Hospital Minneapolis-St. Paul-Bloomington, MN-WI

Westfields Hospital

Westfields Hospital in New Richmond, WI publishes cash prices for 419 common procedures listed here, from its own machine-readable price file updated Mar 31, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the Wisconsin median for 362 of 419 procedures and above it for 55. By typical cash price it ranks #16 of 103 Wisconsin hospitals and #19 of 23 hospitals in the Minneapolis, MN area, cheapest first. Select a procedure to compare it with other hospitals nearby.

535 Hospital Rd, New Richmond, WI 54017 Collected Sep 23, 2026 Source price file Check a bill from this hospital (715) 246-2101

Critical access hospital (rural, 25 beds or fewer) Nonprofit hospital Emergency department CMS star rating 4 of 5 CCN 521345 · CMS hospital register NPI 1881640183

Financial assistance

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

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

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

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

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs Wisconsin	Off list
Abdominal CT scan without and with contrast CPT 74170 CT Abdomen with and without contrast	$1,449.66	$2,756.00	$327.88–$2,756.00	39% below	47%
Abdominal CT scan without and with contrast inpatient CPT 74170 CT Abdomen with and without contrast	$1,449.66	$2,756.00	$327.88–$2,756.00	—	47%
Abdominal X-ray, 2 views CPT 74019 X-ray; abdomen	$126.24	$240.00	$95.33–$271.72	47% below	47%
Abdominal X-ray, 2 views inpatient CPT 74019 X-ray; abdomen	$126.24	$240.00	$95.33–$271.72	—	47%
Ankle X-ray, complete, 3 or more views CPT 73610 X-ray; ankle	$258.79	$492.00	$195.42–$492.00	10% above	47%
Ankle X-ray, complete, 3 or more views inpatient CPT 73610 X-ray; ankle	$258.79	$492.00	$195.42–$492.00	—	47%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 Extremity study	$865.27	$1,645.00	$319.90–$1,645.00	125% above	47%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 Extremity study	$865.27	$1,645.00	$319.90–$1,645.00	—	47%
Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 CT Upper Extremity	$844.23	$1,605.00	$271.72–$1,605.00	41% below	47%
Arm CT scan without contrast (shoulder to hand, any part) inpatient CPT 73200 CT Upper Extremity	$844.23	$1,605.00	$271.72–$1,605.00	—	47%
Barium swallow (esophagus X-ray with contrast) CPT 74220 X-ray; esophagus with contrast	$304.55	$579.00	$229.98–$579.00	43% below	47%
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 X-ray; esophagus with contrast	$304.55	$579.00	$229.98–$579.00	—	47%
Bone scan, whole body (nuclear medicine) CPT 78306 Bone and Joint imaging; whole body	$1,053.58	$2,003.00	$795.59–$2,003.00	29% below	47%
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 Bone and Joint imaging; whole body	$1,053.58	$2,003.00	$795.59–$2,003.00	—	47%
Breast ultrasound, complete, one breast CPT 76641 Ultrasound breast complete	$343.48	$653.00	$76.87–$653.00	35% below	47%
Breast ultrasound, complete, one breast inpatient CPT 76641 Ultrasound breast complete	$343.48	$653.00	$76.87–$653.00	—	47%
Breast ultrasound, limited (one breast or one area) CPT 76642 Ultrasound Breast	$325.59	$619.00	$63.60–$619.00	17% below	47%
Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 Ultrasound Breast	$325.59	$619.00	$63.60–$619.00	—	47%
CT angiography (CTA) of the abdomen and pelvis CPT 74174 CT Angiography abdomen and pelvis with and without contrast	$1,482.79	$2,819.00	$327.88–$2,819.00	51% below	47%
CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 CT Angiography abdomen and pelvis with and without contrast	$1,482.79	$2,819.00	$327.88–$2,819.00	—	47%
CT angiography (CTA) of the head CPT 70496 CT Angiography, head	$1,370.76	$2,606.00	$327.88–$2,606.00	34% below	47%
CT angiography (CTA) of the head inpatient CPT 70496 CT Angiography, head	$1,370.76	$2,606.00	$327.88–$2,606.00	—	47%
CT angiography (CTA) of the neck CPT 70498 CT Angiography, neck	$1,498.57	$2,849.00	$327.88–$2,849.00	26% below	47%
CT angiography (CTA) of the neck inpatient CPT 70498 CT Angiography, neck	$1,498.57	$2,849.00	$327.88–$2,849.00	—	47%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT Angiography, chest	$1,662.16	$3,160.00	$327.88–$3,160.00	18% below	47%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CT Angiography, chest	$1,662.16	$3,160.00	$327.88–$3,160.00	—	47%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CT Heart with 3D imaging	$1,277.65	$2,429.00	$327.88–$2,429.00	27% below	47%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 CT Heart with 3D imaging	$1,277.65	$2,429.00	$327.88–$2,429.00	—	47%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT Heart	$52.07	$99.00	$39.32–$327.88	19% below	47%
CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 CT Heart	$52.07	$99.00	$39.32–$327.88	—	47%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT Abdomen and Pelvis	$1,785.24	$3,394.00	$327.88–$3,394.00	29% below	47%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT Abdomen and Pelvis	$1,785.24	$3,394.00	$327.88–$3,394.00	—	47%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT Abdomen and Pelvis with contrast	$2,049.82	$3,897.00	$327.88–$3,897.00	36% below	47%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT Abdomen and Pelvis with contrast	$2,049.82	$3,897.00	$327.88–$3,897.00	—	47%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT Abdomen and/or pelvis with contrast	$1,700.56	$3,233.00	$327.88–$3,233.00	54% below	47%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT Abdomen and/or pelvis with contrast	$1,700.56	$3,233.00	$327.88–$3,233.00	—	47%
CT scan of the abdomen with contrast CPT 74160 CT abdomen with contrast	$1,493.31	$2,839.00	$327.88–$2,839.00	9% below	47%
CT scan of the abdomen with contrast inpatient CPT 74160 CT abdomen with contrast	$1,493.31	$2,839.00	$327.88–$2,839.00	—	47%
CT scan of the abdomen without contrast CPT 74150 CT abdomen	$978.89	$1,861.00	$263.91–$1,861.00	22% below	47%
CT scan of the abdomen without contrast inpatient CPT 74150 CT abdomen	$978.89	$1,861.00	$263.91–$1,861.00	—	47%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT of face	$983.09	$1,869.00	$271.72–$1,869.00	29% below	47%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT of face	$983.09	$1,869.00	$271.72–$1,869.00	—	47%
CT scan of the head or brain, no contrast dye CPT 70450 CT of Head/Brain	$828.45	$1,575.00	$271.72–$1,575.00	36% below	47%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT of Head/Brain	$828.45	$1,575.00	$271.72–$1,575.00	—	47%
CT scan of the head with contrast CPT 70460 CT head/brain with contrast	$871.58	$1,657.00	$327.88–$1,657.00	44% below	47%
CT scan of the head with contrast inpatient CPT 70460 CT head/brain with contrast	$871.58	$1,657.00	$327.88–$1,657.00	—	47%
CT scan of the head without and with contrast CPT 70470 CT Head/Brain with and without contrast	$1,158.25	$2,202.00	$327.88–$2,202.00	37% below	47%
CT scan of the head without and with contrast inpatient CPT 70470 CT Head/Brain with and without contrast	$1,158.25	$2,202.00	$327.88–$2,202.00	—	47%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT Lumbar Spine	$1,115.12	$2,120.00	$271.72–$2,120.00	28% below	47%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT Lumbar Spine	$1,115.12	$2,120.00	$271.72–$2,120.00	—	47%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT Cervical Spine	$1,517.51	$2,885.00	$271.72–$2,885.00	1% below	47%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT Cervical Spine	$1,517.51	$2,885.00	$271.72–$2,885.00	—	47%
CT scan of the pelvis, with contrast dye CPT 72193 CT Pelvis with contrast	$1,158.25	$2,202.00	$327.88–$2,202.00	29% below	47%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT Pelvis with contrast	$1,158.25	$2,202.00	$327.88–$2,202.00	—	47%
Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 Extracranial study	$553.88	$1,053.00	$418.25–$1,053.00	44% below	47%
Carotid artery ultrasound (duplex), both sides of the neck inpatient CPT 93880 Extracranial study	$553.88	$1,053.00	$418.25–$1,053.00	—	47%
Chest CT scan without and with contrast CPT 71270 CT Thorax with and without contrast	$1,494.37	$2,841.00	$327.88–$2,841.00	35% below	47%
Chest CT scan without and with contrast inpatient CPT 71270 CT Thorax with and without contrast	$1,494.37	$2,841.00	$327.88–$2,841.00	—	47%
Chest X-ray, 2 views CPT 71046 X-ray chest	$183.57	$349.00	$118.25–$349.00	14% below	47%
Chest X-ray, 2 views inpatient CPT 71046 X-ray chest	$183.57	$349.00	$118.25–$349.00	—	47%
Chest X-ray, single view CPT 71045 X-ray chest	$160.96	$306.00	$121.54–$306.00	1% below	47%
Chest X-ray, single view inpatient CPT 71045 X-ray chest	$160.96	$306.00	$121.54–$306.00	—	47%
Collarbone (clavicle) X-ray, complete CPT 73000 X-ray; collar bone	$126.24	$240.00	$95.33–$240.00	39% below	47%
Collarbone (clavicle) X-ray, complete inpatient CPT 73000 X-ray; collar bone	$126.24	$240.00	$95.33–$240.00	—	47%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 ultrasound abdominal back wall	$355.58	$676.00	$263.91–$676.00	35% below	47%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 ultrasound abdominal back wall	$355.58	$676.00	$263.91–$676.00	—	47%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 Bone Density	$236.70	$450.00	$178.74–$450.00	41% below	47%
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 Bone Density	$236.70	$450.00	$178.74–$450.00	—	47%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 Bone Density	$77.85	$148.00	$58.79–$224.97	72% below	47%
DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 Bone Density	$77.85	$148.00	$58.79–$224.97	—	47%
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 OB US Detailed Sngl Fetus	$201.46	$383.00	$152.13–$644.59	71% below	47%
Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 OB US Detailed Sngl Fetus	$201.46	$383.00	$152.13–$644.59	—	47%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT Thorax	$1,115.12	$2,120.00	$271.72–$2,120.00	22% below	47%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT Thorax	$1,115.12	$2,120.00	$271.72–$2,120.00	—	47%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT Thorax with contrast	$787.42	$1,497.00	$327.88–$1,497.00	52% below	47%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT Thorax with contrast	$787.42	$1,497.00	$327.88–$1,497.00	—	47%
Diagnostic mammogram, one breast CPT 77065 Diagnostic mammogram	$208.30	$396.00	$157.29–$396.00	32% below	47%
Diagnostic mammogram, one breast inpatient CPT 77065 Diagnostic mammogram	$208.30	$396.00	$157.29–$396.00	—	47%
Duplex ultrasound of the leg arteries, both legs CPT 93925 Lower extremity study	$305.08	$580.00	$230.38–$644.59	51% below	47%
Duplex ultrasound of the leg arteries, both legs inpatient CPT 93925 Lower extremity study	$305.08	$580.00	$230.38–$644.59	—	47%
Duplex ultrasound of the leg veins, both legs CPT 93970 Extremity study	$948.90	$1,804.00	$599.87–$1,804.00	20% below	47%
Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 Extremity study	$948.90	$1,804.00	$599.87–$1,804.00	—	47%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 Echocardiogram	$701.68	$1,334.00	$529.86–$1,400.99	60% below	47%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 Echocardiogram	$701.68	$1,334.00	$529.86–$1,400.99	—	47%
Elbow X-ray, 2 views CPT 73070 X-ray; elbow	$186.73	$355.00	$141.01–$355.00	2% below	47%
Elbow X-ray, 2 views inpatient CPT 73070 X-ray; elbow	$186.73	$355.00	$141.01–$355.00	—	47%
Elbow X-ray, complete, 3 or more views CPT 73080 X-ray; elbow	$201.46	$383.00	$152.13–$383.00	14% below	47%
Elbow X-ray, complete, 3 or more views inpatient CPT 73080 X-ray; elbow	$201.46	$383.00	$152.13–$383.00	—	47%
Eye socket (orbit) CT scan without contrast CPT 70480 CT orbit/ear/fossa	$1,300.27	$2,472.00	$271.72–$2,472.00	10% below	47%
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 CT orbit/ear/fossa	$1,300.27	$2,472.00	$271.72–$2,472.00	—	47%
Facial bones X-ray, complete, 3 or more views CPT 70150 X-ray; Facial Bones	$303.50	$577.00	$35.30–$577.00	1% above	47%
Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 X-ray; Facial Bones	$303.50	$577.00	$35.30–$577.00	—	47%
Forearm X-ray (radius and ulna), 2 views CPT 73090 X-ray; Forearm	$131.50	$250.00	$99.30–$250.00	33% below	47%
Forearm X-ray (radius and ulna), 2 views inpatient CPT 73090 X-ray; Forearm	$131.50	$250.00	$99.30–$250.00	—	47%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 Hepatobiliary System imaging	$1,023.07	$1,945.00	$772.55–$1,945.00	31% below	47%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 Hepatobiliary System imaging	$1,023.07	$1,945.00	$772.55–$1,945.00	—	47%
Hand X-ray, 2 views CPT 73120 X-ray; Hand	$106.25	$202.00	$80.23–$271.72	44% below	47%
Hand X-ray, 2 views inpatient CPT 73120 X-ray; Hand	$106.25	$202.00	$80.23–$271.72	—	47%
Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 X-ray; Heel	$129.92	$247.00	$98.11–$247.00	35% below	47%
Heel bone (calcaneus) X-ray, 2 or more views inpatient CPT 73650 X-ray; Heel	$129.92	$247.00	$98.11–$247.00	—	47%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 sleep study with titration	$2,809.37	$5,341.00	$2,121.45–$5,341.00	23% below	47%
In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 sleep study with titration	$2,809.37	$5,341.00	$2,121.45–$5,341.00	—	47%
Knee X-ray, 3 views CPT 73562 X-ray; knee	$177.26	$337.00	$133.86–$337.00	30% below	47%
Knee X-ray, 3 views inpatient CPT 73562 X-ray; knee	$177.26	$337.00	$133.86–$337.00	—	47%
Knee X-ray, complete, 4 or more views CPT 73564 X-ray; knee	$275.62	$524.00	$208.13–$524.00	at median	47%
Knee X-ray, complete, 4 or more views inpatient CPT 73564 X-ray; knee	$275.62	$524.00	$208.13–$524.00	—	47%
Leg CT scan without contrast (hip to foot, any part) CPT 73700 CT Lower extremity	$1,293.43	$2,459.00	$271.72–$2,459.00	11% below	47%
Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 CT Lower extremity	$1,293.43	$2,459.00	$271.72–$2,459.00	—	47%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Ultrasound abdomen	$267.21	$508.00	$201.78–$508.00	40% below	47%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 Ultrasound abdomen	$267.21	$508.00	$201.78–$508.00	—	47%
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 Ultrasound limited joint; nonvascular	$331.91	$631.00	$250.63–$631.00	16% above	47%
Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 Ultrasound limited joint; nonvascular	$331.91	$631.00	$250.63–$631.00	—	47%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT Thorax Lung Cancer Scr C-	$409.75	$779.00	$271.72–$779.00	8% below	47%
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 CT Thorax Lung Cancer Scr C-	$409.75	$779.00	$271.72–$779.00	—	47%
Lower leg X-ray (tibia and fibula), 2 views CPT 73590 X-ray; lower leg	$147.81	$281.00	$111.61–$281.00	31% below	47%
Lower leg X-ray (tibia and fibula), 2 views inpatient CPT 73590 X-ray; lower leg	$147.81	$281.00	$111.61–$281.00	—	47%
MR angiography (MRA) of the head without contrast CPT 70544 MRA head	$2,022.47	$3,845.00	$578.05–$3,845.00	8% below	47%
MR angiography (MRA) of the head without contrast inpatient CPT 70544 MRA head	$2,022.47	$3,845.00	$578.05–$3,845.00	—	47%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI lower extremity joint	$2,029.31	$3,858.00	$578.05–$3,858.00	8% below	47%
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 MRI lower extremity joint	$2,029.31	$3,858.00	$578.05–$3,858.00	—	47%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI lower extremity joint with and without contrast	$2,042.98	$3,884.00	$607.75–$3,884.00	40% below	47%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 MRI lower extremity joint with and without contrast	$2,042.98	$3,884.00	$607.75–$3,884.00	—	47%
MRI of the abdomen without contrast CPT 74181 MRI abdomen	$2,039.83	$3,878.00	$578.05–$3,878.00	8% below	47%
MRI of the abdomen without contrast inpatient CPT 74181 MRI abdomen	$2,039.83	$3,878.00	$578.05–$3,878.00	—	47%
MRI of the abdomen, without and then with contrast dye CPT 74183 MRI abdomen with and without contrast	$1,907.80	$3,627.00	$607.75–$3,627.00	44% below	47%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MRI abdomen with and without contrast	$1,907.80	$3,627.00	$607.75–$3,627.00	—	47%
MRI of the brain, no contrast dye CPT 70551 MRI Brain	$1,815.23	$3,451.00	$578.05–$3,451.00	18% below	47%
MRI of the brain, no contrast dye inpatient CPT 70551 MRI Brain	$1,815.23	$3,451.00	$578.05–$3,451.00	—	47%
MRI of the brain, with and without contrast dye CPT 70553 MRI brain with and without contrast	$1,956.72	$3,720.00	$607.75–$3,720.00	43% below	47%
MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI brain with and without contrast	$1,956.72	$3,720.00	$607.75–$3,720.00	—	47%
MRI of the lower back, no contrast dye CPT 72148 MRI lumbar spine	$1,684.78	$3,203.00	$578.05–$3,203.00	24% below	47%
MRI of the lower back, no contrast dye inpatient CPT 72148 MRI lumbar spine	$1,684.78	$3,203.00	$578.05–$3,203.00	—	47%
MRI of the lower back, without and then with contrast dye CPT 72158 MRI lumbar spine with and without contrast	$1,778.93	$3,382.00	$607.75–$3,382.00	48% below	47%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MRI lumbar spine with and without contrast	$1,778.93	$3,382.00	$607.75–$3,382.00	—	47%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 Thoracic MRI	$1,382.33	$2,628.00	$578.05–$2,628.00	37% below	47%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 Thoracic MRI	$1,382.33	$2,628.00	$578.05–$2,628.00	—	47%
MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI cervical spine with and without contrast	$2,054.56	$3,906.00	$607.75–$3,906.00	40% below	47%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MRI cervical spine with and without contrast	$2,054.56	$3,906.00	$607.75–$3,906.00	—	47%
MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI Cervial spine	$1,520.67	$2,891.00	$578.05–$2,891.00	31% below	47%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MRI Cervial spine	$1,520.67	$2,891.00	$578.05–$2,891.00	—	47%
MRI of the pelvis without and with contrast CPT 72197 MRI pelvis with and without contrast	$2,042.98	$3,884.00	$607.75–$3,884.00	40% below	47%
MRI of the pelvis without and with contrast inpatient CPT 72197 MRI pelvis with and without contrast	$2,042.98	$3,884.00	$607.75–$3,884.00	—	47%
MRI of the pelvis, no contrast dye CPT 72195 MRI chest	$1,755.26	$3,337.00	$578.05–$3,337.00	21% below	47%
MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI chest	$1,755.26	$3,337.00	$578.05–$3,337.00	—	47%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MRI upper extremity joint	$1,570.64	$2,986.00	$578.05–$2,986.00	29% below	47%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 MRI upper extremity joint	$1,570.64	$2,986.00	$578.05–$2,986.00	—	47%
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 X-ray; spine	$241.96	$460.00	$182.71–$460.00	25% below	47%
Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 X-ray; spine	$241.96	$460.00	$182.71–$460.00	—	47%
