Hospital Boston-Cambridge-Newton, MA-NH

Tufts Medical Center

Tufts Medical Center in Boston, MA publishes cash prices for 483 common procedures listed here, from its own machine-readable price file updated Apr 1, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the Massachusetts median for 352 of 476 procedures and above it for 101. By typical cash price it ranks #11 of 33 Massachusetts hospitals and #7 of 27 hospitals in the Boston, MA area, cheapest first. Select a procedure to compare it with other hospitals nearby.

800 WASHINGTON ST, BOSTON, MA 02111 Collected Sep 23, 2026 Source price file Check a bill from this hospital (617) 636-5000

Acute care hospital Nonprofit hospital Emergency department CMS star rating 2 of 5 CCN 220116 · CMS hospital register NPI 1730132515

Financial assistance

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

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

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

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

CMS price transparency record

The federal Centers for Medicare & Medicaid Services (CMS) enforces the rule that makes hospitals publish their prices. Its public enforcement list shows 6 actions for a hospital named Tufts Medical Center in Boston, MA:

May 18, 2021 Warning notice
Oct 27, 2021 Corrective action plan requested
Jan 18, 2022 Case closed
Nov 16, 2023 Warning notice
Mar 18, 2024 Case closed
Mar 19, 2025 Met requirements

Warning notice: CMS reviewed the hospital and told it that it had found possible violations of the price transparency rules. Corrective action plan requested: CMS asked the hospital to submit a plan to fix the problems it found. Case closed: CMS closed the case after the hospital addressed the problems. Met requirements: CMS reviewed the hospital and found it met the requirements, so no further action was taken.

A notice records a step in a CMS review; it is not a court finding. Source: CMS, Hospital Price Transparency Enforcement Activities and Outcomes, actions through Jul 31, 2026.

