TidalHealth Nanticoke
TidalHealth Nanticoke in Seaford, DE publishes cash prices for 394 common procedures listed here, from its own machine-readable price file updated Mar 27, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the Delaware median for 272 of 359 procedures and above it for 81. By typical cash price it ranks #1 of 6 Delaware hospitals, cheapest first. Select a procedure to compare it with other hospitals nearby.
801 Middleford Rd. Seaford, DE 19973 Collected Sep 23, 2026 Source price file Check a bill from this hospital (302) 629-6611
Acute care hospital Nonprofit hospital Emergency department CMS star rating 3 of 5 CCN 080006 · CMS hospital register NPI 1245214477
The price file shows no self-pay discount
For 1030 of the 1030 prices listed here, the cash price in TidalHealth Nanticoke's file equals its full list price (chargemaster), so the file publishes no self-pay discount. That is why it compares as expensive. Many hospitals still reduce bills for uninsured patients or offer financial assistance based on income: before a planned visit, ask the billing office for its self-pay rate and discount policy in writing. Other US hospitals whose cash price is their full list price.
Financial assistance
Nonprofit hospital: it must offer free or discounted care to patients who qualify. How to apply
TidalHealth Nanticoke is a nonprofit hospital in the CMS register. Under section 501(r) of the federal tax code it must have a written Financial Assistance Policy with a free application, publish both on its website, and charge patients who qualify no more than the amounts generally billed to insured patients for emergency and other medically necessary care. Who qualifies depends on household income; the policy states the limits.
You can apply up to 240 days after the first bill. Before collection actions such as credit reporting or a lawsuit, the hospital must tell you about the policy and wait at least 120 days after that bill. Ask the billing office for the policy and the application before you pay, or search the hospital's website for “financial assistance”. Letters you can copy.
Source: IRS, section 501(r) requirements for nonprofit hospitals.
CMS price transparency record
The federal Centers for Medicare & Medicaid Services (CMS) enforces the rule that makes hospitals publish their prices. Its public enforcement list shows 6 actions for a hospital named TidalHealth Nanticoke in Seaford, DE:
- Mar 16, 2023 Warning notice
- Jun 27, 2023 Corrective action plan requested
- Oct 13, 2023 Case closed
- Jan 14, 2026 Warning notice
- Apr 17, 2026 Corrective action plan requested
- May 8, 2026 Case closed
Warning notice: CMS reviewed the hospital and told it that it had found possible violations of the price transparency rules. Corrective action plan requested: CMS asked the hospital to submit a plan to fix the problems it found. Case closed: CMS closed the case after the hospital addressed the problems.
A notice records a step in a CMS review; it is not a court finding. Source: CMS, Hospital Price Transparency Enforcement Activities and Outcomes, actions through Jul 31, 2026.
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs Delaware | Off list |
|---|---|---|---|---|---|
| Abdominal CT scan without and with contrast CPT 74170 HC C/T-Abdomen W/WO Contrast | $2,023.00 | $2,023.00 | $192.33–$1,598.17 | 42% below | — |
| Abdominal CT scan without and with contrast inpatient CPT 74170 HC C/T-Abdomen W/WO Contrast | $2,023.00 | $2,023.00 | $192.33–$1,598.17 | — | — |
| Abdominal X-ray, 2 views CPT 74019 HC Abdomen 2 Views | $268.00 | $268.00 | $25.05–$284.11 | 7% below | — |
| Abdominal X-ray, 2 views inpatient CPT 74019 HC Abdomen 2 Views | $268.00 | $268.00 | $25.05–$284.11 | — | — |
| Ankle X-ray, complete, 3 or more views CPT 73610 HC Xr Ankle, 3 Views | $219.00 | $219.00 | $28.35–$236.50 | 35% below | — |
| Ankle X-ray, complete, 3 or more views inpatient CPT 73610 HC Xr Ankle, 3 Views | $219.00 | $219.00 | $28.35–$236.50 | — | — |
| Ankle-brachial index (ABI), blood pressure test for leg arteries one side CPT 93922 HC Vl Uea Single Level Unilateral | $304.28 | $304.28 | $155.18–$361.57 | 34% below | — |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient one side CPT 93922 HC Vl Uea Single Level Unilateral | $304.28 | $304.28 | $155.18–$361.57 | — | — |
| Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 HC CT Upper Extrem WO Contrast | $634.00 | $634.00 | $112.80–$678.09 | 72% below | — |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient CPT 73200 HC CT Upper Extrem WO Contrast | $634.00 | $634.00 | $112.80–$678.09 | — | — |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 HC Esophagus Single Contrast Inc. Scout Chest/Delayed Images | $439.00 | $439.00 | $65.64–$476.67 | 5% above | — |
| Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 HC Esophagus Single Contrast Inc. Scout Chest/Delayed Images | $439.00 | $439.00 | $65.64–$476.67 | — | — |
| Bone scan, whole body (nuclear medicine) CPT 78306 HC Bone Scan-Whole Body | $982.43 | $982.43 | $217.68–$1,086.42 | 52% below | — |
| Bone scan, whole body (nuclear medicine) CPT 78306 HC Inflammation Imaging-Wb | $1,426.00 | $1,426.00 | $217.68–$1,126.54 | 31% below | — |
| Bone scan, whole body (nuclear medicine) inpatient CPT 78306 HC Bone Scan-Whole Body | $982.43 | $982.43 | $217.68–$1,086.42 | — | — |
| Bone scan, whole body (nuclear medicine) inpatient CPT 78306 HC Inflammation Imaging-Wb | $1,426.00 | $1,426.00 | $217.68–$1,126.54 | — | — |
| Breast ultrasound, complete, one breast one side CPT 76641 HC Bd Breast Ultrasound Uni Lt | $261.88 | $261.88 | $65.64–$284.11 | 56% below | — |
| Breast ultrasound, complete, one breast one side CPT 76641 HC Bd Breast Ultrasound Uni Rt | $261.88 | $261.88 | $65.64–$284.11 | 56% below | — |
| Breast ultrasound, complete, one breast inpatient one side CPT 76641 HC Bd Breast Ultrasound Uni Lt | $261.88 | $261.88 | $65.64–$284.11 | — | — |
| Breast ultrasound, complete, one breast inpatient one side CPT 76641 HC Bd Breast Ultrasound Uni Rt | $261.88 | $261.88 | $65.64–$284.11 | — | — |
| Breast ultrasound, limited (one breast or one area) CPT 76642 HC Bd US Breast Uni Limited Focus | $230.00 | $230.00 | $51.45–$236.50 | 58% below | — |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 HC Bd Breast Ultrasound Limited Lt | $230.00 | $230.00 | $51.45–$236.50 | 58% below | — |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 HC Bd Breast Ultrasound Limited Rt | $230.00 | $230.00 | $51.45–$236.50 | 58% below | — |
| Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 HC Bd US Breast Uni Limited Focus | $230.00 | $230.00 | $51.45–$236.50 | — | — |
| Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 HC Bd Breast Ultrasound Limited Rt | $230.00 | $230.00 | $51.45–$236.50 | — | — |
| Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 HC Bd Breast Ultrasound Limited Lt | $230.00 | $230.00 | $51.45–$236.50 | — | — |
| CT angiography (CTA) of the abdomen and pelvis CPT 74174 HC Cta Abd/Pel W Contrast | $2,000.00 | $2,000.00 | $274.11–$3,050.18 | 64% below | — |
| CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 HC Cta Abd/Pel W Contrast | $2,000.00 | $2,000.00 | $274.11–$3,050.18 | — | — |
| CT angiography (CTA) of the head CPT 70496 HC Cta Head | $781.00 | $781.00 | $191.31–$1,377.35 | 71% below | — |
| CT angiography (CTA) of the head inpatient CPT 70496 HC Cta Head | $781.00 | $781.00 | $191.31–$1,377.35 | — | — |
| CT angiography (CTA) of the neck CPT 70498 HC Cta Neck | $781.00 | $781.00 | $191.31–$1,377.35 | 71% below | — |
| CT angiography (CTA) of the neck inpatient CPT 70498 HC Cta Neck | $781.00 | $781.00 | $191.31–$1,377.35 | — | — |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 HC Cta Chest | $781.00 | $781.00 | $194.61–$1,392.28 | 80% below | — |
| CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 HC Cta Chest | $781.00 | $781.00 | $194.61–$1,392.28 | — | — |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 HC CT Heart Wout Contrst Coro Calc | $216.45 | $216.45 | $71.88–$236.50 | 3% above | — |
| CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 HC CT Heart Wout Contrst Coro Calc | $216.45 | $216.45 | $71.88–$236.50 | — | — |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 HC CT Abd and Pelvis W/O Contrast | $1,962.00 | $1,962.00 | $101.91–$1,903.44 | 39% below | — |
| CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 HC CT Abd and Pelvis W/O Contrast | $1,962.00 | $1,962.00 | $101.91–$1,903.44 | — | — |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 HC CT Abd and Pelvis W Contrast | $2,048.00 | $2,048.00 | $213.78–$2,600.89 | 51% below | — |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 HC CT Abd and Pelvis W Contrast | $2,048.00 | $2,048.00 | $213.78–$2,600.89 | — | — |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 HC CT Abd and Pelvis 1+ Section/Reg | $2,779.00 | $2,779.00 | $242.13–$2,911.51 | 37% below | — |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 HC C/T Abd/Pelvis Urogram W&W/O | $2,779.00 | $2,779.00 | $242.13–$2,911.51 | 37% below | — |
| CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 HC C/T Abd/Pelvis Urogram W&W/O | $2,779.00 | $2,779.00 | $242.13–$2,911.51 | — | — |
| CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 HC CT Abd and Pelvis 1+ Section/Reg | $2,779.00 | $2,779.00 | $242.13–$2,911.51 | — | — |
| CT scan of the abdomen with contrast CPT 74160 HC C/T-Abdomen W Contrast | $1,304.00 | $1,304.00 | $169.56–$1,030.16 | 60% below | — |
| CT scan of the abdomen with contrast inpatient CPT 74160 HC C/T-Abdomen W Contrast | $1,304.00 | $1,304.00 | $169.56–$1,030.16 | — | — |
| CT scan of the abdomen without contrast CPT 74150 HC CT Abdomen W/O Contrast | $1,328.00 | $1,328.00 | $80.49–$1,049.12 | 45% below | — |
| CT scan of the abdomen without contrast inpatient CPT 74150 HC CT Abdomen W/O Contrast | $1,328.00 | $1,328.00 | $80.49–$1,049.12 | — | — |
| CT scan of the face and sinuses, no contrast dye CPT 70486 HC C/T-Maxillofacial WO Contrast | $1,218.00 | $1,218.00 | $87.42–$962.22 | 38% below | — |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 HC C/T-Maxillofacial WO Contrast | $1,218.00 | $1,218.00 | $87.42–$962.22 | — | — |
| CT scan of the head or brain, no contrast dye CPT 70450 HC CT Head W/O Contrast | $1,024.00 | $1,024.00 | $66.30–$808.96 | 31% below | — |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 HC CT Head W/O Contrast | $1,024.00 | $1,024.00 | $66.30–$808.96 | — | — |
| CT scan of the head with contrast CPT 70460 HC C/T-Head Scan W Contrast | $1,246.00 | $1,246.00 | $94.98–$984.34 | 44% below | — |
| CT scan of the head with contrast inpatient CPT 70460 HC C/T-Head Scan W Contrast | $1,246.00 | $1,246.00 | $94.98–$984.34 | — | — |
| CT scan of the head without and with contrast CPT 70470 HC C/T-Head Scan W/WO Contrast | $1,755.00 | $1,755.00 | $113.13–$1,386.45 | 38% below | — |
| CT scan of the head without and with contrast inpatient CPT 70470 HC C/T-Head Scan W/WO Contrast | $1,755.00 | $1,755.00 | $113.13–$1,386.45 | — | — |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 HC C/T-L Spine W/O Contrast | $1,670.00 | $1,670.00 | $82.47–$1,319.30 | 27% below | — |
| CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 HC C/T-L Spine W/O Contrast | $1,670.00 | $1,670.00 | $82.47–$1,319.30 | — | — |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 HC C/T-C Spine W/O Contrast | $1,218.00 | $1,218.00 | $83.13–$962.22 | 58% below | — |
| CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 HC C/T-C Spine W/O Contrast | $1,218.00 | $1,218.00 | $83.13–$962.22 | — | — |
| CT scan of the pelvis, with contrast dye CPT 72193 HC C/T-Pelvis Scan W Contrast | $1,487.00 | $1,487.00 | $170.22–$1,174.73 | 38% below | — |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 HC C/T-Pelvis Scan W Contrast | $1,487.00 | $1,487.00 | $170.22–$1,174.73 | — | — |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 HC Vl Carotid Duplex Bilateral | $707.00 | $707.00 | $360.57–$752.38 | — | — |
| Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 HC Vl Carotid Duplex Bilateral | $707.00 | $707.00 | $360.57–$752.38 | — | — |
| Chest CT scan without and with contrast CPT 71270 HC C/T Diagnostic-Thorax W/WO Contrast | $1,670.00 | $1,670.00 | $136.56–$1,319.30 | 38% below | — |
| Chest CT scan without and with contrast inpatient CPT 71270 HC C/T Diagnostic-Thorax W/WO Contrast | $1,670.00 | $1,670.00 | $136.56–$1,319.30 | — | — |
| Chest X-ray, 2 views CPT 71046 HC Chest 2 Views | $216.45 | $216.45 | $22.74–$236.50 | 28% below | — |
| Chest X-ray, 2 views inpatient CPT 71046 HC Chest 2 Views | $216.45 | $216.45 | $22.74–$236.50 | — | — |
| Chest X-ray, single view CPT 71045 HC Chest Single Ap View | $216.45 | $216.45 | $16.80–$236.50 | 11% above | — |
| Chest X-ray, single view inpatient CPT 71045 HC Chest Single Ap View | $216.45 | $216.45 | $16.80–$236.50 | — | — |
| Collarbone (clavicle) X-ray, complete CPT 73000 HC Clavicle | $216.45 | $216.45 | $25.05–$236.50 | 49% below | — |
| Collarbone (clavicle) X-ray, complete inpatient CPT 73000 HC Clavicle | $216.45 | $216.45 | $25.05–$236.50 | — | — |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 HC Retroperitoneal Complete | $537.00 | $537.00 | $71.25–$424.23 | 41% below | — |
| Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 HC Retroperitoneal Complete | $537.00 | $537.00 | $71.25–$424.23 | — | — |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 HC Dexa Bone Density Axial | $261.88 | $261.88 | $29.67–$284.11 | 48% below | — |
| DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 HC Dexa Bone Density Axial | $261.88 | $261.88 | $29.67–$284.11 | — | — |
| Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 HC OB Complete Detailed | $583.68 | $583.68 | $90.33–$656.39 | 5% above | — |
| Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 HC OB Complete Detailed | $583.68 | $583.68 | $90.33–$656.39 | — | — |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 HC CT Diagnostic Thorax W/O Contrast | $1,584.00 | $1,584.00 | $82.14–$1,251.36 | 22% below | — |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 HC CT Diagnostic Thorax W/O Contrast | $1,584.00 | $1,584.00 | $82.14–$1,251.36 | — | — |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 HC C/T Diagnostic -Thorax Scan W Contrast | $1,621.00 | $1,621.00 | $111.48–$1,280.59 | 45% below | — |
| Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 HC C/T Diagnostic -Thorax Scan W Contrast | $1,621.00 | $1,621.00 | $111.48–$1,280.59 | — | — |
| Diagnostic mammogram, both breasts both sides CPT 77066 HC Bd Mammo Diag Digital 2d Bilat | $188.00 | $188.00 | $109.17–$413.42 | — | — |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 HC Bd Mammo Diag Digital 2d Bilat | $188.00 | $188.00 | $109.17–$413.42 | — | — |
| Diagnostic mammogram, one breast CPT 77065 HC Bd Mammo Diag Digital 2drt | $176.00 | $176.00 | $85.11–$326.38 | 67% below | — |
| Diagnostic mammogram, one breast one side CPT 77065 HC Bd Mammo Diag Digital 2d Lt | $176.00 | $176.00 | $85.11–$326.38 | 67% below | — |
| Diagnostic mammogram, one breast inpatient CPT 77065 HC Bd Mammo Diag Digital 2drt | $176.00 | $176.00 | $85.11–$326.38 | — | — |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 HC Bd Mammo Diag Digital 2d Lt | $176.00 | $176.00 | $85.11–$326.38 | — | — |
| Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 HC Vl Duplex Lea Bilateral | $707.00 | $707.00 | $360.57–$895.60 | — | — |
| Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 HC Vl Duplex Lea Bilateral | $707.00 | $707.00 | $360.57–$895.60 | — | — |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 HC Vl Duplex Venous Map Bilat | $767.00 | $767.00 | $391.17–$730.58 | — | — |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 HC Vl Duplex Venous Map Bilat | $767.00 | $767.00 | $391.17–$730.58 | — | — |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 HC Ec Echo 2d-M Doppler/Color | $1,314.08 | $1,314.08 | $670.18–$1,484.95 | 53% below | — |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 HC Ec Echo 2d-M Doppler/Color | $1,314.08 | $1,314.08 | $670.18–$1,484.95 | — | — |
| Elbow X-ray, 2 views CPT 73070 HC Elbow | $216.45 | $216.45 | $21.09–$236.50 | 25% below | — |
| Elbow X-ray, 2 views inpatient CPT 73070 HC Elbow | $216.45 | $216.45 | $21.09–$236.50 | — | — |
| Elbow X-ray, complete, 3 or more views CPT 73080 HC Elbow 3 Views | $231.00 | $231.00 | $24.39–$236.50 | 33% below | — |
| Elbow X-ray, complete, 3 or more views inpatient CPT 73080 HC Elbow 3 Views | $231.00 | $231.00 | $24.39–$236.50 | — | — |
| Eye socket (orbit) CT scan without contrast CPT 70480 HC CT Tmj (Also for Sella) | $1,476.00 | $1,476.00 | $97.95–$1,166.04 | 13% below | — |
| Eye socket (orbit) CT scan without contrast CPT 70480 HC CT Orbit, Sella Post Fossa W/O Contrast | $1,476.00 | $1,476.00 | $97.95–$1,166.04 | 13% below | — |
| Eye socket (orbit) CT scan without contrast inpatient CPT 70480 HC CT Orbit, Sella Post Fossa W/O Contrast | $1,476.00 | $1,476.00 | $97.95–$1,166.04 | — | — |
| Eye socket (orbit) CT scan without contrast inpatient CPT 70480 HC CT Tmj (Also for Sella) | $1,476.00 | $1,476.00 | $97.95–$1,166.04 | — | — |
| Facial bones X-ray, complete, 3 or more views CPT 70150 HC Facial Bones | $280.00 | $280.00 | $33.96–$284.11 | 35% below | — |
| Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 HC Facial Bones | $280.00 | $280.00 | $33.96–$284.11 | — | — |
| Forearm X-ray (radius and ulna), 2 views CPT 73090 HC Forearm | $216.45 | $216.45 | $21.09–$236.50 | 35% below | — |