Neck soft tissue CT scan with contrast CPT 70491 CT of neck with contrast	$1,157.73	$2,201.00	$327.88–$2,201.00	29% below	47%
Neck soft tissue CT scan with contrast inpatient CPT 70491 CT of neck with contrast	$1,157.73	$2,201.00	$327.88–$2,201.00	—	47%
Neck soft tissue CT scan without contrast CPT 70490 CT of Neck	$1,115.12	$2,120.00	$263.91–$2,120.00	22% below	47%
Neck soft tissue CT scan without contrast inpatient CPT 70490 CT of Neck	$1,115.12	$2,120.00	$263.91–$2,120.00	—	47%
Neck soft tissue X-ray CPT 70360 X-ray; Neck	$107.83	$205.00	$81.43–$224.97	49% below	47%
Neck soft tissue X-ray inpatient CPT 70360 X-ray; Neck	$107.83	$205.00	$81.43–$224.97	—	47%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 Myocardial SPECT multiple Studies	$1,640.59	$3,119.00	$1,238.87–$3,335.69	47% below	47%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 Myocardial SPECT multiple Studies	$1,640.59	$3,119.00	$1,238.87–$3,335.69	—	47%
PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET Scan; skull or thigh	$3,885.04	$7,386.00	$2,933.72–$7,386.00	8% below	47%
PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 PET Scan; skull or thigh	$3,885.04	$7,386.00	$2,933.72–$7,386.00	—	47%
Pelvic CT scan without contrast CPT 72192 CT Pelvis	$854.22	$1,624.00	$271.72–$1,624.00	33% below	47%
Pelvic CT scan without contrast inpatient CPT 72192 CT Pelvis	$854.22	$1,624.00	$271.72–$1,624.00	—	47%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 Pelvic Ultrasound	$527.58	$1,003.00	$263.91–$1,003.00	32% above	47%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 Pelvic Ultrasound	$527.58	$1,003.00	$263.91–$1,003.00	—	47%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 Pelvic Ultrasound	$136.23	$259.00	$102.87–$271.72	74% below	47%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 Pelvic Ultrasound	$136.23	$259.00	$102.87–$271.72	—	47%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 14 week OB Ultrasound	$389.24	$740.00	$263.91–$740.00	32% below	47%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 14 week OB Ultrasound	$389.24	$740.00	$263.91–$740.00	—	47%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 14 week OB Ultrasound	$396.08	$753.00	$263.91–$753.00	23% below	47%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 14 week OB Ultrasound	$396.08	$753.00	$263.91–$753.00	—	47%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 OB Ultrasound	$396.08	$753.00	$263.91–$753.00	8% above	47%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 OB Ultrasound	$396.08	$753.00	$263.91–$753.00	—	47%
Rib X-ray, one side, 2 views CPT 71100 X-ray; Ribs	$257.21	$489.00	$194.23–$489.00	15% above	47%
Rib X-ray, one side, 2 views inpatient CPT 71100 X-ray; Ribs	$257.21	$489.00	$194.23–$489.00	—	47%
Rib X-ray, one side, with a chest view, 3 or more views CPT 71101 X-ray; ribs/chest	$388.19	$738.00	$263.91–$738.00	40% above	47%
Rib X-ray, one side, with a chest view, 3 or more views inpatient CPT 71101 X-ray; ribs/chest	$388.19	$738.00	$263.91–$738.00	—	47%
Screening mammogram, both breasts CPT 77067 screening mammogram	$339.80	$646.00	$165.00–$646.00	26% above	47%
Screening mammogram, both breasts inpatient CPT 77067 screening mammogram	$339.80	$646.00	$165.00–$646.00	—	47%
Shoulder X-ray, complete, 2 or more views CPT 73030 X-ray; shoulder	$285.62	$543.00	$215.68–$543.00	22% above	47%
Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 X-ray; shoulder	$285.62	$543.00	$215.68–$543.00	—	47%
Sinus X-ray, complete, 3 or more views CPT 70220 X-ray; sinuses	$222.50	$423.00	$168.02–$423.00	16% below	47%
Sinus X-ray, complete, 3 or more views inpatient CPT 70220 X-ray; sinuses	$222.50	$423.00	$168.02–$423.00	—	47%
Skull X-ray, fewer than 4 views CPT 70250 X-ray; skull	$207.77	$395.00	$156.89–$395.00	15% below	47%
Skull X-ray, fewer than 4 views inpatient CPT 70250 X-ray; skull	$207.77	$395.00	$156.89–$395.00	—	47%
Sleep study in a lab (polysomnography) CPT 95810 Sleep study	$2,809.37	$5,341.00	$2,121.45–$5,341.00	18% below	47%
Sleep study in a lab (polysomnography) inpatient CPT 95810 Sleep study	$2,809.37	$5,341.00	$2,121.45–$5,341.00	—	47%
Stress echocardiogram, complete, including the stress test and supervision CPT 93351 Stress Test	$316.13	$601.00	$238.72–$1,400.99	85% below	47%
Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 Stress Test	$316.13	$601.00	$238.72–$1,400.99	—	47%
Swallow study (modified barium swallow, video X-ray) CPT 74230 Swallow Test with Contrast	$396.08	$753.00	$299.09–$753.00	13% below	47%
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 Swallow Test with Contrast	$396.08	$753.00	$299.09–$753.00	—	47%
Thigh bone (femur) X-ray, 2 or more views CPT 73552 X-ray; thigh bone	$148.33	$282.00	$112.01–$282.00	40% below	47%
Thigh bone (femur) X-ray, 2 or more views inpatient CPT 73552 X-ray; thigh bone	$148.33	$282.00	$112.01–$282.00	—	47%
Thoracic spine (mid back) CT scan without contrast CPT 72128 CT Thoracic Spine	$1,115.12	$2,120.00	$263.91–$2,120.00	28% below	47%
Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 CT Thoracic Spine	$1,115.12	$2,120.00	$263.91–$2,120.00	—	47%
Toe X-ray, 2 or more views CPT 73660 X-ray; toe	$115.19	$219.00	$86.99–$224.97	43% below	47%
Toe X-ray, 2 or more views inpatient CPT 73660 X-ray; toe	$115.19	$219.00	$86.99–$224.97	—	47%
Transvaginal pelvic ultrasound CPT 76830 Tranvaginal ultrasound	$283.51	$539.00	$214.09–$539.00	40% below	47%
Transvaginal pelvic ultrasound inpatient CPT 76830 Tranvaginal ultrasound	$283.51	$539.00	$214.09–$539.00	—	47%
Transvaginal ultrasound during pregnancy CPT 76817 Tranvaginal ultrasound	$352.42	$670.00	$263.91–$670.00	10% below	47%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 Tranvaginal ultrasound	$352.42	$670.00	$263.91–$670.00	—	47%
Ultrasound of the abdomen, complete CPT 76700 Ultrasound abdomen	$365.04	$694.00	$263.91–$694.00	46% below	47%
Ultrasound of the abdomen, complete inpatient CPT 76700 Ultrasound abdomen	$365.04	$694.00	$263.91–$694.00	—	47%
Ultrasound of the scrotum and testicles CPT 76870 Ultrasound; scrotum	$283.51	$539.00	$214.09–$539.00	43% below	47%
Ultrasound of the scrotum and testicles inpatient CPT 76870 Ultrasound; scrotum	$283.51	$539.00	$214.09–$539.00	—	47%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 Ultra sound of head and neck	$356.63	$678.00	$263.91–$678.00	30% below	47%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 Ultra sound of head and neck	$356.63	$678.00	$263.91–$678.00	—	47%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 X-ray; Upper GI Tract with contrast	$290.88	$553.00	$219.65–$553.00	58% below	47%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 X-ray; Upper GI Tract with contrast	$290.88	$553.00	$219.65–$553.00	—	47%
Upper arm X-ray (humerus), 2 views CPT 73060 X-ray; upper arm	$161.48	$307.00	$121.94–$307.00	23% below	47%
Upper arm X-ray (humerus), 2 views inpatient CPT 73060 X-ray; upper arm	$161.48	$307.00	$121.94–$307.00	—	47%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 Duplex scan of extremity veins	$253.53	$482.00	$191.45–$482.00	65% below	47%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 Duplex scan of extremity veins	$253.53	$482.00	$191.45–$482.00	—	47%
Wrist X-ray, 2 views CPT 73100 Xray; wrist	$125.71	$239.00	$94.93–$239.00	42% below	47%
Wrist X-ray, 2 views inpatient CPT 73100 Xray; wrist	$125.71	$239.00	$94.93–$239.00	—	47%
Wrist X-ray, complete, 3 or more views CPT 73110 X-ray; wrist	$180.94	$344.00	$136.64–$344.00	29% below	47%
Wrist X-ray, complete, 3 or more views inpatient CPT 73110 X-ray; wrist	$180.94	$344.00	$136.64–$344.00	—	47%
X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 X-ray; hip	$148.33	$282.00	$112.01–$282.00	49% below	47%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient CPT 73502 X-ray; hip	$148.33	$282.00	$112.01–$282.00	—	47%
X-ray of the abdomen, 1 view CPT 74018 X-ray; abdomen	$126.24	$240.00	$95.33–$240.00	40% below	47%
X-ray of the abdomen, 1 view inpatient CPT 74018 X-ray; abdomen	$126.24	$240.00	$95.33–$240.00	—	47%
X-ray of the ankle, 2 views CPT 73600 X-ray; ankle	$234.07	$445.00	$176.75–$445.00	18% above	47%
X-ray of the ankle, 2 views inpatient CPT 73600 X-ray; ankle	$234.07	$445.00	$176.75–$445.00	—	47%
X-ray of the finger(s), 2 or more views CPT 73140 X-ray; finger	$125.19	$238.00	$94.53–$238.00	49% below	47%
X-ray of the finger(s), 2 or more views inpatient CPT 73140 X-ray; finger	$125.19	$238.00	$94.53–$238.00	—	47%
X-ray of the foot, 2 views CPT 73620 X-ray; foot	$126.24	$240.00	$95.33–$240.00	34% below	47%
X-ray of the foot, 2 views inpatient CPT 73620 X-ray; foot	$126.24	$240.00	$95.33–$240.00	—	47%
X-ray of the foot, complete, 3 or more views CPT 73630 X-ray; foot	$126.24	$240.00	$95.33–$240.00	48% below	47%
X-ray of the foot, complete, 3 or more views inpatient CPT 73630 X-ray; foot	$126.24	$240.00	$95.33–$240.00	—	47%
X-ray of the hand, 3 or more views CPT 73130 X-ray; Hand	$125.19	$238.00	$94.53–$238.00	47% below	47%
X-ray of the hand, 3 or more views inpatient CPT 73130 X-ray; Hand	$125.19	$238.00	$94.53–$238.00	—	47%
X-ray of the knee, 1 or 2 views CPT 73560 X-ray; knee	$127.82	$243.00	$96.52–$243.00	40% below	47%
X-ray of the knee, 1 or 2 views inpatient CPT 73560 X-ray; knee	$127.82	$243.00	$96.52–$243.00	—	47%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 X-ray; lower spine	$241.43	$459.00	$182.31–$459.00	17% below	47%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 X-ray; lower spine	$241.43	$459.00	$182.31–$459.00	—	47%
X-ray of the lower back, 4 or more views CPT 72110 Xray; Lower spine	$399.76	$760.00	$263.91–$760.00	7% above	47%
X-ray of the lower back, 4 or more views inpatient CPT 72110 Xray; Lower spine	$399.76	$760.00	$263.91–$760.00	—	47%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 X-ray; spine	$201.46	$383.00	$152.13–$383.00	15% below	47%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 X-ray; spine	$201.46	$383.00	$152.13–$383.00	—	47%
X-ray of the nasal bones, 3 or more views CPT 70160 X-ray; nose	$162.01	$308.00	$122.34–$308.00	33% below	47%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 X-ray; nose	$162.01	$308.00	$122.34–$308.00	—	47%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 X-ray; spine	$182.00	$346.00	$137.43–$346.00	24% below	47%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 X-ray; spine	$182.00	$346.00	$137.43–$346.00	—	47%
X-ray of the pelvis, 1 or 2 views CPT 72170 X-ray; pelvis	$140.44	$267.00	$106.05–$271.72	37% below	47%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 X-ray; pelvis	$140.44	$267.00	$106.05–$271.72	—	47%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 X-ray; Tailbone	$161.48	$307.00	$121.94–$307.00	25% below	47%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 X-ray; Tailbone	$161.48	$307.00	$121.94–$307.00	—	47%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs Wisconsin	Off list
ACTH blood test CPT 82024 Chemistry	$39.98	$76.00	$30.19–$86.01	82% below	47%
ACTH blood test inpatient CPT 82024 Chemistry	$39.98	$76.00	$30.19–$86.01	—	47%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 Chemistry	$25.25	$48.00	$4.51–$48.00	28% below	47%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 Chemistry	$25.25	$48.00	$4.51–$48.00	—	47%
AST (aspartate aminotransferase) enzyme test CPT 84450 Chemistry	$25.25	$48.00	$15.73–$48.00	47% below	47%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 Chemistry	$25.25	$48.00	$15.73–$48.00	—	47%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 Organ/Disease oriented panels	$231.97	$441.00	$142.54–$441.00	24% below	47%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 Organ/Disease oriented panels	$231.97	$441.00	$142.54–$441.00	—	47%
Albumin blood test CPT 82040 Chemistry	$32.61	$62.00	$14.75–$62.00	13% below	47%
Albumin blood test inpatient CPT 82040 Chemistry	$32.61	$62.00	$14.75–$62.00	—	47%
Aldosterone blood test CPT 82088 Chemistry	$48.92	$93.00	$36.94–$121.89	75% below	47%
Aldosterone blood test inpatient CPT 82088 Chemistry	$48.92	$93.00	$36.94–$121.89	—	47%
Alkaline phosphatase (ALP) blood test CPT 84075 Chemistry	$25.25	$48.00	$5.18–$48.00	48% below	47%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 Chemistry	$25.25	$48.00	$5.18–$48.00	—	47%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Mouse Urine	$19.99	$38.00	$15.09–$38.00	20% below	47%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Mouse Epithelial Cells	$19.99	$38.00	$15.09–$38.00	20% below	47%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Casein	$19.99	$38.00	$15.09–$38.00	20% below	47%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Cherry	$19.99	$38.00	$15.09–$38.00	20% below	47%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Barley	$19.99	$38.00	$15.09–$38.00	20% below	47%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Cashew	$19.99	$38.00	$15.09–$38.00	20% below	47%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Avocado	$19.99	$38.00	$15.09–$38.00	20% below	47%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Cheddar Cheese	$19.99	$38.00	$15.09–$38.00	20% below	47%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Chicken Meat	$19.99	$38.00	$15.09–$38.00	20% below	47%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Codfish	$19.99	$38.00	$15.09–$38.00	20% below	47%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Corn	$19.99	$38.00	$15.09–$38.00	20% below	47%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Crab	$19.99	$38.00	$15.09–$38.00	20% below	47%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Egg White	$19.99	$38.00	$15.09–$38.00	20% below	47%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige, Chocolate (Cacao)	$19.99	$38.00	$15.09–$38.00	20% below	47%
Allergy blood test, specific IgE, per allergen CPT 86003 Hymenoptera Rast Inh	$19.99	$38.00	$15.09–$38.00	20% below	47%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Tilapia	$19.99	$38.00	$15.09–$38.00	20% below	47%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige, Sheep Epithelial/Wool	$19.99	$38.00	$15.09–$38.00	20% below	47%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Rabbit Epith	$19.99	$38.00	$15.09–$38.00	20% below	47%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Dust, Hs	$19.99	$38.00	$15.09–$38.00	20% below	47%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Pear	$19.99	$38.00	$15.09–$38.00	20% below	47%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Mushroom	$19.99	$38.00	$15.09–$38.00	20% below	47%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Almond	$19.99	$38.00	$15.09–$38.00	20% below	47%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Macadamia Nut	$19.99	$38.00	$15.09–$38.00	20% below	47%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Linseed	$19.99	$38.00	$15.09–$38.00	20% below	47%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Alpha Lactalbumin	$19.99	$38.00	$15.09–$38.00	20% below	47%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Lettuce	$19.99	$38.00	$15.09–$38.00	20% below	47%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Hop Fruit	$19.99	$38.00	$15.09–$38.00	20% below	47%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Apple	$19.99	$38.00	$15.09–$38.00	20% below	47%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Guinea Pig Epithelium	$19.99	$38.00	$15.09–$38.00	20% below	47%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Green Bean	$19.99	$38.00	$15.09–$38.00	20% below	47%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Dandelion	$19.99	$38.00	$15.09–$38.00	20% below	47%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Mandarin	$19.99	$38.00	$15.09–$38.00	20% below	47%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige G. Domesticus	$19.99	$38.00	$15.09–$38.00	20% below	47%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Brazil Nut	$19.99	$38.00	$15.09–$38.00	20% below	47%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Pine Nut	$19.99	$38.00	$15.09–$38.00	20% below	47%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Onion	$19.99	$38.00	$15.09–$38.00	20% below	47%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Carrot	$19.99	$38.00	$15.09–$38.00	20% below	47%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Clam	$19.99	$38.00	$15.09–$38.00	20% below	47%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Chick Pea	$19.99	$38.00	$15.09–$38.00	20% below	47%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Oyster	$19.99	$38.00	$15.09–$38.00	20% below	47%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Celery	$19.99	$38.00	$15.09–$38.00	20% below	47%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Blue Mussel	$19.99	$38.00	$15.09–$38.00	20% below	47%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Whey	$19.99	$38.00	$15.09–$38.00	20% below	47%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Honey Bee	$19.99	$38.00	$15.09–$38.00	20% below	47%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige White Faced Hornet	$19.99	$38.00	$15.09–$38.00	20% below	47%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Yellow Hornet	$19.99	$38.00	$15.09–$38.00	20% below	47%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Yellow Jacket	$19.99	$38.00	$15.09–$38.00	20% below	47%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Paper Wasp	$19.99	$38.00	$15.09–$38.00	20% below	47%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Latex	$19.99	$38.00	$15.09–$38.00	20% below	47%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Orchard Grass	$19.99	$38.00	$15.09–$38.00	20% below	47%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Sunflower Seed	$19.99	$38.00	$15.09–$38.00	20% below	47%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Blueberry	$19.99	$38.00	$15.09–$38.00	20% below	47%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Raspberry	$19.99	$38.00	$15.09–$38.00	20% below	47%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Lentils	$19.99	$38.00	$15.09–$38.00	20% below	47%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Broccoli	$19.99	$38.00	$15.09–$38.00	20% below	47%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Coconut	$19.99	$38.00	$15.09–$38.00	20% below	47%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Kiwi	$19.99	$38.00	$15.09–$38.00	20% below	47%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Scallop	$19.99	$38.00	$15.09–$38.00	20% below	47%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Paprika	$19.99	$38.00	$15.09–$38.00	20% below	47%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Sesame Seed	$19.99	$38.00	$15.09–$38.00	20% below	47%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Gelatin	$19.99	$38.00	$15.09–$38.00	20% below	47%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Dust, Greer	$19.99	$38.00	$15.09–$38.00	20% below	47%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige White Potato	$19.99	$38.00	$15.09–$38.00	20% below	47%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Walleyed Pike	$19.99	$38.00	$15.09–$38.00	20% below	47%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige, Swine Epithelial	$19.99	$38.00	$15.09–$38.00	20% below	47%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Turkey Meat	$19.99	$38.00	$15.09–$38.00	20% below	47%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Mango	$19.99	$38.00	$15.09–$38.00	20% below	47%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Rat Epithelium	$19.99	$38.00	$15.09–$38.00	20% below	47%
