Harris Health
Harris Health in Houston, TX publishes cash prices for 433 common procedures listed here, from its own machine-readable price file updated Mar 24, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the Texas median for 407 of 431 procedures and above it for 22. By typical cash price it ranks #17 of 297 Texas hospitals and #2 of 58 hospitals in the Houston, TX area, cheapest first. Select a procedure to compare it with other hospitals nearby.
5656 Kelley Street Houston, TX 77026 Collected Sep 23, 2026 Source price file Check a bill from this hospital (713) 873-2000
Acute care hospital Government-owned hospital Emergency department CMS star rating 3 of 5 CCN 450289 · CMS hospital register NPI 1205900370
Financial assistance
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Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs Texas | Off list |
|---|---|---|---|---|---|
| Abdominal X-ray, 2 views CPT 74019 RADIOLOGIC EXAMINATION, ABDOMEN; 2 VIEWS | $102.04 | $359.00 | $36.75–$233.35 | 73% below | 72% |
| Abdominal X-ray, 2 views CPT 74019 RADIOLOGIC EXAMINATION, ABDOMEN; 2 VIEWS - MOD FY | $102.04 | $359.00 | $36.75–$233.35 | 73% below | 72% |
| Abdominal X-ray, 2 views inpatient CPT 74019 RADIOLOGIC EXAMINATION, ABDOMEN; 2 VIEWS | $102.04 | $359.00 | $36.75–$233.35 | — | 72% |
| Abdominal X-ray, 2 views inpatient CPT 74019 RADIOLOGIC EXAMINATION, ABDOMEN; 2 VIEWS - MOD FY | $102.04 | $359.00 | $36.75–$233.35 | — | 72% |
| Ankle X-ray, complete, 3 or more views CPT 73610 ANKLE 3 VIEWS MIN - MOD FY | $84.49 | $389.00 | $26.14–$252.85 | 76% below | 78% |
| Ankle X-ray, complete, 3 or more views CPT 73610 ANKLE 3 VIEWS MIN | $84.49 | $389.00 | $26.14–$252.85 | 76% below | 78% |
| Ankle X-ray, complete, 3 or more views inpatient CPT 73610 ANKLE 3 VIEWS MIN | $84.49 | $389.00 | $26.14–$252.85 | — | 78% |
| Ankle X-ray, complete, 3 or more views inpatient CPT 73610 ANKLE 3 VIEWS MIN - MOD FY | $84.49 | $389.00 | $26.14–$252.85 | — | 78% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 ECHG VASCULAR PROC PHYSIO STDY UP/LOW EXT ART BILSINGL LEV | $123.69 | $1,279.00 | $142.84–$831.35 | 80% below | 90% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 ECHG VASCULAR PROC PHYSIO STDY UP/LOW EXT ART BILSINGL LEV | $123.69 | $1,279.00 | $142.84–$831.35 | — | 90% |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 ESOPHAGUS BARIUM SWALLOW | $170.82 | $681.00 | $75.38–$497.90 | 66% below | 75% |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 ESOPHAGUS BARIUM SWALLOW - MOD FY | $170.82 | $681.00 | $75.38–$497.90 | 66% below | 75% |
| Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 ESOPHAGUS BARIUM SWALLOW - MOD FY | $170.82 | $681.00 | $75.38–$497.90 | — | 75% |
| Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 ESOPHAGUS BARIUM SWALLOW | $170.82 | $681.00 | $75.38–$497.90 | — | 75% |
| Bone scan, whole body (nuclear medicine) CPT 78306 BONE &/OR JOINT IMAGING WHOLE BODY | $385.58 | $1,815.00 | $180.00–$1,179.75 | 75% below | 79% |
| Bone scan, whole body (nuclear medicine) inpatient CPT 78306 BONE &/OR JOINT IMAGING WHOLE BODY | $385.58 | $1,815.00 | $180.00–$1,179.75 | — | 79% |
| Breast ultrasound, complete, one breast CPT 76641 ULTRASOUND BREAST (S) | $102.04 | $768.00 | $102.91–$499.20 | 77% below | 87% |
| Breast ultrasound, complete, one breast one side CPT 76641 ECHG EC PROC U/S BREAST UNILATERAL , COMPLETE | $102.04 | $768.00 | $193.54–$614.40 | 77% below | 87% |
| Breast ultrasound, complete, one breast one side CPT 76641 ULTRASOUND BREAST (S) UNILATERAL/BILATER | $102.04 | $768.00 | $102.91–$499.20 | 77% below | 87% |
| Breast ultrasound, complete, one breast inpatient CPT 76641 ULTRASOUND BREAST (S) | $102.04 | $768.00 | $102.91–$499.20 | — | 87% |
| Breast ultrasound, complete, one breast inpatient one side CPT 76641 ULTRASOUND BREAST (S) UNILATERAL/BILATER | $102.04 | $768.00 | $102.91–$499.20 | — | 87% |
| Breast ultrasound, complete, one breast inpatient one side CPT 76641 ECHG EC PROC U/S BREAST UNILATERAL , COMPLETE | $102.04 | $768.00 | $193.54–$614.40 | — | 87% |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 ULTRASOUND BREAST UNILATERAL LIMITED (32876642) | $84.49 | $169.00 | $84.50–$122.38 | 76% below | 50% |
| Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 ULTRASOUND BREAST UNILATERAL LIMITED (32876642) | $84.49 | $169.00 | $84.50–$122.38 | — | 50% |
| CT angiography (CTA) of the abdomen and pelvis CPT 74174 CT ANGIO ABDOMEN & PELVIS WITH CONTRAST MATERIAL(S) (MOD CT � MCARE ONLY) | $342.69 | $1,089.00 | $366.42–$707.85 | 91% below | 69% |
| CT angiography (CTA) of the abdomen and pelvis CPT 74174 CT ANGIO ABDOMEN & PELVIS WITH CONTRAST MATERIAL(S) | $342.69 | $1,089.00 | $366.42–$707.85 | 91% below | 69% |
| CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 CT ANGIO ABDOMEN & PELVIS WITH CONTRAST MATERIAL(S) | $342.69 | $1,089.00 | $366.42–$707.85 | — | 69% |
| CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 CT ANGIO ABDOMEN & PELVIS WITH CONTRAST MATERIAL(S) (MOD CT � MCARE ONLY) | $342.69 | $1,089.00 | $366.42–$707.85 | — | 69% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CT ANGIO HRT W/3D IMAGE (MOD CT � MCARE ONLY) | $342.69 | $404.00 | $175.06–$574.42 | 79% below | 15% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CT ANGIO HRT W/3D IMAGE | $342.69 | $404.00 | $175.06–$574.42 | 79% below | 15% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 CT ANGIO HRT W/3D IMAGE (MOD CT � MCARE ONLY) | $342.69 | $404.00 | $175.06–$574.42 | — | 15% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 CT ANGIO HRT W/3D IMAGE | $342.69 | $404.00 | $175.06–$574.42 | — | 15% |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT HRT W/O DYE W/CA TEST (MOD CT � MCARE ONLY) | $84.49 | $141.00 | $70.50–$550.00 | 55% below | 40% |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT HRT W/O DYE W/CA TEST | $84.49 | $141.00 | $70.50–$550.00 | 55% below | 40% |
| CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 CT HRT W/O DYE W/CA TEST | $84.49 | $141.00 | $70.50–$550.00 | — | 40% |
| CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 CT HRT W/O DYE W/CA TEST (MOD CT � MCARE ONLY) | $84.49 | $141.00 | $70.50–$550.00 | — | 40% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 COMPUTED TOMOGRAPHY ABDOMEN AND PELVIS WITHOUT CONTRAST (MOD CT � MCARE ONLY) | $231.94 | $5,639.00 | $188.11–$3,665.35 | 92% below | 96% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 COMPUTED TOMOGRAPHY ABDOMEN AND PELVIS WITHOUT CONTRAST | $231.94 | $5,639.00 | $188.11–$3,665.35 | 92% below | 96% |
| CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 COMPUTED TOMOGRAPHY ABDOMEN AND PELVIS WITHOUT CONTRAST (MOD CT � MCARE ONLY) | $231.94 | $5,639.00 | $188.11–$3,665.35 | — | 96% |
| CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 COMPUTED TOMOGRAPHY ABDOMEN AND PELVIS WITHOUT CONTRAST | $231.94 | $5,639.00 | $188.11–$3,665.35 | — | 96% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 COMPUTED TOMOGRAPHY ABDOMEN & PELVIS WITH CONTRAST | $342.69 | $6,491.00 | $312.08–$4,219.15 | 91% below | 95% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 COMPUTED TOMOGRAPHY ABDOMEN & PELVIS WITH CONTRAST (MOD CT � MCARE ONLY) | $342.69 | $6,491.00 | $312.08–$4,219.15 | 91% below | 95% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 COMPUTED TOMOGRAPHY ABDOMEN & PELVIS WITH CONTRAST | $342.69 | $6,491.00 | $312.08–$4,219.15 | — | 95% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 COMPUTED TOMOGRAPHY ABDOMEN & PELVIS WITH CONTRAST (MOD CT � MCARE ONLY) | $342.69 | $6,491.00 | $312.08–$4,219.15 | — | 95% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 COMPUTED TOMOGRAPHY ABDOMEN & PELVIS, 1 OR MORE SECTIONS/BODY REGIONS (MOD CT � MCARE ONLY) | $342.69 | $7,783.00 | $350.18–$5,058.95 | 91% below | 96% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 COMPUTED TOMOGRAPHY ABDOMEN & PELVIS, 1 OR MORE SECTIONS/BODY REGIONS | $342.69 | $7,783.00 | $350.18–$5,058.95 | 91% below | 96% |
| CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 COMPUTED TOMOGRAPHY ABDOMEN & PELVIS, 1 OR MORE SECTIONS/BODY REGIONS | $342.69 | $7,783.00 | $350.18–$5,058.95 | — | 96% |
| CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 COMPUTED TOMOGRAPHY ABDOMEN & PELVIS, 1 OR MORE SECTIONS/BODY REGIONS (MOD CT � MCARE ONLY) | $342.69 | $7,783.00 | $350.18–$5,058.95 | — | 96% |
| CT scan of the abdomen with contrast CPT 74160 CT ADBOMEN W/CONTRAST | $170.82 | $3,595.00 | $175.06–$2,336.75 | 93% below | 95% |
| CT scan of the abdomen with contrast CPT 74160 CT ADBOMEN W/CONTRAST (MOD CT � MCARE ONLY) | $170.82 | $3,595.00 | $175.06–$2,336.75 | 93% below | 95% |
| CT scan of the abdomen with contrast inpatient CPT 74160 CT ADBOMEN W/CONTRAST (MOD CT � MCARE ONLY) | $170.82 | $3,595.00 | $175.06–$2,336.75 | — | 95% |
| CT scan of the abdomen with contrast inpatient CPT 74160 CT ADBOMEN W/CONTRAST | $170.82 | $3,595.00 | $175.06–$2,336.75 | — | 95% |
| CT scan of the head with contrast CPT 70460 CT HEAD W/CONTRAST | $170.82 | $2,671.00 | $152.36–$1,736.15 | 90% below | 94% |
| CT scan of the head with contrast CPT 70460 CT HEAD W/CONTRAST (MOD CT � MCARE ONLY) | $170.82 | $2,671.00 | $152.36–$1,736.15 | 90% below | 94% |
| CT scan of the head with contrast inpatient CPT 70460 CT HEAD W/CONTRAST | $170.82 | $2,671.00 | $152.36–$1,736.15 | — | 94% |
| CT scan of the head with contrast inpatient CPT 70460 CT HEAD W/CONTRAST (MOD CT � MCARE ONLY) | $170.82 | $2,671.00 | $152.36–$1,736.15 | — | 94% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W/CONTRAST | $170.82 | $2,896.00 | $175.06–$1,882.40 | 92% below | 94% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W/CONTRAST (MOD CT � MCARE ONLY) | $170.82 | $2,896.00 | $175.06–$1,882.40 | 92% below | 94% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT PELVIS W/CONTRAST (MOD CT � MCARE ONLY) | $170.82 | $2,896.00 | $175.06–$1,882.40 | — | 94% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT PELVIS W/CONTRAST | $170.82 | $2,896.00 | $175.06–$1,882.40 | — | 94% |
| Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 DUPLEX SCAN EXTRACRANL ARTERIES COMP BIL | $231.94 | $2,023.00 | $164.12–$1,314.95 | 78% below | 89% |
| Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 ECHG VASCULAR PROC DUPLEX SCAN EXTRACRNIAL ARTERIES BIL COM | $231.94 | $2,023.00 | $164.12–$1,314.95 | 78% below | 89% |
| Carotid artery ultrasound (duplex), both sides of the neck inpatient CPT 93880 DUPLEX SCAN EXTRACRANL ARTERIES COMP BIL | $231.94 | $2,023.00 | $164.12–$1,314.95 | — | 89% |
| Carotid artery ultrasound (duplex), both sides of the neck inpatient CPT 93880 ECHG VASCULAR PROC DUPLEX SCAN EXTRACRNIAL ARTERIES BIL COM | $231.94 | $2,023.00 | $164.12–$1,314.95 | — | 89% |
| Chest X-ray, 2 views CPT 71046 CHEST 2 VIEWS - MOD FY | $84.49 | $365.00 | $33.75–$237.25 | 78% below | 77% |
| Chest X-ray, 2 views CPT 71046 ECHG PROC RADIOLOGIC EXAMINATION, CHEST 2 VIEWS | $84.49 | $365.00 | $33.75–$237.25 | 78% below | 77% |
| Chest X-ray, 2 views CPT 71046 CHEST 2 VIEWS | $84.49 | $365.00 | $33.75–$237.25 | 78% below | 77% |
| Chest X-ray, 2 views inpatient CPT 71046 CHEST 2 VIEWS | $84.49 | $365.00 | $33.75–$237.25 | — | 77% |
| Chest X-ray, 2 views inpatient CPT 71046 CHEST 2 VIEWS - MOD FY | $84.49 | $365.00 | $33.75–$237.25 | — | 77% |
| Chest X-ray, 2 views inpatient CPT 71046 ECHG PROC RADIOLOGIC EXAMINATION, CHEST 2 VIEWS | $84.49 | $365.00 | $33.75–$237.25 | — | 77% |
| Chest X-ray, single view CPT 71045 CHEST 1 VIEW | $84.49 | $314.00 | $25.73–$204.10 | 74% below | 73% |
| Chest X-ray, single view CPT 71045 CHEST 1 VIEW - MOD FY | $84.49 | $314.00 | $25.73–$204.10 | 74% below | 73% |
| Chest X-ray, single view inpatient CPT 71045 CHEST 1 VIEW - MOD FY | $84.49 | $314.00 | $25.73–$204.10 | — | 73% |
| Chest X-ray, single view inpatient CPT 71045 CHEST 1 VIEW | $84.49 | $314.00 | $25.73–$204.10 | — | 73% |
| Collarbone (clavicle) X-ray, complete CPT 73000 CLAVICLE COMPLETE '073000 - MOD FY | $84.49 | $435.00 | $22.69–$282.75 | 72% below | 81% |
| Collarbone (clavicle) X-ray, complete CPT 73000 CLAVICLE COMPLETE '073000 | $84.49 | $435.00 | $22.69–$282.75 | 72% below | 81% |
| Collarbone (clavicle) X-ray, complete inpatient CPT 73000 CLAVICLE COMPLETE '073000 - MOD FY | $84.49 | $435.00 | $22.69–$282.75 | — | 81% |
| Collarbone (clavicle) X-ray, complete inpatient CPT 73000 CLAVICLE COMPLETE '073000 | $84.49 | $435.00 | $22.69–$282.75 | — | 81% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 ULTRASOUND RENAL,AORTA,NODES | $102.04 | $984.00 | $97.64–$639.60 | 85% below | 90% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 ECHG EC PROC ULTRASOUND RETROPERITONEAL COMPLETE | $102.04 | $984.00 | $97.64–$639.60 | 85% below | 90% |
| Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 ULTRASOUND RENAL,AORTA,NODES | $102.04 | $984.00 | $97.64–$639.60 | — | 90% |
| Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 ECHG EC PROC ULTRASOUND RETROPERITONEAL COMPLETE | $102.04 | $984.00 | $97.64–$639.60 | — | 90% |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 DEXA BONE DENSITY AXIAL 1+ SITES (HIPS, PELVIS, SPINE) | $102.04 | $705.00 | $39.09–$458.25 | 74% below | 86% |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 BONE DENSITY DUAL ENERGY ABSORPTION(DXA) | $102.04 | $705.00 | $39.09–$458.25 | 74% below | 86% |
| DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 DEXA BONE DENSITY AXIAL 1+ SITES (HIPS, PELVIS, SPINE) | $102.04 | $705.00 | $39.09–$458.25 | — | 86% |
| DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 BONE DENSITY DUAL ENERGY ABSORPTION(DXA) | $102.04 | $705.00 | $39.09–$458.25 | — | 86% |
| DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 DEXA BONE DENSITY/PERIPHERAL 1+ SITES (RADIUS, WRIST, HEEL) | $84.49 | $83.00 | $24.02–$53.95 | 62% below | -2% |
| DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 DEXA BONE DENSITY/PERIPHERAL 1+ SITES (RADIUS, WRIST, HEEL) | $84.49 | $83.00 | $24.02–$53.95 | — | -2% |
| Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 ECHG MFM PROC OB US, DETAILED, SNGL FETUS | $231.94 | $1,149.00 | $144.12–$746.85 | 66% below | 80% |
| Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 ECHG PROC OB US, DETAILED, SNGL FETUS | $231.94 | $1,149.00 | $144.12–$746.85 | 66% below | 80% |
| Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 OB US, DETAILED, SNGL FETUS | $231.94 | $1,149.00 | $144.12–$746.85 | 66% below | 80% |
| Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 ECHG OB/UC PROC WITH FETAL ANATOMY, SINGLE FETUS | $231.94 | $1,149.00 | $144.12–$746.85 | 66% below | 80% |
| Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 ECHG MFM PROC OB US, DETAILED, SNGL FETUS | $231.94 | $1,149.00 | $144.12–$746.85 | — | 80% |
| Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 ECHG OB/UC PROC WITH FETAL ANATOMY, SINGLE FETUS | $231.94 | $1,149.00 | $144.12–$746.85 | — | 80% |
| Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 ECHG PROC OB US, DETAILED, SNGL FETUS | $231.94 | $1,149.00 | $144.12–$746.85 | — | 80% |
| Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 OB US, DETAILED, SNGL FETUS | $231.94 | $1,149.00 | $144.12–$746.85 | — | 80% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT CHEST W/CONTRAST (MOD CT � MCARE ONLY) | $170.82 | $2,776.00 | $171.74–$1,804.40 | 91% below | 94% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT CHEST W/CONTRAST | $170.82 | $2,776.00 | $171.74–$1,804.40 | 91% below | 94% |
| Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT CHEST W/CONTRAST | $170.82 | $2,776.00 | $171.74–$1,804.40 | — | 94% |
| Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT CHEST W/CONTRAST (MOD CT � MCARE ONLY) | $170.82 | $2,776.00 | $171.74–$1,804.40 | — | 94% |
| Diagnostic mammogram, both breasts both sides CPT 77066 DIAGNOSTIC MAMMOGRAPHY BILATERAL INCL CAD WHEN PERFORMED | $179.27 | $379.00 | $95.51–$246.35 | — | 53% |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 DIAGNOSTIC MAMMOGRAPHY BILATERAL INCL CAD WHEN PERFORMED | $179.27 | $379.00 | $95.51–$246.35 | — | 53% |
| Diagnostic mammogram, one breast one side CPT 77065 DIAGNOSTIC MAMMOGRAPHY UNILATERAL INCL CAD WHEN PERFORMED | $79.94 | $169.00 | $42.59–$188.77 | 71% below | 53% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 DIAGNOSTIC MAMMOGRAPHY UNILATERAL INCL CAD WHEN PERFORMED | $79.94 | $169.00 | $42.59–$188.77 | — | 53% |
| Duplex ultrasound of the leg arteries, both legs CPT 93925 ECHG VASCULAR PROC DUPLX SCAN LOWER EXTMY ARTERIES COMP BIL | $231.94 | $1,904.00 | $315.28–$1,237.60 | 83% below | 88% |
| Duplex ultrasound of the leg arteries, both legs CPT 93925 DUPLEX LOWER EXTREMITY ARTERIAL BIL COMP | $231.94 | $1,904.00 | $315.28–$1,237.60 | 83% below | 88% |
| Duplex ultrasound of the leg arteries, both legs inpatient CPT 93925 DUPLEX LOWER EXTREMITY ARTERIAL BIL COMP | $231.94 | $1,904.00 | $315.28–$1,237.60 | — | 88% |
| Duplex ultrasound of the leg arteries, both legs inpatient CPT 93925 ECHG VASCULAR PROC DUPLX SCAN LOWER EXTMY ARTERIES COMP BIL | $231.94 | $1,904.00 | $315.28–$1,237.60 | — | 88% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 ECHG VASCULAR PROC DUPLX SCAN EXTREMITY VEINS BILATERAL/COM | $231.94 | $1,831.00 | $230.96–$1,190.15 | — | 87% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 ECHG EC PROC DUPLEX EXT VEINS; BILAT | $231.94 | $1,831.00 | $230.96–$1,190.15 | — | 87% |
| Duplex ultrasound of the leg veins, both legs CPT 93970 DUPLEX SCAN EXTREMITY VEINS COMP BIL | $231.94 | $1,831.00 | $230.96–$1,190.15 | 85% below | 87% |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 ECHG EC PROC DUPLEX EXT VEINS; BILAT | $231.94 | $1,831.00 | $230.96–$1,190.15 | — | 87% |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 ECHG VASCULAR PROC DUPLX SCAN EXTREMITY VEINS BILATERAL/COM | $231.94 | $1,831.00 | $230.96–$1,190.15 | — | 87% |
| Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 DUPLEX SCAN EXTREMITY VEINS COMP BIL | $231.94 | $1,831.00 | $230.96–$1,190.15 | — | 87% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 ECHG NON-INVASIVE PROC ECHOCARDIOGRAM 2-D W/O CONTRAST (PROSOLVE) | $526.13 | $980.00 | $192.56–$967.00 | 73% below | 46% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 ECHG PROC TTE W/DOPPLER COMPLETE W/O CONTRAST | $526.13 | $980.00 | $192.56–$967.00 | 73% below | 46% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 ECHG NON-INVASIVE PROC TTE W/WO FOLLOW W/CONTRAST DOPPLER | $776.83 | $1,273.00 | $320.80–$1,050.10 | 61% below | 39% |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 ECHG NON-INVASIVE PROC ECHOCARDIOGRAM 2-D W/O CONTRAST (PROSOLVE) | $526.13 | $980.00 | $192.56–$967.00 | — | 46% |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 ECHG PROC TTE W/DOPPLER COMPLETE W/O CONTRAST | $526.13 | $980.00 | $192.56–$967.00 | — | 46% |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 ECHG NON-INVASIVE PROC TTE W/WO FOLLOW W/CONTRAST DOPPLER | $776.83 | $1,273.00 | $320.80–$1,050.10 | — | 39% |
| Elbow X-ray, 2 views CPT 73070 ELBOW 2 VIEWS | $84.49 | $365.00 | $22.69–$237.25 | 73% below | 77% |
| Elbow X-ray, 2 views CPT 73070 ELBOW 2 VIEWS - MOD FY | $84.49 | $365.00 | $22.69–$237.25 | 73% below | 77% |
| Elbow X-ray, 2 views inpatient CPT 73070 ELBOW 2 VIEWS - MOD FY | $84.49 | $365.00 | $22.69–$237.25 | — | 77% |
| Elbow X-ray, 2 views inpatient CPT 73070 ELBOW 2 VIEWS | $84.49 | $365.00 | $22.69–$237.25 | — | 77% |
| Elbow X-ray, complete, 3 or more views CPT 73080 ELBOW 3 VIEWS MIN | $84.49 | $406.00 | $30.75–$263.90 | 78% below | 79% |
| Elbow X-ray, complete, 3 or more views CPT 73080 ELBOW 3 VIEWS MIN - MOD FY | $84.49 | $406.00 | $30.75–$263.90 | 78% below | 79% |
| Elbow X-ray, complete, 3 or more views inpatient CPT 73080 ELBOW 3 VIEWS MIN - MOD FY | $84.49 | $406.00 | $30.75–$263.90 | — | 79% |
| Elbow X-ray, complete, 3 or more views inpatient CPT 73080 ELBOW 3 VIEWS MIN | $84.49 | $406.00 | $30.75–$263.90 | — | 79% |
| Facial bones X-ray, complete, 3 or more views CPT 70150 FACIAL BONES 3VW MIN COMPLETE | $102.04 | $558.00 | $35.64–$362.70 | 74% below | 82% |
| Facial bones X-ray, complete, 3 or more views CPT 70150 FACIAL BONES 3VW MIN COMPLETE - MOD FY | $102.04 | $558.00 | $35.64–$362.70 | 74% below | 82% |
| Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 FACIAL BONES 3VW MIN COMPLETE | $102.04 | $558.00 | $35.64–$362.70 | — | 82% |
| Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 FACIAL BONES 3VW MIN COMPLETE - MOD FY | $102.04 | $558.00 | $35.64–$362.70 | — | 82% |
| Forearm X-ray (radius and ulna), 2 views CPT 73090 FOREARM 2 VIEWS - MOD FY | $84.49 | $351.00 | $22.69–$228.15 | 77% below | 76% |
| Forearm X-ray (radius and ulna), 2 views CPT 73090 FOREARM 2 VIEWS | $84.49 | $351.00 | $22.69–$228.15 | 77% below | 76% |
| Forearm X-ray (radius and ulna), 2 views inpatient CPT 73090 FOREARM 2 VIEWS - MOD FY | $84.49 | $351.00 | $22.69–$228.15 | — | 76% |
| Forearm X-ray (radius and ulna), 2 views inpatient CPT 73090 FOREARM 2 VIEWS | $84.49 | $351.00 | $22.69–$228.15 | — | 76% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HEPATOBILIARY SYSTEM IMAGING | $385.58 | $2,509.00 | $180.00–$1,630.85 | 76% below | 85% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 HEPATOBILIARY SYSTEM IMAGING | $385.58 | $2,509.00 | $180.00–$1,630.85 | — | 85% |
| Hand X-ray, 2 views CPT 73120 HAND 2 VIEWS 73120 - MOD FY | $102.04 | $330.00 | $22.25–$225.49 | 68% below | 69% |
| Hand X-ray, 2 views CPT 73120 HAND 2 VIEWS 73120 | $102.04 | $330.00 | $22.25–$225.49 | 68% below | 69% |
| Hand X-ray, 2 views inpatient CPT 73120 HAND 2 VIEWS 73120 - MOD FY | $102.04 | $330.00 | $22.25–$225.49 | — | 69% |
| Hand X-ray, 2 views inpatient CPT 73120 HAND 2 VIEWS 73120 | $102.04 | $330.00 | $22.25–$225.49 | — | 69% |
| Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 OS CALCIS (CALCANEUS) 2 VIEWS MINIMUM - MOD FY | $84.49 | $334.00 | $21.82–$217.10 | 71% below | 75% |
| Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 OS CALCIS (CALCANEUS) 2 VIEWS MINIMUM | $84.49 | $334.00 | $21.82–$217.10 | 71% below | 75% |
| Heel bone (calcaneus) X-ray, 2 or more views inpatient CPT 73650 OS CALCIS (CALCANEUS) 2 VIEWS MINIMUM - MOD FY | $84.49 | $334.00 | $21.82–$217.10 | — | 75% |
| Heel bone (calcaneus) X-ray, 2 or more views inpatient CPT 73650 OS CALCIS (CALCANEUS) 2 VIEWS MINIMUM | $84.49 | $334.00 | $21.82–$217.10 | — | 75% |
| Knee X-ray, 3 views CPT 73562 KNEE/PATELLA 3 VIEWS | $84.49 | $438.00 | $29.46–$284.70 | 77% below | 81% |
| Knee X-ray, 3 views CPT 73562 KNEE/PATELLA 3 VIEWS - MOD FY | $84.49 | $438.00 | $29.46–$284.70 | 77% below | 81% |
| Knee X-ray, 3 views inpatient CPT 73562 KNEE/PATELLA 3 VIEWS - MOD FY | $84.49 | $438.00 | $29.46–$284.70 | — | 81% |
| Knee X-ray, 3 views inpatient CPT 73562 KNEE/PATELLA 3 VIEWS | $84.49 | $438.00 | $29.46–$284.70 | — | 81% |
| Knee X-ray, complete, 4 or more views CPT 73564 KNEE COMPLETE W/OBLIQUE TUNNEL,SUNRISE - MOD FY | $102.04 | $490.00 | $33.76–$318.50 | 76% below | 79% |
| Knee X-ray, complete, 4 or more views CPT 73564 KNEE COMPLETE W/OBLIQUE TUNNEL,SUNRISE | $102.04 | $490.00 | $33.76–$318.50 | 76% below | 79% |
| Knee X-ray, complete, 4 or more views inpatient CPT 73564 KNEE COMPLETE W/OBLIQUE TUNNEL,SUNRISE | $102.04 | $490.00 | $33.76–$318.50 | — | 79% |
| Knee X-ray, complete, 4 or more views inpatient CPT 73564 KNEE COMPLETE W/OBLIQUE TUNNEL,SUNRISE - MOD FY | $102.04 | $490.00 | $33.76–$318.50 | — | 79% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 ECHG MFM PROC ULTRASOUND ABDOMEN LIMITED | $102.04 | $773.00 | $87.21–$502.45 | 83% below | 87% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 ECHG PULMONARY PROC US ABDOMINAL LIMITED | $102.04 | $773.00 | $87.21–$502.45 | 83% below | 87% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 ULTRASOUND ABDOMEN LIMITED | $102.04 | $773.00 | $87.21–$502.45 | 83% below | 87% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 ECHG EC PROC US LIMITED ABDOMEN | $102.04 | $773.00 | $87.21–$502.45 | 83% below | 87% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 ECHG PROC ECHO EXAM OF ABDOMEN | $102.04 | $773.00 | $87.21–$502.45 | 83% below | 87% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 ECHG EC PROC US LIMITED ABDOMEN | $102.04 | $773.00 | $87.21–$502.45 | — | 87% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 ECHG MFM PROC ULTRASOUND ABDOMEN LIMITED | $102.04 | $773.00 | $87.21–$502.45 | — | 87% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 ECHG PROC ECHO EXAM OF ABDOMEN | $102.04 | $773.00 | $87.21–$502.45 | — | 87% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 ULTRASOUND ABDOMEN LIMITED | $102.04 | $773.00 | $87.21–$502.45 | — | 87% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 ECHG PULMONARY PROC US ABDOMINAL LIMITED | $102.04 | $773.00 | $87.21–$502.45 | — | 87% |
| Limited ultrasound of an arm or leg (non-vascular) CPT 76882 US LIMITED JOINT/OTHER NONVASCULAR EXT REAL TIME W/IMAGE DOCU | $102.04 | $210.00 | $30.35–$225.49 | 75% below | 51% |
| Limited ultrasound of an arm or leg (non-vascular) CPT 76882 US LMTD JOINT NONVASCULAR EXTREMITY STRUCTURE - 76882 | $102.04 | $210.00 | $30.35–$225.49 | 75% below | 51% |
| Limited ultrasound of an arm or leg (non-vascular) CPT 76882 ECHG EC PROC US LIMITED JOINT OR NONVASCULAR EXTREMITY STRUCTURE | $102.04 | $210.00 | $30.35–$225.49 | 75% below | 51% |
| Limited ultrasound of an arm or leg (non-vascular) CPT 76882 ECHG EMG US LIMITED JOINT/OTHER NONVASCULAR EXT REAL TIME W/IMAGE DOCU | $102.04 | $210.00 | $30.35–$225.49 | 75% below | 51% |
| Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 US LIMITED JOINT/OTHER NONVASCULAR EXT REAL TIME W/IMAGE DOCU | $102.04 | $210.00 | $30.35–$225.49 | — | 51% |
| Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 ECHG EMG US LIMITED JOINT/OTHER NONVASCULAR EXT REAL TIME W/IMAGE DOCU | $102.04 | $210.00 | $30.35–$225.49 | — | 51% |
| Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 ECHG EC PROC US LIMITED JOINT OR NONVASCULAR EXTREMITY STRUCTURE | $102.04 | $210.00 | $30.35–$225.49 | — | 51% |
| Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 US LMTD JOINT NONVASCULAR EXTREMITY STRUCTURE - 76882 | $102.04 | $210.00 | $30.35–$225.49 | — | 51% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT THORAX LUNG CANCER LOW DOSE SCREEN W/O CONTRAST | $102.04 | $153.00 | $76.50–$550.00 | 58% below | 33% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 CT THORAX LUNG CANCER LOW DOSE SCREEN W/O CONTRAST | $102.04 | $153.00 | $76.50–$550.00 | — | 33% |
| Lower leg X-ray (tibia and fibula), 2 views CPT 73590 TIBIA & FIBULA 2 VIEWS - MOD FY | $84.49 | $401.00 | $21.82–$260.65 | 76% below | 79% |
| Lower leg X-ray (tibia and fibula), 2 views CPT 73590 TIBIA & FIBULA 2 VIEWS | $84.49 | $401.00 | $21.82–$260.65 | 76% below | 79% |
| Lower leg X-ray (tibia and fibula), 2 views inpatient CPT 73590 TIBIA & FIBULA 2 VIEWS | $84.49 | $401.00 | $21.82–$260.65 | — | 79% |
| Lower leg X-ray (tibia and fibula), 2 views inpatient CPT 73590 TIBIA & FIBULA 2 VIEWS - MOD FY | $84.49 | $401.00 | $21.82–$260.65 | — | 79% |
| MR angiography (MRA) of the head without contrast CPT 70544 MRI ANGIO HEAD W/O CONTRAST | $231.94 | $4,366.00 | $222.20–$2,837.90 | 87% below | 95% |
| MR angiography (MRA) of the head without contrast inpatient CPT 70544 MRI ANGIO HEAD W/O CONTRAST | $231.94 | $4,366.00 | $222.20–$2,837.90 | — | 95% |
| MRI of both breasts, without and then with contrast dye both sides CPT 77049 MRI BREAST BILATERAL | $351.15 | $1,348.00 | $339.70–$899.05 | — | 74% |
| MRI of both breasts, without and then with contrast dye CPT 77049 MRI BREAST W/O-W CONTRAST BIL | $351.15 | $1,348.00 | $339.70–$899.05 | 74% below | 74% |
| MRI of both breasts, without and then with contrast dye inpatient both sides CPT 77049 MRI BREAST BILATERAL | $351.15 | $1,348.00 | $339.70–$899.05 | — | 74% |
| MRI of both breasts, without and then with contrast dye inpatient CPT 77049 MRI BREAST W/O-W CONTRAST BIL | $351.15 | $1,348.00 | $339.70–$899.05 | — | 74% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI LOWER EXTREMITY JOINT W/O CONTRAST | $231.94 | $3,821.00 | $208.84–$2,483.65 | 89% below | 94% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 MRI LOWER EXTREMITY JOINT W/O CONTRAST | $231.94 | $3,821.00 | $208.84–$2,483.65 | — | 94% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 ECHG MRI LE JNT W&WO CONTR - LT | $342.69 | $1,106.00 | $366.42–$1,040.52 | 89% below | 69% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 ECHG MRI LE JNT W&WO CONTR - LT | $342.69 | $1,106.00 | $366.42–$1,040.52 | — | 69% |
| MRI of the abdomen without contrast CPT 74181 MRI ABDOMEN W/O CONTRAST | $231.94 | $5,855.00 | $201.81–$3,805.75 | 89% below | 96% |
| MRI of the abdomen without contrast CPT 74181 MRI ABDOMEN WO CONTRAST (WHOLE BODY SCAN ONLY) | $231.94 | $503.00 | $201.81–$750.00 | 89% below | 54% |
| MRI of the abdomen without contrast inpatient CPT 74181 MRI ABDOMEN WO CONTRAST (WHOLE BODY SCAN ONLY) | $231.94 | $503.00 | $201.81–$750.00 | — | 54% |
| MRI of the abdomen without contrast inpatient CPT 74181 MRI ABDOMEN W/O CONTRAST | $231.94 | $5,855.00 | $201.81–$3,805.75 | — | 96% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 MRI ABDOMEN W/O AND W CONTRAST | $342.69 | $8,083.00 | $348.50–$5,253.95 | 89% below | 96% |
| MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MRI ABDOMEN W/O AND W CONTRAST | $342.69 | $8,083.00 | $348.50–$5,253.95 | — | 96% |
| MRI of the brain, no contrast dye CPT 70551 MRI BRAIN W/O CONTRAST | $231.94 | $5,036.00 | $202.15–$3,273.40 | 88% below | 95% |
| MRI of the brain, no contrast dye CPT 70551 MRI BRAIN WO CONTRAST (WHOLE BODY SCAN ONLY) | $231.94 | $503.00 | $202.15–$750.00 | 88% below | 54% |
| MRI of the brain, no contrast dye inpatient CPT 70551 MRI BRAIN WO CONTRAST (WHOLE BODY SCAN ONLY) | $231.94 | $503.00 | $202.15–$750.00 | — | 54% |
| MRI of the brain, no contrast dye inpatient CPT 70551 MRI BRAIN W/O CONTRAST | $231.94 | $5,036.00 | $202.15–$3,273.40 | — | 95% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN W & W/O CONTRAST | $342.69 | $6,954.00 | $328.11–$4,520.10 | 88% below | 95% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI BRAIN W & W/O CONTRAST | $342.69 | $6,954.00 | $328.11–$4,520.10 | — | 95% |
| MRI of the lower back, no contrast dye CPT 72148 MRI LUMBAR SPINE W/O CONTRAST | $231.94 | $5,326.00 | $197.14–$3,461.90 | 89% below | 96% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 MRI LUMBAR SPINE W/O CONTRAST | $231.94 | $5,326.00 | $197.14–$3,461.90 | — | 96% |
| MRI of the lower back, without and then with contrast dye CPT 72158 MRI LUMBAR SPINE W/O-W CONTRAST | $342.69 | $7,349.00 | $329.13–$4,776.85 | 89% below | 95% |
| MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MRI LUMBAR SPINE W/O-W CONTRAST | $342.69 | $7,349.00 | $329.13–$4,776.85 | — | 95% |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI THORACIC SPINE W/O CONTRAST | $231.94 | $5,604.00 | $196.14–$3,642.60 | 89% below | 96% |
| MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MRI THORACIC SPINE W/O CONTRAST | $231.94 | $5,604.00 | $196.14–$3,642.60 | — | 96% |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI CERVICAL SPINE W/O-W CONTRAST | $342.69 | $7,093.00 | $329.79–$4,610.45 | 90% below | 95% |
| MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MRI CERVICAL SPINE W/O-W CONTRAST | $342.69 | $7,093.00 | $329.79–$4,610.45 | — | 95% |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI SPINE CERV; WO CONTRAST (WHOLE BODY SCAN ONLY) | $231.94 | $503.00 | $196.48–$750.00 | 90% below | 54% |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI CERVICAL SPINE W/O CONTRAST | $231.94 | $5,139.00 | $196.48–$3,340.35 | 90% below | 95% |
| MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MRI CERVICAL SPINE W/O CONTRAST | $231.94 | $5,139.00 | $196.48–$3,340.35 | — | 95% |
| MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MRI SPINE CERV; WO CONTRAST (WHOLE BODY SCAN ONLY) | $231.94 | $503.00 | $196.48–$750.00 | — | 54% |
| MRI of the pelvis without and with contrast CPT 72197 MRI PELVIS WITH AND W/O CONTRAST | $342.69 | $7,255.00 | $347.16–$4,715.75 | 89% below | 95% |
| MRI of the pelvis without and with contrast inpatient CPT 72197 MRI PELVIS WITH AND W/O CONTRAST | $342.69 | $7,255.00 | $347.16–$4,715.75 | — | 95% |
| MRI of the pelvis, no contrast dye CPT 72195 MRI PELVIS WO CONTRAST (WHOLE BODY SCAN ONLY) | $231.94 | $503.00 | $233.47–$750.00 | 90% below | 54% |
| MRI of the pelvis, no contrast dye CPT 72195 MRI PELVIS W/O CONTRAST | $231.94 | $5,256.00 | $233.47–$3,416.40 | 90% below | 96% |
| MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI PELVIS W/O CONTRAST | $231.94 | $5,256.00 | $233.47–$3,416.40 | — | 96% |
| MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI PELVIS WO CONTRAST (WHOLE BODY SCAN ONLY) | $231.94 | $503.00 | $233.47–$750.00 | — | 54% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MRI UPPER EXTREMITY JOINT W/O CONTRAST | $231.94 | $3,761.00 | $209.16–$2,444.65 | 87% below | 94% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI UPPER EXTREMITY JOINT W/O CONTRAST-RT | $231.94 | $3,761.00 | $209.16–$2,444.65 | 87% below | 94% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI UPPER EXTREMITY JOINT W/O CONTRAST-LT | $231.94 | $3,761.00 | $209.16–$2,444.65 | 87% below | 94% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 MRI UPPER EXTREMITY JOINT W/O CONTRAST | $231.94 | $3,761.00 | $209.16–$2,444.65 | — | 94% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI UPPER EXTREMITY JOINT W/O CONTRAST-LT | $231.94 | $3,761.00 | $209.16–$2,444.65 | — | 94% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI UPPER EXTREMITY JOINT W/O CONTRAST-RT | $231.94 | $3,761.00 | $209.16–$2,444.65 | — | 94% |
| Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 SPINE/CERV 4 VIEWS MIN - MOD FY | $102.04 | $744.00 | $43.97–$483.60 | 81% below | 86% |
| Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 SPINE/CERV 4 VIEWS MIN | $102.04 | $744.00 | $43.97–$483.60 | 81% below | 86% |
| Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 SPINE/CERV 4 VIEWS MIN - MOD FY | $102.04 | $744.00 | $43.97–$483.60 | — | 86% |
| Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 SPINE/CERV 4 VIEWS MIN | $102.04 | $744.00 | $43.97–$483.60 | — | 86% |
| Neck soft tissue CT scan with contrast CPT 70491 CT SOFT TISSUE NECK W/CONTRAST | $170.82 | $2,906.00 | $175.06–$1,888.90 | 91% below | 94% |
| Neck soft tissue CT scan with contrast CPT 70491 CT SOFT TISSUE NECK W/CONTRAST (MOD CT � MCARE ONLY) | $170.82 | $2,906.00 | $175.06–$1,888.90 | 91% below | 94% |
