Hospital

Amery Hospital

Amery Hospital in East Amery, WI publishes cash prices for 409 common procedures listed here, from its own machine-readable price file updated Mar 31, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the Wisconsin median for 387 of 409 procedures and above it for 22. By typical cash price it ranks #6 of 103 Wisconsin hospitals, cheapest first. Select a procedure to compare it with other hospitals nearby.

265 Griffin Street East, Amery WI 54001-1439 Collected Sep 23, 2026 Source price file Check a bill from this hospital (715) 268-0300

Critical access hospital (rural, 25 beds or fewer) Nonprofit hospital Emergency department CMS star rating 2 of 5 CCN 521308 · CMS hospital register NPI 1093763518

Financial assistance

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

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

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

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

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs Wisconsin	Off list
Abdominal CT scan without and with contrast CPT 74170 CT Abdomen with and without contrast	$1,559.51	$2,991.00	$446.60–$2,900.07	35% below	48%
Abdominal CT scan without and with contrast inpatient CPT 74170 CT Abdomen with and without contrast	$1,559.51	$2,991.00	$446.60–$2,900.07	—	48%
Abdominal X-ray, 2 views CPT 74019 X-ray; abdomen	$172.58	$331.00	$98.84–$320.94	28% below	48%
Abdominal X-ray, 2 views inpatient CPT 74019 X-ray; abdomen	$172.58	$331.00	$98.84–$320.94	—	48%
Ankle X-ray, complete, 3 or more views CPT 73610 X-ray; ankle	$155.90	$299.00	$89.28–$289.91	34% below	48%
Ankle X-ray, complete, 3 or more views inpatient CPT 73610 X-ray; ankle	$155.90	$299.00	$89.28–$289.91	—	48%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 Extremity study	$178.84	$343.00	$102.42–$367.62	54% below	48%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 Extremity study	$178.84	$343.00	$102.42–$367.62	—	48%
Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 CT Upper Extremity	$951.03	$1,824.00	$327.88–$1,768.55	34% below	48%
Arm CT scan without contrast (shoulder to hand, any part) inpatient CPT 73200 CT Upper Extremity	$951.03	$1,824.00	$327.88–$1,768.55	—	48%
Barium swallow (esophagus X-ray with contrast) CPT 74220 X-ray; esophagus with contrast	$333.70	$640.00	$191.10–$620.54	37% below	48%
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 X-ray; esophagus with contrast	$333.70	$640.00	$191.10–$620.54	—	48%
Bone scan, whole body (nuclear medicine) CPT 78306 Bone and Joint imaging; whole body	$1,031.85	$1,979.00	$590.93–$1,918.84	31% below	48%
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 Bone and Joint imaging; whole body	$1,031.85	$1,979.00	$590.93–$1,918.84	—	48%
Breast ultrasound, limited (one breast or one area) CPT 76642 Ultrasound Breast	$363.94	$698.00	$208.42–$676.78	7% below	48%
Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 Ultrasound Breast	$363.94	$698.00	$208.42–$676.78	—	48%
CT angiography (CTA) of the abdomen and pelvis CPT 74174 CT Angiography abdomen and pelvis with and without contrast	$2,228.98	$4,275.00	$327.88–$4,145.04	27% below	48%
CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 CT Angiography abdomen and pelvis with and without contrast	$2,228.98	$4,275.00	$327.88–$4,145.04	—	48%
CT angiography (CTA) of the head CPT 70496 CT Angiography, head	$1,540.74	$2,955.00	$327.88–$2,865.17	26% below	48%
CT angiography (CTA) of the head inpatient CPT 70496 CT Angiography, head	$1,540.74	$2,955.00	$327.88–$2,865.17	—	48%
CT angiography (CTA) of the neck CPT 70498 CT Angiography, neck	$1,540.74	$2,955.00	$327.88–$2,865.17	24% below	48%
CT angiography (CTA) of the neck inpatient CPT 70498 CT Angiography, neck	$1,540.74	$2,955.00	$327.88–$2,865.17	—	48%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT Angiography, chest	$1,523.53	$2,922.00	$327.88–$2,833.17	25% below	48%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CT Angiography, chest	$1,523.53	$2,922.00	$327.88–$2,833.17	—	48%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT Heart	$53.18	$102.00	$30.46–$327.88	17% below	48%
CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 CT Heart	$53.18	$102.00	$30.46–$327.88	—	48%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT Abdomen and Pelvis	$1,523.53	$2,922.00	$327.88–$2,833.17	39% below	48%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT Abdomen and Pelvis	$1,523.53	$2,922.00	$327.88–$2,833.17	—	48%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT Abdomen and Pelvis with contrast	$1,731.05	$3,320.00	$327.88–$3,219.07	46% below	48%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT Abdomen and Pelvis with contrast	$1,731.05	$3,320.00	$327.88–$3,219.07	—	48%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT Abdomen and/or pelvis with contrast	$2,016.78	$3,868.00	$327.88–$3,750.41	45% below	48%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT Abdomen and/or pelvis with contrast	$2,016.78	$3,868.00	$327.88–$3,750.41	—	48%
CT scan of the abdomen with contrast CPT 74160 CT abdomen with contrast	$1,343.13	$2,576.00	$327.88–$2,497.69	18% below	48%
CT scan of the abdomen with contrast inpatient CPT 74160 CT abdomen with contrast	$1,343.13	$2,576.00	$327.88–$2,497.69	—	48%
CT scan of the abdomen without contrast CPT 74150 CT abdomen	$1,104.33	$2,118.00	$327.88–$2,053.61	13% below	48%
CT scan of the abdomen without contrast inpatient CPT 74150 CT abdomen	$1,104.33	$2,118.00	$327.88–$2,053.61	—	48%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT of face	$932.78	$1,789.00	$327.88–$1,734.61	33% below	48%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT of face	$932.78	$1,789.00	$327.88–$1,734.61	—	48%
CT scan of the head or brain, no contrast dye CPT 70450 CT of Head/Brain	$875.43	$1,679.00	$327.88–$1,627.96	32% below	48%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT of Head/Brain	$875.43	$1,679.00	$327.88–$1,627.96	—	48%
CT scan of the head with contrast CPT 70460 CT head/brain with contrast	$1,160.11	$2,225.00	$446.60–$2,157.36	25% below	48%
CT scan of the head with contrast inpatient CPT 70460 CT head/brain with contrast	$1,160.11	$2,225.00	$446.60–$2,157.36	—	48%
CT scan of the head without and with contrast CPT 70470 CT Head/Brain with and without contrast	$1,445.32	$2,772.00	$446.60–$2,687.73	21% below	48%
CT scan of the head without and with contrast inpatient CPT 70470 CT Head/Brain with and without contrast	$1,445.32	$2,772.00	$446.60–$2,687.73	—	48%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT Lumbar Spine	$1,104.33	$2,118.00	$327.88–$2,053.61	28% below	48%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT Lumbar Spine	$1,104.33	$2,118.00	$327.88–$2,053.61	—	48%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT Cervical Spine	$1,104.33	$2,118.00	$327.88–$2,053.61	28% below	48%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT Cervical Spine	$1,104.33	$2,118.00	$327.88–$2,053.61	—	48%
CT scan of the pelvis, with contrast dye CPT 72193 CT Pelvis with contrast	$1,235.72	$2,370.00	$327.88–$2,297.95	25% below	48%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT Pelvis with contrast	$1,235.72	$2,370.00	$327.88–$2,297.95	—	48%
Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 Extracranial study	$901.50	$1,729.00	$516.28–$1,676.44	9% below	48%
Carotid artery ultrasound (duplex), both sides of the neck inpatient CPT 93880 Extracranial study	$901.50	$1,729.00	$516.28–$1,676.44	—	48%
Chest CT scan without and with contrast CPT 71270 CT Thorax with and without contrast	$1,598.09	$3,065.00	$327.88–$2,971.82	31% below	48%
Chest CT scan without and with contrast inpatient CPT 71270 CT Thorax with and without contrast	$1,598.09	$3,065.00	$327.88–$2,971.82	—	48%
Chest X-ray, 2 views CPT 71046 X-ray chest	$142.34	$273.00	$97.94–$264.70	34% below	48%
Chest X-ray, 2 views inpatient CPT 71046 X-ray chest	$142.34	$273.00	$97.94–$264.70	—	48%
Chest X-ray, single view CPT 71045 X-ray chest	$104.28	$200.00	$59.72–$251.10	36% below	48%
Chest X-ray, single view inpatient CPT 71045 X-ray chest	$104.28	$200.00	$59.72–$251.10	—	48%
Collarbone (clavicle) X-ray, complete CPT 73000 X-ray; collar bone	$131.91	$253.00	$75.55–$251.10	36% below	48%
Collarbone (clavicle) X-ray, complete inpatient CPT 73000 X-ray; collar bone	$131.91	$253.00	$75.55–$251.10	—	48%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 ultrasound abdominal back wall	$486.47	$933.00	$278.59–$904.64	11% below	48%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 ultrasound abdominal back wall	$486.47	$933.00	$278.59–$904.64	—	48%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 Bone Density	$478.65	$918.00	$274.11–$890.09	20% above	48%
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 Bone Density	$478.65	$918.00	$274.11–$890.09	—	48%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 Bone Density	$147.03	$282.00	$84.21–$273.43	48% below	48%
DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 Bone Density	$147.03	$282.00	$84.21–$273.43	—	48%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT Thorax	$1,027.16	$1,970.00	$327.88–$1,910.11	28% below	48%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT Thorax	$1,027.16	$1,970.00	$327.88–$1,910.11	—	48%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT Thorax with contrast	$1,313.41	$2,519.00	$327.88–$2,442.42	20% below	48%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT Thorax with contrast	$1,313.41	$2,519.00	$327.88–$2,442.42	—	48%
Diagnostic mammogram, both breasts CPT 77066 Diagnostic mammogram	$241.93	$464.00	$119.94–$652.22	53% below	48%
Diagnostic mammogram, both breasts inpatient CPT 77066 Diagnostic mammogram	$241.93	$464.00	$119.94–$652.22	—	48%
Duplex ultrasound of the leg arteries, both legs CPT 93925 Lower extremity study	$1,137.69	$2,182.00	$651.55–$2,115.67	97% above	48%
Duplex ultrasound of the leg arteries, both legs inpatient CPT 93925 Lower extremity study	$1,137.69	$2,182.00	$651.55–$2,115.67	—	48%
Duplex ultrasound of the leg veins, both legs CPT 93970 Extremity study	$928.61	$1,781.00	$531.81–$1,726.86	22% below	48%
Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 Extremity study	$928.61	$1,781.00	$531.81–$1,726.86	—	48%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 Echocardiogram	$890.55	$1,708.00	$612.75–$1,656.08	49% below	48%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 Echocardiogram	$890.55	$1,708.00	$612.75–$1,656.08	—	48%
Elbow X-ray, 2 views CPT 73070 X-ray; elbow	$131.91	$253.00	$75.55–$251.10	31% below	48%
Elbow X-ray, 2 views inpatient CPT 73070 X-ray; elbow	$131.91	$253.00	$75.55–$251.10	—	48%
Elbow X-ray, complete, 3 or more views CPT 73080 X-ray; elbow	$165.28	$317.00	$94.66–$307.36	30% below	48%
Elbow X-ray, complete, 3 or more views inpatient CPT 73080 X-ray; elbow	$165.28	$317.00	$94.66–$307.36	—	48%
Eye socket (orbit) CT scan without contrast CPT 70480 CT orbit/ear/fossa	$989.10	$1,897.00	$327.88–$1,839.33	31% below	48%
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 CT orbit/ear/fossa	$989.10	$1,897.00	$327.88–$1,839.33	—	48%
Facial bones X-ray, complete, 3 or more views CPT 70150 X-ray; Facial Bones	$192.92	$370.00	$110.48–$358.75	36% below	48%
Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 X-ray; Facial Bones	$192.92	$370.00	$110.48–$358.75	—	48%
Forearm X-ray (radius and ulna), 2 views CPT 73090 X-ray; Forearm	$125.66	$241.00	$71.96–$251.10	36% below	48%
Forearm X-ray (radius and ulna), 2 views inpatient CPT 73090 X-ray; Forearm	$125.66	$241.00	$71.96–$251.10	—	48%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 Hepatobiliary System imaging	$970.85	$1,862.00	$555.99–$1,805.40	34% below	48%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 Hepatobiliary System imaging	$970.85	$1,862.00	$555.99–$1,805.40	—	48%
Hand X-ray, 2 views CPT 73120 X-ray; Hand	$128.26	$246.00	$73.46–$303.28	32% below	48%
Hand X-ray, 2 views inpatient CPT 73120 X-ray; Hand	$128.26	$246.00	$73.46–$303.28	—	48%
Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 X-ray; Heel	$130.35	$250.00	$74.65–$251.10	34% below	48%
Heel bone (calcaneus) X-ray, 2 or more views inpatient CPT 73650 X-ray; Heel	$130.35	$250.00	$74.65–$251.10	—	48%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 sleep study with titration	$3,005.35	$5,764.00	$1,721.13–$5,588.77	18% below	48%
In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 sleep study with titration	$3,005.35	$5,764.00	$1,721.13–$5,588.77	—	48%
Knee X-ray, 3 views CPT 73562 X-ray; knee	$169.98	$326.00	$97.34–$316.09	33% below	48%
Knee X-ray, 3 views inpatient CPT 73562 X-ray; knee	$169.98	$326.00	$97.34–$316.09	—	48%
Knee X-ray, complete, 4 or more views CPT 73564 X-ray; knee	$197.09	$378.00	$112.87–$366.51	29% below	48%
Knee X-ray, complete, 4 or more views inpatient CPT 73564 X-ray; knee	$197.09	$378.00	$112.87–$366.51	—	48%
Leg CT scan without contrast (hip to foot, any part) CPT 73700 CT Lower extremity	$951.03	$1,824.00	$303.28–$1,768.55	35% below	48%
Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 CT Lower extremity	$951.03	$1,824.00	$303.28–$1,768.55	—	48%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Ultrasound abdomen	$462.48	$887.00	$264.86–$860.04	4% above	48%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 Ultrasound abdomen	$462.48	$887.00	$264.86–$860.04	—	48%
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 Ultrasound limited joint; nonvascular	$113.67	$218.00	$65.09–$303.28	60% below	48%
Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 Ultrasound limited joint; nonvascular	$113.67	$218.00	$65.09–$303.28	—	48%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT Thorax Lung Cancer Scr C-	$406.17	$779.00	$232.61–$755.32	9% below	48%
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 CT Thorax Lung Cancer Scr C-	$406.17	$779.00	$232.61–$755.32	—	48%
Lower leg X-ray (tibia and fibula), 2 views CPT 73590 X-ray; lower leg	$123.57	$237.00	$70.77–$251.10	42% below	48%
Lower leg X-ray (tibia and fibula), 2 views inpatient CPT 73590 X-ray; lower leg	$123.57	$237.00	$70.77–$251.10	—	48%
MR angiography (MRA) of the head without contrast CPT 70544 MRA head	$2,056.92	$3,945.00	$578.05–$3,825.07	7% below	48%
MR angiography (MRA) of the head without contrast inpatient CPT 70544 MRA head	$2,056.92	$3,945.00	$578.05–$3,825.07	—	48%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI lower extremity joint	$1,622.60	$3,112.00	$578.05–$3,017.40	27% below	48%
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 MRI lower extremity joint	$1,622.60	$3,112.00	$578.05–$3,017.40	—	48%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI lower extremity joint with and without contrast	$2,413.04	$4,628.00	$607.75–$4,487.31	29% below	48%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 MRI lower extremity joint with and without contrast	$2,413.04	$4,628.00	$607.75–$4,487.31	—	48%
MRI of the abdomen without contrast CPT 74181 MRI abdomen	$1,978.71	$3,795.00	$578.05–$3,679.63	10% below	48%
MRI of the abdomen without contrast inpatient CPT 74181 MRI abdomen	$1,978.71	$3,795.00	$578.05–$3,679.63	—	48%
MRI of the abdomen, without and then with contrast dye CPT 74183 MRI abdomen with and without contrast	$2,848.93	$5,464.00	$607.75–$5,297.89	17% below	48%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MRI abdomen with and without contrast	$2,848.93	$5,464.00	$607.75–$5,297.89	—	48%
MRI of the brain, no contrast dye CPT 70551 MRI Brain	$2,118.45	$4,063.00	$578.05–$3,939.48	4% below	48%
MRI of the brain, no contrast dye inpatient CPT 70551 MRI Brain	$2,118.45	$4,063.00	$578.05–$3,939.48	—	48%
MRI of the brain, with and without contrast dye CPT 70553 MRI brain with and without contrast	$3,092.94	$5,932.00	$607.75–$5,751.67	9% below	48%
MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI brain with and without contrast	$3,092.94	$5,932.00	$607.75–$5,751.67	—	48%
MRI of the lower back, no contrast dye CPT 72148 MRI lumbar spine	$2,056.92	$3,945.00	$578.05–$3,825.07	7% below	48%
MRI of the lower back, no contrast dye inpatient CPT 72148 MRI lumbar spine	$2,056.92	$3,945.00	$578.05–$3,825.07	—	48%
MRI of the lower back, without and then with contrast dye CPT 72158 MRI lumbar spine with and without contrast	$2,848.93	$5,464.00	$607.75–$5,297.89	17% below	48%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MRI lumbar spine with and without contrast	$2,848.93	$5,464.00	$607.75–$5,297.89	—	48%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 Thoracic MRI	$2,056.92	$3,945.00	$578.05–$3,825.07	7% below	48%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 Thoracic MRI	$2,056.92	$3,945.00	$578.05–$3,825.07	—	48%
MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI cervical spine with and without contrast	$2,056.92	$3,945.00	$607.75–$3,825.07	40% below	48%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MRI cervical spine with and without contrast	$2,056.92	$3,945.00	$607.75–$3,825.07	—	48%
MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI Cervial spine	$2,056.92	$3,945.00	$578.05–$3,825.07	7% below	48%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MRI Cervial spine	$2,056.92	$3,945.00	$578.05–$3,825.07	—	48%
MRI of the pelvis without and with contrast CPT 72197 MRI pelvis with and without contrast	$2,848.93	$5,464.00	$607.75–$5,297.89	17% below	48%
MRI of the pelvis without and with contrast inpatient CPT 72197 MRI pelvis with and without contrast	$2,848.93	$5,464.00	$607.75–$5,297.89	—	48%
MRI of the pelvis, no contrast dye CPT 72195 MRI chest	$2,056.92	$3,945.00	$578.05–$3,825.07	7% below	48%
MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI chest	$2,056.92	$3,945.00	$578.05–$3,825.07	—	48%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MRI upper extremity joint	$1,622.60	$3,112.00	$578.05–$3,017.40	27% below	48%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 MRI upper extremity joint	$1,622.60	$3,112.00	$578.05–$3,017.40	—	48%
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 X-ray; spine	$262.79	$504.00	$150.49–$488.68	18% below	48%
Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 X-ray; spine	$262.79	$504.00	$150.49–$488.68	—	48%
Neck soft tissue CT scan with contrast CPT 70491 CT of neck with contrast	$1,235.72	$2,370.00	$327.88–$2,297.95	25% below	48%
Neck soft tissue CT scan with contrast inpatient CPT 70491 CT of neck with contrast	$1,235.72	$2,370.00	$327.88–$2,297.95	—	48%
Neck soft tissue CT scan without contrast CPT 70490 CT of Neck	$951.03	$1,824.00	$327.88–$1,768.55	33% below	48%
Neck soft tissue CT scan without contrast inpatient CPT 70490 CT of Neck	$951.03	$1,824.00	$327.88–$1,768.55	—	48%
Neck soft tissue X-ray CPT 70360 X-ray; Neck	$123.57	$237.00	$70.77–$251.10	41% below	48%
Neck soft tissue X-ray inpatient CPT 70360 X-ray; Neck	$123.57	$237.00	$70.77–$251.10	—	48%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 Myocardial SPECT multiple Studies	$1,900.50	$3,645.00	$1,307.64–$3,723.08	38% below	48%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 Myocardial SPECT multiple Studies	$1,900.50	$3,645.00	$1,307.64–$3,723.08	—	48%