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs Massachusetts	Off list
Abdominal CT scan without and with contrast CPT 74170 HC CT Abd W and WO Contrast	$1,085.70	$1,551.00	$201.74–$1,551.00	40% below	30%
Abdominal CT scan without and with contrast inpatient CPT 74170 HC CT Abd W and WO Contrast	$1,085.70	$1,551.00	$201.74–$1,551.00	—	30%
Abdominal X-ray, 2 views CPT 74019 HC Xr Exam Abdomen; 2 Views	$246.40	$352.00	$92.44–$559.77	34% below	30%
Abdominal X-ray, 2 views inpatient CPT 74019 HC Xr Exam Abdomen; 2 Views	$246.40	$352.00	$92.44–$559.77	—	30%
Ankle X-ray, complete, 3 or more views CPT 73610 HC Xr Exam of Ankle 3+ Views	$233.10	$333.00	$47.29–$672.80	10% below	30%
Ankle X-ray, complete, 3 or more views inpatient CPT 73610 HC Xr Exam of Ankle 3+ Views	$233.10	$333.00	$47.29–$672.80	—	30%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 HC Upr/L Xtremity Art 2 Levels - Cv US Ankle Brach	$343.70	$491.00	$128.94–$576.16	5% below	30%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 HC Upr/L Xtremity Art 2 Levels - Cv US Ankle Brach	$343.70	$491.00	$128.94–$576.16	—	30%
Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 HC CT; U Extr WO Contrast	$490.00	$700.00	$112.51–$700.00	53% below	30%
Arm CT scan without contrast (shoulder to hand, any part) inpatient CPT 73200 HC CT; U Extr WO Contrast	$490.00	$700.00	$112.51–$700.00	—	30%
Barium swallow (esophagus X-ray with contrast) CPT 74220 HC Xr Esophagus Barium Swallow	$679.70	$971.00	$254.98–$971.00	27% above	30%
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 HC Xr Esophagus Barium Swallow	$679.70	$971.00	$254.98–$971.00	—	30%
Bone scan, whole body (nuclear medicine) CPT 78306 HC Bone Imaging Whole Body - NM Bone Whole Body	$1,313.90	$1,877.00	$246.45–$2,031.93	at median	30%
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 HC Bone Imaging Whole Body - NM Bone Whole Body	$1,313.90	$1,877.00	$246.45–$2,031.93	—	30%
Breast ultrasound, complete, one breast CPT 76641 HC US Breast Uni Real Time With Image Complete	$283.50	$405.00	$106.35–$559.77	32% below	30%
Breast ultrasound, complete, one breast inpatient CPT 76641 HC US Breast Uni Real Time With Image Complete	$283.50	$405.00	$106.35–$559.77	—	30%
Breast ultrasound, limited (one breast or one area) CPT 76642 HC Ultrasound Breast Uni Limited	$281.40	$402.00	$31.15–$673.17	36% below	30%
Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 HC Ultrasound Breast Uni Limited	$281.40	$402.00	$31.15–$673.17	—	30%
CT angiography (CTA) of the abdomen and pelvis CPT 74174 HC CT Angio Abd&Pelv W/O&W/Dye	$1,510.60	$2,158.00	$192.94–$2,158.00	34% below	30%
CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 HC CT Angio Abd&Pelv W/O&W/Dye	$1,510.60	$2,158.00	$192.94–$2,158.00	—	30%
CT angiography (CTA) of the head CPT 70496 HC CT Head Angiography W and WO IV Contrast	$1,130.50	$1,615.00	$100.87–$1,615.00	34% below	30%
CT angiography (CTA) of the head inpatient CPT 70496 HC CT Head Angiography W and WO IV Contrast	$1,130.50	$1,615.00	$100.87–$1,615.00	—	30%
CT angiography (CTA) of the neck CPT 70498 HC CT Neck Angiography W and WO IV Contrast	$1,130.50	$1,615.00	$100.87–$1,615.00	14% below	30%
CT angiography (CTA) of the neck inpatient CPT 70498 HC CT Neck Angiography W and WO IV Contrast	$1,130.50	$1,615.00	$100.87–$1,615.00	—	30%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 HC CT Angio Chest Combo Incl Image - CT Chest A	$1,130.50	$1,615.00	$100.87–$1,615.00	28% below	30%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 HC CT Angio Chest Combo Incl Image - CT Chest A	$1,130.50	$1,615.00	$100.87–$1,615.00	—	30%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 HC CT Angio Hrt W/3d Image	$663.60	$948.00	$100.87–$948.00	11% below	30%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 HC CT Angio Hrt W/3d Image	$663.60	$948.00	$100.87–$948.00	—	30%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 HC CT Hrt W/O Dye W/Ca Score	$261.80	$374.00	$98.21–$405.05	32% above	30%
CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 HC CT Hrt W/O Dye W/Ca Score	$261.80	$374.00	$98.21–$405.05	—	30%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 HC CT Abd & Pelvis	$936.60	$1,338.00	$115.28–$1,338.00	37% below	30%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 HC CT Abd & Pelvis	$936.60	$1,338.00	$115.28–$1,338.00	—	30%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 HC CT Abd & Pelv W/Contrast	$1,510.60	$2,158.00	$192.94–$2,158.00	38% below	30%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 HC CT Abd & Pelv W/Contrast	$1,510.60	$2,158.00	$192.94–$2,158.00	—	30%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 HC CT Abd & Pelv 1/> Regns WO Contrst	$1,510.60	$2,158.00	$192.94–$2,158.00	43% below	30%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 HC CT Abd & Pelv 1/> Regns WO Contrst	$1,510.60	$2,158.00	$192.94–$2,158.00	—	30%
CT scan of the abdomen with contrast CPT 74160 HC CT Abd W Contrast	$1,025.50	$1,465.00	$201.74–$1,465.00	34% below	30%
CT scan of the abdomen with contrast inpatient CPT 74160 HC CT Abd W Contrast	$1,025.50	$1,465.00	$201.74–$1,465.00	—	30%
CT scan of the abdomen without contrast CPT 74150 HC CT Abd WO Contrast	$490.00	$700.00	$56.26–$700.00	49% below	30%
CT scan of the abdomen without contrast inpatient CPT 74150 HC CT Abd WO Contrast	$490.00	$700.00	$56.26–$700.00	—	30%
CT scan of the face and sinuses, no contrast dye CPT 70486 HC CT Scan Maxillofacial W/O Contrast	$490.00	$700.00	$56.26–$700.00	52% below	30%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 HC CT Scan Maxillofacial W/O Contrast	$490.00	$700.00	$56.26–$700.00	—	30%
CT scan of the head or brain, no contrast dye CPT 70450 HC CT Scan Head/Brain W/O Contrast	$490.00	$700.00	$56.26–$700.00	53% below	30%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 HC CT Scan Head/Brain W/O Contrast	$490.00	$700.00	$56.26–$700.00	—	30%
CT scan of the head with contrast CPT 70460 HC CT Scan Head W Contrast	$1,025.50	$1,465.00	$201.74–$1,465.00	15% below	30%
CT scan of the head with contrast inpatient CPT 70460 HC CT Scan Head W Contrast	$1,025.50	$1,465.00	$201.74–$1,465.00	—	30%
CT scan of the head without and with contrast CPT 70470 HC CT Scan Head W WO Contrast	$1,085.70	$1,551.00	$100.87–$1,551.00	27% below	30%
CT scan of the head without and with contrast inpatient CPT 70470 HC CT Scan Head W WO Contrast	$1,085.70	$1,551.00	$100.87–$1,551.00	—	30%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 HC CT Ls WO Contrast	$490.00	$700.00	$56.26–$700.00	49% below	30%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 HC CT Ls WO Contrast	$490.00	$700.00	$56.26–$700.00	—	30%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 HC CT Cerv Spine WO Contr	$490.00	$700.00	$56.26–$700.00	64% below	30%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 HC CT Cerv Spine WO Contr	$490.00	$700.00	$56.26–$700.00	—	30%
CT scan of the pelvis, with contrast dye CPT 72193 HC CT Pelvis; W Contr	$1,025.50	$1,465.00	$201.74–$1,465.00	38% below	30%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 HC CT Pelvis; W Contr	$1,025.50	$1,465.00	$201.74–$1,465.00	—	30%
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 HC Duplex Scan Extracranial Bilat - Carotid Duplex	$750.40	$1,072.00	$281.51–$1,160.13	—	30%
Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 HC Duplex Scan Extracranial Bilat - Carotid Duplex	$750.40	$1,072.00	$281.51–$1,160.13	—	30%
Chest CT scan without and with contrast CPT 71270 HC Cat Scan of Chest Combo - CT Chest W WO Contras	$1,085.70	$1,551.00	$201.74–$1,551.00	41% below	30%
Chest CT scan without and with contrast inpatient CPT 71270 HC Cat Scan of Chest Combo - CT Chest W WO Contras	$1,085.70	$1,551.00	$201.74–$1,551.00	—	30%
Chest X-ray, 2 views CPT 71046 HC X-Ray Exam Chest 2 Views	$224.00	$320.00	$84.03–$437.52	11% below	30%
Chest X-ray, 2 views inpatient CPT 71046 HC X-Ray Exam Chest 2 Views	$224.00	$320.00	$84.03–$437.52	—	30%
Chest X-ray, single view CPT 71045 HC X-Ray Exam Chest 1 View	$282.80	$404.00	$53.05–$437.52	5% above	30%
Chest X-ray, single view inpatient CPT 71045 HC X-Ray Exam Chest 1 View	$282.80	$404.00	$53.05–$437.52	—	30%
Collarbone (clavicle) X-ray, complete CPT 73000 HC Xr Clavicle Complete	$233.10	$333.00	$87.45–$656.29	12% below	30%
Collarbone (clavicle) X-ray, complete inpatient CPT 73000 HC Xr Clavicle Complete	$233.10	$333.00	$87.45–$656.29	—	30%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 HC US Retroperit B-Scan/Real Time Complete - US R	$356.30	$509.00	$112.51–$559.77	44% below	30%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 HC US Retroperitoneal Real Time W/Image Complete -	$452.20	$646.00	$112.51–$646.00	29% below	30%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 HC US Retroperit B-Scan/Real Time Complete - US R	$356.30	$509.00	$112.51–$559.77	—	30%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 HC US Retroperitoneal Real Time W/Image Complete -	$452.20	$646.00	$112.51–$646.00	—	30%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 HC DXA Bone Density Axial - Dexa Bone Density	$361.90	$517.00	$135.76–$559.77	27% below	30%
