Inspira Health Center Woodbury
Inspira Health Center Woodbury in Woodbury, NJ publishes cash prices for 384 common procedures listed here, from its own machine-readable price file updated Mar 24, 2026. Compared with other hospitals in the state, its outpatient cash prices are above the New Jersey median for 347 of 379 procedures and below it for 8. By typical cash price it ranks #44 of 55 New Jersey hospitals and #20 of 26 hospitals in the Philadelphia, PA area, cheapest first. Select a procedure to compare it with other hospitals nearby.
30 Oak St. Woodbury, NJ 08096 Collected Sep 23, 2026 Source price file Check a bill from this hospital
The price file shows no self-pay discount
For 1946 of the 1954 prices listed here, the cash price in Inspira Health Center Woodbury's file equals its full list price (chargemaster), so the file publishes no self-pay discount. That is why it compares as expensive. Many hospitals still reduce bills for uninsured patients or offer financial assistance based on income: before a planned visit, ask the billing office for its self-pay rate and discount policy in writing. Other US hospitals whose cash price is their full list price.
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs New Jersey | Off list |
|---|---|---|---|---|---|
| Abdominal CT scan without and with contrast CPT 74170 ABDOMEN W/O & W CONT | $1,189.03 | $1,189.03 | $198.76–$873.94 | 72% above | — |
| Abdominal CT scan without and with contrast inpatient CPT 74170 ABDOMEN W/O & W CONT | $1,189.03 | $1,189.03 | — | — | — |
| Abdominal X-ray, 2 views CPT 74019 ABDOMEN 2 VIEWS | $243.45 | $243.45 | $41.91–$381.16 | 98% above | — |
| Abdominal X-ray, 2 views inpatient CPT 74019 ABDOMEN 2 VIEWS | $243.45 | $243.45 | — | — | — |
| Ankle X-ray, complete, 3 or more views both sides CPT 73610 ANKLE COMPLETE 3 VIEW MIN BILATERAL | $486.34 | $486.34 | $40.96–$336.01 | — | — |
| Ankle X-ray, complete, 3 or more views CPT 73610 ANKLE =>3 VIEWS | $243.15 | $243.15 | $40.96–$201.54 | 107% above | — |
| Ankle X-ray, complete, 3 or more views inpatient both sides CPT 73610 ANKLE COMPLETE 3 VIEW MIN BILATERAL | $486.34 | $486.34 | — | — | — |
| Ankle X-ray, complete, 3 or more views inpatient CPT 73610 ANKLE =>3 VIEWS | $243.15 | $243.15 | — | — | — |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 US ANKLE/BRACHIAL INDEX | $532.67 | $532.67 | $91.70–$2,654.00 | 202% above | — |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 US PAD Screening | $532.67 | $532.67 | $91.70–$639.00 | 202% above | — |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 NON INVASIVE ABI DOP TCP02 SLB | $532.67 | $532.67 | $91.70–$639.00 | 202% above | — |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 US ANKLE/BRACHIAL INDEX | $532.67 | $532.67 | — | — | — |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 NON INVASIVE ABI DOP TCP02 SLB | $532.67 | $532.67 | — | — | — |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 US PAD Screening | $532.67 | $532.67 | — | — | — |
| Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 CT UPPER EXTREM W/O CONT | $536.26 | $536.26 | $92.32–$394.15 | 16% above | — |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT UPPER EXT W/O CONT RT/LT | $1,072.54 | $1,072.54 | $118.73–$788.32 | 133% above | — |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient CPT 73200 CT UPPER EXTREM W/O CONT | $536.26 | $536.26 | — | — | — |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT UPPER EXT W/O CONT RT/LT | $1,072.54 | $1,072.54 | — | — | — |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 ESOPHAGUS | $431.85 | $431.85 | $74.34–$407.46 | 106% above | — |
| Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 ESOPHAGUS | $431.85 | $431.85 | — | — | — |
| Bone scan, whole body (nuclear medicine) CPT 78306 BONE WHOLE BODY | $1,373.65 | $1,373.65 | $225.00–$1,009.63 | 161% above | — |
| Bone scan, whole body (nuclear medicine) inpatient CPT 78306 BONE WHOLE BODY | $1,373.65 | $1,373.65 | — | — | — |
| Breast ultrasound, complete, one breast both sides CPT 76641 US BREAST BILAT COMPLETE | $793.54 | $793.54 | $105.40–$583.25 | — | — |
| Breast ultrasound, complete, one breast one side CPT 76641 US BREAST UNILAT COMPLETE | $396.77 | $396.77 | $68.30–$458.29 | 178% above | — |
| Breast ultrasound, complete, one breast inpatient both sides CPT 76641 US BREAST BILAT COMPLETE | $793.54 | $793.54 | — | — | — |
| Breast ultrasound, complete, one breast inpatient one side CPT 76641 US BREAST UNILAT COMPLETE | $396.77 | $396.77 | — | — | — |
| Breast ultrasound, limited (one breast or one area) both sides CPT 76642 US BREAST BILAT LIMITED | $793.54 | $793.54 | $98.31–$583.25 | — | — |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 US BREAST UNILAT LIMITED | $396.77 | $396.77 | $68.30–$376.28 | 184% above | — |
| Breast ultrasound, limited (one breast or one area) inpatient both sides CPT 76642 US BREAST BILAT LIMITED | $793.54 | $793.54 | — | — | — |
| Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 US BREAST UNILAT LIMITED | $396.77 | $396.77 | — | — | — |
| CT angiography (CTA) of the abdomen and pelvis CPT 74174 CTA ABD Pelvis WO-WCont | $1,654.33 | $1,654.33 | $284.80–$1,215.93 | 158% above | — |
| CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 CTA ABD Pelvis WO-WCont | $1,654.33 | $1,654.33 | — | — | — |
| CT angiography (CTA) of the head CPT 70496 C.T.A. HEAD W/WO CONT | $1,238.02 | $1,238.02 | $198.76–$909.94 | 128% above | — |
| CT angiography (CTA) of the head inpatient CPT 70496 C.T.A. HEAD W/WO CONT | $1,238.02 | $1,238.02 | — | — | — |
| CT angiography (CTA) of the neck CPT 70498 C.T.A. NECK W/WO CONT | $1,238.02 | $1,238.02 | $198.76–$909.94 | 83% above | — |
| CT angiography (CTA) of the neck inpatient CPT 70498 C.T.A. NECK W/WO CONT | $1,238.02 | $1,238.02 | — | — | — |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 C.T.A. CHEST W/WO CONT | $1,238.02 | $1,238.02 | $198.76–$909.94 | 64% above | — |
| CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 C.T.A. CHEST W/WO CONT | $1,238.02 | $1,238.02 | — | — | — |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CT ANGIO HRT W/3D IMAGE | $1,296.07 | $1,296.07 | $223.12–$952.61 | 172% above | — |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 CT ANGIO HRT W/3D IMAGE | $1,296.07 | $1,296.07 | — | — | — |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT Heart Calcium Scoring | $257.47 | $257.47 | $44.32–$418.50 | 160% above | — |
| CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 CT Heart Calcium Scoring | $257.47 | $257.47 | — | — | — |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABD/PELVIS WO CONT | $1,025.28 | $1,025.28 | $176.50–$753.58 | 62% above | — |
| CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT ABD/PELVIS WO CONT | $1,025.28 | $1,025.28 | — | — | — |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABD/PELVIS W CONT | $1,654.33 | $1,654.33 | $284.80–$1,215.93 | 121% above | — |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABD/PELVIS W CONT | $1,654.33 | $1,654.33 | — | — | — |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABD/PELVIS WO/W CONT | $1,654.33 | $1,654.33 | $284.80–$1,215.93 | 77% above | — |
| CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT ABD/PELVIS WO/W CONT | $1,654.33 | $1,654.33 | — | — | — |
| CT scan of the abdomen with contrast CPT 74160 ABDOMEN W CONT | $1,055.86 | $1,055.86 | $181.77–$776.06 | 86% above | — |
| CT scan of the abdomen with contrast inpatient CPT 74160 ABDOMEN W CONT | $1,055.86 | $1,055.86 | — | — | — |
| CT scan of the abdomen without contrast CPT 74150 ABDOMEN W/O CONT | $536.26 | $536.26 | $92.32–$4,257.00 | 20% above | — |
| CT scan of the abdomen without contrast inpatient CPT 74150 ABDOMEN W/O CONT | $536.26 | $536.26 | — | — | — |
| CT scan of the face and sinuses, no contrast dye CPT 70486 MAXILLO FACIAL W/O CONTR | $536.26 | $536.26 | $92.32–$412.50 | 6% above | — |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 MAXILLO FACIAL W/O CONTR | $536.26 | $536.26 | — | — | — |
| CT scan of the head or brain, no contrast dye CPT 70450 BRAIN W/O CONT | $536.26 | $536.26 | $92.32–$412.50 | 29% above | — |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 BRAIN W/O CONT | $536.26 | $536.26 | — | — | — |
| CT scan of the head with contrast CPT 70460 BRAIN W CONT | $1,055.86 | $1,055.86 | $181.77–$776.06 | 121% above | — |
| CT scan of the head with contrast inpatient CPT 70460 BRAIN W CONT | $1,055.86 | $1,055.86 | — | — | — |
| CT scan of the head without and with contrast CPT 70470 BRAIN W/O & W CONT | $1,189.03 | $1,189.03 | $198.76–$873.94 | 95% above | — |
| CT scan of the head without and with contrast inpatient CPT 70470 BRAIN W/O & W CONT | $1,189.03 | $1,189.03 | — | — | — |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT LS-SPINE W/O CONT | $536.26 | $536.26 | $92.32–$437.91 | at median | — |
| CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT LS-SPINE W/O CONT | $536.26 | $536.26 | — | — | — |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 CERV SPINE W/O CONT | $536.26 | $536.26 | $92.32–$429.35 | 3% below | — |
| CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CERV SPINE W/O CONT | $536.26 | $536.26 | — | — | — |
| CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W/CONTRAST | $1,055.86 | $1,055.86 | $181.77–$776.06 | 103% above | — |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT PELVIS W/CONTRAST | $1,055.86 | $1,055.86 | — | — | — |
| Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 US CAROTID ART. COMP. | $809.26 | $809.26 | $139.32–$2,654.00 | 151% above | — |
| Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 US CAROTID ART. COMP.* | $809.26 | $809.26 | $139.32–$2,654.00 | 151% above | — |
| Carotid artery ultrasound (duplex), both sides of the neck inpatient CPT 93880 US CAROTID ART. COMP. | $809.26 | $809.26 | — | — | — |
| Carotid artery ultrasound (duplex), both sides of the neck inpatient CPT 93880 US CAROTID ART. COMP.* | $809.26 | $809.26 | — | — | — |
| Chest CT scan without and with contrast CPT 71270 CHEST W/O & W CONT | $1,189.03 | $1,189.03 | $198.76–$873.94 | 54% above | — |
| Chest CT scan without and with contrast inpatient CPT 71270 CHEST W/O & W CONT | $1,189.03 | $1,189.03 | — | — | — |
| Chest X-ray, 2 views CPT 71046 CHEST 2 VIEWS II | $309.16 | $309.16 | $37.25–$213.60 | 176% above | — |
| Chest X-ray, 2 views CPT 71046 658_X-RAY EXAM CHEST 2 VIEWS | $309.16 | $309.16 | $37.25–$213.60 | 176% above | — |
| Chest X-ray, 2 views inpatient CPT 71046 658_X-RAY EXAM CHEST 2 VIEWS | $309.16 | $309.16 | — | — | — |
| Chest X-ray, 2 views inpatient CPT 71046 CHEST 2 VIEWS II | $309.16 | $309.16 | — | — | — |
| Chest X-ray, single view CPT 71045 CHEST ONE VIEW | $243.45 | $243.45 | $20.26–$201.54 | 134% above | — |
| Chest X-ray, single view inpatient CPT 71045 CHEST ONE VIEW | $243.45 | $243.45 | — | — | — |
| Collarbone (clavicle) X-ray, complete both sides CPT 73000 CLAVICLE COMPLETE BILATERAL | $486.34 | $486.34 | $35.48–$336.01 | — | — |
| Collarbone (clavicle) X-ray, complete CPT 73000 CLAVICLE COMPLETE | $243.15 | $243.15 | $35.48–$201.54 | 107% above | — |
| Collarbone (clavicle) X-ray, complete inpatient both sides CPT 73000 CLAVICLE COMPLETE BILATERAL | $486.34 | $486.34 | — | — | — |
| Collarbone (clavicle) X-ray, complete inpatient CPT 73000 CLAVICLE COMPLETE | $243.15 | $243.15 | — | — | — |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 RETROPERIT COMP RENAL ETC | $570.61 | $570.61 | $98.23–$566.51 | 174% above | — |
| Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 RETROPERIT COMP RENAL ETC | $570.61 | $570.61 | — | — | — |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 DXA BONE DENSITY STDY | $382.29 | $382.29 | $65.81–$264.12 | 169% above | — |
| DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 DXA BONE DENSITY STDY | $382.29 | $382.29 | — | — | — |
| DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 DXA BONE DENS APPEND 1+ SITE | $256.86 | $256.86 | $32.76–$201.54 | 146% above | — |
| DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 DXA BONE DENS APPEND 1+ SITE | $256.86 | $256.86 | — | — | — |
| Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 US DETAIL ANATOMY FETUS SINGLE GESTATION | $1,201.55 | $1,201.55 | $197.38–$883.14 | 289% above | — |
| Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 ATU US OB DETAILED ANAT SINGLE FETUS | $1,201.55 | $1,201.55 | $197.38–$883.14 | 289% above | — |
| Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 ATU US OB DETAILED ANAT SINGLE FETUS | $1,201.55 | $1,201.55 | — | — | — |
| Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 US DETAIL ANATOMY FETUS SINGLE GESTATION | $1,201.55 | $1,201.55 | — | — | — |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CHEST W/O CONT | $536.26 | $536.26 | $92.32–$437.91 | at median | — |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CHEST W/O CONT | $536.26 | $536.26 | — | — | — |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 CHEST W CONT | $1,055.86 | $1,055.86 | $181.77–$4,257.00 | 73% above | — |
| Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CHEST W CONT | $1,055.86 | $1,055.86 | — | — | — |
| Diagnostic mammogram, both breasts both sides CPT 77066 MAMMO DIAG BILAT W COMP AID | $1,908.19 | $1,908.19 | $122.45–$1,402.52 | — | — |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 MAMMO DIAG BILAT W COMP AID | $1,908.19 | $1,908.19 | — | — | — |
| Diagnostic mammogram, one breast CPT 77065 MAMMO DIAG UNI W COMP AID | $954.09 | $954.09 | $96.10–$701.26 | 480% above | — |
| Diagnostic mammogram, one breast inpatient CPT 77065 MAMMO DIAG UNI W COMP AID | $954.09 | $954.09 | — | — | — |
| Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 US LOWER EXT ART BILAT US | $809.26 | $809.26 | $139.32–$2,654.00 | — | — |
| Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 US LOWER EXT ART BILAT US | $809.26 | $809.26 | — | — | — |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US VENOUS EXT BILAT US | $809.26 | $809.26 | $139.32–$2,654.00 | — | — |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 US VENOUS EXT BILAT US | $809.26 | $809.26 | — | — | — |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 ECHO 2D COMPLETE W STRAIN IMG | $5,580.78 | $5,580.78 | $612.18–$4,101.87 | 663% above | — |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 ECHO 2D W DOPPLER COMPLETE | $5,580.78 | $5,580.78 | $612.18–$4,101.87 | 663% above | — |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 ECHO 2D W SPECT&COLORFLOW | $5,580.78 | $5,580.78 | $612.18–$4,101.87 | 663% above | — |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 ECHO 2D TTE Full with Contrast | $5,580.78 | $5,580.78 | $612.18–$4,101.87 | 663% above | — |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 CA ECHO 2D W SPECT & COLOR FLOW | $5,580.78 | $5,580.78 | $612.18–$4,101.87 | 663% above | — |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 PEDIATRIC ECHOCARDIOGRAM | $5,580.78 | $5,580.78 | $612.18–$4,101.87 | 663% above | — |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 ECHO 2D W SPECT&COLORFLOW | $5,580.78 | $5,580.78 | — | — | — |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 ECHO 2D TTE Full with Contrast | $5,580.78 | $5,580.78 | — | — | — |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 PEDIATRIC ECHOCARDIOGRAM | $5,580.78 | $5,580.78 | — | — | — |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 ECHO 2D COMPLETE W STRAIN IMG | $5,580.78 | $5,580.78 | — | — | — |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 ECHO 2D W DOPPLER COMPLETE | $5,580.78 | $5,580.78 | — | — | — |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 CA ECHO 2D W SPECT & COLOR FLOW | $5,580.78 | $5,580.78 | — | — | — |
| Elbow X-ray, 2 views both sides CPT 73070 ELBOW 2 VIEW BILATERAL | $486.34 | $486.34 | $35.48–$336.01 | — | — |
| Elbow X-ray, 2 views CPT 73070 ELBOW 2 VIEWS | $243.15 | $243.15 | $35.48–$201.54 | 118% above | — |
| Elbow X-ray, 2 views inpatient both sides CPT 73070 ELBOW 2 VIEW BILATERAL | $486.34 | $486.34 | — | — | — |
| Elbow X-ray, 2 views inpatient CPT 73070 ELBOW 2 VIEWS | $243.15 | $243.15 | — | — | — |
| Elbow X-ray, complete, 3 or more views both sides CPT 73080 ELBOW COMPLETE 3 VIEW BILATERAL | $486.34 | $486.34 | $46.42–$336.01 | — | — |
| Elbow X-ray, complete, 3 or more views CPT 73080 ELBOW =>3 VIEWS | $243.15 | $243.15 | $41.86–$201.54 | 107% above | — |
| Elbow X-ray, complete, 3 or more views inpatient both sides CPT 73080 ELBOW COMPLETE 3 VIEW BILATERAL | $486.34 | $486.34 | — | — | — |
| Elbow X-ray, complete, 3 or more views inpatient CPT 73080 ELBOW =>3 VIEWS | $243.15 | $243.15 | — | — | — |
| Eye socket (orbit) CT scan without contrast CPT 70480 CT ORBIT SELLA/IAC W/O CONT | $536.26 | $536.26 | $92.32–$412.50 | 28% above | — |
| Eye socket (orbit) CT scan without contrast inpatient CPT 70480 CT ORBIT SELLA/IAC W/O CONT | $536.26 | $536.26 | — | — | — |
| Facial bones X-ray, complete, 3 or more views CPT 70150 FACIAL BONES COMPLETE | $385.38 | $385.38 | $52.55–$266.26 | 175% above | — |
| Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 FACIAL BONES COMPLETE | $385.38 | $385.38 | — | — | — |
| Forearm X-ray (radius and ulna), 2 views both sides CPT 73090 FOREARM 2 VIEW BILATERAL | $486.34 | $486.34 | $34.81–$336.01 | — | — |
| Forearm X-ray (radius and ulna), 2 views CPT 73090 FOREARM 2 VIEWS | $243.15 | $243.15 | $34.81–$201.54 | 107% above | — |
| Forearm X-ray (radius and ulna), 2 views inpatient both sides CPT 73090 FOREARM 2 VIEW BILATERAL | $486.34 | $486.34 | — | — | — |
| Forearm X-ray (radius and ulna), 2 views inpatient CPT 73090 FOREARM 2 VIEWS | $243.15 | $243.15 | — | — | — |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HIDA | $1,579.84 | $1,579.84 | $271.97–$1,161.18 | 209% above | — |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 HIDA | $1,579.84 | $1,579.84 | — | — | — |
| Hand X-ray, 2 views both sides CPT 73120 HAND 2 VIEW BILATERAL | $486.34 | $486.34 | $33.00–$336.01 | — | — |
| Hand X-ray, 2 views CPT 73120 HAND 2 VIEWS | $243.15 | $243.15 | $33.00–$243.40 | 80% above | — |
| Hand X-ray, 2 views inpatient both sides CPT 73120 HAND 2 VIEW BILATERAL | $486.34 | $486.34 | — | — | — |
| Hand X-ray, 2 views inpatient CPT 73120 HAND 2 VIEWS | $243.15 | $243.15 | — | — | — |
| Heel bone (calcaneus) X-ray, 2 or more views both sides CPT 73650 CALCANEUS 2 VIEW MIN BILATERAL | $486.34 | $486.34 | $34.12–$336.01 | — | — |
| Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 CALCANEUS 2 VIEWS | $243.15 | $243.15 | $34.12–$201.54 | 112% above | — |
| Heel bone (calcaneus) X-ray, 2 or more views inpatient both sides CPT 73650 CALCANEUS 2 VIEW MIN BILATERAL | $486.34 | $486.34 | — | — | — |
| Heel bone (calcaneus) X-ray, 2 or more views inpatient CPT 73650 CALCANEUS 2 VIEWS | $243.15 | $243.15 | — | — | — |
| Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 Unattended Sleep Study - Sicklerville | $2,462.42 | $2,462.42 | $174.69–$9,833.00 | 562% above | — |
| Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 Unattended Sleep Study - Woolwich Hlt Ctr | $2,462.42 | $2,462.42 | $174.69–$9,833.00 | 562% above | — |
| Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 Unattended Sleep Study E | $2,462.42 | $2,462.42 | $174.69–$9,833.00 | 562% above | — |
| Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 Unattended Sleep Study BHC | $2,462.42 | $2,462.42 | $174.69–$9,833.00 | 562% above | — |
| Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 Unattended Sleep Study W | $2,462.42 | $2,462.42 | $174.69–$9,833.00 | 562% above | — |
| Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 Unattended Sleep Study* | $2,462.42 | $2,462.42 | $174.69–$9,833.00 | 562% above | — |
| Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 Unattended Sleep Study | $2,462.42 | $2,462.42 | $174.69–$9,833.00 | 562% above | — |
| Home sleep apnea test, unattended, recording breathing and oxygen inpatient CPT 95806 Unattended Sleep Study W | $2,462.42 | $2,462.42 | — | — | — |
| Home sleep apnea test, unattended, recording breathing and oxygen inpatient CPT 95806 Unattended Sleep Study BHC | $2,462.42 | $2,462.42 | — | — | — |
| Home sleep apnea test, unattended, recording breathing and oxygen inpatient CPT 95806 Unattended Sleep Study - Woolwich Hlt Ctr | $2,462.42 | $2,462.42 | — | — | — |
| Home sleep apnea test, unattended, recording breathing and oxygen inpatient CPT 95806 Unattended Sleep Study - Sicklerville | $2,462.42 | $2,462.42 | — | — | — |
| Home sleep apnea test, unattended, recording breathing and oxygen inpatient CPT 95806 Unattended Sleep Study E | $2,462.42 | $2,462.42 | — | — | — |
| Home sleep apnea test, unattended, recording breathing and oxygen inpatient CPT 95806 Unattended Sleep Study | $2,462.42 | $2,462.42 | — | — | — |
| Home sleep apnea test, unattended, recording breathing and oxygen inpatient CPT 95806 Unattended Sleep Study* | $2,462.42 | $2,462.42 | — | — | — |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older both sides CPT 95811 C-PAP/BI-PAP EH | $10,326.32 | $10,326.32 | $1,135.92–$9,833.00 | — | — |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older both sides CPT 95811 C-PAP BI-PAP - Woolwich Hlt Ctr | $10,326.32 | $10,326.32 | $1,135.92–$9,833.00 | — | — |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older both sides CPT 95811 C-PAP/BI-PAP | $10,326.32 | $10,326.32 | $1,135.92–$9,833.00 | — | — |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older both sides CPT 95811 C-PAP BI-PAP - Sicklerville | $10,326.32 | $10,326.32 | $1,135.92–$9,833.00 | — | — |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older both sides CPT 95811 C-PAP BI-PAP BHC | $10,326.32 | $10,326.32 | $1,135.92–$9,833.00 | — | — |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older both sides CPT 95811 C-PAP / BI-PAP | $10,326.32 | $10,326.32 | $1,135.92–$9,833.00 | — | — |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 POLYSOMNOGRAM-TITRATION | $10,326.32 | $10,326.32 | $1,135.92–$9,833.00 | 661% above | — |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient both sides CPT 95811 C-PAP BI-PAP - Woolwich Hlt Ctr | $10,326.32 | $10,326.32 | — | — | — |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient both sides CPT 95811 C-PAP/BI-PAP | $10,326.32 | $10,326.32 | — | — | — |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient both sides CPT 95811 C-PAP/BI-PAP EH | $10,326.32 | $10,326.32 | — | — | — |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient both sides CPT 95811 C-PAP / BI-PAP | $10,326.32 | $10,326.32 | — | — | — |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient both sides CPT 95811 C-PAP BI-PAP BHC | $10,326.32 | $10,326.32 | — | — | — |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient both sides CPT 95811 C-PAP BI-PAP - Sicklerville | $10,326.32 | $10,326.32 | — | — | — |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 POLYSOMNOGRAM-TITRATION | $10,326.32 | $10,326.32 | — | — | — |
| Knee X-ray, 3 views both sides CPT 73562 KNEE 3 VIEW BILATERAL | $486.34 | $486.34 | $45.04–$336.01 | — | — |
| Knee X-ray, 3 views CPT 73562 KNEE, 3 VIEWS | $243.15 | $243.15 | $41.86–$201.54 | 107% above | — |
| Knee X-ray, 3 views inpatient both sides CPT 73562 KNEE 3 VIEW BILATERAL | $486.34 | $486.34 | — | — | — |
| Knee X-ray, 3 views inpatient CPT 73562 KNEE, 3 VIEWS | $243.15 | $243.15 | — | — | — |
| Knee X-ray, complete, 4 or more views both sides CPT 73564 KNEE COMPLETE 4 VIEW MIN BILATERAL | $486.34 | $486.34 | $51.88–$336.01 | — | — |
| Knee X-ray, complete, 4 or more views CPT 73564 KNEE, COMP, => 4 VIEWS | $243.15 | $243.15 | $41.86–$243.40 | 71% above | — |
| Knee X-ray, complete, 4 or more views inpatient both sides CPT 73564 KNEE COMPLETE 4 VIEW MIN BILATERAL | $486.34 | $486.34 | — | — | — |
| Knee X-ray, complete, 4 or more views inpatient CPT 73564 KNEE, COMP, => 4 VIEWS | $243.15 | $243.15 | — | — | — |
| Leg CT scan without contrast (hip to foot, any part) CPT 73700 CT LOWER EXTREM W/O CONTRAST | $536.26 | $536.26 | $92.32–$394.15 | 16% above | — |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT LOWER EXT W/O CONT RT/LT | $1,072.54 | $1,072.54 | $118.73–$788.32 | 133% above | — |
| Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 CT LOWER EXTREM W/O CONTRAST | $536.26 | $536.26 | — | — | — |
| Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT LOWER EXT W/O CONT RT/LT | $1,072.54 | $1,072.54 | — | — | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 ABDOMEN LIMITED | $570.61 | $570.61 | $98.23–$4,257.00 | 249% above | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 ABDOMEN LIMITED | $570.61 | $570.61 | — | — | — |
| Limited ultrasound of an arm or leg (non-vascular) both sides CPT 76882 US EXT, NON-VAS, W IMG LTD-BILATERAL | $763.69 | $763.69 | $39.18–$561.31 | — | — |
| Limited ultrasound of an arm or leg (non-vascular) CPT 76882 US EXT, NON-VAS, W IMG LTD | $381.85 | $381.85 | $39.18–$280.66 | 180% above | — |
| Limited ultrasound of an arm or leg (non-vascular) inpatient both sides CPT 76882 US EXT, NON-VAS, W IMG LTD-BILATERAL | $763.69 | $763.69 | — | — | — |
| Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 US EXT, NON-VAS, W IMG LTD | $381.85 | $381.85 | — | — | — |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 Lung Cancer Screening | $317.95 | $317.95 | $54.74–$400.75 | 124% above | — |
| Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 Lung Cancer Screening | $317.95 | $317.95 | — | — | — |
| Lower leg X-ray (tibia and fibula), 2 views both sides CPT 73590 TIBIA & FIBULA 2 VIEW BILATERAL | $486.34 | $486.34 | $33.45–$336.01 | — | — |
| Lower leg X-ray (tibia and fibula), 2 views CPT 73590 TIBIA & FIBULA 2 VIEWS | $243.15 | $243.15 | $33.45–$201.54 | 107% above | — |
| Lower leg X-ray (tibia and fibula), 2 views inpatient both sides CPT 73590 TIBIA & FIBULA 2 VIEW BILATERAL | $486.34 | $486.34 | — | — | — |
| Lower leg X-ray (tibia and fibula), 2 views inpatient CPT 73590 TIBIA & FIBULA 2 VIEWS | $243.15 | $243.15 | — | — | — |
| MR angiography (MRA) of the head without contrast CPT 70544 MRA HEAD W/O CONT | $1,249.97 | $1,249.97 | $215.18–$918.73 | 79% above | — |
| MR angiography (MRA) of the head without contrast inpatient CPT 70544 MRA HEAD W/O CONT | $1,249.97 | $1,249.97 | — | — | — |
| MRI of both breasts, without and then with contrast dye both sides CPT 77049 MRI BREAST C-+ W/CAD BI | $1,594.80 | $1,594.80 | $218.49–$1,449.25 | — | — |
| MRI of both breasts, without and then with contrast dye inpatient both sides CPT 77049 MRI BREAST C-+ W/CAD BI | $1,594.80 | $1,594.80 | — | — | — |
| MRI of knee or other lower-limb joint, no contrast dye both sides CPT 73721 MRI LOWER EXT JOINT W/O CONT-BILATERAL | $2,499.93 | $2,499.93 | $269.88–$1,837.45 | — | — |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI LOWER EXT JOINT W/O CONT | $1,249.97 | $1,249.97 | $215.18–$990.00 | 201% above | — |
| MRI of knee or other lower-limb joint, no contrast dye inpatient both sides CPT 73721 MRI LOWER EXT JOINT W/O CONT-BILATERAL | $2,499.93 | $2,499.93 | — | — | — |
| MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 MRI LOWER EXT JOINT W/O CONT | $1,249.97 | $1,249.97 | — | — | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI LOWER EXT JOINT W/WO CONT | $2,090.18 | $2,090.18 | $359.83–$1,536.28 | 190% above | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 MRI LOWER EXT JOINT W/WO CONT | $2,090.18 | $2,090.18 | — | — | — |
| MRI of the abdomen without contrast CPT 74181 MRI ABD W/O CONT | $1,249.97 | $1,249.97 | $215.18–$990.00 | 95% above | — |
| MRI of the abdomen without contrast inpatient CPT 74181 MRI ABD W/O CONT | $1,249.97 | $1,249.97 | — | — | — |
| MRI of the abdomen, without and then with contrast dye CPT 74183 MRI ABD W/WO CONT | $2,090.18 | $2,090.18 | $359.83–$1,536.28 | 122% above | — |
| MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MRI ABD W/WO CONT | $2,090.18 | $2,090.18 | — | — | — |
| MRI of the brain, no contrast dye CPT 70551 MRI BRAIN W/O CONT | $1,249.97 | $1,249.97 | $215.18–$990.00 | 88% above | — |
| MRI of the brain, no contrast dye inpatient CPT 70551 MRI BRAIN W/O CONT | $1,249.97 | $1,249.97 | — | — | — |
| MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN W/WO CONT | $2,090.18 | $2,090.18 | $359.83–$1,632.27 | 104% above | — |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI BRAIN W/WO CONT | $2,090.18 | $2,090.18 | — | — | — |
| MRI of the lower back, no contrast dye CPT 72148 MRI L-SPINE W/O CONT | $1,249.97 | $1,249.97 | $215.18–$990.00 | 111% above | — |
| MRI of the lower back, no contrast dye inpatient CPT 72148 MRI L-SPINE W/O CONT | $1,249.97 | $1,249.97 | — | — | — |
| MRI of the lower back, without and then with contrast dye CPT 72158 MRI L-SPINE W/WO CONT | $2,090.18 | $2,090.18 | $359.83–$1,632.27 | 107% above | — |
| MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MRI L-SPINE W/WO CONT | $2,090.18 | $2,090.18 | — | — | — |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI T-SPINE W/O CONT | $1,249.97 | $1,249.97 | $215.18–$990.00 | 101% above | — |
| MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MRI T-SPINE W/O CONT | $1,249.97 | $1,249.97 | — | — | — |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI C-SPINE W/WO CONT | $2,090.18 | $2,090.18 | $359.83–$1,536.28 | 110% above | — |
| MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MRI C-SPINE W/WO CONT | $2,090.18 | $2,090.18 | — | — | — |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI C-SPINE W/O CONT | $1,249.97 | $1,249.97 | $215.18–$990.00 | 118% above | — |
| MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MRI C-SPINE W/O CONT | $1,249.97 | $1,249.97 | — | — | — |
| MRI of the pelvis without and with contrast CPT 72197 MRI PELVIS W/WO CONT | $2,090.18 | $2,090.18 | $359.83–$1,536.28 | 100% above | — |
| MRI of the pelvis without and with contrast inpatient CPT 72197 MRI PELVIS W/WO CONT | $2,090.18 | $2,090.18 | — | — | — |
| MRI of the pelvis, no contrast dye CPT 72195 MRI PELVIS W/O CONT | $1,249.97 | $1,249.97 | $215.18–$918.73 | 89% above | — |
| MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI PELVIS W/O CONT | $1,249.97 | $1,249.97 | — | — | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye both sides CPT 73221 MRI UPPER EXT JOINT W/O CONT-BILATERAL | $2,499.93 | $2,499.93 | $269.88–$1,837.45 | — | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MRI UPPER EXT JOINT W/O CONT | $1,249.97 | $1,249.97 | $215.18–$990.00 | 201% above | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient both sides CPT 73221 MRI UPPER EXT JOINT W/O CONT-BILATERAL | $2,499.93 | $2,499.93 | — | — | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 MRI UPPER EXT JOINT W/O CONT | $1,249.97 | $1,249.97 | — | — | — |
| Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 C-SPINE 4/5 VWS | $385.38 | $385.38 | $64.85–$266.26 | 121% above | — |
| Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 C-SPINE 4/5 VWS | $385.38 | $385.38 | — | — | — |
