Hospital Bend, OR

St. Charles Prineville

St. Charles Prineville in Prineville, OR publishes cash prices for 374 common procedures listed here, from its own machine-readable price file updated Apr 1, 2026. Compared with other hospitals in the state, its outpatient cash prices are above the Oregon median for 249 of 374 procedures and below it for 93. By typical cash price it ranks #37 of 49 Oregon hospitals, cheapest first. Select a procedure to compare it with other hospitals nearby.

384 Southeast Combs Flat Road, Prineville, Oregon 97754 Collected Sep 23, 2026 Source price file Check a bill from this hospital (541) 447-6254

Critical access hospital (rural, 25 beds or fewer) Nonprofit hospital Emergency department CMS star rating 3 of 5 CCN 381313 · CMS hospital register NPI 1710160445

Financial assistance

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

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

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

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

State law

This state limits hospital bills for lower-income patients

Oregon law (ORS 442.614) requires nonprofit hospitals to cut what patients owe for medically necessary care by 100% for household income up to 200% of the federal poverty level, and by at least 75%, 50% or 25% up to 400%. Ask the hospital for its financial assistance application. Other states' laws.

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs Oregon	Off list
Abdominal CT scan without and with contrast CPT 74170 CT scan abdomen before and after contrast	$2,270.41	$2,838.01	$173.31–$2,781.25	30% above	20%
Abdominal CT scan without and with contrast inpatient CPT 74170 CT scan abdomen before and after contrast	$2,270.41	$2,838.01	$173.31–$2,781.25	—	20%
Abdominal X-ray, 2 views CPT 74019 X-ray of abdomen, 2 views	$297.58	$371.98	$29.69–$382.63	1% above	20%
Abdominal X-ray, 2 views inpatient CPT 74019 X-ray of abdomen, 2 views	$297.58	$371.98	$29.69–$382.63	—	20%
Ankle X-ray, complete, 3 or more views CPT 73610 X-ray of ankle, minimum of 3 views	$328.80	$411.00	$29.17–$402.78	17% above	20%
Ankle X-ray, complete, 3 or more views inpatient CPT 73610 X-ray of ankle, minimum of 3 views	$328.80	$411.00	$29.17–$402.78	—	20%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 Ultrasound study of arteries of both arms and legs	$604.81	$756.01	$131.46–$756.01	16% above	20%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 Ultrasound study of arteries of both arms and legs	$604.81	$756.01	$131.46–$756.01	—	20%
Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 CT scan of arm	$1,500.75	$1,875.94	$131.06–$1,838.42	34% above	20%
Arm CT scan without contrast (shoulder to hand, any part) inpatient CPT 73200 CT scan of arm	$1,500.75	$1,875.94	$131.06–$1,838.42	—	20%
Barium swallow (esophagus X-ray with contrast) CPT 74220 X-ray of esophagus with single contrast	$558.63	$698.29	$77.14–$684.32	at median	20%
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 X-ray of esophagus with single contrast	$558.63	$698.29	$77.14–$684.32	—	20%
Bone scan, whole body (nuclear medicine) CPT 78306 Bone and/or joint imaging, whole body	$1,416.81	$1,771.01	$212.75–$1,735.59	at median	20%
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 Bone and/or joint imaging, whole body	$1,416.81	$1,771.01	$212.75–$1,735.59	—	20%
Breast ultrasound, complete, one breast CPT 76641 Ultrasound of one breast	$593.49	$741.86	$81.85–$727.02	65% above	20%
Breast ultrasound, complete, one breast inpatient CPT 76641 Ultrasound of one breast	$593.49	$741.86	$81.85–$727.02	—	20%
Breast ultrasound, limited (one breast or one area) CPT 76642 Ultrasound of one breast	$551.82	$689.78	$67.83–$675.98	82% above	20%
Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 Ultrasound of one breast	$551.82	$689.78	$67.83–$675.98	—	20%
CT angiography (CTA) of the abdomen and pelvis CPT 74174 CT scan of abdominal and pelvic blood vessels with	$1,435.83	$1,794.79	$309.90–$1,758.89	42% below	20%
CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 CT scan of abdominal and pelvic blood vessels with	$1,435.83	$1,794.79	$309.90–$1,758.89	—	20%
CT angiography (CTA) of the head CPT 70496 CT scan of blood vessel of head with contrast	$2,687.94	$3,359.93	$173.31–$3,292.73	38% above	20%
CT angiography (CTA) of the head inpatient CPT 70496 CT scan of blood vessel of head with contrast	$2,687.94	$3,359.93	$173.31–$3,292.73	—	20%
CT angiography (CTA) of the neck CPT 70498 CT scan of neck blood vessels with contrast	$2,562.86	$3,203.57	$173.31–$3,139.50	33% above	20%
CT angiography (CTA) of the neck inpatient CPT 70498 CT scan of neck blood vessels with contrast	$2,562.86	$3,203.57	$173.31–$3,139.50	—	20%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT scan of blood vessels in chest with contrast	$2,311.46	$2,889.33	$173.31–$2,831.54	26% above	20%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CT scan of blood vessels in chest with contrast	$2,311.46	$2,889.33	$173.31–$2,831.54	—	20%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CT scan of heart blood vessels and grafts with con	$1,511.83	$1,889.79	$344.71–$1,851.99	9% above	20%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 CT scan of heart blood vessels and grafts with con	$1,511.83	$1,889.79	$344.71–$1,851.99	—	20%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT scan of heart with evaluation of blood vessel c	$167.95	$209.94	$58.78–$311.03	45% above	20%
CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 CT scan of heart with evaluation of blood vessel c	$167.95	$209.94	$58.78–$311.03	—	20%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT scan of abdomen and pelvis	$3,259.75	$4,074.69	$149.29–$3,993.20	55% above	20%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT scan of abdomen and pelvis	$3,259.75	$4,074.69	$149.29–$3,993.20	—	20%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT scan of abdomen and pelvis with contrast	$3,895.24	$4,869.05	$246.27–$4,771.67	53% above	20%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT scan of abdomen and pelvis with contrast	$3,895.24	$4,869.05	$246.27–$4,771.67	—	20%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT scan of abdomen and pelvis before and after con	$4,396.12	$5,495.15	$275.80–$5,385.25	45% above	20%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT scan of abdomen and pelvis before and after con	$4,396.12	$5,495.15	$275.80–$5,385.25	—	20%
CT scan of the abdomen with contrast CPT 74160 CT scan abdomen with contrast	$2,066.32	$2,582.90	$173.31–$2,531.24	39% above	20%
CT scan of the abdomen with contrast inpatient CPT 74160 CT scan abdomen with contrast	$2,066.32	$2,582.90	$173.31–$2,531.24	—	20%
CT scan of the abdomen without contrast CPT 74150 CT scan abdomen	$1,673.48	$2,091.85	$103.30–$2,050.01	48% above	20%
CT scan of the abdomen without contrast inpatient CPT 74150 CT scan abdomen	$1,673.48	$2,091.85	$103.30–$2,050.01	—	20%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT scan of face	$1,272.74	$1,590.93	$103.30–$1,559.11	18% above	20%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT scan of face	$1,272.74	$1,590.93	$103.30–$1,559.11	—	20%
CT scan of the head or brain, no contrast dye CPT 70450 CT scan head or brain	$1,586.28	$1,982.85	$86.94–$1,943.19	57% above	20%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT scan head or brain	$1,586.28	$1,982.85	$86.94–$1,943.19	—	20%
CT scan of the head with contrast CPT 70460 CT scan head or brain with contrast	$1,779.20	$2,224.00	$120.93–$2,179.52	36% above	20%
CT scan of the head with contrast inpatient CPT 70460 CT scan head or brain with contrast	$1,779.20	$2,224.00	$120.93–$2,179.52	—	20%
CT scan of the head without and with contrast CPT 70470 CT scan head or brain before and after contrast	$2,431.38	$3,039.23	$141.29–$2,978.45	55% above	20%
CT scan of the head without and with contrast inpatient CPT 70470 CT scan head or brain before and after contrast	$2,431.38	$3,039.23	$141.29–$2,978.45	—	20%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT scan of lower spine	$2,042.37	$2,552.96	$105.51–$2,501.90	57% above	20%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT scan of lower spine	$2,042.37	$2,552.96	$105.51–$2,501.90	—	20%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT scan of upper spine	$1,887.31	$2,359.14	$103.30–$2,311.96	55% above	20%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT scan of upper spine	$1,887.31	$2,359.14	$103.30–$2,311.96	—	20%
CT scan of the pelvis, with contrast dye CPT 72193 CT scan pelvis with contrast	$2,023.93	$2,529.91	$185.18–$2,479.31	37% above	20%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT scan pelvis with contrast	$2,023.93	$2,529.91	$185.18–$2,479.31	—	20%
Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 Ultrasound scanning of blood flow (outside the bra	$1,039.98	$1,299.97	$235.75–$1,299.97	at median	20%
Carotid artery ultrasound (duplex), both sides of the neck inpatient CPT 93880 Ultrasound scanning of blood flow (outside the bra	$1,039.98	$1,299.97	$235.75–$1,299.97	—	20%
Chest CT scan without and with contrast CPT 71270 CT scan chest before and after contrast	$2,311.46	$2,889.33	$159.93–$2,831.54	24% above	20%
Chest CT scan without and with contrast inpatient CPT 71270 CT scan chest before and after contrast	$2,311.46	$2,889.33	$159.93–$2,831.54	—	20%
Chest X-ray, 2 views CPT 71046 X-ray of chest, 2 views	$327.14	$408.92	$26.99–$400.74	21% above	20%
Chest X-ray, 2 views inpatient CPT 71046 X-ray of chest, 2 views	$327.14	$408.92	$26.99–$400.74	—	20%
Chest X-ray, single view CPT 71045 X-ray of chest, 1 view	$254.21	$317.76	$20.80–$311.40	1% above	20%
Chest X-ray, single view inpatient CPT 71045 X-ray of chest, 1 view	$254.21	$317.76	$20.80–$311.40	—	20%
Collarbone (clavicle) X-ray, complete CPT 73000 X-ray of collar bone	$268.72	$335.90	$26.21–$329.18	24% above	20%
Collarbone (clavicle) X-ray, complete inpatient CPT 73000 X-ray of collar bone	$268.72	$335.90	$26.21–$329.18	—	20%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 Ultrasound behind abdominal cavity	$689.32	$861.65	$86.35–$844.42	22% above	20%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 Ultrasound behind abdominal cavity	$689.32	$861.65	$86.35–$844.42	—	20%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 Bone density measurement using dedicated X-ray mac	$525.70	$657.13	$31.59–$643.99	37% above	20%
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 Bone density measurement using dedicated X-ray mac	$525.70	$657.13	$31.59–$643.99	—	20%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 Bone density measurement using dedicated X-ray mac	$391.11	$488.89	$25.65–$479.11	63% above	20%
DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 Bone density measurement using dedicated X-ray mac	$391.11	$488.89	$25.65–$479.11	—	20%
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 Abdominal ultrasound of pregnant uterus single or	$632.26	$790.33	$142.21–$836.00	at median	20%
Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 Abdominal ultrasound of pregnant uterus single or	$632.26	$790.33	$142.21–$836.00	—	20%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT scan chest	$1,866.96	$2,333.70	$103.30–$2,287.03	53% above	20%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT scan chest	$1,866.96	$2,333.70	$103.30–$2,287.03	—	20%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT scan chest with contrast	$2,099.14	$2,623.93	$136.03–$2,571.45	37% above	20%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT scan chest with contrast	$2,099.14	$2,623.93	$136.03–$2,571.45	—	20%
Duplex ultrasound of the leg arteries, both legs CPT 93925 Ultrasound study of arteries and arterial grafts o	$1,054.99	$1,318.74	$235.75–$1,318.74	at median	20%
Duplex ultrasound of the leg arteries, both legs inpatient CPT 93925 Ultrasound study of arteries and arterial grafts o	$1,054.99	$1,318.74	$235.75–$1,318.74	—	20%
Duplex ultrasound of the leg veins, both legs CPT 93970 Ultrasound scan of veins of both arms or legs incl	$1,250.95	$1,563.69	$235.75–$1,563.69	15% above	20%
Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 Ultrasound scan of veins of both arms or legs incl	$1,250.95	$1,563.69	$235.75–$1,563.69	—	20%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 Ultrasound examination of heart including color-de	$838.86	$1,048.57	$293.60–$1,801.21	50% below	20%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 Ultrasound examination of heart including color-de	$1,867.29	$2,334.11	$539.89–$2,334.11	10% above	20%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 Ultrasound examination of heart including color-de	$1,867.29	$2,334.11	$539.89–$2,334.11	—	20%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 Ultrasound examination of heart including color-de	$1,867.29	$2,334.11	—	—	20%
Elbow X-ray, 2 views CPT 73070 X-ray of elbow, 2 views	$263.72	$329.65	$23.51–$323.06	8% above	20%
Elbow X-ray, 2 views inpatient CPT 73070 X-ray of elbow, 2 views	$263.72	$329.65	$23.51–$323.06	—	20%
Elbow X-ray, complete, 3 or more views CPT 73080 X-ray of elbow, minimum of 3 views	$356.26	$445.33	$26.20–$436.42	46% above	20%
Elbow X-ray, complete, 3 or more views inpatient CPT 73080 X-ray of elbow, minimum of 3 views	$356.26	$445.33	$26.20–$436.42	—	20%
Eye socket (orbit) CT scan without contrast CPT 70480 CT scan of cranial cavity	$1,765.38	$2,206.72	$129.41–$2,162.59	65% above	20%
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 CT scan of cranial cavity	$1,765.38	$2,206.72	$129.41–$2,162.59	—	20%
Facial bones X-ray, complete, 3 or more views CPT 70150 X-ray of bones of face, minimum of 3 views	$373.32	$466.65	$37.51–$457.32	8% above	20%
Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 X-ray of bones of face, minimum of 3 views	$373.32	$466.65	$37.51–$457.32	—	20%
Forearm X-ray (radius and ulna), 2 views CPT 73090 X-ray of forearm, 2 views	$271.74	$339.67	$23.51–$332.88	3% above	20%
Forearm X-ray (radius and ulna), 2 views inpatient CPT 73090 X-ray of forearm, 2 views	$271.74	$339.67	$23.51–$332.88	—	20%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 Imaging of liver and bile duct system	$1,254.88	$1,568.60	$233.86–$1,537.23	5% below	20%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 Imaging of liver and bile duct system	$1,254.88	$1,568.60	$233.86–$1,537.23	—	20%
Hand X-ray, 2 views CPT 73120 X-ray of hand, 2 views	$327.14	$408.92	$25.13–$400.74	34% above	20%
Hand X-ray, 2 views inpatient CPT 73120 X-ray of hand, 2 views	$327.14	$408.92	$25.13–$400.74	—	20%
Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 X-ray of heel, minimum of 2 views	$257.09	$321.36	$22.70–$314.93	25% above	20%
Heel bone (calcaneus) X-ray, 2 or more views inpatient CPT 73650 X-ray of heel, minimum of 2 views	$257.09	$321.36	$22.70–$314.93	—	20%
Knee X-ray, 3 views CPT 73562 X-ray of knee, 3 views	$311.48	$389.35	$32.68–$381.56	10% above	20%
Knee X-ray, 3 views inpatient CPT 73562 X-ray of knee, 3 views	$311.48	$389.35	$32.68–$381.56	—	20%
Knee X-ray, complete, 4 or more views CPT 73564 X-ray of knee, 4 or more views	$358.19	$447.74	$38.06–$438.79	1% above	20%
Knee X-ray, complete, 4 or more views inpatient CPT 73564 X-ray of knee, 4 or more views	$358.19	$447.74	$38.06–$438.79	—	20%
Leg CT scan without contrast (hip to foot, any part) CPT 73700 CT scan leg	$1,632.10	$2,040.12	$103.30–$1,999.32	46% above	20%
Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 CT scan leg	$1,632.10	$2,040.12	$103.30–$1,999.32	—	20%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Ultrasound of abdomen	$631.54	$789.43	$69.59–$773.64	29% above	20%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 Ultrasound of abdomen	$631.54	$789.43	$69.59–$773.64	—	20%
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 Partial ultrasound of joint or other non-blood ves	$266.87	$333.59	$51.36–$382.63	12% below	20%
Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 Partial ultrasound of joint or other non-blood ves	$266.87	$333.59	$51.36–$382.63	—	20%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 Low dose CT scan of chest for lung cancer screenin	$1,154.61	$1,443.26	$112.04–$1,414.39	289% above	20%
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 Low dose CT scan of chest for lung cancer screenin	$1,154.61	$1,443.26	$112.04–$1,414.39	—	20%
Lower leg X-ray (tibia and fibula), 2 views CPT 73590 X-ray of lower leg, 2 views	$305.30	$381.63	$25.40–$374.00	23% above	20%
Lower leg X-ray (tibia and fibula), 2 views inpatient CPT 73590 X-ray of lower leg, 2 views	$305.30	$381.63	$25.40–$374.00	—	20%
MR angiography (MRA) of the head without contrast CPT 70544 MRA scan of head blood vessels	$2,550.18	$3,187.72	$175.89–$3,123.97	36% above	20%
MR angiography (MRA) of the head without contrast inpatient CPT 70544 MRA scan of head blood vessels	$2,550.18	$3,187.72	$175.89–$3,123.97	—	20%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI scan of leg joint	$2,283.46	$2,854.32	$165.74–$2,797.23	29% above	20%
