Children's Mercy Hospital Kansas
Children's Mercy Hospital Kansas in Overland Park, KS publishes cash prices for 355 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 above the Kansas median for 179 of 350 procedures and below it for 168. By typical cash price it ranks #48 of 85 Kansas hospitals and #11 of 22 hospitals in the Kansas City, MO area, cheapest first. Select a procedure to compare it with other hospitals nearby.
5808 West 110th St, Overland Park, KS 66211 Collected Sep 23, 2026 Source price file Check a bill from this hospital (913) 696-8000
Children's hospital Nonprofit hospital No emergency department CCN 173300 · CMS hospital register NPI 1154400232
Financial assistance
Nonprofit hospital: it must offer free or discounted care to patients who qualify. How to apply
Children's Mercy Hospital Kansas is a nonprofit hospital in the CMS register. Under section 501(r) of the federal tax code it must have a written Financial Assistance Policy with a free application, publish both on its website, and charge patients who qualify no more than the amounts generally billed to insured patients for emergency and other medically necessary care. Who qualifies depends on household income; the policy states the limits.
You can apply up to 240 days after the first bill. Before collection actions such as credit reporting or a lawsuit, the hospital must tell you about the policy and wait at least 120 days after that bill. Ask the billing office for the policy and the application before you pay, or search the hospital's website for “financial assistance”. Letters you can copy.
Source: IRS, section 501(r) requirements for nonprofit hospitals.
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs Kansas | Off list |
|---|---|---|---|---|---|
| Abdominal CT scan without and with contrast CPT 74170 CT ABDOMEN W/WO CONTRAST FAC | $3,765.12 | $7,844.00 | $106.23–$7,059.60 | 183% above | 52% |
| Abdominal CT scan without and with contrast inpatient CPT 74170 CT ABDOMEN W/WO CONTRAST FAC | $3,765.12 | $7,844.00 | $3,765.12–$7,059.60 | — | 52% |
| Abdominal X-ray, 2 views CPT 74019 XR EXAM ABDOMEN 2 VIEWS FAC | $260.64 | $543.00 | $62.96–$488.70 | 4% above | 52% |
| Abdominal X-ray, 2 views inpatient CPT 74019 XR EXAM ABDOMEN 2 VIEWS FAC | $260.64 | $543.00 | $260.64–$488.70 | — | 52% |
| Ankle X-ray, complete, 3 or more views CPT 73610 XR ANKLE COMPLETE; MIN 3 VIEWS FAC | $284.16 | $592.00 | $51.18–$532.80 | 23% above | 52% |
| Ankle X-ray, complete, 3 or more views inpatient CPT 73610 XR ANKLE COMPLETE; MIN 3 VIEWS FAC | $284.16 | $592.00 | $284.16–$532.80 | — | 52% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 US UPR/L XTREMITY ART 2 LEVELS FAC | $726.72 | $1,514.00 | $49.25–$1,362.60 | 22% above | 52% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 UPR/L XTREMITY ART 2 LEV | $726.72 | $1,514.00 | $49.25–$1,362.60 | 22% above | 52% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 US UPR/L XTREMITY ART 2 LEVELS FAC | $726.72 | $1,514.00 | $726.72–$1,362.60 | — | 52% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 UPR/L XTREMITY ART 2 LEV | $726.72 | $1,514.00 | $726.72–$1,362.60 | — | 52% |
| Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 CT UPPER EXTREMITY WO CONTRAST FAC | $2,187.84 | $4,558.00 | $62.96–$4,102.20 | 111% above | 52% |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient CPT 73200 CT UPPER EXTREMITY WO CONTRAST FAC | $2,187.84 | $4,558.00 | $2,187.84–$4,102.20 | — | 52% |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 XR ESOPHAGUS FAC | $708.48 | $1,476.00 | $106.23–$1,328.40 | 68% above | 52% |
| Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 XR ESOPHAGUS FAC | $708.48 | $1,476.00 | $708.48–$1,328.40 | — | 52% |
| Bone scan, whole body (nuclear medicine) CPT 78306 BONE IMAGING WHOLE BODY FAC | $2,687.52 | $5,599.00 | $228.95–$5,039.10 | 178% above | 52% |
| Bone scan, whole body (nuclear medicine) inpatient CPT 78306 BONE IMAGING WHOLE BODY FAC | $2,687.52 | $5,599.00 | $2,687.52–$5,039.10 | — | 52% |
| Breast ultrasound, complete, one breast CPT 76641 US BREAST COMPLETE FAC | $712.80 | $1,485.00 | $62.96–$1,336.50 | 129% above | 52% |
| Breast ultrasound, complete, one breast inpatient CPT 76641 US BREAST COMPLETE FAC | $712.80 | $1,485.00 | $712.80–$1,336.50 | — | 52% |
| Breast ultrasound, limited (one breast or one area) CPT 76642 US BREAST LIMITED FAC | $550.08 | $1,146.00 | $51.18–$1,031.40 | 86% above | 52% |
| Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 US BREAST LIMITED FAC | $550.08 | $1,146.00 | $550.08–$1,031.40 | — | 52% |
| CT angiography (CTA) of the abdomen and pelvis CPT 74174 CT ANGIO ABD/P W/WO CONTRAST FAC | $5,293.92 | $11,029.00 | $217.02–$9,926.10 | 120% above | 52% |
| CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 CT ANGIO ABD/P W/WO CONTRAST FAC | $5,293.92 | $11,029.00 | $5,293.92–$9,926.10 | — | 52% |
| CT angiography (CTA) of the head CPT 70496 CT ANGIOGRAPHY HEAD W CONTRAST FAC | $3,680.16 | $7,667.00 | $106.23–$6,900.30 | 105% above | 52% |
| CT angiography (CTA) of the head inpatient CPT 70496 CT ANGIOGRAPHY HEAD W CONTRAST FAC | $3,680.16 | $7,667.00 | $3,680.16–$6,900.30 | — | 52% |
| CT angiography (CTA) of the neck CPT 70498 CT ANGIOGRAPHY NECK W/WO CONTRAST FAC | $3,674.40 | $7,655.00 | $106.23–$6,889.50 | 105% above | 52% |
| CT angiography (CTA) of the neck inpatient CPT 70498 CT ANGIOGRAPHY NECK W/WO CONTRAST FAC | $3,674.40 | $7,655.00 | $3,674.40–$6,889.50 | — | 52% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT ANGIOGRAPHY CHEST W/WO CONTRAST FAC | $3,722.40 | $7,755.00 | $106.23–$6,979.50 | 110% above | 52% |
| CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CT ANGIOGRAPHY CHEST W/WO CONTRAST FAC | $3,722.40 | $7,755.00 | $3,722.40–$6,979.50 | — | 52% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CT ANGIO HRT W3D IMAGE FAC | $3,994.56 | $8,322.00 | $149.56–$7,489.80 | 338% above | 52% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 CT ANGIO HRT W3D IMAGE FAC | $3,994.56 | $8,322.00 | $3,994.56–$7,489.80 | — | 52% |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT HRT W/O DYE W/CA TEST FAC | $1,359.84 | $2,833.00 | $73.96–$2,549.70 | 587% above | 52% |
| CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 CT HRT W/O DYE W/CA TEST FAC | $1,359.84 | $2,833.00 | $1,359.84–$2,549.70 | — | 52% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABD AND PELVIS WO CONTRAST FAC | $1,933.92 | $4,029.00 | $137.55–$3,626.10 | 48% above | 52% |
| CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT ABD AND PELVIS WO CONTRAST FAC | $1,933.92 | $4,029.00 | $1,933.92–$3,626.10 | — | 52% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABD AND PELVIS W CONTRAST FAC | $4,188.00 | $8,725.00 | $217.02–$7,852.50 | 197% above | 52% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABD AND PELVIS W CONTRAST FAC | $4,188.00 | $8,725.00 | $4,188.00–$7,852.50 | — | 52% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABD AND PELVIS W/WO CONTRAST FAC | $4,725.60 | $9,845.00 | $217.02–$8,860.50 | 171% above | 52% |
| CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT ABD AND PELVIS W/WO CONTRAST FAC | $4,725.60 | $9,845.00 | $4,725.60–$8,860.50 | — | 52% |
| CT scan of the abdomen with contrast CPT 74160 CT ABDOMEN W CONTRAST FAC | $3,329.76 | $6,937.00 | $106.23–$6,243.30 | 174% above | 52% |
| CT scan of the abdomen with contrast inpatient CPT 74160 CT ABDOMEN W CONTRAST FAC | $3,329.76 | $6,937.00 | $3,329.76–$6,243.30 | — | 52% |
| CT scan of the abdomen without contrast CPT 74150 CT ABDOMEN W/O CONTRAST FAC | $1,540.80 | $3,210.00 | $62.96–$2,889.00 | 43% above | 52% |
| CT scan of the abdomen without contrast inpatient CPT 74150 CT ABDOMEN W/O CONTRAST FAC | $1,540.80 | $3,210.00 | $1,540.80–$2,889.00 | — | 52% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT MAXILLOFACIAL WO CONTRAST FAC | $1,668.00 | $3,475.00 | $62.96–$3,127.50 | 75% above | 52% |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT MAXILLOFACIAL WO CONTRAST FAC | $1,668.00 | $3,475.00 | $1,668.00–$3,127.50 | — | 52% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD OR BRAIN WO CONTRAST FAC | $1,257.12 | $2,619.00 | $62.96–$2,357.10 | 23% above | 52% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT HEAD OR BRAIN WO CONTRAST FAC | $1,257.12 | $2,619.00 | $1,257.12–$2,357.10 | — | 52% |
| CT scan of the head with contrast CPT 70460 CT HEAD OR BRAIN W CONTRAST FAC | $1,806.72 | $3,764.00 | $106.23–$3,387.60 | 65% above | 52% |
| CT scan of the head with contrast inpatient CPT 70460 CT HEAD OR BRAIN W CONTRAST FAC | $1,806.72 | $3,764.00 | $1,806.72–$3,387.60 | — | 52% |
| CT scan of the head without and with contrast CPT 70470 CT HEAD OR BRAIN W/WO CONTRAST FAC | $2,169.60 | $4,520.00 | $106.23–$4,068.00 | 75% above | 52% |
| CT scan of the head without and with contrast inpatient CPT 70470 CT HEAD OR BRAIN W/WO CONTRAST FAC | $2,169.60 | $4,520.00 | $2,169.60–$4,068.00 | — | 52% |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT SPINE LUMBAR WO CONTRAST FAC | $1,884.48 | $3,926.00 | $62.96–$3,533.40 | 69% above | 52% |
| CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT SPINE LUMBAR WO CONTRAST FAC | $1,884.48 | $3,926.00 | $1,884.48–$3,533.40 | — | 52% |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT SPINE CERVICAL WO CONTRAST FAC | $1,899.36 | $3,957.00 | $62.96–$3,561.30 | 96% above | 52% |
| CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT SPINE CERVICAL WO CONTRAST FAC | $1,899.36 | $3,957.00 | $1,899.36–$3,561.30 | — | 52% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W CONTRAST FAC | $3,348.00 | $6,975.00 | $106.23–$6,277.50 | 211% above | 52% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT PELVIS W CONTRAST FAC | $3,348.00 | $6,975.00 | $3,348.00–$6,277.50 | — | 52% |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 US CAROTID DUPLEX BILATERAL FAC | $1,592.16 | $3,317.00 | $149.60–$2,985.30 | — | 52% |
| Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 US CAROTID DUPLEX BILATERAL FAC | $1,592.16 | $3,317.00 | $1,592.16–$2,985.30 | — | 52% |
| Chest CT scan without and with contrast CPT 71270 CT THORAX W/WO CONTRAST FAC | $2,622.72 | $5,464.00 | $106.23–$4,917.60 | 112% above | 52% |
| Chest CT scan without and with contrast inpatient CPT 71270 CT THORAX W/WO CONTRAST FAC | $2,622.72 | $5,464.00 | $2,622.72–$4,917.60 | — | 52% |
| Chest X-ray, 2 views CPT 71046 XR EXAM CHEST 2 VIEWS FAC | $233.76 | $487.00 | $51.18–$438.30 | 6% above | 52% |
| Chest X-ray, 2 views inpatient CPT 71046 XR EXAM CHEST 2 VIEWS FAC | $233.76 | $487.00 | $233.76–$438.30 | — | 52% |
| Chest X-ray, single view CPT 71045 XR EXAM CHEST 1 VIEW FAC | $173.76 | $362.00 | $51.18–$325.80 | 10% below | 52% |
| Chest X-ray, single view inpatient CPT 71045 XR EXAM CHEST 1 VIEW FAC | $173.76 | $362.00 | $173.76–$325.80 | — | 52% |
| Collarbone (clavicle) X-ray, complete CPT 73000 XR CLAVICLE, COMPLETE FAC | $243.84 | $508.00 | $51.18–$457.20 | 22% above | 52% |
| Collarbone (clavicle) X-ray, complete inpatient CPT 73000 XR CLAVICLE, COMPLETE FAC | $243.84 | $508.00 | $243.84–$457.20 | — | 52% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US RETROPERITONEAL; COMPLETE FAC | $768.48 | $1,601.00 | $62.96–$1,440.90 | 92% above | 52% |
| Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US RETROPERITONEAL; COMPLETE FAC | $768.48 | $1,601.00 | $768.48–$1,440.90 | — | 52% |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 BONE DENSITY AXIAL SKELETON FAC | $287.52 | $599.00 | $62.96–$539.10 | 7% below | 52% |
| DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 BONE DENSITY AXIAL SKELETON FAC | $287.52 | $599.00 | $287.52–$539.10 | — | 52% |
| Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 US OB DETAILED SNGL FETUS FAC; FIM | $892.80 | $1,860.00 | $137.55–$1,674.00 | 97% above | 52% |
| Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 FH-Detail AnatomicUS-Single/1stGestation | $892.80 | $1,860.00 | $137.55–$1,674.00 | 97% above | 52% |
| Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 US OB DETAILED SNGL FETUS FAC; FIM | $892.80 | $1,860.00 | $892.80–$1,674.00 | — | 52% |
| Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 FH-Detail AnatomicUS-Single/1stGestation | $892.80 | $1,860.00 | $892.80–$1,674.00 | — | 52% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT THORAX WO CONTRAST FAC | $1,565.28 | $3,261.00 | $62.96–$2,934.90 | 59% above | 52% |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT THORAX WO CONTRAST FAC | $1,565.28 | $3,261.00 | $1,565.28–$2,934.90 | — | 52% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT CHEST W CONTRAST FAC | $2,127.36 | $4,432.00 | $106.23–$3,988.80 | 99% above | 52% |
| Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT CHEST W CONTRAST FAC | $2,127.36 | $4,432.00 | $2,127.36–$3,988.80 | — | 52% |
| Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 US DUPLEX LE ARTERIAL BILAT FAC | $1,368.96 | $2,852.00 | $83.35–$2,566.80 | — | 52% |
| Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 US DUPLEX LE ARTERIAL BILAT FAC | $1,368.96 | $2,852.00 | $1,368.96–$2,566.80 | — | 52% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US DUPLEX EXT VEINS BILATERAL FAC | $1,612.80 | $3,360.00 | $83.35–$3,024.00 | — | 52% |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 US DUPLEX EXT VEINS BILATERAL FAC | $1,612.80 | $3,360.00 | $1,612.80–$3,024.00 | — | 52% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 TTE ECHO W DOPPLER COMPLETE | $2,167.68 | $4,516.00 | $306.19–$4,064.40 | 14% above | 52% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 TTE ECHO W DOPPLER COMPLETE TX RM SED | $2,167.68 | $4,516.00 | $306.19–$4,064.40 | 14% above | 52% |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 TTE ECHO W DOPPLER COMPLETE TX RM SED | $2,167.68 | $4,516.00 | $2,167.68–$4,064.40 | — | 52% |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 TTE ECHO W DOPPLER COMPLETE | $2,167.68 | $4,516.00 | $2,167.68–$4,064.40 | — | 52% |
| Elbow X-ray, 2 views CPT 73070 XR ELBOW 2 VIEWS FAC | $213.60 | $445.00 | $51.18–$400.50 | 9% above | 52% |
| Elbow X-ray, 2 views inpatient CPT 73070 XR ELBOW 2 VIEWS FAC | $213.60 | $445.00 | $213.60–$400.50 | — | 52% |
| Elbow X-ray, complete, 3 or more views CPT 73080 XR ELBOW; MIN 3 VIEWS FAC | $243.84 | $508.00 | $51.18–$457.20 | 2% above | 52% |
| Elbow X-ray, complete, 3 or more views inpatient CPT 73080 XR ELBOW; MIN 3 VIEWS FAC | $243.84 | $508.00 | $243.84–$457.20 | — | 52% |
| Eye socket (orbit) CT scan without contrast CPT 70480 CT ORBIT/EAR/FOSSA WO CONTRAST FAC | $2,398.56 | $4,997.00 | $62.96–$4,497.30 | 128% above | 52% |
| Eye socket (orbit) CT scan without contrast inpatient CPT 70480 CT ORBIT/EAR/FOSSA WO CONTRAST FAC | $2,398.56 | $4,997.00 | $2,398.56–$4,497.30 | — | 52% |
| Facial bones X-ray, complete, 3 or more views CPT 70150 XR FACIAL BONES MINIMUM 3 VIEW FAC | $350.88 | $731.00 | $62.96–$657.90 | 15% above | 52% |
| Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 XR FACIAL BONES MINIMUM 3 VIEW FAC | $350.88 | $731.00 | $350.88–$657.90 | — | 52% |
| Forearm X-ray (radius and ulna), 2 views CPT 73090 XR FOREARM 2 VIEWS FAC | $216.96 | $452.00 | $51.18–$406.80 | 4% above | 52% |
| Forearm X-ray (radius and ulna), 2 views inpatient CPT 73090 XR FOREARM 2 VIEWS FAC | $216.96 | $452.00 | $216.96–$406.80 | — | 52% |
| Hand X-ray, 2 views CPT 73120 XR HAND 2 VIEWS FAC | $233.76 | $487.00 | $62.96–$438.30 | 23% above | 52% |
| Hand X-ray, 2 views inpatient CPT 73120 XR HAND 2 VIEWS FAC | $233.76 | $487.00 | $233.76–$438.30 | — | 52% |
| Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 XR CALCANEOUS; MIN 2 VWS FAC RT | $210.24 | $438.00 | $51.18–$394.20 | 8% above | 52% |
| Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 XR CALCANEOUS; MIN 2 VWS FAC RT | $210.24 | $438.00 | $210.24–$394.20 | — | 52% |
| Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 SLEEP STUDY UNATT & RESP EFFT SLB | $280.32 | $584.00 | $127.15–$525.60 | 21% below | 52% |
| Home sleep apnea test, unattended, recording breathing and oxygen inpatient CPT 95806 SLEEP STUDY UNATT & RESP EFFT SLB | $280.32 | $584.00 | $280.32–$525.60 | — | 52% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 FULL SLEEP STUDY W TECH & CPAP FAC SLB | $4,925.28 | $10,261.00 | $355.64–$9,234.90 | 76% above | 52% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 FULL SLEEP STUDY W TECH & CPAP FAC SLB | $4,925.28 | $10,261.00 | $4,925.28–$9,234.90 | — | 52% |
| Knee X-ray, 3 views CPT 73562 XR KNEE 3 VIEWS FAC | $317.28 | $661.00 | $51.18–$594.90 | 32% above | 52% |
| Knee X-ray, 3 views inpatient CPT 73562 XR KNEE 3 VIEWS FAC | $317.28 | $661.00 | $317.28–$594.90 | — | 52% |
| Knee X-ray, complete, 4 or more views CPT 73564 XR KNEE MIN 4 VIEWS FAC | $357.60 | $745.00 | $62.96–$670.50 | 8% above | 52% |
| Knee X-ray, complete, 4 or more views inpatient CPT 73564 XR KNEE MIN 4 VIEWS FAC | $357.60 | $745.00 | $357.60–$670.50 | — | 52% |
| Leg CT scan without contrast (hip to foot, any part) CPT 73700 CT LOWER EXTREMITY WO CONTRAST FAC | $1,571.04 | $3,273.00 | $62.96–$2,945.70 | 53% above | 52% |
| Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 CT LOWER EXTREMITY WO CONTRAST FAC | $1,571.04 | $3,273.00 | $1,571.04–$2,945.70 | — | 52% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ABDOMEN; LIMITED FAC | $623.04 | $1,298.00 | $62.96–$1,168.20 | 96% above | 52% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US ABDOMEN; LIMITED FAC | $623.04 | $1,298.00 | $623.04–$1,168.20 | — | 52% |
| Limited ultrasound of an arm or leg (non-vascular) CPT 76882 US LMTD JT/NONVASC XTR STRUX TX RM RHU | $252.48 | $526.00 | $89.49–$473.40 | 16% below | 52% |
| Limited ultrasound of an arm or leg (non-vascular) CPT 76882 US EXTRM NON VASC LIMITED FAC | $252.48 | $526.00 | $89.49–$473.40 | 16% below | 52% |
| Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 US EXTRM NON VASC LIMITED FAC | $252.48 | $526.00 | $252.48–$473.40 | — | 52% |
| Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 US LMTD JT/NONVASC XTR STRUX TX RM RHU | $252.48 | $526.00 | $252.48–$473.40 | — | 52% |
| Lower leg X-ray (tibia and fibula), 2 views CPT 73590 XR TIBIA/FIBULA, 2 VIEWS FAC | $240.48 | $501.00 | $51.18–$450.90 | 7% above | 52% |
| Lower leg X-ray (tibia and fibula), 2 views inpatient CPT 73590 XR TIBIA/FIBULA, 2 VIEWS FAC | $240.48 | $501.00 | $240.48–$450.90 | — | 52% |
| MR angiography (MRA) of the head without contrast CPT 70544 MRA HEAD WO CONTRAST FAC | $1,452.48 | $3,026.00 | $137.55–$2,723.40 | 4% above | 52% |
| MR angiography (MRA) of the head without contrast inpatient CPT 70544 MRA HEAD WO CONTRAST FAC | $1,452.48 | $3,026.00 | $1,452.48–$2,723.40 | — | 52% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI JOINT LOWER EXTREMITY WO CONTRAST FAC | $1,270.08 | $2,646.00 | $137.55–$2,381.40 | at median | 52% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 MRI JOINT LOWER EXTREMITY WO CONTRAST FAC | $1,270.08 | $2,646.00 | $1,270.08–$2,381.40 | — | 52% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI JOINT LOWER EXTREMITY W/WO CONTRAST FAC | $2,632.32 | $5,484.00 | $217.02–$4,935.60 | 60% above | 52% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 MRI JOINT LOWER EXTREMITY W/WO CONTRAST FAC | $2,632.32 | $5,484.00 | $2,632.32–$4,935.60 | — | 52% |
| MRI of the abdomen without contrast CPT 74181 MRI ABDOMEN WO CONTRAST FAC | $1,512.48 | $3,151.00 | $137.55–$2,835.90 | 21% above | 52% |
| MRI of the abdomen without contrast inpatient CPT 74181 MRI ABDOMEN WO CONTRAST FAC | $1,512.48 | $3,151.00 | $1,512.48–$2,835.90 | — | 52% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 MRI ABDOMEN W/WO CONTRAST FAC | $2,796.96 | $5,827.00 | $217.02–$5,244.30 | 69% above | 52% |
| MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MRI ABDOMEN W/WO CONTRAST FAC | $2,796.96 | $5,827.00 | $2,796.96–$5,244.30 | — | 52% |
| MRI of the brain, no contrast dye CPT 70551 MRI BRAIN WO CONTRAST FAC | $1,162.56 | $2,422.00 | $137.55–$2,179.80 | 7% below | 52% |
| MRI of the brain, no contrast dye inpatient CPT 70551 MRI BRAIN WO CONTRAST FAC | $1,162.56 | $2,422.00 | $1,162.56–$2,179.80 | — | 52% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN W/WO CONTRAST FAC | $1,945.44 | $4,053.00 | $217.02–$3,647.70 | 12% above | 52% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI BRAIN W/WO CONTRAST FAC | $1,945.44 | $4,053.00 | $1,945.44–$3,647.70 | — | 52% |
| MRI of the lower back, no contrast dye CPT 72148 MRI SPINE LUMBER WO CONTRAST FAC | $1,441.44 | $3,003.00 | $137.55–$2,702.70 | 16% above | 52% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 MRI SPINE LUMBER WO CONTRAST FAC | $1,441.44 | $3,003.00 | $1,441.44–$2,702.70 | — | 52% |
| MRI of the lower back, without and then with contrast dye CPT 72158 MRI SPINE LUMBAR W/WO CONTRAST FAC | $2,513.28 | $5,236.00 | $217.02–$4,712.40 | 45% above | 52% |
| MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MRI SPINE LUMBAR W/WO CONTRAST FAC | $2,513.28 | $5,236.00 | $2,513.28–$4,712.40 | — | 52% |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI SPINE THORACIC WO CONTRAST FAC | $1,434.24 | $2,988.00 | $137.55–$2,689.20 | 20% above | 52% |
| MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MRI SPINE THORACIC WO CONTRAST FAC | $1,434.24 | $2,988.00 | $1,434.24–$2,689.20 | — | 52% |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI SPINE CERVICAL W/WO CONTRAST FAC | $2,524.32 | $5,259.00 | $217.02–$4,733.10 | 50% above | 52% |
| MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MRI SPINE CERVICAL W/WO CONTRAST FAC | $2,524.32 | $5,259.00 | $2,524.32–$4,733.10 | — | 52% |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI SPINE CERVICAL WO CONTRAST FAC | $1,434.24 | $2,988.00 | $137.55–$2,689.20 | 22% above | 52% |
| MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MRI SPINE CERVICAL WO CONTRAST FAC | $1,434.24 | $2,988.00 | $1,434.24–$2,689.20 | — | 52% |
| MRI of the pelvis without and with contrast CPT 72197 MRI PELVIS W/WO CONTRAST FAC | $2,785.92 | $5,804.00 | $217.02–$5,223.60 | 69% above | 52% |
| MRI of the pelvis without and with contrast inpatient CPT 72197 MRI PELVIS W/WO CONTRAST FAC | $2,785.92 | $5,804.00 | $2,785.92–$5,223.60 | — | 52% |
| MRI of the pelvis, no contrast dye CPT 72195 MRI PELVIS WO CONTRAST FAC | $1,904.64 | $3,968.00 | $137.55–$3,571.20 | 60% above | 52% |
| MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI PELVIS WO CONTRAST FAC | $1,904.64 | $3,968.00 | $1,904.64–$3,571.20 | — | 52% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MRI UPPER EXT ANY JOINT WO CONTRAST FAC | $1,635.84 | $3,408.00 | $137.55–$3,067.20 | 32% above | 52% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 MRI UPPER EXT ANY JOINT WO CONTRAST FAC | $1,635.84 | $3,408.00 | $1,635.84–$3,067.20 | — | 52% |
| Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 XR SPINE CERVICAL MIN 4 VIEWS FAC | $404.16 | $842.00 | $62.96–$757.80 | 9% above | 52% |
| Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 XR SPINE CERVICAL MIN 4 VIEWS FAC | $404.16 | $842.00 | $404.16–$757.80 | — | 52% |
| Neck soft tissue CT scan with contrast CPT 70491 CT NECK W CONTRAST FAC | $2,278.08 | $4,746.00 | $106.23–$4,271.40 | 112% above | 52% |
| Neck soft tissue CT scan with contrast inpatient CPT 70491 CT NECK W CONTRAST FAC | $2,278.08 | $4,746.00 | $2,278.08–$4,271.40 | — | 52% |
| Neck soft tissue CT scan without contrast CPT 70490 CT NECK W/O CONTRAST FAC | $1,710.24 | $3,563.00 | $62.96–$3,206.70 | 81% above | 52% |
| Neck soft tissue CT scan without contrast inpatient CPT 70490 CT NECK W/O CONTRAST FAC | $1,710.24 | $3,563.00 | $1,710.24–$3,206.70 | — | 52% |
| Neck soft tissue X-ray CPT 70360 XR NECK SOFT TISSUE FAC | $227.04 | $473.00 | $51.18–$425.70 | 13% above | 52% |
| Neck soft tissue X-ray inpatient CPT 70360 XR NECK SOFT TISSUE FAC | $227.04 | $473.00 | $227.04–$425.70 | — | 52% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 HEART MUSCLE IMAGE SPECT MULTI FAC | $4,160.16 | $8,667.00 | $781.83–$7,800.30 | 78% above | 52% |
| Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 HEART MUSCLE IMAGE SPECT MULTI FAC | $4,160.16 | $8,667.00 | $4,160.16–$7,800.30 | — | 52% |
| OCT scan of the retina (optical coherence tomography) CPT 92134 CMPTR DIAG IMAGING RETINA EYE | $86.88 | $181.00 | $49.79–$162.90 | — | 52% |
| OCT scan of the retina (optical coherence tomography) inpatient CPT 92134 CMPTR DIAG IMAGING RETINA EYE | $86.88 | $181.00 | $86.88–$162.90 | — | 52% |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET W/CT SKULL TO THIGH FAC | $5,529.60 | $11,520.00 | $877.31–$10,368.00 | 45% above | 52% |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 PET W/CT SKULL TO THIGH FAC | $5,529.60 | $11,520.00 | $5,529.60–$10,368.00 | — | 52% |
| Pelvic CT scan without contrast CPT 72192 CT PELVIS WO CONTRAST FAC | $1,559.04 | $3,248.00 | $62.96–$2,923.20 | 48% above | 52% |
| Pelvic CT scan without contrast inpatient CPT 72192 CT PELVIS WO CONTRAST FAC | $1,559.04 | $3,248.00 | $1,559.04–$2,923.20 | — | 52% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US EXAM PELVIC LIMITED FAC | $263.04 | $548.00 | $62.96–$493.20 | 11% below | 52% |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US EXAM PELVIC LIMITED FAC | $263.04 | $548.00 | $263.04–$493.20 | — | 52% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US EXAM PELVIC COMPLETE FAC | $761.28 | $1,586.00 | $62.96–$1,427.40 | 114% above | 52% |
| Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US EXAM PELVIC COMPLETE FAC | $761.28 | $1,586.00 | $761.28–$1,427.40 | — | 52% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US OB GREATER THAN= 14 WEEKS SNGL FETUS FAC; FIM | $920.64 | $1,918.00 | $62.96–$1,726.20 | 150% above | 52% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 FH-After 1st Tri US-Single/1st Gestation | $920.64 | $1,918.00 | $62.96–$1,726.20 | 150% above | 52% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US OB GREATER THAN= 14 WEEKS SNGL FETUS FAC; FIM | $920.64 | $1,918.00 | $920.64–$1,726.20 | — | 52% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 FH-After 1st Tri US-Single/1st Gestation | $920.64 | $1,918.00 | $920.64–$1,726.20 | — | 52% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US OB LESS THAN14 WEEKS SINGLE FETUS FAC; FIM | $737.28 | $1,536.00 | $62.96–$1,382.40 | 139% above | 52% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 US OB LESS THAN14 WEEKS SINGLE FETUS FAC; FIM | $737.28 | $1,536.00 | $737.28–$1,382.40 | — | 52% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 FH-Limited US (1 or more Fetuses) | $526.08 | $1,096.00 | $62.96–$986.40 | 107% above | 52% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US OB LIMITED 1 OR MORE FETUS FAC; FIM | $526.08 | $1,096.00 | $62.96–$986.40 | 107% above | 52% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 FH-Limited US (1 or more Fetuses) | $526.08 | $1,096.00 | $526.08–$986.40 | — | 52% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 US OB LIMITED 1 OR MORE FETUS FAC; FIM | $526.08 | $1,096.00 | $526.08–$986.40 | — | 52% |
| Rib X-ray, one side, 2 views one side CPT 71100 XR RIBS 2 VIEWS; UNILATERAL FAC | $264.00 | $550.00 | $51.18–$495.00 | 15% above | 52% |
| Rib X-ray, one side, 2 views inpatient one side CPT 71100 XR RIBS 2 VIEWS; UNILATERAL FAC | $264.00 | $550.00 | $264.00–$495.00 | — | 52% |
| Shoulder X-ray, complete, 2 or more views CPT 73030 XR SHOULDER; MIN 2 VIEWS FAC | $257.28 | $536.00 | $51.18–$482.40 | 14% above | 52% |
| Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 XR SHOULDER; MIN 2 VIEWS FAC | $257.28 | $536.00 | $257.28–$482.40 | — | 52% |
| Sinus X-ray, complete, 3 or more views CPT 70220 XR SINUS COMPL; MIN 3 VIEWS FAC | $274.08 | $571.00 | $51.18–$513.90 | 9% below | 52% |
| Sinus X-ray, complete, 3 or more views inpatient CPT 70220 XR SINUS COMPL; MIN 3 VIEWS FAC | $274.08 | $571.00 | $274.08–$513.90 | — | 52% |
| Skull X-ray, fewer than 4 views CPT 70250 XR SKULL < 4 VIEWS FAC | $274.08 | $571.00 | $62.96–$513.90 | 15% above | 52% |
| Skull X-ray, fewer than 4 views inpatient CPT 70250 XR SKULL < 4 VIEWS FAC | $274.08 | $571.00 | $274.08–$513.90 | — | 52% |
| Sleep study in a lab (polysomnography) CPT 95810 FULL SLEEP STUDY W TECH FAC SLB | $4,705.92 | $9,804.00 | $355.64–$8,823.60 | 77% above | 52% |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 FULL SLEEP STUDY W TECH FAC SLB | $4,705.92 | $9,804.00 | $4,705.92–$8,823.60 | — | 52% |
| Stress echocardiogram, complete, including the stress test and supervision CPT 93351 STRESS TTE COMPLETE CAR | $1,324.32 | $2,759.00 | $183.75–$2,483.10 | 6% above | 52% |
| Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 STRESS TTE COMPLETE CAR | $1,324.32 | $2,759.00 | $1,324.32–$2,483.10 | — | 52% |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 SWALLOWING FCN W CINE/VIDEO FAC | $1,022.40 | $2,130.00 | $106.23–$1,917.00 | 88% above | 52% |
| Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 SWALLOWING FCN W CINE/VIDEO FAC | $1,022.40 | $2,130.00 | $1,022.40–$1,917.00 | — | 52% |
| Thigh bone (femur) X-ray, 2 or more views CPT 73552 XR FEMUR 2 VIEW FAC | $267.36 | $557.00 | $51.18–$501.30 | 9% above | 52% |
| Thigh bone (femur) X-ray, 2 or more views inpatient CPT 73552 XR FEMUR 2 VIEW FAC | $267.36 | $557.00 | $267.36–$501.30 | — | 52% |
| Thoracic spine (mid back) CT scan without contrast CPT 72128 CT SPINE THORACIC WO CONTRAST FAC | $1,899.36 | $3,957.00 | $62.96–$3,561.30 | 94% above | 52% |
| Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 CT SPINE THORACIC WO CONTRAST FAC | $1,899.36 | $3,957.00 | $1,899.36–$3,561.30 | — | 52% |
| Toe X-ray, 2 or more views CPT 73660 XR TOES; MIN 2 VIEWS FAC | $230.40 | $480.00 | $51.18–$432.00 | 27% above | 52% |
| Toe X-ray, 2 or more views inpatient CPT 73660 XR TOES; MIN 2 VIEWS FAC | $230.40 | $480.00 | $230.40–$432.00 | — | 52% |
| Transvaginal pelvic ultrasound CPT 76830 TRANSVAGINAL US NON OB FAC | $906.72 | $1,889.00 | $62.96–$1,700.10 | 201% above | 52% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 TRANSVAGINAL US NON OB FAC | $906.72 | $1,889.00 | $906.72–$1,700.10 | — | 52% |
| Transvaginal ultrasound during pregnancy CPT 76817 US OB TRANSVAGINAL FAC; FIM | $384.96 | $802.00 | $62.96–$721.80 | 10% above | 52% |
| Transvaginal ultrasound during pregnancy CPT 76817 FH-Transvaginal US | $384.96 | $802.00 | $62.96–$721.80 | 10% above | 52% |
| Transvaginal ultrasound during pregnancy inpatient CPT 76817 FH-Transvaginal US | $384.96 | $802.00 | $384.96–$721.80 | — | 52% |
| Transvaginal ultrasound during pregnancy inpatient CPT 76817 US OB TRANSVAGINAL FAC; FIM | $384.96 | $802.00 | $384.96–$721.80 | — | 52% |
| Ultrasound of the abdomen, complete CPT 76700 US ABDOMEN;COMPLETE FAC | $820.32 | $1,709.00 | $62.96–$1,538.10 | 90% above | 52% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 US ABDOMEN;COMPLETE FAC | $820.32 | $1,709.00 | $820.32–$1,538.10 | — | 52% |
| Ultrasound of the scrotum and testicles CPT 76870 US SCROTUM FAC | $474.24 | $988.00 | $62.96–$889.20 | 39% above | 52% |
| Ultrasound of the scrotum and testicles inpatient CPT 76870 US SCROTUM FAC | $474.24 | $988.00 | $474.24–$889.20 | — | 52% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US HEAD/NECK/THYROID SOFT TISSUE FAC | $878.88 | $1,831.00 | $62.96–$1,647.90 | 43% above | 52% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US HEAD/NECK/THYROID SOFT TISSUE FAC | $878.88 | $1,831.00 | $878.88–$1,647.90 | — | 52% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 XR UPPER GI FAC | $730.08 | $1,521.00 | $106.23–$1,368.90 | 34% above | 52% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 XR UPPER GI FAC | $730.08 | $1,521.00 | $730.08–$1,368.90 | — | 52% |
| Upper arm X-ray (humerus), 2 views CPT 73060 XR HUMERUS; MIN 2 VIEWS FAC | $243.84 | $508.00 | $51.18–$457.20 | 7% above | 52% |
| Upper arm X-ray (humerus), 2 views inpatient CPT 73060 XR HUMERUS; MIN 2 VIEWS FAC | $243.84 | $508.00 | $243.84–$457.20 | — | 52% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US DUPLEX EXT VEINS; UNILATERAL FAC | $1,020.96 | $2,127.00 | $89.49–$1,914.30 | 53% above | 52% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US DUPLEX EXT VEINS; UNILATERAL FAC | $1,020.96 | $2,127.00 | $1,020.96–$1,914.30 | — | 52% |
| Wrist X-ray, 2 views CPT 73100 XR WRIST; 2 VIEWS FAC | $260.64 | $543.00 | $51.18–$488.70 | 42% above | 52% |
| Wrist X-ray, 2 views inpatient CPT 73100 XR WRIST; 2 VIEWS FAC | $260.64 | $543.00 | $260.64–$488.70 | — | 52% |
| Wrist X-ray, complete, 3 or more views CPT 73110 XR WRIST; MIN 3 VIEWS FAC | $327.36 | $682.00 | $51.18–$613.80 | 41% above | 52% |
| Wrist X-ray, complete, 3 or more views inpatient CPT 73110 XR WRIST; MIN 3 VIEWS FAC | $327.36 | $682.00 | $327.36–$613.80 | — | 52% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 X-RAY EXAM HIP UNI 2-3 VIEWS FAC | $364.32 | $759.00 | $51.18–$683.10 | 43% above | 52% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient CPT 73502 X-RAY EXAM HIP UNI 2-3 VIEWS FAC | $364.32 | $759.00 | $364.32–$683.10 | — | 52% |
| X-ray of the abdomen, 1 view CPT 74018 XR EXAM ABDOMEN 1 VIEW FAC | $213.60 | $445.00 | $51.18–$400.50 | 3% above | 52% |
| X-ray of the abdomen, 1 view inpatient CPT 74018 XR EXAM ABDOMEN 1 VIEW FAC | $213.60 | $445.00 | $213.60–$400.50 | — | 52% |
| X-ray of the ankle, 2 views CPT 73600 XR ANKLE; 2 VIEWS FAC | $247.20 | $515.00 | $51.18–$463.50 | 30% above | 52% |
| X-ray of the ankle, 2 views inpatient CPT 73600 XR ANKLE; 2 VIEWS FAC | $247.20 | $515.00 | $247.20–$463.50 | — | 52% |
| X-ray of the finger(s), 2 or more views CPT 73140 XR FINGER; MIN 2 VIEWS FAC | $313.92 | $654.00 | $51.18–$588.60 | 80% above | 52% |
| X-ray of the finger(s), 2 or more views inpatient CPT 73140 XR FINGER; MIN 2 VIEWS FAC | $313.92 | $654.00 | $313.92–$588.60 | — | 52% |
