Hospital Sayre, PA

Troy Community Hospital

Listed in its price file as “Troy Community Hospital Incorporated”.

Troy Community Hospital in Troy, PA publishes cash prices for 441 common procedures listed here, from its own machine-readable price file updated Mar 31, 2026. Compared with other hospitals in the state, its outpatient cash prices are above the Pennsylvania median for 232 of 436 procedures and below it for 200. By typical cash price it ranks #59 of 108 Pennsylvania hospitals, cheapest first. Select a procedure to compare it with other hospitals nearby.

275 Guthrie Drive, Troy, PA 16947 Collected Oct 21, 2026 Source price file Check a bill from this hospital (570) 297-2121

Critical access hospital (rural, 25 beds or fewer) Nonprofit hospital Emergency department CMS star rating 4 of 5 CCN 391305 · CMS hospital register NPI 1306847926

Financial assistance

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

Troy Community Hospital is a nonprofit hospital in the CMS register. Under section 501(r) of the federal tax code it must have a written Financial Assistance Policy with a free application, publish both on its website, and charge patients who qualify no more than the amounts generally billed to insured patients for emergency and other medically necessary care. Who qualifies depends on household income; the policy states the limits.

You can apply up to 240 days after the first bill. Before collection actions such as credit reporting or a lawsuit, the hospital must tell you about the policy and wait at least 120 days after that bill. Ask the billing office for the policy and the application before you pay, or search the hospital's website for “financial assistance”. Letters you can copy.

Source: IRS, section 501(r) requirements for nonprofit hospitals.

