Henry Ford Health West Bloomfield Hospital
Listed in its price file as “Henry Ford Health System”.
Henry Ford Health West Bloomfield Hospital in West Bloomfield, MI publishes cash prices for 537 common procedures listed here, from its own machine-readable price file updated Jun 28, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the Michigan median for 362 of 523 procedures and above it for 131. By typical cash price it ranks #19 of 97 Michigan hospitals and #8 of 31 hospitals in the Detroit, MI area, cheapest first. Select a procedure to compare it with other hospitals nearby.
6777 W Maple Road, West Bloomfield, MI 48322 Collected Sep 23, 2026 Source price file Check a bill from this hospital (248) 325-1000
Acute care hospital Nonprofit hospital Emergency department CMS star rating 3 of 5 CCN 230302 · CMS hospital register NPI 1407867559
Financial assistance
Nonprofit hospital: it must offer free or discounted care to patients who qualify. How to apply
Henry Ford Health West Bloomfield Hospital is a nonprofit hospital in the CMS register. Under section 501(r) of the federal tax code it must have a written Financial Assistance Policy with a free application, publish both on its website, and charge patients who qualify no more than the amounts generally billed to insured patients for emergency and other medically necessary care. Who qualifies depends on household income; the policy states the limits.
You can apply up to 240 days after the first bill. Before collection actions such as credit reporting or a lawsuit, the hospital must tell you about the policy and wait at least 120 days after that bill. Ask the billing office for the policy and the application before you pay, or search the hospital's website for “financial assistance”. Letters you can copy.
Source: IRS, section 501(r) requirements for nonprofit hospitals.
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs Michigan | Off list |
|---|---|---|---|---|---|
| Abdominal CT scan without and with contrast CPT 74170 HB CT ABDOMEN W/O& W/CONTRAST | $241.18 | $2,901.00 | $98.71–$401.97 | 85% below | 92% |
| Abdominal CT scan without and with contrast CPT 74170 HB CT DUAL PHASE ABDOMEN W/O&W/CONTRAST | $241.18 | $2,901.00 | $98.71–$401.97 | 85% below | 92% |
| Abdominal X-ray, 2 views CPT 74019 HB X-RAY ABDOMEN 2 VWS | $143.75 | $251.00 | $23.11–$239.59 | 31% below | 43% |
| Abdominal X-ray, 2 views CPT 74019 HB X-RAY ABDOMEN 2 VWS IN HOME | $143.75 | $301.00 | $23.11–$239.59 | 31% below | 52% |
| Ankle X-ray, complete, 3 or more views CPT 73610 HB X-RAY ANKLE COMPLETE IN HOME | $119.66 | $290.00 | $19.01–$159.55 | 44% below | 59% |
| Ankle X-ray, complete, 3 or more views CPT 73610 HB X-RAY ANKLE COMPLETE | $119.66 | $240.00 | $19.01–$159.55 | 44% below | 50% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries both sides CPT 93922 HB LTD BILAT NON-INVAS PHYS STD EXTREMITY ART 1-2 LEVEL | $182.95 | $586.00 | $47.23–$310.54 | — | 69% |
| Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 HB CT UP EXTREMITY W/O CONTRAST | $143.75 | $1,560.00 | $55.86–$1,592.00 | 86% below | 91% |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 HB X-RAY ESOPHAGUS INCL SCOUT NECK DELAYED IMG W/CONTRAST | $241.18 | $478.00 | $43.77–$321.58 | 15% below | 50% |
| Bone scan, whole body (nuclear medicine) CPT 78306 HB NM BONE/JOINT SCAN WH BODY | $549.70 | $1,873.00 | $145.29–$939.11 | 42% below | 71% |
| Breast ultrasound, complete, one breast one side CPT 76641 HB US BREAST, UNILATERAL, COMPLETE | $143.75 | $1,502.00 | $58.84–$239.59 | 53% below | 90% |
| Breast ultrasound, complete, one breast one side CPT 76641 HB US BREAST, UNILATERAL, COMPLETE IN HOME | $143.75 | $1,552.00 | $58.84–$239.59 | 53% below | 91% |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 HB US BREAST, UNILATERAL, LIMITED IN HOME | $119.66 | $623.00 | $46.29–$199.43 | 55% below | 81% |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 HB US BREAST, UNILATERAL, LIMITED | $119.66 | $573.00 | $46.29–$199.43 | 55% below | 79% |
| CT angiography (CTA) of the abdomen and pelvis CPT 74174 HB CTA ABDOMEN & PELVIS W/O&W/CONTRAST | $479.72 | $3,981.00 | $196.34–$799.53 | 81% below | 88% |
| CT angiography (CTA) of the head CPT 70496 HB CTA HEAD W &/OR W/O CONTRST | $241.18 | $3,095.00 | $93.72–$1,592.00 | 84% below | 92% |
| CT angiography (CTA) of the neck CPT 70498 HB CTA NECK W &/OR W/O CONTRST | $241.18 | $3,084.00 | $93.72–$1,592.00 | 84% below | 92% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 HB CTA CHEST NONCORNARY W/CONTRAST | $241.18 | $3,147.00 | $93.72–$1,592.00 | 86% below | 92% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 HB CTA HEART W/CONTRAST | $479.72 | $3,036.00 | $141.79–$1,592.00 | 64% below | 84% |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 HB CT HEART W/O CONTRAST W/EVAL CORONARY CALCIUM | $119.66 | $364.00 | $46.50–$1,592.00 | 20% below | 67% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 HB CT ABDOM & PELVIS W/O CONTRAST | $328.08 | $2,732.00 | $92.57–$546.80 | 82% below | 88% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 HB CT ABDOMEN & PELVIS W/CONTRAST | $479.72 | $3,981.00 | $194.39–$799.53 | 83% below | 88% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 HB CT ABD & PELVIS W/O & W/CONTRAST | $479.72 | $4,501.00 | $196.34–$799.53 | 82% below | 89% |
| CT scan of the abdomen with contrast CPT 74160 HB CT ABDOMEN W/CONTRAST | $241.18 | $2,524.00 | $98.71–$401.97 | 84% below | 90% |
| CT scan of the abdomen without contrast CPT 74150 HB CT ABDOMEN W/O CONTRAST | $143.75 | $1,353.00 | $58.84–$239.59 | 85% below | 89% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 HB CT MAXILLOFACIAL W/O CONTRST | $143.75 | $1,458.00 | $55.86–$1,592.00 | 86% below | 90% |
| CT scan of the head or brain, no contrast dye CPT 70450 HB CT HEAD / BRAIN W/O CONTRST | $143.75 | $1,327.00 | $44.21–$1,592.00 | 85% below | 89% |
| CT scan of the head with contrast CPT 70460 HB CT HEAD / BRAIN W/CONTRST | $241.18 | $1,602.00 | $63.44–$1,592.00 | 81% below | 85% |
| CT scan of the head without and with contrast CPT 70470 HB CT HEAD/BRAIN W&W/O CONTRST | $241.18 | $1,926.00 | $75.49–$1,592.00 | 85% below | 87% |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 HB CT LUMBAR SPINE W/O CONTRAST | $143.75 | $1,560.00 | $54.95–$1,592.00 | 87% below | 91% |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 HB CT CERVICAL SPINE W/O CONTRAST | $143.75 | $1,575.00 | $55.39–$1,592.00 | 87% below | 91% |
| CT scan of the pelvis, with contrast dye CPT 72193 HB CT PELVIS W/ CONTRAST | $241.18 | $2,278.00 | $93.72–$1,592.00 | 82% below | 89% |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 HB DUPLX SCAN EXTRACRAN ART BILAT CMPLT | $328.08 | $1,164.00 | $99.98–$665.42 | — | 72% |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 HB DUPLX SCAN EXTRACRAN ART BILAT CMPLT IN HOME | $328.08 | $1,220.00 | $99.98–$665.42 | — | 73% |
| Chest CT scan without and with contrast CPT 71270 HB CT THORAX W/O &W/CONTRAST | $241.18 | $2,497.00 | $91.05–$1,592.00 | 86% below | 90% |
| Chest X-ray, 2 views CPT 71046 HB X-RAY CHEST EXAM 2 VIEWS IN HOME | $119.66 | $308.00 | $20.76–$199.43 | 33% below | 61% |
| Chest X-ray, 2 views CPT 71046 HB X-RAY CHEST 2 VWS | $119.66 | $258.00 | $20.76–$199.43 | 33% below | 54% |
| Chest X-ray, single view CPT 71045 HB X-RAY CHEST 1 VW | $119.66 | $179.00 | $15.47–$199.43 | 24% below | 33% |
| Chest X-ray, single view CPT 71045 HB X-RAY CHEST 1 VW IN HOME | $119.66 | $229.00 | $15.47–$199.43 | 24% below | 48% |
| Collarbone (clavicle) X-ray, complete CPT 73000 HB X-RAY CLAVICLE IN HOME | $119.66 | $257.00 | $16.82–$159.55 | 34% below | 53% |
| Collarbone (clavicle) X-ray, complete CPT 73000 HB X-RAY CLAVICLE | $119.66 | $207.00 | $16.82–$159.55 | 34% below | 42% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 HB US RETROPERITIONEAL COMPLTE IN HOME | $143.75 | $860.00 | $58.84–$239.59 | 77% below | 83% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 HB US RETROPERITIONEAL COMPLTE | $143.75 | $810.00 | $58.84–$239.59 | 77% below | 82% |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 HB XRY DXA BONE DENSITY AXIAL | $143.75 | $338.00 | $19.89–$259.03 | 54% below | 57% |
| DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 HB XRY DXA BONE DENSITY/APPNDCULR | $119.66 | $193.00 | $14.85–$159.55 | 9% below | 38% |
| Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 HB US PREG DETAILED SGL/1ST GEST | $328.08 | $905.00 | $60.54–$508.53 | 53% below | 64% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 HB CT THORAX W/O CONTRAST | $143.75 | $1,418.00 | $54.73–$1,592.00 | 86% below | 90% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 HB CT THORAX W/ CONTRAST | $241.18 | $2,016.00 | $74.40–$1,592.00 | 82% below | 88% |
| Diagnostic mammogram, both breasts both sides CPT 77066 HB DIAGNOSTIC MAMMOGRAPM CAD BILAT | $147.89 | $469.00 | $56.05–$423.30 | — | 68% |
| Diagnostic mammogram, one breast one side CPT 77065 HB DIAGNOSTIC MAMMOGRAM CAD UNILAT | $115.09 | $410.00 | $43.62–$332.03 | 63% below | 72% |
| Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 HB DUPLX SCAN LOW EXTM ART CMPLT BILAT IN HOME | $328.08 | $1,423.00 | $127.49–$884.26 | — | 77% |
| Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 HB DUPLX SCAN LOW EXTM ART CMPLT BILAT | $328.08 | $1,366.00 | $127.49–$884.26 | — | 76% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 HB DUPLX SCAN EXTREM BILAT IN HOME | $328.08 | $1,319.00 | $100.20–$675.78 | — | 75% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 HB DUPLX SCAN EXTREM BILAT | $328.08 | $1,262.00 | $100.20–$675.78 | — | 74% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 HB RESEARCH ECHO HEART TRANSTHR 2D COMPL W/CONTRAST HF STUDY | $751.34 | $1,204.00 | $85.31–$1,001.79 | 47% below | 38% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 HB RESEARCH ECHO HEART TRANSTHR 2D COMPL W/CONTRAST EXT TIME | $751.34 | $2,364.00 | $111.85–$1,252.24 | 47% below | 68% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 HB RESEARCH ECHO HEART TRANSTHR 2D COMPL EXT TIME | $751.34 | $2,009.00 | $111.85–$1,252.24 | 47% below | 63% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 HB TTE 2D COMPLETE W/DOPPLR & COLOR FLW | $751.34 | $1,688.00 | $111.85–$1,252.24 | 47% below | 55% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 HB TTE 2D COMPLETE W/DOPPLR & COLOR FLW IN HOME | $751.34 | $1,744.00 | $85.31–$1,001.79 | 47% below | 57% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 HB RESEARCH ECHO HEART TRANSTHR 2D COMPL HF STUDY | $751.34 | $1,089.00 | $85.31–$1,001.79 | 47% below | 31% |
| Elbow X-ray, 2 views CPT 73070 HB X-RAY ELBOW 2 VWS | $119.66 | $204.00 | $18.99–$199.43 | 11% below | 41% |
| Elbow X-ray, 2 views CPT 73070 HB X-RAY ELBOW 2 VWS IN HOME | $119.66 | $254.00 | $18.99–$199.43 | 11% below | 53% |
| Elbow X-ray, complete, 3 or more views CPT 73080 HB X-RAY ELBOW COMPLETE 3 VWS | $119.66 | $240.00 | $21.63–$199.43 | 37% below | 50% |
| Elbow X-ray, complete, 3 or more views CPT 73080 HB X-RAY ELBOW COMPLETE 3 VWS IN HOME | $119.66 | $290.00 | $16.38–$159.55 | 37% below | 59% |
| Eye socket (orbit) CT scan without contrast CPT 70480 HB CT ORBIT/SELLA/FOSS W/O CNTRST | $143.75 | $2,029.00 | $55.86–$1,592.00 | 86% below | 93% |
| Facial bones X-ray, complete, 3 or more views CPT 70150 HB XRY FACIAL BONES MIN 3 VIEWS IN HOME | $143.75 | $346.00 | $30.44–$239.59 | 45% below | 58% |
| Facial bones X-ray, complete, 3 or more views CPT 70150 HB XRY FACIAL BONES MIN 3 VIEWS | $143.75 | $296.00 | $30.44–$239.59 | 45% below | 51% |
| Forearm X-ray (radius and ulna), 2 views CPT 73090 HB X-RAY FOREARM 2 VWS IN HOME | $119.66 | $234.00 | $14.20–$159.55 | 33% below | 49% |
| Forearm X-ray (radius and ulna), 2 views CPT 73090 HB X-RAY FOREARM 2 VWS | $119.66 | $184.00 | $14.20–$159.55 | 33% below | 35% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HB NM HEP-BILIARY SYS IMG INC GB | $549.70 | $1,978.00 | $165.62–$1,058.25 | 41% below | 72% |
| Hand X-ray, 2 views CPT 73120 HB X-RAY HAND 2 VWS | $143.75 | $211.00 | $15.50–$191.67 | 2% below | 32% |
| Hand X-ray, 2 views CPT 73120 HB X-RAY HAND 2 VWS IN HOME | $143.75 | $261.00 | $15.50–$191.67 | 2% below | 45% |
| Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 HB X-RAY CALCANEUS MIN 2 VWS IN HOME | $119.66 | $272.00 | $13.75–$159.55 | 22% below | 56% |
| Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 HB X-RAY CALCANEUS MIN 2 VWS | $119.66 | $222.00 | $13.75–$159.55 | 22% below | 46% |
| Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 HB SLEEP STUDY UNATTENDED (HOME) TYPE III | $296.91 | $946.00 | $38.68–$395.88 | 46% below | 69% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 HB POLYSM 4+ PARMT CPAP ATTNDED | $1,180.80 | $3,983.00 | $385.85–$1,875.07 | 66% below | 70% |
| Knee X-ray, 3 views CPT 73562 HB X-RAY KNEE COMPLETE IN HOME | $119.66 | $328.00 | $21.85–$159.55 | 40% below | 64% |
| Knee X-ray, 3 views CPT 73562 HB X-RAY KNEE COMPLETE | $119.66 | $278.00 | $21.85–$159.55 | 40% below | 57% |
| Knee X-ray, complete, 4 or more views CPT 73564 HB X-RAY KNEE COMPLETE 4 +VWS | $143.75 | $300.00 | $25.36–$191.67 | 33% below | 52% |
| Knee X-ray, complete, 4 or more views CPT 73564 HB X-RAY KNEE COMPLETE 4 +VWS IN HOME | $143.75 | $350.00 | $25.36–$191.67 | 33% below | 59% |
| Leg CT scan without contrast (hip to foot, any part) CPT 73700 HB CT EXTREMITY W/O CONTRAST | $143.75 | $1,560.00 | $55.17–$1,592.00 | 87% below | 91% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HB US ABDOMEN LIMITED | $143.75 | $658.00 | $52.15–$239.59 | 69% below | 78% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HB US ABDOMEN LIMITED IN HOME | $143.75 | $708.00 | $52.15–$239.59 | 69% below | 80% |
| Limited ultrasound of an arm or leg (non-vascular) CPT 76882 HB US JOINT NON-VASCULAR EXT W IMAGE LTD IN HOME | $143.75 | $576.00 | $28.10–$239.59 | 61% below | 75% |
| Limited ultrasound of an arm or leg (non-vascular) CPT 76882 HB US JOINT NON-VASCULAR EXT W IMAGE LTD | $143.75 | $526.00 | $28.10–$239.59 | 61% below | 73% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 HB CT THORAX LOW DOSE LUNG CA SCREEN W/O CONTRAST | $143.75 | $1,668.00 | $55.86–$1,592.00 | 59% below | 91% |
| Lower leg X-ray (tibia and fibula), 2 views CPT 73590 HB X-RAY TIBIA AND FIBULA 2 VIEWS IN HOME | $119.66 | $263.00 | $15.73–$159.55 | 35% below | 55% |
| Lower leg X-ray (tibia and fibula), 2 views CPT 73590 HB X-RAY TIBIA AND FIBULA 2 VIEWS | $119.66 | $213.00 | $15.73–$159.55 | 35% below | 44% |
| MR angiography (MRA) of the head without contrast CPT 70544 HB MRA HEAD W/O CONTRST | $328.08 | $3,370.00 | $134.28–$546.80 | 79% below | 90% |
| MRI of both breasts, without and then with contrast dye both sides CPT 77049 HB MRI BREAST W/O & W/CONTRAST W/CAD BILAT | $312.36 | $6,830.00 | $153.89–$2,304.00 | — | 95% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HB MRI JNT LOW EXTRM W/O CONTRAST | $328.08 | $2,940.00 | $93.24–$2,304.00 | 79% below | 89% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 HB MRI JNT LOW EXT W/ W/O CONTRAST | $479.72 | $4,566.00 | $185.67–$2,387.43 | 81% below | 89% |
| MRI of the abdomen without contrast CPT 74181 HB MRI ABDOMEN W/O CONTRST | $328.08 | $3,292.00 | $83.82–$2,304.00 | 81% below | 90% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 HB MRI ABDOMEN W/ & W/O CONTRST | $479.72 | $4,996.00 | $154.34–$2,418.59 | 85% below | 90% |
| MRI of the brain, no contrast dye CPT 70551 HB MRI BRAIN/STEM W/O CONTRST | $328.08 | $2,953.00 | $84.05–$2,304.00 | 80% below | 89% |
| MRI of the brain, with and without contrast dye CPT 70553 HB MRI BRAIN/STEM W&W/O CONTRST | $479.72 | $4,982.00 | $139.43–$2,304.00 | 83% below | 90% |
| MRI of the lower back, no contrast dye CPT 72148 HB MRI LUMBAR SPINE W/O CONTRAST | $328.08 | $2,834.00 | $109.89–$546.80 | 82% below | 88% |
