Penn State Health Milton S. Hershey Medical Center
Penn State Health Milton S. Hershey Medical Center in Hershey, PA publishes cash prices for 68 common procedures listed here, from its own machine-readable price file updated —. Click a procedure to compare it with other hospitals nearby.
500 University Drive, Hershey, PA, 17033 Collected Sep 23, 2026 Source price file
Scans and imaging
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT* ABDOMEN AND PELVIS W/ CONT | $591.70 | $1,786.00 | 67% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT Abdomen and Pelvis w/ Contrast - Report | $591.70 | $1,786.00 | 67% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT Enterography w/ Contrast - Report | $591.70 | $1,786.00 | 67% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT* ABDOMEN AND PELVIS W/ CONT | $591.70 | $1,786.00 | 67% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT Enterography w/ Contrast - Report | $591.70 | $1,786.00 | 67% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT Abdomen and Pelvis w/ Contrast - Report | $591.70 | $1,786.00 | 67% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT Brain/Head w/o Contrast - Report | $176.25 | $532.00 | 67% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT* BRAIN/HEAD W/O CONTRAST | $176.25 | $532.00 | 67% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT Portable Head w/o contrast - Report | $176.25 | $532.00 | 67% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT Portable Head w/o contrast - Report | $176.25 | $532.00 | 67% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT Brain/Head w/o Contrast - Report | $176.25 | $532.00 | 67% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT* BRAIN/HEAD W/O CONTRAST | $176.25 | $532.00 | 67% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT Pelvis w/ Contrast - Report | $294.86 | $890.00 | 67% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT* PELVIS W/ CONTRAST | $294.86 | $890.00 | 67% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT* PELVIS W/ CONTRAST | $294.86 | $890.00 | 67% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT Pelvis w/ Contrast - Report | $294.86 | $890.00 | 67% |
| Diagnostic mammogram, both breasts both sides CPT 77066 MG. Mammo Implant Digital Diag Bilateral - Report | $216.34 | $653.00 | 67% |
| Diagnostic mammogram, both breasts both sides CPT 77066 MG* BILAT POST CLIP MAMMO | $216.34 | $653.00 | 67% |
| Diagnostic mammogram, both breasts both sides CPT 77066 MG Mammo Digital Diagnostic Bilat - Report | $216.34 | $653.00 | 67% |
| Diagnostic mammogram, both breasts both sides CPT 77066 MG. Mammo Digital Diagnostic Bilat - Report | $216.34 | $653.00 | 67% |
| Diagnostic mammogram, both breasts both sides CPT 77066 MG. Bilat Diag Mam Call Back Same day - Report | $216.34 | $653.00 | 67% |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 MG Mammo Digital Diagnostic Bilat - Report | $216.34 | $653.00 | 67% |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 MG. Mammo Digital Diagnostic Bilat - Report | $216.34 | $653.00 | 67% |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 MG. Bilat Diag Mam Call Back Same day - Report | $216.34 | $653.00 | 67% |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 MG. Mammo Implant Digital Diag Bilateral - Report | $216.34 | $653.00 | 67% |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 MG* BILAT POST CLIP MAMMO | $216.34 | $653.00 | 67% |
| Diagnostic mammogram, one breast CPT 77065 Report | $169.96 | $513.00 | 67% |
| Diagnostic mammogram, one breast one side CPT 77065 MG. Mammo Implant Digital Diag Left - Report | $169.96 | $513.00 | 67% |
| Diagnostic mammogram, one breast one side CPT 77065 MG. Mammo Post Clip Placement Left - Report | $169.96 | $513.00 | 67% |
| Diagnostic mammogram, one breast one side CPT 77065 MG. Mammo Implant Digital Diag Right - Report | $169.96 | $513.00 | 67% |
| Diagnostic mammogram, one breast one side CPT 77065 77065 Diagnostic Mammography Incl Cad Unilateral | $169.96 | $513.00 | 67% |
| Diagnostic mammogram, one breast one side CPT 77065 MG. Unilat Diag Right Call Back Same Day - Report | $169.96 | $513.00 | 67% |
| Diagnostic mammogram, one breast one side CPT 77065 MG Mammo Post Clip Placement Left - Report | $169.96 | $513.00 | 67% |
| Diagnostic mammogram, one breast one side CPT 77065 MG. Unilat Diag Left Call Back Same Day - Report | $169.96 | $513.00 | 67% |
| Diagnostic mammogram, one breast one side CPT 77065 MG Mammo Digital Diagnostic Right - Report | $169.96 | $513.00 | 67% |
| Diagnostic mammogram, one breast one side CPT 77065 MG. Mammo Digital Diagnostic Right - Report | $169.96 | $513.00 | 67% |
| Diagnostic mammogram, one breast one side CPT 77065 MG Mammo Digital Diagnostic Left - Report | $169.96 | $513.00 | 67% |
| Diagnostic mammogram, one breast one side CPT 77065 MG. Mammo Post Clip Placement Right - Report | $169.96 | $513.00 | 67% |
| Diagnostic mammogram, one breast one side CPT 77065 MG. Mammo Digital Diagnostic Left - Report | $169.96 | $513.00 | 67% |
| Diagnostic mammogram, one breast one side CPT 77065 MG Mammo Post Clip Placement Right - Report | $169.96 | $513.00 | 67% |
| Diagnostic mammogram, one breast inpatient CPT 77065 Report | $169.96 | $513.00 | 67% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 MG Mammo Post Clip Placement Left - Report | $169.96 | $513.00 | 67% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 77065 Diagnostic Mammography Incl Cad Unilateral | $169.96 | $513.00 | 67% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 MG. Unilat Diag Right Call Back Same Day - Report | $169.96 | $513.00 | 67% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 MG. Unilat Diag Left Call Back Same Day - Report | $169.96 | $513.00 | 67% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 MG. Mammo Post Clip Placement Right - Report | $169.96 | $513.00 | 67% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 MG. Mammo Post Clip Placement Left - Report | $169.96 | $513.00 | 67% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 MG. Mammo Implant Digital Diag Right - Report | $169.96 | $513.00 | 67% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 MG. Mammo Implant Digital Diag Left - Report | $169.96 | $513.00 | 67% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 MG. Mammo Digital Diagnostic Right - Report | $169.96 | $513.00 | 67% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 MG. Mammo Digital Diagnostic Left - Report | $169.96 | $513.00 | 67% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 MG Mammo Post Clip Placement Right - Report | $169.96 | $513.00 | 67% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 MG Mammo Digital Diagnostic Right - Report | $169.96 | $513.00 | 67% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 MG Mammo Digital Diagnostic Left - Report | $169.96 | $513.00 | 67% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Ankle w/o Contrast Right - Report | $400.54 | $1,209.00 | 67% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Hip w/o Contrast Right - Report | $400.54 | $1,209.00 | 67% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Ankle w/o Contrast Left - Report | $400.54 | $1,209.00 | 67% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Knee w/o Contrast Left - Report | $400.54 | $1,209.00 | 67% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Hip w/o Contrast Left - Report | $400.54 | $1,209.00 | 67% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Knee w/o Contrast Right - Report | $400.54 | $1,209.00 | 67% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI Ankle w/o Contrast Left - Report | $400.54 | $1,209.00 | 67% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI Ankle w/o Contrast Right - Report | $400.54 | $1,209.00 | 67% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI Hip w/o Contrast Left - Report | $400.54 | $1,209.00 | 67% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI Hip w/o Contrast Right - Report | $400.54 | $1,209.00 | 67% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI Knee w/o Contrast Left - Report | $400.54 | $1,209.00 | 67% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI Knee w/o Contrast Right - Report | $400.54 | $1,209.00 | 67% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI ANY JT LOW EXT U/E | $591.70 | $1,786.00 | 67% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Knee w/ + w/o Contrast Left - Report | $591.70 | $1,786.00 | 67% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Knee w/ + w/o Contrast Right - Report | $591.70 | $1,786.00 | 67% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Ankle w/ + w/o Contrast Left - Report | $591.70 | $1,786.00 | 67% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Ankle w/ + w/o Contrast Right - Report | $591.70 | $1,786.00 | 67% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Hip w/ + w/o Contrast Left - Report | $591.70 | $1,786.00 | 67% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Hip w/ + w/o Contrast Right - Report | $591.70 | $1,786.00 | 67% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 MRI ANY JT LOW EXT U/E | $591.70 | $1,786.00 | 67% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI Ankle w/ + w/o Contrast Right - Report | $591.70 | $1,786.00 | 67% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI Knee w/ + w/o Contrast Right - Report | $591.70 | $1,786.00 | 67% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI Knee w/ + w/o Contrast Left - Report | $591.70 | $1,786.00 | 67% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI Hip w/ + w/o Contrast Right - Report | $591.70 | $1,786.00 | 67% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI Hip w/ + w/o Contrast Left - Report | $591.70 | $1,786.00 | 67% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI Ankle w/ + w/o Contrast Left - Report | $591.70 | $1,786.00 | 67% |
| MRI of the brain, no contrast dye CPT 70551 MRI Brain w/o Contrast - Report | $400.54 | $1,209.00 | 67% |
| MRI of the brain, no contrast dye inpatient CPT 70551 MRI Brain w/o Contrast - Report | $400.54 | $1,209.00 | 67% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI Brain w/ + w/o Contrast - Report | $591.70 | $1,786.00 | 67% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI Brain Diamox Challenge w/ + w/o cont - Report | $591.70 | $1,786.00 | 67% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI Brain w/ + w/o Contrast - Report | $591.70 | $1,786.00 | 67% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI Brain Diamox Challenge w/ + w/o cont - Report | $591.70 | $1,786.00 | 67% |
| MRI of the lower back, no contrast dye CPT 72148 MRI* L SPINE W/WO CONTRAST | $400.54 | $1,209.00 | 67% |
| MRI of the lower back, no contrast dye CPT 72148 MRI Spine Lumbar w/o Contrast - Report | $400.54 | $1,209.00 | 67% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 MRI Spine Lumbar w/o Contrast - Report | $400.54 | $1,209.00 | 67% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 MRI* L SPINE W/WO CONTRAST | $400.54 | $1,209.00 | 67% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US OB Greater Than 14 Weeks - Report | $176.25 | $532.00 | 67% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 76805 ECHOgraphy Pregnant Uterus Complete | $176.25 | $532.00 | 67% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US OB Greater Than 14 Weeks - Report | $176.25 | $532.00 | 67% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 76805 ECHOgraphy Pregnant Uterus Complete | $176.25 | $532.00 | 67% |
| Screening mammogram, both breasts both sides CPT 77067 MG. Mammo Digital Screening Bilateral - Report | $178.90 | $540.00 | 67% |
| Screening mammogram, both breasts both sides CPT 77067 MG. Mammo Implant Digital Screen Bilat - Report | $178.90 | $540.00 | 67% |
| Screening mammogram, both breasts both sides CPT 77067 MG Mammo Digital Screening Bilateral - Report | $178.90 | $540.00 | 67% |
| Screening mammogram, both breasts one side CPT 77067 MG. Mammo Digital Screening Left - Report | $178.90 | $540.00 | 67% |
| Screening mammogram, both breasts one side CPT 77067 MG. Mammo Implant Digital Screen Right - Report | $178.90 | $540.00 | 67% |
| Screening mammogram, both breasts one side CPT 77067 MG. Mammo Implant Digital Screen Left - Report | $178.90 | $540.00 | 67% |
| Screening mammogram, both breasts one side CPT 77067 MG. Mammo Digital Screening Right - Report | $178.90 | $540.00 | 67% |
| Screening mammogram, both breasts one side CPT 77067 MG Mammo Digital Screening Right - Report | $178.90 | $540.00 | 67% |
| Screening mammogram, both breasts one side CPT 77067 MG Mammo Digital Screening Left - Report | $178.90 | $540.00 | 67% |
| Screening mammogram, both breasts inpatient both sides CPT 77067 MG Mammo Digital Screening Bilateral - Report | $178.90 | $540.00 | 67% |
| Screening mammogram, both breasts inpatient both sides CPT 77067 MG. Mammo Digital Screening Bilateral - Report | $178.90 | $540.00 | 67% |
| Screening mammogram, both breasts inpatient both sides CPT 77067 MG. Mammo Implant Digital Screen Bilat - Report | $178.90 | $540.00 | 67% |
| Screening mammogram, both breasts inpatient one side CPT 77067 MG. Mammo Implant Digital Screen Left - Report | $178.90 | $540.00 | 67% |
| Screening mammogram, both breasts inpatient one side CPT 77067 MG. Mammo Digital Screening Right - Report | $178.90 | $540.00 | 67% |
| Screening mammogram, both breasts inpatient one side CPT 77067 MG. Mammo Digital Screening Left - Report | $178.90 | $540.00 | 67% |
| Screening mammogram, both breasts inpatient one side CPT 77067 MG. Mammo Implant Digital Screen Right - Report | $178.90 | $540.00 | 67% |
| Screening mammogram, both breasts inpatient one side CPT 77067 MG Mammo Digital Screening Left - Report | $178.90 | $540.00 | 67% |
| Screening mammogram, both breasts inpatient one side CPT 77067 MG Mammo Digital Screening Right - Report | $178.90 | $540.00 | 67% |
| Sleep study in a lab (polysomnography) CPT 95810 95810 Polysomn, > 6 Yrs, 4+Para | $2,190.89 | $6,613.00 | 67% |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 95810 Polysomn, > 6 Yrs, 4+Para | $2,190.89 | $6,613.00 | 67% |
| Transvaginal pelvic ultrasound CPT 76830 76830 Transvaginal ECHOgraphy | $176.25 | $532.00 | 67% |
| Transvaginal pelvic ultrasound CPT 76830 US TRANSVAGINAL NON PREG | $176.25 | $532.00 | 67% |
| Transvaginal pelvic ultrasound CPT 76830 US Transvaginal Non-OB - Report | $176.25 | $532.00 | 67% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 US TRANSVAGINAL NON PREG | $176.25 | $532.00 | 67% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 76830 Transvaginal ECHOgraphy | $176.25 | $532.00 | 67% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 US Transvaginal Non-OB - Report | $176.25 | $532.00 | 67% |
| Ultrasound of the abdomen, complete CPT 76700 76700 ECHOgraphy Abdomen Complete | $176.25 | $532.00 | 67% |
| Ultrasound of the abdomen, complete CPT 76700 US Abdomen Complete - Report | $176.25 | $532.00 | 67% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 76700 ECHOgraphy Abdomen Complete | $176.25 | $532.00 | 67% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 US Abdomen Complete - Report | $176.25 | $532.00 | 67% |
| X-ray of the lower back, 4 or more views CPT 72110 XR Spine Lumbosacral 4+ Views - Report | $176.25 | $532.00 | 67% |
| X-ray of the lower back, 4 or more views CPT 72110 72110 Spine Lumbosacral Comp W Obliq View | $176.25 | $532.00 | 67% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 72110 Spine Lumbosacral Comp W Obliq View | $176.25 | $532.00 | 67% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 XR Spine Lumbosacral 4+ Views - Report | $176.25 | $532.00 | 67% |
Lab tests
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 EBOLA BMP (SQ) | $18.22 | $55.00 | 67% |
| Basic metabolic panel (blood test) CPT 80048 SC BASIC METABOLIC PANEL (SQ) | $18.22 | $55.00 | 67% |
| Basic metabolic panel (blood test) CPT 80048 LS BASIC METABOLIC PANEL (SQ) | $18.22 | $55.00 | 67% |
| Basic metabolic panel (blood test) CPT 80048 Basic Metabolic Panel. | $18.22 | $55.00 | 67% |
| Basic metabolic panel (blood test) CPT 80048 .BO Ebola BMP | $18.22 | $55.00 | 67% |
| Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL (SQ) | $18.22 | $55.00 | 67% |
| Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METABOLIC PANEL (SQ) | $18.22 | $55.00 | 67% |
| Basic metabolic panel (blood test) inpatient CPT 80048 EBOLA BMP (SQ) | $18.22 | $55.00 | 67% |
| Basic metabolic panel (blood test) inpatient CPT 80048 .BO Ebola BMP | $18.22 | $55.00 | 67% |
| Basic metabolic panel (blood test) inpatient CPT 80048 Basic Metabolic Panel. | $18.22 | $55.00 | 67% |
| Basic metabolic panel (blood test) inpatient CPT 80048 LS BASIC METABOLIC PANEL (SQ) | $18.22 | $55.00 | 67% |
| Basic metabolic panel (blood test) inpatient CPT 80048 SC BASIC METABOLIC PANEL (SQ) | $18.22 | $55.00 | 67% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipid Panel w/ Reflex. | $28.82 | $87.00 | 67% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 POC Lipid Outpt IVIEW | $28.82 | $87.00 | 67% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 SC LIPID PROFILE (SQ) | $28.82 | $87.00 | 67% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LS LIPID PROFILE (SQ) | $28.82 | $87.00 | 67% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipid Panel. | $28.82 | $87.00 | 67% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipid Panel w/Ratios-Quest | $28.82 | $87.00 | 67% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PROFILE (SQ) | $28.82 | $87.00 | 67% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 NMR LIPOPROFILE 80061 | $28.82 | $87.00 | 67% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPOFIT LIPID PNL (SQ) | $28.82 | $87.00 | 67% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL 80061 (SQ) | $28.82 | $87.00 | 67% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Cholesterol-QST 5188504 | $28.82 | $87.00 | 67% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Cholesterol-QST 4496283 | $28.82 | $87.00 | 67% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 CARDIO IQ ADVANCED LIPID PNL 80061 | $28.82 | $87.00 | 67% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 80061 POC LIPID PRVDR RESULTED | $28.82 | $87.00 | 67% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Familial Hypercholesterolemia Pnl | $28.82 | $87.00 | 67% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 SC LIPID PROFILE (SQ) | $28.82 | $87.00 | 67% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Lipid Panel. | $28.82 | $87.00 | 67% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Lipid Panel w/ Reflex. | $28.82 | $87.00 | 67% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Familial Hypercholesterolemia Pnl | $28.82 | $87.00 | 67% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 POC Lipid Outpt IVIEW | $28.82 | $87.00 | 67% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Cholesterol-QST 5188504 | $28.82 | $87.00 | 67% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 80061 POC LIPID PRVDR RESULTED | $28.82 | $87.00 | 67% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Cholesterol-QST 4496283 | $28.82 | $87.00 | 67% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 NMR LIPOPROFILE 80061 | $28.82 | $87.00 | 67% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 CARDIO IQ ADVANCED LIPID PNL 80061 | $28.82 | $87.00 | 67% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Lipid Panel w/Ratios-Quest | $28.82 | $87.00 | 67% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PANEL 80061 (SQ) | $28.82 | $87.00 | 67% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PROFILE (SQ) | $28.82 | $87.00 | 67% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPOFIT LIPID PNL (SQ) | $28.82 | $87.00 | 67% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LS LIPID PROFILE (SQ) | $28.82 | $87.00 | 67% |
| Complete blood count (CBC) with differential CPT 85025 SC CBC W/DIFF & PLT (SQ) | $16.90 | $51.00 | 67% |
| Complete blood count (CBC) with differential CPT 85025 EBOLA CBC DIFF (SQ) | $16.90 | $51.00 | 67% |
| Complete blood count (CBC) with differential CPT 85025 .BO Ebola CBC Diff | $16.90 | $51.00 | 67% |
| Complete blood count (CBC) with differential CPT 85025 CBC W/PLT/DIFF AUTO (SQ) | $16.90 | $51.00 | 67% |
| Complete blood count (CBC) with differential CPT 85025 CBC w/ Diff. | $16.90 | $51.00 | 67% |
| Complete blood count (CBC) with differential CPT 85025 LS CBC W/PLT/DIFF AUTO (SQ) | $16.90 | $51.00 | 67% |
| Complete blood count (CBC) with differential inpatient CPT 85025 CBC w/ Diff. | $16.90 | $51.00 | 67% |
| Complete blood count (CBC) with differential inpatient CPT 85025 .BO Ebola CBC Diff | $16.90 | $51.00 | 67% |
| Complete blood count (CBC) with differential inpatient CPT 85025 CBC W/PLT/DIFF AUTO (SQ) | $16.90 | $51.00 | 67% |
| Complete blood count (CBC) with differential inpatient CPT 85025 SC CBC W/DIFF & PLT (SQ) | $16.90 | $51.00 | 67% |
| Complete blood count (CBC) with differential inpatient CPT 85025 EBOLA CBC DIFF (SQ) | $16.90 | $51.00 | 67% |
| Complete blood count (CBC) with differential inpatient CPT 85025 LS CBC W/PLT/DIFF AUTO (SQ) | $16.90 | $51.00 | 67% |
| Complete blood count (CBC), no differential CPT 85027 LS CBC W/PLT AUTO (SQ) | $13.91 | $42.00 | 67% |
| Complete blood count (CBC), no differential CPT 85027 CBC w/o Diff. | $13.91 | $42.00 | 67% |
| Complete blood count (CBC), no differential CPT 85027 SC CBC W/PLATELET (SQ) | $13.91 | $42.00 | 67% |
| Complete blood count (CBC), no differential CPT 85027 CBC w/ Man Diff. | $13.91 | $42.00 | 67% |
| Complete blood count (CBC), no differential CPT 85027 CBC W/PLT AUTO (SQ) | $13.91 | $42.00 | 67% |
| Complete blood count (CBC), no differential inpatient CPT 85027 CBC W/PLT AUTO (SQ) | $13.91 | $42.00 | 67% |
| Complete blood count (CBC), no differential inpatient CPT 85027 SC CBC W/PLATELET (SQ) | $13.91 | $42.00 | 67% |
| Complete blood count (CBC), no differential inpatient CPT 85027 LS CBC W/PLT AUTO (SQ) | $13.91 | $42.00 | 67% |
| Complete blood count (CBC), no differential inpatient CPT 85027 CBC w/o Diff. | $13.91 | $42.00 | 67% |
| Complete blood count (CBC), no differential inpatient CPT 85027 CBC w/ Man Diff. | $13.91 | $42.00 | 67% |
| Comprehensive metabolic panel (blood test) CPT 80053 COMP METABOLIC PANEL (SQ) | $22.86 | $69.00 | 67% |
| Comprehensive metabolic panel (blood test) CPT 80053 SC COMP METABOLIC PANEL (SQ) | $22.86 | $69.00 | 67% |
| Comprehensive metabolic panel (blood test) CPT 80053 LS COMP METABOLIC PANEL (SQ) | $22.86 | $69.00 | 67% |
| Comprehensive metabolic panel (blood test) CPT 80053 Comprehensive Metabolic Panel. | $22.86 | $69.00 | 67% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMP METABOLIC PANEL (SQ) | $22.86 | $69.00 | 67% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 SC COMP METABOLIC PANEL (SQ) | $22.86 | $69.00 | 67% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 LS COMP METABOLIC PANEL (SQ) | $22.86 | $69.00 | 67% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 Comprehensive Metabolic Panel. | $22.86 | $69.00 | 67% |
| Kidney function blood test panel CPT 80069 SC RENAL FUNCTION PANEL (SQ) | $18.55 | $56.00 | 67% |
| Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL (SQ) | $18.55 | $56.00 | 67% |
| Kidney function blood test panel CPT 80069 Renal Function Panel. | $18.55 | $56.00 | 67% |
| Kidney function blood test panel inpatient CPT 80069 RENAL FUNCTION PANEL (SQ) | $18.55 | $56.00 | 67% |
| Kidney function blood test panel inpatient CPT 80069 SC RENAL FUNCTION PANEL (SQ) | $18.55 | $56.00 | 67% |
| Kidney function blood test panel inpatient CPT 80069 Renal Function Panel. | $18.55 | $56.00 | 67% |
| Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL (SQ) | $17.56 | $53.00 | 67% |
| Liver function blood test panel CPT 80076 .BO Ebola Hepatic Panel | $17.56 | $53.00 | 67% |
| Liver function blood test panel CPT 80076 Hepatic Function Panel. | $17.56 | $53.00 | 67% |
| Liver function blood test panel CPT 80076 SC HEPATIC FUNCTION PANEL (SQ) | $17.56 | $53.00 | 67% |
| Liver function blood test panel CPT 80076 EBOLA HEPATIC PANEL (SQ) | $17.56 | $53.00 | 67% |
| Liver function blood test panel inpatient CPT 80076 HEPATIC FUNCTION PANEL (SQ) | $17.56 | $53.00 | 67% |