| Forearm X-ray (radius and ulna), 2 views inpatient CPT 73090 HC Forearm | $216.45 | $216.45 | $21.09–$236.50 | — | — |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HC Hepabilry Sys Imag Inc Gallbladder | $982.43 | $982.43 | $248.01–$1,086.42 | 38% below | — |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 HC Hepabilry Sys Imag Inc Gallbladder | $982.43 | $982.43 | $248.01–$1,086.42 | — | — |
| Hand X-ray, 2 views CPT 73120 HC Hand | $261.88 | $261.88 | $23.07–$284.11 | 21% below | — |
| Hand X-ray, 2 views inpatient CPT 73120 HC Hand | $261.88 | $261.88 | $23.07–$284.11 | — | — |
| Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 HC Heel | $216.45 | $216.45 | $20.43–$236.50 | 29% below | — |
| Heel bone (calcaneus) X-ray, 2 or more views inpatient CPT 73650 HC Heel | $216.45 | $216.45 | $20.43–$236.50 | — | — |
| Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 HC Sleep Study Unattended | $1,800.00 | $1,800.00 | $586.80–$1,422.00 | 14% below | — |
| Home sleep apnea test, unattended, recording breathing and oxygen inpatient CPT 95806 HC Sleep Study Unattended | $1,800.00 | $1,800.00 | $586.80–$1,422.00 | — | — |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 HC Polysomnography,4 Parameters W/Cpap | $2,490.45 | $2,490.45 | $1,270.13–$2,710.55 | 63% below | — |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 HC Polysom Age 6> Split/Cpap | $2,490.45 | $2,490.45 | $1,270.13–$2,710.55 | 63% below | — |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 HC Polysomnography,4 Parameters W/Cpap | $2,490.45 | $2,490.45 | $1,270.13–$2,710.55 | — | — |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 HC Polysom Age 6> Split/Cpap | $2,490.45 | $2,490.45 | $1,270.13–$2,710.55 | — | — |
| Knee X-ray, 3 views CPT 73562 HC Knees 3 Views | $269.00 | $269.00 | $32.64–$236.50 | 22% below | — |
| Knee X-ray, 3 views inpatient CPT 73562 HC Knees 3 Views | $269.00 | $269.00 | $32.64–$236.50 | — | — |
| Knee X-ray, complete, 4 or more views CPT 73564 HC Knee Complete | $280.00 | $280.00 | $37.46–$284.11 | 20% below | — |
| Knee X-ray, complete, 4 or more views inpatient CPT 73564 HC Knee Complete | $280.00 | $280.00 | $37.46–$284.11 | — | — |
| Leg CT scan without contrast (hip to foot, any part) CPT 73700 HC CT Lower Extrem WO Contrast | $1,110.00 | $1,110.00 | $82.80–$876.90 | 42% below | — |
| Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 HC CT Lower Extrem WO Contrast | $1,110.00 | $1,110.00 | $82.80–$876.90 | — | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HC Liver Sonogram | $463.00 | $463.00 | $58.05–$365.77 | 46% below | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HC Pyloric Stenosis | $463.00 | $463.00 | $58.05–$365.77 | 46% below | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HC Spleen Sonogram | $463.00 | $463.00 | $58.05–$365.77 | 46% below | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HC Abdomen Limited B | $463.00 | $463.00 | $58.05–$365.77 | 46% below | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder one side CPT 76705 HC Right Upper Quadrant | $463.00 | $463.00 | $58.05–$365.77 | 46% below | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 HC Pyloric Stenosis | $463.00 | $463.00 | $58.05–$365.77 | — | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 HC Liver Sonogram | $463.00 | $463.00 | $58.05–$365.77 | — | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 HC Abdomen Limited B | $463.00 | $463.00 | $58.05–$365.77 | — | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 HC Spleen Sonogram | $463.00 | $463.00 | $58.05–$365.77 | — | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient one side CPT 76705 HC Right Upper Quadrant | $463.00 | $463.00 | $58.05–$365.77 | — | — |
| Limited ultrasound of an arm or leg (non-vascular) CPT 76882 HC US Axillary | $500.00 | $500.00 | $31.65–$395.00 | 12% below | — |
| Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 HC US Axillary | $500.00 | $500.00 | $31.65–$395.00 | — | — |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 HC CT Lung Cancer Screening | $261.88 | $261.88 | $85.74–$284.11 | at median | — |
| Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 HC CT Lung Cancer Screening | $261.88 | $261.88 | $85.74–$284.11 | — | — |
| Lower leg X-ray (tibia and fibula), 2 views CPT 73590 HC Leg | $216.45 | $216.45 | $23.40–$236.50 | 46% below | — |
| Lower leg X-ray (tibia and fibula), 2 views inpatient CPT 73590 HC Leg | $216.45 | $216.45 | $23.40–$236.50 | — | — |
| MR angiography (MRA) of the head without contrast CPT 70544 HC Mra Head WO Contrast | $1,426.00 | $1,426.00 | $157.65–$1,370.78 | 50% below | — |
| MR angiography (MRA) of the head without contrast inpatient CPT 70544 HC Mra Head WO Contrast | $1,426.00 | $1,426.00 | $157.65–$1,370.78 | — | — |
| MRI of both breasts, without and then with contrast dye both sides CPT 77049 HC Bd MRI Breast Bilateral W/WO Contrast | $2,731.00 | $2,731.00 | $230.91–$2,470.02 | — | — |
| MRI of both breasts, without and then with contrast dye inpatient both sides CPT 77049 HC Bd MRI Breast Bilateral W/WO Contrast | $2,731.00 | $2,731.00 | $230.91–$2,470.02 | — | — |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HC MRI Lower Extrem Joint WO Cont | $2,145.00 | $2,145.00 | $139.86–$1,694.55 | 13% below | — |
| MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 HC MRI Lower Extrem Joint WO Cont | $2,145.00 | $2,145.00 | $139.86–$1,694.55 | — | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 HC MRI Lower Extrem Joint Wwo Cont | $2,731.00 | $2,731.00 | $278.76–$2,941.13 | 23% below | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 HC MRI Lower Extrem Joint Wwo Cont | $2,731.00 | $2,731.00 | $278.76–$2,941.13 | — | — |
| MRI of the abdomen without contrast CPT 74181 HC MRI Abdomen WO Contrast | $2,145.00 | $2,145.00 | $125.67–$1,694.55 | 15% below | — |
| MRI of the abdomen without contrast inpatient CPT 74181 HC MRI Abdomen WO Contrast | $2,145.00 | $2,145.00 | $125.67–$1,694.55 | — | — |
| MRI of the abdomen, without and then with contrast dye CPT 74183 HC MRI Abdomen W WO Contrast | $2,925.00 | $2,925.00 | $231.57–$2,960.65 | 17% below | — |
| MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 HC MRI Abdomen W WO Contrast | $2,925.00 | $2,925.00 | $231.57–$2,960.65 | — | — |
| MRI of the brain, no contrast dye CPT 70551 HC MRI Brain WO Contrast | $2,145.00 | $2,145.00 | $126.00–$1,694.55 | 18% below | — |
| MRI of the brain, no contrast dye inpatient CPT 70551 HC MRI Brain WO Contrast | $2,145.00 | $2,145.00 | $126.00–$1,694.55 | — | — |
| MRI of the lower back, no contrast dye CPT 72148 HC MRI-L-Spine | $2,145.00 | $2,145.00 | $121.71–$1,694.55 | 13% below | — |
| MRI of the lower back, no contrast dye inpatient CPT 72148 HC MRI-L-Spine | $2,145.00 | $2,145.00 | $121.71–$1,694.55 | — | — |
| MRI of the lower back, without and then with contrast dye CPT 72158 HC MRI-L-Spine W/WO Contrast | $2,925.00 | $2,925.00 | $210.12–$3,005.88 | 23% below | — |
| MRI of the lower back, without and then with contrast dye inpatient CPT 72158 HC MRI-L-Spine W/WO Contrast | $2,925.00 | $2,925.00 | $210.12–$3,005.88 | — | — |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 HC MRI-T-Spine | $2,145.00 | $2,145.00 | $120.72–$1,694.55 | 15% below | — |
| MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 HC MRI-T-Spine | $2,145.00 | $2,145.00 | $120.72–$1,694.55 | — | — |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 HC MRI-C Spine W/WO Contrast | $2,925.00 | $2,925.00 | $209.79–$3,033.04 | 18% below | — |
| MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 HC MRI-C Spine W/WO Contrast | $2,925.00 | $2,925.00 | $209.79–$3,033.04 | — | — |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 HC MRI-C-Spine | $2,145.00 | $2,145.00 | $121.05–$1,694.55 | 15% below | — |
| MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 HC MRI-C-Spine | $2,145.00 | $2,145.00 | $121.05–$1,694.55 | — | — |
| MRI of the pelvis without and with contrast CPT 72197 HC MRI-Pelvis W/WO Contrast | $2,925.00 | $2,925.00 | $229.92–$2,960.65 | 17% below | — |
| MRI of the pelvis without and with contrast inpatient CPT 72197 HC MRI-Pelvis W/WO Contrast | $2,925.00 | $2,925.00 | $229.92–$2,960.65 | — | — |
| MRI of the pelvis, no contrast dye CPT 72195 HC MRI-Pelvis | $2,145.00 | $2,145.00 | $158.67–$1,694.55 | 12% below | — |
| MRI of the pelvis, no contrast dye inpatient CPT 72195 HC MRI-Pelvis | $2,145.00 | $2,145.00 | $158.67–$1,694.55 | — | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 HC MRI Upper Extrem Joint WO Cont | $2,145.00 | $2,145.00 | $140.19–$1,694.55 | 14% below | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 HC MRI Upper Extrem Joint WO Cont | $2,145.00 | $2,145.00 | $140.19–$1,694.55 | — | — |
| Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 HC Xr C Spine 4 or 5 Views | $329.00 | $329.00 | $41.55–$284.11 | 45% below | — |
| Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 HC Xr C Spine 4 or 5 Views | $329.00 | $329.00 | $41.55–$284.11 | — | — |
| Neck soft tissue CT scan with contrast CPT 70491 HC C/T-Neck Scan W Contrast | $1,085.00 | $1,085.00 | $118.41–$857.15 | 63% below | — |
| Neck soft tissue CT scan with contrast inpatient CPT 70491 HC C/T-Neck Scan W Contrast | $1,085.00 | $1,085.00 | $118.41–$857.15 | — | — |
| Neck soft tissue CT scan without contrast CPT 70490 HC C/T-Neck Scan W/O Contrast | $939.00 | $939.00 | $89.40–$741.81 | 34% below | — |
| Neck soft tissue CT scan without contrast inpatient CPT 70490 HC C/T-Neck Scan W/O Contrast | $939.00 | $939.00 | $89.40–$741.81 | — | — |
| Neck soft tissue X-ray CPT 70360 HC Soft Tissues of Neck | $216.45 | $216.45 | $22.08–$236.50 | 31% below | — |
| Neck soft tissue X-ray inpatient CPT 70360 HC Soft Tissues of Neck | $216.45 | $216.45 | $22.08–$236.50 | — | — |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 HC Myocardial Perf-Spect/Multi | $3,382.33 | $3,382.33 | $348.93–$3,518.36 | 33% below | — |
| Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 HC Myocardial Perf-Spect/Multi | $3,382.33 | $3,382.33 | $348.93–$3,518.36 | — | — |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 HC Pet CT Standard Body Scan | $3,726.50 | $3,726.50 | $1,236.90–$3,886.05 | 42% below | — |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 HC Pet CT Standard Body Scan | $3,726.50 | $3,726.50 | $1,236.90–$3,886.05 | — | — |
| Pelvic CT scan without contrast CPT 72192 HC CT Pelvis W/O Contrast | $1,268.00 | $1,268.00 | $81.81–$1,001.72 | 33% below | — |
| Pelvic CT scan without contrast inpatient CPT 72192 HC CT Pelvis W/O Contrast | $1,268.00 | $1,268.00 | $81.81–$1,001.72 | — | — |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 HC Sono Pelvis Limited | $261.88 | $261.88 | $27.03–$284.11 | 55% below | — |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 HC Sono Pelvis Limited | $261.88 | $261.88 | $27.03–$284.11 | — | — |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 HC Pelvic Sonogram | $488.00 | $488.00 | $71.91–$385.52 | 49% below | — |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 HC Iud Localization | $488.00 | $488.00 | $71.91–$385.52 | 49% below | — |
| Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 HC Pelvic Sonogram | $488.00 | $488.00 | $71.91–$385.52 | — | — |
| Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 HC Iud Localization | $488.00 | $488.00 | $71.91–$385.52 | — | — |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HC OB 2nd & 3rd Trimester | $865.00 | $865.00 | $74.74–$683.35 | 8% below | — |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 HC OB 2nd & 3rd Trimester | $865.00 | $865.00 | $74.74–$683.35 | — | — |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 HC OB 1st Trimester | $865.00 | $865.00 | $45.91–$683.35 | 13% below | — |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 HC OB 1st Trimester | $865.00 | $865.00 | $45.91–$683.35 | — | — |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 HC US OB Limited | $378.00 | $378.00 | $50.13–$298.62 | 25% below | — |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 HC US OB Limited | $378.00 | $378.00 | $50.13–$298.62 | — | — |
| Rib X-ray, one side, 2 views CPT 71100 HC Ribs | $216.45 | $216.45 | $25.38–$236.50 | 37% below | — |
| Rib X-ray, one side, 2 views inpatient CPT 71100 HC Ribs | $216.45 | $216.45 | $25.38–$236.50 | — | — |
| Rib X-ray, one side, with a chest view, 3 or more views CPT 71101 HC Ribs With Chest | $293.00 | $293.00 | $28.68–$284.11 | 20% below | — |
| Rib X-ray, one side, with a chest view, 3 or more views inpatient CPT 71101 HC Ribs With Chest | $293.00 | $293.00 | $28.68–$284.11 | — | — |
| Screening mammogram, both breasts CPT 77067 HC Bd Mammo Screen Digital 2d | $175.00 | $175.00 | $90.06–$332.53 | 24% below | — |
| Screening mammogram, both breasts inpatient CPT 77067 HC Bd Mammo Screen Digital 2d | $175.00 | $175.00 | $90.06–$332.53 | — | — |
| Shoulder X-ray, complete, 2 or more views CPT 73030 HC Shoulder | $231.00 | $231.00 | $26.37–$236.50 | 33% below | — |
| Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 HC Shoulder | $231.00 | $231.00 | $26.37–$236.50 | — | — |
| Sinus X-ray, complete, 3 or more views CPT 70220 HC Sinuses | $317.00 | $317.00 | $27.03–$250.43 | 8% below | — |
| Sinus X-ray, complete, 3 or more views inpatient CPT 70220 HC Sinuses | $317.00 | $317.00 | $27.03–$250.43 | — | — |
| Skull X-ray, fewer than 4 views CPT 70250 HC Skull < 4 Views | $261.88 | $261.88 | $26.70–$284.11 | 20% below | — |
| Skull X-ray, fewer than 4 views inpatient CPT 70250 HC Skull < 4 Views | $261.88 | $261.88 | $26.70–$284.11 | — | — |
| Sleep study in a lab (polysomnography) CPT 95810 HC Polysom Age 6>W/Param 4>&6hrs | $2,490.45 | $2,490.45 | $1,270.13–$2,480.26 | 57% below | — |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 HC Polysom Age 6>W/Param 4>&6hrs | $2,490.45 | $2,490.45 | $1,270.13–$2,480.26 | — | — |
| Stress echocardiogram, complete, including the stress test and supervision CPT 93351 HC Stress Echo W/Ecg Monitoring | $1,314.08 | $1,314.08 | $670.18–$1,484.95 | 14% below | — |
| Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 HC Stress Echo W/Ecg Monitoring | $1,314.08 | $1,314.08 | $670.18–$1,484.95 | — | — |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 HC Modified Barium Swallow W Scout/Delayed Images | $439.00 | $439.00 | $82.29–$476.67 | 3% above | — |
| Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 HC Modified Barium Swallow W Scout/Delayed Images | $439.00 | $439.00 | $82.29–$476.67 | — | — |
| Thigh bone (femur) X-ray, 2 or more views CPT 73552 HC Femur | $250.00 | $250.00 | $26.70–$236.50 | 19% below | — |
| Thigh bone (femur) X-ray, 2 or more views inpatient CPT 73552 HC Femur | $250.00 | $250.00 | $26.70–$236.50 | — | — |
| Thoracic spine (mid back) CT scan without contrast CPT 72128 HC C/T-T Spine W/O Contrast | $1,110.00 | $1,110.00 | $82.80–$876.90 | 58% below | — |
| Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 HC C/T-T Spine W/O Contrast | $1,110.00 | $1,110.00 | $82.80–$876.90 | — | — |
| Toe X-ray, 2 or more views CPT 73660 HC Toe | $216.45 | $216.45 | $22.08–$236.50 | 31% below | — |
| Toe X-ray, 2 or more views inpatient CPT 73660 HC Toe | $216.45 | $216.45 | $22.08–$236.50 | — | — |
| Transvaginal pelvic ultrasound CPT 76830 HC Transvaginal Sonogram | $512.00 | $512.00 | $84.09–$404.48 | 47% below | — |
| Transvaginal pelvic ultrasound inpatient CPT 76830 HC Transvaginal Sonogram | $512.00 | $512.00 | $84.09–$404.48 | — | — |
| Transvaginal ultrasound during pregnancy CPT 76817 HC US, Pregnant Uterus, Transvaginal | $277.00 | $277.00 | $56.73–$284.11 | 60% below | — |
| Transvaginal ultrasound during pregnancy inpatient CPT 76817 HC US, Pregnant Uterus, Transvaginal | $277.00 | $277.00 | $56.73–$284.11 | — | — |
| Ultrasound of the abdomen, complete CPT 76700 HC Abdomen Complete | $792.00 | $792.00 | $75.84–$625.68 | 28% below | — |
| Ultrasound of the abdomen, complete inpatient CPT 76700 HC Abdomen Complete | $792.00 | $792.00 | $75.84–$625.68 | — | — |
| Ultrasound of the scrotum and testicles CPT 76870 HC Scrotum Sonogram | $536.00 | $536.00 | $67.95–$423.44 | 45% below | — |
| Ultrasound of the scrotum and testicles inpatient CPT 76870 HC Scrotum Sonogram | $536.00 | $536.00 | $67.95–$423.44 | — | — |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 HC Thyroid Sonography | $658.00 | $658.00 | $81.15–$519.82 | 2% above | — |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 HC Thyroid Sonography | $658.00 | $658.00 | $81.15–$519.82 | — | — |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 HC Gastrografin GI W Scout W/WO Delayed Images | $446.00 | $446.00 | $83.13–$476.67 | 23% below | — |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 HC Gastrografin GI W Scout W/WO Delayed Images | $446.00 | $446.00 | $83.13–$476.67 | — | — |
| Upper arm X-ray (humerus), 2 views CPT 73060 HC Humerus | $216.45 | $216.45 | $23.73–$236.50 | 31% below | — |
| Upper arm X-ray (humerus), 2 views inpatient CPT 73060 HC Humerus | $216.45 | $216.45 | $23.73–$236.50 | — | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 HC Vl Duplex Venous Map Unilat | $475.00 | $475.00 | $242.25–$497.35 | 46% below | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 HC Vl Duplex Venous Map Unilat | $475.00 | $475.00 | $242.25–$497.35 | — | — |
| Wrist X-ray, 2 views CPT 73100 HC Wrist 2 Views | $216.45 | $216.45 | $25.71–$236.50 | 15% below | — |
| Wrist X-ray, 2 views CPT 73100 HC Wrist | $216.45 | $216.45 | $25.71–$236.50 | 15% below | — |
| Wrist X-ray, 2 views inpatient CPT 73100 HC Wrist 2 Views | $216.45 | $216.45 | $25.71–$236.50 | — | — |
| Wrist X-ray, 2 views inpatient CPT 73100 HC Wrist | $216.45 | $216.45 | $25.71–$236.50 | — | — |