| MRI of the lower back, without and then with contrast dye CPT 72158 HB MRI LUMBAR SPINE W/O & W/CONTRAST | $479.72 | $4,176.00 | $140.09–$2,304.00 | 82% below | 89% |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 HB MRI THORACIC SPINE W/O CONTRAST | $328.08 | $2,849.00 | $80.54–$2,304.00 | 80% below | 88% |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 HB MRI CERVICALSPINE W/O &W/CONTRAST | $479.72 | $4,189.00 | $139.87–$2,304.00 | 83% below | 89% |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 HB MRI CERVICAL SPINE W/O CONTRAST | $328.08 | $2,719.00 | $80.76–$2,304.00 | 81% below | 88% |
| MRI of the pelvis without and with contrast CPT 72197 HB MRI PELVIS W/O & W/CONTRAST | $479.72 | $4,475.00 | $196.34–$799.53 | 83% below | 89% |
| MRI of the pelvis, no contrast dye CPT 72195 HB MRI PELVIS W/O CONTRAST | $328.08 | $3,447.00 | $134.28–$546.80 | 81% below | 90% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 HB MRI ANY JT UP EXTREMITY W/O CONTRAST | $328.08 | $2,940.00 | $126.54–$546.80 | 82% below | 89% |
| Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 HB X-RAY SPINE CERVICAL 4-5 VWS IN HOME | $143.75 | $361.00 | $27.77–$191.67 | 51% below | 60% |
| Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 HB X-RAY SPINE CERVICAL 4-5 VWS | $143.75 | $311.00 | $27.77–$191.67 | 51% below | 54% |
| Neck soft tissue CT scan with contrast CPT 70491 HB CT NECK SOFT TISS W/CONTRAST | $241.18 | $2,016.00 | $79.00–$1,592.00 | 82% below | 88% |
| Neck soft tissue CT scan without contrast CPT 70490 HB CT NECK SOFT TISS W/O CONTRAST | $143.75 | $1,560.00 | $55.86–$1,592.00 | 86% below | 91% |
| Neck soft tissue X-ray CPT 70360 HB XRY NECK SOFT TISSUE IN HOME | $119.66 | $261.00 | $14.85–$159.55 | 32% below | 54% |
| Neck soft tissue X-ray CPT 70360 HB XRY NECK SOFT TISSUE | $119.66 | $211.00 | $14.85–$159.55 | 32% below | 43% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 HB NM MYOCARD PERF SPECT MULT | $1,780.19 | $4,032.00 | $233.00–$2,373.58 | 39% below | 56% |
| OCT scan of the retina (optical coherence tomography) CPT 92134 HB OPHTHY DX IMAGE POSTERIOR SGM RETINA UNI/BIL | $81.12 | $449.00 | $10.02–$108.16 | 61% below | 82% |
| OCT scan of the retina (optical coherence tomography) CPT 92134 HB COMPUTERIZED OPHTHALMIC IMAGING RETINA - OCT-A | $81.12 | $580.00 | $10.02–$108.16 | 61% below | 86% |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 HB PET WITH CT IMAG;SKULL BASE TO MID-THIGH | $1,966.24 | $6,790.00 | $745.18–$3,277.06 | 64% below | 71% |
| Pelvic CT scan without contrast CPT 72192 HB CT PELVIS W/O CONTRAST | $143.75 | $1,379.00 | $54.51–$1,592.00 | 86% below | 90% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 HB US PELVIC NON-OB LIMITED | $143.75 | $501.00 | $23.70–$239.59 | 57% below | 71% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 HB US PELVIC NON-OB LIMITED IN HOME | $143.75 | $551.00 | $23.70–$239.59 | 57% below | 74% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 HB US PELVIC NON-OB COMPLETE IN HOME | $143.75 | $852.00 | $58.84–$239.59 | 75% below | 83% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 HB US PELVIC NON-OB COMPLETE | $143.75 | $802.00 | $58.84–$239.59 | 75% below | 82% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HB US >= 14 WKS COMPLETE IN HOME | $143.75 | $877.00 | $58.84–$239.59 | 74% below | 84% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HB US >= 14 WKS COMPLETE | $143.75 | $827.00 | $58.84–$239.59 | 74% below | 83% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 HB US 1ST TRI < 14 WKS SINGLE | $143.75 | $623.00 | $58.84–$239.59 | 72% below | 77% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 HB US 1ST TRI < 14 WKS SINGLE IN HOME | $143.75 | $673.00 | $58.84–$239.59 | 72% below | 79% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 HB US PREG LIMITD STDY >=1 FETUS IN HOME | $143.75 | $545.00 | $33.48–$191.67 | 55% below | 74% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 HB US PREG LIMITD STDY >=1 FETUS | $143.75 | $495.00 | $33.48–$191.67 | 55% below | 71% |
| Rib X-ray, one side, 2 views one side CPT 71100 HB X-RAY RIB UNILAT 2 VWS | $119.66 | $232.00 | $17.04–$159.55 | 40% below | 48% |
| Rib X-ray, one side, 2 views one side CPT 71100 HB X-RAY RIB UNILAT 2 VWS IN HOME | $119.66 | $282.00 | $17.04–$159.55 | 40% below | 58% |
| Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 HB X-RAY RIB W/CHEST UNILAT 3+ VWS IN HOME | $143.75 | $309.00 | $19.23–$191.67 | 39% below | 53% |
| Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 HB X-RAY RIB W/CHEST UNILAT 3+ VWS | $143.75 | $259.00 | $19.23–$191.67 | 39% below | 44% |
| Screening mammogram, both breasts both sides CPT 77067 HB SCREEN MAMMOGRAM CAD BILAT 2-VWS EA BREAST | $121.76 | $393.00 | $46.14–$351.06 | — | 69% |
| Screening mammogram, both breasts one side CPT 77067 HB SCREEN MAMMOGRAM UNILAT INCL CAD WHEN PERFORMED (MOD52) | $121.76 | $374.00 | $46.14–$351.06 | 57% below | 67% |
| Shoulder X-ray, complete, 2 or more views CPT 73030 HB X-RAY SHOULDER COMPLETE | $119.66 | $211.00 | $17.69–$159.55 | 44% below | 43% |
| Shoulder X-ray, complete, 2 or more views CPT 73030 HB X-RAY SHOULDER COMPLETE IN HOME | $119.66 | $261.00 | $17.69–$159.55 | 44% below | 54% |
| Sinus X-ray, complete, 3 or more views CPT 70220 HB XRY PARANASAL SINUSES MIN 3 VIEWS | $119.66 | $262.00 | $24.27–$199.43 | 49% below | 54% |
| Sinus X-ray, complete, 3 or more views CPT 70220 HB XRY PARANASAL SINUSES MIN 3 VIEWS IN HOME | $119.66 | $312.00 | $24.27–$199.43 | 49% below | 62% |
| Skull X-ray, fewer than 4 views CPT 70250 HB XRY SKULL < 4 VIEWS | $143.75 | $251.00 | $24.27–$239.59 | 32% below | 43% |
| Skull X-ray, fewer than 4 views CPT 70250 HB XRY SKULL < 4 VIEWS IN HOME | $143.75 | $301.00 | $24.27–$239.59 | 32% below | 52% |
| Sleep study in a lab (polysomnography) CPT 95810 HB POLYSMGM 4+ PARMTR ATTNDED | $1,180.80 | $3,173.00 | $366.02–$1,788.78 | 63% below | 63% |
| Stress echocardiogram, complete, including the stress test and supervision CPT 93351 STRESS TTE COMPLETE | $751.34 | — | $231.03–$1,001.79 | 36% below | — |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 HB X-RAY SWALLOW FUNCTION CONTRAST STUDY | $241.18 | $752.00 | $62.84–$366.26 | 36% below | 68% |
| Thigh bone (femur) X-ray, 2 or more views CPT 73552 HB X-RAY FEMUR MIN 2 VWS IN HOME | $119.66 | $298.00 | $17.91–$159.55 | 44% below | 60% |
| Thigh bone (femur) X-ray, 2 or more views CPT 73552 HB X-RAY FEMUR MIN 2 VWS | $119.66 | $248.00 | $23.98–$199.43 | 44% below | 52% |
| Thoracic spine (mid back) CT scan without contrast CPT 72128 HB CT THORACIC SPINE W/O CONTRAST | $143.75 | $1,575.00 | $55.17–$1,592.00 | 86% below | 91% |
| Toe X-ray, 2 or more views CPT 73660 HB X-RAY TOES | $119.66 | $229.00 | $14.85–$159.55 | 5% below | 48% |
| Toe X-ray, 2 or more views CPT 73660 HB X-RAY TOES IN HOME | $119.66 | $279.00 | $20.17–$199.43 | 5% below | 57% |
| Transvaginal pelvic ultrasound CPT 76830 HB US TRANSVAGINAL | $143.75 | $739.00 | $58.84–$239.59 | 73% below | 81% |
| Transvaginal ultrasound during pregnancy CPT 76817 HB US PREG TRANSVAGINAL | $143.75 | $536.00 | $49.80–$239.59 | 67% below | 73% |
| Ultrasound of the abdomen, complete CPT 76700 HB US ABDOMEN COMPLETE IN HOME | $143.75 | $833.00 | $58.84–$239.59 | 78% below | 83% |
| Ultrasound of the abdomen, complete CPT 76700 HB US ABDOMEN COMPLETE | $143.75 | $783.00 | $58.84–$239.59 | 78% below | 82% |
| Ultrasound of the scrotum and testicles CPT 76870 HB US SCROTUM AND CONTENTS | $143.75 | $667.00 | $58.84–$239.59 | 73% below | 78% |
| Ultrasound of the scrotum and testicles CPT 76870 HB US SCROTUM AND CONTENTS IN HOME | $143.75 | $717.00 | $58.84–$239.59 | 73% below | 80% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 HB U/S SOFT TISSUE HEAD & NECK | $143.75 | $797.00 | $54.07–$313.05 | 70% below | 82% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 HB U/S SOFT TISSUE HEAD & NECK IN HOME | $143.75 | $847.00 | $54.07–$313.05 | 70% below | 83% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 HB X-RAY UP GI TRACT INCL SCOUT ABD & DELAY IMG; SGL CONTRAST | $241.18 | $572.00 | $55.39–$321.58 | 40% below | 58% |
| Upper arm X-ray (humerus), 2 views CPT 73060 HB X-RAY HUMERUS | $119.66 | $217.00 | $21.64–$199.43 | 35% below | 45% |
| Upper arm X-ray (humerus), 2 views CPT 73060 HB X-RAY HUMERUS IN HOME | $119.66 | $267.00 | $21.64–$199.43 | 35% below | 55% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 HB DUPLEX SCAN EXT VEIN-UNILA IN HOME | $143.75 | $941.00 | $55.86–$431.79 | 73% below | 85% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 HB DUPLEX SCAN EXTREMITY VEIN-UNILAT | $143.75 | $885.00 | $55.86–$431.79 | 73% below | 84% |
| Wrist X-ray, 2 views CPT 73100 HB X-RAY WRIST 2 VWS IN HOME | $119.66 | $290.00 | $17.25–$159.55 | 15% below | 59% |
| Wrist X-ray, 2 views CPT 73100 HB X-RAY WRIST 2 VWS | $119.66 | $240.00 | $17.25–$159.55 | 15% below | 50% |
| Wrist X-ray, complete, 3 or more views CPT 73110 HB X-RAY WRIST COMPLETE | $119.66 | $278.00 | $22.52–$159.55 | 39% below | 57% |
| Wrist X-ray, complete, 3 or more views CPT 73110 HB X-RAY WRIST COMPLETE IN HOME | $119.66 | $328.00 | $22.52–$159.55 | 39% below | 64% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HB X-RAY HIP UNILAT W/PELVIS IF PERFORMED 2-3 VWS | $119.66 | $317.00 | $32.80–$199.43 | 42% below | 62% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HB X-RAY HIP UNILAT W/PELVIS IF PERFORMED 2-3 VWS IN HOME | $119.66 | $367.00 | $32.80–$199.43 | 42% below | 67% |
| X-ray of the abdomen, 1 view CPT 74018 HB X-RAY ABDOMEN 1 VW IN HOME | $119.66 | $261.00 | $18.99–$199.43 | 25% below | 54% |
| X-ray of the abdomen, 1 view CPT 74018 HB X-RAY ABDOMEN 1 VW | $119.66 | $211.00 | $18.99–$199.43 | 25% below | 43% |
| X-ray of the ankle, 2 views CPT 73600 HB X-RAY ANKLE 2 VWS | $119.66 | $226.00 | $16.16–$159.55 | 32% below | 47% |
| X-ray of the ankle, 2 views CPT 73600 HB X-RAY ANKLE 2 VWS IN HOME | $119.66 | $276.00 | $16.16–$159.55 | 32% below | 57% |
| X-ray of the finger(s), 2 or more views CPT 73140 HB X-RAY FINGERS IN HOME | $119.66 | $315.00 | $28.09–$199.43 | 10% below | 62% |
| X-ray of the finger(s), 2 or more views CPT 73140 HB X-RAY FINGERS | $119.66 | $265.00 | $21.65–$159.55 | 10% below | 55% |
| X-ray of the foot, 2 views CPT 73620 HB X-RAY FOOT 2 VWS IN HOME | $119.66 | $294.00 | $13.98–$159.55 | 25% below | 59% |
| X-ray of the foot, 2 views CPT 73620 HB X-RAY FOOT 2 VWS | $119.66 | $244.00 | $13.98–$159.55 | 25% below | 51% |
| X-ray of the foot, complete, 3 or more views CPT 73630 HB X-RAY FOOT COMPLETE | $119.66 | $222.00 | $17.25–$159.55 | 34% below | 46% |
| X-ray of the foot, complete, 3 or more views CPT 73630 HB X-RAY FOOT COMPLETE IN HOME | $119.66 | $272.00 | $17.25–$159.55 | 34% below | 56% |
| X-ray of the hand, 3 or more views CPT 73130 HB X-RAY HAND MIN 3 VWS | $119.66 | $243.00 | $19.45–$159.55 | 35% below | 51% |
| X-ray of the hand, 3 or more views CPT 73130 HB X-RAY HAND MIN 3 VWS IN HOME | $119.66 | $293.00 | $19.45–$159.55 | 35% below | 59% |
| X-ray of the knee, 1 or 2 views CPT 73560 HB X-RAY EXAM OF KNEE 1 OR 2 IN HOME | $119.66 | $290.00 | $17.47–$159.55 | 23% below | 59% |
| X-ray of the knee, 1 or 2 views CPT 73560 HB X-RAY EXAM OF KNEE 1 OR 2 | $119.66 | $240.00 | $17.47–$159.55 | 23% below | 50% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 HB X-RAY SPINE LUMBOSACRAL 2-3 VWS IN HOME | $143.75 | $301.00 | $19.67–$191.67 | 33% below | 52% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 HB X-RAY SPINE LUMBOSACRAL 2-3 VWS | $143.75 | $251.00 | $19.67–$191.67 | 33% below | 43% |
| X-ray of the lower back, 4 or more views CPT 72110 HB X-RAY SPINE LUMBOSACRAL 4+ VWS | $143.75 | $348.00 | $26.90–$191.67 | 53% below | 59% |
| X-ray of the lower back, 4 or more views CPT 72110 HB X-RAY SPINE LUMBOSACRAL 4+ VWS IN HOME | $143.75 | $398.00 | $26.90–$191.67 | 53% below | 64% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 HB X-RAY SPINE THORACIC 2 VWS | $143.75 | $240.00 | $15.50–$191.67 | 22% below | 40% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 HB X-RAY SPINE THORACIC 2 VWS IN HOME | $143.75 | $290.00 | $15.50–$191.67 | 22% below | 50% |
| X-ray of the nasal bones, 3 or more views CPT 70160 HB XRY NASAL BONES MIN 3 VIEWS | $119.66 | $255.00 | $26.04–$199.43 | 32% below | 53% |
| X-ray of the nasal bones, 3 or more views CPT 70160 HB XRY NASAL BONES MIN 3 VIEWS IN HOME | $119.66 | $305.00 | $26.04–$199.43 | 32% below | 61% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 HB X-RAY SPINE CERVICAL 2 -3 VWS IN HOME | $119.66 | $282.00 | $19.45–$159.55 | 48% below | 58% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 HB X-RAY SPINE CERVICAL 2 -3 VWS | $119.66 | $232.00 | $19.45–$159.55 | 48% below | 48% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 HB X-RAY PELVIS 1-2 VWS IN HOME | $143.75 | $293.00 | $13.09–$191.67 | 13% below | 51% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 HB X-RAY PELVIS 1-2 VWS | $143.75 | $243.00 | $13.09–$191.67 | 13% below | 41% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 HB X-RAY SACRUM/COCCYX 2+ VWS | $119.66 | $207.00 | $15.73–$159.55 | 31% below | 42% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 HB X-RAY SACRUM/COCCYX 2+ VWS IN HOME | $119.66 | $257.00 | $15.73–$159.55 | 31% below | 53% |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Michigan | Off list |
|---|---|---|---|---|---|
| ACTH blood test CPT 82024 HB LAB ACTH ADRENOCORTICOTROPIC | $53.30 | $141.00 | $20.20–$135.81 | 43% below | 62% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 HB LAB ALT/SGPT | $7.31 | $34.00 | $2.77–$18.65 | 70% below | 79% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 HB LAB TRANSFERASE ALANINE AMINO ALT SGPT, SO | $7.31 | $24.27 | $2.77–$18.65 | 70% below | 70% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 HB LAB AST/SGOT | $7.15 | $34.00 | $2.71–$18.21 | 68% below | 79% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HB LAB ACUTE HEPATITIS PANEL | $65.73 | $289.00 | $24.91–$167.50 | 61% below | 77% |
| Albumin blood test CPT 82040 HB LAB ALBUMIN BLD | $6.83 | $33.00 | $2.59–$17.42 | 66% below | 79% |
| Aldosterone blood test CPT 82088 HB LAB ALDOSTERONE SERUM/BLOOD, SO | $56.24 | $114.00 | $21.31–$121.39 | 2% above | 51% |
| Aldosterone blood test CPT 82088 HB LAB ALDOSTERONE, INFERIOR VENA CAVA, SO | $56.24 | $37.10 | $21.31–$121.39 | 2% above | -52% |
| Aldosterone blood test CPT 82088 HB LAB ALDOSTERONE, URINE, SO | $56.24 | $28.40 | $21.31–$121.39 | 2% above | -98% |
| Aldosterone blood test one side CPT 82088 HB LAB ALDOSTERONE, RIGHT ADRENAL VEIN, SO | $56.24 | $37.10 | $21.31–$121.39 | 2% above | -52% |
| Aldosterone blood test one side CPT 82088 HB LAB ALDOSTERONE, LEFT ADRENAL VEIN, SO | $56.24 | $37.10 | $21.31–$121.39 | 2% above | -52% |
| Alkaline phosphatase (ALP) blood test CPT 84075 HB LAB ASSAY ALKALINE PHOSPHATASE, SO | $7.15 | $1.05 | $1.05–$15.41 | 66% below | -581% |
| Alkaline phosphatase (ALP) blood test CPT 84075 HB LAB PHOSPHATASE, ALKALINE | $7.15 | $34.00 | $2.71–$18.21 | 66% below | 79% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HB LAB MOSQUITO IGE - ALLERGEN, SO | $7.20 | $12.00 | $2.73–$15.55 | 13% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HB LAB ALLERGEN-PARSLEY IGE, SO | $7.20 | $20.00 | $2.73–$18.37 | 13% above | 64% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HB LAB ALLERGEN-LINSEED IGE, SO | $7.20 | $20.00 | $2.73–$18.37 | 13% above | 64% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HB LAB ALLERGEN-RAT EPITHELIUM IGE, SO | $7.20 | $20.00 | $2.73–$18.37 | 13% above | 64% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HB LAB RAST ALLERGEN EACH IGE,SO | $7.20 | $22.00 | $2.73–$18.37 | 13% above | 67% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HB LAB ALLERGEN GENERIC IGE, SO | $7.20 | $5.14 | $2.73–$15.55 | 13% above | -40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HB LAB MISC ALLERGEN, SO | $7.20 | $23.40 | $2.73–$18.37 | 13% above | 69% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HB LAB IGE INHALANTS / FOODS, SO | $7.20 | $3.86 | $2.73–$15.55 | 13% above | -87% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HB LAB ALLERGEN SPEC IGE CRUDE ALLERGEN EXTRACT EACH, SO | $7.20 | $12.00 | $2.73–$15.55 | 13% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HB LAB RAST ALLERGEN EACH IGE | $7.20 | $34.00 | $2.73–$18.37 | 13% above | 79% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HB LAB RAST ALLERGEN EACH IGE, SO | $7.20 | $8.00 | $2.73–$15.55 | 13% above | 10% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HB LAB RAST ALLERGEN EACH IGE SO | $7.20 | $10.20 | $2.73–$15.55 | 13% above | 29% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HB LAB RAST ALLERGEN EACH IGE (BASS BLACK), SO | $7.20 | $10.20 | $2.73–$15.55 | 13% above | 29% |
