NorthShore University HealthSystems Glenbrook Hospital
NorthShore University HealthSystems Glenbrook Hospital in Glenview, IL publishes cash prices for 441 common procedures listed here, from its own machine-readable price file updated Jan 1, 2025. Compared with other hospitals in the state, its outpatient cash prices are below the Illinois median for 355 of 434 procedures and above it for 71. By typical cash price it ranks #29 of 114 Illinois hospitals and #21 of 62 hospitals in the Chicago, IL area, cheapest first. Select a procedure to compare it with other hospitals nearby.
2100 Pfington Road, Glenview, IL 60025 Collected Sep 23, 2026 Source price file Check a bill from this hospital
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs Illinois | Off list |
|---|---|---|---|---|---|
| Abdominal CT scan without and with contrast CPT 74170 CT Abdomen W&W/O Contrast | $2,345.20 | $3,608.00 | $487.08–$1,969.97 | 17% below | 35% |
| Abdominal CT scan without and with contrast inpatient CPT 74170 CT Abdomen W&W/O Contrast | $2,345.20 | $3,608.00 | $588.10–$1,930.28 | — | 35% |
| Abdominal X-ray, 2 views CPT 74019 HB X-Ray Abdomen 2 Views | $326.95 | $503.00 | $67.91–$274.64 | 1% below | 35% |
| Abdominal X-ray, 2 views inpatient CPT 74019 HB X-Ray Abdomen 2 Views | $326.95 | $503.00 | $81.99–$269.11 | — | 35% |
| Ankle X-ray, complete, 3 or more views CPT 73610 Ankle Compl Min 3 Views | $261.95 | $403.00 | $54.41–$220.04 | 22% below | 35% |
| Ankle X-ray, complete, 3 or more views inpatient CPT 73610 Ankle Compl Min 3 Views | $261.95 | $403.00 | $65.69–$215.61 | — | 35% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries both sides CPT 93922 Upper/Lower Ext Dop/Art Pres-Bilat | $534.30 | $822.00 | $110.97–$448.81 | — | 35% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient both sides CPT 93922 Upper/Lower Ext Dop/Art Pres-Bilat | $534.30 | $822.00 | $133.99–$439.77 | — | 35% |
| Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 CT Upr Ext W/O Cont | $1,443.65 | $2,221.00 | $299.84–$1,212.67 | 21% below | 35% |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient CPT 73200 CT Upr Ext W/O Cont | $1,443.65 | $2,221.00 | $362.02–$1,188.24 | — | 35% |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 Esophagus X-Ray | $570.70 | $878.00 | $118.53–$479.39 | 5% below | 35% |
| Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 Esophagus X-Ray | $570.70 | $878.00 | $143.11–$469.73 | — | 35% |
| Bone scan, whole body (nuclear medicine) CPT 78306 Bone Scan-Whole Body | $1,927.90 | $2,966.00 | $400.41–$1,619.44 | 22% above | 35% |
| Bone scan, whole body (nuclear medicine) inpatient CPT 78306 Bone Scan-Whole Body | $1,927.90 | $2,966.00 | $483.46–$1,586.81 | — | 35% |
| Breast ultrasound, complete, one breast CPT 76641 US Breast Uni Real Time W/ Image Comp | $189.15 | $291.00 | $39.29–$158.89 | 63% below | 35% |
| Breast ultrasound, complete, one breast inpatient CPT 76641 US Breast Uni Real Time W/ Image Comp | $189.15 | $291.00 | $47.43–$155.69 | — | 35% |
| Breast ultrasound, limited (one breast or one area) CPT 76642 US Breast Uni Real Time W/ Image Lim | $105.95 | $163.00 | $22.01–$89.00 | 76% below | 35% |
| Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 US Breast Uni Real Time W/ Image Lim | $105.95 | $163.00 | $26.57–$87.21 | — | 35% |
| CT angiography (CTA) of the abdomen and pelvis CPT 74174 Cta Abd & Pelvis W/Contrast W/WO C | $2,216.50 | $3,410.00 | $460.35–$1,861.86 | 40% below | 35% |
| CT angiography (CTA) of the abdomen and pelvis CPT 74174 Ctv Abd & Pelvis W/ and/or W/O Cont | $2,216.50 | $3,410.00 | $460.35–$1,861.86 | 40% below | 35% |
| CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 Ctv Abd & Pelvis W/ and/or W/O Cont | $2,216.50 | $3,410.00 | $555.83–$1,824.35 | — | 35% |
| CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 Cta Abd & Pelvis W/Contrast W/WO C | $2,216.50 | $3,410.00 | $555.83–$1,824.35 | — | 35% |
| CT angiography (CTA) of the head CPT 70496 Ctv Head W/O&W Cont | $1,649.05 | $2,537.00 | $342.50–$1,385.20 | 36% below | 35% |
| CT angiography (CTA) of the head CPT 70496 Cta Head W/O & W Contrast | $1,649.05 | $2,537.00 | $342.50–$1,385.20 | 36% below | 35% |
| CT angiography (CTA) of the head inpatient CPT 70496 Cta Head W/O & W Contrast | $1,649.05 | $2,537.00 | $413.53–$1,357.30 | — | 35% |
| CT angiography (CTA) of the head inpatient CPT 70496 Ctv Head W/O&W Cont | $1,649.05 | $2,537.00 | $413.53–$1,357.30 | — | 35% |
| CT angiography (CTA) of the neck CPT 70498 Ctv Neck W/O&W Cont | $1,924.00 | $2,960.00 | $399.60–$1,616.16 | 26% below | 35% |
| CT angiography (CTA) of the neck CPT 70498 Cta Neck W/O & W Contrast | $1,924.00 | $2,960.00 | $399.60–$1,616.16 | 26% below | 35% |
| CT angiography (CTA) of the neck inpatient CPT 70498 Cta Neck W/O & W Contrast | $1,924.00 | $2,960.00 | $482.48–$1,583.60 | — | 35% |
| CT angiography (CTA) of the neck inpatient CPT 70498 Ctv Neck W/O&W Cont | $1,924.00 | $2,960.00 | $482.48–$1,583.60 | — | 35% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 Cta Chest W/O & W Contrast | $2,088.45 | $3,213.00 | $433.76–$1,754.30 | 29% below | 35% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 Ctv Chest W/O and/or W Cont | $2,088.45 | $3,213.00 | $433.76–$1,754.30 | 29% below | 35% |
| CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 Ctv Chest W/O and/or W Cont | $2,088.45 | $3,213.00 | $523.72–$1,718.96 | — | 35% |
| CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 Cta Chest W/O & W Contrast | $2,088.45 | $3,213.00 | $523.72–$1,718.96 | — | 35% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 Cta Hrt Crnry Art/Byp Grf W/Con 3d | $1,536.60 | $2,364.00 | $319.14–$1,290.74 | 13% below | 35% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 Cta Hrt Crnry Art/Byp Grf W/Con 3d | $1,536.60 | $2,364.00 | $385.33–$1,264.74 | — | 35% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT Abd & Pelvis; W/O Contrast | $2,345.85 | $3,609.00 | $487.22–$1,970.51 | 36% below | 35% |
| CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT Abd & Pelvis; W/O Contrast | $2,345.85 | $3,609.00 | $588.27–$1,930.82 | — | 35% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 HB CT Abd & Pelvis; W/Contrast | $3,049.80 | $4,692.00 | $633.42–$2,561.83 | 31% below | 35% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 HB CT Abd & Pelvis; W/Contrast | $3,049.80 | $4,692.00 | $764.80–$2,510.22 | — | 35% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT Abd & Pelvis; W/O & W Contrast | $4,321.85 | $6,649.00 | $897.62–$3,630.35 | 13% below | 35% |
| CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT Abd & Pelvis; W/O & W Contrast | $4,321.85 | $6,649.00 | $1,083.79–$3,557.22 | — | 35% |
| CT scan of the abdomen with contrast CPT 74160 CT Abdomen W/Contrast | $1,991.60 | $3,064.00 | $413.64–$1,672.94 | 12% below | 35% |
| CT scan of the abdomen with contrast inpatient CPT 74160 CT Abdomen W/Contrast | $1,991.60 | $3,064.00 | $499.43–$1,639.24 | — | 35% |
| CT scan of the abdomen without contrast CPT 74150 CT Abdomen W/O Contrast | $1,628.90 | $2,506.00 | $338.31–$1,368.28 | 15% below | 35% |
| CT scan of the abdomen without contrast inpatient CPT 74150 CT Abdomen W/O Contrast | $1,628.90 | $2,506.00 | $408.48–$1,340.71 | — | 35% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT Sinus(Screening) W/O Contrast-Reduced | $1,191.45 | $1,833.00 | $247.46–$1,000.82 | 30% below | 35% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT Sinus Max Facial W/O Con | $1,191.45 | $1,833.00 | $247.46–$1,000.82 | 30% below | 35% |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT Sinus Max Facial W/O Con | $1,191.45 | $1,833.00 | $298.78–$980.66 | — | 35% |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT Sinus(Screening) W/O Contrast-Reduced | $1,191.45 | $1,833.00 | $298.78–$980.66 | — | 35% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT Head W/O Contrast | $1,340.95 | $2,063.00 | $278.51–$1,126.40 | 27% below | 35% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT Head W/O Contrast | $1,340.95 | $2,063.00 | $336.27–$1,103.71 | — | 35% |
| CT scan of the head with contrast CPT 70460 CT Head With Contrast | $1,544.40 | $2,376.00 | $320.76–$1,297.30 | 20% below | 35% |
| CT scan of the head with contrast inpatient CPT 70460 CT Head With Contrast | $1,544.40 | $2,376.00 | $387.29–$1,271.16 | — | 35% |
| CT scan of the head without and with contrast CPT 70470 CT Head W & W/O Contrast | $2,142.40 | $3,296.00 | $444.96–$1,799.62 | 12% below | 35% |
| CT scan of the head without and with contrast inpatient CPT 70470 CT Head W & W/O Contrast | $2,142.40 | $3,296.00 | $537.25–$1,763.36 | — | 35% |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT Lumbar Spine W/O Contrast | $1,788.80 | $2,752.00 | $371.52–$1,502.59 | 19% below | 35% |
| CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT Lumbar Spine W/O Contrast | $1,788.80 | $2,752.00 | $448.58–$1,472.32 | — | 35% |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT Cervical Spine W/O Contr | $1,623.70 | $2,498.00 | $337.23–$1,363.91 | 30% below | 35% |
| CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT Cervical Spine W/O Contr | $1,623.70 | $2,498.00 | $407.17–$1,336.43 | — | 35% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT Pelvis W/Contrast | $1,779.05 | $2,737.00 | $369.50–$1,494.40 | 18% below | 35% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT Pelvis W/Contrast | $1,779.05 | $2,737.00 | $446.13–$1,464.30 | — | 35% |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 Duplex Scan Eca Comp Bilat | $1,139.45 | $1,753.00 | $236.66–$957.14 | — | 35% |
| Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 Duplex Scan Eca Comp Bilat | $1,139.45 | $1,753.00 | $285.74–$937.86 | — | 35% |
| Chest CT scan without and with contrast CPT 71270 CT Chest W & W/Ot Contrast | $2,422.55 | $3,727.00 | $503.15–$2,034.94 | 14% below | 35% |
| Chest CT scan without and with contrast inpatient CPT 71270 CT Chest W & W/Ot Contrast | $2,422.55 | $3,727.00 | $607.50–$1,993.95 | — | 35% |
| Chest X-ray, 2 views CPT 71046 Chest Frontal & Lateral | $294.45 | $453.00 | $61.16–$247.34 | 4% below | 35% |
| Chest X-ray, 2 views CPT 71046 Chest 2 Views | $294.45 | $453.00 | $61.16–$247.34 | 4% below | 35% |
| Chest X-ray, 2 views inpatient CPT 71046 Chest Frontal & Lateral | $294.45 | $453.00 | $73.84–$242.36 | — | 35% |
| Chest X-ray, 2 views inpatient CPT 71046 Chest 2 Views | $294.45 | $453.00 | $73.84–$242.36 | — | 35% |
| Chest X-ray, single view CPT 71045 Chest Frontal Single View | $239.85 | $369.00 | $49.82–$201.47 | 6% below | 35% |
| Chest X-ray, single view inpatient CPT 71045 Chest Frontal Single View | $239.85 | $369.00 | $60.15–$197.42 | — | 35% |
| Collarbone (clavicle) X-ray, complete CPT 73000 Clavicle Complete | $252.20 | $388.00 | $52.38–$211.85 | 4% below | 35% |
| Collarbone (clavicle) X-ray, complete inpatient CPT 73000 Clavicle Complete | $252.20 | $388.00 | $63.24–$207.58 | — | 35% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US Retroperitoneum Complete | $644.15 | $991.00 | $133.79–$541.09 | 22% below | 35% |
| Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US Retroperitoneum Complete | $644.15 | $991.00 | $161.53–$530.19 | — | 35% |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 Bone Density DXA 1+ Sites Axial | $375.05 | $577.00 | $77.90–$315.04 | 21% below | 35% |
| DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 Bone Density DXA 1+ Sites Axial | $375.05 | $577.00 | $94.05–$308.70 | — | 35% |
| DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 Bone Density DXA 1/>Sites Appendiclr | $152.75 | $235.00 | $31.73–$128.31 | 35% below | 35% |
| DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 Bone Density DXA 1/>Sites Appendiclr | $152.75 | $235.00 | $38.31–$125.73 | — | 35% |
| Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 Level II/Anomaly Scan 1st Fetus | $744.25 | $1,145.00 | $154.58–$625.17 | 24% below | 35% |
| Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 Level II/Anomaly Scan 1st Fetus | $744.25 | $1,145.00 | $186.64–$612.58 | — | 35% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT Chest Low Dose | $542.75 | $835.00 | $112.73–$455.91 | 71% below | 35% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT Chest W/O Contrast | $1,794.65 | $2,761.00 | $372.74–$1,507.51 | 3% below | 35% |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT Chest Low Dose | $542.75 | $835.00 | $136.11–$446.73 | — | 35% |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT Chest W/O Contrast | $1,794.65 | $2,761.00 | $450.04–$1,477.14 | — | 35% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT Chest W/Contrast | $1,987.05 | $3,057.00 | $412.70–$1,669.12 | 17% below | 35% |
| Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT Chest W/Contrast | $1,987.05 | $3,057.00 | $498.29–$1,635.50 | — | 35% |
| Diagnostic mammogram, both breasts both sides CPT 77066 Mam Diagnostic Bilat Digital | $352.30 | $542.00 | $73.17–$295.93 | — | 35% |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 Mam Diagnostic Bilat Digital | $352.30 | $542.00 | $88.35–$289.97 | — | 35% |
| Diagnostic mammogram, one breast CPT 77065 Mam Diagnostic Digital | $267.15 | $411.00 | $55.49–$224.41 | 13% below | 35% |
| Diagnostic mammogram, one breast inpatient CPT 77065 Mam Diagnostic Digital | $267.15 | $411.00 | $66.99–$219.89 | — | 35% |
| Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 Arterial Duplex Le-Bilateral | $1,117.35 | $1,719.00 | $232.07–$938.57 | — | 35% |
| Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 Arterial Duplex Le-Bilateral | $1,117.35 | $1,719.00 | $280.20–$919.67 | — | 35% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 Venous Duplex Imaging Ext Bilateral | $1,642.55 | $2,527.00 | $341.15–$1,379.74 | — | 35% |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 Venous Duplex Imaging Ext Bilateral | $1,642.55 | $2,527.00 | $411.90–$1,351.95 | — | 35% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 Tte W/Doppler Complete | $2,591.55 | $3,987.00 | $538.25–$2,176.90 | 22% above | 35% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 Tte Cmpl Spc&Clr Flow Dplr Echo | $2,591.55 | $3,987.00 | $538.25–$2,176.90 | 22% above | 35% |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 Tte W/Doppler Complete | $2,591.55 | $3,987.00 | $649.88–$2,133.05 | — | 35% |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 Tte Cmpl Spc&Clr Flow Dplr Echo | $2,591.55 | $3,987.00 | $649.88–$2,133.05 | — | 35% |
| Elbow X-ray, 2 views CPT 73070 Elbow 2 Views | $222.95 | $343.00 | $46.31–$187.28 | 19% below | 35% |
| Elbow X-ray, 2 views inpatient CPT 73070 Elbow 2 Views | $222.95 | $343.00 | $55.91–$183.51 | — | 35% |
| Elbow X-ray, complete, 3 or more views CPT 73080 Elbow Comp 3+ Views | $273.00 | $420.00 | $56.70–$229.32 | 20% below | 35% |
| Elbow X-ray, complete, 3 or more views inpatient CPT 73080 Elbow Comp 3+ Views | $273.00 | $420.00 | $68.46–$224.70 | — | 35% |
| Eye socket (orbit) CT scan without contrast CPT 70480 CT Orbit Sella Post Fossa W/O Contrast | $1,343.55 | $2,067.00 | $279.05–$1,128.58 | 20% below | 35% |
| Eye socket (orbit) CT scan without contrast inpatient CPT 70480 CT Orbit Sella Post Fossa W/O Contrast | $1,343.55 | $2,067.00 | $336.92–$1,105.85 | — | 35% |
| Facial bones X-ray, complete, 3 or more views CPT 70150 Facial Bones Complete 3+ Views | $411.45 | $633.00 | $85.46–$345.62 | at median | 35% |
| Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 Facial Bones Complete 3+ Views | $411.45 | $633.00 | $103.18–$338.66 | — | 35% |
| Forearm X-ray (radius and ulna), 2 views CPT 73090 Forearm Min 2 Views | $243.10 | $374.00 | $50.49–$204.20 | 24% below | 35% |
| Forearm X-ray (radius and ulna), 2 views inpatient CPT 73090 Forearm Min 2 Views | $243.10 | $374.00 | $60.96–$200.09 | — | 35% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 Hepatobiliary Syst Img W/Gallbladd | $949.00 | $1,460.00 | $197.10–$797.16 | 37% below | 35% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 Hepatobiliary Syst Img W/Gallbladd | $949.00 | $1,460.00 | $237.98–$781.10 | — | 35% |
| Hand X-ray, 2 views CPT 73120 Hand 2 Views | $173.55 | $267.00 | $36.05–$145.78 | 38% below | 35% |
| Hand X-ray, 2 views inpatient CPT 73120 Hand 2 Views | $173.55 | $267.00 | $43.52–$142.85 | — | 35% |
| Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 Calcaneous Min 2 Views | $241.15 | $371.00 | $50.09–$202.57 | at median | 35% |
| Heel bone (calcaneus) X-ray, 2 or more views inpatient CPT 73650 Calcaneous Min 2 Views | $241.15 | $371.00 | $60.47–$198.49 | — | 35% |
| Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 Apnea Monitoring | $809.90 | $1,246.00 | $168.21–$680.32 | 20% above | 35% |
| Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 Sleep Std Airflow Hrt Rate&O2 Sat Effort Unatt | $809.90 | $1,246.00 | $168.21–$680.32 | 20% above | 35% |
| Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 Sleep Stdvent-Ecg-O2 Sat<6hrs | $809.90 | $1,246.00 | $168.21–$680.32 | 20% above | 35% |
| Home sleep apnea test, unattended, recording breathing and oxygen inpatient CPT 95806 Sleep Std Airflow Hrt Rate&O2 Sat Effort Unatt | $809.90 | $1,246.00 | $203.10–$666.61 | — | 35% |
| Home sleep apnea test, unattended, recording breathing and oxygen inpatient CPT 95806 Sleep Stdvent-Ecg-O2 Sat<6hrs | $809.90 | $1,246.00 | $203.10–$666.61 | — | 35% |
| Home sleep apnea test, unattended, recording breathing and oxygen inpatient CPT 95806 Apnea Monitoring | $809.90 | $1,246.00 | $203.10–$666.61 | — | 35% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 Sleep-Polysomnography W/Cpap | $2,900.30 | $4,462.00 | $602.37–$2,436.25 | 38% below | 35% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 Sleep-Polysomnography W/Cpap | $2,900.30 | $4,462.00 | $727.31–$2,387.17 | — | 35% |
| Knee X-ray, 3 views CPT 73562 Knee 3 Views | $268.45 | $413.00 | $55.76–$225.50 | 23% below | 35% |
| Knee X-ray, 3 views inpatient CPT 73562 Knee 3 Views | $268.45 | $413.00 | $67.32–$220.96 | — | 35% |
| Knee X-ray, complete, 4 or more views CPT 73564 Knee Compl 4+ Views | $316.55 | $487.00 | $65.75–$265.90 | 28% below | 35% |
| Knee X-ray, complete, 4 or more views inpatient CPT 73564 Knee Compl 4+ Views | $316.55 | $487.00 | $79.38–$260.55 | — | 35% |
| Leg CT scan without contrast (hip to foot, any part) CPT 73700 CT Lower Ext W/O Contrast | $1,615.90 | $2,486.00 | $335.61–$1,357.36 | 11% below | 35% |
| Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 CT Lower Ext W/O Contrast | $1,615.90 | $2,486.00 | $405.22–$1,330.01 | — | 35% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US Abdominal Rtime W/Image Doc;Ltd | $164.45 | $253.00 | $34.16–$138.14 | 77% below | 35% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US Abdomen Limited | $542.10 | $834.00 | $112.59–$455.36 | 23% below | 35% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US Abdominal Rtime W/Image Doc;Ltd | $164.45 | $253.00 | $41.24–$135.36 | — | 35% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US Abdomen Limited | $542.10 | $834.00 | $135.94–$446.19 | — | 35% |
| Limited ultrasound of an arm or leg (non-vascular) CPT 76882 US Extremity Nonvascular; Ltd Site Specific | $76.70 | $118.00 | $15.93–$64.43 | 75% below | 35% |
| Limited ultrasound of an arm or leg (non-vascular) CPT 76882 US Extremity Non-Vascular; Limited | $305.50 | $470.00 | $63.45–$256.62 | 1% below | 35% |
| Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 US Extremity Nonvascular; Ltd Site Specific | $76.70 | $118.00 | $19.23–$63.13 | — | 35% |
| Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 US Extremity Non-Vascular; Limited | $305.50 | $470.00 | $76.61–$251.45 | — | 35% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 Low Dose CT Scan Lung Cancer Screen | $346.45 | $533.00 | $71.96–$291.02 | 39% below | 35% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 Low Dose CT Scan Lung Cancer Screen | $346.45 | $533.00 | $86.88–$285.16 | — | 35% |
| Lower leg X-ray (tibia and fibula), 2 views CPT 73590 Tibia/Fibula 2 Views | $245.70 | $378.00 | $51.03–$206.39 | 24% below | 35% |
| Lower leg X-ray (tibia and fibula), 2 views inpatient CPT 73590 Tibia/Fibula 2 Views | $245.70 | $378.00 | $61.61–$202.23 | — | 35% |
| MR angiography (MRA) of the head without contrast CPT 70544 Mra Head W/O Contrast | $1,953.90 | $3,006.00 | $405.81–$1,641.28 | 26% below | 35% |
| MR angiography (MRA) of the head without contrast inpatient CPT 70544 Mra Head W/O Contrast | $1,953.90 | $3,006.00 | $489.98–$1,608.21 | — | 35% |
| MRI of both breasts, without and then with contrast dye both sides CPT 77049 MRI Breast W/O & W/Cont Bilat Incl Cad | $1,509.30 | $2,322.00 | $313.47–$1,267.81 | — | 35% |
| MRI of both breasts, without and then with contrast dye inpatient both sides CPT 77049 MRI Breast W/O & W/Cont Bilat Incl Cad | $1,509.30 | $2,322.00 | $378.49–$1,242.27 | — | 35% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI Lwr Extr Jt W/O Cont | $2,384.85 | $3,669.00 | $495.32–$2,003.27 | 15% below | 35% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 MRI Lwr Extr Jt W/O Cont | $2,384.85 | $3,669.00 | $598.05–$1,962.92 | — | 35% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI Lwr Ext Jt W/O&W Con | $2,739.75 | $4,215.00 | $569.03–$2,301.39 | 21% below | 35% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 MRI Lwr Ext Jt W/O&W Con | $2,739.75 | $4,215.00 | $687.05–$2,255.03 | — | 35% |
| MRI of the abdomen without contrast CPT 74181 MRI Abd W/O Contrast | $2,078.05 | $3,197.00 | $431.60–$1,745.56 | 25% below | 35% |
| MRI of the abdomen without contrast inpatient CPT 74181 MRI Abd W/O Contrast | $2,078.05 | $3,197.00 | $521.11–$1,710.40 | — | 35% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 MRI Abdomen Scn W/O&W Contr | $2,628.60 | $4,044.00 | $545.94–$2,208.02 | 29% below | 35% |
| MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MRI Abdomen Scn W/O&W Contr | $2,628.60 | $4,044.00 | $659.17–$2,163.54 | — | 35% |
| MRI of the brain, no contrast dye CPT 70551 MRI Brain W/O Contrast | $2,187.90 | $3,366.00 | $454.41–$1,837.84 | 22% below | 35% |
| MRI of the brain, no contrast dye inpatient CPT 70551 MRI Brain W/O Contrast | $2,187.90 | $3,366.00 | $548.66–$1,800.81 | — | 35% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI Brain W&W/O Contrast | $3,243.50 | $4,990.00 | $673.65–$2,724.54 | 20% below | 35% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI Brain W&W/O Contrast | $3,243.50 | $4,990.00 | $813.37–$2,669.65 | — | 35% |
| MRI of the lower back, no contrast dye CPT 72148 MRI Lumbar W/O Contrast | $2,540.20 | $3,908.00 | $527.58–$2,133.77 | 12% below | 35% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 MRI Lumbar W/O Contrast | $2,540.20 | $3,908.00 | $637.00–$2,090.78 | — | 35% |
| MRI of the lower back, without and then with contrast dye CPT 72158 MRI Lumbar Spine W&W/O Contr | $3,250.65 | $5,001.00 | $675.14–$2,730.55 | 20% below | 35% |
| MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MRI Lumbar Spine W&W/O Contr | $3,250.65 | $5,001.00 | $815.16–$2,675.54 | — | 35% |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI Thor Spine W/O Contrast | $2,540.20 | $3,908.00 | $527.58–$2,133.77 | 12% below | 35% |
| MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MRI Thor Spine W/O Contrast | $2,540.20 | $3,908.00 | $637.00–$2,090.78 | — | 35% |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI Cerv Spine W&W/O Contr | $3,195.40 | $4,916.00 | $663.66–$2,684.14 | 20% below | 35% |
| MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MRI Cerv Spine W&W/O Contr | $3,195.40 | $4,916.00 | $801.31–$2,630.06 | — | 35% |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI Cervical Spine W/O Contrst | $2,295.80 | $3,532.00 | $476.82–$1,928.47 | 22% below | 35% |
| MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MRI Cervical Spine W/O Contrst | $2,295.80 | $3,532.00 | $575.72–$1,889.62 | — | 35% |
| MRI of the pelvis without and with contrast CPT 72197 MRI Pelvis W/O & W Contrast | $2,527.20 | $3,888.00 | $524.88–$2,122.85 | 29% below | 35% |
| MRI of the pelvis without and with contrast inpatient CPT 72197 MRI Pelvis W/O & W Contrast | $2,527.20 | $3,888.00 | $633.74–$2,080.08 | — | 35% |
| MRI of the pelvis, no contrast dye CPT 72195 MRI Pelvis W/O Contrast | $2,149.55 | $3,307.00 | $446.45–$1,805.62 | 20% below | 35% |
| MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI Pelvis W/O Contrast | $2,149.55 | $3,307.00 | $539.04–$1,769.25 | — | 35% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MRI Upr Ext Joint W/O Con | $2,316.60 | $3,564.00 | $481.14–$1,945.94 | 18% below | 35% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 MRI Upr Ext Joint W/O Con | $2,316.60 | $3,564.00 | $580.93–$1,906.74 | — | 35% |
| Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 Spine Cervical 4 -5 Views | $422.50 | $650.00 | $87.75–$354.90 | 23% below | 35% |
| Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 Spine Cervical 4 -5 Views | $422.50 | $650.00 | $105.95–$347.75 | — | 35% |
| Neck soft tissue CT scan with contrast CPT 70491 CT Neck(Soft Tiss) W/ Contrast | $1,888.25 | $2,905.00 | $392.18–$1,586.13 | 12% below | 35% |
| Neck soft tissue CT scan with contrast inpatient CPT 70491 CT Neck(Soft Tiss) W/ Contrast | $1,888.25 | $2,905.00 | $473.52–$1,554.18 | — | 35% |
| Neck soft tissue CT scan without contrast CPT 70490 CT Neck(Soft Tiss) W/O Con | $1,753.70 | $2,698.00 | $364.23–$1,473.11 | at median | 35% |
| Neck soft tissue CT scan without contrast inpatient CPT 70490 CT Neck(Soft Tiss) W/O Con | $1,753.70 | $2,698.00 | $439.77–$1,443.43 | — | 35% |
| Neck soft tissue X-ray CPT 70360 Neck Soft Tissue | $267.15 | $411.00 | $55.49–$224.41 | 2% above | 35% |
| Neck soft tissue X-ray inpatient CPT 70360 Neck Soft Tissue | $267.15 | $411.00 | $66.99–$219.89 | — | 35% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 Cardiac Tomographic (Spect) Multiple Stress/Rest Scan | $4,119.05 | $6,337.00 | $855.50–$3,460.00 | 3% above | 35% |
| Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 Cardiac Tomographic (Spect) Multiple Stress/Rest Scan | $4,119.05 | $6,337.00 | $1,032.93–$3,390.30 | — | 35% |
| OCT scan of the retina (optical coherence tomography) CPT 92134 Cmptr Eye Scan Dx Img Post Seg; Re | $44.20 | $68.00 | $9.18–$37.13 | 53% below | 35% |
| OCT scan of the retina (optical coherence tomography) inpatient CPT 92134 Cmptr Eye Scan Dx Img Post Seg; Re | $44.20 | $68.00 | $11.08–$36.38 | — | 35% |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 Pet Registry | $6,019.65 | $9,261.00 | $1,250.24–$5,056.51 | 2% above | 35% |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 NM Pet Chin to Thigh | $6,019.65 | $9,261.00 | $1,250.24–$5,056.51 | 2% above | 35% |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 NM Pet Chin to Thigh | $6,019.65 | $9,261.00 | $1,509.54–$4,954.64 | — | 35% |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 Pet Registry | $6,019.65 | $9,261.00 | $1,509.54–$4,954.64 | — | 35% |
| Pelvic CT scan without contrast CPT 72192 CT Pelvic W/O Contrast | $1,330.55 | $2,047.00 | $276.35–$1,117.66 | 30% below | 35% |