| X-ray of the foot, 2 views CPT 73620 XR FOOT; 2 VIEWS FAC | $210.24 | $438.00 | $51.18–$394.20 | 11% above | 52% |
| X-ray of the foot, 2 views inpatient CPT 73620 XR FOOT; 2 VIEWS FAC | $210.24 | $438.00 | $210.24–$394.20 | — | 52% |
| X-ray of the foot, complete, 3 or more views CPT 73630 XR FOOT; MIN 3 VIEWS FAC | $264.00 | $550.00 | $51.18–$495.00 | 17% above | 52% |
| X-ray of the foot, complete, 3 or more views inpatient CPT 73630 XR FOOT; MIN 3 VIEWS FAC | $264.00 | $550.00 | $264.00–$495.00 | — | 52% |
| X-ray of the hand, 3 or more views CPT 73130 XR HAND; MIN OF 3 VIEWS FAC | $287.52 | $599.00 | $51.18–$539.10 | 30% above | 52% |
| X-ray of the hand, 3 or more views inpatient CPT 73130 XR HAND; MIN OF 3 VIEWS FAC | $287.52 | $599.00 | $287.52–$539.10 | — | 52% |
| X-ray of the knee, 1 or 2 views CPT 73560 XR KNEE 1 OR 2 VIEWS FAC | $264.00 | $550.00 | $51.18–$495.00 | 38% above | 52% |
| X-ray of the knee, 1 or 2 views inpatient CPT 73560 XR KNEE 1 OR 2 VIEWS FAC | $264.00 | $550.00 | $264.00–$495.00 | — | 52% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 XR SPINE LUMBOSACRAL; 2-3 VWS FAC | $293.76 | $612.00 | $62.96–$550.80 | 8% above | 52% |
| X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 XR SPINE LUMBOSACRAL; 2-3 VWS FAC | $293.76 | $612.00 | $293.76–$550.80 | — | 52% |
| X-ray of the lower back, 4 or more views CPT 72110 XR LUMBOSACRAL; MIN 4 VIEWS FAC | $390.72 | $814.00 | $62.96–$732.60 | at median | 52% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 XR LUMBOSACRAL; MIN 4 VIEWS FAC | $390.72 | $814.00 | $390.72–$732.60 | — | 52% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 XR SPINE THORACIC 2 VIEWS FAC | $233.76 | $487.00 | $62.96–$438.30 | 4% above | 52% |
| X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 XR SPINE THORACIC 2 VIEWS FAC | $233.76 | $487.00 | $233.76–$438.30 | — | 52% |
| X-ray of the nasal bones, 3 or more views CPT 70160 XR NASAL BONES MINIMUM 3 VIEWS FAC | $297.12 | $619.00 | $51.18–$557.10 | 23% above | 52% |
| X-ray of the nasal bones, 3 or more views inpatient CPT 70160 XR NASAL BONES MINIMUM 3 VIEWS FAC | $297.12 | $619.00 | $297.12–$557.10 | — | 52% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 XR NECK SPINE 2-3 VIEWS FAC | $290.88 | $606.00 | $51.18–$545.40 | 19% above | 52% |
| X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 XR NECK SPINE 2-3 VIEWS FAC | $290.88 | $606.00 | $290.88–$545.40 | — | 52% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 XR PELVIS 1-2 VIEWS FAC | $197.28 | $411.00 | $62.96–$369.90 | 1% below | 52% |
| X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 XR PELVIS 1-2 VIEWS FAC | $197.28 | $411.00 | $197.28–$369.90 | — | 52% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 XR COCCYX; MIN 2 VIEWS FAC | $243.84 | $508.00 | $51.18–$457.20 | 8% above | 52% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 XR COCCYX; MIN 2 VIEWS FAC | $243.84 | $508.00 | $243.84–$457.20 | — | 52% |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Kansas | Off list |
|---|---|---|---|---|---|
| ACTH blood test CPT 82024 ACTH MAIN | $163.68 | $341.00 | $34.47–$306.90 | 8% below | 52% |
| ACTH blood test inpatient CPT 82024 ACTH MAIN | $163.68 | $341.00 | $163.68–$306.90 | — | 52% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 SGPT (ALT) CMH | $29.76 | $62.00 | $4.77–$55.80 | 13% below | 52% |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 SGPT (ALT) CMH | $29.76 | $62.00 | $29.76–$55.80 | — | 52% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 SGOT (AST) CMH | $29.28 | $61.00 | $4.66–$54.90 | 18% below | 52% |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 SGOT (AST) CMH | $29.28 | $61.00 | $29.28–$54.90 | — | 52% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 ACUTE HEPATITIS PANEL | $201.60 | $420.00 | $42.51–$378.00 | 3% below | 52% |
| Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 ACUTE HEPATITIS PANEL | $201.60 | $420.00 | $201.60–$378.00 | — | 52% |
| Albumin blood test CPT 82040 ALBUMIN SERUM CMH | $23.52 | $49.00 | $4.46–$44.10 | 26% below | 52% |
| Albumin blood test inpatient CPT 82040 ALBUMIN SERUM CMH | $23.52 | $49.00 | $23.52–$44.10 | — | 52% |
| Aldosterone blood test CPT 82088 ALDOSTERONE | $53.28 | $111.00 | $36.37–$111.87 | 70% below | 52% |
| Aldosterone blood test inpatient CPT 82088 ALDOSTERONE | $53.28 | $111.00 | $53.28–$99.90 | — | 52% |
| Alkaline phosphatase (ALP) blood test CPT 84075 ALKALINE PHOSPHATASE CMH | $29.28 | $61.00 | $4.66–$54.90 | 18% below | 52% |
| Alkaline phosphatase (ALP) blood test CPT 84075 Alkaline Phosphatase total | $36.48 | $76.00 | $4.66–$68.40 | 2% above | 52% |
| Alkaline phosphatase (ALP) blood test inpatient CPT 84075 ALKALINE PHOSPHATASE CMH | $29.28 | $61.00 | $29.28–$54.90 | — | 52% |
| Alkaline phosphatase (ALP) blood test inpatient CPT 84075 Alkaline Phosphatase total | $36.48 | $76.00 | $36.48–$68.40 | — | 52% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPEC IGE GUM CAROB | $13.92 | $29.00 | $4.70–$26.10 | 53% below | 52% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPEC IGE EGGPLANT | $13.92 | $29.00 | $4.70–$26.10 | 53% below | 52% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPEC IGE CLOVE | $13.92 | $29.00 | $4.70–$26.10 | 53% below | 52% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPEC IGE MACKERAL | $13.92 | $29.00 | $4.70–$26.10 | 53% below | 52% |
| Allergy blood test, specific IgE, per allergen CPT 86003 DILL IGE | $13.92 | $29.00 | $4.70–$26.10 | 53% below | 52% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPEC IGE MAHI MAHI | $13.92 | $29.00 | $4.70–$26.10 | 53% below | 52% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPEC IGE MARJORAM | $13.92 | $29.00 | $4.70–$26.10 | 53% below | 52% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPEC IGE MEADOW FESCU | $13.92 | $29.00 | $4.70–$26.10 | 53% below | 52% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPEC IGE MACE | $13.92 | $29.00 | $4.70–$26.10 | 53% below | 52% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPEC IGE TUNA | $17.28 | $36.00 | $4.70–$32.40 | 41% below | 52% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN WILLOW IGE.1 | $17.28 | $36.00 | $4.70–$32.40 | 41% below | 52% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN STEMPH HERBARUM IGE | $17.28 | $36.00 | $4.70–$32.40 | 41% below | 52% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPEC WHEY COW IgE | $17.28 | $36.00 | $4.70–$32.40 | 41% below | 52% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPEC IGE YEAST | $17.28 | $36.00 | $4.70–$32.40 | 41% below | 52% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPEC IGE WHITE POTATO | $17.28 | $36.00 | $4.70–$32.40 | 41% below | 52% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPEC IGE WHITE ASH | $17.28 | $36.00 | $4.70–$32.40 | 41% below | 52% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPEC IGE WHEAT | $17.28 | $36.00 | $4.70–$32.40 | 41% below | 52% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPEC IGE WALNUTS | $17.28 | $36.00 | $4.70–$32.40 | 41% below | 52% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPEC IGE WALNUT TREE | $17.28 | $36.00 | $4.70–$32.40 | 41% below | 52% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPEC IGE TURKEY | $17.28 | $36.00 | $4.70–$32.40 | 41% below | 52% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPEC IGE TOMATO | $17.28 | $36.00 | $4.70–$32.40 | 41% below | 52% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPEC IGE TIMOTHY GRAS | $17.28 | $36.00 | $4.70–$32.40 | 41% below | 52% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPEC IGE TILAPIA | $17.28 | $36.00 | $4.70–$32.40 | 41% below | 52% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPEC IGE STRAWBERRY | $17.28 | $36.00 | $4.70–$32.40 | 41% below | 52% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPEC IGE SOYBEAN | $17.28 | $36.00 | $4.70–$32.40 | 41% below | 52% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPEC IGE SHRIMP | $17.28 | $36.00 | $4.70–$32.40 | 41% below | 52% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPEC IGE SESAME SEED | $17.28 | $36.00 | $4.70–$32.40 | 41% below | 52% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPEC IGE SCALLOPS | $17.28 | $36.00 | $4.70–$32.40 | 41% below | 52% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPEC IGE SALTWORT | $17.28 | $36.00 | $4.70–$32.40 | 41% below | 52% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPEC IGE SALMON | $17.28 | $36.00 | $4.70–$32.40 | 41% below | 52% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPEC IGE ROUGH MARSHE | $17.28 | $36.00 | $4.70–$32.40 | 41% below | 52% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPEC IGE RICE | $17.28 | $36.00 | $4.70–$32.40 | 41% below | 52% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPEC IGE RAT UR PROTN | $17.28 | $36.00 | $4.70–$32.40 | 41% below | 52% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPEC IGE RAGWEED | $17.28 | $36.00 | $4.70–$32.40 | 41% below | 52% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPEC IGE QUINOA | $17.28 | $36.00 | $4.70–$32.40 | 41% below | 52% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPEC IGE PORK | $17.28 | $36.00 | $4.70–$32.40 | 41% below | 52% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPEC IGE PLANTAIN | $17.28 | $36.00 | $4.70–$32.40 | 41% below | 52% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPEC IGE PISTACHIO | $17.28 | $36.00 | $4.70–$32.40 | 41% below | 52% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPEC IGE PINEAPPLE | $17.28 | $36.00 | $4.70–$32.40 | 41% below | 52% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPEC IGE PIGWEED | $17.28 | $36.00 | $4.70–$32.40 | 41% below | 52% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPEC IGE PEN NOTATUM | $17.28 | $36.00 | $4.70–$32.40 | 41% below | 52% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPEC IGE PECAN HICK | $17.28 | $36.00 | $4.70–$32.40 | 41% below | 52% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPEC IGE PECAN | $17.28 | $36.00 | $4.70–$32.40 | 41% below | 52% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPEC IGE PEANUT | $17.28 | $36.00 | $4.70–$32.40 | 41% below | 52% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPEC IGE PEA GREEN | $17.28 | $36.00 | $4.70–$32.40 | 41% below | 52% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPEC IGE OYSTER | $17.28 | $36.00 | $4.70–$32.40 | 41% below | 52% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPEC IGE ORANGE | $17.28 | $36.00 | $4.70–$32.40 | 41% below | 52% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPEC IGE OAT | $17.28 | $36.00 | $4.70–$32.40 | 41% below | 52% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPEC IGE OAK | $17.28 | $36.00 | $4.70–$32.40 | 41% below | 52% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPEC IGE NETTLE | $17.28 | $36.00 | $4.70–$32.40 | 41% below | 52% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPEC IGE MUSSEL BLUE | $17.28 | $36.00 | $4.70–$32.40 | 41% below | 52% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPEC IGE MULLBERRY | $17.28 | $36.00 | $4.70–$32.40 | 41% below | 52% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPEC IGE MUGWORT | $17.28 | $36.00 | $4.70–$32.40 | 41% below | 52% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPEC IGE MOUSE UR IgE | $17.28 | $36.00 | $4.70–$32.40 | 41% below | 52% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPEC IGE MNTN JUNIPER | $17.28 | $36.00 | $4.70–$32.40 | 41% below | 52% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPEC IGE MILK | $17.28 | $36.00 | $4.70–$32.40 | 41% below | 52% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPEC IGE MAPLE LF SYC | $17.28 | $36.00 | $4.70–$32.40 | 41% below | 52% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPEC IGE MACADEMIA | $17.28 | $36.00 | $4.70–$32.40 | 41% below | 52% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPEC IGE LOBSTER | $17.28 | $36.00 | $4.70–$32.40 | 41% below | 52% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPEC IGE LATEX | $17.28 | $36.00 | $4.70–$32.40 | 41% below | 52% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPEC IGE LAMBS QUARTR | $17.28 | $36.00 | $4.70–$32.40 | 41% below | 52% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPEC IGE KY BLU GRAS | $17.28 | $36.00 | $4.70–$32.40 | 41% below | 52% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPEC IGE KOCHIA | $17.28 | $36.00 | $4.70–$32.40 | 41% below | 52% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPEC IGE KIWI | $17.28 | $36.00 | $4.70–$32.40 | 41% below | 52% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPEC IGE JOHNSON GRAS | $17.28 | $36.00 | $4.70–$32.40 | 41% below | 52% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPEC IGE HELMITH HALO | $17.28 | $36.00 | $4.70–$32.40 | 41% below | 52% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPEC IGE HAZEL NUT | $17.28 | $36.00 | $4.70–$32.40 | 41% below | 52% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPEC IGE GUINEA PIG | $17.28 | $36.00 | $4.70–$32.40 | 41% below | 52% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPEC IGE FUSARIUM PRO | $17.28 | $36.00 | $4.70–$32.40 | 41% below | 52% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPEC IGE EPICOCCUM | $17.28 | $36.00 | $4.70–$32.40 | 41% below | 52% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPEC IGE ELM | $17.28 | $36.00 | $4.70–$32.40 | 41% below | 52% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPEC IGE EGG YOLK | $17.28 | $36.00 | $4.70–$32.40 | 41% below | 52% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPEC IGE EGG WHOLE | $17.28 | $36.00 | $4.70–$32.40 | 41% below | 52% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPEC IGE EGG WHITE | $17.28 | $36.00 | $4.70–$32.40 | 41% below | 52% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPEC IGE DOG DANDER | $17.28 | $36.00 | $4.70–$32.40 | 41% below | 52% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPEC IGE DOCK SORRELL | $17.28 | $36.00 | $4.70–$32.40 | 41% below | 52% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPEC IGE D PTERONYSIS | $17.28 | $36.00 | $4.70–$32.40 | 41% below | 52% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPEC IGE D FARINAE | $17.28 | $36.00 | $4.70–$32.40 | 41% below | 52% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPEC IGE CRAB | $17.28 | $36.00 | $4.70–$32.40 | 41% below | 52% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPEC IGE COW DANDER | $17.28 | $36.00 | $4.70–$32.40 | 41% below | 52% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPEC IGE COTTONWOOD | $17.28 | $36.00 | $4.70–$32.40 | 41% below | 52% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPEC IGE CODFISH | $17.28 | $36.00 | $4.70–$32.40 | 41% below | 52% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPEC IGE COCONUT | $17.28 | $36.00 | $4.70–$32.40 | 41% below | 52% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPEC IGE COCKSFOOT GR | $17.28 | $36.00 | $4.70–$32.40 | 41% below | 52% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPEC IGE COCKROACH | $17.28 | $36.00 | $4.70–$32.40 | 41% below | 52% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPEC IGE COCKLEBUR | $17.28 | $36.00 | $4.70–$32.40 | 41% below | 52% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPEC IGE CLAM | $17.28 | $36.00 | $4.70–$32.40 | 41% below | 52% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPEC IGE CLADOSP HERB | $17.28 | $36.00 | $4.70–$32.40 | 41% below | 52% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPEC IGE CHOCOLATE | $17.28 | $36.00 | $4.70–$32.40 | 41% below | 52% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPEC IGE CHICKEN | $17.28 | $36.00 | $4.70–$32.40 | 41% below | 52% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPEC IGE CHESTNUT | $17.28 | $36.00 | $4.70–$32.40 | 41% below | 52% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPEC IGE CATFISH | $17.28 | $36.00 | $4.70–$32.40 | 41% below | 52% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPEC IGE CAT DANDER | $17.28 | $36.00 | $4.70–$32.40 | 41% below | 52% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPEC IGE CASHEW | $17.28 | $36.00 | $4.70–$32.40 | 41% below | 52% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPEC IGE CARROT | $17.28 | $36.00 | $4.70–$32.40 | 41% below | 52% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPEC IGE BRAZIL NUT | $17.28 | $36.00 | $4.70–$32.40 | 41% below | 52% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPEC IGE BOXELDER | $17.28 | $36.00 | $4.70–$32.40 | 41% below | 52% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPEC IGE BIRCH | $17.28 | $36.00 | $4.70–$32.40 | 41% below | 52% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPEC IGE BERMUDA GRA | $17.28 | $36.00 | $4.70–$32.40 | 41% below | 52% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPEC IGE BEEF | $17.28 | $36.00 | $4.70–$32.40 | 41% below | 52% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPEC IGE BEAN GREEN | $17.28 | $36.00 | $4.70–$32.40 | 41% below | 52% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPEC IGE BARLEY | $17.28 | $36.00 | $4.70–$32.40 | 41% below | 52% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPEC IGE BANANA | $17.28 | $36.00 | $4.70–$32.40 | 41% below | 52% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPEC IGE AVOCADO | $17.28 | $36.00 | $4.70–$32.40 | 41% below | 52% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPEC IGE ASPERG FUM | $17.28 | $36.00 | $4.70–$32.40 | 41% below | 52% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPEC IGE APPLE | $17.28 | $36.00 | $4.70–$32.40 | 41% below | 52% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPEC IGE AM ROACH | $17.28 | $36.00 | $4.70–$32.40 | 41% below | 52% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPEC IGE ALTERNARIA | $17.28 | $36.00 | $4.70–$32.40 | 41% below | 52% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPEC IGE ALMOND | $17.28 | $36.00 | $4.70–$32.40 | 41% below | 52% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPEC CHICK PEA IgE | $17.28 | $36.00 | $4.70–$32.40 | 41% below | 52% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SEPC IGE CORN | $17.28 | $36.00 | $4.70–$32.40 | 41% below | 52% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN RUSSINA OLIVE IGE | $17.28 | $36.00 | $4.70–$32.40 | 41% below | 52% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN PHOMA BETAE IGE.1 | $17.28 | $36.00 | $4.70–$32.40 | 41% below | 52% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN HACKBERRY IGE.1 | $17.28 | $36.00 | $4.70–$32.40 | 41% below | 52% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN CHAETOMIUM GLOBSUM IGE.1 | $17.28 | $36.00 | $4.70–$32.40 | 41% below | 52% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN AMERICAN BEECH IGE.1 | $17.28 | $36.00 | $4.70–$32.40 | 41% below | 52% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPEC IGE POMEGRANATE | $27.84 | $58.00 | $4.70–$52.20 | 5% below | 52% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPEC IGE PLUM | $27.84 | $58.00 | $4.70–$52.20 | 5% below | 52% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPEC IGE PINON NUT | $27.84 | $58.00 | $4.70–$52.20 | 5% below | 52% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPEC IGE CANTALOPE | $27.84 | $58.00 | $4.70–$52.20 | 5% below | 52% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPEC IGE YELW JACKET | $27.84 | $58.00 | $4.70–$52.20 | 5% below | 52% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPEC IGE PERCH OCEAN | $27.84 | $58.00 | $4.70–$52.20 | 5% below | 52% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPEC IGE PEPR JALAPNO | $27.84 | $58.00 | $4.70–$52.20 | 5% below | 52% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPEC IGE PEPPER CHILI | $27.84 | $58.00 | $4.70–$52.20 | 5% below | 52% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPEC IGE PEPPER BLACK | $27.84 | $58.00 | $4.70–$52.20 | 5% below | 52% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPEC IGE PEPPER BELL | $27.84 | $58.00 | $4.70–$52.20 | 5% below | 52% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPEC IGE C ALBICANS | $27.84 | $58.00 | $4.70–$52.20 | 5% below | 52% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPEC IGE BUMBLE BEE | $27.84 | $58.00 | $4.70–$52.20 | 5% below | 52% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPEC IGE PEAR | $27.84 | $58.00 | $4.70–$52.20 | 5% below | 52% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPEC IGE PEACH | $27.84 | $58.00 | $4.70–$52.20 | 5% below | 52% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPEC IGE BUCKWHEAT | $27.84 | $58.00 | $4.70–$52.20 | 5% below | 52% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPEC IGE PARRT AUS FR | $27.84 | $58.00 | $4.70–$52.20 | 5% below | 52% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPEC IGE PAPER WASP | $27.84 | $58.00 | $4.70–$52.20 | 5% below | 52% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPEC IGE ORANGE RGHY | $27.84 | $58.00 | $4.70–$52.20 | 5% below | 52% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPEC IGE ONION | $27.84 | $58.00 | $4.70–$52.20 | 5% below | 52% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPEC IGE MUSTARD | $27.84 | $58.00 | $4.70–$52.20 | 5% below | 52% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPEC IGE BLUBERRY | $27.84 | $58.00 | $4.70–$52.20 | 5% below | 52% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPEC IGE MUSHROOM | $27.84 | $58.00 | $4.70–$52.20 | 5% below | 52% |
| Allergy blood test, specific IgE, per allergen CPT 86003 AMOXYCILLIN | $27.84 | $58.00 | $4.70–$52.20 | 5% below | 52% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPEC IGE BLACKBERRY | $27.84 | $58.00 | $4.70–$52.20 | 5% below | 52% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPEC IGE MUCOR RACMK | $27.84 | $58.00 | $4.70–$52.20 | 5% below | 52% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPEC IGE MOUSE SRM PR | $27.84 | $58.00 | $4.70–$52.20 | 5% below | 52% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPEC IGE MOUSE EPITH | $27.84 | $58.00 | $4.70–$52.20 | 5% below | 52% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPEC IGE MOSQUITO | $27.84 | $58.00 | $4.70–$52.20 | 5% below | 52% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPEC IGE MILK GOAT | $27.84 | $58.00 | $4.70–$52.20 | 5% below | 52% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPEC IGE MELON HNYDW | $27.84 | $58.00 | $4.70–$52.20 | 5% below | 52% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ATOP DERM MICRO CANDIDA | $27.84 | $58.00 | $4.70–$52.20 | 5% below | 52% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPEC IGE MANGO | $27.84 | $58.00 | $4.70–$52.20 | 5% below | 52% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ATOP DERM MICRO MALASSEZIA | $27.84 | $58.00 | $4.70–$52.20 | 5% below | 52% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPEC IGE LETTUCE | $27.84 | $58.00 | $4.70–$52.20 | 5% below | 52% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPEC IGE LEMON | $27.84 | $58.00 | $4.70–$52.20 | 5% below | 52% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPEC IGE BEAN PINTO | $27.84 | $58.00 | $4.70–$52.20 | 5% below | 52% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPEC IGE LAMB | $27.84 | $58.00 | $4.70–$52.20 | 5% below | 52% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPEC IGE BEAN NAVY | $27.84 | $58.00 | $4.70–$52.20 | 5% below | 52% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPEC IGE BEAN KIDNEY | $27.84 | $58.00 | $4.70–$52.20 | 5% below | 52% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPEC IGE HORSE HAIR | $27.84 | $58.00 | $4.70–$52.20 | 5% below | 52% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPEC IGE HORSE DNDR | $27.84 | $58.00 | $4.70–$52.20 | 5% below | 52% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPEC IGE HONEY BEE | $27.84 | $58.00 | $4.70–$52.20 | 5% below | 52% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPEC IGE HONEY | $27.84 | $58.00 | $4.70–$52.20 | 5% below | 52% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPEC IGE HAMSTER EPI | $27.84 | $58.00 | $4.70–$52.20 | 5% below | 52% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPEC IGE HALIBUT | $27.84 | $58.00 | $4.70–$52.20 | 5% below | 52% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPEC IGE GUM XANTHAN | $27.84 | $58.00 | $4.70–$52.20 | 5% below | 52% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPEC IGE GUM GUAR | $27.84 | $58.00 | $4.70–$52.20 | 5% below | 52% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ATOP DERM MICRO STAPH ENTERO A | $27.84 | $58.00 | $4.70–$52.20 | 5% below | 52% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPEC IGE GUM CARAGN | $27.84 | $58.00 | $4.70–$52.20 | 5% below | 52% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPEC IGE GRAPE | $27.84 | $58.00 | $4.70–$52.20 | 5% below | 52% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPEC IGE GLUTEN | $27.84 | $58.00 | $4.70–$52.20 | 5% below | 52% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPEC IGE GINGER | $27.84 | $58.00 | $4.70–$52.20 | 5% below | 52% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPEC IGE GERBIL EPITH | $27.84 | $58.00 | $4.70–$52.20 | 5% below | 52% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPEC IGE GARLIC | $27.84 | $58.00 | $4.70–$52.20 | 5% below | 52% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPEC IGE BASS BLACK | $27.84 | $58.00 | $4.70–$52.20 | 5% below | 52% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPEC IGE FLEA | $27.84 | $58.00 | $4.70–$52.20 | 5% below | 52% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPEC IGE FERRET EPITH | $27.84 | $58.00 | $4.70–$52.20 | 5% below | 52% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN INDIVIDUAL IGE | $27.84 | $58.00 | $4.70–$52.20 | 5% below | 52% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPEC IGE DUST HOLLIST | $27.84 | $58.00 | $4.70–$52.20 | 5% below | 52% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPEC IGE CRANBERRY | $27.84 | $58.00 | $4.70–$52.20 | 5% below | 52% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPEC IGE APRICOT | $27.84 | $58.00 | $4.70–$52.20 | 5% below | 52% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPEC IGE COTTON SEED | $27.84 | $58.00 | $4.70–$52.20 | 5% below | 52% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE REF | $27.84 | $58.00 | $4.70–$52.20 | 5% below | 52% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPEC IGE ANNATTO SD | $27.84 | $58.00 | $4.70–$52.20 | 5% below | 52% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPEC IGE ANCHOVY | $27.84 | $58.00 | $4.70–$52.20 | 5% below | 52% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPEC IGE COCKATIEL FH | $27.84 | $58.00 | $4.70–$52.20 | 5% below | 52% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ATOP DERM MICRO STAPH ENTERO B | $27.84 | $58.00 | $4.70–$52.20 | 5% below | 52% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPEC IGE YELW HORNET | $27.84 | $58.00 | $4.70–$52.20 | 5% below | 52% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPEC IGE CINNAMON | $27.84 | $58.00 | $4.70–$52.20 | 5% below | 52% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPEC IGE WHITEFISH | $27.84 | $58.00 | $4.70–$52.20 | 5% below | 52% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPEC IGE WF HORNET | $27.84 | $58.00 | $4.70–$52.20 | 5% below | 52% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPEC IGE W-EYE PIKE | $27.84 | $58.00 | $4.70–$52.20 | 5% below | 52% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPEC IGE WATERMELON | $27.84 | $58.00 | $4.70–$52.20 | 5% below | 52% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPEC IGE VANILLA | $27.84 | $58.00 | $4.70–$52.20 | 5% below | 52% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPEC IGE TROUT | $27.84 | $58.00 | $4.70–$52.20 | 5% below | 52% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPEC IGE THYME | $27.84 | $58.00 | $4.70–$52.20 | 5% below | 52% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPEC IGE SWORDFISH | $27.84 | $58.00 | $4.70–$52.20 | 5% below | 52% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPEC IGE STACHYBOTRYS | $27.84 | $58.00 | $4.70–$52.20 | 5% below | 52% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPEC IGE SQUID | $27.84 | $58.00 | $4.70–$52.20 | 5% below | 52% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPEC IGE SQUASH SUMR | $27.84 | $58.00 | $4.70–$52.20 | 5% below | 52% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPEC IGE SPINACH | $27.84 | $58.00 | $4.70–$52.20 | 5% below | 52% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPEC IGE SNFLWER SD | $27.84 | $58.00 | $4.70–$52.20 | 5% below | 52% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPEC IGE SNAIL | $27.84 | $58.00 | $4.70–$52.20 | 5% below | 52% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPEC IGE SMUT CORN | $27.84 | $58.00 | $4.70–$52.20 | 5% below | 52% |
| Allergy blood test, specific IgE, per allergen CPT 86003 GRAPEFRUIT IGE | $27.84 | $58.00 | $4.70–$52.20 | 5% below | 52% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPEC IGE CHERRY | $27.84 | $58.00 | $4.70–$52.20 | 5% below | 52% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPEC IGE CELERY | $27.84 | $58.00 | $4.70–$52.20 | 5% below | 52% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPEC IGE RZPS NGRCNS | $27.84 | $58.00 | $4.70–$52.20 | 5% below | 52% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPEC IGE RED DYE | $27.84 | $58.00 | $4.70–$52.20 | 5% below | 52% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPEC IGE RAT EPITH | $27.84 | $58.00 | $4.70–$52.20 | 5% below | 52% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPEC IGE RASBERRY | $27.84 | $58.00 | $4.70–$52.20 | 5% below | 52% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPEC IGE RABBIT MEAT | $27.84 | $58.00 | $4.70–$52.20 | 5% below | 52% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPEC IGE RABBIT EPITH | $27.84 | $58.00 | $4.70–$52.20 | 5% below | 52% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPEC IGE PUMPKIN | $27.84 | $58.00 | $4.70–$52.20 | 5% below | 52% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPEC IGE PPR CAYENNE | $27.84 | $58.00 | $4.70–$52.20 | 5% below | 52% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPEC IGE POTATO SWEET | $27.84 | $58.00 | $4.70–$52.20 | 5% below | 52% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPEC IGE POPPY SEED | $27.84 | $58.00 | $4.70–$52.20 | 5% below | 52% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPEC IGE SWE VERN GRA | $28.80 | $60.00 | $4.70–$54.00 | 2% below | 52% |
| Allergy blood test, specific IgE, per allergen CPT 86003 PENICILLOY/G | $29.28 | $61.00 | $4.70–$54.90 | at median | 52% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPEC IGE CHINCHILLA | $29.28 | $61.00 | $4.70–$54.90 | at median | 52% |
| Allergy blood test, specific IgE, per allergen CPT 86003 AMPICILLIN | $29.28 | $61.00 | $4.70–$54.90 | at median | 52% |