OCT scan of the retina (optical coherence tomography) CPT 92134 Cptr Ophth Dx Img Post Segmt	$35.46	$68.00	$14.71–$85.41	17% below	48%
OCT scan of the retina (optical coherence tomography) inpatient CPT 92134 Cptr Ophth Dx Img Post Segmt	$35.46	$68.00	$14.71–$85.41	—	48%
PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET Scan; skull or thigh	$3,454.80	$6,626.00	$1,978.52–$6,424.57	19% below	48%
PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 PET Scan; skull or thigh	$3,454.80	$6,626.00	$1,978.52–$6,424.57	—	48%
Pelvic CT scan without contrast CPT 72192 CT Pelvis	$951.03	$1,824.00	$303.28–$1,768.55	26% below	48%
Pelvic CT scan without contrast inpatient CPT 72192 CT Pelvis	$951.03	$1,824.00	$303.28–$1,768.55	—	48%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 Pelvic Ultrasound	$181.97	$349.00	$104.21–$338.39	55% below	48%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 Pelvic Ultrasound	$181.97	$349.00	$104.21–$338.39	—	48%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 Pelvic Ultrasound	$432.24	$829.00	$247.54–$803.80	18% below	48%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 Pelvic Ultrasound	$432.24	$829.00	$247.54–$803.80	—	48%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 14 week OB Ultrasound	$516.19	$990.00	$295.61–$959.90	10% below	48%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 14 week OB Ultrasound	$516.19	$990.00	$295.61–$959.90	—	48%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 14 week OB Ultrasound	$451.53	$866.00	$258.59–$839.67	12% below	48%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 14 week OB Ultrasound	$451.53	$866.00	$258.59–$839.67	—	48%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 OB Ultrasound	$315.97	$606.00	$180.95–$587.58	14% below	48%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 OB Ultrasound	$315.97	$606.00	$180.95–$587.58	—	48%
Rib X-ray, one side, 2 views CPT 71100 X-ray; Ribs	$141.30	$271.00	$80.92–$262.76	37% below	48%
Rib X-ray, one side, 2 views inpatient CPT 71100 X-ray; Ribs	$141.30	$271.00	$80.92–$262.76	—	48%
Rib X-ray, one side, with a chest view, 3 or more views CPT 71101 X-ray; ribs/chest	$169.98	$326.00	$97.34–$316.09	39% below	48%
Rib X-ray, one side, with a chest view, 3 or more views inpatient CPT 71101 X-ray; ribs/chest	$169.98	$326.00	$97.34–$316.09	—	48%
Screening mammogram, both breasts CPT 77067 screening mammogram	$244.02	$468.00	$165.00–$527.21	9% below	48%
Screening mammogram, both breasts inpatient CPT 77067 screening mammogram	$244.02	$468.00	$165.00–$527.21	—	48%
Shoulder X-ray, complete, 2 or more views CPT 73030 X-ray; shoulder	$134.00	$257.00	$76.74–$251.10	43% below	48%
Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 X-ray; shoulder	$134.00	$257.00	$76.74–$251.10	—	48%
Sinus X-ray, complete, 3 or more views CPT 70220 X-ray; sinuses	$172.58	$331.00	$98.84–$320.94	35% below	48%
Sinus X-ray, complete, 3 or more views inpatient CPT 70220 X-ray; sinuses	$172.58	$331.00	$98.84–$320.94	—	48%
Skull X-ray, fewer than 4 views CPT 70250 X-ray; skull	$262.79	$504.00	$150.49–$488.68	8% above	48%
Skull X-ray, fewer than 4 views inpatient CPT 70250 X-ray; skull	$262.79	$504.00	$150.49–$488.68	—	48%
Sleep study in a lab (polysomnography) CPT 95810 Sleep study	$2,703.46	$5,185.00	$1,548.24–$5,027.38	21% below	48%
Sleep study in a lab (polysomnography) inpatient CPT 95810 Sleep study	$2,703.46	$5,185.00	$1,548.24–$5,027.38	—	48%
Stress echocardiogram, complete, including the stress test and supervision CPT 93351 Stress Test	$313.36	$601.00	$179.46–$1,563.69	85% below	48%
Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 Stress Test	$313.36	$601.00	$179.46–$1,563.69	—	48%
Swallow study (modified barium swallow, video X-ray) CPT 74230 Swallow Test with Contrast	$333.70	$640.00	$191.10–$620.54	27% below	48%
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 Swallow Test with Contrast	$333.70	$640.00	$191.10–$620.54	—	48%
Thigh bone (femur) X-ray, 2 or more views CPT 73552 X-ray; thigh bone	$128.26	$246.00	$73.46–$251.10	48% below	48%
Thigh bone (femur) X-ray, 2 or more views inpatient CPT 73552 X-ray; thigh bone	$128.26	$246.00	$73.46–$251.10	—	48%
Thoracic spine (mid back) CT scan without contrast CPT 72128 CT Thoracic Spine	$1,104.33	$2,118.00	$327.88–$2,053.61	28% below	48%
Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 CT Thoracic Spine	$1,104.33	$2,118.00	$327.88–$2,053.61	—	48%
Toe X-ray, 2 or more views CPT 73660 X-ray; toe	$147.56	$283.00	$84.50–$274.40	27% below	48%
Toe X-ray, 2 or more views inpatient CPT 73660 X-ray; toe	$147.56	$283.00	$84.50–$274.40	—	48%
Transvaginal pelvic ultrasound CPT 76830 Tranvaginal ultrasound	$433.80	$832.00	$248.44–$806.71	8% below	48%
Transvaginal pelvic ultrasound inpatient CPT 76830 Tranvaginal ultrasound	$433.80	$832.00	$248.44–$806.71	—	48%
Transvaginal ultrasound during pregnancy CPT 76817 Tranvaginal ultrasound	$357.16	$685.00	$204.54–$664.18	9% below	48%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 Tranvaginal ultrasound	$357.16	$685.00	$204.54–$664.18	—	48%
Ultrasound of the abdomen, complete CPT 76700 Ultrasound abdomen	$462.48	$887.00	$264.86–$860.04	32% below	48%
Ultrasound of the abdomen, complete inpatient CPT 76700 Ultrasound abdomen	$462.48	$887.00	$264.86–$860.04	—	48%
Ultrasound of the scrotum and testicles CPT 76870 Ultrasound; scrotum	$430.15	$825.00	$246.35–$799.92	13% below	48%
Ultrasound of the scrotum and testicles inpatient CPT 76870 Ultrasound; scrotum	$430.15	$825.00	$246.35–$799.92	—	48%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 Ultra sound of head and neck	$410.34	$787.00	$235.00–$763.08	20% below	48%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 Ultra sound of head and neck	$410.34	$787.00	$235.00–$763.08	—	48%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 X-ray; Upper GI Tract with contrast	$417.12	$800.00	$238.88–$775.68	39% below	48%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 X-ray; Upper GI Tract with contrast	$417.12	$800.00	$238.88–$775.68	—	48%
Upper arm X-ray (humerus), 2 views CPT 73060 X-ray; upper arm	$134.00	$257.00	$76.74–$251.10	36% below	48%
Upper arm X-ray (humerus), 2 views inpatient CPT 73060 X-ray; upper arm	$134.00	$257.00	$76.74–$251.10	—	48%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 Duplex scan of extremity veins	$527.14	$1,011.00	$301.88–$980.27	26% below	48%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 Duplex scan of extremity veins	$527.14	$1,011.00	$301.88–$980.27	—	48%
Wrist X-ray, 2 views CPT 73100 Xray; wrist	$143.91	$276.00	$82.41–$267.61	33% below	48%
Wrist X-ray, 2 views inpatient CPT 73100 Xray; wrist	$143.91	$276.00	$82.41–$267.61	—	48%
Wrist X-ray, complete, 3 or more views CPT 73110 X-ray; wrist	$166.85	$320.00	$95.55–$310.27	34% below	48%
Wrist X-ray, complete, 3 or more views inpatient CPT 73110 X-ray; wrist	$166.85	$320.00	$95.55–$310.27	—	48%
X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 X-ray; hip	$175.71	$337.00	$100.63–$326.76	40% below	48%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient CPT 73502 X-ray; hip	$175.71	$337.00	$100.63–$326.76	—	48%
X-ray of the abdomen, 1 view CPT 74018 X-ray; abdomen	$116.79	$224.00	$66.89–$251.10	45% below	48%
X-ray of the abdomen, 1 view inpatient CPT 74018 X-ray; abdomen	$116.79	$224.00	$66.89–$251.10	—	48%
X-ray of the ankle, 2 views CPT 73600 X-ray; ankle	$130.35	$250.00	$74.65–$251.10	34% below	48%
X-ray of the ankle, 2 views inpatient CPT 73600 X-ray; ankle	$130.35	$250.00	$74.65–$251.10	—	48%
X-ray of the finger(s), 2 or more views CPT 73140 X-ray; finger	$146.51	$281.00	$83.91–$272.46	40% below	48%
X-ray of the finger(s), 2 or more views inpatient CPT 73140 X-ray; finger	$146.51	$281.00	$83.91–$272.46	—	48%
X-ray of the foot, 2 views CPT 73620 X-ray; foot	$128.26	$246.00	$73.46–$251.10	32% below	48%
X-ray of the foot, 2 views inpatient CPT 73620 X-ray; foot	$128.26	$246.00	$73.46–$251.10	—	48%
X-ray of the foot, complete, 3 or more views CPT 73630 X-ray; foot	$149.12	$286.00	$85.40–$277.31	38% below	48%
X-ray of the foot, complete, 3 or more views inpatient CPT 73630 X-ray; foot	$149.12	$286.00	$85.40–$277.31	—	48%
X-ray of the hand, 3 or more views CPT 73130 X-ray; Hand	$150.68	$289.00	$86.30–$280.21	36% below	48%
X-ray of the hand, 3 or more views inpatient CPT 73130 X-ray; Hand	$150.68	$289.00	$86.30–$280.21	—	48%
X-ray of the knee, 1 or 2 views CPT 73560 X-ray; knee	$126.70	$243.00	$72.56–$251.10	40% below	48%
X-ray of the knee, 1 or 2 views inpatient CPT 73560 X-ray; knee	$126.70	$243.00	$72.56–$251.10	—	48%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 X-ray; lower spine	$187.70	$360.00	$107.50–$349.06	36% below	48%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 X-ray; lower spine	$187.70	$360.00	$107.50–$349.06	—	48%
X-ray of the lower back, 4 or more views CPT 72110 Xray; Lower spine	$254.96	$489.00	$146.02–$474.13	32% below	48%
X-ray of the lower back, 4 or more views inpatient CPT 72110 Xray; Lower spine	$254.96	$489.00	$146.02–$474.13	—	48%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 X-ray; spine	$147.56	$283.00	$84.50–$303.28	38% below	48%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 X-ray; spine	$147.56	$283.00	$84.50–$303.28	—	48%
X-ray of the nasal bones, 3 or more views CPT 70160 X-ray; nose	$159.03	$305.00	$91.07–$295.73	34% below	48%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 X-ray; nose	$159.03	$305.00	$91.07–$295.73	—	48%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 X-ray; spine	$174.15	$334.00	$99.73–$323.85	28% below	48%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 X-ray; spine	$174.15	$334.00	$99.73–$323.85	—	48%
X-ray of the pelvis, 1 or 2 views CPT 72170 X-ray; pelvis	$125.66	$241.00	$71.96–$303.28	43% below	48%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 X-ray; pelvis	$125.66	$241.00	$71.96–$303.28	—	48%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 X-ray; Tailbone	$132.44	$254.00	$75.84–$251.10	39% below	48%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 X-ray; Tailbone	$132.44	$254.00	$75.84–$251.10	—	48%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs Wisconsin	Off list
ACTH blood test CPT 82024 Chemistry	$37.54	$72.00	$21.50–$160.34	83% below	48%
ACTH blood test inpatient CPT 82024 Chemistry	$37.54	$72.00	$21.50–$160.34	—	48%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 Chemistry	$10.43	$20.00	$5.97–$21.74	70% below	48%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 Chemistry	$55.79	$107.00	$21.74–$103.75	59% above	48%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 Chemistry	$55.79	$107.00	$21.74–$103.75	—	48%
AST (aspartate aminotransferase) enzyme test CPT 84450 Chemistry	$10.43	$20.00	$5.97–$21.74	78% below	48%
AST (aspartate aminotransferase) enzyme test CPT 84450 Chemistry	$55.79	$107.00	$21.74–$103.75	18% above	48%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 Chemistry	$55.79	$107.00	$21.74–$103.75	—	48%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 Organ/Disease oriented panels	$49.53	$95.00	$28.37–$197.03	84% below	48%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 Organ/Disease oriented panels	$49.53	$95.00	$28.37–$197.03	—	48%
Albumin blood test CPT 82040 Chemistry	$21.38	$41.00	$12.24–$39.75	43% below	48%
Albumin blood test inpatient CPT 82040 Chemistry	$21.38	$41.00	$12.24–$39.75	—	48%
Aldosterone blood test CPT 82088 Chemistry	$88.64	$170.00	$50.76–$168.49	55% below	48%
Aldosterone blood test inpatient CPT 82088 Chemistry	$88.64	$170.00	$50.76–$168.49	—	48%
Alkaline phosphatase (ALP) blood test CPT 84075 Chemistry	$10.43	$20.00	$5.97–$21.74	79% below	48%
Alkaline phosphatase (ALP) blood test CPT 84075 Chemistry	$20.33	$39.00	$11.65–$37.81	58% below	48%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 Chemistry	$20.33	$39.00	$11.65–$37.81	—	48%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige, Chocolate (Cacao)	$18.77	$36.00	$10.75–$34.91	25% below	48%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Honey Bee	$20.86	$40.00	$11.94–$38.78	17% below	48%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Hazelnut	$20.86	$40.00	$11.94–$38.78	17% below	48%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige White Faced Hornet	$20.86	$40.00	$11.94–$38.78	17% below	48%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Pea	$20.86	$40.00	$11.94–$38.78	17% below	48%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Yellow Hornet	$20.86	$40.00	$11.94–$38.78	17% below	48%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Yellow Jacket	$20.86	$40.00	$11.94–$38.78	17% below	48%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Peach	$20.86	$40.00	$11.94–$38.78	17% below	48%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Paper Wasp	$20.86	$40.00	$11.94–$38.78	17% below	48%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Grapes	$20.86	$40.00	$11.94–$38.78	17% below	48%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Latex	$20.86	$40.00	$11.94–$38.78	17% below	48%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Lobster	$20.86	$40.00	$11.94–$38.78	17% below	48%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Orchard Grass	$20.86	$40.00	$11.94–$38.78	17% below	48%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Melon	$20.86	$40.00	$11.94–$38.78	17% below	48%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Sunflower Seed	$20.86	$40.00	$11.94–$38.78	17% below	48%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Pineapple	$20.86	$40.00	$11.94–$38.78	17% below	48%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Peanut	$20.86	$40.00	$11.94–$38.78	17% below	48%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Blueberry	$20.86	$40.00	$11.94–$38.78	17% below	48%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Raspberry	$20.86	$40.00	$11.94–$38.78	17% below	48%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Pecan Nut	$20.86	$40.00	$11.94–$38.78	17% below	48%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Lentils	$20.86	$40.00	$11.94–$38.78	17% below	48%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Broccoli	$20.86	$40.00	$11.94–$38.78	17% below	48%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Pepper Green/Bell	$20.86	$40.00	$11.94–$38.78	17% below	48%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Coconut	$20.86	$40.00	$11.94–$38.78	17% below	48%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Gluten	$20.86	$40.00	$11.94–$38.78	17% below	48%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Kiwi	$20.86	$40.00	$11.94–$38.78	17% below	48%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Pistachio	$20.86	$40.00	$11.94–$38.78	17% below	48%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Garlic	$20.86	$40.00	$11.94–$38.78	17% below	48%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Mango	$20.86	$40.00	$11.94–$38.78	17% below	48%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Cranberry	$20.86	$40.00	$11.94–$38.78	17% below	48%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Tilapia	$20.86	$40.00	$11.94–$38.78	17% below	48%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Coriander	$20.86	$40.00	$11.94–$38.78	17% below	48%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Egg White	$20.86	$40.00	$11.94–$38.78	17% below	48%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Cinnamon	$20.86	$40.00	$11.94–$38.78	17% below	48%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Avocado	$20.86	$40.00	$11.94–$38.78	17% below	48%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Chili Pepper	$20.86	$40.00	$11.94–$38.78	17% below	48%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Barley	$20.86	$40.00	$11.94–$38.78	17% below	48%
Allergy blood test, specific IgE, per allergen CPT 86003 Immunology	$20.86	$40.00	$11.94–$38.78	17% below	48%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Cherry	$20.86	$40.00	$11.94–$38.78	17% below	48%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Crab	$20.86	$40.00	$11.94–$38.78	17% below	48%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Chick Pea	$20.86	$40.00	$11.94–$38.78	17% below	48%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Corn	$20.86	$40.00	$11.94–$38.78	17% below	48%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Celery	$20.86	$40.00	$11.94–$38.78	17% below	48%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Codfish	$20.86	$40.00	$11.94–$38.78	17% below	48%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Blue Mussel	$20.86	$40.00	$11.94–$38.78	17% below	48%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Clam	$20.86	$40.00	$11.94–$38.78	17% below	48%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Mouse Epithelial Cells	$20.86	$40.00	$11.94–$38.78	17% below	48%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Oyster	$20.86	$40.00	$11.94–$38.78	17% below	48%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Chicken Meat	$20.86	$40.00	$11.94–$38.78	17% below	48%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Scallop	$20.86	$40.00	$11.94–$38.78	17% below	48%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Mouse Urine	$20.86	$40.00	$11.94–$38.78	17% below	48%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Sesame Seed	$20.86	$40.00	$11.94–$38.78	17% below	48%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Onion	$20.86	$40.00	$11.94–$38.78	17% below	48%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Dust, Greer	$20.86	$40.00	$11.94–$38.78	17% below	48%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Pine Nut	$20.86	$40.00	$11.94–$38.78	17% below	48%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Dust, Hs	$20.86	$40.00	$11.94–$38.78	17% below	48%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Green Bean	$20.86	$40.00	$11.94–$38.78	17% below	48%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Almond	$20.86	$40.00	$11.94–$38.78	17% below	48%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Guinea Pig Epithelium	$20.86	$40.00	$11.94–$38.78	17% below	48%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Alpha Lactalbumin	$20.86	$40.00	$11.94–$38.78	17% below	48%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Hop Fruit	$20.86	$40.00	$11.94–$38.78	17% below	48%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Rice	$20.86	$40.00	$11.94–$38.78	17% below	48%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Lettuce	$20.86	$40.00	$11.94–$38.78	17% below	48%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Linseed	$20.86	$40.00	$11.94–$38.78	17% below	48%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige, Penicilloyl V	$20.86	$40.00	$11.94–$38.78	17% below	48%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Macadamia Nut	$20.86	$40.00	$11.94–$38.78	17% below	48%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Mushroom	$20.86	$40.00	$11.94–$38.78	17% below	48%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Apple	$20.86	$40.00	$11.94–$38.78	17% below	48%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Dandelion	$20.86	$40.00	$11.94–$38.78	17% below	48%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Pear	$20.86	$40.00	$11.94–$38.78	17% below	48%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Halibut	$20.86	$40.00	$11.94–$38.78	17% below	48%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Rabbit Epith	$20.86	$40.00	$11.94–$38.78	17% below	48%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Brazil Nut	$20.86	$40.00	$11.94–$38.78	17% below	48%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Rat Epithelium	$20.86	$40.00	$11.94–$38.78	17% below	48%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Turkey Meat	$20.86	$40.00	$11.94–$38.78	17% below	48%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Salmon	$20.86	$40.00	$11.94–$38.78	17% below	48%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Walleyed Pike	$20.86	$40.00	$11.94–$38.78	17% below	48%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Egg Yolk	$20.86	$40.00	$11.94–$38.78	17% below	48%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige White Potato	$20.86	$40.00	$11.94–$38.78	17% below	48%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Strawberry	$20.86	$40.00	$11.94–$38.78	17% below	48%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Gelatin	$20.86	$40.00	$11.94–$38.78	17% below	48%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Carrot	$20.86	$40.00	$11.94–$38.78	17% below	48%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Paprika	$20.86	$40.00	$11.94–$38.78	17% below	48%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Casein	$20.86	$40.00	$11.94–$38.78	17% below	48%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Cheddar Cheese	$20.86	$40.00	$11.94–$38.78	17% below	48%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Cashew	$20.86	$40.00	$11.94–$38.78	17% below	48%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Oat	$20.86	$40.00	$11.94–$38.78	17% below	48%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Tomato	$20.86	$40.00	$11.94–$38.78	17% below	48%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Tuna	$20.86	$40.00	$11.94–$38.78	17% below	48%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Walnut	$20.86	$40.00	$11.94–$38.78	17% below	48%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige, Banana	$20.86	$40.00	$11.94–$38.78	17% below	48%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Whey	$20.86	$40.00	$11.94–$38.78	17% below	48%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Orange	$20.86	$40.00	$11.94–$38.78	17% below	48%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Botrytis Cinerea	$22.94	$44.00	$13.14–$42.66	8% below	48%