| Neck soft tissue CT scan with contrast inpatient CPT 70491 CT SOFT TISSUE NECK W/CONTRAST | $170.82 | $2,906.00 | $175.06–$1,888.90 | — | 94% |
| Neck soft tissue CT scan with contrast inpatient CPT 70491 CT SOFT TISSUE NECK W/CONTRAST (MOD CT � MCARE ONLY) | $170.82 | $2,906.00 | $175.06–$1,888.90 | — | 94% |
| Neck soft tissue X-ray CPT 70360 NECK SOFT TISSUE 70360 - MOD FY | $84.49 | $435.00 | $21.82–$282.75 | 64% below | 81% |
| Neck soft tissue X-ray CPT 70360 NECK SOFT TISSUE 70360 | $84.49 | $435.00 | $21.82–$282.75 | 64% below | 81% |
| Neck soft tissue X-ray inpatient CPT 70360 NECK SOFT TISSUE 70360 | $84.49 | $435.00 | $21.82–$282.75 | — | 81% |
| Neck soft tissue X-ray inpatient CPT 70360 NECK SOFT TISSUE 70360 - MOD FY | $84.49 | $435.00 | $21.82–$282.75 | — | 81% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 MYOCARDIAL PERFUSION SCAN TOMOGRAM MULTI | $1,252.69 | $4,349.00 | $180.00–$2,826.85 | 70% below | 71% |
| Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 MYOCARDIAL PERFUSION SCAN TOMOGRAM MULTI | $1,252.69 | $4,349.00 | $180.00–$2,826.85 | — | 71% |
| OCT scan of the retina (optical coherence tomography) CPT 92134 ECHG PROC CPTR OPHTH DX IMG POST SEGMT | $57.00 | $86.00 | $21.67–$236.00 | 66% below | 34% |
| OCT scan of the retina (optical coherence tomography) CPT 92134 ECHG OPHT PROC CPTR OPHTH DIAGNOSTIC IMG POST SEGMT | $57.00 | $86.00 | $21.67–$236.00 | 66% below | 34% |
| OCT scan of the retina (optical coherence tomography) inpatient CPT 92134 ECHG OPHT PROC CPTR OPHTH DIAGNOSTIC IMG POST SEGMT | $57.00 | $86.00 | $21.67–$236.00 | — | 34% |
| OCT scan of the retina (optical coherence tomography) inpatient CPT 92134 ECHG PROC CPTR OPHTH DX IMG POST SEGMT | $57.00 | $86.00 | $21.67–$236.00 | — | 34% |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET IMAGE W/CT, SKULL-THIGH | $1,399.60 | $2,360.00 | $1,115.00–$3,129.85 | 67% below | 41% |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 PET IMAGE W/CT, SKULL-THIGH | $1,399.60 | $2,360.00 | $1,115.00–$3,129.85 | — | 41% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 ECHG MFM PROC US EXAM PELVIC LIMITED | $102.04 | $825.00 | $50.79–$536.25 | 79% below | 88% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 ECHG EC PROC US EXAM PELVIC LIMITED | $102.04 | $825.00 | $50.79–$536.25 | 79% below | 88% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 ECHG PROC US EXAM PELVIC LIMITED NON-OB | $102.04 | $825.00 | $50.79–$536.25 | 79% below | 88% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 ULTRASOUND PELVIS LTD NON-OB | $102.04 | $825.00 | $50.79–$536.25 | 79% below | 88% |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 ULTRASOUND PELVIS LTD NON-OB | $102.04 | $825.00 | $50.79–$536.25 | — | 88% |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 ECHG PROC US EXAM PELVIC LIMITED NON-OB | $102.04 | $825.00 | $50.79–$536.25 | — | 88% |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 ECHG EC PROC US EXAM PELVIC LIMITED | $102.04 | $825.00 | $50.79–$536.25 | — | 88% |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 ECHG MFM PROC US EXAM PELVIC LIMITED | $102.04 | $825.00 | $50.79–$536.25 | — | 88% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 ECHG MFM PROC US EXAM, PELVIC, COMPLETE | $102.04 | $901.00 | $96.28–$585.65 | 87% below | 89% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 ULTRASOUND PELVIS NON OB | $102.04 | $901.00 | $96.28–$585.65 | 87% below | 89% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 ECHG OB/UC PROC US EXAM, PELVIC, COMPLETE | $102.04 | $901.00 | $96.28–$585.65 | 87% below | 89% |
| Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 ULTRASOUND PELVIS NON OB | $102.04 | $901.00 | $96.28–$585.65 | — | 89% |
| Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 ECHG MFM PROC US EXAM, PELVIC, COMPLETE | $102.04 | $901.00 | $96.28–$585.65 | — | 89% |
| Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 ECHG OB/UC PROC US EXAM, PELVIC, COMPLETE | $102.04 | $901.00 | $96.28–$585.65 | — | 89% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 ECHG MFM PROC OB US >/= 14 WKS, SNGL FETUS | $102.04 | $911.00 | $66.70–$592.15 | 83% below | 89% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 ULTRASOUND PREG COMPLT >/= 14 WKS SNGL | $102.04 | $911.00 | $66.70–$592.15 | 83% below | 89% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 ECHG SPECIAL CARE PROC ABDOMINAL B-SCAN >/=14WKS | $102.04 | $911.00 | $66.70–$592.15 | 83% below | 89% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 ECHG OB/UC PROC OB US >/= 14 WKS, SNGL FETUS | $102.04 | $911.00 | $66.70–$592.15 | 83% below | 89% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 ECHG PROC US/ECHOGRAM OB UTERUS B-SCAN COMPLETE | $102.04 | $911.00 | $66.70–$592.15 | 83% below | 89% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 ECHG MFM PROC OB US >/= 14 WKS, SNGL FETUS | $102.04 | $911.00 | $66.70–$592.15 | — | 89% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 ULTRASOUND PREG COMPLT >/= 14 WKS SNGL | $102.04 | $911.00 | $66.70–$592.15 | — | 89% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 ECHG PROC US/ECHOGRAM OB UTERUS B-SCAN COMPLETE | $102.04 | $911.00 | $66.70–$592.15 | — | 89% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 ECHG OB/UC PROC OB US >/= 14 WKS, SNGL FETUS | $102.04 | $911.00 | $66.70–$592.15 | — | 89% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 ECHG SPECIAL CARE PROC ABDOMINAL B-SCAN >/=14WKS | $102.04 | $911.00 | $66.70–$592.15 | — | 89% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 RTU PG UTRUS 1 TRI TRANSABD APPRCH 1/1S | $102.04 | $968.00 | $41.04–$629.20 | 83% below | 89% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 ECHG MFM PROC OB US < 14 WKS, SINGLE FETUS | $102.04 | $968.00 | $41.04–$629.20 | 83% below | 89% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 ECHG PROC ULTRASOUND PREG UTER <14WEEKS | $102.04 | $968.00 | $41.04–$629.20 | 83% below | 89% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 ECHG EC PROC OB/US < 14 WEEKS SINGLE FETUS | $102.04 | $968.00 | $41.04–$629.20 | 83% below | 89% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 ECHG OB/UC PROC OB US < 14 WKS, SINGLE FETUS | $102.04 | $968.00 | $41.04–$629.20 | 83% below | 89% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 ECHG OB/UC PROC OB US < 14 WKS, SINGLE FETUS | $102.04 | $968.00 | $41.04–$629.20 | — | 89% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 ECHG EC PROC OB/US < 14 WEEKS SINGLE FETUS | $102.04 | $968.00 | $41.04–$629.20 | — | 89% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 RTU PG UTRUS 1 TRI TRANSABD APPRCH 1/1S | $102.04 | $968.00 | $41.04–$629.20 | — | 89% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 ECHG PROC ULTRASOUND PREG UTER <14WEEKS | $102.04 | $968.00 | $41.04–$629.20 | — | 89% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 ECHG MFM PROC OB US < 14 WKS, SINGLE FETUS | $102.04 | $968.00 | $41.04–$629.20 | — | 89% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 ECHG OB SERVICES ABDOMINAL B-SCAN (LIMITED) | $102.04 | $669.00 | $81.20–$434.85 | 78% below | 85% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 ECHG EC PROC OB US LIMITED 1+ FETUS(S) | $102.04 | $669.00 | $81.20–$434.85 | 78% below | 85% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 ECHG PROC US PREG UTERUS LTD | $102.04 | $669.00 | $81.20–$434.85 | 78% below | 85% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 ECHG OB/UC PROC OB US, LIMITED STUDY | $102.04 | $669.00 | $81.20–$434.85 | 78% below | 85% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 ECHG MFM PROC OB US, LIMITED, FETUS(S) | $102.04 | $669.00 | $81.20–$434.85 | 78% below | 85% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 ULTRASOUND PREGNANCY LTD | $102.04 | $669.00 | $81.20–$434.85 | 78% below | 85% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 ECHG PROC US PREG UTERUS LTD | $102.04 | $669.00 | $81.20–$434.85 | — | 85% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 ECHG OB/UC PROC OB US, LIMITED STUDY | $102.04 | $669.00 | $81.20–$434.85 | — | 85% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 ECHG MFM PROC OB US, LIMITED, FETUS(S) | $102.04 | $669.00 | $81.20–$434.85 | — | 85% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 ECHG OB SERVICES ABDOMINAL B-SCAN (LIMITED) | $102.04 | $669.00 | $81.20–$434.85 | — | 85% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 ULTRASOUND PREGNANCY LTD | $102.04 | $669.00 | $81.20–$434.85 | — | 85% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 ECHG EC PROC OB US LIMITED 1+ FETUS(S) | $102.04 | $669.00 | $81.20–$434.85 | — | 85% |
| Rib X-ray, one side, 2 views one side CPT 71100 RIBS UNILATERAL 2 VIEWS 71100 | $84.49 | $416.00 | $26.02–$270.40 | 72% below | 80% |
| Rib X-ray, one side, 2 views one side CPT 71100 RIBS UNILATERAL 2 VIEWS 71100 - MOD FY | $84.49 | $416.00 | $26.02–$270.40 | 72% below | 80% |
| Rib X-ray, one side, 2 views inpatient one side CPT 71100 RIBS UNILATERAL 2 VIEWS 71100 - MOD FY | $84.49 | $416.00 | $26.02–$270.40 | — | 80% |
| Rib X-ray, one side, 2 views inpatient one side CPT 71100 RIBS UNILATERAL 2 VIEWS 71100 | $84.49 | $416.00 | $26.02–$270.40 | — | 80% |
| Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 RIBS W/CHEST UNILATERAL 3VW MIN | $102.04 | $479.00 | $31.17–$311.35 | 74% below | 79% |
| Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 RIBS W/CHEST UNILATERAL 3VW MIN - MOD FY | $102.04 | $479.00 | $31.17–$311.35 | 74% below | 79% |
| Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 RIBS W/CHEST UNILATERAL 3VW MIN - MOD FY | $102.04 | $479.00 | $31.17–$311.35 | — | 79% |
| Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 RIBS W/CHEST UNILATERAL 3VW MIN | $102.04 | $479.00 | $31.17–$311.35 | — | 79% |
| Screening mammogram, both breasts both sides CPT 77067 SCREENING MAMMOGRAPHY BILATERAL INCL CAD WHEN PEFORMED | $82.30 | $174.00 | $43.85–$199.38 | — | 53% |
| Screening mammogram, both breasts inpatient both sides CPT 77067 SCREENING MAMMOGRAPHY BILATERAL INCL CAD WHEN PEFORMED | $82.30 | $174.00 | $43.85–$199.38 | — | 53% |
| Shoulder X-ray, complete, 2 or more views CPT 73030 SHOULDER 2 VIEWS MIN - MOD FY | $84.49 | $490.00 | $24.73–$318.50 | 74% below | 83% |
| Shoulder X-ray, complete, 2 or more views CPT 73030 SHOULDER 2 VIEWS MIN | $84.49 | $490.00 | $24.73–$318.50 | 74% below | 83% |
| Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 SHOULDER 2 VIEWS MIN - MOD FY | $84.49 | $490.00 | $24.73–$318.50 | — | 83% |
| Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 SHOULDER 2 VIEWS MIN | $84.49 | $490.00 | $24.73–$318.50 | — | 83% |
| Sinus X-ray, complete, 3 or more views CPT 70220 SINUS/PARANASAL 3 VIEWS MIN COMPLETE | $84.49 | $630.00 | $32.20–$409.50 | 80% below | 87% |
| Sinus X-ray, complete, 3 or more views CPT 70220 SINUS/PARANASAL 3 VIEWS MIN COMPLETE - MOD FY | $84.49 | $630.00 | $32.20–$409.50 | 80% below | 87% |
| Sinus X-ray, complete, 3 or more views inpatient CPT 70220 SINUS/PARANASAL 3 VIEWS MIN COMPLETE - MOD FY | $84.49 | $630.00 | $32.20–$409.50 | — | 87% |
| Sinus X-ray, complete, 3 or more views inpatient CPT 70220 SINUS/PARANASAL 3 VIEWS MIN COMPLETE | $84.49 | $630.00 | $32.20–$409.50 | — | 87% |
| Skull X-ray, fewer than 4 views CPT 70250 SKULL LESS THAN 4 VIEWS W/W-O STEREO 70250 | $102.04 | $455.00 | $29.03–$295.75 | 68% below | 78% |
| Skull X-ray, fewer than 4 views CPT 70250 SKULL LESS THAN 4 VIEWS W/W-O STEREO 70250 - MOD FY | $102.04 | $455.00 | $29.03–$295.75 | 68% below | 78% |
| Skull X-ray, fewer than 4 views inpatient CPT 70250 SKULL LESS THAN 4 VIEWS W/W-O STEREO 70250 | $102.04 | $455.00 | $29.03–$295.75 | — | 78% |
| Skull X-ray, fewer than 4 views inpatient CPT 70250 SKULL LESS THAN 4 VIEWS W/W-O STEREO 70250 - MOD FY | $102.04 | $455.00 | $29.03–$295.75 | — | 78% |
| Stress echocardiogram, complete, including the stress test and supervision CPT 93351 ECHG NON-INVASIVE PROC STRESS TTE COMPLETE WO CONTRAST | $526.13 | $925.00 | $210.52–$967.00 | 80% below | 43% |
| Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 ECHG NON-INVASIVE PROC STRESS TTE COMPLETE WO CONTRAST | $526.13 | $925.00 | $210.52–$967.00 | — | 43% |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 ESOPHAGUS SHALLOW W/CINE/VIDEO | $170.82 | $829.00 | $74.25–$538.85 | 72% below | 79% |
| Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 ESOPHAGUS SHALLOW W/CINE/VIDEO | $170.82 | $829.00 | $74.25–$538.85 | — | 79% |
| Thigh bone (femur) X-ray, 2 or more views CPT 73552 X-RAY EXAM OF FEMUR 2/> - MOD FY | $84.49 | $111.00 | $35.75–$122.38 | 74% below | 24% |
| Thigh bone (femur) X-ray, 2 or more views CPT 73552 X-RAY EXAM OF FEMUR 2/> | $84.49 | $111.00 | $35.75–$122.38 | 74% below | 24% |
| Thigh bone (femur) X-ray, 2 or more views CPT 73552 RAD X-RAY EXAM FEMUR MINMUM 2/> - MOD FY | $84.49 | $111.00 | $35.75–$122.38 | 74% below | 24% |
| Thigh bone (femur) X-ray, 2 or more views CPT 73552 RAD X-RAY EXAM FEMUR MINMUM 2/> | $84.49 | $111.00 | $35.75–$122.38 | 74% below | 24% |
| Thigh bone (femur) X-ray, 2 or more views inpatient CPT 73552 RAD X-RAY EXAM FEMUR MINMUM 2/> - MOD FY | $84.49 | $111.00 | $35.75–$122.38 | — | 24% |
| Thigh bone (femur) X-ray, 2 or more views inpatient CPT 73552 RAD X-RAY EXAM FEMUR MINMUM 2/> | $84.49 | $111.00 | $35.75–$122.38 | — | 24% |
| Thigh bone (femur) X-ray, 2 or more views inpatient CPT 73552 X-RAY EXAM OF FEMUR 2/> | $84.49 | $111.00 | $35.75–$122.38 | — | 24% |
| Thigh bone (femur) X-ray, 2 or more views inpatient CPT 73552 X-RAY EXAM OF FEMUR 2/> - MOD FY | $84.49 | $111.00 | $35.75–$122.38 | — | 24% |
| Toe X-ray, 2 or more views CPT 73660 TOE/TOES 2 VIEWS MINIMUM | $84.49 | $295.00 | $24.41–$191.75 | 69% below | 71% |
| Toe X-ray, 2 or more views CPT 73660 TOE/TOES 2 VIEWS MINIMUM - MOD FY | $84.49 | $295.00 | $24.41–$191.75 | 69% below | 71% |
| Toe X-ray, 2 or more views inpatient CPT 73660 TOE/TOES 2 VIEWS MINIMUM - MOD FY | $84.49 | $295.00 | $24.41–$191.75 | — | 71% |
| Toe X-ray, 2 or more views inpatient CPT 73660 TOE/TOES 2 VIEWS MINIMUM | $84.49 | $295.00 | $24.41–$191.75 | — | 71% |
| Transvaginal pelvic ultrasound CPT 76830 ULTRASOUND TRANSVAGINAL | $102.04 | $1,030.00 | $101.83–$669.50 | 83% below | 90% |
| Transvaginal pelvic ultrasound CPT 76830 ECHG OB/UC PROC NON-OB TRANSVAG US | $102.04 | $1,030.00 | $101.83–$669.50 | 83% below | 90% |
| Transvaginal pelvic ultrasound CPT 76830 ECHG MFM PROC ULTRASOUND TRANSVAGINAL | $102.04 | $1,030.00 | $101.83–$669.50 | 83% below | 90% |
| Transvaginal pelvic ultrasound CPT 76830 ECHG OB SERVICES OB VAGINAL UTLRASOUND | $102.04 | $1,030.00 | $101.83–$669.50 | 83% below | 90% |
| Transvaginal pelvic ultrasound CPT 76830 ECHG EC PROC NON-OB TRANSVAG US | $102.04 | $1,030.00 | $101.83–$669.50 | 83% below | 90% |
| Transvaginal pelvic ultrasound CPT 76830 ECHG PROC ULTRASOUND TRANSVAGINAL | $102.04 | $1,030.00 | $101.83–$669.50 | 83% below | 90% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 ULTRASOUND TRANSVAGINAL | $102.04 | $1,030.00 | $101.83–$669.50 | — | 90% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 ECHG MFM PROC ULTRASOUND TRANSVAGINAL | $102.04 | $1,030.00 | $101.83–$669.50 | — | 90% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 ECHG OB/UC PROC NON-OB TRANSVAG US | $102.04 | $1,030.00 | $101.83–$669.50 | — | 90% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 ECHG PROC ULTRASOUND TRANSVAGINAL | $102.04 | $1,030.00 | $101.83–$669.50 | — | 90% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 ECHG EC PROC NON-OB TRANSVAG US | $102.04 | $1,030.00 | $101.83–$669.50 | — | 90% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 ECHG OB SERVICES OB VAGINAL UTLRASOUND | $102.04 | $1,030.00 | $101.83–$669.50 | — | 90% |
| Transvaginal ultrasound during pregnancy CPT 76817 ECHG EC PROC TRANSVAGINAL OB US | $102.04 | $904.00 | $83.33–$587.60 | 80% below | 89% |
| Transvaginal ultrasound during pregnancy CPT 76817 US PG UTERUS REAL TIME W/TRANSVAGINAL | $102.04 | $904.00 | $83.33–$587.60 | 80% below | 89% |
| Transvaginal ultrasound during pregnancy CPT 76817 ECHG MFM PROC TRANSVAGINAL OB US | $102.04 | $904.00 | $83.33–$587.60 | 80% below | 89% |
| Transvaginal ultrasound during pregnancy CPT 76817 ECHG OB/UC PROCTRANSVAGINAL OB US | $102.04 | $904.00 | $83.33–$587.60 | 80% below | 89% |
| Transvaginal ultrasound during pregnancy CPT 76817 ECHG PROC US PG UTERUS REAL TIME W/TRANSVAGINAL | $104.56 | $904.00 | $83.33–$587.60 | 79% below | 88% |
| Transvaginal ultrasound during pregnancy inpatient CPT 76817 ECHG OB/UC PROCTRANSVAGINAL OB US | $102.04 | $904.00 | $83.33–$587.60 | — | 89% |
| Transvaginal ultrasound during pregnancy inpatient CPT 76817 US PG UTERUS REAL TIME W/TRANSVAGINAL | $102.04 | $904.00 | $83.33–$587.60 | — | 89% |
| Transvaginal ultrasound during pregnancy inpatient CPT 76817 ECHG EC PROC TRANSVAGINAL OB US | $102.04 | $904.00 | $83.33–$587.60 | — | 89% |
| Transvaginal ultrasound during pregnancy inpatient CPT 76817 ECHG MFM PROC TRANSVAGINAL OB US | $102.04 | $904.00 | $83.33–$587.60 | — | 89% |
| Transvaginal ultrasound during pregnancy inpatient CPT 76817 ECHG PROC US PG UTERUS REAL TIME W/TRANSVAGINAL | $104.56 | $904.00 | $83.33–$587.60 | — | 88% |
| Ultrasound of the abdomen, complete CPT 76700 ECHG EC PROC US EXAM, ABDOM, COMPLETE | $102.04 | $1,030.00 | $88.18–$669.50 | 87% below | 90% |
| Ultrasound of the abdomen, complete CPT 76700 ULTRASOUND ABDOMEN | $102.04 | $1,030.00 | $88.18–$669.50 | 87% below | 90% |
| Ultrasound of the abdomen, complete CPT 76700 ECHG PROC US EXAM, ABDOM, COMPLETE | $102.04 | $1,030.00 | $88.18–$669.50 | 87% below | 90% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 ULTRASOUND ABDOMEN | $102.04 | $1,030.00 | $88.18–$669.50 | — | 90% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 ECHG EC PROC US EXAM, ABDOM, COMPLETE | $102.04 | $1,030.00 | $88.18–$669.50 | — | 90% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 ECHG PROC US EXAM, ABDOM, COMPLETE | $102.04 | $1,030.00 | $88.18–$669.50 | — | 90% |
| Ultrasound of the scrotum and testicles CPT 76870 ULTRASOUND SCROTUM | $102.04 | $773.00 | $100.24–$502.45 | 83% below | 87% |
| Ultrasound of the scrotum and testicles CPT 76870 ECHG EC PROC ULTRASOUND, SCROTUM | $102.04 | $773.00 | $100.24–$502.45 | 83% below | 87% |
| Ultrasound of the scrotum and testicles inpatient CPT 76870 ULTRASOUND SCROTUM | $102.04 | $773.00 | $100.24–$502.45 | — | 87% |
| Ultrasound of the scrotum and testicles inpatient CPT 76870 ECHG EC PROC ULTRASOUND, SCROTUM | $102.04 | $773.00 | $100.24–$502.45 | — | 87% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 ULTRASOUND THYROID / NECK | $102.04 | $819.00 | $98.93–$532.35 | 84% below | 88% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 ECHG EC PROC US EXAM SOFT TISSUE OF HEAD AND NECK | $102.04 | $819.00 | $98.93–$532.35 | 84% below | 88% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 ECHG EC PROC US EXAM SOFT TISSUE OF HEAD AND NECK | $102.04 | $819.00 | $98.93–$532.35 | — | 88% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 ULTRASOUND THYROID / NECK | $102.04 | $819.00 | $98.93–$532.35 | — | 88% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 UGI W SCOUT ABD RADIOGRAPHS DELAYED IMAGE SGL CONTRAST 74240 - MOD FY | $170.82 | $914.00 | $86.02–$594.10 | 76% below | 81% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 UGI W SCOUT ABD RADIOGRAPHS DELAYED IMAGE SGL CONTRAST 74240 | $170.82 | $914.00 | $86.02–$594.10 | 76% below | 81% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 UGI W SCOUT ABD RADIOGRAPHS DELAYED IMAGE SGL CONTRAST 74240 - MOD FY | $170.82 | $914.00 | $86.02–$594.10 | — | 81% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 UGI W SCOUT ABD RADIOGRAPHS DELAYED IMAGE SGL CONTRAST 74240 | $170.82 | $914.00 | $86.02–$594.10 | — | 81% |
| Upper arm X-ray (humerus), 2 views CPT 73060 HUMERUS 2 VIEWS MIN | $84.49 | $406.00 | $24.73–$263.90 | 76% below | 79% |
| Upper arm X-ray (humerus), 2 views CPT 73060 HUMERUS 2 VIEWS MIN - MOD FY | $84.49 | $406.00 | $24.73–$263.90 | 76% below | 79% |
| Upper arm X-ray (humerus), 2 views inpatient CPT 73060 HUMERUS 2 VIEWS MIN | $84.49 | $406.00 | $24.73–$263.90 | — | 79% |
| Upper arm X-ray (humerus), 2 views inpatient CPT 73060 HUMERUS 2 VIEWS MIN - MOD FY | $84.49 | $406.00 | $24.73–$263.90 | — | 79% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 ECHG VASCULAR PROC DUPLEX SCAN EXTREMITY VEINS UNILATRL/LTD | $102.04 | $1,140.00 | $139.68–$741.00 | 87% below | 91% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 ECHG EC PROC DUPLEX SCAN LIMITED DVT STUDY | $102.04 | $1,140.00 | $139.68–$741.00 | 87% below | 91% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 DUPLEX EXTREMITY VEINS UNIL/LIMITED | $102.04 | $1,140.00 | $139.68–$741.00 | 87% below | 91% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 DUPLEX EXTREMITY VEINS UNIL/LIMITED | $102.04 | $1,140.00 | $139.68–$741.00 | — | 91% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 ECHG EC PROC DUPLEX SCAN LIMITED DVT STUDY | $102.04 | $1,140.00 | $139.68–$741.00 | — | 91% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 ECHG VASCULAR PROC DUPLEX SCAN EXTREMITY VEINS UNILATRL/LTD | $102.04 | $1,140.00 | $139.68–$741.00 | — | 91% |
| Wrist X-ray, 2 views CPT 73100 WRIST 2 VIEWS - MOD FY | $84.49 | $323.00 | $23.55–$209.95 | 71% below | 74% |
| Wrist X-ray, 2 views CPT 73100 WRIST 2 VIEWS | $84.49 | $323.00 | $23.55–$209.95 | 71% below | 74% |
| Wrist X-ray, 2 views inpatient CPT 73100 WRIST 2 VIEWS | $84.49 | $323.00 | $23.55–$209.95 | — | 74% |
| Wrist X-ray, 2 views inpatient CPT 73100 WRIST 2 VIEWS - MOD FY | $84.49 | $323.00 | $23.55–$209.95 | — | 74% |
| Wrist X-ray, complete, 3 or more views CPT 73110 WRIST 3 VIEWS MIN | $84.49 | $365.00 | $29.57–$237.25 | 77% below | 77% |
| Wrist X-ray, complete, 3 or more views CPT 73110 WRIST 3 VIEWS MIN - MOD FY | $84.49 | $365.00 | $29.57–$237.25 | 77% below | 77% |
| Wrist X-ray, complete, 3 or more views inpatient CPT 73110 WRIST 3 VIEWS MIN - MOD FY | $84.49 | $365.00 | $29.57–$237.25 | — | 77% |
| Wrist X-ray, complete, 3 or more views inpatient CPT 73110 WRIST 3 VIEWS MIN | $84.49 | $365.00 | $29.57–$237.25 | — | 77% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 X-RAY EXAM HIP UNI 2-3 VIEWS - MOD FY | $84.49 | $111.00 | $47.78–$122.38 | 77% below | 24% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 X-RAY EXAM HIP UNI 2-3 VIEWS | $84.49 | $111.00 | $47.78–$122.38 | 77% below | 24% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 RAD X-RAY EXAM HIP UNILATERAL 2-3 VIEWS - MOD FY | $84.49 | $111.00 | $47.78–$122.38 | 77% below | 24% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 RAD X-RAY EXAM HIP UNILATERAL 2-3 VIEWS | $84.49 | $111.00 | $47.78–$122.38 | 77% below | 24% |
| 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 - MOD FY | $84.49 | $111.00 | $47.78–$122.38 | — | 24% |
| 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 | $84.49 | $111.00 | $47.78–$122.38 | — | 24% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 RAD X-RAY EXAM HIP UNILATERAL 2-3 VIEWS - MOD FY | $84.49 | $111.00 | $47.78–$122.38 | — | 24% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 RAD X-RAY EXAM HIP UNILATERAL 2-3 VIEWS | $84.49 | $111.00 | $47.78–$122.38 | — | 24% |
| X-ray of the abdomen, 1 view CPT 74018 ABDOMEN (KUB) (74000) - MOD FY | $84.49 | $286.00 | $30.40–$185.90 | 75% below | 70% |
| X-ray of the abdomen, 1 view CPT 74018 ABDOMEN (KUB) (74000) | $84.49 | $286.00 | $30.40–$185.90 | 75% below | 70% |
| X-ray of the abdomen, 1 view inpatient CPT 74018 ABDOMEN (KUB) (74000) | $84.49 | $286.00 | $30.40–$185.90 | — | 70% |
| X-ray of the abdomen, 1 view inpatient CPT 74018 ABDOMEN (KUB) (74000) - MOD FY | $84.49 | $286.00 | $30.40–$185.90 | — | 70% |
| X-ray of the ankle, 2 views CPT 73600 ANKLE 2 VIEWS | $84.49 | $360.00 | $22.25–$234.00 | 72% below | 77% |
| X-ray of the ankle, 2 views CPT 73600 ANKLE 2 VIEWS - MOD FY | $84.49 | $360.00 | $22.25–$234.00 | 72% below | 77% |
| X-ray of the ankle, 2 views inpatient CPT 73600 ANKLE 2 VIEWS - MOD FY | $84.49 | $360.00 | $22.25–$234.00 | — | 77% |
| X-ray of the ankle, 2 views inpatient CPT 73600 ANKLE 2 VIEWS | $84.49 | $360.00 | $22.25–$234.00 | — | 77% |
| X-ray of the finger(s), 2 or more views CPT 73140 FINGER 2 VIEWS MIN | $84.49 | $278.00 | $25.70–$180.70 | 65% below | 70% |
| X-ray of the finger(s), 2 or more views CPT 73140 FINGER 2 VIEWS MIN - MOD FY | $84.49 | $278.00 | $25.70–$180.70 | 65% below | 70% |
| X-ray of the finger(s), 2 or more views inpatient CPT 73140 FINGER 2 VIEWS MIN - MOD FY | $84.49 | $278.00 | $25.70–$180.70 | — | 70% |
| X-ray of the finger(s), 2 or more views inpatient CPT 73140 FINGER 2 VIEWS MIN | $84.49 | $278.00 | $25.70–$180.70 | — | 70% |
| X-ray of the foot, 2 views CPT 73620 FOOT 2 VIEWS - MOD FY | $84.49 | $374.00 | $21.40–$243.10 | 75% below | 77% |
| X-ray of the foot, 2 views CPT 73620 FOOT 2 VIEWS | $84.49 | $374.00 | $21.40–$243.10 | 75% below | 77% |
| X-ray of the foot, 2 views inpatient CPT 73620 FOOT 2 VIEWS | $84.49 | $374.00 | $21.40–$243.10 | — | 77% |
| X-ray of the foot, 2 views inpatient CPT 73620 FOOT 2 VIEWS - MOD FY | $84.49 | $374.00 | $21.40–$243.10 | — | 77% |
| X-ray of the foot, complete, 3 or more views CPT 73630 FOOT 3 VIEWS - MOD FY | $84.49 | $389.00 | $25.70–$252.85 | 77% below | 78% |
| X-ray of the foot, complete, 3 or more views CPT 73630 FOOT 3 VIEWS | $84.49 | $389.00 | $25.70–$252.85 | 77% below | 78% |
| X-ray of the foot, complete, 3 or more views inpatient CPT 73630 FOOT 3 VIEWS - MOD FY | $84.49 | $389.00 | $25.70–$252.85 | — | 78% |
| X-ray of the foot, complete, 3 or more views inpatient CPT 73630 FOOT 3 VIEWS | $84.49 | $389.00 | $25.70–$252.85 | — | 78% |
| X-ray of the hand, 3 or more views CPT 73130 HAND 3 VIEWS MIN | $84.49 | $365.00 | $26.14–$237.25 | 78% below | 77% |
| X-ray of the hand, 3 or more views CPT 73130 HAND 3 VIEWS MIN - MOD FY | $84.49 | $365.00 | $26.14–$237.25 | 78% below | 77% |
| X-ray of the hand, 3 or more views inpatient CPT 73130 HAND 3 VIEWS MIN | $84.49 | $365.00 | $26.14–$237.25 | — | 77% |
| X-ray of the hand, 3 or more views inpatient CPT 73130 HAND 3 VIEWS MIN - MOD FY | $84.49 | $365.00 | $26.14–$237.25 | — | 77% |
| X-ray of the knee, 1 or 2 views CPT 73560 KNEE/PATELLA 1 OR 2 VIEWS | $84.49 | $369.00 | $23.12–$239.85 | 71% below | 77% |
| X-ray of the knee, 1 or 2 views CPT 73560 KNEE/PATELLA 1 OR 2 VIEWS - MOD FY | $84.49 | $369.00 | $23.12–$239.85 | 71% below | 77% |
| X-ray of the knee, 1 or 2 views inpatient CPT 73560 KNEE/PATELLA 1 OR 2 VIEWS | $84.49 | $369.00 | $23.12–$239.85 | — | 77% |
| X-ray of the knee, 1 or 2 views inpatient CPT 73560 KNEE/PATELLA 1 OR 2 VIEWS - MOD FY | $84.49 | $369.00 | $23.12–$239.85 | — | 77% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 SPINE LUMBOSACRAL AP & LAT - MOD FY | $102.04 | $530.00 | $32.90–$344.50 | 77% below | 81% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 SPINE LUMBOSACRAL AP & LAT | $102.04 | $530.00 | $32.90–$344.50 | 77% below | 81% |
| X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 SPINE LUMBOSACRAL AP & LAT - MOD FY | $102.04 | $530.00 | $32.90–$344.50 | — | 81% |
| X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 SPINE LUMBOSACRAL AP & LAT | $102.04 | $530.00 | $32.90–$344.50 | — | 81% |
| X-ray of the lower back, 4 or more views CPT 72110 SPINE LUMBOSACRAL AP & LAT W/OBLIQUE | $102.04 | $776.00 | $46.12–$504.40 | 82% below | 87% |
| X-ray of the lower back, 4 or more views CPT 72110 SPINE LUMBOSACRAL AP & LAT W/OBLIQUE - MOD FY | $102.04 | $776.00 | $46.12–$504.40 | 82% below | 87% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 SPINE LUMBOSACRAL AP & LAT W/OBLIQUE | $102.04 | $776.00 | $46.12–$504.40 | — | 87% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 SPINE LUMBOSACRAL AP & LAT W/OBLIQUE - MOD FY | $102.04 | $776.00 | $46.12–$504.40 | — | 87% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 SPINE THORACIC 2 VIEWS - MOD FY | $102.04 | $560.00 | $27.30–$364.00 | 75% below | 82% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 SPINE THORACIC 2 VIEWS | $102.04 | $560.00 | $27.30–$364.00 | 75% below | 82% |
| X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 SPINE THORACIC 2 VIEWS - MOD FY | $102.04 | $560.00 | $27.30–$364.00 | — | 82% |
| X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 SPINE THORACIC 2 VIEWS | $102.04 | $560.00 | $27.30–$364.00 | — | 82% |
| X-ray of the nasal bones, 3 or more views CPT 70160 NASAL BONES 3 VIEWS MIN COMPLETE 70160 | $84.49 | $351.00 | $27.42–$228.15 | 69% below | 76% |
| X-ray of the nasal bones, 3 or more views CPT 70160 NASAL BONES 3 VIEWS MIN COMPLETE 70160 - MOD FY | $84.49 | $351.00 | $27.42–$228.15 | 69% below | 76% |
| X-ray of the nasal bones, 3 or more views inpatient CPT 70160 NASAL BONES 3 VIEWS MIN COMPLETE 70160 | $84.49 | $351.00 | $27.42–$228.15 | — | 76% |
| X-ray of the nasal bones, 3 or more views inpatient CPT 70160 NASAL BONES 3 VIEWS MIN COMPLETE 70160 - MOD FY | $84.49 | $351.00 | $27.42–$228.15 | — | 76% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 SPINE/ CERVICAL 2/3 VIEWS - MOD FY | $84.49 | $584.00 | $30.75–$379.60 | 77% below | 86% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 SPINE/ CERVICAL 2/3 VIEWS | $84.49 | $584.00 | $30.75–$379.60 | 77% below | 86% |
| X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 SPINE/ CERVICAL 2/3 VIEWS - MOD FY | $84.49 | $584.00 | $30.75–$379.60 | — | 86% |
| X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 SPINE/ CERVICAL 2/3 VIEWS | $84.49 | $584.00 | $30.75–$379.60 | — | 86% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 PELVIS 1/2 VIEWS | $102.04 | $283.00 | $20.54–$225.49 | 67% below | 64% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 PELVIS 1/2 VIEWS - MOD FY | $102.04 | $283.00 | $20.54–$225.49 | 67% below | 64% |
| X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 PELVIS 1/2 VIEWS - MOD FY | $102.04 | $283.00 | $20.54–$225.49 | — | 64% |
| X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 PELVIS 1/2 VIEWS | $102.04 | $283.00 | $20.54–$225.49 | — | 64% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 SACRUM AND COCCYX 2VIEWS MIN - MOD FY | $84.49 | $304.00 | $25.16–$197.60 | 72% below | 72% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 SACRUM AND COCCYX 2VIEWS MIN | $84.49 | $304.00 | $25.16–$197.60 | 72% below | 72% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 SACRUM AND COCCYX 2VIEWS MIN - MOD FY | $84.49 | $304.00 | $25.16–$197.60 | — | 72% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 SACRUM AND COCCYX 2VIEWS MIN | $84.49 | $304.00 | $25.16–$197.60 | — | 72% |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Texas | Off list |
|---|---|---|---|---|---|
| ACTH blood test CPT 82024 ADRENOCORTICOTROPIC HORMONE (ACTH), ACTHL | $38.62 | $44.00 | $22.00–$104.90 | 82% below | 12% |
| ACTH blood test inpatient CPT 82024 ADRENOCORTICOTROPIC HORMONE (ACTH), ACTHL | $38.62 | $44.00 | $22.00–$104.90 | — | 12% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALT (SGPT) (34310912) | $5.30 | $51.00 | $4.45–$33.15 | 90% below | 90% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 TRANSFERASE; ALANINE AMINO; HCVFSL | $5.30 | $43.00 | $4.45–$27.95 | 90% below | 88% |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 ALT (SGPT) (34310912) | $5.30 | $51.00 | $4.45–$33.15 | — | 90% |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 TRANSFERASE; ALANINE AMINO; HCVFSL | $5.30 | $43.00 | $4.45–$27.95 | — | 88% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 AST (SGOT) (34310840) | $5.18 | $51.00 | $4.35–$33.15 | 90% below | 90% |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 AST (SGOT) (34310840) | $5.18 | $51.00 | $4.35–$33.15 | — | 90% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HEPATITIS STUDIES PANEL | $47.63 | $676.00 | $40.01–$338.00 | 88% below | 93% |
| Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HEPATITIS STUDIES PANEL | $47.63 | $676.00 | $40.01–$338.00 | — | 93% |
| Albumin blood test CPT 82040 ALBUMIN SERUM (35000500) | $4.95 | $8.00 | $4.00–$13.44 | 87% below | 38% |
| Albumin blood test CPT 82040 ALBUMIN (34311668) | $4.95 | $51.00 | $4.16–$33.15 | 87% below | 90% |
| Albumin blood test CPT 82040 ASSAY OF SERUM ALBUMIN - IGGL | $4.95 | $20.00 | $4.16–$13.44 | 87% below | 75% |
| Albumin blood test inpatient CPT 82040 ALBUMIN (34311668) | $4.95 | $51.00 | $4.16–$33.15 | — | 90% |
| Albumin blood test inpatient CPT 82040 ALBUMIN SERUM (35000500) | $4.95 | $8.00 | $4.00–$13.44 | — | 38% |
| Albumin blood test inpatient CPT 82040 ASSAY OF SERUM ALBUMIN - IGGL | $4.95 | $20.00 | $4.16–$13.44 | — | 75% |
| Aldosterone blood test CPT 82088 ALDOSTERONE | $40.75 | $58.00 | $29.00–$110.68 | 69% below | 30% |
| Aldosterone blood test CPT 82088 ALDOSTERONE URINE | $40.75 | $106.00 | $34.23–$110.68 | 69% below | 62% |
| Aldosterone blood test inpatient CPT 82088 ALDOSTERONE URINE | $40.75 | $106.00 | $34.23–$110.68 | — | 62% |
| Aldosterone blood test inpatient CPT 82088 ALDOSTERONE | $40.75 | $58.00 | $29.00–$110.68 | — | 30% |
| Alkaline phosphatase (ALP) blood test CPT 84075 ALK PHOS URINE | $5.18 | $8.00 | $4.00–$14.06 | 89% below | 35% |
| Alkaline phosphatase (ALP) blood test CPT 84075 ALKALINE PHOSPHATASE (34310432) | $5.18 | $51.00 | $4.35–$33.15 | 89% below | 90% |
| Alkaline phosphatase (ALP) blood test inpatient CPT 84075 ALK PHOS URINE | $5.18 | $8.00 | $4.00–$14.06 | — | 35% |
| Alkaline phosphatase (ALP) blood test inpatient CPT 84075 ALKALINE PHOSPHATASE (34310432) | $5.18 | $51.00 | $4.35–$33.15 | — | 90% |
| Allergy blood test, specific IgE, per allergen CPT 86003 DANDELION | $5.22 | $39.00 | $4.38–$25.35 | 78% below | 87% |
| Allergy blood test, specific IgE, per allergen CPT 86003 TOMATO | $5.22 | $6.00 | $3.00–$14.17 | 78% below | 13% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPECIFIC IGE;QUANTITATIVE/SEMIQ | $5.22 | $39.00 | $4.38–$25.35 | 78% below | 87% |
| Allergy blood test, specific IgE, per allergen CPT 86003 FIRE ANT (INVICTA) | $5.22 | $8.00 | $4.00–$14.17 | 78% below | 35% |
| Allergy blood test, specific IgE, per allergen CPT 86003 K082 LATEX | $5.22 | $6.00 | $3.00–$14.17 | 78% below | 13% |
| Allergy blood test, specific IgE, per allergen CPT 86003 MILK (COW) | $5.22 | $6.00 | $3.00–$14.17 | 78% below | 13% |
| Allergy blood test, specific IgE, per allergen CPT 86003 CLAM | $5.22 | $6.00 | $3.00–$14.17 | 78% below | 13% |
| Allergy blood test, specific IgE, per allergen CPT 86003 SCALLOP | $5.22 | $6.00 | $3.00–$14.17 | 78% below | 13% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGENS ZONE 6 | $5.22 | $180.00 | $4.38–$117.00 | 78% below | 97% |