Allergy blood test, specific IgE, per allergen CPT 86003 Allergy Respiratory Panel	$19.99	$38.00	$15.09–$38.00	20% below	47%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige, Banana	$19.99	$38.00	$15.09–$38.00	20% below	47%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Egg Yolk	$19.99	$38.00	$15.09–$38.00	20% below	47%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Halibut	$19.99	$38.00	$15.09–$38.00	20% below	47%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Hazelnut	$19.99	$38.00	$15.09–$38.00	20% below	47%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Lobster	$19.99	$38.00	$15.09–$38.00	20% below	47%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Oat	$19.99	$38.00	$15.09–$38.00	20% below	47%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Orange	$19.99	$38.00	$15.09–$38.00	20% below	47%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Pea	$19.99	$38.00	$15.09–$38.00	20% below	47%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Peach	$19.99	$38.00	$15.09–$38.00	20% below	47%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Peanut	$19.99	$38.00	$15.09–$38.00	20% below	47%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Pecan Nut	$19.99	$38.00	$15.09–$38.00	20% below	47%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Rice	$19.99	$38.00	$15.09–$38.00	20% below	47%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Salmon	$19.99	$38.00	$15.09–$38.00	20% below	47%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Pepper Green/Bell	$19.99	$38.00	$15.09–$38.00	20% below	47%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Gluten	$19.99	$38.00	$15.09–$38.00	20% below	47%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Grapes	$19.99	$38.00	$15.09–$38.00	20% below	47%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Garlic	$19.99	$38.00	$15.09–$38.00	20% below	47%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Melon	$19.99	$38.00	$15.09–$38.00	20% below	47%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Cranberry	$19.99	$38.00	$15.09–$38.00	20% below	47%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Pineapple	$19.99	$38.00	$15.09–$38.00	20% below	47%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Coriander	$19.99	$38.00	$15.09–$38.00	20% below	47%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Pistachio	$19.99	$38.00	$15.09–$38.00	20% below	47%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Strawberry	$19.99	$38.00	$15.09–$38.00	20% below	47%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Tomato	$19.99	$38.00	$15.09–$38.00	20% below	47%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Cinnamon	$19.99	$38.00	$15.09–$38.00	20% below	47%
Allergy blood test, specific IgE, per allergen CPT 86003 Immunology	$19.99	$38.00	$15.09–$38.00	20% below	47%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Tuna	$19.99	$38.00	$15.09–$38.00	20% below	47%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Walnut	$19.99	$38.00	$15.09–$38.00	20% below	47%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Chili Pepper	$19.99	$38.00	$15.09–$38.00	20% below	47%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige, Horse Dander	$36.82	$70.00	$15.73–$70.00	47% above	47%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Spinach	$36.82	$70.00	$15.73–$70.00	47% above	47%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige, Storage Mite	$36.82	$70.00	$15.73–$70.00	47% above	47%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Ragweed Giant	$36.82	$70.00	$15.73–$70.00	47% above	47%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Mite B Tropicali	$36.82	$70.00	$15.73–$70.00	47% above	47%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Kidney Bean	$36.82	$70.00	$15.73–$70.00	47% above	47%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Octopus	$36.82	$70.00	$15.73–$70.00	47% above	47%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Cauliflower	$36.82	$70.00	$15.73–$70.00	47% above	47%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Cucumber	$36.82	$70.00	$15.73–$70.00	47% above	47%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige, Black Pepper	$36.82	$70.00	$15.73–$70.00	47% above	47%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige White Bean	$36.82	$70.00	$15.73–$70.00	47% above	47%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige, Basil	$36.82	$70.00	$15.73–$70.00	47% above	47%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Poppy Seed	$36.82	$70.00	$15.73–$70.00	47% above	47%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Goat Milk	$36.82	$70.00	$15.73–$70.00	47% above	47%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Lemon	$36.82	$70.00	$15.73–$70.00	47% above	47%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Parsley Allergen	$36.82	$70.00	$15.73–$70.00	47% above	47%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Rye	$36.82	$70.00	$15.73–$70.00	47% above	47%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Botrytis Cinerea	$36.82	$70.00	$15.73–$70.00	47% above	47%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Cheese Mold Type	$36.82	$70.00	$15.73–$70.00	47% above	47%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Watermelon	$36.82	$70.00	$15.73–$70.00	47% above	47%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Chicken Feathers	$36.82	$70.00	$15.73–$70.00	47% above	47%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Duck Feathers	$36.82	$70.00	$15.73–$70.00	47% above	47%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Goose Feathers	$36.82	$70.00	$15.73–$70.00	47% above	47%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Trout	$36.82	$70.00	$15.73–$70.00	47% above	47%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Ragweed Western	$36.82	$70.00	$15.73–$70.00	47% above	47%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Squid	$36.82	$70.00	$15.73–$70.00	47% above	47%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Penicillin G (Major)	$36.82	$70.00	$15.73–$70.00	47% above	47%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige, False Ragweed	$36.82	$70.00	$15.73–$70.00	47% above	47%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige, Ampicillin	$36.82	$70.00	$15.73–$70.00	47% above	47%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige, Penicilloyl V	$36.82	$70.00	$15.73–$70.00	47% above	47%
Allergy blood test, specific IgE, per allergen CPT 86003 Peanut Component Panel	$61.02	$116.00	$15.73–$116.00	144% above	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Sunflower Seed	$19.99	$38.00	$15.09–$38.00	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige, Swine Epithelial	$19.99	$38.00	$15.09–$38.00	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige, Sheep Epithelial/Wool	$19.99	$38.00	$15.09–$38.00	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige, Chocolate (Cacao)	$19.99	$38.00	$15.09–$38.00	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hymenoptera Rast Inh	$19.99	$38.00	$15.09–$38.00	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergy Respiratory Panel	$19.99	$38.00	$15.09–$38.00	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige, Banana	$19.99	$38.00	$15.09–$38.00	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Pepper Green/Bell	$19.99	$38.00	$15.09–$38.00	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Gluten	$19.99	$38.00	$15.09–$38.00	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Garlic	$19.99	$38.00	$15.09–$38.00	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Cranberry	$19.99	$38.00	$15.09–$38.00	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Coriander	$19.99	$38.00	$15.09–$38.00	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Cinnamon	$19.99	$38.00	$15.09–$38.00	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Chili Pepper	$19.99	$38.00	$15.09–$38.00	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Chick Pea	$19.99	$38.00	$15.09–$38.00	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Celery	$19.99	$38.00	$15.09–$38.00	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Blue Mussel	$19.99	$38.00	$15.09–$38.00	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Paprika	$19.99	$38.00	$15.09–$38.00	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Gelatin	$19.99	$38.00	$15.09–$38.00	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige White Potato	$19.99	$38.00	$15.09–$38.00	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Walleyed Pike	$19.99	$38.00	$15.09–$38.00	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Turkey Meat	$19.99	$38.00	$15.09–$38.00	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Rat Epithelium	$19.99	$38.00	$15.09–$38.00	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Rabbit Epith	$19.99	$38.00	$15.09–$38.00	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Pear	$19.99	$38.00	$15.09–$38.00	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Mushroom	$19.99	$38.00	$15.09–$38.00	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Macadamia Nut	$19.99	$38.00	$15.09–$38.00	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Linseed	$19.99	$38.00	$15.09–$38.00	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Lettuce	$19.99	$38.00	$15.09–$38.00	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Hop Fruit	$19.99	$38.00	$15.09–$38.00	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Guinea Pig Epithelium	$19.99	$38.00	$15.09–$38.00	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Green Bean	$19.99	$38.00	$15.09–$38.00	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Mandarin	$19.99	$38.00	$15.09–$38.00	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige G. Domesticus	$19.99	$38.00	$15.09–$38.00	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Pine Nut	$19.99	$38.00	$15.09–$38.00	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Onion	$19.99	$38.00	$15.09–$38.00	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Mouse Urine	$19.99	$38.00	$15.09–$38.00	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Mouse Epithelial Cells	$19.99	$38.00	$15.09–$38.00	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Cherry	$19.99	$38.00	$15.09–$38.00	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Barley	$19.99	$38.00	$15.09–$38.00	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Avocado	$19.99	$38.00	$15.09–$38.00	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Tilapia	$19.99	$38.00	$15.09–$38.00	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Mango	$19.99	$38.00	$15.09–$38.00	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Kiwi	$19.99	$38.00	$15.09–$38.00	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Coconut	$19.99	$38.00	$15.09–$38.00	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Broccoli	$19.99	$38.00	$15.09–$38.00	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Lentils	$19.99	$38.00	$15.09–$38.00	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Raspberry	$19.99	$38.00	$15.09–$38.00	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Blueberry	$19.99	$38.00	$15.09–$38.00	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Orchard Grass	$19.99	$38.00	$15.09–$38.00	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Latex	$19.99	$38.00	$15.09–$38.00	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Paper Wasp	$19.99	$38.00	$15.09–$38.00	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Yellow Jacket	$19.99	$38.00	$15.09–$38.00	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Yellow Hornet	$19.99	$38.00	$15.09–$38.00	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige White Faced Hornet	$19.99	$38.00	$15.09–$38.00	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Honey Bee	$19.99	$38.00	$15.09–$38.00	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Whey	$19.99	$38.00	$15.09–$38.00	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Walnut	$19.99	$38.00	$15.09–$38.00	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Tuna	$19.99	$38.00	$15.09–$38.00	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Tomato	$19.99	$38.00	$15.09–$38.00	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Strawberry	$19.99	$38.00	$15.09–$38.00	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Salmon	$19.99	$38.00	$15.09–$38.00	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Rice	$19.99	$38.00	$15.09–$38.00	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Pecan Nut	$19.99	$38.00	$15.09–$38.00	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Peanut	$19.99	$38.00	$15.09–$38.00	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Peach	$19.99	$38.00	$15.09–$38.00	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Pea	$19.99	$38.00	$15.09–$38.00	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Orange	$19.99	$38.00	$15.09–$38.00	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Oat	$19.99	$38.00	$15.09–$38.00	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Lobster	$19.99	$38.00	$15.09–$38.00	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Hazelnut	$19.99	$38.00	$15.09–$38.00	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Halibut	$19.99	$38.00	$15.09–$38.00	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Egg Yolk	$19.99	$38.00	$15.09–$38.00	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Egg White	$19.99	$38.00	$15.09–$38.00	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Crab	$19.99	$38.00	$15.09–$38.00	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Corn	$19.99	$38.00	$15.09–$38.00	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Codfish	$19.99	$38.00	$15.09–$38.00	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Chicken Meat	$19.99	$38.00	$15.09–$38.00	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Cheddar Cheese	$19.99	$38.00	$15.09–$38.00	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Cashew	$19.99	$38.00	$15.09–$38.00	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Casein	$19.99	$38.00	$15.09–$38.00	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Carrot	$19.99	$38.00	$15.09–$38.00	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Brazil Nut	$19.99	$38.00	$15.09–$38.00	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Dandelion	$19.99	$38.00	$15.09–$38.00	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Apple	$19.99	$38.00	$15.09–$38.00	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Alpha Lactalbumin	$19.99	$38.00	$15.09–$38.00	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Almond	$19.99	$38.00	$15.09–$38.00	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Dust, Hs	$19.99	$38.00	$15.09–$38.00	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Dust, Greer	$19.99	$38.00	$15.09–$38.00	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Sesame Seed	$19.99	$38.00	$15.09–$38.00	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Scallop	$19.99	$38.00	$15.09–$38.00	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Oyster	$19.99	$38.00	$15.09–$38.00	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Clam	$19.99	$38.00	$15.09–$38.00	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Immunology	$19.99	$38.00	$15.09–$38.00	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Pistachio	$19.99	$38.00	$15.09–$38.00	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Pineapple	$19.99	$38.00	$15.09–$38.00	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Melon	$19.99	$38.00	$15.09–$38.00	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Grapes	$19.99	$38.00	$15.09–$38.00	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige, Penicilloyl V	$36.82	$70.00	$15.73–$70.00	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Lemon	$36.82	$70.00	$15.73–$70.00	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Spinach	$36.82	$70.00	$15.73–$70.00	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Penicillin G (Major)	$36.82	$70.00	$15.73–$70.00	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige, False Ragweed	$36.82	$70.00	$15.73–$70.00	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige, Ampicillin	$36.82	$70.00	$15.73–$70.00	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Octopus	$36.82	$70.00	$15.73–$70.00	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Cucumber	$36.82	$70.00	$15.73–$70.00	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige, Black Pepper	$36.82	$70.00	$15.73–$70.00	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Poppy Seed	$36.82	$70.00	$15.73–$70.00	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Goat Milk	$36.82	$70.00	$15.73–$70.00	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Duck Feathers	$36.82	$70.00	$15.73–$70.00	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige, Horse Dander	$36.82	$70.00	$15.73–$70.00	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Botrytis Cinerea	$36.82	$70.00	$15.73–$70.00	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Cauliflower	$36.82	$70.00	$15.73–$70.00	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Rye	$36.82	$70.00	$15.73–$70.00	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Cheese Mold Type	$36.82	$70.00	$15.73–$70.00	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Chicken Feathers	$36.82	$70.00	$15.73–$70.00	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige White Bean	$36.82	$70.00	$15.73–$70.00	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Goose Feathers	$36.82	$70.00	$15.73–$70.00	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Kidney Bean	$36.82	$70.00	$15.73–$70.00	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Ragweed Western	$36.82	$70.00	$15.73–$70.00	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige, Basil	$36.82	$70.00	$15.73–$70.00	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Parsley Allergen	$36.82	$70.00	$15.73–$70.00	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Watermelon	$36.82	$70.00	$15.73–$70.00	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Mite B Tropicali	$36.82	$70.00	$15.73–$70.00	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Ragweed Giant	$36.82	$70.00	$15.73–$70.00	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige, Storage Mite	$36.82	$70.00	$15.73–$70.00	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Trout	$36.82	$70.00	$15.73–$70.00	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Squid	$36.82	$70.00	$15.73–$70.00	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Peanut Component Panel	$61.02	$116.00	$15.73–$116.00	—	47%
Alpha-fetoprotein (AFP) blood test CPT 82105 Chemistry	$69.96	$133.00	$50.13–$133.00	16% below	47%