Allergy blood test, specific IgE, per allergen CPT 86003 White Pine Tree, Ige	$22.94	$44.00	$13.14–$42.66	8% below	48%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige, Basil	$22.94	$44.00	$13.14–$42.66	8% below	48%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige, Horse Dander	$22.94	$44.00	$13.14–$42.66	8% below	48%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige, Ampicillin	$22.94	$44.00	$13.14–$42.66	8% below	48%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Penicillin G (Major)	$22.94	$44.00	$13.14–$42.66	8% below	48%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Squid	$22.94	$44.00	$13.14–$42.66	8% below	48%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige, Storage Mite	$22.94	$44.00	$13.14–$42.66	8% below	48%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Kidney Bean	$22.94	$44.00	$13.14–$42.66	8% below	48%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige White Bean	$22.94	$44.00	$13.14–$42.66	8% below	48%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Poppy Seed	$22.94	$44.00	$13.14–$42.66	8% below	48%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Lemon	$22.94	$44.00	$13.14–$42.66	8% below	48%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Rye	$22.94	$44.00	$13.14–$42.66	8% below	48%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Cheese Mold Type	$22.94	$44.00	$13.14–$42.66	8% below	48%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Chicken Feathers	$22.94	$44.00	$13.14–$42.66	8% below	48%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Goose Feathers	$22.94	$44.00	$13.14–$42.66	8% below	48%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Ragweed Western	$22.94	$44.00	$13.14–$42.66	8% below	48%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Parsley Allergen	$22.94	$44.00	$13.14–$42.66	8% below	48%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Watermelon	$22.94	$44.00	$13.14–$42.66	8% below	48%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Trout	$22.94	$44.00	$13.14–$42.66	8% below	48%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Spinach	$22.94	$44.00	$13.14–$42.66	8% below	48%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Octopus	$22.94	$44.00	$13.14–$42.66	8% below	48%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Cucumber	$22.94	$44.00	$13.14–$42.66	8% below	48%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Goat Milk	$22.94	$44.00	$13.14–$42.66	8% below	48%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Duck Feathers	$22.94	$44.00	$13.14–$42.66	8% below	48%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Cauliflower	$22.94	$44.00	$13.14–$42.66	8% below	48%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Mandarin	$22.94	$44.00	$13.14–$42.66	8% below	48%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige G. Domesticus	$22.94	$44.00	$13.14–$42.66	8% below	48%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Mite B Tropicali	$22.94	$44.00	$13.14–$42.66	8% below	48%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige, Black Pepper	$41.71	$80.00	$21.74–$77.57	67% above	48%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige, False Ragweed	$41.71	$80.00	$21.74–$77.57	67% above	48%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Ragweed Giant	$41.71	$80.00	$21.74–$77.57	67% above	48%
Allergy blood test, specific IgE, per allergen CPT 86003 Allergy Respiratory Panel	$130.35	$250.00	$21.74–$242.40	421% above	48%
Allergy blood test, specific IgE, per allergen CPT 86003 Peanut Component Panel	$221.59	$425.00	$21.74–$412.08	786% above	48%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige, Chocolate (Cacao)	$18.77	$36.00	$10.75–$34.91	—	48%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Turkey Meat	$20.86	$40.00	$11.94–$38.78	—	48%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Rat Epithelium	$20.86	$40.00	$11.94–$38.78	—	48%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Brazil Nut	$20.86	$40.00	$11.94–$38.78	—	48%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Rabbit Epith	$20.86	$40.00	$11.94–$38.78	—	48%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Cheddar Cheese	$20.86	$40.00	$11.94–$38.78	—	48%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Gelatin	$20.86	$40.00	$11.94–$38.78	—	48%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Paprika	$20.86	$40.00	$11.94–$38.78	—	48%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Hazelnut	$20.86	$40.00	$11.94–$38.78	—	48%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige White Potato	$20.86	$40.00	$11.94–$38.78	—	48%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Walleyed Pike	$20.86	$40.00	$11.94–$38.78	—	48%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Sunflower Seed	$20.86	$40.00	$11.94–$38.78	—	48%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Melon	$20.86	$40.00	$11.94–$38.78	—	48%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Orchard Grass	$20.86	$40.00	$11.94–$38.78	—	48%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Latex	$20.86	$40.00	$11.94–$38.78	—	48%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Grapes	$20.86	$40.00	$11.94–$38.78	—	48%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Paper Wasp	$20.86	$40.00	$11.94–$38.78	—	48%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Yellow Jacket	$20.86	$40.00	$11.94–$38.78	—	48%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Yellow Hornet	$20.86	$40.00	$11.94–$38.78	—	48%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige White Faced Hornet	$20.86	$40.00	$11.94–$38.78	—	48%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Honey Bee	$20.86	$40.00	$11.94–$38.78	—	48%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Whey	$20.86	$40.00	$11.94–$38.78	—	48%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Walnut	$20.86	$40.00	$11.94–$38.78	—	48%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige, Banana	$20.86	$40.00	$11.94–$38.78	—	48%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Tuna	$20.86	$40.00	$11.94–$38.78	—	48%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Tomato	$20.86	$40.00	$11.94–$38.78	—	48%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Strawberry	$20.86	$40.00	$11.94–$38.78	—	48%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Salmon	$20.86	$40.00	$11.94–$38.78	—	48%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Egg Yolk	$20.86	$40.00	$11.94–$38.78	—	48%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Rice	$20.86	$40.00	$11.94–$38.78	—	48%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige, Penicilloyl V	$20.86	$40.00	$11.94–$38.78	—	48%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Pecan Nut	$20.86	$40.00	$11.94–$38.78	—	48%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Peanut	$20.86	$40.00	$11.94–$38.78	—	48%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Peach	$20.86	$40.00	$11.94–$38.78	—	48%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Pea	$20.86	$40.00	$11.94–$38.78	—	48%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Orange	$20.86	$40.00	$11.94–$38.78	—	48%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Oat	$20.86	$40.00	$11.94–$38.78	—	48%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Cashew	$20.86	$40.00	$11.94–$38.78	—	48%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Casein	$20.86	$40.00	$11.94–$38.78	—	48%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Carrot	$20.86	$40.00	$11.94–$38.78	—	48%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Pear	$20.86	$40.00	$11.94–$38.78	—	48%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Dandelion	$20.86	$40.00	$11.94–$38.78	—	48%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Mushroom	$20.86	$40.00	$11.94–$38.78	—	48%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Apple	$20.86	$40.00	$11.94–$38.78	—	48%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Macadamia Nut	$20.86	$40.00	$11.94–$38.78	—	48%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Linseed	$20.86	$40.00	$11.94–$38.78	—	48%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Lettuce	$20.86	$40.00	$11.94–$38.78	—	48%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Alpha Lactalbumin	$20.86	$40.00	$11.94–$38.78	—	48%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Hop Fruit	$20.86	$40.00	$11.94–$38.78	—	48%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Guinea Pig Epithelium	$20.86	$40.00	$11.94–$38.78	—	48%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Almond	$20.86	$40.00	$11.94–$38.78	—	48%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Green Bean	$20.86	$40.00	$11.94–$38.78	—	48%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Dust, Hs	$20.86	$40.00	$11.94–$38.78	—	48%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Lobster	$20.86	$40.00	$11.94–$38.78	—	48%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Pine Nut	$20.86	$40.00	$11.94–$38.78	—	48%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Dust, Greer	$20.86	$40.00	$11.94–$38.78	—	48%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Onion	$20.86	$40.00	$11.94–$38.78	—	48%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Sesame Seed	$20.86	$40.00	$11.94–$38.78	—	48%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Mouse Urine	$20.86	$40.00	$11.94–$38.78	—	48%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Scallop	$20.86	$40.00	$11.94–$38.78	—	48%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Mouse Epithelial Cells	$20.86	$40.00	$11.94–$38.78	—	48%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Oyster	$20.86	$40.00	$11.94–$38.78	—	48%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Chicken Meat	$20.86	$40.00	$11.94–$38.78	—	48%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Halibut	$20.86	$40.00	$11.94–$38.78	—	48%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Clam	$20.86	$40.00	$11.94–$38.78	—	48%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Cherry	$20.86	$40.00	$11.94–$38.78	—	48%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Blue Mussel	$20.86	$40.00	$11.94–$38.78	—	48%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Codfish	$20.86	$40.00	$11.94–$38.78	—	48%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Celery	$20.86	$40.00	$11.94–$38.78	—	48%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Corn	$20.86	$40.00	$11.94–$38.78	—	48%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Chick Pea	$20.86	$40.00	$11.94–$38.78	—	48%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Crab	$20.86	$40.00	$11.94–$38.78	—	48%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Immunology	$20.86	$40.00	$11.94–$38.78	—	48%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Barley	$20.86	$40.00	$11.94–$38.78	—	48%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Pistachio	$20.86	$40.00	$11.94–$38.78	—	48%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Avocado	$20.86	$40.00	$11.94–$38.78	—	48%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Chili Pepper	$20.86	$40.00	$11.94–$38.78	—	48%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Tilapia	$20.86	$40.00	$11.94–$38.78	—	48%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Cinnamon	$20.86	$40.00	$11.94–$38.78	—	48%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Egg White	$20.86	$40.00	$11.94–$38.78	—	48%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Coriander	$20.86	$40.00	$11.94–$38.78	—	48%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Mango	$20.86	$40.00	$11.94–$38.78	—	48%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Cranberry	$20.86	$40.00	$11.94–$38.78	—	48%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Kiwi	$20.86	$40.00	$11.94–$38.78	—	48%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Garlic	$20.86	$40.00	$11.94–$38.78	—	48%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Coconut	$20.86	$40.00	$11.94–$38.78	—	48%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Gluten	$20.86	$40.00	$11.94–$38.78	—	48%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Broccoli	$20.86	$40.00	$11.94–$38.78	—	48%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Pepper Green/Bell	$20.86	$40.00	$11.94–$38.78	—	48%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Lentils	$20.86	$40.00	$11.94–$38.78	—	48%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Raspberry	$20.86	$40.00	$11.94–$38.78	—	48%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Pineapple	$20.86	$40.00	$11.94–$38.78	—	48%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Blueberry	$20.86	$40.00	$11.94–$38.78	—	48%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Spinach	$22.94	$44.00	$13.14–$42.66	—	48%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Rye	$22.94	$44.00	$13.14–$42.66	—	48%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Squid	$22.94	$44.00	$13.14–$42.66	—	48%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Mite B Tropicali	$22.94	$44.00	$13.14–$42.66	—	48%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Lemon	$22.94	$44.00	$13.14–$42.66	—	48%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige, Horse Dander	$22.94	$44.00	$13.14–$42.66	—	48%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Trout	$22.94	$44.00	$13.14–$42.66	—	48%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Poppy Seed	$22.94	$44.00	$13.14–$42.66	—	48%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Watermelon	$22.94	$44.00	$13.14–$42.66	—	48%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Penicillin G (Major)	$22.94	$44.00	$13.14–$42.66	—	48%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige White Bean	$22.94	$44.00	$13.14–$42.66	—	48%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Ragweed Western	$22.94	$44.00	$13.14–$42.66	—	48%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Parsley Allergen	$22.94	$44.00	$13.14–$42.66	—	48%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Goat Milk	$22.94	$44.00	$13.14–$42.66	—	48%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Kidney Bean	$22.94	$44.00	$13.14–$42.66	—	48%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Botrytis Cinerea	$22.94	$44.00	$13.14–$42.66	—	48%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Goose Feathers	$22.94	$44.00	$13.14–$42.66	—	48%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Mandarin	$22.94	$44.00	$13.14–$42.66	—	48%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 White Pine Tree, Ige	$22.94	$44.00	$13.14–$42.66	—	48%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige G. Domesticus	$22.94	$44.00	$13.14–$42.66	—	48%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige, Ampicillin	$22.94	$44.00	$13.14–$42.66	—	48%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Duck Feathers	$22.94	$44.00	$13.14–$42.66	—	48%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Octopus	$22.94	$44.00	$13.14–$42.66	—	48%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Chicken Feathers	$22.94	$44.00	$13.14–$42.66	—	48%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Cauliflower	$22.94	$44.00	$13.14–$42.66	—	48%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Cucumber	$22.94	$44.00	$13.14–$42.66	—	48%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige, Basil	$22.94	$44.00	$13.14–$42.66	—	48%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Cheese Mold Type	$22.94	$44.00	$13.14–$42.66	—	48%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige, Storage Mite	$22.94	$44.00	$13.14–$42.66	—	48%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Ragweed Giant	$41.71	$80.00	$21.74–$77.57	—	48%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige, False Ragweed	$41.71	$80.00	$21.74–$77.57	—	48%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige, Black Pepper	$41.71	$80.00	$21.74–$77.57	—	48%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergy Respiratory Panel	$130.35	$250.00	$21.74–$242.40	—	48%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Peanut Component Panel	$221.59	$425.00	$21.74–$412.08	—	48%
Alpha-fetoprotein (AFP) blood test CPT 82105 Chemistry	$25.03	$48.00	$14.33–$69.30	70% below	48%
Alpha-fetoprotein (AFP) blood test CPT 82105 Prenatal Quad Screen	$84.99	$163.00	$48.67–$158.04	2% above	48%