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs Pennsylvania	Off list
Abdominal CT scan without and with contrast CPT 74170 CT Abdomen W-W/O Cont	$2,656.00	$3,320.00	$181.89	41% above	20%
Abdominal CT scan without and with contrast CPT 74170 CT Abdomen W-W/O Cont	$2,656.00	$3,320.00	$176.47–$3,320.00	41% above	20%
Abdominal CT scan without and with contrast inpatient CPT 74170 CT Abdomen W-W/O Cont	$2,656.00	$3,320.00	$181.89	—	20%
Abdominal X-ray, 2 views CPT 74019 Xray Abdomen 2 Views	$627.60	$784.50	$40.40–$784.50	92% above	20%
Abdominal X-ray, 2 views CPT 74019 Xray Abdomen 2 Views	$627.60	$784.50	$40.40	92% above	20%
Abdominal X-ray, 2 views inpatient CPT 74019 Xray Abdomen 2 Views	$627.60	$784.50	$40.40	—	20%
Ankle X-ray, complete, 3 or more views CPT 73610 Ankle,Minimum 3 Views	$380.60	$475.75	$28.42–$475.75	5% above	20%
Ankle X-ray, complete, 3 or more views CPT 73610 Ankle,Minimum 3 Views	$380.60	$475.75	$25.72	5% above	20%
Ankle X-ray, complete, 3 or more views inpatient CPT 73610 Ankle,Minimum 3 Views	$380.60	$475.75	$25.72	—	20%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 HC Fac Non-Invas Stdys Up/Lo Extrem AR	$192.28	$240.35	$43.26–$240.35	57% below	20%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 HC Fac Non-Invas Stdys Up/Lo Extrem AR	$192.28	$240.35	$43.26–$166.01	57% below	20%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 Noninvas Up/Lo Extm Art 1 Lev	$486.20	$607.75	$64.32	9% above	20%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 Noninvas Up/Lo Extm Art 1 Lev	$486.20	$607.75	$48.79–$607.75	9% above	20%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 Noninvasive Arterial Study (Single Level)	$507.05	$633.81	$48.79–$633.81	13% above	20%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 Noninvasive Arterial Study (Single Level)	$507.05	$633.81	$63.43–$437.77	13% above	20%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 HC Fac Non-Invas Stdys Up/Lo Extrem AR	$192.28	$240.35	$43.26–$166.01	—	20%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 Noninvas Up/Lo Extm Art 1 Lev	$486.20	$607.75	$64.32	—	20%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 Noninvasive Arterial Study (Single Level)	$507.05	$633.81	$63.43–$437.77	—	20%
Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 CT Upper Extrem W/O Contrast	$1,269.60	$1,587.00	$106.99–$1,096.14	8% above	20%
Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 CT Upper Extrem W/O Contrast	$1,269.60	$1,587.00	$141.40–$1,587.00	8% above	20%
Arm CT scan without contrast (shoulder to hand, any part) inpatient CPT 73200 CT Upper Extrem W/O Contrast	$1,269.60	$1,587.00	$106.99–$1,096.14	—	20%
Barium swallow (esophagus X-ray with contrast) CPT 74220 Esophagus	$612.00	$765.00	$45.45–$765.00	33% above	20%
Barium swallow (esophagus X-ray with contrast) CPT 74220 Esophagus	$612.00	$765.00	$45.45–$528.39	33% above	20%
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 Esophagus	$612.00	$765.00	$45.45–$528.39	—	20%
Bone scan, whole body (nuclear medicine) CPT 78306 Bone Scan,Whole Body	$1,319.36	$1,649.20	$101.48–$1,649.20	7% above	20%
Bone scan, whole body (nuclear medicine) CPT 78306 Bone Scan,Whole Body	$1,319.36	$1,649.20	$206.31	7% above	20%
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 Bone Scan,Whole Body	$1,319.36	$1,649.20	$206.31	—	20%
Breast ultrasound, complete, one breast CPT 76641 Ultrasound Breast Complete	$685.20	$856.50	$61.94	25% above	20%
Breast ultrasound, complete, one breast CPT 76641 Ultrasound Breast Complete	$685.20	$856.50	$57.38–$856.50	25% above	20%
Breast ultrasound, complete, one breast inpatient CPT 76641 Ultrasound Breast Complete	$685.20	$856.50	$61.94	—	20%
Breast ultrasound, limited (one breast or one area) CPT 76642 Ultrasound Breast Limited	$784.40	$980.50	$60.59–$677.23	70% above	20%
Breast ultrasound, limited (one breast or one area) CPT 76642 Ultrasound Breast Limited	$784.40	$980.50	$60.59–$980.50	70% above	20%
Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 Ultrasound Breast Limited	$784.40	$980.50	$60.59–$677.23	—	20%
CT angiography (CTA) of the abdomen and pelvis CPT 74174 CT Angio Abd&Pelv W/O&W/Dye	$2,506.20	$3,132.75	$259.72	16% below	20%
CT angiography (CTA) of the abdomen and pelvis CPT 74174 CT Angio Abd&Pelv W/O&W/Dye	$2,506.20	$3,132.75	$179.25–$3,132.75	16% below	20%
CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 CT Angio Abd&Pelv W/O&W/Dye	$2,506.20	$3,132.75	$259.72	—	20%
CT angiography (CTA) of the head CPT 70496 CT Angio, Head, W/Cont, Noncont if Perf	$3,265.20	$4,081.50	$219.17–$2,819.09	91% above	20%
CT angiography (CTA) of the head CPT 70496 CT Angio, Head, W/Cont, Noncont if Perf	$3,265.20	$4,081.50	$219.17–$4,081.50	91% above	20%
CT angiography (CTA) of the head inpatient CPT 70496 CT Angio, Head, W/Cont, Noncont if Perf	$3,265.20	$4,081.50	$219.17–$2,819.09	—	20%
CT angiography (CTA) of the neck CPT 70498 CT Angio, Neck, W/Cont, Noncont if Perf	$2,688.00	$3,360.00	$256.54–$3,360.00	61% above	20%
CT angiography (CTA) of the neck CPT 70498 CT Angio, Neck, W/Cont, Noncont if Perf	$2,688.00	$3,360.00	$182.44–$2,320.75	61% above	20%
CT angiography (CTA) of the neck inpatient CPT 70498 CT Angio, Neck, W/Cont, Noncont if Perf	$2,688.00	$3,360.00	$182.44–$2,320.75	—	20%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT Angio,Chest(Noncoronary),W/Cont, Noncont if Perf	$2,643.40	$3,304.25	$247.45–$3,304.25	38% above	20%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT Angio,Chest(Noncoronary),W/Cont, Noncont if Perf	$2,643.40	$3,304.25	$184.58–$2,282.25	38% above	20%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CT Angio,Chest(Noncoronary),W/Cont, Noncont if Perf	$2,643.40	$3,304.25	$184.58–$2,282.25	—	20%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 Cta Coronary Arteries W/O Quant Eval of Coronary Calcium	$2,694.48	$3,368.10	$198.33–$2,326.35	36% above	20%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 Cta Coronary Arteries W/O Quant Eval of Coronary Calcium	$2,694.48	$3,368.10	$223.25–$3,368.10	36% above	20%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 Cta Coronary Arteries W/O Quant Eval of Coronary Calcium	$2,694.48	$3,368.10	$198.33–$2,326.35	—	20%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT Heart WO Dye	$2,236.42	$2,795.52	$503.19–$1,930.87	1165% above	20%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT Heart WO Dye	$2,236.42	$2,795.52	$503.19–$2,795.52	1165% above	20%
CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 CT Heart WO Dye	$2,236.42	$2,795.52	$503.19–$1,930.87	—	20%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT Abd/Pelv W/O Contrast	$1,582.80	$1,978.50	$121.42–$1,366.55	24% below	20%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT Abd/Pelv W/O Contrast	$1,582.80	$1,978.50	$121.42–$1,978.50	24% below	20%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT Abd/Pelv W/O Contrast	$1,582.80	$1,978.50	$121.42–$1,366.55	—	20%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT Abd/Pelv W/ Contrast	$2,471.80	$3,089.75	$190.77–$3,089.75	17% below	20%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT Abd/Pelv W/ Contrast	$2,471.80	$3,089.75	$202.77	17% below	20%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT Abd/Pelv W/ Contrast	$2,471.80	$3,089.75	$202.77	—	20%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT Abd & Pelvis 1+ Section/Regions	$2,755.20	$3,444.00	$228.79–$2,378.77	8% below	20%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT Abd & Pelvis 1+ Section/Regions	$2,755.20	$3,444.00	$241.69–$3,444.00	8% below	20%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT Abd & Pelvis 1+ Section/Regions	$2,755.20	$3,444.00	$228.79–$2,378.77	—	20%
CT scan of the abdomen with contrast CPT 74160 CT Abdomen W/Contrast	$2,447.80	$3,059.75	$171.70–$3,059.75	48% above	20%
CT scan of the abdomen with contrast CPT 74160 CT Abdomen W/Contrast	$2,447.80	$3,059.75	$160.40–$2,113.37	48% above	20%
CT scan of the abdomen with contrast inpatient CPT 74160 CT Abdomen W/Contrast	$2,447.80	$3,059.75	$160.40–$2,113.37	—	20%
CT scan of the abdomen without contrast CPT 74150 CT Abd W/O Contrast	$1,914.20	$2,392.75	$141.40–$1,652.67	70% above	20%
CT scan of the abdomen without contrast CPT 74150 CT Abd W/O Contrast	$1,914.20	$2,392.75	$129.00–$2,392.75	70% above	20%
CT scan of the abdomen without contrast inpatient CPT 74150 CT Abd W/O Contrast	$1,914.20	$2,392.75	$141.40–$1,652.67	—	20%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT Maxillofacial W/O Contrast	$1,973.80	$2,467.25	$127.26–$2,467.25	75% above	20%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT Maxillofacial W/O Contrast	$1,973.80	$2,467.25	$203.39	75% above	20%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT Maxillofacial W/O Contrast	$1,973.80	$2,467.25	$203.39	—	20%
CT scan of the head or brain, no contrast dye CPT 70450 CT Head W/O Contrast	$1,809.00	$2,261.25	$121.20–$1,561.85	67% above	20%
CT scan of the head or brain, no contrast dye CPT 70450 CT Head W/O Contrast	$1,809.00	$2,261.25	$116.75–$2,261.25	67% above	20%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT Head W/O Contrast	$1,809.00	$2,261.25	$121.20–$1,561.85	—	20%
CT scan of the head with contrast CPT 70460 CT Head W/ Contrast	$2,008.20	$2,510.25	$209.64	48% above	20%
CT scan of the head with contrast CPT 70460 CT Head W/ Contrast	$2,008.20	$2,510.25	$134.00–$2,510.25	48% above	20%
CT scan of the head with contrast inpatient CPT 70460 CT Head W/ Contrast	$2,008.20	$2,510.25	$209.64	—	20%
CT scan of the head without and with contrast CPT 70470 CT Hd W/O & W/Contrast	$2,486.20	$3,107.75	$206.77–$2,146.52	49% above	20%
CT scan of the head without and with contrast CPT 70470 CT Hd W/O & W/Contrast	$2,486.20	$3,107.75	$159.05–$3,107.75	49% above	20%
CT scan of the head without and with contrast inpatient CPT 70470 CT Hd W/O & W/Contrast	$2,486.20	$3,107.75	$206.77–$2,146.52	—	20%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT L-Spine W/O Contrast	$2,750.20	$3,437.75	$180.17–$3,437.75	139% above	20%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT L-Spine W/O Contrast	$2,750.20	$3,437.75	$180.17–$2,374.45	139% above	20%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT L-Spine W/O Contrast	$2,750.20	$3,437.75	$180.17–$2,374.45	—	20%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT C-Spine W/O Contrast	$2,087.60	$2,609.50	$141.40–$1,802.38	77% above	20%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT C-Spine W/O Contrast	$2,087.60	$2,609.50	$133.59–$2,609.50	77% above	20%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT C-Spine W/O Contrast	$2,087.60	$2,609.50	$141.40–$1,802.38	—	20%
CT scan of the pelvis, with contrast dye CPT 72193 CT Pelvis W/Contrast	$2,063.20	$2,579.00	$161.63–$1,781.32	22% above	20%
CT scan of the pelvis, with contrast dye CPT 72193 CT Pelvis W/Contrast	$2,063.20	$2,579.00	$140.09–$2,579.00	22% above	20%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT Pelvis W/Contrast	$2,063.20	$2,579.00	$161.63–$1,781.32	—	20%
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 Duplex Scan Extracranial,Bilat	$470.99	$588.74	$105.97–$406.64	—	20%
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 Duplex Scan Extracranial,Bilat	$470.99	$588.74	$105.97–$588.74	—	20%
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 Duplex Extracran Art Bilat	$954.60	$1,193.25	$109.08–$1,193.25	—	20%
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 Duplex Extracran Art Bilat	$954.60	$1,193.25	$109.08–$824.18	—	20%
Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 Duplex Scan Extracranial,Bilat	$470.99	$588.74	$105.97–$406.64	—	20%
Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 Duplex Extracran Art Bilat	$954.60	$1,193.25	$109.08–$824.18	—	20%
Chest CT scan without and with contrast CPT 71270 CT Thorax, W & W/O Contrast	$2,097.20	$2,621.50	$167.37–$2,621.50	30% above	20%
Chest CT scan without and with contrast CPT 71270 CT Thorax, W & W/O Contrast	$2,097.20	$2,621.50	$261.85	30% above	20%
Chest CT scan without and with contrast inpatient CPT 71270 CT Thorax, W & W/O Contrast	$2,097.20	$2,621.50	$261.85	—	20%
Chest X-ray, 2 views CPT 71046 Xray Chest 2 Views	$383.40	$479.25	$26.51–$479.25	19% above	20%
Chest X-ray, 2 views CPT 71046 Xray Chest 2 Views	$383.40	$479.25	$26.51–$331.02	19% above	20%
Chest X-ray, 2 views inpatient CPT 71046 Xray Chest 2 Views	$383.40	$479.25	$26.51–$331.02	—	20%
Chest X-ray, single view CPT 71045 Xray Chest 1 View	$358.40	$448.00	$24.22–$3,740.49	90% above	20%
Chest X-ray, single view CPT 71045 Xray Chest 1 View	$358.40	$448.00	$24.22–$3,740.49	90% above	20%
Chest X-ray, single view inpatient CPT 71045 Xray Chest 1 View	$358.40	$448.00	$24.22–$3,740.49	—	20%
Collarbone (clavicle) X-ray, complete CPT 73000 Clavicle X Ray	$263.20	$329.00	$17.68–$329.00	8% below	20%
Collarbone (clavicle) X-ray, complete CPT 73000 Clavicle X Ray	$263.20	$329.00	$17.68–$227.24	8% below	20%
Collarbone (clavicle) X-ray, complete inpatient CPT 73000 Clavicle X Ray	$263.20	$329.00	$17.68–$227.24	—	20%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 Ultrasound Retroperitoneal/B-Scan W/Image Doc	$916.00	$1,145.00	$60.60–$1,145.00	26% above	20%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 Ultrasound Retroperitoneal/B-Scan W/Image Doc	$916.00	$1,145.00	$60.60–$790.85	26% above	20%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 Ultrasound Retroperitoneal/B-Scan W/Image Doc	$916.00	$1,145.00	$60.60–$790.85	—	20%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 Bone Density	$576.60	$720.75	$60.11–$720.75	112% above	20%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 Bone Density	$576.60	$720.75	$78.14–$497.82	112% above	20%
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 Bone Density	$576.60	$720.75	$78.14–$497.82	—	20%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 Dexa Extremity	$178.20	$222.75	$27.48–$222.75	1% below	20%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 Dexa Extremity	$178.20	$222.75	$20.80–$153.85	1% below	20%
DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 Dexa Extremity	$178.20	$222.75	$20.80–$153.85	—	20%
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 Pregnancy Unltrasound, Detailed, Transabd, Single Gestation	$1,427.20	$1,784.00	$127.26–$1,784.00	14% above	20%
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 Pregnancy Unltrasound, Detailed, Transabd, Single Gestation	$1,427.20	$1,784.00	$127.26–$1,232.21	14% above	20%
Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 Pregnancy Unltrasound, Detailed, Transabd, Single Gestation	$1,427.20	$1,784.00	$127.26–$1,232.21	—	20%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT Thorax W/O Contrast	$1,876.00	$2,345.00	$133.59–$2,345.00	71% above	20%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT Thorax W/O Contrast	$1,876.00	$2,345.00	$209.00	71% above	20%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT Thorax W/O Contrast	$1,876.00	$2,345.00	$209.00	—	20%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT Scan Thorax W Contrast	$2,540.80	$3,176.00	$171.70–$2,193.66	78% above	20%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT Scan Thorax W Contrast	$2,540.80	$3,176.00	$171.70–$3,176.00	78% above	20%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT Scan Thorax W Contrast	$2,540.80	$3,176.00	$171.70–$2,193.66	—	20%
Diagnostic mammogram, both breasts both sides CPT 77066 Mammo Diagnostic W/ Cad Bilat	$368.00	$460.00	$102.69	—	20%
Diagnostic mammogram, both breasts both sides CPT 77066 Mammo Diagnostic W/ Cad Bilat	$368.00	$460.00	$82.80–$680.60	—	20%
Diagnostic mammogram, both breasts both sides CPT 77066 Dx Mammo Incl Cad Bi	$728.20	$910.25	$97.97–$628.71	—	20%
Diagnostic mammogram, both breasts both sides CPT 77066 Dx Mammo Incl Cad Bi	$728.20	$910.25	$97.97–$910.25	—	20%
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 Mammo Diagnostic W/ Cad Bilat	$368.00	$460.00	$102.69	—	20%
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 Dx Mammo Incl Cad Bi	$728.20	$910.25	$97.97–$628.71	—	20%
Diagnostic mammogram, one breast CPT 77065 Dx Mammo Incl Cad Un	$601.40	$751.75	$80.59–$519.23	90% above	20%
Diagnostic mammogram, one breast CPT 77065 Dx Mammo Incl Cad Un	$601.40	$751.75	$97.97–$751.75	90% above	20%
Diagnostic mammogram, one breast inpatient CPT 77065 Dx Mammo Incl Cad Un	$601.40	$751.75	$80.59–$519.23	—	20%
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 Duplex Scan of Lower Extremity; Complete Bilateral Study	$846.56	$1,058.20	$109.08–$1,058.20	—	20%
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 Duplex Scan of Lower Extremity; Complete Bilateral Study	$846.56	$1,058.20	$109.08–$730.90	—	20%
Duplex ultrasound of the leg arteries, both legs CPT 93925 HC Fac Non-Invasive Duplex Scan Lower	$470.40	$588.00	$105.84–$588.00	43% below	20%
Duplex ultrasound of the leg arteries, both legs CPT 93925 HC Fac Non-Invasive Duplex Scan Lower	$470.40	$588.00	$105.84–$406.13	43% below	20%
Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 Duplex Scan of Lower Extremity; Complete Bilateral Study	$846.56	$1,058.20	$109.08–$730.90	—	20%
Duplex ultrasound of the leg arteries, both legs inpatient CPT 93925 HC Fac Non-Invasive Duplex Scan Lower	$470.40	$588.00	$105.84–$406.13	—	20%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 Duplex Extrem Venous,Bilat	$525.67	$657.09	$109.08–$657.09	—	20%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 Duplex Extrem Venous,Bilat	$525.67	$657.09	$109.08–$453.85	—	20%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 Duplex Ext Veins Comp Bilat	$1,206.20	$1,507.75	$109.08–$1,041.40	—	20%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 Duplex Ext Veins Comp Bilat	$1,206.20	$1,507.75	$109.08–$1,507.75	—	20%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 Duplex Extrem Venous,Bilat	$525.67	$657.09	$109.08–$453.85	—	20%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 Duplex Ext Veins Comp Bilat	$1,206.20	$1,507.75	$109.08–$1,041.40	—	20%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 Tte W/Doppler, Complete-Geis-Peds	$1,866.60	$2,333.25	$141.02–$2,333.25	1% below	20%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 Tte W/Doppler, Complete-Geis-Peds	$1,866.60	$2,333.25	$419.99	1% below	20%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 Tte W/Doppler, Complete	$2,205.00	$2,756.25	$183.33–$1,903.74	18% above	20%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 Tte W/Doppler, Complete	$2,205.00	$2,756.25	$141.02–$2,756.25	18% above	20%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 Tte W/Doppler, Complete-Geis-Peds	$1,866.60	$2,333.25	$419.99	—	20%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 Tte W/Doppler, Complete	$2,205.00	$2,756.25	$183.33–$1,903.74	—	20%
Elbow X-ray, 2 views CPT 73070 Elbow, 2 Views	$277.20	$346.50	$17.68–$346.50	9% below	20%
Elbow X-ray, 2 views CPT 73070 Elbow, 2 Views	$277.20	$346.50	$17.68–$239.33	9% below	20%
Elbow X-ray, 2 views inpatient CPT 73070 Elbow, 2 Views	$277.20	$346.50	$17.68–$239.33	—	20%
Elbow X-ray, complete, 3 or more views CPT 73080 Elbow, Min of 3 Views	$320.20	$400.25	$22.34	7% below	20%
Elbow X-ray, complete, 3 or more views CPT 73080 Elbow, Min of 3 Views	$320.20	$400.25	$22.10–$400.25	7% below	20%
Elbow X-ray, complete, 3 or more views inpatient CPT 73080 Elbow, Min of 3 Views	$320.20	$400.25	$22.34	—	20%
Eye socket (orbit) CT scan without contrast CPT 70480 CT Orbit,Sella,Posterior Fossa,Outer,Inner,Middleear WO/Con	$1,755.00	$2,193.75	$121.20–$1,515.22	62% above	20%
Eye socket (orbit) CT scan without contrast CPT 70480 CT Orbit,Sella,Posterior Fossa,Outer,Inner,Middleear WO/Con	$1,755.00	$2,193.75	$121.20–$2,193.75	62% above	20%
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 CT Orbit,Sella,Posterior Fossa,Outer,Inner,Middleear WO/Con	$1,755.00	$2,193.75	$121.20–$1,515.22	—	20%
Facial bones X-ray, complete, 3 or more views CPT 70150 Facial Bones	$427.00	$533.75	$31.55	4% above	20%
Facial bones X-ray, complete, 3 or more views CPT 70150 Facial Bones	$427.00	$533.75	$34.26–$533.75	4% above	20%
Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 Facial Bones	$427.00	$533.75	$31.55	—	20%
Forearm X-ray (radius and ulna), 2 views CPT 73090 Forearm, Two Views	$267.60	$334.50	$17.68–$334.50	4% below	20%
Forearm X-ray (radius and ulna), 2 views CPT 73090 Forearm, Two Views	$267.60	$334.50	$17.68–$231.04	4% below	20%
Forearm X-ray (radius and ulna), 2 views inpatient CPT 73090 Forearm, Two Views	$267.60	$334.50	$17.68–$231.04	—	20%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 Hepatobiliary System Imaging	$1,711.24	$2,139.05	$110.02–$2,139.05	39% above	20%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 Hepatobiliary System Imaging	$1,711.24	$2,139.05	$235.16	39% above	20%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 Hepatobiliary System Imaging	$1,711.24	$2,139.05	$235.16	—	20%
Hand X-ray, 2 views CPT 73120 Hand 2 View	$306.20	$382.75	$21.42–$3,740.49	9% above	20%
Hand X-ray, 2 views CPT 73120 Hand 2 View	$306.20	$382.75	$22.73–$776.00	9% above	20%
Hand X-ray, 2 views inpatient CPT 73120 Hand 2 View	$306.20	$382.75	$21.42–$3,740.49	—	20%
Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 HEEL	$230.20	$287.75	$17.68–$287.75	13% below	20%
Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 HEEL	$230.20	$287.75	$17.68–$198.75	13% below	20%
Heel bone (calcaneus) X-ray, 2 or more views inpatient CPT 73650 HEEL	$230.20	$287.75	$17.68–$198.75	—	20%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 HC Fac Polysomnography W Cpap	$449.10	$561.38	$70.65–$1,075.27	86% below	20%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 Cpap Titration Study	$3,917.20	$4,896.50	$841.83–$3,382.01	25% above	20%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 Cpap Titration Study	$3,917.20	$4,896.50	$647.56–$4,896.50	25% above	20%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 Split Night Study	$4,083.80	$5,104.75	$841.83–$3,525.85	30% above	20%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 Nocturnal Polysomnogram With Cpap	$4,083.80	$5,104.75	$647.56–$5,104.75	30% above	20%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 Nocturnal Polysomnogram With Cpap	$4,083.80	$5,104.75	$841.83–$3,525.85	30% above	20%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 Split Night Study	$4,083.80	$5,104.75	$647.56–$5,104.75	30% above	20%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 Incomplete Cpap Titration Study	$4,434.40	$5,543.00	$647.56–$5,543.00	41% above	20%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 Incomplete Cpap Titration Study	$4,434.40	$5,543.00	$841.83–$3,828.55	41% above	20%
In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 Cpap Titration Study	$3,917.20	$4,896.50	$841.83–$3,382.01	—	20%
In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 Nocturnal Polysomnogram With Cpap	$4,083.80	$5,104.75	$841.83–$3,525.85	—	20%
In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 Split Night Study	$4,083.80	$5,104.75	$841.83–$3,525.85	—	20%
In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 Incomplete Cpap Titration Study	$4,434.40	$5,543.00	$841.83–$3,828.55	—	20%
Knee X-ray, 3 views CPT 73562 Knee, 3 Views	$411.40	$514.25	$26.51–$355.19	3% above	20%
Knee X-ray, 3 views CPT 73562 Knee, 3 Views	$411.40	$514.25	$26.51–$514.25	3% above	20%
Knee X-ray, 3 views inpatient CPT 73562 Knee, 3 Views	$411.40	$514.25	$26.51–$355.19	—	20%
Knee X-ray, complete, 4 or more views CPT 73564 Knee, 4 or More Views	$481.20	$601.50	$35.35–$601.50	10% above	20%
Knee X-ray, complete, 4 or more views CPT 73564 Knee, 4 or More Views	$481.20	$601.50	$33.39	10% above	20%
Knee X-ray, complete, 4 or more views inpatient CPT 73564 Knee, 4 or More Views	$481.20	$601.50	$33.39	—	20%
Leg CT scan without contrast (hip to foot, any part) CPT 73700 CT Lower Extrem W/O Contrast	$1,926.80	$2,408.50	$141.40–$2,408.50	82% above	20%
Leg CT scan without contrast (hip to foot, any part) CPT 73700 CT Lower Extrem W/O Contrast	$1,926.80	$2,408.50	$141.40–$1,663.55	82% above	20%
Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 CT Lower Extrem W/O Contrast	$1,926.80	$2,408.50	$141.40–$1,663.55	—	20%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US Peritoneal Limited	$957.80	$1,197.25	$97.78	58% above	20%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US Peritoneal Limited	$957.80	$1,197.25	$62.50–$1,197.25	58% above	20%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US Peritoneal Limited	$957.80	$1,197.25	$97.78	—	20%
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 US Lmtd Jt/Fcl Evl Nvasc Xtr	$462.40	$578.00	$29.09–$399.22	17% above	20%
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 US Lmtd Jt/Fcl Evl Nvasc Xtr	$462.40	$578.00	$104.04–$578.00	17% above	20%
Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 US Lmtd Jt/Fcl Evl Nvasc Xtr	$462.40	$578.00	$29.09–$399.22	—	20%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT Thorax Lung Cancer Scr C-	$2,291.19	$2,863.99	$179.90	478% above	20%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT Thorax Lung Cancer Scr C-	$2,291.19	$2,863.99	$149.49–$2,863.99	478% above	20%
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 CT Thorax Lung Cancer Scr C-	$2,291.19	$2,863.99	$179.90	—	20%
Lower leg X-ray (tibia and fibula), 2 views CPT 73590 Tibula/Fibula, 2 Views	$316.40	$395.50	$22.03–$273.17	5% below	20%
Lower leg X-ray (tibia and fibula), 2 views CPT 73590 Tibula/Fibula, 2 Views	$316.40	$395.50	$22.73–$395.50	5% below	20%
Lower leg X-ray (tibia and fibula), 2 views inpatient CPT 73590 Tibula/Fibula, 2 Views	$316.40	$395.50	$22.03–$273.17	—	20%
MR angiography (MRA) of the head without contrast CPT 70544 Mra Head W/O Contrast	$2,915.00	$3,643.75	$323.20–$3,643.75	62% above	20%
MR angiography (MRA) of the head without contrast CPT 70544 Mra Head W/O Contrast	$2,915.00	$3,643.75	$420.16–$2,516.74	62% above	20%
MR angiography (MRA) of the head without contrast inpatient CPT 70544 Mra Head W/O Contrast	$2,915.00	$3,643.75	$420.16–$2,516.74	—	20%
MRI of both breasts, without and then with contrast dye both sides CPT 77049 MRI Breast W/W/O Contrast Bilateral W/Cad	$3,753.60	$4,692.00	$488.17	—	20%
MRI of both breasts, without and then with contrast dye both sides CPT 77049 MRI Breast W/W/O Contrast Bilateral W/Cad	$3,753.60	$4,692.00	$312.03–$4,692.00	—	20%
MRI of both breasts, without and then with contrast dye inpatient both sides CPT 77049 MRI Breast W/W/O Contrast Bilateral W/Cad	$3,753.60	$4,692.00	$488.17	—	20%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI Lower Extrem Jt W/O Contrast	$3,680.20	$4,600.25	$505.00–$3,177.39	81% above	20%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI Lower Extrem Jt W/O Contrast	$3,680.20	$4,600.25	$505.00–$4,600.25	81% above	20%
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 MRI Lower Extrem Jt W/O Contrast	$3,680.20	$4,600.25	$505.00–$3,177.39	—	20%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI Lower Extrem Jt W/O & W/Contrast	$5,333.40	$6,666.75	$505.00–$4,604.72	51% above	20%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI Lower Extrem Jt W/O & W/Contrast	$5,333.40	$6,666.75	$505.00–$6,666.75	51% above	20%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 MRI Lower Extrem Jt W/O & W/Contrast	$5,333.40	$6,666.75	$505.00–$4,604.72	—	20%
MRI of the abdomen without contrast CPT 74181 MRI Abdomen W/O Contrast	$1,551.20	$1,939.00	$119.58–$1,339.27	21% below	20%
MRI of the abdomen without contrast CPT 74181 MRI Abdomen W/O Contrast	$1,551.20	$1,939.00	$336.21–$1,939.00	21% below	20%
MRI of the abdomen without contrast inpatient CPT 74181 MRI Abdomen W/O Contrast	$1,551.20	$1,939.00	$119.58–$1,339.27	—	20%
MRI of the abdomen, without and then with contrast dye CPT 74183 MRI Abdomen W/O & W/Contrast	$4,546.80	$5,683.50	$505.00–$5,683.50	29% above	20%
MRI of the abdomen, without and then with contrast dye CPT 74183 MRI Abdomen W/O & W/Contrast	$4,546.80	$5,683.50	$505.00–$3,925.59	29% above	20%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MRI Abdomen W/O & W/Contrast	$4,546.80	$5,683.50	$505.00–$3,925.59	—	20%
MRI of the brain, no contrast dye CPT 70551 MRI Brain Inc Brain Stem WO/Contrast	$2,728.60	$3,410.75	$337.61–$3,410.75	50% above	20%
MRI of the brain, no contrast dye CPT 70551 MRI Brain Inc Brain Stem WO/Contrast	$2,728.60	$3,410.75	$438.89–$2,355.81	50% above	20%
MRI of the brain, no contrast dye inpatient CPT 70551 MRI Brain Inc Brain Stem WO/Contrast	$2,728.60	$3,410.75	$438.89–$2,355.81	—	20%
MRI of the brain, with and without contrast dye CPT 70553 MRI Brain Inc Brain Stem W/WO Contrast	$4,205.40	$5,256.75	$440.70–$3,630.84	45% above	20%
MRI of the brain, with and without contrast dye CPT 70553 MRI Brain Inc Brain Stem W/WO Contrast	$4,205.40	$5,256.75	$339.00–$5,256.75	45% above	20%
MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI Brain Inc Brain Stem W/WO Contrast	$4,205.40	$5,256.75	$440.70–$3,630.84	—	20%
MRI of the lower back, no contrast dye CPT 72148 MRI L-Spine WO Contrast	$3,425.20	$4,281.50	$333.00–$2,957.23	91% above	20%
MRI of the lower back, no contrast dye CPT 72148 MRI L-Spine WO Contrast	$3,425.20	$4,281.50	$256.15–$4,281.50	91% above	20%
MRI of the lower back, no contrast dye inpatient CPT 72148 MRI L-Spine WO Contrast	$3,425.20	$4,281.50	$333.00–$2,957.23	—	20%
MRI of the lower back, without and then with contrast dye CPT 72158 MRI L Spine W/WO Contr	$4,957.80	$6,197.25	$440.70–$4,280.44	52% above	20%
MRI of the lower back, without and then with contrast dye CPT 72158 MRI L Spine W/WO Contr	$4,957.80	$6,197.25	$339.00–$6,197.25	52% above	20%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MRI L Spine W/WO Contr	$4,957.80	$6,197.25	$440.70–$4,280.44	—	20%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI T-Spine WO Contrast	$2,830.60	$3,538.25	$261.35–$3,538.25	37% above	20%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI T-Spine WO Contrast	$2,830.60	$3,538.25	$339.76–$2,443.87	37% above	20%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MRI T-Spine WO Contrast	$2,830.60	$3,538.25	$339.76–$2,443.87	—	20%
MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI C Spine W/WO Contr	$5,113.80	$6,392.25	$440.70–$4,415.13	75% above	20%
MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI C Spine W/WO Contr	$5,113.80	$6,392.25	$339.00–$6,392.25	75% above	20%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MRI C Spine W/WO Contr	$5,113.80	$6,392.25	$440.70–$4,415.13	—	20%
MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI C-Spine WO Contrast	$3,312.80	$4,141.00	$530.37	89% above	20%
MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI C-Spine WO Contrast	$3,312.80	$4,141.00	$339.00–$4,141.00	89% above	20%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MRI C-Spine WO Contrast	$3,312.80	$4,141.00	$530.37	—	20%
MRI of the pelvis without and with contrast CPT 72197 MRI Pelvis W/O & W/Contrast	$4,325.00	$5,406.25	$505.00–$5,406.25	23% above	20%
MRI of the pelvis without and with contrast CPT 72197 MRI Pelvis W/O & W/Contrast	$4,325.00	$5,406.25	$902.51	23% above	20%
MRI of the pelvis without and with contrast inpatient CPT 72197 MRI Pelvis W/O & W/Contrast	$4,325.00	$5,406.25	$902.51	—	20%
MRI of the pelvis, no contrast dye CPT 72195 MRI Pelvis W/O Contrast	$2,440.60	$3,050.75	$328.67–$3,050.75	25% above	20%
MRI of the pelvis, no contrast dye CPT 72195 MRI Pelvis W/O Contrast	$2,440.60	$3,050.75	$427.27–$2,107.15	25% above	20%
MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI Pelvis W/O Contrast	$2,440.60	$3,050.75	$427.27–$2,107.15	—	20%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MRI Upper Extrem Jt W/O Contrast	$3,453.40	$4,316.75	$505.00–$4,316.75	63% above	20%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MRI Upper Extrem Jt W/O Contrast	$3,453.40	$4,316.75	$505.00–$2,981.58	63% above	20%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 MRI Upper Extrem Jt W/O Contrast	$3,453.40	$4,316.75	$505.00–$2,981.58	—	20%
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 Cervical Spine, 4 or 5 Views	$529.20	$661.50	$35.35–$456.90	20% above	20%
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 Cervical Spine, 4 or 5 Views	$529.20	$661.50	$35.35–$661.50	20% above	20%
Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 Cervical Spine, 4 or 5 Views	$529.20	$661.50	$35.35–$456.90	—	20%
Neck soft tissue CT scan with contrast CPT 70491 CT Soft Tissue Neck W Contrast	$2,170.20	$2,712.75	$171.70–$1,873.70	60% above	20%
Neck soft tissue CT scan with contrast CPT 70491 CT Soft Tissue Neck W Contrast	$2,170.20	$2,712.75	$137.50–$2,712.75	60% above	20%
Neck soft tissue CT scan with contrast inpatient CPT 70491 CT Soft Tissue Neck W Contrast	$2,170.20	$2,712.75	$171.70–$1,873.70	—	20%
Neck soft tissue CT scan without contrast CPT 70490 CT Soft Tissue Neck W/O Contrast	$2,051.40	$2,564.25	$131.50–$2,564.25	89% above	20%
Neck soft tissue CT scan without contrast CPT 70490 CT Soft Tissue Neck W/O Contrast	$2,051.40	$2,564.25	$205.73	89% above	20%
Neck soft tissue CT scan without contrast inpatient CPT 70490 CT Soft Tissue Neck W/O Contrast	$2,051.40	$2,564.25	$205.73	—	20%
Neck soft tissue X-ray CPT 70360 Neck Xray Soft Tissue	$296.60	$370.75	$20.80–$256.08	6% above	20%
Neck soft tissue X-ray CPT 70360 Neck Xray Soft Tissue	$296.60	$370.75	$22.73–$370.75	6% above	20%
Neck soft tissue X-ray inpatient CPT 70360 Neck Xray Soft Tissue	$296.60	$370.75	$20.80–$256.08	—	20%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 Myocard Perf Multi Spect	$4,578.05	$5,722.56	$340.80–$5,722.56	17% above	20%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 Myocard Perf Multi Spect	$4,578.05	$5,722.56	$319.06–$3,952.57	17% above	20%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 Myocard Perf Multi Spect	$4,578.05	$5,722.56	$319.06–$3,952.57	—	20%
OCT scan of the retina (optical coherence tomography) CPT 92134 HC Fac Computerized Ophthalmic Imaging Retina	$127.60	$159.50	$28.71–$110.17	16% below	20%
OCT scan of the retina (optical coherence tomography) CPT 92134 HC Fac Computerized Ophthalmic Imaging Retina	$127.60	$159.50	$28.71–$159.50	16% below	20%