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 MRI scan of leg joint	$2,283.46	$2,854.32	$165.74–$2,797.23	—	20%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI scan of leg joint before and after contrast	$4,748.74	$5,935.92	$312.81–$5,817.20	78% above	20%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 MRI scan of leg joint before and after contrast	$4,748.74	$5,935.92	$312.81–$5,817.20	—	20%
MRI of the abdomen without contrast CPT 74181 MRI scan of abdomen	$2,885.54	$3,606.93	$159.21–$3,534.79	58% above	20%
MRI of the abdomen without contrast inpatient CPT 74181 MRI scan of abdomen	$2,885.54	$3,606.93	$159.21–$3,534.79	—	20%
MRI of the abdomen, without and then with contrast dye CPT 74183 MRI scan of abdomen before and after contrast	$4,691.80	$5,864.75	$275.26–$5,747.46	60% above	20%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MRI scan of abdomen before and after contrast	$4,691.80	$5,864.75	$275.26–$5,747.46	—	20%
MRI of the brain, no contrast dye CPT 70551 MRI scan brain	$2,344.25	$2,930.31	$160.02–$2,871.70	27% above	20%
MRI of the brain, no contrast dye inpatient CPT 70551 MRI scan brain	$2,344.25	$2,930.31	$160.02–$2,871.70	—	20%
MRI of the brain, with and without contrast dye CPT 70553 MRI scan of brain before and after contrast	$5,000.58	$6,250.73	$259.74–$6,125.72	61% above	20%
MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI scan of brain before and after contrast	$5,000.58	$6,250.73	$259.74–$6,125.72	—	20%
MRI of the lower back, no contrast dye CPT 72148 MRI scan of lower spinal canal	$2,702.55	$3,378.19	$155.70–$3,310.63	44% above	20%
MRI of the lower back, no contrast dye inpatient CPT 72148 MRI scan of lower spinal canal	$2,702.55	$3,378.19	$155.70–$3,310.63	—	20%
MRI of the lower back, without and then with contrast dye CPT 72158 MRI scan of lower spinal canal before and after co	$4,696.82	$5,871.03	$260.01–$5,753.61	58% above	20%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MRI scan of lower spinal canal before and after co	$4,696.82	$5,871.03	$260.01–$5,753.61	—	20%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI scan of middle spinal canal	$2,699.78	$3,374.72	$155.43–$3,307.23	45% above	20%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MRI scan of middle spinal canal	$2,699.78	$3,374.72	$155.43–$3,307.23	—	20%
MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI scan of upper spinal canal before and after co	$4,604.94	$5,756.17	$260.55–$5,641.05	61% above	20%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MRI scan of upper spinal canal before and after co	$4,604.94	$5,756.17	$260.55–$5,641.05	—	20%
MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI scan of upper spinal canal	$2,439.38	$3,049.23	$155.16–$2,988.25	36% above	20%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MRI scan of upper spinal canal	$2,439.38	$3,049.23	$155.16–$2,988.25	—	20%
MRI of the pelvis without and with contrast CPT 72197 MRI scan of pelvis before and after contrast	$4,691.80	$5,864.75	$274.18–$5,747.46	71% above	20%
MRI of the pelvis without and with contrast inpatient CPT 72197 MRI scan of pelvis before and after contrast	$4,691.80	$5,864.75	$274.18–$5,747.46	—	20%
MRI of the pelvis, no contrast dye CPT 72195 MRI scan of pelvis	$2,230.08	$2,787.60	$185.95–$2,731.85	24% above	20%
MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI scan of pelvis	$2,230.08	$2,787.60	$185.95–$2,731.85	—	20%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MRI scan of arm joint	$2,283.46	$2,854.32	$166.01–$2,797.23	29% above	20%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 MRI scan of arm joint	$2,283.46	$2,854.32	$166.01–$2,797.23	—	20%
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 X-ray of upper spine, 4 or 5 views	$464.24	$580.30	$43.44–$568.69	23% above	20%
Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 X-ray of upper spine, 4 or 5 views	$464.24	$580.30	$43.44–$568.69	—	20%
Neck soft tissue CT scan with contrast CPT 70491 CT scan of neck with contrast	$2,134.60	$2,668.25	$149.89–$2,614.89	45% above	20%
Neck soft tissue CT scan with contrast inpatient CPT 70491 CT scan of neck with contrast	$2,134.60	$2,668.25	$149.89–$2,614.89	—	20%
Neck soft tissue CT scan without contrast CPT 70490 CT scan of neck	$1,711.70	$2,139.62	$103.30–$2,096.83	54% above	20%
Neck soft tissue CT scan without contrast inpatient CPT 70490 CT scan of neck	$1,711.70	$2,139.62	$103.30–$2,096.83	—	20%
Neck soft tissue X-ray CPT 70360 X-ray of soft tissue of neck	$252.97	$316.21	$25.12–$311.03	1% above	20%
Neck soft tissue X-ray inpatient CPT 70360 X-ray of soft tissue of neck	$252.97	$316.21	$25.12–$311.03	—	20%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 Nuclear medicine study of vessels of heart using d	$6,283.58	$7,854.48	$339.51–$7,697.39	84% above	20%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 Nuclear medicine study of vessels of heart using d	$6,283.58	$7,854.48	$339.51–$7,697.39	—	20%
PET/CT scan from the base of the skull to mid-thigh CPT 78815 Nuclear medicine study with CT imaging skull base	$2,649.82	$3,312.28	$927.44–$5,331.87	43% below	20%
PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 Nuclear medicine study with CT imaging skull base	$2,649.82	$3,312.28	$927.44–$5,331.87	—	20%
Pelvic CT scan without contrast CPT 72192 CT scan pelvis	$1,586.28	$1,982.85	$103.30–$1,943.19	32% above	20%
Pelvic CT scan without contrast inpatient CPT 72192 CT scan pelvis	$1,586.28	$1,982.85	$103.30–$1,943.19	—	20%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US Pelvic Nonobstetric Image Dcmtn Limited/F/U	$548.95	$686.19	$40.02–$672.47	69% above	20%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 Ultrasound of pelvis	$570.31	$712.89	$40.02–$698.63	76% above	20%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US Pelvic Nonobstetric Image Dcmtn Limited/F/U	$548.95	$686.19	$40.02–$672.47	—	20%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 Ultrasound of pelvis	$570.31	$712.89	$40.02–$698.63	—	20%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 Ultrasound of pelvis	$610.56	$763.20	$84.03–$747.94	17% above	20%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 Ultrasound of pelvis	$610.56	$763.20	$84.03–$747.94	—	20%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 Abdominal ultrasound of pregnant uterus (greater o	$307.87	$384.84	$103.30–$382.63	41% below	20%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 Abdominal ultrasound of pregnant uterus (greater o	$307.87	$384.84	$103.30–$382.63	—	20%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 Abdominal ultrasound of pregnant uterus (less than	$524.85	$656.06	$93.36–$642.94	12% above	20%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 Abdominal ultrasound of pregnant uterus (less than	$524.85	$656.06	$93.36–$642.94	—	20%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 Ultrasound of pregnant uterus, 1 or more fetus(es)	$377.69	$472.11	$64.70–$462.67	6% above	20%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 Limited ultrasound of pregnant uterus	$377.69	$472.11	$64.70–$462.67	6% above	20%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 Limited ultrasound of pregnant uterus	$377.69	$472.11	$64.70–$462.67	—	20%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 Ultrasound of pregnant uterus, 1 or more fetus(es)	$377.69	$472.11	$64.70–$462.67	—	20%
Rib X-ray, one side, 2 views CPT 71100 X-ray of ribs of one side of body, 2 views	$305.00	$381.25	$29.42–$373.63	16% above	20%
Rib X-ray, one side, 2 views inpatient CPT 71100 X-ray of ribs of one side of body, 2 views	$305.00	$381.25	$29.42–$373.63	—	20%
Rib X-ray, one side, with a chest view, 3 or more views CPT 71101 X-ray of ribs on one side of body including the ch	$324.26	$405.32	$33.72–$397.21	at median	20%
Rib X-ray, one side, with a chest view, 3 or more views inpatient CPT 71101 X-ray of ribs on one side of body including the ch	$324.26	$405.32	$33.72–$397.21	—	20%
Shoulder X-ray, complete, 2 or more views CPT 73030 X-ray of shoulder, minimum of 2 views	$327.14	$408.92	$27.82–$400.74	17% above	20%
Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 X-ray of shoulder, minimum of 2 views	$327.14	$408.92	$27.82–$400.74	—	20%
Sinus X-ray, complete, 3 or more views CPT 70220 X-ray of paranasal sinus, complete, minimum of 3 v	$526.87	$658.59	$30.23–$645.42	83% above	20%
Sinus X-ray, complete, 3 or more views inpatient CPT 70220 X-ray of paranasal sinus, complete, minimum of 3 v	$526.87	$658.59	$30.23–$645.42	—	20%
Skull X-ray, fewer than 4 views CPT 70250 X-ray of skull, less than 4 views	$337.19	$421.49	$28.90–$413.06	20% above	20%
Skull X-ray, fewer than 4 views inpatient CPT 70250 X-ray of skull, less than 4 views	$337.19	$421.49	$28.90–$413.06	—	20%
Stress echocardiogram, complete, including the stress test and supervision CPT 93351 Ultrasound examination and continuous monitoring o	$387.94	$484.92	$135.78–$1,801.21	78% below	20%
Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 Ultrasound examination and continuous monitoring o	$387.94	$484.92	$135.78–$1,801.21	—	20%
Swallow study (modified barium swallow, video X-ray) CPT 74230 Imaging for evaluation of swallowing function	$566.60	$708.25	$97.96–$694.09	5% above	20%
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 Imaging for evaluation of swallowing function	$566.60	$708.25	$97.96–$694.09	—	20%
Thigh bone (femur) X-ray, 2 or more views CPT 73552 X-ray of femur, minimum 2 views	$158.41	$198.01	$28.63–$311.03	37% below	20%
Thigh bone (femur) X-ray, 2 or more views inpatient CPT 73552 X-ray of femur, minimum 2 views	$158.41	$198.01	$28.63–$311.03	—	20%
Thoracic spine (mid back) CT scan without contrast CPT 72128 CT scan of middle spine	$1,806.78	$2,258.47	$103.30–$2,213.30	49% above	20%
Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 CT scan of middle spine	$1,806.78	$2,258.47	$103.30–$2,213.30	—	20%
Toe X-ray, 2 or more views CPT 73660 X-ray of toes, minimum of 2 views	$224.78	$280.98	$23.25–$311.03	12% above	20%
Toe X-ray, 2 or more views inpatient CPT 73660 X-ray of toes, minimum of 2 views	$224.78	$280.98	$23.25–$311.03	—	20%
Transvaginal pelvic ultrasound CPT 76830 Ultrasound pelvis through vagina	$467.11	$583.89	$94.56–$572.21	at median	20%
Transvaginal pelvic ultrasound inpatient CPT 76830 Ultrasound pelvis through vagina	$467.11	$583.89	$94.56–$572.21	—	20%
Transvaginal ultrasound during pregnancy CPT 76817 Vaginal ultrasound of pregnant uterus	$628.89	$786.11	$73.57–$770.39	72% above	20%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 Vaginal ultrasound of pregnant uterus	$628.89	$786.11	$73.57–$770.39	—	20%
Ultrasound of the abdomen, complete CPT 76700 Ultrasound of abdomen	$726.28	$907.85	$92.53–$889.69	21% above	20%
Ultrasound of the abdomen, complete inpatient CPT 76700 Ultrasound of abdomen	$726.28	$907.85	$92.53–$889.69	—	20%
Ultrasound of the scrotum and testicles CPT 76870 Ultrasound of scrotum	$544.08	$680.10	$80.00–$666.50	2% above	20%
Ultrasound of the scrotum and testicles inpatient CPT 76870 Ultrasound of scrotum	$544.08	$680.10	$80.00–$666.50	—	20%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 Ultrasound of head and neck	$631.54	$789.43	$87.86–$773.64	29% above	20%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 Ultrasound of head and neck	$631.54	$789.43	$87.86–$773.64	—	20%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 X-ray of upper digestive tract with single contras	$573.74	$717.17	$96.95–$702.83	at median	20%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 X-ray of upper digestive tract with single contras	$573.74	$717.17	$96.95–$702.83	—	20%
Upper arm X-ray (humerus), 2 views CPT 73060 X-ray of upper arm, minimum of 2 views	$295.26	$369.07	$25.67–$361.69	13% above	20%
Upper arm X-ray (humerus), 2 views inpatient CPT 73060 X-ray of upper arm, minimum of 2 views	$295.26	$369.07	$25.67–$361.69	—	20%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 Ultrasound scan of veins of one arm or leg or limi	$874.72	$1,093.40	$94.93–$1,071.53	36% above	20%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 Ultrasound scan of veins of one arm or leg or limi	$874.72	$1,093.40	$94.93–$1,071.53	—	20%
Wrist X-ray, 2 views CPT 73100 X-ray of wrist, 2 views	$281.82	$352.27	$27.02–$345.22	25% above	20%
Wrist X-ray, 2 views inpatient CPT 73100 X-ray of wrist, 2 views	$281.82	$352.27	$27.02–$345.22	—	20%
Wrist X-ray, complete, 3 or more views CPT 73110 X-ray of wrist, minimum of 3 views	$324.10	$405.12	$33.22–$397.02	15% above	20%
Wrist X-ray, complete, 3 or more views inpatient CPT 73110 X-ray of wrist, minimum of 3 views	$324.10	$405.12	$33.22–$397.02	—	20%
X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 X-ray of hip with pelvis, 2-3 views	$158.41	$198.01	$38.33–$311.03	42% below	20%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient CPT 73502 X-ray of hip with pelvis, 2-3 views	$158.41	$198.01	$38.33–$311.03	—	20%
X-ray of the abdomen, 1 view CPT 74018 X-ray of abdomen, 1 view	$293.57	$366.96	$24.04–$359.62	18% above	20%
X-ray of the abdomen, 1 view inpatient CPT 74018 X-ray of abdomen, 1 view	$293.57	$366.96	$24.04–$359.62	—	20%
X-ray of the ankle, 2 views CPT 73600 X-ray of ankle, 2 views	$269.69	$337.11	$25.67–$330.37	7% above	20%
X-ray of the ankle, 2 views inpatient CPT 73600 X-ray of ankle, 2 views	$269.69	$337.11	$25.67–$330.37	—	20%
X-ray of the finger(s), 2 or more views CPT 73140 X-ray of fingers, minimum of 2 views	$224.78	$280.98	$30.81–$311.03	at median	20%
X-ray of the finger(s), 2 or more views inpatient CPT 73140 X-ray of fingers, minimum of 2 views	$224.78	$280.98	$30.81–$311.03	—	20%
X-ray of the foot, 2 views CPT 73620 X-ray of foot, 2 views	$256.66	$320.82	$22.70–$314.40	15% above	20%
X-ray of the foot, 2 views inpatient CPT 73620 X-ray of foot, 2 views	$256.66	$320.82	$22.70–$314.40	—	20%
X-ray of the foot, complete, 3 or more views CPT 73630 X-ray of foot, minimum of 3 views	$299.53	$374.41	$27.28–$366.92	11% above	20%
X-ray of the foot, complete, 3 or more views inpatient CPT 73630 X-ray of foot, minimum of 3 views	$299.53	$374.41	$27.28–$366.92	—	20%
X-ray of the hand, 3 or more views CPT 73130 X-ray of hand, minimum of 3 views	$360.96	$451.20	$29.98–$442.18	16% above	20%
X-ray of the hand, 3 or more views inpatient CPT 73130 X-ray of hand, minimum of 3 views	$360.96	$451.20	$29.98–$442.18	—	20%
X-ray of the knee, 1 or 2 views CPT 73560 X-ray of knee, 1 or 2 views	$270.84	$338.55	$27.29–$331.78	10% above	20%
X-ray of the knee, 1 or 2 views inpatient CPT 73560 X-ray of knee, 1 or 2 views	$270.84	$338.55	$27.29–$331.78	—	20%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 X-ray of lower and sacral spine, 2 or 3 views	$375.77	$469.71	$31.85–$460.32	17% above	20%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 X-ray of lower and sacral spine, 2 or 3 views	$375.77	$469.71	$31.85–$460.32	—	20%
X-ray of the lower back, 4 or more views CPT 72110 X-ray of lower and sacral spine, minimum of 4 view	$518.35	$647.94	$41.83–$634.98	29% above	20%
X-ray of the lower back, 4 or more views inpatient CPT 72110 X-ray of lower and sacral spine, minimum of 4 view	$518.35	$647.94	$41.83–$634.98	—	20%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 X-ray of middle spine, 3 views	$367.21	$459.01	$26.46–$449.83	21% above	20%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 X-ray of middle spine, 3 views	$367.21	$459.01	$26.46–$449.83	—	20%
X-ray of the nasal bones, 3 or more views CPT 70160 X-ray of bones of nose, minimum of 3 views	$288.54	$360.68	$30.25–$353.47	28% above	20%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 X-ray of bones of nose, minimum of 3 views	$288.54	$360.68	$30.25–$353.47	—	20%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 X-ray of spine of neck, 2 or 3 views	$349.68	$437.10	$31.85–$428.36	35% above	20%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 X-ray of spine of neck, 2 or 3 views	$349.68	$437.10	$31.85–$428.36	—	20%
X-ray of the pelvis, 1 or 2 views CPT 72170 X-ray of pelvis, 1 or 2 views	$295.26	$369.07	$22.42–$382.63	6% above	20%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 X-ray of pelvis, 1 or 2 views	$295.26	$369.07	$22.42–$382.63	—	20%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 X-ray of pelvis, minimum of 2 views	$329.14	$411.43	$26.20–$403.20	31% above	20%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 X-ray of pelvis, minimum of 2 views	$329.14	$411.43	$26.20–$403.20	—	20%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs Oregon	Off list
ACTH blood test CPT 82024 Adrenocorticotropic hormone (ACTH) level	$127.91	$159.89	$30.90–$159.89	at median	20%