| Wrist X-ray, complete, 3 or more views CPT 73110 HC Wrist 3 View | $219.00 | $219.00 | $32.74–$236.50 | 30% below | — |
| Wrist X-ray, complete, 3 or more views inpatient CPT 73110 HC Wrist 3 View | $219.00 | $219.00 | $32.74–$236.50 | — | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 HC Hip for Fx, 2 or 3 Views | $231.00 | $231.00 | $37.59–$236.50 | 27% below | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient CPT 73502 HC Hip for Fx, 2 or 3 Views | $231.00 | $231.00 | $37.59–$236.50 | — | — |
| X-ray of the abdomen, 1 view CPT 74018 HC Xr Cysto/Litho Abdomen | $216.45 | $216.45 | $20.76–$236.50 | 2% above | — |
| X-ray of the abdomen, 1 view inpatient CPT 74018 HC Xr Cysto/Litho Abdomen | $216.45 | $216.45 | $20.76–$236.50 | — | — |
| X-ray of the ankle, 2 views CPT 73600 HC Ankle | $216.45 | $216.45 | $24.06–$236.50 | 22% below | — |
| X-ray of the ankle, 2 views inpatient CPT 73600 HC Ankle | $216.45 | $216.45 | $24.06–$236.50 | — | — |
| X-ray of the finger(s), 2 or more views CPT 73140 HC Finger | $216.45 | $216.45 | $28.46–$236.50 | 47% below | — |
| X-ray of the finger(s), 2 or more views inpatient CPT 73140 HC Finger | $216.45 | $216.45 | $28.46–$236.50 | — | — |
| X-ray of the foot, 2 views CPT 73620 HC Foot | $216.45 | $216.45 | $20.76–$236.50 | 28% below | — |
| X-ray of the foot, 2 views inpatient CPT 73620 HC Foot | $216.45 | $216.45 | $20.76–$236.50 | — | — |
| X-ray of the foot, complete, 3 or more views CPT 73630 HC Xr Foot 3 Views | $219.00 | $219.00 | $25.71–$236.50 | 33% below | — |
| X-ray of the foot, complete, 3 or more views inpatient CPT 73630 HC Xr Foot 3 Views | $219.00 | $219.00 | $25.71–$236.50 | — | — |
| X-ray of the hand, 3 or more views CPT 73130 HC Xr Hand, 3 Views | $219.00 | $219.00 | $28.94–$236.50 | 34% below | — |
| X-ray of the hand, 3 or more views inpatient CPT 73130 HC Xr Hand, 3 Views | $219.00 | $219.00 | $28.94–$236.50 | — | — |
| X-ray of the knee, 1 or 2 views CPT 73560 HC Knee | $216.45 | $216.45 | $25.61–$236.50 | 37% below | — |
| X-ray of the knee, 1 or 2 views inpatient CPT 73560 HC Knee | $216.45 | $216.45 | $25.61–$236.50 | — | — |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 HC Lumbar Spine 2 Views | $269.00 | $269.00 | $29.34–$284.11 | 22% below | — |
| X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 HC Lumbar Spine 2 Views | $269.00 | $269.00 | $29.34–$284.11 | — | — |
| X-ray of the lower back, 4 or more views CPT 72110 HC Lumbar Spine Min 4 Views | $366.00 | $366.00 | $40.23–$289.14 | 30% below | — |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 HC Lumbar Spine Min 4 Views | $366.00 | $366.00 | $40.23–$289.14 | — | — |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 HC Thoracic Spine 2 Views | $261.88 | $261.88 | $23.07–$284.11 | 39% below | — |
| X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 HC Thoracic Spine 2 Views | $261.88 | $261.88 | $23.07–$284.11 | — | — |
| X-ray of the nasal bones, 3 or more views CPT 70160 HC Nose-Nasal Bones | $216.45 | $216.45 | $28.68–$236.50 | 37% below | — |
| X-ray of the nasal bones, 3 or more views inpatient CPT 70160 HC Nose-Nasal Bones | $216.45 | $216.45 | $28.68–$236.50 | — | — |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 HC Xr C Spine 3 Views or Less | $216.45 | $216.45 | $29.01–$236.50 | 46% below | — |
| X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 HC Xr C Spine 3 Views or Less | $216.45 | $216.45 | $29.01–$236.50 | — | — |
| X-ray of the pelvis, 1 or 2 views CPT 72170 HC Pelvis | $261.88 | $261.88 | $19.44–$284.11 | 11% below | — |
| X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 HC Pelvis | $261.88 | $261.88 | $19.44–$284.11 | — | — |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 HC Sacrum and/or Coccyx | $231.00 | $231.00 | $23.40–$236.50 | 32% below | — |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 HC Sacrum and/or Coccyx | $231.00 | $231.00 | $23.40–$236.50 | — | — |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Delaware | Off list |
|---|---|---|---|---|---|
| ACTH blood test CPT 82024 HC Acth (Acth) | $500.00 | $500.00 | $38.62–$395.00 | 24% above | — |
| ACTH blood test inpatient CPT 82024 HC Acth (Acth) | $500.00 | $500.00 | $38.62–$395.00 | — | — |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 HC Alt (Sgpt) | $73.00 | $73.00 | $5.30–$57.67 | 19% below | — |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 HC Alt (Sgpt) | $73.00 | $73.00 | $5.30–$57.67 | — | — |
| AST (aspartate aminotransferase) enzyme test CPT 84450 HC Ast (Sgot) | $73.00 | $73.00 | $5.18–$57.67 | 13% below | — |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 HC Ast (Sgot) | $73.00 | $73.00 | $5.18–$57.67 | — | — |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HC Viral Hepatitis Study | $187.00 | $187.00 | $47.63–$147.73 | 31% below | — |
| Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HC Viral Hepatitis Study | $187.00 | $187.00 | $47.63–$147.73 | — | — |
| Albumin blood test CPT 82040 HC Albumin;Serum, Plasma or Whole Blood | $61.00 | $61.00 | $4.95–$48.19 | 10% above | — |
| Albumin blood test inpatient CPT 82040 HC Albumin;Serum, Plasma or Whole Blood | $61.00 | $61.00 | $4.95–$48.19 | — | — |
| Aldosterone blood test CPT 82088 HC Aldosterone | $298.00 | $298.00 | $40.75–$235.42 | 26% below | — |
| Aldosterone blood test inpatient CPT 82088 HC Aldosterone | $298.00 | $298.00 | $40.75–$235.42 | — | — |
| Alkaline phosphatase (ALP) blood test CPT 84075 HC Alk Phosphatase (Alkp) | $61.00 | $61.00 | $5.18–$48.19 | 40% below | — |
| Alkaline phosphatase (ALP) blood test inpatient CPT 84075 HC Alk Phosphatase (Alkp) | $61.00 | $61.00 | $5.18–$48.19 | — | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Rast (Rst1) | $75.00 | $75.00 | $5.22–$59.25 | 27% below | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Rast (Rst1) | $75.00 | $75.00 | $5.22–$59.25 | — | — |
| Alpha-fetoprotein (AFP) blood test CPT 82105 HC Alpha-Fetoprotein (Afp) Serum | $238.00 | $238.00 | $16.77–$188.02 | 5% above | — |
| Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 HC Alpha-Fetoprotein (Afp) Serum | $238.00 | $238.00 | $16.77–$188.02 | — | — |
| Ammonia blood test CPT 82140 HC Ammonia | $183.00 | $183.00 | $14.57–$144.57 | 77% above | — |
| Ammonia blood test inpatient CPT 82140 HC Ammonia | $183.00 | $183.00 | $14.57–$144.57 | — | — |
| Amylase blood test CPT 82150 HC Amylase | $86.00 | $86.00 | $6.48–$67.94 | 48% below | — |
| Amylase blood test inpatient CPT 82150 HC Amylase | $86.00 | $86.00 | $6.48–$67.94 | — | — |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 HC Cyclic Citrullinated Peptide | $47.00 | $47.00 | $12.95–$38.51 | 23% below | — |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 HC Cyclic Citrullinated Peptide | $47.00 | $47.00 | $12.95–$38.51 | — | — |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 HC Anti Nuclear Antibody | $41.00 | $41.00 | $12.09–$35.47 | 74% below | — |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 HC Anti Nuclear Antibody | $41.00 | $41.00 | $12.09–$35.47 | — | — |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 HC B Type Naturiuretic Peptide | $98.15 | $98.15 | $39.26–$104.43 | 62% below | — |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 HC B Type Naturiuretic Peptide | $98.15 | $98.15 | $39.26–$104.43 | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC Cult Throat (Thrc) | $97.00 | $97.00 | $8.62–$76.63 | 57% below | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC Sm Cult Respir (Resc) | $97.00 | $97.00 | $8.62–$76.63 | 57% below | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC Sm Cult Genital (Gesc) | $97.00 | $97.00 | $8.62–$76.63 | 57% below | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC Sm Cult CSF (Sfsc) | $97.00 | $97.00 | $8.62–$76.63 | 57% below | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC Sm Cult Misc (Misc) | $97.00 | $97.00 | $8.62–$76.63 | 57% below | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC Body Fluid Smear and Culture | $97.00 | $97.00 | $8.62–$76.63 | 57% below | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC Sm Cult CSF (Sfsc) | $97.00 | $97.00 | $8.62–$76.63 | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC Sm Cult Genital (Gesc) | $97.00 | $97.00 | $8.62–$76.63 | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC Sm Cult Misc (Misc) | $97.00 | $97.00 | $8.62–$76.63 | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC Sm Cult Respir (Resc) | $97.00 | $97.00 | $8.62–$76.63 | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC Cult Throat (Thrc) | $97.00 | $97.00 | $8.62–$76.63 | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC Body Fluid Smear and Culture | $97.00 | $97.00 | $8.62–$76.63 | — | — |
| Basic metabolic panel (blood test) CPT 80048 HC Chem8(Basic Metabolic) | $110.00 | $110.00 | $8.46–$86.90 | 18% below | — |
| Basic metabolic panel (blood test) inpatient CPT 80048 HC Chem8(Basic Metabolic) | $110.00 | $110.00 | $8.46–$86.90 | — | — |
| Bilirubin blood test, total CPT 82247 HC Bilirubin Total | $61.00 | $61.00 | $5.02–$48.19 | 46% below | — |
| Bilirubin blood test, total inpatient CPT 82247 HC Bilirubin Total | $61.00 | $61.00 | $5.02–$48.19 | — | — |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC Renal Path Level IV Wet Ts | $341.00 | $341.00 | $80.03–$269.39 | 11% below | — |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC Surg Path Prostate | $426.00 | $426.00 | $80.03–$336.54 | 12% above | — |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC Surg Path, Level IV | $426.00 | $426.00 | $80.03–$336.54 | 12% above | — |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HC Renal Path Level IV Wet Ts | $341.00 | $341.00 | $80.03–$269.39 | — | — |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HC Surg Path Prostate | $426.00 | $426.00 | $80.03–$336.54 | — | — |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HC Surg Path, Level IV | $426.00 | $426.00 | $80.03–$336.54 | — | — |
| Blood culture for bacteria CPT 87040 HC Culture Blood (Blc) | $122.00 | $122.00 | $10.32–$96.38 | 35% below | — |
| Blood culture for bacteria inpatient CPT 87040 HC Culture Blood (Blc) | $122.00 | $122.00 | $10.32–$96.38 | — | — |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 HC Venipuncture | $22.08 | $22.08 | $6.16–$24.84 | 4% above | — |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 HC Nh Venipuncture | $22.08 | $22.08 | $6.16–$24.84 | 4% above | — |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 Venipuncture-Venous | $22.08 | $22.08 | $6.16–$24.84 | 4% above | — |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 HC Natera Draw Charge | $25.00 | $25.00 | $6.16–$24.84 | 18% above | — |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Venipuncture-Venous | $22.08 | $22.08 | $6.16–$24.84 | — | — |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 HC Nh Venipuncture | $22.08 | $22.08 | $6.16–$24.84 | — | — |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 HC Venipuncture | $22.08 | $22.08 | $6.16–$24.84 | — | — |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 HC Natera Draw Charge | $25.00 | $25.00 | $6.16–$24.84 | — | — |
| Blood glucose (sugar) test CPT 82947 HC Glucose Quantitative Blood | $23.00 | $23.00 | $3.93–$18.17 | 39% below | — |
| Blood glucose (sugar) test CPT 82947 HC Glucose Blood, Glucose Montior Dev | $23.00 | $23.00 | $3.93–$18.17 | 39% below | — |
| Blood glucose (sugar) test inpatient CPT 82947 HC Glucose Quantitative Blood | $23.00 | $23.00 | $3.93–$18.17 | — | — |
| Blood glucose (sugar) test inpatient CPT 82947 HC Glucose Blood, Glucose Montior Dev | $23.00 | $23.00 | $3.93–$18.17 | — | — |
| Blood lead test CPT 83655 HC Lead | $36.19 | $36.19 | $12.11–$35.51 | 74% below | — |
| Blood lead test inpatient CPT 83655 HC Lead | $36.19 | $36.19 | $12.11–$35.51 | — | — |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Hcg, Qualitative | $18.80 | $18.80 | $7.52–$22.03 | 88% below | — |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 Hcg, Qualitative | $18.80 | $18.80 | $7.52–$22.03 | — | — |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HC Patient Blood Type (Bty) | $304.28 | $304.28 | $2.99–$361.57 | 161% above | — |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HC Blood Typing, Abo | $304.28 | $304.28 | $2.99–$361.57 | 161% above | — |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HC Patient Blood Type (Bty) | $304.28 | $304.28 | $2.99–$361.57 | — | — |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HC Blood Typing, Abo | $304.28 | $304.28 | $2.99–$361.57 | — | — |
| Blood urea nitrogen (BUN) test CPT 84520 HC Bun (Bun) | $48.00 | $48.00 | $3.95–$37.92 | 15% below | — |
| Blood urea nitrogen (BUN) test inpatient CPT 84520 HC Bun (Bun) | $48.00 | $48.00 | $3.95–$37.92 | — | — |
| C-peptide blood test CPT 84681 HC C-Peptide (Cpep) | $269.00 | $269.00 | $20.81–$212.51 | at median | — |
| C-peptide blood test inpatient CPT 84681 HC C-Peptide (Cpep) | $269.00 | $269.00 | $20.81–$212.51 | — | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 HC C-Reactive Protein, Inflammatory | $73.00 | $73.00 | $5.18–$57.67 | at median | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 HC C-Reactive Protein, Inflammatory | $73.00 | $73.00 | $5.18–$57.67 | — | — |
| C. difficile toxin gene test (stool PCR) CPT 87493 HC Clostridium Difficile, Toxin Gene | $126.00 | $126.00 | $37.27–$104.39 | 69% below | — |
| C. difficile toxin gene test (stool PCR) inpatient CPT 87493 HC Clostridium Difficile, Toxin Gene | $126.00 | $126.00 | $37.27–$104.39 | — | — |
| CA 19-9 blood test (tumor marker) CPT 86301 HC Ca 199 (Ca199) | $298.00 | $298.00 | $20.81–$235.42 | 2% above | — |
| CA 19-9 blood test (tumor marker) inpatient CPT 86301 HC Ca 199 (Ca199) | $298.00 | $298.00 | $20.81–$235.42 | — | — |
| CA-125 blood test (ovarian cancer marker) CPT 86304 HC Ca 125 Ag (C125) | $269.00 | $269.00 | $20.81–$212.51 | 50% above | — |
| CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 HC Ca 125 Ag (C125) | $269.00 | $269.00 | $20.81–$212.51 | — | — |
| Calcium blood test, total CPT 82310 HC Calcium Total | $61.00 | $61.00 | $5.16–$48.19 | 4% below | — |
| Calcium blood test, total inpatient CPT 82310 HC Calcium Total | $61.00 | $61.00 | $5.16–$48.19 | — | — |
| Carcinoembryonic antigen (CEA) test CPT 82378 HC Cea (Ceam) | $243.00 | $243.00 | $18.96–$191.97 | 46% above | — |
| Carcinoembryonic antigen (CEA) test inpatient CPT 82378 HC Cea (Ceam) | $243.00 | $243.00 | $18.96–$191.97 | — | — |
| Chickenpox (varicella) immunity blood test CPT 86787 HC Varicella-Zoster | $44.00 | $44.00 | $12.88–$37.80 | 63% below | — |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 HC Varicella-Zoster | $44.00 | $44.00 | $12.88–$37.80 | — | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC Chlamydia Trachomatis, Amplified Probe | $123.00 | $123.00 | $35.09–$102.98 | 51% below | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HC Chlamydia Trachomatis, Amplified Probe | $123.00 | $123.00 | $35.09–$102.98 | — | — |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC Lipid Profile (Lipd) | $170.00 | $170.00 | $13.39–$134.30 | 4% above | — |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC Lipid Profile (Lipd) | $170.00 | $170.00 | $13.39–$134.30 | — | — |
| Complete blood count (CBC) with differential CPT 85025 HC Cbc W/Diff (Cbcd) | $97.00 | $97.00 | $7.77–$76.63 | 28% below | — |
| Complete blood count (CBC) with differential inpatient CPT 85025 HC Cbc W/Diff (Cbcd) | $97.00 | $97.00 | $7.77–$76.63 | — | — |
| Complete blood count (CBC), no differential CPT 85027 HC Cbc (Cbc) | $73.00 | $73.00 | $6.47–$57.67 | 8% above | — |
| Complete blood count (CBC), no differential inpatient CPT 85027 HC Cbc (Cbc) | $73.00 | $73.00 | $6.47–$57.67 | — | — |
| Comprehensive metabolic panel (blood test) CPT 80053 HC Comp Metabolic Panel (Cmp) | $135.00 | $135.00 | $10.56–$106.65 | 11% below | — |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 HC Comp Metabolic Panel (Cmp) | $135.00 | $135.00 | $10.56–$106.65 | — | — |
| Cortisol blood test, total CPT 82533 HC Cortisol Total | $208.00 | $208.00 | $16.30–$164.32 | 11% above | — |
| Cortisol blood test, total inpatient CPT 82533 HC Cortisol Total | $208.00 | $208.00 | $16.30–$164.32 | — | — |
| Creatine kinase (CK) blood test, total CPT 82550 HC Cpk (Cpk) | $91.00 | $91.00 | $6.51–$71.89 | 54% above | — |
| Creatine kinase (CK) blood test, total inpatient CPT 82550 HC Cpk (Cpk) | $91.00 | $91.00 | $6.51–$71.89 | — | — |
| Creatinine blood test CPT 82565 HC Creatinine Blood | $61.00 | $61.00 | $5.12–$48.19 | 1% above | — |
| Creatinine blood test inpatient CPT 82565 HC Creatinine Blood | $61.00 | $61.00 | $5.12–$48.19 | — | — |
| Cytomegalovirus (CMV) antibody test CPT 86644 HC Torch Test (Tort) | $61.00 | $61.00 | $14.39–$48.19 | 61% below | — |
| Cytomegalovirus (CMV) antibody test CPT 86644 HC Cytomegalovirus(Cmv) | $61.00 | $61.00 | $14.39–$48.19 | 61% below | — |
| Cytomegalovirus (CMV) antibody test inpatient CPT 86644 HC Cytomegalovirus(Cmv) | $61.00 | $61.00 | $14.39–$48.19 | — | — |
| Cytomegalovirus (CMV) antibody test inpatient CPT 86644 HC Torch Test (Tort) | $61.00 | $61.00 | $14.39–$48.19 | — | — |
| D-dimer blood test (blood clot marker) CPT 85379 HC D Dimer Quantitative | $146.00 | $146.00 | $10.18–$115.34 | 14% below | — |
| D-dimer blood test (blood clot marker) inpatient CPT 85379 HC D Dimer Quantitative | $146.00 | $146.00 | $10.18–$115.34 | — | — |
| DHEA sulfate (DHEA-S) blood test CPT 82627 HC Dhea, Sulfate (Dheas) | $78.00 | $78.00 | $22.23–$65.25 | 62% below | — |
| DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 HC Dhea, Sulfate (Dheas) | $78.00 | $78.00 | $22.23–$65.25 | — | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC Drug Screeen Fentanyl | $155.35 | $155.35 | $42.67–$165.29 | 67% below | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC Buprenorphine, Urine | $155.35 | $155.35 | $42.67–$165.29 | 67% below | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC Prenatal Drug Screen & Buprenorphine,Urine | $155.35 | $155.35 | $42.67–$165.29 | 67% below | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC Drug Monitor Panel1 Conf Urine | $155.35 | $155.35 | $42.67–$165.29 | 67% below | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC Prenatal Drug Scrn. (Pnds) | $158.00 | $158.00 | $42.67–$165.29 | 67% below | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC Drug Screen Meconium | $158.00 | $158.00 | $42.67–$165.29 | 67% below | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC Drug Screen, Abbrev. (Adrug) | $158.00 | $158.00 | $42.67–$165.29 | 67% below | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC Urine Drug Screen, Instrument Chem Analyzer | $206.56 | $206.56 | $42.67–$165.29 | 56% below | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC Prenatal Drug Screen & Buprenorphine,Urine | $155.35 | $155.35 | $42.67–$165.29 | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC Buprenorphine, Urine | $155.35 | $155.35 | $42.67–$165.29 | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC Drug Screeen Fentanyl | $155.35 | $155.35 | $42.67–$165.29 | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC Drug Monitor Panel1 Conf Urine | $155.35 | $155.35 | $42.67–$165.29 | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC Drug Screen, Abbrev. (Adrug) | $158.00 | $158.00 | $42.67–$165.29 | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC Prenatal Drug Scrn. (Pnds) | $158.00 | $158.00 | $42.67–$165.29 | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC Drug Screen Meconium | $158.00 | $158.00 | $42.67–$165.29 | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC Urine Drug Screen, Instrument Chem Analyzer | $206.56 | $206.56 | $42.67–$165.29 | — | — |
| Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 HC Electrolytes (Lyte) | $86.00 | $86.00 | $7.01–$67.94 | 4% below | — |
| Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 HC Electrolytes (Lyte) | $86.00 | $86.00 | $7.01–$67.94 | — | — |
| Epstein-Barr virus (EBV) antibody test CPT 86665 HC Epstein-Barr Virus Vca Igg Ab | $86.00 | $86.00 | $18.14–$67.94 | 4% below | — |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 HC Epstein-Barr Virus Vca Igg Ab | $86.00 | $86.00 | $18.14–$67.94 | — | — |
| Estradiol blood test CPT 82670 HC Estradiol | $366.00 | $366.00 | $27.94–$289.14 | 127% above | — |
| Estradiol blood test inpatient CPT 82670 HC Estradiol | $366.00 | $366.00 | $27.94–$289.14 | — | — |
| FSH (follicle-stimulating hormone) test CPT 83001 HC Fsh (Fsh) | $243.00 | $243.00 | $18.58–$191.97 | 46% above | — |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 HC Fsh (Fsh) | $243.00 | $243.00 | $18.58–$191.97 | — | — |
| Fecal calprotectin (stool inflammation test) CPT 83993 HC Calprotectin, Fecal | $70.00 | $70.00 | $19.63–$58.38 | 76% below | — |
| Fecal calprotectin (stool inflammation test) inpatient CPT 83993 HC Calprotectin, Fecal | $70.00 | $70.00 | $19.63–$58.38 | — | — |
| Ferritin blood test (iron stores) CPT 82728 HC Ferritin (Fer) | $170.00 | $170.00 | $13.63–$134.30 | 30% above | — |
| Ferritin blood test (iron stores) inpatient CPT 82728 HC Ferritin (Fer) | $170.00 | $170.00 | $13.63–$134.30 | — | — |
| Fibrinogen blood test CPT 85384 HC Fibrinogen Activity | $97.00 | $97.00 | $9.72–$76.63 | 33% above | — |
| Fibrinogen blood test inpatient CPT 85384 HC Fibrinogen Activity | $97.00 | $97.00 | $9.72–$76.63 | — | — |
| Folate (folic acid) blood test CPT 82746 HC Folic Acid (Fol) | $195.00 | $195.00 | $14.70–$154.05 | 1% below | — |
| Folate (folic acid) blood test inpatient CPT 82746 HC Folic Acid (Fol) | $195.00 | $195.00 | $14.70–$154.05 | — | — |
| Free T3 thyroid hormone test CPT 84481 HC Free T3 (Ft3) | $219.00 | $219.00 | $16.94–$173.01 | 15% below | — |
| Free T3 thyroid hormone test inpatient CPT 84481 HC Free T3 (Ft3) | $219.00 | $219.00 | $16.94–$173.01 | — | — |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 HC Thyroxine Free | $110.00 | $110.00 | $9.02–$86.90 | 30% below | — |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 HC Thyroxine Free | $110.00 | $110.00 | $9.02–$86.90 | — | — |
| Free testosterone test CPT 84402 HC Testoserone, Free | $329.00 | $329.00 | $25.47–$259.91 | 65% above | — |
| Free testosterone test inpatient CPT 84402 HC Testoserone, Free | $329.00 | $329.00 | $25.47–$259.91 | — | — |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 HC Ggtp (Gt) | $86.00 | $86.00 | $7.20–$67.94 | 6% below | — |
| Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 HC Ggtp (Gt) | $86.00 | $86.00 | $7.20–$67.94 | — | — |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 HC Glucose, Post Gluc. Dose(Includes Gluc) | $61.00 | $61.00 | $4.75–$48.19 | 35% above | — |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 HC Gluc. Challenge Screen (Gluc) | $61.00 | $61.00 | $4.75–$48.19 | 35% above | — |
| Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 HC Glucose, Post Gluc. Dose(Includes Gluc) | $61.00 | $61.00 | $4.75–$48.19 | — | — |
| Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 HC Gluc. Challenge Screen (Gluc) | $61.00 | $61.00 | $4.75–$48.19 | — | — |
| Glucose tolerance test, 3 samples CPT 82951 HC Glucose Tolerance Test 3 Specimens | $170.00 | $170.00 | $12.87–$134.30 | 11% above | — |
| Glucose tolerance test, 3 samples inpatient CPT 82951 HC Glucose Tolerance Test 3 Specimens | $170.00 | $170.00 | $12.87–$134.30 | — | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC N. Gono, Amplified Probe | $123.00 | $123.00 | $35.09–$102.98 | 36% below | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HC N. Gono, Amplified Probe | $123.00 | $123.00 | $35.09–$102.98 | — | — |
| H. pylori stool antigen test CPT 87338 HC H.Pylori Antigen, Stool | $38.00 | $38.00 | $14.38–$38.25 | 78% below | — |
| H. pylori stool antigen test inpatient CPT 87338 HC H.Pylori Antigen, Stool | $38.00 | $38.00 | $14.38–$38.25 | — | — |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HC Hiv Rna by Pcr (Pcrhiv) | $310.00 | $310.00 | $85.10–$249.67 | 52% below | — |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HC Hiv Rna by Pcr (Pcrhiv) | $310.00 | $310.00 | $85.10–$249.67 | — | — |
| HIV-1 and HIV-2 antibody test CPT 86703 HC Hiv 1 & 2 Single Assay | $59.00 | $59.00 | $13.71–$46.61 | 36% below | — |
| HIV-1 and HIV-2 antibody test inpatient CPT 86703 HC Hiv 1 & 2 Single Assay | $59.00 | $59.00 | $13.71–$46.61 | — | — |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HC Hiv-Q Antigen(S) W Hiv-1/Hiv-2 Antibodies,Simple | $80.00 | $80.00 | $24.08–$71.65 | 53% below | — |
| HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HC Hiv-Q Antigen(S) W Hiv-1/Hiv-2 Antibodies,Simple | $80.00 | $80.00 | $24.08–$71.65 | — | — |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 HC Human Papillomavirus(Hpv) | $150.00 | $150.00 | $35.09–$118.50 | 37% below | — |
| HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HC Human Papillomavirus(Hpv) | $150.00 | $150.00 | $35.09–$118.50 | — | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HC Hemoglobin A1c (A1c) | $122.00 | $122.00 | $9.71–$96.38 | 26% below | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HC Hemoglobin A1c (A1c) | $122.00 | $122.00 | $9.71–$96.38 | — | — |
| Hemoglobin blood test CPT 85018 HC Hemoglobin (Hgb) | $25.00 | $25.00 | $2.37–$19.75 | 30% below | — |
| Hemoglobin blood test inpatient CPT 85018 HC Hemoglobin (Hgb) | $25.00 | $25.00 | $2.37–$19.75 | — | — |
| Hepatitis B core antibody test (total) CPT 86704 HC Anti-HB Core (Core) | $158.00 | $158.00 | $12.05–$124.82 | 5% below | — |
| Hepatitis B core antibody test (total) inpatient CPT 86704 HC Anti-HB Core (Core) | $158.00 | $158.00 | $12.05–$124.82 | — | — |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HC Anti-Hbsag (Hab) | $135.00 | $135.00 | $10.74–$106.65 | at median | — |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HC Anti-Hbsag (Hab) | $135.00 | $135.00 | $10.74–$106.65 | — | — |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HC Hepatitis B Surface Antigen | $135.00 | $135.00 | $10.33–$106.65 | 8% above | — |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HC Hepatitis B Surface Antigen | $135.00 | $135.00 | $10.33–$106.65 | — | — |
| Hepatitis C antibody blood test (screening) CPT 86803 HC Ant-Hepatitits C (Ahcv) | $183.00 | $183.00 | $14.27–$144.57 | 35% above | — |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 HC Ant-Hepatitits C (Ahcv) | $183.00 | $183.00 | $14.27–$144.57 | — | — |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HC Hepatitis C, Reverse Transcription & Quantification | $121.00 | $121.00 | $42.84–$113.95 | 81% below | — |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HC Hepatitis C, Reverse Transcription & Quantification | $121.00 | $121.00 | $42.84–$113.95 | — | — |
| Herpes blood test, HSV-1 antibody CPT 86695 HC Herpes Simplex, Type 1, Antibody | $122.00 | $122.00 | $13.19–$96.38 | 23% below | — |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HC Herpes Simplex, Type 1, Antibody | $122.00 | $122.00 | $13.19–$96.38 | — | — |
| Herpes blood test, HSV-2 antibody CPT 86696 HC Herpes Simplex, Type 2, Antibody | $100.00 | $100.00 | $19.35–$79.00 | 46% below | — |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HC Herpes Simplex, Type 2, Antibody | $100.00 | $100.00 | $19.35–$79.00 | — | — |
| High-sensitivity CRP (hs-CRP) test CPT 86141 HC Hscrp, Cardiac | $51.00 | $51.00 | $12.95–$40.29 | 47% below | — |
| High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 HC Hscrp, Cardiac | $51.00 | $51.00 | $12.95–$40.29 | — | — |
| Homocysteine blood test CPT 83090 HC Homocysteine, Tl Plasma (Hcp) | $329.00 | $329.00 | $17.92–$259.91 | 5% above | — |
| Homocysteine blood test inpatient CPT 83090 HC Homocysteine, Tl Plasma (Hcp) | $329.00 | $329.00 | $17.92–$259.91 | — | — |
| Insulin blood test CPT 83525 HC Insulin (Inln) | $146.00 | $146.00 | $11.43–$115.34 | 1% below | — |
| Insulin blood test inpatient CPT 83525 HC Insulin (Inln) | $146.00 | $146.00 | $11.43–$115.34 | — | — |
| Iron blood test (serum iron) CPT 83540 HC Iron,Serum (Fee) | $86.00 | $86.00 | $6.47–$67.94 | 5% below | — |
| Iron blood test (serum iron) inpatient CPT 83540 HC Iron,Serum (Fee) | $86.00 | $86.00 | $6.47–$67.94 | — | — |
| Iron-binding capacity (TIBC) test CPT 83550 HC Iron Binding Capacity, % Sat | $110.00 | $110.00 | $8.74–$86.90 | 42% below | — |
| Iron-binding capacity (TIBC) test inpatient CPT 83550 HC Iron Binding Capacity, % Sat | $110.00 | $110.00 | $8.74–$86.90 | — | — |
| Kidney function blood test panel CPT 80069 HC Renal Profile (Renal) | $97.00 | $97.00 | $8.68–$76.63 | 9% above | — |
| Kidney function blood test panel inpatient CPT 80069 HC Renal Profile (Renal) | $97.00 | $97.00 | $8.68–$76.63 | — | — |
| LH (luteinizing hormone) test CPT 83002 HC Lh (Lh) | $243.00 | $243.00 | $18.52–$191.97 | 8% above | — |
| LH (luteinizing hormone) test inpatient CPT 83002 HC Lh (Lh) | $243.00 | $243.00 | $18.52–$191.97 | — | — |
| Lactate (lactic acid) blood test CPT 83605 HC Lactic Acid (Lact) | $135.00 | $135.00 | $11.57–$106.65 | 61% above | — |
| Lactate (lactic acid) blood test inpatient CPT 83605 HC Lactic Acid (Lact) | $135.00 | $135.00 | $11.57–$106.65 | — | — |
| Lactate dehydrogenase (LDH) blood test CPT 83615 HC Ldh | $73.00 | $73.00 | $6.04–$57.67 | 47% above | — |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 HC Ldh | $73.00 | $73.00 | $6.04–$57.67 | — | — |
| Lipase blood test (pancreas enzyme) CPT 83690 HC Lipase, Serum (Lpse) | $86.00 | $86.00 | $6.89–$67.94 | 22% below | — |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 HC Lipase, Serum (Lpse) | $86.00 | $86.00 | $6.89–$67.94 | — | — |
| Liver function blood test panel CPT 80076 HC Hepatic Panel (Livr) | $110.00 | $110.00 | $8.17–$86.90 | 45% below | — |
| Liver function blood test panel inpatient CPT 80076 HC Hepatic Panel (Livr) | $110.00 | $110.00 | $8.17–$86.90 | — | — |
| Lyme disease antibody test CPT 86618 HC Borrelia Burgdorferi(Lyme Disease) | $219.00 | $219.00 | $17.03–$173.01 | 29% above | — |
| Lyme disease antibody test inpatient CPT 86618 HC Borrelia Burgdorferi(Lyme Disease) | $219.00 | $219.00 | $17.03–$173.01 | — | — |
| Magnesium blood test CPT 83735 HC Magnesium | $86.00 | $86.00 | $6.70–$67.94 | 27% above | — |
| Magnesium blood test inpatient CPT 83735 HC Magnesium | $86.00 | $86.00 | $6.70–$67.94 | — | — |
| Measles (rubeola) antibody test CPT 86765 HC Rubeola Screen (Rbola) | $135.00 | $135.00 | $12.88–$106.65 | 6% below | — |
| Measles (rubeola) antibody test inpatient CPT 86765 HC Rubeola Screen (Rbola) | $135.00 | $135.00 | $12.88–$106.65 | — | — |
| Mono test (heterophile antibody, Monospot) CPT 86308 HC Mono Test (Mono) | $61.00 | $61.00 | $5.18–$48.19 | 56% below | — |
| Mono test (heterophile antibody, Monospot) inpatient CPT 86308 HC Mono Test (Mono) | $61.00 | $61.00 | $5.18–$48.19 | — | — |
| Mumps immunity blood test CPT 86735 HC Mumps Titer (Muse) | $170.00 | $170.00 | $13.05–$134.30 | 6% below | — |
| Mumps immunity blood test inpatient CPT 86735 HC Mumps Titer (Muse) | $170.00 | $170.00 | $13.05–$134.30 | — | — |
| PSA (prostate-specific antigen) blood test, free CPT 84154 HC Free Psa | $78.00 | $78.00 | $18.39–$61.62 | 26% below | — |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 HC Free Psa | $78.00 | $78.00 | $18.39–$61.62 | — | — |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC Psa Total | $78.00 | $78.00 | $18.39–$61.62 | 32% below | — |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC Psa Total | $78.00 | $78.00 | $18.39–$61.62 | — | — |
| Pap test (liquid-based, automated screening with review) CPT 88175 HC Cytology Auto Thin Prep Screen | $95.00 | $95.00 | $26.61–$77.72 | 55% below | — |
| Pap test (liquid-based, automated screening with review) inpatient CPT 88175 HC Cytology Auto Thin Prep Screen | $95.00 | $95.00 | $26.61–$77.72 | — | — |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 HC Cytology Thin Prep Manual | $97.00 | $97.00 | $20.26–$76.63 | 22% below | — |
| Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 HC Cytology Thin Prep Manual | $97.00 | $97.00 | $20.26–$76.63 | — | — |
| Parathyroid hormone (PTH) blood test CPT 83970 HC Parathormone | $103.20 | $103.20 | $41.28–$121.11 | 47% below | — |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 HC Parathormone | $103.20 | $103.20 | $41.28–$121.11 | — | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC Ptt Screening | $73.00 | $73.00 | $6.01–$57.67 | 5% below | — |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC Ptt Screening | $73.00 | $73.00 | $6.01–$57.67 | — | — |
| Phosphorus (phosphate) blood test CPT 84100 HC Phosphorus Inorganic (Phosphate) | $61.00 | $61.00 | $4.74–$48.19 | 22% above | — |
| Phosphorus (phosphate) blood test inpatient CPT 84100 HC Phosphorus Inorganic (Phosphate) | $61.00 | $61.00 | $4.74–$48.19 | — | — |
| Potassium blood test CPT 84132 HC Potassium (K) | $61.00 | $61.00 | $4.76–$48.19 | at median | — |
| Potassium blood test inpatient CPT 84132 HC Potassium (K) | $61.00 | $61.00 | $4.76–$48.19 | — | — |
| Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 HC Fetal Chrmoml Aneuploidy | $1,897.62 | $1,897.62 | $759.05–$2,019.07 | 22% below | — |
| Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) inpatient CPT 81420 HC Fetal Chrmoml Aneuploidy | $1,897.62 | $1,897.62 | $759.05–$2,019.07 | — | — |
| Progesterone blood test CPT 84144 HC Progesterone (Prog) | $269.00 | $269.00 | $20.86–$212.51 | 30% above | — |
| Progesterone blood test inpatient CPT 84144 HC Progesterone (Prog) | $269.00 | $269.00 | $20.86–$212.51 | — | — |
| Prolactin blood test CPT 84146 HC Prolactin (Prol) | $256.00 | $256.00 | $19.38–$202.24 | 7% below | — |
| Prolactin blood test CPT 84146 HC Prolactin, Diluted | $256.00 | $256.00 | $19.38–$202.24 | 7% below | — |
| Prolactin blood test inpatient CPT 84146 HC Prolactin, Diluted | $256.00 | $256.00 | $19.38–$202.24 | — | — |
| Prolactin blood test inpatient CPT 84146 HC Prolactin (Prol) | $256.00 | $256.00 | $19.38–$202.24 | — | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC Prothrombin Time (Prot)(Pros) | $48.00 | $48.00 | $4.29–$37.92 | 8% above | — |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC Prothrombin Time (Prot)(Pros) | $48.00 | $48.00 | $4.29–$37.92 | — | — |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 HC Streptococcus, Group A | $73.00 | $73.00 | $37.23–$67.89 | 36% below | — |
| Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 HC Streptococcus, Group A | $73.00 | $73.00 | $37.23–$67.89 | — | — |
| Renin blood test CPT 84244 HC Renin (Ren) | $280.00 | $280.00 | $21.99–$221.20 | 13% above | — |
| Renin blood test inpatient CPT 84244 HC Renin (Ren) | $280.00 | $280.00 | $21.99–$221.20 | — | — |
| Rh blood typing CPT 86901 HC Blood Typing Rh (D) | $95.53 | $95.53 | $2.99–$101.51 | 13% below | — |
| Rh blood typing inpatient CPT 86901 HC Blood Typing Rh (D) | $95.53 | $95.53 | $2.99–$101.51 | — | — |
| Rheumatoid factor (RF) test CPT 86431 HC Rheumatoid Factor; Quantitative | $73.00 | $73.00 | $5.67–$57.67 | 33% above | — |
| Rheumatoid factor (RF) test inpatient CPT 86431 HC Rheumatoid Factor; Quantitative | $73.00 | $73.00 | $5.67–$57.67 | — | — |
| Rubella antibody test (immunity check) CPT 86762 HC Rubella Test (Rube) | $170.00 | $170.00 | $14.39–$134.30 | 81% above | — |