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 HC DXA Bone Density Axial - Dexa Bone Density	$361.90	$517.00	$135.76–$559.77	—	30%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 HC DXA Bone Density/Peripheral 1+ Sites	$235.90	$337.00	$88.50–$436.43	4% below	30%
DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 HC DXA Bone Density/Peripheral 1+ Sites	$235.90	$337.00	$88.50–$436.43	—	30%
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 HC OB US Detailed Sngl Fetus - US OB Detail Fetal	$870.10	$1,243.00	$230.56–$1,243.00	9% above	30%
Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 HC OB US Detailed Sngl Fetus - US OB Detail Fetal	$870.10	$1,243.00	$230.56–$1,243.00	—	30%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 HC CT Scan Thorax W/O Contrast - CT Chest WO Contr	$490.00	$700.00	$56.26–$700.00	59% below	30%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 HC CT Scan Thorax W/O Contrast - CT Chest WO Contr	$490.00	$700.00	$56.26–$700.00	—	30%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 HC Cat Scan of Chest Contrast - CT Chest W Contras	$1,025.50	$1,465.00	$100.87–$1,465.00	34% below	30%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 HC Cat Scan of Chest Contrast - CT Chest W Contras	$1,025.50	$1,465.00	$100.87–$1,465.00	—	30%
Diagnostic mammogram, both breasts both sides CPT 77066 HC Dx Mammo Incl Cad Bi - Mammo Breast Diagnostic	$495.60	$708.00	$92.96–$708.00	—	30%
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 HC Dx Mammo Incl Cad Bi - Mammo Breast Diagnostic	$495.60	$708.00	$92.96–$708.00	—	30%
Diagnostic mammogram, one breast CPT 77065 HC Dx Mammo Incl Cad Uni	$399.70	$571.00	$74.97–$571.00	1% above	30%
Diagnostic mammogram, one breast inpatient CPT 77065 HC Dx Mammo Incl Cad Uni	$399.70	$571.00	$74.97–$571.00	—	30%
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 HC Duplex Lo Extrem Art Bilat - US Lower Extremity	$694.40	$992.00	$260.50–$1,160.13	—	30%
Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 HC Duplex Lo Extrem Art Bilat - US Lower Extremity	$694.40	$992.00	$260.50–$1,160.13	—	30%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 HC Vasc Duplex Extrem Venous Bilat	$1,073.80	$1,534.00	$402.83–$2,301.00	—	30%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 HC Vasc Duplex Extrem Venous Bilat	$1,073.80	$1,534.00	$402.83–$2,301.00	—	30%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 HC Tte W/Doppler Complete - Tte Complete	$1,795.50	$2,565.00	$673.57–$2,565.00	2% above	30%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 HC Tte W/Doppler Complete - Tte Complete	$1,795.50	$2,565.00	$673.57–$2,565.00	—	30%
Elbow X-ray, 2 views CPT 73070 HC Xr Exam of Elbow 2 Views	$233.10	$333.00	$87.45–$656.29	2% below	30%
Elbow X-ray, 2 views inpatient CPT 73070 HC Xr Exam of Elbow 2 Views	$233.10	$333.00	$87.45–$656.29	—	30%
Elbow X-ray, complete, 3 or more views CPT 73080 HC Xr Exam of Elbow 3+ Views	$233.10	$333.00	$87.45–$672.80	17% below	30%
Elbow X-ray, complete, 3 or more views inpatient CPT 73080 HC Xr Exam of Elbow 3+ Views	$233.10	$333.00	$87.45–$672.80	—	30%
Eye socket (orbit) CT scan without contrast CPT 70480 HC CT Scan Orbit/Sella/Post Fossa/Ear W/O IV Cont	$490.00	$700.00	$112.51–$700.00	49% below	30%
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 HC CT Scan Orbit/Sella/Post Fossa/Ear W/O IV Cont	$490.00	$700.00	$112.51–$700.00	—	30%
Facial bones X-ray, complete, 3 or more views CPT 70150 HC X-Ray Exam of Facial Bones 3+ Views	$395.50	$565.00	$148.37–$565.00	at median	30%
Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 HC X-Ray Exam of Facial Bones 3+ Views	$395.50	$565.00	$148.37–$565.00	—	30%
Forearm X-ray (radius and ulna), 2 views CPT 73090 HC Xr Exam of Forearm 2 Views	$233.10	$333.00	$43.72–$623.26	16% below	30%
Forearm X-ray (radius and ulna), 2 views inpatient CPT 73090 HC Xr Exam of Forearm 2 Views	$233.10	$333.00	$43.72–$623.26	—	30%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HC Hepatobiliary Syst Imaging Including Gallbladde	$1,313.90	$1,877.00	$492.90–$2,031.93	at median	30%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 HC Hepatobiliary Syst Imaging Including Gallbladde	$1,313.90	$1,877.00	$492.90–$2,031.93	—	30%
Hand X-ray, 2 views CPT 73120 Hcxr Exam of Hand 2 Views	$345.10	$493.00	$129.46–$839.65	24% above	30%
Hand X-ray, 2 views inpatient CPT 73120 Hcxr Exam of Hand 2 Views	$345.10	$493.00	$129.46–$839.65	—	30%
Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 HC Xr Exam of Heel 2+ Views	$233.10	$333.00	$87.45–$656.29	11% below	30%
Heel bone (calcaneus) X-ray, 2 or more views inpatient CPT 73650 HC Xr Exam of Heel 2+ Views	$233.10	$333.00	$87.45–$656.29	—	30%
Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 HC Sleep Std Airflow Hrt Rate&O2 Sat Effort Unatt	$590.80	$844.00	$221.63–$844.00	12% below	30%
Home sleep apnea test, unattended, recording breathing and oxygen inpatient CPT 95806 HC Sleep Std Airflow Hrt Rate&O2 Sat Effort Unatt	$590.80	$844.00	$221.63–$844.00	—	30%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 HC Pbb Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param	$4,081.70	$5,831.00	$1,531.22–$5,831.00	9% above	30%
In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 HC Pbb Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param	$4,081.70	$5,831.00	$1,531.22–$5,831.00	—	30%
Knee X-ray, 3 views CPT 73562 HC Xr Exam of Knee 3 Views	$233.10	$333.00	$87.45–$656.29	27% below	30%
Knee X-ray, 3 views inpatient CPT 73562 HC Xr Exam of Knee 3 Views	$233.10	$333.00	$87.45–$656.29	—	30%
Knee X-ray, complete, 4 or more views CPT 73564 HC Xr Exam Knee 4 or More	$233.80	$334.00	$87.71–$839.65	33% below	30%
Knee X-ray, complete, 4 or more views inpatient CPT 73564 HC Xr Exam Knee 4 or More	$233.80	$334.00	$87.71–$839.65	—	30%
Leg CT scan without contrast (hip to foot, any part) CPT 73700 HC CT Scan Lower Extremity W/O Contrast	$490.00	$700.00	$112.51–$1,050.00	53% below	30%
Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 HC CT Scan Lower Extremity W/O Contrast	$490.00	$700.00	$112.51–$1,050.00	—	30%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HC US Abdomen Limited - US Rectum	$365.40	$522.00	$112.51–$559.77	32% below	30%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HC US Abdomen Limited - US Abdomen Limited	$408.80	$584.00	$112.51–$584.00	24% below	30%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HC US Abdomen Limited - US Gallbladder	$408.80	$584.00	$112.51–$584.00	24% below	30%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 HC US Abdomen Limited - US Rectum	$365.40	$522.00	$112.51–$559.77	—	30%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 HC US Abdomen Limited - US Abdomen Limited	$408.80	$584.00	$112.51–$584.00	—	30%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 HC US Abdomen Limited - US Gallbladder	$408.80	$584.00	$112.51–$584.00	—	30%
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 HC Chg US Extremity Nonvascular Real-Time Image Li	$234.50	$335.00	$87.97–$559.77	31% below	30%
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 HC Ultrasound Extremity Limited	$234.50	$335.00	$87.97–$559.77	31% below	30%
Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 HC Ultrasound Extremity Limited	$234.50	$335.00	$87.97–$559.77	—	30%
Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 HC Chg US Extremity Nonvascular Real-Time Image Li	$234.50	$335.00	$87.97–$559.77	—	30%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 HC CT Thorax Low Dose Screen	$288.40	$412.00	$62.30–$446.18	39% below	30%
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 HC CT Thorax Low Dose Screen	$288.40	$412.00	$62.30–$446.18	—	30%
Lower leg X-ray (tibia and fibula), 2 views CPT 73590 HC Xr Exam of Lower Leg 2 Views	$233.10	$333.00	$43.72–$656.29	14% below	30%
Lower leg X-ray (tibia and fibula), 2 views inpatient CPT 73590 HC Xr Exam of Lower Leg 2 Views	$233.10	$333.00	$43.72–$656.29	—	30%
MR angiography (MRA) of the head without contrast CPT 70544 HC Mra; Head; WO Contrast	$1,141.70	$1,631.00	$230.56–$1,631.00	36% below	30%
MR angiography (MRA) of the head without contrast inpatient CPT 70544 HC Mra; Head; WO Contrast	$1,141.70	$1,631.00	$230.56–$1,631.00	—	30%
MRI of both breasts, without and then with contrast dye CPT 77049 HC MRI Breast Without&With Contrast W/Cad Bilatera	$1,667.40	$2,382.00	$385.88–$2,382.00	32% below	30%
MRI of both breasts, without and then with contrast dye inpatient CPT 77049 HC MRI Breast Without&With Contrast W/Cad Bilatera	$1,667.40	$2,382.00	$385.88–$2,382.00	—	30%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HC MRI - Le Jnt WO Contr	$1,141.70	$1,631.00	$115.28–$2,446.50	38% below	30%
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 HC MRI - Le Jnt WO Contr	$1,141.70	$1,631.00	$115.28–$2,446.50	—	30%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 HC MRI Le Jnt W&WO Contr	$1,719.20	$2,456.00	$385.88–$3,684.00	42% below	30%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 HC MRI Le Jnt W&WO Contr	$1,719.20	$2,456.00	$385.88–$3,684.00	—	30%