ACTH blood test inpatient CPT 82024 Adrenocorticotropic hormone (ACTH) level	$127.91	$159.89	$30.90–$159.89	—	20%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 Liver enzyme (SGPT), level	$35.04	$43.80	$4.24–$43.80	46% above	20%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 Liver enzyme (SGPT), level	$35.04	$43.80	$4.24–$43.80	—	20%
AST (aspartate aminotransferase) enzyme test CPT 84450 Liver enzyme (SGOT), level	$35.04	$43.80	$4.14–$43.80	23% above	20%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 Liver enzyme (SGOT), level	$35.04	$43.80	$4.14–$43.80	—	20%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 Acute Hepatitis Panel	$238.38	$297.97	$38.10–$297.97	7% above	20%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 Acute hepatitis panel	$271.00	$338.75	$38.10–$338.75	22% above	20%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 Acute Hepatitis Panel	$238.38	$297.97	$38.10–$297.97	—	20%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 Acute hepatitis panel	$483.56	$604.45	—	—	20%
Albumin blood test CPT 82040 Albumin (protein) level	$9.50	$11.88	$3.33–$17.72	63% below	20%
Albumin blood test CPT 82040 Albumin (protein) level	$25.01	$31.26	$3.96–$31.26	2% below	20%
Albumin blood test CPT 82040 Albumin (Protein) Level	$46.93	$58.66	$3.96–$58.66	84% above	20%
Albumin blood test inpatient CPT 82040 Albumin (protein) level	$10.98	$13.72	—	—	20%
Albumin blood test inpatient CPT 82040 Albumin (protein) level	$25.01	$31.26	$3.96–$31.26	—	20%
Albumin blood test inpatient CPT 82040 Albumin (Protein) Level	$46.93	$58.66	$3.96–$58.66	—	20%
Aldosterone blood test CPT 82088 Aldosterone hormone level	$136.99	$171.24	$32.60–$171.24	42% above	20%
Aldosterone blood test CPT 82088 HC Pald Aldosterone, Plasma , Mayo	$148.89	$186.11	$32.60–$186.11	55% above	20%
Aldosterone blood test inpatient CPT 82088 Aldosterone hormone level	$136.99	$171.24	$32.60–$171.24	—	20%
Aldosterone blood test inpatient CPT 82088 HC Pald Aldosterone, Plasma , Mayo	$148.89	$186.11	$32.60–$186.11	—	20%
Alkaline phosphatase (ALP) blood test CPT 84075 Phosphatase (enzyme) level	$35.04	$43.80	$4.14–$43.80	39% above	20%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 Phosphatase (enzyme) level	$35.04	$43.80	$4.14–$43.80	—	20%
Allergy blood test, specific IgE, per allergen CPT 86003 86003	$14.54	$18.17	$4.18–$18.69	7% above	20%
Allergy blood test, specific IgE, per allergen CPT 86003 Measurement of antibody (IgE) to allergic substanc	$22.56	$28.20	$4.18–$28.20	66% above	20%
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Spec Ige Crude Allergen Extract Each	$22.56	$28.20	$4.18–$28.20	66% above	20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 86003	$14.54	$18.17	$4.18–$18.69	—	20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Measurement of antibody (IgE) to allergic substanc	$22.56	$28.20	$4.18–$28.20	—	20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Spec Ige Crude Allergen Extract Each	$22.56	$28.20	$4.18–$28.20	—	20%
Alpha-fetoprotein (AFP) blood test CPT 82105 Alpha-fetoprotein (AFP) level, serum	$74.78	$93.47	$13.42–$93.47	3% above	20%
Alpha-fetoprotein (AFP) blood test CPT 82105 Alpha-fetoprotein (AFP) level, serum	$99.56	$124.45	$13.42–$124.45	37% above	20%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 Alpha-fetoprotein (AFP) level, serum	$74.78	$93.47	$13.42–$93.47	—	20%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 Alpha-fetoprotein (AFP) level, serum	$112.74	$140.92	—	—	20%
Ammonia blood test CPT 82140 Ammonia level	$28.22	$35.28	$9.88–$52.16	68% below	20%
Ammonia blood test CPT 82140 Ammonia level	$98.43	$123.04	$11.66–$123.04	12% above	20%
Ammonia blood test inpatient CPT 82140 Ammonia level	$28.22	$35.28	$9.88–$52.16	—	20%
Ammonia blood test inpatient CPT 82140 Ammonia level	$327.84	$409.80	—	—	20%
Amylase blood test CPT 82150 Amylase (enzyme) level	$35.04	$43.80	$5.18–$43.80	28% below	20%
Amylase blood test inpatient CPT 82150 Amylase (enzyme) level	$35.04	$43.80	$5.18–$43.80	—	20%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Measurement of antibody for rheumatoid arthritis a	$39.85	$49.81	$10.36–$49.81	30% below	20%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 Measurement of antibody for rheumatoid arthritis a	$39.85	$49.81	$10.36–$49.81	—	20%
Antinuclear antibody (ANA) blood test, screen CPT 86038 Screening test for autoimmune disorder	$65.67	$82.09	$9.67–$82.09	4% above	20%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 Screening test for autoimmune disorder	$65.67	$82.09	$9.67–$82.09	—	20%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 Natriuretic peptide (heart and blood vessel protei	$91.82	$114.77	$31.41–$140.55	42% below	20%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 Natriuretic peptide (heart and blood vessel protei	$167.70	$209.63	$31.41–$209.63	6% above	20%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 Natriuretic peptide (heart and blood vessel protei	$91.82	$114.77	$31.41–$140.55	—	20%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 Natriuretic peptide (heart and blood vessel protei	$558.59	$698.24	—	—	20%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Bacterial culture	$52.38	$65.48	$6.90–$65.48	6% below	20%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Bacterial culture	$226.80	$283.50	—	—	20%
Basic metabolic panel (blood test) CPT 80048 Blood test, basic group of blood chemicals	$33.38	$41.72	$6.77–$41.72	30% below	20%
Basic metabolic panel (blood test) CPT 80048 Blood test, basic group of blood chemicals	$36.70	$45.88	$6.77–$45.88	24% below	20%
Basic metabolic panel (blood test) inpatient CPT 80048 Blood test, basic group of blood chemicals	$36.70	$45.88	$6.77–$45.88	—	20%
Basic metabolic panel (blood test) inpatient CPT 80048 Blood test, basic group of blood chemicals	$118.70	$148.37	—	—	20%
Bilirubin blood test, total CPT 82247 Bilirubin level	$9.50	$11.88	$3.33–$17.97	63% below	20%
Bilirubin blood test, total CPT 82247 Bilirubin level	$35.04	$43.80	$4.02–$43.80	37% above	20%
Bilirubin blood test, total inpatient CPT 82247 Bilirubin level	$9.50	$11.88	$3.33–$17.97	—	20%
Bilirubin blood test, total inpatient CPT 82247 Bilirubin level	$116.68	$145.85	—	—	20%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 Pathology examination of tissue using a microscope	$191.98	$239.98	$51.49–$239.98	3% below	20%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Pathology examination of tissue using a microscope	$191.98	$239.98	$51.49–$239.98	—	20%
Blood culture for bacteria CPT 87040 Bacterial blood culture	$110.16	$137.70	$8.26–$137.70	at median	20%
Blood culture for bacteria inpatient CPT 87040 Bacterial blood culture	$476.96	$596.20	—	—	20%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 Insertion of needle into vein for collection of bl	$13.64	$17.05	$4.77–$30.68	32% below	20%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 Insertion of needle into vein for collection of bl	$14.82	$18.53	$5.19–$30.68	26% below	20%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Insertion of needle into vein for collection of bl	$13.64	$17.05	$4.77–$30.68	—	20%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Insertion of needle into vein for collection of bl	$44.46	$55.58	—	—	20%
Blood glucose (sugar) test CPT 82947 Blood glucose (sugar) level	$20.02	$25.03	$3.14–$25.03	17% below	20%
Blood glucose (sugar) test inpatient CPT 82947 Blood glucose (sugar) level	$20.02	$25.03	$3.14–$25.03	—	20%
Blood lead test CPT 83655 HC Lead, Capillary, Filter Paper, Labcorp 791280 (	$43.67	$54.59	$9.69–$54.59	34% above	20%
Blood lead test CPT 83655 Lead level	$61.60	$77.00	$9.69–$77.00	90% above	20%
Blood lead test inpatient CPT 83655 HC Lead, Capillary, Filter Paper, Labcorp 791280 (	$43.67	$54.59	$9.69–$54.59	—	20%
Blood lead test inpatient CPT 83655 Lead level	$61.60	$77.00	$9.69–$77.00	—	20%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Gonadotropin (reproductive hormone) analysis	$42.26	$52.82	$6.02–$52.82	42% below	20%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Gonadotropin (reproductive hormone) analysis	$53.01	$66.26	$6.02–$66.26	27% below	20%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 Gonadotropin (reproductive hormone) analysis	$42.26	$52.82	$6.02–$52.82	—	20%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 Gonadotropin (reproductive hormone) analysis	$176.57	$220.71	—	—	20%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Blood group typing (ABO)	$19.65	$24.56	$2.39–$415.67	64% below	20%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 Blood group typing (ABO)	$65.44	$81.80	—	—	20%
Blood urea nitrogen (BUN) test CPT 84520 Urea nitrogen level to assess kidney function	$35.04	$43.80	$3.16–$43.80	37% above	20%
Blood urea nitrogen (BUN) test inpatient CPT 84520 Urea nitrogen level to assess kidney function	$35.04	$43.80	$3.16–$43.80	—	20%
C-peptide blood test CPT 84681 C-peptide (protein) level	$101.30	$126.63	$16.65–$126.63	13% above	20%
C-peptide blood test inpatient CPT 84681 C-peptide (protein) level	$101.30	$126.63	$16.65–$126.63	—	20%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 Measurement C-reactive protein for detection of in	$33.26	$41.57	$4.14–$41.57	13% below	20%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 Measurement C-reactive protein for detection of in	$68.50	$85.62	$4.14–$85.62	79% above	20%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 Measurement C-reactive protein for detection of in	$33.26	$41.57	$4.14–$41.57	—	20%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 Measurement C-reactive protein for detection of in	$229.79	$287.24	—	—	20%
C. difficile toxin gene test (stool PCR) CPT 87493 Detection test for clostridium difficile	$119.29	$149.11	$29.82–$149.11	24% below	20%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 Detection test for clostridium difficile	$263.92	$329.90	—	—	20%
CA 19-9 blood test (tumor marker) CPT 86301 Immunologic analysis for detection of tumor antige	$98.40	$123.00	$16.65–$123.00	4% above	20%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 Immunologic analysis for detection of tumor antige	$111.18	$138.98	—	—	20%
CA-125 blood test (ovarian cancer marker) CPT 86304 Immunologic analysis for detection of tumor antige	$114.20	$142.75	$16.65–$142.75	2% above	20%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 Immunologic analysis for detection of tumor antige	$383.03	$478.79	—	—	20%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Infectious Agent Detection by Dna/Rna, Sars-Cov-2,	$158.32	$197.90	$41.05–$197.90	32% above	20%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Sars-Cov-2 Covid-19 Amp Prb	$158.32	$197.90	$41.05–$197.90	32% above	20%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Infectious agent detection, amplified probe techni	$158.32	$197.90	$41.05–$197.90	32% above	20%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 Infectious Agent Detection by Dna/Rna, Sars-Cov-2,	$158.32	$197.90	$41.05–$197.90	—	20%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 Infectious agent detection, amplified probe techni	$158.32	$197.90	$41.05–$197.90	—	20%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 Sars-Cov-2 Covid-19 Amp Prb	$158.32	$197.90	$41.05–$197.90	—	20%
Calcium blood test, total CPT 82310 Calcium level	$9.50	$11.88	$3.33–$18.47	63% below	20%
Calcium blood test, total CPT 82310 Calcium level	$33.38	$41.72	$4.13–$41.72	31% above	20%
Calcium blood test, total inpatient CPT 82310 Calcium level	$9.50	$11.88	$3.33–$18.47	—	20%
Calcium blood test, total inpatient CPT 82310 Calcium level	$111.13	$138.91	—	—	20%
Carcinoembryonic antigen (CEA) test CPT 82378 Carcinoembryonic antigen (CEA) protein level	$98.54	$123.18	$15.17–$123.18	21% above	20%
Carcinoembryonic antigen (CEA) test CPT 82378 Carcinoembryonic antigen (CEA) protein level	$103.43	$129.29	$15.17–$129.29	27% above	20%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 Carcinoembryonic antigen (CEA) protein level	$98.54	$123.18	$15.17–$123.18	—	20%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 Carcinoembryonic antigen (CEA) protein level	$344.47	$430.59	—	—	20%
Chickenpox (varicella) immunity blood test CPT 86787 Analysis for antibody to varicella-zoster virus (c	$103.66	$129.57	$10.30–$129.57	71% above	20%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 Analysis for antibody to varicella-zoster virus (c	$103.66	$129.57	$10.30–$129.57	—	20%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Detection test for chlamydia	$110.38	$137.98	$28.07–$137.98	18% above	20%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Detection Test by Nucleic Acid for Chlamydia Trach	$129.05	$161.31	$28.07–$161.31	38% above	20%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Detection test for chlamydia	$110.38	$137.98	$28.07–$137.98	—	20%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Detection Test by Nucleic Acid for Chlamydia Trach	$129.05	$161.31	$28.07–$161.31	—	20%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Blood test, lipids (cholesterol and triglycerides)	$10.00	$10.00	$2.80–$47.94	83% below	—
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Blood test, lipids (cholesterol and triglycerides)	$36.44	$45.55	$10.71–$47.94	37% below	20%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Blood test, lipids (cholesterol and triglycerides)	$10.00	$10.00	$2.80–$47.94	—	—
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Blood test, lipids (cholesterol and triglycerides)	$121.34	$151.68	—	—	20%
Complete blood count (CBC) with differential CPT 85025 Complete blood cell count (red cells, white blood	$24.60	$30.75	$6.22–$30.75	40% below	20%
Complete blood count (CBC) with differential CPT 85025 Complete blood cell count (red cells, white blood	$27.05	$33.81	$6.22–$33.81	35% below	20%
Complete blood count (CBC) with differential inpatient CPT 85025 Complete blood cell count (red cells, white blood	$27.05	$33.81	$6.22–$33.81	—	20%
Complete blood count (CBC) with differential inpatient CPT 85025 Complete blood cell count (red cells, white blood	$139.60	$174.50	—	—	20%
Complete blood count (CBC), no differential CPT 85027 Complete blood cell count (red cells, white blood	$30.86	$38.58	$5.18–$38.58	at median	20%
Complete blood count (CBC), no differential inpatient CPT 85027 Complete blood cell count (red cells, white blood	$102.80	$128.50	—	—	20%
Comprehensive metabolic panel (blood test) CPT 80053 Blood test, comprehensive group of blood chemicals	$26.66	$33.33	$8.45–$33.33	52% below	20%
Comprehensive metabolic panel (blood test) CPT 80053 Blood test, comprehensive group of blood chemicals	$33.90	$42.38	$8.45–$42.38	39% below	20%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 Blood test, comprehensive group of blood chemicals	$26.66	$33.33	$8.45–$33.33	—	20%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 Blood test, comprehensive group of blood chemicals	$150.40	$188.00	—	—	20%
Cortisol blood test, total CPT 82533 Cortisol (hormone) measurement	$82.12	$102.65	$13.04–$102.65	at median	20%
Cortisol blood test, total CPT 82533 Cortisol (hormone) measurement	$84.20	$105.25	$13.04–$105.25	3% above	20%
Cortisol blood test, total inpatient CPT 82533 Cortisol (hormone) measurement	$82.12	$102.65	$13.04–$102.65	—	20%
Cortisol blood test, total inpatient CPT 82533 Cortisol (hormone) measurement	$280.40	$350.50	—	—	20%
Creatine kinase (CK) blood test, total CPT 82550 Creatine kinase (cardiac enzyme) level	$9.68	$12.10	$3.57–$23.31	77% below	20%
Creatine kinase (CK) blood test, total CPT 82550 Creatine kinase (cardiac enzyme) level	$32.79	$40.99	$5.21–$40.99	24% below	20%
Creatine kinase (CK) blood test, total inpatient CPT 82550 Creatine kinase (cardiac enzyme) level	$9.68	$12.10	$3.57–$23.31	—	20%
Creatine kinase (CK) blood test, total inpatient CPT 82550 Creatine kinase (cardiac enzyme) level	$109.20	$136.50	—	—	20%
Creatinine blood test CPT 82565 Blood creatinine level	$9.50	$11.88	$3.33–$18.33	62% below	20%
Creatinine blood test CPT 82565 Blood creatinine level	$32.79	$40.99	$4.10–$40.99	32% above	20%
Creatinine blood test inpatient CPT 82565 Blood creatinine level	$9.50	$11.88	$3.33–$18.33	—	20%
Creatinine blood test inpatient CPT 82565 Blood creatinine level	$109.20	$136.50	—	—	20%
Cytomegalovirus (CMV) antibody test CPT 86644 Analysis for antibody to Cytomegalovirus (CMV)	$97.42	$121.77	$11.51–$121.77	56% above	20%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 Analysis for antibody to Cytomegalovirus (CMV)	$97.42	$121.77	$11.51–$121.77	—	20%
D-dimer blood test (blood clot marker) CPT 85379 Coagulation function measurement	$57.53	$71.91	$8.14–$71.91	56% below	20%
D-dimer blood test (blood clot marker) CPT 85379 Coagulation function measurement	$64.54	$80.68	$8.14–$80.68	50% below	20%
D-dimer blood test (blood clot marker) inpatient CPT 85379 Coagulation function measurement	$57.53	$71.91	$8.14–$71.91	—	20%
D-dimer blood test (blood clot marker) inpatient CPT 85379 Coagulation function measurement	$215.02	$268.78	—	—	20%