| Rubella antibody test (immunity check) inpatient CPT 86762 HC Rubella Test (Rube) | $170.00 | $170.00 | $14.39–$134.30 | — | — |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 HC Sed Rate Erythrocyte, Automated | $37.00 | $37.00 | $2.70–$29.23 | at median | — |
| Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 HC Sed Rate Erythrocyte, Automated | $37.00 | $37.00 | $2.70–$29.23 | — | — |
| Sodium blood test CPT 84295 HC Sodium (Na) | $61.00 | $61.00 | $4.81–$48.19 | 1% above | — |
| Sodium blood test inpatient CPT 84295 HC Sodium (Na) | $61.00 | $61.00 | $4.81–$48.19 | — | — |
| Stool ova and parasites exam CPT 87177 HC Ova and Parasites (Onp) | $44.28 | $44.28 | $8.90–$34.98 | 49% below | — |
| Stool ova and parasites exam inpatient CPT 87177 HC Ova and Parasites (Onp) | $44.28 | $44.28 | $8.90–$34.98 | — | — |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 HC Occult Blood X2 | $26.00 | $26.00 | $4.38–$20.54 | 24% below | — |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 HC Occult Bld Feces (Ocb) | $26.00 | $26.00 | $4.38–$20.54 | 24% below | — |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 HC Occult Blood X3 | $26.00 | $26.00 | $4.38–$20.54 | 24% below | — |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 HC Occult Blood X3 | $26.00 | $26.00 | $4.38–$20.54 | — | — |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 HC Occult Blood X2 | $26.00 | $26.00 | $4.38–$20.54 | — | — |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 HC Occult Bld Feces (Ocb) | $26.00 | $26.00 | $4.38–$20.54 | — | — |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 HC Fecal Occult Blood Immuno | $57.00 | $57.00 | $15.92–$46.66 | at median | — |
| Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 HC Fecal Occult Blood Immuno | $57.00 | $57.00 | $15.92–$46.66 | — | — |
| Syphilis antibody test (Treponema pallidum) CPT 86780 HC Fta (Fta) | $33.10 | $33.10 | $13.24–$39.38 | 62% below | — |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 HC Fta (Fta) | $33.10 | $33.10 | $13.24–$39.38 | — | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC Syphilis Test, Non Treponemal Antibody, Qualit(Vdrl,Rpr,Art) | $60.00 | $60.00 | $4.27–$47.40 | 34% below | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC Syphilis Test, Non Treponemal Antibody, Qualit(Vdrl,Rpr,Art) | $60.00 | $60.00 | $4.27–$47.40 | — | — |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 HC M Tuberculosis by Quantiferon | $154.95 | $154.95 | $61.98–$184.36 | 38% below | — |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 HC M Tuberculosis by Quantiferon | $154.95 | $154.95 | $61.98–$184.36 | — | — |
| Testosterone blood test, total (not free testosterone) CPT 84403 HC Testosterone (Tes) | $329.00 | $329.00 | $25.81–$259.91 | 44% above | — |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HC Testosterone (Tes) | $329.00 | $329.00 | $25.81–$259.91 | — | — |
| Thyroid peroxidase (TPO) antibody test CPT 86376 HC Microsomal Antibodies(Thyroid/Kidney/Liver) Ea. | $195.00 | $195.00 | $14.55–$154.05 | 2% below | — |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HC Microsomal Antibodies(Thyroid/Kidney/Liver) Ea. | $195.00 | $195.00 | $14.55–$154.05 | — | — |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC Tsh | $208.00 | $208.00 | $16.80–$164.32 | 57% above | — |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC Tsh | $208.00 | $208.00 | $16.80–$164.32 | — | — |
| Total IgE blood test CPT 82785 HC Ige (Ige) | $97.00 | $97.00 | $16.46–$76.63 | 13% below | — |
| Total IgE blood test inpatient CPT 82785 HC Ige (Ige) | $97.00 | $97.00 | $16.46–$76.63 | — | — |
| Total cholesterol blood test CPT 82465 HC Cholesterol (Chol) | $61.00 | $61.00 | $4.35–$48.19 | 3% above | — |
| Total cholesterol blood test inpatient CPT 82465 HC Cholesterol (Chol) | $61.00 | $61.00 | $4.35–$48.19 | — | — |
| Total thyroxine (T4) blood test CPT 84436 HC T4 (Thyroxine) | $86.00 | $86.00 | $6.87–$67.94 | 44% above | — |
| Total thyroxine (T4) blood test inpatient CPT 84436 HC T4 (Thyroxine) | $86.00 | $86.00 | $6.87–$67.94 | — | — |
| Total triiodothyronine (T3) blood test CPT 84480 HC T3 by Ria (T3r) | $135.00 | $135.00 | $14.18–$106.65 | 33% below | — |
| Total triiodothyronine (T3) blood test inpatient CPT 84480 HC T3 by Ria (T3r) | $135.00 | $135.00 | $14.18–$106.65 | — | — |
| Transferrin blood test CPT 84466 HC Transferrin (Tranf) | $170.00 | $170.00 | $12.76–$134.30 | 38% above | — |
| Transferrin blood test inpatient CPT 84466 HC Transferrin (Tranf) | $170.00 | $170.00 | $12.76–$134.30 | — | — |
| Trichomonas test (NAAT) CPT 87661 HC Trichomonas Vaginalis | $238.00 | $238.00 | $35.09–$188.02 | 7% below | — |
| Trichomonas test (NAAT) inpatient CPT 87661 HC Trichomonas Vaginalis | $238.00 | $238.00 | $35.09–$188.02 | — | — |
| Triglycerides blood test CPT 84478 HC Triglycerides | $21.00 | $21.00 | $5.74–$16.88 | 64% below | — |
| Triglycerides blood test inpatient CPT 84478 HC Triglycerides | $21.00 | $21.00 | $5.74–$16.88 | — | — |
| Troponin test, quantitative CPT 84484 HC Troponin-I(Tni) | $110.00 | $110.00 | $12.47–$86.90 | 22% below | — |
| Troponin test, quantitative inpatient CPT 84484 HC Troponin-I(Tni) | $110.00 | $110.00 | $12.47–$86.90 | — | — |
| Uric acid blood test CPT 84550 HC Uric Acid (Uric) | $61.00 | $61.00 | $4.52–$48.19 | 2% below | — |
| Uric acid blood test inpatient CPT 84550 HC Uric Acid (Uric) | $61.00 | $61.00 | $4.52–$48.19 | — | — |
| Urinalysis with microscope exam, automated CPT 81001 HC Urine W/Microscopic (Uwm) | $37.00 | $37.00 | $3.17–$29.23 | 54% below | — |
| Urinalysis with microscope exam, automated inpatient CPT 81001 HC Urine W/Microscopic (Uwm) | $37.00 | $37.00 | $3.17–$29.23 | — | — |
| Urinalysis without microscope exam, automated CPT 81003 HC Urinalysis Routine | $25.00 | $25.00 | $2.25–$19.75 | 57% below | — |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HC Urinalysis Routine | $25.00 | $25.00 | $2.25–$19.75 | — | — |
| Urinalysis without microscope exam, manual CPT 81002 HC Refractometer Specific Gravity | $33.00 | $33.00 | $9.26–$26.07 | 25% below | — |
| Urinalysis without microscope exam, manual inpatient CPT 81002 HC Refractometer Specific Gravity | $33.00 | $33.00 | $9.26–$26.07 | — | — |
| Urine culture for bacteria, with colony count CPT 87086 HC Cult Urine (Urnc) | $97.00 | $97.00 | $8.07–$76.63 | 30% below | — |
| Urine culture for bacteria, with colony count inpatient CPT 87086 HC Cult Urine (Urnc) | $97.00 | $97.00 | $8.07–$76.63 | — | — |
| Urine microalbumin (albumin) test CPT 82043 HC Urine,Microalbumin | $73.00 | $73.00 | $5.78–$57.67 | 15% below | — |
| Urine microalbumin (albumin) test inpatient CPT 82043 HC Urine,Microalbumin | $73.00 | $73.00 | $5.78–$57.67 | — | — |
| Urine pregnancy test, read by color change CPT 81025 HC Ucg Spot Test (Ucg) | $97.00 | $97.00 | $8.61–$76.63 | 46% below | — |
| Urine pregnancy test, read by color change inpatient CPT 81025 HC Ucg Spot Test (Ucg) | $97.00 | $97.00 | $8.61–$76.63 | — | — |
| Vitamin B12 (cobalamin) blood test CPT 82607 HC B-12 (B12) | $195.00 | $195.00 | $15.08–$154.05 | at median | — |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 HC B-12 (B12) | $195.00 | $195.00 | $15.08–$154.05 | — | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HC Vitamin D -25 Hydroxy | $353.00 | $353.00 | $29.60–$278.87 | 32% above | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 HC Vitamin D -25 Hydroxy | $353.00 | $353.00 | $29.60–$278.87 | — | — |
| Vitamin D, 1,25-dihydroxy blood test CPT 82652 HC Vitamin D - Dihydroxy (Vitdd) | $366.00 | $366.00 | $38.50–$289.14 | 2% below | — |
| Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 HC Vitamin D - Dihydroxy (Vitdd) | $366.00 | $366.00 | $38.50–$289.14 | — | — |
| Zinc blood test CPT 84630 HC Zinc | $97.00 | $97.00 | $11.39–$76.63 | 22% below | — |
| Zinc blood test inpatient CPT 84630 HC Zinc | $97.00 | $97.00 | $11.39–$76.63 | — | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HC Gonadotropin, Chorionic(Hcg);Quantitative | $183.00 | $183.00 | $15.05–$144.57 | 34% below | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HC Gonadotropin, Chorionic(Hcg);Quantitative | $183.00 | $183.00 | $15.05–$144.57 | — | — |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Delaware | Off list |
|---|---|---|---|---|---|
| Arthroscopic ACL reconstruction or repair of the knee CPT 29888 ARTHRS AID ACL RPR/AGMNTJ | $2,000.00 | $2,000.00 | $19,719.59 | — | — |
| Arthroscopic ACL reconstruction or repair of the knee inpatient CPT 29888 ARTHRS AID ACL RPR/AGMNTJ | $2,000.00 | $2,000.00 | $19,719.59 | — | — |
| Arthroscopic rotator cuff repair of the shoulder CPT 29827 SHO ARTHRS SRG RT8TR CUF RPR | $2,000.00 | $2,000.00 | $19,719.59 | — | — |
| Arthroscopic rotator cuff repair of the shoulder inpatient CPT 29827 SHO ARTHRS SRG RT8TR CUF RPR | $2,000.00 | $2,000.00 | $19,719.59 | — | — |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 HC Stereotactic Breast Biopsy | $4,147.00 | $4,147.00 | $1,335.75–$4,488.40 | 11% above | — |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 HC Stereotactic Breast Biopsy | $4,147.00 | $4,147.00 | $1,335.75–$4,488.40 | — | — |
| Bunion correction with a bone cut near the head of the first metatarsal CPT 28296 COR HLX VLGS DSTL MTAR OSTEO | $2,000.00 | $2,000.00 | $8,892.03 | — | — |
| Bunion correction with a bone cut near the head of the first metatarsal inpatient CPT 28296 COR HLX VLGS DSTL MTAR OSTEO | $2,000.00 | $2,000.00 | $8,892.03 | — | — |
| Cardiac catheterization with coronary angiogram CPT 93458 HC Cc Coronary W/Lh W/Lv | $7,793.00 | $7,793.00 | $3,974.43–$14,196.71 | 28% below | — |
| Cardiac catheterization with coronary angiogram inpatient CPT 93458 HC Cc Coronary W/Lh W/Lv | $7,793.00 | $7,793.00 | $3,974.43–$14,196.71 | — | — |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 HC Cardioversion Electric, Ext | $1,550.25 | $1,550.25 | $790.63–$1,796.19 | 12% below | — |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 HC Ek Cardioversion | $1,550.25 | $1,550.25 | $790.63–$1,796.19 | 12% below | — |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 HC Ek Cardioversion | $1,550.25 | $1,550.25 | $790.63–$1,796.19 | — | — |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 HC Cardioversion Electric, Ext | $1,550.25 | $1,550.25 | $790.63–$1,796.19 | — | — |
| Carpal tunnel release, open surgery CPT 64721 CARPAL TUNNEL SURGERY | $2,000.00 | $2,000.00 | $5,306.75 | 37% below | — |
| Carpal tunnel release, open surgery inpatient CPT 64721 CARPAL TUNNEL SURGERY | $2,000.00 | $2,000.00 | $5,306.75 | — | — |
| Cataract surgery with lens implant CPT 66984 XCAPSL CTRC RMVL W/O ECP | $2,000.00 | $2,000.00 | $6,271.77 | — | — |
| Cataract surgery with lens implant inpatient CPT 66984 XCAPSL CTRC RMVL W/O ECP | $2,000.00 | $2,000.00 | $6,271.77 | — | — |
| Catheter ablation for atrial fibrillation CPT 93656 HC Ep Compre Ep Eval Abltj Atr Fib Pulm Vein Isolation | $58,703.20 | $58,703.20 | $25,127.88–$71,032.61 | 54% above | — |
| Catheter ablation for atrial fibrillation inpatient CPT 93656 HC Ep Compre Ep Eval Abltj Atr Fib Pulm Vein Isolation | $58,703.20 | $58,703.20 | $25,127.88–$71,032.61 | — | — |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 HC Circumcision Using Clamp W Reg Block | $4,851.65 | $4,851.65 | $2,474.34–$5,680.86 | 2% above | — |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 HC Circumcision Using Clamp W Reg Block | $4,851.65 | $4,851.65 | $2,474.34–$5,680.86 | — | — |
| Colonoscopy with polyp removal CPT 45385 COLONOSCOPY W/LESION REMOVAL | $1,200.00 | $1,200.00 | $3,252.01 | 34% below | — |
| Colonoscopy with polyp removal inpatient CPT 45385 COLONOSCOPY W/LESION REMOVAL | $1,200.00 | $1,200.00 | $3,252.01 | — | — |
| Colonoscopy with tissue sample CPT 45380 COLONOSCOPY AND BIOPSY | $1,200.00 | $1,200.00 | $3,252.01 | 48% below | — |
| Colonoscopy with tissue sample inpatient CPT 45380 COLONOSCOPY AND BIOPSY | $1,200.00 | $1,200.00 | $3,252.01 | — | — |
| Colonoscopy, diagnostic CPT 45378 DIAGNOSTIC COLONOSCOPY | $1,200.00 | $1,200.00 | $2,527.27 | 49% below | — |
| Colonoscopy, diagnostic inpatient CPT 45378 DIAGNOSTIC COLONOSCOPY | $1,200.00 | $1,200.00 | $2,527.27 | — | — |
| Complex cataract surgery with lens implant CPT 66982 XCAPSL CTRC RMVL CPLX WO ECP | $2,000.00 | $2,000.00 | $6,271.77 | — | — |
| Complex cataract surgery with lens implant inpatient CPT 66982 XCAPSL CTRC RMVL CPLX WO ECP | $2,000.00 | $2,000.00 | $6,271.77 | — | — |
| Coronary stent placement, one artery CPT 92928 HC Prq Card Stent W/Angio 1 Vsl | $26,204.50 | $26,204.50 | $1,720.63–$31,372.65 | 16% above | — |
| Coronary stent placement, one artery inpatient CPT 92928 HC Prq Card Stent W/Angio 1 Vsl | $26,204.50 | $26,204.50 | $1,720.63–$31,372.65 | — | — |
| Cystoscopy with ureteral stent placement CPT 52332 CYSTOSCOPY AND TREATMENT | $2,000.00 | $2,000.00 | $9,579.54 | 58% below | — |
| Cystoscopy with ureteral stent placement inpatient CPT 52332 CYSTOSCOPY AND TREATMENT | $2,000.00 | $2,000.00 | $9,579.54 | — | — |
| Ear tube placement (tympanostomy) under general anesthesia, one ear CPT 69436 CREATE EARDRUM OPENING | $2,000.00 | $2,000.00 | $4,216.61 | at median | — |
| Ear tube placement (tympanostomy) under general anesthesia, one ear inpatient CPT 69436 CREATE EARDRUM OPENING | $2,000.00 | $2,000.00 | $4,216.61 | — | — |
| Earwax removal by irrigation (rinsing), one ear CPT 69209 HC MC Cerumen Removal | $145.70 | $145.70 | $46.93–$160.32 | 41% below | — |
| Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 HC MC Cerumen Removal | $145.70 | $145.70 | $46.93–$160.32 | — | — |
| Earwax removal with instruments, one ear CPT 69210 Remove Impacted Cerument (Single Side) | $145.70 | $145.70 | $84.51–$173.05 | 44% below | — |
| Earwax removal with instruments, one ear CPT 69210 HC Remove Impacted Ear Wax | $145.70 | $145.70 | $74.31–$160.32 | 44% below | — |
| Earwax removal with instruments, one ear inpatient CPT 69210 HC Remove Impacted Ear Wax | $145.70 | $145.70 | $74.31–$160.32 | — | — |
| Earwax removal with instruments, one ear inpatient CPT 69210 Remove Impacted Cerument (Single Side) | $145.70 | $145.70 | $84.51–$173.05 | — | — |
| Endoscopic sinus surgery: opening the maxillary (cheek) sinus CPT 31256 EXPLORATION MAXILLARY SINUS | $2,000.00 | $2,000.00 | $10,132.21 | — | — |
| Endoscopic sinus surgery: opening the maxillary (cheek) sinus inpatient CPT 31256 EXPLORATION MAXILLARY SINUS | $2,000.00 | $2,000.00 | $10,132.21 | — | — |
| Endoscopic sinus surgery: opening the maxillary sinus with removal of tissue CPT 31267 ENDOSCOPY MAXILLARY SINUS | $2,000.00 | $2,000.00 | $19,179.45 | — | — |
| Endoscopic sinus surgery: opening the maxillary sinus with removal of tissue inpatient CPT 31267 ENDOSCOPY MAXILLARY SINUS | $2,000.00 | $2,000.00 | $19,179.45 | — | — |
| First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm CPT 49591 RPR AA HRN 1ST < 3 CM RDC | $2,000.00 | $2,000.00 | $9,730.15 | — | — |
| First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm inpatient CPT 49591 RPR AA HRN 1ST < 3 CM RDC | $2,000.00 | $2,000.00 | $9,730.15 | — | — |
| Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 DIAGNOSTIC SIGMOIDOSCOPY | $1,200.00 | $1,200.00 | $2,527.27 | 19% below | — |
| Flexible sigmoidoscopy, diagnostic (lower colon only) inpatient CPT 45330 DIAGNOSTIC SIGMOIDOSCOPY | $1,200.00 | $1,200.00 | $2,527.27 | — | — |
| Gallbladder removal, laparoscopic CPT 47562 LAPAROSCOPIC CHOLECYSTECTOMY | $2,000.00 | $2,000.00 | $16,429.41 | — | — |
| Gallbladder removal, laparoscopic inpatient CPT 47562 LAPAROSCOPIC CHOLECYSTECTOMY | $2,000.00 | $2,000.00 | $16,429.41 | — | — |
| Hammertoe correction surgery CPT 28285 REPAIR OF HAMMERTOE | $2,000.00 | $2,000.00 | $8,892.03 | — | — |
| Hammertoe correction surgery inpatient CPT 28285 REPAIR OF HAMMERTOE | $2,000.00 | $2,000.00 | $8,892.03 | — | — |
| Hysteroscopy with endometrial ablation CPT 58563 HYSTEROSCOPY ABLATION | $2,000.00 | $2,000.00 | $13,594.73 | — | — |
| Hysteroscopy with endometrial ablation inpatient CPT 58563 HYSTEROSCOPY ABLATION | $2,000.00 | $2,000.00 | $13,594.73 | — | — |
| Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 HYSTEROSCOPY BIOPSY | $2,000.00 | $2,000.00 | $8,797.26 | 59% below | — |
| Hysteroscopy with uterine lining sampling and/or polyp removal inpatient CPT 58558 HYSTEROSCOPY BIOPSY | $2,000.00 | $2,000.00 | $8,797.26 | — | — |
| Incision and drainage of a simple or single skin abscess CPT 10060 HC I&D Abscess-Single | $476.88 | $476.88 | $243.21–$545.25 | 14% below | — |
| Incision and drainage of a simple or single skin abscess CPT 10060 HC Drainage of Skin Abscess | $476.88 | $476.88 | $243.21–$545.25 | 14% below | — |
| Incision and drainage of a simple or single skin abscess CPT 10060 I & D Abscess | $476.88 | $476.88 | $108.00–$545.25 | 14% below | — |
| Incision and drainage of a simple or single skin abscess CPT 10060 I&D ABSCESS SIMPLE/SINGLE | $2,000.00 | $2,000.00 | $545.25 | 261% above | — |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 HC I&D Abscess-Single | $476.88 | $476.88 | $243.21–$545.25 | — | — |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 HC Drainage of Skin Abscess | $476.88 | $476.88 | $243.21–$545.25 | — | — |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I & D Abscess | $476.88 | $476.88 | $108.00–$545.25 | — | — |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I&D ABSCESS SIMPLE/SINGLE | $2,000.00 | $2,000.00 | $545.25 | — | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HC Drain/Inject, Major Joint/Bursa | $705.50 | $705.50 | $359.81–$834.18 | 27% below | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HC MC Arthrocent,Apsirat &/or Inject, Major Joint/Bursa | $705.50 | $705.50 | $227.24–$834.18 | 27% below | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 HC Drain/Inject, Major Joint/Bursa | $705.50 | $705.50 | $359.81–$834.18 | — | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 HC MC Arthrocent,Apsirat &/or Inject, Major Joint/Bursa | $705.50 | $705.50 | $227.24–$834.18 | — | — |
| Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 HC Insertion Drug Delivery Implant | $304.28 | $304.28 | $98.01–$461.65 | 42% below | — |
| Insertion of a drug-delivery implant, such as the arm birth control implant inpatient CPT 11981 HC Insertion Drug Delivery Implant | $304.28 | $304.28 | $98.01–$461.65 | — | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 HC Drain/Inject, Intermed Joint/Bursa | $705.50 | $705.50 | $359.81–$834.18 | 19% below | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 HC Drain/Inject, Intermed Joint/Bursa | $705.50 | $705.50 | $359.81–$834.18 | — | — |
| Knee arthroscopy with meniscus trim CPT 29881 ARTHRS KNE SRG MNISECTMY M/L | $2,000.00 | $2,000.00 | $8,892.03 | — | — |
| Knee arthroscopy with meniscus trim inpatient CPT 29881 ARTHRS KNE SRG MNISECTMY M/L | $2,000.00 | $2,000.00 | $8,892.03 | — | — |
| Knee arthroscopy with removal of both torn meniscus parts CPT 29880 ARTHRS KNE SRG MNISECTMY M&L | $2,000.00 | $2,000.00 | $8,892.03 | — | — |
| Knee arthroscopy with removal of both torn meniscus parts inpatient CPT 29880 ARTHRS KNE SRG MNISECTMY M&L | $2,000.00 | $2,000.00 | $8,892.03 | — | — |
| Knee arthroscopy with smoothing of damaged cartilage (chondroplasty) CPT 29877 ARTHRS KNEE SURG DBRDMT/SHVG | $2,000.00 | $2,000.00 | $8,892.03 | — | — |
| Knee arthroscopy with smoothing of damaged cartilage (chondroplasty) inpatient CPT 29877 ARTHRS KNEE SURG DBRDMT/SHVG | $2,000.00 | $2,000.00 | $8,892.03 | — | — |
| Laparoscopic inguinal (groin) hernia repair, first repair on that side CPT 49650 LAP ING HERNIA REPAIR INIT | $2,000.00 | $2,000.00 | $16,429.41 | — | — |
| Laparoscopic inguinal (groin) hernia repair, first repair on that side inpatient CPT 49650 LAP ING HERNIA REPAIR INIT | $2,000.00 | $2,000.00 | $16,429.41 | — | — |
| Laparoscopic removal of fallopian tubes and/or ovaries CPT 58661 LAPAROSCOPY REMOVE ADNEXA | $2,000.00 | $2,000.00 | $16,429.41 | — | — |
| Laparoscopic removal of fallopian tubes and/or ovaries inpatient CPT 58661 LAPAROSCOPY REMOVE ADNEXA | $2,000.00 | $2,000.00 | $16,429.41 | — | — |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 Repair Simple Face/Ears/Eyelids/Nose/Lips/Mouth 2.5 Cm or Less | $949.80 | $949.80 | $484.40–$1,104.75 | 32% above | — |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 Repair Simple Face/Ears/Eyelids/Nose/Lips/Mouth 2.5 Cm or Less | $949.80 | $949.80 | $484.40–$1,104.75 | — | — |
| Left heart catheterization, diagnostic CPT 93452 HC Cc Lh W/Lv | $7,761.83 | $7,761.83 | $3,958.53–$8,810.32 | 28% below | — |
| Left heart catheterization, diagnostic inpatient CPT 93452 HC Cc Lh W/Lv | $7,761.83 | $7,761.83 | $3,958.53–$8,810.32 | — | — |
| Lower-back epidural injection, with imaging guidance CPT 62323 HC Lumbar Injection Pain Mgt | $1,647.25 | $1,647.25 | $840.10–$1,918.31 | 28% below | — |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 HC Lumbar Injection Pain Mgt | $1,647.25 | $1,647.25 | $840.10–$1,918.31 | — | — |
| Lumpectomy (partial mastectomy) CPT 19301 PARTIAL MASTECTOMY | $2,000.00 | $2,000.00 | $10,640.64 | — | — |
| Lumpectomy (partial mastectomy) inpatient CPT 19301 PARTIAL MASTECTOMY | $2,000.00 | $2,000.00 | $10,640.64 | — | — |
| Miscarriage treatment with D&C, first trimester CPT 59820 CARE OF MISCARRIAGE | $2,000.00 | $2,000.00 | $8,797.26 | 61% below | — |
| Miscarriage treatment with D&C, first trimester inpatient CPT 59820 CARE OF MISCARRIAGE | $2,000.00 | $2,000.00 | $8,797.26 | — | — |
| Nail removal (partial or complete), one nail CPT 11730 HC Removal of Nail Plate Simple | $476.88 | $476.88 | $243.21–$545.25 | 23% above | — |
| Nail removal (partial or complete), one nail CPT 11730 HC Avulsion of Nail Plate Single | $476.88 | $476.88 | $243.21–$545.25 | 23% above | — |
| Nail removal (partial or complete), one nail inpatient CPT 11730 HC Removal of Nail Plate Simple | $476.88 | $476.88 | $243.21–$545.25 | — | — |
| Nail removal (partial or complete), one nail inpatient CPT 11730 HC Avulsion of Nail Plate Single | $476.88 | $476.88 | $243.21–$545.25 | — | — |
| Pacemaker implant (dual chamber) CPT 33208 HC Cc Pacemaker Insertion Dual Lead | $25,435.40 | $25,435.40 | $12,972.00–$28,404.49 | 14% below | — |
| Pacemaker implant (dual chamber) inpatient CPT 33208 HC Cc Pacemaker Insertion Dual Lead | $25,435.40 | $25,435.40 | $12,972.00–$28,404.49 | — | — |
| Paracentesis with imaging guidance CPT 49083 HC US Paracentesis Initial | $2,159.23 | $2,159.23 | $695.49–$2,464.84 | 31% above | — |
| Paracentesis with imaging guidance CPT 49083 HC US Guide Abd Paracentesis | $2,159.23 | $2,159.23 | $1,101.21–$2,464.84 | 31% above | — |
| Paracentesis with imaging guidance inpatient CPT 49083 HC US Paracentesis Initial | $2,159.23 | $2,159.23 | $695.49–$2,464.84 | — | — |
| Paracentesis with imaging guidance inpatient CPT 49083 HC US Guide Abd Paracentesis | $2,159.23 | $2,159.23 | $1,101.21–$2,464.84 | — | — |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 HC Excision Nail Partial or Complete | $949.80 | $949.80 | $484.40–$1,104.75 | 41% below | — |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 HC Removal of Nail Bed | $949.80 | $949.80 | $484.40–$1,104.75 | 41% below | — |
| Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 HC Removal of Nail Bed | $949.80 | $949.80 | $484.40–$1,104.75 | — | — |
| Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 HC Excision Nail Partial or Complete | $949.80 | $949.80 | $484.40–$1,104.75 | — | — |
| Removal of a breast lump, open surgery CPT 19120 REMOVAL OF BREAST LESION | $2,000.00 | $2,000.00 | $10,640.64 | 71% below | — |
| Removal of a breast lump, open surgery inpatient CPT 19120 REMOVAL OF BREAST LESION | $2,000.00 | $2,000.00 | $10,640.64 | — | — |
| Removal of a foreign object under the skin, simple CPT 10120 HC Remove Foreign Body Subcutan Simple | $949.80 | $949.80 | $484.40–$1,104.75 | 21% above | — |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 HC Remove Foreign Body Subcutan Simple | $949.80 | $949.80 | $484.40–$1,104.75 | — | — |
| Septoplasty to straighten the nasal septum CPT 30520 REPAIR OF NASAL SEPTUM | $2,000.00 | $2,000.00 | $9,010.14 | — | — |
| Septoplasty to straighten the nasal septum inpatient CPT 30520 REPAIR OF NASAL SEPTUM | $2,000.00 | $2,000.00 | $9,010.14 | — | — |
| Short arm splint (forearm and hand) CPT 29125 HC Apply Forearm Splint | $344.00 | $344.00 | $175.44–$361.57 | 5% below | — |
| Short arm splint (forearm and hand) inpatient CPT 29125 HC Apply Forearm Splint | $344.00 | $344.00 | $175.44–$361.57 | — | — |
| Short leg cast (below the knee) CPT 29405 HC Apply Short Leg Cast | $639.70 | $639.70 | $326.25–$760.10 | 32% above | — |
| Short leg cast (below the knee) inpatient CPT 29405 HC Apply Short Leg Cast | $639.70 | $639.70 | $326.25–$760.10 | — | — |
| Short leg splint (calf to foot) CPT 29515 HC Application Lower Leg Splint | $375.33 | $375.33 | $191.42–$441.61 | 38% above | — |
| Short leg splint (calf to foot) inpatient CPT 29515 HC Application Lower Leg Splint | $375.33 | $375.33 | $191.42–$441.61 | — | — |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 HC Repair Superf.Wound 2.5cm or Less | $476.88 | $476.88 | $243.21–$545.25 | 24% below | — |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 HC Repair Superf.Wound 2.5cm or Less | $476.88 | $476.88 | $243.21–$545.25 | — | — |
| Skin biopsy, punch, one lesion CPT 11104 HC Punch Biopsy of Skin | $949.80 | $949.80 | $484.40–$1,104.75 | 26% above | — |
| Skin biopsy, punch, one lesion inpatient CPT 11104 HC Punch Biopsy of Skin | $949.80 | $949.80 | $484.40–$1,104.75 | — | — |
| Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 HC Excisional Biopsy Malignant Lesion .5cm or Less | $1,675.90 | $1,675.90 | $854.71–$1,924.43 | — | — |
| Skin cancer removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11600 HC Excisional Biopsy Malignant Lesion .5cm or Less | $1,675.90 | $1,675.90 | $854.71–$1,924.43 | — | — |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 HC Spinal Tap, Diagnostic | $1,647.25 | $1,647.25 | $840.10–$1,918.31 | 43% above | — |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 HC Spinal Tap, Diagnostic | $1,647.25 | $1,647.25 | $840.10–$1,918.31 | — | — |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 HC Repair Superf.Wound 2.6 - 7.5 Cm | $476.88 | $476.88 | $243.21–$545.25 | 48% below | — |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 HC Repair Superf.Wound 2.6 - 7.5 Cm | $476.88 | $476.88 | $243.21–$545.25 | — | — |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 HC Repair Superf Wound 2.5 Cm or Less | $476.88 | $476.88 | $243.21–$545.25 | 31% below | — |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 HC Repair Superf Wound 2.5 Cm or Less | $476.88 | $476.88 | $243.21–$545.25 | — | — |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 HC Tangential Biopsy of Skin | $476.88 | $476.88 | $243.21–$1,104.75 | 22% below | — |
| Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 HC Tangential Biopsy of Skin | $476.88 | $476.88 | $243.21–$1,104.75 | — | — |
| Thoracentesis with imaging guidance CPT 32555 HC US Thoracentesis Puncture for Aspira | $1,496.38 | $1,496.38 | $481.98–$1,704.77 | 16% below | — |
| Thoracentesis with imaging guidance CPT 32555 HC US Thora | $1,496.38 | $1,496.38 | $481.98–$1,704.77 | 16% below | — |
| Thoracentesis with imaging guidance inpatient CPT 32555 HC US Thoracentesis Puncture for Aspira | $1,496.38 | $1,496.38 | $481.98–$1,704.77 | — | — |
| Thoracentesis with imaging guidance inpatient CPT 32555 HC US Thora | $1,496.38 | $1,496.38 | $481.98–$1,704.77 | — | — |
| Trigger finger release surgery CPT 26055 INCISE FINGER TENDON SHEATH | $2,000.00 | $2,000.00 | $4,369.90 | — | — |
| Trigger finger release surgery inpatient CPT 26055 INCISE FINGER TENDON SHEATH | $2,000.00 | $2,000.00 | $4,369.90 | — | — |
| Tubal ligation, laparoscopic (tubes sealed by cautery) CPT 58670 LAPAROSCOPY TUBAL CAUTERY | $2,000.00 | $2,000.00 | $16,429.41 | — | — |
| Tubal ligation, laparoscopic (tubes sealed by cautery) inpatient CPT 58670 LAPAROSCOPY TUBAL CAUTERY | $2,000.00 | $2,000.00 | $16,429.41 | — | — |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 HC Bd US Breast Biopsy 1st Lesion | $4,147.00 | $4,147.00 | $1,335.75–$4,488.40 | 11% above | — |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 HC US Percut Ndl Core W Imag 1st Les | $4,147.00 | $4,147.00 | $1,335.75–$4,488.40 | 11% above | — |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 HC US Percut Ndl Core W Imag 1st Les | $4,147.00 | $4,147.00 | $1,335.75–$4,488.40 | — | — |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 HC Bd US Breast Biopsy 1st Lesion | $4,147.00 | $4,147.00 | $1,335.75–$4,488.40 | — | — |
| Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 ESOPH EGD DILATION <30 MM | $1,200.00 | $1,200.00 | $5,214.85 | 46% below | — |
| Upper endoscopy (EGD) with balloon widening of the esophagus inpatient CPT 43249 ESOPH EGD DILATION <30 MM | $1,200.00 | $1,200.00 | $5,214.85 | — | — |
| Upper endoscopy (EGD) with biopsy CPT 43239 EGD BIOPSY SINGLE/MULTIPLE | $1,200.00 | $1,200.00 | $2,464.84 | 46% below | — |
| Upper endoscopy (EGD) with biopsy inpatient CPT 43239 EGD BIOPSY SINGLE/MULTIPLE | $1,200.00 | $1,200.00 | $2,464.84 | — | — |
| Upper endoscopy (EGD) with injection into the lining CPT 43236 UPPR GI SCOPE W/SUBMUC INJ | $1,200.00 | $1,200.00 | $2,464.84 | 63% below | — |
| Upper endoscopy (EGD) with injection into the lining inpatient CPT 43236 UPPR GI SCOPE W/SUBMUC INJ | $1,200.00 | $1,200.00 | $2,464.84 | — | — |
| Upper endoscopy (EGD) with polyp removal by snare CPT 43251 EGD REMOVE LESION SNARE | $1,200.00 | $1,200.00 | $5,214.85 | 41% below | — |
| Upper endoscopy (EGD) with polyp removal by snare inpatient CPT 43251 EGD REMOVE LESION SNARE | $1,200.00 | $1,200.00 | $5,214.85 | — | — |
| Upper endoscopy (EGD), diagnostic CPT 43235 EGD DIAGNOSTIC BRUSH WASH | $1,200.00 | $1,200.00 | $2,464.84 | 46% below | — |
| Upper endoscopy (EGD), diagnostic CPT 43235 HC Egd Transoral Control Bleeding Any Method | $2,159.23 | $2,159.23 | $1,101.21–$2,464.84 | 3% below | — |
| Upper endoscopy (EGD), diagnostic inpatient CPT 43235 EGD DIAGNOSTIC BRUSH WASH | $1,200.00 | $1,200.00 | $2,464.84 | — | — |
| Upper endoscopy (EGD), diagnostic inpatient CPT 43235 HC Egd Transoral Control Bleeding Any Method | $2,159.23 | $2,159.23 | $1,101.21–$2,464.84 | — | — |
| Ureteroscopy with laser stone breaking and stent placement CPT 52356 CYSTO/URETERO W/LITHOTRIPSY | $2,000.00 | $2,000.00 | $14,571.29 | — | — |
| Ureteroscopy with laser stone breaking and stent placement inpatient CPT 52356 CYSTO/URETERO W/LITHOTRIPSY | $2,000.00 | $2,000.00 | $14,571.29 | — | — |
| Vasectomy, one or both sides, including follow-up semen testing CPT 55250 REMOVAL OF SPERM DUCT(S) | $2,000.00 | $2,000.00 | $5,680.86 | — | — |
| Vasectomy, one or both sides, including follow-up semen testing inpatient CPT 55250 REMOVAL OF SPERM DUCT(S) | $2,000.00 | $2,000.00 | $5,680.86 | — | — |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 HC Debride Sub Q W/Mod | $949.80 | $949.80 | $484.40–$1,104.75 | 13% below | — |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 HC Debride Sub Q W/Mod | $949.80 | $949.80 | $484.40–$1,104.75 | — | — |
| Wrist fracture surgery (plate and screws), distal radius CPT 25607 OPTX DST RD XARTC FX/EPI SEP | $2,000.00 | $2,000.00 | $19,719.59 | — | — |
| Wrist fracture surgery (plate and screws), distal radius inpatient CPT 25607 OPTX DST RD XARTC FX/EPI SEP | $2,000.00 | $2,000.00 | $19,719.59 | — | — |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Delaware | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 HC Transf,Blood/Blood Comp 211-270mi | $1,034.03 | $1,034.03 | $527.36–$1,198.94 | 6% above | — |
| Blood transfusion (giving blood or blood components) CPT 36430 HC Transf,Blood/Blood Comp 151-210mi | $1,034.03 | $1,034.03 | $527.36–$1,198.94 | 6% above | — |
| Blood transfusion (giving blood or blood components) CPT 36430 HC Transf,Blood/Blood Comp 91-150min | $1,034.03 | $1,034.03 | $527.36–$1,198.94 | 6% above | — |
| Blood transfusion (giving blood or blood components) CPT 36430 HC Transf,Blood/Blood Comp 271-330mi | $1,034.03 | $1,034.03 | $527.36–$1,198.94 | 6% above | — |
| Blood transfusion (giving blood or blood components) CPT 36430 HC Blood Transfusion | $1,034.03 | $1,034.03 | $527.36–$1,198.94 | 6% above | — |
| Blood transfusion (giving blood or blood components) CPT 36430 HC Transfus,Blood/Blood Comp 0-90min | $1,034.03 | $1,034.03 | $527.36–$1,198.94 | 6% above | — |
| Blood transfusion (giving blood or blood components) CPT 36430 HC Transf,Blood/Blood Comp 451-510mi | $1,034.03 | $1,034.03 | $527.36–$1,198.94 | 6% above | — |
| Blood transfusion (giving blood or blood components) CPT 36430 HC Transf,Blood/Blood Comp 391-450mi | $1,034.03 | $1,034.03 | $527.36–$1,198.94 | 6% above | — |
| Blood transfusion (giving blood or blood components) CPT 36430 HC Transf,Blood/Blood Comp 331-390mi | $1,034.03 | $1,034.03 | $527.36–$1,198.94 | 6% above | — |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 HC Transfus,Blood/Blood Comp 0-90min | $1,034.03 | $1,034.03 | $527.36–$1,198.94 | — | — |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 HC Transf,Blood/Blood Comp 271-330mi | $1,034.03 | $1,034.03 | $527.36–$1,198.94 | — | — |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 HC Blood Transfusion | $1,034.03 | $1,034.03 | $527.36–$1,198.94 | — | — |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 HC Transf,Blood/Blood Comp 331-390mi | $1,034.03 | $1,034.03 | $527.36–$1,198.94 | — | — |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 HC Transf,Blood/Blood Comp 451-510mi | $1,034.03 | $1,034.03 | $527.36–$1,198.94 | — | — |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 HC Transf,Blood/Blood Comp 151-210mi | $1,034.03 | $1,034.03 | $527.36–$1,198.94 | — | — |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 HC Transf,Blood/Blood Comp 91-150min | $1,034.03 | $1,034.03 | $527.36–$1,198.94 | — | — |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 HC Transf,Blood/Blood Comp 391-450mi | $1,034.03 | $1,034.03 | $527.36–$1,198.94 | — | — |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 HC Transf,Blood/Blood Comp 211-270mi | $1,034.03 | $1,034.03 | $527.36–$1,198.94 | — | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Aerosol Treatment | $508.05 | $508.05 | $37.26–$595.10 | 73% above | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Nebulizer Treatment | $508.05 | $508.05 | $108.00–$595.10 | 73% above | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC Hand Held Nebulizer/Ibb/Mdi-OP | $508.05 | $508.05 | $37.26–$595.10 | 73% above | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC Hand Held Nebulizer/Ippb/Mdi-IP | $508.05 | $508.05 | $37.26–$595.10 | 73% above | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC Mdi Initial | $508.05 | $508.05 | $37.26–$595.10 | 73% above | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC Hand Held Nebulizer/Ibb/Mdi-OP | $508.05 | $508.05 | $37.26–$595.10 | — | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Nebulizer Treatment | $508.05 | $508.05 | $108.00–$595.10 | — | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC Mdi Initial | $508.05 | $508.05 | $37.26–$595.10 | — | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC Hand Held Nebulizer/Ippb/Mdi-IP | $508.05 | $508.05 | $37.26–$595.10 | — | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Aerosol Treatment | $508.05 | $508.05 | $37.26–$595.10 | — | — |