| Neck soft tissue CT scan with contrast CPT 70491 CT SOFT TISSUE NECK W/CONT | $1,055.86 | $1,055.86 | $181.77–$776.06 | 78% above | — |
| Neck soft tissue CT scan with contrast inpatient CPT 70491 CT SOFT TISSUE NECK W/CONT | $1,055.86 | $1,055.86 | — | — | — |
| Neck soft tissue CT scan without contrast CPT 70490 CT SOFT TISSUE NECK W/O CONT | $536.26 | $536.26 | $92.32–$394.15 | 6% above | — |
| Neck soft tissue CT scan without contrast inpatient CPT 70490 CT SOFT TISSUE NECK W/O CONT | $536.26 | $536.26 | — | — | — |
| Neck soft tissue X-ray CPT 70360 SOFT TISSUE NECK | $243.15 | $243.15 | $33.45–$201.54 | 117% above | — |
| Neck soft tissue X-ray inpatient CPT 70360 SOFT TISSUE NECK | $243.15 | $243.15 | — | — | — |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 Myocard Img Spect Multiple | $4,891.90 | $4,891.90 | $504.00–$3,595.55 | 220% above | — |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 MYOCARD PERF IMG SPECT MULTI | $4,891.90 | $4,891.90 | $504.00–$3,595.55 | 220% above | — |
| Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 MYOCARD PERF IMG SPECT MULTI | $4,891.90 | $4,891.90 | — | — | — |
| Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 Myocard Img Spect Multiple | $4,891.90 | $4,891.90 | — | — | — |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET IMAGE W/CT, SKULL-THIGH | $5,557.54 | $5,557.54 | $956.74–$4,084.79 | 200% above | — |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 PET IMAGE W/CT, SKULL-THIGH | $5,557.54 | $5,557.54 | — | — | — |
| Pelvic CT scan without contrast CPT 72192 CT PELVIS W/O CONT | $536.26 | $536.26 | $92.32–$430.92 | 28% above | — |
| Pelvic CT scan without contrast inpatient CPT 72192 CT PELVIS W/O CONT | $536.26 | $536.26 | — | — | — |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US PELVIC NON-OB LTD/F-U | $381.85 | $381.85 | $65.74–$280.66 | 186% above | — |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US PELVIC NON-OB LTD/F-U | $381.85 | $381.85 | — | — | — |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 PELVIC NON OB COMPLETE | $570.61 | $570.61 | $98.23–$528.90 | 142% above | — |
| Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 PELVIC NON OB COMPLETE | $570.61 | $570.61 | — | — | — |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US OB =>14 WKS 1ST FETUS 550 | $570.61 | $570.61 | $98.23–$419.40 | 202% above | — |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US OB =>14 WKS 1ST FETUS | $570.61 | $570.61 | $98.23–$419.40 | 202% above | — |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US OB =>14 WKS 1ST FETUS 550 | $570.61 | $570.61 | — | — | — |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US OB =>14 WKS 1ST FETUS | $570.61 | $570.61 | — | — | — |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US OB <14 WKS ABD 1ST GEST | $570.61 | $570.61 | $98.23–$533.92 | 302% above | — |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US OB <14 WKS ABD 1ST GEST 550 | $570.61 | $570.61 | $98.23–$533.92 | 302% above | — |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 US OB <14 WKS ABD 1ST GEST 550 | $570.61 | $570.61 | — | — | — |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 US OB <14 WKS ABD 1ST GEST | $570.61 | $570.61 | — | — | — |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US PREGNANCY LTD | $570.61 | $570.61 | $98.23–$419.40 | 215% above | — |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 PREGNANCY LIMITED | $570.61 | $570.61 | $98.23–$419.40 | 215% above | — |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 US PREGNANCY LTD | $570.61 | $570.61 | — | — | — |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 PREGNANCY LIMITED | $570.61 | $570.61 | — | — | — |
| Rib X-ray, one side, 2 views one side CPT 71100 RIBS UNILAT 2 VIEWS | $243.15 | $243.15 | $38.22–$201.54 | 118% above | — |
| Rib X-ray, one side, 2 views inpatient one side CPT 71100 RIBS UNILAT 2 VIEWS | $243.15 | $243.15 | — | — | — |
| Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 RIBS UNILAT W/PA CHEST=>3 VIEW | $385.38 | $385.38 | $46.42–$266.26 | 188% above | — |
| Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 RIBS UNILAT W/PA CHEST=>3 VIEW | $385.38 | $385.38 | — | — | — |
| Screening mammogram, both breasts both sides CPT 77067 MAMMO SCREEN BILAT W COMP AID | $572.45 | $572.45 | $78.43–$420.75 | — | — |
| Screening mammogram, both breasts inpatient both sides CPT 77067 MAMMO SCREEN BILAT W COMP AID | $572.45 | $572.45 | — | — | — |
| Shoulder X-ray, complete, 2 or more views both sides CPT 73030 SHOULDER 2 VIEW MINIMUM BILATERAL | $486.34 | $486.34 | $36.17–$336.01 | — | — |
| Shoulder X-ray, complete, 2 or more views CPT 73030 SHOULDER COMP =>2 VIEWS | $243.15 | $243.15 | $36.17–$201.54 | 107% above | — |
| Shoulder X-ray, complete, 2 or more views inpatient both sides CPT 73030 SHOULDER 2 VIEW MINIMUM BILATERAL | $486.34 | $486.34 | — | — | — |
| Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 SHOULDER COMP =>2 VIEWS | $243.15 | $243.15 | — | — | — |
| Sinus X-ray, complete, 3 or more views CPT 70220 SINUSES =>3 VIEWS | $243.15 | $243.15 | $41.86–$201.54 | 115% above | — |
| Sinus X-ray, complete, 3 or more views inpatient CPT 70220 SINUSES =>3 VIEWS | $243.15 | $243.15 | — | — | — |
| Skull X-ray, fewer than 4 views CPT 70250 SKULL < 4 | $243.15 | $243.15 | $41.86–$243.40 | 102% above | — |
| Skull X-ray, fewer than 4 views inpatient CPT 70250 SKULL < 4 | $243.15 | $243.15 | — | — | — |
| Sleep study in a lab (polysomnography) CPT 95810 SLEEP STUDY POLYSOM | $10,326.32 | $10,326.32 | $1,135.92–$9,833.00 | 686% above | — |
| Sleep study in a lab (polysomnography) CPT 95810 SLEEP STUDY (POLYSOM.) EH | $10,326.32 | $10,326.32 | $1,135.92–$9,833.00 | 686% above | — |
| Sleep study in a lab (polysomnography) CPT 95810 POLYSOMNOGRAM | $10,326.32 | $10,326.32 | $1,135.92–$9,833.00 | 686% above | — |
| Sleep study in a lab (polysomnography) CPT 95810 SLEEP STUDY (POLYSOM.) | $10,326.32 | $10,326.32 | $1,135.92–$9,833.00 | 686% above | — |
| Sleep study in a lab (polysomnography) CPT 95810 Sleep Study Polysom - Woolwich Hlt Ctr | $10,326.32 | $10,326.32 | $1,135.92–$9,833.00 | 686% above | — |
| Sleep study in a lab (polysomnography) CPT 95810 Sleep Study Polysom - Sicklerville | $10,326.32 | $10,326.32 | $1,135.92–$9,833.00 | 686% above | — |
| Sleep study in a lab (polysomnography) CPT 95810 Sleep Study Polysom BHC | $10,326.32 | $10,326.32 | $1,135.92–$9,833.00 | 686% above | — |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 SLEEP STUDY (POLYSOM.) EH | $10,326.32 | $10,326.32 | — | — | — |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 SLEEP STUDY (POLYSOM.) | $10,326.32 | $10,326.32 | — | — | — |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 SLEEP STUDY POLYSOM | $10,326.32 | $10,326.32 | — | — | — |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 Sleep Study Polysom BHC | $10,326.32 | $10,326.32 | — | — | — |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 Sleep Study Polysom - Woolwich Hlt Ctr | $10,326.32 | $10,326.32 | — | — | — |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 POLYSOMNOGRAM | $10,326.32 | $10,326.32 | — | — | — |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 Sleep Study Polysom - Sicklerville | $10,326.32 | $10,326.32 | — | — | — |
| Stress echocardiogram, complete, including the stress test and supervision CPT 93351 STRESS ECHOCARDIOGRAM | $5,548.17 | $5,548.17 | $311.09–$4,077.90 | 690% above | — |
| Stress echocardiogram, complete, including the stress test and supervision CPT 93351 STRESS TTE COMPLETE | $5,548.17 | $5,548.17 | $311.09–$4,077.90 | 690% above | — |
| Stress echocardiogram, complete, including the stress test and supervision CPT 93351 Stress Echo TTE Complete | $5,548.17 | $5,548.17 | $311.09–$4,077.90 | 690% above | — |
| Stress echocardiogram, complete, including the stress test and supervision CPT 93351 STRESS ECHO w Contrast | $5,548.17 | $5,548.17 | $311.09–$4,077.90 | 690% above | — |
| Stress echocardiogram, complete, including the stress test and supervision CPT 93351 STRESS ECHO CP | $5,548.17 | $5,548.17 | $311.09–$4,077.90 | 690% above | — |
| Stress echocardiogram, complete, including the stress test and supervision CPT 93351 DOBUTAMINE STRESS ECHO | $5,548.17 | $5,548.17 | $311.09–$4,077.90 | 690% above | — |
| Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 STRESS ECHO CP | $5,548.17 | $5,548.17 | — | — | — |
| Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 STRESS ECHO w Contrast | $5,548.17 | $5,548.17 | — | — | — |
| Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 STRESS ECHOCARDIOGRAM | $5,548.17 | $5,548.17 | — | — | — |
| Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 DOBUTAMINE STRESS ECHO | $5,548.17 | $5,548.17 | — | — | — |
| Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 STRESS TTE COMPLETE | $5,548.17 | $5,548.17 | — | — | — |
| Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 Stress Echo TTE Complete | $5,548.17 | $5,548.17 | — | — | — |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 VIDEO SWALLOW FUNC | $431.85 | $431.85 | $74.34–$407.46 | 90% above | — |
| Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 VIDEO SWALLOW FUNC | $431.85 | $431.85 | — | — | — |
| Thigh bone (femur) X-ray, 2 or more views both sides CPT 73552 FEMUR 2 VIEWS-BILATERAL | $626.74 | $626.74 | $37.75–$433.01 | — | — |
| Thigh bone (femur) X-ray, 2 or more views CPT 73552 FEMUR 2 VIEWS | $313.37 | $313.37 | $37.75–$216.51 | 179% above | — |
| Thigh bone (femur) X-ray, 2 or more views inpatient both sides CPT 73552 FEMUR 2 VIEWS-BILATERAL | $626.74 | $626.74 | — | — | — |
| Thigh bone (femur) X-ray, 2 or more views inpatient CPT 73552 FEMUR 2 VIEWS | $313.37 | $313.37 | — | — | — |
| Thoracic spine (mid back) CT scan without contrast CPT 72128 CT T-SPINE W/O CONT | $536.26 | $536.26 | $92.32–$429.35 | 11% above | — |
| Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 CT T-SPINE W/O CONT | $536.26 | $536.26 | — | — | — |
| Toe X-ray, 2 or more views both sides CPT 73660 TOE(S) 2 VIEW MINIMUM BILATERAL | $486.34 | $486.34 | $21.00–$336.01 | — | — |
| Toe X-ray, 2 or more views CPT 73660 TOE(S) 2 VIEWS | $243.15 | $243.15 | $21.00–$201.54 | 118% above | — |
| Toe X-ray, 2 or more views inpatient both sides CPT 73660 TOE(S) 2 VIEW MINIMUM BILATERAL | $486.34 | $486.34 | — | — | — |
| Toe X-ray, 2 or more views inpatient CPT 73660 TOE(S) 2 VIEWS | $243.15 | $243.15 | — | — | — |
| Transvaginal pelvic ultrasound CPT 76830 US Transvag Non-OB US | $570.61 | $570.61 | $98.23–$538.12 | 157% above | — |
| Transvaginal pelvic ultrasound inpatient CPT 76830 US Transvag Non-OB US | $570.61 | $570.61 | — | — | — |
| Transvaginal ultrasound during pregnancy CPT 76817 US OB TRANSVAG | $570.61 | $570.61 | $98.23–$429.81 | 302% above | — |
| Transvaginal ultrasound during pregnancy CPT 76817 US OB TRANSVAGINAL | $570.61 | $570.61 | $98.23–$429.81 | 302% above | — |
| Transvaginal ultrasound during pregnancy inpatient CPT 76817 US OB TRANSVAGINAL | $570.61 | $570.61 | — | — | — |
| Transvaginal ultrasound during pregnancy inpatient CPT 76817 US OB TRANSVAG | $570.61 | $570.61 | — | — | — |
| Ultrasound of the abdomen, complete CPT 76700 ABDOMEN COMPLETE | $570.61 | $570.61 | $98.23–$600.83 | 157% above | — |
| Ultrasound of the abdomen, complete inpatient CPT 76700 ABDOMEN COMPLETE | $570.61 | $570.61 | — | — | — |
| Ultrasound of the scrotum and testicles CPT 76870 SCROTUM & CONTENTS | $570.61 | $570.61 | $98.23–$419.40 | 202% above | — |
| Ultrasound of the scrotum and testicles inpatient CPT 76870 SCROTUM & CONTENTS | $570.61 | $570.61 | — | — | — |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 U/S THYROID/NECK | $570.61 | $570.61 | $98.23–$4,257.00 | 147% above | — |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 U/S THYROID/NECK | $570.61 | $570.61 | — | — | — |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 U.G.I. W/O KUB | $641.29 | $641.29 | $110.40–$493.51 | 176% above | — |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 U.G.I. W/O KUB | $641.29 | $641.29 | — | — | — |
| Upper arm X-ray (humerus), 2 views both sides CPT 73060 HUMERUS 2 VIEW MINIMUM BILATERAL | $486.34 | $486.34 | $36.17–$336.01 | — | — |
| Upper arm X-ray (humerus), 2 views CPT 73060 HUMERUS =>2 VIEWS | $243.15 | $243.15 | $36.17–$201.54 | 107% above | — |
| Upper arm X-ray (humerus), 2 views inpatient both sides CPT 73060 HUMERUS 2 VIEW MINIMUM BILATERAL | $486.34 | $486.34 | — | — | — |
| Upper arm X-ray (humerus), 2 views inpatient CPT 73060 HUMERUS =>2 VIEWS | $243.15 | $243.15 | — | — | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 US VENOUS EXT LTD US | $570.61 | $570.61 | $98.23–$2,654.00 | 185% above | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 US VENOUS EXT LTD US | $570.61 | $570.61 | — | — | — |
| Wrist X-ray, 2 views both sides CPT 73100 WRIST 2 VIEW BILATERAL | $486.34 | $486.34 | $37.53–$336.01 | — | — |
| Wrist X-ray, 2 views CPT 73100 WRIST 2 VIEWS | $243.15 | $243.15 | $37.53–$201.54 | 118% above | — |
| Wrist X-ray, 2 views inpatient both sides CPT 73100 WRIST 2 VIEW BILATERAL | $486.34 | $486.34 | — | — | — |
| Wrist X-ray, 2 views inpatient CPT 73100 WRIST 2 VIEWS | $243.15 | $243.15 | — | — | — |
| Wrist X-ray, complete, 3 or more views both sides CPT 73110 WRIST 3 VIEW MINIMUM BILATERAL | $486.34 | $486.34 | $44.95–$336.01 | — | — |
| Wrist X-ray, complete, 3 or more views CPT 73110 WRIST >= 3 VIEWS COMP | $243.15 | $243.15 | $41.86–$201.54 | 107% above | — |
| Wrist X-ray, complete, 3 or more views inpatient both sides CPT 73110 WRIST 3 VIEW MINIMUM BILATERAL | $486.34 | $486.34 | — | — | — |
| Wrist X-ray, complete, 3 or more views inpatient CPT 73110 WRIST >= 3 VIEWS COMP | $243.15 | $243.15 | — | — | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 HIP UNI W PELVIS 2-3 VIEWS | $254.75 | $254.75 | $43.86–$201.54 | 127% above | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient CPT 73502 HIP UNI W PELVIS 2-3 VIEWS | $254.75 | $254.75 | — | — | — |
| X-ray of the abdomen, 1 view CPT 74018 ABD ONE VIEW PORT | $243.45 | $243.45 | $29.35–$201.54 | 119% above | — |
| X-ray of the abdomen, 1 view CPT 74018 ABDOMEN 1 VIEW II | $243.45 | $243.45 | $29.35–$201.54 | 119% above | — |
| X-ray of the abdomen, 1 view inpatient CPT 74018 ABD ONE VIEW PORT | $243.45 | $243.45 | — | — | — |
| X-ray of the abdomen, 1 view inpatient CPT 74018 ABDOMEN 1 VIEW II | $243.45 | $243.45 | — | — | — |
| X-ray of the ankle, 2 views both sides CPT 73600 ANKLE 2 VIEW BILATERAL | $486.34 | $486.34 | $34.81–$336.01 | — | — |
| X-ray of the ankle, 2 views CPT 73600 ANKLE 2 VIEWS | $243.15 | $243.15 | $34.81–$201.54 | 116% above | — |
| X-ray of the ankle, 2 views inpatient both sides CPT 73600 ANKLE 2 VIEW BILATERAL | $486.34 | $486.34 | — | — | — |
| X-ray of the ankle, 2 views inpatient CPT 73600 ANKLE 2 VIEWS | $243.15 | $243.15 | — | — | — |
| X-ray of the finger(s), 2 or more views both sides CPT 73140 FINGER(S) 2 VIEW MINIMUM BILATERAL | $486.34 | $486.34 | $21.00–$336.01 | — | — |
| X-ray of the finger(s), 2 or more views CPT 73140 FINGER(S) 2 VIEWS | $243.15 | $243.15 | $21.00–$201.54 | 118% above | — |
| X-ray of the finger(s), 2 or more views inpatient both sides CPT 73140 FINGER(S) 2 VIEW MINIMUM BILATERAL | $486.34 | $486.34 | — | — | — |
| X-ray of the finger(s), 2 or more views inpatient CPT 73140 FINGER(S) 2 VIEWS | $243.15 | $243.15 | — | — | — |
| X-ray of the foot, 2 views both sides CPT 73620 FOOT 2 VIEW BILATERAL | $486.34 | $486.34 | $33.45–$336.01 | — | — |
| X-ray of the foot, 2 views CPT 73620 FOOT 2 VIEWS | $243.15 | $243.15 | $33.45–$201.54 | 109% above | — |
| X-ray of the foot, 2 views inpatient both sides CPT 73620 FOOT 2 VIEW BILATERAL | $486.34 | $486.34 | — | — | — |
| X-ray of the foot, 2 views inpatient CPT 73620 FOOT 2 VIEWS | $243.15 | $243.15 | — | — | — |
| X-ray of the foot, complete, 3 or more views both sides CPT 73630 FOOT COMPLETE 3 VIEW MIN BILATERAL | $486.34 | $486.34 | $40.27–$336.01 | — | — |
| X-ray of the foot, complete, 3 or more views CPT 73630 FOOT =>3 VIEWS | $243.15 | $243.15 | $40.27–$201.54 | 107% above | — |
| X-ray of the foot, complete, 3 or more views inpatient both sides CPT 73630 FOOT COMPLETE 3 VIEW MIN BILATERAL | $486.34 | $486.34 | — | — | — |
| X-ray of the foot, complete, 3 or more views inpatient CPT 73630 FOOT =>3 VIEWS | $243.15 | $243.15 | — | — | — |
| X-ray of the hand, 3 or more views both sides CPT 73130 HAND 3 VIEW MINIMUM BILATERAL | $486.34 | $486.34 | $40.96–$336.01 | — | — |
| X-ray of the hand, 3 or more views CPT 73130 HAND =>3 VIEWS | $243.15 | $243.15 | $40.96–$201.54 | 107% above | — |
| X-ray of the hand, 3 or more views inpatient both sides CPT 73130 HAND 3 VIEW MINIMUM BILATERAL | $486.34 | $486.34 | — | — | — |
| X-ray of the hand, 3 or more views inpatient CPT 73130 HAND =>3 VIEWS | $243.15 | $243.15 | — | — | — |
| X-ray of the knee, 1 or 2 views both sides CPT 73560 KNEES <= 2 VIEWS BILAT | $486.34 | $486.34 | $36.17–$336.01 | — | — |
| X-ray of the knee, 1 or 2 views CPT 73560 KNEE <= 2 VIEWS | $243.15 | $243.15 | $36.17–$201.54 | 107% above | — |
| X-ray of the knee, 1 or 2 views inpatient both sides CPT 73560 KNEES <= 2 VIEWS BILAT | $486.34 | $486.34 | — | — | — |
| X-ray of the knee, 1 or 2 views inpatient CPT 73560 KNEE <= 2 VIEWS | $243.15 | $243.15 | — | — | — |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 LS SPINE 2 OR 3 VIEWS | $243.15 | $243.15 | $41.86–$243.40 | 87% above | — |
| X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 LS SPINE 2 OR 3 VIEWS | $243.15 | $243.15 | — | — | — |
| X-ray of the lower back, 4 or more views CPT 72110 LS-SPINE =>4 VIEWS | $385.38 | $385.38 | $66.34–$266.26 | 140% above | — |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 LS-SPINE =>4 VIEWS | $385.38 | $385.38 | — | — | — |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 THORACIC SPINE 2 VIEWS | $243.15 | $243.15 | $40.27–$243.40 | 82% above | — |
| X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 THORACIC SPINE 2 VIEWS | $243.15 | $243.15 | — | — | — |
| X-ray of the nasal bones, 3 or more views CPT 70160 NASAL BONES COMPLETE MIN 3 VIEWS | $243.15 | $243.15 | $41.86–$201.54 | 114% above | — |
| X-ray of the nasal bones, 3 or more views inpatient CPT 70160 NASAL BONES COMPLETE MIN 3 VIEWS | $243.15 | $243.15 | — | — | — |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 CERVICAL SPINE 3 OR LESS VWS | $243.15 | $243.15 | $41.86–$201.54 | 107% above | — |
| X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 CERVICAL SPINE 3 OR LESS VWS | $243.15 | $243.15 | — | — | — |
| X-ray of the pelvis, 1 or 2 views CPT 72170 PELVIS <=2 VIEWS | $243.15 | $243.15 | $31.40–$243.40 | 95% above | — |
| X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 PELVIS <=2 VIEWS | $243.15 | $243.15 | — | — | — |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 SACRUM WITH COCCYX MIN 2VIEWS | $243.15 | $243.15 | $36.86–$201.54 | 107% above | — |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 SACRUM WITH COCCYX MIN 2VIEWS | $243.15 | $243.15 | — | — | — |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs New Jersey | Off list |
|---|---|---|---|---|---|
| ACTH blood test CPT 82024 ADRENOCORTICOTROPHIC ACTH | $130.86 | $130.86 | $25.03–$177.58 | 195% above | — |
| ACTH blood test inpatient CPT 82024 ADRENOCORTICOTROPHIC ACTH | $130.86 | $130.86 | — | — | — |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 SGPT (ALT) | $17.91 | $17.91 | $2.81–$24.33 | 194% above | — |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 SGPT (ALT) | $17.91 | $17.91 | — | — | — |
| AST (aspartate aminotransferase) enzyme test CPT 84450 SGOT (AST) | $17.53 | $17.53 | $2.81–$23.79 | 194% above | — |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 SGOT (AST) | $17.53 | $17.53 | — | — | — |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HEPATITIS PANEL | $161.38 | $161.38 | $30.87–$218.95 | 195% above | — |
| Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HEPATITIS PANEL | $161.38 | $161.38 | — | — | — |
| Albumin blood test CPT 82040 ALBUMIN | $16.76 | $16.76 | $1.94–$22.76 | 195% above | — |
| Albumin blood test inpatient CPT 82040 ALBUMIN | $16.76 | $16.76 | — | — | — |
| Aldosterone blood test CPT 82088 ALDOSTERONE SERUM | $138.05 | $138.05 | $26.41–$187.37 | 195% above | — |
| Aldosterone blood test inpatient CPT 82088 ALDOSTERONE SERUM | $138.05 | $138.05 | — | — | — |
| Alkaline phosphatase (ALP) blood test CPT 84075 ALK PHOSPHATASE | $17.53 | $17.53 | $2.81–$23.79 | 194% above | — |
| Alkaline phosphatase (ALP) blood test inpatient CPT 84075 ALK PHOSPHATASE | $17.53 | $17.53 | — | — | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Banana IgE-Q | $24.57 | $24.57 | $4.32–$60.00 | 310% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Brazil Nut IgE-Q | $24.57 | $24.57 | $4.32–$60.00 | 310% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Pork IgE-Q | $24.57 | $24.57 | $4.32–$60.00 | 310% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Phospholipase A2 Receptor Ab Serum-Q | $24.57 | $24.57 | $4.32–$60.00 | 310% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Penicillum Notatum IgE-Q | $24.57 | $24.57 | $4.32–$60.00 | 310% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Penicilloyl V IgE-Q | $24.57 | $24.57 | $4.32–$60.00 | 310% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Penicilloyl G IgE-Q | $24.57 | $24.57 | $4.32–$60.00 | 310% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Pecan Nut IgE-Q | $24.57 | $24.57 | $4.32–$60.00 | 310% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Peanut IgE-Q | $24.57 | $24.57 | $4.32–$60.00 | 310% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergy Panel 19, Seafood Group-Q | $24.57 | $24.57 | $4.32–$60.00 | 310% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergy Panel, Region 2, Weeds-Q | $24.57 | $24.57 | $4.32–$60.00 | 310% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergy Panel, Animal Group-Q | $24.57 | $24.57 | $4.32–$60.00 | 310% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergy Panel 11, Mold Group-Q | $24.57 | $24.57 | $4.32–$60.00 | 310% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergy Evaluation 8, ARID Southwest-Q | $24.57 | $24.57 | $4.32–$60.00 | 310% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergy Evaluation 1, Northeast-Q | $24.57 | $24.57 | $4.32–$60.00 | 310% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Food Allergy Profile-Q | $24.57 | $24.57 | $4.32–$60.00 | 310% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Yellow Hornet-Q | $24.57 | $24.57 | $4.32–$60.00 | 310% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Yellow Dock Weed IgE-Q | $24.57 | $24.57 | $4.32–$60.00 | 310% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 White-Faced Hornet IgE-Q | $24.57 | $24.57 | $4.32–$60.00 | 310% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Coconut IgE-Q | $24.57 | $24.57 | $4.32–$60.00 | 310% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Cows Milk IgE-Q | $24.57 | $24.57 | $4.32–$60.00 | 310% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Crab IgE-Q | $24.57 | $24.57 | $4.32–$60.00 | 310% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Dog Dander IgE-Q | $24.57 | $24.57 | $4.32–$60.00 | 310% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Dog Fennel IgE-Q | $24.57 | $24.57 | $4.32–$60.00 | 310% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Egg Mix-Yolk and White IgE-Q | $24.57 | $24.57 | $4.32–$60.00 | 310% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Egg White IgE-Q | $24.57 | $24.57 | $4.32–$60.00 | 310% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Egg Yolk IgE-Q | $24.57 | $24.57 | $4.32–$60.00 | 310% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 English Plantain IgE-Q | $24.57 | $24.57 | $4.32–$60.00 | 310% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Hazelnut IgE-Q | $24.57 | $24.57 | $4.32–$60.00 | 310% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 House Dust Greer IgE-Q | $24.57 | $24.57 | $4.32–$60.00 | 310% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Honey Bee IgE-Q | $24.57 | $24.57 | $4.32–$60.00 | 310% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Lamb IgE-Q | $24.57 | $24.57 | $4.32–$60.00 | 310% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Lamb's Quarters Goose Foot IgE-Q | $24.57 | $24.57 | $4.32–$60.00 | 310% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Yellow Jacket IgE-Q | $24.57 | $24.57 | $4.32–$60.00 | 310% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Tuna IgE-Q | $24.57 | $24.57 | $4.32–$60.00 | 310% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Shrimp IgE-Q | $24.57 | $24.57 | $4.32–$60.00 | 310% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Sesame Seed IgE-Q | $24.57 | $24.57 | $4.32–$60.00 | 310% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 White Pine IgE-Q | $24.57 | $24.57 | $4.32–$60.00 | 310% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 White Ash IgE-Q | $24.57 | $24.57 | $4.32–$60.00 | 310% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Scallop IgE-Q | $24.57 | $24.57 | $4.32–$60.00 | 310% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Salmon IgE-Q | $24.57 | $24.57 | $4.32–$60.00 | 310% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Lettuce IgE-Q | $24.57 | $24.57 | $4.32–$60.00 | 310% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Lobster IgE-Q | $24.57 | $24.57 | $4.32–$60.00 | 310% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Maize Corn IgE-Q | $24.57 | $24.57 | $4.32–$60.00 | 310% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Maple Box Elder IgE-Q | $24.57 | $24.57 | $4.32–$60.00 | 310% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Paper Wasp IgE-Q | $24.57 | $24.57 | $4.32–$60.00 | 310% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Soybean IgE-Q | $24.57 | $24.57 | $4.32–$60.00 | 310% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Strawberry IgE-Q | $24.57 | $24.57 | $4.32–$60.00 | 310% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Wheat IgE-Q | $24.57 | $24.57 | $4.32–$60.00 | 310% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Walnut IgE-Q | $24.57 | $24.57 | $4.32–$60.00 | 310% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Aspergillus Niger IgE-Q | $24.57 | $24.57 | $4.32–$60.00 | 310% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Almond IgE-Q | $24.57 | $24.57 | $4.32–$60.00 | 310% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Specific IgE Hickory-Q | $24.57 | $24.57 | $4.32–$60.00 | 310% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Derm pteronyssinus (d1) IgE-Q | $24.57 | $24.57 | $4.32–$60.00 | 310% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Derm farinae (d2) IgE-Q | $24.57 | $24.57 | $4.32–$60.00 | 310% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Latex (K82) Rast-Q | $24.57 | $24.57 | $4.32–$60.00 | 310% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Pinenut IgE | $24.57 | $24.57 | $4.32–$60.00 | 310% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Macadamia Nut | $24.57 | $24.57 | $4.32–$60.00 | 310% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Respiratory Allergy Profile Region II | $24.57 | $24.57 | $4.32–$60.00 | 310% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Respiratory Allergy Profile Region I | $24.57 | $24.57 | $4.32–$60.00 | 310% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Pineapple IgE-Q | $24.57 | $24.57 | $4.32–$60.00 | 310% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Red Cedar IgE-Q | $24.57 | $24.57 | $4.32–$60.00 | 310% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Beef IgE-Q | $24.57 | $24.57 | $4.32–$60.00 | 310% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Cashew Nut IgE-Q | $24.57 | $24.57 | $4.32–$60.00 | 310% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Cat Dander (E1) IgE-Q | $24.57 | $24.57 | $4.32–$60.00 | 310% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Clam IGE-Q | $24.57 | $24.57 | $4.32–$60.00 | 310% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Cocoa IgE-Q | $24.57 | $24.57 | $4.32–$60.00 | 310% above | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Scallop IgE-Q | $24.57 | $24.57 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Beef IgE-Q | $24.57 | $24.57 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Red Cedar IgE-Q | $24.57 | $24.57 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Pineapple IgE-Q | $24.57 | $24.57 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Respiratory Allergy Profile Region I | $24.57 | $24.57 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Respiratory Allergy Profile Region II | $24.57 | $24.57 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Macadamia Nut | $24.57 | $24.57 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Pinenut IgE | $24.57 | $24.57 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Latex (K82) Rast-Q | $24.57 | $24.57 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Derm farinae (d2) IgE-Q | $24.57 | $24.57 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Derm pteronyssinus (d1) IgE-Q | $24.57 | $24.57 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Specific IgE Hickory-Q | $24.57 | $24.57 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Almond IgE-Q | $24.57 | $24.57 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Aspergillus Niger IgE-Q | $24.57 | $24.57 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Banana IgE-Q | $24.57 | $24.57 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Brazil Nut IgE-Q | $24.57 | $24.57 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Cashew Nut IgE-Q | $24.57 | $24.57 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Cat Dander (E1) IgE-Q | $24.57 | $24.57 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Clam IGE-Q | $24.57 | $24.57 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Cocoa IgE-Q | $24.57 | $24.57 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Coconut IgE-Q | $24.57 | $24.57 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Cows Milk IgE-Q | $24.57 | $24.57 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Crab IgE-Q | $24.57 | $24.57 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Dog Dander IgE-Q | $24.57 | $24.57 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Dog Fennel IgE-Q | $24.57 | $24.57 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Egg Mix-Yolk and White IgE-Q | $24.57 | $24.57 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Egg White IgE-Q | $24.57 | $24.57 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Egg Yolk IgE-Q | $24.57 | $24.57 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 English Plantain IgE-Q | $24.57 | $24.57 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hazelnut IgE-Q | $24.57 | $24.57 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 House Dust Greer IgE-Q | $24.57 | $24.57 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Honey Bee IgE-Q | $24.57 | $24.57 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Lamb IgE-Q | $24.57 | $24.57 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Lamb's Quarters Goose Foot IgE-Q | $24.57 | $24.57 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Yellow Jacket IgE-Q | $24.57 | $24.57 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Tuna IgE-Q | $24.57 | $24.57 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Shrimp IgE-Q | $24.57 | $24.57 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Sesame Seed IgE-Q | $24.57 | $24.57 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Salmon IgE-Q | $24.57 | $24.57 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Lettuce IgE-Q | $24.57 | $24.57 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Lobster IgE-Q | $24.57 | $24.57 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Maize Corn IgE-Q | $24.57 | $24.57 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Maple Box Elder IgE-Q | $24.57 | $24.57 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Paper Wasp IgE-Q | $24.57 | $24.57 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Soybean IgE-Q | $24.57 | $24.57 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Strawberry IgE-Q | $24.57 | $24.57 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Walnut IgE-Q | $24.57 | $24.57 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Wheat IgE-Q | $24.57 | $24.57 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 White Ash IgE-Q | $24.57 | $24.57 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 White Pine IgE-Q | $24.57 | $24.57 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 White-Faced Hornet IgE-Q | $24.57 | $24.57 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Yellow Dock Weed IgE-Q | $24.57 | $24.57 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Yellow Hornet-Q | $24.57 | $24.57 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Food Allergy Profile-Q | $24.57 | $24.57 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergy Evaluation 1, Northeast-Q | $24.57 | $24.57 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergy Evaluation 8, ARID Southwest-Q | $24.57 | $24.57 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergy Panel 11, Mold Group-Q | $24.57 | $24.57 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergy Panel, Animal Group-Q | $24.57 | $24.57 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergy Panel, Region 2, Weeds-Q | $24.57 | $24.57 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergy Panel 19, Seafood Group-Q | $24.57 | $24.57 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Peanut IgE-Q | $24.57 | $24.57 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Pecan Nut IgE-Q | $24.57 | $24.57 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Penicilloyl G IgE-Q | $24.57 | $24.57 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Penicilloyl V IgE-Q | $24.57 | $24.57 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Penicillum Notatum IgE-Q | $24.57 | $24.57 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Phospholipase A2 Receptor Ab Serum-Q | $24.57 | $24.57 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Pork IgE-Q | $24.57 | $24.57 | — | — | — |