| Liver function blood test panel inpatient CPT 80076 EBOLA HEPATIC PANEL (SQ) | $17.56 | $53.00 | 67% |
| Liver function blood test panel inpatient CPT 80076 Hepatic Function Panel. | $17.56 | $53.00 | 67% |
| Liver function blood test panel inpatient CPT 80076 .BO Ebola Hepatic Panel | $17.56 | $53.00 | 67% |
| Liver function blood test panel inpatient CPT 80076 SC HEPATIC FUNCTION PANEL (SQ) | $17.56 | $53.00 | 67% |
| Obstetric blood test panel CPT 80055 OBSTETRIC PANEL (SQ) | $103.03 | $311.00 | 67% |
| Obstetric blood test panel CPT 80055 CT Obstetric Panel | $103.03 | $311.00 | 67% |
| Obstetric blood test panel inpatient CPT 80055 CT Obstetric Panel | $103.03 | $311.00 | 67% |
| Obstetric blood test panel inpatient CPT 80055 OBSTETRIC PANEL (SQ) | $103.03 | $311.00 | 67% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 .Free PSA Reflx | $39.76 | $120.00 | 67% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 FREE & TOTAL PSA (FREE) (SQ) | $39.76 | $120.00 | 67% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 PSA, FREE SEND-OUT (SQ) | $39.76 | $120.00 | 67% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 FREE PSA (SQ) | $39.76 | $120.00 | 67% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 PSA, Free and Total. | $39.76 | $120.00 | 67% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 PROSTATE SPECIFIC AG, FREE | $39.76 | $120.00 | 67% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 PSA Free and Percent Free PSA. | $39.76 | $120.00 | 67% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 FREE & TOTAL PSA (FREE) (SQ) | $39.76 | $120.00 | 67% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PROSTATE SPECIFIC AG, FREE | $39.76 | $120.00 | 67% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PSA Free and Percent Free PSA. | $39.76 | $120.00 | 67% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 FREE PSA (SQ) | $39.76 | $120.00 | 67% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PSA, FREE SEND-OUT (SQ) | $39.76 | $120.00 | 67% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PSA, Free and Total. | $39.76 | $120.00 | 67% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 .Free PSA Reflx | $39.76 | $120.00 | 67% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA Diagnostic. | $39.76 | $120.00 | 67% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 FREE & TOTAL PSA (TOTAL) (SQ) | $39.76 | $120.00 | 67% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PROSTATIC SPECIFIC AG (SQ) | $39.76 | $120.00 | 67% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA, Total (QST) 3484116 | $39.76 | $120.00 | 67% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PROSTATE SPECIFIC AG, TOTAL | $39.76 | $120.00 | 67% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSAG ULTRASENSITIVE (SQ) | $39.76 | $120.00 | 67% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA, Free | $39.76 | $120.00 | 67% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA, TOTAL SEND-OUT (SQ) | $39.76 | $120.00 | 67% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA, Total w/reflex to PSA, Free. | $41.74 | $126.00 | 67% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA w/reflex to Free PSA. | $41.74 | $126.00 | 67% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA Ultra Sensitive | $41.74 | $126.00 | 67% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PROSTATIC SPECIFIC AG (SQ) | $39.76 | $120.00 | 67% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA Diagnostic. | $39.76 | $120.00 | 67% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 FREE & TOTAL PSA (TOTAL) (SQ) | $39.76 | $120.00 | 67% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA, TOTAL SEND-OUT (SQ) | $39.76 | $120.00 | 67% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA, Free | $39.76 | $120.00 | 67% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PROSTATE SPECIFIC AG, TOTAL | $39.76 | $120.00 | 67% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA, Total (QST) 3484116 | $39.76 | $120.00 | 67% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSAG ULTRASENSITIVE (SQ) | $39.76 | $120.00 | 67% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA Ultra Sensitive | $41.74 | $126.00 | 67% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA, Total w/reflex to PSA, Free. | $41.74 | $126.00 | 67% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA w/reflex to Free PSA. | $41.74 | $126.00 | 67% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 LUPUS ANTICOAG, PTT-LA | $12.92 | $39.00 | 67% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Partial Thromboplastin Time. | $12.92 | $39.00 | 67% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 PARTIAL THROMBOPLAS TIME (SQ) | $12.92 | $39.00 | 67% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 VW PNL 2, PTT ACTIVATED | $12.92 | $39.00 | 67% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 PTT-LA Screen (QST) 3484002 | $12.92 | $39.00 | 67% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 SC PARTIAL THROMBOPL TIME (SQ) | $12.92 | $39.00 | 67% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 PTT-LA W/RFX HEX PH CONF (SQ) | $12.92 | $39.00 | 67% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Antiphos Pnl, PTT-LA | $12.92 | $39.00 | 67% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT-LA Screen (QST) 3484002 | $12.92 | $39.00 | 67% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 LUPUS ANTICOAG, PTT-LA | $12.92 | $39.00 | 67% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Antiphos Pnl, PTT-LA | $12.92 | $39.00 | 67% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 SC PARTIAL THROMBOPL TIME (SQ) | $12.92 | $39.00 | 67% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PARTIAL THROMBOPLAS TIME (SQ) | $12.92 | $39.00 | 67% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT-LA W/RFX HEX PH CONF (SQ) | $12.92 | $39.00 | 67% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 VW PNL 2, PTT ACTIVATED | $12.92 | $39.00 | 67% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Partial Thromboplastin Time. | $12.92 | $39.00 | 67% |
| Prothrombin time (PT/INR) clotting test CPT 85610 85610 Prothombin Time | $9.28 | $28.00 | 67% |
| Prothrombin time (PT/INR) clotting test CPT 85610 POC PT/INR ED (SQ) | $9.28 | $28.00 | 67% |
| Prothrombin time (PT/INR) clotting test CPT 85610 POC PROTHROMBIN TIME LS (SQ) | $9.28 | $28.00 | 67% |
| Prothrombin time (PT/INR) clotting test CPT 85610 85610 POC PROTHOMBIN PRVDR RESULTED | $9.28 | $28.00 | 67% |
| Prothrombin time (PT/INR) clotting test CPT 85610 POC PROTHROMBIN TIME (SQ) | $9.28 | $28.00 | 67% |
| Prothrombin time (PT/INR) clotting test CPT 85610 POC INR IVIEW | $9.28 | $28.00 | 67% |
| Prothrombin time (PT/INR) clotting test CPT 85610 Infusion Billing Procedures -> PROTHROMBIN TIME (85610) | $9.28 | $28.00 | 67% |
| Prothrombin time (PT/INR) clotting test CPT 85610 POC PROTHROMBIN TIME PDM (SQ) | $9.28 | $28.00 | 67% |
| Prothrombin time (PT/INR) clotting test CPT 85610 POC PROTHROMBIN TIME OR ANES (SQ) | $9.28 | $28.00 | 67% |
| Prothrombin time (PT/INR) clotting test CPT 85610 POC PROTHROMBIN TIME NYES FAM MED (SQ) | $9.28 | $28.00 | 67% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PT-QST 4931419 | $9.28 | $28.00 | 67% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME (SQ) | $9.28 | $28.00 | 67% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PT/INR | $9.28 | $28.00 | 67% |
| Prothrombin time (PT/INR) clotting test CPT 85610 POC Prothrombin Time/INR by Istat | $9.28 | $28.00 | 67% |
| Prothrombin time (PT/INR) clotting test CPT 85610 Prothrombin Time and INR. | $9.28 | $28.00 | 67% |
| Prothrombin time (PT/INR) clotting test CPT 85610 SC PROTHROMBIN TIME (SQ) | $9.28 | $28.00 | 67% |