| Chemotherapy IV infusion, first hour CPT 96413 HC Chemo Admin by Infusion 0-1 Hr | $847.04 | $847.04 | $431.99–$897.64 | 10% below | — |
| Chemotherapy IV infusion, first hour inpatient CPT 96413 HC Chemo Admin by Infusion 0-1 Hr | $847.04 | $847.04 | $431.99–$897.64 | — | — |
| Critical care, first 30 to 74 minutes CPT 99291 HC Critical Care 30-74 Mins | $2,113.70 | $2,113.70 | $1,077.99–$2,244.83 | 18% below | — |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 HC Critical Care 30-74 Mins | $2,113.70 | $2,113.70 | $1,077.99–$2,244.83 | — | — |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 HC Eeg - Awake & Drowsy | $747.65 | $747.65 | $381.30–$695.31 | 23% below | — |
| EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 HC Eeg - Awake & Drowsy | $747.65 | $747.65 | $381.30–$695.31 | — | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 HC Electrocardiogram | $219.00 | $219.00 | $54.95–$203.67 | 31% below | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 HC Electrocardiogram | $219.00 | $219.00 | $54.95–$203.67 | — | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 HC ER-Screening | $211.48 | $211.48 | $107.85–$229.16 | 48% below | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 HC ER Level I | $211.48 | $211.48 | $107.85–$229.16 | 48% below | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 HC ER Level I | $211.48 | $211.48 | $107.85–$229.16 | — | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 HC ER-Screening | $211.48 | $211.48 | $107.85–$229.16 | — | — |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 HC ER Level II | $389.58 | $389.58 | $198.69–$417.27 | 45% below | — |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 HC ER-Intermediate Visit | $389.58 | $389.58 | $198.69–$417.27 | 45% below | — |
| Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 HC ER-Intermediate Visit | $389.58 | $389.58 | $198.69–$417.27 | — | — |
| Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 HC ER Level II | $389.58 | $389.58 | $198.69–$417.27 | — | — |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 HC ER-Extended Visit | $679.63 | $679.63 | $346.61–$825.00 | 25% below | — |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 HC ER Level III | $679.63 | $679.63 | $346.61–$825.00 | 25% below | — |
| Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 HC ER-Extended Visit | $679.63 | $679.63 | $346.61–$825.00 | — | — |
| Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 HC ER Level III | $679.63 | $679.63 | $346.61–$825.00 | — | — |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 HC ER-Intensive Visit | $1,055.00 | $1,055.00 | $232.88–$2,010.00 | 25% below | — |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 HC ER Level IV | $1,055.00 | $1,055.00 | $232.88–$2,010.00 | 25% below | — |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 HC ER Level IV | $1,055.00 | $1,055.00 | $232.88–$2,010.00 | — | — |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 HC ER-Intensive Visit | $1,055.00 | $1,055.00 | $232.88–$2,010.00 | — | — |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HC ER-Comprehensive Visit | $1,529.98 | $1,529.98 | $780.29–$1,618.42 | 26% below | — |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HC ER Level V | $1,529.98 | $1,529.98 | $780.29–$1,618.42 | 26% below | — |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 HC ER-Comprehensive Visit | $1,529.98 | $1,529.98 | $780.29–$1,618.42 | — | — |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 HC ER Level V | $1,529.98 | $1,529.98 | $780.29–$1,618.42 | — | — |
| Exercise stress test, tracing only, the hospital charge CPT 93017 HC Exer Tolerance Test | $817.00 | $817.00 | $208.39–$759.81 | 33% below | — |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 HC Exer Tolerance Test | $817.00 | $817.00 | $208.39–$759.81 | — | — |
| Family therapy with the patient, 50 minutes CPT 90847 HC MC Bh Family Psychotherapy W/ Patient | $379.78 | $379.78 | $193.69–$482.36 | — | — |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 HC MC Bh Family Psychotherapy W/ Patient | $379.78 | $379.78 | $193.69–$482.36 | — | — |
| Group psychotherapy session CPT 90853 HC MC Bh Group Therapy | $212.33 | $212.33 | $108.29–$276.08 | — | — |
| Group psychotherapy session inpatient CPT 90853 HC MC Bh Group Therapy | $212.33 | $212.33 | $108.29–$276.08 | — | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HC Infusion Hydration 0-1 Hr | $510.55 | $510.55 | $260.38–$578.04 | 16% below | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HC Hydration Infusion to 1 Hr | $510.55 | $510.55 | $260.38–$578.04 | 16% below | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HC Hydration Infusion to 1 Hr | $510.55 | $510.55 | $260.38–$578.04 | — | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HC Infusion Hydration 0-1 Hr | $510.55 | $510.55 | $260.38–$578.04 | — | — |
| IV infusion of a medicine, first hour CPT 96365 HC IV Infus Initial Up to 1 Hour W 59 Mod | $510.55 | $510.55 | $260.38–$578.04 | 15% below | — |
| IV infusion of a medicine, first hour CPT 96365 HC Infusion Therapy Non Chemo 0-1hr | $510.55 | $510.55 | $260.38–$703.36 | 15% below | — |
| IV infusion of a medicine, first hour CPT 96365 HC IV Infusion Med 16-90 Mins Initial | $510.55 | $510.55 | $260.38–$703.36 | 15% below | — |
| IV infusion of a medicine, first hour CPT 96365 HC IV Infusion for Therapy Prophyl Dx | $510.55 | $510.55 | $260.38–$578.04 | 15% below | — |
| IV infusion of a medicine, first hour inpatient CPT 96365 HC IV Infusion for Therapy Prophyl Dx | $510.55 | $510.55 | $260.38–$578.04 | — | — |
| IV infusion of a medicine, first hour inpatient CPT 96365 HC Infusion Therapy Non Chemo 0-1hr | $510.55 | $510.55 | $260.38–$703.36 | — | — |
| IV infusion of a medicine, first hour inpatient CPT 96365 HC IV Infus Initial Up to 1 Hour W 59 Mod | $510.55 | $510.55 | $260.38–$578.04 | — | — |
| IV infusion of a medicine, first hour inpatient CPT 96365 HC IV Infusion Med 16-90 Mins Initial | $510.55 | $510.55 | $260.38–$703.36 | — | — |
| IV push of a medicine, first drug CPT 96374 HC Inject IV Therp Prophyl Dx Sgl Initi | $510.55 | $510.55 | $260.38–$578.04 | 56% above | — |
| IV push of a medicine, first drug CPT 96374 HC IV Push Single or Initial | $510.55 | $510.55 | $260.38–$578.04 | 56% above | — |
| IV push of a medicine, first drug CPT 96374 HC Inj. Non Chemo IV Push Initial | $510.55 | $510.55 | $260.38–$578.04 | 56% above | — |
| IV push of a medicine, first drug inpatient CPT 96374 HC IV Push Single or Initial | $510.55 | $510.55 | $260.38–$578.04 | — | — |
| IV push of a medicine, first drug inpatient CPT 96374 HC Inj. Non Chemo IV Push Initial | $510.55 | $510.55 | $260.38–$578.04 | — | — |
| IV push of a medicine, first drug inpatient CPT 96374 HC Inject IV Therp Prophyl Dx Sgl Initi | $510.55 | $510.55 | $260.38–$578.04 | — | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 HC Inject Sc Imtherp Prophyl Dx | $167.80 | $167.80 | $85.58–$195.67 | 20% above | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 HC Injection - Sub Q or Im | $167.80 | $167.80 | $108.00–$195.67 | 20% above | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 HC Inj. Non Chemo Intramuscular/Sub | $204.00 | $204.00 | $104.04–$195.67 | 45% above | — |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 HC Inject Sc Imtherp Prophyl Dx | $167.80 | $167.80 | $85.58–$195.67 | — | — |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 HC Injection - Sub Q or Im | $167.80 | $167.80 | $108.00–$195.67 | — | — |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 HC Inj. Non Chemo Intramuscular/Sub | $204.00 | $204.00 | $104.04–$195.67 | — | — |
| Neuromuscular re-education, 15 minutes CPT 97112 HC Ot Neuromuscular Reed 15 Min | $86.00 | $86.00 | $61.15–$86.69 | 23% below | — |
| Neuromuscular re-education, 15 minutes CPT 97112 HC Neuromuscular Reeducation | $86.00 | $86.00 | $49.88–$86.69 | 23% below | — |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 HC Neuromuscular Reeducation | $86.00 | $86.00 | $49.88–$86.69 | — | — |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 HC Ot Neuromuscular Reed 15 Min | $86.00 | $86.00 | $61.15–$86.69 | — | — |
| New patient office visit, about 30 minutes CPT 99203 HC OP Visit New 26-45 Min | $314.88 | $314.88 | $108.00–$292.84 | 36% above | — |
| New patient office visit, about 30 minutes CPT 99203 HC New Pt Visit Level 3 | $314.88 | $314.88 | $108.00–$292.84 | 36% above | — |
| New patient office visit, about 30 minutes inpatient CPT 99203 HC New Pt Visit Level 3 | $314.88 | $314.88 | $108.00–$292.84 | — | — |
| New patient office visit, about 30 minutes inpatient CPT 99203 HC OP Visit New 26-45 Min | $314.88 | $314.88 | $108.00–$292.84 | — | — |
| New patient office visit, about 45 minutes CPT 99204 HC New Pt Visit Level 4 | $314.88 | $314.88 | $108.00–$292.84 | 16% above | — |
| New patient office visit, about 45 minutes CPT 99204 HC OP Visit New 46-90 Min | $314.88 | $314.88 | $108.00–$292.84 | 16% above | — |
| New patient office visit, about 45 minutes inpatient CPT 99204 HC OP Visit New 46-90 Min | $314.88 | $314.88 | $108.00–$292.84 | — | — |
| New patient office visit, about 45 minutes inpatient CPT 99204 HC New Pt Visit Level 4 | $314.88 | $314.88 | $108.00–$292.84 | — | — |
| New patient office visit, about 60 minutes CPT 99205 HC New Pt Visit Level 5 | $314.88 | $314.88 | $108.00–$292.84 | 1% above | — |
| New patient office visit, about 60 minutes CPT 99205 HC OP Visit New 90 Min or > | $314.88 | $314.88 | $108.00–$292.84 | 1% above | — |
| New patient office visit, about 60 minutes inpatient CPT 99205 HC OP Visit New 90 Min or > | $314.88 | $314.88 | $108.00–$292.84 | — | — |
| New patient office visit, about 60 minutes inpatient CPT 99205 HC New Pt Visit Level 5 | $314.88 | $314.88 | $108.00–$292.84 | — | — |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 HC OP Visit, New 0-10 Min | $314.88 | $314.88 | $108.00–$292.84 | 62% above | — |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 HC New Pt Visit Level 2 | $314.88 | $314.88 | $108.00–$292.84 | 62% above | — |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 HC OP Visit New 11-25 Min | $314.88 | $314.88 | $108.00–$292.84 | 62% above | — |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 HC OP Visit New 11-25 Min | $314.88 | $314.88 | $108.00–$292.84 | — | — |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 HC OP Visit, New 0-10 Min | $314.88 | $314.88 | $108.00–$292.84 | — | — |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 HC New Pt Visit Level 2 | $314.88 | $314.88 | $108.00–$292.84 | — | — |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 HC MC Med Nutr Ther Ind Initial | $89.23 | $89.23 | $63.44–$173.05 | 22% above | — |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 HC Mnt Initial Assessment per 15 Mins | $89.23 | $89.23 | $45.51–$97.28 | 22% above | — |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 HC Mnt Initial Assess Ind 15 Min | $89.23 | $89.23 | $45.51–$97.28 | 22% above | — |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 HC MC Med Nutr Ther Ind Initial | $89.23 | $89.23 | $63.44–$173.05 | — | — |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 HC Mnt Initial Assessment per 15 Mins | $89.23 | $89.23 | $45.51–$97.28 | — | — |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 HC Mnt Initial Assess Ind 15 Min | $89.23 | $89.23 | $45.51–$97.28 | — | — |
| Occupational therapy evaluation, low complexity CPT 97165 HC Ot Evaluation Low Complexity 23-37 | $248.88 | $248.88 | $162.60–$266.45 | 3% below | — |
| Occupational therapy evaluation, low complexity CPT 97165 HC Ot Evaluation Low Complexity 8-22 | $248.88 | $248.88 | $162.60–$266.45 | 3% below | — |
| Occupational therapy evaluation, low complexity CPT 97165 HC Ot Evaluation Low Complexity 38-52 | $248.88 | $248.88 | $162.60–$266.45 | 3% below | — |
| Occupational therapy evaluation, low complexity inpatient CPT 97165 HC Ot Evaluation Low Complexity 8-22 | $248.88 | $248.88 | $162.60–$266.45 | — | — |
| Occupational therapy evaluation, low complexity inpatient CPT 97165 HC Ot Evaluation Low Complexity 38-52 | $248.88 | $248.88 | $162.60–$266.45 | — | — |
| Occupational therapy evaluation, low complexity inpatient CPT 97165 HC Ot Evaluation Low Complexity 23-37 | $248.88 | $248.88 | $162.60–$266.45 | — | — |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 HC Evaluation High Complexity 38-52 Min | $246.43 | $246.43 | $142.93–$259.43 | 22% below | — |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 HC Evaluation High Complexity 53-67 Min | $246.43 | $246.43 | $142.93–$259.43 | 22% below | — |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 HC Evaluation High Complexity 8-22 Min | $246.43 | $246.43 | $142.93–$259.43 | 22% below | — |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 HC Evaluation High Complexity 23-37 Min | $246.43 | $246.43 | $142.93–$259.43 | 22% below | — |
| Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 HC Evaluation High Complexity 8-22 Min | $246.43 | $246.43 | $142.93–$259.43 | — | — |
| Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 HC Evaluation High Complexity 53-67 Min | $246.43 | $246.43 | $142.93–$259.43 | — | — |
| Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 HC Evaluation High Complexity 23-37 Min | $246.43 | $246.43 | $142.93–$259.43 | — | — |
| Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 HC Evaluation High Complexity 38-52 Min | $246.43 | $246.43 | $142.93–$259.43 | — | — |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 HC Evaluation Low Complexity 23-37 Min | $246.43 | $246.43 | $142.93–$259.43 | 6% below | — |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 HC Pt Evaluation Low Complexity | $246.43 | $246.43 | $142.93–$259.43 | 6% below | — |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 HC Evaluation Low Complexity 38-52 Min | $246.43 | $246.43 | $142.93–$259.43 | 6% below | — |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 HC Evaluation Low Complexity 8-22 Min | $246.43 | $246.43 | $142.93–$259.43 | 6% below | — |
| Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 HC Pt Evaluation Low Complexity | $246.43 | $246.43 | $142.93–$259.43 | — | — |
| Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 HC Evaluation Low Complexity 23-37 Min | $246.43 | $246.43 | $142.93–$259.43 | — | — |
| Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 HC Evaluation Low Complexity 8-22 Min | $246.43 | $246.43 | $142.93–$259.43 | — | — |
| Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 HC Evaluation Low Complexity 38-52 Min | $246.43 | $246.43 | $142.93–$259.43 | — | — |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 HC Evaluation Mod Complexity 38-52 Min | $246.43 | $246.43 | $142.93–$259.43 | 11% below | — |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 HC Pt Evaluatoin Moderate Complexity | $246.43 | $246.43 | $142.93–$259.43 | 11% below | — |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 HC Evaluation Mod Complexity 68-82 Min | $246.43 | $246.43 | $142.93–$259.43 | 11% below | — |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 HC Evaluation Mod Complexity 8-22 Min | $246.43 | $246.43 | $142.93–$259.43 | 11% below | — |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 HC Evaluation Mod Complexity 53-67 Min | $246.43 | $246.43 | $142.93–$259.43 | 11% below | — |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 HC Evaluation Mod Complexity 23-37min | $246.43 | $246.43 | $142.93–$259.43 | 11% below | — |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 HC Evaluation Mod Complexity 53-67 Min | $246.43 | $246.43 | $142.93–$259.43 | — | — |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 HC Evaluation Mod Complexity 68-82 Min | $246.43 | $246.43 | $142.93–$259.43 | — | — |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 HC Pt Evaluatoin Moderate Complexity | $246.43 | $246.43 | $142.93–$259.43 | — | — |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 HC Evaluation Mod Complexity 38-52 Min | $246.43 | $246.43 | $142.93–$259.43 | — | — |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 HC Evaluation Mod Complexity 8-22 Min | $246.43 | $246.43 | $142.93–$259.43 | — | — |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 HC Evaluation Mod Complexity 23-37min | $246.43 | $246.43 | $142.93–$259.43 | — | — |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HC Manual Therapy | $66.35 | $66.35 | $38.48–$73.42 | 49% below | — |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HC Manual Therapy Techniques | $66.35 | $66.35 | $47.17–$73.42 | 49% below | — |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HC Manual Therapy Techniques | $66.35 | $66.35 | $47.17–$73.42 | — | — |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HC Manual Therapy | $66.35 | $66.35 | $38.48–$73.42 | — | — |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC Ot Therapeutic Exercise 15 Min Th | $72.05 | $72.05 | $51.23–$76.98 | 31% below | — |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC Therapeutic Exercises Th | $72.05 | $72.05 | $41.79–$76.98 | 31% below | — |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC Therapeutic Exercises Th | $72.05 | $72.05 | $41.79–$76.98 | — | — |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC Ot Therapeutic Exercise 15 Min Th | $72.05 | $72.05 | $51.23–$76.98 | — | — |
