-Peptide	$23.93	$58.00	—	at median	59%
C-peptide blood test CPT 84681 C-Peptide	$179.61	$2,868.00	—	651% above	94%
C-peptide blood test inpatient CPT 84681 C-Peptide	$23.93	$58.00	—	—	59%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-Reactive Protein	$5.96	$342.00	—	at median	98%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-Reactive Protein	$80.78	$3,224.00	—	1255% above	97%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C-Reactive Protein	$5.96	$342.00	—	—	98%
C. difficile toxin gene test (stool PCR) CPT 87493 Ia C Diff Toxin Amp Probe	$42.86	$623.00	—	at median	93%
C. difficile toxin gene test (stool PCR) CPT 87493 Ia C Diff Toxin Amp Probe	$42.86	$623.00	—	at median	93%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 Ia C Diff Toxin Amp Probe	$42.86	$623.00	—	—	93%
CA 19-9 blood test (tumor marker) CPT 86301 Ia Quant Ca19-9	$23.93	$63.00	—	at median	62%
CA 19-9 blood test (tumor marker) CPT 86301 Ia Quant Ca19-9, Siemens (Clia)	$23.93	$175.00	—	at median	86%
CA 19-9 blood test (tumor marker) CPT 86301 Ia Quant Ca19-9	$115.53	$2,066.00	—	383% above	94%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 Ia Quant Ca19-9, Siemens (Clia)	$23.93	$175.00	—	—	86%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 Ia Quant Ca19-9	$23.93	$63.00	—	—	62%
CA-125 blood test (ovarian cancer marker) CPT 86304 Ia Quant Ca125	$23.93	$62.00	—	at median	61%
CA-125 blood test (ovarian cancer marker) CPT 86304 Ia Quant Ca125	$65.64	$1,924.00	—	174% above	97%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 Ia Quant Ca125	$23.93	$62.00	—	—	61%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Iadna Sars Cov-2 Covid-19 Amp Probe	$59.01	$234.00	—	5% above	75%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Iadna Sars Cov-2 Covid-19 Amp Probe	$59.01	$225.00	—	5% above	74%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 Iadna Sars Cov-2 Covid-19 Amp Probe	$59.01	$225.00	—	—	74%
Calcium blood test, total CPT 82310 Calcium Total Urine	$5.93	$222.00	—	at median	97%
Calcium blood test, total CPT 82310 Calcium Total	$5.93	$42.00	—	at median	86%
Calcium blood test, total CPT 82310 Calcium Total	$88.52	$594.00	—	1393% above	85%
Calcium blood test, total inpatient CPT 82310 Calcium Total	$5.93	$42.00	—	—	86%
Calcium blood test, total inpatient CPT 82310 Calcium Total Urine	$5.93	$222.00	—	—	97%
Carcinoembryonic antigen (CEA) test CPT 82378 Carcinoembryonic Antigen	$21.80	$57.00	—	at median	62%
Carcinoembryonic antigen (CEA) test CPT 82378 Carcinoembryonic Antigen Body Fld	$21.80	$481.00	—	at median	95%
Carcinoembryonic antigen (CEA) test CPT 82378 Carcinoembryonic Antigen	$93.30	$1,988.00	—	328% above	95%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 Carcinoembryonic Antigen Body Fld	$21.80	$481.00	—	—	95%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 Carcinoembryonic Antigen	$21.80	$57.00	—	—	62%
Chickenpox (varicella) immunity blood test CPT 86787 Ia Quant Varicella Zoster Ab Igm	$14.81	$146.00	—	at median	90%
Chickenpox (varicella) immunity blood test CPT 86787 Ia Quant Varicella Zoster Ab Igg	$14.81	$371.00	—	at median	96%
Chickenpox (varicella) immunity blood test CPT 86787 Ia Quant Varicella Zoster Ab Igg	$1,913.36	$7,049.00	—	12819% above	73%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 Ia Quant Varicella Zoster Ab Igg	$14.81	$371.00	—	—	96%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 Ia Quant Varicella Zoster Ab Igm	$14.81	$146.00	—	—	90%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Na Chlamydia Trachomatis Amp Probe	$40.35	$51.00	—	at median	21%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Na Chlamydia Trachomatis Amp Probe	$268.51	$4,442.00	—	565% above	94%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Na Chlamydia Trachomatis Amp Probe	$40.35	$51.00	—	—	21%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipid Panel	$15.40	$433.00	—	at median	96%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipid Panel	$180.76	$2,837.00	—	1074% above	94%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Lipid Panel	$15.40	$433.00	—	—	96%
Complete blood count (CBC) with differential CPT 85025 Cbc Cmplt W Plt W Auto Wbc Diff	$8.94	$288.00	—	at median	97%
Complete blood count (CBC) with differential CPT 85025 Cbc Cmplt W Plt W Auto Wbc Diff	$85.02	$2,775.00	—	851% above	97%
Complete blood count (CBC) with differential inpatient CPT 85025 Cbc Cmplt W Plt W Auto Wbc Diff	$8.94	$288.00	—	—	97%
Complete blood count (CBC), no differential CPT 85027 Cbc Cmplt W Plt WO Diff	$7.44	$170.00	—	at median	96%
Complete blood count (CBC), no differential CPT 85027 Cbc Cmplt W Plt WO Diff	$81.79	$2,638.00	—	999% above	97%
Complete blood count (CBC), no differential inpatient CPT 85027 Cbc Cmplt W Plt WO Diff	$7.44	$170.00	—	—	96%
Comprehensive metabolic panel (blood test) CPT 80053 Comprehensive Metabolic Panel	$12.14	$1,174.00	—	at median	99%
Comprehensive metabolic panel (blood test) CPT 80053 Comprehensive Metabolic Panel	$110.64	$2,650.00	—	811% above	96%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 Comprehensive Metabolic Panel	$12.14	$1,174.00	—	—	99%
Cortisol blood test, total CPT 82533 Cortisol Total, Adrenal	$18.75	$219.00	—	at median	91%
Cortisol blood test, total CPT 82533 Cortisol Total	$18.75	$79.00	—	at median	76%
Cortisol blood test, total CPT 82533 Cortisol Total	$256.85	$3,060.00	—	1270% above	92%
Cortisol blood test, total inpatient CPT 82533 Cortisol Total	$18.75	$79.00	—	—	76%
Cortisol blood test, total inpatient CPT 82533 Cortisol Total, Adrenal	$18.75	$219.00	—	—	91%
Creatine kinase (CK) blood test, total CPT 82550 Creatine Kinase CK Cpk Total	$7.49	$168.00	—	at median	96%
Creatine kinase (CK) blood test, total CPT 82550 Creatine Kinase CK Cpk Total	$134.05	$3,225.00	—	1690% above	96%
Creatine kinase (CK) blood test, total inpatient CPT 82550 Creatine Kinase CK Cpk Total	$7.49	$168.00	—	—	96%
Creatinine blood test CPT 82565 Creatinine	$5.89	$234.00	—	at median	97%
Creatinine blood test CPT 82565 Creatinine	$20.88	$603.00	—	254% above	97%
Creatinine blood test inpatient CPT 82565 Creatinine	$5.89	$234.00	—	—	97%
Cytomegalovirus (CMV) antibody test CPT 86644 Ia Quant Cytomegalovirus Cmv Ab Igg	$16.55	$257.00	—	5% above	94%
Cytomegalovirus (CMV) antibody test CPT 86644 Ia Quant Cytomegalovirus Cmv Ab Igg	$110.64	$5,007.00	—	599% above	98%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 Ia Quant Cytomegalovirus Cmv Ab Igg	$16.55	$257.00	—	—	94%
D-dimer blood test (blood clot marker) CPT 85379 Fibrin Degradatn Prod D-Dimer Quant	$11.71	$49.00	—	at median	76%
D-dimer blood test (blood clot marker) CPT 85379 Fibrin Degradatn Prod D-Dimer Quant	$351.64	$5,998.00	—	2903% above	94%
D-dimer blood test (blood clot marker) inpatient CPT 85379 Fibrin Degradatn Prod D-Dimer Quant	$11.71	$49.00	—	—	76%
DHEA sulfate (DHEA-S) blood test CPT 82627 Dhea Sulfate	$25.56	$105.00	—	2% above	76%
DHEA sulfate (DHEA-S) blood test CPT 82627 Dhea Sulfate	$268.55	$2,903.00	—	974% above	91%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 Dhea Sulfate	$25.56	$105.00	—	—	76%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Drug Tst(S) Pres Instrmt Chem Analy per Day Meconium	$71.46	$242.00	—	at median	70%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Drug Tst(S) Pres Instrmt Chem Analy per Day Urine	$71.46	$151.00	—	at median	53%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Drug Tst(S) Pres Instrmt Chem Analy per Day	$71.46	$146.00	—	at median	51%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Drug Tst(S) Pres Instrmt Chem Analy per Day Urine	$167.52	$3,051.00	—	134% above	95%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Drug Tst(S) Pres Instrmt Chem Analy per Day	$71.46	$146.00	—	—	51%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Drug Tst(S) Pres Instrmt Chem Analy per Day Meconium	$71.46	$242.00	—	—	70%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Drug Tst(S) Pres Instrmt Chem Analy per Day Urine	$71.46	$151.00	—	—	53%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 Electrolyte Panel	$8.06	$237.00	—	at median	97%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 Electrolyte Panel	$51.29	$738.00	—	536% above	93%
Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 Electrolyte Panel	$8.06	$237.00	—	—	97%
Epstein-Barr virus (EBV) antibody test CPT 86665 Ia Quant Epstein Barr Viral Vca Ab Igm	$20.86	$536.00	—	1% above	96%
Epstein-Barr virus (EBV) antibody test CPT 86665 Ia Quant Epstein Barr Viral Vca Ab Igg	$20.86	$88.00	—	1% above	76%
Epstein-Barr virus (EBV) antibody test CPT 86665 Ia Quant Epstein Barr Viral Vca Ab Igm	$164.26	$5,001.00	—	694% above	97%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 Ia Quant Epstein Barr Viral Vca Ab Igm	$20.86	$536.00	—	—	96%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 Ia Quant Epstein Barr Viral Vca Ab Igg	$20.86	$88.00	—	—	76%
Estradiol blood test CPT 82670 Estradoil Total	$32.13	$181.00	—	at median	82%
Estradiol blood test CPT 82670 Estradoil Total	$122.63	$1,928.00	—	282% above	94%
Estradiol blood test inpatient CPT 82670 Estradoil Total	$32.13	$181.00	—	—	82%
FSH (follicle-stimulating hormone) test CPT 83001 Gonadotropin Follicle Stim Hormone	$21.37	$89.00	—	at median	76%
FSH (follicle-stimulating hormone) test CPT 83001 Gonadotropin Follicle Stim Hormone	$273.08	$3,204.00	—	1178% above	91%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 Gonadotropin Follicle Stim Hormone	$21.37	$89.00	—	—	76%
Fecal calprotectin (stool inflammation test) CPT 83993 Calprotectin Stool	$22.57	$421.00	—	at median	95%
Fecal calprotectin (stool inflammation test) CPT 83993 Calprotectin Stool	$123.26	$1,681.00	—	446% above	93%
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 Calprotectin Stool	$22.57	$421.00	—	—	95%
Ferritin blood test (iron stores) CPT 82728 Ferritin	$15.67	$201.00	—	at median	92%
Ferritin blood test (iron stores) CPT 82728 Ferritin	$105.31	$3,518.00	—	572% above	97%
Ferritin blood test (iron stores) inpatient CPT 82728 Ferritin	$15.67	$201.00	—	—	92%
Fibrinogen blood test CPT 85384 Fibrinogen Activity	$11.18	$34.00	—	at median	67%
Fibrinogen blood test CPT 85384 Fibrinogen Activity	$514.11	$5,651.00	—	4498% above	91%
Fibrinogen blood test inpatient CPT 85384 Fibrinogen Activity	$11.18	$34.00	—	—	67%
Folate (folic acid) blood test CPT 82746 Folic Acid	$16.91	$357.00	—	at median	95%
Folate (folic acid) blood test CPT 82746 Folic Acid	$274.51	$4,076.00	—	1523% above	93%
Folate (folic acid) blood test inpatient CPT 82746 Folic Acid	$16.91	$357.00	—	—	95%
Free T3 thyroid hormone test CPT 84481 T3 Free	$19.48	$44.00	—	at median	56%
Free T3 thyroid hormone test CPT 84481 T3 Free	$179.09	$3,432.00	—	819% above	95%
Free T3 thyroid hormone test inpatient CPT 84481 T3 Free	$19.48	$44.00	—	—	56%
Free T4 (free thyroxine) thyroid blood test CPT 84439 Thyroxine Free	$10.37	$63.00	—	at median	84%
Free T4 (free thyroxine) thyroid blood test CPT 84439 Thyroxine Free	$118.83	$3,270.00	—	1046% above	96%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 Thyroxine Free	$10.37	$63.00	—	—	84%
Free testosterone test CPT 84402 Testosterone Free	$29.29	$85.00	—	5% above	66%
Free testosterone test CPT 84402 Testosterone Free	$157.54	$3,267.00	—	462% above	95%
Free testosterone test inpatient CPT 84402 Testosterone Free	$29.29	$85.00	—	—	66%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 GGT	$8.28	$16.00	—	at median	48%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 GGT	$134.67	$3,739.00	—	1526% above	96%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 GGT	$8.28	$16.00	—	—	48%
General health panel: metabolic panel, blood count and TSH in one order CPT 80050 General Health Panel	$245.65	$1,601.00	—	at median	85%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 Glucose Post Glucose Dose	$5.46	$234.00	—	at median	98%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 Glucose Post Glucose Dose	$167.44	$701.00	—	2967% above	76%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 Glucose Post Glucose Dose	$5.46	$234.00	—	—	98%
Glucose tolerance test, 3 samples CPT 82951 Gtt 3 Specimens Serum	$14.80	$678.00	—	at median	98%
Glucose tolerance test, 3 samples CPT 82951 Gtt 3 Specimens Serum	$29.76	$767.00	—	101% above	96%