Alpha-fetoprotein (AFP) blood test CPT 82105 Afp Maternal Serum	$84.99	$163.00	$48.67–$158.04	2% above	48%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 Chemistry	$25.03	$48.00	$14.33–$69.30	—	48%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 Afp Maternal Serum	$84.99	$163.00	$48.67–$158.04	—	48%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 Prenatal Quad Screen	$84.99	$163.00	$48.67–$158.04	—	48%
Ammonia blood test CPT 82140 Chemistry	$50.05	$96.00	$28.67–$93.08	44% below	48%
Ammonia blood test inpatient CPT 82140 Chemistry	$50.05	$96.00	$28.67–$93.08	—	48%
Amylase blood test CPT 82150 Amylase Urine	$33.37	$64.00	$19.11–$62.05	46% below	48%
Amylase blood test CPT 82150 Chemistry	$34.41	$66.00	$19.71–$63.99	44% below	48%
Amylase blood test CPT 82150 Amylase Isoenzymes	$83.95	$161.00	$27.18–$156.11	36% above	48%
Amylase blood test inpatient CPT 82150 Amylase Urine	$33.37	$64.00	$19.11–$62.05	—	48%
Amylase blood test inpatient CPT 82150 Chemistry	$34.41	$66.00	$19.71–$63.99	—	48%
Amylase blood test inpatient CPT 82150 Amylase Isoenzymes	$83.95	$161.00	$27.18–$156.11	—	48%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Ana Profile 12	$19.81	$38.00	$11.35–$54.35	76% below	48%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Immunology	$46.40	$89.00	$26.58–$86.29	44% below	48%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 Ana Profile 12	$19.81	$38.00	$11.35–$54.35	—	48%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 Immunology	$46.40	$89.00	$26.58–$86.29	—	48%
Antinuclear antibody (ANA) blood test, screen CPT 86038 Immunology	$63.09	$121.00	$36.13–$117.32	8% below	48%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 Immunology	$63.09	$121.00	$36.13–$117.32	—	48%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 Chemistry	$93.85	$180.00	$53.75–$174.53	34% below	48%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 Chemistry	$93.85	$180.00	$53.75–$174.53	—	48%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Sterility Culture	$12.51	$24.00	$7.17–$35.33	76% below	48%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Microbiology	$49.01	$94.00	$28.07–$91.14	7% below	48%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Sterility Culture	$12.51	$24.00	$7.17–$35.33	—	48%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Microbiology	$49.01	$94.00	$28.07–$91.14	—	48%
Basic metabolic panel (blood test) CPT 80048 Organ/Disease oriented panels	$15.64	$30.00	$10.76–$57.75	82% below	48%
Basic metabolic panel (blood test) CPT 80048 Organ/Disease oriented panels	$95.42	$183.00	$35.33–$177.44	8% above	48%
Basic metabolic panel (blood test) inpatient CPT 80048 Organ/Disease oriented panels	$95.42	$183.00	$35.33–$177.44	—	48%
Bilirubin blood test, total CPT 82247 Chemistry	$10.43	$20.00	$5.97–$20.38	78% below	48%
Bilirubin blood test, total CPT 82247 Chemistry	$27.11	$52.00	$15.53–$50.42	42% below	48%
Bilirubin blood test, total inpatient CPT 82247 Chemistry	$27.11	$52.00	$15.53–$50.42	—	48%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 Surgical Pathology study	$207.00	$397.00	$79.75–$384.93	4% below	48%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Surgical Pathology study	$207.00	$397.00	$79.75–$384.93	—	48%
Blood culture for bacteria CPT 87040 Microbiology	$60.48	$116.00	$34.64–$112.47	30% below	48%
Blood culture for bacteria inpatient CPT 87040 Microbiology	$60.48	$116.00	$34.64–$112.47	—	48%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 Blood Draw	$14.08	$27.00	$5.44–$26.18	4% below	48%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Blood Draw	$14.08	$27.00	$5.44–$26.18	—	48%
Blood glucose (sugar) test CPT 82947 Chemistry	$10.43	$20.00	$5.97–$19.39	57% below	48%
Blood glucose (sugar) test CPT 82947 Chemistry	$21.38	$41.00	$12.24–$39.75	12% below	48%
Blood glucose (sugar) test CPT 82947 Glucose, Fasting	$29.72	$57.00	$16.31–$55.27	22% above	48%
Blood glucose (sugar) test inpatient CPT 82947 Chemistry	$21.38	$41.00	$12.24–$39.75	—	48%
Blood glucose (sugar) test inpatient CPT 82947 Glucose, Fasting	$29.72	$57.00	$16.31–$55.27	—	48%
Blood lead test CPT 83655 Chemistry	$29.20	$56.00	$16.72–$54.30	47% below	48%
Blood lead test CPT 83655 Lead Industrial Exposure Panel	$42.23	$81.00	$24.19–$78.54	23% below	48%
Blood lead test CPT 83655 Lead, Urine	$48.49	$93.00	$27.77–$90.17	12% below	48%
Blood lead test CPT 83655 Assay of Lead	$62.05	$119.00	$35.53–$115.38	13% above	48%
Blood lead test inpatient CPT 83655 Chemistry	$29.20	$56.00	$16.72–$54.30	—	48%
Blood lead test inpatient CPT 83655 Lead Industrial Exposure Panel	$42.23	$81.00	$24.19–$78.54	—	48%
Blood lead test inpatient CPT 83655 Lead, Urine	$48.49	$93.00	$27.77–$90.17	—	48%
Blood lead test inpatient CPT 83655 Assay of Lead	$62.05	$119.00	$35.53–$115.38	—	48%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Chemistry	$10.43	$20.00	$5.97–$31.25	83% below	48%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Chemistry	$35.98	$69.00	$20.60–$66.90	42% below	48%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 Chemistry	$35.98	$69.00	$20.60–$66.90	—	48%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Transfusion Medicine	$12.51	$24.00	$7.17–$367.62	71% below	48%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO	$27.11	$52.00	$15.53–$367.62	36% below	48%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Newborn Abo Rh	$27.11	$52.00	$15.53–$367.62	36% below	48%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Relative Blood Type	$27.11	$52.00	$15.53–$367.62	36% below	48%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 CORD	$27.11	$52.00	$15.53–$367.62	36% below	48%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Transfusion Medicine	$27.11	$52.00	$15.53–$367.62	36% below	48%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 ABO	$27.11	$52.00	$15.53–$367.62	—	48%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 Newborn Abo Rh	$27.11	$52.00	$15.53–$367.62	—	48%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 CORD	$27.11	$52.00	$15.53–$367.62	—	48%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 Relative Blood Type	$27.11	$52.00	$15.53–$367.62	—	48%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 Transfusion Medicine	$27.11	$52.00	$15.53–$367.62	—	48%
Blood urea nitrogen (BUN) test CPT 84520 Chemistry	$22.42	$43.00	$12.84–$41.69	13% below	48%
Blood urea nitrogen (BUN) test CPT 84520 Urea Nitrogen, Bf	$27.11	$52.00	$15.53–$50.42	5% above	48%
Blood urea nitrogen (BUN) test inpatient CPT 84520 Chemistry	$22.42	$43.00	$12.84–$41.69	—	48%
Blood urea nitrogen (BUN) test inpatient CPT 84520 Urea Nitrogen, Bf	$27.11	$52.00	$15.53–$50.42	—	48%
C-peptide blood test CPT 84681 Chemistry	$74.04	$142.00	$42.40–$137.68	15% below	48%
C-peptide blood test inpatient CPT 84681 Chemistry	$74.04	$142.00	$42.40–$137.68	—	48%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 Immunology	$42.23	$81.00	$21.74–$78.54	23% below	48%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 Immunology	$42.23	$81.00	$21.74–$78.54	—	48%
C. difficile toxin gene test (stool PCR) CPT 87493 Microbiology	$120.96	$232.00	$39.51–$224.95	20% below	48%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 Microbiology	$120.96	$232.00	$39.51–$224.95	—	48%
CA 19-9 blood test (tumor marker) CPT 86301 Immunology	$50.05	$96.00	$28.67–$93.08	56% below	48%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 Immunology	$50.05	$96.00	$28.67–$93.08	—	48%
CA-125 blood test (ovarian cancer marker) CPT 86304 Immunology	$34.41	$66.00	$19.71–$86.96	71% below	48%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 Immunology	$34.41	$66.00	$19.71–$86.96	—	48%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Microbiology	$73.00	$140.00	$50.23–$168.76	46% below	48%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 Microbiology	$73.00	$140.00	$50.23–$168.76	—	48%
Calcium blood test, total CPT 82310 Ca/Cr Ratio Urine	$15.64	$30.00	$8.96–$29.09	70% below	48%
Calcium blood test, total CPT 82310 Ca/Crea Ratio, Urine Random	$28.16	$54.00	$16.12–$52.36	46% below	48%
Calcium blood test, total CPT 82310 Chemistry	$28.16	$54.00	$16.12–$52.36	46% below	48%
Calcium blood test, total inpatient CPT 82310 Ca/Cr Ratio Urine	$15.64	$30.00	$8.96–$29.09	—	48%
Calcium blood test, total inpatient CPT 82310 Chemistry	$28.16	$54.00	$16.12–$52.36	—	48%
Calcium blood test, total inpatient CPT 82310 Ca/Crea Ratio, Urine Random	$28.16	$54.00	$16.12–$52.36	—	48%
Carcinoembryonic antigen (CEA) test CPT 82378 Chemistry	$22.94	$44.00	$13.14–$78.81	83% below	48%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 Chemistry	$22.94	$44.00	$13.14–$78.81	—	48%
Chickenpox (varicella) immunity blood test CPT 86787 Immunology	$15.64	$30.00	$8.96–$52.99	79% below	48%
Chickenpox (varicella) immunity blood test CPT 86787 Immunology	$68.82	$132.00	$39.42–$127.99	6% below	48%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 Immunology	$68.82	$132.00	$39.42–$127.99	—	48%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chlamydia/Neisseria Gonorrhoeae Rna, Tma, Urogenital	$46.93	$90.00	$26.87–$274.48	67% below	48%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Microbiology	$67.26	$129.00	$38.52–$274.48	53% below	48%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Chlamydia/Neisseria Gonorrhoeae Rna, Tma, Urogenital	$46.93	$90.00	$26.87–$274.48	—	48%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Microbiology	$67.26	$129.00	$38.52–$274.48	—	48%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Organ/Disease oriented panels	$18.25	$35.00	$12.56–$55.71	80% below	48%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipofit by Nmr	$58.40	$112.00	$40.18–$108.60	34% below	48%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Organ/Disease oriented panels	$80.30	$154.00	$46.75–$149.32	10% below	48%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Lipofit by Nmr	$58.40	$112.00	$40.18–$108.60	—	48%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Organ/Disease oriented panels	$80.30	$154.00	$46.75–$149.32	—	48%
Complete blood count (CBC) with differential CPT 85025 Hematology and Coagulation	$28.68	$55.00	$19.73–$53.33	60% below	48%
Complete blood count (CBC) with differential CPT 85025 Hematology and Coagulation	$50.05	$96.00	$32.61–$93.08	31% below	48%
Complete blood count (CBC) with differential inpatient CPT 85025 Hematology and Coagulation	$50.05	$96.00	$32.61–$93.08	—	48%
Complete blood count (CBC), no differential CPT 85027 Hematology and Coagulation	$18.25	$35.00	$10.45–$33.94	65% below	48%
Complete blood count (CBC), no differential CPT 85027 Hematology and Coagulation	$41.19	$79.00	$23.59–$76.60	22% below	48%
Complete blood count (CBC), no differential inpatient CPT 85027 Hematology and Coagulation	$41.19	$79.00	$23.59–$76.60	—	48%
Comprehensive metabolic panel (blood test) CPT 80053 Organ/Disease oriented panels	$26.07	$50.00	$17.94–$74.25	77% below	48%
Comprehensive metabolic panel (blood test) CPT 80053 Organ/Disease oriented panels	$186.66	$358.00	$43.48–$347.12	64% above	48%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 Organ/Disease oriented panels	$186.66	$358.00	$43.48–$347.12	—	48%
Cortisol blood test, total CPT 82533 Chemistry	$44.84	$86.00	$25.68–$83.39	63% below	48%
Cortisol blood test, total CPT 82533 Dexamethasone Overnight	$44.84	$86.00	$25.68–$83.39	63% below	48%
Cortisol blood test, total inpatient CPT 82533 Dexamethasone Overnight	$44.84	$86.00	$25.68–$83.39	—	48%
Cortisol blood test, total inpatient CPT 82533 Chemistry	$44.84	$86.00	$25.68–$83.39	—	48%
Creatine kinase (CK) blood test, total CPT 82550 Chemistry	$37.54	$72.00	$21.50–$69.81	41% below	48%
Creatine kinase (CK) blood test, total inpatient CPT 82550 Chemistry	$37.54	$72.00	$21.50–$69.81	—	48%
Creatinine blood test CPT 82565 Chemistry	$10.43	$20.00	$5.97–$21.74	67% below	48%
Creatinine blood test CPT 82565 Chemistry	$33.37	$64.00	$19.11–$62.05	5% above	48%
Creatinine blood test inpatient CPT 82565 Chemistry	$33.37	$64.00	$19.11–$62.05	—	48%
Cytomegalovirus (CMV) antibody test CPT 86644 Immunology	$33.37	$64.00	$19.11–$62.05	53% below	48%
Cytomegalovirus (CMV) antibody test CPT 86644 CMV Aby IGG	$50.58	$97.00	$28.96–$94.05	28% below	48%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 Immunology	$33.37	$64.00	$19.11–$62.05	—	48%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 CMV Aby IGG	$50.58	$97.00	$28.96–$94.05	—	48%
D-dimer blood test (blood clot marker) CPT 85379 Hematology and Coagulation	$107.93	$207.00	$42.12–$200.71	36% above	48%
D-dimer blood test (blood clot marker) inpatient CPT 85379 Hematology and Coagulation	$107.93	$207.00	$42.12–$200.71	—	48%
DHEA sulfate (DHEA-S) blood test CPT 82627 Dehydroepiandrosterone Sulfate Peds	$27.11	$52.00	$15.53–$92.40	81% below	48%
DHEA sulfate (DHEA-S) blood test CPT 82627 Chemistry	$27.63	$53.00	$15.83–$92.40	81% below	48%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 Dehydroepiandrosterone Sulfate Peds	$27.11	$52.00	$15.53–$92.40	—	48%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 Chemistry	$27.63	$53.00	$15.83–$92.40	—	48%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Drug Assay	$72.47	$139.00	$41.51–$258.17	37% below	48%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Drug assay	$82.38	$158.00	$47.18–$258.17	29% below	48%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Urine Drug Pain Management Panel	$91.77	$176.00	$52.55–$258.17	21% below	48%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Urine Drug Comprehensive Panel	$137.13	$263.00	$78.53–$258.17	18% above	48%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Drug Assay	$72.47	$139.00	$41.51–$258.17	—	48%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Drug assay	$82.38	$158.00	$47.18–$258.17	—	48%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Urine Drug Pain Management Panel	$91.77	$176.00	$52.55–$258.17	—	48%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Urine Drug Comprehensive Panel	$137.13	$263.00	$78.53–$258.17	—	48%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 Organ/Disease oriented panels	$59.96	$115.00	$28.53–$111.50	23% above	48%
Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 Organ/Disease oriented panels	$59.96	$115.00	$28.53–$111.50	—	48%
Epstein-Barr virus (EBV) antibody test CPT 86665 Immunology	$20.86	$40.00	$11.94–$74.73	75% below	48%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 Immunology	$20.86	$40.00	$11.94–$74.73	—	48%
Estradiol blood test CPT 82670 Estradiol	$119.40	$229.00	$68.38–$222.04	7% below	48%
Estradiol blood test CPT 82670 Chemistry	$119.40	$229.00	$68.38–$222.04	7% below	48%
Estradiol blood test inpatient CPT 82670 Chemistry	$119.40	$229.00	$68.38–$222.04	—	48%
Estradiol blood test inpatient CPT 82670 Estradiol	$119.40	$229.00	$68.38–$222.04	—	48%
FSH (follicle-stimulating hormone) test CPT 83001 Chemistry	$18.77	$36.00	$10.75–$77.45	84% below	48%
FSH (follicle-stimulating hormone) test CPT 83001 FSH	$75.08	$144.00	$43.00–$139.62	35% below	48%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 Chemistry	$18.77	$36.00	$10.75–$77.45	—	48%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 FSH	$75.08	$144.00	$43.00–$139.62	—	48%
Fecal calprotectin (stool inflammation test) CPT 83993 Chemistry	$80.30	$154.00	$16.69–$149.32	57% below	48%
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 Chemistry	$80.30	$154.00	$16.69–$149.32	—	48%
Ferritin blood test (iron stores) CPT 82728 Chemistry	$68.82	$132.00	$39.42–$127.99	24% below	48%
Ferritin blood test (iron stores) inpatient CPT 82728 Chemistry	$68.82	$132.00	$39.42–$127.99	—	48%
Fibrinogen blood test CPT 85384 Hematology and Coagulation	$49.53	$95.00	$28.37–$92.11	27% below	48%
Fibrinogen blood test inpatient CPT 85384 Hematology and Coagulation	$49.53	$95.00	$28.37–$92.11	—	48%
Folate (folic acid) blood test CPT 82746 Chemistry	$17.73	$34.00	$10.15–$61.15	82% below	48%
Folate (folic acid) blood test inpatient CPT 82746 Chemistry	$17.73	$34.00	$10.15–$61.15	—	48%
Free T3 thyroid hormone test CPT 84481 Chemistry	$21.90	$42.00	$12.54–$70.66	78% below	48%
Free T3 thyroid hormone test inpatient CPT 84481 Chemistry	$21.90	$42.00	$12.54–$70.66	—	48%
Free T4 (free thyroxine) thyroid blood test CPT 84439 Chemistry	$114.71	$220.00	$38.05–$213.31	42% above	48%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 Chemistry	$114.71	$220.00	$38.05–$213.31	—	48%
Free testosterone test CPT 84402 Chemistry	$67.78	$130.00	$38.82–$126.05	42% below	48%
Free testosterone test CPT 84402 Testosterone Bioavailable and Shbg, Female and Children	$67.78	$130.00	$38.82–$126.05	42% below	48%
Free testosterone test inpatient CPT 84402 Testosterone Bioavailable and Shbg, Female and Children	$67.78	$130.00	$38.82–$126.05	—	48%
Free testosterone test inpatient CPT 84402 Chemistry	$67.78	$130.00	$38.82–$126.05	—	48%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 Chemistry	$41.71	$80.00	$23.89–$77.57	22% below	48%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 Chemistry	$41.71	$80.00	$23.89–$77.57	—	48%
General health panel: metabolic panel, blood count and TSH in one order CPT 80050 Organ/Disease oriented panels	$186.66	$358.00	$106.90–$347.12	32% below	48%
General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 Organ/Disease oriented panels	$186.66	$358.00	$106.90–$347.12	—	48%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 Chemistry	$22.94	$44.00	$13.14–$42.66	54% below	48%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 Glucose, 1 Hour	$67.26	$129.00	$20.38–$125.08	36% above	48%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 Chemistry	$22.94	$44.00	$13.14–$42.66	—	48%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 Glucose, 1 Hour	$67.26	$129.00	$20.38–$125.08	—	48%
Glucose tolerance test, 3 samples CPT 82951 Glucose, Pregnant 2 Hour	$29.72	$57.00	$17.02–$55.27	67% below	48%
Glucose tolerance test, 3 samples CPT 82951 Chemistry	$61.53	$118.00	$35.23–$114.41	31% below	48%
Glucose tolerance test, 3 samples inpatient CPT 82951 Glucose, Pregnant 2 Hour	$29.72	$57.00	$17.02–$55.27	—	48%
Glucose tolerance test, 3 samples inpatient CPT 82951 Chemistry	$61.53	$118.00	$35.23–$114.41	—	48%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Chlamydia/Neisseria Gonorrhoeae Rna, Tma, Urogenital	$46.93	$90.00	$26.87–$145.39	67% below	48%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Microbiology	$67.26	$129.00	$38.52–$145.39	53% below	48%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 Chlamydia/Neisseria Gonorrhoeae Rna, Tma, Urogenital	$46.93	$90.00	$26.87–$145.39	—	48%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 Microbiology	$67.26	$129.00	$38.52–$145.39	—	48%
H. pylori stool antigen test CPT 87338 Microbiology	$65.17	$125.00	$14.38–$121.20	50% below	48%