DHEA sulfate (DHEA-S) blood test CPT 82627 Dehydroepiandrosterone (DHEA-S) hormone level	$29.10	$36.38	$10.19–$79.58	66% below	20%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 Dehydroepiandrosterone (DHEA-S) hormone level	$29.10	$36.38	$10.19–$79.58	—	20%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Drug Test Presumptive Chemical Analyzers	$40.00	$50.00	$14.00–$222.46	31% below	20%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Testing for presence of drug	$69.02	$86.27	$24.16–$222.46	20% above	20%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Testing for presence of drug	$99.36	$124.20	$34.78–$222.46	72% above	20%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Drug Test Presumptive Chemical Analyzers	$40.00	$50.00	$14.00–$222.46	—	20%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Testing for presence of drug	$69.02	$86.27	$24.16–$222.46	—	20%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Testing for presence of drug	$409.49	$511.86	—	—	20%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 Blood test panel for electrolytes (sodium potassiu	$28.35	$35.44	$5.61–$35.44	21% below	20%
Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 Blood test panel for electrolytes (sodium potassiu	$28.35	$35.44	$5.61–$35.44	—	20%
Epstein-Barr virus (EBV) antibody test CPT 86665 Analysis for antibody to Epstein-Barr virus (monon	$85.71	$107.14	$14.51–$107.14	15% above	20%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 Analysis for antibody to Epstein-Barr virus (monon	$85.71	$107.14	$14.51–$107.14	—	20%
Estradiol blood test CPT 82670 Estradiol (hormone) level	$121.60	$152.00	$22.35–$152.00	9% above	20%
Estradiol blood test inpatient CPT 82670 Estradiol (hormone) level	$121.60	$152.00	$22.35–$152.00	—	20%
FSH (follicle-stimulating hormone) test CPT 83001 Gonadotropin, follicle stimulating (reproductive h	$85.74	$107.17	$14.86–$107.17	7% above	20%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 Gonadotropin, follicle stimulating (reproductive h	$85.74	$107.17	$14.86–$107.17	—	20%
Fecal calprotectin (stool inflammation test) CPT 83993 Stool calprotectin (protein) level	$96.08	$120.10	$15.70–$120.10	19% below	20%
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 Stool calprotectin (protein) level	$96.08	$120.10	$15.70–$120.10	—	20%
Ferritin blood test (iron stores) CPT 82728 Ferritin (blood protein) level	$42.26	$52.82	$10.90–$52.82	25% below	20%
Ferritin blood test (iron stores) CPT 82728 Ferritin (blood protein) level	$62.63	$78.29	$10.90–$78.29	12% above	20%
Ferritin blood test (iron stores) inpatient CPT 82728 Ferritin (blood protein) level	$62.63	$78.29	$10.90–$78.29	—	20%
Ferritin blood test (iron stores) inpatient CPT 82728 Ferritin (blood protein) level	$140.74	$175.93	—	—	20%
Fibrinogen blood test CPT 85384 Fibrinogen (factor 1) activity measurement	$28.75	$35.94	$7.78–$35.94	55% below	20%
Fibrinogen blood test CPT 85384 Fibrinogen (factor 1) activity measurement	$93.09	$116.36	$7.78–$116.36	45% above	20%
Fibrinogen blood test inpatient CPT 85384 Fibrinogen (factor 1) activity measurement	$28.75	$35.94	$7.78–$35.94	—	20%
Fibrinogen blood test inpatient CPT 85384 Fibrinogen (factor 1) activity measurement	$310.02	$387.53	—	—	20%
Folate (folic acid) blood test CPT 82746 Folic acid level	$72.84	$91.05	$11.76–$91.05	17% below	20%
Folate (folic acid) blood test inpatient CPT 82746 Folic acid level	$242.65	$303.31	—	—	20%
Free T3 thyroid hormone test CPT 84481 Thyroid hormone, T3 measurement	$44.46	$55.57	$13.55–$60.65	39% below	20%
Free T3 thyroid hormone test inpatient CPT 84481 Thyroid hormone, T3 measurement	$44.46	$55.57	$13.55–$60.65	—	20%
Free T4 (free thyroxine) thyroid blood test CPT 84439 Thyroxine (thyroid chemical) measurement	$31.68	$39.60	$7.22–$39.60	31% below	20%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 Thyroxine (thyroid chemical) measurement	$105.54	$131.93	—	—	20%
Free testosterone test CPT 84402 Testosterone (hormone) level	$140.61	$175.76	$20.38–$175.76	132% above	20%
Free testosterone test inpatient CPT 84402 Testosterone (hormone) level	$140.61	$175.76	$20.38–$175.76	—	20%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 Glutamyltransferase (liver enzyme) level	$35.04	$43.80	$5.76–$43.80	17% above	20%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 Glutamyltransferase (liver enzyme) level	$35.04	$43.80	$5.76–$43.80	—	20%
General health panel: metabolic panel, blood count and TSH in one order CPT 80050 General health panel	$111.88	$139.85	$36.75–$145.56	51% below	20%
General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 General health panel	$111.88	$139.85	$36.75–$145.56	—	20%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 Blood glucose (sugar) level after receiving dose o	$41.70	$52.12	$3.80–$52.12	21% above	20%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 Blood glucose (sugar) level after receiving dose o	$41.70	$52.12	$3.80–$52.12	—	20%
Glucose tolerance test, 3 samples CPT 82951 Blood glucose (sugar) tolerance test	$78.39	$97.99	$10.30–$97.99	at median	20%
Glucose tolerance test, 3 samples inpatient CPT 82951 Blood glucose (sugar) tolerance test	$78.39	$97.99	$10.30–$97.99	—	20%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Detection test for Neisseria gonorrhoeae (gonorrho	$110.38	$137.98	$28.07–$137.98	18% above	20%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Detection Test by Nucleic Acid for Neisseria Gonor	$128.53	$160.66	$28.07–$160.66	37% above	20%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 Detection test for Neisseria gonorrhoeae (gonorrho	$110.38	$137.98	$28.07–$137.98	—	20%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 Detection Test by Nucleic Acid for Neisseria Gonor	$128.53	$160.66	$28.07–$160.66	—	20%
H. pylori antibody blood test CPT 86677 Analysis for antibody to Helicobacter pylori (gast	$77.72	$97.15	$13.48–$97.15	1% above	20%
H. pylori antibody blood test inpatient CPT 86677 Analysis for antibody to Helicobacter pylori (gast	$77.72	$97.15	$13.48–$97.15	—	20%
H. pylori stool antigen test CPT 87338 Qualitative or semiquantitative detection test for	$71.80	$89.75	$11.50–$89.75	at median	20%
H. pylori stool antigen test inpatient CPT 87338 Qualitative or semiquantitative detection test for	$71.80	$89.75	$11.50–$89.75	—	20%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 Detection test for HIV-1 virus	$219.20	$274.00	$68.08–$304.66	17% below	20%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 Detection test for HIV-1 virus	$219.20	$274.00	$68.08–$304.66	—	20%
HIV-1 and HIV-2 antibody test CPT 86703 Analysis for antibody to HIV-1 and HIV-2 virus	$57.51	$71.89	$10.97–$71.89	13% below	20%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 Analysis for antibody to HIV-1 and HIV-2 virus	$57.51	$71.89	$10.97–$71.89	—	20%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 Detection test by immunoassay technique for HIV-1	$55.52	$69.40	$19.26–$86.21	30% below	20%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 Detection test for HIV-1 and HIV-2	$84.20	$105.25	$19.26–$105.25	6% above	20%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 Detection test by immunoassay technique for HIV-1	$55.52	$69.40	$19.26–$86.21	—	20%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 Detection test for HIV-1 and HIV-2	$364.55	$455.69	—	—	20%
HPV test for high-risk types, one combined (pooled) result CPT 87624 Detection test for human papillomavirus (hpv)	$53.06	$66.32	$18.57–$125.62	39% below	20%
HPV test for high-risk types, one combined (pooled) result CPT 87624 Detection test by nucleic acid for human papilloma	$117.17	$146.46	$28.07–$146.46	34% above	20%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 Detection test for human papillomavirus (hpv)	$53.06	$66.32	$18.57–$125.62	—	20%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 Detection test by nucleic acid for human papilloma	$117.17	$146.46	$28.07–$146.46	—	20%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hemoglobin A1C level	$41.70	$52.12	$7.77–$52.12	13% below	20%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hemoglobin A1C level	$45.52	$56.90	$7.77–$56.90	5% below	20%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 Hemoglobin A1C level	$45.52	$56.90	$7.77–$56.90	—	20%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 Hemoglobin A1C level	$138.90	$173.62	—	—	20%
Hemoglobin blood test CPT 85018 Hemoglobin measurement	$23.78	$29.73	$1.90–$29.73	36% above	20%
Hemoglobin blood test CPT 85018 Hemoglobin measurement	$23.78	$29.73	$1.90–$29.73	36% above	20%
Hemoglobin blood test inpatient CPT 85018 Hemoglobin measurement	$23.78	$29.73	$1.90–$29.73	—	20%
Hemoglobin blood test inpatient CPT 85018 Hemoglobin measurement	$79.21	$99.01	—	—	20%
Hepatitis B core antibody test (total) CPT 86704 Hepatitis B core antibody measurement	$70.59	$88.24	$9.64–$88.24	9% above	20%
Hepatitis B core antibody test (total) inpatient CPT 86704 Hepatitis B core antibody measurement	$236.78	$295.98	—	—	20%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Hepatitis B surface antibody measurement	$62.91	$78.64	$8.59–$78.64	at median	20%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 Hepatitis B surface antibody measurement	$211.02	$263.77	—	—	20%
Hepatitis B surface antigen (HBsAg) test CPT 87340 Detection test for Hepatitis B surface antigen	$26.90	$33.63	$8.26–$36.98	51% below	20%
Hepatitis B surface antigen (HBsAg) test CPT 87340 Detection test for Hepatitis B surface antigen	$66.43	$83.04	$8.26–$83.04	20% above	20%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 Detection test for Hepatitis B surface antigen	$26.90	$33.63	$8.26–$36.98	—	20%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 Detection test for Hepatitis B surface antigen	$287.70	$359.63	—	—	20%
Hepatitis C antibody blood test (screening) CPT 86803 Hepatitis C antibody measurement	$78.56	$98.20	$11.42–$98.20	7% above	20%
Hepatitis C antibody blood test (screening) CPT 86803 Hepatitis C antibody measurement	$82.86	$103.58	$11.42–$103.58	13% above	20%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 Hepatitis C antibody measurement	$78.56	$98.20	$11.42–$98.20	—	20%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 Hepatitis C antibody measurement	$277.94	$347.43	—	—	20%
Hepatitis C viral load (HCV RNA) test CPT 87522 Detection test for Hepatitis C virus	$196.05	$245.06	$34.27–$245.06	at median	20%
Hepatitis C viral load (HCV RNA) test CPT 87522 Detection test for Hepatitis C virus	$233.79	$292.24	$34.27–$292.24	19% above	20%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 Detection test for Hepatitis C virus	$233.79	$292.24	$34.27–$292.24	—	20%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 Detection test for Hepatitis C virus	$785.11	$981.39	—	—	20%
Herpes blood test, HSV-1 antibody CPT 86695 Analysis for antibody to Herpes simplex virus, typ	$72.63	$90.79	$10.55–$90.79	24% above	20%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 Analysis for antibody to Herpes simplex virus, typ	$72.63	$90.79	$10.55–$90.79	—	20%
Herpes blood test, HSV-2 antibody CPT 86696 Analysis for antibody to Herpes simplex virus, typ	$72.63	$90.79	$15.48–$90.79	at median	20%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 Analysis for antibody to Herpes simplex virus, typ	$72.63	$90.79	$15.48–$90.79	—	20%
High-sensitivity CRP (hs-CRP) test CPT 86141 Measurement C-reactive protein for detection of in	$64.02	$80.03	$10.36–$80.03	5% above	20%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 Measurement C-reactive protein for detection of in	$64.02	$80.03	$10.36–$80.03	—	20%
Homocysteine blood test CPT 83090 Homocysteine (amino acid) level	$121.60	$152.00	$14.34–$152.00	44% above	20%
Homocysteine blood test inpatient CPT 83090 Homocysteine (amino acid) level	$121.60	$152.00	$14.34–$152.00	—	20%
Insulin blood test CPT 83525 Insulin measurement	$59.23	$74.04	$9.14–$74.04	8% above	20%
Insulin blood test inpatient CPT 83525 Insulin measurement	$59.23	$74.04	$9.14–$74.04	—	20%
Iron blood test (serum iron) CPT 83540 Iron level	$9.50	$11.88	$3.33–$23.16	77% below	20%
Iron blood test (serum iron) CPT 83540 Iron level	$34.97	$43.71	$5.18–$43.71	14% below	20%
Iron blood test (serum iron) inpatient CPT 83540 Iron level	$9.50	$11.88	$3.33–$23.16	—	20%
Iron blood test (serum iron) inpatient CPT 83540 Iron level	$116.47	$145.59	—	—	20%
Kidney function blood test panel CPT 80069 Kidney function blood test panel	$33.38	$41.72	$6.94–$41.72	30% below	20%
Kidney function blood test panel inpatient CPT 80069 Kidney function blood test panel	$111.13	$138.91	—	—	20%
LH (luteinizing hormone) test CPT 83002 Gonadotropin, luteinizing (reproductive hormone) l	$93.54	$116.93	$14.82–$116.93	15% above	20%
LH (luteinizing hormone) test inpatient CPT 83002 Gonadotropin, luteinizing (reproductive hormone) l	$93.54	$116.93	$14.82–$116.93	—	20%
Lactate (lactic acid) blood test CPT 83605 Lactic acid level	$60.06	$75.07	$9.26–$75.07	19% below	20%
Lactate (lactic acid) blood test CPT 83605 Lactic acid level	$60.06	$75.07	$9.26–$75.07	19% below	20%
Lactate (lactic acid) blood test inpatient CPT 83605 Lactic acid level	$60.06	$75.07	$9.26–$75.07	—	20%
Lactate (lactic acid) blood test inpatient CPT 83605 Lactic acid level	$200.03	$250.04	—	—	20%
Lactate dehydrogenase (LDH) blood test CPT 83615 Lactate dehydrogenase (enzyme) level	$9.50	$11.88	$3.33–$21.62	70% below	20%
Lactate dehydrogenase (LDH) blood test CPT 83615 Lactate dehydrogenase (enzyme) level	$35.04	$43.80	$4.83–$43.80	12% above	20%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 Lactate dehydrogenase (enzyme) level	$9.50	$11.88	$3.33–$21.62	—	20%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 Lactate dehydrogenase (enzyme) level	$116.68	$145.85	—	—	20%
Lipase blood test (pancreas enzyme) CPT 83690 Lipase (fat enzyme) level	$48.38	$60.47	$5.51–$60.47	24% below	20%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 Lipase (fat enzyme) level	$161.12	$201.40	—	—	20%
Liver function blood test panel CPT 80076 Liver function blood test panel	$33.38	$41.72	$6.54–$41.72	20% below	20%
Liver function blood test panel inpatient CPT 80076 Liver function blood test panel	$111.13	$138.91	—	—	20%
Lyme disease antibody test CPT 86618 Analysis for antibody Borrelia burgdorferi (Lyme d	$43.66	$54.57	$13.62–$60.97	33% below	20%
Lyme disease antibody test CPT 86618 HC Slyme Lyme Ab, Modified 2-Tier, Eia, S, Mayo	$106.99	$133.74	$13.62–$133.74	63% above	20%
Lyme disease antibody test inpatient CPT 86618 Analysis for antibody Borrelia burgdorferi (Lyme d	$43.66	$54.57	$13.62–$60.97	—	20%
Lyme disease antibody test inpatient CPT 86618 HC Slyme Lyme Ab, Modified 2-Tier, Eia, S, Mayo	$106.99	$133.74	$13.62–$133.74	—	20%
Magnesium blood test CPT 83735 Magnesium level	$35.04	$43.80	$5.36–$43.80	2% above	20%
Magnesium blood test CPT 83735 Magnesium level	$36.36	$45.45	$5.36–$45.45	5% above	20%
Magnesium blood test inpatient CPT 83735 Magnesium level	$36.36	$45.45	$5.36–$45.45	—	20%
Magnesium blood test inpatient CPT 83735 Magnesium level	$116.68	$145.85	—	—	20%
Measles (rubeola) antibody test CPT 86765 HC Measles (Rubeola) Ab Igg	$76.63	$95.79	$10.30–$95.79	29% above	20%
Measles (rubeola) antibody test CPT 86765 Analysis for antibody to Rubeola (measles virus)	$77.60	$97.00	$10.30–$97.00	31% above	20%
Measles (rubeola) antibody test inpatient CPT 86765 HC Measles (Rubeola) Ab Igg	$76.63	$95.79	$10.30–$95.79	—	20%
Measles (rubeola) antibody test inpatient CPT 86765 Analysis for antibody to Rubeola (measles virus)	$77.60	$97.00	$10.30–$97.00	—	20%
Mono test (heterophile antibody, Monospot) CPT 86308 Screening test for mononucleosis (mono)	$42.17	$52.71	$4.14–$52.71	15% below	20%
Mono test (heterophile antibody, Monospot) CPT 86308 Screening test for mononucleosis (mono)	$42.17	$52.71	$4.14–$52.71	15% below	20%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 Screening test for mononucleosis (mono)	$42.17	$52.71	$4.14–$52.71	—	20%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 Screening test for mononucleosis (mono)	$141.45	$176.81	—	—	20%
Mumps immunity blood test CPT 86735 Analysis for antibody to mumps virus	$45.48	$56.85	$10.44–$56.85	7% below	20%
Mumps immunity blood test CPT 86735 Antibody; mumps	$62.70	$78.37	$10.44–$78.37	29% above	20%
Mumps immunity blood test CPT 86735 HC Mumps Ab Igg	$76.63	$95.79	$10.44–$95.79	57% above	20%
Mumps immunity blood test inpatient CPT 86735 Analysis for antibody to mumps virus	$45.48	$56.85	$10.44–$56.85	—	20%
Mumps immunity blood test inpatient CPT 86735 Antibody; mumps	$62.70	$78.37	$10.44–$78.37	—	20%
Mumps immunity blood test inpatient CPT 86735 HC Mumps Ab Igg	$76.63	$95.79	$10.44–$95.79	—	20%
Obstetric blood test panel CPT 80055 Obstetric blood test panel	$275.18	$343.98	$38.25–$343.98	59% above	20%
Obstetric blood test panel inpatient CPT 80055 Obstetric blood test panel	$275.18	$343.98	$38.25–$343.98	—	20%