Glucose tolerance test, 3 samples inpatient CPT 82951 Gtt 3 Specimens Serum	$14.80	$678.00	—	—	98%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Na N Gonorrhea Amp Probe	$40.35	$51.00	—	at median	21%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Na N Gonorrhea Amp Probe	$268.51	$4,442.00	—	565% above	94%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 Na N Gonorrhea Amp Probe	$40.35	$51.00	—	—	21%
H. pylori antibody blood test CPT 86677 Ia Quant H Pylori Ab Igm	$19.38	$43.00	—	at median	55%
H. pylori antibody blood test CPT 86677 Ia Quant H Pylori Ab Iga	$19.38	$43.00	—	at median	55%
H. pylori antibody blood test CPT 86677 Ia Quant H Pylori Ab Igg	$19.38	$43.00	—	at median	55%
H. pylori antibody blood test CPT 86677 Ia Quant H Pylori Ab Igg	$261.86	$3,025.00	—	1251% above	91%
H. pylori antibody blood test inpatient CPT 86677 Ia Quant H Pylori Ab Igm	$19.38	$43.00	—	—	55%
H. pylori antibody blood test inpatient CPT 86677 Ia Quant H Pylori Ab Igg	$19.38	$43.00	—	—	55%
H. pylori antibody blood test inpatient CPT 86677 Ia Quant H Pylori Ab Iga	$19.38	$43.00	—	—	55%
H. pylori stool antigen test CPT 87338 Ia Helicobacter Pylori Ag Stool	$16.54	$224.00	—	5% above	93%
H. pylori stool antigen test CPT 87338 Ia Helicobacter Pylori Ag Stool	$16.54	$233.00	—	5% above	93%
H. pylori stool antigen test inpatient CPT 87338 Ia Helicobacter Pylori Ag Stool	$16.54	$224.00	—	—	93%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 Na Hiv 1 Quantificatn	$97.87	$1,903.00	—	at median	95%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 Na Hiv 1 Quantificatn	$385.76	$2,447.00	—	294% above	84%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 Na Hiv 1 Quantificatn	$97.87	$1,903.00	—	—	95%
HIV-1 and HIV-2 antibody test CPT 86703 Ia Quant Hiv-1 & Hiv-2 Ab Sng Result	$15.77	$529.00	—	at median	97%
HIV-1 and HIV-2 antibody test CPT 86703 Ia Quant Hiv-1 & Hiv-2 Ab Sng Result	$113.83	$2,241.00	—	622% above	95%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 Ia Quant Hiv-1 & Hiv-2 Ab Sng Result	$15.77	$529.00	—	—	97%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 Ia Hiv 1 Ag 2 Hiv 1 & Hiv 2 Ab Sng Result	$27.69	$141.00	—	at median	80%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 Ia Hiv 1 Ag 2 Hiv 1 & Hiv 2 Ab Sng Result	$154.34	$4,615.00	—	457% above	97%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 Ia Hiv 1 Ag 2 Hiv 1 & Hiv 2 Ab Sng Result	$27.69	$141.00	—	—	80%
HPV test for high-risk types, one combined (pooled) result CPT 87624 Iadna Hpv High Risk Types	$40.35	$221.00	—	5% above	82%
HPV test for high-risk types, one combined (pooled) result CPT 87624 Iadna Hpv High Risk Types	$63.65	$497.00	—	65% above	87%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 Iadna Hpv High Risk Types	$40.35	$221.00	—	—	82%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hgb Glycosylated A1c	$11.17	$274.00	—	at median	96%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hgb Glycosylated A1c	$86.58	$2,952.00	—	675% above	97%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 Hgb Glycosylated A1c	$11.17	$274.00	—	—	96%
Hemoglobin blood test CPT 85018 Hemoglobin Hgb	$2.73	$34.00	—	33% below	92%
Hemoglobin blood test CPT 85018 Hemoglobin Hgb	$15.91	$85.00	—	291% above	81%
Hemoglobin blood test inpatient CPT 85018 Hemoglobin Hgb	$2.73	$34.00	—	—	92%
Hepatitis B core antibody test (total) CPT 86704 Ia Quant Hep B Core Hbcab Total	$13.86	$193.00	—	5% above	93%
Hepatitis B core antibody test (total) CPT 86704 Ia Quant Hep B Core Hbcab Total	$177.21	$4,712.00	—	1236% above	96%
Hepatitis B core antibody test (total) inpatient CPT 86704 Ia Quant Hep B Core Hbcab Total	$13.86	$193.00	—	—	93%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Ia Quant Hep B Surface Hbsab	$12.35	$300.00	—	at median	96%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Ia Quant Hep B Surface Hbsab	$177.21	$4,712.00	—	1335% above	96%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 Ia Quant Hep B Surface Hbsab	$12.35	$300.00	—	—	96%
Hepatitis B surface antigen (HBsAg) test CPT 87340 Ia Hep B Surface Ag	$11.88	$372.00	—	at median	97%
Hepatitis B surface antigen (HBsAg) test CPT 87340 Ia Hep B Surface Ag	$234.64	$4,957.00	—	1875% above	95%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 Ia Hep B Surface Ag	$11.88	$372.00	—	—	97%
Hepatitis C antibody blood test (screening) CPT 86803 Ia Quant Hep C Ab	$16.41	$1,114.00	—	at median	99%
Hepatitis C antibody blood test (screening) CPT 86803 Ia Quant Hep C Ab	$1,050.12	$5,095.00	—	6299% above	79%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 Ia Quant Hep C Ab	$16.41	$1,114.00	—	—	99%
Hepatitis C viral load (HCV RNA) test CPT 87522 Na Hep C Quantificatn	$49.27	$461.00	—	at median	89%
Hepatitis C viral load (HCV RNA) test CPT 87522 Na Hep C Quantificatn	$97.21	$3,052.00	—	97% above	97%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 Na Hep C Quantificatn	$49.27	$461.00	—	—	89%
Herpes blood test, HSV-1 antibody CPT 86695 Hsv Type 1 Ab	$15.17	$481.00	—	at median	97%
Herpes blood test, HSV-1 antibody CPT 86695 Hsv Type 1 Ab	$149.70	$4,335.00	—	887% above	97%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 Hsv Type 1 Ab	$15.17	$481.00	—	—	97%
Herpes blood test, HSV-2 antibody CPT 86696 Hsv Type 2 Ab	$22.25	$269.00	—	at median	92%
Herpes blood test, HSV-2 antibody CPT 86696 Hsv Type 2 Ab	$149.70	$4,335.00	—	573% above	97%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 Hsv Type 2 Ab	$22.25	$269.00	—	—	92%
High-sensitivity CRP (hs-CRP) test CPT 86141 C-Reactive Protein High Sens Hscrp	$14.89	$280.00	—	at median	95%
High-sensitivity CRP (hs-CRP) test CPT 86141 C-Reactive Protein High Sens Hscrp	$152.67	$3,006.00	—	925% above	95%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 C-Reactive Protein High Sens Hscrp	$14.89	$280.00	—	—	95%
Homocysteine blood test CPT 83090 Homocysteine	$20.61	$159.00	—	at median	87%
Homocysteine blood test CPT 83090 Homocysteine	$126.04	$4,563.00	—	512% above	97%
Homocysteine blood test inpatient CPT 83090 Homocysteine	$20.61	$159.00	—	—	87%
Insulin blood test CPT 83525 Insulin Total	$13.14	$754.00	—	at median	98%
Insulin blood test CPT 83525 Insulin Total	$200.49	$4,024.00	—	1426% above	95%
Insulin blood test inpatient CPT 83525 Insulin Total	$13.14	$754.00	—	—	98%
Iron blood test (serum iron) CPT 83540 IRON	$7.44	$108.00	—	at median	93%
Iron blood test (serum iron) CPT 83540 IRON	$182.88	$3,626.00	—	2358% above	95%
Iron blood test (serum iron) inpatient CPT 83540 IRON	$7.44	$108.00	—	—	93%
Iron-binding capacity (TIBC) test CPT 83550 Iron Binding Capacity	$10.05	$29.00	—	at median	65%
Iron-binding capacity (TIBC) test CPT 83550 Iron Binding Capacity	$316.82	$3,663.00	—	3052% above	91%
Iron-binding capacity (TIBC) test inpatient CPT 83550 Iron Binding Capacity	$10.05	$29.00	—	—	65%
Kidney function blood test panel CPT 80069 Renal Function Panel	$9.98	$141.00	—	66% below	93%
Kidney function blood test panel CPT 80069 Renal Function Panel	$61.15	$992.00	—	108% above	94%
Kidney function blood test panel inpatient CPT 80069 Renal Function Panel	$9.98	$141.00	—	—	93%
LH (luteinizing hormone) test CPT 83002 Gonadotropin Luteinizing Hormone	$21.30	$88.00	—	5% above	76%
LH (luteinizing hormone) test CPT 83002 Gonadotropin Luteinizing Hormone	$273.08	$3,204.00	—	1241% above	91%
LH (luteinizing hormone) test inpatient CPT 83002 Gonadotropin Luteinizing Hormone	$21.30	$88.00	—	—	76%
Lactate (lactic acid) blood test CPT 83605 Lactate	$13.31	$342.00	—	at median	96%
Lactate (lactic acid) blood test CPT 83605 Lactate	$4,291.87	$21,840.52	—	32145% above	80%
Lactate (lactic acid) blood test inpatient CPT 83605 Lactate	$13.31	$342.00	—	—	96%
Lactate dehydrogenase (LDH) blood test CPT 83615 Lactate Dehydrogenase Peritoneal Fld	$6.95	$9.00	—	at median	23%
Lactate dehydrogenase (LDH) blood test CPT 83615 Lactate Dehydrogenase	$6.95	$53.00	—	at median	87%
Lactate dehydrogenase (LDH) blood test CPT 83615 Lactate Dehydrogenase Pleural Fld	$6.95	$9.00	—	at median	23%
Lactate dehydrogenase (LDH) blood test CPT 83615 Lactate Dehydrogenase Body Fld	$6.95	$111.00	—	at median	94%
Lactate dehydrogenase (LDH) blood test CPT 83615 Lactate Dehydrogenase	$322.73	$3,026.29	—	4544% above	89%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 Lactate Dehydrogenase Body Fld	$6.95	$111.00	—	—	94%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 Lactate Dehydrogenase Pleural Fld	$6.95	$9.00	—	—	23%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 Lactate Dehydrogenase	$6.95	$53.00	—	—	87%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 Lactate Dehydrogenase Peritoneal Fld	$6.95	$9.00	—	—	23%
Lipase blood test (pancreas enzyme) CPT 83690 Lipase	$7.92	$378.00	—	at median	98%
Lipase blood test (pancreas enzyme) CPT 83690 Lipase Body Fld	$7.92	$88.00	—	at median	91%
Lipase blood test (pancreas enzyme) CPT 83690 Lipase	$67.84	$3,254.00	—	757% above	98%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 Lipase	$7.92	$378.00	—	—	98%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 Lipase Body Fld	$7.92	$88.00	—	—	91%
Liver function blood test panel CPT 80076 Hepatic Function Panel	$9.40	$281.00	—	63% below	97%
Liver function blood test panel CPT 80076 Hepatic Function Panel	$56.15	$1,365.00	—	120% above	96%
Liver function blood test panel inpatient CPT 80076 Hepatic Function Panel	$9.40	$281.00	—	—	97%
Lyme disease antibody test CPT 86618 Ia Qual Borrelia Burgdorferi Ab CSF	$19.58	$75.00	—	at median	74%
Lyme disease antibody test CPT 86618 Ia Qual Borrelia Burgdorferi Ab	$19.58	$992.00	—	at median	98%
Lyme disease antibody test CPT 86618 Ia Qual Borrelia Burgdorferi Ab	$170.18	$4,145.00	—	769% above	96%
Lyme disease antibody test inpatient CPT 86618 Ia Qual Borrelia Burgdorferi Ab CSF	$19.58	$75.00	—	—	74%
Lyme disease antibody test inpatient CPT 86618 Ia Qual Borrelia Burgdorferi Ab	$19.58	$992.00	—	—	98%
Magnesium blood test CPT 83735 Magnesium Urine 24 Hr	$7.71	$86.00	—	at median	91%
Magnesium blood test CPT 83735 Magnesium Urine	$7.71	$86.00	—	at median	91%
Magnesium blood test CPT 83735 Magnesium RBC	$7.71	$107.00	—	at median	93%
Magnesium blood test CPT 83735 Magnesium	$7.71	$159.00	—	at median	95%
Magnesium blood test CPT 83735 Magnesium	$110.64	$3,059.00	—	1335% above	96%
Magnesium blood test inpatient CPT 83735 Magnesium Urine 24 Hr	$7.71	$86.00	—	—	91%
Magnesium blood test inpatient CPT 83735 Magnesium	$7.71	$159.00	—	—	95%
Magnesium blood test inpatient CPT 83735 Magnesium Urine	$7.71	$86.00	—	—	91%
Magnesium blood test inpatient CPT 83735 Magnesium RBC	$7.71	$107.00	—	—	93%
Measles (rubeola) antibody test CPT 86765 Ia Quant Rubeola Ab Igg	$14.81	$291.00	—	at median	95%
Measles (rubeola) antibody test CPT 86765 Ia Quant Rubeola Ab Igm	$14.81	$336.00	—	at median	96%
Measles (rubeola) antibody test CPT 86765 Ia Quant Rubeola Ab Igm	$103.46	$2,719.00	—	599% above	96%
Measles (rubeola) antibody test inpatient CPT 86765 Ia Quant Rubeola Ab Igg	$14.81	$291.00	—	—	95%
Measles (rubeola) antibody test inpatient CPT 86765 Ia Quant Rubeola Ab Igm	$14.81	$336.00	—	—	96%
Mono test (heterophile antibody, Monospot) CPT 86308 Heterophile Ab Scrn	$5.96	$330.00	—	49% below	98%
Mono test (heterophile antibody, Monospot) CPT 86308 Heterophile Ab Scrn	$99.74	$1,520.00	—	749% above	93%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 Heterophile Ab Scrn	$5.96	$330.00	—	—	98%
Mumps immunity blood test CPT 86735 Ia Quant Mumps Ab	$15.01	$98.00	—	at median	85%
Mumps immunity blood test CPT 86735 Ia Quant Mumps Ab	$73.30	$1,476.00	—	388% above	95%
Mumps immunity blood test inpatient CPT 86735 Ia Quant Mumps Ab	$15.01	$98.00	—	—	85%
PSA (prostate-specific antigen) blood test, free CPT 84154 Prostate Specific Antigen Psa Free	$21.15	$202.00	—	at median	90%
PSA (prostate-specific antigen) blood test, free CPT 84154 Prostate Specific Antigen Psa Free	$89.23	$2,556.00	—	322% above	97%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 Prostate Specific Antigen Psa Free	$21.15	$202.00	—	—	90%
PSA (prostate-specific antigen) blood test, total CPT 84153 Prostate Specific Antigen Psa Total	$21.15	$444.00	—	at median	95%
PSA (prostate-specific antigen) blood test, total CPT 84153 Prostate Specific Antigen Psa Total	$107.89	$2,894.00	—	410% above	96%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 Prostate Specific Antigen Psa Total	$21.15	$444.00	—	—	95%
Pap test (liquid-based, automated screening with review) CPT 88175 Cytop Fld Athin Prep Auto Scrn&Manu Rescrn	$399.00	$399.00	—	1263% above	—
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 Cytop Fld Athin Prep Auto Scrn&Manu Rescrn	$399.00	$399.00	—	—	—