| Pelvic CT scan without contrast inpatient CPT 72192 CT Pelvic W/O Contrast | $1,330.55 | $2,047.00 | $333.66–$1,095.15 | — | 35% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 Ultra Snd Pelvis Ltd-Follow Up | $76.70 | $118.00 | $15.93–$64.43 | 86% below | 35% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US Pelvis Limit-F/U | $479.05 | $737.00 | $99.50–$402.40 | 11% below | 35% |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 Ultra Snd Pelvis Ltd-Follow Up | $76.70 | $118.00 | $19.23–$63.13 | — | 35% |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US Pelvis Limit-F/U | $479.05 | $737.00 | $120.13–$394.30 | — | 35% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 Ultra Sound Pelvis+ | $189.15 | $291.00 | $39.29–$158.89 | 76% below | 35% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US Pelvic Area Non-OB Complete | $644.80 | $992.00 | $133.92–$541.63 | 19% below | 35% |
| Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 Ultra Sound Pelvis+ | $189.15 | $291.00 | $47.43–$155.69 | — | 35% |
| Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US Pelvic Area Non-OB Complete | $644.80 | $992.00 | $161.70–$530.72 | — | 35% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US Exam Pg Uterus Compl | $167.05 | $257.00 | $34.70–$140.32 | 78% below | 35% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US OB Complete 1st Fetus | $473.85 | $729.00 | $98.42–$398.03 | 36% below | 35% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US Exam Pg Uterus Compl | $167.05 | $257.00 | $41.89–$137.50 | — | 35% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US OB Complete 1st Fetus | $473.85 | $729.00 | $118.83–$390.02 | — | 35% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US Early Preg Uterus Comp | $430.95 | $663.00 | $89.51–$362.00 | 36% below | 35% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 1st Trimester Genetic US | $430.95 | $663.00 | $89.51–$362.00 | 36% below | 35% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 1st Trimester Genetic US | $430.95 | $663.00 | $108.07–$354.71 | — | 35% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 US Early Preg Uterus Comp | $430.95 | $663.00 | $108.07–$354.71 | — | 35% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 Ultra Snd Mult Aft 1st Tri - Pbb Only | $116.35 | $179.00 | $24.17–$97.73 | 78% below | 35% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US Amnio Fld CK/Ltd Scan 1+ Fetus | $436.80 | $672.00 | $90.72–$366.91 | 17% below | 35% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 Ultra Snd Mult Aft 1st Tri - Pbb Only | $116.35 | $179.00 | $29.18–$95.77 | — | 35% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 US Amnio Fld CK/Ltd Scan 1+ Fetus | $436.80 | $672.00 | $109.54–$359.52 | — | 35% |
| Rib X-ray, one side, 2 views one side CPT 71100 Ribs 2 Views Unilateral | $311.35 | $479.00 | $64.67–$261.53 | 10% below | 35% |
| Rib X-ray, one side, 2 views inpatient one side CPT 71100 Ribs 2 Views Unilateral | $311.35 | $479.00 | $78.08–$256.27 | — | 35% |
| Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 Ribs Unilateral Incl Pa Chest Min 3 Views | $365.30 | $562.00 | $75.87–$306.85 | 24% below | 35% |
| Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 Ribs Unilateral Incl Pa Chest Min 3 Views | $365.30 | $562.00 | $91.61–$300.67 | — | 35% |
| Screening mammogram, both breasts CPT 77067 Mam Screening Digital | $274.30 | $422.00 | $56.97–$230.41 | at median | 35% |
| Screening mammogram, both breasts inpatient CPT 77067 Mam Screening Digital | $274.30 | $422.00 | $68.79–$225.77 | — | 35% |
| Shoulder X-ray, complete, 2 or more views CPT 73030 Shoulder Comp 2+ Views | $284.05 | $437.00 | $59.00–$238.60 | 21% below | 35% |
| Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 Shoulder Comp 2+ Views | $284.05 | $437.00 | $71.23–$233.80 | — | 35% |
| Sinus X-ray, complete, 3 or more views CPT 70220 Sinuses Paranasal Complete 3+ Views | $426.40 | $656.00 | $88.56–$358.18 | 13% above | 35% |
| Sinus X-ray, complete, 3 or more views inpatient CPT 70220 Sinuses Paranasal Complete 3+ Views | $426.40 | $656.00 | $106.93–$350.96 | — | 35% |
| Skull X-ray, fewer than 4 views CPT 70250 Skull Less Than 4 Views | $313.30 | $482.00 | $65.07–$263.17 | 2% above | 35% |
| Skull X-ray, fewer than 4 views inpatient CPT 70250 Skull Less Than 4 Views | $313.30 | $482.00 | $78.57–$257.87 | — | 35% |
| Sleep study in a lab (polysomnography) CPT 95810 Polysomnogram - Incomplete | $2,845.70 | $4,378.00 | $591.03–$2,390.39 | 26% below | 35% |
| Sleep study in a lab (polysomnography) CPT 95810 Sleep-Polysomnography W/ 4+ Addl Parameters | $2,845.70 | $4,378.00 | $591.03–$2,390.39 | 26% below | 35% |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 Sleep-Polysomnography W/ 4+ Addl Parameters | $2,845.70 | $4,378.00 | $713.61–$2,342.23 | — | 35% |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 Polysomnogram - Incomplete | $2,845.70 | $4,378.00 | $713.61–$2,342.23 | — | 35% |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 Video Speech Swallow Study | $538.85 | $829.00 | $111.92–$452.63 | 12% below | 35% |
| Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 Video Speech Swallow Study | $538.85 | $829.00 | $135.13–$443.52 | — | 35% |
| Thigh bone (femur) X-ray, 2 or more views CPT 73552 Femur Min 2 Views | $280.80 | $432.00 | $58.32–$235.87 | 1% below | 35% |
| Thigh bone (femur) X-ray, 2 or more views inpatient CPT 73552 Femur Min 2 Views | $280.80 | $432.00 | $70.42–$231.12 | — | 35% |
| Thoracic spine (mid back) CT scan without contrast CPT 72128 CT Thoracic Spine W/O Contras | $1,511.25 | $2,325.00 | $313.88–$1,269.45 | 30% below | 35% |
| Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 CT Thoracic Spine W/O Contras | $1,511.25 | $2,325.00 | $378.98–$1,243.88 | — | 35% |
| Toe X-ray, 2 or more views CPT 73660 Toe(S) Min 2 Views | $198.90 | $306.00 | $41.31–$167.08 | 13% below | 35% |
| Toe X-ray, 2 or more views inpatient CPT 73660 Toe(S) Min 2 Views | $198.90 | $306.00 | $49.88–$163.71 | — | 35% |
| Transvaginal pelvic ultrasound CPT 76830 Ultrasound Transvaginal | $186.55 | $287.00 | $38.75–$156.70 | 71% below | 35% |
| Transvaginal pelvic ultrasound CPT 76830 US Transvaginal Non-OB | $379.60 | $584.00 | $78.84–$318.86 | 41% below | 35% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 Ultrasound Transvaginal | $186.55 | $287.00 | $46.78–$153.55 | — | 35% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 US Transvaginal Non-OB | $379.60 | $584.00 | $95.19–$312.44 | — | 35% |
| Transvaginal ultrasound during pregnancy CPT 76817 Ultra S Preg Uterus Transvaginal | $90.35 | $139.00 | $18.77–$75.89 | 83% below | 35% |
| Transvaginal ultrasound during pregnancy CPT 76817 US Preg Uterus Transvaginal | $344.50 | $530.00 | $71.55–$289.38 | 35% below | 35% |
| Transvaginal ultrasound during pregnancy inpatient CPT 76817 Ultra S Preg Uterus Transvaginal | $90.35 | $139.00 | $22.66–$74.37 | — | 35% |
| Transvaginal ultrasound during pregnancy inpatient CPT 76817 US Preg Uterus Transvaginal | $344.50 | $530.00 | $86.39–$283.55 | — | 35% |
| Ultrasound of the abdomen, complete CPT 76700 US Abdomen Complete | $829.40 | $1,276.00 | $172.26–$696.70 | 19% below | 35% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 US Abdomen Complete | $829.40 | $1,276.00 | $207.99–$682.66 | — | 35% |
| Ultrasound of the scrotum and testicles CPT 76870 US Scrotum & Contents | $675.35 | $1,039.00 | $140.27–$567.29 | 10% below | 35% |
| Ultrasound of the scrotum and testicles inpatient CPT 76870 US Scrotum & Contents | $675.35 | $1,039.00 | $169.36–$555.87 | — | 35% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US Exam-Head/Neck/Thy | $182.65 | $281.00 | $37.94–$153.43 | 73% below | 35% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US Soft Tissue Head & Neck | $621.40 | $956.00 | $129.06–$521.98 | 9% below | 35% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US Exam-Head/Neck/Thy | $182.65 | $281.00 | $45.80–$150.34 | — | 35% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US Soft Tissue Head & Neck | $621.40 | $956.00 | $155.83–$511.46 | — | 35% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 Ugi Single Contrast W or W/O Kub | $540.80 | $832.00 | $112.32–$454.27 | 22% below | 35% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 Ugi Single Contrast W or W/O Kub | $540.80 | $832.00 | $135.62–$445.12 | — | 35% |
| Upper arm X-ray (humerus), 2 views CPT 73060 Humerus Min 2 Views | $261.95 | $403.00 | $54.41–$220.04 | 11% below | 35% |
| Upper arm X-ray (humerus), 2 views inpatient CPT 73060 Humerus Min 2 Views | $261.95 | $403.00 | $65.69–$215.61 | — | 35% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 Duplex Extrem Venous Uni or Ltd | $204.10 | $314.00 | $42.39–$171.44 | 71% below | 35% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 Venous Duplex Imaging Ext-Rt | $735.15 | $1,131.00 | $152.69–$617.53 | 4% above | 35% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US Dop Ex Veins Ltd/Unilat | $735.15 | $1,131.00 | $152.69–$617.53 | 4% above | 35% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 Venous Duplex Imaging Ext-Lt | $735.15 | $1,131.00 | $152.69–$617.53 | 4% above | 35% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 Duplex Extrem Venous Uni or Ltd | $204.10 | $314.00 | $51.18–$167.99 | — | 35% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 Venous Duplex Imaging Ext-Rt | $735.15 | $1,131.00 | $184.35–$605.09 | — | 35% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 Venous Duplex Imaging Ext-Lt | $735.15 | $1,131.00 | $184.35–$605.09 | — | 35% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US Dop Ex Veins Ltd/Unilat | $735.15 | $1,131.00 | $184.35–$605.09 | — | 35% |
| Wrist X-ray, 2 views CPT 73100 Wrist 2views | $191.75 | $295.00 | $39.83–$161.07 | 28% below | 35% |
| Wrist X-ray, 2 views inpatient CPT 73100 Wrist 2views | $191.75 | $295.00 | $48.09–$157.83 | — | 35% |
| Wrist X-ray, complete, 3 or more views CPT 73110 Wrist Comp Min 3 Views | $235.30 | $362.00 | $48.87–$197.65 | 28% below | 35% |
| Wrist X-ray, complete, 3 or more views inpatient CPT 73110 Wrist Comp Min 3 Views | $235.30 | $362.00 | $59.01–$193.67 | — | 35% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 Hip&Pel Min 2-3 Vws Infnt/Child | $261.95 | $403.00 | $54.41–$220.04 | 13% below | 35% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 Hip Complete 2-3 Views Unilateral | $261.95 | $403.00 | $54.41–$220.04 | 13% below | 35% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient CPT 73502 Hip&Pel Min 2-3 Vws Infnt/Child | $261.95 | $403.00 | $65.69–$215.61 | — | 35% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 Hip Complete 2-3 Views Unilateral | $261.95 | $403.00 | $65.69–$215.61 | — | 35% |
| X-ray of the abdomen, 1 view CPT 74018 Abdomen (Kub) One View | $266.50 | $410.00 | $55.35–$223.86 | at median | 35% |
| X-ray of the abdomen, 1 view CPT 74018 Abdomen Infant | $266.50 | $410.00 | $55.35–$223.86 | at median | 35% |
| X-ray of the abdomen, 1 view inpatient CPT 74018 Abdomen (Kub) One View | $266.50 | $410.00 | $66.83–$219.35 | — | 35% |
| X-ray of the abdomen, 1 view inpatient CPT 74018 Abdomen Infant | $266.50 | $410.00 | $66.83–$219.35 | — | 35% |
| X-ray of the ankle, 2 views CPT 73600 Ankle 2 Views | $203.45 | $313.00 | $42.26–$170.90 | 26% below | 35% |
| X-ray of the ankle, 2 views inpatient CPT 73600 Ankle 2 Views | $203.45 | $313.00 | $51.02–$167.46 | — | 35% |
| X-ray of the finger(s), 2 or more views CPT 73140 Finger(S) Min 2 Vws | $196.95 | $303.00 | $40.91–$165.44 | 25% below | 35% |
| X-ray of the finger(s), 2 or more views inpatient CPT 73140 Finger(S) Min 2 Vws | $196.95 | $303.00 | $49.39–$162.11 | — | 35% |
| X-ray of the foot, 2 views CPT 73620 Foot 2 Views | $200.20 | $308.00 | $41.58–$168.17 | 27% below | 35% |
| X-ray of the foot, 2 views inpatient CPT 73620 Foot 2 Views | $200.20 | $308.00 | $50.20–$164.78 | — | 35% |
| X-ray of the foot, complete, 3 or more views CPT 73630 Foot Compl Min 3 Views | $285.35 | $439.00 | $59.27–$239.69 | 17% below | 35% |
| X-ray of the foot, complete, 3 or more views inpatient CPT 73630 Foot Compl Min 3 Views | $285.35 | $439.00 | $71.56–$234.87 | — | 35% |
| X-ray of the hand, 3 or more views CPT 73130 Hand Min 3 Views | $261.95 | $403.00 | $54.41–$220.04 | 24% below | 35% |
| X-ray of the hand, 3 or more views inpatient CPT 73130 Hand Min 3 Views | $261.95 | $403.00 | $65.69–$215.61 | — | 35% |
| X-ray of the knee, 1 or 2 views CPT 73560 Knee 1-2 Views | $249.60 | $384.00 | $51.84–$209.66 | 14% below | 35% |
| X-ray of the knee, 1 or 2 views inpatient CPT 73560 Knee 1-2 Views | $249.60 | $384.00 | $62.59–$205.44 | — | 35% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 Spine L/S 2-3 Views | $292.50 | $450.00 | $60.75–$245.70 | 34% below | 35% |
| X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 Spine L/S 2-3 Views | $292.50 | $450.00 | $73.35–$240.75 | — | 35% |
| X-ray of the lower back, 4 or more views CPT 72110 Spine L/S Min 4 Views | $451.10 | $694.00 | $93.69–$378.92 | 22% below | 35% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 Spine L/S Min 4 Views | $451.10 | $694.00 | $113.12–$371.29 | — | 35% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 Spine Thoracic 2 Views | $268.45 | $413.00 | $55.76–$225.50 | 27% below | 35% |
| X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 Spine Thoracic 2 Views | $268.45 | $413.00 | $67.32–$220.96 | — | 35% |
| X-ray of the nasal bones, 3 or more views CPT 70160 Nasal Bones Complete 3+ Views | $290.55 | $447.00 | $60.35–$244.06 | 3% below | 35% |
| X-ray of the nasal bones, 3 or more views inpatient CPT 70160 Nasal Bones Complete 3+ Views | $290.55 | $447.00 | $72.86–$239.15 | — | 35% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 Spine Cervical 2-3 Views | $297.05 | $457.00 | $61.70–$249.52 | 17% below | 35% |
| X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 Spine Cervical 2-3 Views | $297.05 | $457.00 | $74.49–$244.50 | — | 35% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 Pelvis 1-2 Views | $251.55 | $387.00 | $52.25–$211.30 | 27% below | 35% |
| X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 Pelvis 1-2 Views | $251.55 | $387.00 | $63.08–$207.05 | — | 35% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 Sacrum and Coccyx X-Ray | $284.05 | $437.00 | $59.00–$238.60 | 17% below | 35% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 Sacrum and Coccyx X-Ray | $284.05 | $437.00 | $71.23–$233.80 | — | 35% |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Illinois | Off list |
|---|---|---|---|---|---|
| ACTH blood test CPT 82024 R Acth | $301.60 | $464.00 | $62.64–$253.34 | 51% above | 35% |
| ACTH blood test inpatient CPT 82024 R Acth | $301.60 | $464.00 | $75.63–$248.24 | — | 35% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 Alanine Amino (Alt)(Sgpt)Office Performed | $10.40 | $16.00 | $2.16–$8.74 | 81% below | 35% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 Sgp Trausaminase (Alt)* (P) | $45.50 | $70.00 | $9.45–$38.22 | 17% below | 35% |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 Alanine Amino (Alt)(Sgpt)Office Performed | $10.40 | $16.00 | $2.61–$8.56 | — | 35% |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 Sgp Trausaminase (Alt)* (P) | $45.50 | $70.00 | $11.41–$37.45 | — | 35% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 Trans Sep Amino (Ast)(Sgot)Office Performed | $9.75 | $15.00 | $2.03–$8.19 | 82% below | 35% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 Sgo Trausaminase (Ast)* (P) | $45.50 | $70.00 | $9.45–$38.22 | 17% below | 35% |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 Trans Sep Amino (Ast)(Sgot)Office Performed | $9.75 | $15.00 | $2.45–$8.03 | — | 35% |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 Sgo Trausaminase (Ast)* (P) | $45.50 | $70.00 | $11.41–$37.45 | — | 35% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 R Hepatitis Acute Panel | $137.80 | $212.00 | $28.62–$115.75 | 47% below | 35% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 Acute Hepatitis Panel | $361.40 | $556.00 | $75.06–$303.58 | 38% above | 35% |
| Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 R Hepatitis Acute Panel | $137.80 | $212.00 | $34.56–$113.42 | — | 35% |
| Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 Acute Hepatitis Panel | $361.40 | $556.00 | $90.63–$297.46 | — | 35% |
| Albumin blood test CPT 82040 Albumin Serum (P) | $49.40 | $76.00 | $10.26–$41.50 | 15% above | 35% |
| Albumin blood test CPT 82040 Albumin Serum* (P) | $49.40 | $76.00 | $10.26–$41.50 | 15% above | 35% |
| Albumin blood test inpatient CPT 82040 Albumin Serum* (P) | $49.40 | $76.00 | $12.39–$40.66 | — | 35% |
| Albumin blood test inpatient CPT 82040 Albumin Serum (P) | $49.40 | $76.00 | $12.39–$40.66 | — | 35% |
| Aldosterone blood test CPT 82088 R Aldosterone Urine | $267.80 | $412.00 | $55.62–$224.95 | 62% above | 35% |
| Aldosterone blood test CPT 82088 R Aldosterone | $275.60 | $424.00 | $57.24–$231.50 | 67% above | 35% |
| Aldosterone blood test inpatient CPT 82088 R Aldosterone Urine | $267.80 | $412.00 | $67.16–$220.42 | — | 35% |
| Aldosterone blood test inpatient CPT 82088 R Aldosterone | $275.60 | $424.00 | $69.11–$226.84 | — | 35% |
| Alkaline phosphatase (ALP) blood test CPT 84075 R Alkaline Phosphatase | $10.40 | $16.00 | $2.16–$8.74 | 81% below | 35% |
| Alkaline phosphatase (ALP) blood test CPT 84075 Alkaline Phosphatase * (P) | $42.25 | $65.00 | $8.78–$35.49 | 23% below | 35% |
| Alkaline phosphatase (ALP) blood test inpatient CPT 84075 R Alkaline Phosphatase | $10.40 | $16.00 | $2.61–$8.56 | — | 35% |
| Alkaline phosphatase (ALP) blood test inpatient CPT 84075 Alkaline Phosphatase * (P) | $42.25 | $65.00 | $10.60–$34.78 | — | 35% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allrgn Specific Ige Quant/Semi-Quant Ea | $16.90 | $26.00 | $3.51–$14.20 | 39% below | 35% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Specific Ige Quant or Qual Ea | $16.90 | $26.00 | $3.51–$14.20 | 39% below | 35% |
| Allergy blood test, specific IgE, per allergen CPT 86003 R Rast Allergen 1 | $38.35 | $59.00 | $7.97–$32.21 | 39% above | 35% |
| Allergy blood test, specific IgE, per allergen CPT 86003 R Rast Allergen 2 | $41.60 | $64.00 | $8.64–$34.94 | 51% above | 35% |
| Allergy blood test, specific IgE, per allergen CPT 86003 R Rast Allergen 3 | $48.10 | $74.00 | $9.99–$40.40 | 75% above | 35% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allrgn Specific Ige Quant/Semi-Quant Ea | $16.90 | $26.00 | $4.24–$13.91 | — | 35% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Specific Ige Quant or Qual Ea | $16.90 | $26.00 | $4.24–$13.91 | — | 35% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 R Rast Allergen 1 | $38.35 | $59.00 | $9.62–$31.57 | — | 35% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 R Rast Allergen 2 | $41.60 | $64.00 | $10.43–$34.24 | — | 35% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 R Rast Allergen 3 | $48.10 | $74.00 | $12.06–$39.59 | — | 35% |
| Alpha-fetoprotein (AFP) blood test CPT 82105 Afp Tumor Marker* | $154.70 | $238.00 | $32.13–$129.95 | 42% above | 35% |
| Alpha-fetoprotein (AFP) blood test CPT 82105 Alpha-Feto Protein Maternal Serum | $154.70 | $238.00 | $32.13–$129.95 | 42% above | 35% |
| Alpha-fetoprotein (AFP) blood test CPT 82105 Alpha-Fetoprotein Serum (P) | $154.70 | $238.00 | $32.13–$129.95 | 42% above | 35% |
| Alpha-fetoprotein (AFP) blood test CPT 82105 Afp(Alpha Feto Protein) Serum | $154.70 | $238.00 | $32.13–$129.95 | 42% above | 35% |
| Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 Alpha-Feto Protein Maternal Serum | $154.70 | $238.00 | $38.79–$127.33 | — | 35% |
| Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 Afp(Alpha Feto Protein) Serum | $154.70 | $238.00 | $38.79–$127.33 | — | 35% |
| Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 Afp Tumor Marker* | $154.70 | $238.00 | $38.79–$127.33 | — | 35% |
| Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 Alpha-Fetoprotein Serum (P) | $154.70 | $238.00 | $38.79–$127.33 | — | 35% |
| Ammonia blood test CPT 82140 Ammonia* | $125.45 | $193.00 | $26.06–$105.38 | 13% above | 35% |
| Ammonia blood test CPT 82140 R Ammonia; Urine (P) | $148.20 | $228.00 | $30.78–$124.49 | 33% above | 35% |
| Ammonia blood test inpatient CPT 82140 Ammonia* | $125.45 | $193.00 | $31.46–$103.26 | — | 35% |
| Ammonia blood test inpatient CPT 82140 R Ammonia; Urine (P) | $148.20 | $228.00 | $37.16–$121.98 | — | 35% |
| Amylase blood test CPT 82150 Amylase Urine* (P) | $69.55 | $107.00 | $14.45–$58.42 | 14% below | 35% |
| Amylase blood test CPT 82150 Amylase Serum * (P) | $71.50 | $110.00 | $14.85–$60.06 | 11% below | 35% |
| Amylase blood test CPT 82150 R Amylase Isoenzymes (P) | $93.60 | $144.00 | $19.44–$78.62 | 16% above | 35% |
| Amylase blood test inpatient CPT 82150 Amylase Urine* (P) | $69.55 | $107.00 | $17.44–$57.25 | — | 35% |
| Amylase blood test inpatient CPT 82150 Amylase Serum * (P) | $71.50 | $110.00 | $17.93–$58.85 | — | 35% |
| Amylase blood test inpatient CPT 82150 R Amylase Isoenzymes (P) | $93.60 | $144.00 | $23.47–$77.04 | — | 35% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CCP Antibodies* | $129.35 | $199.00 | $26.87–$108.65 | 54% above | 35% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CCP Antibodies | $146.90 | $226.00 | $30.51–$123.40 | 75% above | 35% |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CCP Antibodies* | $129.35 | $199.00 | $32.44–$106.47 | — | 35% |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CCP Antibodies | $146.90 | $226.00 | $36.84–$120.91 | — | 35% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 R Ana Scrn Ifa | $29.25 | $45.00 | $6.08–$24.57 | 68% below | 35% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 Ana Screen* | $111.15 | $171.00 | $23.09–$93.37 | 20% above | 35% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 Ana Reflex | $111.15 | $171.00 | $23.09–$93.37 | 20% above | 35% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 R Ana Scrn Ifa | $29.25 | $45.00 | $7.34–$24.08 | — | 35% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 Ana Screen* | $111.15 | $171.00 | $27.87–$91.49 | — | 35% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 Ana Reflex | $111.15 | $171.00 | $27.87–$91.49 | — | 35% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 Brain Natriuretic Peptide* | $152.10 | $234.00 | $31.59–$127.76 | 19% below | 35% |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 Brain Natriuretic Peptide* | $152.10 | $234.00 | $38.14–$125.19 | — | 35% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Culture Bronchoscopy* | $115.05 | $177.00 | $23.90–$96.64 | 31% above | 35% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Culture Throat/Nose* | $115.05 | $177.00 | $23.90–$96.64 | 31% above | 35% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Culture Genital* | $115.05 | $177.00 | $23.90–$96.64 | 31% above | 35% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Culture Aerobic* (P) | $115.05 | $177.00 | $23.90–$96.64 | 31% above | 35% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Sputum Culture* | $115.05 | $177.00 | $23.90–$96.64 | 31% above | 35% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Culture Respiratory Cystic Fibrosis* | $115.05 | $177.00 | $23.90–$96.64 | 31% above | 35% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Culture CSF* | $115.05 | $177.00 | $23.90–$96.64 | 31% above | 35% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Culture Nasal* | $115.05 | $177.00 | $23.90–$96.64 | 31% above | 35% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Culture Throat* | $115.05 | $177.00 | $23.90–$96.64 | 31% above | 35% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Culture CSF* | $115.05 | $177.00 | $28.85–$94.70 | — | 35% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Culture Throat/Nose* | $115.05 | $177.00 | $28.85–$94.70 | — | 35% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Culture Genital* | $115.05 | $177.00 | $28.85–$94.70 | — | 35% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Culture Aerobic* (P) | $115.05 | $177.00 | $28.85–$94.70 | — | 35% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Culture Nasal* | $115.05 | $177.00 | $28.85–$94.70 | — | 35% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Sputum Culture* | $115.05 | $177.00 | $28.85–$94.70 | — | 35% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Culture Bronchoscopy* | $115.05 | $177.00 | $28.85–$94.70 | — | 35% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Culture Respiratory Cystic Fibrosis* | $115.05 | $177.00 | $28.85–$94.70 | — | 35% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Culture Throat* | $115.05 | $177.00 | $28.85–$94.70 | — | 35% |
| Basic metabolic panel (blood test) CPT 80048 Basic Metabolic Panel* (P) | $105.30 | $162.00 | $21.87–$88.45 | 18% below | 35% |
| Basic metabolic panel (blood test) inpatient CPT 80048 Basic Metabolic Panel* (P) | $105.30 | $162.00 | $26.41–$86.67 | — | 35% |
| Bilirubin blood test, total CPT 82247 Bilirubin Total* (P) | $44.85 | $69.00 | $9.32–$37.67 | 27% below | 35% |
| Bilirubin blood test, total CPT 82247 Bilirubin Total Neonatal* (P) | $44.85 | $69.00 | $9.32–$37.67 | 27% below | 35% |
| Bilirubin blood test, total CPT 82247 Bilirubin Total Whole Blood | $67.60 | $104.00 | $14.04–$56.78 | 10% above | 35% |
| Bilirubin blood test, total inpatient CPT 82247 Bilirubin Total Neonatal* (P) | $44.85 | $69.00 | $11.25–$36.92 | — | 35% |
| Bilirubin blood test, total inpatient CPT 82247 Bilirubin Total* (P) | $44.85 | $69.00 | $11.25–$36.92 | — | 35% |
| Bilirubin blood test, total inpatient CPT 82247 Bilirubin Total Whole Blood | $67.60 | $104.00 | $16.95–$55.64 | — | 35% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 Sw Pathology Level IV | $306.15 | $471.00 | $63.59–$257.17 | 25% above | 35% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 Pathology Diagnosis Level-4* | $314.60 | $484.00 | $65.34–$264.26 | 28% above | 35% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 Cytology Cell Block | $314.60 | $484.00 | $65.34–$264.26 | 28% above | 35% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 Gross Examination Tissue Level IV (P) | $314.60 | $484.00 | $65.34–$264.26 | 28% above | 35% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 Pathology Diag Cell Block* | $314.60 | $484.00 | $65.34–$264.26 | 28% above | 35% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Sw Pathology Level IV | $306.15 | $471.00 | $76.77–$251.99 | — | 35% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Pathology Diagnosis Level-4* | $314.60 | $484.00 | $78.89–$258.94 | — | 35% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Cytology Cell Block | $314.60 | $484.00 | $78.89–$258.94 | — | 35% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Gross Examination Tissue Level IV (P) | $314.60 | $484.00 | $78.89–$258.94 | — | 35% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Pathology Diag Cell Block* | $314.60 | $484.00 | $78.89–$258.94 | — | 35% |
| Blood culture for bacteria CPT 87040 Culture Blood* | $177.45 | $273.00 | $36.86–$149.06 | 23% above | 35% |
| Blood culture for bacteria CPT 87040 Culture Donor Unit | $177.45 | $273.00 | $36.86–$149.06 | 23% above | 35% |
| Blood culture for bacteria CPT 87040 Blood Culture Isolator Method* | $177.45 | $273.00 | $36.86–$149.06 | 23% above | 35% |
| Blood culture for bacteria inpatient CPT 87040 Culture Blood* | $177.45 | $273.00 | $44.50–$146.06 | — | 35% |