| Alpha-fetoprotein (AFP) blood test CPT 82105 ALPHA FETO PROTEIN SERUM | $56.84 | $56.84 | $10.87–$77.14 | 195% above | — |
| Alpha-fetoprotein (AFP) blood test CPT 82105 AFP, Serum, Open Spina Bifida | $56.84 | $56.84 | $10.87–$77.14 | 195% above | — |
| Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 ALPHA FETO PROTEIN SERUM | $56.84 | $56.84 | — | — | — |
| Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 AFP, Serum, Open Spina Bifida | $56.84 | $56.84 | — | — | — |
| Ammonia blood test CPT 82140 AMMONIA | $49.34 | $49.34 | $6.48–$66.99 | 194% above | — |
| Ammonia blood test inpatient CPT 82140 AMMONIA | $49.34 | $49.34 | — | — | — |
| Amylase blood test CPT 82150 AMYLASE SERUM | $21.95 | $21.95 | $4.20–$29.82 | 195% above | — |
| Amylase blood test CPT 82150 AMYLASE BODY FLUID | $21.95 | $21.95 | $4.20–$29.82 | 195% above | — |
| Amylase blood test CPT 82150 AMYLASE ISOENZYMES SERUM | $21.95 | $21.95 | $4.20–$29.82 | 195% above | — |
| Amylase blood test CPT 82150 Amylase Urine Random | $21.95 | $21.95 | $4.20–$29.82 | 195% above | — |
| Amylase blood test CPT 82150 Amylase Pancreatic Cyst Fluid-Q | $21.95 | $21.95 | $4.20–$29.82 | 195% above | — |
| Amylase blood test inpatient CPT 82150 AMYLASE ISOENZYMES SERUM | $21.95 | $21.95 | — | — | — |
| Amylase blood test inpatient CPT 82150 Amylase Pancreatic Cyst Fluid-Q | $21.95 | $21.95 | — | — | — |
| Amylase blood test inpatient CPT 82150 Amylase Urine Random | $21.95 | $21.95 | — | — | — |
| Amylase blood test inpatient CPT 82150 AMYLASE SERUM | $21.95 | $21.95 | — | — | — |
| Amylase blood test inpatient CPT 82150 AMYLASE BODY FLUID | $21.95 | $21.95 | — | — | — |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CCP ANTIBODY | $43.86 | $43.86 | $8.39–$59.51 | 195% above | — |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CCP ANTIBODY | $43.86 | $43.86 | — | — | — |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTI NUCLEAR ANTIBODY | $40.95 | $40.95 | $7.83–$55.60 | 208% above | — |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 Ana Scr,Ifa W/Refl Mpx Ab Cascade-Q | $40.95 | $40.95 | $7.83–$55.60 | 208% above | — |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 Ana Scr,Ifa W/Refl Mpx Ab Cascade-Q | $40.95 | $40.95 | — | — | — |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANTI NUCLEAR ANTIBODY | $40.95 | $40.95 | — | — | — |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 BNP | $115.00 | $115.00 | $22.00–$156.07 | 155% above | — |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 BNP | $115.00 | $115.00 | — | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 VAGINAL CULTURE | $29.16 | $29.16 | $5.58–$39.61 | 194% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Lower Respiratory Culture | $29.16 | $29.16 | $5.58–$39.61 | 194% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Legionella species Culture | $29.16 | $29.16 | $5.58–$39.61 | 194% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Upper Respiratory Culture | $29.16 | $29.16 | $5.58–$39.61 | 194% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Culture Aerobic and Anaerboic w/Gram Stain-Q | $29.16 | $29.16 | $5.58–$39.61 | 194% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Culture Aerobic Bacteria w/Gram Stain-Q | $29.16 | $29.16 | $5.58–$39.61 | 194% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CSF CULTURE/GS | $29.16 | $29.16 | $5.58–$39.61 | 194% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 WOUND CULTURE | $29.16 | $29.16 | $5.58–$39.61 | 194% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 BRONCH CULTURE | $29.16 | $29.16 | $5.58–$39.61 | 194% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 TISSUE BONE MARROW CULTURE | $29.16 | $29.16 | $5.58–$39.61 | 194% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Culture Aerobic Bacteria w/o Gram Stain-Q | $29.16 | $29.16 | $5.58–$39.61 | 194% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Culture MRSA and VRE | $29.16 | $29.16 | $5.58–$39.61 | 194% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 EYE CULTURE | $29.16 | $29.16 | $5.58–$39.61 | 194% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 EAR CULTURE | $29.16 | $29.16 | $5.58–$39.61 | 194% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE BODY FLUID | $29.16 | $29.16 | $5.58–$39.61 | 194% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 THROAT CULTURE | $29.16 | $29.16 | $5.58–$39.61 | 194% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Upper Respiratory Culture | $29.16 | $29.16 | — | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Culture Aerobic and Anaerboic w/Gram Stain-Q | $29.16 | $29.16 | — | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Legionella species Culture | $29.16 | $29.16 | — | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 THROAT CULTURE | $29.16 | $29.16 | — | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 VAGINAL CULTURE | $29.16 | $29.16 | — | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 WOUND CULTURE | $29.16 | $29.16 | — | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 BRONCH CULTURE | $29.16 | $29.16 | — | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 TISSUE BONE MARROW CULTURE | $29.16 | $29.16 | — | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Culture MRSA and VRE | $29.16 | $29.16 | — | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 EYE CULTURE | $29.16 | $29.16 | — | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Culture Aerobic Bacteria w/Gram Stain-Q | $29.16 | $29.16 | — | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 EAR CULTURE | $29.16 | $29.16 | — | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE BODY FLUID | $29.16 | $29.16 | — | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Culture Aerobic Bacteria w/o Gram Stain-Q | $29.16 | $29.16 | — | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CSF CULTURE/GS | $29.16 | $29.16 | — | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Lower Respiratory Culture | $29.16 | $29.16 | — | — | — |
| Basic metabolic panel (blood test) CPT 80048 BASIC CHEMISTRY PROFILE | $28.63 | $28.63 | $5.48–$38.91 | 194% above | — |
| Basic metabolic panel (blood test) inpatient CPT 80048 BASIC CHEMISTRY PROFILE | $28.63 | $28.63 | — | — | — |
| Bilirubin blood test, total CPT 82247 BILIRUBIN TOTAL NB | $16.98 | $16.98 | $3.24–$23.08 | 194% above | — |
| Bilirubin blood test, total CPT 82247 BILIRUBIN TOTAL | $16.98 | $16.98 | $3.24–$23.08 | 194% above | — |
| Bilirubin blood test, total inpatient CPT 82247 BILIRUBIN TOTAL NB | $16.98 | $16.98 | — | — | — |
| Bilirubin blood test, total inpatient CPT 82247 BILIRUBIN TOTAL | $16.98 | $16.98 | — | — | — |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 CELL BLOCK TISSUE PREP | $154.90 | $154.90 | $29.63–$159.94 | 58% above | — |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 TISSUE PROCEDURE LEVEL 4 | $154.90 | $154.90 | $29.63–$159.94 | 58% above | — |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 TISSUE PROCEDURE LEVEL 4 | $154.90 | $154.90 | — | — | — |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 CELL BLOCK TISSUE PREP | $154.90 | $154.90 | — | — | — |
| Blood culture for bacteria CPT 87040 BLOOD CULTURE | $35.00 | $35.00 | $6.69–$47.48 | 37% below | — |
| Blood culture for bacteria inpatient CPT 87040 BLOOD CULTURE | $35.00 | $35.00 | — | — | — |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 SPECIMEN COLLECTION | $44.98 | $44.98 | $1.65–$33.06 | 363% above | — |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 Unsuccessful Specimen Collection | $44.98 | $44.98 | $1.65–$33.06 | 363% above | — |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 Labs drawn | $44.98 | $44.98 | $1.65–$33.06 | 363% above | — |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 BLOOD DRAW | $44.98 | $44.98 | $1.94–$4,105.00 | 363% above | — |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 Specimen Collection lab | $44.98 | $44.98 | $1.65–$33.06 | 363% above | — |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 BLOOD DRAW | $44.98 | $44.98 | — | — | — |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Specimen Collection lab | $44.98 | $44.98 | — | — | — |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 SPECIMEN COLLECTION | $44.98 | $44.98 | — | — | — |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Unsuccessful Specimen Collection | $44.98 | $44.98 | — | — | — |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Labs drawn | $44.98 | $44.98 | — | — | — |
| Blood glucose (sugar) test CPT 82947 GLUCOSE FASTING RESP | $13.30 | $13.30 | $2.54–$18.04 | 194% above | — |
| Blood glucose (sugar) test CPT 82947 Glucose POC | $13.30 | $13.30 | $2.54–$18.04 | 194% above | — |
| Blood glucose (sugar) test CPT 82947 GLUCOSE CONFIRM | $13.30 | $13.30 | $2.54–$18.04 | 194% above | — |
| Blood glucose (sugar) test CPT 82947 GLUCOSE NON-FASTING 2HR | $13.30 | $13.30 | $2.54–$18.04 | 194% above | — |
| Blood glucose (sugar) test CPT 82947 GLUCOSE FASTING | $13.30 | $13.30 | $2.54–$18.04 | 194% above | — |
| Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE FASTING | $13.30 | $13.30 | — | — | — |
| Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE NON-FASTING 2HR | $13.30 | $13.30 | — | — | — |
| Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE CONFIRM | $13.30 | $13.30 | — | — | — |
| Blood glucose (sugar) test inpatient CPT 82947 Glucose POC | $13.30 | $13.30 | — | — | — |
| Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE FASTING RESP | $13.30 | $13.30 | — | — | — |
| Blood lead test CPT 83655 LEAD LEVEL | $41.02 | $41.02 | $7.85–$55.66 | 194% above | — |
| Blood lead test inpatient CPT 83655 LEAD LEVEL | $41.02 | $41.02 | — | — | — |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 PREG TEST QUAL SERUM BHCG | $25.49 | $25.49 | $3.24–$34.54 | 195% above | — |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 PREG TEST URINE | $25.49 | $25.49 | $3.24–$34.54 | 195% above | — |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 PREG TEST QUAL SERUM BHCG | $25.49 | $25.49 | — | — | — |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 PREG TEST URINE | $25.49 | $25.49 | — | — | — |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABORH CORD | $410.54 | $410.54 | $2.16–$295.04 | 188% above | — |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 TYPE&DIRECT COOMBS CORDNB | $410.54 | $410.54 | $2.16–$295.04 | 188% above | — |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BLOOD TYPE (ABO) | $410.54 | $410.54 | $2.16–$295.04 | 188% above | — |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ARC ABO Type | $410.54 | $410.54 | $2.16–$295.04 | 188% above | — |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABORH NEWBORN | $410.54 | $410.54 | $2.16–$295.04 | 188% above | — |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 BLOOD TYPE (ABO) | $410.54 | $410.54 | — | — | — |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 TYPE&DIRECT COOMBS CORDNB | $410.54 | $410.54 | — | — | — |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 ARC ABO Type | $410.54 | $410.54 | — | — | — |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 ABORH CORD | $410.54 | $410.54 | — | — | — |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 ABORH NEWBORN | $410.54 | $410.54 | — | — | — |
| Blood urea nitrogen (BUN) test CPT 84520 BUN/BLOOD UREA NITROGEN | $13.40 | $13.40 | $2.56–$18.14 | 195% above | — |
| Blood urea nitrogen (BUN) test inpatient CPT 84520 BUN/BLOOD UREA NITROGEN | $13.40 | $13.40 | — | — | — |
| C-peptide blood test CPT 84681 C PEPTIDE SERUM | $70.50 | $70.50 | $13.49–$95.66 | 195% above | — |
| C-peptide blood test inpatient CPT 84681 C PEPTIDE SERUM | $70.50 | $70.50 | — | — | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 CRP (C REACTIVE PROTEIN) | $17.53 | $17.53 | $3.24–$23.79 | 194% above | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 CRP (C REACTIVE PROTEIN) | $17.53 | $17.53 | — | — | — |
| C. difficile toxin gene test (stool PCR) CPT 87493 C Difficile Toxin DNA | $118.85 | $118.85 | $22.73–$161.37 | 177% above | — |
| C. difficile toxin gene test (stool PCR) inpatient CPT 87493 C Difficile Toxin DNA | $118.85 | $118.85 | — | — | — |
| CA 19-9 blood test (tumor marker) CPT 86301 CANCER ANTIGEN 19-9 | $70.50 | $70.50 | $13.49–$95.69 | 195% above | — |
| CA 19-9 blood test (tumor marker) inpatient CPT 86301 CANCER ANTIGEN 19-9 | $70.50 | $70.50 | — | — | — |
| CA-125 blood test (ovarian cancer marker) CPT 86304 CANCER ANTIGEN 125 | $70.50 | $70.50 | $13.49–$95.69 | 195% above | — |
| CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 CANCER ANTIGEN 125 | $70.50 | $70.50 | — | — | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS-CoV-2 RNA (COVID19) and Respiratory Pathogen Panel, Ql NAAT-Q | $165.97 | $165.97 | $31.75–$164.71 | 194% above | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COV-19 AMP PRB HGH THRUPUT (Quest) | $165.97 | $165.97 | $31.75–$164.71 | 194% above | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 IADNA SARS-COV-2 COVID-19 AMPLIFIED PROBE TQ | $165.97 | $165.97 | $31.75–$164.71 | 194% above | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS-CoV-2 RNA (COVID19) and Respiratory Viral Panel, Ql NAAT-Q | $165.97 | $165.97 | $31.75–$164.71 | 194% above | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 COV-19 AMP PRB HGH THRUPUT (Quest) | $165.97 | $165.97 | — | — | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 SARS-CoV-2 RNA (COVID19) and Respiratory Pathogen Panel, Ql NAAT-Q | $165.97 | $165.97 | — | — | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 IADNA SARS-COV-2 COVID-19 AMPLIFIED PROBE TQ | $165.97 | $165.97 | — | — | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 SARS-CoV-2 RNA (COVID19) and Respiratory Viral Panel, Ql NAAT-Q | $165.97 | $165.97 | — | — | — |
| Calcium blood test, total CPT 82310 CALCIUM SERUM | $17.48 | $17.48 | $2.81–$23.72 | 195% above | — |
| Calcium blood test, total inpatient CPT 82310 CALCIUM SERUM | $17.48 | $17.48 | — | — | — |
| Carcinoembryonic antigen (CEA) test CPT 82378 CEA Pancreatic Cyst Fluid-Q | $64.26 | $64.26 | $12.29–$87.22 | 195% above | — |
| Carcinoembryonic antigen (CEA) test CPT 82378 CARCINOEMBRYONIC ANTIGEN (CEA) | $64.26 | $64.26 | $12.29–$87.22 | 195% above | — |
| Carcinoembryonic antigen (CEA) test inpatient CPT 82378 CARCINOEMBRYONIC ANTIGEN (CEA) | $64.26 | $64.26 | — | — | — |
| Carcinoembryonic antigen (CEA) test inpatient CPT 82378 CEA Pancreatic Cyst Fluid-Q | $64.26 | $64.26 | — | — | — |
| Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA ZOSTER VIRUS AB | $43.66 | $43.66 | $8.35–$59.26 | 195% above | — |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 VARICELLA ZOSTER VIRUS AB | $43.66 | $43.66 | — | — | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 NuSwab Vaginitis Plus (VG+) | $118.85 | $118.85 | $22.73–$161.37 | 195% above | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA | $118.85 | $118.85 | $22.73–$161.37 | 195% above | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chlamydia RNA, Throat-Q | $118.85 | $118.85 | $22.73–$161.37 | 195% above | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Ct, Ng, Trich vag by NAA | $118.85 | $118.85 | $22.73–$161.37 | 195% above | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 NuSwab BV, Ct/GC | $118.85 | $118.85 | $22.73–$161.37 | 195% above | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 NuSwab Vaginitis Plus (VG+) | $118.85 | $118.85 | — | — | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Chlamydia RNA, Throat-Q | $118.85 | $118.85 | — | — | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA | $118.85 | $118.85 | — | — | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Ct, Ng, Trich vag by NAA | $118.85 | $118.85 | — | — | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 NuSwab BV, Ct/GC | $118.85 | $118.85 | — | — | — |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PROFILE | $45.35 | $45.35 | $8.67–$61.60 | 194% above | — |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PROFILE | $45.35 | $45.35 | — | — | — |
| Complete blood count (CBC) with differential CPT 85025 CBC/AUTO DIFF | $26.34 | $26.34 | $5.04–$35.76 | 195% above | — |
| Complete blood count (CBC) with differential inpatient CPT 85025 CBC/AUTO DIFF | $26.34 | $26.34 | — | — | — |
| Complete blood count (CBC), no differential CPT 85027 CBC COMPLETE AUTOMATED | $21.94 | $21.94 | $4.20–$29.76 | 195% above | — |
| Complete blood count (CBC), no differential inpatient CPT 85027 CBC COMPLETE AUTOMATED | $21.94 | $21.94 | — | — | — |
| Comprehensive metabolic panel (blood test) CPT 80053 COMPREHENSIVE CHEM PRO | $32.37 | $32.37 | $6.19–$48.60 | 167% above | — |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMPREHENSIVE CHEM PRO | $32.37 | $32.37 | — | — | — |
| Cortisol blood test, total CPT 82533 CORTISOL PLASMA RANDOM | $55.22 | $55.22 | $10.56–$74.95 | 195% above | — |
| Cortisol blood test, total CPT 82533 CORTISOL TOTAL | $55.22 | $55.22 | $10.56–$74.95 | 195% above | — |
| Cortisol blood test, total inpatient CPT 82533 CORTISOL TOTAL | $55.22 | $55.22 | — | — | — |
| Cortisol blood test, total inpatient CPT 82533 CORTISOL PLASMA RANDOM | $55.22 | $55.22 | — | — | — |
| Creatine kinase (CK) blood test, total CPT 82550 CREATINE KINASE TOTAL | $22.04 | $22.04 | $2.81–$29.95 | 194% above | — |
| Creatine kinase (CK) blood test, total inpatient CPT 82550 CREATINE KINASE TOTAL | $22.04 | $22.04 | — | — | — |
| Creatinine blood test CPT 82565 CREATININE SERUM | $17.36 | $17.36 | $2.81–$23.56 | 195% above | — |
| Creatinine blood test inpatient CPT 82565 CREATININE SERUM | $17.36 | $17.36 | — | — | — |
| Cytomegalovirus (CMV) antibody test CPT 86644 CMV AB, IGG | $48.76 | $48.76 | $9.33–$66.19 | 208% above | — |
| Cytomegalovirus (CMV) antibody test CPT 86644 CMV IgG Avidity Index-Q | $48.76 | $48.76 | $9.33–$66.19 | 208% above | — |
| Cytomegalovirus (CMV) antibody test inpatient CPT 86644 CMV IgG Avidity Index-Q | $48.76 | $48.76 | — | — | — |
| Cytomegalovirus (CMV) antibody test inpatient CPT 86644 CMV AB, IGG | $48.76 | $48.76 | — | — | — |
| D-dimer blood test (blood clot marker) CPT 85379 D DIMER | $21.43 | $21.43 | $4.10–$46.77 | 83% above | — |
| D-dimer blood test (blood clot marker) inpatient CPT 85379 D DIMER | $21.43 | $21.43 | — | — | — |
| DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA SULFATE | $75.32 | $75.32 | $14.41–$111.00 | 201% above | — |
| DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DHEA SULFATE | $75.32 | $75.32 | — | — | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 MDMA (Ecstacy) | $273.97 | $273.97 | $52.40–$256.19 | 283% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN (IN HOUSE) | $273.97 | $273.97 | $52.40–$256.19 | 283% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Opiates Clinical Screen/Confirm-Q | $273.97 | $273.97 | $52.40–$256.19 | 283% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Cocaine Metabolites Clinical Screen-conf | $273.97 | $273.97 | $52.40–$256.19 | 283% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Amphetamine Scrn W/Conf,Urine -Q | $273.97 | $273.97 | $52.40–$256.19 | 283% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Propoxyphene Urine Random | $273.97 | $273.97 | $52.40–$256.19 | 283% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Drug Monitoring Panel w Confirmation Urine-Q | $273.97 | $273.97 | $52.40–$256.19 | 283% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Drug Screen Meconium-Q | $273.97 | $273.97 | $52.40–$256.19 | 283% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Alcohol, Ethyl Urine qualitative | $273.97 | $273.97 | $52.40–$256.19 | 283% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 DM Opioids Panel w/Conf, Ur-Q | $273.97 | $273.97 | $52.40–$256.19 | 283% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Fentanyl Meconium-SO | $273.97 | $273.97 | $52.40–$256.19 | 283% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG TEST PRSMV CHEM ANLYZR | $273.97 | $273.97 | $52.40–$256.19 | 283% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 COCAINE SC UA ER | $273.97 | $273.97 | $52.40–$256.19 | 283% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 OPIATES SC UA ER | $273.97 | $273.97 | $52.40–$256.19 | 283% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN EACH ANALYTE | $273.97 | $273.97 | $52.40–$256.19 | 283% above | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 OPIATES SC UA ER | $273.97 | $273.97 | — | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG SCREEN EACH ANALYTE | $273.97 | $273.97 | — | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Amphetamine Scrn W/Conf,Urine -Q | $273.97 | $273.97 | — | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 MDMA (Ecstacy) | $273.97 | $273.97 | — | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Propoxyphene Urine Random | $273.97 | $273.97 | — | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Drug Monitoring Panel w Confirmation Urine-Q | $273.97 | $273.97 | — | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Drug Screen Meconium-Q | $273.97 | $273.97 | — | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Alcohol, Ethyl Urine qualitative | $273.97 | $273.97 | — | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DM Opioids Panel w/Conf, Ur-Q | $273.97 | $273.97 | — | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Fentanyl Meconium-SO | $273.97 | $273.97 | — | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG TEST PRSMV CHEM ANLYZR | $273.97 | $273.97 | — | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 COCAINE SC UA ER | $273.97 | $273.97 | — | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG SCREEN (IN HOUSE) | $273.97 | $273.97 | — | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Opiates Clinical Screen/Confirm-Q | $273.97 | $273.97 | — | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Cocaine Metabolites Clinical Screen-conf | $273.97 | $273.97 | — | — | — |
| Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 ELECTROLYTES | $17.89 | $17.89 | $3.42–$32.26 | 122% above | — |
| Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 ELECTROLYTES | $17.89 | $17.89 | — | — | — |
| Epstein-Barr virus (EBV) antibody test CPT 86665 EB VIRAL CAPSID VCA | $61.46 | $61.46 | $11.76–$83.40 | 197% above | — |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 EB VIRAL CAPSID VCA | $61.46 | $61.46 | — | — | — |
| Estradiol blood test CPT 82670 Estrogens Fractionated, S | $94.65 | $94.65 | $18.10–$128.46 | 195% above | — |
| Estradiol blood test CPT 82670 ESTRADIOL SERUM | $94.65 | $94.65 | $18.10–$128.46 | 195% above | — |
| Estradiol blood test inpatient CPT 82670 ESTRADIOL SERUM | $94.65 | $94.65 | — | — | — |
| Estradiol blood test inpatient CPT 82670 Estrogens Fractionated, S | $94.65 | $94.65 | — | — | — |
| FSH (follicle-stimulating hormone) test CPT 83001 FOL STIM HORM SERUM | $62.95 | $62.95 | $12.04–$85.45 | 195% above | — |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 FOL STIM HORM SERUM | $62.95 | $62.95 | — | — | — |
| Fecal calprotectin (stool inflammation test) CPT 83993 CALPROTECTIN FECAL - HC | $67.51 | $67.51 | $12.91–$90.23 | 199% above | — |
| Fecal calprotectin (stool inflammation test) inpatient CPT 83993 CALPROTECTIN FECAL - HC | $67.51 | $67.51 | — | — | — |
| Ferritin blood test (iron stores) CPT 82728 FERRITIN | $46.16 | $46.16 | $8.83–$62.63 | 195% above | — |
| Ferritin blood test (iron stores) inpatient CPT 82728 FERRITIN | $46.16 | $46.16 | — | — | — |
| Fibrinogen blood test CPT 85384 FIBRINOGEN | $28.75 | $28.75 | $5.50–$39.07 | 157% above | — |
| Fibrinogen blood test inpatient CPT 85384 FIBRINOGEN | $28.75 | $28.75 | — | — | — |
| Folate (folic acid) blood test CPT 82746 FOLIC ACID SERUM | $49.81 | $49.81 | $9.53–$67.60 | 195% above | — |
| Folate (folic acid) blood test inpatient CPT 82746 FOLIC ACID SERUM | $49.81 | $49.81 | — | — | — |
| Free T3 thyroid hormone test CPT 84481 FREE T3 | $57.40 | $57.40 | $10.98–$77.87 | 195% above | — |
| Free T3 thyroid hormone test inpatient CPT 84481 FREE T3 | $57.40 | $57.40 | — | — | — |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 .T4F 001975 | $29.65 | $29.65 | $5.67–$41.47 | 186% above | — |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 T4 FREE | $30.51 | $30.51 | $5.84–$41.47 | 194% above | — |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 .T4F 001975 | $29.65 | $29.65 | — | — | — |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 T4 FREE | $30.51 | $30.51 | — | — | — |
| Free testosterone test CPT 84402 TESTOST FREE & WEAKLY | $86.26 | $86.26 | $16.50–$120.00 | 208% above | — |
| Free testosterone test inpatient CPT 84402 TESTOST FREE & WEAKLY | $86.26 | $86.26 | — | — | — |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 GGTP | $24.29 | $24.29 | $2.81–$33.10 | 193% above | — |
| Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 GGTP | $24.29 | $24.29 | — | — | — |
| General health panel: metabolic panel, blood count and TSH in one order CPT 80050 General Health Panel | $447.05 | $447.05 | $38.88–$183.02 | 82% above | — |
| General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 General Health Panel | $447.05 | $447.05 | — | — | — |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GEST GLUCOSE SCREEN | $16.11 | $16.11 | $3.08–$21.83 | 195% above | — |
| Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 GEST GLUCOSE SCREEN | $16.11 | $16.11 | — | — | — |
| Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOLERANCE GTT 3HR | $43.59 | $43.59 | $5.40–$59.19 | 195% above | — |
| Glucose tolerance test, 3 samples inpatient CPT 82951 GLUCOSE TOLERANCE GTT 3HR | $43.59 | $43.59 | — | — | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N Gonorrhoeae | $118.85 | $118.85 | $22.73–$161.37 | 195% above | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Ct/Ng NAA rfx Tv NAA | $118.85 | $118.85 | $22.73–$161.37 | 195% above | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N. Gonorrhoeae RNA, Throat-Q | $118.85 | $118.85 | $22.73–$161.37 | 195% above | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Neisseria Gonorrhoeae RNA, TMA, Rectal-Q | $118.85 | $118.85 | $22.73–$161.37 | 195% above | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 Ct/Ng NAA rfx Tv NAA | $118.85 | $118.85 | — | — | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 N Gonorrhoeae | $118.85 | $118.85 | — | — | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 Neisseria Gonorrhoeae RNA, TMA, Rectal-Q | $118.85 | $118.85 | — | — | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 N. Gonorrhoeae RNA, Throat-Q | $118.85 | $118.85 | — | — | — |
| H. pylori antibody blood test CPT 86677 SMC- H PYLORI AB QL | $48.70 | $48.70 | $9.32–$66.74 | 151% above | — |
| H. pylori antibody blood test inpatient CPT 86677 SMC- H PYLORI AB QL | $48.70 | $48.70 | — | — | — |
| H. pylori stool antigen test CPT 87338 HELICOBACTER PYLORI AG EIA STOOL | $34.14 | $34.14 | $6.53–$66.13 | 116% above | — |
| H. pylori stool antigen test inpatient CPT 87338 HELICOBACTER PYLORI AG EIA STOOL | $34.14 | $34.14 | — | — | — |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV-1RNA QUANT PCR | $288.27 | $288.27 | $55.14–$391.23 | 195% above | — |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV-1RNA QUANT PCR | $288.27 | $288.27 | — | — | — |
| HIV-1 and HIV-2 antibody test CPT 86703 HIV 1/2 ANTIBODY SCREEN | $46.45 | $46.45 | $8.88–$63.08 | 195% above | — |
| HIV-1 and HIV-2 antibody test inpatient CPT 86703 HIV 1/2 ANTIBODY SCREEN | $46.45 | $46.45 | — | — | — |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV 1 AG with HIV 1/HIV 2 AB SCREEN | $129.78 | $129.78 | $20.80–$109.53 | 369% above | — |
| HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HIV 1 AG with HIV 1/HIV 2 AB SCREEN | $129.78 | $129.78 | — | — | — |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV Aptima | $119.21 | $119.21 | $22.80–$153.31 | 209% above | — |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV HIGH-RISK TYPES | $119.21 | $119.21 | $22.80–$153.31 | 209% above | — |
| HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HPV HIGH-RISK TYPES | $119.21 | $119.21 | — | — | — |
| HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HPV Aptima | $119.21 | $119.21 | — | — | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 GLYCOSYLATED HEMOGLOBIN | $32.86 | $32.86 | $6.29–$44.62 | 194% above | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 GLYCOSYLATED HEMOGLOBIN | $32.86 | $32.86 | — | — | — |
| Hemoglobin blood test CPT 85018 HEMOGLOBIN | $8.03 | $8.03 | $1.30–$10.88 | 97% above | — |
| Hemoglobin blood test CPT 85018 HEMOGLOBIN RespTher | $8.03 | $8.03 | $1.30–$10.88 | 97% above | — |
| Hemoglobin blood test inpatient CPT 85018 HEMOGLOBIN RespTher | $8.03 | $8.03 | — | — | — |
| Hemoglobin blood test inpatient CPT 85018 HEMOGLOBIN | $8.03 | $8.03 | — | — | — |
| Hepatitis B core antibody test (total) CPT 86704 Hepatitis B Core Ab Total | $40.83 | $40.83 | $7.81–$55.40 | 208% above | — |
| Hepatitis B core antibody test (total) inpatient CPT 86704 Hepatitis B Core Ab Total | $40.83 | $40.83 | — | — | — |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEP B SURF AB SJHS | $36.38 | $36.38 | $6.96–$49.37 | 195% above | — |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEP B SURF AB SJHS | $36.38 | $36.38 | — | — | — |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HEP B SURF AG SJHS | $35.02 | $35.02 | $6.70–$47.48 | 195% above | — |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEP B SURF AG SJHS | $35.02 | $35.02 | — | — | — |
| Hepatitis C antibody blood test (screening) CPT 86803 HEP C AB SJHS | $48.35 | $48.35 | $9.25–$65.61 | 195% above | — |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEP C AB SJHS | $48.35 | $48.35 | — | — | — |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HCV RNA BY PCR QUANT | $145.12 | $145.12 | $21.60–$366.00 | 195% above | — |
| Hepatitis C viral load (HCV RNA) test one side CPT 87522 .HCV RT-PCR, Quant (Non-Graph) 550362 | $145.12 | $145.12 | $21.60–$366.00 | 195% above | — |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HCV RNA BY PCR QUANT | $145.12 | $145.12 | — | — | — |
| Hepatitis C viral load (HCV RNA) test inpatient one side CPT 87522 .HCV RT-PCR, Quant (Non-Graph) 550362 | $145.12 | $145.12 | — | — | — |
| Herpes blood test, HSV-1 antibody CPT 86695 HSV 1 ANTIBODY | $44.70 | $44.70 | $8.55–$60.64 | 195% above | — |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HSV 1 ANTIBODY | $44.70 | $44.70 | — | — | — |
| Herpes blood test, HSV-2 antibody CPT 86696 HSV 2 IGG ANTIBODY | $65.55 | $65.55 | $12.54–$88.98 | 195% above | — |
| Herpes blood test, HSV-2 antibody CPT 86696 RubIgM+ToxoAb+CMVIgM+Toxo M... | $65.55 | $65.55 | $12.54–$88.98 | 195% above | — |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HSV 2 IGG ANTIBODY | $65.55 | $65.55 | — | — | — |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 RubIgM+ToxoAb+CMVIgM+Toxo M... | $65.55 | $65.55 | — | — | — |
| High-sensitivity CRP (hs-CRP) test CPT 86141 CRP (HIGH SENSITIVE) | $43.86 | $43.86 | $8.39–$59.51 | 195% above | — |
| High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 CRP (HIGH SENSITIVE) | $43.86 | $43.86 | — | — | — |
| Homocysteine blood test CPT 83090 HOMOCYSTEINE | $57.14 | $57.14 | $10.93–$77.55 | 177% above | — |
| Homocysteine blood test inpatient CPT 83090 HOMOCYSTEINE | $57.14 | $57.14 | — | — | — |
| Insulin blood test CPT 83525 INSULIN SERUM TOTAL | $38.70 | $38.70 | $7.40–$52.58 | 195% above | — |
| Insulin blood test inpatient CPT 83525 INSULIN SERUM TOTAL | $38.70 | $38.70 | — | — | — |
| Iron blood test (serum iron) CPT 83540 IRON | $21.94 | $21.94 | $4.20–$29.79 | 195% above | — |
| Iron blood test (serum iron) inpatient CPT 83540 IRON | $21.94 | $21.94 | — | — | — |
| Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING | $29.61 | $29.61 | $5.66–$40.19 | 195% above | — |
| Iron-binding capacity (TIBC) test inpatient CPT 83550 IRON BINDING | $29.61 | $29.61 | — | — | — |
| Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL | $29.45 | $29.45 | $5.63–$39.90 | at median | — |
| Kidney function blood test panel inpatient CPT 80069 RENAL FUNCTION PANEL | $29.45 | $29.45 | — | — | — |
| LH (luteinizing hormone) test CPT 83002 LH/LEUTO HORM | $62.75 | $62.75 | $12.00–$85.16 | 208% above | — |
| LH (luteinizing hormone) test inpatient CPT 83002 LH/LEUTO HORM | $62.75 | $62.75 | — | — | — |
| Lactate (lactic acid) blood test CPT 83605 LACTATE RESP | $36.18 | $36.18 | $6.92–$49.11 | 172% above | — |
| Lactate (lactic acid) blood test CPT 83605 LACTIC ACID | $36.18 | $36.18 | $6.92–$49.11 | 172% above | — |
| Lactate (lactic acid) blood test inpatient CPT 83605 LACTATE RESP | $36.18 | $36.18 | — | — | — |
| Lactate (lactic acid) blood test inpatient CPT 83605 LACTIC ACID | $36.18 | $36.18 | — | — | — |
| Lactate dehydrogenase (LDH) blood test CPT 83615 LDH | $20.43 | $20.43 | $2.81–$27.73 | 194% above | — |
| Lactate dehydrogenase (LDH) blood test CPT 83615 LDH BODY FLUID | $20.43 | $20.43 | $2.81–$27.73 | 194% above | — |
| Lactate dehydrogenase (LDH) blood test CPT 83615 LDH CSF | $20.43 | $20.43 | $2.81–$27.73 | 194% above | — |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LDH | $20.43 | $20.43 | — | — | — |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LDH BODY FLUID | $20.43 | $20.43 | — | — | — |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LDH CSF | $20.43 | $20.43 | — | — | — |
| Lipase blood test (pancreas enzyme) CPT 83690 LIPASE | $23.36 | $23.36 | $4.47–$31.65 | 195% above | — |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE | $23.36 | $23.36 | — | — | — |
| Liver function blood test panel CPT 80076 LIVER PROFILE | $27.70 | $27.70 | $5.30–$37.56 | 8% above | — |
| Liver function blood test panel inpatient CPT 80076 LIVER PROFILE | $27.70 | $27.70 | — | — | — |
| Lyme disease antibody test CPT 86618 LYME AB | $57.71 | $57.71 | $11.04–$88.50 | 195% above | — |
| Lyme disease antibody test inpatient CPT 86618 LYME AB | $57.71 | $57.71 | — | — | — |
| Magnesium blood test CPT 83735 MAGNESIUM URINE | $22.70 | $22.70 | $4.34–$30.82 | 194% above | — |
| Magnesium blood test CPT 83735 MAGNESIUM | $22.70 | $22.70 | $4.34–$30.82 | 194% above | — |
| Magnesium blood test inpatient CPT 83735 MAGNESIUM URINE | $22.70 | $22.70 | — | — | — |
| Magnesium blood test inpatient CPT 83735 MAGNESIUM | $22.70 | $22.70 | — | — | — |
| Measles (rubeola) antibody test CPT 86765 RUBEOLA VIRUS ANTIBODIES | $32.75 | $32.75 | $6.26–$59.26 | 121% above | — |
| Measles (rubeola) antibody test inpatient CPT 86765 RUBEOLA VIRUS ANTIBODIES | $32.75 | $32.75 | — | — | — |
| Mono test (heterophile antibody, Monospot) CPT 86308 MONO SCREEN | $17.53 | $17.53 | $3.24–$23.79 | 49% above | — |
| Mono test (heterophile antibody, Monospot) inpatient CPT 86308 MONO SCREEN | $17.53 | $17.53 | — | — | — |
| Mumps immunity blood test CPT 86735 MUMPS VIRAL ANTIBODIES | $44.21 | $44.21 | $8.46–$59.99 | 195% above | — |
| Mumps immunity blood test inpatient CPT 86735 MUMPS VIRAL ANTIBODIES | $44.21 | $44.21 | — | — | — |
| PSA (prostate-specific antigen) blood test, free CPT 84154 PSA, FREE | $62.31 | $62.31 | $11.92–$84.55 | 195% above | — |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PSA, FREE | $62.31 | $62.31 | — | — | — |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PROSTATE SPECIFIC ANTIGEN TOTAL | $62.31 | $62.31 | $11.92–$84.55 | 195% above | — |
| PSA (prostate-specific antigen) blood test, total CPT 84153 Prostate-Specific Ag | $62.31 | $62.31 | $11.92–$84.55 | 195% above | — |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 Prostate-Specific Ag | $62.31 | $62.31 | — | — | — |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PROSTATE SPECIFIC ANTIGEN TOTAL | $62.31 | $62.31 | — | — | — |
| Pap test (liquid-based, automated screening with review) CPT 88175 Thinprep Tis Pap & HPV MRNA E6/E7, Ct/Ng, Trich-Q | $97.13 | $97.13 | $18.58–$121.79 | 232% above | — |
| Pap test (liquid-based, automated screening with review) CPT 88175 Thinprep Tis Pap Reflex HPV MRNA E6/E7, Chlamydia/N.Gonorrhoeae-Q | $97.13 | $97.13 | $18.58–$121.79 | 232% above | — |
| Pap test (liquid-based, automated screening with review) CPT 88175 Cytopath C/V Auto Screening | $97.13 | $97.13 | $18.58–$121.79 | 232% above | — |
| Pap test (liquid-based, automated screening with review) CPT 88175 Image-Guided Pap with Age-Based w/CtNgTv-Q | $97.13 | $97.13 | $18.58–$121.79 | 232% above | — |
| Pap test (liquid-based, automated screening with review) inpatient CPT 88175 Thinprep Tis Pap & HPV MRNA E6/E7, Ct/Ng, Trich-Q | $97.13 | $97.13 | — | — | — |
| Pap test (liquid-based, automated screening with review) inpatient CPT 88175 Thinprep Tis Pap Reflex HPV MRNA E6/E7, Chlamydia/N.Gonorrhoeae-Q | $97.13 | $97.13 | — | — | — |
| Pap test (liquid-based, automated screening with review) inpatient CPT 88175 Cytopath C/V Auto Screening | $97.13 | $97.13 | — | — | — |
| Pap test (liquid-based, automated screening with review) inpatient CPT 88175 Image-Guided Pap with Age-Based w/CtNgTv-Q | $97.13 | $97.13 | — | — | — |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 LIQUID BASE PAP SMEAR GYN | $68.63 | $68.63 | $13.13–$108.00 | 195% above | — |
| Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 LIQUID BASE PAP SMEAR GYN | $68.63 | $68.63 | — | — | — |
| Parathyroid hormone (PTH) blood test CPT 83970 PTH C-TERMINAL | $139.81 | $139.81 | $26.74–$189.78 | 195% above | — |
| Parathyroid hormone (PTH) blood test CPT 83970 PARATHYROID HORMONE IRMA | $139.81 | $139.81 | $26.74–$189.78 | 195% above | — |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 PTH C-TERMINAL | $139.81 | $139.81 | — | — | — |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 PARATHYROID HORMONE IRMA | $139.81 | $139.81 | — | — | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 PARTIAL THROMBOPLASTIN TM | $20.33 | $20.33 | $3.24–$27.61 | 194% above | — |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PARTIAL THROMBOPLASTIN TM | $20.33 | $20.33 | — | — | — |
| Phosphorus (phosphate) blood test CPT 84100 PHOSPHORUS | $16.04 | $16.04 | $2.81–$21.80 | 194% above | — |
| Phosphorus (phosphate) blood test inpatient CPT 84100 PHOSPHORUS | $16.04 | $16.04 | — | — | — |
| Potassium blood test CPT 84132 POTASSIUM | $15.58 | $15.58 | $2.81–$21.12 | 185% above | — |
| Potassium blood test CPT 84132 POTASSIUM RESP | $15.58 | $15.58 | $2.81–$21.12 | 185% above | — |
| Potassium blood test CPT 84132 Potassium POC | $15.58 | $15.58 | $2.81–$21.12 | 185% above | — |
| Potassium blood test CPT 84132 PLASMA POTASSIUM | $15.58 | $15.58 | $2.81–$21.12 | 185% above | — |
| Potassium blood test inpatient CPT 84132 POTASSIUM RESP | $15.58 | $15.58 | — | — | — |
| Potassium blood test inpatient CPT 84132 Potassium POC | $15.58 | $15.58 | — | — | — |
| Potassium blood test inpatient CPT 84132 PLASMA POTASSIUM | $15.58 | $15.58 | — | — | — |
| Potassium blood test inpatient CPT 84132 POTASSIUM | $15.58 | $15.58 | — | — | — |
| Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 MaterniT21 PLUS Core | $2,395.43 | $2,395.43 | $458.20–$2,575.48 | 187% above | — |
| Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 Fetal Chromosomal Aneuploidy | $2,395.43 | $2,395.43 | $458.20–$2,575.48 | 187% above | — |
| Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) inpatient CPT 81420 Fetal Chromosomal Aneuploidy | $2,395.43 | $2,395.43 | — | — | — |
| Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) inpatient CPT 81420 MaterniT21 PLUS Core | $2,395.43 | $2,395.43 | — | — | — |
| Progesterone blood test CPT 84144 PROGESTERONE SERUM | $70.67 | $70.67 | $13.52–$95.91 | 195% above | — |
| Progesterone blood test inpatient CPT 84144 PROGESTERONE SERUM | $70.67 | $70.67 | — | — | — |
| Prolactin blood test CPT 84146 PROLACTIN | $65.66 | $65.66 | $12.56–$89.11 | 195% above | — |
| Prolactin blood test inpatient CPT 84146 PROLACTIN | $65.66 | $65.66 | — | — | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN | $13.33 | $13.33 | $2.55–$18.04 | 170% above | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 INR - SED | $13.33 | $13.33 | $2.55–$18.04 | 170% above | — |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 INR - SED | $13.33 | $13.33 | — | — | — |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN | $13.33 | $13.33 | — | — | — |
| Rapid flu test (influenza antigen) CPT 87804 INFLUENZA A & B - RAPID | $37.29 | $37.29 | $7.13–$55.15 | 105% above | — |
| Rapid flu test (influenza antigen) inpatient CPT 87804 INFLUENZA A & B - RAPID | $37.29 | $37.29 | — | — | — |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 STREP A TEST | $37.29 | $37.29 | $7.13–$55.15 | 105% above | — |
| Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 STREP A TEST | $37.29 | $37.29 | — | — | — |
| Renin blood test CPT 84244 RENIN | $74.51 | $74.51 | $14.25–$101.15 | 201% above | — |
| Renin blood test inpatient CPT 84244 RENIN | $74.51 | $74.51 | — | — | — |
| Rh blood typing CPT 86901 RHOGAM SCREEN | $821.13 | $821.13 | $2.16–$336.17 | 1677% above | — |
| Rh blood typing CPT 86901 ARC Rh Typing | $821.13 | $821.13 | $2.16–$336.17 | 1677% above | — |
| Rh blood typing CPT 86901 RH TYPE | $821.13 | $821.13 | $2.16–$336.17 | 1677% above | — |
| Rh blood typing inpatient CPT 86901 ARC Rh Typing | $821.13 | $821.13 | — | — | — |
| Rh blood typing inpatient CPT 86901 RH TYPE | $821.13 | $821.13 | — | — | — |
| Rh blood typing inpatient CPT 86901 RHOGAM SCREEN | $821.13 | $821.13 | — | — | — |
| Rheumatoid factor (RF) test CPT 86431 RA TITER QUANT | $19.23 | $19.23 | $3.68–$26.10 | 195% above | — |
| Rheumatoid factor (RF) test inpatient CPT 86431 RA TITER QUANT | $19.23 | $19.23 | — | — | — |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA IGG SCREEN | $48.76 | $48.76 | $9.33–$66.19 | 195% above | — |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA IGM ANTIBODY | $48.76 | $48.76 | $9.33–$66.19 | 195% above | — |
| Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA IGG SCREEN | $48.76 | $48.76 | — | — | — |
| Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA IGM ANTIBODY | $48.76 | $48.76 | — | — | — |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 SEDIMENTATION RATE | $9.16 | $9.16 | $1.62–$12.42 | 41% below | — |
| Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 SEDIMENTATION RATE | $9.16 | $9.16 | — | — | — |
| Semen analysis: volume, sperm count, motility and morphology CPT 89320 SEMEN ANALYSIS | $40.83 | $40.83 | $7.81–$55.40 | 202% above | — |
| Semen analysis: volume, sperm count, motility and morphology inpatient CPT 89320 SEMEN ANALYSIS | $40.83 | $40.83 | — | — | — |
| Sodium blood test CPT 84295 SODIUM SERUM RESP | $14.79 | $14.79 | $2.81–$22.12 | 180% above | — |
| Sodium blood test CPT 84295 SODIUM SERUM | $14.79 | $14.79 | $2.81–$22.12 | 180% above | — |
| Sodium blood test CPT 84295 Sodium POC | $14.79 | $14.79 | $2.81–$22.12 | 180% above | — |
| Sodium blood test inpatient CPT 84295 SODIUM SERUM | $14.79 | $14.79 | — | — | — |
| Sodium blood test inpatient CPT 84295 SODIUM SERUM RESP | $14.79 | $14.79 | — | — | — |
| Sodium blood test inpatient CPT 84295 Sodium POC | $14.79 | $14.79 | — | — | — |
| Stool ova and parasites exam CPT 87177 OVA & PARASITES | $30.15 | $30.15 | $5.51–$40.90 | 194% above | — |
| Stool ova and parasites exam inpatient CPT 87177 OVA & PARASITES | $30.15 | $30.15 | — | — | — |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULT BLOOD STOOL NEOPLASM SCREEN | $11.04 | $11.04 | $2.11–$14.96 | 119% above | — |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULT BLOOD STOOL NEO SCREEN | $11.04 | $11.04 | $2.11–$14.96 | 119% above | — |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 OCCULT BLOOD STOOL NEOPLASM SCREEN | $11.04 | $11.04 | — | — | — |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 OCCULT BLOOD STOOL NEO SCREEN | $11.04 | $11.04 | — | — | — |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 OCC BLD SCRN-IMUNOASAY-HC | $54.70 | $54.70 | $4.00–$73.12 | 199% above | — |
| Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 OCC BLD SCRN-IMUNOASAY-HC | $54.70 | $54.70 | — | — | — |
| Syphilis antibody test (Treponema pallidum) CPT 86780 Syphilis - T. pallidum AB | $44.85 | $44.85 | $8.58–$60.89 | 194% above | — |
| Syphilis antibody test (Treponema pallidum) CPT 86780 FTA-ABS | $44.85 | $44.85 | $8.58–$60.89 | 194% above | — |
| Syphilis antibody test (Treponema pallidum) CPT 86780 .RPR Qn+TP Abs 012021 | $44.85 | $44.85 | $8.58–$60.89 | 194% above | — |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 Syphilis - T. pallidum AB | $44.85 | $44.85 | — | — | — |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 FTA-ABS | $44.85 | $44.85 | — | — | — |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 .RPR Qn+TP Abs 012021 | $44.85 | $44.85 | — | — | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 CSF VDRL | $14.45 | $14.45 | $1.62–$19.61 | 194% above | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR (Monitor) W/Refl Titer-Q | $14.45 | $14.45 | $1.62–$19.61 | 194% above | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 RPR (Monitor) W/Refl Titer-Q | $14.45 | $14.45 | — | — | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 CSF VDRL | $14.45 | $14.45 | — | — | — |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 Quantiferon TB Gold | $209.99 | $209.99 | $40.17–$284.95 | 208% above | — |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 Quantiferon(R)-Tb-Q | $209.99 | $209.99 | $40.17–$284.95 | 208% above | — |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 Quantiferon TB Gold | $209.99 | $209.99 | — | — | — |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 Quantiferon(R)-Tb-Q | $209.99 | $209.99 | — | — | — |
| Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE SERUM | $87.44 | $87.44 | $16.73–$118.71 | 195% above | — |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE SERUM | $87.44 | $87.44 | — | — | — |
| Thyroid peroxidase (TPO) antibody test CPT 86376 LIVER/KIDNEY MICROSOMAL A | $49.28 | $49.28 | $7.13–$66.90 | 208% above | — |
| Thyroid peroxidase (TPO) antibody test CPT 86376 THYROID MICROSOMAL ANTIBO | $49.28 | $49.28 | $7.13–$66.90 | 208% above | — |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 THYROID MICROSOMAL ANTIBO | $49.28 | $49.28 | — | — | — |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 LIVER/KIDNEY MICROSOMAL A | $49.28 | $49.28 | — | — | — |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 THY STIM HORM/TSH | $56.92 | $56.92 | $10.89–$77.23 | 195% above | — |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 THY STIM HORM/TSH | $56.92 | $56.92 | — | — | — |
| Total IgE blood test CPT 82785 IMMUNOGLOBULIN E/IGE | $55.80 | $55.80 | $10.67–$75.72 | 195% above | — |
| Total IgE blood test inpatient CPT 82785 IMMUNOGLOBULIN E/IGE | $55.80 | $55.80 | — | — | — |
| Total cholesterol blood test CPT 82465 CHOLESTEROL | $14.72 | $14.72 | $2.81–$20.03 | 194% above | — |
| Total cholesterol blood test inpatient CPT 82465 CHOLESTEROL | $14.72 | $14.72 | — | — | — |
| Total thyroxine (T4) blood test CPT 84436 T4 TOTAL | $23.27 | $23.27 | $4.45–$31.59 | 195% above | — |
| Total thyroxine (T4) blood test inpatient CPT 84436 T4 TOTAL | $23.27 | $23.27 | — | — | — |
| Total triiodothyronine (T3) blood test CPT 84480 T3 TOTAL | $48.02 | $48.02 | $9.19–$65.20 | 194% above | — |
| Total triiodothyronine (T3) blood test inpatient CPT 84480 T3 TOTAL | $48.02 | $48.02 | — | — | — |
| Transferrin blood test CPT 84466 TRANSFERRIN | $43.26 | $43.26 | $8.27–$73.80 | 195% above | — |
| Transferrin blood test inpatient CPT 84466 TRANSFERRIN | $43.26 | $43.26 | — | — | — |
| Trichomonas test (NAAT) CPT 87661 Trich vag by NAA | $370.65 | $370.65 | $30.32–$153.66 | 819% above | — |
| Trichomonas test (NAAT) CPT 87661 T VAGINALIS AMPLIFIED PROBE TECHNIQUE | $370.65 | $370.65 | $30.32–$153.66 | 819% above | — |
| Trichomonas test (NAAT) CPT 87661 .Trich vag by NAA 183200 | $370.65 | $370.65 | $30.32–$153.66 | 819% above | — |
| Trichomonas test (NAAT) inpatient CPT 87661 Trich vag by NAA | $370.65 | $370.65 | — | — | — |
| Trichomonas test (NAAT) inpatient CPT 87661 T VAGINALIS AMPLIFIED PROBE TECHNIQUE | $370.65 | $370.65 | — | — | — |
| Trichomonas test (NAAT) inpatient CPT 87661 .Trich vag by NAA 183200 | $370.65 | $370.65 | — | — | — |
| Triglycerides blood test CPT 84478 TRIGLYCERIDES | $19.46 | $19.46 | $2.81–$26.45 | 195% above | — |
| Triglycerides blood test CPT 84478 Triglycerides, Pleural Fluid-Q | $19.46 | $19.46 | $2.81–$26.45 | 195% above | — |
| Triglycerides blood test inpatient CPT 84478 TRIGLYCERIDES | $19.46 | $19.46 | — | — | — |
| Triglycerides blood test inpatient CPT 84478 Triglycerides, Pleural Fluid-Q | $19.46 | $19.46 | — | — | — |
| Troponin test, quantitative CPT 84484 TROPONIN I QUANTITATIVE | $29.53 | $29.53 | $5.65–$118.80 | 106% above | — |
| Troponin test, quantitative inpatient CPT 84484 TROPONIN I QUANTITATIVE | $29.53 | $29.53 | — | — | — |
| Uric acid blood test CPT 84550 URIC ACID | $15.30 | $15.30 | $2.81–$20.77 | 194% above | — |
| Uric acid blood test inpatient CPT 84550 URIC ACID | $15.30 | $15.30 | — | — | — |
| Urinalysis with microscope exam, automated CPT 81001 URINALYSIS AUTO W SCOPE | $10.72 | $10.72 | $1.30–$14.57 | 57% below | — |
| Urinalysis with microscope exam, automated inpatient CPT 81001 URINALYSIS AUTO W SCOPE | $10.72 | $10.72 | — | — | — |
| Urinalysis with microscope exam, manual CPT 81000 URINE KETONES | $10.72 | $10.72 | $1.30–$14.57 | 143% above | — |
| Urinalysis with microscope exam, manual inpatient CPT 81000 URINE KETONES | $10.72 | $10.72 | — | — | — |
| Urinalysis without microscope exam, automated CPT 81003 URINALYSIS AUTO WO SCOPE - ER | $7.59 | $7.59 | $1.45–$10.34 | 49% above | — |
| Urinalysis without microscope exam, automated CPT 81003 URINALYSIS AUTO WO SCOPE | $7.59 | $7.59 | $1.45–$10.34 | 49% above | — |
| Urinalysis without microscope exam, automated inpatient CPT 81003 URINALYSIS AUTO WO SCOPE - ER | $7.59 | $7.59 | — | — | — |
| Urinalysis without microscope exam, automated inpatient CPT 81003 URINALYSIS AUTO WO SCOPE | $7.59 | $7.59 | — | — | — |
| Urine culture for bacteria, with colony count CPT 87086 Urine Culture Special-Q | $27.33 | $27.33 | $5.23–$37.14 | 195% above | — |
| Urine culture for bacteria, with colony count CPT 87086 URINE CULTURE | $27.33 | $27.33 | $5.23–$37.14 | 195% above | — |
| Urine culture for bacteria, with colony count inpatient CPT 87086 URINE CULTURE | $27.33 | $27.33 | — | — | — |
| Urine culture for bacteria, with colony count inpatient CPT 87086 Urine Culture Special-Q | $27.33 | $27.33 | — | — | — |
| Urine microalbumin (albumin) test CPT 82043 Microalbumin Random UA-Q | $19.59 | $19.59 | $3.75–$26.61 | 195% above | — |
| Urine microalbumin (albumin) test CPT 82043 Microalbumin 24 Hour UA-Q | $19.59 | $19.59 | $3.75–$26.61 | 195% above | — |
| Urine microalbumin (albumin) test inpatient CPT 82043 Microalbumin Random UA-Q | $19.59 | $19.59 | — | — | — |
| Urine microalbumin (albumin) test inpatient CPT 82043 Microalbumin 24 Hour UA-Q | $19.59 | $19.59 | — | — | — |
| Urine pregnancy test, read by color change CPT 81025 Urine pregnancy | $21.43 | $21.43 | $3.24–$29.08 | 116% above | — |
| Urine pregnancy test, read by color change CPT 81025 PREGNANCY TEST URINE | $21.43 | $21.43 | $3.24–$29.08 | 116% above | — |
| Urine pregnancy test, read by color change inpatient CPT 81025 PREGNANCY TEST URINE | $21.43 | $21.43 | — | — | — |
| Urine pregnancy test, read by color change inpatient CPT 81025 Urine pregnancy | $21.43 | $21.43 | — | — | — |
| Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B12 | $51.05 | $51.05 | $9.76–$69.30 | 194% above | — |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 VITAMIN B12 | $51.05 | $51.05 | — | — | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D/25 OH | $100.32 | $100.32 | $19.19–$136.10 | 195% above | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D/25 OH | $100.32 | $100.32 | — | — | — |
| Vitamin D, 1,25-dihydroxy blood test CPT 82652 VITAMIN D 1 25 DIHYDROXY | $130.45 | $130.45 | $24.95–$177.00 | 195% above | — |
| Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 VITAMIN D 1 25 DIHYDROXY | $130.45 | $130.45 | — | — | — |
| Zinc blood test CPT 84630 ZINC PLASMA | $38.56 | $38.56 | $7.38–$52.36 | 194% above | — |
| Zinc blood test inpatient CPT 84630 ZINC PLASMA | $38.56 | $38.56 | — | — | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 PREG TEST QUAN SERUM BHCG | $51.00 | $51.00 | $9.76–$69.21 | 195% above | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 PREG TEST QUAN SERUM BHCG | $51.00 | $51.00 | — | — | — |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs New Jersey | Off list |
|---|---|---|---|---|---|
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 STRTCTC BX BREAST 1ST LESION | $2,977.13 | $2,977.13 | $512.52–$8,155.00 | at median | — |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 STRTCTC BX BREAST 1ST LESION | $2,977.13 | $2,977.13 | — | — | — |
| Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 FX ANKLE (DISTAL FIBULA) CLOSED | $1,288.35 | $1,288.35 | $221.79–$4,105.00 | at median | — |
| Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 FX ANKLE (DISTAL FIBULA) CLOSED | $1,288.35 | $1,288.35 | — | — | — |
| Broken foot (metatarsal) treatment without surgery or setting CPT 28470 FX METATARSAL CLOSED EACH | $1,288.35 | $1,288.35 | $90.32–$4,105.00 | 259% above | — |
| Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 FX METATARSAL CLOSED EACH | $1,288.35 | $1,288.35 | — | — | — |
| Cardiac catheterization with coronary angiogram CPT 93458 Lt Heart Cath w/ Coronary Angio | $17,050.23 | $17,050.23 | $2,935.23–$158,133.00 | 309% above | — |
| Cardiac catheterization with coronary angiogram inpatient CPT 93458 Lt Heart Cath w/ Coronary Angio | $17,050.23 | $17,050.23 | — | — | — |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION | $3,311.94 | $3,311.94 | $323.00–$2,434.28 | 298% above | — |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION CCL | $3,311.94 | $3,311.94 | $323.00–$2,434.28 | 298% above | — |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 IR Cath Cardioversion | $3,311.94 | $3,311.94 | $323.00–$2,434.28 | 298% above | — |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION CCL | $3,311.94 | $3,311.94 | — | — | — |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 IR Cath Cardioversion | $3,311.94 | $3,311.94 | — | — | — |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION | $3,311.94 | $3,311.94 | — | — | — |
| Cervical biopsy CPT 57500 Biopsy Cervix/Lesion Removal | $3,465.87 | $3,465.87 | $56.20–$6,872.00 | 177% above | — |
| Cervical biopsy inpatient CPT 57500 Biopsy Cervix/Lesion Removal | $3,465.87 | $3,465.87 | — | — | — |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 CIRCUMCISION PROCEDURE | $10,979.72 | $10,979.72 | $133.80–$9,173.56 | 152% above | — |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 CIRCUMCISION PROCEDURE | $10,979.72 | $10,979.72 | — | — | — |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 FX DISTAL RADIUS & ULNA CLOSED | $1,288.35 | $1,288.35 | $221.79–$4,105.00 | 34% below | — |
| Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 FX DISTAL RADIUS & ULNA CLOSED | $1,288.35 | $1,288.35 | — | — | — |
| Coronary stent placement, one artery CPT 92928 PCI PERC PLACEMENT STENT w ANGIO 1 VSL | $55,474.42 | $55,474.42 | $3,378.00–$158,133.00 | 311% above | — |
| Coronary stent placement, one artery inpatient CPT 92928 PCI PERC PLACEMENT STENT w ANGIO 1 VSL | $55,474.42 | $55,474.42 | — | — | — |
| Earwax removal by irrigation (rinsing), one ear one side CPT 69209 CERUMEN REMOVAL IRRIGATION LAVAGE UNILATERAL | $372.02 | $372.02 | $16.17–$4,105.00 | at median | — |
| Earwax removal by irrigation (rinsing), one ear inpatient one side CPT 69209 CERUMEN REMOVAL IRRIGATION LAVAGE UNILATERAL | $372.02 | $372.02 | — | — | — |
| Earwax removal with instruments, one ear one side CPT 69210 Cerumen removal instrument UNILATERAL | $402.65 | $402.65 | $64.31–$4,105.00 | 44% above | — |
| Earwax removal with instruments, one ear inpatient one side CPT 69210 Cerumen removal instrument UNILATERAL | $402.65 | $402.65 | — | — | — |
| Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 INJ EPIDURAL CERV/THOR | $2,403.56 | $2,403.56 | $413.78–$12,612.00 | 154% above | — |
| Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 INJ EPIDURAL CERV/THOR | $2,403.56 | $2,403.56 | — | — | — |
| Facet joint injection, lower back, one level, with imaging guidance CPT 64493 L-Spine Pvrt/Fact Inj Single | $2,840.72 | $2,840.72 | $225.70–$6,872.00 | at median | — |
| Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 L-Spine Pvrt/Fact Inj Single | $2,840.72 | $2,840.72 | — | — | — |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 CATH SALINE/CONT. HYSTERO 550 | $252.05 | $252.05 | $34.53–$12,612.00 | 46% below | — |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 HYSTEROSALPING INJ | $252.05 | $252.05 | $34.53–$6,872.00 | 46% below | — |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 HYSTEROSALPING INJ | $252.05 | $252.05 | — | — | — |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 CATH SALINE/CONT. HYSTERO 550 | $252.05 | $252.05 | — | — | — |
| Incision and drainage of a simple or single skin abscess CPT 10060 DRAINAGE OF SKIN ABSCESS, SIMP | $987.16 | $987.16 | $56.89–$6,872.00 | 187% above | — |
| Incision and drainage of a simple or single skin abscess CPT 10060 DRAINAGE SKIN ABSCESS SIMP (59) | $987.16 | $987.16 | $56.89–$6,872.00 | 187% above | — |
| Incision and drainage of a simple or single skin abscess CPT 10060 US ABSC DR SKIN SUBCUTAN | $987.16 | $987.16 | $56.89–$6,872.00 | 187% above | — |
| Incision and drainage of a simple or single skin abscess CPT 10060 I&D ABSCESS SIMPLE | $987.16 | $987.16 | $56.89–$4,105.00 | 187% above | — |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 DRAINAGE OF SKIN ABSCESS, SIMP | $987.16 | $987.16 | — | — | — |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 DRAINAGE SKIN ABSCESS SIMP (59) | $987.16 | $987.16 | — | — | — |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I&D ABSCESS SIMPLE | $987.16 | $987.16 | — | — | — |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 US ABSC DR SKIN SUBCUTAN | $987.16 | $987.16 | — | — | — |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 Inj Sing Tendon Sheath Lig US | $857.43 | $857.43 | $71.16–$6,872.00 | at median | — |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 Inj tendon sheath/ligament | $857.43 | $857.43 | $71.16–$4,105.00 | at median | — |
| Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 Inj tendon sheath/ligament | $857.43 | $857.43 | — | — | — |
| Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 Inj Sing Tendon Sheath Lig US | $857.43 | $857.43 | — | — | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound both sides CPT 20610 ARTHROCENTESIS LG JOINT BILATERAL | $3,242.58 | $3,242.58 | $87.37–$6,872.00 | — | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 CT ARTHROCENT LARGE JOINT | $1,621.29 | $1,621.29 | $87.37–$6,872.00 | 52% above | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Arthrocentesis- aspiration and/or injection- large | $1,621.29 | $1,621.29 | $87.37–$4,105.00 | 52% above | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ARTHROCENTESIS MJR. JOINT | $1,621.29 | $1,621.29 | $87.37–$6,872.00 | 52% above | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ARTHROCENTESIS LRG JT | $1,621.29 | $1,621.29 | $87.37–$6,872.00 | 52% above | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ARTHROCENTESIS LARGE JOINT | $1,621.29 | $1,621.29 | $279.11–$12,612.00 | 52% above | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient both sides CPT 20610 ARTHROCENTESIS LG JOINT BILATERAL | $3,242.58 | $3,242.58 | — | — | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 ARTHROCENTESIS LRG JT | $1,621.29 | $1,621.29 | — | — | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 ARTHROCENTESIS MJR. JOINT | $1,621.29 | $1,621.29 | — | — | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 Arthrocentesis- aspiration and/or injection- large | $1,621.29 | $1,621.29 | — | — | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 CT ARTHROCENT LARGE JOINT | $1,621.29 | $1,621.29 | — | — | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 ARTHROCENTESIS LARGE JOINT | $1,621.29 | $1,621.29 | — | — | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ARTHROCENT MED JNT WO US | $857.43 | $857.43 | $56.82–$6,872.00 | at median | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ARTHRO/ASP/INJ INTERMEDIATE JOINT OR BURSA | $857.43 | $857.43 | $56.82–$4,105.00 | at median | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 SMC- ARTHROCENTESIS ASPIR&/INJ INTERM JT/BURS W/O US | $857.43 | $857.43 | $56.82–$6,872.00 | at median | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 ARTHROCENT MED JNT WO US | $857.43 | $857.43 | — | — | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 ARTHRO/ASP/INJ INTERMEDIATE JOINT OR BURSA | $857.43 | $857.43 | — | — | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 SMC- ARTHROCENTESIS ASPIR&/INJ INTERM JT/BURS W/O US | $857.43 | $857.43 | — | — | — |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 ANG ARTHROCENT SM JNT WO US GUID | $857.43 | $857.43 | $147.61–$12,612.00 | 18% above | — |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 SMC- ARTHROCENTESIS ASPIR&/INJ SMALL JT/BURSA W/O US | $857.43 | $857.43 | $67.06–$6,872.00 | 18% above | — |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 Arthrocentesis- aspiration and/or injection- small | $857.43 | $857.43 | $67.06–$4,105.00 | 18% above | — |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 CT ARTHROCENT SM JNT WO US GUID | $857.43 | $857.43 | $67.06–$6,872.00 | 18% above | — |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 CT ARTHROCENT SM JNT WO US GUID | $857.43 | $857.43 | — | — | — |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 ANG ARTHROCENT SM JNT WO US GUID | $857.43 | $857.43 | — | — | — |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 SMC- ARTHROCENTESIS ASPIR&/INJ SMALL JT/BURSA W/O US | $857.43 | $857.43 | — | — | — |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 Arthrocentesis- aspiration and/or injection- small | $857.43 | $857.43 | — | — | — |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 Intermediate <2.5 cm | $1,895.70 | $1,895.70 | $140.49–$4,105.00 | 32% above | — |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 Intermediate Repair <= 2.5cm (exc hands/feet) | $1,895.70 | $1,895.70 | $140.49–$6,872.00 | 32% above | — |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 Intermediate <2.5 cm | $1,895.70 | $1,895.70 | — | — | — |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 Intermediate Repair <= 2.5cm (exc hands/feet) | $1,895.70 | $1,895.70 | — | — | — |
| Left heart catheterization, diagnostic CPT 93452 Lt Heart Cath Only | $17,050.23 | $17,050.23 | $2,935.23–$158,133.00 | 379% above | — |
| Left heart catheterization, diagnostic inpatient CPT 93452 Lt Heart Cath Only | $17,050.23 | $17,050.23 | — | — | — |
| Lower-back epidural injection, with imaging guidance CPT 62323 INJ DIAG/THERAPY LUMBAR | $2,403.56 | $2,403.56 | $413.78–$12,612.00 | at median | — |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 INJ DIAG/THERAPY LUMBAR | $2,403.56 | $2,403.56 | — | — | — |
| Lower-back nerve root steroid injection, with imaging guidance both sides CPT 64483 INJ ANES/STEROD L-SPINE BILAT | $5,570.05 | $5,570.05 | $958.90–$12,612.00 | — | — |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 Epidural Lumbar/Sacral, 1st Level w Img Guidance | $2,993.62 | $2,993.62 | $515.36–$12,612.00 | at median | — |
| Lower-back nerve root steroid injection, with imaging guidance inpatient both sides CPT 64483 INJ ANES/STEROD L-SPINE BILAT | $5,570.05 | $5,570.05 | — | — | — |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 Epidural Lumbar/Sacral, 1st Level w Img Guidance | $2,993.62 | $2,993.62 | — | — | — |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 EXCISION BENIGN TRUNK/ARM/LEG UNDER 0.5CM | $2,145.75 | $2,145.75 | $73.59–$4,105.00 | 64% above | — |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 EXCISION BENIGN TRUNK/ARM/LEG UNDER 0.5CM | $2,145.75 | $2,145.75 | — | — | — |
| Nail removal (partial or complete), one nail CPT 11730 NAIL PLATE AVULSION SIMPLE ONE | $992.07 | $992.07 | $120.58–$4,105.00 | 224% above | — |
| Nail removal (partial or complete), one nail CPT 11730 REMOVAL OF NAIL PLATE, SIMPLE | $992.07 | $992.07 | $120.58–$6,872.00 | 224% above | — |
| Nail removal (partial or complete), one nail inpatient CPT 11730 NAIL PLATE AVULSION SIMPLE ONE | $992.07 | $992.07 | — | — | — |
| Nail removal (partial or complete), one nail inpatient CPT 11730 REMOVAL OF NAIL PLATE, SIMPLE | $992.07 | $992.07 | — | — | — |
| Occipital nerve block (injection for headaches) CPT 64405 64405-Injection Nerve Block Great Occipital | $1,345.00 | $1,345.00 | $107.24–$4,105.00 | at median | — |
| Occipital nerve block (injection for headaches) inpatient CPT 64405 64405-Injection Nerve Block Great Occipital | $1,345.00 | $1,345.00 | — | — | — |
| Pacemaker implant (dual chamber) CPT 33208 Insert Heart PM Atrial & Vent | $72,791.61 | $72,791.61 | $3,378.00–$158,133.00 | 528% above | — |
| Pacemaker implant (dual chamber) CPT 33208 INSERT PACEMAKER ATRIAL and VENTRICULAR | $72,791.61 | $72,791.61 | $3,378.00–$158,133.00 | 528% above | — |
| Pacemaker implant (dual chamber) inpatient CPT 33208 Insert Heart PM Atrial & Vent | $72,791.61 | $72,791.61 | — | — | — |
| Pacemaker implant (dual chamber) inpatient CPT 33208 INSERT PACEMAKER ATRIAL and VENTRICULAR | $72,791.61 | $72,791.61 | — | — | — |
| Paracentesis with imaging guidance CPT 49083 US Paracentesis ABD W-Img | $3,166.12 | $3,166.12 | $408.90–$8,155.00 | 161% above | — |
| Paracentesis with imaging guidance CPT 49083 CT Paracentesis ABD W-Img | $3,166.12 | $3,166.12 | $408.90–$8,155.00 | 161% above | — |
| Paracentesis with imaging guidance CPT 49083 ABD Paracentesis W Imaging | $3,166.12 | $3,166.12 | $408.90–$4,105.00 | 161% above | — |
| Paracentesis with imaging guidance inpatient CPT 49083 CT Paracentesis ABD W-Img | $3,166.12 | $3,166.12 | — | — | — |
| Paracentesis with imaging guidance inpatient CPT 49083 US Paracentesis ABD W-Img | $3,166.12 | $3,166.12 | — | — | — |
| Paracentesis with imaging guidance inpatient CPT 49083 ABD Paracentesis W Imaging | $3,166.12 | $3,166.12 | — | — | — |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 Excision of Nail | $2,624.79 | $2,624.79 | $273.42–$4,105.00 | 359% above | — |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 REMOVAL OF NAIL BED | $2,624.79 | $2,624.79 | $273.42–$6,872.00 | 359% above | — |
| Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 REMOVAL OF NAIL BED | $2,624.79 | $2,624.79 | — | — | — |
| Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 Excision of Nail | $2,624.79 | $2,624.79 | — | — | — |
| Prostate biopsy CPT 55700 PROSTRATE BX | $4,503.33 | $4,503.33 | $93.66–$8,155.00 | 65% above | — |
| Prostate biopsy inpatient CPT 55700 PROSTRATE BX | $4,503.33 | $4,503.33 | — | — | — |
| Removal of a foreign object under the skin, simple CPT 10120 FB Removal Subq Tissue- Simple | $1,886.57 | $1,886.57 | $176.95–$6,872.00 | 246% above | — |
| Removal of a foreign object under the skin, simple CPT 10120 FB removal sub-q tissue- simple | $1,886.57 | $1,886.57 | $176.95–$4,105.00 | 246% above | — |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 FB Removal Subq Tissue- Simple | $1,886.57 | $1,886.57 | — | — | — |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 FB removal sub-q tissue- simple | $1,886.57 | $1,886.57 | — | — | — |
| Shock-wave lithotripsy to break up kidney stones (from outside the body) CPT 50590 EX. SHOCK WAVE LITHOTRIPSY | $17,691.79 | $17,691.79 | $2,792.00–$17,878.00 | 303% above | — |
| Shock-wave lithotripsy to break up kidney stones (from outside the body) inpatient CPT 50590 EX. SHOCK WAVE LITHOTRIPSY | $17,691.79 | $17,691.79 | — | — | — |
| Short arm cast (elbow to hand) CPT 29075 Apply Cast Short Arm | $930.95 | $930.95 | $109.47–$4,105.00 | 6% above | — |
| Short arm cast (elbow to hand) inpatient CPT 29075 Apply Cast Short Arm | $930.95 | $930.95 | — | — | — |
| Short arm splint (forearm and hand) CPT 29125 SPLINT SHORT ARM STATIC | $644.86 | $644.86 | $60.00–$331.25 | 16% below | — |
| Short arm splint (forearm and hand) CPT 29125 Splint- Distal Upper Extremity | $644.86 | $644.86 | $64.67–$4,105.00 | 16% below | — |
| Short arm splint (forearm and hand) inpatient CPT 29125 SPLINT SHORT ARM STATIC | $644.86 | $644.86 | — | — | — |
| Short arm splint (forearm and hand) inpatient CPT 29125 Splint- Distal Upper Extremity | $644.86 | $644.86 | — | — | — |
| Short leg cast (below the knee) CPT 29405 Apply Short Leg Cast/Knee-Toe | $1,470.08 | $1,470.08 | $93.66–$1,228.25 | 125% above | — |
| Short leg cast (below the knee) CPT 29405 Apply Short Leg Cast | $1,470.08 | $1,470.08 | $93.66–$4,105.00 | 125% above | — |
| Short leg cast (below the knee) inpatient CPT 29405 Apply Short Leg Cast | $1,470.08 | $1,470.08 | — | — | — |
| Short leg cast (below the knee) inpatient CPT 29405 Apply Short Leg Cast/Knee-Toe | $1,470.08 | $1,470.08 | — | — | — |
| Short leg splint (calf to foot) CPT 29515 Short Leg Splint | $634.05 | $634.05 | $93.66–$4,105.00 | at median | — |
| Short leg splint (calf to foot) CPT 29515 App Splint Lower Limb | $634.05 | $634.05 | $93.66–$529.75 | at median | — |
| Short leg splint (calf to foot) inpatient CPT 29515 Short Leg Splint | $634.05 | $634.05 | — | — | — |
| Short leg splint (calf to foot) inpatient CPT 29515 App Splint Lower Limb | $634.05 | $634.05 | — | — | — |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 Simple repair <2.5 cm | $987.16 | $987.16 | $84.74–$6,872.00 | 135% above | — |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 Simple <2.5 cm | $987.16 | $987.16 | $84.74–$4,105.00 | 135% above | — |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 Simple repair <2.5 cm | $987.16 | $987.16 | — | — | — |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 Simple <2.5 cm | $987.16 | $987.16 | — | — | — |
| Skin biopsy, punch, one lesion CPT 11104 PUNCH BX SKIN SINGLE LESION | $897.49 | $897.49 | $154.50–$6,872.00 | 67% above | — |
| Skin biopsy, punch, one lesion inpatient CPT 11104 PUNCH BX SKIN SINGLE LESION | $897.49 | $897.49 | — | — | — |
| Skin tag removal, up to 15 tags CPT 11200 REMOVAL SKIN TAGS UP TO 15 | $486.28 | $486.28 | $66.23–$4,105.00 | at median | — |
| Skin tag removal, up to 15 tags inpatient CPT 11200 REMOVAL SKIN TAGS UP TO 15 | $486.28 | $486.28 | — | — | — |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 SPINAL PUNCTURE LUMBAR DX | $1,501.07 | $1,501.07 | $258.41–$6,872.00 | 59% above | — |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 LUMBAR SPINAL PUNCTURE | $1,501.07 | $1,501.07 | $258.41–$12,612.00 | 59% above | — |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 SPINAL PUNCTURE | $1,501.07 | $1,501.07 | $258.41–$12,612.00 | 59% above | — |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 Lumbar Puncture | $1,501.07 | $1,501.07 | $258.41–$4,105.00 | 59% above | — |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 SPINAL PUNCTURE | $1,501.07 | $1,501.07 | — | — | — |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 Lumbar Puncture | $1,501.07 | $1,501.07 | — | — | — |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 SPINAL PUNCTURE LUMBAR DX | $1,501.07 | $1,501.07 | — | — | — |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 LUMBAR SPINAL PUNCTURE | $1,501.07 | $1,501.07 | — | — | — |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 Simple 2.6 to 7.5 cm | $987.16 | $987.16 | $112.39–$4,105.00 | 90% above | — |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 SMC- SMPL REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.6-7.5CM | $987.16 | $987.16 | $112.39–$824.77 | 90% above | — |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 Simple 2.6 to 7.5 cm | $987.16 | $987.16 | — | — | — |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 SMC- SMPL REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.6-7.5CM | $987.16 | $987.16 | — | — | — |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 Simple 0-2.5 cm | $987.16 | $987.16 | $84.29–$4,105.00 | at median | — |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 Simple 0-2.5 cm | $987.16 | $987.16 | — | — | — |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 TANGNTL BX SKIN SINGLE LES | $897.49 | $897.49 | $128.20–$6,872.00 | 65% above | — |
| Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 TANGNTL BX SKIN SINGLE LES | $897.49 | $897.49 | — | — | — |
| Thoracentesis with imaging guidance CPT 32555 THORACENTESIS W IMAGING | $4,410.63 | $4,410.63 | $690.29–$12,612.00 | 148% above | — |
| Thoracentesis with imaging guidance CPT 32555 CT Thoracentesis W IMG | $4,410.63 | $4,410.63 | $690.29–$6,872.00 | 148% above | — |
| Thoracentesis with imaging guidance CPT 32555 US Thoracentesis with IMG | $4,410.63 | $4,410.63 | $690.29–$6,872.00 | 148% above | — |
| Thoracentesis with imaging guidance CPT 32555 Thoracentesis W Image | $4,410.63 | $4,410.63 | $690.29–$4,105.00 | 148% above | — |
| Thoracentesis with imaging guidance CPT 32555 SMC- INSERT CATH PLEURA W/ IMAGE (RAD) | $4,410.63 | $4,410.63 | $690.29–$6,872.00 | 148% above | — |
| Thoracentesis with imaging guidance inpatient CPT 32555 Thoracentesis W Image | $4,410.63 | $4,410.63 | — | — | — |
| Thoracentesis with imaging guidance inpatient CPT 32555 US Thoracentesis with IMG | $4,410.63 | $4,410.63 | — | — | — |
| Thoracentesis with imaging guidance inpatient CPT 32555 CT Thoracentesis W IMG | $4,410.63 | $4,410.63 | — | — | — |
| Thoracentesis with imaging guidance inpatient CPT 32555 SMC- INSERT CATH PLEURA W/ IMAGE (RAD) | $4,410.63 | $4,410.63 | — | — | — |
| Thoracentesis with imaging guidance inpatient CPT 32555 THORACENTESIS W IMAGING | $4,410.63 | $4,410.63 | — | — | — |
| Trigger point injections, 1 or 2 muscles CPT 20552 INJ TRIGGER POINT 1 or 2 MUSCLE(S) | $857.43 | $857.43 | $67.19–$4,105.00 | 116% above | — |
| Trigger point injections, 1 or 2 muscles CPT 20552 Inj Trigger Points <= 2 muscle US | $857.43 | $857.43 | $67.19–$6,872.00 | 116% above | — |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 Inj Trigger Points <= 2 muscle US | $857.43 | $857.43 | — | — | — |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 INJ TRIGGER POINT 1 or 2 MUSCLE(S) | $857.43 | $857.43 | — | — | — |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 US BX BREAST 1ST LESION | $2,977.13 | $2,977.13 | $512.52–$8,155.00 | at median | — |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 US BX BREAST 1ST LESION | $2,977.13 | $2,977.13 | — | — | — |
| Upper endoscopy (EGD), diagnostic CPT 43235 EGD DIAGNOSTIC BRUSH WASH | $2,727.68 | $2,727.68 | $336.73–$4,105.00 | 26% above | — |
| Upper endoscopy (EGD), diagnostic inpatient CPT 43235 EGD DIAGNOSTIC BRUSH WASH | $2,727.68 | $2,727.68 | — | — | — |
| Vein ablation, radiofrequency, first vein CPT 36475 RADIOFREQUENCY ABLATION 1ST VEIN | $9,415.33 | $9,415.33 | $1,620.87–$12,612.00 | 94% above | — |
| Vein ablation, radiofrequency, first vein inpatient CPT 36475 RADIOFREQUENCY ABLATION 1ST VEIN | $9,415.33 | $9,415.33 | — | — | — |
| Wart removal, up to 14 warts CPT 17110 Destruct b9 lesion 1-14 | $486.28 | $486.28 | $80.28–$4,105.00 | 81% above | — |
| Wart removal, up to 14 warts inpatient CPT 17110 Destruct b9 lesion 1-14 | $486.28 | $486.28 | — | — | — |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEB SUBQ TISSUE <20 SQ CM | $1,886.57 | $1,886.57 | $87.04–$8,155.00 | 250% above | — |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRIDE SUBQ TISSUE FIRST 20 SQ CM | $1,886.57 | $1,886.57 | $87.04–$4,105.00 | 250% above | — |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEB SUBQ TISSUE <20 SQ CM (59) | $1,886.57 | $1,886.57 | $87.04–$8,155.00 | 250% above | — |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 DEB SUBQ TISSUE <20 SQ CM | $1,886.57 | $1,886.57 | — | — | — |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 DEB SUBQ TISSUE <20 SQ CM (59) | $1,886.57 | $1,886.57 | — | — | — |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 DEBRIDE SUBQ TISSUE FIRST 20 SQ CM | $1,886.57 | $1,886.57 | — | — | — |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs New Jersey | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 Blood Transfusion Service 1 per day | $1,994.28 | $1,994.28 | $14.04–$6,872.00 | 140% above | — |
| Blood transfusion (giving blood or blood components) CPT 36430 Transfusion | $1,994.28 | $1,994.28 | $14.04–$6,872.00 | 140% above | — |
| Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION, BLOOD 8-10 HRS | $1,994.28 | $1,994.28 | $14.04–$6,872.00 | 140% above | — |
| Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION, BLOOD 6-8 HRS | $1,994.28 | $1,994.28 | $14.04–$6,872.00 | 140% above | — |
| Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION, BLOOD 4-6 HRS | $1,994.28 | $1,994.28 | $14.04–$6,872.00 | 140% above | — |
| Blood transfusion (giving blood or blood components) CPT 36430 Transfusion_IP | $1,994.28 | $1,994.28 | $14.04–$6,872.00 | 140% above | — |
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSFUSION ASU | $1,994.28 | $1,994.28 | $14.04–$6,872.00 | 140% above | — |
| Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION, BLOOD 2-4 HRS | $1,994.28 | $1,994.28 | $14.04–$6,872.00 | 140% above | — |
| Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION, BLOOD 0-2 HRS | $1,994.28 | $1,994.28 | $14.04–$6,872.00 | 140% above | — |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 Transfusion | $1,994.28 | $1,994.28 | — | — | — |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 Transfusion_IP | $1,994.28 | $1,994.28 | — | — | — |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD TRANSFUSION ASU | $1,994.28 | $1,994.28 | — | — | — |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSFUSION, BLOOD 2-4 HRS | $1,994.28 | $1,994.28 | — | — | — |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSFUSION, BLOOD 4-6 HRS | $1,994.28 | $1,994.28 | — | — | — |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSFUSION, BLOOD 6-8 HRS | $1,994.28 | $1,994.28 | — | — | — |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSFUSION, BLOOD 8-10 HRS | $1,994.28 | $1,994.28 | — | — | — |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSFUSION, BLOOD 0-2 HRS | $1,994.28 | $1,994.28 | — | — | — |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 Blood Transfusion Service 1 per day | $1,994.28 | $1,994.28 | — | — | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Nebulizer Treatment | $1,044.97 | $1,044.97 | $82.51–$4,105.00 | 364% above | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 AEROSOL RX - INITIAL | $1,044.97 | $1,044.97 | $82.00–$768.05 | 364% above | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 INDUCED SPUTUM | $1,044.97 | $1,044.97 | $82.00–$768.05 | 364% above | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Nebulizer Treatment | $1,044.97 | $1,044.97 | — | — | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 INDUCED SPUTUM | $1,044.97 | $1,044.97 | — | — | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 AEROSOL RX - INITIAL | $1,044.97 | $1,044.97 | — | — | — |
| Chemotherapy IV infusion, first hour CPT 96413 CHEMO IV INFUSION 1 HR | $1,186.43 | $1,186.43 | $204.25–$991.26 | 168% above | — |
| Chemotherapy IV infusion, first hour CPT 96413 CHEMO IV INFUSION 1 HR 375 | $1,186.43 | $1,186.43 | $204.25–$991.26 | 168% above | — |
| Chemotherapy IV infusion, first hour inpatient CPT 96413 CHEMO IV INFUSION 1 HR 375 | $1,186.43 | $1,186.43 | — | — | — |
| Chemotherapy IV infusion, first hour inpatient CPT 96413 CHEMO IV INFUSION 1 HR | $1,186.43 | $1,186.43 | — | — | — |
| Comprehensive hearing test: tone and speech audiometry, both ears CPT 92557 COMPREHENSIVE AUDIO. EVAL | $658.06 | $658.06 | $113.29–$747.00 | 257% above | — |
| Comprehensive hearing test: tone and speech audiometry, both ears inpatient CPT 92557 COMPREHENSIVE AUDIO. EVAL | $658.06 | $658.06 | — | — | — |
| Critical care, first 30 to 74 minutes CPT 99291 Critical Care First 30-74 Minutes | $3,829.20 | $3,829.20 | $659.20–$4,105.00 | 253% above | — |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 Critical Care First 30-74 Minutes | $3,829.20 | $3,829.20 | — | — | — |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 EEG AWAKE/DROWSY | $1,817.41 | $1,817.41 | $312.87–$1,335.80 | 427% above | — |
| EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 EEG AWAKE/DROWSY | $1,817.41 | $1,817.41 | — | — | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ECG, Routine 12 Lead, Tracing Only | $461.85 | $461.85 | $66.32–$339.46 | 519% above | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Electrocardiogram report | $461.85 | $461.85 | $66.32–$339.46 | 519% above | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 12 lead EKG/tracing | $461.85 | $461.85 | $66.32–$339.46 | 519% above | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ECG ROUTINE | $461.85 | $461.85 | $66.32–$339.46 | 519% above | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG HEART CENTER | $461.85 | $461.85 | $66.32–$339.46 | 519% above | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 Electrocardiogram report | $461.85 | $461.85 | — | — | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG HEART CENTER | $461.85 | $461.85 | — | — | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 ECG, Routine 12 Lead, Tracing Only | $461.85 | $461.85 | — | — | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 12 lead EKG/tracing | $461.85 | $461.85 | — | — | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 ECG ROUTINE | $461.85 | $461.85 | — | — | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 OBED LEVEL 1 | $507.74 | $507.74 | $87.41–$4,105.00 | 132% above | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 E/R VISIT LEVEL I TYPE A | $507.74 | $507.74 | $87.41–$4,105.00 | 132% above | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 OBED LEVEL 1 | $507.74 | $507.74 | — | — | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 E/R VISIT LEVEL I TYPE A | $507.74 | $507.74 | — | — | — |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 E/R VISIT LEVEL II TYPE A | $748.31 | $748.31 | $128.82–$4,105.00 | 153% above | — |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 OBED LEVEL 2 | $748.31 | $748.31 | $128.82–$4,105.00 | 153% above | — |
| Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 E/R VISIT LEVEL II TYPE A | $748.31 | $748.31 | — | — | — |
| Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 OBED LEVEL 2 | $748.31 | $748.31 | — | — | — |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 E/R VISIT LEVEL III TYPE A | $1,282.85 | $1,282.85 | $220.85–$4,105.00 | 247% above | — |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 OBED LEVEL 3 | $1,282.85 | $1,282.85 | $220.85–$4,105.00 | 247% above | — |
| Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 E/R VISIT LEVEL III TYPE A | $1,282.85 | $1,282.85 | — | — | — |
| Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 OBED LEVEL 3 | $1,282.85 | $1,282.85 | — | — | — |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 E/R VISIT LEVEL IV TYPE A | $2,244.94 | $2,244.94 | $386.47–$4,105.00 | 308% above | — |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 OBED LEVEL 4 | $2,244.94 | $2,244.94 | $386.47–$4,105.00 | 308% above | — |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 E/R VISIT LEVEL IV TYPE A | $2,244.94 | $2,244.94 | — | — | — |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 OBED LEVEL 4 | $2,244.94 | $2,244.94 | — | — | — |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 OBED LEVEL 5 | $3,875.20 | $3,875.20 | $667.12–$4,105.00 | 391% above | — |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 E/R VISIT LEVEL V TYPE A | $3,875.20 | $3,875.20 | $667.12–$4,105.00 | 391% above | — |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 E/R VISIT LEVEL V TYPE A | $3,875.20 | $3,875.20 | — | — | — |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 OBED LEVEL 5 | $3,875.20 | $3,875.20 | — | — | — |
| Exercise stress test, tracing only, the hospital charge CPT 93017 ECG STRESS TEST NUCLEAR PHARMACEUTICAL | $5,849.83 | $5,849.83 | $347.68–$4,299.63 | 1376% above | — |
| Exercise stress test, tracing only, the hospital charge CPT 93017 STRESS TEST | $5,849.83 | $5,849.83 | $347.68–$4,299.63 | 1376% above | — |
| Exercise stress test, tracing only, the hospital charge CPT 93017 ECG STRESS TEST | $5,849.83 | $5,849.83 | $347.68–$4,299.63 | 1376% above | — |
| Exercise stress test, tracing only, the hospital charge CPT 93017 CA CARDIOVASC STRESS TST TREADMILL | $5,849.83 | $5,849.83 | $347.68–$4,299.63 | 1376% above | — |
| Exercise stress test, tracing only, the hospital charge CPT 93017 DOBUTAMINE STRESS ECHO_659 | $5,849.83 | $5,849.83 | $347.68–$4,299.63 | 1376% above | — |
| Exercise stress test, tracing only, the hospital charge CPT 93017 Lexiscan Stress Test | $5,849.83 | $5,849.83 | $347.68–$4,299.63 | 1376% above | — |
| Exercise stress test, tracing only, the hospital charge CPT 93017 ECG STRESS TEST NUCLEAR PHARMACEUTICAL_659 | $5,849.83 | $5,849.83 | $347.68–$4,299.63 | 1376% above | — |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 Lexiscan Stress Test | $5,849.83 | $5,849.83 | — | — | — |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 CA CARDIOVASC STRESS TST TREADMILL | $5,849.83 | $5,849.83 | — | — | — |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 ECG STRESS TEST | $5,849.83 | $5,849.83 | — | — | — |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 ECG STRESS TEST NUCLEAR PHARMACEUTICAL | $5,849.83 | $5,849.83 | — | — | — |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 ECG STRESS TEST NUCLEAR PHARMACEUTICAL_659 | $5,849.83 | $5,849.83 | — | — | — |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 DOBUTAMINE STRESS ECHO_659 | $5,849.83 | $5,849.83 | — | — | — |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 STRESS TEST | $5,849.83 | $5,849.83 | — | — | — |
| Family therapy with the patient, 50 minutes CPT 90847 Virtual FAMILY PSYCHOTHERAPY WITH PT 50 MINS ADOS | $1,396.39 | $1,396.39 | $104.39–$1,166.68 | 620% above | — |
| Family therapy with the patient, 50 minutes CPT 90847 FAMILY PSYCHOTHERAPY W/PATIENT 50 MINS ADOS | $1,396.39 | $1,396.39 | $104.39–$1,166.68 | 620% above | — |
| Family therapy with the patient, 50 minutes CPT 90847 FAMILY PSYCHOTHERAPY W/PATIENT 50 MINS | $1,396.39 | $1,396.39 | $104.39–$1,166.68 | 620% above | — |
| Family therapy with the patient, 50 minutes CPT 90847 FAMILY PSYCHOTHERAPY W/PATIENT PHP 50 MINS | $1,396.39 | $1,396.39 | $104.39–$1,166.68 | 620% above | — |
| Family therapy with the patient, 50 minutes CPT 90847 OP Voice Only Family therapy (w/pt)(50 min) | $1,476.90 | $1,476.90 | $104.39–$1,233.95 | 661% above | — |
| Family therapy with the patient, 50 minutes CPT 90847 OP Virtual Only Family therapy (w/pt)(50 min) | $1,476.90 | $1,476.90 | $104.39–$1,233.95 | 661% above | — |
| Family therapy with the patient, 50 minutes CPT 90847 Voice FAMILY PSYCHOTHERAPY W/PATIENT PHP 50 MINS | $1,476.90 | $1,476.90 | $104.39–$1,233.95 | 661% above | — |
| Family therapy with the patient, 50 minutes CPT 90847 Virtual FAMILY PSYCHOTHERAPY W/PATIENT PHP 50 MINS | $1,476.90 | $1,476.90 | $104.39–$1,233.95 | 661% above | — |
| Family therapy with the patient, 50 minutes CPT 90847 Voice FAMILY PSYCHOTHPY WITH PT IOP A 50 MINS | $1,750.28 | $1,750.28 | $104.39–$1,462.36 | 802% above | — |
| Family therapy with the patient, 50 minutes CPT 90847 Virtual FAMILY PSYCHOTHPY WITH PT IOP A 50 MINS | $1,750.28 | $1,750.28 | $104.39–$1,462.36 | 802% above | — |
| Family therapy with the patient, 50 minutes CPT 90847 FAMILY PSYCHOTHPY WITH PT IOP A 50 MINS | $1,750.28 | $1,750.28 | $104.39–$1,462.36 | 802% above | — |
| Family therapy with the patient, 50 minutes CPT 90847 Virtual FAMILY PSYCHTHERAPY W PAT 50 MINS | $1,750.28 | $1,750.28 | $104.39–$1,462.36 | 802% above | — |
| Family therapy with the patient, 50 minutes CPT 90847 Voice FAMILY PSYCHTHERAPY W PAT 50 MINS | $1,750.28 | $1,750.28 | $104.39–$1,462.36 | 802% above | — |
| Family therapy with the patient, 50 minutes CPT 90847 Voice FAMILY PSYCHTHERAPY W PAT OPW 50 MINS | $1,750.28 | $1,750.28 | $104.39–$1,462.36 | 802% above | — |
| Family therapy with the patient, 50 minutes CPT 90847 FAMILY PSYCHTHERAPY W PAT OPW 50 MINS | $1,750.28 | $1,750.28 | $104.39–$1,462.36 | 802% above | — |
| Family therapy with the patient, 50 minutes CPT 90847 Virtual FAMILY PSYCHTHERAPY W PAT OPW 50 MINS | $1,750.28 | $1,750.28 | $104.39–$1,462.36 | 802% above | — |