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 Cytop Fld Athin Prep Manu Scrn Cerv/Vag	$23.30	$103.00	—	at median	77%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 Cytop Fld Athin Prep Manu Scrn Cerv/Vag	$104.00	$205.00	—	346% above	49%
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 Cytop Fld Athin Prep Manu Scrn Cerv/Vag	$23.30	$103.00	—	—	77%
Parathyroid hormone (PTH) blood test CPT 83970 Parathormone	$47.47	$189.00	—	at median	75%
Parathyroid hormone (PTH) blood test CPT 83970 Parathormone Intraop POC	$47.47	$2,860.00	—	at median	98%
Parathyroid hormone (PTH) blood test CPT 83970 Parathormone	$87.38	$2,236.00	—	84% above	96%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 Parathormone Intraop POC	$47.47	$2,860.00	—	—	98%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 Parathormone	$47.47	$189.00	—	—	75%
Partial thromboplastin time (PTT) clotting test CPT 85730 Thromboplastin Time Partial Ptt Alupp	$6.91	$22.00	—	at median	69%
Partial thromboplastin time (PTT) clotting test CPT 85730 Thromboplastin Time Partial Ptt	$6.91	$149.00	—	at median	95%
Partial thromboplastin time (PTT) clotting test CPT 85730 Thromboplastin Time Partial Ptt	$74.64	$2,318.00	—	980% above	97%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Thromboplastin Time Partial Ptt Alupp	$6.91	$22.00	—	—	69%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Thromboplastin Time Partial Ptt	$6.91	$149.00	—	—	95%
Phosphorus (phosphate) blood test CPT 84100 Phosphorus Inorganic	$5.45	$124.00	—	at median	96%
Phosphorus (phosphate) blood test CPT 84100 Phosphorus Inorganic	$322.73	$3,026.29	—	5822% above	89%
Phosphorus (phosphate) blood test inpatient CPT 84100 Phosphorus Inorganic	$5.45	$124.00	—	—	96%
Potassium blood test CPT 84132 Potassium	$5.47	$122.00	—	at median	96%
Potassium blood test CPT 84132 Potassium	$3,955.16	$22,011.21	—	72206% above	82%
Potassium blood test inpatient CPT 84132 Potassium	$5.47	$122.00	—	—	96%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 Gsp Fetal Chromosomal Aneuploidy	$872.91	$929.00	—	5% above	6%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 Gsp Fetal Chromosomal Aneuploidy	$1,913.36	$6,982.00	—	129% above	73%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) inpatient CPT 81420 Gsp Fetal Chromosomal Aneuploidy	$872.91	$929.00	—	—	6%
Progesterone blood test CPT 84144 Progesterone	$23.99	$805.00	—	at median	97%
Progesterone blood test CPT 84144 Progesterone	$87.87	$1,089.00	—	266% above	92%
Progesterone blood test inpatient CPT 84144 Progesterone	$23.99	$805.00	—	—	97%
Prolactin blood test CPT 84146 Prolactin	$22.29	$229.00	—	at median	90%
Prolactin blood test CPT 84146 Prolactin	$256.85	$3,060.00	—	1052% above	92%
Prolactin blood test inpatient CPT 84146 Prolactin	$22.29	$229.00	—	—	90%
Prothrombin time (PT/INR) clotting test CPT 85610 Prothombin Time	$4.93	$101.00	—	at median	95%
Prothrombin time (PT/INR) clotting test CPT 85610 Prothombin Time Alupp	$4.93	$22.00	—	at median	78%
Prothrombin time (PT/INR) clotting test CPT 85610 Prothombin Time	$36.46	$1,641.00	—	640% above	98%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Prothombin Time Alupp	$4.93	$22.00	—	—	78%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Prothombin Time	$4.93	$101.00	—	—	95%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 Drug Tst(S) Pres Dir Opt Obs per Day	$14.49	$41.00	—	at median	65%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 Drug Tst(S) Pres Dir Opt Obs per Day	$201.90	$1,312.00	—	1293% above	85%
Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 Drug Tst(S) Pres Dir Opt Obs per Day	$14.49	$41.00	—	—	65%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 Ia Dir Opt Strep a Ag	$19.01	$146.00	—	5% above	87%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 Ia Dir Opt Strep a Ag	$96.83	$946.00	—	433% above	90%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 Ia Dir Opt Strep a Ag	$19.01	$146.00	—	—	87%
Renin blood test CPT 84244 Renin	$25.29	$69.00	—	2% above	63%
Renin blood test CPT 84244 Renin	$253.87	$3,937.00	—	926% above	94%
Renin blood test inpatient CPT 84244 Renin	$25.29	$69.00	—	—	63%
Rh blood typing CPT 86901 Blood Typing Rh(D)	$49.32	$237.00	—	7% above	79%
Rh blood typing CPT 86901 Blood Typing Rh(D)	$177.38	$4,210.00	—	284% above	96%
Rh blood typing inpatient CPT 86901 Blood Typing Rh(D)	$49.32	$237.00	—	—	79%
Rheumatoid factor (RF) test CPT 86431 Rheumatoid Factor Quant	$6.52	$61.00	—	at median	89%
Rheumatoid factor (RF) test CPT 86431 Rheumatoid Factor Quant	$177.54	$4,660.00	—	2623% above	96%
Rheumatoid factor (RF) test inpatient CPT 86431 Rheumatoid Factor Quant	$6.52	$61.00	—	—	89%
Rubella antibody test (immunity check) CPT 86762 Ia Quant Rubella Ab Igm	$16.55	$72.00	—	at median	77%
Rubella antibody test (immunity check) CPT 86762 Ia Quant Rubella Ab Igg	$16.55	$72.00	—	at median	77%
Rubella antibody test (immunity check) CPT 86762 Ia Quant Rubella Ab Igg	$1,050.12	$5,994.00	—	6245% above	82%
Rubella antibody test (immunity check) inpatient CPT 86762 Ia Quant Rubella Ab Igg	$16.55	$72.00	—	—	77%
Rubella antibody test (immunity check) inpatient CPT 86762 Ia Quant Rubella Ab Igm	$16.55	$72.00	—	—	77%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 Sed Rate Erythrocyte Auto	$176.70	$3,232.00	—	1040% above	95%
Semen analysis: volume, sperm count, motility and morphology CPT 89320 Anlys Volume CT Motil Diff Semen	$14.16	$318.00	—	5% above	96%
Semen analysis: volume, sperm count, motility and morphology CPT 89320 Anlys Volume CT Motil Diff Semen	$14.16	$306.00	—	5% above	95%
Semen analysis: volume, sperm count, motility and morphology inpatient CPT 89320 Anlys Volume CT Motil Diff Semen	$14.16	$306.00	—	—	95%
Sodium blood test CPT 84295 Sodium	$5.53	$113.00	—	5% above	95%
Sodium blood test CPT 84295 Sodium	$174.64	$4,876.00	—	3201% above	96%
Sodium blood test inpatient CPT 84295 Sodium	$5.53	$113.00	—	—	95%
Stool ova and parasites exam CPT 87177 Ova & Parasites Direct Smear & ID	$10.24	$563.00	—	at median	98%
Stool ova and parasites exam CPT 87177 Ova & Parasites Direct Smear & ID	$476.75	$1,435.00	—	4556% above	67%
Stool ova and parasites exam inpatient CPT 87177 Ova & Parasites Direct Smear & ID	$10.24	$563.00	—	—	98%
Stool test for hidden blood (guaiac FOBT) CPT 82270 Blood Occult Quiac Ca Screen Feces	$5.04	$107.00	—	at median	95%
Stool test for hidden blood (guaiac FOBT) CPT 82270 Blood Occult Quiac Ca Screen Feces	$36.57	$482.00	—	626% above	92%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 Blood Occult Quiac Ca Screen Feces	$5.04	$107.00	—	—	95%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 Blood Occult Hemogl 1-3 Stool	$18.31	$71.00	—	at median	74%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 Blood Occult Hemogl 1-3 Stool	$44.11	$461.00	—	141% above	90%
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 Blood Occult Hemogl 1-3 Stool	$18.31	$71.00	—	—	74%
Syphilis antibody test (Treponema pallidum) CPT 86780 Ia Quant Treponema Pallidum Ab Igg	$15.23	$100.00	—	at median	85%
Syphilis antibody test (Treponema pallidum) CPT 86780 Ia Quant Treponema Pallidum Ab CSF	$15.23	$410.00	—	at median	96%
Syphilis antibody test (Treponema pallidum) CPT 86780 Ia Quant Treponema Pallidum Ab Igg	$283.58	$4,632.00	—	1762% above	94%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 Ia Quant Treponema Pallidum Ab Igg	$15.23	$100.00	—	—	85%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 Ia Quant Treponema Pallidum Ab CSF	$15.23	$410.00	—	—	96%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Vdrl/Rpr Qual	$4.91	$149.00	—	at median	97%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Vdrl/Rpr Qual CSF	$4.91	$149.00	—	at median	97%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Vdrl/Rpr Qual	$241.72	$2,505.00	—	4823% above	90%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 Vdrl/Rpr Qual CSF	$4.91	$149.00	—	—	97%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 Vdrl/Rpr Qual	$4.91	$149.00	—	—	97%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 TB Cell Immune Ag Response Gamma Interf	$71.28	$192.00	—	5% above	63%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 TB Cell Immune Ag Response Gamma Interf	$110.64	$2,287.00	—	62% above	95%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 TB Cell Immune Ag Response Gamma Interf	$71.28	$192.00	—	—	63%
Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone Total	$29.68	$112.00	—	at median	74%
Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone Total	$65.97	$2,452.00	—	122% above	97%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Testosterone Total	$29.68	$112.00	—	—	74%
Thyroid peroxidase (TPO) antibody test CPT 86376 Microsomal Ab	$16.73	$585.00	—	4% above	97%
Thyroid peroxidase (TPO) antibody test CPT 86376 Thyroperoxidase Ab	$16.73	$84.00	—	4% above	80%
Thyroid peroxidase (TPO) antibody test CPT 86376 Microsomal Ab	$183.89	$4,496.00	—	1049% above	96%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Thyroperoxidase Ab	$16.73	$84.00	—	—	80%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Microsomal Ab	$16.73	$585.00	—	—	97%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 Thyroid Stimulating Hormone Tsh	$19.32	$317.00	—	at median	94%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 Thyroid Stimulating Hormone Tsh	$119.92	$3,097.00	—	521% above	96%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 Thyroid Stimulating Hormone Tsh	$19.32	$317.00	—	—	94%
Total IgE blood test CPT 82785 IGE	$18.93	$229.00	—	at median	92%
Total IgE blood test CPT 82785 IGE	$121.16	$2,781.00	—	540% above	96%
Total IgE blood test inpatient CPT 82785 IGE	$18.93	$229.00	—	—	92%
Total cholesterol blood test CPT 82465 Cholesterol Total	$5.00	$137.00	—	at median	96%
Total cholesterol blood test CPT 82465 Cholesterol Total	$51.84	$760.00	—	937% above	93%
Total cholesterol blood test inpatient CPT 82465 Cholesterol Total	$5.00	$137.00	—	—	96%
Total thyroxine (T4) blood test CPT 84436 Thyroxine Total	$7.90	$202.00	—	at median	96%
Total thyroxine (T4) blood test CPT 84436 Thyroxine Total	$163.55	$3,771.00	—	1970% above	96%
Total thyroxine (T4) blood test inpatient CPT 84436 Thyroxine Total	$7.90	$202.00	—	—	96%
Total triiodothyronine (T3) blood test CPT 84480 T3 Total	$16.31	$184.00	—	at median	91%
Total triiodothyronine (T3) blood test CPT 84480 T3 Total	$117.53	$2,862.00	—	621% above	96%
Total triiodothyronine (T3) blood test inpatient CPT 84480 T3 Total	$16.31	$184.00	—	—	91%
Transferrin blood test CPT 84466 Transferrin	$14.67	$235.00	—	at median	94%
Transferrin blood test CPT 84466 Transferrin	$182.88	$3,626.00	—	1147% above	95%
Transferrin blood test inpatient CPT 84466 Transferrin	$14.67	$235.00	—	—	94%
Trichomonas test (NAAT) CPT 87661 Na T Vaginalis Amp Probe	$40.35	$330.00	—	at median	88%
Trichomonas test (NAAT) CPT 87661 Na T Vaginalis Amp Probe	$282.49	$1,195.00	—	600% above	76%
Trichomonas test (NAAT) inpatient CPT 87661 Na T Vaginalis Amp Probe	$40.35	$330.00	—	—	88%
Triglycerides blood test CPT 84478 Triglycerides	$6.60	$237.00	—	at median	97%
Triglycerides blood test CPT 84478 Triglycerides Body Fld	$6.60	$22.00	—	at median	70%
Triglycerides blood test CPT 84478 Triglycerides	$570.81	$3,512.29	—	8549% above	84%
Triglycerides blood test inpatient CPT 84478 Triglycerides Body Fld	$6.60	$22.00	—	—	70%
Triglycerides blood test inpatient CPT 84478 Triglycerides	$6.60	$237.00	—	—	97%
Troponin test, quantitative CPT 84484 Troponin Quant	$14.34	$249.00	—	at median	94%
Troponin test, quantitative CPT 84484 Troponin Quant	$95.34	$2,715.00	—	565% above	96%
Troponin test, quantitative inpatient CPT 84484 Troponin Quant	$14.34	$249.00	—	—	94%
Uric acid blood test CPT 84550 Uric Acid	$5.20	$232.00	—	at median	98%
Uric acid blood test CPT 84550 Uric Acid	$144.94	$3,630.00	—	2687% above	96%
Uric acid blood test inpatient CPT 84550 Uric Acid	$5.20	$232.00	—	—	98%
Urinalysis with microscope exam, automated CPT 81001 Urinalysis Auto W Micro	$117.49	$3,626.00	—	373% above	97%
Urinalysis without microscope exam, automated CPT 81003 Urinalysis Auto WO Micro	$2.59	$249.00	—	49% below	99%
Urinalysis without microscope exam, automated CPT 81003 Urinalysis Auto WO Micro	$99.66	$3,076.00	—	1858% above	97%
Urinalysis without microscope exam, automated inpatient CPT 81003 Urinalysis Auto WO Micro	$2.59	$249.00	—	—	99%