MRI of the abdomen without contrast CPT 74181 HC MRI Abdomen WO Contrast	$1,141.70	$1,631.00	$230.56–$1,631.00	26% below	30%
MRI of the abdomen without contrast inpatient CPT 74181 HC MRI Abdomen WO Contrast	$1,141.70	$1,631.00	$230.56–$1,631.00	—	30%
MRI of the abdomen, without and then with contrast dye CPT 74183 HC MRI Abdomen W&WO	$1,908.90	$2,727.00	$385.88–$2,727.00	32% below	30%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 HC MRI Abdomen W&WO	$1,908.90	$2,727.00	$385.88–$2,727.00	—	30%
MRI of the brain, no contrast dye CPT 70551 HC MRI Brain WO Contrast	$1,141.70	$1,631.00	$115.28–$1,631.00	45% below	30%
MRI of the brain, no contrast dye inpatient CPT 70551 HC MRI Brain WO Contrast	$1,141.70	$1,631.00	$115.28–$1,631.00	—	30%
MRI of the brain, with and without contrast dye CPT 70553 HC MRI Brain W & WO Contrast	$1,908.90	$2,727.00	$385.88–$2,727.00	37% below	30%
MRI of the brain, with and without contrast dye inpatient CPT 70553 HC MRI Brain W & WO Contrast	$1,908.90	$2,727.00	$385.88–$2,727.00	—	30%
MRI of the lower back, no contrast dye CPT 72148 HC MRI Spine Lumbar WO Contr	$1,141.70	$1,631.00	$230.56–$1,631.00	37% below	30%
MRI of the lower back, no contrast dye inpatient CPT 72148 HC MRI Spine Lumbar WO Contr	$1,141.70	$1,631.00	$230.56–$1,631.00	—	30%
MRI of the lower back, without and then with contrast dye CPT 72158 HC MRI Lumb Spine W & WO Contr	$1,908.90	$2,727.00	$385.88–$2,727.00	31% below	30%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 HC MRI Lumb Spine W & WO Contr	$1,908.90	$2,727.00	$385.88–$2,727.00	—	30%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 HC MRI Spine Thoracic W/O Contr	$1,141.70	$1,631.00	$115.28–$1,631.00	38% below	30%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 HC MRI Spine Thoracic W/O Contr	$1,141.70	$1,631.00	$115.28–$1,631.00	—	30%
MRI of the neck (cervical spine) without and with contrast CPT 72156 HC MRI Cerv Spine W & WO Contr	$1,908.90	$2,727.00	$385.88–$2,727.00	34% below	30%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 HC MRI Cerv Spine W & WO Contr	$1,908.90	$2,727.00	$385.88–$2,727.00	—	30%
MRI of the neck (cervical spine), no contrast dye CPT 72141 HC MRI Spine Cerv; WO Contr	$1,141.70	$1,631.00	$115.28–$1,631.00	38% below	30%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 HC MRI Spine Cerv; WO Contr	$1,141.70	$1,631.00	$115.28–$1,631.00	—	30%
MRI of the pelvis without and with contrast CPT 72197 HC MRI Pelvis W & WO Contrast	$1,759.80	$2,514.00	$385.88–$2,514.00	38% below	30%
MRI of the pelvis without and with contrast inpatient CPT 72197 HC MRI Pelvis W & WO Contrast	$1,759.80	$2,514.00	$385.88–$2,514.00	—	30%
MRI of the pelvis, no contrast dye CPT 72195 HC MRI Pelvis WO Contrast	$1,026.20	$1,466.00	$230.56–$1,466.00	43% below	30%
MRI of the pelvis, no contrast dye inpatient CPT 72195 HC MRI Pelvis WO Contrast	$1,026.20	$1,466.00	$230.56–$1,466.00	—	30%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 HC MRI U Extr; Any Joint WO Contrast	$1,141.70	$1,631.00	$230.56–$2,446.50	36% below	30%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 HC MRI U Extr; Any Joint WO Contrast	$1,141.70	$1,631.00	$230.56–$2,446.50	—	30%
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 HC Radex Spine Cervical 4 or 5 Views - Xr Cervical	$429.10	$613.00	$160.97–$613.00	5% below	30%
Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 HC Radex Spine Cervical 4 or 5 Views - Xr Cervical	$429.10	$613.00	$160.97–$613.00	—	30%
Neck soft tissue CT scan with contrast CPT 70491 HC CT Soft Tissue Neck W Contrast	$1,025.50	$1,465.00	$100.87–$1,465.00	30% below	30%
Neck soft tissue CT scan with contrast inpatient CPT 70491 HC CT Soft Tissue Neck W Contrast	$1,025.50	$1,465.00	$100.87–$1,465.00	—	30%
Neck soft tissue CT scan without contrast CPT 70490 HC CT Scan Soft Tissue Neck W/O Contrast	$490.00	$700.00	$112.51–$700.00	59% below	30%
Neck soft tissue CT scan without contrast inpatient CPT 70490 HC CT Scan Soft Tissue Neck W/O Contrast	$490.00	$700.00	$112.51–$700.00	—	30%
Neck soft tissue X-ray CPT 70360 HC X-Ray Neck Soft Tissue - Xr Neck Soft Tissue	$233.10	$333.00	$87.45–$437.52	20% below	30%
Neck soft tissue X-ray inpatient CPT 70360 HC X-Ray Neck Soft Tissue - Xr Neck Soft Tissue	$233.10	$333.00	$87.45–$437.52	—	30%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 HC Ht Muscle Image Spect Mult - Stress Test Dipyri	$3,797.50	$5,425.00	$702.94–$6,949.09	9% below	30%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 HC Ht Muscle Image Spect Mult - NM Heart Perfusion	$3,797.50	$5,425.00	$702.94–$6,949.09	9% below	30%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 HC Ht Muscle Image Spect Mult - NM Heart Perfusion	$3,797.50	$5,425.00	$702.94–$6,949.09	—	30%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 HC Ht Muscle Image Spect Mult - Stress Test Dipyri	$3,797.50	$5,425.00	$702.94–$6,949.09	—	30%
OCT scan of the retina (optical coherence tomography) CPT 92134 HC Cptr Ophth Dx Img Post Segmt	$159.60	$228.00	$59.87–$427.34	29% below	30%
OCT scan of the retina (optical coherence tomography) inpatient CPT 92134 HC Cptr Ophth Dx Img Post Segmt	$159.60	$228.00	$59.87–$427.34	—	30%
PET/CT scan from the base of the skull to mid-thigh CPT 78815 HC Pet Image W/CT Skull-Thigh - Pt/CT Bone Skull B	$5,280.80	$7,544.00	$1,573.01–$7,757.47	5% below	30%
PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 HC Pet Image W/CT Skull-Thigh - Pt/CT Bone Skull B	$5,280.80	$7,544.00	$1,573.01–$7,757.47	—	30%
Pelvic CT scan without contrast CPT 72192 HC CT Pelvis; WO Contr	$490.00	$700.00	$112.51–$700.00	53% below	30%
Pelvic CT scan without contrast inpatient CPT 72192 HC CT Pelvis; WO Contr	$490.00	$700.00	$112.51–$700.00	—	30%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 HC Sono Pelvis Limited - US Pelvis Limited Bladder	$361.90	$517.00	$112.51–$559.77	at median	30%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 HC Sono Pelvis Limited - US Pelvis Limited	$361.90	$517.00	$112.51–$559.77	at median	30%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 HC Sono Pelvis Limited - US Pelvis Limited Bladder	$361.90	$517.00	$112.51–$559.77	—	30%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 HC Sono Pelvis Limited - US Pelvis Limited	$361.90	$517.00	$112.51–$559.77	—	30%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 HC Echo Pelvic (Nonobstetric) - US Pelvis	$452.90	$647.00	$112.51–$647.00	29% below	30%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 HC Echo Pelvic (Nonobstetric) - US Pelvis	$452.90	$647.00	$112.51–$647.00	—	30%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HC OB US >/= 14 Wks Sngl Fetus - US OB 14+ Weeks S	$484.40	$692.00	$112.51–$692.00	16% below	30%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 HC OB US >/= 14 Wks Sngl Fetus - US OB 14+ Weeks S	$484.40	$692.00	$112.51–$692.00	—	30%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 HC OB US < 14 Wks Single Fetus - US OB < 14 Weeks	$466.90	$667.00	$112.51–$667.00	4% below	30%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 HC OB US < 14 Wks Single Fetus - US OB < 14 Weeks	$466.90	$667.00	$112.51–$667.00	—	30%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 HC OB US Limited Fetus(S) - US OB Limited 1+ Fetus	$408.80	$584.00	$112.51–$584.00	at median	30%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 HC OB US Limited Fetus(S) - US OB Limited 1+ Fetus	$408.80	$584.00	$112.51–$584.00	—	30%
Rib X-ray, one side, 2 views one side CPT 71100 HC X-Ray Exam of Ribs 2 Views Unilat	$311.50	$445.00	$110.42–$445.00	3% above	30%
Rib X-ray, one side, 2 views inpatient one side CPT 71100 HC X-Ray Exam of Ribs 2 Views Unilat	$311.50	$445.00	$110.42–$445.00	—	30%
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 HC X-Ray Exam of Ribs/Chest 3+ Views Unilat	$296.10	$423.00	$111.08–$559.77	21% below	30%
Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 HC X-Ray Exam of Ribs/Chest 3+ Views Unilat	$296.10	$423.00	$111.08–$559.77	—	30%
Screening mammogram, both breasts both sides CPT 77067 HC Scr Mammo Bi Incl Cad - Mammo Breast Screening	$407.40	$582.00	$70.87–$582.00	—	30%
Screening mammogram, both breasts inpatient both sides CPT 77067 HC Scr Mammo Bi Incl Cad - Mammo Breast Screening	$407.40	$582.00	$70.87–$582.00	—	30%
Shoulder X-ray, complete, 2 or more views CPT 73030 HC Xr Shoulder 2+ Views	$233.10	$333.00	$43.72–$656.29	18% below	30%
Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 HC Xr Shoulder 2+ Views	$233.10	$333.00	$43.72–$656.29	—	30%
Sinus X-ray, complete, 3 or more views CPT 70220 HC X-Ray Exam of Sinuses 3+ Views	$233.10	$333.00	$87.45–$448.53	36% below	30%
Sinus X-ray, complete, 3 or more views inpatient CPT 70220 HC X-Ray Exam of Sinuses 3+ Views	$233.10	$333.00	$87.45–$448.53	—	30%
Skull X-ray, fewer than 4 views CPT 70250 HC X-Ray Exam of Skull <4 Views	$361.90	$517.00	$135.76–$559.77	16% above	30%
Skull X-ray, fewer than 4 views inpatient CPT 70250 HC X-Ray Exam of Skull <4 Views	$361.90	$517.00	$135.76–$559.77	—	30%
