Hospital Portland-Vancouver-Hillsboro, OR-WA

Legacy Salmon Creek Medical Center

Legacy Salmon Creek Medical Center in Vancouver, WA publishes cash prices for 357 common procedures listed here, from its own machine-readable price file updated Apr 1, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the Washington median for 242 of 352 procedures and above it for 108. By typical cash price it ranks #5 of 60 Washington hospitals and #1 of 16 hospitals in the Portland, OR area, cheapest first. Select a procedure to compare it with other hospitals nearby.

2211 Ne 139Th Street, Vancouver, WA 98686 Collected Sep 23, 2026 Source price file Check a bill from this hospital (360) 487-1000

Acute care hospital Nonprofit hospital Emergency department CMS star rating 4 of 5 CCN 500150 · CMS hospital register NPI 1700809829

Financial assistance

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

Legacy Salmon Creek Medical Center 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.

State law

This state limits hospital bills for lower-income patients

Washington law (RCW 70.170.060) requires hospital charity care: patients with family income up to 300% of the federal poverty level owe nothing at hospitals in large health systems (200% at other hospitals), with 75% and 50% discounts up to 400% (300% at other hospitals). It covers the part of the bill a patient owes, insured or not. Ask the hospital for its charity care application. Other states' laws.

CMS price transparency record

The federal Centers for Medicare & Medicaid Services (CMS) enforces the rule that makes hospitals publish their prices. Its public enforcement list shows 1 action for a hospital named Legacy Salmon Creek Medical Center in Vancouver, WA:

Apr 25, 2025 Met requirements

Met requirements: CMS reviewed the hospital and found it met the requirements, so no further action was taken.

A notice records a step in a CMS review; it is not a court finding. Source: CMS, Hospital Price Transparency Enforcement Activities and Outcomes, actions through Jul 31, 2026.