PSA (prostate-specific antigen) blood test, free CPT 84154 PSA (prostate specific antigen) measurement	$133.45	$166.81	$14.71–$166.81	75% above	20%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PSA (prostate specific antigen) measurement	$133.45	$166.81	$14.71–$166.81	—	20%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA (prostate specific antigen) measurement	$58.30	$72.88	$14.71–$72.88	23% below	20%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA (prostate specific antigen) measurement	$67.02	$83.77	$14.71–$83.77	11% below	20%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA (prostate specific antigen) measurement	$58.30	$72.88	$14.71–$72.88	—	20%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA (prostate specific antigen) measurement	$223.26	$279.07	—	—	20%
Parathyroid hormone (PTH) blood test CPT 83970 HC Pth2 Parathyroid Hormone (Pth), Mayo	$104.18	$130.23	$33.02–$147.78	37% below	20%
Parathyroid hormone (PTH) blood test CPT 83970 Parathormone (parathyroid hormone) level	$118.44	$148.05	$33.02–$148.05	29% below	20%
Parathyroid hormone (PTH) blood test CPT 83970 Parathormone (parathyroid hormone) level	$856.89	$1,071.11	$33.02–$1,071.11	417% above	20%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 HC Pth2 Parathyroid Hormone (Pth), Mayo	$104.18	$130.23	$33.02–$147.78	—	20%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 Parathormone (parathyroid hormone) level	$394.50	$493.13	—	—	20%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 Parathormone (parathyroid hormone) level	$856.89	$1,071.11	$33.02–$1,071.11	—	20%
Partial thromboplastin time (PTT) clotting test CPT 85730 Coagulation assessment blood test	$20.34	$25.43	$4.81–$25.43	63% below	20%
Partial thromboplastin time (PTT) clotting test CPT 85730 Coagulation assessment blood test	$54.05	$67.56	$4.81–$67.56	1% below	20%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Coagulation assessment blood test	$20.34	$25.43	$4.81–$25.43	—	20%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Coagulation assessment blood test	$180.02	$225.03	—	—	20%
Phosphorus (phosphate) blood test CPT 84100 Phosphate level	$24.24	$30.30	$3.79–$30.30	19% below	20%
Phosphorus (phosphate) blood test CPT 84100 Phosphate level	$35.04	$43.80	$3.79–$43.80	17% above	20%
Phosphorus (phosphate) blood test inpatient CPT 84100 Phosphate level	$24.24	$30.30	$3.79–$30.30	—	20%
Phosphorus (phosphate) blood test inpatient CPT 84100 Phosphate level	$116.68	$145.85	—	—	20%
Potassium blood test CPT 84132 Blood potassium level	$32.74	$40.92	$3.81–$40.92	51% above	20%
Potassium blood test CPT 84132 Blood potassium level	$32.74	$40.92	$3.81–$40.92	51% above	20%
Potassium blood test inpatient CPT 84132 Blood potassium level	$32.74	$40.92	$3.81–$40.92	—	20%
Potassium blood test inpatient CPT 84132 Blood potassium level	$109.03	$136.29	—	—	20%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 Test for detecting genes associated with fetal dis	$1,529.02	$1,911.28	$535.16–$2,717.40	11% above	20%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) inpatient CPT 81420 Test for detecting genes associated with fetal dis	$1,529.02	$1,911.28	$535.16–$2,717.40	—	20%
Progesterone blood test CPT 84144 Progesterone (reproductive hormone) level	$106.01	$132.51	$16.69–$132.51	at median	20%
Progesterone blood test inpatient CPT 84144 Progesterone (reproductive hormone) level	$106.01	$132.51	$16.69–$132.51	—	20%
Prolactin blood test CPT 84146 Prolactin (milk producing hormone) level	$96.66	$120.82	$15.50–$120.82	8% above	20%
Prolactin blood test inpatient CPT 84146 Prolactin (milk producing hormone) level	$96.66	$120.82	$15.50–$120.82	—	20%
Prothrombin time (PT/INR) clotting test CPT 85610 Blood test, clotting time	$28.86	$36.07	$3.43–$36.07	3% above	20%
Prothrombin time (PT/INR) clotting test CPT 85610 Blood test, clotting time	$30.02	$37.53	$3.43–$37.53	7% above	20%
Prothrombin time (PT/INR) clotting test CPT 85610 HC Prothrombin Time	$31.74	$39.68	$3.43–$39.68	13% above	20%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Blood test, clotting time	$30.02	$37.53	$3.43–$37.53	—	20%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC Prothrombin Time	$31.74	$39.68	$3.43–$39.68	—	20%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Blood test, clotting time	$96.09	$120.11	—	—	20%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 Testing for presence of drug	$67.57	$84.46	$10.08–$84.46	at median	20%
Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 Testing for presence of drug	$67.57	$84.46	$10.08–$84.46	—	20%
Rapid flu test (influenza antigen) CPT 87804 Detection test for influenza virus	$80.93	$101.16	$13.24–$101.16	10% above	20%
Rapid flu test (influenza antigen) inpatient CPT 87804 Detection test for influenza virus	$80.93	$101.16	$13.24–$101.16	—	20%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 Strep test (Streptococcus, group A)	$44.09	$55.11	$13.22–$59.18	19% below	20%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 Strep test (Streptococcus, group A)	$44.09	$55.11	$13.22–$59.18	—	20%
Renin blood test CPT 84244 Renin (kidney enzyme) level	$124.66	$155.82	$17.59–$155.82	80% above	20%
Renin blood test inpatient CPT 84244 Renin (kidney enzyme) level	$124.66	$155.82	$17.59–$155.82	—	20%
Rh blood typing CPT 86901 Blood typing for Rh (D) antigen	$19.65	$24.56	$2.39–$121.58	53% below	20%
Rh blood typing inpatient CPT 86901 Blood typing for Rh (D) antigen	$65.44	$81.80	—	—	20%
Rheumatoid factor (RF) test CPT 86431 Rheumatoid factor level	$43.98	$54.97	$4.54–$54.97	6% above	20%
Rheumatoid factor (RF) test inpatient CPT 86431 Rheumatoid factor level	$43.98	$54.97	$4.54–$54.97	—	20%
Rubella antibody test (immunity check) CPT 86762 Analysis for antibody to Rubella (German measles v	$59.10	$73.88	$11.51–$73.88	30% above	20%
Rubella antibody test (immunity check) inpatient CPT 86762 Analysis for antibody to Rubella (German measles v	$59.10	$73.88	$11.51–$73.88	—	20%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 Red blood cell sedimentation rate, to detect infla	$23.86	$29.82	$2.16–$29.82	15% below	20%
Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 Red blood cell sedimentation rate, to detect infla	$79.43	$99.29	—	—	20%
Semen analysis: volume, sperm count, motility and morphology CPT 89320 Semen evaluation volume, sperm count, motility and	$135.13	$168.91	$10.22–$168.91	39% above	20%
Semen analysis: volume, sperm count, motility and morphology inpatient CPT 89320 Semen evaluation volume, sperm count, motility and	$135.13	$168.91	$10.22–$168.91	—	20%
Sodium blood test CPT 84295 Blood sodium level	$35.04	$43.80	$3.85–$43.80	35% above	20%
Sodium blood test CPT 84295 Blood sodium level	$35.04	$43.80	$3.85–$43.80	35% above	20%
Sodium blood test inpatient CPT 84295 Blood sodium level	$35.04	$43.80	$3.85–$43.80	—	20%
Sodium blood test inpatient CPT 84295 Blood sodium level	$116.68	$145.85	—	—	20%
Stool ova and parasites exam CPT 87177 Smear for parasites	$63.62	$79.53	$7.12–$79.53	18% above	20%
Stool ova and parasites exam inpatient CPT 87177 Smear for parasites	$63.62	$79.53	$7.12–$79.53	—	20%
Stool test for hidden blood (guaiac FOBT) CPT 82270 Stool analysis for blood to screen for colon tumor	$53.38	$66.72	$3.50–$66.72	55% above	20%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 Stool analysis for blood to screen for colon tumor	$53.38	$66.72	$3.50–$66.72	—	20%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 Stool analysis for blood	$53.38	$66.72	$12.74–$66.72	4% below	20%
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 Stool analysis for blood	$88.90	$111.13	—	—	20%
Syphilis antibody test (Treponema pallidum) CPT 86780 Analysis for antibody, Treponema pallidum	$35.86	$44.82	$10.59–$47.40	4% above	20%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 Analysis for antibody, Treponema pallidum	$35.86	$44.82	$10.59–$47.40	—	20%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Syphilis test, non-treponemal antibody; qualitativ	$28.74	$35.93	$3.42–$35.93	11% below	20%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Syphilis detection test	$47.61	$59.51	$3.42–$59.51	48% above	20%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 Syphilis test, non-treponemal antibody; qualitativ	$28.74	$35.93	$3.42–$35.93	—	20%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 Syphilis detection test	$47.61	$59.51	$3.42–$59.51	—	20%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 Tuberculosis test	$81.11	$101.39	$28.39–$221.89	54% below	20%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 Tuberculosis test	$97.11	$121.39	$33.99–$221.89	45% below	20%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 Tuberculosis test	$81.11	$101.39	$28.39–$221.89	—	20%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 Tuberculosis test	$301.31	$376.64	—	—	20%
Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone (hormone) level	$91.38	$114.22	$20.65–$114.22	28% above	20%
Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone (hormone) level	$154.40	$193.00	$20.65–$193.00	116% above	20%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Testosterone (hormone) level	$154.40	$193.00	$20.65–$193.00	—	20%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Testosterone (hormone) level	$281.51	$351.89	—	—	20%
Thyroid peroxidase (TPO) antibody test CPT 86376 Microsomal antibodies (autoantibody) measurement	$72.85	$91.06	$11.64–$91.06	7% above	20%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Microsomal antibodies (autoantibody) measurement	$72.85	$91.06	$11.64–$91.06	—	20%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 Blood test, thyroid stimulating hormone (TSH)	$53.38	$66.72	$13.44–$66.72	27% below	20%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 Blood test, thyroid stimulating hormone (TSH)	$84.11	$105.14	$13.44–$105.14	16% above	20%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 Blood test, thyroid stimulating hormone (TSH)	$84.11	$105.14	$13.44–$105.14	—	20%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 Blood test, thyroid stimulating hormone (TSH)	$177.81	$222.26	—	—	20%
Total IgE blood test CPT 82785 IgE (immune system protein) level	$22.56	$28.20	$7.90–$58.93	59% below	20%
Total IgE blood test inpatient CPT 82785 IgE (immune system protein) level	$24.85	$31.06	—	—	20%
Total cholesterol blood test CPT 82465 Cholesterol level	$24.78	$30.97	$3.48–$30.97	3% above	20%
Total cholesterol blood test inpatient CPT 82465 Cholesterol level	$24.78	$30.97	$3.48–$30.97	—	20%
Total thyroxine (T4) blood test CPT 84436 Thyroxine (thyroid chemical) measurement	$26.68	$33.35	$5.50–$33.35	8% below	20%
Total thyroxine (T4) blood test inpatient CPT 84436 Thyroxine (thyroid chemical) measurement	$26.68	$33.35	$5.50–$33.35	—	20%
Total triiodothyronine (T3) blood test CPT 84480 Thyroid hormone, T3 measurement	$66.31	$82.89	$11.34–$82.89	12% below	20%
Total triiodothyronine (T3) blood test CPT 84480 Thyroid hormone, T3 measurement	$75.38	$94.22	$11.34–$94.22	at median	20%
Total triiodothyronine (T3) blood test inpatient CPT 84480 Thyroid hormone, T3 measurement	$66.31	$82.89	$11.34–$82.89	—	20%
Total triiodothyronine (T3) blood test inpatient CPT 84480 Thyroid hormone, T3 measurement	$251.10	$313.87	—	—	20%
Transferrin blood test CPT 84466 Transferrin (iron binding protein) level	$41.92	$52.40	$10.21–$52.40	20% below	20%
Transferrin blood test CPT 84466 Transferrin (iron binding protein) level	$43.60	$54.50	$10.21–$54.50	17% below	20%
Transferrin blood test inpatient CPT 84466 Transferrin (iron binding protein) level	$43.60	$54.50	$10.21–$54.50	—	20%
Transferrin blood test inpatient CPT 84466 Transferrin (iron binding protein) level	$139.62	$174.53	—	—	20%
Trichomonas test (NAAT) CPT 87661 Detection test by nucleic acid for Trichomonas vag	$44.04	$55.05	$15.41–$125.62	14% below	20%
Trichomonas test (NAAT) CPT 87661 Detection test for Trichomonas vaginalis (genital	$102.60	$128.25	$28.07–$128.25	101% above	20%
Trichomonas test (NAAT) inpatient CPT 87661 Detection test by nucleic acid for Trichomonas vag	$44.04	$55.05	$15.41–$125.62	—	20%
Trichomonas test (NAAT) inpatient CPT 87661 Detection test for Trichomonas vaginalis (genital	$102.60	$128.25	$28.07–$128.25	—	20%
Triglycerides blood test CPT 84478 Triglycerides level	$9.50	$11.88	$3.51–$20.55	63% below	20%
Triglycerides blood test CPT 84478 Triglycerides level	$36.72	$45.90	$4.59–$45.90	44% above	20%
Triglycerides blood test inpatient CPT 84478 Triglycerides level	$9.50	$11.88	$3.51–$20.55	—	20%
Triglycerides blood test inpatient CPT 84478 Triglycerides level	$122.25	$152.81	—	—	20%
Troponin test, quantitative CPT 84484 Troponin (protein) analysis	$105.10	$131.37	$9.98–$131.37	at median	20%
Troponin test, quantitative CPT 84484 Troponin (protein) analysis	$105.10	$131.37	$9.98–$131.37	at median	20%
Troponin test, quantitative inpatient CPT 84484 Troponin (protein) analysis	$105.10	$131.37	$9.98–$131.37	—	20%
Troponin test, quantitative inpatient CPT 84484 Troponin (protein) analysis	$350.05	$437.56	—	—	20%
Uric acid blood test CPT 84550 Uric acid level, blood	$9.50	$11.88	$3.33–$16.18	67% below	20%
Uric acid blood test CPT 84550 Uric acid level, blood	$35.04	$43.80	$3.62–$43.80	21% above	20%
Uric acid blood test inpatient CPT 84550 Uric acid level, blood	$9.50	$11.88	$3.33–$16.18	—	20%
Uric acid blood test inpatient CPT 84550 Uric acid level, blood	$116.68	$145.85	—	—	20%
Urinalysis with microscope exam, automated CPT 81001 Manual urinalysis test with examination using micr	$32.74	$40.92	$2.54–$40.92	at median	20%
Urinalysis with microscope exam, automated inpatient CPT 81001 Manual urinalysis test with examination using micr	$109.03	$136.29	—	—	20%
Urinalysis without microscope exam, automated CPT 81003 Automated urinalysis test	$18.34	$22.92	$1.80–$22.92	6% below	20%
Urinalysis without microscope exam, automated inpatient CPT 81003 Automated urinalysis test	$18.34	$22.92	$1.80–$22.92	—	20%
Urinalysis without microscope exam, manual CPT 81002 Urinalysis, manual test	$28.64	$35.80	$2.78–$35.80	19% above	20%
Urinalysis without microscope exam, manual inpatient CPT 81002 Urinalysis, manual test	$28.64	$35.80	$2.78–$35.80	—	20%
Urine culture for bacteria, with colony count CPT 87086 Bacterial colony count, urine	$41.48	$51.85	$6.46–$51.85	21% below	20%
Urine culture for bacteria, with colony count inpatient CPT 87086 Bacterial colony count, urine	$218.74	$273.43	—	—	20%
Urine microalbumin (albumin) test CPT 82043 Urine microalbumin (protein) level	$67.46	$84.32	$4.62–$84.32	53% above	20%
Urine microalbumin (albumin) test CPT 82043 Urine microalbumin (protein) level	$98.43	$123.04	$4.62–$123.04	123% above	20%
Urine microalbumin (albumin) test inpatient CPT 82043 Urine microalbumin (protein) level	$67.46	$84.32	$4.62–$84.32	—	20%
Urine microalbumin (albumin) test inpatient CPT 82043 Urine microalbumin (protein) level	$327.84	$409.80	—	—	20%
Urine pregnancy test, read by color change CPT 81025 Urine pregnancy test	$41.70	$52.12	$6.89–$52.12	24% below	20%
Urine pregnancy test, read by color change CPT 81025 Urine pregnancy test	$41.70	$52.12	$6.89–$52.12	24% below	20%
Urine pregnancy test, read by color change inpatient CPT 81025 Urine pregnancy test	$41.70	$52.12	$6.89–$52.12	—	20%
Urine pregnancy test, read by color change inpatient CPT 81025 Urine pregnancy test	$138.90	$173.62	—	—	20%
Vitamin B12 (cobalamin) blood test CPT 82607 Cyanocobalamin (vitamin B-12) level	$72.84	$91.05	$12.06–$91.05	6% below	20%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 Cyanocobalamin (vitamin B-12) level	$242.65	$303.31	—	—	20%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vitamin D-3 level	$73.28	$91.60	$23.68–$105.97	29% below	20%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vitamin D-3 level	$175.53	$219.41	$23.68–$219.41	69% above	20%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 Vitamin D-3 level	$175.53	$219.41	$23.68–$219.41	—	20%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 Vitamin D-3 level	$244.06	$305.07	—	—	20%
Vitamin D, 1,25-dihydroxy blood test CPT 82652 Dihydroxyvitamin D, 1, 25 level	$87.68	$109.60	$30.69–$137.83	15% below	20%
Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 Dihydroxyvitamin D, 1, 25 level	$292.29	$365.36	—	—	20%
Zinc blood test CPT 84630 Zinc level	$14.90	$18.63	$5.22–$40.78	57% below	20%
Zinc blood test inpatient CPT 84630 Zinc level	$14.90	$18.63	$5.22–$40.78	—	20%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Gonadotropin, chorionic (reproductive hormone) lev	$76.38	$95.47	$12.04–$95.47	7% above	20%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Gonadotropin Chorionic Quantitative	$107.91	$134.89	$12.04–$134.89	51% above	20%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 Gonadotropin, chorionic (reproductive hormone) lev	$76.38	$95.47	$12.04–$95.47	—	20%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 Gonadotropin Chorionic Quantitative	$107.91	$134.89	$12.04–$134.89	—	20%