H. pylori stool antigen test inpatient CPT 87338 Microbiology	$65.17	$125.00	$14.38–$121.20	—	48%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 Hiv-1 Rna Quant	$103.76	$199.00	$59.42–$353.29	73% below	48%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 Microbiology	$130.35	$250.00	$74.65–$353.29	66% below	48%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 Hiv-1 Rna Quant	$103.76	$199.00	$59.42–$353.29	—	48%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 Microbiology	$130.35	$250.00	$74.65–$353.29	—	48%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 Microbiology	$58.40	$112.00	$33.44–$108.60	43% below	48%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 Microbiology	$58.40	$112.00	$33.44–$108.60	—	48%
HPV test for high-risk types, one combined (pooled) result CPT 87624 Hpv Genotyping Pcr	$81.86	$157.00	$46.88–$152.23	43% below	48%
HPV test for high-risk types, one combined (pooled) result CPT 87624 Microbiology	$84.99	$163.00	$48.67–$158.04	41% below	48%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 Hpv Genotyping Pcr	$81.86	$157.00	$46.88–$152.23	—	48%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 Microbiology	$84.99	$163.00	$48.67–$158.04	—	48%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Chemistry	$18.25	$35.00	$12.56–$40.76	74% below	48%
Hemoglobin blood test CPT 85018 Hematology and Coagulation	$10.43	$20.00	$5.97–$19.39	40% below	48%
Hemoglobin blood test CPT 85018 Hematology and Coagulation	$19.81	$38.00	$9.51–$36.84	13% above	48%
Hemoglobin blood test inpatient CPT 85018 Hematology and Coagulation	$19.81	$38.00	$9.51–$36.84	—	48%
Hepatitis B core antibody test (total) CPT 86704 Immunology	$28.16	$54.00	$16.12–$52.36	65% below	48%
Hepatitis B core antibody test (total) inpatient CPT 86704 Immunology	$28.16	$54.00	$16.12–$52.36	—	48%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Immunology	$21.90	$42.00	$12.54–$44.84	70% below	48%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 Immunology	$21.90	$42.00	$12.54–$44.84	—	48%
Hepatitis B surface antigen (HBsAg) test CPT 87340 Microbiology	$13.03	$25.00	$7.47–$43.48	80% below	48%
Hepatitis B surface antigen (HBsAg) test CPT 87340 Microbiology	$134.00	$257.00	$43.48–$249.19	106% above	48%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 Microbiology	$134.00	$257.00	$43.48–$249.19	—	48%
Hepatitis C antibody blood test (screening) CPT 86803 Immunology	$35.98	$69.00	$20.60–$66.90	55% below	48%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 Immunology	$35.98	$69.00	$20.60–$66.90	—	48%
Hepatitis C viral load (HCV RNA) test CPT 87522 Hepatitis C Rna Quantitative by Tma	$108.45	$208.00	$62.11–$201.68	54% below	48%
Hepatitis C viral load (HCV RNA) test CPT 87522 Microbiology	$141.30	$271.00	$80.92–$262.76	40% below	48%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 Hepatitis C Rna Quantitative by Tma	$108.45	$208.00	$62.11–$201.68	—	48%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 Microbiology	$141.30	$271.00	$80.92–$262.76	—	48%
Herpes blood test, HSV-1 antibody CPT 86695 Immunology	$39.63	$76.00	$22.69–$73.69	42% below	48%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 Immunology	$39.63	$76.00	$22.69–$73.69	—	48%
Herpes blood test, HSV-2 antibody CPT 86696 Immunology	$39.63	$76.00	$22.69–$80.17	51% below	48%
Herpes blood test, HSV-2 antibody CPT 86696 Herpes Simplex Virus 2 Igg	$72.47	$139.00	$41.51–$134.77	11% below	48%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 Immunology	$39.63	$76.00	$22.69–$80.17	—	48%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 Herpes Simplex Virus 2 Igg	$72.47	$139.00	$41.51–$134.77	—	48%
High-sensitivity CRP (hs-CRP) test CPT 86141 Immunology	$72.47	$139.00	$41.51–$134.77	9% below	48%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 Immunology	$72.47	$139.00	$41.51–$134.77	—	48%
Homocysteine blood test CPT 83090 Chemistry	$84.47	$162.00	$48.37–$157.08	29% below	48%
Homocysteine blood test inpatient CPT 83090 Chemistry	$84.47	$162.00	$48.37–$157.08	—	48%
Insulin blood test CPT 83525 Chemistry	$38.58	$74.00	$22.10–$71.75	43% below	48%
Insulin blood test inpatient CPT 83525 Chemistry	$38.58	$74.00	$22.10–$71.75	—	48%
Iron blood test (serum iron) CPT 83540 Chemistry	$26.07	$50.00	$14.93–$48.48	51% below	48%
Iron blood test (serum iron) inpatient CPT 83540 Chemistry	$26.07	$50.00	$14.93–$48.48	—	48%
Kidney function blood test panel CPT 80069 Organ/Disease oriented panels	$142.34	$273.00	$36.69–$264.70	39% above	48%
Kidney function blood test panel inpatient CPT 80069 Organ/Disease oriented panels	$142.34	$273.00	$36.69–$264.70	—	48%
LH (luteinizing hormone) test CPT 83002 Chemistry	$19.29	$37.00	$11.05–$77.45	80% below	48%
LH (luteinizing hormone) test inpatient CPT 83002 Chemistry	$19.29	$37.00	$11.05–$77.45	—	48%
Lactate (lactic acid) blood test CPT 83605 Chemistry	$84.99	$163.00	$47.56–$158.04	22% above	48%
Lactate (lactic acid) blood test inpatient CPT 83605 Chemistry	$84.99	$163.00	$47.56–$158.04	—	48%
Lactate dehydrogenase (LDH) blood test CPT 83615 Chemistry	$35.98	$69.00	$20.60–$66.90	28% below	48%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 Chemistry	$35.98	$69.00	$20.60–$66.90	—	48%
Lipase blood test (pancreas enzyme) CPT 83690 Chemistry	$46.93	$90.00	$26.87–$87.26	31% below	48%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 Chemistry	$46.93	$90.00	$26.87–$87.26	—	48%
Liver function blood test panel CPT 80076 Organ/Disease oriented panels	$18.25	$35.00	$10.45–$33.97	82% below	48%
Liver function blood test panel CPT 80076 Organ/Disease oriented panels	$98.02	$188.00	$33.97–$182.28	4% below	48%
Liver function blood test panel inpatient CPT 80076 Organ/Disease oriented panels	$98.02	$188.00	$33.97–$182.28	—	48%
Lyme disease antibody test CPT 86618 Immunology	$27.11	$52.00	$15.53–$70.66	68% below	48%
Lyme disease antibody test inpatient CPT 86618 Immunology	$27.11	$52.00	$15.53–$70.66	—	48%
Magnesium blood test CPT 83735 Chemistry	$10.43	$20.00	$5.97–$27.18	80% below	48%
Magnesium blood test CPT 83735 Supersaturation Profile, Urine 24 Hr	$18.77	$36.00	$10.75–$34.91	64% below	48%
Magnesium blood test CPT 83735 Magnesium, Urine	$26.07	$50.00	$14.93–$48.48	50% below	48%
Magnesium blood test CPT 83735 Chemistry	$49.01	$94.00	$27.18–$91.14	7% below	48%
Magnesium blood test CPT 83735 Magnesium RBC	$61.00	$117.00	$27.18–$113.44	16% above	48%
Magnesium blood test inpatient CPT 83735 Supersaturation Profile, Urine 24 Hr	$18.77	$36.00	$10.75–$34.91	—	48%
Magnesium blood test inpatient CPT 83735 Magnesium, Urine	$26.07	$50.00	$14.93–$48.48	—	48%
Magnesium blood test inpatient CPT 83735 Chemistry	$49.01	$94.00	$27.18–$91.14	—	48%
Magnesium blood test inpatient CPT 83735 Magnesium RBC	$61.00	$117.00	$27.18–$113.44	—	48%
Measles (rubeola) antibody test CPT 86765 Immunology	$15.64	$30.00	$8.96–$52.99	81% below	48%
Measles (rubeola) antibody test CPT 86765 Immunology	$64.13	$123.00	$36.73–$119.26	22% below	48%
Measles (rubeola) antibody test inpatient CPT 86765 Immunology	$64.13	$123.00	$36.73–$119.26	—	48%
Mono test (heterophile antibody, Monospot) CPT 86308 Immunology	$13.03	$25.00	$7.47–$24.24	76% below	48%
Mumps immunity blood test CPT 86735 Immunology	$13.03	$25.00	$7.47–$54.35	85% below	48%
Mumps immunity blood test CPT 86735 Immunology	$77.69	$149.00	$44.49–$144.47	9% below	48%
Mumps immunity blood test inpatient CPT 86735 Immunology	$77.69	$149.00	$44.49–$144.47	—	48%
PSA (prostate-specific antigen) blood test, free CPT 84154 Chemistry	$22.94	$44.00	$13.14–$76.09	75% below	48%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 Chemistry	$22.94	$44.00	$13.14–$76.09	—	48%
PSA (prostate-specific antigen) blood test, total CPT 84153 Chemistry	$22.94	$44.00	$13.14–$76.09	76% below	48%
PSA (prostate-specific antigen) blood test, total CPT 84153 Chemistry	$26.07	$50.00	$14.93–$76.09	73% below	48%
PSA (prostate-specific antigen) blood test, total CPT 84153 Assay of Psa, Total	$87.60	$168.00	$50.16–$162.89	8% below	48%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 Chemistry	$22.94	$44.00	$13.14–$76.09	—	48%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 Assay of Psa, Total	$87.60	$168.00	$50.16–$162.89	—	48%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 Cytopathology	$67.78	$130.00	$38.82–$126.05	25% below	48%
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 Cytopathology	$67.78	$130.00	$38.82–$126.05	—	48%
Parathyroid hormone (PTH) blood test CPT 83970 Chemistry	$39.10	$75.00	$22.40–$171.21	82% below	48%
Parathyroid hormone (PTH) blood test CPT 83970 Ipth, Aspirate	$104.80	$201.00	$60.02–$194.89	51% below	48%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 Chemistry	$39.10	$75.00	$22.40–$171.21	—	48%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 Ipth, Aspirate	$104.80	$201.00	$60.02–$194.89	—	48%
Partial thromboplastin time (PTT) clotting test CPT 85730 Hematology and Coagulation	$39.10	$75.00	$22.40–$72.72	26% below	48%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Hematology and Coagulation	$39.10	$75.00	$22.40–$72.72	—	48%
Phosphorus (phosphate) blood test CPT 84100 Chemistry	$23.46	$45.00	$13.44–$43.63	44% below	48%
Phosphorus (phosphate) blood test inpatient CPT 84100 Chemistry	$23.46	$45.00	$13.44–$43.63	—	48%
Potassium blood test CPT 84132 Chemistry	$10.43	$20.00	$5.97–$20.38	62% below	48%
Potassium blood test CPT 84132 Chemistry	$22.42	$43.00	$12.84–$41.69	18% below	48%
Potassium blood test inpatient CPT 84132 Chemistry	$22.42	$43.00	$12.84–$41.69	—	48%
Progesterone blood test CPT 84144 Chemistry	$20.33	$39.00	$11.65–$86.96	83% below	48%
Progesterone blood test CPT 84144 Progesterone Peds	$98.02	$188.00	$56.14–$182.28	19% below	48%
Progesterone blood test inpatient CPT 84144 Chemistry	$20.33	$39.00	$11.65–$86.96	—	48%
Progesterone blood test inpatient CPT 84144 Progesterone Peds	$98.02	$188.00	$56.14–$182.28	—	48%
Prolactin blood test CPT 84146 Chemistry	$17.73	$34.00	$10.15–$80.17	85% below	48%
Prolactin blood test inpatient CPT 84146 Chemistry	$17.73	$34.00	$10.15–$80.17	—	48%
Prothrombin time (PT/INR) clotting test CPT 85610 Hematology and Coagulation	$10.43	$20.00	$5.97–$19.39	69% below	48%
Prothrombin time (PT/INR) clotting test CPT 85610 Hematology and Coagulation	$21.38	$41.00	$12.24–$39.75	36% below	48%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Hematology and Coagulation	$21.38	$41.00	$12.24–$39.75	—	48%
Rapid flu test (influenza antigen) CPT 87804 Microbiology	$62.05	$119.00	$35.53–$115.38	17% above	48%
Rapid flu test (influenza antigen) inpatient CPT 87804 Microbiology	$62.05	$119.00	$35.53–$115.38	—	48%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 Microbiology	$38.58	$74.00	$22.10–$71.75	15% below	48%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 Microbiology	$38.58	$74.00	$22.10–$71.75	—	48%
Renin blood test CPT 84244 Chemistry	$69.35	$133.00	$39.71–$128.96	53% below	48%
Renin blood test inpatient CPT 84244 Chemistry	$69.35	$133.00	$39.71–$128.96	—	48%
Rh blood typing CPT 86901 Relative Blood Type	$27.11	$52.00	$15.53–$111.94	32% below	48%
Rh blood typing CPT 86901 Transfusion Medicine	$27.11	$52.00	$15.53–$111.94	32% below	48%
Rh blood typing CPT 86901 CORD	$27.11	$52.00	$15.53–$111.94	32% below	48%
Rh blood typing CPT 86901 RH	$27.11	$52.00	$15.53–$111.94	32% below	48%
Rh blood typing CPT 86901 Newborn Abo Rh	$27.11	$52.00	$15.53–$111.94	32% below	48%
Rh blood typing CPT 86901 Gelsc	$51.10	$98.00	$29.26–$111.94	29% above	48%
Rh blood typing inpatient CPT 86901 CORD	$27.11	$52.00	$15.53–$111.94	—	48%
Rh blood typing inpatient CPT 86901 RH	$27.11	$52.00	$15.53–$111.94	—	48%
Rh blood typing inpatient CPT 86901 Relative Blood Type	$27.11	$52.00	$15.53–$111.94	—	48%
Rh blood typing inpatient CPT 86901 Transfusion Medicine	$27.11	$52.00	$15.53–$111.94	—	48%
Rh blood typing inpatient CPT 86901 Newborn Abo Rh	$27.11	$52.00	$15.53–$111.94	—	48%
Rh blood typing inpatient CPT 86901 Gelsc	$51.10	$98.00	$29.26–$111.94	—	48%
Rheumatoid factor (RF) test CPT 86431 Immunology	$19.29	$37.00	$11.05–$35.88	67% below	48%
Rheumatoid factor (RF) test CPT 86431 Ana Profile 12	$19.81	$38.00	$11.35–$36.84	66% below	48%
Rheumatoid factor (RF) test inpatient CPT 86431 Immunology	$19.29	$37.00	$11.05–$35.88	—	48%
Rheumatoid factor (RF) test inpatient CPT 86431 Ana Profile 12	$19.81	$38.00	$11.35–$36.84	—	48%
Rubella antibody test (immunity check) CPT 86762 Immunology	$13.03	$25.00	$7.47–$59.79	84% below	48%
Rubella antibody test (immunity check) CPT 86762 Immunology	$68.82	$132.00	$39.42–$127.99	17% below	48%
Rubella antibody test (immunity check) inpatient CPT 86762 Immunology	$68.82	$132.00	$39.42–$127.99	—	48%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 Hematology and Coagulation	$23.46	$45.00	$10.87–$43.63	44% below	48%
Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 Hematology and Coagulation	$23.46	$45.00	$10.87–$43.63	—	48%
Sodium blood test CPT 84295 Chemistry	$10.43	$20.00	$5.97–$20.38	58% below	48%
Sodium blood test CPT 84295 Chemistry	$21.90	$42.00	$12.54–$40.72	12% below	48%
Sodium blood test inpatient CPT 84295 Chemistry	$21.90	$42.00	$12.54–$40.72	—	48%
Stool ova and parasites exam CPT 87177 Microbiology	$26.07	$50.00	$14.93–$48.48	60% below	48%
Stool ova and parasites exam inpatient CPT 87177 Microbiology	$26.07	$50.00	$14.93–$48.48	—	48%
Syphilis antibody test (Treponema pallidum) CPT 86780 Immunology	$33.37	$64.00	$19.11–$62.05	39% below	48%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 Immunology	$33.37	$64.00	$19.11–$62.05	—	48%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Immunology	$19.29	$37.00	$11.05–$35.88	51% below	48%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 Immunology	$19.29	$37.00	$11.05–$35.88	—	48%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 Immunology	$72.47	$139.00	$50.60–$125.10	71% below	48%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 Immunology	$72.47	$139.00	$50.60–$125.10	—	48%
Testosterone blood test, total (not free testosterone) CPT 84403 Chemistry	$23.98	$46.00	$13.74–$107.35	79% below	48%
Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone Bioavailable and Shbg, Female or Children	$25.03	$48.00	$14.33–$107.35	78% below	48%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Chemistry	$23.98	$46.00	$13.74–$107.35	—	48%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Testosterone Bioavailable and Shbg, Female or Children	$25.03	$48.00	$14.33–$107.35	—	48%
Thyroid peroxidase (TPO) antibody test CPT 86376 Immunology	$92.29	$177.00	$52.85–$171.62	32% above	48%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Immunology	$92.29	$177.00	$52.85–$171.62	—	48%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 Chemistry	$18.25	$35.00	$12.56–$69.30	80% below	48%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 Chemistry	$84.99	$163.00	$49.50–$158.04	5% below	48%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 Chemistry	$84.99	$163.00	$49.50–$158.04	—	48%
Total IgE blood test CPT 82785 Chemistry	$46.93	$90.00	$26.87–$87.26	54% below	48%
Total IgE blood test inpatient CPT 82785 Chemistry	$46.93	$90.00	$26.87–$87.26	—	48%
Total cholesterol blood test CPT 82465 Chemistry	$10.43	$20.00	$5.97–$19.39	77% below	48%
Total cholesterol blood test CPT 82465 Chemistry	$46.40	$89.00	$17.66–$86.29	at median	48%
Total cholesterol blood test inpatient CPT 82465 Chemistry	$46.40	$89.00	$17.66–$86.29	—	48%
Total thyroxine (T4) blood test CPT 84436 Chemistry	$27.63	$53.00	$15.83–$51.39	47% below	48%
Total thyroxine (T4) blood test inpatient CPT 84436 Chemistry	$27.63	$53.00	$15.83–$51.39	—	48%
Total triiodothyronine (T3) blood test CPT 84480 Chemistry	$46.93	$90.00	$26.87–$87.26	56% below	48%
Total triiodothyronine (T3) blood test inpatient CPT 84480 Chemistry	$46.93	$90.00	$26.87–$87.26	—	48%
Transferrin blood test CPT 84466 Chemistry	$47.45	$91.00	$27.17–$88.23	50% below	48%
Transferrin blood test inpatient CPT 84466 Chemistry	$47.45	$91.00	$27.17–$88.23	—	48%
Trichomonas test (NAAT) CPT 87661 Microbiology	$43.80	$84.00	$25.08–$145.39	68% below	48%
Trichomonas test (NAAT) inpatient CPT 87661 Microbiology	$43.80	$84.00	$25.08–$145.39	—	48%
Triglycerides blood test CPT 84478 Chemistry	$38.58	$74.00	$22.10–$71.75	28% below	48%
Triglycerides blood test inpatient CPT 84478 Chemistry	$38.58	$74.00	$22.10–$71.75	—	48%
Troponin test, quantitative CPT 84484 Chemistry	$59.44	$114.00	$34.04–$110.53	30% below	48%
Troponin test, quantitative inpatient CPT 84484 Chemistry	$59.44	$114.00	$34.04–$110.53	—	48%
Uric acid blood test CPT 84550 Chemistry	$22.42	$43.00	$12.84–$41.69	56% below	48%
Uric acid blood test inpatient CPT 84550 Chemistry	$22.42	$43.00	$12.84–$41.69	—	48%
Urinalysis with microscope exam, automated CPT 81001 Urinalysis	$19.29	$37.00	$11.05–$35.88	47% below	48%
Urinalysis with microscope exam, automated inpatient CPT 81001 Urinalysis	$19.29	$37.00	$11.05–$35.88	—	48%
Urinalysis without microscope exam, automated CPT 81003 Urinalysis	$19.29	$37.00	$9.51–$35.88	23% below	48%
Urinalysis without microscope exam, automated inpatient CPT 81003 Urinalysis	$19.29	$37.00	$9.51–$35.88	—	48%
Urinalysis without microscope exam, manual CPT 81002 Urinalysis	$3.65	$7.00	$2.09–$14.95	74% below	48%
Urinalysis without microscope exam, manual inpatient CPT 81002 Urinalysis	$3.65	$7.00	$2.09–$14.95	—	48%
Urine culture for bacteria, with colony count CPT 87086 Microbiology	$21.38	$41.00	$12.24–$39.75	72% below	48%
Urine culture for bacteria, with colony count inpatient CPT 87086 Microbiology	$21.38	$41.00	$12.24–$39.75	—	48%
Urine microalbumin (albumin) test CPT 82043 Microalbumin 24 Hr U	$33.37	$64.00	$19.11–$62.05	49% below	48%
Urine microalbumin (albumin) test CPT 82043 Chemistry	$49.01	$94.00	$24.46–$91.14	25% below	48%
Urine microalbumin (albumin) test inpatient CPT 82043 Microalbumin 24 Hr U	$33.37	$64.00	$19.11–$62.05	—	48%
Urine microalbumin (albumin) test inpatient CPT 82043 Chemistry	$49.01	$94.00	$24.46–$91.14	—	48%
Urine pregnancy test, read by color change CPT 81025 Urinalysis	$10.43	$20.00	$5.97–$35.33	79% below	48%
Vitamin B12 (cobalamin) blood test CPT 82607 Chemistry	$10.43	$20.00	$5.97–$62.50	90% below	48%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Chemistry	$26.07	$50.00	$14.93–$122.29	83% below	48%
Vitamin D, 1,25-dihydroxy blood test CPT 82652 Chemistry	$93.33	$179.00	$53.45–$173.56	42% below	48%
Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 Chemistry	$93.33	$179.00	$53.45–$173.56	—	48%
Zinc blood test CPT 84630 Chemistry	$22.94	$44.00	$13.14–$47.56	71% below	48%
Zinc blood test CPT 84630 Zinc, Urine	$63.09	$121.00	$36.13–$117.32	21% below	48%
Zinc blood test inpatient CPT 84630 Chemistry	$22.94	$44.00	$13.14–$47.56	—	48%
Zinc blood test inpatient CPT 84630 Zinc, Urine	$63.09	$121.00	$36.13–$117.32	—	48%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Chemistry	$67.78	$130.00	$38.82–$126.05	42% below	48%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Prenatal Quad Screen	$128.79	$247.00	$62.50–$239.49	9% above	48%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 Chemistry	$67.78	$130.00	$38.82–$126.05	—	48%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 Prenatal Quad Screen	$128.79	$247.00	$62.50–$239.49	—	48%