| Blood culture for bacteria inpatient CPT 87040 Blood Culture Isolator Method* | $177.45 | $273.00 | $44.50–$146.06 | — | 35% |
| Blood culture for bacteria inpatient CPT 87040 Culture Donor Unit | $177.45 | $273.00 | $44.50–$146.06 | — | 35% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 Blood Draw Phlebotomy | $20.15 | $31.00 | $4.19–$16.93 | 14% below | 35% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 Venipuncture Lab Draw-Endo Lab | $20.15 | $31.00 | $4.19–$16.93 | 14% below | 35% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 Phlebotomy Charge | $20.15 | $31.00 | $4.19–$16.93 | 14% below | 35% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 Venipuncture Blood Draw | $20.15 | $31.00 | $4.19–$16.93 | 14% below | 35% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Blood Draw Phlebotomy | $20.15 | $31.00 | $5.05–$16.59 | — | 35% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Venipuncture Lab Draw-Endo Lab | $20.15 | $31.00 | $5.05–$16.59 | — | 35% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Phlebotomy Charge | $20.15 | $31.00 | $5.05–$16.59 | — | 35% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Venipuncture Blood Draw | $20.15 | $31.00 | $5.05–$16.59 | — | 35% |
| Blood glucose (sugar) test CPT 82947 Assay Quantitative Glucose Office Performed | $20.80 | $32.00 | $4.32–$17.47 | 49% below | 35% |
| Blood glucose (sugar) test CPT 82947 Glucose I-Stat (P) | $47.45 | $73.00 | $9.86–$39.86 | 16% above | 35% |
| Blood glucose (sugar) test CPT 82947 Glucose-Whole Blood(P) | $47.45 | $73.00 | $9.86–$39.86 | 16% above | 35% |
| Blood glucose (sugar) test CPT 82947 Glucose * (P) | $47.45 | $73.00 | $9.86–$39.86 | 16% above | 35% |
| Blood glucose (sugar) test CPT 82947 Glucose 1hr Post Meal* | $47.45 | $73.00 | $9.86–$39.86 | 16% above | 35% |
| Blood glucose (sugar) test inpatient CPT 82947 Assay Quantitative Glucose Office Performed | $20.80 | $32.00 | $5.22–$17.12 | — | 35% |
| Blood glucose (sugar) test inpatient CPT 82947 Glucose * (P) | $47.45 | $73.00 | $11.90–$39.06 | — | 35% |
| Blood glucose (sugar) test inpatient CPT 82947 Glucose-Whole Blood(P) | $47.45 | $73.00 | $11.90–$39.06 | — | 35% |
| Blood glucose (sugar) test inpatient CPT 82947 Glucose I-Stat (P) | $47.45 | $73.00 | $11.90–$39.06 | — | 35% |
| Blood glucose (sugar) test inpatient CPT 82947 Glucose 1hr Post Meal* | $47.45 | $73.00 | $11.90–$39.06 | — | 35% |
| Blood lead test CPT 83655 Assay for Lead | $16.90 | $26.00 | $3.51–$14.20 | 69% below | 35% |
| Blood lead test CPT 83655 R Lead | $33.80 | $52.00 | $7.02–$28.39 | 38% below | 35% |
| Blood lead test CPT 83655 Lead Level* | $86.45 | $133.00 | $17.96–$72.62 | 58% above | 35% |
| Blood lead test CPT 83655 Lead Hair | $102.70 | $158.00 | $21.33–$86.27 | 88% above | 35% |
| Blood lead test CPT 83655 R Lead (UR) | $119.60 | $184.00 | $24.84–$100.46 | 118% above | 35% |
| Blood lead test inpatient CPT 83655 Assay for Lead | $16.90 | $26.00 | $4.24–$13.91 | — | 35% |
| Blood lead test inpatient CPT 83655 R Lead | $33.80 | $52.00 | $8.48–$27.82 | — | 35% |
| Blood lead test inpatient CPT 83655 Lead Level* | $86.45 | $133.00 | $21.68–$71.16 | — | 35% |
| Blood lead test inpatient CPT 83655 Lead Hair | $102.70 | $158.00 | $25.75–$84.53 | — | 35% |
| Blood lead test inpatient CPT 83655 R Lead (UR) | $119.60 | $184.00 | $29.99–$98.44 | — | 35% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Chorionic Gonadotropin Assay Office Perform | $10.40 | $16.00 | $2.16–$8.74 | 88% below | 35% |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 Chorionic Gonadotropin Assay Office Perform | $10.40 | $16.00 | $2.61–$8.56 | — | 35% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Blood Group (Abo)* (P) | $41.60 | $64.00 | $8.64–$34.94 | 50% below | 35% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 Blood Group (Abo)* (P) | $41.60 | $64.00 | $10.43–$34.24 | — | 35% |
| Blood urea nitrogen (BUN) test CPT 84520 Bun Post Dialysis* | $57.20 | $88.00 | $11.88–$48.05 | 18% above | 35% |
| Blood urea nitrogen (BUN) test CPT 84520 Urea Nitrogen (Bun)* (P) | $57.20 | $88.00 | $11.88–$48.05 | 18% above | 35% |
| Blood urea nitrogen (BUN) test inpatient CPT 84520 Bun Post Dialysis* | $57.20 | $88.00 | $14.34–$47.08 | — | 35% |
| Blood urea nitrogen (BUN) test inpatient CPT 84520 Urea Nitrogen (Bun)* (P) | $57.20 | $88.00 | $14.34–$47.08 | — | 35% |
| C-peptide blood test CPT 84681 R C-Peptide Urine | $118.95 | $183.00 | $24.71–$99.92 | 15% above | 35% |
| C-peptide blood test CPT 84681 C-Peptide | $139.10 | $214.00 | $28.89–$116.84 | 34% above | 35% |
| C-peptide blood test CPT 84681 R C-Peptide Lab | $139.10 | $214.00 | $28.89–$116.84 | 34% above | 35% |
| C-peptide blood test inpatient CPT 84681 R C-Peptide Urine | $118.95 | $183.00 | $29.83–$97.91 | — | 35% |
| C-peptide blood test inpatient CPT 84681 C-Peptide | $139.10 | $214.00 | $34.88–$114.49 | — | 35% |
| C-peptide blood test inpatient CPT 84681 R C-Peptide Lab | $139.10 | $214.00 | $34.88–$114.49 | — | 35% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 HB R C-Reactive Protein | $22.75 | $35.00 | $4.73–$19.11 | 68% below | 35% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-Reactive Protein* (P) | $77.35 | $119.00 | $16.07–$64.97 | 10% above | 35% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 HB R C-Reactive Protein | $22.75 | $35.00 | $5.71–$18.73 | — | 35% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C-Reactive Protein* (P) | $77.35 | $119.00 | $19.40–$63.67 | — | 35% |
| C. difficile toxin gene test (stool PCR) CPT 87493 C. Difficile Admission Screen | $107.90 | $166.00 | $22.41–$90.64 | 41% below | 35% |
| C. difficile toxin gene test (stool PCR) CPT 87493 C Difficile Detection Pcr | $107.90 | $166.00 | $22.41–$90.64 | 41% below | 35% |
| C. difficile toxin gene test (stool PCR) inpatient CPT 87493 C Difficile Detection Pcr | $107.90 | $166.00 | $27.06–$88.81 | — | 35% |
| C. difficile toxin gene test (stool PCR) inpatient CPT 87493 C. Difficile Admission Screen | $107.90 | $166.00 | $27.06–$88.81 | — | 35% |
| CA 19-9 blood test (tumor marker) CPT 86301 Ca 19 -9 | $63.05 | $97.00 | $13.10–$52.96 | 44% below | 35% |
| CA 19-9 blood test (tumor marker) CPT 86301 R Ca-19-9 | $174.85 | $269.00 | $36.32–$146.87 | 56% above | 35% |
| CA 19-9 blood test (tumor marker) inpatient CPT 86301 Ca 19 -9 | $63.05 | $97.00 | $15.81–$51.90 | — | 35% |
| CA 19-9 blood test (tumor marker) inpatient CPT 86301 R Ca-19-9 | $174.85 | $269.00 | $43.85–$143.92 | — | 35% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 Ca-125* | $193.70 | $298.00 | $40.23–$162.71 | 20% above | 35% |
| CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 Ca-125* | $193.70 | $298.00 | $48.57–$159.43 | — | 35% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Liat Sars-Cov-2 Amp Prb Tchnq | $100.10 | $154.00 | $20.79–$84.08 | 13% below | 35% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 R 2019 Novel Coronavirus Covid-19 Naa | $113.75 | $175.00 | $23.63–$95.55 | 2% below | 35% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Covid19 (Coronavirus) Hi Throughput Non Cdc | $149.50 | $230.00 | $31.05–$125.58 | 29% above | 35% |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 Liat Sars-Cov-2 Amp Prb Tchnq | $100.10 | $154.00 | $25.10–$82.39 | — | 35% |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 R 2019 Novel Coronavirus Covid-19 Naa | $113.75 | $175.00 | $28.53–$93.63 | — | 35% |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 Covid19 (Coronavirus) Hi Throughput Non Cdc | $149.50 | $230.00 | $37.49–$123.05 | — | 35% |
| Calcium blood test, total CPT 82310 Calcium * (P) | $43.55 | $67.00 | $9.05–$36.58 | 1% below | 35% |
| Calcium blood test, total CPT 82310 R Calcium; Total (P) | $43.55 | $67.00 | $9.05–$36.58 | 1% below | 35% |
| Calcium blood test, total inpatient CPT 82310 R Calcium; Total (P) | $43.55 | $67.00 | $10.92–$35.85 | — | 35% |
| Calcium blood test, total inpatient CPT 82310 Calcium * (P) | $43.55 | $67.00 | $10.92–$35.85 | — | 35% |
| Carcinoembryonic antigen (CEA) test CPT 82378 Cea-Carcinoembryonic Antige* | $163.80 | $252.00 | $34.02–$137.59 | 14% above | 35% |
| Carcinoembryonic antigen (CEA) test inpatient CPT 82378 Cea-Carcinoembryonic Antige* | $163.80 | $252.00 | $41.08–$134.82 | — | 35% |
| Chickenpox (varicella) immunity blood test CPT 86787 Varicella Zoster Virus-Igg* | $98.80 | $152.00 | $20.52–$82.99 | 36% above | 35% |
| Chickenpox (varicella) immunity blood test CPT 86787 R Vzv-Ig M | $98.80 | $152.00 | $20.52–$82.99 | 36% above | 35% |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 R Vzv-Ig M | $98.80 | $152.00 | $24.78–$81.32 | — | 35% |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 Varicella Zoster Virus-Igg* | $98.80 | $152.00 | $24.78–$81.32 | — | 35% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chlamydia Dna-Pcr* (P) | $109.20 | $168.00 | $22.68–$91.73 | 12% below | 35% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Chlamydia Dna-Pcr* (P) | $109.20 | $168.00 | $27.38–$89.88 | — | 35% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipid Panel | $27.95 | $43.00 | $5.81–$23.48 | 78% below | 35% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipid Panel* | $91.65 | $141.00 | $19.04–$76.99 | 27% below | 35% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Lipid Panel | $27.95 | $43.00 | $7.01–$23.01 | — | 35% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Lipid Panel* | $91.65 | $141.00 | $22.98–$75.44 | — | 35% |
| Complete blood count (CBC) with differential CPT 85025 Hemogram/Auto Diff* | $68.90 | $106.00 | $14.31–$57.88 | 16% below | 35% |
| Complete blood count (CBC) with differential inpatient CPT 85025 Hemogram/Auto Diff* | $68.90 | $106.00 | $17.28–$56.71 | — | 35% |
| Complete blood count (CBC), no differential CPT 85027 Cbc/Platelet* (P) | $41.60 | $64.00 | $8.64–$34.94 | 36% below | 35% |
| Complete blood count (CBC), no differential inpatient CPT 85027 Cbc/Platelet* (P) | $41.60 | $64.00 | $10.43–$34.24 | — | 35% |
| Comprehensive metabolic panel (blood test) CPT 80053 Cardio Office Performed/Resulted Cmp Lab Test | $29.25 | $45.00 | $6.08–$24.57 | 81% below | 35% |
| Comprehensive metabolic panel (blood test) CPT 80053 Comprehensive Metabolic Panel* | $123.50 | $190.00 | $25.65–$103.74 | 20% below | 35% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 Cardio Office Performed/Resulted Cmp Lab Test | $29.25 | $45.00 | $7.34–$24.08 | — | 35% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 Comprehensive Metabolic Panel* | $123.50 | $190.00 | $30.97–$101.65 | — | 35% |
| Cortisol blood test, total CPT 82533 R Cortisol Saliva | $83.85 | $129.00 | $17.42–$70.43 | 25% below | 35% |
| Cortisol blood test, total CPT 82533 Cortisol Total Serum* (P) | $149.50 | $230.00 | $31.05–$125.58 | 33% above | 35% |
| Cortisol blood test, total CPT 82533 R Cortisol Total (P) | $204.10 | $314.00 | $42.39–$171.44 | 81% above | 35% |
| Cortisol blood test, total inpatient CPT 82533 R Cortisol Saliva | $83.85 | $129.00 | $21.03–$69.02 | — | 35% |
| Cortisol blood test, total inpatient CPT 82533 Cortisol Total Serum* (P) | $149.50 | $230.00 | $37.49–$123.05 | — | 35% |
| Cortisol blood test, total inpatient CPT 82533 R Cortisol Total (P) | $204.10 | $314.00 | $51.18–$167.99 | — | 35% |
| Creatine kinase (CK) blood test, total CPT 82550 R Creatine Kinase (Cpk) | $24.05 | $37.00 | $5.00–$20.20 | 61% below | 35% |
| Creatine kinase (CK) blood test, total CPT 82550 Creatine Kinase (Cpk)* | $68.25 | $105.00 | $14.18–$57.33 | 11% above | 35% |
| Creatine kinase (CK) blood test, total inpatient CPT 82550 R Creatine Kinase (Cpk) | $24.05 | $37.00 | $6.03–$19.80 | — | 35% |
| Creatine kinase (CK) blood test, total inpatient CPT 82550 Creatine Kinase (Cpk)* | $68.25 | $105.00 | $17.12–$56.18 | — | 35% |
| Creatinine blood test CPT 82565 Creatinine * (P) | $50.05 | $77.00 | $10.40–$42.04 | 5% above | 35% |
| Creatinine blood test CPT 82565 Creatinine POC | $50.70 | $78.00 | $10.53–$42.59 | 7% above | 35% |
| Creatinine blood test CPT 82565 R Creatinine; Blood (P) | $55.25 | $85.00 | $11.48–$46.41 | 16% above | 35% |
| Creatinine blood test inpatient CPT 82565 Creatinine * (P) | $50.05 | $77.00 | $12.55–$41.20 | — | 35% |
| Creatinine blood test inpatient CPT 82565 Creatinine POC | $50.70 | $78.00 | $12.71–$41.73 | — | 35% |
| Creatinine blood test inpatient CPT 82565 R Creatinine; Blood (P) | $55.25 | $85.00 | $13.86–$45.48 | — | 35% |
| Cytomegalovirus (CMV) antibody test CPT 86644 R Cytomegalovirus (Cmv) Igg | $109.85 | $169.00 | $22.82–$92.27 | 26% above | 35% |
| Cytomegalovirus (CMV) antibody test CPT 86644 Cmv-Igg* (P) | $170.30 | $262.00 | $35.37–$143.05 | 95% above | 35% |
| Cytomegalovirus (CMV) antibody test inpatient CPT 86644 R Cytomegalovirus (Cmv) Igg | $109.85 | $169.00 | $27.55–$90.42 | — | 35% |
| Cytomegalovirus (CMV) antibody test inpatient CPT 86644 Cmv-Igg* (P) | $170.30 | $262.00 | $42.71–$140.17 | — | 35% |
| D-dimer blood test (blood clot marker) CPT 85379 D-Dimer Quant* | $92.30 | $142.00 | $19.17–$77.53 | 23% below | 35% |
| D-dimer blood test (blood clot marker) inpatient CPT 85379 D-Dimer Quant* | $92.30 | $142.00 | $23.15–$75.97 | — | 35% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 R Dhea Sulfate (P) | $299.65 | $461.00 | $62.24–$251.71 | 172% above | 35% |
| DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 R Dhea Sulfate (P) | $299.65 | $461.00 | $75.14–$246.64 | — | 35% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Drug Screen Methadone* (P) | $42.90 | $66.00 | $8.91–$36.04 | 57% below | 35% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Marijuana Screen* (P) | $42.90 | $66.00 | $8.91–$36.04 | 57% below | 35% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Cocaine Metab. Screen* (P) | $42.90 | $66.00 | $8.91–$36.04 | 57% below | 35% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Amphetamines Screen* (P) | $42.90 | $66.00 | $8.91–$36.04 | 57% below | 35% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Barbiturates Screen* (P) | $42.90 | $66.00 | $8.91–$36.04 | 57% below | 35% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Opiates* (P) | $42.90 | $66.00 | $8.91–$36.04 | 57% below | 35% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Benzodiazepines Screen* (P) | $42.90 | $66.00 | $8.91–$36.04 | 57% below | 35% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Phenylcylidine (PCP)* (P) | $42.90 | $66.00 | $8.91–$36.04 | 57% below | 35% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 R Pain Clinic Immunoassy Panel UR | $57.20 | $88.00 | $11.88–$48.05 | 43% below | 35% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Cord Phosphatidyl | $76.05 | $117.00 | $15.80–$63.88 | 24% below | 35% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Salicylate Assay* | $78.65 | $121.00 | $16.34–$66.07 | 21% below | 35% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HB R Amphetamine Toxassure UR | $81.90 | $126.00 | $17.01–$68.80 | 18% below | 35% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Drg Scn Mult Drg Bld or UR | $100.75 | $155.00 | $20.93–$84.63 | 1% above | 35% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Alcohol/Ethanol* | $116.35 | $179.00 | $24.17–$97.73 | 16% above | 35% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 R Ethyl Glucuronide Screen UR | $139.10 | $214.00 | $28.89–$116.84 | 39% above | 35% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Acetaminophen/Tylenol Assay* | $176.15 | $271.00 | $36.59–$147.97 | 76% above | 35% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 R Drug Screen Diuretic | $178.75 | $275.00 | $37.13–$150.15 | 79% above | 35% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Cord Drug Scrn - 5 Cmpnt Pnl | $183.30 | $282.00 | $38.07–$153.97 | 83% above | 35% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Cord Drug Scrn - 7 Cmpnt Pnl | $214.50 | $330.00 | $44.55–$180.18 | 114% above | 35% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 R Gamma-Hydroxybutyric Acid Serum/Urine | $231.40 | $356.00 | $48.06–$194.38 | 131% above | 35% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 R Cannabinoids Whole Blood | $235.95 | $363.00 | $49.01–$198.20 | 136% above | 35% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 R Cannabinoids Synthetic | $235.95 | $363.00 | $49.01–$198.20 | 136% above | 35% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 R Ketamine W Metabolites Screen Serum | $235.95 | $363.00 | $49.01–$198.20 | 136% above | 35% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Urine Drug Abuse Pnl 6 | $238.55 | $367.00 | $49.55–$200.38 | 139% above | 35% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Cord Drug Scrn - 9 Cmpnt Pnl | $249.60 | $384.00 | $51.84–$209.66 | 150% above | 35% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HB R Ketamine W Metabolites Cnfrm Urine | $258.70 | $398.00 | $53.73–$217.31 | 159% above | 35% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Cord Drug Scrn - 12 Cmpnt Pnl | $265.20 | $408.00 | $55.08–$222.77 | 165% above | 35% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 R Drg Scn Mult Drg Bld | $280.15 | $431.00 | $58.19–$235.33 | 180% above | 35% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Meconium Drug Abuse Screen | $283.40 | $436.00 | $58.86–$238.06 | 183% above | 35% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 R Drg Scn Mult Drg Cls Gastri | $285.35 | $439.00 | $59.27–$239.69 | 185% above | 35% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Sw Urine Drug Abuse Pnl Coc | $296.40 | $456.00 | $61.56–$248.98 | 196% above | 35% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Cord Drug Scrn - 13 Cmpnt Pnl | $299.00 | $460.00 | $62.10–$251.16 | 199% above | 35% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Urine Drug Abuse Pnl 8 | $305.50 | $470.00 | $63.45–$256.62 | 206% above | 35% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 R Drg Scn Mult Drg Cls Bld UR | $399.75 | $615.00 | $83.03–$335.79 | 300% above | 35% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Cocaine Metab. Screen* (P) | $42.90 | $66.00 | $10.76–$35.31 | — | 35% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Phenylcylidine (PCP)* (P) | $42.90 | $66.00 | $10.76–$35.31 | — | 35% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Benzodiazepines Screen* (P) | $42.90 | $66.00 | $10.76–$35.31 | — | 35% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Drug Screen Methadone* (P) | $42.90 | $66.00 | $10.76–$35.31 | — | 35% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Opiates* (P) | $42.90 | $66.00 | $10.76–$35.31 | — | 35% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Barbiturates Screen* (P) | $42.90 | $66.00 | $10.76–$35.31 | — | 35% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Amphetamines Screen* (P) | $42.90 | $66.00 | $10.76–$35.31 | — | 35% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Marijuana Screen* (P) | $42.90 | $66.00 | $10.76–$35.31 | — | 35% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 R Pain Clinic Immunoassy Panel UR | $57.20 | $88.00 | $14.34–$47.08 | — | 35% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Cord Phosphatidyl | $76.05 | $117.00 | $19.07–$62.60 | — | 35% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Salicylate Assay* | $78.65 | $121.00 | $19.72–$64.74 | — | 35% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HB R Amphetamine Toxassure UR | $81.90 | $126.00 | $20.54–$67.41 | — | 35% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Drg Scn Mult Drg Bld or UR | $100.75 | $155.00 | $25.27–$82.93 | — | 35% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Alcohol/Ethanol* | $116.35 | $179.00 | $29.18–$95.77 | — | 35% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 R Ethyl Glucuronide Screen UR | $139.10 | $214.00 | $34.88–$114.49 | — | 35% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Acetaminophen/Tylenol Assay* | $176.15 | $271.00 | $44.17–$144.99 | — | 35% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 R Drug Screen Diuretic | $178.75 | $275.00 | $44.83–$147.13 | — | 35% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Cord Drug Scrn - 5 Cmpnt Pnl | $183.30 | $282.00 | $45.97–$150.87 | — | 35% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Cord Drug Scrn - 7 Cmpnt Pnl | $214.50 | $330.00 | $53.79–$176.55 | — | 35% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 R Gamma-Hydroxybutyric Acid Serum/Urine | $231.40 | $356.00 | $58.03–$190.46 | — | 35% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 R Ketamine W Metabolites Screen Serum | $235.95 | $363.00 | $59.17–$194.21 | — | 35% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 R Cannabinoids Synthetic | $235.95 | $363.00 | $59.17–$194.21 | — | 35% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 R Cannabinoids Whole Blood | $235.95 | $363.00 | $59.17–$194.21 | — | 35% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Urine Drug Abuse Pnl 6 | $238.55 | $367.00 | $59.82–$196.35 | — | 35% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Cord Drug Scrn - 9 Cmpnt Pnl | $249.60 | $384.00 | $62.59–$205.44 | — | 35% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HB R Ketamine W Metabolites Cnfrm Urine | $258.70 | $398.00 | $64.87–$212.93 | — | 35% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Cord Drug Scrn - 12 Cmpnt Pnl | $265.20 | $408.00 | $66.50–$218.28 | — | 35% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 R Drg Scn Mult Drg Bld | $280.15 | $431.00 | $70.25–$230.59 | — | 35% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Meconium Drug Abuse Screen | $283.40 | $436.00 | $71.07–$233.26 | — | 35% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 R Drg Scn Mult Drg Cls Gastri | $285.35 | $439.00 | $71.56–$234.87 | — | 35% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Sw Urine Drug Abuse Pnl Coc | $296.40 | $456.00 | $74.33–$243.96 | — | 35% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Cord Drug Scrn - 13 Cmpnt Pnl | $299.00 | $460.00 | $74.98–$246.10 | — | 35% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Urine Drug Abuse Pnl 8 | $305.50 | $470.00 | $76.61–$251.45 | — | 35% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 R Drg Scn Mult Drg Cls Bld UR | $399.75 | $615.00 | $100.25–$329.03 | — | 35% |
| Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 Electrolytes* | $96.85 | $149.00 | $20.12–$81.35 | at median | 35% |
| Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 Electrolytes* | $96.85 | $149.00 | $24.29–$79.72 | — | 35% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 R Ebv-Vca (P) | $156.00 | $240.00 | $32.40–$131.04 | 44% above | 35% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 Ebv Viral Capsid (Vca) | $160.55 | $247.00 | $33.35–$134.86 | 49% above | 35% |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 R Ebv-Vca (P) | $156.00 | $240.00 | $39.12–$128.40 | — | 35% |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 Ebv Viral Capsid (Vca) | $160.55 | $247.00 | $40.26–$132.15 | — | 35% |
| Estradiol blood test CPT 82670 Estradiol* | $168.35 | $259.00 | $34.97–$141.41 | 57% above | 35% |
| Estradiol blood test CPT 82670 R Estradol-Icma (P) | $201.50 | $310.00 | $41.85–$169.26 | 88% above | 35% |
| Estradiol blood test inpatient CPT 82670 Estradiol* | $168.35 | $259.00 | $42.22–$138.57 | — | 35% |
| Estradiol blood test inpatient CPT 82670 R Estradol-Icma (P) | $201.50 | $310.00 | $50.53–$165.85 | — | 35% |
| FSH (follicle-stimulating hormone) test CPT 83001 Gonadotropin (Fsh) Office Performed | $31.20 | $48.00 | $6.48–$26.21 | 74% below | 35% |
| FSH (follicle-stimulating hormone) test CPT 83001 Follicle Stimulating Hormone* | $157.30 | $242.00 | $32.67–$132.13 | 32% above | 35% |
| FSH (follicle-stimulating hormone) test CPT 83001 R Fsh-Icma (P) | $205.40 | $316.00 | $42.66–$172.54 | 72% above | 35% |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 Gonadotropin (Fsh) Office Performed | $31.20 | $48.00 | $7.82–$25.68 | — | 35% |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 Follicle Stimulating Hormone* | $157.30 | $242.00 | $39.45–$129.47 | — | 35% |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 R Fsh-Icma (P) | $205.40 | $316.00 | $51.51–$169.06 | — | 35% |
| Fecal calprotectin (stool inflammation test) CPT 83993 Calprotectin Stool | $40.95 | $63.00 | $8.51–$34.40 | 77% below | 35% |
| Fecal calprotectin (stool inflammation test) CPT 83993 R Calprotectin Stool | $247.00 | $380.00 | $51.30–$207.48 | 41% above | 35% |
| Fecal calprotectin (stool inflammation test) inpatient CPT 83993 Calprotectin Stool | $40.95 | $63.00 | $10.27–$33.71 | — | 35% |
| Fecal calprotectin (stool inflammation test) inpatient CPT 83993 R Calprotectin Stool | $247.00 | $380.00 | $61.94–$203.30 | — | 35% |
| Ferritin blood test (iron stores) CPT 82728 Ferritin* | $128.70 | $198.00 | $26.73–$108.11 | 1% below | 35% |
| Ferritin blood test (iron stores) CPT 82728 R Ferritin (P) | $157.30 | $242.00 | $32.67–$132.13 | 21% above | 35% |
| Ferritin blood test (iron stores) inpatient CPT 82728 Ferritin* | $128.70 | $198.00 | $32.27–$105.93 | — | 35% |
| Ferritin blood test (iron stores) inpatient CPT 82728 R Ferritin (P) | $157.30 | $242.00 | $39.45–$129.47 | — | 35% |
| Fibrinogen blood test CPT 85384 Fibrinogen Activity* (P) | $57.20 | $88.00 | $11.88–$48.05 | 32% below | 35% |
| Fibrinogen blood test inpatient CPT 85384 Fibrinogen Activity* (P) | $57.20 | $88.00 | $14.34–$47.08 | — | 35% |
| Folate (folic acid) blood test CPT 82746 Folic Acid/Folate* | $122.85 | $189.00 | $25.52–$103.19 | 9% above | 35% |
| Folate (folic acid) blood test inpatient CPT 82746 Folic Acid/Folate* | $122.85 | $189.00 | $30.81–$101.12 | — | 35% |
| Free T3 thyroid hormone test CPT 84481 R T3 Free by Dialysis Lc-Ms | $52.00 | $80.00 | $10.80–$43.68 | 57% below | 35% |
| Free T3 thyroid hormone test CPT 84481 Free T3* | $130.00 | $200.00 | $27.00–$109.20 | 7% above | 35% |
| Free T3 thyroid hormone test inpatient CPT 84481 R T3 Free by Dialysis Lc-Ms | $52.00 | $80.00 | $13.04–$42.80 | — | 35% |
| Free T3 thyroid hormone test inpatient CPT 84481 Free T3* | $130.00 | $200.00 | $32.60–$107.00 | — | 35% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 Thyroxine Free* | $115.05 | $177.00 | $23.90–$96.64 | at median | 35% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 R Thyroxine (T4); Free by Dialysis (P) | $115.05 | $177.00 | $23.90–$96.64 | at median | 35% |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 R Thyroxine (T4); Free by Dialysis (P) | $115.05 | $177.00 | $28.85–$94.70 | — | 35% |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 Thyroxine Free* | $115.05 | $177.00 | $28.85–$94.70 | — | 35% |
| Free testosterone test CPT 84402 R Testosterone Free (P) | $154.05 | $237.00 | $32.00–$129.40 | 23% above | 35% |
| Free testosterone test inpatient CPT 84402 R Testosterone Free (P) | $154.05 | $237.00 | $38.63–$126.80 | — | 35% |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 Gamma Glutomyltransferase* | $50.70 | $78.00 | $10.53–$42.59 | 12% below | 35% |
| Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 Gamma Glutomyltransferase* | $50.70 | $78.00 | $12.71–$41.73 | — | 35% |
| General health panel: metabolic panel, blood count and TSH in one order CPT 80050 General Health Panel | $245.05 | $377.00 | $50.90–$205.84 | 19% below | 35% |