| Preventive checkup, new patient aged 18–39 CPT 99385 New Pat: Age 18+ Years | $201.00 | $201.00 | $102.51–$186.93 | — | — |
| Preventive checkup, new patient aged 18–39 inpatient CPT 99385 New Pat: Age 18+ Years | $201.00 | $201.00 | $102.51–$186.93 | — | — |
| Preventive checkup, returning patient aged 18–39 CPT 99395 Est. Pat: Age 18+Years | $201.00 | $201.00 | $108.00–$186.93 | — | — |
| Preventive checkup, returning patient aged 18–39 inpatient CPT 99395 Est. Pat: Age 18+Years | $201.00 | $201.00 | $108.00–$186.93 | — | — |
| Psychotherapy session, 45 minutes CPT 90834 HC MC Bh Therapy 45 Min Ind | $379.78 | $379.78 | $193.69–$482.36 | — | — |
| Psychotherapy session, 45 minutes inpatient CPT 90834 HC MC Bh Therapy 45 Min Ind | $379.78 | $379.78 | $193.69–$482.36 | — | — |
| Psychotherapy session, 60 minutes CPT 90837 HC MC Bh Therapy 60 Min Ind | $379.78 | $379.78 | $193.69–$482.36 | — | — |
| Psychotherapy session, 60 minutes inpatient CPT 90837 HC MC Bh Therapy 60 Min Ind | $379.78 | $379.78 | $193.69–$482.36 | — | — |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 HC Smoking Cessation-Intermediate | $68.35 | $68.35 | $34.86–$101.82 | 14% below | — |
| Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 HC Smoking Cessation-Intermediate | $68.35 | $68.35 | $34.86–$101.82 | — | — |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 HC OP Visit Est 90 Min or > | $314.88 | $314.88 | $108.00–$292.84 | 1% above | — |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 HC OB Exam Room - Level V | $411.00 | $411.00 | $209.61–$382.23 | 32% above | — |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 HC OP Visit Est 90 Min or > | $314.88 | $314.88 | $108.00–$292.84 | — | — |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 HC OB Exam Room - Level V | $411.00 | $411.00 | $209.61–$382.23 | — | — |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 HC OP Visit Est 26-45 Min | $314.88 | $314.88 | $108.00–$292.84 | 36% above | — |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 HC OB Exam Room - Level III | $325.00 | $325.00 | $165.75–$302.25 | 40% above | — |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 HC OP Visit Est 26-45 Min | $314.88 | $314.88 | $108.00–$292.84 | — | — |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 HC OB Exam Room - Level III | $325.00 | $325.00 | $165.75–$302.25 | — | — |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HC OP Visit Est 46-90 Min | $314.88 | $314.88 | $108.00–$292.84 | 16% above | — |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HC OB Exam Room - Level IV | $367.00 | $367.00 | $187.17–$341.31 | 35% above | — |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 HC OP Visit Est 46-90 Min | $314.88 | $314.88 | $108.00–$292.84 | — | — |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 HC OB Exam Room - Level IV | $367.00 | $367.00 | $187.17–$341.31 | — | — |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HC OB Exam Room - Level II | $314.88 | $314.88 | $160.59–$292.84 | 63% above | — |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HC OP Visit Est 11-25 Min | $314.88 | $314.88 | $108.00–$292.84 | 63% above | — |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 HC OB Exam Room - Level II | $314.88 | $314.88 | $160.59–$292.84 | — | — |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 HC OP Visit Est 11-25 Min | $314.88 | $314.88 | $108.00–$292.84 | — | — |
| Speech and language evaluation CPT 92523 HC Eval Speech Sound Prod W/Lang Comp&Expr | $560.45 | $560.45 | $192.41–$600.87 | 26% above | — |
| Speech and language evaluation CPT 92523 HC St Eval Sound/Lang Compre 53-67 | $560.45 | $560.45 | $192.41–$600.87 | 26% above | — |
| Speech and language evaluation CPT 92523 HC St Eval Sound/Lang Compre 38-52 | $560.45 | $560.45 | $192.41–$600.87 | 26% above | — |
| Speech and language evaluation CPT 92523 HC St Eval Sound/Lang Compre 68-82 | $560.45 | $560.45 | $192.41–$600.87 | 26% above | — |
| Speech and language evaluation CPT 92523 HC St Eval Sound/Lang Compre 23-37 | $560.45 | $560.45 | $192.41–$600.87 | 26% above | — |
| Speech and language evaluation CPT 92523 HC Eval Speech Reduced Services Mod 52 | $560.45 | $560.45 | $192.41–$600.87 | 26% above | — |
| Speech and language evaluation CPT 92523 HC St Eval Sound/Lang Compre 8-22 | $560.45 | $560.45 | $192.41–$600.87 | 26% above | — |
| Speech and language evaluation inpatient CPT 92523 HC St Eval Sound/Lang Compre 38-52 | $560.45 | $560.45 | $192.41–$600.87 | — | — |
| Speech and language evaluation inpatient CPT 92523 HC St Eval Sound/Lang Compre 68-82 | $560.45 | $560.45 | $192.41–$600.87 | — | — |
| Speech and language evaluation inpatient CPT 92523 HC Eval Speech Sound Prod W/Lang Comp&Expr | $560.45 | $560.45 | $192.41–$600.87 | — | — |
| Speech and language evaluation inpatient CPT 92523 HC Eval Speech Reduced Services Mod 52 | $560.45 | $560.45 | $192.41–$600.87 | — | — |
| Speech and language evaluation inpatient CPT 92523 HC St Eval Sound/Lang Compre 23-37 | $560.45 | $560.45 | $192.41–$600.87 | — | — |
| Speech and language evaluation inpatient CPT 92523 HC St Eval Sound/Lang Compre 8-22 | $560.45 | $560.45 | $192.41–$600.87 | — | — |
| Speech and language evaluation inpatient CPT 92523 HC St Eval Sound/Lang Compre 53-67 | $560.45 | $560.45 | $192.41–$600.87 | — | — |
| Speech therapy session, individual CPT 92507 HC St Basic Treatment/53-67 Min Ind | $187.68 | $187.68 | $113.82–$202.03 | 5% below | — |
| Speech therapy session, individual CPT 92507 HC St Basic Treatment/8-22 Min Ind | $187.68 | $187.68 | $113.82–$202.03 | 5% below | — |
| Speech therapy session, individual CPT 92507 HC St Basic Treatment/23-37 Min Ind | $187.68 | $187.68 | $113.82–$202.03 | 5% below | — |
| Speech therapy session, individual CPT 92507 HC St Basic Treatment/38-52 Min Ind | $187.68 | $187.68 | $113.82–$202.03 | 5% below | — |
| Speech therapy session, individual inpatient CPT 92507 HC St Basic Treatment/8-22 Min Ind | $187.68 | $187.68 | $113.82–$202.03 | — | — |
| Speech therapy session, individual inpatient CPT 92507 HC St Basic Treatment/53-67 Min Ind | $187.68 | $187.68 | $113.82–$202.03 | — | — |
| Speech therapy session, individual inpatient CPT 92507 HC St Basic Treatment/38-52 Min Ind | $187.68 | $187.68 | $113.82–$202.03 | — | — |
| Speech therapy session, individual inpatient CPT 92507 HC St Basic Treatment/23-37 Min Ind | $187.68 | $187.68 | $113.82–$202.03 | — | — |
| Spirometry (breathing test) CPT 94010 HC Screening Spirometry | $372.08 | $372.08 | $99.28–$586.80 | 3% below | — |
| Spirometry (breathing test) CPT 94010 Simple Spirometry | $372.08 | $372.08 | $99.28–$586.80 | 3% below | — |
| Spirometry (breathing test) CPT 94010 HC Incentive Spirometry Subsequent | $372.08 | $372.08 | $99.28–$586.80 | 3% below | — |
| Spirometry (breathing test) CPT 94010 HC Incentive Spirometry Initial | $372.08 | $372.08 | $99.28–$586.80 | 3% below | — |
| Spirometry (breathing test) inpatient CPT 94010 HC Incentive Spirometry Subsequent | $372.08 | $372.08 | $99.28–$586.80 | — | — |
| Spirometry (breathing test) inpatient CPT 94010 HC Screening Spirometry | $372.08 | $372.08 | $99.28–$586.80 | — | — |
| Spirometry (breathing test) inpatient CPT 94010 Simple Spirometry | $372.08 | $372.08 | $99.28–$586.80 | — | — |
| Spirometry (breathing test) inpatient CPT 94010 HC Incentive Spirometry Initial | $372.08 | $372.08 | $99.28–$586.80 | — | — |
| Spirometry before and after a bronchodilator CPT 94060 HC Screening Spiro. C Bd | $747.65 | $747.65 | $164.53–$1,014.10 | 2% above | — |
| Spirometry before and after a bronchodilator inpatient CPT 94060 HC Screening Spiro. C Bd | $747.65 | $747.65 | $164.53–$1,014.10 | — | — |
| Therapeutic activities (functional training), 15 minutes CPT 97530 HC Functional Activity Th | $89.90 | $89.90 | $52.14–$92.75 | 20% below | — |
| Therapeutic activities (functional training), 15 minutes CPT 97530 HC Ot Functional Activity 15 Min Th | $89.90 | $89.90 | $63.92–$92.75 | 20% below | — |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HC Functional Activity Th | $89.90 | $89.90 | $52.14–$92.75 | — | — |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HC Ot Functional Activity 15 Min Th | $89.90 | $89.90 | $63.92–$92.75 | — | — |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 HC Phlebotomy-Therapeutic | $304.28 | $304.28 | $98.01–$361.57 | 2% below | — |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 HC Phlebotomy (Phle) | $304.28 | $304.28 | $155.18–$361.57 | 2% below | — |
| Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 HC Phlebotomy (Phle) | $304.28 | $304.28 | $155.18–$361.57 | — | — |
| Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 HC Phlebotomy-Therapeutic | $304.28 | $304.28 | $98.01–$361.57 | — | — |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Delaware | Off list |
|---|---|---|---|---|---|
| Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 VARICELLA VIRUS VACCINE LIVE (PF) 1,350 UNIT/0.5 ML SUBCUTANEOUS SUSP | $575.97 | $575.97 | $143.19–$535.65 | 12% below | — |
| Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 VARICELLA VIRUS VACCINE LIVE (PF) 1,350 UNIT/0.5 ML SUBCUTANEOUS SUSP | $575.97 | $575.97 | $143.19–$535.65 | — | — |
| DTaP, hepatitis B and polio combination vaccine (Pediarix) CPT 90723 Dtap Hepb-Ipv | $142.00 | $142.00 | $35.30–$132.06 | 54% below | — |
| DTaP, hepatitis B and polio combination vaccine (Pediarix) inpatient CPT 90723 Dtap Hepb-Ipv | $142.00 | $142.00 | $35.30–$132.06 | — | — |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 FLU VACCINE TS 2025-26(6MOS UP)(PF) 45 MCG(15MCG X3)/0.5 ML IM SYRINGE | $62.26 | $62.26 | $15.48–$57.90 | 24% below | — |
| Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 FLU VACCINE TS 2025-26(6MOS UP)(PF) 45 MCG(15MCG X3)/0.5 ML IM SYRINGE | $62.26 | $62.26 | $15.48–$57.90 | — | — |
| Hepatitis A vaccine, adult dose CPT 90632 HEPATITIS A VACCINE (PF) 1,440 ELISA UNIT/ML INTRAMUSCULAR SYRINGE | $268.33 | $268.33 | $66.71–$249.55 | 17% below | — |
| Hepatitis A vaccine, adult dose inpatient CPT 90632 HEPATITIS A VACCINE (PF) 1,440 ELISA UNIT/ML INTRAMUSCULAR SYRINGE | $268.33 | $268.33 | $66.71–$249.55 | — | — |
| Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 Hep a Peds/Adol 2 Dose Schedule | $112.00 | $112.00 | $27.84–$104.16 | 32% below | — |
| Hepatitis A vaccine, child and teen dose (2-dose schedule) inpatient CPT 90633 Hep a Peds/Adol 2 Dose Schedule | $112.00 | $112.00 | $27.84–$104.16 | — | — |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPATITIS B VIRUS VACCINE RECOMB (PF) 20 MCG/ML INTRAMUSCULAR SYRINGE | $224.93 | $224.93 | $55.92–$209.18 | 11% below | — |
| Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HEPATITIS B VIRUS VACCINE RECOMB (PF) 20 MCG/ML INTRAMUSCULAR SYRINGE | $224.93 | $224.93 | $55.92–$209.18 | — | — |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 Hep B, 3 Doses Ped/Adol | $81.00 | $81.00 | $20.14–$75.33 | 30% below | — |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HEPATITIS B VIRUS VACCINE RECOMB (PF) 10 MCG/0.5 ML IM SYRINGE | $89.95 | $89.95 | $22.36–$83.65 | 22% below | — |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 Hep B, 3 Doses Ped/Adol | $81.00 | $81.00 | $20.14–$75.33 | — | — |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 HEPATITIS B VIRUS VACCINE RECOMB (PF) 10 MCG/0.5 ML IM SYRINGE | $89.95 | $89.95 | $22.36–$83.65 | — | — |
| Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 HAEMOPHILUS B POLYSACCHARID CONJ-TETANUS TOX(PF) 10 MCG/0.5 ML IM SOLN | $41.36 | $41.36 | $10.28–$38.46 | 17% below | — |
| Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) inpatient CPT 90648 HAEMOPHILUS B POLYSACCHARID CONJ-TETANUS TOX(PF) 10 MCG/0.5 ML IM SOLN | $41.36 | $41.36 | $10.28–$38.46 | — | — |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 MMR | $91.00 | $91.00 | $46.41–$84.63 | at median | — |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 MEASLES,MUMPS,RUBELLA VACCINE LIVE(PF)1,000-12,500TCID50/0.5 ML SUBCUT | $284.48 | $284.48 | $70.72–$264.57 | 213% above | — |
| MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 MMR | $91.00 | $91.00 | $46.41–$84.63 | — | — |
| MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 MEASLES,MUMPS,RUBELLA VACCINE LIVE(PF)1,000-12,500TCID50/0.5 ML SUBCUT | $284.48 | $284.48 | $70.72–$264.57 | — | — |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 Menactra (Meningococcal) | $260.00 | $260.00 | $64.64–$241.80 | 56% below | — |
| Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 Menactra (Meningococcal) | $260.00 | $260.00 | $64.64–$241.80 | — | — |
| Meningococcal B vaccine (Trumenba) CPT 90621 N.MENINGITIDIS GROUP B,LIPID FHBP 120 MCG/0.5 ML INTRAMUSCULAR SYRINGE | $677.36 | $677.36 | $168.39–$629.94 | 5% below | — |
| Meningococcal B vaccine (Trumenba) inpatient CPT 90621 N.MENINGITIDIS GROUP B,LIPID FHBP 120 MCG/0.5 ML INTRAMUSCULAR SYRINGE | $677.36 | $677.36 | $168.39–$629.94 | — | — |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE | $897.37 | $897.37 | $223.09–$834.55 | 3% below | — |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 PNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE | $897.37 | $897.37 | $223.09–$834.55 | — | — |
| Polio vaccine, inactivated (IPV) CPT 90713 IPB | $80.00 | $80.00 | $19.89–$74.40 | 57% below | — |
| Polio vaccine, inactivated (IPV) inpatient CPT 90713 IPB | $80.00 | $80.00 | $19.89–$74.40 | — | — |
| Rabies vaccine, one dose CPT 90675 RABIES VACCINE, PURIFIED CHICKEN EMBRYO CELL (PF) 2.5 UNIT IM SUSP | $1,303.83 | $1,303.83 | $294.37–$1,212.56 | 2% below | — |
| Rabies vaccine, one dose inpatient CPT 90675 RABIES VACCINE, PURIFIED CHICKEN EMBRYO CELL (PF) 2.5 UNIT IM SUSP | $1,303.83 | $1,303.83 | $294.37–$1,212.56 | — | — |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TD | $86.00 | $86.00 | $21.38–$79.98 | 38% below | — |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS AND DIPHTHERIA TOX (PF) 5 LF UNIT-2 LF UNIT/0.5 ML IM SUSP | $136.99 | $136.99 | $34.06–$127.40 | 2% below | — |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS AND DIPHTHERIA TOX (PF) 5 LF UNIT-2 LF UNIT/0.5 ML IM SYRINGE | $136.99 | $136.99 | $34.06–$127.40 | 2% below | — |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TD | $86.00 | $86.00 | $21.38–$79.98 | — | — |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS AND DIPHTHERIA TOX (PF) 5 LF UNIT-2 LF UNIT/0.5 ML IM SYRINGE | $136.99 | $136.99 | $34.06–$127.40 | — | — |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS AND DIPHTHERIA TOX (PF) 5 LF UNIT-2 LF UNIT/0.5 ML IM SUSP | $136.99 | $136.99 | $34.06–$127.40 | — | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Tdap > 7 Years | $120.00 | $120.00 | $29.83–$111.60 | 32% below | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 DIPHTH,PERTUSSIS(ACEL),TETANUS 2.5 LF UNIT-8 MCG-5 LF/0.5ML IM SYRINGE | $149.30 | $149.30 | $37.12–$138.85 | 15% below | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 Tdap > 7 Years | $120.00 | $120.00 | $29.83–$111.60 | — | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 DIPHTH,PERTUSSIS(ACEL),TETANUS 2.5 LF UNIT-8 MCG-5 LF/0.5ML IM SYRINGE | $149.30 | $149.30 | $37.12–$138.85 | — | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC Immunization Administration | $167.80 | $167.80 | $85.58–$195.67 | 24% above | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC Immunization Administration | $167.80 | $167.80 | $85.58–$195.67 | — | — |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 HC MC Immunization Ea Add | $70.00 | $70.00 | $35.70–$65.10 | 38% below | — |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 HC MC Immunization Ea Add | $70.00 | $70.00 | $35.70–$65.10 | — | — |
Procedure The service, with its billing code (CPT or HCPCS) and, in small type, the line exactly as the hospital wrote it in its price file. More
Cash price The hospital's own price for a patient paying without insurance (“discounted cash” in its price file). Hospitals must publish it under federal law, 45 CFR 180.50. Call to confirm it before booking. More
List price The hospital's full chargemaster price (“gross charge”) before any discount. Almost nobody pays it; the gap to the cash price shows what the self-pay discount is worth. More
Insurers pay The lowest and highest rates this hospital has agreed with insurance plans for the same item, from its price file. If the cash price is below what your plan pays and you have not met your deductible, paying cash can cost you less. More
Against the state median This hospital's cash price compared with the median cash price of hospitals in the state for the same code. Shown when at least three hospitals in the state price it.
Off list How much lower the cash price is than the list price.
No cash discount This line's cash price equals the hospital's full list price. Many hospitals still reduce bills for uninsured patients: ask the billing office for its self-pay discount in writing. More
At or below Medicare This cash price is at or below what Medicare pays a hospital for the same service, which is unusually low. It is what the hospital's file says; confirm it and what it includes before booking. More
Check the item The description in the hospital file looks like a supply or device (a catheter, a brace, an implant), not this procedure. The hospital may have filed it under the wrong code: ask before relying on this price.
Source file: https://www.tidalhealth.org/sites/default/files/2026-04/510069243_tidalhealth-nanticoke-inc_standardcharges.csv