| Family therapy with the patient, 50 minutes CPT 90847 FAMILY PSYCHTHERAPY W PAT 50 MINS | $1,750.28 | $1,750.28 | $104.39–$1,462.36 | 802% above | — |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 FAMILY PSYCHOTHERAPY W/PATIENT 50 MINS ADOS | $1,396.39 | $1,396.39 | — | — | — |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 Virtual FAMILY PSYCHOTHERAPY WITH PT 50 MINS ADOS | $1,396.39 | $1,396.39 | — | — | — |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 FAMILY PSYCHOTHERAPY W/PATIENT PHP 50 MINS | $1,396.39 | $1,396.39 | — | — | — |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 FAMILY PSYCHOTHERAPY W/PATIENT 50 MINS | $1,396.39 | $1,396.39 | — | — | — |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 Virtual FAMILY PSYCHOTHERAPY W/PATIENT PHP 50 MINS | $1,476.90 | $1,476.90 | — | — | — |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 Voice FAMILY PSYCHOTHERAPY W/PATIENT PHP 50 MINS | $1,476.90 | $1,476.90 | — | — | — |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 OP Voice Only Family therapy (w/pt)(50 min) | $1,476.90 | $1,476.90 | — | — | — |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 OP Virtual Only Family therapy (w/pt)(50 min) | $1,476.90 | $1,476.90 | — | — | — |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 Virtual FAMILY PSYCHTHERAPY W PAT 50 MINS | $1,750.28 | $1,750.28 | — | — | — |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 Voice FAMILY PSYCHTHERAPY W PAT OPW 50 MINS | $1,750.28 | $1,750.28 | — | — | — |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 Voice FAMILY PSYCHOTHPY WITH PT IOP A 50 MINS | $1,750.28 | $1,750.28 | — | — | — |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 Virtual FAMILY PSYCHTHERAPY W PAT OPW 50 MINS | $1,750.28 | $1,750.28 | — | — | — |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 FAMILY PSYCHTHERAPY W PAT 50 MINS | $1,750.28 | $1,750.28 | — | — | — |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 FAMILY PSYCHTHERAPY W PAT OPW 50 MINS | $1,750.28 | $1,750.28 | — | — | — |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 Virtual FAMILY PSYCHOTHPY WITH PT IOP A 50 MINS | $1,750.28 | $1,750.28 | — | — | — |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 Voice FAMILY PSYCHTHERAPY W PAT 50 MINS | $1,750.28 | $1,750.28 | — | — | — |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 FAMILY PSYCHOTHPY WITH PT IOP A 50 MINS | $1,750.28 | $1,750.28 | — | — | — |
| Family therapy without the patient, 50 minutes CPT 90846 FAMILY PSYCHOTHERAPY W/OUT PAT Well/Recov50 MINS | $387.41 | $387.41 | $66.69–$367.75 | 106% above | — |
| Family therapy without the patient, 50 minutes CPT 90846 FAMILY PSYCHOTHERAPY W/OUT PAT PHP 50 MINS | $387.41 | $387.41 | $66.69–$367.75 | 106% above | — |
| Family therapy without the patient, 50 minutes CPT 90846 Voice FAMILY PSYCHOTHERAPY W/OUT PAT BWC 50 MINS | $387.41 | $387.41 | $66.69–$367.75 | 106% above | — |
| Family therapy without the patient, 50 minutes CPT 90846 Virtual FAMILY PSYCHOTHERAPY W/OUT PAT BWC 50 MINS | $387.41 | $387.41 | $66.69–$367.75 | 106% above | — |
| Family therapy without the patient, 50 minutes CPT 90846 FAMILY PSYCHOTHERAPY W/OUT PAT BWC 50 MINS | $387.41 | $387.41 | $66.69–$367.75 | 106% above | — |
| Family therapy without the patient, 50 minutes CPT 90846 FAMILY PSYCHOTHERAPY W/OUT PAT 50 MINS | $387.41 | $387.41 | $66.69–$367.75 | 106% above | — |
| Family therapy without the patient, 50 minutes CPT 90846 Voice FAMILY PSYCHOTHERAPY W/OUT PAT Well/Recov 50 MINS | $387.41 | $387.41 | $66.69–$367.75 | 106% above | — |
| Family therapy without the patient, 50 minutes CPT 90846 Virtual FAMILY PSYCHOTHERAPY W/OUT PAT Well/Recov 50 MINS | $387.41 | $387.41 | $66.69–$367.75 | 106% above | — |
| Family therapy without the patient, 50 minutes CPT 90846 Virtual FAMILY PSYCHOTHERAPY W/OUT PAT 50 MINS ADOS | $1,396.39 | $1,396.39 | $95.27–$1,166.68 | 643% above | — |
| Family therapy without the patient, 50 minutes CPT 90846 FAMILY PSYCHOTHERAPY W/OUT PAT 50 MINS ADOS | $1,396.39 | $1,396.39 | $95.27–$1,166.68 | 643% above | — |
| Family therapy without the patient, 50 minutes CPT 90846 FAMILY PSYCHOTHPY W/OUT PT IOP A 50 MINS | $1,396.39 | $1,396.39 | $95.27–$1,166.68 | 643% above | — |
| Family therapy without the patient, 50 minutes CPT 90846 Virtual FAMILY PSYCHOTHPY W/OUT PT IOP A 50 MINS | $1,396.39 | $1,396.39 | $95.27–$1,166.68 | 643% above | — |
| Family therapy without the patient, 50 minutes CPT 90846 Voice FAMILY PSYCHOTHPY W/OUT PT IOP A 50 MINS | $1,396.39 | $1,396.39 | $95.27–$1,166.68 | 643% above | — |
| Family therapy without the patient, 50 minutes CPT 90846 Virtual FAMILY PSYCHOTHERAPY W/OUT PAT PHP 50 MINS | $1,476.90 | $1,476.90 | $95.27–$1,233.95 | 686% above | — |
| Family therapy without the patient, 50 minutes CPT 90846 Voice FAMILY PSYCHOTHERAPY W/OUT PAT PHP 50 MINS | $1,476.90 | $1,476.90 | $95.27–$1,233.95 | 686% above | — |
| Family therapy without the patient, 50 minutes CPT 90846 OP Virtual Only Family therapy (w/o pt) (50 min) | $1,476.90 | $1,476.90 | $95.27–$1,233.95 | 686% above | — |
| Family therapy without the patient, 50 minutes CPT 90846 OP Voice Only Family therapy (w/o pt) (50 min) | $1,476.90 | $1,476.90 | $95.27–$1,233.95 | 686% above | — |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 Virtual FAMILY PSYCHOTHERAPY W/OUT PAT Well/Recov 50 MINS | $387.41 | $387.41 | — | — | — |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 FAMILY PSYCHOTHERAPY W/OUT PAT Well/Recov50 MINS | $387.41 | $387.41 | — | — | — |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 Virtual FAMILY PSYCHOTHERAPY W/OUT PAT BWC 50 MINS | $387.41 | $387.41 | — | — | — |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 Voice FAMILY PSYCHOTHERAPY W/OUT PAT BWC 50 MINS | $387.41 | $387.41 | — | — | — |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 FAMILY PSYCHOTHERAPY W/OUT PAT BWC 50 MINS | $387.41 | $387.41 | — | — | — |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 FAMILY PSYCHOTHERAPY W/OUT PAT 50 MINS | $387.41 | $387.41 | — | — | — |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 FAMILY PSYCHOTHERAPY W/OUT PAT PHP 50 MINS | $387.41 | $387.41 | — | — | — |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 Voice FAMILY PSYCHOTHERAPY W/OUT PAT Well/Recov 50 MINS | $387.41 | $387.41 | — | — | — |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 FAMILY PSYCHOTHERAPY W/OUT PAT 50 MINS ADOS | $1,396.39 | $1,396.39 | — | — | — |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 Virtual FAMILY PSYCHOTHERAPY W/OUT PAT 50 MINS ADOS | $1,396.39 | $1,396.39 | — | — | — |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 FAMILY PSYCHOTHPY W/OUT PT IOP A 50 MINS | $1,396.39 | $1,396.39 | — | — | — |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 Virtual FAMILY PSYCHOTHPY W/OUT PT IOP A 50 MINS | $1,396.39 | $1,396.39 | — | — | — |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 Voice FAMILY PSYCHOTHPY W/OUT PT IOP A 50 MINS | $1,396.39 | $1,396.39 | — | — | — |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 Voice FAMILY PSYCHOTHERAPY W/OUT PAT PHP 50 MINS | $1,476.90 | $1,476.90 | — | — | — |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 Virtual FAMILY PSYCHOTHERAPY W/OUT PAT PHP 50 MINS | $1,476.90 | $1,476.90 | — | — | — |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 OP Virtual Only Family therapy (w/o pt) (50 min) | $1,476.90 | $1,476.90 | — | — | — |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 OP Voice Only Family therapy (w/o pt) (50 min) | $1,476.90 | $1,476.90 | — | — | — |
| Group psychotherapy session CPT 90853 Voice GROUP THERAPY ADULT | $734.92 | $734.92 | $26.65–$614.03 | 575% above | — |
| Group psychotherapy session CPT 90853 Virtual GROUP THERAPY ADULT | $734.92 | $734.92 | $26.65–$614.03 | 575% above | — |
| Group psychotherapy session CPT 90853 GROUP THERAPY ADULT | $734.92 | $734.92 | $26.65–$614.03 | 575% above | — |
| Group psychotherapy session CPT 90853 Voice Group Therapy Adult LI (Mcaid) | $734.92 | $734.92 | $26.65–$614.03 | 575% above | — |
| Group psychotherapy session CPT 90853 Voice GROUP THERAPY ADULT IOP MCAID | $734.92 | $734.92 | $26.65–$614.03 | 575% above | — |
| Group psychotherapy session CPT 90853 Voice GROUP THERAPY ADULT IOP A | $734.92 | $734.92 | $26.65–$614.03 | 575% above | — |
| Group psychotherapy session CPT 90853 Virtual Group Therapy Adult LI (Mcaid) | $734.92 | $734.92 | $26.65–$614.03 | 575% above | — |
| Group psychotherapy session CPT 90853 Virtual GROUP THERAPY ADULT IOP MCAID | $734.92 | $734.92 | $26.65–$614.03 | 575% above | — |
| Group psychotherapy session CPT 90853 Virtual GROUP THERAPY ADULT IOP A | $734.92 | $734.92 | $26.65–$614.03 | 575% above | — |
| Group psychotherapy session CPT 90853 Group Therapy Adult LI (Mcaid) | $734.92 | $734.92 | $26.65–$614.03 | 575% above | — |
| Group psychotherapy session CPT 90853 GROUP THERAPY ADULT IOP MCAID | $734.92 | $734.92 | $26.65–$614.03 | 575% above | — |
| Group psychotherapy session CPT 90853 GROUP THERAPY ADULT BWC | $734.92 | $734.92 | $26.65–$614.03 | 575% above | — |
| Group psychotherapy session CPT 90853 GROUP THERAPY ADULT IOP A | $734.92 | $734.92 | $26.65–$614.03 | 575% above | — |
| Group psychotherapy session CPT 90853 Virtual GROUP THERAPY ADULT BWC | $734.92 | $734.92 | $26.65–$614.03 | 575% above | — |
| Group psychotherapy session CPT 90853 Voice GROUP THERAPY ADULT BWC | $734.92 | $734.92 | $26.65–$614.03 | 575% above | — |
| Group psychotherapy session CPT 90853 GROUP THERAPY ADULT OPW | $734.92 | $734.92 | $26.65–$614.03 | 575% above | — |
| Group psychotherapy session CPT 90853 Virtual GROUP THERAPY ADULT OPW | $734.92 | $734.92 | $26.65–$614.03 | 575% above | — |
| Group psychotherapy session CPT 90853 Voice GROUP THERAPY ADULT OPW | $734.92 | $734.92 | $26.65–$614.03 | 575% above | — |
| Group psychotherapy session CPT 90853 GROUP THERAPY ADOLESCENT | $734.92 | $734.92 | $26.65–$614.03 | 575% above | — |
| Group psychotherapy session CPT 90853 Virtual GROUP THERAPY ADOLESCENT | $734.92 | $734.92 | $26.65–$614.03 | 575% above | — |
| Group psychotherapy session CPT 90853 Voice GROUP THERAPY ADOLESCENT | $734.92 | $734.92 | $26.65–$614.03 | 575% above | — |
| Group psychotherapy session CPT 90853 GROUP THERAPY ADULT-ADOS | $734.92 | $734.92 | $26.65–$614.03 | 575% above | — |
| Group psychotherapy session CPT 90853 VIRTUAL GROUP THERAPY ADULT-ADOS | $734.92 | $734.92 | $26.65–$614.03 | 575% above | — |
| Group psychotherapy session CPT 90853 OP Virtual Group Therapy/Psychoeducation | $734.92 | $734.92 | $26.65–$614.03 | 575% above | — |
| Group psychotherapy session CPT 90853 VOICE GROUP THERAPY ADULT-ADOS | $734.92 | $734.92 | $26.65–$614.03 | 575% above | — |
| Group psychotherapy session CPT 90853 GROUP THERAPY CHILD (PARTIAL CARE) | $734.92 | $734.92 | $26.65–$614.03 | 575% above | — |
| Group psychotherapy session inpatient CPT 90853 Voice GROUP THERAPY ADULT OPW | $734.92 | $734.92 | — | — | — |
| Group psychotherapy session inpatient CPT 90853 GROUP THERAPY ADULT IOP A | $734.92 | $734.92 | — | — | — |
| Group psychotherapy session inpatient CPT 90853 GROUP THERAPY ADULT IOP MCAID | $734.92 | $734.92 | — | — | — |
| Group psychotherapy session inpatient CPT 90853 Group Therapy Adult LI (Mcaid) | $734.92 | $734.92 | — | — | — |
| Group psychotherapy session inpatient CPT 90853 Virtual GROUP THERAPY ADULT IOP A | $734.92 | $734.92 | — | — | — |
| Group psychotherapy session inpatient CPT 90853 Virtual GROUP THERAPY ADULT IOP MCAID | $734.92 | $734.92 | — | — | — |
| Group psychotherapy session inpatient CPT 90853 Virtual Group Therapy Adult LI (Mcaid) | $734.92 | $734.92 | — | — | — |
| Group psychotherapy session inpatient CPT 90853 Voice GROUP THERAPY ADULT IOP A | $734.92 | $734.92 | — | — | — |
| Group psychotherapy session inpatient CPT 90853 Voice GROUP THERAPY ADULT IOP MCAID | $734.92 | $734.92 | — | — | — |
| Group psychotherapy session inpatient CPT 90853 Voice Group Therapy Adult LI (Mcaid) | $734.92 | $734.92 | — | — | — |
| Group psychotherapy session inpatient CPT 90853 GROUP THERAPY ADULT | $734.92 | $734.92 | — | — | — |
| Group psychotherapy session inpatient CPT 90853 Virtual GROUP THERAPY ADULT | $734.92 | $734.92 | — | — | — |
| Group psychotherapy session inpatient CPT 90853 Voice GROUP THERAPY ADULT | $734.92 | $734.92 | — | — | — |
| Group psychotherapy session inpatient CPT 90853 GROUP THERAPY CHILD (PARTIAL CARE) | $734.92 | $734.92 | — | — | — |
| Group psychotherapy session inpatient CPT 90853 OP Virtual Group Therapy/Psychoeducation | $734.92 | $734.92 | — | — | — |
| Group psychotherapy session inpatient CPT 90853 GROUP THERAPY ADULT BWC | $734.92 | $734.92 | — | — | — |
| Group psychotherapy session inpatient CPT 90853 Virtual GROUP THERAPY ADULT BWC | $734.92 | $734.92 | — | — | — |
| Group psychotherapy session inpatient CPT 90853 Voice GROUP THERAPY ADULT BWC | $734.92 | $734.92 | — | — | — |
| Group psychotherapy session inpatient CPT 90853 GROUP THERAPY ADULT OPW | $734.92 | $734.92 | — | — | — |
| Group psychotherapy session inpatient CPT 90853 Virtual GROUP THERAPY ADULT OPW | $734.92 | $734.92 | — | — | — |
| Group psychotherapy session inpatient CPT 90853 GROUP THERAPY ADOLESCENT | $734.92 | $734.92 | — | — | — |
| Group psychotherapy session inpatient CPT 90853 Virtual GROUP THERAPY ADOLESCENT | $734.92 | $734.92 | — | — | — |
| Group psychotherapy session inpatient CPT 90853 Voice GROUP THERAPY ADOLESCENT | $734.92 | $734.92 | — | — | — |
| Group psychotherapy session inpatient CPT 90853 GROUP THERAPY ADULT-ADOS | $734.92 | $734.92 | — | — | — |
| Group psychotherapy session inpatient CPT 90853 VIRTUAL GROUP THERAPY ADULT-ADOS | $734.92 | $734.92 | — | — | — |
| Group psychotherapy session inpatient CPT 90853 VOICE GROUP THERAPY ADULT-ADOS | $734.92 | $734.92 | — | — | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HYDRATION IV INFUS INIT <=1 HR | $1,084.06 | $1,084.06 | $186.62–$905.73 | 336% above | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 INITIAL HYDRATION 31 MIN 1 HR 703 | $1,084.06 | $1,084.06 | $186.62–$905.73 | 336% above | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HYDRATION IV INFUSION INIT 31-60 MINS | $1,084.06 | $1,084.06 | $186.62–$905.73 | 336% above | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV HYDRATION 1ST HOUR (IV FLUIDS) | $1,084.06 | $1,084.06 | $186.62–$4,105.00 | 336% above | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HYDRATION IV INFUSION INIT 31-60 MINS 650 | $1,084.06 | $1,084.06 | $186.62–$905.73 | 336% above | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 INITIAL HYDRATION 31 MIN 1 HR | $1,084.06 | $1,084.06 | $186.62–$905.73 | 336% above | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HYDRATION IV INFUSION INIT 31-60 MINS 375 | $1,084.06 | $1,084.06 | $186.62–$905.73 | 336% above | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HYDRATION IV INF INIT <= 1 HR | $1,084.06 | $1,084.06 | $186.62–$905.73 | 336% above | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 INITIAL HYDRATION 31 MIN 1 HR | $1,084.06 | $1,084.06 | — | — | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HYDRATION IV INFUSION INIT 31-60 MINS 375 | $1,084.06 | $1,084.06 | — | — | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV HYDRATION 1ST HOUR (IV FLUIDS) | $1,084.06 | $1,084.06 | — | — | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HYDRATION IV INFUSION INIT 31-60 MINS 650 | $1,084.06 | $1,084.06 | — | — | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HYDRATION IV INFUS INIT <=1 HR | $1,084.06 | $1,084.06 | — | — | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HYDRATION IV INF INIT <= 1 HR | $1,084.06 | $1,084.06 | — | — | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 INITIAL HYDRATION 31 MIN 1 HR 703 | $1,084.06 | $1,084.06 | — | — | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HYDRATION IV INFUSION INIT 31-60 MINS | $1,084.06 | $1,084.06 | — | — | — |
| IV infusion of a medicine, first hour CPT 96365 MEDICATION INFUSION UP TO 1 HR | $1,084.06 | $1,084.06 | $83.09–$905.73 | 313% above | — |
| IV infusion of a medicine, first hour CPT 96365 MEDICATION INFUSION INITIAL 60MIN | $1,084.06 | $1,084.06 | $83.09–$905.73 | 313% above | — |
| IV infusion of a medicine, first hour CPT 96365 INFUSION 1ST HOUR (MEDICATION) | $1,084.06 | $1,084.06 | $83.09–$4,105.00 | 313% above | — |
| IV infusion of a medicine, first hour CPT 96365 IV INFUSION THERPY 1ST HR | $1,084.06 | $1,084.06 | $83.09–$905.73 | 313% above | — |
| IV infusion of a medicine, first hour CPT 96365 IV INF THER/PROPH/DIAG INITIAL | $1,084.06 | $1,084.06 | $83.09–$905.73 | 313% above | — |
| IV infusion of a medicine, first hour CPT 96365 IV INF RX DX PROPHY INIT <=1HR | $1,084.06 | $1,084.06 | $83.09–$905.73 | 313% above | — |
| IV infusion of a medicine, first hour CPT 96365 MEDICATION INFUSION UP TO 1 HR 703 | $1,084.06 | $1,084.06 | $83.09–$905.73 | 313% above | — |
| IV infusion of a medicine, first hour CPT 96365 THER/PROPH/DIAG IV INF INIT =<1 HR 659 | $1,084.06 | $1,084.06 | $83.09–$905.73 | 313% above | — |
| IV infusion of a medicine, first hour inpatient CPT 96365 THER/PROPH/DIAG IV INF INIT =<1 HR 659 | $1,084.06 | $1,084.06 | — | — | — |
| IV infusion of a medicine, first hour inpatient CPT 96365 IV INF RX DX PROPHY INIT <=1HR | $1,084.06 | $1,084.06 | — | — | — |
| IV infusion of a medicine, first hour inpatient CPT 96365 IV INF THER/PROPH/DIAG INITIAL | $1,084.06 | $1,084.06 | — | — | — |
| IV infusion of a medicine, first hour inpatient CPT 96365 IV INFUSION THERPY 1ST HR | $1,084.06 | $1,084.06 | — | — | — |
| IV infusion of a medicine, first hour inpatient CPT 96365 INFUSION 1ST HOUR (MEDICATION) | $1,084.06 | $1,084.06 | — | — | — |
| IV infusion of a medicine, first hour inpatient CPT 96365 MEDICATION INFUSION INITIAL 60MIN | $1,084.06 | $1,084.06 | — | — | — |
| IV infusion of a medicine, first hour inpatient CPT 96365 MEDICATION INFUSION UP TO 1 HR | $1,084.06 | $1,084.06 | — | — | — |
| IV infusion of a medicine, first hour inpatient CPT 96365 MEDICATION INFUSION UP TO 1 HR 703 | $1,084.06 | $1,084.06 | — | — | — |
| IV push of a medicine, first drug CPT 96374 MEDICATION IV PUSH 703 | $1,084.06 | $1,084.06 | $70.80–$905.73 | 365% above | — |
| IV push of a medicine, first drug CPT 96374 INJ IV PUSH INITIAL | $1,084.06 | $1,084.06 | $70.80–$905.73 | 365% above | — |
| IV push of a medicine, first drug CPT 96374 MEDICATION IV PUSH | $1,084.06 | $1,084.06 | $70.80–$905.73 | 365% above | — |
| IV push of a medicine, first drug CPT 96374 INJECTION IV INITIAL | $1,084.06 | $1,084.06 | $70.80–$905.73 | 365% above | — |
| IV push of a medicine, first drug CPT 96374 IV PUSH 1ST MED | $1,084.06 | $1,084.06 | $70.80–$4,105.00 | 365% above | — |
| IV push of a medicine, first drug CPT 96374 IV PUSH INITIAL DRUG | $1,084.06 | $1,084.06 | $70.80–$905.73 | 365% above | — |
| IV push of a medicine, first drug CPT 96374 IVP INITIAL DRUG | $1,084.06 | $1,084.06 | $70.80–$905.73 | 365% above | — |
| IV push of a medicine, first drug CPT 96374 INJ IV PUSH INITIAL (DIAG BUBBLE STUDY 0.9% NSS) | $1,084.06 | $1,084.06 | $70.80–$905.73 | 365% above | — |
| IV push of a medicine, first drug inpatient CPT 96374 IV PUSH 1ST MED | $1,084.06 | $1,084.06 | — | — | — |
| IV push of a medicine, first drug inpatient CPT 96374 IV PUSH INITIAL DRUG | $1,084.06 | $1,084.06 | — | — | — |
| IV push of a medicine, first drug inpatient CPT 96374 IVP INITIAL DRUG | $1,084.06 | $1,084.06 | — | — | — |
| IV push of a medicine, first drug inpatient CPT 96374 INJ IV PUSH INITIAL (DIAG BUBBLE STUDY 0.9% NSS) | $1,084.06 | $1,084.06 | — | — | — |
| IV push of a medicine, first drug inpatient CPT 96374 INJECTION IV INITIAL | $1,084.06 | $1,084.06 | — | — | — |
| IV push of a medicine, first drug inpatient CPT 96374 MEDICATION IV PUSH 703 | $1,084.06 | $1,084.06 | — | — | — |
| IV push of a medicine, first drug inpatient CPT 96374 INJ IV PUSH INITIAL | $1,084.06 | $1,084.06 | — | — | — |
| IV push of a medicine, first drug inpatient CPT 96374 MEDICATION IV PUSH | $1,084.06 | $1,084.06 | — | — | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 THER/PROPH/DIAG INJ SC/IM | $342.80 | $342.80 | $26.16–$519.00 | 309% above | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJ SQ OR IM EACH 658 | $342.80 | $342.80 | $26.16–$519.00 | 309% above | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJ SQ OR IM EACH 650 | $342.80 | $342.80 | $26.16–$519.00 | 309% above | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 IM/SQ ADMIN OF MEDICATION | $342.80 | $342.80 | $26.16–$519.00 | 309% above | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJ SQ/IM EA DRUG | $342.80 | $342.80 | $26.16–$519.00 | 309% above | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION SQ or IM EACH | $342.80 | $342.80 | $26.16–$519.00 | 309% above | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJ THERAPEUTIC SQ/IM EA | $342.80 | $342.80 | $26.16–$519.00 | 309% above | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJ SQ OR IM EACH | $342.80 | $342.80 | $26.16–$519.00 | 309% above | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 Therapeutic Injection_216 | $342.80 | $342.80 | $26.16–$519.00 | 309% above | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 Therapeutic Injection_215 | $342.80 | $342.80 | $26.16–$519.00 | 309% above | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 Therapeutic Injection | $342.80 | $342.80 | $26.16–$519.00 | 309% above | — |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJ SQ OR IM EACH 650 | $342.80 | $342.80 | — | — | — |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Therapeutic Injection | $342.80 | $342.80 | — | — | — |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Therapeutic Injection_215 | $342.80 | $342.80 | — | — | — |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Therapeutic Injection_216 | $342.80 | $342.80 | — | — | — |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJ SQ OR IM EACH | $342.80 | $342.80 | — | — | — |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJECTION SQ or IM EACH | $342.80 | $342.80 | — | — | — |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJ THERAPEUTIC SQ/IM EA | $342.80 | $342.80 | — | — | — |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJ SQ/IM EA DRUG | $342.80 | $342.80 | — | — | — |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 IM/SQ ADMIN OF MEDICATION | $342.80 | $342.80 | — | — | — |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJ SQ OR IM EACH 658 | $342.80 | $342.80 | — | — | — |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 THER/PROPH/DIAG INJ SC/IM | $342.80 | $342.80 | — | — | — |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 INTAKE EVAL (Nurse) 30 MIN | $487.95 | $487.95 | $84.00–$407.68 | 158% above | — |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 VOICE INTAKE EVAL 30 MIN-ADOS (MEDICAID) | $487.95 | $487.95 | $84.00–$407.68 | 158% above | — |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 VIRTUAL INTAKE EVAL 30 MIN-ADOS (MEDICAID) | $487.95 | $487.95 | $84.00–$407.68 | 158% above | — |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 INTAKE EVAL ADULT IOP A 1/2 HR | $487.95 | $487.95 | $84.00–$407.68 | 158% above | — |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 Virtual INTAKE EVAL ADULT IOP A 1/2 HR | $487.95 | $487.95 | $84.00–$407.68 | 158% above | — |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 Voice INTAKE EVAL ADULT IOP A 1/2 HR | $487.95 | $487.95 | $84.00–$407.68 | 158% above | — |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 INTAKE EVAL ADULT 1/2 HR | $487.95 | $487.95 | $84.00–$407.68 | 158% above | — |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 Virtual INTAKE EVAL ADULT 1/2 HR | $487.95 | $487.95 | $84.00–$407.68 | 158% above | — |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 Voice INTAKE EVAL ADULT 1/2 HR | $487.95 | $487.95 | $84.00–$407.68 | 158% above | — |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 INTAKE EVAL 30 MIN-ADOS (MEDICAID) | $487.95 | $487.95 | $84.00–$407.68 | 158% above | — |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 Voice INTAKE EVAL CHILD OP 1/2 HR | $487.95 | $487.95 | $84.00–$407.68 | 158% above | — |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 Virtual INTAKE EVAL CHILD OP 1/2 HR | $487.95 | $487.95 | $84.00–$407.68 | 158% above | — |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 INTAKE EVAL CHILD OP 1/2 HR | $487.95 | $487.95 | $84.00–$407.68 | 158% above | — |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 Virtual INTAKE EVAL (Nurse) 30 MIN | $487.95 | $487.95 | $84.00–$407.68 | 158% above | — |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 Voice INTAKE EVAL (Nurse) 30 MIN | $487.95 | $487.95 | $84.00–$407.68 | 158% above | — |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 INTAKE EVAL (Nurse) 30 MIN OPW | $487.95 | $487.95 | $84.00–$407.68 | 158% above | — |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 Virtual INTAKE EVAL (Nurse) 30 MIN OPW | $487.95 | $487.95 | $84.00–$407.68 | 158% above | — |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 Voice INTAKE EVAL (Nurse) 30 MIN OPW | $487.95 | $487.95 | $84.00–$407.68 | 158% above | — |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 INTAKE EVAL ADOLESCENT OP 1/2 HR | $487.95 | $487.95 | $84.00–$407.68 | 158% above | — |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 Virtual INTAKE EVAL ADOLESCENT OP 1/2 HR | $487.95 | $487.95 | $84.00–$407.68 | 158% above | — |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 Voice INTAKE EVAL ADOLESCENT OP 1/2 HR | $487.95 | $487.95 | $84.00–$407.68 | 158% above | — |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 Virtual INTAKE EVAL CHILD OP 1 HR | $976.43 | $976.43 | $168.09–$815.81 | 416% above | — |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 INTAKE EVAL ADOLESCENT OP 1 HR | $976.43 | $976.43 | $168.09–$815.81 | 416% above | — |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 INTAKE EVAL CHILD OP 1 HR | $976.43 | $976.43 | $168.09–$815.81 | 416% above | — |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 INTAKE EVAL (NURSE) 1 HR | $976.43 | $976.43 | $168.09–$815.81 | 416% above | — |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 Virtual INTAKE EVAL ADULT IOP 1 HR MCAID | $976.43 | $976.43 | $168.09–$815.81 | 416% above | — |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 Virtual INTAKE EVAL (NURSE) 1 HR | $976.43 | $976.43 | $168.09–$815.81 | 416% above | — |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 Voice INTAKE EVAL (NURSE) 1 HR OPW | $976.43 | $976.43 | $168.09–$815.81 | 416% above | — |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 Voice INTAKE EVAL (NURSE) 1 HR | $976.43 | $976.43 | $168.09–$815.81 | 416% above | — |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 Voice INTAKE EVAL ADOLESCENT OP 1 HR | $976.43 | $976.43 | $168.09–$815.81 | 416% above | — |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 INTAKE EVAL (NURSE) 1 HR OPW | $976.43 | $976.43 | $168.09–$815.81 | 416% above | — |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 Virtual INTAKE EVAL ADULT IOP A 1 HR | $976.43 | $976.43 | $168.09–$815.81 | 416% above | — |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 Voice INTAKE EVAL ADULT IOP A 1 HR | $976.43 | $976.43 | $168.09–$815.81 | 416% above | — |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 Virtual INTAKE EVAL ADULT LI | $976.43 | $976.43 | $168.09–$815.81 | 416% above | — |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 Voice INTAKE EVAL ADULT IOP 1 HR MCAID | $976.43 | $976.43 | $168.09–$815.81 | 416% above | — |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 INTAKE EVAL ADULT LI | $976.43 | $976.43 | $168.09–$815.81 | 416% above | — |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 Voice INTAKE EVAL ADULT LI | $976.43 | $976.43 | $168.09–$815.81 | 416% above | — |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 INTAKE EVAL ADULT IOP 1 HR MCAID | $976.43 | $976.43 | $168.09–$815.81 | 416% above | — |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 INTAKE EVAL ADULT 1 HR | $976.43 | $976.43 | $168.09–$815.81 | 416% above | — |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 INTAKE EVAL ADULT IOP A 1 HR | $976.43 | $976.43 | $168.09–$815.81 | 416% above | — |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 Virtual INTAKE EVAL ADULT 1 HR | $976.43 | $976.43 | $168.09–$815.81 | 416% above | — |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 VOICE INTAKE EVAL 1 HR-ADOS (NON MEDICAID) | $976.43 | $976.43 | $168.09–$815.81 | 416% above | — |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 VIRTUAL INTAKE EVAL 1 HR-ADOS (NON MEDICAID) | $976.43 | $976.43 | $168.09–$815.81 | 416% above | — |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 INTAKE EVAL 1 HR-ADOS (NON MEDICAID) | $976.43 | $976.43 | $168.09–$815.81 | 416% above | — |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 Voice INTAKE EVAL ADULT 1 HR | $976.43 | $976.43 | $168.09–$815.81 | 416% above | — |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 Virtual INTAKE EVAL ADOLESCENT OP 1 HR | $976.43 | $976.43 | $168.09–$815.81 | 416% above | — |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 Voice INTAKE EVAL CHILD OP 1 HR | $976.43 | $976.43 | $168.09–$815.81 | 416% above | — |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 Virtual INTAKE EVAL (NURSE) 1 HR OPW | $976.43 | $976.43 | $168.09–$815.81 | 416% above | — |
| Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 Virtual INTAKE EVAL ADOLESCENT OP 1/2 HR | $487.95 | $487.95 | — | — | — |
| Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 INTAKE EVAL ADULT IOP A 1/2 HR | $487.95 | $487.95 | — | — | — |
| Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 Virtual INTAKE EVAL ADULT IOP A 1/2 HR | $487.95 | $487.95 | — | — | — |
| Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 Voice INTAKE EVAL ADULT IOP A 1/2 HR | $487.95 | $487.95 | — | — | — |
| Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 INTAKE EVAL ADULT 1/2 HR | $487.95 | $487.95 | — | — | — |
| Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 Virtual INTAKE EVAL ADULT 1/2 HR | $487.95 | $487.95 | — | — | — |
| Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 Voice INTAKE EVAL ADULT 1/2 HR | $487.95 | $487.95 | — | — | — |
| Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 Voice INTAKE EVAL CHILD OP 1/2 HR | $487.95 | $487.95 | — | — | — |
| Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 Virtual INTAKE EVAL CHILD OP 1/2 HR | $487.95 | $487.95 | — | — | — |
| Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 INTAKE EVAL CHILD OP 1/2 HR | $487.95 | $487.95 | — | — | — |
| Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 INTAKE EVAL (Nurse) 30 MIN | $487.95 | $487.95 | — | — | — |
| Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 Voice INTAKE EVAL (Nurse) 30 MIN | $487.95 | $487.95 | — | — | — |
| Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 INTAKE EVAL (Nurse) 30 MIN OPW | $487.95 | $487.95 | — | — | — |
| Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 Virtual INTAKE EVAL (Nurse) 30 MIN | $487.95 | $487.95 | — | — | — |
| Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 Virtual INTAKE EVAL (Nurse) 30 MIN OPW | $487.95 | $487.95 | — | — | — |
| Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 Voice INTAKE EVAL (Nurse) 30 MIN OPW | $487.95 | $487.95 | — | — | — |
| Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 INTAKE EVAL ADOLESCENT OP 1/2 HR | $487.95 | $487.95 | — | — | — |
| Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 VOICE INTAKE EVAL 30 MIN-ADOS (MEDICAID) | $487.95 | $487.95 | — | — | — |
| Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 Voice INTAKE EVAL ADOLESCENT OP 1/2 HR | $487.95 | $487.95 | — | — | — |
| Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 INTAKE EVAL 30 MIN-ADOS (MEDICAID) | $487.95 | $487.95 | — | — | — |
| Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 VIRTUAL INTAKE EVAL 30 MIN-ADOS (MEDICAID) | $487.95 | $487.95 | — | — | — |
| Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 Virtual INTAKE EVAL ADOLESCENT OP 1 HR | $976.43 | $976.43 | — | — | — |
| Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 Voice INTAKE EVAL ADULT IOP 1 HR MCAID | $976.43 | $976.43 | — | — | — |
| Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 INTAKE EVAL ADULT 1 HR | $976.43 | $976.43 | — | — | — |
| Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 Voice INTAKE EVAL ADULT IOP A 1 HR | $976.43 | $976.43 | — | — | — |
| Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 Virtual INTAKE EVAL ADULT 1 HR | $976.43 | $976.43 | — | — | — |
| Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 Virtual INTAKE EVAL ADULT LI | $976.43 | $976.43 | — | — | — |
| Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 Voice INTAKE EVAL ADULT 1 HR | $976.43 | $976.43 | — | — | — |
| Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 VOICE INTAKE EVAL 1 HR-ADOS (NON MEDICAID) | $976.43 | $976.43 | — | — | — |
| Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 Voice INTAKE EVAL CHILD OP 1 HR | $976.43 | $976.43 | — | — | — |
| Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 Virtual INTAKE EVAL ADULT IOP 1 HR MCAID | $976.43 | $976.43 | — | — | — |
| Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 Virtual INTAKE EVAL ADULT IOP A 1 HR | $976.43 | $976.43 | — | — | — |
| Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 INTAKE EVAL ADULT LI | $976.43 | $976.43 | — | — | — |
| Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 INTAKE EVAL ADULT IOP 1 HR MCAID | $976.43 | $976.43 | — | — | — |
| Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 INTAKE EVAL ADULT IOP A 1 HR | $976.43 | $976.43 | — | — | — |
| Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 Virtual INTAKE EVAL CHILD OP 1 HR | $976.43 | $976.43 | — | — | — |
| Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 Virtual INTAKE EVAL (NURSE) 1 HR OPW | $976.43 | $976.43 | — | — | — |
| Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 Voice INTAKE EVAL (NURSE) 1 HR OPW | $976.43 | $976.43 | — | — | — |
| Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 VIRTUAL INTAKE EVAL 1 HR-ADOS (NON MEDICAID) | $976.43 | $976.43 | — | — | — |
| Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 INTAKE EVAL ADOLESCENT OP 1 HR | $976.43 | $976.43 | — | — | — |
| Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 INTAKE EVAL 1 HR-ADOS (NON MEDICAID) | $976.43 | $976.43 | — | — | — |
| Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 Voice INTAKE EVAL ADOLESCENT OP 1 HR | $976.43 | $976.43 | — | — | — |
| Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 INTAKE EVAL CHILD OP 1 HR | $976.43 | $976.43 | — | — | — |
| Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 INTAKE EVAL (NURSE) 1 HR | $976.43 | $976.43 | — | — | — |
| Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 Voice INTAKE EVAL (NURSE) 1 HR | $976.43 | $976.43 | — | — | — |
| Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 Voice INTAKE EVAL ADULT LI | $976.43 | $976.43 | — | — | — |
| Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 INTAKE EVAL (NURSE) 1 HR OPW | $976.43 | $976.43 | — | — | — |
| Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 Virtual INTAKE EVAL (NURSE) 1 HR | $976.43 | $976.43 | — | — | — |
| Neuromuscular re-education, 15 minutes CPT 97112 NEUROMUSCLE RE-ED/BAL EA 15 MIN | $143.90 | $143.90 | $19.71–$563.00 | 249% above | — |
| Neuromuscular re-education, 15 minutes CPT 97112 NEUROMUSCLE RE-ED/COORD EA 15 MIN | $143.90 | $143.90 | $19.71–$228.00 | 249% above | — |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 NEUROMUSCLE RE-ED/COORD EA 15 MIN | $143.90 | $143.90 | — | — | — |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 NEUROMUSCLE RE-ED/BAL EA 15 MIN | $143.90 | $143.90 | — | — | — |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 Virtual MNT FACE TO FACE 15 MIN | $58.18 | $58.18 | $7.97–$151.00 | 42% above | — |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 Virtual MNT FACE TO FACE 15 MIN - *FC | $58.18 | $58.18 | $7.97–$151.00 | 42% above | — |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 MNT FACE TO FACE 15 MIN | $58.18 | $58.18 | $7.97–$151.00 | 42% above | — |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 Voice MNT 15 MIN | $58.18 | $58.18 | $7.97–$151.00 | 42% above | — |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 MNT FACE TO FACE 15 MIN - *FC | $58.18 | $58.18 | $7.97–$151.00 | 42% above | — |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 Voice MNT 15 MIN | $58.18 | $58.18 | — | — | — |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 MNT FACE TO FACE 15 MIN | $58.18 | $58.18 | — | — | — |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 MNT FACE TO FACE 15 MIN - *FC | $58.18 | $58.18 | — | — | — |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 Virtual MNT FACE TO FACE 15 MIN | $58.18 | $58.18 | — | — | — |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 Virtual MNT FACE TO FACE 15 MIN - *FC | $58.18 | $58.18 | — | — | — |
| Occupational therapy evaluation, low complexity CPT 97165 OT EVAL LOW COMPLEX 30 MIN | $331.19 | $331.19 | $45.37–$228.00 | 157% above | — |
| Occupational therapy evaluation, low complexity inpatient CPT 97165 OT EVAL LOW COMPLEX 30 MIN | $331.19 | $331.19 | — | — | — |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT EVAL HIGH COMPLEX 45 MIN | $513.34 | $513.34 | $60.00–$563.00 | 307% above | — |
| Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 PT EVAL HIGH COMPLEX 45 MIN | $513.34 | $513.34 | — | — | — |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT EVAL LOW COMPLEX 20 MIN | $342.22 | $342.22 | $46.88–$563.00 | 171% above | — |
| Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 PT EVAL LOW COMPLEX 20 MIN | $342.22 | $342.22 | — | — | — |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT EVAL MOD COMPLEX 30 MIN | $427.77 | $427.77 | $58.60–$563.00 | 239% above | — |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 PT EVAL MOD COMPLEX 30 MIN | $427.77 | $427.77 | — | — | — |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MANUAL THERAPY EA 15 MIN | $128.16 | $128.16 | $17.56–$228.00 | 264% above | — |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MANUAL THERAPY TECH/15M | $128.16 | $128.16 | $17.56–$563.00 | 264% above | — |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 MANUAL THERAPY TECH/15M | $128.16 | $128.16 | — | — | — |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 MANUAL THERAPY EA 15 MIN | $128.16 | $128.16 | — | — | — |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAPEUTIC EXERCISE/15M | $137.45 | $137.45 | $18.83–$563.00 | 271% above | — |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAPEUTIC EXERCISE/15 M | $137.45 | $137.45 | $18.83–$228.00 | 271% above | — |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERAPEUTIC EXERCISE/15M | $137.45 | $137.45 | — | — | — |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERAPEUTIC EXERCISE/15 M | $137.45 | $137.45 | — | — | — |
| Psychiatric evaluation with medical services CPT 90792 Voice Intake Eval/Medical Child 1/2 HR | $487.95 | $487.95 | $84.00–$407.68 | 158% above | — |
| Psychiatric evaluation with medical services CPT 90792 Virtual Intake Eval/Medical Child 1/2 HR | $487.95 | $487.95 | $84.00–$407.68 | 158% above | — |
| Psychiatric evaluation with medical services CPT 90792 Intake Eval w/Medical Adolescent 1/2 HR | $487.95 | $487.95 | $84.00–$407.68 | 158% above | — |
| Psychiatric evaluation with medical services CPT 90792 Virtual Intake Eval/Medical Adolescent Child 1/2 HR | $487.95 | $487.95 | $84.00–$407.68 | 158% above | — |
| Psychiatric evaluation with medical services CPT 90792 Intake Eval w/Medical Child 1/2 HR | $487.95 | $487.95 | $84.00–$407.68 | 158% above | — |
| Psychiatric evaluation with medical services CPT 90792 Voice Intake Eval/Medical Adolescent 1/2 HR | $487.95 | $487.95 | $84.00–$407.68 | 158% above | — |
| Psychiatric evaluation with medical services CPT 90792 Voice Intake Eval/Medical Adult 1/2 HR | $487.95 | $487.95 | $84.00–$407.68 | 158% above | — |
| Psychiatric evaluation with medical services CPT 90792 Virtual Intake Eval/Medical Adult 1/2 HR | $487.95 | $487.95 | $84.00–$407.68 | 158% above | — |
| Psychiatric evaluation with medical services CPT 90792 Intake Eval w/Medical Adult 1/2 HR | $487.95 | $487.95 | $84.00–$407.68 | 158% above | — |
| Psychiatric evaluation with medical services CPT 90792 Intake Eval MD Adult | $976.43 | $976.43 | $168.09–$815.81 | 416% above | — |
| Psychiatric evaluation with medical services CPT 90792 Virtual Intake Eval MD Adult | $976.43 | $976.43 | $168.09–$815.81 | 416% above | — |
| Psychiatric evaluation with medical services CPT 90792 Voice Intake Eval MD Adult | $976.43 | $976.43 | $168.09–$815.81 | 416% above | — |
| Psychiatric evaluation with medical services CPT 90792 Voice Intake Eval MD ADOLESCENT | $976.43 | $976.43 | $168.09–$815.81 | 416% above | — |
| Psychiatric evaluation with medical services CPT 90792 Virtual Intake Eval MD ADOLESCENT | $976.43 | $976.43 | $168.09–$815.81 | 416% above | — |
| Psychiatric evaluation with medical services CPT 90792 Intake Eval MD ADOLESCENT | $976.43 | $976.43 | $168.09–$815.81 | 416% above | — |
| Psychiatric evaluation with medical services CPT 90792 Voice Intake Eval/Medical Child 1 HR | $976.43 | $976.43 | $168.09–$815.81 | 416% above | — |
| Psychiatric evaluation with medical services CPT 90792 Virtual Intake Eval/Medical Child 1 HR | $976.43 | $976.43 | $168.09–$815.81 | 416% above | — |
| Psychiatric evaluation with medical services CPT 90792 Intake Eval w/Medical Child 1 HR | $976.43 | $976.43 | $168.09–$815.81 | 416% above | — |
| Psychiatric evaluation with medical services inpatient CPT 90792 Voice Intake Eval/Medical Adolescent 1/2 HR | $487.95 | $487.95 | — | — | — |
| Psychiatric evaluation with medical services inpatient CPT 90792 Intake Eval w/Medical Adult 1/2 HR | $487.95 | $487.95 | — | — | — |
| Psychiatric evaluation with medical services inpatient CPT 90792 Virtual Intake Eval/Medical Adult 1/2 HR | $487.95 | $487.95 | — | — | — |
| Psychiatric evaluation with medical services inpatient CPT 90792 Voice Intake Eval/Medical Adult 1/2 HR | $487.95 | $487.95 | — | — | — |
| Psychiatric evaluation with medical services inpatient CPT 90792 Intake Eval w/Medical Child 1/2 HR | $487.95 | $487.95 | — | — | — |
| Psychiatric evaluation with medical services inpatient CPT 90792 Virtual Intake Eval/Medical Child 1/2 HR | $487.95 | $487.95 | — | — | — |
| Psychiatric evaluation with medical services inpatient CPT 90792 Voice Intake Eval/Medical Child 1/2 HR | $487.95 | $487.95 | — | — | — |
| Psychiatric evaluation with medical services inpatient CPT 90792 Intake Eval w/Medical Adolescent 1/2 HR | $487.95 | $487.95 | — | — | — |
| Psychiatric evaluation with medical services inpatient CPT 90792 Virtual Intake Eval/Medical Adolescent Child 1/2 HR | $487.95 | $487.95 | — | — | — |
| Psychiatric evaluation with medical services inpatient CPT 90792 Intake Eval MD ADOLESCENT | $976.43 | $976.43 | — | — | — |
| Psychiatric evaluation with medical services inpatient CPT 90792 Virtual Intake Eval MD ADOLESCENT | $976.43 | $976.43 | — | — | — |
| Psychiatric evaluation with medical services inpatient CPT 90792 Voice Intake Eval MD ADOLESCENT | $976.43 | $976.43 | — | — | — |
| Psychiatric evaluation with medical services inpatient CPT 90792 Intake Eval MD Adult | $976.43 | $976.43 | — | — | — |
| Psychiatric evaluation with medical services inpatient CPT 90792 Virtual Intake Eval MD Adult | $976.43 | $976.43 | — | — | — |
| Psychiatric evaluation with medical services inpatient CPT 90792 Voice Intake Eval MD Adult | $976.43 | $976.43 | — | — | — |
| Psychiatric evaluation with medical services inpatient CPT 90792 Intake Eval w/Medical Child 1 HR | $976.43 | $976.43 | — | — | — |
| Psychiatric evaluation with medical services inpatient CPT 90792 Virtual Intake Eval/Medical Child 1 HR | $976.43 | $976.43 | — | — | — |
| Psychiatric evaluation with medical services inpatient CPT 90792 Voice Intake Eval/Medical Child 1 HR | $976.43 | $976.43 | — | — | — |
| Psychotherapy for crisis, first 60 minutes CPT 90839 PT IN CRISIS FIRST 30-74 OPW | $1,476.90 | $1,476.90 | $179.39–$1,233.95 | 681% above | — |
| Psychotherapy for crisis, first 60 minutes CPT 90839 Voice PT IN CRISIS FIRST 30-74 BWC | $1,476.90 | $1,476.90 | $179.39–$1,233.95 | 681% above | — |
| Psychotherapy for crisis, first 60 minutes CPT 90839 PT IN CRISIS FIRST 30-74 BWC | $1,476.90 | $1,476.90 | $179.39–$1,233.95 | 681% above | — |
| Psychotherapy for crisis, first 60 minutes CPT 90839 Virtual PT IN CRISIS FIRST 30-74 BWC | $1,476.90 | $1,476.90 | $179.39–$1,233.95 | 681% above | — |
| Psychotherapy for crisis, first 60 minutes CPT 90839 PT IN CRISIS FIRST 30-74 PHP C | $1,476.90 | $1,476.90 | $179.39–$1,233.95 | 681% above | — |
| Psychotherapy for crisis, first 60 minutes CPT 90839 PT IN CRISIS FIRST 30-74 PC A | $1,476.90 | $1,476.90 | $179.39–$1,233.95 | 681% above | — |
| Psychotherapy for crisis, first 60 minutes CPT 90839 Voice PT IN CRISIS FIRST 30-74 IOP A | $1,476.90 | $1,476.90 | $179.39–$1,233.95 | 681% above | — |
| Psychotherapy for crisis, first 60 minutes CPT 90839 Virtual PT IN CRISIS FIRST 30-74 IOP A | $1,476.90 | $1,476.90 | $179.39–$1,233.95 | 681% above | — |
| Psychotherapy for crisis, first 60 minutes CPT 90839 PT IN CRISIS FIRST 30-74 IOP A | $1,476.90 | $1,476.90 | $179.39–$1,233.95 | 681% above | — |
| Psychotherapy for crisis, first 60 minutes CPT 90839 PT IN CRISIS FIRST 30-74 PHP ADOLESCENT | $1,476.90 | $1,476.90 | $179.39–$1,233.95 | 681% above | — |
| Psychotherapy for crisis, first 60 minutes CPT 90839 Voice PT IN CRISIS FIRST 30-74 OPW | $1,476.90 | $1,476.90 | $179.39–$1,233.95 | 681% above | — |
| Psychotherapy for crisis, first 60 minutes CPT 90839 Virtual PT IN CRISIS FIRST 30-74 OPW | $1,476.90 | $1,476.90 | $179.39–$1,233.95 | 681% above | — |
| Psychotherapy for crisis, first 60 minutes inpatient CPT 90839 PT IN CRISIS FIRST 30-74 OPW | $1,476.90 | $1,476.90 | — | — | — |
| Psychotherapy for crisis, first 60 minutes inpatient CPT 90839 Voice PT IN CRISIS FIRST 30-74 BWC | $1,476.90 | $1,476.90 | — | — | — |
| Psychotherapy for crisis, first 60 minutes inpatient CPT 90839 Virtual PT IN CRISIS FIRST 30-74 BWC | $1,476.90 | $1,476.90 | — | — | — |
| Psychotherapy for crisis, first 60 minutes inpatient CPT 90839 PT IN CRISIS FIRST 30-74 BWC | $1,476.90 | $1,476.90 | — | — | — |
| Psychotherapy for crisis, first 60 minutes inpatient CPT 90839 PT IN CRISIS FIRST 30-74 PHP C | $1,476.90 | $1,476.90 | — | — | — |
| Psychotherapy for crisis, first 60 minutes inpatient CPT 90839 PT IN CRISIS FIRST 30-74 PC A | $1,476.90 | $1,476.90 | — | — | — |
| Psychotherapy for crisis, first 60 minutes inpatient CPT 90839 PT IN CRISIS FIRST 30-74 IOP A | $1,476.90 | $1,476.90 | — | — | — |
| Psychotherapy for crisis, first 60 minutes inpatient CPT 90839 Virtual PT IN CRISIS FIRST 30-74 IOP A | $1,476.90 | $1,476.90 | — | — | — |
| Psychotherapy for crisis, first 60 minutes inpatient CPT 90839 PT IN CRISIS FIRST 30-74 PHP ADOLESCENT | $1,476.90 | $1,476.90 | — | — | — |
| Psychotherapy for crisis, first 60 minutes inpatient CPT 90839 Voice PT IN CRISIS FIRST 30-74 OPW | $1,476.90 | $1,476.90 | — | — | — |
| Psychotherapy for crisis, first 60 minutes inpatient CPT 90839 Voice PT IN CRISIS FIRST 30-74 IOP A | $1,476.90 | $1,476.90 | — | — | — |
| Psychotherapy for crisis, first 60 minutes inpatient CPT 90839 Virtual PT IN CRISIS FIRST 30-74 OPW | $1,476.90 | $1,476.90 | — | — | — |
| Psychotherapy session, 30 minutes CPT 90832 Psy ther pt 16-37 - Adolescent | $1,197.22 | $1,197.22 | $179.39–$1,000.28 | 573% above | — |
| Psychotherapy session, 30 minutes CPT 90832 Virtual Psy ther pt 16-37 - Adolescent | $1,197.22 | $1,197.22 | $179.39–$1,000.28 | 573% above | — |
| Psychotherapy session, 30 minutes CPT 90832 OP Virtual Only Individual Session (30 min) | $1,197.22 | $1,197.22 | $179.39–$1,000.28 | 573% above | — |
| Psychotherapy session, 30 minutes CPT 90832 Psy ther pt 16-37 - CP | $1,197.22 | $1,197.22 | $179.39–$1,000.28 | 573% above | — |
| Psychotherapy session, 30 minutes CPT 90832 Voice Psy ther pt 16-37 - PH | $1,197.22 | $1,197.22 | $179.39–$1,000.28 | 573% above | — |
| Psychotherapy session, 30 minutes CPT 90832 Virtual Psy ther pt 16-37 - PH | $1,197.22 | $1,197.22 | $179.39–$1,000.28 | 573% above | — |
| Psychotherapy session, 30 minutes CPT 90832 Psy ther pt 16-37 - PH | $1,197.22 | $1,197.22 | $179.39–$1,000.28 | 573% above | — |
| Psychotherapy session, 30 minutes CPT 90832 Voice Psy ther pt 16-37 IOP A | $1,197.22 | $1,197.22 | $179.39–$1,000.28 | 573% above | — |
| Psychotherapy session, 30 minutes CPT 90832 Virtual Psy ther pt 16-37 IOP A | $1,197.22 | $1,197.22 | $179.39–$1,000.28 | 573% above | — |
| Psychotherapy session, 30 minutes CPT 90832 Psy ther pt 16-37 IOP A | $1,197.22 | $1,197.22 | $179.39–$1,000.28 | 573% above | — |
| Psychotherapy session, 30 minutes CPT 90832 VOICE PSY THERAPY W/PATIENT 16-37 MIN-ADOS | $1,197.22 | $1,197.22 | $179.39–$1,000.28 | 573% above | — |
| Psychotherapy session, 30 minutes CPT 90832 Virtual Psy ther pt 16-37 OPW | $1,197.22 | $1,197.22 | $179.39–$1,000.28 | 573% above | — |
| Psychotherapy session, 30 minutes CPT 90832 Voice Psy ther pt 16-37 - Adolescent | $1,197.22 | $1,197.22 | $179.39–$1,000.28 | 573% above | — |
| Psychotherapy session, 30 minutes CPT 90832 PSY THERAPY W/PATIENT 16-37 MIN-ADOS | $1,197.22 | $1,197.22 | $179.39–$1,000.28 | 573% above | — |
| Psychotherapy session, 30 minutes CPT 90832 VIRTUAL PSY THERAPY W/PATIENT 16-37 MIN-ADOS | $1,197.22 | $1,197.22 | $179.39–$1,000.28 | 573% above | — |
| Psychotherapy session, 30 minutes CPT 90832 Psy ther pt 16-37 OPW | $1,197.22 | $1,197.22 | $179.39–$1,000.28 | 573% above | — |
| Psychotherapy session, 30 minutes CPT 90832 Voice Psy ther pt 16-37 BWC | $1,197.22 | $1,197.22 | $179.39–$1,000.28 | 573% above | — |
| Psychotherapy session, 30 minutes CPT 90832 Virtual Psy ther pt 16-37 BWC | $1,197.22 | $1,197.22 | $179.39–$1,000.28 | 573% above | — |
| Psychotherapy session, 30 minutes CPT 90832 Psy ther pt 16-37 BWC | $1,197.22 | $1,197.22 | $179.39–$1,000.28 | 573% above | — |
| Psychotherapy session, 30 minutes CPT 90832 OP Voice Only Individual Session (30 min) | $1,197.22 | $1,197.22 | $179.39–$1,000.28 | 573% above | — |
| Psychotherapy session, 30 minutes CPT 90832 Voice Psy ther pt 16-37 OPW | $1,197.22 | $1,197.22 | $179.39–$1,000.28 | 573% above | — |
| Psychotherapy session, 30 minutes inpatient CPT 90832 Voice Psy ther pt 16-37 BWC | $1,197.22 | $1,197.22 | — | — | — |
| Psychotherapy session, 30 minutes inpatient CPT 90832 Psy ther pt 16-37 BWC | $1,197.22 | $1,197.22 | — | — | — |
| Psychotherapy session, 30 minutes inpatient CPT 90832 OP Virtual Only Individual Session (30 min) | $1,197.22 | $1,197.22 | — | — | — |
| Psychotherapy session, 30 minutes inpatient CPT 90832 OP Voice Only Individual Session (30 min) | $1,197.22 | $1,197.22 | — | — | — |
| Psychotherapy session, 30 minutes inpatient CPT 90832 Psy ther pt 16-37 - CP | $1,197.22 | $1,197.22 | — | — | — |
| Psychotherapy session, 30 minutes inpatient CPT 90832 Voice Psy ther pt 16-37 - PH | $1,197.22 | $1,197.22 | — | — | — |
| Psychotherapy session, 30 minutes inpatient CPT 90832 Virtual Psy ther pt 16-37 - PH | $1,197.22 | $1,197.22 | — | — | — |
| Psychotherapy session, 30 minutes inpatient CPT 90832 Psy ther pt 16-37 - PH | $1,197.22 | $1,197.22 | — | — | — |
| Psychotherapy session, 30 minutes inpatient CPT 90832 Voice Psy ther pt 16-37 IOP A | $1,197.22 | $1,197.22 | — | — | — |
| Psychotherapy session, 30 minutes inpatient CPT 90832 Virtual Psy ther pt 16-37 IOP A | $1,197.22 | $1,197.22 | — | — | — |
| Psychotherapy session, 30 minutes inpatient CPT 90832 Psy ther pt 16-37 IOP A | $1,197.22 | $1,197.22 | — | — | — |
| Psychotherapy session, 30 minutes inpatient CPT 90832 VOICE PSY THERAPY W/PATIENT 16-37 MIN-ADOS | $1,197.22 | $1,197.22 | — | — | — |
| Psychotherapy session, 30 minutes inpatient CPT 90832 VIRTUAL PSY THERAPY W/PATIENT 16-37 MIN-ADOS | $1,197.22 | $1,197.22 | — | — | — |
| Psychotherapy session, 30 minutes inpatient CPT 90832 PSY THERAPY W/PATIENT 16-37 MIN-ADOS | $1,197.22 | $1,197.22 | — | — | — |
| Psychotherapy session, 30 minutes inpatient CPT 90832 Voice Psy ther pt 16-37 - Adolescent | $1,197.22 | $1,197.22 | — | — | — |
| Psychotherapy session, 30 minutes inpatient CPT 90832 Virtual Psy ther pt 16-37 - Adolescent | $1,197.22 | $1,197.22 | — | — | — |
| Psychotherapy session, 30 minutes inpatient CPT 90832 Psy ther pt 16-37 - Adolescent | $1,197.22 | $1,197.22 | — | — | — |
| Psychotherapy session, 30 minutes inpatient CPT 90832 Voice Psy ther pt 16-37 OPW | $1,197.22 | $1,197.22 | — | — | — |
| Psychotherapy session, 30 minutes inpatient CPT 90832 Virtual Psy ther pt 16-37 OPW | $1,197.22 | $1,197.22 | — | — | — |
| Psychotherapy session, 30 minutes inpatient CPT 90832 Virtual Psy ther pt 16-37 BWC | $1,197.22 | $1,197.22 | — | — | — |
| Psychotherapy session, 30 minutes inpatient CPT 90832 Psy ther pt 16-37 OPW | $1,197.22 | $1,197.22 | — | — | — |
| Psychotherapy session, 45 minutes CPT 90834 Voice Psy ther pt 38-52 BWC | $1,476.90 | $1,476.90 | $179.39–$1,233.95 | 730% above | — |
| Psychotherapy session, 45 minutes CPT 90834 Voice Psy ther pt 38-52 OPW | $1,476.90 | $1,476.90 | $179.39–$1,233.95 | 730% above | — |
| Psychotherapy session, 45 minutes CPT 90834 OP Virtual Only Individual Session (38-52 min) | $1,476.90 | $1,476.90 | $179.39–$1,233.95 | 730% above | — |
| Psychotherapy session, 45 minutes CPT 90834 Voice Psy ther pt 38-52 PHP A | $1,476.90 | $1,476.90 | $179.39–$1,233.95 | 730% above | — |
| Psychotherapy session, 45 minutes CPT 90834 Psy ther pt 38-52 PHP C | $1,476.90 | $1,476.90 | $179.39–$1,233.95 | 730% above | — |
| Psychotherapy session, 45 minutes CPT 90834 Virtual Psych Ther Pt 38-52 min (Mcaid) | $1,476.90 | $1,476.90 | $179.39–$1,233.95 | 730% above | — |
| Psychotherapy session, 45 minutes CPT 90834 Voice Psych Ther Pt 38-52 min (Mcaid) | $1,476.90 | $1,476.90 | $179.39–$1,233.95 | 730% above | — |
| Psychotherapy session, 45 minutes CPT 90834 Virtual Psy ther pt 38-52 IOP A | $1,476.90 | $1,476.90 | $179.39–$1,233.95 | 730% above | — |
| Psychotherapy session, 45 minutes CPT 90834 Virtual Psych Ther Pt 38-52 min LI (Mcaid) | $1,476.90 | $1,476.90 | $179.39–$1,233.95 | 730% above | — |
| Psychotherapy session, 45 minutes CPT 90834 OP Voice Only Individual Session (38-52 min) | $1,476.90 | $1,476.90 | $179.39–$1,233.95 | 730% above | — |
| Psychotherapy session, 45 minutes CPT 90834 Psy ther pt 38-52 PHP A | $1,476.90 | $1,476.90 | $179.39–$1,233.95 | 730% above | — |
| Psychotherapy session, 45 minutes CPT 90834 Virtual Psy ther pt 38-52 PHP A | $1,476.90 | $1,476.90 | $179.39–$1,233.95 | 730% above | — |
| Psychotherapy session, 45 minutes CPT 90834 Psy ther pt 38-52 PHP ADOLESCENT | $1,476.90 | $1,476.90 | $179.39–$1,233.95 | 730% above | — |
| Psychotherapy session, 45 minutes CPT 90834 Virtual Psy ther pt 38-52 PHP ADOLESCENT | $1,476.90 | $1,476.90 | $179.39–$1,233.95 | 730% above | — |
| Psychotherapy session, 45 minutes CPT 90834 Voice Psy ther pt 38-52 PHP ADOLESCENT | $1,476.90 | $1,476.90 | $179.39–$1,233.95 | 730% above | — |
| Psychotherapy session, 45 minutes CPT 90834 Virtual Psy ther pt 38-52 BWC | $1,476.90 | $1,476.90 | $179.39–$1,233.95 | 730% above | — |
| Psychotherapy session, 45 minutes CPT 90834 Psy ther pt 38-52 BWC | $1,476.90 | $1,476.90 | $179.39–$1,233.95 | 730% above | — |
| Psychotherapy session, 45 minutes CPT 90834 Psy ther pt 38-52 IOP A | $1,476.90 | $1,476.90 | $179.39–$1,233.95 | 730% above | — |
| Psychotherapy session, 45 minutes CPT 90834 PSY THERAPY W/PATIENT 38-52 MIN-ADOS | $1,476.90 | $1,476.90 | $179.39–$1,233.95 | 730% above | — |
| Psychotherapy session, 45 minutes CPT 90834 VIRTUAL PSY THERAPY W/PATIENT 38-52 MIN-ADOS | $1,476.90 | $1,476.90 | $179.39–$1,233.95 | 730% above | — |
| Psychotherapy session, 45 minutes CPT 90834 VOICE PSY THERAPY W/PATIENT 38-52 MIN-ADOS | $1,476.90 | $1,476.90 | $179.39–$1,233.95 | 730% above | — |
| Psychotherapy session, 45 minutes CPT 90834 Psych Ther Pt 38-52 min LI (Mcaid) | $1,476.90 | $1,476.90 | $179.39–$1,233.95 | 730% above | — |
| Psychotherapy session, 45 minutes CPT 90834 Voice Psych Ther Pt 38-52 min LI (Mcaid) | $1,476.90 | $1,476.90 | $179.39–$1,233.95 | 730% above | — |
| Psychotherapy session, 45 minutes CPT 90834 Voice Psy ther pt 38-52 IOP A | $1,476.90 | $1,476.90 | $179.39–$1,233.95 | 730% above | — |
| Psychotherapy session, 45 minutes CPT 90834 Psy ther pt 38-52 OPW | $1,476.90 | $1,476.90 | $179.39–$1,233.95 | 730% above | — |
| Psychotherapy session, 45 minutes CPT 90834 Virtual Psy ther pt 38-52 OPW | $1,476.90 | $1,476.90 | $179.39–$1,233.95 | 730% above | — |
| Psychotherapy session, 45 minutes CPT 90834 Psych Ther Pt 38-52 min (Mcaid) | $1,476.90 | $1,476.90 | $179.39–$1,233.95 | 730% above | — |
| Psychotherapy session, 45 minutes inpatient CPT 90834 Voice Psych Ther Pt 38-52 min (Mcaid) | $1,476.90 | $1,476.90 | — | — | — |
| Psychotherapy session, 45 minutes inpatient CPT 90834 Virtual Psy ther pt 38-52 BWC | $1,476.90 | $1,476.90 | — | — | — |
| Psychotherapy session, 45 minutes inpatient CPT 90834 Virtual Psy ther pt 38-52 OPW | $1,476.90 | $1,476.90 | — | — | — |
| Psychotherapy session, 45 minutes inpatient CPT 90834 Voice Psy ther pt 38-52 OPW | $1,476.90 | $1,476.90 | — | — | — |
| Psychotherapy session, 45 minutes inpatient CPT 90834 Psy ther pt 38-52 PHP ADOLESCENT | $1,476.90 | $1,476.90 | — | — | — |
| Psychotherapy session, 45 minutes inpatient CPT 90834 Virtual Psy ther pt 38-52 PHP ADOLESCENT | $1,476.90 | $1,476.90 | — | — | — |
| Psychotherapy session, 45 minutes inpatient CPT 90834 Voice Psy ther pt 38-52 PHP ADOLESCENT | $1,476.90 | $1,476.90 | — | — | — |
| Psychotherapy session, 45 minutes inpatient CPT 90834 Psych Ther Pt 38-52 min (Mcaid) | $1,476.90 | $1,476.90 | — | — | — |
| Psychotherapy session, 45 minutes inpatient CPT 90834 Psy ther pt 38-52 IOP A | $1,476.90 | $1,476.90 | — | — | — |
| Psychotherapy session, 45 minutes inpatient CPT 90834 Psych Ther Pt 38-52 min LI (Mcaid) | $1,476.90 | $1,476.90 | — | — | — |
| Psychotherapy session, 45 minutes inpatient CPT 90834 VOICE PSY THERAPY W/PATIENT 38-52 MIN-ADOS | $1,476.90 | $1,476.90 | — | — | — |
| Psychotherapy session, 45 minutes inpatient CPT 90834 VIRTUAL PSY THERAPY W/PATIENT 38-52 MIN-ADOS | $1,476.90 | $1,476.90 | — | — | — |
| Psychotherapy session, 45 minutes inpatient CPT 90834 PSY THERAPY W/PATIENT 38-52 MIN-ADOS | $1,476.90 | $1,476.90 | — | — | — |
| Psychotherapy session, 45 minutes inpatient CPT 90834 OP Voice Only Individual Session (38-52 min) | $1,476.90 | $1,476.90 | — | — | — |
| Psychotherapy session, 45 minutes inpatient CPT 90834 Psy ther pt 38-52 PHP C | $1,476.90 | $1,476.90 | — | — | — |
| Psychotherapy session, 45 minutes inpatient CPT 90834 Voice Psy ther pt 38-52 PHP A | $1,476.90 | $1,476.90 | — | — | — |
| Psychotherapy session, 45 minutes inpatient CPT 90834 Virtual Psy ther pt 38-52 PHP A | $1,476.90 | $1,476.90 | — | — | — |
| Psychotherapy session, 45 minutes inpatient CPT 90834 Psy ther pt 38-52 PHP A | $1,476.90 | $1,476.90 | — | — | — |
| Psychotherapy session, 45 minutes inpatient CPT 90834 Voice Psy ther pt 38-52 IOP A | $1,476.90 | $1,476.90 | — | — | — |
| Psychotherapy session, 45 minutes inpatient CPT 90834 Voice Psych Ther Pt 38-52 min LI (Mcaid) | $1,476.90 | $1,476.90 | — | — | — |
| Psychotherapy session, 45 minutes inpatient CPT 90834 Virtual Psy ther pt 38-52 IOP A | $1,476.90 | $1,476.90 | — | — | — |
| Psychotherapy session, 45 minutes inpatient CPT 90834 Virtual Psych Ther Pt 38-52 min LI (Mcaid) | $1,476.90 | $1,476.90 | — | — | — |
| Psychotherapy session, 45 minutes inpatient CPT 90834 Virtual Psych Ther Pt 38-52 min (Mcaid) | $1,476.90 | $1,476.90 | — | — | — |
| Psychotherapy session, 45 minutes inpatient CPT 90834 OP Virtual Only Individual Session (38-52 min) | $1,476.90 | $1,476.90 | — | — | — |
| Psychotherapy session, 45 minutes inpatient CPT 90834 Psy ther pt 38-52 BWC | $1,476.90 | $1,476.90 | — | — | — |
| Psychotherapy session, 45 minutes inpatient CPT 90834 Voice Psy ther pt 38-52 BWC | $1,476.90 | $1,476.90 | — | — | — |
| Psychotherapy session, 45 minutes inpatient CPT 90834 Psy ther pt 38-52 OPW | $1,476.90 | $1,476.90 | — | — | — |
| Psychotherapy session, 60 minutes CPT 90837 PSY THERAPY W/PATIENT 53+ MIN-ADOS | $1,476.90 | $1,476.90 | $179.39–$1,233.95 | 730% above | — |
| Psychotherapy session, 60 minutes CPT 90837 Voice Psy ther pt 53+ PHP ADOLESCENT | $1,476.90 | $1,476.90 | $179.39–$1,233.95 | 730% above | — |
| Psychotherapy session, 60 minutes CPT 90837 Virtual Psy ther pt 53+ OPW | $1,476.90 | $1,476.90 | $179.39–$1,233.95 | 730% above | — |
| Psychotherapy session, 60 minutes CPT 90837 Psy ther pt 53+ IOP A | $1,476.90 | $1,476.90 | $179.39–$1,233.95 | 730% above | — |
| Psychotherapy session, 60 minutes CPT 90837 Psy ther pt 53+ PHP ADOLESCENT | $1,476.90 | $1,476.90 | $179.39–$1,233.95 | 730% above | — |
| Psychotherapy session, 60 minutes CPT 90837 Virtual Psy ther pt 53+ BWC | $1,476.90 | $1,476.90 | $179.39–$1,233.95 | 730% above | — |
| Psychotherapy session, 60 minutes CPT 90837 Voice Psych Ther Pt 53+ min (Mcaid) | $1,476.90 | $1,476.90 | $179.39–$1,233.95 | 730% above | — |
| Psychotherapy session, 60 minutes CPT 90837 Virtual Psy ther pt 53+ IOP A | $1,476.90 | $1,476.90 | $179.39–$1,233.95 | 730% above | — |
| Psychotherapy session, 60 minutes CPT 90837 Virtual Psych Ther Pt 53+ min LI (Mcaid) | $1,476.90 | $1,476.90 | $179.39–$1,233.95 | 730% above | — |
| Psychotherapy session, 60 minutes CPT 90837 Virtual Psych Ther Pt 53+ min (Mcaid) | $1,476.90 | $1,476.90 | $179.39–$1,233.95 | 730% above | — |
| Psychotherapy session, 60 minutes CPT 90837 Psych Ther Pt 53+ min (Mcaid) | $1,476.90 | $1,476.90 | $179.39–$1,233.95 | 730% above | — |
| Psychotherapy session, 60 minutes CPT 90837 Psych Ther Pt 53+ min LI (Mcaid) | $1,476.90 | $1,476.90 | $179.39–$1,233.95 | 730% above | — |
| Psychotherapy session, 60 minutes CPT 90837 Voice Psy ther pt 53+ IOP A | $1,476.90 | $1,476.90 | $179.39–$1,233.95 | 730% above | — |
| Psychotherapy session, 60 minutes CPT 90837 Voice Psych Ther Pt 53+ min LI (Mcaid) | $1,476.90 | $1,476.90 | $179.39–$1,233.95 | 730% above | — |
| Psychotherapy session, 60 minutes CPT 90837 Psy ther pt 53+ OPW | $1,476.90 | $1,476.90 | $179.39–$1,233.95 | 730% above | — |
| Psychotherapy session, 60 minutes CPT 90837 Voice Psy ther pt 53+ BWC | $1,476.90 | $1,476.90 | $179.39–$1,233.95 | 730% above | — |