| Alpha-fetoprotein (AFP) blood test CPT 82105 HB LAB ALPHA FETOPROTEIN SERUM, SO | $23.14 | $47.00 | $8.77–$49.96 | 55% below | 51% |
| Alpha-fetoprotein (AFP) blood test CPT 82105 HB LAB ALPHA FETOPROTEIN SERUM | $23.14 | $83.00 | $8.77–$58.98 | 55% below | 72% |
| Ammonia blood test CPT 82140 HB LAB AMMONIA | $20.11 | $98.00 | $7.62–$51.24 | 69% below | 79% |
| Amylase blood test CPT 82150 HB LAB AMYLASE | $8.94 | $45.00 | $3.39–$22.79 | 55% below | 80% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 HB LAB CYCLIC CITRULL PEPTIDE | $17.87 | $88.00 | $6.77–$95.56 | 68% below | 80% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 HB LAB ANTINUCLEAR AB SCRN SO | $16.68 | $34.00 | $6.32–$36.00 | 70% below | 51% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 HB LAB ANTINUCLEAR AB SCREEN | $16.68 | $81.00 | $6.32–$42.52 | 70% below | 79% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 HB LAB NATRIURETIC PEPTIDE | $54.18 | $229.00 | $20.53–$138.07 | 30% below | 76% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HB LAB CULTURE BACTERIA OTHER | $11.90 | $57.00 | $4.51–$30.30 | 78% below | 79% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HB LAB LEGIONELLA CULTURE | $11.90 | $57.00 | $4.51–$30.30 | 78% below | 79% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HB LAB WOUND/ANTIBODYSC/DRN CULT | $11.90 | $57.00 | $4.51–$30.30 | 78% below | 79% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HB LAB RESPIRATORY CULTURE | $11.90 | $57.00 | $4.51–$30.30 | 78% below | 79% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HB LAB ORDERED CULTURE | $11.90 | $57.00 | $4.51–$30.30 | 78% below | 79% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HB LAB GENITAL CULTURE | $11.90 | $57.00 | $4.51–$30.30 | 78% below | 79% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HB LAB FLUID CULT NON-CSF | $11.90 | $57.00 | $4.51–$30.30 | 78% below | 79% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HB LAB EAR/EYE CULTURE | $11.90 | $57.00 | $4.51–$30.30 | 78% below | 79% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HB LAB CSF CULTURE | $11.90 | $57.00 | $4.51–$30.30 | 78% below | 79% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HB LAB CATHETER IV CULTURE | $11.90 | $57.00 | $4.51–$30.30 | 78% below | 79% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HB LAB ROUTINE CULTURE | $11.90 | $57.00 | $4.51–$30.30 | 78% below | 79% |
| Basic metabolic panel (blood test) CPT 80048 HB LAB BASIC METABOLIC PANEL (TOT CA) | $11.67 | $56.00 | $4.42–$29.75 | 77% below | 79% |
| Bilirubin blood test, total CPT 82247 HB LAB BILIRUBIN TOTAL | $6.93 | $33.00 | $2.63–$17.65 | 69% below | 79% |
| Bilirubin blood test, total CPT 82247 HB LAB BILIRUBIN TOTAL, SO | $6.93 | $23.32 | $2.63–$17.65 | 69% below | 70% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 HB LAB LEVEL IV SURG GROSS & MICR | $71.65 | $243.00 | $23.17–$219.39 | 34% below | 71% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 HB LAB LIGHT MICROSCOPY ARKANA, SO | $71.65 | $33.00 | $23.17–$219.39 | 34% below | -117% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 HB LAB LEVEL IV SURG PATHOLOGY GROSS&MICROSCOPIC EXAM, SO | $71.65 | $71.56 | $23.17–$219.39 | 34% below | — |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 HB LAB PATH BONE MARROW BIOPSY, CELL BLOCK | $71.65 | $222.00 | $29.32–$119.42 | 34% below | 68% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 HB LAB PATH BONE MARROW BIOPSY | $71.65 | $222.00 | $23.17–$219.39 | 34% below | 68% |
| Blood culture for bacteria CPT 87040 HB LAB CULTURE BACTERIAL BLOOD | $14.24 | $110.00 | $5.40–$36.29 | 77% below | 87% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 HB VENIPUNCTURE | $12.89 | $17.00 | $6.80–$13.41 | at median | 24% |
| Blood glucose (sugar) test CPT 82947 HB LAB GLUCOSE BLOODD QT NON REAGENT | $5.42 | $25.00 | $2.06–$13.82 | 77% below | 78% |
| Blood lead test CPT 83655 HB LAB LEAD | $16.71 | $81.00 | $6.33–$42.58 | 118% above | 79% |
| Blood lead test CPT 83655 HB LAB LEAD - URINE 24HR, SO | $16.71 | $8.50 | $6.33–$36.06 | 118% above | -97% |
| Blood lead test CPT 83655 HB LAB LEAD - URINE RANDOM, SO | $16.71 | $7.87 | $6.33–$36.06 | 118% above | -112% |
| Blood lead test CPT 83655 HB LAB LEAD, SO | $16.71 | $13.55 | $6.33–$36.06 | 118% above | -23% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HB LAB HCG QUALITATIVE | $10.38 | $51.00 | $3.93–$26.44 | 72% below | 80% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HB LAB BLOOD TYPING ANTIBODY | $182.95 | $20.00 | $2.84–$243.93 | 769% above | -815% |
| Blood urea nitrogen (BUN) test CPT 84520 HB LAB UREA NITROGEN QUANT (BUN) | $5.45 | $25.00 | $2.07–$13.88 | 69% below | 78% |
| C-peptide blood test CPT 84681 HB LAB C-PEPTIDE | $28.72 | $141.00 | $10.88–$73.18 | 59% below | 80% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 HB LAB C-REACTIVE PROTEIN | $7.15 | $34.00 | $2.71–$18.21 | 79% below | 79% |
| C. difficile toxin gene test (stool PCR) CPT 87493 HB LAB C DIFFICILE PCR | $51.43 | $237.00 | $19.49–$131.05 | 56% below | 78% |
| CA 19-9 blood test (tumor marker) CPT 86301 HB LAB IMMASSAY TUMR CA 19-9 | $28.72 | $141.00 | $10.88–$73.18 | 69% below | 80% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 HB LAB IMMASSAY TUMOR CA 125 | $28.72 | $141.00 | $10.88–$73.18 | 72% below | 80% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HB LAB PANEL COVID19, SO | $70.81 | $105.00 | $26.84–$114.79 | 33% below | 33% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HB LAB TEST PANEL COVID19 | $70.81 | $137.00 | $26.84–$114.79 | 33% below | 48% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HB LAB COVID19 AMPLIFIED PROBE TCHNQ W/ HIGH THRUPUT TECH, SO | $70.81 | $200.00 | $26.84–$114.79 | 33% below | 65% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HB LAB COVID19 AMPLIFIED PROBE TECHNQ W/ HI THRUPUT TECH | $70.81 | $137.00 | $26.84–$114.79 | 33% below | 48% |
| Calcium blood test, total CPT 82310 HB LAB CALCIUM TOTAL | $7.12 | $34.00 | $2.70–$18.14 | 64% below | 79% |
| Carcinoembryonic antigen (CEA) test CPT 82378 HB LAB CEA | $26.16 | $127.00 | $9.92–$66.69 | 68% below | 79% |
| Chickenpox (varicella) immunity blood test CPT 86787 HB LAB VARICELLA-ZOSTER AB | $17.77 | $88.00 | $6.74–$45.29 | 56% below | 80% |
| Chickenpox (varicella) immunity blood test CPT 86787 HB LAB VARICELLA-ZOSTER AB, SO | $17.77 | $9.50 | $6.74–$38.39 | 56% below | -87% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HB LAB C.TRACHOMATIS NA-TMA, SO | $48.42 | $105.00 | $18.35–$105.00 | 35% below | 54% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HB LAB CHLAMYDIA TRACH NAP AMPLFD | $48.42 | $237.00 | $18.35–$123.39 | 35% below | 80% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HB LAB CHLAMYDIA RNA - THROAT/RECTAL, SO | $48.42 | $12.13 | $12.13–$104.54 | 35% below | -299% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HB LAB LIPID PROFILE | $18.48 | $81.00 | $7.00–$47.08 | 64% below | 77% |
| Complete blood count (CBC) with differential CPT 85025 HB LAB CBC AUTO & AUTO DIFF WBC | $10.72 | $52.00 | $4.06–$27.33 | 73% below | 79% |
| Complete blood count (CBC), no differential CPT 85027 HB LAB CBC INCL PLATELETS | $8.93 | $43.00 | $3.38–$22.75 | 69% below | 79% |
| Comprehensive metabolic panel (blood test) CPT 80053 HB LAB COMP METABOLIC PROFILE | $14.57 | $72.00 | $5.52–$37.14 | 81% below | 80% |
| Cortisol blood test, total CPT 82533 HB LAB CORTISOL TOTAL | $22.49 | $109.00 | $8.52–$57.33 | 34% below | 79% |
| Creatine kinase (CK) blood test, total CPT 82550 HB LAB CREATINE KINASE (CPK/CK) | $8.98 | $45.00 | $3.40–$22.90 | 70% below | 80% |
| Creatine kinase (CK) blood test, total CPT 82550 HB LAB CREATINE KINASE (CK) ISOENZYMES (TOTAL), SO | $8.98 | $17.00 | $3.40–$19.42 | 70% below | 47% |
| Creatinine blood test CPT 82565 HB LAB CREATININE BLOOD | $7.07 | $34.00 | $2.68–$18.02 | 70% below | 79% |
| Cytomegalovirus (CMV) antibody test CPT 86644 HB LAB CMV ANTIBODY TITER | $19.86 | $98.00 | $7.53–$50.61 | 54% below | 80% |
| D-dimer blood test (blood clot marker) CPT 85379 HB LAB D-DIMER, QUANTITATIVE, SO | $14.05 | $46.21 | $5.32–$35.81 | 67% below | 70% |
| D-dimer blood test (blood clot marker) CPT 85379 HB LAB FIBRIN DEGRAD D DIMER QN | $14.05 | $70.00 | $5.32–$35.81 | 67% below | 80% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 HB LAB DHEA-S DEHYDROEPIAND SULFATE | $30.68 | $149.00 | $11.63–$78.18 | 52% below | 79% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HB LAB DRUG SCREEN MULTI CLASS, SO | $85.75 | $36.00 | $32.50–$108.47 | 47% above | -138% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HB LAB DRUG SCREEN MULT CLASS, SO | $85.75 | $88.00 | $32.50–$108.47 | 47% above | 3% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HB LAB TOXICOLOGY BLOOD, SO | $85.75 | $120.00 | $32.50–$120.00 | 47% above | 29% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HB LAB DRUG SCREEN MULTI CLASS | $85.75 | $377.00 | $32.50–$218.52 | 47% above | 77% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HB LAB DRUG SCREEN, SGL DRUG CLASS LIST B, EACH PROC | $85.75 | $52.00 | $32.50–$108.47 | 47% above | -65% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HB LAB MEPERIDINE SCREEN, SO | $85.75 | $33.40 | $32.50–$108.47 | 47% above | -157% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HB LAB THC-MECONIUM, SO | $85.75 | $15.00 | $15.00–$108.47 | 47% above | -472% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HB LAB DRUG SCREEN COMPREHENSIVE (EIA), SO | $85.75 | $25.00 | $25.00–$108.47 | 47% above | -243% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HB LAB DRUG TEST(S), PRESUMPTIVE, ANY NUMBER OF DRUG CLASSES; | $85.75 | $280.00 | $32.50–$218.52 | 47% above | 69% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HB LAB ETHYL GLUCURONIDE + SULFATE SCR, SO | $85.75 | $98.00 | $32.50–$108.47 | 47% above | 13% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HB LAB UMBILICAL CORD DRUG DETECTION PANEL QUALITATIVE, SO | $85.75 | $112.00 | $32.50–$112.00 | 47% above | 23% |
| Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 HB LAB ELECTROLYTE PANEL | $9.67 | $48.00 | $3.67–$24.65 | 70% below | 80% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 HB LAB EPSTEIN BARR VCA ANTIBODY | $25.03 | $123.00 | $9.49–$63.79 | 61% below | 80% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 HB LAB EPSTEIN BARR VIRUS ANTIBODY VCA IGM, SO | $25.03 | $38.00 | $9.49–$39.60 | 61% below | 34% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 HB LAB EPSTEIN BARR VIRUS ANTIBODY VCA IGG, SO | $25.03 | $38.00 | $9.49–$39.60 | 61% below | 34% |
| Estradiol blood test CPT 82670 HB LAB ESTRADIOL | $38.56 | $189.00 | $14.61–$98.26 | 51% below | 80% |
| FSH (follicle-stimulating hormone) test CPT 83001 HB LAB GONADOTROPIN FSH | $25.64 | $125.00 | $9.72–$65.34 | 68% below | 79% |
| Fecal calprotectin (stool inflammation test) CPT 83993 HB LAB CALPROTECTIN, FECAL, CALPQ | $27.09 | $133.00 | $10.27–$69.03 | 57% below | 80% |
| Fecal calprotectin (stool inflammation test) CPT 83993 HB LAB CALPROTECTIN, STOOL, SO | $27.09 | $75.00 | $10.27–$69.03 | 57% below | 64% |
| Ferritin blood test (iron stores) CPT 82728 HB LAB FERRITIN | $18.81 | $93.00 | $7.13–$47.93 | 69% below | 80% |
| Fibrinogen blood test CPT 85384 HB LAB FIBRINOGEN ACTIVITY | $13.41 | $56.00 | $5.08–$34.19 | 54% below | 76% |
| Folate (folic acid) blood test CPT 82746 HB LAB FOLIC ACID SERUM | $20.29 | $99.00 | $7.69–$51.70 | 72% below | 80% |
| Free T3 thyroid hormone test CPT 84481 HB LAB T3 TRIIODOTHYRONINE FREE | $23.38 | $114.00 | $8.86–$59.56 | 65% below | 79% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 HB LAB THYROXINE TOTAL FREE | $12.45 | $60.00 | $4.72–$31.71 | 59% below | 79% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 HB LAB T4 FREE DIRECT DIALYSIS, SO | $12.45 | $11.55 | $4.72–$26.85 | 59% below | -8% |
| Free testosterone test CPT 84402 HB LAB TESTOSTERONE FREE | $35.15 | $172.00 | $13.32–$89.58 | 4% below | 80% |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 HB LAB GGT (GAMMA GLUT TRANSPEP) | $9.94 | $49.00 | $3.77–$25.31 | 68% below | 80% |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 HB LAB ASSAY OF GLUTAMYLTRASE GAMMA, SO | $9.94 | $33.49 | $3.77–$25.31 | 68% below | 70% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 HB LAB GLUCOSE | $6.56 | $32.00 | $2.48–$16.70 | 70% below | 80% |
| Glucose tolerance test, 3 samples CPT 82951 HB LAB GLUCOSE TOLERANCE TST 1ST 3 SPECIMNS | $17.76 | $88.00 | $6.73–$45.26 | 69% below | 80% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HB LAB N GONORRHEA NAP AMPLFD | $48.42 | $237.00 | $18.35–$123.39 | 50% below | 80% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HB LAB NEISSERIA RNA - THROAT/RECTAL, SO | $48.42 | $12.12 | $12.12–$104.54 | 50% below | -300% |
| H. pylori antibody blood test CPT 86677 HB LAB HELICOBACTER PYLORI ANTIBODY | $23.25 | $98.00 | $8.81–$59.25 | 61% below | 76% |
| H. pylori stool antigen test CPT 87338 HB LAB H PYLORI AG EIA STOOL, SO | $19.84 | $10.00 | $7.52–$42.84 | 69% below | -98% |
| H. pylori stool antigen test CPT 87338 HB LAB HELICOBACTER PYLORI STOOL ANTIGEN, SO | $19.84 | $30.00 | $7.52–$42.84 | 69% below | 34% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HB LAB HIV-1 RNA, ULTRAQUANT (RT-PCR), SO | $117.44 | $213.00 | $28.50–$253.45 | 36% below | 45% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HB LAB-INFECT AGENT DETECTION, SO | $117.44 | $60.40 | $28.50–$253.45 | 36% below | -94% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HB LAB HIV-1 QN NAP | $117.44 | $572.00 | $28.50–$299.27 | 36% below | 79% |
| HIV-1 and HIV-2 antibody test CPT 86703 HB LAB HIV 1&2 ABS SCRN | $18.92 | $96.00 | $7.17–$48.22 | 60% below | 80% |
| HIV-1 and HIV-2 antibody test CPT 86703 HB LAB HIV ANTIBODY 1&2 SGL RESULT | $18.92 | $93.00 | $7.17–$48.22 | 60% below | 80% |
| HIV-1 and HIV-2 antibody test CPT 86703 HB LAB EXPOSURE PANEL HIV 1 AND 2 SOURCE PATIENT | $18.92 | $93.00 | $7.17–$48.22 | 60% below | 80% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HB LAB HIV-1 AG W/ HIV-1&HIV2 ANTBDY | $33.23 | $163.00 | $12.59–$84.68 | 32% below | 80% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HB LAB HIV 1/2 AG/AB DIAGNOSTIC 4TH GENERATION, SO | $33.23 | $54.00 | $12.59–$54.81 | 32% below | 38% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 HB LAB HPV NAP AMPLIFIED, SO | $48.42 | $27.00 | $18.35–$98.41 | 35% below | -79% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 HB LAB HPV NAP AMPLIFIED | $48.42 | $237.00 | $18.35–$123.39 | 35% below | 80% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HB LAB GLYCOSYLATED HGB A1C | $13.40 | $67.00 | $5.08–$34.15 | 65% below | 80% |
| Hemoglobin blood test CPT 85018 HB LAB HEMOGLOBIN (HGB) | $3.27 | $17.00 | $1.24–$8.33 | 80% below | 81% |