| Allergy blood test, specific IgE, per allergen CPT 86003 PENICILLOY/V | $29.28 | $61.00 | $4.70–$54.90 | at median | 52% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE REF 37 | $92.64 | $193.00 | $4.70–$173.70 | 215% above | 52% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ATOP DERM AUTOIMUNE MNSOD | $290.40 | $605.00 | $4.70–$544.50 | 888% above | 52% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPEC IGE MACE | $13.92 | $29.00 | $13.92–$26.10 | — | 52% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPEC IGE MARJORAM | $13.92 | $29.00 | $13.92–$26.10 | — | 52% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPEC IGE MEADOW FESCU | $13.92 | $29.00 | $13.92–$26.10 | — | 52% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPEC IGE CLOVE | $13.92 | $29.00 | $13.92–$26.10 | — | 52% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPEC IGE EGGPLANT | $13.92 | $29.00 | $13.92–$26.10 | — | 52% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPEC IGE GUM CAROB | $13.92 | $29.00 | $13.92–$26.10 | — | 52% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPEC IGE MAHI MAHI | $13.92 | $29.00 | $13.92–$26.10 | — | 52% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 DILL IGE | $13.92 | $29.00 | $13.92–$26.10 | — | 52% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPEC IGE MACKERAL | $13.92 | $29.00 | $13.92–$26.10 | — | 52% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPEC IGE PEANUT | $17.28 | $36.00 | $17.28–$32.40 | — | 52% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN RUSSINA OLIVE IGE | $17.28 | $36.00 | $17.28–$32.40 | — | 52% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPEC IGE MAPLE LF SYC | $17.28 | $36.00 | $17.28–$32.40 | — | 52% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPEC IGE BERMUDA GRA | $17.28 | $36.00 | $17.28–$32.40 | — | 52% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPEC IGE MACADEMIA | $17.28 | $36.00 | $17.28–$32.40 | — | 52% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN AMERICAN BEECH IGE.1 | $17.28 | $36.00 | $17.28–$32.40 | — | 52% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPEC IGE LOBSTER | $17.28 | $36.00 | $17.28–$32.40 | — | 52% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPEC IGE BEEF | $17.28 | $36.00 | $17.28–$32.40 | — | 52% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPEC IGE LATEX | $17.28 | $36.00 | $17.28–$32.40 | — | 52% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPEC IGE LAMBS QUARTR | $17.28 | $36.00 | $17.28–$32.40 | — | 52% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPEC IGE ALTERNARIA | $17.28 | $36.00 | $17.28–$32.40 | — | 52% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPEC IGE KY BLU GRAS | $17.28 | $36.00 | $17.28–$32.40 | — | 52% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPEC IGE STRAWBERRY | $17.28 | $36.00 | $17.28–$32.40 | — | 52% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPEC IGE KOCHIA | $17.28 | $36.00 | $17.28–$32.40 | — | 52% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPEC IGE KIWI | $17.28 | $36.00 | $17.28–$32.40 | — | 52% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPEC IGE JOHNSON GRAS | $17.28 | $36.00 | $17.28–$32.40 | — | 52% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPEC IGE CAT DANDER | $17.28 | $36.00 | $17.28–$32.40 | — | 52% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPEC IGE RAGWEED | $17.28 | $36.00 | $17.28–$32.40 | — | 52% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPEC IGE HELMITH HALO | $17.28 | $36.00 | $17.28–$32.40 | — | 52% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN PHOMA BETAE IGE.1 | $17.28 | $36.00 | $17.28–$32.40 | — | 52% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPEC IGE HAZEL NUT | $17.28 | $36.00 | $17.28–$32.40 | — | 52% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPEC IGE CHESTNUT | $17.28 | $36.00 | $17.28–$32.40 | — | 52% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPEC IGE SOYBEAN | $17.28 | $36.00 | $17.28–$32.40 | — | 52% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPEC IGE BEAN GREEN | $17.28 | $36.00 | $17.28–$32.40 | — | 52% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPEC IGE GUINEA PIG | $17.28 | $36.00 | $17.28–$32.40 | — | 52% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPEC IGE CASHEW | $17.28 | $36.00 | $17.28–$32.40 | — | 52% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPEC IGE FUSARIUM PRO | $17.28 | $36.00 | $17.28–$32.40 | — | 52% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPEC IGE SHRIMP | $17.28 | $36.00 | $17.28–$32.40 | — | 52% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPEC IGE QUINOA | $17.28 | $36.00 | $17.28–$32.40 | — | 52% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPEC IGE EPICOCCUM | $17.28 | $36.00 | $17.28–$32.40 | — | 52% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPEC IGE SESAME SEED | $17.28 | $36.00 | $17.28–$32.40 | — | 52% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPEC IGE ELM | $17.28 | $36.00 | $17.28–$32.40 | — | 52% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPEC IGE BARLEY | $17.28 | $36.00 | $17.28–$32.40 | — | 52% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPEC IGE EGG YOLK | $17.28 | $36.00 | $17.28–$32.40 | — | 52% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPEC IGE EGG WHOLE | $17.28 | $36.00 | $17.28–$32.40 | — | 52% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPEC IGE BANANA | $17.28 | $36.00 | $17.28–$32.40 | — | 52% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPEC IGE EGG WHITE | $17.28 | $36.00 | $17.28–$32.40 | — | 52% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPEC IGE DOG DANDER | $17.28 | $36.00 | $17.28–$32.40 | — | 52% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPEC IGE AVOCADO | $17.28 | $36.00 | $17.28–$32.40 | — | 52% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPEC IGE DOCK SORRELL | $17.28 | $36.00 | $17.28–$32.40 | — | 52% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPEC IGE D PTERONYSIS | $17.28 | $36.00 | $17.28–$32.40 | — | 52% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPEC IGE D FARINAE | $17.28 | $36.00 | $17.28–$32.40 | — | 52% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPEC IGE SCALLOPS | $17.28 | $36.00 | $17.28–$32.40 | — | 52% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPEC IGE ASPERG FUM | $17.28 | $36.00 | $17.28–$32.40 | — | 52% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPEC IGE CRAB | $17.28 | $36.00 | $17.28–$32.40 | — | 52% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPEC IGE PORK | $17.28 | $36.00 | $17.28–$32.40 | — | 52% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPEC IGE COW DANDER | $17.28 | $36.00 | $17.28–$32.40 | — | 52% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPEC IGE COTTONWOOD | $17.28 | $36.00 | $17.28–$32.40 | — | 52% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPEC IGE SALTWORT | $17.28 | $36.00 | $17.28–$32.40 | — | 52% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPEC IGE CODFISH | $17.28 | $36.00 | $17.28–$32.40 | — | 52% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPEC IGE APPLE | $17.28 | $36.00 | $17.28–$32.40 | — | 52% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPEC IGE COCONUT | $17.28 | $36.00 | $17.28–$32.40 | — | 52% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPEC IGE SALMON | $17.28 | $36.00 | $17.28–$32.40 | — | 52% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPEC IGE COCKSFOOT GR | $17.28 | $36.00 | $17.28–$32.40 | — | 52% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPEC IGE COCKROACH | $17.28 | $36.00 | $17.28–$32.40 | — | 52% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPEC IGE COCKLEBUR | $17.28 | $36.00 | $17.28–$32.40 | — | 52% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN HACKBERRY IGE.1 | $17.28 | $36.00 | $17.28–$32.40 | — | 52% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPEC IGE CLAM | $17.28 | $36.00 | $17.28–$32.40 | — | 52% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPEC IGE CLADOSP HERB | $17.28 | $36.00 | $17.28–$32.40 | — | 52% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPEC IGE ROUGH MARSHE | $17.28 | $36.00 | $17.28–$32.40 | — | 52% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPEC IGE CATFISH | $17.28 | $36.00 | $17.28–$32.40 | — | 52% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPEC IGE YEAST | $17.28 | $36.00 | $17.28–$32.40 | — | 52% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPEC IGE RICE | $17.28 | $36.00 | $17.28–$32.40 | — | 52% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPEC IGE WHITE POTATO | $17.28 | $36.00 | $17.28–$32.40 | — | 52% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPEC CHICK PEA IgE | $17.28 | $36.00 | $17.28–$32.40 | — | 52% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPEC IGE PLANTAIN | $17.28 | $36.00 | $17.28–$32.40 | — | 52% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPEC IGE CARROT | $17.28 | $36.00 | $17.28–$32.40 | — | 52% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPEC IGE PISTACHIO | $17.28 | $36.00 | $17.28–$32.40 | — | 52% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPEC IGE AM ROACH | $17.28 | $36.00 | $17.28–$32.40 | — | 52% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPEC IGE WHITE ASH | $17.28 | $36.00 | $17.28–$32.40 | — | 52% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPEC IGE PINEAPPLE | $17.28 | $36.00 | $17.28–$32.40 | — | 52% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPEC IGE PIGWEED | $17.28 | $36.00 | $17.28–$32.40 | — | 52% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPEC IGE CHOCOLATE | $17.28 | $36.00 | $17.28–$32.40 | — | 52% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPEC WHEY COW IgE | $17.28 | $36.00 | $17.28–$32.40 | — | 52% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN STEMPH HERBARUM IGE | $17.28 | $36.00 | $17.28–$32.40 | — | 52% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN WILLOW IGE.1 | $17.28 | $36.00 | $17.28–$32.40 | — | 52% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPEC IGE WHEAT | $17.28 | $36.00 | $17.28–$32.40 | — | 52% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPEC IGE ALMOND | $17.28 | $36.00 | $17.28–$32.40 | — | 52% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPEC IGE PEN NOTATUM | $17.28 | $36.00 | $17.28–$32.40 | — | 52% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPEC IGE PECAN HICK | $17.28 | $36.00 | $17.28–$32.40 | — | 52% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPEC IGE PECAN | $17.28 | $36.00 | $17.28–$32.40 | — | 52% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPEC IGE WALNUTS | $17.28 | $36.00 | $17.28–$32.40 | — | 52% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPEC IGE PEA GREEN | $17.28 | $36.00 | $17.28–$32.40 | — | 52% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPEC IGE WALNUT TREE | $17.28 | $36.00 | $17.28–$32.40 | — | 52% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPEC IGE RAT UR PROTN | $17.28 | $36.00 | $17.28–$32.40 | — | 52% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPEC IGE OYSTER | $17.28 | $36.00 | $17.28–$32.40 | — | 52% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN CHAETOMIUM GLOBSUM IGE.1 | $17.28 | $36.00 | $17.28–$32.40 | — | 52% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPEC IGE ORANGE | $17.28 | $36.00 | $17.28–$32.40 | — | 52% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPEC IGE BRAZIL NUT | $17.28 | $36.00 | $17.28–$32.40 | — | 52% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPEC IGE OAT | $17.28 | $36.00 | $17.28–$32.40 | — | 52% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SEPC IGE CORN | $17.28 | $36.00 | $17.28–$32.40 | — | 52% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPEC IGE OAK | $17.28 | $36.00 | $17.28–$32.40 | — | 52% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPEC IGE BOXELDER | $17.28 | $36.00 | $17.28–$32.40 | — | 52% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPEC IGE NETTLE | $17.28 | $36.00 | $17.28–$32.40 | — | 52% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPEC IGE TURKEY | $17.28 | $36.00 | $17.28–$32.40 | — | 52% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPEC IGE MUSSEL BLUE | $17.28 | $36.00 | $17.28–$32.40 | — | 52% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPEC IGE TUNA | $17.28 | $36.00 | $17.28–$32.40 | — | 52% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPEC IGE MULLBERRY | $17.28 | $36.00 | $17.28–$32.40 | — | 52% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPEC IGE MUGWORT | $17.28 | $36.00 | $17.28–$32.40 | — | 52% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPEC IGE MOUSE UR IgE | $17.28 | $36.00 | $17.28–$32.40 | — | 52% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPEC IGE TOMATO | $17.28 | $36.00 | $17.28–$32.40 | — | 52% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPEC IGE TIMOTHY GRAS | $17.28 | $36.00 | $17.28–$32.40 | — | 52% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPEC IGE MNTN JUNIPER | $17.28 | $36.00 | $17.28–$32.40 | — | 52% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPEC IGE CHICKEN | $17.28 | $36.00 | $17.28–$32.40 | — | 52% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPEC IGE BIRCH | $17.28 | $36.00 | $17.28–$32.40 | — | 52% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPEC IGE MILK | $17.28 | $36.00 | $17.28–$32.40 | — | 52% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPEC IGE TILAPIA | $17.28 | $36.00 | $17.28–$32.40 | — | 52% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPEC IGE PEPPER CHILI | $27.84 | $58.00 | $27.84–$52.20 | — | 52% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPEC IGE PPR CAYENNE | $27.84 | $58.00 | $27.84–$52.20 | — | 52% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPEC IGE W-EYE PIKE | $27.84 | $58.00 | $27.84–$52.20 | — | 52% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPEC IGE PEPPER BELL | $27.84 | $58.00 | $27.84–$52.20 | — | 52% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPEC IGE CHERRY | $27.84 | $58.00 | $27.84–$52.20 | — | 52% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPEC IGE DUST HOLLIST | $27.84 | $58.00 | $27.84–$52.20 | — | 52% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPEC IGE LETTUCE | $27.84 | $58.00 | $27.84–$52.20 | — | 52% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPEC IGE MOUSE EPITH | $27.84 | $58.00 | $27.84–$52.20 | — | 52% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPEC IGE MUSHROOM | $27.84 | $58.00 | $27.84–$52.20 | — | 52% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPEC IGE C ALBICANS | $27.84 | $58.00 | $27.84–$52.20 | — | 52% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPEC IGE BLUBERRY | $27.84 | $58.00 | $27.84–$52.20 | — | 52% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPEC IGE WATERMELON | $27.84 | $58.00 | $27.84–$52.20 | — | 52% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPEC IGE MELON HNYDW | $27.84 | $58.00 | $27.84–$52.20 | — | 52% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPEC IGE CRANBERRY | $27.84 | $58.00 | $27.84–$52.20 | — | 52% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ATOP DERM MICRO STAPH ENTERO A | $27.84 | $58.00 | $27.84–$52.20 | — | 52% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPEC IGE PEAR | $27.84 | $58.00 | $27.84–$52.20 | — | 52% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPEC IGE BUMBLE BEE | $27.84 | $58.00 | $27.84–$52.20 | — | 52% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ATOP DERM MICRO CANDIDA | $27.84 | $58.00 | $27.84–$52.20 | — | 52% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPEC IGE APRICOT | $27.84 | $58.00 | $27.84–$52.20 | — | 52% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 AMOXYCILLIN | $27.84 | $58.00 | $27.84–$52.20 | — | 52% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPEC IGE COTTON SEED | $27.84 | $58.00 | $27.84–$52.20 | — | 52% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPEC IGE CELERY | $27.84 | $58.00 | $27.84–$52.20 | — | 52% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPEC IGE PEACH | $27.84 | $58.00 | $27.84–$52.20 | — | 52% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPEC IGE ANNATTO SD | $27.84 | $58.00 | $27.84–$52.20 | — | 52% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPEC IGE PUMPKIN | $27.84 | $58.00 | $27.84–$52.20 | — | 52% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPEC IGE RZPS NGRCNS | $27.84 | $58.00 | $27.84–$52.20 | — | 52% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPEC IGE COCKATIEL FH | $27.84 | $58.00 | $27.84–$52.20 | — | 52% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPEC IGE PARRT AUS FR | $27.84 | $58.00 | $27.84–$52.20 | — | 52% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPEC IGE SWORDFISH | $27.84 | $58.00 | $27.84–$52.20 | — | 52% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPEC IGE ANCHOVY | $27.84 | $58.00 | $27.84–$52.20 | — | 52% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ATOP DERM MICRO MALASSEZIA | $27.84 | $58.00 | $27.84–$52.20 | — | 52% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE REF | $27.84 | $58.00 | $27.84–$52.20 | — | 52% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPEC IGE PAPER WASP | $27.84 | $58.00 | $27.84–$52.20 | — | 52% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPEC IGE BUCKWHEAT | $27.84 | $58.00 | $27.84–$52.20 | — | 52% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPEC IGE YELW HORNET | $27.84 | $58.00 | $27.84–$52.20 | — | 52% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPEC IGE VANILLA | $27.84 | $58.00 | $27.84–$52.20 | — | 52% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPEC IGE ORANGE RGHY | $27.84 | $58.00 | $27.84–$52.20 | — | 52% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPEC IGE WHITEFISH | $27.84 | $58.00 | $27.84–$52.20 | — | 52% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPEC IGE CINNAMON | $27.84 | $58.00 | $27.84–$52.20 | — | 52% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPEC IGE LAMB | $27.84 | $58.00 | $27.84–$52.20 | — | 52% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPEC IGE BEAN PINTO | $27.84 | $58.00 | $27.84–$52.20 | — | 52% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPEC IGE TROUT | $27.84 | $58.00 | $27.84–$52.20 | — | 52% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPEC IGE PLUM | $27.84 | $58.00 | $27.84–$52.20 | — | 52% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPEC IGE MOSQUITO | $27.84 | $58.00 | $27.84–$52.20 | — | 52% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPEC IGE BEAN NAVY | $27.84 | $58.00 | $27.84–$52.20 | — | 52% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPEC IGE POPPY SEED | $27.84 | $58.00 | $27.84–$52.20 | — | 52% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPEC IGE RASBERRY | $27.84 | $58.00 | $27.84–$52.20 | — | 52% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPEC IGE ONION | $27.84 | $58.00 | $27.84–$52.20 | — | 52% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPEC IGE STACHYBOTRYS | $27.84 | $58.00 | $27.84–$52.20 | — | 52% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPEC IGE HORSE HAIR | $27.84 | $58.00 | $27.84–$52.20 | — | 52% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 GRAPEFRUIT IGE | $27.84 | $58.00 | $27.84–$52.20 | — | 52% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPEC IGE HORSE DNDR | $27.84 | $58.00 | $27.84–$52.20 | — | 52% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPEC IGE SQUID | $27.84 | $58.00 | $27.84–$52.20 | — | 52% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPEC IGE HONEY BEE | $27.84 | $58.00 | $27.84–$52.20 | — | 52% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPEC IGE MUCOR RACMK | $27.84 | $58.00 | $27.84–$52.20 | — | 52% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPEC IGE HONEY | $27.84 | $58.00 | $27.84–$52.20 | — | 52% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPEC IGE BEAN KIDNEY | $27.84 | $58.00 | $27.84–$52.20 | — | 52% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPEC IGE PINON NUT | $27.84 | $58.00 | $27.84–$52.20 | — | 52% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPEC IGE MANGO | $27.84 | $58.00 | $27.84–$52.20 | — | 52% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPEC IGE BLACKBERRY | $27.84 | $58.00 | $27.84–$52.20 | — | 52% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPEC IGE SQUASH SUMR | $27.84 | $58.00 | $27.84–$52.20 | — | 52% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPEC IGE HAMSTER EPI | $27.84 | $58.00 | $27.84–$52.20 | — | 52% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPEC IGE POTATO SWEET | $27.84 | $58.00 | $27.84–$52.20 | — | 52% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPEC IGE HALIBUT | $27.84 | $58.00 | $27.84–$52.20 | — | 52% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPEC IGE SPINACH | $27.84 | $58.00 | $27.84–$52.20 | — | 52% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPEC IGE GUM XANTHAN | $27.84 | $58.00 | $27.84–$52.20 | — | 52% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPEC IGE CANTALOPE | $27.84 | $58.00 | $27.84–$52.20 | — | 52% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPEC IGE GUM GUAR | $27.84 | $58.00 | $27.84–$52.20 | — | 52% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPEC IGE RAT EPITH | $27.84 | $58.00 | $27.84–$52.20 | — | 52% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPEC IGE RABBIT MEAT | $27.84 | $58.00 | $27.84–$52.20 | — | 52% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPEC IGE GUM CARAGN | $27.84 | $58.00 | $27.84–$52.20 | — | 52% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPEC IGE MILK GOAT | $27.84 | $58.00 | $27.84–$52.20 | — | 52% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPEC IGE MOUSE SRM PR | $27.84 | $58.00 | $27.84–$52.20 | — | 52% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPEC IGE SNFLWER SD | $27.84 | $58.00 | $27.84–$52.20 | — | 52% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPEC IGE GRAPE | $27.84 | $58.00 | $27.84–$52.20 | — | 52% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPEC IGE MUSTARD | $27.84 | $58.00 | $27.84–$52.20 | — | 52% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPEC IGE GLUTEN | $27.84 | $58.00 | $27.84–$52.20 | — | 52% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPEC IGE SNAIL | $27.84 | $58.00 | $27.84–$52.20 | — | 52% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPEC IGE GINGER | $27.84 | $58.00 | $27.84–$52.20 | — | 52% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPEC IGE RABBIT EPITH | $27.84 | $58.00 | $27.84–$52.20 | — | 52% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPEC IGE GERBIL EPITH | $27.84 | $58.00 | $27.84–$52.20 | — | 52% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPEC IGE SMUT CORN | $27.84 | $58.00 | $27.84–$52.20 | — | 52% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPEC IGE GARLIC | $27.84 | $58.00 | $27.84–$52.20 | — | 52% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPEC IGE YELW JACKET | $27.84 | $58.00 | $27.84–$52.20 | — | 52% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPEC IGE THYME | $27.84 | $58.00 | $27.84–$52.20 | — | 52% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPEC IGE FLEA | $27.84 | $58.00 | $27.84–$52.20 | — | 52% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPEC IGE PERCH OCEAN | $27.84 | $58.00 | $27.84–$52.20 | — | 52% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPEC IGE FERRET EPITH | $27.84 | $58.00 | $27.84–$52.20 | — | 52% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPEC IGE BASS BLACK | $27.84 | $58.00 | $27.84–$52.20 | — | 52% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPEC IGE POMEGRANATE | $27.84 | $58.00 | $27.84–$52.20 | — | 52% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPEC IGE PEPR JALAPNO | $27.84 | $58.00 | $27.84–$52.20 | — | 52% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPEC IGE WF HORNET | $27.84 | $58.00 | $27.84–$52.20 | — | 52% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ATOP DERM MICRO STAPH ENTERO B | $27.84 | $58.00 | $27.84–$52.20 | — | 52% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPEC IGE LEMON | $27.84 | $58.00 | $27.84–$52.20 | — | 52% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPEC IGE RED DYE | $27.84 | $58.00 | $27.84–$52.20 | — | 52% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN INDIVIDUAL IGE | $27.84 | $58.00 | $27.84–$52.20 | — | 52% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPEC IGE PEPPER BLACK | $27.84 | $58.00 | $27.84–$52.20 | — | 52% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPEC IGE SWE VERN GRA | $28.80 | $60.00 | $28.80–$54.00 | — | 52% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPEC IGE CHINCHILLA | $29.28 | $61.00 | $29.28–$54.90 | — | 52% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 AMPICILLIN | $29.28 | $61.00 | $29.28–$54.90 | — | 52% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PENICILLOY/V | $29.28 | $61.00 | $29.28–$54.90 | — | 52% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PENICILLOY/G | $29.28 | $61.00 | $29.28–$54.90 | — | 52% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE REF 37 | $92.64 | $193.00 | $92.64–$173.70 | — | 52% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ATOP DERM AUTOIMUNE MNSOD | $290.40 | $605.00 | $290.40–$544.50 | — | 52% |
| Alpha-fetoprotein (AFP) blood test CPT 82105 ALPHA FETOPROTEIN SERUM MAIN | $94.56 | $197.00 | $14.96–$177.30 | 3% below | 52% |
| Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 ALPHA FETOPROTEIN SERUM MAIN | $94.56 | $197.00 | $94.56–$177.30 | — | 52% |
| Ammonia blood test CPT 82140 AMMONIA PLASMA MAIN | $82.08 | $171.00 | $13.00–$153.90 | 3% below | 52% |
| Ammonia blood test inpatient CPT 82140 AMMONIA PLASMA MAIN | $82.08 | $171.00 | $82.08–$153.90 | — | 52% |
| Amylase blood test CPT 82150 AMYLASE BODY FLUID MAIN | $36.48 | $76.00 | $5.83–$68.40 | 33% below | 52% |
| Amylase blood test CPT 82150 AMYLASE MAIN | $36.48 | $76.00 | $5.83–$68.40 | 33% below | 52% |
| Amylase blood test CPT 82150 PANC ENZ AMYLASE | $39.36 | $82.00 | $5.83–$73.80 | 28% below | 52% |
| Amylase blood test CPT 82150 AMYLASE PANCREATIC SERUM | $61.44 | $128.00 | $5.83–$115.20 | 12% above | 52% |
| Amylase blood test inpatient CPT 82150 AMYLASE MAIN | $36.48 | $76.00 | $36.48–$68.40 | — | 52% |
| Amylase blood test inpatient CPT 82150 AMYLASE BODY FLUID MAIN | $36.48 | $76.00 | $36.48–$68.40 | — | 52% |
| Amylase blood test inpatient CPT 82150 PANC ENZ AMYLASE | $39.36 | $82.00 | $39.36–$73.80 | — | 52% |
| Amylase blood test inpatient CPT 82150 AMYLASE PANCREATIC SERUM | $61.44 | $128.00 | $61.44–$115.20 | — | 52% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CYCLIC CITRULLINATED PEPTIDE A | $42.24 | $88.00 | $11.66–$79.20 | 55% below | 52% |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CYCLIC CITRULLINATED PEPTIDE A | $42.24 | $88.00 | $42.24–$79.20 | — | 52% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA ANTINUCLEAR ANTIBODIES | $70.08 | $146.00 | $10.88–$131.40 | 3% above | 52% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA BY IFA | $70.08 | $146.00 | $10.88–$131.40 | 3% above | 52% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA BY IFA | $70.08 | $146.00 | $70.08–$131.40 | — | 52% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA ANTINUCLEAR ANTIBODIES | $70.08 | $146.00 | $70.08–$131.40 | — | 52% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 NATRIURETIC PEPTIDE NT-PRO | $166.08 | $346.00 | $35.04–$311.40 | 28% above | 52% |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 NATRIURETIC PEPTIDE NT-PRO | $166.08 | $346.00 | $166.08–$311.40 | — | 52% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULTURE BACTERIAL KU | $37.44 | $78.00 | $7.72–$70.20 | 33% below | 52% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE/BACT CSF | $49.92 | $104.00 | $7.72–$93.60 | 11% below | 52% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE/BACT UROGENITAL | $49.92 | $104.00 | $7.72–$93.60 | 11% below | 52% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE/BACT BODY FLUID | $49.92 | $104.00 | $7.72–$93.60 | 11% below | 52% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE/BACT CATHETER TIP | $49.92 | $104.00 | $7.72–$93.60 | 11% below | 52% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE/BACT RESPIRATORY | $49.92 | $104.00 | $7.72–$93.60 | 11% below | 52% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE AEROBIC | $49.92 | $104.00 | $7.72–$93.60 | 11% below | 52% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC HPC PROC MICRO KU | $295.68 | $616.00 | $7.72–$554.40 | 430% above | 52% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC CULTURE BACTERIAL KU | $37.44 | $78.00 | $37.44–$70.20 | — | 52% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE/BACT UROGENITAL | $49.92 | $104.00 | $49.92–$93.60 | — | 52% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE/BACT CATHETER TIP | $49.92 | $104.00 | $49.92–$93.60 | — | 52% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE/BACT CSF | $49.92 | $104.00 | $49.92–$93.60 | — | 52% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE/BACT RESPIRATORY | $49.92 | $104.00 | $49.92–$93.60 | — | 52% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE AEROBIC | $49.92 | $104.00 | $49.92–$93.60 | — | 52% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE/BACT BODY FLUID | $49.92 | $104.00 | $49.92–$93.60 | — | 52% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC HPC PROC MICRO KU | $295.68 | $616.00 | $295.68–$554.40 | — | 52% |
| Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL MAIN | $47.52 | $99.00 | $7.61–$89.10 | 32% below | 52% |
| Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC VITREOUS | $47.52 | $99.00 | $7.61–$89.10 | 32% below | 52% |
| Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METABOLIC PANEL MAIN | $47.52 | $99.00 | $47.52–$89.10 | — | 52% |
| Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METABOLIC VITREOUS | $47.52 | $99.00 | $47.52–$89.10 | — | 52% |
| Bilirubin blood test, total CPT 82247 Bilirubin-Body Fluid | $28.32 | $59.00 | $4.52–$53.10 | 22% below | 52% |
| Bilirubin blood test, total CPT 82247 BILIRUBIN TOTAL | $28.32 | $59.00 | $4.52–$53.10 | 22% below | 52% |
| Bilirubin blood test, total inpatient CPT 82247 Bilirubin-Body Fluid | $28.32 | $59.00 | $28.32–$53.10 | — | 52% |
| Bilirubin blood test, total inpatient CPT 82247 BILIRUBIN TOTAL | $28.32 | $59.00 | $28.32–$53.10 | — | 52% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 SURG LEVEL IV | $152.64 | $318.00 | $31.88–$286.20 | 30% below | 52% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 SURG LEVEL IV | $152.64 | $318.00 | $152.64–$286.20 | — | 52% |
| Blood culture for bacteria CPT 87040 CULTURE/BACT BLOOD | $60.00 | $125.00 | $9.29–$112.50 | 23% below | 52% |
| Blood culture for bacteria inpatient CPT 87040 CULTURE/BACT BLOOD | $60.00 | $125.00 | $60.00–$112.50 | — | 52% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 COLLECTION VENOUS BLOOD VENIPUNCTURE | $11.52 | $24.00 | $9.84–$21.60 | 36% below | 52% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 BLOOD DRAW TX RM VAC | $11.52 | $24.00 | $9.84–$21.60 | 36% below | 52% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 COLLECTION VENOUS BLOOD VENIPUNCTURE VASC | $11.52 | $24.00 | $9.84–$21.60 | 36% below | 52% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 COLLECTION VENOUS BLOOD VENIPUNCTURE | $11.52 | $24.00 | $11.52–$21.60 | — | 52% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 BLOOD DRAW TX RM VAC | $11.52 | $24.00 | $11.52–$21.60 | — | 52% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 COLLECTION VENOUS BLOOD VENIPUNCTURE VASC | $11.52 | $24.00 | $11.52–$21.60 | — | 52% |
| Blood glucose (sugar) test CPT 82947 GLUCOSE WHOLE BLOOD | $22.08 | $46.00 | $3.54–$41.40 | 15% below | 52% |
| Blood glucose (sugar) test CPT 82947 GLUCOSE SERUM | $22.08 | $46.00 | $3.54–$41.40 | 15% below | 52% |
| Blood glucose (sugar) test CPT 82947 BASELINE GLUCOSE | $22.08 | $46.00 | $3.54–$41.40 | 15% below | 52% |
| Blood glucose (sugar) test inpatient CPT 82947 BASELINE GLUCOSE | $22.08 | $46.00 | $22.08–$41.40 | — | 52% |
| Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE SERUM | $22.08 | $46.00 | $22.08–$41.40 | — | 52% |
| Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE WHOLE BLOOD | $22.08 | $46.00 | $22.08–$41.40 | — | 52% |
| Blood lead test CPT 83655 LEAD URINE | $28.80 | $60.00 | $10.90–$54.00 | 45% below | 52% |
| Blood lead test CPT 83655 LEAD REF LAB BLOOD | $29.76 | $62.00 | $10.90–$55.80 | 43% below | 52% |
| Blood lead test CPT 83655 REF MOD LEAD BCE | $57.12 | $119.00 | $10.90–$107.10 | 10% above | 52% |
| Blood lead test CPT 83655 LEAD LEVEL | $70.08 | $146.00 | $10.90–$131.40 | 34% above | 52% |
| Blood lead test inpatient CPT 83655 LEAD URINE | $28.80 | $60.00 | $28.80–$54.00 | — | 52% |
| Blood lead test inpatient CPT 83655 LEAD REF LAB BLOOD | $29.76 | $62.00 | $29.76–$55.80 | — | 52% |
| Blood lead test inpatient CPT 83655 REF MOD LEAD BCE | $57.12 | $119.00 | $57.12–$107.10 | — | 52% |
| Blood lead test inpatient CPT 83655 LEAD LEVEL | $70.08 | $146.00 | $70.08–$131.40 | — | 52% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HCG SERUM QUAL CMH | $42.24 | $88.00 | $6.77–$79.20 | 27% below | 52% |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HCG SERUM QUAL CMH | $42.24 | $88.00 | $42.24–$79.20 | — | 52% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 TRANSPLANT ABO TYPING | $73.92 | $154.00 | $3.14–$317.11 | 23% below | 52% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BLOOD TYPE-ABO SECOND | $78.24 | $163.00 | $3.14–$317.11 | 19% below | 52% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BLOOD TYPE-ABO | $78.24 | $163.00 | $3.14–$317.11 | 19% below | 52% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ISOHEMAGGLUTININ | $78.72 | $164.00 | $3.14–$317.11 | 18% below | 52% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HC ABO GROUP KU | $102.24 | $213.00 | $3.14–$317.11 | 6% above | 52% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HC ABP GROUP KU | $103.20 | $215.00 | $3.14–$317.11 | 7% above | 52% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 TRANSPLANT ABO TYPING | $73.92 | $154.00 | $73.92–$138.60 | — | 52% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 BLOOD TYPE-ABO SECOND | $78.24 | $163.00 | $78.24–$146.70 | — | 52% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 BLOOD TYPE-ABO | $78.24 | $163.00 | $78.24–$146.70 | — | 52% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 ISOHEMAGGLUTININ | $78.72 | $164.00 | $78.72–$147.60 | — | 52% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HC ABO GROUP KU | $102.24 | $213.00 | $102.24–$191.70 | — | 52% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HC ABP GROUP KU | $103.20 | $215.00 | $103.20–$193.50 | — | 52% |
| Blood urea nitrogen (BUN) test CPT 84520 BUN SERUM OR PLASMA CMH | $22.08 | $46.00 | $3.56–$41.40 | 24% below | 52% |
| Blood urea nitrogen (BUN) test CPT 84520 UREA NITROGEN BODY FLUID CMH | $22.08 | $46.00 | $3.56–$41.40 | 24% below | 52% |
| Blood urea nitrogen (BUN) test inpatient CPT 84520 BUN SERUM OR PLASMA CMH | $22.08 | $46.00 | $22.08–$41.40 | — | 52% |
| Blood urea nitrogen (BUN) test inpatient CPT 84520 UREA NITROGEN BODY FLUID CMH | $22.08 | $46.00 | $22.08–$41.40 | — | 52% |
| C-peptide blood test CPT 84681 C PEPTIDE MAIN | $88.32 | $184.00 | $18.57–$165.60 | 16% below | 52% |
| C-peptide blood test inpatient CPT 84681 C PEPTIDE MAIN | $88.32 | $184.00 | $88.32–$165.60 | — | 52% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C REACTIVE PROTEIN MAIN | $29.28 | $61.00 | $4.66–$54.90 | 39% below | 52% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 REF LAB CRP | $72.96 | $152.00 | $4.66–$136.80 | 52% above | 52% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C REACTIVE PROTEIN MAIN | $29.28 | $61.00 | $29.28–$54.90 | — | 52% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 REF LAB CRP | $72.96 | $152.00 | $72.96–$136.80 | — | 52% |
| C. difficile toxin gene test (stool PCR) CPT 87493 C DIFF TOXIN AMP PROBE | $187.68 | $391.00 | $33.54–$351.90 | 68% above | 52% |
| C. difficile toxin gene test (stool PCR) inpatient CPT 87493 C DIFF TOXIN AMP PROBE | $187.68 | $391.00 | $187.68–$351.90 | — | 52% |
| CA 19-9 blood test (tumor marker) CPT 86301 CA 19-9 CARBOHYD ANTIGEN 19-9 | $43.20 | $90.00 | $18.73–$81.00 | 57% below | 52% |
| CA 19-9 blood test (tumor marker) inpatient CPT 86301 CA 19-9 CARBOHYD ANTIGEN 19-9 | $43.20 | $90.00 | $43.20–$81.00 | — | 52% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 CA 125 | $49.44 | $103.00 | $18.73–$92.70 | 47% below | 52% |
| CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 CA 125 | $49.44 | $103.00 | $49.44–$92.70 | — | 52% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID 19 RAPID | $154.56 | $322.00 | $45.79–$289.80 | 14% above | 52% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID-19 PANTHER | $154.56 | $322.00 | $45.79–$289.80 | 14% above | 52% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID-19 87635 | $154.56 | $322.00 | $45.79–$289.80 | 14% above | 52% |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 COVID-19 87635 | $154.56 | $322.00 | $154.56–$289.80 | — | 52% |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 COVID-19 PANTHER | $154.56 | $322.00 | $154.56–$289.80 | — | 52% |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 COVID 19 RAPID | $154.56 | $322.00 | $154.56–$289.80 | — | 52% |
| Calcium blood test, total CPT 82310 Calcium-Body Fluid | $29.28 | $61.00 | $4.64–$54.90 | 12% below | 52% |
| Calcium blood test, total CPT 82310 CALCIUM URINE RANDOM | $29.28 | $61.00 | $4.64–$54.90 | 12% below | 52% |
| Calcium blood test, total CPT 82310 CALCIUM SERUM CMH | $29.28 | $61.00 | $4.64–$54.90 | 12% below | 52% |
| Calcium blood test, total inpatient CPT 82310 CALCIUM URINE RANDOM | $29.28 | $61.00 | $29.28–$54.90 | — | 52% |
| Calcium blood test, total inpatient CPT 82310 CALCIUM SERUM CMH | $29.28 | $61.00 | $29.28–$54.90 | — | 52% |
| Calcium blood test, total inpatient CPT 82310 Calcium-Body Fluid | $29.28 | $61.00 | $29.28–$54.90 | — | 52% |
| Carcinoembryonic antigen (CEA) test CPT 82378 CARCINOEMBRYONIC AG CEA SERUM | $41.76 | $87.00 | $17.06–$78.30 | 62% below | 52% |
| Carcinoembryonic antigen (CEA) test inpatient CPT 82378 CARCINOEMBRYONIC AG CEA SERUM | $41.76 | $87.00 | $41.76–$78.30 | — | 52% |
| Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA IGM CONFIRM | $49.44 | $103.00 | $11.50–$92.70 | 46% below | 52% |
| Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA - ANTIBODY IGM | $74.88 | $156.00 | $11.50–$140.40 | 18% below | 52% |
| Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA IGG | $74.88 | $156.00 | $11.50–$140.40 | 18% below | 52% |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 VARICELLA IGM CONFIRM | $49.44 | $103.00 | $49.44–$92.70 | — | 52% |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 VARICELLA - ANTIBODY IGM | $74.88 | $156.00 | $74.88–$140.40 | — | 52% |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 VARICELLA IGG | $74.88 | $156.00 | $74.88–$140.40 | — | 52% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA TRACHOMATIS PCR | $176.64 | $368.00 | $31.58–$331.20 | 58% above | 52% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA TRACHOMATIS PCR | $176.64 | $368.00 | $176.64–$331.20 | — | 52% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PROFILE MAIN | $75.36 | $157.00 | $12.05–$141.30 | 14% below | 52% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PROFILE MAIN | $75.36 | $157.00 | $75.36–$141.30 | — | 52% |
| Complete blood count (CBC) with differential CPT 85025 CBC W/AUTO DIF HEMA | $43.68 | $91.00 | $6.93–$81.90 | 8% above | 52% |
| Complete blood count (CBC) with differential inpatient CPT 85025 CBC W/AUTO DIF HEMA | $43.68 | $91.00 | $43.68–$81.90 | — | 52% |
| Complete blood count (CBC), no differential CPT 85027 CBC HEMA | $36.48 | $76.00 | $5.82–$68.40 | 15% below | 52% |
| Complete blood count (CBC), no differential inpatient CPT 85027 CBC HEMA | $36.48 | $76.00 | $36.48–$68.40 | — | 52% |
| Comprehensive metabolic panel (blood test) CPT 80053 COMP METABOLIC PANEL CMH | $59.52 | $124.00 | $9.50–$111.60 | 38% below | 52% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMP METABOLIC PANEL CMH | $59.52 | $124.00 | $59.52–$111.60 | — | 52% |
| Cortisol blood test, total CPT 82533 CORTISOL MAIN | $92.16 | $192.00 | $14.67–$172.80 | 6% below | 52% |
| Cortisol blood test, total CPT 82533 CORTISOL-59 MAIN | $92.16 | $192.00 | $14.67–$172.80 | 6% below | 52% |
| Cortisol blood test, total CPT 82533 CORTISOL SALIVA.1 | $98.88 | $206.00 | $14.67–$185.40 | at median | 52% |
| Cortisol blood test, total inpatient CPT 82533 CORTISOL MAIN | $92.16 | $192.00 | $92.16–$172.80 | — | 52% |
| Cortisol blood test, total inpatient CPT 82533 CORTISOL-59 MAIN | $92.16 | $192.00 | $92.16–$172.80 | — | 52% |
| Cortisol blood test, total inpatient CPT 82533 CORTISOL SALIVA.1 | $98.88 | $206.00 | $98.88–$185.40 | — | 52% |
| Creatine kinase (CK) blood test, total CPT 82550 CPK (CREATINE PHOSPHOKINASE) MAIN | $20.64 | $43.00 | $5.86–$38.70 | 55% below | 52% |
| Creatine kinase (CK) blood test, total CPT 82550 CPK (CREATINE PHOSPHOKINASE) .1 | $36.96 | $77.00 | $5.86–$69.30 | 20% below | 52% |
| Creatine kinase (CK) blood test, total inpatient CPT 82550 CPK (CREATINE PHOSPHOKINASE) MAIN | $20.64 | $43.00 | $20.64–$38.70 | — | 52% |
| Creatine kinase (CK) blood test, total inpatient CPT 82550 CPK (CREATINE PHOSPHOKINASE) .1 | $36.96 | $77.00 | $36.96–$69.30 | — | 52% |
| Creatinine blood test CPT 82565 CREATININE BLOOD CMH | $28.80 | $60.00 | $4.61–$54.00 | 13% below | 52% |
| Creatinine blood test inpatient CPT 82565 CREATININE BLOOD CMH | $28.80 | $60.00 | $28.80–$54.00 | — | 52% |
| Cytomegalovirus (CMV) antibody test CPT 86644 CMV NEG UNITS BCE | $44.16 | $92.00 | $12.84–$82.80 | 59% below | 52% |
| Cytomegalovirus (CMV) antibody test CPT 86644 INF MARKERS CMV AB | $54.24 | $113.00 | $12.84–$101.70 | 50% below | 52% |
| Cytomegalovirus (CMV) antibody test CPT 86644 CMV IGG AB | $81.12 | $169.00 | $12.84–$152.10 | 26% below | 52% |
| Cytomegalovirus (CMV) antibody test inpatient CPT 86644 CMV NEG UNITS BCE | $44.16 | $92.00 | $44.16–$82.80 | — | 52% |
| Cytomegalovirus (CMV) antibody test inpatient CPT 86644 INF MARKERS CMV AB | $54.24 | $113.00 | $54.24–$101.70 | — | 52% |
| Cytomegalovirus (CMV) antibody test inpatient CPT 86644 CMV IGG AB | $81.12 | $169.00 | $81.12–$152.10 | — | 52% |
| D-dimer blood test (blood clot marker) CPT 85379 D DIMER | $57.60 | $120.00 | $9.16–$108.00 | 49% below | 52% |
| D-dimer blood test (blood clot marker) inpatient CPT 85379 D DIMER | $57.60 | $120.00 | $57.60–$108.00 | — | 52% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA SULFATE MAIN | $94.08 | $196.00 | $20.01–$176.40 | 27% below | 52% |
| DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DHEA SULFATE MAIN | $94.08 | $196.00 | $94.08–$176.40 | — | 52% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN 9.1 | $219.36 | $457.00 | $55.93–$411.30 | 50% above | 52% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN SINGLE | $256.80 | $535.00 | $55.93–$481.50 | 76% above | 52% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN GT 150 UR | $256.80 | $535.00 | $55.93–$481.50 | 76% above | 52% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN AUTOPSY TISSUE | $256.80 | $535.00 | $55.93–$481.50 | 76% above | 52% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN 9 | $256.80 | $535.00 | $55.93–$481.50 | 76% above | 52% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 DRG SCREEN MECONIUM | $256.80 | $535.00 | $55.93–$481.50 | 76% above | 52% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 SUBSTANCE ID | $256.80 | $535.00 | $55.93–$481.50 | 76% above | 52% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN GASTRIC | $256.80 | $535.00 | $55.93–$481.50 | 76% above | 52% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN AUTOPSY | $256.80 | $535.00 | $55.93–$481.50 | 76% above | 52% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN 5 | $256.80 | $535.00 | $55.93–$481.50 | 76% above | 52% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 VOLATILES QUAL.1 | $256.80 | $535.00 | $55.93–$481.50 | 76% above | 52% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN BASIC RESEARCH.1 | $256.80 | $535.00 | $55.93–$481.50 | 76% above | 52% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN 12 | $256.80 | $535.00 | $55.93–$481.50 | 76% above | 52% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG SCREEN 9.1 | $219.36 | $457.00 | $219.36–$411.30 | — | 52% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG SCREEN 5 | $256.80 | $535.00 | $256.80–$481.50 | — | 52% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG SCREEN 9 | $256.80 | $535.00 | $256.80–$481.50 | — | 52% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG SCREEN AUTOPSY | $256.80 | $535.00 | $256.80–$481.50 | — | 52% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG SCREEN AUTOPSY TISSUE | $256.80 | $535.00 | $256.80–$481.50 | — | 52% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG SCREEN BASIC RESEARCH.1 | $256.80 | $535.00 | $256.80–$481.50 | — | 52% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG SCREEN 12 | $256.80 | $535.00 | $256.80–$481.50 | — | 52% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG SCREEN GASTRIC | $256.80 | $535.00 | $256.80–$481.50 | — | 52% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRG SCREEN MECONIUM | $256.80 | $535.00 | $256.80–$481.50 | — | 52% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG SCREEN GT 150 UR | $256.80 | $535.00 | $256.80–$481.50 | — | 52% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG SCREEN SINGLE | $256.80 | $535.00 | $256.80–$481.50 | — | 52% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 SUBSTANCE ID | $256.80 | $535.00 | $256.80–$481.50 | — | 52% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 VOLATILES QUAL.1 | $256.80 | $535.00 | $256.80–$481.50 | — | 52% |
| Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 ELECTROLYTES MAIN | $39.36 | $82.00 | $6.30–$73.80 | 29% below | 52% |
| Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 ELECTROLYTES MAIN | $39.36 | $82.00 | $39.36–$73.80 | — | 52% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 EPSTEIN BARR VIR VIRAL CAP VCA | $105.12 | $219.00 | $16.19–$197.10 | 5% above | 52% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 EPSTEIN BARR VIR VIRAL CAPSID | $105.12 | $219.00 | $16.19–$197.10 | 5% above | 52% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 EBV NUCLEAR OR CAPSID IGG, IGM, OR IGA | $152.16 | $317.00 | $16.19–$285.30 | 52% above | 52% |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 EPSTEIN BARR VIR VIRAL CAP VCA | $105.12 | $219.00 | $105.12–$197.10 | — | 52% |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 EPSTEIN BARR VIR VIRAL CAPSID | $105.12 | $219.00 | $105.12–$197.10 | — | 52% |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 EBV NUCLEAR OR CAPSID IGG, IGM, OR IGA | $152.16 | $317.00 | $152.16–$285.30 | — | 52% |
| Estradiol blood test CPT 82670 ESTRADIOL MAIN | $118.08 | $246.00 | $25.15–$221.40 | 30% below | 52% |
| Estradiol blood test CPT 82670 ESTRADIOL ADD'L MAIN | $118.08 | $246.00 | $25.15–$221.40 | 30% below | 52% |
| Estradiol blood test inpatient CPT 82670 ESTRADIOL MAIN | $118.08 | $246.00 | $118.08–$221.40 | — | 52% |
| Estradiol blood test inpatient CPT 82670 ESTRADIOL ADD'L MAIN | $118.08 | $246.00 | $118.08–$221.40 | — | 52% |
| FSH (follicle-stimulating hormone) test CPT 83001 FOLLICLE STIMULATING HORMONE 1 | $105.12 | $219.00 | $16.72–$197.10 | 9% below | 52% |
| FSH (follicle-stimulating hormone) test CPT 83001 FOLLICLE STIMULATING HORMONE 2 | $105.12 | $219.00 | $16.72–$197.10 | 9% below | 52% |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 FOLLICLE STIMULATING HORMONE 2 | $105.12 | $219.00 | $105.12–$197.10 | — | 52% |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 FOLLICLE STIMULATING HORMONE 1 | $105.12 | $219.00 | $105.12–$197.10 | — | 52% |
| Fecal calprotectin (stool inflammation test) CPT 83993 CALPROTECTIN FECAL | $196.80 | $410.00 | $17.67–$369.00 | 10% below | 52% |
| Fecal calprotectin (stool inflammation test) CPT 83993 REF LAB CALPROTECTIN | $196.80 | $410.00 | $17.67–$369.00 | 10% below | 52% |
| Fecal calprotectin (stool inflammation test) inpatient CPT 83993 CALPROTECTIN FECAL | $196.80 | $410.00 | $196.80–$369.00 | — | 52% |
| Fecal calprotectin (stool inflammation test) inpatient CPT 83993 REF LAB CALPROTECTIN | $196.80 | $410.00 | $196.80–$369.00 | — | 52% |
| Ferritin blood test (iron stores) CPT 82728 FERRITIN SERUM MAIN | $76.80 | $160.00 | $12.27–$144.00 | 10% below | 52% |
| Ferritin blood test (iron stores) inpatient CPT 82728 FERRITIN SERUM MAIN | $76.80 | $160.00 | $76.80–$144.00 | — | 52% |
| Fibrinogen blood test CPT 85384 FIBRINOGEN QUANTITAT | $54.72 | $114.00 | $8.75–$102.60 | 5% below | 52% |
| Fibrinogen blood test inpatient CPT 85384 FIBRINOGEN QUANTITAT | $54.72 | $114.00 | $54.72–$102.60 | — | 52% |
| Folate (folic acid) blood test CPT 82746 FOLIC ACID SERUM | $17.28 | $36.00 | $13.23–$40.35 | 82% below | 52% |
| Folate (folic acid) blood test CPT 82746 Folate | $24.48 | $51.00 | $13.23–$45.90 | 75% below | 52% |
| Folate (folic acid) blood test CPT 82746 Folate Level.1 | $36.00 | $75.00 | $13.23–$67.50 | 63% below | 52% |
| Folate (folic acid) blood test inpatient CPT 82746 FOLIC ACID SERUM | $17.28 | $36.00 | $17.28–$32.40 | — | 52% |
| Folate (folic acid) blood test inpatient CPT 82746 Folate | $24.48 | $51.00 | $24.48–$45.90 | — | 52% |
| Folate (folic acid) blood test inpatient CPT 82746 Folate Level.1 | $36.00 | $75.00 | $36.00–$67.50 | — | 52% |
| Free T3 thyroid hormone test CPT 84481 T3 FREE | $36.48 | $76.00 | $15.25–$68.40 | 72% below | 52% |
| Free T3 thyroid hormone test inpatient CPT 84481 T3 FREE | $36.48 | $76.00 | $36.48–$68.40 | — | 52% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 T4 FREE BY DIALYSIS | $31.68 | $66.00 | $8.12–$59.40 | 49% below | 52% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 FREE T4 MAIN | $50.88 | $106.00 | $8.12–$95.40 | 18% below | 52% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 T4 Free by Dialysis .1 | $63.84 | $133.00 | $8.12–$119.70 | 2% above | 52% |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 T4 FREE BY DIALYSIS | $31.68 | $66.00 | $31.68–$59.40 | — | 52% |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 FREE T4 MAIN | $50.88 | $106.00 | $50.88–$95.40 | — | 52% |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 T4 Free by Dialysis .1 | $63.84 | $133.00 | $63.84–$119.70 | — | 52% |
| Free testosterone test CPT 84402 TESTOSTERONE FREE | $25.44 | $53.00 | $21.73–$69.91 | 82% below | 52% |
| Free testosterone test inpatient CPT 84402 TESTOSTERONE FREE | $25.44 | $53.00 | $25.44–$47.70 | — | 52% |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 GGT MAIN | $40.80 | $85.00 | $6.48–$76.50 | 4% below | 52% |
| Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 GGT MAIN | $40.80 | $85.00 | $40.80–$76.50 | — | 52% |
| General health panel: metabolic panel, blood count and TSH in one order CPT 80050 GENERAL HEALTH PANEL | $147.84 | $308.00 | $126.28–$277.20 | 15% below | 52% |
| General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 GENERAL HEALTH PANEL | $147.84 | $308.00 | $147.84–$277.20 | — | 52% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE TOL 1 GLUCOSE | $26.88 | $56.00 | $4.28–$50.40 | 42% below | 52% |
| Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 GLUCOSE TOL 1 GLUCOSE | $26.88 | $56.00 | $26.88–$50.40 | — | 52% |
| Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOL 3 GLUCOSES | $72.48 | $151.00 | $11.58–$135.90 | 18% below | 52% |
| Glucose tolerance test, 3 samples inpatient CPT 82951 GLUCOSE TOL 3 GLUCOSES | $72.48 | $151.00 | $72.48–$135.90 | — | 52% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 GC BY PCR | $176.64 | $368.00 | $31.58–$331.20 | 71% above | 52% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 GC BY PCR | $176.64 | $368.00 | $176.64–$331.20 | — | 52% |
| H. pylori stool antigen test CPT 87338 Helicobacter Ag, Feces | $115.20 | $240.00 | $12.94–$216.00 | 3% above | 52% |
| H. pylori stool antigen test CPT 87338 H PYLORI STOOL | $115.20 | $240.00 | $12.94–$216.00 | 3% above | 52% |
| H. pylori stool antigen test inpatient CPT 87338 H PYLORI STOOL | $115.20 | $240.00 | $115.20–$216.00 | — | 52% |
| H. pylori stool antigen test inpatient CPT 87338 Helicobacter Ag, Feces | $115.20 | $240.00 | $115.20–$216.00 | — | 52% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV VIRAL LOAD | $189.12 | $394.00 | $76.59–$354.60 | 34% below | 52% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV QUANT | $209.76 | $437.00 | $76.59–$393.30 | 27% below | 52% |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV VIRAL LOAD | $189.12 | $394.00 | $189.12–$354.60 | — | 52% |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV QUANT | $209.76 | $437.00 | $209.76–$393.30 | — | 52% |
| HIV-1 and HIV-2 antibody test CPT 86703 INF MARKERS HIV I/II AB | $23.04 | $48.00 | $12.23–$43.20 | 72% below | 52% |
| HIV-1 and HIV-2 antibody test CPT 86703 HIV I & II ANTIBODY MAIN | $77.28 | $161.00 | $12.23–$144.90 | 7% below | 52% |
| HIV-1 and HIV-2 antibody test inpatient CPT 86703 INF MARKERS HIV I/II AB | $23.04 | $48.00 | $23.04–$43.20 | — | 52% |
| HIV-1 and HIV-2 antibody test inpatient CPT 86703 HIV I & II ANTIBODY MAIN | $77.28 | $161.00 | $77.28–$144.90 | — | 52% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV HIGH RISK PCR | $170.40 | $355.00 | $31.58–$319.50 | 31% above | 52% |
| HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HPV HIGH RISK PCR | $170.40 | $355.00 | $170.40–$319.50 | — | 52% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN A1C END | $54.72 | $114.00 | $8.74–$102.60 | 7% below | 52% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN A1C CMH | $54.72 | $114.00 | $8.74–$102.60 | 7% below | 52% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HEMOGLOBIN A1C END | $54.72 | $114.00 | $54.72–$102.60 | — | 52% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HEMOGLOBIN A1C CMH | $54.72 | $114.00 | $54.72–$102.60 | — | 52% |
| Hemoglobin blood test CPT 85018 HEMOGLOBIN HEMA | $13.44 | $28.00 | $2.11–$25.20 | 37% below | 52% |
| Hemoglobin blood test CPT 85018 HEMOGLOBIN CMK | $13.44 | $28.00 | $2.11–$25.20 | 37% below | 52% |
| Hemoglobin blood test inpatient CPT 85018 HEMOGLOBIN HEMA | $13.44 | $28.00 | $13.44–$25.20 | — | 52% |
| Hemoglobin blood test inpatient CPT 85018 HEMOGLOBIN CMK | $13.44 | $28.00 | $13.44–$25.20 | — | 52% |
| Hepatitis B core antibody test (total) CPT 86704 INF MARKERS HEP Bc Ab | $23.04 | $48.00 | $10.85–$43.20 | 66% below | 52% |
| Hepatitis B core antibody test (total) CPT 86704 HEPATITIS B CORE ANTIBODY MAIN | $68.16 | $142.00 | $10.85–$127.80 | at median | 52% |
| Hepatitis B core antibody test (total) inpatient CPT 86704 INF MARKERS HEP Bc Ab | $23.04 | $48.00 | $23.04–$43.20 | — | 52% |
| Hepatitis B core antibody test (total) inpatient CPT 86704 HEPATITIS B CORE ANTIBODY MAIN | $68.16 | $142.00 | $68.16–$127.80 | — | 52% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEPATITIS B SURFACE ANTIBODY | $60.48 | $126.00 | $9.67–$113.40 | 22% below | 52% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEPATITIS B SURFACE ANTIBODY | $60.48 | $126.00 | $60.48–$113.40 | — | 52% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 INF MARKERS HEP Bs Ag | $23.04 | $48.00 | $9.30–$43.20 | 61% below | 52% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B SURFACE ANTIGEN MAIN | $58.08 | $121.00 | $9.30–$108.90 | 2% below | 52% |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 INF MARKERS HEP Bs Ag | $23.04 | $48.00 | $23.04–$43.20 | — | 52% |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEPATITIS B SURFACE ANTIGEN MAIN | $58.08 | $121.00 | $58.08–$108.90 | — | 52% |
| Hepatitis C antibody blood test (screening) CPT 86803 INF MARKERS HEP C Ab | $23.04 | $48.00 | $12.84–$43.20 | 70% below | 52% |
| Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C ANTIBODY MAIN | $80.64 | $168.00 | $12.84–$151.20 | 6% above | 52% |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 INF MARKERS HEP C Ab | $23.04 | $48.00 | $23.04–$43.20 | — | 52% |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C ANTIBODY MAIN | $80.64 | $168.00 | $80.64–$151.20 | — | 52% |
| Hepatitis C viral load (HCV RNA) test one side CPT 87522 Hepatitis C RNA Detection and Quantification by RT-PCR | $216.48 | $451.00 | $38.23–$405.90 | 17% below | 52% |
| Hepatitis C viral load (HCV RNA) test inpatient one side CPT 87522 Hepatitis C RNA Detection and Quantification by RT-PCR | $216.48 | $451.00 | $216.48–$405.90 | — | 52% |
| Herpes blood test, HSV-1 antibody CPT 86695 HSV Type 1 IgG | $24.00 | $50.00 | $11.77–$45.00 | 75% below | 52% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HSV Type 1 IgG | $24.00 | $50.00 | $24.00–$45.00 | — | 52% |
| Herpes blood test, HSV-2 antibody CPT 86696 HSV Type 2 IgG | $25.44 | $53.00 | $17.42–$53.13 | 72% below | 52% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HSV Type 2 IgG | $25.44 | $53.00 | $25.44–$47.70 | — | 52% |
| Homocysteine blood test CPT 83090 HOMOCYSTEINE MAIN | $101.28 | $211.00 | $16.13–$189.90 | 55% below | 52% |
| Homocysteine blood test CPT 83090 URINE HOMOCYSTEINE | $103.68 | $216.00 | $16.13–$194.40 | 54% below | 52% |
| Homocysteine blood test inpatient CPT 83090 HOMOCYSTEINE MAIN | $101.28 | $211.00 | $101.28–$189.90 | — | 52% |
| Homocysteine blood test inpatient CPT 83090 URINE HOMOCYSTEINE | $103.68 | $216.00 | $103.68–$194.40 | — | 52% |
| Insulin blood test CPT 83525 INSULIN-59 MAIN | $64.32 | $134.00 | $10.29–$120.60 | 21% below | 52% |
| Insulin blood test CPT 83525 INSULIN | $64.32 | $134.00 | $10.29–$120.60 | 21% below | 52% |
| Insulin blood test inpatient CPT 83525 INSULIN-59 MAIN | $64.32 | $134.00 | $64.32–$120.60 | — | 52% |
| Insulin blood test inpatient CPT 83525 INSULIN | $64.32 | $134.00 | $64.32–$120.60 | — | 52% |
| Iron blood test (serum iron) CPT 83540 IRON SERUM MAIN | $36.48 | $76.00 | $5.78–$68.40 | 14% below | 52% |
| Iron blood test (serum iron) inpatient CPT 83540 IRON SERUM MAIN | $36.48 | $76.00 | $36.48–$68.40 | — | 52% |
| Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING CAPACITY (TIBC) MAIN | $49.44 | $103.00 | $7.87–$92.70 | 23% below | 52% |
| Iron-binding capacity (TIBC) test inpatient CPT 83550 IRON BINDING CAPACITY (TIBC) MAIN | $49.44 | $103.00 | $49.44–$92.70 | — | 52% |
| Kidney function blood test panel CPT 80069 RENAL PROFILE | $48.96 | $102.00 | $7.81–$91.80 | 30% below | 52% |
| Kidney function blood test panel inpatient CPT 80069 RENAL PROFILE | $48.96 | $102.00 | $48.96–$91.80 | — | 52% |
| LH (luteinizing hormone) test CPT 83002 LUTEINIZING HORMONE MAIN | $104.64 | $218.00 | $16.67–$196.20 | 5% below | 52% |
| LH (luteinizing hormone) test CPT 83002 LUTEINIZING HORMONE-59 MAIN | $104.64 | $218.00 | $16.67–$196.20 | 5% below | 52% |
| LH (luteinizing hormone) test inpatient CPT 83002 LUTEINIZING HORMONE MAIN | $104.64 | $218.00 | $104.64–$196.20 | — | 52% |
| LH (luteinizing hormone) test inpatient CPT 83002 LUTEINIZING HORMONE-59 MAIN | $104.64 | $218.00 | $104.64–$196.20 | — | 52% |
| Lactate (lactic acid) blood test CPT 83605 LACTIC ACID MAIN | $65.28 | $136.00 | $10.41–$122.40 | 18% below | 52% |
| Lactate (lactic acid) blood test CPT 83605 D LACTATE | $119.52 | $249.00 | $10.41–$224.10 | 51% above | 52% |
| Lactate (lactic acid) blood test inpatient CPT 83605 LACTIC ACID MAIN | $65.28 | $136.00 | $65.28–$122.40 | — | 52% |
| Lactate (lactic acid) blood test inpatient CPT 83605 D LACTATE | $119.52 | $249.00 | $119.52–$224.10 | — | 52% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 LDH LACTIC DEHYDROGENASE MAIN | $28.80 | $60.00 | $5.44–$54.00 | 25% below | 52% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 LDH ISO LDH | $30.72 | $64.00 | $5.44–$57.60 | 20% below | 52% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 LDH CSF MAIN | $34.08 | $71.00 | $5.44–$63.90 | 11% below | 52% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 LDH BODY FLUID MAIN | $34.08 | $71.00 | $5.44–$63.90 | 11% below | 52% |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LDH LACTIC DEHYDROGENASE MAIN | $28.80 | $60.00 | $28.80–$54.00 | — | 52% |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LDH ISO LDH | $30.72 | $64.00 | $30.72–$57.60 | — | 52% |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LDH BODY FLUID MAIN | $34.08 | $71.00 | $34.08–$63.90 | — | 52% |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LDH CSF MAIN | $34.08 | $71.00 | $34.08–$63.90 | — | 52% |
| Lipase blood test (pancreas enzyme) CPT 83690 LIPASE MAIN | $38.88 | $81.00 | $6.20–$72.90 | 37% below | 52% |
| Lipase blood test (pancreas enzyme) CPT 83690 PANC ENZ LIPASE | $39.36 | $82.00 | $6.20–$73.80 | 37% below | 52% |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE MAIN | $38.88 | $81.00 | $38.88–$72.90 | — | 52% |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 PANC ENZ LIPASE | $39.36 | $82.00 | $39.36–$73.80 | — | 52% |
| Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL | $46.08 | $96.00 | $7.35–$86.40 | 40% below | 52% |
| Liver function blood test panel inpatient CPT 80076 HEPATIC FUNCTION PANEL | $46.08 | $96.00 | $46.08–$86.40 | — | 52% |
| Lyme disease antibody test CPT 86618 LYME DISEASE SEROLOGY | $44.64 | $93.00 | $15.20–$83.70 | 63% below | 52% |
| Lyme disease antibody test inpatient CPT 86618 LYME DISEASE SEROLOGY | $44.64 | $93.00 | $44.64–$83.70 | — | 52% |
| Magnesium blood test CPT 83735 MAGNESIUM URINE | $37.92 | $79.00 | $6.03–$71.10 | 27% below | 52% |
| Magnesium blood test CPT 83735 URINE SAT PANEL MAGNESIUM | $37.92 | $79.00 | $6.03–$71.10 | 27% below | 52% |
| Magnesium blood test CPT 83735 MAGNESIUM MAIN | $37.92 | $79.00 | $6.03–$71.10 | 27% below | 52% |
| Magnesium blood test inpatient CPT 83735 MAGNESIUM MAIN | $37.92 | $79.00 | $37.92–$71.10 | — | 52% |
| Magnesium blood test inpatient CPT 83735 URINE SAT PANEL MAGNESIUM | $37.92 | $79.00 | $37.92–$71.10 | — | 52% |
| Magnesium blood test inpatient CPT 83735 MAGNESIUM URINE | $37.92 | $79.00 | $37.92–$71.10 | — | 52% |
| Measles (rubeola) antibody test CPT 86765 MEASLES AB, IgM | $49.44 | $103.00 | $11.50–$92.70 | 50% below | 52% |
| Measles (rubeola) antibody test CPT 86765 MEASLES IGG | $74.88 | $156.00 | $11.50–$140.40 | 24% below | 52% |
| Measles (rubeola) antibody test inpatient CPT 86765 MEASLES AB, IgM | $49.44 | $103.00 | $49.44–$92.70 | — | 52% |
| Measles (rubeola) antibody test inpatient CPT 86765 MEASLES IGG | $74.88 | $156.00 | $74.88–$140.40 | — | 52% |
| Mono test (heterophile antibody, Monospot) CPT 86308 MONO TEST | $29.28 | $61.00 | $4.66–$54.90 | 34% below | 52% |
| Mono test (heterophile antibody, Monospot) inpatient CPT 86308 MONO TEST | $29.28 | $61.00 | $29.28–$54.90 | — | 52% |
| Mumps immunity blood test CPT 86735 MUMPS IGM | $56.64 | $118.00 | $11.64–$106.20 | 35% below | 52% |
| Mumps immunity blood test CPT 86735 MUMPS IGG | $75.84 | $158.00 | $11.64–$142.20 | 13% below | 52% |
| Mumps immunity blood test inpatient CPT 86735 MUMPS IGM | $56.64 | $118.00 | $56.64–$106.20 | — | 52% |
| Mumps immunity blood test inpatient CPT 86735 MUMPS IGG | $75.84 | $158.00 | $75.84–$142.20 | — | 52% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 Prostate Specific Antigen .1 | $49.44 | $103.00 | $16.55–$92.70 | 54% below | 52% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PROSTATE SPECIFIC ANTIGEN | $106.08 | $221.00 | $16.55–$198.90 | 1% below | 52% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 Prostate Specific Antigen .1 | $49.44 | $103.00 | $49.44–$92.70 | — | 52% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PROSTATE SPECIFIC ANTIGEN | $106.08 | $221.00 | $106.08–$198.90 | — | 52% |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 REFER CYTO GYN THIN PREP | $190.56 | $397.00 | $18.23–$357.30 | 118% above | 52% |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 TECH 88142 CYTOPATH PAP AUTO PREP | $265.92 | $554.00 | $18.23–$498.60 | 204% above | 52% |
| Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 REFER CYTO GYN THIN PREP | $190.56 | $397.00 | $190.56–$357.30 | — | 52% |
| Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 TECH 88142 CYTOPATH PAP AUTO PREP | $265.92 | $554.00 | $265.92–$498.60 | — | 52% |
| Parathyroid hormone (PTH) blood test CPT 83970 PTH (PARATHYROID HORMONE) MAIN | $174.72 | $364.00 | $36.84–$327.60 | 13% below | 52% |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 PTH (PARATHYROID HORMONE) MAIN | $174.72 | $364.00 | $174.72–$327.60 | — | 52% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 PTT PARTIAL THROMBOPLAST TIME | $34.08 | $71.00 | $5.41–$63.90 | 25% below | 52% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT PARTIAL THROMBOPLAST TIME | $34.08 | $71.00 | $34.08–$63.90 | — | 52% |
| Phosphorus (phosphate) blood test CPT 84100 PHOSPHOROUS BF MAIN | $26.88 | $56.00 | $4.27–$50.40 | 24% below | 52% |
| Phosphorus (phosphate) blood test CPT 84100 PHOSPHOROUS INORGANIC CMH | $26.88 | $56.00 | $4.27–$50.40 | 24% below | 52% |
| Phosphorus (phosphate) blood test inpatient CPT 84100 PHOSPHOROUS INORGANIC CMH | $26.88 | $56.00 | $26.88–$50.40 | — | 52% |
| Phosphorus (phosphate) blood test inpatient CPT 84100 PHOSPHOROUS BF MAIN | $26.88 | $56.00 | $26.88–$50.40 | — | 52% |
| Potassium blood test CPT 84132 WHOLE BLOOD K MAIN | $26.88 | $56.00 | $4.28–$50.40 | 16% below | 52% |
| Potassium blood test CPT 84132 POTASSIUM BLOOD CMH | $26.88 | $56.00 | $4.28–$50.40 | 16% below | 52% |
| Potassium blood test CPT 84132 POTASSIUM BLOOD CMK | $26.88 | $56.00 | $4.28–$50.40 | 16% below | 52% |
| Potassium blood test inpatient CPT 84132 POTASSIUM BLOOD CMK | $26.88 | $56.00 | $26.88–$50.40 | — | 52% |
| Potassium blood test inpatient CPT 84132 POTASSIUM BLOOD CMH | $26.88 | $56.00 | $26.88–$50.40 | — | 52% |
| Potassium blood test inpatient CPT 84132 WHOLE BLOOD K MAIN | $26.88 | $56.00 | $26.88–$50.40 | — | 52% |
| Progesterone blood test CPT 84144 PROGESTERONE MULTI CMH | $88.32 | $184.00 | $18.77–$165.60 | 20% below | 52% |
| Progesterone blood test CPT 84144 PROGESTERONE CMH | $88.32 | $184.00 | $18.77–$165.60 | 20% below | 52% |
| Progesterone blood test inpatient CPT 84144 PROGESTERONE CMH | $88.32 | $184.00 | $88.32–$165.60 | — | 52% |
| Progesterone blood test inpatient CPT 84144 PROGESTERONE MULTI CMH | $88.32 | $184.00 | $88.32–$165.60 | — | 52% |
| Prolactin blood test CPT 84146 PROLACTIN MAIN | $109.44 | $228.00 | $17.44–$205.20 | 14% below | 52% |
| Prolactin blood test inpatient CPT 84146 PROLACTIN MAIN | $109.44 | $228.00 | $109.44–$205.20 | — | 52% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTIME | $24.00 | $50.00 | $3.86–$45.00 | 24% below | 52% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTIME | $24.00 | $50.00 | $24.00–$45.00 | — | 52% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 DRUG SCREEN PSYCH EVAL | $71.04 | $148.00 | $11.34–$133.20 | 39% above | 52% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 ETHANOL QUAL.1 | $72.96 | $152.00 | $11.34–$136.80 | 43% above | 52% |
| Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 DRUG SCREEN PSYCH EVAL | $71.04 | $148.00 | $71.04–$133.20 | — | 52% |
| Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 ETHANOL QUAL.1 | $72.96 | $152.00 | $72.96–$136.80 | — | 52% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 RAPID ANTIGEN STREP TEST GROUP A | $96.00 | $200.00 | $14.75–$180.00 | 33% above | 52% |
| Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 RAPID ANTIGEN STREP TEST GROUP A | $96.00 | $200.00 | $96.00–$180.00 | — | 52% |
| Renin blood test CPT 84244 RENIN REF | $40.32 | $84.00 | $19.79–$75.60 | 69% below | 52% |
| Renin blood test inpatient CPT 84244 RENIN REF | $40.32 | $84.00 | $40.32–$75.60 | — | 52% |
| Rh blood typing CPT 86901 HC RH TYPING KU | $57.12 | $119.00 | $3.14–$107.10 | 10% below | 52% |
| Rh blood typing CPT 86901 BLOOD TYPE-RH | $66.72 | $139.00 | $3.14–$125.10 | 5% above | 52% |
| Rh blood typing CPT 86901 BLOOD TYPE-RH SECOND | $66.72 | $139.00 | $3.14–$125.10 | 5% above | 52% |
| Rh blood typing CPT 86901 TRANSPLANT RH TYPING | $73.92 | $154.00 | $3.14–$138.60 | 16% above | 52% |
| Rh blood typing inpatient CPT 86901 HC RH TYPING KU | $57.12 | $119.00 | $57.12–$107.10 | — | 52% |
| Rh blood typing inpatient CPT 86901 BLOOD TYPE-RH | $66.72 | $139.00 | $66.72–$125.10 | — | 52% |
| Rh blood typing inpatient CPT 86901 BLOOD TYPE-RH SECOND | $66.72 | $139.00 | $66.72–$125.10 | — | 52% |
| Rh blood typing inpatient CPT 86901 TRANSPLANT RH TYPING | $73.92 | $154.00 | $73.92–$138.60 | — | 52% |
| Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR QUANTITATIVE MAIN | $32.16 | $67.00 | $5.10–$60.30 | 34% below | 52% |
| Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR QANTITATIVE | $71.52 | $149.00 | $5.10–$134.10 | 46% above | 52% |
| Rheumatoid factor (RF) test inpatient CPT 86431 RHEUMATOID FACTOR QUANTITATIVE MAIN | $32.16 | $67.00 | $32.16–$60.30 | — | 52% |
| Rheumatoid factor (RF) test inpatient CPT 86431 RHEUMATOID FACTOR QANTITATIVE | $71.52 | $149.00 | $71.52–$134.10 | — | 52% |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA ANTIBODY | $83.52 | $174.00 | $12.84–$156.60 | 39% above | 52% |
| Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA ANTIBODY | $83.52 | $174.00 | $83.52–$156.60 | — | 52% |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 SEDIMENTATION RATE AUTOMATED | $15.36 | $32.00 | $2.43–$28.80 | 53% below | 52% |
| Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 SEDIMENTATION RATE AUTOMATED | $15.36 | $32.00 | $15.36–$28.80 | — | 52% |
| Sodium blood test CPT 84295 SODIUM WHOLE BLOOD CMH | $27.36 | $57.00 | $4.33–$51.30 | 7% below | 52% |
| Sodium blood test CPT 84295 SODIUM BLOOD CMH | $27.36 | $57.00 | $4.33–$51.30 | 7% below | 52% |
| Sodium blood test CPT 84295 SODIUM BLOOD CMK | $27.36 | $57.00 | $4.33–$51.30 | 7% below | 52% |
| Sodium blood test inpatient CPT 84295 SODIUM WHOLE BLOOD CMH | $27.36 | $57.00 | $27.36–$51.30 | — | 52% |
| Sodium blood test inpatient CPT 84295 SODIUM BLOOD CMK | $27.36 | $57.00 | $27.36–$51.30 | — | 52% |
| Sodium blood test inpatient CPT 84295 SODIUM BLOOD CMH | $27.36 | $57.00 | $27.36–$51.30 | — | 52% |
| Stool ova and parasites exam CPT 87177 CONCENTRATE OVA & PARASITES | $51.36 | $107.00 | $8.01–$96.30 | 10% below | 52% |