| Prothrombin time (PT/INR) clotting test CPT 85610 POC PROTHROMBIN TIME CH FAM MED (SQ) | $9.28 | $28.00 | 67% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 POC PT/INR ED (SQ) | $9.28 | $28.00 | 67% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 POC PROTHROMBIN TIME NYES FAM MED (SQ) | $9.28 | $28.00 | 67% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PT-QST 4931419 | $9.28 | $28.00 | 67% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Prothrombin Time and INR. | $9.28 | $28.00 | 67% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME (SQ) | $9.28 | $28.00 | 67% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 POC PROTHROMBIN TIME CH FAM MED (SQ) | $9.28 | $28.00 | 67% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 POC INR IVIEW | $9.28 | $28.00 | 67% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PT/INR | $9.28 | $28.00 | 67% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Infusion Billing Procedures -> PROTHROMBIN TIME (85610) | $9.28 | $28.00 | 67% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 SC PROTHROMBIN TIME (SQ) | $9.28 | $28.00 | 67% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 POC PROTHROMBIN TIME PDM (SQ) | $9.28 | $28.00 | 67% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 85610 Prothombin Time | $9.28 | $28.00 | 67% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 POC Prothrombin Time/INR by Istat | $9.28 | $28.00 | 67% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 85610 POC PROTHOMBIN PRVDR RESULTED | $9.28 | $28.00 | 67% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 POC PROTHROMBIN TIME OR ANES (SQ) | $9.28 | $28.00 | 67% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 POC PROTHROMBIN TIME LS (SQ) | $9.28 | $28.00 | 67% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 POC PROTHROMBIN TIME (SQ) | $9.28 | $28.00 | 67% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH Thyroid Stim Horm - LS | $36.11 | $109.00 | 67% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH (NEWBORN Scrn) | $36.11 | $109.00 | 67% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH Ultra Sensitive | $36.11 | $109.00 | 67% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH, HAMA TREATED | $36.11 | $109.00 | 67% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 THEV | $36.11 | $109.00 | 67% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH, UNTREATED | $36.11 | $109.00 | 67% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH THYROID STIM HORM-EH (SQ) | $36.11 | $109.00 | 67% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH. | $36.11 | $109.00 | 67% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 THYROID CASCADE (SQ) | $36.11 | $109.00 | 67% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 SC TSH (SQ) | $36.11 | $109.00 | 67% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH (NEWBORN Scrn) | $36.11 | $109.00 | 67% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH. | $36.11 | $109.00 | 67% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 THYROID CASCADE (SQ) | $36.11 | $109.00 | 67% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 SC TSH (SQ) | $36.11 | $109.00 | 67% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH Thyroid Stim Horm - LS | $36.11 | $109.00 | 67% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH Ultra Sensitive | $36.11 | $109.00 | 67% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH, HAMA TREATED | $36.11 | $109.00 | 67% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH, UNTREATED | $36.11 | $109.00 | 67% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH THYROID STIM HORM-EH (SQ) | $36.11 | $109.00 | 67% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 THEV | $36.11 | $109.00 | 67% |
| Urinalysis with microscope exam, automated CPT 81001 URINALYSIS DIP/MICRO (81001) | $6.96 | $21.00 | 67% |
| Urinalysis with microscope exam, automated CPT 81001 URINALYSIS-BASIC & MICROS (SQ) | $6.96 | $21.00 | 67% |
| Urinalysis with microscope exam, automated CPT 81001 Urinalysis with Reflex to Culture. | $6.96 | $21.00 | 67% |
| Urinalysis with microscope exam, automated CPT 81001 Urine Analysis Basic & Microscopic.. | $6.96 | $21.00 | 67% |
| Urinalysis with microscope exam, automated CPT 81001 SC URINALYSIS W/MICRO (SQ) | $6.96 | $21.00 | 67% |
| Urinalysis with microscope exam, automated CPT 81001 LS URINALYSIS-BASIC & MICROS (SQ) | $6.96 | $21.00 | 67% |
| Urinalysis with microscope exam, automated CPT 81001 Urine Microscopic Complete? -> Done | $6.96 | $21.00 | 67% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 SC URINALYSIS W/MICRO (SQ) | $6.96 | $21.00 | 67% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 URINALYSIS-BASIC & MICROS (SQ) | $6.96 | $21.00 | 67% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 LS URINALYSIS-BASIC & MICROS (SQ) | $6.96 | $21.00 | 67% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 Urine Microscopic Complete? -> Done | $6.96 | $21.00 | 67% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 Urine Analysis Basic & Microscopic.. | $6.96 | $21.00 | 67% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 Urinalysis with Reflex to Culture. | $6.96 | $21.00 | 67% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 URINALYSIS DIP/MICRO (81001) | $6.96 | $21.00 | 67% |
| Urinalysis without microscope exam, automated CPT 81003 Specific Gravity Urine. | $4.97 | $15.00 | 67% |
| Urinalysis without microscope exam, automated CPT 81003 81003 POC URINE CHEMSTICK AUTO PRVDR RESULTED | $4.97 | $15.00 | 67% |
| Urinalysis without microscope exam, automated CPT 81003 SPECIFIC GRAVITY URINE (SQ) | $4.97 | $15.00 | 67% |
| Urinalysis without microscope exam, automated CPT 81003 Ketones, Urine | $4.97 | $15.00 | 67% |
| Urinalysis without microscope exam, automated CPT 81003 URINE AUTO DIP (81003) | $4.97 | $15.00 | 67% |
| Urinalysis without microscope exam, automated CPT 81003 URINALYSIS DIPSTIK AUTOM (SQ) | $4.97 | $15.00 | 67% |
| Urinalysis without microscope exam, automated CPT 81003 URINALYSIS-BASIC/REFLEX (SQ) | $4.97 | $15.00 | 67% |
| Urinalysis without microscope exam, automated CPT 81003 URINE PH MULTISTIX (SQ) | $4.97 | $15.00 | 67% |
| Urinalysis without microscope exam, automated CPT 81003 Urine Microscopic Complete? -> Not Done | $4.97 | $15.00 | 67% |
| Urinalysis without microscope exam, automated CPT 81003 Urine pH. | $4.97 | $15.00 | 67% |
| Urinalysis without microscope exam, automated CPT 81003 LS URINALYSIS DIPSTIK AUTOM (SQ) | $4.97 | $15.00 | 67% |
| Urinalysis without microscope exam, automated CPT 81003 SC URINE DIPSTICK (SQ) | $4.97 | $15.00 | 67% |
| Urinalysis without microscope exam, automated CPT 81003 POC Urine Chemstick AUTOMATED Outpt IVIEW | $4.97 | $15.00 | 67% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 URINE AUTO DIP (81003) | $4.97 | $15.00 | 67% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 POC Urine Chemstick AUTOMATED Outpt IVIEW | $4.97 | $15.00 | 67% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 URINALYSIS-BASIC/REFLEX (SQ) | $4.97 | $15.00 | 67% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 URINE PH MULTISTIX (SQ) | $4.97 | $15.00 | 67% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Specific Gravity Urine. | $4.97 | $15.00 | 67% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 81003 POC URINE CHEMSTICK AUTO PRVDR RESULTED | $4.97 | $15.00 | 67% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Urine Microscopic Complete? -> Not Done | $4.97 | $15.00 | 67% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Urine pH. | $4.97 | $15.00 | 67% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 LS URINALYSIS DIPSTIK AUTOM (SQ) | $4.97 | $15.00 | 67% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 URINALYSIS DIPSTIK AUTOM (SQ) | $4.97 | $15.00 | 67% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 SPECIFIC GRAVITY URINE (SQ) | $4.97 | $15.00 | 67% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 SC URINE DIPSTICK (SQ) | $4.97 | $15.00 | 67% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Ketones, Urine | $4.97 | $15.00 | 67% |
| Urinalysis without microscope exam, manual CPT 81002 POC Urine Chemstick MANUAL Outpt IVIEW | $7.62 | $23.00 | 67% |
| Urinalysis without microscope exam, manual CPT 81002 POC Urine SP Gr Refractometer Outpt IVIEW | $7.62 | $23.00 | 67% |
| Urinalysis without microscope exam, manual CPT 81002 81002 POC URINE HEME REFRACT PRVDR RESULTED | $7.62 | $23.00 | 67% |
| Urinalysis without microscope exam, manual CPT 81002 URINALYSIS W/O MICROSCOPY (81002) | $7.62 | $23.00 | 67% |