Urinalysis without microscope exam, manual CPT 81002 Urinalysis Non Auto WO Micro	$4.00	$78.00	—	4% above	95%
Urinalysis without microscope exam, manual CPT 81002 Urinalysis Non Auto WO Micro	$608.46	$3,147.00	—	15787% above	81%
Urinalysis without microscope exam, manual inpatient CPT 81002 Urinalysis Non Auto WO Micro	$4.00	$78.00	—	—	95%
Urine culture for bacteria, with colony count CPT 87086 Culture Bact Quant Col Count Urine	$9.28	$399.00	—	at median	98%
Urine culture for bacteria, with colony count CPT 87086 Culture Bact Quant Col Count Urine	$72.88	$2,930.00	—	685% above	98%
Urine culture for bacteria, with colony count inpatient CPT 87086 Culture Bact Quant Col Count Urine	$9.28	$399.00	—	—	98%
Urine microalbumin (albumin) test CPT 82043 Microalbumin Urine	$6.65	$154.00	—	at median	96%
Urine microalbumin (albumin) test CPT 82043 Microalbumin Urine	$97.69	$2,912.00	—	1369% above	97%
Urine microalbumin (albumin) test inpatient CPT 82043 Microalbumin Urine	$6.65	$154.00	—	—	96%
Urine pregnancy test, read by color change CPT 81025 Pregnancy Test Urine Visual	$9.90	$391.00	—	at median	97%
Urine pregnancy test, read by color change CPT 81025 Pregnancy Test Urine Visual	$2,453.86	$19,173.79	—	24686% above	87%
Urine pregnancy test, read by color change inpatient CPT 81025 Pregnancy Test Urine Visual	$9.90	$391.00	—	—	97%
Vitamin B12 (cobalamin) blood test CPT 82607 Cyanocobalamin	$17.34	$371.00	—	at median	95%
Vitamin B12 (cobalamin) blood test CPT 82607 Cyanocobalamin	$129.71	$3,782.00	—	648% above	97%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 Cyanocobalamin	$17.34	$371.00	—	—	95%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vitamin D 25 Hydroxy	$34.04	$280.00	—	at median	88%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vitamin D 25 Hydroxy	$131.39	$3,537.00	—	286% above	96%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 Vitamin D 25 Hydroxy	$34.04	$280.00	—	—	88%
Vitamin D, 1,25-dihydroxy blood test CPT 82652 Vit D 1 25-Dihydroxy	$44.28	$1,195.00	—	at median	96%
Vitamin D, 1,25-dihydroxy blood test CPT 82652 Vit D 1 25-Dihydroxy	$271.14	$4,171.00	—	512% above	93%
Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 Vit D 1 25-Dihydroxy	$44.28	$1,195.00	—	—	96%
Zinc blood test CPT 84630 ZINC	$13.10	$58.00	—	at median	77%
Zinc blood test CPT 84630 Zinc RBC	$13.10	$117.00	—	at median	89%
Zinc blood test CPT 84630 ZINC	$317.21	$5,139.00	—	2321% above	94%
Zinc blood test inpatient CPT 84630 Zinc RBC	$13.10	$117.00	—	—	89%
Zinc blood test inpatient CPT 84630 ZINC	$13.10	$58.00	—	—	77%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Hcg Quant	$17.31	$34.00	—	at median	49%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Hcg Quant	$27.76	$50.00	—	60% above	44%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 Hcg Quant	$17.31	$34.00	—	—	49%

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs New Jersey	Off list
Adenoid removal (adenoidectomy), child under 12 CPT 42830 Adenoidectomy Primary <Age 12	$4,327.45	$16,099.54	—	at median	73%
Anterior cervical discectomy and fusion (ACDF), one level CPT 22551 Arthrd Ant Interbody Decompress Cervical Belw C2	$17,384.41	$76,833.25	—	22% above	77%
Appendectomy, open surgery CPT 44950 Appendectomy	$8,326.12	$39,461.38	—	21% above	79%
Arthroscopic ACL reconstruction or repair of the knee CPT 29888 Arthrs Aided Ant Cruciate Ligm Rpr/Agmntj/Rcnstj	$17,625.78	$54,177.66	—	126% above	67%
Arthroscopic rotator cuff repair of the shoulder CPT 29827 Surgical Arthroscopy Shoulder W/Rotator Cuff Rpr	$9,532.36	$46,475.53	—	22% above	79%
Balloon dilation of the maxillary sinus opening, one side CPT 31295 Nasal/Sinus Ndsc Surg W/Dilation Maxillary Sinus	$9,237.12	$50,366.93	—	52% above	82%
Botox injections for chronic migraine CPT 64615 Chemodenerv Musc(S) Migraine	$1,871.20	$4,205.56	—	at median	56%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 Bx Breast 1st Lesn Stereo Gdx	$2,036.00	$3,602.00	—	32% below	43%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 Bx Breast 1st Lesn Stereo Gdx	$2,163.50	$5,384.62	—	27% below	60%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 Bx Breast 1st Lesn Stereo Gdx	$2,036.00	$3,602.00	—	—	43%
Bunion correction with a bone cut near the head of the first metatarsal CPT 28296 Corrj Hlx Vlgs Bncty Sesmdc Dstl Metar Osteot	$4,130.03	$24,960.94	—	11% below	83%
Bunion correction with removal of part of the big toe joint CPT 28292 Corrj Hlx Vlgs Bncty Sesmdc Rescj Prox Phlx Base	$9,533.16	$35,878.01	—	106% above	73%
Cardiac catheterization with coronary angiogram CPT 93458 Lhc W Vntrgrphy W Angio Coron Art(S)	$4,291.87	$42,451.13	—	3% above	90%
Cardioversion, elective (restoring heart rhythm) CPT 92960 Cardioversion Elec Ext	$822.30	$2,300.00	—	1% below	64%
Cardioversion, elective (restoring heart rhythm) CPT 92960 Cardioversion Elec Ext	$1,511.30	$13,558.14	—	81% above	89%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 Cardioversion Elec Ext	$822.30	$2,300.00	—	—	64%
Carpal tunnel release, open surgery CPT 64721 Neuroplasty &/Transpos Median Nrv Carpal Tunne	$2,453.86	$15,134.39	—	6% below	84%
Cataract surgery with lens implant CPT 66984 Xcapsl Ctrc Rmvl Insj Io Lens Prosth W/O Ecp	$3,043.33	$17,384.00	—	at median	82%
Catheter ablation for atrial fibrillation CPT 93656 Ep Eval Cmp W Ablation Afib < 3 Hr	$32,735.12	$225,263.83	—	21% above	85%
Cervical biopsy CPT 57500 Bx(S) Cervix Sng/Mult	$1,251.45	$16,467.77	—	at median	92%
Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 Circumcision Age >28 Days	$4,602.20	$16,096.45	—	22% above	71%
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 Circumcision W/Clamp/Oth Dev W/Block	$4,603.00	$14,950.51	—	6% above	69%
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 Cltx Dstl Radial Fx/Epiphysl Sep W/O Manj	$3,813.75	$20,665.66	—	94% above	82%
Colonoscopy with endoscopic ultrasound CPT 45391 Colsc Flx W/Ndsc US Xm Rctm Et Al Lmtd&Adj Strux	$2,986.52	$12,257.63	—	20% above	76%
Colonoscopy with polyp removal CPT 45385 Colsc Flx W/Rmvl of Tumor Polyp Lesion Snare Tq	$2,070.71	$8,475.57	—	at median	76%
Colonoscopy with tissue sample CPT 45380 Colonoscopy W/Biopsy Single/Multiple	$1,481.64	$7,910.06	—	7% below	81%
Colonoscopy, diagnostic CPT 45378 Colonoscopy Flx Dx W/Collj Spec When Pfrmd	$1,145.66	$6,900.67	—	6% below	83%
Colposcopy with LEEP (loop electrosurgical excision) CPT 57460 Colposcopy Cervix Vag Loop Eltrd Bx Cervix	$4,242.66	$17,814.56	—	at median	76%
Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 Colposcopy	$520.43	$5,745.00	—	at median	91%
Coronary stent placement, one artery CPT 92928 Pci Stent/Ang Maj Cor Art Sng	$18,241.97	$167,267.58	—	35% above	89%
Cystoscopy with ureteral stent placement CPT 52332 Cysto W/Insert Ureteral Stent	$4,333.99	$20,292.40	—	6% below	79%
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 Cystourethroscopy	$356.26	$9,823.96	—	57% below	96%
D&C (dilation and curettage), not related to pregnancy CPT 58120 Dilation & Curettage Dx&/Ther Nonobstetric	$4,243.46	$16,073.81	—	at median	74%
Ear tube placement (tympanostomy) under general anesthesia, one ear CPT 69436 Tympanostomy General Anesthesia	$4,327.45	$15,843.99	—	at median	73%
Ear tube placement (tympanostomy) with local anesthesia, one ear CPT 69433 Tympanostomy Local/Topical Anesthesia	$1,019.29	$4,316.20	—	74% below	76%
Earwax removal by irrigation (rinsing), one ear CPT 69209 Rem Cerumen Ear Irrig/Lavage	$79.26	$854.00	—	79% below	91%
Earwax removal by irrigation (rinsing), one ear CPT 69209 Rem Cerumen Ear Irrig/Lavage	$248.80	$1,605.00	—	33% below	84%
Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 Rem Cerumen Ear Irrig/Lavage	$79.26	$854.00	—	—	91%
Earwax removal with instruments, one ear CPT 69210 Rem Cerumen Ear Instrument	$75.44	$23,527.13	—	73% below	100%
Earwax removal with instruments, one ear CPT 69210 Rem Cerumen Ear Instrument	$343.00	$343.00	—	23% above	—
Earwax removal with instruments, one ear inpatient CPT 69210 Rem Cerumen Ear Instrument	$343.00	$343.00	—	—	—
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 Bx Endometrial WO Cerv Dil	$268.43	$1,989.37	—	at median	87%
Endoscopic sinus surgery: full ethmoid sinus opening CPT 31255 Nasal/Sinus Ndsc W/Total Ethoidectomy	$9,237.12	$36,055.97	—	46% above	74%
Endoscopic sinus surgery: opening the frontal sinus CPT 31276 Nasal/Sinus Ndsc W/Rmvl Tiss From Frontal Sinus	$9,237.12	$50,151.45	—	46% above	82%
Endoscopic sinus surgery: opening the maxillary (cheek) sinus CPT 31256 Nasal/Sinus Endoscopy W/Maxillary Antrostomy	$9,237.12	$36,095.38	—	61% above	74%
Endoscopic sinus surgery: opening the maxillary sinus with removal of tissue CPT 31267 Nsl/Sinus Ndsc Max Antrost W/Rmvl Tiss Max Sinus	$9,237.12	$49,515.69	—	40% above	81%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 Inj(S) Dx/Tx Epi/Subar Crv/Thr W Img	$870.22	$3,914.50	—	8% below	78%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 Inj(S) Dx/Tx Epi/Subar Crv/Thr W Img	$924.08	$3,552.00	—	2% below	74%
Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 Inj(S) Dx/Tx Epi/Subar Crv/Thr W Img	$924.08	$3,552.00	—	—	74%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 Inj(S) Dx/Tx Paravt Facet Lumb/Sacr Sng	$1,118.74	$3,552.00	—	61% below	69%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 Inj(S) Dx/Tx Paravt Facet Lumb/Sacr Sng	$1,678.11	$4,340.13	—	41% below	61%
Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 Inj(S) Dx/Tx Paravt Facet Lumb/Sacr Sng	$1,118.74	$3,552.00	—	—	69%
First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm CPT 49593 Rpr Aa Hernia 1st 3-10 Cm Reducible	$8,326.92	$36,593.82	—	22% above	77%
First repair of a front abdominal hernia larger than 10 cm CPT 49595 Rpr Aa Hernia 1st > 10 Cm Reducible	$8,326.12	$46,743.10	—	21% above	82%
First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm CPT 49591 Rpr Aa Hernia 1st < 3 Cm Reducible	$4,709.06	$20,317.67	—	2% above	77%
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 Sigmoidoscopy Flx Dx W/Collj Spec Br/Wa if Pfrmd	$1,160.51	$5,988.83	—	5% below	81%
Gallbladder removal, laparoscopic CPT 47562 Laparoscopy Surg Cholecystectomy	$8,242.69	$31,314.25	—	28% above	74%
Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery CPT 47563 Laps Surg Cholecystectomy W/Cholangiography	$7,785.98	$34,012.35	—	21% above	77%
Hammertoe correction surgery CPT 28285 Correction Hammertoe	$4,077.19	$4,101.92	—	3% below	1%
Hammertoe correction surgery CPT 28285 Repair Hammertoe	$10,535.00	$10,535.00	—	152% above	—
Hammertoe correction surgery inpatient CPT 28285 Repair Hammertoe	$10,535.00	$10,535.00	—	—	—
Hemorrhoid banding (rubber band ligation) CPT 46221 Hemorrhoidectomy Internal Rubber Band Ligations	$2,531.28	$13,052.12	—	at median	81%
Hemorrhoidectomy (internal and external), one area CPT 46255 Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group	$1,920.45	$18,342.39	—	47% below	90%
Hip replacement after an earlier hip surgery (conversion to total hip) CPT 27132 Conv Prev Hip Tot Hip Arthrp W/WO Agrft/Algrft	$8,065.96	$71,018.98	—	39% above	89%
Hysterectomy through an abdominal incision (total) CPT 58150 Total Abdominal Hysterect W/WO Rmvl Tube Ovary	$1,700.23	$51,383.88	—	65% below	97%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 Cath&Intro Cntrast/Saline Sis/Hystero	$464.44	$4,533.40	—	at median	90%
Hysteroscopy with endometrial ablation CPT 58563 Hysteroscopy Endometrial Ablation	$6,587.04	$22,193.96	—	20% above	70%
Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 Hysteroscopy W Bx/Polypectomy W/WO D&C	$3,995.41	$19,161.92	—	at median	79%
IUD insertion (the device itself billed separately) CPT 58300 Ins Intrauterine Device	$1,362.30	$12,111.74	—	50% below	89%
Incision and drainage of a simple or single skin abscess CPT 10060 I&D Abscess Smp/Sng	$265.14	$939.00	—	23% below	72%
Incision and drainage of a simple or single skin abscess CPT 10060 I&D Abscess Smp/Sng	$434.68	$3,051.91	—	26% above	86%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I&D Abscess Smp/Sng	$265.14	$939.00	—	—	72%
