St. Mary’s Medical Center
St. Mary’s Medical Center in Huntington, WV publishes cash prices for 357 common procedures listed here, from its own machine-readable price file updated Jan 1, 2026. Compared with other hospitals in the state, its outpatient cash prices are above the West Virginia median for 269 of 353 procedures and below it for 82. By typical cash price it ranks #32 of 36 West Virginia hospitals and #2 of 5 hospitals in the Huntington, WV area, cheapest first. Select a procedure to compare it with other hospitals nearby.
2900 First Avenue, Huntington, WV 25702 Collected Sep 23, 2026 Source price file Check a bill from this hospital (304) 526-1234
Acute care hospital Nonprofit hospital Emergency department CMS star rating 3 of 5 CCN 510007 · CMS hospital register NPI 1164492195
The price file shows no self-pay discount
For 2664 of the 2664 prices listed here, the cash price in St. Mary’s Medical Center'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
St. Mary’s Medical Center is a nonprofit hospital in the CMS register. Under section 501(r) of the federal tax code it must have a written Financial Assistance Policy with a free application, publish both on its website, and charge patients who qualify no more than the amounts generally billed to insured patients for emergency and other medically necessary care. Who qualifies depends on household income; the policy states the limits.
You can apply up to 240 days after the first bill. Before collection actions such as credit reporting or a lawsuit, the hospital must tell you about the policy and wait at least 120 days after that bill. Ask the billing office for the policy and the application before you pay, or search the hospital's website for “financial assistance”. Letters you can copy.
Source: IRS, section 501(r) requirements for nonprofit hospitals.
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 3 actions for a hospital named St. Mary’s Medical Center in Huntington, WV:
- Aug 25, 2021 Warning notice
- Mar 9, 2022 Corrective action plan requested
- Apr 14, 2022 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 West Virginia | Off list |
|---|---|---|---|---|---|
| Abdominal CT scan without and with contrast CPT 74170 CT Abdomen w+wo IV Contrast | $2,421.91 | $2,421.91 | $2,030.04–$2,421.91 | 96% above | — |
| Abdominal CT scan without and with contrast inpatient CPT 74170 CT Abdomen w+wo IV Contrast | $2,421.91 | $2,421.91 | $1,816.43–$2,421.91 | — | — |
| Abdominal X-ray, 2 views CPT 74019 CR Abdomen Series w/o Chest | $358.96 | $358.96 | $300.88–$358.96 | 64% above | — |
| Abdominal X-ray, 2 views CPT 74019 CR Abdomen 2 View | $358.96 | $358.96 | $300.88–$358.96 | 64% above | — |
| Abdominal X-ray, 2 views CPT 74019 CR Abdomen 2 Views 74019 | $358.96 | $358.96 | $300.88–$358.96 | 64% above | — |
| Abdominal X-ray, 2 views CPT 74019 CR Port Abdomen Flat Upright | $358.96 | $358.96 | $300.88–$358.96 | 64% above | — |
| Abdominal X-ray, 2 views inpatient CPT 74019 CR Port Abdomen Flat Upright | $358.96 | $358.96 | $269.22–$358.96 | — | — |
| Abdominal X-ray, 2 views inpatient CPT 74019 CR Abdomen 2 View | $358.96 | $358.96 | $269.22–$358.96 | — | — |
| Abdominal X-ray, 2 views inpatient CPT 74019 CR Abdomen 2 Views 74019 | $358.96 | $358.96 | $269.22–$358.96 | — | — |
| Abdominal X-ray, 2 views inpatient CPT 74019 CR Abdomen Series w/o Chest | $358.96 | $358.96 | $269.22–$358.96 | — | — |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 CR Ankle Complete Left | $358.96 | $358.96 | $300.88–$358.96 | 99% above | — |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 CR Ankle Complete Right | $358.96 | $358.96 | $300.88–$358.96 | 99% above | — |
| Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 CR Ankle Complete Left | $358.96 | $358.96 | $269.22–$358.96 | — | — |
| Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 CR Ankle Complete Right | $358.96 | $358.96 | $269.22–$358.96 | — | — |
| Ankle-brachial index (ABI), blood pressure test for leg arteries both sides CPT 93922 US DD Ext Art Bilat Single Level | $514.15 | $514.15 | $430.96–$514.15 | — | — |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 VAS Skin Perfusion Pressure/Laser Doppl | $251.26 | $251.26 | $210.61–$251.26 | 13% below | — |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 UPR/L XTREMITY ART 2 LEVELS | $278.72 | $278.72 | $233.62–$278.72 | 4% below | — |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 US Doppler, single (Lower)93922 | $514.15 | $514.15 | $430.96–$514.15 | 77% above | — |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient both sides CPT 93922 US DD Ext Art Bilat Single Level | $514.15 | $514.15 | $385.61–$514.15 | — | — |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 VAS Skin Perfusion Pressure/Laser Doppl | $251.26 | $251.26 | $188.44–$251.26 | — | — |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 UPR/L XTREMITY ART 2 LEVELS | $278.72 | $278.72 | $209.04–$278.72 | — | — |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 US Doppler, single (Lower)93922 | $514.15 | $514.15 | $385.61–$514.15 | — | — |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT Upper Extremity w/o Contrast Right | $3,309.79 | $3,309.79 | $2,774.27–$3,309.79 | 369% above | — |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT Upper Extremity w/o Contrast Left | $3,309.79 | $3,309.79 | $2,774.27–$3,309.79 | 369% above | — |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT Upper Extremity w/o Contrast Left | $3,309.79 | $3,309.79 | $2,482.34–$3,309.79 | — | — |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT Upper Extremity w/o Contrast Right | $3,309.79 | $3,309.79 | $2,482.34–$3,309.79 | — | — |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 CR Barium Swallow | $847.77 | $847.77 | $710.60–$847.77 | 130% above | — |
| Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 CR Barium Swallow | $847.77 | $847.77 | $635.83–$847.77 | — | — |
| Bone scan, whole body (nuclear medicine) CPT 78306 Injection | $1,851.80 | $1,851.80 | $1,552.18–$1,851.80 | 113% above | — |
| Bone scan, whole body (nuclear medicine) inpatient CPT 78306 Injection | $1,851.80 | $1,851.80 | $1,388.85–$1,851.80 | — | — |
| Breast ultrasound, complete, one breast one side CPT 76641 US Breast Left Complete | $781.26 | $781.26 | $654.85–$781.26 | 168% above | — |
| Breast ultrasound, complete, one breast one side CPT 76641 MG US Breast Right Complete | $781.26 | $781.26 | $654.85–$781.26 | 168% above | — |
| Breast ultrasound, complete, one breast one side CPT 76641 US Breast Right Complete | $781.26 | $781.26 | $654.85–$781.26 | 168% above | — |
| Breast ultrasound, complete, one breast one side CPT 76641 MG US Breast Left Complete | $781.26 | $781.26 | $654.85–$781.26 | 168% above | — |
| Breast ultrasound, complete, one breast inpatient one side CPT 76641 US Breast Left Complete | $781.26 | $781.26 | $585.94–$781.26 | — | — |
| Breast ultrasound, complete, one breast inpatient one side CPT 76641 MG US Breast Right Complete | $781.26 | $781.26 | $585.94–$781.26 | — | — |
| Breast ultrasound, complete, one breast inpatient one side CPT 76641 MG US Breast Left Complete | $781.26 | $781.26 | $585.94–$781.26 | — | — |
| Breast ultrasound, complete, one breast inpatient one side CPT 76641 US Breast Right Complete | $781.26 | $781.26 | $585.94–$781.26 | — | — |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 MG US Axilla Right | $781.26 | $781.26 | $654.85–$781.26 | 197% above | — |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 US Breast Ltd Left | $781.26 | $781.26 | $654.85–$781.26 | 197% above | — |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 US Breast Ltd Right | $781.26 | $781.26 | $654.85–$781.26 | 197% above | — |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 MG US Axilla Left | $781.26 | $781.26 | $654.85–$781.26 | 197% above | — |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 MG US Breast Right Limited | $781.26 | $781.26 | $654.85–$781.26 | 197% above | — |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 MG US Breast Left Limited | $781.26 | $781.26 | $654.85–$781.26 | 197% above | — |
| Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 MG US Axilla Right | $781.26 | $781.26 | $585.94–$781.26 | — | — |
| Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 US Breast Ltd Left | $781.26 | $781.26 | $585.94–$781.26 | — | — |
| Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 MG US Breast Left Limited | $781.26 | $781.26 | $585.94–$781.26 | — | — |
| Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 US Breast Ltd Right | $781.26 | $781.26 | $585.94–$781.26 | — | — |
| Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 MG US Axilla Left | $781.26 | $781.26 | $585.94–$781.26 | — | — |
| Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 MG US Breast Right Limited | $781.26 | $781.26 | $585.94–$781.26 | — | — |
| CT angiography (CTA) of the abdomen and pelvis CPT 74174 CT Angio Abd Pel w+wo IV Con Art/Ven Phase | $3,593.79 | $3,593.79 | $3,012.31–$3,593.79 | 109% above | — |
| CT angiography (CTA) of the abdomen and pelvis CPT 74174 CT Angio Abd Pel w+wo IV Contrast | $3,593.79 | $3,593.79 | $3,012.31–$3,593.79 | 109% above | — |
| CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 CT Angio Abd Pel w+wo IV Con Art/Ven Phase | $3,593.79 | $3,593.79 | $2,695.34–$3,593.79 | — | — |
| CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 CT Angio Abd Pel w+wo IV Contrast | $3,593.79 | $3,593.79 | $2,695.34–$3,593.79 | — | — |
| CT angiography (CTA) of the head CPT 70496 CT Angio Head w+wo IV Contrast | $3,593.79 | $3,593.79 | $3,012.31–$3,593.79 | 197% above | — |
| CT angiography (CTA) of the head CPT 70496 CT Angio Head w+wo IV Contrast w VIZ AI | $4,772.02 | $4,772.02 | $3,999.91–$4,772.02 | 294% above | — |
| CT angiography (CTA) of the head inpatient CPT 70496 CT Angio Head w+wo IV Contrast | $3,593.79 | $3,593.79 | $2,695.34–$3,593.79 | — | — |
| CT angiography (CTA) of the head inpatient CPT 70496 CT Angio Head w+wo IV Contrast w VIZ AI | $4,772.02 | $4,772.02 | $3,579.02–$4,772.02 | — | — |
| CT angiography (CTA) of the neck CPT 70498 CT Angio Neck w+wo IV Contrast | $2,421.91 | $2,421.91 | $2,030.04–$2,421.91 | 111% above | — |
| CT angiography (CTA) of the neck CPT 70498 CT Angio Neck w+wo IV Contrast w VIZ AI | $3,600.13 | $3,600.13 | $3,017.63–$3,600.13 | 213% above | — |
| CT angiography (CTA) of the neck inpatient CPT 70498 CT Angio Neck w+wo IV Contrast | $2,421.91 | $2,421.91 | $1,816.43–$2,421.91 | — | — |
| CT angiography (CTA) of the neck inpatient CPT 70498 CT Angio Neck w+wo IV Contrast w VIZ AI | $3,600.13 | $3,600.13 | $2,700.10–$3,600.13 | — | — |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT Angio Chest w+wo IV Contrast | $2,421.91 | $2,421.91 | $2,030.04–$2,421.91 | 92% above | — |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT Angio Chest w IV contrast PE protocol | $2,421.91 | $2,421.91 | $2,030.04–$2,421.91 | 92% above | — |
| CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CT Angio Chest w IV contrast PE protocol | $2,421.91 | $2,421.91 | $1,816.43–$2,421.91 | — | — |
| CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CT Angio Chest w+wo IV Contrast | $2,421.91 | $2,421.91 | $1,816.43–$2,421.91 | — | — |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CT Angiography Cardiac w IV Contrast | $2,421.91 | $2,421.91 | $2,030.04–$2,421.91 | 118% above | — |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 CT Angiography Cardiac w IV Contrast | $2,421.91 | $2,421.91 | $1,816.43–$2,421.91 | — | — |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT Calcium Scoring Cardiology | $2,447.25 | $2,447.25 | $2,051.28–$2,447.25 | 2372% above | — |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT Calcium Score Screening | $2,447.25 | $2,447.25 | $2,051.28–$2,447.25 | 2372% above | — |
| CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 CT Calcium Scoring Cardiology | $2,447.25 | $2,447.25 | $1,835.44–$2,447.25 | — | — |
| CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 CT Calcium Score Screening | $2,447.25 | $2,447.25 | $1,835.44–$2,447.25 | — | — |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 Dummy Order CT Abdomen Pelvis w/o Contrast | $6,620.64 | $6,620.64 | $5,549.42–$6,620.64 | 386% above | — |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 Ct Abdomen Pelvis Oral Contrast Only | $6,620.64 | $6,620.64 | $5,549.42–$6,620.64 | 386% above | — |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT Abdomen Pelvis w/o Contrast | $6,620.64 | $6,620.64 | $5,549.42–$6,620.64 | 386% above | — |
| CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 Dummy Order CT Abdomen Pelvis w/o Contrast | $6,620.64 | $6,620.64 | $4,965.48–$6,620.64 | — | — |
| CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 Ct Abdomen Pelvis Oral Contrast Only | $6,620.64 | $6,620.64 | $4,965.48–$6,620.64 | — | — |
| CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT Abdomen Pelvis w/o Contrast | $6,620.64 | $6,620.64 | $4,965.48–$6,620.64 | — | — |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT Abdomen Pelvis w IV Contrast Only | $4,836.42 | $4,836.42 | $4,053.89–$4,836.42 | 200% above | — |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 Dummy Order CT Abdomen Pelvis w IV Contrast Only | $4,836.42 | $4,836.42 | $4,053.89–$4,836.42 | 200% above | — |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT Abdomen Pelvis w IV and Oral Contrast | $4,836.42 | $4,836.42 | $4,053.89–$4,836.42 | 200% above | — |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT Abdomen Pelvis w IV Contrast Only | $4,836.42 | $4,836.42 | $3,627.32–$4,836.42 | — | — |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 Dummy Order CT Abdomen Pelvis w IV Contrast Only | $4,836.42 | $4,836.42 | $3,627.32–$4,836.42 | — | — |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT Abdomen Pelvis w IV and Oral Contrast | $4,836.42 | $4,836.42 | $3,627.32–$4,836.42 | — | — |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT Abdomen Pelvis w+wo IV Contrast | $4,863.87 | $4,863.87 | $4,076.90–$4,863.87 | 185% above | — |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 Dummy Order CT Abdomen Pelvis w+wo IV Contrast | $4,863.87 | $4,863.87 | $4,076.90–$4,863.87 | 185% above | — |
| CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT Abdomen Pelvis w+wo IV Contrast | $4,863.87 | $4,863.87 | $3,647.90–$4,863.87 | — | — |
| CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 Dummy Order CT Abdomen Pelvis w+wo IV Contrast | $4,863.87 | $4,863.87 | $3,647.90–$4,863.87 | — | — |
| CT scan of the abdomen with contrast CPT 74160 CT Abdomen w IV Contrast Only | $2,421.91 | $2,421.91 | $2,030.04–$2,421.91 | 128% above | — |
| CT scan of the abdomen with contrast inpatient CPT 74160 CT Abdomen w IV Contrast Only | $2,421.91 | $2,421.91 | $1,816.43–$2,421.91 | — | — |
| CT scan of the abdomen without contrast CPT 74150 CT Abdomen w/o Contrast | $3,309.79 | $3,309.79 | $2,774.27–$3,309.79 | 348% above | — |
| CT scan of the abdomen without contrast inpatient CPT 74150 CT Abdomen w/o Contrast | $3,309.79 | $3,309.79 | $2,482.34–$3,309.79 | — | — |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT Facial Area w/o Contrast | $1,617.42 | $1,617.42 | $1,355.72–$1,617.42 | 134% above | — |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT Facial w/o IV Contrast w Fusion Protocol | $1,617.42 | $1,617.42 | $1,355.72–$1,617.42 | 134% above | — |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT Facial Area w/o Contrast | $1,617.42 | $1,617.42 | $1,213.06–$1,617.42 | — | — |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT Facial w/o IV Contrast w Fusion Protocol | $1,617.42 | $1,617.42 | $1,213.06–$1,617.42 | — | — |
| CT scan of the head or brain, no contrast dye CPT 70450 CT Head or Brain w/o Contrast | $3,309.79 | $3,309.79 | $2,774.27–$3,309.79 | 366% above | — |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT Head or Brain w/o Contrast | $3,309.79 | $3,309.79 | $2,482.34–$3,309.79 | — | — |
| CT scan of the head with contrast CPT 70460 CT Head or Brain w IV Contrast | $2,421.91 | $2,421.91 | $2,030.04–$2,421.91 | 138% above | — |
| CT scan of the head with contrast inpatient CPT 70460 CT Head or Brain w IV Contrast | $2,421.91 | $2,421.91 | $1,816.43–$2,421.91 | — | — |
| CT scan of the head without and with contrast CPT 70470 CT Head or Brain w+wo IV Contrast | $2,421.91 | $2,421.91 | $2,030.04–$2,421.91 | 107% above | — |
| CT scan of the head without and with contrast inpatient CPT 70470 CT Head or Brain w+wo IV Contrast | $2,421.91 | $2,421.91 | $1,816.43–$2,421.91 | — | — |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT Spine Lumbar w/o Contrast | $3,309.79 | $3,309.79 | $2,774.27–$3,309.79 | 294% above | — |
| CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT Spine Lumbar w/o Contrast | $3,309.79 | $3,309.79 | $2,482.34–$3,309.79 | — | — |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT Spine Cervical w/o Contrast | $3,309.79 | $3,309.79 | $2,774.27–$3,309.79 | 303% above | — |
| CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT Spine Cervical w/o Contrast | $3,309.79 | $3,309.79 | $2,482.34–$3,309.79 | — | — |
| CT scan of the pelvis, with contrast dye CPT 72193 CT Pelvis w IV Contrast | $2,421.91 | $2,421.91 | $2,030.04–$2,421.91 | 155% above | — |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT Pelvis w IV Contrast | $2,421.91 | $2,421.91 | $1,816.43–$2,421.91 | — | — |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 VAS Duplex Scan Bilateral Carotid | $341.01 | $341.01 | $285.83–$341.01 | — | — |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 VAS Duplex Scan Bilateral Temporal | $341.01 | $341.01 | $285.83–$341.01 | — | — |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 US Dup Neck Art Bilateral | $986.08 | $986.08 | $826.53–$986.08 | — | — |
| Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 VAS Duplex Scan Bilateral Carotid | $341.01 | $341.01 | $255.76–$341.01 | — | — |
| Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 VAS Duplex Scan Bilateral Temporal | $341.01 | $341.01 | $255.76–$341.01 | — | — |
| Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 US Dup Neck Art Bilateral | $986.08 | $986.08 | $739.56–$986.08 | — | — |
| Chest CT scan without and with contrast CPT 71270 CT Chest w+wo IV Contrast | $2,421.91 | $2,421.91 | $2,030.04–$2,421.91 | 92% above | — |
| Chest CT scan without and with contrast inpatient CPT 71270 CT Chest w+wo IV Contrast | $2,421.91 | $2,421.91 | $1,816.43–$2,421.91 | — | — |
| Chest X-ray, 2 views CPT 71046 CR Port Chest Inspiration Expiration | $358.96 | $358.96 | $300.88–$358.96 | 90% above | — |
| Chest X-ray, 2 views CPT 71046 CR Chest PA LAT | $358.96 | $358.96 | $300.88–$358.96 | 90% above | — |
| Chest X-ray, 2 views CPT 71046 CR Port Chest Decubitus | $358.96 | $358.96 | $300.88–$358.96 | 90% above | — |
| Chest X-ray, 2 views CPT 71046 CR Chest Inspiration Expiration | $358.96 | $358.96 | $300.88–$358.96 | 90% above | — |
| Chest X-ray, 2 views CPT 71046 CR Chest Decubitus | $358.96 | $358.96 | $300.88–$358.96 | 90% above | — |
| Chest X-ray, 2 views CPT 71046 CR Chest Obliques 2 Views | $358.96 | $358.96 | $300.88–$358.96 | 90% above | — |
| Chest X-ray, 2 views CPT 71046 Chest 2v 71046 | $358.96 | $358.96 | $300.88–$358.96 | 90% above | — |
| Chest X-ray, 2 views inpatient CPT 71046 CR Chest Decubitus | $358.96 | $358.96 | $269.22–$358.96 | — | — |
| Chest X-ray, 2 views inpatient CPT 71046 Chest 2v 71046 | $358.96 | $358.96 | $269.22–$358.96 | — | — |
| Chest X-ray, 2 views inpatient CPT 71046 CR Port Chest Inspiration Expiration | $358.96 | $358.96 | $269.22–$358.96 | — | — |
| Chest X-ray, 2 views inpatient CPT 71046 CR Chest PA LAT | $358.96 | $358.96 | $269.22–$358.96 | — | — |
| Chest X-ray, 2 views inpatient CPT 71046 CR Port Chest Decubitus | $358.96 | $358.96 | $269.22–$358.96 | — | — |
| Chest X-ray, 2 views inpatient CPT 71046 CR Chest Obliques 2 Views | $358.96 | $358.96 | $269.22–$358.96 | — | — |
| Chest X-ray, 2 views inpatient CPT 71046 CR Chest Inspiration Expiration | $358.96 | $358.96 | $269.22–$358.96 | — | — |
| Chest X-ray, single view CPT 71045 CR Port Chest Single | $358.96 | $358.96 | $300.88–$358.96 | 104% above | — |
| Chest X-ray, single view CPT 71045 CR Port Chest Pneumonia Score | $358.96 | $358.96 | $300.88–$358.96 | 104% above | — |
| Chest X-ray, single view CPT 71045 CR Chest Lordotic 1 View | $358.96 | $358.96 | $300.88–$358.96 | 104% above | — |
| Chest X-ray, single view CPT 71045 CR Port Chest Abdomen Pediatric | $358.96 | $358.96 | $300.88–$358.96 | 104% above | — |
| Chest X-ray, single view CPT 71045 CR Ped Chest include Abd | $358.96 | $358.96 | $300.88–$358.96 | 104% above | — |
| Chest X-ray, single view CPT 71045 CR Chest B Read | $358.96 | $358.96 | $300.88–$358.96 | 104% above | — |
| Chest X-ray, single view CPT 71045 CR Chest Single | $358.96 | $358.96 | $300.88–$358.96 | 104% above | — |
| Chest X-ray, single view CPT 71045 CR Chest PA (NIOSH) | $358.96 | $358.96 | $300.88–$358.96 | 104% above | — |
| Chest X-ray, single view CPT 71045 CR Port Foreign Body Chest | $358.96 | $358.96 | $300.88–$358.96 | 104% above | — |
| Chest X-ray, single view inpatient CPT 71045 CR Port Chest Pneumonia Score | $358.96 | $358.96 | $269.22–$358.96 | — | — |
| Chest X-ray, single view inpatient CPT 71045 CR Chest Single | $358.96 | $358.96 | $269.22–$358.96 | — | — |
| Chest X-ray, single view inpatient CPT 71045 CR Chest B Read | $358.96 | $358.96 | $269.22–$358.96 | — | — |
| Chest X-ray, single view inpatient CPT 71045 CR Ped Chest include Abd | $358.96 | $358.96 | $269.22–$358.96 | — | — |
| Chest X-ray, single view inpatient CPT 71045 CR Port Chest Abdomen Pediatric | $358.96 | $358.96 | $269.22–$358.96 | — | — |
| Chest X-ray, single view inpatient CPT 71045 CR Port Chest Single | $358.96 | $358.96 | $269.22–$358.96 | — | — |
| Chest X-ray, single view inpatient CPT 71045 CR Chest Lordotic 1 View | $358.96 | $358.96 | $269.22–$358.96 | — | — |
| Chest X-ray, single view inpatient CPT 71045 CR Chest PA (NIOSH) | $358.96 | $358.96 | $269.22–$358.96 | — | — |
| Chest X-ray, single view inpatient CPT 71045 CR Port Foreign Body Chest | $358.96 | $358.96 | $269.22–$358.96 | — | — |
| Collarbone (clavicle) X-ray, complete one side CPT 73000 CR Clavicle Left | $358.96 | $358.96 | $300.88–$358.96 | 105% above | — |
| Collarbone (clavicle) X-ray, complete one side CPT 73000 CR Clavicle Right | $358.96 | $358.96 | $300.88–$358.96 | 105% above | — |
| Collarbone (clavicle) X-ray, complete one side CPT 73000 CR Port Clavicle Left | $358.96 | $358.96 | $300.88–$358.96 | 105% above | — |
| Collarbone (clavicle) X-ray, complete one side CPT 73000 CR Port Clavicle Right | $358.96 | $358.96 | $300.88–$358.96 | 105% above | — |
| Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 CR Port Clavicle Right | $358.96 | $358.96 | $269.22–$358.96 | — | — |
| Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 CR Clavicle Right | $358.96 | $358.96 | $269.22–$358.96 | — | — |
| Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 CR Clavicle Left | $358.96 | $358.96 | $269.22–$358.96 | — | — |
| Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 CR Port Clavicle Left | $358.96 | $358.96 | $269.22–$358.96 | — | — |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US Retroperitoneal Complete | $1,163.45 | $1,163.45 | $975.20–$1,163.45 | 165% above | — |
| Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US Retroperitoneal Complete | $1,163.45 | $1,163.45 | $872.59–$1,163.45 | — | — |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 BD Dexa Bone Density | $482.48 | $482.48 | $404.41–$482.48 | 53% above | — |
| DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 BD Dexa Bone Density | $482.48 | $482.48 | $361.86–$482.48 | — | — |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT Chest w/o Contrast | $3,309.79 | $3,309.79 | $2,774.27–$3,309.79 | 321% above | — |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT Chest Hi-Resolution w/o Contrast | $3,309.79 | $3,309.79 | $2,774.27–$3,309.79 | 321% above | — |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT Chest w/o Contrast | $3,309.79 | $3,309.79 | $2,482.34–$3,309.79 | — | — |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT Chest Hi-Resolution w/o Contrast | $3,309.79 | $3,309.79 | $2,482.34–$3,309.79 | — | — |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT Chest Hi-Resolution w IV Contrast | $2,421.91 | $2,421.91 | $2,030.04–$2,421.91 | 120% above | — |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT Chest w IV Contrast | $2,421.91 | $2,421.91 | $2,030.04–$2,421.91 | 120% above | — |
| Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT Chest w IV Contrast | $2,421.91 | $2,421.91 | $1,816.43–$2,421.91 | — | — |
| Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT Chest Hi-Resolution w IV Contrast | $2,421.91 | $2,421.91 | $1,816.43–$2,421.91 | — | — |
| Diagnostic mammogram, both breasts both sides CPT 77066 MG Combo Diag Implant Bilat w CAD | $522.60 | $522.60 | $438.04–$522.60 | — | — |
| Diagnostic mammogram, both breasts both sides CPT 77066 MG Combo Diagnostic Bilat w CAD | $522.60 | $522.60 | $438.04–$522.60 | — | — |
| Diagnostic mammogram, both breasts both sides CPT 77066 MG Mammo Diagnostic Bilat w/CAD | $522.60 | $522.60 | $438.04–$522.60 | — | — |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 MG Mammo Diagnostic Bilat w/CAD | $522.60 | $522.60 | $391.95–$522.60 | — | — |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 MG Combo Diagnostic Bilat w CAD | $522.60 | $522.60 | $391.95–$522.60 | — | — |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 MG Combo Diag Implant Bilat w CAD | $522.60 | $522.60 | $391.95–$522.60 | — | — |
| Diagnostic mammogram, one breast one side CPT 77065 MG Combo Diag Implant Lt w CAD | $375.85 | $375.85 | $315.04–$375.85 | 72% above | — |
| Diagnostic mammogram, one breast one side CPT 77065 MG Mammo Diagnostic LT w/o CAD | $375.85 | $375.85 | $315.04–$375.85 | 72% above | — |
| Diagnostic mammogram, one breast one side CPT 77065 MG Mammo Diagnostic LT w/CAD | $375.85 | $375.85 | $315.04–$375.85 | 72% above | — |
| Diagnostic mammogram, one breast one side CPT 77065 MG Mammo Diagnostic RT w/CAD | $375.85 | $375.85 | $315.04–$375.85 | 72% above | — |
| Diagnostic mammogram, one breast one side CPT 77065 MG Combo Diagnostic Lt w CAD | $375.85 | $375.85 | $315.04–$375.85 | 72% above | — |
| Diagnostic mammogram, one breast one side CPT 77065 MG Combo Diagnostic Rt w CAD | $375.85 | $375.85 | $315.04–$375.85 | 72% above | — |
| Diagnostic mammogram, one breast one side CPT 77065 MG Combo Diag Implant Rt w CAD | $375.85 | $375.85 | $315.04–$375.85 | 72% above | — |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 MG Combo Diagnostic Rt w CAD | $375.85 | $375.85 | $281.89–$375.85 | — | — |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 MG Combo Diag Implant Lt w CAD | $375.85 | $375.85 | $281.89–$375.85 | — | — |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 MG Combo Diag Implant Rt w CAD | $375.85 | $375.85 | $281.89–$375.85 | — | — |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 MG Mammo Diagnostic LT w/o CAD | $375.85 | $375.85 | $281.89–$375.85 | — | — |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 MG Mammo Diagnostic LT w/CAD | $375.85 | $375.85 | $281.89–$375.85 | — | — |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 MG Mammo Diagnostic RT w/CAD | $375.85 | $375.85 | $281.89–$375.85 | — | — |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 MG Combo Diagnostic Lt w CAD | $375.85 | $375.85 | $281.89–$375.85 | — | — |
| Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 VAS Arterial Scan Lower Extremity Bilat | $666.18 | $666.18 | $558.39–$666.18 | — | — |
| Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 VAS Arterial Scan Lower Ext w ABI Bilat | $666.18 | $666.18 | $558.39–$666.18 | — | — |
| Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 US DD Ext Art Bilat Lower | $1,764.17 | $1,764.17 | $1,478.73–$1,764.17 | — | — |
| Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 VAS Arterial Scan Lower Ext w ABI Bilat | $666.18 | $666.18 | $499.64–$666.18 | — | — |
| Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 VAS Arterial Scan Lower Extremity Bilat | $666.18 | $666.18 | $499.64–$666.18 | — | — |
| Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 US DD Ext Art Bilat Lower | $1,764.17 | $1,764.17 | $1,323.13–$1,764.17 | — | — |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 Us Dup Upper Ext Venous Bilateral | $1,764.17 | $1,764.17 | $1,478.73–$1,764.17 | — | — |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 VAS Venous Upper Extremity Bilateral | $1,764.17 | $1,764.17 | $1,478.73–$1,764.17 | — | — |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US Dup Lower Ext Venous Bilateral | $1,764.17 | $1,764.17 | $1,478.73–$1,764.17 | — | — |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 VAS Venous Lower Extremity Bilateral | $1,764.17 | $1,764.17 | $1,478.73–$1,764.17 | — | — |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 VAS Vein Mapping Bilateral | $1,764.17 | $1,764.17 | $1,478.73–$1,764.17 | — | — |
| Duplex ultrasound of the leg veins, both legs CPT 93970 VAS Venous Insufficiency/Bilaterial | $1,764.17 | $1,764.17 | $1,478.73–$1,764.17 | 196% above | — |
| Duplex ultrasound of the leg veins, both legs CPT 93970 US APEX Study | $1,764.17 | $1,764.17 | $1,478.73–$1,764.17 | 196% above | — |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 VAS Venous Lower Extremity Bilateral | $1,764.17 | $1,764.17 | $1,323.13–$1,764.17 | — | — |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 VAS Vein Mapping Bilateral | $1,764.17 | $1,764.17 | $1,323.13–$1,764.17 | — | — |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 US Dup Lower Ext Venous Bilateral | $1,764.17 | $1,764.17 | $1,323.13–$1,764.17 | — | — |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 Us Dup Upper Ext Venous Bilateral | $1,764.17 | $1,764.17 | $1,323.13–$1,764.17 | — | — |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 VAS Venous Upper Extremity Bilateral | $1,764.17 | $1,764.17 | $1,323.13–$1,764.17 | — | — |
| Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 VAS Venous Insufficiency/Bilaterial | $1,764.17 | $1,764.17 | $1,323.13–$1,764.17 | — | — |
| Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 US APEX Study | $1,764.17 | $1,764.17 | $1,323.13–$1,764.17 | — | — |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 Echo Complete | $1,604.75 | $1,604.75 | $1,345.10–$1,604.75 | 39% above | — |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 Echo Complete (2D with Doppler and Color Flow) | $1,604.75 | $1,604.75 | $1,345.10–$1,604.75 | 39% above | — |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 Echo Complete (2D with Doppler and Color Flow) | $1,604.75 | $1,604.75 | $1,203.56–$1,604.75 | — | — |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 Echo Complete | $1,604.75 | $1,604.75 | $1,203.56–$1,604.75 | — | — |
| Elbow X-ray, 2 views one side CPT 73070 CR Elbow 2 Views Right | $317.79 | $317.79 | $266.37–$317.79 | 66% above | — |
| Elbow X-ray, 2 views one side CPT 73070 CR Elbow 2 Views Left | $317.79 | $317.79 | $266.37–$317.79 | 66% above | — |
| Elbow X-ray, 2 views one side CPT 73070 CR Port Elbow Left | $317.79 | $317.79 | $266.37–$317.79 | 66% above | — |
| Elbow X-ray, 2 views one side CPT 73070 CR Port Elbow Right | $317.79 | $317.79 | $266.37–$317.79 | 66% above | — |
| Elbow X-ray, 2 views inpatient one side CPT 73070 CR Elbow 2 Views Left | $317.79 | $317.79 | $238.34–$317.79 | — | — |
| Elbow X-ray, 2 views inpatient one side CPT 73070 CR Port Elbow Right | $317.79 | $317.79 | $238.34–$317.79 | — | — |
| Elbow X-ray, 2 views inpatient one side CPT 73070 CR Port Elbow Left | $317.79 | $317.79 | $238.34–$317.79 | — | — |
| Elbow X-ray, 2 views inpatient one side CPT 73070 CR Elbow 2 Views Right | $317.79 | $317.79 | $238.34–$317.79 | — | — |
| Elbow X-ray, complete, 3 or more views one side CPT 73080 CR Elbow Complete Right | $356.85 | $356.85 | $299.11–$356.85 | 98% above | — |
| Elbow X-ray, complete, 3 or more views one side CPT 73080 CR Elbow Complete Left | $356.85 | $356.85 | $299.11–$356.85 | 98% above | — |
| Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 CR Elbow Complete Right | $356.85 | $356.85 | $267.64–$356.85 | — | — |
| Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 CR Elbow Complete Left | $356.85 | $356.85 | $267.64–$356.85 | — | — |
| Eye socket (orbit) CT scan without contrast CPT 70480 CT Inner Ear w/o Contrast | $3,309.79 | $3,309.79 | $2,774.27–$3,309.79 | 377% above | — |
| Eye socket (orbit) CT scan without contrast CPT 70480 CT Orbit Sella etc. w/o Contrast | $3,309.79 | $3,309.79 | $2,774.27–$3,309.79 | 377% above | — |
| Eye socket (orbit) CT scan without contrast inpatient CPT 70480 CT Orbit Sella etc. w/o Contrast | $3,309.79 | $3,309.79 | $2,482.34–$3,309.79 | — | — |
| Eye socket (orbit) CT scan without contrast inpatient CPT 70480 CT Inner Ear w/o Contrast | $3,309.79 | $3,309.79 | $2,482.34–$3,309.79 | — | — |
| Facial bones X-ray, complete, 3 or more views CPT 70150 CR Facial Bones | $356.85 | $356.85 | $299.11–$356.85 | 52% above | — |
| Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 CR Facial Bones | $356.85 | $356.85 | $267.64–$356.85 | — | — |
| Forearm X-ray (radius and ulna), 2 views one side CPT 73090 CR Port Forearm Left | $322.01 | $322.01 | $269.91–$322.01 | 80% above | — |
| Forearm X-ray (radius and ulna), 2 views one side CPT 73090 CR Forearm 2 Views Right | $322.01 | $322.01 | $269.91–$322.01 | 80% above | — |
| Forearm X-ray (radius and ulna), 2 views one side CPT 73090 CR Port Forearm Right | $322.01 | $322.01 | $269.91–$322.01 | 80% above | — |
| Forearm X-ray (radius and ulna), 2 views one side CPT 73090 CR Forearm 2 Views Left | $358.96 | $358.96 | $300.88–$358.96 | 101% above | — |
| Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 CR Port Forearm Right | $322.01 | $322.01 | $241.51–$322.01 | — | — |
| Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 CR Port Forearm Left | $322.01 | $322.01 | $241.51–$322.01 | — | — |
| Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 CR Forearm 2 Views Right | $322.01 | $322.01 | $241.51–$322.01 | — | — |
| Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 CR Forearm 2 Views Left | $358.96 | $358.96 | $269.22–$358.96 | — | — |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 Injection | $1,851.80 | $1,851.80 | $1,552.18–$1,851.80 | 117% above | — |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 Injection | $1,851.80 | $1,851.80 | $1,388.85–$1,851.80 | — | — |
| Hand X-ray, 2 views one side CPT 73120 CR Port Hand Right | $358.96 | $358.96 | $300.88–$358.96 | 84% above | — |
| Hand X-ray, 2 views one side CPT 73120 CR Port Hand Left | $358.96 | $358.96 | $300.88–$358.96 | 84% above | — |
| Hand X-ray, 2 views one side CPT 73120 CR Hand 2 Views Right | $358.96 | $358.96 | $300.88–$358.96 | 84% above | — |
| Hand X-ray, 2 views one side CPT 73120 CR Hand 2 Views Left | $358.96 | $358.96 | $300.88–$358.96 | 84% above | — |
| Hand X-ray, 2 views inpatient one side CPT 73120 CR Hand 2 Views Left | $358.96 | $358.96 | $269.22–$358.96 | — | — |
| Hand X-ray, 2 views inpatient one side CPT 73120 CR Port Hand Right | $358.96 | $358.96 | $269.22–$358.96 | — | — |
| Hand X-ray, 2 views inpatient one side CPT 73120 CR Port Hand Left | $358.96 | $358.96 | $269.22–$358.96 | — | — |
| Hand X-ray, 2 views inpatient one side CPT 73120 CR Hand 2 Views Right | $358.96 | $358.96 | $269.22–$358.96 | — | — |
| Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 CR Calcaneus Left | $358.96 | $358.96 | $300.88–$358.96 | 108% above | — |
| Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 CR Calcaneus Right | $358.96 | $358.96 | $300.88–$358.96 | 108% above | — |
| Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 CR Calcaneus Left | $358.96 | $358.96 | $269.22–$358.96 | — | — |
| Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 CR Calcaneus Right | $358.96 | $358.96 | $269.22–$358.96 | — | — |
| Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 Home Sleep Test; W/Belt (95806) | $538.44 | $538.44 | $451.32–$538.44 | 53% above | — |
| Home sleep apnea test, unattended, recording breathing and oxygen inpatient CPT 95806 Home Sleep Test; W/Belt (95806) | $538.44 | $538.44 | $403.83–$538.44 | — | — |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 Cpap Titration | $5,170.04 | $5,170.04 | $4,333.53–$5,170.04 | 80% above | — |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 PED Polysom W/CPAP/BPAP greater than 6 years | $5,170.04 | $5,170.04 | $4,333.53–$5,170.04 | 80% above | — |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 PED Polysom W/CPAP/BPAP greater than 6 years | $5,170.04 | $5,170.04 | $3,877.53–$5,170.04 | — | — |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 Cpap Titration | $5,170.04 | $5,170.04 | $3,877.53–$5,170.04 | — | — |
| Knee X-ray, 3 views one side CPT 73562 CR Knee Left 3 Views | $358.96 | $358.96 | $300.88–$358.96 | 80% above | — |
| Knee X-ray, 3 views one side CPT 73562 CR Knee Right 3 Views | $358.96 | $358.96 | $300.88–$358.96 | 80% above | — |