OCT scan of the retina (optical coherence tomography) inpatient CPT 92134 HC Fac Computerized Ophthalmic Imaging Retina	$127.60	$159.50	$28.71–$110.17	—	20%
PET/CT scan from the base of the skull to mid-thigh CPT 78815 Pet Image W/CT Skull-Thigh	$12,068.88	$15,086.10	$2,045.18	67% above	20%
PET/CT scan from the base of the skull to mid-thigh CPT 78815 Pet Image W/CT Skull-Thigh	$12,068.88	$15,086.10	$1,194.83–$15,086.10	67% above	20%
PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 Pet Image W/CT Skull-Thigh	$12,068.88	$15,086.10	$2,045.18	—	20%
Pelvic CT scan without contrast CPT 72192 CT Pelvis W/O Contrast (720)	$1,768.40	$2,210.50	$112.50–$2,210.50	62% above	20%
Pelvic CT scan without contrast CPT 72192 CT Pelvis W/O Contrast (720)	$1,768.40	$2,210.50	$141.40–$1,526.79	62% above	20%
Pelvic CT scan without contrast inpatient CPT 72192 CT Pelvis W/O Contrast (720)	$1,768.40	$2,210.50	$141.40–$1,526.79	—	20%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 Pelvic Sono, Limited	$572.80	$716.00	$40.40–$494.54	28% above	20%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 Pelvic Sono, Limited	$572.80	$716.00	$40.40–$716.00	28% above	20%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 Pelvic Sono, Limited	$572.80	$716.00	$40.40–$494.54	—	20%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 Ultrasound Pelvic/B-Scan W/Image Doc	$718.00	$897.50	$66.47	23% above	20%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 Ultrasound Pelvic/B-Scan W/Image Doc	$718.00	$897.50	$55.55–$897.50	23% above	20%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 Ultrasound Pelvic/B-Scan W/Image Doc	$718.00	$897.50	$66.47	—	20%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US Preg Eval>=14wks Sng Gest	$288.12	$360.15	$55.55–$581.26	53% below	20%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US Preg Eval>=14wks Sng Gest	$288.12	$360.15	$55.55–$248.76	53% below	20%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 Ultrasound Pregnant Uterus/B-Scan W/Image Doc	$998.20	$1,247.75	$77.50–$1,247.75	63% above	20%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 Ultrasound Pregnant Uterus/B-Scan W/Image Doc	$998.20	$1,247.75	$79.98–$861.82	63% above	20%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US Preg Eval>=14wks Sng Gest	$288.12	$360.15	$55.55–$248.76	—	20%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 Ultrasound Pregnant Uterus/B-Scan W/Image Doc	$998.20	$1,247.75	$79.98–$861.82	—	20%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US Preg Eval<14wks Sngl Gest	$258.72	$323.40	$55.55–$223.37	54% below	20%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US Preg Eval<14wks Sngl Gest	$258.72	$323.40	$55.55–$505.85	54% below	20%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 Pregnancy Ultrasound, 1st Trimester, Transabd, Single Gest	$519.20	$649.00	$64.09	7% below	20%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 Pregnancy Ultrasound, 1st Trimester, Transabd, Single Gest	$519.20	$649.00	$55.55–$649.00	7% below	20%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 US Preg Eval<14wks Sngl Gest	$258.72	$323.40	$55.55–$223.37	—	20%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 Pregnancy Ultrasound, 1st Trimester, Transabd, Single Gest	$519.20	$649.00	$64.09	—	20%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US Preg Eval Ltd 1 /> Fetus	$209.92	$262.40	$25.25–$349.96	61% below	20%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US Preg Eval Ltd 1 /> Fetus	$209.92	$262.40	$25.25–$181.24	61% below	20%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 Pregnancy, Limited	$658.00	$822.50	$44.19–$568.10	23% above	20%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 Pregnancy, Limited	$658.00	$822.50	$44.19–$822.50	23% above	20%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 US Preg Eval Ltd 1 /> Fetus	$209.92	$262.40	$25.25–$181.24	—	20%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 Pregnancy, Limited	$658.00	$822.50	$44.19–$568.10	—	20%
Rib X-ray, one side, 2 views one side CPT 71100 Ribs, Unilateral, 2 Views	$311.60	$389.50	$26.50–$389.50	7% below	20%
Rib X-ray, one side, 2 views one side CPT 71100 Ribs, Unilateral, 2 Views	$311.60	$389.50	$23.87	7% below	20%
Rib X-ray, one side, 2 views inpatient one side CPT 71100 Ribs, Unilateral, 2 Views	$311.60	$389.50	$23.87	—	20%
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 Ribs Unilat W/Pa Cxr	$413.20	$516.50	$26.94–$356.75	1% above	20%
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 Ribs Unilat W/Pa Cxr	$413.20	$516.50	$26.50–$516.50	1% above	20%
Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 Ribs Unilat W/Pa Cxr	$413.20	$516.50	$26.94–$356.75	—	20%
Screening mammogram, both breasts both sides CPT 77067 Scr Mammo Bi Incl Cad	$663.40	$829.25	$93.68–$829.25	—	20%
Screening mammogram, both breasts both sides CPT 77067 Scr Mammo Bi Incl Cad	$663.40	$829.25	$84.96	—	20%
Screening mammogram, both breasts inpatient both sides CPT 77067 Scr Mammo Bi Incl Cad	$663.40	$829.25	$84.96	—	20%
Shoulder X-ray, complete, 2 or more views CPT 73030 Shoulder Complete Stud	$310.60	$388.25	$26.51–$388.25	8% below	20%
Shoulder X-ray, complete, 2 or more views CPT 73030 Shoulder Complete Stud	$310.60	$388.25	$23.57–$268.16	8% below	20%
Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 Shoulder Complete Stud	$310.60	$388.25	$23.57–$268.16	—	20%
Sinus X-ray, complete, 3 or more views CPT 70220 Paranasal Sinuses Reg	$355.40	$444.25	$25.10–$306.84	16% below	20%
Sinus X-ray, complete, 3 or more views CPT 70220 Paranasal Sinuses Reg	$355.40	$444.25	$33.88–$444.25	16% below	20%
Sinus X-ray, complete, 3 or more views inpatient CPT 70220 Paranasal Sinuses Reg	$355.40	$444.25	$25.10–$306.84	—	20%
Skull X-ray, fewer than 4 views CPT 70250 Skull Less Than 4 View	$314.60	$393.25	$26.51–$393.25	12% below	20%
Skull X-ray, fewer than 4 views CPT 70250 Skull Less Than 4 View	$314.60	$393.25	$25.10–$271.62	12% below	20%
Skull X-ray, fewer than 4 views inpatient CPT 70250 Skull Less Than 4 View	$314.60	$393.25	$25.10–$271.62	—	20%
Sleep study in a lab (polysomnography) CPT 95810 Sleep Study	$4,050.60	$5,063.25	$346.56–$5,063.25	17% above	20%
Sleep study in a lab (polysomnography) CPT 95810 Sleep Study	$4,050.60	$5,063.25	$469.77–$542.19	17% above	20%
Sleep study in a lab (polysomnography) CPT 95810 Nocturnal Polysomnogram Less Than 6hrs	$4,115.20	$5,144.00	$450.53–$3,552.96	19% above	20%
Sleep study in a lab (polysomnography) CPT 95810 Nocturnal Polysomnogram Less Than 6hrs	$4,115.20	$5,144.00	$346.56–$5,144.00	19% above	20%
Sleep study in a lab (polysomnography) CPT 95810 Nocturnal Polysomnogram	$4,434.40	$5,543.00	$450.53–$3,828.55	28% above	20%
Sleep study in a lab (polysomnography) CPT 95810 Nocturnal Polysomnogram	$4,434.40	$5,543.00	$346.56–$5,543.00	28% above	20%
Sleep study in a lab (polysomnography) CPT 95810 Nocturnal Polysomnogram 4 or More Parameters	$5,131.40	$6,414.25	$346.56–$6,414.25	48% above	20%
Sleep study in a lab (polysomnography) CPT 95810 Nocturnal Polysomnogram 4 or More Parameters	$5,131.40	$6,414.25	$450.53–$4,430.32	48% above	20%
Sleep study in a lab (polysomnography) inpatient CPT 95810 Sleep Study	$4,050.60	$5,063.25	$469.77–$542.19	—	20%
Sleep study in a lab (polysomnography) inpatient CPT 95810 Nocturnal Polysomnogram Less Than 6hrs	$4,115.20	$5,144.00	$450.53–$3,552.96	—	20%
Sleep study in a lab (polysomnography) inpatient CPT 95810 Nocturnal Polysomnogram	$4,434.40	$5,543.00	$450.53–$3,828.55	—	20%
Sleep study in a lab (polysomnography) inpatient CPT 95810 Nocturnal Polysomnogram 4 or More Parameters	$5,131.40	$6,414.25	$450.53–$4,430.32	—	20%
Stress echocardiogram, complete, including the stress test and supervision CPT 93351 Stress Tte Only 603	$2,964.60	$3,705.75	$185.54–$3,705.75	63% above	20%
Stress echocardiogram, complete, including the stress test and supervision CPT 93351 Stress Tte Only 603	$2,964.60	$3,705.75	$290.28	63% above	20%
Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 Stress Tte Only 603	$2,964.60	$3,705.75	$290.28	—	20%
Swallow study (modified barium swallow, video X-ray) CPT 74230 Swallowing Function Eval	$629.00	$786.25	$88.95	7% above	20%
Swallow study (modified barium swallow, video X-ray) CPT 74230 Swallowing Function Eval	$629.00	$786.25	$45.45–$786.25	7% above	20%
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 Swallowing Function Eval	$629.00	$786.25	$88.95	—	20%
Thigh bone (femur) X-ray, 2 or more views CPT 73552 X-Ray Exam of Femur Min 2 Views	$421.60	$527.00	$94.86–$364.00	6% above	20%
Thigh bone (femur) X-ray, 2 or more views CPT 73552 X-Ray Exam of Femur Min 2 Views	$421.60	$527.00	$94.86–$527.00	6% above	20%
Thigh bone (femur) X-ray, 2 or more views inpatient CPT 73552 X-Ray Exam of Femur Min 2 Views	$421.60	$527.00	$94.86–$364.00	—	20%
Thoracic spine (mid back) CT scan without contrast CPT 72128 CT T-Spine W/O Contrast	$2,087.60	$2,609.50	$141.09–$2,609.50	78% above	20%
Thoracic spine (mid back) CT scan without contrast CPT 72128 CT T-Spine W/O Contrast	$2,087.60	$2,609.50	$141.40–$1,802.38	78% above	20%
Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 CT T-Spine W/O Contrast	$2,087.60	$2,609.50	$141.40–$1,802.38	—	20%
Toe X-ray, 2 or more views CPT 73660 Toes X Ray	$206.60	$258.25	$13.27–$178.37	26% below	20%
Toe X-ray, 2 or more views CPT 73660 Toes X Ray	$206.60	$258.25	$13.27–$258.25	26% below	20%
Toe X-ray, 2 or more views inpatient CPT 73660 Toes X Ray	$206.60	$258.25	$13.27–$178.37	—	20%
Transvaginal pelvic ultrasound CPT 76830 Transvaginal US Non-OB	$380.44	$475.55	$60.60–$516.65	32% below	20%
Transvaginal pelvic ultrasound CPT 76830 Transvaginal US Non-OB	$380.44	$475.55	$78.14	32% below	20%
Transvaginal pelvic ultrasound CPT 76830 Ultrasound Transvaginal	$1,055.20	$1,319.00	$78.14–$911.03	88% above	20%
Transvaginal pelvic ultrasound CPT 76830 Ultrasound Transvaginal	$1,055.20	$1,319.00	$76.50–$1,319.00	88% above	20%
Transvaginal pelvic ultrasound inpatient CPT 76830 Transvaginal US Non-OB	$380.44	$475.55	$78.14	—	20%
Transvaginal pelvic ultrasound inpatient CPT 76830 Ultrasound Transvaginal	$1,055.20	$1,319.00	$78.14–$911.03	—	20%
Transvaginal ultrasound during pregnancy CPT 76817 US Pregnancy Transvaginal	$281.66	$352.07	$51.81–$243.17	49% below	20%
Transvaginal ultrasound during pregnancy CPT 76817 US Pregnancy Transvaginal	$281.66	$352.07	$60.60–$400.39	49% below	20%
Transvaginal ultrasound during pregnancy CPT 76817 Pregnancy Ultrasound, Transvaginal	$845.40	$1,056.75	$60.60–$729.90	53% above	20%
Transvaginal ultrasound during pregnancy CPT 76817 Pregnancy Ultrasound, Transvaginal	$845.40	$1,056.75	$60.60–$1,056.75	53% above	20%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 US Pregnancy Transvaginal	$281.66	$352.07	$51.81–$243.17	—	20%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 Pregnancy Ultrasound, Transvaginal	$845.40	$1,056.75	$60.60–$729.90	—	20%
Ultrasound of the abdomen, complete CPT 76700 Ultrasound Abdominal/B-Scan W/Image Doc	$1,155.40	$1,444.25	$106.05–$997.54	47% above	20%
Ultrasound of the abdomen, complete CPT 76700 Ultrasound Abdominal/B-Scan W/Image Doc	$1,155.40	$1,444.25	$95.27–$1,444.25	47% above	20%
Ultrasound of the abdomen, complete inpatient CPT 76700 Ultrasound Abdominal/B-Scan W/Image Doc	$1,155.40	$1,444.25	$106.05–$997.54	—	20%
Ultrasound of the scrotum and testicles CPT 76870 Ultrasound Scrotum and Contents	$776.40	$970.50	$53.03–$970.50	26% above	20%
Ultrasound of the scrotum and testicles CPT 76870 Ultrasound Scrotum and Contents	$776.40	$970.50	$53.03–$670.32	26% above	20%
Ultrasound of the scrotum and testicles inpatient CPT 76870 Ultrasound Scrotum and Contents	$776.40	$970.50	$53.03–$670.32	—	20%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US, Head/Neck Tissues,Real Time	$250.32	$312.90	$30.30–$216.12	56% below	20%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US, Head/Neck Tissues,Real Time	$250.32	$312.90	$30.30–$481.63	56% below	20%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 Ultrasound Soft Tissue Head/Neck/B-Scan W/Image Doc	$654.60	$818.25	$53.03–$565.17	14% above	20%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 Ultrasound Soft Tissue Head/Neck/B-Scan W/Image Doc	$654.60	$818.25	$53.03–$818.25	14% above	20%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US, Head/Neck Tissues,Real Time	$250.32	$312.90	$30.30–$216.12	—	20%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 Ultrasound Soft Tissue Head/Neck/B-Scan W/Image Doc	$654.60	$818.25	$53.03–$565.17	—	20%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 Gastroduodenal X Ray	$657.40	$821.75	$53.03–$821.75	5% above	20%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 Gastroduodenal X Ray	$657.40	$821.75	$53.03–$567.58	5% above	20%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 Gastroduodenal X Ray	$657.40	$821.75	$53.03–$567.58	—	20%
Upper arm X-ray (humerus), 2 views CPT 73060 Humerus	$276.80	$346.00	$17.68–$346.00	at median	20%
Upper arm X-ray (humerus), 2 views CPT 73060 Humerus	$276.80	$346.00	$17.68–$238.98	at median	20%
Upper arm X-ray (humerus), 2 views inpatient CPT 73060 Humerus	$276.80	$346.00	$17.68–$238.98	—	20%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 Unilateral or Limited Dvt	$671.20	$839.00	$89.49–$579.50	5% above	20%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 Unilateral or Limited Dvt	$671.20	$839.00	$93.93–$839.00	5% above	20%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 Unilateral or Limited Dvt	$671.20	$839.00	$89.49–$579.50	—	20%
Wrist X-ray, 2 views CPT 73100 Wrist 2 View	$259.40	$324.25	$17.68–$3,740.49	5% below	20%
Wrist X-ray, 2 views CPT 73100 Wrist 2 View	$259.40	$324.25	$17.68–$3,740.49	5% below	20%
Wrist X-ray, 2 views inpatient CPT 73100 Wrist 2 View	$259.40	$324.25	$17.68–$3,740.49	—	20%
Wrist X-ray, complete, 3 or more views CPT 73110 Wrist, Min of 3 Views	$287.80	$359.75	$22.10–$359.75	11% below	20%
Wrist X-ray, complete, 3 or more views CPT 73110 Wrist, Min of 3 Views	$287.80	$359.75	$22.10–$248.48	11% below	20%
Wrist X-ray, complete, 3 or more views inpatient CPT 73110 Wrist, Min of 3 Views	$287.80	$359.75	$22.10–$248.48	—	20%
X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 X-Ray Exam Hip Uni 2-3 Views	$413.20	$516.50	$28.33–$356.75	17% above	20%
X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 X-Ray Exam Hip Uni 2-3 Views	$413.20	$516.50	$28.33–$516.50	17% above	20%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient CPT 73502 X-Ray Exam Hip Uni 2-3 Views	$413.20	$516.50	$28.33–$356.75	—	20%
X-ray of the abdomen, 1 view CPT 74018 Xray Abdomen 1 View	$344.00	$430.00	$22.73–$297.00	23% above	20%
X-ray of the abdomen, 1 view CPT 74018 Xray Abdomen 1 View	$344.00	$430.00	$22.73–$430.00	23% above	20%
X-ray of the abdomen, 1 view inpatient CPT 74018 Xray Abdomen 1 View	$344.00	$430.00	$22.73–$297.00	—	20%
X-ray of the ankle, 2 views CPT 73600 Ankle, 2 View	$356.80	$446.00	$22.34–$308.05	6% above	20%
X-ray of the ankle, 2 views CPT 73600 Ankle, 2 View	$356.80	$446.00	$80.28–$776.00	6% above	20%
X-ray of the ankle, 2 views inpatient CPT 73600 Ankle, 2 View	$356.80	$446.00	$22.34–$308.05	—	20%
X-ray of the finger(s), 2 or more views CPT 73140 Finger	$252.20	$315.25	$17.06–$217.74	4% above	20%
X-ray of the finger(s), 2 or more views CPT 73140 Finger	$252.20	$315.25	$17.06–$315.25	4% above	20%
X-ray of the finger(s), 2 or more views inpatient CPT 73140 Finger	$252.20	$315.25	$17.06–$217.74	—	20%
X-ray of the foot, 2 views CPT 73620 Foot 2 View	$300.80	$376.00	$22.73–$776.00	7% below	20%
X-ray of the foot, 2 views CPT 73620 Foot 2 View	$300.80	$376.00	$22.73–$262.86	7% below	20%
X-ray of the foot, 2 views inpatient CPT 73620 Foot 2 View	$300.80	$376.00	$22.73–$262.86	—	20%
X-ray of the foot, complete, 3 or more views CPT 73630 Foot,Minimum 3 Views	$385.80	$482.25	$28.42–$333.09	6% above	20%
X-ray of the foot, complete, 3 or more views CPT 73630 Foot,Minimum 3 Views	$385.80	$482.25	$28.42–$482.25	6% above	20%
X-ray of the foot, complete, 3 or more views inpatient CPT 73630 Foot,Minimum 3 Views	$385.80	$482.25	$28.42–$333.09	—	20%
X-ray of the hand, 3 or more views CPT 73130 Hand,Minimum 3 Views	$297.20	$371.50	$22.10–$371.50	at median	20%
X-ray of the hand, 3 or more views CPT 73130 Hand,Minimum 3 Views	$297.20	$371.50	$22.10–$256.60	at median	20%
X-ray of the hand, 3 or more views inpatient CPT 73130 Hand,Minimum 3 Views	$297.20	$371.50	$22.10–$256.60	—	20%
X-ray of the knee, 1 or 2 views CPT 73560 Knee, One or 2 View	$321.00	$401.25	$22.73–$277.14	14% above	20%
X-ray of the knee, 1 or 2 views CPT 73560 Knee, One or 2 View	$321.00	$401.25	$22.73–$401.25	14% above	20%
X-ray of the knee, 1 or 2 views inpatient CPT 73560 Knee, One or 2 View	$321.00	$401.25	$22.73–$277.14	—	20%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 L Spine, Two/Three Views	$333.20	$416.50	$26.51–$416.50	9% below	20%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 L Spine, Two/Three Views	$333.20	$416.50	$26.51–$287.68	9% below	20%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 L Spine, Two/Three Views	$333.20	$416.50	$26.51–$287.68	—	20%
X-ray of the lower back, 4 or more views CPT 72110 L Spine, Min of 4 Views	$621.00	$776.25	$47.61–$536.16	37% above	20%
X-ray of the lower back, 4 or more views CPT 72110 L Spine, Min of 4 Views	$621.00	$776.25	$47.61–$776.25	37% above	20%
X-ray of the lower back, 4 or more views inpatient CPT 72110 L Spine, Min of 4 Views	$621.00	$776.25	$47.61–$536.16	—	20%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 Thoracic Spine 2 View	$349.60	$437.00	$26.51–$437.00	4% below	20%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 Thoracic Spine 2 View	$349.60	$437.00	$26.51–$301.84	4% below	20%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 Thoracic Spine 2 View	$349.60	$437.00	$26.51–$301.84	—	20%
X-ray of the nasal bones, 3 or more views CPT 70160 Nasal Bones	$373.20	$466.50	$24.70–$322.21	38% above	20%
X-ray of the nasal bones, 3 or more views CPT 70160 Nasal Bones	$373.20	$466.50	$24.70–$466.50	38% above	20%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 Nasal Bones	$373.20	$466.50	$24.70–$322.21	—	20%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 C Spine, Two/Three Views	$337.60	$422.00	$26.51–$291.48	2% above	20%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 C Spine, Two/Three Views	$337.60	$422.00	$26.50–$422.00	2% above	20%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 C Spine, Two/Three Views	$337.60	$422.00	$26.51–$291.48	—	20%
X-ray of the pelvis, 1 or 2 views CPT 72170 Pelvis, One/Two Views	$274.80	$343.50	$18.04–$237.26	6% below	20%
X-ray of the pelvis, 1 or 2 views CPT 72170 Pelvis, One/Two Views	$274.80	$343.50	$17.50–$343.50	6% below	20%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 Pelvis, One/Two Views	$274.80	$343.50	$18.04–$237.26	—	20%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 Sacrum and Coccyx	$364.40	$455.50	$26.51–$314.61	9% above	20%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 Sacrum and Coccyx	$364.40	$455.50	$24.54–$455.50	9% above	20%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 Sacrum and Coccyx	$364.40	$455.50	$26.51–$314.61	—	20%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs Pennsylvania	Off list
ACTH blood test CPT 82024 Acth, Plasma	$126.40	$158.00	$28.44–$158.00	43% below	20%
ACTH blood test CPT 82024 Acth, Plasma	$126.40	$158.00	$62.58	43% below	20%
ACTH blood test inpatient CPT 82024 Acth, Plasma	$126.40	$158.00	$62.58	—	20%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 Alanine Amino	$29.20	$36.50	$5.08–$25.21	20% below	20%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 Alanine Amino	$29.20	$36.50	$5.08–$36.50	20% below	20%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 SGPT	$36.20	$45.25	$5.08–$31.25	1% below	20%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 SGPT	$36.20	$45.25	$5.08–$45.25	1% below	20%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 Alanine Amino	$29.20	$36.50	$5.08–$25.21	—	20%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 SGPT	$36.20	$45.25	$5.08–$31.25	—	20%
AST (aspartate aminotransferase) enzyme test CPT 84450 SGOT	$72.40	$90.50	$5.08–$90.50	100% above	20%
AST (aspartate aminotransferase) enzyme test CPT 84450 SGOT	$72.40	$90.50	$5.08–$62.51	100% above	20%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 SGOT	$72.40	$90.50	$5.08–$62.51	—	20%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 Acute Hepatitis Panel	$407.40	$509.25	$68.46–$351.74	31% above	20%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 Acute Hepatitis Panel	$407.40	$509.25	$52.66–$509.25	31% above	20%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 Acute Hepatitis Panel	$407.40	$509.25	$68.46–$351.74	—	20%
Albumin blood test CPT 82040 Albumin, Serum	$35.80	$44.75	$3.65–$44.75	12% above	20%
Albumin blood test CPT 82040 Albumin, Serum	$35.80	$44.75	$4.75–$30.91	12% above	20%
Albumin blood test CPT 82040 Albumin	$40.80	$51.00	$3.65–$51.00	28% above	20%
Albumin blood test CPT 82040 Albumin	$40.80	$51.00	$4.75–$35.23	28% above	20%
Albumin blood test inpatient CPT 82040 Albumin, Serum	$35.80	$44.75	$4.75–$30.91	—	20%
Albumin blood test inpatient CPT 82040 Albumin	$40.80	$51.00	$4.75–$35.23	—	20%
Aldosterone blood test CPT 82088 Aldosterone, Serum	$55.40	$69.25	$12.47–$136.48	73% below	20%
Aldosterone blood test CPT 82088 Aldosterone, Serum	$55.40	$69.25	$40.68	73% below	20%
Aldosterone blood test CPT 82088 Assay of Aldosterone	$167.31	$209.14	$40.68	20% below	20%
Aldosterone blood test CPT 82088 Aldosterone 24 Hr Urine	$294.00	$367.50	$33.80–$253.83	41% above	20%
Aldosterone blood test CPT 82088 Aldosterone 24 Hr Urine	$294.00	$367.50	$26.00–$367.50	41% above	20%
Aldosterone blood test inpatient CPT 82088 Aldosterone, Serum	$55.40	$69.25	$40.68	—	20%
Aldosterone blood test inpatient CPT 82088 Assay of Aldosterone	$167.31	$209.14	$40.68	—	20%
Aldosterone blood test inpatient CPT 82088 Aldosterone 24 Hr Urine	$294.00	$367.50	$33.80–$253.83	—	20%
Alkaline phosphatase (ALP) blood test CPT 84075 Alkaline Phos. Bone Specific	$37.40	$46.75	$5.08–$46.75	3% above	20%
Alkaline phosphatase (ALP) blood test CPT 84075 Alkaline Phos. Bone Specific	$37.40	$46.75	$5.08–$32.29	3% above	20%
Alkaline phosphatase (ALP) blood test CPT 84075 Alkaline Phosphatase	$58.80	$73.50	$5.08–$73.50	62% above	20%
Alkaline phosphatase (ALP) blood test CPT 84075 Alkaline Phosphatase	$58.80	$73.50	$5.08–$50.77	62% above	20%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 Alkaline Phos. Bone Specific	$37.40	$46.75	$5.08–$32.29	—	20%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 Alkaline Phosphatase	$58.80	$73.50	$5.08–$50.77	—	20%
Allergy blood test, specific IgE, per allergen CPT 86003 Allerg Sp Ige; Quan or Semiquan	$25.60	$32.00	$3.69–$22.10	21% below	20%
Allergy blood test, specific IgE, per allergen CPT 86003 Allerg Sp Ige; Quan or Semiquan	$25.60	$32.00	$3.69–$32.00	21% below	20%
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Specific Ige; - Phadia	$32.40	$40.50	$3.69–$40.50	at median	20%
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Specific Ige; - Phadia	$32.40	$40.50	$3.69–$27.97	at median	20%
Allergy blood test, specific IgE, per allergen CPT 86003 Food Allergy Profile	$336.60	$420.75	$75.74–$290.61	941% above	20%
Allergy blood test, specific IgE, per allergen CPT 86003 Food Allergy Profile	$336.60	$420.75	$75.74–$420.75	941% above	20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allerg Sp Ige; Quan or Semiquan	$25.60	$32.00	$3.69–$22.10	—	20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Specific Ige; - Phadia	$32.40	$40.50	$3.69–$27.97	—	20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Food Allergy Profile	$336.60	$420.75	$75.74–$290.61	—	20%
Alpha-fetoprotein (AFP) blood test CPT 82105 Alpha 1 Fetoprotein	$45.20	$56.50	$6.57–$56.50	59% below	20%
Alpha-fetoprotein (AFP) blood test CPT 82105 Alpha 1 Fetoprotein	$45.20	$56.50	$31.29	59% below	20%
Alpha-fetoprotein (AFP) blood test CPT 82105 Alpha-Fetoprotein Serum	$121.00	$151.25	$11.50–$151.25	10% above	20%
Alpha-fetoprotein (AFP) blood test CPT 82105 Alpha-Fetoprotein Serum	$121.00	$151.25	$11.50–$104.47	10% above	20%
Alpha-fetoprotein (AFP) blood test CPT 82105 Alpha Fetoprotein (Tumor Marker)	$151.60	$189.50	$11.50–$189.50	38% above	20%
Alpha-fetoprotein (AFP) blood test CPT 82105 Alpha Fetoprotein (Tumor Marker)	$151.60	$189.50	$11.50–$130.89	38% above	20%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 Alpha 1 Fetoprotein	$45.20	$56.50	$31.29	—	20%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 Alpha-Fetoprotein Serum	$121.00	$151.25	$11.50–$104.47	—	20%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 Alpha Fetoprotein (Tumor Marker)	$151.60	$189.50	$11.50–$130.89	—	20%
Ammonia blood test CPT 82140 Ammonia Blood	$72.00	$90.00	$5.00–$90.00	21% below	20%
Ammonia blood test CPT 82140 Ammonia Blood	$72.00	$90.00	$6.50–$62.16	21% below	20%
Ammonia blood test CPT 82140 Ammonia	$343.20	$429.00	$32.78–$429.00	277% above	20%
Ammonia blood test CPT 82140 Ammonia	$343.20	$429.00	$32.78–$296.31	277% above	20%
Ammonia blood test inpatient CPT 82140 Ammonia Blood	$72.00	$90.00	$6.50–$62.16	—	20%
Ammonia blood test inpatient CPT 82140 Ammonia	$343.20	$429.00	$32.78–$296.31	—	20%
Amylase blood test CPT 82150 Amylase Isoensymes	$46.80	$58.50	$5.00–$58.50	7% above	20%
Amylase blood test CPT 82150 Amylase Isoensymes	$46.80	$58.50	$5.08–$40.41	7% above	20%
Amylase blood test CPT 82150 Amylase	$65.80	$82.25	$5.00–$82.25	50% above	20%
Amylase blood test CPT 82150 Amylase	$65.80	$82.25	$5.08–$56.81	50% above	20%
Amylase blood test CPT 82150 Amylase Pancreatic Cyst	$178.20	$222.75	$11.43–$153.85	307% above	20%
Amylase blood test CPT 82150 Amylase Pancreatic Cyst	$178.20	$222.75	$11.43–$222.75	307% above	20%
Amylase blood test CPT 82150 Amylase, Pancreatic Cyst	$914.00	$1,142.50	$205.65–$1,142.50	1990% above	20%
Amylase blood test CPT 82150 Amylase, Pancreatic Cyst	$914.00	$1,142.50	$205.65–$789.12	1990% above	20%
Amylase blood test CPT 82150 Amylase, Pancreatic Cyst Fluid	$1,634.40	$2,043.00	$367.74–$2,043.00	3637% above	20%
Amylase blood test CPT 82150 Amylase, Pancreatic Cyst Fluid	$1,634.40	$2,043.00	$367.74–$1,411.10	3637% above	20%
Amylase blood test inpatient CPT 82150 Amylase Isoensymes	$46.80	$58.50	$5.08–$40.41	—	20%
Amylase blood test inpatient CPT 82150 Amylase	$65.80	$82.25	$5.08–$56.81	—	20%
Amylase blood test inpatient CPT 82150 Amylase Pancreatic Cyst	$178.20	$222.75	$11.43–$153.85	—	20%
Amylase blood test inpatient CPT 82150 Amylase, Pancreatic Cyst	$914.00	$1,142.50	$205.65–$789.12	—	20%
Amylase blood test inpatient CPT 82150 Amylase, Pancreatic Cyst Fluid	$1,634.40	$2,043.00	$367.74–$1,411.10	—	20%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Cyclic Citrulline Peptide Igg	$529.60	$662.00	$119.16–$457.24	522% above	20%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Cyclic Citrulline Peptide Igg	$529.60	$662.00	$43.38–$662.00	522% above	20%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 Cyclic Citrulline Peptide Igg	$529.60	$662.00	$119.16–$457.24	—	20%
Antinuclear antibody (ANA) blood test, screen CPT 86038 Defined Ana Screen (Symphony) Phadia	$88.00	$110.00	$5.51–$75.98	18% above	20%
Antinuclear antibody (ANA) blood test, screen CPT 86038 Dsdna - Phadia	$88.00	$110.00	$5.51–$110.00	18% above	20%
Antinuclear antibody (ANA) blood test, screen CPT 86038 Dsdna - Phadia	$88.00	$110.00	$5.51–$75.98	18% above	20%
Antinuclear antibody (ANA) blood test, screen CPT 86038 Defined Ana Screen (Symphony) Phadia	$88.00	$110.00	$5.51–$110.00	18% above	20%
Antinuclear antibody (ANA) blood test, screen CPT 86038 Defined Ana Screen	$88.80	$111.00	$9.19–$76.67	19% above	20%
Antinuclear antibody (ANA) blood test, screen CPT 86038 Defined Ana Screen	$88.80	$111.00	$9.19–$111.00	19% above	20%
Antinuclear antibody (ANA) blood test, screen CPT 86038 Antinuclear Antibodies Ana Reflex	$96.00	$120.00	$9.19–$120.00	29% above	20%
Antinuclear antibody (ANA) blood test, screen CPT 86038 Antinuclear Antibodies Ana Reflex	$96.00	$120.00	$9.19–$82.88	29% above	20%
Antinuclear antibody (ANA) blood test, screen CPT 86038 Antinuclear Ab (Ana)	$123.60	$154.50	$9.19–$106.71	66% above	20%
Antinuclear antibody (ANA) blood test, screen CPT 86038 Antinuclear Ab (Ana)	$123.60	$154.50	$9.19–$154.50	66% above	20%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 Defined Ana Screen (Symphony) Phadia	$88.00	$110.00	$5.51–$75.98	—	20%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 Dsdna - Phadia	$88.00	$110.00	$5.51–$75.98	—	20%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 Defined Ana Screen	$88.80	$111.00	$9.19–$76.67	—	20%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 Antinuclear Antibodies Ana Reflex	$96.00	$120.00	$9.19–$82.88	—	20%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 Antinuclear Ab (Ana)	$123.60	$154.50	$9.19–$106.71	—	20%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 B-Type Natriuretic Peptide	$152.40	$190.50	$34.29–$190.50	23% below	20%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 B-Type Natriuretic Peptide	$152.40	$190.50	$34.29–$131.58	23% below	20%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 B-Type Natriuretic Peptide	$152.40	$190.50	$34.29–$131.58	—	20%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Aerobic and Anaerobic Cul	$62.20	$77.75	$8.23–$53.70	19% above	20%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Aerobic and Anaerobic Cul	$62.20	$77.75	$6.90–$77.75	19% above	20%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Intraop Incis Ster	$62.20	$77.75	$8.23–$53.70	19% above	20%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Intraop Incis Ster	$62.20	$77.75	$6.90–$77.75	19% above	20%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Culture Sputum	$87.20	$109.00	$8.23–$75.29	67% above	20%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Culture Sputum	$87.20	$109.00	$6.90–$109.00	67% above	20%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Culture Body Fluid	$92.80	$116.00	$10.80	78% above	20%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Culture Body Fluid	$92.80	$116.00	$6.90–$116.00	78% above	20%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Transfusion Product Culture	$107.60	$134.50	$10.80	106% above	20%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Transfusion Product Culture	$107.60	$134.50	$6.90–$134.50	106% above	20%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Culture Urogenital	$107.60	$134.50	$6.90–$134.50	106% above	20%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Culture Urogenital	$107.60	$134.50	$8.23–$92.90	106% above	20%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Culture Wound/Abscess	$109.20	$136.50	$8.23–$94.28	109% above	20%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Culture Wound/Abscess	$109.20	$136.50	$6.90–$136.50	109% above	20%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Culture Throat	$146.60	$183.25	$9.33–$183.25	181% above	20%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Culture Throat	$146.60	$183.25	$10.80	181% above	20%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Aerobic and Anaerobic Cul	$62.20	$77.75	$8.23–$53.70	—	20%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Intraop Incis Ster	$62.20	$77.75	$8.23–$53.70	—	20%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Culture Sputum	$87.20	$109.00	$8.23–$75.29	—	20%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Culture Body Fluid	$92.80	$116.00	$10.80	—	20%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Transfusion Product Culture	$107.60	$134.50	$10.80	—	20%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Culture Urogenital	$107.60	$134.50	$8.23–$92.90	—	20%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Culture Wound/Abscess	$109.20	$136.50	$8.23–$94.28	—	20%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Culture Throat	$146.60	$183.25	$10.80	—	20%
Basic metabolic panel (blood test) CPT 80048 Basic Metabolic Panel	$102.40	$128.00	$14.64	40% above	20%
Basic metabolic panel (blood test) CPT 80048 Basic Metabolic Panel	$102.40	$128.00	$7.32–$128.00	40% above	20%
Basic metabolic panel (blood test) inpatient CPT 80048 Basic Metabolic Panel	$102.40	$128.00	$14.64	—	20%
Bilirubin blood test, total CPT 82247 Bilirubin Total	$27.80	$34.75	$10.84	13% below	20%
Bilirubin blood test, total CPT 82247 Bilirubin Total	$27.80	$34.75	$5.02–$34.75	13% below	20%
Bilirubin blood test, total CPT 82247 Bilirubin, Total	$62.80	$78.50	$5.02–$54.22	96% above	20%
Bilirubin blood test, total CPT 82247 Bilirubin, Total	$62.80	$78.50	$5.02–$78.50	96% above	20%
Bilirubin blood test, total CPT 82247 Bilirubin, Body Fluid	$317.40	$396.75	$71.42–$396.75	892% above	20%
Bilirubin blood test, total CPT 82247 Bilirubin, Body Fluid	$317.40	$396.75	$71.42–$274.04	892% above	20%
Bilirubin blood test, total inpatient CPT 82247 Bilirubin Total	$27.80	$34.75	$10.84	—	20%
Bilirubin blood test, total inpatient CPT 82247 Bilirubin, Total	$62.80	$78.50	$5.02–$54.22	—	20%
Bilirubin blood test, total inpatient CPT 82247 Bilirubin, Body Fluid	$317.40	$396.75	$71.42–$274.04	—	20%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 Cell Block	$105.60	$132.00	$32.78	40% below	20%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 Cell Block	$105.60	$132.00	$23.76–$3,740.49	40% below	20%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 Surg Path G&M Level IV	$123.60	$154.50	$27.81–$3,740.49	30% below	20%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 Surg Path G&M Level IV	$123.60	$154.50	$27.81–$3,740.49	30% below	20%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 Surg Path Level IV	$144.00	$180.00	$32.40–$3,740.49	19% below	20%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 Surg Path Level IV	$144.00	$180.00	$32.40–$3,740.49	19% below	20%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 Cell Block, Cyto	$282.20	$352.75	$32.78–$3,740.49	59% above	20%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 Cell Block, Cyto	$282.20	$352.75	$34.00–$3,740.49	59% above	20%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Cell Block	$105.60	$132.00	$32.78	—	20%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Surg Path G&M Level IV	$123.60	$154.50	$27.81–$3,740.49	—	20%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Surg Path Level IV	$144.00	$180.00	$32.40–$3,740.49	—	20%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Cell Block, Cyto	$282.20	$352.75	$32.78–$3,740.49	—	20%