| Allergy blood test, specific IgE, per allergen CPT 86003 DUCK FEATHERS | $5.22 | $36.00 | $4.38–$23.40 | 78% below | 86% |
| Allergy blood test, specific IgE, per allergen CPT 86003 CRAB | $5.22 | $6.00 | $3.00–$14.17 | 78% below | 13% |
| Allergy blood test, specific IgE, per allergen CPT 86003 OYSTER | $5.22 | $6.00 | $3.00–$14.17 | 78% below | 13% |
| Allergy blood test, specific IgE, per allergen CPT 86003 SOYBEAN | $5.22 | $6.00 | $3.00–$14.17 | 78% below | 13% |
| Allergy blood test, specific IgE, per allergen CPT 86003 F210 PINEAPPLE | $5.22 | $36.00 | $4.38–$23.40 | 78% below | 86% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RYE GRASS WILD IGE | $5.22 | $6.00 | $3.00–$14.17 | 78% below | 13% |
| Allergy blood test, specific IgE, per allergen CPT 86003 GOOSE FEATHERS | $5.22 | $39.00 | $4.38–$25.35 | 78% below | 87% |
| Allergy blood test, specific IgE, per allergen CPT 86003 CHICKEN | $5.22 | $36.00 | $4.38–$23.40 | 78% below | 86% |
| Allergy blood test, specific IgE, per allergen CPT 86003 GRAPE | $5.22 | $36.00 | $4.38–$23.40 | 78% below | 86% |
| Allergy blood test, specific IgE, per allergen CPT 86003 PECAN NUT | $5.22 | $8.00 | $4.00–$14.17 | 78% below | 35% |
| Allergy blood test, specific IgE, per allergen CPT 86003 LEMON | $5.22 | $36.00 | $4.38–$23.40 | 78% below | 86% |
| Allergy blood test, specific IgE, per allergen CPT 86003 PEANUT | $5.22 | $6.00 | $3.00–$14.17 | 78% below | 13% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RHIZO NIGRICANS | $5.22 | $38.00 | $4.38–$24.70 | 78% below | 86% |
| Allergy blood test, specific IgE, per allergen CPT 86003 BANANA | $5.22 | $36.00 | $4.38–$23.40 | 78% below | 86% |
| Allergy blood test, specific IgE, per allergen CPT 86003 SHRIMP | $5.22 | $36.00 | $4.38–$23.40 | 78% below | 86% |
| Allergy blood test, specific IgE, per allergen CPT 86003 CANDIDA ALBICANS - CADIDL | $5.22 | $8.00 | $4.00–$14.17 | 78% below | 35% |
| Allergy blood test, specific IgE, per allergen CPT 86003 STRAWBERRY | $5.22 | $36.00 | $4.38–$23.40 | 78% below | 86% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPEIFI IGE INNAMON, CINNAL | $5.22 | $8.00 | $4.00–$14.17 | 78% below | 35% |
| Allergy blood test, specific IgE, per allergen CPT 86003 SWEET GUM | $5.22 | $38.00 | $4.38–$24.70 | 78% below | 86% |
| Allergy blood test, specific IgE, per allergen CPT 86003 PISTOCHIO NUT | $5.22 | $9.00 | $4.38–$14.17 | 78% below | 42% |
| Allergy blood test, specific IgE, per allergen CPT 86003 WH.BODY:MOSQUITO | $5.22 | $36.00 | $4.38–$23.40 | 78% below | 86% |
| Allergy blood test, specific IgE, per allergen CPT 86003 INSULIN, HUMAN | $5.22 | $21.00 | $4.38–$14.17 | 78% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 WHEAT, CULTIV | $5.22 | $36.00 | $4.38–$23.40 | 78% below | 86% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPECIFIC IGE, BIRD FANCIER'S PROFILE | $5.22 | $83.00 | $4.38–$53.95 | 78% below | 94% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGENS-FOOD | $5.22 | $6.00 | $3.00–$14.17 | 78% below | 13% |
| Allergy blood test, specific IgE, per allergen CPT 86003 WASP PAPER (LABCORP) | $5.22 | $8.00 | $4.00–$14.17 | 78% below | 35% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ASPERGILLUS FUMIG | $5.22 | $6.00 | $3.00–$14.17 | 78% below | 13% |
| Allergy blood test, specific IgE, per allergen CPT 86003 DOG EPITHELIA | $5.22 | $6.00 | $3.00–$14.17 | 78% below | 13% |
| Allergy blood test, specific IgE, per allergen CPT 86003 BERMUDA GRASS | $5.22 | $6.00 | $3.00–$14.17 | 78% below | 13% |
| Allergy blood test, specific IgE, per allergen CPT 86003 CATFISH | $5.22 | $9.00 | $4.38–$14.17 | 78% below | 42% |
| Allergy blood test, specific IgE, per allergen CPT 86003 BLUEGRASS, KTY | $5.22 | $6.00 | $3.00–$14.17 | 78% below | 13% |
| Allergy blood test, specific IgE, per allergen CPT 86003 EGG WHOLE (LABCORP) | $5.22 | $6.00 | $3.00–$14.17 | 78% below | 13% |
| Allergy blood test, specific IgE, per allergen CPT 86003 CASHEW NUT | $5.22 | $6.00 | $3.00–$14.17 | 78% below | 13% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ORANGE | $5.22 | $6.00 | $3.00–$14.17 | 78% below | 13% |
| Allergy blood test, specific IgE, per allergen CPT 86003 CAT HAIR/DANDER | $5.22 | $6.00 | $3.00–$14.17 | 78% below | 13% |
| Allergy blood test, specific IgE, per allergen CPT 86003 WALNUT FOOD | $5.22 | $6.00 | $3.00–$14.17 | 78% below | 13% |
| Allergy blood test, specific IgE, per allergen CPT 86003 CELERY | $5.22 | $6.00 | $3.00–$14.17 | 78% below | 13% |
| Allergy blood test, specific IgE, per allergen CPT 86003 EGG WHITE | $5.22 | $6.00 | $3.00–$14.17 | 78% below | 13% |
| Allergy blood test, specific IgE, per allergen CPT 86003 CLADOSP HERBARUM | $5.22 | $6.00 | $3.00–$14.17 | 78% below | 13% |
| Allergy blood test, specific IgE, per allergen CPT 86003 MUCOR RACEMOSUS (LABCORP) | $5.22 | $6.00 | $3.00–$14.17 | 78% below | 13% |
| Allergy blood test, specific IgE, per allergen CPT 86003 COCKROACH,GERMN | $5.22 | $6.00 | $3.00–$14.17 | 78% below | 13% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGENS, MOLD | $5.22 | $10.00 | $4.38–$14.17 | 78% below | 48% |
| Allergy blood test, specific IgE, per allergen CPT 86003 COCONUT | $5.22 | $6.00 | $3.00–$14.17 | 78% below | 13% |
| Allergy blood test, specific IgE, per allergen CPT 86003 LOBSTER | $5.22 | $6.00 | $3.00–$14.17 | 78% below | 13% |
| Allergy blood test, specific IgE, per allergen CPT 86003 CODFISH | $5.22 | $6.00 | $3.00–$14.17 | 78% below | 13% |
| Allergy blood test, specific IgE, per allergen CPT 86003 AVOCADO | $5.22 | $36.00 | $4.38–$23.40 | 78% below | 86% |
| Allergy blood test, specific IgE, per allergen CPT 86003 WHEAT | $5.22 | $6.00 | $3.00–$14.17 | 78% below | 13% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CELERY | $5.22 | $6.00 | $3.00–$14.17 | — | 13% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MUCOR RACEMOSUS (LABCORP) | $5.22 | $6.00 | $3.00–$14.17 | — | 13% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 DOG EPITHELIA | $5.22 | $6.00 | $3.00–$14.17 | — | 13% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 EGG WHOLE (LABCORP) | $5.22 | $6.00 | $3.00–$14.17 | — | 13% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 EGG WHITE | $5.22 | $6.00 | $3.00–$14.17 | — | 13% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGENS, MOLD | $5.22 | $10.00 | $4.38–$14.17 | — | 48% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 AVOCADO | $5.22 | $36.00 | $4.38–$23.40 | — | 86% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BANANA | $5.22 | $36.00 | $4.38–$23.40 | — | 86% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CHICKEN | $5.22 | $36.00 | $4.38–$23.40 | — | 86% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 DANDELION | $5.22 | $39.00 | $4.38–$25.35 | — | 87% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 DUCK FEATHERS | $5.22 | $36.00 | $4.38–$23.40 | — | 86% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F210 PINEAPPLE | $5.22 | $36.00 | $4.38–$23.40 | — | 86% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 GOOSE FEATHERS | $5.22 | $39.00 | $4.38–$25.35 | — | 87% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 GRAPE | $5.22 | $36.00 | $4.38–$23.40 | — | 86% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 LEMON | $5.22 | $36.00 | $4.38–$23.40 | — | 86% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RHIZO NIGRICANS | $5.22 | $38.00 | $4.38–$24.70 | — | 86% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SHRIMP | $5.22 | $36.00 | $4.38–$23.40 | — | 86% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 STRAWBERRY | $5.22 | $36.00 | $4.38–$23.40 | — | 86% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SWEET GUM | $5.22 | $38.00 | $4.38–$24.70 | — | 86% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 WH.BODY:MOSQUITO | $5.22 | $36.00 | $4.38–$23.40 | — | 86% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 WHEAT, CULTIV | $5.22 | $36.00 | $4.38–$23.40 | — | 86% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGENS-FOOD | $5.22 | $6.00 | $3.00–$14.17 | — | 13% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ASPERGILLUS FUMIG | $5.22 | $6.00 | $3.00–$14.17 | — | 13% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BERMUDA GRASS | $5.22 | $6.00 | $3.00–$14.17 | — | 13% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BLUEGRASS, KTY | $5.22 | $6.00 | $3.00–$14.17 | — | 13% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CASHEW NUT | $5.22 | $6.00 | $3.00–$14.17 | — | 13% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CAT HAIR/DANDER | $5.22 | $6.00 | $3.00–$14.17 | — | 13% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CLADOSP HERBARUM | $5.22 | $6.00 | $3.00–$14.17 | — | 13% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 COCKROACH,GERMN | $5.22 | $6.00 | $3.00–$14.17 | — | 13% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 COCONUT | $5.22 | $6.00 | $3.00–$14.17 | — | 13% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CODFISH | $5.22 | $6.00 | $3.00–$14.17 | — | 13% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 LOBSTER | $5.22 | $6.00 | $3.00–$14.17 | — | 13% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ORANGE | $5.22 | $6.00 | $3.00–$14.17 | — | 13% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PEANUT | $5.22 | $6.00 | $3.00–$14.17 | — | 13% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PECAN NUT | $5.22 | $8.00 | $4.00–$14.17 | — | 35% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RYE GRASS WILD IGE | $5.22 | $6.00 | $3.00–$14.17 | — | 13% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SOYBEAN | $5.22 | $6.00 | $3.00–$14.17 | — | 13% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPECIFIC IGE;QUANTITATIVE/SEMIQ | $5.22 | $39.00 | $4.38–$25.35 | — | 87% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CATFISH | $5.22 | $9.00 | $4.38–$14.17 | — | 42% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGENS ZONE 6 | $5.22 | $180.00 | $4.38–$117.00 | — | 97% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CRAB | $5.22 | $6.00 | $3.00–$14.17 | — | 13% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 OYSTER | $5.22 | $6.00 | $3.00–$14.17 | — | 13% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SCALLOP | $5.22 | $6.00 | $3.00–$14.17 | — | 13% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CLAM | $5.22 | $6.00 | $3.00–$14.17 | — | 13% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MILK (COW) | $5.22 | $6.00 | $3.00–$14.17 | — | 13% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 TOMATO | $5.22 | $6.00 | $3.00–$14.17 | — | 13% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 FIRE ANT (INVICTA) | $5.22 | $8.00 | $4.00–$14.17 | — | 35% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 K082 LATEX | $5.22 | $6.00 | $3.00–$14.17 | — | 13% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 WHEAT | $5.22 | $6.00 | $3.00–$14.17 | — | 13% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 WALNUT FOOD | $5.22 | $6.00 | $3.00–$14.17 | — | 13% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 WASP PAPER (LABCORP) | $5.22 | $8.00 | $4.00–$14.17 | — | 35% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPECIFIC IGE, BIRD FANCIER'S PROFILE | $5.22 | $83.00 | $4.38–$53.95 | — | 94% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 INSULIN, HUMAN | $5.22 | $21.00 | $4.38–$14.17 | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PISTOCHIO NUT | $5.22 | $9.00 | $4.38–$14.17 | — | 42% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPEIFI IGE INNAMON, CINNAL | $5.22 | $8.00 | $4.00–$14.17 | — | 35% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CANDIDA ALBICANS - CADIDL | $5.22 | $8.00 | $4.00–$14.17 | — | 35% |
| Alpha-fetoprotein (AFP) blood test CPT 82105 AFP TUMOR MARKER | $16.77 | $51.00 | $14.09–$45.56 | 86% below | 67% |
| Alpha-fetoprotein (AFP) blood test CPT 82105 ALPHA FETOPROTEIN SERUM (TSP) | $16.77 | $19.00 | $9.50–$45.56 | 86% below | 12% |
| Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 ALPHA FETOPROTEIN SERUM (TSP) | $16.77 | $19.00 | $9.50–$45.56 | — | 12% |
| Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 AFP TUMOR MARKER | $16.77 | $51.00 | $14.09–$45.56 | — | 67% |
| Ammonia blood test CPT 82140 AMMONIA; UKSPL | $14.57 | $14.00 | $7.00–$39.58 | 90% below | -4% |
| Ammonia blood test CPT 82140 BLOOD AMMONIA | $14.57 | $136.00 | $12.24–$88.40 | 90% below | 89% |
| Ammonia blood test inpatient CPT 82140 AMMONIA; UKSPL | $14.57 | $14.00 | $7.00–$39.58 | — | -4% |
| Ammonia blood test inpatient CPT 82140 BLOOD AMMONIA | $14.57 | $136.00 | $12.24–$88.40 | — | 89% |
| Amylase blood test CPT 82150 AMYLASE LAB4305 | $6.48 | $60.00 | $5.44–$39.00 | 91% below | 89% |
| Amylase blood test CPT 82150 AMYLASE ISOENZYMES (35069500) | $6.48 | $121.00 | $5.44–$78.65 | 91% below | 95% |
| Amylase blood test CPT 82150 AMYLASE BODY FLUID | $6.48 | $63.00 | $5.44–$40.95 | 91% below | 90% |
| Amylase blood test CPT 82150 AMYLASE (34310203) | $6.48 | $63.00 | $5.44–$40.95 | 91% below | 90% |
| Amylase blood test CPT 82150 AMYLASE URINE | $6.48 | $63.00 | $5.44–$40.95 | 91% below | 90% |
| Amylase blood test inpatient CPT 82150 AMYLASE BODY FLUID | $6.48 | $63.00 | $5.44–$40.95 | — | 90% |
| Amylase blood test inpatient CPT 82150 AMYLASE URINE | $6.48 | $63.00 | $5.44–$40.95 | — | 90% |
| Amylase blood test inpatient CPT 82150 AMYLASE ISOENZYMES (35069500) | $6.48 | $121.00 | $5.44–$78.65 | — | 95% |
| Amylase blood test inpatient CPT 82150 AMYLASE LAB4305 | $6.48 | $60.00 | $5.44–$39.00 | — | 89% |
| Amylase blood test inpatient CPT 82150 AMYLASE (34310203) | $6.48 | $63.00 | $5.44–$40.95 | — | 90% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CITRUL PEPT AB IQG; CCPL | $12.95 | $110.00 | $10.88–$71.50 | 76% below | 88% |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CITRUL PEPT AB IQG; CCPL | $12.95 | $110.00 | $10.88–$71.50 | — | 88% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 NATRIURETIC PEPT (POCBNP) | $39.26 | $73.00 | $32.98–$92.18 | 75% below | 46% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 B-NATRIURETIC PEPTIDE | $39.26 | $64.00 | $32.00–$92.18 | 75% below | 39% |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 NATRIURETIC PEPT (POCBNP) | $39.26 | $73.00 | $32.98–$92.18 | — | 46% |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 B-NATRIURETIC PEPTIDE | $39.26 | $64.00 | $32.00–$92.18 | — | 39% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 GENITAL CULTURE | $8.62 | $96.00 | $7.24–$62.40 | 87% below | 91% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 RESPIRATORY CULTURE THROAT & NOSE | $8.62 | $210.00 | $7.24–$136.50 | 87% below | 96% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 EXUDATE CULTURE | $8.62 | $210.00 | $7.24–$136.50 | 87% below | 96% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CSF CULTURE | $8.62 | $210.00 | $7.24–$136.50 | 87% below | 96% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CSF CULTURE | $8.62 | $210.00 | $7.24–$136.50 | — | 96% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 RESPIRATORY CULTURE THROAT & NOSE | $8.62 | $210.00 | $7.24–$136.50 | — | 96% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 GENITAL CULTURE | $8.62 | $96.00 | $7.24–$62.40 | — | 91% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 EXUDATE CULTURE | $8.62 | $210.00 | $7.24–$136.50 | — | 96% |
| Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL (BMP) + TCA BUNDLED CHARGE | $8.46 | $249.00 | $7.11–$124.50 | 96% below | 97% |
| Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METABOLIC PANEL (BMP) + TCA BUNDLED CHARGE | $8.46 | $249.00 | $7.11–$124.50 | — | 97% |
| Bilirubin blood test, total CPT 82247 TOTAL BILIRUBIN (34308691) | $5.02 | $51.00 | $4.22–$33.15 | 91% below | 90% |
| Bilirubin blood test, total CPT 82247 TOTAL BILIRUBIN; HCVFSL | $5.02 | $43.00 | $4.22–$27.95 | 91% below | 88% |
| Bilirubin blood test, total CPT 82247 TOTAL BILIRUBIN, FBIL | $5.02 | $70.00 | $4.22–$45.50 | 91% below | 93% |
| Bilirubin blood test, total CPT 82247 BILIRUBIN; TOTAL (LAB MISC TEST) ARUP 2005248 | $5.02 | $90.00 | $4.22–$58.50 | 91% below | 94% |
| Bilirubin blood test, total inpatient CPT 82247 TOTAL BILIRUBIN (34308691) | $5.02 | $51.00 | $4.22–$33.15 | — | 90% |
| Bilirubin blood test, total inpatient CPT 82247 BILIRUBIN; TOTAL (LAB MISC TEST) ARUP 2005248 | $5.02 | $90.00 | $4.22–$58.50 | — | 94% |
| Bilirubin blood test, total inpatient CPT 82247 TOTAL BILIRUBIN; HCVFSL | $5.02 | $43.00 | $4.22–$27.95 | — | 88% |
| Bilirubin blood test, total inpatient CPT 82247 TOTAL BILIRUBIN, FBIL | $5.02 | $70.00 | $4.22–$45.50 | — | 93% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 GROSS & MICROSCOPIC LEVEL IV | $51.27 | $305.00 | $76.86–$198.25 | 83% below | 83% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 BONE MARROW BIOPSY PROCEDURE | $51.27 | $226.00 | $56.95–$146.90 | 83% below | 77% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 GROSS & MICROSCOPIC LEVEL IV- OUTSOURCE | $51.27 | $305.00 | $76.86–$198.25 | 83% below | 83% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 CELL BLOCK | $51.27 | $305.00 | $76.86–$198.25 | 83% below | 83% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 CELL BLOCK | $51.27 | $305.00 | $76.86–$198.25 | — | 83% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 GROSS & MICROSCOPIC LEVEL IV- OUTSOURCE | $51.27 | $305.00 | $76.86–$198.25 | — | 83% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 GROSS & MICROSCOPIC LEVEL IV | $51.27 | $305.00 | $76.86–$198.25 | — | 83% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 BONE MARROW BIOPSY PROCEDURE | $51.27 | $226.00 | $56.95–$146.90 | — | 77% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 ECHG FORENSIC PROC ROUNTINE VENIPUCTURE | $9.09 | $29.00 | $7.31–$18.85 | 50% below | 69% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 ECHG FORENSIC PROC ROUNTINE VENIPUCTURE IN CLINIC | $9.09 | $29.00 | $7.31–$18.85 | 50% below | 69% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 ECHG FORENSIC PROC ROUNTINE VENIPUCTURE | $9.09 | $29.00 | $7.31–$18.85 | — | 69% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 ECHG FORENSIC PROC ROUNTINE VENIPUCTURE IN CLINIC | $9.09 | $29.00 | $7.31–$18.85 | — | 69% |
| Blood glucose (sugar) test CPT 82947 GLUCOSE URINE QUANT | $3.93 | $51.00 | $3.30–$33.15 | 91% below | 92% |
| Blood glucose (sugar) test CPT 82947 GLUCOSE; QUAN, BLOOD; PCG8A POC | $3.93 | $19.00 | $3.30–$12.35 | 91% below | 79% |
| Blood glucose (sugar) test CPT 82947 ECHG POC GLUCOSE; BLD BY MONITOR DEVICE | $3.93 | $54.00 | $3.30–$35.10 | 91% below | 93% |
| Blood glucose (sugar) test CPT 82947 GLUCOSE BLOOD BY MONITOR DEVICE (POCGLU) | $3.93 | $51.00 | $3.30–$33.15 | 91% below | 92% |
| Blood glucose (sugar) test CPT 82947 GLUCOSE; QUAN, BLOOD; PCG8V POC | $3.93 | $19.00 | $3.30–$12.35 | 91% below | 79% |
| Blood glucose (sugar) test CPT 82947 GLUCOSE; QUAN, BLOOD; GLU | $3.93 | $51.00 | $3.30–$33.15 | 91% below | 92% |
| Blood glucose (sugar) test CPT 82947 REDUCING SUBS, FECES; FRED | $3.93 | $51.00 | $3.30–$33.15 | 91% below | 92% |
| Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE BLOOD BY MONITOR DEVICE (POCGLU) | $3.93 | $51.00 | $3.30–$33.15 | — | 92% |
| Blood glucose (sugar) test inpatient CPT 82947 ECHG POC GLUCOSE; BLD BY MONITOR DEVICE | $3.93 | $54.00 | $3.30–$35.10 | — | 93% |
| Blood glucose (sugar) test inpatient CPT 82947 REDUCING SUBS, FECES; FRED | $3.93 | $51.00 | $3.30–$33.15 | — | 92% |
| Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE; QUAN, BLOOD; PCG8A POC | $3.93 | $19.00 | $3.30–$12.35 | — | 79% |
| Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE URINE QUANT | $3.93 | $51.00 | $3.30–$33.15 | — | 92% |
| Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE; QUAN, BLOOD; PCG8V POC | $3.93 | $19.00 | $3.30–$12.35 | — | 79% |
| Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE; QUAN, BLOOD; GLU | $3.93 | $51.00 | $3.30–$33.15 | — | 92% |
| Blood lead test CPT 83655 HEAVY METAL II, 24U (35001115) | $12.11 | $6.00 | $3.00–$32.89 | 74% below | -102% |
| Blood lead test CPT 83655 LEAD SERUM | $12.11 | $11.00 | $5.50–$32.89 | 74% below | -10% |
| Blood lead test CPT 83655 LEAD (34321264) | $12.11 | $99.00 | $10.17–$64.35 | 74% below | 88% |
| Blood lead test CPT 83655 LEAD, BLOOD (PEDS) CAPILLARY; LDPCL | $12.11 | $7.00 | $3.50–$32.89 | 74% below | -73% |
| Blood lead test CPT 83655 LEAD, BLOOD (ADULT); LDAVL | $12.11 | $7.00 | $3.50–$32.89 | 74% below | -73% |
| Blood lead test CPT 83655 LEAD, BLOOD PEDIATRIC; LDPVL | $12.11 | $7.00 | $3.50–$32.89 | 74% below | -73% |
| Blood lead test inpatient CPT 83655 LEAD, BLOOD (PEDS) CAPILLARY; LDPCL | $12.11 | $7.00 | $3.50–$32.89 | — | -73% |
| Blood lead test inpatient CPT 83655 LEAD (34321264) | $12.11 | $99.00 | $10.17–$64.35 | — | 88% |
| Blood lead test inpatient CPT 83655 LEAD, BLOOD (ADULT); LDAVL | $12.11 | $7.00 | $3.50–$32.89 | — | -73% |
| Blood lead test inpatient CPT 83655 HEAVY METAL II, 24U (35001115) | $12.11 | $6.00 | $3.00–$32.89 | — | -102% |
| Blood lead test inpatient CPT 83655 LEAD SERUM | $12.11 | $11.00 | $5.50–$32.89 | — | -10% |
| Blood lead test inpatient CPT 83655 LEAD, BLOOD PEDIATRIC; LDPVL | $12.11 | $7.00 | $3.50–$32.89 | — | -73% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HCG QUALITATIVE (34321353) | $7.52 | $90.00 | $6.32–$58.50 | 95% below | 92% |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HCG QUALITATIVE (34321353) | $7.52 | $90.00 | $6.32–$58.50 | — | 92% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO | $123.69 | $194.00 | $2.51–$231.09 | 40% above | 36% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 ABO | $123.69 | $194.00 | $2.51–$231.09 | — | 36% |
| Blood urea nitrogen (BUN) test CPT 84520 UREA NITROGEN BLOOD BUN | $3.95 | $51.00 | $3.32–$33.15 | 93% below | 92% |
| Blood urea nitrogen (BUN) test CPT 84520 UREA NITROGEN; QUAN CREATININE POC; INA (34300010) | $3.95 | $14.00 | $3.32–$10.74 | 93% below | 72% |
| Blood urea nitrogen (BUN) test CPT 84520 UREA NITROGEN (LABCORP) LAB4856 | $3.95 | $9.00 | $3.32–$10.74 | 93% below | 56% |
| Blood urea nitrogen (BUN) test CPT 84520 UREA NITROGEN; QUAN POC; INA (34300006) | $3.95 | $10.00 | $3.32–$10.74 | 93% below | 61% |
| Blood urea nitrogen (BUN) test CPT 84520 UREA NITROGEN; QUAN; FURL | $3.95 | $10.00 | $3.32–$10.74 | 93% below | 61% |
| Blood urea nitrogen (BUN) test inpatient CPT 84520 UREA NITROGEN BLOOD BUN | $3.95 | $51.00 | $3.32–$33.15 | — | 92% |
| Blood urea nitrogen (BUN) test inpatient CPT 84520 UREA NITROGEN (LABCORP) LAB4856 | $3.95 | $9.00 | $3.32–$10.74 | — | 56% |
| Blood urea nitrogen (BUN) test inpatient CPT 84520 UREA NITROGEN; QUAN; FURL | $3.95 | $10.00 | $3.32–$10.74 | — | 61% |
| Blood urea nitrogen (BUN) test inpatient CPT 84520 UREA NITROGEN; QUAN POC; INA (34300006) | $3.95 | $10.00 | $3.32–$10.74 | — | 61% |
| Blood urea nitrogen (BUN) test inpatient CPT 84520 UREA NITROGEN; QUAN CREATININE POC; INA (34300010) | $3.95 | $14.00 | $3.32–$10.74 | — | 72% |
| C-peptide blood test CPT 84681 C-PEPTIDE | $20.81 | $293.00 | $17.48–$190.45 | 71% below | 93% |
| C-peptide blood test inpatient CPT 84681 C-PEPTIDE | $20.81 | $293.00 | $17.48–$190.45 | — | 93% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-REACTIVE PROTEIN - CRP (86140) | $5.18 | $14.00 | $4.35–$14.06 | 90% below | 63% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C-REACTIVE PROTEIN - CRP (86140) | $5.18 | $14.00 | $4.35–$14.06 | — | 63% |
| C. difficile toxin gene test (stool PCR) CPT 87493 C DIFF AMPLIFIED PROBE NUCLEIC ACID - CDIFFP | $37.27 | $90.00 | $31.31–$95.33 | 79% below | 59% |
| C. difficile toxin gene test (stool PCR) inpatient CPT 87493 C DIFF AMPLIFIED PROBE NUCLEIC ACID - CDIFFP | $37.27 | $90.00 | $31.31–$95.33 | — | 59% |
| CA 19-9 blood test (tumor marker) CPT 86301 CA 19-9 | $20.81 | $150.00 | $17.48–$97.50 | 84% below | 86% |
| CA 19-9 blood test (tumor marker) CPT 86301 IA QUANT; CA 19-9; FCAG1L | $20.81 | $160.00 | $17.48–$104.00 | 84% below | 87% |
| CA 19-9 blood test (tumor marker) inpatient CPT 86301 IA QUANT; CA 19-9; FCAG1L | $20.81 | $160.00 | $17.48–$104.00 | — | 87% |
| CA 19-9 blood test (tumor marker) inpatient CPT 86301 CA 19-9 | $20.81 | $150.00 | $17.48–$97.50 | — | 86% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 CA 125 | $20.81 | $118.00 | $17.48–$76.70 | 86% below | 82% |
| CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 CA 125 | $20.81 | $118.00 | $17.48–$76.70 | — | 82% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS-COV-2 COVID-19 AMPLIFIED PROBE- NON CDC LAB | $51.31 | $96.00 | $43.10–$112.88 | 42% below | 47% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS-COV-2 COVID19 AMPLIFIED PROBE NON CDC LAB LBJ 87635 | $51.31 | $96.00 | $43.10–$112.88 | 42% below | 47% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS-COV-2 COVID-19 AMPLIFIED PROBE- NON CDC LAB 87635 | $51.31 | $96.00 | $43.10–$112.88 | 42% below | 47% |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 SARS-COV-2 COVID-19 AMPLIFIED PROBE- NON CDC LAB | $51.31 | $96.00 | $43.10–$112.88 | — | 47% |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 SARS-COV-2 COVID-19 AMPLIFIED PROBE- NON CDC LAB 87635 | $51.31 | $96.00 | $43.10–$112.88 | — | 47% |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 SARS-COV-2 COVID19 AMPLIFIED PROBE NON CDC LAB LBJ 87635 | $51.31 | $96.00 | $43.10–$112.88 | — | 47% |
| Calcium blood test, total CPT 82310 CALCIUM (34309779) | $5.16 | $51.00 | $4.33–$33.15 | 91% below | 90% |
| Calcium blood test, total inpatient CPT 82310 CALCIUM (34309779) | $5.16 | $51.00 | $4.33–$33.15 | — | 90% |
| Carcinoembryonic antigen (CEA) test CPT 82378 CEA, FCEAL | $18.96 | $33.00 | $15.93–$51.50 | 86% below | 43% |
| Carcinoembryonic antigen (CEA) test CPT 82378 CEA | $18.96 | $190.00 | $15.93–$123.50 | 86% below | 90% |
| Carcinoembryonic antigen (CEA) test inpatient CPT 82378 CEA | $18.96 | $190.00 | $15.93–$123.50 | — | 90% |
| Carcinoembryonic antigen (CEA) test inpatient CPT 82378 CEA, FCEAL | $18.96 | $33.00 | $15.93–$51.50 | — | 43% |
| Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA IGM ANTIBODIES | $12.88 | $29.00 | $10.82–$34.98 | 79% below | 56% |
| Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA AB IGG | $12.88 | $181.00 | $10.82–$117.65 | 79% below | 93% |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 VARICELLA IGM ANTIBODIES | $12.88 | $29.00 | $10.82–$34.98 | — | 56% |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 VARICELLA AB IGG | $12.88 | $181.00 | $10.82–$117.65 | — | 93% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHYLMD TRACH DNA AMP PROBE, CHGCRL | $35.09 | $30.00 | $15.00–$95.33 | 72% below | -17% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA T AMPLIF NA PROBE; CTGCL | $35.09 | $30.00 | $15.00–$95.33 | 72% below | -17% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA TRACHOMATIS | $35.09 | $270.00 | $29.48–$175.50 | 72% below | 87% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHYLMD TRACH DNA AMP PROBE, CHGCRL | $35.09 | $30.00 | $15.00–$95.33 | — | -17% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA TRACHOMATIS | $35.09 | $270.00 | $29.48–$175.50 | — | 87% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA T AMPLIF NA PROBE; CTGCL | $35.09 | $30.00 | $15.00–$95.33 | — | -17% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL BUNDLED CHARGE | $13.39 | $221.00 | $11.25–$110.50 | 91% below | 94% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PANEL BUNDLED CHARGE | $13.39 | $221.00 | $11.25–$110.50 | — | 94% |
| Complete blood count (CBC) with differential CPT 85025 CBC/PLATELET/TOTAL DIFFERENTIAL | $7.77 | $178.00 | $6.53–$115.70 | 91% below | 96% |
| Complete blood count (CBC) with differential CPT 85025 CBC/PLATELET/PARTIAL DIFFERENTIAL | $7.77 | $199.00 | $6.53–$129.35 | 91% below | 96% |
| Complete blood count (CBC) with differential inpatient CPT 85025 CBC/PLATELET/TOTAL DIFFERENTIAL | $7.77 | $178.00 | $6.53–$115.70 | — | 96% |
| Complete blood count (CBC) with differential inpatient CPT 85025 CBC/PLATELET/PARTIAL DIFFERENTIAL | $7.77 | $199.00 | $6.53–$129.35 | — | 96% |
| Complete blood count (CBC), no differential CPT 85027 CBC/PLATELET | $6.47 | $166.00 | $5.43–$107.90 | 93% below | 96% |
| Complete blood count (CBC), no differential inpatient CPT 85027 CBC/PLATELET | $6.47 | $166.00 | $5.43–$107.90 | — | 96% |
| Comprehensive metabolic panel (blood test) CPT 80053 COMPREHENSIVE METABOLIC PANEL (CMP) BUNDLED CHARGE | $10.56 | $668.00 | $8.87–$334.00 | 96% below | 98% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMPREHENSIVE METABOLIC PANEL (CMP) BUNDLED CHARGE | $10.56 | $668.00 | $8.87–$334.00 | — | 98% |
| Cortisol blood test, total CPT 82533 CORTISOL URINE | $16.30 | $39.00 | $13.69–$44.26 | 80% below | 58% |
| Cortisol blood test, total CPT 82533 SALIVARY CORTISOL | $16.30 | $63.00 | $13.69–$44.26 | 80% below | 74% |
| Cortisol blood test, total CPT 82533 CORTISOL | $16.30 | $30.00 | $13.69–$44.26 | 80% below | 46% |
| Cortisol blood test, total inpatient CPT 82533 SALIVARY CORTISOL | $16.30 | $63.00 | $13.69–$44.26 | — | 74% |
| Cortisol blood test, total inpatient CPT 82533 CORTISOL | $16.30 | $30.00 | $13.69–$44.26 | — | 46% |
| Cortisol blood test, total inpatient CPT 82533 CORTISOL URINE | $16.30 | $39.00 | $13.69–$44.26 | — | 58% |
| Creatine kinase (CK) blood test, total CPT 82550 CPK | $6.51 | $51.00 | $5.47–$33.15 | 90% below | 87% |
| Creatine kinase (CK) blood test, total inpatient CPT 82550 CPK | $6.51 | $51.00 | $5.47–$33.15 | — | 87% |
| Creatinine blood test CPT 82565 CREATININE; BLOOD (POCCR/POCCRE) | $5.12 | $51.00 | $4.30–$33.15 | 90% below | 90% |
| Creatinine blood test CPT 82565 CREATININE; BLOOD POC; INA | $5.12 | $14.00 | $4.30–$13.93 | 90% below | 63% |
| Creatinine blood test CPT 82565 CREATININE (82565) | $5.12 | $51.00 | $4.30–$33.15 | 90% below | 90% |
| Creatinine blood test inpatient CPT 82565 CREATININE (82565) | $5.12 | $51.00 | $4.30–$33.15 | — | 90% |
| Creatinine blood test inpatient CPT 82565 CREATININE; BLOOD (POCCR/POCCRE) | $5.12 | $51.00 | $4.30–$33.15 | — | 90% |
| Creatinine blood test inpatient CPT 82565 CREATININE; BLOOD POC; INA | $5.12 | $14.00 | $4.30–$13.93 | — | 63% |
| Cytomegalovirus (CMV) antibody test CPT 86644 ANTIBODY; CYTOMEGALOVIRUS (CMV) (LAB MISC TEST) ARUP 2011813 | $14.39 | $258.00 | $12.09–$167.70 | 81% below | 94% |
| Cytomegalovirus (CMV) antibody test CPT 86644 AB; CYTOMEGALOVIRUS (CMV), CMVIGL | $14.39 | $11.00 | $5.50–$39.09 | 81% below | -31% |
| Cytomegalovirus (CMV) antibody test inpatient CPT 86644 ANTIBODY; CYTOMEGALOVIRUS (CMV) (LAB MISC TEST) ARUP 2011813 | $14.39 | $258.00 | $12.09–$167.70 | — | 94% |
| Cytomegalovirus (CMV) antibody test inpatient CPT 86644 AB; CYTOMEGALOVIRUS (CMV), CMVIGL | $14.39 | $11.00 | $5.50–$39.09 | — | -31% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 OPIATE QUALITATIVE - UOPIA | $62.14 | $203.00 | $52.20–$158.03 | at median | 69% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 BARBITURATE QUALITATIVE - UBARB | $62.14 | $203.00 | $52.20–$158.03 | at median | 69% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG TEST FENTANYL/NORFENTANYL SCRN ONLY URINE(LABCORP)LAB5032 | $62.14 | $109.00 | $52.20–$158.03 | at median | 43% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 BUPRENOPHINE SCREEN - BUPRL | $62.14 | $109.00 | $52.20–$158.03 | at median | 43% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 FENTANYL/NORFENTANYL SCREEN ONLY, URINE | $62.14 | $116.00 | $52.20–$158.03 | at median | 46% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 CANNABINOID QUALITATIVE - UCANA | $62.14 | $203.00 | $52.20–$158.03 | at median | 69% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 PHENCYCLIDINE QUALITATIVE - UPCP | $62.14 | $203.00 | $52.20–$158.03 | at median | 69% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 BENZODIAZEPINE SCREEN - UBENZ | $62.14 | $203.00 | $52.20–$158.03 | at median | 69% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 COCAINE QUALITATIVE - UCOCA | $62.14 | $203.00 | $52.20–$158.03 | at median | 69% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG TEST, PRESUMPTIVE; BY INSTRUMENT CHEMISTRY ANALYZERS | $62.14 | $116.00 | $52.20–$158.03 | at median | 46% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 IBUPROFEN; IBUL | $62.14 | $78.00 | $39.00–$158.03 | at median | 20% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG TEST METHADONE SCRN ONLY URINE (LABCORP)LAB5033 | $62.14 | $45.00 | $22.50–$158.03 | at median | -38% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 RX SCREEN QUAL SNGLE RX CLASS METH EA - NICOL | $62.14 | $24.00 | $12.00–$158.03 | at median | -159% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 LSD BLOOD - LSDL | $62.14 | $41.00 | $20.50–$158.03 | at median | -52% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN - SINGLE CLASS, MECO5L | $62.14 | $139.00 | $52.20–$158.03 | at median | 55% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG TEST, PRESUMPTIVE; BY INSTRUMENT CHEMISTRY ANALYZERS-LAB5072; (LABCORP) | $62.14 | $309.00 | $52.20–$158.03 | at median | 80% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 TRICYCLICS - TRICYL | $62.14 | $20.00 | $10.00–$158.03 | at median | -211% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 AMPHETAMINE QUALITATIVE - UAMPH | $62.14 | $203.00 | $52.20–$158.03 | at median | 69% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 IBUPROFEN; IBUL | $62.14 | $78.00 | $39.00–$158.03 | — | 20% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG TEST FENTANYL/NORFENTANYL SCRN ONLY URINE(LABCORP)LAB5032 | $62.14 | $109.00 | $52.20–$158.03 | — | 43% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 BUPRENOPHINE SCREEN - BUPRL | $62.14 | $109.00 | $52.20–$158.03 | — | 43% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 LSD BLOOD - LSDL | $62.14 | $41.00 | $20.50–$158.03 | — | -52% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG SCREEN - SINGLE CLASS, MECO5L | $62.14 | $139.00 | $52.20–$158.03 | — | 55% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG TEST, PRESUMPTIVE; BY INSTRUMENT CHEMISTRY ANALYZERS-LAB5072; (LABCORP) | $62.14 | $309.00 | $52.20–$158.03 | — | 80% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG TEST METHADONE SCRN ONLY URINE (LABCORP)LAB5033 | $62.14 | $45.00 | $22.50–$158.03 | — | -38% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 TRICYCLICS - TRICYL | $62.14 | $20.00 | $10.00–$158.03 | — | -211% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 RX SCREEN QUAL SNGLE RX CLASS METH EA - NICOL | $62.14 | $24.00 | $12.00–$158.03 | — | -159% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG TEST, PRESUMPTIVE; BY INSTRUMENT CHEMISTRY ANALYZERS | $62.14 | $116.00 | $52.20–$158.03 | — | 46% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 COCAINE QUALITATIVE - UCOCA | $62.14 | $203.00 | $52.20–$158.03 | — | 69% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 BENZODIAZEPINE SCREEN - UBENZ | $62.14 | $203.00 | $52.20–$158.03 | — | 69% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 PHENCYCLIDINE QUALITATIVE - UPCP | $62.14 | $203.00 | $52.20–$158.03 | — | 69% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 CANNABINOID QUALITATIVE - UCANA | $62.14 | $203.00 | $52.20–$158.03 | — | 69% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 BARBITURATE QUALITATIVE - UBARB | $62.14 | $203.00 | $52.20–$158.03 | — | 69% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 AMPHETAMINE QUALITATIVE - UAMPH | $62.14 | $203.00 | $52.20–$158.03 | — | 69% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 OPIATE QUALITATIVE - UOPIA | $62.14 | $203.00 | $52.20–$158.03 | — | 69% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 FENTANYL/NORFENTANYL SCREEN ONLY, URINE | $62.14 | $116.00 | $52.20–$158.03 | — | 46% |
| Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 ELECTROLYTE PANEL (LYTE) BUNDLED CHARGE | $7.01 | $135.00 | $5.89–$67.50 | 96% below | 95% |
| Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 LECTROLYTE PANEL POC; INA | $7.01 | $19.00 | $5.89–$19.05 | 96% below | 63% |
| Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 ELECTROLYTE PANEL (LYTE) BUNDLED CHARGE | $7.01 | $135.00 | $5.89–$67.50 | — | 95% |
| Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 LECTROLYTE PANEL POC; INA | $7.01 | $19.00 | $5.89–$19.05 | — | 63% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 AB; EB VCA; EBV-VCA ANTIBODIES; EBVGL | $18.14 | $24.00 | $12.00–$49.28 | 79% below | 24% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 AB; EB VCA; EBV-VCA ANTIBIDIES; EBVML | $18.14 | $24.00 | $12.00–$49.28 | 79% below | 24% |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 AB; EB VCA; EBV-VCA ANTIBIDIES; EBVML | $18.14 | $24.00 | $12.00–$49.28 | — | 24% |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 AB; EB VCA; EBV-VCA ANTIBODIES; EBVGL | $18.14 | $24.00 | $12.00–$49.28 | — | 24% |
| Estradiol blood test CPT 82670 ESTRADIOL (82670) | $27.94 | $51.00 | $23.47–$75.88 | 77% below | 45% |
| Estradiol blood test inpatient CPT 82670 ESTRADIOL (82670) | $27.94 | $51.00 | $23.47–$75.88 | — | 45% |
| FSH (follicle-stimulating hormone) test CPT 83001 FSH | $18.58 | $194.00 | $15.61–$126.10 | 88% below | 90% |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 FSH | $18.58 | $194.00 | $15.61–$126.10 | — | 90% |
| Fecal calprotectin (stool inflammation test) CPT 83993 CALPROTECTIN, FECAL | $19.63 | $408.00 | $16.49–$265.20 | 91% below | 95% |
| Fecal calprotectin (stool inflammation test) inpatient CPT 83993 CALPROTECTIN, FECAL | $19.63 | $408.00 | $16.49–$265.20 | — | 95% |
| Ferritin blood test (iron stores) CPT 82728 FERRITIN | $13.63 | $120.00 | $11.45–$78.00 | 84% below | 89% |
| Ferritin blood test (iron stores) inpatient CPT 82728 FERRITIN | $13.63 | $120.00 | $11.45–$78.00 | — | 89% |
| Fibrinogen blood test CPT 85384 FIBRINOGEN; ACTIVITY (TEG)-W/MOD | $9.72 | $191.00 | $8.16–$124.15 | 89% below | 95% |
| Fibrinogen blood test CPT 85384 FIBRINOGEN; ACTIVITY (TEG) | $9.72 | $191.00 | $8.16–$124.15 | 89% below | 95% |
| Fibrinogen blood test CPT 85384 FIBRINOGEN QT | $9.72 | $191.00 | $8.16–$124.15 | 89% below | 95% |
| Fibrinogen blood test inpatient CPT 85384 FIBRINOGEN QT | $9.72 | $191.00 | $8.16–$124.15 | — | 95% |
| Fibrinogen blood test inpatient CPT 85384 FIBRINOGEN; ACTIVITY (TEG)-W/MOD | $9.72 | $191.00 | $8.16–$124.15 | — | 95% |
| Fibrinogen blood test inpatient CPT 85384 FIBRINOGEN; ACTIVITY (TEG) | $9.72 | $191.00 | $8.16–$124.15 | — | 95% |
| Folate (folic acid) blood test CPT 82746 FOLIC ACID | $14.70 | $84.00 | $12.35–$54.60 | 82% below | 83% |
| Folate (folic acid) blood test inpatient CPT 82746 FOLIC ACID | $14.70 | $84.00 | $12.35–$54.60 | — | 83% |
| Free T3 thyroid hormone test CPT 84481 FREE T3 | $16.94 | $61.00 | $14.23–$46.02 | 88% below | 72% |
| Free T3 thyroid hormone test inpatient CPT 84481 FREE T3 | $16.94 | $61.00 | $14.23–$46.02 | — | 72% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 THYROXINE (T4) FREE DIRECT(LABCORP) LAB5040 | $9.02 | $9.00 | $4.50–$24.49 | 88% below | — |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 FREE T4 | $9.02 | $121.00 | $7.58–$78.65 | 88% below | 93% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 FREE T4 BY DIALYSIS | $9.02 | $344.00 | $7.58–$223.60 | 88% below | 97% |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 FREE T4 | $9.02 | $121.00 | $7.58–$78.65 | — | 93% |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 FREE T4 BY DIALYSIS | $9.02 | $344.00 | $7.58–$223.60 | — | 97% |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 THYROXINE (T4) FREE DIRECT(LABCORP) LAB5040 | $9.02 | $9.00 | $4.50–$24.49 | — | — |
| Free testosterone test CPT 84402 TESTOSTERONE FREE | $25.47 | $11.00 | $5.50–$69.19 | 76% below | -132% |
| Free testosterone test inpatient CPT 84402 TESTOSTERONE FREE | $25.47 | $11.00 | $5.50–$69.19 | — | -132% |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 GLUTAMYLTRANSFERASE GAMMA; HCVFSL | $7.20 | $43.00 | $6.05–$27.95 | 88% below | 83% |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 GGTP | $7.20 | $80.00 | $6.05–$52.00 | 88% below | 91% |
| Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 GLUTAMYLTRANSFERASE GAMMA; HCVFSL | $7.20 | $43.00 | $6.05–$27.95 | — | 83% |
| Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 GGTP | $7.20 | $80.00 | $6.05–$52.00 | — | 91% |
| General health panel: metabolic panel, blood count and TSH in one order CPT 80050 GENERAL HEALTH PANEL | $84.19 | $178.00 | $44.86–$89.00 | 81% below | 53% |
| General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 GENERAL HEALTH PANEL | $84.19 | $178.00 | $44.86–$89.00 | — | 53% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GTT 2HOUR POST PRANDIAL | $4.75 | $108.00 | $3.99–$70.20 | 94% below | 96% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE (TEST) SCREEN; GLUSCN | $4.75 | $51.00 | $3.99–$33.15 | 94% below | 91% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE 2HRS POST 75GM | $4.75 | $99.00 | $3.99–$64.35 | 94% below | 95% |
| Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 GLUCOSE (TEST) SCREEN; GLUSCN | $4.75 | $51.00 | $3.99–$33.15 | — | 91% |
| Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 GTT 2HOUR POST PRANDIAL | $4.75 | $108.00 | $3.99–$70.20 | — | 96% |
| Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 GLUCOSE 2HRS POST 75GM | $4.75 | $99.00 | $3.99–$64.35 | — | 95% |
| Glucose tolerance test, 3 samples CPT 82951 TOLERANCE TEST-GTT (3 SPEC) | $12.87 | $110.00 | $10.81–$71.50 | 92% below | 88% |
| Glucose tolerance test, 3 samples inpatient CPT 82951 TOLERANCE TEST-GTT (3 SPEC) | $12.87 | $110.00 | $10.81–$71.50 | — | 88% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N.GONORRHOEAE DNA AMP PROB, CHGCRL | $35.09 | $30.00 | $15.00–$95.33 | 73% below | -17% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N GONORRHOEAE | $35.09 | $270.00 | $29.48–$175.50 | 73% below | 87% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 NEISSERIA AMPLIF NA PROBE; CTGCL | $35.09 | $30.00 | $15.00–$95.33 | 73% below | -17% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 N.GONORRHOEAE DNA AMP PROB, CHGCRL | $35.09 | $30.00 | $15.00–$95.33 | — | -17% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 N GONORRHOEAE | $35.09 | $270.00 | $29.48–$175.50 | — | 87% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 NEISSERIA AMPLIF NA PROBE; CTGCL | $35.09 | $30.00 | $15.00–$95.33 | — | -17% |
| H. pylori antibody blood test CPT 86677 HELICOBACTER PYLORI, IGG | $16.85 | $181.00 | $14.15–$117.65 | 87% below | 91% |
| H. pylori antibody blood test CPT 86677 H-PYLORI-IGM | $16.85 | $41.00 | $14.15–$39.40 | 87% below | 59% |
| H. pylori antibody blood test CPT 86677 H-PYLORI- IGA | $16.85 | $41.00 | $14.15–$39.40 | 87% below | 59% |
| H. pylori antibody blood test CPT 86677 AB; HELICOBACTER PYLORI; H. PYLORI, IGG ABS; HYPLL | $16.85 | $21.00 | $10.50–$39.40 | 87% below | 20% |
| H. pylori antibody blood test inpatient CPT 86677 HELICOBACTER PYLORI, IGG | $16.85 | $181.00 | $14.15–$117.65 | — | 91% |
| H. pylori antibody blood test inpatient CPT 86677 H-PYLORI-IGM | $16.85 | $41.00 | $14.15–$39.40 | — | 59% |
| H. pylori antibody blood test inpatient CPT 86677 AB; HELICOBACTER PYLORI; H. PYLORI, IGG ABS; HYPLL | $16.85 | $21.00 | $10.50–$39.40 | — | 20% |
| H. pylori antibody blood test inpatient CPT 86677 H-PYLORI- IGA | $16.85 | $41.00 | $14.15–$39.40 | — | 59% |
| H. pylori stool antigen test CPT 87338 H. PYLORI STOOL AG | $14.38 | $219.00 | $12.08–$142.35 | 83% below | 93% |
| H. pylori stool antigen test CPT 87338 INFECTIOUS AGENT AG DETECT IMMUNOASSAY; H. PYLORI STOOL - LAB4348 | $14.38 | $28.00 | $12.08–$39.07 | 83% below | 49% |
| H. pylori stool antigen test inpatient CPT 87338 H. PYLORI STOOL AG | $14.38 | $219.00 | $12.08–$142.35 | — | 93% |
| H. pylori stool antigen test inpatient CPT 87338 INFECTIOUS AGENT AG DETECT IMMUNOASSAY; H. PYLORI STOOL - LAB4348 | $14.38 | $28.00 | $12.08–$39.07 | — | 49% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV-1 NA QUAN, HIVGIL | $85.10 | $659.00 | $71.48–$428.35 | 72% below | 87% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV-1 RNA (VIRAL LOAD) | $85.10 | $626.00 | $71.48–$406.90 | 72% below | 86% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV-1 QUANT&REVRSE TRNSCRPJ; HIV GENOSURE(R) MG; ZHG1 | $85.10 | $724.00 | $71.48–$470.60 | 72% below | 88% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV-1 QUANT&REVRSE TRNSCRPJ (QUANT RNA PCR - ZRNAR) | $85.10 | $724.00 | $71.48–$470.60 | 72% below | 88% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV-1 NUCLEIC ACID; QUANTITATIVE NAAT,CSF (LAB MISC) ARUP3000872 | $85.10 | $244.00 | $71.48–$231.13 | 72% below | 65% |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV-1 QUANT&REVRSE TRNSCRPJ; HIV GENOSURE(R) MG; ZHG1 | $85.10 | $724.00 | $71.48–$470.60 | — | 88% |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV-1 NUCLEIC ACID; QUANTITATIVE NAAT,CSF (LAB MISC) ARUP3000872 | $85.10 | $244.00 | $71.48–$231.13 | — | 65% |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV-1 RNA (VIRAL LOAD) | $85.10 | $626.00 | $71.48–$406.90 | — | 86% |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV-1 NA QUAN, HIVGIL | $85.10 | $659.00 | $71.48–$428.35 | — | 87% |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV-1 QUANT&REVRSE TRNSCRPJ (QUANT RNA PCR - ZRNAR) | $85.10 | $724.00 | $71.48–$470.60 | — | 88% |
| HIV-1 and HIV-2 antibody test CPT 86703 HIV-1 AND HIV-2 SINGLE ESSAY; HIVAB/HIVOB | $13.71 | $43.00 | $11.52–$37.22 | 83% below | 68% |
| HIV-1 and HIV-2 antibody test CPT 86703 RUSH HIV-1 AND HIV-2 SINGLE ESSAY; HIVRUS | $13.71 | $43.00 | $11.52–$37.22 | 83% below | 68% |
| HIV-1 and HIV-2 antibody test CPT 86703 RAPID HIV 1/2 | $13.71 | $181.00 | $11.52–$117.65 | 83% below | 92% |
| HIV-1 and HIV-2 antibody test inpatient CPT 86703 RUSH HIV-1 AND HIV-2 SINGLE ESSAY; HIVRUS | $13.71 | $43.00 | $11.52–$37.22 | — | 68% |
| HIV-1 and HIV-2 antibody test inpatient CPT 86703 HIV-1 AND HIV-2 SINGLE ESSAY; HIVAB/HIVOB | $13.71 | $43.00 | $11.52–$37.22 | — | 68% |
| HIV-1 and HIV-2 antibody test inpatient CPT 86703 RAPID HIV 1/2 | $13.71 | $181.00 | $11.52–$117.65 | — | 92% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 4TH GEN HIV-1 AG W/HIV-1 AB, SGL RESULT (LAB3507,LAB3505,LAB3499) | $24.08 | $45.00 | $20.23–$65.41 | 82% below | 46% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 4TH GEN HIV-1 AG W/HIV-1 AB, SGL RESULT (LAB3507,LAB3505,LAB3499) | $24.08 | $45.00 | $20.23–$65.41 | — | 46% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV HIGH RISK | $35.09 | $46.00 | $23.00–$95.33 | 51% below | 24% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV HIGH-RISK TYPES; HPVHRB (HPV HIGH-RISK) | $35.09 | $90.00 | $29.48–$95.33 | 51% below | 61% |
| HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HPV HIGH RISK | $35.09 | $46.00 | $23.00–$95.33 | — | 24% |
| HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HPV HIGH-RISK TYPES; HPVHRB (HPV HIGH-RISK) | $35.09 | $90.00 | $29.48–$95.33 | — | 61% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 ECHG POC-HEMOGLOBIN A1C NURSE ONLY | $9.71 | $111.00 | $8.16–$72.15 | 89% below | 91% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN AIC | $9.71 | $111.00 | $8.16–$72.15 | 89% below | 91% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 GLYCOSYLATED HEMOGLOBIN TEST; A1CPOC | $9.71 | $111.00 | $8.16–$72.15 | 89% below | 91% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 GLYCOSYLATED HEMOGLOBIN TEST; A1CPOC | $9.71 | $111.00 | $8.16–$72.15 | — | 91% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HEMOGLOBIN AIC | $9.71 | $111.00 | $8.16–$72.15 | — | 91% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 ECHG POC-HEMOGLOBIN A1C NURSE ONLY | $9.71 | $111.00 | $8.16–$72.15 | — | 91% |
| Hepatitis B core antibody test (total) CPT 86704 HEPATITIS B CORE AB TOTAL | $12.05 | $169.00 | $10.12–$109.85 | 84% below | 93% |
| Hepatitis B core antibody test (total) CPT 86704 INFECT AGENT DRUG SUSCEPTBILITY PHENOTYPE BY NUCLEIC ACID, HBV CORE | $12.05 | $13.00 | $6.50–$32.74 | 84% below | 7% |
| Hepatitis B core antibody test (total) inpatient CPT 86704 INFECT AGENT DRUG SUSCEPTBILITY PHENOTYPE BY NUCLEIC ACID, HBV CORE | $12.05 | $13.00 | $6.50–$32.74 | — | 7% |
| Hepatitis B core antibody test (total) inpatient CPT 86704 HEPATITIS B CORE AB TOTAL | $12.05 | $169.00 | $10.12–$109.85 | — | 93% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEPATITIS B SURFACE AB | $10.74 | $169.00 | $9.02–$109.85 | 83% below | 94% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEPATITIS B SURFACE AB | $10.74 | $169.00 | $9.02–$109.85 | — | 94% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B SURFACE AG | $10.33 | $169.00 | $8.68–$109.85 | 85% below | 94% |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEPATITIS B SURFACE AG | $10.33 | $169.00 | $8.68–$109.85 | — | 94% |
| Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C VIRUS AB IGG | $14.27 | $286.00 | $11.99–$185.90 | 83% below | 95% |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C VIRUS AB IGG | $14.27 | $286.00 | $11.99–$185.90 | — | 95% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HCV RNA QUANT, PCR | $42.84 | $639.00 | $35.99–$415.35 | 82% below | 93% |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HCV RNA QUANT, PCR | $42.84 | $639.00 | $35.99–$415.35 | — | 93% |
| Herpes blood test, HSV-1 antibody CPT 86695 AB; HSV 1; HSV 1 AND 2-SPEC AB, IGG W/RFX; HSV12L | $13.19 | $26.00 | $11.08–$35.82 | 82% below | 49% |
| Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX PCR | $13.19 | $89.00 | $11.08–$57.85 | 82% below | 85% |
| Herpes blood test, HSV-1 antibody CPT 86695 ANTIBODY; HERPES SIMPLEX, TYPE 1; CSF-LABLAB15527; (LABCORP) | $13.19 | $128.00 | $11.08–$83.20 | 82% below | 90% |
| Herpes blood test, HSV-1 antibody CPT 86695 HSV1 ACIF | $13.19 | $91.00 | $11.08–$59.15 | 82% below | 86% |
| Herpes blood test, HSV-1 antibody CPT 86695 HSV1 IGM IFA | $13.19 | $91.00 | $11.08–$59.15 | 82% below | 86% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 ANTIBODY; HERPES SIMPLEX, TYPE 1; CSF-LABLAB15527; (LABCORP) | $13.19 | $128.00 | $11.08–$83.20 | — | 90% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HSV1 ACIF | $13.19 | $91.00 | $11.08–$59.15 | — | 86% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HSV1 IGM IFA | $13.19 | $91.00 | $11.08–$59.15 | — | 86% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HERPES SIMPLEX PCR | $13.19 | $89.00 | $11.08–$57.85 | — | 85% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 AB; HSV 1; HSV 1 AND 2-SPEC AB, IGG W/RFX; HSV12L | $13.19 | $26.00 | $11.08–$35.82 | — | 49% |
| Herpes blood test, HSV-2 antibody CPT 86696 ANTIBODY; HERPES SIMPLEX TYPE 2 (LABCORP) | $19.35 | $108.00 | $16.25–$70.20 | 77% below | 82% |
| Herpes blood test, HSV-2 antibody CPT 86696 ANTIBODY; HERPES SIMPLEX, TYPE 2; CSF-LABLAB15528; (LABCORP) | $19.35 | $128.00 | $16.25–$83.20 | 77% below | 85% |
| Herpes blood test, HSV-2 antibody CPT 86696 HSV2-SPC AB IGG (LABCORP) | $19.35 | $28.00 | $14.00–$52.58 | 77% below | 31% |
| Herpes blood test, HSV-2 antibody CPT 86696 AB; HSV TYPE 2; HSV-2 IGG SUPPLEMENTAL TEST; HSVSL | $19.35 | $108.00 | $16.25–$70.20 | 77% below | 82% |
| Herpes blood test, HSV-2 antibody CPT 86696 ANTIBODY; HERPES SIMPLEX, TYPE 2, SUPPLEMENTAL (LABCORP) | $19.35 | $26.00 | $13.00–$52.58 | 77% below | 26% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 ANTIBODY; HERPES SIMPLEX, TYPE 2, SUPPLEMENTAL (LABCORP) | $19.35 | $26.00 | $13.00–$52.58 | — | 26% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 ANTIBODY; HERPES SIMPLEX, TYPE 2; CSF-LABLAB15528; (LABCORP) | $19.35 | $128.00 | $16.25–$83.20 | — | 85% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HSV2-SPC AB IGG (LABCORP) | $19.35 | $28.00 | $14.00–$52.58 | — | 31% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 AB; HSV TYPE 2; HSV-2 IGG SUPPLEMENTAL TEST; HSVSL | $19.35 | $108.00 | $16.25–$70.20 | — | 82% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 ANTIBODY; HERPES SIMPLEX TYPE 2 (LABCORP) | $19.35 | $108.00 | $16.25–$70.20 | — | 82% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 C-REACTIVE PROTEIN HS - CRP2 | $12.95 | $33.00 | $10.88–$35.16 | 84% below | 61% |
| High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 C-REACTIVE PROTEIN HS - CRP2 | $12.95 | $33.00 | $10.88–$35.16 | — | 61% |
| Insulin blood test CPT 83525 INSULIN TOTAL | $11.43 | $190.00 | $9.60–$123.50 | 83% below | 94% |
| Insulin blood test inpatient CPT 83525 INSULIN TOTAL | $11.43 | $190.00 | $9.60–$123.50 | — | 94% |
| Iron blood test (serum iron) CPT 83540 IRON (LABCORP) LAB3578, LAB3391 | $6.47 | $6.00 | $3.00–$17.58 | 91% below | -8% |
| Iron blood test (serum iron) CPT 83540 IRON SERUM | $6.47 | $71.00 | $5.43–$46.15 | 91% below | 91% |
| Iron blood test (serum iron) inpatient CPT 83540 IRON SERUM | $6.47 | $71.00 | $5.43–$46.15 | — | 91% |
| Iron blood test (serum iron) inpatient CPT 83540 IRON (LABCORP) LAB3578, LAB3391 | $6.47 | $6.00 | $3.00–$17.58 | — | -8% |
| Iron-binding capacity (TIBC) test CPT 83550 IRON BIND CAP | $8.74 | $96.00 | $7.34–$62.40 | 90% below | 91% |
| Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING CAPACITY (LABCORP) LAB3578 | $8.74 | $8.00 | $4.00–$23.74 | 90% below | -9% |
| Iron-binding capacity (TIBC) test inpatient CPT 83550 IRON BIND CAP | $8.74 | $96.00 | $7.34–$62.40 | — | 91% |
| Iron-binding capacity (TIBC) test inpatient CPT 83550 IRON BINDING CAPACITY (LABCORP) LAB3578 | $8.74 | $8.00 | $4.00–$23.74 | — | -9% |
| LH (luteinizing hormone) test CPT 83002 LEUTINIZING HORMONE (LH) | $18.52 | $194.00 | $15.56–$126.10 | 87% below | 90% |
| LH (luteinizing hormone) test inpatient CPT 83002 LEUTINIZING HORMONE (LH) | $18.52 | $194.00 | $15.56–$126.10 | — | 90% |
| Lactate (lactic acid) blood test CPT 83605 LACTATE; POCVBG | $11.57 | $125.00 | $9.72–$81.25 | 88% below | 91% |
| Lactate (lactic acid) blood test CPT 83605 LACTATE; POCIMVBG | $11.57 | $125.00 | $9.72–$81.25 | 88% below | 91% |
| Lactate (lactic acid) blood test CPT 83605 LACTIC ACID CSF (34367094) | $11.57 | $125.00 | $9.72–$81.25 | 88% below | 91% |
| Lactate (lactic acid) blood test CPT 83605 LACTATE; POCABG | $11.57 | $125.00 | $9.72–$81.25 | 88% below | 91% |
| Lactate (lactic acid) blood test CPT 83605 LACTATE; IVCBG POC | $11.57 | $125.00 | $9.72–$81.25 | 88% below | 91% |
| Lactate (lactic acid) blood test CPT 83605 LACTIC ACID (34308543) | $11.57 | $125.00 | $9.72–$81.25 | 88% below | 91% |
| Lactate (lactic acid) blood test CPT 83605 LACTATE; ICPBG POC | $11.57 | $125.00 | $9.72–$81.25 | 88% below | 91% |
| Lactate (lactic acid) blood test CPT 83605 LACTATE; IACBG POC | $11.57 | $125.00 | $9.72–$81.25 | 88% below | 91% |
| Lactate (lactic acid) blood test inpatient CPT 83605 LACTATE; IACBG POC | $11.57 | $125.00 | $9.72–$81.25 | — | 91% |
| Lactate (lactic acid) blood test inpatient CPT 83605 LACTATE; POCABG | $11.57 | $125.00 | $9.72–$81.25 | — | 91% |
| Lactate (lactic acid) blood test inpatient CPT 83605 LACTIC ACID CSF (34367094) | $11.57 | $125.00 | $9.72–$81.25 | — | 91% |
| Lactate (lactic acid) blood test inpatient CPT 83605 LACTATE; POCIMVBG | $11.57 | $125.00 | $9.72–$81.25 | — | 91% |
| Lactate (lactic acid) blood test inpatient CPT 83605 LACTATE; IVCBG POC | $11.57 | $125.00 | $9.72–$81.25 | — | 91% |
| Lactate (lactic acid) blood test inpatient CPT 83605 LACTATE; ICPBG POC | $11.57 | $125.00 | $9.72–$81.25 | — | 91% |
| Lactate (lactic acid) blood test inpatient CPT 83605 LACTIC ACID (34308543) | $11.57 | $125.00 | $9.72–$81.25 | — | 91% |
| Lactate (lactic acid) blood test inpatient CPT 83605 LACTATE; POCVBG | $11.57 | $125.00 | $9.72–$81.25 | — | 91% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 LDH | $6.04 | $51.00 | $5.07–$33.15 | 86% below | 88% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 LDH BODY FLUID | $6.04 | $51.00 | $5.07–$33.15 | 86% below | 88% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 LACTATE DEHYDROGENASE, LDHIL | $6.04 | $11.00 | $5.07–$16.39 | 86% below | 45% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 LACTATE DEHYDROGENASE (LDH), (LABCORP) LAB4263 | $6.04 | $8.00 | $4.00–$16.39 | 86% below | 25% |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LACTATE DEHYDROGENASE (LDH), (LABCORP) LAB4263 | $6.04 | $8.00 | $4.00–$16.39 | — | 25% |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LACTATE DEHYDROGENASE, LDHIL | $6.04 | $11.00 | $5.07–$16.39 | — | 45% |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LDH BODY FLUID | $6.04 | $51.00 | $5.07–$33.15 | — | 88% |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LDH | $6.04 | $51.00 | $5.07–$33.15 | — | 88% |
| Lipase blood test (pancreas enzyme) CPT 83690 LIPASE | $6.89 | $90.00 | $5.79–$58.50 | 90% below | 92% |
| Lipase blood test (pancreas enzyme) CPT 83690 LIPASE (LABCORP) LAB4332 | $6.89 | $68.00 | $5.79–$44.20 | 90% below | 90% |
| Lipase blood test (pancreas enzyme) CPT 83690 LIPASE, FLIPAL | $6.89 | $75.00 | $5.79–$48.75 | 90% below | 91% |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE (LABCORP) LAB4332 | $6.89 | $68.00 | $5.79–$44.20 | — | 90% |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE | $6.89 | $90.00 | $5.79–$58.50 | — | 92% |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE, FLIPAL | $6.89 | $75.00 | $5.79–$48.75 | — | 91% |
| Lyme disease antibody test CPT 86618 B. BURGDORFERI IGM | $17.03 | $163.00 | $14.31–$105.95 | 79% below | 90% |
| Lyme disease antibody test CPT 86618 LYME DIS AB IGM QT | $17.03 | $18.00 | $9.00–$46.24 | 79% below | 5% |
| Lyme disease antibody test CPT 86618 LYME AB IMM WB | $17.03 | $96.00 | $14.31–$62.40 | 79% below | 82% |
| Lyme disease antibody test CPT 86618 LYME AB IGG WM | $17.03 | $96.00 | $14.31–$62.40 | 79% below | 82% |
| Lyme disease antibody test CPT 86618 B. BURGDORFERI IGG | $17.03 | $163.00 | $14.31–$105.95 | 79% below | 90% |
| Lyme disease antibody test CPT 86618 LYME IGG/IGM AB | $17.03 | $18.00 | $9.00–$46.24 | 79% below | 5% |
| Lyme disease antibody test inpatient CPT 86618 LYME DIS AB IGM QT | $17.03 | $18.00 | $9.00–$46.24 | — | 5% |
| Lyme disease antibody test inpatient CPT 86618 LYME IGG/IGM AB | $17.03 | $18.00 | $9.00–$46.24 | — | 5% |
| Lyme disease antibody test inpatient CPT 86618 B. BURGDORFERI IGM | $17.03 | $163.00 | $14.31–$105.95 | — | 90% |
| Lyme disease antibody test inpatient CPT 86618 B. BURGDORFERI IGG | $17.03 | $163.00 | $14.31–$105.95 | — | 90% |
| Lyme disease antibody test inpatient CPT 86618 LYME AB IGG WM | $17.03 | $96.00 | $14.31–$62.40 | — | 82% |
| Lyme disease antibody test inpatient CPT 86618 LYME AB IMM WB | $17.03 | $96.00 | $14.31–$62.40 | — | 82% |
| Magnesium blood test CPT 83735 MAGNESIUM | $6.70 | $55.00 | $5.63–$35.75 | 85% below | 88% |
| Magnesium blood test CPT 83735 MAGNESIUM URINE | $6.70 | $55.00 | $5.63–$35.75 | 85% below | 88% |
| Magnesium blood test CPT 83735 MAGNESIUM; UKSPL | $6.70 | $14.00 | $5.63–$18.19 | 85% below | 52% |
| Magnesium blood test inpatient CPT 83735 MAGNESIUM URINE | $6.70 | $55.00 | $5.63–$35.75 | — | 88% |
| Magnesium blood test inpatient CPT 83735 MAGNESIUM | $6.70 | $55.00 | $5.63–$35.75 | — | 88% |
| Magnesium blood test inpatient CPT 83735 MAGNESIUM; UKSPL | $6.70 | $14.00 | $5.63–$18.19 | — | 52% |
| Measles (rubeola) antibody test CPT 86765 RUBEOLA IGM ANTIBODIES | $12.88 | $14.00 | $7.00–$34.98 | 58% below | 8% |
| Measles (rubeola) antibody test CPT 86765 RUBEOLA AB IGG | $12.88 | $181.00 | $10.82–$117.65 | 58% below | 93% |
| Measles (rubeola) antibody test inpatient CPT 86765 RUBEOLA IGM ANTIBODIES | $12.88 | $14.00 | $7.00–$34.98 | — | 8% |
| Measles (rubeola) antibody test inpatient CPT 86765 RUBEOLA AB IGG | $12.88 | $181.00 | $10.82–$117.65 | — | 93% |
| Mumps immunity blood test CPT 86735 MUMPS ANTIBODY IGG/IGM | $13.05 | $20.00 | $10.00–$35.44 | 78% below | 35% |
| Mumps immunity blood test CPT 86735 MUMPS AB, IGG | $13.05 | $25.00 | $10.96–$35.44 | 78% below | 48% |
| Mumps immunity blood test inpatient CPT 86735 MUMPS ANTIBODY IGG/IGM | $13.05 | $20.00 | $10.00–$35.44 | — | 35% |
| Mumps immunity blood test inpatient CPT 86735 MUMPS AB, IGG | $13.05 | $25.00 | $10.96–$35.44 | — | 48% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 PROSTATE SPECIFIC (PSA) FREE | $18.39 | $14.00 | $7.00–$49.96 | 84% below | -31% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PROSTATE SPECIFIC (PSA) FREE | $18.39 | $14.00 | $7.00–$49.96 | — | -31% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PROSTATE SPECIFIC (PSA) TOTAL | $18.39 | $14.00 | $7.00–$49.96 | 79% below | -31% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PROSTATE SPECIFIC ANTIGEN (PSA) | $18.39 | $91.00 | $15.45–$59.15 | 79% below | 80% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PROSTATE SPECIFIC (PSA) TOTAL | $18.39 | $14.00 | $7.00–$49.96 | — | -31% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PROSTATE SPECIFIC ANTIGEN (PSA) | $18.39 | $91.00 | $15.45–$59.15 | — | 80% |
| Pap test (liquid-based, automated screening with review) CPT 88175 CYTOPATH C/V AUTO FLUID REDO | $26.61 | $68.00 | $22.35–$71.96 | 64% below | 61% |
| Pap test (liquid-based, automated screening with review) inpatient CPT 88175 CYTOPATH C/V AUTO FLUID REDO | $26.61 | $68.00 | $22.35–$71.96 | — | 61% |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 LIQUID/FLUID-BASED PAP TEST | $20.26 | $325.00 | $17.02–$211.25 | 77% below | 94% |
| Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 LIQUID/FLUID-BASED PAP TEST | $20.26 | $325.00 | $17.02–$211.25 | — | 94% |
| Parathyroid hormone (PTH) blood test CPT 83970 INTACT PTH | $41.28 | $390.00 | $34.68–$253.50 | 80% below | 89% |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 INTACT PTH | $41.28 | $390.00 | $34.68–$253.50 | — | 89% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 COAG PARTIAL THROMBOPLASTIN (PTT) | $6.01 | $135.00 | $5.05–$87.75 | 88% below | 96% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 PTT; PLASMA OR WHOLE BLOOD, LUPUS | $6.01 | $18.00 | $5.05–$16.32 | 88% below | 67% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 COAG PARTIAL THROMBOPLASTIN (PTT) | $6.01 | $135.00 | $5.05–$87.75 | — | 96% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT; PLASMA OR WHOLE BLOOD, LUPUS | $6.01 | $18.00 | $5.05–$16.32 | — | 67% |
| Phosphorus (phosphate) blood test CPT 84100 PHOSPHORUS | $4.74 | $51.00 | $3.98–$33.15 | 92% below | 91% |
| Phosphorus (phosphate) blood test inpatient CPT 84100 PHOSPHORUS | $4.74 | $51.00 | $3.98–$33.15 | — | 91% |
| Potassium blood test CPT 84132 ASSAY OF SERUM POTASSIUM; PCG8A POC | $4.76 | $19.00 | $4.00–$12.50 | 92% below | 75% |
| Potassium blood test CPT 84132 ASSAY OF SERUM POTASSIUM; PCG8V POC | $4.76 | $19.00 | $4.00–$12.50 | 92% below | 75% |
| Potassium blood test CPT 84132 POC POTASSIUM;SERUM, PLASMA (POCE3) | $4.76 | $14.00 | $4.00–$12.50 | 92% below | 66% |
| Potassium blood test CPT 84132 POTASSIUM (34307491) | $4.76 | $51.00 | $4.00–$33.15 | 92% below | 91% |
| Potassium blood test CPT 84132 ASSAY OF SERUM POTASSIUM POC; INA | $4.76 | $13.00 | $4.00–$12.50 | 92% below | 63% |
| Potassium blood test inpatient CPT 84132 ASSAY OF SERUM POTASSIUM; PCG8A POC | $4.76 | $19.00 | $4.00–$12.50 | — | 75% |
| Potassium blood test inpatient CPT 84132 ASSAY OF SERUM POTASSIUM; PCG8V POC | $4.76 | $19.00 | $4.00–$12.50 | — | 75% |
| Potassium blood test inpatient CPT 84132 ASSAY OF SERUM POTASSIUM POC; INA | $4.76 | $13.00 | $4.00–$12.50 | — | 63% |
| Potassium blood test inpatient CPT 84132 POTASSIUM (34307491) | $4.76 | $51.00 | $4.00–$33.15 | — | 91% |
| Potassium blood test inpatient CPT 84132 POC POTASSIUM;SERUM, PLASMA (POCE3) | $4.76 | $14.00 | $4.00–$12.50 | — | 66% |
| Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 FETAL CHROMO ANEUPLOIDY MATERNIT21 PLUS CORE + SCA (LABCORP)-LAB5051 | $759.05 | $1,491.00 | $637.60–$1,765.13 | 13% below | 49% |
| Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) inpatient CPT 81420 FETAL CHROMO ANEUPLOIDY MATERNIT21 PLUS CORE + SCA (LABCORP)-LAB5051 | $759.05 | $1,491.00 | $637.60–$1,765.13 | — | 49% |
| Progesterone blood test CPT 84144 PROGESTERONE | $20.86 | $149.00 | $17.52–$96.85 | 80% below | 86% |
| Progesterone blood test CPT 84144 PROGESTERONE ASSAY; PROGESTERONE, SERUM; PROTFL | $20.86 | $258.00 | $17.52–$167.70 | 80% below | 92% |
| Progesterone blood test inpatient CPT 84144 PROGESTERONE ASSAY; PROGESTERONE, SERUM; PROTFL | $20.86 | $258.00 | $17.52–$167.70 | — | 92% |
| Progesterone blood test inpatient CPT 84144 PROGESTERONE | $20.86 | $149.00 | $17.52–$96.85 | — | 86% |
| Prolactin blood test CPT 84146 PROLACTIN | $19.38 | $194.00 | $16.28–$126.10 | 82% below | 90% |
| Prolactin blood test CPT 84146 HC ASSAY OF PROLACTIN - LAB5221 | $19.38 | $66.00 | $16.28–$52.62 | 82% below | 71% |
| Prolactin blood test CPT 84146 TRH STIMULATION/HYPERPROLACT | $19.38 | $328.00 | $16.28–$213.20 | 82% below | 94% |
| Prolactin blood test inpatient CPT 84146 HC ASSAY OF PROLACTIN - LAB5221 | $19.38 | $66.00 | $16.28–$52.62 | — | 71% |
| Prolactin blood test inpatient CPT 84146 TRH STIMULATION/HYPERPROLACT | $19.38 | $328.00 | $16.28–$213.20 | — | 94% |
| Prolactin blood test inpatient CPT 84146 PROLACTIN | $19.38 | $194.00 | $16.28–$126.10 | — | 90% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME (POCPT) | $4.29 | $19.00 | $3.60–$12.35 | 91% below | 77% |
| Prothrombin time (PT/INR) clotting test CPT 85610 COAG PROTHROMBIN | $4.29 | $19.00 | $3.60–$12.35 | 91% below | 77% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME (POCPT) | $4.29 | $19.00 | $3.60–$12.35 | — | 77% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 COAG PROTHROMBIN | $4.29 | $19.00 | $3.60–$12.35 | — | 77% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 ANTIGEN DETECTION-GRP A STREP | $16.53 | $181.00 | $13.89–$117.65 | 83% below | 91% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 ECHG POC STREP A ASSAY W/OPTICAL OBSERVATION | $16.53 | $189.00 | $13.89–$122.85 | 83% below | 91% |
| Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 ANTIGEN DETECTION-GRP A STREP | $16.53 | $181.00 | $13.89–$117.65 | — | 91% |
| Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 ECHG POC STREP A ASSAY W/OPTICAL OBSERVATION | $16.53 | $189.00 | $13.89–$122.85 | — | 91% |
| Renin blood test CPT 84244 RENIN | $21.99 | $26.00 | $13.00–$59.73 | 79% below | 15% |
| Renin blood test inpatient CPT 84244 RENIN | $21.99 | $26.00 | $13.00–$59.73 | — | 15% |
| Rh blood typing CPT 86901 RH | $37.66 | $41.00 | $2.51–$69.96 | 41% below | 8% |
| Rh blood typing inpatient CPT 86901 RH | $37.66 | $41.00 | $2.51–$69.96 | — | 8% |
| Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR QUANTITATIVE | $5.67 | $120.00 | $4.76–$78.00 | 88% below | 95% |
| Rheumatoid factor (RF) test CPT 86431 RHEUMATOID QN/FLUID | $5.67 | $8.00 | $4.00–$15.40 | 88% below | 29% |
| Rheumatoid factor (RF) test inpatient CPT 86431 RHEUMATOID QN/FLUID | $5.67 | $8.00 | $4.00–$15.40 | — | 29% |
| Rheumatoid factor (RF) test inpatient CPT 86431 RHEUMATOID FACTOR QUANTITATIVE | $5.67 | $120.00 | $4.76–$78.00 | — | 95% |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA IGM | $14.39 | $19.00 | $9.50–$39.09 | 69% below | 24% |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA, IGG | $14.39 | $135.00 | $12.09–$87.75 | 69% below | 89% |
| Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA, IGG | $14.39 | $135.00 | $12.09–$87.75 | — | 89% |
| Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA IGM | $14.39 | $19.00 | $9.50–$39.09 | — | 24% |
| Semen analysis: volume, sperm count, motility and morphology CPT 89320 SEMEN ANALYSIS | $12.31 | $740.00 | $22.10–$481.00 | 90% below | 98% |
| Semen analysis: volume, sperm count, motility and morphology inpatient CPT 89320 SEMEN ANALYSIS | $12.31 | $740.00 | $22.10–$481.00 | — | 98% |
| Sodium blood test CPT 84295 ASSAY OF SERUM SODIUM POC; INA | $4.81 | $13.00 | $4.04–$13.07 | 92% below | 63% |
| Sodium blood test CPT 84295 SODIUM; SERUM, PLASMA OR WHOLE BLOOD; PCG8A POC | $4.81 | $19.00 | $4.04–$13.07 | 92% below | 75% |
| Sodium blood test CPT 84295 GLUCOSE, BODY FLUID NOT BLOOD; PCG8V POC | $4.81 | $19.00 | $4.04–$13.07 | 92% below | 75% |
| Sodium blood test CPT 84295 POC SODIUM;SERUM, PLASMA (POCE3) | $4.81 | $14.00 | $4.04–$13.07 | 92% below | 66% |
| Sodium blood test CPT 84295 SODIUM BLOOD (34307563) | $4.81 | $51.00 | $4.04–$33.15 | 92% below | 91% |
| Sodium blood test inpatient CPT 84295 SODIUM; SERUM, PLASMA OR WHOLE BLOOD; PCG8A POC | $4.81 | $19.00 | $4.04–$13.07 | — | 75% |
| Sodium blood test inpatient CPT 84295 POC SODIUM;SERUM, PLASMA (POCE3) | $4.81 | $14.00 | $4.04–$13.07 | — | 66% |
| Sodium blood test inpatient CPT 84295 ASSAY OF SERUM SODIUM POC; INA | $4.81 | $13.00 | $4.04–$13.07 | — | 63% |
| Sodium blood test inpatient CPT 84295 SODIUM BLOOD (34307563) | $4.81 | $51.00 | $4.04–$33.15 | — | 91% |
| Sodium blood test inpatient CPT 84295 GLUCOSE, BODY FLUID NOT BLOOD; PCG8V POC | $4.81 | $19.00 | $4.04–$13.07 | — | 75% |
| Stool ova and parasites exam CPT 87177 OVA & PARASITE EXAM | $8.90 | $234.00 | $7.48–$152.10 | 87% below | 96% |