| General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 General Health Panel | $245.05 | $377.00 | $61.45–$201.70 | — | 35% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 Glucose Test Office Performed | $9.75 | $15.00 | $2.03–$8.19 | 84% below | 35% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 Glucose 2hr Pp* | $59.15 | $91.00 | $12.29–$49.69 | 1% below | 35% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 Glucose 2hr Post Meal* | $59.15 | $91.00 | $12.29–$49.69 | 1% below | 35% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 Glucose 1hr Pp* | $59.15 | $91.00 | $12.29–$49.69 | 1% below | 35% |
| Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 Glucose Test Office Performed | $9.75 | $15.00 | $2.45–$8.03 | — | 35% |
| Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 Glucose 1hr Pp* | $59.15 | $91.00 | $14.83–$48.69 | — | 35% |
| Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 Glucose 2hr Post Meal* | $59.15 | $91.00 | $14.83–$48.69 | — | 35% |
| Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 Glucose 2hr Pp* | $59.15 | $91.00 | $14.83–$48.69 | — | 35% |
| Glucose tolerance test, 3 samples CPT 82951 Glucose Tolerance Test Office Performed | $26.00 | $40.00 | $5.40–$21.84 | 81% below | 35% |
| Glucose tolerance test, 3 samples CPT 82951 Glucose Tolerance-3 Spec* (P) | $113.75 | $175.00 | $23.63–$95.55 | 16% below | 35% |
| Glucose tolerance test, 3 samples CPT 82951 Lactose Tolerance-3 Spec* | $113.75 | $175.00 | $23.63–$95.55 | 16% below | 35% |
| Glucose tolerance test, 3 samples inpatient CPT 82951 Glucose Tolerance Test Office Performed | $26.00 | $40.00 | $6.52–$21.40 | — | 35% |
| Glucose tolerance test, 3 samples inpatient CPT 82951 Glucose Tolerance-3 Spec* (P) | $113.75 | $175.00 | $28.53–$93.63 | — | 35% |
| Glucose tolerance test, 3 samples inpatient CPT 82951 Lactose Tolerance-3 Spec* | $113.75 | $175.00 | $28.53–$93.63 | — | 35% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Neisseria Gonorrhea Dna Pcr (P) | $102.70 | $158.00 | $21.33–$86.27 | 15% below | 35% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 Neisseria Gonorrhea Dna Pcr (P) | $102.70 | $158.00 | $25.75–$84.53 | — | 35% |
| H. pylori antibody blood test CPT 86677 Helicobactor Pylori Ab* | $114.40 | $176.00 | $23.76–$96.10 | 2% below | 35% |
| H. pylori antibody blood test inpatient CPT 86677 Helicobactor Pylori Ab* | $114.40 | $176.00 | $28.69–$94.16 | — | 35% |
| H. pylori stool antigen test CPT 87338 H Pylori Ag Stool | $47.45 | $73.00 | $9.86–$39.86 | 59% below | 35% |
| H. pylori stool antigen test CPT 87338 R Helicobacter Pylori Antigen Stool | $145.60 | $224.00 | $30.24–$122.30 | 25% above | 35% |
| H. pylori stool antigen test inpatient CPT 87338 H Pylori Ag Stool | $47.45 | $73.00 | $11.90–$39.06 | — | 35% |
| H. pylori stool antigen test inpatient CPT 87338 R Helicobacter Pylori Antigen Stool | $145.60 | $224.00 | $36.51–$119.84 | — | 35% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 R Hiv-1 Rna Detect Pcr | $165.75 | $255.00 | $34.43–$139.23 | 51% below | 35% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 Hiv-1 Quantitation | $252.85 | $389.00 | $52.52–$212.39 | 26% below | 35% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 R Hiv-1 Rna Detect Ultrasens Pcr | $342.55 | $527.00 | $71.15–$287.74 | 1% above | 35% |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 R Hiv-1 Rna Detect Pcr | $165.75 | $255.00 | $41.57–$136.43 | — | 35% |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 Hiv-1 Quantitation | $252.85 | $389.00 | $63.41–$208.12 | — | 35% |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 R Hiv-1 Rna Detect Ultrasens Pcr | $342.55 | $527.00 | $85.90–$281.95 | — | 35% |
| HIV-1 and HIV-2 antibody test CPT 86703 Hiv 1/2 Ab Without Interp.* (P) | $108.55 | $167.00 | $22.55–$91.18 | 8% below | 35% |
| HIV-1 and HIV-2 antibody test inpatient CPT 86703 Hiv 1/2 Ab Without Interp.* (P) | $108.55 | $167.00 | $27.22–$89.35 | — | 35% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 Hiv 1/2 Ab and Ag | $71.50 | $110.00 | $14.85–$60.06 | 38% below | 35% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 Hiv 1/2 Ab and Ag | $71.50 | $110.00 | $17.93–$58.85 | — | 35% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 Hpv Risk Group B (P)* | $136.50 | $210.00 | $28.35–$114.66 | 6% below | 35% |
| HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 Hpv Risk Group B (P)* | $136.50 | $210.00 | $34.23–$112.35 | — | 35% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Glycated Hemoglobin Test | $19.50 | $30.00 | $4.05–$16.38 | 78% below | 35% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 POC - Hemoglobin A1c | $107.25 | $165.00 | $22.28–$90.09 | 21% above | 35% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Glycosylated Hemoglobin* | $107.25 | $165.00 | $22.28–$90.09 | 21% above | 35% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 Glycated Hemoglobin Test | $19.50 | $30.00 | $4.89–$16.05 | — | 35% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 Glycosylated Hemoglobin* | $107.25 | $165.00 | $26.90–$88.28 | — | 35% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 POC - Hemoglobin A1c | $107.25 | $165.00 | $26.90–$88.28 | — | 35% |
| Hemoglobin blood test CPT 85018 Hemoglobin | $5.85 | $9.00 | $1.22–$4.91 | 81% below | 35% |
| Hemoglobin blood test CPT 85018 Hemoglobin* (P) | $34.45 | $53.00 | $7.16–$28.94 | 10% above | 35% |
| Hemoglobin blood test CPT 85018 Hemoglobin POC | $34.45 | $53.00 | $7.16–$28.94 | 10% above | 35% |
| Hemoglobin blood test CPT 85018 Total Hemoglobin | $34.45 | $53.00 | $7.16–$28.94 | 10% above | 35% |
| Hemoglobin blood test CPT 85018 Hemocue Hemoglob. ER | $34.45 | $53.00 | $7.16–$28.94 | 10% above | 35% |
| Hemoglobin blood test inpatient CPT 85018 Hemoglobin | $5.85 | $9.00 | $1.47–$4.82 | — | 35% |
| Hemoglobin blood test inpatient CPT 85018 Hemoglobin* (P) | $34.45 | $53.00 | $8.64–$28.36 | — | 35% |
| Hemoglobin blood test inpatient CPT 85018 Hemoglobin POC | $34.45 | $53.00 | $8.64–$28.36 | — | 35% |
| Hemoglobin blood test inpatient CPT 85018 Hemocue Hemoglob. ER | $34.45 | $53.00 | $8.64–$28.36 | — | 35% |
| Hemoglobin blood test inpatient CPT 85018 Total Hemoglobin | $34.45 | $53.00 | $8.64–$28.36 | — | 35% |
| Hepatitis B core antibody test (total) CPT 86704 R Hepatitis B Core Ab Total | $35.10 | $54.00 | $7.29–$29.48 | 56% below | 35% |
| Hepatitis B core antibody test (total) CPT 86704 Hepatitis B Core Ab Total | $44.85 | $69.00 | $9.32–$37.67 | 44% below | 35% |
| Hepatitis B core antibody test (total) CPT 86704 R Hepatitis B Core-Igg & Igm | $176.80 | $272.00 | $36.72–$148.51 | 121% above | 35% |
| Hepatitis B core antibody test (total) inpatient CPT 86704 R Hepatitis B Core Ab Total | $35.10 | $54.00 | $8.80–$28.89 | — | 35% |
| Hepatitis B core antibody test (total) inpatient CPT 86704 Hepatitis B Core Ab Total | $44.85 | $69.00 | $11.25–$36.92 | — | 35% |
| Hepatitis B core antibody test (total) inpatient CPT 86704 R Hepatitis B Core-Igg & Igm | $176.80 | $272.00 | $44.34–$145.52 | — | 35% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 R Hepatitis B Surface Ab | $30.55 | $47.00 | $6.35–$25.66 | 67% below | 35% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Hepatitis B Surf. Ab* (P) | $104.00 | $160.00 | $21.60–$87.36 | 11% above | 35% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Hepatitis B Surface Ab.Quant | $116.35 | $179.00 | $24.17–$97.73 | 24% above | 35% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 R Hepatitis B Surface Ab | $30.55 | $47.00 | $7.66–$25.15 | — | 35% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 Hepatitis B Surf. Ab* (P) | $104.00 | $160.00 | $26.08–$85.60 | — | 35% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 Hepatitis B Surface Ab.Quant | $116.35 | $179.00 | $29.18–$95.77 | — | 35% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 R Hepatitis B Surface Ag | $29.25 | $45.00 | $6.08–$24.57 | 67% below | 35% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 Hepatitis B Surf. Ag* (P) | $115.05 | $177.00 | $23.90–$96.64 | 31% above | 35% |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 R Hepatitis B Surface Ag | $29.25 | $45.00 | $7.34–$24.08 | — | 35% |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 Hepatitis B Surf. Ag* (P) | $115.05 | $177.00 | $28.85–$94.70 | — | 35% |
| Hepatitis C antibody blood test (screening) CPT 86803 R Hepatitis C Ab | $41.60 | $64.00 | $8.64–$34.94 | 63% below | 35% |
| Hepatitis C antibody blood test (screening) CPT 86803 Hepatitis C Antibody Diagnostic | $137.80 | $212.00 | $28.62–$115.75 | 23% above | 35% |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 R Hepatitis C Ab | $41.60 | $64.00 | $10.43–$34.24 | — | 35% |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 Hepatitis C Antibody Diagnostic | $137.80 | $212.00 | $34.56–$113.42 | — | 35% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 R Hcv Rna Detect Quant Pcr | $126.75 | $195.00 | $26.33–$106.47 | 52% below | 35% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 Hcv Rna Detect Quant | $186.55 | $287.00 | $38.75–$156.70 | 30% below | 35% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 R Hcv Rna Detect Quant | $351.00 | $540.00 | $72.90–$294.84 | 32% above | 35% |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 R Hcv Rna Detect Quant Pcr | $126.75 | $195.00 | $31.79–$104.33 | — | 35% |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 Hcv Rna Detect Quant | $186.55 | $287.00 | $46.78–$153.55 | — | 35% |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 R Hcv Rna Detect Quant | $351.00 | $540.00 | $88.02–$288.90 | — | 35% |
| Herpes blood test, HSV-1 antibody CPT 86695 R Hsv Igg Type 1 (P) | $61.75 | $95.00 | $12.83–$51.87 | 9% below | 35% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 R Hsv Igg Type 1 (P) | $61.75 | $95.00 | $15.49–$50.83 | — | 35% |
| Herpes blood test, HSV-2 antibody CPT 86696 R Hsv-Igg Type 2 (P) | $69.55 | $107.00 | $14.45–$58.42 | 22% below | 35% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 R Hsv-Igg Type 2 (P) | $69.55 | $107.00 | $17.44–$57.25 | — | 35% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 Crp High Sensitivity (Hscrp)* | $80.60 | $124.00 | $16.74–$67.70 | 13% below | 35% |
| High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 Crp High Sensitivity (Hscrp)* | $80.60 | $124.00 | $20.21–$66.34 | — | 35% |
| Homocysteine blood test CPT 83090 R Homocysteine | $48.75 | $75.00 | $10.13–$40.95 | 60% below | 35% |
| Homocysteine blood test CPT 83090 Homocysteine* | $144.30 | $222.00 | $29.97–$121.21 | 20% above | 35% |
| Homocysteine blood test CPT 83090 R Homocystine Total Urine | $193.70 | $298.00 | $40.23–$162.71 | 61% above | 35% |
| Homocysteine blood test inpatient CPT 83090 R Homocysteine | $48.75 | $75.00 | $12.23–$40.13 | — | 35% |
| Homocysteine blood test inpatient CPT 83090 Homocysteine* | $144.30 | $222.00 | $36.19–$118.77 | — | 35% |
| Homocysteine blood test inpatient CPT 83090 R Homocystine Total Urine | $193.70 | $298.00 | $48.57–$159.43 | — | 35% |
| Insulin blood test CPT 83525 Insulin Total* (P) | $80.60 | $124.00 | $16.74–$67.70 | 11% above | 35% |
| Insulin blood test CPT 83525 R Insulin Total (P) | $92.95 | $143.00 | $19.31–$78.08 | 28% above | 35% |
| Insulin blood test inpatient CPT 83525 Insulin Total* (P) | $80.60 | $124.00 | $20.21–$66.34 | — | 35% |
| Insulin blood test inpatient CPT 83525 R Insulin Total (P) | $92.95 | $143.00 | $23.31–$76.51 | — | 35% |
| Iron blood test (serum iron) CPT 83540 R Iron Urine | $68.90 | $106.00 | $14.31–$57.88 | 11% below | 35% |
| Iron blood test (serum iron) CPT 83540 Iron * | $68.90 | $106.00 | $14.31–$57.88 | 11% below | 35% |
| Iron blood test (serum iron) inpatient CPT 83540 Iron * | $68.90 | $106.00 | $17.28–$56.71 | — | 35% |
| Iron blood test (serum iron) inpatient CPT 83540 R Iron Urine | $68.90 | $106.00 | $17.28–$56.71 | — | 35% |
| Iron-binding capacity (TIBC) test CPT 83550 Total Iron Binding Capacity* | $84.50 | $130.00 | $17.55–$70.98 | 7% above | 35% |
| Iron-binding capacity (TIBC) test inpatient CPT 83550 Total Iron Binding Capacity* | $84.50 | $130.00 | $21.19–$69.55 | — | 35% |
| Kidney function blood test panel CPT 80069 Renal Function Panel* | $154.70 | $238.00 | $32.13–$129.95 | 4% above | 35% |
| Kidney function blood test panel inpatient CPT 80069 Renal Function Panel* | $154.70 | $238.00 | $38.79–$127.33 | — | 35% |
| LH (luteinizing hormone) test CPT 83002 Gonadotrophin Office Performed | $31.20 | $48.00 | $6.48–$26.21 | 73% below | 35% |
| LH (luteinizing hormone) test CPT 83002 Luteinizing Hormone* | $172.25 | $265.00 | $35.78–$144.69 | 50% above | 35% |
| LH (luteinizing hormone) test CPT 83002 R Lh-Icma (P) | $198.25 | $305.00 | $41.18–$166.53 | 73% above | 35% |
| LH (luteinizing hormone) test inpatient CPT 83002 Gonadotrophin Office Performed | $31.20 | $48.00 | $7.82–$25.68 | — | 35% |
| LH (luteinizing hormone) test inpatient CPT 83002 Luteinizing Hormone* | $172.25 | $265.00 | $43.20–$141.78 | — | 35% |
| LH (luteinizing hormone) test inpatient CPT 83002 R Lh-Icma (P) | $198.25 | $305.00 | $49.72–$163.18 | — | 35% |
| Lactate (lactic acid) blood test CPT 83605 Lactic Acid Assay Office Performed | $14.95 | $23.00 | $3.11–$12.56 | 83% below | 35% |
| Lactate (lactic acid) blood test CPT 83605 Lactic Acid/Lactate* | $107.25 | $165.00 | $22.28–$90.09 | 19% above | 35% |
| Lactate (lactic acid) blood test CPT 83605 Lactic Acid (P) | $122.85 | $189.00 | $25.52–$103.19 | 37% above | 35% |
| Lactate (lactic acid) blood test inpatient CPT 83605 Lactic Acid Assay Office Performed | $14.95 | $23.00 | $3.75–$12.31 | — | 35% |
| Lactate (lactic acid) blood test inpatient CPT 83605 Lactic Acid/Lactate* | $107.25 | $165.00 | $26.90–$88.28 | — | 35% |
| Lactate (lactic acid) blood test inpatient CPT 83605 Lactic Acid (P) | $122.85 | $189.00 | $30.81–$101.12 | — | 35% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 Ldh * | $46.15 | $71.00 | $9.59–$38.77 | 14% below | 35% |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 Ldh * | $46.15 | $71.00 | $11.57–$37.99 | — | 35% |
| Lipase blood test (pancreas enzyme) CPT 83690 Lipase* | $79.95 | $123.00 | $16.61–$67.16 | 10% below | 35% |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 Lipase* | $79.95 | $123.00 | $20.05–$65.81 | — | 35% |
| Liver function blood test panel CPT 80076 Hepatic Function Panel* | $111.80 | $172.00 | $23.22–$93.91 | 19% below | 35% |
| Liver function blood test panel inpatient CPT 80076 Hepatic Function Panel* | $111.80 | $172.00 | $28.04–$92.02 | — | 35% |
| Lyme disease antibody test CPT 86618 Lyme Disease Antibody Office Performed | $29.90 | $46.00 | $6.21–$25.12 | 59% below | 35% |
| Lyme disease antibody test CPT 86618 R Borrelia B Igg/M Ab Panel (P) | $116.35 | $179.00 | $24.17–$97.73 | 60% above | 35% |
| Lyme disease antibody test inpatient CPT 86618 Lyme Disease Antibody Office Performed | $29.90 | $46.00 | $7.50–$24.61 | — | 35% |
| Lyme disease antibody test inpatient CPT 86618 R Borrelia B Igg/M Ab Panel (P) | $116.35 | $179.00 | $29.18–$95.77 | — | 35% |
| Magnesium blood test CPT 83735 Magnesium Urine* | $71.50 | $110.00 | $14.85–$60.06 | 5% above | 35% |
| Magnesium blood test CPT 83735 Magnesium * | $76.70 | $118.00 | $15.93–$64.43 | 13% above | 35% |
| Magnesium blood test CPT 83735 R Magnesium (P) | $79.95 | $123.00 | $16.61–$67.16 | 18% above | 35% |
| Magnesium blood test CPT 83735 R Fecal Magnesium (P) | $79.95 | $123.00 | $16.61–$67.16 | 18% above | 35% |
| Magnesium blood test CPT 83735 R RBC Magnesium | $83.85 | $129.00 | $17.42–$70.43 | 24% above | 35% |
| Magnesium blood test inpatient CPT 83735 Magnesium Urine* | $71.50 | $110.00 | $17.93–$58.85 | — | 35% |
| Magnesium blood test inpatient CPT 83735 Magnesium * | $76.70 | $118.00 | $19.23–$63.13 | — | 35% |
| Magnesium blood test inpatient CPT 83735 R Fecal Magnesium (P) | $79.95 | $123.00 | $20.05–$65.81 | — | 35% |
| Magnesium blood test inpatient CPT 83735 R Magnesium (P) | $79.95 | $123.00 | $20.05–$65.81 | — | 35% |
| Magnesium blood test inpatient CPT 83735 R RBC Magnesium | $83.85 | $129.00 | $21.03–$69.02 | — | 35% |
| Measles (rubeola) antibody test CPT 86765 R Measles (Rubeola) Ab Igm | $37.05 | $57.00 | $7.70–$31.12 | 51% below | 35% |
| Measles (rubeola) antibody test CPT 86765 Measles-Igg by Eia* | $48.10 | $74.00 | $9.99–$40.40 | 36% below | 35% |
| Measles (rubeola) antibody test inpatient CPT 86765 R Measles (Rubeola) Ab Igm | $37.05 | $57.00 | $9.29–$30.50 | — | 35% |
| Measles (rubeola) antibody test inpatient CPT 86765 Measles-Igg by Eia* | $48.10 | $74.00 | $12.06–$39.59 | — | 35% |
| Mono test (heterophile antibody, Monospot) CPT 86308 Heterophile Antibodies Screen Office Perfor | $10.40 | $16.00 | $2.16–$8.74 | 86% below | 35% |
| Mono test (heterophile antibody, Monospot) CPT 86308 Inf. Mono Slide* | $52.65 | $81.00 | $10.94–$44.23 | 32% below | 35% |
| Mono test (heterophile antibody, Monospot) inpatient CPT 86308 Heterophile Antibodies Screen Office Perfor | $10.40 | $16.00 | $2.61–$8.56 | — | 35% |
| Mono test (heterophile antibody, Monospot) inpatient CPT 86308 Inf. Mono Slide* | $52.65 | $81.00 | $13.20–$43.34 | — | 35% |
| Mumps immunity blood test CPT 86735 R Mumps Ab Igm | $38.35 | $59.00 | $7.97–$32.21 | 49% below | 35% |
| Mumps immunity blood test CPT 86735 Mumps-Ig G* | $53.95 | $83.00 | $11.21–$45.32 | 28% below | 35% |
| Mumps immunity blood test inpatient CPT 86735 R Mumps Ab Igm | $38.35 | $59.00 | $9.62–$31.57 | — | 35% |
| Mumps immunity blood test inpatient CPT 86735 Mumps-Ig G* | $53.95 | $83.00 | $13.53–$44.41 | — | 35% |
| Obstetric blood test panel CPT 80055 Obstetric Panel* | $210.60 | $324.00 | $43.74–$176.90 | at median | 35% |
| Obstetric blood test panel inpatient CPT 80055 Obstetric Panel* | $210.60 | $324.00 | $52.81–$173.34 | — | 35% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 Psa Free (P) | $102.70 | $158.00 | $21.33–$86.27 | 5% above | 35% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 Psa Free (P) | $102.70 | $158.00 | $25.75–$84.53 | — | 35% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 Psa Screening* | $55.25 | $85.00 | $11.48–$46.41 | 51% below | 35% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 Psa Diagnostic* (P) | $154.70 | $238.00 | $32.13–$129.95 | 36% above | 35% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 Psa Screening* | $55.25 | $85.00 | $13.86–$45.48 | — | 35% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 Psa Diagnostic* (P) | $154.70 | $238.00 | $38.79–$127.33 | — | 35% |
| Pap test (liquid-based, automated screening with review) CPT 88175 Thin Prep Pap Screening/Auto Scrn | $104.00 | $160.00 | $21.60–$87.36 | 22% below | 35% |
| Pap test (liquid-based, automated screening with review) CPT 88175 Thin Prep Pap Diagnostic/Auto Scrn | $104.00 | $160.00 | $21.60–$87.36 | 22% below | 35% |
| Pap test (liquid-based, automated screening with review) inpatient CPT 88175 Thin Prep Pap Diagnostic/Auto Scrn | $104.00 | $160.00 | $26.08–$85.60 | — | 35% |
| Pap test (liquid-based, automated screening with review) inpatient CPT 88175 Thin Prep Pap Screening/Auto Scrn | $104.00 | $160.00 | $26.08–$85.60 | — | 35% |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 Thin Prep Pap Diagnostic/Manual Sc | $95.55 | $147.00 | $19.85–$80.26 | 15% below | 35% |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 Thin Prep Pap Screening/Manual Scr | $95.55 | $147.00 | $19.85–$80.26 | 15% below | 35% |
| Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 Thin Prep Pap Diagnostic/Manual Sc | $95.55 | $147.00 | $23.96–$78.65 | — | 35% |
| Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 Thin Prep Pap Screening/Manual Scr | $95.55 | $147.00 | $23.96–$78.65 | — | 35% |
| Parathyroid hormone (PTH) blood test CPT 83970 Parathormone (Pth) Intact* (P) | $232.70 | $358.00 | $48.33–$195.47 | 3% above | 35% |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 Parathormone (Pth) Intact* (P) | $232.70 | $358.00 | $58.35–$191.53 | — | 35% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Heparin Absorbed Aptt* | $74.75 | $115.00 | $15.53–$62.79 | 15% above | 35% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Ptt(Part Throm Time)* (P) | $79.95 | $123.00 | $16.61–$67.16 | 23% above | 35% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Heparin Absorbed Aptt* | $74.75 | $115.00 | $18.75–$61.53 | — | 35% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Ptt(Part Throm Time)* (P) | $79.95 | $123.00 | $20.05–$65.81 | — | 35% |
| Phosphorus (phosphate) blood test CPT 84100 Phosphorus * | $35.75 | $55.00 | $7.43–$30.03 | 39% below | 35% |
| Phosphorus (phosphate) blood test CPT 84100 R Phosphorus Stool | $46.80 | $72.00 | $9.72–$39.31 | 20% below | 35% |
| Phosphorus (phosphate) blood test CPT 84100 R Phosphorus; Inorganic (Phosphate) (P) | $46.80 | $72.00 | $9.72–$39.31 | 20% below | 35% |
| Phosphorus (phosphate) blood test inpatient CPT 84100 Phosphorus * | $35.75 | $55.00 | $8.97–$29.43 | — | 35% |
| Phosphorus (phosphate) blood test inpatient CPT 84100 R Phosphorus Stool | $46.80 | $72.00 | $11.74–$38.52 | — | 35% |
| Phosphorus (phosphate) blood test inpatient CPT 84100 R Phosphorus; Inorganic (Phosphate) (P) | $46.80 | $72.00 | $11.74–$38.52 | — | 35% |
| Potassium blood test CPT 84132 R Potassium; Serum (P) | $42.90 | $66.00 | $8.91–$36.04 | 1% below | 35% |
| Potassium blood test CPT 84132 Potassium I-Stat (P) | $43.55 | $67.00 | $9.05–$36.58 | 1% above | 35% |
| Potassium blood test CPT 84132 Potassium Emer Csu Lab (P) | $43.55 | $67.00 | $9.05–$36.58 | 1% above | 35% |
| Potassium blood test CPT 84132 Potassium * (P) | $43.55 | $67.00 | $9.05–$36.58 | 1% above | 35% |
| Potassium blood test CPT 84132 Potassium Whole Blood* | $43.55 | $67.00 | $9.05–$36.58 | 1% above | 35% |
| Potassium blood test inpatient CPT 84132 R Potassium; Serum (P) | $42.90 | $66.00 | $10.76–$35.31 | — | 35% |
| Potassium blood test inpatient CPT 84132 Potassium * (P) | $43.55 | $67.00 | $10.92–$35.85 | — | 35% |
| Potassium blood test inpatient CPT 84132 Potassium Emer Csu Lab (P) | $43.55 | $67.00 | $10.92–$35.85 | — | 35% |
| Potassium blood test inpatient CPT 84132 Potassium Whole Blood* | $43.55 | $67.00 | $10.92–$35.85 | — | 35% |
| Potassium blood test inpatient CPT 84132 Potassium I-Stat (P) | $43.55 | $67.00 | $10.92–$35.85 | — | 35% |
| Progesterone blood test CPT 84144 Progesterone* | $110.50 | $170.00 | $22.95–$92.82 | 21% below | 35% |
| Progesterone blood test CPT 84144 R Progesterone (P) | $141.70 | $218.00 | $29.43–$119.03 | 1% above | 35% |
| Progesterone blood test inpatient CPT 84144 Progesterone* | $110.50 | $170.00 | $27.71–$90.95 | — | 35% |
| Progesterone blood test inpatient CPT 84144 R Progesterone (P) | $141.70 | $218.00 | $35.53–$116.63 | — | 35% |
| Prolactin blood test CPT 84146 Macroprolactin | $91.00 | $140.00 | $18.90–$76.44 | 29% below | 35% |
| Prolactin blood test CPT 84146 Prolactin* | $138.45 | $213.00 | $28.76–$116.30 | 8% above | 35% |
| Prolactin blood test CPT 84146 R Prolactin (P) | $157.30 | $242.00 | $32.67–$132.13 | 23% above | 35% |
| Prolactin blood test inpatient CPT 84146 Macroprolactin | $91.00 | $140.00 | $22.82–$74.90 | — | 35% |
| Prolactin blood test inpatient CPT 84146 Prolactin* | $138.45 | $213.00 | $34.72–$113.96 | — | 35% |
| Prolactin blood test inpatient CPT 84146 R Prolactin (P) | $157.30 | $242.00 | $39.45–$129.47 | — | 35% |
| Prothrombin time (PT/INR) clotting test CPT 85610 Prothrombin Time | $7.80 | $12.00 | $1.62–$6.55 | 81% below | 35% |
| Prothrombin time (PT/INR) clotting test CPT 85610 Pt/Inr-Tau | $34.45 | $53.00 | $7.16–$28.94 | 18% below | 35% |
| Prothrombin time (PT/INR) clotting test CPT 85610 Pt(Prothrombin Time)* (P) | $34.45 | $53.00 | $7.16–$28.94 | 18% below | 35% |
| Prothrombin time (PT/INR) clotting test CPT 85610 POC - Inr | $34.45 | $53.00 | $7.16–$28.94 | 18% below | 35% |
| Prothrombin time (PT/INR) clotting test CPT 85610 POC Inr - Rx | $34.45 | $53.00 | $7.16–$28.94 | 18% below | 35% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Prothrombin Time | $7.80 | $12.00 | $1.96–$6.42 | — | 35% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 POC - Inr | $34.45 | $53.00 | $8.64–$28.36 | — | 35% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 POC Inr - Rx | $34.45 | $53.00 | $8.64–$28.36 | — | 35% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Pt(Prothrombin Time)* (P) | $34.45 | $53.00 | $8.64–$28.36 | — | 35% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Pt/Inr-Tau | $34.45 | $53.00 | $8.64–$28.36 | — | 35% |
| Rapid flu test (influenza antigen) CPT 87804 Influenza Assay W/Optic Office Performed | $22.75 | $35.00 | $4.73–$19.11 | 68% below | 35% |
| Rapid flu test (influenza antigen) inpatient CPT 87804 Influenza Assay W/Optic Office Performed | $22.75 | $35.00 | $5.71–$18.73 | — | 35% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 Strep a Assay W/Optic | $31.85 | $49.00 | $6.62–$26.75 | 47% below | 35% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 Rapid Strep a Test in Office | $69.55 | $107.00 | $14.45–$58.42 | 15% above | 35% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 Strep Screen Only-ER | $69.55 | $107.00 | $14.45–$58.42 | 15% above | 35% |
| Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 Strep a Assay W/Optic | $31.85 | $49.00 | $7.99–$26.22 | — | 35% |
| Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 Strep Screen Only-ER | $69.55 | $107.00 | $17.44–$57.25 | — | 35% |
| Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 Rapid Strep a Test in Office | $69.55 | $107.00 | $17.44–$57.25 | — | 35% |
| Renin blood test CPT 84244 R Renin | $146.90 | $226.00 | $30.51–$123.40 | 28% above | 35% |
| Renin blood test inpatient CPT 84244 R Renin | $146.90 | $226.00 | $36.84–$120.91 | — | 35% |
| Rh blood typing CPT 86901 Rh Type* (P) | $48.75 | $75.00 | $10.13–$40.95 | 29% below | 35% |
| Rh blood typing inpatient CPT 86901 Rh Type* (P) | $48.75 | $75.00 | $12.23–$40.13 | — | 35% |
| Rheumatoid factor (RF) test CPT 86431 Rheumatoid Factor Quant* | $84.50 | $130.00 | $17.55–$70.98 | 35% above | 35% |
| Rheumatoid factor (RF) test inpatient CPT 86431 Rheumatoid Factor Quant* | $84.50 | $130.00 | $21.19–$69.55 | — | 35% |
| Rubella antibody test (immunity check) CPT 86762 Rubella Igg* | $101.40 | $156.00 | $21.06–$85.18 | 36% above | 35% |
| Rubella antibody test (immunity check) CPT 86762 Rubella Ig M | $105.95 | $163.00 | $22.01–$89.00 | 42% above | 35% |
| Rubella antibody test (immunity check) inpatient CPT 86762 Rubella Igg* | $101.40 | $156.00 | $25.43–$83.46 | — | 35% |
| Rubella antibody test (immunity check) inpatient CPT 86762 Rubella Ig M | $105.95 | $163.00 | $26.57–$87.21 | — | 35% |
| Semen analysis: volume, sperm count, motility and morphology CPT 89320 R Semen Analysis Complete | $146.25 | $225.00 | $30.38–$122.85 | at median | 35% |
| Semen analysis: volume, sperm count, motility and morphology inpatient CPT 89320 R Semen Analysis Complete | $146.25 | $225.00 | $36.68–$120.38 | — | 35% |
| Sodium blood test CPT 84295 R Sodium; Serum (P) | $50.70 | $78.00 | $10.53–$42.59 | 3% above | 35% |
| Sodium blood test CPT 84295 Sodium I-Stat (P) | $50.70 | $78.00 | $10.53–$42.59 | 3% above | 35% |
| Sodium blood test CPT 84295 Sodium * (P) | $50.70 | $78.00 | $10.53–$42.59 | 3% above | 35% |
| Sodium blood test CPT 84295 Sodium Emer Csu Lab (P) | $79.95 | $123.00 | $16.61–$67.16 | 63% above | 35% |
| Sodium blood test inpatient CPT 84295 Sodium * (P) | $50.70 | $78.00 | $12.71–$41.73 | — | 35% |