| Stool ova and parasites exam inpatient CPT 87177 CONCENTRATE OVA & PARASITES | $51.36 | $107.00 | $51.36–$96.30 | — | 52% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 INF MARKERS SYPHILIS | $23.04 | $48.00 | $11.92–$43.20 | 68% below | 52% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 TREPONEMA | $74.88 | $156.00 | $11.92–$140.40 | 4% above | 52% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 PRP CONFIRM BY TP AB | $101.28 | $211.00 | $11.92–$189.90 | 41% above | 52% |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 INF MARKERS SYPHILIS | $23.04 | $48.00 | $23.04–$43.20 | — | 52% |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 TREPONEMA | $74.88 | $156.00 | $74.88–$140.40 | — | 52% |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 PRP CONFIRM BY TP AB | $101.28 | $211.00 | $101.28–$189.90 | — | 52% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR | $24.96 | $52.00 | $3.84–$46.80 | 31% below | 52% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 CSF VDRL | $29.76 | $62.00 | $3.84–$55.80 | 17% below | 52% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 RPR | $24.96 | $52.00 | $24.96–$46.80 | — | 52% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 CSF VDRL | $29.76 | $62.00 | $29.76–$55.80 | — | 52% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 TB QUANTIFERON GOLD | $256.32 | $534.00 | $55.78–$480.60 | 38% above | 52% |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 TB QUANTIFERON GOLD | $256.32 | $534.00 | $256.32–$480.60 | — | 52% |
| Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE TOTAL REF LAB | $25.92 | $54.00 | $22.14–$70.85 | 82% below | 52% |
| Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE TOTAL | $109.44 | $228.00 | $23.23–$205.20 | 23% below | 52% |
| Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE-59 | $130.08 | $271.00 | $23.23–$243.90 | 8% below | 52% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE TOTAL REF LAB | $25.92 | $54.00 | $25.92–$48.60 | — | 52% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE TOTAL | $109.44 | $228.00 | $109.44–$205.20 | — | 52% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE-59 | $130.08 | $271.00 | $130.08–$243.90 | — | 52% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 LIVER KIDNEY MICRO ANTI TITER | $53.76 | $112.00 | $13.10–$100.80 | 31% below | 52% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 THYROID MICROSOMAL ANTIBODIES CHEM | $82.08 | $171.00 | $13.10–$153.90 | 5% above | 52% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 CU MICROSOMAL ABS | $121.92 | $254.00 | $13.10–$228.60 | 56% above | 52% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 LIVER KIDNEY MICRO ANTI TITER | $53.76 | $112.00 | $53.76–$100.80 | — | 52% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 THYROID MICROSOMAL ANTIBODIES CHEM | $82.08 | $171.00 | $82.08–$153.90 | — | 52% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 CU MICROSOMAL ABS | $121.92 | $254.00 | $121.92–$228.60 | — | 52% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 NBS TSH CMK.1 | $26.88 | $56.00 | $15.12–$50.40 | 69% below | 52% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 NEWB SCR MO TSH | $31.68 | $66.00 | $15.12–$59.40 | 63% below | 52% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH (THYROID STIMUL HORMONE) MAIN | $95.04 | $198.00 | $15.12–$178.20 | 11% above | 52% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 CU THYROGLOBULIN | $121.92 | $254.00 | $15.12–$228.60 | 42% above | 52% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 NBS TSH CMK.1 | $26.88 | $56.00 | $26.88–$50.40 | — | 52% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 NEWB SCR MO TSH | $31.68 | $66.00 | $31.68–$59.40 | — | 52% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH (THYROID STIMUL HORMONE) MAIN | $95.04 | $198.00 | $95.04–$178.20 | — | 52% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 CU THYROGLOBULIN | $121.92 | $254.00 | $121.92–$228.60 | — | 52% |
| Total IgE blood test CPT 82785 IGE TOTAL IMMUNOGLOBULIN | $95.52 | $199.00 | $14.69–$179.10 | 4% above | 52% |
| Total IgE blood test inpatient CPT 82785 IGE TOTAL IMMUNOGLOBULIN | $95.52 | $199.00 | $95.52–$179.10 | — | 52% |
| Total cholesterol blood test CPT 82465 CHOLESTEROL TOTAL MAIN | $24.48 | $51.00 | $3.92–$45.90 | 29% below | 52% |
| Total cholesterol blood test inpatient CPT 82465 CHOLESTEROL TOTAL MAIN | $24.48 | $51.00 | $24.48–$45.90 | — | 52% |
| Total thyroxine (T4) blood test CPT 84436 T4 (THYROXINE) MAIN | $38.88 | $81.00 | $6.18–$72.90 | 3% below | 52% |
| Total thyroxine (T4) blood test inpatient CPT 84436 T4 (THYROXINE) MAIN | $38.88 | $81.00 | $38.88–$72.90 | — | 52% |
| Total triiodothyronine (T3) blood test CPT 84480 TOTAL T3 MAIN | $80.16 | $167.00 | $12.76–$150.30 | 2% above | 52% |
| Total triiodothyronine (T3) blood test inpatient CPT 84480 TOTAL T3 MAIN | $80.16 | $167.00 | $80.16–$150.30 | — | 52% |
| Transferrin blood test CPT 84466 TRANSFERRIN.1 | $72.00 | $150.00 | $11.48–$135.00 | 30% below | 52% |
| Transferrin blood test inpatient CPT 84466 TRANSFERRIN.1 | $72.00 | $150.00 | $72.00–$135.00 | — | 52% |
| Trichomonas test (NAAT) CPT 87661 TRICHOMONAS PCR MICRO | $176.64 | $368.00 | $31.58–$331.20 | 30% above | 52% |
| Trichomonas test (NAAT) inpatient CPT 87661 TRICHOMONAS PCR MICRO | $176.64 | $368.00 | $176.64–$331.20 | — | 52% |
| Triglycerides blood test CPT 84478 TRIGLYCERIDES CMH | $32.64 | $68.00 | $5.17–$61.20 | 9% below | 52% |
| Triglycerides blood test CPT 84478 TRIGLYCERIDES BODY FLUID | $32.64 | $68.00 | $5.17–$61.20 | 9% below | 52% |
| Triglycerides blood test inpatient CPT 84478 TRIGLYCERIDES BODY FLUID | $32.64 | $68.00 | $32.64–$61.20 | — | 52% |
| Triglycerides blood test inpatient CPT 84478 TRIGLYCERIDES CMH | $32.64 | $68.00 | $32.64–$61.20 | — | 52% |
| Troponin test, quantitative CPT 84484 TROPONIN | $52.80 | $110.00 | $11.22–$99.00 | 54% below | 52% |
| Troponin test, quantitative inpatient CPT 84484 TROPONIN | $52.80 | $110.00 | $52.80–$99.00 | — | 52% |
| Uric acid blood test CPT 84550 URIC ACID MAIN | $25.44 | $53.00 | $4.07–$47.70 | 29% below | 52% |
| Uric acid blood test inpatient CPT 84550 URIC ACID MAIN | $25.44 | $53.00 | $25.44–$47.70 | — | 52% |
| Urinalysis with microscope exam, automated CPT 81001 URINALYSIS WITH MICROSCOPIC CMH | $17.76 | $37.00 | $2.85–$33.30 | 45% below | 52% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 URINALYSIS WITH MICROSCOPIC CMH | $17.76 | $37.00 | $17.76–$33.30 | — | 52% |
| Urinalysis without microscope exam, automated CPT 81003 URINALYSIS WITHOUT MICRO NEURO KID | $12.48 | $26.00 | $2.01–$23.40 | 43% below | 52% |
| Urinalysis without microscope exam, automated CPT 81003 URINALYSIS W/O MICROSCOPE TX RM EAT | $12.48 | $26.00 | $2.01–$23.40 | 43% below | 52% |
| Urinalysis without microscope exam, automated CPT 81003 Urine Glucose Nurse Recorded FHC | $12.48 | $26.00 | $2.01–$23.40 | 43% below | 52% |
| Urinalysis without microscope exam, automated CPT 81003 URINALYSIS W/O MICROSCOPIC | $12.48 | $26.00 | $2.01–$23.40 | 43% below | 52% |
| Urinalysis without microscope exam, automated CPT 81003 URINALYSIS WITHOUT MICRO | $12.48 | $26.00 | $2.01–$23.40 | 43% below | 52% |
| Urinalysis without microscope exam, automated CPT 81003 URINE SPECIFIC GRAVITY | $12.48 | $26.00 | $2.01–$23.40 | 43% below | 52% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 URINALYSIS W/O MICROSCOPE TX RM EAT | $12.48 | $26.00 | $12.48–$23.40 | — | 52% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 URINE SPECIFIC GRAVITY | $12.48 | $26.00 | $12.48–$23.40 | — | 52% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Urine Glucose Nurse Recorded FHC | $12.48 | $26.00 | $12.48–$23.40 | — | 52% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 URINALYSIS WITHOUT MICRO NEURO KID | $12.48 | $26.00 | $12.48–$23.40 | — | 52% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 URINALYSIS WITHOUT MICRO | $12.48 | $26.00 | $12.48–$23.40 | — | 52% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 URINALYSIS W/O MICROSCOPIC | $12.48 | $26.00 | $12.48–$23.40 | — | 52% |
| Urine culture for bacteria, with colony count CPT 87086 CULTURE/BACT URINE | $46.56 | $97.00 | $7.26–$87.30 | 12% below | 52% |
| Urine culture for bacteria, with colony count inpatient CPT 87086 CULTURE/BACT URINE | $46.56 | $97.00 | $46.56–$87.30 | — | 52% |
| Urine microalbumin (albumin) test CPT 82043 MICROALBUMIN URINE MAIN | $32.64 | $68.00 | $5.20–$61.20 | 29% below | 52% |
| Urine microalbumin (albumin) test CPT 82043 REF MOD MICROALBUMIN UR BCE | $54.72 | $114.00 | $5.20–$102.60 | 19% above | 52% |
| Urine microalbumin (albumin) test inpatient CPT 82043 MICROALBUMIN URINE MAIN | $32.64 | $68.00 | $32.64–$61.20 | — | 52% |
| Urine microalbumin (albumin) test inpatient CPT 82043 REF MOD MICROALBUMIN UR BCE | $54.72 | $114.00 | $54.72–$102.60 | — | 52% |
| Urine pregnancy test, read by color change CPT 81025 URINE PREGNANCY TEST TX RM SED | $48.48 | $101.00 | $7.75–$90.90 | 7% above | 52% |
| Urine pregnancy test, read by color change CPT 81025 UCG URINE | $48.48 | $101.00 | $7.75–$90.90 | 7% above | 52% |
| Urine pregnancy test, read by color change CPT 81025 UCG URINE TX RM IR | $48.48 | $101.00 | $7.75–$90.90 | 7% above | 52% |
| Urine pregnancy test, read by color change CPT 81025 URINE PREGNANCY TEST TX RM | $48.48 | $101.00 | $7.75–$90.90 | 7% above | 52% |
| Urine pregnancy test, read by color change CPT 81025 URINE PREGNANCY VISIUAL COLOR TX RM KID | $48.48 | $101.00 | $7.75–$90.90 | 7% above | 52% |
| Urine pregnancy test, read by color change CPT 81025 URINE PREGNANCY VISUAL COLOR TX RM GIP | $48.48 | $101.00 | $7.75–$90.90 | 7% above | 52% |
| Urine pregnancy test, read by color change CPT 81025 URINE PREGNANCY VISUAL COLOR TX RM EAT | $48.48 | $101.00 | $7.75–$90.90 | 7% above | 52% |
| Urine pregnancy test, read by color change inpatient CPT 81025 URINE PREGNANCY VISUAL COLOR TX RM GIP | $48.48 | $101.00 | $48.48–$90.90 | — | 52% |
| Urine pregnancy test, read by color change inpatient CPT 81025 URINE PREGNANCY VISUAL COLOR TX RM EAT | $48.48 | $101.00 | $48.48–$90.90 | — | 52% |
| Urine pregnancy test, read by color change inpatient CPT 81025 URINE PREGNANCY VISIUAL COLOR TX RM KID | $48.48 | $101.00 | $48.48–$90.90 | — | 52% |
| Urine pregnancy test, read by color change inpatient CPT 81025 UCG URINE TX RM IR | $48.48 | $101.00 | $48.48–$90.90 | — | 52% |
| Urine pregnancy test, read by color change inpatient CPT 81025 UCG URINE | $48.48 | $101.00 | $48.48–$90.90 | — | 52% |
| Urine pregnancy test, read by color change inpatient CPT 81025 URINE PREGNANCY TEST TX RM SED | $48.48 | $101.00 | $48.48–$90.90 | — | 52% |
| Urine pregnancy test, read by color change inpatient CPT 81025 URINE PREGNANCY TEST TX RM | $48.48 | $101.00 | $48.48–$90.90 | — | 52% |
| Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B12 | $23.52 | $49.00 | $13.57–$44.10 | 74% below | 52% |
| Vitamin B12 (cobalamin) blood test CPT 82607 Vitamin B12.1 | $24.48 | $51.00 | $13.57–$45.90 | 73% below | 52% |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 VITAMIN B12 | $23.52 | $49.00 | $23.52–$44.10 | — | 52% |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 Vitamin B12.1 | $24.48 | $51.00 | $24.48–$45.90 | — | 52% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D (25 HYDROXY D3) | $149.28 | $311.00 | $26.42–$279.90 | 38% below | 52% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D (25 HYDROXY D3) | $149.28 | $311.00 | $149.28–$279.90 | — | 52% |
| Vitamin D, 1,25-dihydroxy blood test CPT 82652 VITAMIN D (1.25 DIHYDROXY) | $54.24 | $113.00 | $34.65–$105.68 | 64% below | 52% |
| Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 VITAMIN D (1.25 DIHYDROXY) | $54.24 | $113.00 | $54.24–$101.70 | — | 52% |
| Zinc blood test CPT 84630 ZINC | $66.24 | $138.00 | $10.25–$124.20 | 13% above | 52% |
| Zinc blood test inpatient CPT 84630 ZINC | $66.24 | $138.00 | $66.24–$124.20 | — | 52% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG SERUM QUANT MAIN | $84.96 | $177.00 | $13.43–$159.30 | 8% below | 52% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 BETA HCG SPINAL FLUID | $86.40 | $180.00 | $13.43–$162.00 | 7% below | 52% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HCG SERUM QUANT MAIN | $84.96 | $177.00 | $84.96–$159.30 | — | 52% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 BETA HCG SPINAL FLUID | $86.40 | $180.00 | $86.40–$162.00 | — | 52% |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Kansas | Off list |
|---|---|---|---|---|---|
| Botox injections for chronic migraine CPT 64615 CHEMODENERV MUSC MIGRAINE TX ROOM NUR | $697.44 | $1,453.00 | $129.62–$1,307.70 | 98% above | 52% |
| Botox injections for chronic migraine CPT 64615 CHEMODENERV MUSC MIGRAINE TX ROOM PMN Tech | $697.44 | $1,453.00 | $129.62–$1,307.70 | 98% above | 52% |
| Botox injections for chronic migraine CPT 64615 CHEMODENERV MUSC MIGRAINE TX RM IR | $1,791.36 | $3,732.00 | $129.62–$3,358.80 | 409% above | 52% |
| Botox injections for chronic migraine inpatient CPT 64615 CHEMODENERV MUSC MIGRAINE TX ROOM PMN Tech | $697.44 | $1,453.00 | $697.44–$1,307.70 | — | 52% |
| Botox injections for chronic migraine inpatient CPT 64615 CHEMODENERV MUSC MIGRAINE TX ROOM NUR | $697.44 | $1,453.00 | $697.44–$1,307.70 | — | 52% |
| Botox injections for chronic migraine inpatient CPT 64615 CHEMODENERV MUSC MIGRAINE TX RM IR | $1,791.36 | $3,732.00 | $1,791.36–$3,358.80 | — | 52% |
| Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 TREATMENT OF ANKLE FRACTURE TX RM OTO | $1,678.56 | $3,497.00 | $191.95–$3,147.30 | 149% above | 52% |
| Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 CL TX DSTL FIB FX WO MANIP ER | $2,331.36 | $4,857.00 | $191.95–$4,371.30 | 245% above | 52% |
| Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 TREATMENT OF ANKLE FRACTURE TX RM OTO | $1,678.56 | $3,497.00 | $1,678.56–$3,147.30 | — | 52% |
| Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 CL TX DSTL FIB FX WO MANIP ER | $2,331.36 | $4,857.00 | $2,331.36–$4,371.30 | — | 52% |
| Broken foot (metatarsal) treatment without surgery or setting CPT 28470 TREAT METATARSAL FRACTURE TX RM OTO | $1,186.08 | $2,471.00 | $191.95–$2,223.90 | 141% above | 52% |
| Broken foot (metatarsal) treatment without surgery or setting CPT 28470 TREAT METATARSAL FRACTURE FAC | $1,647.36 | $3,432.00 | $191.95–$3,088.80 | 235% above | 52% |
| Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 TREAT METATARSAL FRACTURE TX RM OTO | $1,186.08 | $2,471.00 | $1,186.08–$2,223.90 | — | 52% |
| Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 TREAT METATARSAL FRACTURE FAC | $1,647.36 | $3,432.00 | $1,647.36–$3,088.80 | — | 52% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION ELECTIVE ARRYHYTHMIA EXTERNAL ER | $839.52 | $1,749.00 | $221.37–$1,615.77 | 29% above | 52% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION ELECTIVE ARRYHYTHMIA EXTERNAL ER | $839.52 | $1,749.00 | $839.52–$1,574.10 | — | 52% |
| Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 CIRCUM 28 DAYS OR OLDER TX RM URO | $1,112.16 | $2,317.00 | $692.81–$5,056.69 | 60% below | 52% |
| Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 CIRCUM 28 DAYS OR OLDER TX RM PCC | $1,112.16 | $2,317.00 | $692.81–$5,056.69 | 60% below | 52% |
| Circumcision by surgical excision, older than 28 days (children and adults) inpatient CPT 54161 CIRCUM 28 DAYS OR OLDER TX RM PCC | $1,112.16 | $2,317.00 | $1,112.16–$2,085.30 | — | 52% |
| Circumcision by surgical excision, older than 28 days (children and adults) inpatient CPT 54161 CIRCUM 28 DAYS OR OLDER TX RM URO | $1,112.16 | $2,317.00 | $1,112.16–$2,085.30 | — | 52% |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 CIRCUMSION CLAMP NB TX RM SUR | $541.92 | $1,129.00 | $462.89–$5,056.69 | 4% below | 52% |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 CIRCUMCISION W/REGIONL BLOCK TX RM PCC | $541.92 | $1,129.00 | $462.89–$5,056.69 | 4% below | 52% |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 CIRCUMSION CLAMP NB TX RM URO | $541.92 | $1,129.00 | $462.89–$5,056.69 | 4% below | 52% |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 CIRCUMSION CLAMP NB TX RM SUR | $541.92 | $1,129.00 | $541.92–$1,016.10 | — | 52% |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 CIRCUMCISION W/REGIONL BLOCK TX RM PCC | $541.92 | $1,129.00 | $541.92–$1,016.10 | — | 52% |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 CIRCUMSION CLAMP NB TX RM URO | $541.92 | $1,129.00 | $541.92–$1,016.10 | — | 52% |
| Circumcision, surgical, older than a newborn CPT 54160 CIRCUMSION NEWBORN TX RM URO | $817.44 | $1,703.00 | $300.30–$1,695.89 | 1% above | 52% |
| Circumcision, surgical, older than a newborn CPT 54160 CIRCUMCISION 28 DAYS OR LESS TX RM PCC | $817.44 | $1,703.00 | $300.30–$1,695.89 | 1% above | 52% |
| Circumcision, surgical, older than a newborn CPT 54160 CIRCUMSION NEWBORN TX RM SUR | $817.44 | $1,703.00 | $300.30–$1,695.89 | 1% above | 52% |
| Circumcision, surgical, older than a newborn inpatient CPT 54160 CIRCUMSION NEWBORN TX RM SUR | $817.44 | $1,703.00 | $817.44–$1,532.70 | — | 52% |
| Circumcision, surgical, older than a newborn inpatient CPT 54160 CIRCUMSION NEWBORN TX RM URO | $817.44 | $1,703.00 | $817.44–$1,532.70 | — | 52% |
| Circumcision, surgical, older than a newborn inpatient CPT 54160 CIRCUMCISION 28 DAYS OR LESS TX RM PCC | $817.44 | $1,703.00 | $817.44–$1,532.70 | — | 52% |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 TREAT FRACTURE RADIUS & ULN TX RM OTO | $1,895.04 | $3,948.00 | $191.95–$3,553.20 | 214% above | 52% |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 CLTX DSTL RADIAL FX/EPIPHYSL SEP WO MNP TX RM PLS | $1,895.04 | $3,948.00 | $191.95–$3,553.20 | 214% above | 52% |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 CL TX DSTL RDL FX/EPIPHYS SEP WO MNP ER | $2,632.32 | $5,484.00 | $191.95–$4,935.60 | 336% above | 52% |
| Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 CLTX DSTL RADIAL FX/EPIPHYSL SEP WO MNP TX RM PLS | $1,895.04 | $3,948.00 | $1,895.04–$3,553.20 | — | 52% |
| Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 TREAT FRACTURE RADIUS & ULN TX RM OTO | $1,895.04 | $3,948.00 | $1,895.04–$3,553.20 | — | 52% |
| Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 CL TX DSTL RDL FX/EPIPHYS SEP WO MNP ER | $2,632.32 | $5,484.00 | $2,632.32–$4,935.60 | — | 52% |
| Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 CYSTOURETHROSCOPY TX RM URO | $448.80 | $935.00 | $360.36–$1,695.89 | 57% below | 52% |
| Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 CYSTOURETHROSCOPY TX RM URO | $448.80 | $935.00 | $448.80–$841.50 | — | 52% |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 DESTRUCT PREMALG LESION TX RM PLS | $309.60 | $645.00 | $68.10–$580.50 | 166% above | 52% |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 DESTRUCT PREMAL 1ST LES TX RM DRM | $309.60 | $645.00 | $68.10–$580.50 | 166% above | 52% |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 DESTRUCT PREMAL 1ST LES TX RM DRM | $309.60 | $645.00 | $309.60–$580.50 | — | 52% |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 DESTRUCT PREMALG LESION TX RM PLS | $309.60 | $645.00 | $309.60–$580.50 | — | 52% |
| Facet joint injection, lower back, one level, with imaging guidance CPT 64493 INJ PARAVERT F JNT L/S 1 LEV TX ROOM PNM | $507.36 | $1,057.00 | $273.84–$2,262.86 | 50% below | 52% |
| Facet joint injection, lower back, one level, with imaging guidance CPT 64493 INJ PARAVERT F JNT L/S 1 LEV TX RM IR | $1,303.20 | $2,715.00 | $273.84–$2,443.50 | 29% above | 52% |
| Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 INJ PARAVERT F JNT L/S 1 LEV TX ROOM PNM | $507.36 | $1,057.00 | $507.36–$951.30 | — | 52% |
| Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 INJ PARAVERT F JNT L/S 1 LEV TX RM IR | $1,303.20 | $2,715.00 | $1,303.20–$2,443.50 | — | 52% |
| IUD insertion (the device itself billed separately) CPT 58300 IUD INSERTION TX RM ADO | $285.12 | $594.00 | $163.80–$534.60 | 34% above | 52% |
| IUD insertion (the device itself billed separately) CPT 58300 IUD INSERTION TX RM SUR | $285.12 | $594.00 | $163.80–$534.60 | 34% above | 52% |
| IUD insertion (the device itself billed separately) CPT 58300 IUD INSERTION TX RM TPC | $285.12 | $594.00 | $163.80–$534.60 | 34% above | 52% |
| IUD insertion (the device itself billed separately) CPT 58300 IUD INSERTION TX RM FTH | $285.12 | $594.00 | $163.80–$534.60 | 34% above | 52% |
| IUD insertion (the device itself billed separately) CPT 58300 INSERT INTRAUTERINE DEVICE TX RM SED | $527.04 | $1,098.00 | $163.80–$988.20 | 148% above | 52% |
| IUD insertion (the device itself billed separately) CPT 58300 INSERT INTRAUTERINE DEVICE TX RM IR | $732.48 | $1,526.00 | $163.80–$1,373.40 | 245% above | 52% |
| IUD insertion (the device itself billed separately) inpatient CPT 58300 IUD INSERTION TX RM FTH | $285.12 | $594.00 | $285.12–$534.60 | — | 52% |
| IUD insertion (the device itself billed separately) inpatient CPT 58300 IUD INSERTION TX RM ADO | $285.12 | $594.00 | $285.12–$534.60 | — | 52% |
| IUD insertion (the device itself billed separately) inpatient CPT 58300 IUD INSERTION TX RM TPC | $285.12 | $594.00 | $285.12–$534.60 | — | 52% |
| IUD insertion (the device itself billed separately) inpatient CPT 58300 IUD INSERTION TX RM SUR | $285.12 | $594.00 | $285.12–$534.60 | — | 52% |
| IUD insertion (the device itself billed separately) inpatient CPT 58300 INSERT INTRAUTERINE DEVICE TX RM SED | $527.04 | $1,098.00 | $527.04–$988.20 | — | 52% |
| IUD insertion (the device itself billed separately) inpatient CPT 58300 INSERT INTRAUTERINE DEVICE TX RM IR | $732.48 | $1,526.00 | $732.48–$1,373.40 | — | 52% |
| Incision and drainage of a simple or single skin abscess CPT 10060 I&D ABSC; SMPL OR SGL TX RM HMO | $598.56 | $1,247.00 | $162.96–$1,122.30 | 131% above | 52% |
| Incision and drainage of a simple or single skin abscess CPT 10060 I&D ABSC; SMPL OR SGL TX RM PLS | $598.56 | $1,247.00 | $162.96–$1,122.30 | 131% above | 52% |
| Incision and drainage of a simple or single skin abscess CPT 10060 I&D ABSC; SMPL OR SGL TX RM TPC | $598.56 | $1,247.00 | $162.96–$1,122.30 | 131% above | 52% |
| Incision and drainage of a simple or single skin abscess CPT 10060 I&D ABSC SIMPLE OR SGL TX RM BCN | $598.56 | $1,247.00 | $162.96–$1,122.30 | 131% above | 52% |
| Incision and drainage of a simple or single skin abscess CPT 10060 I&D ABSC SMPL OR SGL TX RM SUR | $598.56 | $1,247.00 | $162.96–$1,122.30 | 131% above | 52% |
| Incision and drainage of a simple or single skin abscess CPT 10060 I&D ABSC SMPL OR SGL TX RM PAW | $598.56 | $1,247.00 | $162.96–$1,122.30 | 131% above | 52% |
| Incision and drainage of a simple or single skin abscess CPT 10060 I&D ABSC SMPL OR SGL TX RM RAD | $598.56 | $1,247.00 | $162.96–$1,122.30 | 131% above | 52% |
| Incision and drainage of a simple or single skin abscess CPT 10060 I&D ABSC SMPL OR SGL TX RM OTO | $598.56 | $1,247.00 | $162.96–$1,122.30 | 131% above | 52% |
| Incision and drainage of a simple or single skin abscess CPT 10060 I&D ABSC SMPL OR SGL TX RM RHB | $598.56 | $1,247.00 | $162.96–$1,122.30 | 131% above | 52% |
| Incision and drainage of a simple or single skin abscess CPT 10060 I&D ABSC SMPL OR SGL TX RM ENT | $598.56 | $1,247.00 | $162.96–$1,122.30 | 131% above | 52% |
| Incision and drainage of a simple or single skin abscess CPT 10060 I&D ABSC SMPL OR SGL URO | $598.56 | $1,247.00 | $162.96–$1,122.30 | 131% above | 52% |
| Incision and drainage of a simple or single skin abscess CPT 10060 I&D ABSC SMPL OR SGL TX RM DRM | $598.56 | $1,247.00 | $162.96–$1,122.30 | 131% above | 52% |
| Incision and drainage of a simple or single skin abscess CPT 10060 I&D ABSC SMPL OR SGL TX RM PCC | $598.56 | $1,247.00 | $162.96–$1,122.30 | 131% above | 52% |
| Incision and drainage of a simple or single skin abscess CPT 10060 I AND D ABSC SMPL OR SGL ER | $831.84 | $1,733.00 | $162.96–$1,559.70 | 221% above | 52% |
| Incision and drainage of a simple or single skin abscess CPT 10060 INCISION & DRAINAGE ABSCESS SIMPLE/SINGLE TX RM SED | $1,106.88 | $2,306.00 | $162.96–$2,075.40 | 327% above | 52% |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I&D ABSC SMPL OR SGL TX RM ENT | $598.56 | $1,247.00 | $598.56–$1,122.30 | — | 52% |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I&D ABSC SMPL OR SGL TX RM RAD | $598.56 | $1,247.00 | $598.56–$1,122.30 | — | 52% |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I&D ABSC SMPL OR SGL TX RM PCC | $598.56 | $1,247.00 | $598.56–$1,122.30 | — | 52% |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I&D ABSC SMPL OR SGL TX RM PAW | $598.56 | $1,247.00 | $598.56–$1,122.30 | — | 52% |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I&D ABSC SMPL OR SGL TX RM OTO | $598.56 | $1,247.00 | $598.56–$1,122.30 | — | 52% |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I&D ABSC SMPL OR SGL TX RM DRM | $598.56 | $1,247.00 | $598.56–$1,122.30 | — | 52% |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I&D ABSC SIMPLE OR SGL TX RM BCN | $598.56 | $1,247.00 | $598.56–$1,122.30 | — | 52% |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I&D ABSC; SMPL OR SGL TX RM TPC | $598.56 | $1,247.00 | $598.56–$1,122.30 | — | 52% |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I&D ABSC; SMPL OR SGL TX RM PLS | $598.56 | $1,247.00 | $598.56–$1,122.30 | — | 52% |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I&D ABSC; SMPL OR SGL TX RM HMO | $598.56 | $1,247.00 | $598.56–$1,122.30 | — | 52% |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I&D ABSC SMPL OR SGL URO | $598.56 | $1,247.00 | $598.56–$1,122.30 | — | 52% |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I&D ABSC SMPL OR SGL TX RM SUR | $598.56 | $1,247.00 | $598.56–$1,122.30 | — | 52% |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I&D ABSC SMPL OR SGL TX RM RHB | $598.56 | $1,247.00 | $598.56–$1,122.30 | — | 52% |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I AND D ABSC SMPL OR SGL ER | $831.84 | $1,733.00 | $831.84–$1,559.70 | — | 52% |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 INCISION & DRAINAGE ABSCESS SIMPLE/SINGLE TX RM SED | $1,106.88 | $2,306.00 | $1,106.88–$2,075.40 | — | 52% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJ SGL TENDON SHTH OR LIGAMENT TX RM OTO | $220.32 | $459.00 | $188.19–$735.32 | 19% above | 52% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJ SGL TENDON SHTH OR LIGAMENT TX RM IR | $566.40 | $1,180.00 | $201.80–$1,062.00 | 205% above | 52% |
| Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 INJ SGL TENDON SHTH OR LIGAMENT TX RM OTO | $220.32 | $459.00 | $220.32–$413.10 | — | 52% |
| Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 INJ SGL TENDON SHTH OR LIGAMENT TX RM IR | $566.40 | $1,180.00 | $566.40–$1,062.00 | — | 52% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 DRAIN/INJECT MAJOR JNT/BURSA W/O US; TX RM PLS | $254.88 | $531.00 | $217.71–$735.32 | 26% below | 52% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 DRAIN/INJ MAJOR JOINT/BURSA W/O US TX RM E | $254.88 | $531.00 | $217.71–$735.32 | 26% below | 52% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 DRAIN/INJ MAJOR JNT/BURSA W/O US; TX RM OTO | $254.88 | $531.00 | $217.71–$735.32 | 26% below | 52% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 DRAIN/INJECT MAJOR JNT/BURSA W/O US; TX RM RHU | $254.88 | $531.00 | $217.71–$735.32 | 26% below | 52% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 DRAIN/INJ MAJOR JNT/BURSA W/O US; ER | $353.76 | $737.00 | $241.09–$735.32 | 3% above | 52% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 DRAIN/INJ MAJOR JOINT/BURSA W/O US TX RM SED | $470.88 | $981.00 | $241.09–$882.90 | 38% above | 52% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 DRAIN/INJ MAJOR JOINT/BURSA W/O US TX RM IR | $654.24 | $1,363.00 | $241.09–$1,226.70 | 91% above | 52% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 DRAIN/INJ MAJOR JOINT/BURSA W/O US TX RM E | $254.88 | $531.00 | $254.88–$477.90 | — | 52% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 DRAIN/INJ MAJOR JNT/BURSA W/O US; TX RM OTO | $254.88 | $531.00 | $254.88–$477.90 | — | 52% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 DRAIN/INJECT MAJOR JNT/BURSA W/O US; TX RM RHU | $254.88 | $531.00 | $254.88–$477.90 | — | 52% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 DRAIN/INJECT MAJOR JNT/BURSA W/O US; TX RM PLS | $254.88 | $531.00 | $254.88–$477.90 | — | 52% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 DRAIN/INJ MAJOR JNT/BURSA W/O US; ER | $353.76 | $737.00 | $353.76–$663.30 | — | 52% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 DRAIN/INJ MAJOR JOINT/BURSA W/O US TX RM SED | $470.88 | $981.00 | $470.88–$882.90 | — | 52% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 DRAIN/INJ MAJOR JOINT/BURSA W/O US TX RM IR | $654.24 | $1,363.00 | $654.24–$1,226.70 | — | 52% |
| Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 INSERT DRUG IMPLANT ADO | $355.68 | $741.00 | $54.83–$666.90 | 99% above | 52% |
| Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 INSERT DRUG IMPLANT TX RM FHC | $355.68 | $741.00 | $54.83–$666.90 | 99% above | 52% |
| Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 INSERT DRUG IMPLANT TPC | $355.68 | $741.00 | $54.83–$666.90 | 99% above | 52% |
| Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 INSERT DRUG IMPLANT TX RM PCC | $355.68 | $741.00 | $54.83–$666.90 | 99% above | 52% |
| Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 INSERT DRUG IMPLANT TX RM SUR | $355.68 | $741.00 | $54.83–$666.90 | 99% above | 52% |
| Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 INSERT DRUG IMPLANT TX RM URO | $355.68 | $741.00 | $54.83–$666.90 | 99% above | 52% |
| Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 INSERT DRUG IMPLANT TX ROOM FTH | $355.68 | $741.00 | $54.83–$666.90 | 99% above | 52% |
| Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 INSERT DRUG IMPLANT DEVICE TX RM SED | $657.12 | $1,369.00 | $54.83–$1,232.10 | 268% above | 52% |
| Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 INSERT DRUG IMPLANT DEVICE TX RM IR | $912.96 | $1,902.00 | $54.83–$1,711.80 | 411% above | 52% |
| Insertion of a drug-delivery implant, such as the arm birth control implant inpatient CPT 11981 INSERT DRUG IMPLANT TX RM PCC | $355.68 | $741.00 | $355.68–$666.90 | — | 52% |
| Insertion of a drug-delivery implant, such as the arm birth control implant inpatient CPT 11981 INSERT DRUG IMPLANT ADO | $355.68 | $741.00 | $355.68–$666.90 | — | 52% |
| Insertion of a drug-delivery implant, such as the arm birth control implant inpatient CPT 11981 INSERT DRUG IMPLANT TPC | $355.68 | $741.00 | $355.68–$666.90 | — | 52% |
| Insertion of a drug-delivery implant, such as the arm birth control implant inpatient CPT 11981 INSERT DRUG IMPLANT TX ROOM FTH | $355.68 | $741.00 | $355.68–$666.90 | — | 52% |
| Insertion of a drug-delivery implant, such as the arm birth control implant inpatient CPT 11981 INSERT DRUG IMPLANT TX RM URO | $355.68 | $741.00 | $355.68–$666.90 | — | 52% |
| Insertion of a drug-delivery implant, such as the arm birth control implant inpatient CPT 11981 INSERT DRUG IMPLANT TX RM SUR | $355.68 | $741.00 | $355.68–$666.90 | — | 52% |
| Insertion of a drug-delivery implant, such as the arm birth control implant inpatient CPT 11981 INSERT DRUG IMPLANT TX RM FHC | $355.68 | $741.00 | $355.68–$666.90 | — | 52% |
| Insertion of a drug-delivery implant, such as the arm birth control implant inpatient CPT 11981 INSERT DRUG IMPLANT DEVICE TX RM SED | $657.12 | $1,369.00 | $657.12–$1,232.10 | — | 52% |