| Stool ova and parasites exam inpatient CPT 87177 OVA & PARASITE EXAM | $8.90 | $234.00 | $7.48–$152.10 | — | 96% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 HEMOCCULT BLOOD OCCULT TEST BACK OFFICE | $4.38 | $20.00 | $3.68–$13.00 | 89% below | 78% |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 HEMOCCULT BLOOD OCCULT TEST BACK OFFICE | $4.38 | $20.00 | $3.68–$13.00 | — | 78% |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 OCCULT BLOOD ICT, OBLD | $18.05 | $43.00 | $18.05–$18.95 | 73% below | 58% |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 SERIAL OCCULT BLOOD ICT, OCBLP | $18.05 | $130.00 | $18.05–$18.95 | 73% below | 86% |
| Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 OCCULT BLOOD ICT, OBLD | $18.05 | $43.00 | $18.05–$18.95 | — | 58% |
| Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 SERIAL OCCULT BLOOD ICT, OCBLP | $18.05 | $130.00 | $18.05–$18.95 | — | 86% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 MHA-TP | $13.24 | $213.00 | $11.12–$138.45 | 70% below | 94% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 TREPONEMA PALLIDUM; RPRSCN (RPR-TPA SCREEN INFECTION) | $13.24 | $34.00 | $11.12–$35.95 | 70% below | 61% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 AB;TREPONEMA PALLIDUM; CFTAL | $13.24 | $85.00 | $11.12–$55.25 | 70% below | 84% |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 TREPONEMA PALLIDUM; RPRSCN (RPR-TPA SCREEN INFECTION) | $13.24 | $34.00 | $11.12–$35.95 | — | 61% |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 AB;TREPONEMA PALLIDUM; CFTAL | $13.24 | $85.00 | $11.12–$55.25 | — | 84% |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 MHA-TP | $13.24 | $213.00 | $11.12–$138.45 | — | 94% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RAPID PLASMA REAGIN RPR SERUM | $4.27 | $80.00 | $3.59–$52.00 | 90% below | 95% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 SYPHILIS TEST; NONTREPONEMAL ANTIBODY QUAL (VDRL, RPR, ART) | $4.27 | $9.00 | $3.59–$11.59 | 90% below | 53% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VDRL CSF | $4.27 | $80.00 | $3.59–$52.00 | 90% below | 95% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 RAPID PLASMA REAGIN RPR SERUM | $4.27 | $80.00 | $3.59–$52.00 | — | 95% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 VDRL CSF | $4.27 | $80.00 | $3.59–$52.00 | — | 95% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 SYPHILIS TEST; NONTREPONEMAL ANTIBODY QUAL (VDRL, RPR, ART) | $4.27 | $9.00 | $3.59–$11.59 | — | 53% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QUANTIFERON TB | $61.98 | $78.00 | $39.00–$168.34 | 69% below | 21% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 TB CELL MEDIATED ANTIGEN RESPONSE GAMMA INTERFERON | $61.98 | $116.00 | $52.06–$168.34 | 69% below | 47% |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 TB CELL MEDIATED ANTIGEN RESPONSE GAMMA INTERFERON | $61.98 | $116.00 | $52.06–$168.34 | — | 47% |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 QUANTIFERON TB | $61.98 | $78.00 | $39.00–$168.34 | — | 21% |
| Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE (84403) | $25.81 | $49.00 | $21.68–$70.11 | 74% below | 47% |
| Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE | $25.81 | $11.00 | $5.50–$70.11 | 74% below | -135% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE (84403) | $25.81 | $49.00 | $21.68–$70.11 | — | 47% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE | $25.81 | $11.00 | $5.50–$70.11 | — | -135% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 MICROSOMAL AB, EACH; TPOL | $14.55 | $28.00 | $12.22–$39.51 | 83% below | 48% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 LIVER-KIDNEY MICROSOME AB | $14.55 | $80.00 | $12.22–$52.00 | 83% below | 82% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 MICROSOMAL AB, EACH, LCYTOL | $14.55 | $275.00 | $12.22–$178.75 | 83% below | 95% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 MICROSOMAL AB, EACH, (THYROID ANTIBODIES) THYABL | $14.55 | $13.00 | $6.50–$39.51 | 83% below | -12% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 ANTI TPO ANTIBODY | $14.55 | $120.00 | $12.22–$78.00 | 83% below | 88% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 ANTI TPO ANTIBODY | $14.55 | $120.00 | $12.22–$78.00 | — | 88% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 LIVER-KIDNEY MICROSOME AB | $14.55 | $80.00 | $12.22–$52.00 | — | 82% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 MICROSOMAL AB, EACH, (THYROID ANTIBODIES) THYABL | $14.55 | $13.00 | $6.50–$39.51 | — | -12% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 MICROSOMAL AB, EACH, LCYTOL | $14.55 | $275.00 | $12.22–$178.75 | — | 95% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 MICROSOMAL AB, EACH; TPOL | $14.55 | $28.00 | $12.22–$39.51 | — | 48% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 THYROID STIMULATING HORMONE; NEONATAL TSH; NTSHL | $16.80 | $8.00 | $4.00–$45.65 | 85% below | -110% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH-CHARGEABLE | $16.80 | $268.00 | $14.11–$174.20 | 85% below | 94% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH-CHARGEABLE | $16.80 | $268.00 | $14.11–$174.20 | — | 94% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 THYROID STIMULATING HORMONE; NEONATAL TSH; NTSHL | $16.80 | $8.00 | $4.00–$45.65 | — | -110% |
| Total IgE blood test CPT 82785 GAMMAGLOBULIN; IGE, IGEL | $16.46 | $13.00 | $6.50–$44.70 | 80% below | -27% |
| Total IgE blood test CPT 82785 GAMMAGLOBULIN; IGE, BIRD FANCIER'S PROFILE | $16.46 | $83.00 | $13.83–$53.95 | 80% below | 80% |
| Total IgE blood test inpatient CPT 82785 GAMMAGLOBULIN; IGE, IGEL | $16.46 | $13.00 | $6.50–$44.70 | — | -27% |
| Total IgE blood test inpatient CPT 82785 GAMMAGLOBULIN; IGE, BIRD FANCIER'S PROFILE | $16.46 | $83.00 | $13.83–$53.95 | — | 80% |
| Total cholesterol blood test CPT 82465 CHOLESTEROL SERUM TOTAL | $4.35 | $51.00 | $3.65–$33.15 | 92% below | 91% |
| Total cholesterol blood test inpatient CPT 82465 CHOLESTEROL SERUM TOTAL | $4.35 | $51.00 | $3.65–$33.15 | — | 91% |
| Total thyroxine (T4) blood test CPT 84436 T4 RIA | $6.87 | $121.00 | $5.77–$78.65 | 91% below | 94% |
| Total thyroxine (T4) blood test inpatient CPT 84436 T4 RIA | $6.87 | $121.00 | $5.77–$78.65 | — | 94% |
| Total triiodothyronine (T3) blood test CPT 84480 TOTAL T3 | $14.18 | $128.00 | $11.91–$83.20 | 89% below | 89% |
| Total triiodothyronine (T3) blood test CPT 84480 TRIIODOTHYRONINE T3; TOTAL (TT-3) (PEDI ONLY); T3PL | $14.18 | $38.00 | $11.91–$38.52 | 89% below | 63% |
| Total triiodothyronine (T3) blood test inpatient CPT 84480 TOTAL T3 | $14.18 | $128.00 | $11.91–$83.20 | — | 89% |
| Total triiodothyronine (T3) blood test inpatient CPT 84480 TRIIODOTHYRONINE T3; TOTAL (TT-3) (PEDI ONLY); T3PL | $14.18 | $38.00 | $11.91–$38.52 | — | 63% |
| Transferrin blood test CPT 84466 TRANSFERRIN (LABCORP) LAB3941 | $12.76 | $8.00 | $4.00–$34.67 | 89% below | -60% |
| Transferrin blood test CPT 84466 TRANSFERRIN, TRANC | $12.76 | $24.00 | $10.72–$34.67 | 89% below | 47% |
| Transferrin blood test inpatient CPT 84466 TRANSFERRIN, TRANC | $12.76 | $24.00 | $10.72–$34.67 | — | 47% |
| Transferrin blood test inpatient CPT 84466 TRANSFERRIN (LABCORP) LAB3941 | $12.76 | $8.00 | $4.00–$34.67 | — | -60% |
| Trichomonas test (NAAT) CPT 87661 TRICHOMONAS VAGINALIS; TRICHB | $35.09 | $90.00 | $29.48–$95.33 | 60% below | 61% |
| Trichomonas test (NAAT) CPT 87661 INF AGT DETECT BY NA;TRICH, VAGINALIS;AMP PROBE (LABCORP)LAB5042 | $35.09 | $160.00 | $29.48–$104.00 | 60% below | 78% |
| Trichomonas test (NAAT) inpatient CPT 87661 TRICHOMONAS VAGINALIS; TRICHB | $35.09 | $90.00 | $29.48–$95.33 | — | 61% |
| Trichomonas test (NAAT) inpatient CPT 87661 INF AGT DETECT BY NA;TRICH, VAGINALIS;AMP PROBE (LABCORP)LAB5042 | $35.09 | $160.00 | $29.48–$104.00 | — | 78% |
| Triglycerides blood test CPT 84478 TRIGLYCERIDE (LABCORP) LAB4343 | $5.74 | $11.00 | $4.82–$15.60 | 92% below | 48% |
| Triglycerides blood test CPT 84478 TRIGLYCERIDES | $5.74 | $51.00 | $4.82–$33.15 | 92% below | 89% |
| Triglycerides blood test inpatient CPT 84478 TRIGLYCERIDES | $5.74 | $51.00 | $4.82–$33.15 | — | 89% |
| Triglycerides blood test inpatient CPT 84478 TRIGLYCERIDE (LABCORP) LAB4343 | $5.74 | $11.00 | $4.82–$15.60 | — | 48% |
| Troponin test, quantitative CPT 84484 TROPONIN I | $12.47 | $136.00 | $10.47–$88.40 | 89% below | 91% |
| Troponin test, quantitative CPT 84484 TROPONIN QUANTIATIVE (POCTRO) | $12.47 | $43.00 | $10.47–$27.95 | 89% below | 71% |
| Troponin test, quantitative inpatient CPT 84484 TROPONIN I | $12.47 | $136.00 | $10.47–$88.40 | — | 91% |
| Troponin test, quantitative inpatient CPT 84484 TROPONIN QUANTIATIVE (POCTRO) | $12.47 | $43.00 | $10.47–$27.95 | — | 71% |
| Uric acid blood test CPT 84550 URIC ACID (34309451) | $4.52 | $51.00 | $3.80–$33.15 | 94% below | 91% |
| Uric acid blood test inpatient CPT 84550 URIC ACID (34309451) | $4.52 | $51.00 | $3.80–$33.15 | — | 91% |
| Urinalysis without microscope exam, manual CPT 81002 UA CHEMISTRIES POC (URINE DIP STICK WO MICRO) POCUA | $3.48 | $6.00 | $2.92–$7.66 | 88% below | 42% |
| Urinalysis without microscope exam, manual CPT 81002 URINE DIPSTICK - URINE, PROTEIN, GLUCOSE; UA CHEMISTRIES IN CLINIC | $3.48 | $23.00 | $2.92–$14.95 | 88% below | 85% |
| Urinalysis without microscope exam, manual CPT 81002 URINE REDUCING SUBSTANCES | $3.48 | $155.00 | $2.92–$100.75 | 88% below | 98% |
| Urinalysis without microscope exam, manual CPT 81002 ECHG POC NONAUTOMATED URINALYS W/O MICROSCOPY | $3.48 | $24.00 | $2.92–$15.60 | 88% below | 86% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 URINE REDUCING SUBSTANCES | $3.48 | $155.00 | $2.92–$100.75 | — | 98% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 UA CHEMISTRIES POC (URINE DIP STICK WO MICRO) POCUA | $3.48 | $6.00 | $2.92–$7.66 | — | 42% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 ECHG POC NONAUTOMATED URINALYS W/O MICROSCOPY | $3.48 | $24.00 | $2.92–$15.60 | — | 86% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 URINE DIPSTICK - URINE, PROTEIN, GLUCOSE; UA CHEMISTRIES IN CLINIC | $3.48 | $23.00 | $2.92–$14.95 | — | 85% |
| Urine culture for bacteria, with colony count CPT 87086 CULTURE, BACTERIAL; QUANTITATIVE COLONY COUNT, URINE | $8.07 | $194.00 | $6.78–$126.10 | 94% below | 96% |
| Urine culture for bacteria, with colony count inpatient CPT 87086 CULTURE, BACTERIAL; QUANTITATIVE COLONY COUNT, URINE | $8.07 | $194.00 | $6.78–$126.10 | — | 96% |
| Urine microalbumin (albumin) test CPT 82043 MYCROALBUMIN, TIMED URINE | $5.78 | $20.00 | $4.86–$15.71 | 89% below | 71% |
| Urine microalbumin (albumin) test CPT 82043 MICROALBUMIN, RANDOM | $5.78 | $136.00 | $4.86–$88.40 | 89% below | 96% |
| Urine microalbumin (albumin) test CPT 82043 MICROALBUMIN; URINE QUAN; POCACR | $5.78 | $20.00 | $4.86–$15.71 | 89% below | 71% |
| Urine microalbumin (albumin) test inpatient CPT 82043 MICROALBUMIN; URINE QUAN; POCACR | $5.78 | $20.00 | $4.86–$15.71 | — | 71% |
| Urine microalbumin (albumin) test inpatient CPT 82043 MYCROALBUMIN, TIMED URINE | $5.78 | $20.00 | $4.86–$15.71 | — | 71% |
| Urine microalbumin (albumin) test inpatient CPT 82043 MICROALBUMIN, RANDOM | $5.78 | $136.00 | $4.86–$88.40 | — | 96% |
| Urine pregnancy test, read by color change CPT 81025 URINE PREGNANCY TEST VISUAL COLOR | $8.61 | $16.00 | $7.23–$18.94 | 89% below | 46% |
| Urine pregnancy test, read by color change CPT 81025 URINE DIPSTICK - PREGNANCY TEST IN CLINIC | $8.61 | $16.00 | $7.23–$18.94 | 89% below | 46% |
| Urine pregnancy test, read by color change CPT 81025 PREGNANCY TEST | $8.61 | $16.00 | $7.23–$18.94 | 89% below | 46% |
| Urine pregnancy test, read by color change CPT 81025 CHG URINE PREGNANCY TEST VISUAL COLOR | $8.61 | $16.00 | $7.23–$18.94 | 89% below | 46% |
| Urine pregnancy test, read by color change inpatient CPT 81025 URINE PREGNANCY TEST VISUAL COLOR | $8.61 | $16.00 | $7.23–$18.94 | — | 46% |
| Urine pregnancy test, read by color change inpatient CPT 81025 URINE DIPSTICK - PREGNANCY TEST IN CLINIC | $8.61 | $16.00 | $7.23–$18.94 | — | 46% |
| Urine pregnancy test, read by color change inpatient CPT 81025 PREGNANCY TEST | $8.61 | $16.00 | $7.23–$18.94 | — | 46% |
| Urine pregnancy test, read by color change inpatient CPT 81025 CHG URINE PREGNANCY TEST VISUAL COLOR | $8.61 | $16.00 | $7.23–$18.94 | — | 46% |
| Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B12; ANTIPARIETAL CELL AB (LABCORP)-REFLEX | $15.08 | $18.00 | $9.00–$40.94 | 83% below | 16% |
| Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B12 | $15.08 | $165.00 | $12.67–$107.25 | 83% below | 91% |
| Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B12; METHLYMALONIC ACID (LABCORP)-REFLEX | $15.08 | $38.00 | $12.67–$40.94 | 83% below | 60% |
| Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B12; INTRINSIC FACTOR AB (LABCORP)-REFLEX | $15.08 | $18.00 | $9.00–$40.94 | 83% below | 16% |
| Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B12; DEFICIENCY CASCADE (LABCORP)-LAB5062 | $15.08 | $10.00 | $5.00–$40.94 | 83% below | -51% |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 VITAMIN B12; INTRINSIC FACTOR AB (LABCORP)-REFLEX | $15.08 | $18.00 | $9.00–$40.94 | — | 16% |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 VITAMIN B12; ANTIPARIETAL CELL AB (LABCORP)-REFLEX | $15.08 | $18.00 | $9.00–$40.94 | — | 16% |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 VITAMIN B12; METHLYMALONIC ACID (LABCORP)-REFLEX | $15.08 | $38.00 | $12.67–$40.94 | — | 60% |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 VITAMIN B12; DEFICIENCY CASCADE (LABCORP)-LAB5062 | $15.08 | $10.00 | $5.00–$40.94 | — | -51% |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 VITAMIN B12 | $15.08 | $165.00 | $12.67–$107.25 | — | 91% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D, 25-HYDROXY; VD25H | $29.60 | $178.00 | $24.86–$115.70 | 75% below | 83% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D, 25-HYDROXY; VD25H | $29.60 | $178.00 | $24.86–$115.70 | — | 83% |
| Vitamin D, 1,25-dihydroxy blood test CPT 82652 VITAMIN D (1-25 DI-OH) | $38.50 | $76.00 | $32.34–$104.57 | 75% below | 49% |
| Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 VITAMIN D (1-25 DI-OH) | $38.50 | $76.00 | $32.34–$104.57 | — | 49% |
| Zinc blood test CPT 84630 ZINC | $11.39 | $20.00 | $9.57–$30.93 | 83% below | 43% |
| Zinc blood test inpatient CPT 84630 ZINC | $11.39 | $20.00 | $9.57–$30.93 | — | 43% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HUMAN GONADOTROPIN CHORIONIC | $15.05 | $125.00 | $12.64–$81.25 | 87% below | 88% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 GONADOTROPIN CHORINIC (HCG) QUANT | $15.05 | $15.00 | $7.50–$40.90 | 87% below | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 TRISOMY PROFILE | $15.05 | $19.00 | $9.50–$40.90 | 87% below | 21% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 GONADOTROPIN CHORINIC (HCG) QUANT | $15.05 | $15.00 | $7.50–$40.90 | — | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 TRISOMY PROFILE | $15.05 | $19.00 | $9.50–$40.90 | — | 21% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HUMAN GONADOTROPIN CHORIONIC | $15.05 | $125.00 | $12.64–$81.25 | — | 88% |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Texas | Off list |
|---|---|---|---|---|---|
| Botox injections for chronic migraine CPT 64615 ECHG PROC CHEMODENERV MUSC MIGRAINE | $283.25 | $343.00 | $40.00–$274.40 | 49% below | 17% |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 BX BREAST 1ST LESION STEREOTACTIC GUIDANCE - 19081 | $1,172.57 | $2,479.00 | $1,239.50–$1,983.20 | 66% below | 53% |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 BX BREAST 1ST LESION STEREOTACTIC GUIDANCE (19081) | $1,172.57 | $2,479.00 | $1,239.50–$1,983.20 | 66% below | 53% |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 BX BREAST 1ST LESION STEREOTACTIC GUIDANCE (19081) | $1,172.57 | $2,479.00 | $1,239.50–$1,983.20 | — | 53% |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 BX BREAST 1ST LESION STEREOTACTIC GUIDANCE - 19081 | $1,172.57 | $2,479.00 | $1,239.50–$1,983.20 | — | 53% |
| Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 ECHG EC PROC CLSD TX DSTL FIB FX WO MANIP | $230.18 | $320.00 | $80.64–$256.00 | 51% below | 28% |
| Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 ECHG PROC CL TX DSTL FIB FX WO MANIP | $230.18 | $320.00 | $40.00–$256.00 | 51% below | 28% |
| Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 ECHG EC PROC CLSD TX DSTL FIB FX WO MANIP | $230.18 | $320.00 | $80.64–$256.00 | — | 28% |
| Broken foot (metatarsal) treatment without surgery or setting CPT 28470 ECHG PROC CL TX METATARSAL FX; WO MANIP | $230.18 | $395.00 | $40.00–$316.00 | 18% below | 42% |
| Broken foot (metatarsal) treatment without surgery or setting CPT 28470 ECHG EC PROC CL TX METATARSAL FX; WO MANIP | $230.18 | $395.00 | $99.54–$316.00 | 18% below | 42% |
| Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 ECHG EC PROC CL TX METATARSAL FX; WO MANIP | $230.18 | $395.00 | $99.54–$316.00 | — | 42% |
| Cardiac catheterization with coronary angiogram CPT 93458 ECHG INVASIVE CARD L HRT ARTERY/VENTRICLE ANGIO (PROSOLV) | $2,563.19 | $5,419.00 | $3,100.00–$4,335.20 | 76% below | 53% |
| Cardiac catheterization with coronary angiogram inpatient CPT 93458 ECHG INVASIVE CARD L HRT ARTERY/VENTRICLE ANGIO (PROSOLV) | $2,563.19 | $5,419.00 | $3,100.00–$4,335.20 | — | 53% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 ECHG NON INVASIVE PROC CARDIOVERSION ELECTIVE ARRHYTHMIA EXT | $446.04 | $943.00 | $678.96–$3,100.00 | 67% below | 53% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 ECHG PROC CARDIOVERSION ELECTIVE ELECTRICE EXTRNL | $446.04 | $943.00 | $678.96–$3,100.00 | 67% below | 53% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 ECHG INVASIVE CARD CARDIOVERSION | $446.04 | $943.00 | $678.96–$3,100.00 | 67% below | 53% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 ECHG OBSERVATION PROC CARDIOVERSION | $446.04 | $943.00 | $178.43–$754.40 | 67% below | 53% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 ECHG EC PROC CARDIOVERSION | $627.92 | $943.00 | $178.43–$754.40 | 53% below | 33% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 ECHG OBSERVATION PROC CARDIOVERSION | $446.04 | $943.00 | $178.43–$754.40 | — | 53% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 ECHG PROC CARDIOVERSION ELECTIVE ELECTRICE EXTRNL | $446.04 | $943.00 | $678.96–$3,100.00 | — | 53% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 ECHG NON INVASIVE PROC CARDIOVERSION ELECTIVE ARRHYTHMIA EXT | $446.04 | $943.00 | $678.96–$3,100.00 | — | 53% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 ECHG INVASIVE CARD CARDIOVERSION | $446.04 | $943.00 | $678.96–$3,100.00 | — | 53% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 ECHG EC PROC CARDIOVERSION | $627.92 | $943.00 | $178.43–$754.40 | — | 33% |
| Cataract surgery with lens implant CPT 66984 ECHG PROC XCAPSL CTRC RMVL INSJ IO LENS PROSTH W/O ECP | $2,188.50 | $3,904.00 | $40.00–$3,123.20 | 45% below | 44% |
| Catheter ablation for atrial fibrillation CPT 93656 ECHG INVASIVE CARD TREATMENT ATRIAL FIB PULM VEIN ISOL | $16,105.18 | $34,049.00 | $3,100.00–$27,239.20 | 47% below | 53% |
| Catheter ablation for atrial fibrillation inpatient CPT 93656 ECHG INVASIVE CARD TREATMENT ATRIAL FIB PULM VEIN ISOL | $16,105.18 | $34,049.00 | $3,100.00–$27,239.20 | — | 53% |
| Cervical biopsy CPT 57500 ECHG EC PROC BX CERVIX; SGL/MULTI LESIONS W/WO FULGURATION | $835.53 | $1,819.00 | $458.39–$1,455.20 | 28% below | 54% |
| Cervical biopsy CPT 57500 ECHG PROC BIOPSY SING/MULTI EXC LES CERV | $835.53 | $1,819.00 | $40.00–$1,455.20 | 28% below | 54% |
| Cervical biopsy CPT 57500 ECHG OB/UC PROC BIOPSY OF CERVIX | $835.53 | $1,819.00 | $40.00–$1,455.20 | 28% below | 54% |
| Cervical biopsy inpatient CPT 57500 ECHG EC PROC BX CERVIX; SGL/MULTI LESIONS W/WO FULGURATION | $835.53 | $1,819.00 | $458.39–$1,455.20 | — | 54% |
| Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 ECHG PROC CIRC SURG EXC NO CLP DEVC/DRSL SLTNO NB | $1,965.67 | $3,315.00 | $40.00–$2,652.00 | 47% below | 41% |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 ECHG PROC CIRCUMCISION W/REGIONL BLOCK | $1,965.67 | $3,119.00 | $40.00–$2,495.20 | 60% above | 37% |
| Circumcision, surgical, older than a newborn CPT 54160 ECHG PROC CIRCUMCISION SURG EXC OTHER THAN CLAMP/SLIT; NB | $640.48 | $5,835.00 | $40.00–$4,668.00 | 72% below | 89% |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 ECHG EC PROC TREAT FRACTURE RADIUS/ULNA W/O MANIPULATION | $230.18 | $320.00 | $80.64–$256.00 | 49% below | 28% |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 ECHG PROC TREAT FRACTURE RADIUS/ULNA W/O MANIPULATION | $230.18 | $320.00 | $40.00–$256.00 | 49% below | 28% |
| Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 ECHG EC PROC TREAT FRACTURE RADIUS/ULNA W/O MANIPULATION | $230.18 | $320.00 | $80.64–$256.00 | — | 28% |
| Colonoscopy with endoscopic ultrasound CPT 45391 ECHG GI PROC COLONOSCOPY W/ENDOSCOPE US | $3,322.83 | $7,025.00 | $3,512.50 | 213% above | 53% |
| Colonoscopy with endoscopic ultrasound inpatient CPT 45391 ECHG GI PROC COLONOSCOPY W/ENDOSCOPE US | $3,322.83 | $7,025.00 | $3,512.50 | — | 53% |
| Colonoscopy with polyp removal CPT 45385 ECHG GI PROC COLONOSCOPY, FLEX W REM LESION BY SNARE | $1,835.24 | $3,880.00 | $1,940.00 | 40% above | 53% |
| Colonoscopy with polyp removal inpatient CPT 45385 ECHG GI PROC COLONOSCOPY, FLEX W REM LESION BY SNARE | $1,835.24 | $3,880.00 | $1,940.00 | — | 53% |
| Colonoscopy with tissue sample CPT 45380 ECHG GI PROC COLONOSCOPY, FLEX W BX; SGL/MULTI | $1,835.24 | $3,880.00 | $1,940.00 | 29% above | 53% |
| Colonoscopy with tissue sample inpatient CPT 45380 ECHG GI PROC COLONOSCOPY, FLEX W BX; SGL/MULTI | $1,835.24 | $3,880.00 | $1,940.00 | — | 53% |
| Colonoscopy, diagnostic CPT 45378 ECHG GI PROC COLONOSCOPY, FLEX ; DX | $1,835.24 | $3,880.00 | $1,940.00 | 19% above | 53% |
| Colonoscopy, diagnostic inpatient CPT 45378 ECHG GI PROC COLONOSCOPY, FLEX ; DX | $1,835.24 | $3,880.00 | $1,940.00 | — | 53% |
| Colposcopy with LEEP (loop electrosurgical excision) CPT 57460 ECHG PROC COLPOSCOPY W/LOOP ELECTRO BIOPSY CERV | $3,050.95 | $4,180.00 | $40.00–$3,344.00 | 14% below | 27% |
| Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 ECHG PROC COLPOSCOPY VAG W/BX CERVIC/ENDO CURETTAG | $291.89 | $399.00 | $40.00–$319.20 | at median | 27% |
| Complex cataract surgery with lens implant CPT 66982 ECHG PROC XCAPSL CTRC RMVL INSJ IO LENS PROSTH CPLX WO ECP | $2,188.50 | $3,904.00 | $40.00–$3,123.20 | 50% below | 44% |
| Coronary stent placement, one artery CPT 92928 ECHG INVASIVE CARD PRQ CARD STENT W/ANGIO 1 VSL | $9,142.14 | $19,328.00 | $3,100.00–$15,462.40 | 22% below | 53% |
| Coronary stent placement, one artery inpatient CPT 92928 ECHG INVASIVE CARD PRQ CARD STENT W/ANGIO 1 VSL | $9,142.14 | $19,328.00 | $3,100.00–$15,462.40 | — | 53% |
| Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 ECHG PROC CYSTOURETHROSCOPY | $640.48 | $1,164.00 | $40.00–$3,087.00 | 43% below | 45% |
| D&C (dilation and curettage), not related to pregnancy CPT 58120 ECHG OB/UC PROC D&C, DIAGNOSTIC OR THERAP, NOT OB | $3,050.95 | $6,955.00 | $40.00–$5,564.00 | 25% below | 56% |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 ECHG FOOT DESTRUC BEN/PREMALIG LES OTH SKN 1 LES | $122.03 | $258.00 | $129.00–$206.40 | 39% below | 53% |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 ECHG PROC DESTRUCTION PREMALIGNANT SKIN 1 LESION | $190.66 | $258.00 | $40.00–$206.40 | 5% below | 26% |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 ECHG FOOT DESTRUC BEN/PREMALIG LES OTH SKN 1 LES | $122.03 | $258.00 | $129.00–$206.40 | — | 53% |
| Ear tube placement (tympanostomy) under general anesthesia, one ear CPT 69436 ECHG PROC TYMPANOSTOMY GEN ANESTHESIA | $1,421.38 | $2,093.00 | $40.00–$1,674.40 | 58% below | 32% |
| Ear tube placement (tympanostomy) with local anesthesia, one ear CPT 69433 ECHG PROC TYPAMPANOSTOMY INSERTION VENTILATE TUBE | $488.66 | $1,359.00 | $40.00–$1,087.20 | 43% below | 64% |
| Earwax removal by irrigation (rinsing), one ear one side CPT 69209 ECHG PROC REMOVE IMPACTED EAR WAX USING IRRIGATION/LAVAGE UNILATERAL | $57.00 | $103.00 | $25.96–$82.40 | 49% below | 45% |
| Earwax removal by irrigation (rinsing), one ear one side CPT 69209 ECHG EC PROC REMOVE IMPACTED EAR WAX USING IRRIGATION/LAVAGE UNILATERAL | $57.00 | $103.00 | $25.96–$82.40 | 49% below | 45% |
| Earwax removal by irrigation (rinsing), one ear inpatient one side CPT 69209 ECHG EC PROC REMOVE IMPACTED EAR WAX USING IRRIGATION/LAVAGE UNILATERAL | $57.00 | $103.00 | $25.96–$82.40 | — | 45% |
| Earwax removal with instruments, one ear CPT 69210 ECHG PROC EAR CERUMEN REMOVAL 1 OR 2 EARS | $57.00 | $160.00 | $40.00–$128.00 | 54% below | 64% |
| Earwax removal with instruments, one ear CPT 69210 ECHG EC PROC REMOVAL IMPACTED CERUMEN (EAR WAX) | $57.00 | $160.00 | $40.32–$128.00 | 54% below | 64% |
| Earwax removal with instruments, one ear inpatient CPT 69210 ECHG EC PROC REMOVAL IMPACTED CERUMEN (EAR WAX) | $57.00 | $160.00 | $40.32–$128.00 | — | 64% |
| Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 ECHG PROC ENDOMETRIAL BIOPSY SAMPLING | $193.03 | $210.00 | $40.00–$168.00 | 48% below | 8% |
| Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 ECHG OB/UC PROC ENDOMETRIAL BX, WO CERVICAL DILATION | $193.03 | $210.00 | $40.00–$168.00 | 48% below | 8% |
| Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 ECHG EC PROC ENDOMETRIAL SAMPLING WITH OR W/O ENDOCERVICAL SAMPLE | $193.03 | $210.00 | $52.92–$168.00 | 48% below | 8% |
| Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 ECHG EC PROC ENDOMETRIAL SAMPLING WITH OR W/O ENDOCERVICAL SAMPLE | $193.03 | $210.00 | $52.92–$168.00 | — | 8% |
| Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 NJX INTERLAMINAR CRV/THRC W/IMAGINING GUIDANCE | $664.51 | $933.00 | $235.12–$746.40 | 54% below | 29% |
| Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 ECHG PROC NJX INTERLAMINAR CRV/THRC W IMAGE - 62321 | $664.51 | $933.00 | $40.00–$746.40 | 54% below | 29% |
| Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 NJX INTERLAMINAR CRV/THRC W/IMAGINING GUIDANCE | $664.51 | $933.00 | $235.12–$746.40 | — | 29% |
| Eye injection into the vitreous (intravitreal injection) CPT 67028 ECHG EC PROC INJECT INTRAVITREAL PHARMCOLOGIC | $318.28 | $378.00 | $95.26–$302.40 | 40% below | 16% |
| Eye injection into the vitreous (intravitreal injection) CPT 67028 ECHG PROC INJECT INTRAVITREAL PHARMCOLOGIC | $318.28 | $378.00 | $40.00–$302.40 | 40% below | 16% |
| Eye injection into the vitreous (intravitreal injection) inpatient CPT 67028 ECHG EC PROC INJECT INTRAVITREAL PHARMCOLOGIC | $318.28 | $378.00 | $95.26–$302.40 | — | 16% |
| Facet joint injection, lower back, one level, with imaging guidance CPT 64493 ECHG PROC INJ PARAVERT FACET JOINT LUMBAR OR SACRAL SGL LVL | $854.29 | $5,965.00 | $40.00–$4,772.00 | 51% below | 86% |
| Facet joint injection, lower back, one level, with imaging guidance CPT 64493 INJ ANES LUMBAR SACRAL 1 LEVEL | $2,821.45 | $5,965.00 | $2,982.50–$4,772.00 | 63% above | 53% |
| Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 INJ ANES LUMBAR SACRAL 1 LEVEL | $2,821.45 | $5,965.00 | $2,982.50–$4,772.00 | — | 53% |
| Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 ECHG GI PROC SIGMOIDOSCOPY, FLEX, DX | $617.27 | $1,305.00 | $652.50 | 29% below | 53% |
| Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 ECHG PROC SIGMOIDOSCOPY FLEXIBLE | $874.84 | $1,305.00 | $40.00–$1,044.00 | 1% above | 33% |
| Flexible sigmoidoscopy, diagnostic (lower colon only) inpatient CPT 45330 ECHG GI PROC SIGMOIDOSCOPY, FLEX, DX | $617.27 | $1,305.00 | $652.50 | — | 53% |
| Gallbladder removal, laparoscopic CPT 47562 ECHG PROC LAPAROSCOPY, SURGICAL; CHOLECYSTECTOMY | $5,598.42 | $6,388.00 | $40.00–$5,110.40 | 31% below | 12% |
| Hammertoe correction surgery CPT 28285 ECHG FOOT CORRECTION HAMMERTOE | $2,515.89 | $5,319.00 | $2,659.50–$4,255.20 | 28% below | 53% |
| Hammertoe correction surgery inpatient CPT 28285 ECHG FOOT CORRECTION HAMMERTOE | $2,515.89 | $5,319.00 | $2,659.50–$4,255.20 | — | 53% |
| Hemorrhoid banding (rubber band ligation) CPT 46221 ECHG GI PROC BANDING OF HEMORRHOIDS | $617.27 | $1,305.00 | $652.50 | 31% below | 53% |
| Hemorrhoid banding (rubber band ligation) CPT 46221 ECHG PROC HEMMORRHOIDECTOMY SIMPLE LIGATURE | $874.84 | $1,305.00 | $40.00–$1,044.00 | 2% below | 33% |
| Hemorrhoid banding (rubber band ligation) inpatient CPT 46221 ECHG GI PROC BANDING OF HEMORRHOIDS | $617.27 | $1,305.00 | $652.50 | — | 53% |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 INJ PX FOR HYSTERSALPINGOGRAM | $635.71 | $1,344.00 | $672.00–$1,075.20 | 69% above | 53% |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 INTRP SALINE/CONTRAST HYSTEROSONGRAM | $635.71 | $1,344.00 | $672.00–$1,075.20 | 69% above | 53% |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 HYSTEROGR/SIS CONTRAST/SALINE INJ | $635.71 | $1,344.00 | $672.00–$1,075.20 | 69% above | 53% |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 ECHG PROC HYSTEROGR/SIS CONTR/SALINE INJ | $635.71 | $1,344.00 | $40.00–$1,075.20 | 69% above | 53% |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 HYSTEROGR/SIS CONTRAST/SALINE INJ | $635.71 | $1,344.00 | $672.00–$1,075.20 | — | 53% |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 INJ PX FOR HYSTERSALPINGOGRAM | $635.71 | $1,344.00 | $672.00–$1,075.20 | — | 53% |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 INTRP SALINE/CONTRAST HYSTEROSONGRAM | $635.71 | $1,344.00 | $672.00–$1,075.20 | — | 53% |
| Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 ECHG PROC HYSTEROSCOPY W/BIOPSY | $3,050.95 | $3,506.00 | $40.00–$2,804.80 | 36% below | 13% |
| IUD insertion (the device itself billed separately) CPT 58300 ECHG PROC INSERTION IUD | $468.27 | $990.00 | $40.00–$792.00 | 24% above | 53% |
| Incision and drainage of a simple or single skin abscess CPT 10060 ECHG FOOT I&D OF ABSCESS SIMPLE/SINGLE | $179.74 | $380.00 | $190.00–$304.00 | 60% below | 53% |
| Incision and drainage of a simple or single skin abscess CPT 10060 ECHG OBSERVATION PROC I&D ABSC; SMPL OR SGL | $179.74 | $380.00 | $190.00–$304.00 | 60% below | 53% |
| Incision and drainage of a simple or single skin abscess CPT 10060 ECHG PROC INCISION & DRAIN ABSCESS SIMPLE/SINGLE | $190.66 | $380.00 | $40.00–$304.00 | 57% below | 50% |
| Incision and drainage of a simple or single skin abscess CPT 10060 ECHG OB/UC PROC INCISION & DRAIN ABSCESS SIMPLE/SINGLE | $190.66 | $380.00 | $40.00–$304.00 | 57% below | 50% |
| Incision and drainage of a simple or single skin abscess CPT 10060 ECHG EC PROC I&D ABSC; SMPL OR SGL | $190.66 | $380.00 | $95.76–$304.00 | 57% below | 50% |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 ECHG OBSERVATION PROC I&D ABSC; SMPL OR SGL | $179.74 | $380.00 | $190.00–$304.00 | — | 53% |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 ECHG FOOT I&D OF ABSCESS SIMPLE/SINGLE | $179.74 | $380.00 | $190.00–$304.00 | — | 53% |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 ECHG EC PROC I&D ABSC; SMPL OR SGL | $190.66 | $380.00 | $95.76–$304.00 | — | 50% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 ECHG PROC INJ TENDON/SHEATH/LIGAMENT | $283.25 | $900.00 | $40.00–$720.00 | 30% below | 69% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 ECHG EEG PROC INJ SGL TENDON SHTH OR LIGAMENT | $425.70 | $900.00 | $450.00–$720.00 | 6% above | 53% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 ECHG EMG PROC INJ SGL TENDON SHTH OR LIGAMENT | $425.70 | $900.00 | $450.00–$720.00 | 6% above | 53% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJ SGL TENDON SHTH OR LIGAMENT (EG, PLANTAR FASCIA) | $425.70 | $900.00 | $450.00–$720.00 | 6% above | 53% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 ECHG FOOT INJECTION SINGLE TENDON SHEATH/LIGAMENT | $425.70 | $900.00 | $450.00–$720.00 | 6% above | 53% |
| Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 INJ SGL TENDON SHTH OR LIGAMENT (EG, PLANTAR FASCIA) | $425.70 | $900.00 | $450.00–$720.00 | — | 53% |
| Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 ECHG EMG PROC INJ SGL TENDON SHTH OR LIGAMENT | $425.70 | $900.00 | $450.00–$720.00 | — | 53% |
| Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 ECHG FOOT INJECTION SINGLE TENDON SHEATH/LIGAMENT | $425.70 | $900.00 | $450.00–$720.00 | — | 53% |
| Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 ECHG EEG PROC INJ SGL TENDON SHTH OR LIGAMENT | $425.70 | $900.00 | $450.00–$720.00 | — | 53% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ECHG EMG PROC ARTHROCENTESIS ASPN MAJ JT HIP/SHOULDR | $180.21 | $381.00 | $190.50–$304.80 | 70% below | 53% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 DRAIN/INJ MAJOR JOINT/BURSA W/O US | $180.21 | $381.00 | $190.50–$304.80 | 70% below | 53% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ECHG EC PROC DRAIN/INJ MAJOR JNT/BURSA | $283.25 | $381.00 | $96.01–$304.80 | 52% below | 26% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ECHG PROC ARTHROCENTESIS ASPN MAJ JT HIP/SHOULDR | $283.25 | $381.00 | $40.00–$304.80 | 52% below | 26% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 DRAIN/INJ MAJOR JOINT/BURSA W/O US | $180.21 | $381.00 | $190.50–$304.80 | — | 53% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 ECHG EMG PROC ARTHROCENTESIS ASPN MAJ JT HIP/SHOULDR | $180.21 | $381.00 | $190.50–$304.80 | — | 53% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 ECHG EC PROC DRAIN/INJ MAJOR JNT/BURSA | $283.25 | $381.00 | $96.01–$304.80 | — | 26% |
| Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 ECHG EC PROC INSERTION, NON-BIODEGRADABLE DRUG DELIVERY IMPLANT | $123.69 | $193.00 | $48.64–$154.40 | 48% below | 36% |
| Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 ECHG PROC INSERTION, NON-BIODEGRADABLE DRUG DELIVERY IMPLANT | $123.69 | $193.00 | $40.00–$154.40 | 48% below | 36% |