Inguinal (groin) hernia repair, age 5 or older CPT 49505 Rpr 1st Ingun Hrna Age 5 Yrs/> Reducible	$4,434.63	$20,682.72	—	7% below	79%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 Inj(S) Sng Tendon Shth Aponeuro	$393.89	$972.00	—	54% below	59%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 Inj(S) Sng Tendon Shth Aponeuro	$2,135.54	$11,266.60	—	149% above	81%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 Inj(S) Sng Tendon Shth Aponeuro	$393.89	$972.00	—	—	59%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Arthroc Asp Inj Jnt Bursa Major	$393.89	$1,017.00	—	63% below	61%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Arthroc Asp Inj Jnt Bursa Major	$556.41	$4,339.43	—	48% below	87%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 Arthroc Asp Inj Jnt Bursa Major	$393.89	$1,017.00	—	—	61%
Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 Insrt Drug Delivery Impl	$172.80	$7,684.97	—	at median	98%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Arthroc Asp Inj Jnt Bursa Intmd	$393.89	$687.00	—	54% below	43%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Arthroc Asp Inj Jnt Bursa Intmd	$590.84	$3,177.69	—	31% below	81%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 Arthroc Asp Inj Jnt Bursa Intmd	$393.89	$687.00	—	—	43%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 Arthroc Asp Inj Jnt Bursa Sm	$590.84	$3,177.69	—	19% below	81%
Knee arthroscopy with meniscus repair (one side of the knee) CPT 29882 Arthroscopy Knee W/Meniscus Rpr Medial/Lateral	$4,554.34	$41,697.70	—	5% above	89%
Knee arthroscopy with meniscus trim CPT 29881 Arthrs Kne Surg W/Meniscectomy Med/Lat W/Shvg	$4,330.30	$15,554.62	—	1% below	72%
Knee arthroscopy with removal of both torn meniscus parts CPT 29880 Arthrs Knee W/Meniscectomy Med&Lat W/Shaving	$4,330.30	$17,537.71	—	3% below	75%
Knee arthroscopy with smoothing of damaged cartilage (chondroplasty) CPT 29877 Arthrs Knee Debridement/Shaving Artclr Crtlg	$4,557.85	$22,776.92	—	6% above	80%
Laparoscopic Roux-en-Y gastric bypass, standard limb length CPT 43644 Laps Gstr Rstcv Px W/Byp Roux-en-Y Limb <150 Cm	$2,138.82	$79,245.97	—	58% below	97%
Laparoscopic adjustable gastric band placement (Lap-Band) CPT 43770 Laps Gastric Restrictive Procedure Place Device	$13,892.40	$48,506.00	—	21% above	71%
Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 Laparoscopic Appendectomy	$8,241.89	$29,436.25	—	28% above	72%
Laparoscopic fundoplication (anti-reflux surgery) CPT 43280 Laps Surg Esopg/Gstr Fundoplasty	$13,893.20	$59,427.44	—	21% above	77%
Laparoscopic hysterectomy (uterus 250 g or less) CPT 58570 Laparoscopy W Total Hysterectomy Uterus 250 Gm/<	$13,893.20	$36,514.27	—	21% above	62%
Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries CPT 58571 Laps Total Hysterect 250 Gm/< W/Rmvl Tube/Ovary	$13,893.20	$47,585.62	—	21% above	71%
Laparoscopic inguinal (groin) hernia repair, first repair on that side CPT 49650 Laparoscopy Surg Rpr Initial Inguinal Hernia	$7,785.18	$37,646.39	—	23% above	79%
Laparoscopic inguinal (groin) hernia repair, recurrent hernia CPT 49651 Laps Surg Rpr Recurrent Inguinal Hernia	$7,785.58	$36,775.78	—	23% above	79%
Laparoscopic removal of an adjustable gastric band and its port CPT 43774 Laps Gastric Restrictive Px Remove Device & Port	$5,076.64	$30,943.52	—	10% above	84%
Laparoscopic removal of fallopian tubes and/or ovaries CPT 58661 Laparoscopy W/Rmvl Adnexal Structures	$7,785.98	$29,929.91	—	23% above	74%
Laparoscopic sleeve gastrectomy for weight loss CPT 43775 Laps Gstrc Rstrictiv Px Longitudinal Gastrectomy	$1,791.31	$53,083.89	—	63% below	97%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 Rpr Intmd Wnd S/Ax/T/Ex 2.5/< Cm	$799.68	$13,313.82	—	44% below	94%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 Rpr Intmd Wnd S/Ax/T/Ex 2.5/< Cm	$1,246.00	$1,246.00	—	13% below	—
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 Rpr Intmd Wnd S/Ax/T/Ex 2.5/< Cm	$1,246.00	$1,246.00	—	—	—
Left heart catheterization, diagnostic CPT 93452 Lhc W Vntrgrphy	$23,960.87	$112,769.40	—	572% above	79%
Lower-back epidural injection, with imaging guidance CPT 62323 Inj(S) Dx/Tx Epi/Subar Lumb/Scr W Img	$870.22	$3,552.00	—	64% below	76%
Lower-back epidural injection, with imaging guidance CPT 62323 Inj(S) Dx/Tx Epi/Subar Lumb/Scr W Img	$870.22	$4,092.19	—	64% below	79%
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 Inj(S) Dx/Tx Epi/Subar Lumb/Scr W Img	$870.22	$3,552.00	—	—	76%
Lower-back epidural injection, without imaging guidance CPT 62322 Inj(S) Dx/Tx Epi/Subar Lumb/Scr WO Img	$3,552.00	$3,552.00	—	79% above	—
Lower-back epidural injection, without imaging guidance CPT 62322 Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn	$4,602.20	$23,181.55	—	133% above	80%
Lower-back epidural injection, without imaging guidance inpatient CPT 62322 Inj(S) Dx/Tx Epi/Subar Lumb/Scr WO Img	$3,552.00	$3,552.00	—	—	—
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 Inj(S) Anes/Ster Tf Epid Lumb/Sacr Sng W Flx/CT Gdx	$1,118.74	$4,040.71	—	63% below	72%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 Inj(S) Anes/Ster Tf Epid Lumb/Sacr Sng W Flx/CT Gdx	$1,118.74	$3,552.00	—	63% below	69%
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 Inj(S) Anes/Ster Tf Epid Lumb/Sacr Sng W Flx/CT Gdx	$1,118.74	$3,552.00	—	—	69%
Lumbar discectomy or laminotomy to free a nerve root, one level CPT 63030 Lamnotmy Incl W/Dcmprsn Nrv Root 1 Intrspc Lumbr	$9,757.20	$31,695.66	—	75% above	69%
Lumbar fusion with interbody cage and posterolateral graft (TLIF), one level CPT 22633 Arthrodesis Combined Tq 1ntrspc Lumbar	$25,211.94	$144,837.81	—	25% above	83%
Lumbar interbody fusion (PLIF or TLIF), one level CPT 22630 Arthrodesis Posterior Interbody 1 Ntrspc Lumbar	$24,660.02	$151,418.72	—	22% above	84%
Lumbar laminectomy (spinal decompression), one level CPT 63047 Lam Facetectomy & Foramotomy 1 Vrt Sgm Lumbar	$9,747.70	$35,829.36	—	23% above	73%
Lumbar spinal fusion (posterior), one level CPT 22612 Arthrodesis Posterior/Pstlat Tq 1ntrspc Lumbar	$25,211.14	$130,394.83	—	24% above	81%
Lumpectomy (partial mastectomy) CPT 19301 Mastectomy Partial	$4,920.06	$27,012.19	—	4% below	82%
Mastectomy (total removal of the breast) CPT 19303 Mastectomy Simple Complete	$22,319.56	$96,782.88	—	204% above	77%
Miscarriage treatment with D&C, first trimester CPT 59820 Surg Tx Missed Abortion 1st Trimester	$4,243.46	$14,510.22	—	6% above	71%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 Exc Benign Lesn T/a/L 0.5/< Cm	$1,226.00	$1,226.00	—	6% below	—
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 Exc B9 Lesion Mrgn Xcp Sk Tg T/a/L 0.5 Cm/<	$7,426.49	$19,729.10	—	469% above	62%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 Exc Benign Lesn T/a/L 0.5/< Cm	$1,226.00	$1,226.00	—	—	—
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 Exc B9 Lesion Mrgn Xcp Sk Tg F/E/E/N/L/M 0.5cm/<	$938.85	$12,203.17	—	1% below	92%
Nail removal (partial or complete), one nail CPT 11730 Avulsion Nail Plate Smp Sng	$265.14	$705.00	—	13% below	62%
Nail removal (partial or complete), one nail CPT 11730 Avulsion Nail Plate Smp Sng	$2,605.71	$15,847.53	—	751% above	84%
Nail removal (partial or complete), one nail inpatient CPT 11730 Avulsion Nail Plate Smp Sng	$265.14	$705.00	—	—	62%
Occipital nerve block (injection for headaches) CPT 64405 Inj Anes/Steroid Nerve Occipital	$393.89	$1,445.00	—	71% below	73%
Occipital nerve block (injection for headaches) CPT 64405 Inj Anes/Steroid Nerve Occipital	$556.41	$7,381.63	—	59% below	92%
Occipital nerve block (injection for headaches) inpatient CPT 64405 Inj Anes/Steroid Nerve Occipital	$393.89	$1,445.00	—	—	73%
Pacemaker implant (dual chamber) CPT 33208 Ins/Rplcmt Pm W Tv Elctrd(S) Atr Vntr	$13,321.20	$38,725.00	—	15% above	66%
Pacemaker implant (dual chamber) CPT 33208 Ins/Rplcmt Pm W Tv Elctrd(S) Atr Vntr	$13,964.60	$57,657.40	—	21% above	76%
Pacemaker implant (dual chamber) inpatient CPT 33208 Ins/Rplcmt Pm W Tv Elctrd(S) Atr Vntr	$13,321.20	$38,725.00	—	—	66%
Paracentesis with imaging guidance CPT 49083 Paracentesis Abd Dx/Tx W Img	$1,178.14	$2,752.00	—	3% below	57%
Paracentesis with imaging guidance CPT 49083 Paracentesis Abd Dx/Tx W Img	$1,178.14	$3,597.94	—	3% below	67%
Paracentesis with imaging guidance inpatient CPT 49083 Paracentesis Abd Dx/Tx W Img	$1,178.14	$2,752.00	—	—	57%
Partial knee replacement (one compartment) CPT 27446 Arthrp Knee Condyle&Plateau Medial/Lat Cmprt	$17,515.54	$58,353.48	—	178% above	70%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 Exc Nail & Nail Matrix Part/Cmplt	$502.05	$2,511.00	—	12% below	80%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 Exc Nail & Nail Matrix Part/Cmplt	$1,349.93	$9,095.02	—	136% above	85%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 Exc Nail & Nail Matrix Part/Cmplt	$502.05	$2,511.00	—	—	80%
Prostate biopsy CPT 55700 Bx Prostate Ndl/Punch Sng/Mult	$2,574.17	$21,604.22	—	6% below	88%
Prostate removal (prostatectomy), laparoscopic CPT 55866 Laps Surg Prst8ect Rpbic Rad W/Nerve Sparing	$13,892.40	$70,372.09	—	21% above	80%
Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 Dest Neurolyt Paravt Facet Sng Lumb/Sacr	$2,605.71	$13,681.04	—	32% below	81%
Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 Dest Neurolyt Paravt Facet Sng Lumb/Sacr	$2,605.71	$7,292.00	—	32% below	64%
Radiofrequency ablation of facet joint nerves, lower back, one level inpatient CPT 64635 Dest Neurolyt Paravt Facet Sng Lumb/Sacr	$2,605.71	$7,292.00	—	—	64%
Removal of a breast lump, open surgery CPT 19120 Exc Cyst/Aberrant Breast Tissue Open 1/> Lesion	$5,109.67	$18,833.03	—	at median	73%
Removal of a foreign object under the skin, simple CPT 10120 Inc & Rem FB Subq Tiss Smp	$502.05	$980.00	—	8% below	49%
Removal of a foreign object under the skin, simple CPT 10120 Inc & Rem FB Subq Tiss Smp	$2,162.00	$10,606.32	—	297% above	80%
Removal of a foreign object under the skin, simple inpatient CPT 10120 Inc & Rem FB Subq Tiss Smp	$502.05	$980.00	—	—	49%
Removal of one lobe of the thyroid (lobectomy) CPT 60220 Total Thyroid Lobectomy Uni W/WO Isthmusectomy	$7,426.49	$22,751.80	—	15% above	67%
Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 Colon ca scrn not hi rsk ind	$1,145.66	$6,848.69	—	4% above	83%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 Colorectal scrn; hi risk ind	$1,145.66	$6,900.70	—	7% above	83%
Septoplasty to straighten the nasal septum CPT 30520 Septoplasty/Submucous Resecj W/WO Cartilage Grf	$9,237.12	$35,880.56	—	113% above	74%
Shock-wave lithotripsy to break up kidney stones (from outside the body) CPT 50590 Lithotripsy Xtrcorp Shock Wave	$4,390.96	$12,266.77	—	at median	64%
Short arm splint (forearm and hand) CPT 29125 App Splint Forearm-Hand Static	$436.00	$436.00	—	43% below	—
Short arm splint (forearm and hand) inpatient CPT 29125 App Splint Forearm-Hand Static	$436.00	$436.00	—	—	—
Short leg cast (below the knee) CPT 29405 Apply Cast Below Knee-Toes	$354.38	$1,002.00	—	46% below	65%
Short leg cast (below the knee) CPT 29405 Apply Cast Below Knee-Toes	$1,063.14	$2,902.00	—	63% above	63%
Short leg cast (below the knee) inpatient CPT 29405 Apply Cast Below Knee-Toes	$354.38	$1,002.00	—	—	65%
Short leg splint (calf to foot) CPT 29515 App Splint Calf-Foot	$534.00	$534.00	—	16% below	—
Short leg splint (calf to foot) inpatient CPT 29515 App Splint Calf-Foot	$534.00	$534.00	—	—	—
Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle) CPT 29824 Surgical Arthroscopy Shoulder Dstl Claviculc	$9,760.71	$44,138.43	—	111% above	78%
Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) CPT 29826 Surgical Arthroscopy Sho W/Coracoacrm Ligm Rls	$9,760.71	$42,485.99	—	67% above	77%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 Rpr Smp Wnd S/N/Ax/G/T/Ex 2.5/< Cm	$265.14	$801.00	—	37% below	67%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 Rpr Smp Wnd S/N/Ax/G/T/Ex 2.5/< Cm	$379.67	$2,852.70	—	10% below	87%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 Rpr Smp Wnd S/N/Ax/G/T/Ex 2.5/< Cm	$265.14	$801.00	—	—	67%
Skin biopsy, punch, one lesion CPT 11104 Bx Punch Skin Lesn Sng	$533.12	$1,352.00	—	1% below	61%
Skin biopsy, punch, one lesion CPT 11104 Bx Punch Skin Lesn Sng	$799.68	$6,287.72	—	48% above	87%
Skin biopsy, punch, one lesion inpatient CPT 11104 Bx Punch Skin Lesn Sng	$533.12	$1,352.00	—	—	61%
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/<	$938.85	$5,084.99	—	6% below	82%
Skin tag removal, up to 15 tags CPT 11200 Removal Skn Tags Mlt Fibrq Tags Any Area Upw/15	$387.60	$15,996.29	—	20% below	98%
Spinal tap (lumbar puncture), diagnostic CPT 62270 Punc Spinal Lumbar Dx	$924.08	$1,918.00	—	2% below	52%