| Sodium blood test inpatient CPT 84295 Sodium I-Stat (P) | $50.70 | $78.00 | $12.71–$41.73 | — | 35% |
| Sodium blood test inpatient CPT 84295 R Sodium; Serum (P) | $50.70 | $78.00 | $12.71–$41.73 | — | 35% |
| Sodium blood test inpatient CPT 84295 Sodium Emer Csu Lab (P) | $79.95 | $123.00 | $20.05–$65.81 | — | 35% |
| Stool ova and parasites exam CPT 87177 Parasite Identification | $110.50 | $170.00 | $22.95–$92.82 | 50% above | 35% |
| Stool ova and parasites exam CPT 87177 Parasite Exam* | $124.15 | $191.00 | $25.79–$104.29 | 68% above | 35% |
| Stool ova and parasites exam inpatient CPT 87177 Parasite Identification | $110.50 | $170.00 | $27.71–$90.95 | — | 35% |
| Stool ova and parasites exam inpatient CPT 87177 Parasite Exam* | $124.15 | $191.00 | $31.13–$102.19 | — | 35% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 Occult Blood Feces | $6.50 | $10.00 | $1.35–$5.46 | 77% below | 35% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 Occult Blood Feces; Colorctal Neoplsm Screen | $37.70 | $58.00 | $7.83–$31.67 | 31% above | 35% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 HB Occult Blood Stool | $37.70 | $58.00 | $7.83–$31.67 | 31% above | 35% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 Occult Blood Stool | $37.70 | $58.00 | $7.83–$31.67 | 31% above | 35% |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 Occult Blood Feces | $6.50 | $10.00 | $1.63–$5.35 | — | 35% |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 Occult Blood Stool | $37.70 | $58.00 | $9.45–$31.03 | — | 35% |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 HB Occult Blood Stool | $37.70 | $58.00 | $9.45–$31.03 | — | 35% |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 Occult Blood Feces; Colorctal Neoplsm Screen | $37.70 | $58.00 | $9.45–$31.03 | — | 35% |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 Fecal Occlt Bld Immunochemical-Diagnostic | $49.40 | $76.00 | $10.26–$41.50 | 34% below | 35% |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 Fecal Occlt Bld Immunochemical-Screen | $49.40 | $76.00 | $10.26–$41.50 | 34% below | 35% |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 R Fecal Occ Bld Screening Immunochemical | $148.85 | $229.00 | $30.92–$125.03 | 100% above | 35% |
| Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 Fecal Occlt Bld Immunochemical-Screen | $49.40 | $76.00 | $12.39–$40.66 | — | 35% |
| Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 Fecal Occlt Bld Immunochemical-Diagnostic | $49.40 | $76.00 | $12.39–$40.66 | — | 35% |
| Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 R Fecal Occ Bld Screening Immunochemical | $148.85 | $229.00 | $37.33–$122.52 | — | 35% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 Syphilis Ab | $39.65 | $61.00 | $8.24–$33.31 | 40% below | 35% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 R Syphilis Ab | $49.40 | $76.00 | $10.26–$41.50 | 26% below | 35% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 R Immunoassay; Treponema Pallidum | $78.65 | $121.00 | $16.34–$66.07 | 18% above | 35% |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 Syphilis Ab | $39.65 | $61.00 | $9.94–$32.64 | — | 35% |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 R Syphilis Ab | $49.40 | $76.00 | $12.39–$40.66 | — | 35% |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 R Immunoassay; Treponema Pallidum | $78.65 | $121.00 | $19.72–$64.74 | — | 35% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR* | $52.00 | $80.00 | $10.80–$43.68 | 2% above | 35% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 R Vdrl-CSF | $70.20 | $108.00 | $14.58–$58.97 | 37% above | 35% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 RPR* | $52.00 | $80.00 | $13.04–$42.80 | — | 35% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 R Vdrl-CSF | $70.20 | $108.00 | $17.60–$57.78 | — | 35% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 Quantiferon TB Gold | $131.30 | $202.00 | $27.27–$110.29 | 41% below | 35% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 R Quantiferon TB Gold | $161.85 | $249.00 | $33.62–$135.95 | 27% below | 35% |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 Quantiferon TB Gold | $131.30 | $202.00 | $32.93–$108.07 | — | 35% |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 R Quantiferon TB Gold | $161.85 | $249.00 | $40.59–$133.22 | — | 35% |
| Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone Total* | $172.90 | $266.00 | $35.91–$145.24 | 36% above | 35% |
| Testosterone blood test, total (not free testosterone) CPT 84403 R Testosterone Total (P) | $176.15 | $271.00 | $36.59–$147.97 | 39% above | 35% |
| Testosterone blood test, total (not free testosterone) CPT 84403 R Testosterone Total (P) | $277.55 | $427.00 | $57.65–$233.14 | 119% above | 35% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Testosterone Total* | $172.90 | $266.00 | $43.36–$142.31 | — | 35% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 R Testosterone Total (P) | $176.15 | $271.00 | $44.17–$144.99 | — | 35% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 R Testosterone Total (P) | $277.55 | $427.00 | $69.60–$228.45 | — | 35% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 Anti Tpo-Igg* | $107.25 | $165.00 | $22.28–$90.09 | 35% above | 35% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 R Ata Ab Panel 2 / Anti-Tpo (P) | $134.55 | $207.00 | $27.95–$113.02 | 70% above | 35% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Anti Tpo-Igg* | $107.25 | $165.00 | $26.90–$88.28 | — | 35% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 R Ata Ab Panel 2 / Anti-Tpo (P) | $134.55 | $207.00 | $33.74–$110.75 | — | 35% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 Thyroid Stimulating Hormone/* | $131.30 | $202.00 | $27.27–$110.29 | 11% above | 35% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 Thyroid Stimulating Hormone/* | $131.30 | $202.00 | $32.93–$108.07 | — | 35% |
| Total IgE blood test CPT 82785 Gammaglobulin Ige | $47.45 | $73.00 | $9.86–$39.86 | 46% below | 35% |
| Total IgE blood test CPT 82785 R Immunoglobulin Ige Ser Qt | $160.55 | $247.00 | $33.35–$134.86 | 83% above | 35% |
| Total IgE blood test inpatient CPT 82785 Gammaglobulin Ige | $47.45 | $73.00 | $11.90–$39.06 | — | 35% |
| Total IgE blood test inpatient CPT 82785 R Immunoglobulin Ige Ser Qt | $160.55 | $247.00 | $40.26–$132.15 | — | 35% |
| Total cholesterol blood test CPT 82465 Assay Serum Cholesterol | $5.85 | $9.00 | $1.22–$4.91 | 86% below | 35% |
| Total cholesterol blood test CPT 82465 Cholesterol * | $46.15 | $71.00 | $9.59–$38.77 | 8% above | 35% |
| Total cholesterol blood test inpatient CPT 82465 Assay Serum Cholesterol | $5.85 | $9.00 | $1.47–$4.82 | — | 35% |
| Total cholesterol blood test inpatient CPT 82465 Cholesterol * | $46.15 | $71.00 | $11.57–$37.99 | — | 35% |
| Total thyroxine (T4) blood test CPT 84436 Thyroxine (T4); Total (P) | $81.90 | $126.00 | $17.01–$68.80 | at median | 35% |
| Total thyroxine (T4) blood test CPT 84436 Thyroxine/T4* | $84.50 | $130.00 | $17.55–$70.98 | 3% above | 35% |
| Total thyroxine (T4) blood test inpatient CPT 84436 Thyroxine (T4); Total (P) | $81.90 | $126.00 | $20.54–$67.41 | — | 35% |
| Total thyroxine (T4) blood test inpatient CPT 84436 Thyroxine/T4* | $84.50 | $130.00 | $21.19–$69.55 | — | 35% |
| Total triiodothyronine (T3) blood test CPT 84480 T3 Total* | $127.40 | $196.00 | $26.46–$107.02 | 33% above | 35% |
| Total triiodothyronine (T3) blood test inpatient CPT 84480 T3 Total* | $127.40 | $196.00 | $31.95–$104.86 | — | 35% |
| Transferrin blood test CPT 84466 Transferrin* | $73.45 | $113.00 | $15.26–$61.70 | 22% below | 35% |
| Transferrin blood test inpatient CPT 84466 Transferrin* | $73.45 | $113.00 | $18.42–$60.46 | — | 35% |
| Trichomonas test (NAAT) CPT 87661 Trichomonas Vaginalis Ampl Prb | $31.85 | $49.00 | $6.62–$26.75 | 74% below | 35% |
| Trichomonas test (NAAT) inpatient CPT 87661 Trichomonas Vaginalis Ampl Prb | $31.85 | $49.00 | $7.99–$26.22 | — | 35% |
| Triglycerides blood test CPT 84478 Assay Triglycerides | $9.75 | $15.00 | $2.03–$8.19 | 79% below | 35% |
| Triglycerides blood test CPT 84478 Triglycerides * | $51.35 | $79.00 | $10.67–$43.13 | 8% above | 35% |
| Triglycerides blood test inpatient CPT 84478 Assay Triglycerides | $9.75 | $15.00 | $2.45–$8.03 | — | 35% |
| Triglycerides blood test inpatient CPT 84478 Triglycerides * | $51.35 | $79.00 | $12.88–$42.27 | — | 35% |
| Troponin test, quantitative CPT 84484 Troponin T | $161.20 | $248.00 | $33.48–$135.41 | 6% above | 35% |
| Troponin test, quantitative CPT 84484 Troponin I Quant* (P) | $161.20 | $248.00 | $33.48–$135.41 | 6% above | 35% |
| Troponin test, quantitative inpatient CPT 84484 Troponin T | $161.20 | $248.00 | $40.42–$132.68 | — | 35% |
| Troponin test, quantitative inpatient CPT 84484 Troponin I Quant* (P) | $161.20 | $248.00 | $40.42–$132.68 | — | 35% |
| Uric acid blood test CPT 84550 R Uric Acid; Blood (P) | $48.75 | $75.00 | $10.13–$40.95 | 31% below | 35% |
| Uric acid blood test CPT 84550 Uric Acid * | $48.75 | $75.00 | $10.13–$40.95 | 31% below | 35% |
| Uric acid blood test inpatient CPT 84550 R Uric Acid; Blood (P) | $48.75 | $75.00 | $12.23–$40.13 | — | 35% |
| Uric acid blood test inpatient CPT 84550 Uric Acid * | $48.75 | $75.00 | $12.23–$40.13 | — | 35% |
| Urinalysis with microscope exam, automated CPT 81001 Ua Auto W/Microscopic* | $59.80 | $92.00 | $12.42–$50.23 | 7% below | 35% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 Ua Auto W/Microscopic* | $59.80 | $92.00 | $15.00–$49.22 | — | 35% |
| Urinalysis with microscope exam, manual CPT 81000 Uadip Stk/Tblt Rgt;Nonauto/Micro | $5.85 | $9.00 | $1.22–$4.91 | 74% below | 35% |
| Urinalysis with microscope exam, manual CPT 81000 Ua Macro (Non-Auto) W/Mircroscopic* | $33.80 | $52.00 | $7.02–$28.39 | 50% above | 35% |
| Urinalysis with microscope exam, manual inpatient CPT 81000 Uadip Stk/Tblt Rgt;Nonauto/Micro | $5.85 | $9.00 | $1.47–$4.82 | — | 35% |
| Urinalysis with microscope exam, manual inpatient CPT 81000 Ua Macro (Non-Auto) W/Mircroscopic* | $33.80 | $52.00 | $8.48–$27.82 | — | 35% |
| Urinalysis without microscope exam, automated CPT 81003 Urinalysis Auto W/O Scope | $5.85 | $9.00 | $1.22–$4.91 | 77% below | 35% |
| Urinalysis without microscope exam, automated CPT 81003 Ua Auto Macro Only* | $44.20 | $68.00 | $9.18–$37.13 | 76% above | 35% |
| Urinalysis without microscope exam, automated CPT 81003 Urinalysis Dipstick Auto | $44.20 | $68.00 | $9.18–$37.13 | 76% above | 35% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Urinalysis Auto W/O Scope | $5.85 | $9.00 | $1.47–$4.82 | — | 35% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Ua Auto Macro Only* | $44.20 | $68.00 | $11.08–$36.38 | — | 35% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Urinalysis Dipstick Auto | $44.20 | $68.00 | $11.08–$36.38 | — | 35% |
| Urinalysis without microscope exam, manual CPT 81002 Urinalysis Nonauto W/O Scope | $5.85 | $9.00 | $1.22–$4.91 | 74% below | 35% |
| Urinalysis without microscope exam, manual CPT 81002 Ua Macro Scrn Non-Auto | $27.30 | $42.00 | $5.67–$22.93 | 21% above | 35% |
| Urinalysis without microscope exam, manual CPT 81002 Ua Non-Auto Macro Only | $27.30 | $42.00 | $5.67–$22.93 | 21% above | 35% |
| Urinalysis without microscope exam, manual CPT 81002 Specific Gravity Urine* | $27.30 | $42.00 | $5.67–$22.93 | 21% above | 35% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 Urinalysis Nonauto W/O Scope | $5.85 | $9.00 | $1.47–$4.82 | — | 35% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 Ua Macro Scrn Non-Auto | $27.30 | $42.00 | $6.85–$22.47 | — | 35% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 Specific Gravity Urine* | $27.30 | $42.00 | $6.85–$22.47 | — | 35% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 Ua Non-Auto Macro Only | $27.30 | $42.00 | $6.85–$22.47 | — | 35% |
| Urine culture for bacteria, with colony count CPT 87086 Culture Urine* | $84.50 | $130.00 | $17.55–$70.98 | 8% below | 35% |
| Urine culture for bacteria, with colony count inpatient CPT 87086 Culture Urine* | $84.50 | $130.00 | $21.19–$69.55 | — | 35% |
| Urine microalbumin (albumin) test CPT 82043 R Micro Albumin UR | $24.70 | $38.00 | $5.13–$20.75 | 62% below | 35% |
| Urine microalbumin (albumin) test CPT 82043 Microalbumin Urine Quant* (P) | $84.50 | $130.00 | $17.55–$70.98 | 31% above | 35% |
| Urine microalbumin (albumin) test inpatient CPT 82043 R Micro Albumin UR | $24.70 | $38.00 | $6.19–$20.33 | — | 35% |
| Urine microalbumin (albumin) test inpatient CPT 82043 Microalbumin Urine Quant* (P) | $84.50 | $130.00 | $21.19–$69.55 | — | 35% |
| Urine pregnancy test, read by color change CPT 81025 Pregnancy UR Color Comp | $74.10 | $114.00 | $15.39–$62.24 | at median | 35% |
| Urine pregnancy test, read by color change CPT 81025 Pregnancy Urine Color Comp | $74.10 | $114.00 | $15.39–$62.24 | at median | 35% |
| Urine pregnancy test, read by color change CPT 81025 Pregnancy Urine Color Comp* | $74.10 | $114.00 | $15.39–$62.24 | at median | 35% |
| Urine pregnancy test, read by color change CPT 81025 Urine Pregnancy Test | $74.10 | $114.00 | $15.39–$62.24 | at median | 35% |
| Urine pregnancy test, read by color change inpatient CPT 81025 Urine Pregnancy Test | $74.10 | $114.00 | $18.58–$60.99 | — | 35% |
| Urine pregnancy test, read by color change inpatient CPT 81025 Pregnancy UR Color Comp | $74.10 | $114.00 | $18.58–$60.99 | — | 35% |
| Urine pregnancy test, read by color change inpatient CPT 81025 Pregnancy Urine Color Comp | $74.10 | $114.00 | $18.58–$60.99 | — | 35% |
| Urine pregnancy test, read by color change inpatient CPT 81025 Pregnancy Urine Color Comp* | $74.10 | $114.00 | $18.58–$60.99 | — | 35% |
| Vitamin B12 (cobalamin) blood test CPT 82607 Vitamin B12* | $129.35 | $199.00 | $26.87–$108.65 | at median | 35% |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 Vitamin B12* | $129.35 | $199.00 | $32.44–$106.47 | — | 35% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vitamin D25 Hydroxy* | $125.45 | $193.00 | $26.06–$105.38 | 32% below | 35% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vitamin D | $125.45 | $193.00 | $26.06–$105.38 | 32% below | 35% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 Vitamin D25 Hydroxy* | $125.45 | $193.00 | $31.46–$103.26 | — | 35% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 Vitamin D | $125.45 | $193.00 | $31.46–$103.26 | — | 35% |
| Vitamin D, 1,25-dihydroxy blood test CPT 82652 R Dihydroxy Vit D-1 25 | $180.70 | $278.00 | $37.53–$151.79 | 7% below | 35% |
| Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 R Dihydroxy Vit D-1 25 | $180.70 | $278.00 | $45.31–$148.73 | — | 35% |
| Zinc blood test CPT 84630 R Zinc (UR) | $70.20 | $108.00 | $14.58–$58.97 | 2% below | 35% |
| Zinc blood test CPT 84630 R Zinc Lab | $72.15 | $111.00 | $14.99–$60.61 | at median | 35% |
| Zinc blood test inpatient CPT 84630 R Zinc (UR) | $70.20 | $108.00 | $17.60–$57.78 | — | 35% |
| Zinc blood test inpatient CPT 84630 R Zinc Lab | $72.15 | $111.00 | $18.09–$59.39 | — | 35% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Pregnancy Serum Quant | $87.10 | $134.00 | $18.09–$73.16 | 19% below | 35% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Hcg Tumor Marker | $133.25 | $205.00 | $27.68–$111.93 | 24% above | 35% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Beta-Hcg Quant.* (P) | $133.25 | $205.00 | $27.68–$111.93 | 24% above | 35% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Free Beta Hcg | $151.45 | $233.00 | $31.46–$127.22 | 41% above | 35% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 R 1st Trimester Bhcg Quant (P) | $189.15 | $291.00 | $39.29–$158.89 | 76% above | 35% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 R Hcg Tumor Marker | $189.15 | $291.00 | $39.29–$158.89 | 76% above | 35% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 R Alpha Subunit | $189.15 | $291.00 | $39.29–$158.89 | 76% above | 35% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 Pregnancy Serum Quant | $87.10 | $134.00 | $21.84–$71.69 | — | 35% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 Hcg Tumor Marker | $133.25 | $205.00 | $33.42–$109.68 | — | 35% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 Beta-Hcg Quant.* (P) | $133.25 | $205.00 | $33.42–$109.68 | — | 35% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 Free Beta Hcg | $151.45 | $233.00 | $37.98–$124.66 | — | 35% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 R Alpha Subunit | $189.15 | $291.00 | $47.43–$155.69 | — | 35% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 R 1st Trimester Bhcg Quant (P) | $189.15 | $291.00 | $47.43–$155.69 | — | 35% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 R Hcg Tumor Marker | $189.15 | $291.00 | $47.43–$155.69 | — | 35% |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Illinois | Off list |
|---|---|---|---|---|---|
| Botox injections for chronic migraine CPT 64615 Chemoderv Facial/Trigem/Cerv Muslc Migraine | $178.75 | $275.00 | $37.13–$150.15 | 53% below | 35% |
| Botox injections for chronic migraine inpatient CPT 64615 Chemoderv Facial/Trigem/Cerv Muslc Migraine | $178.75 | $275.00 | $44.83–$147.13 | — | 35% |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 Bx Breast W/Dev 1st Lesion Stereotactic Guide | $2,886.00 | $4,440.00 | $599.40–$2,424.24 | 6% below | 35% |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 Bx Breast W/Dev 1st Lesion Stereotactic Guide | $2,886.00 | $4,440.00 | $723.72–$2,375.40 | — | 35% |
| Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 Closed Rx Dist Fibula Fx | $141.05 | $217.00 | $29.30–$118.48 | 66% below | 35% |
| Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 Closed Rx Dist Fibula Fx | $141.05 | $217.00 | $35.37–$116.10 | — | 35% |
| Cardiac catheterization with coronary angiogram one side CPT 93458 Coronry Art Ang W/Lt Hrt Cath & L Vntgrphy | $14,905.80 | $22,932.00 | $3,095.82–$12,520.87 | 45% above | 35% |
| Cardiac catheterization with coronary angiogram inpatient one side CPT 93458 Coronry Art Ang W/Lt Hrt Cath & L Vntgrphy | $14,905.80 | $22,932.00 | $3,737.92–$12,268.62 | — | 35% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 Cardioversion External | $1,491.10 | $2,294.00 | $309.69–$1,252.52 | 24% above | 35% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 Cardioversion External | $1,491.10 | $2,294.00 | $373.92–$1,227.29 | — | 35% |
| Catheter ablation for atrial fibrillation CPT 93656 Ep Evl Trnseptal Tx Atrial Fib Isolat Pulm Vein | $25,296.05 | $38,917.00 | $5,253.80–$21,248.68 | 10% below | 35% |
| Catheter ablation for atrial fibrillation inpatient CPT 93656 Ep Evl Trnseptal Tx Atrial Fib Isolat Pulm Vein | $25,296.05 | $38,917.00 | $6,343.47–$20,820.60 | — | 35% |
| Cervical biopsy CPT 57500 Biopsy/Excis Cervical Lesn | $433.55 | $667.00 | $90.05–$364.18 | 54% below | 35% |
| Cervical biopsy CPT 57500 Biopsy Cervix | $957.45 | $1,473.00 | $198.86–$804.26 | 1% above | 35% |
| Cervical biopsy inpatient CPT 57500 Biopsy/Excis Cervical Lesn | $433.55 | $667.00 | $108.72–$356.85 | — | 35% |
| Cervical biopsy inpatient CPT 57500 Biopsy Cervix | $957.45 | $1,473.00 | $240.10–$788.06 | — | 35% |
| Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 Circumcision >28 Days | $1,323.40 | $2,036.00 | $274.86–$1,111.66 | 43% below | 35% |
| Circumcision by surgical excision, older than 28 days (children and adults) inpatient CPT 54161 Circumcision >28 Days | $1,323.40 | $2,036.00 | $331.87–$1,089.26 | — | 35% |
| Circumcision, surgical, older than a newborn CPT 54160 Circumcision | $698.10 | $1,074.00 | $144.99–$586.40 | 40% below | 35% |
| Circumcision, surgical, older than a newborn inpatient CPT 54160 Circumcision | $698.10 | $1,074.00 | $175.06–$574.59 | — | 35% |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 Cltx Dstl Radial Fx/Epiphysl Sep W/O Manj | $724.10 | $1,114.00 | $150.39–$608.24 | 40% above | 35% |
| Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 Cltx Dstl Radial Fx/Epiphysl Sep W/O Manj | $724.10 | $1,114.00 | $181.58–$595.99 | — | 35% |
| Colposcopy with LEEP (loop electrosurgical excision) CPT 57460 Colposcopy Loop Electrd Cervix Excis | $1,794.00 | $2,760.00 | $372.60–$1,506.96 | 43% below | 35% |
| Colposcopy with LEEP (loop electrosurgical excision) CPT 57460 Colposcopy Cervix W/Loop Electrode Bx Crvx | $3,218.15 | $4,951.00 | $668.39–$2,703.25 | 3% above | 35% |
| Colposcopy with LEEP (loop electrosurgical excision) inpatient CPT 57460 Colposcopy Loop Electrd Cervix Excis | $1,794.00 | $2,760.00 | $449.88–$1,476.60 | — | 35% |
| Colposcopy with LEEP (loop electrosurgical excision) inpatient CPT 57460 Colposcopy Cervix W/Loop Electrode Bx Crvx | $3,218.15 | $4,951.00 | $807.01–$2,648.79 | — | 35% |
| Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 Colposcopy Bx Cervix/Endocerv Curr | $193.05 | $297.00 | $40.10–$162.16 | 60% below | 35% |
| Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 Colposcopy Cervix W/Bx(S) Crvx & Endocrv Curet | $949.00 | $1,460.00 | $197.10–$797.16 | 98% above | 35% |
| Colposcopy with cervical biopsy and scraping of the cervical canal inpatient CPT 57454 Colposcopy Bx Cervix/Endocerv Curr | $193.05 | $297.00 | $48.41–$158.90 | — | 35% |
| Colposcopy with cervical biopsy and scraping of the cervical canal inpatient CPT 57454 Colposcopy Cervix W/Bx(S) Crvx & Endocrv Curet | $949.00 | $1,460.00 | $237.98–$781.10 | — | 35% |
| Coronary stent placement, one artery CPT 92928 Cardiac Stent Single Vessel | $15,925.65 | $24,501.00 | $3,307.64–$13,377.55 | 13% above | 35% |
| Coronary stent placement, one artery inpatient CPT 92928 Cardiac Stent Single Vessel | $15,925.65 | $24,501.00 | $3,993.66–$13,108.04 | — | 35% |
| Cystoscopy with ureteral stent placement CPT 52332 Cystourethroscopy W/Insert Uret Stent | $4,193.80 | $6,452.00 | $871.02–$3,522.79 | at median | 35% |
| Cystoscopy with ureteral stent placement inpatient CPT 52332 Cystourethroscopy W/Insert Uret Stent | $4,193.80 | $6,452.00 | $1,051.68–$3,451.82 | — | 35% |
| Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 Cystourethroscopy | $419.25 | $645.00 | $87.08–$352.17 | 67% below | 35% |
| Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 Cystourethroscopy | $419.25 | $645.00 | $105.14–$345.08 | — | 35% |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 Destruct Premalg Lesion | $122.85 | $189.00 | $25.52–$103.19 | 27% below | 35% |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 Destruct Pre-Malig Lesions 1st | $297.05 | $457.00 | $61.70–$249.52 | 76% above | 35% |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 Destruct Premalg Lesion | $122.85 | $189.00 | $30.81–$101.12 | — | 35% |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 Destruct Pre-Malig Lesions 1st | $297.05 | $457.00 | $74.49–$244.50 | — | 35% |
| Ear tube placement (tympanostomy) with local anesthesia, one ear CPT 69433 Create Eardrum Opening Local Anesth | $309.40 | $476.00 | $64.26–$259.90 | 44% below | 35% |
| Ear tube placement (tympanostomy) with local anesthesia, one ear inpatient CPT 69433 Create Eardrum Opening Local Anesth | $309.40 | $476.00 | $77.59–$254.66 | — | 35% |
| Earwax removal by irrigation (rinsing), one ear CPT 69209 Remvl Impact Cerumen Irrigatn/Lvg | $39.00 | $60.00 | $8.10–$32.76 | 66% below | 35% |
| Earwax removal by irrigation (rinsing), one ear one side CPT 69209 Removal Impacted Ear Wax Irrigatn/Lvg Unilat | $172.25 | $265.00 | $35.78–$144.69 | 49% above | 35% |
| Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 Remvl Impact Cerumen Irrigatn/Lvg | $39.00 | $60.00 | $9.78–$32.10 | — | 35% |
| Earwax removal by irrigation (rinsing), one ear inpatient one side CPT 69209 Removal Impacted Ear Wax Irrigatn/Lvg Unilat | $172.25 | $265.00 | $43.20–$141.78 | — | 35% |
| Earwax removal with instruments, one ear CPT 69210 Remove Impacted Ear Wax | $38.35 | $59.00 | $7.97–$32.21 | 69% below | 35% |
| Earwax removal with instruments, one ear CPT 69210 Removal Inpact Cerumen (Wax);1-2 Ears | $132.60 | $204.00 | $27.54–$111.38 | 6% above | 35% |
| Earwax removal with instruments, one ear inpatient CPT 69210 Remove Impacted Ear Wax | $38.35 | $59.00 | $9.62–$31.57 | — | 35% |
| Earwax removal with instruments, one ear inpatient CPT 69210 Removal Inpact Cerumen (Wax);1-2 Ears | $132.60 | $204.00 | $33.25–$109.14 | — | 35% |
| Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 Biopsy of Uterus Lining | $116.35 | $179.00 | $24.17–$97.73 | 67% below | 35% |
| Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 Endometrial Biopsy W/O Cervical Dilate | $776.10 | $1,194.00 | $161.19–$651.92 | 123% above | 35% |
| Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 Biopsy of Uterus Lining | $116.35 | $179.00 | $29.18–$95.77 | — | 35% |
| Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 Endometrial Biopsy W/O Cervical Dilate | $776.10 | $1,194.00 | $194.62–$638.79 | — | 35% |
| Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 Inj Epidural Cerv/Thor W/ Image Guide | $1,894.75 | $2,915.00 | $393.53–$1,591.59 | 5% above | 35% |
| Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 Inj Epidural Cerv/Thor W/Image Guide | $1,894.75 | $2,915.00 | $393.53–$1,591.59 | 5% above | 35% |
| Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 Inj Epidural Cerv/Thor W/Image Guide | $1,894.75 | $2,915.00 | $475.15–$1,559.53 | — | 35% |
| Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 Inj Epidural Cerv/Thor W/ Image Guide | $1,894.75 | $2,915.00 | $475.15–$1,559.53 | — | 35% |
| Eye injection into the vitreous (intravitreal injection) CPT 67028 Inject Intravitreal Pharmcologic | $217.75 | $335.00 | $45.23–$182.91 | 68% below | 35% |
| Eye injection into the vitreous (intravitreal injection) CPT 67028 Macugen Intravitreal Injection | $939.25 | $1,445.00 | $195.08–$788.97 | 38% above | 35% |
| Eye injection into the vitreous (intravitreal injection) inpatient CPT 67028 Inject Intravitreal Pharmcologic | $217.75 | $335.00 | $54.61–$179.23 | — | 35% |
| Eye injection into the vitreous (intravitreal injection) inpatient CPT 67028 Macugen Intravitreal Injection | $939.25 | $1,445.00 | $235.54–$773.08 | — | 35% |
| Facet joint injection, lower back, one level, with imaging guidance CPT 64493 Inj Paravert Facet Jt Lumb/Sacrl 1 | $1,783.60 | $2,744.00 | $370.44–$1,498.22 | 15% above | 35% |
| Facet joint injection, lower back, one level, with imaging guidance CPT 64493 Inj Pv Facet Jnt/Nrv; Lumb/Sacral 1 Level | $1,783.60 | $2,744.00 | $370.44–$1,498.22 | 15% above | 35% |
| Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 Inj Paravert Facet Jt Lumb/Sacrl 1 | $1,783.60 | $2,744.00 | $447.27–$1,468.04 | — | 35% |
| Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 Inj Pv Facet Jnt/Nrv; Lumb/Sacral 1 Level | $1,783.60 | $2,744.00 | $447.27–$1,468.04 | — | 35% |
| Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 Sigmoidoscopy Diagnostic | $542.75 | $835.00 | $112.73–$455.91 | 49% below | 35% |
| Flexible sigmoidoscopy, diagnostic (lower colon only) inpatient CPT 45330 Sigmoidoscopy Diagnostic | $542.75 | $835.00 | $136.11–$446.73 | — | 35% |
| Hemorrhoid banding (rubber band ligation) CPT 46221 Ligation of Hemorrhoid(S) | $542.75 | $835.00 | $112.73–$455.91 | 41% below | 35% |
| Hemorrhoid banding (rubber band ligation) inpatient CPT 46221 Ligation of Hemorrhoid(S) | $542.75 | $835.00 | $136.11–$446.73 | — | 35% |