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs Washington	Off list
Abdominal CT scan without and with contrast CPT 74170 HC ABDOMEN CT WITH/WITHOUT CONTRAST	$1,233.70	$1,898.00	—	41% below	35%
Abdominal CT scan without and with contrast inpatient CPT 74170 HC ABDOMEN CT WITH/WITHOUT CONTRAST	$1,233.70	$1,898.00	—	—	35%
Abdominal X-ray, 2 views CPT 74019 HC ABDOMEN AP WITH UPRIGHT OR DECUBITUS	$353.60	$544.00	—	9% above	35%
Abdominal X-ray, 2 views CPT 74019 HC ABDOMEN AP & OBLIQUE	$353.60	$544.00	—	9% above	35%
Abdominal X-ray, 2 views inpatient CPT 74019 HC ABDOMEN AP WITH UPRIGHT OR DECUBITUS	$353.60	$544.00	—	—	35%
Abdominal X-ray, 2 views inpatient CPT 74019 HC ABDOMEN AP & OBLIQUE	$353.60	$544.00	—	—	35%
Ankle X-ray, complete, 3 or more views one side CPT 73610 HC ANKLE MINIMUM 3 VIEWS UNILATERAL	$230.10	$354.00	—	26% below	35%
Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 HC ANKLE MINIMUM 3 VIEWS UNILATERAL	$230.10	$354.00	—	—	35%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 HC PERIPHERAL VASCULAR UPPER OR LOWER EXTREMITY SINGLE LEVEL ULTRASOUND	$620.10	$954.00	—	64% above	35%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 HC PERIPHERAL VASCULAR UPPER OR LOWER EXTREMITY SINGLE LEVEL ULTRASOUND	$620.10	$954.00	—	—	35%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 HC EXTREMITY UPPER UNILATERAL CT WITHOUT CONTRAST	$890.50	$1,370.00	—	37% below	35%
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 HC EXTREMITY UPPER UNILATERAL CT WITHOUT CONTRAST	$890.50	$1,370.00	—	—	35%
Barium swallow (esophagus X-ray with contrast) CPT 74220 HC ESOPHAGUS	$529.10	$814.00	—	13% below	35%
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 HC ESOPHAGUS	$529.10	$814.00	—	—	35%
Bone scan, whole body (nuclear medicine) CPT 78306 HC NM BONE IMAGING WHOLE BODY	$1,008.80	$1,552.00	—	32% below	35%
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 HC NM BONE IMAGING WHOLE BODY	$1,008.80	$1,552.00	—	—	35%
Breast ultrasound, complete, one breast both sides CPT 76641 HC BREAST ULTRASOUND BILATERAL COMPLETE	$525.20	$808.00	—	—	35%
Breast ultrasound, complete, one breast one side CPT 76641 HC BREAST ULTRASOUND UNILATERAL COMPLETE	$350.35	$539.00	—	19% below	35%
Breast ultrasound, complete, one breast inpatient both sides CPT 76641 HC BREAST ULTRASOUND BILATERAL COMPLETE	$525.20	$808.00	—	—	35%
Breast ultrasound, complete, one breast inpatient one side CPT 76641 HC BREAST ULTRASOUND UNILATERAL COMPLETE	$350.35	$539.00	—	—	35%
Breast ultrasound, limited (one breast or one area) both sides CPT 76642 HC BREAST ULTRASOUND BILATERAL LIMITED	$525.20	$808.00	—	—	35%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 HC BREAST ULTRASOUND UNILATERAL LIMITED	$350.35	$539.00	—	3% above	35%
Breast ultrasound, limited (one breast or one area) inpatient both sides CPT 76642 HC BREAST ULTRASOUND BILATERAL LIMITED	$525.20	$808.00	—	—	35%
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 HC BREAST ULTRASOUND UNILATERAL LIMITED	$350.35	$539.00	—	—	35%
CT angiography (CTA) of the abdomen and pelvis CPT 74174 HC CTA ABD/PELVIS WITH/WO CONTRAST	$2,139.15	$3,291.00	—	40% below	35%
CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 HC CTA ABD/PELVIS WITH/WO CONTRAST	$2,139.15	$3,291.00	—	—	35%
CT angiography (CTA) of the head CPT 70496 HC HEAD CTA WITH/WITHOUT CONTRAST	$1,560.65	$2,401.00	—	26% below	35%
CT angiography (CTA) of the head inpatient CPT 70496 HC HEAD CTA WITH/WITHOUT CONTRAST	$1,560.65	$2,401.00	—	—	35%
CT angiography (CTA) of the neck CPT 70498 HC NECK CTA WITH/WITH0UT CONTRAST	$1,562.60	$2,404.00	—	31% below	35%
CT angiography (CTA) of the neck inpatient CPT 70498 HC NECK CTA WITH/WITH0UT CONTRAST	$1,562.60	$2,404.00	—	—	35%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 HC CHEST LIMITED CTA (CONTRAST ONLY)	$1,080.95	$1,663.00	—	55% below	35%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 HC CHEST CTA WITH/WITHOUT CONTRAST	$1,104.35	$1,699.00	—	54% below	35%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 HC CHEST LIMITED CTA (CONTRAST ONLY)	$1,080.95	$1,663.00	—	—	35%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 HC CHEST CTA WITH/WITHOUT CONTRAST	$1,104.35	$1,699.00	—	—	35%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 HC CT CTA CARDIAC W/CORONARY	$1,103.70	$1,698.00	—	5% below	35%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 HC CT CTA CARDIAC W/CORONARY	$1,103.70	$1,698.00	—	—	35%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 HC CT CARDIAC CALCIUM SCORING	$65.65	$101.00	—	51% below	35%
CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 HC CT CARDIAC CALCIUM SCORING	$65.65	$101.00	—	—	35%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 HC CT ABD & PELVIS W/O CONTRAST	$1,843.40	$2,836.00	—	27% below	35%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 HC CT ABD & PELVIS W/O CONTRAST	$1,843.40	$2,836.00	—	—	35%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 HC CT ABD & PELVIS W/CONTRAST	$1,954.55	$3,007.00	—	37% below	35%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 HC CT ABD & PELVIS W/CONTRAST	$1,954.55	$3,007.00	—	—	35%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 HC CT ABD & PELVIS W/WO CONTRAST	$2,510.95	$3,863.00	—	33% below	35%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 HC CT ABD & PELVIS W/WO CONTRAST	$2,510.95	$3,863.00	—	—	35%
CT scan of the abdomen with contrast CPT 74160 HC ABDOMEN LIMITED CT WITH CONTRAST	$605.80	$932.00	—	68% below	35%
CT scan of the abdomen with contrast CPT 74160 HC ABDOMEN CT WITH CONTRAST	$1,073.15	$1,651.00	—	43% below	35%
CT scan of the abdomen with contrast inpatient CPT 74160 HC ABDOMEN LIMITED CT WITH CONTRAST	$605.80	$932.00	—	—	35%
CT scan of the abdomen with contrast inpatient CPT 74160 HC ABDOMEN CT WITH CONTRAST	$1,073.15	$1,651.00	—	—	35%
CT scan of the abdomen without contrast CPT 74150 HC ABDOMEN LIMITED CT WITHOUT CONTRAST	$561.60	$864.00	—	61% below	35%
CT scan of the abdomen without contrast CPT 74150 HC RENAL STONE CT (ABD PORTION)	$561.60	$864.00	—	61% below	35%
CT scan of the abdomen without contrast CPT 74150 HC ABDOMEN CT WITHOUT CONTRAST	$995.15	$1,531.00	—	31% below	35%
CT scan of the abdomen without contrast inpatient CPT 74150 HC ABDOMEN LIMITED CT WITHOUT CONTRAST	$561.60	$864.00	—	—	35%
CT scan of the abdomen without contrast inpatient CPT 74150 HC RENAL STONE CT (ABD PORTION)	$561.60	$864.00	—	—	35%
CT scan of the abdomen without contrast inpatient CPT 74150 HC ABDOMEN CT WITHOUT CONTRAST	$995.15	$1,531.00	—	—	35%
CT scan of the face and sinuses, no contrast dye CPT 70486 HC SINUS LIMITED CT WITHOUT CONTRAST	$707.85	$1,089.00	—	36% below	35%
CT scan of the face and sinuses, no contrast dye CPT 70486 HC FACIAL BONES SINUSES CT WITHOUT CONTRAST	$941.85	$1,449.00	—	15% below	35%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 HC SINUS LIMITED CT WITHOUT CONTRAST	$707.85	$1,089.00	—	—	35%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 HC FACIAL BONES SINUSES CT WITHOUT CONTRAST	$941.85	$1,449.00	—	—	35%
CT scan of the head or brain, no contrast dye CPT 70450 HC HEAD CT LIMITED WITHOUT CONTRAST	$590.20	$908.00	—	56% below	35%
CT scan of the head or brain, no contrast dye CPT 70450 HC HEAD CT WITHOUT CONTRAST	$706.55	$1,087.00	—	47% below	35%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 HC HEAD CT LIMITED WITHOUT CONTRAST	$590.20	$908.00	—	—	35%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 HC HEAD CT WITHOUT CONTRAST	$706.55	$1,087.00	—	—	35%
CT scan of the head with contrast CPT 70460 HC HEAD CT WITH CONTRAST	$956.15	$1,471.00	—	34% below	35%
CT scan of the head with contrast inpatient CPT 70460 HC HEAD CT WITH CONTRAST	$956.15	$1,471.00	—	—	35%
CT scan of the head without and with contrast CPT 70470 HC HEAD CT WITH/WITHOUT CONTRAST	$1,183.00	$1,820.00	—	32% below	35%
CT scan of the head without and with contrast inpatient CPT 70470 HC HEAD CT WITH/WITHOUT CONTRAST	$1,183.00	$1,820.00	—	—	35%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 HC SPINE LUMBAR CT WITHOUT CONTRAST	$1,051.70	$1,618.00	—	27% below	35%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 HC SPINE LUMBAR CT WITHOUT CONTRAST	$1,051.70	$1,618.00	—	—	35%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 HC SPINE CERVICAL CT WITHOUT CONTRAST	$846.95	$1,303.00	—	43% below	35%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 HC SPINE CERVICAL CT WITHOUT CONTRAST	$846.95	$1,303.00	—	—	35%
CT scan of the pelvis, with contrast dye CPT 72193 HC PELVIS CT WITH CONTRAST	$981.50	$1,510.00	—	45% below	35%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 HC PELVIS CT WITH CONTRAST	$981.50	$1,510.00	—	—	35%
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 HC CAROTID BILATERAL ULTRASOUND	$945.10	$1,454.00	—	—	35%
Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 HC CAROTID BILATERAL ULTRASOUND	$945.10	$1,454.00	—	—	35%
Chest CT scan without and with contrast CPT 71270 HC CHEST CT WITH/WITHOUT CONTRAST	$1,388.40	$2,136.00	—	33% below	35%
Chest CT scan without and with contrast inpatient CPT 71270 HC CHEST CT WITH/WITHOUT CONTRAST	$1,388.40	$2,136.00	—	—	35%
Chest X-ray, 2 views CPT 71046 HC CHEST 2 VIEWS	$172.90	$266.00	—	40% below	35%
Chest X-ray, 2 views inpatient CPT 71046 HC CHEST 2 VIEWS	$172.90	$266.00	—	—	35%
Chest X-ray, single view CPT 71045 HC CHEST 1 VIEW	$163.80	$252.00	—	32% below	35%
Chest X-ray, single view CPT 71045 HC CHEST 1 VIEW PORTABLE	$272.35	$419.00	—	14% above	35%
Chest X-ray, single view inpatient CPT 71045 HC CHEST 1 VIEW	$163.80	$252.00	—	—	35%
Chest X-ray, single view inpatient CPT 71045 HC CHEST 1 VIEW PORTABLE	$272.35	$419.00	—	—	35%
Collarbone (clavicle) X-ray, complete one side CPT 73000 HC CLAVICLE UNILATERAL	$170.30	$262.00	—	38% below	35%
Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 HC CLAVICLE UNILATERAL	$170.30	$262.00	—	—	35%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 HC RETROPERITONEAL COMPLETE ULTRASOUND	$419.90	$646.00	—	32% below	35%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 HC RETROPERITONEAL COMPLETE ULTRASOUND	$419.90	$646.00	—	—	35%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 HC DEXA LUMBAR HIP AND OR PELVIS	$433.55	$667.00	—	3% above	35%
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 HC DEXA LUMBAR HIP AND OR PELVIS	$433.55	$667.00	—	—	35%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 HC DEXASCAN FOREARM WRIST AND OR HEEL	$323.05	$497.00	—	87% above	35%
DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 HC DEXASCAN FOREARM WRIST AND OR HEEL	$323.05	$497.00	—	—	35%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 HC CHEST LIMITED CT WITHOUT CONTRAST	$588.25	$905.00	—	61% below	35%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 HC CHEST CT WITHOUT CONTRAST	$1,004.25	$1,545.00	—	33% below	35%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 HC CHEST LIMITED CT WITHOUT CONTRAST	$588.25	$905.00	—	—	35%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 HC CHEST CT WITHOUT CONTRAST	$1,004.25	$1,545.00	—	—	35%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 HC THORAX LIMITED CT WITH CONTRAST	$623.35	$959.00	—	67% below	35%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 HC CHEST CT WITH CONTRAST	$1,064.70	$1,638.00	—	44% below	35%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 HC THORAX LIMITED CT WITH CONTRAST	$623.35	$959.00	—	—	35%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 HC CHEST CT WITH CONTRAST	$1,064.70	$1,638.00	—	—	35%
Diagnostic mammogram, both breasts both sides CPT 77066 HC DIGITAL MAMMOGRAPHY DIAGNOSTIC BILATERAL	$405.60	$624.00	—	—	35%
Diagnostic mammogram, both breasts both sides CPT 77066 HC DIGITAL MAMMOGRAPHY DIAGNOSTIC RECLASS BILATERAL	$405.60	$624.00	—	—	35%
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 HC DIGITAL MAMMOGRAPHY DIAGNOSTIC RECLASS BILATERAL	$405.60	$624.00	—	—	35%
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 HC DIGITAL MAMMOGRAPHY DIAGNOSTIC BILATERAL	$405.60	$624.00	—	—	35%
Diagnostic mammogram, one breast one side CPT 77065 HC DIGITAL MAMMOGRAPHY DIAGNOSTIC UNILATERAL	$370.50	$570.00	—	4% below	35%
Diagnostic mammogram, one breast one side CPT 77065 HC DIGITAL MAMMOGRAPHY DIAGNOSTIC RECLASS UNILATERAL	$370.50	$570.00	—	4% below	35%
Diagnostic mammogram, one breast inpatient one side CPT 77065 HC DIGITAL MAMMOGRAPHY DIAGNOSTIC UNILATERAL	$370.50	$570.00	—	—	35%
Diagnostic mammogram, one breast inpatient one side CPT 77065 HC DIGITAL MAMMOGRAPHY DIAGNOSTIC RECLASS UNILATERAL	$370.50	$570.00	—	—	35%
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 HC VASCULAR LOWER ARTERIAL BILATERAL ULTRASOUND	$1,138.80	$1,752.00	—	—	35%
Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 HC VASCULAR LOWER ARTERIAL BILATERAL ULTRASOUND	$1,138.80	$1,752.00	—	—	35%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 HC VASCULAR VENOUS BILATERAL/MAPPING ULTRASOUND	$1,049.75	$1,615.00	—	—	35%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 HC VASCULAR VENOUS BILATERAL/MAPPING ULTRASOUND	$1,049.75	$1,615.00	—	—	35%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 HC ECHO TTE W/DOPPLER AND BUBBLE	$2,269.80	$3,492.00	—	35% above	35%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 HC ECHO TTE W/DOPPLER	$2,269.80	$3,492.00	—	35% above	35%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 HC ECHO TTE W/DOPPLER AND BUBBLE	$2,269.80	$3,492.00	—	—	35%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 HC ECHO TTE W/DOPPLER	$2,269.80	$3,492.00	—	—	35%
Elbow X-ray, 2 views one side CPT 73070 HC ELBOW 2 VIEWS UNILATERAL	$183.30	$282.00	—	32% below	35%
Elbow X-ray, 2 views inpatient one side CPT 73070 HC ELBOW 2 VIEWS UNILATERAL	$183.30	$282.00	—	—	35%
Elbow X-ray, complete, 3 or more views one side CPT 73080 HC ELBOW MINIMUM 3 VIEWS UNILATERAL COMPLETE	$219.70	$338.00	—	31% below	35%
Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 HC ELBOW MINIMUM 3 VIEWS UNILATERAL COMPLETE	$219.70	$338.00	—	—	35%
Eye socket (orbit) CT scan without contrast CPT 70480 HC ORBITS CT WITHOUT CONTRAST	$733.85	$1,129.00	—	40% below	35%
Eye socket (orbit) CT scan without contrast CPT 70480 HC IAC/SELLA/PF CT WITHOUT CONTRAST	$733.85	$1,129.00	—	40% below	35%
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 HC IAC/SELLA/PF CT WITHOUT CONTRAST	$733.85	$1,129.00	—	—	35%
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 HC ORBITS CT WITHOUT CONTRAST	$733.85	$1,129.00	—	—	35%
Facial bones X-ray, complete, 3 or more views CPT 70150 HC FACIAL BONES MINIMUM 3 VIEWS	$280.15	$431.00	—	24% below	35%
Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 HC FACIAL BONES MINIMUM 3 VIEWS	$280.15	$431.00	—	—	35%
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 HC FOREARM 2 VIEWS UNILATERAL	$237.90	$366.00	—	13% below	35%
Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 HC FOREARM 2 VIEWS UNILATERAL	$237.90	$366.00	—	—	35%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HC NM HEPATOBILIARY GI	$942.50	$1,450.00	—	20% below	35%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 HC NM HEPATOBILIARY GI	$942.50	$1,450.00	—	—	35%
Hand X-ray, 2 views CPT 73120 HC BOTH HANDS IN 1 VIEW	$127.40	$196.00	—	55% below	35%
Hand X-ray, 2 views one side CPT 73120 HC HAND 1 VIEW UNILATERAL	$100.10	$154.00	—	65% below	35%
Hand X-ray, 2 views one side CPT 73120 HC HAND 2 VIEWS UNILATERAL	$178.10	$274.00	—	37% below	35%
Hand X-ray, 2 views inpatient CPT 73120 HC BOTH HANDS IN 1 VIEW	$127.40	$196.00	—	—	35%
Hand X-ray, 2 views inpatient one side CPT 73120 HC HAND 1 VIEW UNILATERAL	$100.10	$154.00	—	—	35%
Hand X-ray, 2 views inpatient one side CPT 73120 HC HAND 2 VIEWS UNILATERAL	$178.10	$274.00	—	—	35%
Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 HC HEEL/CALCANEOUS 2 VIEWS UNILATERAL	$196.30	$302.00	—	25% below	35%
Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 HC HEEL/CALCANEOUS 2 VIEWS UNILATERAL	$196.30	$302.00	—	—	35%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 HC BIPAP I ADULT	$3,876.60	$5,964.00	—	12% above	35%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 HC CPAP I ADULT	$3,876.60	$5,964.00	—	12% above	35%
In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 HC CPAP I ADULT	$3,876.60	$5,964.00	—	—	35%
In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 HC BIPAP I ADULT	$3,876.60	$5,964.00	—	—	35%
Knee X-ray, 3 views one side CPT 73562 HC KNEE 3 VIEWS UNILATERAL	$230.10	$354.00	—	26% below	35%
Knee X-ray, 3 views inpatient one side CPT 73562 HC KNEE 3 VIEWS UNILATERAL	$230.10	$354.00	—	—	35%
Knee X-ray, complete, 4 or more views one side CPT 73564 HC KNEE 4 OR MORE VIEWS UNILATERAL COMPLETE	$273.65	$421.00	—	35% below	35%
Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 HC KNEE 4 OR MORE VIEWS UNILATERAL COMPLETE	$273.65	$421.00	—	—	35%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 HC LOWER EXTREMITY UNILATERAL LIMITED CT	$748.15	$1,151.00	—	44% below	35%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 HC EXTREMITY LOWER UNILATERAL CT WITHOUT CONTRAST	$890.50	$1,370.00	—	34% below	35%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 HC LOWER EXTREMITY UNILATERAL LIMITED CT	$748.15	$1,151.00	—	—	35%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 HC EXTREMITY LOWER UNILATERAL CT WITHOUT CONTRAST	$890.50	$1,370.00	—	—	35%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HC ABDOMEN LIMITED/SINGLE QUADRANT/ORGAN ULTRASOUND	$347.10	$534.00	—	31% below	35%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HC POCUS ABDOMEN/EFAST/BILIARY ED	$347.10	$534.00	—	31% below	35%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 HC POCUS ABDOMEN/EFAST/BILIARY ED	$347.10	$534.00	—	—	35%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 HC ABDOMEN LIMITED/SINGLE QUADRANT/ORGAN ULTRASOUND	$347.10	$534.00	—	—	35%
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 HC POCUS SOFT TISSUE/MSK ED	$463.45	$713.00	—	46% above	35%
Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 HC US EXTREMITY UNILAT NONVASCULAR LIMITED	$463.45	$713.00	—	46% above	35%
Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 HC POCUS SOFT TISSUE/MSK ED	$463.45	$713.00	—	—	35%
Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 HC US EXTREMITY UNILAT NONVASCULAR LIMITED	$463.45	$713.00	—	—	35%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 HC LUNG NODULE CT SCREENING	$221.65	$341.00	—	6% below	35%
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 HC LUNG NODULE CT SCREENING	$221.65	$341.00	—	—	35%
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 HC TIBIA FIBULA 2 VIEWS UNILATERAL	$237.90	$366.00	—	14% below	35%
Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 HC TIBIA FIBULA 2 VIEWS UNILATERAL	$237.90	$366.00	—	—	35%
MR angiography (MRA) of the head without contrast CPT 70544 HC MRA HEAD WITHOUT CONTRAST	$1,192.75	$1,835.00	—	40% below	35%
MR angiography (MRA) of the head without contrast inpatient CPT 70544 HC MRA HEAD WITHOUT CONTRAST	$1,192.75	$1,835.00	—	—	35%
MRI of both breasts, without and then with contrast dye both sides CPT 77049 HC MR BREAST WWO CONTRAST INCL CAD IF DONE, BILATERAL	$2,418.65	$3,721.00	—	—	35%
MRI of both breasts, without and then with contrast dye inpatient both sides CPT 77049 HC MR BREAST WWO CONTRAST INCL CAD IF DONE, BILATERAL	$2,418.65	$3,721.00	—	—	35%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HC LOWER EXTREMITY JOINT WITHOUT CONTRAST	$1,097.20	$1,688.00	—	42% below	35%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 HC MR LOWER EXTREMITY ANKLE UNILATERAL WITHOUT CONTRAST	$1,192.75	$1,835.00	—	37% below	35%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 HC MR LOWER EXTREMITY JOINT UNILATERAL WITHOUT CONTRAST	$1,192.75	$1,835.00	—	37% below	35%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 HC MR LOWER EXTREMITY KNEE UNILATERAL WITHOUT CONTRAST	$1,192.75	$1,835.00	—	37% below	35%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 HC MR LOWER EXTREMITY HIP UNILATERAL WITHOUT CONTRAST	$1,192.75	$1,835.00	—	37% below	35%
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 HC LOWER EXTREMITY JOINT WITHOUT CONTRAST	$1,097.20	$1,688.00	—	—	35%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 HC MR LOWER EXTREMITY KNEE UNILATERAL WITHOUT CONTRAST	$1,192.75	$1,835.00	—	—	35%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 HC MR LOWER EXTREMITY ANKLE UNILATERAL WITHOUT CONTRAST	$1,192.75	$1,835.00	—	—	35%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 HC MR LOWER EXTREMITY HIP UNILATERAL WITHOUT CONTRAST	$1,192.75	$1,835.00	—	—	35%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 HC MR LOWER EXTREMITY JOINT UNILATERAL WITHOUT CONTRAST	$1,192.75	$1,835.00	—	—	35%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 HC MR LOWER EXTREMITY KNEE UNILATERAL WITH/WITHOUT CONTRAST	$2,817.75	$4,335.00	—	4% below	35%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 HC MR LOWER EXTREMITY HIP UNILATERAL WITH/WITHOUT CONT	$2,817.75	$4,335.00	—	4% below	35%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 HC MR LOWER EXTREMITY ANKLE UNILATERAL WITH/WITHOUT CONT	$2,817.75	$4,335.00	—	4% below	35%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 HC MR LOWER EXTREMITY JOINT UNILATERAL WITH/WITHOUT CONT	$2,817.75	$4,335.00	—	4% below	35%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 HC MR LOWER EXTREMITY HIP UNILATERAL WITH/WITHOUT CONT	$2,817.75	$4,335.00	—	—	35%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 HC MR LOWER EXTREMITY JOINT UNILATERAL WITH/WITHOUT CONT	$2,817.75	$4,335.00	—	—	35%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 HC MR LOWER EXTREMITY KNEE UNILATERAL WITH/WITHOUT CONTRAST	$2,817.75	$4,335.00	—	—	35%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 HC MR LOWER EXTREMITY ANKLE UNILATERAL WITH/WITHOUT CONT	$2,817.75	$4,335.00	—	—	35%
MRI of the abdomen without contrast CPT 74181 HC MR ABDOMEN WITHOUT CONTRAST	$1,352.00	$2,080.00	—	35% below	35%
MRI of the abdomen without contrast inpatient CPT 74181 HC MR ABDOMEN WITHOUT CONTRAST	$1,352.00	$2,080.00	—	—	35%
MRI of the abdomen, without and then with contrast dye CPT 74183 HC MR ABDOMEN WITH/WITHOUT CONTRAST	$2,620.15	$4,031.00	—	16% below	35%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 HC MR ABDOMEN WITH/WITHOUT CONTRAST	$2,620.15	$4,031.00	—	—	35%
MRI of the brain, no contrast dye CPT 70551 HC MR BRAIN WITHOUT CONTRAST	$1,301.30	$2,002.00	—	33% below	35%
MRI of the brain, no contrast dye inpatient CPT 70551 HC MR BRAIN WITHOUT CONTRAST	$1,301.30	$2,002.00	—	—	35%
MRI of the brain, with and without contrast dye CPT 70553 HC MR BRAIN WITH/WITHOUT CONTRAST	$2,648.75	$4,075.00	—	9% below	35%
MRI of the brain, with and without contrast dye inpatient CPT 70553 HC MR BRAIN WITH/WITHOUT CONTRAST	$2,648.75	$4,075.00	—	—	35%
MRI of the lower back, no contrast dye CPT 72148 HC MR CINE MOTION LUMBAR	$408.85	$629.00	—	81% below	35%
MRI of the lower back, no contrast dye CPT 72148 HC MR SPINE LUMBAR WITHOUT CONTRAST	$1,246.70	$1,918.00	—	41% below	35%
MRI of the lower back, no contrast dye inpatient CPT 72148 HC MR CINE MOTION LUMBAR	$408.85	$629.00	—	—	35%
MRI of the lower back, no contrast dye inpatient CPT 72148 HC MR SPINE LUMBAR WITHOUT CONTRAST	$1,246.70	$1,918.00	—	—	35%
MRI of the lower back, without and then with contrast dye CPT 72158 HC MR SPINE LUMBAR WITH/WITHOUT CONTRAST	$2,648.75	$4,075.00	—	13% below	35%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 HC MR SPINE LUMBAR WITH/WITHOUT CONTRAST	$2,648.75	$4,075.00	—	—	35%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 HC MR SPINE THORACIC WITHOUT CONTRAST	$1,383.85	$2,129.00	—	35% below	35%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 HC MR SPINE THORACIC WITHOUT CONTRAST	$1,383.85	$2,129.00	—	—	35%
MRI of the neck (cervical spine) without and with contrast CPT 72156 HC MR SPINE CERVICAL WITH/WITHOUT CONTRAST	$2,648.75	$4,075.00	—	10% below	35%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 HC MR SPINE CERVICAL WITH/WITHOUT CONTRAST	$2,648.75	$4,075.00	—	—	35%
MRI of the neck (cervical spine), no contrast dye CPT 72141 HC MR CINE MOTION CERVICAL	$408.85	$629.00	—	80% below	35%
MRI of the neck (cervical spine), no contrast dye CPT 72141 HC MR SPINE CERVICAL WITHOUT CONTRAST	$1,425.45	$2,193.00	—	29% below	35%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 HC MR CINE MOTION CERVICAL	$408.85	$629.00	—	—	35%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 HC MR SPINE CERVICAL WITHOUT CONTRAST	$1,425.45	$2,193.00	—	—	35%
MRI of the pelvis without and with contrast CPT 72197 HC MR SACRUM WITH/WITHOUT CONTRAST	$2,841.80	$4,372.00	—	7% below	35%
MRI of the pelvis without and with contrast CPT 72197 HC MR PELVIS SACRAL PLEXUS WITH/WITHOUT CONTRAST	$2,841.80	$4,372.00	—	7% below	35%
MRI of the pelvis without and with contrast CPT 72197 HC MR PELVIS WITH/WITHOUT CONTRAST	$2,841.80	$4,372.00	—	7% below	35%
MRI of the pelvis without and with contrast inpatient CPT 72197 HC MR PELVIS SACRAL PLEXUS WITH/WITHOUT CONTRAST	$2,841.80	$4,372.00	—	—	35%
MRI of the pelvis without and with contrast inpatient CPT 72197 HC MR SACRUM WITH/WITHOUT CONTRAST	$2,841.80	$4,372.00	—	—	35%
MRI of the pelvis without and with contrast inpatient CPT 72197 HC MR PELVIS WITH/WITHOUT CONTRAST	$2,841.80	$4,372.00	—	—	35%
MRI of the pelvis, no contrast dye CPT 72195 HC MR PROSTATE WITHOUT CONTRAST	$1,482.00	$2,280.00	—	23% below	35%
MRI of the pelvis, no contrast dye CPT 72195 HC MR PELVIS WITHOUT CONTRAST	$1,482.00	$2,280.00	—	23% below	35%
MRI of the pelvis, no contrast dye CPT 72195 HC MR PELVIS SACRAL PLEXUS WITHOUT CONTRAST	$1,482.00	$2,280.00	—	23% below	35%
MRI of the pelvis, no contrast dye CPT 72195 HC MR SACRUM WITHOUT CONTRAST	$1,482.00	$2,280.00	—	23% below	35%
MRI of the pelvis, no contrast dye inpatient CPT 72195 HC MR PELVIS WITHOUT CONTRAST	$1,482.00	$2,280.00	—	—	35%
MRI of the pelvis, no contrast dye inpatient CPT 72195 HC MR PELVIS SACRAL PLEXUS WITHOUT CONTRAST	$1,482.00	$2,280.00	—	—	35%
MRI of the pelvis, no contrast dye inpatient CPT 72195 HC MR SACRUM WITHOUT CONTRAST	$1,482.00	$2,280.00	—	—	35%
MRI of the pelvis, no contrast dye inpatient CPT 72195 HC MR PROSTATE WITHOUT CONTRAST	$1,482.00	$2,280.00	—	—	35%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 HC MR SHOULDER UNILATERAL WITHOUT CONTRAST	$1,118.00	$1,720.00	—	41% below	35%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 HC MR ELBOW UNILATERAL WITHOUT CONTRAST	$1,118.00	$1,720.00	—	41% below	35%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 HC MR WRIST UNILATERAL WITHOUT CONTRAST	$1,118.00	$1,720.00	—	41% below	35%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 HC MR FINGER UNILATERAL WITHOUT CONTRAST	$1,119.95	$1,723.00	—	41% below	35%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 HC MR SHOULDER UNILATERAL WITHOUT CONTRAST	$1,118.00	$1,720.00	—	—	35%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 HC MR ELBOW UNILATERAL WITHOUT CONTRAST	$1,118.00	$1,720.00	—	—	35%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 HC MR WRIST UNILATERAL WITHOUT CONTRAST	$1,118.00	$1,720.00	—	—	35%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 HC MR FINGER UNILATERAL WITHOUT CONTRAST	$1,119.95	$1,723.00	—	—	35%
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 HC SPINE CERVICAL 4 OR 5 VIEWS	$335.40	$516.00	—	25% below	35%
Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 HC SPINE CERVICAL 4 OR 5 VIEWS	$335.40	$516.00	—	—	35%
Neck soft tissue CT scan with contrast CPT 70491 HC NECK SOFT TISSUE CT WITH CONTRAST	$1,048.45	$1,613.00	—	37% below	35%
Neck soft tissue CT scan with contrast inpatient CPT 70491 HC NECK SOFT TISSUE CT WITH CONTRAST	$1,048.45	$1,613.00	—	—	35%
Neck soft tissue CT scan without contrast CPT 70490 HC NECK SOFT TISSUE CT WITHOUT CONTRAST	$968.50	$1,490.00	—	27% below	35%
Neck soft tissue CT scan without contrast inpatient CPT 70490 HC NECK SOFT TISSUE CT WITHOUT CONTRAST	$968.50	$1,490.00	—	—	35%
Neck soft tissue X-ray CPT 70360 HC NECK SOFT TISSUE	$189.15	$291.00	—	20% below	35%
Neck soft tissue X-ray inpatient CPT 70360 HC NECK SOFT TISSUE	$189.15	$291.00	—	—	35%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 HC NM MYOCARD PERF SPECT MULT W/EF&WM	$2,863.90	$4,406.00	—	19% below	35%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 HC NM MYOCARD PERF SPECT MULT W/EF&WM	$2,863.90	$4,406.00	—	—	35%
PET/CT scan from the base of the skull to mid-thigh CPT 78815 HC PET/CT SKULL THIGH TUMOR IMAGING	$3,798.60	$5,844.00	—	13% below	35%
PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 HC PET/CT SKULL THIGH TUMOR IMAGING	$3,798.60	$5,844.00	—	—	35%
Pelvic CT scan without contrast CPT 72192 HC PELVIS LIMITED CT WITHOUT CONTRAST	$588.25	$905.00	—	59% below	35%
Pelvic CT scan without contrast CPT 72192 HC SACRUM CT WITHOUT CONTRAST	$941.85	$1,449.00	—	35% below	35%
Pelvic CT scan without contrast CPT 72192 HC PELVIS CT WITHOUT CONTRAST	$941.85	$1,449.00	—	35% below	35%
Pelvic CT scan without contrast inpatient CPT 72192 HC PELVIS LIMITED CT WITHOUT CONTRAST	$588.25	$905.00	—	—	35%
Pelvic CT scan without contrast inpatient CPT 72192 HC PELVIS CT WITHOUT CONTRAST	$941.85	$1,449.00	—	—	35%
Pelvic CT scan without contrast inpatient CPT 72192 HC SACRUM CT WITHOUT CONTRAST	$941.85	$1,449.00	—	—	35%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 HC POCUS BLADDER/VOLUME/NON-OB TAUS ED	$286.00	$440.00	—	37% below	35%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 HC PELVIS LIMITED ULTRASOUND	$286.00	$440.00	—	37% below	35%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 HC PELVIS LIMITED ULTRASOUND	$286.00	$440.00	—	—	35%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 HC POCUS BLADDER/VOLUME/NON-OB TAUS ED	$286.00	$440.00	—	—	35%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 HC PELVIS COMPLETE ULTRASOUND	$544.05	$837.00	—	9% below	35%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 HC PELVIS COMPLETE ULTRASOUND	$544.05	$837.00	—	—	35%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HC OB COMPLETE >1ST TRIMESTER SINGLE GESTATION ULTRASOUND	$392.60	$604.00	—	39% below	35%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 HC OB COMPLETE >1ST TRIMESTER SINGLE GESTATION ULTRASOUND	$392.60	$604.00	—	—	35%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 HC OB COMPLETE 1ST TRIMESTER ULTRASOUND	$486.20	$748.00	—	3% below	35%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 HC OB COMPLETE 1ST TRIMESTER ULTRASOUND	$486.20	$748.00	—	—	35%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 HC WS US OB LIMITED	$345.80	$532.00	—	21% below	35%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 HC WS US OB BRIEF	$345.80	$532.00	—	21% below	35%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 HC OB LIMITED ULTRASOUND	$349.70	$538.00	—	20% below	35%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 HC POCUS OB - TAUS ED	$390.65	$601.00	—	11% below	35%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 HC WS US OB BRIEF	$345.80	$532.00	—	—	35%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 HC WS US OB LIMITED	$345.80	$532.00	—	—	35%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 HC OB LIMITED ULTRASOUND	$349.70	$538.00	—	—	35%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 HC POCUS OB - TAUS ED	$390.65	$601.00	—	—	35%
Rib X-ray, one side, 2 views one side CPT 71100 HC RIBS UNILATERAL	$219.70	$338.00	—	25% below	35%
Rib X-ray, one side, 2 views inpatient one side CPT 71100 HC RIBS UNILATERAL	$219.70	$338.00	—	—	35%
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 HC RIBS UNILATERAL WITH PA CHEST	$264.55	$407.00	—	28% below	35%
Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 HC RIBS UNILATERAL WITH PA CHEST	$264.55	$407.00	—	—	35%
Screening mammogram, both breasts both sides CPT 77067 HC DIGITAL MAMMOGRAPHY SCREENING BILATERAL	$382.85	$589.00	—	—	35%
Screening mammogram, both breasts one side CPT 77067 HC DIGITAL MAMMOGRAPHY SCREENING UNILATERAL	$338.00	$520.00	—	at median	35%
Screening mammogram, both breasts inpatient both sides CPT 77067 HC DIGITAL MAMMOGRAPHY SCREENING BILATERAL	$382.85	$589.00	—	—	35%
Screening mammogram, both breasts inpatient one side CPT 77067 HC DIGITAL MAMMOGRAPHY SCREENING UNILATERAL	$338.00	$520.00	—	—	35%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 HC SHOULDER MINIMUM 2 VIEWS UNILATERAL COMPLETE	$254.80	$392.00	—	22% below	35%
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 HC SHOULDER MINIMUM 2 VIEWS UNILATERAL COMPLETE	$254.80	$392.00	—	—	35%
Sinus X-ray, complete, 3 or more views CPT 70220 HC SINUSES PARANASAL MINIMUM 3 VIEWS	$258.05	$397.00	—	20% below	35%
Sinus X-ray, complete, 3 or more views inpatient CPT 70220 HC SINUSES PARANASAL MINIMUM 3 VIEWS	$258.05	$397.00	—	—	35%
Skull X-ray, fewer than 4 views CPT 70250 HC SKULL <4 VIEWS	$237.90	$366.00	—	18% below	35%
Skull X-ray, fewer than 4 views inpatient CPT 70250 HC SKULL <4 VIEWS	$237.90	$366.00	—	—	35%
Sleep study in a lab (polysomnography) CPT 95810 HC COMPLEX 13 CH PSG ADULT	$3,709.55	$5,707.00	—	23% above	35%
Sleep study in a lab (polysomnography) inpatient CPT 95810 HC COMPLEX 13 CH PSG ADULT	$3,709.55	$5,707.00	—	—	35%
Stress echocardiogram, complete, including the stress test and supervision CPT 93351 HC ECHO STRESS	$2,543.45	$3,913.00	—	124% above	35%
Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 HC ECHO STRESS	$2,543.45	$3,913.00	—	—	35%
Swallow study (modified barium swallow, video X-ray) CPT 74230 HC SWALLOWING WITH VIDEO	$397.15	$611.00	—	26% below	35%
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 HC SWALLOWING WITH VIDEO	$397.15	$611.00	—	—	35%
Thigh bone (femur) X-ray, 2 or more views CPT 73552 HC FEMUR 2 OR MORE VIEWS	$280.80	$432.00	—	8% above	35%
Thigh bone (femur) X-ray, 2 or more views inpatient CPT 73552 HC FEMUR 2 OR MORE VIEWS	$280.80	$432.00	—	—	35%
Thoracic spine (mid back) CT scan without contrast CPT 72128 HC SPINE THORACIC CT WITHOUT CONTRAST	$1,057.55	$1,627.00	—	27% below	35%
Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 HC SPINE THORACIC CT WITHOUT CONTRAST	$1,057.55	$1,627.00	—	—	35%
Toe X-ray, 2 or more views one side CPT 73660 HC TOE MINIMUM 2 VIEWS UNILATERAL	$170.95	$263.00	—	30% below	35%
Toe X-ray, 2 or more views inpatient one side CPT 73660 HC TOE MINIMUM 2 VIEWS UNILATERAL	$170.95	$263.00	—	—	35%
Transvaginal pelvic ultrasound CPT 76830 HC TRANSVAGINAL (NON-OB) ULTRASOUND	$254.15	$391.00	—	49% below	35%
Transvaginal pelvic ultrasound inpatient CPT 76830 HC TRANSVAGINAL (NON-OB) ULTRASOUND	$254.15	$391.00	—	—	35%
Transvaginal ultrasound during pregnancy CPT 76817 HC OB TRANSVAGINAL ULTRASOUND	$237.90	$366.00	—	44% below	35%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 HC OB TRANSVAGINAL ULTRASOUND	$237.90	$366.00	—	—	35%
Ultrasound of the abdomen, complete CPT 76700 HC ABDOMEN COMPLETE ULTRASOUND	$523.90	$806.00	—	25% below	35%
Ultrasound of the abdomen, complete inpatient CPT 76700 HC ABDOMEN COMPLETE ULTRASOUND	$523.90	$806.00	—	—	35%
Ultrasound of the scrotum and testicles CPT 76870 HC POCUS SCROTUM ED	$463.45	$713.00	—	20% below	35%
Ultrasound of the scrotum and testicles CPT 76870 HC SCROTUM AND CONTENTS ULTRASOUND	$463.45	$713.00	—	20% below	35%