| Hepatitis B core antibody test (total) CPT 86704 HB LAB HEPATITIS B CORE ANTIBODY | $16.63 | $80.00 | $6.30–$42.37 | 62% below | 79% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HB LAB HEPATITIS B SURFCE ANTIBDY | $14.82 | $73.00 | $5.62–$37.75 | 65% below | 80% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HB LAB HEPATIT B SURFCE ANTIBDY, SO | $14.82 | $10.70 | $5.62–$31.99 | 65% below | -39% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HB LAB EXPOSURE PANEL IAAD IA HEP B SURFACE ANTIGEN SOURCE PATIE | $14.26 | $70.00 | $5.40–$36.32 | 69% below | 80% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HB LAB IAAD IA HEPATITIS B SURFACE ANTIGEN | $14.26 | $70.00 | $5.40–$36.32 | 69% below | 80% |
| Hepatitis C antibody blood test (screening) CPT 86803 HB LAB HEPATITIS C ANTIBODY | $19.69 | $96.00 | $7.46–$50.17 | 59% below | 79% |
| Hepatitis C antibody blood test (screening) CPT 86803 HB LAB EXPOSURE PANEL HEPATITIS C ANTIBODY SOURCE PATIENT | $19.69 | $96.00 | $7.46–$50.17 | 59% below | 79% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HB LAB HEPATITIS C VIRUS RNA, QUANT (RT-PCR), SO | $59.12 | $107.00 | $22.41–$127.59 | 55% below | 45% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HB LAB HEPATITIS C QN NAP | $59.12 | $288.00 | $22.41–$150.66 | 55% below | 79% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HB LAB HCV RNA QUANT PCR (REFLEX TO GENOTYPE LIPA), SO | $59.12 | $69.00 | $22.41–$127.59 | 55% below | 14% |
| Herpes blood test, HSV-1 antibody CPT 86695 HB LAB HERPES SIMPLEX TYPE 1 ANTIBODY IGG | $18.20 | $89.00 | $6.90–$46.38 | 56% below | 80% |
| Herpes blood test, HSV-2 antibody CPT 86696 HB LAB HERPES SIMPLEX TYPE 2 ANTIBODY IGG | $26.70 | $130.00 | $10.12–$68.07 | 48% below | 79% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 HB LAB C REACTIVE PROTEIN HI SENS | $17.87 | $88.00 | $6.77–$45.55 | 69% below | 80% |
| Homocysteine blood test CPT 83090 HB LAB HOMOCYSTEINE | $24.73 | $113.00 | $9.37–$63.03 | 68% below | 78% |
| Insulin blood test CPT 83525 HB LAB INSULIN TOTAL | $15.77 | $76.00 | $5.98–$40.20 | 57% below | 79% |
| Iron blood test (serum iron) CPT 83540 HB LAB IRON, TISSUE, SO | $8.93 | $55.00 | $3.38–$22.75 | 69% below | 84% |
| Iron blood test (serum iron) CPT 83540 HB LAB ASSAY OF IRON,SO | $8.93 | $52.45 | $3.38–$22.75 | 69% below | 83% |
| Iron blood test (serum iron) CPT 83540 HB LAB IRON | $8.93 | $45.00 | $3.38–$22.75 | 69% below | 80% |
| Iron blood test (serum iron) CPT 83540 HB LAB IRON, SO | $8.93 | $40.00 | $3.38–$22.75 | 69% below | 78% |
| Iron-binding capacity (TIBC) test CPT 83550 HB LAB IRON BINDING CAPACITY | $12.06 | $57.00 | $4.57–$30.75 | 70% below | 79% |
| Kidney function blood test panel CPT 80069 HB LAB RENAL FUNCTION PANEL | $11.98 | $57.00 | $4.54–$30.53 | 81% below | 79% |
| LH (luteinizing hormone) test CPT 83002 HB LAB LH, PEDIATRICS, SO | $25.56 | $211.00 | $9.69–$65.12 | 66% below | 88% |
| LH (luteinizing hormone) test CPT 83002 HB LAB GONADOTROPIN LH | $25.56 | $125.00 | $9.69–$65.12 | 66% below | 80% |
| Lactate (lactic acid) blood test CPT 83605 HB LAB LACTIC ACID | $15.97 | $72.00 | $6.05–$40.69 | 65% below | 78% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 HB LAB LACTATE DEHYDROGENASE LDH | $8.34 | $41.00 | $3.16–$21.24 | 65% below | 80% |
| Lipase blood test (pancreas enzyme) CPT 83690 HB LAB LIPASE | $9.51 | $48.00 | $3.60–$24.22 | 69% below | 80% |
| Liver function blood test panel CPT 80076 HB LAB HEPATIC FUNCTN PANEL | $11.27 | $54.00 | $4.27–$28.74 | 76% below | 79% |
| Lyme disease antibody test CPT 86618 HB LAB LYME DISEASE AB, SO | $23.50 | $37.00 | $8.91–$39.60 | 10% below | 36% |
| Lyme disease antibody test CPT 86618 HB LAB LYME DISEASE CSF, SO | $23.50 | $12.55 | $8.91–$39.60 | 10% below | -87% |
| Lyme disease antibody test CPT 86618 HB LAB B. BURGDORFERI VISE1/PEPC10 ABS, CSF WREFLEX, SO | $23.50 | $40.00 | $8.91–$40.00 | 10% below | 41% |
| Magnesium blood test CPT 83735 HB LAB MAGNESIUM | $9.25 | $46.00 | $3.50–$23.56 | 54% below | 80% |
| Magnesium blood test CPT 83735 HB LAB MAGNESIUM, RBC, SO | $9.25 | $7.95 | $3.50–$19.96 | 54% below | -16% |
| Measles (rubeola) antibody test CPT 86765 HB LAB RUBEOLA ANTIBODY | $17.77 | $88.00 | $6.74–$45.29 | 28% below | 80% |
| Mono test (heterophile antibody, Monospot) CPT 86308 HB LAB HETEROPHILE ANTIBODIES | $7.15 | $34.00 | $2.71–$18.21 | 83% below | 79% |
| Mumps immunity blood test CPT 86735 HB LAB MUMPS ANTIBODY | $18.01 | $89.00 | $6.83–$45.89 | 28% below | 80% |
| Obstetric blood test panel CPT 80055 OBSTETRIC PANEL | $65.98 | — | $45.42–$65.98 | 62% below | — |
| PSA (prostate-specific antigen) blood test, free CPT 84154 HB LAB PSA FREE, SO | $25.38 | $8.20 | $8.20–$54.81 | 56% below | -210% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HB LAB PSA TOTAL, SO | $25.38 | $18.00 | $9.62–$54.81 | 50% below | -41% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HB LAB PSA TOTAL | $25.38 | $124.00 | $9.62–$64.68 | 50% below | 80% |
| Pap test (liquid-based, automated screening with review) CPT 88175 HB LAB PAP SMEAR AUTO THIN LAYER PREP AND MAN SCREEN | $36.72 | $155.00 | $13.92–$93.58 | 51% below | 76% |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 HB LAB PAP SMEAR DX TLP MAN SCRN | $27.96 | $137.00 | $10.60–$71.25 | 64% below | 80% |
| Parathyroid hormone (PTH) blood test CPT 83970 HB LAB PARATHORMONE | $56.97 | $279.00 | $21.59–$145.16 | 57% below | 80% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HB LAB PART THROMBOPLASTIN (PTT) | $8.29 | $57.00 | $3.14–$22.54 | 73% below | 85% |
| Phosphorus (phosphate) blood test CPT 84100 HB LAB PHOSPHORUS INORGANIC | $6.54 | $32.00 | $2.48–$16.67 | 69% below | 80% |
| Potassium blood test CPT 84132 HB LAB POTASSIUM SERUM WHOLE BLOOD | $6.57 | $31.00 | $2.49–$16.74 | 72% below | 79% |
| Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 FETAL CHRMOML ANEUPLOIDY | $1,047.49 | — | $619.34–$1,047.49 | 249% above | — |
| Progesterone blood test CPT 84144 HB LAB PROGESTERONE | $28.79 | $141.00 | $10.91–$73.35 | 55% below | 80% |
| Prolactin blood test CPT 84146 HB LAB PROLACTIN | $26.74 | $130.00 | $10.14–$68.15 | 64% below | 79% |
| Prolactin blood test CPT 84146 HB LAB PROLACTIN, UNPRECIPITATED, SO | $26.74 | $31.07 | $10.14–$57.72 | 64% below | 14% |
| Prolactin blood test CPT 84146 HB LAB PROLACTIN TOTAL, SO | $26.74 | $31.08 | $10.14–$57.72 | 64% below | 14% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HB LAB PROTHROMBIN TIME | $5.92 | $25.00 | $2.24–$15.41 | 69% below | 76% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 HB LAB DRUG SCREEN QUAL MULTIPLE CLASSES | $17.39 | $64.00 | $6.59–$44.32 | 55% below | 73% |
| Rapid flu test (influenza antigen) CPT 87804 HB LAB IAAD BY IMMUNOASSAY W/ DIRECT OPTICAL OBSERVATION INFLUEN | $22.84 | $81.00 | $8.66–$58.20 | 52% below | 72% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 HB LAB STREP A ASSAY W/OPTIC | $22.81 | $81.00 | $8.65–$58.13 | 57% below | 72% |
| Renin blood test CPT 84244 HB LAB RENIN, SO | $30.35 | $61.00 | $11.50–$65.51 | 27% below | 50% |
| Rh blood typing CPT 86901 HB LAB BLOOD TYPING RH | $51.36 | $157.00 | $2.84–$68.48 | 148% above | 67% |
| Rheumatoid factor (RF) test CPT 86431 HB LAB RHEUMATOID FACTOR QN | $7.82 | $38.00 | $2.97–$19.92 | 77% below | 79% |
| Rheumatoid factor (RF) test CPT 86431 HB LAB RHEUMATOID FACTOR BFLD, SO | $7.82 | $13.55 | $2.97–$16.91 | 77% below | 42% |
| Rheumatoid factor (RF) test CPT 86431 HB LAB RHEUMATOID FACTOR QUANTITATIVE, SO | $7.82 | $14.00 | $2.97–$16.91 | 77% below | 44% |
| Rubella antibody test (immunity check) CPT 86762 HB LAB RUBELLA ANTIBODY | $19.86 | $98.00 | $7.53–$50.61 | 61% below | 80% |
| Rubella antibody test (immunity check) CPT 86762 HB LAB RUBELLA ANTIBODY, SO | $19.86 | $29.00 | $7.53–$41.01 | 61% below | 32% |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 HB LAB SEDIMENT RATE RBC AUTOMATED | $3.73 | $19.00 | $1.41–$9.50 | 84% below | 80% |
| Semen analysis: volume, sperm count, motility and morphology CPT 89320 HB LAB SEMEN ANALYSIS COMPLETE | $16.99 | $80.00 | $6.44–$43.28 | 82% below | 79% |
| Sodium blood test CPT 84295 HB LAB SODIUM SERUM PLASMA W/ BLOOD | $6.64 | $32.00 | $2.52–$16.91 | 68% below | 79% |
| Stool ova and parasites exam CPT 87177 HB LAB OVA & PARASITES | $12.28 | $59.00 | $4.65–$31.30 | 72% below | 79% |
| Stool ova and parasites exam CPT 87177 HB LAB OVA AND PARASITES,SMEARS AND CONCENTRATION, SO | $12.28 | $7.07 | $4.65–$26.49 | 72% below | -74% |
| Stool ova and parasites exam CPT 87177 HB LAB OVA & PARASITES (2), SO | $12.28 | $1.95 | $1.95–$26.49 | 72% below | -530% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 HB LAB FOBT COLORECT CA SCREEN | $6.04 | $22.00 | $2.29–$15.39 | 66% below | 73% |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 HB LAB FECAL OCCULT BLOOD, IMMUNOASSAY | $21.97 | $107.00 | $8.33–$55.99 | 52% below | 79% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 HB LAB TREPONEMA PALLIDUM | $18.27 | $90.00 | $6.92–$46.57 | 61% below | 80% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HB LAB SYPHILIS TEST NON-TREP QL | $5.89 | $29.00 | $2.23–$15.02 | 66% below | 80% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 HB LAB TB TEST CELL IMMUN MEASRE, SO | $85.53 | $115.00 | $32.42–$184.61 | 33% below | 26% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 HB LAB QUANTIFERON TB PLUS 1-TUBE | $85.53 | $236.00 | $32.42–$217.95 | 33% below | 64% |
| Testosterone blood test, total (not free testosterone) CPT 84403 HB LAB TESTOSTERONE FREE TOTAL | $35.62 | $174.00 | $13.50–$90.76 | at median | 80% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 HB LAB MICROSOMAL AB | $20.08 | $98.00 | $7.61–$51.16 | 56% below | 80% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 HB LAB MICROSOMAL AB, SO | $20.08 | $15.40 | $7.61–$43.33 | 56% below | -30% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HB LAB THYROID STIM HORMONE-TSH | $23.18 | $113.00 | $8.79–$59.08 | 64% below | 79% |
| Total IgE blood test CPT 82785 HB LAB GAMMAGLOB IGE | $22.71 | $110.00 | $8.61–$57.88 | 49% below | 79% |
| Total cholesterol blood test CPT 82465 HB LAB CHOLESTEROL, SERUM OR WHOLE BLOOD, TOTAL | $6.00 | $29.00 | $2.28–$15.30 | 70% below | 79% |
| Total thyroxine (T4) blood test CPT 84436 HB LAB THYROXINE TOTAL | $9.48 | $48.00 | $3.59–$24.16 | 71% below | 80% |
| Total triiodothyronine (T3) blood test CPT 84480 HB LAB T3 TRIIODOTHYRONINE TOTAL | $19.57 | $95.00 | $7.42–$49.87 | 58% below | 79% |
| Transferrin blood test CPT 84466 HB LAB TRANSFERRIN | $17.61 | $86.00 | $6.67–$44.88 | 69% below | 80% |
| Trichomonas test (NAAT) CPT 87661 HB TRICHOMONAS VAGINALIS (TMA), SO | $48.42 | $30.00 | $18.35–$100.67 | 34% below | -61% |
| Trichomonas test (NAAT) CPT 87661 HB LAB TRICHOMONAS VAGINALIS | $48.42 | $149.00 | $18.35–$123.39 | 34% below | 68% |
| Trichomonas test (NAAT) CPT 87661 HB LAB TRICH VAGINALIS AMPLIF | $48.42 | $237.00 | $18.35–$123.39 | 34% below | 80% |
| Triglycerides blood test CPT 84478 HB LAB TRIGLYCERIDES | $7.92 | $40.00 | $3.00–$20.18 | 58% below | 80% |
| Troponin test, quantitative CPT 84484 HB LAB TROPONIN T, SO | $17.21 | $45.00 | $6.52–$43.85 | 60% below | 62% |
| Troponin test, quantitative CPT 84484 HB LAB TROPONIN QUANTITATIVE | $17.21 | $68.00 | $6.52–$43.85 | 60% below | 75% |
| Troponin test, quantitative CPT 84484 HB LAB TROPONIN T HIGH SENSITIVITY, SO | $17.21 | $45.00 | $6.52–$43.85 | 60% below | 62% |
| Uric acid blood test CPT 84550 HB LAB URIC ACID BLOOD | $6.24 | $30.00 | $2.36–$15.88 | 72% below | 79% |
| Urinalysis with microscope exam, automated CPT 81001 HB LAB URINALYSIS AUTO W/ MICROSCOPE | $4.37 | $21.00 | $1.66–$11.14 | 78% below | 79% |
| Urinalysis with microscope exam, manual CPT 81000 HB LAB URINALYSIS NONAUTO W/MICRO | $5.55 | $21.00 | $2.10–$14.14 | 63% below | 74% |
| Urinalysis without microscope exam, automated CPT 81003 HB LAB URINALYSIS MACRO AUTO | $3.11 | $17.00 | $1.18–$7.92 | 76% below | 82% |
| Urinalysis without microscope exam, manual CPT 81002 HB LAB URINALYS NONAUTO W/O MICROSCOPE | $4.80 | $18.00 | $1.82–$12.22 | 70% below | 73% |
| Urine culture for bacteria, with colony count CPT 87086 HB LAB CULTURE COLONY COUNT UR | $11.14 | $54.00 | $4.22–$28.39 | 80% below | 79% |
| Urine microalbumin (albumin) test CPT 82043 HB LAB MICROALBUMIN URINE QUANT | $7.98 | $40.00 | $3.02–$20.33 | 69% below | 80% |
| Urine pregnancy test, read by color change CPT 81025 HB LAB URINE PREGNANCY TEST, BY VISUAL COLOR COMPARISON METHODS | $11.88 | $43.00 | $4.50–$30.27 | 52% below | 72% |
| Vitamin B12 (cobalamin) blood test CPT 82607 HB LAB VITAMIN B12 | $20.81 | $101.00 | $7.89–$53.03 | 65% below | 79% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HB LAB VITAMIN D 25 HYDROXY | $40.85 | $190.00 | $15.48–$104.09 | 54% below | 79% |
| Vitamin D, 1,25-dihydroxy blood test CPT 82652 HB LAB VIT D 1 25 DIHYDROXY, SO | $53.13 | $28.80 | $20.14–$114.68 | 33% below | -84% |
| Zinc blood test CPT 84630 HB LAB ZINC, BLOOD, SO | $15.72 | $9.24 | $5.96–$27.76 | 34% below | -70% |
| Zinc blood test CPT 84630 HB LAB ZINC, SERUM/PLASMA | $15.72 | $24.00 | $5.96–$27.76 | 34% below | 35% |
| Zinc blood test CPT 84630 HB LAB ZINC, URINE, SO | $15.72 | $18.08 | $5.96–$27.76 | 34% below | 13% |
| Zinc blood test CPT 84630 HB LAB ZINC, RBC, SO | $15.72 | $40.50 | $5.96–$40.06 | 34% below | 61% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HB LAB HCG QUANT-MSSP | $20.77 | $154.00 | $7.87–$52.93 | 57% below | 87% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HB LAB HCG QUANT SO | $20.77 | $38.00 | $7.87–$42.81 | 57% below | 45% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HB LAB HCG QUANT | $20.77 | $101.00 | $7.87–$52.93 | 57% below | 79% |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Michigan | Off list |
|---|---|---|---|---|---|
| Adenoid removal (adenoidectomy), child under 12 CPT 42830 REMOVAL OF ADENOIDS | $4,558.89 | — | $201.43–$7,598.14 | 51% above | — |
| Anterior cervical discectomy and fusion (ACDF), one level CPT 22551 ARTHRD ANT NTRBDY CERVICAL | $17,653.66 | — | $1,709.22–$29,422.77 | 548% above | — |
| Appendectomy for a ruptured appendix with abscess or peritonitis CPT 44960 APPENDECTOMY | $1,243.77 | — | $965.73–$5,347.45 | at median | — |
| Appendectomy, open surgery CPT 44950 APPENDECTOMY | $8,901.75 | — | $631.18–$14,836.24 | 66% above | — |
| Arthroscopic ACL reconstruction or repair of the knee CPT 29888 ARTHRS AID ACL RPR/AGMNTJ | $9,977.57 | — | $935.24–$16,629.28 | 20% below | — |
| Arthroscopic rotator cuff repair of the shoulder CPT 29827 SHO ARTHRS SRG RT8TR CUF RPR | $9,977.57 | — | $1,026.63–$16,629.28 | 128% above | — |
| Balloon dilation of the maxillary sinus opening, one side CPT 31295 NSL/SINS NDSC SURG MAX SINS | $9,704.27 | — | $148.94–$16,173.78 | 246% above | — |
| Botox injections for chronic migraine both sides CPT 64615 HB CHEMODENERVATION FACIAL/TRIGEM/CERV MUSC MIGRAINE-BILAT | $422.07 | $499.00 | $123.52–$2,056.00 | — | 15% |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 HB BREAST BX PLCMT LOC DEVICE 1ST LESN INCL STTACT GUIDE | $2,271.01 | $1,201.00 | $150.28–$3,785.02 | at median | -89% |
| Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 HB FIBULA DISTAL FX CLSD TRT-WO MAN | $339.18 | $280.00 | $138.82–$2,056.00 | 8% below | -21% |
| Broken foot (metatarsal) treatment without surgery or setting CPT 28470 HB METATARSAL FX CLSD TRT-WO MAN | $339.18 | $280.00 | $131.80–$452.24 | 9% below | -21% |
| Bunion correction with a bone cut near the head of the first metatarsal CPT 28296 COR HLX VLGS DSTL MTAR OSTEO | $4,499.12 | — | $482.35–$7,498.53 | at median | — |
| Bunion correction with removal of part of the big toe joint CPT 28292 COR HLX VLGS RSC PRX PHLX BS | $4,499.12 | — | $455.69–$7,498.53 | at median | — |
| Cardiac catheterization with coronary angiogram one side CPT 93458 HB CORONARY ANG/LV GRAM/LT HRT CATH | $4,457.77 | $8,805.00 | $622.86–$10,648.00 | 55% below | 49% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 HB CARDIOVERSION ELECTIVE ARRHYTHMIA EXTERNAL | $908.83 | $3,303.00 | $98.68–$4,951.00 | 8% below | 72% |