| Insertion of a drug-delivery implant, such as the arm birth control implant inpatient CPT 11981 INSERT DRUG IMPLANT DEVICE TX RM IR | $912.96 | $1,902.00 | $912.96–$1,711.80 | — | 52% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 DRAIN/INJ INTER JOINT/BURSA W/O US TX RM E | $209.28 | $436.00 | $178.76–$735.32 | 23% below | 52% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 DRAIN/INJ INTERM JNT/BURSA TX RM PLS | $209.28 | $436.00 | $178.76–$735.32 | 23% below | 52% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 DRAIN/INJ INTERM JNT/BURSA TX RM RHU | $209.28 | $436.00 | $178.76–$735.32 | 23% below | 52% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 DRAIN/INJ INTER JOINT/BURSA W/O US; TX RM OTO | $209.28 | $436.00 | $178.76–$735.32 | 23% below | 52% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 DRAIN/INJ INTERM JNT/BURSA ER | $290.40 | $605.00 | $201.80–$735.32 | 6% above | 52% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 DRAIN/INJ INTER JOINT/BURSA W/O US TX RM SED | $386.40 | $805.00 | $201.80–$735.32 | 41% above | 52% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 DRAIN/INJ INTER JOINT/BURSA W/O US TX RM IR | $537.12 | $1,119.00 | $201.80–$1,007.10 | 96% above | 52% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 DRAIN/INJ INTERM JNT/BURSA TX RM PLS | $209.28 | $436.00 | $209.28–$392.40 | — | 52% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 DRAIN/INJ INTERM JNT/BURSA TX RM RHU | $209.28 | $436.00 | $209.28–$392.40 | — | 52% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 DRAIN/INJ INTER JOINT/BURSA W/O US; TX RM OTO | $209.28 | $436.00 | $209.28–$392.40 | — | 52% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 DRAIN/INJ INTER JOINT/BURSA W/O US TX RM E | $209.28 | $436.00 | $209.28–$392.40 | — | 52% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 DRAIN/INJ INTERM JNT/BURSA ER | $290.40 | $605.00 | $290.40–$544.50 | — | 52% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 DRAIN/INJ INTER JOINT/BURSA W/O US TX RM SED | $386.40 | $805.00 | $386.40–$724.50 | — | 52% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 DRAIN/INJ INTER JOINT/BURSA W/O US TX RM IR | $537.12 | $1,119.00 | $537.12–$1,007.10 | — | 52% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 DRAIN/INJECT SM JNT BURSA TX RM RHU | $201.60 | $420.00 | $172.20–$735.32 | 15% below | 52% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 DRAIN INJ SMALL JOINT BURSA WO US TX RM OTO | $201.60 | $420.00 | $172.20–$735.32 | 15% below | 52% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 DRN/INJ SM JOINT/BURSA W/O US | $279.84 | $583.00 | $201.80–$735.32 | 18% above | 52% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 DRAIN/INJ SMALL JOINT/BURSA W/O US TX RM SED | $372.48 | $776.00 | $201.80–$735.32 | 58% above | 52% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 DRAIN/INJ SMALL JOINT/BURSA W/O US TX RM IR | $517.44 | $1,078.00 | $201.80–$970.20 | 119% above | 52% |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 DRAIN INJ SMALL JOINT BURSA WO US TX RM OTO | $201.60 | $420.00 | $201.60–$378.00 | — | 52% |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 DRAIN/INJECT SM JNT BURSA TX RM RHU | $201.60 | $420.00 | $201.60–$378.00 | — | 52% |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 DRN/INJ SM JOINT/BURSA W/O US | $279.84 | $583.00 | $279.84–$524.70 | — | 52% |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 DRAIN/INJ SMALL JOINT/BURSA W/O US TX RM SED | $372.48 | $776.00 | $372.48–$698.40 | — | 52% |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 DRAIN/INJ SMALL JOINT/BURSA W/O US TX RM IR | $517.44 | $1,078.00 | $517.44–$970.20 | — | 52% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 INTMD WND REP S/A/T/EXT 2.5 OR LESS TX RM DRM | $853.44 | $1,778.00 | $300.30–$1,600.20 | 113% above | 52% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 INTMD WND REPAIR S/A/T/EXT 2.5 CM OR LESS TX RM PLS | $853.44 | $1,778.00 | $300.30–$1,600.20 | 113% above | 52% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 INTERMED REP; 2.5 CM OR LESS ER | $1,185.60 | $2,470.00 | $300.30–$2,223.00 | 196% above | 52% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 INTMD WND REPAIR S/A/T/EXT 2.5 CM OR LESS TX RM PLS | $853.44 | $1,778.00 | $853.44–$1,600.20 | — | 52% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 INTMD WND REP S/A/T/EXT 2.5 OR LESS TX RM DRM | $853.44 | $1,778.00 | $853.44–$1,600.20 | — | 52% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 INTERMED REP; 2.5 CM OR LESS ER | $1,185.60 | $2,470.00 | $1,185.60–$2,223.00 | — | 52% |
| Lower-back epidural injection, with imaging guidance CPT 62323 INJ INTERLAMINAR LMBR/SAC W/IMG TX RM IR | $1,430.40 | $2,980.00 | $396.01–$2,682.00 | 19% above | 52% |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 INJ INTERLAMINAR LMBR/SAC W/IMG TX RM IR | $1,430.40 | $2,980.00 | $1,430.40–$2,682.00 | — | 52% |
| Lower-back epidural injection, without imaging guidance CPT 62322 INJ INTERLAMINAR LMBR/SAC W/O IMG TX RM PNM | $450.72 | $939.00 | $384.99–$2,262.86 | 45% below | 52% |
| Lower-back epidural injection, without imaging guidance CPT 62322 NJX INTERLAMINAR LMBR/SAC TX RM SED | $832.80 | $1,735.00 | $396.01–$2,262.86 | 2% above | 52% |
| Lower-back epidural injection, without imaging guidance inpatient CPT 62322 INJ INTERLAMINAR LMBR/SAC W/O IMG TX RM PNM | $450.72 | $939.00 | $450.72–$845.10 | — | 52% |
| Lower-back epidural injection, without imaging guidance inpatient CPT 62322 NJX INTERLAMINAR LMBR/SAC TX RM SED | $832.80 | $1,735.00 | $832.80–$1,561.50 | — | 52% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 INJ FORAMEN EPIDURAL L/S TX RM IR | $1,601.28 | $3,336.00 | $310.03–$3,002.40 | 57% above | 52% |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 INJ FORAMEN EPIDURAL L/S TX RM IR | $1,601.28 | $3,336.00 | $1,601.28–$3,002.40 | — | 52% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 EXC TR-EXT B9+MARG 0.5CM OR LESS TX RM PLS | $475.20 | $990.00 | $270.27–$1,746.74 | 126% above | 52% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 EXC TR EXT B9+MARG 0.5 CM OR LESS TX RM SUR | $475.20 | $990.00 | $270.27–$1,746.74 | 126% above | 52% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 EXC TR EXT B9+MARG 0.5 CM OR LESS TX RM DRM | $475.20 | $990.00 | $270.27–$1,746.74 | 126% above | 52% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 EXC TR-EXT B9+MARG 0.5CM OR LESS TX RM PLS | $475.20 | $990.00 | $475.20–$891.00 | — | 52% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 EXC TR EXT B9+MARG 0.5 CM OR LESS TX RM SUR | $475.20 | $990.00 | $475.20–$891.00 | — | 52% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 EXC TR EXT B9+MARG 0.5 CM OR LESS TX RM DRM | $475.20 | $990.00 | $475.20–$891.00 | — | 52% |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 EXC FACE MM B9+MARG 0.5CM OR LESS TX RM DRM | $602.40 | $1,255.00 | $300.30–$1,746.74 | 176% above | 52% |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 EXC FACE-MM B9+MARG 0.5CM OR LESS TX RM PLS | $602.40 | $1,255.00 | $300.30–$1,746.74 | 176% above | 52% |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 EXC FACE-MM B9+MARG 0.5CM OR LESS; TX RM ENT | $602.40 | $1,255.00 | $300.30–$1,746.74 | 176% above | 52% |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 EXC FACE-MM B9+MARG 0.5CM OR LESS TX RM PLS | $602.40 | $1,255.00 | $602.40–$1,129.50 | — | 52% |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 EXC FACE-MM B9+MARG 0.5CM OR LESS; TX RM ENT | $602.40 | $1,255.00 | $602.40–$1,129.50 | — | 52% |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 EXC FACE MM B9+MARG 0.5CM OR LESS TX RM DRM | $602.40 | $1,255.00 | $602.40–$1,129.50 | — | 52% |
| Nail removal (partial or complete), one nail CPT 11730 SPL AVULSE NP SGL TX RM OTO | $302.40 | $630.00 | $162.96–$567.00 | 86% above | 52% |
| Nail removal (partial or complete), one nail CPT 11730 SPL AVULSE NP; SGL TX RM PLS | $302.40 | $630.00 | $162.96–$567.00 | 86% above | 52% |
| Nail removal (partial or complete), one nail CPT 11730 SPL ABULSE NP SGL ER | $420.00 | $875.00 | $162.96–$787.50 | 158% above | 52% |
| Nail removal (partial or complete), one nail inpatient CPT 11730 SPL AVULSE NP; SGL TX RM PLS | $302.40 | $630.00 | $302.40–$567.00 | — | 52% |
| Nail removal (partial or complete), one nail inpatient CPT 11730 SPL AVULSE NP SGL TX RM OTO | $302.40 | $630.00 | $302.40–$567.00 | — | 52% |
| Nail removal (partial or complete), one nail inpatient CPT 11730 SPL ABULSE NP SGL ER | $420.00 | $875.00 | $420.00–$787.50 | — | 52% |
| Occipital nerve block (injection for headaches) CPT 64405 INJ ANESTH GREATER OCCIPITAL NERVE NUR | $298.56 | $622.00 | $201.80–$735.32 | 25% below | 52% |
| Occipital nerve block (injection for headaches) CPT 64405 INJ ANESTH GREATER OCCIPITAL NERVE PNM | $298.56 | $622.00 | $201.80–$735.32 | 25% below | 52% |
| Occipital nerve block (injection for headaches) CPT 64405 INJ ANESTH GREATER OCCIPITAL NERVE HDC | $298.56 | $622.00 | $201.80–$735.32 | 25% below | 52% |
| Occipital nerve block (injection for headaches) CPT 64405 NJX AA&/STRD GR OCPL NRV TX RM SED | $551.52 | $1,149.00 | $201.80–$1,034.10 | 38% above | 52% |
| Occipital nerve block (injection for headaches) CPT 64405 NJX AA&/STRD GR OCPL NRV TX RM IR | $766.56 | $1,597.00 | $201.80–$1,437.30 | 92% above | 52% |
| Occipital nerve block (injection for headaches) inpatient CPT 64405 INJ ANESTH GREATER OCCIPITAL NERVE NUR | $298.56 | $622.00 | $298.56–$559.80 | — | 52% |
| Occipital nerve block (injection for headaches) inpatient CPT 64405 INJ ANESTH GREATER OCCIPITAL NERVE PNM | $298.56 | $622.00 | $298.56–$559.80 | — | 52% |
| Occipital nerve block (injection for headaches) inpatient CPT 64405 INJ ANESTH GREATER OCCIPITAL NERVE HDC | $298.56 | $622.00 | $298.56–$559.80 | — | 52% |
| Occipital nerve block (injection for headaches) inpatient CPT 64405 NJX AA&/STRD GR OCPL NRV TX RM SED | $551.52 | $1,149.00 | $551.52–$1,034.10 | — | 52% |
| Occipital nerve block (injection for headaches) inpatient CPT 64405 NJX AA&/STRD GR OCPL NRV TX RM IR | $766.56 | $1,597.00 | $766.56–$1,437.30 | — | 52% |
| Paracentesis with imaging guidance CPT 49083 ABD PARACENTESIS W/IMAGING TX RM | $591.36 | $1,232.00 | $273.49–$2,250.47 | 20% below | 52% |
| Paracentesis with imaging guidance CPT 49083 ABD PARACENTESIS W/IMAGING TX RM IR | $1,518.24 | $3,163.00 | $273.49–$2,846.70 | 106% above | 52% |
| Paracentesis with imaging guidance inpatient CPT 49083 ABD PARACENTESIS W/IMAGING TX RM | $591.36 | $1,232.00 | $591.36–$1,108.80 | — | 52% |
| Paracentesis with imaging guidance inpatient CPT 49083 ABD PARACENTESIS W/IMAGING TX RM IR | $1,518.24 | $3,163.00 | $1,518.24–$2,846.70 | — | 52% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 REMOVAL OF NAIL BED TX RM SUR | $572.16 | $1,192.00 | $300.30–$1,072.80 | 36% above | 52% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 REMOVAL OF NAIL BED TX RM PLS | $572.16 | $1,192.00 | $300.30–$1,072.80 | 36% above | 52% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 NAIL REMOVAL TX RM TPC | $572.16 | $1,192.00 | $300.30–$1,072.80 | 36% above | 52% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 REMOVAL OF NAIL BED TX RM OTO | $572.16 | $1,192.00 | $300.30–$1,072.80 | 36% above | 52% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 REMOVAL OF NAIL BED ER | $794.88 | $1,656.00 | $300.30–$1,490.40 | 89% above | 52% |
| Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 REMOVAL OF NAIL BED TX RM OTO | $572.16 | $1,192.00 | $572.16–$1,072.80 | — | 52% |
| Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 REMOVAL OF NAIL BED TX RM SUR | $572.16 | $1,192.00 | $572.16–$1,072.80 | — | 52% |
| Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 REMOVAL OF NAIL BED TX RM PLS | $572.16 | $1,192.00 | $572.16–$1,072.80 | — | 52% |
| Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 NAIL REMOVAL TX RM TPC | $572.16 | $1,192.00 | $572.16–$1,072.80 | — | 52% |
| Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 REMOVAL OF NAIL BED ER | $794.88 | $1,656.00 | $794.88–$1,490.40 | — | 52% |
| Removal of a breast lump, open surgery CPT 19120 REMOVAL OF BREAST LESION 1 TX RM PLS | $2,383.68 | $4,966.00 | $1,296.55–$9,463.17 | at median | 52% |
| Removal of a breast lump, open surgery inpatient CPT 19120 REMOVAL OF BREAST LESION 1 TX RM PLS | $2,383.68 | $4,966.00 | $2,383.68–$4,469.40 | — | 52% |
| Removal of a foreign object under the skin, simple CPT 10120 INC & REM FB SQ; SMPL TX RM PAW | $593.28 | $1,236.00 | $234.23–$1,112.40 | 60% above | 52% |
| Removal of a foreign object under the skin, simple CPT 10120 INC & REM FB SQ; SMPL TX RM TPC | $593.28 | $1,236.00 | $234.23–$1,112.40 | 60% above | 52% |
| Removal of a foreign object under the skin, simple CPT 10120 INC & REM FB SQ; SMPL TX RM PLS | $593.28 | $1,236.00 | $234.23–$1,112.40 | 60% above | 52% |
| Removal of a foreign object under the skin, simple CPT 10120 REMOVE FB SQ SIMPLE TX ROOM SUR | $593.28 | $1,236.00 | $234.23–$1,112.40 | 60% above | 52% |
| Removal of a foreign object under the skin, simple CPT 10120 INC & REM FB SQ; SMPL TX RM ENT | $593.28 | $1,236.00 | $234.23–$1,112.40 | 60% above | 52% |
| Removal of a foreign object under the skin, simple CPT 10120 INC AND REM FB SQ SMPL ER | $823.68 | $1,716.00 | $234.23–$1,544.40 | 122% above | 52% |
| Removal of a foreign object under the skin, simple CPT 10120 INC & REM FB SQ; SMPL TX RM IR | $1,523.04 | $3,173.00 | $234.23–$2,855.70 | 310% above | 52% |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 INC & REM FB SQ; SMPL TX RM TPC | $593.28 | $1,236.00 | $593.28–$1,112.40 | — | 52% |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 REMOVE FB SQ SIMPLE TX ROOM SUR | $593.28 | $1,236.00 | $593.28–$1,112.40 | — | 52% |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 INC & REM FB SQ; SMPL TX RM ENT | $593.28 | $1,236.00 | $593.28–$1,112.40 | — | 52% |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 INC & REM FB SQ; SMPL TX RM PAW | $593.28 | $1,236.00 | $593.28–$1,112.40 | — | 52% |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 INC & REM FB SQ; SMPL TX RM PLS | $593.28 | $1,236.00 | $593.28–$1,112.40 | — | 52% |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 INC AND REM FB SQ SMPL ER | $823.68 | $1,716.00 | $823.68–$1,544.40 | — | 52% |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 INC & REM FB SQ; SMPL TX RM IR | $1,523.04 | $3,173.00 | $1,523.04–$2,855.70 | — | 52% |
| Short arm cast (elbow to hand) CPT 29075 ELBOW TO FINGER SHORT ARM CAST TX RM PLS | $353.76 | $737.00 | $218.60–$666.73 | 32% above | 52% |
| Short arm cast (elbow to hand) CPT 29075 APPLY SHORT ARM CAST TX RM OTO | $353.76 | $737.00 | $218.60–$666.73 | 32% above | 52% |
| Short arm cast (elbow to hand) CPT 29075 OT APPLY SHORT ARM CAST | $353.76 | $737.00 | $218.60–$666.73 | 32% above | 52% |
| Short arm cast (elbow to hand) CPT 29075 PT APPLY SHORT ARM CAST | $353.76 | $737.00 | $218.60–$666.73 | 32% above | 52% |
| Short arm cast (elbow to hand) CPT 29075 APPLY SHORT ARM CAST ER | $491.04 | $1,023.00 | $218.60–$920.70 | 84% above | 52% |
| Short arm cast (elbow to hand) inpatient CPT 29075 PT APPLY SHORT ARM CAST | $353.76 | $737.00 | $353.76–$663.30 | — | 52% |
| Short arm cast (elbow to hand) inpatient CPT 29075 OT APPLY SHORT ARM CAST | $353.76 | $737.00 | $353.76–$663.30 | — | 52% |
| Short arm cast (elbow to hand) inpatient CPT 29075 ELBOW TO FINGER SHORT ARM CAST TX RM PLS | $353.76 | $737.00 | $353.76–$663.30 | — | 52% |
| Short arm cast (elbow to hand) inpatient CPT 29075 APPLY SHORT ARM CAST TX RM OTO | $353.76 | $737.00 | $353.76–$663.30 | — | 52% |
| Short arm cast (elbow to hand) inpatient CPT 29075 APPLY SHORT ARM CAST ER | $491.04 | $1,023.00 | $491.04–$920.70 | — | 52% |
| Short arm splint (forearm and hand) CPT 29125 APPLY SHORT ARM SPLINT TX RM TPC | $228.00 | $475.00 | $103.97–$427.50 | 27% above | 52% |
| Short arm splint (forearm and hand) CPT 29125 APPLY SHORT ARM SPLINT TX RM OTO | $228.00 | $475.00 | $103.97–$427.50 | 27% above | 52% |
| Short arm splint (forearm and hand) CPT 29125 APPLY WRIST SPLINT PLS | $228.00 | $475.00 | $103.97–$427.50 | 27% above | 52% |
| Short arm splint (forearm and hand) CPT 29125 APPLY SHORT ARM SPLINT ER | $316.80 | $660.00 | $103.97–$594.00 | 76% above | 52% |
| Short arm splint (forearm and hand) inpatient CPT 29125 APPLY WRIST SPLINT PLS | $228.00 | $475.00 | $228.00–$427.50 | — | 52% |
| Short arm splint (forearm and hand) inpatient CPT 29125 APPLY SHORT ARM SPLINT TX RM OTO | $228.00 | $475.00 | $228.00–$427.50 | — | 52% |
| Short arm splint (forearm and hand) inpatient CPT 29125 APPLY SHORT ARM SPLINT TX RM TPC | $228.00 | $475.00 | $228.00–$427.50 | — | 52% |
| Short arm splint (forearm and hand) inpatient CPT 29125 APPLY SHORT ARM SPLINT ER | $316.80 | $660.00 | $316.80–$594.00 | — | 52% |
| Short leg cast (below the knee) CPT 29405 APPLY SHORT LEG CAST TX RM OTO | $330.72 | $689.00 | $218.60–$666.73 | 26% above | 52% |
| Short leg cast (below the knee) CPT 29405 PT APPLY SHORT LEG CAST | $330.72 | $689.00 | $218.60–$666.73 | 26% above | 52% |
| Short leg cast (below the knee) CPT 29405 OT APPLY SHORT LEG CAST | $330.72 | $689.00 | $218.60–$666.73 | 26% above | 52% |
| Short leg cast (below the knee) CPT 29405 APPLY SHORT LEG CAST ER | $459.36 | $957.00 | $218.60–$861.30 | 75% above | 52% |
| Short leg cast (below the knee) CPT 29405 APPLICATION SHORT LEG CAST BELOW KNEE-TOE TX RM SED | $611.52 | $1,274.00 | $218.60–$1,146.60 | 133% above | 52% |
| Short leg cast (below the knee) inpatient CPT 29405 APPLY SHORT LEG CAST TX RM OTO | $330.72 | $689.00 | $330.72–$620.10 | — | 52% |
| Short leg cast (below the knee) inpatient CPT 29405 PT APPLY SHORT LEG CAST | $330.72 | $689.00 | $330.72–$620.10 | — | 52% |
| Short leg cast (below the knee) inpatient CPT 29405 OT APPLY SHORT LEG CAST | $330.72 | $689.00 | $330.72–$620.10 | — | 52% |
| Short leg cast (below the knee) inpatient CPT 29405 APPLY SHORT LEG CAST ER | $459.36 | $957.00 | $459.36–$861.30 | — | 52% |
| Short leg cast (below the knee) inpatient CPT 29405 APPLICATION SHORT LEG CAST BELOW KNEE-TOE TX RM SED | $611.52 | $1,274.00 | $611.52–$1,146.60 | — | 52% |
| Short leg splint (calf to foot) CPT 29515 APPLY SHORT LEG SPLINT TX RM OTO | $279.36 | $582.00 | $128.26–$523.80 | 41% above | 52% |
| Short leg splint (calf to foot) CPT 29515 APPLY SHORT LEG SPLINT ER | $388.32 | $809.00 | $128.26–$728.10 | 96% above | 52% |
| Short leg splint (calf to foot) inpatient CPT 29515 APPLY SHORT LEG SPLINT TX RM OTO | $279.36 | $582.00 | $279.36–$523.80 | — | 52% |
| Short leg splint (calf to foot) inpatient CPT 29515 APPLY SHORT LEG SPLINT ER | $388.32 | $809.00 | $388.32–$728.10 | — | 52% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 SREP S/N/A/G/TR/E 2.5 OR LESS TX RM DRM | $254.88 | $531.00 | $162.96–$497.03 | 2% below | 52% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 RPR S/N/AX/GEN/TRNK 2.5 CM OR LESS TX RM PLS | $254.88 | $531.00 | $162.96–$497.03 | 2% below | 52% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 SREP S/N/A/G/TR/E 2.5 OR LESS TX RM PCC | $254.88 | $531.00 | $162.96–$497.03 | 2% below | 52% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 SREP S//G/TR/E 2.5CM OR LESS ER | $353.76 | $737.00 | $162.96–$663.30 | 36% above | 52% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 SREP S/N/A/G/TR/E 2.5 OR LESS TX RM DRM | $254.88 | $531.00 | $254.88–$477.90 | — | 52% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 RPR S/N/AX/GEN/TRNK 2.5 CM OR LESS TX RM PLS | $254.88 | $531.00 | $254.88–$477.90 | — | 52% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 SREP S/N/A/G/TR/E 2.5 OR LESS TX RM PCC | $254.88 | $531.00 | $254.88–$477.90 | — | 52% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 SREP S//G/TR/E 2.5CM OR LESS ER | $353.76 | $737.00 | $353.76–$663.30 | — | 52% |
| Skin biopsy, punch, one lesion CPT 11104 PUNCH BX SKIN SINGLE LESION TX RM DRM | $262.08 | $546.00 | $135.63–$989.94 | 48% below | 52% |
| Skin biopsy, punch, one lesion CPT 11104 PUNCH BX SKIN SINGLE LESION TX RM PCC | $262.08 | $546.00 | $135.63–$989.94 | 48% below | 52% |
| Skin biopsy, punch, one lesion CPT 11104 PUNCH BX SKIN SINGLE LESION TX RM PLS | $262.08 | $546.00 | $135.63–$989.94 | 48% below | 52% |
| Skin biopsy, punch, one lesion CPT 11104 PUNCH BX SKIN SINGLE LESION TX RM SUR | $262.08 | $546.00 | $135.63–$989.94 | 48% below | 52% |
| Skin biopsy, punch, one lesion CPT 11104 PUNCH BIOPSY SKIN SNG LES TX RM SED | $484.80 | $1,010.00 | $135.63–$989.94 | 4% below | 52% |
| Skin biopsy, punch, one lesion inpatient CPT 11104 PUNCH BX SKIN SINGLE LESION TX RM PCC | $262.08 | $546.00 | $262.08–$491.40 | — | 52% |
| Skin biopsy, punch, one lesion inpatient CPT 11104 PUNCH BX SKIN SINGLE LESION TX RM DRM | $262.08 | $546.00 | $262.08–$491.40 | — | 52% |
| Skin biopsy, punch, one lesion inpatient CPT 11104 PUNCH BX SKIN SINGLE LESION TX RM SUR | $262.08 | $546.00 | $262.08–$491.40 | — | 52% |
| Skin biopsy, punch, one lesion inpatient CPT 11104 PUNCH BX SKIN SINGLE LESION TX RM PLS | $262.08 | $546.00 | $262.08–$491.40 | — | 52% |
| Skin biopsy, punch, one lesion inpatient CPT 11104 PUNCH BIOPSY SKIN SNG LES TX RM SED | $484.80 | $1,010.00 | $484.80–$909.00 | — | 52% |
| Skin tag removal, up to 15 tags CPT 11200 REM SKIN TAGS; UP TO 15 TX RM OTO | $431.52 | $899.00 | $162.96–$809.10 | 192% above | 52% |
| Skin tag removal, up to 15 tags CPT 11200 REM SKIN TAGS; UP TO 15 TX RM PCC | $431.52 | $899.00 | $162.96–$809.10 | 192% above | 52% |
| Skin tag removal, up to 15 tags CPT 11200 REM SKIN TAGS LESS THAN 15 LESIONS TX URO | $431.52 | $899.00 | $162.96–$809.10 | 192% above | 52% |
| Skin tag removal, up to 15 tags CPT 11200 REM SKIN TAGS; TO 15 TX RM DRM | $431.52 | $899.00 | $162.96–$809.10 | 192% above | 52% |
| Skin tag removal, up to 15 tags CPT 11200 REM SKIN TAGS; TO 15 TX RM PLS | $431.52 | $899.00 | $162.96–$809.10 | 192% above | 52% |
| Skin tag removal, up to 15 tags CPT 11200 REM SKIN TAGS; UP TO 15 TX RM ENT | $431.52 | $899.00 | $162.96–$809.10 | 192% above | 52% |
| Skin tag removal, up to 15 tags inpatient CPT 11200 REM SKIN TAGS; UP TO 15 TX RM OTO | $431.52 | $899.00 | $431.52–$809.10 | — | 52% |
| Skin tag removal, up to 15 tags inpatient CPT 11200 REM SKIN TAGS; UP TO 15 TX RM ENT | $431.52 | $899.00 | $431.52–$809.10 | — | 52% |
| Skin tag removal, up to 15 tags inpatient CPT 11200 REM SKIN TAGS; TO 15 TX RM DRM | $431.52 | $899.00 | $431.52–$809.10 | — | 52% |
| Skin tag removal, up to 15 tags inpatient CPT 11200 REM SKIN TAGS; TO 15 TX RM PLS | $431.52 | $899.00 | $431.52–$809.10 | — | 52% |
| Skin tag removal, up to 15 tags inpatient CPT 11200 REM SKIN TAGS; UP TO 15 TX RM PCC | $431.52 | $899.00 | $431.52–$809.10 | — | 52% |
| Skin tag removal, up to 15 tags inpatient CPT 11200 REM SKIN TAGS LESS THAN 15 LESIONS TX URO | $431.52 | $899.00 | $431.52–$809.10 | — | 52% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 LUMBAR PUNCTURE TX RM BMT | $353.76 | $737.00 | $235.23–$1,716.85 | 36% below | 52% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 LUMBAR PUNCTURE TX RM PCC | $353.76 | $737.00 | $235.23–$1,716.85 | 36% below | 52% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 LUMBAR PUNCTURE TX RM HMO | $353.76 | $737.00 | $235.23–$1,716.85 | 36% below | 52% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 LUMBAR PUNCTURE ER | $491.04 | $1,023.00 | $235.23–$1,716.85 | 11% below | 52% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 DX LUMBAR SPIN PUNCT TX RM SED | $653.76 | $1,362.00 | $235.23–$1,716.85 | 18% above | 52% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 SPINAL PUNCTURE LUMBAR DIAGNOSTIC TX RM IR | $908.16 | $1,892.00 | $235.23–$1,716.85 | 64% above | 52% |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 LUMBAR PUNCTURE TX RM HMO | $353.76 | $737.00 | $353.76–$663.30 | — | 52% |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 LUMBAR PUNCTURE TX RM BMT | $353.76 | $737.00 | $353.76–$663.30 | — | 52% |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 LUMBAR PUNCTURE TX RM PCC | $353.76 | $737.00 | $353.76–$663.30 | — | 52% |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 LUMBAR PUNCTURE ER | $491.04 | $1,023.00 | $491.04–$920.70 | — | 52% |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 DX LUMBAR SPIN PUNCT TX RM SED | $653.76 | $1,362.00 | $653.76–$1,225.80 | — | 52% |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 SPINAL PUNCTURE LUMBAR DIAGNOSTIC TX RM IR | $908.16 | $1,892.00 | $908.16–$1,702.80 | — | 52% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 SREPS/N/A/G/TR/E; 2.6-7.5CM TX RM TPC | $332.64 | $693.00 | $162.96–$623.70 | 2% above | 52% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 SREPS/N/A/G/TR/E; 2.6-7.5CM TX RM DRM | $332.64 | $693.00 | $162.96–$623.70 | 2% above | 52% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 SREPS//G/TR/E 2.6 THRU 7.5 CM ER | $462.24 | $963.00 | $162.96–$866.70 | 42% above | 52% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 SREPS/N/A/G/TR/E; 2.6-7.5CM TX RM TPC | $332.64 | $693.00 | $332.64–$623.70 | — | 52% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 SREPS/N/A/G/TR/E; 2.6-7.5CM TX RM DRM | $332.64 | $693.00 | $332.64–$623.70 | — | 52% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 SREPS//G/TR/E 2.6 THRU 7.5 CM ER | $462.24 | $963.00 | $462.24–$866.70 | — | 52% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 SREP F/E/N/L/MM; 2.5CM OR LESS TX RM ENT | $311.52 | $649.00 | $72.07–$584.10 | 2% above | 52% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 SREP F/E/N/L/MM; 2.5CM OR LESS TX RM PLS | $311.52 | $649.00 | $72.07–$584.10 | 2% above | 52% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 SREP F/E/N/L/MM 2.5 CM OR LESS ER | $432.96 | $902.00 | $72.07–$811.80 | 42% above | 52% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 SREP F/E/N/L/MM; 2.5CM OR LESS TX RM PLS | $311.52 | $649.00 | $311.52–$584.10 | — | 52% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 SREP F/E/N/L/MM; 2.5CM OR LESS TX RM ENT | $311.52 | $649.00 | $311.52–$584.10 | — | 52% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 SREP F/E/N/L/MM 2.5 CM OR LESS ER | $432.96 | $902.00 | $432.96–$811.80 | — | 52% |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 TANGNTL BX SKIN SINGLE LESION TX RM DRM | $211.20 | $440.00 | $132.47–$497.03 | 23% below | 52% |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 TANGNTL BX SKIN SINGLE LESION TX RM SUR | $211.20 | $440.00 | $132.47–$497.03 | 23% below | 52% |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 TANGNTL BX SKIN SINGLE LESION TX RM RHB | $211.20 | $440.00 | $132.47–$497.03 | 23% below | 52% |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 TANGNTL BX SKIN SINGLE LESION TX RM PLS | $211.20 | $440.00 | $132.47–$497.03 | 23% below | 52% |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 TANGNTL BX SKIN SINGLE LESION TX RM PCC | $211.20 | $440.00 | $132.47–$497.03 | 23% below | 52% |
| Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 TANGNTL BX SKIN SINGLE LESION TX RM PCC | $211.20 | $440.00 | $211.20–$396.00 | — | 52% |
| Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 TANGNTL BX SKIN SINGLE LESION TX RM SUR | $211.20 | $440.00 | $211.20–$396.00 | — | 52% |
| Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 TANGNTL BX SKIN SINGLE LESION TX RM PLS | $211.20 | $440.00 | $211.20–$396.00 | — | 52% |
| Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 TANGNTL BX SKIN SINGLE LESION TX RM RHB | $211.20 | $440.00 | $211.20–$396.00 | — | 52% |
| Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 TANGNTL BX SKIN SINGLE LESION TX RM DRM | $211.20 | $440.00 | $211.20–$396.00 | — | 52% |
| Thoracentesis with imaging guidance CPT 32555 ASPIR PLEURA W/IMG | $847.68 | $1,766.00 | $292.71–$1,589.40 | 13% below | 52% |
| Thoracentesis with imaging guidance CPT 32555 ASPIRATE PLEURA W/IMAGING TX RM IR | $1,567.20 | $3,265.00 | $292.71–$2,938.50 | 62% above | 52% |
| Thoracentesis with imaging guidance inpatient CPT 32555 ASPIR PLEURA W/IMG | $847.68 | $1,766.00 | $847.68–$1,589.40 | — | 52% |
| Thoracentesis with imaging guidance inpatient CPT 32555 ASPIRATE PLEURA W/IMAGING TX RM IR | $1,567.20 | $3,265.00 | $1,567.20–$2,938.50 | — | 52% |
| Trigger point injections, 1 or 2 muscles CPT 20552 INJ TRIGGER POINT 1 OR 2 MUSCLE TX RM RHB | $209.28 | $436.00 | $178.76–$735.32 | at median | 52% |
| Trigger point injections, 1 or 2 muscles CPT 20552 INJ TRIGGER POINT 1 OR 2 MUSCLE TX ROOM NUR | $209.28 | $436.00 | $178.76–$735.32 | at median | 52% |
| Trigger point injections, 1 or 2 muscles CPT 20552 INJ TRIGGER POINT 1 OR 2 MUSCLE TX RM ORTH | $209.28 | $436.00 | $178.76–$735.32 | at median | 52% |
| Trigger point injections, 1 or 2 muscles CPT 20552 INJ TRIGGER POINT 1 OR 2 MUSCLE TX ROOM PNM | $209.28 | $436.00 | $178.76–$735.32 | at median | 52% |
| Trigger point injections, 1 or 2 muscles CPT 20552 INJ TRIGGER POINT 1 OR 2 MUSCLE(S) ER | $290.40 | $605.00 | $201.80–$735.32 | 39% above | 52% |
| Trigger point injections, 1 or 2 muscles CPT 20552 INJ TRIGGER POINT 1/2 MUSCL TX RM IR | $537.12 | $1,119.00 | $201.80–$1,007.10 | 157% above | 52% |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 INJ TRIGGER POINT 1 OR 2 MUSCLE TX RM RHB | $209.28 | $436.00 | $209.28–$392.40 | — | 52% |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 INJ TRIGGER POINT 1 OR 2 MUSCLE TX ROOM PNM | $209.28 | $436.00 | $209.28–$392.40 | — | 52% |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 INJ TRIGGER POINT 1 OR 2 MUSCLE TX ROOM NUR | $209.28 | $436.00 | $209.28–$392.40 | — | 52% |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 INJ TRIGGER POINT 1 OR 2 MUSCLE TX RM ORTH | $209.28 | $436.00 | $209.28–$392.40 | — | 52% |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 INJ TRIGGER POINT 1 OR 2 MUSCLE(S) ER | $290.40 | $605.00 | $290.40–$544.50 | — | 52% |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 INJ TRIGGER POINT 1/2 MUSCL TX RM IR | $537.12 | $1,119.00 | $537.12–$1,007.10 | — | 52% |
| Upper endoscopy (EGD) with biopsy CPT 43239 EGD TRANSORAL BIOPSY SNG/MULT TX RM SED | $1,429.92 | $2,979.00 | $308.33–$2,681.10 | 9% above | 52% |
| Upper endoscopy (EGD) with biopsy inpatient CPT 43239 EGD TRANSORAL BIOPSY SNG/MULT TX RM SED | $1,429.92 | $2,979.00 | $1,429.92–$2,681.10 | — | 52% |
| Upper endoscopy (EGD), diagnostic CPT 43235 UPPER GI ENDOSCOPY DIAGNOSTIC ENT | $686.40 | $1,430.00 | $308.33–$2,250.47 | 46% below | 52% |
| Upper endoscopy (EGD), diagnostic inpatient CPT 43235 UPPER GI ENDOSCOPY DIAGNOSTIC ENT | $686.40 | $1,430.00 | $686.40–$1,287.00 | — | 52% |
| Wart removal, up to 14 warts CPT 17110 DESTRUCT B9 LESION 1-14 TX RM BCN | $382.08 | $796.00 | $162.96–$716.40 | 109% above | 52% |
| Wart removal, up to 14 warts CPT 17110 DESTRUCT B9 LESION 1 TO 14 TX RM DRM | $382.08 | $796.00 | $162.96–$716.40 | 109% above | 52% |
| Wart removal, up to 14 warts CPT 17110 DESTRUCT B9 LESION 1 TO 14 TX RM TPC | $382.08 | $796.00 | $162.96–$716.40 | 109% above | 52% |
| Wart removal, up to 14 warts CPT 17110 DESTRUCT B9 LESION 1-14 TX RM SUR | $382.08 | $796.00 | $162.96–$716.40 | 109% above | 52% |
| Wart removal, up to 14 warts CPT 17110 DESTRUCT B9 LESION 1-14 TX RM PLS | $382.08 | $796.00 | $162.96–$716.40 | 109% above | 52% |
| Wart removal, up to 14 warts CPT 17110 DESTRUCT B9 LESION 1 TO 14 TX RM PCC | $382.08 | $796.00 | $162.96–$716.40 | 109% above | 52% |
| Wart removal, up to 14 warts CPT 17110 DESTRUCT FLAT WART UP TO 14 | $530.88 | $1,106.00 | $162.96–$995.40 | 190% above | 52% |
| Wart removal, up to 14 warts inpatient CPT 17110 DESTRUCT B9 LESION 1 TO 14 TX RM TPC | $382.08 | $796.00 | $382.08–$716.40 | — | 52% |
| Wart removal, up to 14 warts inpatient CPT 17110 DESTRUCT B9 LESION 1 TO 14 TX RM DRM | $382.08 | $796.00 | $382.08–$716.40 | — | 52% |
| Wart removal, up to 14 warts inpatient CPT 17110 DESTRUCT B9 LESION 1-14 TX RM BCN | $382.08 | $796.00 | $382.08–$716.40 | — | 52% |
| Wart removal, up to 14 warts inpatient CPT 17110 DESTRUCT B9 LESION 1-14 TX RM SUR | $382.08 | $796.00 | $382.08–$716.40 | — | 52% |
| Wart removal, up to 14 warts inpatient CPT 17110 DESTRUCT B9 LESION 1 TO 14 TX RM PCC | $382.08 | $796.00 | $382.08–$716.40 | — | 52% |
| Wart removal, up to 14 warts inpatient CPT 17110 DESTRUCT B9 LESION 1-14 TX RM PLS | $382.08 | $796.00 | $382.08–$716.40 | — | 52% |
| Wart removal, up to 14 warts inpatient CPT 17110 DESTRUCT FLAT WART UP TO 14 | $530.88 | $1,106.00 | $530.88–$995.40 | — | 52% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEB SUBQ TISSUE 20 SQ CM OR LESS TX RM PLS | $338.40 | $705.00 | $289.05–$989.94 | 4% below | 52% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEB SUBQ TISSUE 20 SQ CM OR LES TX RM SUR | $338.40 | $705.00 | $289.05–$989.94 | 4% below | 52% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEB SUBQ TISSUE 20 SQ CM OR LESS ER | $469.92 | $979.00 | $300.30–$989.94 | 33% above | 52% |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 DEB SUBQ TISSUE 20 SQ CM OR LESS TX RM PLS | $338.40 | $705.00 | $338.40–$634.50 | — | 52% |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 DEB SUBQ TISSUE 20 SQ CM OR LES TX RM SUR | $338.40 | $705.00 | $338.40–$634.50 | — | 52% |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 DEB SUBQ TISSUE 20 SQ CM OR LESS ER | $469.92 | $979.00 | $469.92–$881.10 | — | 52% |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Kansas | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION BLOOD OR BLOOD COMPONENTS TX RM ER | $314.40 | $655.00 | $268.55–$1,077.72 | 46% below | 52% |
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSFUSION TX RM HMO | $727.68 | $1,516.00 | $270.27–$1,364.40 | 26% above | 52% |
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSFUSION TX RM INF | $727.68 | $1,516.00 | $270.27–$1,364.40 | 26% above | 52% |
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSFUSION TX RM BMT | $727.68 | $1,516.00 | $270.27–$1,364.40 | 26% above | 52% |
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSFUSION TX RM KID | $727.68 | $1,516.00 | $270.27–$1,364.40 | 26% above | 52% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSFUSION BLOOD OR BLOOD COMPONENTS TX RM ER | $314.40 | $655.00 | $314.40–$589.50 | — | 52% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD TRANSFUSION TX RM KID | $727.68 | $1,516.00 | $727.68–$1,364.40 | — | 52% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD TRANSFUSION TX RM INF | $727.68 | $1,516.00 | $727.68–$1,364.40 | — | 52% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD TRANSFUSION TX RM BMT | $727.68 | $1,516.00 | $727.68–$1,364.40 | — | 52% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD TRANSFUSION TX RM HMO | $727.68 | $1,516.00 | $727.68–$1,364.40 | — | 52% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 AIRWAY INHALATION TRTMNT MDI | $86.88 | $181.00 | $72.54–$529.54 | 32% below | 52% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 INHALATION TRMT TX RM TPC | $86.88 | $181.00 | $72.54–$529.54 | 32% below | 52% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 INHALATION TRMT TX RM ALG | $86.88 | $181.00 | $72.54–$529.54 | 32% below | 52% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 INHALATION TRMT TX RM SCC | $86.88 | $181.00 | $72.54–$529.54 | 32% below | 52% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 AIRWY INHALATION TREATMENT | $86.88 | $181.00 | $72.54–$529.54 | 32% below | 52% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 TRMNT MEDICATION AEROSOL PUT | $86.88 | $181.00 | $72.54–$529.54 | 32% below | 52% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 AIRWY INHALATION TREATMENT | $86.88 | $181.00 | $86.88–$162.90 | — | 52% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 INHALATION TRMT TX RM TPC | $86.88 | $181.00 | $86.88–$162.90 | — | 52% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 INHALATION TRMT TX RM ALG | $86.88 | $181.00 | $86.88–$162.90 | — | 52% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 INHALATION TRMT TX RM SCC | $86.88 | $181.00 | $86.88–$162.90 | — | 52% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 TRMNT MEDICATION AEROSOL PUT | $86.88 | $181.00 | $86.88–$162.90 | — | 52% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 AIRWAY INHALATION TRTMNT MDI | $86.88 | $181.00 | $86.88–$162.90 | — | 52% |