Ultrasound of the scrotum and testicles inpatient CPT 76870 HC SCROTUM AND CONTENTS ULTRASOUND	$463.45	$713.00	—	—	35%
Ultrasound of the scrotum and testicles inpatient CPT 76870 HC POCUS SCROTUM ED	$463.45	$713.00	—	—	35%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 HC SOFT TISSUE HEAD NECK ULTRASOUND	$463.45	$713.00	—	17% below	35%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 HC SOFT TISSUE HEAD NECK ULTRASOUND	$463.45	$713.00	—	—	35%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 HC UPPER GI WITH KUB	$570.05	$877.00	—	17% below	35%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 HC UPPER GI WITHOUT KUB	$570.05	$877.00	—	17% below	35%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 HC UPPER GI WITHOUT KUB	$570.05	$877.00	—	—	35%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 HC UPPER GI WITH KUB	$570.05	$877.00	—	—	35%
Upper arm X-ray (humerus), 2 views one side CPT 73060 HC HUMERUS UNILATERAL	$230.75	$355.00	—	17% below	35%
Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 HC HUMERUS UNILATERAL	$230.75	$355.00	—	—	35%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 HC POCUS EXTREMITY VENOUS DUPLEX - DVT ED	$648.05	$997.00	—	4% below	35%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 HC VA VENOUS UNILATERAL	$648.05	$997.00	—	4% below	35%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 HC POCUS EXTREMITY VENOUS DUPLEX - DVT ED	$648.05	$997.00	—	—	35%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 HC VA VENOUS UNILATERAL	$648.05	$997.00	—	—	35%
Wrist X-ray, 2 views CPT 73100 HC BOTH WRISTS IN 1 VIEW	$133.25	$205.00	—	47% below	35%
Wrist X-ray, 2 views one side CPT 73100 HC WRIST UNILATERAL 1 VIEW	$140.40	$216.00	—	44% below	35%
Wrist X-ray, 2 views one side CPT 73100 HC WRIST 2 VIEWS UNILATERAL	$191.10	$294.00	—	24% below	35%
Wrist X-ray, 2 views inpatient CPT 73100 HC BOTH WRISTS IN 1 VIEW	$133.25	$205.00	—	—	35%
Wrist X-ray, 2 views inpatient one side CPT 73100 HC WRIST UNILATERAL 1 VIEW	$140.40	$216.00	—	—	35%
Wrist X-ray, 2 views inpatient one side CPT 73100 HC WRIST 2 VIEWS UNILATERAL	$191.10	$294.00	—	—	35%
Wrist X-ray, complete, 3 or more views one side CPT 73110 HC WRIST MINIMUM 3 VIEWS UNILATERAL	$239.20	$368.00	—	24% below	35%
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 HC WRIST MINIMUM 3 VIEWS UNILATERAL	$239.20	$368.00	—	—	35%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HC HIP UNILATERAL 2-3 VIEWS INCL PELVIS IF DONE	$442.00	$680.00	—	36% above	35%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HC HIP OPERATIVE UNILATERAL INCLUDING PELVIS IF DONE	$795.60	$1,224.00	—	145% above	35%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 HC HIP UNILATERAL 2-3 VIEWS INCL PELVIS IF DONE	$442.00	$680.00	—	—	35%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 HC HIP OPERATIVE UNILATERAL INCLUDING PELVIS IF DONE	$795.60	$1,224.00	—	—	35%
X-ray of the abdomen, 1 view CPT 74018 HC ABDOMEN 1 VIEW / KUB	$293.80	$452.00	—	13% above	35%
X-ray of the abdomen, 1 view inpatient CPT 74018 HC ABDOMEN 1 VIEW / KUB	$293.80	$452.00	—	—	35%
X-ray of the ankle, 2 views one side CPT 73600 HC ANKLE 2 VIEWS UNILATERAL	$198.90	$306.00	—	21% below	35%
X-ray of the ankle, 2 views inpatient one side CPT 73600 HC ANKLE 2 VIEWS UNILATERAL	$198.90	$306.00	—	—	35%
X-ray of the finger(s), 2 or more views one side CPT 73140 HC FINGER UNILATERAL	$174.85	$269.00	—	34% below	35%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 HC FINGER UNILATERAL	$174.85	$269.00	—	—	35%
X-ray of the foot, 2 views CPT 73620 HC BOTH FEET IN 1 VIEW	$121.55	$187.00	—	56% below	35%
X-ray of the foot, 2 views one side CPT 73620 HC FOOT 1 VIEW UNILATERAL	$131.30	$202.00	—	53% below	35%
X-ray of the foot, 2 views one side CPT 73620 HC FOOT 2 VIEWS UNILATERAL	$196.30	$302.00	—	29% below	35%
X-ray of the foot, 2 views inpatient CPT 73620 HC BOTH FEET IN 1 VIEW	$121.55	$187.00	—	—	35%
X-ray of the foot, 2 views inpatient one side CPT 73620 HC FOOT 1 VIEW UNILATERAL	$131.30	$202.00	—	—	35%
X-ray of the foot, 2 views inpatient one side CPT 73620 HC FOOT 2 VIEWS UNILATERAL	$196.30	$302.00	—	—	35%
X-ray of the foot, complete, 3 or more views one side CPT 73630 HC FOOT MINIMUM 3 VIEWS UNILATERAL COMPLETE	$224.25	$345.00	—	26% below	35%
X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 HC FOOT MINIMUM 3 VIEWS UNILATERAL COMPLETE	$224.25	$345.00	—	—	35%
X-ray of the hand, 3 or more views one side CPT 73130 HC HAND MINIMUM 3 VIEWS UNILATERAL	$191.10	$294.00	—	38% below	35%
X-ray of the hand, 3 or more views inpatient one side CPT 73130 HC HAND MINIMUM 3 VIEWS UNILATERAL	$191.10	$294.00	—	—	35%
X-ray of the knee, 1 or 2 views one side CPT 73560 HC KNEE 1 OR 2 VIEWS UNILATERAL	$205.40	$316.00	—	28% below	35%
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 HC KNEE 1 OR 2 VIEWS UNILATERAL	$205.40	$316.00	—	—	35%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 HC SPINE LUMBAR 2 OR 3 VIEWS	$293.80	$452.00	—	21% below	35%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 HC SPINE LUMBAR 2 OR 3 VIEWS	$293.80	$452.00	—	—	35%
X-ray of the lower back, 4 or more views CPT 72110 HC SPINE LUMBAR MINIMUM 4 VIEWS	$321.10	$494.00	—	29% below	35%
X-ray of the lower back, 4 or more views inpatient CPT 72110 HC SPINE LUMBAR MINIMUM 4 VIEWS	$321.10	$494.00	—	—	35%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 HC SPINE THORACIC 2 VIEW	$238.55	$367.00	—	25% below	35%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 HC SPINE THORACIC 2 VIEW	$238.55	$367.00	—	—	35%
X-ray of the nasal bones, 3 or more views CPT 70160 HC NASAL BONES MINIMUM 3 VIEWS	$224.25	$345.00	—	13% below	35%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 HC NASAL BONES MINIMUM 3 VIEWS	$224.25	$345.00	—	—	35%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 HC SPINE CERVICAL 2 OR 3 VIEWS	$267.80	$412.00	—	16% below	35%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 HC SPINE CERVICAL 2 OR 3 VIEWS	$267.80	$412.00	—	—	35%
X-ray of the pelvis, 1 or 2 views CPT 72170 HC PELVIS 1 OR 2 VIEWS	$206.05	$317.00	—	28% below	35%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 HC PELVIS 1 OR 2 VIEWS	$206.05	$317.00	—	—	35%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 HC SACRUM COCCYX MINIMUM 2 VIEWS	$248.30	$382.00	—	12% below	35%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 HC SACRUM COCCYX MINIMUM 2 VIEWS	$248.30	$382.00	—	—	35%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs Washington	Off list
ACTH blood test CPT 82024 HC ADRENOCORTICOTROPHIC HORMONE	$25.80	$39.70	—	88% below	35%
ACTH blood test inpatient CPT 82024 HC ADRENOCORTICOTROPHIC HORMONE	$25.80	$39.70	—	—	35%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 HC ALT SGPT	$9.59	$14.76	—	80% below	35%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 HC LIVER FIBROSIS NAFLD (ECHOSENS) PART 2	$11.44	$17.60	—	76% below	35%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 HC NASH FIBROSURE(R) PLUS PART 3	$16.25	$25.00	—	66% below	35%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 HC ALANINE AMINOTRANSFERASE FIBROMETER 84460	$17.55	$27.00	—	63% below	35%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 HC ALT SGPT	$9.59	$14.76	—	—	35%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 HC LIVER FIBROSIS NAFLD (ECHOSENS) PART 2	$11.44	$17.60	—	—	35%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 HC NASH FIBROSURE(R) PLUS PART 3	$16.25	$25.00	—	—	35%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 HC ALANINE AMINOTRANSFERASE FIBROMETER 84460	$17.55	$27.00	—	—	35%
AST (aspartate aminotransferase) enzyme test CPT 84450 HC ASPARTATE AMINOTRANSFERASE FIBROMETER 84450	$10.28	$15.81	—	76% below	35%
AST (aspartate aminotransferase) enzyme test CPT 84450 HC NASH FIBROSURE(R) PLUS PART 2	$16.25	$25.00	—	62% below	35%
AST (aspartate aminotransferase) enzyme test CPT 84450 HC AST SGOT	$38.35	$59.00	—	10% below	35%
AST (aspartate aminotransferase) enzyme test CPT 84450 HC LIVER FIBROSIS NAFLD (ECHOSENS) PART 1	$55.90	$86.00	—	32% above	35%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 HC ASPARTATE AMINOTRANSFERASE FIBROMETER 84450	$10.28	$15.81	—	—	35%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 HC NASH FIBROSURE(R) PLUS PART 2	$16.25	$25.00	—	—	35%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 HC AST SGOT	$38.35	$59.00	—	—	35%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 HC LIVER FIBROSIS NAFLD (ECHOSENS) PART 1	$55.90	$86.00	—	—	35%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HC HEPATITIS ABC ACUTE SCREEN	$68.35	$105.15	—	72% below	35%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HC HEPATITIS ABC ACUTE SCREEN	$68.35	$105.15	—	—	35%
Albumin blood test CPT 82040 HC OLIGOCLONAL BAND PROFILE PART 2	$5.25	$8.08	—	85% below	35%
Albumin blood test CPT 82040 HC ALBUMIN	$33.15	$51.00	—	7% below	35%
Albumin blood test CPT 82040 HC TESTOSTERONE FT FEMALE OR CHILD PART 3	$69.89	$107.53	—	97% above	35%
Albumin blood test inpatient CPT 82040 HC OLIGOCLONAL BAND PROFILE PART 2	$5.25	$8.08	—	—	35%
Albumin blood test inpatient CPT 82040 HC ALBUMIN	$33.15	$51.00	—	—	35%
Albumin blood test inpatient CPT 82040 HC TESTOSTERONE FT FEMALE OR CHILD PART 3	$69.89	$107.53	—	—	35%
Aldosterone blood test CPT 82088 HC ALDOSTERONE	$27.95	$43.00	—	83% below	35%
Aldosterone blood test CPT 82088 HC ALDOSTERONE URINE	$27.97	$43.03	—	83% below	35%
Aldosterone blood test inpatient CPT 82088 HC ALDOSTERONE	$27.95	$43.00	—	—	35%
Aldosterone blood test inpatient CPT 82088 HC ALDOSTERONE URINE	$27.97	$43.03	—	—	35%
Alkaline phosphatase (ALP) blood test CPT 84075 HC ALKALINE PHOSPHATASE ISOS 84075	$3.90	$6.00	—	90% below	35%
Alkaline phosphatase (ALP) blood test CPT 84075 HC ALP ISO 84075	$9.75	$15.00	—	74% below	35%
Alkaline phosphatase (ALP) blood test CPT 84075 HC ALKALINE PHOSPHATASE	$33.15	$51.00	—	13% below	35%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 HC ALKALINE PHOSPHATASE ISOS 84075	$3.90	$6.00	—	—	35%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 HC ALP ISO 84075	$9.75	$15.00	—	—	35%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 HC ALKALINE PHOSPHATASE	$33.15	$51.00	—	—	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ASPERGILLUS FUMIGATUS ANTIBODY, IGE	$2.60	$4.00	—	90% below	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC SHEEP SORREL	$3.58	$5.51	—	87% below	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC PECAN	$3.58	$5.51	—	87% below	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC YELLOW JACKET (COMMON WASP)	$3.58	$5.51	—	87% below	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC COD	$3.58	$5.51	—	87% below	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ORANGE	$3.58	$5.51	—	87% below	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC COCKROACH	$3.58	$5.51	—	87% below	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC WHEAT	$3.58	$5.51	—	87% below	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC OAT	$3.58	$5.51	—	87% below	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC MILK (COWS)	$3.58	$5.51	—	87% below	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC HOUSE DUST GREER	$3.58	$5.51	—	87% below	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC NAVY BEAN	$3.58	$5.51	—	87% below	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC DOG DANDER	$3.58	$5.51	—	87% below	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC D. PTERONYSSINUS	$3.58	$5.51	—	87% below	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC LETTUCE	$3.58	$5.51	—	87% below	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC D. FARNIAE	$3.58	$5.51	—	87% below	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC CAT DANDER	$3.58	$5.51	—	87% below	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC HAZELNUT	$3.58	$5.51	—	87% below	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC GRAPE	$3.58	$5.51	—	87% below	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC CLAM	$3.58	$5.51	—	87% below	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC CARROT	$3.58	$5.51	—	87% below	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC CABBAGE	$3.58	$5.51	—	87% below	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC BELL PEPPER	$3.58	$5.51	—	87% below	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC BEEF	$3.58	$5.51	—	87% below	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC TUNA	$3.58	$5.51	—	87% below	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALMOND	$3.58	$5.51	—	87% below	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC WHITE ASH TREE	$3.58	$5.51	—	87% below	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC WESTERN RAGWEED	$3.58	$5.51	—	87% below	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC WALNUT TREE	$3.58	$5.51	—	87% below	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC SHRIMP	$3.58	$5.51	—	87% below	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC BIRCH TREE	$3.58	$5.51	—	87% below	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC SAGEBRUSH/WORMWOOD	$3.58	$5.51	—	87% below	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC SESAME SEED	$3.58	$5.51	—	87% below	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC RYEGRASS	$3.58	$5.51	—	87% below	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC RUSSIAN THISTLE/SALTWORT	$3.58	$5.51	—	87% below	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC SCALLOP	$3.58	$5.51	—	87% below	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC REDTOP BENTGRASS	$3.58	$5.51	—	87% below	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC PIGWEED	$3.58	$5.51	—	87% below	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC MUGWORT	$3.58	$5.51	—	87% below	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC MUCOR RACEMOSUS	$3.58	$5.51	—	87% below	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC MOUSE EPITHELIUM	$3.58	$5.51	—	87% below	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC MOUNTAIN CEDAR TREE	$3.58	$5.51	—	87% below	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC KENTUCKY BLUEGRASS	$3.58	$5.51	—	87% below	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC GREY ALDER TREE	$3.58	$5.51	—	87% below	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC COTTONWOOD TREE	$3.58	$5.51	—	87% below	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC CLADOSPORIUM HERBARUM	$3.58	$5.51	—	87% below	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC PORK	$3.58	$5.51	—	87% below	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC CEPHALOSPORIUM ACREMONIUM	$3.58	$5.51	—	87% below	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC CANDIDA ALBICANS	$3.58	$5.51	—	87% below	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC BOX ELDER TREE	$3.58	$5.51	—	87% below	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC RAST ALLERGEN TESTING	$3.73	$5.74	—	86% below	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC POTATO	$3.90	$6.00	—	85% below	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALTANARIA ALTERNATE (A. TENUIS)	$3.90	$6.00	—	85% below	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC PENICILLIUM NOTATUM	$3.90	$6.00	—	85% below	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ORCHARD GRASS/COCKSFOOT	$3.90	$6.00	—	85% below	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC RAGWEED COMMON	$3.90	$6.00	—	85% below	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC OAK TREE	$3.90	$6.00	—	85% below	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC CORN	$3.90	$6.00	—	85% below	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC NETTLE	$3.90	$6.00	—	85% below	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC SALMON	$3.90	$6.00	—	85% below	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC WALNUT	$3.90	$6.00	—	85% below	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC PISTACHIO	$3.90	$6.00	—	85% below	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC CASHEW	$3.90	$6.00	—	85% below	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC EGG WHITE	$3.90	$6.00	—	85% below	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC CHICKEN	$3.90	$6.00	—	85% below	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC BARLEY	$3.90	$6.00	—	85% below	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC WHITE-FACED HORNET	$3.90	$6.00	—	85% below	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC RYE	$3.90	$6.00	—	85% below	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ELM TREE	$3.90	$6.00	—	85% below	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC COMMON RAGWEED	$3.90	$6.00	—	85% below	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC TOMATO	$3.90	$6.00	—	85% below	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC SOYBEAN	$3.90	$6.00	—	85% below	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC CRAB	$3.90	$6.00	—	85% below	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC YELLOW HORNET	$3.90	$6.00	—	85% below	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC PAPER WASP	$3.90	$6.00	—	85% below	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC TIMOTHY GRASS	$3.90	$6.00	—	85% below	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC RICE	$3.90	$6.00	—	85% below	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ASPERGILLIUS FUMIGATIS	$3.90	$6.00	—	85% below	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC BERMUDA GRASS	$3.90	$6.00	—	85% below	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC PEANUT	$3.90	$6.00	—	85% below	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC HONEY BEE	$3.90	$6.00	—	85% below	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC HOUSE DUST STIER	$3.90	$6.00	—	85% below	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPECIFIC IGE	$4.55	$7.00	—	83% below	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC BIRD FANCIER 86003	$6.34	$9.75	—	76% below	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ABPA PROFILE I PART 3	$8.38	$12.90	—	69% below	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC BIRD FANCIERS HYPERSENSITIVITY PROFILE PART 2	$15.60	$24.00	—	42% below	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE ADDITIONAL	$17.94	$27.60	—	33% below	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN, SPECIFIC IGE	$119.60	$184.00	—	347% above	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ASPERGILLUS FUMIGATUS ANTIBODY, IGE	$2.60	$4.00	—	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC CABBAGE	$3.58	$5.51	—	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC TUNA	$3.58	$5.51	—	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC SHRIMP	$3.58	$5.51	—	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC SESAME SEED	$3.58	$5.51	—	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC SCALLOP	$3.58	$5.51	—	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC PORK	$3.58	$5.51	—	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC PECAN	$3.58	$5.51	—	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ORANGE	$3.58	$5.51	—	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC OAT	$3.58	$5.51	—	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC NAVY BEAN	$3.58	$5.51	—	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC LETTUCE	$3.58	$5.51	—	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC HAZELNUT	$3.58	$5.51	—	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC GRAPE	$3.58	$5.51	—	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC CLAM	$3.58	$5.51	—	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC CARROT	$3.58	$5.51	—	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC BELL PEPPER	$3.58	$5.51	—	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC BEEF	$3.58	$5.51	—	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALMOND	$3.58	$5.51	—	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC WHITE ASH TREE	$3.58	$5.51	—	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC WESTERN RAGWEED	$3.58	$5.51	—	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC WALNUT TREE	$3.58	$5.51	—	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC SHEEP SORREL	$3.58	$5.51	—	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC SAGEBRUSH/WORMWOOD	$3.58	$5.51	—	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC RYEGRASS	$3.58	$5.51	—	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC RUSSIAN THISTLE/SALTWORT	$3.58	$5.51	—	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC REDTOP BENTGRASS	$3.58	$5.51	—	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC PIGWEED	$3.58	$5.51	—	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC MUGWORT	$3.58	$5.51	—	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC MUCOR RACEMOSUS	$3.58	$5.51	—	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC MOUSE EPITHELIUM	$3.58	$5.51	—	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC MOUNTAIN CEDAR TREE	$3.58	$5.51	—	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC KENTUCKY BLUEGRASS	$3.58	$5.51	—	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC GREY ALDER TREE	$3.58	$5.51	—	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC COTTONWOOD TREE	$3.58	$5.51	—	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC CLADOSPORIUM HERBARUM	$3.58	$5.51	—	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC CEPHALOSPORIUM ACREMONIUM	$3.58	$5.51	—	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC CANDIDA ALBICANS	$3.58	$5.51	—	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC BOX ELDER TREE	$3.58	$5.51	—	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC BIRCH TREE	$3.58	$5.51	—	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC YELLOW JACKET (COMMON WASP)	$3.58	$5.51	—	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC COD	$3.58	$5.51	—	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC COCKROACH	$3.58	$5.51	—	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC WHEAT	$3.58	$5.51	—	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC MILK (COWS)	$3.58	$5.51	—	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC HOUSE DUST GREER	$3.58	$5.51	—	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC DOG DANDER	$3.58	$5.51	—	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC D. PTERONYSSINUS	$3.58	$5.51	—	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC D. FARNIAE	$3.58	$5.51	—	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC CAT DANDER	$3.58	$5.51	—	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC RAST ALLERGEN TESTING	$3.73	$5.74	—	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC CRAB	$3.90	$6.00	—	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC WALNUT	$3.90	$6.00	—	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC TOMATO	$3.90	$6.00	—	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC SALMON	$3.90	$6.00	—	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC RYE	$3.90	$6.00	—	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC RICE	$3.90	$6.00	—	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC POTATO	$3.90	$6.00	—	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC PISTACHIO	$3.90	$6.00	—	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC CHICKEN	$3.90	$6.00	—	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALTANARIA ALTERNATE (A. TENUIS)	$3.90	$6.00	—	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC CORN	$3.90	$6.00	—	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC EGG WHITE	$3.90	$6.00	—	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC SOYBEAN	$3.90	$6.00	—	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC PEANUT	$3.90	$6.00	—	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC HONEY BEE	$3.90	$6.00	—	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC PAPER WASP	$3.90	$6.00	—	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC WHITE-FACED HORNET	$3.90	$6.00	—	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC YELLOW HORNET	$3.90	$6.00	—	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ASPERGILLIUS FUMIGATIS	$3.90	$6.00	—	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC BERMUDA GRASS	$3.90	$6.00	—	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC COMMON RAGWEED	$3.90	$6.00	—	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ELM TREE	$3.90	$6.00	—	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC HOUSE DUST STIER	$3.90	$6.00	—	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC NETTLE	$3.90	$6.00	—	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC OAK TREE	$3.90	$6.00	—	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ORCHARD GRASS/COCKSFOOT	$3.90	$6.00	—	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC PENICILLIUM NOTATUM	$3.90	$6.00	—	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC RAGWEED COMMON	$3.90	$6.00	—	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC TIMOTHY GRASS	$3.90	$6.00	—	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC BARLEY	$3.90	$6.00	—	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC CASHEW	$3.90	$6.00	—	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPECIFIC IGE	$4.55	$7.00	—	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC BIRD FANCIER 86003	$6.34	$9.75	—	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ABPA PROFILE I PART 3	$8.38	$12.90	—	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC BIRD FANCIERS HYPERSENSITIVITY PROFILE PART 2	$15.60	$24.00	—	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE ADDITIONAL	$17.94	$27.60	—	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN, SPECIFIC IGE	$119.60	$184.00	—	—	35%
Alpha-fetoprotein (AFP) blood test CPT 82105 HC AFP, SERUM, OPEN SPINA BIFIDA	$8.63	$13.28	—	90% below	35%
Alpha-fetoprotein (AFP) blood test CPT 82105 HC AFP, SERUM, TUMOR MARKER	$13.00	$20.00	—	84% below	35%
Alpha-fetoprotein (AFP) blood test CPT 82105 HC ALPHA FETOPROTEIN	$239.20	$368.00	—	187% above	35%
Alpha-fetoprotein (AFP) blood test CPT 82105 HC AFP MATERNAL	$253.50	$390.00	—	204% above	35%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 HC AFP, SERUM, OPEN SPINA BIFIDA	$8.63	$13.28	—	—	35%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 HC AFP, SERUM, TUMOR MARKER	$13.00	$20.00	—	—	35%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 HC ALPHA FETOPROTEIN	$239.20	$368.00	—	—	35%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 HC AFP MATERNAL	$253.50	$390.00	—	—	35%
Ammonia blood test CPT 82140 HC AMMONIA	$24.08	$37.04	—	79% below	35%
Ammonia blood test inpatient CPT 82140 HC AMMONIA	$24.08	$37.04	—	—	35%
Amylase blood test CPT 82150 HC PANCREATIC AMYLASE ISOENZYME	$8.09	$12.45	—	87% below	35%
Amylase blood test CPT 82150 HC SALIVARY AMYLASE ISOENZYME	$8.09	$12.45	—	87% below	35%
Amylase blood test CPT 82150 HC AMYLASE BODY FLUID	$10.61	$16.32	—	83% below	35%
Amylase blood test CPT 82150 HC BODY FLUID PANCREATIC CYST AMYLASE	$55.04	$84.67	—	12% below	35%
Amylase blood test CPT 82150 HC AMYLASE URINE-TIMED	$82.55	$127.00	—	33% above	35%
Amylase blood test CPT 82150 HC AMYLASE	$87.10	$134.00	—	40% above	35%
Amylase blood test inpatient CPT 82150 HC SALIVARY AMYLASE ISOENZYME	$8.09	$12.45	—	—	35%
Amylase blood test inpatient CPT 82150 HC PANCREATIC AMYLASE ISOENZYME	$8.09	$12.45	—	—	35%
Amylase blood test inpatient CPT 82150 HC AMYLASE BODY FLUID	$10.61	$16.32	—	—	35%
Amylase blood test inpatient CPT 82150 HC BODY FLUID PANCREATIC CYST AMYLASE	$55.04	$84.67	—	—	35%
Amylase blood test inpatient CPT 82150 HC AMYLASE URINE-TIMED	$82.55	$127.00	—	—	35%
Amylase blood test inpatient CPT 82150 HC AMYLASE	$87.10	$134.00	—	—	35%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 HC ANTI-CCP AB, IGG/IGA	$7.15	$11.00	—	91% below	35%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 HC CTDC CCP IGG 86200	$11.67	$17.96	—	85% below	35%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 HC CYCLIC CITULLINATED PEPTIDE	$278.85	$429.00	—	259% above	35%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 HC ANTI-CCP AB, IGG/IGA	$7.15	$11.00	—	—	35%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 HC CTDC CCP IGG 86200	$11.67	$17.96	—	—	35%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 HC CYCLIC CITULLINATED PEPTIDE	$278.85	$429.00	—	—	35%
Antinuclear antibody (ANA) blood test, screen CPT 86038 HC ANA-12 PROFILE	$8.30	$12.77	—	88% below	35%
Antinuclear antibody (ANA) blood test, screen CPT 86038 HC CONNECTIVE TISSUE DISEASES CASCADE-MAYO	$10.90	$16.77	—	84% below	35%
Antinuclear antibody (ANA) blood test, screen CPT 86038 HC ANTINUCLEAR ANTIBODY SCREEN	$16.95	$26.08	—	76% below	35%
Antinuclear antibody (ANA) blood test, screen CPT 86038 HC ANA PROFILE 12 (RDL)	$26.65	$41.00	—	62% below	35%
Antinuclear antibody (ANA) blood test, screen CPT 86038 HC SCLERODERMA COMP PROFILE (RDL) PART 1	$38.26	$58.86	—	45% below	35%
Antinuclear antibody (ANA) blood test, screen CPT 86038 HC SCLERODERMA COMP PLUS (RDL) PART 1	$39.57	$60.88	—	44% below	35%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 HC ANA-12 PROFILE	$8.30	$12.77	—	—	35%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 HC CONNECTIVE TISSUE DISEASES CASCADE-MAYO	$10.90	$16.77	—	—	35%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 HC ANTINUCLEAR ANTIBODY SCREEN	$16.95	$26.08	—	—	35%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 HC ANA PROFILE 12 (RDL)	$26.65	$41.00	—	—	35%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 HC SCLERODERMA COMP PROFILE (RDL) PART 1	$38.26	$58.86	—	—	35%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 HC SCLERODERMA COMP PLUS (RDL) PART 1	$39.57	$60.88	—	—	35%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 HC NT-PROBNP	$22.10	$34.00	—	89% below	35%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 HC PROBRAIN NATRIURETIC PEPTIDE NT	$37.04	$56.99	—	81% below	35%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 HC B TYPE NATRIURETIC PEPTIDE	$369.20	$568.00	—	91% above	35%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 HC NT-PROBNP	$22.10	$34.00	—	—	35%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 HC PROBRAIN NATRIURETIC PEPTIDE NT	$37.04	$56.99	—	—	35%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 HC B TYPE NATRIURETIC PEPTIDE	$369.20	$568.00	—	—	35%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULTURE BACTERIAL ORGANISM ID	$9.10	$14.00	—	90% below	35%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULT AEROBIC	$14.85	$22.85	—	83% below	35%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULTURE AEROBIC	$16.96	$26.10	—	81% below	35%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULTURE THROAT	$101.40	$156.00	—	15% above	35%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC CULTURE BACTERIAL ORGANISM ID	$9.10	$14.00	—	—	35%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC CULT AEROBIC	$14.85	$22.85	—	—	35%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC CULTURE AEROBIC	$16.96	$26.10	—	—	35%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC CULTURE THROAT	$101.40	$156.00	—	—	35%
Basic metabolic panel (blood test) CPT 80048 HC BASIC METABOLIC PANEL	$75.40	$116.00	—	1% above	35%
Basic metabolic panel (blood test) inpatient CPT 80048 HC BASIC METABOLIC PANEL	$75.40	$116.00	—	—	35%
Bilirubin blood test, total CPT 82247 HC BILIRUBIN TOTAL-BODY FLUID	$6.30	$9.70	—	86% below	35%
Bilirubin blood test, total CPT 82247 HC BILIRUBIN TOTAL	$33.15	$51.00	—	25% below	35%
Bilirubin blood test, total CPT 82247 HC NASH FIBROSURE(R) PLUS PART 10	$97.50	$150.00	—	121% above	35%
Bilirubin blood test, total inpatient CPT 82247 HC BILIRUBIN TOTAL-BODY FLUID	$6.30	$9.70	—	—	35%
Bilirubin blood test, total inpatient CPT 82247 HC BILIRUBIN TOTAL	$33.15	$51.00	—	—	35%
Bilirubin blood test, total inpatient CPT 82247 HC NASH FIBROSURE(R) PLUS PART 10	$97.50	$150.00	—	—	35%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC GROSS MICRO LEVEL 4	$17.45	$26.85	—	90% below	35%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC GROSS MICRO LEVEL 4 TC ONLY	$197.60	$304.00	—	13% above	35%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HC GROSS MICRO LEVEL 4	$17.45	$26.85	—	—	35%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HC GROSS MICRO LEVEL 4 TC ONLY	$197.60	$304.00	—	—	35%
Blood culture for bacteria CPT 87040 HC CULTURE BLOOD	$127.40	$196.00	—	15% below	35%
Blood culture for bacteria inpatient CPT 87040 HC CULTURE BLOOD	$127.40	$196.00	—	—	35%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 HC PHLEBOTOMY SPECIMEN FEE	$20.15	$31.00	—	19% below	35%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 HC VENIPUNCTURE PPPC	$22.75	$35.00	—	9% below	35%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 HC VENIPUNCTURE BLOOD DRAW DTIV	$23.40	$36.00	—	6% below	35%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 HC VENIPUNCTURE BLOOD DRAW	$25.35	$39.00	—	2% above	35%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 HC LEGAL BLOOD DRAW	$42.25	$65.00	—	69% above	35%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 HC PHLEBOTOMY SPECIMEN FEE	$20.15	$31.00	—	—	35%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 HC VENIPUNCTURE PPPC	$22.75	$35.00	—	—	35%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 HC VENIPUNCTURE BLOOD DRAW DTIV	$23.40	$36.00	—	—	35%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 HC VENIPUNCTURE BLOOD DRAW	$25.35	$39.00	—	—	35%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 HC LEGAL BLOOD DRAW	$42.25	$65.00	—	—	35%
Blood glucose (sugar) test CPT 82947 HC POC ASSAY GLUCOSE BLOOD QUANT	$2.70	$4.15	—	93% below	35%
Blood glucose (sugar) test CPT 82947 HC LIVER FIBROSIS NAFLD (ECHOSENS) PART 4	$12.35	$19.00	—	67% below	35%
Blood glucose (sugar) test CPT 82947 HC NASH FIBROSURE(R) PLUS PART 7	$16.25	$25.00	—	57% below	35%
Blood glucose (sugar) test CPT 82947 HC GLUCOSE BODY FLUID QUANT BLOOD	$16.90	$26.00	—	55% below	35%
Blood glucose (sugar) test CPT 82947 HC GLUCOSE	$36.40	$56.00	—	3% below	35%
Blood glucose (sugar) test inpatient CPT 82947 HC POC ASSAY GLUCOSE BLOOD QUANT	$2.70	$4.15	—	—	35%
Blood glucose (sugar) test inpatient CPT 82947 HC LIVER FIBROSIS NAFLD (ECHOSENS) PART 4	$12.35	$19.00	—	—	35%
Blood glucose (sugar) test inpatient CPT 82947 HC NASH FIBROSURE(R) PLUS PART 7	$16.25	$25.00	—	—	35%
Blood glucose (sugar) test inpatient CPT 82947 HC GLUCOSE BODY FLUID QUANT BLOOD	$16.90	$26.00	—	—	35%
Blood glucose (sugar) test inpatient CPT 82947 HC GLUCOSE	$36.40	$56.00	—	—	35%
Blood lead test CPT 83655 HC U HEAVY METALS PANEL W REFLEX PART 4	$6.50	$10.00	—	90% below	35%
Blood lead test CPT 83655 HC HEAVY METALS BLOOD PART 3	$6.50	$10.00	—	90% below	35%
Blood lead test CPT 83655 HC LEAD WHOLE BLOOD	$8.31	$12.79	—	87% below	35%
Blood lead test CPT 83655 HC URINE LEAD	$8.45	$13.00	—	87% below	35%
Blood lead test CPT 83655 HC POCT LEAD SCREEN	$19.37	$29.80	—	70% below	35%
Blood lead test CPT 83655 HC LEAD - INDUSTRIAL	$42.90	$66.00	—	32% below	35%
Blood lead test CPT 83655 HC _LEAD INDUSTRIAL EXPOSURE PANEL	$86.45	$133.00	—	36% above	35%
Blood lead test CPT 83655 HC LEAD	$152.10	$234.00	—	139% above	35%
Blood lead test inpatient CPT 83655 HC HEAVY METALS BLOOD PART 3	$6.50	$10.00	—	—	35%
Blood lead test inpatient CPT 83655 HC U HEAVY METALS PANEL W REFLEX PART 4	$6.50	$10.00	—	—	35%
Blood lead test inpatient CPT 83655 HC LEAD WHOLE BLOOD	$8.31	$12.79	—	—	35%
Blood lead test inpatient CPT 83655 HC URINE LEAD	$8.45	$13.00	—	—	35%
Blood lead test inpatient CPT 83655 HC POCT LEAD SCREEN	$19.37	$29.80	—	—	35%