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs Wisconsin	Off list
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 Treatment of ankle fracture	$47.45	$91.00	$33.12–$669.53	91% below	48%
Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 Treatment of ankle fracture	$47.45	$91.00	$33.12–$669.53	—	48%
Broken foot (metatarsal) treatment without surgery or setting CPT 28470 Treatment of foot fracture	$41.71	$80.00	$72.00–$465.17	93% below	48%
Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 Treatment of foot fracture	$41.71	$80.00	$72.00–$465.17	—	48%
Cardioversion, elective (restoring heart rhythm) CPT 92960 Cardioversion	$183.01	$351.00	$104.81–$1,866.23	81% below	48%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 Cardioversion	$183.01	$351.00	$104.81–$1,866.23	—	48%
Cervical biopsy CPT 57500 Biopsy of Cervix	$112.10	$215.00	$53.58–$2,483.26	81% below	48%
Cervical biopsy inpatient CPT 57500 Biopsy of Cervix	$112.10	$215.00	$53.58–$2,483.26	—	48%
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 Circumcision	$137.13	$263.00	$67.85–$287.10	33% below	48%
Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 Circumcision	$137.13	$263.00	$67.85–$287.10	—	48%
Circumcision, surgical, older than a newborn CPT 54160 Circumcision	$208.56	$400.00	$104.91–$1,903.54	72% below	48%
Circumcision, surgical, older than a newborn inpatient CPT 54160 Circumcision	$208.56	$400.00	$104.91–$1,903.54	—	48%
Colonoscopy with polyp removal CPT 45385 Colonoscopy with lesion removal	$1,950.56	$3,741.00	$1,191.30–$3,627.27	21% below	48%
Colonoscopy with polyp removal inpatient CPT 45385 Colonoscopy with lesion removal	$1,950.56	$3,741.00	$1,191.30–$3,627.27	—	48%
Colonoscopy with tissue sample CPT 45380 Colonoscopy with biopsy	$1,950.56	$3,741.00	$1,191.30–$3,627.27	5% below	48%
Colonoscopy with tissue sample inpatient CPT 45380 Colonoscopy with biopsy	$1,950.56	$3,741.00	$1,191.30–$3,627.27	—	48%
Colonoscopy, diagnostic CPT 45378 Diagnostic colonoscopy	$1,950.56	$3,741.00	$1,342.08–$3,627.27	12% above	48%
Colonoscopy, diagnostic inpatient CPT 45378 Diagnostic colonoscopy	$1,950.56	$3,741.00	$1,342.08–$3,627.27	—	48%
Colposcopy with LEEP (loop electrosurgical excision) CPT 57460 Biopsy of cervix with scope leep	$259.14	$497.00	$112.42–$611.82	70% below	48%
Colposcopy with LEEP (loop electrosurgical excision) inpatient CPT 57460 Biopsy of cervix with scope leep	$259.14	$497.00	$112.42–$611.82	—	48%
Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 Colposcopy of cervix with biopsy	$36.50	$70.00	$25.48–$349.99	92% below	48%
Colposcopy with cervical biopsy and scraping of the cervical canal inpatient CPT 57454 Colposcopy of cervix with biopsy	$36.50	$70.00	$25.48–$349.99	—	48%
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 Cystourethroscopy	$201.78	$387.00	$56.84–$475.20	80% below	48%
Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 Cystourethroscopy	$201.78	$387.00	$56.84–$475.20	—	48%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 Destruct Premalg Lesion	$35.46	$68.00	$24.75–$375.88	80% below	48%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 Destruct Premalg Lesion	$35.46	$68.00	$24.75–$375.88	—	48%
Ear tube placement (tympanostomy) with local anesthesia, one ear CPT 69433 Create Eardrum Opening	$92.29	$177.00	$98.15–$417.61	82% below	48%
Ear tube placement (tympanostomy) with local anesthesia, one ear inpatient CPT 69433 Create Eardrum Opening	$92.29	$177.00	$98.15–$417.61	—	48%
Earwax removal by irrigation (rinsing), one ear CPT 69209 Remove impacted ear wax	$20.86	$40.00	$11.76–$375.88	77% below	48%
Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 Remove impacted ear wax	$20.86	$40.00	$11.76–$375.88	—	48%
Earwax removal with instruments, one ear CPT 69210 Remove impacted ear wax	$36.50	$70.00	$19.36–$375.88	56% below	48%
Earwax removal with instruments, one ear inpatient CPT 69210 Remove impacted ear wax	$36.50	$70.00	$19.36–$375.88	—	48%
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 Biopsy of Uterus Lining	$44.32	$85.00	$30.94–$208.06	84% below	48%
Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 Biopsy of Uterus Lining	$44.32	$85.00	$30.94–$208.06	—	48%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 Njx Interlaminar Crv/Thrc W/Img	$399.39	$766.00	$77.62–$1,975.00	70% below	48%
Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 Njx Interlaminar Crv/Thrc W/Img	$399.39	$766.00	$77.62–$1,975.00	—	48%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 injection; lumbar/sacral, single level	$1,458.88	$2,798.00	$65.85–$2,712.94	10% below	48%
Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 injection; lumbar/sacral, single level	$1,458.88	$2,798.00	$65.85–$2,712.94	—	48%
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 Diagnostic sigmoidoscopy	$1,037.06	$1,989.00	$593.92–$2,600.09	21% above	48%
Flexible sigmoidoscopy, diagnostic (lower colon only) inpatient CPT 45330 Diagnostic sigmoidoscopy	$1,037.06	$1,989.00	$593.92–$2,600.09	—	48%
Hemorrhoid banding (rubber band ligation) CPT 46221 Ligation of hemorrhoid(s)	$305.54	$586.00	$174.98–$2,600.09	76% below	48%
Hemorrhoid banding (rubber band ligation) inpatient CPT 46221 Ligation of hemorrhoid(s)	$305.54	$586.00	$174.98–$2,600.09	—	48%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 Catheter for Hysterograp F	$271.65	$521.00	$41.31–$505.16	19% below	48%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 Catheter for Hysterograp F	$271.65	$521.00	$41.31–$505.16	—	48%
Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 Hysteroscpy Surg; W/Bx &/ Polypect	$1,241.45	$2,381.00	$162.00–$2,634.72	66% below	48%
Hysteroscopy with uterine lining sampling and/or polyp removal inpatient CPT 58558 Hysteroscpy Surg; W/Bx &/ Polypect	$1,241.45	$2,381.00	$162.00–$2,634.72	—	48%
IUD insertion (the device itself billed separately) CPT 58300 Insert intrauterine device	$38.58	$74.00	$26.94–$217.80	87% below	48%
IUD insertion (the device itself billed separately) inpatient CPT 58300 Insert intrauterine device	$38.58	$74.00	$26.94–$217.80	—	48%
Incision and drainage of a simple or single skin abscess CPT 10060 Drainage of skin abscess	$102.19	$196.00	$71.34–$255.62	65% below	48%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 Drainage of skin abscess	$102.19	$196.00	$71.34–$255.62	—	48%
Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 Insert drug implant device	$83.42	$160.00	$37.25–$192.72	68% below	48%
Insertion of a drug-delivery implant, such as the arm birth control implant inpatient CPT 11981 Insert drug implant device	$83.42	$160.00	$37.25–$192.72	—	48%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 Repair wound scalp, trunk extremities	$130.87	$251.00	$111.42–$520.08	75% below	48%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 Repair wound scalp, trunk extremities	$130.87	$251.00	$111.42–$520.08	—	48%
Lower-back epidural injection, with imaging guidance CPT 62323 injection of diagnostic or therapeutic agent	$399.39	$766.00	$228.73–$1,975.00	65% below	48%
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 injection of diagnostic or therapeutic agent	$399.39	$766.00	$228.73–$1,975.00	—	48%
Lower-back epidural injection, without imaging guidance CPT 62322 Injection of diagnostic or therapeutic agent	$831.11	$1,594.00	$55.83–$2,539.01	1% above	48%
Lower-back epidural injection, without imaging guidance inpatient CPT 62322 Injection of diagnostic or therapeutic agent	$831.11	$1,594.00	$55.83–$2,539.01	—	48%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 Injection foramen epidural; lumbar or sacral	$831.63	$1,595.00	$81.12–$2,539.01	22% below	48%
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 Injection foramen epidural; lumbar or sacral	$831.63	$1,595.00	$81.12–$2,539.01	—	48%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 Exc Tr-Ext B9+Marg 0.5 <	$67.26	$129.00	$62.85–$379.42	81% below	48%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 Exc Tr-Ext B9+Marg 0.5 <	$67.26	$129.00	$62.85–$379.42	—	48%
Nail removal (partial or complete), one nail CPT 11730 Removal of nail plate	$69.35	$133.00	$39.06–$233.33	70% below	48%
Nail removal (partial or complete), one nail inpatient CPT 11730 Removal of nail plate	$69.35	$133.00	$39.06–$233.33	—	48%
Occipital nerve block (injection for headaches) CPT 64405 Injection; Occipital nerve	$801.91	$1,538.00	$36.05–$1,491.24	74% above	48%
Occipital nerve block (injection for headaches) inpatient CPT 64405 Injection; Occipital nerve	$801.91	$1,538.00	$36.05–$1,491.24	—	48%
Paracentesis with imaging guidance CPT 49083 Abdominal paracentesis w/imaging	$277.38	$532.00	$158.86–$2,673.81	78% below	48%
Paracentesis with imaging guidance inpatient CPT 49083 Abdominal paracentesis w/imaging	$277.38	$532.00	$158.86–$2,673.81	—	48%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 Removal of nail bed	$68.82	$132.00	$48.05–$375.88	79% below	48%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 Removal of nail bed	$68.82	$132.00	$48.05–$375.88	—	48%
Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 Destroy Lumb/Sac Facet Jnt	$1,507.37	$2,891.00	$863.25–$5,569.09	39% below	48%
Radiofrequency ablation of facet joint nerves, lower back, one level inpatient CPT 64635 Destroy Lumb/Sac Facet Jnt	$1,507.37	$2,891.00	$863.25–$5,569.09	—	48%
Removal of a foreign object under the skin, simple CPT 10120 Remove foreign body	$72.47	$139.00	$41.51–$1,139.42	78% below	48%
Removal of a foreign object under the skin, simple inpatient CPT 10120 Remove foreign body	$72.47	$139.00	$41.51–$1,139.42	—	48%
Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 Ca Screen Colonoscopy	$1,773.28	$3,401.00	$1,142.90–$3,297.61	8% below	48%
Screening colonoscopy for a person at average risk (Medicare code) inpatient HCPCS G0121 Ca Screen Colonoscopy	$1,773.28	$3,401.00	$1,142.90–$3,297.61	—	48%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 Hi risk screening colonoscopy	$1,950.56	$3,741.00	$1,142.90–$3,627.27	3% above	48%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) inpatient HCPCS G0105 Hi risk screening colonoscopy	$1,950.56	$3,741.00	$1,142.90–$3,627.27	—	48%
Short arm cast (elbow to hand) CPT 29075 Apply Short Arm Cast	$67.78	$130.00	$38.82–$757.41	73% below	48%
Short arm cast (elbow to hand) inpatient CPT 29075 Apply Short Arm Cast	$67.78	$130.00	$38.82–$757.41	—	48%
Short arm splint (forearm and hand) CPT 29125 Apply forearm splint	$45.88	$88.00	$25.11–$379.42	74% below	48%
Short arm splint (forearm and hand) inpatient CPT 29125 Apply forearm splint	$45.88	$88.00	$25.11–$379.42	—	48%
Short leg cast (below the knee) CPT 29405 Apply short leg cast	$36.50	$70.00	$25.48–$167.93	84% below	48%
Short leg cast (below the knee) inpatient CPT 29405 Apply short leg cast	$36.50	$70.00	$25.48–$167.93	—	48%
Short leg splint (calf to foot) CPT 29515 Application of lower leg splint	$42.23	$81.00	$29.48–$149.36	80% below	48%
Short leg splint (calf to foot) inpatient CPT 29515 Application of lower leg splint	$42.23	$81.00	$29.48–$149.36	—	48%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 Repair superficial wound	$101.67	$195.00	$30.79–$183.48	69% below	48%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 Repair superficial wound	$101.67	$195.00	$30.79–$183.48	—	48%
Skin biopsy, punch, one lesion CPT 11104 Punch biopsy skin single lesion	$93.85	$180.00	$53.75–$1,139.42	61% below	48%
Skin biopsy, punch, one lesion inpatient CPT 11104 Punch biopsy skin single lesion	$93.85	$180.00	$53.75–$1,139.42	—	48%
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 Exc Tr-Ext Mlg+Marg 0.5	$110.54	$212.00	$63.30–$2,006.55	70% below	48%
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11600 Exc Tr-Ext Mlg+Marg 0.5	$110.54	$212.00	$63.30–$2,006.55	—	48%
Skin tag removal, up to 15 tags CPT 11200 Removal of skin tags	$80.30	$154.00	$56.06–$375.88	43% below	48%
Skin tag removal, up to 15 tags inpatient CPT 11200 Removal of skin tags	$80.30	$154.00	$56.06–$375.88	—	48%
Spinal tap (lumbar puncture), diagnostic CPT 62270 Diagnostic spinal tap	$434.33	$833.00	$248.73–$1,975.00	28% below	48%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 Diagnostic spinal tap	$434.33	$833.00	$248.73–$1,975.00	—	48%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 Repair superficial wound	$124.09	$238.00	$40.31–$379.42	39% below	48%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 Repair superficial wound	$124.09	$238.00	$40.31–$379.42	—	48%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 Repair superficial wound	$124.61	$239.00	$32.35–$216.48	60% below	48%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 Repair superficial wound	$124.61	$239.00	$32.35–$216.48	—	48%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 Tangntl Bx Skin Single Les	$93.85	$180.00	$27.04–$211.03	61% below	48%
Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 Tangntl Bx Skin Single Les	$93.85	$180.00	$27.04–$211.03	—	48%
Thoracentesis with imaging guidance CPT 32555 Aspirate peura with imaging	$612.64	$1,175.00	$350.86–$1,763.21	49% below	48%
Thoracentesis with imaging guidance inpatient CPT 32555 Aspirate peura with imaging	$612.64	$1,175.00	$350.86–$1,763.21	—	48%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 Biopsy breast; 1st lesion w/ imaging	$939.56	$1,802.00	$108.42–$4,620.73	53% below	48%
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 Biopsy breast; 1st lesion w/ imaging	$939.56	$1,802.00	$108.42–$4,620.73	—	48%
Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 EGD ballon dilation less than 30 mm diameter	$1,950.56	$3,741.00	$958.10–$5,410.00	27% below	48%
Upper endoscopy (EGD) with balloon widening of the esophagus inpatient CPT 43249 EGD ballon dilation less than 30 mm diameter	$1,950.56	$3,741.00	$958.10–$5,410.00	—	48%
Upper endoscopy (EGD) with biopsy CPT 43239 EGD with biopsy	$1,386.92	$2,660.00	$954.28–$2,673.81	12% below	48%
Upper endoscopy (EGD) with biopsy inpatient CPT 43239 EGD with biopsy	$1,386.92	$2,660.00	$954.28–$2,673.81	—	48%
Upper endoscopy (EGD) with injection into the lining CPT 43236 Upper GI scope	$1,950.56	$3,741.00	$98.15–$3,627.27	28% above	48%
Upper endoscopy (EGD) with injection into the lining inpatient CPT 43236 Upper GI scope	$1,950.56	$3,741.00	$98.15–$3,627.27	—	48%
Upper endoscopy (EGD) with polyp removal by snare CPT 43251 EGD remove lesion; snare technique	$1,454.71	$2,790.00	$833.09–$5,410.00	34% below	48%
Upper endoscopy (EGD) with polyp removal by snare inpatient CPT 43251 EGD remove lesion; snare technique	$1,454.71	$2,790.00	$833.09–$5,410.00	—	48%
Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 EGD guide wire insertion	$1,950.56	$3,741.00	$1,117.06–$3,627.27	5% above	48%
Upper endoscopy (EGD) with widening of the esophagus over a guide wire inpatient CPT 43248 EGD guide wire insertion	$1,950.56	$3,741.00	$1,117.06–$3,627.27	—	48%
Upper endoscopy (EGD), diagnostic CPT 43235 EGD	$1,950.56	$3,741.00	$1,135.20–$3,627.27	33% above	48%
Upper endoscopy (EGD), diagnostic inpatient CPT 43235 EGD	$1,950.56	$3,741.00	$1,135.20–$3,627.27	—	48%
Vasectomy, one or both sides, including follow-up semen testing CPT 55250 Vasect Uni/Bil-Sep Proc-Postop Sem	$395.22	$758.00	$169.52–$682.20	75% below	48%
Vasectomy, one or both sides, including follow-up semen testing inpatient CPT 55250 Vasect Uni/Bil-Sep Proc-Postop Sem	$395.22	$758.00	$169.52–$682.20	—	48%
Wart removal, up to 14 warts CPT 17110 Destruct B9 Lesion, 1-14	$57.88	$111.00	$40.40–$375.88	71% below	48%
Wart removal, up to 14 warts inpatient CPT 17110 Destruct B9 Lesion, 1-14	$57.88	$111.00	$40.40–$375.88	—	48%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Debride skin tissue; 1st 20 cm	$66.22	$127.00	$37.92–$1,139.42	88% below	48%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 Debride skin tissue; 1st 20 cm	$66.22	$127.00	$37.92–$1,139.42	—	48%