Alpha-fetoprotein (AFP) blood test CPT 82105 Afp Maternal Serum	$69.96	$133.00	$50.13–$133.00	16% below	47%
Alpha-fetoprotein (AFP) blood test CPT 82105 Prenatal Quad Screen	$69.96	$133.00	$50.13–$133.00	16% below	47%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 Afp Maternal Serum	$69.96	$133.00	$50.13–$133.00	—	47%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 Prenatal Quad Screen	$69.96	$133.00	$50.13–$133.00	—	47%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 Chemistry	$69.96	$133.00	$50.13–$133.00	—	47%
Ammonia blood test CPT 82140 Chemistry	$96.78	$184.00	$14.57–$184.00	8% above	47%
Ammonia blood test inpatient CPT 82140 Chemistry	$96.78	$184.00	$14.57–$184.00	—	47%
Amylase blood test CPT 82150 Amylase Isoenzymes	$33.66	$64.00	$19.66–$64.00	45% below	47%
Amylase blood test CPT 82150 Amylase Urine	$44.18	$84.00	$19.66–$84.00	28% below	47%
Amylase blood test CPT 82150 Chemistry	$44.18	$84.00	$19.66–$84.00	28% below	47%
Amylase blood test inpatient CPT 82150 Amylase Isoenzymes	$33.66	$64.00	$19.66–$64.00	—	47%
Amylase blood test inpatient CPT 82150 Chemistry	$44.18	$84.00	$19.66–$84.00	—	47%
Amylase blood test inpatient CPT 82150 Amylase Urine	$44.18	$84.00	$19.66–$84.00	—	47%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Immunology	$54.18	$103.00	$12.95–$103.00	34% below	47%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Ana Profile 12	$54.18	$103.00	$12.95–$103.00	34% below	47%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 Immunology	$54.18	$103.00	$12.95–$103.00	—	47%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 Ana Profile 12	$54.18	$103.00	$12.95–$103.00	—	47%
Antinuclear antibody (ANA) blood test, screen CPT 86038 Immunology	$42.61	$81.00	$12.09–$81.00	38% below	47%
Antinuclear antibody (ANA) blood test, screen CPT 86038 Ana Profile 1	$42.61	$81.00	$12.09–$81.00	38% below	47%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 Ana Profile 1	$42.61	$81.00	$12.09–$81.00	—	47%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 Immunology	$42.61	$81.00	$12.09–$81.00	—	47%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 Chemistry	$91.00	$173.00	$33.37–$173.00	36% below	47%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 Chemistry	$91.00	$173.00	$33.37–$173.00	—	47%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Sterility Culture	$58.39	$111.00	$25.56–$111.00	11% above	47%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Microbiology	$58.39	$111.00	$25.56–$111.00	11% above	47%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Microbiology	$58.39	$111.00	$25.56–$111.00	—	47%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Sterility Culture	$58.39	$111.00	$25.56–$111.00	—	47%
Basic metabolic panel (blood test) CPT 80048 Organ/Disease oriented panels	$109.41	$208.00	$25.56–$208.00	24% above	47%
Basic metabolic panel (blood test) inpatient CPT 80048 Organ/Disease oriented panels	$109.41	$208.00	$25.56–$208.00	—	47%
Bilirubin blood test, total CPT 82247 Chemistry	$25.25	$48.00	$5.02–$48.00	46% below	47%
Bilirubin blood test, total inpatient CPT 82247 Chemistry	$25.25	$48.00	$5.02–$48.00	—	47%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 Surgical Pathology study	$107.83	$205.00	$79.75–$205.00	50% below	47%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Surgical Pathology study	$107.83	$205.00	$79.75–$205.00	—	47%
Blood culture for bacteria CPT 87040 Microbiology	$82.58	$157.00	$31.46–$157.00	4% below	47%
Blood culture for bacteria inpatient CPT 87040 Microbiology	$82.58	$157.00	$31.46–$157.00	—	47%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 Blood Draw	$17.88	$34.00	$3.93–$34.00	22% above	47%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Blood Draw	$17.88	$34.00	$3.93–$34.00	—	47%
Blood glucose (sugar) test CPT 82947 Glucose, Fasting	$25.25	$48.00	$11.80–$48.00	3% above	47%
Blood glucose (sugar) test CPT 82947 Chemistry	$25.25	$48.00	$11.80–$48.00	3% above	47%
Blood glucose (sugar) test inpatient CPT 82947 Glucose, Fasting	$25.25	$48.00	$11.80–$48.00	—	47%
Blood glucose (sugar) test inpatient CPT 82947 Chemistry	$25.25	$48.00	$11.80–$48.00	—	47%
Blood lead test CPT 83655 Lead Industrial Exposure Panel	$24.20	$46.00	$18.27–$46.00	56% below	47%
Blood lead test CPT 83655 Lead, Urine	$38.92	$74.00	$29.39–$74.00	29% below	47%
Blood lead test CPT 83655 Chemistry	$41.55	$79.00	$31.38–$79.00	24% below	47%
Blood lead test CPT 83655 Assay of Lead	$41.55	$79.00	$31.38–$79.00	24% below	47%
Blood lead test inpatient CPT 83655 Lead Industrial Exposure Panel	$24.20	$46.00	$18.27–$46.00	—	47%
Blood lead test inpatient CPT 83655 Lead, Urine	$38.92	$74.00	$29.39–$74.00	—	47%
Blood lead test inpatient CPT 83655 Assay of Lead	$41.55	$79.00	$31.38–$79.00	—	47%
Blood lead test inpatient CPT 83655 Chemistry	$41.55	$79.00	$31.38–$79.00	—	47%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Chemistry	$45.76	$87.00	$7.52–$87.00	26% below	47%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 Chemistry	$45.76	$87.00	$7.52–$87.00	—	47%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Relative Blood Type	$48.92	$93.00	$36.94–$329.37	15% above	47%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Newborn Abo Rh	$48.92	$93.00	$36.94–$329.37	15% above	47%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO	$48.92	$93.00	$36.94–$329.37	15% above	47%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 CORD	$48.92	$93.00	$36.94–$329.37	15% above	47%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Transfusion Medicine	$48.92	$93.00	$36.94–$329.37	15% above	47%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 CORD	$48.92	$93.00	$36.94–$329.37	—	47%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 Relative Blood Type	$48.92	$93.00	$36.94–$329.37	—	47%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 ABO	$48.92	$93.00	$36.94–$329.37	—	47%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 Transfusion Medicine	$48.92	$93.00	$36.94–$329.37	—	47%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 Newborn Abo Rh	$48.92	$93.00	$36.94–$329.37	—	47%
Blood urea nitrogen (BUN) test CPT 84520 Chemistry	$25.25	$48.00	$3.95–$48.00	2% below	47%
Blood urea nitrogen (BUN) test inpatient CPT 84520 Chemistry	$25.25	$48.00	$3.95–$48.00	—	47%
C-peptide blood test CPT 84681 Chemistry	$45.76	$87.00	$20.81–$87.00	47% below	47%
C-peptide blood test inpatient CPT 84681 Chemistry	$45.76	$87.00	$20.81–$87.00	—	47%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 Immunology	$39.45	$75.00	$4.40–$75.00	28% below	47%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 Immunology	$39.45	$75.00	$4.40–$75.00	—	47%
C. difficile toxin gene test (stool PCR) CPT 87493 Microbiology	$108.88	$207.00	$31.68–$207.00	28% below	47%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 Microbiology	$108.88	$207.00	$31.68–$207.00	—	47%
CA 19-9 blood test (tumor marker) CPT 86301 Immunology	$102.04	$194.00	$62.91–$194.00	9% below	47%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 Immunology	$102.04	$194.00	$62.91–$194.00	—	47%
CA-125 blood test (ovarian cancer marker) CPT 86304 Immunology	$102.04	$194.00	$62.91–$194.00	15% below	47%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 Immunology	$102.04	$194.00	$62.91–$194.00	—	47%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Microbiology	$69.43	$132.00	$52.43–$132.00	49% below	47%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 2019 Novel Coronavirus	$69.43	$132.00	$52.43–$132.00	49% below	47%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 Microbiology	$69.43	$132.00	$52.43–$132.00	—	47%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 2019 Novel Coronavirus	$69.43	$132.00	$52.43–$132.00	—	47%
Calcium blood test, total CPT 82310 Chemistry	$25.25	$48.00	$15.73–$48.00	52% below	47%
Calcium blood test, total CPT 82310 Ca/Crea Ratio, Urine Random	$25.25	$48.00	$15.73–$48.00	52% below	47%
Calcium blood test, total inpatient CPT 82310 Ca/Crea Ratio, Urine Random	$25.25	$48.00	$15.73–$48.00	—	47%
Calcium blood test, total inpatient CPT 82310 Chemistry	$25.25	$48.00	$15.73–$48.00	—	47%
Carcinoembryonic antigen (CEA) test CPT 82378 Chemistry	$70.48	$134.00	$53.22–$134.00	48% below	47%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 Chemistry	$70.48	$134.00	$53.22–$134.00	—	47%
Chickenpox (varicella) immunity blood test CPT 86787 Immunology	$64.70	$123.00	$38.34–$123.00	12% below	47%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 Immunology	$64.70	$123.00	$38.34–$123.00	—	47%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chlamydia/Neisseria Gonorrhoeae Rna, Tma, Urogenital	$85.74	$163.00	$64.74–$198.57	40% below	47%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Microbiology	$85.74	$163.00	$64.74–$198.57	40% below	47%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chlamydia Trachomatis Rna, Tma, Urogenital	$85.74	$163.00	$64.74–$198.57	40% below	47%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Chlamydia Trachomatis Rna, Tma, Urogenital	$85.74	$163.00	$64.74–$198.57	—	47%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Chlamydia/Neisseria Gonorrhoeae Rna, Tma, Urogenital	$85.74	$163.00	$64.74–$198.57	—	47%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Microbiology	$85.74	$163.00	$64.74–$198.57	—	47%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipofit by Nmr	$41.55	$79.00	$31.38–$79.00	53% below	47%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Organ/Disease oriented panels	$94.15	$179.00	$40.30–$179.00	6% above	47%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Lipofit by Nmr	$41.55	$79.00	$31.38–$79.00	—	47%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Organ/Disease oriented panels	$94.15	$179.00	$40.30–$179.00	—	47%
Complete blood count (CBC) with differential CPT 85025 Hematology and Coagulation	$49.44	$94.00	$23.59–$94.00	32% below	47%
Complete blood count (CBC) with differential inpatient CPT 85025 Hematology and Coagulation	$49.44	$94.00	$23.59–$94.00	—	47%
Complete blood count (CBC), no differential CPT 85027 Hematology and Coagulation	$64.70	$123.00	$5.50–$123.00	23% above	47%
Complete blood count (CBC), no differential inpatient CPT 85027 Hematology and Coagulation	$64.70	$123.00	$5.50–$123.00	—	47%
Comprehensive metabolic panel (blood test) CPT 80053 Organ/Disease oriented panels	$180.94	$344.00	$31.46–$344.00	59% above	47%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 Organ/Disease oriented panels	$180.94	$344.00	$31.46–$344.00	—	47%
Cortisol blood test, total CPT 82533 Chemistry	$96.78	$184.00	$16.30–$184.00	19% below	47%
Cortisol blood test, total CPT 82533 Dexamethasone Overnight	$96.78	$184.00	$16.30–$184.00	19% below	47%
Cortisol blood test, total inpatient CPT 82533 Dexamethasone Overnight	$96.78	$184.00	$16.30–$184.00	—	47%
Cortisol blood test, total inpatient CPT 82533 Chemistry	$96.78	$184.00	$16.30–$184.00	—	47%
Creatine kinase (CK) blood test, total CPT 82550 Chemistry	$42.08	$80.00	$5.53–$80.00	34% below	47%
Creatine kinase (CK) blood test, total inpatient CPT 82550 Chemistry	$42.08	$80.00	$5.53–$80.00	—	47%
Creatinine blood test CPT 82565 Chemistry	$39.98	$76.00	$15.73–$76.00	26% above	47%
Creatinine blood test inpatient CPT 82565 Chemistry	$39.98	$76.00	$15.73–$76.00	—	47%
Cytomegalovirus (CMV) antibody test CPT 86644 Immunology	$55.76	$106.00	$42.10–$106.00	21% below	47%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 Immunology	$55.76	$106.00	$42.10–$106.00	—	47%
D-dimer blood test (blood clot marker) CPT 85379 Hematology and Coagulation	$107.83	$205.00	$30.47–$205.00	36% above	47%
D-dimer blood test (blood clot marker) inpatient CPT 85379 Hematology and Coagulation	$107.83	$205.00	$30.47–$205.00	—	47%
DHEA sulfate (DHEA-S) blood test CPT 82627 Dehydroepiandrosterone Sulfate Peds	$35.77	$68.00	$27.01–$68.00	75% below	47%
DHEA sulfate (DHEA-S) blood test CPT 82627 Chemistry	$98.36	$187.00	$66.84–$187.00	31% below	47%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 Dehydroepiandrosterone Sulfate Peds	$35.77	$68.00	$27.01–$68.00	—	47%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 Chemistry	$98.36	$187.00	$66.84–$187.00	—	47%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Drug assay	$34.19	$65.00	$25.82–$186.77	71% below	47%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Date Rape Panel	$43.66	$83.00	$32.97–$186.77	62% below	47%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Drug Assay	$43.66	$83.00	$32.97–$186.77	62% below	47%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Urine Drug Pain Management Panel	$88.89	$169.00	$67.13–$186.77	23% below	47%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Urine Drug Comprehensive Panel	$88.89	$169.00	$67.13–$186.77	23% below	47%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Drug assay	$34.19	$65.00	$25.82–$186.77	—	47%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Date Rape Panel	$43.66	$83.00	$32.97–$186.77	—	47%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Drug Assay	$43.66	$83.00	$32.97–$186.77	—	47%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Urine Drug Pain Management Panel	$88.89	$169.00	$67.13–$186.77	—	47%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Urine Drug Comprehensive Panel	$88.89	$169.00	$67.13–$186.77	—	47%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 Organ/Disease oriented panels	$84.69	$161.00	$7.01–$161.00	73% above	47%
Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 Organ/Disease oriented panels	$84.69	$161.00	$7.01–$161.00	—	47%
Epstein-Barr virus (EBV) antibody test CPT 86665 Immunology	$21.04	$40.00	$15.89–$54.07	74% below	47%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 Immunology	$21.04	$40.00	$15.89–$54.07	—	47%
Estradiol blood test CPT 82670 Chemistry	$96.26	$183.00	$72.69–$183.00	25% below	47%
Estradiol blood test CPT 82670 Estradiol	$125.19	$238.00	$83.56–$238.00	2% below	47%
Estradiol blood test inpatient CPT 82670 Chemistry	$96.26	$183.00	$72.69–$183.00	—	47%
Estradiol blood test inpatient CPT 82670 Estradiol	$125.19	$238.00	$83.56–$238.00	—	47%
FSH (follicle-stimulating hormone) test CPT 83001 FSH	$84.69	$161.00	$56.03–$161.00	27% below	47%
FSH (follicle-stimulating hormone) test CPT 83001 Chemistry	$84.69	$161.00	$56.03–$161.00	27% below	47%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 FSH	$84.69	$161.00	$56.03–$161.00	—	47%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 Chemistry	$84.69	$161.00	$56.03–$161.00	—	47%
Fecal calprotectin (stool inflammation test) CPT 83993 Chemistry	$128.34	$244.00	$16.69–$244.00	32% below	47%
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 Chemistry	$128.34	$244.00	$16.69–$244.00	—	47%
Ferritin blood test (iron stores) CPT 82728 Chemistry	$57.86	$110.00	$41.29–$110.00	36% below	47%
Ferritin blood test (iron stores) inpatient CPT 82728 Chemistry	$57.86	$110.00	$41.29–$110.00	—	47%
Fibrinogen blood test CPT 85384 Hematology and Coagulation	$84.69	$161.00	$29.49–$161.00	25% above	47%
Fibrinogen blood test inpatient CPT 85384 Hematology and Coagulation	$84.69	$161.00	$29.49–$161.00	—	47%
Folate (folic acid) blood test CPT 82746 Chemistry	$65.22	$124.00	$12.50–$124.00	34% below	47%
Folate (folic acid) blood test inpatient CPT 82746 Chemistry	$65.22	$124.00	$12.50–$124.00	—	47%
Free T3 thyroid hormone test CPT 84481 Chemistry	$93.10	$177.00	$51.12–$177.00	5% below	47%
Free T3 thyroid hormone test inpatient CPT 84481 Chemistry	$93.10	$177.00	$51.12–$177.00	—	47%
Free T4 (free thyroxine) thyroid blood test CPT 84439 Chemistry	$72.06	$137.00	$27.52–$137.00	11% below	47%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 Chemistry	$72.06	$137.00	$27.52–$137.00	—	47%
Free testosterone test CPT 84402 Chemistry	$19.99	$38.00	$15.09–$76.67	83% below	47%
Free testosterone test CPT 84402 Testosterone Bioavailable and Shbg, Female and Children	$23.67	$45.00	$17.87–$76.67	80% below	47%
Free testosterone test inpatient CPT 84402 Chemistry	$19.99	$38.00	$15.09–$76.67	—	47%
Free testosterone test inpatient CPT 84402 Testosterone Bioavailable and Shbg, Female and Children	$23.67	$45.00	$17.87–$76.67	—	47%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 Chemistry	$42.61	$81.00	$21.63–$81.00	20% below	47%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 Chemistry	$42.61	$81.00	$21.63–$81.00	—	47%
General health panel: metabolic panel, blood count and TSH in one order CPT 80050 Organ/Disease oriented panels	$229.34	$436.00	$50.13–$436.00	17% below	47%
General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 Organ/Disease oriented panels	$229.34	$436.00	$50.13–$436.00	—	47%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 Glucose, 1 Hour	$25.25	$48.00	$14.75–$48.00	49% below	47%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 Chemistry	$25.25	$48.00	$14.75–$48.00	49% below	47%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 Chemistry	$25.25	$48.00	$14.75–$48.00	—	47%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 Glucose, 1 Hour	$25.25	$48.00	$14.75–$48.00	—	47%
Glucose tolerance test, 3 samples CPT 82951 Glucose, Pregnant 2 Hour	$24.20	$46.00	$18.27–$46.00	73% below	47%
Glucose tolerance test, 3 samples CPT 82951 Glucose, 2 Hour	$25.25	$48.00	$19.07–$48.00	72% below	47%
Glucose tolerance test, 3 samples CPT 82951 Chemistry	$105.73	$201.00	$38.34–$201.00	18% above	47%
Glucose tolerance test, 3 samples inpatient CPT 82951 Glucose, Pregnant 2 Hour	$24.20	$46.00	$18.27–$46.00	—	47%
Glucose tolerance test, 3 samples inpatient CPT 82951 Glucose, 2 Hour	$25.25	$48.00	$19.07–$48.00	—	47%
Glucose tolerance test, 3 samples inpatient CPT 82951 Chemistry	$105.73	$201.00	$38.34–$201.00	—	47%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Microbiology	$70.48	$134.00	$53.22–$134.00	51% below	47%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Chlamydia/Neisseria Gonorrhoeae Rna, Tma, Urogenital	$70.48	$134.00	$53.22–$134.00	51% below	47%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 Microbiology	$70.48	$134.00	$53.22–$134.00	—	47%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 Chlamydia/Neisseria Gonorrhoeae Rna, Tma, Urogenital	$70.48	$134.00	$53.22–$134.00	—	47%
H. pylori stool antigen test CPT 87338 Microbiology	$78.37	$149.00	$12.22–$149.00	39% below	47%
H. pylori stool antigen test inpatient CPT 87338 Microbiology	$78.37	$149.00	$12.22–$149.00	—	47%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 Hiv-1 Rna Quant	$197.78	$376.00	$72.34–$376.00	49% below	47%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 Microbiology	$197.78	$376.00	$72.34–$376.00	49% below	47%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 Microbiology	$197.78	$376.00	$72.34–$376.00	—	47%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 Hiv-1 Rna Quant	$197.78	$376.00	$72.34–$376.00	—	47%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 Microbiology	$73.11	$139.00	$55.21–$139.00	29% below	47%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 Microbiology	$73.11	$139.00	$55.21–$139.00	—	47%