Spinal tap (lumbar puncture), diagnostic CPT 62270 Punc Spinal Lumbar Dx	$1,008.34	$8,977.65	—	7% above	89%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 Punc Spinal Lumbar Dx	$924.08	$1,918.00	—	—	52%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 Rpr Smp Wnd S/N/Ax/G/T/Ex 2.6-7.5 Cm	$265.14	$869.00	—	49% below	69%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 Rpr Smp Wnd S/N/Ax/G/T/Ex 2.6-7.5 Cm	$379.67	$1,792.69	—	27% below	79%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 Rpr Smp Wnd S/N/Ax/G/T/Ex 2.6-7.5 Cm	$265.14	$869.00	—	—	69%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 Rpr Smp Wnd F/E/L/Mm 2.5/< Cm	$820.00	$820.00	—	17% below	—
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 Rpr Smp Wnd F/E/L/Mm 2.5/< Cm	$7,893.67	$60,907.71	—	700% above	87%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 Rpr Smp Wnd F/E/L/Mm 2.5/< Cm	$820.00	$820.00	—	—	—
TURP (transurethral resection of the prostate) CPT 52601 Trurl Electrosurg Rescj Prostate Bleed Complete	$6,388.10	$27,258.06	—	13% above	77%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 Bx Tangential Skin Lesn Sng	$249.69	$1,352.00	—	54% below	82%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 Bx Tangential Skin Lesn Sng	$379.67	$5,753.72	—	30% below	93%
Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 Bx Tangential Skin Lesn Sng	$249.69	$1,352.00	—	—	82%
Thoracentesis with imaging guidance CPT 32555 Thoracentesis W Img Gdx	$776.91	$2,755.00	—	56% below	72%
Thoracentesis with imaging guidance CPT 32555 Thoracentesis W Img Gdx	$887.55	$8,372.35	—	50% below	89%
Thoracentesis with imaging guidance inpatient CPT 32555 Thoracentesis W Img Gdx	$776.91	$2,755.00	—	—	72%
Tonsil and adenoid removal, age 12 or older CPT 42821 Tonsillectomy & Adenoidectomy Age 12/>	$4,075.26	$36,185.34	—	3% below	89%
Tonsil and adenoid removal, child under 12 CPT 42820 Tonsillectomy & Adenoidectomy <Age 12	$7,893.67	$19,166.77	—	21% above	59%
Tonsil removal (tonsillectomy) only, age 12 or older CPT 42826 Tonsillectomy Primary/Secondary Age 12/>	$4,327.45	$17,754.76	—	at median	76%
Tonsil removal (tonsillectomy) only, child under 12 CPT 42825 Tonsillectomy Primary/Secondary <Age 12	$7,893.67	$16,403.46	—	21% above	52%
Total hip replacement CPT 27130 Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft	$17,384.41	$59,643.73	—	175% above	71%
Total knee replacement CPT 27447 Arthrp Kne Condyle&Platu Medial&Lat Compartments	$17,842.32	$62,192.09	—	183% above	71%
Total shoulder replacement CPT 23472 Arthroplasty Glenohumeral Joint Total Shoulder	$24,982.78	$85,040.56	—	296% above	71%
Total thyroid removal (thyroidectomy) CPT 60240 Thyroidectomy Total/Complete	$7,785.18	$34,175.78	—	21% above	77%
Trigger finger release surgery CPT 26055 Tendon Sheath Incision	$2,011.08	$15,239.03	—	6% below	87%
Trigger point injections, 1 or 2 muscles CPT 20552 Inj(S) Trig Point(S) 1-2 Musc	$381.26	$904.85	—	4% below	58%
Trigger point injections, 1 or 2 muscles CPT 20552 Inj(S) Trig Point(S) 1-2 Musc	$393.89	$972.00	—	1% below	59%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 Inj(S) Trig Point(S) 1-2 Musc	$393.89	$972.00	—	—	59%
Tubal ligation, laparoscopic (tubes sealed by cautery) CPT 58670 Laparoscopy Fulguration Oviducts	$7,785.58	$25,437.01	—	21% above	69%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 Bx Breast 1st Lesn US Gdx	$2,036.00	$3,308.00	—	32% below	38%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 Bx Breast 1st Lesn US Gdx	$2,163.50	$5,650.58	—	27% below	62%
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 Bx Breast 1st Lesn US Gdx	$2,036.00	$3,308.00	—	—	38%
Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 Egd Balloon Dilation Esophagus <30 Mm Diam	$2,531.28	$11,897.99	—	at median	79%
Upper endoscopy (EGD) with biopsy CPT 43239 Egd Transoral Biopsy Single/Multiple	$1,178.14	$7,935.02	—	15% below	85%
Upper endoscopy (EGD) with injection into the lining CPT 43236 Esophagogastroduodenoscopy Submucosal Injection	$2,537.84	$11,704.37	—	at median	78%
Upper endoscopy (EGD) with polyp removal by snare CPT 43251 Egd Removal Tumor Polyp/Other Lesion Snare Tech	$2,531.28	$13,333.51	—	at median	81%
Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 Egd Insert Guide Wire Dilator Passage Esophagus	$1,876.58	$10,059.79	—	10% above	81%
Upper endoscopy (EGD), diagnostic CPT 43235 Esophagogastroduodenoscopy Transoral Diagnostic	$1,178.14	$6,880.51	—	45% below	83%
Upper endoscopy (EGD), diagnostic CPT 43235 Egd Dx Brush Wash	$2,724.00	$2,724.00	—	26% above	—
Upper endoscopy (EGD), diagnostic inpatient CPT 43235 Egd Dx Brush Wash	$2,724.00	$2,724.00	—	—	—
Upper endoscopy with drainage of a pseudocyst through the stomach wall CPT 43240 Egd Transoral Transmural Drainage Pseudocyst	$7,943.24	$39,772.22	—	21% above	80%
Ureteroscopy with laser stone breaking (lithotripsy) CPT 52353 Cysto W/Ureteroscopy W/Lithotripsy	$6,388.10	$21,014.85	—	15% above	70%
Ureteroscopy with laser stone breaking and stent placement CPT 52356 Cysto/Uretero W/Lithotripsy &Indwell Stent Insrt	$8,408.29	$26,972.03	—	38% above	69%
Vasectomy, one or both sides, including follow-up semen testing both sides CPT 55250 Vasectomy Uni/Bi Spx W/Postop Semen Exams	$2,733.47	$14,372.79	—	—	81%
Vein ablation, radiofrequency, first vein CPT 36475 Ablate Rf Vein Extrm 1st Vein	$1,679.97	$13,305.09	—	65% below	87%
Wart removal, up to 14 warts CPT 17110 Dest Benign Lesn 1-14 Lesn	$266.29	$15,136.41	—	1% below	98%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Debride Subq Tiss 1st 20sqcm	$502.05	$1,902.19	—	7% below	74%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Debride Subq Tiss 1st 20sqcm	$502.05	$1,857.00	—	7% below	73%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 Debride Subq Tiss 1st 20sqcm	$502.05	$1,857.00	—	—	73%
Wrist fracture surgery (plate and screws), distal radius CPT 25607 Optx Dstl Radl X-Artic Fx/Epiphysl Sep	$9,760.71	$34,025.97	—	60% above	71%

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs New Jersey	Off list
Blood transfusion (giving blood or blood components) CPT 36430 Transfusion Blood Product/Day	$549.36	$1,617.00	—	34% below	66%
Blood transfusion (giving blood or blood components) CPT 36430 Transfusion Blood Product/Day	$1,109.53	$8,681.31	—	33% above	87%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 Transfusion Blood Product/Day	$549.36	$1,617.00	—	—	66%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Tx Airway Inhalation	$271.40	$438.00	—	21% above	38%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Tx Airway Inhalation	$8,242.69	$47,963.14	—	3560% above	83%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Tx Airway Inhalation	$271.40	$438.00	—	—	38%
Chemotherapy IV infusion, first hour CPT 96413 Admin Chemo IV Inf Initial 1st Hr	$416.80	$1,226.00	—	6% below	66%
Chemotherapy IV infusion, first hour CPT 96413 Admin Chemo IV Inf Initial 1st Hr	$4,835.73	$21,773.33	—	993% above	78%
Chemotherapy IV infusion, first hour inpatient CPT 96413 Admin Chemo IV Inf Initial 1st Hr	$416.80	$1,226.00	—	—	66%
Comprehensive hearing test: tone and speech audiometry, both ears CPT 92557 Audio Threshold Eval & Speech Recog	$208.78	$882.00	—	13% above	76%
Comprehensive hearing test: tone and speech audiometry, both ears CPT 92557 Audio Threshold Eval & Speech Recog	$208.78	$719.00	—	13% above	71%
Comprehensive hearing test: tone and speech audiometry, both ears inpatient CPT 92557 Audio Threshold Eval & Speech Recog	$208.78	$719.00	—	—	71%
Critical care, first 30 to 74 minutes CPT 99291 Critical Care E&M 30-74 Min	$1,058.83	$6,478.00	—	2% below	84%
Critical care, first 30 to 74 minutes CPT 99291 Critical Care E&M 30-74 Min	$1,573.17	$16,325.85	—	45% above	90%
Critical care, first 30 to 74 minutes inpatient CPT 99291 Critical Care E&M 30-74 Min	$1,058.83	$6,478.00	—	—	84%
EEG (brain wave test), awake and drowsy, routine CPT 95816 Eeg Awake & Drowsy	$391.31	$2,497.00	—	13% above	84%
EEG (brain wave test), awake and drowsy, routine CPT 95816 Eeg Awake & Drowsy	$391.31	$2,497.00	—	13% above	84%
EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 Eeg Awake & Drowsy	$391.31	$2,497.00	—	—	84%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Ekg 12 Lead Tracing	$74.64	$591.00	—	at median	87%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Ekg 12 Lead Tracing	$74.64	$2,068.00	—	at median	96%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 Ekg 12 Lead Tracing	$74.64	$591.00	—	—	87%
Electroconvulsive therapy (ECT), one session CPT 90870 Electroconvulsive Tx	$708.02	$5,709.37	—	20% above	88%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ED E&M Level I	$110.64	$521.00	—	49% below	79%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ED E&M Level I	$110.64	$521.00	—	49% below	79%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 ED E&M Level I	$110.64	$521.00	—	—	79%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 ED E&M Level 2	$199.00	$1,296.00	—	33% below	85%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 ED E&M Level 2	$199.00	$1,296.00	—	33% below	85%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 ED E&M Level 2	$199.00	$1,296.00	—	—	85%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 ED E&M Level 3	$347.94	$2,333.00	—	6% below	85%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 ED E&M Level 3	$597.63	$3,278.07	—	62% above	82%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 ED E&M Level 3	$347.94	$2,333.00	—	—	85%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 ED E&M Level 4	$535.09	$3,108.00	—	3% below	83%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 ED E&M Level 4 W/Crisis Mhp	$535.09	$4,181.00	—	3% below	87%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 ED E&M Level 4	$832.74	$9,347.00	—	51% above	91%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 ED E&M Level 4 W/Crisis Mhp	$535.09	$4,181.00	—	—	87%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 ED E&M Level 4	$535.09	$3,108.00	—	—	83%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 ED E&M Level 5	$770.42	$10,451.49	—	2% below	93%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 ED E&M Level 5 W/Crisis Mhpmd	$770.42	$5,484.00	—	2% below	86%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 ED E&M Level 5	$770.42	$4,408.00	—	2% below	83%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 ED E&M Level 5	$770.42	$4,408.00	—	—	83%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 ED E&M Level 5 W/Crisis Mhpmd	$770.42	$5,484.00	—	—	86%
Exercise stress test, tracing only, the hospital charge CPT 93017 Cv Stress Test	$391.31	$3,988.00	—	1% below	90%
Exercise stress test, tracing only, the hospital charge CPT 93017 Cv Stress Test	$1,640.47	$17,189.65	—	314% above	90%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 Cv Stress Test	$391.31	$3,988.00	—	—	90%
Family therapy with the patient, 50 minutes CPT 90847 Psytx Family W Pt 50 Min	$214.39	$684.00	—	11% above	69%
Family therapy with the patient, 50 minutes CPT 90847 Psytx Family W Pt 50 Min	$214.39	$320.00	—	11% above	33%
Family therapy with the patient, 50 minutes inpatient CPT 90847 Psytx Family W Pt 50 Min	$214.39	$320.00	—	—	33%
Family therapy without the patient, 50 minutes CPT 90846 Psytx Family WO Pt 50 Min	$214.39	$326.00	—	14% above	34%
Family therapy without the patient, 50 minutes CPT 90846 Psytx Family WO Pt 50 Min	$214.39	$684.00	—	14% above	69%
Family therapy without the patient, 50 minutes inpatient CPT 90846 Psytx Family WO Pt 50 Min	$214.39	$326.00	—	—	34%
Group psychotherapy session CPT 90853 Psytx Group	$116.24	$504.00	—	7% above	77%
Group psychotherapy session CPT 90853 Psytx Group	$116.24	$1,154.00	—	7% above	90%
Group psychotherapy session inpatient CPT 90853 Psytx Group	$116.24	$504.00	—	—	77%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 Inf Hyd IV 1st Hr	$264.75	$922.00	—	6% above	71%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 Inf Hyd IV 1st Hr	$322.73	$1,134.08	—	30% above	72%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 Inf Hyd IV 1st Hr	$264.75	$922.00	—	—	71%
IV infusion of a medicine, first hour CPT 96365 Inf Tx/Dx IV 1st Hr	$264.75	$1,241.14	—	1% above	79%
IV infusion of a medicine, first hour CPT 96365 Inf Tx/Dx IV 1st Hr	$264.75	$1,010.00	—	1% above	74%
IV infusion of a medicine, first hour inpatient CPT 96365 Inf Tx/Dx IV 1st Hr	$264.75	$1,010.00	—	—	74%
IV push of a medicine, first drug CPT 96374 Inj Tx/Dx IV Push Init Drug	$264.75	$419.00	—	14% above	37%
IV push of a medicine, first drug CPT 96374 Inj Tx/Dx IV Push Init Drug	$264.75	$650.14	—	14% above	59%