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs Oregon	Off list
Appendectomy, open surgery CPT 44950 Removal of appendix	$15,044.24	$18,805.30	$5,265.48–$18,805.30	at median	20%
Appendectomy, open surgery inpatient CPT 44950 Removal of appendix	$15,044.24	$18,805.30	$5,265.48–$18,805.30	—	20%
Cardiac catheterization with coronary angiogram one side CPT 93458 Insertion of catheter in left heart for imaging of	$9,973.85	$12,467.31	$3,203.25–$12,467.31	2% above	20%
Cardiac catheterization with coronary angiogram inpatient one side CPT 93458 Insertion of catheter in left heart for imaging of	$9,973.85	$12,467.31	$3,203.25–$12,467.31	—	20%
Cardioversion, elective (restoring heart rhythm) CPT 92960 External shock to heart to regulate heart beat	$1,552.60	$1,940.75	$543.41–$2,105.54	6% above	20%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 External shock to heart to regulate heart beat	$1,552.60	$1,940.75	$543.41–$2,105.54	—	20%
Cataract surgery with lens implant CPT 66984 Removal of cataract with insertion of lens	$5,724.59	$7,155.74	$2,003.61–$7,730.80	8% above	20%
Cataract surgery with lens implant inpatient CPT 66984 Removal of cataract with insertion of lens	$5,724.59	$7,155.74	$2,003.61–$7,730.80	—	20%
Catheter ablation for atrial fibrillation CPT 93656 Evaluation and insertion of catheters for recordin	$33,100.92	$41,376.15	$11,585.32–$84,063.02	9% below	20%
Catheter ablation for atrial fibrillation inpatient CPT 93656 Evaluation and insertion of catheters for recordin	$33,100.92	$41,376.15	$11,585.32–$84,063.02	—	20%
Cervical biopsy CPT 57500 Biopsy of cervix or excision of local growths	$1,777.26	$2,221.58	$622.04–$2,518.42	79% above	20%
Cervical biopsy inpatient CPT 57500 Biopsy of cervix or excision of local growths	$1,777.26	$2,221.58	$622.04–$2,518.42	—	20%
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 Removal of foreskin of using clamp or device	$5,488.71	$6,860.89	$1,921.05–$6,860.89	1036% above	20%
Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 Removal of foreskin of using clamp or device	$5,488.71	$6,860.89	$1,921.05–$6,860.89	—	20%
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 Closed treatment of broken forearm bones	$520.56	$650.70	$182.20–$741.10	2% below	20%
Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 Closed treatment of broken forearm bones	$520.56	$650.70	$182.20–$741.10	—	20%
Colonoscopy with polyp removal CPT 45385 Removal of polyps or growths in large bowel using	$2,346.59	$2,933.24	$821.31–$3,876.82	at median	20%
Colonoscopy with polyp removal inpatient CPT 45385 Removal of polyps or growths in large bowel using	$2,346.59	$2,933.24	$821.31–$3,876.82	—	20%
Coronary stent placement, one artery CPT 92928 Catheter insertion of stents in major coronary art	$18,146.96	$22,683.70	$6,351.44–$38,002.81	at median	20%
Coronary stent placement, one artery inpatient CPT 92928 Catheter insertion of stents in major coronary art	$18,146.96	$22,683.70	$6,351.44–$38,002.81	—	20%
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 Diagnostic examination of the bladder and bladder	$1,012.87	$1,266.09	$354.51–$2,238.72	50% above	20%
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 Diagnostic exam of bladder and urethra using an en	$1,345.50	$1,681.88	$470.93–$2,238.72	99% above	20%
Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 Diagnostic examination of the bladder and bladder	$1,012.87	$1,266.09	$354.51–$2,238.72	—	20%
Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 Diagnostic exam of bladder and urethra using an en	$1,345.50	$1,681.88	$470.93–$2,238.72	—	20%
Earwax removal by irrigation (rinsing), one ear CPT 69209 Removal of impacted ear wax by washing	$201.20	$251.50	$58.29–$251.50	159% above	20%
Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 Removal of impacted ear wax by washing	$201.20	$251.50	$58.29–$251.50	—	20%
Earwax removal with instruments, one ear CPT 69210 Removal of impact ear wax, one ear	$247.29	$309.11	$86.55–$309.11	121% above	20%
Earwax removal with instruments, one ear inpatient CPT 69210 Removal of impact ear wax, one ear	$247.29	$309.11	$86.55–$309.11	—	20%
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 Biopsy of lining of uterus	$414.77	$518.46	$145.17–$637.71	at median	20%
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 Biopsy of uterine lining	$414.77	$518.46	$145.17–$637.71	at median	20%
Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 Biopsy of uterine lining	$414.77	$518.46	$145.17–$637.71	—	20%
Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 Biopsy of lining of uterus	$414.77	$518.46	$145.17–$637.71	—	20%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 Injections of lower or sacral spine facet joint us	$1,779.10	$2,223.88	$622.69–$3,050.80	8% below	20%
Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 Injections of lower or sacral spine facet joint us	$1,779.10	$2,223.88	$622.69–$3,050.80	—	20%
Gallbladder removal, laparoscopic CPT 47562 Removal of gallbladder using an endoscope	$11,659.03	$14,573.79	$4,080.66–$18,659.50	1% above	20%
Gallbladder removal, laparoscopic inpatient CPT 47562 Removal of gallbladder using an endoscope	$11,659.03	$14,573.79	$4,080.66–$18,659.50	—	20%
Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery CPT 47563 Removal of gallbladder with X-ray study of bile du	$11,473.70	$14,342.12	$4,015.79–$18,659.50	at median	20%
Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery inpatient CPT 47563 Removal of gallbladder with X-ray study of bile du	$11,473.70	$14,342.12	$4,015.79–$18,659.50	—	20%
Hemorrhoid banding (rubber band ligation) CPT 46221 Hemorrhoidectomy Internal Rubber Band Ligations	$588.16	$735.20	$205.86–$2,975.12	21% below	20%
Hemorrhoid banding (rubber band ligation) CPT 46221 Removal of external hemorrhoids by rubber banding	$1,542.85	$1,928.56	$540.00–$2,975.12	108% above	20%
Hemorrhoid banding (rubber band ligation) inpatient CPT 46221 Hemorrhoidectomy Internal Rubber Band Ligations	$588.16	$735.20	$205.86–$2,975.12	—	20%
Hemorrhoid banding (rubber band ligation) inpatient CPT 46221 Removal of external hemorrhoids by rubber banding	$1,542.85	$1,928.56	$540.00–$2,975.12	—	20%
Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 Biopsy and/or removal of polyp of the uterus using	$6,216.82	$7,771.03	$2,175.89–$10,122.24	128% above	20%
Hysteroscopy with uterine lining sampling and/or polyp removal inpatient CPT 58558 Biopsy and/or removal of polyp of the uterus using	$6,216.82	$7,771.03	$2,175.89–$10,122.24	—	20%
IUD insertion (the device itself billed separately) CPT 58300 Placement of intra-uterine device (IUD) for pregna	$1,681.61	$2,102.01	$342.37–$2,102.01	285% above	20%
IUD insertion (the device itself billed separately) inpatient CPT 58300 Placement of intra-uterine device (IUD) for pregna	$1,681.61	$2,102.01	$342.37–$2,102.01	—	20%
Incision and drainage of a simple or single skin abscess CPT 10060 Drainage of abscess	$398.10	$497.63	$139.34–$646.48	18% above	20%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 Drainage of abscess	$398.10	$497.63	$139.34–$646.48	—	20%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 Injections of tendon sheath, ligament, or muscle m	$789.33	$986.66	$276.26–$986.66	230% above	20%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 Injections of tendon sheath, ligament, or muscle m	$789.33	$986.66	$276.26–$986.66	—	20%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Aspiration and/or injection of large joint or join	$847.15	$1,058.94	$296.50–$1,058.94	172% above	20%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 Aspiration and/or injection of large joint or join	$847.15	$1,058.94	$296.50–$1,058.94	—	20%
Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 Insertion of drug delivery implant into tissue	$254.01	$317.51	$88.90–$415.67	1% below	20%
Insertion of a drug-delivery implant, such as the arm birth control implant inpatient CPT 11981 Insertion of drug delivery implant into tissue	$254.01	$317.51	$88.90–$415.67	—	20%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Aspiration and/or injection of medium joint or joi	$736.66	$920.82	$257.83–$973.37	114% above	20%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 Aspiration and/or injection of medium joint or joi	$736.66	$920.82	$257.83–$973.37	—	20%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 Arthrocentesis Aspir&/Inj Small Jt/Bursa W/O US	$640.57	$800.71	$224.20–$973.37	104% above	20%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 Aspiration and/or injection of small joint or join	$640.57	$800.71	$224.20–$973.37	104% above	20%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 Arthrocentesis Aspir&/Inj Small Jt/Bursa W/O US	$640.57	$800.71	$224.20–$973.37	—	20%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 Aspiration and/or injection of small joint or join	$640.57	$800.71	$224.20–$973.37	—	20%
Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 Removal of appendix using an endoscope	$14,967.92	$18,709.90	$5,238.77–$18,709.90	30% above	20%
Laparoscopic appendectomy (appendix removal through small cuts) inpatient CPT 44970 Removal of appendix using an endoscope	$14,967.92	$18,709.90	$5,238.77–$18,709.90	—	20%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 Repair of wound (2.5 centimeters or less) of the s	$989.91	$1,237.39	$346.47–$1,335.59	64% above	20%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 Repair of wound (2.5 centimeters or less) of the s	$989.91	$1,237.39	$346.47–$1,335.59	—	20%
Left heart catheterization, diagnostic one side CPT 93452 Insertion of catheter into left heart for diagnosi	$10,926.56	$13,658.20	$3,824.30–$13,658.20	33% above	20%
Left heart catheterization, diagnostic inpatient one side CPT 93452 Insertion of catheter into left heart for diagnosi	$10,926.56	$13,658.20	$3,824.30–$13,658.20	—	20%
Lower-back epidural injection, with imaging guidance CPT 62323 Injection of substance into spinal canal of lower	$1,383.90	$1,729.87	$484.36–$2,306.74	12% below	20%
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 Injection of substance into spinal canal of lower	$1,383.90	$1,729.87	$484.36–$2,306.74	—	20%
Lumpectomy (partial mastectomy) CPT 19301 Partial removal of breast	$7,652.21	$9,565.26	$2,678.27–$12,307.32	9% above	20%
Lumpectomy (partial mastectomy) inpatient CPT 19301 Partial removal of breast	$7,652.21	$9,565.26	$2,678.27–$12,307.32	—	20%
Miscarriage treatment with D&C, first trimester CPT 59820 Treatment of first trimester missed abortion	$4,583.30	$5,729.12	$1,604.15–$10,122.24	2% above	20%
Miscarriage treatment with D&C, first trimester inpatient CPT 59820 Treatment of first trimester missed abortion	$4,583.30	$5,729.12	$1,604.15–$10,122.24	—	20%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 Removal of growth (0.5 centimeters or less) of the	$1,434.38	$1,792.98	$502.03–$2,323.31	130% above	20%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 Removal of growth (0.5 centimeters or less) of the	$1,434.38	$1,792.98	$502.03–$2,323.31	—	20%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 Removal of growth (0.5 centimeters or less) of the	$1,060.28	$1,325.35	$371.10–$2,323.31	55% above	20%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 Removal of growth (0.5 centimeters or less) of the	$1,060.28	$1,325.35	$371.10–$2,323.31	—	20%
Nail removal (partial or complete), one nail CPT 11730 Separation of nail plate from nail bed	$398.10	$497.63	$139.34–$646.48	97% above	20%
Nail removal (partial or complete), one nail inpatient CPT 11730 Separation of nail plate from nail bed	$398.10	$497.63	$139.34–$646.48	—	20%
Occipital nerve block (injection for headaches) CPT 64405 greater occipital nerve block	$989.10	$1,236.37	$346.18–$1,236.37	166% above	20%
Occipital nerve block (injection for headaches) CPT 64405 Injection of anesthetic agent and/or steroid into	$1,311.76	$1,639.70	$459.12–$1,639.70	253% above	20%
Occipital nerve block (injection for headaches) inpatient CPT 64405 greater occipital nerve block	$989.10	$1,236.37	$346.18–$1,236.37	—	20%
Occipital nerve block (injection for headaches) inpatient CPT 64405 Injection of anesthetic agent and/or steroid into	$1,311.76	$1,639.70	$459.12–$1,639.70	—	20%
Pacemaker implant (dual chamber) CPT 33208 Insertion of new or replacement of permanent pacem	$19,425.35	$24,281.69	$6,798.87–$36,977.00	21% above	20%
Pacemaker implant (dual chamber) inpatient CPT 33208 Insertion of new or replacement of permanent pacem	$19,425.35	$24,281.69	$6,798.87–$36,977.00	—	20%
Paracentesis with imaging guidance CPT 49083 Drainage of fluid from abdominal cavity using imag	$942.91	$1,178.64	$330.02–$2,955.33	28% below	20%
Paracentesis with imaging guidance inpatient CPT 49083 Drainage of fluid from abdominal cavity using imag	$942.91	$1,178.64	$330.02–$2,955.33	—	20%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 Removal of nail	$1,068.42	$1,335.53	$373.95–$1,335.59	78% above	20%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 Removal of nail	$1,068.42	$1,335.53	$373.95–$1,335.59	—	20%
Removal of a foreign object under the skin, simple CPT 10120 Removal of foreign body from tissue, accessed bene	$499.56	$624.45	$174.85–$1,335.59	23% above	20%
Removal of a foreign object under the skin, simple inpatient CPT 10120 Removal of foreign body from tissue, accessed bene	$499.56	$624.45	$174.85–$1,335.59	—	20%
Removal of one lobe of the thyroid (lobectomy) CPT 60220 Removal of thyroid lobe on side of neck	$11,473.70	$14,342.12	$4,015.79–$18,659.50	at median	20%
Removal of one lobe of the thyroid (lobectomy) inpatient CPT 60220 Removal of thyroid lobe on side of neck	$11,473.70	$14,342.12	$4,015.79–$18,659.50	—	20%
Septoplasty to straighten the nasal septum CPT 30520 Reshaping of nasal cartilage	$5,688.90	$7,111.13	$1,991.12–$10,185.21	22% below	20%
Septoplasty to straighten the nasal septum inpatient CPT 30520 Reshaping of nasal cartilage	$5,688.90	$7,111.13	$1,991.12–$10,185.21	—	20%
Short arm splint (forearm and hand) CPT 29125 Application of non-moveable, short arm splint (for	$417.98	$522.47	$146.29–$522.47	132% above	20%
Short arm splint (forearm and hand) inpatient CPT 29125 Application of non-moveable, short arm splint (for	$417.98	$522.47	$146.29–$522.47	—	20%
Short leg cast (below the knee) CPT 29405 Application of short leg cast (below knee to toes)	$356.95	$446.19	$124.93–$858.88	23% above	20%
Short leg cast (below the knee) inpatient CPT 29405 Application of short leg cast (below knee to toes)	$356.95	$446.19	$124.93–$858.88	—	20%
Short leg splint (calf to foot) CPT 29515 Application of short leg splint (calf to foot)	$315.30	$394.13	$110.36–$521.82	33% above	20%
Short leg splint (calf to foot) inpatient CPT 29515 Application of short leg splint (calf to foot)	$315.30	$394.13	$110.36–$521.82	—	20%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 Repair of wound (2.5 centimeters or less) of the s	$340.54	$425.67	$119.19–$646.48	at median	20%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 Repair of wound (2.5 centimeters or less) of the s	$340.54	$425.67	$119.19–$646.48	—	20%
Skin biopsy, punch, one lesion CPT 11104 Punch biopsy of single skin lesion	$769.54	$961.93	$269.34–$1,335.59	203% above	20%
Skin biopsy, punch, one lesion CPT 11104 Punch Biopsy Skin Single Lesion	$798.39	$997.99	$279.44–$1,335.59	214% above	20%
Skin biopsy, punch, one lesion inpatient CPT 11104 Punch biopsy of single skin lesion	$769.54	$961.93	$269.34–$1,335.59	—	20%
Skin biopsy, punch, one lesion inpatient CPT 11104 Punch Biopsy Skin Single Lesion	$798.39	$997.99	$279.44–$1,335.59	—	20%
Skin tag removal, up to 15 tags CPT 11200 Removal of up to and including 15 skin tags	$295.98	$369.98	$103.59–$646.48	18% above	20%
Skin tag removal, up to 15 tags inpatient CPT 11200 Removal of up to and including 15 skin tags	$295.98	$369.98	$103.59–$646.48	—	20%
Spinal tap (lumbar puncture), diagnostic CPT 62270 Spinal tap for diagnosis	$1,428.38	$1,785.48	$499.93–$2,306.74	43% above	20%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 Spinal tap for diagnosis	$1,428.38	$1,785.48	$499.93–$2,306.74	—	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 of wound (2.6 to 7.5 centimeters) of the sc	$391.60	$489.50	$137.06–$646.48	at median	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 of wound (2.6 to 7.5 centimeters) of the sc	$391.60	$489.50	$137.06–$646.48	—	20%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 Repair of wound (2.5 centimeters or less) of the f	$340.54	$425.67	$119.19–$646.48	at median	20%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 Repair of wound (2.5 centimeters or less) of the f	$340.54	$425.67	$119.19–$646.48	—	20%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 Tangential biopsy of single skin lesion	$769.54	$961.93	$269.34–$967.87	254% above	20%
Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 Tangential biopsy of single skin lesion	$769.54	$961.93	$269.34–$967.87	—	20%
Thoracentesis with imaging guidance CPT 32555 Removal of fluid from chest cavity with imaging gu	$1,929.05	$2,411.31	$675.17–$2,411.31	26% above	20%
Thoracentesis with imaging guidance inpatient CPT 32555 Removal of fluid from chest cavity with imaging gu	$1,929.05	$2,411.31	$675.17–$2,411.31	—	20%
Tonsil and adenoid removal, age 12 or older CPT 42821 Removal of tonsils and adenoid glands patient age	$5,750.13	$7,187.66	$2,012.54–$10,185.21	at median	20%
Tonsil and adenoid removal, age 12 or older inpatient CPT 42821 Removal of tonsils and adenoid glands patient age	$5,750.13	$7,187.66	$2,012.54–$10,185.21	—	20%
Total shoulder replacement CPT 23472 Prosthetic repair of shoulder joint	$13,379.33	$16,724.16	$4,682.76–$46,712.13	at median	20%
Total shoulder replacement inpatient CPT 23472 Prosthetic repair of shoulder joint	$13,379.33	$16,724.16	$4,682.76–$46,712.13	—	20%
Trigger point injections, 1 or 2 muscles CPT 20552 HC Injection Single/Mlt Trigger Point 1/2 Muscles	$670.24	$837.80	$234.58–$973.37	180% above	20%
Trigger point injections, 1 or 2 muscles CPT 20552 Injections of trigger points in 1 or 2 muscles	$670.24	$837.80	$234.58–$973.37	180% above	20%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 Injections of trigger points in 1 or 2 muscles	$670.24	$837.80	$234.58–$973.37	—	20%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 HC Injection Single/Mlt Trigger Point 1/2 Muscles	$670.24	$837.80	$234.58–$973.37	—	20%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 Biopsy of breast accessed through the skin with ul	$1,456.93	$1,821.16	$118.22–$5,368.39	50% below	20%
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 Biopsy of breast accessed through the skin with ul	$1,456.93	$1,821.16	$118.22–$5,368.39	—	20%
Upper endoscopy (EGD) with biopsy CPT 43239 Biopsy of the esophagus, stomach, and/or upper sma	$1,502.42	$1,878.02	$525.85–$2,955.33	1% below	20%
Upper endoscopy (EGD) with biopsy CPT 43239 Biopsy of esophagus, stomach, and/or upper small b	$1,502.42	$1,878.02	$525.85–$2,955.33	1% below	20%
Upper endoscopy (EGD) with biopsy inpatient CPT 43239 Biopsy of esophagus, stomach, and/or upper small b	$1,502.42	$1,878.02	$525.85–$2,955.33	—	20%
Upper endoscopy (EGD) with biopsy inpatient CPT 43239 Biopsy of the esophagus, stomach, and/or upper sma	$1,502.42	$1,878.02	$525.85–$2,955.33	—	20%
Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 Insertion of guide wire with dilation of esophagus	$1,502.42	$1,878.02	$525.85–$2,955.33	at median	20%
Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 Egd Insert Guide Wire Dilator Passage Esophagus	$1,787.88	$2,234.85	$625.76–$2,955.33	19% above	20%
Upper endoscopy (EGD) with widening of the esophagus over a guide wire inpatient CPT 43248 Insertion of guide wire with dilation of esophagus	$1,502.42	$1,878.02	$525.85–$2,955.33	—	20%
Upper endoscopy (EGD) with widening of the esophagus over a guide wire inpatient CPT 43248 Egd Insert Guide Wire Dilator Passage Esophagus	$1,787.88	$2,234.85	$625.76–$2,955.33	—	20%
Upper endoscopy (EGD), diagnostic CPT 43235 Diagnostic examination of esophagus, stomach, and/	$1,768.55	$2,210.69	$618.99–$2,955.33	2% above	20%
Upper endoscopy (EGD), diagnostic inpatient CPT 43235 Diagnostic examination of esophagus, stomach, and/	$1,768.55	$2,210.69	$618.99–$2,955.33	—	20%
Wart removal, up to 14 warts CPT 17110 Destruction of up to 14 skin growths	$265.80	$332.25	$93.03–$646.48	16% above	20%
Wart removal, up to 14 warts inpatient CPT 17110 Destruction of up to 14 skin growths	$265.80	$332.25	$93.03–$646.48	—	20%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Removal of skin and tissue first 20 sq cm or less	$1,057.38	$1,321.72	$370.08–$1,335.59	74% above	20%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 Removal of skin and tissue first 20 sq cm or less	$1,057.38	$1,321.72	$370.08–$1,335.59	—	20%