Sleep study in a lab (polysomnography) CPT 95810 HC Polysom 6/>Yrs Sleep 4/> Addl Param Attnd	$2,999.50	$4,285.00	$562.62–$4,638.40	14% below	30%
Sleep study in a lab (polysomnography) inpatient CPT 95810 HC Polysom 6/>Yrs Sleep 4/> Addl Param Attnd	$2,999.50	$4,285.00	$562.62–$4,638.40	—	30%
Stress echocardiogram, complete, including the stress test and supervision CPT 93351 HC Stress Tte Complete	$1,264.20	$1,806.00	$474.26–$2,496.81	26% below	30%
Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 HC Stress Tte Complete	$1,264.20	$1,806.00	$474.26–$2,496.81	—	30%
Swallow study (modified barium swallow, video X-ray) CPT 74230 HC Xr Cine/Vid X-Ray Throat/Esoph	$582.40	$832.00	$199.42–$901.18	5% above	30%
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 HC Xr Cine/Vid X-Ray Throat/Esoph	$582.40	$832.00	$199.42–$901.18	—	30%
Thigh bone (femur) X-ray, 2 or more views CPT 73552 HC Xr Exam of Femur 2/>	$75.60	$108.00	$28.36–$656.29	67% below	30%
Thigh bone (femur) X-ray, 2 or more views inpatient CPT 73552 HC Xr Exam of Femur 2/>	$75.60	$108.00	$28.36–$656.29	—	30%
Thoracic spine (mid back) CT scan without contrast CPT 72128 HC CT Thoracic Spine WO Contr	$490.00	$700.00	$56.26–$700.00	61% below	30%
Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 HC CT Thoracic Spine WO Contr	$490.00	$700.00	$56.26–$700.00	—	30%
Toe X-ray, 2 or more views CPT 73660 HC Xr Exam of Toe(S) 2+ Views	$226.10	$323.00	$42.41–$437.52	4% below	30%
Toe X-ray, 2 or more views inpatient CPT 73660 HC Xr Exam of Toe(S) 2+ Views	$226.10	$323.00	$42.41–$437.52	—	30%
Transvaginal pelvic ultrasound CPT 76830 HC Echography Transvaginal - US Pelvis Transvagina	$400.40	$572.00	$112.51–$572.00	22% below	30%
Transvaginal pelvic ultrasound inpatient CPT 76830 HC Echography Transvaginal - US Pelvis Transvagina	$400.40	$572.00	$112.51–$572.00	—	30%
Transvaginal ultrasound during pregnancy CPT 76817 HC Transvaginal US Obstetric - US OB Transvaginal	$428.40	$612.00	$112.51–$612.00	28% below	30%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 HC Transvaginal US Obstetric - US OB Transvaginal	$428.40	$612.00	$112.51–$612.00	—	30%
Ultrasound of the abdomen, complete CPT 76700 HC US Abdom B-Scan &/or Real Time Complete - US A	$641.90	$917.00	$112.51–$917.00	7% below	30%
Ultrasound of the abdomen, complete inpatient CPT 76700 HC US Abdom B-Scan &/or Real Time Complete - US A	$641.90	$917.00	$112.51–$917.00	—	30%
Ultrasound of the scrotum and testicles CPT 76870 HC Echo Scrotum & Contents - US Scrotum	$433.30	$619.00	$112.51–$619.00	25% below	30%
Ultrasound of the scrotum and testicles inpatient CPT 76870 HC Echo Scrotum & Contents - US Scrotum	$433.30	$619.00	$112.51–$619.00	—	30%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 HC US Head/Neck Tissues Real Time - US Thyroid	$373.80	$534.00	$112.51–$559.77	22% below	30%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 HC US Head/Neck Tissues Real Time - US Neck Parat	$431.90	$617.00	$112.51–$617.00	10% below	30%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 HC US Head/Neck Tissues Real Time - US Head Neck	$448.00	$640.00	$112.51–$640.00	7% below	30%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 HC US Head/Neck Tissues Real Time - US Thyroid	$373.80	$534.00	$112.51–$559.77	—	30%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 HC US Head/Neck Tissues Real Time - US Neck Parat	$431.90	$617.00	$112.51–$617.00	—	30%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 HC US Head/Neck Tissues Real Time - US Head Neck	$448.00	$640.00	$112.51–$640.00	—	30%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 HC Xr Upper GI W Delayed W/O Kub	$609.70	$871.00	$228.72–$942.68	2% below	30%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 HC Xr Upper GI W Delayed W/O Kub	$609.70	$871.00	$228.72–$942.68	—	30%
Upper arm X-ray (humerus), 2 views CPT 73060 HC Xr Exam of Humerus 2+ Views	$233.10	$333.00	$87.45–$656.29	8% below	30%
Upper arm X-ray (humerus), 2 views inpatient CPT 73060 HC Xr Exam of Humerus 2+ Views	$233.10	$333.00	$87.45–$656.29	—	30%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 HC Duplex Extrem Venous Uni or Ltd - US Doppler Ve	$439.60	$628.00	$164.91–$942.00	25% below	30%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 HC Extremity Study - US Upper Extremity Veins Righ	$460.60	$658.00	$172.79–$987.00	21% below	30%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 HC Duplex Extrem Venous Uni or Ltd	$613.90	$877.00	$230.30–$1,315.50	5% above	30%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 HC Duplex Extrem Venous Uni or Ltd - US Doppler Ve	$439.60	$628.00	$164.91–$942.00	—	30%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 HC Extremity Study - US Upper Extremity Veins Righ	$460.60	$658.00	$172.79–$987.00	—	30%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 HC Duplex Extrem Venous Uni or Ltd	$613.90	$877.00	$230.30–$1,315.50	—	30%
Wrist X-ray, 2 views CPT 73100 HC Xr Exam of Wrist 2 Views	$233.10	$333.00	$43.72–$656.29	11% below	30%
Wrist X-ray, 2 views inpatient CPT 73100 HC Xr Exam of Wrist 2 Views	$233.10	$333.00	$43.72–$656.29	—	30%
Wrist X-ray, complete, 3 or more views CPT 73110 HC Xr Exam of Wrist 3+ Views	$233.10	$333.00	$43.72–$656.29	16% below	30%
Wrist X-ray, complete, 3 or more views inpatient CPT 73110 HC Xr Exam of Wrist 3+ Views	$233.10	$333.00	$43.72–$656.29	—	30%
X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 HC Xr Exam Hip Uni 2-3 Views	$75.60	$108.00	$28.36–$656.29	72% below	30%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient CPT 73502 HC Xr Exam Hip Uni 2-3 Views	$75.60	$108.00	$28.36–$656.29	—	30%
X-ray of the abdomen, 1 view CPT 74018 HC Xr Exam Abdomen 1 View	$282.80	$404.00	$106.09–$437.52	at median	30%
X-ray of the abdomen, 1 view inpatient CPT 74018 HC Xr Exam Abdomen 1 View	$282.80	$404.00	$106.09–$437.52	—	30%
X-ray of the ankle, 2 views CPT 73600 HC Xr Exam of Ankle 2 Views	$233.10	$333.00	$87.45–$672.80	6% below	30%
X-ray of the ankle, 2 views inpatient CPT 73600 HC Xr Exam of Ankle 2 Views	$233.10	$333.00	$87.45–$672.80	—	30%
X-ray of the finger(s), 2 or more views CPT 73140 HC Xr Exam of Finger(S) 2+ Views	$233.10	$333.00	$43.72–$656.29	1% below	30%
X-ray of the finger(s), 2 or more views inpatient CPT 73140 HC Xr Exam of Finger(S) 2+ Views	$233.10	$333.00	$43.72–$656.29	—	30%
X-ray of the foot, 2 views CPT 73620 HC Xr Exam of Foot; 2 Views	$233.10	$333.00	$94.57–$656.29	3% below	30%
X-ray of the foot, 2 views inpatient CPT 73620 HC Xr Exam of Foot; 2 Views	$233.10	$333.00	$94.57–$656.29	—	30%
X-ray of the foot, complete, 3 or more views CPT 73630 HC Xr Exam of Foot; 3+ Views	$233.10	$333.00	$87.45–$656.29	11% below	30%
X-ray of the foot, complete, 3 or more views inpatient CPT 73630 HC Xr Exam of Foot; 3+ Views	$233.10	$333.00	$87.45–$656.29	—	30%
X-ray of the hand, 3 or more views CPT 73130 HC Xr Exam of Hand 3+ Views	$233.10	$333.00	$43.72–$672.80	22% below	30%
X-ray of the hand, 3 or more views inpatient CPT 73130 HC Xr Exam of Hand 3+ Views	$233.10	$333.00	$43.72–$672.80	—	30%
X-ray of the knee, 1 or 2 views CPT 73560 HC Xr Exam of Knee 1 or 2	$233.10	$333.00	$87.45–$656.29	24% below	30%
X-ray of the knee, 1 or 2 views inpatient CPT 73560 HC Xr Exam of Knee 1 or 2	$233.10	$333.00	$87.45–$656.29	—	30%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 HC X-Ray Exam of Lower Spine 2-3 Views	$361.90	$517.00	$135.76–$559.77	2% below	30%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 HC X-Ray Exam of Lower Spine 2-3 Views	$361.90	$517.00	$135.76–$559.77	—	30%
X-ray of the lower back, 4 or more views CPT 72110 HC X-Ray Exam of Lower Spine 4+ Views	$431.20	$616.00	$161.76–$616.00	14% below	30%
X-ray of the lower back, 4 or more views inpatient CPT 72110 HC X-Ray Exam of Lower Spine 4+ Views	$431.20	$616.00	$161.76–$616.00	—	30%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 HC X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2	$336.00	$480.00	$126.05–$559.77	7% below	30%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 HC X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2	$336.00	$480.00	$126.05–$559.77	—	30%
X-ray of the nasal bones, 3 or more views CPT 70160 HC X-Ray Exam of Nasal Bones 3+ Views	$230.30	$329.00	$86.40–$437.52	27% below	30%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 HC X-Ray Exam of Nasal Bones 3+ Views	$230.30	$329.00	$86.40–$437.52	—	30%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 HC Radex Spine Cervical 2 or 3 Views - Xr Cervical	$282.80	$404.00	$106.09–$437.52	8% below	30%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 HC Radex Spine Cervical 2 or 3 Views - Xr Cervical	$282.80	$404.00	$106.09–$437.52	—	30%
X-ray of the pelvis, 1 or 2 views CPT 72170 HC X-Ray Exam of Pelvis 1-2 Views	$293.30	$419.00	$55.01–$559.77	at median	30%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 HC X-Ray Exam of Pelvis 1-2 Views	$293.30	$419.00	$55.01–$559.77	—	30%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 HC X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+	$233.10	$333.00	$87.45–$437.52	21% below	30%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 HC X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+	$233.10	$333.00	$87.45–$437.52	—	30%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs Massachusetts	Off list