IV push of a medicine, first drug inpatient CPT 96374 Inj Tx/Dx IV Push Init Drug	$264.75	$419.00	—	—	37%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 Inj Tx/Dx Sc/Im	$89.43	$208.00	—	7% above	57%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 Inj Tx/Dx Sc/Im	$2,106.78	$10,322.10	—	2414% above	80%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Inj Tx/Dx Sc/Im	$89.43	$208.00	—	—	57%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 Psy Dx Eval	$201.90	$662.00	—	7% above	70%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 Mcd Php/Aph Psy Dx Eval 30 Min	$201.90	$229.00	—	7% above	12%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 Psy Dx Eval	$201.90	$662.00	—	7% above	70%
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 Psy Dx Eval	$201.90	$662.00	—	—	70%
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 Mcd Php/Aph Psy Dx Eval 30 Min	$201.90	$229.00	—	—	12%
Nerve conduction study, 7 or 8 nerve studies CPT 95910 Nerve Conduction 7-8 Studies	$415.52	$1,886.00	—	20% above	78%
Nerve conduction study, 7 or 8 nerve studies CPT 95910 Nerve Conduction 7-8 Studies	$415.52	$1,210.00	—	20% above	66%
Nerve conduction study, 7 or 8 nerve studies inpatient CPT 95910 Nerve Conduction 7-8 Studies	$415.52	$1,210.00	—	—	66%
Neuromuscular re-education, 15 minutes CPT 97112 Tx Proc Neuromusc Reedctn 15 Min	$39.53	$361.00	—	4% below	89%
Neuromuscular re-education, 15 minutes CPT 97112 Tx Proc Neuromusc Reedctn 15 Min	$350.80	$3,746.00	—	751% above	91%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 Tx Proc Neuromusc Reedctn 15 Min	$39.53	$361.00	—	—	89%
New patient office visit, about 30 minutes CPT 99203 Bh Med Mgmt OP New 15 Min	$96.77	$483.00	—	1% below	80%
New patient office visit, about 30 minutes CPT 99203 E&M New Patient Level 3	$96.77	$802.00	—	1% below	88%
New patient office visit, about 30 minutes CPT 99203 E&M New Patient Level 3	$96.77	$802.00	—	1% below	88%
New patient office visit, about 30 minutes inpatient CPT 99203 Bh Med Mgmt OP New 15 Min	$96.77	$483.00	—	—	80%
New patient office visit, about 30 minutes inpatient CPT 99203 E&M New Patient Level 3	$96.77	$802.00	—	—	88%
New patient office visit, about 45 minutes CPT 99204 E&M New Patient Level 4	$157.63	$907.00	—	7% above	83%
New patient office visit, about 45 minutes CPT 99204 Bh Med Mgmt OP New 25 Min	$157.63	$526.00	—	7% above	70%
New patient office visit, about 45 minutes CPT 99204 E&M New Patient Level 4	$252.60	$1,069.02	—	71% above	76%
New patient office visit, about 45 minutes inpatient CPT 99204 Bh Med Mgmt OP New 25 Min	$157.63	$526.00	—	—	70%
New patient office visit, about 45 minutes inpatient CPT 99204 E&M New Patient Level 4	$157.63	$907.00	—	—	83%
New patient office visit, about 60 minutes CPT 99205 New Patient	$214.60	$1,247.00	—	25% above	83%
New patient office visit, about 60 minutes CPT 99205 Bh Med Mgmt OP New 40 Min	$214.60	$565.00	—	25% above	62%
New patient office visit, about 60 minutes CPT 99205 New Patient	$214.60	$1,002.00	—	25% above	79%
New patient office visit, about 60 minutes inpatient CPT 99205 Bh Med Mgmt OP New 40 Min	$214.60	$565.00	—	—	62%
New patient office visit, about 60 minutes inpatient CPT 99205 New Patient	$214.60	$1,002.00	—	—	79%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 ANTEPARTUM OB Visit	$55.29	$570.00	—	27% below	90%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 Bh Med Mgmt OP New 10 Min	$55.29	$391.00	—	27% below	86%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 E&M New Patient Level 1	$55.29	$500.00	—	27% below	89%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 E&M New Patient Level 2	$55.29	$667.00	—	27% below	92%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 E&M New Patient Level 1	$55.29	$500.00	—	—	89%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 E&M New Patient Level 2	$55.29	$667.00	—	—	92%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 Bh Med Mgmt OP New 10 Min	$55.29	$391.00	—	—	86%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 Mnt Assess & Interv Init 15 Min	$38.63	$119.00	—	6% below	68%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 Mnt Assess & Interv Init 15 Min	$193.14	$595.00	—	372% above	68%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 Mnt Assess & Interv Init 15 Min	$38.63	$119.00	—	—	68%
Occupational therapy evaluation, low complexity CPT 97165 Eval Occ Therapy Low Complex	$124.23	$447.00	—	4% below	72%
Occupational therapy evaluation, low complexity CPT 97165 Eval Occ Therapy Low Complex	$273.44	$2,117.00	—	112% above	87%
Occupational therapy evaluation, low complexity inpatient CPT 97165 Eval Occ Therapy Low Complex	$124.23	$447.00	—	—	72%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 Eval Phys Therapy High Complex	$120.93	$720.00	—	4% below	83%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 Eval Phys Therapy High Complex	$298.73	$2,496.00	—	137% above	88%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 Eval Phys Therapy High Complex	$120.93	$720.00	—	—	83%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 Eval Phys Therapy Low Complx	$120.93	$410.00	—	4% below	71%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 Eval Phys Therapy Low Complx	$252.83	$1,986.00	—	100% above	87%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 Eval Phys Therapy Low Complx	$120.93	$410.00	—	—	71%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 Eval Phys Therapy Mod Complex	$120.93	$565.00	—	4% below	79%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 Eval Phys Therapy Mod Complex	$265.86	$2,253.00	—	111% above	88%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 Eval Phys Therapy Mod Complex	$120.93	$565.00	—	—	79%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Manual Tx Technq 15 Min	$33.52	$343.00	—	5% below	90%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Manual Tx Technq 15 Min	$344.01	$3,914.00	—	877% above	91%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 Manual Tx Technq 15 Min	$33.52	$343.00	—	—	90%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Tx Proc 1+ Tx Exercises 15 Min	$35.54	$316.00	—	4% below	89%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Tx Proc 1+ Tx Exercises 15 Min	$408.31	$3,547.00	—	1002% above	88%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 Tx Proc 1+ Tx Exercises 15 Min	$35.54	$316.00	—	—	89%
Preventive checkup, new patient aged 18–39 CPT 99385 Prev Med E&M New 18-39 Yr	$187.32	$1,639.00	—	380% above	89%
Preventive checkup, returning patient aged 18–39 CPT 99395 Preventative Well Visit	$170.66	$927.00	—	240% above	82%
Preventive checkup, returning patient aged 40–64 CPT 99396 Preventative Well Visit	$101.08	$572.00	—	93% above	82%
Preventive checkup, returning patient aged 65 or older CPT 99397 Preventative Well Visit	$85.26	$435.00	—	37% above	80%
Psychiatric evaluation with medical services CPT 90792 Psy Dx Eval W Med Srvs	$201.90	$1,116.00	—	7% above	82%
Psychiatric evaluation with medical services CPT 90792 Psy Dx Eval W Med Srvs	$201.90	$1,116.00	—	7% above	82%
Psychiatric evaluation with medical services inpatient CPT 90792 Psy Dx Eval W Med Srvs	$201.90	$1,116.00	—	—	82%
Psychological testing evaluation by a psychologist or physician, first hour CPT 96130 Psycl Test Eval Phys/Qhp 1st Hr	$545.16	$732.00	—	58% above	26%
Psychotherapy session, 30 minutes CPT 90832 Psytx Pt 16-37 Min	$201.90	$316.00	—	13% above	36%
Psychotherapy session, 30 minutes CPT 90832 Psytx Pt 16-37 Min	$1,186.66	$4,806.00	—	567% above	75%
Psychotherapy session, 30 minutes inpatient CPT 90832 Psytx Pt 16-37 Min	$201.90	$316.00	—	—	36%
Psychotherapy session, 45 minutes CPT 90834 Psytx Pt 38-52 Min	$201.90	$478.00	—	14% above	58%
Psychotherapy session, 45 minutes CPT 90834 Psytx Pt 38-52 Min	$201.90	$478.00	—	14% above	58%
Psychotherapy session, 45 minutes inpatient CPT 90834 Psytx Pt 38-52 Min	$201.90	$478.00	—	—	58%
Psychotherapy session, 60 minutes CPT 90837 Psytx Pt 53+ Min	$201.90	$635.00	—	13% above	68%
Psychotherapy session, 60 minutes CPT 90837 Psytx Pt 53+ Min	$201.90	$635.00	—	13% above	68%
Psychotherapy session, 60 minutes inpatient CPT 90837 Psytx Pt 53+ Min	$201.90	$635.00	—	—	68%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 Counsel Tobacco Cessation 3-10 Min	$118.00	$118.00	—	258% above	—
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 Counsel Tobacco Cessation 3-10 Min	$118.00	$118.00	—	—	—
Returning patient office visit, high complexity or 40+ minutes CPT 99215 E&M Est Patient	$169.54	$963.51	—	20% above	82%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 Bh Med Mgmt OP Est 40 Min	$169.54	$526.00	—	20% above	68%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 E&M Est Patient	$169.54	$907.00	—	20% above	81%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 Bh Med Mgmt OP Est 40 Min	$169.54	$526.00	—	—	68%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 E&M Est Patient	$169.54	$907.00	—	—	81%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 Non-Gold Eval & Careplan	$77.82	$484.00	—	27% below	84%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 Bh E&M Est Patient Level 3	$77.82	$447.00	—	27% below	83%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 Bh Med Mgmt OP Est 15 Min	$77.82	$447.00	—	27% below	83%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 Check/Rem Picc/Mid/Peg/Cath/DRN/Trach/Fistula Smp	$77.82	$684.00	—	27% below	89%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 E&M Est Patient Level 3	$77.82	$725.29	—	27% below	89%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 E&M Est Patient Level 3	$77.82	$709.00	—	27% below	89%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 Non-Gold Eval & Careplan	$77.82	$484.00	—	—	84%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 E&M Est Patient Level 3	$77.82	$709.00	—	—	89%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 Bh E&M Est Patient Level 3	$77.82	$447.00	—	—	83%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 Check/Rem Picc/Mid/Peg/Cath/DRN/Trach/Fistula Smp	$77.82	$684.00	—	—	89%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 Bh Med Mgmt OP Est 15 Min	$77.82	$447.00	—	—	83%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Bh Med Mgmt OP Est 25 Min	$114.53	$487.00	—	2% below	76%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 E&M Est Patient Level 4	$114.53	$813.00	—	2% below	86%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Bh Med Mgmt OP Est 25 Min	$114.53	$820.78	—	2% below	86%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Check/Rem Picc/Peg/Cath/DRN/Trach/Fistula Cmplx	$114.53	$857.00	—	2% below	87%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Bh E&M Est Patient Level 4	$114.53	$487.00	—	2% below	76%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 Bh Med Mgmt OP Est 25 Min	$114.53	$487.00	—	—	76%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 Bh E&M Est Patient Level 4	$114.53	$487.00	—	—	76%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 Check/Rem Picc/Peg/Cath/DRN/Trach/Fistula Cmplx	$114.53	$857.00	—	—	87%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 E&M Est Patient Level 4	$114.53	$813.00	—	—	86%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 E&M Est Patient	$41.47	$581.45	—	57% below	93%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 E&M Est Patient	$41.47	$572.00	—	57% below	93%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 E&M Est Patient	$41.47	$572.00	—	—	93%
Specialist consultation, low complexity or 30+ minutes CPT 99243 Consultation Visits	$250.00	$250.00	—	at median	—
Speech and language evaluation CPT 92523 Eval Speech Sound Lang Comp	$275.01	$828.00	—	6% below	67%
Speech and language evaluation CPT 92523 Eval Speech Sound Lang Comp	$399.24	$1,451.00	—	37% above	72%
Speech and language evaluation inpatient CPT 92523 Eval Speech Sound Lang Comp	$275.01	$828.00	—	—	67%
Speech therapy session, individual CPT 92507 Tx Speech Hearing Indiv 3/4 Hr	$92.31	$666.00	—	6% below	86%
Speech therapy session, individual CPT 92507 Tx Speech Hearing Indiv 1/4 Hr	$92.31	$264.00	—	6% below	65%
Speech therapy session, individual CPT 92507 Tx Speech Hearing Indiv 1 Hr	$92.31	$887.00	—	6% below	90%
Speech therapy session, individual CPT 92507 Tx Speech Hearing Indiv 1/2 Hr	$92.31	$527.00	—	6% below	82%
Speech therapy session, individual CPT 92507 Tx Speech Hearing Indiv 3/4 Hr	$276.93	$1,998.00	—	182% above	86%