Blood lead test inpatient CPT 83655 HC LEAD - INDUSTRIAL	$42.90	$66.00	—	—	35%
Blood lead test inpatient CPT 83655 HC _LEAD INDUSTRIAL EXPOSURE PANEL	$86.45	$133.00	—	—	35%
Blood lead test inpatient CPT 83655 HC LEAD	$152.10	$234.00	—	—	35%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HC HCG QUALITATIVE	$11.68	$17.97	—	84% below	35%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HC HCG QUALITATIVE	$11.68	$17.97	—	—	35%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HC ARC ABO TYPE CHG	$114.40	$176.00	—	76% above	35%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HC ARC ABO TYPE CHG	$114.40	$176.00	—	—	35%
Blood urea nitrogen (BUN) test CPT 84520 HC UREA NITROGEN	$7.20	$11.08	—	80% below	35%
Blood urea nitrogen (BUN) test inpatient CPT 84520 HC UREA NITROGEN	$7.20	$11.08	—	—	35%
C-peptide blood test CPT 84681 HC C-PEPTIDE	$27.07	$41.65	—	75% below	35%
C-peptide blood test inpatient CPT 84681 HC C-PEPTIDE	$27.07	$41.65	—	—	35%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 HC PROMETHEUS IBD SGI DIAGNOSTIC	$6.33	$9.74	—	89% below	35%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 HC C-REACTIVE PROTEIN	$107.90	$166.00	—	84% above	35%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 HC PROMETHEUS IBD SGI DIAGNOSTIC	$6.33	$9.74	—	—	35%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 HC C-REACTIVE PROTEIN	$107.90	$166.00	—	—	35%
C. difficile toxin gene test (stool PCR) CPT 87493 HC C DIFFICILE PCR	$235.30	$362.00	—	34% above	35%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 HC C DIFFICILE PCR	$235.30	$362.00	—	—	35%
CA 19-9 blood test (tumor marker) CPT 86301 HC CA 19-9	$11.05	$17.00	—	90% below	35%
CA 19-9 blood test (tumor marker) CPT 86301 HC CANCER ANTIGEN-GI AKA CA19-9	$25.02	$38.49	—	77% below	35%
CA 19-9 blood test (tumor marker) CPT 86301 HC CANCER ANTIGEN CA 19-9	$27.62	$42.49	—	75% below	35%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 HC CA 19-9	$11.05	$17.00	—	—	35%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 HC CANCER ANTIGEN-GI AKA CA19-9	$25.02	$38.49	—	—	35%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 HC CANCER ANTIGEN CA 19-9	$27.62	$42.49	—	—	35%
CA-125 blood test (ovarian cancer marker) CPT 86304 HC CANCER ANTIGEN 125	$25.18	$38.74	—	79% below	35%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 HC CANCER ANTIGEN 125	$25.18	$38.74	—	—	35%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HC COVID EXPRESS	$33.72	$51.88	—	68% below	35%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HC COVID-19 TEST (NON-CDC) AMPLIFIED PROBE TECHNIQUE ONLY	$51.45	$79.16	—	51% below	35%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 HC COVID EXPRESS	$33.72	$51.88	—	—	35%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 HC COVID-19 TEST (NON-CDC) AMPLIFIED PROBE TECHNIQUE ONLY	$51.45	$79.16	—	—	35%
Calcium blood test, total CPT 82310 HC CALCIUM	$7.62	$11.72	—	82% below	35%
Calcium blood test, total inpatient CPT 82310 HC CALCIUM	$7.62	$11.72	—	—	35%
Carcinoembryonic antigen (CEA) test CPT 82378 HC CEA, PANCREATIC CYST FLUID	$92.95	$143.00	—	29% below	35%
Carcinoembryonic antigen (CEA) test CPT 82378 HC CARCINOEMBRYONIC ANTIGEN	$200.20	$308.00	—	54% above	35%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 HC CEA, PANCREATIC CYST FLUID	$92.95	$143.00	—	—	35%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 HC CARCINOEMBRYONIC ANTIGEN	$200.20	$308.00	—	—	35%
Chickenpox (varicella) immunity blood test CPT 86787 HC VARICELLA-ZOSTER ANTIBODY IGM	$10.40	$16.00	—	87% below	35%
Chickenpox (varicella) immunity blood test CPT 86787 HC VARICELLA-ZOSTER ANTIBODY IGG	$10.40	$16.00	—	87% below	35%
Chickenpox (varicella) immunity blood test CPT 86787 HC VZV ANTIBODY IGG	$21.32	$32.80	—	73% below	35%
Chickenpox (varicella) immunity blood test CPT 86787 HC VZV IGG AB	$109.85	$169.00	—	39% above	35%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 HC VARICELLA-ZOSTER ANTIBODY IGM	$10.40	$16.00	—	—	35%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 HC VARICELLA-ZOSTER ANTIBODY IGG	$10.40	$16.00	—	—	35%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 HC VZV ANTIBODY IGG	$21.32	$32.80	—	—	35%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 HC VZV IGG AB	$109.85	$169.00	—	—	35%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC CHLAMYDIA TRACHOMATIS NAA, PHARYNGEAL	$9.75	$15.00	—	93% below	35%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC CHLAMYDIA TRACHOMATIS BY APTIMA, CONJUNCTIVA	$9.75	$15.00	—	93% below	35%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC CHLAMYDIA TRACHOMATIS NAA, RECTAL	$9.75	$15.00	—	93% below	35%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC CHLAMYDIA	$13.86	$21.33	—	90% below	35%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC CHLAMYDIA SWAB	$13.86	$21.33	—	90% below	35%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC CHLAMYDIA BY TMA	$17.74	$27.29	—	87% below	35%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC CHLAMYDIA TRACHOMATIS NAA	$19.22	$29.57	—	86% below	35%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC CHLAMYDIA TRACHOMATIS	$34.41	$52.94	—	74% below	35%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC C TRACHOMATIS CONFIRM NAA	$39.65	$61.00	—	70% below	35%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC CHLAMYDIA DNA PROBE	$48.71	$74.94	—	64% below	35%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC CHLAMYDIA TRACHOMATIS BY APTIMA	$71.50	$110.00	—	47% below	35%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HC CHLAMYDIA TRACHOMATIS NAA, RECTAL	$9.75	$15.00	—	—	35%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HC CHLAMYDIA TRACHOMATIS BY APTIMA, CONJUNCTIVA	$9.75	$15.00	—	—	35%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HC CHLAMYDIA TRACHOMATIS NAA, PHARYNGEAL	$9.75	$15.00	—	—	35%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HC CHLAMYDIA SWAB	$13.86	$21.33	—	—	35%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HC CHLAMYDIA	$13.86	$21.33	—	—	35%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HC CHLAMYDIA BY TMA	$17.74	$27.29	—	—	35%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HC CHLAMYDIA TRACHOMATIS NAA	$19.22	$29.57	—	—	35%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HC CHLAMYDIA TRACHOMATIS	$34.41	$52.94	—	—	35%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HC C TRACHOMATIS CONFIRM NAA	$39.65	$61.00	—	—	35%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HC CHLAMYDIA DNA PROBE	$48.71	$74.94	—	—	35%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HC CHLAMYDIA TRACHOMATIS BY APTIMA	$71.50	$110.00	—	—	35%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LP WITHOUT VLDL+CHOL/HDL	$8.85	$13.61	—	90% below	35%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC NMR LIPID PROFILE 80061	$9.19	$14.14	—	90% below	35%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC NMR LIPO PROFILE PART 2	$11.21	$17.25	—	87% below	35%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LIPID PROFILE	$18.64	$28.67	—	79% below	35%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC LP WITHOUT VLDL+CHOL/HDL	$8.85	$13.61	—	—	35%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC NMR LIPID PROFILE 80061	$9.19	$14.14	—	—	35%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC NMR LIPO PROFILE PART 2	$11.21	$17.25	—	—	35%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC LIPID PROFILE	$18.64	$28.67	—	—	35%
Complete blood count (CBC) with differential CPT 85025 HC CBC W AUTO DIFF	$16.17	$24.88	—	76% below	35%
Complete blood count (CBC) with differential inpatient CPT 85025 HC CBC W AUTO DIFF	$16.17	$24.88	—	—	35%
Complete blood count (CBC), no differential CPT 85027 HC AUTOMATED BLOOD COUNT	$14.46	$22.25	—	72% below	35%
Complete blood count (CBC), no differential inpatient CPT 85027 HC AUTOMATED BLOOD COUNT	$14.46	$22.25	—	—	35%
Comprehensive metabolic panel (blood test) CPT 80053 HC COMPRHNSV METABOLIC PANEL	$91.00	$140.00	—	at median	35%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 HC COMPRHNSV METABOLIC PANEL	$91.00	$140.00	—	—	35%
Cortisol blood test, total CPT 82533 HC CONGENITAL ADRENAL HYPERPLASIA (CAH	$17.55	$27.00	—	83% below	35%
Cortisol blood test, total CPT 82533 HC BF CORTISOL SALIVA	$19.50	$30.00	—	82% below	35%
Cortisol blood test, total CPT 82533 HC CAH PROFILE 4 PART 1	$22.93	$35.28	—	78% below	35%
Cortisol blood test, total CPT 82533 HC CORTISOL STIMULATED	$42.25	$65.00	—	60% below	35%
Cortisol blood test, total CPT 82533 HC CORTISOL, ACTH STIMULATION	$42.25	$65.00	—	60% below	35%
Cortisol blood test, total CPT 82533 HC CORTISOL 30 MIN	$49.40	$76.00	—	53% below	35%
Cortisol blood test, total CPT 82533 HC CORTISOL 60 MIN	$52.00	$80.00	—	51% below	35%
Cortisol blood test, total inpatient CPT 82533 HC CONGENITAL ADRENAL HYPERPLASIA (CAH	$17.55	$27.00	—	—	35%
Cortisol blood test, total inpatient CPT 82533 HC BF CORTISOL SALIVA	$19.50	$30.00	—	—	35%
Cortisol blood test, total inpatient CPT 82533 HC CAH PROFILE 4 PART 1	$22.93	$35.28	—	—	35%
Cortisol blood test, total inpatient CPT 82533 HC CORTISOL, ACTH STIMULATION	$42.25	$65.00	—	—	35%
Cortisol blood test, total inpatient CPT 82533 HC CORTISOL STIMULATED	$42.25	$65.00	—	—	35%
Cortisol blood test, total inpatient CPT 82533 HC CORTISOL 30 MIN	$49.40	$76.00	—	—	35%
Cortisol blood test, total inpatient CPT 82533 HC CORTISOL 60 MIN	$52.00	$80.00	—	—	35%
Creatine kinase (CK) blood test, total CPT 82550 HC CREATINE PHOSPHOKINASE	$56.55	$87.00	—	15% below	35%
Creatine kinase (CK) blood test, total inpatient CPT 82550 HC CREATINE PHOSPHOKINASE	$56.55	$87.00	—	—	35%
Creatinine blood test CPT 82565 HC CREATININE	$7.60	$11.70	—	82% below	35%
Creatinine blood test CPT 82565 HC POC CREATININE	$17.55	$27.00	—	59% below	35%
Creatinine blood test inpatient CPT 82565 HC CREATININE	$7.60	$11.70	—	—	35%
Creatinine blood test inpatient CPT 82565 HC POC CREATININE	$17.55	$27.00	—	—	35%
Cytomegalovirus (CMV) antibody test CPT 86644 HC PRENAT INFECT DIS AB, IGG PART 4	$6.90	$10.62	—	91% below	35%
Cytomegalovirus (CMV) antibody test CPT 86644 HC NATIONAL MARROW DONOR CMV AB	$9.88	$15.20	—	87% below	35%
Cytomegalovirus (CMV) antibody test CPT 86644 HC TXP CMV	$9.88	$15.20	—	87% below	35%
Cytomegalovirus (CMV) antibody test CPT 86644 HC CYTOMEGALOVIRUS ANTIBODY IGG	$12.35	$19.00	—	84% below	35%
Cytomegalovirus (CMV) antibody test CPT 86644 HC CYTOMEGALOVIRUS (CMV) ANTIBODY IGG	$13.23	$20.35	—	83% below	35%
Cytomegalovirus (CMV) antibody test CPT 86644 HC CYTOMEGALOVIRUS ANTIBODY SCREEN	$19.38	$29.82	—	75% below	35%
Cytomegalovirus (CMV) antibody test CPT 86644 HC CMV ANTIBODIES IGG & IGM	$25.64	$39.45	—	66% below	35%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 HC PRENAT INFECT DIS AB, IGG PART 4	$6.90	$10.62	—	—	35%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 HC NATIONAL MARROW DONOR CMV AB	$9.88	$15.20	—	—	35%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 HC TXP CMV	$9.88	$15.20	—	—	35%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 HC CYTOMEGALOVIRUS ANTIBODY IGG	$12.35	$19.00	—	—	35%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 HC CYTOMEGALOVIRUS (CMV) ANTIBODY IGG	$13.23	$20.35	—	—	35%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 HC CYTOMEGALOVIRUS ANTIBODY SCREEN	$19.38	$29.82	—	—	35%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 HC CMV ANTIBODIES IGG & IGM	$25.64	$39.45	—	—	35%
D-dimer blood test (blood clot marker) CPT 85379 HC D-DIMER QUANTITATIVE	$35.93	$55.27	—	70% below	35%
D-dimer blood test (blood clot marker) inpatient CPT 85379 HC D-DIMER QUANTITATIVE	$35.93	$55.27	—	—	35%
DHEA sulfate (DHEA-S) blood test CPT 82627 HC DHEA-SULFATE	$16.25	$25.00	—	87% below	35%
DHEA sulfate (DHEA-S) blood test CPT 82627 HC DHEA-SULFATE, SERUM (ESOTERIX)	$20.80	$32.00	—	84% below	35%
DHEA sulfate (DHEA-S) blood test CPT 82627 HC DHEA SULFATE	$32.00	$49.23	—	75% below	35%
DHEA sulfate (DHEA-S) blood test CPT 82627 HC _DHEA SULFATE MAYO	$82.55	$127.00	—	36% below	35%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 HC DHEA-SULFATE	$16.25	$25.00	—	—	35%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 HC DHEA-SULFATE, SERUM (ESOTERIX)	$20.80	$32.00	—	—	35%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 HC DHEA SULFATE	$32.00	$49.23	—	—	35%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 HC _DHEA SULFATE MAYO	$82.55	$127.00	—	—	35%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC TOXASSURE(R) FLEX 24, URINE	$13.86	$21.32	—	91% below	35%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC TOXASSURE(R) FLEX 29, URINE	$16.82	$25.88	—	90% below	35%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC U GHB SCREEN	$24.38	$37.50	—	85% below	35%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC URINE ETHYLGLUCURONIDE SCREEN	$39.20	$60.31	—	76% below	35%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG SCREEN-DIALYSIS PTS ONLY	$39.20	$60.31	—	76% below	35%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC ALCOHOL, ETHYL,SCR W/QUANT,UR	$40.30	$62.00	—	75% below	35%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC TRICYCLIC TOX 16 UR	$41.05	$63.15	—	74% below	35%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC URINE BUPRENORPHINE SCREEN	$41.52	$63.88	—	74% below	35%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC URINE HEROIN SCREEN	$41.52	$63.88	—	74% below	35%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC BENZODIAZEPINE - MEDICAL	$42.25	$65.00	—	74% below	35%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC BARBITURATES ONLY-MEDICAL	$42.25	$65.00	—	74% below	35%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG ANALYTE/URINE	$42.25	$65.00	—	74% below	35%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC MARIJUANA-URINE SCREEN	$42.25	$65.00	—	74% below	35%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC URINE PHENCYCLIDINE	$42.65	$65.62	—	73% below	35%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC MEPERIDINE EIA SCREEN	$42.65	$65.62	—	73% below	35%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG SCREEN EMERGENCY DEPT	$42.65	$65.62	—	73% below	35%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC URINE PAIN MEDICATION LCMS PANEL	$42.65	$65.62	—	73% below	35%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC URINE AMPHETAMINE PAIN MGT SCREEN	$42.65	$65.62	—	73% below	35%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC URINE BUPRENORPHRINE PAIN MGT SCREE	$42.65	$65.62	—	73% below	35%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC URINE CANNABINOIDS PAIN MGT SCREEN	$42.65	$65.62	—	73% below	35%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC URINE METHADONE PAIN MGT SCREEN	$42.65	$65.62	—	73% below	35%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC URINE AMPHETAMINES	$42.65	$65.62	—	73% below	35%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC URINE 6-ACETYLMORPHINE	$42.65	$65.62	—	73% below	35%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC URINE BENZODIAZEPINES	$42.65	$65.62	—	73% below	35%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC URINE CANNABINOIDS	$42.65	$65.62	—	73% below	35%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC URINE COCAINE	$42.65	$65.62	—	73% below	35%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC URINE ETHANOL	$42.65	$65.62	—	73% below	35%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC URINE OPIATES	$42.65	$65.62	—	73% below	35%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC URINE OXYCODONE	$42.65	$65.62	—	73% below	35%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC URINE BARBITURATES	$42.65	$65.62	—	73% below	35%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC URINE BUPRENORPHINE	$42.65	$65.62	—	73% below	35%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC URINE MDMA	$42.65	$65.62	—	73% below	35%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC URINE METHADONE	$42.65	$65.62	—	73% below	35%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC URINE PROPOXYPHENE	$42.65	$65.62	—	73% below	35%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC URINE SALICYLATES	$42.65	$65.62	—	73% below	35%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC URINE TRICYCLIC	$42.65	$65.62	—	73% below	35%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC ARUP METHADONE,URINE,SCREEN	$42.65	$65.62	—	73% below	35%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG PANEL SERUM	$59.23	$91.13	—	63% below	35%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC URINE PAIN MEDICATION PRESUMPT QUICK PANR	$62.40	$96.00	—	61% below	35%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC URINE DRUG SCREEN BY TLC	$69.75	$107.31	—	57% below	35%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC URINE BARBITUATE PAIN MGT SCREEN	$70.20	$108.00	—	56% below	35%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC URINE BENZODIAZPINE PAIN MGT SCREEN	$70.20	$108.00	—	56% below	35%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC URINE COCAINE PAIN MGT SCREEN	$70.20	$108.00	—	56% below	35%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC URINE OXYCODONE PAIN MGT SCREEN	$70.20	$108.00	—	56% below	35%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC URINE MDMA PAIN MGT SCREEN	$70.20	$108.00	—	56% below	35%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC URINE ETHANOL PAIN MGT SCREEN	$70.20	$108.00	—	56% below	35%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC URINE PHENCYCLIDINE PAIN MGT SCREEN	$70.20	$108.00	—	56% below	35%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC URINE METHADONE SCREEN	$77.68	$119.50	—	52% below	35%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC AMPHETAMINES, SCR W/CONF, WB	$84.50	$130.00	—	47% below	35%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC OXYCODONE CLASS, SCR W/CONF, U	$88.72	$136.50	—	45% below	35%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC KRATOM, SCR W/CONF, UR	$88.72	$136.50	—	45% below	35%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC FLUNITRAZEPAM (ROHYPNOL) SCR.U	$89.70	$138.00	—	44% below	35%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC URINE TRAMADOL SCREEN	$96.85	$149.00	—	40% below	35%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC URINE ROHYPNOL	$100.75	$155.00	—	37% below	35%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUGS OF ABUSE PANEL - NEONATAL/ENDANGERED CHILD	$108.55	$167.00	—	33% below	35%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC TAPENTADOL EIA SCREEN	$112.45	$173.00	—	30% below	35%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC ZOLPIDEM SCREEN	$112.45	$173.00	—	30% below	35%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUGS OF ABUSE PANEL - STANDARD	$123.50	$190.00	—	23% below	35%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC METHYLPHENIDATE, SCR/CONF,U	$123.50	$190.00	—	23% below	35%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG SCREEN 10, SCR W/CONF,UR	$123.50	$190.00	—	23% below	35%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC URINE COTININE	$123.50	$190.00	—	23% below	35%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC TOXASSURE FLEX 15 SCR ONLY, UR	$135.52	$208.50	—	16% below	35%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC OPIATES ONLY-MEDICAL	$153.56	$236.25	—	5% below	35%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC URINE GHB SCREEN (GAMMA HYDROXY BUTYRIC ACID)	$162.50	$250.00	—	1% above	35%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC URINE TRICYCLIC SCREEN	$181.35	$279.00	—	13% above	35%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUGS OF ABUSE PANEL - INTERMEDIATE	$190.45	$293.00	—	18% above	35%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC URINE PAIN MEDICATION SCREEN	$199.55	$307.00	—	24% above	35%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUGS OF ABUSE PANEL - COMPREHENSIVE	$217.10	$334.00	—	35% above	35%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUGS OF ABUSE PANEL - EMERGENCY	$245.05	$377.00	—	52% above	35%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUGS OF ABUSE PANEL - EMERGENCY W/FENTANYL	$247.00	$380.00	—	54% above	35%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC MECONIUM DRUG SCREEN	$283.40	$436.00	—	76% above	35%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC TOXASSURE(R) FLEX 24, URINE	$13.86	$21.32	—	—	35%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC TOXASSURE(R) FLEX 29, URINE	$16.82	$25.88	—	—	35%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC U GHB SCREEN	$24.38	$37.50	—	—	35%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC URINE ETHYLGLUCURONIDE SCREEN	$39.20	$60.31	—	—	35%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG SCREEN-DIALYSIS PTS ONLY	$39.20	$60.31	—	—	35%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC ALCOHOL, ETHYL,SCR W/QUANT,UR	$40.30	$62.00	—	—	35%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC TRICYCLIC TOX 16 UR	$41.05	$63.15	—	—	35%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC URINE BUPRENORPHINE SCREEN	$41.52	$63.88	—	—	35%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC URINE HEROIN SCREEN	$41.52	$63.88	—	—	35%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC BARBITURATES ONLY-MEDICAL	$42.25	$65.00	—	—	35%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC BENZODIAZEPINE - MEDICAL	$42.25	$65.00	—	—	35%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC MARIJUANA-URINE SCREEN	$42.25	$65.00	—	—	35%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG ANALYTE/URINE	$42.25	$65.00	—	—	35%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC URINE BENZODIAZEPINES	$42.65	$65.62	—	—	35%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC URINE COCAINE	$42.65	$65.62	—	—	35%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC URINE MDMA	$42.65	$65.62	—	—	35%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC URINE BUPRENORPHINE	$42.65	$65.62	—	—	35%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC URINE BARBITURATES	$42.65	$65.62	—	—	35%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC URINE 6-ACETYLMORPHINE	$42.65	$65.62	—	—	35%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC URINE METHADONE	$42.65	$65.62	—	—	35%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC URINE AMPHETAMINES	$42.65	$65.62	—	—	35%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC URINE CANNABINOIDS PAIN MGT SCREEN	$42.65	$65.62	—	—	35%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC URINE CANNABINOIDS	$42.65	$65.62	—	—	35%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG SCREEN EMERGENCY DEPT	$42.65	$65.62	—	—	35%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC ARUP METHADONE,URINE,SCREEN	$42.65	$65.62	—	—	35%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC URINE OXYCODONE	$42.65	$65.62	—	—	35%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC URINE TRICYCLIC	$42.65	$65.62	—	—	35%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC URINE PHENCYCLIDINE	$42.65	$65.62	—	—	35%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC URINE PAIN MEDICATION LCMS PANEL	$42.65	$65.62	—	—	35%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC URINE OPIATES	$42.65	$65.62	—	—	35%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC URINE AMPHETAMINE PAIN MGT SCREEN	$42.65	$65.62	—	—	35%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC URINE ETHANOL	$42.65	$65.62	—	—	35%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC URINE SALICYLATES	$42.65	$65.62	—	—	35%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC URINE METHADONE PAIN MGT SCREEN	$42.65	$65.62	—	—	35%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC MEPERIDINE EIA SCREEN	$42.65	$65.62	—	—	35%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC URINE PROPOXYPHENE	$42.65	$65.62	—	—	35%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC URINE BUPRENORPHRINE PAIN MGT SCREE	$42.65	$65.62	—	—	35%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG PANEL SERUM	$59.23	$91.13	—	—	35%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC URINE PAIN MEDICATION PRESUMPT QUICK PANR	$62.40	$96.00	—	—	35%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC URINE DRUG SCREEN BY TLC	$69.75	$107.31	—	—	35%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC URINE BARBITUATE PAIN MGT SCREEN	$70.20	$108.00	—	—	35%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC URINE BENZODIAZPINE PAIN MGT SCREEN	$70.20	$108.00	—	—	35%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC URINE ETHANOL PAIN MGT SCREEN	$70.20	$108.00	—	—	35%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC URINE PHENCYCLIDINE PAIN MGT SCREEN	$70.20	$108.00	—	—	35%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC URINE MDMA PAIN MGT SCREEN	$70.20	$108.00	—	—	35%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC URINE OXYCODONE PAIN MGT SCREEN	$70.20	$108.00	—	—	35%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC URINE COCAINE PAIN MGT SCREEN	$70.20	$108.00	—	—	35%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC URINE METHADONE SCREEN	$77.68	$119.50	—	—	35%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC AMPHETAMINES, SCR W/CONF, WB	$84.50	$130.00	—	—	35%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC KRATOM, SCR W/CONF, UR	$88.72	$136.50	—	—	35%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC OXYCODONE CLASS, SCR W/CONF, U	$88.72	$136.50	—	—	35%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC FLUNITRAZEPAM (ROHYPNOL) SCR.U	$89.70	$138.00	—	—	35%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC URINE TRAMADOL SCREEN	$96.85	$149.00	—	—	35%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC URINE ROHYPNOL	$100.75	$155.00	—	—	35%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUGS OF ABUSE PANEL - NEONATAL/ENDANGERED CHILD	$108.55	$167.00	—	—	35%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC ZOLPIDEM SCREEN	$112.45	$173.00	—	—	35%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC TAPENTADOL EIA SCREEN	$112.45	$173.00	—	—	35%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUGS OF ABUSE PANEL - STANDARD	$123.50	$190.00	—	—	35%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC METHYLPHENIDATE, SCR/CONF,U	$123.50	$190.00	—	—	35%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG SCREEN 10, SCR W/CONF,UR	$123.50	$190.00	—	—	35%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC URINE COTININE	$123.50	$190.00	—	—	35%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC TOXASSURE FLEX 15 SCR ONLY, UR	$135.52	$208.50	—	—	35%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC OPIATES ONLY-MEDICAL	$153.56	$236.25	—	—	35%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC URINE GHB SCREEN (GAMMA HYDROXY BUTYRIC ACID)	$162.50	$250.00	—	—	35%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC URINE TRICYCLIC SCREEN	$181.35	$279.00	—	—	35%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUGS OF ABUSE PANEL - INTERMEDIATE	$190.45	$293.00	—	—	35%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC URINE PAIN MEDICATION SCREEN	$199.55	$307.00	—	—	35%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUGS OF ABUSE PANEL - COMPREHENSIVE	$217.10	$334.00	—	—	35%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUGS OF ABUSE PANEL - EMERGENCY	$245.05	$377.00	—	—	35%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUGS OF ABUSE PANEL - EMERGENCY W/FENTANYL	$247.00	$380.00	—	—	35%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC MECONIUM DRUG SCREEN	$283.40	$436.00	—	—	35%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 HC ELECTROLYTE PANEL	$11.80	$18.15	—	78% below	35%
Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 HC ELECTROLYTE PANEL	$11.80	$18.15	—	—	35%
Epstein-Barr virus (EBV) antibody test CPT 86665 HC EPSTEIN-BARR VIRUS AB PAN 1 PART 2	$12.82	$19.73	—	87% below	35%
Epstein-Barr virus (EBV) antibody test CPT 86665 HC EBV ANTIBODY VIRAL CAPSID AG IGG	$21.50	$33.08	—	77% below	35%
Epstein-Barr virus (EBV) antibody test CPT 86665 HC EBV ANTIBODY VIRAL CAPSID AG IGM	$191.10	$294.00	—	101% above	35%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 HC EPSTEIN-BARR VIRUS AB PAN 1 PART 2	$12.82	$19.73	—	—	35%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 HC EBV ANTIBODY VIRAL CAPSID AG IGG	$21.50	$33.08	—	—	35%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 HC EBV ANTIBODY VIRAL CAPSID AG IGM	$191.10	$294.00	—	—	35%
Estradiol blood test CPT 82670 HC ESTRADIOL, LCMS (ESOTERIX)	$26.00	$40.00	—	81% below	35%
Estradiol blood test CPT 82670 HC ESTRADIOL TOTAL	$195.00	$300.00	—	40% above	35%
Estradiol blood test inpatient CPT 82670 HC ESTRADIOL, LCMS (ESOTERIX)	$26.00	$40.00	—	—	35%
Estradiol blood test inpatient CPT 82670 HC ESTRADIOL TOTAL	$195.00	$300.00	—	—	35%
FSH (follicle-stimulating hormone) test CPT 83001 HC FSH, PEDIATRIC	$17.73	$27.28	—	81% below	35%
FSH (follicle-stimulating hormone) test CPT 83001 HC FOLLICLE STIMULATING HORMONE	$180.70	$278.00	—	92% above	35%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 HC FSH, PEDIATRIC	$17.73	$27.28	—	—	35%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 HC FOLLICLE STIMULATING HORMONE	$180.70	$278.00	—	—	35%
Fecal calprotectin (stool inflammation test) CPT 83993 HC FECAL CALPROTECTION	$69.78	$107.36	—	65% below	35%
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 HC FECAL CALPROTECTION	$69.78	$107.36	—	—	35%
Ferritin blood test (iron stores) CPT 82728 HC FERRITIN	$15.89	$24.44	—	84% below	35%
Ferritin blood test (iron stores) CPT 82728 HC LIVER FIBROSIS NAFLD (ECHOSENS) PART 3	$26.79	$41.22	—	73% below	35%
Ferritin blood test (iron stores) inpatient CPT 82728 HC FERRITIN	$15.89	$24.44	—	—	35%
Ferritin blood test (iron stores) inpatient CPT 82728 HC LIVER FIBROSIS NAFLD (ECHOSENS) PART 3	$26.79	$41.22	—	—	35%
Fibrinogen blood test CPT 85384 HC FIBRINOGEN	$15.68	$24.13	—	81% below	35%
Fibrinogen blood test inpatient CPT 85384 HC FIBRINOGEN	$15.68	$24.13	—	—	35%
Folate (folic acid) blood test CPT 82746 HC FOLIC ACID	$170.95	$263.00	—	62% above	35%
Folate (folic acid) blood test inpatient CPT 82746 HC FOLIC ACID	$170.95	$263.00	—	—	35%
Free T3 thyroid hormone test CPT 84481 HC FREE TRIIODOTHYRONINE	$19.79	$30.44	—	78% below	35%
Free T3 thyroid hormone test inpatient CPT 84481 HC FREE TRIIODOTHYRONINE	$19.79	$30.44	—	—	35%
Free T4 (free thyroxine) thyroid blood test CPT 84439 HC T4 FREE THYROXINE FREE	$16.22	$24.96	—	77% below	35%
Free T4 (free thyroxine) thyroid blood test CPT 84439 HC T4 FREE BY DIRECT DIALYSIS	$21.45	$33.00	—	69% below	35%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 HC T4 FREE THYROXINE FREE	$16.22	$24.96	—	—	35%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 HC T4 FREE BY DIRECT DIALYSIS	$21.45	$33.00	—	—	35%
Free testosterone test CPT 84402 HC TESTOSTERONE FREE MS/DIALYSIS PART 1	$12.35	$19.00	—	90% below	35%
Free testosterone test CPT 84402 HC _TESTOSTERONE FREE ONLY FEMALE/CHILD	$22.78	$35.04	—	82% below	35%
Free testosterone test CPT 84402 HC TESTOSTERONE FREE, LCMSMS	$28.03	$43.12	—	78% below	35%
Free testosterone test CPT 84402 HC FREE TESTOSTERONE	$375.70	$578.00	—	195% above	35%
Free testosterone test inpatient CPT 84402 HC TESTOSTERONE FREE MS/DIALYSIS PART 1	$12.35	$19.00	—	—	35%
Free testosterone test inpatient CPT 84402 HC _TESTOSTERONE FREE ONLY FEMALE/CHILD	$22.78	$35.04	—	—	35%
Free testosterone test inpatient CPT 84402 HC TESTOSTERONE FREE, LCMSMS	$28.03	$43.12	—	—	35%
Free testosterone test inpatient CPT 84402 HC FREE TESTOSTERONE	$375.70	$578.00	—	—	35%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 HC HCV FIBROSURE 82977	$7.15	$11.00	—	87% below	35%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 HC NASH FIBROSURE(R) PLUS PART 6	$16.25	$25.00	—	70% below	35%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 HC GAMMA GLUTAMYL TRANSFERASE	$52.00	$80.00	—	4% below	35%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 HC HCV FIBROSURE 82977	$7.15	$11.00	—	—	35%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 HC NASH FIBROSURE(R) PLUS PART 6	$16.25	$25.00	—	—	35%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 HC GAMMA GLUTAMYL TRANSFERASE	$52.00	$80.00	—	—	35%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 HC GLUCOSE SCREEN	$11.21	$17.24	—	73% below	35%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 HC GLUCOSE SCREEN	$11.21	$17.24	—	—	35%
Glucose tolerance test, 3 samples CPT 82951 HC GLUCOSE TOLERANCE 3 HOUR	$18.28	$28.12	—	75% below	35%
Glucose tolerance test, 3 samples CPT 82951 HC LACTOSE TOLERANCE	$21.35	$32.84	—	71% below	35%
Glucose tolerance test, 3 samples CPT 82951 HC GLUCOSE TOL TIME SPECIFIED	$43.52	$66.96	—	40% below	35%
Glucose tolerance test, 3 samples inpatient CPT 82951 HC GLUCOSE TOLERANCE 3 HOUR	$18.28	$28.12	—	—	35%
Glucose tolerance test, 3 samples inpatient CPT 82951 HC LACTOSE TOLERANCE	$21.35	$32.84	—	—	35%
Glucose tolerance test, 3 samples inpatient CPT 82951 HC GLUCOSE TOL TIME SPECIFIED	$43.52	$66.96	—	—	35%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC NEISSERIA GONARRHOEAE NAA, RECTAL	$9.75	$15.00	—	92% below	35%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC NEISSERIA GONARRHOEAE NAA, PHARYNGEAL	$9.75	$15.00	—	92% below	35%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC NEISSERIA GONARRHOEAE SWAB	$13.86	$21.33	—	89% below	35%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC NEISSERIA GONARRHOEAE	$13.86	$21.33	—	89% below	35%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC NEISSERIA GONARRHOEAE NAA	$19.22	$29.57	—	85% below	35%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC GC BY TMA	$24.05	$37.00	—	81% below	35%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC N GONORRHOEAE BY APTIMA	$24.05	$37.00	—	81% below	35%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC N GONORRHOEAE CONFIRM BY NAA	$39.65	$61.00	—	69% below	35%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC GONORRHEA DNA PROBE	$47.79	$73.53	—	62% below	35%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC NEISSERIA GONORRHEA	$122.20	$188.00	—	3% below	35%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HC NEISSERIA GONARRHOEAE NAA, RECTAL	$9.75	$15.00	—	—	35%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HC NEISSERIA GONARRHOEAE NAA, PHARYNGEAL	$9.75	$15.00	—	—	35%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HC NEISSERIA GONARRHOEAE SWAB	$13.86	$21.33	—	—	35%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HC NEISSERIA GONARRHOEAE	$13.86	$21.33	—	—	35%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HC NEISSERIA GONARRHOEAE NAA	$19.22	$29.57	—	—	35%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HC GC BY TMA	$24.05	$37.00	—	—	35%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HC N GONORRHOEAE BY APTIMA	$24.05	$37.00	—	—	35%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HC N GONORRHOEAE CONFIRM BY NAA	$39.65	$61.00	—	—	35%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HC GONORRHEA DNA PROBE	$47.79	$73.53	—	—	35%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HC NEISSERIA GONORRHEA	$122.20	$188.00	—	—	35%
H. pylori antibody blood test CPT 86677 HC H PYLORI IGG AB	$20.40	$31.39	—	76% below	35%
H. pylori antibody blood test CPT 86677 HC HELICOBACTOR PYLORI IGG QUANT	$222.95	$343.00	—	158% above	35%
H. pylori antibody blood test inpatient CPT 86677 HC H PYLORI IGG AB	$20.40	$31.39	—	—	35%