| Chemotherapy IV infusion, first hour CPT 96413 CHEMO IV INFUSION UP TO 1 HOUR KID | $546.72 | $1,139.00 | $119.46–$1,025.10 | 40% above | 52% |
| Chemotherapy IV infusion, first hour CPT 96413 CHEMOTHERAPY INF 16-90 MIN | $546.72 | $1,139.00 | $119.46–$1,025.10 | 40% above | 52% |
| Chemotherapy IV infusion, first hour CPT 96413 CHEMO IV INFUSION UP TO 1 HOUR HMO | $546.72 | $1,139.00 | $119.46–$1,025.10 | 40% above | 52% |
| Chemotherapy IV infusion, first hour CPT 96413 CHEMO IV INFUSION UP TO 1 HOUR BMT | $546.72 | $1,139.00 | $119.46–$1,025.10 | 40% above | 52% |
| Chemotherapy IV infusion, first hour CPT 96413 CHEMO IV INFUSION UP TO 1 HOUR 4HN | $546.72 | $1,139.00 | $119.46–$1,025.10 | 40% above | 52% |
| Chemotherapy IV infusion, first hour inpatient CPT 96413 CHEMO IV INFUSION UP TO 1 HOUR HMO | $546.72 | $1,139.00 | $546.72–$1,025.10 | — | 52% |
| Chemotherapy IV infusion, first hour inpatient CPT 96413 CHEMOTHERAPY INF 16-90 MIN | $546.72 | $1,139.00 | $546.72–$1,025.10 | — | 52% |
| Chemotherapy IV infusion, first hour inpatient CPT 96413 CHEMO IV INFUSION UP TO 1 HOUR 4HN | $546.72 | $1,139.00 | $546.72–$1,025.10 | — | 52% |
| Chemotherapy IV infusion, first hour inpatient CPT 96413 CHEMO IV INFUSION UP TO 1 HOUR KID | $546.72 | $1,139.00 | $546.72–$1,025.10 | — | 52% |
| Chemotherapy IV infusion, first hour inpatient CPT 96413 CHEMO IV INFUSION UP TO 1 HOUR BMT | $546.72 | $1,139.00 | $546.72–$1,025.10 | — | 52% |
| Comprehensive hearing test: tone and speech audiometry, both ears CPT 92557 AUD EVAL COMP/AIR/BONE/SRT/SDT | $89.28 | $186.00 | $53.13–$387.81 | 26% below | 52% |
| Comprehensive hearing test: tone and speech audiometry, both ears inpatient CPT 92557 AUD EVAL COMP/AIR/BONE/SRT/SDT | $89.28 | $186.00 | $89.28–$167.40 | — | 52% |
| Critical care, first 30 to 74 minutes CPT 99291 CRIT CARE 1ST HOUR 30 THRU 74 MIN ER | $2,608.80 | $5,435.00 | $722.30–$4,891.50 | 84% above | 52% |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 CRIT CARE 1ST HOUR 30 THRU 74 MIN ER | $2,608.80 | $5,435.00 | $2,608.80–$4,891.50 | — | 52% |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 EEG INCLUDING RECORDING AWAKE AND DROWSY | $1,109.76 | $2,312.00 | $106.76–$2,080.80 | 73% above | 52% |
| EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 EEG INCLUDING RECORDING AWAKE AND DROWSY | $1,109.76 | $2,312.00 | $1,109.76–$2,080.80 | — | 52% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 12 LEAD EKG; TRACING ONLY PCC | $348.48 | $726.00 | $21.90–$653.40 | 118% above | 52% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 12 LEAD EKG; TRACING ONLY DRM | $348.48 | $726.00 | $21.90–$653.40 | 118% above | 52% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ECG ROUTINE 12 LEAD CARD SECT CAR Tech | $348.48 | $726.00 | $21.90–$653.40 | 118% above | 52% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 12 LEAD EKG; TRACING ONLY DRM | $348.48 | $726.00 | $348.48–$653.40 | — | 52% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 ECG ROUTINE 12 LEAD CARD SECT CAR Tech | $348.48 | $726.00 | $348.48–$653.40 | — | 52% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 12 LEAD EKG; TRACING ONLY PCC | $348.48 | $726.00 | $348.48–$653.40 | — | 52% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 LVL 1 EMERGENCY ROOM | $181.44 | $378.00 | $72.26–$340.20 | 14% below | 52% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 LVL 1 EMERGENCY ROOM | $181.44 | $378.00 | $181.44–$340.20 | — | 52% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 LVL 2 EMERGENCY ROOM | $511.68 | $1,066.00 | $133.13–$959.40 | 56% above | 52% |
| Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 LVL 2 EMERGENCY ROOM | $511.68 | $1,066.00 | $511.68–$959.40 | — | 52% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 LVL 3 EMERGENCY ROOM | $875.04 | $1,823.00 | $232.25–$1,640.70 | 70% above | 52% |
| Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 LVL 3 EMERGENCY ROOM | $875.04 | $1,823.00 | $875.04–$1,640.70 | — | 52% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 LVL 4 EMERGENCY ROOM | $1,477.92 | $3,079.00 | $360.52–$2,771.10 | 75% above | 52% |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 LVL 4 EMERGENCY ROOM | $1,477.92 | $3,079.00 | $1,477.92–$2,771.10 | — | 52% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 LVL 5 EMERGENCY ROOM | $2,142.24 | $4,463.00 | $522.83–$4,016.70 | 63% above | 52% |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 LVL 5 EMERGENCY ROOM | $2,142.24 | $4,463.00 | $2,142.24–$4,016.70 | — | 52% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 MONITOR STRESS TEST STR | $1,689.12 | $3,519.00 | $106.76–$3,167.10 | 203% above | 52% |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 MONITOR STRESS TEST STR | $1,689.12 | $3,519.00 | $1,689.12–$3,167.10 | — | 52% |
| Family therapy without the patient, 50 minutes CPT 90846 EATING DISORDER FAMILY THER WO PT 50 MIN | $255.36 | $532.00 | $129.78–$478.80 | 9% above | 52% |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 EATING DISORDER FAMILY THER WO PT 50 MIN | $255.36 | $532.00 | $255.36–$478.80 | — | 52% |
| Group psychotherapy session CPT 90853 EATING DISORDER GROUP THER NOT MULTI FAMILY EAT | $105.60 | $220.00 | $72.55–$221.28 | 60% below | 52% |
| Group psychotherapy session inpatient CPT 90853 EATING DISORDER GROUP THER NOT MULTI FAMILY EAT | $105.60 | $220.00 | $105.60–$198.00 | — | 52% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV INF HYDRATION 1ST HR BMT | $183.36 | $382.00 | $52.30–$532.13 | 26% below | 52% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV INF HYDRATION 1ST HR BCN | $183.36 | $382.00 | $52.30–$532.13 | 26% below | 52% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV INF HYDRATION 1ST HR ADO | $183.36 | $382.00 | $52.30–$532.13 | 26% below | 52% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HYDRATION IV INFUSION INIT 31 TO 60MIN TX RM PAW | $183.36 | $382.00 | $52.30–$532.13 | 26% below | 52% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV INF HYDRATION INIT 31-60 MINUTES ALG | $183.36 | $382.00 | $52.30–$532.13 | 26% below | 52% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV INF HYDRATION INIT 31-60 MIN SCC | $183.36 | $382.00 | $52.30–$532.13 | 26% below | 52% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV INF HYDRATION INIT 31-60 MIN INF | $183.36 | $382.00 | $52.30–$532.13 | 26% below | 52% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV INF HYDRATION 1ST HR TPC | $183.36 | $382.00 | $52.30–$532.13 | 26% below | 52% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV INF HYDRATION 1ST HR PCC | $183.36 | $382.00 | $52.30–$532.13 | 26% below | 52% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV INF HYDRATION 1ST HR NUR | $183.36 | $382.00 | $52.30–$532.13 | 26% below | 52% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV INF HYDRATION 1ST HR KID | $183.36 | $382.00 | $52.30–$532.13 | 26% below | 52% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV INF HYDRATION 1ST HR INF | $183.36 | $382.00 | $52.30–$532.13 | 26% below | 52% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV INF HYDRATION 1ST HR HMO | $183.36 | $382.00 | $52.30–$532.13 | 26% below | 52% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV INF HYDRATION 1ST HR GAS | $183.36 | $382.00 | $52.30–$532.13 | 26% below | 52% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV INF HYDRATION 1ST HR END | $183.36 | $382.00 | $52.30–$532.13 | 26% below | 52% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV INF HYDRATION INIT 31-60 MINUTES ER | $258.72 | $539.00 | $52.30–$532.13 | 5% above | 52% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV INF HYDRATION 1ST HR HMO | $183.36 | $382.00 | $183.36–$343.80 | — | 52% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV INF HYDRATION 1ST HR BCN | $183.36 | $382.00 | $183.36–$343.80 | — | 52% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV INF HYDRATION 1ST HR INF | $183.36 | $382.00 | $183.36–$343.80 | — | 52% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV INF HYDRATION 1ST HR BMT | $183.36 | $382.00 | $183.36–$343.80 | — | 52% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV INF HYDRATION 1ST HR KID | $183.36 | $382.00 | $183.36–$343.80 | — | 52% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV INF HYDRATION 1ST HR ADO | $183.36 | $382.00 | $183.36–$343.80 | — | 52% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV INF HYDRATION 1ST HR NUR | $183.36 | $382.00 | $183.36–$343.80 | — | 52% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV INF HYDRATION 1ST HR GAS | $183.36 | $382.00 | $183.36–$343.80 | — | 52% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV INF HYDRATION 1ST HR PCC | $183.36 | $382.00 | $183.36–$343.80 | — | 52% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV INF HYDRATION 1ST HR TPC | $183.36 | $382.00 | $183.36–$343.80 | — | 52% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV INF HYDRATION 1ST HR END | $183.36 | $382.00 | $183.36–$343.80 | — | 52% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV INF HYDRATION INIT 31-60 MIN INF | $183.36 | $382.00 | $183.36–$343.80 | — | 52% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HYDRATION IV INFUSION INIT 31 TO 60MIN TX RM PAW | $183.36 | $382.00 | $183.36–$343.80 | — | 52% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV INF HYDRATION INIT 31-60 MIN SCC | $183.36 | $382.00 | $183.36–$343.80 | — | 52% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV INF HYDRATION INIT 31-60 MINUTES ALG | $183.36 | $382.00 | $183.36–$343.80 | — | 52% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV INF HYDRATION INIT 31-60 MINUTES ER | $258.72 | $539.00 | $258.72–$485.10 | — | 52% |
| IV infusion of a medicine, first hour CPT 96365 IV INFUSION 1ST HR END | $361.44 | $753.00 | $91.29–$677.70 | 33% above | 52% |
| IV infusion of a medicine, first hour CPT 96365 IV INFUSION 1ST HR PCC | $361.44 | $753.00 | $91.29–$677.70 | 33% above | 52% |
| IV infusion of a medicine, first hour CPT 96365 IV INFUSION 1ST HR BCN | $361.44 | $753.00 | $91.29–$677.70 | 33% above | 52% |
| IV infusion of a medicine, first hour CPT 96365 THER/PROPH/DIAG IV INF INIT HR TX RM RHB | $361.44 | $753.00 | $91.29–$677.70 | 33% above | 52% |
| IV infusion of a medicine, first hour CPT 96365 IV INFUSION 1ST HR DIA | $361.44 | $753.00 | $91.29–$677.70 | 33% above | 52% |
| IV infusion of a medicine, first hour CPT 96365 THER/PROPH/DIAG IV INF INIT TX RM VAC | $361.44 | $753.00 | $91.29–$677.70 | 33% above | 52% |
| IV infusion of a medicine, first hour CPT 96365 IV INFUSION 1ST HR ALG | $361.44 | $753.00 | $91.29–$677.70 | 33% above | 52% |
| IV infusion of a medicine, first hour CPT 96365 IV INFUSION 1ST HR NUR | $361.44 | $753.00 | $91.29–$677.70 | 33% above | 52% |
| IV infusion of a medicine, first hour CPT 96365 IV INFUSION 1ST HR TPC | $361.44 | $753.00 | $91.29–$677.70 | 33% above | 52% |
| IV infusion of a medicine, first hour CPT 96365 IV INFUSION 1ST HR SCC | $361.44 | $753.00 | $91.29–$677.70 | 33% above | 52% |
| IV infusion of a medicine, first hour CPT 96365 THER/PROPH/DIAG IV INF INIT HR TX RM PAW | $361.44 | $753.00 | $91.29–$677.70 | 33% above | 52% |
| IV infusion of a medicine, first hour CPT 96365 IV INFUSION 1ST HR KID | $361.44 | $753.00 | $91.29–$677.70 | 33% above | 52% |
| IV infusion of a medicine, first hour CPT 96365 IV INFUSION 1ST HR FHC | $361.44 | $753.00 | $91.29–$677.70 | 33% above | 52% |
| IV infusion of a medicine, first hour CPT 96365 IV INFUSION 1ST HR INF 16-90 MIN | $361.44 | $753.00 | $91.29–$677.70 | 33% above | 52% |
| IV infusion of a medicine, first hour CPT 96365 IV INFUSION 1ST HR HDC | $361.44 | $753.00 | $91.29–$677.70 | 33% above | 52% |
| IV infusion of a medicine, first hour CPT 96365 IV INFUSION 1ST HR HMO | $361.44 | $753.00 | $91.29–$677.70 | 33% above | 52% |
| IV infusion of a medicine, first hour CPT 96365 IV INFUSION 1ST HR BMT | $361.44 | $753.00 | $91.29–$677.70 | 33% above | 52% |
| IV infusion of a medicine, first hour CPT 96365 IV INFUSION 1ST HR ER | $509.76 | $1,062.00 | $91.29–$955.80 | 87% above | 52% |
| IV infusion of a medicine, first hour inpatient CPT 96365 IV INFUSION 1ST HR NUR | $361.44 | $753.00 | $361.44–$677.70 | — | 52% |
| IV infusion of a medicine, first hour inpatient CPT 96365 IV INFUSION 1ST HR PCC | $361.44 | $753.00 | $361.44–$677.70 | — | 52% |
| IV infusion of a medicine, first hour inpatient CPT 96365 IV INFUSION 1ST HR SCC | $361.44 | $753.00 | $361.44–$677.70 | — | 52% |
| IV infusion of a medicine, first hour inpatient CPT 96365 IV INFUSION 1ST HR END | $361.44 | $753.00 | $361.44–$677.70 | — | 52% |
| IV infusion of a medicine, first hour inpatient CPT 96365 IV INFUSION 1ST HR TPC | $361.44 | $753.00 | $361.44–$677.70 | — | 52% |
| IV infusion of a medicine, first hour inpatient CPT 96365 THER/PROPH/DIAG IV INF INIT HR TX RM PAW | $361.44 | $753.00 | $361.44–$677.70 | — | 52% |
| IV infusion of a medicine, first hour inpatient CPT 96365 THER/PROPH/DIAG IV INF INIT HR TX RM RHB | $361.44 | $753.00 | $361.44–$677.70 | — | 52% |
| IV infusion of a medicine, first hour inpatient CPT 96365 IV INFUSION 1ST HR DIA | $361.44 | $753.00 | $361.44–$677.70 | — | 52% |
| IV infusion of a medicine, first hour inpatient CPT 96365 IV INFUSION 1ST HR BMT | $361.44 | $753.00 | $361.44–$677.70 | — | 52% |
| IV infusion of a medicine, first hour inpatient CPT 96365 THER/PROPH/DIAG IV INF INIT TX RM VAC | $361.44 | $753.00 | $361.44–$677.70 | — | 52% |
| IV infusion of a medicine, first hour inpatient CPT 96365 IV INFUSION 1ST HR BCN | $361.44 | $753.00 | $361.44–$677.70 | — | 52% |
| IV infusion of a medicine, first hour inpatient CPT 96365 IV INFUSION 1ST HR ALG | $361.44 | $753.00 | $361.44–$677.70 | — | 52% |
| IV infusion of a medicine, first hour inpatient CPT 96365 IV INFUSION 1ST HR HMO | $361.44 | $753.00 | $361.44–$677.70 | — | 52% |
| IV infusion of a medicine, first hour inpatient CPT 96365 IV INFUSION 1ST HR INF 16-90 MIN | $361.44 | $753.00 | $361.44–$677.70 | — | 52% |
| IV infusion of a medicine, first hour inpatient CPT 96365 IV INFUSION 1ST HR KID | $361.44 | $753.00 | $361.44–$677.70 | — | 52% |
| IV infusion of a medicine, first hour inpatient CPT 96365 IV INFUSION 1ST HR HDC | $361.44 | $753.00 | $361.44–$677.70 | — | 52% |
| IV infusion of a medicine, first hour inpatient CPT 96365 IV INFUSION 1ST HR FHC | $361.44 | $753.00 | $361.44–$677.70 | — | 52% |
| IV infusion of a medicine, first hour inpatient CPT 96365 IV INFUSION 1ST HR ER | $509.76 | $1,062.00 | $509.76–$955.80 | — | 52% |
| IV push of a medicine, first drug CPT 96374 THER/DIAG INJ; IV PUSH, INIT END | $209.76 | $437.00 | $25.64–$532.13 | 3% below | 52% |
| IV push of a medicine, first drug CPT 96374 THER/DIAG INJECT IV PUSH INITAL 15 MIN OR LESS | $209.76 | $437.00 | $25.64–$532.13 | 3% below | 52% |
| IV push of a medicine, first drug CPT 96374 THER/DIAG INJ; IV PUSH, INIT GAS | $209.76 | $437.00 | $25.64–$532.13 | 3% below | 52% |
| IV push of a medicine, first drug CPT 96374 THER/DIAG INJ; IV PUSH, INIT HDC | $209.76 | $437.00 | $25.64–$532.13 | 3% below | 52% |
| IV push of a medicine, first drug CPT 96374 THER/DIAG INJ; IV PUSH, INIT HMO | $209.76 | $437.00 | $25.64–$532.13 | 3% below | 52% |
| IV push of a medicine, first drug CPT 96374 THER/DIAG INJ; IV PUSH, INIT NUR | $209.76 | $437.00 | $25.64–$532.13 | 3% below | 52% |
| IV push of a medicine, first drug CPT 96374 THER/DIAG INJ; IV PUSH, INIT KID | $209.76 | $437.00 | $25.64–$532.13 | 3% below | 52% |
| IV push of a medicine, first drug CPT 96374 THER/DIAG INJ; IV PUSH, INIT SCC | $209.76 | $437.00 | $25.64–$532.13 | 3% below | 52% |
| IV push of a medicine, first drug CPT 96374 THER/DIAG INJ; IV PUSH, INIT RHU | $209.76 | $437.00 | $25.64–$532.13 | 3% below | 52% |
| IV push of a medicine, first drug CPT 96374 THER/DIAG INJ; IV PUSH, INIT DIA | $209.76 | $437.00 | $25.64–$532.13 | 3% below | 52% |
| IV push of a medicine, first drug CPT 96374 THER/DIAG INJ; IV PUSH, INIT BMT | $209.76 | $437.00 | $25.64–$532.13 | 3% below | 52% |
| IV push of a medicine, first drug CPT 96374 THER/DIAG INJ; IV PUSH, INIT SED | $209.76 | $437.00 | $25.64–$532.13 | 3% below | 52% |
| IV push of a medicine, first drug CPT 96374 THER/DIAG INJ; IV PUSH, INIT PCC | $209.76 | $437.00 | $25.64–$532.13 | 3% below | 52% |
| IV push of a medicine, first drug CPT 96374 THER/DIAG INJ; IV PUSH, INIT STR | $209.76 | $437.00 | $25.64–$532.13 | 3% below | 52% |
| IV push of a medicine, first drug CPT 96374 THER/DIAG INJ; IV PUSH, INIT PAW | $209.76 | $437.00 | $25.64–$532.13 | 3% below | 52% |
| IV push of a medicine, first drug CPT 96374 THER/DIAG INJ; IV PUSH, INIT TPC | $209.76 | $437.00 | $25.64–$532.13 | 3% below | 52% |
| IV push of a medicine, first drug CPT 96374 THER/DIAG INJ; IV PUSH, INIT ALG | $209.76 | $437.00 | $25.64–$532.13 | 3% below | 52% |
| IV push of a medicine, first drug CPT 96374 THER/DIAG INJ; IV PUSH, INIT BCN | $209.76 | $437.00 | $25.64–$532.13 | 3% below | 52% |
| IV push of a medicine, first drug CPT 96374 THER/DIAG INJ IV PUSH INIT ER | $295.68 | $616.00 | $25.64–$554.40 | 36% above | 52% |
| IV push of a medicine, first drug inpatient CPT 96374 THER/DIAG INJ; IV PUSH, INIT PCC | $209.76 | $437.00 | $209.76–$393.30 | — | 52% |
| IV push of a medicine, first drug inpatient CPT 96374 THER/DIAG INJ; IV PUSH, INIT RHU | $209.76 | $437.00 | $209.76–$393.30 | — | 52% |
| IV push of a medicine, first drug inpatient CPT 96374 THER/DIAG INJ; IV PUSH, INIT SCC | $209.76 | $437.00 | $209.76–$393.30 | — | 52% |
| IV push of a medicine, first drug inpatient CPT 96374 THER/DIAG INJ; IV PUSH, INIT SED | $209.76 | $437.00 | $209.76–$393.30 | — | 52% |
| IV push of a medicine, first drug inpatient CPT 96374 THER/DIAG INJ; IV PUSH, INIT STR | $209.76 | $437.00 | $209.76–$393.30 | — | 52% |
| IV push of a medicine, first drug inpatient CPT 96374 THER/DIAG INJ; IV PUSH, INIT TPC | $209.76 | $437.00 | $209.76–$393.30 | — | 52% |
| IV push of a medicine, first drug inpatient CPT 96374 THER/DIAG INJECT IV PUSH INITAL 15 MIN OR LESS | $209.76 | $437.00 | $209.76–$393.30 | — | 52% |
| IV push of a medicine, first drug inpatient CPT 96374 THER/DIAG INJ; IV PUSH, INIT KID | $209.76 | $437.00 | $209.76–$393.30 | — | 52% |
| IV push of a medicine, first drug inpatient CPT 96374 THER/DIAG INJ; IV PUSH, INIT HMO | $209.76 | $437.00 | $209.76–$393.30 | — | 52% |
| IV push of a medicine, first drug inpatient CPT 96374 THER/DIAG INJ; IV PUSH, INIT HDC | $209.76 | $437.00 | $209.76–$393.30 | — | 52% |
| IV push of a medicine, first drug inpatient CPT 96374 THER/DIAG INJ; IV PUSH, INIT GAS | $209.76 | $437.00 | $209.76–$393.30 | — | 52% |
| IV push of a medicine, first drug inpatient CPT 96374 THER/DIAG INJ; IV PUSH, INIT END | $209.76 | $437.00 | $209.76–$393.30 | — | 52% |
| IV push of a medicine, first drug inpatient CPT 96374 THER/DIAG INJ; IV PUSH, INIT DIA | $209.76 | $437.00 | $209.76–$393.30 | — | 52% |
| IV push of a medicine, first drug inpatient CPT 96374 THER/DIAG INJ; IV PUSH, INIT BMT | $209.76 | $437.00 | $209.76–$393.30 | — | 52% |
| IV push of a medicine, first drug inpatient CPT 96374 THER/DIAG INJ; IV PUSH, INIT BCN | $209.76 | $437.00 | $209.76–$393.30 | — | 52% |
| IV push of a medicine, first drug inpatient CPT 96374 THER/DIAG INJ; IV PUSH, INIT ALG | $209.76 | $437.00 | $209.76–$393.30 | — | 52% |
| IV push of a medicine, first drug inpatient CPT 96374 THER/DIAG INJ; IV PUSH, INIT NUR | $209.76 | $437.00 | $209.76–$393.30 | — | 52% |
| IV push of a medicine, first drug inpatient CPT 96374 THER/DIAG INJ; IV PUSH, INIT PAW | $209.76 | $437.00 | $209.76–$393.30 | — | 52% |
| IV push of a medicine, first drug inpatient CPT 96374 THER/DIAG INJ IV PUSH INIT ER | $295.68 | $616.00 | $295.68–$554.40 | — | 52% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 THER PROPH DIAG INJ SC IM TX RM DVM | $78.72 | $164.00 | $17.67–$174.89 | 16% above | 52% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 THER/PROPH/DIAG INJ SC/IM PLM | $78.72 | $164.00 | $17.67–$174.89 | 16% above | 52% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 THER/PROPH/DIAG INJ SC/IM TX RM DRM | $78.72 | $164.00 | $17.67–$174.89 | 16% above | 52% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 THER/PROPH/DIAG INJ SC/IM TX RM SCN | $78.72 | $164.00 | $17.67–$174.89 | 16% above | 52% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 THER/PROPH/DIAG INJ SC/IM TX RM URO | $78.72 | $164.00 | $17.67–$174.89 | 16% above | 52% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 THERAPEUTIC/DIAG INJ; SQ OR HDC | $78.72 | $164.00 | $17.67–$174.89 | 16% above | 52% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 THERAPEUTIC/DIAG INJ; SQ OR IM | $78.72 | $164.00 | $17.67–$174.89 | 16% above | 52% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 THERAPEUTIC/DIAG INJ; SQ OR IM ADO | $78.72 | $164.00 | $17.67–$174.89 | 16% above | 52% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 THERAPEUTIC/DIAG INJ; SQ OR IM ALG | $78.72 | $164.00 | $17.67–$174.89 | 16% above | 52% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 THERAPEUTIC/DIAG INJ; SQ OR IM BMT | $78.72 | $164.00 | $17.67–$174.89 | 16% above | 52% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 THERAPEUTIC/DIAG INJ; SQ OR IM CAR | $78.72 | $164.00 | $17.67–$174.89 | 16% above | 52% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 THERAPEUTIC/DIAG INJ; SQ OR IM END | $78.72 | $164.00 | $17.67–$174.89 | 16% above | 52% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 THERAPEUTIC/DIAG INJ; SQ OR IM FHC | $78.72 | $164.00 | $17.67–$174.89 | 16% above | 52% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 THERAPEUTIC/DIAG INJ; SQ OR IM GAS | $78.72 | $164.00 | $17.67–$174.89 | 16% above | 52% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 THERAPEUTIC/DIAG INJ; SQ OR IM HMO | $78.72 | $164.00 | $17.67–$174.89 | 16% above | 52% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 THERAPEUTIC/DIAG INJ; SQ OR IM IFD | $78.72 | $164.00 | $17.67–$174.89 | 16% above | 52% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 THERAPEUTIC/DIAG INJ; SQ OR IM INF | $78.72 | $164.00 | $17.67–$174.89 | 16% above | 52% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 THERAPEUTIC/DIAG INJ; SQ OR IM KID | $78.72 | $164.00 | $17.67–$174.89 | 16% above | 52% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 THERAPEUTIC/DIAG INJ; SQ OR IM NUR | $78.72 | $164.00 | $17.67–$174.89 | 16% above | 52% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 THERAPEUTIC/DIAG INJ; SQ OR IM PCC | $78.72 | $164.00 | $17.67–$174.89 | 16% above | 52% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 THERAPEUTIC/DIAG INJ; SQ OR IM RHB | $78.72 | $164.00 | $17.67–$174.89 | 16% above | 52% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 THERAPEUTIC/DIAG INJ; SQ OR IM RHU | $78.72 | $164.00 | $17.67–$174.89 | 16% above | 52% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 THERAPEUTIC/DIAG INJ; SQ OR IM SCC | $78.72 | $164.00 | $17.67–$174.89 | 16% above | 52% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 THERAPEUTIC/DIAG INJ; SQ OR IM SUR | $78.72 | $164.00 | $17.67–$174.89 | 16% above | 52% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 THERAPEUTIC/DIAG INJ; SQ OR IM TPC | $78.72 | $164.00 | $17.67–$174.89 | 16% above | 52% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 THER/PROPH/DIAG INJ SC/IM ER | $110.88 | $231.00 | $17.67–$207.90 | 64% above | 52% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 THERAPEUTIC/DIAG INJ; SQ OR IM RHU | $78.72 | $164.00 | $78.72–$147.60 | — | 52% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 THERAPEUTIC/DIAG INJ; SQ OR IM RHB | $78.72 | $164.00 | $78.72–$147.60 | — | 52% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 THERAPEUTIC/DIAG INJ; SQ OR IM SCC | $78.72 | $164.00 | $78.72–$147.60 | — | 52% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 THERAPEUTIC/DIAG INJ; SQ OR IM PCC | $78.72 | $164.00 | $78.72–$147.60 | — | 52% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 THERAPEUTIC/DIAG INJ; SQ OR IM SUR | $78.72 | $164.00 | $78.72–$147.60 | — | 52% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 THERAPEUTIC/DIAG INJ; SQ OR IM NUR | $78.72 | $164.00 | $78.72–$147.60 | — | 52% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 THERAPEUTIC/DIAG INJ; SQ OR IM TPC | $78.72 | $164.00 | $78.72–$147.60 | — | 52% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 THERAPEUTIC/DIAG INJ; SQ OR IM KID | $78.72 | $164.00 | $78.72–$147.60 | — | 52% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 THERAPEUTIC/DIAG INJ; SQ OR IM IFD | $78.72 | $164.00 | $78.72–$147.60 | — | 52% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 THERAPEUTIC/DIAG INJ; SQ OR IM HMO | $78.72 | $164.00 | $78.72–$147.60 | — | 52% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 THERAPEUTIC/DIAG INJ; SQ OR IM GAS | $78.72 | $164.00 | $78.72–$147.60 | — | 52% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 THERAPEUTIC/DIAG INJ; SQ OR IM FHC | $78.72 | $164.00 | $78.72–$147.60 | — | 52% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 THERAPEUTIC/DIAG INJ; SQ OR IM END | $78.72 | $164.00 | $78.72–$147.60 | — | 52% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 THERAPEUTIC/DIAG INJ; SQ OR IM CAR | $78.72 | $164.00 | $78.72–$147.60 | — | 52% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 THERAPEUTIC/DIAG INJ; SQ OR IM BMT | $78.72 | $164.00 | $78.72–$147.60 | — | 52% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 THERAPEUTIC/DIAG INJ; SQ OR IM ALG | $78.72 | $164.00 | $78.72–$147.60 | — | 52% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 THERAPEUTIC/DIAG INJ; SQ OR IM ADO | $78.72 | $164.00 | $78.72–$147.60 | — | 52% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 THERAPEUTIC/DIAG INJ; SQ OR IM | $78.72 | $164.00 | $78.72–$147.60 | — | 52% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 THERAPEUTIC/DIAG INJ; SQ OR HDC | $78.72 | $164.00 | $78.72–$147.60 | — | 52% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 THER/PROPH/DIAG INJ SC/IM TX RM URO | $78.72 | $164.00 | $78.72–$147.60 | — | 52% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 THER/PROPH/DIAG INJ SC/IM TX RM SCN | $78.72 | $164.00 | $78.72–$147.60 | — | 52% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 THER/PROPH/DIAG INJ SC/IM TX RM DRM | $78.72 | $164.00 | $78.72–$147.60 | — | 52% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 THER/PROPH/DIAG INJ SC/IM PLM | $78.72 | $164.00 | $78.72–$147.60 | — | 52% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 THERAPEUTIC/DIAG INJ; SQ OR IM INF | $78.72 | $164.00 | $78.72–$147.60 | — | 52% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 THER PROPH DIAG INJ SC IM TX RM DVM | $78.72 | $164.00 | $78.72–$147.60 | — | 52% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 THER/PROPH/DIAG INJ SC/IM ER | $110.88 | $231.00 | $110.88–$207.90 | — | 52% |
| Nerve conduction study, 7 or 8 nerve studies CPT 95910 NERVE CONDUCTION STUDY 7-8 | $222.72 | $464.00 | $30.60–$779.24 | 73% below | 52% |
| Nerve conduction study, 7 or 8 nerve studies CPT 95910 NERVE CONDUCTION STUDY 7-8 TX ROOM RHB | $222.72 | $464.00 | $30.60–$779.24 | 73% below | 52% |
| Nerve conduction study, 7 or 8 nerve studies inpatient CPT 95910 NERVE CONDUCTION STUDY 7-8 TX ROOM RHB | $222.72 | $464.00 | $222.72–$417.60 | — | 52% |
| Nerve conduction study, 7 or 8 nerve studies inpatient CPT 95910 NERVE CONDUCTION STUDY 7-8 | $222.72 | $464.00 | $222.72–$417.60 | — | 52% |
| Neuromuscular re-education, 15 minutes CPT 97112 OT BALANCE KINES/PROP RE-EDUC 15 MIN | $73.92 | $154.00 | $28.54–$138.60 | 4% below | 52% |
| Neuromuscular re-education, 15 minutes CPT 97112 PT BALANCE KINES/PROP RE-EDUC PER 15 MIN | $73.92 | $154.00 | $28.54–$138.60 | 4% below | 52% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 PT BALANCE KINES/PROP RE-EDUC PER 15 MIN | $73.92 | $154.00 | $73.92–$138.60 | — | 52% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 OT BALANCE KINES/PROP RE-EDUC 15 MIN | $73.92 | $154.00 | $73.92–$138.60 | — | 52% |
| New patient office visit, about 60 minutes CPT 99205 SANE-P EXAM | $314.40 | $655.00 | $268.55–$589.50 | 12% above | 52% |
| New patient office visit, about 60 minutes inpatient CPT 99205 SANE-P EXAM | $314.40 | $655.00 | $314.40–$589.50 | — | 52% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 NUTR THERAPY INIT EA MIN TH TX RM NUT | $30.72 | $64.00 | $26.24–$57.60 | 1% above | 52% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 NUTR THERAPY INIT EA 15 MIN | $30.72 | $64.00 | $26.24–$57.60 | 1% above | 52% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 INIT NUTRITRION THERAPY; EACH 15 MIN WMG | $30.72 | $64.00 | $26.24–$57.60 | 1% above | 52% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 INIT NUTRITION THERAPY; EACH 15M TX RM CAR | $30.72 | $64.00 | $26.24–$57.60 | 1% above | 52% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 INIT NUTRITION THERAPY; EACH 15M TX RM CAR | $30.72 | $64.00 | $30.72–$57.60 | — | 52% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 NUTR THERAPY INIT EA MIN TH TX RM NUT | $30.72 | $64.00 | $30.72–$57.60 | — | 52% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 NUTR THERAPY INIT EA 15 MIN | $30.72 | $64.00 | $30.72–$57.60 | — | 52% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 INIT NUTRITRION THERAPY; EACH 15 MIN WMG | $30.72 | $64.00 | $30.72–$57.60 | — | 52% |
| Occupational therapy evaluation, low complexity CPT 97165 OCCUPATIONAL THERAPY, LOW COMP | $219.84 | $458.00 | $58.55–$412.20 | 33% above | 52% |
| Occupational therapy evaluation, low complexity inpatient CPT 97165 OCCUPATIONAL THERAPY, LOW COMP | $219.84 | $458.00 | $219.84–$412.20 | — | 52% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT EVAL HIGH COMPLEX 45 MIN OT TH | $208.32 | $434.00 | $60.32–$390.60 | at median | 52% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT EVAL HIGH COMPLEX 45 MIN PT TH | $208.32 | $434.00 | $60.32–$390.60 | at median | 52% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PHYSICAL THERAPY EVAL, HIGH COMP | $217.92 | $454.00 | $60.32–$408.60 | 4% above | 52% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 PT EVAL HIGH COMPLEX 45 MIN OT TH | $208.32 | $434.00 | $208.32–$390.60 | — | 52% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 PT EVAL HIGH COMPLEX 45 MIN PT TH | $208.32 | $434.00 | $208.32–$390.60 | — | 52% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 PHYSICAL THERAPY EVAL, HIGH COMP | $217.92 | $454.00 | $217.92–$408.60 | — | 52% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT EVAL LOW COMPLEX 20 MIN OT TH | $208.32 | $434.00 | $75.41–$390.60 | 26% above | 52% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT EVAL LOW COMPLEX 20 MIN PT TH | $208.32 | $434.00 | $75.41–$390.60 | 26% above | 52% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PHYSICAL THERAPY EVAL, LOW COMP | $217.92 | $454.00 | $75.41–$408.60 | 32% above | 52% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 PT EVAL LOW COMPLEX 20 MIN OT TH | $208.32 | $434.00 | $208.32–$390.60 | — | 52% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 PT EVAL LOW COMPLEX 20 MIN PT TH | $208.32 | $434.00 | $208.32–$390.60 | — | 52% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 PHYSICAL THERAPY EVAL, LOW COMP | $217.92 | $454.00 | $217.92–$408.60 | — | 52% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT EVAL MOD COMPLEX 30 MIN PT TH | $208.32 | $434.00 | $75.41–$390.60 | 10% above | 52% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT EVAL MOD COMPLEX 30 MIN OT TH | $208.32 | $434.00 | $75.41–$390.60 | 10% above | 52% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PHYSICAL THERAPY EVAL, MOD COMP | $217.92 | $454.00 | $75.41–$408.60 | 15% above | 52% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 PT EVAL MOD COMPLEX 30 MIN OT TH | $208.32 | $434.00 | $208.32–$390.60 | — | 52% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 PT EVAL MOD COMPLEX 30 MIN PT TH | $208.32 | $434.00 | $208.32–$390.60 | — | 52% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 PHYSICAL THERAPY EVAL, MOD COMP | $217.92 | $454.00 | $217.92–$408.60 | — | 52% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 OT MANUAL THERAPY 15 MIN | $59.04 | $123.00 | $23.35–$110.70 | 22% below | 52% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 PT MANUAL THERAPY 15 MIN | $59.04 | $123.00 | $23.35–$110.70 | 22% below | 52% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 PT MANUAL THERAPY 15 MIN | $59.04 | $123.00 | $59.04–$110.70 | — | 52% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 OT MANUAL THERAPY 15 MIN | $59.04 | $123.00 | $59.04–$110.70 | — | 52% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PT THERAPEUTIC EXERCISES | $64.32 | $134.00 | $25.34–$120.60 | 18% below | 52% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 OT THERAPEUTIC EXERCISES | $64.32 | $134.00 | $25.34–$120.60 | 18% below | 52% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 OT THERAPEUTIC EXERCISES | $64.32 | $134.00 | $64.32–$120.60 | — | 52% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 PT THERAPEUTIC EXERCISES | $64.32 | $134.00 | $64.32–$120.60 | — | 52% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 LEVEL 5 UCC | $304.80 | $635.00 | $250.00–$571.50 | 38% above | 52% |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 LEVEL 5 UCC | $304.80 | $635.00 | $331.47–$571.50 | — | 52% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 LEVEL 3 UCC | $139.68 | $291.00 | $119.31–$261.90 | 3% above | 52% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 LEVEL 3 UCC | $139.68 | $291.00 | $151.90–$261.90 | — | 52% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 LEVEL 4 UCC | $205.92 | $429.00 | $175.89–$386.10 | 25% above | 52% |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 LEVEL 4 UCC | $205.92 | $429.00 | $223.94–$386.10 | — | 52% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 LEVEL 2 NURSE UCC | $74.88 | $156.00 | $63.96–$250.00 | 28% below | 52% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 LEVEL 2 UCC | $74.88 | $156.00 | $63.96–$250.00 | 28% below | 52% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 LEVEL 2 NURSE UCC | $74.88 | $156.00 | $81.43–$140.40 | — | 52% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 LEVEL 2 UCC | $74.88 | $156.00 | $81.43–$140.40 | — | 52% |