Blood culture for bacteria CPT 87040 Culture Blood	$123.60	$154.50	$8.23–$154.50	46% above	20%
Blood culture for bacteria CPT 87040 Culture Blood	$123.60	$154.50	$8.23–$106.71	46% above	20%
Blood culture for bacteria inpatient CPT 87040 Culture Blood	$123.60	$154.50	$8.23–$106.71	—	20%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 Venipuncture - Quest	$4.00	$5.00	$0.90–$3.45	73% below	20%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 Venipuncture - Quest	$4.00	$5.00	$0.90–$24.00	73% below	20%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 Venipuncture - Bradford Co Da	$11.56	$14.45	$2.60–$9.98	23% below	20%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 Venipuncture - Bradford Co Da	$11.56	$14.45	$2.60–$24.00	23% below	20%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 Venipuncture	$22.00	$27.50	$4.95–$18.99	47% above	20%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 Venipuncture	$22.00	$27.50	$4.54–$27.50	47% above	20%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Venipuncture - Quest	$4.00	$5.00	$0.90–$3.45	—	20%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Venipuncture - Bradford Co Da	$11.56	$14.45	$2.60–$9.98	—	20%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Venipuncture	$22.00	$27.50	$4.95–$18.99	—	20%
Blood glucose (sugar) test CPT 82947 Glucose	$34.40	$43.00	$3.93–$43.00	33% above	20%
Blood glucose (sugar) test CPT 82947 Glucose	$34.40	$43.00	$6.26	33% above	20%
Blood glucose (sugar) test CPT 82947 Glucose; Quan, Blood	$49.40	$61.75	$3.93–$42.65	92% above	20%
Blood glucose (sugar) test CPT 82947 Glucose; Quan, Blood	$49.40	$61.75	$3.93–$61.75	92% above	20%
Blood glucose (sugar) test CPT 82947 HC Glucose - Abg Critical Panel	$54.80	$68.50	$3.93–$47.31	113% above	20%
Blood glucose (sugar) test CPT 82947 HC Glucose - Abg Critical Panel	$54.80	$68.50	$3.93–$68.50	113% above	20%
Blood glucose (sugar) test inpatient CPT 82947 Glucose	$34.40	$43.00	$6.26	—	20%
Blood glucose (sugar) test inpatient CPT 82947 Glucose; Quan, Blood	$49.40	$61.75	$3.93–$42.65	—	20%
Blood glucose (sugar) test inpatient CPT 82947 HC Glucose - Abg Critical Panel	$54.80	$68.50	$3.93–$47.31	—	20%
Blood lead test CPT 83655 Lead, Blood	$58.00	$72.50	$10.00–$72.50	26% below	20%
Blood lead test CPT 83655 Lead, Blood	$58.00	$72.50	$15.65	26% below	20%
Blood lead test CPT 83655 Lead Random Urine	$87.40	$109.25	$12.11–$75.46	12% above	20%
Blood lead test CPT 83655 Lead Random Urine	$87.40	$109.25	$10.00–$109.25	12% above	20%
Blood lead test CPT 83655 Lead 24 Hour Urine	$87.40	$109.25	$10.00–$109.25	12% above	20%
Blood lead test CPT 83655 Lead 24 Hour Urine	$87.40	$109.25	$15.65	12% above	20%
Blood lead test inpatient CPT 83655 Lead, Blood	$58.00	$72.50	$15.65	—	20%
Blood lead test inpatient CPT 83655 Lead Random Urine	$87.40	$109.25	$12.11–$75.46	—	20%
Blood lead test inpatient CPT 83655 Lead 24 Hour Urine	$87.40	$109.25	$15.65	—	20%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HC Fac Chorionic Gonadotropin Qual	$28.56	$35.70	$2.02–$3,740.49	43% below	20%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HC Fac Chorionic Gonadotropin Qual	$28.56	$35.70	$16.05	43% below	20%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Beta Hcg, Qual Ser/UR	$190.61	$238.26	$13.45–$3,740.49	281% above	20%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Beta Hcg, Qual Ser/UR	$190.61	$238.26	$13.34–$164.57	281% above	20%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HC Fac Chorionic Gonadotropin Qual	$28.56	$35.70	$16.05	—	20%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 Beta Hcg, Qual Ser/UR	$190.61	$238.26	$13.34–$164.57	—	20%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Blood Typing Serologic Abo	$32.76	$40.95	$2.99–$40.95	75% below	20%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Blood Typing Serologic Abo	$32.76	$40.95	$2.99–$28.28	75% below	20%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Abo Cord	$161.60	$202.00	$36.36–$139.52	22% above	20%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Rc Abo Type	$161.60	$202.00	$36.36–$202.00	22% above	20%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Rc Abo Type	$161.60	$202.00	$36.36–$139.52	22% above	20%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Abo Cord	$161.60	$202.00	$36.36–$202.00	22% above	20%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO	$313.20	$391.50	$70.47–$270.41	135% above	20%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Abo Blood Group	$313.20	$391.50	$70.47–$391.50	135% above	20%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Abo Blood Group	$313.20	$391.50	$70.47–$270.41	135% above	20%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO	$313.20	$391.50	$70.47–$391.50	135% above	20%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 Blood Typing Serologic Abo	$32.76	$40.95	$2.99–$28.28	—	20%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 Abo Cord	$161.60	$202.00	$36.36–$139.52	—	20%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 Rc Abo Type	$161.60	$202.00	$36.36–$139.52	—	20%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 ABO	$313.20	$391.50	$70.47–$270.41	—	20%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 Abo Blood Group	$313.20	$391.50	$70.47–$270.41	—	20%
Blood urea nitrogen (BUN) test CPT 84520 Fluid, Urea Nitrogen	$46.93	$58.66	$3.95–$40.52	74% above	20%
Blood urea nitrogen (BUN) test CPT 84520 Fluid, Urea Nitrogen	$46.93	$58.66	$3.95–$58.66	74% above	20%
Blood urea nitrogen (BUN) test CPT 84520 Blood, Urea Nitrogen	$54.00	$67.50	$3.95–$46.62	100% above	20%
Blood urea nitrogen (BUN) test CPT 84520 Blood, Urea Nitrogen	$54.00	$67.50	$3.95–$67.50	100% above	20%
Blood urea nitrogen (BUN) test inpatient CPT 84520 Fluid, Urea Nitrogen	$46.93	$58.66	$3.95–$40.52	—	20%
Blood urea nitrogen (BUN) test inpatient CPT 84520 Blood, Urea Nitrogen	$54.00	$67.50	$3.95–$46.62	—	20%
C-peptide blood test CPT 84681 C-Peptide	$49.40	$61.75	$11.12–$46.82	55% below	20%
C-peptide blood test CPT 84681 C-Peptide	$49.40	$61.75	$11.12–$69.70	55% below	20%
C-peptide blood test inpatient CPT 84681 C-Peptide	$49.40	$61.75	$11.12–$46.82	—	20%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-Reactive Protein	$80.20	$100.25	$9.32–$69.24	124% above	20%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-Reactive Protein	$80.20	$100.25	$9.32–$100.25	124% above	20%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C-Reactive Protein	$80.20	$100.25	$9.32–$69.24	—	20%
C. difficile toxin gene test (stool PCR) CPT 87493 C Diff Amplified Probe	$232.00	$290.00	$40.22–$290.00	12% above	20%
C. difficile toxin gene test (stool PCR) CPT 87493 C Diff Amplified Probe	$232.00	$290.00	$62.92	12% above	20%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 C Diff Amplified Probe	$232.00	$290.00	$62.92	—	20%
CA 19-9 blood test (tumor marker) CPT 86301 Ca 19-9	$70.00	$87.50	$15.75–$87.50	47% below	20%
CA 19-9 blood test (tumor marker) CPT 86301 Ca 19-9	$70.00	$87.50	$15.75–$60.44	47% below	20%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 Ca 19-9	$70.00	$87.50	$15.75–$60.44	—	20%
CA-125 blood test (ovarian cancer marker) CPT 86304 Ca 125	$138.00	$172.50	$36.00	5% above	20%
CA-125 blood test (ovarian cancer marker) CPT 86304 Ca 125	$138.00	$172.50	$20.81–$172.50	5% above	20%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 Ca 125	$138.00	$172.50	$36.00	—	20%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Covid 19 Lab Non Cdc	$126.00	$157.50	$28.35–$108.79	38% above	20%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Covid 19 Lab Non Cdc	$126.00	$157.50	$28.35–$157.50	38% above	20%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Covid 19 Lab Non Cdc	$126.00	$157.50	$28.35–$108.79	38% above	20%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Covid 19 Lab Non Cdc	$126.00	$157.50	$28.35–$157.50	38% above	20%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 Covid 19 Lab Non Cdc	$126.00	$157.50	$28.35–$108.79	—	20%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 Covid 19 Lab Non Cdc	$126.00	$157.50	$28.35–$108.79	—	20%
Calcium blood test, total CPT 82310 Calcium; Total	$54.80	$68.50	$5.08–$68.50	63% above	20%
Calcium blood test, total CPT 82310 Calcium; Total	$54.80	$68.50	$5.08–$47.31	63% above	20%
Calcium blood test, total inpatient CPT 82310 Calcium; Total	$54.80	$68.50	$5.08–$47.31	—	20%
Carcinoembryonic antigen (CEA) test CPT 82378 Cea, Peritoneal Fluid	$92.00	$115.00	$26.60	22% below	20%
Carcinoembryonic antigen (CEA) test CPT 82378 Cea, Peritoneal Fluid	$92.00	$115.00	$17.00–$115.00	22% below	20%
Carcinoembryonic antigen (CEA) test CPT 82378 Cea, Pleural Fluid	$92.00	$115.00	$17.00–$115.00	22% below	20%
Carcinoembryonic antigen (CEA) test CPT 82378 Cea, Pleural Fluid	$92.00	$115.00	$18.96–$79.43	22% below	20%
Carcinoembryonic antigen (CEA) test CPT 82378 Cea, Pericardial Fluid	$92.20	$115.25	$17.00–$115.25	22% below	20%
Carcinoembryonic antigen (CEA) test CPT 82378 Cea, Pericardial Fluid	$92.20	$115.25	$18.96–$79.60	22% below	20%
Carcinoembryonic antigen (CEA) test CPT 82378 Carcinoembryonic Antig	$141.60	$177.00	$17.00–$177.00	19% above	20%
Carcinoembryonic antigen (CEA) test CPT 82378 Carcinoembryonic Antig	$141.60	$177.00	$18.96–$122.25	19% above	20%
Carcinoembryonic antigen (CEA) test CPT 82378 Cea Pancreatic Cyst	$178.20	$222.75	$18.96–$153.85	50% above	20%
Carcinoembryonic antigen (CEA) test CPT 82378 Cea Pancreatic Cyst	$178.20	$222.75	$17.00–$222.75	50% above	20%
Carcinoembryonic antigen (CEA) test CPT 82378 Cea, Pancreatic Cyst	$529.60	$662.00	$33.18–$662.00	347% above	20%
Carcinoembryonic antigen (CEA) test CPT 82378 Cea, Pancreatic Cyst	$529.60	$662.00	$33.18–$457.24	347% above	20%
Carcinoembryonic antigen (CEA) test CPT 82378 Cea, Pancreatic Cyst Fluid	$1,059.40	$1,324.25	$238.37–$1,324.25	793% above	20%
Carcinoembryonic antigen (CEA) test CPT 82378 Cea, Pancreatic Cyst Fluid	$1,059.40	$1,324.25	$238.37–$914.66	793% above	20%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 Cea, Peritoneal Fluid	$92.00	$115.00	$26.60	—	20%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 Cea, Pleural Fluid	$92.00	$115.00	$18.96–$79.43	—	20%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 Cea, Pericardial Fluid	$92.20	$115.25	$18.96–$79.60	—	20%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 Carcinoembryonic Antig	$141.60	$177.00	$18.96–$122.25	—	20%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 Cea Pancreatic Cyst	$178.20	$222.75	$18.96–$153.85	—	20%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 Cea, Pancreatic Cyst	$529.60	$662.00	$33.18–$457.24	—	20%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 Cea, Pancreatic Cyst Fluid	$1,059.40	$1,324.25	$238.37–$914.66	—	20%
Chickenpox (varicella) immunity blood test CPT 86787 Anti-Herpes Zoster Vrs	$78.00	$97.50	$8.11–$67.34	8% below	20%
Chickenpox (varicella) immunity blood test CPT 86787 Anti-Herpes Zoster Vrs	$78.00	$97.50	$8.11–$97.50	8% below	20%
Chickenpox (varicella) immunity blood test CPT 86787 Ab; Varicella-Zoster	$175.60	$219.50	$27.86	107% above	20%
Chickenpox (varicella) immunity blood test CPT 86787 Ab; Varicella-Zoster	$175.60	$219.50	$14.19–$219.50	107% above	20%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 Anti-Herpes Zoster Vrs	$78.00	$97.50	$8.11–$67.34	—	20%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 Ab; Varicella-Zoster	$175.60	$219.50	$27.86	—	20%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chlamydia T Amplif Na Probe	$184.20	$230.25	$21.64–$230.25	6% below	20%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chlamydia T Amplif Na Probe	$184.20	$230.25	$21.64–$159.03	6% below	20%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chlamydia Dna	$253.20	$316.50	$21.64–$316.50	29% above	20%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chlamydia Dna	$253.20	$316.50	$21.64–$218.61	29% above	20%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Chlamydia T Amplif Na Probe	$184.20	$230.25	$21.64–$159.03	—	20%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Chlamydia Dna	$253.20	$316.50	$21.64–$218.61	—	20%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipid Panel	$96.60	$120.75	$6.10–$120.75	8% above	20%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipid Panel	$96.60	$120.75	$6.10–$83.40	8% above	20%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipid Profile	$181.60	$227.00	$13.73–$227.00	103% above	20%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipid Profile	$181.60	$227.00	$13.73–$156.79	103% above	20%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Lipid Panel	$96.60	$120.75	$6.10–$83.40	—	20%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Lipid Profile	$181.60	$227.00	$13.73–$156.79	—	20%
Complete blood count (CBC) with differential CPT 85025 Cbc/Auto Diff	$72.40	$90.50	$6.00–$90.50	42% above	20%
Complete blood count (CBC) with differential CPT 85025 Cbc/Auto Diff	$72.40	$90.50	$7.20–$62.51	42% above	20%
Complete blood count (CBC) with differential inpatient CPT 85025 Cbc/Auto Diff	$72.40	$90.50	$7.20–$62.51	—	20%
Complete blood count (CBC), no differential CPT 85027 Cbc/No Diff	$49.80	$62.25	$3.20–$62.25	15% above	20%
Complete blood count (CBC), no differential CPT 85027 Cbc/No Diff	$49.80	$62.25	$3.20–$43.00	15% above	20%
Complete blood count (CBC), no differential inpatient CPT 85027 Cbc/No Diff	$49.80	$62.25	$3.20–$43.00	—	20%
Comprehensive metabolic panel (blood test) CPT 80053 Comprehensive Metabolic	$134.20	$167.75	$10.10–$115.86	52% above	20%
Comprehensive metabolic panel (blood test) CPT 80053 Comprehensive Metabolic	$134.20	$167.75	$10.10–$167.75	52% above	20%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 Comprehensive Metabolic	$134.20	$167.75	$10.10–$115.86	—	20%
Cortisol blood test, total CPT 82533 Dexamethasone Suppresion	$117.60	$147.00	$18.77	14% above	20%
Cortisol blood test, total CPT 82533 Dexamethasone Suppresion	$117.60	$147.00	$12.00–$147.00	14% above	20%
Cortisol blood test, total CPT 82533 Cortisol; Total	$159.00	$198.75	$18.77	54% above	20%
Cortisol blood test, total CPT 82533 Cortisol; Total	$159.00	$198.75	$12.00–$198.75	54% above	20%
Cortisol blood test, total inpatient CPT 82533 Dexamethasone Suppresion	$117.60	$147.00	$18.77	—	20%
Cortisol blood test, total inpatient CPT 82533 Cortisol; Total	$159.00	$198.75	$18.77	—	20%
Creatine kinase (CK) blood test, total CPT 82550 Cpk; Total	$65.80	$82.25	$5.08–$82.25	46% above	20%
Creatine kinase (CK) blood test, total CPT 82550 Cpk; Total	$65.80	$82.25	$5.08–$56.81	46% above	20%
Creatine kinase (CK) blood test, total inpatient CPT 82550 Cpk; Total	$65.80	$82.25	$5.08–$56.81	—	20%
Creatinine blood test CPT 82565 Creatinine; Blood	$42.40	$53.00	$5.08–$53.00	25% above	20%
Creatinine blood test CPT 82565 Creatinine; Blood	$42.40	$53.00	$5.08–$36.61	25% above	20%
Creatinine blood test inpatient CPT 82565 Creatinine; Blood	$42.40	$53.00	$5.08–$36.61	—	20%
Cytomegalovirus (CMV) antibody test CPT 86644 Cytomegalovirus Antibody	$58.20	$72.75	$13.10–$50.25	33% below	20%
Cytomegalovirus (CMV) antibody test CPT 86644 Cytomegalovirus Antibody	$58.20	$72.75	$13.10–$72.75	33% below	20%
Cytomegalovirus (CMV) antibody test CPT 86644 R.C.Cmv Ab Testing Unit	$103.80	$129.75	$14.39–$89.62	20% above	20%
Cytomegalovirus (CMV) antibody test CPT 86644 R.C.Cmv Ab Testing Unit	$103.80	$129.75	$14.39–$129.75	20% above	20%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 Cytomegalovirus Antibody	$58.20	$72.75	$13.10–$50.25	—	20%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 R.C.Cmv Ab Testing Unit	$103.80	$129.75	$14.39–$89.62	—	20%
DHEA sulfate (DHEA-S) blood test CPT 82627 Dhea Sulfate	$60.00	$75.00	$32.85	55% below	20%
DHEA sulfate (DHEA-S) blood test CPT 82627 Dhea Sulfate	$60.00	$75.00	$13.50–$75.00	55% below	20%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 Dhea Sulfate	$60.00	$75.00	$32.85	—	20%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Drug Screen Multi Class	$124.60	$155.75	$99.89	32% below	20%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Drug Screen Multi Class	$419.80	$524.75	$63.85–$524.75	131% above	20%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Alcohol/Urine	$419.80	$524.75	$63.85–$524.75	131% above	20%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Alcohol/Urine	$419.80	$524.75	$83.01–$362.44	131% above	20%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Drug Screen Multi Class	$124.60	$155.75	$99.89	—	20%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Alcohol/Urine	$419.80	$524.75	$83.01–$362.44	—	20%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 Electrolyte Panel	$116.60	$145.75	$9.10–$145.75	121% above	20%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 Electrolyte Panel	$116.60	$145.75	$9.10–$100.67	121% above	20%
Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 Electrolyte Panel	$116.60	$145.75	$9.10–$100.67	—	20%
Epstein-Barr virus (EBV) antibody test CPT 86665 Epstein Bar Viral Capsid Igg	$128.60	$160.75	$18.14–$160.75	12% above	20%
Epstein-Barr virus (EBV) antibody test CPT 86665 Epstein Bar Viral Capsid Igm	$128.60	$160.75	$18.14–$160.75	12% above	20%
Epstein-Barr virus (EBV) antibody test CPT 86665 Epstein Bar Viral Capsid Igm	$128.60	$160.75	$39.22	12% above	20%
Epstein-Barr virus (EBV) antibody test CPT 86665 Epstein Bar Viral Capsid Igg	$128.60	$160.75	$18.14–$111.03	12% above	20%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 Epstein Bar Viral Capsid Igg	$128.60	$160.75	$18.14–$111.03	—	20%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 Epstein Bar Viral Capsid Igm	$128.60	$160.75	$39.22	—	20%
Estradiol blood test CPT 82670 Estradiol	$103.40	$129.25	$21.50–$129.25	38% below	20%
Estradiol blood test CPT 82670 Estradiol	$103.40	$129.25	$23.27–$89.27	38% below	20%
Estradiol blood test inpatient CPT 82670 Estradiol	$103.40	$129.25	$23.27–$89.27	—	20%
FSH (follicle-stimulating hormone) test CPT 83001 Gonadotropin; Fsh	$99.00	$123.75	$18.58–$85.47	17% below	20%
FSH (follicle-stimulating hormone) test CPT 83001 Gonadotropin; Fsh	$99.00	$123.75	$17.50–$123.75	17% below	20%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 Gonadotropin; Fsh	$99.00	$123.75	$18.58–$85.47	—	20%
Fecal calprotectin (stool inflammation test) CPT 83993 Calprtectin	$120.60	$150.75	$11.39–$150.75	7% below	20%
Fecal calprotectin (stool inflammation test) CPT 83993 Calprtectin	$120.60	$150.75	$11.39–$104.12	7% below	20%
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 Calprtectin	$120.60	$150.75	$11.39–$104.12	—	20%
Ferritin blood test (iron stores) CPT 82728 Ferritin	$101.60	$127.00	$12.00–$127.00	17% above	20%
Ferritin blood test (iron stores) CPT 82728 Ferritin	$1,077.12	$1,346.40	$242.35–$929.96	1144% above	20%
Ferritin blood test (iron stores) inpatient CPT 82728 Ferritin	$1,077.12	$1,346.40	$242.35–$929.96	—	20%
Fibrinogen blood test CPT 85384 Fibrinogen Level	$54.40	$68.00	$6.97–$68.00	18% below	20%
Fibrinogen blood test CPT 85384 Fibrinogen Level	$54.40	$68.00	$6.97–$46.97	18% below	20%
Fibrinogen blood test inpatient CPT 85384 Fibrinogen Level	$54.40	$68.00	$6.97–$46.97	—	20%
Folate (folic acid) blood test CPT 82746 Folic Acid; Serum	$123.60	$154.50	$12.63–$106.71	42% above	20%
Folate (folic acid) blood test CPT 82746 Folic Acid; Serum	$123.60	$154.50	$12.00–$154.50	42% above	20%
Folate (folic acid) blood test inpatient CPT 82746 Folic Acid; Serum	$123.60	$154.50	$12.63–$106.71	—	20%
Free T3 thyroid hormone test CPT 84481 T3; Free	$120.60	$150.75	$9.09–$150.75	13% above	20%
Free T3 thyroid hormone test CPT 84481 T3; Free	$120.60	$150.75	$9.09–$104.12	13% above	20%
Free T3 thyroid hormone test inpatient CPT 84481 T3; Free	$120.60	$150.75	$9.09–$104.12	—	20%
Free T4 (free thyroxine) thyroid blood test CPT 84439 Free T4 by Dialysis	$55.40	$69.25	$9.00–$47.83	8% below	20%
Free T4 (free thyroxine) thyroid blood test CPT 84439 Free T4 by Dialysis	$55.40	$69.25	$8.00–$69.25	8% below	20%
Free T4 (free thyroxine) thyroid blood test CPT 84439 Free Thyroxine	$95.20	$119.00	$8.00–$119.00	59% above	20%
Free T4 (free thyroxine) thyroid blood test CPT 84439 Free Thyroxine	$95.20	$119.00	$9.00–$82.19	59% above	20%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 Free T4 by Dialysis	$55.40	$69.25	$9.00–$47.83	—	20%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 Free Thyroxine	$95.20	$119.00	$9.00–$82.19	—	20%
Free testosterone test CPT 84402 Testosterone; Free	$297.00	$371.25	$25.47–$256.42	86% above	20%
Free testosterone test CPT 84402 Testosterone; Free	$297.00	$371.25	$25.47–$371.25	86% above	20%
Free testosterone test inpatient CPT 84402 Testosterone; Free	$297.00	$371.25	$25.47–$256.42	—	20%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 Glutamyltransferase Gamma Ggt	$39.40	$49.25	$5.08–$34.02	17% below	20%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 Glutamyltransferase Gamma Ggt	$39.40	$49.25	$5.08–$49.25	17% below	20%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 GGT	$95.60	$119.50	$8.89–$119.50	101% above	20%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 GGT	$95.60	$119.50	$11.43–$82.54	101% above	20%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 Glutamyltransferase Gamma Ggt	$39.40	$49.25	$5.08–$34.02	—	20%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 GGT	$95.60	$119.50	$11.43–$82.54	—	20%
General health panel: metabolic panel, blood count and TSH in one order CPT 80050 General Health Panel	$227.20	$284.00	$51.12–$196.16	20% above	20%
General health panel: metabolic panel, blood count and TSH in one order CPT 80050 General Health Panel	$227.20	$284.00	$43.89–$284.00	20% above	20%
General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 General Health Panel	$227.20	$284.00	$51.12–$196.16	—	20%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 Glucose-Post Gluc Dose	$67.40	$84.25	$4.75–$58.19	82% above	20%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 Glucose-Post Gluc Dose	$67.40	$84.25	$4.75–$84.25	82% above	20%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 Glucose-Post Gluc Dose	$67.40	$84.25	$4.75–$58.19	—	20%
Glucose tolerance test, 3 samples CPT 82951 Glucose Tolerance Test Gtt 3 Specimens	$12.60	$15.75	$2.84–$43.10	84% below	20%
Glucose tolerance test, 3 samples CPT 82951 Glucose Tolerance Test Gtt 3 Specimens	$12.60	$15.75	$2.84–$19.56	84% below	20%
Glucose tolerance test, 3 samples CPT 82951 Glucose Tolerance Test,3 Specimens	$123.00	$153.75	$12.50–$153.75	52% above	20%
Glucose tolerance test, 3 samples CPT 82951 Glucose Tolerance Test,3 Specimens	$123.00	$153.75	$19.56	52% above	20%
Glucose tolerance test, 3 samples inpatient CPT 82951 Glucose Tolerance Test Gtt 3 Specimens	$12.60	$15.75	$2.84–$19.56	—	20%
Glucose tolerance test, 3 samples inpatient CPT 82951 Glucose Tolerance Test,3 Specimens	$123.00	$153.75	$19.56	—	20%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Gc Amp Probe	$247.20	$309.00	$21.64–$213.43	34% above	20%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Gc Amp Probe	$247.20	$309.00	$21.64–$309.00	34% above	20%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Gonorrhea Dna	$253.20	$316.50	$21.64–$316.50	38% above	20%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Gonorrhea Dna	$253.20	$316.50	$36.28	38% above	20%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 Gc Amp Probe	$247.20	$309.00	$21.64–$213.43	—	20%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 Gonorrhea Dna	$253.20	$316.50	$36.28	—	20%
H. pylori antibody blood test CPT 86677 Ab; Helicobacter Pylori	$109.40	$136.75	$8.11–$94.45	5% below	20%
H. pylori antibody blood test CPT 86677 Ab; Helicobacter Pylori	$109.40	$136.75	$8.11–$136.75	5% below	20%
H. pylori antibody blood test CPT 86677 Helicobactor Pylori Iga	$179.20	$224.00	$31.37	55% above	20%
H. pylori antibody blood test CPT 86677 Helicobactor Pylori Iga	$179.20	$224.00	$14.19–$224.00	55% above	20%
H. pylori antibody blood test inpatient CPT 86677 Ab; Helicobacter Pylori	$109.40	$136.75	$8.11–$94.45	—	20%
H. pylori antibody blood test inpatient CPT 86677 Helicobactor Pylori Iga	$179.20	$224.00	$31.37	—	20%
H. pylori stool antigen test CPT 87338 Helicobacter Pylori, Stool	$134.60	$168.25	$8.52–$116.21	40% above	20%
H. pylori stool antigen test CPT 87338 Helicobacter Pylori, Stool	$134.60	$168.25	$8.52–$168.25	40% above	20%
H. pylori stool antigen test inpatient CPT 87338 Helicobacter Pylori, Stool	$134.60	$168.25	$8.52–$116.21	—	20%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 Hiv-1 Rna by Dna Quantitiative	$430.80	$538.50	$85.10–$371.94	13% below	20%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 Hiv-1 Rna by Dna Quantitiative	$430.80	$538.50	$85.10–$538.50	13% below	20%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 Hiv-1 Rna by Dna Quantitiative	$430.80	$538.50	$85.10–$371.94	—	20%
HIV-1 and HIV-2 antibody test CPT 86703 Hiv-1/Hiv-2 Single Result	$67.40	$84.25	$14.40–$58.19	35% below	20%
HIV-1 and HIV-2 antibody test CPT 86703 Hiv-1/Hiv-2 Single Result	$67.40	$84.25	$14.40–$84.25	35% below	20%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 Hiv-1/Hiv-2 Single Result	$67.40	$84.25	$14.40–$58.19	—	20%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab	$152.40	$190.50	$18.67–$131.58	8% above	20%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab	$152.40	$190.50	$18.67–$190.50	8% above	20%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab	$152.40	$190.50	$18.67–$131.58	—	20%
HPV test for high-risk types, one combined (pooled) result CPT 87624 Hpv High-Risk Types	$286.20	$357.75	$28.13–$357.75	38% above	20%
HPV test for high-risk types, one combined (pooled) result CPT 87624 Hpv High-Risk Types	$286.20	$357.75	$28.13–$3,740.49	38% above	20%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 Hpv High-Risk Types	$286.20	$357.75	$28.13–$3,740.49	—	20%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HC Fac Glycosylated Hemoglobin Test	$56.28	$70.35	$7.00–$70.35	10% above	20%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HC Fac Glycosylated Hemoglobin Test	$56.28	$70.35	$9.10–$48.59	10% above	20%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Glycosylated Hemoglobi	$91.20	$114.00	$7.00–$114.00	79% above	20%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Glycosylated Hemoglobi	$91.20	$114.00	$9.10–$78.74	79% above	20%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Glyco Hemoglobin A1c	$157.13	$196.41	$9.87–$196.41	208% above	20%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Glyco Hemoglobin A1c	$157.13	$196.41	$10.20–$135.66	208% above	20%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HC Fac Glycosylated Hemoglobin Test	$56.28	$70.35	$9.10–$48.59	—	20%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 Glycosylated Hemoglobi	$91.20	$114.00	$9.10–$78.74	—	20%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 Glyco Hemoglobin A1c	$157.13	$196.41	$10.20–$135.66	—	20%
Hemoglobin blood test CPT 85018 Hemoglobin Hgb	$17.00	$21.25	$2.02–$14.68	1% below	20%
Hemoglobin blood test CPT 85018 Hemoglobin Hgb	$17.00	$21.25	$2.02–$21.25	1% below	20%
Hemoglobin blood test CPT 85018 Hemoglobin	$23.52	$29.40	$2.02–$20.31	37% above	20%
Hemoglobin blood test CPT 85018 Hemoglobin	$23.52	$29.40	$2.02–$29.40	37% above	20%
Hemoglobin blood test CPT 85018 Hemoglobin Electrophoresis	$1,077.12	$1,346.40	$242.35–$929.96	6184% above	20%
Hemoglobin blood test CPT 85018 Hemoglobin Electrophoresis	$1,077.12	$1,346.40	$242.35–$1,346.40	6184% above	20%
Hemoglobin blood test inpatient CPT 85018 Hemoglobin Hgb	$17.00	$21.25	$2.02–$14.68	—	20%
Hemoglobin blood test inpatient CPT 85018 Hemoglobin	$23.52	$29.40	$2.02–$20.31	—	20%
Hemoglobin blood test inpatient CPT 85018 Hemoglobin Electrophoresis	$1,077.12	$1,346.40	$242.35–$929.96	—	20%
Hepatitis B core antibody test (total) CPT 86704 Hep B Core Antibody	$46.60	$58.25	$10.20–$40.23	45% below	20%
Hepatitis B core antibody test (total) CPT 86704 Hep B Core Antibody	$46.60	$58.25	$10.20–$58.25	45% below	20%
Hepatitis B core antibody test (total) inpatient CPT 86704 Hep B Core Antibody	$46.60	$58.25	$10.20–$40.23	—	20%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Hepatitis B Surf Ab	$42.00	$52.50	$9.45–$36.26	43% below	20%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Hepatitis B Surf Ab	$42.00	$52.50	$9.45–$52.50	43% below	20%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 Hepatitis B Surf Ab	$42.00	$52.50	$9.45–$36.26	—	20%
Hepatitis B surface antigen (HBsAg) test CPT 87340 Hepatitis B Surface Antigen W/Reflex Confirmation	$22.00	$27.50	$4.95–$34.59	68% below	20%
Hepatitis B surface antigen (HBsAg) test CPT 87340 Hepatitis B Surface Antigen W/Reflex Confirmation	$22.00	$27.50	$4.95–$23.24	68% below	20%
Hepatitis B surface antigen (HBsAg) test CPT 87340 Hepatitis B Surface Ag Eia	$75.00	$93.75	$10.33–$64.75	8% above	20%
Hepatitis B surface antigen (HBsAg) test CPT 87340 Hepatitis B Surface Ag Eia	$75.00	$93.75	$10.33–$93.75	8% above	20%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 Hepatitis B Surface Antigen W/Reflex Confirmation	$22.00	$27.50	$4.95–$23.24	—	20%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 Hepatitis B Surface Ag Eia	$75.00	$93.75	$10.33–$64.75	—	20%
Hepatitis C antibody blood test (screening) CPT 86803 Hepatitis C Ab	$134.00	$167.50	$10.10–$167.50	35% above	20%
Hepatitis C antibody blood test (screening) CPT 86803 Hepatitis C Ab	$134.00	$167.50	$29.73	35% above	20%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 Hepatitis C Ab	$134.00	$167.50	$29.73	—	20%
Hepatitis C viral load (HCV RNA) test CPT 87522 Hepatitis C Rna	$623.00	$778.75	$42.84–$537.88	119% above	20%
Hepatitis C viral load (HCV RNA) test CPT 87522 Hepatitis C Rna	$623.00	$778.75	$39.65–$778.75	119% above	20%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 Hepatitis C Rna	$623.00	$778.75	$42.84–$537.88	—	20%
Herpes blood test, HSV-1 antibody CPT 86695 Herpes Simplex Ab, Type 1	$106.80	$133.50	$23.69–$92.21	34% above	20%
Herpes blood test, HSV-1 antibody CPT 86695 Herpes Simplex Ab, Type 1	$106.80	$133.50	$18.22–$133.50	34% above	20%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 Herpes Simplex Ab, Type 1	$106.80	$133.50	$23.69–$92.21	—	20%
Herpes blood test, HSV-2 antibody CPT 86696 Herpes Simplex Ab, Type 2	$29.40	$36.75	$6.62–$33.48	73% below	20%
Herpes blood test, HSV-2 antibody CPT 86696 Herpes Simplex Ab, Type 2	$29.40	$36.75	$6.62–$64.81	73% below	20%
Herpes blood test, HSV-2 antibody CPT 86696 Hsv 2 Igg Inhibition, Ia	$513.37	$641.71	$32.96–$641.71	378% above	20%
Herpes blood test, HSV-2 antibody CPT 86696 Hsv 2 Igg Inhibition, Ia	$513.37	$641.71	$32.96–$443.23	378% above	20%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 Herpes Simplex Ab, Type 2	$29.40	$36.75	$6.62–$33.48	—	20%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 Hsv 2 Igg Inhibition, Ia	$513.37	$641.71	$32.96–$443.23	—	20%
High-sensitivity CRP (hs-CRP) test CPT 86141 C-Reactive Protein Hs	$49.20	$61.50	$10.35–$61.50	37% below	20%
High-sensitivity CRP (hs-CRP) test CPT 86141 C-Reactive Protein Hs	$49.20	$61.50	$10.35–$42.48	37% below	20%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 C-Reactive Protein Hs	$49.20	$61.50	$10.35–$42.48	—	20%
Homocysteine blood test CPT 83090 Assay of Homocystine	$120.20	$150.25	$17.92–$103.78	at median	20%
Homocysteine blood test CPT 83090 Assay of Homocystine	$120.20	$150.25	$17.92–$150.25	at median	20%
Homocysteine blood test inpatient CPT 83090 Assay of Homocystine	$120.20	$150.25	$17.92–$103.78	—	20%
Insulin blood test CPT 83525 Insulin; Total	$26.80	$33.50	$6.03–$38.30	63% below	20%
Insulin blood test CPT 83525 Insulin; Total	$26.80	$33.50	$6.03–$25.72	63% below	20%
Insulin blood test inpatient CPT 83525 Insulin; Total	$26.80	$33.50	$6.03–$25.72	—	20%
Iron blood test (serum iron) CPT 83540 Iron, Liver Tissue	$46.60	$58.25	$5.08–$58.25	2% above	20%
Iron blood test (serum iron) CPT 83540 Iron Total Serum	$46.60	$58.25	$5.08–$58.25	2% above	20%
Iron blood test (serum iron) CPT 83540 Iron,Urine	$46.60	$58.25	$5.08–$40.23	2% above	20%
Iron blood test (serum iron) CPT 83540 Iron,Urine	$46.60	$58.25	$5.08–$58.25	2% above	20%
Iron blood test (serum iron) CPT 83540 Iron Total Serum	$46.60	$58.25	$5.08–$40.23	2% above	20%
Iron blood test (serum iron) CPT 83540 Iron, Liver Tissue	$46.60	$58.25	$5.08–$40.23	2% above	20%
Iron blood test (serum iron) CPT 83540 Serum Iron	$58.00	$72.50	$5.08–$50.08	27% above	20%
Iron blood test (serum iron) CPT 83540 Serum Iron	$58.00	$72.50	$5.08–$72.50	27% above	20%
Iron blood test (serum iron) inpatient CPT 83540 Iron,Urine	$46.60	$58.25	$5.08–$40.23	—	20%
Iron blood test (serum iron) inpatient CPT 83540 Iron Total Serum	$46.60	$58.25	$5.08–$40.23	—	20%
Iron blood test (serum iron) inpatient CPT 83540 Iron, Liver Tissue	$46.60	$58.25	$5.08–$40.23	—	20%
Iron blood test (serum iron) inpatient CPT 83540 Serum Iron	$58.00	$72.50	$5.08–$50.08	—	20%
Iron-binding capacity (TIBC) test CPT 83550 Serum Iron Binding	$86.20	$107.75	$6.50–$74.42	44% above	20%
Iron-binding capacity (TIBC) test CPT 83550 Serum Iron Binding	$86.20	$107.75	$6.50–$107.75	44% above	20%
Iron-binding capacity (TIBC) test inpatient CPT 83550 Serum Iron Binding	$86.20	$107.75	$6.50–$74.42	—	20%
Kidney function blood test panel CPT 80069 Renal Panel	$154.20	$192.75	$12.48–$133.13	125% above	20%
Kidney function blood test panel CPT 80069 Renal Panel	$154.20	$192.75	$12.48–$192.75	125% above	20%
Kidney function blood test panel inpatient CPT 80069 Renal Panel	$154.20	$192.75	$12.48–$133.13	—	20%
LH (luteinizing hormone) test CPT 83002 Gonadotropin; Luteinizing Hormone	$47.00	$58.75	$10.58–$41.67	61% below	20%
LH (luteinizing hormone) test CPT 83002 Gonadotropin; Luteinizing Hormone	$47.00	$58.75	$10.58–$62.02	61% below	20%
LH (luteinizing hormone) test CPT 83002 Lh, Pediatric	$133.60	$167.00	$26.60	12% above	20%