H. pylori antibody blood test inpatient CPT 86677 HC HELICOBACTOR PYLORI IGG QUANT	$222.95	$343.00	—	—	35%
H. pylori stool antigen test CPT 87338 HC HELICOBACTER PYLORI STOOL ANTIGEN TEST	$26.44	$40.67	—	81% below	35%
H. pylori stool antigen test CPT 87338 HC HELICOBACTER PYLORI STOOL ANTIGEN	$26.44	$40.67	—	81% below	35%
H. pylori stool antigen test inpatient CPT 87338 HC HELICOBACTER PYLORI STOOL ANTIGEN TEST	$26.44	$40.67	—	—	35%
H. pylori stool antigen test inpatient CPT 87338 HC HELICOBACTER PYLORI STOOL ANTIGEN	$26.44	$40.67	—	—	35%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HC HIV-1 QUANT, RNA PCR	$58.50	$90.00	—	85% below	35%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HC HIV RNA PCR ULTRA QUANT	$486.85	$749.00	—	26% above	35%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HC HIV-1 QUANT, RNA PCR	$58.50	$90.00	—	—	35%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HC HIV RNA PCR ULTRA QUANT	$486.85	$749.00	—	—	35%
HIV-1 and HIV-2 antibody test CPT 86703 HC NATIONAL MARROW DONOR HIV 1-2	$9.41	$14.48	—	89% below	35%
HIV-1 and HIV-2 antibody test CPT 86703 HC HIV 1 AND HIV 2 ANTIBODY, SINGLE RESULT	$53.46	$82.24	—	38% below	35%
HIV-1 and HIV-2 antibody test CPT 86703 HC HIV 1-2 MULTI-SPOT	$53.46	$82.24	—	38% below	35%
HIV-1 and HIV-2 antibody test CPT 86703 HC HIV 1 AND HIV 2 SINGLE ASSAY	$166.40	$256.00	—	94% above	35%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 HC NATIONAL MARROW DONOR HIV 1-2	$9.41	$14.48	—	—	35%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 HC HIV 1-2 MULTI-SPOT	$53.46	$82.24	—	—	35%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 HC HIV 1 AND HIV 2 ANTIBODY, SINGLE RESULT	$53.46	$82.24	—	—	35%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 HC HIV 1 AND HIV 2 SINGLE ASSAY	$166.40	$256.00	—	—	35%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HC HIV COMBINED ANTIBODY/ANTIGEN	$57.85	$89.00	—	41% below	35%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HC RAPID HIV AG/AB COMBO-REFLX TO HIV 4TH GEN ALGO	$63.05	$97.00	—	36% below	35%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HC HIV COMBINED ANTIBODY/ANTIGEN	$57.85	$89.00	—	—	35%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HC RAPID HIV AG/AB COMBO-REFLX TO HIV 4TH GEN ALGO	$63.05	$97.00	—	—	35%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HC IGP, APT HPV,RFX 16/18,45 (87624)	$19.18	$29.50	—	87% below	35%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HC HPV, APTIMA HIGH 16/18,45	$22.75	$35.00	—	84% below	35%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HC IADNA HUMAN PAPILLOMA VIRUS - HIGH RISK VARIANTS	$26.29	$40.44	—	82% below	35%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HC HPV DNA PROBE-HI RISK ONLY	$210.60	$324.00	—	48% above	35%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HC IGP, APT HPV,RFX 16/18,45 (87624)	$19.18	$29.50	—	—	35%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HC HPV, APTIMA HIGH 16/18,45	$22.75	$35.00	—	—	35%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HC IADNA HUMAN PAPILLOMA VIRUS - HIGH RISK VARIANTS	$26.29	$40.44	—	—	35%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HC HPV DNA PROBE-HI RISK ONLY	$210.60	$324.00	—	—	35%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HC HEMOGLOBIN A1C	$130.00	$200.00	—	85% above	35%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HC HEMOGLOBIN A1C	$130.00	$200.00	—	—	35%
Hemoglobin blood test CPT 85018 HC G 6 PD QNT PART 2	$3.25	$5.00	—	89% below	35%
Hemoglobin blood test CPT 85018 HC HEMOGLOBIN - POINT OF CARE	$9.62	$14.80	—	67% below	35%
Hemoglobin blood test CPT 85018 HC HEMOGLOBIN	$63.05	$97.00	—	114% above	35%
Hemoglobin blood test inpatient CPT 85018 HC G 6 PD QNT PART 2	$3.25	$5.00	—	—	35%
Hemoglobin blood test inpatient CPT 85018 HC HEMOGLOBIN - POINT OF CARE	$9.62	$14.80	—	—	35%
Hemoglobin blood test inpatient CPT 85018 HC HEMOGLOBIN	$63.05	$97.00	—	—	35%
Hepatitis B core antibody test (total) CPT 86704 HC NATIONAL MARROW DONOR HEP B CORE AN	$8.27	$12.72	—	88% below	35%
Hepatitis B core antibody test (total) CPT 86704 HC HEPATITIS B CORE ANTIBODY TOTAL	$11.80	$18.16	—	83% below	35%
Hepatitis B core antibody test (total) CPT 86704 HC HEPATITIS B CORE AB-TOTAL	$18.92	$29.11	—	72% below	35%
Hepatitis B core antibody test (total) CPT 86704 HC HEPATITIS B CORE ANTIBODY TOTAL PANEL	$124.15	$191.00	—	81% above	35%
Hepatitis B core antibody test (total) inpatient CPT 86704 HC NATIONAL MARROW DONOR HEP B CORE AN	$8.27	$12.72	—	—	35%
Hepatitis B core antibody test (total) inpatient CPT 86704 HC HEPATITIS B CORE ANTIBODY TOTAL	$11.80	$18.16	—	—	35%
Hepatitis B core antibody test (total) inpatient CPT 86704 HC HEPATITIS B CORE AB-TOTAL	$18.92	$29.11	—	—	35%
Hepatitis B core antibody test (total) inpatient CPT 86704 HC HEPATITIS B CORE ANTIBODY TOTAL PANEL	$124.15	$191.00	—	—	35%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HC HEPATITIS B SURFACE ANTIBODY	$11.13	$17.12	—	85% below	35%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HC HEPATITIS B SURFACE ANTIBODY PANEL	$16.34	$25.14	—	78% below	35%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HC HEPATITIS B SURFACE AB	$163.15	$251.00	—	120% above	35%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HC HEPATITIS B SURFACE ANTIBODY	$11.13	$17.12	—	—	35%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HC HEPATITIS B SURFACE ANTIBODY PANEL	$16.34	$25.14	—	—	35%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HC HEPATITIS B SURFACE AB	$163.15	$251.00	—	—	35%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HC NATIONAL MARROW DONOR HEP B SURFACE	$7.09	$10.91	—	91% below	35%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HC HEPATITIS B SURFACE ANTIGEN PANEL	$15.07	$23.18	—	80% below	35%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HC HEPATITIS B SURFACE ANTIGEN	$63.05	$97.00	—	17% below	35%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HC NATIONAL MARROW DONOR HEP B SURFACE	$7.09	$10.91	—	—	35%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HC HEPATITIS B SURFACE ANTIGEN PANEL	$15.07	$23.18	—	—	35%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HC HEPATITIS B SURFACE ANTIGEN	$63.05	$97.00	—	—	35%
Hepatitis C antibody blood test (screening) CPT 86803 HC NATIONAL MARROW DONOR HEP C ANTIBOD	$9.80	$15.07	—	89% below	35%
Hepatitis C antibody blood test (screening) CPT 86803 HC HEPATITIS C VIRAL AB-HCVAB	$22.15	$34.08	—	74% below	35%
Hepatitis C antibody blood test (screening) CPT 86803 HC HEPATITIS C ANTIBODY PANEL	$146.25	$225.00	—	70% above	35%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HC NATIONAL MARROW DONOR HEP C ANTIBOD	$9.80	$15.07	—	—	35%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HC HEPATITIS C VIRAL AB-HCVAB	$22.15	$34.08	—	—	35%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HC HEPATITIS C ANTIBODY PANEL	$146.25	$225.00	—	—	35%
Hepatitis C viral load (HCV RNA) test CPT 87522 HC HCV RNA BY PCR, QN RFX GENO	$29.41	$45.24	—	91% below	35%
Hepatitis C viral load (HCV RNA) test CPT 87522 HC HEPATITIS C RNA QUANTITATION BY PCR	$449.80	$692.00	—	34% above	35%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HC HCV RNA BY PCR, QN RFX GENO	$29.41	$45.24	—	—	35%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HC HEPATITIS C RNA QUANTITATION BY PCR	$449.80	$692.00	—	—	35%
Herpes blood test, HSV-1 antibody CPT 86695 HC PRENAT INFECT DIS AB, IGG PART 2	$6.56	$10.10	—	91% below	35%
Herpes blood test, HSV-1 antibody CPT 86695 HC HSV 1 GLYCOPROTEIN G AB IGG	$9.05	$13.93	—	87% below	35%
Herpes blood test, HSV-1 antibody CPT 86695 HC HERPES SIMPLX TYPE I GLYCOPROTEIN	$27.03	$41.59	—	61% below	35%
Herpes blood test, HSV-1 antibody CPT 86695 HC HSV 1 IGG AB	$243.75	$375.00	—	253% above	35%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HC PRENAT INFECT DIS AB, IGG PART 2	$6.56	$10.10	—	—	35%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HC HSV 1 GLYCOPROTEIN G AB IGG	$9.05	$13.93	—	—	35%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HC HERPES SIMPLX TYPE I GLYCOPROTEIN	$27.03	$41.59	—	—	35%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HC HSV 1 IGG AB	$243.75	$375.00	—	—	35%
Herpes blood test, HSV-2 antibody CPT 86696 HC PRENAT INFECT DIS AB, IGG PART 1	$6.56	$10.10	—	93% below	35%
Herpes blood test, HSV-2 antibody CPT 86696 HC HSV 2 IGG AB	$29.15	$44.84	—	67% below	35%
Herpes blood test, HSV-2 antibody CPT 86696 HC HERPES SIMPLEX TYPE II GLYCOPROTEIN	$258.05	$397.00	—	193% above	35%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HC PRENAT INFECT DIS AB, IGG PART 1	$6.56	$10.10	—	—	35%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HC HSV 2 IGG AB	$29.15	$44.84	—	—	35%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HC HERPES SIMPLEX TYPE II GLYCOPROTEIN	$258.05	$397.00	—	—	35%
High-sensitivity CRP (hs-CRP) test CPT 86141 HC C REACTIVE PROTEIN HIGH SENSITIVITY	$107.90	$166.00	—	45% above	35%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 HC C REACTIVE PROTEIN HIGH SENSITIVITY	$107.90	$166.00	—	—	35%
Homocysteine blood test CPT 83090 HC HOMOCYSTINE PLASMA-QUANT	$23.13	$35.58	—	81% below	35%
Homocysteine blood test inpatient CPT 83090 HC HOMOCYSTINE PLASMA-QUANT	$23.13	$35.58	—	—	35%
Insulin blood test CPT 83525 HC INSULIN TOTAL	$8.07	$12.42	—	90% below	35%
Insulin blood test CPT 83525 HC INSULIN	$100.75	$155.00	—	22% above	35%
Insulin blood test CPT 83525 HC INSULIN LEVEL	$125.45	$193.00	—	52% above	35%
Insulin blood test CPT 83525 HC INSULIN LEVEL ADDITIONAL	$130.65	$201.00	—	58% above	35%
Insulin blood test inpatient CPT 83525 HC INSULIN TOTAL	$8.07	$12.42	—	—	35%
Insulin blood test inpatient CPT 83525 HC INSULIN	$100.75	$155.00	—	—	35%
Insulin blood test inpatient CPT 83525 HC INSULIN LEVEL	$125.45	$193.00	—	—	35%
Insulin blood test inpatient CPT 83525 HC INSULIN LEVEL ADDITIONAL	$130.65	$201.00	—	—	35%
Iron blood test (serum iron) CPT 83540 HC IRON	$13.43	$20.66	—	71% below	35%
Iron blood test (serum iron) inpatient CPT 83540 HC IRON	$13.43	$20.66	—	—	35%
Iron-binding capacity (TIBC) test CPT 83550 HC IRON BINDING CAPACITY	$13.23	$20.36	—	78% below	35%
Iron-binding capacity (TIBC) test inpatient CPT 83550 HC IRON BINDING CAPACITY	$13.23	$20.36	—	—	35%
Kidney function blood test panel CPT 80069 HC RENAL FUNCTION PANEL	$11.91	$18.33	—	84% below	35%
Kidney function blood test panel inpatient CPT 80069 HC RENAL FUNCTION PANEL	$11.91	$18.33	—	—	35%
LH (luteinizing hormone) test CPT 83002 HC LH, PEDIATRIC	$8.78	$13.50	—	91% below	35%
LH (luteinizing hormone) test CPT 83002 HC LUTEINIZING HORMONE	$15.60	$24.00	—	84% below	35%
LH (luteinizing hormone) test inpatient CPT 83002 HC LH, PEDIATRIC	$8.78	$13.50	—	—	35%
LH (luteinizing hormone) test inpatient CPT 83002 HC LUTEINIZING HORMONE	$15.60	$24.00	—	—	35%
Lactate (lactic acid) blood test CPT 83605 HC LACTATE POC	$152.10	$234.00	—	52% above	35%
Lactate (lactic acid) blood test CPT 83605 HC LACTATE	$152.10	$234.00	—	52% above	35%
Lactate (lactic acid) blood test inpatient CPT 83605 HC LACTATE POC	$152.10	$234.00	—	—	35%
Lactate (lactic acid) blood test inpatient CPT 83605 HC LACTATE	$152.10	$234.00	—	—	35%
Lactate dehydrogenase (LDH) blood test CPT 83615 HC LACTIC ACID DEHYDROGENASE	$44.20	$68.00	—	2% above	35%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 HC LACTIC ACID DEHYDROGENASE	$44.20	$68.00	—	—	35%
Lipase blood test (pancreas enzyme) CPT 83690 HC LIPASE	$148.85	$229.00	—	77% above	35%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 HC LIPASE	$148.85	$229.00	—	—	35%
Liver function blood test panel CPT 80076 HC HEPATIC FUNCTION PANEL	$58.50	$90.00	—	11% below	35%
Liver function blood test panel inpatient CPT 80076 HC HEPATIC FUNCTION PANEL	$58.50	$90.00	—	—	35%
Lyme disease antibody test CPT 86618 HC LYME IGG/IGM	$34.12	$52.50	—	65% below	35%
Lyme disease antibody test CPT 86618 HC LYME EIA SCREENING IGG IGM	$252.85	$389.00	—	163% above	35%
Lyme disease antibody test inpatient CPT 86618 HC LYME IGG/IGM	$34.12	$52.50	—	—	35%
Lyme disease antibody test inpatient CPT 86618 HC LYME EIA SCREENING IGG IGM	$252.85	$389.00	—	—	35%
Magnesium blood test CPT 83735 HC RBC MAGNESIUM	$15.60	$24.00	—	71% below	35%
Magnesium blood test CPT 83735 HC MAGNESIUM	$81.25	$125.00	—	51% above	35%
Magnesium blood test inpatient CPT 83735 HC RBC MAGNESIUM	$15.60	$24.00	—	—	35%
Magnesium blood test inpatient CPT 83735 HC MAGNESIUM	$81.25	$125.00	—	—	35%
Measles (rubeola) antibody test CPT 86765 HC MEASLES (RUBEOLA) IGG AB	$19.86	$30.55	—	72% below	35%
Measles (rubeola) antibody test CPT 86765 HC MEASLES - RUBEOLA ANTIBODY IGM	$69.78	$107.36	—	2% below	35%
Measles (rubeola) antibody test CPT 86765 HC RUBEOLLA ANTIBODY-IGG	$175.50	$270.00	—	148% above	35%
Measles (rubeola) antibody test inpatient CPT 86765 HC MEASLES (RUBEOLA) IGG AB	$19.86	$30.55	—	—	35%
Measles (rubeola) antibody test inpatient CPT 86765 HC MEASLES - RUBEOLA ANTIBODY IGM	$69.78	$107.36	—	—	35%
Measles (rubeola) antibody test inpatient CPT 86765 HC RUBEOLLA ANTIBODY-IGG	$175.50	$270.00	—	—	35%
Mono test (heterophile antibody, Monospot) CPT 86308 HC INFECTIOUS MONO TEST	$11.13	$17.13	—	81% below	35%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 HC INFECTIOUS MONO TEST	$11.13	$17.13	—	—	35%
Mumps immunity blood test CPT 86735 HC MUMPS IGM	$8.55	$13.16	—	88% below	35%
Mumps immunity blood test CPT 86735 HC MUMPS ANTIBODY-IGG	$20.81	$32.01	—	71% below	35%
Mumps immunity blood test CPT 86735 HC MUMPS IGG AB	$74.10	$114.00	—	3% above	35%
Mumps immunity blood test inpatient CPT 86735 HC MUMPS IGM	$8.55	$13.16	—	—	35%
Mumps immunity blood test inpatient CPT 86735 HC MUMPS ANTIBODY-IGG	$20.81	$32.01	—	—	35%
Mumps immunity blood test inpatient CPT 86735 HC MUMPS IGG AB	$74.10	$114.00	—	—	35%
PSA (prostate-specific antigen) blood test, free CPT 84154 HC FREE PSA	$20.77	$31.96	—	79% below	35%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 HC FREE PSA	$20.77	$31.96	—	—	35%
PSA (prostate-specific antigen) blood test, total CPT 84153 HC PSA, ULTRASENSITIVE	$10.72	$16.50	—	90% below	35%
PSA (prostate-specific antigen) blood test, total CPT 84153 HC PSA ULTRASENSITIVE	$12.62	$19.42	—	89% below	35%
PSA (prostate-specific antigen) blood test, total CPT 84153 HC PSA (SERIAL MONITOR)	$14.67	$22.57	—	87% below	35%
PSA (prostate-specific antigen) blood test, total CPT 84153 HC PROSTATE SPECIFIC ANTIGEN	$25.08	$38.58	—	77% below	35%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC PSA, ULTRASENSITIVE	$10.72	$16.50	—	—	35%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC PSA ULTRASENSITIVE	$12.62	$19.42	—	—	35%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC PSA (SERIAL MONITOR)	$14.67	$22.57	—	—	35%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC PROSTATE SPECIFIC ANTIGEN	$25.08	$38.58	—	—	35%
Pap test (liquid-based, automated screening with review) CPT 88175 HC IGP,RFXCOBAS HPV16/18 ALL PATH	$15.60	$24.00	—	83% below	35%
Pap test (liquid-based, automated screening with review) CPT 88175 HC IGP, RFXCOBASHPV16/18ASCU	$18.20	$28.00	—	80% below	35%
Pap test (liquid-based, automated screening with review) CPT 88175 HC IGP,RFX APT HPV ASCU,16/18,45	$18.20	$28.00	—	80% below	35%
Pap test (liquid-based, automated screening with review) CPT 88175 HC PAP IG (IMAGE GUIDED)	$18.20	$28.00	—	80% below	35%
Pap test (liquid-based, automated screening with review) CPT 88175 HC IGP, APT HPV,RFX 16/18,45 (88175)	$22.10	$34.00	—	76% below	35%
Pap test (liquid-based, automated screening with review) CPT 88175 HC IGP, COBASHPV16/18 (88175)	$46.15	$71.00	—	49% below	35%
Pap test (liquid-based, automated screening with review) CPT 88175 HC IGP,RFXAPTIMA HPV ALL,16/18,45	$65.65	$101.00	—	28% below	35%
Pap test (liquid-based, automated screening with review) CPT 88175 HC THIN PREP AUTOMATED	$148.20	$228.00	—	62% above	35%
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 HC IGP,RFXCOBAS HPV16/18 ALL PATH	$15.60	$24.00	—	—	35%
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 HC IGP,RFX APT HPV ASCU,16/18,45	$18.20	$28.00	—	—	35%
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 HC PAP IG (IMAGE GUIDED)	$18.20	$28.00	—	—	35%
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 HC IGP, RFXCOBASHPV16/18ASCU	$18.20	$28.00	—	—	35%
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 HC IGP, APT HPV,RFX 16/18,45 (88175)	$22.10	$34.00	—	—	35%
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 HC IGP, COBASHPV16/18 (88175)	$46.15	$71.00	—	—	35%
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 HC IGP,RFXAPTIMA HPV ALL,16/18,45	$65.65	$101.00	—	—	35%
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 HC THIN PREP AUTOMATED	$148.20	$228.00	—	—	35%
Parathyroid hormone (PTH) blood test CPT 83970 HC PARATHYROID HORMONE-INTACT MOL	$240.50	$370.00	—	14% above	35%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 HC PARATHYROID HORMONE-INTACT MOL	$240.50	$370.00	—	—	35%
Partial thromboplastin time (PTT) clotting test CPT 85730 HC ACT PARTIAL THROMBOPLASIN TIME	$9.54	$14.68	—	77% below	35%
Partial thromboplastin time (PTT) clotting test CPT 85730 HC PTT-LA MIX	$63.05	$97.00	—	53% above	35%
Partial thromboplastin time (PTT) clotting test CPT 85730 HC ACTIVATED PARTIAL THROMBOPLASTIN TIME	$66.39	$102.14	—	61% above	35%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC ACT PARTIAL THROMBOPLASIN TIME	$9.54	$14.68	—	—	35%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC PTT-LA MIX	$63.05	$97.00	—	—	35%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC ACTIVATED PARTIAL THROMBOPLASTIN TIME	$66.39	$102.14	—	—	35%
Phosphorus (phosphate) blood test CPT 84100 HC PHOSPHORUS	$39.65	$61.00	—	1% below	35%
Phosphorus (phosphate) blood test inpatient CPT 84100 HC PHOSPHORUS	$39.65	$61.00	—	—	35%
Potassium blood test CPT 84132 HC POTASSIUM BODY FLUID	$6.21	$9.56	—	85% below	35%
Potassium blood test CPT 84132 HC POTASSIUM	$10.40	$16.00	—	75% below	35%
Potassium blood test inpatient CPT 84132 HC POTASSIUM BODY FLUID	$6.21	$9.56	—	—	35%
Potassium blood test inpatient CPT 84132 HC POTASSIUM	$10.40	$16.00	—	—	35%
Prolactin blood test CPT 84146 HC PROLACTIN	$9.75	$15.00	—	91% below	35%
Prolactin blood test inpatient CPT 84146 HC PROLACTIN	$9.75	$15.00	—	—	35%
Prothrombin time (PT/INR) clotting test CPT 85610 HC PROTHROMBIN TIME INR	$14.95	$23.00	—	63% below	35%
Prothrombin time (PT/INR) clotting test CPT 85610 HC PROTHROMBIN TIME WITH INR POC	$16.90	$26.00	—	58% below	35%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC PROTHROMBIN TIME INR	$14.95	$23.00	—	—	35%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC PROTHROMBIN TIME WITH INR POC	$16.90	$26.00	—	—	35%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 HC SV DRUG SCREEN, URINE	$276.25	$425.00	—	456% above	35%
Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 HC SV DRUG SCREEN, URINE	$276.25	$425.00	—	—	35%
Rapid flu test (influenza antigen) CPT 87804 HC INFLUENZA VIRUS RAPID DETECTION	$28.20	$43.39	—	58% below	35%
Rapid flu test (influenza antigen) inpatient CPT 87804 HC INFLUENZA VIRUS RAPID DETECTION	$28.20	$43.39	—	—	35%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 HC POCT RAPID STREP GROUP A SCREEN - ED	$65.65	$101.00	—	9% below	35%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 HC POCT RAPID STREP GROUP A SCREEN - ED	$65.65	$101.00	—	—	35%
Renin blood test CPT 84244 HC RENIN ACTIVITY	$14.69	$22.60	—	89% below	35%
Renin blood test inpatient CPT 84244 HC RENIN ACTIVITY	$14.69	$22.60	—	—	35%
Rh blood typing CPT 86901 HC RH TYPE	$4.88	$7.51	—	90% below	35%
Rh blood typing inpatient CPT 86901 HC RH TYPE	$4.88	$7.51	—	—	35%
Rheumatoid factor (RF) test CPT 86431 HC RHEUMATOID FACTOR (RF)	$3.25	$5.00	—	92% below	35%
Rheumatoid factor (RF) test CPT 86431 HC ANA 86431	$3.89	$5.99	—	90% below	35%
Rheumatoid factor (RF) test CPT 86431 HC RHEUMATOID FACTOR QUANT	$11.86	$18.24	—	70% below	35%
Rheumatoid factor (RF) test CPT 86431 HC BODY FLUID RHEUMATOID FACTOR	$21.78	$33.50	—	46% below	35%
Rheumatoid factor (RF) test inpatient CPT 86431 HC RHEUMATOID FACTOR (RF)	$3.25	$5.00	—	—	35%
Rheumatoid factor (RF) test inpatient CPT 86431 HC ANA 86431	$3.89	$5.99	—	—	35%
Rheumatoid factor (RF) test inpatient CPT 86431 HC RHEUMATOID FACTOR QUANT	$11.86	$18.24	—	—	35%
Rheumatoid factor (RF) test inpatient CPT 86431 HC BODY FLUID RHEUMATOID FACTOR	$21.78	$33.50	—	—	35%
Rubella antibody test (immunity check) CPT 86762 HC PRENAT INFECT DIS AB, IGG PART 5	$6.90	$10.62	—	90% below	35%
Rubella antibody test (immunity check) CPT 86762 HC RUBELLA ANTIBODY IGM	$8.48	$13.04	—	88% below	35%
Rubella antibody test (immunity check) CPT 86762 HC RUBELLA IGG	$9.88	$15.20	—	86% below	35%
Rubella antibody test (immunity check) CPT 86762 HC RUBELLA ANTIBODY IGM	$11.70	$18.00	—	83% below	35%
Rubella antibody test (immunity check) CPT 86762 HC RUBELLA ANTIBODY-IGG	$16.70	$25.70	—	76% below	35%
Rubella antibody test (immunity check) inpatient CPT 86762 HC PRENAT INFECT DIS AB, IGG PART 5	$6.90	$10.62	—	—	35%
Rubella antibody test (immunity check) inpatient CPT 86762 HC RUBELLA ANTIBODY IGM	$8.48	$13.04	—	—	35%
Rubella antibody test (immunity check) inpatient CPT 86762 HC RUBELLA IGG	$9.88	$15.20	—	—	35%
Rubella antibody test (immunity check) inpatient CPT 86762 HC RUBELLA ANTIBODY IGM	$11.70	$18.00	—	—	35%
Rubella antibody test (immunity check) inpatient CPT 86762 HC RUBELLA ANTIBODY-IGG	$16.70	$25.70	—	—	35%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 HC SED RATE ESR/AUTOMATED	$4.89	$7.52	—	86% below	35%
Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 HC SED RATE ESR/AUTOMATED	$4.89	$7.52	—	—	35%
Sodium blood test CPT 84295 HC SODIUM	$37.05	$57.00	—	12% below	35%
Sodium blood test inpatient CPT 84295 HC SODIUM	$37.05	$57.00	—	—	35%
Stool ova and parasites exam CPT 87177 HC PARASITE COMPREHENSIVE EXAM	$12.88	$19.82	—	81% below	35%
Stool ova and parasites exam inpatient CPT 87177 HC PARASITE COMPREHENSIVE EXAM	$12.88	$19.82	—	—	35%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 HC IMMUNOFECAL OCCULT BLOOD	$135.85	$209.00	—	83% above	35%
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 HC IMMUNOFECAL OCCULT BLOOD	$135.85	$209.00	—	—	35%
Syphilis antibody test (Treponema pallidum) CPT 86780 HC T PALLIDUM SCREENING CASCADE	$8.03	$12.36	—	88% below	35%
Syphilis antibody test (Treponema pallidum) CPT 86780 HC FTA-ABS	$21.74	$33.44	—	68% below	35%
Syphilis antibody test (Treponema pallidum) CPT 86780 HC SYPHILIS ANTIBODY SCREENING BY CIA	$65.00	$100.00	—	5% below	35%
Syphilis antibody test (Treponema pallidum) CPT 86780 HC TREPONEMA PALLIDUM PARTICLE AGGLUTINATION	$80.60	$124.00	—	18% above	35%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 HC T PALLIDUM SCREENING CASCADE	$8.03	$12.36	—	—	35%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 HC FTA-ABS	$21.74	$33.44	—	—	35%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 HC SYPHILIS ANTIBODY SCREENING BY CIA	$65.00	$100.00	—	—	35%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 HC TREPONEMA PALLIDUM PARTICLE AGGLUTINATION	$80.60	$124.00	—	—	35%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC NATIONAL MARROW DONOR RPR	$2.93	$4.51	—	91% below	35%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC RPR NEO	$3.25	$5.00	—	90% below	35%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC TREPONEMA PALLIDUM (VDRL) CSF	$5.20	$8.00	—	84% below	35%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC RPR	$5.26	$8.10	—	84% below	35%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC RPR-RAPID PLASMA REAGIN	$7.64	$11.75	—	76% below	35%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC RAPID PLASMA REAGIN TITER	$8.03	$12.36	—	75% below	35%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC VDRL CSF	$8.32	$12.80	—	74% below	35%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC NATIONAL MARROW DONOR RPR	$2.93	$4.51	—	—	35%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC RPR NEO	$3.25	$5.00	—	—	35%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC TREPONEMA PALLIDUM (VDRL) CSF	$5.20	$8.00	—	—	35%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC RPR	$5.26	$8.10	—	—	35%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC RPR-RAPID PLASMA REAGIN	$7.64	$11.75	—	—	35%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC RAPID PLASMA REAGIN TITER	$8.03	$12.36	—	—	35%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC VDRL CSF	$8.32	$12.80	—	—	35%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 HC QUANTIFERON TB	$188.50	$290.00	—	9% below	35%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 HC QUANTIFERON TB	$188.50	$290.00	—	—	35%
Testosterone blood test, total (not free testosterone) CPT 84403 HC TESTOSTERONE FREE MS/DIALYSIS PART 2	$12.43	$19.13	—	90% below	35%
Testosterone blood test, total (not free testosterone) CPT 84403 HC TESTOSTERONE, WOMEN/CHILD (ESOTERIX)	$13.00	$20.00	—	90% below	35%
Testosterone blood test, total (not free testosterone) CPT 84403 HC TESTOSTERONE TOTAL FEMALE/CHILD	$46.56	$71.63	—	64% below	35%
Testosterone blood test, total (not free testosterone) CPT 84403 HC TESTOSTERONE TOTAL, LCMSMS	$46.56	$71.63	—	64% below	35%
Testosterone blood test, total (not free testosterone) CPT 84403 HC _TESTOSTERONE LEVEL FEMALE/CHILDREN	$46.56	$71.63	—	64% below	35%
Testosterone blood test, total (not free testosterone) CPT 84403 HC TESTOSTERONE FT FEMALE OR CHILD PART 2	$69.89	$107.53	—	45% below	35%
Testosterone blood test, total (not free testosterone) CPT 84403 HC TESTOSTERONE	$239.20	$368.00	—	87% above	35%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HC TESTOSTERONE FREE MS/DIALYSIS PART 2	$12.43	$19.13	—	—	35%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HC TESTOSTERONE, WOMEN/CHILD (ESOTERIX)	$13.00	$20.00	—	—	35%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HC TESTOSTERONE TOTAL, LCMSMS	$46.56	$71.63	—	—	35%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HC _TESTOSTERONE LEVEL FEMALE/CHILDREN	$46.56	$71.63	—	—	35%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HC TESTOSTERONE TOTAL FEMALE/CHILD	$46.56	$71.63	—	—	35%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HC TESTOSTERONE FT FEMALE OR CHILD PART 2	$69.89	$107.53	—	—	35%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HC TESTOSTERONE	$239.20	$368.00	—	—	35%
Thyroid peroxidase (TPO) antibody test CPT 86376 HC LIVER-KIDNEY MICROSOME ABS IGG	$11.70	$18.00	—	86% below	35%
Thyroid peroxidase (TPO) antibody test CPT 86376 HC ANA 86376	$11.70	$18.00	—	86% below	35%
Thyroid peroxidase (TPO) antibody test CPT 86376 HC THYROID MICROSOMAL ANTIBODY	$16.76	$25.78	—	79% below	35%
Thyroid peroxidase (TPO) antibody test CPT 86376 HC ANA 12 PROFILE, POSITIVE RO PART 6	$37.99	$58.44	—	53% below	35%
Thyroid peroxidase (TPO) antibody test CPT 86376 HC ANA 12 PROFILE, POSITIVE ANA PART 2	$38.47	$59.19	—	52% below	35%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HC LIVER-KIDNEY MICROSOME ABS IGG	$11.70	$18.00	—	—	35%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HC ANA 86376	$11.70	$18.00	—	—	35%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HC THYROID MICROSOMAL ANTIBODY	$16.76	$25.78	—	—	35%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HC ANA 12 PROFILE, POSITIVE RO PART 6	$37.99	$58.44	—	—	35%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HC ANA 12 PROFILE, POSITIVE ANA PART 2	$38.47	$59.19	—	—	35%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC TSH-THYROID STIMULATING HORMON	$35.26	$54.25	—	67% below	35%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC TSH-THYROID STIMULATING HORMON	$35.26	$54.25	—	—	35%
Total IgE blood test CPT 82785 HC ABPA PROFILE I PART 1	$11.70	$18.00	—	88% below	35%
Total IgE blood test CPT 82785 HC IGE	$17.94	$27.60	—	81% below	35%
Total IgE blood test CPT 82785 HC IMMUNOGLOBULIN E	$19.62	$30.19	—	80% below	35%
Total IgE blood test CPT 82785 HC BIRD FANCIERS HYPERSENSITIVITY PROFILE PART 3	$26.87	$41.34	—	72% below	35%
Total IgE blood test CPT 82785 HC BIRD FANCIERS HYPERSENSITIVITY PANEL	$27.33	$42.04	—	72% below	35%
Total IgE blood test inpatient CPT 82785 HC ABPA PROFILE I PART 1	$11.70	$18.00	—	—	35%
Total IgE blood test inpatient CPT 82785 HC IGE	$17.94	$27.60	—	—	35%
Total IgE blood test inpatient CPT 82785 HC IMMUNOGLOBULIN E	$19.62	$30.19	—	—	35%
Total IgE blood test inpatient CPT 82785 HC BIRD FANCIERS HYPERSENSITIVITY PROFILE PART 3	$26.87	$41.34	—	—	35%
Total IgE blood test inpatient CPT 82785 HC BIRD FANCIERS HYPERSENSITIVITY PANEL	$27.33	$42.04	—	—	35%
Total cholesterol blood test CPT 82465 HC CHOLESTEROL	$7.71	$11.86	—	79% below	35%
Total cholesterol blood test CPT 82465 HC NASH FIBROSURE(R) PLUS PART 5	$16.25	$25.00	—	55% below	35%
Total cholesterol blood test inpatient CPT 82465 HC CHOLESTEROL	$7.71	$11.86	—	—	35%
Total cholesterol blood test inpatient CPT 82465 HC NASH FIBROSURE(R) PLUS PART 5	$16.25	$25.00	—	—	35%
Total thyroxine (T4) blood test CPT 84436 HC FREE THYROXINE INDEX PANEL PART 2	$4.97	$7.64	—	91% below	35%
Total thyroxine (T4) blood test CPT 84436 HC THYROXINE (T4)	$7.46	$11.48	—	87% below	35%
Total thyroxine (T4) blood test CPT 84436 HC T4-THYROXINE	$77.35	$119.00	—	37% above	35%
Total thyroxine (T4) blood test inpatient CPT 84436 HC FREE THYROXINE INDEX PANEL PART 2	$4.97	$7.64	—	—	35%
Total thyroxine (T4) blood test inpatient CPT 84436 HC THYROXINE (T4)	$7.46	$11.48	—	—	35%
Total thyroxine (T4) blood test inpatient CPT 84436 HC T4-THYROXINE	$77.35	$119.00	—	—	35%
Total triiodothyronine (T3) blood test CPT 84480 HC T3 TOTAL	$23.94	$36.83	—	74% below	35%
Total triiodothyronine (T3) blood test inpatient CPT 84480 HC T3 TOTAL	$23.94	$36.83	—	—	35%
Transferrin blood test CPT 84466 HC ARUP TRANSFERRIN	$19.50	$30.00	—	78% below	35%
Transferrin blood test CPT 84466 HC TRANSFERRIN, SERUM	$32.50	$50.00	—	63% below	35%
Transferrin blood test CPT 84466 HC TRANSFERRIN	$170.95	$263.00	—	93% above	35%
Transferrin blood test inpatient CPT 84466 HC ARUP TRANSFERRIN	$19.50	$30.00	—	—	35%
Transferrin blood test inpatient CPT 84466 HC TRANSFERRIN, SERUM	$32.50	$50.00	—	—	35%
Transferrin blood test inpatient CPT 84466 HC TRANSFERRIN	$170.95	$263.00	—	—	35%
Trichomonas test (NAAT) CPT 87661 HC TRICHOMONAS VAGINALIS SWAB	$13.86	$21.33	—	87% below	35%
Trichomonas test (NAAT) CPT 87661 HC TRICHOMONAS VAGINALIS	$13.86	$21.33	—	87% below	35%
Trichomonas test (NAAT) CPT 87661 HC TRICH VAG BY NAA	$20.80	$32.00	—	81% below	35%
Trichomonas test (NAAT) CPT 87661 HC TRICHOMONAS VAGINALIS NAA	$23.01	$35.40	—	79% below	35%
Trichomonas test (NAAT) CPT 87661 HC TRICHOMONAS VAGINALIS XPERT PCR	$125.45	$193.00	—	14% above	35%
Trichomonas test (NAAT) inpatient CPT 87661 HC TRICHOMONAS VAGINALIS	$13.86	$21.33	—	—	35%
Trichomonas test (NAAT) inpatient CPT 87661 HC TRICHOMONAS VAGINALIS SWAB	$13.86	$21.33	—	—	35%
Trichomonas test (NAAT) inpatient CPT 87661 HC TRICH VAG BY NAA	$20.80	$32.00	—	—	35%
Trichomonas test (NAAT) inpatient CPT 87661 HC TRICHOMONAS VAGINALIS NAA	$23.01	$35.40	—	—	35%
Trichomonas test (NAAT) inpatient CPT 87661 HC TRICHOMONAS VAGINALIS XPERT PCR	$125.45	$193.00	—	—	35%
Triglycerides blood test CPT 84478 HC TRIGLYCERIDE	$8.55	$13.16	—	81% below	35%
Triglycerides blood test CPT 84478 HC NASH FIBROSURE(R) PLUS PART 4	$16.25	$25.00	—	63% below	35%
Triglycerides blood test inpatient CPT 84478 HC TRIGLYCERIDE	$8.55	$13.16	—	—	35%
Triglycerides blood test inpatient CPT 84478 HC NASH FIBROSURE(R) PLUS PART 4	$16.25	$25.00	—	—	35%
Troponin test, quantitative CPT 84484 HC CARDIAC TROPONIN	$8.58	$13.20	—	94% below	35%
Troponin test, quantitative CPT 84484 HC TROPONIN,QUANTITATIVE	$41.81	$64.33	—	69% below	35%
Troponin test, quantitative inpatient CPT 84484 HC CARDIAC TROPONIN	$8.58	$13.20	—	—	35%
Troponin test, quantitative inpatient CPT 84484 HC TROPONIN,QUANTITATIVE	$41.81	$64.33	—	—	35%
Uric acid blood test CPT 84550 HC URIC ACID	$91.49	$140.75	—	104% above	35%
Uric acid blood test inpatient CPT 84550 HC URIC ACID	$91.49	$140.75	—	—	35%
Urinalysis with microscope exam, automated CPT 81001 HC URINALYSIS W MICROSCOPIC AUTO	$72.80	$112.00	—	84% above	35%
Urinalysis with microscope exam, automated inpatient CPT 81001 HC URINALYSIS W MICROSCOPIC AUTO	$72.80	$112.00	—	—	35%
Urinalysis without microscope exam, automated CPT 81003 HC U DIPSTICK POCT	$53.95	$83.00	—	88% above	35%
Urinalysis without microscope exam, automated CPT 81003 HC URINE DIPSTICK	$55.25	$85.00	—	93% above	35%
Urinalysis without microscope exam, automated inpatient CPT 81003 HC U DIPSTICK POCT	$53.95	$83.00	—	—	35%
Urinalysis without microscope exam, automated inpatient CPT 81003 HC URINE DIPSTICK	$55.25	$85.00	—	—	35%
Urinalysis without microscope exam, manual CPT 81002 HC URINALYSIS NON-AUTOMATED W/O MICRO	$57.85	$89.00	—	184% above	35%
Urinalysis without microscope exam, manual inpatient CPT 81002 HC URINALYSIS NON-AUTOMATED W/O MICRO	$57.85	$89.00	—	—	35%
Urine culture for bacteria, with colony count CPT 87086 HC URINE CULTURE QUAL COLONY COUNT	$14.24	$21.91	—	83% below	35%
Urine culture for bacteria, with colony count inpatient CPT 87086 HC URINE CULTURE QUAL COLONY COUNT	$14.24	$21.91	—	—	35%
Urine microalbumin (albumin) test CPT 82043 HC ALBUMIN URINE-TIMED	$38.35	$59.00	—	27% below	35%
Urine microalbumin (albumin) test inpatient CPT 82043 HC ALBUMIN URINE-TIMED	$38.35	$59.00	—	—	35%
Urine pregnancy test, read by color change CPT 81025 HC URINE HCG QUALITATIVE	$74.10	$114.00	—	48% above	35%
Urine pregnancy test, read by color change inpatient CPT 81025 HC URINE HCG QUALITATIVE	$74.10	$114.00	—	—	35%
Vitamin B12 (cobalamin) blood test CPT 82607 HC VITAMIN B12	$170.95	$263.00	—	72% above	35%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 HC VITAMIN B12	$170.95	$263.00	—	—	35%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HC 25 HYDROXY VITAMIN D	$42.01	$64.63	—	69% below	35%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 HC 25 HYDROXY VITAMIN D	$42.01	$64.63	—	—	35%
Vitamin D, 1,25-dihydroxy blood test CPT 82652 HC VITAMIN D 1 25 DIHYDROX	$59.04	$90.83	—	66% below	35%
Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 HC VITAMIN D 1 25 DIHYDROX	$59.04	$90.83	—	—	35%
Zinc blood test CPT 84630 HC ZINC SERUM	$18.24	$28.06	—	76% below	35%
Zinc blood test CPT 84630 HC ZINC RED BLOOD CELLS	$18.86	$29.01	—	75% below	35%
Zinc blood test inpatient CPT 84630 HC ZINC SERUM	$18.24	$28.06	—	—	35%
Zinc blood test inpatient CPT 84630 HC ZINC RED BLOOD CELLS	$18.86	$29.01	—	—	35%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HC HCG,BETA SUBUNIT, QNT	$10.64	$16.37	—	90% below	35%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HC HCG TUMOR MARKER (LABCORP)	$14.72	$22.64	—	86% below	35%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HC FIRST TRIMESTER SCREEN W/NT PART 3	$17.33	$26.66	—	84% below	35%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HC HCG QUANTITATIVE	$24.11	$37.09	—	78% below	35%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HC HCG,BETA SUBUNIT, QNT	$10.64	$16.37	—	—	35%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HC HCG TUMOR MARKER (LABCORP)	$14.72	$22.64	—	—	35%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HC FIRST TRIMESTER SCREEN W/NT PART 3	$17.33	$26.66	—	—	35%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HC HCG QUANTITATIVE	$24.11	$37.09	—	—	35%