| Carpal tunnel release, open surgery CPT 64721 HB REVISE MEDIAN N/CARPAL TUNNEL SURG | $2,685.07 | $3,543.00 | $419.90–$4,475.11 | at median | 24% |
| Cataract surgery with lens implant CPT 66984 XCAPSL CTRC RMVL W/O ECP | $3,173.34 | — | $488.99–$7,103.00 | 14% above | — |
| Catheter ablation for atrial fibrillation CPT 93656 HB COMPREHENSIVE EPHYS EVAL TRNSPTL TX ATRIAL FIB W/ISOLATED PUL | $35,940.54 | $19,889.00 | $904.96–$59,900.90 | at median | -81% |
| Cervical biopsy CPT 57500 HB CERVIX BIOPSY SINGLE OR MULTI W/W/O FULGRATION | $1,266.48 | $369.00 | $71.58–$2,110.80 | 44% above | -243% |
| Cesarean delivery, including prenatal and postpartum care CPT 59510 CESAREAN DELIVERY | $3,792.01 | — | $2,897.15–$14,131.04 | 30% above | — |
| Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 CIRCUM 28 DAYS OR OLDER | $2,874.36 | — | $185.56–$7,103.00 | 27% below | — |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 HB CIRCUMCISION W CLAMP | $2,874.36 | $2,003.00 | $90.40–$4,790.60 | 71% above | -44% |
| Circumcision, surgical, older than a newborn CPT 54160 HB CIRCUMCISION SURGICAL | $958.81 | $2,157.00 | $135.82–$2,877.00 | at median | 56% |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 HB RADIAL FX/EPIPH SEP TRT-WO MAN | $339.18 | $303.00 | $138.82–$2,056.00 | 11% below | -12% |
| Colonoscopy with endoscopic ultrasound CPT 45391 HB COLONOSCOPY COLONOSCOPY W/ENDOSCOPE US EXAM | $1,645.43 | $2,446.00 | $237.41–$6,624.00 | at median | 33% |
| Colonoscopy with polyp removal CPT 45385 HB COLONOSCOPY W SNARE | $1,645.43 | $2,204.00 | $234.87–$2,877.00 | 5% below | 25% |
| Colonoscopy with tissue sample CPT 45380 HB COLONOSCOPY W/BIOPSY SGL/MULTI | $1,645.43 | $2,184.00 | $186.93–$2,877.00 | 12% below | 25% |
| Colonoscopy, diagnostic CPT 45378 HB COLONOSCOPY, FLEXIBLE DIAGNOSTIC | $1,278.72 | $1,756.00 | $171.81–$2,877.00 | 10% above | 27% |
| Colposcopy with LEEP (loop electrosurgical excision) CPT 57460 HB COLPOSCOPY CERVIX VAG LOOP ELTRD BX CERVIX | $4,451.18 | $405.00 | $102.97–$5,934.90 | 6% above | -999% |
| Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 HB COLPOSCOPY CERVIX W/BIOPSY OF ENDOCERVICAL CURRETAGE | $419.01 | $369.00 | $86.37–$558.68 | 11% above | -14% |
| Complex cataract surgery with lens implant CPT 66982 XCAPSL CTRC RMVL CPLX WO ECP | $3,173.34 | — | $670.56–$5,288.90 | at median | — |
| Coronary stent placement, one artery CPT 92928 HB PRQ TRLUML CORONARY STENT W/ANGIO ONE ART/BRNCH(ES) | $15,873.70 | $15,023.00 | $563.89–$26,456.16 | 22% above | -6% |
| Cystoscopy with ureteral stent placement CPT 52332 HB CYSTOSCOPY W/INSERT URETERAL STENT | $4,846.99 | $3,004.00 | $145.20–$8,078.31 | 11% above | -61% |
| Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 HB CYSTOURETHROSCOPY | $958.81 | $1,503.00 | $74.82–$2,056.00 | 11% above | 36% |
| D&C (dilation and curettage), not related to pregnancy CPT 58120 HB DILATION AND CURETTAGE DX AND/OR THER NONOBSTETRIC | $4,451.18 | $643.00 | $221.75–$7,418.63 | at median | -592% |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 HB DESTRUCT PREMALIG LESN 1ST | $275.88 | $148.00 | $32.79–$367.83 | 41% above | -86% |
| Ear tube placement (tympanostomy) under general anesthesia, one ear CPT 69436 CREATE EARDRUM OPENING | $2,133.48 | — | $149.65–$6,029.00 | at median | — |
| Ear tube placement (tympanostomy) with local anesthesia, one ear CPT 69433 HB TYMPANOSTOMY LOCAL/TOPICAL ANESTHESIA | $741.60 | $394.00 | $123.84–$4,112.00 | 90% above | -88% |
| Earwax removal by irrigation (rinsing), one ear CPT 69209 HB REM IMPACTED CERUMEN IRRIGATION/LAVAGE,BIL SUPPORT STAFF | $81.12 | $110.00 | $14.00–$2,056.00 | 22% below | 26% |
| Earwax removal by irrigation (rinsing), one ear one side CPT 69209 HB REM IMPACTED CERUMEN USING IRRIGATION/LAVAGE, UNILATERAL | $81.12 | $110.00 | $14.00–$2,056.00 | 22% below | 26% |
| Earwax removal with instruments, one ear CPT 69210 HB REMV IMPACTED CERUMEN INSTRUMENT | $81.12 | $110.00 | $19.37–$110.00 | 16% below | 26% |
| Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 HB BIOPSY OF UTERUS LINING | $277.99 | $540.00 | $60.42–$2,056.00 | 17% above | 49% |
| Endoscopic sinus surgery: full ethmoid sinus opening CPT 31255 NSL/SINS NDSC W/TOT ETHMDCT | $9,704.27 | — | $304.22–$16,173.78 | 344% above | — |
| Endoscopic sinus surgery: opening the frontal sinus CPT 31276 NSL/SINS NDSC FRNT TISS RMVL | $9,704.27 | — | $356.33–$16,173.78 | 1152% above | — |
| Endoscopic sinus surgery: opening the maxillary (cheek) sinus CPT 31256 EXPLORATION MAXILLARY SINUS | $5,126.62 | — | $171.36–$8,544.36 | 212% above | — |
| Endoscopic sinus surgery: opening the maxillary sinus with removal of tissue CPT 31267 ENDOSCOPY MAXILLARY SINUS | $9,704.27 | — | $249.65–$16,173.78 | 108% above | — |
| Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 HB INJ DX/TX EPIDURAL/SUBARACH CERV/THORA W/IMAGE GDN | $970.61 | $1,143.00 | $99.09–$2,056.00 | at median | 15% |
| Eye injection into the vitreous (intravitreal injection) CPT 67028 HB INJECT INTRAVITREAL OF A PHARMACOLOGIC AGENT | $454.19 | $494.00 | $83.74–$2,056.00 | 27% below | 8% |
| Facet joint injection, lower back, one level, with imaging guidance CPT 64493 HB INJ(S) FACET LUMBAR/SACRAL SINGLE LVL | $1,216.18 | $1,770.00 | $56.94–$1,710.06 | 12% above | 31% |
| First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm CPT 49593 RPR AA HRN 1ST 3-10 RDC | $8,901.75 | — | $566.89–$14,836.24 | 2% above | — |
| First repair of a front abdominal hernia larger than 10 cm CPT 49595 RPR AA HRN 1ST > 10 RDC | $8,901.75 | — | $764.05–$14,836.24 | at median | — |
| First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm CPT 49591 RPR AA HRN 1ST < 3 CM RDC | $4,923.19 | — | $337.55–$8,205.32 | at median | — |
| Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 HB SIGMOIDOSCOPY DIAGNOSTIC | $1,278.72 | $716.00 | $53.43–$2,131.20 | 47% below | -79% |
| Gallbladder removal, laparoscopic CPT 47562 LAPAROSCOPIC CHOLECYSTECTOMY | $8,312.83 | — | $650.97–$13,854.72 | 1% above | — |
| Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery CPT 47563 LAPARO CHOLECYSTECTOMY/GRAPH | $8,312.83 | — | $708.71–$13,854.72 | at median | — |
| Gallbladder removal, open surgery through a larger incision CPT 47600 CHOLECYSTECTOMY | $1,517.57 | — | $1,211.57–$6,525.92 | at median | — |
| Hammertoe correction surgery CPT 28285 HB REPAIR HAMMERTOE ONE | $4,499.12 | $6,148.00 | $364.50–$7,498.53 | 68% above | 27% |
| Hemorrhoid banding (rubber band ligation) CPT 46221 HB LIGATION OF HEMORRHOID(S) | $1,278.72 | $716.00 | $181.86–$2,131.20 | 11% below | -79% |
| Hemorrhoidectomy (internal and external), one area CPT 46255 REMOVE INT/EXT HEM 1 GROUP | $3,816.64 | — | $338.28–$7,103.00 | 2% above | — |
| Hip replacement after an earlier hip surgery (conversion to total hip) CPT 27132 TOTAL HIP ARTHROPLASTY | $17,653.66 | — | $1,610.40–$17,653.66 | 462% above | — |
| Hysterectomy through an abdominal incision (total) CPT 58150 TOTAL HYSTERECTOMY | $1,383.33 | — | $1,165.97–$13,268.78 | 11% below | — |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 HB INJ HYSTEROSALPINGOGRAM | $75.43 | $846.00 | $55.06–$2,056.00 | 85% below | 91% |
| Hysteroscopy with endometrial ablation CPT 58563 HYSTEROSCOPY ABLATION | $6,878.55 | — | $234.34–$11,464.26 | 44% above | — |
| Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 HB HYSTEROSCOPY BX ENDOMETRIUM AND/OR POLYPC W/WO D&C | $4,451.18 | $2,385.00 | $221.20–$7,418.63 | at median | -87% |
| IUD insertion (the device itself billed separately) CPT 58300 HB INSERTION INTRAUTERINE DEVICE IUD | $175.00 | $451.00 | $46.99–$2,056.00 | 47% below | 61% |
| Incision and drainage of a simple or single skin abscess CPT 10060 HB I&D ABSCESS SIMPLE/SINGLE | $275.88 | $227.00 | $98.51–$2,056.00 | 1% above | -22% |
| Inguinal (groin) hernia repair, age 5 or older CPT 49505 PRP I/HERN INIT REDUC >5 YR | $4,923.19 | — | $515.09–$8,514.00 | 14% below | — |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 HB INJ(S) SINGLE TENDON/LIGAMENT | $422.07 | $265.00 | $23.97–$562.76 | 5% above | -59% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HB DRAIN/INJ MAJOR JT/BURSA W/O ULSO GDN | $422.07 | $306.00 | $43.14–$2,056.00 | 1% below | -38% |
| Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 HB INSERTION DRUG IMPLANT DEVICE | $182.95 | $252.00 | $40.26–$243.93 | 10% above | 27% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 HB ARTHROCENTESIS INTERMED JOINT | $422.07 | $247.00 | $34.36–$2,056.00 | 30% above | -71% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 HB ARTHROCENTESIS SMALL JOINT | $422.07 | $177.00 | $22.41–$562.76 | 25% above | -138% |
| Knee arthroscopy with meniscus repair (one side of the knee) CPT 29882 ARTHRS KNE SRG MNISC RPR M/L | $4,499.12 | — | $664.12–$7,498.53 | 35% below | — |
| Knee arthroscopy with meniscus trim CPT 29881 ARTHRS KNE SRG MNISECTMY M/L | $4,499.12 | — | $522.09–$8,514.00 | 5% below | — |
| Knee arthroscopy with removal of both torn meniscus parts CPT 29880 ARTHRS KNE SRG MNISECTMY M&L | $4,499.12 | — | $542.20–$7,498.53 | at median | — |
| Knee arthroscopy with smoothing of damaged cartilage (chondroplasty) CPT 29877 ARTHRS KNEE SURG DBRDMT/SHVG | $4,499.12 | — | $599.18–$7,498.53 | 7% below | — |
| Laparoscopic Roux-en-Y gastric bypass, standard limb length CPT 43644 LAP GASTRIC BYPASS/ROUX-EN-Y | $2,455.21 | — | $1,797.09–$10,608.31 | 17% above | — |
| Laparoscopic adjustable gastric band placement (Lap-Band) CPT 43770 LAP PLACE GASTR ADJ DEVICE | $14,616.42 | — | $1,108.56–$24,360.70 | 738% above | — |
| Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 LAPAROSCOPY APPENDECTOMY | $8,312.83 | — | $591.77–$13,854.72 | 2% below | — |
| Laparoscopic fundoplication (anti-reflux surgery) CPT 43280 LAPAROSCOPY FUNDOPLASTY | $14,616.42 | — | $1,060.51–$24,360.70 | 433% above | — |
| Laparoscopic hysterectomy (uterus 250 g or less) CPT 58570 TLH UTERUS 250 G OR LESS | $14,616.42 | — | $770.40–$24,360.70 | 22% above | — |
| Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries CPT 58571 TLH W/T/O 250 G OR LESS | $14,616.42 | — | $865.22–$24,360.70 | 5% above | — |
| Laparoscopic inguinal (groin) hernia repair, first repair on that side CPT 49650 LAP ING HERNIA REPAIR INIT | $8,312.83 | — | $425.76–$13,854.72 | 19% above | — |
| Laparoscopic inguinal (groin) hernia repair, recurrent hernia CPT 49651 LAP ING HERNIA REPAIR RECUR | $8,312.83 | — | $556.28–$13,854.72 | at median | — |
| Laparoscopic removal of an adjustable gastric band and its port CPT 43774 LAP RMVL GASTR ADJ ALL PARTS | $5,301.42 | — | $948.74–$8,835.70 | at median | — |
| Laparoscopic removal of fallopian tubes and/or ovaries CPT 58661 LAPAROSCOPY REMOVE ADNEXA | $8,312.83 | — | $623.93–$13,854.72 | 16% above | — |
| Laparoscopic sleeve gastrectomy for weight loss CPT 43775 LAP SLEEVE GASTRECTOMY | $1,538.59 | — | $927.72–$15,150.62 | 9% below | — |
| Laser treatment of clouding after cataract surgery (YAG) CPT 66821 HB DISCISSION 2ND CATARACT LASER SURGERY | $756.27 | $1,107.00 | $187.32–$1,008.36 | 50% below | 32% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 HB REPR INTERMED SCLP/AX/TRK/EXTRM =<2.5CM | $558.97 | $317.00 | $92.76–$745.29 | 49% above | -76% |
| Left heart catheterization, diagnostic one side CPT 93452 HB CATH LT HEART W/INJ FOR LV GRAM | $4,457.77 | $6,388.00 | $551.61–$10,648.00 | 36% below | 30% |
| Lower-back epidural injection, with imaging guidance CPT 62323 HB INJ DX/TX EPIDURAL/SUBARACH LUM/SACRAL W/IMAGE GDN | $970.61 | $1,186.00 | $91.76–$2,056.00 | 6% below | 18% |
| Lower-back epidural injection, without imaging guidance CPT 62322 HB INJ DX/TX EPIDURAL/SUBARACH LUM/SACRAL W/O IMAGE GDN | $1,216.18 | $1,143.00 | $72.93–$2,056.00 | 8% above | -6% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 HB INJ ANES TRANSFORM LUMB/SAC | $1,216.18 | $991.00 | $69.56–$1,621.57 | 14% above | -23% |
| Lumbar discectomy or laminotomy to free a nerve root, one level one side CPT 63030 LAMOT DCMPRN NRV RT 1 LMBR | $9,977.57 | — | $913.27–$16,629.28 | 3% below | — |
| Lumbar fusion with interbody cage and posterolateral graft (TLIF), one level CPT 22633 ARTHRD CMBN 1NTRSPC LUMBAR | $37,310.30 | — | $1,811.68–$62,183.84 | 686% above | — |
| Lumbar interbody fusion (PLIF or TLIF), one level CPT 22630 ARTHRD PST TQ 1NTRSPC LUM | $37,310.30 | — | $1,582.97–$62,183.84 | at median | — |
| Lumbar laminectomy (spinal decompression), one level CPT 63047 LAM FACETEC & FORAMOT LUMBAR | $9,977.57 | — | $1,107.09–$16,629.28 | 5% below | — |
| Lumbar spinal fusion (posterior), one level CPT 22612 ARTHRD PST TQ 1NTRSPC LUMBAR | $24,109.66 | — | $1,565.85–$40,182.77 | 427% above | — |
| Lumpectomy (partial mastectomy) CPT 19301 PARTIAL MASTECTOMY | $5,383.86 | — | $646.93–$8,973.11 | at median | — |
| Mastectomy (total removal of the breast) CPT 19303 MAST SIMPLE COMPLETE | $9,130.48 | — | $942.03–$15,217.47 | 4% above | — |
| Miscarriage treatment with D&C, first trimester CPT 59820 HB MISCARRIAGE SURGICAL TREATMENT | $4,451.18 | $2,944.00 | $378.65–$7,418.63 | 31% above | -51% |
| Mohs surgery for skin cancer, first stage, head, neck, hands, feet or genitals CPT 17311 HB MOHS, 1 STAGE, HEAD/NECK/HAND/FEET/GENITAL | $1,016.25 | $777.00 | $328.10–$2,877.00 | 21% below | -31% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 HB EXC B9 LESN TRNK/ARM/LEG <= 0.5CM | $973.71 | $318.00 | $78.70–$2,056.00 | 34% above | -206% |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 HB EXC B9 LESN FACE,E,EL,N,LIPS, MM 0.5CM /< | $973.71 | $249.00 | $66.82–$1,298.29 | 32% above | -291% |
| Nail removal (partial or complete), one nail CPT 11730 HB AVULSION NAIL PLATE, SINGLE | $275.88 | $261.00 | $49.51–$2,056.00 | 35% above | -6% |
| Occipital nerve block (injection for headaches) CPT 64405 HB INJECT ANESTH AGENT(S) &/OR STEROID; GREAT OCCIPTL | $422.07 | $338.00 | $51.92–$2,056.00 | 18% below | -25% |
| Open Roux-en-Y gastric bypass through an abdominal incision CPT 43846 GSTR RSTCV PX SHRT ROUX-EN-Y | $2,341.82 | — | $1,714.73–$9,907.14 | 41% above | — |
| Pacemaker implant (dual chamber) CPT 33208 HB INS/REP PPM W ELTRDS ATRL&VENT | $14,371.89 | $19,586.00 | $494.85–$23,953.14 | 12% below | 27% |
| Paracentesis with imaging guidance CPT 49083 HB ABDOMINAL PARACENTESIS W GUIDANCE | $1,247.13 | $975.00 | $65.91–$1,662.84 | 2% above | -28% |
| Partial knee replacement (one compartment) CPT 27446 REVISION OF KNEE JOINT | $17,653.66 | — | $1,107.41–$29,422.77 | 592% above | — |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 HB REMOVAL OF NAIL BED | $558.97 | $289.00 | $93.71–$2,056.00 | 6% above | -93% |
| Prostate removal (prostatectomy), laparoscopic CPT 55866 LAPS SURG PRST8ECT RPBIC RAD | $14,616.42 | — | $1,120.32–$24,360.70 | 5% below | — |
| Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 HB DESTR W/NEUROLYTIC AGENT PARVERT FCT SGL LUMB/SACR | $2,685.07 | $3,363.00 | $177.30–$7,807.00 | 10% above | 20% |
| Removal of a breast lump, open surgery CPT 19120 HB EXCISE BREAST CYST | $5,383.86 | $3,528.00 | $409.21–$8,973.11 | at median | -53% |
| Removal of a foreign object under the skin, simple CPT 10120 HB I&R FB SUBQ SIMPLE | $558.97 | $289.00 | $97.78–$2,056.00 | 50% above | -93% |
| Removal of one lobe of the thyroid (lobectomy) CPT 60220 PARTIAL REMOVAL OF THYROID | $8,312.83 | — | $679.99–$13,854.72 | at median | — |
| Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 HB CA SCREEN COLONOSCOPY - NOT HIGH RISK | $1,278.72 | $1,392.00 | $117.66–$1,704.96 | 24% above | 8% |
| Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 HB COLONSCOPY HI RISK SCREEN | $1,278.72 | $975.00 | $171.81–$2,877.00 | 24% above | -31% |
| Septoplasty to straighten the nasal septum CPT 30520 REPAIR OF NASAL SEPTUM | $4,558.89 | — | $618.76–$7,598.14 | 50% above | — |