HPV test for high-risk types, one combined (pooled) result CPT 87624 Hpv, High Risk, Anal	$82.58	$157.00	$29.83–$157.00	42% below	47%
HPV test for high-risk types, one combined (pooled) result CPT 87624 Hpv Genotyping Pcr	$82.58	$157.00	$29.83–$157.00	42% below	47%
HPV test for high-risk types, one combined (pooled) result CPT 87624 Microbiology	$91.00	$173.00	$29.83–$173.00	36% below	47%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 Hpv Genotyping Pcr	$82.58	$157.00	$29.83–$157.00	—	47%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 Hpv, High Risk, Anal	$82.58	$157.00	$29.83–$157.00	—	47%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 Microbiology	$91.00	$173.00	$29.83–$173.00	—	47%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Chemistry	$43.66	$83.00	$29.49–$83.00	37% below	47%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 Chemistry	$43.66	$83.00	$29.49–$83.00	—	47%
Hemoglobin blood test CPT 85018 Co-Oximetry Profile	$22.09	$42.00	$2.01–$42.00	26% above	47%
Hemoglobin blood test CPT 85018 Hematology and Coagulation	$33.66	$64.00	$2.01–$64.00	92% above	47%
Hemoglobin blood test inpatient CPT 85018 Co-Oximetry Profile	$22.09	$42.00	$2.01–$42.00	—	47%
Hemoglobin blood test inpatient CPT 85018 Hematology and Coagulation	$33.66	$64.00	$2.01–$64.00	—	47%
Hepatitis B core antibody test (total) CPT 86704 Immunology	$57.86	$110.00	$36.37–$110.00	28% below	47%
Hepatitis B core antibody test (total) inpatient CPT 86704 Immunology	$57.86	$110.00	$36.37–$110.00	—	47%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Immunology	$66.80	$127.00	$32.44–$127.00	10% below	47%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 Immunology	$66.80	$127.00	$32.44–$127.00	—	47%
Hepatitis B surface antigen (HBsAg) test CPT 87340 Microbiology	$57.86	$110.00	$31.46–$110.00	11% below	47%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 Microbiology	$57.86	$110.00	$31.46–$110.00	—	47%
Hepatitis C antibody blood test (screening) CPT 86803 Immunology	$57.86	$110.00	$43.25–$110.00	28% below	47%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 Immunology	$57.86	$110.00	$43.25–$110.00	—	47%
Hepatitis C viral load (HCV RNA) test CPT 87522 Microbiology	$145.18	$276.00	$109.63–$276.00	39% below	47%
Hepatitis C viral load (HCV RNA) test CPT 87522 Hepatitis C Rna Quantitative by Tma	$145.18	$276.00	$109.63–$276.00	39% below	47%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 Microbiology	$145.18	$276.00	$109.63–$276.00	—	47%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 Hepatitis C Rna Quantitative by Tma	$145.18	$276.00	$109.63–$276.00	—	47%
Herpes blood test, HSV-1 antibody CPT 86695 Immunology	$23.67	$45.00	$11.21–$45.00	65% below	47%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 Immunology	$23.67	$45.00	$11.21–$45.00	—	47%
Herpes blood test, HSV-2 antibody CPT 86696 Immunology	$27.88	$53.00	$16.45–$53.00	66% below	47%
Herpes blood test, HSV-2 antibody CPT 86696 Herpes Simplex Virus 2 Igg	$68.38	$130.00	$16.45–$130.00	16% below	47%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 Immunology	$27.88	$53.00	$16.45–$53.00	—	47%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 Herpes Simplex Virus 2 Igg	$68.38	$130.00	$16.45–$130.00	—	47%
High-sensitivity CRP (hs-CRP) test CPT 86141 Immunology	$77.32	$147.00	$12.95–$147.00	3% below	47%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 Immunology	$77.32	$147.00	$12.95–$147.00	—	47%
Homocysteine blood test CPT 83090 Chemistry	$84.16	$160.00	$17.92–$160.00	29% below	47%
Homocysteine blood test inpatient CPT 83090 Chemistry	$84.16	$160.00	$17.92–$160.00	—	47%
Insulin blood test CPT 83525 Chemistry	$25.25	$48.00	$19.07–$48.00	63% below	47%
Insulin blood test inpatient CPT 83525 Chemistry	$25.25	$48.00	$19.07–$48.00	—	47%
Iron blood test (serum iron) CPT 83540 Chemistry	$18.94	$36.00	$14.30–$36.00	64% below	47%
Iron blood test (serum iron) inpatient CPT 83540 Chemistry	$18.94	$36.00	$14.30–$36.00	—	47%
Kidney function blood test panel CPT 80069 Organ/Disease oriented panels	$77.32	$147.00	$8.68–$147.00	25% below	47%
Kidney function blood test panel inpatient CPT 80069 Organ/Disease oriented panels	$77.32	$147.00	$8.68–$147.00	—	47%
LH (luteinizing hormone) test CPT 83002 Chemistry	$84.69	$161.00	$56.03–$161.00	13% below	47%
LH (luteinizing hormone) test inpatient CPT 83002 Chemistry	$84.69	$161.00	$56.03–$161.00	—	47%
Lactate (lactic acid) blood test CPT 83605 Chemistry	$67.85	$129.00	$34.41–$129.00	3% below	47%
Lactate (lactic acid) blood test inpatient CPT 83605 Chemistry	$67.85	$129.00	$34.41–$129.00	—	47%
Lactate dehydrogenase (LDH) blood test CPT 83615 Chemistry	$39.98	$76.00	$17.69–$76.00	20% below	47%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 Chemistry	$39.98	$76.00	$17.69–$76.00	—	47%
Lipase blood test (pancreas enzyme) CPT 83690 Chemistry	$47.87	$91.00	$20.64–$91.00	29% below	47%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 Chemistry	$47.87	$91.00	$20.64–$91.00	—	47%
Liver function blood test panel CPT 80076 Organ/Disease oriented panels	$102.57	$195.00	$24.58–$195.00	1% above	47%
Liver function blood test panel inpatient CPT 80076 Organ/Disease oriented panels	$102.57	$195.00	$24.58–$195.00	—	47%
Lyme disease antibody test CPT 86618 Immunology	$84.69	$161.00	$51.12–$161.00	2% above	47%
Lyme disease antibody test inpatient CPT 86618 Immunology	$84.69	$161.00	$51.12–$161.00	—	47%
Magnesium blood test CPT 83735 Supersaturation Profile, Urine 24 Hr	$13.68	$26.00	$5.70–$26.00	74% below	47%
Magnesium blood test CPT 83735 Chemistry	$45.76	$87.00	$5.70–$87.00	13% below	47%
Magnesium blood test CPT 83735 Magnesium RBC	$57.86	$110.00	$5.70–$110.00	10% above	47%
Magnesium blood test inpatient CPT 83735 Supersaturation Profile, Urine 24 Hr	$13.68	$26.00	$5.70–$26.00	—	47%
Magnesium blood test inpatient CPT 83735 Chemistry	$45.76	$87.00	$5.70–$87.00	—	47%
Magnesium blood test inpatient CPT 83735 Magnesium RBC	$57.86	$110.00	$5.70–$110.00	—	47%
Measles (rubeola) antibody test CPT 86765 Immunology	$27.35	$52.00	$10.95–$52.00	67% below	47%
Measles (rubeola) antibody test inpatient CPT 86765 Immunology	$27.35	$52.00	$10.95–$52.00	—	47%
Mono test (heterophile antibody, Monospot) CPT 86308 Immunology	$45.76	$87.00	$15.73–$87.00	17% below	47%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 Immunology	$45.76	$87.00	$15.73–$87.00	—	47%
Mumps immunity blood test CPT 86735 Immunology	$46.81	$89.00	$13.05–$89.00	45% below	47%
Mumps immunity blood test inpatient CPT 86735 Immunology	$46.81	$89.00	$13.05–$89.00	—	47%
PSA (prostate-specific antigen) blood test, free CPT 84154 Chemistry	$22.62	$43.00	$17.08–$43.00	76% below	47%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 Chemistry	$22.62	$43.00	$17.08–$43.00	—	47%
PSA (prostate-specific antigen) blood test, total CPT 84153 Assay of Psa, Total	$99.94	$190.00	$18.39–$190.00	5% above	47%
PSA (prostate-specific antigen) blood test, total CPT 84153 Chemistry	$99.94	$190.00	$18.39–$190.00	5% above	47%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 Assay of Psa, Total	$99.94	$190.00	$18.39–$190.00	—	47%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 Chemistry	$99.94	$190.00	$18.39–$190.00	—	47%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 Cytopathology	$45.24	$86.00	$34.16–$86.00	50% below	47%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 Cytopath Cerv/Vag Thin Layer	$45.24	$86.00	$34.16–$86.00	50% below	47%
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 Cytopathology	$45.24	$86.00	$34.16–$86.00	—	47%
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 Cytopath Cerv/Vag Thin Layer	$45.24	$86.00	$34.16–$86.00	—	47%
Parathyroid hormone (PTH) blood test CPT 83970 Chemistry	$183.05	$348.00	$123.86–$348.00	14% below	47%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 Chemistry	$183.05	$348.00	$123.86–$348.00	—	47%
Partial thromboplastin time (PTT) clotting test CPT 85730 Hematology and Coagulation	$62.07	$118.00	$17.69–$118.00	18% above	47%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Hematology and Coagulation	$62.07	$118.00	$17.69–$118.00	—	47%
Phosphorus (phosphate) blood test CPT 84100 Chemistry	$28.40	$54.00	$13.76–$54.00	32% below	47%
Phosphorus (phosphate) blood test inpatient CPT 84100 Chemistry	$28.40	$54.00	$13.76–$54.00	—	47%
Potassium blood test CPT 84132 Blood Gas/Lytes Ven	$25.25	$48.00	$4.76–$48.00	8% below	47%
Potassium blood test CPT 84132 Chemistry	$25.25	$48.00	$4.76–$48.00	8% below	47%
Potassium blood test inpatient CPT 84132 Blood Gas/Lytes Ven	$25.25	$48.00	$4.76–$48.00	—	47%
Potassium blood test inpatient CPT 84132 Chemistry	$25.25	$48.00	$4.76–$48.00	—	47%
Progesterone blood test CPT 84144 Chemistry	$96.26	$183.00	$62.91–$183.00	20% below	47%
Progesterone blood test inpatient CPT 84144 Chemistry	$96.26	$183.00	$62.91–$183.00	—	47%
Prolactin blood test CPT 84146 Chemistry	$105.20	$200.00	$58.00–$200.00	13% below	47%
Prolactin blood test inpatient CPT 84146 Chemistry	$105.20	$200.00	$58.00–$200.00	—	47%
Prothrombin time (PT/INR) clotting test CPT 85610 Hematology and Coagulation	$42.61	$81.00	$3.65–$81.00	27% above	47%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Hematology and Coagulation	$42.61	$81.00	$3.65–$81.00	—	47%
Rapid flu test (influenza antigen) CPT 87804 Microbiology	$62.59	$119.00	$47.27–$119.00	19% above	47%
Rapid flu test (influenza antigen) inpatient CPT 87804 Microbiology	$62.59	$119.00	$47.27–$119.00	—	47%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 Strep a Assay W/Optic	$22.09	$42.00	$16.68–$49.15	52% below	47%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 Microbiology	$36.82	$70.00	$27.80–$70.00	19% below	47%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 Strep a Assay W/Optic	$22.09	$42.00	$16.68–$49.15	—	47%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 Microbiology	$36.82	$70.00	$27.80–$70.00	—	47%
Renin blood test CPT 84244 Chemistry	$48.92	$93.00	$36.94–$93.00	67% below	47%
Renin blood test inpatient CPT 84244 Chemistry	$48.92	$93.00	$36.94–$93.00	—	47%
Rh blood typing CPT 86901 CORD	$27.35	$52.00	$20.65–$100.30	31% below	47%
Rh blood typing CPT 86901 Relative Blood Type	$27.35	$52.00	$20.65–$100.30	31% below	47%
Rh blood typing CPT 86901 Newborn Abo Rh	$27.35	$52.00	$20.65–$100.30	31% below	47%
Rh blood typing CPT 86901 RH	$27.35	$52.00	$20.65–$100.30	31% below	47%
Rh blood typing CPT 86901 Transfusion Medicine	$27.35	$52.00	$20.65–$100.30	31% below	47%
Rh blood typing CPT 86901 Gelsc	$107.83	$205.00	$81.43–$205.00	172% above	47%
Rh blood typing inpatient CPT 86901 Newborn Abo Rh	$27.35	$52.00	$20.65–$100.30	—	47%
Rh blood typing inpatient CPT 86901 Transfusion Medicine	$27.35	$52.00	$20.65–$100.30	—	47%
Rh blood typing inpatient CPT 86901 Relative Blood Type	$27.35	$52.00	$20.65–$100.30	—	47%
Rh blood typing inpatient CPT 86901 RH	$27.35	$52.00	$20.65–$100.30	—	47%
Rh blood typing inpatient CPT 86901 CORD	$27.35	$52.00	$20.65–$100.30	—	47%
Rh blood typing inpatient CPT 86901 Gelsc	$107.83	$205.00	$81.43–$205.00	—	47%
Rheumatoid factor (RF) test CPT 86431 Immunology	$39.45	$75.00	$16.71–$75.00	33% below	47%
Rheumatoid factor (RF) test CPT 86431 Ana Profile 12	$39.45	$75.00	$16.71–$75.00	33% below	47%
Rheumatoid factor (RF) test inpatient CPT 86431 Ana Profile 12	$39.45	$75.00	$16.71–$75.00	—	47%
Rheumatoid factor (RF) test inpatient CPT 86431 Immunology	$39.45	$75.00	$16.71–$75.00	—	47%
Rubella antibody test (immunity check) CPT 86762 Immunology	$36.82	$70.00	$27.80–$70.00	55% below	47%
Rubella antibody test (immunity check) inpatient CPT 86762 Immunology	$36.82	$70.00	$27.80–$70.00	—	47%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 Hematology and Coagulation	$44.71	$85.00	$2.30–$85.00	7% above	47%
Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 Hematology and Coagulation	$44.71	$85.00	$2.30–$85.00	—	47%
Sodium blood test CPT 84295 Blood Gas/Lytes Ven	$25.25	$48.00	$14.75–$48.00	2% above	47%
Sodium blood test CPT 84295 Chemistry	$25.25	$48.00	$14.75–$48.00	2% above	47%
Sodium blood test inpatient CPT 84295 Blood Gas/Lytes Ven	$25.25	$48.00	$14.75–$48.00	—	47%
Sodium blood test inpatient CPT 84295 Chemistry	$25.25	$48.00	$14.75–$48.00	—	47%
Stool ova and parasites exam CPT 87177 Microbiology	$43.66	$83.00	$7.57–$83.00	33% below	47%
Stool ova and parasites exam inpatient CPT 87177 Microbiology	$43.66	$83.00	$7.57–$83.00	—	47%
Stool test for hidden blood (guaiac FOBT) CPT 82270 Occult Blood, Feces	$26.30	$50.00	$4.38–$50.00	25% above	47%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 Occult Blood, Feces	$26.30	$50.00	$4.38–$50.00	—	47%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 Fit Colon Rectal Scrn	$48.39	$92.00	$15.92–$92.00	20% below	47%
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 Fit Colon Rectal Scrn	$48.39	$92.00	$15.92–$92.00	—	47%
Syphilis antibody test (Treponema pallidum) CPT 86780 Immunology	$38.92	$74.00	$29.39–$74.00	29% below	47%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 Immunology	$38.92	$74.00	$29.39–$74.00	—	47%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Immunology	$32.61	$62.00	$12.78–$62.00	18% below	47%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 Immunology	$32.61	$62.00	$12.78–$62.00	—	47%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 Immunology	$107.83	$205.00	$61.98–$205.00	57% below	47%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 Immunology	$107.83	$205.00	$61.98–$205.00	—	47%
Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone Bioavailable and Shbg, Female or Children	$42.08	$80.00	$31.78–$80.00	63% below	47%
Testosterone blood test, total (not free testosterone) CPT 84403 Chemistry	$91.52	$174.00	$69.11–$174.00	20% below	47%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Testosterone Bioavailable and Shbg, Female or Children	$42.08	$80.00	$31.78–$80.00	—	47%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Chemistry	$91.52	$174.00	$69.11–$174.00	—	47%
Thyroid peroxidase (TPO) antibody test CPT 86376 Immunology	$49.97	$95.00	$37.73–$95.00	29% below	47%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Immunology	$49.97	$95.00	$37.73–$95.00	—	47%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 Chemistry	$86.79	$165.00	$49.50–$165.00	3% below	47%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 Chemistry	$86.79	$165.00	$49.50–$165.00	—	47%
Total IgE blood test CPT 82785 Chemistry	$59.44	$113.00	$16.46–$113.00	42% below	47%
Total IgE blood test inpatient CPT 82785 Chemistry	$59.44	$113.00	$16.46–$113.00	—	47%
Total cholesterol blood test CPT 82465 Chemistry	$25.25	$48.00	$4.35–$48.00	45% below	47%
Total cholesterol blood test inpatient CPT 82465 Chemistry	$25.25	$48.00	$4.35–$48.00	—	47%
Total thyroxine (T4) blood test CPT 84436 Chemistry	$49.44	$94.00	$6.87–$94.00	5% below	47%
Total thyroxine (T4) blood test inpatient CPT 84436 Chemistry	$49.44	$94.00	$6.87–$94.00	—	47%
Total triiodothyronine (T3) blood test CPT 84480 Chemistry	$38.40	$73.00	$29.00–$73.00	64% below	47%
Total triiodothyronine (T3) blood test inpatient CPT 84480 Chemistry	$38.40	$73.00	$29.00–$73.00	—	47%
Transferrin blood test CPT 84466 Chemistry	$66.80	$127.00	$38.34–$127.00	30% below	47%
Transferrin blood test inpatient CPT 84466 Chemistry	$66.80	$127.00	$38.34–$127.00	—	47%
Trichomonas test (NAAT) CPT 87661 Microbiology	$85.74	$163.00	$64.74–$163.00	37% below	47%
Trichomonas test (NAAT) inpatient CPT 87661 Microbiology	$85.74	$163.00	$64.74–$163.00	—	47%
Triglycerides blood test CPT 84478 Chemistry	$41.55	$79.00	$4.88–$79.00	23% below	47%
Triglycerides blood test inpatient CPT 84478 Chemistry	$41.55	$79.00	$4.88–$79.00	—	47%
Troponin test, quantitative CPT 84484 Chemistry	$93.10	$177.00	$37.35–$177.00	10% above	47%
Troponin test, quantitative inpatient CPT 84484 Chemistry	$93.10	$177.00	$37.35–$177.00	—	47%
Uric acid blood test CPT 84550 Chemistry	$50.50	$96.00	$4.52–$96.00	at median	47%
Uric acid blood test inpatient CPT 84550 Chemistry	$50.50	$96.00	$4.52–$96.00	—	47%
Urinalysis with microscope exam, automated CPT 81001 Urinalysis	$22.09	$42.00	$2.69–$42.00	39% below	47%
Urinalysis with microscope exam, automated inpatient CPT 81001 Urinalysis	$22.09	$42.00	$2.69–$42.00	—	47%
Urinalysis without microscope exam, automated CPT 81003 Urinalysis	$19.46	$37.00	$6.88–$37.00	22% below	47%
Urinalysis without microscope exam, automated inpatient CPT 81003 Urinalysis	$19.46	$37.00	$6.88–$37.00	—	47%
Urinalysis without microscope exam, manual CPT 81002 Urinalysis	$19.46	$37.00	$3.48–$37.00	41% above	47%
Urinalysis without microscope exam, manual inpatient CPT 81002 Urinalysis	$19.46	$37.00	$3.48–$37.00	—	47%
Urine culture for bacteria, with colony count CPT 87086 Microbiology	$39.45	$75.00	$6.86–$75.00	48% below	47%
Urine culture for bacteria, with colony count inpatient CPT 87086 Microbiology	$39.45	$75.00	$6.86–$75.00	—	47%
Urine microalbumin (albumin) test CPT 82043 Microalbumin 24 Hr U	$39.45	$75.00	$6.13–$75.00	39% below	47%
Urine microalbumin (albumin) test CPT 82043 Microalbumin urined timed	$39.45	$75.00	$6.13–$75.00	39% below	47%
Urine microalbumin (albumin) test CPT 82043 Chemistry	$39.45	$75.00	$6.13–$75.00	39% below	47%
Urine microalbumin (albumin) test inpatient CPT 82043 Microalbumin 24 Hr U	$39.45	$75.00	$6.13–$75.00	—	47%
Urine microalbumin (albumin) test inpatient CPT 82043 Microalbumin urined timed	$39.45	$75.00	$6.13–$75.00	—	47%
Urine microalbumin (albumin) test inpatient CPT 82043 Chemistry	$39.45	$75.00	$6.13–$75.00	—	47%
Urine pregnancy test, read by color change CPT 81025 Urinalysis	$32.61	$62.00	$24.63–$62.00	34% below	47%
Urine pregnancy test, read by color change inpatient CPT 81025 Urinalysis	$32.61	$62.00	$24.63–$62.00	—	47%
Vitamin B12 (cobalamin) blood test CPT 82607 Chemistry	$65.22	$124.00	$12.82–$124.00	36% below	47%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 Chemistry	$65.22	$124.00	$12.82–$124.00	—	47%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Chemistry	$109.41	$208.00	$25.16–$208.00	29% below	47%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 Chemistry	$109.41	$208.00	$25.16–$208.00	—	47%
Vitamin D, 1,25-dihydroxy blood test CPT 82652 Chemistry	$57.86	$110.00	$32.73–$115.99	64% below	47%
Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 Chemistry	$57.86	$110.00	$32.73–$115.99	—	47%
Zinc blood test CPT 84630 Chemistry	$36.82	$70.00	$11.39–$70.00	54% below	47%
Zinc blood test CPT 84630 Zinc, Urine	$47.87	$91.00	$11.39–$91.00	40% below	47%
Zinc blood test inpatient CPT 84630 Chemistry	$36.82	$70.00	$11.39–$70.00	—	47%
Zinc blood test inpatient CPT 84630 Zinc, Urine	$47.87	$91.00	$11.39–$91.00	—	47%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Prenatal Quad Screen	$91.00	$173.00	$15.05–$173.00	23% below	47%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Chemistry	$111.51	$212.00	$15.05–$212.00	5% below	47%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 Prenatal Quad Screen	$91.00	$173.00	$15.05–$173.00	—	47%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 Chemistry	$111.51	$212.00	$15.05–$212.00	—	47%