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs Wisconsin	Off list
Blood transfusion (giving blood or blood components) CPT 36430 Blood transfusion	$238.80	$458.00	$136.76–$1,246.78	59% below	48%
Blood transfusion (giving blood or blood components) CPT 36430 Blood Transfusion Service	$476.04	$913.00	$272.62–$1,246.78	18% below	48%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 Blood transfusion	$238.80	$458.00	$136.76–$1,246.78	—	48%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 Blood Transfusion Service	$476.04	$913.00	$272.62–$1,246.78	—	48%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Airway inhalation treatment	$163.20	$313.00	$93.46–$580.06	89% above	48%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Airway Inhalation Treatm	$163.20	$313.00	$93.46–$580.06	89% above	48%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Airway inhalation treatment	$163.20	$313.00	$93.46–$580.06	—	48%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Airway Inhalation Treatm	$163.20	$313.00	$93.46–$580.06	—	48%
Chemotherapy IV infusion, first hour CPT 96413 Chemo IV infusion; 1 hour	$527.14	$1,011.00	$301.88–$980.27	6% below	48%
Chemotherapy IV infusion, first hour inpatient CPT 96413 Chemo IV infusion; 1 hour	$527.14	$1,011.00	$301.88–$980.27	—	48%
Comprehensive eye exam by an eye doctor, new patient CPT 92004 Eye Exam, New Patient	$106.37	$204.00	$44.33–$375.88	19% below	48%
Comprehensive eye exam by an eye doctor, new patient inpatient CPT 92004 Eye Exam, New Patient	$106.37	$204.00	$44.33–$375.88	—	48%
Comprehensive eye exam, returning patient CPT 92014 Eye Exam & Treatment	$87.60	$168.00	$44.54–$263.67	14% below	48%
Comprehensive eye exam, returning patient inpatient CPT 92014 Eye Exam & Treatment	$87.60	$168.00	$44.54–$263.67	—	48%
Critical care, first 30 to 74 minutes CPT 99291 Critical care	$1,552.21	$2,977.00	$888.93–$2,886.50	13% below	48%
Critical care, first 30 to 74 minutes inpatient CPT 99291 Critical care	$1,552.21	$2,977.00	$888.93–$2,886.50	—	48%
Electrocardiogram (ECG/EKG) with interpretation CPT 93000 Electrocardiogram, Complete	$43.28	$83.00	$10.51–$80.48	36% below	48%
Electrocardiogram (ECG/EKG) with interpretation inpatient CPT 93000 Electrocardiogram, Complete	$43.28	$83.00	$10.51–$80.48	—	48%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG	$25.55	$49.00	$17.58–$169.39	83% below	48%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG	$25.55	$49.00	$17.58–$169.39	—	48%
Electroconvulsive therapy (ECT), one session CPT 90870 Electroconvulsive therapy	$417.12	$800.00	$238.88–$2,901.49	43% below	48%
Electroconvulsive therapy (ECT), one session inpatient CPT 90870 Electroconvulsive therapy	$417.12	$800.00	$238.88–$2,901.49	—	48%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 Emergency Room visit	$90.72	$174.00	$51.96–$251.12	52% below	48%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 Emergency Room visit	$90.72	$174.00	$51.96–$251.12	—	48%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 Emergency Room visit	$186.14	$357.00	$106.60–$451.61	42% below	48%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 Emergency Room visit	$186.14	$357.00	$106.60–$451.61	—	48%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 Emergency Room visit	$285.73	$548.00	$163.63–$789.65	52% below	48%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 Emergency Room visit	$285.73	$548.00	$163.63–$789.65	—	48%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 Emergency Room visit	$589.70	$1,131.00	$337.72–$1,214.38	36% below	48%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 Emergency Room visit	$589.70	$1,131.00	$337.72–$1,214.38	—	48%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 Emergency Room visit	$378.54	$726.00	$216.78–$1,748.49	74% below	48%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 Emergency Room visit	$378.54	$726.00	$216.78–$1,748.49	—	48%
Exercise stress test, tracing only, the hospital charge CPT 93017 Cardiovascular Stress test	$529.22	$1,015.00	$303.08–$984.14	33% below	48%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 Cardiovascular Stress test	$529.22	$1,015.00	$303.08–$984.14	—	48%
Eye exam, returning patient, intermediate CPT 92012 Eye Exam Established Pat	$61.00	$117.00	$29.99–$184.93	36% below	48%
Eye exam, returning patient, intermediate inpatient CPT 92012 Eye Exam Established Pat	$61.00	$117.00	$29.99–$184.93	—	48%
Family therapy with the patient, 50 minutes CPT 90847 Family Psytx W/Pt 50 Min	$165.81	$318.00	$94.95–$458.22	13% below	48%
Family therapy with the patient, 50 minutes inpatient CPT 90847 Family Psytx W/Pt 50 Min	$165.81	$318.00	$94.95–$458.22	—	48%
Group psychotherapy session CPT 90853 Other Treatment Prog-Hr (Alc)	$145.99	$280.00	$83.61–$271.49	93% above	48%
Group psychotherapy session CPT 90853 Group therapy	$149.64	$287.00	$85.70–$278.28	98% above	48%
Group psychotherapy session CPT 90853 Group Psychotherapy - Drug 2.0 Hrs	$165.81	$318.00	$94.95–$308.33	120% above	48%
Group psychotherapy session CPT 90853 Group Psychotherapy - Alcohol 2.0 Hrs	$165.81	$318.00	$94.95–$308.33	120% above	48%
Group psychotherapy session CPT 90853 Group Psychotherapy	$193.44	$371.00	$110.78–$333.90	156% above	48%
Group psychotherapy session inpatient CPT 90853 Other Treatment Prog-Hr (Alc)	$145.99	$280.00	$83.61–$271.49	—	48%
Group psychotherapy session inpatient CPT 90853 Group therapy	$149.64	$287.00	$85.70–$278.28	—	48%
Group psychotherapy session inpatient CPT 90853 Group Psychotherapy - Alcohol 2.0 Hrs	$165.81	$318.00	$94.95–$308.33	—	48%
Group psychotherapy session inpatient CPT 90853 Group Psychotherapy - Drug 2.0 Hrs	$165.81	$318.00	$94.95–$308.33	—	48%
Group psychotherapy session inpatient CPT 90853 Group Psychotherapy	$193.44	$371.00	$110.78–$333.90	—	48%
IV infusion of a medicine, first hour CPT 96365 IV Therapy	$99.59	$191.00	$57.03–$185.19	69% below	48%
IV infusion of a medicine, first hour inpatient CPT 96365 IV Therapy	$99.59	$191.00	$57.03–$185.19	—	48%
IV push of a medicine, first drug CPT 96374 IV Push	$107.41	$206.00	$61.51–$199.74	35% below	48%
IV push of a medicine, first drug CPT 96374 IV Therapy	$187.70	$360.00	$107.50–$349.06	14% above	48%
IV push of a medicine, first drug inpatient CPT 96374 IV Push	$107.41	$206.00	$61.51–$199.74	—	48%
IV push of a medicine, first drug inpatient CPT 96374 IV Therapy	$187.70	$360.00	$107.50–$349.06	—	48%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 Therapeutic injection	$61.00	$117.00	$34.94–$113.44	24% below	48%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Therapeutic injection	$61.00	$117.00	$34.94–$113.44	—	48%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 Psych Diagnostic Evaluation	$201.26	$386.00	$116.52–$347.40	8% below	48%
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 Psych Diagnostic Evaluation	$201.26	$386.00	$116.52–$347.40	—	48%
Nerve conduction study, 7 or 8 nerve studies CPT 95910 Nerve Conduction study; 7-8 studies	$60.48	$116.00	$41.62–$1,513.21	94% below	48%
Nerve conduction study, 7 or 8 nerve studies inpatient CPT 95910 Nerve Conduction study; 7-8 studies	$60.48	$116.00	$41.62–$1,513.21	—	48%
Neuromuscular re-education, 15 minutes CPT 97112 Neuromuscular reeducation	$79.77	$153.00	$21.06–$137.70	17% below	48%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 Neuromuscular reeducation	$79.77	$153.00	$21.06–$137.70	—	48%
New patient office visit, about 30 minutes CPT 99203 Office Visit	$36.50	$70.00	$25.48–$375.88	82% below	48%
New patient office visit, about 30 minutes CPT 99203 Office/Outpatient Visit New	$70.91	$136.00	$49.50–$375.88	64% below	48%
New patient office visit, about 30 minutes inpatient CPT 99203 Office Visit	$36.50	$70.00	$25.48–$375.88	—	48%
New patient office visit, about 30 minutes inpatient CPT 99203 Office/Outpatient Visit New	$70.91	$136.00	$49.50–$375.88	—	48%
New patient office visit, about 45 minutes CPT 99204 Office Visit	$39.10	$75.00	$28.09–$375.88	83% below	48%
New patient office visit, about 45 minutes CPT 99204 Office/Outpatient Visit New	$99.07	$190.00	$71.16–$375.88	56% below	48%
New patient office visit, about 45 minutes inpatient CPT 99204 Office Visit	$39.10	$75.00	$28.09–$375.88	—	48%
New patient office visit, about 45 minutes inpatient CPT 99204 Office/Outpatient Visit New	$99.07	$190.00	$71.16–$375.88	—	48%
New patient office visit, about 60 minutes CPT 99205 Office Visit	$42.23	$81.00	$24.19–$877.78	86% below	48%
New patient office visit, about 60 minutes CPT 99205 Office/Outpatient Visit New	$134.52	$258.00	$77.04–$877.78	56% below	48%
New patient office visit, about 60 minutes inpatient CPT 99205 Office Visit	$42.23	$81.00	$24.19–$877.78	—	48%
New patient office visit, about 60 minutes inpatient CPT 99205 Office/Outpatient Visit New	$134.52	$258.00	$77.04–$877.78	—	48%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 Office Visit	$25.55	$49.00	$17.84–$375.88	80% below	48%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 Office/Outpatient Visit New	$70.39	$135.00	$34.33–$375.88	46% below	48%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 Office Visit	$25.55	$49.00	$17.84–$375.88	—	48%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 Office/Outpatient Visit New	$70.39	$135.00	$34.33–$375.88	—	48%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 Nutrition assessment	$37.54	$72.00	$24.28–$78.72	37% below	48%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 Nutrition assessment	$37.54	$72.00	$24.28–$78.72	—	48%
Occupational therapy evaluation, low complexity CPT 97165 Occupational Therapy evaluation	$106.89	$205.00	$73.54–$184.50	42% below	48%
Occupational therapy evaluation, low complexity inpatient CPT 97165 Occupational Therapy evaluation	$106.89	$205.00	$73.54–$184.50	—	48%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 Physical Therapy Evaulation	$124.09	$238.00	$75.87–$214.20	61% below	48%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 Physical Therapy Evaulation	$124.09	$238.00	$75.87–$214.20	—	48%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 Physical Therapy Evaulation	$88.12	$169.00	$60.63–$152.10	52% below	48%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 Physical Therapy Evaulation	$88.12	$169.00	$60.63–$152.10	—	48%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 Physical Therapy Evaulation	$106.89	$205.00	$73.54–$184.50	57% below	48%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 Physical Therapy Evaulation	$106.89	$205.00	$73.54–$184.50	—	48%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Manual therapy	$77.69	$149.00	$21.03–$134.10	20% below	48%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 Manual therapy	$77.69	$149.00	$21.03–$134.10	—	48%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Therapeutic Exercises	$79.77	$153.00	$22.28–$137.70	18% below	48%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 Therapeutic Exercises	$79.77	$153.00	$22.28–$137.70	—	48%
Preventive checkup, new patient aged 18–39 CPT 99385 Prev Visit, New, Age 18-39	$110.54	$212.00	$69.16–$278.67	21% below	48%
Preventive checkup, new patient aged 18–39 inpatient CPT 99385 Prev Visit, New, Age 18-39	$110.54	$212.00	$69.16–$278.67	—	48%
Preventive checkup, new patient aged 40–64 CPT 99386 Prev Visit, New, Age 40-64	$128.26	$246.00	$83.66–$322.50	15% below	48%
Preventive checkup, new patient aged 40–64 inpatient CPT 99386 Prev Visit, New, Age 40-64	$128.26	$246.00	$83.66–$322.50	—	48%
Preventive checkup, new patient aged 65 or older CPT 99387 Init Pm E/M, New Pat 65+ Yrs	$138.69	$266.00	$76.52–$316.14	22% below	48%
Preventive checkup, new patient aged 65 or older inpatient CPT 99387 Init Pm E/M, New Pat 65+ Yrs	$138.69	$266.00	$76.52–$316.14	—	48%
Preventive checkup, returning patient aged 18–39 CPT 99395 Prev Visit, Est, Age 18-39	$99.59	$191.00	$63.06–$251.16	36% below	48%
Preventive checkup, returning patient aged 18–39 inpatient CPT 99395 Prev Visit, Est, Age 18-39	$99.59	$191.00	$63.06–$251.16	—	48%
Preventive checkup, returning patient aged 40–64 CPT 99396 Prev Visit, Est, Age 40-64	$106.89	$205.00	$68.66–$267.51	37% below	48%
Preventive checkup, returning patient aged 40–64 inpatient CPT 99396 Prev Visit, Est, Age 40-64	$106.89	$205.00	$68.66–$267.51	—	48%
Preventive checkup, returning patient aged 65 or older CPT 99397 Per Pm Reeval Est Pat 65+ Yr	$113.67	$218.00	$72.22–$375.88	24% below	48%
Preventive checkup, returning patient aged 65 or older inpatient CPT 99397 Per Pm Reeval Est Pat 65+ Yr	$113.67	$218.00	$72.22–$375.88	—	48%
Psychiatric evaluation with medical services CPT 90792 Psychiatric diagnostic evaluation with medical services	$26.59	$51.00	$18.56–$378.84	90% below	48%
Psychiatric evaluation with medical services inpatient CPT 90792 Psychiatric diagnostic evaluation with medical services	$26.59	$51.00	$18.56–$378.84	—	48%
Psychotherapy for crisis, first 60 minutes CPT 90839 Psytx Crisis Initial 60 Min	$186.14	$357.00	$106.05–$321.30	37% below	48%
Psychotherapy for crisis, first 60 minutes inpatient CPT 90839 Psytx Crisis Initial 60 Min	$186.14	$357.00	$106.05–$321.30	—	48%
Psychotherapy session, 30 minutes CPT 90832 Psytx W Pt 30 Minutes	$96.46	$185.00	$56.38–$166.50	9% below	48%
Psychotherapy session, 30 minutes CPT 90832 Psychotherapy; 30 minutes	$101.15	$194.00	$56.38–$174.60	5% below	48%
Psychotherapy session, 30 minutes inpatient CPT 90832 Psytx W Pt 30 Minutes	$96.46	$185.00	$56.38–$166.50	—	48%
Psychotherapy session, 30 minutes inpatient CPT 90832 Psychotherapy; 30 minutes	$101.15	$194.00	$56.38–$174.60	—	48%
Psychotherapy session, 45 minutes CPT 90834 Psychotherapy; 45 minutes	$135.56	$260.00	$74.37–$375.88	4% below	48%
Psychotherapy session, 45 minutes inpatient CPT 90834 Psychotherapy; 45 minutes	$135.56	$260.00	$74.37–$375.88	—	48%
Psychotherapy session, 60 minutes CPT 90837 Psytx W Pt 60 Minutes	$188.23	$361.00	$110.07–$324.90	12% below	48%
Psychotherapy session, 60 minutes inpatient CPT 90837 Psytx W Pt 60 Minutes	$188.23	$361.00	$110.07–$324.90	—	48%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 Office Visit	$38.58	$74.00	$26.94–$375.88	87% below	48%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 Office/Outpatient Visit Est	$90.72	$174.00	$63.34–$375.88	69% below	48%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 Office Visit	$38.58	$74.00	$26.94–$375.88	—	48%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 Office/Outpatient Visit Est	$90.72	$174.00	$63.34–$375.88	—	48%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 Office Visit	$22.94	$44.00	$16.02–$379.42	86% below	48%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 Office Visit	$22.94	$44.00	$16.02–$379.42	—	48%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Office Visit	$29.72	$57.00	$20.75–$375.88	84% below	48%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Office/Outpatient Visit Est	$76.65	$147.00	$53.51–$375.88	59% below	48%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 Office Visit	$29.72	$57.00	$20.75–$375.88	—	48%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 Office/Outpatient Visit Est	$76.65	$147.00	$53.51–$375.88	—	48%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Office Visit	$20.33	$39.00	$14.20–$110.88	79% below	48%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 Office Visit	$20.33	$39.00	$14.20–$110.88	—	48%
Speech and language evaluation CPT 92523 Speech/sound language comprehension	$338.39	$649.00	$146.64–$929.42	5% below	48%
Speech and language evaluation inpatient CPT 92523 Speech/sound language comprehension	$338.39	$649.00	$146.64–$929.42	—	48%
Speech therapy session, individual CPT 92507 Speech/Hearing Therapy	$196.05	$376.00	$57.84–$338.40	23% below	48%
Speech therapy session, individual inpatient CPT 92507 Speech/Hearing Therapy	$196.05	$376.00	$57.84–$338.40	—	48%
Spirometry (breathing test) CPT 94010 Breathing capacity test	$100.63	$193.00	$20.53–$888.07	64% below	48%
Spirometry (breathing test) inpatient CPT 94010 Breathing capacity test	$100.63	$193.00	$20.53–$888.07	—	48%
Spirometry before and after a bronchodilator CPT 94060 Evaluation of wheezing	$207.00	$397.00	$118.54–$1,513.21	57% below	48%
Spirometry before and after a bronchodilator inpatient CPT 94060 Evaluation of wheezing	$207.00	$397.00	$118.54–$1,513.21	—	48%
Therapeutic activities (functional training), 15 minutes CPT 97530 Therapeutic Activities	$77.69	$149.00	$26.79–$134.10	14% below	48%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 Therapeutic Activities	$77.69	$149.00	$26.79–$134.10	—	48%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 Therapeutic Phelbotomy, Lab	$93.33	$179.00	$53.45–$367.62	53% below	48%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 Phlebotomy	$316.49	$607.00	$181.25–$588.55	58% above	48%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 Therapeutic Phelbotomy, Lab	$93.33	$179.00	$53.45–$367.62	—	48%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 Phlebotomy	$316.49	$607.00	$181.25–$588.55	—	48%
Visual field test, extended CPT 92083 Visual Field Examination	$47.97	$92.00	$33.49–$132.21	53% below	48%
Visual field test, extended inpatient CPT 92083 Visual Field Examination	$47.97	$92.00	$33.49–$132.21	—	48%