| Shock-wave lithotripsy to break up kidney stones (from outside the body) CPT 50590 FRAGMENTING OF KIDNEY STONE | $4,846.99 | — | $536.58–$8,078.31 | 25% below | — |
| Short arm cast (elbow to hand) CPT 29075 HB APPLY CAST-ELBOW TO FINGER | $384.59 | $228.00 | $60.51–$640.99 | 55% above | -69% |
| Short arm splint (forearm and hand) CPT 29125 HB APPL SHORT ARM SPLINT STATIC | $182.95 | $163.00 | $84.74–$128.62 | 4% below | -12% |
| Short leg cast (below the knee) CPT 29405 HB APPLY CAST SHORT LEG | $384.59 | $228.00 | $55.76–$640.99 | 41% above | -69% |
| Short leg splint (calf to foot) CPT 29515 HB APPL SHORT LEG SPLINT | $223.45 | $163.00 | $47.58–$372.42 | 37% above | -37% |
| Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle) CPT 29824 SHO ARTHRS SRG DSTL CLAVICLC | $4,499.12 | — | $652.54–$7,498.53 | 169% above | — |
| Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) CPT 29826 SHO ARTHRS SRG DECOMPRESSION | $220.61 | — | $187.58–$5,742.20 | 14% below | — |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 HB SMPL RPR S/N/AX/GEN/TRNK 2.5 C OR LESS | $275.88 | $180.00 | $43.22–$2,056.00 | 30% above | -53% |
| Skin biopsy, punch, one lesion CPT 11104 HB PUNCH BIOPSY SKIN SINGLE LESION | $558.97 | $260.00 | $43.68–$2,056.00 | 51% above | -115% |
| Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 HB EXC MAL LESN TRK/ARM/LEG <= 0.5CM | $973.71 | $317.00 | $113.68–$2,056.00 | 192% above | -207% |
| Skin tag removal, up to 15 tags CPT 11200 HB REMOVAL SKIN TAGS UP TO & INCLUD 15 | $275.88 | $154.00 | $70.53–$2,056.00 | 58% above | -79% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 HB SPINAL LUMBAR PUNCTURE DIAGNOSTIC | $970.61 | $1,186.00 | $63.35–$2,056.00 | 13% above | 18% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 HB SMPL RPR S/N/AX/GEN/TRK 2.6-7.5 CM | $275.88 | $214.00 | $111.26–$168.87 | 11% above | -29% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 HB SIMPLE REPR F E E N L MM =<2.5CM | $275.88 | $216.00 | $112.30–$170.45 | 17% above | -28% |
| TURP (transurethral resection of the prostate) CPT 52601 PROSTATECTOMY (TURP) | $7,372.68 | — | $682.70–$12,287.80 | 18% above | — |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 HB TANGENTIAL BIOPSY SKIN SINGLE LESION | $558.97 | $201.00 | $34.51–$2,056.00 | 95% above | -178% |
| Thoracentesis with imaging guidance CPT 32555 HB THORACENTESIS ASP PLEURAL W/IMAGING | $862.57 | $2,016.00 | $99.91–$2,056.00 | 23% below | 57% |
| Tonsil and adenoid removal, age 12 or older CPT 42821 REMOVE TONSILS AND ADENOIDS | $4,558.89 | — | $287.93–$7,598.14 | 22% above | — |
| Tonsil and adenoid removal, child under 12 CPT 42820 REMOVE TONSILS AND ADENOIDS | $8,139.99 | — | $276.28–$13,566.64 | 148% above | — |
| Tonsil removal (tonsillectomy) only, age 12 or older CPT 42826 REMOVAL OF TONSILS | $4,558.89 | — | $242.09–$7,598.14 | 11% above | — |
| Tonsil removal (tonsillectomy) only, child under 12 CPT 42825 REMOVAL OF TONSILS | $8,139.99 | — | $254.37–$13,566.64 | 162% above | — |
| Total hip replacement CPT 27130 TOTAL HIP ARTHROPLASTY | $17,653.66 | — | $1,239.12–$29,422.77 | 17% below | — |
| Total knee replacement CPT 27447 TOTAL KNEE ARTHROPLASTY | $17,653.66 | — | $1,237.44–$29,422.77 | at median | — |
| Total shoulder replacement CPT 23472 RECONSTRUCT SHOULDER JOINT | $24,109.66 | — | $1,389.16–$40,182.77 | at median | — |
| Total thyroid removal (thyroidectomy) CPT 60240 REMOVAL OF THYROID | $8,312.83 | — | $885.96–$13,854.72 | at median | — |
| Trigger finger release surgery CPT 26055 HB TENDON SHEATH INCISION | $2,211.05 | $787.00 | $200.59–$2,948.07 | 18% above | -181% |
| Trigger point injections, 1 or 2 muscles CPT 20552 HB INJ(S) SINGLE OR MULTIPLE TRIGGER PT 1 OR 2 | $422.07 | $120.00 | $25.10–$562.76 | 16% above | -252% |
| Tubal ligation, laparoscopic (tubes sealed by cautery) CPT 58670 LAPAROSCOPY TUBAL CAUTERY | $8,312.83 | — | $354.00–$13,854.72 | 68% above | — |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 HB BX BREAST 1ST LESION US IMAG | $2,271.01 | $1,201.00 | $141.03–$3,785.02 | 22% above | -89% |
| Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 HB EGD W DILATION ESOPHAGUS (<30MM) | $2,638.57 | $2,148.00 | $142.27–$4,397.62 | 10% above | -23% |
| Upper endoscopy (EGD) with biopsy CPT 43239 HB EGD TRANSORAL BIOPSY SINGLE/MUTIPLE | $1,247.13 | $2,016.00 | $127.82–$2,877.00 | at median | 38% |
| Upper endoscopy (EGD) with injection into the lining CPT 43236 HB ESOPHAGOGASTRODUODENOSCOPY FLEX, TRANSORAL SUBMUCOSAL INJECTI | $1,247.13 | $2,148.00 | $127.82–$2,877.00 | 10% below | 42% |
| Upper endoscopy (EGD) with polyp removal by snare CPT 43251 HB EGD REMOVAL TUMOR POLYP/OTHER LESION SNARE TECH | $2,638.57 | $2,148.00 | $181.30–$4,397.62 | 23% above | -23% |
| Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 HB EGD ESOPH DILATION OVER WIRE | $1,247.13 | $2,148.00 | $153.68–$2,877.00 | 16% below | 42% |
| Upper endoscopy (EGD), diagnostic CPT 43235 HB EGD, FLEX. TRANSORAL ; DIAGNOSTIC | $1,247.13 | $2,148.00 | $114.03–$2,078.56 | 41% above | 42% |
| Upper endoscopy with drainage of a pseudocyst through the stomach wall CPT 43240 HB EGD TRANSORAL TRANSMURAL DRAINAGE PSEDUOCYST | $8,347.72 | $3,187.00 | $360.31–$13,912.86 | 135% above | -162% |
| Ureteroscopy with laser stone breaking (lithotripsy) CPT 52353 CYSTOURETERO W/LITHOTRIPSY | $7,372.68 | — | $363.55–$12,287.80 | at median | — |
| Ureteroscopy with laser stone breaking and stent placement CPT 52356 CYSTO/URETERO W/LITHOTRIPSY | $7,372.68 | — | $386.68–$12,287.80 | 26% below | — |
| Vaginal birth after cesarean (VBAC), including prenatal and postpartum care CPT 59610 VBAC DELIVERY | $3,579.68 | — | $2,726.07–$13,400.28 | 22% above | — |
| Vaginal delivery, including prenatal and postpartum care CPT 59400 OBSTETRICAL CARE | $3,358.99 | — | $2,691.86–$12,730.83 | 2% above | — |
| Vasectomy, one or both sides, including follow-up semen testing CPT 55250 HB REMOVAL OF SPERM DUCT(S) | $2,874.36 | $2,655.00 | $152.59–$3,832.48 | 15% below | -8% |
| Vein ablation, radiofrequency, first vein CPT 36475 HB ENDOVEN ABLTN EXT RADIO 1ST VEIN | $4,341.66 | $643.00 | $267.17–$7,236.10 | 16% above | -575% |
| Wart removal, up to 14 warts CPT 17110 HB DESTROY B9 LESIONS UP TO 14 | $275.88 | $152.00 | $62.98–$2,056.00 | 36% above | -82% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 HB DEBRIDE SUBQ TISSUE INCL EPIDERMIS & DERMIS =<20 SQ CM | $558.97 | $543.00 | $56.75–$2,877.00 | at median | -3% |
| Wrist fracture surgery (plate and screws), distal radius CPT 25607 OPTX DST RD XARTC FX/EPI SEP | $9,977.57 | — | $717.06–$16,629.28 | 3% above | — |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Michigan | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 HB TRANSFUSION BLOOD/BLD COMP(S) PER DAY | $606.63 | $1,990.00 | $31.60–$808.85 | 19% below | 70% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HB TCM SUBSQUENT DAY CHARGE W/ SENSORS, SITE RING | $301.10 | $304.00 | $5.86–$401.47 | 73% above | 1% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HB INHALATION TX PRESS/NONPRESS AA OBSTRUCT | $301.10 | $175.00 | $5.86–$401.47 | 73% above | -72% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HB INHALATION TX PRESS/NONPRESS SPUTUM INDUCT | $301.10 | $175.00 | $5.86–$401.47 | 73% above | -72% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HB TCM INITIAL DAY | $301.10 | $496.00 | $5.86–$401.47 | 73% above | 39% |
| Chemotherapy IV infusion, first hour CPT 96413 HB CHEMO INFUSION =1 HR INIT DRUG | $454.19 | $995.00 | $109.72–$756.98 | 14% below | 54% |
| Comprehensive eye exam by an eye doctor, new patient CPT 92004 HB OPHTHY SERVICES COMPREHNSIVE NEW | $183.07 | $129.00 | $53.16–$429.82 | 24% above | -42% |
| Comprehensive eye exam, returning patient CPT 92014 HB OPHTHY SERVICES COMPREHENSIVE ESTABLISHED | $183.07 | $113.00 | $0.01 | 31% above | -62% |
| Comprehensive hearing test: tone and speech audiometry, both ears CPT 92557 HB COMPREHENSIVE AUDIOMETRY EVAL & SPEECH RECOGNITION (VIDEO) | $176.93 | $157.00 | $28.61–$294.88 | 20% below | -13% |
| Comprehensive hearing test: tone and speech audiometry, both ears CPT 92557 HB COMPREHENSIVE AUDIOMETRY EVAL & SPEECH RECOGNITION | $176.93 | $157.00 | $28.61–$294.88 | 20% below | -13% |
| Critical care, first 30 to 74 minutes CPT 99291 HB CRITICAL CARE 1ST 30-74 MINS | $1,135.82 | $4,510.00 | $198.47–$1,893.04 | 44% below | 75% |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 HB EEG AWAKE & DROWSY | $296.91 | $1,522.00 | $121.52–$494.85 | 62% below | 80% |
| Electrocardiogram (ECG/EKG) with interpretation CPT 93000 ELECTROCARDIOGRAM COMPLETE | $21.40 | — | $20.32–$60.83 | 78% below | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 HB EKG 12 LEAD TRACING ONLY | $81.12 | $110.00 | $5.80–$135.19 | 38% below | 26% |
| Electroconvulsive therapy (ECT), one session CPT 90870 HB ELECTROCONVULSIVE THERAPY | $1,180.80 | $2,026.00 | $1,050.08–$1,598.72 | 43% above | 42% |
| Electroconvulsive therapy (ECT), one session inpatient CPT 90870 HB ELECTROCONVULSIVE THERAPY | $1,180.80 | $2,026.00 | $1,050.08–$1,598.72 | — | 42% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 HB EMERGENCY ROOM VISIT LEVEL 1 | $115.95 | $227.00 | $10.75–$1,478.00 | 38% below | 49% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 HB EMERGENCY ROOM VISIT LEVEL 2 | $211.13 | $553.00 | $39.32–$1,478.00 | 40% below | 62% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 HB EMERGENCY ROOM VISIT LEVEL 3 | $375.36 | $1,068.00 | $66.20–$1,478.00 | 41% below | 65% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 HB EMERGENCY ROOM VISIT LEVEL 4 | $573.75 | $1,731.00 | $113.33–$1,478.00 | 46% below | 67% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HB EMERGENCY ROOM VISIT LEVEL 5 | $818.88 | $2,639.00 | $164.56–$1,478.00 | 52% below | 69% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 HB STRESS TEST W/EXER/PHARM,TRACING ONLY | $296.91 | $586.00 | $25.96–$395.88 | 59% below | 49% |
| Eye exam, returning patient, intermediate CPT 92012 HB OPHTHY SERVICES INTERMEDIATE ESTABLISHED | $183.07 | $82.00 | $0.01 | 53% above | -123% |
| Family therapy with the patient, 50 minutes CPT 90847 HB SA FAMILY PSYCHOTHERAPY W/PT, 50 MINUTES (MD) | $244.07 | $195.00 | $95.71–$406.78 | 85% above | -25% |
| Family therapy with the patient, 50 minutes CPT 90847 HB SA FAMILY PSYCHOTHERAPY W/PT, 50 MINUTES (OQHP) | $244.07 | $195.00 | $95.71–$406.78 | 85% above | -25% |
| Family therapy with the patient, 50 minutes CPT 90847 HB MH FAMILY PSYCHOTHERAPY W PATIENT 50 MINS (TELHLTH) | $244.07 | $85.00 | $59.50–$406.78 | 85% above | -187% |
| Family therapy with the patient, 50 minutes CPT 90847 HB FAMILY PSYCHOTHERAPY W/PT, 50 MINUTES | $244.07 | $85.00 | $59.50–$406.78 | 85% above | -187% |
| Family therapy with the patient, 50 minutes CPT 90847 HB FAMILY PSYCHOTHERAPY W/PT, 50 MINUTES PHP | $244.07 | $195.00 | $95.71–$406.78 | 85% above | -25% |
| Family therapy without the patient, 50 minutes CPT 90846 HB SA FAMILY PSYCHOTHOTHERAPY W/O PT 50 MINS (OQHP) | $244.07 | $193.00 | $91.83–$406.78 | 65% above | -26% |
| Family therapy without the patient, 50 minutes CPT 90846 HB SA FAMILY PSYCHOTHERAPY W/O PT 50 MINS | $244.07 | $193.00 | $91.83–$406.78 | 65% above | -26% |
| Family therapy without the patient, 50 minutes CPT 90846 HB FAMILY PSYCHOTHERAPY W/O PT 50 MINS | $244.07 | $86.00 | $60.20–$406.78 | 65% above | -184% |
| Family therapy without the patient, 50 minutes CPT 90846 HB MH FAMILY PSYCHOTHERAPY W/O PT 50 MINS (TELHLTH) | $244.07 | $86.00 | $60.20–$406.78 | 65% above | -184% |
| Group psychotherapy session CPT 90853 HB MH DIDACTIC GROUP PSYCHOTHERAPY | $139.68 | $68.00 | $22.77–$232.81 | 139% above | -105% |
| Group psychotherapy session CPT 90853 HB GROUP PSYCHOTHERAPY (TELHLTH) | $139.68 | $68.00 | $22.77–$232.81 | 139% above | -105% |
| Group psychotherapy session CPT 90853 HB SA GROUP PSYCHOTHERAPY | $139.68 | $103.00 | $22.77–$232.81 | 139% above | -36% |
| Group psychotherapy session CPT 90853 HB MH DIOP GRP PSYCHOTHERAPY | $139.68 | $126.00 | $22.77–$232.81 | 139% above | -11% |
| Group psychotherapy session CPT 90853 HB GROUP PSYCHOTHERAPY | $139.68 | $68.00 | $22.77–$232.81 | 139% above | -105% |
| Holter monitor, heart rhythm recording up to 48 hours, with report CPT 93224 XTRNL ECG REC UP TO 48 HRS | $95.47 | — | $147.83–$446.44 | — | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HB IV INF HYDRATION INT 31MIN-1HR | $292.48 | $396.00 | $205.25–$312.48 | 12% above | 26% |
| IV infusion of a medicine, first hour CPT 96365 HB IV INF THER/PROPHY/DX INT<=1HR | $292.48 | $396.00 | $205.25–$312.48 | 2% below | 26% |
| IV push of a medicine, first drug CPT 96374 HB IV INJ THER/PROPHY/DX PUSH | $292.48 | $300.00 | $155.49–$236.73 | 58% above | 3% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 HB INJ THERAPEUTIC/ PROPH//DX SUBQ/IM | $99.00 | $76.00 | $10.39–$132.00 | 9% above | -30% |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 HB MH PSYCHIATRIC DIAGNOSTIC EVALUATION | $244.07 | $131.00 | $91.70–$406.78 | 9% above | -86% |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 HB SA PSYCHIATRIC DIAGNOSTIC EVALUATION (MD) | $244.07 | $351.00 | $181.92–$276.97 | 9% above | 30% |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 HB SA PSYCHIATRIC DIAGNOSTIC EVALUATION (OQHP) | $244.07 | $351.00 | $181.92–$276.97 | 9% above | 30% |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 HB MH PSYCHIATRIC DIAGNOSTIC EVALUATION, BY NEUROPSYCH | $244.07 | $131.00 | $91.70–$406.78 | 9% above | -86% |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 HB SA PSYCHIATRIC DIAGNOSTIC EVALUATION | $244.07 | $351.00 | $99.89–$406.78 | 9% above | 30% |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 HB MH PSYCHIATRIC DIAGNOSTIC EVALUATION (AUDIO/TELHLTH) | $244.07 | $131.00 | $93.44–$325.42 | 9% above | -86% |
| Nerve conduction study, 7 or 8 nerve studies CPT 95910 HB MOTOR &/SENS 7-8 NRV CNDJ PRECONF ELTRODE LIMB | $513.11 | $1,171.00 | $51.66–$684.15 | 32% below | 56% |
| Neuromuscular re-education, 15 minutes CPT 97112 HB PT NEUROMUSCULAR RE-ED EA 15 MIN | $44.73 | $118.00 | $47.20–$93.11 | 53% below | 62% |
| Neuromuscular re-education, 15 minutes CPT 97112 HB PT NEUROMUSCULAR REEDUCATION EACH 15 MIN (VIDEO) | $44.73 | $118.00 | $29.51–$50.34 | 53% below | 62% |
| Neuromuscular re-education, 15 minutes CPT 97112 HB OT NEUROMUSCULAR RE-ED EA 15 MIN | $44.73 | $118.00 | $29.51–$50.34 | 53% below | 62% |
| Neuromuscular re-education, 15 minutes CPT 97112 HB OT NEUROMUSCULAR REEDUCATION EACH 15 MIN (VIDEO) | $44.73 | $118.00 | $29.51–$50.34 | 53% below | 62% |
| New patient office visit, about 30 minutes CPT 99203 HB OFF VISIT NEW LEVEL 3 | $103.09 | $105.00 | $0.01 | 8% below | 2% |
| New patient office visit, about 45 minutes CPT 99204 HB OFC/OP VISIT NEW LVL 4 | $167.85 | $135.00 | $0.01 | 42% above | -24% |
| New patient office visit, about 45 minutes CPT 99204 HB OFF VISIT NEW LEVEL IV SA (MD/SA) | $167.85 | $283.00 | $0.01 | 42% above | 41% |
| New patient office visit, about 60 minutes CPT 99205 HB OFF VISIT NEW LEVEL 5 | $231.11 | $165.00 | $0.01 | 69% above | -40% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 HB OFF VISIT NEW LEVEL 2 | $58.54 | $85.00 | $0.01 | 29% below | 31% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 HB MEDICAL NUTRITION INDIV INTERVENTION EACH 15 MIN (AUDIO) | $35.00 | $65.00 | $26.32–$42.76 | 24% below | 46% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 HB NUTRITION THRPY INIT ASSMNT 15 MIN | $35.00 | $65.00 | $26.32–$42.76 | 24% below | 46% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 HB MEDICAL NUTRITION INDIV INTERVENTION EACH 15 MIN (VIDEO) | $35.00 | $65.00 | $26.00–$51.29 | 24% below | 46% |
| Occupational therapy evaluation, low complexity CPT 97165 HB OT EVAL LOW COMPLEX 30 MIN (VIDEO) | $136.70 | $300.00 | $92.91–$155.14 | 34% below | 54% |