| Speech and language evaluation CPT 92523 SPEECH EVALUATION BRIEF | $256.80 | $535.00 | $197.45–$602.22 | 9% above | 52% |
| Speech and language evaluation CPT 92523 SPEECH EVALUATION COMPLETE TELEHEALTH | $614.40 | $1,280.00 | $197.45–$1,152.00 | 161% above | 52% |
| Speech and language evaluation CPT 92523 SPEECH EVALUATION COMPLEX TELEHEALTH | $614.40 | $1,280.00 | $197.45–$1,152.00 | 161% above | 52% |
| Speech and language evaluation CPT 92523 SPEECH EVALUATION COMPLETE | $643.20 | $1,340.00 | $197.45–$1,206.00 | 173% above | 52% |
| Speech and language evaluation CPT 92523 SPEECH EVALUATION COMPLEX | $643.20 | $1,340.00 | $197.45–$1,206.00 | 173% above | 52% |
| Speech and language evaluation inpatient CPT 92523 SPEECH EVALUATION BRIEF | $256.80 | $535.00 | $256.80–$481.50 | — | 52% |
| Speech and language evaluation inpatient CPT 92523 SPEECH EVALUATION COMPLEX TELEHEALTH | $614.40 | $1,280.00 | $614.40–$1,152.00 | — | 52% |
| Speech and language evaluation inpatient CPT 92523 SPEECH EVALUATION COMPLETE TELEHEALTH | $614.40 | $1,280.00 | $614.40–$1,152.00 | — | 52% |
| Speech and language evaluation inpatient CPT 92523 SPEECH EVALUATION COMPLETE | $643.20 | $1,340.00 | $643.20–$1,206.00 | — | 52% |
| Speech and language evaluation inpatient CPT 92523 SPEECH EVALUATION COMPLEX | $643.20 | $1,340.00 | $643.20–$1,206.00 | — | 52% |
| Speech therapy session, individual CPT 92507 SPEECH THERAPY - INDIV | $216.48 | $451.00 | $66.12–$405.90 | 61% above | 52% |
| Speech therapy session, individual inpatient CPT 92507 SPEECH THERAPY - INDIV | $216.48 | $451.00 | $216.48–$405.90 | — | 52% |
| Spirometry (breathing test) CPT 94010 SPIROMETRY ROUTINE TX RM TPC | $173.28 | $361.00 | $53.13–$387.81 | 43% below | 52% |
| Spirometry (breathing test) inpatient CPT 94010 SPIROMETRY ROUTINE TX RM TPC | $173.28 | $361.00 | $173.28–$324.90 | — | 52% |
| Spirometry before and after a bronchodilator CPT 94060 EVAL SPIROMETRY BRONCHOSPASM TX RM TPC | $359.04 | $748.00 | $106.76–$779.24 | 17% below | 52% |
| Spirometry before and after a bronchodilator inpatient CPT 94060 EVAL SPIROMETRY BRONCHOSPASM TX RM TPC | $359.04 | $748.00 | $359.04–$673.20 | — | 52% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 OT THERAPEUTIC ACTIVITIES 15 MIN | $80.16 | $167.00 | $29.86–$150.30 | 2% above | 52% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 PT THERAPEUTIC ACTIVITIES 15 MIN | $80.16 | $167.00 | $29.86–$150.30 | 2% above | 52% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 OT THERAPEUTIC ACTIVITIES 15 MIN | $80.16 | $167.00 | $80.16–$150.30 | — | 52% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 PT THERAPEUTIC ACTIVITIES 15 MIN | $80.16 | $167.00 | $80.16–$150.30 | — | 52% |
| Visual field test, extended CPT 92083 VISUAL FIELDS - EXTENDED EYE | $199.68 | $416.00 | $43.45–$374.40 | — | 52% |
| Visual field test, extended inpatient CPT 92083 VISUAL FIELDS - EXTENDED EYE | $199.68 | $416.00 | $199.68–$374.40 | — | 52% |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Kansas | Off list |
|---|---|---|---|---|---|
| DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) CPT 90696 DTaP/IPV 0.5mL (VFC) | $17.40 | $36.24 | $14.86–$32.62 | 78% below | 52% |
| DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) CPT 90696 DTaP/IPV 0.5mL | $22.01 | $45.85 | $18.80–$41.27 | 72% below | 52% |
| DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) inpatient CPT 90696 DTaP/IPV 0.5mL (VFC) | $17.40 | $36.24 | $17.40–$32.62 | — | 52% |
| DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) inpatient CPT 90696 DTaP/IPV 0.5mL | $22.01 | $45.85 | $22.01–$41.27 | — | 52% |
| DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 DTaP 0.5 mL (Pediatric) (VFC) (Infanrix) | $12.96 | $27.00 | $11.07–$24.30 | 77% below | 52% |
| DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 DTaP 0.5mL (Pediatric) (VFC) (Daptacel) | $13.16 | $27.42 | $11.24–$24.68 | 77% below | 52% |
| DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 DTaP 0.5 mL (Pediatric) (Infanrix) | $19.56 | $40.74 | $16.70–$36.67 | 66% below | 52% |
| DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 DTaP 0.5 mL (Pediatric) (VFC) (Infanrix) | $12.96 | $27.00 | $12.96–$24.30 | — | 52% |
| DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 DTaP 0.5mL (Pediatric) (VFC) (Daptacel) | $13.16 | $27.42 | $13.16–$24.68 | — | 52% |
| DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 DTaP 0.5 mL (Pediatric) (Infanrix) | $19.56 | $40.74 | $19.56–$36.67 | — | 52% |
| DTaP, hepatitis B and polio combination vaccine (Pediarix) CPT 90723 DTaP/IPV/Hep B 0.5 mL | $16.02 | $33.38 | $13.69–$30.04 | 87% below | 52% |
| DTaP, hepatitis B and polio combination vaccine (Pediarix) inpatient CPT 90723 DTaP/IPV/Hep B 0.5 mL | $16.02 | $33.38 | $16.02–$30.04 | — | 52% |
| Hepatitis A vaccine, adult dose CPT 90632 Hep A Adult 1440 units/mL (syringe) | $13.83 | $28.82 | $11.82–$166.38 | 89% below | 52% |
| Hepatitis A vaccine, adult dose CPT 90632 Hep A Adult 1440 units/mL (vial) | $208.61 | $434.61 | $166.38–$391.15 | 70% above | 52% |
| Hepatitis A vaccine, adult dose inpatient CPT 90632 Hep A Adult 1440 units/mL (syringe) | $13.83 | $28.82 | $13.83–$25.94 | — | 52% |
| Hepatitis A vaccine, adult dose inpatient CPT 90632 Hep A Adult 1440 units/mL (vial) | $208.61 | $434.61 | $208.61–$391.15 | — | 52% |
| Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 Hep A Pediatric 720 units/0.5 mL | $13.82 | $28.79 | $11.80–$25.91 | 84% below | 52% |
| Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 Hep A Pediatric 720 units/0.5 mL (VFC) | $13.83 | $28.82 | $11.82–$25.94 | 84% below | 52% |
| Hepatitis A vaccine, child and teen dose (2-dose schedule) inpatient CPT 90633 Hep A Pediatric 720 units/0.5 mL | $13.82 | $28.79 | $13.82–$25.91 | — | 52% |
| Hepatitis A vaccine, child and teen dose (2-dose schedule) inpatient CPT 90633 Hep A Pediatric 720 units/0.5 mL (VFC) | $13.83 | $28.82 | $13.83–$25.94 | — | 52% |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 Hep B 10 mcg/0.5 mL (VFC) | $13.20 | $27.49 | $11.27–$50.77 | 68% below | 52% |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 Hep B 10 mcg/0.5 mL | $13.88 | $28.91 | $11.85–$50.77 | 66% below | 52% |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 Hep B 10 mcg/0.5 mL (VFC) | $13.20 | $27.49 | $13.20–$24.74 | — | 52% |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 Hep B 10 mcg/0.5 mL | $13.88 | $28.91 | $13.88–$26.02 | — | 52% |
| Hib vaccine (Haemophilus influenzae type b), 3-dose schedule (PedvaxHIB) CPT 90647 Hib 0.5 mL (VFC) (Pedvaxhib) | $34.25 | $71.35 | $29.25–$64.22 | 53% below | 52% |
| Hib vaccine (Haemophilus influenzae type b), 3-dose schedule (PedvaxHIB) CPT 90647 Hib 0.5 mL (Pedvaxhib) | $37.79 | $78.73 | $32.28–$70.86 | 49% below | 52% |
| Hib vaccine (Haemophilus influenzae type b), 3-dose schedule (PedvaxHIB) inpatient CPT 90647 Hib 0.5 mL (VFC) (Pedvaxhib) | $34.25 | $71.35 | $34.25–$64.22 | — | 52% |
| Hib vaccine (Haemophilus influenzae type b), 3-dose schedule (PedvaxHIB) inpatient CPT 90647 Hib 0.5 mL (Pedvaxhib) | $37.79 | $78.73 | $37.79–$70.86 | — | 52% |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 MMR 0.5 mL | $56.53 | $117.77 | $48.29–$105.99 | 53% below | 52% |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 MMR 0.5 mL (VFC) | $59.49 | $123.93 | $50.81–$111.54 | 50% below | 52% |
| MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 MMR 0.5 mL | $56.53 | $117.77 | $56.53–$105.99 | — | 52% |
| MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 MMR 0.5 mL (VFC) | $59.49 | $123.93 | $59.49–$111.54 | — | 52% |
| MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) CPT 90710 MMRV 0.5 mL | $151.48 | $315.58 | $129.39–$284.02 | 54% below | 52% |
| MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) inpatient CPT 90710 MMRV 0.5 mL | $151.48 | $315.58 | $151.48–$284.02 | — | 52% |
| Polio vaccine, inactivated (IPV) CPT 90713 IPV vaccine 0.5 mL | $12.96 | $27.00 | $11.07–$24.30 | 80% below | 52% |
| Polio vaccine, inactivated (IPV) CPT 90713 IPV vaccine 0.5 mL (VFC) | $12.96 | $27.00 | $11.07–$24.30 | 80% below | 52% |
| Polio vaccine, inactivated (IPV) inpatient CPT 90713 IPV vaccine 0.5 mL | $12.96 | $27.00 | $12.96–$24.30 | — | 52% |
| Polio vaccine, inactivated (IPV) inpatient CPT 90713 IPV vaccine 0.5 mL (VFC) | $12.96 | $27.00 | $12.96–$24.30 | — | 52% |
| RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) CPT 90381 Nirsevimab- alip 100 mg/mL (Beyfortus) (VFC) | $1,196.21 | $2,492.10 | $1,021.76–$2,242.89 | 35% above | 52% |
| RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) CPT 90381 Nirsevimab- alip 100 mg/mL (Beyfortus) | $1,196.21 | $2,492.10 | $1,021.76–$2,242.89 | 35% above | 52% |
| RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) inpatient CPT 90381 Nirsevimab- alip 100 mg/mL (Beyfortus) | $1,196.21 | $2,492.10 | $1,196.21–$2,242.89 | — | 52% |
| RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) inpatient CPT 90381 Nirsevimab- alip 100 mg/mL (Beyfortus) (VFC) | $1,196.21 | $2,492.10 | $1,196.21–$2,242.89 | — | 52% |
| RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 Nirsevimab- alip 50 mg/0.5mL (Beyfortus) (VFC) | $2,202.68 | $4,588.92 | $1,881.46–$4,130.03 | 128% above | 52% |
| RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 Nirsevimab- alip 50 mg/0.5mL (Beyfortus) | $2,202.68 | $4,588.92 | $1,881.46–$4,130.03 | 128% above | 52% |
| RSV antibody shot for infants, seasonal dose (0.5 mL) inpatient CPT 90380 Nirsevimab- alip 50 mg/0.5mL (Beyfortus) | $2,202.68 | $4,588.92 | $2,202.68–$4,130.03 | — | 52% |
| RSV antibody shot for infants, seasonal dose (0.5 mL) inpatient CPT 90380 Nirsevimab- alip 50 mg/0.5mL (Beyfortus) (VFC) | $2,202.68 | $4,588.92 | $2,202.68–$4,130.03 | — | 52% |
| Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) CPT 90680 ROTA 2 mL (Rotateq) (VFC) | $13.77 | $28.68 | $11.76–$25.81 | 89% below | 52% |
| Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) CPT 90680 ROTA 2 mL (Rotateq) | $17.55 | $36.56 | $14.99–$32.90 | 86% below | 52% |
| Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) inpatient CPT 90680 ROTA 2 mL (Rotateq) (VFC) | $13.77 | $28.68 | $13.77–$25.81 | — | 52% |
| Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) inpatient CPT 90680 ROTA 2 mL (Rotateq) | $17.55 | $36.56 | $17.55–$32.90 | — | 52% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 Td Adult (Tenivac) 0.5 mL | $13.65 | $28.43 | $11.66–$44.40 | 79% below | 52% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 Td Adult (Tenivac) 0.5 mL (VFC) | $13.65 | $28.43 | $11.66–$44.40 | 79% below | 52% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 Td Adult (Tenivac) 0.5 mL (VFC) | $13.65 | $28.43 | $13.65–$25.59 | — | 52% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 Td Adult (Tenivac) 0.5 mL | $13.65 | $28.43 | $13.65–$25.59 | — | 52% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Tdap 0.5 mL (Boostrix) | $12.96 | $27.00 | $11.07–$92.18 | 84% below | 52% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Tdap 0.5 mL (Boostrix) (VFC) | $15.58 | $32.45 | $13.30–$92.18 | 81% below | 52% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 Tdap 0.5 mL (Boostrix) | $12.96 | $27.00 | $12.96–$24.30 | — | 52% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 Tdap 0.5 mL (Boostrix) (VFC) | $15.58 | $32.45 | $15.58–$29.21 | — | 52% |
| Typhoid vaccine, injectable (Vi polysaccharide) CPT 90691 Typhoid 25 mcg/0.5 mL Inje (Syringe) | $452.04 | $941.76 | $386.12–$847.58 | 143% above | 52% |
| Typhoid vaccine, injectable (Vi polysaccharide) inpatient CPT 90691 Typhoid 25 mcg/0.5 mL Inje (Syringe) | $452.04 | $941.76 | $452.04–$847.58 | — | 52% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION ADMIN FTH | $9.72 | $20.26 | $8.31–$174.89 | 74% below | 52% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUN ADMIN SQ/IM; 1st VACCINE | $9.72 | $20.26 | $8.31–$174.89 | 74% below | 52% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUN ADMIN SQ/IM; 1st VACCINE TX RM ADH | $9.72 | $20.26 | $8.31–$174.89 | 74% below | 52% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUN ADMIN SQ/IM; 1st VACCINE TX RM ADO | $9.72 | $20.26 | $8.31–$174.89 | 74% below | 52% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUN ADMIN SQ/IM; 1st VACCINE TX RM ALG | $9.72 | $20.26 | $8.31–$174.89 | 74% below | 52% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUN ADMIN SQ/IM; 1st VACCINE TX RM BCN | $9.72 | $20.26 | $8.31–$174.89 | 74% below | 52% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUN ADMIN SQ/IM; 1st VACCINE TX RM BMT | $9.72 | $20.26 | $8.31–$174.89 | 74% below | 52% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUN ADMIN SQ/IM; 1st VACCINE TX RM CAR | $9.72 | $20.26 | $8.31–$174.89 | 74% below | 52% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUN ADMIN SQ/IM; 1st VACCINE TX RM DIA | $9.72 | $20.26 | $8.31–$174.89 | 74% below | 52% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUN ADMIN SQ/IM; 1st VACCINE TX RM DRM | $9.72 | $20.26 | $8.31–$174.89 | 74% below | 52% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUN ADMIN SQ/IM; 1st VACCINE TX RM DWN | $9.72 | $20.26 | $8.31–$174.89 | 74% below | 52% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUN ADMIN SQ/IM; 1st VACCINE TX RM END | $9.72 | $20.26 | $8.31–$174.89 | 74% below | 52% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUN ADMIN SQ/IM; 1st VACCINE TX RM ENT | $9.72 | $20.26 | $8.31–$174.89 | 74% below | 52% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUN ADMIN SQ/IM; 1st VACCINE TX RM EYE | $9.72 | $20.26 | $8.31–$174.89 | 74% below | 52% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUN ADMIN SQ/IM; 1st VACCINE TX RM GAS | $9.72 | $20.26 | $8.31–$174.89 | 74% below | 52% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUN ADMIN SQ/IM; 1st VACCINE TX RM GEN | $9.72 | $20.26 | $8.31–$174.89 | 74% below | 52% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUN ADMIN SQ/IM; 1st VACCINE TX RM HMO | $9.72 | $20.26 | $8.31–$174.89 | 74% below | 52% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUN ADMIN SQ/IM; 1st VACCINE TX RM IFD | $9.72 | $20.26 | $8.31–$174.89 | 74% below | 52% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUN ADMIN SQ/IM; 1st VACCINE TX RM INF | $9.72 | $20.26 | $8.31–$174.89 | 74% below | 52% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUN ADMIN SQ/IM; 1ST VACCINE TX RM IR | $9.72 | $20.26 | $8.31–$174.89 | 74% below | 52% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUN ADMIN SQ/IM; 1st VACCINE TX RM KID | $9.72 | $20.26 | $8.31–$174.89 | 74% below | 52% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUN ADMIN SQ/IM; 1st VACCINE TX RM NEU | $9.72 | $20.26 | $8.31–$174.89 | 74% below | 52% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUN ADMIN SQ/IM; 1st VACCINE TX RM NUR | $9.72 | $20.26 | $8.31–$174.89 | 74% below | 52% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUN ADMIN SQ/IM; 1st VACCINE TX RM OTO | $9.72 | $20.26 | $8.31–$174.89 | 74% below | 52% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUN ADMIN SQ/IM; 1st VACCINE TX RM PLM | $9.72 | $20.26 | $8.31–$174.89 | 74% below | 52% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUN ADMIN SQ/IM; 1ST VACCINE TX RM PLS | $9.72 | $20.26 | $8.31–$174.89 | 74% below | 52% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUN ADMIN SQ/IM; 1st VACCINE TX RM RHB | $9.72 | $20.26 | $8.31–$174.89 | 74% below | 52% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUN ADMIN SQ/IM; 1st VACCINE TX RM RHU | $9.72 | $20.26 | $8.31–$174.89 | 74% below | 52% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUN ADMIN SQ/IM; 1st VACCINE TX RM SCC | $9.72 | $20.26 | $8.31–$174.89 | 74% below | 52% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUN ADMIN SQ/IM; 1st VACCINE TX RM SCN | $9.72 | $20.26 | $8.31–$174.89 | 74% below | 52% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUN ADMIN SQ/IM; 1st VACCINE TX RM SED | $9.72 | $20.26 | $8.31–$174.89 | 74% below | 52% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUN ADMIN SQ/IM; 1st VACCINE TX RM SLP | $9.72 | $20.26 | $8.31–$174.89 | 74% below | 52% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUN ADMIN SQ/IM; 1st VACCINE TX RM SUR | $9.72 | $20.26 | $8.31–$174.89 | 74% below | 52% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUN ADMIN SQ/IM; 1st VACCINE TX RM TPC | $9.72 | $20.26 | $8.31–$174.89 | 74% below | 52% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION ADMIN 1 VACCINE TX RM EAT | $9.72 | $20.26 | $8.31–$174.89 | 74% below | 52% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUN ADMIN 1 VACCINE ER | $9.72 | $20.26 | $8.31–$174.89 | 74% below | 52% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUN ADMIN SQ/IM; 1st VACCINE TX RM URO | $9.72 | $20.26 | $8.31–$174.89 | 74% below | 52% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUN ADMIN SQ/IM; 1st VACCINE TX RM WMG | $9.72 | $20.26 | $8.31–$174.89 | 74% below | 52% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION ADMIN 1 VACCINE DRT TX RM | $9.72 | $20.26 | $8.31–$174.89 | 74% below | 52% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUN ADMIN SQ/IM 1st VACCIN PCC | $9.72 | $20.26 | $8.31–$174.89 | 74% below | 52% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUN ADMIN SQ/IM; 1ST VACCIN TX RM FHC | $9.72 | $20.26 | $8.31–$174.89 | 74% below | 52% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUN ADMIN SQ/IM; 1st VACCINE TX RM DRM | $9.72 | $20.26 | $9.72–$18.23 | — | 52% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUN ADMIN SQ/IM; 1st VACCINE TX RM DIA | $9.72 | $20.26 | $9.72–$18.23 | — | 52% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUN ADMIN SQ/IM; 1st VACCINE TX RM CAR | $9.72 | $20.26 | $9.72–$18.23 | — | 52% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUN ADMIN SQ/IM; 1st VACCINE TX RM BMT | $9.72 | $20.26 | $9.72–$18.23 | — | 52% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUN ADMIN SQ/IM; 1st VACCINE TX RM URO | $9.72 | $20.26 | $9.72–$18.23 | — | 52% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUNIZATION ADMIN FTH | $9.72 | $20.26 | $9.72–$18.23 | — | 52% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUN ADMIN SQ/IM; 1st VACCINE TX RM BCN | $9.72 | $20.26 | $9.72–$18.23 | — | 52% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUN ADMIN SQ/IM 1st VACCIN PCC | $9.72 | $20.26 | $9.72–$18.23 | — | 52% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUN ADMIN SQ/IM; 1st VACCINE TX RM SUR | $9.72 | $20.26 | $9.72–$18.23 | — | 52% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUN ADMIN 1 VACCINE ER | $9.72 | $20.26 | $9.72–$18.23 | — | 52% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUN ADMIN SQ/IM; 1st VACCINE TX RM IFD | $9.72 | $20.26 | $9.72–$18.23 | — | 52% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUN ADMIN SQ/IM; 1st VACCINE TX RM SED | $9.72 | $20.26 | $9.72–$18.23 | — | 52% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUN ADMIN SQ/IM; 1st VACCINE TX RM SCN | $9.72 | $20.26 | $9.72–$18.23 | — | 52% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUN ADMIN SQ/IM; 1st VACCINE TX RM SLP | $9.72 | $20.26 | $9.72–$18.23 | — | 52% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUN ADMIN SQ/IM; 1st VACCINE TX RM HMO | $9.72 | $20.26 | $9.72–$18.23 | — | 52% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUN ADMIN SQ/IM; 1st VACCINE TX RM GEN | $9.72 | $20.26 | $9.72–$18.23 | — | 52% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUN ADMIN SQ/IM; 1ST VACCIN TX RM FHC | $9.72 | $20.26 | $9.72–$18.23 | — | 52% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUN ADMIN SQ/IM; 1st VACCINE TX RM GAS | $9.72 | $20.26 | $9.72–$18.23 | — | 52% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUN ADMIN SQ/IM; 1st VACCINE TX RM ALG | $9.72 | $20.26 | $9.72–$18.23 | — | 52% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUN ADMIN SQ/IM; 1st VACCINE TX RM WMG | $9.72 | $20.26 | $9.72–$18.23 | — | 52% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUN ADMIN SQ/IM; 1st VACCINE TX RM ADO | $9.72 | $20.26 | $9.72–$18.23 | — | 52% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUN ADMIN SQ/IM; 1st VACCINE TX RM ADH | $9.72 | $20.26 | $9.72–$18.23 | — | 52% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUNIZATION ADMIN 1 VACCINE DRT TX RM | $9.72 | $20.26 | $9.72–$18.23 | — | 52% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUN ADMIN SQ/IM; 1st VACCINE | $9.72 | $20.26 | $9.72–$18.23 | — | 52% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUN ADMIN SQ/IM; 1st VACCINE TX RM EYE | $9.72 | $20.26 | $9.72–$18.23 | — | 52% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUN ADMIN SQ/IM; 1st VACCINE TX RM ENT | $9.72 | $20.26 | $9.72–$18.23 | — | 52% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUN ADMIN SQ/IM; 1st VACCINE TX RM RHU | $9.72 | $20.26 | $9.72–$18.23 | — | 52% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUN ADMIN SQ/IM; 1st VACCINE TX RM RHB | $9.72 | $20.26 | $9.72–$18.23 | — | 52% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUN ADMIN SQ/IM; 1ST VACCINE TX RM PLS | $9.72 | $20.26 | $9.72–$18.23 | — | 52% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUN ADMIN SQ/IM; 1st VACCINE TX RM PLM | $9.72 | $20.26 | $9.72–$18.23 | — | 52% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUN ADMIN SQ/IM; 1st VACCINE TX RM OTO | $9.72 | $20.26 | $9.72–$18.23 | — | 52% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUN ADMIN SQ/IM; 1st VACCINE TX RM NUR | $9.72 | $20.26 | $9.72–$18.23 | — | 52% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUN ADMIN SQ/IM; 1st VACCINE TX RM NEU | $9.72 | $20.26 | $9.72–$18.23 | — | 52% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUN ADMIN SQ/IM; 1st VACCINE TX RM KID | $9.72 | $20.26 | $9.72–$18.23 | — | 52% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUN ADMIN SQ/IM; 1ST VACCINE TX RM IR | $9.72 | $20.26 | $9.72–$18.23 | — | 52% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUN ADMIN SQ/IM; 1st VACCINE TX RM INF | $9.72 | $20.26 | $9.72–$18.23 | — | 52% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUNIZATION ADMIN 1 VACCINE TX RM EAT | $9.72 | $20.26 | $9.72–$18.23 | — | 52% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUN ADMIN SQ/IM; 1st VACCINE TX RM SCC | $9.72 | $20.26 | $9.72–$18.23 | — | 52% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUN ADMIN SQ/IM; 1st VACCINE TX RM END | $9.72 | $20.26 | $9.72–$18.23 | — | 52% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUN ADMIN SQ/IM; 1st VACCINE TX RM DWN | $9.72 | $20.26 | $9.72–$18.23 | — | 52% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUN ADMIN SQ/IM; 1st VACCINE TX RM TPC | $9.72 | $20.26 | $9.72–$18.23 | — | 52% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUN ADMIN SQ/IM; EA ADD'L TX RM RHB | $9.72 | $20.26 | $8.31–$18.23 | 62% below | 52% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUN ADMIN SQ/IM; EA ADD'L TX RM WMG | $9.72 | $20.26 | $8.31–$18.23 | 62% below | 52% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUN ADMIN SQ/IM; EA ADD'L TX RM SUR | $9.72 | $20.26 | $8.31–$18.23 | 62% below | 52% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUN ADMIN SQ/IM; EA ADD'L TX RM CAR | $9.72 | $20.26 | $8.31–$18.23 | 62% below | 52% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUN ADMIN SQ/IM; EA ADD'L TX RM BMT | $9.72 | $20.26 | $8.31–$18.23 | 62% below | 52% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUN ADMIN SQ/IM; EA ADD'L TX RM SLP | $9.72 | $20.26 | $8.31–$18.23 | 62% below | 52% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUN ADMIN SQ/IM; EA ADD'L TX RM DWN | $9.72 | $20.26 | $8.31–$18.23 | 62% below | 52% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUN ADMIN SQ/IM; EA ADD'L TX RM EAT | $9.72 | $20.26 | $8.31–$18.23 | 62% below | 52% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUN ADMIN SQ/IM; EA ADD'L TX RM END | $9.72 | $20.26 | $8.31–$18.23 | 62% below | 52% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUN ADMIN SQ/IM; EA ADD'L TX RM ENT | $9.72 | $20.26 | $8.31–$18.23 | 62% below | 52% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUN ADMIN SQ/IM; EA ADD'L TX RM FHC | $9.72 | $20.26 | $8.31–$18.23 | 62% below | 52% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUN ADMIN SQ/IM; EA ADD'L TX RM GAS | $9.72 | $20.26 | $8.31–$18.23 | 62% below | 52% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUN ADMIN SQ/IM; EA ADD'L TX RM GEN | $9.72 | $20.26 | $8.31–$18.23 | 62% below | 52% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUN ADMIN SQ/IM; EA ADD'L TX RM HMO | $9.72 | $20.26 | $8.31–$18.23 | 62% below | 52% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUN ADMIN SQ/IM; EA ADD'L TX RM IFD | $9.72 | $20.26 | $8.31–$18.23 | 62% below | 52% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUN ADMIN SQ/IM; EA ADD'L TX RM SED | $9.72 | $20.26 | $8.31–$18.23 | 62% below | 52% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUN ADMIN SQ/IM; EA ADD'L TX RM SCN | $9.72 | $20.26 | $8.31–$18.23 | 62% below | 52% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUN ADMIN SQ/IM; EA ADD'L TX RM BCN | $9.72 | $20.26 | $8.31–$18.23 | 62% below | 52% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUN ADMIN SQ/IM; EA ADD'L TX RM OTO | $9.72 | $20.26 | $8.31–$18.23 | 62% below | 52% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUN ADMIN SQ/IM; EA ADD'L TX RM SCC | $9.72 | $20.26 | $8.31–$18.23 | 62% below | 52% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUN ADMIN SQ/IM; EA ADD'L TX RM RHU | $9.72 | $20.26 | $8.31–$18.23 | 62% below | 52% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUN ADMIN SQ/IM; EA ADD'L TX RM INF | $9.72 | $20.26 | $8.31–$18.23 | 62% below | 52% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUN ADMIN SQ/IM; EA ADD'L TX RM NUR | $9.72 | $20.26 | $8.31–$18.23 | 62% below | 52% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUN ADMIN SQ/IM; EA ADD'L TX RM URO | $9.72 | $20.26 | $8.31–$18.23 | 62% below | 52% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUNIZATION ADMIN, EACH ADD FTH | $9.72 | $20.26 | $8.31–$18.23 | 62% below | 52% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUN ADM EA ADDTL VACCINE ER | $9.72 | $20.26 | $8.31–$18.23 | 62% below | 52% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUN ADMIN SQ/IM; EA ADD'L | $9.72 | $20.26 | $8.31–$18.23 | 62% below | 52% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUN ADMIN SQ/IM; EA ADD'L TX RM KID | $9.72 | $20.26 | $8.31–$18.23 | 62% below | 52% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUN ADMIN SQ/IM; EA ADD'L TX RM PLS | $9.72 | $20.26 | $8.31–$18.23 | 62% below | 52% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUN ADMIN SQ/IM; EA ADD'L TX RM ADH | $9.72 | $20.26 | $8.31–$18.23 | 62% below | 52% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUN ADMIN SQ/IM; EA ADD'L TX RM PLM | $9.72 | $20.26 | $8.31–$18.23 | 62% below | 52% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUN ADMIN SQ/IM; EA ADD'L TX RM ADO | $9.72 | $20.26 | $8.31–$18.23 | 62% below | 52% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUN ADMIN SQ/IM; EA ADD'L TX RM ALG | $9.72 | $20.26 | $8.31–$18.23 | 62% below | 52% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUN ADMIN SQ/IM; EA ADD'L TX RM TPC | $9.72 | $20.26 | $8.31–$18.23 | 62% below | 52% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUN ADMIN SQ/IM; EA ADD'L TX RM PCC | $9.72 | $20.26 | $8.31–$18.23 | 62% below | 52% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUN ADMIN SQ/IM; EA ADD'L TX RM NEU | $9.72 | $20.26 | $8.31–$18.23 | 62% below | 52% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUN ADMIN SQ/IM; EA ADD'L TX RM DRM | $9.72 | $20.26 | $8.31–$18.23 | 62% below | 52% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUN ADMIN SQ/IM; EA ADD'L TX RM DIA | $9.72 | $20.26 | $8.31–$18.23 | 62% below | 52% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 IMMUN ADMIN SQ/IM; EA ADD'L TX RM OTO | $9.72 | $20.26 | $9.72–$18.23 | — | 52% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 IMMUN ADMIN SQ/IM; EA ADD'L TX RM BCN | $9.72 | $20.26 | $9.72–$18.23 | — | 52% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 IMMUN ADM EA ADDTL VACCINE ER | $9.72 | $20.26 | $9.72–$18.23 | — | 52% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 IMMUN ADMIN SQ/IM; EA ADD'L | $9.72 | $20.26 | $9.72–$18.23 | — | 52% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 IMMUN ADMIN SQ/IM; EA ADD'L TX RM ADH | $9.72 | $20.26 | $9.72–$18.23 | — | 52% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 IMMUN ADMIN SQ/IM; EA ADD'L TX RM ADO | $9.72 | $20.26 | $9.72–$18.23 | — | 52% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 IMMUN ADMIN SQ/IM; EA ADD'L TX RM ALG | $9.72 | $20.26 | $9.72–$18.23 | — | 52% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 IMMUNIZATION ADMIN, EACH ADD FTH | $9.72 | $20.26 | $9.72–$18.23 | — | 52% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 IMMUN ADMIN SQ/IM; EA ADD'L TX RM WMG | $9.72 | $20.26 | $9.72–$18.23 | — | 52% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 IMMUN ADMIN SQ/IM; EA ADD'L TX RM URO | $9.72 | $20.26 | $9.72–$18.23 | — | 52% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 IMMUN ADMIN SQ/IM; EA ADD'L TX RM TPC | $9.72 | $20.26 | $9.72–$18.23 | — | 52% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 IMMUN ADMIN SQ/IM; EA ADD'L TX RM SUR | $9.72 | $20.26 | $9.72–$18.23 | — | 52% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 IMMUN ADMIN SQ/IM; EA ADD'L TX RM SLP | $9.72 | $20.26 | $9.72–$18.23 | — | 52% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 IMMUN ADMIN SQ/IM; EA ADD'L TX RM SED | $9.72 | $20.26 | $9.72–$18.23 | — | 52% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 IMMUN ADMIN SQ/IM; EA ADD'L TX RM SCN | $9.72 | $20.26 | $9.72–$18.23 | — | 52% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 IMMUN ADMIN SQ/IM; EA ADD'L TX RM SCC | $9.72 | $20.26 | $9.72–$18.23 | — | 52% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 IMMUN ADMIN SQ/IM; EA ADD'L TX RM RHU | $9.72 | $20.26 | $9.72–$18.23 | — | 52% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 IMMUN ADMIN SQ/IM; EA ADD'L TX RM RHB | $9.72 | $20.26 | $9.72–$18.23 | — | 52% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 IMMUN ADMIN SQ/IM; EA ADD'L TX RM PLS | $9.72 | $20.26 | $9.72–$18.23 | — | 52% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 IMMUN ADMIN SQ/IM; EA ADD'L TX RM PLM | $9.72 | $20.26 | $9.72–$18.23 | — | 52% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 IMMUN ADMIN SQ/IM; EA ADD'L TX RM PCC | $9.72 | $20.26 | $9.72–$18.23 | — | 52% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 IMMUN ADMIN SQ/IM; EA ADD'L TX RM NUR | $9.72 | $20.26 | $9.72–$18.23 | — | 52% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 IMMUN ADMIN SQ/IM; EA ADD'L TX RM NEU | $9.72 | $20.26 | $9.72–$18.23 | — | 52% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 IMMUN ADMIN SQ/IM; EA ADD'L TX RM KID | $9.72 | $20.26 | $9.72–$18.23 | — | 52% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 IMMUN ADMIN SQ/IM; EA ADD'L TX RM INF | $9.72 | $20.26 | $9.72–$18.23 | — | 52% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 IMMUN ADMIN SQ/IM; EA ADD'L TX RM IFD | $9.72 | $20.26 | $9.72–$18.23 | — | 52% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 IMMUN ADMIN SQ/IM; EA ADD'L TX RM HMO | $9.72 | $20.26 | $9.72–$18.23 | — | 52% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 IMMUN ADMIN SQ/IM; EA ADD'L TX RM GEN | $9.72 | $20.26 | $9.72–$18.23 | — | 52% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 IMMUN ADMIN SQ/IM; EA ADD'L TX RM GAS | $9.72 | $20.26 | $9.72–$18.23 | — | 52% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 IMMUN ADMIN SQ/IM; EA ADD'L TX RM FHC | $9.72 | $20.26 | $9.72–$18.23 | — | 52% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 IMMUN ADMIN SQ/IM; EA ADD'L TX RM ENT | $9.72 | $20.26 | $9.72–$18.23 | — | 52% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 IMMUN ADMIN SQ/IM; EA ADD'L TX RM END | $9.72 | $20.26 | $9.72–$18.23 | — | 52% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 IMMUN ADMIN SQ/IM; EA ADD'L TX RM EAT | $9.72 | $20.26 | $9.72–$18.23 | — | 52% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 IMMUN ADMIN SQ/IM; EA ADD'L TX RM DWN | $9.72 | $20.26 | $9.72–$18.23 | — | 52% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 IMMUN ADMIN SQ/IM; EA ADD'L TX RM DRM | $9.72 | $20.26 | $9.72–$18.23 | — | 52% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 IMMUN ADMIN SQ/IM; EA ADD'L TX RM DIA | $9.72 | $20.26 | $9.72–$18.23 | — | 52% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 IMMUN ADMIN SQ/IM; EA ADD'L TX RM CAR | $9.72 | $20.26 | $9.72–$18.23 | — | 52% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 IMMUN ADMIN SQ/IM; EA ADD'L TX RM BMT | $9.72 | $20.26 | $9.72–$18.23 | — | 52% |
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.