ACTH blood test CPT 82024 HC Assay of Acth - Acth	$95.20	$136.00	$35.71–$167.57	48% below	30%
ACTH blood test inpatient CPT 82024 HC Assay of Acth - Acth	$95.20	$136.00	$35.71–$167.57	—	30%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 HC Transferase Alanine Amino (Alt) (Sgpt) - Alt (S	$14.00	$20.00	$5.25–$22.98	67% below	30%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 HC Transferase Alanine Amino (Alt) (Sgpt) - Alt (S	$14.00	$20.00	$5.25–$22.98	—	30%
AST (aspartate aminotransferase) enzyme test CPT 84450 HC Transferase Aspartate Amino (Ast) (Sgot) - Ast	$13.30	$19.00	$4.99–$22.47	62% below	30%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 HC Transferase Aspartate Amino (Ast) (Sgot) - Ast	$13.30	$19.00	$4.99–$22.47	—	30%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HC Hepatitis Panel Acute - Bundled Charge	$111.30	$159.00	$41.75–$206.68	39% below	30%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HC Hepatitis Panel Acute - Bundled Charge	$111.30	$159.00	$41.75–$206.68	—	30%
Albumin blood test CPT 82040 HC Assay of Serum Albumin - Albumin	$12.60	$18.00	$4.73–$21.47	53% below	30%
Albumin blood test inpatient CPT 82040 HC Assay of Serum Albumin - Albumin	$12.60	$18.00	$4.73–$21.47	—	30%
Aldosterone blood test CPT 82088 HC Assay of Aldosterone - Aldosterone	$90.30	$129.00	$33.88–$176.82	43% below	30%
Aldosterone blood test CPT 82088 HC Assay of Aldosterone - Aldosterone 24hr Urine	$90.30	$129.00	$33.88–$176.82	43% below	30%
Aldosterone blood test inpatient CPT 82088 HC Assay of Aldosterone - Aldosterone 24hr Urine	$90.30	$129.00	$33.88–$176.82	—	30%
Aldosterone blood test inpatient CPT 82088 HC Assay of Aldosterone - Aldosterone	$90.30	$129.00	$33.88–$176.82	—	30%
Alkaline phosphatase (ALP) blood test CPT 84075 HC Assay Alkal Phosphatase - Alkaline Phosphatase	$13.30	$19.00	$4.99–$22.47	63% below	30%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 HC Assay Alkal Phosphatase - Alkaline Phosphatase	$13.30	$19.00	$4.99–$22.47	—	30%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Weed: English Plan	$12.60	$18.00	$4.73–$198.04	68% below	30%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Specific Ige Quant Semi Ea	$12.60	$18.00	$4.73–$198.04	68% below	30%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Grass	$12.60	$18.00	$4.73–$198.04	68% below	30%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Oak	$12.60	$18.00	$4.73–$198.04	68% below	30%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Dust	$12.60	$18.00	$4.73–$198.04	68% below	30%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Grass (June)	$12.60	$18.00	$4.73–$198.04	68% below	30%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Apple Ige	$12.60	$18.00	$4.73–$198.04	68% below	30%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Apricot Ige	$12.60	$18.00	$4.73–$198.04	68% below	30%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Ash White Ige	$12.60	$18.00	$4.73–$198.04	68% below	30%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Banana Ige	$12.60	$18.00	$4.73–$198.04	68% below	30%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Barley Ige	$12.60	$18.00	$4.73–$198.04	68% below	30%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Beef Ige	$12.60	$18.00	$4.73–$198.04	68% below	30%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Blueberry Ige	$12.60	$18.00	$4.73–$198.04	68% below	30%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Brazil Nut Ige	$12.60	$18.00	$4.73–$198.04	68% below	30%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Candida Albicans I	$12.60	$18.00	$4.73–$198.04	68% below	30%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Carrot Ige	$12.60	$18.00	$4.73–$198.04	68% below	30%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Cashew Ige	$12.60	$18.00	$4.73–$198.04	68% below	30%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Cat Hair/Dander St	$12.60	$18.00	$4.73–$198.04	68% below	30%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Cephalosporin-Drug	$12.60	$18.00	$4.73–$198.04	68% below	30%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Chicken Serum Pro	$12.60	$18.00	$4.73–$198.04	68% below	30%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Chocolate Ige	$12.60	$18.00	$4.73–$198.04	68% below	30%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Cockroach America	$12.60	$18.00	$4.73–$198.04	68% below	30%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Coconut Ige	$12.60	$18.00	$4.73–$198.04	68% below	30%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Cottonwood Tree Ig	$12.60	$18.00	$4.73–$198.04	68% below	30%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Crab Ige	$12.60	$18.00	$4.73–$198.04	68% below	30%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen D Farinae	$12.60	$18.00	$4.73–$198.04	68% below	30%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Dog Dander	$12.60	$18.00	$4.73–$198.04	68% below	30%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Egg Yolk Ige	$12.60	$18.00	$4.73–$198.04	68% below	30%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Elm Tree Ige	$12.60	$18.00	$4.73–$198.04	68% below	30%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Food: Lobster Ige	$12.60	$18.00	$4.73–$198.04	68% below	30%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Food: Pear	$12.60	$18.00	$4.73–$198.04	68% below	30%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Food: Pistachio	$12.60	$18.00	$4.73–$198.04	68% below	30%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Food: Strawberry I	$12.60	$18.00	$4.73–$198.04	68% below	30%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Garlic Ige	$12.60	$18.00	$4.73–$198.04	68% below	30%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Goose Feathers Ige	$12.60	$18.00	$4.73–$198.04	68% below	30%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Grape Ige	$12.60	$18.00	$4.73–$198.04	68% below	30%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Hazelnut	$12.60	$18.00	$4.73–$198.04	68% below	30%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Lamb Ige	$12.60	$18.00	$4.73–$198.04	68% below	30%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Onion Ige	$12.60	$18.00	$4.73–$198.04	68% below	30%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Orange Ige	$12.60	$18.00	$4.73–$198.04	68% below	30%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Peach Ige	$12.60	$18.00	$4.73–$198.04	68% below	30%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Pecan Nut Ige	$12.60	$18.00	$4.73–$198.04	68% below	30%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Walnut Ige	$12.60	$18.00	$4.73–$198.04	68% below	30%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Tuna Ige	$12.60	$18.00	$4.73–$198.04	68% below	30%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Tree: Chestnut	$12.60	$18.00	$4.73–$198.04	68% below	30%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Sunflower Seed Ige	$12.60	$18.00	$4.73–$198.04	68% below	30%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Shrimp Ige	$12.60	$18.00	$4.73–$198.04	68% below	30%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Pineapple Ige	$12.60	$18.00	$4.73–$198.04	68% below	30%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Sesame Seed Ige	$12.60	$18.00	$4.73–$198.04	68% below	30%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Potato Ige	$12.60	$18.00	$4.73–$198.04	68% below	30%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Pork Ige	$12.60	$18.00	$4.73–$198.04	68% below	30%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Plum Ige	$12.60	$18.00	$4.73–$198.04	68% below	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Allergen Food: Strawberry I	$12.60	$18.00	$4.73–$198.04	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Allergen Potato Ige	$12.60	$18.00	$4.73–$198.04	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Allergen D Farinae	$12.60	$18.00	$4.73–$198.04	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Allergen Tree: Chestnut	$12.60	$18.00	$4.73–$198.04	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Allergen Orange Ige	$12.60	$18.00	$4.73–$198.04	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Allergen Barley Ige	$12.60	$18.00	$4.73–$198.04	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Allergen Apricot Ige	$12.60	$18.00	$4.73–$198.04	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Allergen Beef Ige	$12.60	$18.00	$4.73–$198.04	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Allergen Peach Ige	$12.60	$18.00	$4.73–$198.04	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Allergen Plum Ige	$12.60	$18.00	$4.73–$198.04	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Allergen Blueberry Ige	$12.60	$18.00	$4.73–$198.04	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Allergen Banana Ige	$12.60	$18.00	$4.73–$198.04	