| Occupational therapy evaluation, low complexity CPT 97165 HB OT EVAL/ LOW COMPLEXITY | $136.70 | $300.00 | $120.00–$236.73 | 34% below | 54% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 HB PT EVAL/ HIGH COMPLEXITY | $133.14 | $377.00 | $90.56–$151.72 | 43% below | 65% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 HB PT EVAL HIGH COMPLEX 45 MIN (VIDEO) | $133.14 | $377.00 | $90.56–$151.72 | 43% below | 65% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 HB PT EVAL LOW COMPLEX 20 MIN (VIDEO) | $133.14 | $300.00 | $90.56–$151.72 | 32% below | 56% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 HB PT EVAL/LOW COMPLEXITY | $133.14 | $300.00 | $120.00–$236.73 | 32% below | 56% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 HB PT EVAL MOD COMPLEX 30 MIN (VIDEO) | $133.14 | $338.00 | $90.56–$151.72 | 41% below | 61% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 HB PT EVAL/ MOD COMPLEXITY | $133.14 | $338.00 | $90.56–$151.72 | 41% below | 61% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HB OT MANUAL THERAPY EA 15 MIN | $37.95 | $118.00 | $25.08–$42.72 | 61% below | 68% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HB PT MANUAL THERAPY EA 15 MIN | $37.95 | $118.00 | $47.20–$93.11 | 61% below | 68% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HB PT THERAPEUTIC EXERCISE EA 15 MIN | $39.76 | $118.00 | $47.20–$93.11 | 57% below | 66% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HB OT THERAPEUTIC EXERCISES EACH 15 MIN (VIDEO) | $39.76 | $118.00 | $26.56–$44.77 | 57% below | 66% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HB PT THERAPEUTIC EXERCISES EACH 15 MIN (VIDEO) | $39.76 | $118.00 | $26.56–$44.77 | 57% below | 66% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HB OT THERAPEUTIC EXERCISE EA 15 MIN | $39.76 | $118.00 | $26.56–$44.77 | 57% below | 66% |
| Psychiatric evaluation with medical services CPT 90792 HB SA PSYCHIATRIC DIAGNOSTIC EVAL W/MEDICAL SERVICES (MD) | $244.07 | $330.00 | $171.04–$260.40 | 23% above | 26% |
| Psychiatric evaluation with medical services CPT 90792 HB PSYCHIATRIC DIAGNOSTIC EVAL W/MEDICAL SERVICES (TELHLTH) | $244.07 | $110.00 | $94.84–$325.42 | 23% above | -122% |
| Psychiatric evaluation with medical services CPT 90792 HB MH PSYCHIATRIC DIAGNOSTIC EVAL W/MEDICAL SERVICES | $244.07 | $110.00 | $77.00–$406.78 | 23% above | -122% |
| Psychiatric evaluation with medical services CPT 90792 HB SA PSYCHIATRIC DIAGNOSTIC EVAL W/MEDICAL SERVICES | $244.07 | $330.00 | $99.89–$406.78 | 23% above | 26% |
| Psychological testing evaluation by a psychologist or physician, first hour CPT 96130 HB PSYCHOLOGICAL TST EVAL SVC PHYS/QHP FIRST HOUR | $296.91 | $118.00 | $68.81–$395.88 | 31% below | -152% |
| Psychotherapy for crisis, first 60 minutes CPT 90839 HB SA PSYCHOTHERAPY FOR CRISIS INITIAL 60 MINUTES | $244.07 | $337.00 | $88.36–$325.42 | 139% above | 28% |
| Psychotherapy for crisis, first 60 minutes CPT 90839 HB MH PSYCHOTHERAPY CRISIS 1ST 60 MINS (AUDIO/TELHLTH) | $244.07 | $100.00 | $70.00–$406.78 | 139% above | -144% |
| Psychotherapy for crisis, first 60 minutes CPT 90839 HB PSYCHOTHERAPY CRISIS INTL 60 MINS | $244.07 | $100.00 | $88.36–$325.42 | 139% above | -144% |
| Psychotherapy session, 30 minutes CPT 90832 HB PSYCHOTHERAPY PATIENT 30 MINUTES PHP | $244.07 | $112.00 | $47.28–$325.42 | 26% above | -118% |
| Psychotherapy session, 30 minutes CPT 90832 HB SA PSYCHOTHERAPY PATIENT 30 MINUTES (MD) | $244.07 | $112.00 | $64.32–$406.78 | 26% above | -118% |
| Psychotherapy session, 30 minutes CPT 90832 HB PSYCHOTHERAPY PATIENT 30 MINUTES | $244.07 | $44.00 | $44.00–$325.42 | 26% above | -455% |
| Psychotherapy session, 30 minutes CPT 90832 HB SA PSYCHOTHERAPY PATIENT 30 MINUTES | $244.07 | $112.00 | $47.28–$325.42 | 26% above | -118% |
| Psychotherapy session, 30 minutes CPT 90832 HB PSYCHOTHERAPY PATIENT 30 MIN PHP (TELHLTH) | $244.07 | $112.00 | $64.32–$406.78 | 26% above | -118% |
| Psychotherapy session, 30 minutes CPT 90832 HB MH PSYCHOTHERAPY 30 MINS W/PT (TELHLTH) | $244.07 | $44.00 | $44.00–$325.42 | 26% above | -455% |
| Psychotherapy session, 45 minutes CPT 90834 HB PSYCHOTHERAPY PATIENT 45 MINUTES PHP | $244.07 | $163.00 | $84.48–$128.62 | 14% above | -50% |
| Psychotherapy session, 45 minutes CPT 90834 HB MH PSYCHOTHERAPY 45 MINS W/PT (TELHLTH) | $244.07 | $60.00 | $42.00–$406.78 | 14% above | -307% |
| Psychotherapy session, 45 minutes CPT 90834 HB PSYCHOTHERAPY PATIENT 45 MIN PHP (TELHLTH) | $244.07 | $163.00 | $84.78–$406.78 | 14% above | -50% |
| Psychotherapy session, 45 minutes CPT 90834 HB FAMILY PSYCHOTHERAPY W PT 50 MIN PHP (TELHLTH) | $244.07 | $205.00 | $84.78–$406.78 | 14% above | -19% |
| Psychotherapy session, 45 minutes CPT 90834 HB SA PSYCHOTHERAPY PATIENT 45 MINUTES (MD) | $244.07 | $163.00 | $84.78–$406.78 | 14% above | -50% |
| Psychotherapy session, 45 minutes CPT 90834 HB SA PSYCHOTHERAPY PATIENT 45 MINUTES (OQHP) | $244.07 | $163.00 | $84.78–$406.78 | 14% above | -50% |
| Psychotherapy session, 45 minutes CPT 90834 HB PSYCHOTHERAPY PATIENT 45 MINUTES | $244.07 | $60.00 | $60.00–$325.42 | 14% above | -307% |
| Psychotherapy session, 60 minutes CPT 90837 HB SA PSYCHOTHERAPY PATIENT 60 MINUTES | $244.07 | $306.00 | $158.60–$241.46 | 6% above | 20% |
| Psychotherapy session, 60 minutes CPT 90837 HB PSYCHOTHERAPY PATIENT 60 MINUTES | $244.07 | $126.00 | $92.09–$325.42 | 6% above | -94% |
| Psychotherapy session, 60 minutes CPT 90837 HB SA PSYCHOTHERAPY PATIENT 60 MINUTES (MD) | $244.07 | $225.00 | $99.89–$406.78 | 6% above | -8% |
| Psychotherapy session, 60 minutes CPT 90837 HB MH PSYCHOTHERAPY 60 MINS W/PT (AUDIO/TELHLTH) | $244.07 | $126.00 | $88.20–$406.78 | 6% above | -94% |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 HB TOBACCO COUNSELING >3 TO 10 MIN INTERMEDIATE | $51.52 | $22.00 | $11.44–$17.36 | 26% above | -134% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 HB OFF VISIT POST-OP >25 MINS | $178.74 | $132.00 | $0.01 | 8% above | -35% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 HB OB TRIAGE EST PT LEVEL 5 | $178.74 | $621.00 | $186.30–$490.03 | 8% above | 71% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 HB OFF VISIT ESTAB LEVEL 5 | $178.74 | $132.00 | $0.01 | 8% above | -35% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 HB SA OFF VISIT EST LEVEL III (MD/SA) | $81.60 | $146.00 | $0.01 | 15% below | 44% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 HB OB TRIAGE EST PT LEVEL 3 | $81.60 | $415.00 | $124.50–$327.48 | 15% below | 80% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 HB OFF VISIT POST-OP 11-20 MINS | $81.60 | $74.00 | $0.01 | 15% below | -10% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 HB OFF VISIT ESTAB LEVEL 3 | $81.60 | $74.00 | $0.01 | 15% below | -10% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HB OFF VISIT ESTAB LEVEL 4 | $120.28 | $100.00 | $0.01 | 2% above | -20% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HB OFF VISIT POST-OP 21-25 MINS | $120.28 | $100.00 | $0.01 | 2% above | -20% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HB SA OFF VISIT EST LEVEL IV (MD/SA) | $120.28 | $207.00 | $0.01 | 2% above | 42% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HB OB TRIAGE EST PT LEVEL 4 | $120.28 | $519.00 | $155.70–$409.54 | 2% above | 77% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HB OB TRIAGE EST PT LEVEL 2 | $44.49 | $348.00 | $104.40–$274.61 | 40% below | 87% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HB OFF VISIT ESTAB LEVEL 2 | $44.49 | $51.00 | $0.01 | 40% below | 13% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HB OFF VISIT POST-OP 6-10 MINS | $44.49 | $59.00 | $0.01 | 40% below | 25% |
| Speech and language evaluation CPT 92523 HB EVAL SPEECH SOUND; W/EVAL. LANG. COMPR. AND EXPRESSION | $308.10 | $410.00 | $206.87–$356.16 | 18% below | 25% |
| Speech and language evaluation CPT 92523 HB SPEECH SOUND LANGUAGE COMPREHENSION (VIDEO) | $308.10 | $410.00 | $206.87–$356.16 | 18% below | 25% |
| Speech therapy session, individual CPT 92507 HB TREAT SPEECH/LANGUAGE | $103.85 | $261.00 | $69.38–$119.78 | 51% below | 60% |
| Speech therapy session, individual CPT 92507 HB SPEECH/HEARING THERAPY INDIVIDUAL (VIDEO) | $103.85 | $261.00 | $69.38–$119.78 | 51% below | 60% |
| Spirometry (breathing test) CPT 94010 HB SPIROMETRY | $296.91 | $208.00 | $107.81–$164.13 | 44% above | -43% |
| Spirometry before and after a bronchodilator CPT 94060 HB BRONCHOSPSM EVAL PRE/POST BRONCHDIL ADMIN | $513.11 | $357.00 | $25.75–$855.19 | 26% above | -44% |
| TMS (transcranial magnetic stimulation), first session with mapping CPT 90867 HB THERAPEUTIC REPETITIVE TMS TREATMENT; INITIAL | $296.91 | $111.00 | $57.53–$87.59 | 26% below | -167% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 HB PT THERAPEUTIC ACTIVITIES EACH 15 MIN (VIDEO) | $47.75 | $118.00 | $31.83–$54.47 | 41% below | 60% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 HB OT THERAPEUTIC ACTIVITIES EACH 15 MIN (VIDEO) | $47.75 | $118.00 | $31.83–$54.47 | 41% below | 60% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 HB OT THERAPEUTIC ACTIVITIES EA 15 MIN | $47.75 | $118.00 | $47.20–$93.11 | 41% below | 60% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 HB PT THERAPEUTIC ACTIVITIES EA 15 MIN | $47.75 | $118.00 | $47.20–$93.11 | 41% below | 60% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 HB THERAPEUTIC PHLEBOTOMY | $182.95 | $429.00 | $222.35–$338.52 | 22% below | 57% |
| Treadmill or drug stress test with ECG, supervision and report CPT 93015 CV STRESS TEST SUPVJ I&R | $100.37 | — | $132.20–$296.69 | 79% below | — |
| Visual field test, extended CPT 92083 HB VISUAL FIELD EXAM-EXTENDED | $182.95 | $239.00 | $24.71–$243.93 | 9% above | 23% |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Michigan | Off list |
|---|---|---|---|---|---|
| Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older CPT 90653 IIV ADJUVANT VACCINE IM | $135.46 | — | $55.44–$273.13 | 52% above | — |
| COVID-19 vaccine (Moderna), age 12 and older CPT 91322 SARSCOV2 VAC 50 MCG/0.5ML IM | $223.08 | — | $91.30–$449.79 | 20% below | — |
| COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 SARSCV2 VAC 30MCG TRS-SUC IM | $151.00 | — | $95.09–$468.49 | 30% below | — |
| Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 VARICELLA VIRUS VACCINE LIVE (PF) 1350 UNIT/0.5 ML SUBCUTANEOUS SUSP | $241.00 | $579.10 | $173.73–$579.10 | 19% above | 58% |
| Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 VARICELLA VIRUS VACCINE LIVE (PF) 1350 UNIT/0.5 ML SUBCUTANEOUS SUSP | $241.00 | $579.10 | $173.73–$579.10 | 19% above | 58% |
| Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 VARICELLA VIRUS VACCINE LIVE (PF) 1350 UNIT/0.5 ML SUBCUTANEOUS SUSP | $241.00 | $579.10 | $173.73–$579.10 | — | 58% |
| Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 VARICELLA VIRUS VACCINE LIVE (PF) 1350 UNIT/0.5 ML SUBCUTANEOUS SUSP | $241.00 | $579.10 | $173.73–$579.10 | — | 58% |
| DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) CPT 90696 DTAP-IPV VACCINE 4-6 YRS IM | $49.00 | — | $49.00–$185.20 | 21% below | — |
| DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 DTAP VACCINE < 7 YRS IM | $22.00 | — | $22.00–$86.81 | 43% below | — |
| DTaP, hepatitis B and polio combination vaccine (Pediarix) CPT 90723 HEP B-DP(A)T-POLIO VACC (PF) 10 MCG-25LF-25 MCG-10LF/0.5 ML IM SYRINGE | $67.00 | $327.38 | $98.21–$327.38 | 50% below | 80% |
| DTaP, hepatitis B and polio combination vaccine (Pediarix) CPT 90723 HEP B-DP(A)T-POLIO VACC (PF) 10 MCG-25LF-25 MCG-10LF/0.5 ML IM SYRINGE | $67.00 | $327.38 | $98.21–$327.38 | 50% below | 80% |
| DTaP, hepatitis B and polio combination vaccine (Pediarix) inpatient CPT 90723 HEP B-DP(A)T-POLIO VACC (PF) 10 MCG-25LF-25 MCG-10LF/0.5 ML IM SYRINGE | $67.00 | $327.38 | $98.21–$327.38 | — | 80% |
| DTaP, hepatitis B and polio combination vaccine (Pediarix) inpatient CPT 90723 HEP B-DP(A)T-POLIO VACC (PF) 10 MCG-25LF-25 MCG-10LF/0.5 ML IM SYRINGE | $67.00 | $327.38 | $98.21–$327.38 | — | 80% |
| DTaP, polio and Hib combination vaccine (Pentacel) CPT 90698 DTAP-IPV/HIB VACCINE IM | $43.00 | — | $43.00–$369.67 | 73% below | — |
| Flu shot, recombinant, egg-free (Flublok) CPT 90673 RIV3 VACCINE NO PRESERV IM | $135.46 | — | $55.44–$273.13 | 23% above | — |
| HPV vaccine, 9-valent (Gardasil 9) CPT 90651 9VHPV VACCINE 2/3 DOSE IM | $287.00 | — | $287.00–$936.16 | 14% below | — |
| Hepatitis A and B combination vaccine, adult (Twinrix) CPT 90636 HEPATITIS A AND B VIRUS VACCINE(PF)720 ELISA UNIT-20 MCG/ML IM SYRINGE | $166.00 | $425.29 | $127.59–$425.29 | 4% below | 61% |
| Hepatitis A and B combination vaccine, adult (Twinrix) CPT 90636 HEPATITIS A AND B VIRUS VACCINE(PF)720 ELISA UNIT-20 MCG/ML IM SYRINGE | $166.00 | $425.29 | $127.59–$425.29 | 4% below | 61% |
| Hepatitis A and B combination vaccine, adult (Twinrix) inpatient CPT 90636 HEPATITIS A AND B VIRUS VACCINE(PF)720 ELISA UNIT-20 MCG/ML IM SYRINGE | $166.00 | $425.29 | $127.59–$425.29 | — | 61% |
| Hepatitis A and B combination vaccine, adult (Twinrix) inpatient CPT 90636 HEPATITIS A AND B VIRUS VACCINE(PF)720 ELISA UNIT-20 MCG/ML IM SYRINGE | $166.00 | $425.29 | $127.59–$425.29 | — | 61% |
| Hepatitis A vaccine, adult dose CPT 90632 HEPATITIS A VACCINE (PF) 1440 ELISA UNIT/ML INTRAMUSCULAR SYRINGE | $109.00 | $271.46 | $81.44–$234.00 | 7% below | 60% |
| Hepatitis A vaccine, adult dose CPT 90632 HEPATITIS A VACCINE (PF) 1440 ELISA UNIT/ML INTRAMUSCULAR SYRINGE | $109.00 | $271.46 | $81.44–$234.00 | 7% below | 60% |
| Hepatitis A vaccine, adult dose inpatient CPT 90632 HEPATITIS A VACCINE (PF) 1440 ELISA UNIT/ML INTRAMUSCULAR SYRINGE | $109.00 | $271.46 | $81.44–$234.00 | — | 60% |
| Hepatitis A vaccine, adult dose inpatient CPT 90632 HEPATITIS A VACCINE (PF) 1440 ELISA UNIT/ML INTRAMUSCULAR SYRINGE | $109.00 | $271.46 | $81.44–$234.00 | — | 60% |
| Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 HEPATITIS A VIRUS VACCINE (PF) 720 ELISA UNIT/0.5 ML IM SYRINGE | $29.00 | $242.17 | $72.65–$242.17 | 62% below | 88% |
| Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 HEPATITIS A VIRUS VACCINE (PF) 720 ELISA UNIT/0.5 ML IM SYRINGE | $29.00 | $242.17 | $72.65–$242.17 | 62% below | 88% |
| Hepatitis A vaccine, child and teen dose (2-dose schedule) inpatient CPT 90633 HEPATITIS A VIRUS VACCINE (PF) 720 ELISA UNIT/0.5 ML IM SYRINGE | $29.00 | $242.17 | $72.65–$242.17 | — | 88% |
| Hepatitis A vaccine, child and teen dose (2-dose schedule) inpatient CPT 90633 HEPATITIS A VIRUS VACCINE (PF) 720 ELISA UNIT/0.5 ML IM SYRINGE | $29.00 | $242.17 | $72.65–$242.17 | — | 88% |
| Hib vaccine (Haemophilus influenzae type b), 3-dose schedule (PedvaxHIB) CPT 90647 HAEMOPH B POLYSAC CONJ-MENING (PF) 7.5 MCG/0.5 ML INTRAMUSCULAR SOLN | $40.00 | $97.17 | $29.15–$83.76 | 19% below | 59% |
| Hib vaccine (Haemophilus influenzae type b), 3-dose schedule (PedvaxHIB) CPT 90647 HAEMOPH B POLYSAC CONJ-MENING (PF) 7.5 MCG/0.5 ML INTRAMUSCULAR SOLN | $40.00 | $97.17 | $29.15–$83.76 | 19% below | 59% |
| Hib vaccine (Haemophilus influenzae type b), 3-dose schedule (PedvaxHIB) inpatient CPT 90647 HAEMOPH B POLYSAC CONJ-MENING (PF) 7.5 MCG/0.5 ML INTRAMUSCULAR SOLN | $40.00 | $97.17 | $29.15–$83.76 | — | 59% |
| Hib vaccine (Haemophilus influenzae type b), 3-dose schedule (PedvaxHIB) inpatient CPT 90647 HAEMOPH B POLYSAC CONJ-MENING (PF) 7.5 MCG/0.5 ML INTRAMUSCULAR SOLN | $40.00 | $97.17 | $29.15–$83.76 | — | 59% |
| Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 HIB PRP-T VACCINE 4 DOSE IM | $17.00 | — | $12.95–$57.01 | 59% below | — |
| Japanese encephalitis vaccine (Ixiaro), 2-dose schedule CPT 90738 INACTIVATED JE VACC IM | $313.00 | — | $313.00–$839.73 | 29% below | — |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 MEASLESMUMPSRUBELLA VACCINE LIVE(PF)1000-12500TCID50/0.5 ML SUBCUT | $125.00 | $292.22 | $87.67–$251.89 | 8% below | 57% |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 MEASLESMUMPSRUBELLA VACCINE LIVE(PF)1000-12500TCID50/0.5 ML SUBCUT | $125.00 | $292.22 | $87.67–$251.89 | 8% below | 57% |
| MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 MEASLESMUMPSRUBELLA VACCINE LIVE(PF)1000-12500TCID50/0.5 ML SUBCUT | $125.00 | $292.22 | $87.67–$251.89 | — | 57% |
| MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 MEASLESMUMPSRUBELLA VACCINE LIVE(PF)1000-12500TCID50/0.5 ML SUBCUT | $125.00 | $292.22 | $87.67–$251.89 | — | 57% |
| MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) CPT 90710 MEASLESMUMPSRUBELVARICEL LIV(PF)10E3-4.3-3-3.99TCID50/0.5 ML SUBCUT | $366.00 | $863.51 | $259.05–$863.51 | 3% above | 58% |
| MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) CPT 90710 MEASLESMUMPSRUBELVARICEL LIV(PF)10E3-4.3-3-3.99TCID50/0.5 ML SUBCUT | $366.00 | $863.51 | $259.05–$863.51 | 3% above | 58% |
| MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) inpatient CPT 90710 MEASLESMUMPSRUBELVARICEL LIV(PF)10E3-4.3-3-3.99TCID50/0.5 ML SUBCUT | $366.00 | $863.51 | $259.05–$863.51 | — | 58% |
| MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) inpatient CPT 90710 MEASLESMUMPSRUBELVARICEL LIV(PF)10E3-4.3-3-3.99TCID50/0.5 ML SUBCUT | $366.00 | $863.51 | $259.05–$863.51 | — | 58% |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENINGOC VAC ACYW-135 DIP(PF) 10 MCG-5 MCG/0.5 ML IM KIT (2 VIALS) | $112.00 | $532.88 | $159.86–$532.88 | 46% below | 79% |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENINGOC VAC ACYW-135 DIP(PF) 10 MCG-5 MCG/0.5 ML IM KIT (2 VIALS) | $112.00 | $532.88 | $159.86–$532.88 | 46% below | 79% |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENINGOCOCCAL VAC ACYW-135 DIP(PF) 10 MCG-5 MCG/0.5 ML IM SOLUTION | $112.00 | $532.88 | $159.86–$532.88 | 46% below | 79% |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENINGOCOCCAL A CONJ VACC 2 OF 2(PF) 10 MCG/0.5 ML (FINAL) IM SOLUTION | $112.00 | $532.88 | $159.86–$532.88 | 46% below | 79% |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENINGOCOCCAL VAC ACYW-135 DIP(PF) 10 MCG-5 MCG/0.5 ML IM SOLUTION | $112.00 | $532.88 | $159.86–$532.88 | 46% below | 79% |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENINGOCOCCAL A CONJ VACC 2 OF 2(PF) 10 MCG/0.5 ML (FINAL) IM SOLUTION | $112.00 | $532.88 | $159.86–$532.88 | 46% below | 79% |
| Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 MENINGOC VAC ACYW-135 DIP(PF) 10 MCG-5 MCG/0.5 ML IM KIT (2 VIALS) | $112.00 | $532.88 | $159.86–$532.88 | — | 79% |
| Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 MENINGOCOCCAL A CONJ VACC 2 OF 2(PF) 10 MCG/0.5 ML (FINAL) IM SOLUTION | $112.00 | $532.88 | $159.86–$532.88 | — | 79% |
| Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 MENINGOCOCCAL A CONJ VACC 2 OF 2(PF) 10 MCG/0.5 ML (FINAL) IM SOLUTION | $112.00 | $532.88 | $159.86–$532.88 | — | 79% |
| Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 MENINGOCOCCAL VAC ACYW-135 DIP(PF) 10 MCG-5 MCG/0.5 ML IM SOLUTION | $112.00 | $532.88 | $159.86–$532.88 | — | 79% |
| Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 MENINGOC VAC ACYW-135 DIP(PF) 10 MCG-5 MCG/0.5 ML IM KIT (2 VIALS) | $112.00 | $532.88 | $159.86–$532.88 | — | 79% |
| Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 MENINGOCOCCAL VAC ACYW-135 DIP(PF) 10 MCG-5 MCG/0.5 ML IM SOLUTION | $112.00 | $532.88 | $159.86–$532.88 | — | 79% |
| Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 MENINGOCOCCAL B VAC4-CMP 50 MCG-50 MCG-50 MCG-25 MCG/0.5ML IM SYRINGE | $295.00 | $756.68 | $227.00–$756.68 | 12% below | 61% |
| Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 MENINGOCOCCAL B VAC4-CMP 50 MCG-50 MCG-50 MCG-25 MCG/0.5ML IM SYRINGE | $295.00 | $756.68 | $227.00–$756.68 | 12% below | 61% |
| Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 MENINGOCOCCAL B VAC4-CMP 50 MCG-50 MCG-50 MCG-25 MCG/0.5ML IM SYRINGE | $295.00 | $756.68 | $227.00–$756.68 | — | 61% |
| Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 MENINGOCOCCAL B VAC4-CMP 50 MCG-50 MCG-50 MCG-25 MCG/0.5ML IM SYRINGE | $295.00 | $756.68 | $227.00–$756.68 | — | 61% |
| Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 PCV13 VACCINE IM | $115.00 | — | $115.00–$644.00 | 56% below | — |
| Pneumonia vaccine, 15-valent conjugate (Vaxneuvance) CPT 90671 PCV15 VACCINE IM | $371.64 | — | $152.10–$749.36 | 47% below | — |
| Pneumonia vaccine, 21-valent conjugate (Capvaxive) CPT 90684 PCV21 VACCINE IM | $475.07 | — | $194.43–$957.88 | 6% above | — |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PPSV23 VACC 2 YRS+ SUBQ/IM | $154.00 | — | $68.22–$371.38 | 3% below | — |
| Polio vaccine, inactivated (IPV) CPT 90713 POLIOVIRUS VACCINE 40 UNIT-8 UNIT-32 UNIT/0.5 ML INJECTION SUSPENSION | $56.00 | $1,416.83 | $425.05–$1,221.31 | 11% below | 96% |
| Polio vaccine, inactivated (IPV) CPT 90713 POLIOVIRUS VACCINE 40 UNIT-8 UNIT-32 UNIT/0.5 ML INJECTION SUSPENSION | $56.00 | $1,416.83 | $425.05–$1,221.31 | 11% below | 96% |
| Polio vaccine, inactivated (IPV) inpatient CPT 90713 POLIOVIRUS VACCINE 40 UNIT-8 UNIT-32 UNIT/0.5 ML INJECTION SUSPENSION | $56.00 | $1,416.83 | $425.05–$1,221.31 | — | 96% |
| Polio vaccine, inactivated (IPV) inpatient CPT 90713 POLIOVIRUS VACCINE 40 UNIT-8 UNIT-32 UNIT/0.5 ML INJECTION SUSPENSION | $56.00 | $1,416.83 | $425.05–$1,221.31 | — | 96% |
| RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) CPT 90381 NIRSEVIMAB-ALIP 100 MG/ML INTRAMUSCULAR SYRINGE | $525.00 | $1,835.19 | $550.56–$1,835.19 | 29% below | 71% |
| RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) CPT 90381 NIRSEVIMAB-ALIP 100 MG/ML INTRAMUSCULAR SYRINGE | $525.00 | $1,835.19 | $550.56–$1,835.19 | 29% below | 71% |
| RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) inpatient CPT 90381 NIRSEVIMAB-ALIP 100 MG/ML INTRAMUSCULAR SYRINGE | $525.00 | $1,835.19 | $550.56–$1,835.19 | — | 71% |
| RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) inpatient CPT 90381 NIRSEVIMAB-ALIP 100 MG/ML INTRAMUSCULAR SYRINGE | $525.00 | $1,835.19 | $550.56–$1,835.19 | — | 71% |
| RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 NIRSEVIMAB-ALIP 50 MG/0.5 ML INTRAMUSCULAR SYRINGE | $325.00 | $1,835.18 | $550.55–$1,835.18 | 56% below | 82% |
| RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 NIRSEVIMAB-ALIP 50 MG/0.5 ML INTRAMUSCULAR SYRINGE | $325.00 | $1,835.18 | $550.55–$1,835.18 | 56% below | 82% |
| RSV antibody shot for infants, seasonal dose (0.5 mL) inpatient CPT 90380 NIRSEVIMAB-ALIP 50 MG/0.5 ML INTRAMUSCULAR SYRINGE | $325.00 | $1,835.18 | $550.55–$1,835.18 | — | 82% |
| RSV antibody shot for infants, seasonal dose (0.5 mL) inpatient CPT 90380 NIRSEVIMAB-ALIP 50 MG/0.5 ML INTRAMUSCULAR SYRINGE | $325.00 | $1,835.18 | $550.55–$1,835.18 | — | 82% |
| RSV vaccine (Abrysvo), one dose for older adults or during pregnancy CPT 90678 RSV VACC PREF BIVALENT IM | $300.00 | — | $299.19–$907.97 | 37% below | — |
| Rabies vaccine, one dose CPT 90675 RABIES VACCINEHUMAN DIPLOID (PF) 2.5 UNIT INTRAMUSCULAR SOLUTION | $324.00 | $1,306.43 | $679.34–$1,306.43 | 37% below | 75% |
| Rabies vaccine, one dose CPT 90675 RABIES VACCINE PURIFIED CHICKEN EMBRYO CELL (PF) 2.5 UNIT IM SUSP | $324.00 | $1,308.83 | $167.23–$1,161.80 | 37% below | 75% |
| Rabies vaccine, one dose CPT 90675 RABIES VACCINE PURIFIED CHICKEN EMBRYO CELL (PF) 2.5 UNIT IM SUSP | $324.00 | $1,308.83 | $680.59–$1,308.83 | 37% below | 75% |
| Rabies vaccine, one dose CPT 90675 RABIES VACCINEHUMAN DIPLOID (PF) 2.5 UNIT INTRAMUSCULAR SOLUTION | $324.00 | $1,306.43 | $679.34–$1,306.43 | 37% below | 75% |
| Rabies vaccine, one dose inpatient CPT 90675 RABIES VACCINEHUMAN DIPLOID (PF) 2.5 UNIT INTRAMUSCULAR SOLUTION | $324.00 | $1,306.43 | $679.34–$1,306.43 | — | 75% |
| Rabies vaccine, one dose inpatient CPT 90675 RABIES VACCINEHUMAN DIPLOID (PF) 2.5 UNIT INTRAMUSCULAR SOLUTION | $324.00 | $1,306.43 | $679.34–$1,306.43 | — | 75% |
| Rabies vaccine, one dose inpatient CPT 90675 RABIES VACCINE PURIFIED CHICKEN EMBRYO CELL (PF) 2.5 UNIT IM SUSP | $324.00 | $1,308.83 | $680.59–$1,308.83 | — | 75% |
| Rabies vaccine, one dose inpatient CPT 90675 RABIES VACCINE PURIFIED CHICKEN EMBRYO CELL (PF) 2.5 UNIT IM SUSP | $324.00 | $1,308.83 | $680.59–$1,308.83 | — | 75% |
| Rotavirus vaccine, oral, 2-dose schedule (Rotarix) CPT 90681 ROTAVIRUS VACCINE LIVE 89-12 STRAIN G1P(8) 10EXP6 CCID50/1.5 ML SUSP | $90.00 | $470.14 | $141.04–$470.14 | 55% below | 81% |
| Rotavirus vaccine, oral, 2-dose schedule (Rotarix) CPT 90681 ROTAVIRUS VACCINE LIVE 89-12 STRAIN G1P(8) 10EXP6 CCID50/1.5 ML SUSP | $90.00 | $470.14 | $141.04–$470.14 | 55% below | 81% |
| Rotavirus vaccine, oral, 2-dose schedule (Rotarix) inpatient CPT 90681 ROTAVIRUS VACCINE LIVE 89-12 STRAIN G1P(8) 10EXP6 CCID50/1.5 ML SUSP | $90.00 | $470.14 | $141.04–$470.14 | — | 81% |
| Rotavirus vaccine, oral, 2-dose schedule (Rotarix) inpatient CPT 90681 ROTAVIRUS VACCINE LIVE 89-12 STRAIN G1P(8) 10EXP6 CCID50/1.5 ML SUSP | $90.00 | $470.14 | $141.04–$470.14 | — | 81% |
| Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) CPT 90680 RV5 VACC 3 DOSE LIVE ORAL | $87.00 | — | $87.00–$292.02 | 6% above | — |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 DIPHPERTUS(ACEL)TET PEDI (PF) 15 LF UNIT-10 MCG-5 LF/0.5 ML IM SUSP | $36.00 | $180.62 | $54.19–$155.69 | 33% below | 80% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS AND DIPHTHERIA TOX (PF) 5 LF UNIT-2 LF UNIT/0.5 ML IM SYRINGE | $36.00 | $138.24 | $41.47–$119.16 | 33% below | 74% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 DIPHPERTUS(ACEL)TET PEDI (PF) 15 LF UNIT-10 MCG-5 LF/0.5 ML IM SUSP | $36.00 | $180.62 | $54.19–$155.69 | 33% below | 80% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS AND DIPHTHERIA TOX (PF) 5 LF UNIT-2 LF UNIT/0.5 ML IM SYRINGE | $36.00 | $138.24 | $41.47–$119.16 | 33% below | 74% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS AND DIPHTHERIA TOX (PF) 5 LF UNIT-2 LF UNIT/0.5 ML IM SYRINGE | $36.00 | $138.24 | $41.47–$119.16 | — | 74% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 DIPHPERTUS(ACEL)TET PEDI (PF) 15 LF UNIT-10 MCG-5 LF/0.5 ML IM SUSP | $36.00 | $180.62 | $54.19–$155.69 | — | 80% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 DIPHPERTUS(ACEL)TET PEDI (PF) 15 LF UNIT-10 MCG-5 LF/0.5 ML IM SUSP | $36.00 | $180.62 | $54.19–$155.69 | — | 80% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS AND DIPHTHERIA TOX (PF) 5 LF UNIT-2 LF UNIT/0.5 ML IM SYRINGE | $36.00 | $138.24 | $41.47–$119.16 | — | 74% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 DIPHPERTUS(ACELL)TETPOLIO (PF) 25 LF-58 MCG-10 LF/0.5 ML IM SYRINGE | $62.00 | $374.79 | $112.44–$374.79 | 14% below | 83% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 DIPHTHPERTUSSIS(ACEL)TETANUS 2.5 LF UNIT-8 MCG-5 LF/0.5ML IM SYRINGE | $62.00 | $148.68 | $44.60–$148.68 | 14% below | 58% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 DIPHPERTUS(ACELL)TETPOLIO (PF) 25 LF-58 MCG-10 LF/0.5 ML IM SYRINGE | $62.00 | $374.79 | $112.44–$374.79 | 14% below | 83% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 DIPHTHPERTUS(ACEL)TETANUS(PF)2LF-(2.5-5-3-5MCG)-5 LF/0.5 ML IM SUSP | $62.00 | $151.49 | $45.45–$151.49 | 14% below | 59% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 DIPHTHPERTUSSIS(ACEL)TETANUS 2.5 LF UNIT-8 MCG-5 LF/0.5ML IM SYRINGE | $62.00 | $148.68 | $44.60–$148.68 | 14% below | 58% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 DIPHPERTUS(ACEL)TET PED(PF) 25 LF UNIT-58 MCG-10 LF/0.5ML IM SYRINGE | $62.00 | $90.31 | $27.09–$90.31 | 14% below | 31% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 DIPHTHPERTUS(ACEL)TETANUS(PF)2LF-(2.5-5-3-5MCG)-5 LF/0.5 ML IM SUSP | $62.00 | $151.49 | $45.45–$151.49 | 14% below | 59% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 DIPHPERTUS(ACEL)TET PED(PF) 25 LF UNIT-58 MCG-10 LF/0.5ML IM SYRINGE | $62.00 | $90.31 | $27.09–$90.31 | 14% below | 31% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 DIPHTHPERTUS(ACEL)TETANUS(PF)2LF-(2.5-5-3-5MCG)-5 LF/0.5 ML IM SUSP | $62.00 | $151.49 | $45.45–$151.49 | — | 59% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 DIPHPERTUS(ACELL)TETPOLIO (PF) 25 LF-58 MCG-10 LF/0.5 ML IM SYRINGE | $62.00 | $374.79 | $112.44–$374.79 | — | 83% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 DIPHTHPERTUSSIS(ACEL)TETANUS 2.5 LF UNIT-8 MCG-5 LF/0.5ML IM SYRINGE | $62.00 | $148.68 | $44.60–$148.68 | — | 58% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 DIPHPERTUS(ACEL)TET PED(PF) 25 LF UNIT-58 MCG-10 LF/0.5ML IM SYRINGE | $62.00 | $90.31 | $27.09–$90.31 | — | 31% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 DIPHTHPERTUS(ACEL)TETANUS(PF)2LF-(2.5-5-3-5MCG)-5 LF/0.5 ML IM SUSP | $62.00 | $151.49 | $45.45–$151.49 | — | 59% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 DIPHTHPERTUSSIS(ACEL)TETANUS 2.5 LF UNIT-8 MCG-5 LF/0.5ML IM SYRINGE | $62.00 | $148.68 | $44.60–$148.68 | — | 58% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 DIPHPERTUS(ACELL)TETPOLIO (PF) 25 LF-58 MCG-10 LF/0.5 ML IM SYRINGE | $62.00 | $374.79 | $112.44–$374.79 | — | 83% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 DIPHPERTUS(ACEL)TET PED(PF) 25 LF UNIT-58 MCG-10 LF/0.5ML IM SYRINGE | $62.00 | $90.31 | $27.09–$90.31 | — | 31% |
| Typhoid vaccine, injectable (Vi polysaccharide) CPT 90691 TYPHOID VI POLYSACCH VACCINE 25 MCG/0.5 ML INTRAMUSCULAR SYRINGE | $184.00 | $489.80 | $146.94–$422.21 | 21% above | 62% |
| Typhoid vaccine, injectable (Vi polysaccharide) CPT 90691 TYPHOID VI POLYSACCH VACCINE 25 MCG/0.5 ML INTRAMUSCULAR SYRINGE | $184.00 | $489.80 | $146.94–$422.21 | 21% above | 62% |
| Typhoid vaccine, injectable (Vi polysaccharide) inpatient CPT 90691 TYPHOID VI POLYSACCH VACCINE 25 MCG/0.5 ML INTRAMUSCULAR SYRINGE | $184.00 | $489.80 | $146.94–$422.21 | — | 62% |
| Typhoid vaccine, injectable (Vi polysaccharide) inpatient CPT 90691 TYPHOID VI POLYSACCH VACCINE 25 MCG/0.5 ML INTRAMUSCULAR SYRINGE | $184.00 | $489.80 | $146.94–$422.21 | — | 62% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HB ADMIN IMMUNIZATION 1 VACCINE | $29.00 | $43.00 | $18.49–$165.00 | 26% above | 33% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 HB ADMIN IMMUNIZATION EA ADDL | $17.00 | $32.00 | $9.60–$25.25 | 13% below | 47% |
| Yellow fever vaccine, live CPT 90717 YELLOW FEVER VACCINE LIVE(PF) 10 EXP4.74 UNIT/0.5 ML SUBCUTANEOUS SUSP | $211.00 | $1,777.31 | $533.19–$1,777.31 | 10% below | 88% |
| Yellow fever vaccine, live CPT 90717 YELLOW FEVER VACCINE LIVE(PF) 10 EXP4.74 UNIT/0.5 ML SUBCUTANEOUS SUSP | $211.00 | $1,777.31 | $533.19–$1,777.31 | 10% below | 88% |
| Yellow fever vaccine, live inpatient CPT 90717 YELLOW FEVER VACCINE LIVE(PF) 10 EXP4.74 UNIT/0.5 ML SUBCUTANEOUS SUSP | $211.00 | $1,777.31 | $533.19–$1,777.31 | — | 88% |
| Yellow fever vaccine, live inpatient CPT 90717 YELLOW FEVER VACCINE LIVE(PF) 10 EXP4.74 UNIT/0.5 ML SUBCUTANEOUS SUSP | $211.00 | $1,777.31 | $533.19–$1,777.31 | — | 88% |
Dental
| Procedure | Cash price | List price | Insurers pay | vs Michigan | Off list |
|---|---|---|---|---|---|
| Deep cleaning (scaling and root planing), 4 or more teeth in one quadrant CDT D4341 Periodontal scaling & root | $888.94 | — | $336.90–$1,481.57 | — | — |
| Porcelain crown CDT D2740 Crown porcelain/ceramic | $888.94 | — | $336.90–$1,481.57 | — | — |
| Removal of an impacted tooth fully covered by bone, often a wisdom tooth CDT D7240 Impact tooth remov comp bony | $888.94 | — | $336.90–$1,481.57 | — | — |
| Root canal treatment on a molar (back tooth), not including the final crown CDT D3330 End thxpy, molar tooth | $888.94 | — | $336.90–$1,481.57 | — | — |
| Routine teeth cleaning (prophylaxis), adult or teen CDT D1110 Dental prophylaxis adult | $183.07 | — | $69.38–$305.12 | — | — |
| Simple extraction of a tooth or exposed root that is above the gum CDT D7140 Extraction erupted tooth/exr | $888.94 | — | $336.90–$1,481.57 | — | — |
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.