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs Oregon	Off list
Blood transfusion (giving blood or blood components) CPT 36430 Transfusion of blood or blood products	$1,725.46	$2,156.82	$435.91–$2,156.82	117% above	20%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 Transfusion of blood or blood products	$1,725.46	$2,156.82	$435.91–$2,156.82	—	20%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Respiratory inhaled pressure or nonpressure treatm	$497.82	$622.28	$174.24–$685.57	192% above	20%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Respiratory inhaled pressure or nonpressure treatm	$497.82	$622.28	$174.24–$685.57	—	20%
Chemotherapy IV infusion, first hour CPT 96413 Infusion of chemotherapy into a vein up to 1 hour	$980.79	$1,225.99	$326.36–$1,225.99	28% above	20%
Chemotherapy IV infusion, first hour inpatient CPT 96413 Infusion of chemotherapy into a vein up to 1 hour	$980.79	$1,225.99	$326.36–$1,225.99	—	20%
Critical care, first 30 to 74 minutes CPT 99291 Critical care delivery critically ill or injured p	$2,958.77	$3,698.46	$1,035.57–$3,698.46	11% above	20%
Critical care, first 30 to 74 minutes inpatient CPT 99291 Critical care delivery critically ill or injured p	$2,958.77	$3,698.46	$1,035.57–$3,698.46	—	20%
EEG (brain wave test), awake and drowsy, routine CPT 95816 Measurement and recording of brain wave (EEG) acti	$890.77	$1,113.46	$213.35–$1,113.46	1% below	20%
EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 Measurement and recording of brain wave (EEG) acti	$890.77	$1,113.46	$213.35–$1,113.46	—	20%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Routine electrocardiogram (EKG) with tracing using	$286.49	$358.11	$58.29–$358.11	17% above	20%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 Routine electrocardiogram (EKG) with tracing using	$286.49	$358.11	$58.29–$358.11	—	20%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 Emergency department visit, self limited or minor	$668.81	$836.01	$234.08–$836.01	180% above	20%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 Emergency department visit, self limited or minor	$668.81	$836.01	$234.08–$836.01	—	20%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 Emergency department visit, low to moderately seve	$583.68	$729.60	$204.29–$729.60	24% above	20%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 Emergency department visit, low to moderately seve	$583.68	$729.60	$204.29–$729.60	—	20%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 Emergency department visit, moderately severe prob	$969.78	$1,212.22	$269.72–$1,212.22	14% above	20%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 Emergency department visit, moderately severe prob	$969.78	$1,212.22	$269.72–$1,212.22	—	20%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 Emergency department visit, problem of high severi	$1,669.02	$2,086.28	$412.28–$2,086.28	26% above	20%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 Emergency department visit, problem of high severi	$1,669.02	$2,086.28	$412.28–$2,086.28	—	20%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 Emergency department visit, problem with significa	$2,316.54	$2,895.67	$588.42–$2,895.67	10% above	20%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 Emergency department visit, problem with significa	$2,316.54	$2,895.67	$588.42–$2,895.67	—	20%
Exercise stress test, tracing only, the hospital charge CPT 93017 Exercise or drug-induced heart and blood vessel st	$1,451.34	$1,814.18	$213.35–$1,814.18	116% above	20%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 Exercise or drug-induced heart and blood vessel st	$1,451.34	$1,814.18	$213.35–$1,814.18	—	20%
Family therapy with the patient, 50 minutes CPT 90847 Family psychotherapy including patient, 50 minutes	$660.93	$826.16	$231.32–$826.16	317% above	20%
Family therapy with the patient, 50 minutes inpatient CPT 90847 Family psychotherapy including patient, 50 minutes	$660.93	$826.16	$231.32–$826.16	—	20%
Family therapy without the patient, 50 minutes CPT 90846 Family psychotherapy, 50 minutes	$293.86	$367.33	$102.85–$521.61	91% above	20%
Family therapy without the patient, 50 minutes inpatient CPT 90846 Family psychotherapy, 50 minutes	$293.86	$367.33	$102.85–$521.61	—	20%
Group psychotherapy session CPT 90853 Group psychotherapy	$275.60	$344.50	$96.46–$344.50	212% above	20%
Group psychotherapy session inpatient CPT 90853 Group psychotherapy	$275.60	$344.50	$96.46–$344.50	—	20%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 Hydration infusion into a vein 31 minutes to 1 hou	$730.89	$913.61	$210.16–$913.61	84% above	20%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 Hydration infusion into a vein 31 minutes to 1 hou	$730.89	$913.61	$210.16–$913.61	—	20%
IV infusion of a medicine, first hour CPT 96365 Infusion into a vein for therapy, prevention, or d	$783.67	$979.59	$210.16–$979.59	78% above	20%
IV infusion of a medicine, first hour inpatient CPT 96365 Infusion into a vein for therapy, prevention, or d	$783.67	$979.59	$210.16–$979.59	—	20%
IV push of a medicine, first drug CPT 96374 Injection of drug or substance into a vein for the	$319.38	$399.22	$111.78–$739.52	29% above	20%
IV push of a medicine, first drug inpatient CPT 96374 Injection of drug or substance into a vein for the	$319.38	$399.22	$111.78–$739.52	—	20%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 Injection beneath the skin or into muscle for ther	$156.10	$195.13	$54.64–$241.54	45% above	20%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Injection beneath the skin or into muscle for ther	$156.10	$195.13	$54.64–$241.54	—	20%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 Psychiatric diagnostic evaluation	$854.06	$1,067.57	$298.92–$1,067.57	181% above	20%
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 Psychiatric diagnostic evaluation	$854.06	$1,067.57	$298.92–$1,067.57	—	20%
Nerve conduction study, 7 or 8 nerve studies CPT 95910 Nerve transmission studies, 7-8 studies	$738.18	$922.73	$258.36–$1,002.61	134% above	20%
Nerve conduction study, 7 or 8 nerve studies inpatient CPT 95910 Nerve transmission studies, 7-8 studies	$738.18	$922.73	$258.36–$1,002.61	—	20%
Neuromuscular re-education, 15 minutes CPT 97112 Therapeutic procedure to re-educate brain-to-nerve	$112.99	$141.24	$27.17–$138.42	11% above	20%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 Therapeutic procedure to re-educate brain-to-nerve	$112.99	$141.24	$27.17–$138.42	—	20%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 Medical nutrition therapy, assessment and interven	$74.03	$92.54	$21.79–$132.25	4% above	20%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 Medical nutrition therapy, assessment and interven	$74.03	$92.54	$21.79–$132.25	—	20%
Occupational therapy evaluation, low complexity CPT 97165 Evaluation of occupational therapy, typically 30 m	$345.50	$431.87	$83.61–$423.23	37% above	20%
Occupational therapy evaluation, low complexity inpatient CPT 97165 Evaluation of occupational therapy, typically 30 m	$345.50	$431.87	$83.61–$423.23	—	20%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 Evaluation of physical therapy, typically 45 minut	$345.50	$431.87	$81.40–$423.23	15% above	20%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 Evaluation of physical therapy, typically 45 minut	$345.50	$431.87	$81.40–$423.23	—	20%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 Evaluation of physical therapy, typically 20 minut	$345.50	$431.87	$81.40–$423.23	41% above	20%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 Evaluation of physical therapy, typically 20 minut	$345.50	$431.87	$81.40–$423.23	—	20%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 Evaluation of physical therapy, typically 30 minut	$345.50	$431.87	$81.40–$423.23	10% above	20%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 Evaluation of physical therapy, typically 30 minut	$345.50	$431.87	$81.40–$423.23	—	20%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Manual (physical) therapy techniques to 1 or more	$112.99	$141.24	$23.00–$138.42	18% above	20%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 Manual (physical) therapy techniques to 1 or more	$112.99	$141.24	$23.00–$138.42	—	20%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Therapeutic exercise to develop strength, enduranc	$112.99	$141.24	$24.11–$138.42	16% above	20%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 Therapeutic exercise to develop strength, enduranc	$112.99	$141.24	$24.11–$138.42	—	20%
Psychotherapy for crisis, first 60 minutes CPT 90839 Psychotherapy for crisis, first 60 minutes	$417.46	$521.82	$146.11–$521.82	20% above	20%
Psychotherapy for crisis, first 60 minutes inpatient CPT 90839 Psychotherapy for crisis, first 60 minutes	$417.46	$521.82	$146.11–$521.82	—	20%
Psychotherapy session, 30 minutes CPT 90832 Psychotherapy, 30 minutes	$208.52	$260.65	$72.98–$521.61	60% above	20%
Psychotherapy session, 30 minutes inpatient CPT 90832 Psychotherapy, 30 minutes	$208.52	$260.65	$72.98–$521.61	—	20%
Psychotherapy session, 45 minutes CPT 90834 Psychotherapy, 45 minutes	$335.45	$419.31	$117.41–$521.61	71% above	20%
Psychotherapy session, 45 minutes inpatient CPT 90834 Psychotherapy, 45 minutes	$335.45	$419.31	$117.41–$521.61	—	20%
Psychotherapy session, 60 minutes CPT 90837 Psychotherapy, 60 minutes	$413.43	$516.79	$144.70–$521.61	73% above	20%
Psychotherapy session, 60 minutes inpatient CPT 90837 Psychotherapy, 60 minutes	$413.43	$516.79	$144.70–$521.61	—	20%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 Smoking and tobacco use intermediate counseling, g	$72.38	$90.47	$25.33–$106.25	114% above	20%
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 Smoking and tobacco use intermediate counseling, g	$72.38	$90.47	$25.33–$106.25	—	20%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 Established patient office or other outpatient, vi	$1,555.75	$1,944.69	$131.55–$1,944.69	363% above	20%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 Established patient office or other outpatient, vi	$1,555.75	$1,944.69	$131.55–$1,944.69	—	20%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 Established patient office or other outpatient vis	$369.44	$461.80	$104.54–$461.80	95% above	20%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 Established patient office or other outpatient vis	$369.44	$461.80	$104.54–$461.80	—	20%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Established patient office or other outpatient, vi	$1,341.18	$1,676.47	$131.55–$1,676.47	461% above	20%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 Established patient office or other outpatient, vi	$1,341.18	$1,676.47	$131.55–$1,676.47	—	20%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Established patient office or other outpatient vis	$325.64	$407.05	$56.31–$407.05	224% above	20%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 Established patient office or other outpatient vis	$325.64	$407.05	$56.31–$407.05	—	20%
Speech and language evaluation CPT 92523 Evaluation of speech sound production with evaluat	$516.33	$645.41	$180.71–$823.72	47% above	20%
Speech and language evaluation inpatient CPT 92523 Evaluation of speech sound production with evaluat	$516.33	$645.41	$180.71–$823.72	—	20%
Speech therapy session, individual CPT 92507 Treatment of speech, language, voice, communicatio	$324.80	$406.00	$63.33–$397.88	13% above	20%
Speech therapy session, individual inpatient CPT 92507 Treatment of speech, language, voice, communicatio	$324.80	$406.00	$63.33–$397.88	—	20%
Spirometry (breathing test) CPT 94010 Measurement and graphic recording of total and tim	$361.57	$451.96	$126.55–$520.64	44% above	20%
Spirometry (breathing test) inpatient CPT 94010 Measurement and graphic recording of total and tim	$361.57	$451.96	$126.55–$520.64	—	20%
Spirometry before and after a bronchodilator CPT 94060 Measurement and graphic recording of the amount an	$624.16	$780.20	$218.46–$1,002.61	9% above	20%
Spirometry before and after a bronchodilator inpatient CPT 94060 Measurement and graphic recording of the amount an	$624.16	$780.20	$218.46–$1,002.61	—	20%
Therapeutic activities (functional training), 15 minutes CPT 97530 Therapeutic activities to improve function, with o	$112.99	$141.24	$29.11–$138.42	23% above	20%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 Therapeutic activities to improve function, with o	$112.99	$141.24	$29.11–$138.42	—	20%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 Therapeutic removal of whole blood to correct bloo	$302.33	$377.91	$105.81–$415.67	51% above	20%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 Therapeutic removal of whole blood to correct bloo	$302.33	$377.91	$105.81–$415.67	—	20%