| Knee X-ray, 3 views inpatient one side CPT 73562 CR Knee Right 3 Views | $358.96 | $358.96 | $269.22–$358.96 | — | — |
| Knee X-ray, 3 views inpatient one side CPT 73562 CR Knee Left 3 Views | $358.96 | $358.96 | $269.22–$358.96 | — | — |
| Knee X-ray, complete, 4 or more views one side CPT 73564 CR Knee Left Routine 4 Views | $358.96 | $358.96 | $300.88–$358.96 | 34% above | — |
| Knee X-ray, complete, 4 or more views one side CPT 73564 CR Port Knee Right Rtn 4 Views | $358.96 | $358.96 | $300.88–$358.96 | 34% above | — |
| Knee X-ray, complete, 4 or more views one side CPT 73564 CR Knee Right Routine 4 Views | $358.96 | $358.96 | $300.88–$358.96 | 34% above | — |
| Knee X-ray, complete, 4 or more views one side CPT 73564 CR Knee Right w/Patella 5 Views | $358.96 | $358.96 | $300.88–$358.96 | 34% above | — |
| Knee X-ray, complete, 4 or more views one side CPT 73564 CR Knee Left w/Patella 5 Views | $358.96 | $358.96 | $300.88–$358.96 | 34% above | — |
| Knee X-ray, complete, 4 or more views one side CPT 73564 CR Port Knee Left Rtn 4 Views | $358.96 | $358.96 | $300.88–$358.96 | 34% above | — |
| Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 CR Knee Left w/Patella 5 Views | $358.96 | $358.96 | $269.22–$358.96 | — | — |
| Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 CR Port Knee Right Rtn 4 Views | $358.96 | $358.96 | $269.22–$358.96 | — | — |
| Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 CR Knee Right Routine 4 Views | $358.96 | $358.96 | $269.22–$358.96 | — | — |
| Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 CR Port Knee Left Rtn 4 Views | $358.96 | $358.96 | $269.22–$358.96 | — | — |
| Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 CR Knee Left Routine 4 Views | $358.96 | $358.96 | $269.22–$358.96 | — | — |
| Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 CR Knee Right w/Patella 5 Views | $358.96 | $358.96 | $269.22–$358.96 | — | — |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT Lower Extremity w/o Contrast Left | $3,309.79 | $3,309.79 | $2,774.27–$3,309.79 | 359% above | — |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT Lower Extremity w/o Contrast Right | $3,309.79 | $3,309.79 | $2,774.27–$3,309.79 | 359% above | — |
| Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT Lower Extremity w/o Contrast Right | $3,309.79 | $3,309.79 | $2,482.34–$3,309.79 | — | — |
| Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT Lower Extremity w/o Contrast Left | $3,309.79 | $3,309.79 | $2,482.34–$3,309.79 | — | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US Abdomen / Appendix Ltd | $1,940.49 | $1,940.49 | $1,626.52–$1,940.49 | 382% above | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US Abdomen Limited | $1,940.49 | $1,940.49 | $1,626.52–$1,940.49 | 382% above | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US Abdomen Limited | $1,940.49 | $1,940.49 | $1,455.37–$1,940.49 | — | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US Abdomen / Appendix Ltd | $1,940.49 | $1,940.49 | $1,455.37–$1,940.49 | — | — |
| Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 US Extremity Non Vascular Left Limited | $1,163.45 | $1,163.45 | $975.20–$1,163.45 | 293% above | — |
| Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 US Extremity Non Vascular Right Limited | $1,163.45 | $1,163.45 | $975.20–$1,163.45 | 293% above | — |
| Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 US Extremity Non Vascular Right Limited | $1,163.45 | $1,163.45 | $872.59–$1,163.45 | — | — |
| Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 US Extremity Non Vascular Left Limited | $1,163.45 | $1,163.45 | $872.59–$1,163.45 | — | — |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 zzCT Low Dose Lung Cancer Screen w Ins | $161.53 | $161.53 | $135.39–$161.53 | 4% above | — |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT Lung Screening wo Contrast Scan 1 | $161.53 | $161.53 | $135.39–$161.53 | 4% above | — |
| Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 CT Lung Screening wo Contrast Scan 1 | $161.53 | $161.53 | $121.15–$161.53 | — | — |
| Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 zzCT Low Dose Lung Cancer Screen w Ins | $161.53 | $161.53 | $121.15–$161.53 | — | — |
| Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 CR Port Tibia Fibula Right | $358.96 | $358.96 | $300.88–$358.96 | 87% above | — |
| Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 CR Port Tibia Fibula Left | $358.96 | $358.96 | $300.88–$358.96 | 87% above | — |
| Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 CR Tibia/Fibula Left | $358.96 | $358.96 | $300.88–$358.96 | 87% above | — |
| Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 CR Tibia/Fibula Right | $358.96 | $358.96 | $300.88–$358.96 | 87% above | — |
| Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 CR Port Tibia Fibula Left | $358.96 | $358.96 | $269.22–$358.96 | — | — |
| Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 CR Port Tibia Fibula Right | $358.96 | $358.96 | $269.22–$358.96 | — | — |
| Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 CR Tibia/Fibula Right | $358.96 | $358.96 | $269.22–$358.96 | — | — |
| Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 CR Tibia/Fibula Left | $358.96 | $358.96 | $269.22–$358.96 | — | — |
| MR angiography (MRA) of the head without contrast CPT 70544 MRA Brain w/o Contrast | $3,421.71 | $3,421.71 | $2,868.08–$3,421.71 | 143% above | — |
| MR angiography (MRA) of the head without contrast CPT 70544 MRV Brain wo Contrast | $3,421.71 | $3,421.71 | $2,868.08–$3,421.71 | 143% above | — |
| MR angiography (MRA) of the head without contrast inpatient CPT 70544 MRA Brain w/o Contrast | $3,421.71 | $3,421.71 | $2,566.28–$3,421.71 | — | — |
| MR angiography (MRA) of the head without contrast inpatient CPT 70544 MRV Brain wo Contrast | $3,421.71 | $3,421.71 | $2,566.28–$3,421.71 | — | — |
| MRI of both breasts, without and then with contrast dye both sides CPT 77049 MRI Breast w + wo IV Contrast Bilateral | $4,155.46 | $4,155.46 | $3,483.11–$4,155.46 | — | — |
| MRI of both breasts, without and then with contrast dye inpatient both sides CPT 77049 MRI Breast w + wo IV Contrast Bilateral | $4,155.46 | $4,155.46 | $3,116.60–$4,155.46 | — | — |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI LE Joint w/o Contrast Right | $4,155.46 | $4,155.46 | $3,483.11–$4,155.46 | 219% above | — |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI LE Joint w/o Contrast Left | $4,155.46 | $4,155.46 | $3,483.11–$4,155.46 | 219% above | — |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Knee w/o Contrast Right | $4,155.46 | $4,155.46 | $3,483.11–$4,155.46 | 219% above | — |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Knee w/o Contrast Left | $4,155.46 | $4,155.46 | $3,483.11–$4,155.46 | 219% above | — |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Hip w/o Contrast Right | $4,155.46 | $4,155.46 | $3,483.11–$4,155.46 | 219% above | — |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Hip w/o Contrast Left | $4,155.46 | $4,155.46 | $3,483.11–$4,155.46 | 219% above | — |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Ankle w/o Contrast Right | $4,155.46 | $4,155.46 | $3,483.11–$4,155.46 | 219% above | — |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Ankle w/o Contrast Left | $4,155.46 | $4,155.46 | $3,483.11–$4,155.46 | 219% above | — |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI Ankle w/o Contrast Right | $4,155.46 | $4,155.46 | $3,116.60–$4,155.46 | — | — |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI Hip w/o Contrast Left | $4,155.46 | $4,155.46 | $3,116.60–$4,155.46 | — | — |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI Hip w/o Contrast Right | $4,155.46 | $4,155.46 | $3,116.60–$4,155.46 | — | — |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI LE Joint w/o Contrast Right | $4,155.46 | $4,155.46 | $3,116.60–$4,155.46 | — | — |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI Ankle w/o Contrast Left | $4,155.46 | $4,155.46 | $3,116.60–$4,155.46 | — | — |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI Knee w/o Contrast Left | $4,155.46 | $4,155.46 | $3,116.60–$4,155.46 | — | — |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI Knee w/o Contrast Right | $4,155.46 | $4,155.46 | $3,116.60–$4,155.46 | — | — |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI LE Joint w/o Contrast Left | $4,155.46 | $4,155.46 | $3,116.60–$4,155.46 | — | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Ankle w + wo IV Contrast Right | $5,823.55 | $5,823.55 | $4,881.30–$5,823.55 | 214% above | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Knee w + wo IV Contrast Right | $5,823.55 | $5,823.55 | $4,881.30–$5,823.55 | 214% above | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Hip w + wo IV Contrast Right | $5,823.55 | $5,823.55 | $4,881.30–$5,823.55 | 214% above | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Ankle w + wo IV Contrast Left | $5,823.55 | $5,823.55 | $4,881.30–$5,823.55 | 214% above | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Hip w+ wo IV Contrast Left | $5,823.55 | $5,823.55 | $4,881.30–$5,823.55 | 214% above | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Knee w + wo IV Contrast Left | $5,823.55 | $5,823.55 | $4,881.30–$5,823.55 | 214% above | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI Hip w+ wo IV Contrast Left | $5,823.55 | $5,823.55 | $4,367.66–$5,823.55 | — | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI Ankle w + wo IV Contrast Left | $5,823.55 | $5,823.55 | $4,367.66–$5,823.55 | — | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI Ankle w + wo IV Contrast Right | $5,823.55 | $5,823.55 | $4,367.66–$5,823.55 | — | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI Hip w + wo IV Contrast Right | $5,823.55 | $5,823.55 | $4,367.66–$5,823.55 | — | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI Knee w + wo IV Contrast Left | $5,823.55 | $5,823.55 | $4,367.66–$5,823.55 | — | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI Knee w + wo IV Contrast Right | $5,823.55 | $5,823.55 | $4,367.66–$5,823.55 | — | — |
| MRI of the abdomen without contrast CPT 74181 MRI Abdomen MRCP | $3,421.71 | $3,421.71 | $2,868.08–$3,421.71 | 171% above | — |
| MRI of the abdomen without contrast CPT 74181 MRI Abdomen w/o Contrast | $3,421.71 | $3,421.71 | $2,868.08–$3,421.71 | 171% above | — |
| MRI of the abdomen without contrast inpatient CPT 74181 MRI Abdomen w/o Contrast | $3,421.71 | $3,421.71 | $2,566.28–$3,421.71 | — | — |
| MRI of the abdomen without contrast inpatient CPT 74181 MRI Abdomen MRCP | $3,421.71 | $3,421.71 | $2,566.28–$3,421.71 | — | — |
| MRI of the abdomen, without and then with contrast dye CPT 74183 MRI Abdomen w + wo IV Contrast | $3,323.52 | $3,323.52 | $2,785.77–$3,323.52 | 70% above | — |
| MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MRI Abdomen w + wo IV Contrast | $3,323.52 | $3,323.52 | $2,492.64–$3,323.52 | — | — |
| MRI of the brain, no contrast dye CPT 70551 MRI Brain w/o Contrast Limited | $3,623.36 | $3,623.36 | $3,037.10–$3,623.36 | 164% above | — |
| MRI of the brain, no contrast dye CPT 70551 MRI Brain w/o Contrast | $3,623.36 | $3,623.36 | $3,037.10–$3,623.36 | 164% above | — |
| MRI of the brain, no contrast dye CPT 70551 MRI Brain IAC w/o Contrast | $3,623.36 | $3,623.36 | $3,037.10–$3,623.36 | 164% above | — |
| MRI of the brain, no contrast dye inpatient CPT 70551 MRI Brain w/o Contrast Limited | $3,623.36 | $3,623.36 | $2,717.52–$3,623.36 | — | — |
| MRI of the brain, no contrast dye inpatient CPT 70551 MRI Brain w/o Contrast | $3,623.36 | $3,623.36 | $2,717.52–$3,623.36 | — | — |
| MRI of the brain, no contrast dye inpatient CPT 70551 MRI Brain IAC w/o Contrast | $3,623.36 | $3,623.36 | $2,717.52–$3,623.36 | — | — |
| MRI of the brain, with and without contrast dye CPT 70553 MRI Brain Pituitary w + wo IV Contrast | $6,164.56 | $6,164.56 | $5,167.13–$6,164.56 | 216% above | — |
| MRI of the brain, with and without contrast dye CPT 70553 MRI Brain w + wo IV Contrast | $6,164.56 | $6,164.56 | $5,167.13–$6,164.56 | 216% above | — |
| MRI of the brain, with and without contrast dye CPT 70553 MRI Brain IAC w + wo IV Contrast | $6,164.56 | $6,164.56 | $5,167.13–$6,164.56 | 216% above | — |
| MRI of the brain, with and without contrast dye CPT 70553 Dummy Order MRI Brain w + wo IV Contrast | $6,164.56 | $6,164.56 | $5,167.13–$6,164.56 | 216% above | — |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI Brain w + wo IV Contrast | $6,164.56 | $6,164.56 | $4,623.42–$6,164.56 | — | — |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI Brain IAC w + wo IV Contrast | $6,164.56 | $6,164.56 | $4,623.42–$6,164.56 | — | — |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI Brain Pituitary w + wo IV Contrast | $6,164.56 | $6,164.56 | $4,623.42–$6,164.56 | — | — |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 Dummy Order MRI Brain w + wo IV Contrast | $6,164.56 | $6,164.56 | $4,623.42–$6,164.56 | — | — |
| MRI of the lower back, no contrast dye CPT 72148 MRI Spine Lumbar w/o Contrast | $3,421.71 | $3,421.71 | $2,868.08–$3,421.71 | 153% above | — |
| MRI of the lower back, no contrast dye inpatient CPT 72148 MRI Spine Lumbar w/o Contrast | $3,421.71 | $3,421.71 | $2,566.28–$3,421.71 | — | — |
| MRI of the lower back, without and then with contrast dye CPT 72158 MRI Spine Lumbar w + wo IV Contrast | $3,623.36 | $3,623.36 | $3,037.10–$3,623.36 | 90% above | — |
| MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MRI Spine Lumbar w + wo IV Contrast | $3,623.36 | $3,623.36 | $2,717.52–$3,623.36 | — | — |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI Spine Thoracic Ltd wo Contrast | $3,623.36 | $3,623.36 | $3,037.10–$3,623.36 | 169% above | — |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI Spine Thoracic w/o Contrast | $3,623.36 | $3,623.36 | $3,037.10–$3,623.36 | 169% above | — |
| MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MRI Spine Thoracic Ltd wo Contrast | $3,623.36 | $3,623.36 | $2,717.52–$3,623.36 | — | — |
| MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MRI Spine Thoracic w/o Contrast | $3,623.36 | $3,623.36 | $2,717.52–$3,623.36 | — | — |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI Spine Cervical w + wo IV Contrast | $5,823.55 | $5,823.55 | $4,881.30–$5,823.55 | 209% above | — |
| MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MRI Spine Cervical w + wo IV Contrast | $5,823.55 | $5,823.55 | $4,367.66–$5,823.55 | — | — |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI Spine Cervical w/o Contrast | $3,323.52 | $3,323.52 | $2,785.77–$3,323.52 | 128% above | — |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI Cervical w/o IV Contrast | $3,421.71 | $3,421.71 | $2,868.08–$3,421.71 | 135% above | — |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI Cervical w/IV Contrast | $3,421.71 | $3,421.71 | $2,868.08–$3,421.71 | 135% above | — |
| MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MRI Spine Cervical w/o Contrast | $3,323.52 | $3,323.52 | $2,492.64–$3,323.52 | — | — |
| MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MRI Cervical w/IV Contrast | $3,421.71 | $3,421.71 | $2,566.28–$3,421.71 | — | — |
| MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MRI Cervical w/o IV Contrast | $3,421.71 | $3,421.71 | $2,566.28–$3,421.71 | — | — |
| MRI of the pelvis without and with contrast CPT 72197 MRI Pelvis w+wo IV Contrast | $5,126.75 | $5,126.75 | $4,297.24–$5,126.75 | 164% above | — |
| MRI of the pelvis without and with contrast inpatient CPT 72197 MRI Pelvis w+wo IV Contrast | $5,126.75 | $5,126.75 | $3,845.06–$5,126.75 | — | — |
| MRI of the pelvis, no contrast dye CPT 72195 MRI Pelvis w/o Contrast | $3,323.52 | $3,323.52 | $2,785.77–$3,323.52 | 146% above | — |
| MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI Pelvis w/o Contrast | $3,323.52 | $3,323.52 | $2,492.64–$3,323.52 | — | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI UE Joint w/o Contrast Left | $3,421.71 | $3,421.71 | $2,868.08–$3,421.71 | 156% above | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI Wrist w/o Contrast Left | $4,155.46 | $4,155.46 | $3,483.11–$4,155.46 | 211% above | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI UE Joint w/o Contrast Right | $4,155.46 | $4,155.46 | $3,483.11–$4,155.46 | 211% above | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI Shoulder w/o Contrast Left | $4,155.46 | $4,155.46 | $3,483.11–$4,155.46 | 211% above | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI Shoulder w/o Contrast Right | $4,155.46 | $4,155.46 | $3,483.11–$4,155.46 | 211% above | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI Elbow w/o Contrast Left | $4,399.33 | $4,399.33 | $3,687.52–$4,399.33 | 229% above | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI Wrist w/o Contrast Right | $4,399.33 | $4,399.33 | $3,687.52–$4,399.33 | 229% above | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI Elbow w/o Contrast Right | $4,399.33 | $4,399.33 | $3,687.52–$4,399.33 | 229% above | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI UE Joint w/o Contrast Left | $3,421.71 | $3,421.71 | $2,566.28–$3,421.71 | — | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI Shoulder w/o Contrast Right | $4,155.46 | $4,155.46 | $3,116.60–$4,155.46 | — | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI Shoulder w/o Contrast Left | $4,155.46 | $4,155.46 | $3,116.60–$4,155.46 | — | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI Wrist w/o Contrast Left | $4,155.46 | $4,155.46 | $3,116.60–$4,155.46 | — | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI UE Joint w/o Contrast Right | $4,155.46 | $4,155.46 | $3,116.60–$4,155.46 | — | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI Wrist w/o Contrast Right | $4,399.33 | $4,399.33 | $3,299.50–$4,399.33 | — | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI Elbow w/o Contrast Left | $4,399.33 | $4,399.33 | $3,299.50–$4,399.33 | — | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI Elbow w/o Contrast Right | $4,399.33 | $4,399.33 | $3,299.50–$4,399.33 | — | — |
| Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 CR Spine Cervical Minimum 4 Views | $615.50 | $615.50 | $515.91–$615.50 | 121% above | — |
| Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 CR Spine Cervical Minimum 4 Views | $615.50 | $615.50 | $461.62–$615.50 | — | — |
| Neck soft tissue CT scan with contrast CPT 70491 CT Soft Tissue Neck w/ Contrast | $2,421.91 | $2,421.91 | $2,030.04–$2,421.91 | 123% above | — |
| Neck soft tissue CT scan with contrast inpatient CPT 70491 CT Soft Tissue Neck w/ Contrast | $2,421.91 | $2,421.91 | $1,816.43–$2,421.91 | — | — |
| Neck soft tissue CT scan without contrast CPT 70490 CT Soft Tissue Neck w/o Contrast | $3,309.79 | $3,309.79 | $2,774.27–$3,309.79 | 380% above | — |
| Neck soft tissue CT scan without contrast inpatient CPT 70490 CT Soft Tissue Neck w/o Contrast | $3,309.79 | $3,309.79 | $2,482.34–$3,309.79 | — | — |
| Neck soft tissue X-ray CPT 70360 CR Port Neck Soft Tissue | $358.96 | $358.96 | $300.88–$358.96 | 96% above | — |
| Neck soft tissue X-ray CPT 70360 CR Neck Soft Tissue | $358.96 | $358.96 | $300.88–$358.96 | 96% above | — |
| Neck soft tissue X-ray inpatient CPT 70360 CR Port Neck Soft Tissue | $358.96 | $358.96 | $269.22–$358.96 | — | — |
| Neck soft tissue X-ray inpatient CPT 70360 CR Neck Soft Tissue | $358.96 | $358.96 | $269.22–$358.96 | — | — |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 Injection | $3,210.56 | $3,210.56 | $2,691.09–$3,210.56 | 14% above | — |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM Myocardial Perfusion | $3,210.56 | $3,210.56 | $2,691.09–$3,210.56 | 14% above | — |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM Cardiac Stress Test Complete MPI | $3,210.56 | $3,210.56 | $2,691.09–$3,210.56 | 14% above | — |
| Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 NM Cardiac Stress Test Complete MPI | $3,210.56 | $3,210.56 | $2,407.92–$3,210.56 | — | — |
| Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 Injection | $3,210.56 | $3,210.56 | $2,407.92–$3,210.56 | — | — |
| Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 NM Myocardial Perfusion | $3,210.56 | $3,210.56 | $2,407.92–$3,210.56 | — | — |
| OCT scan of the retina (optical coherence tomography) CPT 92134 92134 OCT/posterior seg/I & R/ retina | $257.60 | $257.60 | $215.92–$257.60 | 84% above | — |
| OCT scan of the retina (optical coherence tomography) inpatient CPT 92134 92134 OCT/posterior seg/I & R/ retina | $257.60 | $257.60 | $193.20–$257.60 | — | — |
| Pelvic CT scan without contrast CPT 72192 CT Pelvis w/o Contrast | $3,309.79 | $3,309.79 | $2,774.27–$3,309.79 | 312% above | — |
| Pelvic CT scan without contrast inpatient CPT 72192 CT Pelvis w/o Contrast | $3,309.79 | $3,309.79 | $2,482.34–$3,309.79 | — | — |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US Labia | $764.37 | $764.37 | $640.69–$764.37 | 147% above | — |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US Pelvis Limited | $764.37 | $764.37 | $640.69–$764.37 | 147% above | — |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US Pelvis Ltd (Bladder Only) | $764.37 | $764.37 | $640.69–$764.37 | 147% above | — |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US Pelvis/Ltd Follicle FU | $764.37 | $764.37 | $640.69–$764.37 | 147% above | — |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US Pelvis Ltd (Bladder Only) | $764.37 | $764.37 | $573.28–$764.37 | — | — |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US Pelvis/Ltd Follicle FU | $764.37 | $764.37 | $573.28–$764.37 | — | — |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US Pelvis Limited | $764.37 | $764.37 | $573.28–$764.37 | — | — |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US Labia | $764.37 | $764.37 | $573.28–$764.37 | — | — |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US Pelvis Complete Non-OB | $1,163.45 | $1,163.45 | $975.20–$1,163.45 | 182% above | — |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US Pelvis Complete Non-OB w Doppler | $1,163.45 | $1,163.45 | $975.20–$1,163.45 | 182% above | — |
| Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US Pelvis Complete Non-OB w Doppler | $1,163.45 | $1,163.45 | $872.59–$1,163.45 | — | — |
| Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US Pelvis Complete Non-OB | $1,163.45 | $1,163.45 | $872.59–$1,163.45 | — | — |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US Fetal Twins > 14 Wks | $1,163.45 | $1,163.45 | $975.20–$1,163.45 | 174% above | — |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US Fetal > 14 Wks Single | $1,163.45 | $1,163.45 | $975.20–$1,163.45 | 174% above | — |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US Fetal Twins > 14 Wks | $1,163.45 | $1,163.45 | $872.59–$1,163.45 | — | — |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US Fetal > 14 Wks Single | $1,163.45 | $1,163.45 | $872.59–$1,163.45 | — | — |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US Fetal < 14 Wks Single | $463.47 | $463.47 | $388.48–$463.47 | 14% above | — |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 US Fetal < 14 Wks Single | $463.47 | $463.47 | $347.60–$463.47 | — | — |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US Fetal/Size,HRT,PLA,POS Ltd | $775.98 | $775.98 | $650.43–$775.98 | 156% above | — |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 US Fetal/Size,HRT,PLA,POS Ltd | $775.98 | $775.98 | $581.98–$775.98 | — | — |
| Rib X-ray, one side, 2 views one side CPT 71100 CR Ribs 2 Views Left | $358.96 | $358.96 | $300.88–$358.96 | 86% above | — |
| Rib X-ray, one side, 2 views one side CPT 71100 CR Ribs 2 Views Right | $358.96 | $358.96 | $300.88–$358.96 | 86% above | — |
| Rib X-ray, one side, 2 views inpatient one side CPT 71100 CR Ribs 2 Views Right | $358.96 | $358.96 | $269.22–$358.96 | — | — |
| Rib X-ray, one side, 2 views inpatient one side CPT 71100 CR Ribs 2 Views Left | $358.96 | $358.96 | $269.22–$358.96 | — | — |
| Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 CR Ribs w/ PA Chest Left | $358.96 | $358.96 | $300.88–$358.96 | 55% above | — |
| Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 CR Ribs w/ PA Chest Right | $358.96 | $358.96 | $300.88–$358.96 | 55% above | — |
| Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 CR Ribs w/ PA Chest Right | $358.96 | $358.96 | $269.22–$358.96 | — | — |
| Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 CR Ribs w/ PA Chest Left | $358.96 | $358.96 | $269.22–$358.96 | — | — |
| Screening mammogram, both breasts both sides CPT 77067 MG Combo Screen Implant Bilat w CAD | $363.18 | $363.18 | $304.42–$363.18 | — | — |
| Screening mammogram, both breasts both sides CPT 77067 MG Combo Screening Bilat w CAD | $363.18 | $363.18 | $304.42–$363.18 | — | — |
| Screening mammogram, both breasts both sides CPT 77067 MG Mammo Screen Bilateral (Foundation) | $398.02 | $398.02 | $333.62–$398.02 | — | — |
| Screening mammogram, both breasts CPT 77067 MG Mammo Screening w/CAD | $363.18 | $363.18 | $304.42–$363.18 | 27% above | — |
| Screening mammogram, both breasts one side CPT 77067 MG Combo Screening Rt w CAD | $181.59 | $181.59 | $152.21–$181.59 | 37% below | — |
| Screening mammogram, both breasts one side CPT 77067 MG Combo Screening Lt w CAD | $181.59 | $181.59 | $152.21–$181.59 | 37% below | — |
| Screening mammogram, both breasts inpatient both sides CPT 77067 MG Combo Screen Implant Bilat w CAD | $363.18 | $363.18 | $272.38–$363.18 | — | — |
| Screening mammogram, both breasts inpatient both sides CPT 77067 MG Combo Screening Bilat w CAD | $363.18 | $363.18 | $272.38–$363.18 | — | — |
| Screening mammogram, both breasts inpatient both sides CPT 77067 MG Mammo Screen Bilateral (Foundation) | $398.02 | $398.02 | $298.52–$398.02 | — | — |
| Screening mammogram, both breasts inpatient CPT 77067 MG Mammo Screening w/CAD | $363.18 | $363.18 | $272.38–$363.18 | — | — |
| Screening mammogram, both breasts inpatient one side CPT 77067 MG Combo Screening Rt w CAD | $181.59 | $181.59 | $136.19–$181.59 | — | — |
| Screening mammogram, both breasts inpatient one side CPT 77067 MG Combo Screening Lt w CAD | $181.59 | $181.59 | $136.19–$181.59 | — | — |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 CR Shoulder Right | $358.96 | $358.96 | $300.88–$358.96 | 101% above | — |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 CR Shoulder Left | $358.96 | $358.96 | $300.88–$358.96 | 101% above | — |
| Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 CR Shoulder Left | $358.96 | $358.96 | $269.22–$358.96 | — | — |
| Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 CR Shoulder Right | $358.96 | $358.96 | $269.22–$358.96 | — | — |
| Sinus X-ray, complete, 3 or more views CPT 70220 CR Sinuses | $358.96 | $358.96 | $300.88–$358.96 | 63% above | — |
| Sinus X-ray, complete, 3 or more views inpatient CPT 70220 CR Sinuses | $358.96 | $358.96 | $269.22–$358.96 | — | — |
| Skull X-ray, fewer than 4 views CPT 70250 CR Skull less than 4 Views | $358.96 | $358.96 | $300.88–$358.96 | 78% above | — |
| Skull X-ray, fewer than 4 views CPT 70250 Skull 2 views 70250 | $358.96 | $358.96 | $300.88–$358.96 | 78% above | — |
| Skull X-ray, fewer than 4 views CPT 70250 CR Shunt Series | $358.96 | $358.96 | $300.88–$358.96 | 78% above | — |
| Skull X-ray, fewer than 4 views CPT 70250 CR Port Skull | $358.96 | $358.96 | $300.88–$358.96 | 78% above | — |
| Skull X-ray, fewer than 4 views inpatient CPT 70250 CR Skull less than 4 Views | $358.96 | $358.96 | $269.22–$358.96 | — | — |
| Skull X-ray, fewer than 4 views inpatient CPT 70250 CR Port Skull | $358.96 | $358.96 | $269.22–$358.96 | — | — |
| Skull X-ray, fewer than 4 views inpatient CPT 70250 CR Shunt Series | $358.96 | $358.96 | $269.22–$358.96 | — | — |
| Skull X-ray, fewer than 4 views inpatient CPT 70250 Skull 2 views 70250 | $358.96 | $358.96 | $269.22–$358.96 | — | — |
| Sleep study in a lab (polysomnography) CPT 95810 In-Lab Dx Sleep Study | $5,170.04 | $5,170.04 | $4,333.53–$5,170.04 | 102% above | — |
| Sleep study in a lab (polysomnography) CPT 95810 PED EEG Polysomngraphy greater than 6 years | $5,170.04 | $5,170.04 | $4,333.53–$5,170.04 | 102% above | — |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 In-Lab Dx Sleep Study | $5,170.04 | $5,170.04 | $3,877.53–$5,170.04 | — | — |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 PED EEG Polysomngraphy greater than 6 years | $5,170.04 | $5,170.04 | $3,877.53–$5,170.04 | — | — |
| Stress echocardiogram, complete, including the stress test and supervision CPT 93351 Echo Stress w/ Physician & w/ Contrast | $992.57 | $992.57 | $831.97–$992.57 | 6% above | — |
| Stress echocardiogram, complete, including the stress test and supervision CPT 93351 Stress Echo | $992.57 | $992.57 | $831.97–$992.57 | 6% above | — |
| Stress echocardiogram, complete, including the stress test and supervision CPT 93351 Echo Stress w/ Contrast | $992.57 | $992.57 | $831.97–$992.57 | 6% above | — |
| Stress echocardiogram, complete, including the stress test and supervision CPT 93351 Echo Stress W/Physician | $992.57 | $992.57 | $831.97–$992.57 | 6% above | — |
| Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 Stress Echo | $992.57 | $992.57 | $744.43–$992.57 | — | — |
| Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 Echo Stress W/Physician | $992.57 | $992.57 | $744.43–$992.57 | — | — |
| Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 Echo Stress w/ Physician & w/ Contrast | $992.57 | $992.57 | $744.43–$992.57 | — | — |
| Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 Echo Stress w/ Contrast | $992.57 | $992.57 | $744.43–$992.57 | — | — |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 CR Functional Esophagram | $847.77 | $847.77 | $710.60–$847.77 | 114% above | — |
| Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 CR Functional Esophagram | $847.77 | $847.77 | $635.83–$847.77 | — | — |
| Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 CR Port Femur Right | $358.96 | $358.96 | $300.88–$358.96 | 91% above | — |
| Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 CR Femur Left | $358.96 | $358.96 | $300.88–$358.96 | 91% above | — |
| Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 CR Femur Right | $358.96 | $358.96 | $300.88–$358.96 | 91% above | — |
| Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 CR Port Femur Left | $358.96 | $358.96 | $300.88–$358.96 | 91% above | — |
| Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 CR Femur Right | $358.96 | $358.96 | $269.22–$358.96 | — | — |
| Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 CR Femur Left | $358.96 | $358.96 | $269.22–$358.96 | — | — |
| Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 CR Port Femur Right | $358.96 | $358.96 | $269.22–$358.96 | — | — |
| Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 CR Port Femur Left | $358.96 | $358.96 | $269.22–$358.96 | — | — |
| Thoracic spine (mid back) CT scan without contrast CPT 72128 CT Spine Thoracic w/o Contrast | $3,309.79 | $3,309.79 | $2,774.27–$3,309.79 | 299% above | — |
| Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 CT Spine Thoracic w/o Contrast | $3,309.79 | $3,309.79 | $2,482.34–$3,309.79 | — | — |
| Toe X-ray, 2 or more views one side CPT 73660 CR Toes Right | $358.96 | $358.96 | $300.88–$358.96 | 108% above | — |
| Toe X-ray, 2 or more views one side CPT 73660 CR Toes Left | $358.96 | $358.96 | $300.88–$358.96 | 108% above | — |
| Toe X-ray, 2 or more views one side CPT 73660 CR Port Toes Right | $358.96 | $358.96 | $300.88–$358.96 | 108% above | — |
| Toe X-ray, 2 or more views one side CPT 73660 CR Port Toes Left | $358.96 | $358.96 | $300.88–$358.96 | 108% above | — |
| Toe X-ray, 2 or more views inpatient one side CPT 73660 CR Toes Right | $358.96 | $358.96 | $269.22–$358.96 | — | — |
| Toe X-ray, 2 or more views inpatient one side CPT 73660 CR Toes Left | $358.96 | $358.96 | $269.22–$358.96 | — | — |
| Toe X-ray, 2 or more views inpatient one side CPT 73660 CR Port Toes Right | $358.96 | $358.96 | $269.22–$358.96 | — | — |
| Toe X-ray, 2 or more views inpatient one side CPT 73660 CR Port Toes Left | $358.96 | $358.96 | $269.22–$358.96 | — | — |
| Transvaginal pelvic ultrasound CPT 76830 US Transvaginal Non-OB w Doppler | $1,163.45 | $1,163.45 | $975.20–$1,163.45 | 189% above | — |
| Transvaginal pelvic ultrasound CPT 76830 US Pelvis Transvaginal Non OB | $1,163.45 | $1,163.45 | $975.20–$1,163.45 | 189% above | — |
| Transvaginal pelvic ultrasound CPT 76830 US Transvaginal Non-OB | $1,163.45 | $1,163.45 | $975.20–$1,163.45 | 189% above | — |
| Transvaginal pelvic ultrasound inpatient CPT 76830 US Transvaginal Non-OB | $1,163.45 | $1,163.45 | $872.59–$1,163.45 | — | — |
| Transvaginal pelvic ultrasound inpatient CPT 76830 US Pelvis Transvaginal Non OB | $1,163.45 | $1,163.45 | $872.59–$1,163.45 | — | — |
| Transvaginal pelvic ultrasound inpatient CPT 76830 US Transvaginal Non-OB w Doppler | $1,163.45 | $1,163.45 | $872.59–$1,163.45 | — | — |
| Transvaginal ultrasound during pregnancy CPT 76817 US Pregnancy Transvaginal | $1,105.37 | $1,105.37 | $926.52–$1,105.37 | 283% above | — |
| Transvaginal ultrasound during pregnancy inpatient CPT 76817 US Pregnancy Transvaginal | $1,105.37 | $1,105.37 | $829.03–$1,105.37 | — | — |
| Ultrasound of the abdomen, complete CPT 76700 US Abdomen Complete | $1,163.45 | $1,163.45 | $975.20–$1,163.45 | 164% above | — |
| Ultrasound of the abdomen, complete inpatient CPT 76700 US Abdomen Complete | $1,163.45 | $1,163.45 | $872.59–$1,163.45 | — | — |
| Ultrasound of the scrotum and testicles CPT 76870 US Scrotum (Contents) w Doppler | $1,163.45 | $1,163.45 | $975.20–$1,163.45 | 208% above | — |
| Ultrasound of the scrotum and testicles CPT 76870 US Scrotum (Contents) | $1,163.45 | $1,163.45 | $975.20–$1,163.45 | 208% above | — |
| Ultrasound of the scrotum and testicles inpatient CPT 76870 US Scrotum (Contents) | $1,163.45 | $1,163.45 | $872.59–$1,163.45 | — | — |
| Ultrasound of the scrotum and testicles inpatient CPT 76870 US Scrotum (Contents) w Doppler | $1,163.45 | $1,163.45 | $872.59–$1,163.45 | — | — |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US Soft Tissue Head & Neck | $764.37 | $764.37 | $640.69–$764.37 | 107% above | — |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US Thyroid, Parathy, Parotid | $764.37 | $764.37 | $640.69–$764.37 | 107% above | — |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US Thyroid, Parathy, Parotid | $764.37 | $764.37 | $573.28–$764.37 | — | — |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US Soft Tissue Head & Neck | $764.37 | $764.37 | $573.28–$764.37 | — | — |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 CR Upper GI/SBFT | $847.77 | $847.77 | $710.60–$847.77 | 126% above | — |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 CR Upper GI | $847.77 | $847.77 | $710.60–$847.77 | 126% above | — |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 CR Upper GI/SBFT | $847.77 | $847.77 | $635.83–$847.77 | — | — |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 CR Upper GI | $847.77 | $847.77 | $635.83–$847.77 | — | — |
| Upper arm X-ray (humerus), 2 views one side CPT 73060 CR Port Humerus Right | $358.96 | $358.96 | $300.88–$358.96 | 99% above | — |
| Upper arm X-ray (humerus), 2 views one side CPT 73060 CR Humerus Right | $358.96 | $358.96 | $300.88–$358.96 | 99% above | — |
| Upper arm X-ray (humerus), 2 views one side CPT 73060 CR Port Humerus Left | $358.96 | $358.96 | $300.88–$358.96 | 99% above | — |
| Upper arm X-ray (humerus), 2 views one side CPT 73060 CR Humerus Left | $358.96 | $358.96 | $300.88–$358.96 | 99% above | — |
| Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 CR Humerus Right | $358.96 | $358.96 | $269.22–$358.96 | — | — |
| Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 CR Humerus Left | $358.96 | $358.96 | $269.22–$358.96 | — | — |
| Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 CR Port Humerus Left | $358.96 | $358.96 | $269.22–$358.96 | — | — |
| Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 CR Port Humerus Right | $358.96 | $358.96 | $269.22–$358.96 | — | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 VAS Venous Insufficiency/Unilaterial | $1,764.17 | $1,764.17 | $1,478.73–$1,764.17 | 360% above | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 VAS Vein Mapping Unilateral | $252.32 | $252.32 | $211.49–$252.32 | 34% below | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US Dup Lower Ext Venous Left | $1,764.17 | $1,764.17 | $1,478.73–$1,764.17 | 360% above | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 VAS Venous Upper Extremity Right | $1,764.17 | $1,764.17 | $1,478.73–$1,764.17 | 360% above | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 VAS Venous Upper Extremity Left | $1,764.17 | $1,764.17 | $1,478.73–$1,764.17 | 360% above | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 VAS Venous Lower Extremity Right | $1,764.17 | $1,764.17 | $1,478.73–$1,764.17 | 360% above | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 VAS Venous Lower Extremity Left | $1,764.17 | $1,764.17 | $1,478.73–$1,764.17 | 360% above | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US Dup Upper Ext Venous Right | $1,764.17 | $1,764.17 | $1,478.73–$1,764.17 | 360% above | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US Dup Upper Ext Venous Left | $1,764.17 | $1,764.17 | $1,478.73–$1,764.17 | 360% above | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US Dup Lower Ext Venous Right | $1,764.17 | $1,764.17 | $1,478.73–$1,764.17 | 360% above | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 VAS Venous Insufficiency/Unilaterial | $1,764.17 | $1,764.17 | $1,323.13–$1,764.17 | — | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 VAS Vein Mapping Unilateral | $252.32 | $252.32 | $189.24–$252.32 | — | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 VAS Venous Lower Extremity Right | $1,764.17 | $1,764.17 | $1,323.13–$1,764.17 | — | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 VAS Venous Lower Extremity Left | $1,764.17 | $1,764.17 | $1,323.13–$1,764.17 | — | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US Dup Lower Ext Venous Left | $1,764.17 | $1,764.17 | $1,323.13–$1,764.17 | — | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US Dup Upper Ext Venous Right | $1,764.17 | $1,764.17 | $1,323.13–$1,764.17 | — | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 VAS Venous Upper Extremity Right | $1,764.17 | $1,764.17 | $1,323.13–$1,764.17 | — | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US Dup Upper Ext Venous Left | $1,764.17 | $1,764.17 | $1,323.13–$1,764.17 | — | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US Dup Lower Ext Venous Right | $1,764.17 | $1,764.17 | $1,323.13–$1,764.17 | — | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 VAS Venous Upper Extremity Left | $1,764.17 | $1,764.17 | $1,323.13–$1,764.17 | — | — |
| Wrist X-ray, 2 views one side CPT 73100 CR Wrist 2 Views Right | $322.01 | $322.01 | $269.91–$322.01 | 101% above | — |
| Wrist X-ray, 2 views one side CPT 73100 CR Port Wrist Left | $358.96 | $358.96 | $300.88–$358.96 | 124% above | — |
| Wrist X-ray, 2 views one side CPT 73100 CR Wrist 2 Views Left | $358.96 | $358.96 | $300.88–$358.96 | 124% above | — |
| Wrist X-ray, 2 views one side CPT 73100 CR Port Wrist Right | $358.96 | $358.96 | $300.88–$358.96 | 124% above | — |
| Wrist X-ray, 2 views inpatient one side CPT 73100 CR Wrist 2 Views Right | $322.01 | $322.01 | $241.51–$322.01 | — | — |
| Wrist X-ray, 2 views inpatient one side CPT 73100 CR Wrist 2 Views Left | $358.96 | $358.96 | $269.22–$358.96 | — | — |
| Wrist X-ray, 2 views inpatient one side CPT 73100 CR Port Wrist Right | $358.96 | $358.96 | $269.22–$358.96 | — | — |
| Wrist X-ray, 2 views inpatient one side CPT 73100 CR Port Wrist Left | $358.96 | $358.96 | $269.22–$358.96 | — | — |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 CR Wrist Left | $358.96 | $358.96 | $300.88–$358.96 | 103% above | — |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 CR Wrist Right | $358.96 | $358.96 | $300.88–$358.96 | 103% above | — |
| Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 CR Wrist Left | $358.96 | $358.96 | $269.22–$358.96 | — | — |
| Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 CR Wrist Right | $358.96 | $358.96 | $269.22–$358.96 | — | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 CR Pelvis + Hips Infant/Child | $358.96 | $358.96 | $300.88–$358.96 | 90% above | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 CR Port Pediatric Hips | $358.96 | $358.96 | $300.88–$358.96 | 90% above | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 CR Port Hip AP Lat Right | $358.96 | $358.96 | $300.88–$358.96 | 90% above | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 CR Hip Complete Left | $358.96 | $358.96 | $300.88–$358.96 | 90% above | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 CR Hip Complete Right | $358.96 | $358.96 | $300.88–$358.96 | 90% above | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 CR Port Hip AP Lat Left | $358.96 | $358.96 | $300.88–$358.96 | 90% above | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient CPT 73502 CR Port Pediatric Hips | $358.96 | $358.96 | $269.22–$358.96 | — | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient CPT 73502 CR Pelvis + Hips Infant/Child | $358.96 | $358.96 | $269.22–$358.96 | — | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 CR Port Hip AP Lat Right | $358.96 | $358.96 | $269.22–$358.96 | — | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 CR Hip Complete Left | $358.96 | $358.96 | $269.22–$358.96 | — | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 CR Hip Complete Right | $358.96 | $358.96 | $269.22–$358.96 | — | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 CR Port Hip AP Lat Left | $358.96 | $358.96 | $269.22–$358.96 | — | — |
| X-ray of the abdomen, 1 view CPT 74018 CR Port Abdomen Decubitus | $358.96 | $358.96 | $300.88–$358.96 | 95% above | — |
| X-ray of the abdomen, 1 view CPT 74018 CR Port Abdomen Flat | $358.96 | $358.96 | $300.88–$358.96 | 95% above | — |
| X-ray of the abdomen, 1 view CPT 74018 CR Abdomen Upright Only | $358.96 | $358.96 | $300.88–$358.96 | 95% above | — |
| X-ray of the abdomen, 1 view CPT 74018 CR Port Abd Pre-Post Contrast | $358.96 | $358.96 | $300.88–$358.96 | 95% above | — |
| X-ray of the abdomen, 1 view CPT 74018 CR Abdomen Pre-Post Contrast | $358.96 | $358.96 | $300.88–$358.96 | 95% above | — |
| X-ray of the abdomen, 1 view CPT 74018 CR Port Foreign Body Abdomen | $358.96 | $358.96 | $300.88–$358.96 | 95% above | — |
| X-ray of the abdomen, 1 view CPT 74018 CR Abdomen Flat | $358.96 | $358.96 | $300.88–$358.96 | 95% above | — |
| X-ray of the abdomen, 1 view CPT 74018 Abdomen 1 view 74018 | $358.96 | $358.96 | $300.88–$358.96 | 95% above | — |
| X-ray of the abdomen, 1 view inpatient CPT 74018 CR Port Abd Pre-Post Contrast | $358.96 | $358.96 | $269.22–$358.96 | — | — |
| X-ray of the abdomen, 1 view inpatient CPT 74018 Abdomen 1 view 74018 | $358.96 | $358.96 | $269.22–$358.96 | — | — |
| X-ray of the abdomen, 1 view inpatient CPT 74018 CR Port Foreign Body Abdomen | $358.96 | $358.96 | $269.22–$358.96 | — | — |
| X-ray of the abdomen, 1 view inpatient CPT 74018 CR Abdomen Pre-Post Contrast | $358.96 | $358.96 | $269.22–$358.96 | — | — |
| X-ray of the abdomen, 1 view inpatient CPT 74018 CR Abdomen Upright Only | $358.96 | $358.96 | $269.22–$358.96 | — | — |
| X-ray of the abdomen, 1 view inpatient CPT 74018 CR Port Abdomen Flat | $358.96 | $358.96 | $269.22–$358.96 | — | — |
| X-ray of the abdomen, 1 view inpatient CPT 74018 CR Port Abdomen Decubitus | $358.96 | $358.96 | $269.22–$358.96 | — | — |
| X-ray of the abdomen, 1 view inpatient CPT 74018 CR Abdomen Flat | $358.96 | $358.96 | $269.22–$358.96 | — | — |
| X-ray of the ankle, 2 views one side CPT 73600 CR Ankle 2 Views Right | $358.96 | $358.96 | $300.88–$358.96 | 103% above | — |
| X-ray of the ankle, 2 views one side CPT 73600 CR Port Ankle Left | $358.96 | $358.96 | $300.88–$358.96 | 103% above | — |
| X-ray of the ankle, 2 views one side CPT 73600 CR Port Ankle Right | $358.96 | $358.96 | $300.88–$358.96 | 103% above | — |
| X-ray of the ankle, 2 views one side CPT 73600 CR Ankle 2 Views Left | $358.96 | $358.96 | $300.88–$358.96 | 103% above | — |
| X-ray of the ankle, 2 views inpatient one side CPT 73600 CR Ankle 2 Views Left | $358.96 | $358.96 | $269.22–$358.96 | — | — |
| X-ray of the ankle, 2 views inpatient one side CPT 73600 CR Port Ankle Left | $358.96 | $358.96 | $269.22–$358.96 | — | — |
| X-ray of the ankle, 2 views inpatient one side CPT 73600 CR Ankle 2 Views Right | $358.96 | $358.96 | $269.22–$358.96 | — | — |
| X-ray of the ankle, 2 views inpatient one side CPT 73600 CR Port Ankle Right | $358.96 | $358.96 | $269.22–$358.96 | — | — |
| X-ray of the finger(s), 2 or more views one side CPT 73140 CR Fingers Left | $356.85 | $356.85 | $299.11–$356.85 | 101% above | — |
| X-ray of the finger(s), 2 or more views one side CPT 73140 CR Port Fingers Left | $356.85 | $356.85 | $299.11–$356.85 | 101% above | — |
| X-ray of the finger(s), 2 or more views one side CPT 73140 CR Fingers Right | $356.85 | $356.85 | $299.11–$356.85 | 101% above | — |
| X-ray of the finger(s), 2 or more views one side CPT 73140 CR Port Fingers Right | $356.85 | $356.85 | $299.11–$356.85 | 101% above | — |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 CR Port Fingers Left | $356.85 | $356.85 | $267.64–$356.85 | — | — |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 CR Port Fingers Right | $356.85 | $356.85 | $267.64–$356.85 | — | — |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 CR Fingers Right | $356.85 | $356.85 | $267.64–$356.85 | — | — |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 CR Fingers Left | $356.85 | $356.85 | $267.64–$356.85 | — | — |
| X-ray of the foot, 2 views one side CPT 73620 CR Port Foot Right | $358.96 | $358.96 | $300.88–$358.96 | 124% above | — |
| X-ray of the foot, 2 views one side CPT 73620 CR Foot 2 Views Left | $358.96 | $358.96 | $300.88–$358.96 | 124% above | — |
| X-ray of the foot, 2 views one side CPT 73620 CR Foot 2 Views Right | $358.96 | $358.96 | $300.88–$358.96 | 124% above | — |
| X-ray of the foot, 2 views one side CPT 73620 CR Port Foot Left | $358.96 | $358.96 | $300.88–$358.96 | 124% above | — |
| X-ray of the foot, 2 views inpatient one side CPT 73620 CR Foot 2 Views Left | $358.96 | $358.96 | $269.22–$358.96 | — | — |
| X-ray of the foot, 2 views inpatient one side CPT 73620 CR Port Foot Right | $358.96 | $358.96 | $269.22–$358.96 | — | — |
| X-ray of the foot, 2 views inpatient one side CPT 73620 CR Port Foot Left | $358.96 | $358.96 | $269.22–$358.96 | — | — |
| X-ray of the foot, 2 views inpatient one side CPT 73620 CR Foot 2 Views Right | $358.96 | $358.96 | $269.22–$358.96 | — | — |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 CR Foot Complete Right | $358.96 | $358.96 | $300.88–$358.96 | 102% above | — |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 CR Foot Complete Left | $358.96 | $358.96 | $300.88–$358.96 | 102% above | — |
| X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 CR Foot Complete Left | $358.96 | $358.96 | $269.22–$358.96 | — | — |
| X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 CR Foot Complete Right | $358.96 | $358.96 | $269.22–$358.96 | — | — |
| X-ray of the hand, 3 or more views one side CPT 73130 CR Hand Complete Right | $356.85 | $356.85 | $299.11–$356.85 | 96% above | — |
| X-ray of the hand, 3 or more views one side CPT 73130 CR Hand Complete Left | $358.96 | $358.96 | $300.88–$358.96 | 97% above | — |
| X-ray of the hand, 3 or more views inpatient one side CPT 73130 CR Hand Complete Right | $356.85 | $356.85 | $267.64–$356.85 | — | — |
| X-ray of the hand, 3 or more views inpatient one side CPT 73130 CR Hand Complete Left | $358.96 | $358.96 | $269.22–$358.96 | — | — |
| X-ray of the knee, 1 or 2 views one side CPT 73560 CR Port Knee Right 1 or 2 Views | $358.96 | $358.96 | $300.88–$358.96 | 99% above | — |
| X-ray of the knee, 1 or 2 views one side CPT 73560 CR Port Knee Left 1 or 2 Views | $358.96 | $358.96 | $300.88–$358.96 | 99% above | — |
| X-ray of the knee, 1 or 2 views one side CPT 73560 CR Knee Right 1 or 2 Views | $358.96 | $358.96 | $300.88–$358.96 | 99% above | — |
| X-ray of the knee, 1 or 2 views one side CPT 73560 CR Knee Left 1 or 2 Views | $358.96 | $358.96 | $300.88–$358.96 | 99% above | — |
| X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 CR Port Knee Left 1 or 2 Views | $358.96 | $358.96 | $269.22–$358.96 | — | — |
| X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 CR Knee Left 1 or 2 Views | $358.96 | $358.96 | $269.22–$358.96 | — | — |
| X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 CR Knee Right 1 or 2 Views | $358.96 | $358.96 | $269.22–$358.96 | — | — |
| X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 CR Port Knee Right 1 or 2 Views | $358.96 | $358.96 | $269.22–$358.96 | — | — |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 CR Spine Lumbar | $358.96 | $358.96 | $300.88–$358.96 | 65% above | — |
| X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 CR Spine Lumbar | $358.96 | $358.96 | $269.22–$358.96 | — | — |
| X-ray of the lower back, 4 or more views CPT 72110 CR Spine Lumbar w/ Flex/Ext | $616.56 | $616.56 | $516.80–$616.56 | 118% above | — |
| X-ray of the lower back, 4 or more views CPT 72110 CR Spine Lumbar w/Obliques | $616.56 | $616.56 | $516.80–$616.56 | 118% above | — |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 CR Spine Lumbar w/ Flex/Ext | $616.56 | $616.56 | $462.42–$616.56 | — | — |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 CR Spine Lumbar w/Obliques | $616.56 | $616.56 | $462.42–$616.56 | — | — |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 CR Spine Thoracic 2 Views | $358.96 | $358.96 | $300.88–$358.96 | 56% above | — |
| X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 CR Spine Thoracic 2 Views | $358.96 | $358.96 | $269.22–$358.96 | — | — |
| X-ray of the nasal bones, 3 or more views CPT 70160 CR Nasal Bones | $341.01 | $341.01 | $285.83–$341.01 | 84% above | — |
| X-ray of the nasal bones, 3 or more views inpatient CPT 70160 CR Nasal Bones | $341.01 | $341.01 | $255.76–$341.01 | — | — |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 CR Spine Cervical 2 or 3 Views | $356.85 | $356.85 | $299.11–$356.85 | 83% above | — |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 CR Port Cervical 2 or 3 views | $356.85 | $356.85 | $299.11–$356.85 | 83% above | — |
| X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 CR Port Cervical 2 or 3 views | $356.85 | $356.85 | $267.64–$356.85 | — | — |
| X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 CR Spine Cervical 2 or 3 Views | $356.85 | $356.85 | $267.64–$356.85 | — | — |
| X-ray of the pelvis, 1 or 2 views CPT 72170 CR Pelvis | $358.96 | $358.96 | $300.88–$358.96 | 83% above | — |
| X-ray of the pelvis, 1 or 2 views CPT 72170 CR Pelvis AP | $358.96 | $358.96 | $300.88–$358.96 | 83% above | — |
| X-ray of the pelvis, 1 or 2 views CPT 72170 CR Port Pelvis | $358.96 | $358.96 | $300.88–$358.96 | 83% above | — |
| X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 CR Pelvis | $358.96 | $358.96 | $269.22–$358.96 | — | — |
| X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 CR Pelvis AP | $358.96 | $358.96 | $269.22–$358.96 | — | — |
| X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 CR Port Pelvis | $358.96 | $358.96 | $269.22–$358.96 | — | — |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 CR Sacrococcygeal | $358.96 | $358.96 | $300.88–$358.96 | 101% above | — |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 CR Sacrococcygeal | $358.96 | $358.96 | $269.22–$358.96 | — | — |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs West Virginia | Off list |
|---|---|---|---|---|---|
| ACTH blood test CPT 82024 Adrenocorticotropic Hormone-LC | $115.08 | $115.08 | $96.46–$115.08 | 39% below | — |
| ACTH blood test inpatient CPT 82024 Adrenocorticotropic Hormone-LC | $115.08 | $115.08 | $86.31–$115.08 | — | — |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 Alanine Aminotransferase | $42.23 | $42.23 | $35.40–$42.23 | 46% above | — |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 Alanine Aminotransferase | $42.23 | $42.23 | $31.67–$42.23 | — | — |
| AST (aspartate aminotransferase) enzyme test CPT 84450 Aspartate Aminotransferase | $41.17 | $41.17 | $34.51–$41.17 | 35% above | — |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 Aspartate Aminotransferase | $41.17 | $41.17 | $30.88–$41.17 | — | — |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 Acute Hepatitis Panel | $391.68 | $391.68 | $328.31–$391.68 | 77% above | — |
| Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 Acute Hepatitis Panel | $391.68 | $391.68 | $293.76–$391.68 | — | — |
| Albumin blood test CPT 82040 Albumin Level | $69.69 | $69.69 | $58.41–$69.69 | 287% above | — |
| Albumin blood test inpatient CPT 82040 Albumin Level | $69.69 | $69.69 | $52.27–$69.69 | — | — |
| Aldosterone blood test CPT 82088 Aldosterone | $134.08 | $134.08 | $112.39–$134.08 | 265% above | — |
| Aldosterone blood test CPT 82088 Aldosterone LCMS-LC | $134.08 | $134.08 | $112.39–$134.08 | 265% above | — |
| Aldosterone blood test CPT 82088 Aldosterone 24 hour Urine-LC | $134.08 | $134.08 | $112.39–$134.08 | 265% above | — |
| Aldosterone blood test inpatient CPT 82088 Aldosterone | $134.08 | $134.08 | $100.56–$134.08 | — | — |
| Aldosterone blood test inpatient CPT 82088 Aldosterone 24 hour Urine-LC | $134.08 | $134.08 | $100.56–$134.08 | — | — |
| Aldosterone blood test inpatient CPT 82088 Aldosterone LCMS-LC | $134.08 | $134.08 | $100.56–$134.08 | — | — |
| Alkaline phosphatase (ALP) blood test CPT 84075 Alkaline Phosphatase | $41.17 | $41.17 | $34.51–$41.17 | 98% above | — |
| Alkaline phosphatase (ALP) blood test inpatient CPT 84075 Alkaline Phosphatase | $41.17 | $41.17 | $30.88–$41.17 | — | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen F259-IgE Grape - LC | $38.02 | $38.02 | $31.87–$38.02 | 122% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen W005-IgE Wormwood - LC | $38.02 | $38.02 | $31.87–$38.02 | 122% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen F320-IgE Crayfish Freshwater - LC | $38.02 | $38.02 | $31.87–$38.02 | 122% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen F338-IgE Scallop - LC | $38.02 | $38.02 | $31.87–$38.02 | 122% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen G008-IgE Bluegrass Kentucky - LC | $38.02 | $38.02 | $31.87–$38.02 | 122% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen M012-IgE Aureobasidi pullulans - LC | $38.02 | $38.02 | $31.87–$38.02 | 122% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen E089-IgE Turkey Feathers - LC | $38.02 | $38.02 | $31.87–$38.02 | 122% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen T001-IgE Maple/Box Elder - LC | $38.02 | $38.02 | $31.87–$38.02 | 122% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen W004-IgE Ragweed False - LC | $38.02 | $38.02 | $31.87–$38.02 | 122% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen E201-IgE Canary Feathers - LC | $38.02 | $38.02 | $31.87–$38.02 | 122% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen F009-IgE Rice - LC | $38.02 | $38.02 | $31.87–$38.02 | 122% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen F048-IgE Onion - LC | $38.02 | $38.02 | $31.87–$38.02 | 122% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen F058-IgE Squid - LC | $38.02 | $38.02 | $31.87–$38.02 | 122% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen F215-IgE Lettuce - LC | $38.02 | $38.02 | $31.87–$38.02 | 122% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen F244-IgE Cucumber - LC | $38.02 | $38.02 | $31.87–$38.02 | 122% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen W010-IgE Lamb's Quarters LC | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen W009-IgE Plantain, English LC | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen T218-IgE Oak, Live/Virginia LC | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen G017-IgE Bahia Grass LC | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen T022-IgE Pecan, Hickory LC | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen F207-IgE Clam LC | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen F245-IgE Egg, Whole LC | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen F300-IgE Goat's Milk LC | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen F005-IgE Rye LC | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen F290-IgE Oyster LC | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen F044-IgE Strawberry LC | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen F040-IgE Tuna LC | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen F027-IgE Beef LC | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen F041-IgE Salmon LC | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen G006-IgE Timothy Grass LC | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen F077-IgE Beta Lactoglobulin LC | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen G010-IgE Johnson Grass LC | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen M001-IgE Penicillium chrysogen LC | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen F236-IgE Whey LC | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen F083-IgE Chicken LC | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen F035-IgE Potato, White LC | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen F026-IgE Pork LC | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen F080-IgE Lobster LC | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen T010-IgE Walnut LC | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen F023-IgE Crab LC | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen F093-IgE Chocolate/Cacao LC | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen I006-IgE Cockroach, German LC | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen W014-IgE Pigweed, Common LC | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen I206-IgE Cockroach, American LC | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen T007-IgE Oak, White LC | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen D002-IgE D farinae LC | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen F024-IgE Shrimp LC | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen F033-IgE Orange LC | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen F014-IgE Soybean LC | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen F013-IgE Peanut LC | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen F011-IgE Buckwheat LC | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen F008-IgE Corn LC | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen F004-IgE Wheat LC | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen F003-IgE Codfish LC | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen F002-IgE Milk LC | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen F001-IgE Egg White LC | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen E215-IgE Pigeon Feathers LC | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen E086-IgE Duck Feathers LC | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen E085-IgE Chicken Feathers LC | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen E072-IgE Mouse Urine LC | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen E070-IgE Goose Feathers LC | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen E005-IgE Dog Dander LC | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen E001-IgE Cat Dander LC | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen D003-D. microceras (mite) LC | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Aspergillus fumagatus IgG LC | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen H001-IgE House Dust Greer LC | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen F291-IgE Cauliflower LC | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 D. microceras | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 House dust Hollister-Stier | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 House dust Greer | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Trichoderma viridae | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Epicoccum purpurascens | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Phoma betae | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Aureobasidium pullulans | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Mucor racemosus | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Bluegrass (Kentucky) allergen | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Candida albicans | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Aspergillus fumigatus | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Penicillium chrysogenum | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 D. farinae | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 D. pteronyssinus | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Oak Allergen | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Maple Allergen | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ARA H8 PEANUT | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ARA H9 PEANUT | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ARA H3 PEANUT | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ARA H2 PEANUT | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ARA H1 PEANUT | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Gluten allergen | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Buckwheat allergen | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Barley allergen | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Casein allergen | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Beta Lactoglobulin allergen | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Alpha Lactoalbumin allergen | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Cotton allergen | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Cockroach | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Alternaria alternata | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Cladosporium herbarum | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Pine Allergen | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 English Plantain allergen | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Rye allergen | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Johnson Grass allergen | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Timothy grass allergen | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Bermuda grass allergen | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Egg white allergen | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Sheep Sorrel allergen | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Marsh Elder allergen | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Cocklebur allergen | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Rough Pigweed allergen | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Goldenrod allergen | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Lamb's Quarters Allergen | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Legume mix allergens | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Fish mix allergens | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Mushroom allergen | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Scallop allergen | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Mackeral allergen | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Oyster allergen | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Clam allergen | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Lobster allergen | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Salmon allergen | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Tuna allergen | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Shrimp allergen | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Crab allergen | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Grapefruit allergen | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Pea allergen | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Common ragweed allergen | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Grass Mix allergens | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Tree Mix One | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Tree Mix Two allergens | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 IgE total | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 IgE Scoring | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Dog dander | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Cat dander | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Mold Mix | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 House Dust Mix | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Nut mix 2 allergens | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Nut mix 1 allergens | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Yeast allergen | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Tea allergen | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Pork allergen | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Beet Sugar allergen | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Turkey allergen | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Codfish allergen | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Halibut allergen | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Chicken allergen | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Beef allergen | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Vanilla allergen | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Tomato allergen | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Hops allergen | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Chocolate allergen | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Garlic allergen | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 F244-IgE Cucumber | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 F215-IgE Lettuce | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 F048-IgE Onion | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Green Bean allergen | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Cabbage allergen | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Potato allergen | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Corn allergen | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Strawberry allergen | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 F259-IgE Grape | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Banana allergen | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Apple allergen | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Orange allergen | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Coffee allergen | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Malt allergen | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 F009-IgE Rice | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Oat allergen | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Wheat allergen | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Peanut allergen | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Soybean allergen | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Milk allergen | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Egg (Whole) allergen | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Ovomucoid allergen | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Ovalbumin allergen | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 I205-IgE Bumblebee | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 I005-IgE Hornet, Yellow | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 I004-IgE Paper Wasp | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 I003-IgE Yellow Jacket | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 I002-IgE Hornet, White Face | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 I001-IgE Honeybee | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen F202 Cashew Nut LC | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen F201 Pecan Nut LC | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen W011 Thistle Russian-LC | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen W006 Mugwort-LC | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen T210 Privet Common-LC | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen T070 White Mulberry-LC | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen T057 Cedar Red-LC | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen T041 Hickory White-LC | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen T016 Pine White-LC | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen T015 Ash White-LC | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen T014 Cottonwood-LC | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen T008 Elm American-LC | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen T006 Cedar Mountain-LC | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen T005 Beech (American)-LC | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen T004 Hazelnut Tree-LC | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen T003 Common Silver Birch-LC | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Pthalic anhydride | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen G202 Corn Cultivated-LC | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen G009 Red-Top Bentgrass-LC | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen G003 Orchard Grass-LC | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Formaldehyde/Formalin | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen F329 Watermelon-LC | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen F288 Blueberry-LC | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen F256 Walnut-LC | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen F235 Lentil-LC | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen F220 Cinnamon-LC | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen F204 Trout-LC | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen F203 Pistachio Nut-LC | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen F147 Flounder-LC | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen F094 Pear-LC | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen F091 Mango-LC | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen F088 Lamb-LC | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen F087 Melon-LC | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen F084 Kiwi Fruit-LC | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen F054 Sweet Potato-LC | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen F036 Coconut-LC | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen F031 Carrot-LC | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen F020 Almond-LC | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen F018 Brazil Nut-LC | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen F017 Hazelnut (Filbert)-LC | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen F012 Green Pea-LC | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen F010 Sesame Seed-LC | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Ethylene Oxide | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen E080 Goat Epithelia-LC | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen E071 Mouse Epithelium-LC | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen E004 Cow Dander-LC | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen E003 Horse Dander-LC | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Chloramin T | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Tomato | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Soybean | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Yeast | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Wheat | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Vanilla | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Turkey | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Tuna | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Trichoderma Virida | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Tree Mix Two | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Tree Mix One | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Timothy Grass | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Tea | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Strawberry | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Shrimp | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Sheep Sorrel | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Scallop | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Salmon | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Rye | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Rough Pigweed | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Potato | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Pork | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Pine | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Penicillium Notatu | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Pea | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Oyster | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Orange | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Oak | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Nut mix 2 | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Nut mix 1 | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Mushroom | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Mucor Racemosus | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Mold Mix | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Milk | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Marsh Elder | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 .Allergen T001 Maple/Box Elder-LC | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Mackeral | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Lobster | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Lettuce | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Legume mix | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Lambs | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Johnson Grass | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen House Dust Mix | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen House Dust Hollis | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen House Dust Greer | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Hops | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Halibut | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Green Bean | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Grass Mix | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Grapefruit | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Grape | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Goldenrod | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Gluten | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Garlic | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Fish mix | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Epicoccum purpuras | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen English Plantain | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Cucumber | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Crab | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Cotton | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Corn | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Common Ragweed | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Coffee | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Codfish | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Cocklebur | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Clam | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Cladosporium herba | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Chocolate | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Chicken | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Casein | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Candida Albicans | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Cabbage | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Buckwheat | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 .Allergen G008 Bluegrass Kentucky-LC | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Beta Lactoglobulin | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Bermuda Grass | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Beet Sugar | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Beef | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Barley | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Aureobasidium pull | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Aspergillus fumiga | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Alternaria alterna | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Alpha Lactoalbumin | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Peanut | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Egg (Whole) | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Egg White | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Ovomucoid | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Ovalbumin | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen ARA H9 Peanut | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen ARA H8 Peanut | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen ARA H3 Peanut | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen ARA H2 Peanut | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen ARA H1 Peanut | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen D microceras Allergen | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen D farinae Allergen | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen D pteronyssinus Allergen | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Latex | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Rice | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Phoma betae | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Onion | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Oat | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Malt | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Dog Dander | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Cockroach | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Cat Dander | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Banana | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Apple | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen IgE Total | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen F242-IgE Bing Cherry LC | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen F260-IgE Broccoli LC | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen F265-IgE Cumin LC | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen F270-IgE Ginger LC | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen F273-IgE Thyme LC | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen F279-IgE Chili Pepper LC | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen F280-IgE Black Peppercorn LC | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen F282-IgE Nutmeg LC | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen F283-IgE Oregano LC | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen F287-IgE Kidney Bean LC | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen F309-IgE Chick Pea LC | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen F313-IgE Anchovy LC | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen F315-IgE Green Bean LC | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen C074-IgE Gelatin LC | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen F369-IgE Catfish LC | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen F384-IgE Whitefish LC | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen G001-IgE Sweet Vernal LC | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen G012-IgE Rye Grass LC | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen G015-IgE Wheat, Cultivated LC | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen 2-IgE Grass Pollen Mix LC | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen I001-IgE Honeybee LC | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen I002-IgE Hornet, White Face LC | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen I003-IgE Yellow Jacket LC | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen I004-IgE Paper Wasp LC | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen I005-IgE Hornet, Yellow LC | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen M010-IgE Stemphylium herbarum LC | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen M210-IgE Trichophyton mentagro LC | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen M046-IgE Bipolaris LC | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen T011-IgE Maple Leaf Sycamore LC | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen T211-IgE Sweet Gum LC | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen W003-IgE Ragweed, Giant LC | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen W012-IgE Goldenrod LC | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen W013-IgE Cocklebur LC | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen W045-IgE Alfalfa LC | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen F332-IgE Mint LC | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen F328-IgE Fig LC | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen G002-IgE Bermuda Grass LC | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen W001-IgE Ragweed, Short LC | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen F025-IgE Tomato LC | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen M002-IgE Cladosporium herbarum LC | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen F333-IgE Linseed LC | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen M003-IgE Aspergillus fumigatus LC | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen M006-IgE Alternaria alternata LC | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 D001-IgE D pteronyssinus LC | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergens Food Profile LC | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Nut Profile w/Rflx LC | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Mold Profile LC | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen F001 Egg White w/Rflx LC | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen IgE Peanut w/Comp Rflx LC | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen IgE Milk w/ Comp Rflx LC | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 F076-IgE Alpha Lactalb | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 F077-IgE Beta Lactoglob | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 F078-IgE Casein | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 F447-IgE Ara h 6 | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 .Allergen F018 Brazil Nut LC | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 .Allergen F202 Cashew LC | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 F428-IgE Cor a 1 | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 F425-IgE Cor a 8 | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 F440-IgE Cor a 9 | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen T012-IgE Willow LC | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen F247-IgE Honey LC | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen F255-IgE Plum LC | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen F225-IgE Pumpkin LC | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen F224-IgE Poppy Seed LC | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen F222-IgE Tea LC | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen F218-IgE Paprika/Sweet Pepper LC | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen F217-IgE Brussel Sprouts LC | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen F211-IgE Blackberry LC | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen F210-IgE Pineapple LC | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen F208-IgE Lemon LC | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen K084-IgE Sunflower Seed LC | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen F182-IgE Lima Bean LC | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen F341-IgE Cranberry LC | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen F263-IgE Green Peppercorn LC | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen F319-IgE Red Beet LC | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen F342-IgE Olive, Black LC | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen F096-IgE Avocado LC | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen F095-IgE Peach LC | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen F092-IgE Banana LC | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen F089-IgE Mustard LC | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen F085-IgE Celery LC | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen F076-IgE Alpha Lactalbumin LC | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen F049-IgE Apple LC | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen F343-IgE Raspberry LC | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen O001-IgE Cotton Lint LC | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen K082-IgE Latex LC | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen F345-IgE Macadamia Nut LC | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen F045-IgE Yeast LC | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen M015-IgE Trichoderma viridae LC | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen M070-IgE Pityrosp. Orbiculare LC | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen M004-IgE Mucor racemosus LC | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen M009-IgE Fusarium proliferatum LC | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen M014-IgE Epicoccum purpur LC | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen M013-IgE Phoma betae LC | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen G004-IgE Fescue, Meadow LC | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen M005-IgE Candida albicans LC | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen H002-IgE House Dust Hollister LC | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen T002-IgE Alder, Grey LC | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen G005-IgE Rye Grass, Perennial LC | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen W018-IgE Sheep Sorrel LC | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen F414-IgE Tilapia LC | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen F299-IgE Sweet Chestnut LC | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 F439-IgE Cor a 14 | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 F441-IgE Jug r 1 | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 F442-IgE Jug r 3 | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 G008-IgE Bluegrass, Kentucky | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 G005-IgE Rye Grass Perennial | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 G002-IgE Bermuda Grass | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 G006-IgE Timothy Grass | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 G010-IgE Johnson Grass | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 G017-IgE Bahia Grass | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Venison IgE - LC | $39.07 | $39.07 | $32.75–$39.07 | 128% above | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen W005-IgE Wormwood - LC | $38.02 | $38.02 | $28.52–$38.02 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen E201-IgE Canary Feathers - LC | $38.02 | $38.02 | $28.52–$38.02 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen F009-IgE Rice - LC | $38.02 | $38.02 | $28.52–$38.02 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen F048-IgE Onion - LC | $38.02 | $38.02 | $28.52–$38.02 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen F058-IgE Squid - LC | $38.02 | $38.02 | $28.52–$38.02 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen E089-IgE Turkey Feathers - LC | $38.02 | $38.02 | $28.52–$38.02 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen F215-IgE Lettuce - LC | $38.02 | $38.02 | $28.52–$38.02 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen F244-IgE Cucumber - LC | $38.02 | $38.02 | $28.52–$38.02 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen F259-IgE Grape - LC | $38.02 | $38.02 | $28.52–$38.02 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen F320-IgE Crayfish Freshwater - LC | $38.02 | $38.02 | $28.52–$38.02 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen F338-IgE Scallop - LC | $38.02 | $38.02 | $28.52–$38.02 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen G008-IgE Bluegrass Kentucky - LC | $38.02 | $38.02 | $28.52–$38.02 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen M012-IgE Aureobasidi pullulans - LC | $38.02 | $38.02 | $28.52–$38.02 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen T001-IgE Maple/Box Elder - LC | $38.02 | $38.02 | $28.52–$38.02 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen W004-IgE Ragweed False - LC | $38.02 | $38.02 | $28.52–$38.02 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Goldenrod allergen | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen IgE Total | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Apple | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Banana | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Cat Dander | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Cockroach | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Dog Dander | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Malt | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Oat | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Onion | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Phoma betae | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Rice | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Latex | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen D pteronyssinus Allergen | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen D farinae Allergen | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen D microceras Allergen | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen ARA H1 Peanut | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen ARA H2 Peanut | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen ARA H3 Peanut | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen ARA H8 Peanut | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen ARA H9 Peanut | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Ovalbumin | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Ovomucoid | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Egg White | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Egg (Whole) | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Peanut | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Alpha Lactoalbumin | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Alternaria alterna | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Aspergillus fumiga | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Aureobasidium pull | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Barley | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Beef | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Beet Sugar | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Bermuda Grass | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Beta Lactoglobulin | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 .Allergen G008 Bluegrass Kentucky-LC | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Buckwheat | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Cabbage | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Candida Albicans | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Casein | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Chicken | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Chocolate | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Cladosporium herba | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Clam | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Cocklebur | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Codfish | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Coffee | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Common Ragweed | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Corn | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Cotton | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Crab | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Cucumber | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen English Plantain | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Epicoccum purpuras | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Fish mix | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Garlic | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Gluten | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Goldenrod | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Grape | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Grapefruit | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Grass Mix | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Green Bean | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Halibut | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Hops | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen House Dust Greer | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen House Dust Hollis | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen House Dust Mix | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Johnson Grass | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Lambs | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Legume mix | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Lettuce | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Lobster | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Mackeral | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 .Allergen T001 Maple/Box Elder-LC | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Marsh Elder | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Milk | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Mold Mix | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Mucor Racemosus | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Mushroom | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Nut mix 1 | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Nut mix 2 | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Oak | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Orange | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Oyster | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Pea | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Penicillium Notatu | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Pine | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Pork | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Potato | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Rough Pigweed | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Rye | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Salmon | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Scallop | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Sheep Sorrel | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Shrimp | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Strawberry | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Tea | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Timothy Grass | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Tree Mix One | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Tree Mix Two | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Trichoderma Virida | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Tuna | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Turkey | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Vanilla | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Wheat | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Yeast | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Soybean | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Tomato | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Chloramin T | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen E003 Horse Dander-LC | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen E004 Cow Dander-LC | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen E071 Mouse Epithelium-LC | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen E080 Goat Epithelia-LC | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Ethylene Oxide | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen F010 Sesame Seed-LC | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen F012 Green Pea-LC | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen F017 Hazelnut (Filbert)-LC | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen F018 Brazil Nut-LC | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen F020 Almond-LC | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen F031 Carrot-LC | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen F036 Coconut-LC | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen F054 Sweet Potato-LC | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen F084 Kiwi Fruit-LC | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen F087 Melon-LC | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen F088 Lamb-LC | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen F091 Mango-LC | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen F094 Pear-LC | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen F147 Flounder-LC | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen F203 Pistachio Nut-LC | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen F204 Trout-LC | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen F220 Cinnamon-LC | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen F235 Lentil-LC | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen F256 Walnut-LC | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen F288 Blueberry-LC | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen F329 Watermelon-LC | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Formaldehyde/Formalin | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen G003 Orchard Grass-LC | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen G009 Red-Top Bentgrass-LC | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen G202 Corn Cultivated-LC | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Pthalic anhydride | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen T003 Common Silver Birch-LC | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen T004 Hazelnut Tree-LC | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen T005 Beech (American)-LC | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen T006 Cedar Mountain-LC | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen T008 Elm American-LC | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen T014 Cottonwood-LC | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen T015 Ash White-LC | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen T016 Pine White-LC | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen T041 Hickory White-LC | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen T057 Cedar Red-LC | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen T070 White Mulberry-LC | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen T210 Privet Common-LC | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen W006 Mugwort-LC | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen W011 Thistle Russian-LC | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen F201 Pecan Nut LC | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen F202 Cashew Nut LC | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 I001-IgE Honeybee | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 I002-IgE Hornet, White Face | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 I003-IgE Yellow Jacket | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 I004-IgE Paper Wasp | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 I005-IgE Hornet, Yellow | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 I205-IgE Bumblebee | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ovalbumin allergen | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ovomucoid allergen | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Egg (Whole) allergen | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Milk allergen | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Soybean allergen | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Peanut allergen | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Wheat allergen | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Oat allergen | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F009-IgE Rice | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Malt allergen | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Coffee allergen | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Orange allergen | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Apple allergen | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Banana allergen | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F259-IgE Grape | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Strawberry allergen | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Corn allergen | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Potato allergen | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Cabbage allergen | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Green Bean allergen | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F048-IgE Onion | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F215-IgE Lettuce | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F244-IgE Cucumber | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Garlic allergen | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Chocolate allergen | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hops allergen | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Tomato allergen | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Vanilla allergen | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Beef allergen | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Chicken allergen | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Halibut allergen | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Codfish allergen | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Turkey allergen | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Beet Sugar allergen | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Pork allergen | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Tea allergen | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Yeast allergen | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Nut mix 1 allergens | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Nut mix 2 allergens | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 House Dust Mix | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Mold Mix | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Cat dander | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Dog dander | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IgE Scoring | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IgE total | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Tree Mix Two allergens | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Tree Mix One | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Grass Mix allergens | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Common ragweed allergen | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Pea allergen | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Grapefruit allergen | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Crab allergen | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Shrimp allergen | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Tuna allergen | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Salmon allergen | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Lobster allergen | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Clam allergen | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Oyster allergen | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Mackeral allergen | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Scallop allergen | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Mushroom allergen | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Fish mix allergens | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Legume mix allergens | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Lamb's Quarters Allergen | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Rough Pigweed allergen | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Cocklebur allergen | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Marsh Elder allergen | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Sheep Sorrel allergen | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Egg white allergen | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Bermuda grass allergen | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Timothy grass allergen | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Johnson Grass allergen | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Rye allergen | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 English Plantain allergen | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Pine Allergen | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Cladosporium herbarum | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Alternaria alternata | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Cockroach | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Cotton allergen | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Alpha Lactoalbumin allergen | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Beta Lactoglobulin allergen | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Casein allergen | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Barley allergen | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Buckwheat allergen | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Gluten allergen | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ARA H1 PEANUT | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ARA H2 PEANUT | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ARA H3 PEANUT | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ARA H9 PEANUT | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ARA H8 PEANUT | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Maple Allergen | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Oak Allergen | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 D. pteronyssinus | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 D. farinae | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Penicillium chrysogenum | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Aspergillus fumigatus | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Candida albicans | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Bluegrass (Kentucky) allergen | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Mucor racemosus | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Aureobasidium pullulans | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Phoma betae | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Epicoccum purpurascens | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Trichoderma viridae | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 House dust Greer | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 House dust Hollister-Stier | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 D. microceras | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen F291-IgE Cauliflower LC | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen H001-IgE House Dust Greer LC | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Aspergillus fumagatus IgG LC | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen D003-D. microceras (mite) LC | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen E001-IgE Cat Dander LC | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen E005-IgE Dog Dander LC | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen E070-IgE Goose Feathers LC | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen E072-IgE Mouse Urine LC | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen E085-IgE Chicken Feathers LC | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen E086-IgE Duck Feathers LC | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen E215-IgE Pigeon Feathers LC | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen F001-IgE Egg White LC | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen F002-IgE Milk LC | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen F003-IgE Codfish LC | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen F004-IgE Wheat LC | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen F008-IgE Corn LC | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen F011-IgE Buckwheat LC | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen F013-IgE Peanut LC | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen F014-IgE Soybean LC | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen F033-IgE Orange LC | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen F024-IgE Shrimp LC | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen D002-IgE D farinae LC | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen T007-IgE Oak, White LC | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen I206-IgE Cockroach, American LC | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen W014-IgE Pigweed, Common LC | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen I006-IgE Cockroach, German LC | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen F093-IgE Chocolate/Cacao LC | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen F023-IgE Crab LC | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen T010-IgE Walnut LC | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen F080-IgE Lobster LC | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen F026-IgE Pork LC | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen F035-IgE Potato, White LC | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen F083-IgE Chicken LC | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen F236-IgE Whey LC | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen M001-IgE Penicillium chrysogen LC | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen G010-IgE Johnson Grass LC | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen F077-IgE Beta Lactoglobulin LC | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen G006-IgE Timothy Grass LC | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen F041-IgE Salmon LC | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen F027-IgE Beef LC | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen F040-IgE Tuna LC | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen F044-IgE Strawberry LC | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen F290-IgE Oyster LC | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen F005-IgE Rye LC | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen F300-IgE Goat's Milk LC | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen F245-IgE Egg, Whole LC | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen F207-IgE Clam LC | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen T022-IgE Pecan, Hickory LC | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen G017-IgE Bahia Grass LC | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen T218-IgE Oak, Live/Virginia LC | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen W009-IgE Plantain, English LC | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen W010-IgE Lamb's Quarters LC | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen F299-IgE Sweet Chestnut LC | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen F414-IgE Tilapia LC | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen W018-IgE Sheep Sorrel LC | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen G005-IgE Rye Grass, Perennial LC | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen T002-IgE Alder, Grey LC | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen H002-IgE House Dust Hollister LC | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen M005-IgE Candida albicans LC | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen G004-IgE Fescue, Meadow LC | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen M013-IgE Phoma betae LC | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen M014-IgE Epicoccum purpur LC | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen M009-IgE Fusarium proliferatum LC | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen M004-IgE Mucor racemosus LC | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen M070-IgE Pityrosp. Orbiculare LC | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen M015-IgE Trichoderma viridae LC | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen F045-IgE Yeast LC | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen F345-IgE Macadamia Nut LC | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen K082-IgE Latex LC | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen O001-IgE Cotton Lint LC | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen F343-IgE Raspberry LC | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen F049-IgE Apple LC | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen F076-IgE Alpha Lactalbumin LC | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen F085-IgE Celery LC | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen F089-IgE Mustard LC | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen F092-IgE Banana LC | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen F095-IgE Peach LC | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen F096-IgE Avocado LC | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen F342-IgE Olive, Black LC | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen F319-IgE Red Beet LC | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen F263-IgE Green Peppercorn LC | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen F341-IgE Cranberry LC | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen F182-IgE Lima Bean LC | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen K084-IgE Sunflower Seed LC | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen F208-IgE Lemon LC | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen F210-IgE Pineapple LC | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen F211-IgE Blackberry LC | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen F217-IgE Brussel Sprouts LC | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen F218-IgE Paprika/Sweet Pepper LC | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen F222-IgE Tea LC | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen F224-IgE Poppy Seed LC | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen F225-IgE Pumpkin LC | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen F242-IgE Bing Cherry LC | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen F247-IgE Honey LC | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen F255-IgE Plum LC | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen F260-IgE Broccoli LC | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen F265-IgE Cumin LC | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen F270-IgE Ginger LC | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen F273-IgE Thyme LC | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen F279-IgE Chili Pepper LC | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen F280-IgE Black Peppercorn LC | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen F282-IgE Nutmeg LC | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen F283-IgE Oregano LC | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen F287-IgE Kidney Bean LC | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen F309-IgE Chick Pea LC | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen F313-IgE Anchovy LC | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen F315-IgE Green Bean LC | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen C074-IgE Gelatin LC | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen F369-IgE Catfish LC | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen F384-IgE Whitefish LC | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen G001-IgE Sweet Vernal LC | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen G012-IgE Rye Grass LC | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen G015-IgE Wheat, Cultivated LC | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen 2-IgE Grass Pollen Mix LC | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen I001-IgE Honeybee LC | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen I002-IgE Hornet, White Face LC | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen I003-IgE Yellow Jacket LC | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen I004-IgE Paper Wasp LC | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen I005-IgE Hornet, Yellow LC | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen M010-IgE Stemphylium herbarum LC | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen M210-IgE Trichophyton mentagro LC | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen M046-IgE Bipolaris LC | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen T012-IgE Willow LC | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen T011-IgE Maple Leaf Sycamore LC | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen T211-IgE Sweet Gum LC | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen W003-IgE Ragweed, Giant LC | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen W012-IgE Goldenrod LC | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen W013-IgE Cocklebur LC | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen W045-IgE Alfalfa LC | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen F332-IgE Mint LC | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen F328-IgE Fig LC | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen G002-IgE Bermuda Grass LC | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen W001-IgE Ragweed, Short LC | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen F025-IgE Tomato LC | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen M002-IgE Cladosporium herbarum LC | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen F333-IgE Linseed LC | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen M003-IgE Aspergillus fumigatus LC | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen M006-IgE Alternaria alternata LC | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 D001-IgE D pteronyssinus LC | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergens Food Profile LC | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Nut Profile w/Rflx LC | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Mold Profile LC | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen F001 Egg White w/Rflx LC | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen IgE Peanut w/Comp Rflx LC | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen IgE Milk w/ Comp Rflx LC | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F076-IgE Alpha Lactalb | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F077-IgE Beta Lactoglob | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F078-IgE Casein | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F447-IgE Ara h 6 | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 .Allergen F018 Brazil Nut LC | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 .Allergen F202 Cashew LC | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F428-IgE Cor a 1 | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F425-IgE Cor a 8 | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F440-IgE Cor a 9 | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F439-IgE Cor a 14 | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F441-IgE Jug r 1 | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F442-IgE Jug r 3 | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 G008-IgE Bluegrass, Kentucky | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 G005-IgE Rye Grass Perennial | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 G002-IgE Bermuda Grass | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 G006-IgE Timothy Grass | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 G010-IgE Johnson Grass | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 G017-IgE Bahia Grass | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Venison IgE - LC | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Alpha-fetoprotein (AFP) blood test CPT 82105 Alpha Fetoprotein Tumor Marker | $55.96 | $55.96 | $46.91–$55.96 | 26% below | — |
| Alpha-fetoprotein (AFP) blood test CPT 82105 AFP Maternal LC | $55.96 | $55.96 | $46.91–$55.96 | 26% below | — |
| Alpha-fetoprotein (AFP) blood test CPT 82105 AFP Value Tetra | $55.96 | $55.96 | $46.91–$55.96 | 26% below | — |
| Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 Alpha Fetoprotein Tumor Marker | $55.96 | $55.96 | $41.97–$55.96 | — | — |
| Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 AFP Value Tetra | $55.96 | $55.96 | $41.97–$55.96 | — | — |
| Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 AFP Maternal LC | $55.96 | $55.96 | $41.97–$55.96 | — | — |
| Ammonia blood test CPT 82140 Ammonia Level | $125.63 | $125.63 | $105.30–$125.63 | 173% above | — |
| Ammonia blood test inpatient CPT 82140 Ammonia Level | $125.63 | $125.63 | $94.22–$125.63 | — | — |
| Amylase blood test CPT 82150 Amylase urine | $57.02 | $57.02 | $47.79–$57.02 | 48% above | — |
| Amylase blood test CPT 82150 Amylase Urine | $57.02 | $57.02 | $47.79–$57.02 | 48% above | — |
| Amylase blood test CPT 82150 Amylase Level | $57.02 | $57.02 | $47.79–$57.02 | 48% above | — |
| Amylase blood test CPT 82150 Amylase fluid | $57.02 | $57.02 | $47.79–$57.02 | 48% above | — |
| Amylase blood test inpatient CPT 82150 Amylase Level | $57.02 | $57.02 | $42.76–$57.02 | — | — |
| Amylase blood test inpatient CPT 82150 Amylase Urine | $57.02 | $57.02 | $42.76–$57.02 | — | — |
| Amylase blood test inpatient CPT 82150 Amylase urine | $57.02 | $57.02 | $42.76–$57.02 | — | — |
| Amylase blood test inpatient CPT 82150 Amylase fluid | $57.02 | $57.02 | $42.76–$57.02 | — | — |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Anti Cyclic Citrullinated Peptide-LC | $73.90 | $73.90 | $61.94–$73.90 | 75% above | — |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 Anti Cyclic Citrullinated Peptide-LC | $73.90 | $73.90 | $55.42–$73.90 | — | — |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 Anti Nuclear Antibody Screen-LC | $148.86 | $148.86 | $124.77–$148.86 | 145% above | — |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA with Reflex Confirmatory Testing* | $148.86 | $148.86 | $124.77–$148.86 | 145% above | — |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA with Reflex Confirmatory Testing* | $148.86 | $148.86 | $111.65–$148.86 | — | — |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 Anti Nuclear Antibody Screen-LC | $148.86 | $148.86 | $111.65–$148.86 | — | — |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 B-type natriuretic peptide (BNP) | $192.62 | $192.62 | $161.45–$192.62 | 61% above | — |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 ProBrain Natriuretic Peptide, NT - LC | $197.92 | $197.92 | $165.90–$197.92 | 65% above | — |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 B-type natriuretic peptide (BNP) | $192.62 | $192.62 | $144.46–$192.62 | — | — |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 ProBrain Natriuretic Peptide, NT - LC | $197.92 | $197.92 | $148.44–$197.92 | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Tissue Culture w/Gram Stain | $73.90 | $73.90 | $61.94–$73.90 | 44% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Oral-Nose Culture | $73.90 | $73.90 | $61.94–$73.90 | 44% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Anthrax Culture | $73.90 | $73.90 | $61.94–$73.90 | 44% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Eye Culture w/Gram Stain | $73.90 | $73.90 | $61.94–$73.90 | 44% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Wound Culture with Gram Stain | $73.90 | $73.90 | $61.94–$73.90 | 44% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Urogenital Culture with Gram Stain | $73.90 | $73.90 | $61.94–$73.90 | 44% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Throat Culture | $73.90 | $73.90 | $61.94–$73.90 | 44% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Strep A Culture No Rapid Antigen | $73.90 | $73.90 | $61.94–$73.90 | 44% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Respiratory Upper Culture w/Gram Stain | $73.90 | $73.90 | $61.94–$73.90 | 44% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Respiratory Lower Culture w/Gram Stain | $73.90 | $73.90 | $61.94–$73.90 | 44% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Medical Hardware Culture | $73.90 | $73.90 | $61.94–$73.90 | 44% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 GC Culture | $73.90 | $73.90 | $61.94–$73.90 | 44% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Gall Bladder Culture | $73.90 | $73.90 | $61.94–$73.90 | 44% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Ear Culture w/Gram Stain | $73.90 | $73.90 | $61.94–$73.90 | 44% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CSF Culture w/Gram Stain | $73.90 | $73.90 | $61.94–$73.90 | 44% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Bone Marrow Culture w/Gram Stain | $73.90 | $73.90 | $61.94–$73.90 | 44% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Body Fluid Culture w/Gram Stain | $73.90 | $73.90 | $61.94–$73.90 | 44% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Abscess Culture w/Gram Stain | $73.90 | $73.90 | $61.94–$73.90 | 44% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 MRSA Screen Culture | $73.90 | $73.90 | $61.94–$73.90 | 44% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Vanco Resist Enter (VRE) Screen | $73.90 | $73.90 | $61.94–$73.90 | 44% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Catheter Tip Culture | $73.90 | $73.90 | $61.94–$73.90 | 44% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Legion Cult Status | $120.36 | $120.36 | $100.89–$120.36 | 135% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Strep A Culture No Rapid Antigen | $73.90 | $73.90 | $55.42–$73.90 | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Throat Culture | $73.90 | $73.90 | $55.42–$73.90 | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Tissue Culture w/Gram Stain | $73.90 | $73.90 | $55.42–$73.90 | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Urogenital Culture with Gram Stain | $73.90 | $73.90 | $55.42–$73.90 | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Oral-Nose Culture | $73.90 | $73.90 | $55.42–$73.90 | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Respiratory Lower Culture w/Gram Stain | $73.90 | $73.90 | $55.42–$73.90 | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CSF Culture w/Gram Stain | $73.90 | $73.90 | $55.42–$73.90 | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Bone Marrow Culture w/Gram Stain | $73.90 | $73.90 | $55.42–$73.90 | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Body Fluid Culture w/Gram Stain | $73.90 | $73.90 | $55.42–$73.90 | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Abscess Culture w/Gram Stain | $73.90 | $73.90 | $55.42–$73.90 | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 MRSA Screen Culture | $73.90 | $73.90 | $55.42–$73.90 | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Vanco Resist Enter (VRE) Screen | $73.90 | $73.90 | $55.42–$73.90 | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Catheter Tip Culture | $73.90 | $73.90 | $55.42–$73.90 | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Gall Bladder Culture | $73.90 | $73.90 | $55.42–$73.90 | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 GC Culture | $73.90 | $73.90 | $55.42–$73.90 | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Medical Hardware Culture | $73.90 | $73.90 | $55.42–$73.90 | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Respiratory Upper Culture w/Gram Stain | $73.90 | $73.90 | $55.42–$73.90 | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Wound Culture with Gram Stain | $73.90 | $73.90 | $55.42–$73.90 | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Anthrax Culture | $73.90 | $73.90 | $55.42–$73.90 | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Eye Culture w/Gram Stain | $73.90 | $73.90 | $55.42–$73.90 | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Ear Culture w/Gram Stain | $73.90 | $73.90 | $55.42–$73.90 | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Legion Cult Status | $120.36 | $120.36 | $90.27–$120.36 | — | — |
| Basic metabolic panel (blood test) CPT 80048 Basic Metabolic Panel | $73.90 | $73.90 | $61.94–$73.90 | 37% above | — |
| Basic metabolic panel (blood test) CPT 80048 Basic Metabolic Panel-LC | $73.90 | $73.90 | $61.94–$73.90 | 37% above | — |
| Basic metabolic panel (blood test) inpatient CPT 80048 Basic Metabolic Panel | $73.90 | $73.90 | $55.42–$73.90 | — | — |
| Basic metabolic panel (blood test) inpatient CPT 80048 Basic Metabolic Panel-LC | $73.90 | $73.90 | $55.42–$73.90 | — | — |
| Bilirubin blood test, total CPT 82247 Bilirubin Total | $33.78 | $33.78 | $28.31–$33.78 | 38% above | — |
| Bilirubin blood test, total CPT 82247 Bilirubin Body Fluid | $79.18 | $79.18 | $66.37–$79.18 | 223% above | — |
| Bilirubin blood test, total inpatient CPT 82247 Bilirubin Total | $33.78 | $33.78 | $25.34–$33.78 | — | — |
| Bilirubin blood test, total inpatient CPT 82247 Bilirubin Body Fluid | $79.18 | $79.18 | $59.39–$79.18 | — | — |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 OSU - 88305 AP Renal Biopsy Surg Path IV | $191.09 | $191.09 | $160.17–$191.09 | 76% above | — |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 88305 AP Bill Surgical Pathology Level IV Complexit | $191.09 | $191.09 | $160.17–$191.09 | 76% above | — |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 88305 AP Bill Surgical Pathology Level IV Complexit | $191.09 | $191.09 | $143.32–$191.09 | — | — |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 OSU - 88305 AP Renal Biopsy Surg Path IV | $191.09 | $191.09 | $143.32–$191.09 | — | — |
| Blood culture for bacteria CPT 87040 Blood Culture | $181.58 | $181.58 | $152.20–$181.58 | 145% above | — |
| Blood culture for bacteria inpatient CPT 87040 Blood Culture | $181.58 | $181.58 | $136.18–$181.58 | — | — |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 36415 Routine venipuncture | $7.39 | $7.39 | $6.19–$7.39 | 30% below | — |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 .BO Lab One Collection Fee | $13.73 | $13.73 | $11.51–$13.73 | 31% above | — |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 SVI Venipuncture OP SVC | $13.73 | $13.73 | $11.51–$13.73 | 31% above | — |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 36415 Routine Venipuncture | $13.73 | $13.73 | $11.51–$13.73 | 31% above | — |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 COLLECTION: Venous Draw | $13.73 | $13.73 | $11.51–$13.73 | 31% above | — |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 Routine venipuncture | $13.73 | $13.73 | $11.51–$13.73 | 31% above | — |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 Routine venipuncture lab | $13.73 | $13.73 | $11.51–$13.73 | 31% above | — |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 36415 Routine venipuncture | $7.39 | $7.39 | $5.54–$7.39 | — | — |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 .BO Lab One Collection Fee | $13.73 | $13.73 | $10.30–$13.73 | — | — |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 SVI Venipuncture OP SVC | $13.73 | $13.73 | $10.30–$13.73 | — | — |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 36415 Routine Venipuncture | $13.73 | $13.73 | $10.30–$13.73 | — | — |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Routine venipuncture | $13.73 | $13.73 | $10.30–$13.73 | — | — |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 COLLECTION: Venous Draw | $13.73 | $13.73 | $10.30–$13.73 | — | — |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Routine venipuncture lab | $13.73 | $13.73 | $10.30–$13.73 | — | — |
| Blood glucose (sugar) test CPT 82947 Glucose quantitative urine | $33.78 | $33.78 | $28.31–$33.78 | 47% above | — |
| Blood glucose (sugar) test CPT 82947 Glucose 2 Hour Post Prandial | $33.78 | $33.78 | $28.31–$33.78 | 47% above | — |
| Blood glucose (sugar) test CPT 82947 Glucose Quantitative Urine | $33.78 | $33.78 | $28.31–$33.78 | 47% above | — |
| Blood glucose (sugar) test CPT 82947 Glucose Tolerance, 1/2 hr | $33.78 | $33.78 | $28.31–$33.78 | 47% above | — |
| Blood glucose (sugar) test CPT 82947 Glucose Whole Blood | $33.78 | $33.78 | $28.31–$33.78 | 47% above | — |
| Blood glucose (sugar) test CPT 82947 Glucose, Plasma | $33.78 | $33.78 | $28.31–$33.78 | 47% above | — |
| Blood glucose (sugar) test CPT 82947 Glucose whole blood | $33.78 | $33.78 | $28.31–$33.78 | 47% above | — |
| Blood glucose (sugar) test CPT 82947 Glucose POC Meter | $33.78 | $33.78 | $28.31–$33.78 | 47% above | — |
| Blood glucose (sugar) test one side CPT 82947 Glucose whole blood RT | $33.78 | $33.78 | $28.31–$33.78 | 47% above | — |
| Blood glucose (sugar) test one side CPT 82947 Glucose Whole Blood RT | $33.78 | $33.78 | $28.31–$33.78 | 47% above | — |
| Blood glucose (sugar) test inpatient CPT 82947 Glucose whole blood | $33.78 | $33.78 | $25.34–$33.78 | — | — |
| Blood glucose (sugar) test inpatient CPT 82947 Glucose, Plasma | $33.78 | $33.78 | $25.34–$33.78 | — | — |
| Blood glucose (sugar) test inpatient CPT 82947 Glucose quantitative urine | $33.78 | $33.78 | $25.34–$33.78 | — | — |
| Blood glucose (sugar) test inpatient CPT 82947 Glucose Quantitative Urine | $33.78 | $33.78 | $25.34–$33.78 | — | — |
| Blood glucose (sugar) test inpatient CPT 82947 Glucose POC Meter | $33.78 | $33.78 | $25.34–$33.78 | — | — |
| Blood glucose (sugar) test inpatient CPT 82947 Glucose Whole Blood | $33.78 | $33.78 | $25.34–$33.78 | — | — |
| Blood glucose (sugar) test inpatient CPT 82947 Glucose Tolerance, 1/2 hr | $33.78 | $33.78 | $25.34–$33.78 | — | — |
| Blood glucose (sugar) test inpatient CPT 82947 Glucose 2 Hour Post Prandial | $33.78 | $33.78 | $25.34–$33.78 | — | — |
| Blood glucose (sugar) test inpatient one side CPT 82947 Glucose whole blood RT | $33.78 | $33.78 | $25.34–$33.78 | — | — |
| Blood glucose (sugar) test inpatient one side CPT 82947 Glucose Whole Blood RT | $33.78 | $33.78 | $25.34–$33.78 | — | — |
| Blood lead test CPT 83655 POC Lead Test | $43.16 | $43.16 | $36.18–$43.16 | 20% above | — |
| Blood lead test CPT 83655 Lead Standard Profile Adults-LC | $103.46 | $103.46 | $86.72–$103.46 | 188% above | — |
| Blood lead test CPT 83655 Lead, Urine | $103.46 | $103.46 | $86.72–$103.46 | 188% above | — |
| Blood lead test CPT 83655 Lead Peds LC | $103.46 | $103.46 | $86.72–$103.46 | 188% above | — |
| Blood lead test CPT 83655 Lead, Blood | $103.46 | $103.46 | $86.72–$103.46 | 188% above | — |
| Blood lead test inpatient CPT 83655 POC Lead Test | $43.16 | $43.16 | $32.37–$43.16 | — | — |
| Blood lead test inpatient CPT 83655 Lead Peds LC | $103.46 | $103.46 | $77.60–$103.46 | — | — |
| Blood lead test inpatient CPT 83655 Lead Standard Profile Adults-LC | $103.46 | $103.46 | $77.60–$103.46 | — | — |
| Blood lead test inpatient CPT 83655 Lead, Blood | $103.46 | $103.46 | $77.60–$103.46 | — | — |
| Blood lead test inpatient CPT 83655 Lead, Urine | $103.46 | $103.46 | $77.60–$103.46 | — | — |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Op Early Pregnancy Test | $25.69 | $25.69 | $21.53–$25.69 | 38% below | — |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Pregnancy Test Serum | $83.40 | $83.40 | $69.91–$83.40 | 101% above | — |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Beta Human Chorionic Gonadotropin Qualitative | $83.40 | $83.40 | $69.91–$83.40 | 101% above | — |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 Op Early Pregnancy Test | $25.69 | $25.69 | $19.27–$25.69 | — | — |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 Beta Human Chorionic Gonadotropin Qualitative | $83.40 | $83.40 | $62.55–$83.40 | — | — |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 Pregnancy Test Serum | $83.40 | $83.40 | $62.55–$83.40 | — | — |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO Only | $379.01 | $379.01 | $317.69–$379.01 | 829% above | — |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO/Rh | $379.01 | $379.01 | $317.69–$379.01 | 829% above | — |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 ABO/Rh | $379.01 | $379.01 | $284.26–$379.01 | — | — |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 ABO Only | $379.01 | $379.01 | $284.26–$379.01 | — | — |
| Blood urea nitrogen (BUN) test CPT 84520 Urea Nitrogen fluid | $33.78 | $33.78 | $28.31–$33.78 | 23% above | — |
| Blood urea nitrogen (BUN) test CPT 84520 Blood Urea Nitrogen | $33.78 | $33.78 | $28.31–$33.78 | 23% above | — |
| Blood urea nitrogen (BUN) test CPT 84520 BUN Post | $33.78 | $33.78 | $28.31–$33.78 | 23% above | — |
| Blood urea nitrogen (BUN) test CPT 84520 Urea Nitrogen urine | $33.78 | $33.78 | $28.31–$33.78 | 23% above | — |
| Blood urea nitrogen (BUN) test inpatient CPT 84520 Urea Nitrogen fluid | $33.78 | $33.78 | $25.34–$33.78 | — | — |
| Blood urea nitrogen (BUN) test inpatient CPT 84520 BUN Post | $33.78 | $33.78 | $25.34–$33.78 | — | — |
| Blood urea nitrogen (BUN) test inpatient CPT 84520 Urea Nitrogen urine | $33.78 | $33.78 | $25.34–$33.78 | — | — |
| Blood urea nitrogen (BUN) test inpatient CPT 84520 Blood Urea Nitrogen | $33.78 | $33.78 | $25.34–$33.78 | — | — |
| C-peptide blood test CPT 84681 C-Peptide-LC | $73.90 | $73.90 | $61.94–$73.90 | at median | — |
| C-peptide blood test inpatient CPT 84681 C-Peptide-LC | $73.90 | $73.90 | $55.42–$73.90 | — | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 CRP | $41.17 | $41.17 | $34.51–$41.17 | 35% above | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 CRP | $41.17 | $41.17 | $30.88–$41.17 | — | — |
| C. difficile toxin gene test (stool PCR) CPT 87493 C. diff DNA AMP | $127.75 | $127.75 | $107.08–$127.75 | 12% above | — |
| C. difficile toxin gene test (stool PCR) inpatient CPT 87493 C. diff DNA AMP | $127.75 | $127.75 | $95.81–$127.75 | — | — |
| CA 19-9 blood test (tumor marker) CPT 86301 Carbohydrate Antigen 19-9-LC | $73.90 | $73.90 | $61.94–$73.90 | 11% below | — |
| CA 19-9 blood test (tumor marker) CPT 86301 Carbohydrate Antigen 19-9 | $211.42 | $211.42 | $177.21–$211.42 | 155% above | — |
| CA 19-9 blood test (tumor marker) inpatient CPT 86301 Carbohydrate Antigen 19-9-LC | $73.90 | $73.90 | $55.42–$73.90 | — | — |
| CA 19-9 blood test (tumor marker) inpatient CPT 86301 Carbohydrate Antigen 19-9 | $211.42 | $211.42 | $158.56–$211.42 | — | — |
| CA-125 blood test (ovarian cancer marker) CPT 86304 Cancer Antigen (CA) 125 - LC | $179.48 | $179.48 | $150.44–$179.48 | 68% above | — |
| CA-125 blood test (ovarian cancer marker) CPT 86304 Cancer Antigen 125 | $179.48 | $179.48 | $150.44–$179.48 | 68% above | — |
| CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 Cancer Antigen (CA) 125 - LC | $179.48 | $179.48 | $134.61–$179.48 | — | — |
| CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 Cancer Antigen 125 | $179.48 | $179.48 | $134.61–$179.48 | — | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Cepheid COVID PCR POC | $130.49 | $130.49 | $109.38–$130.49 | 21% above | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID-19 SARS COV-2 PCR | $131.97 | $131.97 | $110.62–$131.97 | 22% above | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 Cepheid COVID PCR POC | $130.49 | $130.49 | $97.87–$130.49 | — | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 COVID-19 SARS COV-2 PCR | $131.97 | $131.97 | $98.98–$131.97 | — | — |
| Calcium blood test, total CPT 82310 Calcium Level Total | $41.17 | $41.17 | $34.51–$41.17 | 63% above | — |
| Calcium blood test, total inpatient CPT 82310 Calcium Level Total | $41.17 | $41.17 | $30.88–$41.17 | — | — |
| Carcinoembryonic antigen (CEA) test CPT 82378 Carcinoembryonic Antigen | $164.70 | $164.70 | $138.05–$164.70 | 59% above | — |
| Carcinoembryonic antigen (CEA) test inpatient CPT 82378 Carcinoembryonic Antigen | $164.70 | $164.70 | $123.52–$164.70 | — | — |
| Chickenpox (varicella) immunity blood test CPT 86787 Varicella Zoster Virus Antibodies IgM-LC | $109.80 | $109.80 | $92.03–$109.80 | 187% above | — |
| Chickenpox (varicella) immunity blood test CPT 86787 Varicella Zoster Antibody IgG | $109.80 | $109.80 | $92.03–$109.80 | 187% above | — |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 Varicella Zoster Virus Antibodies IgM-LC | $109.80 | $109.80 | $82.35–$109.80 | — | — |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 Varicella Zoster Antibody IgG | $109.80 | $109.80 | $82.35–$109.80 | — | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chlamydia trachomatis, NAA | $82.34 | $82.34 | $69.02–$82.34 | 45% above | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chlamydia by NAA - LC | $82.34 | $82.34 | $69.02–$82.34 | 45% above | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chlamydia trach. by NAA | $82.34 | $82.34 | $69.02–$82.34 | 45% above | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chlamydia Prequot, NAA | $82.34 | $82.34 | $69.02–$82.34 | 45% above | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chlamydia Trachomatis DNA | $300.89 | $300.89 | $252.21–$300.89 | 431% above | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Chlamydia Prequot, NAA | $82.34 | $82.34 | $61.76–$82.34 | — | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Chlamydia trach. by NAA | $82.34 | $82.34 | $61.76–$82.34 | — | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Chlamydia trachomatis, NAA | $82.34 | $82.34 | $61.76–$82.34 | — | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Chlamydia by NAA - LC | $82.34 | $82.34 | $61.76–$82.34 | — | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Chlamydia Trachomatis DNA | $300.89 | $300.89 | $225.67–$300.89 | — | — |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipid Panel | $117.19 | $117.19 | $98.23–$117.19 | 88% above | — |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Cholesterol | $117.19 | $117.19 | $98.23–$117.19 | 88% above | — |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LDL-P | $117.19 | $117.19 | $98.23–$117.19 | 88% above | — |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipid Panel-LC | $172.62 | $172.62 | $144.69–$172.62 | 176% above | — |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Lipid Panel | $117.19 | $117.19 | $87.89–$117.19 | — | — |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Cholesterol | $117.19 | $117.19 | $87.89–$117.19 | — | — |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LDL-P | $117.19 | $117.19 | $87.89–$117.19 | — | — |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Lipid Panel-LC | $172.62 | $172.62 | $129.46–$172.62 | — | — |
| Complete blood count (CBC) with differential CPT 85025 Complete Blood Count w/ Automated Differential | $67.57 | $67.57 | $56.64–$67.57 | 63% above | — |
| Complete blood count (CBC) with differential CPT 85025 CBC Manual Diff | $67.57 | $67.57 | $56.64–$67.57 | 63% above | — |
| Complete blood count (CBC) with differential inpatient CPT 85025 Complete Blood Count w/ Automated Differential | $67.57 | $67.57 | $50.68–$67.57 | — | — |
| Complete blood count (CBC) with differential inpatient CPT 85025 CBC Manual Diff | $67.57 | $67.57 | $50.68–$67.57 | — | — |
| Complete blood count (CBC), no differential CPT 85027 CBCND | $77.07 | $77.07 | $64.60–$77.07 | 120% above | — |
| Complete blood count (CBC), no differential inpatient CPT 85027 CBCND | $77.07 | $77.07 | $57.80–$77.07 | — | — |
| Comprehensive metabolic panel (blood test) CPT 80053 Comprehensive Metabolic Panel-LC | $91.85 | $91.85 | $76.99–$91.85 | 87% above | — |
| Comprehensive metabolic panel (blood test) CPT 80053 Comprehensive Metabolic Panel | $91.85 | $91.85 | $76.99–$91.85 | 87% above | — |
| Comprehensive metabolic panel (blood test) CPT 80053 AddCMP | $91.85 | $91.85 | $76.99–$91.85 | 87% above | — |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 AddCMP | $91.85 | $91.85 | $68.89–$91.85 | — | — |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 Comprehensive Metabolic Panel-LC | $91.85 | $91.85 | $68.89–$91.85 | — | — |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 Comprehensive Metabolic Panel | $91.85 | $91.85 | $68.89–$91.85 | — | — |
| Cortisol blood test, total CPT 82533 Salivary Cortisol MS-LC | $114.02 | $114.02 | $95.57–$114.02 | 92% above | — |
| Cortisol blood test, total CPT 82533 Cortisol Serum | $140.42 | $140.42 | $117.70–$140.42 | 137% above | — |
| Cortisol blood test, total inpatient CPT 82533 Salivary Cortisol MS-LC | $114.02 | $114.02 | $85.52–$114.02 | — | — |
| Cortisol blood test, total inpatient CPT 82533 Cortisol Serum | $140.42 | $140.42 | $105.32–$140.42 | — | — |
| Creatine kinase (CK) blood test, total CPT 82550 Creatine Kinase | $57.02 | $57.02 | $47.79–$57.02 | 31% above | — |
| Creatine kinase (CK) blood test, total CPT 82550 CK Total | $57.02 | $57.02 | $47.79–$57.02 | 31% above | — |
| Creatine kinase (CK) blood test, total inpatient CPT 82550 CK Total | $57.02 | $57.02 | $42.76–$57.02 | — | — |
| Creatine kinase (CK) blood test, total inpatient CPT 82550 Creatine Kinase | $57.02 | $57.02 | $42.76–$57.02 | — | — |
| Creatinine blood test CPT 82565 Creatinine POC Meter | $41.17 | $41.17 | $34.51–$41.17 | 40% above | — |
| Creatinine blood test CPT 82565 Creatinine | $41.17 | $41.17 | $34.51–$41.17 | 40% above | — |
| Creatinine blood test inpatient CPT 82565 Creatinine | $41.17 | $41.17 | $30.88–$41.17 | — | — |
| Creatinine blood test inpatient CPT 82565 Creatinine POC Meter | $41.17 | $41.17 | $30.88–$41.17 | — | — |
| Cytomegalovirus (CMV) antibody test CPT 86644 Cytomegalovirus (CMV) Ab, IgG | $51.73 | $51.73 | $43.36–$51.73 | 3% above | — |
| Cytomegalovirus (CMV) antibody test CPT 86644 CMV Antibody IgG-LC | $51.73 | $51.73 | $43.36–$51.73 | 3% above | — |
| Cytomegalovirus (CMV) antibody test inpatient CPT 86644 Cytomegalovirus (CMV) Ab, IgG | $51.73 | $51.73 | $38.80–$51.73 | — | — |
| Cytomegalovirus (CMV) antibody test inpatient CPT 86644 CMV Antibody IgG-LC | $51.73 | $51.73 | $38.80–$51.73 | — | — |
| D-dimer blood test (blood clot marker) CPT 85379 D-Dimer | $89.74 | $89.74 | $75.22–$89.74 | 40% above | — |
| D-dimer blood test (blood clot marker) inpatient CPT 85379 D-Dimer | $89.74 | $89.74 | $67.30–$89.74 | — | — |
| DHEA sulfate (DHEA-S) blood test CPT 82627 Dehydroepiandrosterone Sulfate | $78.12 | $78.12 | $65.48–$78.12 | 16% below | — |
| DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 Dehydroepiandrosterone Sulfate | $78.12 | $78.12 | $58.59–$78.12 | — | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Synthetic Cannabinoids,Scr,Ur - LC | $178.78 | $178.78 | $149.85–$178.78 | 488% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Apollo Tox Screen and Confirm MHCS | $188.98 | $188.98 | $158.40–$188.98 | 522% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Drug Screen 9 + Oxycodone Bundle Urine-LC | $188.98 | $188.98 | $158.40–$188.98 | 522% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Apollo Tox Urine Drug Screen MHCS | $188.98 | $188.98 | $158.40–$188.98 | 522% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Buprenorphine Urine Screen | $240.71 | $240.71 | $201.76–$240.71 | 692% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 U NicotineMetLC | $240.71 | $240.71 | $201.76–$240.71 | 692% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Drug Screen 9 + Oxycodone + Creatinine Bundle Urine | $240.71 | $240.71 | $201.76–$240.71 | 692% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Apollo Tox UDS with Reflex Confirmation MHCS | $240.71 | $240.71 | $201.76–$240.71 | 692% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Oxycodone Screen Urine | $240.71 | $240.71 | $201.76–$240.71 | 692% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Fentanyl Screen Urine | $240.71 | $240.71 | $201.76–$240.71 | 692% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Buprenorphine Screen Urine | $240.71 | $240.71 | $201.76–$240.71 | 692% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Nicotine | $240.71 | $240.71 | $201.76–$240.71 | 692% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Gabapentin Screen Urine | $240.82 | $240.82 | $201.86–$240.82 | 693% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Drug Screen 11 w/ Reflx Confirmation Serum-LC | $266.05 | $266.05 | $223.00–$266.05 | 776% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 .Mephedrone + MDPV Confirmation - LC | $266.05 | $266.05 | $223.00–$266.05 | 776% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Outreach UDS without Reflex | $330.45 | $330.45 | $276.98–$330.45 | 988% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 U Drug Scr w Bup | $330.45 | $330.45 | $276.98–$330.45 | 988% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 U Drug Scr SMI | $330.45 | $330.45 | $276.98–$330.45 | 988% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 U Drug Scr | $330.45 | $330.45 | $276.98–$330.45 | 988% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 U Qnt Scrn | $624.72 | $624.72 | $523.64–$624.72 | 1956% above | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Synthetic Cannabinoids,Scr,Ur - LC | $178.78 | $178.78 | $134.08–$178.78 | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Apollo Tox Urine Drug Screen MHCS | $188.98 | $188.98 | $141.73–$188.98 | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Apollo Tox Screen and Confirm MHCS | $188.98 | $188.98 | $141.73–$188.98 | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Drug Screen 9 + Oxycodone Bundle Urine-LC | $188.98 | $188.98 | $141.73–$188.98 | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Apollo Tox UDS with Reflex Confirmation MHCS | $240.71 | $240.71 | $180.53–$240.71 | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Oxycodone Screen Urine | $240.71 | $240.71 | $180.53–$240.71 | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Fentanyl Screen Urine | $240.71 | $240.71 | $180.53–$240.71 | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Buprenorphine Screen Urine | $240.71 | $240.71 | $180.53–$240.71 | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Nicotine | $240.71 | $240.71 | $180.53–$240.71 | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Buprenorphine Urine Screen | $240.71 | $240.71 | $180.53–$240.71 | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 U NicotineMetLC | $240.71 | $240.71 | $180.53–$240.71 | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Drug Screen 9 + Oxycodone + Creatinine Bundle Urine | $240.71 | $240.71 | $180.53–$240.71 | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Gabapentin Screen Urine | $240.82 | $240.82 | $180.62–$240.82 | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Drug Screen 11 w/ Reflx Confirmation Serum-LC | $266.05 | $266.05 | $199.54–$266.05 | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 .Mephedrone + MDPV Confirmation - LC | $266.05 | $266.05 | $199.54–$266.05 | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Outreach UDS without Reflex | $330.45 | $330.45 | $247.84–$330.45 | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 U Drug Scr w Bup | $330.45 | $330.45 | $247.84–$330.45 | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 U Drug Scr | $330.45 | $330.45 | $247.84–$330.45 | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 U Drug Scr SMI | $330.45 | $330.45 | $247.84–$330.45 | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 U Qnt Scrn | $624.72 | $624.72 | $468.54–$624.72 | — | — |
| Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 Electrolyte Panel | $51.73 | $51.73 | $43.36–$51.73 | 59% above | — |
| Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 Electrolyte Panel | $51.73 | $51.73 | $38.80–$51.73 | — | — |
| Epstein-Barr virus (EBV) antibody test CPT 86665 EBV Ab VCA, IgG - LC | $120.36 | $120.36 | $100.89–$120.36 | 98% above | — |
| Epstein-Barr virus (EBV) antibody test CPT 86665 EBV Ab VCA, IgM | $120.36 | $120.36 | $100.89–$120.36 | 98% above | — |
| Epstein-Barr virus (EBV) antibody test CPT 86665 EBV Ab VCA, IgM - LC | $120.36 | $120.36 | $100.89–$120.36 | 98% above | — |
| Epstein-Barr virus (EBV) antibody test CPT 86665 EBV Ab VCA, IgG | $120.36 | $120.36 | $100.89–$120.36 | 98% above | — |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 EBV Ab VCA, IgM - LC | $120.36 | $120.36 | $90.27–$120.36 | — | — |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 EBV Ab VCA, IgM | $120.36 | $120.36 | $90.27–$120.36 | — | — |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 EBV Ab VCA, IgG | $120.36 | $120.36 | $90.27–$120.36 | — | — |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 EBV Ab VCA, IgG - LC | $120.36 | $120.36 | $90.27–$120.36 | — | — |
| Estradiol blood test CPT 82670 Estradiol, Sensitive - LC | $239.65 | $239.65 | $200.87–$239.65 | 179% above | — |
| Estradiol blood test CPT 82670 Estradiol Level | $239.65 | $239.65 | $200.87–$239.65 | 179% above | — |
| Estradiol blood test inpatient CPT 82670 Estradiol, Sensitive - LC | $239.65 | $239.65 | $179.74–$239.65 | — | — |
| Estradiol blood test inpatient CPT 82670 Estradiol Level | $239.65 | $239.65 | $179.74–$239.65 | — | — |
| FSH (follicle-stimulating hormone) test CPT 83001 FSH Serum | $161.53 | $161.53 | $135.39–$161.53 | 92% above | — |
| FSH (follicle-stimulating hormone) test CPT 83001 FSH, Pediatric - LC | $161.53 | $161.53 | $135.39–$161.53 | 92% above | — |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 FSH Serum | $161.53 | $161.53 | $121.15–$161.53 | — | — |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 FSH, Pediatric - LC | $161.53 | $161.53 | $121.15–$161.53 | — | — |
| Fecal calprotectin (stool inflammation test) CPT 83993 Calprotectin Fecal-LC | $444.48 | $444.48 | $372.56–$444.48 | 392% above | — |
| Fecal calprotectin (stool inflammation test) inpatient CPT 83993 Calprotectin Fecal-LC | $444.48 | $444.48 | $333.36–$444.48 | — | — |
| Ferritin blood test (iron stores) CPT 82728 Ferritin | $119.30 | $119.30 | $100.00–$119.30 | 70% above | — |
| Ferritin blood test (iron stores) inpatient CPT 82728 Ferritin | $119.30 | $119.30 | $89.48–$119.30 | — | — |
| Fibrinogen blood test CPT 85384 Citrated Functional Fibrinogen - (Max Amplitude) | $73.90 | $73.90 | $61.94–$73.90 | 44% above | — |
| Fibrinogen blood test CPT 85384 Citrated Kaolin - Angle | $73.90 | $73.90 | $61.94–$73.90 | 44% above | — |
| Fibrinogen blood test CPT 85384 Fibrinogen | $73.90 | $73.90 | $61.94–$73.90 | 44% above | — |
| Fibrinogen blood test CPT 85384 Citrated Kaolin - K (Clot Kinetics) | $73.90 | $73.90 | $61.94–$73.90 | 44% above | — |
| Fibrinogen blood test inpatient CPT 85384 Fibrinogen | $73.90 | $73.90 | $55.42–$73.90 | — | — |
| Fibrinogen blood test inpatient CPT 85384 Citrated Kaolin - K (Clot Kinetics) | $73.90 | $73.90 | $55.42–$73.90 | — | — |
| Fibrinogen blood test inpatient CPT 85384 Citrated Kaolin - Angle | $73.90 | $73.90 | $55.42–$73.90 | — | — |
| Fibrinogen blood test inpatient CPT 85384 Citrated Functional Fibrinogen - (Max Amplitude) | $73.90 | $73.90 | $55.42–$73.90 | — | — |
| Folate (folic acid) blood test CPT 82746 Folate Serum | $126.69 | $126.69 | $106.19–$126.69 | 79% above | — |
| Folate (folic acid) blood test CPT 82746 Folate Serum | $126.69 | $126.69 | $106.19–$126.69 | 79% above | — |
| Folate (folic acid) blood test CPT 82746 Folate RBCLC | $126.69 | $126.69 | $106.19–$126.69 | 79% above | — |
| Folate (folic acid) blood test inpatient CPT 82746 Folate Serum | $126.69 | $126.69 | $95.02–$126.69 | — | — |
| Folate (folic acid) blood test inpatient CPT 82746 Folate Serum | $126.69 | $126.69 | $95.02–$126.69 | — | — |
| Folate (folic acid) blood test inpatient CPT 82746 Folate RBCLC | $126.69 | $126.69 | $95.02–$126.69 | — | — |
| Free T3 thyroid hormone test CPT 84481 T3 Free | $146.75 | $146.75 | $123.01–$146.75 | 61% above | — |
| Free T3 thyroid hormone test inpatient CPT 84481 T3 Free | $146.75 | $146.75 | $110.06–$146.75 | — | — |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 Thyroxine Free | $78.12 | $78.12 | $65.48–$78.12 | 35% above | — |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 FREE T4 | $78.12 | $78.12 | $65.48–$78.12 | 35% above | — |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 Free T4 by Dialysis/Mass Spec-LC | $78.12 | $78.12 | $65.48–$78.12 | 35% above | — |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 Free T4 by Dialysis/Mass Spec-LC | $78.12 | $78.12 | $58.59–$78.12 | — | — |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 Thyroxine Free | $78.12 | $78.12 | $58.59–$78.12 | — | — |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 FREE T4 | $78.12 | $78.12 | $58.59–$78.12 | — | — |
| Free testosterone test CPT 84402 Testosterone Free Direct-LC | $146.75 | $146.75 | $123.01–$146.75 | 108% above | — |
| Free testosterone test CPT 84402 Testost., % Free+Weakly Bound | $146.75 | $146.75 | $123.01–$146.75 | 108% above | — |
| Free testosterone test CPT 84402 Free Testosterone(Direct) | $146.75 | $146.75 | $123.01–$146.75 | 108% above | — |
| Free testosterone test CPT 84402 Free Testosterone | $146.75 | $146.75 | $123.01–$146.75 | 108% above | — |
| Free testosterone test inpatient CPT 84402 Testosterone Free Direct-LC | $146.75 | $146.75 | $110.06–$146.75 | — | — |
| Free testosterone test inpatient CPT 84402 Free Testosterone(Direct) | $146.75 | $146.75 | $110.06–$146.75 | — | — |
| Free testosterone test inpatient CPT 84402 Free Testosterone | $146.75 | $146.75 | $110.06–$146.75 | — | — |
| Free testosterone test inpatient CPT 84402 Testost., % Free+Weakly Bound | $146.75 | $146.75 | $110.06–$146.75 | — | — |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 GGT | $61.24 | $61.24 | $51.33–$61.24 | 77% above | — |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 Gamma Glutamyl Transferase | $61.24 | $61.24 | $51.33–$61.24 | 77% above | — |
| Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 Gamma Glutamyl Transferase | $61.24 | $61.24 | $45.93–$61.24 | — | — |
| Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 GGT | $61.24 | $61.24 | $45.93–$61.24 | — | — |
| General health panel: metabolic panel, blood count and TSH in one order CPT 80050 General Health Panel | $299.83 | $299.83 | $251.32–$299.83 | 32% above | — |
| General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 General Health Panel | $299.83 | $299.83 | $224.87–$299.83 | — | — |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 Glucose 1 Hour Post Prandial | $39.07 | $39.07 | $32.75–$39.07 | 17% above | — |
| Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 Glucose 1 Hour Post Prandial | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Glucose tolerance test, 3 samples CPT 82951 Gluc 2 Hr | $109.80 | $109.80 | $92.03–$109.80 | 69% above | — |
| Glucose tolerance test, 3 samples inpatient CPT 82951 Gluc 2 Hr | $109.80 | $109.80 | $82.35–$109.80 | — | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Gonococcus NAA - LC | $82.34 | $82.34 | $69.02–$82.34 | 35% above | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Neisseria gonorrhoeae, NAA | $82.34 | $82.34 | $69.02–$82.34 | 35% above | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N. gonorrhea by NAA | $82.34 | $82.34 | $69.02–$82.34 | 35% above | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Gonococcus Prequot, NAA | $82.34 | $82.34 | $69.02–$82.34 | 35% above | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N. gonorrhoeae | $300.89 | $300.89 | $252.21–$300.89 | 395% above | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 Gonococcus Prequot, NAA | $82.34 | $82.34 | $61.76–$82.34 | — | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 Gonococcus NAA - LC | $82.34 | $82.34 | $61.76–$82.34 | — | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 N. gonorrhea by NAA | $82.34 | $82.34 | $61.76–$82.34 | — | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 Neisseria gonorrhoeae, NAA | $82.34 | $82.34 | $61.76–$82.34 | — | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 N. gonorrhoeae | $300.89 | $300.89 | $225.67–$300.89 | — | — |
| H. pylori antibody blood test CPT 86677 H Pylori IgG | $202.07 | $202.07 | $169.38–$202.07 | 281% above | — |
| H. pylori antibody blood test inpatient CPT 86677 H Pylori IgG | $202.07 | $202.07 | $151.55–$202.07 | — | — |
| H. pylori stool antigen test CPT 87338 Helicobacter pylori Stool Antigen-LC | $69.69 | $69.69 | $58.41–$69.69 | 18% above | — |
| H. pylori stool antigen test inpatient CPT 87338 Helicobacter pylori Stool Antigen-LC | $69.69 | $69.69 | $52.27–$69.69 | — | — |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV RNA Quant Real Time PCR Graphical-LC | $299.83 | $299.83 | $251.32–$299.83 | 19% above | — |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV RNA Quant PCR | $424.00 | $424.00 | $355.40–$424.00 | 68% above | — |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV RNA Quant Real Time PCR Graphical-LC | $299.83 | $299.83 | $224.87–$299.83 | — | — |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV RNA Quant PCR | $424.00 | $424.00 | $318.00–$424.00 | — | — |
| HIV-1 and HIV-2 antibody test CPT 86703 HIV Ab - SOURCE PATIENT | $119.30 | $119.30 | $100.00–$119.30 | 88% above | — |
| HIV-1 and HIV-2 antibody test CPT 86703 Rapid HIV Test POC | $119.30 | $119.30 | $100.00–$119.30 | 88% above | — |
| HIV-1 and HIV-2 antibody test inpatient CPT 86703 HIV Ab - SOURCE PATIENT | $119.30 | $119.30 | $89.48–$119.30 | — | — |
| HIV-1 and HIV-2 antibody test inpatient CPT 86703 Rapid HIV Test POC | $119.30 | $119.30 | $89.48–$119.30 | — | — |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV4 | $134.08 | $134.08 | $112.39–$134.08 | 110% above | — |
| HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HIV4 | $134.08 | $134.08 | $100.56–$134.08 | — | — |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV Panel For Pap Smear | $172.09 | $172.09 | $144.25–$172.09 | 168% above | — |
| HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HPV Panel For Pap Smear | $172.09 | $172.09 | $129.07–$172.09 | — | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hemoglobin A1c POC | $33.78 | $33.78 | $28.31–$33.78 | 32% below | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hemoglobin A1c-LC | $83.40 | $83.40 | $69.91–$83.40 | 67% above | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hemoglobin A1c | $83.40 | $83.40 | $69.91–$83.40 | 67% above | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 Hemoglobin A1c POC | $33.78 | $33.78 | $25.34–$33.78 | — | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 Hemoglobin A1c-LC | $83.40 | $83.40 | $62.55–$83.40 | — | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 Hemoglobin A1c | $83.40 | $83.40 | $62.55–$83.40 | — | — |
| Hemoglobin blood test CPT 85018 Hemoglobin POC | $7.39 | $7.39 | $6.19–$7.39 | 47% below | — |
| Hemoglobin blood test CPT 85018 Hemoglobin | $22.17 | $22.17 | $18.58–$22.17 | 58% above | — |
| Hemoglobin blood test CPT 85018 Total Hemoglobin | $22.17 | $22.17 | $18.58–$22.17 | 58% above | — |
| Hemoglobin blood test one side CPT 85018 Total Hemoglobin RT | $22.17 | $22.17 | $18.58–$22.17 | 58% above | — |
| Hemoglobin blood test inpatient CPT 85018 Hemoglobin POC | $7.39 | $7.39 | $5.54–$7.39 | — | — |
| Hemoglobin blood test inpatient CPT 85018 Total Hemoglobin | $22.17 | $22.17 | $16.63–$22.17 | — | — |
| Hemoglobin blood test inpatient CPT 85018 Hemoglobin | $22.17 | $22.17 | $16.63–$22.17 | — | — |
| Hemoglobin blood test inpatient one side CPT 85018 Total Hemoglobin RT | $22.17 | $22.17 | $16.63–$22.17 | — | — |
| Hepatitis B core antibody test (total) CPT 86704 Hepatitis B Core Antibody-LC | $100.29 | $100.29 | $84.06–$100.29 | 101% above | — |
| Hepatitis B core antibody test (total) CPT 86704 Hepatitis B Core Antibody | $100.29 | $100.29 | $84.06–$100.29 | 101% above | — |
| Hepatitis B core antibody test (total) inpatient CPT 86704 Hepatitis B Core Antibody-LC | $100.29 | $100.29 | $75.22–$100.29 | — | — |
| Hepatitis B core antibody test (total) inpatient CPT 86704 Hepatitis B Core Antibody | $100.29 | $100.29 | $75.22–$100.29 | — | — |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Anti HBs | $92.91 | $92.91 | $77.88–$92.91 | 96% above | — |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Hep B Surface Ab, Qual | $92.91 | $92.91 | $77.88–$92.91 | 96% above | — |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 Anti HBs | $92.91 | $92.91 | $69.68–$92.91 | — | — |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 Hep B Surface Ab, Qual | $92.91 | $92.91 | $69.68–$92.91 | — | — |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 Hep B Surface Antigen Screen | $79.18 | $79.18 | $66.37–$79.18 | 128% above | — |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 Hepatitis B Surface Antigen | $79.18 | $79.18 | $66.37–$79.18 | 128% above | — |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 Hepatitis B Surface Antigen | $79.18 | $79.18 | $59.39–$79.18 | — | — |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 Hep B Surface Antigen Screen | $79.18 | $79.18 | $59.39–$79.18 | — | — |
| Hepatitis C antibody blood test (screening) CPT 86803 Hep C Virus Antibody | $115.08 | $115.08 | $96.46–$115.08 | 97% above | — |
| Hepatitis C antibody blood test (screening) CPT 86803 Hepatitis C Antibody | $115.08 | $115.08 | $96.46–$115.08 | 97% above | — |
| Hepatitis C antibody blood test (screening) CPT 86803 Hepatitis C Antibody w Reflex to HCV Quant | $115.08 | $115.08 | $96.46–$115.08 | 97% above | — |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 Hepatitis C Antibody w Reflex to HCV Quant | $115.08 | $115.08 | $86.31–$115.08 | — | — |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 Hepatitis C Antibody | $115.08 | $115.08 | $86.31–$115.08 | — | — |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 Hep C Virus Antibody | $115.08 | $115.08 | $86.31–$115.08 | — | — |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HCV RNA Diagnosis, NAA - LC | $43.30 | $43.30 | $36.29–$43.30 | 78% below | — |
| Hepatitis C viral load (HCV RNA) test CPT 87522 .HCR PCR Qnt LC | $299.83 | $299.83 | $251.32–$299.83 | 50% above | — |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HCV Qnt PCR LC | $299.83 | $299.83 | $251.32–$299.83 | 50% above | — |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HCV RNA by PCR, Qn Rfx Geno - LC | $299.83 | $299.83 | $251.32–$299.83 | 50% above | — |
| Hepatitis C viral load (HCV RNA) test CPT 87522 .HCV RNA (IU) 550040 - LC | $299.83 | $299.83 | $251.32–$299.83 | 50% above | — |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HCV Quant | $1,157.57 | $1,157.57 | $970.28–$1,157.57 | 480% above | — |
| Hepatitis C viral load (HCV RNA) test one side CPT 87522 HCV RT-PCR, Quant (Non-Graph) - LC | $299.83 | $299.83 | $251.32–$299.83 | 50% above | — |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HCV RNA Diagnosis, NAA - LC | $43.30 | $43.30 | $32.47–$43.30 | — | — |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 .HCV RNA (IU) 550040 - LC | $299.83 | $299.83 | $224.87–$299.83 | — | — |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HCV RNA by PCR, Qn Rfx Geno - LC | $299.83 | $299.83 | $224.87–$299.83 | — | — |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HCV Qnt PCR LC | $299.83 | $299.83 | $224.87–$299.83 | — | — |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 .HCR PCR Qnt LC | $299.83 | $299.83 | $224.87–$299.83 | — | — |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HCV Quant | $1,157.57 | $1,157.57 | $868.18–$1,157.57 | — | — |
| Hepatitis C viral load (HCV RNA) test inpatient one side CPT 87522 HCV RT-PCR, Quant (Non-Graph) - LC | $299.83 | $299.83 | $224.87–$299.83 | — | — |
| Herpes blood test, HSV-1 antibody CPT 86695 HSV 1 IgG Type Spec | $61.24 | $61.24 | $51.33–$61.24 | 40% above | — |
| Herpes blood test, HSV-1 antibody CPT 86695 HSV-2 Ab, IgG - LC | $61.24 | $61.24 | $51.33–$61.24 | 40% above | — |
| Herpes blood test, HSV-1 antibody CPT 86695 Herpes Simplex Virus 1/2 IgG Ab-LC | $61.24 | $61.24 | $51.33–$61.24 | 40% above | — |
| Herpes blood test, HSV-1 antibody CPT 86695 HSV Type 1-Specific Ab, IgG - LC | $61.24 | $61.24 | $51.33–$61.24 | 40% above | — |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HSV-2 Ab, IgG - LC | $61.24 | $61.24 | $45.93–$61.24 | — | — |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 Herpes Simplex Virus 1/2 IgG Ab-LC | $61.24 | $61.24 | $45.93–$61.24 | — | — |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HSV 1 IgG Type Spec | $61.24 | $61.24 | $45.93–$61.24 | — | — |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HSV Type 1-Specific Ab, IgG - LC | $61.24 | $61.24 | $45.93–$61.24 | — | — |
| Herpes blood test, HSV-2 antibody CPT 86696 .HSV-2 IgG Supplemental Test-LC | $61.24 | $61.24 | $51.33–$61.24 | 28% above | — |
| Herpes blood test, HSV-2 antibody CPT 86696 HSV 2 IgG, Type Spec | $61.24 | $61.24 | $51.33–$61.24 | 28% above | — |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HSV 2 IgG, Type Spec | $61.24 | $61.24 | $45.93–$61.24 | — | — |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 .HSV-2 IgG Supplemental Test-LC | $61.24 | $61.24 | $45.93–$61.24 | — | — |
| High-sensitivity CRP (hs-CRP) test CPT 86141 C-Reactive Protein High Sensitivity | $109.80 | $109.80 | $92.03–$109.80 | 78% above | — |
| High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 C-Reactive Protein High Sensitivity | $109.80 | $109.80 | $82.35–$109.80 | — | — |
| Homocysteine blood test CPT 83090 Homocyst(e)ine - LC | $78.12 | $78.12 | $65.48–$78.12 | 11% below | — |
| Homocysteine blood test CPT 83090 Homocysteine Total | $471.27 | $471.27 | $395.02–$471.27 | 436% above | — |
| Homocysteine blood test inpatient CPT 83090 Homocyst(e)ine - LC | $78.12 | $78.12 | $58.59–$78.12 | — | — |
| Homocysteine blood test inpatient CPT 83090 Homocysteine Total | $471.27 | $471.27 | $353.45–$471.27 | — | — |
| Insulin blood test CPT 83525 Insulin Level Total-LC | $53.84 | $53.84 | $45.13–$53.84 | 3% below | — |
| Insulin blood test CPT 83525 Total Insulin | $53.84 | $53.84 | $45.13–$53.84 | 3% below | — |
| Insulin blood test inpatient CPT 83525 Total Insulin | $53.84 | $53.84 | $40.38–$53.84 | — | — |
| Insulin blood test inpatient CPT 83525 Insulin Level Total-LC | $53.84 | $53.84 | $40.38–$53.84 | — | — |
| Iron blood test (serum iron) CPT 83540 Iron Level - LC | $69.69 | $69.69 | $58.41–$69.69 | 64% above | — |
| Iron blood test (serum iron) CPT 83540 Iron Level | $69.69 | $69.69 | $58.41–$69.69 | 64% above | — |
| Iron blood test (serum iron) CPT 83540 Iron - LC | $504.66 | $504.66 | $423.01–$504.66 | 1091% above | — |
| Iron blood test (serum iron) inpatient CPT 83540 Iron Level | $69.69 | $69.69 | $52.27–$69.69 | — | — |
| Iron blood test (serum iron) inpatient CPT 83540 Iron Level - LC | $69.69 | $69.69 | $52.27–$69.69 | — | — |
| Iron blood test (serum iron) inpatient CPT 83540 Iron - LC | $504.66 | $504.66 | $378.50–$504.66 | — | — |
| Iron-binding capacity (TIBC) test CPT 83550 Iron Binding Capacity Total | $83.40 | $83.40 | $69.91–$83.40 | 87% above | — |
| Iron-binding capacity (TIBC) test CPT 83550 Iron Bind.Cap.(TIBC) - LC | $83.40 | $83.40 | $69.91–$83.40 | 87% above | — |
| Iron-binding capacity (TIBC) test inpatient CPT 83550 Iron Binding Capacity Total | $83.40 | $83.40 | $62.55–$83.40 | — | — |
| Iron-binding capacity (TIBC) test inpatient CPT 83550 Iron Bind.Cap.(TIBC) - LC | $83.40 | $83.40 | $62.55–$83.40 | — | — |
| Kidney function blood test panel CPT 80069 Renal Function Panel | $74.96 | $74.96 | $62.83–$74.96 | 74% above | — |
| Kidney function blood test panel inpatient CPT 80069 Renal Function Panel | $74.96 | $74.96 | $56.22–$74.96 | — | — |
| LH (luteinizing hormone) test CPT 83002 Luteinizing Hormone Serum | $161.53 | $161.53 | $135.39–$161.53 | 92% above | — |
| LH (luteinizing hormone) test CPT 83002 Luteinizing Hormone, Pediatric - LC | $161.53 | $161.53 | $135.39–$161.53 | 92% above | — |
| LH (luteinizing hormone) test inpatient CPT 83002 Luteinizing Hormone, Pediatric - LC | $161.53 | $161.53 | $121.15–$161.53 | — | — |
| LH (luteinizing hormone) test inpatient CPT 83002 Luteinizing Hormone Serum | $161.53 | $161.53 | $121.15–$161.53 | — | — |
| Lactate (lactic acid) blood test CPT 83605 Lactic Acid whole blood | $92.91 | $92.91 | $77.88–$92.91 | 64% above | — |
| Lactate (lactic acid) blood test CPT 83605 Lactic Acid in Fluid | $92.91 | $92.91 | $77.88–$92.91 | 64% above | — |
| Lactate (lactic acid) blood test CPT 83605 Lactic Acid Sepsis | $92.91 | $92.91 | $77.88–$92.91 | 64% above | — |
| Lactate (lactic acid) blood test CPT 83605 Lactic Acid Sepsis Call | $92.91 | $92.91 | $77.88–$92.91 | 64% above | — |
| Lactate (lactic acid) blood test CPT 83605 Lactic Acid Lvl | $92.91 | $92.91 | $77.88–$92.91 | 64% above | — |
| Lactate (lactic acid) blood test inpatient CPT 83605 Lactic Acid Sepsis | $92.91 | $92.91 | $69.68–$92.91 | — | — |
| Lactate (lactic acid) blood test inpatient CPT 83605 Lactic Acid whole blood | $92.91 | $92.91 | $69.68–$92.91 | — | — |
| Lactate (lactic acid) blood test inpatient CPT 83605 Lactic Acid Lvl | $92.91 | $92.91 | $69.68–$92.91 | — | — |
| Lactate (lactic acid) blood test inpatient CPT 83605 Lactic Acid Sepsis Call | $92.91 | $92.91 | $69.68–$92.91 | — | — |
| Lactate (lactic acid) blood test inpatient CPT 83605 Lactic Acid in Fluid | $92.91 | $92.91 | $69.68–$92.91 | — | — |
| Lactate dehydrogenase (LDH) blood test CPT 83615 Lactate Dehydrogenase | $53.84 | $53.84 | $45.13–$53.84 | 183% above | — |
| Lactate dehydrogenase (LDH) blood test CPT 83615 Lactate Dehydrogenase Body Fluid | $53.84 | $53.84 | $45.13–$53.84 | 183% above | — |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 Lactate Dehydrogenase Body Fluid | $53.84 | $53.84 | $40.38–$53.84 | — | — |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 Lactate Dehydrogenase | $53.84 | $53.84 | $40.38–$53.84 | — | — |
| Lipase blood test (pancreas enzyme) CPT 83690 Lipase Body Fluid Level | $59.12 | $59.12 | $49.55–$59.12 | 47% above | — |
| Lipase blood test (pancreas enzyme) CPT 83690 Lipase Level | $59.12 | $59.12 | $49.55–$59.12 | 47% above | — |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 Lipase Body Fluid Level | $59.12 | $59.12 | $44.34–$59.12 | — | — |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 Lipase Level | $59.12 | $59.12 | $44.34–$59.12 | — | — |
| Liver function blood test panel CPT 80076 Liver Panel LC | $67.81 | $67.81 | $56.84–$67.81 | 44% above | — |
| Liver function blood test panel CPT 80076 Liver | $69.69 | $69.69 | $58.41–$69.69 | 47% above | — |
| Liver function blood test panel inpatient CPT 80076 Liver Panel LC | $67.81 | $67.81 | $50.86–$67.81 | — | — |
| Liver function blood test panel inpatient CPT 80076 Liver | $69.69 | $69.69 | $52.27–$69.69 | — | — |
| Lyme disease antibody test CPT 86618 .Lyme IgG/IgM 164089 - LC | $57.02 | $57.02 | $47.79–$57.02 | 81% above | — |
| Lyme disease antibody test CPT 86618 Lyme Disease Serology w/Reflex - LC | $57.02 | $57.02 | $47.79–$57.02 | 81% above | — |
| Lyme disease antibody test CPT 86618 Lyme Antibody Total w/ Western Blot Reflex-LC | $57.02 | $57.02 | $47.79–$57.02 | 81% above | — |
| Lyme disease antibody test CPT 86618 Lyme IgM | $129.42 | $129.42 | $108.48–$129.42 | 311% above | — |
| Lyme disease antibody test CPT 86618 Lyme IgG | $129.42 | $129.42 | $108.48–$129.42 | 311% above | — |
| Lyme disease antibody test inpatient CPT 86618 .Lyme IgG/IgM 164089 - LC | $57.02 | $57.02 | $42.76–$57.02 | — | — |
| Lyme disease antibody test inpatient CPT 86618 Lyme Antibody Total w/ Western Blot Reflex-LC | $57.02 | $57.02 | $42.76–$57.02 | — | — |
| Lyme disease antibody test inpatient CPT 86618 Lyme Disease Serology w/Reflex - LC | $57.02 | $57.02 | $42.76–$57.02 | — | — |
| Lyme disease antibody test inpatient CPT 86618 Lyme IgM | $129.42 | $129.42 | $97.06–$129.42 | — | — |
| Lyme disease antibody test inpatient CPT 86618 Lyme IgG | $129.42 | $129.42 | $97.06–$129.42 | — | — |
| Magnesium blood test CPT 83735 Magnesium Urine 24 hr - LC | $58.06 | $58.06 | $48.67–$58.06 | 198% above | — |
| Magnesium blood test CPT 83735 Magnesium-LC | $58.06 | $58.06 | $48.67–$58.06 | 198% above | — |
| Magnesium blood test CPT 83735 Magnesium Urine | $58.06 | $58.06 | $48.67–$58.06 | 198% above | — |
| Magnesium blood test CPT 83735 Magnesium Level Urine | $58.06 | $58.06 | $48.67–$58.06 | 198% above | — |
| Magnesium blood test CPT 83735 Magnesium Level | $58.06 | $58.06 | $48.67–$58.06 | 198% above | — |
| Magnesium blood test inpatient CPT 83735 Magnesium Level Urine | $58.06 | $58.06 | $43.54–$58.06 | — | — |
| Magnesium blood test inpatient CPT 83735 Magnesium Level | $58.06 | $58.06 | $43.54–$58.06 | — | — |
| Magnesium blood test inpatient CPT 83735 Magnesium Urine | $58.06 | $58.06 | $43.54–$58.06 | — | — |
| Magnesium blood test inpatient CPT 83735 Magnesium-LC | $58.06 | $58.06 | $43.54–$58.06 | — | — |
| Magnesium blood test inpatient CPT 83735 Magnesium Urine 24 hr - LC | $58.06 | $58.06 | $43.54–$58.06 | — | — |
| Measles (rubeola) antibody test CPT 86765 Measles IgG | $109.80 | $109.80 | $92.03–$109.80 | 180% above | — |
| Measles (rubeola) antibody test inpatient CPT 86765 Measles IgG | $109.80 | $109.80 | $82.35–$109.80 | — | — |
| Mono test (heterophile antibody, Monospot) CPT 86308 Monospot: Whole Blood POC | $20.06 | $20.06 | $16.81–$20.06 | 43% below | — |
| Mono test (heterophile antibody, Monospot) CPT 86308 Monospot(ebv Panel Reflex) | $41.17 | $41.17 | $34.51–$41.17 | 18% above | — |
| Mono test (heterophile antibody, Monospot) CPT 86308 Mononucleosis Screen | $41.17 | $41.17 | $34.51–$41.17 | 18% above | — |
| Mono test (heterophile antibody, Monospot) inpatient CPT 86308 Monospot: Whole Blood POC | $20.06 | $20.06 | $15.04–$20.06 | — | — |
| Mono test (heterophile antibody, Monospot) inpatient CPT 86308 Mononucleosis Screen | $41.17 | $41.17 | $30.88–$41.17 | — | — |
| Mono test (heterophile antibody, Monospot) inpatient CPT 86308 Monospot(ebv Panel Reflex) | $41.17 | $41.17 | $30.88–$41.17 | — | — |
| Mumps immunity blood test CPT 86735 Mumps Antibodies, IgM - LC | $57.02 | $57.02 | $47.79–$57.02 | 28% above | — |
| Mumps immunity blood test CPT 86735 Mumps IgG Antibody | $109.80 | $109.80 | $92.03–$109.80 | 147% above | — |
| Mumps immunity blood test inpatient CPT 86735 Mumps Antibodies, IgM - LC | $57.02 | $57.02 | $42.76–$57.02 | — | — |
| Mumps immunity blood test inpatient CPT 86735 Mumps IgG Antibody | $109.80 | $109.80 | $82.35–$109.80 | — | — |
| PSA (prostate-specific antigen) blood test, free CPT 84154 Free PSA | $157.31 | $157.31 | $131.86–$157.31 | 163% above | — |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 Free PSA | $157.31 | $157.31 | $117.98–$157.31 | — | — |
| PSA (prostate-specific antigen) blood test, total CPT 84153 Prostate Specific Antigen | $157.31 | $157.31 | $131.86–$157.31 | 149% above | — |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA Medicare | $157.31 | $157.31 | $131.86–$157.31 | 149% above | — |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA Followup | $157.31 | $157.31 | $131.86–$157.31 | 149% above | — |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 Prostate Specific Antigen | $157.31 | $157.31 | $117.98–$157.31 | — | — |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA Followup | $157.31 | $157.31 | $117.98–$157.31 | — | — |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA Medicare | $157.31 | $157.31 | $117.98–$157.31 | — | — |
| Pap test (liquid-based, automated screening with review) CPT 88175 88175 AP Bill GYN Cyto Auto TP & Scrn,Man Rev | $147.96 | $147.96 | $124.02–$147.96 | 80% above | — |
| Pap test (liquid-based, automated screening with review) inpatient CPT 88175 88175 AP Bill GYN Cyto Auto TP & Scrn,Man Rev | $147.96 | $147.96 | $110.97–$147.96 | — | — |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 88142 AP Bill Gyn Cyto Thin Prep w/o Pathologist in | $171.04 | $171.04 | $143.37–$171.04 | 242% above | — |
| Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 88142 AP Bill Gyn Cyto Thin Prep w/o Pathologist in | $171.04 | $171.04 | $128.28–$171.04 | — | — |
| Parathyroid hormone (PTH) blood test CPT 83970 Parathyroid Hormone Intact | $355.79 | $355.79 | $298.22–$355.79 | 134% above | — |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 Parathyroid Hormone Intact | $355.79 | $355.79 | $266.84–$355.79 | — | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 DRVVT Mix | $53.84 | $53.84 | $45.13–$53.84 | 30% above | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 APTT (POC) Meter | $53.84 | $53.84 | $45.13–$53.84 | 30% above | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Partial Thromboplastin Time | $53.84 | $53.84 | $45.13–$53.84 | 30% above | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Partial Thromblastin Time | $53.84 | $53.84 | $45.13–$53.84 | 30% above | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 APTT - LC | $91.51 | $91.51 | $76.70–$91.51 | 121% above | — |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 APTT (POC) Meter | $53.84 | $53.84 | $40.38–$53.84 | — | — |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 DRVVT Mix | $53.84 | $53.84 | $40.38–$53.84 | — | — |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Partial Thromboplastin Time | $53.84 | $53.84 | $40.38–$53.84 | — | — |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Partial Thromblastin Time | $53.84 | $53.84 | $40.38–$53.84 | — | — |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 APTT - LC | $91.51 | $91.51 | $68.63–$91.51 | — | — |
| Phosphorus (phosphate) blood test CPT 84100 Phosphorus Level | $39.07 | $39.07 | $32.75–$39.07 | 25% above | — |
| Phosphorus (phosphate) blood test inpatient CPT 84100 Phosphorus Level | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Potassium blood test CPT 84132 Potassium Level | $38.01 | $38.01 | $31.86–$38.01 | 41% above | — |
| Potassium blood test one side CPT 84132 Potassium whole blood RT | $38.01 | $38.01 | $31.86–$38.01 | 41% above | — |
| Potassium blood test one side CPT 84132 Potassium Whole Blood RT | $38.01 | $38.01 | $31.86–$38.01 | 41% above | — |
| Potassium blood test inpatient CPT 84132 Potassium Level | $38.01 | $38.01 | $28.51–$38.01 | — | — |
| Potassium blood test inpatient one side CPT 84132 Potassium whole blood RT | $38.01 | $38.01 | $28.51–$38.01 | — | — |
| Potassium blood test inpatient one side CPT 84132 Potassium Whole Blood RT | $38.01 | $38.01 | $28.51–$38.01 | — | — |
| Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 informaSeq XYLC | $148.99 | $148.99 | $124.88–$148.99 | 81% below | — |
| Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) inpatient CPT 81420 informaSeq XYLC | $148.99 | $148.99 | $111.74–$148.99 | — | — |
| Progesterone blood test CPT 84144 Progesterone Level | $180.53 | $180.53 | $151.32–$180.53 | 81% above | — |
| Progesterone blood test inpatient CPT 84144 Progesterone Level | $180.53 | $180.53 | $135.40–$180.53 | — | — |
| Prolactin blood test CPT 84146 Prolactin Level | $168.92 | $168.92 | $141.59–$168.92 | 162% above | — |
| Prolactin blood test inpatient CPT 84146 Prolactin Level | $168.92 | $168.92 | $126.69–$168.92 | — | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 INR POC | $13.73 | $13.73 | $11.51–$13.73 | 52% below | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 85610 Prothrombin time test | $13.73 | $13.73 | $11.51–$13.73 | 52% below | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 .PT/INR POC | $32.73 | $32.73 | $27.43–$32.73 | 14% above | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 Prothrombin Time | $42.23 | $42.23 | $35.40–$42.23 | 47% above | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 Prothrombin and INR POC | $42.23 | $42.23 | $35.40–$42.23 | 47% above | — |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 INR POC | $13.73 | $13.73 | $10.30–$13.73 | — | — |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 85610 Prothrombin time test | $13.73 | $13.73 | $10.30–$13.73 | — | — |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 .PT/INR POC | $32.73 | $32.73 | $24.55–$32.73 | — | — |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Prothrombin Time | $42.23 | $42.23 | $31.67–$42.23 | — | — |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Prothrombin and INR POC | $42.23 | $42.23 | $31.67–$42.23 | — | — |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 Urine Drug Screen POC | $32.73 | $32.73 | $27.43–$32.73 | 10% below | — |
| Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 Urine Drug Screen POC | $32.73 | $32.73 | $24.55–$32.73 | — | — |
| Rapid flu test (influenza antigen) CPT 87804 Influenza A & B POC | $42.23 | $42.23 | $35.40–$42.23 | 9% below | — |
| Rapid flu test (influenza antigen) CPT 87804 Influenza A Screen | $73.98 | $73.98 | $62.01–$73.98 | 59% above | — |
| Rapid flu test (influenza antigen) CPT 87804 Influenza B Screen | $73.98 | $73.98 | $62.01–$73.98 | 59% above | — |
| Rapid flu test (influenza antigen) inpatient CPT 87804 Influenza A & B POC | $42.23 | $42.23 | $31.67–$42.23 | — | — |
| Rapid flu test (influenza antigen) inpatient CPT 87804 Influenza B Screen | $73.98 | $73.98 | $55.48–$73.98 | — | — |
| Rapid flu test (influenza antigen) inpatient CPT 87804 Influenza A Screen | $73.98 | $73.98 | $55.48–$73.98 | — | — |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 Rapid Strep Screen EIA | $47.27 | $47.27 | $39.62–$47.27 | 16% above | — |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 Rapid Strep POC | $48.57 | $48.57 | $40.71–$48.57 | 19% above | — |
| Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 Rapid Strep Screen EIA | $47.27 | $47.27 | $35.45–$47.27 | — | — |
| Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 Rapid Strep POC | $48.57 | $48.57 | $36.43–$48.57 | — | — |
| Renin blood test CPT 84244 Reninplasma-LC | $61.24 | $61.24 | $51.33–$61.24 | 6% above | — |
| Renin blood test inpatient CPT 84244 Reninplasma-LC | $61.24 | $61.24 | $45.93–$61.24 | — | — |
| Rh blood typing CPT 86901 Rh Factor | $107.69 | $107.69 | $90.27–$107.69 | 277% above | — |
| Rh blood typing inpatient CPT 86901 Rh Factor | $107.69 | $107.69 | $80.77–$107.69 | — | — |
| Rheumatoid factor (RF) test CPT 86431 Rheumatoid Factor Quantitative | $49.62 | $49.62 | $41.59–$49.62 | 39% above | — |
| Rheumatoid factor (RF) test inpatient CPT 86431 Rheumatoid Factor Quantitative | $49.62 | $49.62 | $37.21–$49.62 | — | — |
| Rubella antibody test (immunity check) CPT 86762 Rubella Antibody IgM-LC | $69.69 | $69.69 | $58.41–$69.69 | 41% above | — |
| Rubella antibody test (immunity check) CPT 86762 Rubella Antibody IgG | $124.58 | $124.58 | $104.42–$124.58 | 152% above | — |
| Rubella antibody test (immunity check) CPT 86762 Rubella Antibodies, IgG | $124.58 | $124.58 | $104.42–$124.58 | 152% above | — |
| Rubella antibody test (immunity check) inpatient CPT 86762 Rubella Antibody IgM-LC | $69.69 | $69.69 | $52.27–$69.69 | — | — |
| Rubella antibody test (immunity check) inpatient CPT 86762 Rubella Antibody IgG | $124.58 | $124.58 | $93.44–$124.58 | — | — |
| Rubella antibody test (immunity check) inpatient CPT 86762 Rubella Antibodies, IgG | $124.58 | $124.58 | $93.44–$124.58 | — | — |
| Sodium blood test CPT 84295 Sodium Whole Blood | $39.07 | $39.07 | $32.75–$39.07 | 50% above | — |
| Sodium blood test CPT 84295 Sodium Level | $39.07 | $39.07 | $32.75–$39.07 | 50% above | — |
| Sodium blood test one side CPT 84295 Sodium Whole Blood RT | $39.07 | $39.07 | $32.75–$39.07 | 50% above | — |
| Sodium blood test one side CPT 84295 Sodium whole blood RT | $39.07 | $39.07 | $32.75–$39.07 | 50% above | — |
| Sodium blood test inpatient CPT 84295 Sodium Whole Blood | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Sodium blood test inpatient CPT 84295 Sodium Level | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Sodium blood test inpatient one side CPT 84295 Sodium whole blood RT | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Sodium blood test inpatient one side CPT 84295 Sodium Whole Blood RT | $39.07 | $39.07 | $29.30–$39.07 | — | — |
| Stool ova and parasites exam CPT 87177 Ova + Parasite Exam | $97.13 | $97.13 | $81.41–$97.13 | 102% above | — |
| Stool ova and parasites exam inpatient CPT 87177 Ova + Parasite Exam | $97.13 | $97.13 | $72.85–$97.13 | — | — |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 Fecal Occult Blood Screening POC | $10.82 | $10.82 | $9.07–$10.82 | 33% below | — |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 Occult Blood Stool | $29.56 | $29.56 | $24.78–$29.56 | 84% above | — |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 Occult Blood Feces 1st Specimen | $29.56 | $29.56 | $24.78–$29.56 | 84% above | — |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 Fecal Occult Blood Screening POC | $10.82 | $10.82 | $8.12–$10.82 | — | — |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 Occult Blood Feces 1st Specimen | $29.56 | $29.56 | $22.17–$29.56 | — | — |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 Occult Blood Stool | $29.56 | $29.56 | $22.17–$29.56 | — | — |
| Syphilis antibody test (Treponema pallidum) CPT 86780 Treponema pallidum Antibodies - LC | $116.14 | $116.14 | $97.35–$116.14 | 275% above | — |
| Syphilis antibody test (Treponema pallidum) CPT 86780 Syphilis T Pallidum Abs | $116.14 | $116.14 | $97.35–$116.14 | 275% above | — |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 Treponema pallidum Antibodies - LC | $116.14 | $116.14 | $87.10–$116.14 | — | — |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 Syphilis T Pallidum Abs | $116.14 | $116.14 | $87.10–$116.14 | — | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR Qn - LC | $34.84 | $34.84 | $29.20–$34.84 | 29% above | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 CSF VDRL Screen-LC | $34.84 | $34.84 | $29.20–$34.84 | 29% above | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Rapid Plasma Reagin Titer | $63.13 | $63.13 | $52.92–$63.13 | 134% above | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 RPR Qn - LC | $34.84 | $34.84 | $26.13–$34.84 | — | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 CSF VDRL Screen-LC | $34.84 | $34.84 | $26.13–$34.84 | — | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 Rapid Plasma Reagin Titer | $63.13 | $63.13 | $47.35–$63.13 | — | — |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QuantiFERON-TB Gold Plus | $348.40 | $348.40 | $292.03–$348.40 | 84% above | — |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QuantiFERON-TB Gold Plus-LC | $348.40 | $348.40 | $292.03–$348.40 | 84% above | — |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 QuantiFERON-TB Gold Plus-LC | $348.40 | $348.40 | $261.30–$348.40 | — | — |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 QuantiFERON-TB Gold Plus | $348.40 | $348.40 | $261.30–$348.40 | — | — |
| Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone, Serum - LC | $174.20 | $174.20 | $146.01–$174.20 | 99% above | — |
| Testosterone blood test, total (not free testosterone) CPT 84403 Testerone | $174.20 | $174.20 | $146.01–$174.20 | 99% above | — |
| Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone Level Total | $174.20 | $174.20 | $146.01–$174.20 | 99% above | — |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Testosterone, Serum - LC | $174.20 | $174.20 | $130.65–$174.20 | — | — |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Testerone | $174.20 | $174.20 | $130.65–$174.20 | — | — |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Testosterone Level Total | $174.20 | $174.20 | $130.65–$174.20 | — | — |
| Thyroid peroxidase (TPO) antibody test CPT 86376 Liver-Kidney Microsomal (LKM) Antibodies-LC | $125.63 | $125.63 | $105.30–$125.63 | 73% above | — |
| Thyroid peroxidase (TPO) antibody test CPT 86376 Thyroid Peroxidase Antibodies (TPO) | $125.63 | $125.63 | $105.30–$125.63 | 73% above | — |
| Thyroid peroxidase (TPO) antibody test CPT 86376 Antibody Thyroid Microsomal | $125.63 | $125.63 | $105.30–$125.63 | 73% above | — |
| Thyroid peroxidase (TPO) antibody test CPT 86376 Thyroid Antibodies-LC | $125.63 | $125.63 | $105.30–$125.63 | 73% above | — |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Thyroid Antibodies-LC | $125.63 | $125.63 | $94.22–$125.63 | — | — |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Thyroid Peroxidase Antibodies (TPO) | $125.63 | $125.63 | $94.22–$125.63 | — | — |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Liver-Kidney Microsomal (LKM) Antibodies-LC | $125.63 | $125.63 | $94.22–$125.63 | — | — |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Antibody Thyroid Microsomal | $125.63 | $125.63 | $94.22–$125.63 | — | — |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH-Third Generation | $143.58 | $143.58 | $120.35–$143.58 | 122% above | — |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 Thyroid Stimulating Hormone | $143.58 | $143.58 | $120.35–$143.58 | 122% above | — |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 Thyroid Stimulating Hormone | $143.58 | $143.58 | $107.68–$143.58 | — | — |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH-Third Generation | $143.58 | $143.58 | $107.68–$143.58 | — | — |
| Total IgE blood test CPT 82785 Immunoglobulin E, Total - LC | $33.83 | $33.83 | $28.36–$33.83 | 38% below | — |
| Total IgE blood test CPT 82785 IgE total | $142.52 | $142.52 | $119.46–$142.52 | 162% above | — |
| Total IgE blood test CPT 82785 Allergen Area 5 Profile LC | $142.52 | $142.52 | $119.46–$142.52 | 162% above | — |
| Total IgE blood test inpatient CPT 82785 Immunoglobulin E, Total - LC | $33.83 | $33.83 | $25.37–$33.83 | — | — |
| Total IgE blood test inpatient CPT 82785 Allergen Area 5 Profile LC | $142.52 | $142.52 | $106.89–$142.52 | — | — |
| Total IgE blood test inpatient CPT 82785 IgE total | $142.52 | $142.52 | $106.89–$142.52 | — | — |
| Total cholesterol blood test CPT 82465 Cholestek POC | $16.37 | $16.37 | $13.72–$16.37 | 30% below | — |
| Total cholesterol blood test CPT 82465 Cholesterol Total | $35.90 | $35.90 | $30.09–$35.90 | 53% above | — |
| Total cholesterol blood test CPT 82465 Cholesterol, Total | $35.90 | $35.90 | $30.09–$35.90 | 53% above | — |
| Total cholesterol blood test CPT 82465 Cholesterol Body Fluid | $47.33 | $47.33 | $39.67–$47.33 | 101% above | — |
| Total cholesterol blood test inpatient CPT 82465 Cholestek POC | $16.37 | $16.37 | $12.28–$16.37 | — | — |
| Total cholesterol blood test inpatient CPT 82465 Cholesterol, Total | $35.90 | $35.90 | $26.92–$35.90 | — | — |
| Total cholesterol blood test inpatient CPT 82465 Cholesterol Total | $35.90 | $35.90 | $26.92–$35.90 | — | — |
| Total cholesterol blood test inpatient CPT 82465 Cholesterol Body Fluid | $47.33 | $47.33 | $35.50–$47.33 | — | — |
| Total thyroxine (T4) blood test CPT 84436 T4 total | $59.12 | $59.12 | $49.55–$59.12 | 30% above | — |
| Total thyroxine (T4) blood test CPT 84436 Thyroxine | $59.12 | $59.12 | $49.55–$59.12 | 30% above | — |
| Total thyroxine (T4) blood test inpatient CPT 84436 T4 total | $59.12 | $59.12 | $44.34–$59.12 | — | — |
| Total thyroxine (T4) blood test inpatient CPT 84436 Thyroxine | $59.12 | $59.12 | $44.34–$59.12 | — | — |
| Total triiodothyronine (T3) blood test CPT 84480 T3 Total | $123.53 | $123.53 | $103.54–$123.53 | 57% above | — |
| Total triiodothyronine (T3) blood test CPT 84480 T3 Triiodothyronine - LC | $123.53 | $123.53 | $103.54–$123.53 | 57% above | — |
| Total triiodothyronine (T3) blood test inpatient CPT 84480 T3 Total | $123.53 | $123.53 | $92.65–$123.53 | — | — |
| Total triiodothyronine (T3) blood test inpatient CPT 84480 T3 Triiodothyronine - LC | $123.53 | $123.53 | $92.65–$123.53 | — | — |
| Transferrin blood test CPT 84466 Transferrin | $103.46 | $103.46 | $86.72–$103.46 | 86% above | — |
| Transferrin blood test inpatient CPT 84466 Transferrin | $103.46 | $103.46 | $77.60–$103.46 | — | — |
| Trichomonas test (NAAT) CPT 87661 Trich vag by NAA - LC | $570.11 | $570.11 | $477.87–$570.11 | 637% above | — |
| Trichomonas test (NAAT) CPT 87661 Candida/Trichomonas TV | $570.11 | $570.11 | $477.87–$570.11 | 637% above | — |
| Trichomonas test (NAAT) inpatient CPT 87661 Candida/Trichomonas TV | $570.11 | $570.11 | $427.58–$570.11 | — | — |
| Trichomonas test (NAAT) inpatient CPT 87661 Trich vag by NAA - LC | $570.11 | $570.11 | $427.58–$570.11 | — | — |
| Triglycerides blood test CPT 84478 Triglycerides | $51.73 | $51.73 | $43.36–$51.73 | 77% above | — |
| Triglycerides blood test CPT 84478 Triglycerides-LC | $51.73 | $51.73 | $43.36–$51.73 | 77% above | — |
| Triglycerides blood test CPT 84478 Triglycerides Fluid | $51.73 | $51.73 | $43.36–$51.73 | 77% above | — |
| Triglycerides blood test inpatient CPT 84478 Triglycerides | $51.73 | $51.73 | $38.80–$51.73 | — | — |
| Triglycerides blood test inpatient CPT 84478 Triglycerides-LC | $51.73 | $51.73 | $38.80–$51.73 | — | — |
| Triglycerides blood test inpatient CPT 84478 Triglycerides Fluid | $51.73 | $51.73 | $38.80–$51.73 | — | — |
| Troponin test, quantitative CPT 84484 Troponin-I 4 Hour. | $86.57 | $86.57 | $72.56–$86.57 | 16% above | — |
| Troponin test, quantitative CPT 84484 Troponin-I 0 Hour | $86.57 | $86.57 | $72.56–$86.57 | 16% above | — |
| Troponin test, quantitative CPT 84484 Troponin-I 2 hour | $86.57 | $86.57 | $72.56–$86.57 | 16% above | — |
| Troponin test, quantitative CPT 84484 Troponin-I 0 Hour. | $86.57 | $86.57 | $72.56–$86.57 | 16% above | — |
| Troponin test, quantitative CPT 84484 Troponin-I 2 Hour. | $86.57 | $86.57 | $72.56–$86.57 | 16% above | — |
| Troponin test, quantitative inpatient CPT 84484 Troponin-I 4 Hour. | $86.57 | $86.57 | $64.93–$86.57 | — | — |
| Troponin test, quantitative inpatient CPT 84484 Troponin-I 0 Hour | $86.57 | $86.57 | $64.93–$86.57 | — | — |
| Troponin test, quantitative inpatient CPT 84484 Troponin-I 2 hour | $86.57 | $86.57 | $64.93–$86.57 | — | — |
| Troponin test, quantitative inpatient CPT 84484 Troponin-I 0 Hour. | $86.57 | $86.57 | $64.93–$86.57 | — | — |
| Troponin test, quantitative inpatient CPT 84484 Troponin-I 2 Hour. | $86.57 | $86.57 | $64.93–$86.57 | — | — |
| Uric acid blood test CPT 84550 Uric Acid | $38.01 | $38.01 | $31.86–$38.01 | 15% above | — |
| Uric acid blood test inpatient CPT 84550 Uric Acid | $38.01 | $38.01 | $28.51–$38.01 | — | — |
| Urinalysis with microscope exam, automated CPT 81001 UA Trich | $28.48 | $28.48 | $23.87–$28.48 | 5% below | — |
| Urinalysis with microscope exam, automated inpatient CPT 81001 UA Trich | $28.48 | $28.48 | $21.36–$28.48 | — | — |
| Urinalysis with microscope exam, manual CPT 81000 Urine Ketones | $28.50 | $28.50 | $23.89–$28.50 | 78% above | — |
| Urinalysis with microscope exam, manual inpatient CPT 81000 Urine Ketones | $28.50 | $28.50 | $21.38–$28.50 | — | — |
| Urinalysis without microscope exam, automated CPT 81003 Urinalysis Automated POC | $8.45 | $8.45 | $7.08–$8.45 | 45% below | — |
| Urinalysis without microscope exam, automated CPT 81003 UA Routine | $21.12 | $21.12 | $17.70–$21.12 | 36% above | — |
| Urinalysis without microscope exam, automated CPT 81003 UA w Cult if Ind | $21.12 | $21.12 | $17.70–$21.12 | 36% above | — |
| Urinalysis without microscope exam, automated CPT 81003 UA w/o Microscopic | $21.12 | $21.12 | $17.70–$21.12 | 36% above | — |
| Urinalysis without microscope exam, automated CPT 81003 Glucose Urine qual | $21.12 | $21.12 | $17.70–$21.12 | 36% above | — |
| Urinalysis without microscope exam, automated CPT 81003 Specific Gravity Urine Automated | $21.12 | $21.12 | $17.70–$21.12 | 36% above | — |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Urinalysis Automated POC | $8.45 | $8.45 | $6.34–$8.45 | — | — |
| Urinalysis without microscope exam, automated inpatient CPT 81003 UA Routine | $21.12 | $21.12 | $15.84–$21.12 | — | — |
| Urinalysis without microscope exam, automated inpatient CPT 81003 UA w Cult if Ind | $21.12 | $21.12 | $15.84–$21.12 | — | — |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Specific Gravity Urine Automated | $21.12 | $21.12 | $15.84–$21.12 | — | — |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Glucose Urine qual | $21.12 | $21.12 | $15.84–$21.12 | — | — |
| Urinalysis without microscope exam, automated inpatient CPT 81003 UA w/o Microscopic | $21.12 | $21.12 | $15.84–$21.12 | — | — |
| Urinalysis without microscope exam, manual CPT 81002 Glucose Urine Qual | $7.15 | $7.15 | $5.99–$7.15 | 43% below | — |
| Urinalysis without microscope exam, manual CPT 81002 Occult Blood Urine | $7.15 | $7.15 | $5.99–$7.15 | 43% below | — |
| Urinalysis without microscope exam, manual CPT 81002 Dipstick Urine POC | $7.39 | $7.39 | $6.19–$7.39 | 41% below | — |
| Urinalysis without microscope exam, manual CPT 81002 Urinalysis Dipstick POC | $7.39 | $7.39 | $6.19–$7.39 | 41% below | — |
| Urinalysis without microscope exam, manual CPT 81002 Specific Gravity Ur DrgScr 788901-LC | $51.73 | $51.73 | $43.36–$51.73 | 314% above | — |
| Urinalysis without microscope exam, manual CPT 81002 Ketones Urine | $51.73 | $51.73 | $43.36–$51.73 | 314% above | — |
| Urinalysis without microscope exam, manual CPT 81002 Specific Gravity | $51.73 | $51.73 | $43.36–$51.73 | 314% above | — |
| Urinalysis without microscope exam, manual CPT 81002 pH Urine | $51.73 | $51.73 | $43.36–$51.73 | 314% above | — |
| Urinalysis without microscope exam, manual CPT 81002 Urine pH | $157.31 | $157.31 | $131.86–$157.31 | 1158% above | — |
| Urinalysis without microscope exam, manual inpatient CPT 81002 Occult Blood Urine | $7.15 | $7.15 | $5.36–$7.15 | — | — |
| Urinalysis without microscope exam, manual inpatient CPT 81002 Glucose Urine Qual | $7.15 | $7.15 | $5.36–$7.15 | — | — |
| Urinalysis without microscope exam, manual inpatient CPT 81002 Dipstick Urine POC | $7.39 | $7.39 | $5.54–$7.39 | — | — |
| Urinalysis without microscope exam, manual inpatient CPT 81002 Urinalysis Dipstick POC | $7.39 | $7.39 | $5.54–$7.39 | — | — |
| Urinalysis without microscope exam, manual inpatient CPT 81002 Ketones Urine | $51.73 | $51.73 | $38.80–$51.73 | — | — |
| Urinalysis without microscope exam, manual inpatient CPT 81002 pH Urine | $51.73 | $51.73 | $38.80–$51.73 | — | — |
| Urinalysis without microscope exam, manual inpatient CPT 81002 Specific Gravity Ur DrgScr 788901-LC | $51.73 | $51.73 | $38.80–$51.73 | — | — |
| Urinalysis without microscope exam, manual inpatient CPT 81002 Specific Gravity | $51.73 | $51.73 | $38.80–$51.73 | — | — |
| Urinalysis without microscope exam, manual inpatient CPT 81002 Urine pH | $157.31 | $157.31 | $117.98–$157.31 | — | — |
| Urine culture for bacteria, with colony count CPT 87086 Urine Culture | $69.69 | $69.69 | $58.41–$69.69 | 19% above | — |
| Urine culture for bacteria, with colony count inpatient CPT 87086 Urine Culture | $69.69 | $69.69 | $52.27–$69.69 | — | — |
| Urine microalbumin (albumin) test CPT 82043 Albumin LC. | $51.73 | $51.73 | $43.36–$51.73 | 57% above | — |
| Urine microalbumin (albumin) test CPT 82043 Microalbumin urine | $51.73 | $51.73 | $43.36–$51.73 | 57% above | — |
| Urine microalbumin (albumin) test inpatient CPT 82043 Microalbumin urine | $51.73 | $51.73 | $38.80–$51.73 | — | — |
| Urine microalbumin (albumin) test inpatient CPT 82043 Albumin LC. | $51.73 | $51.73 | $38.80–$51.73 | — | — |
| Urine pregnancy test, read by color change CPT 81025 HCG, Urine POC | $23.23 | $23.23 | $19.47–$23.23 | 4% above | — |
| Urine pregnancy test, read by color change CPT 81025 .Pregnancy POC | $34.94 | $34.94 | $29.29–$34.94 | 57% above | — |
| Urine pregnancy test, read by color change CPT 81025 Pregnancy Test Urine | $78.12 | $78.12 | $65.48–$78.12 | 251% above | — |
| Urine pregnancy test, read by color change inpatient CPT 81025 HCG, Urine POC | $23.23 | $23.23 | $17.42–$23.23 | — | — |
| Urine pregnancy test, read by color change inpatient CPT 81025 .Pregnancy POC | $34.94 | $34.94 | $26.20–$34.94 | — | — |
| Urine pregnancy test, read by color change inpatient CPT 81025 Pregnancy Test Urine | $78.12 | $78.12 | $58.59–$78.12 | — | — |
| Vitamin B12 (cobalamin) blood test CPT 82607 Vitamin B12 Serum | $117.14 | $117.14 | $98.19–$117.14 | 45% above | — |
| Vitamin B12 (cobalamin) blood test CPT 82607 Vitamin B12 Level | $117.14 | $117.14 | $98.19–$117.14 | 45% above | — |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 Vitamin B12 Level | $117.14 | $117.14 | $87.86–$117.14 | — | — |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 Vitamin B12 Serum | $117.14 | $117.14 | $87.86–$117.14 | — | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vitamin D | $100.29 | $100.29 | $84.06–$100.29 | 17% above | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 Vitamin D | $100.29 | $100.29 | $75.22–$100.29 | — | — |
| Vitamin D, 1,25-dihydroxy blood test CPT 82652 Calcitriol (1-25 Dihydroxyvitamin D Level) - LC | $125.63 | $125.63 | $105.30–$125.63 | 63% above | — |
| Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 Calcitriol (1-25 Dihydroxyvitamin D Level) - LC | $125.63 | $125.63 | $94.22–$125.63 | — | — |
| Zinc blood test CPT 84630 Zinc Level-LC | $40.12 | $40.12 | $33.63–$40.12 | 3% above | — |
| Zinc blood test inpatient CPT 84630 Zinc Level-LC | $40.12 | $40.12 | $30.09–$40.12 | — | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 hCG,Beta Subunit, Qnt, Serum - LC | $128.81 | $128.81 | $107.97–$128.81 | 75% above | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 BHCG Quant | $128.81 | $128.81 | $107.97–$128.81 | 75% above | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 BHCG Flex PROG | $128.81 | $128.81 | $107.97–$128.81 | 75% above | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 hCG Value Tetra | $128.81 | $128.81 | $107.97–$128.81 | 75% above | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 BHCG Quant | $128.81 | $128.81 | $96.61–$128.81 | — | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 hCG,Beta Subunit, Qnt, Serum - LC | $128.81 | $128.81 | $96.61–$128.81 | — | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 hCG Value Tetra | $128.81 | $128.81 | $96.61–$128.81 | — | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 BHCG Flex PROG | $128.81 | $128.81 | $96.61–$128.81 | — | — |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs West Virginia | Off list |
|---|---|---|---|---|---|
| Botox injections for chronic migraine CPT 64615 64615 Chemodenervation of muscle(s), | $151.28 | $151.28 | $126.80–$151.28 | 57% below | — |
| Botox injections for chronic migraine CPT 64615 64615 Chemodenerv musls innervated by | $151.28 | $151.28 | $126.80–$151.28 | 57% below | — |
| Botox injections for chronic migraine inpatient CPT 64615 64615 Chemodenervation of muscle(s), | $151.28 | $151.28 | $113.46–$151.28 | — | — |
| Botox injections for chronic migraine inpatient CPT 64615 64615 Chemodenerv musls innervated by | $151.28 | $151.28 | $113.46–$151.28 | — | — |
| Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 27786 Closed treatment of distal fibu | $303.00 | $303.00 | $253.97–$303.00 | 1% below | — |
| Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 27786 Closed treatment of distal fibu | $303.00 | $303.00 | $227.25–$303.00 | — | — |
| Broken foot (metatarsal) treatment without surgery or setting CPT 28470 28470 Closed treatment of metatarsal | $207.99 | $207.99 | $174.34–$207.99 | 12% below | — |
| Broken foot (metatarsal) treatment without surgery or setting CPT 28470 Treat metatarsal fracture | $571.17 | $571.17 | $478.75–$571.17 | 142% above | — |
| Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 28470 Closed treatment of metatarsal | $207.99 | $207.99 | $155.99–$207.99 | — | — |
| Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 Treat metatarsal fracture | $571.17 | $571.17 | $428.38–$571.17 | — | — |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 External Cardioversion | $990.30 | $990.30 | $830.07–$990.30 | 7% below | — |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 Joules 1st Synchronized Shock | $990.30 | $990.30 | $830.07–$990.30 | 7% below | — |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION- TECH | $990.30 | $990.30 | $830.07–$990.30 | 7% below | — |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 Joules 1st Synchronized Shock | $990.30 | $990.30 | $742.72–$990.30 | — | — |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 External Cardioversion | $990.30 | $990.30 | $742.72–$990.30 | — | — |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION- TECH | $990.30 | $990.30 | $742.72–$990.30 | — | — |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 CLOSED TREAT DISTAL RADIAL FRACTURE W/O MANIPULATIO | $571.17 | $571.17 | $478.75–$571.17 | 80% above | — |
| Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 CLOSED TREAT DISTAL RADIAL FRACTURE W/O MANIPULATIO | $571.17 | $571.17 | $428.38–$571.17 | — | — |
| Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 52000 Cystourethroscopy | $295.61 | $295.61 | $247.78–$295.61 | 64% below | — |
| Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 52000 Cystourethroscopy | $295.61 | $295.61 | $221.71–$295.61 | — | — |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 17000 Destruction, premalignant lesio | $101.67 | $101.67 | $85.22–$101.67 | 51% below | — |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 17000 Destruction, premalignant lesio | $101.67 | $101.67 | $76.25–$101.67 | — | — |
| Earwax removal by irrigation (rinsing), one ear CPT 69209 69209 Ear Irrigation | $45.72 | $45.72 | $38.32–$45.72 | 46% below | — |
| Earwax removal by irrigation (rinsing), one ear CPT 69209 REMOVAL IMPACTED CERUMEN;UNI ER | $303.00 | $303.00 | $253.97–$303.00 | 260% above | — |
| Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 69209 Ear Irrigation | $45.72 | $45.72 | $34.29–$45.72 | — | — |
| Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 REMOVAL IMPACTED CERUMEN;UNI ER | $303.00 | $303.00 | $227.25–$303.00 | — | — |
| Earwax removal with instruments, one ear CPT 69210 69210 Removal impacted ceumen requiri | $45.30 | $45.30 | $37.97–$45.30 | 36% below | — |
| Earwax removal with instruments, one ear CPT 69210 REMOVAL IMPACTED CERUMEN 1 OR BOTH EARS | $611.28 | $611.28 | $512.37–$611.28 | 764% above | — |
| Earwax removal with instruments, one ear inpatient CPT 69210 69210 Removal impacted ceumen requiri | $45.30 | $45.30 | $33.97–$45.30 | — | — |
| Earwax removal with instruments, one ear inpatient CPT 69210 REMOVAL IMPACTED CERUMEN 1 OR BOTH EARS | $611.28 | $611.28 | $458.46–$611.28 | — | — |
| Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 58100 Endometrial sampling with or w/ | $96.07 | $96.07 | $80.53–$96.07 | 52% below | — |
| Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 58100 Endometrial sampling with or w/ | $96.07 | $96.07 | $72.05–$96.07 | — | — |
| Hemorrhoid banding (rubber band ligation) CPT 46221 46221 Ligation of hemorrhoid(s) | $160.29 | $160.29 | $134.36–$160.29 | 86% below | — |
| Hemorrhoid banding (rubber band ligation) CPT 46221 Ligation of hemorrhoid(s)- | $1,754.75 | $1,754.75 | $1,470.83–$1,754.75 | 49% above | — |
| Hemorrhoid banding (rubber band ligation) inpatient CPT 46221 46221 Ligation of hemorrhoid(s) | $160.29 | $160.29 | $120.22–$160.29 | — | — |
| Hemorrhoid banding (rubber band ligation) inpatient CPT 46221 Ligation of hemorrhoid(s)- | $1,754.75 | $1,754.75 | $1,316.06–$1,754.75 | — | — |
| Incision and drainage of a simple or single skin abscess CPT 10060 10060 Incision and drainage of absces | $117.36 | $117.36 | $98.37–$117.36 | 50% below | — |
| Incision and drainage of a simple or single skin abscess CPT 10060 DRAINAGE OF SKIN | $772.81 | $772.81 | $647.77–$772.81 | 229% above | — |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 10060 Incision and drainage of absces | $117.36 | $117.36 | $88.02–$117.36 | — | — |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 DRAINAGE OF SKIN | $772.81 | $772.81 | $579.61–$772.81 | — | — |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 20550 Injection(s), single tendon she | $140.28 | $140.28 | $117.58–$140.28 | 58% below | — |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 20550 Sgl tendon sheath,ligament, apo | $140.28 | $140.28 | $117.58–$140.28 | 58% below | — |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 Inj tendon sheath/ligament | $390.63 | $390.63 | $327.43–$390.63 | 18% above | — |
| Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 20550 Injection(s), single tendon she | $140.28 | $140.28 | $105.21–$140.28 | — | — |
| Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 20550 Sgl tendon sheath,ligament, apo | $140.28 | $140.28 | $105.21–$140.28 | — | — |
| Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 Inj tendon sheath/ligament | $390.63 | $390.63 | $292.97–$390.63 | — | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 20610 Major joint or bursa admin no U | $140.28 | $140.28 | $117.58–$140.28 | 59% below | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 20610 Arthrocentesis, aspiration and/ | $140.28 | $140.28 | $117.58–$140.28 | 59% below | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ARTHROCENTESIS ASPIRATION/INJECTION MAJOR JOIN/BURS | $647.18 | $647.18 | $542.47–$647.18 | 88% above | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 20610 Arthrocentesis, aspiration and/ | $140.28 | $140.28 | $105.21–$140.28 | — | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 20610 Major joint or bursa admin no U | $140.28 | $140.28 | $105.21–$140.28 | — | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 ARTHROCENTESIS ASPIRATION/INJECTION MAJOR JOIN/BURS | $647.18 | $647.18 | $485.38–$647.18 | — | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 20605 Intermed joint or bursa admin n | $140.28 | $140.28 | $117.58–$140.28 | 59% below | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 20605 Arthrocentesis, aspiration and/ | $140.28 | $140.28 | $117.58–$140.28 | 59% below | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ARTHRO ASPIR INTERMED | $644.02 | $644.02 | $539.82–$644.02 | 87% above | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 20605 Arthrocentesis, aspiration and/ | $140.28 | $140.28 | $105.21–$140.28 | — | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 20605 Intermed joint or bursa admin n | $140.28 | $140.28 | $105.21–$140.28 | — | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 ARTHRO ASPIR INTERMED | $644.02 | $644.02 | $483.02–$644.02 | — | — |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 20600 Small joint or bursa admin no U | $140.28 | $140.28 | $117.58–$140.28 | 60% below | — |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 20600 Arthrocentesis, aspiration and/ | $140.28 | $140.28 | $117.58–$140.28 | 60% below | — |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 ARTHROCENTESIS ASPIRATION/INJECTION SMALL JOINT/BUR | $810.82 | $810.82 | $679.63–$810.82 | 132% above | — |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 20600 Arthrocentesis, aspiration and/ | $140.28 | $140.28 | $105.21–$140.28 | — | — |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 20600 Small joint or bursa admin no U | $140.28 | $140.28 | $105.21–$140.28 | — | — |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 ARTHROCENTESIS ASPIRATION/INJECTION SMALL JOINT/BUR | $810.82 | $810.82 | $608.12–$810.82 | — | — |
| Laser treatment of clouding after cataract surgery (YAG) CPT 66821 66821 Discission of secondary membran | $1,699.77 | $1,699.77 | $1,424.75–$1,699.77 | 130% above | — |
| Laser treatment of clouding after cataract surgery (YAG) inpatient CPT 66821 66821 Discission of secondary membran | $1,699.77 | $1,699.77 | $1,274.83–$1,699.77 | — | — |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 12031 Repair, intermediate, wounds of | $239.70 | $239.70 | $200.92–$239.70 | 44% below | — |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 REPAIR S/A/T/E;WOUNDS 2.5 OR LESS | $841.44 | $841.44 | $705.30–$841.44 | 98% above | — |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 Repair Intermediate Scalp/AX/Trunk and/or extremiti | $841.44 | $841.44 | $705.30–$841.44 | 98% above | — |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 12031 Repair, intermediate, wounds of | $239.70 | $239.70 | $179.77–$239.70 | — | — |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 REPAIR S/A/T/E;WOUNDS 2.5 OR LESS | $841.44 | $841.44 | $631.08–$841.44 | — | — |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 Repair Intermediate Scalp/AX/Trunk and/or extremiti | $841.44 | $841.44 | $631.08–$841.44 | — | — |
| Lower-back epidural injection, with imaging guidance CPT 62323 62323 IT Inj with imaging guidance | $716.86 | $716.86 | $600.87–$716.86 | 35% below | — |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 62323 IT Inj with imaging guidance | $716.86 | $716.86 | $537.64–$716.86 | — | — |
| Lower-back epidural injection, without imaging guidance CPT 62322 62322 IT Inj without imaging guidance | $937.51 | $937.51 | $785.82–$937.51 | 19% below | — |
| Lower-back epidural injection, without imaging guidance inpatient CPT 62322 62322 IT Inj without imaging guidance | $937.51 | $937.51 | $703.13–$937.51 | — | — |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 11400 Exc Tr-Ext BENIGN+Marg 0.5 < Cm | $304.06 | $304.06 | $254.86–$304.06 | 54% below | — |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 11400 Exc Tr-Ext BENIGN+Marg 0.5 < Cm | $304.06 | $304.06 | $228.04–$304.06 | — | — |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 11440 EXC FACE-MM B9+MARG 0.5 CM/< | $304.20 | $304.20 | $254.98–$304.20 | 56% below | — |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 11440 EXC FACE-MM B9+MARG 0.5 CM/< | $304.20 | $304.20 | $228.15–$304.20 | — | — |
| Nail removal (partial or complete), one nail CPT 11730 11730 Avulsion of nail plate, partial | $105.34 | $105.34 | $88.30–$105.34 | 61% below | — |
| Nail removal (partial or complete), one nail CPT 11730 AVULSION/NAIL PLATE/ | $286.11 | $286.11 | $239.82–$286.11 | 7% above | — |
| Nail removal (partial or complete), one nail inpatient CPT 11730 11730 Avulsion of nail plate, partial | $105.34 | $105.34 | $79.00–$105.34 | — | — |
| Nail removal (partial or complete), one nail inpatient CPT 11730 AVULSION/NAIL PLATE/ | $286.11 | $286.11 | $214.58–$286.11 | — | — |
| Occipital nerve block (injection for headaches) CPT 64405 64405 Inj greater occipital nerve | $319.05 | $319.05 | $267.43–$319.05 | 13% below | — |
| Occipital nerve block (injection for headaches) CPT 64405 64405 Injection(s), anesthetic agent(s) and/or ster | $929.07 | $929.07 | $778.75–$929.07 | 153% above | — |
| Occipital nerve block (injection for headaches) inpatient CPT 64405 64405 Inj greater occipital nerve | $319.05 | $319.05 | $239.29–$319.05 | — | — |
| Occipital nerve block (injection for headaches) inpatient CPT 64405 64405 Injection(s), anesthetic agent(s) and/or ster | $929.07 | $929.07 | $696.80–$929.07 | — | — |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 11750 Excision of nail and nail matri | $181.56 | $181.56 | $152.18–$181.56 | 61% below | — |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 EXCISION NAIL/MATRIX PARTIAL OR COMPLETE PERMAN REM | $869.94 | $869.94 | $729.18–$869.94 | 86% above | — |
| Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 11750 Excision of nail and nail matri | $181.56 | $181.56 | $136.17–$181.56 | — | — |
| Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 EXCISION NAIL/MATRIX PARTIAL OR COMPLETE PERMAN REM | $869.94 | $869.94 | $652.46–$869.94 | — | — |
| Prostate biopsy CPT 55700 55700 Biopsy, prostate, needle or pun | $840.38 | $840.38 | $704.41–$840.38 | 72% below | — |
| Prostate biopsy inpatient CPT 55700 55700 Biopsy, prostate, needle or pun | $840.38 | $840.38 | $630.28–$840.38 | — | — |
| Removal of a foreign object under the skin, simple CPT 10120 10120 Incision and removal of foreign | $181.56 | $181.56 | $152.18–$181.56 | 53% below | — |
| Removal of a foreign object under the skin, simple CPT 10120 INCISION & REMOVE FOREIGN BODY | $571.17 | $571.17 | $478.75–$571.17 | 47% above | — |
| Removal of a foreign object under the skin, simple CPT 10120 REMOVE FOREIGN BODY TISSUE SIMPLE | $571.17 | $571.17 | $478.75–$571.17 | 47% above | — |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 10120 Incision and removal of foreign | $181.56 | $181.56 | $136.17–$181.56 | — | — |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 INCISION & REMOVE FOREIGN BODY | $571.17 | $571.17 | $428.38–$571.17 | — | — |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 REMOVE FOREIGN BODY TISSUE SIMPLE | $571.17 | $571.17 | $428.38–$571.17 | — | — |
| Short arm cast (elbow to hand) CPT 29075 29075 Application, cast, elbow to fin | $128.81 | $128.81 | $107.97–$128.81 | 55% below | — |
| Short arm cast (elbow to hand) CPT 29075 APP SHORT ARM CAST- | $497.26 | $497.26 | $416.80–$497.26 | 73% above | — |
| Short arm cast (elbow to hand) inpatient CPT 29075 29075 Application, cast, elbow to fin | $128.81 | $128.81 | $96.61–$128.81 | — | — |
| Short arm cast (elbow to hand) inpatient CPT 29075 APP SHORT ARM CAST- | $497.26 | $497.26 | $372.94–$497.26 | — | — |
| Short arm splint (forearm and hand) CPT 29125 29125 Application of short arm splint | $62.29 | $62.29 | $52.21–$62.29 | 66% below | — |
| Short arm splint (forearm and hand) CPT 29125 APP SHORT AMR SPLINT- | $377.97 | $377.97 | $316.81–$377.97 | 105% above | — |
| Short arm splint (forearm and hand) inpatient CPT 29125 29125 Application of short arm splint | $62.29 | $62.29 | $46.72–$62.29 | — | — |
| Short arm splint (forearm and hand) inpatient CPT 29125 APP SHORT AMR SPLINT- | $377.97 | $377.97 | $283.48–$377.97 | — | — |
| Short leg cast (below the knee) CPT 29405 29405 Application of short leg cast | $128.81 | $128.81 | $107.97–$128.81 | 60% below | — |
| Short leg cast (below the knee) CPT 29405 APP SHORT LEG CAST - | $695.74 | $695.74 | $583.17–$695.74 | 118% above | — |
| Short leg cast (below the knee) inpatient CPT 29405 29405 Application of short leg cast | $128.81 | $128.81 | $96.61–$128.81 | — | — |
| Short leg cast (below the knee) inpatient CPT 29405 APP SHORT LEG CAST - | $695.74 | $695.74 | $521.81–$695.74 | — | — |
| Short leg splint (calf to foot) CPT 29515 APPLICATION OF SHORT LEG SPLINT- | $550.05 | $550.05 | $461.05–$550.05 | 138% above | — |
| Short leg splint (calf to foot) inpatient CPT 29515 APPLICATION OF SHORT LEG SPLINT- | $550.05 | $550.05 | $412.54–$550.05 | — | — |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 12001 Smpl rpr/scalp/neck/ax/ext geni | $87.63 | $87.63 | $73.45–$87.63 | 69% below | — |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 Repair Simple Scalp/Neck/AX/Gen/Trunk <2.5cm | $381.13 | $381.13 | $319.46–$381.13 | 35% above | — |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 RS 2.5 OR LESS | $482.48 | $482.48 | $404.41–$482.48 | 71% above | — |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 12001 Smpl rpr/scalp/neck/ax/ext geni | $87.63 | $87.63 | $65.72–$87.63 | — | — |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 Repair Simple Scalp/Neck/AX/Gen/Trunk <2.5cm | $381.13 | $381.13 | $285.85–$381.13 | — | — |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 RS 2.5 OR LESS | $482.48 | $482.48 | $361.86–$482.48 | — | — |