LH (luteinizing hormone) test CPT 83002 Lh, Pediatric	$133.60	$167.00	$17.00–$167.00	12% above	20%
LH (luteinizing hormone) test inpatient CPT 83002 Gonadotropin; Luteinizing Hormone	$47.00	$58.75	$10.58–$41.67	—	20%
LH (luteinizing hormone) test inpatient CPT 83002 Lh, Pediatric	$133.60	$167.00	$26.60	—	20%
Lactate (lactic acid) blood test CPT 83605 Lactate	$77.00	$96.25	$8.00–$96.25	at median	20%
Lactate (lactic acid) blood test CPT 83605 Lactate	$77.00	$96.25	$9.39–$66.48	at median	20%
Lactate (lactic acid) blood test CPT 83605 Lactic Acid	$82.60	$103.25	$9.39–$71.31	8% above	20%
Lactate (lactic acid) blood test CPT 83605 Lactic Acid	$82.60	$103.25	$8.00–$103.25	8% above	20%
Lactate (lactic acid) blood test CPT 83605 I Stat Lactic Acid (POCT)	$306.28	$382.85	$21.13–$264.43	299% above	20%
Lactate (lactic acid) blood test CPT 83605 I Stat Lactic Acid (POCT)	$306.28	$382.85	$21.13–$382.85	299% above	20%
Lactate (lactic acid) blood test inpatient CPT 83605 Lactate	$77.00	$96.25	$9.39–$66.48	—	20%
Lactate (lactic acid) blood test inpatient CPT 83605 Lactic Acid	$82.60	$103.25	$9.39–$71.31	—	20%
Lactate (lactic acid) blood test inpatient CPT 83605 I Stat Lactic Acid (POCT)	$306.28	$382.85	$21.13–$264.43	—	20%
Lactate dehydrogenase (LDH) blood test CPT 83615 Ldh Isoenzymes	$43.60	$54.50	$5.08–$37.64	19% above	20%
Lactate dehydrogenase (LDH) blood test CPT 83615 Ldh Isoenzymes	$43.60	$54.50	$5.08–$54.50	19% above	20%
Lactate dehydrogenase (LDH) blood test CPT 83615 LDH	$72.40	$90.50	$11.25	97% above	20%
Lactate dehydrogenase (LDH) blood test CPT 83615 LDH	$72.40	$90.50	$5.08–$90.50	97% above	20%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 Ldh Isoenzymes	$43.60	$54.50	$5.08–$37.64	—	20%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LDH	$72.40	$90.50	$11.25	—	20%
Lipase blood test (pancreas enzyme) CPT 83690 Lipase, Fluid	$37.20	$46.50	$5.81–$32.12	21% below	20%
Lipase blood test (pancreas enzyme) CPT 83690 Lipase, Fluid	$37.20	$46.50	$5.00–$46.50	21% below	20%
Lipase blood test (pancreas enzyme) CPT 83690 Lipase	$78.60	$98.25	$5.81–$67.86	68% above	20%
Lipase blood test (pancreas enzyme) CPT 83690 Lipase	$78.60	$98.25	$5.00–$98.25	68% above	20%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 Lipase, Fluid	$37.20	$46.50	$5.81–$32.12	—	20%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 Lipase	$78.60	$98.25	$5.81–$67.86	—	20%
Liver function blood test panel CPT 80076 Hepatic Function Panel	$87.40	$109.25	$7.32–$109.25	12% above	20%
Liver function blood test panel CPT 80076 Hepatic Function Panel	$87.40	$109.25	$7.32–$75.46	12% above	20%
Liver function blood test panel inpatient CPT 80076 Hepatic Function Panel	$87.40	$109.25	$7.32–$75.46	—	20%
Lyme disease antibody test CPT 86618 Ab; Lyme's Disease	$137.80	$172.25	$17.03–$172.25	45% above	20%
Lyme disease antibody test CPT 86618 Ab; Lyme's Disease	$137.80	$172.25	$17.03–$118.97	45% above	20%
Lyme disease antibody test inpatient CPT 86618 Ab; Lyme's Disease	$137.80	$172.25	$17.03–$118.97	—	20%
Magnesium blood test CPT 83735 Magnesium	$46.80	$58.50	$5.08–$40.41	13% above	20%
Magnesium blood test CPT 83735 Magnesium	$46.80	$58.50	$5.08–$58.50	13% above	20%
Magnesium blood test CPT 83735 Magnesium 24 Hr Urine	$48.40	$60.50	$11.34	16% above	20%
Magnesium blood test CPT 83735 Magnesium 24 Hr Urine	$48.40	$60.50	$5.08–$60.50	16% above	20%
Magnesium blood test CPT 83735 Magnesium, RBC	$70.80	$88.50	$5.08–$61.13	70% above	20%
Magnesium blood test CPT 83735 Magnesium, RBC	$70.80	$88.50	$5.08–$88.50	70% above	20%
Magnesium blood test inpatient CPT 83735 Magnesium	$46.80	$58.50	$5.08–$40.41	—	20%
Magnesium blood test inpatient CPT 83735 Magnesium 24 Hr Urine	$48.40	$60.50	$11.34	—	20%
Magnesium blood test inpatient CPT 83735 Magnesium, RBC	$70.80	$88.50	$5.08–$61.13	—	20%
Measles (rubeola) antibody test CPT 86765 Ab; Rubeola	$187.80	$234.75	$11.80–$234.75	133% above	20%
Measles (rubeola) antibody test CPT 86765 Ab; Rubeola	$187.80	$234.75	$18.46	133% above	20%
Measles (rubeola) antibody test inpatient CPT 86765 Ab; Rubeola	$187.80	$234.75	$18.46	—	20%
Mono test (heterophile antibody, Monospot) CPT 86308 Heterophile Antibody	$49.80	$62.25	$4.78–$62.25	34% above	20%
Mono test (heterophile antibody, Monospot) CPT 86308 Heterophile Antibody	$49.80	$62.25	$4.78–$43.00	34% above	20%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 Heterophile Antibody	$49.80	$62.25	$4.78–$43.00	—	20%
Mumps immunity blood test CPT 86735 Mumps Antibody	$65.80	$82.25	$8.11–$56.81	19% below	20%
Mumps immunity blood test CPT 86735 Mumps Antibody	$65.80	$82.25	$8.11–$82.25	19% below	20%
Mumps immunity blood test inpatient CPT 86735 Mumps Antibody	$65.80	$82.25	$8.11–$56.81	—	20%
PSA (prostate-specific antigen) blood test, free CPT 84154 Psa; Free	$42.40	$53.00	$31.82	63% below	20%
PSA (prostate-specific antigen) blood test, free CPT 84154 Psa; Free	$42.40	$53.00	$9.54–$61.58	63% below	20%
PSA (prostate-specific antigen) blood test, free CPT 84154 Psa Total and Free - Quest	$132.80	$166.00	$18.39–$114.66	17% above	20%
PSA (prostate-specific antigen) blood test, free CPT 84154 Psa Total and Free - Quest	$132.80	$166.00	$18.39–$166.00	17% above	20%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 Psa; Free	$42.40	$53.00	$31.82	—	20%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 Psa Total and Free - Quest	$132.80	$166.00	$18.39–$114.66	—	20%
PSA (prostate-specific antigen) blood test, total CPT 84153 Psa: Total	$42.40	$53.00	$9.54–$61.58	61% below	20%
PSA (prostate-specific antigen) blood test, total CPT 84153 Psa: Total	$42.40	$53.00	$9.54–$41.38	61% below	20%
PSA (prostate-specific antigen) blood test, total CPT 84153 Prostate Specific Antigen (Psa), Total	$123.60	$154.50	$38.11	13% above	20%
PSA (prostate-specific antigen) blood test, total CPT 84153 Prostate Specific Antigen (Psa), Total	$123.60	$154.50	$18.39–$154.50	13% above	20%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 Psa: Total	$42.40	$53.00	$9.54–$41.38	—	20%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 Prostate Specific Antigen (Psa), Total	$123.60	$154.50	$38.11	—	20%
Pap test (liquid-based, automated screening with review) CPT 88175 Thin Pap Smear Screen	$127.40	$159.25	$26.61–$159.25	56% above	20%
Pap test (liquid-based, automated screening with review) CPT 88175 Thin Pap Smear Screen	$127.40	$159.25	$26.61–$109.99	56% above	20%
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 Thin Pap Smear Screen	$127.40	$159.25	$26.61–$109.99	—	20%
Parathyroid hormone (PTH) blood test CPT 83970 Parathormone	$366.60	$458.25	$66.49	68% above	20%
Parathyroid hormone (PTH) blood test CPT 83970 Parathormone	$366.60	$458.25	$41.28–$458.25	68% above	20%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 Parathormone	$366.60	$458.25	$66.49	—	20%
Partial thromboplastin time (PTT) clotting test CPT 85730 P T T	$62.80	$78.50	$6.01–$78.50	52% above	20%
Partial thromboplastin time (PTT) clotting test CPT 85730 P T T	$62.80	$78.50	$6.01–$54.22	52% above	20%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 P T T	$62.80	$78.50	$6.01–$54.22	—	20%
Phosphorus (phosphate) blood test CPT 84100 Phosphorus Inorganic	$57.00	$71.25	$4.74–$71.25	75% above	20%
Phosphorus (phosphate) blood test CPT 84100 Phosphorus Inorganic	$57.00	$71.25	$4.74–$49.21	75% above	20%
Phosphorus (phosphate) blood test inpatient CPT 84100 Phosphorus Inorganic	$57.00	$71.25	$4.74–$49.21	—	20%
Potassium blood test CPT 84132 Potassium/Whole Blood	$33.20	$41.50	$9.92	4% above	20%
Potassium blood test CPT 84132 Potassium/Whole Blood	$33.20	$41.50	$4.76–$41.50	4% above	20%
Potassium blood test CPT 84132 Assay of Serum Potassium	$44.60	$55.75	$4.76–$55.75	40% above	20%
Potassium blood test CPT 84132 Assay of Serum Potassium	$44.60	$55.75	$9.92	40% above	20%
Potassium blood test inpatient CPT 84132 Potassium/Whole Blood	$33.20	$41.50	$9.92	—	20%
Potassium blood test inpatient CPT 84132 Assay of Serum Potassium	$44.60	$55.75	$9.92	—	20%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 Qnatal Advanced	$3,320.80	$4,151.00	$607.24–$4,151.00	42% above	20%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 Qnatal Advanced	$3,320.80	$4,151.00	$747.18–$2,867.10	42% above	20%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) inpatient CPT 81420 Qnatal Advanced	$3,320.80	$4,151.00	$747.18–$2,867.10	—	20%
Progesterone blood test CPT 84144 Progesterone	$220.60	$275.75	$20.86–$190.46	61% above	20%
Progesterone blood test CPT 84144 Progesterone	$220.60	$275.75	$17.00–$275.75	61% above	20%
Progesterone blood test inpatient CPT 84144 Progesterone	$220.60	$275.75	$20.86–$190.46	—	20%
Prolactin blood test CPT 84146 Prolactin Monomeric	$45.80	$57.25	$10.31–$64.89	63% below	20%
Prolactin blood test CPT 84146 Prolactin Total	$45.80	$57.25	$10.31–$43.61	63% below	20%
Prolactin blood test CPT 84146 Prolactin Total	$45.80	$57.25	$10.31–$64.89	63% below	20%
Prolactin blood test CPT 84146 Prolactin Monomeric	$45.80	$57.25	$10.31–$43.61	63% below	20%
Prolactin blood test CPT 84146 Prolactin	$100.60	$125.75	$19.38–$125.75	19% below	20%
Prolactin blood test CPT 84146 Prolactin	$100.60	$125.75	$19.38–$86.86	19% below	20%
Prolactin blood test CPT 84146 Prolactin Total and Monomeric	$139.80	$174.75	$37.55	12% above	20%
Prolactin blood test CPT 84146 Prolactin Dilution	$139.80	$174.75	$19.38–$120.70	12% above	20%
Prolactin blood test CPT 84146 Prolactin Dilution	$139.80	$174.75	$19.38–$174.75	12% above	20%
Prolactin blood test CPT 84146 Prolactin Total and Monomeric	$139.80	$174.75	$19.38–$174.75	12% above	20%
Prolactin blood test inpatient CPT 84146 Prolactin Total	$45.80	$57.25	$10.31–$43.61	—	20%
Prolactin blood test inpatient CPT 84146 Prolactin Monomeric	$45.80	$57.25	$10.31–$43.61	—	20%
Prolactin blood test inpatient CPT 84146 Prolactin	$100.60	$125.75	$19.38–$86.86	—	20%
Prolactin blood test inpatient CPT 84146 Prolactin Total and Monomeric	$139.80	$174.75	$37.55	—	20%
Prolactin blood test inpatient CPT 84146 Prolactin Dilution	$139.80	$174.75	$19.38–$120.70	—	20%
Prothrombin time (PT/INR) clotting test CPT 85610 Prothrombin Time	$37.00	$46.25	$6.26	30% above	20%
Prothrombin time (PT/INR) clotting test CPT 85610 Prothrombin Time	$37.00	$46.25	$3.95–$46.25	30% above	20%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Prothrombin Time	$37.00	$46.25	$6.26	—	20%
Rapid flu test (influenza antigen) CPT 87804 Influenza Antigen Screen Flu B	$56.40	$70.50	$11.35–$70.50	3% above	20%
Rapid flu test (influenza antigen) CPT 87804 Influenza Antigen Screen Flu A	$56.40	$70.50	$12.69–$48.69	3% above	20%
Rapid flu test (influenza antigen) CPT 87804 Influenza Antigen Screen Flu A	$56.40	$70.50	$11.35–$70.50	3% above	20%
Rapid flu test (influenza antigen) CPT 87804 Influenza Antigen Screen Flu B	$56.40	$70.50	$12.69–$48.69	3% above	20%
Rapid flu test (influenza antigen) inpatient CPT 87804 Influenza Antigen Screen Flu B	$56.40	$70.50	$12.69–$48.69	—	20%
Rapid flu test (influenza antigen) inpatient CPT 87804 Influenza Antigen Screen Flu A	$56.40	$70.50	$12.69–$48.69	—	20%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 Rapid Strep Group A	$45.36	$56.70	$3.79–$56.70	28% below	20%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 Rapid Strep Group A	$45.36	$56.70	$3.79–$39.16	28% below	20%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 Rapid Strep Screen	$51.40	$64.25	$9.86	19% below	20%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 Rapid Strep Screen	$51.40	$64.25	$3.79–$64.25	19% below	20%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 Rapid Strep Group A	$45.36	$56.70	$3.79–$39.16	—	20%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 Rapid Strep Screen	$51.40	$64.25	$9.86	—	20%
Renin blood test CPT 84244 Renin	$158.80	$198.50	$15.60–$137.10	10% above	20%
Renin blood test CPT 84244 Renin	$158.80	$198.50	$12.00–$198.50	10% above	20%
Renin blood test CPT 84244 Assay of Renin	$167.31	$209.14	$18.77	16% above	20%
Renin blood test inpatient CPT 84244 Renin	$158.80	$198.50	$15.60–$137.10	—	20%
Renin blood test inpatient CPT 84244 Assay of Renin	$167.31	$209.14	$18.77	—	20%
Rh blood typing CPT 86901 Blood Typing Serologic Rh (D)	$25.20	$31.50	$2.99–$31.50	56% below	20%
Rh blood typing CPT 86901 Blood Typing Serologic Rh (D)	$25.20	$31.50	$6.52	56% below	20%
Rh blood typing CPT 86901 Arc- Rh Type	$65.36	$81.70	$4.17–$81.70	15% above	20%
Rh blood typing CPT 86901 Arc- Rh Type	$65.36	$81.70	$5.42–$56.43	15% above	20%
Rh blood typing CPT 86901 Rh Typing	$81.60	$102.00	$5.42–$70.45	43% above	20%
Rh blood typing CPT 86901 Rh Typing	$81.60	$102.00	$5.42–$102.00	43% above	20%
Rh blood typing inpatient CPT 86901 Blood Typing Serologic Rh (D)	$25.20	$31.50	$6.52	—	20%
Rh blood typing inpatient CPT 86901 Arc- Rh Type	$65.36	$81.70	$5.42–$56.43	—	20%
Rh blood typing inpatient CPT 86901 Rh Typing	$81.60	$102.00	$5.42–$70.45	—	20%
Rheumatoid factor (RF) test CPT 86431 Rheumatoid Factor Fluid Quant	$41.00	$51.25	$5.25–$51.25	5% above	20%
Rheumatoid factor (RF) test CPT 86431 Rheumatoid Factor Fluid Quant	$41.00	$51.25	$5.25–$35.40	5% above	20%
Rheumatoid factor (RF) test CPT 86431 Quan Rheum Factor	$65.80	$82.25	$5.25–$82.25	68% above	20%
Rheumatoid factor (RF) test CPT 86431 Quan Rheum Factor	$65.80	$82.25	$5.25–$56.81	68% above	20%
Rheumatoid factor (RF) test CPT 86431 Rheumatoid Factor Quant Ana Reflex	$96.00	$120.00	$7.73–$120.00	146% above	20%
Rheumatoid factor (RF) test CPT 86431 Rheumatoid Factor Quant Ana Reflex	$96.00	$120.00	$12.09	146% above	20%
Rheumatoid factor (RF) test inpatient CPT 86431 Rheumatoid Factor Fluid Quant	$41.00	$51.25	$5.25–$35.40	—	20%
Rheumatoid factor (RF) test inpatient CPT 86431 Quan Rheum Factor	$65.80	$82.25	$5.25–$56.81	—	20%
Rheumatoid factor (RF) test inpatient CPT 86431 Rheumatoid Factor Quant Ana Reflex	$96.00	$120.00	$12.09	—	20%
Rubella antibody test (immunity check) CPT 86762 Rubella Antibody,Igm	$29.00	$36.25	$6.53–$32.38	66% below	20%
Rubella antibody test (immunity check) CPT 86762 Rubella Antibody,Igm	$29.00	$36.25	$6.53–$48.19	66% below	20%
Rubella antibody test (immunity check) CPT 86762 Rubella Antibody	$54.80	$68.50	$12.33–$68.50	35% below	20%
Rubella antibody test (immunity check) CPT 86762 Rubella Antibody	$54.80	$68.50	$30.73	35% below	20%
Rubella antibody test (immunity check) inpatient CPT 86762 Rubella Antibody,Igm	$29.00	$36.25	$6.53–$32.38	—	20%
Rubella antibody test (immunity check) inpatient CPT 86762 Rubella Antibody	$54.80	$68.50	$30.73	—	20%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 Sedimentation Rate, Erythrocyte; Automated	$9.24	$11.55	$2.02–$7.98	57% below	20%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 Sedimentation Rate, Erythrocyte; Automated	$9.24	$11.55	$2.02–$11.55	57% below	20%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 Autom Erythrocyte Sed Rate	$45.80	$57.25	$3.90–$39.54	112% above	20%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 Autom Erythrocyte Sed Rate	$45.80	$57.25	$3.00–$57.25	112% above	20%
Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 Sedimentation Rate, Erythrocyte; Automated	$9.24	$11.55	$2.02–$7.98	—	20%
Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 Autom Erythrocyte Sed Rate	$45.80	$57.25	$3.90–$39.54	—	20%
Semen analysis: volume, sperm count, motility and morphology CPT 89320 Semen Analysis Fertility	$87.00	$108.75	$19.58–$108.75	2% below	20%
Semen analysis: volume, sperm count, motility and morphology CPT 89320 Semen Analysis Fertility	$87.00	$108.75	$19.58–$75.11	2% below	20%
Semen analysis: volume, sperm count, motility and morphology inpatient CPT 89320 Semen Analysis Fertility	$87.00	$108.75	$19.58–$75.11	—	20%
Sodium blood test CPT 84295 Sodium	$34.60	$43.25	$4.81–$29.87	7% above	20%
Sodium blood test CPT 84295 Sodium	$34.60	$43.25	$4.81–$43.25	7% above	20%
Sodium blood test CPT 84295 Sodium Serum	$36.80	$46.00	$10.17	14% above	20%
Sodium blood test CPT 84295 Sodium Serum	$36.80	$46.00	$4.81–$46.00	14% above	20%
Sodium blood test inpatient CPT 84295 Sodium	$34.60	$43.25	$4.81–$29.87	—	20%
Sodium blood test inpatient CPT 84295 Sodium Serum	$36.80	$46.00	$10.17	—	20%
Stool ova and parasites exam CPT 87177 Ova and Parasite Exam	$29.40	$36.75	$6.62–$36.75	50% below	20%
Stool ova and parasites exam CPT 87177 Ova and Parasite Exam	$29.40	$36.75	$11.73	50% below	20%
Stool ova and parasites exam inpatient CPT 87177 Ova and Parasite Exam	$29.40	$36.75	$11.73	—	20%
Stool test for hidden blood (guaiac FOBT) CPT 82270 Blood Occult, by Peroxid, Feces, Single Colorectal Scr	$17.64	$22.05	$5.43	14% below	20%
Stool test for hidden blood (guaiac FOBT) CPT 82270 Blood Occult, by Peroxid, Feces, Single Colorectal Scr	$17.64	$22.05	$3.43–$22.05	14% below	20%
Stool test for hidden blood (guaiac FOBT) CPT 82270 Occult Blood by Perox Act, Qualitative;Feces 1-3 Deter	$21.40	$26.75	$3.43–$26.75	5% above	20%
Stool test for hidden blood (guaiac FOBT) CPT 82270 Occult Blood by Perox Act, Qualitative;Feces 1-3 Deter	$21.40	$26.75	$3.43–$18.48	5% above	20%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 Blood Occult, by Peroxid, Feces, Single Colorectal Scr	$17.64	$22.05	$5.43	—	20%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 Occult Blood by Perox Act, Qualitative;Feces 1-3 Deter	$21.40	$26.75	$3.43–$18.48	—	20%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 Occult Bld Fhg Qual 1-3	$80.60	$100.75	$6.00–$69.59	124% above	20%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 Occult Bld Fhg Qual 1-3	$80.60	$100.75	$6.00–$100.75	124% above	20%
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 Occult Bld Fhg Qual 1-3	$80.60	$100.75	$6.00–$69.59	—	20%
Syphilis antibody test (Treponema pallidum) CPT 86780 Treponema Pallidum Ab	$32.60	$40.75	$7.34–$44.33	56% below	20%
Syphilis antibody test (Treponema pallidum) CPT 86780 Treponema Pallidum Ab	$32.60	$40.75	$7.34–$28.71	56% below	20%
Syphilis antibody test (Treponema pallidum) CPT 86780 Fta-Abs	$118.20	$147.75	$12.76–$147.75	58% above	20%
Syphilis antibody test (Treponema pallidum) CPT 86780 Fta-Abs	$118.20	$147.75	$12.76–$102.05	58% above	20%
Syphilis antibody test (Treponema pallidum) CPT 86780 Syphilis Antibody (Treponema Pallidum Antibodies)	$144.80	$181.00	$12.76–$181.00	94% above	20%
Syphilis antibody test (Treponema pallidum) CPT 86780 Syphilis Antibody (Treponema Pallidum Antibodies)	$144.80	$181.00	$12.76–$125.02	94% above	20%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 Treponema Pallidum Ab	$32.60	$40.75	$7.34–$28.71	—	20%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 Fta-Abs	$118.20	$147.75	$12.76–$102.05	—	20%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 Syphilis Antibody (Treponema Pallidum Antibodies)	$144.80	$181.00	$12.76–$125.02	—	20%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR	$18.00	$22.50	$3.30–$22.50	36% below	20%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR	$18.00	$22.50	$3.30–$15.54	36% below	20%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Vdrl CSF	$30.80	$38.50	$3.30–$38.50	10% above	20%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Vdrl CSF	$30.80	$38.50	$3.30–$26.59	10% above	20%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Rpr/Vdrl Qual	$45.00	$56.25	$3.30–$38.85	60% above	20%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Rpr/Vdrl Qual	$45.00	$56.25	$3.30–$56.25	60% above	20%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 RPR	$18.00	$22.50	$3.30–$15.54	—	20%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 Vdrl CSF	$30.80	$38.50	$3.30–$26.59	—	20%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 Rpr/Vdrl Qual	$45.00	$56.25	$3.30–$38.85	—	20%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 Tuberculosis Tst Cell Mediated Immunity	$17.73	$22.16	$50.50–$207.56	94% below	20%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 TB Test Cell Immun Measure	$459.40	$574.25	$50.50–$574.25	48% above	20%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 TB Test Cell Immun Measure	$459.40	$574.25	$111.11	48% above	20%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 TB Test Cell Immun Measure	$459.40	$574.25	$111.11	—	20%
Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone, Total	$277.20	$346.50	$25.81–$239.33	70% above	20%
Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone, Total	$277.20	$346.50	$25.81–$346.50	70% above	20%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Testosterone, Total	$277.20	$346.50	$25.81–$239.33	—	20%
Thyroid peroxidase (TPO) antibody test CPT 86376 Microsomal Ab Each	$32.60	$40.75	$12.38	57% below	20%
Thyroid peroxidase (TPO) antibody test CPT 86376 Microsomal Ab Each	$32.60	$40.75	$7.34–$48.74	57% below	20%
Thyroid peroxidase (TPO) antibody test CPT 86376 Thyroid Peroxidas Ab	$91.20	$114.00	$10.28–$78.74	21% above	20%
Thyroid peroxidase (TPO) antibody test CPT 86376 Thyroid Peroxidas Ab	$91.20	$114.00	$7.91–$114.00	21% above	20%
Thyroid peroxidase (TPO) antibody test CPT 86376 Liver-Kidney Microsomal Ab	$175.20	$219.00	$10.99–$219.00	133% above	20%
Thyroid peroxidase (TPO) antibody test CPT 86376 Liver-Kidney Microsomal Ab	$175.20	$219.00	$12.38–$151.26	133% above	20%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Microsomal Ab Each	$32.60	$40.75	$12.38	—	20%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Thyroid Peroxidas Ab	$91.20	$114.00	$10.28–$78.74	—	20%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Liver-Kidney Microsomal Ab	$175.20	$219.00	$12.38–$151.26	—	20%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 Thyroid Stimulating Hormone	$154.60	$193.25	$20.45–$193.25	54% above	20%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 Thyroid Stimulating Hormone	$154.60	$193.25	$20.45–$133.48	54% above	20%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 Thyroid Stimulating Hormone	$154.60	$193.25	$20.45–$133.48	—	20%
Total IgE blood test CPT 82785 IGE	$35.20	$44.00	$7.92–$30.39	66% below	20%
Total IgE blood test CPT 82785 IGE	$35.20	$44.00	$7.92–$55.12	66% below	20%
Total IgE blood test inpatient CPT 82785 IGE	$35.20	$44.00	$7.92–$30.39	—	20%
Total cholesterol blood test CPT 82465 Cholesterol, Fluid	$36.20	$45.25	$4.35–$31.25	19% above	20%
Total cholesterol blood test CPT 82465 Cholesterol, Fluid	$36.20	$45.25	$4.35–$45.25	19% above	20%
Total cholesterol blood test inpatient CPT 82465 Cholesterol, Fluid	$36.20	$45.25	$4.35–$31.25	—	20%
Total thyroxine (T4) blood test CPT 84436 Thyroxine; Total	$65.80	$82.25	$14.86	46% above	20%
Total thyroxine (T4) blood test CPT 84436 Thyroxine; Total	$65.80	$82.25	$5.76–$82.25	46% above	20%
Total thyroxine (T4) blood test inpatient CPT 84436 Thyroxine; Total	$65.80	$82.25	$14.86	—	20%
Total triiodothyronine (T3) blood test CPT 84480 T3, Free, Tracer Dialysis	$99.80	$124.75	$8.00–$124.75	3% above	20%
Total triiodothyronine (T3) blood test CPT 84480 T3, Free, Tracer Dialysis	$99.80	$124.75	$10.40–$86.16	3% above	20%
Total triiodothyronine (T3) blood test CPT 84480 T3	$124.20	$155.25	$8.00–$155.25	28% above	20%
Total triiodothyronine (T3) blood test CPT 84480 T3	$124.20	$155.25	$10.40–$107.23	28% above	20%
Total triiodothyronine (T3) blood test inpatient CPT 84480 T3, Free, Tracer Dialysis	$99.80	$124.75	$10.40–$86.16	—	20%
Total triiodothyronine (T3) blood test inpatient CPT 84480 T3	$124.20	$155.25	$10.40–$107.23	—	20%
Transferrin blood test CPT 84466 Transferrin	$57.00	$71.25	$26.60	34% below	20%
Transferrin blood test CPT 84466 Transferrin	$57.00	$71.25	$12.63–$71.25	34% below	20%
Transferrin blood test inpatient CPT 84466 Transferrin	$57.00	$71.25	$26.60	—	20%
Trichomonas test (NAAT) CPT 87661 Trichomonas Vaginalis Amplif	$253.20	$316.50	$21.64–$316.50	38% above	20%
Trichomonas test (NAAT) CPT 87661 Trichomonas Vaginalis Amplif	$253.20	$316.50	$21.64–$218.61	38% above	20%
Trichomonas test (NAAT) inpatient CPT 87661 Trichomonas Vaginalis Amplif	$253.20	$316.50	$21.64–$218.61	—	20%
Triglycerides blood test CPT 84478 Triglycerides, Pleural Fluid	$13.40	$16.75	$3.02–$11.57	66% below	20%
Triglycerides blood test CPT 84478 Triglycerides, Pleural Fluid	$13.40	$16.75	$3.02–$19.23	66% below	20%
Triglycerides blood test CPT 84478 Procainamide and Napa	$41.40	$51.75	$5.08–$35.74	5% above	20%
Triglycerides blood test CPT 84478 Procainamide and Napa	$41.40	$51.75	$5.08–$51.75	5% above	20%
Triglycerides blood test CPT 84478 Assay of Blood Lipoprotein Vldl	$41.40	$51.75	$5.08–$51.75	5% above	20%
Triglycerides blood test CPT 84478 Assay of Blood Lipoprotein Vldl	$41.40	$51.75	$5.08–$35.74	5% above	20%
Triglycerides blood test CPT 84478 Triglycerides	$67.40	$84.25	$5.08–$58.19	70% above	20%
Triglycerides blood test CPT 84478 Triglycerides	$67.40	$84.25	$5.08–$84.25	70% above	20%
Triglycerides blood test CPT 84478 Triglycerides, Peritoneal Fluid	$69.80	$87.25	$5.08–$87.25	76% above	20%
Triglycerides blood test CPT 84478 Triglycerides, Peritoneal Fluid	$69.80	$87.25	$5.08–$60.26	76% above	20%
Triglycerides blood test inpatient CPT 84478 Triglycerides, Pleural Fluid	$13.40	$16.75	$3.02–$11.57	—	20%
Triglycerides blood test inpatient CPT 84478 Procainamide and Napa	$41.40	$51.75	$5.08–$35.74	—	20%
Triglycerides blood test inpatient CPT 84478 Assay of Blood Lipoprotein Vldl	$41.40	$51.75	$5.08–$35.74	—	20%
Triglycerides blood test inpatient CPT 84478 Triglycerides	$67.40	$84.25	$5.08–$58.19	—	20%
Triglycerides blood test inpatient CPT 84478 Triglycerides, Peritoneal Fluid	$69.80	$87.25	$5.08–$60.26	—	20%
Troponin test, quantitative CPT 84484 Troponin, Quan	$95.20	$119.00	$15.44	16% above	20%
Troponin test, quantitative CPT 84484 Troponin, Quan	$95.20	$119.00	$8.13–$119.00	16% above	20%
Troponin test, quantitative inpatient CPT 84484 Troponin, Quan	$95.20	$119.00	$15.44	—	20%
Uric acid blood test CPT 84550 Uric Acid	$36.20	$45.25	$4.52–$45.25	14% above	20%
Uric acid blood test CPT 84550 Uric Acid	$36.20	$45.25	$4.52–$31.25	14% above	20%
Uric acid blood test inpatient CPT 84550 Uric Acid	$36.20	$45.25	$4.52–$31.25	—	20%
Urinalysis with microscope exam, automated CPT 81001 Urinalysis Auto W Micro	$22.40	$28.00	$3.17–$19.34	32% below	20%
Urinalysis with microscope exam, automated CPT 81001 Urinalysis Auto W Micro	$22.40	$28.00	$3.00–$28.00	32% below	20%
Urinalysis with microscope exam, automated inpatient CPT 81001 Urinalysis Auto W Micro	$22.40	$28.00	$3.17–$19.34	—	20%
Urinalysis without microscope exam, automated CPT 81003 Urine Auto W/O Micro	$15.80	$19.75	$2.02–$13.64	11% below	20%
Urinalysis without microscope exam, automated CPT 81003 Urine Auto W/O Micro	$15.80	$19.75	$2.02–$19.75	11% below	20%
Urinalysis without microscope exam, automated CPT 81003 Urinalysis Dipstick On	$16.20	$20.25	$2.02–$13.99	9% below	20%
Urinalysis without microscope exam, automated CPT 81003 Urinalysis Dipstick On	$16.20	$20.25	$2.02–$20.25	9% below	20%
Urinalysis without microscope exam, automated CPT 81003 Urinalysis W/O Micro	$19.32	$24.15	$2.02–$24.15	8% above	20%
Urinalysis without microscope exam, automated CPT 81003 Urinalysis W/O Micro	$19.32	$24.15	$2.02–$16.68	8% above	20%
Urinalysis without microscope exam, automated inpatient CPT 81003 Urine Auto W/O Micro	$15.80	$19.75	$2.02–$13.64	—	20%
Urinalysis without microscope exam, automated inpatient CPT 81003 Urinalysis Dipstick On	$16.20	$20.25	$2.02–$13.99	—	20%
Urinalysis without microscope exam, automated inpatient CPT 81003 Urinalysis W/O Micro	$19.32	$24.15	$2.02–$16.68	—	20%
Urinalysis without microscope exam, manual CPT 81002 Urine Dipstick Non-Auto W/O Micro	$20.00	$25.00	$2.02–$17.27	5% below	20%
Urinalysis without microscope exam, manual CPT 81002 Urine Dipstick Non-Auto W/O Micro	$20.00	$25.00	$2.02–$25.00	5% below	20%
Urinalysis without microscope exam, manual inpatient CPT 81002 Urine Dipstick Non-Auto W/O Micro	$20.00	$25.00	$2.02–$17.27	—	20%
Urine culture for bacteria, with colony count CPT 87086 Urine Culture/Colony Count	$52.80	$66.00	$8.00–$66.00	7% below	20%
Urine culture for bacteria, with colony count CPT 87086 Urine Culture/Colony Count	$52.80	$66.00	$8.07–$45.59	7% below	20%
Urine culture for bacteria, with colony count CPT 87086 Culture Urine	$109.20	$136.50	$8.07–$94.28	93% above	20%
Urine culture for bacteria, with colony count CPT 87086 Culture Urine	$109.20	$136.50	$8.00–$136.50	93% above	20%
Urine culture for bacteria, with colony count inpatient CPT 87086 Urine Culture/Colony Count	$52.80	$66.00	$8.07–$45.59	—	20%
Urine culture for bacteria, with colony count inpatient CPT 87086 Culture Urine	$109.20	$136.50	$8.07–$94.28	—	20%
Urine microalbumin (albumin) test CPT 82043 Urine, Microalbumin, Quant	$65.80	$82.25	$5.08–$82.25	66% above	20%
Urine microalbumin (albumin) test CPT 82043 Urine, Microalbumin, Quant	$65.80	$82.25	$5.08–$56.81	66% above	20%
Urine microalbumin (albumin) test inpatient CPT 82043 Urine, Microalbumin, Quant	$65.80	$82.25	$5.08–$56.81	—	20%
Urine pregnancy test, read by color change CPT 81025 Urine Pregnancy	$31.92	$39.90	$2.02–$3,740.49	13% below	20%
Urine pregnancy test, read by color change CPT 81025 Urine Pregnancy	$31.92	$39.90	$2.02–$3,740.49	13% below	20%
Urine pregnancy test, read by color change CPT 81025 Hcg Qualitative-Waived	$55.80	$69.75	$5.24–$3,740.49	51% above	20%
Urine pregnancy test, read by color change CPT 81025 Hcg Qualitative-Waived	$55.80	$69.75	$5.24–$3,740.49	51% above	20%
Urine pregnancy test, read by color change CPT 81025 Hcg, Pregnancy Urine	$86.20	$107.75	$5.41–$3,740.49	134% above	20%
Urine pregnancy test, read by color change CPT 81025 Hcg, Pregnancy Urine	$86.20	$107.75	$5.41–$3,740.49	134% above	20%
Urine pregnancy test, read by color change inpatient CPT 81025 Urine Pregnancy	$31.92	$39.90	$2.02–$3,740.49	—	20%
Urine pregnancy test, read by color change inpatient CPT 81025 Hcg Qualitative-Waived	$55.80	$69.75	$5.24–$3,740.49	—	20%
Urine pregnancy test, read by color change inpatient CPT 81025 Hcg, Pregnancy Urine	$86.20	$107.75	$5.41–$3,740.49	—	20%
Vitamin B12 (cobalamin) blood test CPT 82607 Vitamin B 12	$123.60	$154.50	$20.34	32% above	20%
Vitamin B12 (cobalamin) blood test CPT 82607 Vitamin B 12	$123.60	$154.50	$12.63–$154.50	32% above	20%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 Vitamin B 12	$123.60	$154.50	$20.34	—	20%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Questassured Vitamin D	$53.80	$67.25	$12.11–$66.60	64% below	20%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Questassured Vitamin D	$53.80	$67.25	$12.11–$99.13	64% below	20%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vitamin D, 25 Hydroxy	$265.40	$331.75	$64.00	78% above	20%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vitamin D, 25 Hydroxy	$265.40	$331.75	$29.60–$331.75	78% above	20%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 Questassured Vitamin D	$53.80	$67.25	$12.11–$66.60	—	20%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 Vitamin D, 25 Hydroxy	$265.40	$331.75	$64.00	—	20%
Vitamin D, 1,25-dihydroxy blood test CPT 82652 Vit D 1 25-Dihydroxy	$155.20	$194.00	$34.92–$134.00	35% below	20%
Vitamin D, 1,25-dihydroxy blood test CPT 82652 Vit D 1 25-Dihydroxy	$155.20	$194.00	$34.92–$194.00	35% below	20%
Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 Vit D 1 25-Dihydroxy	$155.20	$194.00	$34.92–$134.00	—	20%
Zinc blood test CPT 84630 Zinc Serum	$111.60	$139.50	$7.98–$96.35	54% above	20%
Zinc blood test CPT 84630 Zinc Serum	$111.60	$139.50	$7.98–$139.50	54% above	20%
Zinc blood test CPT 84630 ZINC	$127.40	$159.25	$7.98–$159.25	76% above	20%
Zinc blood test CPT 84630 ZINC	$127.40	$159.25	$7.98–$109.99	76% above	20%
Zinc blood test inpatient CPT 84630 Zinc Serum	$111.60	$139.50	$7.98–$96.35	—	20%
Zinc blood test inpatient CPT 84630 ZINC	$127.40	$159.25	$7.98–$109.99	—	20%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Alpha Fetoprotein Maternal Screen 3	$108.60	$135.75	$12.49–$93.76	21% above	20%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Alpha Fetoprotein Maternal Screen 5	$108.60	$135.75	$12.49–$135.75	21% above	20%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Hcg Quan	$108.60	$135.75	$12.49–$135.75	21% above	20%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Alpha Fetoprotein Maternal Screen 5	$108.60	$135.75	$12.49–$93.76	21% above	20%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Alpha Fetoprotein Maternal Screen 4	$108.60	$135.75	$12.49–$135.75	21% above	20%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Hcg Quan	$108.60	$135.75	$25.69	21% above	20%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Alpha Fetoprotein Maternal Screen 3	$108.60	$135.75	$12.49–$135.75	21% above	20%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Alpha Fetoprotein Maternal Screen 4	$108.60	$135.75	$12.49–$93.76	21% above	20%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Beta Hcg, Quantitative	$129.20	$161.50	$25.69	44% above	20%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Beta Hcg, Quantitative	$129.20	$161.50	$12.49–$161.50	44% above	20%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Bhcg I Stat (POCT)	$343.44	$429.30	$21.52–$429.30	283% above	20%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Bhcg I Stat (POCT)	$343.44	$429.30	$21.52–$296.52	283% above	20%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Hcg Beta,Quantitative	$343.44	$429.30	$21.52–$429.30	283% above	20%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Hcg Beta,Quantitative	$343.44	$429.30	$21.52–$296.52	283% above	20%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 Hcg Quan	$108.60	$135.75	$25.69	—	20%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 Alpha Fetoprotein Maternal Screen 3	$108.60	$135.75	$12.49–$93.76	—	20%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 Alpha Fetoprotein Maternal Screen 5	$108.60	$135.75	$12.49–$93.76	—	20%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 Alpha Fetoprotein Maternal Screen 4	$108.60	$135.75	$12.49–$93.76	—	20%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 Beta Hcg, Quantitative	$129.20	$161.50	$25.69	—	20%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 Hcg Beta,Quantitative	$343.44	$429.30	$21.52–$296.52	—	20%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 Bhcg I Stat (POCT)	$343.44	$429.30	$21.52–$296.52	—	20%