| Hemorrhoidectomy (internal and external), one area CPT 46255 Hemorrhoidectomy Int/Ext Simple; Single | $1,670.50 | $2,570.00 | $346.95–$1,403.22 | 41% below | 35% |
| Hemorrhoidectomy (internal and external), one area inpatient CPT 46255 Hemorrhoidectomy Int/Ext Simple; Single | $1,670.50 | $2,570.00 | $418.91–$1,374.95 | — | 35% |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 Saline Infsn Hysterosalpingography | $662.35 | $1,019.00 | $137.57–$556.37 | 71% above | 35% |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 Saline Infsn Hysterosalpingography | $662.35 | $1,019.00 | $166.10–$545.17 | — | 35% |
| Hysteroscopy with endometrial ablation CPT 58563 Hysteroscopy Ablation | $3,015.35 | $4,639.00 | $626.27–$2,532.89 | 50% below | 35% |
| Hysteroscopy with endometrial ablation inpatient CPT 58563 Hysteroscopy Ablation | $3,015.35 | $4,639.00 | $756.16–$2,481.87 | — | 35% |
| Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 Hysteroscopy W/Endo Bx | $1,794.00 | $2,760.00 | $372.60–$1,506.96 | 48% below | 35% |
| Hysteroscopy with uterine lining sampling and/or polyp removal inpatient CPT 58558 Hysteroscopy W/Endo Bx | $1,794.00 | $2,760.00 | $449.88–$1,476.60 | — | 35% |
| IUD insertion (the device itself billed separately) CPT 58300 Insertion of Iud | $114.40 | $176.00 | $23.76–$96.10 | 69% below | 35% |
| IUD insertion (the device itself billed separately) inpatient CPT 58300 Insertion of Iud | $114.40 | $176.00 | $28.69–$94.16 | — | 35% |
| Incision and drainage of a simple or single skin abscess CPT 10060 Drain Skin Abscess Simple | $122.85 | $189.00 | $25.52–$103.19 | 69% below | 35% |
| Incision and drainage of a simple or single skin abscess CPT 10060 Incision/Drain Abscess;Single/Simple | $453.70 | $698.00 | $94.23–$381.11 | 14% above | 35% |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 Drain Skin Abscess Simple | $122.85 | $189.00 | $30.81–$101.12 | — | 35% |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 Incision/Drain Abscess;Single/Simple | $453.70 | $698.00 | $113.77–$373.43 | — | 35% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 Inject Tendon/Ligament/Cyst | $178.75 | $275.00 | $37.13–$150.15 | 58% below | 35% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 Inj Tendon/Ligam/Cyst | $652.60 | $1,004.00 | $135.54–$548.18 | 52% above | 35% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 Inj Single Tend Sheath Lig Gang Cyst | $652.60 | $1,004.00 | $135.54–$548.18 | 52% above | 35% |
| Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 Inject Tendon/Ligament/Cyst | $178.75 | $275.00 | $44.83–$147.13 | — | 35% |
| Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 Inj Tendon/Ligam/Cyst | $652.60 | $1,004.00 | $163.65–$537.14 | — | 35% |
| Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 Inj Single Tend Sheath Lig Gang Cyst | $652.60 | $1,004.00 | $163.65–$537.14 | — | 35% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Drain/Inject Large Joint/Bursa | $178.75 | $275.00 | $37.13–$150.15 | 65% below | 35% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Arthrocentesis Asp/Inj Major Joint/Bursa W/O US | $723.45 | $1,113.00 | $150.26–$607.70 | 43% above | 35% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Arthrocentesis Asp/Inj Major Joint/Bursa | $723.45 | $1,113.00 | $150.26–$607.70 | 43% above | 35% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 Drain/Inject Large Joint/Bursa | $178.75 | $275.00 | $44.83–$147.13 | — | 35% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 Arthrocentesis Asp/Inj Major Joint/Bursa | $723.45 | $1,113.00 | $181.42–$595.46 | — | 35% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 Arthrocentesis Asp/Inj Major Joint/Bursa W/O US | $723.45 | $1,113.00 | $181.42–$595.46 | — | 35% |
| Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 Insertion Non-Biodegrad Drug Delivery Impl | $77.35 | $119.00 | $16.07–$64.97 | 72% below | 35% |
| Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 Insj Non-Biodegradable Drug Delivery Implant | $136.50 | $210.00 | $28.35–$114.66 | 51% below | 35% |
| Insertion of a drug-delivery implant, such as the arm birth control implant inpatient CPT 11981 Insertion Non-Biodegrad Drug Delivery Impl | $77.35 | $119.00 | $19.40–$63.67 | — | 35% |
| Insertion of a drug-delivery implant, such as the arm birth control implant inpatient CPT 11981 Insj Non-Biodegradable Drug Delivery Implant | $136.50 | $210.00 | $34.23–$112.35 | — | 35% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Drain/Inject Medium Joint/Bursa | $178.75 | $275.00 | $37.13–$150.15 | 57% below | 35% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Arthrocentesis Asp/Inj Medium Joint/Bursa W/O US | $518.70 | $798.00 | $107.73–$435.71 | 25% above | 35% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Arthrocentesis Asp/Inj Medium Joint/Bursa | $518.70 | $798.00 | $107.73–$435.71 | 25% above | 35% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 Drain/Inject Medium Joint/Bursa | $178.75 | $275.00 | $44.83–$147.13 | — | 35% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 Arthrocentesis Asp/Inj Medium Joint/Bursa W/O US | $518.70 | $798.00 | $130.07–$426.93 | — | 35% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 Arthrocentesis Asp/Inj Medium Joint/Bursa | $518.70 | $798.00 | $130.07–$426.93 | — | 35% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 Drain/Inject Small Joint/Bursa | $178.75 | $275.00 | $37.13–$150.15 | 43% below | 35% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 Arthrocentesis Asp/Inj Small Joint/Bursa | $410.15 | $631.00 | $85.19–$344.53 | 31% above | 35% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 Arthrocentesis Asp/Inj Small Joint/Bursa W/O US | $410.15 | $631.00 | $85.19–$344.53 | 31% above | 35% |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 Drain/Inject Small Joint/Bursa | $178.75 | $275.00 | $44.83–$147.13 | — | 35% |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 Arthrocentesis Asp/Inj Small Joint/Bursa | $410.15 | $631.00 | $102.85–$337.59 | — | 35% |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 Arthrocentesis Asp/Inj Small Joint/Bursa W/O US | $410.15 | $631.00 | $102.85–$337.59 | — | 35% |
| Laser treatment of clouding after cataract surgery (YAG) CPT 66821 Yag-Laser Capsulotomy 1+Stg | $343.85 | $529.00 | $71.42–$288.83 | 49% below | 35% |
| Laser treatment of clouding after cataract surgery (YAG) CPT 66821 Yag-Capsulotomy | $1,703.00 | $2,620.00 | $353.70–$1,430.52 | 154% above | 35% |
| Laser treatment of clouding after cataract surgery (YAG) inpatient CPT 66821 Yag-Laser Capsulotomy 1+Stg | $343.85 | $529.00 | $86.23–$283.02 | — | 35% |
| Laser treatment of clouding after cataract surgery (YAG) inpatient CPT 66821 Yag-Capsulotomy | $1,703.00 | $2,620.00 | $427.06–$1,401.70 | — | 35% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 Layr Clos Wnd Trunk Arm Leg <2.5cm | $236.60 | $364.00 | $49.14–$198.74 | 61% below | 35% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 Layer Closure Wound Ext < = 2.5cm | $631.80 | $972.00 | $131.22–$530.71 | 5% above | 35% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 Layr Clos Wnd Trunk Arm Leg <2.5cm | $236.60 | $364.00 | $59.33–$194.74 | — | 35% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 Layer Closure Wound Ext < = 2.5cm | $631.80 | $972.00 | $158.44–$520.02 | — | 35% |
| Left heart catheterization, diagnostic one side CPT 93452 Lt Heart Cath W/Injs Lt Ventriclgraphy | $8,070.40 | $12,416.00 | $1,676.16–$6,779.14 | 11% above | 35% |
| Left heart catheterization, diagnostic inpatient one side CPT 93452 Lt Heart Cath W/Injs Lt Ventriclgraphy | $8,070.40 | $12,416.00 | $2,023.81–$6,642.56 | — | 35% |
| Lower-back epidural injection, with imaging guidance CPT 62323 Inj Epidural Lumbr/Sac W/ Image Guide | $1,894.75 | $2,915.00 | $393.53–$1,591.59 | 29% above | 35% |
| Lower-back epidural injection, with imaging guidance CPT 62323 Inj Epidural Lumbr/Sac W/Image Guide | $1,894.75 | $2,915.00 | $393.53–$1,591.59 | 29% above | 35% |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 Inj Epidural Lumbr/Sac W/Image Guide | $1,894.75 | $2,915.00 | $475.15–$1,559.53 | — | 35% |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 Inj Epidural Lumbr/Sac W/ Image Guide | $1,894.75 | $2,915.00 | $475.15–$1,559.53 | — | 35% |
| Lower-back epidural injection, without imaging guidance CPT 62322 HB Inject Spine L/S (Cd) W/O Image Guide | $1,448.20 | $2,228.00 | $300.78–$1,216.49 | 1% below | 35% |
| Lower-back epidural injection, without imaging guidance inpatient CPT 62322 HB Inject Spine L/S (Cd) W/O Image Guide | $1,448.20 | $2,228.00 | $363.16–$1,191.98 | — | 35% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 Inject Foramen Epidural L/S | $1,402.05 | $2,157.00 | $291.20–$1,177.72 | 1% below | 35% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 Inj Transforamin Epidural; Lumb/Sacral 1 Lvl | $1,402.05 | $2,157.00 | $291.20–$1,177.72 | 1% below | 35% |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 Inject Foramen Epidural L/S | $1,402.05 | $2,157.00 | $351.59–$1,154.00 | — | 35% |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 Inj Transforamin Epidural; Lumb/Sacral 1 Lvl | $1,402.05 | $2,157.00 | $351.59–$1,154.00 | — | 35% |
| Mohs surgery for skin cancer, first stage, head, neck, hands, feet or genitals CPT 17311 Mohs 1 Stage H/N/Hf/G | $585.00 | $900.00 | $121.50–$491.40 | 22% below | 35% |
| Mohs surgery for skin cancer, first stage, head, neck, hands, feet or genitals inpatient CPT 17311 Mohs 1 Stage H/N/Hf/G | $585.00 | $900.00 | $146.70–$481.50 | — | 35% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 Exc Skin Benig <5mm Trunk Arm Leg | $425.75 | $655.00 | $88.43–$357.63 | 40% below | 35% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 Exc Skin Benig <5mm Trunk Arm Leg | $425.75 | $655.00 | $106.77–$350.43 | — | 35% |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 Exc Skin Benig <5mm Face Facial | $425.75 | $655.00 | $88.43–$357.63 | 38% below | 35% |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 Exc Skin Benig <5mm Face Facial | $425.75 | $655.00 | $106.77–$350.43 | — | 35% |
| Nail removal (partial or complete), one nail CPT 11730 Removal of Nail Plate | $122.85 | $189.00 | $25.52–$103.19 | 57% below | 35% |
| Nail removal (partial or complete), one nail CPT 11730 Avulsion of Nail Plate;Prtl/Comp;Simple | $381.55 | $587.00 | $79.25–$320.50 | 32% above | 35% |
| Nail removal (partial or complete), one nail CPT 11730 Avulsm of Nail Plate;Prtl/Comp;Simp/Sing | $381.55 | $587.00 | $79.25–$320.50 | 32% above | 35% |
| Nail removal (partial or complete), one nail inpatient CPT 11730 Removal of Nail Plate | $122.85 | $189.00 | $30.81–$101.12 | — | 35% |
| Nail removal (partial or complete), one nail inpatient CPT 11730 Avulsion of Nail Plate;Prtl/Comp;Simple | $381.55 | $587.00 | $95.68–$314.05 | — | 35% |
| Nail removal (partial or complete), one nail inpatient CPT 11730 Avulsm of Nail Plate;Prtl/Comp;Simp/Sing | $381.55 | $587.00 | $95.68–$314.05 | — | 35% |
| Occipital nerve block (injection for headaches) CPT 64405 Inject Nerve Bk. Great Occipit | $458.90 | $706.00 | $95.31–$385.48 | 11% below | 35% |
| Occipital nerve block (injection for headaches) inpatient CPT 64405 Inject Nerve Bk. Great Occipit | $458.90 | $706.00 | $115.08–$377.71 | — | 35% |
| Pacemaker implant (dual chamber) CPT 33208 Perm Pacemaker Insert Gen & Lead-Ddd | $15,316.60 | $23,564.00 | $3,181.14–$12,865.94 | 33% above | 35% |
| Pacemaker implant (dual chamber) inpatient CPT 33208 Perm Pacemaker Insert Gen & Lead-Ddd | $15,316.60 | $23,564.00 | $3,840.93–$12,606.74 | — | 35% |
| Paracentesis with imaging guidance CPT 49083 Abdm Paracentesis Dx/Ther With Ima | $1,912.30 | $2,942.00 | $397.17–$1,606.33 | 32% above | 35% |
| Paracentesis with imaging guidance inpatient CPT 49083 Abdm Paracentesis Dx/Ther With Ima | $1,912.30 | $2,942.00 | $479.55–$1,573.97 | — | 35% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 Remove Nail Bed Partial/Compl | $236.60 | $364.00 | $49.14–$198.74 | 62% below | 35% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 Excision of Nail and Matrix | $1,173.90 | $1,806.00 | $243.81–$986.08 | 87% above | 35% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 Remove Nail Bed Prtl/Comp | $1,173.90 | $1,806.00 | $243.81–$986.08 | 87% above | 35% |
| Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 Remove Nail Bed Partial/Compl | $236.60 | $364.00 | $59.33–$194.74 | — | 35% |
| Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 Remove Nail Bed Prtl/Comp | $1,173.90 | $1,806.00 | $294.38–$966.21 | — | 35% |
| Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 Excision of Nail and Matrix | $1,173.90 | $1,806.00 | $294.38–$966.21 | — | 35% |
| Prostate biopsy CPT 55700 Biopsy of Prostate Needle/Punch | $1,224.60 | $1,884.00 | $254.34–$1,028.66 | 62% below | 35% |
| Prostate biopsy CPT 55700 Prostate Biopsy Needle/Punch | $2,098.85 | $3,229.00 | $435.92–$1,763.03 | 35% below | 35% |
| Prostate biopsy inpatient CPT 55700 Biopsy of Prostate Needle/Punch | $1,224.60 | $1,884.00 | $307.09–$1,007.94 | — | 35% |
| Prostate biopsy inpatient CPT 55700 Prostate Biopsy Needle/Punch | $2,098.85 | $3,229.00 | $526.33–$1,727.52 | — | 35% |
| Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 Destruct Neuro Ag Pv Facet;L/S 1st Lvl | $2,211.30 | $3,402.00 | $459.27–$1,857.49 | 21% below | 35% |
| Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 Dest Neuro Agnt Pvfacet Jnt/Nrv; | $2,211.30 | $3,402.00 | $459.27–$1,857.49 | 21% below | 35% |
| Radiofrequency ablation of facet joint nerves, lower back, one level inpatient CPT 64635 Dest Neuro Agnt Pvfacet Jnt/Nrv; | $2,211.30 | $3,402.00 | $554.53–$1,820.07 | — | 35% |
| Radiofrequency ablation of facet joint nerves, lower back, one level inpatient CPT 64635 Destruct Neuro Ag Pv Facet;L/S 1st Lvl | $2,211.30 | $3,402.00 | $554.53–$1,820.07 | — | 35% |
| Removal of a foreign object under the skin, simple CPT 10120 Remove Foreign Body Simple | $236.60 | $364.00 | $49.14–$198.74 | 51% below | 35% |
| Removal of a foreign object under the skin, simple CPT 10120 Removal of FB Simple | $430.30 | $662.00 | $89.37–$361.45 | 11% below | 35% |
| Removal of a foreign object under the skin, simple CPT 10120 IR Incision and Removal of Foreign Body | $430.30 | $662.00 | $89.37–$361.45 | 11% below | 35% |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 Remove Foreign Body Simple | $236.60 | $364.00 | $59.33–$194.74 | — | 35% |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 IR Incision and Removal of Foreign Body | $430.30 | $662.00 | $107.91–$354.17 | — | 35% |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 Removal of FB Simple | $430.30 | $662.00 | $107.91–$354.17 | — | 35% |
| Short arm cast (elbow to hand) CPT 29075 Apply Forearm Cast | $165.10 | $254.00 | $34.29–$138.68 | 48% below | 35% |
| Short arm cast (elbow to hand) CPT 29075 Cast Application Short Arm | $518.05 | $797.00 | $107.60–$435.16 | 62% above | 35% |
| Short arm cast (elbow to hand) inpatient CPT 29075 Apply Forearm Cast | $165.10 | $254.00 | $41.40–$135.89 | — | 35% |
| Short arm cast (elbow to hand) inpatient CPT 29075 Cast Application Short Arm | $518.05 | $797.00 | $129.91–$426.40 | — | 35% |
| Short arm splint (forearm and hand) CPT 29125 Apply Forearm Splint Static | $77.35 | $119.00 | $16.07–$64.97 | 69% below | 35% |
| Short arm splint (forearm and hand) CPT 29125 Splint Application Short Arm; Static | $342.55 | $527.00 | $71.15–$287.74 | 36% above | 35% |
| Short arm splint (forearm and hand) inpatient CPT 29125 Apply Forearm Splint Static | $77.35 | $119.00 | $19.40–$63.67 | — | 35% |
| Short arm splint (forearm and hand) inpatient CPT 29125 Splint Application Short Arm; Static | $342.55 | $527.00 | $85.90–$281.95 | — | 35% |
| Short leg cast (below the knee) CPT 29405 Apply Short Leg Cast | $165.10 | $254.00 | $34.29–$138.68 | 54% below | 35% |
| Short leg cast (below the knee) inpatient CPT 29405 Apply Short Leg Cast | $165.10 | $254.00 | $41.40–$135.89 | — | 35% |
| Short leg splint (calf to foot) CPT 29515 Apply Lower Leg Splint | $96.85 | $149.00 | $20.12–$81.35 | 63% below | 35% |
| Short leg splint (calf to foot) CPT 29515 Splint Application Short Leg | $322.40 | $496.00 | $66.96–$270.82 | 22% above | 35% |
| Short leg splint (calf to foot) inpatient CPT 29515 Apply Lower Leg Splint | $96.85 | $149.00 | $24.29–$79.72 | — | 35% |
| Short leg splint (calf to foot) inpatient CPT 29515 Splint Application Short Leg | $322.40 | $496.00 | $80.85–$265.36 | — | 35% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 Repr Superf Wnd Body <2.5cm | $122.85 | $189.00 | $25.52–$103.19 | 67% below | 35% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 Wound Repair Simple Up to 2.5cm | $520.65 | $801.00 | $108.14–$437.35 | 42% above | 35% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 Repr Superf Wnd Body <2.5cm | $122.85 | $189.00 | $30.81–$101.12 | — | 35% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 Wound Repair Simple Up to 2.5cm | $520.65 | $801.00 | $130.56–$428.54 | — | 35% |
| Skin biopsy, punch, one lesion CPT 11104 Punch Biopsy Skin Single Lesion | $236.60 | $364.00 | $49.14–$198.74 | 36% below | 35% |
| Skin biopsy, punch, one lesion CPT 11104 Punch Biopsy of Skin Single Lesion | $620.75 | $955.00 | $128.93–$521.43 | 67% above | 35% |
| Skin biopsy, punch, one lesion inpatient CPT 11104 Punch Biopsy Skin Single Lesion | $236.60 | $364.00 | $59.33–$194.74 | — | 35% |
| Skin biopsy, punch, one lesion inpatient CPT 11104 Punch Biopsy of Skin Single Lesion | $620.75 | $955.00 | $155.67–$510.93 | — | 35% |
| Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 Exc Skin Malig <5mm Trunk Arm Leg | $425.75 | $655.00 | $88.43–$357.63 | 25% below | 35% |
| Skin cancer removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11600 Exc Skin Malig <5mm Trunk Arm Leg | $425.75 | $655.00 | $106.77–$350.43 | — | 35% |
| Skin tag removal, up to 15 tags CPT 11200 Removal of Skin Tags | $122.85 | $189.00 | $25.52–$103.19 | 51% below | 35% |
| Skin tag removal, up to 15 tags CPT 11200 Removal Skin Tags Any Area 1-15 Le | $265.85 | $409.00 | $55.22–$223.31 | 6% above | 35% |
| Skin tag removal, up to 15 tags inpatient CPT 11200 Removal of Skin Tags | $122.85 | $189.00 | $30.81–$101.12 | — | 35% |
| Skin tag removal, up to 15 tags inpatient CPT 11200 Removal Skin Tags Any Area 1-15 Le | $265.85 | $409.00 | $66.67–$218.82 | — | 35% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 Spinal Puncture Lumbar Diagnostic | $434.20 | $668.00 | $90.18–$364.73 | 54% below | 35% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 Lumbar Spinal Puncture; Diagnostic | $991.90 | $1,526.00 | $206.01–$833.20 | 4% above | 35% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 Spinal Tap Diagnostic | $991.90 | $1,526.00 | $206.01–$833.20 | 4% above | 35% |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 Spinal Puncture Lumbar Diagnostic | $434.20 | $668.00 | $108.88–$357.38 | — | 35% |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 Spinal Tap Diagnostic | $991.90 | $1,526.00 | $248.74–$816.41 | — | 35% |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 Lumbar Spinal Puncture; Diagnostic | $991.90 | $1,526.00 | $248.74–$816.41 | — | 35% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 Repr Sup Npterf Wnd Body 2.6-7.5 | $122.85 | $189.00 | $25.52–$103.19 | 70% below | 35% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 Wound Repair Simple 2.6-7.5 Cm | $536.25 | $825.00 | $111.38–$450.45 | 29% 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 Repr Sup Npterf Wnd Body 2.6-7.5 | $122.85 | $189.00 | $30.81–$101.12 | — | 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 Wound Repair Simple 2.6-7.5 Cm | $536.25 | $825.00 | $134.48–$441.38 | — | 35% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 Repr Superf Wnd Face <2.5cm | $122.85 | $189.00 | $25.52–$103.19 | 69% below | 35% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 Facial Repair Simple Up to 2.5 Cm | $519.35 | $799.00 | $107.87–$436.25 | 29% above | 35% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 Repr Superf Wnd Face <2.5cm | $122.85 | $189.00 | $30.81–$101.12 | — | 35% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 Facial Repair Simple Up to 2.5 Cm | $519.35 | $799.00 | $130.24–$427.47 | — | 35% |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 Tangential Biopsy Skin Single Lesion | $122.85 | $189.00 | $25.52–$103.19 | 59% below | 35% |
| Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 Tangential Biopsy Skin Single Lesion | $122.85 | $189.00 | $30.81–$101.12 | — | 35% |
| Thoracentesis with imaging guidance CPT 32555 Thoracentesis Needle/Cath Pleura W/Imag | $369.85 | $569.00 | $76.82–$310.67 | 70% below | 35% |
| Thoracentesis with imaging guidance inpatient CPT 32555 Thoracentesis Needle/Cath Pleura W/Imag | $369.85 | $569.00 | $92.75–$304.42 | — | 35% |
| Trigger point injections, 1 or 2 muscles CPT 20552 Inject Trigger Point 1 or 2 | $178.75 | $275.00 | $37.13–$150.15 | 66% below | 35% |
| Trigger point injections, 1 or 2 muscles CPT 20552 Inj Trigger Pts 1-2muscle Groups | $631.80 | $972.00 | $131.22–$530.71 | 22% above | 35% |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 Inject Trigger Point 1 or 2 | $178.75 | $275.00 | $44.83–$147.13 | — | 35% |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 Inj Trigger Pts 1-2muscle Groups | $631.80 | $972.00 | $158.44–$520.02 | — | 35% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 Bx Breast W/ Dev 1st Lesion US Gui | $962.00 | $1,480.00 | $199.80–$808.08 | 61% below | 35% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 Bx Breast W/Dev 1st Lesion US Guide | $2,928.25 | $4,505.00 | $608.18–$2,459.73 | 19% above | 35% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 Bx Breast W/ Dev 1st Lesion US Gui | $962.00 | $1,480.00 | $241.24–$791.80 | — | 35% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 Bx Breast W/Dev 1st Lesion US Guide | $2,928.25 | $4,505.00 | $734.32–$2,410.18 | — | 35% |
| Vaginal delivery, including prenatal and postpartum care CPT 59400 Dr/or/Ldr Vaginal-1st Hr | $4,574.70 | $7,038.00 | $950.13–$3,842.75 | 1% below | 35% |
| Vaginal delivery, including prenatal and postpartum care inpatient CPT 59400 Dr/or/Ldr Vaginal-1st Hr | $4,574.70 | $7,038.00 | $1,147.19–$3,765.33 | — | 35% |
| Vasectomy, one or both sides, including follow-up semen testing CPT 55250 Removal of Sperm Duct(S) | $1,224.60 | $1,884.00 | $254.34–$1,028.66 | 28% below | 35% |
| Vasectomy, one or both sides, including follow-up semen testing inpatient CPT 55250 Removal of Sperm Duct(S) | $1,224.60 | $1,884.00 | $307.09–$1,007.94 | — | 35% |
| Vein ablation, radiofrequency, first vein CPT 36475 Rfa Vein Ablation Ther W/Guide 1st Vein | $5,843.50 | $8,990.00 | $1,213.65–$4,908.54 | 12% above | 35% |
| Vein ablation, radiofrequency, first vein inpatient CPT 36475 Rfa Vein Ablation Ther W/Guide 1st Vein | $5,843.50 | $8,990.00 | $1,465.37–$4,809.65 | — | 35% |
| Wart removal, up to 14 warts CPT 17110 Destruct Benign Lesion 1-14 | $122.85 | $189.00 | $25.52–$103.19 | 49% below | 35% |
| Wart removal, up to 14 warts CPT 17110 Wart Remov Benign Lesions Upto 1-14 | $334.75 | $515.00 | $69.53–$281.19 | 39% above | 35% |
| Wart removal, up to 14 warts inpatient CPT 17110 Destruct Benign Lesion 1-14 | $122.85 | $189.00 | $30.81–$101.12 | — | 35% |
| Wart removal, up to 14 warts inpatient CPT 17110 Wart Remov Benign Lesions Upto 1-14 | $334.75 | $515.00 | $83.95–$275.53 | — | 35% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Cleansing of Skin/Tissue | $236.60 | $364.00 | $49.14–$198.74 | 66% below | 35% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Debride Skin/Tissue - Level 3 | $819.00 | $1,260.00 | $170.10–$687.96 | 19% above | 35% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Debridement Skin/Tissue | $819.00 | $1,260.00 | $170.10–$687.96 | 19% above | 35% |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 Cleansing of Skin/Tissue | $236.60 | $364.00 | $59.33–$194.74 | — | 35% |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 Debride Skin/Tissue - Level 3 | $819.00 | $1,260.00 | $205.38–$674.10 | — | 35% |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 Debridement Skin/Tissue | $819.00 | $1,260.00 | $205.38–$674.10 | — | 35% |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Illinois | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 Blood Transfusion Service | $271.70 | $418.00 | $56.43–$228.23 | 69% below | 35% |
| Blood transfusion (giving blood or blood components) CPT 36430 Transfusion | $774.15 | $1,191.00 | $160.79–$650.29 | 12% below | 35% |
| Blood transfusion (giving blood or blood components) CPT 36430 Blood Transfusion | $774.15 | $1,191.00 | $160.79–$650.29 | 12% below | 35% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 Blood Transfusion Service | $271.70 | $418.00 | $68.13–$223.63 | — | 35% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 Transfusion | $774.15 | $1,191.00 | $194.13–$637.19 | — | 35% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 Blood Transfusion | $774.15 | $1,191.00 | $194.13–$637.19 | — | 35% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Airway Inhalation Treatment | $128.70 | $198.00 | $26.73–$108.11 | 33% below | 35% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Inhalation Treatment - Subseq | $138.45 | $213.00 | $28.76–$116.30 | 28% below | 35% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Inhalation Therapy | $138.45 | $213.00 | $28.76–$116.30 | 28% below | 35% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Airway Inhalation Treatment | $128.70 | $198.00 | $32.27–$105.93 | — | 35% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Inhalation Therapy | $138.45 | $213.00 | $34.72–$113.96 | — | 35% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Inhalation Treatment - Subseq | $138.45 | $213.00 | $34.72–$113.96 | — | 35% |
| Chemotherapy IV infusion, first hour CPT 96413 Chemotx IV Admin 1st Hr Sngl/1st D | $253.50 | $390.00 | $52.65–$212.94 | 60% below | 35% |
| Chemotherapy IV infusion, first hour CPT 96413 Chemo IV Infusion Up to 1 Hr | $635.05 | $977.00 | $131.90–$533.44 | 1% below | 35% |
| Chemotherapy IV infusion, first hour inpatient CPT 96413 Chemotx IV Admin 1st Hr Sngl/1st D | $253.50 | $390.00 | $63.57–$208.65 | — | 35% |
| Chemotherapy IV infusion, first hour inpatient CPT 96413 Chemo IV Infusion Up to 1 Hr | $635.05 | $977.00 | $159.25–$522.70 | — | 35% |
| Comprehensive eye exam by an eye doctor, new patient CPT 92004 Ophthalmological New/Pt Comprehensive | $81.25 | $125.00 | $16.88–$68.25 | 40% below | 35% |
| Comprehensive eye exam by an eye doctor, new patient inpatient CPT 92004 Ophthalmological New/Pt Comprehensive | $81.25 | $125.00 | $20.38–$66.88 | — | 35% |
| Comprehensive eye exam, returning patient CPT 92014 Ophthalmological Estab/Pt Comprehensive | $81.25 | $125.00 | $16.88–$68.25 | 35% below | 35% |
| Comprehensive eye exam, returning patient inpatient CPT 92014 Ophthalmological Estab/Pt Comprehensive | $81.25 | $125.00 | $20.38–$66.88 | — | 35% |
| Comprehensive hearing test: tone and speech audiometry, both ears CPT 92557 Comprehensive Hearing Test | $95.55 | $147.00 | $19.85–$80.26 | 63% below | 35% |