| Skin biopsy, punch, one lesion CPT 11104 11104 Punch biopsy of skin (including | $181.56 | $181.56 | $152.18–$181.56 | 53% below | — |
| Skin biopsy, punch, one lesion inpatient CPT 11104 11104 Punch biopsy of skin (including | $181.56 | $181.56 | $136.17–$181.56 | — | — |
| Skin tag removal, up to 15 tags CPT 11200 11200 Removal of skin tags, multiple, | $85.11 | $85.11 | $71.34–$85.11 | 57% below | — |
| Skin tag removal, up to 15 tags inpatient CPT 11200 11200 Removal of skin tags, multiple, | $85.11 | $85.11 | $63.83–$85.11 | — | — |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 LUMBAR PUNCT DIAG | $1,163.45 | $1,163.45 | $975.20–$1,163.45 | 16% above | — |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 LUMBAR PUNCT DIAG | $1,163.45 | $1,163.45 | $872.59–$1,163.45 | — | — |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 12002 Smpl rpr/scalp/neck/ax/ext geni | $107.69 | $107.69 | $90.27–$107.69 | 58% below | — |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 RS 2.6 - 7.5 | $482.48 | $482.48 | $404.41–$482.48 | 87% above | — |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 12002 Smpl rpr/scalp/neck/ax/ext geni | $107.69 | $107.69 | $80.77–$107.69 | — | — |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 RS 2.6 - 7.5 | $482.48 | $482.48 | $361.86–$482.48 | — | — |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 12011 Simple repair of super wounds o | $105.04 | $105.04 | $88.04–$105.04 | 64% below | — |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 RS 2.5 OR LESS repair of superficial wounds of face | $482.48 | $482.48 | $404.41–$482.48 | 67% above | — |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 12011 Simple repair of super wounds o | $105.04 | $105.04 | $78.78–$105.04 | — | — |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 RS 2.5 OR LESS repair of superficial wounds of face | $482.48 | $482.48 | $361.86–$482.48 | — | — |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 11102 Tangential biopsy of skin (eg, | $652.46 | $652.46 | $546.89–$652.46 | 88% above | — |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 Tangential biopsy of skin; single lesion | $652.46 | $652.46 | $546.89–$652.46 | 88% above | — |
| Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 11102 Tangential biopsy of skin (eg, | $652.46 | $652.46 | $489.34–$652.46 | — | — |
| Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 Tangential biopsy of skin; single lesion | $652.46 | $652.46 | $489.34–$652.46 | — | — |
| Thoracentesis with imaging guidance CPT 32555 THORACENTESIS W/US GUIDANCE | $3,823.95 | $3,823.95 | $3,205.23–$3,823.95 | 206% above | — |
| Thoracentesis with imaging guidance inpatient CPT 32555 THORACENTESIS W/US GUIDANCE | $3,823.95 | $3,823.95 | $2,867.96–$3,823.95 | — | — |
| Trigger point injections, 1 or 2 muscles CPT 20552 20552 Injection(s), single or multipl | $140.28 | $140.28 | $117.58–$140.28 | 52% below | — |
| Trigger point injections, 1 or 2 muscles CPT 20552 20552 Sgl/multi trigger pts, 1 or 2 m | $140.28 | $140.28 | $117.58–$140.28 | 52% below | — |
| Trigger point injections, 1 or 2 muscles CPT 20552 INJ;SINGLE/MULT TRIGGER 1 OR 2 | $428.64 | $428.64 | $359.29–$428.64 | 46% above | — |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 20552 Sgl/multi trigger pts, 1 or 2 m | $140.28 | $140.28 | $105.21–$140.28 | — | — |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 20552 Injection(s), single or multipl | $140.28 | $140.28 | $105.21–$140.28 | — | — |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 INJ;SINGLE/MULT TRIGGER 1 OR 2 | $428.64 | $428.64 | $321.48–$428.64 | — | — |
| Wart removal, up to 14 warts CPT 17110 Destruct b9 lesion 1-14 | $362.12 | $362.12 | $303.53–$362.12 | 76% above | — |
| Wart removal, up to 14 warts CPT 17110 17110 Destruct benign lesion 1-14 | $362.12 | $362.12 | $303.53–$362.12 | 76% above | — |
| Wart removal, up to 14 warts inpatient CPT 17110 17110 Destruct benign lesion 1-14 | $362.12 | $362.12 | $271.59–$362.12 | — | — |
| Wart removal, up to 14 warts inpatient CPT 17110 Destruct b9 lesion 1-14 | $362.12 | $362.12 | $271.59–$362.12 | — | — |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 11042 Debridement, subcutaneous tissu | $422.30 | $422.30 | $353.97–$422.30 | 12% above | — |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEB SUBQ TISSUE 20 SQ CM/< ER | $509.93 | $509.93 | $427.42–$509.93 | 35% above | — |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 11042 Debridement, subcutaneous tissu | $422.30 | $422.30 | $316.73–$422.30 | — | — |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 DEB SUBQ TISSUE 20 SQ CM/< ER | $509.93 | $509.93 | $382.45–$509.93 | — | — |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs West Virginia | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 Transfusion, blood or blood components | $617.53 | $617.53 | $517.61–$617.53 | 3% below | — |
| Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION, BLOOD/BLOOD COMP- CCW CATH | $1,072.65 | $1,072.65 | $899.10–$1,072.65 | 68% above | — |
| Blood transfusion (giving blood or blood components) CPT 36430 Transfusion Admin Charge | $1,072.65 | $1,072.65 | $899.10–$1,072.65 | 68% above | — |
| Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION, BLOOD/BLOOD COMPONENT | $1,072.65 | $1,072.65 | $899.10–$1,072.65 | 68% above | — |
| Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION, BLOOD/BLOOD COMP | $1,072.65 | $1,072.65 | $899.10–$1,072.65 | 68% above | — |
| Blood transfusion (giving blood or blood components) CPT 36430 Transfusion, Blood, Blood Component | $1,072.65 | $1,072.65 | $899.10–$1,072.65 | 68% above | — |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 Transfusion, blood or blood components | $617.53 | $617.53 | $463.15–$617.53 | — | — |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSFUSION, BLOOD/BLOOD COMP- CCW CATH | $1,072.65 | $1,072.65 | $804.49–$1,072.65 | — | — |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSFUSION, BLOOD/BLOOD COMPONENT | $1,072.65 | $1,072.65 | $804.49–$1,072.65 | — | — |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSFUSION, BLOOD/BLOOD COMP | $1,072.65 | $1,072.65 | $804.49–$1,072.65 | — | — |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 Transfusion Admin Charge | $1,072.65 | $1,072.65 | $804.49–$1,072.65 | — | — |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 Transfusion, Blood, Blood Component | $1,072.65 | $1,072.65 | $804.49–$1,072.65 | — | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 94640 Pressurized or nonpressurized i | $136.20 | $136.20 | $114.16–$136.20 | 33% below | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 94640 Pressurized or non pressurized | $136.20 | $136.20 | $114.16–$136.20 | 33% below | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 MDI subsequent | $154.12 | $154.12 | $129.18–$154.12 | 25% below | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Aerosol subsequent | $154.12 | $154.12 | $129.18–$154.12 | 25% below | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Sputum induction initial | $154.12 | $154.12 | $129.18–$154.12 | 25% below | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Inhalation Treatment Rehab | $154.12 | $154.12 | $129.18–$154.12 | 25% below | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Airway inhalation treatment | $499.38 | $499.38 | $418.58–$499.38 | 144% above | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 94640 Pressurized or non pressurized | $136.20 | $136.20 | $102.15–$136.20 | — | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 94640 Pressurized or nonpressurized i | $136.20 | $136.20 | $102.15–$136.20 | — | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 MDI subsequent | $154.12 | $154.12 | $115.59–$154.12 | — | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Inhalation Treatment Rehab | $154.12 | $154.12 | $115.59–$154.12 | — | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Sputum induction initial | $154.12 | $154.12 | $115.59–$154.12 | — | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Aerosol subsequent | $154.12 | $154.12 | $115.59–$154.12 | — | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Airway inhalation treatment | $499.38 | $499.38 | $374.54–$499.38 | — | — |
| Chemotherapy IV infusion, first hour CPT 96413 96413 Chemotherapy administration, intravenous infu | $732.70 | $732.70 | $614.15–$732.70 | 19% above | — |
| Chemotherapy IV infusion, first hour CPT 96413 Chemotherapy Inf up to 1 Hour Single or Initial Dru | $732.70 | $732.70 | $614.15–$732.70 | 19% above | — |
| Chemotherapy IV infusion, first hour inpatient CPT 96413 Chemotherapy Inf up to 1 Hour Single or Initial Dru | $732.70 | $732.70 | $549.53–$732.70 | — | — |
| Chemotherapy IV infusion, first hour inpatient CPT 96413 96413 Chemotherapy administration, intravenous infu | $732.70 | $732.70 | $549.53–$732.70 | — | — |
| Comprehensive eye exam by an eye doctor, new patient CPT 92004 92004 Opthal serv/exam/eval/comp/new | $136.91 | $136.91 | $114.76–$136.91 | 19% below | — |
| Comprehensive eye exam by an eye doctor, new patient inpatient CPT 92004 92004 Opthal serv/exam/eval/comp/new | $136.91 | $136.91 | $102.68–$136.91 | — | — |
| Comprehensive eye exam, returning patient CPT 92014 92014 Opthal serv/exam/eval/comp/est | $115.15 | $115.15 | $96.52–$115.15 | at median | — |
| Comprehensive eye exam, returning patient inpatient CPT 92014 92014 Opthal serv/exam/eval/comp/est | $115.15 | $115.15 | $86.36–$115.15 | — | — |
| Comprehensive hearing test: tone and speech audiometry, both ears CPT 92557 92557 Comprehensive audiometry thresh | $83.97 | $83.97 | $70.38–$83.97 | 39% below | — |
| Comprehensive hearing test: tone and speech audiometry, both ears inpatient CPT 92557 92557 Comprehensive audiometry thresh | $83.97 | $83.97 | $62.98–$83.97 | — | — |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 NS EEG INC Recording Awake and Drowsy | $1,009.30 | $1,009.30 | $846.00–$1,009.30 | 62% above | — |
| EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 NS EEG INC Recording Awake and Drowsy | $1,009.30 | $1,009.30 | $756.97–$1,009.30 | — | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG POC | $45.39 | $45.39 | $38.05–$45.39 | 62% below | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 93005 Electrocardiogram tracing | $45.72 | $45.72 | $38.32–$45.72 | 62% below | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Electrocardiogram | $175.26 | $175.26 | $146.90–$175.26 | 45% above | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Stress Baseline | $175.26 | $175.26 | $146.90–$175.26 | 45% above | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG Stat | $175.26 | $175.26 | $146.90–$175.26 | 45% above | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG ED only | $175.26 | $175.26 | $146.90–$175.26 | 45% above | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG ED | $175.26 | $175.26 | $146.90–$175.26 | 45% above | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG POC | $45.39 | $45.39 | $34.04–$45.39 | — | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 93005 Electrocardiogram tracing | $45.72 | $45.72 | $34.29–$45.72 | — | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 Electrocardiogram | $175.26 | $175.26 | $131.44–$175.26 | — | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 Stress Baseline | $175.26 | $175.26 | $131.44–$175.26 | — | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG ED | $175.26 | $175.26 | $131.44–$175.26 | — | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG ED only | $175.26 | $175.26 | $131.44–$175.26 | — | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG Stat | $175.26 | $175.26 | $131.44–$175.26 | — | — |
| Electroconvulsive therapy (ECT), one session CPT 90870 Electroconvulsive Therapy | $1,073.72 | $1,073.72 | $899.99–$1,073.72 | 33% above | — |
| Electroconvulsive therapy (ECT), one session inpatient CPT 90870 Electroconvulsive Therapy | $1,073.72 | $1,073.72 | $805.29–$1,073.72 | — | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 TRIAGE ONLY | $192.15 | $192.15 | $161.06–$192.15 | 21% above | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ER LEVEL 1 | $202.43 | $202.43 | $169.68–$202.43 | 27% above | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor one side CPT 99281 LEFT W/O BEING SEEN | $192.15 | $192.15 | $161.06–$192.15 | 21% above | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 TRIAGE ONLY | $192.15 | $192.15 | $144.11–$192.15 | — | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 ER LEVEL 1 | $202.43 | $202.43 | $151.82–$202.43 | — | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient one side CPT 99281 LEFT W/O BEING SEEN | $192.15 | $192.15 | $144.11–$192.15 | — | — |
| Exercise stress test, tracing only, the hospital charge CPT 93017 Stress Lexiscan | $477.20 | $477.20 | $399.99–$477.20 | 25% below | — |
| Exercise stress test, tracing only, the hospital charge CPT 93017 Stress Cardiolyte | $477.20 | $477.20 | $399.99–$477.20 | 25% below | — |
| Exercise stress test, tracing only, the hospital charge CPT 93017 Stress Exercise | $477.20 | $477.20 | $399.99–$477.20 | 25% below | — |
| Exercise stress test, tracing only, the hospital charge CPT 93017 Stress Dobutamine | $477.20 | $477.20 | $399.99–$477.20 | 25% below | — |
| Exercise stress test, tracing only, the hospital charge CPT 93017 Discontinued Stress Test | $477.20 | $477.20 | $399.99–$477.20 | 25% below | — |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 Discontinued Stress Test | $477.20 | $477.20 | $357.90–$477.20 | — | — |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 Stress Lexiscan | $477.20 | $477.20 | $357.90–$477.20 | — | — |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 Stress Cardiolyte | $477.20 | $477.20 | $357.90–$477.20 | — | — |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 Stress Dobutamine | $477.20 | $477.20 | $357.90–$477.20 | — | — |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 Stress Exercise | $477.20 | $477.20 | $357.90–$477.20 | — | — |
| Eye exam, returning patient, intermediate CPT 92012 92012 Opthal Serv/exam/eval/inter est | $81.17 | $81.17 | $68.04–$81.17 | at median | — |
| Eye exam, returning patient, intermediate inpatient CPT 92012 92012 Opthal Serv/exam/eval/inter est | $81.17 | $81.17 | $60.88–$81.17 | — | — |
| Family therapy with the patient, 50 minutes CPT 90847 90847 Family psytx w/pt 50 min | $101.35 | $101.35 | $84.95–$101.35 | 47% below | — |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 90847 Family psytx w/pt 50 min | $101.35 | $101.35 | $76.01–$101.35 | — | — |
| Group psychotherapy session CPT 90853 90853 Group Therapy | $57.01 | $57.01 | $47.79–$57.01 | 7% above | — |
| Group psychotherapy session inpatient CPT 90853 90853 Group Therapy | $57.01 | $57.01 | $42.76–$57.01 | — | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 96360 Hydration 31 to 60 Minutes | $129.86 | $129.86 | $108.85–$129.86 | 42% below | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 96360 Hydration services, initial 31 | $129.86 | $129.86 | $108.85–$129.86 | 42% below | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HYDRATION ADMIN 1ST HOUR | $358.96 | $358.96 | $300.88–$358.96 | 59% above | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 96360 IV INFUSION HYDRATION INITIAL 31 MIN-1 HOUR | $544.77 | $544.77 | $456.63–$544.77 | 142% above | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 INF/H IV Inf Initial 31 - 60 min | $544.77 | $544.77 | $456.63–$544.77 | 142% above | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 96360 Hydration 31 to 60 Minutes | $129.86 | $129.86 | $97.40–$129.86 | — | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 96360 Hydration services, initial 31 | $129.86 | $129.86 | $97.40–$129.86 | — | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HYDRATION ADMIN 1ST HOUR | $358.96 | $358.96 | $269.22–$358.96 | — | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 INF/H IV Inf Initial 31 - 60 min | $544.77 | $544.77 | $408.58–$544.77 | — | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 96360 IV INFUSION HYDRATION INITIAL 31 MIN-1 HOUR | $544.77 | $544.77 | $408.58–$544.77 | — | — |
| IV infusion of a medicine, first hour CPT 96365 96365 Intravenous infusion, for thera | $167.86 | $167.86 | $140.70–$167.86 | 32% below | — |
| IV infusion of a medicine, first hour CPT 96365 INFUSION THERAPY- TECH | $451.86 | $451.86 | $378.75–$451.86 | 83% above | — |
| IV infusion of a medicine, first hour CPT 96365 INF/NC IV Infusion Ther Initial | $451.86 | $451.86 | $378.75–$451.86 | 83% above | — |
| IV infusion of a medicine, first hour CPT 96365 96365 IV INFUSION THERAPY/PROPHYLAXIS /DX 1ST >1 HO | $451.86 | $451.86 | $378.75–$451.86 | 83% above | — |
| IV infusion of a medicine, first hour CPT 96365 Non-chemo Infusion up to 1 hour | $451.86 | $451.86 | $378.75–$451.86 | 83% above | — |
| IV infusion of a medicine, first hour inpatient CPT 96365 96365 Intravenous infusion, for thera | $167.86 | $167.86 | $125.90–$167.86 | — | — |
| IV infusion of a medicine, first hour inpatient CPT 96365 INF/NC IV Infusion Ther Initial | $451.86 | $451.86 | $338.90–$451.86 | — | — |
| IV infusion of a medicine, first hour inpatient CPT 96365 INFUSION THERAPY- TECH | $451.86 | $451.86 | $338.90–$451.86 | — | — |
| IV infusion of a medicine, first hour inpatient CPT 96365 Non-chemo Infusion up to 1 hour | $451.86 | $451.86 | $338.90–$451.86 | — | — |
| IV infusion of a medicine, first hour inpatient CPT 96365 96365 IV INFUSION THERAPY/PROPHYLAXIS /DX 1ST >1 HO | $451.86 | $451.86 | $338.90–$451.86 | — | — |
| IV push of a medicine, first drug CPT 96374 96374 Therapeutic/prophylactic/diagno | $81.30 | $81.30 | $68.15–$81.30 | 60% below | — |
| IV push of a medicine, first drug CPT 96374 96374 IV initial inj | $81.62 | $81.62 | $68.41–$81.62 | 60% below | — |
| IV push of a medicine, first drug CPT 96374 96374 THER PROPH/DX NJX IV PUSH SINGLE/1ST SBST/DRU | $528.94 | $528.94 | $443.36–$528.94 | 159% above | — |
| IV push of a medicine, first drug CPT 96374 IV (PUSH) INJ INIT | $528.94 | $528.94 | $443.36–$528.94 | 159% above | — |
| IV push of a medicine, first drug CPT 96374 INF/NC IV Push Single/Initial Drug | $528.94 | $528.94 | $443.36–$528.94 | 159% above | — |
| IV push of a medicine, first drug inpatient CPT 96374 96374 Therapeutic/prophylactic/diagno | $81.30 | $81.30 | $60.97–$81.30 | — | — |
| IV push of a medicine, first drug inpatient CPT 96374 96374 IV initial inj | $81.62 | $81.62 | $61.22–$81.62 | — | — |
| IV push of a medicine, first drug inpatient CPT 96374 INF/NC IV Push Single/Initial Drug | $528.94 | $528.94 | $396.71–$528.94 | — | — |
| IV push of a medicine, first drug inpatient CPT 96374 IV (PUSH) INJ INIT | $528.94 | $528.94 | $396.71–$528.94 | — | — |
| IV push of a medicine, first drug inpatient CPT 96374 96374 THER PROPH/DX NJX IV PUSH SINGLE/1ST SBST/DRU | $528.94 | $528.94 | $396.71–$528.94 | — | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 96372 SubQ or IM admin | $59.12 | $59.12 | $49.55–$59.12 | 17% below | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 96372 THER/PROPH/DIAG INJ SC/IM | $59.12 | $59.12 | $49.55–$59.12 | 17% below | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 96372 BCE THER/PROPH/DIAG INJ SC/IM | $59.12 | $59.12 | $49.55–$59.12 | 17% below | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 IM THERAPEUTIC INJ INIT | $239.65 | $239.65 | $200.87–$239.65 | 235% above | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 INF/NC SQ/IM injection | $239.65 | $239.65 | $200.87–$239.65 | 235% above | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 PPD SQ IM 96372 | $239.65 | $239.65 | $200.87–$239.65 | 235% above | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 96372 THERAPEUTIC PROPHYLACTIC/DX INJECTION SUBQ/IM | $239.65 | $239.65 | $200.87–$239.65 | 235% above | — |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 96372 THER/PROPH/DIAG INJ SC/IM | $59.12 | $59.12 | $44.34–$59.12 | — | — |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 96372 SubQ or IM admin | $59.12 | $59.12 | $44.34–$59.12 | — | — |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 96372 BCE THER/PROPH/DIAG INJ SC/IM | $59.12 | $59.12 | $44.34–$59.12 | — | — |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INF/NC SQ/IM injection | $239.65 | $239.65 | $179.74–$239.65 | — | — |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 IM THERAPEUTIC INJ INIT | $239.65 | $239.65 | $179.74–$239.65 | — | — |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 96372 THERAPEUTIC PROPHYLACTIC/DX INJECTION SUBQ/IM | $239.65 | $239.65 | $179.74–$239.65 | — | — |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 PPD SQ IM 96372 | $239.65 | $239.65 | $179.74–$239.65 | — | — |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 90791 Psych Diagnostic Eval W/O Med M | $167.30 | $167.30 | $140.23–$167.30 | 13% below | — |
| Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 90791 Psych Diagnostic Eval W/O Med M | $167.30 | $167.30 | $125.48–$167.30 | — | — |
| Nerve conduction study, 7 or 8 nerve studies CPT 95910 NS Nerve Conduction Studies 7-8 | $503.60 | $503.60 | $422.12–$503.60 | 17% above | — |
| Nerve conduction study, 7 or 8 nerve studies CPT 95910 95910 Nerve conduction studies, 7-8 s | $503.60 | $503.60 | $422.12–$503.60 | 17% above | — |
| Nerve conduction study, 7 or 8 nerve studies inpatient CPT 95910 95910 Nerve conduction studies, 7-8 s | $503.60 | $503.60 | $377.70–$503.60 | — | — |
| Nerve conduction study, 7 or 8 nerve studies inpatient CPT 95910 NS Nerve Conduction Studies 7-8 | $503.60 | $503.60 | $377.70–$503.60 | — | — |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 97802 Medical nutrition therapy, init | $255.03 | $255.03 | $213.77–$255.03 | 431% above | — |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 97802 Medical nutrition therapy, init | $255.03 | $255.03 | $191.27–$255.03 | — | — |
| Psychiatric evaluation with medical services CPT 90792 90792 Psych Diagnostic Eval With Med | $188.98 | $188.98 | $158.40–$188.98 | 5% below | — |
| Psychiatric evaluation with medical services inpatient CPT 90792 90792 Psych Diagnostic Eval With Med | $188.98 | $188.98 | $141.73–$188.98 | — | — |
| Psychological testing evaluation by a psychologist or physician, first hour CPT 96130 96130 Psychological testing eval serv | $147.41 | $147.41 | $123.56–$147.41 | 39% below | — |
| Psychological testing evaluation by a psychologist or physician, first hour inpatient CPT 96130 96130 Psychological testing eval serv | $147.41 | $147.41 | $110.56–$147.41 | — | — |
| Psychotherapy for crisis, first 60 minutes CPT 90839 90839 Crisis Psychotherapy | $142.52 | $142.52 | $119.46–$142.52 | 37% below | — |
| Psychotherapy for crisis, first 60 minutes inpatient CPT 90839 90839 Crisis Psychotherapy | $142.52 | $142.52 | $106.89–$142.52 | — | — |
| Psychotherapy session, 30 minutes CPT 90832 90832 Psychotherapy, 30 Mins | $76.27 | $76.27 | $63.93–$76.27 | 24% below | — |
| Psychotherapy session, 30 minutes inpatient CPT 90832 90832 Psychotherapy, 30 Mins | $76.27 | $76.27 | $57.20–$76.27 | — | — |
| Psychotherapy session, 45 minutes CPT 90834 90834 Psychotherapy, 45 Mins | $100.53 | $100.53 | $84.26–$100.53 | 27% below | — |
| Psychotherapy session, 45 minutes CPT 90834 90834 Video/Audio Telehealth, Psychot | $100.53 | $100.53 | $84.26–$100.53 | 27% below | — |
| Psychotherapy session, 45 minutes inpatient CPT 90834 90834 Psychotherapy, 45 Mins | $100.53 | $100.53 | $75.40–$100.53 | — | — |
| Psychotherapy session, 45 minutes inpatient CPT 90834 90834 Video/Audio Telehealth, Psychot | $100.53 | $100.53 | $75.40–$100.53 | — | — |
| Psychotherapy session, 60 minutes CPT 90837 90837 Psychotherapy, 60 Mins | $148.25 | $148.25 | $124.26–$148.25 | 22% below | — |
| Psychotherapy session, 60 minutes inpatient CPT 90837 90837 Psychotherapy, 60 Mins | $148.25 | $148.25 | $111.19–$148.25 | — | — |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 99406 Smoking and Tobacco Use Cessati | $14.03 | $14.03 | $11.76–$14.03 | 62% below | — |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 Behav chng smoking 3-10 min | $139.36 | $139.36 | $116.81–$139.36 | 282% above | — |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 Smoking cessation 3-10 minutes | $139.36 | $139.36 | $116.81–$139.36 | 282% above | — |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 Smoking Cessation; 3-10 minutes | $139.36 | $139.36 | $116.81–$139.36 | 282% above | — |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 Smoking Cessation < 3 minutes | $139.36 | $139.36 | $116.81–$139.36 | 282% above | — |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 Smoking Cessation | $139.36 | $139.36 | $116.81–$139.36 | 282% above | — |
| Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 99406 Smoking and Tobacco Use Cessati | $14.03 | $14.03 | $10.52–$14.03 | — | — |
| Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 Behav chng smoking 3-10 min | $139.36 | $139.36 | $104.52–$139.36 | — | — |
| Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 Smoking cessation 3-10 minutes | $139.36 | $139.36 | $104.52–$139.36 | — | — |
| Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 Smoking Cessation; 3-10 minutes | $139.36 | $139.36 | $104.52–$139.36 | — | — |
| Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 Smoking Cessation < 3 minutes | $139.36 | $139.36 | $104.52–$139.36 | — | — |
| Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 Smoking Cessation | $139.36 | $139.36 | $104.52–$139.36 | — | — |
| Spirometry (breathing test) CPT 94010 Pulmonary Function Test POC | $65.09 | $65.09 | $54.56–$65.09 | 69% below | — |
| Spirometry (breathing test) CPT 94010 94010 Spirometry/graph/vit cap/exp fl | $77.88 | $77.88 | $65.28–$77.88 | 62% below | — |
| Spirometry (breathing test) CPT 94010 Spirometry POC | $77.88 | $77.88 | $65.28–$77.88 | 62% below | — |
| Spirometry (breathing test) CPT 94010 Spirometry | $376.91 | $376.91 | $315.93–$376.91 | 82% above | — |
| Spirometry (breathing test) CPT 94010 PMR Spirometry | $376.91 | $376.91 | $315.93–$376.91 | 82% above | — |
| Spirometry (breathing test) inpatient CPT 94010 Pulmonary Function Test POC | $65.09 | $65.09 | $48.82–$65.09 | — | — |
| Spirometry (breathing test) inpatient CPT 94010 94010 Spirometry/graph/vit cap/exp fl | $77.88 | $77.88 | $58.41–$77.88 | — | — |
| Spirometry (breathing test) inpatient CPT 94010 Spirometry POC | $77.88 | $77.88 | $58.41–$77.88 | — | — |
| Spirometry (breathing test) inpatient CPT 94010 Spirometry | $376.91 | $376.91 | $282.68–$376.91 | — | — |
| Spirometry (breathing test) inpatient CPT 94010 PMR Spirometry | $376.91 | $376.91 | $282.68–$376.91 | — | — |
| Spirometry before and after a bronchodilator CPT 94060 94060 Bronchodilation responsiveness, | $147.41 | $147.41 | $123.56–$147.41 | 62% below | — |
| Spirometry before and after a bronchodilator CPT 94060 PMR Spirometry Before & After Bronch | $639.79 | $639.79 | $536.27–$639.79 | 65% above | — |
| Spirometry before and after a bronchodilator CPT 94060 Spirometry Before and After Bronchodilator | $639.79 | $639.79 | $536.27–$639.79 | 65% above | — |
| Spirometry before and after a bronchodilator CPT 94060 Spirometry pre/post bronchodilator | $639.79 | $639.79 | $536.27–$639.79 | 65% above | — |
| Spirometry before and after a bronchodilator CPT 94060 Spirometry with bronch | $639.79 | $639.79 | $536.27–$639.79 | 65% above | — |
| Spirometry before and after a bronchodilator inpatient CPT 94060 94060 Bronchodilation responsiveness, | $147.41 | $147.41 | $110.56–$147.41 | — | — |
| Spirometry before and after a bronchodilator inpatient CPT 94060 PMR Spirometry Before & After Bronch | $639.79 | $639.79 | $479.84–$639.79 | — | — |
| Spirometry before and after a bronchodilator inpatient CPT 94060 Spirometry Before and After Bronchodilator | $639.79 | $639.79 | $479.84–$639.79 | — | — |
| Spirometry before and after a bronchodilator inpatient CPT 94060 Spirometry with bronch | $639.79 | $639.79 | $479.84–$639.79 | — | — |
| Spirometry before and after a bronchodilator inpatient CPT 94060 Spirometry pre/post bronchodilator | $639.79 | $639.79 | $479.84–$639.79 | — | — |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 99195 PHLEBOTOMY | $83.40 | $83.40 | $69.91–$83.40 | 45% below | — |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 Bill: Therapeutic Phlebotomy - Lab Collect | $237.55 | $237.55 | $199.11–$237.55 | 58% above | — |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 Phlebotomy 99195 | $237.55 | $237.55 | $199.11–$237.55 | 58% above | — |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 PHLEBOTOMY | $237.55 | $237.55 | $199.11–$237.55 | 58% above | — |
| Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 99195 PHLEBOTOMY | $83.40 | $83.40 | $62.55–$83.40 | — | — |
| Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 Bill: Therapeutic Phlebotomy - Lab Collect | $237.55 | $237.55 | $178.16–$237.55 | — | — |
| Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 Phlebotomy 99195 | $237.55 | $237.55 | $178.16–$237.55 | — | — |
| Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 PHLEBOTOMY | $237.55 | $237.55 | $178.16–$237.55 | — | — |
| Visual field test, extended CPT 92083 92083 Visual field examination, unila | $57.05 | $57.05 | $47.82–$57.05 | 59% below | — |
| Visual field test, extended inpatient CPT 92083 92083 Visual field examination, unila | $57.05 | $57.05 | $42.79–$57.05 | — | — |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs West Virginia | Off list |
|---|---|---|---|---|---|
| COVID-19 vaccine (Moderna), age 12 and older CPT 91322 Spikevax COVID-19 (12y+) vacc PF 50 mcg/0.5 mL | $808.05 | $808.05 | $677.31–$808.05 | 421% above | — |
| COVID-19 vaccine (Moderna), age 12 and older inpatient CPT 91322 Spikevax COVID-19 (12y+) vacc PF 50 mcg/0.5 mL | $808.05 | $808.05 | $606.04–$808.05 | — | — |
| Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 Varivax-Varicella Virus Vaccine (Live) | $641.70 | $641.70 | $537.87–$641.70 | 223% above | — |
| Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 Varivax-Varicella Virus Vaccine (Live) | $641.70 | $641.70 | $481.28–$641.70 | — | — |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 Influenza Vaccine (Fluarix PFS) Age 6 mos to Adult Trivalent | $191.40 | $191.40 | $160.43–$191.40 | 882% above | — |
| Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 Influenza Vaccine (Fluarix PFS) Age 6 mos to Adult Trivalent | $191.40 | $191.40 | $143.55–$191.40 | — | — |
| Hepatitis A and B combination vaccine, adult (Twinrix) CPT 90636 hepatitis A-hepatitis B vaccine 720 units-20 mcg/mL PF Susp | $441.80 | $441.80 | $370.32–$441.80 | 209% above | — |
| Hepatitis A and B combination vaccine, adult (Twinrix) inpatient CPT 90636 hepatitis A-hepatitis B vaccine 720 units-20 mcg/mL PF Susp | $441.80 | $441.80 | $331.35–$441.80 | — | — |
| Hepatitis A vaccine, adult dose CPT 90632 hepatitis A adult vaccine 1440 units/mL PF Syringe | $287.55 | $287.55 | $241.02–$287.55 | 195% above | — |
| Hepatitis A vaccine, adult dose inpatient CPT 90632 hepatitis A adult vaccine 1440 units/mL PF Syringe | $287.55 | $287.55 | $215.66–$287.55 | — | — |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 hepatitis B adult vac 20 mcg/mL | $338.85 | $338.85 | $284.02–$338.85 | 410% above | — |
| Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 hepatitis B adult vac 20 mcg/mL | $338.85 | $338.85 | $254.14–$338.85 | — | — |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 hepatitis B ped vac 10 mcg/0.5 mL (Engerix-B Peds/Adol) | $273.75 | $273.75 | $229.46–$273.75 | 755% above | — |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 hepatitis B vaccine 5 mcg/0.5 mL (Recombivax HB Peds/Adol) | $273.85 | $273.85 | $229.54–$273.85 | 756% above | — |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 hepatitis B ped vac 10 mcg/0.5 mL (Engerix-B Peds/Adol) | $273.75 | $273.75 | $205.31–$273.75 | — | — |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 hepatitis B vaccine 5 mcg/0.5 mL (Recombivax HB Peds/Adol) | $273.85 | $273.85 | $205.39–$273.85 | — | — |
| Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 HIBERIX-Haemophilus B/Tetanus Conj Vaccine | $61.30 | $61.30 | $51.38–$61.30 | 261% above | — |
| Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) inpatient CPT 90648 HIBERIX-Haemophilus B/Tetanus Conj Vaccine | $61.30 | $61.30 | $45.97–$61.30 | — | — |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 measles/mumps/rubella virus vaccine 0.5 mL | $316.95 | $316.95 | $265.67–$316.95 | 170% above | — |
| MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 measles/mumps/rubella virus vaccine 0.5 mL | $316.95 | $316.95 | $237.71–$316.95 | — | — |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 Menveo - Meningococcal Conjugate Vaccine | $556.95 | $556.95 | $466.84–$556.95 | 256% above | — |
| Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 Menveo - Meningococcal Conjugate Vaccine | $556.95 | $556.95 | $417.71–$556.95 | — | — |
| Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 Bexsero - Meningococcal Conjugate Vaccine PFS | $1,350.55 | $1,350.55 | $1,132.03–$1,350.55 | 490% above | — |
| Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 Bexsero - Meningococcal Conjugate Vaccine PFS | $1,350.55 | $1,350.55 | $1,012.91–$1,350.55 | — | — |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 Prevnar-Pneumococcal 20-Valent Vaccine | $1,564.10 | $1,564.10 | $1,311.03–$1,564.10 | 330% above | — |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 Prevnar-Pneumococcal 20-Valent Vaccine | $1,564.10 | $1,564.10 | $1,173.07–$1,564.10 | — | — |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 Pneumovax-Pneumococcal 23 Polysaccharide Vaccine | $667.20 | $667.20 | $559.25–$667.20 | 509% above | — |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 Pneumovax-Pneumococcal 23 Polysaccharide Vaccine | $667.20 | $667.20 | $500.40–$667.20 | — | — |
| Rabies vaccine, one dose CPT 90675 rabies vaccine, human diploid cell 2.5 unit(s) IM Inj (Imovax) | $1,066.10 | $1,066.10 | $893.61–$1,066.10 | 118% above | — |
| Rabies vaccine, one dose CPT 90675 rabies vac, purified chick embryo 2.5 units Vial | $1,238.30 | $1,238.30 | $1,037.94–$1,238.30 | 153% above | — |
| Rabies vaccine, one dose inpatient CPT 90675 rabies vaccine, human diploid cell 2.5 unit(s) IM Inj (Imovax) | $1,066.10 | $1,066.10 | $799.58–$1,066.10 | — | — |
| Rabies vaccine, one dose inpatient CPT 90675 rabies vac, purified chick embryo 2.5 units Vial | $1,238.30 | $1,238.30 | $928.72–$1,238.30 | — | — |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 Tenivac-Tetanus/Diphtheria Toxoid Adult | $280.75 | $280.75 | $235.32–$280.75 | 447% above | — |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 Tenivac-Tetanus/Diphtheria Toxoid Adult | $280.75 | $280.75 | $210.56–$280.75 | — | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Boostrix-Tdap - Susp | $323.35 | $323.35 | $271.03–$323.35 | 530% above | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Adacel-Tdap - Injection | $326.40 | $326.40 | $273.59–$326.40 | 536% above | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 Boostrix-Tdap - Susp | $323.35 | $323.35 | $242.51–$323.35 | — | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 Adacel-Tdap - Injection | $326.40 | $326.40 | $244.80–$326.40 | — | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 90471 First vacc | $74.48 | $74.48 | $62.43–$74.48 | 71% above | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 90471 - Admin | $81.30 | $81.30 | $68.15–$81.30 | 87% above | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 90471 First Vaccine | $81.30 | $81.30 | $68.15–$81.30 | 87% above | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 90471 First vacc | $74.48 | $74.48 | $55.86–$74.48 | — | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 90471 First Vaccine | $81.30 | $81.30 | $60.97–$81.30 | — | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 90471 - Admin | $81.30 | $81.30 | $60.97–$81.30 | — | — |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 90472 Ea addl | $74.96 | $74.96 | $62.83–$74.96 | 206% above | — |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 90472 Each Additional | $74.96 | $74.96 | $62.83–$74.96 | 206% above | — |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 90472 - Admin | $81.30 | $81.30 | $68.15–$81.30 | 232% above | — |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 90472 Ea addl | $74.96 | $74.96 | $56.22–$74.96 | — | — |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 90472 Each Additional | $74.96 | $74.96 | $56.22–$74.96 | — | — |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 90472 - Admin | $81.30 | $81.30 | $60.97–$81.30 | — | — |
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.st-marys.org/static/550357050_St-Marys-Medical-Center_standardcharges.csv