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs Pennsylvania	Off list
Botox injections for chronic migraine CPT 64615 Chemodervate Facial/Trigem/Cerv Musc Migraine	$400.43	$500.54	$90.10–$315.19	19% below	20%
Botox injections for chronic migraine CPT 64615 Chemodervate Facial/Trigem/Cerv Musc Migraine	$400.43	$500.54	$90.10–$500.54	19% below	20%
Botox injections for chronic migraine inpatient CPT 64615 Chemodervate Facial/Trigem/Cerv Musc Migraine	$400.43	$500.54	$90.10–$315.19	—	20%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 Bx Breast 1st Lesion Strtctc	$6,461.28	$8,076.60	$1,453.79–$5,578.51	65% above	20%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 Bx Breast 1st Lesion Strtctc	$6,461.28	$8,076.60	$1,453.79–$8,076.60	65% above	20%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 Bx Breast 1st Lesion Strtctc	$6,461.28	$8,076.60	$1,453.79–$5,578.51	—	20%
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 Clsd Tx Lateral Malleolus Fx	$579.77	$724.71	$130.45–$456.35	13% below	20%
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 Clsd Tx Lateral Malleolus Fx	$579.77	$724.71	$130.45–$1,198.00	13% below	20%
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 Cl Tx Dstl Fib Fx WO Manip	$1,827.40	$2,284.25	$154.05–$1,577.73	176% above	20%
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 Cl Tx Dstl Fib Fx WO Manip	$1,827.40	$2,284.25	$118.50–$2,284.25	176% above	20%
Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 Clsd Tx Lateral Malleolus Fx	$579.77	$724.71	$130.45–$456.35	—	20%
Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 Cl Tx Dstl Fib Fx WO Manip	$1,827.40	$2,284.25	$154.05–$1,577.73	—	20%
Broken foot (metatarsal) treatment without surgery or setting CPT 28470 Clsd Tx Metatarsal Fx W/O Man	$444.53	$555.66	$100.02–$555.66	15% below	20%
Broken foot (metatarsal) treatment without surgery or setting CPT 28470 Clsd Tx Metatarsal Fx W/O Man	$444.53	$555.66	$198.76	15% below	20%
Broken foot (metatarsal) treatment without surgery or setting CPT 28470 Cl Tx Metatarsal Fx WO Manip	$1,827.40	$2,284.25	$114.29–$1,577.73	251% above	20%
Broken foot (metatarsal) treatment without surgery or setting CPT 28470 Cl Tx Metatarsal Fx WO Manip	$1,827.40	$2,284.25	$114.29–$2,284.25	251% above	20%
Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 Clsd Tx Metatarsal Fx W/O Man	$444.53	$555.66	$198.76	—	20%
Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 Cl Tx Metatarsal Fx WO Manip	$1,827.40	$2,284.25	$114.29–$1,577.73	—	20%
Cardioversion, elective (restoring heart rhythm) CPT 92960 Cardioversion	$2,074.80	$2,593.50	$136.12–$2,593.50	42% above	20%
Cardioversion, elective (restoring heart rhythm) CPT 92960 Cardioversion	$2,074.80	$2,593.50	$136.12–$1,791.33	42% above	20%
Cardioversion, elective (restoring heart rhythm) CPT 92960 Cardioverison Electric Ext.	$2,305.40	$2,881.75	$518.72–$1,990.42	57% above	20%
Cardioversion, elective (restoring heart rhythm) CPT 92960 Cardioverison Electric Ext.	$2,305.40	$2,881.75	$144.46–$2,881.75	57% above	20%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 Cardioversion	$2,074.80	$2,593.50	$136.12–$1,791.33	—	20%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 Cardioverison Electric Ext.	$2,305.40	$2,881.75	$518.72–$1,990.42	—	20%
Cataract surgery with lens implant CPT 66984 HC Fac Remv Cataract Extracap,Insert Lens	$1,825.15	$2,281.44	$410.66–$1,436.61	51% below	20%
Cataract surgery with lens implant CPT 66984 HC Fac Remv Cataract Extracap,Insert Lens	$1,825.15	$2,281.44	$410.66–$2,281.44	51% below	20%
Cataract surgery with lens implant inpatient CPT 66984 HC Fac Remv Cataract Extracap,Insert Lens	$1,825.15	$2,281.44	$410.66–$1,436.61	—	20%
Cervical biopsy CPT 57500 Biopsy of Cervix	$233.44	$291.80	$103.44	91% below	20%
Cervical biopsy CPT 57500 Biopsy of Cervix	$233.44	$291.80	$52.52–$291.80	91% below	20%
Cervical biopsy inpatient CPT 57500 Biopsy of Cervix	$233.44	$291.80	$103.44	—	20%
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 HC Fac Circumcision,Clamp, or Other Device	$308.70	$385.88	$69.46–$3,740.49	75% below	20%
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 HC Fac Circumcision,Clamp, or Other Device	$308.70	$385.88	$123.60	75% below	20%
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 Newborn Circumcision Procedure	$3,108.30	$3,885.38	$699.37–$3,885.38	155% above	20%
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 Circumcision W/Clamp/Oth Dev W/Block	$3,108.30	$3,885.38	$699.37–$3,740.49	155% above	20%
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 Newborn Circumcision Procedure	$3,108.30	$3,885.38	$699.37–$3,740.49	155% above	20%
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 Circumcision W/Clamp/Oth Dev W/Block	$3,108.30	$3,885.38	$699.37–$3,885.38	155% above	20%
Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 HC Fac Circumcision,Clamp, or Other Device	$308.70	$385.88	$123.60	—	20%
Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 Circumcision W/Clamp/Oth Dev W/Block	$3,108.30	$3,885.38	$699.37–$3,740.49	—	20%
Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 Newborn Circumcision Procedure	$3,108.30	$3,885.38	$699.37–$3,740.49	—	20%
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 Clsd Tx Dstl Radial Fx W/O Man	$473.89	$592.36	$106.62–$592.36	29% below	20%
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 Clsd Tx Dstl Radial Fx W/O Man	$473.89	$592.36	$317.89	29% below	20%
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 Cltx Dstl Radial Fx/Epiphysl Sep WO Mnp	$1,827.40	$2,284.25	$317.89	176% above	20%
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 Cltx Dstl Radial Fx/Epiphysl Sep WO Mnp	$1,827.40	$2,284.25	$114.50–$2,284.25	176% above	20%
Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 Clsd Tx Dstl Radial Fx W/O Man	$473.89	$592.36	$317.89	—	20%
Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 Cltx Dstl Radial Fx/Epiphysl Sep WO Mnp	$1,827.40	$2,284.25	$317.89	—	20%
Colonoscopy with polyp removal CPT 45385 Colonoscopy Flex W Rem Lesion by Snare	$5,406.96	$6,758.70	$348.50–$4,668.23	113% above	20%
Colonoscopy with polyp removal CPT 45385 Colonoscopy Flex W Rem Lesion by Snare	$5,406.96	$6,758.70	$348.50–$6,758.70	113% above	20%
Colonoscopy with polyp removal inpatient CPT 45385 Colonoscopy Flex W Rem Lesion by Snare	$5,406.96	$6,758.70	$348.50–$4,668.23	—	20%
Colonoscopy with tissue sample CPT 45380 HC Fac Colonoscopy W/Biopsy Single/Multiple	$1,083.10	$1,353.87	$243.70–$852.52	51% below	20%
Colonoscopy with tissue sample CPT 45380 HC Fac Colonoscopy W/Biopsy Single/Multiple	$1,083.10	$1,353.87	$243.70–$1,956.69	51% below	20%
Colonoscopy with tissue sample CPT 45380 Colonoscopy Flex W Bx; Sgl/Multi	$4,271.50	$5,339.37	$293.05–$5,339.37	93% above	20%
Colonoscopy with tissue sample CPT 45380 Colonoscopy Flex W Bx; Sgl/Multi	$4,271.50	$5,339.37	$293.05–$3,687.90	93% above	20%
Colonoscopy with tissue sample inpatient CPT 45380 HC Fac Colonoscopy W/Biopsy Single/Multiple	$1,083.10	$1,353.87	$243.70–$852.52	—	20%
Colonoscopy with tissue sample inpatient CPT 45380 Colonoscopy Flex W Bx; Sgl/Multi	$4,271.50	$5,339.37	$293.05–$3,687.90	—	20%
Colonoscopy, diagnostic CPT 45378 Colonoscopy Flex ; Dx	$4,206.24	$5,257.80	$282.39	180% above	20%
Colonoscopy, diagnostic CPT 45378 Colonoscopy Flex ; Dx	$4,206.24	$5,257.80	$282.41–$5,257.80	180% above	20%
Colonoscopy, diagnostic inpatient CPT 45378 Colonoscopy Flex ; Dx	$4,206.24	$5,257.80	$282.39	—	20%
Colposcopy with LEEP (loop electrosurgical excision) CPT 57460 HC Fac Colposcopy of the Cervix Including Upper/Adjacent Vagina; With Loop Electrode Biopsy(S) of the Cervix	$899.64	$1,124.55	$234.36	84% below	20%
Colposcopy with LEEP (loop electrosurgical excision) CPT 57460 HC Fac Colposcopy of the Cervix Including Upper/Adjacent Vagina; With Loop Electrode Biopsy(S) of the Cervix	$899.64	$1,124.55	$194.74–$1,124.55	84% below	20%
Colposcopy with LEEP (loop electrosurgical excision) inpatient CPT 57460 HC Fac Colposcopy of the Cervix Including Upper/Adjacent Vagina; With Loop Electrode Biopsy(S) of the Cervix	$899.64	$1,124.55	$234.36	—	20%
Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 Colposcopy Cervix Bx Cervix & Endocrv Curretage	$351.04	$438.80	$78.98–$276.31	28% below	20%
Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 Colposcopy Cervix Bx Cervix & Endocrv Curretage	$351.04	$438.80	$78.98–$438.80	28% below	20%
Colposcopy with cervical biopsy and scraping of the cervical canal inpatient CPT 57454 Colposcopy Cervix Bx Cervix & Endocrv Curretage	$351.04	$438.80	$78.98–$276.31	—	20%
Complex cataract surgery with lens implant CPT 66982 HC Fac Remv Cataract Extracap,Insert Lens,Comp	$2,815.34	$3,519.18	$633.45–$3,519.18	24% below	20%
Complex cataract surgery with lens implant CPT 66982 HC Fac Remv Cataract Extracap,Insert Lens,Comp	$2,815.34	$3,519.18	$633.45–$2,216.01	24% below	20%
Complex cataract surgery with lens implant inpatient CPT 66982 HC Fac Remv Cataract Extracap,Insert Lens,Comp	$2,815.34	$3,519.18	$633.45–$2,216.01	—	20%
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 Cystoscopy	$418.07	$522.59	$117.34	75% below	20%
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 Cystoscopy	$418.07	$522.59	$94.07–$522.59	75% below	20%
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 Cystourethroscopy	$2,495.52	$3,119.40	$561.49–$3,119.40	48% above	20%
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 Cystourethroscopy	$2,495.52	$3,119.40	$561.49–$2,154.57	48% above	20%
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 Flexible Cystoscopy	$2,495.52	$3,119.40	$561.49–$3,119.40	48% above	20%
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 Flexible Cystoscopy	$2,495.52	$3,119.40	$561.49–$2,154.57	48% above	20%
Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 Cystoscopy	$418.07	$522.59	$117.34	—	20%
Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 Flexible Cystoscopy	$2,495.52	$3,119.40	$561.49–$2,154.57	—	20%
Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 Cystourethroscopy	$2,495.52	$3,119.40	$561.49–$2,154.57	—	20%
D&C (dilation and curettage), not related to pregnancy CPT 58120 HC Fac Dilation/Curettage,Diagnostic	$766.75	$958.44	$172.52–$603.52	87% below	20%
D&C (dilation and curettage), not related to pregnancy CPT 58120 HC Fac Dilation/Curettage,Diagnostic	$766.75	$958.44	$172.52–$1,198.00	87% below	20%
D&C (dilation and curettage), not related to pregnancy inpatient CPT 58120 HC Fac Dilation/Curettage,Diagnostic	$766.75	$958.44	$172.52–$603.52	—	20%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 Dest Premalig Les 1st Laser Cryo	$186.98	$233.73	$26.00–$233.73	56% below	20%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 Dest Premalig Les 1st Laser Cryo	$186.98	$233.73	$26.00–$147.18	56% below	20%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 Destruction Premalignant Lesion 1st	$504.00	$630.00	$113.40–$435.14	18% above	20%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 Destruction Premalignant Lesion 1st	$504.00	$630.00	$33.21–$630.00	18% above	20%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 Dest Premalig Les 1st Laser Cryo	$186.98	$233.73	$26.00–$147.18	—	20%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 Destruction Premalignant Lesion 1st	$504.00	$630.00	$113.40–$435.14	—	20%
Earwax removal by irrigation (rinsing), one ear CPT 69209 Rmve Impcted Cerumen Irrig/Lavage	$31.75	$39.69	$7.14–$39.69	77% below	20%
Earwax removal by irrigation (rinsing), one ear CPT 69209 Rmve Impcted Cerumen Irrig/Lavage	$31.75	$39.69	$7.14–$24.99	77% below	20%
Earwax removal by irrigation (rinsing), one ear one side CPT 69209 Remove Impated Ear Wax Unilateral	$348.00	$435.00	$78.30–$578.57	149% above	20%
Earwax removal by irrigation (rinsing), one ear one side CPT 69209 Remove Impated Ear Wax Unilateral	$348.00	$435.00	$78.30–$578.57	149% above	20%
Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 Rmve Impcted Cerumen Irrig/Lavage	$31.75	$39.69	$7.14–$24.99	—	20%
Earwax removal by irrigation (rinsing), one ear inpatient one side CPT 69209 Remove Impated Ear Wax Unilateral	$348.00	$435.00	$78.30–$578.57	—	20%
Earwax removal with instruments, one ear CPT 69210 Removal Impacted Cerumen One or Both Ears	$305.34	$381.68	$68.70–$578.57	128% above	20%
Earwax removal with instruments, one ear CPT 69210 Removal Impacted Cerumen One or Both Ears	$305.34	$381.68	$68.70–$578.57	128% above	20%
Earwax removal with instruments, one ear one side CPT 69210 Removal Impacted Cerumen Requiring Instrumentation, Unilateral	$122.30	$152.88	$27.52–$96.27	9% below	20%
Earwax removal with instruments, one ear one side CPT 69210 Removal Impacted Cerumen Requiring Instrumentation, Unilateral	$122.30	$152.88	$27.52–$152.88	9% below	20%
Earwax removal with instruments, one ear inpatient CPT 69210 Removal Impacted Cerumen One or Both Ears	$305.34	$381.68	$68.70–$578.57	—	20%
Earwax removal with instruments, one ear inpatient one side CPT 69210 Removal Impacted Cerumen Requiring Instrumentation, Unilateral	$122.30	$152.88	$27.52–$96.27	—	20%
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 Endometrial Biopsy	$219.33	$274.16	$49.35–$172.64	45% below	20%
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 Endometrial Biopsy	$219.33	$274.16	$49.35–$274.16	45% below	20%
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 Endometrial Bx W/WO Endocervix Bx W/O Dilat Spx	$408.80	$511.00	$79.79	3% above	20%
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 Endometrial Bx W/WO Endocervix Bx W/O Dilat Spx	$408.80	$511.00	$51.00–$511.00	3% above	20%
Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 Endometrial Biopsy	$219.33	$274.16	$49.35–$172.64	—	20%
Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 Endometrial Bx W/WO Endocervix Bx W/O Dilat Spx	$408.80	$511.00	$79.79	—	20%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 Njx Interlaminar Crv/Thrc W/Imaging	$3,721.54	$4,651.92	$837.35–$3,740.49	55% above	20%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 Njx Interlaminar Crv/Thrc W/Imaging	$3,721.54	$4,651.92	$776.00–$4,651.92	55% above	20%
Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 Njx Interlaminar Crv/Thrc W/Imaging	$3,721.54	$4,651.92	$837.35–$3,740.49	—	20%
Eye injection into the vitreous (intravitreal injection) CPT 67028 HC Fac Inject Intravitreal Pharmcologic	$511.56	$639.45	$115.10–$402.66	at median	20%
Eye injection into the vitreous (intravitreal injection) CPT 67028 HC Fac Inject Intravitreal Pharmcologic	$511.56	$639.45	$115.10–$639.45	at median	20%
Eye injection into the vitreous (intravitreal injection) inpatient CPT 67028 HC Fac Inject Intravitreal Pharmcologic	$511.56	$639.45	$115.10–$402.66	—	20%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 Inj Paravert F Jnt L/S 1 Lev	$2,992.32	$3,740.40	$673.27–$3,740.49	108% above	20%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 Inj Paravert F Jnt L/S 1 Lev	$2,992.32	$3,740.40	$673.27–$3,740.49	108% above	20%
Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 Inj Paravert F Jnt L/S 1 Lev	$2,992.32	$3,740.40	$673.27–$3,740.49	—	20%
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 Sigmoidoscopy Flex; Dx	$3,943.26	$4,929.08	$887.23–$3,404.52	241% above	20%
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 Sigmoidoscopy Flex; Dx	$3,943.26	$4,929.08	$887.23–$4,929.08	241% above	20%
Flexible sigmoidoscopy, diagnostic (lower colon only) inpatient CPT 45330 Sigmoidoscopy Flex; Dx	$3,943.26	$4,929.08	$887.23–$3,404.52	—	20%
Hammertoe correction surgery CPT 28285 Hammertoe OP One Toe	$3,652.00	$4,565.00	$231.50–$4,565.00	16% below	20%
Hammertoe correction surgery CPT 28285 Hammertoe OP One Toe	$3,652.00	$4,565.00	$300.95–$3,153.05	16% below	20%
Hammertoe correction surgery inpatient CPT 28285 Hammertoe OP One Toe	$3,652.00	$4,565.00	$300.95–$3,153.05	—	20%
Hemorrhoid banding (rubber band ligation) CPT 46221 Hemorrhoidectomy Internal Rubber Band Ligations	$448.65	$560.81	$59.80–$560.81	75% below	20%
Hemorrhoid banding (rubber band ligation) CPT 46221 Hemorrhoidectomy Internal Rubber Band Ligations	$448.65	$560.81	$71.97	75% below	20%
Hemorrhoid banding (rubber band ligation) CPT 46221 Ligation of Hemorrhoid(S)	$2,431.10	$3,038.88	$547.00–$2,098.95	36% above	20%
Hemorrhoid banding (rubber band ligation) CPT 46221 Ligation of Hemorrhoid(S)	$2,431.10	$3,038.88	$547.00–$3,038.88	36% above	20%
Hemorrhoid banding (rubber band ligation) inpatient CPT 46221 Hemorrhoidectomy Internal Rubber Band Ligations	$448.65	$560.81	$71.97	—	20%
Hemorrhoid banding (rubber band ligation) inpatient CPT 46221 Ligation of Hemorrhoid(S)	$2,431.10	$3,038.88	$547.00–$2,098.95	—	20%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 Inj Hysterosalpingogram	$258.24	$322.80	$52.00–$322.80	33% below	20%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 Inj Hysterosalpingogram	$258.24	$322.80	$81.35	33% below	20%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 Hysterosonography	$435.12	$543.90	$81.35	14% above	20%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 Inj Hysterosalpingogram	$258.24	$322.80	$81.35	—	20%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 Hysterosonography	$435.12	$543.90	$81.35	—	20%
Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 Hysteroscopy Bx Endom &/Polypc W/WO D&C	$606.22	$757.78	$136.40–$477.17	89% below	20%
Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 Hysteroscopy Bx Endom &/Polypc W/WO D&C	$712.90	$891.13	$136.40–$1,485.00	86% below	20%
Hysteroscopy with uterine lining sampling and/or polyp removal inpatient CPT 58558 Hysteroscopy Bx Endom &/Polypc W/WO D&C	$606.22	$757.78	$136.40–$477.17	—	20%
IUD insertion (the device itself billed separately) CPT 58300 Insertion Intrauterine Device Iud	$209.92	$262.40	$26.99	32% below	20%
IUD insertion (the device itself billed separately) CPT 58300 Insertion Intrauterine Device Iud	$209.92	$262.40	$22.43–$262.40	32% below	20%
IUD insertion (the device itself billed separately) inpatient CPT 58300 Insertion Intrauterine Device Iud	$209.92	$262.40	$26.99	—	20%
Incision and drainage of a simple or single skin abscess CPT 10060 I&D Absc Smpl/Sngl Tech	$167.73	$209.66	$30.55–$132.02	67% below	20%
Incision and drainage of a simple or single skin abscess CPT 10060 I&D Absc Smpl/Sngl Tech	$167.73	$209.66	$30.55–$2,139.62	67% below	20%
Incision and drainage of a simple or single skin abscess CPT 10060 I & D Absc; Smpl or Sg	$814.32	$1,017.90	$183.22–$1,017.90	59% above	20%
Incision and drainage of a simple or single skin abscess CPT 10060 I & D Absc; Smpl or Sg	$814.32	$1,017.90	$183.22–$703.06	59% above	20%
Incision and drainage of a simple or single skin abscess CPT 10060 I+D of Abscess Simple	$814.32	$1,017.90	$183.22–$1,017.90	59% above	20%
Incision and drainage of a simple or single skin abscess CPT 10060 I+D of Abscess Simple	$814.32	$1,017.90	$183.22–$703.06	59% above	20%
Incision and drainage of a simple or single skin abscess CPT 10060 I & D Simple	$814.32	$1,017.90	$183.22–$1,017.90	59% above	20%
Incision and drainage of a simple or single skin abscess CPT 10060 I & D Simple	$814.32	$1,017.90	$183.22–$703.06	59% above	20%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I&D Absc Smpl/Sngl Tech	$167.73	$209.66	$30.55–$132.02	—	20%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I & D Absc; Smpl or Sg	$814.32	$1,017.90	$183.22–$703.06	—	20%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I+D of Abscess Simple	$814.32	$1,017.90	$183.22–$703.06	—	20%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I & D Simple	$814.32	$1,017.90	$183.22–$703.06	—	20%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 Inj Tendon Sheath Ligament	$141.71	$177.14	$31.89–$111.54	75% below	20%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 Inj Tendon Sheath Ligament	$141.71	$177.14	$31.89–$177.14	75% below	20%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 Injection:Tendon Sheath,Ligament Aponeurosis	$1,246.56	$1,558.20	$280.48–$1,076.25	119% above	20%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 Injection:Tendon Sheath,Ligament Aponeurosis	$1,246.56	$1,558.20	$280.48–$1,558.20	119% above	20%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 Inj Sgl Tendon Shth or Ligament	$1,246.56	$1,558.20	$280.48–$1,076.25	119% above	20%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 Inj Sgl Tendon Shth or Ligament	$1,246.56	$1,558.20	$280.48–$1,558.20	119% above	20%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 Inj Tendon Sheath Ligament	$141.71	$177.14	$31.89–$111.54	—	20%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 Injection:Tendon Sheath,Ligament Aponeurosis	$1,246.56	$1,558.20	$280.48–$1,076.25	—	20%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 Inj Sgl Tendon Shth or Ligament	$1,246.56	$1,558.20	$280.48–$1,076.25	—	20%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Aspir/Inj Major Joint Bursa	$188.75	$235.94	$30.55–$148.57	60% below	20%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Aspir/Inj Major Joint Bursa	$188.75	$235.94	$30.55–$235.94	60% below	20%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Bursa Injection; Major Area	$1,306.20	$1,632.75	$293.90–$1,127.74	179% above	20%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Arthrocintesis Aspiration &/or Inj Maj Joint or Bursa	$1,306.20	$1,632.75	$293.90–$1,632.75	179% above	20%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Arthrocintesis Aspiration &/or Inj Maj Joint or Bursa	$1,306.20	$1,632.75	$293.90–$1,127.74	179% above	20%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Arthrocentesis Aspiration and/or Inj; Major Joint	$1,306.20	$1,632.75	$293.90–$1,127.74	179% above	20%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Arthrocentesis Aspiration and/or Inj; Major Joint	$1,306.20	$1,632.75	$293.90–$1,632.75	179% above	20%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Bursa Injection; Major Area	$1,306.20	$1,632.75	$293.90–$1,632.75	179% above	20%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 Aspir/Inj Major Joint Bursa	$188.75	$235.94	$30.55–$148.57	—	20%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 Arthrocintesis Aspiration &/or Inj Maj Joint or Bursa	$1,306.20	$1,632.75	$293.90–$1,127.74	—	20%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 Bursa Injection; Major Area	$1,306.20	$1,632.75	$293.90–$1,127.74	—	20%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 Arthrocentesis Aspiration and/or Inj; Major Joint	$1,306.20	$1,632.75	$293.90–$1,127.74	—	20%
Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 Insert Drug Implant Device	$273.42	$341.78	$61.52–$215.22	7% above	20%
Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 Insert Drug Implant Device	$273.42	$341.78	$61.52–$341.78	7% above	20%
Insertion of a drug-delivery implant, such as the arm birth control implant inpatient CPT 11981 Insert Drug Implant Device	$273.42	$341.78	$61.52–$215.22	—	20%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Aspir/Inj Interm Joint Bursa	$158.18	$197.72	$27.95–$124.50	55% below	20%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Aspir/Inj Interm Joint Bursa	$158.18	$197.72	$27.95–$197.72	55% below	20%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Inject Intermediate Joint	$1,058.02	$1,322.53	$238.06–$913.47	199% above	20%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Drain/Inj Inter Joint/Bursa/W/O US	$1,058.02	$1,322.53	$238.06–$1,322.53	199% above	20%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Drain/Inj Inter Joint/Bursa/W/O US	$1,058.02	$1,322.53	$238.06–$913.47	199% above	20%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Inject Intermediate Joint	$1,058.02	$1,322.53	$238.06–$1,322.53	199% above	20%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 Aspir/Inj Interm Joint Bursa	$158.18	$197.72	$27.95–$124.50	—	20%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 Inject Intermediate Joint	$1,058.02	$1,322.53	$238.06–$913.47	—	20%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 Drain/Inj Inter Joint/Bursa/W/O US	$1,058.02	$1,322.53	$238.06–$913.47	—	20%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 Aspir/Inj Small Joint Bursa	$138.77	$173.46	$23.40–$173.46	66% below	20%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 Aspir/Inj Small Joint Bursa	$138.77	$173.46	$28.16	66% below	20%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 Arthrocentesis Aspiration Inject, Small Joint	$1,031.90	$1,289.87	$232.18–$890.91	151% above	20%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 Drain/Inject Sm Jnt/Bursa	$1,031.90	$1,289.87	$232.18–$890.91	151% above	20%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 Drain/Inject Sm Jnt/Bursa	$1,031.90	$1,289.87	$232.18–$1,289.87	151% above	20%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 Arthrocentesis Aspiration Inject, Small Joint	$1,031.90	$1,289.87	$232.18–$1,289.87	151% above	20%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 Aspir/Inj Small Joint Bursa	$138.77	$173.46	$28.16	—	20%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 Drain/Inject Sm Jnt/Bursa	$1,031.90	$1,289.87	$232.18–$890.91	—	20%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 Arthrocentesis Aspiration Inject, Small Joint	$1,031.90	$1,289.87	$232.18–$890.91	—	20%
Laser treatment of clouding after cataract surgery (YAG) CPT 66821 HC Fac Discission,2nd Cataract,Laser	$404.07	$505.09	$338.73	56% below	20%
Laser treatment of clouding after cataract surgery (YAG) CPT 66821 HC Fac Discission,2nd Cataract,Laser	$644.86	$806.07	$90.92–$1,198.00	30% below	20%
Laser treatment of clouding after cataract surgery (YAG) inpatient CPT 66821 HC Fac Discission,2nd Cataract,Laser	$404.07	$505.09	$338.73	—	20%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 Rep Inter <2.5cm Scalp Trunk Extrem	$412.78	$515.97	$31.85–$515.97	30% below	20%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 Rep Inter <2.5cm Scalp Trunk Extrem	$412.78	$515.97	$38.33	30% below	20%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 Repair-Intermediate Scalp,Trunk,Extremites 2.5cm or Less	$1,501.26	$1,876.57	$337.78–$1,876.57	156% above	20%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 Repair-Intermediate Scalp,Trunk,Extremites 2.5cm or Less	$1,501.26	$1,876.57	$337.78–$1,296.15	156% above	20%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 Rep Inter <2.5cm Scalp Trunk Extrem	$412.78	$515.97	$38.33	—	20%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 Repair-Intermediate Scalp,Trunk,Extremites 2.5cm or Less	$1,501.26	$1,876.57	$337.78–$1,296.15	—	20%
Lower-back epidural injection, with imaging guidance CPT 62323 Njx Interlaminar Lmbr/Sac W/Imaging	$3,721.54	$4,651.92	$837.35–$3,740.49	78% above	20%
Lower-back epidural injection, with imaging guidance CPT 62323 Njx Interlaminar Lmbr/Sac W/Imaging	$3,721.54	$4,651.92	$776.00–$4,651.92	78% above	20%
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 Njx Interlaminar Lmbr/Sac W/Imaging	$3,721.54	$4,651.92	$837.35–$3,740.49	—	20%
Lower-back epidural injection, without imaging guidance CPT 62322 Njx Interlaminar Lmbr/Sac (727)	$2,605.07	$3,256.34	$586.14–$2,249.15	36% above	20%
Lower-back epidural injection, without imaging guidance CPT 62322 Njx Interlaminar Lmbr/Sac (727)	$2,605.07	$3,256.34	$586.14–$3,256.34	36% above	20%
Lower-back epidural injection, without imaging guidance CPT 62322 Njx Interlaminar Lmbr/Sac	$2,605.07	$3,256.34	$586.14–$2,249.15	36% above	20%
Lower-back epidural injection, without imaging guidance CPT 62322 Njx Interlaminar Lmbr/Sac	$2,605.07	$3,256.34	$586.14–$3,256.34	36% above	20%
Lower-back epidural injection, without imaging guidance inpatient CPT 62322 Njx Interlaminar Lmbr/Sac (727)	$2,605.07	$3,256.34	$586.14–$2,249.15	—	20%
Lower-back epidural injection, without imaging guidance inpatient CPT 62322 Njx Interlaminar Lmbr/Sac	$2,605.07	$3,256.34	$586.14–$2,249.15	—	20%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 Inject Transforaminal Epidural Lumbar	$3,504.98	$4,381.22	$776.00–$4,381.22	83% above	20%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 Inj Foramen Epidural L/S	$3,504.98	$4,381.22	$776.00–$4,381.22	83% above	20%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 Inject Transforaminal Epidural Lumbar	$3,504.98	$4,381.22	$788.62–$3,740.49	83% above	20%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 Inj Foramen Epidural L/S	$3,504.98	$4,381.22	$788.62–$3,740.49	83% above	20%
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 Inject Transforaminal Epidural Lumbar	$3,504.98	$4,381.22	$788.62–$3,740.49	—	20%
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 Inj Foramen Epidural L/S	$3,504.98	$4,381.22	$788.62–$3,740.49	—	20%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 Exc Ben Les <.5cm Trunk Arm Legs	$219.91	$274.89	$48.75–$274.89	84% below	20%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 Exc Ben Les <.5cm Trunk Arm Legs	$219.91	$274.89	$48.75–$173.10	84% below	20%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 Exc Tr Ext B9 and Margins 0.5 Cm or Less	$1,571.60	$1,964.50	$353.61–$1,356.88	18% above	20%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 Exc Tr Ext B9 and Margins 0.5 Cm or Less	$1,571.60	$1,964.50	$353.61–$1,964.50	18% above	20%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 Exc Ben Les <.5cm Trunk Arm Legs	$219.91	$274.89	$48.75–$173.10	—	20%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 Exc Tr Ext B9 and Margins 0.5 Cm or Less	$1,571.60	$1,964.50	$353.61–$1,356.88	—	20%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 Exc Ben Les <.5cm Face Ears Eyelids	$253.43	$316.79	$57.02–$316.79	86% below	20%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 Exc Ben Les <.5cm Face Ears Eyelids	$253.43	$316.79	$57.02–$199.48	86% below	20%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 Exc Ben Les <.5cm Face Ears Eyelids	$253.43	$316.79	$57.02–$199.48	—	20%
Nail removal (partial or complete), one nail CPT 11730 Avulsion First Nail Plate	$144.48	$180.60	$32.51–$113.72	69% below	20%
Nail removal (partial or complete), one nail CPT 11730 Avul Nail Plate Simp Sngle	$341.40	$426.75	$76.82–$578.57	28% below	20%
Nail removal (partial or complete), one nail CPT 11730 Avulsion of Nail Plate (Part, or Compl, Simple, Single)	$341.40	$426.75	$76.82–$294.76	28% below	20%
Nail removal (partial or complete), one nail CPT 11730 Avulsion of Nail Plate (Part, or Compl, Simple, Single)	$341.40	$426.75	$76.82–$426.75	28% below	20%
Nail removal (partial or complete), one nail CPT 11730 Avul Nail Plate Simp Sngle	$341.40	$426.75	$76.82–$578.57	28% below	20%
Nail removal (partial or complete), one nail CPT 11730 Avulsion Nail Plate Partial/Complete Simple 1	$412.60	$515.75	$92.84–$356.23	12% below	20%
Nail removal (partial or complete), one nail CPT 11730 Avulsion Nail Plate Partial/Complete Simple 1	$412.60	$515.75	$92.84–$515.75	12% below	20%
Nail removal (partial or complete), one nail inpatient CPT 11730 Avulsion First Nail Plate	$144.48	$180.60	$32.51–$113.72	—	20%
Nail removal (partial or complete), one nail inpatient CPT 11730 Avul Nail Plate Simp Sngle	$341.40	$426.75	$76.82–$578.57	—	20%
Nail removal (partial or complete), one nail inpatient CPT 11730 Avulsion of Nail Plate (Part, or Compl, Simple, Single)	$341.40	$426.75	$76.82–$294.76	—	20%
Nail removal (partial or complete), one nail inpatient CPT 11730 Avulsion Nail Plate Partial/Complete Simple 1	$412.60	$515.75	$92.84–$356.23	—	20%
Occipital nerve block (injection for headaches) CPT 64405 Injection Anesthetic Agent Greater Occipital Nrv	$245.78	$307.23	$54.76	56% below	20%
Occipital nerve block (injection for headaches) CPT 64405 Injection Anesthetic Agent Greater Occipital Nrv	$245.78	$307.23	$45.88–$3,740.49	56% below	20%
Occipital nerve block (injection for headaches) CPT 64405 Inj Anesth; Greater Occipital Nerve	$1,017.36	$1,271.70	$228.91–$3,740.49	80% above	20%
Occipital nerve block (injection for headaches) CPT 64405 Greater Occipital Nerve Block	$1,017.36	$1,271.70	$228.91–$3,740.49	80% above	20%
Occipital nerve block (injection for headaches) CPT 64405 Inj Anesth; Greater Occipital Nerve	$1,017.36	$1,271.70	$228.91–$3,740.49	80% above	20%
Occipital nerve block (injection for headaches) CPT 64405 Greater Occipital Nerve Block	$1,017.36	$1,271.70	$228.91–$3,740.49	80% above	20%
Occipital nerve block (injection for headaches) inpatient CPT 64405 Injection Anesthetic Agent Greater Occipital Nrv	$245.78	$307.23	$54.76	—	20%
Occipital nerve block (injection for headaches) inpatient CPT 64405 Greater Occipital Nerve Block	$1,017.36	$1,271.70	$228.91–$3,740.49	—	20%
Occipital nerve block (injection for headaches) inpatient CPT 64405 Inj Anesth; Greater Occipital Nerve	$1,017.36	$1,271.70	$228.91–$3,740.49	—	20%
Paracentesis with imaging guidance CPT 49083 Abd Paracentesis W/Imaging	$2,169.04	$2,711.30	$140.03–$2,711.30	29% above	20%
Paracentesis with imaging guidance CPT 49083 Abd Paracentesis W/Imaging	$2,169.04	$2,711.30	$488.03–$1,872.69	29% above	20%
Paracentesis with imaging guidance inpatient CPT 49083 Abd Paracentesis W/Imaging	$2,169.04	$2,711.30	$488.03–$1,872.69	—	20%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 Exc Nail Part/Compl Perm	$351.04	$438.80	$78.98–$438.80	58% below	20%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 Exc Nail Part/Compl Perm	$351.04	$438.80	$78.98–$303.08	58% below	20%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 Excision Nail & Nail Matix for Permanent Removal	$2,343.36	$2,929.20	$527.26–$2,023.20	181% above	20%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 Excision Nail & Nail Matix for Permanent Removal	$2,343.36	$2,929.20	$527.26–$2,929.20	181% above	20%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 Exc Nail and Matrix	$2,858.90	$3,573.62	$643.25–$2,468.30	243% above	20%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 Exc Nail and Matrix	$2,858.90	$3,573.62	$643.25–$3,573.62	243% above	20%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 Exc Nail Part/Compl Perm	$351.04	$438.80	$78.98–$303.08	—	20%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 Excision Nail & Nail Matix for Permanent Removal	$2,343.36	$2,929.20	$527.26–$2,023.20	—	20%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 Exc Nail and Matrix	$2,858.90	$3,573.62	$643.25–$2,468.30	—	20%
Prostate biopsy CPT 55700 Prostate Needle Biopsy Any Approach	$377.50	$471.87	$84.94–$1,198.00	90% below	20%
Prostate biopsy CPT 55700 Needle Biopsy, Prostrate,Sngle/Multiple	$4,575.20	$5,719.00	$1,029.42–$5,719.00	19% above	20%
Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 Destroy Lumb/Sac Facet Jnt	$3,909.74	$4,887.18	$776.00–$4,887.18	31% above	20%
Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 Destroy Lumb/Sac Facet Jnt	$3,909.74	$4,887.18	$879.69–$3,740.49	31% above	20%
Radiofrequency ablation of facet joint nerves, lower back, one level inpatient CPT 64635 Destroy Lumb/Sac Facet Jnt	$3,909.74	$4,887.18	$879.69–$3,740.49	—	20%
Removal of a foreign object under the skin, simple CPT 10120 Removal of F/B Simple Tc	$204.62	$255.78	$39.65–$255.78	62% below	20%
Removal of a foreign object under the skin, simple CPT 10120 Removal of F/B Simple Tc	$204.62	$255.78	$39.65–$161.06	62% below	20%
Removal of a foreign object under the skin, simple CPT 10120 Incision and Removal Foreign Body Subq Tiss Simple	$1,031.89	$1,289.86	$47.72	90% above	20%
Removal of a foreign object under the skin, simple CPT 10120 Incision and Removal Foreign Body Subq Tiss Simple	$1,031.89	$1,289.86	$232.17–$1,289.86	90% above	20%
Removal of a foreign object under the skin, simple CPT 10120 Incision & Removal of FB-Simple	$1,031.89	$1,289.86	$232.17–$890.91	90% above	20%
Removal of a foreign object under the skin, simple CPT 10120 Incision & Removal of FB-Simple	$1,031.89	$1,289.86	$232.17–$1,289.86	90% above	20%
Removal of a foreign object under the skin, simple inpatient CPT 10120 Removal of F/B Simple Tc	$204.62	$255.78	$39.65–$161.06	—	20%
Removal of a foreign object under the skin, simple inpatient CPT 10120 Incision and Removal Foreign Body Subq Tiss Simple	$1,031.89	$1,289.86	$47.72	—	20%
Removal of a foreign object under the skin, simple inpatient CPT 10120 Incision & Removal of FB-Simple	$1,031.89	$1,289.86	$232.17–$890.91	—	20%
Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 Scrn Colonoscopy Pt Not Hi Risk	$4,206.24	$5,257.80	$728.00–$5,257.80	176% above	20%
Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 Scrn Colonoscopy Pt Not Hi Risk	$4,206.24	$5,257.80	$728.00–$3,631.56	176% above	20%
Screening colonoscopy for a person at average risk (Medicare code) inpatient HCPCS G0121 Scrn Colonoscopy Pt Not Hi Risk	$4,206.24	$5,257.80	$728.00–$3,631.56	—	20%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 Scrn Colonoscopy on Hi Risk Pt	$4,206.24	$5,257.80	$728.00–$5,257.80	145% above	20%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 Scrn Colonoscopy on Hi Risk Pt	$4,206.24	$5,257.80	$728.00–$3,631.56	145% above	20%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) inpatient HCPCS G0105 Scrn Colonoscopy on Hi Risk Pt	$4,206.24	$5,257.80	$728.00–$3,631.56	—	20%
Short arm cast (elbow to hand) CPT 29075 Application Forearm Cast	$155.82	$194.78	$35.06–$122.65	63% below	20%
Short arm cast (elbow to hand) CPT 29075 Application Forearm Cast	$155.82	$194.78	$35.06–$194.78	63% below	20%
Short arm cast (elbow to hand) CPT 29075 Ot Appl Cast; Elbow to Finger	$886.00	$1,107.50	$59.15–$774.25	113% above	20%
Short arm cast (elbow to hand) CPT 29075 Ot Appl Cast; Elbow to Finger	$886.00	$1,107.50	$59.15–$1,107.50	113% above	20%
Short arm cast (elbow to hand) inpatient CPT 29075 Application Forearm Cast	$155.82	$194.78	$35.06–$122.65	—	20%
Short arm cast (elbow to hand) inpatient CPT 29075 Ot Appl Cast; Elbow to Finger	$886.00	$1,107.50	$59.15–$774.25	—	20%
Short arm splint (forearm and hand) CPT 29125 Appl Shrt Arm Splnt Static	$148.18	$185.22	$33.34–$185.22	53% below	20%
Short arm splint (forearm and hand) CPT 29125 Appl Shrt Arm Splnt Static	$148.18	$185.22	$40.68	53% below	20%
Short arm splint (forearm and hand) CPT 29125 Ot Appl Short Arm Splint Static	$212.40	$265.50	$26.00–$265.50	33% below	20%
Short arm splint (forearm and hand) CPT 29125 Ot Appl Short Arm Splint Static	$212.40	$265.50	$40.68	33% below	20%
Short arm splint (forearm and hand) CPT 29125 Applic Short Arm Splint	$243.20	$304.00	$40.68	23% below	20%
Short arm splint (forearm and hand) CPT 29125 Applic Short Arm Splint	$243.20	$304.00	$26.00–$578.57	23% below	20%
Short arm splint (forearm and hand) inpatient CPT 29125 Appl Shrt Arm Splnt Static	$148.18	$185.22	$40.68	—	20%
Short arm splint (forearm and hand) inpatient CPT 29125 Ot Appl Short Arm Splint Static	$212.40	$265.50	$40.68	—	20%
Short arm splint (forearm and hand) inpatient CPT 29125 Applic Short Arm Splint	$243.20	$304.00	$40.68	—	20%
Short leg cast (below the knee) CPT 29405 Application Short Leg Cast Below Knee-Toe	$294.59	$368.24	$65.65–$231.88	43% below	20%
Short leg cast (below the knee) CPT 29405 Application Short Leg Cast Below Knee-Toe	$294.59	$368.24	$65.65–$368.24	43% below	20%
Short leg cast (below the knee) CPT 29405 Apply Sh Leg Cast	$580.40	$725.50	$65.65–$578.57	11% above	20%
Short leg cast (below the knee) CPT 29405 Apply Sh Leg Cast	$580.40	$725.50	$50.50–$725.50	11% above	20%
Short leg cast (below the knee) inpatient CPT 29405 Application Short Leg Cast Below Knee-Toe	$294.59	$368.24	$65.65–$231.88	—	20%
Short leg cast (below the knee) inpatient CPT 29405 Apply Sh Leg Cast	$580.40	$725.50	$65.65–$578.57	—	20%
Short leg splint (calf to foot) CPT 29515 Appl Lower Leg Splint	$152.30	$190.37	$34.27–$119.87	67% below	20%
Short leg splint (calf to foot) CPT 29515 Appl Lower Leg Splint	$152.30	$190.37	$34.27–$190.37	67% below	20%
Short leg splint (calf to foot) CPT 29515 Application Short Leg Splint	$797.40	$996.75	$54.76–$996.75	73% above	20%
Short leg splint (calf to foot) CPT 29515 Application Short Leg Splint	$797.40	$996.75	$54.76	73% above	20%
Short leg splint (calf to foot) inpatient CPT 29515 Appl Lower Leg Splint	$152.30	$190.37	$34.27–$119.87	—	20%
Short leg splint (calf to foot) inpatient CPT 29515 Application Short Leg Splint	$797.40	$996.75	$54.76	—	20%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 Simple Rep <2.5cm Scalp Neck	$276.36	$345.45	$38.33	46% below	20%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 Simple Rep <2.5cm Scalp Neck	$276.36	$345.45	$31.85–$345.45	46% below	20%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 Repair Simple Scalp,Trunk 2.5cm or Less	$820.80	$1,026.00	$184.68–$708.66	60% above	20%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 Repair Simple Scalp,Trunk 2.5cm or Less	$820.80	$1,026.00	$184.68–$1,026.00	60% above	20%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 Simple Repair Scalp/Neck/Ax/Genit/Trunk 2.5cm/<	$820.80	$1,026.00	$184.68–$708.66	60% above	20%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 Simple Repair Scalp/Neck/Ax/Genit/Trunk 2.5cm/<	$820.80	$1,026.00	$184.68–$1,026.00	60% above	20%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 Simple Rep <2.5cm Scalp Neck	$276.36	$345.45	$38.33	—	20%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 Simple Repair Scalp/Neck/Ax/Genit/Trunk 2.5cm/<	$820.80	$1,026.00	$184.68–$708.66	—	20%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 Repair Simple Scalp,Trunk 2.5cm or Less	$820.80	$1,026.00	$184.68–$708.66	—	20%
Skin biopsy, punch, one lesion CPT 11104 Punch Biopsy of Skin; Single Lesion	$261.66	$327.08	$52.56–$327.08	60% below	20%
Skin biopsy, punch, one lesion CPT 11104 Punch Biopsy of Skin; Single Lesion	$261.66	$327.08	$63.25	60% below	20%
Skin biopsy, punch, one lesion CPT 11104 Punch Bx Skin Single Lesion	$831.63	$1,039.54	$52.56–$718.01	26% above	20%
Skin biopsy, punch, one lesion CPT 11104 Punch Bx Skin Single Lesion	$831.63	$1,039.54	$52.56–$1,039.54	26% above	20%
Skin biopsy, punch, one lesion inpatient CPT 11104 Punch Biopsy of Skin; Single Lesion	$261.66	$327.08	$63.25	—	20%
Skin biopsy, punch, one lesion inpatient CPT 11104 Punch Bx Skin Single Lesion	$831.63	$1,039.54	$52.56–$718.01	—	20%
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 HC Fac Exc Skin Malig <0.5 Cm Trunk,Arm,Leg	$282.24	$352.80	$125.16	73% below	20%
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 HC Fac Exc Skin Malig <0.5 Cm Trunk,Arm,Leg	$282.24	$352.80	$63.50–$352.80	73% below	20%
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11600 HC Fac Exc Skin Malig <0.5 Cm Trunk,Arm,Leg	$282.24	$352.80	$125.16	—	20%
Skin tag removal, up to 15 tags CPT 11200 Exc Mult Skin Tags 1-15	$126.62	$158.27	$28.49–$158.27	79% below	20%
Skin tag removal, up to 15 tags CPT 11200 Exc Mult Skin Tags 1-15	$126.62	$158.27	$28.49–$99.66	79% below	20%
Skin tag removal, up to 15 tags CPT 11200 Rem Skin Tag Any Area Up to Including 15 Lesions	$528.80	$661.00	$40.30–$578.57	12% below	20%
Skin tag removal, up to 15 tags CPT 11200 Rem Skin Tag Any Area Up to Including 15 Lesions	$528.80	$661.00	$40.30–$661.00	12% below	20%
Skin tag removal, up to 15 tags inpatient CPT 11200 Exc Mult Skin Tags 1-15	$126.62	$158.27	$28.49–$99.66	—	20%
Skin tag removal, up to 15 tags inpatient CPT 11200 Rem Skin Tag Any Area Up to Including 15 Lesions	$528.80	$661.00	$40.30–$578.57	—	20%
Spinal tap (lumbar puncture), diagnostic CPT 62270 HC Fac Spinal Puncture,Lumbar,Diagnostic	$334.58	$418.22	$54.60–$263.35	73% below	20%
Spinal tap (lumbar puncture), diagnostic CPT 62270 HC Fac Spinal Puncture,Lumbar,Diagnostic	$334.58	$418.22	$54.60–$1,198.00	73% below	20%
Spinal tap (lumbar puncture), diagnostic CPT 62270 Spinal Puncture L-Spine	$2,744.61	$3,430.76	$617.54–$2,369.63	125% above	20%
Spinal tap (lumbar puncture), diagnostic CPT 62270 Spinal Puncture L-Spine	$2,744.61	$3,430.76	$617.54–$3,430.76	125% above	20%
Spinal tap (lumbar puncture), diagnostic CPT 62270 Lumbar Spinal Puncture	$2,744.61	$3,430.76	$578.57–$3,430.76	125% above	20%
Spinal tap (lumbar puncture), diagnostic CPT 62270 Lumbar Spinal Puncture	$2,744.61	$3,430.76	$578.57–$2,369.63	125% above	20%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 HC Fac Spinal Puncture,Lumbar,Diagnostic	$334.58	$418.22	$54.60–$263.35	—	20%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 Lumbar Spinal Puncture	$2,744.61	$3,430.76	$578.57–$2,369.63	—	20%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 Spinal Puncture L-Spine	$2,744.61	$3,430.76	$617.54–$2,369.63	—	20%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 Simple Rep 2.6-7.5cm Scalp Neck	$298.70	$373.38	$46.15–$373.38	43% below	20%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 Simple Rep 2.6-7.5cm Scalp Neck	$298.70	$373.38	$46.15–$235.12	43% below	20%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 Repair Simple Scalp, Trunk 2.6cm to 7.5cm	$1,083.46	$1,354.32	$243.78–$935.43	105% above	20%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 Repair Simple Scalp,Trunk 2.6cm to 7.5cm	$1,083.46	$1,354.32	$243.78–$1,354.32	105% above	20%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 Repair Simple Scalp,Trunk 2.6cm to 7.5cm	$1,083.46	$1,354.32	$243.78–$935.43	105% above	20%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 Repair Simple Scalp, Trunk 2.6cm to 7.5cm	$1,083.46	$1,354.32	$243.78–$1,354.32	105% above	20%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 Simple Rep 2.6-7.5cm Scalp Neck	$298.70	$373.38	$46.15–$235.12	—	20%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 Repair Simple Scalp, Trunk 2.6cm to 7.5cm	$1,083.46	$1,354.32	$243.78–$935.43	—	20%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 Repair Simple Scalp,Trunk 2.6cm to 7.5cm	$1,083.46	$1,354.32	$243.78–$935.43	—	20%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 Simple Rep <2.5cm Face Ear Eyelid	$289.30	$361.62	$40.95–$361.62	43% below	20%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 Simple Rep <2.5cm Face Ear Eyelid	$289.30	$361.62	$40.95–$227.71	43% below	20%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 Simple Repair-Facial Lips 2.5cm or Less	$1,080.24	$1,350.30	$243.05–$1,350.30	112% above	20%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 Simple Repair-Facial Lips 2.5cm or Less	$1,080.24	$1,350.30	$49.28	112% above	20%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 Simple Rep <2.5cm Face Ear Eyelid	$289.30	$361.62	$40.95–$227.71	—	20%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 Simple Repair-Facial Lips 2.5cm or Less	$1,080.24	$1,350.30	$49.28	—	20%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 Tangential Biopsy of Skin; Single Lesion	$208.15	$260.19	$41.90–$260.19	63% below	20%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 Tangential Biopsy of Skin; Single Lesion	$208.15	$260.19	$41.90–$163.84	63% below	20%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 Tangntl Bx Skin Single Les	$673.62	$842.03	$43.59–$581.59	19% above	20%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 Tangntl Bx Skin Single Les	$673.62	$842.03	$43.59–$842.03	19% above	20%
Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 Tangential Biopsy of Skin; Single Lesion	$208.15	$260.19	$41.90–$163.84	—	20%
Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 Tangntl Bx Skin Single Les	$673.62	$842.03	$43.59–$581.59	—	20%
Thoracentesis with imaging guidance CPT 32555 HC Fac Thoracentesis Needle/Cath Pleura W/Imaging	$340.46	$425.57	$76.60–$267.98	77% below	20%
Thoracentesis with imaging guidance CPT 32555 HC Fac Thoracentesis Needle/Cath Pleura W/Imaging	$380.76	$475.95	$76.60–$425.57	74% below	20%
Thoracentesis with imaging guidance CPT 32555 Thoracentesis,Needle or Catheter; W/Imaging	$2,174.36	$2,717.95	$489.23–$1,877.29	47% above	20%
Thoracentesis with imaging guidance CPT 32555 Aspirate Pleura W/Imaging	$2,174.36	$2,717.95	$489.23–$1,877.29	47% above	20%
Thoracentesis with imaging guidance CPT 32555 Aspirate Pleura W/Imaging	$2,174.36	$2,717.95	$489.23–$2,717.95	47% above	20%
Thoracentesis with imaging guidance CPT 32555 Thoracentesis,Needle or Catheter; W/Imaging	$2,174.36	$2,717.95	$489.23–$2,717.95	47% above	20%
Thoracentesis with imaging guidance inpatient CPT 32555 HC Fac Thoracentesis Needle/Cath Pleura W/Imaging	$340.46	$425.57	$76.60–$267.98	—	20%
Thoracentesis with imaging guidance inpatient CPT 32555 Aspirate Pleura W/Imaging	$2,174.36	$2,717.95	$489.23–$1,877.29	—	20%
Thoracentesis with imaging guidance inpatient CPT 32555 Thoracentesis,Needle or Catheter; W/Imaging	$2,174.36	$2,717.95	$489.23–$1,877.29	—	20%
Trigger point injections, 1 or 2 muscles CPT 20552 Trigger Point 1-2 Muscles	$145.82	$182.28	$32.81–$182.28	73% below	20%
Trigger point injections, 1 or 2 muscles CPT 20552 Trigger Point 1-2 Muscles	$145.82	$182.28	$32.81–$114.78	73% below	20%
Trigger point injections, 1 or 2 muscles CPT 20552 Inj Trigger Point 1/2 Muscl	$929.18	$1,161.47	$209.06–$1,161.47	72% above	20%
Trigger point injections, 1 or 2 muscles CPT 20552 Trigger Points, One or Two Muscules	$929.18	$1,161.47	$209.06–$1,161.47	72% above	20%
Trigger point injections, 1 or 2 muscles CPT 20552 Inj Trigger Point 1/2 Muscl	$929.18	$1,161.47	$209.06–$802.23	72% above	20%
Trigger point injections, 1 or 2 muscles CPT 20552 Trigger Points, One or Two Muscules	$929.18	$1,161.47	$209.06–$802.23	72% above	20%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 Trigger Point 1-2 Muscles	$145.82	$182.28	$32.81–$114.78	—	20%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 Trigger Points, One or Two Muscules	$929.18	$1,161.47	$209.06–$802.23	—	20%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 Inj Trigger Point 1/2 Muscl	$929.18	$1,161.47	$209.06–$802.23	—	20%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 Bx Breast 1st Lesion US Imag	$4,651.20	$5,814.00	$1,046.52–$5,814.00	30% above	20%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 Bx Breast 1st Lesion US Imag	$4,651.20	$5,814.00	$1,046.52–$4,015.73	30% above	20%
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 Bx Breast 1st Lesion US Imag	$4,651.20	$5,814.00	$1,046.52–$4,015.73	—	20%
Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 Ugi Balloon Dil Esoph - < 30 Mm Dia	$6,620.55	$8,275.69	$728.00–$8,275.69	94% above	20%
Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 Ugi Balloon Dil Esoph - < 30 Mm Dia	$6,620.55	$8,275.69	$728.00–$5,716.02	94% above	20%
Upper endoscopy (EGD) with balloon widening of the esophagus inpatient CPT 43249 Ugi Balloon Dil Esoph - < 30 Mm Dia	$6,620.55	$8,275.69	$728.00–$5,716.02	—	20%
Upper endoscopy (EGD) with biopsy CPT 43239 Egd Biopsy Single/Multiple	$4,969.12	$6,211.40	$491.70–$6,211.40	129% above	20%
Upper endoscopy (EGD) with biopsy CPT 43239 Egd Biopsy Single/Multiple	$4,969.12	$6,211.40	$578.57–$4,290.21	129% above	20%
Upper endoscopy (EGD) with biopsy CPT 43239 Ugi W Bx. Sgl/Multiple	$4,969.12	$6,211.40	$491.70–$6,211.40	129% above	20%
Upper endoscopy (EGD) with biopsy CPT 43239 Ugi W Bx. Sgl/Multiple	$4,969.12	$6,211.40	$728.00–$4,290.21	129% above	20%
Upper endoscopy (EGD) with biopsy inpatient CPT 43239 Egd Biopsy Single/Multiple	$4,969.12	$6,211.40	$578.57–$4,290.21	—	20%
Upper endoscopy (EGD) with biopsy inpatient CPT 43239 Ugi W Bx. Sgl/Multiple	$4,969.12	$6,211.40	$728.00–$4,290.21	—	20%
Upper endoscopy (EGD) with injection into the lining CPT 43236 Uppr GI Scope W/Submuc Inj	$4,534.40	$5,668.00	$728.00–$3,962.50	74% above	20%
Upper endoscopy (EGD) with injection into the lining CPT 43236 Uppr GI Scope W/Submuc Inj	$4,534.40	$5,668.00	$728.00–$5,668.00	74% above	20%
Upper endoscopy (EGD) with injection into the lining inpatient CPT 43236 Uppr GI Scope W/Submuc Inj	$4,534.40	$5,668.00	$728.00–$3,962.50	—	20%
Upper endoscopy (EGD) with polyp removal by snare CPT 43251 Ugi With Rem T/P/Les by Snare	$6,968.83	$8,711.04	$728.00–$6,016.72	120% above	20%
Upper endoscopy (EGD) with polyp removal by snare CPT 43251 Ugi With Rem T/P/Les by Snare	$6,968.83	$8,711.04	$728.00–$8,711.04	120% above	20%
Upper endoscopy (EGD) with polyp removal by snare inpatient CPT 43251 Ugi With Rem T/P/Les by Snare	$6,968.83	$8,711.04	$728.00–$6,016.72	—	20%
Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 Ugi W Guide Wire and Dilation	$4,605.60	$5,757.00	$728.00–$5,757.00	86% above	20%
Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 Ugi W Guide Wire and Dilation	$4,605.60	$5,757.00	$728.00–$3,976.36	86% above	20%
Upper endoscopy (EGD) with widening of the esophagus over a guide wire inpatient CPT 43248 Ugi W Guide Wire and Dilation	$4,605.60	$5,757.00	$728.00–$3,976.36	—	20%
Upper endoscopy (EGD), diagnostic CPT 43235 Egd Diagnostic Brush Wash	$3,758.80	$4,698.50	$578.57–$4,698.50	98% above	20%
Upper endoscopy (EGD), diagnostic CPT 43235 Egd Diagnostic Brush Wash	$3,758.80	$4,698.50	$578.57–$3,245.25	98% above	20%
Upper endoscopy (EGD), diagnostic CPT 43235 Upper GI Diagnostic	$4,875.94	$6,094.92	$728.00–$6,094.92	157% above	20%
Upper endoscopy (EGD), diagnostic CPT 43235 Upper GI Diagnostic	$4,875.94	$6,094.92	$728.00–$4,209.76	157% above	20%
Upper endoscopy (EGD), diagnostic inpatient CPT 43235 Egd Diagnostic Brush Wash	$3,758.80	$4,698.50	$578.57–$3,245.25	—	20%
Upper endoscopy (EGD), diagnostic inpatient CPT 43235 Upper GI Diagnostic	$4,875.94	$6,094.92	$728.00–$4,209.76	—	20%
Vasectomy, one or both sides, including follow-up semen testing CPT 55250 HC Fac Removal of Sperm Duct(S)	$870.24	$1,087.80	$193.05–$1,198.00	77% below	20%
Vasectomy, one or both sides, including follow-up semen testing CPT 55250 HC Fac Removal of Sperm Duct(S)	$870.24	$1,087.80	$193.05–$684.98	77% below	20%
Vasectomy, one or both sides, including follow-up semen testing inpatient CPT 55250 HC Fac Removal of Sperm Duct(S)	$870.24	$1,087.80	$193.05–$684.98	—	20%
Vein ablation, radiofrequency, first vein CPT 36475 Endovenous Rf 1st Vein	$13,888.80	$17,361.00	$3,124.98–$17,361.00	48% above	20%
Vein ablation, radiofrequency, first vein CPT 36475 Endovenous Rf 1st Vein	$13,888.80	$17,361.00	$3,124.98–$11,991.24	48% above	20%
Vein ablation, radiofrequency, first vein inpatient CPT 36475 Endovenous Rf 1st Vein	$13,888.80	$17,361.00	$3,124.98–$11,991.24	—	20%
Wart removal, up to 14 warts CPT 17110 Dest Ben Les 1-14 Laser Cryo	$174.05	$217.56	$76.66	69% below	20%
Wart removal, up to 14 warts CPT 17110 Dest Ben Les 1-14 Laser Cryo	$174.05	$217.56	$39.16–$217.56	69% below	20%
Wart removal, up to 14 warts CPT 17110 Destruc B9 Lesion 1-14	$859.20	$1,074.00	$63.70–$741.81	54% above	20%
Wart removal, up to 14 warts CPT 17110 Destruc B9 Lesion 1-14	$859.20	$1,074.00	$63.70–$1,074.00	54% above	20%
Wart removal, up to 14 warts inpatient CPT 17110 Dest Ben Les 1-14 Laser Cryo	$174.05	$217.56	$76.66	—	20%
Wart removal, up to 14 warts inpatient CPT 17110 Destruc B9 Lesion 1-14	$859.20	$1,074.00	$63.70–$741.81	—	20%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Debr Subq Tiss =<20sq Cm	$203.45	$254.31	$42.90–$1,198.00	81% below	20%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Debr Subq Tiss =<20sq Cm	$203.45	$254.31	$51.63	81% below	20%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Debridement Subq Tissue First 20 Sq Cm or Less	$1,013.60	$1,267.00	$228.06–$875.12	6% below	20%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Debridement Subq Tissue First 20 Sq Cm or Less	$1,013.60	$1,267.00	$228.06–$1,267.00	6% below	20%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Debridement Skin & Subcutaneous Tissue	$1,577.28	$1,971.60	$354.89–$1,361.78	46% above	20%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Debridement Skin & Subcutaneous Tissue	$1,577.28	$1,971.60	$354.89–$1,971.60	46% above	20%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Wound Debridement (Subq & Tissue)	$1,577.28	$1,971.60	$354.89–$1,361.78	46% above	20%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Wound Debridement (Subq & Tissue)	$1,577.28	$1,971.60	$354.89–$1,971.60	46% above	20%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 Debr Subq Tiss =<20sq Cm	$203.45	$254.31	$51.63	—	20%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 Debridement Subq Tissue First 20 Sq Cm or Less	$1,013.60	$1,267.00	$228.06–$875.12	—	20%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 Wound Debridement (Subq & Tissue)	$1,577.28	$1,971.60	$354.89–$1,361.78	—	20%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 Debridement Skin & Subcutaneous Tissue	$1,577.28	$1,971.60	$354.89–$1,361.78	—	20%