| Urinalysis without microscope exam, manual CPT 81002 URINALYSIS DIP PROCED POC | $7.62 | $23.00 | 67% |
| Urinalysis without microscope exam, manual CPT 81002 POC Urine Heme Outpt IVIEW | $7.62 | $23.00 | 67% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 POC Urine Chemstick MANUAL Outpt IVIEW | $7.62 | $23.00 | 67% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 URINALYSIS W/O MICROSCOPY (81002) | $7.62 | $23.00 | 67% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 POC Urine Heme Outpt IVIEW | $7.62 | $23.00 | 67% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 POC Urine SP Gr Refractometer Outpt IVIEW | $7.62 | $23.00 | 67% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 81002 POC URINE HEME REFRACT PRVDR RESULTED | $7.62 | $23.00 | 67% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 URINALYSIS DIP PROCED POC | $7.62 | $23.00 | 67% |
Surgery and procedures
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Cataract surgery with lens implant CPT 66984 66984 Extracp Cataract Extr W Iol | $4,911.52 | $14,825.00 | 67% |
| Cataract surgery with lens implant inpatient CPT 66984 66984 Extracp Cataract Extr W Iol | $4,911.52 | $14,825.00 | 67% |
| Cesarean delivery, including prenatal and postpartum care CPT 59510 59510 Cesarean Delivery W Ant/Post Care | $6,846.98 | $20,667.00 | 67% |
| Cesarean delivery, including prenatal and postpartum care inpatient CPT 59510 59510 Cesarean Delivery W Ant/Post Care | $6,846.98 | $20,667.00 | 67% |
| Colonoscopy with endoscopic ultrasound CPT 45391 45391 Colonoscopy W/Endo U/S Em | $2,539.08 | $7,664.00 | 67% |
| Colonoscopy with endoscopic ultrasound inpatient CPT 45391 45391 Colonoscopy W/Endo U/S Em | $2,539.08 | $7,664.00 | 67% |
| Colonoscopy with polyp removal CPT 45385 45385 Colonoscopy Snare Techniq | $2,539.08 | $7,664.00 | 67% |
| Colonoscopy with polyp removal inpatient CPT 45385 45385 Colonoscopy Snare Techniq | $2,539.08 | $7,664.00 | 67% |
| Colonoscopy with tissue sample one side CPT 45380 45380 Colonoscopy Right W/Biops | $2,539.08 | $7,664.00 | 67% |
| Colonoscopy with tissue sample inpatient one side CPT 45380 45380 Colonoscopy Right W/Biops | $2,539.08 | $7,664.00 | 67% |
| Colonoscopy, diagnostic CPT 45378 45378 Colonoscopy Past Splen Flexure | $1,963.28 | $5,926.00 | 67% |
| Colonoscopy, diagnostic inpatient CPT 45378 45378 Colonoscopy Past Splen Flexure | $1,963.28 | $5,926.00 | 67% |
| Gallbladder removal, laparoscopic CPT 47562 47562 Laparoscopy Surgical Cholecystectomy | $12,563.89 | $37,923.00 | 67% |
| Gallbladder removal, laparoscopic inpatient CPT 47562 47562 Laparoscopy Surgical Cholecystectomy | $12,563.89 | $37,923.00 | 67% |
| Inguinal (groin) hernia repair, age 5 or older CPT 49505 49505 Hernia Inguinal Over5 | $7,599.69 | $22,939.00 | 67% |
| Inguinal (groin) hernia repair, age 5 or older inpatient CPT 49505 49505 Hernia Inguinal Over5 | $7,599.69 | $22,939.00 | 67% |
| Knee arthroscopy with meniscus trim CPT 29881 29881 Arthro Knee Menisec Medial Or Lateral | $6,987.12 | $21,090.00 | 67% |
| Knee arthroscopy with meniscus trim inpatient CPT 29881 29881 Arthro Knee Menisec Medial Or Lateral | $6,987.12 | $21,090.00 | 67% |
| Laser treatment of clouding after cataract surgery (YAG) CPT 66821 66821 Laser Capsulotomy (Yag) | $1,181.42 | $3,566.00 | 67% |
| Laser treatment of clouding after cataract surgery (YAG) inpatient CPT 66821 66821 Laser Capsulotomy (Yag) | $1,181.42 | $3,566.00 | 67% |
| Left heart catheterization, diagnostic one side CPT 93452 93452 Left Heart Cath (Lv) Tech | $6,926.49 | $20,907.00 | 67% |
| Left heart catheterization, diagnostic inpatient one side CPT 93452 93452 Left Heart Cath (Lv) Tech | $6,926.49 | $20,907.00 | 67% |
| Lower-back epidural injection, with imaging guidance CPT 62323 NV EPI STEROIDINJLUMBORSACRAL | $1,491.18 | $4,501.00 | 67% |
| Lower-back epidural injection, with imaging guidance CPT 62323 62323 Inj Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Image | $1,491.18 | $4,501.00 | 67% |
| Lower-back epidural injection, with imaging guidance CPT 62323 NVI Epi Steroid Inj Lumb Or Sacral Spine - Report | $1,491.18 | $4,501.00 | 67% |
| Lower-back epidural injection, with imaging guidance CPT 62323 PM* INJ EPI STER LUM/SAC | $1,491.18 | $4,501.00 | 67% |
| Lower-back epidural injection, with imaging guidance CPT 62323 PM Epi Steroid Inj Lumb Or Sacral Spine - Report | $1,491.18 | $4,501.00 | 67% |
| Lower-back epidural injection, with imaging guidance CPT 62323 PS CT Inj Lmbr/Scrl Epidural - Report | $1,491.18 | $4,501.00 | 67% |
| Lower-back epidural injection, with imaging guidance CPT 62323 PS CT Inj Lumbar/Sacral Epidural - Report | $1,491.18 | $4,501.00 | 67% |
| Lower-back epidural injection, with imaging guidance CPT 62323 INJ INTRLM LMB/SAC W/IMAG | $1,491.18 | $4,501.00 | 67% |
| Lower-back epidural injection, with imaging guidance CPT 62323 NM INJ RP LUM/SAC | $1,491.18 | $4,501.00 | 67% |
| Lower-back epidural injection, with imaging guidance CPT 62323 US 62323 LMBR/SAC/Caudal Single Inj POC | $1,491.18 | $4,501.00 | 67% |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 INJ INTRLM LMB/SAC W/IMAG | $1,491.18 | $4,501.00 | 67% |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 NM INJ RP LUM/SAC | $1,491.18 | $4,501.00 | 67% |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 NV EPI STEROIDINJLUMBORSACRAL | $1,491.18 | $4,501.00 | 67% |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 NVI Epi Steroid Inj Lumb Or Sacral Spine - Report | $1,491.18 | $4,501.00 | 67% |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 PM Epi Steroid Inj Lumb Or Sacral Spine - Report | $1,491.18 | $4,501.00 | 67% |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 PM* INJ EPI STER LUM/SAC | $1,491.18 | $4,501.00 | 67% |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 PS CT Inj Lmbr/Scrl Epidural - Report | $1,491.18 | $4,501.00 | 67% |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 PS CT Inj Lumbar/Sacral Epidural - Report | $1,491.18 | $4,501.00 | 67% |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 62323 Inj Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Image | $1,491.18 | $4,501.00 | 67% |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 US 62323 LMBR/SAC/Caudal Single Inj POC | $1,491.18 | $4,501.00 | 67% |
| Lower-back epidural injection, without imaging guidance CPT 62322 62322 Inj Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img | $1,917.23 | $5,787.00 | 67% |
| Lower-back epidural injection, without imaging guidance CPT 62322 INJ INTRLM LMB/SAC W/O | $1,917.23 | $5,787.00 | 67% |
| Lower-back epidural injection, without imaging guidance CPT 62322 Infusion Billing Procedures -> INJ EPID LUMBAR SACRAL (62322) | $1,917.23 | $5,787.00 | 67% |
| Lower-back epidural injection, without imaging guidance inpatient CPT 62322 62322 Inj Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img | $1,917.23 | $5,787.00 | 67% |
| Lower-back epidural injection, without imaging guidance inpatient CPT 62322 Infusion Billing Procedures -> INJ EPID LUMBAR SACRAL (62322) | $1,917.23 | $5,787.00 | 67% |
| Lower-back epidural injection, without imaging guidance inpatient CPT 62322 INJ INTRLM LMB/SAC W/O | $1,917.23 | $5,787.00 | 67% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 PM Epi Steroid Inj Transforam Lumb-Sacr - Report | $1,917.23 | $5,787.00 | 67% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 NV EPI STERINJTRANSFOLUMBSACR | $1,917.23 | $5,787.00 | 67% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 PS CT Inj Lmbr/Scrl Foramina Epidural - Report | $1,917.23 | $5,787.00 | 67% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 NVI Epi Steroid Inj Transforam Lumb-Sacr - Report | $1,917.23 | $5,787.00 | 67% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 XR Inj Spine Transfor Epid L/S 1 Lvl - Report | $1,917.23 | $5,787.00 | 67% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 PS CT Guid LS Transforman Epil Inj 1 Lvl - Report | $1,917.23 | $5,787.00 | 67% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 64483 Trans Epid Lumbar/Sacral Sing | $1,917.23 | $5,787.00 | 67% |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 NVI Epi Steroid Inj Transforam Lumb-Sacr - Report | $1,917.23 | $5,787.00 | 67% |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 PM Epi Steroid Inj Transforam Lumb-Sacr - Report | $1,917.23 | $5,787.00 | 67% |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 PS CT Guid LS Transforman Epil Inj 1 Lvl - Report | $1,917.23 | $5,787.00 | 67% |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 PS CT Inj Lmbr/Scrl Foramina Epidural - Report | $1,917.23 | $5,787.00 | 67% |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 XR Inj Spine Transfor Epid L/S 1 Lvl - Report | $1,917.23 | $5,787.00 | 67% |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 64483 Trans Epid Lumbar/Sacral Sing | $1,917.23 | $5,787.00 | 67% |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 NV EPI STERINJTRANSFOLUMBSACR | $1,917.23 | $5,787.00 | 67% |