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs Wisconsin	Off list
Botox injections for chronic migraine CPT 64615 Chemodenerv Musc Migraine	$228.28	$434.00	$82.38–$434.00	69% below	47%
Botox injections for chronic migraine inpatient CPT 64615 Chemodenerv Musc Migraine	$228.28	$434.00	$82.38–$434.00	—	47%
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 Treatment of ankle fracture	$353.47	$672.00	$219.85–$908.70	36% below	47%
Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 Treatment of ankle fracture	$353.47	$672.00	$219.85–$908.70	—	47%
Broken foot (metatarsal) treatment without surgery or setting CPT 28470 Treatment of foot fracture	$225.13	$428.00	$158.25–$644.34	62% below	47%
Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 Treatment of foot fracture	$225.13	$428.00	$158.25–$644.34	—	47%
Cardioversion, elective (restoring heart rhythm) CPT 92960 Cardioversion	$501.80	$954.00	$77.87–$1,672.05	49% below	47%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 Cardioversion	$501.80	$954.00	$77.87–$1,672.05	—	47%
Cervical biopsy CPT 57500 Biopsy of Cervix	$620.15	$1,179.00	$53.58–$1,179.00	5% above	47%
Cervical biopsy inpatient CPT 57500 Biopsy of Cervix	$620.15	$1,179.00	$53.58–$1,179.00	—	47%
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 Circumcision	$1,571.16	$2,987.00	$67.85–$2,987.00	671% above	47%
Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 Circumcision	$1,571.16	$2,987.00	$67.85–$2,987.00	—	47%
Circumcision, surgical, older than a newborn CPT 54160 Circumcision	$526.53	$1,001.00	$397.60–$1,705.47	29% below	47%
Circumcision, surgical, older than a newborn inpatient CPT 54160 Circumcision	$526.53	$1,001.00	$397.60–$1,705.47	—	47%
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 Treatment of wrist fracture	$419.75	$798.00	$253.15–$997.91	32% below	47%
Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 Treatment of wrist fracture	$419.75	$798.00	$253.15–$997.91	—	47%
Colonoscopy with polyp removal CPT 45385 Colonoscopy with lesion removal	$1,798.39	$3,419.00	$1,191.30–$3,419.00	27% below	47%
Colonoscopy with polyp removal inpatient CPT 45385 Colonoscopy with lesion removal	$1,798.39	$3,419.00	$1,191.30–$3,419.00	—	47%
Colonoscopy with tissue sample CPT 45380 Colonoscopy with biopsy	$2,043.51	$3,885.00	$1,191.30–$3,885.00	at median	47%
Colonoscopy with tissue sample inpatient CPT 45380 Colonoscopy with biopsy	$2,043.51	$3,885.00	$1,191.30–$3,885.00	—	47%
Colonoscopy, diagnostic CPT 45378 Diagnostic colonoscopy	$1,633.76	$3,106.00	$1,233.70–$3,106.00	6% below	47%
Colonoscopy, diagnostic inpatient CPT 45378 Diagnostic colonoscopy	$1,633.76	$3,106.00	$1,233.70–$3,106.00	—	47%
Colposcopy with LEEP (loop electrosurgical excision) CPT 57460 Biopsy of cervix with scope leep	$287.20	$546.00	$216.87–$8,124.16	67% below	47%
Colposcopy with LEEP (loop electrosurgical excision) inpatient CPT 57460 Biopsy of cervix with scope leep	$287.20	$546.00	$216.87–$8,124.16	—	47%
Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 Colposcopy of cervix with biopsy	$119.40	$227.00	$90.16–$446.41	74% below	47%
Colposcopy with cervical biopsy and scraping of the cervical canal inpatient CPT 57454 Colposcopy of cervix with biopsy	$119.40	$227.00	$90.16–$446.41	—	47%
Cystoscopy with ureteral stent placement CPT 52332 Cystoscopy and Treatment	$2,688.91	$5,112.00	$110.67–$8,812.62	38% below	47%
Cystoscopy with ureteral stent placement inpatient CPT 52332 Cystoscopy and Treatment	$2,688.91	$5,112.00	$110.67–$8,812.62	—	47%
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 Cystourethroscopy	$526.53	$1,001.00	$56.84–$1,001.00	47% below	47%
Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 Cystourethroscopy	$526.53	$1,001.00	$56.84–$1,001.00	—	47%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 Destruct Premalg Lesion	$144.12	$274.00	$108.83–$507.72	20% below	47%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 Destruct Premalg Lesion	$144.12	$274.00	$108.83–$507.72	—	47%
Ear tube placement (tympanostomy) with local anesthesia, one ear CPT 69433 Create Eardrum Opening	$502.86	$956.00	$98.15–$956.00	4% below	47%
Ear tube placement (tympanostomy) with local anesthesia, one ear inpatient CPT 69433 Create Eardrum Opening	$502.86	$956.00	$98.15–$956.00	—	47%
Earwax removal by irrigation (rinsing), one ear CPT 69209 Remove impacted ear wax	$12.10	$23.00	$9.14–$44.07	87% below	47%
Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 Remove impacted ear wax	$12.10	$23.00	$9.14–$44.07	—	47%
Earwax removal with instruments, one ear CPT 69210 Remove impacted ear wax	$81.00	$154.00	$22.78–$154.00	3% below	47%
Earwax removal with instruments, one ear inpatient CPT 69210 Remove impacted ear wax	$81.00	$154.00	$22.78–$154.00	—	47%
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 Biopsy of Uterus Lining	$256.69	$488.00	$43.82–$488.00	6% below	47%
Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 Biopsy of Uterus Lining	$256.69	$488.00	$43.82–$488.00	—	47%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 Njx Interlaminar Crv/Thrc W/Img	$533.36	$1,014.00	$402.76–$1,769.50	60% below	47%
Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 Njx Interlaminar Crv/Thrc W/Img	$533.36	$1,014.00	$402.76–$1,769.50	—	47%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 injection; lumbar/sacral, single level	$703.26	$1,337.00	$65.85–$2,274.82	57% below	47%
Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 injection; lumbar/sacral, single level	$703.26	$1,337.00	$65.85–$2,274.82	—	47%
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 Diagnostic sigmoidoscopy	$819.51	$1,558.00	$618.84–$2,329.55	4% below	47%
Flexible sigmoidoscopy, diagnostic (lower colon only) inpatient CPT 45330 Diagnostic sigmoidoscopy	$819.51	$1,558.00	$618.84–$2,329.55	—	47%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 Catheter for Hysterograp F	$88.89	$169.00	$67.13–$169.00	74% below	47%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 Catheter for Hysterograp F	$88.89	$169.00	$67.13–$169.00	—	47%
IUD insertion (the device itself billed separately) CPT 58300 Insert intrauterine device	$57.86	$110.00	$36.05–$301.26	81% below	47%
IUD insertion (the device itself billed separately) inpatient CPT 58300 Insert intrauterine device	$57.86	$110.00	$36.05–$301.26	—	47%
Incision and drainage of a simple or single skin abscess CPT 10060 Drainage of skin abscess	$268.79	$511.00	$79.87–$511.00	8% below	47%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 Drainage of skin abscess	$268.79	$511.00	$79.87–$511.00	—	47%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 Injection tendon sheath/ligament	$228.28	$434.00	$27.54–$434.00	33% below	47%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 Injection tendon sheath/ligament	$228.28	$434.00	$27.54–$434.00	—	47%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Drainage/injection major joint	$294.03	$559.00	$222.03–$754.26	32% below	47%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 Drainage/injection major joint	$294.03	$559.00	$222.03–$754.26	—	47%
Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 Insert drug implant device	$105.20	$200.00	$43.82–$266.57	60% below	47%
Insertion of a drug-delivery implant, such as the arm birth control implant inpatient CPT 11981 Insert drug implant device	$105.20	$200.00	$43.82–$266.57	—	47%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Drainage/injection intermediate joint	$294.56	$560.00	$26.04–$560.00	8% below	47%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 Drainage/injection intermediate joint	$294.56	$560.00	$26.04–$560.00	—	47%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 Drainage/injection small joint w/imaging	$222.50	$423.00	$25.29–$423.00	40% below	47%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 Drainage/injection small joint w/imaging	$222.50	$423.00	$25.29–$423.00	—	47%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 Repair wound scalp, trunk extremities	$260.90	$496.00	$197.01–$1,020.86	51% below	47%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 Repair wound scalp, trunk extremities	$260.90	$496.00	$197.01–$1,020.86	—	47%
Lower-back epidural injection, with imaging guidance CPT 62323 injection of diagnostic or therapeutic agent	$533.36	$1,014.00	$402.76–$1,769.50	54% below	47%
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 injection of diagnostic or therapeutic agent	$533.36	$1,014.00	$402.76–$1,769.50	—	47%
Lower-back epidural injection, without imaging guidance CPT 62322 Injection of diagnostic or therapeutic agent	$821.61	$1,562.00	$620.43–$2,274.82	at median	47%
Lower-back epidural injection, without imaging guidance inpatient CPT 62322 Injection of diagnostic or therapeutic agent	$821.61	$1,562.00	$620.43–$2,274.82	—	47%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 Injection foramen epidural; lumbar or sacral	$703.26	$1,337.00	$81.12–$2,274.82	34% below	47%
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 Injection foramen epidural; lumbar or sacral	$703.26	$1,337.00	$81.12–$2,274.82	—	47%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 Exc Tr-Ext B9+Marg 0.5 <	$91.00	$173.00	$53.42–$352.38	74% below	47%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 Exc Tr-Ext B9+Marg 0.5 <	$91.00	$173.00	$53.42–$352.38	—	47%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 Exc Face-Mm B9+Marg 0.5	$98.89	$188.00	$74.67–$395.29	81% below	47%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 Exc Face-Mm B9+Marg 0.5	$98.89	$188.00	$74.67–$395.29	—	47%
Nail removal (partial or complete), one nail CPT 11730 Removal of nail plate	$154.12	$293.00	$39.06–$315.86	34% below	47%
Nail removal (partial or complete), one nail inpatient CPT 11730 Removal of nail plate	$154.12	$293.00	$39.06–$315.86	—	47%
Occipital nerve block (injection for headaches) CPT 64405 Injection; Occipital nerve	$529.68	$1,007.00	$399.98–$1,007.00	15% above	47%
Occipital nerve block (injection for headaches) inpatient CPT 64405 Injection; Occipital nerve	$529.68	$1,007.00	$399.98–$1,007.00	—	47%
Paracentesis with imaging guidance CPT 49083 Abdominal paracentesis w/imaging	$699.58	$1,330.00	$528.28–$2,395.60	46% below	47%
Paracentesis with imaging guidance inpatient CPT 49083 Abdominal paracentesis w/imaging	$699.58	$1,330.00	$528.28–$2,395.60	—	47%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 Removal of nail bed	$282.99	$538.00	$75.12–$538.00	13% below	47%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 Removal of nail bed	$282.99	$538.00	$75.12–$538.00	—	47%
Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 Destroy Lumb/Sac Facet Jnt	$1,390.22	$2,643.00	$140.22–$4,989.63	44% below	47%
Radiofrequency ablation of facet joint nerves, lower back, one level inpatient CPT 64635 Destroy Lumb/Sac Facet Jnt	$1,390.22	$2,643.00	$140.22–$4,989.63	—	47%
Removal of a breast lump, open surgery CPT 19120 Removal of breast lesion	$376.62	$716.00	$284.40–$9,784.38	81% below	47%
Removal of a breast lump, open surgery inpatient CPT 19120 Removal of breast lesion	$376.62	$716.00	$284.40–$9,784.38	—	47%
Removal of a foreign object under the skin, simple CPT 10120 Remove foreign body	$274.57	$522.00	$207.34–$1,020.86	18% below	47%
Removal of a foreign object under the skin, simple inpatient CPT 10120 Remove foreign body	$274.57	$522.00	$207.34–$1,020.86	—	47%
Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 Ca Screen Colonoscopy	$1,284.49	$2,442.00	$969.96–$2,442.00	33% below	47%
Screening colonoscopy for a person at average risk (Medicare code) inpatient HCPCS G0121 Ca Screen Colonoscopy	$1,284.49	$2,442.00	$969.96–$2,442.00	—	47%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 Hi risk screening colonoscopy	$1,634.28	$3,107.00	$1,142.90–$3,107.00	13% below	47%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) inpatient HCPCS G0105 Hi risk screening colonoscopy	$1,634.28	$3,107.00	$1,142.90–$3,107.00	—	47%
Short arm cast (elbow to hand) CPT 29075 Apply Short Arm Cast	$297.72	$566.00	$224.82–$678.60	18% above	47%
Short arm cast (elbow to hand) inpatient CPT 29075 Apply Short Arm Cast	$297.72	$566.00	$224.82–$678.60	—	47%
Short arm splint (forearm and hand) CPT 29125 Apply forearm splint	$138.86	$264.00	$25.11–$264.00	21% below	47%
Short arm splint (forearm and hand) inpatient CPT 29125 Apply forearm splint	$138.86	$264.00	$25.11–$264.00	—	47%
Short leg cast (below the knee) CPT 29405 Apply short leg cast	$277.73	$528.00	$42.81–$528.00	18% above	47%
Short leg cast (below the knee) inpatient CPT 29405 Apply short leg cast	$277.73	$528.00	$42.81–$528.00	—	47%
Short leg splint (calf to foot) CPT 29515 Application of lower leg splint	$207.77	$395.00	$36.05–$395.00	at median	47%
Short leg splint (calf to foot) inpatient CPT 29515 Application of lower leg splint	$207.77	$395.00	$36.05–$395.00	—	47%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 Repair superficial wound	$158.85	$302.00	$26.17–$302.00	51% below	47%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 Repair superficial wound	$158.85	$302.00	$26.17–$302.00	—	47%
Skin biopsy, punch, one lesion CPT 11104 Punch biopsy skin single lesion	$94.68	$180.00	$71.50–$1,020.86	61% below	47%
Skin biopsy, punch, one lesion inpatient CPT 11104 Punch biopsy skin single lesion	$94.68	$180.00	$71.50–$1,020.86	—	47%
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 Exc Tr-Ext Mlg+Marg 0.5	$139.92	$266.00	$89.64–$1,797.77	62% below	47%
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11600 Exc Tr-Ext Mlg+Marg 0.5	$139.92	$266.00	$89.64–$1,797.77	—	47%
Skin tag removal, up to 15 tags CPT 11200 Removal of skin tags	$261.42	$497.00	$57.59–$497.00	85% above	47%
Skin tag removal, up to 15 tags inpatient CPT 11200 Removal of skin tags	$261.42	$497.00	$57.59–$497.00	—	47%
Spinal tap (lumbar puncture), diagnostic CPT 62270 Diagnostic spinal tap	$402.39	$765.00	$303.86–$1,769.50	33% below	47%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 Diagnostic spinal tap	$402.39	$765.00	$303.86–$1,769.50	—	47%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 Repair superficial wound	$162.53	$309.00	$40.31–$309.00	20% below	47%
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 superficial wound	$162.53	$309.00	$40.31–$309.00	—	47%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 Repair superficial wound	$162.53	$309.00	$38.06–$309.00	47% below	47%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 Repair superficial wound	$162.53	$309.00	$38.06–$309.00	—	47%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 Tangntl Bx Skin Single Les	$272.99	$519.00	$27.04–$519.00	14% above	47%
Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 Tangntl Bx Skin Single Les	$272.99	$519.00	$27.04–$519.00	—	47%
Thoracentesis with imaging guidance CPT 32555 Aspirate peura with imaging	$352.42	$670.00	$266.12–$1,579.75	71% below	47%
Thoracentesis with imaging guidance inpatient CPT 32555 Aspirate peura with imaging	$352.42	$670.00	$266.12–$1,579.75	—	47%
Trigger point injections, 1 or 2 muscles CPT 20552 Injection trigger point	$228.28	$434.00	$26.04–$434.00	36% below	47%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 Injection trigger point	$228.28	$434.00	$26.04–$434.00	—	47%
Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 EGD ballon dilation less than 30 mm diameter	$1,321.84	$2,513.00	$958.10–$4,847.09	50% below	47%
Upper endoscopy (EGD) with balloon widening of the esophagus inpatient CPT 43249 EGD ballon dilation less than 30 mm diameter	$1,321.84	$2,513.00	$958.10–$4,847.09	—	47%
Upper endoscopy (EGD) with biopsy CPT 43239 EGD with biopsy	$1,399.16	$2,660.00	$1,056.55–$2,660.00	11% below	47%
Upper endoscopy (EGD) with biopsy inpatient CPT 43239 EGD with biopsy	$1,399.16	$2,660.00	$1,056.55–$2,660.00	—	47%
Upper endoscopy (EGD) with injection into the lining CPT 43236 Upper GI scope	$1,399.16	$2,660.00	$1,056.55–$2,660.00	8% below	47%
Upper endoscopy (EGD) with injection into the lining inpatient CPT 43236 Upper GI scope	$1,399.16	$2,660.00	$1,056.55–$2,660.00	—	47%
Upper endoscopy (EGD) with polyp removal by snare CPT 43251 EGD remove lesion; snare technique	$1,467.54	$2,790.00	$1,108.19–$4,847.09	34% below	47%
Upper endoscopy (EGD) with polyp removal by snare inpatient CPT 43251 EGD remove lesion; snare technique	$1,467.54	$2,790.00	$1,108.19–$4,847.09	—	47%
Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 EGD guide wire insertion	$1,248.20	$2,373.00	$942.56–$2,395.60	33% below	47%
Upper endoscopy (EGD) with widening of the esophagus over a guide wire inpatient CPT 43248 EGD guide wire insertion	$1,248.20	$2,373.00	$942.56–$2,395.60	—	47%
Upper endoscopy (EGD), diagnostic CPT 43235 EGD	$661.18	$1,257.00	$499.28–$2,395.60	55% below	47%
Upper endoscopy (EGD), diagnostic inpatient CPT 43235 EGD	$661.18	$1,257.00	$499.28–$2,395.60	—	47%
Upper endoscopy with drainage of a pseudocyst through the stomach wall CPT 43240 EGD with drainage of cyst	$4,395.78	$8,357.00	$275.69–$15,210.30	24% above	47%
Upper endoscopy with drainage of a pseudocyst through the stomach wall inpatient CPT 43240 EGD with drainage of cyst	$4,395.78	$8,357.00	$275.69–$15,210.30	—	47%
Vasectomy, one or both sides, including follow-up semen testing CPT 55250 Vasect Uni/Bil-Sep Proc-Postop Sem	$1,571.16	$2,987.00	$1,186.44–$5,234.24	at median	47%
Vasectomy, one or both sides, including follow-up semen testing inpatient CPT 55250 Vasect Uni/Bil-Sep Proc-Postop Sem	$1,571.16	$2,987.00	$1,186.44–$5,234.24	—	47%
Wart removal, up to 14 warts CPT 17110 Destruct B9 Lesion, 1-14	$167.79	$319.00	$126.71–$507.72	15% below	47%
Wart removal, up to 14 warts inpatient CPT 17110 Destruct B9 Lesion, 1-14	$167.79	$319.00	$126.71–$507.72	—	47%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Debride skin tissue; 1st 20 cm	$307.71	$585.00	$232.36–$1,020.86	42% below	47%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 Debride skin tissue; 1st 20 cm	$307.71	$585.00	$232.36–$1,020.86	—	47%