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Allergen Apple Ige	$12.60	$18.00	$4.73–$198.04	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Allergen Brazil Nut Ige	$12.60	$18.00	$4.73–$198.04	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Allergen Onion Ige	$12.60	$18.00	$4.73–$198.04	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Allergen Candida Albicans I	$12.60	$18.00	$4.73–$198.04	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Allergen Grass (June)	$12.60	$18.00	$4.73–$198.04	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Allergen Carrot Ige	$12.60	$18.00	$4.73–$198.04	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Allergen Grape Ige	$12.60	$18.00	$4.73–$198.04	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Allergen Goose Feathers Ige	$12.60	$18.00	$4.73–$198.04	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Allergen Chocolate Ige	$12.60	$18.00	$4.73–$198.04	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Allergen Pineapple Ige	$12.60	$18.00	$4.73–$198.04	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Allergen Cockroach America	$12.60	$18.00	$4.73–$198.04	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Allergen Walnut Ige	$12.60	$18.00	$4.73–$198.04	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Allergen Garlic Ige	$12.60	$18.00	$4.73–$198.04	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Allergen Food: Pistachio	$12.60	$18.00	$4.73–$198.04	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Allergen Coconut Ige	$12.60	$18.00	$4.73–$198.04	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Allergen Cottonwood Tree Ig	$12.60	$18.00	$4.73–$198.04	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Allergen Tuna Ige	$12.60	$18.00	$4.73–$198.04	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Allergen Crab Ige	$12.60	$18.00	$4.73–$198.04	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Allergen Food: Pear	$12.60	$18.00	$4.73–$198.04	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Allergen Shrimp Ige	$12.60	$18.00	$4.73–$198.04	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Allergen Food: Lobster Ige	$12.60	$18.00	$4.73–$198.04	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Allergen Pork Ige	$12.60	$18.00	$4.73–$198.04	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Allergen Elm Tree Ige	$12.60	$18.00	$4.73–$198.04	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Allergen Sunflower Seed Ige	$12.60	$18.00	$4.73–$198.04	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Allergen Egg Yolk Ige	$12.60	$18.00	$4.73–$198.04	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Allergen Dog Dander	$12.60	$18.00	$4.73–$198.04	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Allergen Pecan Nut Ige	$12.60	$18.00	$4.73–$198.04	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Allergen Cashew Ige	$12.60	$18.00	$4.73–$198.04	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Allergen Ash White Ige	$12.60	$18.00	$4.73–$198.04	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Allergen Dust	$12.60	$18.00	$4.73–$198.04	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Allergen Lamb Ige	$12.60	$18.00	$4.73–$198.04	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Allergen Oak	$12.60	$18.00	$4.73–$198.04	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Allergen Cat Hair/Dander St	$12.60	$18.00	$4.73–$198.04	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Allergen Grass	$12.60	$18.00	$4.73–$198.04	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Specific Ige Quant Semi Ea	$12.60	$18.00	$4.73–$198.04	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Allergen Sesame Seed Ige	$12.60	$18.00	$4.73–$198.04	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Allergen Weed: English Plan	$12.60	$18.00	$4.73–$198.04	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Allergen Cephalosporin-Drug	$12.60	$18.00	$4.73–$198.04	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Allergen Hazelnut	$12.60	$18.00	$4.73–$198.04	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Allergen Chicken Serum Pro	$12.60	$18.00	$4.73–$198.04	—	30%
Alpha-fetoprotein (AFP) blood test CPT 82105 HC Alpha-Fetoprotein Serum	$41.30	$59.00	$15.49–$72.76	49% below	30%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 HC Alpha-Fetoprotein Serum	$41.30	$59.00	$15.49–$72.76	—	30%
Ammonia blood test CPT 82140 HC Assay of Ammonia - Ammonia	$35.70	$51.00	$13.39–$63.22	61% below	30%
Ammonia blood test inpatient CPT 82140 HC Assay of Ammonia - Ammonia	$35.70	$51.00	$13.39–$63.22	—	30%
Amylase blood test CPT 82150 HC Assay of Amylase - Amylase Timed Urine	$18.20	$26.00	$6.83–$28.10	60% below	30%
Amylase blood test CPT 82150 HC Assay of Amylase - Amylase	$18.20	$26.00	$6.83–$28.10	60% below	30%
Amylase blood test inpatient CPT 82150 HC Assay of Amylase - Amylase Timed Urine	$18.20	$26.00	$6.83–$28.10	—	30%
Amylase blood test inpatient CPT 82150 HC Assay of Amylase - Amylase	$18.20	$26.00	$6.83–$28.10	—	30%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 HC Cyclic Cirullinated Peptide Antibody - Cyclic C	$31.50	$45.00	$11.82–$56.21	37% below	30%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 HC Cyclic Cirullinated Peptide Antibody - Cyclic C	$31.50	$45.00	$11.82–$56.21	—	30%
Antinuclear antibody (ANA) blood test, screen CPT 86038 HC Antinuclear Antibodies - Ana (Antinuclear Antib	$29.40	$42.00	$11.03–$52.47	41% below	30%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 HC Antinuclear Antibodies - Ana (Antinuclear Antib	$29.40	$42.00	$11.03–$52.47	—	30%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 HC Natriuretic Peptide - B-Type Natriuretic Peptid	$109.90	$157.00	$41.23–$170.35	33% below	30%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 HC Natriuretic Peptide - B-Type Natriuretic Peptid	$109.90	$157.00	$41.23–$170.35	—	30%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC Bacterial Culture - Eye	$21.00	$30.00	$7.88–$37.39	48% below	30%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC Bacterial Culture - Tissue	$21.00	$30.00	$7.88–$37.39	48% below	30%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC Bacterial Culture - Wound	$21.00	$30.00	$7.88–$37.39	48% below	30%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC Bacterial Culture - Sputum	$21.00	$30.00	$7.88–$37.39	48% below	30%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC Bacterial Culture - CSF-Cns	$21.00	$30.00	$7.88–$37.39	48% below	30%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC Bacterial Culture - Genital	$21.00	$30.00	$7.88–$37.39	48% below	30%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC Bacterial Culture -Catheter	$21.00	$30.00	$7.88–$37.39	48% below	30%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC Bacterial Culture - Throat or Nose	$21.00	$30.00	$7.88–$37.39	48% below	30%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC Bacterial Culture - Respiratory T-Misc	$21.00	$30.00	$7.88–$37.39	48% below	30%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC Bacterial Culture - Othr Source	$21.00	$30.00	$7.88–$37.39	48% below	30%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC Bacterial Culture - H. Pylori	$21.00	$30.00	$7.88–$37.39	48% below	30%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC Bacterial Culture - Sputum	$21.00	$30.00	$7.88–$37.39	—	30%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC Bacterial Culture - Genital	$21.00	$30.00	$7.88–$37.39	—	30%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC Bacterial Culture - Wound	$21.00	$30.00	$7.88–$37.39	—	30%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC Bacterial Culture - Throat or Nose	$21.00	$30.00	$7.88–$37.39	—	30%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC Bacterial Culture - Respiratory T-Misc	$21.00	$30.00	$7.88–$37.39	—	30%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC Bacterial Culture - Othr Source	$21.00	$30.00	$7.88–$37.39	—	30%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC Bacterial Culture -Catheter	$21.00	$30.00	$7.88–$37.39	—	30%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC Bacterial Culture - CSF-Cns	$21.00	$30.00	$7.88–$37.39	—	30%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC Bacterial Culture - Tissue	$21.00	$30.00	$7.88–$37.39	—	30%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC Bacterial Culture - H. Pylori	$21.00	$30.00	$7.88–$37.39	—	30%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC Bacterial Culture - Eye	$21.00	$30.00	$7.88–$37.39	—	30%
Basic metabolic panel (blood test) CPT 80048 HC Basic Metabolic Panel Calcium Total - Bundled C	$21.70	$31.00	$8.14–$36.72	72% below	30%
Basic metabolic panel (blood test) inpatient CPT 80048 HC Basic Metabolic Panel Calcium Total - Bundled C	$21.70	$31.00	$8.14–$36.72	—	30%
Bilirubin blood test, total CPT 82247 HC Bilirubin Total - Bilirubin Total	$13.30	$19.00	$4.99–$21.80	57% below	30%