| Insertion of a drug-delivery implant, such as the arm birth control implant inpatient CPT 11981 ECHG EC PROC INSERTION, NON-BIODEGRADABLE DRUG DELIVERY IMPLANT | $123.69 | $193.00 | $48.64–$154.40 | — | 36% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 DRAIN/INJ INTERM JNT/BURSA (WRIST/ELBOW/ANKLE) | $180.21 | $381.00 | $190.50–$304.80 | 69% below | 53% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ECHG EMG PROC ARTHROCENTESIS ASPN INTRDM EXT | $180.21 | $381.00 | $190.50–$304.80 | 69% below | 53% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ECHG PULMONARY PROC ARTHROCEN ASPIR&/R INJ INTERM JT BURSA | $180.21 | $381.00 | $190.50–$304.80 | 69% below | 53% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ECHG EC PROC ART,ASP &/ INJ;INTE JNT /BURSA | $283.25 | $381.00 | $96.01–$304.80 | 52% below | 26% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ECHG PROC ARTHROCENTESIS ASPN INTRDM EXT | $283.25 | $381.00 | $40.00–$304.80 | 52% below | 26% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 ECHG EMG PROC ARTHROCENTESIS ASPN INTRDM EXT | $180.21 | $381.00 | $190.50–$304.80 | — | 53% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 DRAIN/INJ INTERM JNT/BURSA (WRIST/ELBOW/ANKLE) | $180.21 | $381.00 | $190.50–$304.80 | — | 53% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 ECHG PULMONARY PROC ARTHROCEN ASPIR&/R INJ INTERM JT BURSA | $180.21 | $381.00 | $190.50–$304.80 | — | 53% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 ECHG EC PROC ART,ASP &/ INJ;INTE JNT /BURSA | $283.25 | $381.00 | $96.01–$304.80 | — | 26% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 ART,ASP &/ INJ;SML JOINT /BURSA (FINGERS, TOES) | $180.21 | $381.00 | $190.50–$304.80 | 57% below | 53% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 ECHG FOOT ARTHROCEN ASPIRATION&/INJ SM JOINT/BURSA | $180.21 | $381.00 | $190.50–$304.80 | 57% below | 53% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 ECHG EMG PROC DRAIN/INJECT SM JNT/BURSA | $180.21 | $381.00 | $190.50–$304.80 | 57% below | 53% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 ECHG EC PROC ART,ASP &/ INJ;SML JNT /BURSA | $283.25 | $381.00 | $96.01–$304.80 | 33% below | 26% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 ECHG PROC ARTHROCENTESIS ASPN SM JT FING/TOE | $283.25 | $381.00 | $40.00–$304.80 | 33% below | 26% |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 ECHG EMG PROC DRAIN/INJECT SM JNT/BURSA | $180.21 | $381.00 | $190.50–$304.80 | — | 53% |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 ECHG FOOT ARTHROCEN ASPIRATION&/INJ SM JOINT/BURSA | $180.21 | $381.00 | $190.50–$304.80 | — | 53% |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 ART,ASP &/ INJ;SML JOINT /BURSA (FINGERS, TOES) | $180.21 | $381.00 | $190.50–$304.80 | — | 53% |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 ECHG EC PROC ART,ASP &/ INJ;SML JNT /BURSA | $283.25 | $381.00 | $96.01–$304.80 | — | 26% |
| Laparoscopic removal of fallopian tubes and/or ovaries CPT 58661 ECHG GYN PROC LAP; W REM ADNEXAL STRUCTURES | $5,598.42 | $6,298.00 | $40.00–$5,038.40 | 35% below | 11% |
| Laser treatment of clouding after cataract surgery (YAG) CPT 66821 ECHG PROC EYE LASER YAG | $526.41 | $1,151.00 | $40.00–$920.80 | 60% below | 54% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 ECHG PROC LAYER CLOS WDS SCALP <2.5CM | $383.37 | $614.00 | $40.00–$491.20 | 28% below | 38% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 ECHG EC PROC INT REP SCALP/AXILLAE/TRUNK/EXTREMITIES; 2.5CM/< | $383.37 | $614.00 | $154.73–$491.20 | 28% below | 38% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 ECHG EC PROC INT REP SCALP/AXILLAE/TRUNK/EXTREMITIES; 2.5CM/< | $383.37 | $614.00 | $154.73–$491.20 | — | 38% |
| Left heart catheterization, diagnostic CPT 93452 ECHG INVASIVE CARD L HRT CATH W/VENTRICULOGRAPHY (PROSOLVE) | $2,563.19 | $5,419.00 | $3,100.00–$4,335.20 | 72% below | 53% |
| Left heart catheterization, diagnostic inpatient CPT 93452 ECHG INVASIVE CARD L HRT CATH W/VENTRICULOGRAPHY (PROSOLVE) | $2,563.19 | $5,419.00 | $3,100.00–$4,335.20 | — | 53% |
| Lower-back epidural injection, with imaging guidance CPT 62323 ECHG PROC NJX INTERLAMINAR LMBR/SAC W IMAGE - 62323 | $664.51 | $933.00 | $40.00–$746.40 | 60% below | 29% |
| Lower-back epidural injection, with imaging guidance CPT 62323 NJX INTERLAMINAR LMBR/SAC W/IMAGINING GUIDANCE | $664.51 | $933.00 | $235.12–$746.40 | 60% below | 29% |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 NJX INTERLAMINAR LMBR/SAC W/IMAGINING GUIDANCE | $664.51 | $933.00 | $235.12–$746.40 | — | 29% |
| Lower-back epidural injection, without imaging guidance CPT 62322 INJ 2 LUMBAR/SACRAL | $477.26 | $1,009.00 | $504.50–$807.20 | 61% below | 53% |
| Lower-back epidural injection, without imaging guidance CPT 62322 ECHG PROC INJ EPIDURAL/SUBARACHNOID LUMBAR OR SACRAL (CAUDAL) | $854.29 | $1,009.00 | $40.00–$807.20 | 31% below | 15% |
| Lower-back epidural injection, without imaging guidance inpatient CPT 62322 INJ 2 LUMBAR/SACRAL | $477.26 | $1,009.00 | $504.50–$807.20 | — | 53% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 ECHG PROC INJ ANES AGENT TRANSFORMINAL EPIDURAL LUMBAR/SACRAL SGL LVL | $854.29 | $5,748.00 | $40.00–$4,598.40 | 42% below | 85% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 STEROID INJ.EPIDURAL LUMBAR | $2,718.80 | $5,748.00 | $2,874.00–$4,598.40 | 85% above | 53% |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 STEROID INJ.EPIDURAL LUMBAR | $2,718.80 | $5,748.00 | $2,874.00–$4,598.40 | — | 53% |
| Miscarriage treatment with D&C, first trimester CPT 59820 ECHG OB SERVICES SURG TX MISSED ABORT; 1ST TRIMESTER | $2,189.52 | $4,629.00 | $2,314.50–$3,703.20 | 40% below | 53% |
| Miscarriage treatment with D&C, first trimester CPT 59820 ECHG PROC SURG TX MISSED ABORT; 1ST TRIMESTER | $3,050.95 | $4,629.00 | $40.00–$3,703.20 | 16% below | 34% |
| Miscarriage treatment with D&C, first trimester CPT 59820 ECHG EC PROC TX MISSED ABORTION FIRST TRIMESTER SURGICAL | $3,050.95 | $4,629.00 | $1,166.51–$3,703.20 | 16% below | 34% |
| Miscarriage treatment with D&C, first trimester inpatient CPT 59820 ECHG OB SERVICES SURG TX MISSED ABORT; 1ST TRIMESTER | $2,189.52 | $4,629.00 | $2,314.50–$3,703.20 | — | 53% |
| Miscarriage treatment with D&C, first trimester inpatient CPT 59820 ECHG EC PROC TX MISSED ABORTION FIRST TRIMESTER SURGICAL | $3,050.95 | $4,629.00 | $1,166.51–$3,703.20 | — | 34% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 ECHG PROC EXCISION LESION TRUNK/ARM/LEG 0.5CM | $675.14 | $1,054.00 | $40.00–$843.20 | 16% below | 36% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 ECHG EC PROC EXCISION LESION TRUNK/ARM/LEG 0.5CM | $675.14 | $1,054.00 | $265.61–$843.20 | 16% below | 36% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 ECHG EC PROC EXCISION LESION TRUNK/ARM/LEG 0.5CM | $675.14 | $1,054.00 | $265.61–$843.20 | — | 36% |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 ECHG PROC EXCISION LESION S/N/H/F 0.5CM/< | $675.14 | $1,054.00 | $40.00–$843.20 | 24% below | 36% |
| Nail removal (partial or complete), one nail CPT 11730 ECHG FOOT AVUL NAIL PLATE PARTL/COMP SIMPL/SINGL | $147.10 | $311.00 | $155.50–$248.80 | 48% below | 53% |
| Nail removal (partial or complete), one nail CPT 11730 ECHG PROC AVULSION NAIL SIMPLE/SINGLE | $190.66 | $311.00 | $40.00–$248.80 | 33% below | 39% |
| Nail removal (partial or complete), one nail CPT 11730 ECHG EC PROC SPL AVULSE NP; SGL | $190.66 | $311.00 | $78.37–$248.80 | 33% below | 39% |
| Nail removal (partial or complete), one nail inpatient CPT 11730 ECHG FOOT AVUL NAIL PLATE PARTL/COMP SIMPL/SINGL | $147.10 | $311.00 | $155.50–$248.80 | — | 53% |
| Nail removal (partial or complete), one nail inpatient CPT 11730 ECHG EC PROC SPL AVULSE NP; SGL | $190.66 | $311.00 | $78.37–$248.80 | — | 39% |
| Occipital nerve block (injection for headaches) CPT 64405 ECHG EC PROC INJ ANESTH ; GREATER OCCIPITAL NERVE | $283.25 | $630.00 | $158.76–$504.00 | 34% below | 55% |
| Occipital nerve block (injection for headaches) CPT 64405 ECHG PROC INJ ANESTH ; GREATER OCCIPITAL NERVE | $283.25 | $630.00 | $40.00–$504.00 | 34% below | 55% |
| Occipital nerve block (injection for headaches) CPT 64405 ECHG EMG PROC INJ ANESTH ; GREATER OCCIPITAL NERVE | $297.99 | $630.00 | $315.00–$504.00 | 30% below | 53% |
| Occipital nerve block (injection for headaches) inpatient CPT 64405 ECHG EC PROC INJ ANESTH ; GREATER OCCIPITAL NERVE | $283.25 | $630.00 | $158.76–$504.00 | — | 55% |
| Occipital nerve block (injection for headaches) inpatient CPT 64405 ECHG EMG PROC INJ ANESTH ; GREATER OCCIPITAL NERVE | $297.99 | $630.00 | $315.00–$504.00 | — | 53% |
| Pacemaker implant (dual chamber) CPT 33208 ECHG INVASIVE CARD INS/REPL PERM PACEMAKER; AV | $10,568.71 | $22,344.00 | $3,100.00–$17,875.20 | 44% below | 53% |
| Pacemaker implant (dual chamber) CPT 33208 ECHG INVASIVE CARD INS/REPL PERM PACEMAKER; AV (PROSOLVE) | $10,568.71 | $22,344.00 | $3,100.00–$17,875.20 | 44% below | 53% |
| Pacemaker implant (dual chamber) inpatient CPT 33208 ECHG INVASIVE CARD INS/REPL PERM PACEMAKER; AV | $10,568.71 | $22,344.00 | $3,100.00–$17,875.20 | — | 53% |
| Pacemaker implant (dual chamber) inpatient CPT 33208 ECHG INVASIVE CARD INS/REPL PERM PACEMAKER; AV (PROSOLVE) | $10,568.71 | $22,344.00 | $3,100.00–$17,875.20 | — | 53% |
| Paracentesis with imaging guidance CPT 49083 ECHG PULM PROC ABD PARACENTESIS W/IMAG | $780.92 | $1,651.00 | $825.50–$1,320.80 | 46% below | 53% |
| Paracentesis with imaging guidance CPT 49083 ECHG GI PROC ABD PARACENTESIS W/IMAGING | $780.92 | $1,651.00 | $825.50 | 46% below | 53% |
| Paracentesis with imaging guidance CPT 49083 ABD PARACENTESIS W/IMAGING | $780.92 | $1,651.00 | $825.50–$1,320.80 | 46% below | 53% |
| Paracentesis with imaging guidance CPT 49083 ECHG PROC ABD PARACENTESIS W/IMAGING | $899.65 | $1,651.00 | $40.00–$1,320.80 | 38% below | 46% |
| Paracentesis with imaging guidance CPT 49083 ECHG EC PROC ABD PARACENTESIS W/IMAGING | $899.65 | $1,651.00 | $416.05–$1,320.80 | 38% below | 46% |
| Paracentesis with imaging guidance inpatient CPT 49083 ECHG GI PROC ABD PARACENTESIS W/IMAGING | $780.92 | $1,651.00 | $825.50 | — | 53% |
| Paracentesis with imaging guidance inpatient CPT 49083 ABD PARACENTESIS W/IMAGING | $780.92 | $1,651.00 | $825.50–$1,320.80 | — | 53% |
| Paracentesis with imaging guidance inpatient CPT 49083 ECHG PULM PROC ABD PARACENTESIS W/IMAG | $780.92 | $1,651.00 | $825.50–$1,320.80 | — | 53% |
| Paracentesis with imaging guidance inpatient CPT 49083 ECHG EC PROC ABD PARACENTESIS W/IMAGING | $899.65 | $1,651.00 | $416.05–$1,320.80 | — | 46% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 ECHG FOOT EXC NAIL& MATRIX PART/CMPL PERM RMVL | $328.74 | $695.00 | $347.50–$556.00 | 36% below | 53% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 ECHG EC PROC REMOVAL OF NAIL BED | $383.37 | $695.00 | $175.14–$556.00 | 25% below | 45% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 ECHG PROC NAIL REMOVAL PRT OR COMPLETE | $383.37 | $695.00 | $40.00–$556.00 | 25% below | 45% |
| Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 ECHG FOOT EXC NAIL& MATRIX PART/CMPL PERM RMVL | $328.74 | $695.00 | $347.50–$556.00 | — | 53% |
| Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 ECHG EC PROC REMOVAL OF NAIL BED | $383.37 | $695.00 | $175.14–$556.00 | — | 45% |
| Prostate biopsy CPT 55700 ECHG PROC BIOPSY PROSTATE NEEDLE PUNCH | $1,965.67 | $3,119.00 | $40.00–$2,495.20 | 25% below | 37% |
| Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 DESTRUCTION BY NEUROLYTIC AGENT, PARAVERTEBRAL LUMB/SAC FACET JNT | $1,400.55 | $2,961.00 | $1,480.50–$2,368.80 | 50% below | 53% |
| Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 ECHG DESTROY LUMBAR/SACRAL FACET JOINT SGL | $1,873.80 | $2,961.00 | $40.00–$2,368.80 | 33% below | 37% |
| Radiofrequency ablation of facet joint nerves, lower back, one level inpatient CPT 64635 DESTRUCTION BY NEUROLYTIC AGENT, PARAVERTEBRAL LUMB/SAC FACET JNT | $1,400.55 | $2,961.00 | $1,480.50–$2,368.80 | — | 53% |
| Removal of a breast lump, open surgery CPT 19120 ECHG PROC EXC BREAST CYST/MASS BENGN OPEN 1/> | $3,674.42 | $3,255.00 | $40.00–$2,604.00 | 25% below | -13% |
| Removal of a foreign object under the skin, simple CPT 10120 ECHG FOOT INCISION & REMOVAL FOREIGN BODY SUBQ | $270.08 | $571.00 | $285.50–$456.80 | 49% below | 53% |
| Removal of a foreign object under the skin, simple CPT 10120 ECHG PROC FOREIGN BODY INCISION REMOVAL SUBCUTANUS | $383.37 | $571.00 | $40.00–$456.80 | 28% below | 33% |
| Removal of a foreign object under the skin, simple CPT 10120 ECHG EC PROC INC & REM FB, SQ; SMPL | $383.37 | $571.00 | $143.89–$456.80 | 28% below | 33% |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 ECHG FOOT INCISION & REMOVAL FOREIGN BODY SUBQ | $270.08 | $571.00 | $285.50–$456.80 | — | 53% |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 ECHG EC PROC INC & REM FB, SQ; SMPL | $383.37 | $571.00 | $143.89–$456.80 | — | 33% |
| Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 ECHG GI PROC COLORECTAL SCREENING NOT HIGH RISK | $528.81 | $1,118.00 | $0.01 | 32% below | 53% |
| Screening colonoscopy for a person at average risk (Medicare code) inpatient HCPCS G0121 ECHG GI PROC COLORECTAL SCREENING NOT HIGH RISK | $528.81 | $1,118.00 | $0.01 | — | 53% |
| Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 ECHG GI PROC COLORECTAL SCREENING HIGH RISK | $528.81 | $1,118.00 | $0.01 | 55% below | 53% |
| Screening colonoscopy, high risk of colorectal cancer (Medicare code) inpatient HCPCS G0105 ECHG GI PROC COLORECTAL SCREENING HIGH RISK | $528.81 | $1,118.00 | $0.01 | — | 53% |
| Shock-wave lithotripsy to break up kidney stones (from outside the body) CPT 50590 ECHG PROC LITHOTRIPSY, EXTRACORPOREAL SHOCK WAVE | $2,829.96 | $5,983.00 | $2,991.50 | 59% below | 53% |
| Shock-wave lithotripsy to break up kidney stones (from outside the body) inpatient CPT 50590 ECHG PROC LITHOTRIPSY, EXTRACORPOREAL SHOCK WAVE | $2,829.96 | $5,983.00 | $2,991.50 | — | 53% |
| Short arm cast (elbow to hand) CPT 29075 ECHG PT PROC APPL CAST/ELBOW/FINGER/SHORTARM THRPY ASSISTANT ONLY | $254.84 | $371.00 | $93.49–$296.80 | 9% below | 31% |
| Short arm cast (elbow to hand) CPT 29075 ECHG PROC CAST SHORT ARM (ELBOW-FINGER) | $254.84 | $371.00 | $40.00–$296.80 | 9% below | 31% |
| Short arm cast (elbow to hand) CPT 29075 ECHG PT PROC APPL CAST/ELBOW/FINGER/SHORTARM THERAPIST ONLY | $254.84 | $371.00 | $93.49–$296.80 | 9% below | 31% |
| Short arm cast (elbow to hand) CPT 29075 ECHG OT PROC APPLY SHORT ARM CAST - THRPY ASSISTANT ONLY | $254.84 | $371.00 | $80.00–$296.80 | 9% below | 31% |
| Short arm cast (elbow to hand) CPT 29075 ECHG OT PROC APPLY SHORT ARM CAST - THERAPIST ONLY | $254.84 | $371.00 | $80.00–$296.80 | 9% below | 31% |
| Short arm cast (elbow to hand) CPT 29075 ECHG EC PROC APPLY SHORT ARM CAST | $254.84 | $371.00 | $93.49–$296.80 | 9% below | 31% |
| Short arm cast (elbow to hand) inpatient CPT 29075 ECHG OT PROC APPLY SHORT ARM CAST - THRPY ASSISTANT ONLY | $254.84 | $371.00 | $80.00–$296.80 | — | 31% |
| Short arm cast (elbow to hand) inpatient CPT 29075 ECHG PT PROC APPL CAST/ELBOW/FINGER/SHORTARM THERAPIST ONLY | $254.84 | $371.00 | $93.49–$296.80 | — | 31% |
| Short arm cast (elbow to hand) inpatient CPT 29075 ECHG EC PROC APPLY SHORT ARM CAST | $254.84 | $371.00 | $93.49–$296.80 | — | 31% |
| Short arm cast (elbow to hand) inpatient CPT 29075 ECHG PT PROC APPL CAST/ELBOW/FINGER/SHORTARM THRPY ASSISTANT ONLY | $254.84 | $371.00 | $93.49–$296.80 | — | 31% |
| Short arm cast (elbow to hand) inpatient CPT 29075 ECHG OT PROC APPLY SHORT ARM CAST - THERAPIST ONLY | $254.84 | $371.00 | $80.00–$296.80 | — | 31% |
| Short arm splint (forearm and hand) CPT 29125 ECHG EC PROC APPLY SHORT ARM SPLINT; STATIC | $123.69 | $665.00 | $167.58–$532.00 | 45% below | 81% |
| Short arm splint (forearm and hand) CPT 29125 ECHG OT PROC APPLY SHORT ARM SPLINT; STATIC - THERAPIST ONLY | $123.69 | $665.00 | $80.00–$532.00 | 45% below | 81% |
| Short arm splint (forearm and hand) CPT 29125 ECHG PT PROC APP SHORT ARM SPLINT (STATIC) THERAPIST ONLY | $123.69 | $665.00 | $110.00–$532.00 | 45% below | 81% |
| Short arm splint (forearm and hand) CPT 29125 ECHG PT PROC APP SHORT ARM SPLINT (STATIC) THRPY ASSISTANT ONLY | $123.69 | $665.00 | $110.00–$532.00 | 45% below | 81% |
| Short arm splint (forearm and hand) CPT 29125 ECHG PROC SPLINT SHORT ARM STATIC | $123.69 | $665.00 | $40.00–$532.00 | 45% below | 81% |
| Short arm splint (forearm and hand) CPT 29125 ECHG OT PROC APPLY SHORT ARM SPLINT; STATIC - THRPY ASSISTANT ONLY | $123.69 | $665.00 | $80.00–$532.00 | 45% below | 81% |
| Short arm splint (forearm and hand) inpatient CPT 29125 ECHG EC PROC APPLY SHORT ARM SPLINT; STATIC | $123.69 | $665.00 | $167.58–$532.00 | — | 81% |
| Short arm splint (forearm and hand) inpatient CPT 29125 ECHG OT PROC APPLY SHORT ARM SPLINT; STATIC - THRPY ASSISTANT ONLY | $123.69 | $665.00 | $80.00–$532.00 | — | 81% |
| Short arm splint (forearm and hand) inpatient CPT 29125 ECHG OT PROC APPLY SHORT ARM SPLINT; STATIC - THERAPIST ONLY | $123.69 | $665.00 | $80.00–$532.00 | — | 81% |
| Short arm splint (forearm and hand) inpatient CPT 29125 ECHG PT PROC APP SHORT ARM SPLINT (STATIC) THRPY ASSISTANT ONLY | $123.69 | $665.00 | $110.00–$532.00 | — | 81% |
| Short arm splint (forearm and hand) inpatient CPT 29125 ECHG PT PROC APP SHORT ARM SPLINT (STATIC) THERAPIST ONLY | $123.69 | $665.00 | $110.00–$532.00 | — | 81% |
| Short leg cast (below the knee) CPT 29405 ECHG PT PROC APP CAST/SHORT LEG(KNEE-TOES) THRPY ASSISTANT ONLY | $254.84 | $1,330.00 | $110.00–$1,064.00 | 25% below | 81% |
| Short leg cast (below the knee) CPT 29405 ECHG PT PROC APP CAST/SHORT LEG(KNEE-TOES) THERAPIST ONLY | $254.84 | $1,330.00 | $110.00–$1,064.00 | 25% below | 81% |
| Short leg cast (below the knee) CPT 29405 ECHG EC PROC APPLY SH LEG CAST | $254.84 | $1,330.00 | $335.16–$1,064.00 | 25% below | 81% |
| Short leg cast (below the knee) CPT 29405 ECHG PROC CAST SHORT LEG | $254.84 | $1,330.00 | $40.00–$1,064.00 | 25% below | 81% |
| Short leg cast (below the knee) CPT 29405 ECHG FOOT APPLICATION SHRT LEG CAST <KNEE TO TOES | $629.09 | $1,330.00 | $665.00–$1,064.00 | 85% above | 53% |
| Short leg cast (below the knee) inpatient CPT 29405 ECHG PT PROC APP CAST/SHORT LEG(KNEE-TOES) THERAPIST ONLY | $254.84 | $1,330.00 | $110.00–$1,064.00 | — | 81% |
| Short leg cast (below the knee) inpatient CPT 29405 ECHG EC PROC APPLY SH LEG CAST | $254.84 | $1,330.00 | $335.16–$1,064.00 | — | 81% |
| Short leg cast (below the knee) inpatient CPT 29405 ECHG PT PROC APP CAST/SHORT LEG(KNEE-TOES) THRPY ASSISTANT ONLY | $254.84 | $1,330.00 | $110.00–$1,064.00 | — | 81% |
| Short leg cast (below the knee) inpatient CPT 29405 ECHG FOOT APPLICATION SHRT LEG CAST <KNEE TO TOES | $629.09 | $1,330.00 | $665.00–$1,064.00 | — | 53% |
| Short leg splint (calf to foot) CPT 29515 ECHG OT PROC APPLY SHORT LEG SPLINT - THERAPIST ONLY | $151.41 | $721.00 | $80.00–$576.80 | 44% below | 79% |
| Short leg splint (calf to foot) CPT 29515 ECHG EC PROC APPLY SHORT LEG SPLINT | $151.41 | $721.00 | $181.69–$576.80 | 44% below | 79% |
| Short leg splint (calf to foot) CPT 29515 ECHG OT PROC APPLY SHORT LEG SPLINT - THRPY ASSISTANT ONLY | $151.41 | $721.00 | $80.00–$576.80 | 44% below | 79% |
| Short leg splint (calf to foot) CPT 29515 ECHG PT PROC APP SHORT LEG SPLINT THERAPIST ONLY | $151.41 | $721.00 | $110.00–$576.80 | 44% below | 79% |
| Short leg splint (calf to foot) CPT 29515 ECHG PT PROC APP SHORT LEG SPLINT THRPY ASSISTANT ONLY | $151.41 | $721.00 | $110.00–$576.80 | 44% below | 79% |
| Short leg splint (calf to foot) CPT 29515 ECHG PROC SPLINT SHORT LEG | $151.41 | $721.00 | $40.00–$576.80 | 44% below | 79% |
| Short leg splint (calf to foot) CPT 29515 ECHG FOOT APPLICATION OF SHORT LEG SPLINT | $341.03 | $721.00 | $360.50–$576.80 | 25% above | 53% |
| Short leg splint (calf to foot) inpatient CPT 29515 ECHG PT PROC APP SHORT LEG SPLINT THRPY ASSISTANT ONLY | $151.41 | $721.00 | $110.00–$576.80 | — | 79% |
| Short leg splint (calf to foot) inpatient CPT 29515 ECHG EC PROC APPLY SHORT LEG SPLINT | $151.41 | $721.00 | $181.69–$576.80 | — | 79% |
| Short leg splint (calf to foot) inpatient CPT 29515 ECHG OT PROC APPLY SHORT LEG SPLINT - THERAPIST ONLY | $151.41 | $721.00 | $80.00–$576.80 | — | 79% |
| Short leg splint (calf to foot) inpatient CPT 29515 ECHG OT PROC APPLY SHORT LEG SPLINT - THRPY ASSISTANT ONLY | $151.41 | $721.00 | $80.00–$576.80 | — | 79% |
| Short leg splint (calf to foot) inpatient CPT 29515 ECHG PT PROC APP SHORT LEG SPLINT THERAPIST ONLY | $151.41 | $721.00 | $110.00–$576.80 | — | 79% |
| Short leg splint (calf to foot) inpatient CPT 29515 ECHG FOOT APPLICATION OF SHORT LEG SPLINT | $341.03 | $721.00 | $360.50–$576.80 | — | 53% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 ECHG PROC REPAIR SIMPLE 2.5CM & < BODY | $190.66 | $488.00 | $40.00–$390.40 | 47% below | 61% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 ECHG EC PROC SIMPLE WOUND REPAIR SCALP/NECK/TRUNK 2.5 CM OR LESS (HAND AND FEET) | $190.66 | $488.00 | $122.98–$390.40 | 47% below | 61% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 ECHG EC PROC SIMPLE WOUND REPAIR SCALP/NECK/TRUNK 2.5 CM OR LESS (HAND AND FEET) | $190.66 | $488.00 | $122.98–$390.40 | — | 61% |
| Skin biopsy, punch, one lesion CPT 11104 ECHG EC PROC PUNCH BX SKIN SINGLE LESION | $383.37 | $331.00 | $83.41–$264.80 | 13% below | -16% |
| Skin biopsy, punch, one lesion CPT 11104 ECHG PROC PUNCH BX SKIN SINGLE LESION | $383.37 | $331.00 | $40.00–$264.80 | 13% below | -16% |
| Skin biopsy, punch, one lesion inpatient CPT 11104 ECHG EC PROC PUNCH BX SKIN SINGLE LESION | $383.37 | $331.00 | $83.41–$264.80 | — | -16% |
| Skin tag removal, up to 15 tags CPT 11200 ECHG PROC REMOVAL SKIN TAGS 15 LESIONS | $190.66 | $311.00 | $40.00–$248.80 | 37% below | 39% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 ECHG PROC LUMBAR PUNCTURE DIAGNOSTIC | $664.51 | $1,754.00 | $40.00–$1,403.20 | 36% below | 62% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 ECHG EC PROC SPINAL PUNCTURE, LUMBAR DIAGNOSTIC | $664.51 | $1,754.00 | $442.01–$1,403.20 | 36% below | 62% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 ECHG OBSERVATION PROC SPINAL PUNCTURE, LUMBAR DIAGNOSTIC | $829.64 | $1,754.00 | $877.00–$1,403.20 | 21% below | 53% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 ECHG PULMONARY PROC SPINAL PUNCTURE LUMBAR DIAGNOSTIC | $829.64 | $1,754.00 | $877.00–$1,403.20 | 21% below | 53% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 LUMBAR SPINE PUNCTURE DX | $829.64 | $1,754.00 | $877.00–$1,403.20 | 21% below | 53% |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 ECHG EC PROC SPINAL PUNCTURE, LUMBAR DIAGNOSTIC | $664.51 | $1,754.00 | $442.01–$1,403.20 | — | 62% |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 ECHG OBSERVATION PROC SPINAL PUNCTURE, LUMBAR DIAGNOSTIC | $829.64 | $1,754.00 | $877.00–$1,403.20 | — | 53% |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 ECHG PULMONARY PROC SPINAL PUNCTURE LUMBAR DIAGNOSTIC | $829.64 | $1,754.00 | $877.00–$1,403.20 | — | 53% |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 LUMBAR SPINE PUNCTURE DX | $829.64 | $1,754.00 | $877.00–$1,403.20 | — | 53% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 ECHG PROC REPAIR SIMPLE 2.6CM-7.5CM | $190.66 | $441.00 | $40.00–$352.80 | 58% below | 57% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 ECHG EC PROC SIMPLE WOUND REPAIR SCALP/NECK/TRUNK 2.6 CM-7.5 CM (HAND AND FEET) | $190.66 | $441.00 | $111.13–$352.80 | 58% below | 57% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 ECHG EC PROC SIMPLE WOUND REPAIR SCALP/NECK/TRUNK 2.6 CM-7.5 CM (HAND AND FEET) | $190.66 | $441.00 | $111.13–$352.80 | — | 57% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 ECHG PROC REPAIR SIMPLE 2.5CM & < FACE | $190.66 | $263.00 | $40.00–$210.40 | 51% below | 28% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 ECHG EC PROC SIMPLE WOUND REPAIR FACE, EARS,NOSE,LIP 2.5 CM OR LESS | $190.66 | $263.00 | $66.28–$210.40 | 51% below | 28% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 ECHG EC PROC SIMPLE WOUND REPAIR FACE, EARS,NOSE,LIP 2.5 CM OR LESS | $190.66 | $263.00 | $66.28–$210.40 | — | 28% |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 ECHG EC PROC TANGNTL BX SKIN SINGLE LES | $190.66 | $331.00 | $83.41–$264.80 | 47% below | 42% |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 ECHG PROC TANGNTL BX SKIN SINGLE LES | $190.66 | $331.00 | $40.00–$264.80 | 47% below | 42% |
| Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 ECHG EC PROC TANGNTL BX SKIN SINGLE LES | $190.66 | $331.00 | $83.41–$264.80 | — | 42% |
| Thoracentesis with imaging guidance CPT 32555 ECHG PULMONARY PROC ASPIRATE PLEURA W/ IMAGING | $532.60 | $1,126.00 | $563.00–$900.80 | 62% below | 53% |
| Thoracentesis with imaging guidance CPT 32555 ASPIRATE PLEURA W/ IMAGING | $532.60 | $1,126.00 | $563.00–$900.80 | 62% below | 53% |
| Thoracentesis with imaging guidance CPT 32555 ECHG EC PROC ASPIRATE PLEURA W/ IMAGING | $593.26 | $1,126.00 | $283.75–$900.80 | 58% below | 47% |
| Thoracentesis with imaging guidance CPT 32555 ECHG PROC ASPIRATE PLEURA W/ IMAGING | $593.26 | $1,126.00 | $40.00–$900.80 | 58% below | 47% |
| Thoracentesis with imaging guidance inpatient CPT 32555 ASPIRATE PLEURA W/ IMAGING | $532.60 | $1,126.00 | $563.00–$900.80 | — | 53% |
| Thoracentesis with imaging guidance inpatient CPT 32555 ECHG PULMONARY PROC ASPIRATE PLEURA W/ IMAGING | $532.60 | $1,126.00 | $563.00–$900.80 | — | 53% |
| Thoracentesis with imaging guidance inpatient CPT 32555 ECHG EC PROC ASPIRATE PLEURA W/ IMAGING | $593.26 | $1,126.00 | $283.75–$900.80 | — | 47% |
| Trigger finger release surgery CPT 26055 ECHG PROC TENDON SHEATH INCISION TRIGGER FINGER | $1,535.69 | $2,623.00 | $40.00–$2,098.40 | 36% below | 41% |
| Trigger point injections, 1 or 2 muscles CPT 20552 ECHG PROC TPI(S) - 1/2 MUSCLE(S) | $283.25 | $358.00 | $40.00–$286.40 | 36% below | 21% |
| Trigger point injections, 1 or 2 muscles CPT 20552 ECHG EC PROC INJ TRIGGER POINT 1/2 MUSCL | $283.25 | $358.00 | $90.22–$286.40 | 36% below | 21% |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 ECHG EC PROC INJ TRIGGER POINT 1/2 MUSCL | $283.25 | $358.00 | $90.22–$286.40 | — | 21% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 BX BREAST 1ST LESION US IMAGINING | $1,172.57 | $2,479.00 | $1,239.50–$1,983.20 | 57% below | 53% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 BX BREAST 1ST LESION US IMAGINING | $1,172.57 | $2,479.00 | $1,239.50–$1,983.20 | — | 53% |
| Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 ECHG GI PROC ESOPH EGD DILATION <30 MM | $2,102.49 | $4,445.00 | $2,222.50 | 43% above | 53% |
| Upper endoscopy (EGD) with balloon widening of the esophagus inpatient CPT 43249 ECHG GI PROC ESOPH EGD DILATION <30 MM | $2,102.49 | $4,445.00 | $2,222.50 | — | 53% |
| Upper endoscopy (EGD) with biopsy CPT 43239 ECHG GI PROC EGD BIOPSY SINGLE/MULTIPLE | $2,102.49 | $4,445.00 | $2,222.50 | 78% above | 53% |
| Upper endoscopy (EGD) with biopsy inpatient CPT 43239 ECHG GI PROC EGD BIOPSY SINGLE/MULTIPLE | $2,102.49 | $4,445.00 | $2,222.50 | — | 53% |
| Upper endoscopy (EGD) with injection into the lining CPT 43236 ECHG GI PROC UGI W SUBMUCOS INJ | $1,033.51 | $2,185.00 | $1,092.50 | 41% above | 53% |
| Upper endoscopy (EGD) with injection into the lining inpatient CPT 43236 ECHG GI PROC UGI W SUBMUCOS INJ | $1,033.51 | $2,185.00 | $1,092.50 | — | 53% |
| Upper endoscopy (EGD) with polyp removal by snare CPT 43251 ECHG GI PROC EGD REMOVE LESION SNARE | $1,839.97 | $3,890.00 | $1,945.00 | 62% above | 53% |
| Upper endoscopy (EGD) with polyp removal by snare inpatient CPT 43251 ECHG GI PROC EGD REMOVE LESION SNARE | $1,839.97 | $3,890.00 | $1,945.00 | — | 53% |
| Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 ECHG GI PROC EGD GUIDE WIRE INSERTION | $2,102.49 | $4,445.00 | $2,222.50 | 187% above | 53% |
| Upper endoscopy (EGD) with widening of the esophagus over a guide wire inpatient CPT 43248 ECHG GI PROC EGD GUIDE WIRE INSERTION | $2,102.49 | $4,445.00 | $2,222.50 | — | 53% |
| Upper endoscopy (EGD), diagnostic CPT 43235 ECHG GI PROC EGD DIAGNOSTIC BRUSH WASH | $2,014.51 | $4,259.00 | $2,129.50 | 38% above | 53% |
| Upper endoscopy (EGD), diagnostic CPT 43235 ECHG PROC EGD EGD DIAGNOSTIC BRUSH WASH | $2,014.51 | $4,259.00 | $2,129.50 | 38% above | 53% |
| Upper endoscopy (EGD), diagnostic inpatient CPT 43235 ECHG PROC EGD EGD DIAGNOSTIC BRUSH WASH | $2,014.51 | $4,259.00 | $2,129.50 | — | 53% |
| Upper endoscopy (EGD), diagnostic inpatient CPT 43235 ECHG GI PROC EGD DIAGNOSTIC BRUSH WASH | $2,014.51 | $4,259.00 | $2,129.50 | — | 53% |
| Upper endoscopy with drainage of a pseudocyst through the stomach wall CPT 43240 ECHG GI PROC EGD W/TRANSMURAL DRAIN CYST | $2,102.96 | $4,446.00 | $2,223.00 | 58% above | 53% |
| Upper endoscopy with drainage of a pseudocyst through the stomach wall inpatient CPT 43240 ECHG GI PROC EGD W/TRANSMURAL DRAIN CYST | $2,102.96 | $4,446.00 | $2,223.00 | — | 53% |
| Ureteroscopy with laser stone breaking and stent placement CPT 52356 ECHG PROC CYSTO/URETERO W/LITHOTRIPSY; STENT PLACEMENT | $4,878.04 | $5,725.00 | $40.00–$4,580.00 | 9% below | 15% |
| Vasectomy, one or both sides, including follow-up semen testing CPT 55250 ECHG PROC VASECTOMY EXCISION UNIL/BIL W/SEMN EXAM | $1,965.67 | $3,911.00 | $40.00–$3,128.80 | 57% below | 50% |
| Vein ablation, radiofrequency, first vein CPT 36475 ENDOVENOUS ABLATION THRPY RF 1ST VEIN | $2,168.23 | $4,584.00 | $2,292.00–$3,667.20 | 48% below | 53% |
| Vein ablation, radiofrequency, first vein inpatient CPT 36475 ENDOVENOUS ABLATION THRPY RF 1ST VEIN | $2,168.23 | $4,584.00 | $2,292.00–$3,667.20 | — | 53% |
| Wart removal, up to 14 warts CPT 17110 ECHG PROC REMOVAL WART,MOLUSM OTHE UPTO 14 LES | $190.66 | $311.00 | $40.00–$248.80 | 5% below | 39% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRIDEMENT SUBQ TISSUE FIRST 20 SQ CM OR LESS | $198.66 | $420.00 | $210.00–$336.00 | 80% below | 53% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 ECHG EC PROC DEBRIDE; SKIN TO SQ TISSUE | $383.37 | $420.00 | $105.84–$336.00 | 62% below | 9% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 ECHG PROC WOUND DEBRIDE SKIN/SUBCUTANEOUS TISSUE | $383.37 | $420.00 | $40.00–$336.00 | 62% below | 9% |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 DEBRIDEMENT SUBQ TISSUE FIRST 20 SQ CM OR LESS | $198.66 | $420.00 | $210.00–$336.00 | — | 53% |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 ECHG EC PROC DEBRIDE; SKIN TO SQ TISSUE | $383.37 | $420.00 | $105.84–$336.00 | — | 9% |
| Wrist fracture surgery (plate and screws), distal radius CPT 25607 ECHG EC PROC TREAT FX RAD EXTRA-ARTICUL | $6,854.84 | $8,985.00 | $2,264.22–$7,188.00 | 14% below | 24% |
| Wrist fracture surgery (plate and screws), distal radius inpatient CPT 25607 ECHG EC PROC TREAT FX RAD EXTRA-ARTICUL | $6,854.84 | $8,985.00 | $2,264.22–$7,188.00 | — | 24% |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Texas | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION SERVICE | $419.50 | $471.00 | $118.69–$376.80 | 45% below | 11% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSFUSION SERVICE | $419.50 | $471.00 | $118.69–$376.80 | — | 11% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 ECHG RESPIRATORY PROC INHALATION AIRWAY TREATMENT � NEBULIZER | $195.16 | $343.00 | $86.44–$274.40 | 4% below | 43% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 ECHG PULMONARY PROC SMALL VOLUME NEB TREAT | $195.16 | $343.00 | $86.44–$274.40 | 4% below | 43% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 ECHG PROC IPPB / INHALATION TREATMENT | $195.16 | $343.00 | $86.44–$274.40 | 4% below | 43% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 ECHG EC PROC AIRWAY INHALATION TREATMENT- NEBULIZER | $195.16 | $343.00 | $86.44–$274.40 | 4% below | 43% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 ECHG RESPIRATORY PROC INHALATION AIRWAY TREATMENT � MDI | $195.16 | $343.00 | $86.44–$274.40 | 4% below | 43% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 ECHG EC PROC AIRWAY INHALATION TREATMENT- NEBULIZER | $195.16 | $343.00 | $86.44–$274.40 | — | 43% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 ECHG PULMONARY PROC SMALL VOLUME NEB TREAT | $195.16 | $343.00 | $86.44–$274.40 | — | 43% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 ECHG RESPIRATORY PROC INHALATION AIRWAY TREATMENT � MDI | $195.16 | $343.00 | $86.44–$274.40 | — | 43% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 ECHG PROC IPPB / INHALATION TREATMENT | $195.16 | $343.00 | $86.44–$274.40 | — | 43% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 ECHG RESPIRATORY PROC INHALATION AIRWAY TREATMENT � NEBULIZER | $195.16 | $343.00 | $86.44–$274.40 | — | 43% |
| Chemotherapy IV infusion, first hour CPT 96413 ECHG PROC CHEMOTHRPY IV INFUSION 1ST HR | $318.28 | $534.00 | $134.57–$427.20 | 41% below | 40% |
| Chemotherapy IV infusion, first hour inpatient CPT 96413 ECHG PROC CHEMOTHRPY IV INFUSION 1ST HR | $318.28 | $534.00 | $134.57–$427.20 | — | 40% |
| Comprehensive eye exam, returning patient CPT 92014 ECHG OPHT EST PATIENT EXAM - COMPREHENSIVE | $123.66 | $183.00 | $40.00–$146.40 | 46% below | 32% |
| Comprehensive eye exam, returning patient CPT 92014 ECHG OPHT NEW PATIENT EXAM (92004) - COMPREHENSIVE | $123.66 | $183.00 | $40.00–$146.40 | 46% below | 32% |
| Comprehensive hearing test: tone and speech audiometry, both ears CPT 92557 ECHG SPEECH/HEARING PROC CAE W SR - THRPY ASSISTANT ONLY | $150.13 | $251.00 | $58.41–$200.80 | 50% below | 40% |
| Comprehensive hearing test: tone and speech audiometry, both ears CPT 92557 ECHG PROC AUDIOMETRY COMPREHENSIVE THRESH EVAL/REC | $150.13 | $251.00 | $58.41–$200.80 | 50% below | 40% |
| Comprehensive hearing test: tone and speech audiometry, both ears CPT 92557 ECHG SPEECH/HEARING PROC CAE W SR | $150.13 | $251.00 | $58.41–$200.80 | 50% below | 40% |
| Comprehensive hearing test: tone and speech audiometry, both ears inpatient CPT 92557 ECHG SPEECH/HEARING PROC CAE W SR - THRPY ASSISTANT ONLY | $150.13 | $251.00 | $58.41–$200.80 | — | 40% |
| Comprehensive hearing test: tone and speech audiometry, both ears inpatient CPT 92557 ECHG SPEECH/HEARING PROC CAE W SR | $150.13 | $251.00 | $58.41–$200.80 | — | 40% |
| Comprehensive hearing test: tone and speech audiometry, both ears inpatient CPT 92557 ECHG PROC AUDIOMETRY COMPREHENSIVE THRESH EVAL/REC | $150.13 | $251.00 | $58.41–$200.80 | — | 40% |
| Critical care, first 30 to 74 minutes CPT 99291 ECHG CRITICAL CARE VISIT, 1ST 30-74 MINUTES | $808.53 | $4,030.00 | $1,200.00–$2,619.50 | 68% below | 80% |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 ECHG CRITICAL CARE VISIT, 1ST 30-74 MINUTES | $808.53 | $4,030.00 | $1,200.00–$2,619.50 | — | 80% |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 ECHG EEG PROC EEG AWAKE & DROWSY (20 - 40 MINUTES) | $298.81 | $356.00 | $89.71–$778.00 | 67% below | 16% |
| EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 ECHG EEG PROC EEG AWAKE & DROWSY (20 - 40 MINUTES) | $298.81 | $356.00 | $89.71–$778.00 | — | 16% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ECHG NON-INVASIVE PROC 12 LEAD EKG (PROSOLVE) | $57.00 | $245.00 | $15.86–$210.00 | 79% below | 77% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ECHG RESPIRATORY PROC 12 LEAD EKG; TRACING ONLY | $57.00 | $245.00 | $15.86–$210.00 | 79% below | 77% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ECHG EKG PROC 12 LEAD EKG; TRACING ONLY | $57.00 | $245.00 | $15.86–$210.00 | 79% below | 77% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 ECHG RESPIRATORY PROC 12 LEAD EKG; TRACING ONLY | $57.00 | $245.00 | $15.86–$210.00 | — | 77% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 ECHG EKG PROC 12 LEAD EKG; TRACING ONLY | $57.00 | $245.00 | $15.86–$210.00 | — | 77% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 ECHG NON-INVASIVE PROC 12 LEAD EKG (PROSOLVE) | $57.00 | $245.00 | $15.86–$210.00 | — | 77% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ECHG EMERGENCY DEPT VISIT LEVEL I | $84.49 | $160.00 | $51.36–$275.00 | 64% below | 47% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ECHG�FORENSIC DEPT VISIT LEVEL I | $84.49 | $154.00 | $51.36–$275.00 | 64% below | 45% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 ECHG�FORENSIC DEPT VISIT LEVEL I | $84.49 | $154.00 | $51.36–$275.00 | — | 45% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 ECHG EMERGENCY DEPT VISIT LEVEL I | $84.49 | $160.00 | $51.36–$275.00 | — | 47% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 ECHG�FORENSIC DEPT VISIT LEVEL II | $151.96 | $270.00 | $51.36–$400.00 | 65% below | 44% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 ECHG EMERGENCY DEPT VISIT LEVEL II | $151.96 | $281.00 | $51.36–$400.00 | 65% below | 46% |
| Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 ECHG EMERGENCY DEPT VISIT LEVEL II | $151.96 | $281.00 | $51.36–$400.00 | — | 46% |
| Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 ECHG�FORENSIC DEPT VISIT LEVEL II | $151.96 | $270.00 | $51.36–$400.00 | — | 44% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 ECHG EMERGENCY DEPT VISIT LEVEL III | $265.69 | $531.00 | $51.36–$826.00 | 65% below | 50% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 ECHG�FORENSIC DEPT VISIT LEVEL III | $265.69 | $511.00 | $51.36–$826.00 | 65% below | 48% |
| Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 ECHG EMERGENCY DEPT VISIT LEVEL III | $265.69 | $531.00 | $51.36–$826.00 | — | 50% |
| Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 ECHG�FORENSIC DEPT VISIT LEVEL III | $265.69 | $511.00 | $51.36–$826.00 | — | 48% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 ECHG�FORENSIC DEPT VISIT LEVEL IV | $408.60 | $1,193.00 | $300.64–$1,760.00 | 68% below | 66% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 ECHG EMERGENCY DEPT VISIT LEVEL IV | $408.60 | $1,240.00 | $312.48–$1,760.00 | 68% below | 67% |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 ECHG�FORENSIC DEPT VISIT LEVEL IV | $408.60 | $1,193.00 | $300.64–$1,760.00 | — | 66% |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 ECHG EMERGENCY DEPT VISIT LEVEL IV | $408.60 | $1,240.00 | $312.48–$1,760.00 | — | 67% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 ECHG�FORENSIC DEPT VISIT LEVEL V | $588.31 | $1,533.00 | $386.32–$2,240.00 | 67% below | 62% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 ECHG EMERGENCY DEPT VISIT LEVEL V | $588.31 | $1,594.00 | $401.69–$2,240.00 | 67% below | 63% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 ECHG CRITICAL CARE VISIT, 1ST 30-74 MINUTES | $808.53 | $4,030.00 | $1,200.00–$2,619.50 | 54% below | 80% |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 ECHG�FORENSIC DEPT VISIT LEVEL V | $588.31 | $1,533.00 | $386.32–$2,240.00 | — | 62% |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 ECHG EMERGENCY DEPT VISIT LEVEL V | $588.31 | $1,594.00 | $401.69–$2,240.00 | — | 63% |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 ECHG CRITICAL CARE VISIT, 1ST 30-74 MINUTES | $808.53 | $4,030.00 | $1,200.00–$2,619.50 | — | 80% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 ECHG PROC STRESS TREADMILL TRACING ONLY | $298.81 | $1,410.00 | $79.49–$967.00 | 76% below | 79% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 ECHG STRESS TREADMILL - TRACING ONLY (PROSOLVE) | $298.81 | $1,410.00 | $79.49–$967.00 | 76% below | 79% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 STRESS TREADMILL TRACING W/O REP/INTRPTN | $298.81 | $1,410.00 | $79.49–$967.00 | 76% below | 79% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 CHG STRESS TESTING-PHARMACOLOGICAL | $298.81 | $1,410.00 | $79.49–$967.00 | 76% below | 79% |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 ECHG PROC STRESS TREADMILL TRACING ONLY | $298.81 | $1,410.00 | $79.49–$967.00 | — | 79% |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 CHG STRESS TESTING-PHARMACOLOGICAL | $298.81 | $1,410.00 | $79.49–$967.00 | — | 79% |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 STRESS TREADMILL TRACING W/O REP/INTRPTN | $298.81 | $1,410.00 | $79.49–$967.00 | — | 79% |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 ECHG STRESS TREADMILL - TRACING ONLY (PROSOLVE) | $298.81 | $1,410.00 | $79.49–$967.00 | — | 79% |
| Eye exam, returning patient, intermediate CPT 92012 ECHG OPHT NEW PATIENT EXAM (92002) - INTERMEDIATE | $123.66 | $209.00 | $40.00–$167.20 | 37% below | 41% |
| Eye exam, returning patient, intermediate CPT 92012 ECHG OPHT EST PATIENT EXAM - INTERMEDIATE | $123.66 | $209.00 | $40.00–$167.20 | 37% below | 41% |
| Family therapy with the patient, 50 minutes CPT 90847 ECHG CLINICAL CASE MANAGE PROC FAMILY THERAPY W PT | $154.17 | $525.00 | $132.30–$420.00 | 45% below | 71% |
| Family therapy with the patient, 50 minutes CPT 90847 ECHG PROC PSYCHOTHERAPY FAMILY MEDICAL W/PATIENT | $154.17 | $525.00 | $132.30–$420.00 | 45% below | 71% |
| Family therapy with the patient, 50 minutes CPT 90847 ECHG PSY FAMILY PSYCHOTHERAPY W/PATIENT PRESENT 50 MINS | $154.17 | $525.00 | $132.30–$420.00 | 45% below | 71% |
| Family therapy with the patient, 50 minutes CPT 90847 ECHG PSY CLINIC -FAMILY PSYCHOTHERAPY W/PT PRESENT 50 MINS | $154.17 | $525.00 | $132.30–$420.00 | 45% below | 71% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 ECHG PROC PSYCHOTHERAPY FAMILY MEDICAL W/PATIENT | $154.17 | $525.00 | $132.30–$420.00 | — | 71% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 ECHG PSY CLINIC -FAMILY PSYCHOTHERAPY W/PT PRESENT 50 MINS | $154.17 | $525.00 | $132.30–$420.00 | — | 71% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 ECHG CLINICAL CASE MANAGE PROC FAMILY THERAPY W PT | $154.17 | $525.00 | $132.30–$420.00 | — | 71% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 ECHG PSY FAMILY PSYCHOTHERAPY W/PATIENT PRESENT 50 MINS | $154.17 | $525.00 | $132.30–$420.00 | — | 71% |
| Family therapy without the patient, 50 minutes CPT 90846 ECHG PROC PSYCHOTHERAPY FAMILY W/O PATIENT | $154.17 | $434.00 | $109.37–$347.20 | 40% below | 64% |
| Family therapy without the patient, 50 minutes CPT 90846 ECHG PSY CLINIC -FAMILY PSYCHOTHERAPY W/O PT PRESENT 50 MINS | $154.17 | $434.00 | $109.37–$347.20 | 40% below | 64% |
| Family therapy without the patient, 50 minutes CPT 90846 ECHG PSY FAMILY PSYCHOTHERAPY W/O PATIENT PRESENT 50 MINS | $154.17 | $434.00 | $109.37–$347.20 | 40% below | 64% |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 ECHG PSY FAMILY PSYCHOTHERAPY W/O PATIENT PRESENT 50 MINS | $154.17 | $434.00 | $109.37–$347.20 | — | 64% |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 ECHG PSY CLINIC -FAMILY PSYCHOTHERAPY W/O PT PRESENT 50 MINS | $154.17 | $434.00 | $109.37–$347.20 | — | 64% |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 ECHG PROC PSYCHOTHERAPY FAMILY W/O PATIENT | $154.17 | $434.00 | $109.37–$347.20 | — | 64% |
| Group psychotherapy session CPT 90853 ECHG PROC PSYCHOTHERAPY GROUP MED W/O MULTI FAMILY | $88.76 | $159.00 | $40.07–$127.20 | 45% below | 44% |
| Group psychotherapy session CPT 90853 ECHG CLINICAL CASE MANAGE PROC GROUP THERAPY NOT MULTI-FAMILY | $88.76 | $159.00 | $40.07–$127.20 | 45% below | 44% |
| Group psychotherapy session CPT 90853 ECHG PSY CLINIC - GROUP PSYCHOTHERAPY | $88.76 | $159.00 | $40.07–$127.20 | 45% below | 44% |
| Group psychotherapy session CPT 90853 ECHG PSY - GROUP PSYCHOTHERAPY (OTHER THAN OF A MULTIPLE FAMILY GROUP) | $88.76 | $159.00 | $40.07–$127.20 | 45% below | 44% |
| Group psychotherapy session inpatient CPT 90853 ECHG PSY - GROUP PSYCHOTHERAPY (OTHER THAN OF A MULTIPLE FAMILY GROUP) | $88.76 | $159.00 | $40.07–$127.20 | — | 44% |
| Group psychotherapy session inpatient CPT 90853 ECHG PROC PSYCHOTHERAPY GROUP MED W/O MULTI FAMILY | $88.76 | $159.00 | $40.07–$127.20 | — | 44% |
| Group psychotherapy session inpatient CPT 90853 ECHG CLINICAL CASE MANAGE PROC GROUP THERAPY NOT MULTI-FAMILY | $88.76 | $159.00 | $40.07–$127.20 | — | 44% |
| Group psychotherapy session inpatient CPT 90853 ECHG PSY CLINIC - GROUP PSYCHOTHERAPY | $88.76 | $159.00 | $40.07–$127.20 | — | 44% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 ECHG EC PROC HYDRATION IV INFUSION, INIT 31 MINS TO 1 HR | $202.17 | $351.00 | $75.28–$280.80 | 53% below | 42% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 ECHG ASU/PREOP INFUSION THRPY HYDRATION 1ST HOUR | $202.17 | $351.00 | $75.28–$280.80 | 53% below | 42% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 ECHG OB/UC PROC IV INFUSN HYDRATION INITIAL 31MIN TO 1HR | $202.17 | $351.00 | $75.28–$280.80 | 53% below | 42% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 ECHG PROC IV INFUSN HYDRATION INITIAL 31MIN TO 1HR | $202.17 | $351.00 | $75.28–$280.80 | 53% below | 42% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 CHG HYDRATION IV INFUSION INITIAL 31 - 60 MINUTES | $202.17 | $351.00 | $75.28–$280.80 | 53% below | 42% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HYDRATION IV INFUSION INITIAL 31 MIN TO 1 HOUR | $202.17 | $351.00 | $75.28–$280.80 | 53% below | 42% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 CHG HYDRATION IV INFUSION INITIAL 31 - 60 MINUTES | $202.17 | $351.00 | $75.28–$280.80 | — | 42% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 ECHG ASU/PREOP INFUSION THRPY HYDRATION 1ST HOUR | $202.17 | $351.00 | $75.28–$280.80 | — | 42% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HYDRATION IV INFUSION INITIAL 31 MIN TO 1 HOUR | $202.17 | $351.00 | $75.28–$280.80 | — | 42% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 ECHG PROC IV INFUSN HYDRATION INITIAL 31MIN TO 1HR | $202.17 | $351.00 | $75.28–$280.80 | — | 42% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 ECHG OB/UC PROC IV INFUSN HYDRATION INITIAL 31MIN TO 1HR | $202.17 | $351.00 | $75.28–$280.80 | — | 42% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 ECHG EC PROC HYDRATION IV INFUSION, INIT 31 MINS TO 1 HR | $202.17 | $351.00 | $75.28–$280.80 | — | 42% |
| IV infusion of a medicine, first hour CPT 96365 ECHG ASU/PREOP IV INFUSION THRY/PROP/DX INIT TO 1HR | $202.17 | $351.00 | $88.45–$280.80 | 55% below | 42% |
| IV infusion of a medicine, first hour CPT 96365 ECHG OBSERVATION PROC IV INFUSION THERAPY 1ST HOUR | $202.17 | $351.00 | $88.45–$280.80 | 55% below | 42% |
| IV infusion of a medicine, first hour CPT 96365 ECHG OB/UC PROC IV INFUSION THRPY/PRP/DIAG INIT, UP TO 1 HR | $202.17 | $351.00 | $88.45–$280.80 | 55% below | 42% |
| IV infusion of a medicine, first hour CPT 96365 ECHG EC PROC IV INFUSION THERAPY/PROP/DX UP TO 1 HR | $202.17 | $351.00 | $88.45–$280.80 | 55% below | 42% |
| IV infusion of a medicine, first hour CPT 96365 ECHG PROC IV INFUSION THRPY/PRP/DIAG INIT, UP TO 1 HR | $202.17 | $351.00 | $88.45–$280.80 | 55% below | 42% |
| IV infusion of a medicine, first hour inpatient CPT 96365 ECHG EC PROC IV INFUSION THERAPY/PROP/DX UP TO 1 HR | $202.17 | $351.00 | $88.45–$280.80 | — | 42% |
| IV infusion of a medicine, first hour inpatient CPT 96365 ECHG OB/UC PROC IV INFUSION THRPY/PRP/DIAG INIT, UP TO 1 HR | $202.17 | $351.00 | $88.45–$280.80 | — | 42% |
| IV infusion of a medicine, first hour inpatient CPT 96365 ECHG PROC IV INFUSION THRPY/PRP/DIAG INIT, UP TO 1 HR | $202.17 | $351.00 | $88.45–$280.80 | — | 42% |
| IV infusion of a medicine, first hour inpatient CPT 96365 ECHG ASU/PREOP IV INFUSION THRY/PROP/DX INIT TO 1HR | $202.17 | $351.00 | $88.45–$280.80 | — | 42% |
| IV infusion of a medicine, first hour inpatient CPT 96365 ECHG OBSERVATION PROC IV INFUSION THERAPY 1ST HOUR | $202.17 | $351.00 | $88.45–$280.80 | — | 42% |
| IV push of a medicine, first drug CPT 96374 ECHG OB/UC THERAP/PROPH/DX INJ IV PUSH SING/ INIT DRUG | $202.17 | $351.00 | $71.96–$280.80 | 12% below | 42% |
| IV push of a medicine, first drug CPT 96374 ECHG PROC THERAP/PROPH/DX INJ IV PUSH SING/ INIT DRUG | $202.17 | $351.00 | $71.96–$280.80 | 12% below | 42% |
| IV push of a medicine, first drug CPT 96374 ECHG OBSERVATION PROC THERAP/PROPH/DX INJ IV PUSH SING/ INIT DRUG | $202.17 | $351.00 | $71.96–$280.80 | 12% below | 42% |
| IV push of a medicine, first drug CPT 96374 ECHG ASU/PREOP PROC THERAP/PROPH/DX INJ IV PUSH SING/ INIT DRUG | $202.17 | $351.00 | $71.96–$280.80 | 12% below | 42% |
| IV push of a medicine, first drug CPT 96374 ECHG EC PROC THERAPY/PROPH/DX INJECTION IV PUSH INITIAL DRUG | $202.17 | $351.00 | $71.96–$280.80 | 12% below | 42% |
| IV push of a medicine, first drug CPT 96374 ECHG GI PROC THER/PROPH/DIAG INJ IV PUSH | $202.17 | $351.00 | $71.96–$280.80 | 12% below | 42% |
| IV push of a medicine, first drug inpatient CPT 96374 ECHG ASU/PREOP PROC THERAP/PROPH/DX INJ IV PUSH SING/ INIT DRUG | $202.17 | $351.00 | $71.96–$280.80 | — | 42% |
| IV push of a medicine, first drug inpatient CPT 96374 ECHG PROC THERAP/PROPH/DX INJ IV PUSH SING/ INIT DRUG | $202.17 | $351.00 | $71.96–$280.80 | — | 42% |
| IV push of a medicine, first drug inpatient CPT 96374 ECHG EC PROC THERAPY/PROPH/DX INJECTION IV PUSH INITIAL DRUG | $202.17 | $351.00 | $71.96–$280.80 | — | 42% |
| IV push of a medicine, first drug inpatient CPT 96374 ECHG GI PROC THER/PROPH/DIAG INJ IV PUSH | $202.17 | $351.00 | $71.96–$280.80 | — | 42% |
| IV push of a medicine, first drug inpatient CPT 96374 ECHG OB/UC THERAP/PROPH/DX INJ IV PUSH SING/ INIT DRUG | $202.17 | $351.00 | $71.96–$280.80 | — | 42% |
| IV push of a medicine, first drug inpatient CPT 96374 ECHG OBSERVATION PROC THERAP/PROPH/DX INJ IV PUSH SING/ INIT DRUG | $202.17 | $351.00 | $71.96–$280.80 | — | 42% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 ECHG OBSERVATION PROC INJ IM/SUBQ THERAPEUTIC DIAG | $68.29 | $90.00 | $22.68–$72.00 | 53% below | 24% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 ECHG OB/UC PROC THRAPY PROPH/DX INJ SUBCUT/INTRAMUSCLE | $68.29 | $90.00 | $22.68–$72.00 | 53% below | 24% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 ECHG ASU/PREOP THRPY PROPH/DX INJ INTRAMUSCLAR/SUBQUE | $68.29 | $90.00 | $22.68–$72.00 | 53% below | 24% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 ECHG EC PROC THER/PROPH/DIAG INJECTION SC/IM | $68.29 | $90.00 | $22.68–$72.00 | 53% below | 24% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 ECHG EMG PROC THRPY PROPH/DX INJ SUBCUT/INTRAMUSCLE | $68.29 | $90.00 | $22.68–$72.00 | 53% below | 24% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 ECHG PROC THERAPY PROPH/DX INJ SUBCUT/INTRAMUSCLE | $68.29 | $90.00 | $22.68–$72.00 | 53% below | 24% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 THERAPEUTIC/PROPHYLACTIC/DIAGNOSTIC SUBCU IM INJ | $68.29 | $90.00 | $22.68–$72.00 | 53% below | 24% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 ECHG PROC THERAPY PROPH/DX INJ SUBCUT/INTRAMUSCLE | $68.29 | $90.00 | $22.68–$72.00 | — | 24% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 ECHG EMG PROC THRPY PROPH/DX INJ SUBCUT/INTRAMUSCLE | $68.29 | $90.00 | $22.68–$72.00 | — | 24% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 ECHG EC PROC THER/PROPH/DIAG INJECTION SC/IM | $68.29 | $90.00 | $22.68–$72.00 | — | 24% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 THERAPEUTIC/PROPHYLACTIC/DIAGNOSTIC SUBCU IM INJ | $68.29 | $90.00 | $22.68–$72.00 | — | 24% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 ECHG OBSERVATION PROC INJ IM/SUBQ THERAPEUTIC DIAG | $68.29 | $90.00 | $22.68–$72.00 | — | 24% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 ECHG ASU/PREOP THRPY PROPH/DX INJ INTRAMUSCLAR/SUBQUE | $68.29 | $90.00 | $22.68–$72.00 | — | 24% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 ECHG OB/UC PROC THRAPY PROPH/DX INJ SUBCUT/INTRAMUSCLE | $68.29 | $90.00 | $22.68–$72.00 | — | 24% |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 ECHG PSY CLINIC - PSYCH DIAGNOSTIC EVALUATION | $154.17 | $234.00 | $58.97–$187.20 | 60% below | 34% |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 ECHG CLINICAL CASE MANAGE PROC PSYCH DIAGNOSTIC EVALUATION | $154.17 | $234.00 | $58.97–$187.20 | 60% below | 34% |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 ECHG PSY - PSYCH DIAGNOSTIC EVALUATION | $154.17 | $234.00 | $58.97–$187.20 | 60% below | 34% |
| Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 ECHG PSY - PSYCH DIAGNOSTIC EVALUATION | $154.17 | $234.00 | $58.97–$187.20 | — | 34% |
| Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 ECHG PSY CLINIC - PSYCH DIAGNOSTIC EVALUATION | $154.17 | $234.00 | $58.97–$187.20 | — | 34% |
| Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 ECHG CLINICAL CASE MANAGE PROC PSYCH DIAGNOSTIC EVALUATION | $154.17 | $234.00 | $58.97–$187.20 | — | 34% |
| Nerve conduction study, 7 or 8 nerve studies CPT 95910 ECHG PROC NERVE CONDUCTION STUDIES; 7-8 STUDIES | $298.81 | $458.00 | $115.42–$420.00 | 59% below | 35% |
| Nerve conduction study, 7 or 8 nerve studies CPT 95910 ECHG EMG PROC NERVE CONDUCTION STUDIES; 7-8 STUDIES | $298.81 | $458.00 | $115.42–$420.00 | 59% below | 35% |
| Nerve conduction study, 7 or 8 nerve studies inpatient CPT 95910 ECHG PROC NERVE CONDUCTION STUDIES; 7-8 STUDIES | $298.81 | $458.00 | $115.42–$420.00 | — | 35% |
| Nerve conduction study, 7 or 8 nerve studies inpatient CPT 95910 ECHG EMG PROC NERVE CONDUCTION STUDIES; 7-8 STUDIES | $298.81 | $458.00 | $115.42–$420.00 | — | 35% |
| Neuromuscular re-education, 15 minutes CPT 97112 ECHG PT PROC NEUROMUSCULAR RE-EDUCATN MOVEMNT EA 15MIN - THRPY ASSISTANT ONLY | $32.43 | $179.00 | $45.11–$143.20 | 71% below | 82% |
| Neuromuscular re-education, 15 minutes CPT 97112 ECHG PT PROC NEUROMUSCULAR RE-EDUCATN MOVEMNT EA 15MIN - THERAPIST ONLY | $32.43 | $179.00 | $45.11–$143.20 | 71% below | 82% |
| Neuromuscular re-education, 15 minutes CPT 97112 ECHG OT PROC NEUROMUSCLE RE-EDUC, EA 15 MIN - THRPY ASSISTANT ONLY | $32.43 | $179.00 | $45.11–$143.20 | 71% below | 82% |
| Neuromuscular re-education, 15 minutes CPT 97112 ECHG OT PROC NEUROMUSCLE RE-EDUC, EA 15 MIN - THERAPIST ONLY | $32.43 | $179.00 | $45.11–$143.20 | 71% below | 82% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 ECHG PT PROC NEUROMUSCULAR RE-EDUCATN MOVEMNT EA 15MIN - THRPY ASSISTANT ONLY | $32.43 | $179.00 | $45.11–$143.20 | — | 82% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 ECHG OT PROC NEUROMUSCLE RE-EDUC, EA 15 MIN - THERAPIST ONLY | $32.43 | $179.00 | $45.11–$143.20 | — | 82% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 ECHG PT PROC NEUROMUSCULAR RE-EDUCATN MOVEMNT EA 15MIN - THERAPIST ONLY | $32.43 | $179.00 | $45.11–$143.20 | — | 82% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 ECHG OT PROC NEUROMUSCLE RE-EDUC, EA 15 MIN - THRPY ASSISTANT ONLY | $32.43 | $179.00 | $45.11–$143.20 | — | 82% |
| New patient office visit, about 30 minutes CPT 99203 ECHG TITLE V - NEW PT - DETAILED EXAM, LOW COMPLEX DECISION-MAKING | $126.71 | $85.00 | $0.01 | 44% below | -49% |
| New patient office visit, about 45 minutes CPT 99204 ECHG TITLE V - INITIAL - NEW PT - COMPRE EXAM, MOD COMPLEX DECISION-MAKING (45 MIN) | $126.71 | $123.00 | $0.01 | 57% below | -3% |
| New patient office visit, about 60 minutes CPT 99205 ECHG TITLE V - NEW PT - COMPRE EXAM, HIGH COMPLEX DECISION-MAKING (60 MIN) | $126.71 | $153.00 | $0.01 | 57% below | 17% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 ECHG TITLE V - NEW PT - EXPANDED, STRAIGHTFORWARD DECISION-MAKING (20 MIN) | $126.71 | $63.00 | $0.01 | 15% below | -101% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 ECHG HCSOJ VISIT - JAIL ONLY | $126.71 | $138.00 | $0.01 | 15% below | 8% |
| Occupational therapy evaluation, low complexity CPT 97165 ECHG OT PROC OT EVALUATION LOW COMPLEX 30 MIN | $101.97 | $269.00 | $67.79–$215.20 | 58% below | 62% |
| Occupational therapy evaluation, low complexity inpatient CPT 97165 ECHG OT PROC OT EVALUATION LOW COMPLEX 30 MIN | $101.97 | $269.00 | $67.79–$215.20 | — | 62% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 ECHG PT PROC PT EVALUATION HIGH COMPLEX 45 MIN | $99.38 | $269.00 | $67.79–$215.20 | 66% below | 63% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 ECHG PT PROC PT EVALUATION HIGH COMPLEX 45 MIN | $99.38 | $269.00 | $67.79–$215.20 | — | 63% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 ECHG PT PROC PT EVALUATION LOW COMPLEX 20 MIN | $99.38 | $269.00 | $67.79–$215.20 | 51% below | 63% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 ECHG PT PROC PT EVALUATION LOW COMPLEX 20 MIN | $99.38 | $269.00 | $67.79–$215.20 | — | 63% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 ECHG PT PROC PT EVALUATION MODERATE COMPLEX 30 MIN | $99.38 | $269.00 | $67.79–$215.20 | 59% below | 63% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 ECHG PT PROC PT EVALUATION MODERATE COMPLEX 30 MIN | $99.38 | $269.00 | $67.79–$215.20 | — | 63% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 ECHG PT PROC MANUAL THERAPY EA 15 MIN - THERAPIST ONLY | $27.54 | $140.00 | $35.28–$112.00 | 75% below | 80% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 ECHG OT PROC MANUAL THERAPY; EA 15 MIN - THERAPIST ONLY | $27.54 | $140.00 | $35.28–$112.00 | 75% below | 80% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 ECHG OT PROC MANUAL THERAPY; EA 15 MIN - THRPY ASSISTANT ONLY | $27.54 | $140.00 | $35.28–$112.00 | 75% below | 80% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 ECHG PT PROC MANUAL THERAPY EA 15 MIN - THRPY ASSISTANT ONLY | $27.54 | $140.00 | $35.28–$112.00 | 75% below | 80% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 ECHG PT PROC MANUAL THERAPY EA 15 MIN - THRPY ASSISTANT ONLY | $27.54 | $140.00 | $35.28–$112.00 | — | 80% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 ECHG OT PROC MANUAL THERAPY; EA 15 MIN - THRPY ASSISTANT ONLY | $27.54 | $140.00 | $35.28–$112.00 | — | 80% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 ECHG PT PROC MANUAL THERAPY EA 15 MIN - THERAPIST ONLY | $27.54 | $140.00 | $35.28–$112.00 | — | 80% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 ECHG OT PROC MANUAL THERAPY; EA 15 MIN - THERAPIST ONLY | $27.54 | $140.00 | $35.28–$112.00 | — | 80% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 ECHG OT PROC THERAP EXERCISE - ROM , EA 15MIN - THERAPIST ONLY | $29.17 | $179.00 | $45.11–$143.20 | 74% below | 84% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 ECHG PT PROC THERAPEUTIC PROCEDURE EA 15MINS - THRPY ASSISTANT ONLY | $29.17 | $179.00 | $45.11–$143.20 | 74% below | 84% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 ECHG OT PROC THERAP EXERCISE - ROM , EA 15MIN - THRPY ASSISTANT ONLY | $29.17 | $179.00 | $45.11–$143.20 | 74% below | 84% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 ECHG PT PROC THERAPEUTIC PROCEDURE EA 15MINS - THERAPIST ONLY | $29.17 | $179.00 | $45.11–$143.20 | 74% below | 84% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 ECHG OT PROC THERAP EXERCISE - ROM , EA 15MIN - THERAPIST ONLY | $29.17 | $179.00 | $45.11–$143.20 | — | 84% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 ECHG PT PROC THERAPEUTIC PROCEDURE EA 15MINS - THRPY ASSISTANT ONLY | $29.17 | $179.00 | $45.11–$143.20 | — | 84% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 ECHG PT PROC THERAPEUTIC PROCEDURE EA 15MINS - THERAPIST ONLY | $29.17 | $179.00 | $45.11–$143.20 | — | 84% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 ECHG OT PROC THERAP EXERCISE - ROM , EA 15MIN - THRPY ASSISTANT ONLY | $29.17 | $179.00 | $45.11–$143.20 | — | 84% |
| Preventive checkup, new patient aged 18–39 CPT 99385 ECHG ADULT - NEW PATIENT PREV VISIT - (99385) 18-39 YRS | $163.95 | $185.00 | $163.95–$172.15 | 20% above | 11% |
| Preventive checkup, new patient aged 18–39 inpatient CPT 99385 ECHG ADULT - NEW PATIENT PREV VISIT - (99385) 18-39 YRS | $163.95 | $185.00 | $163.95–$172.15 | — | 11% |
| Preventive checkup, new patient aged 40–64 CPT 99386 ECHG ADULT - NEW PATIENT PREV VISIT - (99386) 40-64 YRS | $163.95 | $159.00 | $163.95–$172.15 | 20% above | -3% |
| Preventive checkup, new patient aged 40–64 inpatient CPT 99386 ECHG ADULT - NEW PATIENT PREV VISIT - (99386) 40-64 YRS | $163.95 | $159.00 | $163.95–$172.15 | — | -3% |
| Preventive checkup, new patient aged 65 or older CPT 99387 ECHG ADULT - NEW PATIENT PREV VISIT - (99387) 65 YRS & OVER | $163.95 | $174.00 | $163.95–$172.15 | 12% above | 6% |
| Preventive checkup, new patient aged 65 or older inpatient CPT 99387 ECHG ADULT - NEW PATIENT PREV VISIT - (99387) 65 YRS & OVER | $163.95 | $174.00 | $163.95–$172.15 | — | 6% |
| Preventive checkup, returning patient aged 18–39 CPT 99395 ECHG ADULT - ESTABLISHED PATIENT PREV VISIT - (99395) 18-39 YRS | $129.24 | $170.00 | $129.24–$135.70 | 29% above | 24% |
| Preventive checkup, returning patient aged 18–39 inpatient CPT 99395 ECHG ADULT - ESTABLISHED PATIENT PREV VISIT - (99395) 18-39 YRS | $129.24 | $170.00 | $129.24–$135.70 | — | 24% |
| Preventive checkup, returning patient aged 40–64 CPT 99396 ECHG ADULT - ESTABLISHED PATIENT PREV VISIT - (99396) 40-64 YRS | $129.24 | $129.00 | $129.24–$135.70 | 10% below | — |
| Preventive checkup, returning patient aged 40–64 inpatient CPT 99396 ECHG ADULT - ESTABLISHED PATIENT PREV VISIT - (99396) 40-64 YRS | $129.24 | $129.00 | $129.24–$135.70 | — | — |
| Preventive checkup, returning patient aged 65 or older CPT 99397 ECHG ADULT - ESTABLISHED PATIENT PREV VISIT - (99397) 65 YRS & OVER | $129.24 | $145.00 | $129.24–$135.70 | 21% below | 11% |
| Preventive checkup, returning patient aged 65 or older inpatient CPT 99397 ECHG ADULT - ESTABLISHED PATIENT PREV VISIT - (99397) 65 YRS & OVER | $129.24 | $145.00 | $129.24–$135.70 | — | 11% |
| Psychiatric evaluation with medical services CPT 90792 ECHG PSY CLINIC - PSYCH DIAG EVAL W/MED SRVCS | $154.17 | $234.00 | $58.97–$187.20 | 53% below | 34% |
| Psychiatric evaluation with medical services CPT 90792 ECHG CLINICAL CASE MANAGE PROC PSYCH DIAG EVAL W/MED SRVCS | $154.17 | $234.00 | $58.97–$187.20 | 53% below | 34% |
| Psychiatric evaluation with medical services CPT 90792 ECHG PSY - PSYCH DIAG EVAL W/MED SRVCS | $154.17 | $234.00 | $58.97–$187.20 | 53% below | 34% |
| Psychiatric evaluation with medical services inpatient CPT 90792 ECHG PSY - PSYCH DIAG EVAL W/MED SRVCS | $154.17 | $234.00 | $58.97–$187.20 | — | 34% |
| Psychiatric evaluation with medical services inpatient CPT 90792 ECHG CLINICAL CASE MANAGE PROC PSYCH DIAG EVAL W/MED SRVCS | $154.17 | $234.00 | $58.97–$187.20 | — | 34% |
| Psychiatric evaluation with medical services inpatient CPT 90792 ECHG PSY CLINIC - PSYCH DIAG EVAL W/MED SRVCS | $154.17 | $234.00 | $58.97–$187.20 | — | 34% |
| Psychological testing evaluation by a psychologist or physician, first hour CPT 96130 ECHG PSYCL TEST EVAL PHYS/QHP 1 HR | $298.81 | $255.00 | $59.00–$204.00 | 3% below | -17% |
| Psychological testing evaluation by a psychologist or physician, first hour inpatient CPT 96130 ECHG PSYCL TEST EVAL PHYS/QHP 1 HR | $298.81 | $255.00 | $59.00–$204.00 | — | -17% |
| Psychotherapy for crisis, first 60 minutes CPT 90839 ECHG CLINICAL CASE MANAGE PROC PSYTX CRISIS INITIAL 60 MIN | $154.17 | $234.00 | $58.97–$187.20 | 53% below | 34% |
| Psychotherapy for crisis, first 60 minutes CPT 90839 ECHG PSY CLINIC - PSYTX CRISIS INITIAL 60 MIN | $154.17 | $234.00 | $58.97–$187.20 | 53% below | 34% |
| Psychotherapy for crisis, first 60 minutes CPT 90839 ECHG PSY - PSYTX CRISIS INITIAL 60 MIN | $154.17 | $234.00 | $58.97–$187.20 | 53% below | 34% |
| Psychotherapy for crisis, first 60 minutes inpatient CPT 90839 ECHG PSY CLINIC - PSYTX CRISIS INITIAL 60 MIN | $154.17 | $234.00 | $58.97–$187.20 | — | 34% |
| Psychotherapy for crisis, first 60 minutes inpatient CPT 90839 ECHG CLINICAL CASE MANAGE PROC PSYTX CRISIS INITIAL 60 MIN | $154.17 | $234.00 | $58.97–$187.20 | — | 34% |
| Psychotherapy for crisis, first 60 minutes inpatient CPT 90839 ECHG PSY - PSYTX CRISIS INITIAL 60 MIN | $154.17 | $234.00 | $58.97–$187.20 | — | 34% |
| Psychotherapy session, 30 minutes CPT 90832 ECHG PSY CLINIC - PSYTX PT&/FAMILY 30 MINUTES | $154.17 | $168.00 | $42.34–$134.40 | 18% below | 8% |
| Psychotherapy session, 30 minutes CPT 90832 ECHG CLINICAL CASE MANAGE PROC PSYTX PT&/FAMILY 30 MINUTES | $154.17 | $168.00 | $42.34–$134.40 | 18% below | 8% |
| Psychotherapy session, 30 minutes CPT 90832 ECHG PSY - PSYTX PT&/FAMILY 30 MINUTES | $154.17 | $168.00 | $42.34–$134.40 | 18% below | 8% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 ECHG CLINICAL CASE MANAGE PROC PSYTX PT&/FAMILY 30 MINUTES | $154.17 | $168.00 | $42.34–$134.40 | — | 8% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 ECHG PSY CLINIC - PSYTX PT&/FAMILY 30 MINUTES | $154.17 | $168.00 | $42.34–$134.40 | — | 8% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 ECHG PSY - PSYTX PT&/FAMILY 30 MINUTES | $154.17 | $168.00 | $42.34–$134.40 | — | 8% |
| Psychotherapy session, 45 minutes CPT 90834 ECHG PSY CLINIC - PSYTX PT&/FAMILY 45 MINUTES | $154.17 | $234.00 | $58.97–$187.20 | 44% below | 34% |
| Psychotherapy session, 45 minutes CPT 90834 ECHG CLINICAL CASE MANAGE PROC PSYTX PT&/FAMILY 45 MINUTES | $154.17 | $234.00 | $58.97–$187.20 | 44% below | 34% |
| Psychotherapy session, 45 minutes CPT 90834 ECHG PSY - PSYTX PT&/FAMILY 45 MINUTES | $154.17 | $234.00 | $58.97–$187.20 | 44% below | 34% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 ECHG CLINICAL CASE MANAGE PROC PSYTX PT&/FAMILY 45 MINUTES | $154.17 | $234.00 | $58.97–$187.20 | — | 34% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 ECHG PSY CLINIC - PSYTX PT&/FAMILY 45 MINUTES | $154.17 | $234.00 | $58.97–$187.20 | — | 34% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 ECHG PSY - PSYTX PT&/FAMILY 45 MINUTES | $154.17 | $234.00 | $58.97–$187.20 | — | 34% |
| Psychotherapy session, 60 minutes CPT 90837 ECHG CLINICAL CASE MANAGE PROC PSYTX PT&/FAMILY 60 MINUTES | $154.17 | $234.00 | $58.97–$187.20 | 44% below | 34% |
| Psychotherapy session, 60 minutes CPT 90837 ECHG PSY CLINIC - PSYTX PT&/FAMILY 60 MINUTES | $154.17 | $234.00 | $58.97–$187.20 | 44% below | 34% |
| Psychotherapy session, 60 minutes CPT 90837 ECHG PSY - PSYTX PT&/FAMILY 60 MINUTES | $154.17 | $234.00 | $58.97–$187.20 | 44% below | 34% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 ECHG PSY CLINIC - PSYTX PT&/FAMILY 60 MINUTES | $154.17 | $234.00 | $58.97–$187.20 | — | 34% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 ECHG PSY - PSYTX PT&/FAMILY 60 MINUTES | $154.17 | $234.00 | $58.97–$187.20 | — | 34% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 ECHG CLINICAL CASE MANAGE PROC PSYTX PT&/FAMILY 60 MINUTES | $154.17 | $234.00 | $58.97–$187.20 | — | 34% |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 ECHG CLINICAL CASE MANAGEMENT PROC SMOKE/COUNSELING 3-10 MIN | $28.59 | $56.00 | $14.11–$154.00 | 33% below | 49% |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 ECHG PULMONARY PROC SMOKE/COUNSELING 3-10 MIN | $28.59 | $56.00 | $14.11–$154.00 | 33% below | 49% |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 ECHG PROC SMOKE/COUNSELING 3-10 MIN | $28.59 | $56.00 | $14.11–$154.00 | 33% below | 49% |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 ECHG EC PROC SMOKING/TOBACCO COUNSELING INTERMEDIATE 3-10MIN | $28.59 | $56.00 | $14.11–$154.00 | 33% below | 49% |
| Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 ECHG PROC SMOKE/COUNSELING 3-10 MIN | $28.59 | $56.00 | $14.11–$154.00 | — | 49% |
| Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 ECHG EC PROC SMOKING/TOBACCO COUNSELING INTERMEDIATE 3-10MIN | $28.59 | $56.00 | $14.11–$154.00 | — | 49% |
| Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 ECHG PULMONARY PROC SMOKE/COUNSELING 3-10 MIN | $28.59 | $56.00 | $14.11–$154.00 | — | 49% |
| Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 ECHG CLINICAL CASE MANAGEMENT PROC SMOKE/COUNSELING 3-10 MIN | $28.59 | $56.00 | $14.11–$154.00 | — | 49% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 ECHG PSY CLINIC - EST PATIENT O/V - (99215) HIGH COMPLEXITY | $126.71 | $185.00 | $0.01 | 56% below | 32% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 ECHG ADULT - NEW PATIENT O/V - (99205) HIGH COMPLEXITY | $126.71 | $185.00 | $0.01 | 56% below | 32% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 ECHG ADULT - EST PATIENT O/V - (99215) HIGH COMPLEXITY | $126.71 | $185.00 | $0.01 | 56% below | 32% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 ECHG OBGYN - NEW PATIENT O/V - (99205) HIGH COMPLEXITY | $126.71 | $185.00 | $0.01 | 56% below | 32% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 ECHG OBGYN - EST PATIENT O/V - (99215) HIGH COMPLEXITY | $126.71 | $185.00 | $0.01 | 56% below | 32% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 ECHG PED - NEW PATIENT O/V - (99205) HIGH COMPLEXITY | $126.71 | $185.00 | $0.01 | 56% below | 32% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 ECHG PED - EST PATIENT O/V - (99215) HIGH COMPLEXITY | $126.71 | $185.00 | $0.01 | 56% below | 32% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 ECHG TITLE V - EST PT - COMPRE EXAM, HIGH COMPLEX DECISION-MAKING (40 MIN) | $126.71 | $110.00 | $0.01 | 56% below | -15% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 ECHG FORENSIC - EST PATIENT VISIT - (99215) HIGH COMPLEXITY | $126.71 | $185.00 | $0.01 | 56% below | 32% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 ECHG OB INTAKE - EST PATIENT O/V - (99215) HIGH COMPLEXITY | $126.71 | $891.00 | $0.01 | 56% below | 86% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 ECHG OB INTAKE - NEW PATIENT O/V - (99205) HIGH COMPLEXITY | $126.71 | $891.00 | $0.01 | 56% below | 86% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 ECHG PSY CLINIC - NEW PATIENT O/V - (99205) HIGH COMPLEXITY | $126.71 | $185.00 | $0.01 | 56% below | 32% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 ECHG TITLE V - POSTPARTUM VISIT | $54.87 | $116.00 | $29.23–$92.80 | 69% below | 53% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 ECHG OBGYN - POSTPARTUM CARE VISIT | $54.87 | $116.00 | $29.23–$92.80 | 69% below | 53% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 ECHG OB/UC PROC POSTPARTUM CARE ONLY | $54.87 | $116.00 | $29.23–$166.00 | 69% below | 53% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 ECHG OB INTAKE - NEW PATIENT O/V - (99203) LOW COMPLEXITY | $126.71 | $331.00 | $0.01 | 28% below | 62% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 ECHG OB INTAKE - EST PATIENT O/V - (99213) LOW COMPLEXITY | $126.71 | $331.00 | $0.01 | 28% below | 62% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 ECHG FORENSIC - EST PATIENT VISIT - (99213) LOW COMPLEXITY | $126.71 | $130.00 | $0.01 | 28% below | 3% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 ECHG TLE V EST PT DETAIL EXAM, LOW COMP DECISI-MAKING (20-29 MIN) | $126.71 | $53.00 | $0.01 | 28% below | -139% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 ECHG OBGYN - EST PATIENT O/V - (99213) LOW COMPLEXITY | $126.71 | $130.00 | $0.01 | 28% below | 3% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 ECHG OBGYN - NEW PATIENT O/V - (99203) LOW COMPLEXITY | $126.71 | $130.00 | $0.01 | 28% below | 3% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 ECHG ADULT - EST PATIENT O/V - (99213) LOW COMPLEXITY | $126.71 | $130.00 | $0.01 | 28% below | 3% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 ECHG ADULT - NEW PATIENT O/V - (99203) LOW COMPLEXITY | $126.71 | $130.00 | $0.01 | 28% below | 3% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 ECHG PSY CLINIC - NEW PATIENT O/V - (99203) LOW COMPLEXITY | $126.71 | $130.00 | $0.01 | 28% below | 3% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 ECHG PED - EST PATIENT O/V - (99213) LOW COMPLEXITY | $126.71 | $130.00 | $0.01 | 28% below | 3% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 ECHG PSY CLINIC - EST PATIENT O/V - (99213) LOW COMPLEXITY | $126.71 | $130.00 | $0.01 | 28% below | 3% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 ECHG PED - NEW PATIENT O/V - (99203) LOW COMPLEXITY | $126.71 | $130.00 | $0.01 | 28% below | 3% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 ECHGTLEV-HRISK ANTEPAR-ESTPT-COMPREEXAM,MODCOMPL DECS-MAKING(30-39 MIN) | $126.71 | $73.00 | $0.01 | 34% below | -74% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 ECHG PED - EST PATIENT O/V - (99214) MOD COMPLEXITY | $126.71 | $185.00 | $0.01 | 34% below | 32% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 ECHG PSY CLINIC - NEW PATIENT O/V - (99204) MOD COMPLEXITY | $126.71 | $185.00 | $0.01 | 34% below | 32% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 ECHG PSY CLINIC - EST PATIENT O/V - (99214) MOD COMPLEXITY | $126.71 | $185.00 | $0.01 | 34% below | 32% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 ECHG OB INTAKE - NEW PATIENT O/V - (99204) MOD COMPLEXITY | $126.71 | $714.00 | $0.01 | 34% below | 82% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 ECHG FORENSIC - EST PATIENT VISIT - (99214) MOD COMPLEXITY | $126.71 | $185.00 | $0.01 | 34% below | 32% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 ECHG OB INTAKE - EST PATIENT O/V - (99214) MOD COMPLEXITY | $126.71 | $714.00 | $0.01 | 34% below | 82% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 ECHG ADULT - EST PATIENT O/V - (99214) MOD COMPLEXITY | $126.71 | $185.00 | $0.01 | 34% below | 32% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 ECHG OBGYN - NEW PATIENT O/V - (99204) MOD COMPLEXITY | $126.71 | $185.00 | $0.01 | 34% below | 32% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 ECHG OBGYN - EST PATIENT O/V - (99214) MOD COMPLEXITY | $126.71 | $185.00 | $0.01 | 34% below | 32% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 ECHG PED - NEW PATIENT O/V - (99204) MOD COMPLEXITY | $126.71 | $185.00 | $0.01 | 34% below | 32% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 ECHG ADULT - NEW PATIENT O/V - (99204) MOD COMPLEXITY | $126.71 | $185.00 | $0.01 | 34% below | 32% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 ECHG OBGYN - EST PATIENT O/V - (99212) MINOR | $126.71 | $138.00 | $0.01 | 1% above | 8% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 ECHG PED - EST PATIENT O/V - (99212) MINOR | $126.71 | $138.00 | $0.01 | 1% above | 8% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 ECHG PSY CLINIC - NEW PATIENT O/V - (99202) EXPANDED | $126.71 | $138.00 | $0.01 | 1% above | 8% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 ECHG PSY CLINIC - EST PATIENT O/V - (99212) MINOR | $126.71 | $138.00 | $0.01 | 1% above | 8% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 ECHG OB INTAKE - NEW PATIENT O/V - (99202) EXPANDED | $126.71 | $196.00 | $0.01 | 1% above | 35% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 ECHG OB INTAKE - EST PATIENT O/V - (99212) MINOR | $126.71 | $196.00 | $0.01 | 1% above | 35% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 ECHG FORENSIC - EST PATIENT VISIT - (99212) MINOR | $126.71 | $118.00 | $0.01 | 1% above | -7% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 ECHG TITLE V - EST PT - EXPANDED, STRAIGHTFORWARD DECISION-MAKING (10 MIN) | $126.71 | $34.00 | $0.01 | 1% above | -273% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 ECHG OBGYN - NEW PATIENT O/V - (99202) EXPANDED | $126.71 | $138.00 | $0.01 | 1% above | 8% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 ECHG ADULT - EST PATIENT O/V - (99212) MINOR | $126.71 | $138.00 | $0.01 | 1% above | 8% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 ECHG ADULT - NEW PATIENT O/V - (99202) EXPANDED | $126.71 | $138.00 | $0.01 | 1% above | 8% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 ECHG PED - NEW PATIENT O/V - (99202) EXPANDED | $126.71 | $138.00 | $0.01 | 1% above | 8% |
| Speech and language evaluation CPT 92523 ECHG SPEECH/HEARING PROC EVALUATION SPEECH SOUND LANGUAGE COMPREHENSION | $226.86 | $365.00 | $91.98–$292.00 | 40% below | 38% |
| Speech and language evaluation CPT 92523 ECHG SPEECH/HEARING PROC EVALUATION SPEECH SOUND LANGUAGE COMPREHENSION - THRPY ASSISTANT ONLY | $226.86 | $365.00 | $91.98–$292.00 | 40% below | 38% |
| Speech and language evaluation CPT 92523 ECHG PROC EVALUATION SPEECH SOUND LANGUAGE COMPREHENSION | $226.86 | $365.00 | $91.98–$292.00 | 40% below | 38% |
| Speech and language evaluation inpatient CPT 92523 ECHG SPEECH/HEARING PROC EVALUATION SPEECH SOUND LANGUAGE COMPREHENSION | $226.86 | $365.00 | $91.98–$292.00 | — | 38% |
| Speech and language evaluation inpatient CPT 92523 ECHG PROC EVALUATION SPEECH SOUND LANGUAGE COMPREHENSION | $226.86 | $365.00 | $91.98–$292.00 | — | 38% |
| Speech and language evaluation inpatient CPT 92523 ECHG SPEECH/HEARING PROC EVALUATION SPEECH SOUND LANGUAGE COMPREHENSION - THRPY ASSISTANT ONLY | $226.86 | $365.00 | $91.98–$292.00 | — | 38% |
| Speech therapy session, individual CPT 92507 ECHG SPEECH/HEARING PROC PROC THERAPY - INDIVIDUAL | $76.13 | $390.00 | $98.28–$312.00 | 65% below | 80% |
| Speech therapy session, individual CPT 92507 ECHG SPEECH/HEARING PROC THERAPY - INDIVIDUAL - THRPY ASSISTANT ONLY | $76.13 | $390.00 | $98.28–$312.00 | 65% below | 80% |
| Speech therapy session, individual CPT 92507 ECHG PROC SPEECH/HEARING THERAPY - -INDIVIDUAL | $184.47 | $390.00 | $98.28–$312.00 | 15% below | 53% |
| Speech therapy session, individual inpatient CPT 92507 ECHG SPEECH/HEARING PROC PROC THERAPY - INDIVIDUAL | $76.13 | $390.00 | $98.28–$312.00 | — | 80% |
| Speech therapy session, individual inpatient CPT 92507 ECHG SPEECH/HEARING PROC THERAPY - INDIVIDUAL - THRPY ASSISTANT ONLY | $76.13 | $390.00 | $98.28–$312.00 | — | 80% |
| Speech therapy session, individual inpatient CPT 92507 ECHG PROC SPEECH/HEARING THERAPY - -INDIVIDUAL | $184.47 | $390.00 | $98.28–$312.00 | — | 53% |
| Spirometry (breathing test) CPT 94010 ECHG PULMONARY PROC BASIC PULMONARY FUNCTION TEST | $150.13 | $273.00 | $32.33–$460.00 | 58% below | 45% |
| Spirometry (breathing test) CPT 94010 ECHG RESPIRATORY PROC SPIROMETRY | $150.13 | $273.00 | $32.33–$460.00 | 58% below | 45% |
| Spirometry (breathing test) CPT 94010 ECHG EC PROC PEAK FLOW | $150.13 | $273.00 | $32.33–$460.00 | 58% below | 45% |
| Spirometry (breathing test) CPT 94010 ECHG PROC SPIROMETRY INCLUDING GRAPH RECORDING | $150.13 | $273.00 | $32.33–$460.00 | 58% below | 45% |
| Spirometry (breathing test) inpatient CPT 94010 ECHG PROC SPIROMETRY INCLUDING GRAPH RECORDING | $150.13 | $273.00 | $32.33–$460.00 | — | 45% |
| Spirometry (breathing test) inpatient CPT 94010 ECHG PULMONARY PROC BASIC PULMONARY FUNCTION TEST | $150.13 | $273.00 | $32.33–$460.00 | — | 45% |
| Spirometry (breathing test) inpatient CPT 94010 ECHG RESPIRATORY PROC SPIROMETRY | $150.13 | $273.00 | $32.33–$460.00 | — | 45% |
| Spirometry (breathing test) inpatient CPT 94010 ECHG EC PROC PEAK FLOW | $150.13 | $273.00 | $32.33–$460.00 | — | 45% |
| Spirometry before and after a bronchodilator CPT 94060 ECHG PROC BRONCHODILATION RESPONS PRE-POST ADMIN | $298.81 | $526.00 | $57.47–$460.00 | 50% below | 43% |
| Spirometry before and after a bronchodilator CPT 94060 ECHG PULMONARY PROC SPIROMETRY W/BRONCHIALDILATION PRE/POST | $298.81 | $526.00 | $57.47–$460.00 | 50% below | 43% |
| Spirometry before and after a bronchodilator inpatient CPT 94060 ECHG PROC BRONCHODILATION RESPONS PRE-POST ADMIN | $298.81 | $526.00 | $57.47–$460.00 | — | 43% |
| Spirometry before and after a bronchodilator inpatient CPT 94060 ECHG PULMONARY PROC SPIROMETRY W/BRONCHIALDILATION PRE/POST | $298.81 | $526.00 | $57.47–$460.00 | — | 43% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 ECHG PT PROC THERAPEUTIC ACTIVITIES EA 15MINS - THRPY ASSISTANT ONLY | $35.00 | $179.00 | $45.11–$143.20 | 69% below | 80% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 ECHG PT PROC THERAPEUTIC ACTIVITIES EA 15MINS - THERAPIST ONLY | $35.00 | $179.00 | $45.11–$143.20 | 69% below | 80% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 ECHG OT PROC THERAPEUTIC ACTIVITY, DIR EA 15MIN - THRPY ASSISTANT ONLY | $35.00 | $179.00 | $45.11–$143.20 | 69% below | 80% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 ECHG OT PROC THERAPEUTIC ACTIVITY, DIR EA 15MIN - THERAPIST ONLY | $35.00 | $179.00 | $45.11–$143.20 | 69% below | 80% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 ECHG FOOT THERAPY ACTV DIR PT CNTC EA 15MIN | $84.67 | $179.00 | $45.11–$143.20 | 25% below | 53% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 ECHG PT PROC THERAPEUTIC ACTIVITIES EA 15MINS - THERAPIST ONLY | $35.00 | $179.00 | $45.11–$143.20 | — | 80% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 ECHG OT PROC THERAPEUTIC ACTIVITY, DIR EA 15MIN - THERAPIST ONLY | $35.00 | $179.00 | $45.11–$143.20 | — | 80% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 ECHG OT PROC THERAPEUTIC ACTIVITY, DIR EA 15MIN - THRPY ASSISTANT ONLY | $35.00 | $179.00 | $45.11–$143.20 | — | 80% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 ECHG PT PROC THERAPEUTIC ACTIVITIES EA 15MINS - THRPY ASSISTANT ONLY | $35.00 | $179.00 | $45.11–$143.20 | — | 80% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 ECHG FOOT THERAPY ACTV DIR PT CNTC EA 15MIN | $84.67 | $179.00 | $45.11–$143.20 | — | 53% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 ECHG OBSERVATION PROC PHLEBOTOMY, THERAPEUTIC | $123.69 | $194.00 | $48.89–$155.20 | 45% below | 36% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 ECHG PROC PHLEBOTOMY THERAPEUTIC | $123.69 | $194.00 | $48.89–$155.20 | 45% below | 36% |
| Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 ECHG OBSERVATION PROC PHLEBOTOMY, THERAPEUTIC | $123.69 | $194.00 | $48.89–$155.20 | — | 36% |
| Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 ECHG PROC PHLEBOTOMY THERAPEUTIC | $123.69 | $194.00 | $48.89–$155.20 | — | 36% |
| Visual field test, extended CPT 92083 ECHG PROC VISUAL FIELD EXAM EXTENDED | $123.69 | $310.00 | $78.12–$236.00 | 50% below | 60% |
| Visual field test, extended CPT 92083 ECHG OPHT PROC VISUAL FIELD EXAM EXTENDED | $123.69 | $310.00 | $78.12–$236.00 | 50% below | 60% |
| Visual field test, extended inpatient CPT 92083 ECHG PROC VISUAL FIELD EXAM EXTENDED | $123.69 | $310.00 | $78.12–$236.00 | — | 60% |
| Visual field test, extended inpatient CPT 92083 ECHG OPHT PROC VISUAL FIELD EXAM EXTENDED | $123.69 | $310.00 | $78.12–$236.00 | — | 60% |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Texas | Off list |
|---|---|---|---|---|---|
| COVID-19 vaccine (Moderna), age 12 and older CPT 91322 CHG MODERNA COVID19 VACCINE 50MCG/0.5ML | $106.43 | $225.00 | $56.70–$303.03 | 13% below | 53% |
| COVID-19 vaccine (Moderna), age 12 and older inpatient CPT 91322 CHG MODERNA COVID19 VACCINE 50MCG/0.5ML | $106.43 | $225.00 | $56.70–$303.03 | — | 53% |
| COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 COVID VACC 2025-2026 (12 YRS UP) (PFIZER)(PF) 30 MCG/0.3 ML IM SYRINGE | $89.61 | $189.46 | $47.74–$448.50 | 46% below | 53% |
| COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 CHG PFIZER COVID19 VACCINE 30MCG/0.3ML | $106.43 | $225.00 | $56.70–$448.50 | 36% below | 53% |
| COVID-19 vaccine (Pfizer-BioNTech), age 12 and older inpatient CPT 91320 COVID VACC 2025-2026 (12 YRS UP) (PFIZER)(PF) 30 MCG/0.3 ML IM SYRINGE | $89.61 | $189.46 | $47.74–$448.50 | — | 53% |
| COVID-19 vaccine (Pfizer-BioNTech), age 12 and older inpatient CPT 91320 CHG PFIZER COVID19 VACCINE 30MCG/0.3ML | $106.43 | $225.00 | $56.70–$448.50 | — | 53% |
| Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 CHG VARICELLA VIRUS VACCINE ADULT-PEDI CDM IN CLINIC | $144.27 | $305.00 | $76.86–$214.11 | 71% below | 53% |
| Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 CHG VARICELLA VIRUS VACCINE ADULT-PEDI CDM IN CLINIC | $144.27 | $305.00 | $76.86–$214.11 | — | 53% |
| DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) CPT 90696 CHG DTAP-IPV VACCINE 4-17 YEARS IM | $25.07 | $53.00 | $13.36–$151.10 | 65% below | 53% |
| DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) inpatient CPT 90696 CHG DTAP-IPV VACCINE 4-17 YEARS IM | $25.07 | $53.00 | $13.36–$151.10 | — | 53% |
| DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 CHG DTAP VACC.5ML INJ 7YRS/YNGER (IM) IN CLINIC | $25.07 | $53.00 | $13.36–$71.12 | 72% below | 53% |
| DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 CHG DTAP VACC.5ML INJ 7YRS/YNGER (IM) IN CLINIC | $25.07 | $53.00 | $13.36–$71.12 | — | 53% |
| DTaP, hepatitis B and polio combination vaccine (Pediarix) CPT 90723 CHG DTAP-HEPB-IPV VACCINE PEDI IM IN CLINIC | $25.07 | $53.00 | $13.36–$242.47 | 87% below | 53% |
| DTaP, hepatitis B and polio combination vaccine (Pediarix) inpatient CPT 90723 CHG DTAP-HEPB-IPV VACCINE PEDI IM IN CLINIC | $25.07 | $53.00 | $13.36–$242.47 | — | 53% |
| DTaP, polio and Hib combination vaccine (Pentacel) CPT 90698 CHG DTAP-IPV/HIB (PENTACEL) IM | $25.07 | $53.00 | $13.36–$140.47 | 91% below | 53% |
| DTaP, polio and Hib combination vaccine (Pentacel) inpatient CPT 90698 CHG DTAP-IPV/HIB (PENTACEL) IM | $25.07 | $53.00 | $13.36–$140.47 | — | 53% |
| DTaP, polio, Hib and hepatitis B combination vaccine (Vaxelis) CPT 90697 CHG DTAP-IPV-HIB-HEPB VACCINE IM | $1,414.27 | $2,990.00 | $628.81–$1,943.50 | 524% above | 53% |
| DTaP, polio, Hib and hepatitis B combination vaccine (Vaxelis) inpatient CPT 90697 CHG DTAP-IPV-HIB-HEPB VACCINE IM | $1,414.27 | $2,990.00 | $628.81–$1,943.50 | — | 53% |
| Flu shot, recombinant, egg-free (Flublok) CPT 90673 CHG FLU VACCINE TRIVALENT (RIV3) PF/AF 18 YRS & OLDER (FLUBLOK) | $74.26 | $157.00 | $39.56–$171.67 | 79% below | 53% |
| Flu shot, recombinant, egg-free (Flublok) inpatient CPT 90673 CHG FLU VACCINE TRIVALENT (RIV3) PF/AF 18 YRS & OLDER (FLUBLOK) | $74.26 | $157.00 | $39.56–$171.67 | — | 53% |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 FLU VACCINE TS 2025-26(6MOS UP)(PF) 45 MCG(15MCG X3)/0.5 ML IM SYRINGE | $16.59 | $35.08 | $8.84–$46.17 | 56% below | 53% |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 CHG FLU VACCINE TRIVALENT (IIV3) SPLIT/PF 0.5ML 3YRS & OLDER (AFLURIA/FLUVIRIN) | $19.87 | $42.00 | $10.58–$46.17 | 47% below | 53% |
| Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 FLU VACCINE TS 2025-26(6MOS UP)(PF) 45 MCG(15MCG X3)/0.5 ML IM SYRINGE | $16.59 | $35.08 | $8.84–$46.17 | — | 53% |
| Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 CHG FLU VACCINE TRIVALENT (IIV3) SPLIT/PF 0.5ML 3YRS & OLDER (AFLURIA/FLUVIRIN) | $19.87 | $42.00 | $10.58–$46.17 | — | 53% |
| HPV vaccine, 9-valent (Gardasil 9) CPT 90651 CHG HPV VIRUS VACCINE 9 VAL IM IN CLINIC | $242.65 | $513.00 | $129.28–$719.81 | 56% below | 53% |
| HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 CHG HPV VIRUS VACCINE 9 VAL IM IN CLINIC | $242.65 | $513.00 | $129.28–$719.81 | — | 53% |
| Hepatitis A and B combination vaccine, adult (Twinrix) CPT 90636 HEPATITIS A AND B VIRUS VACCINE(PF)720 ELISA UNIT-20 MCG/ML IM SYRINGE | $82.70 | $174.85 | $44.06–$154.94 | 87% below | 53% |
| Hepatitis A and B combination vaccine, adult (Twinrix) CPT 90636 CHG ADULT HEPA A&B COMB (TWINRIX) IN CLINIC | $84.67 | $179.00 | $45.11–$154.94 | 87% below | 53% |
| Hepatitis A and B combination vaccine, adult (Twinrix) inpatient CPT 90636 HEPATITIS A AND B VIRUS VACCINE(PF)720 ELISA UNIT-20 MCG/ML IM SYRINGE | $82.70 | $174.85 | $44.06–$154.94 | — | 53% |
| Hepatitis A and B combination vaccine, adult (Twinrix) inpatient CPT 90636 CHG ADULT HEPA A&B COMB (TWINRIX) IN CLINIC | $84.67 | $179.00 | $45.11–$154.94 | — | 53% |
| Hepatitis A vaccine, adult dose CPT 90632 CHG HEPATITIS A VAC ADULT 1ML (IM) IN CLINIC 19 YRS + | $60.54 | $128.00 | $32.26–$95.14 | 67% below | 53% |
| Hepatitis A vaccine, adult dose inpatient CPT 90632 CHG HEPATITIS A VAC ADULT 1ML (IM) IN CLINIC 19 YRS + | $60.54 | $128.00 | $32.26–$95.14 | — | 53% |
| Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 CHG HEPATITIS A VACCINE 2 DOSE PEDI CDM IN CLINIC 0-21YRS | $35.48 | $75.00 | $18.90–$90.90 | 62% below | 53% |
| Hepatitis A vaccine, child and teen dose (2-dose schedule) inpatient CPT 90633 CHG HEPATITIS A VACCINE 2 DOSE PEDI CDM IN CLINIC 0-21YRS | $35.48 | $75.00 | $18.90–$90.90 | — | 53% |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPATITIS B VIRUS VACCINE RECOMB (PF) 20 MCG/ML INTRAMUSCULAR SUSP | $45.74 | $96.71 | $24.37–$80.51 | 73% below | 53% |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 CHG HEPATITIS B VACCINE ADULT CDM IN CLINIC 18 YRS + | $49.19 | $104.00 | $26.21–$80.51 | 71% below | 53% |
| Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HEPATITIS B VIRUS VACCINE RECOMB (PF) 20 MCG/ML INTRAMUSCULAR SUSP | $45.74 | $96.71 | $24.37–$80.51 | — | 53% |
| Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 CHG HEPATITIS B VACCINE ADULT CDM IN CLINIC 18 YRS + | $49.19 | $104.00 | $26.21–$80.51 | — | 53% |
| Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) CPT 90739 HEPATITIS B VACCINE 20 MCG/0.5 ML-ADJUVANT CPG 1018 (PF) IM SYRINGE | $97.73 | $206.61 | $52.07–$364.46 | 76% below | 53% |
| Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) CPT 90739 ECHG HEPLISAV-B 0.5ML VACCINE | $111.16 | $235.00 | $59.22–$364.46 | 72% below | 53% |
| Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) inpatient CPT 90739 HEPATITIS B VACCINE 20 MCG/0.5 ML-ADJUVANT CPG 1018 (PF) IM SYRINGE | $97.73 | $206.61 | $52.07–$364.46 | — | 53% |
| Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) inpatient CPT 90739 ECHG HEPLISAV-B 0.5ML VACCINE | $111.16 | $235.00 | $59.22–$364.46 | — | 53% |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 CHG HEPATITIS B VACCINE 3 DOSE PEDI CDM IN CLINIC 0-21YRS | $19.39 | $41.00 | $10.33–$65.30 | 77% below | 53% |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HEPATITIS B VIRUS VACCINE RECOMB (PF) 10 MCG/0.5 ML IM SYRINGE | $21.35 | $45.13 | $11.37–$65.30 | 75% below | 53% |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 CHG HEPATITIS B VACCINE 3 DOSE PEDI CDM IN CLINIC 0-21YRS | $19.39 | $41.00 | $10.33–$65.30 | — | 53% |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 HEPATITIS B VIRUS VACCINE RECOMB (PF) 10 MCG/0.5 ML IM SYRINGE | $21.35 | $45.13 | $11.37–$65.30 | — | 53% |
| Hib vaccine (Haemophilus influenzae type b), 3-dose schedule (PedvaxHIB) CPT 90647 CHG HIBCV (3 DOSE) IM (PRP-OMP) ADULT-PEDI CDM IN CLINIC | $55.81 | $118.00 | $29.74–$76.70 | 24% below | 53% |
| Hib vaccine (Haemophilus influenzae type b), 3-dose schedule (PedvaxHIB) inpatient CPT 90647 CHG HIBCV (3 DOSE) IM (PRP-OMP) ADULT-PEDI CDM IN CLINIC | $55.81 | $118.00 | $29.74–$76.70 | — | 53% |
| Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 HAEMOPHILUS B POLYSACCHARID CONJ-TETANUS TOX(PF) 10 MCG/0.5 ML IM SOLN | $11.43 | $24.16 | $6.09–$15.70 | 76% below | 53% |
| Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 CHG HIBCV (4 DOSE) IM (PRP-T) ADULT-PEDI CDM IN CLINIC | $33.58 | $71.00 | $15.69–$46.15 | 29% below | 53% |
| Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) inpatient CPT 90648 HAEMOPHILUS B POLYSACCHARID CONJ-TETANUS TOX(PF) 10 MCG/0.5 ML IM SOLN | $11.43 | $24.16 | $6.09–$15.70 | — | 53% |
| Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) inpatient CPT 90648 CHG HIBCV (4 DOSE) IM (PRP-T) ADULT-PEDI CDM IN CLINIC | $33.58 | $71.00 | $15.69–$46.15 | — | 53% |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 CHG FLU VACCINE (IIV), SPLIT/PF INCREASED AG IM 65YRS & OLDER (FLUZONE HIGH DOSE) | $52.50 | $111.00 | $27.97–$171.67 | 65% below | 53% |
| High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 CHG FLU VACCINE (IIV), SPLIT/PF INCREASED AG IM 65YRS & OLDER (FLUZONE HIGH DOSE) | $52.50 | $111.00 | $27.97–$171.67 | — | 53% |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 CHG MEASLE-MUMP-RUBELLA VAC (SUBQ) IN CLINIC | $45.88 | $97.00 | $24.44–$111.39 | 81% below | 53% |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 MEASLES,MUMPS,RUBELLA VACCINE LIVE(PF)1,000-12,500TCID50/0.5 ML SUBCUT | $61.18 | $129.35 | $32.60–$111.39 | 74% below | 53% |
| MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 CHG MEASLE-MUMP-RUBELLA VAC (SUBQ) IN CLINIC | $45.88 | $97.00 | $24.44–$111.39 | — | 53% |
| MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 MEASLES,MUMPS,RUBELLA VACCINE LIVE(PF)1,000-12,500TCID50/0.5 ML SUBCUT | $61.18 | $129.35 | $32.60–$111.39 | — | 53% |
| MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) CPT 90710 CHG PROQUAD (MMR/V) LIVE VACCINE | $106.43 | $225.00 | $56.70–$325.45 | 57% below | 53% |
| MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) inpatient CPT 90710 CHG PROQUAD (MMR/V) LIVE VACCINE | $106.43 | $225.00 | $56.70–$325.45 | — | 53% |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 CHG MENINGOCOCCAL VACC ACY W-135 DIP 4MCG/0.5ML | $84.19 | $178.00 | $44.86–$348.07 | 76% below | 53% |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 CHG MENINGOCOCCAL VACC ACY W-135 DIP 4MCG/0.5ML (2-VIAL) | $84.19 | $178.00 | $44.86–$348.07 | 76% below | 53% |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENINGOCOCCAL VAC A,C,Y,W-135 DIP(PF) 10 MCG-5 MCG/0.5 ML IM SOLUTION | $104.12 | $220.13 | $55.47–$348.07 | 71% below | 53% |
| Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 CHG MENINGOCOCCAL VACC ACY W-135 DIP 4MCG/0.5ML (2-VIAL) | $84.19 | $178.00 | $44.86–$348.07 | — | 53% |
| Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 CHG MENINGOCOCCAL VACC ACY W-135 DIP 4MCG/0.5ML | $84.19 | $178.00 | $44.86–$348.07 | — | 53% |
| Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 MENINGOCOCCAL VAC A,C,Y,W-135 DIP(PF) 10 MCG-5 MCG/0.5 ML IM SOLUTION | $104.12 | $220.13 | $55.47–$348.07 | — | 53% |
| Meningococcal ACWY vaccine (MenQuadfi) CPT 90619 ECHG MENINGOCOCCAL [A,C,Y,W] VACCINE (MENQUADFI) | $165.08 | $349.00 | $87.95–$402.41 | 75% below | 53% |
| Meningococcal ACWY vaccine (MenQuadfi) inpatient CPT 90619 ECHG MENINGOCOCCAL [A,C,Y,W] VACCINE (MENQUADFI) | $165.08 | $349.00 | $87.95–$402.41 | — | 53% |
| Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 CHG MENINGOCOCCAL RECOMBINANT W/OMV VACCINE (BEXSERO), IM | $171.23 | $362.00 | $91.22–$554.87 | 72% below | 53% |
| Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 CHG MENINGOCOCCAL RECOMBINANT W/OMV VACCINE (BEXSERO), IM | $171.23 | $362.00 | $91.22–$554.87 | — | 53% |
| Meningococcal B vaccine (Trumenba) CPT 90621 CHG MENINGOCOCCAL RLP VACCINE (TRUMENBA), IM | $116.36 | $246.00 | $61.99–$485.12 | 84% below | 53% |
| Meningococcal B vaccine (Trumenba) inpatient CPT 90621 CHG MENINGOCOCCAL RLP VACCINE (TRUMENBA), IM | $116.36 | $246.00 | $61.99–$485.12 | — | 53% |
| Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 CHG ADULT PCV13 PNEUMOCOCCAL CONJUGATE VACCINE | $200.55 | $424.00 | $106.85–$529.85 | 59% below | 53% |
| Pneumonia vaccine, 13-valent conjugate (Prevnar 13) inpatient CPT 90670 CHG ADULT PCV13 PNEUMOCOCCAL CONJUGATE VACCINE | $200.55 | $424.00 | $106.85–$529.85 | — | 53% |
| Pneumonia vaccine, 15-valent conjugate (Vaxneuvance) CPT 90671 CHG PCV-15 PNEUMOCOCCAL VACCINE (ADULT) 18+ | $218.53 | $462.00 | $116.42–$553.08 | 79% below | 53% |
| Pneumonia vaccine, 15-valent conjugate (Vaxneuvance) inpatient CPT 90671 CHG PCV-15 PNEUMOCOCCAL VACCINE (ADULT) 18+ | $218.53 | $462.00 | $116.42–$553.08 | — | 53% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE | $176.84 | $373.86 | $94.21–$1,003.46 | 69% below | 53% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 CHG PCV-20 PNEUMOCOCCAL VACCINE 18+(PEDI) | $218.53 | $462.00 | $116.42–$1,003.46 | 61% below | 53% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 PNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE | $176.84 | $373.86 | $94.21–$1,003.46 | — | 53% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 CHG PCV-20 PNEUMOCOCCAL VACCINE 18+(PEDI) | $218.53 | $462.00 | $116.42–$1,003.46 | — | 53% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 CHG FOR PNEUMOCOCCAL VACCINE ADULT ONLY 2 YRS + | $111.63 | $236.00 | $59.47–$273.97 | 56% below | 53% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 CHG FOR PNEUMOCOCCAL VACCINE ADULT ONLY 2 YRS + | $111.63 | $236.00 | $59.47–$273.97 | — | 53% |
| Polio vaccine, inactivated (IPV) CPT 90713 CHG PV ADULT-PEDI CDM IN CLINIC | $25.07 | $53.00 | $13.36–$74.11 | 92% below | 53% |
| Polio vaccine, inactivated (IPV) inpatient CPT 90713 CHG PV ADULT-PEDI CDM IN CLINIC | $25.07 | $53.00 | $13.36–$74.11 | — | 53% |
| RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) CPT 90381 CHG BEYFORTUS 1ML VACCINE (PEDI) | $351.44 | $743.00 | $187.24–$650.67 | 64% below | 53% |
| RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) inpatient CPT 90381 CHG BEYFORTUS 1ML VACCINE (PEDI) | $351.44 | $743.00 | $187.24–$650.67 | — | 53% |
| RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 CHG BEYFORTUS 0.5ML VACCINE (PEDI) | $351.44 | $743.00 | $187.24–$1,301.34 | 64% below | 53% |
| RSV antibody shot for infants, seasonal dose (0.5 mL) inpatient CPT 90380 CHG BEYFORTUS 0.5ML VACCINE (PEDI) | $351.44 | $743.00 | $187.24–$1,301.34 | — | 53% |
| RSV vaccine (Abrysvo), one dose for older adults or during pregnancy CPT 90678 ECHG ABRYSVO 0.5ML VACCINE | $217.58 | $460.00 | $115.92–$358.96 | 66% below | 53% |
| RSV vaccine (Abrysvo), one dose for older adults or during pregnancy inpatient CPT 90678 ECHG ABRYSVO 0.5ML VACCINE | $217.58 | $460.00 | $115.92–$358.96 | — | 53% |
| Rabies vaccine, one dose CPT 90675 RABIES VACCINE, PURIFIED CHICKEN EMBRYO CELL (PF) 2.5 UNIT IM SUSP | $313.68 | $573.69 | $144.57–$527.86 | 69% below | 45% |
| Rabies vaccine, one dose CPT 90675 CHG IM RABIES VACCINE | $313.68 | $420.00 | $105.84–$527.86 | 69% below | 25% |
| Rabies vaccine, one dose CPT 90675 ECHG EC PROC RABIES VACCINE, FOR INTRAMUSCULAR USE | $313.68 | $534.00 | $134.57–$527.86 | 69% below | 41% |
| Rabies vaccine, one dose inpatient CPT 90675 CHG IM RABIES VACCINE | $313.68 | $420.00 | $105.84–$527.86 | — | 25% |
| Rabies vaccine, one dose inpatient CPT 90675 ECHG EC PROC RABIES VACCINE, FOR INTRAMUSCULAR USE | $313.68 | $534.00 | $134.57–$527.86 | — | 41% |
| Rabies vaccine, one dose inpatient CPT 90675 RABIES VACCINE, PURIFIED CHICKEN EMBRYO CELL (PF) 2.5 UNIT IM SUSP | $313.68 | $573.69 | $144.57–$527.86 | — | 45% |
| Rotavirus vaccine, oral, 2-dose schedule (Rotarix) CPT 90681 CHG ROTAVIRUS, MONOVALENT 2 DOSE ORAL | $70.48 | $149.00 | $37.55–$172.01 | 47% below | 53% |
| Rotavirus vaccine, oral, 2-dose schedule (Rotarix) inpatient CPT 90681 CHG ROTAVIRUS, MONOVALENT 2 DOSE ORAL | $70.48 | $149.00 | $37.55–$172.01 | — | 53% |
| Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) CPT 90680 CHG ROTAVIRUS (ROTATEQ) VAC 2ML ORAL | $70.48 | $149.00 | $37.55–$96.85 | 31% below | 53% |
| Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) inpatient CPT 90680 CHG ROTAVIRUS (ROTATEQ) VAC 2ML ORAL | $70.48 | $149.00 | $37.55–$96.85 | — | 53% |
| Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 CHG SHINGRIX (ZOSTER VACCINE RECOMBINANT, ADJUVANTED) 0.5ML | $113.99 | $241.00 | $60.73–$199.48 | 51% below | 53% |
| Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 CHG SHINGRIX (ZOSTER VACCINE RECOMBINANT, ADJUVANTED) 0.5ML | $113.99 | $241.00 | $60.73–$199.48 | — | 53% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 CHG TD ABRD PRESER FREE 7YR/OLDER IM | $37.84 | $80.00 | $20.16–$94.32 | 65% below | 53% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 CHG TD ABRD PRESER FREE 7YR/OLDER IM | $37.84 | $80.00 | $20.16–$94.32 | — | 53% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 DIPHTH,PERTUSSIS(ACEL),TETANUS 2.5 LF UNIT-8 MCG-5 LF/0.5ML IM SYRINGE | $32.43 | $68.56 | $17.28–$115.13 | 75% below | 53% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 CHG TDAP 0.5ML ADOLESENT/ADULT | $39.73 | $84.00 | $21.17–$115.13 | 70% below | 53% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 DIPHTH,PERTUSSIS(ACEL),TETANUS 2.5 LF UNIT-8 MCG-5 LF/0.5ML IM SYRINGE | $32.43 | $68.56 | $17.28–$115.13 | — | 53% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 CHG TDAP 0.5ML ADOLESENT/ADULT | $39.73 | $84.00 | $21.17–$115.13 | — | 53% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ECHG PROC ADMIN OF PNEUMOCCAL VACCINE PPV-ADULT | $45.37 | $17.00 | $0.01 | 39% below | -167% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ECHG PROC ADMIN OF HEPATITIS B VACCINE | $45.37 | $17.00 | $0.01 | 39% below | -167% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ECHG OB/UC PROC ADM INFLUENZA VACCINE - ADULT | $45.37 | $17.00 | $0.01 | 39% below | -167% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ECHG EC PROC ADMIN INFLUENZA VIRUS VACCINE | $45.37 | $17.00 | $0.01 | 39% below | -167% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 CHG ADULT SAFETY NET PROG ADMIN INFLUENZA VIRUS VACCINE-ADULT | $45.37 | $19.00 | $0.01 | 39% below | -139% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ECHG PROC ADMIN INFLUENZA VIRUS VACCINE-ADULT | $45.37 | $17.00 | $0.01 | 39% below | -167% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ECHG EC PROC ADMIN HEP B | $45.37 | $17.00 | $0.01 | 39% below | -167% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ECHG EC PROC ADMIN PNEUMOCOCCAL | $45.37 | $17.00 | $0.01 | 39% below | -167% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ECHG PROC ADM IMMUNZ PERCUT/INTRM/SUBC 1 VACCINE | $68.29 | $17.00 | $4.28–$13.60 | 7% below | -302% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ECHG EC PROC ADMINSTRATION IMMUNIZATION | $68.29 | $17.00 | $4.28–$13.60 | 7% below | -302% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ECHG PROC ADMIN INFLUENZA VIRUS VACCINE-ADULT | $45.37 | $17.00 | $0.01 | — | -167% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ECHG PROC ADMIN OF PNEUMOCCAL VACCINE PPV-ADULT | $45.37 | $17.00 | $0.01 | — | -167% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ECHG OB/UC PROC ADM INFLUENZA VACCINE - ADULT | $45.37 | $17.00 | $0.01 | — | -167% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ECHG EC PROC ADMIN HEP B | $45.37 | $17.00 | $0.01 | — | -167% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ECHG EC PROC ADMIN PNEUMOCOCCAL | $45.37 | $17.00 | $0.01 | — | -167% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ECHG EC PROC ADMIN INFLUENZA VIRUS VACCINE | $45.37 | $17.00 | $0.01 | — | -167% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 CHG ADULT SAFETY NET PROG ADMIN INFLUENZA VIRUS VACCINE-ADULT | $45.37 | $19.00 | $0.01 | — | -139% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ECHG PROC ADMIN OF HEPATITIS B VACCINE | $45.37 | $17.00 | $0.01 | — | -167% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ECHG PROC ADM IMMUNZ PERCUT/INTRM/SUBC 1 VACCINE | $68.29 | $17.00 | $4.28–$13.60 | — | -302% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ECHG EC PROC ADMINSTRATION IMMUNIZATION | $68.29 | $17.00 | $4.28–$13.60 | — | -302% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 ECHG OB/UC PROC ADM IMMUNIZATION EA ADD'L VACCINE | $8.04 | $17.00 | $4.28–$13.60 | 83% below | 53% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 ECHG PROC ADM IMMUNIZATION EA ADD'L VACCINE | $8.04 | $17.00 | $4.28–$13.60 | 83% below | 53% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 ECHG EC PROC ADM IMMUNIZATION EA ADD'L VACCINE | $8.04 | $17.00 | $4.28–$13.60 | 83% below | 53% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 ECHG EC PROC ADM IMMUNIZATION EA ADD'L VACCINE | $8.04 | $17.00 | $4.28–$13.60 | — | 53% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 ECHG OB/UC PROC ADM IMMUNIZATION EA ADD'L VACCINE | $8.04 | $17.00 | $4.28–$13.60 | — | 53% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 ECHG PROC ADM IMMUNIZATION EA ADD'L VACCINE | $8.04 | $17.00 | $4.28–$13.60 | — | 53% |
Dental
| Procedure | Cash price | List price | Insurers pay | vs Texas | Off list |
|---|---|---|---|---|---|
| Removal of an impacted tooth fully covered by bone, often a wisdom tooth CDT D7240 ECHG PROC REMOVAL IMPACT TOOTH COMPLETELY | $496.65 | $1,050.00 | $525.00–$840.00 | 33% below | 53% |
| Removal of an impacted tooth fully covered by bone, often a wisdom tooth inpatient CDT D7240 ECHG PROC REMOVAL IMPACT TOOTH COMPLETELY | $496.65 | $1,050.00 | $525.00–$840.00 | — | 53% |
| Simple extraction of a tooth or exposed root that is above the gum CDT D7140 ECHG PROC TOOTH EXTRACT EXPOSED ROOT ELEV/FORCEP | $496.65 | $1,050.00 | $525.00–$840.00 | 9% above | 53% |
| Simple extraction of a tooth or exposed root that is above the gum CDT D7140 ECHG EC PROC EXTRACTION ERUPTED TOOTH OR EXPOSED ROOT | $496.65 | $1,050.00 | $525.00–$840.00 | 9% above | 53% |
| Simple extraction of a tooth or exposed root that is above the gum inpatient CDT D7140 ECHG PROC TOOTH EXTRACT EXPOSED ROOT ELEV/FORCEP | $496.65 | $1,050.00 | $525.00–$840.00 | — | 53% |
| Simple extraction of a tooth or exposed root that is above the gum inpatient CDT D7140 ECHG EC PROC EXTRACTION ERUPTED TOOTH OR EXPOSED ROOT | $496.65 | $1,050.00 | $525.00–$840.00 | — | 53% |
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.