| Psychotherapy session, 60 minutes CPT 90837 Psy ther pt 53+ PHP A | $1,476.90 | $1,476.90 | $179.39–$1,233.95 | 730% above | — |
| Psychotherapy session, 60 minutes CPT 90837 Virtual Psy ther pt 53+ PHP A | $1,476.90 | $1,476.90 | $179.39–$1,233.95 | 730% above | — |
| Psychotherapy session, 60 minutes CPT 90837 Voice Psy ther pt 53+ PHP A | $1,476.90 | $1,476.90 | $179.39–$1,233.95 | 730% above | — |
| Psychotherapy session, 60 minutes CPT 90837 Psy ther pt 53+ PHP C | $1,476.90 | $1,476.90 | $179.39–$1,233.95 | 730% above | — |
| Psychotherapy session, 60 minutes CPT 90837 Virtual Psy ther pt 53+ PHP ADOLESCENT | $1,476.90 | $1,476.90 | $179.39–$1,233.95 | 730% above | — |
| Psychotherapy session, 60 minutes CPT 90837 Voice Psy ther pt 53+ OPW | $1,476.90 | $1,476.90 | $179.39–$1,233.95 | 730% above | — |
| Psychotherapy session, 60 minutes CPT 90837 OP Voice Only Individual Session (53+ min) | $1,476.90 | $1,476.90 | $179.39–$1,233.95 | 730% above | — |
| Psychotherapy session, 60 minutes CPT 90837 OP Virtual Only Individual Session (53+ min) | $1,476.90 | $1,476.90 | $179.39–$1,233.95 | 730% above | — |
| Psychotherapy session, 60 minutes CPT 90837 Psy ther pt 53+ BWC | $1,476.90 | $1,476.90 | $179.39–$1,233.95 | 730% above | — |
| Psychotherapy session, 60 minutes CPT 90837 VOICE PSY THERAPY W/PATIENT 53+ MIN-ADOS | $1,476.90 | $1,476.90 | $179.39–$1,233.95 | 730% above | — |
| Psychotherapy session, 60 minutes CPT 90837 VIRTUAL PSY THERAPYW/PATIENT 53+ MIN-ADOS | $1,476.90 | $1,476.90 | $179.39–$1,233.95 | 730% above | — |
| Psychotherapy session, 60 minutes inpatient CPT 90837 Virtual Psy ther pt 53+ OPW | $1,476.90 | $1,476.90 | — | — | — |
| Psychotherapy session, 60 minutes inpatient CPT 90837 Psy ther pt 53+ OPW | $1,476.90 | $1,476.90 | — | — | — |
| Psychotherapy session, 60 minutes inpatient CPT 90837 Virtual Psy ther pt 53+ BWC | $1,476.90 | $1,476.90 | — | — | — |
| Psychotherapy session, 60 minutes inpatient CPT 90837 Voice Psy ther pt 53+ BWC | $1,476.90 | $1,476.90 | — | — | — |
| Psychotherapy session, 60 minutes inpatient CPT 90837 Voice Psy ther pt 53+ OPW | $1,476.90 | $1,476.90 | — | — | — |
| Psychotherapy session, 60 minutes inpatient CPT 90837 Psy ther pt 53+ PHP ADOLESCENT | $1,476.90 | $1,476.90 | — | — | — |
| Psychotherapy session, 60 minutes inpatient CPT 90837 Virtual Psy ther pt 53+ PHP ADOLESCENT | $1,476.90 | $1,476.90 | — | — | — |
| Psychotherapy session, 60 minutes inpatient CPT 90837 Voice Psy ther pt 53+ PHP ADOLESCENT | $1,476.90 | $1,476.90 | — | — | — |
| Psychotherapy session, 60 minutes inpatient CPT 90837 PSY THERAPY W/PATIENT 53+ MIN-ADOS | $1,476.90 | $1,476.90 | — | — | — |
| Psychotherapy session, 60 minutes inpatient CPT 90837 VIRTUAL PSY THERAPYW/PATIENT 53+ MIN-ADOS | $1,476.90 | $1,476.90 | — | — | — |
| Psychotherapy session, 60 minutes inpatient CPT 90837 VOICE PSY THERAPY W/PATIENT 53+ MIN-ADOS | $1,476.90 | $1,476.90 | — | — | — |
| Psychotherapy session, 60 minutes inpatient CPT 90837 Psy ther pt 53+ PHP C | $1,476.90 | $1,476.90 | — | — | — |
| Psychotherapy session, 60 minutes inpatient CPT 90837 Voice Psy ther pt 53+ PHP A | $1,476.90 | $1,476.90 | — | — | — |
| Psychotherapy session, 60 minutes inpatient CPT 90837 Virtual Psy ther pt 53+ PHP A | $1,476.90 | $1,476.90 | — | — | — |
| Psychotherapy session, 60 minutes inpatient CPT 90837 Psy ther pt 53+ PHP A | $1,476.90 | $1,476.90 | — | — | — |
| Psychotherapy session, 60 minutes inpatient CPT 90837 Voice Psy ther pt 53+ IOP A | $1,476.90 | $1,476.90 | — | — | — |
| Psychotherapy session, 60 minutes inpatient CPT 90837 Voice Psych Ther Pt 53+ min LI (Mcaid) | $1,476.90 | $1,476.90 | — | — | — |
| Psychotherapy session, 60 minutes inpatient CPT 90837 Voice Psych Ther Pt 53+ min (Mcaid) | $1,476.90 | $1,476.90 | — | — | — |
| Psychotherapy session, 60 minutes inpatient CPT 90837 Virtual Psy ther pt 53+ IOP A | $1,476.90 | $1,476.90 | — | — | — |
| Psychotherapy session, 60 minutes inpatient CPT 90837 Virtual Psych Ther Pt 53+ min LI (Mcaid) | $1,476.90 | $1,476.90 | — | — | — |
| Psychotherapy session, 60 minutes inpatient CPT 90837 Virtual Psych Ther Pt 53+ min (Mcaid) | $1,476.90 | $1,476.90 | — | — | — |
| Psychotherapy session, 60 minutes inpatient CPT 90837 Psy ther pt 53+ IOP A | $1,476.90 | $1,476.90 | — | — | — |
| Psychotherapy session, 60 minutes inpatient CPT 90837 Psych Ther Pt 53+ min LI (Mcaid) | $1,476.90 | $1,476.90 | — | — | — |
| Psychotherapy session, 60 minutes inpatient CPT 90837 Psych Ther Pt 53+ min (Mcaid) | $1,476.90 | $1,476.90 | — | — | — |
| Psychotherapy session, 60 minutes inpatient CPT 90837 OP Voice Only Individual Session (53+ min) | $1,476.90 | $1,476.90 | — | — | — |
| Psychotherapy session, 60 minutes inpatient CPT 90837 OP Virtual Only Individual Session (53+ min) | $1,476.90 | $1,476.90 | — | — | — |
| Psychotherapy session, 60 minutes inpatient CPT 90837 Psy ther pt 53+ BWC | $1,476.90 | $1,476.90 | — | — | — |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 SMC- BEHAV CHNG SMOKING 3-10 MIN | $103.19 | $103.19 | $17.76–$151.00 | 213% above | — |
| Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 SMC- BEHAV CHNG SMOKING 3-10 MIN | $103.19 | $103.19 | — | — | — |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 PHARM MED MGMNT EXTENDED EST PT APN - IOP | $449.10 | $449.10 | $61.53–$1,239.00 | 322% above | — |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 Virtual PHARM MED MGMNT EXTENDED EST PT APN - IOP | $449.10 | $449.10 | $61.53–$1,239.00 | 322% above | — |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 Voice PHARM MED MGMNT EXTENDED EST PT APN - IOP | $449.10 | $449.10 | $61.53–$1,239.00 | 322% above | — |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 PHARM MED MGMNT EXTENDED EST PT APN - BWC | $449.10 | $449.10 | $61.53–$1,239.00 | 322% above | — |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 Virtual PHARM MED MGMNT EXTENDED EST PT APN - BWC | $449.10 | $449.10 | $61.53–$1,239.00 | 322% above | — |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 Voice PHARM MED MGMNT EXTENDED EST PT APN - BWC | $449.10 | $449.10 | $61.53–$1,239.00 | 322% above | — |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 PHARM MED MGMNT EXTENDED EST PT APN - OPW | $449.10 | $449.10 | $61.53–$1,239.00 | 322% above | — |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 Virtual PHARM MED MGMNT EXTENDED EST PT APN - OPW | $449.10 | $449.10 | $61.53–$1,239.00 | 322% above | — |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 Voice PHARM MED MGMNT EXTENDED EST PT APN - OPW | $449.10 | $449.10 | $61.53–$1,239.00 | 322% above | — |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 PHARM MED MGMNT EXTENDED EST PT APN - IOP | $449.10 | $449.10 | — | — | — |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 Voice PHARM MED MGMNT EXTENDED EST PT APN - IOP | $449.10 | $449.10 | — | — | — |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 PHARM MED MGMNT EXTENDED EST PT APN - OPW | $449.10 | $449.10 | — | — | — |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 Voice PHARM MED MGMNT EXTENDED EST PT APN - BWC | $449.10 | $449.10 | — | — | — |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 Virtual PHARM MED MGMNT EXTENDED EST PT APN - OPW | $449.10 | $449.10 | — | — | — |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 Virtual PHARM MED MGMNT EXTENDED EST PT APN - BWC | $449.10 | $449.10 | — | — | — |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 PHARM MED MGMNT EXTENDED EST PT APN - BWC | $449.10 | $449.10 | — | — | — |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 Voice PHARM MED MGMNT EXTENDED EST PT APN - OPW | $449.10 | $449.10 | — | — | — |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 Virtual PHARM MED MGMNT EXTENDED EST PT APN - IOP | $449.10 | $449.10 | — | — | — |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 MED MGMNT MODERATE COMPLEX EST PT APN | $673.67 | $673.67 | $92.29–$1,239.00 | 476% above | — |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Voice MED MGMNT MODERATE COMPLEX EST PT APN | $673.67 | $673.67 | $92.29–$1,239.00 | 476% above | — |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 MED MGMNT MODERATE COMPLEX EST PT APN BWC | $673.67 | $673.67 | $92.29–$1,239.00 | 476% above | — |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Virtual MED MGMNT MODERATE COMPLEX EST PT APN BWC | $673.67 | $673.67 | $92.29–$1,239.00 | 476% above | — |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Voice MED MGMNT MODERATE COMPLEX EST PT APN BWC | $673.67 | $673.67 | $92.29–$1,239.00 | 476% above | — |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 MED MGMNT MODERATE COMPLEX EST PT APN OPW | $673.67 | $673.67 | $92.29–$1,239.00 | 476% above | — |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Virtual MED MGMNT MODERATE COMPLEX EST PT APN OPW | $673.67 | $673.67 | $92.29–$1,239.00 | 476% above | — |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Voice MED MGMNT MODERATE COMPLEX EST PT APN OPW | $673.67 | $673.67 | $92.29–$1,239.00 | 476% above | — |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Virtual MED MGMNT MODERATE COMPLEX EST PT APN | $673.67 | $673.67 | $92.29–$1,239.00 | 476% above | — |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 MED MGMNT MODERATE COMPLEX EST PT APN BWC | $673.67 | $673.67 | — | — | — |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 MED MGMNT MODERATE COMPLEX EST PT APN | $673.67 | $673.67 | — | — | — |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 Virtual MED MGMNT MODERATE COMPLEX EST PT APN | $673.67 | $673.67 | — | — | — |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 Voice MED MGMNT MODERATE COMPLEX EST PT APN | $673.67 | $673.67 | — | — | — |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 Virtual MED MGMNT MODERATE COMPLEX EST PT APN BWC | $673.67 | $673.67 | — | — | — |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 Voice MED MGMNT MODERATE COMPLEX EST PT APN BWC | $673.67 | $673.67 | — | — | — |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 MED MGMNT MODERATE COMPLEX EST PT APN OPW | $673.67 | $673.67 | — | — | — |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 Virtual MED MGMNT MODERATE COMPLEX EST PT APN OPW | $673.67 | $673.67 | — | — | — |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 Voice MED MGMNT MODERATE COMPLEX EST PT APN OPW | $673.67 | $673.67 | — | — | — |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Virtual Pharm Med Check 15 min Est PT APN - IOP | $421.18 | $421.18 | $57.70–$1,239.00 | 337% above | — |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 PULM REHAB EXT EVAL - CARDIAC MONTHLY MONITOR | $421.18 | $421.18 | $57.70–$3,867.00 | 337% above | — |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Voice Pharm Med Check 15 Min Est PT APN - OPW | $421.18 | $421.18 | $57.70–$1,239.00 | 337% above | — |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Virtual Pharm Med Check 15 Min Est PT APN - OPW | $421.18 | $421.18 | $57.70–$1,239.00 | 337% above | — |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Virtual Pharm Med Check 15 Min Est PT APN - BWC | $421.18 | $421.18 | $57.70–$1,239.00 | 337% above | — |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Pharm Med Check 15 Min Est PT APN - OPW | $421.18 | $421.18 | $57.70–$1,239.00 | 337% above | — |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Voice Pharm Med Check 15 Min Est PT APN - BWC | $421.18 | $421.18 | $57.70–$1,239.00 | 337% above | — |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Pharm Med Check 15 Min Est PT APN - BWC | $421.18 | $421.18 | $57.70–$1,239.00 | 337% above | — |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Voice Pharm Med Check 15 min Est PT APN - IOP | $421.18 | $421.18 | $57.70–$1,239.00 | 337% above | — |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Pharm Med Check 15 min Est PT APN - IOP | $421.18 | $421.18 | $57.70–$1,239.00 | 337% above | — |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 Virtual Pharm Med Check 15 min Est PT APN - IOP | $421.18 | $421.18 | — | — | — |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 Voice Pharm Med Check 15 Min Est PT APN - BWC | $421.18 | $421.18 | — | — | — |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 Virtual Pharm Med Check 15 Min Est PT APN - BWC | $421.18 | $421.18 | — | — | — |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 Voice Pharm Med Check 15 min Est PT APN - IOP | $421.18 | $421.18 | — | — | — |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 Pharm Med Check 15 min Est PT APN - IOP | $421.18 | $421.18 | — | — | — |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 PULM REHAB EXT EVAL - CARDIAC MONTHLY MONITOR | $421.18 | $421.18 | — | — | — |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 Voice Pharm Med Check 15 Min Est PT APN - OPW | $421.18 | $421.18 | — | — | — |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 Virtual Pharm Med Check 15 Min Est PT APN - OPW | $421.18 | $421.18 | — | — | — |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 Pharm Med Check 15 Min Est PT APN - BWC | $421.18 | $421.18 | — | — | — |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 Pharm Med Check 15 Min Est PT APN - OPW | $421.18 | $421.18 | — | — | — |
| Speech and language evaluation CPT 92523 EVAL SPEECH SOUND W LANG COMP | $817.14 | $817.14 | $60.00–$416.74 | 180% above | — |
| Speech and language evaluation inpatient CPT 92523 EVAL SPEECH SOUND W LANG COMP | $817.14 | $817.14 | — | — | — |
| Speech therapy session, individual CPT 92507 SPEECH THERAPY INDIVIDUAL | $340.71 | $340.71 | $46.68–$173.76 | 247% above | — |
| Speech therapy session, individual CPT 92507 Virtual SPEECH THERAPY TREAT/CDC 30MIN | $340.71 | $340.71 | $46.68–$173.76 | 247% above | — |
| Speech therapy session, individual inpatient CPT 92507 SPEECH THERAPY INDIVIDUAL | $340.71 | $340.71 | — | — | — |
| Speech therapy session, individual inpatient CPT 92507 Virtual SPEECH THERAPY TREAT/CDC 30MIN | $340.71 | $340.71 | — | — | — |
| Spirometry (breathing test) CPT 94010 SMC- SPIROMETRY | $457.93 | $457.93 | $78.83–$838.00 | 146% above | — |
| Spirometry (breathing test) inpatient CPT 94010 SMC- SPIROMETRY | $457.93 | $457.93 | — | — | — |
| Spirometry before and after a bronchodilator CPT 94060 PFT B & A | $977.48 | $977.48 | $168.28–$838.00 | 184% above | — |
| Spirometry before and after a bronchodilator inpatient CPT 94060 PFT B & A | $977.48 | $977.48 | — | — | — |
| Therapeutic activities (functional training), 15 minutes CPT 97530 THERAPEUTIC ACTIVITY 15M OT | $150.44 | $150.44 | $20.61–$228.00 | 237% above | — |
| Therapeutic activities (functional training), 15 minutes CPT 97530 THERAPEUTIC ACTIVITY 15M | $150.44 | $150.44 | $20.61–$563.00 | 237% above | — |
| Therapeutic activities (functional training), 15 minutes CPT 97530 INDIV REHAB TRAINING/EXERCISE EA 15 MIN | $150.44 | $150.44 | $20.61–$563.00 | 237% above | — |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 THERAPEUTIC ACTIVITY 15M | $150.44 | $150.44 | — | — | — |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 THERAPEUTIC ACTIVITY 15M OT | $150.44 | $150.44 | — | — | — |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 INDIV REHAB TRAINING/EXERCISE EA 15 MIN | $150.44 | $150.44 | — | — | — |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 THERAPEUTIC PHLEBOTOMY | $1,758.97 | $1,758.97 | $143.92–$1,469.62 | 1003% above | — |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 PHLEBOTOMY THERAPEUTIC | $1,758.97 | $1,758.97 | $143.92–$1,469.62 | 1003% above | — |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 PHLEBOTOMY, THERAPEUTIC | $1,758.97 | $1,758.97 | $143.92–$1,469.62 | 1003% above | — |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 PHLEBOTOMY THERAPEUTIC WB | $1,758.97 | $1,758.97 | $143.92–$1,469.62 | 1003% above | — |
| Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 THERAPEUTIC PHLEBOTOMY | $1,758.97 | $1,758.97 | — | — | — |
| Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 PHLEBOTOMY THERAPEUTIC | $1,758.97 | $1,758.97 | — | — | — |
| Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 PHLEBOTOMY, THERAPEUTIC | $1,758.97 | $1,758.97 | — | — | — |
| Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 PHLEBOTOMY THERAPEUTIC WB | $1,758.97 | $1,758.97 | — | — | — |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs New Jersey | Off list |
|---|---|---|---|---|---|
| COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 SARS-CoV-2 (COVID-19) mRNA-LNP vaccine (cvx 309) preservative-free 30 mcg/0.3 mL Sus | $213.90 | $213.90 | $36.82–$319.60 | 180% above | — |
| COVID-19 vaccine (Pfizer-BioNTech), age 12 and older inpatient CPT 91320 SARS-CoV-2 (COVID-19) mRNA-LNP vaccine (cvx 309) preservative-free 30 mcg/0.3 mL Sus | $213.90 | $213.90 | $40.64–$96.26 | — | — |
| DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 diphtheria/tetanus/pertussis (DTaP) ped (Infanrix) 25 units-10 units-58 mcg/0.5 mL IM Susp 0.5 mL | $34.06 | $34.06 | $4.67–$76.13 | 21% below | — |
| DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 diphtheria/tetanus/pertussis (DTaP) ped (Infanrix) 25 units-10 units-58 mcg/0.5 mL IM Susp 0.5 mL | $34.06 | $34.06 | $6.47–$15.33 | — | — |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 Flu Vaccine 2025-2026 Preservative-Free 841 | $74.43 | $74.43 | $12.81–$56.66 | 76% above | — |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 influenza virus vaccine, inactivated PF - FLUARIX 2024-2025 841 | $93.58 | $93.58 | $16.11–$56.66 | 122% above | — |
| Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 Flu Vaccine 2025-2026 Preservative-Free 841 | $74.43 | $74.43 | $14.14–$33.49 | — | — |
| Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 influenza virus vaccine, inactivated PF - FLUARIX 2024-2025 841 | $93.58 | $93.58 | $17.78–$42.11 | — | — |
| Hepatitis A vaccine, adult dose CPT 90632 hepatitis A adult vaccine (Havrix) 1440 units/mL PF IM Susp 1 mL | $95.92 | $95.91 | $16.51–$147.93 | 3% above | — |
| Hepatitis A vaccine, adult dose inpatient CPT 90632 hepatitis A adult vaccine (Havrix) 1440 units/mL PF IM Susp 1 mL | $95.92 | $95.91 | $18.22–$43.16 | — | — |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 Hepatitis B Vaccine (Recombinant) Susp Pref Syr 10 MCG/0.5ML 841 | $618.00 | $618.00 | $70.38–$432.60 | 715% above | — |
| Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 Hepatitis B Vaccine (Recombinant) Susp Pref Syr 10 MCG/0.5ML 841 | $618.00 | $618.00 | $117.42–$278.10 | — | — |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 hepatitis B pediatric vaccine (Engerix-B Pediatric) 10 mcg/0.5 mL IM Susp 0.5 mL | $29.98 | $29.98 | $5.16–$77.27 | at median | — |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 Hepatitis B Vaccine (Recombinant) Susp 5 MCG/0.5ML 841 | $503.65 | $503.65 | $29.71–$226.64 | 1580% above | — |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 hepatitis B pediatric vaccine (Engerix-B Pediatric) 10 mcg/0.5 mL IM Susp 0.5 mL | $29.98 | $29.98 | $5.70–$13.49 | — | — |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 Hepatitis B Vaccine (Recombinant) Susp 5 MCG/0.5ML 841 | $503.65 | $503.65 | $95.69–$226.64 | — | — |
| Hib vaccine (Haemophilus influenzae type b), 3-dose schedule (PedvaxHIB) CPT 90647 haemophilus b conjugate (PedvaxHIB)(PRP-OMP) vaccine 7.5 mcg-125 mcg/0.5 mL IM Susp 0.5 mL | $46.59 | $46.58 | $6.38–$78.93 | at median | — |
| Hib vaccine (Haemophilus influenzae type b), 3-dose schedule (PedvaxHIB) inpatient CPT 90647 haemophilus b conjugate (PedvaxHIB)(PRP-OMP) vaccine 7.5 mcg-125 mcg/0.5 mL IM Susp 0.5 mL | $46.59 | $46.58 | $8.85–$20.96 | — | — |
| Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 haemophilus b conjugate (ActHIB/Hiberix) (PRP-T) vaccine IM Inj (10 mcg/0.5 mL) | $10.97 | $10.97 | $1.50–$34.28 | at median | — |
| Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) inpatient CPT 90648 haemophilus b conjugate (ActHIB/Hiberix) (PRP-T) vaccine IM Inj (10 mcg/0.5 mL) | $10.97 | $10.97 | $2.08–$4.94 | — | — |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 FLU HIGH DOSE .5ML S 841 | $274.00 | $274.00 | $47.17–$191.80 | 139% above | — |
| High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 FLU HIGH DOSE .5ML S 841 | $274.00 | $274.00 | $52.06–$123.30 | — | — |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 measles/mumps/rubella virus vaccine (M-M-R II) Inj 1 mL | $65.77 | $65.76 | $9.01–$108.10 | at median | — |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 Measles-Mumps-Rubella Virus Vaccines For Inj Soln 841 | $399.65 | $399.65 | $54.75–$279.76 | 508% above | — |
| MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 measles/mumps/rubella virus vaccine (M-M-R II) Inj 1 mL | $65.77 | $65.76 | $12.49–$29.59 | — | — |
| MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 Measles-Mumps-Rubella Virus Vaccines For Inj Soln 841 | $399.65 | $399.65 | $75.93–$179.84 | — | — |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 meningococcal conjugate vaccine group ACYW Pow (Menveo 2 vial presentation) | $117.98 | $117.98 | $16.16–$189.95 | at median | — |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 Meningococcal (A, C, Y, and W-135) Diphth Conjugate Vaccine 841 | $816.80 | $816.80 | $111.90–$571.76 | 592% above | — |
| Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 meningococcal conjugate vaccine group ACYW Pow (Menveo 2 vial presentation) | $117.98 | $117.98 | $22.42–$53.09 | — | — |
| Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 Meningococcal (A, C, Y, and W-135) Diphth Conjugate Vaccine 841 | $816.80 | $816.80 | $155.19–$367.56 | — | — |
| Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 meningococcal group B vaccine recombinant, OMV, adjuvanted (Bexsero) Sus | $293.31 | $293.31 | $40.18–$589.85 | 46% above | — |
| Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 meningococcal group B vaccine recombinant, OMV, adjuvanted (Bexsero) Sus | $293.31 | $293.31 | $55.73–$131.99 | — | — |
| Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 pneumococcal 13-valent conjugate vaccine (Prevnar 13) IM Susp 0.5 mL | $352.36 | $352.36 | $60.66–$528.88 | 43% above | — |
| Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 Pneumococcal 13-Valent Conjugate Vaccine Inj 841 | $957.90 | $957.90 | $164.90–$670.53 | 289% above | — |
| Pneumonia vaccine, 13-valent conjugate (Prevnar 13) inpatient CPT 90670 pneumococcal 13-valent conjugate vaccine (Prevnar 13) IM Susp 0.5 mL | $352.36 | $352.36 | $66.95–$158.56 | — | — |
| Pneumonia vaccine, 13-valent conjugate (Prevnar 13) inpatient CPT 90670 Pneumococcal 13-Valent Conjugate Vaccine Inj 841 | $957.90 | $957.90 | $182.00–$431.06 | — | — |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 pneumococcal 23-polyvalent vaccine (Pneumovax 23) Inj Soln 0.5 mL | $177.80 | $177.80 | $30.61–$273.61 | at median | — |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 Pneumococcal Vaccine Polyvalent Inj 25 MCG/0.5ML 841 | $461.45 | $461.45 | $79.44–$323.02 | 160% above | — |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 pneumococcal 23-polyvalent vaccine (Pneumovax 23) Inj Soln 0.5 mL | $177.80 | $177.80 | $33.78–$80.01 | — | — |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 Pneumococcal Vaccine Polyvalent Inj 25 MCG/0.5ML 841 | $461.45 | $461.45 | $87.68–$207.65 | — | — |
| Polio vaccine, inactivated (IPV) CPT 90713 poliovirus vaccine, inactivated (Ipol) Inj Susp 5 mL | $594.32 | $594.32 | $45.50–$416.02 | 598% above | — |
| Polio vaccine, inactivated (IPV) inpatient CPT 90713 poliovirus vaccine, inactivated (Ipol) Inj Susp 5 mL | $594.32 | $594.32 | $112.92–$267.44 | — | — |
| RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) CPT 90381 nirsevimab (cvx 307) alip preservative-free 100 mg/mL Sol | $895.50 | $895.50 | $122.68–$626.85 | 61% above | — |
| RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) inpatient CPT 90381 nirsevimab (cvx 307) alip preservative-free 100 mg/mL Sol | $895.50 | $895.50 | $170.14–$402.97 | — | — |
| RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 nirsevimab (cvx 306) alip preservative-free 50 mg/0.5 mL Sol | $895.50 | $895.50 | $122.68–$626.85 | at median | — |
| RSV antibody shot for infants, seasonal dose (0.5 mL) inpatient CPT 90380 nirsevimab (cvx 306) alip preservative-free 50 mg/0.5 mL Sol | $895.50 | $895.50 | $170.14–$402.97 | — | — |
| Rabies vaccine, one dose CPT 90675 rabies vaccine, purified chick embryo cell (RabAvert) 2.5 intl units IM Inj | $621.46 | $621.46 | $106.99–$717.95 | 71% above | — |
| Rabies vaccine, one dose CPT 90675 rabies vaccine, human diploid cell (Imovax) 2.5 intl units Pow UD | $646.32 | $646.32 | $111.27–$717.95 | 78% above | — |
| Rabies vaccine, one dose CPT 90675 Rabies Virus Vaccine, HDC For Inj Susp 841 | $1,183.45 | $1,183.45 | $203.73–$828.42 | 226% above | — |
| Rabies vaccine, one dose CPT 90675 Rabies Virus Vaccine (Rabavert) PF 2.5 units Inj 841 | $2,423.97 | $2,423.97 | $312.03–$1,696.78 | 569% above | — |
| Rabies vaccine, one dose inpatient CPT 90675 rabies vaccine, purified chick embryo cell (RabAvert) 2.5 intl units IM Inj | $621.46 | $621.46 | $118.08–$279.66 | — | — |
| Rabies vaccine, one dose inpatient CPT 90675 rabies vaccine, human diploid cell (Imovax) 2.5 intl units Pow UD | $646.32 | $646.32 | $122.80–$290.84 | — | — |
| Rabies vaccine, one dose inpatient CPT 90675 Rabies Virus Vaccine, HDC For Inj Susp 841 | $1,183.45 | $1,183.45 | $224.86–$532.55 | — | — |
| Rabies vaccine, one dose inpatient CPT 90675 Rabies Virus Vaccine (Rabavert) PF 2.5 units Inj 841 | $2,423.97 | $2,423.97 | $460.55–$1,090.79 | — | — |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 tetanus-diphth toxoids (Td) adult/adol (TDVax) 2 units-2 units/0.5 mL Sus | $43.72 | $43.71 | $7.53–$91.18 | at median | — |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 tetanus-diphth toxoids (Td) adult/adol (TDVax) 2 units-2 units/0.5 mL Sus | $43.72 | $43.71 | $8.31–$19.67 | — | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 tetanus/diphth/pertussis (Boostrix Tdap) IM Susp 0.5 mL | $62.98 | $62.98 | $10.84–$97.14 | 12% above | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Diphth Pertuss(ACell) Tet Vacc 0.5mL Syringe 841 | $218.12 | $218.12 | $37.55–$98.15 | 287% above | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Tet Tox-Diph-Acell Pertuss Ad Inj 5-2-15.5 LF-LF-MCG/0.5ML 841 | $294.60 | $294.60 | $39.07–$132.57 | 423% above | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 tetanus/diphth/pertussis (Boostrix Tdap) IM Susp 0.5 mL | $62.98 | $62.98 | $11.97–$28.34 | — | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 Diphth Pertuss(ACell) Tet Vacc 0.5mL Syringe 841 | $218.12 | $218.12 | $41.44–$98.15 | — | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 Tet Tox-Diph-Acell Pertuss Ad Inj 5-2-15.5 LF-LF-MCG/0.5ML 841 | $294.60 | $294.60 | $55.97–$132.57 | — | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 VACCINE ADMIN - INFLUENZA 375 | $294.88 | $294.88 | $42.37–$246.37 | 310% above | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 VACCINE ADMIN - HEP B II | $294.88 | $294.88 | $42.37–$246.37 | 310% above | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 VACCINE ADMIN - PNEUMOCOCCAL II | $294.88 | $294.88 | $42.37–$246.37 | 310% above | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 VACCINE ADMIN - INFLUENZA II | $294.88 | $294.88 | $42.37–$246.37 | 310% above | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUN ADMIN, 1 VACCINE | $294.88 | $294.88 | $42.37–$246.37 | 310% above | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION ADMINISTRATION | $294.88 | $294.88 | $42.37–$246.37 | 310% above | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 VACCINE ADMIN - HEP B 375 | $294.88 | $294.88 | $42.37–$246.37 | 310% above | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 VACCINE ADMIN - PNEUMOCOCCAL 375 | $294.88 | $294.88 | $42.37–$246.37 | 310% above | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 VACCINE ADMIN - HEP B 375 | $294.88 | $294.88 | — | — | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 VACCINE ADMIN - PNEUMOCOCCAL 375 | $294.88 | $294.88 | — | — | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 VACCINE ADMIN - INFLUENZA 375 | $294.88 | $294.88 | — | — | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 VACCINE ADMIN - HEP B II | $294.88 | $294.88 | — | — | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 VACCINE ADMIN - PNEUMOCOCCAL II | $294.88 | $294.88 | — | — | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 VACCINE ADMIN - INFLUENZA II | $294.88 | $294.88 | — | — | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUN ADMIN, 1 VACCINE | $294.88 | $294.88 | — | — | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUNIZATION ADMINISTRATION | $294.88 | $294.88 | — | — | — |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Immunization Admin Ea Add Vaccine | $193.00 | $193.00 | $24.53–$161.25 | 455% above | — |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUN ADMIN, EA ADD'L VACCINE | $193.00 | $193.00 | $24.53–$161.25 | 455% above | — |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 IMMUN ADMIN, EA ADD'L VACCINE | $193.00 | $193.00 | — | — | — |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 Immunization Admin Ea Add Vaccine | $193.00 | $193.00 | — | — | — |
Procedure The service, with its billing code (CPT or HCPCS) and, in small type, the line exactly as the hospital wrote it in its price file. More
Cash price The hospital's own price for a patient paying without insurance (“discounted cash” in its price file). Hospitals must publish it under federal law, 45 CFR 180.50. Call to confirm it before booking. More
List price The hospital's full chargemaster price (“gross charge”) before any discount. Almost nobody pays it; the gap to the cash price shows what the self-pay discount is worth. More
Insurers pay The lowest and highest rates this hospital has agreed with insurance plans for the same item, from its price file. If the cash price is below what your plan pays and you have not met your deductible, paying cash can cost you less. More
Against the state median This hospital's cash price compared with the median cash price of hospitals in the state for the same code. Shown when at least three hospitals in the state price it.
Off list How much lower the cash price is than the list price.
No cash discount This line's cash price equals the hospital's full list price. Many hospitals still reduce bills for uninsured patients: ask the billing office for its self-pay discount in writing. More
At or below Medicare This cash price is at or below what Medicare pays a hospital for the same service, which is unusually low. It is what the hospital's file says; confirm it and what it includes before booking. More
Check the item The description in the hospital file looks like a supply or device (a catheter, a brace, an implant), not this procedure. The hospital may have filed it under the wrong code: ask before relying on this price.