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs Wisconsin	Off list
Blood transfusion (giving blood or blood components) CPT 36430 Blood transfusion	$236.17	$449.00	$178.34–$1,117.05	60% below	47%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 Blood transfusion	$236.17	$449.00	$178.34–$1,117.05	—	47%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Airway Inhalation Treatm	$164.64	$313.00	$124.32–$519.70	90% above	47%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Airway inhalation treatment	$164.64	$313.00	$124.32–$519.70	90% above	47%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Airway Inhalation Treatm	$164.64	$313.00	$124.32–$519.70	—	47%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Airway inhalation treatment	$164.64	$313.00	$124.32–$519.70	—	47%
Chemotherapy IV infusion, first hour CPT 96413 Chemo IV infusion; 1 hour	$308.24	$586.00	$232.76–$586.00	45% below	47%
Chemotherapy IV infusion, first hour inpatient CPT 96413 Chemo IV infusion; 1 hour	$308.24	$586.00	$232.76–$586.00	—	47%
Critical care, first 30 to 74 minutes CPT 99291 Critical care	$1,335.51	$2,539.00	$1,008.49–$2,539.00	25% below	47%
Critical care, first 30 to 74 minutes inpatient CPT 99291 Critical care	$1,335.51	$2,539.00	$1,008.49–$2,539.00	—	47%
EEG (brain wave test), awake and drowsy, routine CPT 95816 EEG; awake and drowsy	$429.22	$816.00	$295.97–$816.00	36% below	47%
EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 EEG; awake and drowsy	$429.22	$816.00	$295.97–$816.00	—	47%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG	$120.98	$230.00	$79.75–$230.00	18% below	47%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG	$120.98	$230.00	$79.75–$230.00	—	47%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 Emergency Room visit	$159.90	$304.00	$120.75–$304.00	15% below	47%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 Emergency Room visit	$159.90	$304.00	$120.75–$304.00	—	47%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 Emergency Room visit	$255.64	$486.00	$193.04–$486.00	21% below	47%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 Emergency Room visit	$255.64	$486.00	$193.04–$486.00	—	47%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 Emergency Room visit	$401.34	$763.00	$303.06–$763.00	32% below	47%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 Emergency Room visit	$401.34	$763.00	$303.06–$763.00	—	47%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 Emergency Room visit	$649.61	$1,235.00	$490.54–$1,235.00	29% below	47%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 Emergency Room visit	$649.61	$1,235.00	$490.54–$1,235.00	—	47%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 Emergency Room visit	$471.82	$897.00	$356.29–$1,566.56	68% below	47%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 Emergency Room visit	$471.82	$897.00	$356.29–$1,566.56	—	47%
Exercise stress test, tracing only, the hospital charge CPT 93017 Cardiovascular Stress test	$454.99	$865.00	$343.58–$865.00	43% below	47%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 Cardiovascular Stress test	$454.99	$865.00	$343.58–$865.00	—	47%
Family therapy with the patient, 50 minutes CPT 90847 Family Psytx W/Pt 50 Min	$80.48	$153.00	$60.77–$410.54	58% below	47%
Family therapy with the patient, 50 minutes inpatient CPT 90847 Family Psytx W/Pt 50 Min	$80.48	$153.00	$60.77–$410.54	—	47%
Family therapy without the patient, 50 minutes CPT 90846 Family Psytx W/O Patient	$160.96	$306.00	$80.28–$410.54	12% below	47%
Family therapy without the patient, 50 minutes inpatient CPT 90846 Family Psytx W/O Patient	$160.96	$306.00	$80.28–$410.54	—	47%
Group psychotherapy session CPT 90853 Group Psychotherapy - Alcohol 2.0 Hrs	$167.27	$318.00	$126.31–$318.00	122% above	47%
Group psychotherapy session CPT 90853 Group Psychotherapy - Drug 2.0 Hrs	$167.27	$318.00	$126.31–$318.00	122% above	47%
Group psychotherapy session CPT 90853 Group Psychotherapy	$195.15	$371.00	$147.36–$371.00	159% above	47%
Group psychotherapy session inpatient CPT 90853 Group Psychotherapy - Alcohol 2.0 Hrs	$167.27	$318.00	$126.31–$318.00	—	47%
Group psychotherapy session inpatient CPT 90853 Group Psychotherapy - Drug 2.0 Hrs	$167.27	$318.00	$126.31–$318.00	—	47%
Group psychotherapy session inpatient CPT 90853 Group Psychotherapy	$195.15	$371.00	$147.36–$371.00	—	47%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV Therapy	$131.50	$250.00	$99.30–$250.00	54% below	47%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV Therapy	$131.50	$250.00	$99.30–$250.00	—	47%
IV infusion of a medicine, first hour CPT 96365 IV Therapy	$157.80	$300.00	$108.39–$300.00	50% below	47%
IV infusion of a medicine, first hour inpatient CPT 96365 IV Therapy	$157.80	$300.00	$108.39–$300.00	—	47%
IV push of a medicine, first drug CPT 96374 IV Push	$129.92	$247.00	$98.11–$247.00	21% below	47%
IV push of a medicine, first drug CPT 96374 IV Therapy	$129.92	$247.00	$98.11–$247.00	21% below	47%
IV push of a medicine, first drug inpatient CPT 96374 IV Therapy	$129.92	$247.00	$98.11–$247.00	—	47%
IV push of a medicine, first drug inpatient CPT 96374 IV Push	$129.92	$247.00	$98.11–$247.00	—	47%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 Therapeutic injection	$57.86	$110.00	$43.69–$110.00	28% below	47%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Therapeutic injection	$57.86	$110.00	$43.69–$110.00	—	47%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 Psychiatric diagnostic evaluation	$97.31	$185.00	$73.48–$410.54	56% below	47%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 Psych Diagnostic Evaluation	$203.04	$386.00	$153.32–$410.54	7% below	47%
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 Psychiatric diagnostic evaluation	$97.31	$185.00	$73.48–$410.54	—	47%
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 Psych Diagnostic Evaluation	$203.04	$386.00	$153.32–$410.54	—	47%
Nerve conduction study, 7 or 8 nerve studies CPT 95910 Nerve Conduction study; 7-8 studies	$253.53	$482.00	$130.20–$1,355.76	74% below	47%
Nerve conduction study, 7 or 8 nerve studies inpatient CPT 95910 Nerve Conduction study; 7-8 studies	$253.53	$482.00	$130.20–$1,355.76	—	47%
Neuromuscular re-education, 15 minutes CPT 97112 Neuromuscular reeducation	$58.39	$111.00	$44.09–$130.00	39% below	47%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 Neuromuscular reeducation	$58.39	$111.00	$44.09–$130.00	—	47%
New patient office visit, about 30 minutes CPT 99203 Office/Outpatient Visit New	$162.01	$308.00	$122.34–$322.42	18% below	47%
New patient office visit, about 30 minutes CPT 99203 Office Visit	$244.59	$465.00	$184.70–$465.00	24% above	47%
New patient office visit, about 30 minutes inpatient CPT 99203 Office/Outpatient Visit New	$162.01	$308.00	$122.34–$322.42	—	47%
New patient office visit, about 30 minutes inpatient CPT 99203 Office Visit	$244.59	$465.00	$184.70–$465.00	—	47%
New patient office visit, about 45 minutes CPT 99204 Office/Outpatient Visit New	$218.82	$416.00	$97.65–$447.32	3% below	47%
New patient office visit, about 45 minutes CPT 99204 Office Visit	$477.08	$907.00	$97.65–$907.00	113% above	47%
New patient office visit, about 45 minutes inpatient CPT 99204 Office/Outpatient Visit New	$218.82	$416.00	$97.65–$447.32	—	47%
New patient office visit, about 45 minutes inpatient CPT 99204 Office Visit	$477.08	$907.00	$97.65–$907.00	—	47%
New patient office visit, about 60 minutes CPT 99205 Office/Outpatient Visit New	$282.99	$538.00	$132.49–$589.73	7% below	47%
New patient office visit, about 60 minutes CPT 99205 Office Visit	$513.90	$977.00	$132.49–$977.00	69% above	47%
New patient office visit, about 60 minutes inpatient CPT 99205 Office/Outpatient Visit New	$282.99	$538.00	$132.49–$589.73	—	47%
New patient office visit, about 60 minutes inpatient CPT 99205 Office Visit	$513.90	$977.00	$132.49–$977.00	—	47%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 Office/Outpatient Visit New	$126.24	$240.00	$95.33–$240.00	3% below	47%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 Office Visit	$218.82	$416.00	$165.24–$416.00	67% above	47%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 Office/Outpatient Visit New	$126.24	$240.00	$95.33–$240.00	—	47%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 Office Visit	$218.82	$416.00	$165.24–$416.00	—	47%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 Nutrition assessment	$65.75	$125.00	$49.65–$125.00	10% above	47%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 Nutrition assessment	$65.75	$125.00	$49.65–$125.00	—	47%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Manual therapy	$58.39	$111.00	$44.09–$130.00	40% below	47%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 Manual therapy	$58.39	$111.00	$44.09–$130.00	—	47%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Therapeutic Exercises	$58.39	$111.00	$44.09–$130.00	40% below	47%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 Therapeutic Exercises	$58.39	$111.00	$44.09–$130.00	—	47%
Preventive checkup, new patient aged 18–39 CPT 99385 Prev Visit, New, Age 18-39	$92.58	$176.00	$58.79–$350.55	34% below	47%
Preventive checkup, new patient aged 18–39 inpatient CPT 99385 Prev Visit, New, Age 18-39	$92.58	$176.00	$58.79–$350.55	—	47%
Preventive checkup, new patient aged 40–64 CPT 99386 Prev Visit, New, Age 40-64	$107.83	$205.00	$81.43–$402.59	29% below	47%
Preventive checkup, new patient aged 40–64 inpatient CPT 99386 Prev Visit, New, Age 40-64	$107.83	$205.00	$81.43–$402.59	—	47%
Preventive checkup, new patient aged 65 or older CPT 99387 Init Pm E/M, New Pat 65+ Yrs	$115.72	$220.00	$87.38–$437.28	35% below	47%
Preventive checkup, new patient aged 65 or older inpatient CPT 99387 Init Pm E/M, New Pat 65+ Yrs	$115.72	$220.00	$87.38–$437.28	—	47%
Preventive checkup, returning patient aged 18–39 CPT 99395 Prev Visit, Est, Age 18-39	$83.63	$159.00	$63.06–$314.95	46% below	47%
Preventive checkup, returning patient aged 18–39 inpatient CPT 99395 Prev Visit, Est, Age 18-39	$83.63	$159.00	$63.06–$314.95	—	47%
Preventive checkup, returning patient aged 40–64 CPT 99396 Prev Visit, Est, Age 40-64	$88.37	$168.00	$66.73–$337.14	48% below	47%
Preventive checkup, returning patient aged 40–64 inpatient CPT 99396 Prev Visit, Est, Age 40-64	$88.37	$168.00	$66.73–$337.14	—	47%
Preventive checkup, returning patient aged 65 or older CPT 99397 Per Pm Reeval Est Pat 65+ Yr	$95.73	$182.00	$72.22–$361.51	36% below	47%
Preventive checkup, returning patient aged 65 or older inpatient CPT 99397 Per Pm Reeval Est Pat 65+ Yr	$95.73	$182.00	$72.22–$361.51	—	47%
Psychiatric evaluation with medical services CPT 90792 Psychiatric diagnostic evaluation with medical services	$108.88	$207.00	$82.22–$410.54	61% below	47%
Psychiatric evaluation with medical services inpatient CPT 90792 Psychiatric diagnostic evaluation with medical services	$108.88	$207.00	$82.22–$410.54	—	47%
Psychotherapy for crisis, first 60 minutes CPT 90839 Psytx Crisis Initial 60 Min	$187.78	$357.00	$106.05–$410.54	36% below	47%
Psychotherapy for crisis, first 60 minutes inpatient CPT 90839 Psytx Crisis Initial 60 Min	$187.78	$357.00	$106.05–$410.54	—	47%
Psychotherapy session, 30 minutes CPT 90832 Psychotherapy; 30 minutes	$102.04	$194.00	$77.06–$410.54	4% below	47%
Psychotherapy session, 30 minutes inpatient CPT 90832 Psychotherapy; 30 minutes	$102.04	$194.00	$77.06–$410.54	—	47%
Psychotherapy session, 45 minutes CPT 90834 Psychotherapy; 45 minutes	$152.01	$289.00	$114.79–$410.54	7% above	47%
Psychotherapy session, 45 minutes inpatient CPT 90834 Psychotherapy; 45 minutes	$152.01	$289.00	$114.79–$410.54	—	47%
Psychotherapy session, 60 minutes CPT 90837 Psytx W Pt 60 Minutes	$203.04	$386.00	$153.32–$410.54	5% below	47%
Psychotherapy session, 60 minutes inpatient CPT 90837 Psytx W Pt 60 Minutes	$203.04	$386.00	$153.32–$410.54	—	47%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 Smoking/tobacco counseling	$27.35	$52.00	$8.39–$52.00	5% below	47%
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 Smoking/tobacco counseling	$27.35	$52.00	$8.39–$52.00	—	47%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 Office/Outpatient Visit Est	$280.88	$534.00	$105.78–$534.00	5% below	47%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 Office Visit	$344.00	$654.00	$105.78–$654.00	17% above	47%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 Office/Outpatient Visit Est	$280.88	$534.00	$105.78–$534.00	—	47%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 Office Visit	$344.00	$654.00	$105.78–$654.00	—	47%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 Office Visit	$218.29	$415.00	$164.84–$415.00	33% above	47%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 Office Visit	$218.29	$415.00	$164.84–$415.00	—	47%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Office Visit	$208.30	$396.00	$157.29–$396.00	12% above	47%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Office/Outpatient Visit Est	$224.60	$427.00	$169.60–$427.00	21% above	47%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 Office Visit	$208.30	$396.00	$157.29–$396.00	—	47%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 Office/Outpatient Visit Est	$224.60	$427.00	$169.60–$427.00	—	47%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Office Visit	$195.67	$372.00	$147.76–$372.00	103% above	47%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 Office Visit	$195.67	$372.00	$147.76–$372.00	—	47%
Speech and language evaluation CPT 92523 Speech/sound language comprehension	$144.12	$274.00	$108.83–$672.37	59% below	47%
Speech and language evaluation inpatient CPT 92523 Speech/sound language comprehension	$144.12	$274.00	$108.83–$672.37	—	47%
Speech therapy session, individual CPT 92507 Speech/Hearing Therapy	$118.35	$225.00	$89.37–$225.11	53% below	47%
Speech therapy session, individual inpatient CPT 92507 Speech/Hearing Therapy	$118.35	$225.00	$89.37–$225.11	—	47%
Spirometry (breathing test) CPT 94010 Breathing capacity test	$120.45	$229.00	$90.96–$795.66	57% below	47%
Spirometry (breathing test) inpatient CPT 94010 Breathing capacity test	$120.45	$229.00	$90.96–$795.66	—	47%
Spirometry before and after a bronchodilator CPT 94060 Evaluation of wheezing	$177.79	$338.00	$134.25–$1,355.76	63% below	47%
Spirometry before and after a bronchodilator inpatient CPT 94060 Evaluation of wheezing	$177.79	$338.00	$134.25–$1,355.76	—	47%
Therapeutic activities (functional training), 15 minutes CPT 97530 Therapeutic Activities	$49.97	$95.00	$37.73–$130.00	44% below	47%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 Therapeutic Activities	$49.97	$95.00	$37.73–$130.00	—	47%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 Phlebotomy	$208.30	$396.00	$157.29–$396.00	4% above	47%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 Therapeutic Phelbotomy, Lab	$208.30	$396.00	$157.29–$396.00	4% above	47%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 Therapeutic Phelbotomy, Lab	$208.30	$396.00	$157.29–$396.00	—	47%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 Phlebotomy	$208.30	$396.00	$157.29–$396.00	—	47%
Treadmill or drug stress test with ECG, supervision and report CPT 93015 Cardiovascular Stress Test	$60.49	$115.00	$45.68–$212.33	85% below	47%
Treadmill or drug stress test with ECG, supervision and report inpatient CPT 93015 Cardiovascular Stress Test	$60.49	$115.00	$45.68–$212.33	—	47%