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs Washington	Off list
Botox injections for chronic migraine CPT 64615 HC AN CHEMODENERAVATION MUSCLES	$385.45	$593.00	—	2% above	35%
Botox injections for chronic migraine inpatient CPT 64615 HC AN CHEMODENERAVATION MUSCLES	$385.45	$593.00	—	—	35%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 HC BIOPSY BREAST W DEVICE PLMT W STER GUID 1ST LESION	$5,064.80	$7,792.00	—	128% above	35%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 HC BIOPSY BREAST W DEVICE PLMT W STER GUID 1ST LESION	$5,064.80	$7,792.00	—	—	35%
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 HC CLOSED ANKLE FX WO MANIPULATION	$2,104.70	$3,238.00	—	223% above	35%
Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 HC CLOSED ANKLE FX WO MANIPULATION	$2,104.70	$3,238.00	—	—	35%
Broken foot (metatarsal) treatment without surgery or setting CPT 28470 HC METATARSAL FX WO MANIP	$1,700.40	$2,616.00	—	196% above	35%
Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 HC METATARSAL FX WO MANIP	$1,700.40	$2,616.00	—	—	35%
Cardiac catheterization with coronary angiogram one side CPT 93458 HC CD CATH LT HT/COROS/LV GRAM	$10,775.05	$16,577.00	—	2% above	35%
Cardiac catheterization with coronary angiogram inpatient one side CPT 93458 HC CD CATH LT HT/COROS/LV GRAM	$10,775.05	$16,577.00	—	—	35%
Cardioversion, elective (restoring heart rhythm) CPT 92960 HC CD CARDIOVERSION ELECTIVE	$1,495.65	$2,301.00	—	37% above	35%
Cardioversion, elective (restoring heart rhythm) CPT 92960 HC CARDIOVERSION PER EVENT	$1,495.65	$2,301.00	—	37% above	35%
Cardioversion, elective (restoring heart rhythm) CPT 92960 HC CARDIOVERSION EXTERNAL	$1,672.45	$2,573.00	—	53% above	35%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 HC CD CARDIOVERSION ELECTIVE	$1,495.65	$2,301.00	—	—	35%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 HC CARDIOVERSION PER EVENT	$1,495.65	$2,301.00	—	—	35%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 HC CARDIOVERSION EXTERNAL	$1,672.45	$2,573.00	—	—	35%
Catheter ablation for atrial fibrillation CPT 93656 HC EP ABLATION ATRIAL FIBRILLATION	$28,422.55	$43,727.00	—	10% above	35%
Catheter ablation for atrial fibrillation inpatient CPT 93656 HC EP ABLATION ATRIAL FIBRILLATION	$28,422.55	$43,727.00	—	—	35%
Cervical biopsy CPT 57500 HC BIOPSY OF CERVIX	$1,092.65	$1,681.00	—	40% above	35%
Cervical biopsy inpatient CPT 57500 HC BIOPSY OF CERVIX	$1,092.65	$1,681.00	—	—	35%
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 HC CIRCUMCISION	$533.00	$820.00	—	25% above	35%
Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 HC CIRCUMCISION	$533.00	$820.00	—	—	35%
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 HC TREAT FX DIST RAD WO MANIP	$1,678.95	$2,583.00	—	172% above	35%
Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 HC TREAT FX DIST RAD WO MANIP	$1,678.95	$2,583.00	—	—	35%
Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 HC COLPOSCOPY CERVIX WITH BIOPSY	$660.40	$1,016.00	—	50% above	35%
Colposcopy with cervical biopsy and scraping of the cervical canal inpatient CPT 57454 HC COLPOSCOPY CERVIX WITH BIOPSY	$660.40	$1,016.00	—	—	35%
Coronary stent placement, one artery CPT 92928 HC CD CORONARY PLACE STENT W POSS PTCA ARTERY SGL LESION	$13,246.35	$20,379.00	—	38% below	35%
Coronary stent placement, one artery CPT 92928 HC CD CORONARY PLACE DES W POSS PTCA ARTERY, SGL	$13,246.35	$20,379.00	—	38% below	35%
Coronary stent placement, one artery inpatient CPT 92928 HC CD CORONARY PLACE DES W POSS PTCA ARTERY, SGL	$13,246.35	$20,379.00	—	—	35%
Coronary stent placement, one artery inpatient CPT 92928 HC CD CORONARY PLACE STENT W POSS PTCA ARTERY SGL LESION	$13,246.35	$20,379.00	—	—	35%
Cystoscopy with ureteral stent placement CPT 52332 HC CYSTOURETHROSCOPY WITH URETERAL STENT	$2,880.15	$4,431.00	—	45% below	35%
Cystoscopy with ureteral stent placement inpatient CPT 52332 HC CYSTOURETHROSCOPY WITH URETERAL STENT	$2,880.15	$4,431.00	—	—	35%
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 HC CYSTOSCOPY	$744.25	$1,145.00	—	19% below	35%
Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 HC CYSTOSCOPY	$744.25	$1,145.00	—	—	35%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 HC DESTROY BENIGN/PREMALIG LESION FIRS	$308.10	$474.00	—	66% above	35%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 HC DESTROY BENIGN/PREMALIG LESION FIRS	$308.10	$474.00	—	—	35%
Earwax removal by irrigation (rinsing), one ear CPT 69209 HC REMOVE IMPACTED CERUMEN W/IRRIGATION	$145.60	$224.00	—	31% above	35%
Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 HC REMOVE IMPACTED CERUMEN W/IRRIGATION	$145.60	$224.00	—	—	35%
Earwax removal with instruments, one ear CPT 69210 HC REMOVE IMPACTED CERUMEN W/INSTRUMENTATION	$192.40	$296.00	—	13% above	35%
Earwax removal with instruments, one ear inpatient CPT 69210 HC REMOVE IMPACTED CERUMEN W/INSTRUMENTATION	$192.40	$296.00	—	—	35%
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 HC BIOPSY UTERINE LINING W/WO ENDOCERVICAL SAMPLE, W/O N	$586.30	$902.00	—	100% above	35%
Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 HC BIOPSY UTERINE LINING W/WO ENDOCERVICAL SAMPLE, W/O N	$586.30	$902.00	—	—	35%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 HC INJ INTERLAMINAR CRV/THRC W/ FLUORO	$2,262.65	$3,481.00	—	48% above	35%
Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 HC INJ INTERLAMINAR CRV/THRC W/ FLUORO	$2,262.65	$3,481.00	—	—	35%
Eye injection into the vitreous (intravitreal injection) CPT 67028 HC INTRAVITREAL INJ OF PHARMACOLOGIC AGENT	$880.10	$1,354.00	—	11% above	35%
Eye injection into the vitreous (intravitreal injection) inpatient CPT 67028 HC INTRAVITREAL INJ OF PHARMACOLOGIC AGENT	$880.10	$1,354.00	—	—	35%
Facet joint injection, lower back, one level, with imaging guidance both sides CPT 64493 HC INJ LUMBAR/SACRAL FACET JNT 1ST LVL BILATERAL	$3,649.75	$5,615.00	—	—	35%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 HC INJ LUMBAR/SACRAL FACET JNT 1ST LEVEL	$2,434.90	$3,746.00	—	6% above	35%
Facet joint injection, lower back, one level, with imaging guidance inpatient both sides CPT 64493 HC INJ LUMBAR/SACRAL FACET JNT 1ST LVL BILATERAL	$3,649.75	$5,615.00	—	—	35%
Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 HC INJ LUMBAR/SACRAL FACET JNT 1ST LEVEL	$2,434.90	$3,746.00	—	—	35%
Hemorrhoidectomy (internal and external), one area CPT 46255 HC HEMORRHOIDECTOMY, INT/EXT, SINGLE	$6,335.55	$9,747.00	—	57% above	35%
Hemorrhoidectomy (internal and external), one area inpatient CPT 46255 HC HEMORRHOIDECTOMY, INT/EXT, SINGLE	$6,335.55	$9,747.00	—	—	35%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 HC HYSTEROSALPINGOGRAPHY CATHETER & INJECTION	$328.25	$505.00	—	30% above	35%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 HC HYSTEROSALPINGOGRAPHY CATHETER & INJECTION	$328.25	$505.00	—	—	35%
IUD insertion (the device itself billed separately) CPT 58300 HC INSERT INTRAUTERINE CONTRACEPTIVE DEVICE	$343.85	$529.00	—	20% above	35%
IUD insertion (the device itself billed separately) inpatient CPT 58300 HC INSERT INTRAUTERINE CONTRACEPTIVE DEVICE	$343.85	$529.00	—	—	35%
Incision and drainage of a simple or single skin abscess CPT 10060 HC DRAINAGE OF SKIN ABSCESS	$576.55	$887.00	—	54% above	35%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 HC DRAINAGE OF SKIN ABSCESS	$576.55	$887.00	—	—	35%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 HC INJ TENDON SHEATH/ LIGAMENT APONE SNGL	$385.45	$593.00	—	27% above	35%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 HC INJ TENDON SHEATH/ LIGAMENT APONE SNGL	$385.45	$593.00	—	—	35%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound both sides CPT 20610 HC ARTHROCENTESIS BILAT INJ OR ASP MAJOR JOINT/BURSA	$577.20	$888.00	—	—	35%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HC ARTHROCENTESIS INJ OR ASP MAJOR JOINT/BURSA	$385.45	$593.00	—	21% below	35%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HC DRAIN INJECT MAJOR JOINT BURSA	$430.95	$663.00	—	11% below	35%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient both sides CPT 20610 HC ARTHROCENTESIS BILAT INJ OR ASP MAJOR JOINT/BURSA	$577.20	$888.00	—	—	35%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 HC ARTHROCENTESIS INJ OR ASP MAJOR JOINT/BURSA	$385.45	$593.00	—	—	35%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 HC DRAIN INJECT MAJOR JOINT BURSA	$430.95	$663.00	—	—	35%
Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 HC INSERT CONTRACEPTIVE DRUG DELIVERY IMPLANT	$529.10	$814.00	—	92% above	35%
Insertion of a drug-delivery implant, such as the arm birth control implant inpatient CPT 11981 HC INSERT CONTRACEPTIVE DRUG DELIVERY IMPLANT	$529.10	$814.00	—	—	35%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 HC ARTHROCENTESIS INJ OR ASP INTERMED JOINT/BURSA W/FLUORO GUIDANCE	$378.30	$582.00	—	17% below	35%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 HC DRAIN INJECT INTER JOINT BURSA	$423.15	$651.00	—	8% below	35%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 HC ARTHROCENTESIS INJ OR ASP INTERMED JOINT/BURSA W/FLUORO GUIDANCE	$378.30	$582.00	—	—	35%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 HC DRAIN INJECT INTER JOINT BURSA	$423.15	$651.00	—	—	35%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 HC ARTHROCENTESIS INJ/ASP SMALL JOINT/BURSA	$385.45	$593.00	—	2% above	35%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 HC DRAIN INJECT SMALL JOINT BURSA	$430.95	$663.00	—	14% above	35%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 HC ARTHROCENTESIS INJ/ASP SMALL JOINT/BURSA	$385.45	$593.00	—	—	35%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 HC DRAIN INJECT SMALL JOINT BURSA	$430.95	$663.00	—	—	35%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 HC LAYER CLOSE WND TRNK EXTR <=2.5CM	$912.60	$1,404.00	—	38% above	35%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 HC LAYER CLOSE WND TRNK EXTR <=2.5CM	$912.60	$1,404.00	—	—	35%
Left heart catheterization, diagnostic one side CPT 93452 HC CD CATH LT HT W/ LV GRAM	$7,532.85	$11,589.00	—	7% below	35%
Left heart catheterization, diagnostic inpatient one side CPT 93452 HC CD CATH LT HT W/ LV GRAM	$7,532.85	$11,589.00	—	—	35%
Lower-back epidural injection, with imaging guidance CPT 62323 HC INJ INTERLAMINAR LMBR/SAC W/ FLUORO	$2,262.65	$3,481.00	—	48% above	35%
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 HC INJ INTERLAMINAR LMBR/SAC W/ FLUORO	$2,262.65	$3,481.00	—	—	35%
Lower-back nerve root steroid injection, with imaging guidance both sides CPT 64483 HC AN INJ SEL ROOT BLOCK LUMB/SACR SNGL LVL BILAT	$2,028.65	$3,121.00	—	—	35%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 HC AN INJ SEL ROOT BLOCK LUMB/SACR SNGL LVL	$1,718.60	$2,644.00	—	at median	35%
Lower-back nerve root steroid injection, with imaging guidance inpatient both sides CPT 64483 HC AN INJ SEL ROOT BLOCK LUMB/SACR SNGL LVL BILAT	$2,028.65	$3,121.00	—	—	35%
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 HC AN INJ SEL ROOT BLOCK LUMB/SACR SNGL LVL	$1,718.60	$2,644.00	—	—	35%
Miscarriage treatment with D&C, first trimester CPT 59820 HC SURG TREAT MISSED ABORTION 1ST TRIM	$4,098.90	$6,306.00	—	15% below	35%
Miscarriage treatment with D&C, first trimester inpatient CPT 59820 HC SURG TREAT MISSED ABORTION 1ST TRIM	$4,098.90	$6,306.00	—	—	35%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 HC EXCISE LESION BENIGN TRUNK <O.5CM	$1,004.90	$1,546.00	—	36% above	35%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 HC EXCISE LESION BENIGN TRUNK <O.5CM	$1,004.90	$1,546.00	—	—	35%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 HC REMOVE SKIN LESION <= .5CM	$751.40	$1,156.00	—	at median	35%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 HC REMOVE SKIN LESION <= .5CM	$751.40	$1,156.00	—	—	35%
Nail removal (partial or complete), one nail CPT 11730 HC REMOVAL OF NAIL PLATE	$459.55	$707.00	—	64% above	35%
Nail removal (partial or complete), one nail inpatient CPT 11730 HC REMOVAL OF NAIL PLATE	$459.55	$707.00	—	—	35%
Occipital nerve block (injection for headaches) CPT 64405 HC SELECT NERVE BLOCK GRT OCCIP NRV	$698.10	$1,074.00	—	5% above	35%
Occipital nerve block (injection for headaches) CPT 64405 HC INJ ANES AGENT GREATER OCCIPITAL NRV	$774.80	$1,192.00	—	17% above	35%
Occipital nerve block (injection for headaches) inpatient CPT 64405 HC SELECT NERVE BLOCK GRT OCCIP NRV	$698.10	$1,074.00	—	—	35%
Occipital nerve block (injection for headaches) inpatient CPT 64405 HC INJ ANES AGENT GREATER OCCIPITAL NRV	$774.80	$1,192.00	—	—	35%
Pacemaker implant (dual chamber) CPT 33208 HC CD INSERT PERMANENT PACEMAKER ATRIAL & VENTRICULAR	$13,686.40	$21,056.00	—	31% above	35%
Pacemaker implant (dual chamber) inpatient CPT 33208 HC CD INSERT PERMANENT PACEMAKER ATRIAL & VENTRICULAR	$13,686.40	$21,056.00	—	—	35%
Paracentesis with imaging guidance CPT 49083 HC PARACENTESIS ABD WITH IMAGING GUIDANCE	$1,955.20	$3,008.00	—	48% above	35%
Paracentesis with imaging guidance CPT 49083 HC ABDOMINAL PARACENTESIS WITH IMAGING GUIDANCE	$2,191.80	$3,372.00	—	65% above	35%
Paracentesis with imaging guidance inpatient CPT 49083 HC PARACENTESIS ABD WITH IMAGING GUIDANCE	$1,955.20	$3,008.00	—	—	35%
Paracentesis with imaging guidance inpatient CPT 49083 HC ABDOMINAL PARACENTESIS WITH IMAGING GUIDANCE	$2,191.80	$3,372.00	—	—	35%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 HC REMOVAL OF NAIL BED	$947.70	$1,458.00	—	40% above	35%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 HC REMOVAL OF NAIL BED	$947.70	$1,458.00	—	—	35%
Prostate biopsy CPT 55700 HC BIOPSY PROSTATE	$2,696.85	$4,149.00	—	47% above	35%
Prostate biopsy inpatient CPT 55700 HC BIOPSY PROSTATE	$2,696.85	$4,149.00	—	—	35%
Radiofrequency ablation of facet joint nerves, lower back, one level both sides CPT 64635 HC AN DESTROY BILAT LUMB/SAC FACET JNT	$3,472.95	$5,343.00	—	—	35%
Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 HC AN DESTROY LUMB/SAC FACET JNT	$3,175.90	$4,886.00	—	at median	35%
Radiofrequency ablation of facet joint nerves, lower back, one level inpatient both sides CPT 64635 HC AN DESTROY BILAT LUMB/SAC FACET JNT	$3,472.95	$5,343.00	—	—	35%
Radiofrequency ablation of facet joint nerves, lower back, one level inpatient CPT 64635 HC AN DESTROY LUMB/SAC FACET JNT	$3,175.90	$4,886.00	—	—	35%
Removal of a foreign object under the skin, simple CPT 10120 HC REMOVE FOREIGN BODY SMPL	$552.50	$850.00	—	6% above	35%
Removal of a foreign object under the skin, simple inpatient CPT 10120 HC REMOVE FOREIGN BODY SMPL	$552.50	$850.00	—	—	35%
Short arm cast (elbow to hand) CPT 29075 HC APPL FOREARM CAST	$477.75	$735.00	—	9% above	35%
Short arm cast (elbow to hand) inpatient CPT 29075 HC APPL FOREARM CAST	$477.75	$735.00	—	—	35%
Short arm splint (forearm and hand) CPT 29125 HC APPL FOREARM SPLINT	$406.25	$625.00	—	46% above	35%
Short arm splint (forearm and hand) inpatient CPT 29125 HC APPL FOREARM SPLINT	$406.25	$625.00	—	—	35%
Short leg cast (below the knee) CPT 29405 HC APPL SHORT LEG CAST	$436.15	$671.00	—	26% above	35%
Short leg cast (below the knee) inpatient CPT 29405 HC APPL SHORT LEG CAST	$436.15	$671.00	—	—	35%
Short leg splint (calf to foot) CPT 29515 HC APPL LOWER LEG SPLINT	$402.35	$619.00	—	14% above	35%
Short leg splint (calf to foot) inpatient CPT 29515 HC APPL LOWER LEG SPLINT	$402.35	$619.00	—	—	35%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 HC LACERATION <2.5CM	$637.65	$981.00	—	88% above	35%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 HC LACERATION <2.5CM	$637.65	$981.00	—	—	35%
Skin biopsy, punch, one lesion CPT 11104 HC PUNCH BIOPSY SINGLE LESION	$563.55	$867.00	—	67% above	35%
Skin biopsy, punch, one lesion inpatient CPT 11104 HC PUNCH BIOPSY SINGLE LESION	$563.55	$867.00	—	—	35%
Skin tag removal, up to 15 tags CPT 11200 HC REMOVAL OF SKIN TAGS	$362.70	$558.00	—	67% above	35%
Skin tag removal, up to 15 tags inpatient CPT 11200 HC REMOVAL OF SKIN TAGS	$362.70	$558.00	—	—	35%
Spinal tap (lumbar puncture), diagnostic CPT 62270 HC LUMBAR PUNCTURE	$1,081.60	$1,664.00	—	9% above	35%
Spinal tap (lumbar puncture), diagnostic CPT 62270 HC SPINAL FLUID TAP DIAGNOSTIC	$1,209.65	$1,861.00	—	22% above	35%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 HC LUMBAR PUNCTURE	$1,081.60	$1,664.00	—	—	35%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 HC SPINAL FLUID TAP DIAGNOSTIC	$1,209.65	$1,861.00	—	—	35%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 HC SMPL REPAIR WOUND 2.6-7.5CM	$882.05	$1,357.00	—	113% above	35%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 HC SMPL REPAIR WOUND 2.6-7.5CM	$882.05	$1,357.00	—	—	35%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 HC REP SPR SIM FACE EAR <2.5	$777.40	$1,196.00	—	92% above	35%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 HC REP SPR SIM FACE EAR <2.5	$777.40	$1,196.00	—	—	35%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 HC TANGENTIAL BIOPSY SKIN; SINGLE LESION	$336.05	$517.00	—	27% above	35%
Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 HC TANGENTIAL BIOPSY SKIN; SINGLE LESION	$336.05	$517.00	—	—	35%
Thoracentesis with imaging guidance CPT 32555 HC THORACENTESIS W/ASPIRATION & IMAGING GUIDANCE	$2,324.40	$3,576.00	—	76% above	35%
Thoracentesis with imaging guidance CPT 32555 HC ED THORCENTESIS WITH IMAGING GUIDANCE	$2,602.60	$4,004.00	—	97% above	35%
Thoracentesis with imaging guidance inpatient CPT 32555 HC THORACENTESIS W/ASPIRATION & IMAGING GUIDANCE	$2,324.40	$3,576.00	—	—	35%
Thoracentesis with imaging guidance inpatient CPT 32555 HC ED THORCENTESIS WITH IMAGING GUIDANCE	$2,602.60	$4,004.00	—	—	35%
Trigger point injections, 1 or 2 muscles CPT 20552 HC INJECTION TRIGGER POINT 1/2 MUSCLE	$385.45	$593.00	—	7% above	35%
Trigger point injections, 1 or 2 muscles CPT 20552 HC SNGL TRIGGER POINT INJECTION	$430.95	$663.00	—	20% above	35%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 HC INJECTION TRIGGER POINT 1/2 MUSCLE	$385.45	$593.00	—	—	35%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 HC SNGL TRIGGER POINT INJECTION	$430.95	$663.00	—	—	35%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 HC BIOPSY BREAST W DEVICE PLMT W US GUID 1ST LESION	$3,512.60	$5,404.00	—	40% above	35%
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 HC BIOPSY BREAST W DEVICE PLMT W US GUID 1ST LESION	$3,512.60	$5,404.00	—	—	35%
Vein ablation, radiofrequency, first vein CPT 36475 HC AN ENDOVENOUS ABLATION INITIAL VEIN	$7,179.25	$11,045.00	—	51% above	35%
Vein ablation, radiofrequency, first vein inpatient CPT 36475 HC AN ENDOVENOUS ABLATION INITIAL VEIN	$7,179.25	$11,045.00	—	—	35%
Wart removal, up to 14 warts CPT 17110 HC DESTRUCT WART LESION 1-14	$347.75	$535.00	—	46% above	35%
Wart removal, up to 14 warts inpatient CPT 17110 HC DESTRUCT WART LESION 1-14	$347.75	$535.00	—	—	35%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 HC DEBRIDE SKIN TISSUE	$1,435.20	$2,208.00	—	123% above	35%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 HC DEBRIDE SKIN TISSUE	$1,435.20	$2,208.00	—	—	35%