| Prostate biopsy CPT 55700 55700 Biopsy Prostate Needle Or Puncture | $4,411.26 | $13,315.00 | 67% |
| Prostate biopsy CPT 55700 PS US BX Prostate - Report | $4,411.26 | $13,315.00 | 67% |
| Prostate biopsy CPT 55700 US Biopsy Prostate - Report | $4,411.26 | $13,315.00 | 67% |
| Prostate biopsy inpatient CPT 55700 US Biopsy Prostate - Report | $4,411.26 | $13,315.00 | 67% |
| Prostate biopsy inpatient CPT 55700 PS US BX Prostate - Report | $4,411.26 | $13,315.00 | 67% |
| Prostate biopsy inpatient CPT 55700 55700 Biopsy Prostate Needle Or Puncture | $4,411.26 | $13,315.00 | 67% |
| Prostate removal (prostatectomy), laparoscopic CPT 55866 55866 Lap Radical Prostatectomy | $22,420.06 | $67,673.00 | 67% |
| Prostate removal (prostatectomy), laparoscopic inpatient CPT 55866 55866 Lap Radical Prostatectomy | $22,420.06 | $67,673.00 | 67% |
| Removal of a breast lump, open surgery CPT 19120 19120 Exc Cyst Bgn Tumor Breast | $8,246.06 | $24,890.00 | 67% |
| Removal of a breast lump, open surgery inpatient CPT 19120 19120 Exc Cyst Bgn Tumor Breast | $8,246.06 | $24,890.00 | 67% |
| Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) CPT 29826 29826 Arthroscopy Shoulder W Par Acromoplasty | $1,279.81 | $3,863.00 | 67% |
| Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) inpatient CPT 29826 29826 Arthroscopy Shoulder W Par Acromoplasty | $1,279.81 | $3,863.00 | 67% |
| Tonsil and adenoid removal, child under 12 CPT 42820 42820 Tonsillectomy And Adenoid Child | $12,739.15 | $38,452.00 | 67% |
| Tonsil and adenoid removal, child under 12 inpatient CPT 42820 42820 Tonsillectomy And Adenoid Child | $12,739.15 | $38,452.00 | 67% |
| Total hip replacement CPT 27130 27130 Total Hip Replacemnt | $27,707.94 | $83,634.00 | 67% |
| Total hip replacement inpatient CPT 27130 27130 Total Hip Replacemnt | $27,707.94 | $83,634.00 | 67% |
| Total knee replacement CPT 27447 27447 Arth Knee Med & Lat Comp Total Knee | $27,707.94 | $83,634.00 | 67% |
| Total knee replacement inpatient CPT 27447 27447 Arth Knee Med & Lat Comp Total Knee | $27,707.94 | $83,634.00 | 67% |
| Upper endoscopy (EGD) with biopsy CPT 43239 43239 Esophagogastro Duodenoscopy W Biop | $2,018.94 | $6,094.00 | 67% |
| Upper endoscopy (EGD) with biopsy inpatient CPT 43239 43239 Esophagogastro Duodenoscopy W Biop | $2,018.94 | $6,094.00 | 67% |
| Upper endoscopy (EGD), diagnostic CPT 43235 43235 Esophagogastro Duodenoscopy | $2,018.94 | $6,094.00 | 67% |
| Upper endoscopy (EGD), diagnostic inpatient CPT 43235 43235 Esophagogastro Duodenoscopy | $2,018.94 | $6,094.00 | 67% |
| Vaginal birth after cesarean (VBAC), including prenatal and postpartum care CPT 59610 59610 Vbac Global | $9,086.23 | $27,426.00 | 67% |
| Vaginal birth after cesarean (VBAC), including prenatal and postpartum care inpatient CPT 59610 59610 Vbac Global | $9,086.23 | $27,426.00 | 67% |
| Vaginal delivery, including prenatal and postpartum care CPT 59400 59400 Vag Delivery Ob Care | $6,846.98 | $20,667.00 | 67% |
| Vaginal delivery, including prenatal and postpartum care inpatient CPT 59400 59400 Vag Delivery Ob Care | $6,846.98 | $20,667.00 | 67% |
Doctor visits and therapy
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Family therapy with the patient, 50 minutes CPT 90847 90847 DBT Fam Psytx W/Pt 50 Min | $345.88 | $1,044.00 | 67% |
| Family therapy with the patient, 50 minutes CPT 90847 90847 THERAPIST TELE-Fam Psytx W/Pt | $345.88 | $1,044.00 | 67% |
| Family therapy with the patient, 50 minutes CPT 90847 90847 Family Therapy 60 Min W/P | $345.88 | $1,044.00 | 67% |
| Family therapy with the patient, 50 minutes CPT 90847 90847 MA/MAHMO Family Therapy 60 Min W/P | $345.88 | $1,044.00 | 67% |
| Family therapy with the patient, 50 minutes CPT 90847 90847 PRO TELE-Family Psytx W/Patient | $345.88 | $1,044.00 | 67% |
| Family therapy with the patient, 50 minutes CPT 90847 90847 IOP Fam Psytx W/Pt 50 Min | $345.88 | $1,044.00 | 67% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 90847 THERAPIST TELE-Fam Psytx W/Pt | $345.88 | $1,044.00 | 67% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 90847 PRO TELE-Family Psytx W/Patient | $345.88 | $1,044.00 | 67% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 90847 DBT Fam Psytx W/Pt 50 Min | $345.88 | $1,044.00 | 67% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 90847 IOP Fam Psytx W/Pt 50 Min | $345.88 | $1,044.00 | 67% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 90847 MA/MAHMO Family Therapy 60 Min W/P | $345.88 | $1,044.00 | 67% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 90847 Family Therapy 60 Min W/P | $345.88 | $1,044.00 | 67% |
| Family therapy without the patient, 50 minutes CPT 90846 90846 IOP Fam Psytx W/O Pt 50Min | $345.88 | $1,044.00 | 67% |
| Family therapy without the patient, 50 minutes CPT 90846 90846 THERAPIST TELE-Fam Psytx W/O Pt | $345.88 | $1,044.00 | 67% |
| Family therapy without the patient, 50 minutes CPT 90846 90846 Family Psychotherapy W/O Patient | $345.88 | $1,044.00 | 67% |
| Family therapy without the patient, 50 minutes CPT 90846 90846 MA/MAHMO Fam Psychotherapy W/O Pt | $345.88 | $1,044.00 | 67% |
| Family therapy without the patient, 50 minutes CPT 90846 90846 DBT Fam Psytx W/O Pt 50Min | $345.88 | $1,044.00 | 67% |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 90846 THERAPIST TELE-Fam Psytx W/O Pt | $345.88 | $1,044.00 | 67% |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 90846 IOP Fam Psytx W/O Pt 50Min | $345.88 | $1,044.00 | 67% |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 90846 MA/MAHMO Fam Psychotherapy W/O Pt | $345.88 | $1,044.00 | 67% |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 90846 DBT Fam Psytx W/O Pt 50Min | $345.88 | $1,044.00 | 67% |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 90846 Family Psychotherapy W/O Patient | $345.88 | $1,044.00 | 67% |
| Group psychotherapy session CPT 90853 90853 MA/MAHMO Group Psychotherapy | $199.11 | $601.00 | 67% |
| Group psychotherapy session CPT 90853 90853 IOP Group Therapy | $199.11 | $601.00 | 67% |
| Group psychotherapy session CPT 90853 90853 THERAPIST TELE-Group Psytx | $199.11 | $601.00 | 67% |
| Group psychotherapy session CPT 90853 90853 DBT Group Therapy | $199.11 | $601.00 | 67% |
| Group psychotherapy session CPT 90853 90853 OTP w/ Subox Med Adm | $199.11 | $601.00 | 67% |
| Group psychotherapy session CPT 90853 90853 OTP w/out Subox Med Adm | $199.11 | $601.00 | 67% |
| Group psychotherapy session CPT 90853 90853 SUD IOP 1 Hour | $199.11 | $601.00 | 67% |
| Group psychotherapy session CPT 90853 90853 Group Psychotherapy | $199.11 | $601.00 | 67% |
| Group psychotherapy session inpatient CPT 90853 90853 MA/MAHMO Group Psychotherapy | $199.11 | $601.00 | 67% |
| Group psychotherapy session inpatient CPT 90853 90853 OTP w/ Subox Med Adm | $199.11 | $601.00 | 67% |
| Group psychotherapy session inpatient CPT 90853 90853 DBT Group Therapy | $199.11 | $601.00 | 67% |
| Group psychotherapy session inpatient CPT 90853 90853 THERAPIST TELE-Group Psytx | $199.11 | $601.00 | 67% |
| Group psychotherapy session inpatient CPT 90853 90853 SUD IOP 1 Hour | $199.11 | $601.00 | 67% |