Vaccines

Procedure	Cash price	List price	Insurers pay	vs Wisconsin	Off list
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older CPT 90653 Iiv Adjuvant Vaccine Im	$57.86	$110.00	$43.69–$222.94	14% below	47%
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older CPT 90653 INFLUENZA VAC A&B SURF ANT ADJ 0.5 ML IM SUSY	$57.86	$110.00	$43.69–$222.94	14% below	47%
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older inpatient CPT 90653 Iiv Adjuvant Vaccine Im	$57.86	$110.00	$43.69–$222.94	—	47%
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older inpatient CPT 90653 INFLUENZA VAC A&B SURF ANT ADJ 0.5 ML IM SUSY	$57.86	$110.00	$43.69–$222.94	—	47%
COVID-19 vaccine (Moderna), age 12 and older CPT 91322 Sarscov2 Vac 50 Mcg/0.5ml Im	$156.22	$297.00	$117.97–$431.73	6% below	47%
COVID-19 vaccine (Moderna), age 12 and older inpatient CPT 91322 Sarscov2 Vac 50 Mcg/0.5ml Im	$156.22	$297.00	$117.97–$431.73	—	47%
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 Sarscov2 Vac 30mcg Trs-Suc Im	$150.96	$287.00	$114.00–$386.70	8% below	47%
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 COVID-19 MRNA VAC-TRIS(PFIZER) 30 MCG/0.3ML IM SUSY	$246.17	$468.00	$132.51–$468.00	51% above	47%
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older inpatient CPT 91320 Sarscov2 Vac 30mcg Trs-Suc Im	$150.96	$287.00	$114.00–$386.70	—	47%
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older inpatient CPT 91320 COVID-19 MRNA VAC-TRIS(PFIZER) 30 MCG/0.3ML IM SUSY	$246.17	$468.00	$132.51–$468.00	—	47%
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 Var Vaccine Live for Subcutaneous Use	$102.04	$194.00	$77.06–$267.82	38% below	47%
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 VARICELLA VIRUS VACCINE LIVE 1350 PFU/0.5ML IJ SUSR	$274.05	$521.00	$122.25–$521.00	67% above	47%
Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 Var Vaccine Live for Subcutaneous Use	$102.04	$194.00	$77.06–$267.82	—	47%
Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 VARICELLA VIRUS VACCINE LIVE 1350 PFU/0.5ML IJ SUSR	$274.05	$521.00	$122.25–$521.00	—	47%
DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) CPT 90696 Dtap-Ipv Vaccine Child 4-6 Yrs for Im Use	$42.08	$80.00	$31.78–$90.51	50% below	47%
DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) CPT 90696 DTAP-IPV VACCINE 0.5 ML IM SUSY	$113.62	$216.00	$51.00–$216.00	35% above	47%
DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) inpatient CPT 90696 Dtap-Ipv Vaccine Child 4-6 Yrs for Im Use	$42.08	$80.00	$31.78–$90.51	—	47%
DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) inpatient CPT 90696 DTAP-IPV VACCINE 0.5 ML IM SUSY	$113.62	$216.00	$51.00–$216.00	—	47%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 Dtap Immunization, Im, <7 Yo	$23.67	$45.00	$17.87–$45.00	43% below	47%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 DIPHTH-ACELL PERTUSSIS-TETANUS 25-58-10 LF-MCG/0.5 IM SUSP	$69.96	$133.00	$24.38–$133.00	69% above	47%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 Dtap Immunization, Im, <7 Yo	$23.67	$45.00	$17.87–$45.00	—	47%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 DIPHTH-ACELL PERTUSSIS-TETANUS 25-58-10 LF-MCG/0.5 IM SUSP	$69.96	$133.00	$24.38–$133.00	—	47%
DTaP, hepatitis B and polio combination vaccine (Pediarix) CPT 90723 Dtap-Hepb-Ipv Vaccine Intramuscular	$58.91	$112.00	$44.49–$144.45	57% below	47%
DTaP, hepatitis B and polio combination vaccine (Pediarix) CPT 90723 DTAP-HEPATITIS B RECOMB-IPV IM SUSY	$171.48	$326.00	$77.25–$326.00	24% above	47%
DTaP, hepatitis B and polio combination vaccine (Pediarix) inpatient CPT 90723 Dtap-Hepb-Ipv Vaccine Intramuscular	$58.91	$112.00	$44.49–$144.45	—	47%
DTaP, hepatitis B and polio combination vaccine (Pediarix) inpatient CPT 90723 DTAP-HEPATITIS B RECOMB-IPV IM SUSY	$171.48	$326.00	$77.25–$326.00	—	47%
DTaP, polio and Hib combination vaccine (Pentacel) CPT 90698 Dtap-Ipv/Hib Vaccine for Intramuscular Use	$22.62	$43.00	$17.08–$181.96	81% below	47%
DTaP, polio and Hib combination vaccine (Pentacel) inpatient CPT 90698 Dtap-Ipv/Hib Vaccine for Intramuscular Use	$22.62	$43.00	$17.08–$181.96	—	47%
HPV vaccine, 9-valent (Gardasil 9) CPT 90651 HPV 9-VALENT RECOMB VACCINE IM SUSP	$157.80	$300.00	$119.16–$458.75	50% below	47%
HPV vaccine, 9-valent (Gardasil 9) CPT 90651 HPV 9-VALENT RECOMB VACCINE IM SUSY	$157.80	$300.00	$119.16–$458.75	50% below	47%
HPV vaccine, 9-valent (Gardasil 9) CPT 90651 9vhpv Vaccine 3 Dose Schedule for Im Use	$167.79	$319.00	$126.71–$458.75	47% below	47%
HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 HPV 9-VALENT RECOMB VACCINE IM SUSP	$157.80	$300.00	$119.16–$458.75	—	47%
HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 HPV 9-VALENT RECOMB VACCINE IM SUSY	$157.80	$300.00	$119.16–$458.75	—	47%
HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 9vhpv Vaccine 3 Dose Schedule for Im Use	$167.79	$319.00	$126.71–$458.75	—	47%
Hepatitis A and B combination vaccine, adult (Twinrix) CPT 90636 Hepa/Hepb Vaccine Adult Im	$64.17	$122.00	$48.46–$184.61	67% below	47%
Hepatitis A and B combination vaccine, adult (Twinrix) inpatient CPT 90636 Hepa/Hepb Vaccine Adult Im	$64.17	$122.00	$48.46–$184.61	—	47%
Hepatitis A vaccine, adult dose CPT 90632 Hepa Vaccine Adult Dose for Intramuscular Use	$66.28	$126.00	$50.05–$126.00	50% below	47%
Hepatitis A vaccine, adult dose CPT 90632 HEPATITIS A VACCINE 1440 EL U/ML IM SUSY	$144.65	$275.00	$61.33–$275.00	10% above	47%
Hepatitis A vaccine, adult dose inpatient CPT 90632 Hepa Vaccine Adult Dose for Intramuscular Use	$66.28	$126.00	$50.05–$126.00	—	47%
Hepatitis A vaccine, adult dose inpatient CPT 90632 HEPATITIS A VACCINE 1440 EL U/ML IM SUSY	$144.65	$275.00	$61.33–$275.00	—	47%
Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 Hepa Vaccine 2 Dose Schedule Ped/Adolesc Im Use	$51.55	$98.00	$32.25–$98.00	1% below	47%
Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 HEPATITIS A VACCINE 720 EL U/0.5ML IM SUSY	$82.58	$157.00	$32.25–$157.00	59% above	47%
Hepatitis A vaccine, child and teen dose (2-dose schedule) inpatient CPT 90633 Hepa Vaccine 2 Dose Schedule Ped/Adolesc Im Use	$51.55	$98.00	$32.25–$98.00	—	47%
Hepatitis A vaccine, child and teen dose (2-dose schedule) inpatient CPT 90633 HEPATITIS A VACCINE 720 EL U/0.5ML IM SUSY	$82.58	$157.00	$32.25–$157.00	—	47%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 Hepb Vaccine Adult 3 Dose Schedule for Im Use	$66.28	$126.00	$50.05–$126.00	43% below	47%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPATITIS B VAC RECOMBINANT 20 MCG/ML IJ SUSY	$126.24	$240.00	$70.37–$240.00	9% above	47%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 Hepb Vaccine Adult 3 Dose Schedule for Im Use	$66.28	$126.00	$50.05–$126.00	—	47%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HEPATITIS B VAC RECOMBINANT 20 MCG/ML IJ SUSY	$126.24	$240.00	$70.37–$240.00	—	47%
Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) CPT 90739 Hepb (Heplisav-B, 18+ Yrs)	$159.38	$303.00	$120.35–$303.00	25% below	47%
Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) CPT 90739 HEPATITIS B VAC RECOMB ADJ 20 MCG/0.5ML IM SOSY	$240.38	$457.00	$154.95–$457.00	12% above	47%
Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) inpatient CPT 90739 Hepb (Heplisav-B, 18+ Yrs)	$159.38	$303.00	$120.35–$303.00	—	47%
Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) inpatient CPT 90739 HEPATITIS B VAC RECOMB ADJ 20 MCG/0.5ML IM SOSY	$240.38	$457.00	$154.95–$457.00	—	47%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 Hepatitus B Vaccine	$28.93	$55.00	$21.85–$55.00	49% below	47%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HEPATITIS B VAC RECOMBINANT 10 MCG/0.5ML IJ SUSY	$69.43	$132.00	$30.77–$132.00	23% above	47%
Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 Hepatitus B Vaccine	$28.93	$55.00	$21.85–$55.00	—	47%
Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 HEPATITIS B VAC RECOMBINANT 10 MCG/0.5ML IJ SUSY	$69.43	$132.00	$30.77–$132.00	—	47%
Hib vaccine (Haemophilus influenzae type b), 3-dose schedule (PedvaxHIB) CPT 90647 Hib Prp-Omp Vaccine 3 Dose Schedule Im Use	$25.25	$48.00	$19.07–$48.00	50% below	47%
Hib vaccine (Haemophilus influenzae type b), 3-dose schedule (PedvaxHIB) CPT 90647 HAEMOPHILUS B POLYSAC CONJ VAC 7.5 MCG/0.5 ML IM SUSP	$71.54	$136.00	$26.25–$136.00	42% above	47%
Hib vaccine (Haemophilus influenzae type b), 3-dose schedule (PedvaxHIB) inpatient CPT 90647 Hib Prp-Omp Vaccine 3 Dose Schedule Im Use	$25.25	$48.00	$19.07–$48.00	—	47%
Hib vaccine (Haemophilus influenzae type b), 3-dose schedule (PedvaxHIB) inpatient CPT 90647 HAEMOPHILUS B POLYSAC CONJ VAC 7.5 MCG/0.5 ML IM SUSP	$71.54	$136.00	$26.25–$136.00	—	47%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 Hib Prp-T Vaccine 4 Dose Schedule Im Use	$32.61	$62.00	$10.88–$62.00	22% below	47%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) inpatient CPT 90648 Hib Prp-T Vaccine 4 Dose Schedule Im Use	$32.61	$62.00	$10.88–$62.00	—	47%
MMR vaccine (measles, mumps and rubella), live CPT 90707 Mmr Virus Immunization, Subcut	$74.17	$141.00	$56.01–$141.00	52% below	47%
MMR vaccine (measles, mumps and rubella), live CPT 90707 MEASLES, MUMPS & RUBELLA VAC IJ SOLR	$155.17	$295.00	$71.25–$295.00	1% above	47%
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 Mmr Virus Immunization, Subcut	$74.17	$141.00	$56.01–$141.00	—	47%
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 MEASLES, MUMPS & RUBELLA VAC IJ SOLR	$155.17	$295.00	$71.25–$295.00	—	47%
MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) CPT 90710 Combined Vaccine,Mmr+Varicella,Sub-Q	$205.14	$390.00	$154.91–$403.10	19% below	47%
MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) CPT 90710 MEASLES-MUMPS-RUBELLA-VARICELL SC SUSR	$396.08	$753.00	$202.50–$753.00	56% above	47%
MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) inpatient CPT 90710 Combined Vaccine,Mmr+Varicella,Sub-Q	$205.14	$390.00	$154.91–$403.10	—	47%
MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) inpatient CPT 90710 MEASLES-MUMPS-RUBELLA-VARICELL SC SUSR	$396.08	$753.00	$202.50–$753.00	—	47%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 Menveo, Meningococcal Conjugate Vaccine (V03.89)	$95.21	$181.00	$71.89–$232.45	59% below	47%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENINGOCOCCAL A C Y&W-135 OLIG IM SOLN	$254.58	$484.00	$117.00–$484.00	11% above	47%
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 Menveo, Meningococcal Conjugate Vaccine (V03.89)	$95.21	$181.00	$71.89–$232.45	—	47%
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 MENINGOCOCCAL A C Y&W-135 OLIG IM SOLN	$254.58	$484.00	$117.00–$484.00	—	47%
Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 Menb Recombinant Prot W/Out Membr Vesic Vacc Im	$153.07	$291.00	$115.59–$330.56	34% below	47%
Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 MENINGOCOCCAL B RECOMB OMV ADJ IM SUSY	$348.74	$663.00	$165.75–$663.00	51% above	47%
Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 Menb Recombinant Prot W/Out Membr Vesic Vacc Im	$153.07	$291.00	$115.59–$330.56	—	47%
Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 MENINGOCOCCAL B RECOMB OMV ADJ IM SUSY	$348.74	$663.00	$165.75–$663.00	—	47%
Nasal spray flu vaccine, live (FluMist) CPT 90660 INFLUENZA VIRUS VACCINE LIVE NA LIQD	$26.30	$50.00	$19.86–$50.00	32% below	47%
Nasal spray flu vaccine, live (FluMist) CPT 90660 Laiv3 Vaccine Live for Intranasal Use	$26.30	$50.00	$19.86–$50.00	32% below	47%
Nasal spray flu vaccine, live (FluMist) inpatient CPT 90660 INFLUENZA VIRUS VACCINE LIVE NA LIQD	$26.30	$50.00	$19.86–$50.00	—	47%
Nasal spray flu vaccine, live (FluMist) inpatient CPT 90660 Laiv3 Vaccine Live for Intranasal Use	$26.30	$50.00	$19.86–$50.00	—	47%
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 Pneumococcal 13 Vax,(V03.82)	$252.48	$480.00	$190.66–$480.00	14% below	47%
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) inpatient CPT 90670 Pneumococcal 13 Vax,(V03.82)	$252.48	$480.00	$190.66–$480.00	—	47%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 Pcv20 Vaccine for Intramuscular Use	$281.94	$536.00	$212.90–$536.00	4% below	47%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PNEUMOCOCCAL 20-VAL CONJ VACC 0.5 ML IM SUSY	$421.33	$801.00	$294.11–$801.00	44% above	47%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 Pcv20 Vaccine for Intramuscular Use	$281.94	$536.00	$212.90–$536.00	—	47%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 PNEUMOCOCCAL 20-VAL CONJ VACC 0.5 ML IM SUSY	$421.33	$801.00	$294.11–$801.00	—	47%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 Ppsv23 Vaccine 2 Yrs or Older for Subq/Im Use	$126.24	$240.00	$95.33–$240.00	10% below	47%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 Ppsv23 Vaccine 2 Yrs or Older for Subq/Im Use	$126.24	$240.00	$95.33–$240.00	—	47%
Polio vaccine, inactivated (IPV) CPT 90713 Poliomyelitis Immunizatn,Inactv,Sub-Q	$26.30	$50.00	$19.86–$66.65	56% below	47%
Polio vaccine, inactivated (IPV) CPT 90713 POLIOVIRUS VACCINE INACTIVATED IJ SUSP	$63.65	$121.00	$32.25–$121.00	6% above	47%
Polio vaccine, inactivated (IPV) inpatient CPT 90713 Poliomyelitis Immunizatn,Inactv,Sub-Q	$26.30	$50.00	$19.86–$66.65	—	47%
Polio vaccine, inactivated (IPV) inpatient CPT 90713 POLIOVIRUS VACCINE INACTIVATED IJ SUSP	$63.65	$121.00	$32.25–$121.00	—	47%
RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) CPT 90381 Rsv Monoc Antb Seasn 1 Ml Im	$430.79	$819.00	$325.31–$819.00	58% below	47%
RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) CPT 90381 NIRSEVIMAB-ALIP 100 MG/ML IM SOSY	$783.21	$1,489.00	$519.75–$1,489.00	23% below	47%
RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) CPT 90381 NIRSEVIMAB-ALIP 50 MG/0.5ML IM SOSY	$783.21	$1,489.00	$519.75–$1,489.00	23% below	47%
RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) inpatient CPT 90381 Rsv Monoc Antb Seasn 1 Ml Im	$430.79	$819.00	$325.31–$819.00	—	47%
RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) inpatient CPT 90381 NIRSEVIMAB-ALIP 100 MG/ML IM SOSY	$783.21	$1,489.00	$519.75–$1,489.00	—	47%
RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) inpatient CPT 90381 NIRSEVIMAB-ALIP 50 MG/0.5ML IM SOSY	$783.21	$1,489.00	$519.75–$1,489.00	—	47%
RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 Rsv Monoc Antb Seasn .5ml Im	$430.79	$819.00	$325.31–$829.51	58% below	47%
RSV antibody shot for infants, seasonal dose (0.5 mL) inpatient CPT 90380 Rsv Monoc Antb Seasn .5ml Im	$430.79	$819.00	$325.31–$829.51	—	47%
RSV vaccine (Abrysvo), one dose for older adults or during pregnancy CPT 90678 Rsv Vaccine Pref Subunit Bivalent for Im Use	$258.79	$492.00	$195.42–$492.00	53% below	47%
RSV vaccine (Abrysvo), one dose for older adults or during pregnancy inpatient CPT 90678 Rsv Vaccine Pref Subunit Bivalent for Im Use	$258.79	$492.00	$195.42–$492.00	—	47%
Rabies vaccine, one dose CPT 90675 Rabies Vaccine, Im	$247.75	$471.00	$187.08–$471.00	57% below	47%
Rabies vaccine, one dose CPT 90675 RABIES VACCINE, PCEC IM SUSR	$580.70	$1,104.00	$317.67–$1,104.00	at median	47%
Rabies vaccine, one dose inpatient CPT 90675 Rabies Vaccine, Im	$247.75	$471.00	$187.08–$471.00	—	47%
Rabies vaccine, one dose inpatient CPT 90675 RABIES VACCINE, PCEC IM SUSR	$580.70	$1,104.00	$317.67–$1,104.00	—	47%
Rotavirus vaccine, oral, 2-dose schedule (Rotarix) CPT 90681 Rv1 Vaccine 2 Dose Schedule Live for Oral Use	$92.05	$175.00	$69.51–$363.71	39% below	47%
Rotavirus vaccine, oral, 2-dose schedule (Rotarix) inpatient CPT 90681 Rv1 Vaccine 2 Dose Schedule Live for Oral Use	$92.05	$175.00	$69.51–$363.71	—	47%
Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) CPT 90680 Rv5 Vaccine 3 Dose Schedule Live for Oral Use	$72.06	$137.00	$54.42–$143.22	38% below	47%
Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) CPT 90680 ROTAVIRUS VAC LIVE PENTAVALENT OR SOLN	$135.18	$257.00	$83.25–$257.00	16% above	47%
Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) inpatient CPT 90680 Rv5 Vaccine 3 Dose Schedule Live for Oral Use	$72.06	$137.00	$54.42–$143.22	—	47%
Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) inpatient CPT 90680 ROTAVIRUS VAC LIVE PENTAVALENT OR SOLN	$135.18	$257.00	$83.25–$257.00	—	47%
Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 ZOSTER VAC RECOMB ADJUVANTED 50 MCG/0.5ML IM SUSR	$118.88	$226.00	$89.77–$300.42	40% below	47%
Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 Hzv Zoster Vacc Recombinant Adjuvanted Im Njx	$155.17	$295.00	$117.17–$300.42	22% below	47%
Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 ZOSTER VAC RECOMB ADJUVANTED 50 MCG/0.5ML IM SUSY	$338.22	$643.00	$140.25–$643.00	71% above	47%
Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 ZOSTER VAC RECOMB ADJUVANTED 50 MCG/0.5ML IM SUSR	$118.88	$226.00	$89.77–$300.42	—	47%
Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 Hzv Zoster Vacc Recombinant Adjuvanted Im Njx	$155.17	$295.00	$117.17–$300.42	—	47%
Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 ZOSTER VAC RECOMB ADJUVANTED 50 MCG/0.5ML IM SUSY	$338.22	$643.00	$140.25–$643.00	—	47%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 Td Vaccine Prsrv Free 7 Yrs or Older for Im Use	$32.61	$62.00	$24.63–$64.00	21% below	47%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 Td Vaccine Prsrv Free 7 Yrs or Older for Im Use	$32.61	$62.00	$24.63–$64.00	—	47%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Tdap Vaccine >7 Yo, Im	$36.29	$69.00	$27.41–$70.12	56% below	47%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TETANUS-DIPHTH-ACELL PERTUSSIS 5-2.5-18.5 LF-MCG/0.5 IM SUSP SUPER RECORD	$94.68	$180.00	$38.33–$180.00	16% above	47%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 Tdap Vaccine >7 Yo, Im	$36.29	$69.00	$27.41–$70.12	—	47%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 TETANUS-DIPHTH-ACELL PERTUSSIS 5-2.5-18.5 LF-MCG/0.5 IM SUSP SUPER RECORD	$94.68	$180.00	$38.33–$180.00	—	47%
Typhoid vaccine, injectable (Vi polysaccharide) CPT 90691 Typhoid Vaccine, Im	$96.26	$183.00	$72.69–$225.27	23% below	47%
Typhoid vaccine, injectable (Vi polysaccharide) CPT 90691 TYPHOID VI POLYSACCHARIDE VACC 25 MCG/0.5ML IM SOSY	$235.65	$448.00	$123.68–$448.00	89% above	47%
Typhoid vaccine, injectable (Vi polysaccharide) inpatient CPT 90691 Typhoid Vaccine, Im	$96.26	$183.00	$72.69–$225.27	—	47%
Typhoid vaccine, injectable (Vi polysaccharide) inpatient CPT 90691 TYPHOID VI POLYSACCHARIDE VACC 25 MCG/0.5ML IM SOSY	$235.65	$448.00	$123.68–$448.00	—	47%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Immunization administration	$42.08	$80.00	$31.78–$86.19	9% above	47%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Immunization administration	$42.08	$80.00	$31.78–$86.19	—	47%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Immunization Admin, Each	$15.25	$29.00	$10.93–$40.17	53% below	47%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Each additional immunization administration	$21.04	$40.00	$10.93–$40.17	35% below	47%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 Immunization Admin, Each	$15.25	$29.00	$10.93–$40.17	—	47%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 Each additional immunization administration	$21.04	$40.00	$10.93–$40.17	—	47%

Procedure The service, with its billing code (CPT or HCPCS) and, in small type, the line exactly as the hospital wrote it in its price file. More

Cash price The hospital's own price for a patient paying without insurance (“discounted cash” in its price file). Hospitals must publish it under federal law, 45 CFR 180.50. Call to confirm it before booking. More

List price The hospital's full chargemaster price (“gross charge”) before any discount. Almost nobody pays it; the gap to the cash price shows what the self-pay discount is worth. More

Insurers pay The lowest and highest rates this hospital has agreed with insurance plans for the same item, from its price file. If the cash price is below what your plan pays and you have not met your deductible, paying cash can cost you less. More

Against the state median This hospital's cash price compared with the median cash price of hospitals in the state for the same code. Shown when at least three hospitals in the state price it.

Off list How much lower the cash price is than the list price.

No cash discount This line's cash price equals the hospital's full list price. Many hospitals still reduce bills for uninsured patients: ask the billing office for its self-pay discount in writing. More

At or below Medicare This cash price is at or below what Medicare pays a hospital for the same service, which is unusually low. It is what the hospital's file says; confirm it and what it includes before booking. More

Check the item The description in the hospital file looks like a supply or device (a catheter, a brace, an implant), not this procedure. The hospital may have filed it under the wrong code: ask before relying on this price.

Source file: https://www.healthpartners.com/content/dam/brand-identity/pdfs/care/390908320_WestfieldsHospital_standardcharges.csv