Vaccines

Procedure	Cash price	List price	Insurers pay	vs Wisconsin	Off list
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older CPT 90653 INFLUENZA VAC A&B SURF ANT ADJ 0.5 ML IM SUSY	$57.35	$110.00	$32.85–$379.42	15% below	48%
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older CPT 90653 Iiv Adjuvant Vaccine Im	$57.35	$110.00	$32.85–$379.42	15% below	48%
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older inpatient CPT 90653 Iiv Adjuvant Vaccine Im	$57.35	$110.00	$32.85–$379.42	—	48%
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older inpatient CPT 90653 INFLUENZA VAC A&B SURF ANT ADJ 0.5 ML IM SUSY	$57.35	$110.00	$32.85–$379.42	—	48%
COVID-19 vaccine (Moderna), age 12 and older CPT 91322 COVID-19 MRNA VACC (MODERNA) 50 MCG/0.5ML IM SUSY	$96.98	$186.00	$55.54–$596.78	42% below	48%
COVID-19 vaccine (Moderna), age 12 and older CPT 91322 Sarscov2 Vac 50 Mcg/0.5ml Im	$155.38	$298.00	$88.98–$596.78	7% below	48%
COVID-19 vaccine (Moderna), age 12 and older inpatient CPT 91322 COVID-19 MRNA VACC (MODERNA) 50 MCG/0.5ML IM SUSY	$96.98	$186.00	$55.54–$596.78	—	48%
COVID-19 vaccine (Moderna), age 12 and older inpatient CPT 91322 Sarscov2 Vac 50 Mcg/0.5ml Im	$155.38	$298.00	$88.98–$596.78	—	48%
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 Sarscov2 Vac 30mcg Trs-Suc Im	$149.64	$287.00	$155.89–$575.59	8% below	48%
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older inpatient CPT 91320 Sarscov2 Vac 30mcg Trs-Suc Im	$149.64	$287.00	$155.89–$575.59	—	48%
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 VARICELLA VIRUS VACCINE LIVE 1350 PFU/0.5ML IJ SUSR	$128.26	$246.00	$73.46–$631.84	22% below	48%
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 Var Vaccine Live for Subcutaneous Use	$142.34	$273.00	$81.52–$631.84	13% below	48%
Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 VARICELLA VIRUS VACCINE LIVE 1350 PFU/0.5ML IJ SUSR	$128.26	$246.00	$73.46–$631.84	—	48%
Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 Var Vaccine Live for Subcutaneous Use	$142.34	$273.00	$81.52–$631.84	—	48%
DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) CPT 90696 Dtap-Ipv Vaccine Child 4-6 Yrs for Im Use	$41.71	$80.00	$29.12–$76.16	50% below	48%
DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) CPT 90696 DTAP-IPV VACCINE 0.5 ML IM SUSY	$48.49	$93.00	$33.85–$83.70	42% below	48%
DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) inpatient CPT 90696 Dtap-Ipv Vaccine Child 4-6 Yrs for Im Use	$41.71	$80.00	$29.12–$76.16	—	48%
DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) inpatient CPT 90696 DTAP-IPV VACCINE 0.5 ML IM SUSY	$48.49	$93.00	$33.85–$83.70	—	48%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 Dtap Immunization, Im, <7 Yo	$23.46	$45.00	$16.38–$40.50	43% below	48%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 DIPHTH-ACELL PERTUSSIS-TETANUS 25-58-10 LF-MCG/0.5 IM SUSP	$27.11	$52.00	$18.93–$46.80	34% below	48%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 Dtap Immunization, Im, <7 Yo	$23.46	$45.00	$16.38–$40.50	—	48%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 DIPHTH-ACELL PERTUSSIS-TETANUS 25-58-10 LF-MCG/0.5 IM SUSP	$27.11	$52.00	$18.93–$46.80	—	48%
DTaP, hepatitis B and polio combination vaccine (Pediarix) CPT 90723 Dtap-Hepb-Ipv Vaccine Intramuscular	$58.40	$112.00	$40.77–$121.55	58% below	48%
DTaP, hepatitis B and polio combination vaccine (Pediarix) CPT 90723 DTAP-HEPATITIS B RECOMB-IPV IM SUSY	$77.17	$148.00	$53.87–$133.20	44% below	48%
DTaP, hepatitis B and polio combination vaccine (Pediarix) inpatient CPT 90723 Dtap-Hepb-Ipv Vaccine Intramuscular	$58.40	$112.00	$40.77–$121.55	—	48%
DTaP, hepatitis B and polio combination vaccine (Pediarix) inpatient CPT 90723 DTAP-HEPATITIS B RECOMB-IPV IM SUSY	$77.17	$148.00	$53.87–$133.20	—	48%
HPV vaccine, 9-valent (Gardasil 9) CPT 90651 9vhpv Vaccine 3 Dose Schedule for Im Use	$166.33	$319.00	$116.12–$386.02	48% below	48%
HPV vaccine, 9-valent (Gardasil 9) CPT 90651 HPV 9-VALENT RECOMB VACCINE IM SUSY	$213.77	$410.00	$149.24–$386.02	33% below	48%
HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 9vhpv Vaccine 3 Dose Schedule for Im Use	$166.33	$319.00	$116.12–$386.02	—	48%
HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 HPV 9-VALENT RECOMB VACCINE IM SUSY	$213.77	$410.00	$149.24–$386.02	—	48%
Hepatitis A and B combination vaccine, adult (Twinrix) CPT 90636 HEPATITIS A-HEP B RECOMB VAC 720-20 ELU-MCG/ML IM SUSY	$96.46	$185.00	$55.24–$379.42	50% below	48%
Hepatitis A and B combination vaccine, adult (Twinrix) CPT 90636 Hepa/Hepb Vaccine Adult Im	$116.27	$223.00	$66.59–$379.42	39% below	48%
Hepatitis A and B combination vaccine, adult (Twinrix) inpatient CPT 90636 HEPATITIS A-HEP B RECOMB VAC 720-20 ELU-MCG/ML IM SUSY	$96.46	$185.00	$55.24–$379.42	—	48%
Hepatitis A and B combination vaccine, adult (Twinrix) inpatient CPT 90636 Hepa/Hepb Vaccine Adult Im	$116.27	$223.00	$66.59–$379.42	—	48%
Hepatitis A vaccine, adult dose CPT 90632 HEPATITIS A VACCINE 1440 EL U/ML IM SUSY	$64.13	$123.00	$36.73–$119.26	51% below	48%
Hepatitis A vaccine, adult dose CPT 90632 Hepa Vaccine Adult Dose for Intramuscular Use	$65.70	$126.00	$37.62–$122.17	50% below	48%
Hepatitis A vaccine, adult dose inpatient CPT 90632 HEPATITIS A VACCINE 1440 EL U/ML IM SUSY	$64.13	$123.00	$36.73–$119.26	—	48%
Hepatitis A vaccine, adult dose inpatient CPT 90632 Hepa Vaccine Adult Dose for Intramuscular Use	$65.70	$126.00	$37.62–$122.17	—	48%
Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 HEPATITIS A VACCINE 720 EL U/0.5ML IM SUSY	$33.37	$64.00	$23.30–$57.60	36% below	48%
Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 Hepa Vaccine 2 Dose Schedule Ped/Adolesc Im Use	$51.10	$98.00	$32.25–$88.20	2% below	48%
Hepatitis A vaccine, child and teen dose (2-dose schedule) inpatient CPT 90633 HEPATITIS A VACCINE 720 EL U/0.5ML IM SUSY	$33.37	$64.00	$23.30–$57.60	—	48%
Hepatitis A vaccine, child and teen dose (2-dose schedule) inpatient CPT 90633 Hepa Vaccine 2 Dose Schedule Ped/Adolesc Im Use	$51.10	$98.00	$32.25–$88.20	—	48%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPATITIS B VAC RECOMBINANT 20 MCG/ML IJ SUSY	$54.75	$105.00	$59.81–$379.42	53% below	48%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 Hepb Vaccine Adult 3 Dose Schedule for Im Use	$65.70	$126.00	$59.81–$379.42	43% below	48%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HEPATITIS B VAC RECOMBINANT 20 MCG/ML IJ SUSY	$54.75	$105.00	$59.81–$379.42	—	48%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 Hepb Vaccine Adult 3 Dose Schedule for Im Use	$65.70	$126.00	$59.81–$379.42	—	48%
Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) CPT 90739 HEPATITIS B VAC RECOMB ADJ 20 MCG/0.5ML IM SOSY	$111.58	$214.00	$63.90–$621.38	48% below	48%
Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) CPT 90739 Hepb (Heplisav-B, 18+ Yrs)	$157.98	$303.00	$90.48–$621.38	26% below	48%
Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) inpatient CPT 90739 HEPATITIS B VAC RECOMB ADJ 20 MCG/0.5ML IM SOSY	$111.58	$214.00	$63.90–$621.38	—	48%
Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) inpatient CPT 90739 Hepb (Heplisav-B, 18+ Yrs)	$157.98	$303.00	$90.48–$621.38	—	48%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HEPATITIS B VAC RECOMBINANT 10 MCG/0.5ML IJ SUSY	$26.59	$51.00	$18.30–$113.60	53% below	48%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 Hepatitus B Vaccine	$28.68	$55.00	$19.73–$113.60	49% below	48%
Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 HEPATITIS B VAC RECOMBINANT 10 MCG/0.5ML IJ SUSY	$26.59	$51.00	$18.30–$113.60	—	48%
Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 Hepatitus B Vaccine	$28.68	$55.00	$19.73–$113.60	—	48%
Hib vaccine (Haemophilus influenzae type b), 3-dose schedule (PedvaxHIB) CPT 90647 Hib Prp-Omp Vaccine 3 Dose Schedule Im Use	$25.03	$48.00	$17.47–$43.20	50% below	48%
Hib vaccine (Haemophilus influenzae type b), 3-dose schedule (PedvaxHIB) CPT 90647 HAEMOPHILUS B POLYSAC CONJ VAC 7.5 MCG/0.5 ML IM SUSP	$27.63	$53.00	$19.29–$47.70	45% below	48%
Hib vaccine (Haemophilus influenzae type b), 3-dose schedule (PedvaxHIB) inpatient CPT 90647 Hib Prp-Omp Vaccine 3 Dose Schedule Im Use	$25.03	$48.00	$17.47–$43.20	—	48%
Hib vaccine (Haemophilus influenzae type b), 3-dose schedule (PedvaxHIB) inpatient CPT 90647 HAEMOPHILUS B POLYSAC CONJ VAC 7.5 MCG/0.5 ML IM SUSP	$27.63	$53.00	$19.29–$47.70	—	48%
MMR vaccine (measles, mumps and rubella), live CPT 90707 MEASLES, MUMPS & RUBELLA VAC IJ SOLR	$69.35	$133.00	$48.41–$119.70	55% below	48%
MMR vaccine (measles, mumps and rubella), live CPT 90707 Mmr Virus Immunization, Subcut	$73.52	$141.00	$51.32–$126.90	52% below	48%
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 MEASLES, MUMPS & RUBELLA VAC IJ SOLR	$69.35	$133.00	$48.41–$119.70	—	48%
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 Mmr Virus Immunization, Subcut	$73.52	$141.00	$51.32–$126.90	—	48%
MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) CPT 90710 MEASLES-MUMPS-RUBELLA-VARICELL SC SUSR	$188.75	$362.00	$131.77–$339.20	26% below	48%
MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) CPT 90710 Combined Vaccine,Mmr+Varicella,Sub-Q	$203.35	$390.00	$141.96–$351.00	20% below	48%
MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) inpatient CPT 90710 MEASLES-MUMPS-RUBELLA-VARICELL SC SUSR	$188.75	$362.00	$131.77–$339.20	—	48%
MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) inpatient CPT 90710 Combined Vaccine,Mmr+Varicella,Sub-Q	$203.35	$390.00	$141.96–$351.00	—	48%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 Menacwy Conjugate Vaccine Groups Acyw-135 Im Use	$94.37	$181.00	$54.05–$539.44	59% below	48%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 Menveo, Meningococcal Conjugate Vaccine (V03.89)	$94.37	$181.00	$54.05–$539.44	59% below	48%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENINGOCOCCAL A C Y&W-135 OLIG IM SOLN	$118.36	$227.00	$67.78–$539.44	48% below	48%
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 Menveo, Meningococcal Conjugate Vaccine (V03.89)	$94.37	$181.00	$54.05–$539.44	—	48%
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 Menacwy Conjugate Vaccine Groups Acyw-135 Im Use	$94.37	$181.00	$54.05–$539.44	—	48%
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 MENINGOCOCCAL A C Y&W-135 OLIG IM SOLN	$118.36	$227.00	$67.78–$539.44	—	48%
Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 Menb Recombinant Prot W/Out Membr Vesic Vacc Im	$151.73	$291.00	$86.89–$811.20	34% below	48%
Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 MENINGOCOCCAL B RECOMB OMV ADJ IM SUSY	$165.28	$317.00	$94.66–$811.20	29% below	48%
Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 Menb Recombinant Prot W/Out Membr Vesic Vacc Im	$151.73	$291.00	$86.89–$811.20	—	48%
Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 MENINGOCOCCAL B RECOMB OMV ADJ IM SUSY	$165.28	$317.00	$94.66–$811.20	—	48%
Nasal spray flu vaccine, live (FluMist) CPT 90660 Laiv3 Vaccine Live for Intranasal Use	$26.07	$50.00	$18.20–$45.00	33% below	48%
Nasal spray flu vaccine, live (FluMist) CPT 90660 INFLUENZA VIRUS VACCINE LIVE NA LIQD	$26.07	$50.00	$18.20–$45.00	33% below	48%
Nasal spray flu vaccine, live (FluMist) inpatient CPT 90660 INFLUENZA VIRUS VACCINE LIVE NA LIQD	$26.07	$50.00	$18.20–$45.00	—	48%
Nasal spray flu vaccine, live (FluMist) inpatient CPT 90660 Laiv3 Vaccine Live for Intranasal Use	$26.07	$50.00	$18.20–$45.00	—	48%
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 Pneumococcal 13 Vax,(V03.82)	$250.27	$480.00	$172.20–$952.52	14% below	48%
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) inpatient CPT 90670 Pneumococcal 13 Vax,(V03.82)	$250.27	$480.00	$172.20–$952.52	—	48%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PNEUMOCOCCAL 20-VAL CONJ VACC 0.5 ML IM SUSY	$195.00	$374.00	$111.68–$1,100.36	33% below	48%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 Pcv20 Vaccine for Intramuscular Use	$279.47	$536.00	$160.05–$1,100.36	4% below	48%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 PNEUMOCOCCAL 20-VAL CONJ VACC 0.5 ML IM SUSY	$195.00	$374.00	$111.68–$1,100.36	—	48%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 Pcv20 Vaccine for Intramuscular Use	$279.47	$536.00	$160.05–$1,100.36	—	48%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 Pneumococcal Vaccine	$125.14	$240.00	$87.36–$216.00	11% below	48%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 Ppsv23 Vaccine 2 Yrs or Older for Subq/Im Use	$125.14	$240.00	$87.36–$216.00	11% below	48%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 Pneumococcal Vaccine	$125.14	$240.00	$87.36–$216.00	—	48%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 Ppsv23 Vaccine 2 Yrs or Older for Subq/Im Use	$125.14	$240.00	$87.36–$216.00	—	48%
Polio vaccine, inactivated (IPV) CPT 90713 Poliomyelitis Immunizatn,Inactv,Sub-Q	$31.81	$61.00	$22.20–$56.08	47% below	48%
Polio vaccine, inactivated (IPV) CPT 90713 POLIOVIRUS VACCINE INACTIVATED IJ SUSP	$38.06	$73.00	$26.57–$65.70	36% below	48%
Polio vaccine, inactivated (IPV) inpatient CPT 90713 Poliomyelitis Immunizatn,Inactv,Sub-Q	$31.81	$61.00	$22.20–$56.08	—	48%
Polio vaccine, inactivated (IPV) inpatient CPT 90713 POLIOVIRUS VACCINE INACTIVATED IJ SUSP	$38.06	$73.00	$26.57–$65.70	—	48%
RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) CPT 90381 NIRSEVIMAB-ALIP 100 MG/ML IM SOSY	$380.62	$730.00	$265.72–$657.00	63% below	48%
RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) CPT 90381 NIRSEVIMAB-ALIP 50 MG/0.5ML IM SOSY	$380.62	$730.00	$265.72–$657.00	63% below	48%
RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) CPT 90381 Rsv Monoc Antb Seasn 1 Ml Im	$427.03	$819.00	$298.12–$737.10	58% below	48%
RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) inpatient CPT 90381 NIRSEVIMAB-ALIP 50 MG/0.5ML IM SOSY	$380.62	$730.00	$265.72–$657.00	—	48%
RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) inpatient CPT 90381 NIRSEVIMAB-ALIP 100 MG/ML IM SOSY	$380.62	$730.00	$265.72–$657.00	—	48%
RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) inpatient CPT 90381 Rsv Monoc Antb Seasn 1 Ml Im	$427.03	$819.00	$298.12–$737.10	—	48%
RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 Rsv Monoc Antb Seasn .5ml Im	$427.03	$819.00	$298.12–$737.10	58% below	48%
RSV antibody shot for infants, seasonal dose (0.5 mL) inpatient CPT 90380 Rsv Monoc Antb Seasn .5ml Im	$427.03	$819.00	$298.12–$737.10	—	48%
RSV vaccine (Abrysvo), one dose for older adults or during pregnancy CPT 90678 Rsv Vaccine Pref Subunit Bivalent for Im Use	$256.53	$492.00	$146.91–$1,068.97	54% below	48%
RSV vaccine (Abrysvo), one dose for older adults or during pregnancy inpatient CPT 90678 Rsv Vaccine Pref Subunit Bivalent for Im Use	$256.53	$492.00	$146.91–$1,068.97	—	48%
Rabies vaccine, one dose CPT 90675 Rabies Vaccine, Im	$327.96	$629.00	$187.82–$609.88	44% below	48%
Rabies vaccine, one dose inpatient CPT 90675 Rabies Vaccine, Im	$327.96	$629.00	$187.82–$609.88	—	48%
Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) CPT 90680 Rv5 Vaccine 3 Dose Schedule Live for Oral Use	$71.43	$137.00	$49.87–$123.30	39% below	48%
Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) CPT 90680 ROTAVIRUS VAC LIVE PENTAVALENT OR SOLN	$134.00	$257.00	$83.25–$231.30	15% above	48%
Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) inpatient CPT 90680 Rv5 Vaccine 3 Dose Schedule Live for Oral Use	$71.43	$137.00	$49.87–$123.30	—	48%
Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) inpatient CPT 90680 ROTAVIRUS VAC LIVE PENTAVALENT OR SOLN	$134.00	$257.00	$83.25–$231.30	—	48%
Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 Hzv Zoster Vacc Recombinant Adjuvanted Im Njx	$153.81	$295.00	$88.09–$717.45	22% below	48%
Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 Hzv Zoster Vacc Recombinant Adjuvanted Im Njx	$153.81	$295.00	$88.09–$717.45	—	48%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS-DIPHTHERIA TOXOIDS TD 5-2 LF/0.5ML IM SUSP	$36.50	$70.00	$20.90–$379.42	12% below	48%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 Td Vaccine Prsrv Free 7 Yrs or Older for Im Use	$40.67	$78.00	$23.29–$379.42	2% below	48%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS-DIPHTHERIA TOXOIDS TD 5-2 LF/0.5ML IM SUSP	$36.50	$70.00	$20.90–$379.42	—	48%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 Td Vaccine Prsrv Free 7 Yrs or Older for Im Use	$40.67	$78.00	$23.29–$379.42	—	48%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Tdap Vaccine >7 Yo, Im	$35.98	$69.00	$20.60–$66.90	56% below	48%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TETANUS-DIPHTH-ACELL PERTUSSIS 5-2.5-18.5 LF-MCG/0.5 IM SUSP SUPER RECORD	$39.10	$75.00	$22.40–$72.72	52% below	48%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 Tdap Vaccine >7 Yo, Im	$35.98	$69.00	$20.60–$66.90	—	48%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 TETANUS-DIPHTH-ACELL PERTUSSIS 5-2.5-18.5 LF-MCG/0.5 IM SUSP SUPER RECORD	$39.10	$75.00	$22.40–$72.72	—	48%
Typhoid vaccine, injectable (Vi polysaccharide) CPT 90691 Typhoid Vaccine, Im	$104.80	$201.00	$72.11–$194.89	16% below	48%
Typhoid vaccine, injectable (Vi polysaccharide) inpatient CPT 90691 Typhoid Vaccine, Im	$104.80	$201.00	$72.11–$194.89	—	48%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Immunization administration	$41.71	$80.00	$13.40–$72.00	8% above	48%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Immunization administration	$41.71	$80.00	$13.40–$72.00	—	48%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Immunization Admin, Each	$20.86	$40.00	$10.93–$36.00	36% below	48%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Each additional immunization administration	$20.86	$40.00	$10.93–$36.00	36% below	48%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 Immunization Admin, Each	$20.86	$40.00	$10.93–$36.00	—	48%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 Each additional immunization administration	$20.86	$40.00	$10.93–$36.00	—	48%

Procedure The service, with its billing code (CPT or HCPCS) and, in small type, the line exactly as the hospital wrote it in its price file. More

Cash price The hospital's own price for a patient paying without insurance (“discounted cash” in its price file). Hospitals must publish it under federal law, 45 CFR 180.50. Call to confirm it before booking. More

List price The hospital's full chargemaster price (“gross charge”) before any discount. Almost nobody pays it; the gap to the cash price shows what the self-pay discount is worth. More

Insurers pay The lowest and highest rates this hospital has agreed with insurance plans for the same item, from its price file. If the cash price is below what your plan pays and you have not met your deductible, paying cash can cost you less. More

Against the state median This hospital's cash price compared with the median cash price of hospitals in the state for the same code. Shown when at least three hospitals in the state price it.

Off list How much lower the cash price is than the list price.

No cash discount This line's cash price equals the hospital's full list price. Many hospitals still reduce bills for uninsured patients: ask the billing office for its self-pay discount in writing. More

At or below Medicare This cash price is at or below what Medicare pays a hospital for the same service, which is unusually low. It is what the hospital's file says; confirm it and what it includes before booking. More

Check the item The description in the hospital file looks like a supply or device (a catheter, a brace, an implant), not this procedure. The hospital may have filed it under the wrong code: ask before relying on this price.

Source file: https://www.healthpartners.com/content/dam/brand-identity/pdfs/care/390908320_AmeryHospital_HospitalStandardCharges.csv