Vaccines

Procedure	Cash price	List price	Insurers pay	vs Oregon	Off list
COVID-19 vaccine (Moderna), age 12 and older CPT 91322 Sarscov2 Vaccine 50 Mcg/0.5 Ml for Im Use	$273.76	$342.20	$95.82–$342.20	25% above	20%
COVID-19 vaccine (Moderna), age 12 and older inpatient CPT 91322 Sarscov2 Vaccine 50 Mcg/0.5 Ml for Im Use	$273.76	$342.20	$95.82–$342.20	—	20%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 DIPH,PERTUS(ACEL),TET PEDI (PF) 25 LF UNIT-58 MCG-	$87.30	$109.13	$30.56–$109.13	54% above	20%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 DIPH,PERTUS(ACEL),TET PEDI (PF) 25 LF UNIT-58 MCG-	$87.30	$109.13	$30.56–$109.13	—	20%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 FLU VACCINE TS 2025-26(6MOS UP)(PF) 45 MCG(15MCG X	$71.70	$89.62	$25.09–$249.92	at median	20%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 FLU VACCINE TS2025-26(65YR UP)(PF)180 MCG/0.5 ML I	$245.33	$306.66	$85.86–$306.66	242% above	20%
High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 FLU VACCINE TS 2025-26(6MOS UP)(PF) 45 MCG(15MCG X	$71.70	$89.62	$25.09–$249.92	—	20%
High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 FLU VACCINE TS2025-26(65YR UP)(PF)180 MCG/0.5 ML I	$245.33	$306.66	$85.86–$306.66	—	20%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0	$878.07	$1,097.59	$307.33–$1,097.59	157% above	20%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 PNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0	$878.07	$1,097.59	$307.33–$1,097.59	—	20%
Rabies vaccine, one dose CPT 90675 Vaccine for rabies injection into muscle	$567.47	$709.34	$198.62–$709.34	4% above	20%
Rabies vaccine, one dose CPT 90675 RABIES VACCINE, PURIFIED CHICKEN EMBRYO CELL (PF)	$1,236.49	$1,545.61	$432.77–$1,545.61	127% above	20%
Rabies vaccine, one dose inpatient CPT 90675 Vaccine for rabies injection into muscle	$567.47	$709.34	$198.62–$709.34	—	20%
Rabies vaccine, one dose inpatient CPT 90675 RABIES VACCINE, PURIFIED CHICKEN EMBRYO CELL (PF)	$1,236.49	$1,545.61	$432.77–$1,545.61	—	20%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 DIPHTH,PERTUSSIS(ACEL),TETANUS 2.5 LF UNIT-8 MCG-5	$142.66	$178.32	$49.93–$178.32	124% above	20%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 DIPHTH,PERTUSSIS(ACEL),TETANUS 2.5 LF UNIT-8 MCG-5	$142.66	$178.32	$49.93–$178.32	—	20%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Administration of 1 vaccine	$131.05	$163.81	$45.87–$241.54	127% above	20%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Administration of 1 vaccine	$131.05	$163.81	$45.87–$241.54	—	20%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Administration of vaccine	$110.68	$138.35	$38.74–$138.35	188% above	20%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 Administration of vaccine	$110.68	$138.35	$38.74–$138.35	—	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://stcharleshealthcare.org/pricetransparency/93-0602940_StCharlesHealthSystem_Prineville_standardcharges.zip