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs Washington	Off list
Blood transfusion (giving blood or blood components) CPT 36430 HC BLOOD ADM DTIV	$1,162.85	$1,789.00	—	19% above	35%
Blood transfusion (giving blood or blood components) CPT 36430 HC BLOOD PRODUCT TRANSFUSION	$1,227.85	$1,889.00	—	25% above	35%
Blood transfusion (giving blood or blood components) CPT 36430 HC BLOOD ADMIN	$1,299.35	$1,999.00	—	33% above	35%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 HC BLOOD ADM DTIV	$1,162.85	$1,789.00	—	—	35%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 HC BLOOD PRODUCT TRANSFUSION	$1,227.85	$1,889.00	—	—	35%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 HC BLOOD ADMIN	$1,299.35	$1,999.00	—	—	35%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC TX SUBS PRESS/NONPRESS INHALATION	$107.90	$166.00	—	46% below	35%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC TX INITIAL PRESS/NONPRESS INHALATION	$235.30	$362.00	—	17% above	35%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC IPV NEBULIZER	$248.30	$382.00	—	24% above	35%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC AERO TNT HOOD MSK DAILY	$1,125.80	$1,732.00	—	461% above	35%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC TX SUBS PRESS/NONPRESS INHALATION	$107.90	$166.00	—	—	35%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC TX INITIAL PRESS/NONPRESS INHALATION	$235.30	$362.00	—	—	35%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC IPV NEBULIZER	$248.30	$382.00	—	—	35%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC AERO TNT HOOD MSK DAILY	$1,125.80	$1,732.00	—	—	35%
Chemotherapy IV infusion, first hour CPT 96413 HC CHEMO INF 1ST MED 1ST HR	$838.50	$1,290.00	—	7% above	35%
Chemotherapy IV infusion, first hour CPT 96413 HC CHEMO INF 1ST MED 1ST HR DTIV	$838.50	$1,290.00	—	7% above	35%
Chemotherapy IV infusion, first hour CPT 96413 HC ED COMPLEX MED INF 1ST MED 1ST HR	$838.50	$1,290.00	—	7% above	35%
Chemotherapy IV infusion, first hour inpatient CPT 96413 HC CHEMO INF 1ST MED 1ST HR	$838.50	$1,290.00	—	—	35%
Chemotherapy IV infusion, first hour inpatient CPT 96413 HC ED COMPLEX MED INF 1ST MED 1ST HR	$838.50	$1,290.00	—	—	35%
Chemotherapy IV infusion, first hour inpatient CPT 96413 HC CHEMO INF 1ST MED 1ST HR DTIV	$838.50	$1,290.00	—	—	35%
Critical care, first 30 to 74 minutes CPT 99291 HC SERVICE LEVEL CRITICAL CARE 30-74 MIN	$4,361.50	$6,710.00	—	35% above	35%
Critical care, first 30 to 74 minutes inpatient CPT 99291 HC SERVICE LEVEL CRITICAL CARE 30-74 MIN	$4,361.50	$6,710.00	—	—	35%
EEG (brain wave test), awake and drowsy, routine CPT 95816 HC EEG STD AWAKE/DROWSY	$1,003.60	$1,544.00	—	30% above	35%
EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 HC EEG STD AWAKE/DROWSY	$1,003.60	$1,544.00	—	—	35%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 HC EKG	$300.95	$463.00	—	62% above	35%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 HC EKG	$300.95	$463.00	—	—	35%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 HC SERVICE LEVEL 1 ED	$299.00	$460.00	—	20% above	35%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 HC SERVICE LEVEL 1 ED	$299.00	$460.00	—	—	35%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 HC SERVICE LEVEL 2 ED	$541.45	$833.00	—	19% above	35%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 HC SERVICE LEVEL 2 ED	$541.45	$833.00	—	—	35%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 HC SERVICE LEVEL 3 ED	$983.45	$1,513.00	—	23% above	35%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 HC SERVICE LEVEL 3 ED	$983.45	$1,513.00	—	—	35%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 HC SERVICE LEVEL 4 ED	$1,701.70	$2,618.00	—	26% above	35%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 HC SERVICE LEVEL 4 ED	$1,701.70	$2,618.00	—	—	35%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HC SERVICE LEVEL 5 ED	$2,510.30	$3,862.00	—	12% above	35%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 HC SERVICE LEVEL 5 ED	$2,510.30	$3,862.00	—	—	35%
Exercise stress test, tracing only, the hospital charge CPT 93017 HC EST CARDIAC STRESS TEST	$642.85	$989.00	—	8% above	35%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 HC EST CARDIAC STRESS TEST	$642.85	$989.00	—	—	35%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HC HYDRATION ONLY 1ST HR	$492.70	$758.00	—	46% above	35%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HC HYDRATION ONLY 1ST HR DTIV	$492.70	$758.00	—	46% above	35%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HC ED HYDRATION ONLY 1ST HR	$551.20	$848.00	—	63% above	35%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HC HYDRATION ONLY 1ST HR	$492.70	$758.00	—	—	35%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HC HYDRATION ONLY 1ST HR DTIV	$492.70	$758.00	—	—	35%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HC ED HYDRATION ONLY 1ST HR	$551.20	$848.00	—	—	35%
IV infusion of a medicine, first hour CPT 96365 HC NONCHEMO MED INF 1ST HR DTIV	$485.55	$747.00	—	20% above	35%
IV infusion of a medicine, first hour CPT 96365 HC 2ND VIS/DAY NONCHEMO MED INF 1ST HR DTIV	$485.55	$747.00	—	20% above	35%
IV infusion of a medicine, first hour CPT 96365 HC NONCHEMO MED INF 1ST HR	$485.55	$747.00	—	20% above	35%
IV infusion of a medicine, first hour CPT 96365 HC ED NONCHEMO MED INF 1ST HR	$543.40	$836.00	—	34% above	35%
IV infusion of a medicine, first hour inpatient CPT 96365 HC NONCHEMO MED INF 1ST HR	$485.55	$747.00	—	—	35%
IV infusion of a medicine, first hour inpatient CPT 96365 HC NONCHEMO MED INF 1ST HR DTIV	$485.55	$747.00	—	—	35%
IV infusion of a medicine, first hour inpatient CPT 96365 HC 2ND VIS/DAY NONCHEMO MED INF 1ST HR DTIV	$485.55	$747.00	—	—	35%
IV infusion of a medicine, first hour inpatient CPT 96365 HC ED NONCHEMO MED INF 1ST HR	$543.40	$836.00	—	—	35%
IV push of a medicine, first drug CPT 96374 HC 2ND VIS/DAY IVP NONCHEMO 1ST MED DTIV	$272.35	$419.00	—	16% above	35%
IV push of a medicine, first drug CPT 96374 HC NONCHEMO IV PUSH FIRST	$272.35	$419.00	—	16% above	35%
IV push of a medicine, first drug CPT 96374 HC NONCHEMO IV PUSH 1ST MED DTIV	$272.35	$419.00	—	16% above	35%
IV push of a medicine, first drug CPT 96374 HC ED NONCHEMO IV PUSH 1ST	$306.15	$471.00	—	31% above	35%
IV push of a medicine, first drug inpatient CPT 96374 HC NONCHEMO IV PUSH 1ST MED DTIV	$272.35	$419.00	—	—	35%
IV push of a medicine, first drug inpatient CPT 96374 HC 2ND VIS/DAY IVP NONCHEMO 1ST MED DTIV	$272.35	$419.00	—	—	35%
IV push of a medicine, first drug inpatient CPT 96374 HC NONCHEMO IV PUSH FIRST	$272.35	$419.00	—	—	35%
IV push of a medicine, first drug inpatient CPT 96374 HC ED NONCHEMO IV PUSH 1ST	$306.15	$471.00	—	—	35%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 HC DRUG INJ ONLY NONCHEMO W/O ASSESS	$117.00	$180.00	—	20% above	35%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 HC NONCHEMO INJ IM/SQ SEQ MED DTIV	$117.00	$180.00	—	20% above	35%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 HC NONCHEMO INJ IM/SQ DTIV/ACC	$117.00	$180.00	—	20% above	35%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 HC ED NONCHEMO INJ IM SQ EACH	$133.25	$205.00	—	37% above	35%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 HC NONCHEMO INJ IM/SQ DTIV/ACC	$117.00	$180.00	—	—	35%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 HC DRUG INJ ONLY NONCHEMO W/O ASSESS	$117.00	$180.00	—	—	35%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 HC NONCHEMO INJ IM/SQ SEQ MED DTIV	$117.00	$180.00	—	—	35%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 HC ED NONCHEMO INJ IM SQ EACH	$133.25	$205.00	—	—	35%
Neuromuscular re-education, 15 minutes CPT 97112 HC NICU OT TRTMT 15M	$79.95	$123.00	—	19% below	35%
Neuromuscular re-education, 15 minutes CPT 97112 HC NEUROMUSCULAR RE-ED PT VV	$84.50	$130.00	—	14% below	35%
Neuromuscular re-education, 15 minutes CPT 97112 HC NEUROMUSCULAR RE-ED PT	$84.50	$130.00	—	14% below	35%
Neuromuscular re-education, 15 minutes CPT 97112 HC NEUROMUSCULAR RE-ED OT VV	$84.50	$130.00	—	14% below	35%
Neuromuscular re-education, 15 minutes CPT 97112 HC NEUROMUSCULAR RE-ED OT	$84.50	$130.00	—	14% below	35%
Neuromuscular re-education, 15 minutes CPT 97112 HC NEUROMUSCULAR RE-ED ACUTE OT VV	$98.15	$151.00	—	1% below	35%
Neuromuscular re-education, 15 minutes CPT 97112 HC NEUROMUSCULAR RE-ED ACUTE OT	$98.15	$151.00	—	1% below	35%
Neuromuscular re-education, 15 minutes CPT 97112 HC NEUROMUSCULAR RE-ED ACUTE PT VV	$103.35	$159.00	—	5% above	35%
Neuromuscular re-education, 15 minutes CPT 97112 HC NEUROMUSCULAR RE-ED ACUTE PT	$103.35	$159.00	—	5% above	35%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 HC NICU OT TRTMT 15M	$79.95	$123.00	—	—	35%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 HC NEUROMUSCULAR RE-ED OT	$84.50	$130.00	—	—	35%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 HC NEUROMUSCULAR RE-ED PT	$84.50	$130.00	—	—	35%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 HC NEUROMUSCULAR RE-ED OT VV	$84.50	$130.00	—	—	35%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 HC NEUROMUSCULAR RE-ED PT VV	$84.50	$130.00	—	—	35%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 HC NEUROMUSCULAR RE-ED ACUTE OT	$98.15	$151.00	—	—	35%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 HC NEUROMUSCULAR RE-ED ACUTE OT VV	$98.15	$151.00	—	—	35%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 HC NEUROMUSCULAR RE-ED ACUTE PT	$103.35	$159.00	—	—	35%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 HC NEUROMUSCULAR RE-ED ACUTE PT VV	$103.35	$159.00	—	—	35%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 HC MEDICAL NUTRITION INITIAL 15	$61.75	$95.00	—	3% below	35%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 HC PEDS MED NUTRITION THERAPY 15MIN	$80.60	$124.00	—	27% above	35%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 HC PEDS MED NUTRITION THERAPY 15MIN VV	$80.60	$124.00	—	27% above	35%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 HC MED NUTR TX 1:1 EA 15M CR VV	$84.50	$130.00	—	33% above	35%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 HC MED NUTR TX 1:1 EA 15M CR	$84.50	$130.00	—	33% above	35%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 HC MEDICAL NUTRITION INITIAL 15	$61.75	$95.00	—	—	35%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 HC PEDS MED NUTRITION THERAPY 15MIN VV	$80.60	$124.00	—	—	35%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 HC PEDS MED NUTRITION THERAPY 15MIN	$80.60	$124.00	—	—	35%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 HC MED NUTR TX 1:1 EA 15M CR	$84.50	$130.00	—	—	35%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 HC MED NUTR TX 1:1 EA 15M CR VV	$84.50	$130.00	—	—	35%
Occupational therapy evaluation, low complexity CPT 97165 HC OT SPECIALTY EVALUATION	$91.00	$140.00	—	58% below	35%
Occupational therapy evaluation, low complexity CPT 97165 HC OT EVAL LOW	$258.05	$397.00	—	19% above	35%
Occupational therapy evaluation, low complexity CPT 97165 HC OT EVAL LOW VV	$258.05	$397.00	—	19% above	35%
Occupational therapy evaluation, low complexity CPT 97165 HC PED OT EVAL LOW VV	$406.90	$626.00	—	88% above	35%
Occupational therapy evaluation, low complexity CPT 97165 HC PED OT EVAL LOW	$406.90	$626.00	—	88% above	35%
Occupational therapy evaluation, low complexity inpatient CPT 97165 HC OT SPECIALTY EVALUATION	$91.00	$140.00	—	—	35%
Occupational therapy evaluation, low complexity inpatient CPT 97165 HC OT EVAL LOW	$258.05	$397.00	—	—	35%
Occupational therapy evaluation, low complexity inpatient CPT 97165 HC OT EVAL LOW VV	$258.05	$397.00	—	—	35%
Occupational therapy evaluation, low complexity inpatient CPT 97165 HC PED OT EVAL LOW VV	$406.90	$626.00	—	—	35%
Occupational therapy evaluation, low complexity inpatient CPT 97165 HC PED OT EVAL LOW	$406.90	$626.00	—	—	35%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 HC PUL REH PT EVAL HIGH VV	$300.30	$462.00	—	9% above	35%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 HC PED PT EVAL HIGH	$300.30	$462.00	—	9% above	35%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 HC PUL REH PT EVAL HIGH	$300.30	$462.00	—	9% above	35%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 HC PT EVAL HIGH VV	$438.10	$674.00	—	58% above	35%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 HC PT EVAL HIGH	$438.10	$674.00	—	58% above	35%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 HC PUL REH PT EVAL HIGH VV	$300.30	$462.00	—	—	35%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 HC PUL REH PT EVAL HIGH	$300.30	$462.00	—	—	35%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 HC PED PT EVAL HIGH	$300.30	$462.00	—	—	35%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 HC PT EVAL HIGH	$438.10	$674.00	—	—	35%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 HC PT EVAL HIGH VV	$438.10	$674.00	—	—	35%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 HC PT SPECIALTY EVALUATION	$72.80	$112.00	—	67% below	35%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 HC PT EVAL LOW VV	$258.05	$397.00	—	17% above	35%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 HC PT EVAL LOW	$258.05	$397.00	—	17% above	35%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 HC PUL REH PT EVAL LOW	$297.05	$457.00	—	34% above	35%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 HC PED PT EVAL LOW	$297.05	$457.00	—	34% above	35%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 HC PUL REH PT EVAL LOW VV	$297.05	$457.00	—	34% above	35%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 HC PT SPECIALTY EVALUATION	$72.80	$112.00	—	—	35%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 HC PT EVAL LOW	$258.05	$397.00	—	—	35%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 HC PT EVAL LOW VV	$258.05	$397.00	—	—	35%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 HC PUL REH PT EVAL LOW VV	$297.05	$457.00	—	—	35%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 HC PUL REH PT EVAL LOW	$297.05	$457.00	—	—	35%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 HC PED PT EVAL LOW	$297.05	$457.00	—	—	35%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 HC PT EVAL MOD	$314.60	$484.00	—	27% above	35%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 HC PT EVAL MOD VV	$314.60	$484.00	—	27% above	35%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 HC PUL REH PT EVAL MOD	$360.75	$555.00	—	46% above	35%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 HC PED PT EVAL MOD	$360.75	$555.00	—	46% above	35%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 HC PUL REH PT EVAL MOD VV	$360.75	$555.00	—	46% above	35%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 HC PT EVAL MOD	$314.60	$484.00	—	—	35%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 HC PT EVAL MOD VV	$314.60	$484.00	—	—	35%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 HC PUL REH PT EVAL MOD VV	$360.75	$555.00	—	—	35%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 HC PED PT EVAL MOD	$360.75	$555.00	—	—	35%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 HC PUL REH PT EVAL MOD	$360.75	$555.00	—	—	35%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HC MFR SOFT TISSE MOB PT	$52.00	$80.00	—	38% below	35%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HC JOINT MOBILIZATION PT 15 MIN	$57.85	$89.00	—	32% below	35%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HC JOINT MOBILIZATION OT 15 MIN	$66.30	$102.00	—	22% below	35%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HC MANUAL THERAPY JOINT MOB OT 15MIN	$66.30	$102.00	—	22% below	35%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HC MANUAL THERAPY/JOINT MOB PT 15MIN	$66.30	$102.00	—	22% below	35%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HC TRACTION MANUAL	$70.20	$108.00	—	17% below	35%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HC MFR SOFT TISSE MOB PT	$52.00	$80.00	—	—	35%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HC JOINT MOBILIZATION PT 15 MIN	$57.85	$89.00	—	—	35%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HC MANUAL THERAPY/JOINT MOB PT 15MIN	$66.30	$102.00	—	—	35%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HC MANUAL THERAPY JOINT MOB OT 15MIN	$66.30	$102.00	—	—	35%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HC JOINT MOBILIZATION OT 15 MIN	$66.30	$102.00	—	—	35%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HC TRACTION MANUAL	$70.20	$108.00	—	—	35%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC THERAPEUTIC EXERCISE PT	$70.85	$109.00	—	26% below	35%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC THERAPEUTIC EXERCISE PT VV	$70.85	$109.00	—	26% below	35%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC THERAPEUTIC EXERCISE OT VV	$81.90	$126.00	—	15% below	35%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC THERAPEUTIC EXERCISE OT	$81.90	$126.00	—	15% below	35%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC THERAPEUTIC EXERCISE ACUTE OT VV	$96.20	$148.00	—	at median	35%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC THERAPEUTIC EXERCISE ACUTE OT	$96.20	$148.00	—	at median	35%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC THERAPEUTIC EXERCISE ACUTE PT VV	$100.75	$155.00	—	5% above	35%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC THERAPEUTIC EXERCISE ACUTE PT	$100.75	$155.00	—	5% above	35%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC NICU PT TREATMENT 15M	$109.85	$169.00	—	14% above	35%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC THER EXER 1:1 EA 15M PT PR VV	$125.45	$193.00	—	31% above	35%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC THER EXER 1:1 EA 15M PT PR	$125.45	$193.00	—	31% above	35%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC THERAPEUTIC EXERCISE PT VV	$70.85	$109.00	—	—	35%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC THERAPEUTIC EXERCISE PT	$70.85	$109.00	—	—	35%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC THERAPEUTIC EXERCISE OT VV	$81.90	$126.00	—	—	35%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC THERAPEUTIC EXERCISE OT	$81.90	$126.00	—	—	35%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC THERAPEUTIC EXERCISE ACUTE OT VV	$96.20	$148.00	—	—	35%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC THERAPEUTIC EXERCISE ACUTE OT	$96.20	$148.00	—	—	35%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC THERAPEUTIC EXERCISE ACUTE PT	$100.75	$155.00	—	—	35%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC THERAPEUTIC EXERCISE ACUTE PT VV	$100.75	$155.00	—	—	35%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC NICU PT TREATMENT 15M	$109.85	$169.00	—	—	35%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC THER EXER 1:1 EA 15M PT PR VV	$125.45	$193.00	—	—	35%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC THER EXER 1:1 EA 15M PT PR	$125.45	$193.00	—	—	35%
Psychotherapy session, 30 minutes CPT 90832 HC PATIENT ED 30 MIN DT	$120.25	$185.00	—	13% below	35%
Psychotherapy session, 30 minutes inpatient CPT 90832 HC PATIENT ED 30 MIN DT	$120.25	$185.00	—	—	35%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 HC SMOKING & TOBACCO CESSATION 3-10 MIN	$48.10	$74.00	—	42% above	35%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 HC SMOKING & TOBACCO CESS 3-10 MIN VV	$48.10	$74.00	—	42% above	35%
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 HC SMOKING & TOBACCO CESSATION 3-10 MIN	$48.10	$74.00	—	—	35%
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 HC SMOKING & TOBACCO CESS 3-10 MIN VV	$48.10	$74.00	—	—	35%
Speech and language evaluation CPT 92523 HC EVAL ADULT SPEECH SOUND PROD/LANG COMP & EXPRSSN	$438.75	$675.00	—	14% above	35%
Speech and language evaluation CPT 92523 HC EVAL ADULT SPEECH SOUND PROD/LANG COMP & EXPRSSN VV	$438.75	$675.00	—	14% above	35%
Speech and language evaluation CPT 92523 HC EVAL PEDS SPEECH SOUND PROD/LANG COMP & EXPRSSN	$793.65	$1,221.00	—	107% above	35%
Speech and language evaluation CPT 92523 HC EVAL PEDS SPEECH SOUND PROD/LANG COMP & EXPRSSN VV	$793.65	$1,221.00	—	107% above	35%
Speech and language evaluation inpatient CPT 92523 HC EVAL ADULT SPEECH SOUND PROD/LANG COMP & EXPRSSN	$438.75	$675.00	—	—	35%
Speech and language evaluation inpatient CPT 92523 HC EVAL ADULT SPEECH SOUND PROD/LANG COMP & EXPRSSN VV	$438.75	$675.00	—	—	35%
Speech and language evaluation inpatient CPT 92523 HC EVAL PEDS SPEECH SOUND PROD/LANG COMP & EXPRSSN	$793.65	$1,221.00	—	—	35%
Speech and language evaluation inpatient CPT 92523 HC EVAL PEDS SPEECH SOUND PROD/LANG COMP & EXPRSSN VV	$793.65	$1,221.00	—	—	35%
Speech therapy session, individual CPT 92507 HC SLP TREAT ACUTE 1	$110.50	$170.00	—	49% below	35%
Speech therapy session, individual CPT 92507 HC NICU TREATMENT SLP 15M	$122.85	$189.00	—	44% below	35%
Speech therapy session, individual CPT 92507 HC TREATMENT OP 3 SLP	$174.20	$268.00	—	20% below	35%
Speech therapy session, individual CPT 92507 HC SLP TREAT ACUTE 2	$205.40	$316.00	—	6% below	35%
Speech therapy session, individual CPT 92507 HC SLP TREAT ACUTE VV	$274.95	$423.00	—	26% above	35%
Speech therapy session, individual CPT 92507 HC SLP TREAT ACUTE 3	$274.95	$423.00	—	26% above	35%
Speech therapy session, individual CPT 92507 HC TREATMENT OP 6 SLP VV	$346.45	$533.00	—	59% above	35%
Speech therapy session, individual CPT 92507 HC TREATMENT OP 6 SLP	$346.45	$533.00	—	59% above	35%
Speech therapy session, individual CPT 92507 HC SLP TREAT ACUTE 4	$364.65	$561.00	—	67% above	35%
Speech therapy session, individual CPT 92507 HC SLP TREAT ACUTE 5	$453.70	$698.00	—	108% above	35%
Speech therapy session, individual CPT 92507 HC SLP TREAT ACUTE 6	$542.75	$835.00	—	149% above	35%
Speech therapy session, individual CPT 92507 HC TREATMENT OP SLP 9	$546.65	$841.00	—	151% above	35%
Speech therapy session, individual CPT 92507 HC TREATMENT OP 9 SLP	$576.55	$887.00	—	165% above	35%
Speech therapy session, individual inpatient CPT 92507 HC SLP TREAT ACUTE 1	$110.50	$170.00	—	—	35%
Speech therapy session, individual inpatient CPT 92507 HC NICU TREATMENT SLP 15M	$122.85	$189.00	—	—	35%
Speech therapy session, individual inpatient CPT 92507 HC TREATMENT OP 3 SLP	$174.20	$268.00	—	—	35%
Speech therapy session, individual inpatient CPT 92507 HC SLP TREAT ACUTE 2	$205.40	$316.00	—	—	35%
Speech therapy session, individual inpatient CPT 92507 HC SLP TREAT ACUTE 3	$274.95	$423.00	—	—	35%
Speech therapy session, individual inpatient CPT 92507 HC SLP TREAT ACUTE VV	$274.95	$423.00	—	—	35%
Speech therapy session, individual inpatient CPT 92507 HC TREATMENT OP 6 SLP VV	$346.45	$533.00	—	—	35%
Speech therapy session, individual inpatient CPT 92507 HC TREATMENT OP 6 SLP	$346.45	$533.00	—	—	35%
Speech therapy session, individual inpatient CPT 92507 HC SLP TREAT ACUTE 4	$364.65	$561.00	—	—	35%
Speech therapy session, individual inpatient CPT 92507 HC SLP TREAT ACUTE 5	$453.70	$698.00	—	—	35%
Speech therapy session, individual inpatient CPT 92507 HC SLP TREAT ACUTE 6	$542.75	$835.00	—	—	35%
Speech therapy session, individual inpatient CPT 92507 HC TREATMENT OP SLP 9	$546.65	$841.00	—	—	35%
Speech therapy session, individual inpatient CPT 92507 HC TREATMENT OP 9 SLP	$576.55	$887.00	—	—	35%
Spirometry (breathing test) CPT 94010 HC PFT SPIROMETRY	$309.40	$476.00	—	25% above	35%
Spirometry (breathing test) inpatient CPT 94010 HC PFT SPIROMETRY	$309.40	$476.00	—	—	35%
Spirometry before and after a bronchodilator CPT 94060 HC PFT SPIROMETRY PRE & POST	$666.90	$1,026.00	—	59% above	35%
Spirometry before and after a bronchodilator inpatient CPT 94060 HC PFT SPIROMETRY PRE & POST	$666.90	$1,026.00	—	—	35%
Therapeutic activities (functional training), 15 minutes CPT 97530 HC THERAPEUTIC ACTIVITIES OT	$86.45	$133.00	—	17% below	35%
Therapeutic activities (functional training), 15 minutes CPT 97530 HC THERAPEUTIC ACTIVITIES PT	$86.45	$133.00	—	17% below	35%
Therapeutic activities (functional training), 15 minutes CPT 97530 HC THERAPEUTIC ACTIVITIES PT VV	$86.45	$133.00	—	17% below	35%
Therapeutic activities (functional training), 15 minutes CPT 97530 HC THERAPEUTIC ACTIVITIES OT VV	$86.45	$133.00	—	17% below	35%
Therapeutic activities (functional training), 15 minutes CPT 97530 HC THERAPEUTIC ACTIVITIES ACUTE OT VV	$100.75	$155.00	—	4% below	35%
Therapeutic activities (functional training), 15 minutes CPT 97530 HC THERAPEUTIC ACTIVITIES ACUTE OT	$100.75	$155.00	—	4% below	35%
Therapeutic activities (functional training), 15 minutes CPT 97530 HC THERAPEUTIC ACTIVITIES ACUTE PT	$106.60	$164.00	—	2% above	35%
Therapeutic activities (functional training), 15 minutes CPT 97530 HC THERAPEUTIC ACTIVITIES ACUTE PT VV	$106.60	$164.00	—	2% above	35%
Therapeutic activities (functional training), 15 minutes CPT 97530 HC PT THERAPY ACT 15MN 1:1 PR	$125.45	$193.00	—	20% above	35%
Therapeutic activities (functional training), 15 minutes CPT 97530 HC PT THERAPY ACT 15MN 1:1 PR VV	$125.45	$193.00	—	20% above	35%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HC THERAPEUTIC ACTIVITIES PT	$86.45	$133.00	—	—	35%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HC THERAPEUTIC ACTIVITIES OT	$86.45	$133.00	—	—	35%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HC THERAPEUTIC ACTIVITIES OT VV	$86.45	$133.00	—	—	35%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HC THERAPEUTIC ACTIVITIES PT VV	$86.45	$133.00	—	—	35%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HC THERAPEUTIC ACTIVITIES ACUTE OT	$100.75	$155.00	—	—	35%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HC THERAPEUTIC ACTIVITIES ACUTE OT VV	$100.75	$155.00	—	—	35%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HC THERAPEUTIC ACTIVITIES ACUTE PT VV	$106.60	$164.00	—	—	35%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HC THERAPEUTIC ACTIVITIES ACUTE PT	$106.60	$164.00	—	—	35%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HC PT THERAPY ACT 15MN 1:1 PR VV	$125.45	$193.00	—	—	35%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HC PT THERAPY ACT 15MN 1:1 PR	$125.45	$193.00	—	—	35%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 HC PHLEBOTOMY THERAPEUTIC	$482.30	$742.00	—	138% above	35%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 HC PHLEBOTOMY THERAPEUTIC	$482.30	$742.00	—	—	35%