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs Pennsylvania	Off list
Blood transfusion (giving blood or blood components) CPT 36430 Transf,Bl/Bl Comp-2c	$768.80	$961.00	$57.93–$961.00	18% below	20%
Blood transfusion (giving blood or blood components) CPT 36430 Transf,Bl/Bl Comp-2c	$768.80	$961.00	$172.98–$663.76	18% below	20%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 Transf,Bl/Bl Comp-2c	$768.80	$961.00	$172.98–$663.76	—	20%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Mdi Treatment-Initial	$240.80	$301.00	$54.18–$3,740.49	8% above	20%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Svn Treatment-Subsequent	$240.80	$301.00	$54.18–$3,740.49	8% above	20%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Svn Treatment-Subsequent	$240.80	$301.00	$54.18–$3,740.49	8% above	20%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Mdi Treatment-Subsequent	$240.80	$301.00	$54.18–$3,740.49	8% above	20%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Mdi Treatment-Subsequent	$240.80	$301.00	$54.18–$3,740.49	8% above	20%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Svn Treatment-Initial	$240.80	$301.00	$54.18–$3,740.49	8% above	20%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Svn Treatment-Initial	$240.80	$301.00	$54.18–$3,740.49	8% above	20%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Mdi Treatment-Initial	$240.80	$301.00	$54.18–$3,740.49	8% above	20%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 I P P B Treatments Sub	$240.80	$301.00	$54.18–$3,740.49	8% above	20%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 I P P B Treatments Sub	$240.80	$301.00	$54.18–$3,740.49	8% above	20%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Cont Aerosol-Initial	$240.80	$301.00	$54.18–$3,740.49	8% above	20%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Cont Aerosol-Initial	$240.80	$301.00	$54.18–$3,740.49	8% above	20%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Ippb Treatment Int	$240.80	$301.00	$54.18–$3,740.49	8% above	20%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Ippb Treatment Int	$240.80	$301.00	$54.18–$3,740.49	8% above	20%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Continous Aerosol-Subs Each	$240.80	$301.00	$54.18–$3,740.49	8% above	20%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Continous Aerosol-Subs Each	$240.80	$301.00	$54.18–$3,740.49	8% above	20%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Pep Therapy Subsequent	$240.80	$301.00	$54.18–$3,740.49	8% above	20%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Pep Therapy Subsequent	$240.80	$301.00	$54.18–$3,740.49	8% above	20%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Mdi Treatment-Subsequent	$240.80	$301.00	$54.18–$3,740.49	—	20%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Continous Aerosol-Subs Each	$240.80	$301.00	$54.18–$3,740.49	—	20%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Ippb Treatment Int	$240.80	$301.00	$54.18–$3,740.49	—	20%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Cont Aerosol-Initial	$240.80	$301.00	$54.18–$3,740.49	—	20%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Pep Therapy Subsequent	$240.80	$301.00	$54.18–$3,740.49	—	20%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 I P P B Treatments Sub	$240.80	$301.00	$54.18–$3,740.49	—	20%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Mdi Treatment-Initial	$240.80	$301.00	$54.18–$3,740.49	—	20%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Svn Treatment-Initial	$240.80	$301.00	$54.18–$3,740.49	—	20%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Svn Treatment-Subsequent	$240.80	$301.00	$54.18–$3,740.49	—	20%
Chemotherapy IV infusion, first hour CPT 96413 Research Chemo, IV Infusion 1st Hr	$106.06	$132.58	$0.19–$287.00	85% below	20%
Chemotherapy IV infusion, first hour CPT 96413 Chemo, IV Infusion, 1st Hr	$1,185.24	$1,481.55	$124.80–$1,481.55	64% above	20%
Chemotherapy IV infusion, first hour CPT 96413 Chemo, IV Infusion, 1st Hr	$1,185.24	$1,481.55	$195.25	64% above	20%
Chemotherapy IV infusion, first hour inpatient CPT 96413 Chemo, IV Infusion, 1st Hr	$1,185.24	$1,481.55	$195.25	—	20%
Comprehensive eye exam by an eye doctor, new patient CPT 92004 HC Fac Comprehensive Medical Exam	$231.67	$289.59	$21.21–$289.59	52% above	20%
Comprehensive eye exam, returning patient CPT 92014 HC Fac Comprehensive Medical Exam	$195.22	$244.02	$21.21–$244.02	59% above	20%
Comprehensive hearing test: tone and speech audiometry, both ears CPT 92557 Comprehensive Audiometry Threshold Eval & Speech Recognition	$120.54	$150.68	$30.01	67% below	20%
Comprehensive hearing test: tone and speech audiometry, both ears CPT 92557 Comprehensive Audiometry Threshold Eval & Speech Recognition	$120.54	$150.68	$25.25–$150.68	67% below	20%
Comprehensive hearing test: tone and speech audiometry, both ears inpatient CPT 92557 Comprehensive Audiometry Threshold Eval & Speech Recognition	$120.54	$150.68	$30.01	—	20%
Critical care, first 30 to 74 minutes CPT 99291 Critical Care Ill/Injured Patient Init 30-74 Min	$1,443.00	$1,803.75	$324.68–$1,803.75	23% below	20%
Critical care, first 30 to 74 minutes CPT 99291 Critical Care Ill/Injured Patient Init 30-74 Min	$1,443.00	$1,803.75	$324.68–$1,245.85	23% below	20%
Critical care, first 30 to 74 minutes inpatient CPT 99291 Critical Care Ill/Injured Patient Init 30-74 Min	$1,443.00	$1,803.75	$324.68–$1,245.85	—	20%
EEG (brain wave test), awake and drowsy, routine CPT 95816 Eeg Incld Record Awake & Drowsy	$118.44	$148.05	$26.65–$305.46	84% below	20%
EEG (brain wave test), awake and drowsy, routine CPT 95816 Eeg Incld Record Awake & Drowsy	$118.44	$148.05	$22.50–$148.05	84% below	20%
EEG (brain wave test), awake and drowsy, routine CPT 95816 Eeg Recording Awake and Drowsy	$703.57	$879.46	$305.46	7% below	20%
EEG (brain wave test), awake and drowsy, routine CPT 95816 Eeg Recording Awake and Drowsy	$703.57	$879.46	$61.86–$879.46	7% below	20%
EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 Eeg Incld Record Awake & Drowsy	$118.44	$148.05	$26.65–$305.46	—	20%
EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 Eeg Recording Awake and Drowsy	$703.57	$879.46	$305.46	—	20%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Ekg 12 Lead Tracing Only	$85.85	$107.31	$5.76	51% below	20%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Ekg 12 Lead Tracing Only	$85.85	$107.31	$7.96–$107.31	51% below	20%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 12 Lead Ekg: Tracing Only	$267.80	$334.75	$17.37–$334.75	54% above	20%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 12 Lead Ekg: Tracing Only	$267.80	$334.75	$60.26–$231.21	54% above	20%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 Ekg 12 Lead Tracing Only	$85.85	$107.31	$5.76	—	20%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 12 Lead Ekg: Tracing Only	$267.80	$334.75	$60.26–$231.21	—	20%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 Emergency Dept Visit May Not Requ Phys/Qhp	$330.20	$412.75	$74.30–$578.57	9% above	20%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 Emergency Dept Visit May Not Requ Phys/Qhp	$330.20	$412.75	$74.30–$578.57	9% above	20%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 Emergency Dept Visit May Not Requ Phys/Qhp	$330.20	$412.75	$74.30–$578.57	—	20%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 Emergency Dept Visit Straightforward Mdm	$418.80	$523.50	$94.23–$578.57	13% below	20%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 Emergency Dept Visit Straightforward Mdm	$418.80	$523.50	$94.23–$578.57	13% below	20%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 Emergency Dept Visit Straightforward Mdm	$418.80	$523.50	$94.23–$578.57	—	20%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 Emergency Dept Visit Low Mdm	$516.00	$645.00	$116.10–$645.00	31% below	20%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 Emergency Dept Visit Low Mdm	$516.00	$645.00	$116.10–$578.57	31% below	20%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 Emergency Dept Visit Low Mdm	$516.00	$645.00	$116.10–$578.57	—	20%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 HC Emergency Dept Visit Moderate Mdm	$689.00	$861.25	$155.03–$594.87	44% below	20%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 HC Emergency Dept Visit Moderate Mdm	$689.00	$861.25	$155.03–$861.25	44% below	20%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 HC Emergency Dept Visit Moderate Mdm	$689.00	$861.25	$155.03–$594.87	—	20%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 Emergency Dept Visit High Mdm	$1,126.20	$1,407.75	$253.40–$972.33	30% below	20%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 Emergency Dept Visit High Mdm	$1,126.20	$1,407.75	$253.40–$3,606.00	30% below	20%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 Emergency Dept Visit High Mdm	$1,126.20	$1,407.75	$253.40–$972.33	—	20%
Exercise stress test, tracing only, the hospital charge CPT 93017 Cv Strs Tst Xers&/or Rx Cont Ecg Trcg Only	$463.94	$579.92	$31.82–$579.92	51% below	20%
Exercise stress test, tracing only, the hospital charge CPT 93017 Cv Strs Tst Xers&/or Rx Cont Ecg Trcg Only	$463.94	$579.92	$35.16	51% below	20%
Exercise stress test, tracing only, the hospital charge CPT 93017 Cardiac Stress W/ Electro Cardiac Monitoring	$845.20	$1,056.50	$190.17	11% below	20%
Exercise stress test, tracing only, the hospital charge CPT 93017 Cardiac Stress W/ Electro Cardiac Monitoring	$845.20	$1,056.50	$60.45–$1,056.50	11% below	20%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 Cv Strs Tst Xers&/or Rx Cont Ecg Trcg Only	$463.94	$579.92	$35.16	—	20%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 Cardiac Stress W/ Electro Cardiac Monitoring	$845.20	$1,056.50	$190.17	—	20%
Eye exam, returning patient, intermediate CPT 92012 HC Fac Intermediate Medical Exam	$138.18	$172.73	$16.97–$172.73	71% above	20%
Group psychotherapy session CPT 90853 HC Fac Group Psychotherapy	$27.11	$33.89	$6.10–$23.41	81% below	20%
Group psychotherapy session CPT 90853 HC Fac Group Psychotherapy	$38.63	$48.29	$6.10–$33.89	73% below	20%
Group psychotherapy session inpatient CPT 90853 HC Fac Group Psychotherapy	$27.11	$33.89	$6.10–$23.41	—	20%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV Infusion, Hydration; Initial, Up to 1 Hour	$633.80	$792.25	$41.12–$547.21	46% above	20%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV Infusion, Hydration; Initial, Up to 1 Hour	$633.80	$792.25	$41.12–$792.25	46% above	20%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV Inf, Hydration;Initial Up to 1 Hr	$888.93	$1,111.16	$79.54–$1,111.16	104% above	20%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV Inf, Hydration;Initial Up to 1 Hr	$888.93	$1,111.16	$49.49	104% above	20%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV Infusion, Hydration; Initial, Up to 1 Hour	$633.80	$792.25	$41.12–$547.21	—	20%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV Inf, Hydration;Initial Up to 1 Hr	$888.93	$1,111.16	$49.49	—	20%
IV infusion of a medicine, first hour CPT 96365 IV Inf for Therapy, Prop or Diagnostic-Initial Up to 1 Hr	$414.83	$518.54	$37.12–$3,606.00	8% below	20%
IV infusion of a medicine, first hour CPT 96365 IV Infusion, for Therapy;Initial, Up to 1 Hour	$621.60	$777.00	$39.30–$3,606.00	38% above	20%
IV infusion of a medicine, first hour CPT 96365 Infusion Except for Chemo	$621.60	$777.00	$39.30–$3,606.00	38% above	20%
IV infusion of a medicine, first hour CPT 96365 Infusion Except for Chemo	$621.60	$777.00	$61.49–$2,601.00	38% above	20%
IV infusion of a medicine, first hour CPT 96365 IV Infusion, for Therapy;Initial, Up to 1 Hour	$621.60	$777.00	$61.48	38% above	20%
IV infusion of a medicine, first hour inpatient CPT 96365 IV Infusion, for Therapy;Initial, Up to 1 Hour	$621.60	$777.00	$61.48	—	20%
IV infusion of a medicine, first hour inpatient CPT 96365 Infusion Except for Chemo	$621.60	$777.00	$61.49–$2,601.00	—	20%
IV push of a medicine, first drug CPT 96374 Ivp, Single or Initial Substance/Drug	$219.60	$274.50	$31.02–$274.50	33% below	20%
IV push of a medicine, first drug CPT 96374 Ivp, Single or Initial Substance/Drug	$219.60	$274.50	$32.39	33% below	20%
IV push of a medicine, first drug CPT 96374 IV P Inj-Therapeutic, Proph, or Diagnostic	$219.60	$274.50	$32.39–$578.57	33% below	20%
IV push of a medicine, first drug CPT 96374 IV P Inj-Therapeutic, Proph, or Diagnostic	$219.60	$274.50	$31.02–$578.57	33% below	20%
IV push of a medicine, first drug CPT 96374 Thera Phroph or Diag Inject(Initial); Intravenous	$268.20	$335.25	$31.02–$578.57	18% below	20%
IV push of a medicine, first drug inpatient CPT 96374 IV P Inj-Therapeutic, Proph, or Diagnostic	$219.60	$274.50	$32.39–$578.57	—	20%
IV push of a medicine, first drug inpatient CPT 96374 Ivp, Single or Initial Substance/Drug	$219.60	$274.50	$32.39	—	20%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 Ther/Diag Inj Subq or Im	$41.75	$52.19	$9.39–$36.05	66% below	20%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 Ther/Diag Inj Subq or Im	$41.75	$52.19	$9.39–$52.19	66% below	20%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 Ther/Proph/Diag Injection Sc/Im	$81.40	$101.75	$12.70–$101.75	34% below	20%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 Ther/Proph/Diag Injection Sc/Im	$81.40	$101.75	$14.03–$70.28	34% below	20%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 Inj, Im, Sq Therapeutic, Proph, or Diagnostic	$271.32	$339.15	$17.18–$578.57	120% above	20%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 Inj, Im, Sq Therapeutic, Proph, or Diagnostic	$271.32	$339.15	$17.18–$578.57	120% above	20%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Ther/Diag Inj Subq or Im	$41.75	$52.19	$9.39–$36.05	—	20%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Ther/Proph/Diag Injection Sc/Im	$81.40	$101.75	$14.03–$70.28	—	20%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Inj, Im, Sq Therapeutic, Proph, or Diagnostic	$271.32	$339.15	$17.18–$578.57	—	20%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 HC Fac Psychiatric Diagnosis Evaluation	$171.34	$214.18	$38.55–$141.31	36% below	20%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 HC Fac Psychiatric Diagnosis Evaluation	$184.18	$230.23	$38.55–$214.18	31% below	20%
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 HC Fac Psychiatric Diagnosis Evaluation	$171.34	$214.18	$38.55–$141.31	—	20%
Nerve conduction study, 7 or 8 nerve studies CPT 95910 Nrv Cndj Tst 7-8 Studies	$5,743.71	$7,179.64	$1,292.34–$7,179.64	293% above	20%
Nerve conduction study, 7 or 8 nerve studies CPT 95910 Nrv Cndj Tst 7-8 Studies	$5,743.71	$7,179.64	$1,292.34–$4,958.98	293% above	20%
Nerve conduction study, 7 or 8 nerve studies inpatient CPT 95910 Nrv Cndj Tst 7-8 Studies	$5,743.71	$7,179.64	$1,292.34–$4,958.98	—	20%
Neuromuscular re-education, 15 minutes CPT 97112 Pt Neuromuscular Re-Educator	$59.60	$74.50	$13.41–$140.60	54% below	20%
Neuromuscular re-education, 15 minutes CPT 97112 Pt Neuromuscular Re-Educator	$59.60	$74.50	$13.41–$164.00	54% below	20%
Neuromuscular re-education, 15 minutes CPT 97112 Ot Neuromuscular Re-ED Ea 15 Mn	$68.80	$86.00	$15.48–$164.00	46% below	20%
Neuromuscular re-education, 15 minutes CPT 97112 Ot Neuromuscular Re-ED Ea 15 Mn	$68.80	$86.00	$15.48–$140.60	46% below	20%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 Pt Neuromuscular Re-Educator	$59.60	$74.50	$13.41–$140.60	—	20%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 Ot Neuromuscular Re-ED Ea 15 Mn	$68.80	$86.00	$15.48–$140.60	—	20%
New patient office visit, about 30 minutes CPT 99203 Office/Outpatient New Low Mdm 30 Minutes	$586.66	$733.32	$132.00–$461.77	145% above	20%
New patient office visit, about 30 minutes CPT 99203 Office/Outpatient New Low Mdm 30 Minutes	$586.66	$733.32	$132.00–$733.32	145% above	20%
New patient office visit, about 30 minutes inpatient CPT 99203 Office/Outpatient New Low Mdm 30 Minutes	$586.66	$733.32	$132.00–$461.77	—	20%
New patient office visit, about 45 minutes CPT 99204 Office/Outpatient New Moderate Mdm 45 Minutes	$737.22	$921.52	$165.87–$921.52	146% above	20%
New patient office visit, about 45 minutes CPT 99204 Office/Outpatient New Moderate Mdm 45 Minutes	$737.22	$921.52	$125.08–$580.28	146% above	20%
New patient office visit, about 45 minutes CPT 99204 Office/Outpatient Visit New Lvl 4	$743.82	$929.78	$167.36–$929.78	148% above	20%
New patient office visit, about 45 minutes CPT 99204 Office/Outpatient Visit New Lvl 4	$743.82	$929.78	$125.08–$585.48	148% above	20%
New patient office visit, about 45 minutes inpatient CPT 99204 Office/Outpatient New Moderate Mdm 45 Minutes	$737.22	$921.52	$125.08–$580.28	—	20%
New patient office visit, about 45 minutes inpatient CPT 99204 Office/Outpatient Visit New Lvl 4	$743.82	$929.78	$125.08–$585.48	—	20%
New patient office visit, about 60 minutes CPT 99205 Office/Outpatient New Hi Mdm 60 Minutes	$1,007.18	$1,258.98	$226.62–$1,258.98	93% above	20%
New patient office visit, about 60 minutes CPT 99205 Office/Outpatient New Hi Mdm 60 Minutes	$1,007.18	$1,258.98	$226.62–$792.77	93% above	20%
New patient office visit, about 60 minutes inpatient CPT 99205 Office/Outpatient New Hi Mdm 60 Minutes	$1,007.18	$1,258.98	$226.62–$792.77	—	20%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 HC Office/Outpatient New Sf Mdm 15 Minutes	$415.34	$519.17	$93.45–$326.92	127% above	20%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 HC Office/Outpatient New Sf Mdm 15 Minutes	$415.34	$519.17	$93.45–$519.17	127% above	20%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 Office/Outpatient New Sf Mdm 15 Minutes	$420.53	$525.66	$94.62–$525.66	130% above	20%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 Office/Outpatient New Sf Mdm 15 Minutes	$420.53	$525.66	$94.62–$331.00	130% above	20%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 HC Office/Outpatient New Sf Mdm 15 Minutes	$415.34	$519.17	$93.45–$326.92	—	20%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 Office/Outpatient New Sf Mdm 15 Minutes	$420.53	$525.66	$94.62–$331.00	—	20%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 Med Nutr Ther, 1st Indiv Ea 15 Min	$55.44	$69.30	$12.47–$69.30	10% above	20%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 Med Nutr Ther, 1st Indiv Ea 15 Min	$55.44	$69.30	$12.47–$47.87	10% above	20%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 Med Nutr Ther, 1st Indiv Ea 15 Min	$55.44	$69.30	$12.47–$47.87	—	20%
Occupational therapy evaluation, low complexity CPT 97165 Ot Eval Low Complex 30 Min	$118.80	$148.50	$26.73–$3,606.00	65% below	20%
Occupational therapy evaluation, low complexity CPT 97165 Ot Eval Low Complex 30 Min	$118.80	$148.50	$97.73	65% below	20%
Occupational therapy evaluation, low complexity inpatient CPT 97165 Ot Eval Low Complex 30 Min	$118.80	$148.50	$97.73	—	20%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 Pt Eval High Complex 45 Min	$279.80	$349.75	$62.96–$349.75	18% below	20%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 Pt Eval High Complex 45 Min	$279.80	$349.75	$62.96–$244.51	18% below	20%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 Pt Eval High Complex 45 Min	$279.80	$349.75	$62.96–$244.51	—	20%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 Pt Eval Low Complex 20 Min	$124.60	$155.75	$28.04–$155.75	58% below	20%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 Pt Eval Low Complex 20 Min	$124.60	$155.75	$28.04–$140.60	58% below	20%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 Pt Eval Low Complex 20 Min	$124.60	$155.75	$28.04–$140.60	—	20%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 Pt Eval Mod Complex 30 Min	$137.20	$171.50	$30.87–$140.60	59% below	20%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 Pt Eval Mod Complex 30 Min	$137.20	$171.50	$30.87–$171.50	59% below	20%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 Pt Eval Mod Complex 30 Min	$137.20	$171.50	$30.87–$140.60	—	20%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Ot Joint Mobilization; Ea 15 Min	$90.60	$113.25	$20.39–$164.00	31% below	20%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Ot Joint Mobilization; Ea 15 Min	$90.60	$113.25	$20.39–$140.60	31% below	20%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Pt Manual Tx-Mobilizat Ea 15mn	$141.00	$176.25	$31.73–$140.60	7% above	20%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Pt Manual Tx-Mobilizat Ea 15mn	$141.00	$176.25	$31.73–$176.25	7% above	20%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 Ot Joint Mobilization; Ea 15 Min	$90.60	$113.25	$20.39–$140.60	—	20%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 Pt Manual Tx-Mobilizat Ea 15mn	$141.00	$176.25	$31.73–$140.60	—	20%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Ot Therapeutic Px-Exercises Ea 15 Min	$90.60	$113.25	$20.39–$164.00	31% below	20%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Ot Therapeutic Px-Exercises Ea 15 Min	$90.60	$113.25	$20.39–$140.60	31% below	20%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Pt Therapeutic Px-Exercises Ea 15mn	$152.20	$190.25	$34.25–$140.60	15% above	20%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Pt Therapeutic Px-Exercises Ea 15mn	$152.20	$190.25	$34.25–$190.25	15% above	20%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 Ot Therapeutic Px-Exercises Ea 15 Min	$90.60	$113.25	$20.39–$140.60	—	20%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 Pt Therapeutic Px-Exercises Ea 15mn	$152.20	$190.25	$34.25–$140.60	—	20%
Preventive checkup, new patient aged 18–39 CPT 99385 New Prevent 18-39 Yr	$202.27	$252.84	$45.51–$159.21	39% above	20%
Preventive checkup, new patient aged 18–39 CPT 99385 New Prevent 18-39 Yr	$202.27	$252.84	$45.51–$252.84	39% above	20%
Preventive checkup, new patient aged 18–39 inpatient CPT 99385 New Prevent 18-39 Yr	$202.27	$252.84	$45.51–$159.21	—	20%
Preventive checkup, new patient aged 40–64 CPT 99386 New Prevent 40-64yr Age	$233.44	$291.80	$52.52–$291.80	51% above	20%
Preventive checkup, new patient aged 40–64 CPT 99386 New Prevent 40-64yr Age	$233.44	$291.80	$52.52–$183.74	51% above	20%
Preventive checkup, new patient aged 40–64 inpatient CPT 99386 New Prevent 40-64yr Age	$233.44	$291.80	$52.52–$183.74	—	20%
Preventive checkup, new patient aged 65 or older CPT 99387 New Prevent >65yr Age	$255.78	$319.73	$57.55–$201.33	24% above	20%
Preventive checkup, new patient aged 65 or older CPT 99387 New Prevent >65yr Age	$255.78	$319.73	$57.55–$319.73	24% above	20%
Preventive checkup, new patient aged 65 or older inpatient CPT 99387 New Prevent >65yr Age	$255.78	$319.73	$57.55–$201.33	—	20%
Preventive checkup, returning patient aged 18–39 CPT 99395 Est Prevent 1839 Yr Age	$181.10	$226.38	$40.75–$226.38	39% above	20%
Preventive checkup, returning patient aged 18–39 CPT 99395 Est Prevent 1839 Yr Age	$181.10	$226.38	$40.75–$142.55	39% above	20%
Preventive checkup, returning patient aged 18–39 inpatient CPT 99395 Est Prevent 1839 Yr Age	$181.10	$226.38	$40.75–$142.55	—	20%
Preventive checkup, returning patient aged 40–64 CPT 99396 Est Prevent 40-64yr Age	$194.04	$242.55	$43.66–$242.55	24% above	20%
Preventive checkup, returning patient aged 40–64 CPT 99396 Est Prevent 40-64yr Age	$194.04	$242.55	$43.66–$152.73	24% above	20%
Preventive checkup, returning patient aged 40–64 inpatient CPT 99396 Est Prevent 40-64yr Age	$194.04	$242.55	$43.66–$152.73	—	20%
Preventive checkup, returning patient aged 65 or older CPT 99397 Est Prevent >65yr Age	$208.74	$260.93	$46.97–$260.93	17% above	20%
Preventive checkup, returning patient aged 65 or older CPT 99397 Est Prevent >65yr Age	$208.74	$260.93	$46.97–$164.31	17% above	20%
Preventive checkup, returning patient aged 65 or older inpatient CPT 99397 Est Prevent >65yr Age	$208.74	$260.93	$46.97–$164.31	—	20%
Psychotherapy for crisis, first 60 minutes CPT 90839 HC Fac Psychotherapy for Crisis Initial 60 Minutes	$56.80	$71.00	$12.78–$49.04	68% below	20%
Psychotherapy for crisis, first 60 minutes CPT 90839 HC Fac Psychotherapy for Crisis Initial 60 Minutes	$187.75	$234.69	$12.78–$71.00	5% above	20%
Psychotherapy for crisis, first 60 minutes inpatient CPT 90839 HC Fac Psychotherapy for Crisis Initial 60 Minutes	$56.80	$71.00	$12.78–$49.04	—	20%
Psychotherapy session, 30 minutes CPT 90832 Psychotherapy, 30 Min	$23.87	$29.84	$5.37–$18.79	90% below	20%
Psychotherapy session, 30 minutes CPT 90832 Psychotherapy, 30 Min	$89.74	$112.18	$5.37–$29.84	64% below	20%
Psychotherapy session, 30 minutes inpatient CPT 90832 Psychotherapy, 30 Min	$23.87	$29.84	$5.37–$18.79	—	20%
Psychotherapy session, 45 minutes CPT 90834 Psychotherapy, 45 Mi	$73.64	$92.05	$16.57–$89.95	71% below	20%
Psychotherapy session, 45 minutes CPT 90834 Psychotherapy, 45 Mi	$119.97	$149.96	$16.57–$92.05	53% below	20%
Psychotherapy session, 45 minutes inpatient CPT 90834 Psychotherapy, 45 Mi	$73.64	$92.05	$16.57–$89.95	—	20%
Psychotherapy session, 60 minutes CPT 90837 Psychotherapy, 60 Min	$63.96	$79.95	$14.39–$50.34	79% below	20%
Psychotherapy session, 60 minutes CPT 90837 Psychotherapy, 60 Min	$179.91	$224.89	$14.39–$79.95	41% below	20%
Psychotherapy session, 60 minutes inpatient CPT 90837 Psychotherapy, 60 Min	$63.96	$79.95	$14.39–$50.34	—	20%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 Smoke/Tobacco Couns 3-10mins	$21.52	$26.90	$11.00	53% below	20%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 Smoke/Tobacco Couns 3-10mins	$21.52	$26.90	$4.84–$26.90	53% below	20%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 Behav Chng Smoking 3-10 Min	$119.20	$149.00	$11.00–$93.82	161% above	20%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 Behav Chng Smoking 3-10 Min	$119.20	$149.00	$26.82–$149.00	161% above	20%
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 Smoke/Tobacco Couns 3-10mins	$21.52	$26.90	$11.00	—	20%
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 Behav Chng Smoking 3-10 Min	$119.20	$149.00	$11.00–$93.82	—	20%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 Office/Outpatient Established High Mdm 40 Min	$918.93	$1,148.66	$206.76–$1,148.66	238% above	20%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 Office/Outpatient Established High Mdm 40 Min	$918.93	$1,148.66	$206.76–$723.30	238% above	20%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 Office/Outpatient Established High Mdm 40 Min	$918.93	$1,148.66	$206.76–$723.30	—	20%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 Office/Outpatient Visit Est Level III	$415.34	$519.17	$93.45–$326.92	124% above	20%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 Office/Outpatient Visit Est Level III	$415.34	$519.17	$93.45–$519.17	124% above	20%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 Office/Outpatient Established Low Mdm 20-29 Min	$519.17	$648.96	$116.81–$408.65	180% above	20%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 Office/Outpatient Established Low Mdm 20-29 Min	$519.17	$648.96	$116.81–$648.96	180% above	20%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 Office/Outpatient Visit Est Level III	$415.34	$519.17	$93.45–$326.92	—	20%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 Office/Outpatient Established Low Mdm 20-29 Min	$519.17	$648.96	$116.81–$408.65	—	20%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Office/Outpatient Established Mod Mdm 30 Min	$612.62	$765.77	$137.84–$765.77	204% above	20%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Office/Outpatient Established Mod Mdm 30 Min	$612.62	$765.77	$137.84–$482.20	204% above	20%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 Office/Outpatient Established Mod Mdm 30 Min	$612.62	$765.77	$137.84–$482.20	—	20%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Office/Outpatient Visit Est Level II	$373.80	$467.25	$84.11–$294.22	131% above	20%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Office/Outpatient Visit Est Level II	$373.80	$467.25	$84.11–$467.25	131% above	20%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Office/Outpatient Established Sf Mdm 10-19 Min	$399.76	$499.70	$89.95–$499.70	147% above	20%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Office/Outpatient Established Sf Mdm 10-19 Min	$399.76	$499.70	$89.95–$314.66	147% above	20%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 Office/Outpatient Visit Est Level II	$373.80	$467.25	$84.11–$294.22	—	20%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 Office/Outpatient Established Sf Mdm 10-19 Min	$399.76	$499.70	$89.95–$314.66	—	20%
Speech and language evaluation CPT 92523 St Speech Sound Lang Comprehen	$480.00	$600.00	$61.34–$600.00	10% below	20%
Speech and language evaluation CPT 92523 St Speech Sound Lang Comprehen	$480.00	$600.00	$217.75	10% below	20%
Speech and language evaluation inpatient CPT 92523 St Speech Sound Lang Comprehen	$480.00	$600.00	$217.75	—	20%
Speech therapy session, individual CPT 92507 St Speech/Hearing Therapy Indiv	$436.00	$545.00	$28.21–$545.00	43% above	20%
Speech therapy session, individual CPT 92507 St Speech/Hearing Therapy Indiv	$436.00	$545.00	$28.21–$381.01	43% above	20%
Speech therapy session, individual inpatient CPT 92507 St Speech/Hearing Therapy Indiv	$436.00	$545.00	$28.21–$381.01	—	20%
Spirometry (breathing test) CPT 94010 Spirometry W/ Vital Capacity, Expiratory Flow Rate	$87.62	$109.52	$17.73–$23.47	71% below	20%
Spirometry (breathing test) CPT 94010 Spirometry W/ Vital Capacity, Expiratory Flow Rate	$87.62	$109.52	$15.00–$109.52	71% below	20%
Spirometry (breathing test) CPT 94010 Spirometry	$299.60	$374.50	$19.50–$374.50	1% below	20%
Spirometry (breathing test) CPT 94010 Spirometry	$299.60	$374.50	$19.50–$258.67	1% below	20%
Spirometry (breathing test) CPT 94010 Pulmonary Screener	$368.64	$460.80	$23.47–$318.27	22% above	20%
Spirometry (breathing test) CPT 94010 Pulmonary Screener	$368.64	$460.80	$23.47–$460.80	22% above	20%
Spirometry (breathing test) inpatient CPT 94010 Spirometry W/ Vital Capacity, Expiratory Flow Rate	$87.62	$109.52	$17.73–$23.47	—	20%
Spirometry (breathing test) inpatient CPT 94010 Spirometry	$299.60	$374.50	$19.50–$258.67	—	20%
Spirometry (breathing test) inpatient CPT 94010 Pulmonary Screener	$368.64	$460.80	$23.47–$318.27	—	20%
Spirometry before and after a bronchodilator CPT 94060 Bronchodilation Response Spirometry Pre/Post Bronchodilator Admin	$121.72	$152.15	$19.00–$152.15	81% below	20%
Spirometry before and after a bronchodilator CPT 94060 Bronchodilation Response Spirometry Pre/Post Bronchodilator Admin	$121.72	$152.15	$24.70–$105.09	81% below	20%
Spirometry before and after a bronchodilator CPT 94060 Bronchospasm Evaluation	$322.60	$403.25	$24.70–$403.25	50% below	20%
Spirometry before and after a bronchodilator CPT 94060 Bronchospasm Evaluation	$322.60	$403.25	$24.70–$278.52	50% below	20%
Spirometry before and after a bronchodilator inpatient CPT 94060 Bronchodilation Response Spirometry Pre/Post Bronchodilator Admin	$121.72	$152.15	$24.70–$105.09	—	20%
Spirometry before and after a bronchodilator inpatient CPT 94060 Bronchospasm Evaluation	$322.60	$403.25	$24.70–$278.52	—	20%
Therapeutic activities (functional training), 15 minutes CPT 97530 Ot Therapeutic Activity 1:1 Ea 15mn	$65.60	$82.00	$4.15–$3,606.00	49% below	20%
Therapeutic activities (functional training), 15 minutes CPT 97530 Ot Therapeutic Activity 1:1 Ea 15mn	$65.60	$82.00	$5.33–$140.60	49% below	20%
Therapeutic activities (functional training), 15 minutes CPT 97530 Pt Therapeutic Activity 1:1 Ea 15mn	$71.20	$89.00	$5.33–$140.60	44% below	20%
Therapeutic activities (functional training), 15 minutes CPT 97530 Pt Therapeutic Activity 1:1 Ea 15mn	$71.20	$89.00	$5.33–$3,606.00	44% below	20%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 Ot Therapeutic Activity 1:1 Ea 15mn	$65.60	$82.00	$5.33–$140.60	—	20%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 Pt Therapeutic Activity 1:1 Ea 15mn	$71.20	$89.00	$5.33–$140.60	—	20%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 Phlebotomy Therapeutic	$98.20	$122.75	$10.61–$84.78	57% below	20%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 Phlebotomy Therapeutic	$98.20	$122.75	$10.00–$122.75	57% below	20%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 Phlebotomy Therapeutic	$98.20	$122.75	$10.61–$84.78	—	20%
Visual field test, extended CPT 92083 HC Fac Extended Exam; Visual Field Exa	$171.11	$213.89	$18.18–$213.89	38% below	20%
Visual field test, extended CPT 92083 HC Fac Extended Exam; Visual Field Exa	$171.11	$213.89	$18.18–$147.73	38% below	20%
Visual field test, extended inpatient CPT 92083 HC Fac Extended Exam; Visual Field Exa	$171.11	$213.89	$18.18–$147.73	—	20%