| Comprehensive hearing test: tone and speech audiometry, both ears inpatient CPT 92557 Comprehensive Hearing Test | $95.55 | $147.00 | $23.96–$78.65 | — | 35% |
| Critical care, first 30 to 74 minutes CPT 99291 ER Visit Level 6 | $3,003.00 | $4,620.00 | $623.70–$2,522.52 | 45% above | 35% |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 ER Visit Level 6 | $3,003.00 | $4,620.00 | $753.06–$2,471.70 | — | 35% |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 Eeg Awake/Drowsy | $913.90 | $1,406.00 | $189.81–$767.68 | 5% above | 35% |
| EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 Eeg Awake/Drowsy | $913.90 | $1,406.00 | $229.18–$752.21 | — | 35% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Electrocardiogram Tracing | $52.65 | $81.00 | $10.94–$44.23 | 77% below | 35% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Ekg Routine Office Performed | $52.65 | $81.00 | $10.94–$44.23 | 77% below | 35% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Order Routine Ekg | $191.75 | $295.00 | $39.83–$161.07 | 18% below | 35% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Ekg Routine | $214.50 | $330.00 | $44.55–$180.18 | 8% below | 35% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 Electrocardiogram Tracing | $52.65 | $81.00 | $13.20–$43.34 | — | 35% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 Ekg Routine Office Performed | $52.65 | $81.00 | $13.20–$43.34 | — | 35% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 Order Routine Ekg | $191.75 | $295.00 | $48.09–$157.83 | — | 35% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 Ekg Routine | $214.50 | $330.00 | $53.79–$176.55 | — | 35% |
| Electroconvulsive therapy (ECT), one session CPT 90870 Electric Convulsive Therapy | $843.05 | $1,297.00 | $175.10–$708.16 | 7% below | 35% |
| Electroconvulsive therapy (ECT), one session inpatient CPT 90870 Electric Convulsive Therapy | $843.05 | $1,297.00 | $211.41–$693.90 | — | 35% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ER Visit Level 1 | $286.00 | $440.00 | $59.40–$240.24 | 28% above | 35% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 ER Visit Level 1 | $286.00 | $440.00 | $71.72–$235.40 | — | 35% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 ER Visit Level 2 | $597.35 | $919.00 | $124.07–$501.77 | 49% above | 35% |
| Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 ER Visit Level 2 | $597.35 | $919.00 | $149.80–$491.67 | — | 35% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 ER Visit Level 3 | $1,082.25 | $1,665.00 | $224.78–$909.09 | 55% above | 35% |
| Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 ER Visit Level 3 | $1,082.25 | $1,665.00 | $271.40–$890.78 | — | 35% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 ER Visit Level 4 | $1,875.90 | $2,886.00 | $389.61–$1,575.76 | 64% above | 35% |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 ER Visit Level 4 | $1,875.90 | $2,886.00 | $470.42–$1,544.01 | — | 35% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 ER Visit Level 5 | $2,516.80 | $3,872.00 | $522.72–$2,114.11 | 58% above | 35% |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 ER Visit Level 5 | $2,516.80 | $3,872.00 | $631.14–$2,071.52 | — | 35% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 Cardiac Stress Tst Tracing Only | $180.70 | $278.00 | $37.53–$151.79 | 81% below | 35% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 Cardiac Stress Test Trace Only | $1,110.85 | $1,709.00 | $230.72–$933.11 | 17% above | 35% |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 Cardiac Stress Tst Tracing Only | $180.70 | $278.00 | $45.31–$148.73 | — | 35% |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 Cardiac Stress Test Trace Only | $1,110.85 | $1,709.00 | $278.57–$914.32 | — | 35% |
| Eye exam, returning patient, intermediate CPT 92012 Ophthalmological Estab/Pt Intermediate | $81.25 | $125.00 | $16.88–$68.25 | 35% below | 35% |
| Eye exam, returning patient, intermediate inpatient CPT 92012 Ophthalmological Estab/Pt Intermediate | $81.25 | $125.00 | $20.38–$66.88 | — | 35% |
| Family therapy with the patient, 50 minutes CPT 90847 Spec Family Therapy W Phys | $111.80 | $172.00 | $23.22–$93.91 | 38% below | 35% |
| Family therapy with the patient, 50 minutes CPT 90847 HB Psychotherapy Family W/Pt - MC | $178.10 | $274.00 | $36.99–$149.60 | 1% below | 35% |
| Family therapy with the patient, 50 minutes CPT 90847 Psychotherapy Family W/Pt | $178.10 | $274.00 | $36.99–$149.60 | 1% below | 35% |
| Family therapy with the patient, 50 minutes CPT 90847 Family Psychotherapy W/Pt 50+ Mins | $190.45 | $293.00 | $39.56–$159.98 | 6% above | 35% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 Spec Family Therapy W Phys | $111.80 | $172.00 | $28.04–$92.02 | — | 35% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 Psychotherapy Family W/Pt | $178.10 | $274.00 | $44.66–$146.59 | — | 35% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 HB Psychotherapy Family W/Pt - MC | $178.10 | $274.00 | $44.66–$146.59 | — | 35% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 Family Psychotherapy W/Pt 50+ Mins | $190.45 | $293.00 | $47.76–$156.76 | — | 35% |
| Family therapy without the patient, 50 minutes CPT 90846 Spec Family Therapy No Pt | $111.80 | $172.00 | $23.22–$93.91 | 39% below | 35% |
| Family therapy without the patient, 50 minutes CPT 90846 Family Psychotherapy W/O Pt 1-50 Mins | $174.85 | $269.00 | $36.32–$146.87 | 5% below | 35% |
| Family therapy without the patient, 50 minutes CPT 90846 Family Psychotx W/O Pt | $234.65 | $361.00 | $48.74–$197.11 | 28% above | 35% |
| Family therapy without the patient, 50 minutes CPT 90846 Family Psychotherapy W/O Pt 50+ Mins | $328.25 | $505.00 | $68.18–$275.73 | 79% above | 35% |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 Spec Family Therapy No Pt | $111.80 | $172.00 | $28.04–$92.02 | — | 35% |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 Family Psychotherapy W/O Pt 1-50 Mins | $174.85 | $269.00 | $43.85–$143.92 | — | 35% |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 Family Psychotx W/O Pt | $234.65 | $361.00 | $58.84–$193.14 | — | 35% |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 Family Psychotherapy W/O Pt 50+ Mins | $328.25 | $505.00 | $82.32–$270.18 | — | 35% |
| Group psychotherapy session CPT 90853 Spec Group Therapy | $52.65 | $81.00 | $10.94–$44.23 | 59% below | 35% |
| Group psychotherapy session CPT 90853 Aftercare Group Psychotherapy | $126.75 | $195.00 | $26.33–$106.47 | 2% below | 35% |
| Group psychotherapy session CPT 90853 HB Group Psychotherapy - MC | $152.75 | $235.00 | $31.73–$128.31 | 19% above | 35% |
| Group psychotherapy session CPT 90853 Group Psychotherapy | $153.40 | $236.00 | $31.86–$128.86 | 19% above | 35% |
| Group psychotherapy session CPT 90853 Adol Day Hosp-Half Day | $247.00 | $380.00 | $51.30–$207.48 | 92% above | 35% |
| Group psychotherapy session CPT 90853 Group Psychtherapy - Iop | $271.70 | $418.00 | $56.43–$228.23 | 111% above | 35% |
| Group psychotherapy session CPT 90853 Adolescent Day School Only | $283.40 | $436.00 | $58.86–$238.06 | 120% above | 35% |
| Group psychotherapy session CPT 90853 Partial Day Pg | $317.20 | $488.00 | $65.88–$266.45 | 146% above | 35% |
| Group psychotherapy session CPT 90853 Adol Day Hospital-Full Day | $317.20 | $488.00 | $65.88–$266.45 | 146% above | 35% |
| Group psychotherapy session inpatient CPT 90853 Spec Group Therapy | $52.65 | $81.00 | $13.20–$43.34 | — | 35% |
| Group psychotherapy session inpatient CPT 90853 Aftercare Group Psychotherapy | $126.75 | $195.00 | $31.79–$104.33 | — | 35% |
| Group psychotherapy session inpatient CPT 90853 HB Group Psychotherapy - MC | $152.75 | $235.00 | $38.31–$125.73 | — | 35% |
| Group psychotherapy session inpatient CPT 90853 Group Psychotherapy | $153.40 | $236.00 | $38.47–$126.26 | — | 35% |
| Group psychotherapy session inpatient CPT 90853 Adol Day Hosp-Half Day | $247.00 | $380.00 | $61.94–$203.30 | — | 35% |
| Group psychotherapy session inpatient CPT 90853 Group Psychtherapy - Iop | $271.70 | $418.00 | $68.13–$223.63 | — | 35% |
| Group psychotherapy session inpatient CPT 90853 Adolescent Day School Only | $283.40 | $436.00 | $71.07–$233.26 | — | 35% |
| Group psychotherapy session inpatient CPT 90853 Adol Day Hospital-Full Day | $317.20 | $488.00 | $79.54–$261.08 | — | 35% |
| Group psychotherapy session inpatient CPT 90853 Partial Day Pg | $317.20 | $488.00 | $79.54–$261.08 | — | 35% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 Hydration IV Infuse Int 31-60mins | $162.50 | $250.00 | $33.75–$136.50 | 52% below | 35% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV Infusion-Hydration 31 Min - 1 Hr | $381.55 | $587.00 | $79.25–$320.50 | 13% above | 35% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 Hydration IV Infuse Int 31-60mins | $162.50 | $250.00 | $40.75–$133.75 | — | 35% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV Infusion-Hydration 31 Min - 1 Hr | $381.55 | $587.00 | $95.68–$314.05 | — | 35% |
| IV infusion of a medicine, first hour CPT 96365 IV Infuse Ther/Pro/Dx 1st >1hr | $197.60 | $304.00 | $41.04–$165.98 | 52% below | 35% |
| IV infusion of a medicine, first hour CPT 96365 IV Infusion-Therapeutic/Dx/Pro Up to 1 Hr | $425.10 | $654.00 | $88.29–$357.08 | 4% above | 35% |
| IV infusion of a medicine, first hour inpatient CPT 96365 IV Infuse Ther/Pro/Dx 1st >1hr | $197.60 | $304.00 | $49.55–$162.64 | — | 35% |
| IV infusion of a medicine, first hour inpatient CPT 96365 IV Infusion-Therapeutic/Dx/Pro Up to 1 Hr | $425.10 | $654.00 | $106.60–$349.89 | — | 35% |
| IV push of a medicine, first drug CPT 96374 Tx/Pro/Dx Inj Ivpush 1st Drg/Sub | $139.75 | $215.00 | $29.03–$117.39 | 35% below | 35% |
| IV push of a medicine, first drug CPT 96374 Inj IV Push-Tdp Sing/Init Sub | $226.20 | $348.00 | $46.98–$190.01 | 5% above | 35% |
| IV push of a medicine, first drug inpatient CPT 96374 Tx/Pro/Dx Inj Ivpush 1st Drg/Sub | $139.75 | $215.00 | $35.05–$115.03 | — | 35% |
| IV push of a medicine, first drug inpatient CPT 96374 Inj IV Push-Tdp Sing/Init Sub | $226.20 | $348.00 | $56.72–$186.18 | — | 35% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 Tx/Pro/Dx Inj Subq/Im | $42.25 | $65.00 | $8.78–$35.49 | 61% below | 35% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 Im/Sc Injection Tx/Pro/Dx | $128.70 | $198.00 | $26.73–$108.11 | 18% above | 35% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Tx/Pro/Dx Inj Subq/Im | $42.25 | $65.00 | $10.60–$34.78 | — | 35% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Im/Sc Injection Tx/Pro/Dx | $128.70 | $198.00 | $32.27–$105.93 | — | 35% |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 Psychiatric Diagnostic Eval | $91.65 | $141.00 | $19.04–$76.99 | 66% below | 35% |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 HB Psych Assessment - 30minutes - MC | $273.65 | $421.00 | $56.84–$229.87 | 3% above | 35% |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 Psych Assessment - 30minutes | $273.65 | $421.00 | $56.84–$229.87 | 3% above | 35% |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 HB Psych Assessment - 60minutes - MC | $308.75 | $475.00 | $64.13–$259.35 | 16% above | 35% |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 Psych Assessment - 60minutes | $308.75 | $475.00 | $64.13–$259.35 | 16% above | 35% |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 Psych Assessment - 90minutes | $339.30 | $522.00 | $70.47–$285.01 | 27% above | 35% |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 HB Psych Assessment - 90minutes - MC | $339.30 | $522.00 | $70.47–$285.01 | 27% above | 35% |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 Psych Assessment - 120 Minutes | $386.10 | $594.00 | $80.19–$324.32 | 45% above | 35% |
| Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 Psychiatric Diagnostic Eval | $91.65 | $141.00 | $22.98–$75.44 | — | 35% |
| Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 Psych Assessment - 30minutes | $273.65 | $421.00 | $68.62–$225.24 | — | 35% |
| Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 HB Psych Assessment - 30minutes - MC | $273.65 | $421.00 | $68.62–$225.24 | — | 35% |
| Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 HB Psych Assessment - 60minutes - MC | $308.75 | $475.00 | $77.43–$254.13 | — | 35% |
| Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 Psych Assessment - 60minutes | $308.75 | $475.00 | $77.43–$254.13 | — | 35% |
| Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 Psych Assessment - 90minutes | $339.30 | $522.00 | $85.09–$279.27 | — | 35% |
| Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 HB Psych Assessment - 90minutes - MC | $339.30 | $522.00 | $85.09–$279.27 | — | 35% |
| Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 Psych Assessment - 120 Minutes | $386.10 | $594.00 | $96.82–$317.79 | — | 35% |
| Nerve conduction study, 7 or 8 nerve studies CPT 95910 Nerve Conduction 7-8 Studies | $183.30 | $282.00 | $38.07–$153.97 | 75% below | 35% |
| Nerve conduction study, 7 or 8 nerve studies CPT 95910 Nerve Conduction Studies 7-8 Studies | $271.70 | $418.00 | $56.43–$228.23 | 63% below | 35% |
| Nerve conduction study, 7 or 8 nerve studies inpatient CPT 95910 Nerve Conduction 7-8 Studies | $183.30 | $282.00 | $45.97–$150.87 | — | 35% |
| Nerve conduction study, 7 or 8 nerve studies inpatient CPT 95910 Nerve Conduction Studies 7-8 Studies | $271.70 | $418.00 | $68.13–$223.63 | — | 35% |
| Neuromuscular re-education, 15 minutes CPT 97112 Ot Neuro Re-Educ 15 Min | $95.55 | $147.00 | $19.85–$80.26 | 20% below | 35% |
| Neuromuscular re-education, 15 minutes CPT 97112 Pt Neuro Re-Educ 15 Min | $95.55 | $147.00 | $19.85–$80.26 | 20% below | 35% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 Ot Neuro Re-Educ 15 Min | $95.55 | $147.00 | $23.96–$78.65 | — | 35% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 Pt Neuro Re-Educ 15 Min | $95.55 | $147.00 | $23.96–$78.65 | — | 35% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 Mnt Initial Asses&Interv/15min | $28.60 | $44.00 | $5.94–$24.02 | 47% below | 35% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 Mnt Initial Asses&Interv/15min | $28.60 | $44.00 | $7.17–$23.54 | — | 35% |
| Occupational therapy evaluation, low complexity CPT 97165 Ot Evaluation Low Complex 30 Mins | $189.15 | $291.00 | $39.29–$158.89 | 26% below | 35% |
| Occupational therapy evaluation, low complexity inpatient CPT 97165 Ot Evaluation Low Complex 30 Mins | $189.15 | $291.00 | $47.43–$155.69 | — | 35% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 Pt Evaluation High Complex 45 Mins | $232.05 | $357.00 | $48.20–$194.92 | 32% below | 35% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 Pt Evaluation High Complex 45 Mins | $232.05 | $357.00 | $58.19–$191.00 | — | 35% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 Pt Evaluation Low Complex 20 Mins | $189.15 | $291.00 | $39.29–$158.89 | 16% below | 35% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 Pt Evaluation Low Complex 20 Mins | $189.15 | $291.00 | $47.43–$155.69 | — | 35% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 Pt Evaluation Moderate Complex 30 Mins | $217.10 | $334.00 | $45.09–$182.36 | 29% below | 35% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 Pt Evaluation Moderate Complex 30 Mins | $217.10 | $334.00 | $54.44–$178.69 | — | 35% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Ot Manual Therapy 15 Min | $81.90 | $126.00 | $17.01–$68.80 | 39% below | 35% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Pt Manual Therapy 15 Min | $81.90 | $126.00 | $17.01–$68.80 | 39% below | 35% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 Pt Manual Therapy 15 Min | $81.90 | $126.00 | $20.54–$67.41 | — | 35% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 Ot Manual Therapy 15 Min | $81.90 | $126.00 | $20.54–$67.41 | — | 35% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Pt Ther Ex-15 Min | $82.55 | $127.00 | $17.15–$69.34 | 26% below | 35% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Ot Ther Ex-15 Min | $82.55 | $127.00 | $17.15–$69.34 | 26% below | 35% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 Pt Ther Ex-15 Min | $82.55 | $127.00 | $20.70–$67.95 | — | 35% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 Ot Ther Ex-15 Min | $82.55 | $127.00 | $20.70–$67.95 | — | 35% |
| Preventive checkup, new patient aged 18–39 CPT 99385 Prev.Med New Pt 18-39 Yrs | $180.05 | $277.00 | $37.40–$151.24 | 28% below | 35% |
| Preventive checkup, new patient aged 18–39 inpatient CPT 99385 Prev.Med New Pt 18-39 Yrs | $180.05 | $277.00 | $45.15–$148.20 | — | 35% |
| Preventive checkup, new patient aged 40–64 CPT 99386 Preventive Visit New 40-64 | $222.30 | $342.00 | $46.17–$186.73 | 9% below | 35% |
| Preventive checkup, new patient aged 40–64 inpatient CPT 99386 Preventive Visit New 40-64 | $222.30 | $342.00 | $55.75–$182.97 | — | 35% |
| Preventive checkup, returning patient aged 18–39 CPT 99395 Prev Med Est Pt 18-39 Yrs | $178.10 | $274.00 | $36.99–$149.60 | 6% below | 35% |
| Preventive checkup, returning patient aged 18–39 inpatient CPT 99395 Prev Med Est Pt 18-39 Yrs | $178.10 | $274.00 | $44.66–$146.59 | — | 35% |
| Preventive checkup, returning patient aged 40–64 CPT 99396 Preventive Visit Est 40-64 | $196.30 | $302.00 | $40.77–$164.89 | 8% below | 35% |
| Preventive checkup, returning patient aged 40–64 inpatient CPT 99396 Preventive Visit Est 40-64 | $196.30 | $302.00 | $49.23–$161.57 | — | 35% |
| Preventive checkup, returning patient aged 65 or older CPT 99397 Preventive Visit Est 65 & Over | $201.50 | $310.00 | $41.85–$169.26 | 12% below | 35% |
| Preventive checkup, returning patient aged 65 or older inpatient CPT 99397 Preventive Visit Est 65 & Over | $201.50 | $310.00 | $50.53–$165.85 | — | 35% |
| Psychiatric evaluation with medical services CPT 90792 Psychiatric Diagnostic Eval W/Medical Srvcs | $91.65 | $141.00 | $19.04–$76.99 | 74% below | 35% |
| Psychiatric evaluation with medical services CPT 90792 HB Psych Diagnostic Eval W/Medical Services | $407.55 | $627.00 | $84.65–$342.34 | 14% above | 35% |
| Psychiatric evaluation with medical services inpatient CPT 90792 Psychiatric Diagnostic Eval W/Medical Srvcs | $91.65 | $141.00 | $22.98–$75.44 | — | 35% |
| Psychiatric evaluation with medical services inpatient CPT 90792 HB Psych Diagnostic Eval W/Medical Services | $407.55 | $627.00 | $102.20–$335.45 | — | 35% |
| Psychological testing evaluation by a psychologist or physician, first hour CPT 96130 Psychological Testing Eval Svcs Phys/Qhp 1st Hr | $180.70 | $278.00 | $37.53–$151.79 | 42% below | 35% |
| Psychological testing evaluation by a psychologist or physician, first hour inpatient CPT 96130 Psychological Testing Eval Svcs Phys/Qhp 1st Hr | $180.70 | $278.00 | $45.31–$148.73 | — | 35% |
| Psychotherapy for crisis, first 60 minutes CPT 90839 Psychotherapy Crisis Initial 60 Minutes | $91.65 | $141.00 | $19.04–$76.99 | 63% below | 35% |
| Psychotherapy for crisis, first 60 minutes CPT 90839 HB Crisis Psychotherapy - Initial 60 Mins | $191.75 | $295.00 | $39.83–$161.07 | 23% below | 35% |
| Psychotherapy for crisis, first 60 minutes inpatient CPT 90839 Psychotherapy Crisis Initial 60 Minutes | $91.65 | $141.00 | $22.98–$75.44 | — | 35% |
| Psychotherapy for crisis, first 60 minutes inpatient CPT 90839 HB Crisis Psychotherapy - Initial 60 Mins | $191.75 | $295.00 | $48.09–$157.83 | — | 35% |
| Psychotherapy session, 30 minutes CPT 90832 Psychotherapy Pt &/or Family 30 Min | $91.65 | $141.00 | $19.04–$76.99 | 52% below | 35% |
| Psychotherapy session, 30 minutes CPT 90832 Psychotherapy W/Pt &/or Family 30 Mins | $136.50 | $210.00 | $28.35–$114.66 | 28% below | 35% |
| Psychotherapy session, 30 minutes CPT 90832 HB Psychotherapy W/Pt &/or Family 30 Mins - MC | $136.50 | $210.00 | $28.35–$114.66 | 28% below | 35% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 Psychotherapy Pt &/or Family 30 Min | $91.65 | $141.00 | $22.98–$75.44 | — | 35% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 HB Psychotherapy W/Pt &/or Family 30 Mins - MC | $136.50 | $210.00 | $34.23–$112.35 | — | 35% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 Psychotherapy W/Pt &/or Family 30 Mins | $136.50 | $210.00 | $34.23–$112.35 | — | 35% |
| Psychotherapy session, 45 minutes CPT 90834 Psychotherapy Pt &/or Family 45 Minutes | $91.65 | $141.00 | $19.04–$76.99 | 53% below | 35% |
| Psychotherapy session, 45 minutes CPT 90834 HB Psychotherapy W/Pt &/or Family 45 Mins | $219.05 | $337.00 | $45.50–$184.00 | 13% above | 35% |
| Psychotherapy session, 45 minutes CPT 90834 HB Psychotherapy W/Pt &/or Family 45 Mins - MC | $219.05 | $337.00 | $45.50–$184.00 | 13% above | 35% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 Psychotherapy Pt &/or Family 45 Minutes | $91.65 | $141.00 | $22.98–$75.44 | — | 35% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 HB Psychotherapy W/Pt &/or Family 45 Mins | $219.05 | $337.00 | $54.93–$180.30 | — | 35% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 HB Psychotherapy W/Pt &/or Family 45 Mins - MC | $219.05 | $337.00 | $54.93–$180.30 | — | 35% |
| Psychotherapy session, 60 minutes CPT 90837 Psychotherapy Pt &/or Family 60 Minutes | $91.65 | $141.00 | $19.04–$76.99 | 68% below | 35% |
| Psychotherapy session, 60 minutes CPT 90837 HB Psychotherapy W/Pt &/or Family 60 Mins - MC | $264.55 | $407.00 | $54.95–$222.22 | 8% below | 35% |
| Psychotherapy session, 60 minutes CPT 90837 HB Psychotherapy W/Pt &/or Family 60 Mins | $264.55 | $407.00 | $54.95–$222.22 | 8% below | 35% |
| Psychotherapy session, 60 minutes CPT 90837 Daily Iop Bundled-Chapman Ctr | $331.50 | $510.00 | $68.85–$278.46 | 15% above | 35% |
| Psychotherapy session, 60 minutes CPT 90837 Daily Php Bundled-Chapman Ctr | $409.50 | $630.00 | $85.05–$343.98 | 43% above | 35% |
| Psychotherapy session, 60 minutes CPT 90837 Daily Detox Php Bundled-Chap C | $569.40 | $876.00 | $118.26–$478.30 | 98% above | 35% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 Psychotherapy Pt &/or Family 60 Minutes | $91.65 | $141.00 | $22.98–$75.44 | — | 35% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 HB Psychotherapy W/Pt &/or Family 60 Mins | $264.55 | $407.00 | $66.34–$217.75 | — | 35% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 HB Psychotherapy W/Pt &/or Family 60 Mins - MC | $264.55 | $407.00 | $66.34–$217.75 | — | 35% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 Daily Iop Bundled-Chapman Ctr | $331.50 | $510.00 | $83.13–$272.85 | — | 35% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 Daily Php Bundled-Chapman Ctr | $409.50 | $630.00 | $102.69–$337.05 | — | 35% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 Daily Detox Php Bundled-Chap C | $569.40 | $876.00 | $142.79–$468.66 | — | 35% |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 Behav Chng Smoking 3-10 Min | $22.10 | $34.00 | $4.59–$18.56 | 46% below | 35% |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 Smoke/Tob Use Cessation Intermed 3 | $63.70 | $98.00 | $13.23–$53.51 | 55% above | 35% |
| Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 Behav Chng Smoking 3-10 Min | $22.10 | $34.00 | $5.54–$18.19 | — | 35% |
| Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 Smoke/Tob Use Cessation Intermed 3 | $63.70 | $98.00 | $15.97–$52.43 | — | 35% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 Office/Outpt Visit Est Levl V (>46min) | $81.25 | $125.00 | $16.88–$68.25 | 71% below | 35% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 Level 5 Colposcopy Est Pt Visit | $268.45 | $413.00 | $55.76–$225.50 | 3% below | 35% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 Level 5 Est Pt Visit | $268.45 | $413.00 | $55.76–$225.50 | 3% below | 35% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 Opd Level 5 Est Pt Visit | $268.45 | $413.00 | $55.76–$225.50 | 3% below | 35% |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 Office/Outpt Visit Est Levl V (>46min) | $81.25 | $125.00 | $20.38–$66.88 | — | 35% |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 Level 5 Colposcopy Est Pt Visit | $268.45 | $413.00 | $67.32–$220.96 | — | 35% |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 Opd Level 5 Est Pt Visit | $268.45 | $413.00 | $67.32–$220.96 | — | 35% |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 Level 5 Est Pt Visit | $268.45 | $413.00 | $67.32–$220.96 | — | 35% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 Office/Outpt Visit Est Levl III (16-30min) | $81.25 | $125.00 | $16.88–$68.25 | 47% below | 35% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 Opd Level 3 Est Pt Visit | $183.95 | $283.00 | $38.21–$154.52 | 21% above | 35% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 Level 3 Est Pt Visit | $183.95 | $283.00 | $38.21–$154.52 | 21% above | 35% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 Level 3 Colposcopy Est Pt Visit | $183.95 | $283.00 | $38.21–$154.52 | 21% above | 35% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 Office/Outpt Visit Est Levl III (16-30min) | $81.25 | $125.00 | $20.38–$66.88 | — | 35% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 Opd Level 3 Est Pt Visit | $183.95 | $283.00 | $46.13–$151.41 | — | 35% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 Level 3 Colposcopy Est Pt Visit | $183.95 | $283.00 | $46.13–$151.41 | — | 35% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 Level 3 Est Pt Visit | $183.95 | $283.00 | $46.13–$151.41 | — | 35% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Office/Outpt Visit Est Levl IV (31-45min) | $81.25 | $125.00 | $16.88–$68.25 | 56% below | 35% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Level 4 Est Pt Visit | $247.00 | $380.00 | $51.30–$207.48 | 34% above | 35% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Level 4 Colposcopy Est Pt Visit | $247.00 | $380.00 | $51.30–$207.48 | 34% above | 35% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Opd Level 4 Est Pt Visit | $247.00 | $380.00 | $51.30–$207.48 | 34% above | 35% |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 Office/Outpt Visit Est Levl IV (31-45min) | $81.25 | $125.00 | $20.38–$66.88 | — | 35% |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 Level 4 Est Pt Visit | $247.00 | $380.00 | $61.94–$203.30 | — | 35% |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 Opd Level 4 Est Pt Visit | $247.00 | $380.00 | $61.94–$203.30 | — | 35% |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 Level 4 Colposcopy Est Pt Visit | $247.00 | $380.00 | $61.94–$203.30 | — | 35% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Office/Outpt Visit Est Levl II (1-15min) | $81.25 | $125.00 | $16.88–$68.25 | 35% below | 35% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Opd Level 2 Est Pt Visit | $154.70 | $238.00 | $32.13–$129.95 | 24% above | 35% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Level 2 Est Pt Visit | $154.70 | $238.00 | $32.13–$129.95 | 24% above | 35% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Level 2 Colposcopy Est Pt Visit | $154.70 | $238.00 | $32.13–$129.95 | 24% above | 35% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 Office/Outpt Visit Est Levl II (1-15min) | $81.25 | $125.00 | $20.38–$66.88 | — | 35% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 Level 2 Est Pt Visit | $154.70 | $238.00 | $38.79–$127.33 | — | 35% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 Level 2 Colposcopy Est Pt Visit | $154.70 | $238.00 | $38.79–$127.33 | — | 35% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 Opd Level 2 Est Pt Visit | $154.70 | $238.00 | $38.79–$127.33 | — | 35% |