Speech therapy session, individual inpatient CPT 92507 Tx Speech Hearing Indiv 1/2 Hr	$92.31	$527.00	—	—	82%
Speech therapy session, individual inpatient CPT 92507 Tx Speech Hearing Indiv 3/4 Hr	$92.31	$666.00	—	—	86%
Speech therapy session, individual inpatient CPT 92507 Tx Speech Hearing Indiv 1 Hr	$92.31	$887.00	—	—	90%
Speech therapy session, individual inpatient CPT 92507 Tx Speech Hearing Indiv 1/4 Hr	$92.31	$264.00	—	—	65%
Spirometry (breathing test) CPT 94010 Spirometry W/WO Mvv	$196.61	$3,467.00	—	6% above	94%
Spirometry (breathing test) CPT 94010 Spirometry W/WO Mvv	$196.61	$674.00	—	6% above	71%
Spirometry (breathing test) inpatient CPT 94010 Spirometry W/WO Mvv	$196.61	$674.00	—	—	71%
Spirometry before and after a bronchodilator CPT 94060 Bronchospasm Pre & Post Bd	$391.31	$4,468.88	—	14% above	91%
Spirometry before and after a bronchodilator CPT 94060 Bronchospasm Pre & Post Bd	$391.31	$1,675.00	—	14% above	77%
Spirometry before and after a bronchodilator inpatient CPT 94060 Bronchospasm Pre & Post Bd	$391.31	$1,675.00	—	—	77%
Therapeutic activities (functional training), 15 minutes CPT 97530 Tx Activities Direct 15 Min	$42.96	$302.00	—	4% below	86%
Therapeutic activities (functional training), 15 minutes CPT 97530 Tx Activities Direct 15 Min	$413.56	$3,624.00	—	827% above	89%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 Tx Activities Direct 15 Min	$42.96	$302.00	—	—	86%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 Phlebotomy Therapeutic	$161.98	$478.00	—	2% above	66%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 Phlebotomy Therapeutic	$161.98	$563.00	—	2% above	71%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 Phlebotomy Therapeutic	$161.98	$478.00	—	—	66%

Vaccines

Procedure	Cash price	List price	Insurers pay	vs New Jersey	Off list
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 COVID VACC 2025-2026 (12 YRS UP) (PFIZER)(PF) 30 MCG/0.3 ML IM SYRINGE	$62.72	$320.00	—	18% below	80%
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 Sarscov2 Vacc 30mcg/0.3ml Tris-Sucrose Im Use	$452.03	$27,552.92	—	492% above	98%
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older inpatient CPT 91320 COVID VACC 2025-2026 (12 YRS UP) (PFIZER)(PF) 30 MCG/0.3 ML IM SYRINGE	$62.72	$320.00	—	—	80%
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 Var Vaccine Live for Subcutaneous Use	$168.47	$663.04	—	15% above	75%
DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) CPT 90696 Dtap-Ipv Vaccine Child 4-6 Yrs for Im Use	$232.95	$776.01	—	165% above	70%
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	$159.87	$159.87	—	269% above	—
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 Diphth Tetanus Tox Acell Pertussis Vacc<7 Yr Im	$168.47	$591.03	—	289% above	71%
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	$159.87	$159.87	—	—	—
DTaP, hepatitis B and polio combination vaccine (Pediarix) CPT 90723 Dtap-Hepb-Ipv Vaccine Intramuscular	$640.24	$4,230.98	—	693% above	85%
DTaP, polio and Hib combination vaccine (Pentacel) CPT 90698 Dtap-Ipv/Hib Vaccine for Intramuscular Use	$209.50	$1,312.02	—	119% above	84%
DTaP, polio, Hib and hepatitis B combination vaccine (Vaxelis) CPT 90697 Dtap-Ipv-Hib-Hepb Vaccine Intramuscular	$152.59	$510.03	—	64% above	70%
Flu shot, recombinant, egg-free (Flublok) CPT 90673 FLU VACCINE TV2025(9 YR UP)RCMB(PF)135 MCG(45 MCGX3)/0.5 ML IM SYRINGE	$55.40	$282.65	—	12% below	80%
Flu shot, recombinant, egg-free (Flublok) CPT 90673 Riv3 Vaccine Preservative Free for Im Use	$4,453.22	$26,190.72	—	7010% above	83%
Flu shot, recombinant, egg-free (Flublok) inpatient CPT 90673 FLU VACCINE TV2025(9 YR UP)RCMB(PF)135 MCG(45 MCGX3)/0.5 ML IM SYRINGE	$55.40	$282.65	—	—	80%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 Iiv3 Vacc Preservative Free 0.5 Ml Dosage Im Use	$172.79	$872.01	—	310% above	80%
HPV vaccine, 9-valent (Gardasil 9) CPT 90651 9vhpv Vacc 2/3 Dose Sched Im Use	$252.60	$1,069.02	—	6% above	76%
Hepatitis A and B combination vaccine, adult (Twinrix) CPT 90636 Hepatitis a & B Vaccine Hepa-Hepb Adult Im	$109.67	$460.00	—	15% above	76%
Hepatitis A vaccine, adult dose CPT 90632 Hepa Vaccine Adult Dose for Intramuscular Use	$114.57	$435.00	—	24% above	74%
Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 Hepa Vaccine 2 Dose Schedule Ped/Adolesc Im Use	$168.47	$663.04	—	364% above	75%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPATITIS B VIRUS VACCINE RECOMB (PF) 20 MCG/ML INTRAMUSCULAR SYRINGE	$389.59	$389.59	—	414% above	—
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HEPATITIS B VIRUS VACCINE RECOMB (PF) 20 MCG/ML INTRAMUSCULAR SYRINGE	$389.59	$389.59	—	—	—
Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) CPT 90739 Hepb Vaccine Adult 2/4 Dose Schedule for Im Use	$140.51	$504.00	—	6% above	72%
Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) CPT 90739 HEPATITIS B VACCINE 20 MCG/0.5 ML-ADJUVANT CPG 1018 (PF) IM SYRINGE	$141.48	$721.86	—	7% above	80%
Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) inpatient CPT 90739 HEPATITIS B VACCINE 20 MCG/0.5 ML-ADJUVANT CPG 1018 (PF) IM SYRINGE	$141.48	$721.86	—	—	80%
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	$23.64	$120.62	—	21% below	80%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 Hepb Vaccine Ped/Adolesc 3 Dose Schedule Im	$209.50	$1,284.02	—	599% above	84%
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	$23.64	$120.62	—	—	80%
Hib vaccine (Haemophilus influenzae type b), 3-dose schedule (PedvaxHIB) CPT 90647 Hib Prp-Omp Vaccine 3 Dose Schedule Im Use	$168.47	$591.03	—	262% above	71%
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	$73.07	$73.07	—	566% above	—
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 Hib Prp-T Vaccine 4 Dose Schedule Im Use	$192.40	$1,572.41	—	1654% above	88%
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	$73.07	$73.07	—	—	—
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 Iiv Vaccine Preserv Free Increased Ag Content Im	$25,280.02	$131,945.86	—	21946% above	81%
Japanese encephalitis vaccine (Ixiaro), 2-dose schedule CPT 90738 Japanese Encephalitis Vaccine Inactivated Im	$182.78	$520.00	—	32% above	65%
MMR vaccine (measles, mumps and rubella), live CPT 90707 Measles Mumps Rubella Virus Vaccine Live Subq	$168.47	$735.05	—	156% above	77%
MMR vaccine (measles, mumps and rubella), live CPT 90707 MEASLES,MUMPS,RUBELLA VACCINE LIVE(PF)1,000-12,500TCID50/0.5 ML SUBCUT	$488.73	$488.73	—	643% 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	$488.73	$488.73	—	—	—
MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) CPT 90710 Measles Mumps Rubella Varicella Vacc Live Subq	$232.95	$776.01	—	63% above	70%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENINGOC VAC A,C,Y,W-135 DIP(PF) 10 MCG-5 MCG/0.5 ML IM KIT (2 VIALS)	$179.60	$916.33	—	52% above	80%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 Menacwyd/Menacwy-CRM Conj Vacc Grps Acwy Im Use	$267.45	$1,089.00	—	127% above	75%
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 MENINGOC VAC A,C,Y,W-135 DIP(PF) 10 MCG-5 MCG/0.5 ML IM KIT (2 VIALS)	$179.60	$916.33	—	—	80%
Meningococcal ACWY vaccine (MenQuadfi) CPT 90619 MENINGOCOCCAL VAC A,C,Y,W-135,CONJ TET (PF) 10 MCG/0.5 ML IM SOLUTION	$124.66	$636.02	—	46% above	80%
Meningococcal ACWY vaccine (MenQuadfi) CPT 90619 Menacwy-Tt Conj Vacc Serogroups Acwy for Im Use	$141.03	$831.00	—	65% above	83%
Meningococcal ACWY vaccine (MenQuadfi) inpatient CPT 90619 MENINGOCOCCAL VAC A,C,Y,W-135,CONJ TET (PF) 10 MCG/0.5 ML IM SOLUTION	$124.66	$636.02	—	—	80%
Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 Menb-4c Recombnt Prot & Outer Memb Vesic Vacc Im	$162.20	$487.02	—	19% below	67%
Meningococcal B vaccine (Trumenba) CPT 90621 N.MENINGITIDIS GROUP B,LIPID FHBP 120 MCG/0.5 ML INTRAMUSCULAR SYRINGE	$163.32	$833.28	—	27% below	80%
Meningococcal B vaccine (Trumenba) CPT 90621 Menb-Fhbp Recombnt Lipoprotein Vacc 2/3 Dose Im	$331.58	$2,181.20	—	47% above	85%
Meningococcal B vaccine (Trumenba) inpatient CPT 90621 N.MENINGITIDIS GROUP B,LIPID FHBP 120 MCG/0.5 ML INTRAMUSCULAR SYRINGE	$163.32	$833.28	—	—	80%
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 Pcv13 Vaccine for Intramuscular Use	$286.85	$1,605.52	—	17% above	82%
Pneumonia vaccine, 15-valent conjugate (Vaxneuvance) CPT 90671 Pcv15 Vaccine for Intramuscular Use	$209.50	$1,312.02	—	6% above	84%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 Pcv20 Vaccine for Intramuscular Use	$168.47	$591.03	—	14% below	71%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE	$232.13	$1,184.36	—	19% above	80%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 PNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE	$232.13	$1,184.36	—	—	80%
Pneumonia vaccine, 21-valent conjugate (Capvaxive) CPT 90684 PNEUMOCOCCAL 21-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE	$254.43	$1,298.11	—	38% below	80%
Pneumonia vaccine, 21-valent conjugate (Capvaxive) CPT 90684 Pneumococcal Conjugate Vaccine	$17,987.83	$62,864.25	—	4290% above	71%
Pneumonia vaccine, 21-valent conjugate (Capvaxive) inpatient CPT 90684 PNEUMOCOCCAL 21-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE	$254.43	$1,298.11	—	—	80%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 Ppsv23 Vaccine 2 Yrs or Older for Subq/Im Use	$276.21	$4,028.65	—	55% above	93%
Polio vaccine, inactivated (IPV) CPT 90713 Poliovirus Vaccine Inactivated Subq/Im	$109.67	$369.00	—	29% above	70%
RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) CPT 90381 Rsv Monoclonal Antb Seasonal Dose 1 Ml Im Use	$176.44	$582.04	—	68% below	70%
RSV vaccine (Abrysvo), one dose for older adults or during pregnancy CPT 90678 Rsv Vaccine Pref Subunit Bivalent for Im Use	$817.27	$1,703.86	—	at median	52%
RSV vaccine with adjuvant (Arexvy), one dose for older adults CPT 90679 Rsv Vacc Pref Recombinant Adjuvanted for Im Use	$717.02	$3,389.69	—	20% above	79%
Rabies vaccine, one dose CPT 90675 RABIES VACCINE,HUMAN DIPLOID (PF) 2.5 UNIT INTRAMUSCULAR SOLUTION	$358.83	$1,692.58	—	1% below	79%
Rabies vaccine, one dose CPT 90675 Rabies Vaccine Intramuscular	$473.40	$849.00	—	31% above	44%
Rabies vaccine, one dose inpatient CPT 90675 RABIES VACCINE,HUMAN DIPLOID (PF) 2.5 UNIT INTRAMUSCULAR SOLUTION	$358.83	$1,692.58	—	—	79%
Rotavirus vaccine, oral, 2-dose schedule (Rotarix) CPT 90681 Rv1 Vaccine 2 Dose Schedule Live for Oral Use	$141.90	$772.01	—	76% above	82%
Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) CPT 90680 Rv5 Vaccine 3 Dose Schedule Live for Oral Use	$152.59	$482.03	—	202% above	68%
Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 VARICELLA-ZOSTER GLYCOE VACC-AS01B ADJ(PF) 50 MCG/0.5 ML IM SUSP, KIT	$151.85	$774.77	—	127% above	80%
Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 Hzv Zoster Vacc Recombinant Adjuvanted Im Use	$220.81	$921.00	—	230% above	76%
Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 VARICELLA-ZOSTER GLYCOE VACC-AS01B ADJ(PF) 50 MCG/0.5 ML IM SUSP, KIT	$151.85	$774.77	—	—	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	$268.15	$268.15	—	376% above	—
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Tdap Vaccine 7 Yrs/> Im	$616.99	$794.00	—	995% above	22%
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	$268.15	$268.15	—	—	—
Typhoid vaccine, injectable (Vi polysaccharide) CPT 90691 Typhoid Vaccine VI Capsular Polysaccharide Im	$109.67	$410.00	—	15% above	73%
Typhoid vaccine, oral capsules (Vivotif) CPT 90690 Typhoid Vaccine Live Oral	$114.57	$284.00	—	274% above	60%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Admin Immun Sq/Im/ID 1 Vacc	$72.00	$72.00	—	at median	—
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Admin Immun Sq/Im/ID 1 Vacc	$609.15	$781.00	—	746% above	22%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Admin Immun Sq/Im/ID 1 Vacc	$72.00	$72.00	—	—	—
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Admin Immun Sq/Im/ID Add Vacc	$72.00	$72.00	—	107% above	—
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Vfc Admin Immun Sq/Im/ID Add Vacc	$141.03	$831.00	—	306% above	83%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 Admin Immun Sq/Im/ID Add Vacc	$72.00	$72.00	—	—	—
Yellow fever vaccine, live CPT 90717 Yellow Fever Vaccine Live Subq	$109.67	$559.00	—	2% above	80%

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://www.atlantichealth.org/content/dam/ahs/insurance/price-transparency/52-1958352_hackettstown-medical-center_standardcharges.csv