Vaccines

Procedure	Cash price	List price	Insurers pay	vs Washington	Off list
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC INJECTION HEP-B INITIAL	$76.70	$118.00	—	82% above	35%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC INJECTION PNEUMOCOCCAL INITIAL	$76.70	$118.00	—	82% above	35%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC INJECTION INFLUENZA INITIAL	$76.70	$118.00	—	82% above	35%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC INJECTION IMMUNIZATION INITIAL	$76.70	$118.00	—	82% above	35%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC INJECTION PNEUMOCOCCAL INITIAL	$76.70	$118.00	—	—	35%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC INJECTION IMMUNIZATION INITIAL	$76.70	$118.00	—	—	35%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC INJECTION HEP-B INITIAL	$76.70	$118.00	—	—	35%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC INJECTION INFLUENZA INITIAL	$76.70	$118.00	—	—	35%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 HC INJECTION PNEUMOCOCCAL SUBSEQUENT	$38.35	$59.00	—	6% above	35%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 HC INJECTION IMMUNIZATION SUBSEQUENT	$38.35	$59.00	—	6% above	35%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 HC INJECTION INFLUENZA SUBSEQUENT	$38.35	$59.00	—	6% above	35%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 HC INJECTION HEP-B SUBSEQUENT	$38.35	$59.00	—	6% above	35%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 HC INJ IMMUNIZATION EACH ADDL	$42.25	$65.00	—	17% above	35%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 HC INJECTION INFLUENZA SUBSEQUENT	$38.35	$59.00	—	—	35%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 HC INJECTION PNEUMOCOCCAL SUBSEQUENT	$38.35	$59.00	—	—	35%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 HC INJECTION HEP-B SUBSEQUENT	$38.35	$59.00	—	—	35%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 HC INJECTION IMMUNIZATION SUBSEQUENT	$38.35	$59.00	—	—	35%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 HC INJ IMMUNIZATION EACH ADDL	$42.25	$65.00	—	—	35%

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

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

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

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

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

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

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

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

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

Source file: https://www.legacyhealth.org/-/media/Files/JSON/331065485_legacy-salmon-creek-medical-center_standardcharges.json