| Speech and language evaluation CPT 92523 Sp Eval Speech Sound Product Lang Comprehension | $333.45 | $513.00 | $69.26–$280.10 | 4% below | 35% |
| Speech and language evaluation inpatient CPT 92523 Sp Eval Speech Sound Product Lang Comprehension | $333.45 | $513.00 | $83.62–$274.46 | — | 35% |
| Speech therapy session, individual CPT 92507 Sp Lang Ther Individual Tx | $223.60 | $344.00 | $46.44–$187.82 | 30% above | 35% |
| Speech therapy session, individual inpatient CPT 92507 Sp Lang Ther Individual Tx | $223.60 | $344.00 | $56.07–$184.04 | — | 35% |
| Spirometry (breathing test) CPT 94010 Breathing Capacity Test | $107.90 | $166.00 | $22.41–$90.64 | 64% below | 35% |
| Spirometry (breathing test) CPT 94010 Pulmonary Func/Fvc | $328.90 | $506.00 | $68.31–$276.28 | 9% above | 35% |
| Spirometry (breathing test) inpatient CPT 94010 Breathing Capacity Test | $107.90 | $166.00 | $27.06–$88.81 | — | 35% |
| Spirometry (breathing test) inpatient CPT 94010 Pulmonary Func/Fvc | $328.90 | $506.00 | $82.48–$270.71 | — | 35% |
| Spirometry before and after a bronchodilator CPT 94060 Eval of Bronchospasm | $180.70 | $278.00 | $37.53–$151.79 | 67% below | 35% |
| Spirometry before and after a bronchodilator CPT 94060 Bronchospasm Evaluation | $585.65 | $901.00 | $121.64–$491.95 | 7% above | 35% |
| Spirometry before and after a bronchodilator inpatient CPT 94060 Eval of Bronchospasm | $180.70 | $278.00 | $45.31–$148.73 | — | 35% |
| Spirometry before and after a bronchodilator inpatient CPT 94060 Bronchospasm Evaluation | $585.65 | $901.00 | $146.86–$482.04 | — | 35% |
| TMS (transcranial magnetic stimulation), first session with mapping CPT 90867 Repet Tms Tx Initl W/Map/Motr | $180.70 | $278.00 | $37.53–$151.79 | 43% below | 35% |
| TMS (transcranial magnetic stimulation), first session with mapping inpatient CPT 90867 Repet Tms Tx Initl W/Map/Motr | $180.70 | $278.00 | $45.31–$148.73 | — | 35% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 Pt Functional Activities-15 Min | $128.05 | $197.00 | $26.60–$107.56 | 3% above | 35% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 Ot Functional Activities-15 Min | $128.05 | $197.00 | $26.60–$107.56 | 3% above | 35% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 Pt Functional Activities-15 Min | $128.05 | $197.00 | $32.11–$105.40 | — | 35% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 Ot Functional Activities-15 Min | $128.05 | $197.00 | $32.11–$105.40 | — | 35% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 Therapeutic Bleeding Phlebotomy | $164.45 | $253.00 | $34.16–$138.14 | 24% below | 35% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 Therapeutic Phlebotomy (P) | $169.65 | $261.00 | $35.24–$142.51 | 21% below | 35% |
| Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 Therapeutic Bleeding Phlebotomy | $164.45 | $253.00 | $41.24–$135.36 | — | 35% |
| Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 Therapeutic Phlebotomy (P) | $169.65 | $261.00 | $42.54–$139.64 | — | 35% |
| Visual field test, extended both sides CPT 92083 Visual Field Exam Uni/Bi Extende | $89.70 | $138.00 | $18.63–$75.35 | — | 35% |
| Visual field test, extended inpatient both sides CPT 92083 Visual Field Exam Uni/Bi Extende | $89.70 | $138.00 | $22.49–$73.83 | — | 35% |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Illinois | Off list |
|---|---|---|---|---|---|
| Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older CPT 90653 Influenza Vac (Iiv) Inactv Subunit Adjuvantd Im | $83.20 | $128.00 | $17.28–$69.89 | 31% below | 35% |
| Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older inpatient CPT 90653 Influenza Vac (Iiv) Inactv Subunit Adjuvantd Im | $83.20 | $128.00 | $20.86–$68.48 | — | 35% |
| COVID-19 vaccine (Moderna), age 12 and older CPT 91322 Sarscov2 Vacc 50 Mcg/0.5ml 12+Yrs | $204.10 | $314.00 | $42.39–$171.44 | at median | 35% |
| COVID-19 vaccine (Moderna), age 12 and older inpatient CPT 91322 Sarscov2 Vacc 50 Mcg/0.5ml 12+Yrs | $204.10 | $314.00 | $51.18–$167.99 | — | 35% |
| COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 Sarscov2 Vacc 30mcg/0.3ml Tris-Sucrose 12+Yrs | $189.80 | $292.00 | $39.42–$159.43 | 22% below | 35% |
| COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 COVID-19 MRNA VAC-TRIS(PFIZER) 30 MCG/0.3ML IM SUSY | $281.74 | $433.44 | $58.51–$236.66 | 15% above | 35% |
| COVID-19 vaccine (Pfizer-BioNTech), age 12 and older inpatient CPT 91320 Sarscov2 Vacc 30mcg/0.3ml Tris-Sucrose 12+Yrs | $189.80 | $292.00 | $47.60–$156.22 | — | 35% |
| COVID-19 vaccine (Pfizer-BioNTech), age 12 and older inpatient CPT 91320 COVID-19 MRNA VAC-TRIS(PFIZER) 30 MCG/0.3ML IM SUSY | $281.74 | $433.44 | $70.65–$231.89 | — | 35% |
| Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 Chicken Pox Vaccine | $205.40 | $316.00 | $42.66–$172.54 | 26% below | 35% |
| Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 Chicken Pox Vaccine | $205.40 | $316.00 | $51.51–$169.06 | — | 35% |
| DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) CPT 90696 Dtap-Ipv Vacc 4-6 Yr Im (Quadracel) | $69.55 | $107.00 | $14.45–$58.42 | 31% below | 35% |
| DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) inpatient CPT 90696 Dtap-Ipv Vacc 4-6 Yr Im (Quadracel) | $69.55 | $107.00 | $17.44–$57.25 | — | 35% |
| DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 Dtap Immunization Im (Outpt) < 7 | $32.50 | $50.00 | $6.75–$27.30 | 49% below | 35% |
| DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 DIPHTH-ACELL PERTUSSIS-TETANUS 25-58-10 LF-MCG/0.5 IM SUSP | $78.22 | $120.34 | $16.25–$65.71 | 24% above | 35% |
| DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 Dtap Immunization Im (Outpt) < 7 | $32.50 | $50.00 | $8.15–$26.75 | — | 35% |
| DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 DIPHTH-ACELL PERTUSSIS-TETANUS 25-58-10 LF-MCG/0.5 IM SUSP | $78.22 | $120.34 | $19.62–$64.38 | — | 35% |
| DTaP, hepatitis B and polio combination vaccine (Pediarix) CPT 90723 Dtap/Hepb/Ipv Vaccine Im | $136.50 | $210.00 | $28.35–$114.66 | 14% below | 35% |
| DTaP, hepatitis B and polio combination vaccine (Pediarix) inpatient CPT 90723 Dtap/Hepb/Ipv Vaccine Im | $136.50 | $210.00 | $34.23–$112.35 | — | 35% |
| DTaP, polio and Hib combination vaccine (Pentacel) CPT 90698 Dtap-Hib-IP Vac (Pentacel) Im | $113.75 | $175.00 | $23.63–$95.55 | 36% below | 35% |
| DTaP, polio and Hib combination vaccine (Pentacel) inpatient CPT 90698 Dtap-Hib-IP Vac (Pentacel) Im | $113.75 | $175.00 | $28.53–$93.63 | — | 35% |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 Influenza Vac Split Virus Pres >3 | $27.95 | $43.00 | $5.81–$23.48 | 22% below | 35% |
| Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 Influenza Vac Split Virus Pres >3 | $27.95 | $43.00 | $7.01–$23.01 | — | 35% |
| HPV vaccine, 9-valent (Gardasil 9) CPT 90651 Hpv Human Papilloma Virus Vac 9 VA | $326.95 | $503.00 | $67.91–$274.64 | 33% below | 35% |
| HPV vaccine, 9-valent (Gardasil 9) CPT 90651 HPV 9-VALENT RECOMB VACCINE IM SUSY | $644.45 | $991.46 | $133.85–$541.34 | 32% above | 35% |
| HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 Hpv Human Papilloma Virus Vac 9 VA | $326.95 | $503.00 | $81.99–$269.11 | — | 35% |
| HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 HPV 9-VALENT RECOMB VACCINE IM SUSY | $644.45 | $991.46 | $161.61–$530.43 | — | 35% |
| Hepatitis A and B combination vaccine, adult (Twinrix) CPT 90636 Hepa/Hepb Vaccine Adult Im | $126.75 | $195.00 | $26.33–$106.47 | 38% below | 35% |
| Hepatitis A and B combination vaccine, adult (Twinrix) inpatient CPT 90636 Hepa/Hepb Vaccine Adult Im | $126.75 | $195.00 | $31.79–$104.33 | — | 35% |
| Hepatitis A vaccine, adult dose CPT 90632 HEPATITIS A VACCINE 25 UNIT/0.5ML IM SUSP | $74.15 | $114.08 | $15.40–$62.29 | 38% below | 35% |
| Hepatitis A vaccine, adult dose CPT 90632 Hepatitis a Vaccine Adult Im (Outpt) | $98.80 | $152.00 | $20.52–$82.99 | 18% below | 35% |
| Hepatitis A vaccine, adult dose CPT 90632 HEPATITIS A VACCINE 50 UNIT/ML IM SUSP | $147.39 | $226.76 | $30.61–$123.81 | 22% above | 35% |
| Hepatitis A vaccine, adult dose inpatient CPT 90632 HEPATITIS A VACCINE 25 UNIT/0.5ML IM SUSP | $74.15 | $114.08 | $18.60–$61.03 | — | 35% |
| Hepatitis A vaccine, adult dose inpatient CPT 90632 Hepatitis a Vaccine Adult Im (Outpt) | $98.80 | $152.00 | $24.78–$81.32 | — | 35% |
| Hepatitis A vaccine, adult dose inpatient CPT 90632 HEPATITIS A VACCINE 50 UNIT/ML IM SUSP | $147.39 | $226.76 | $36.96–$121.32 | — | 35% |
| Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 Hepa Vaccine Ped/Adol-2 Dose (Outpt) | $53.95 | $83.00 | $11.21–$45.32 | 35% below | 35% |
| Hepatitis A vaccine, child and teen dose (2-dose schedule) inpatient CPT 90633 Hepa Vaccine Ped/Adol-2 Dose (Outpt) | $53.95 | $83.00 | $13.53–$44.41 | — | 35% |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 Hepatitis B Vaccine Over 20 | $97.50 | $150.00 | $20.25–$81.90 | 10% below | 35% |
| Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 Hepatitis B Vaccine Over 20 | $97.50 | $150.00 | $24.45–$80.25 | — | 35% |
| Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) CPT 90739 Hepatitis B Vacc Adult 2 Dose Im | $212.55 | $327.00 | $44.15–$178.54 | 5% below | 35% |
| Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) inpatient CPT 90739 Hepatitis B Vacc Adult 2 Dose Im | $212.55 | $327.00 | $53.30–$174.95 | — | 35% |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 Hepatitis B Vaccine Under 11 | $42.25 | $65.00 | $8.78–$35.49 | 51% below | 35% |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HEPATITIS B VAC RECOMBINANT 5 MCG/0.5ML IJ SUSP | $65.59 | $100.90 | $13.62–$55.09 | 24% below | 35% |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HEPATITIS B VAC RECOMBINANT 5 MCG/0.5ML IJ SUSY | $66.77 | $102.72 | $13.87–$56.09 | 23% below | 35% |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HEPATITIS B VAC RECOMBINANT 10 MCG/0.5ML IJ SUSY | $77.00 | $118.46 | $15.99–$64.68 | 11% below | 35% |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HEPATITIS B VAC RECOMBINANT 10 MCG/ML IJ SUSP | $97.18 | $149.50 | $20.18–$81.63 | 12% above | 35% |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HEPATITIS B VAC RECOMBINANT 10 MCG/ML IJ SUSY | $99.26 | $152.71 | $20.62–$83.38 | 14% above | 35% |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 Hepatitis B Vaccine Under 11 | $42.25 | $65.00 | $10.60–$34.78 | — | 35% |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 HEPATITIS B VAC RECOMBINANT 5 MCG/0.5ML IJ SUSP | $65.59 | $100.90 | $16.45–$53.98 | — | 35% |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 HEPATITIS B VAC RECOMBINANT 5 MCG/0.5ML IJ SUSY | $66.77 | $102.72 | $16.74–$54.96 | — | 35% |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 HEPATITIS B VAC RECOMBINANT 10 MCG/0.5ML IJ SUSY | $77.00 | $118.46 | $19.31–$63.38 | — | 35% |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 HEPATITIS B VAC RECOMBINANT 10 MCG/ML IJ SUSP | $97.18 | $149.50 | $24.37–$79.98 | — | 35% |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 HEPATITIS B VAC RECOMBINANT 10 MCG/ML IJ SUSY | $99.26 | $152.71 | $24.89–$81.70 | — | 35% |
| Hib vaccine (Haemophilus influenzae type b), 3-dose schedule (PedvaxHIB) CPT 90647 Hib-Pedvax Vaccine Prp-Omp Im (Ou | $40.30 | $62.00 | $8.37–$33.85 | 35% below | 35% |
| Hib vaccine (Haemophilus influenzae type b), 3-dose schedule (PedvaxHIB) inpatient CPT 90647 Hib-Pedvax Vaccine Prp-Omp Im (Ou | $40.30 | $62.00 | $10.11–$33.17 | — | 35% |
| Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 Hib/Omni Vaccine Prp-T Im (Outpt) | $34.45 | $53.00 | $7.16–$28.94 | 35% below | 35% |
| Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 HAEMOPHILUS B POLYSAC CONJ SYRINGE | $47.23 | $72.66 | $9.81–$39.67 | 11% below | 35% |
| Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 HAEMOPHILUS B POLYSAC CONJ VAC IM SOLR | $47.23 | $72.66 | $9.81–$39.67 | 11% below | 35% |
| Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) inpatient CPT 90648 Hib/Omni Vaccine Prp-T Im (Outpt) | $34.45 | $53.00 | $8.64–$28.36 | — | 35% |
| Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) inpatient CPT 90648 HAEMOPHILUS B POLYSAC CONJ SYRINGE | $47.23 | $72.66 | $11.84–$38.87 | — | 35% |
| Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) inpatient CPT 90648 HAEMOPHILUS B POLYSAC CONJ VAC IM SOLR | $47.23 | $72.66 | $11.84–$38.87 | — | 35% |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 Flu Vacc Split Prsv Free Inc Antig Im | $34.45 | $53.00 | $7.16–$28.94 | 55% below | 35% |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 Flu Vacc Prsv Free Inc Antig | $91.00 | $140.00 | $18.90–$76.44 | 18% above | 35% |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 INFLUENZA VAC HIGH-DOSE QUAD 0.7 ML IM SUSY | $194.51 | $299.25 | $40.40–$163.39 | 153% above | 35% |
| High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 Flu Vacc Split Prsv Free Inc Antig Im | $34.45 | $53.00 | $8.64–$28.36 | — | 35% |
| High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 Flu Vacc Prsv Free Inc Antig | $91.00 | $140.00 | $22.82–$74.90 | — | 35% |
| High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 INFLUENZA VAC HIGH-DOSE QUAD 0.7 ML IM SUSY | $194.51 | $299.25 | $48.78–$160.10 | — | 35% |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 Mmr Virus Immunization | $125.45 | $193.00 | $26.06–$105.38 | 35% below | 35% |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 MEASLES MUMPS & RUBELLA VAC IJ SOLR | $204.31 | $314.32 | $42.43–$171.62 | 5% above | 35% |
| MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 Mmr Virus Immunization | $125.45 | $193.00 | $31.46–$103.26 | — | 35% |
| MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 MEASLES MUMPS & RUBELLA VAC IJ SOLR | $204.31 | $314.32 | $51.23–$168.16 | — | 35% |
| MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) CPT 90710 Combined Vaccine Mmr+Varicella | $339.95 | $523.00 | $70.61–$285.56 | 18% below | 35% |
| MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) inpatient CPT 90710 Combined Vaccine Mmr+Varicella | $339.95 | $523.00 | $85.25–$279.81 | — | 35% |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 Meningococcal Conj Vac 4valim | $172.90 | $266.00 | $35.91–$145.24 | 30% below | 35% |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 Meningococcal Conj Vac 4val Im-Menveo | $193.05 | $297.00 | $40.10–$162.16 | 22% below | 35% |
| Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 Meningococcal Conj Vac 4valim | $172.90 | $266.00 | $43.36–$142.31 | — | 35% |
| Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 Meningococcal Conj Vac 4val Im-Menveo | $193.05 | $297.00 | $48.41–$158.90 | — | 35% |
| Meningococcal ACWY vaccine (MenQuadfi) CPT 90619 Menacwy-Tt Conj Vaccine Serogrps Acwy - Im Use | $163.15 | $251.00 | $33.89–$137.05 | 36% below | 35% |
| Meningococcal ACWY vaccine (MenQuadfi) inpatient CPT 90619 Menacwy-Tt Conj Vaccine Serogrps Acwy - Im Use | $163.15 | $251.00 | $40.91–$134.29 | — | 35% |
| Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 Menb Recombinant Prot W/O Membr Ve 46028-0114-01 | $248.95 | $383.00 | $51.71–$209.12 | 31% below | 35% |
| Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 MENINGOCOCCAL B RECOMB OMV ADJ IM SUSY | $648.93 | $998.36 | $134.78–$545.10 | 79% above | 35% |
| Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 Menb Recombinant Prot W/O Membr Ve 46028-0114-01 | $248.95 | $383.00 | $62.43–$204.91 | — | 35% |
| Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 MENINGOCOCCAL B RECOMB OMV ADJ IM SUSY | $648.93 | $998.36 | $162.73–$534.12 | — | 35% |
| Meningococcal B vaccine (Trumenba) CPT 90621 Menb Recombinant Lipoprotein Vacci 00005-0100-05 | $205.40 | $316.00 | $42.66–$172.54 | 35% below | 35% |
| Meningococcal B vaccine (Trumenba) CPT 90621 MENINGOCOCCAL B VAC (RECOMB) IM SUSY | $356.34 | $548.21 | $74.01–$299.32 | 13% above | 35% |
| Meningococcal B vaccine (Trumenba) inpatient CPT 90621 Menb Recombinant Lipoprotein Vacci 00005-0100-05 | $205.40 | $316.00 | $51.51–$169.06 | — | 35% |
| Meningococcal B vaccine (Trumenba) inpatient CPT 90621 MENINGOCOCCAL B VAC (RECOMB) IM SUSY | $356.34 | $548.21 | $89.36–$293.29 | — | 35% |
| Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 Pneumo Conj Vac 13 Valent Im | $360.75 | $555.00 | $74.93–$303.03 | at median | 35% |
| Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 PNEUMOCOCCAL 13-VAL CONJ VACC IM SUSP | $463.58 | $713.20 | $96.28–$389.41 | 28% above | 35% |
| Pneumonia vaccine, 13-valent conjugate (Prevnar 13) inpatient CPT 90670 Pneumo Conj Vac 13 Valent Im | $360.75 | $555.00 | $90.47–$296.93 | — | 35% |
| Pneumonia vaccine, 13-valent conjugate (Prevnar 13) inpatient CPT 90670 PNEUMOCOCCAL 13-VAL CONJ VACC IM SUSP | $463.58 | $713.20 | $116.25–$381.56 | — | 35% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 Pneumo Conjugate Vacc 20 Valent (Pcv20) Im | $356.85 | $549.00 | $74.12–$299.75 | 20% below | 35% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 Pneumo Conjugate Vacc 20 Valent (Pcv20) Im | $356.85 | $549.00 | $89.49–$293.72 | — | 35% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 Pneumococcal Vaccine 2+ Yr Old | $73.45 | $113.00 | $15.26–$61.70 | 61% below | 35% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 Pneumococcal-23 Vaccine (Outpt) | $186.55 | $287.00 | $38.75–$156.70 | 1% below | 35% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOCOCCAL VAC POLYVALENT 25 MCG/0.5ML IJ INJ | $240.04 | $369.29 | $49.85–$201.63 | 28% above | 35% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 Pneumococcal Vaccine 2+ Yr Old | $73.45 | $113.00 | $18.42–$60.46 | — | 35% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 Pneumococcal-23 Vaccine (Outpt) | $186.55 | $287.00 | $46.78–$153.55 | — | 35% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMOCOCCAL VAC POLYVALENT 25 MCG/0.5ML IJ INJ | $240.04 | $369.29 | $60.19–$197.57 | — | 35% |
| Polio vaccine, inactivated (IPV) CPT 90713 Poliomyelitis Immunizatn Inactv Sq/Im (Outpt) | $46.80 | $72.00 | $9.72–$39.31 | 67% below | 35% |
| Polio vaccine, inactivated (IPV) CPT 90713 POLIOVIRUS VACCINE INACTIVATED IJ INJ | $79.63 | $122.50 | $16.54–$66.89 | 44% below | 35% |
| Polio vaccine, inactivated (IPV) inpatient CPT 90713 Poliomyelitis Immunizatn Inactv Sq/Im (Outpt) | $46.80 | $72.00 | $11.74–$38.52 | — | 35% |
| Polio vaccine, inactivated (IPV) inpatient CPT 90713 POLIOVIRUS VACCINE INACTIVATED IJ INJ | $79.63 | $122.50 | $19.97–$65.54 | — | 35% |
| RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) CPT 90381 Rsv Monocolonal Ab Seasonal 1 Ml Dose Im Use | $804.70 | $1,238.00 | $167.13–$675.95 | 6% below | 35% |
| RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) CPT 90381 NIRSEVIMAB-ALIP 100 MG/ML IM SOSY | $1,478.15 | $2,274.08 | $307.00–$1,241.65 | 73% above | 35% |
| RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) inpatient CPT 90381 Rsv Monocolonal Ab Seasonal 1 Ml Dose Im Use | $804.70 | $1,238.00 | $201.79–$662.33 | — | 35% |
| RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) inpatient CPT 90381 NIRSEVIMAB-ALIP 100 MG/ML IM SOSY | $1,478.15 | $2,274.08 | $370.68–$1,216.63 | — | 35% |
| Rabies vaccine, one dose CPT 90675 Rabies Vaccine Im (Outpt) | $483.60 | $744.00 | $100.44–$406.22 | 36% below | 35% |
| Rabies vaccine, one dose CPT 90675 RABIES VACCINE PCEC IM SUSR | $630.94 | $970.67 | $131.04–$529.99 | 16% below | 35% |
| Rabies vaccine, one dose inpatient CPT 90675 Rabies Vaccine Im (Outpt) | $483.60 | $744.00 | $121.27–$398.04 | — | 35% |
| Rabies vaccine, one dose inpatient CPT 90675 RABIES VACCINE PCEC IM SUSR | $630.94 | $970.67 | $158.22–$519.31 | — | 35% |
| Rotavirus vaccine, oral, 2-dose schedule (Rotarix) CPT 90681 Rotavirus Vaccine 2 Dose Oral | $211.90 | $326.00 | $44.01–$178.00 | 5% below | 35% |
| Rotavirus vaccine, oral, 2-dose schedule (Rotarix) inpatient CPT 90681 Rotavirus Vaccine 2 Dose Oral | $211.90 | $326.00 | $53.14–$174.41 | — | 35% |
| Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) CPT 90680 Rotavirus Vaccine Oral | $136.50 | $210.00 | $28.35–$114.66 | 8% below | 35% |
| Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) inpatient CPT 90680 Rotavirus Vaccine Oral | $136.50 | $210.00 | $34.23–$112.35 | — | 35% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 Tetanus & Dip (Td)>7yrs Im | $42.90 | $66.00 | $8.91–$36.04 | 44% below | 35% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS-DIPHTHERIA TOXOIDS TD 2-2 LF/0.5ML IM SUSP | $69.96 | $107.63 | $14.53–$58.77 | 9% below | 35% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS DIPHTHERIA VACCINE ED STANDING ORDER (SW ONLY) | $69.96 | $107.63 | $14.53–$58.77 | 9% below | 35% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS-DIPHTHERIA TOXOIDS TD 5-2 LFU IM INJ | $86.05 | $132.38 | $17.87–$72.28 | 12% above | 35% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS/DIPHTHERIA (TENAVAC) VACCINE ED STANDING ORDER | $86.05 | $132.38 | $17.87–$72.28 | 12% above | 35% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 Tetanus & Dip (Td)>7yrs Im | $42.90 | $66.00 | $10.76–$35.31 | — | 35% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS-DIPHTHERIA TOXOIDS TD 2-2 LF/0.5ML IM SUSP | $69.96 | $107.63 | $17.54–$57.58 | — | 35% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS DIPHTHERIA VACCINE ED STANDING ORDER (SW ONLY) | $69.96 | $107.63 | $17.54–$57.58 | — | 35% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS/DIPHTHERIA (TENAVAC) VACCINE ED STANDING ORDER | $86.05 | $132.38 | $21.58–$70.82 | — | 35% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS-DIPHTHERIA TOXOIDS TD 5-2 LFU IM INJ | $86.05 | $132.38 | $21.58–$70.82 | — | 35% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Adacel-Tdap Vaccine >7 Im | $58.50 | $90.00 | $12.15–$49.14 | 44% below | 35% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Tdap Vaccine Im 7+ Years | $79.30 | $122.00 | $16.47–$66.61 | 24% below | 35% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Tdap Vaccine 7 Yrs/> Im | $79.30 | $122.00 | $16.47–$66.61 | 24% below | 35% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TETANUS/DIPHTHERIA/PERTUSSIS (ADACEL) VACCINE ED STANDING ORDER | $98.74 | $151.91 | $20.51–$82.94 | 6% below | 35% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TETANUS-DIPHTH-ACELL PERTUSSIS 5-2-15.5 LF-MCG/0.5 IM SUSP | $98.74 | $151.91 | $20.51–$82.94 | 6% below | 35% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Tdap Vaccine for >7yrs Im | $117.65 | $181.00 | $24.44–$98.83 | 12% above | 35% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 Adacel-Tdap Vaccine >7 Im | $58.50 | $90.00 | $14.67–$48.15 | — | 35% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 Tdap Vaccine 7 Yrs/> Im | $79.30 | $122.00 | $19.89–$65.27 | — | 35% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 Tdap Vaccine Im 7+ Years | $79.30 | $122.00 | $19.89–$65.27 | — | 35% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 TETANUS/DIPHTHERIA/PERTUSSIS (ADACEL) VACCINE ED STANDING ORDER | $98.74 | $151.91 | $24.76–$81.27 | — | 35% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 TETANUS-DIPHTH-ACELL PERTUSSIS 5-2-15.5 LF-MCG/0.5 IM SUSP | $98.74 | $151.91 | $24.76–$81.27 | — | 35% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 Tdap Vaccine for >7yrs Im | $117.65 | $181.00 | $29.50–$96.84 | — | 35% |
| Typhoid vaccine, injectable (Vi polysaccharide) CPT 90691 Typhoid Vaccine Im (Outpt) | $137.15 | $211.00 | $28.49–$115.21 | 35% below | 35% |
| Typhoid vaccine, injectable (Vi polysaccharide) inpatient CPT 90691 Typhoid Vaccine Im (Outpt) | $137.15 | $211.00 | $34.39–$112.89 | — | 35% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Immunization Admin | $42.25 | $65.00 | $8.78–$35.49 | 27% below | 35% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Pneumococcal Vaccine Admin | $53.95 | $83.00 | $11.21–$45.32 | 6% below | 35% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Flu Vaccine Administration | $53.95 | $83.00 | $11.21–$45.32 | 6% below | 35% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Immunization Adm One Vaccine | $53.95 | $83.00 | $11.21–$45.32 | 6% below | 35% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Immunization Admin | $42.25 | $65.00 | $10.60–$34.78 | — | 35% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Immunization Adm One Vaccine | $53.95 | $83.00 | $13.53–$44.41 | — | 35% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Flu Vaccine Administration | $53.95 | $83.00 | $13.53–$44.41 | — | 35% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Pneumococcal Vaccine Admin | $53.95 | $83.00 | $13.53–$44.41 | — | 35% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Immuniz Admin Each Addl | $18.85 | $29.00 | $3.92–$15.83 | 51% below | 35% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Pneumococcal Vaccine Admin in Addition to Flu | $29.25 | $45.00 | $6.08–$24.57 | 24% below | 35% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Immunization Adm Ea Add Vacc | $29.25 | $45.00 | $6.08–$24.57 | 24% below | 35% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 Immuniz Admin Each Addl | $18.85 | $29.00 | $4.73–$15.52 | — | 35% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 Pneumococcal Vaccine Admin in Addition to Flu | $29.25 | $45.00 | $7.34–$24.08 | — | 35% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 Immunization Adm Ea Add Vacc | $29.25 | $45.00 | $7.34–$24.08 | — | 35% |
Dental
| Procedure | Cash price | List price | Insurers pay | vs Illinois | Off list |
|---|---|---|---|---|---|
| Deep cleaning (scaling and root planing), 4 or more teeth in one quadrant CDT D4341 Scaling & Root Plane 4+ Teeth per Quad | $234.00 | $360.00 | $48.60–$196.56 | 35% below | 35% |
| Deep cleaning (scaling and root planing), 4 or more teeth in one quadrant inpatient CDT D4341 Scaling & Root Plane 4+ Teeth per Quad | $234.00 | $360.00 | $58.68–$192.60 | — | 35% |
| Porcelain crown CDT D2740 All Ceramic Crown-per Visit | $516.75 | $795.00 | $107.33–$434.07 | 35% below | 35% |
| Porcelain crown inpatient CDT D2740 All Ceramic Crown-per Visit | $516.75 | $795.00 | $129.59–$425.33 | — | 35% |
| Root canal treatment on a molar (back tooth), not including the final crown one side CDT D3330 HB Endo Tx Rt Canal Molar/Visit | $947.70 | $1,458.00 | $196.83–$796.07 | 35% below | 35% |
| Root canal treatment on a molar (back tooth), not including the final crown inpatient one side CDT D3330 HB Endo Tx Rt Canal Molar/Visit | $947.70 | $1,458.00 | $237.65–$780.03 | — | 35% |
| Routine teeth cleaning (prophylaxis), adult or teen CDT D1110 Prophylaxis-Adult-per Visit | $107.90 | $166.00 | $22.41–$90.64 | 35% below | 35% |
| Routine teeth cleaning (prophylaxis), adult or teen inpatient CDT D1110 Prophylaxis-Adult-per Visit | $107.90 | $166.00 | $27.06–$88.81 | — | 35% |
| Simple extraction of a tooth or exposed root that is above the gum one side CDT D7140 Extrac Erptd Tooth/Expsd Rt | $165.75 | $255.00 | $34.43–$139.23 | 50% below | 35% |
| Simple extraction of a tooth or exposed root that is above the gum inpatient one side CDT D7140 Extrac Erptd Tooth/Expsd Rt | $165.75 | $255.00 | $41.57–$136.43 | — | 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.