| Group psychotherapy session inpatient CPT 90853 90853 OTP w/out Subox Med Adm | $199.11 | $601.00 | 67% |
| Group psychotherapy session inpatient CPT 90853 90853 IOP Group Therapy | $199.11 | $601.00 | 67% |
| Group psychotherapy session inpatient CPT 90853 90853 Group Psychotherapy | $199.11 | $601.00 | 67% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 97110 OTA Therapeutic Exercise 15 min | $59.30 | $179.00 | 67% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 97110 OT Therapeutic Exercise 15 Min | $59.30 | $179.00 | 67% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 97110 PT Therapeutic Exercises (15 Min) | $59.30 | $179.00 | 67% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 97110 PTA Therapeutic Exercises (15 Min) | $59.30 | $179.00 | 67% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 97110 Telemd PT Thera Exercise ea15Min | $59.30 | $179.00 | 67% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 97110 Telemed Therapeut Exercise 15 Min | $59.30 | $179.00 | 67% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 97110 Telemd OT Thera Exercise ea15Min | $59.30 | $179.00 | 67% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 97110 PT Therapeutic Exercises (15 Min) | $59.30 | $179.00 | 67% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 97110 Telemd OT Thera Exercise ea15Min | $59.30 | $179.00 | 67% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 97110 OT Therapeutic Exercise 15 Min | $59.30 | $179.00 | 67% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 97110 OTA Therapeutic Exercise 15 min | $59.30 | $179.00 | 67% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 97110 Telemd PT Thera Exercise ea15Min | $59.30 | $179.00 | 67% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 97110 PTA Therapeutic Exercises (15 Min) | $59.30 | $179.00 | 67% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 97110 Telemed Therapeut Exercise 15 Min | $59.30 | $179.00 | 67% |
| Preventive checkup, new patient aged 18–39 CPT 99385 99385 Prev Med Visit New 18-39 Years | $48.37 | $146.00 | 67% |
| Preventive checkup, new patient aged 18–39 CPT 99385 99385 EPSDT Prev Med Visit New 18-39 Years | $48.37 | $146.00 | 67% |
| Preventive checkup, new patient aged 18–39 inpatient CPT 99385 99385 Prev Med Visit New 18-39 Years | $48.37 | $146.00 | 67% |
| Preventive checkup, new patient aged 18–39 inpatient CPT 99385 99385 EPSDT Prev Med Visit New 18-39 Years | $48.37 | $146.00 | 67% |
| Preventive checkup, new patient aged 40–64 CPT 99386 99386 Prev Med Visit New 40-64 Years | $64.60 | $195.00 | 67% |
| Preventive checkup, new patient aged 40–64 inpatient CPT 99386 99386 Prev Med Visit New 40-64 Years | $64.60 | $195.00 | 67% |
| Psychotherapy session, 30 minutes CPT 90832 90832 Psytx INDV Pt 30 Minutes | $345.88 | $1,044.00 | 67% |
| Psychotherapy session, 30 minutes CPT 90832 90832 OTP w/out Subox Med Adm | $345.88 | $1,044.00 | 67% |
| Psychotherapy session, 30 minutes CPT 90832 90832 OTP w/Methadone | $345.88 | $1,044.00 | 67% |
| Psychotherapy session, 30 minutes CPT 90832 90832 OTP w/ Subox Med Adm | $345.88 | $1,044.00 | 67% |
| Psychotherapy session, 30 minutes CPT 90832 90832 DBT Indiv Therpy 20-30Min | $345.88 | $1,044.00 | 67% |
| Psychotherapy session, 30 minutes CPT 90832 90832 THERAPIST TELE-Psytx Pt&Fam 30 Min | $345.88 | $1,044.00 | 67% |
| Psychotherapy session, 30 minutes CPT 90832 90832 IOP Indiv Therpy 20-30Min | $345.88 | $1,044.00 | 67% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 90832 OTP w/Methadone | $345.88 | $1,044.00 | 67% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 90832 THERAPIST TELE-Psytx Pt&Fam 30 Min | $345.88 | $1,044.00 | 67% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 90832 IOP Indiv Therpy 20-30Min | $345.88 | $1,044.00 | 67% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 90832 OTP w/out Subox Med Adm | $345.88 | $1,044.00 | 67% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 90832 Psytx INDV Pt 30 Minutes | $345.88 | $1,044.00 | 67% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 90832 DBT Indiv Therpy 20-30Min | $345.88 | $1,044.00 | 67% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 90832 OTP w/ Subox Med Adm | $345.88 | $1,044.00 | 67% |
| Psychotherapy session, 45 minutes CPT 90834 90834 OTP w/ Subox Med Adm | $345.88 | $1,044.00 | 67% |
| Psychotherapy session, 45 minutes CPT 90834 90834 DBT Indiv Therapy 45 Min | $345.88 | $1,044.00 | 67% |
| Psychotherapy session, 45 minutes CPT 90834 90834 OTP w/Methadone | $345.88 | $1,044.00 | 67% |
| Psychotherapy session, 45 minutes CPT 90834 90834 Psytx INDV Pt 45 Minutes | $345.88 | $1,044.00 | 67% |
| Psychotherapy session, 45 minutes CPT 90834 90834 OTP w/out Subox Med Adm | $345.88 | $1,044.00 | 67% |
| Psychotherapy session, 45 minutes CPT 90834 90834 THERAPIST TELE-Psytx Pt&Fam 45 Min | $345.88 | $1,044.00 | 67% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 90834 Psytx INDV Pt 45 Minutes | $345.88 | $1,044.00 | 67% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 90834 THERAPIST TELE-Psytx Pt&Fam 45 Min | $345.88 | $1,044.00 | 67% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 90834 DBT Indiv Therapy 45 Min | $345.88 | $1,044.00 | 67% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 90834 OTP w/ Subox Med Adm | $345.88 | $1,044.00 | 67% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 90834 OTP w/Methadone | $345.88 | $1,044.00 | 67% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 90834 OTP w/out Subox Med Adm | $345.88 | $1,044.00 | 67% |
| Psychotherapy session, 60 minutes CPT 90837 90837 DBT Psytx INDV Pt 60 Minutes | $345.88 | $1,044.00 | 67% |
| Psychotherapy session, 60 minutes CPT 90837 90837 OTP w/ Subox Med Adm | $345.88 | $1,044.00 | 67% |
| Psychotherapy session, 60 minutes CPT 90837 90837 Psytx INDV Pt 60 Minutes | $345.88 | $1,044.00 | 67% |
| Psychotherapy session, 60 minutes CPT 90837 90837 OTP w/out Subox Med Adm | $345.88 | $1,044.00 | 67% |
| Psychotherapy session, 60 minutes CPT 90837 90837 IOP Psytx INDV Pt 60 Minutes | $345.88 | $1,044.00 | 67% |
| Psychotherapy session, 60 minutes CPT 90837 90837 THERAPIST TELE-Psytx Pt&Fam 60 Min | $345.88 | $1,044.00 | 67% |
| Psychotherapy session, 60 minutes CPT 90837 90837 OTP w/Methadone | $345.88 | $1,044.00 | 67% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 90837 OTP w/ Subox Med Adm | $345.88 | $1,044.00 | 67% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 90837 OTP w/out Subox Med Adm | $345.88 | $1,044.00 | 67% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 90837 OTP w/Methadone | $345.88 | $1,044.00 | 67% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 90837 DBT Psytx INDV Pt 60 Minutes | $345.88 | $1,044.00 | 67% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 90837 THERAPIST TELE-Psytx Pt&Fam 60 Min | $345.88 | $1,044.00 | 67% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 90837 IOP Psytx INDV Pt 60 Minutes | $345.88 | $1,044.00 | 67% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 90837 Psytx INDV Pt 60 Minutes | $345.88 | $1,044.00 | 67% |
| Specialist consultation, low complexity or 30+ minutes CPT 99243 XR Consult Level 3 Outpatient - Report | $38.10 | $115.00 | 67% |
| Specialist consultation, low complexity or 30+ minutes CPT 99243 MG. Consult Level 3 Outpatient - Report | $38.10 | $115.00 | 67% |
| Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 MG. Consult Level 3 Outpatient - Report | $38.10 | $115.00 | 67% |
| Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 XR Consult Level 3 Outpatient - Report | $38.10 | $115.00 | 67% |
| Specialist consultation, moderate complexity or 40+ minutes CPT 99244 XR Consult Level 4 Outpatient - Report | $38.10 | $115.00 | 67% |
| Specialist consultation, moderate complexity or 40+ minutes CPT 99244 MG. Consult Level 4 Outpatient - Report | $38.10 | $115.00 | 67% |
| Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 XR Consult Level 4 Outpatient - Report | $38.10 | $115.00 | 67% |
| Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 MG. Consult Level 4 Outpatient - Report | $38.10 | $115.00 | 67% |