Vaccines

Procedure	Cash price	List price	Insurers pay	vs Pennsylvania	Off list
COVID-19 vaccine (Moderna), age 12 and older CPT 91322 Covid Vacc Moderna 12+Y	$180.60	$225.75	$40.64–$161.65	9% below	20%
COVID-19 vaccine (Moderna), age 12 and older CPT 91322 Covid Vacc Moderna 12+Y	$180.60	$225.75	$40.64–$225.75	9% below	20%
COVID-19 vaccine (Moderna), age 12 and older CPT 91322 COVID-19 MRNA VACC (MODERNA) 50 MCG/0.5ML IM SUSP	$591.40	$739.25	$133.07–$510.60	197% above	20%
COVID-19 vaccine (Moderna), age 12 and older CPT 91322 COVID-19 MRNA VACC (MODERNA) 50 MCG/0.5ML IM SUSP	$591.40	$739.25	$133.07–$739.25	197% above	20%
COVID-19 vaccine (Moderna), age 12 and older inpatient CPT 91322 Covid Vacc Moderna 12+Y	$180.60	$225.75	$40.64–$161.65	—	20%
COVID-19 vaccine (Moderna), age 12 and older inpatient CPT 91322 COVID-19 MRNA VACC (MODERNA) 50 MCG/0.5ML IM SUSP	$591.40	$739.25	$133.07–$510.60	—	20%
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 2023-2024 Covid-19 Pfizer (12+ Years) Monovalent, 30 Mcg in 0.3 Ml Route Intramuscular	$162.96	$203.70	$36.67–$203.70	at median	20%
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 2023-2024 Covid-19 Pfizer (12+ Years) Monovalent, 30 Mcg in 0.3 Ml Route Intramuscular	$162.96	$203.70	$36.67–$155.90	at median	20%
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older inpatient CPT 91320 2023-2024 Covid-19 Pfizer (12+ Years) Monovalent, 30 Mcg in 0.3 Ml Route Intramuscular	$162.96	$203.70	$36.67–$155.90	—	20%
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 Vaccine Varicella	$205.80	$257.25	$15.65	at median	20%
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 Vaccine Varicella	$205.80	$257.25	$13.00–$257.25	at median	20%
Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 Vaccine Varicella	$205.80	$257.25	$15.65	—	20%
DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) CPT 90696 Kinrix Vacc Dtap-Ipv	$94.08	$117.60	$10.00–$117.60	13% above	20%
DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) CPT 90696 Kinrix Vacc Dtap-Ipv	$94.08	$117.60	$13.00–$81.23	13% above	20%
DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) inpatient CPT 90696 Kinrix Vacc Dtap-Ipv	$94.08	$117.60	$13.00–$81.23	—	20%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 Acell Dtap <7yrs Im	$54.60	$68.25	$15.65	60% above	20%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 Acell Dtap <7yrs Im	$54.60	$68.25	$10.00–$68.25	60% above	20%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 DIPHTH-ACELL PERTUSSIS-TETANUS 25-58-10 LF-MCG/0.5 IM SUSP	$137.00	$171.25	$10.00–$171.25	301% above	20%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 DIPHTH-ACELL PERTUSSIS-TETANUS 25-58-10 LF-MCG/0.5 IM SUSP	$143.40	$179.25	$13.00–$123.81	319% above	20%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 Acell Dtap <7yrs Im	$54.60	$68.25	$15.65	—	20%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 DIPHTH-ACELL PERTUSSIS-TETANUS 25-58-10 LF-MCG/0.5 IM SUSP	$143.40	$179.25	$13.00–$123.81	—	20%
DTaP, hepatitis B and polio combination vaccine (Pediarix) CPT 90723 Pediarix Vacc	$117.60	$147.00	$13.00–$101.53	42% above	20%
DTaP, hepatitis B and polio combination vaccine (Pediarix) CPT 90723 Pediarix Vacc	$117.60	$147.00	$10.00–$147.00	42% above	20%
DTaP, hepatitis B and polio combination vaccine (Pediarix) inpatient CPT 90723 Pediarix Vacc	$117.60	$147.00	$13.00–$101.53	—	20%
DTaP, polio and Hib combination vaccine (Pentacel) CPT 90698 Pentacel 0.5ml Dose	$134.40	$168.00	$10.00–$168.00	62% above	20%
DTaP, polio and Hib combination vaccine (Pentacel) CPT 90698 Pentacel 0.5ml Dose	$134.40	$168.00	$13.00–$116.04	62% above	20%
DTaP, polio and Hib combination vaccine (Pentacel) inpatient CPT 90698 Pentacel 0.5ml Dose	$134.40	$168.00	$13.00–$116.04	—	20%
DTaP, polio, Hib and hepatitis B combination vaccine (Vaxelis) CPT 90697 Dtap-Ipv-Hib-Hepb Vaccine Im	$176.40	$220.50	$13.00–$220.50	96% above	20%
DTaP, polio, Hib and hepatitis B combination vaccine (Vaxelis) CPT 90697 Dtap-Ipv-Hib-Hepb Vaccine Im	$176.40	$220.50	$13.00–$152.30	96% above	20%
DTaP, polio, Hib and hepatitis B combination vaccine (Vaxelis) inpatient CPT 90697 Dtap-Ipv-Hib-Hepb Vaccine Im	$176.40	$220.50	$13.00–$152.30	—	20%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 HC Fac Iiv3 Vacc No Prsv 0.5ml Im	$31.08	$38.85	$15.65	53% below	20%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 HC Fac Iiv3 Vacc No Prsv 0.5ml Im	$31.08	$38.85	$6.99–$39.11	53% below	20%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 INFLUENZA VIRUS VACC SPLIT PF 0.5 ML IM SUSY	$87.60	$109.50	$10.00–$109.50	32% above	20%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 INFLUENZA VIRUS VACC SPLIT PF 0.5 ML IM SUSY	$87.60	$109.50	$13.00–$75.63	32% above	20%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 HC Fac Iiv3 Vacc No Prsv 0.5ml Im	$31.08	$38.85	$15.65	—	20%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 INFLUENZA VIRUS VACC SPLIT PF 0.5 ML IM SUSY	$87.60	$109.50	$13.00–$75.63	—	20%
HPV vaccine, 9-valent (Gardasil 9) CPT 90651 Gardasil Hpv-9 Vaccine	$335.16	$418.95	$75.41–$289.37	32% above	20%
HPV vaccine, 9-valent (Gardasil 9) CPT 90651 Gardasil Hpv-9 Vaccine	$335.16	$418.95	$75.41–$418.95	32% above	20%
HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 Gardasil Hpv-9 Vaccine	$335.16	$418.95	$75.41–$289.37	—	20%
Hepatitis A and B combination vaccine, adult (Twinrix) CPT 90636 Twinrix Adult Dose Im Vacc	$142.80	$178.50	$13.00–$123.29	59% above	20%
Hepatitis A and B combination vaccine, adult (Twinrix) CPT 90636 Twinrix Adult Dose Im Vacc	$142.80	$178.50	$10.00–$178.50	59% above	20%
Hepatitis A and B combination vaccine, adult (Twinrix) inpatient CPT 90636 Twinrix Adult Dose Im Vacc	$142.80	$178.50	$13.00–$123.29	—	20%
Hepatitis A vaccine, adult dose CPT 90632 Havrix Hep a Im 1ml Adult	$130.20	$162.75	$13.00–$125.31	46% above	20%
Hepatitis A vaccine, adult dose CPT 90632 Havrix Hep a Im 1ml Adult	$130.20	$162.75	$10.00–$162.75	46% above	20%
Hepatitis A vaccine, adult dose CPT 90632 HEPATITIS A VACCINE 1440 EL U/ML IM SUSY	$463.40	$579.25	$71.61–$579.25	420% above	20%
Hepatitis A vaccine, adult dose CPT 90632 HEPATITIS A VACCINE 1440 EL U/ML IM SUSY	$463.40	$579.25	$71.61–$400.09	420% above	20%
Hepatitis A vaccine, adult dose inpatient CPT 90632 Havrix Hep a Im 1ml Adult	$130.20	$162.75	$13.00–$125.31	—	20%
Hepatitis A vaccine, adult dose inpatient CPT 90632 HEPATITIS A VACCINE 1440 EL U/ML IM SUSY	$463.40	$579.25	$71.61–$400.09	—	20%
Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 Hepatitis a Pediatric/Adol	$52.08	$65.10	$11.72–$44.96	30% below	20%
Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 Hepatitis a Pediatric/Adol	$52.08	$65.10	$10.00–$65.10	30% below	20%
Hepatitis A vaccine, child and teen dose (2-dose schedule) inpatient CPT 90633 Hepatitis a Pediatric/Adol	$52.08	$65.10	$11.72–$44.96	—	20%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 Hep B Vacc Adult Im Engerix 20mcg	$107.52	$134.40	$15.65	30% above	20%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 Hep B Vacc Adult Im Engerix 20mcg	$107.52	$134.40	$10.00–$134.40	30% above	20%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 Hep B Vacc Adult Im Engerix 20mcg	$107.52	$134.40	$15.65	—	20%
Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) CPT 90739 HC Fac Hepatitis B Vaccine Adult 2 Dose Im	$241.08	$301.35	$15.65–$294.52	38% above	20%
Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) CPT 90739 HC Fac Hepatitis B Vaccine Adult 2 Dose Im	$241.08	$301.35	$15.65–$301.35	38% above	20%
Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) inpatient CPT 90739 HC Fac Hepatitis B Vaccine Adult 2 Dose Im	$241.08	$301.35	$15.65–$294.52	—	20%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 State Vacc Hep B Ped/Adol	$50.40	$63.00	$10.00–$63.00	6% above	20%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 State Vacc Hep B Ped/Adol	$50.40	$63.00	$11.34–$53.85	6% above	20%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HEPATITIS B VAC RECOMBINANT 10 MCG/0.5ML IJ SUSY	$128.20	$160.25	$13.00–$110.68	170% above	20%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HEPATITIS B VAC RECOMBINANT 10 MCG/0.5ML IJ SUSY	$128.20	$160.25	$10.00–$160.25	170% above	20%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HEPATITIS B VAC RECOMBINANT 5 MCG/0.5ML IJ SUSY	$137.60	$172.00	$10.00–$172.00	190% above	20%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HEPATITIS B VAC RECOMBINANT 5 MCG/0.5ML IJ SUSY	$137.60	$172.00	$15.65	190% above	20%
Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 State Vacc Hep B Ped/Adol	$50.40	$63.00	$11.34–$53.85	—	20%
Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 HEPATITIS B VAC RECOMBINANT 10 MCG/0.5ML IJ SUSY	$128.20	$160.25	$13.00–$110.68	—	20%
Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 HEPATITIS B VAC RECOMBINANT 5 MCG/0.5ML IJ SUSY	$137.60	$172.00	$15.65	—	20%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 Acthib Prp-T Vacc 1 Dose	$42.84	$53.55	$15.65	37% above	20%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 Acthib Prp-T Vacc 1 Dose	$42.84	$53.55	$9.64–$53.55	37% above	20%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) inpatient CPT 90648 Acthib Prp-T Vacc 1 Dose	$42.84	$53.55	$15.65	—	20%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 Fluzone High Dose	$117.60	$147.00	$13.00–$146.11	35% above	20%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 Fluzone High Dose	$117.60	$147.00	$10.00–$147.00	35% above	20%
High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 Fluzone High Dose	$117.60	$147.00	$13.00–$146.11	—	20%
MMR vaccine (measles, mumps and rubella), live CPT 90707 Mmr Vacc Subq	$109.20	$136.50	$13.00–$94.28	67% above	20%
MMR vaccine (measles, mumps and rubella), live CPT 90707 Mmr Vacc Subq	$109.20	$136.50	$10.00–$136.50	67% above	20%
MMR vaccine (measles, mumps and rubella), live CPT 90707 MEASLES, MUMPS & RUBELLA VAC SC SUSR	$527.20	$659.00	$118.62–$672.25	706% above	20%
MMR vaccine (measles, mumps and rubella), live CPT 90707 MEASLES, MUMPS & RUBELLA VAC SC SUSR	$527.20	$659.00	$118.62–$464.32	706% above	20%
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 Mmr Vacc Subq	$109.20	$136.50	$13.00–$94.28	—	20%
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 MEASLES, MUMPS & RUBELLA VAC SC SUSR	$527.20	$659.00	$118.62–$464.32	—	20%
MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) CPT 90710 Mmrv Proquad Vaccine	$315.00	$393.75	$70.88–$271.96	30% above	20%
MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) CPT 90710 Mmrv Proquad Vaccine	$315.00	$393.75	$70.88–$393.75	30% above	20%
MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) inpatient CPT 90710 Mmrv Proquad Vaccine	$315.00	$393.75	$70.88–$271.96	—	20%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 Menveo	$184.80	$231.00	$13.00–$231.00	97% above	20%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 Menveo	$184.80	$231.00	$15.65	97% above	20%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENINGOCOCCAL A C Y&W-135 OLIG IM SOLN	$713.60	$892.00	$160.56–$616.10	662% above	20%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENINGOCOCCAL A C Y&W-135 OLIG IM SOLN	$713.60	$892.00	$160.56–$892.00	662% above	20%
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 Menveo	$184.80	$231.00	$15.65	—	20%
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 MENINGOCOCCAL A C Y&W-135 OLIG IM SOLN	$713.60	$892.00	$160.56–$616.10	—	20%
Meningococcal ACWY vaccine (MenQuadfi) CPT 90619 HC Fac Meningococcal (Groups a, C, Y, W) Conjugate Vaccine Solution for Intramuscular Injection (Menquadfi) .5ml Dose	$243.60	$304.50	$15.65–$2,601.00	51% below	20%
Meningococcal ACWY vaccine (MenQuadfi) CPT 90619 HC Fac Meningococcal (Groups a, C, Y, W) Conjugate Vaccine Solution for Intramuscular Injection (Menquadfi) .5ml Dose	$243.60	$304.50	$15.65–$304.50	51% below	20%
Meningococcal ACWY vaccine (MenQuadfi) inpatient CPT 90619 HC Fac Meningococcal (Groups a, C, Y, W) Conjugate Vaccine Solution for Intramuscular Injection (Menquadfi) .5ml Dose	$243.60	$304.50	$15.65–$2,601.00	—	20%
Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 Mcv-B	$262.08	$327.60	$16.61–$327.60	36% above	20%
Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 Mcv-B	$262.08	$327.60	$58.97–$226.27	36% above	20%
Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 MENINGOCOCCAL B RECOMB OMV ADJ IM SUSY	$1,061.20	$1,326.50	$238.77–$924.85	453% above	20%
Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 MENINGOCOCCAL B RECOMB OMV ADJ IM SUSY	$1,071.20	$1,339.00	$238.77–$1,339.00	458% above	20%
Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 Mcv-B	$262.08	$327.60	$58.97–$226.27	—	20%
Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 MENINGOCOCCAL B RECOMB OMV ADJ IM SUSY	$1,061.20	$1,326.50	$238.77–$924.85	—	20%
Meningococcal B vaccine (Trumenba) CPT 90621 Menb Recombinant Lipoprotein Vaccine Im	$222.60	$278.25	$14.10–$278.25	13% above	20%
Meningococcal B vaccine (Trumenba) CPT 90621 Menb Recombinant Lipoprotein Vaccine Im	$222.60	$278.25	$15.65–$192.19	13% above	20%
Meningococcal B vaccine (Trumenba) inpatient CPT 90621 Menb Recombinant Lipoprotein Vaccine Im	$222.60	$278.25	$15.65–$192.19	—	20%
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 Prevnar 13v Pneu Conj Vacc	$391.44	$489.30	$88.07–$489.30	172% above	20%
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 Prevnar 13v Pneu Conj Vacc	$391.44	$489.30	$88.07–$451.48	172% above	20%
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) inpatient CPT 90670 Prevnar 13v Pneu Conj Vacc	$391.44	$489.30	$88.07–$451.48	—	20%
Pneumonia vaccine, 15-valent conjugate (Vaxneuvance) CPT 90671 Pneumococcal Conjugate Vaccine 15-Valent (Pc15) Intramuscular	$352.80	$441.00	$79.38–$441.00	40% below	20%
Pneumonia vaccine, 15-valent conjugate (Vaxneuvance) CPT 90671 Pneumococcal Conjugate Vaccine 15-Valent (Pc15) Intramuscular	$352.80	$441.00	$79.38–$304.60	40% below	20%
Pneumonia vaccine, 15-valent conjugate (Vaxneuvance) inpatient CPT 90671 Pneumococcal Conjugate Vaccine 15-Valent (Pc15) Intramuscular	$352.80	$441.00	$79.38–$304.60	—	20%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 Prevnar20	$436.80	$546.00	$98.28–$377.12	35% above	20%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 Prevnar20	$436.80	$546.00	$98.28–$546.00	35% above	20%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PNEUMOCOCCAL 20-VAL CONJ VACC 0.5 ML IM SUSY	$1,470.40	$1,838.00	$298.04–$1,269.51	356% above	20%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PNEUMOCOCCAL 20-VAL CONJ VACC 0.5 ML IM SUSY	$1,470.40	$1,838.00	$298.04–$1,838.00	356% above	20%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 Prevnar20	$436.80	$546.00	$98.28–$377.12	—	20%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 PNEUMOCOCCAL 20-VAL CONJ VACC 0.5 ML IM SUSY	$1,470.40	$1,838.00	$298.04–$1,269.51	—	20%
Pneumonia vaccine, 21-valent conjugate (Capvaxive) CPT 90684 Pcv21 Vaccine Im	$385.56	$481.95	$86.75–$332.88	103% above	20%
Pneumonia vaccine, 21-valent conjugate (Capvaxive) CPT 90684 Pcv21 Vaccine Im	$385.56	$481.95	$86.75–$481.95	103% above	20%
Pneumonia vaccine, 21-valent conjugate (Capvaxive) inpatient CPT 90684 Pcv21 Vaccine Im	$385.56	$481.95	$86.75–$332.88	—	20%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 Pneumococcal Vacc >2 23v Subq Im	$203.28	$254.10	$13.00–$175.51	58% above	20%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 Pneumococcal Vacc >2 23v Subq Im	$203.28	$254.10	$13.00–$254.10	58% above	20%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 Pneumococcal Vacc >2 23v Subq Im	$203.28	$254.10	$13.00–$175.51	—	20%
Polio vaccine, inactivated (IPV) CPT 90713 Ipv State Vaccine	$52.08	$65.10	$10.00–$65.10	13% below	20%
Polio vaccine, inactivated (IPV) CPT 90713 Ipv State Vaccine	$52.08	$65.10	$11.72–$44.96	13% below	20%
Polio vaccine, inactivated (IPV) inpatient CPT 90713 Ipv State Vaccine	$52.08	$65.10	$11.72–$44.96	—	20%
RSV vaccine (Abrysvo), one dose for older adults or during pregnancy CPT 90678 HC Fac Abrysvo Rsv Vaccine, Bivalent, for Adults 60 Years and Older, or 32-36 Week Pregnant Women 120mcg/0.5ml	$360.36	$450.45	$81.08–$450.45	28% below	20%
RSV vaccine (Abrysvo), one dose for older adults or during pregnancy CPT 90678 HC Fac Abrysvo Rsv Vaccine, Bivalent, for Adults 60 Years and Older, or 32-36 Week Pregnant Women 120mcg/0.5ml	$360.36	$450.45	$81.08–$311.13	28% below	20%
RSV vaccine (Abrysvo), one dose for older adults or during pregnancy inpatient CPT 90678 HC Fac Abrysvo Rsv Vaccine, Bivalent, for Adults 60 Years and Older, or 32-36 Week Pregnant Women 120mcg/0.5ml	$360.36	$450.45	$81.08–$311.13	—	20%
RSV vaccine with adjuvant (Arexvy), one dose for older adults CPT 90679 HC Fac Arexvy Respiratory Syncytial Virus Vaccine Adjuvanted 60 Years and Older 120mcg/0.5ml	$336.00	$420.00	$75.60–$290.09	24% below	20%
RSV vaccine with adjuvant (Arexvy), one dose for older adults CPT 90679 HC Fac Arexvy Respiratory Syncytial Virus Vaccine Adjuvanted 60 Years and Older 120mcg/0.5ml	$336.00	$420.00	$75.60–$420.00	24% below	20%
RSV vaccine with adjuvant (Arexvy), one dose for older adults inpatient CPT 90679 HC Fac Arexvy Respiratory Syncytial Virus Vaccine Adjuvanted 60 Years and Older 120mcg/0.5ml	$336.00	$420.00	$75.60–$290.09	—	20%
Rabies vaccine, one dose CPT 90675 Rabies Vaccine, Im	$519.12	$648.90	$116.80–$648.90	13% below	20%
Rabies vaccine, one dose CPT 90675 Rabies Vaccine, Im	$519.12	$648.90	$116.80–$448.20	13% below	20%
Rabies vaccine, one dose CPT 90675 RABIES VACCINE, PCEC IM SUSR	$1,773.00	$2,216.25	$327.78–$2,216.25	196% above	20%
Rabies vaccine, one dose CPT 90675 RABIES VACCINE, PCEC IM SUSR	$1,773.00	$2,216.25	$327.78–$1,530.76	196% above	20%
Rabies vaccine, one dose CPT 90675 RABIES VIRUS VACCINE, HDC IM SUSR	$2,765.00	$3,456.25	$327.78–$2,387.23	362% above	20%
Rabies vaccine, one dose CPT 90675 RABIES VIRUS VACCINE, HDC IM SUSR	$2,765.00	$3,456.25	$327.78–$3,456.25	362% above	20%
Rabies vaccine, one dose inpatient CPT 90675 Rabies Vaccine, Im	$519.12	$648.90	$116.80–$448.20	—	20%
Rabies vaccine, one dose inpatient CPT 90675 RABIES VACCINE, PCEC IM SUSR	$1,773.00	$2,216.25	$327.78–$1,530.76	—	20%
Rabies vaccine, one dose inpatient CPT 90675 RABIES VIRUS VACCINE, HDC IM SUSR	$2,765.00	$3,456.25	$327.78–$2,387.23	—	20%
Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) CPT 90680 Rotateq Vacc Oral Liq 2ml	$113.40	$141.75	$13.00–$97.91	37% above	20%
Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) CPT 90680 Rotateq Vacc Oral Liq 2ml	$113.40	$141.75	$10.00–$141.75	37% above	20%
Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) inpatient CPT 90680 Rotateq Vacc Oral Liq 2ml	$113.40	$141.75	$13.00–$97.91	—	20%
Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 Shingrix 50mcg/0.5ml Vial	$231.84	$289.80	$15.65–$289.80	12% below	20%
Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 Shingrix 50mcg/0.5ml Vial	$231.84	$289.80	$15.65–$200.16	12% below	20%
Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 Shingrix 50mcg/0.5ml Vial	$231.84	$289.80	$15.65–$200.16	—	20%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 Td Vacc >7yrs	$46.20	$57.75	$10.00–$58.60	17% below	20%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 Td Vacc >7yrs	$46.20	$57.75	$10.40–$58.60	17% below	20%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS-DIPHTHERIA TOXOIDS TD 5-2 LF/0.5ML IM SUSP	$264.80	$331.00	$13.00–$228.62	375% above	20%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS-DIPHTHERIA TOXOIDS TD 5-2 LF/0.5ML IM SUSP	$264.80	$331.00	$13.00–$331.00	375% above	20%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 Td Vacc >7yrs	$46.20	$57.75	$10.40–$58.60	—	20%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS-DIPHTHERIA TOXOIDS TD 5-2 LF/0.5ML IM SUSP	$264.80	$331.00	$13.00–$228.62	—	20%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Adacel Tdap >7yrs	$63.84	$79.80	$13.00–$67.60	14% above	20%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Adacel Tdap >7yrs	$63.84	$79.80	$10.00–$79.80	14% above	20%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TETANUS-DIPHTH-ACELL PERTUSSIS 5-2.5-18.5 LF-MCG/0.5 IM SUSY	$239.00	$298.75	$15.65–$298.75	326% above	20%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TETANUS-DIPHTH-ACELL PERTUSSIS 5-2.5-18.5 LF-MCG/0.5 IM SUSY	$239.00	$298.75	$15.65–$206.35	326% above	20%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 Adacel Tdap >7yrs	$63.84	$79.80	$13.00–$67.60	—	20%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 TETANUS-DIPHTH-ACELL PERTUSSIS 5-2.5-18.5 LF-MCG/0.5 IM SUSY	$239.00	$298.75	$15.65–$206.35	—	20%
Typhoid vaccine, injectable (Vi polysaccharide) CPT 90691 HC Fac Typhoid Vaccine, Vicps for Im U	$156.24	$195.30	$15.65	88% above	20%
Typhoid vaccine, injectable (Vi polysaccharide) CPT 90691 HC Fac Typhoid Vaccine, Vicps for Im U	$156.24	$195.30	$10.00–$195.30	88% above	20%
Typhoid vaccine, injectable (Vi polysaccharide) inpatient CPT 90691 HC Fac Typhoid Vaccine, Vicps for Im U	$156.24	$195.30	$15.65	—	20%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Immun Admin First (Single) Perq/Subq/Im	$42.00	$52.50	$9.45–$36.26	34% below	20%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Immun Admin First (Single) Perq/Subq/Im	$42.00	$52.50	$9.45–$52.50	34% below	20%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Immunizations Admin 1 Vaccine	$149.60	$187.00	$13.36–$129.16	135% above	20%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Immunizations Admin 1 Vaccine	$149.60	$187.00	$13.36–$187.00	135% above	20%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Immun Admin First (Single) Perq/Subq/Im	$42.00	$52.50	$9.45–$36.26	—	20%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Immunizations Admin 1 Vaccine	$149.60	$187.00	$13.36–$129.16	—	20%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Immun Adm Ea Addtl Perq/Subq/Im	$26.88	$33.60	$13.68	at median	20%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Immun Adm Ea Addtl Perq/Subq/Im	$26.88	$33.60	$6.05–$33.60	at median	20%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Immunization Adm; Ea Addtl Vaccine	$88.20	$110.25	$13.36–$110.25	228% above	20%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Immunization Adm; Ea Addtl Vaccine	$88.20	$110.25	$13.36–$76.15	228% above	20%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 Immun Adm Ea Addtl Perq/Subq/Im	$26.88	$33.60	$13.68	—	20%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 Immunization Adm; Ea Addtl Vaccine	$88.20	$110.25	$13.36–$76.15	—	20%

Dental

Procedure	Cash price	List price	Insurers pay	vs Pennsylvania	Off list
Simple extraction of a tooth or exposed root that is above the gum CDT D7140 Tooth Ext Erupted- Exposed Root,Elevation and/or Forceps	$2,013.40	$2,516.75	$453.02–$2,601.00	6% above	20%
Simple extraction of a tooth or exposed root that is above the gum CDT D7140 Tooth Ext Erupted- Exposed Root,Elevation and/or Forceps	$2,013.40	$2,516.75	$453.02–$2,516.75	6% above	20%
Simple extraction of a tooth or exposed root that is above the gum inpatient CDT D7140 Tooth Ext Erupted- Exposed Root,Elevation and/or Forceps	$2,013.40	$2,516.75	$453.02–$2,601.00	—	20%

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://rca.elevatepfs.com/ptapp/api/cdm/export/oneclick?recno=363308ed28b6cde5eff1389501df9f4e2bb14309b95d91b3b4138f5f7fff26a8