Bilirubin blood test, total inpatient CPT 82247 HC Bilirubin Total - Bilirubin Total	$13.30	$19.00	$4.99–$21.80	—	30%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC Surg Path Level IV - Lab Surg Path Level IV	$134.40	$192.00	$50.42–$262.93	22% below	30%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HC Surg Path Level IV - Lab Surg Path Level IV	$134.40	$192.00	$50.42–$262.93	—	30%
Blood culture for bacteria CPT 87040 HC Aerob Bacterial Blood Culture	$25.20	$36.00	$9.45–$44.78	68% below	30%
Blood culture for bacteria inpatient CPT 87040 HC Aerob Bacterial Blood Culture	$25.20	$36.00	$9.45–$44.78	—	30%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 Venipuncture Collection	$13.30	$19.00	$4.99–$19.36	11% below	30%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 HC Chg Collection Normal Venipuncture - Lab Resear	$18.20	$26.00	$6.83–$26.00	21% above	30%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Venipuncture Collection	$13.30	$19.00	$4.99–$19.36	—	30%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 HC Chg Collection Normal Venipuncture - Lab Resear	$18.20	$26.00	$6.83–$26.00	—	30%
Blood glucose (sugar) test CPT 82947 HC Assay Quantitative Blood Glucose - Glucose Rand	$10.50	$15.00	$3.94–$17.06	66% below	30%
Blood glucose (sugar) test CPT 82947 HC Glucose; Quan Blood	$10.50	$15.00	$3.94–$17.06	66% below	30%
Blood glucose (sugar) test CPT 82947 HC Assay Quantitative Blood Glucose - POCT Glucome	$10.50	$15.00	$3.94–$17.06	66% below	30%
Blood glucose (sugar) test CPT 82947 HC Assay Quantitative Blood Glucose - Gtt Fasting	$10.50	$15.00	$3.94–$17.06	66% below	30%
Blood glucose (sugar) test inpatient CPT 82947 HC Assay Quantitative Blood Glucose - POCT Glucome	$10.50	$15.00	$3.94–$17.06	—	30%
Blood glucose (sugar) test inpatient CPT 82947 HC Assay Quantitative Blood Glucose - Glucose Rand	$10.50	$15.00	$3.94–$17.06	—	30%
Blood glucose (sugar) test inpatient CPT 82947 HC Assay Quantitative Blood Glucose - Gtt Fasting	$10.50	$15.00	$3.94–$17.06	—	30%
Blood glucose (sugar) test inpatient CPT 82947 HC Glucose; Quan Blood	$10.50	$15.00	$3.94–$17.06	—	30%
Blood lead test CPT 83655 HC Assay of Lead - Lead Blood	$31.50	$45.00	$11.82–$52.55	57% below	30%
Blood lead test CPT 83655 HC Assay of Lead - Lead 24hr Urine	$31.50	$45.00	$11.82–$52.55	57% below	30%
Blood lead test inpatient CPT 83655 HC Assay of Lead - Lead 24hr Urine	$31.50	$45.00	$11.82–$52.55	—	30%
Blood lead test inpatient CPT 83655 HC Assay of Lead - Lead Blood	$31.50	$45.00	$11.82–$52.55	—	30%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HC Chorionic Gonadotropin Qual - Hcg Qualitative	$19.60	$28.00	$7.35–$32.64	57% below	30%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HC Chorionic Gonadotropin Qual - Hcg Qualitative	$19.60	$28.00	$7.35–$32.64	—	30%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HC Blood Typing Serologic Abo - Blood Type and Scr	$286.30	$409.00	$107.40–$560.78	47% above	30%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HC Blood Typing Serologic Abo - Abo/Rh Type	$286.30	$409.00	$107.40–$560.78	47% above	30%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HC Blood Typing Serologic Abo - Abo/Rh Type	$286.30	$409.00	$107.40–$560.78	—	30%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HC Blood Typing Serologic Abo - Blood Type and Scr	$286.30	$409.00	$107.40–$560.78	—	30%
Blood urea nitrogen (BUN) test CPT 84520 HC Assay Urea Nitrogen Quan - Blood Urea Nitrogen	$10.50	$15.00	$3.94–$17.14	61% below	30%
Blood urea nitrogen (BUN) test inpatient CPT 84520 HC Assay Urea Nitrogen Quan - Blood Urea Nitrogen	$10.50	$15.00	$3.94–$17.14	—	30%
C-peptide blood test CPT 84681 HC Assay of C-Peptide - C-Peptide	$51.10	$73.00	$19.17–$90.32	56% below	30%
C-peptide blood test inpatient CPT 84681 HC Assay of C-Peptide - C-Peptide	$51.10	$73.00	$19.17–$90.32	—	30%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 HC C-Reactive Protein - C-Reactive Protein	$12.60	$18.00	$4.73–$22.47	68% below	30%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 HC C-Reactive Protein - C-Reactive Protein	$12.60	$18.00	$4.73–$22.47	—	30%
C. difficile toxin gene test (stool PCR) CPT 87493 HC Inf Agent Det Nucleic Acid Clostridium Amp Prob	$104.30	$149.00	$39.13–$161.73	39% below	30%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 HC Inf Agent Det Nucleic Acid Clostridium Amp Prob	$104.30	$149.00	$39.13–$161.73	—	30%
CA 19-9 blood test (tumor marker) CPT 86301 HC Immunoassay Tumor Antigen Ca 19-9 - Cancer An	$51.10	$73.00	$19.17–$90.32	45% below	30%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 HC Immunoassay Tumor Antigen Ca 19-9 - Cancer An	$51.10	$73.00	$19.17–$90.32	—	30%
CA-125 blood test (ovarian cancer marker) CPT 86304 HC Immunoassay Tumor Antigen Ca 125 - Ca 125	$51.10	$73.00	$19.17–$90.32	55% below	30%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 HC Immunoassay Tumor Antigen Ca 125 - Ca 125	$51.10	$73.00	$19.17–$90.32	—	30%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HC Iadna Sars-Cov-2 Covid-19 Amplified Probe Tq -	$84.00	$120.00	$34.08–$222.65	49% below	30%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 HC Iadna Sars-Cov-2 Covid-19 Amplified Probe Tq -	$84.00	$120.00	$34.08–$222.65	—	30%
Calcium blood test, total CPT 82310 HC Assay of Calcium Total - Calcium	$13.30	$19.00	$4.99–$22.39	61% below	30%
Calcium blood test, total inpatient CPT 82310 HC Assay of Calcium Total - Calcium	$13.30	$19.00	$4.99–$22.39	—	30%
Carcinoembryonic antigen (CEA) test CPT 82378 HC Carcinoembryonic Antigen - Cea (Carcinoembryoni	$53.20	$76.00	$19.96–$82.30	44% below	30%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 HC Carcinoembryonic Antigen - Cea (Carcinoembryoni	$53.20	$76.00	$19.96–$82.30	—	30%
Chickenpox (varicella) immunity blood test CPT 86787 HC Varicella-Zoster - Varicella Zoster Igg	$31.50	$45.00	$11.82–$55.87	49% below	30%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 HC Varicella-Zoster - Varicella Zoster Igg	$31.50	$45.00	$11.82–$55.87	—	30%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC Chylmd Trach Dna Amp Probe - Chlamydia Dna Pc	$81.90	$117.00	$30.72–$152.28	52% below	30%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HC Chylmd Trach Dna Amp Probe - Chlamydia Dna Pc	$81.90	$117.00	$30.72–$152.28	—	30%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC Lipid Panel - Bundled Charge	$35.00	$50.00	$13.13–$58.10	66% below	30%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC Lipid Panel - Bundled Charge	$35.00	$50.00	$13.13–$58.10	—	30%
Complete blood count (CBC) with differential CPT 85025 HC Complete Cbc & Auto Diff Wbc - Additional Charg	$18.90	$27.00	$7.09–$33.73	64% below	30%
Complete blood count (CBC) with differential inpatient CPT 85025 HC Complete Cbc & Auto Diff Wbc - Additional Charg	$18.90	$27.00	$7.09–$33.73	—	30%
Complete blood count (CBC), no differential CPT 85027 HC Complete Cbc - Cbc	$16.10	$23.00	$6.04–$28.06	63% below	30%
Complete blood count (CBC), no differential inpatient CPT 85027 HC Complete Cbc - Cbc	$16.10	$23.00	$6.04–$28.06	—	30%
Comprehensive metabolic panel (blood test) CPT 80053 HC Metabolic Panel Comprehensive - Bundled Charge	$27.30	$39.00	$10.24–$45.83	73% below	30%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 HC Metabolic Panel Comprehensive - Bundled Charge	$27.30	$39.00	$10.24–$45.83	—	30%
Cortisol blood test, total CPT 82533 HC Total Cortisol - Cortisol	$39.90	$57.00	$14.97–$70.74	49% below	30%
Cortisol blood test, total inpatient CPT 82533 HC Total Cortisol - Cortisol	$39.90	$57.00	$14.97–$70.74	—	30%
Creatine kinase (CK) blood test, total CPT 82550 HC Assay of CK (Cpk) - CK	$16.80	$24.00	$6.30–$28.23	61% below	30%
Creatine kinase (CK) blood test, total inpatient CPT 82550 HC Assay of CK (Cpk) - CK	$16.80	$24.00	$6.30–$28.23	—	30%
Creatinine blood test CPT 82565 HC Creatinine POC	$13.30	$19.00	$4.99–$22.22	57% below	30%
Creatinine blood test CPT 82565 HC Assay of Creatinine - Creatinine Serum	$13.30	$19.00	$4.99–$22.22	57% below	30%
Creatinine blood test inpatient CPT 82565 HC Creatinine POC	$13.30	$19.00	$4.99–$22.22	—	30%
Creatinine blood test inpatient CPT 82565 HC Assay of Creatinine - Creatinine Serum	$13.30	$19.00	$4.99–$22.22	—	30%
Cytomegalovirus (CMV) antibody test CPT 86644 HC Cmv Antibody - Cmv Igg	$35.70	$51.00	$13.39–$62.43	49% below	30%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 HC Cmv Antibody - Cmv Igg	$35.70	$51.00	$13.39–$62.43	—	30%
D-dimer blood test (blood clot marker) CPT 85379 HC Fibrin Degradproducts D-Dimer Quant - D-Dimer	$23.80	$34.00	$8.93–$44.19	60% below	30%
D-dimer blood test (blood clot marker) inpatient CPT 85379 HC Fibrin Degradproducts D-Dimer Quant - D-Dimer	$23.80	$34.00	$8.93–$44.19	—	30%
DHEA sulfate (DHEA-S) blood test CPT 82627 HC Dehydroepiandrosterone-Sulfate - Dhea-Sulfate	$54.60	$78.00	$20.48–$96.45	54% below	30%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 HC Dehydroepiandrosterone-Sulfate - Dhea-Sulfate	$54.60	$78.00	$20.48–$96.45	—	30%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC Drug Test - Pain Mgmt Panel Urine	$165.20	$236.00	$61.97–$255.77	at median	30%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC Drug Test - Fentanyl Urine	$165.20	$236.00	$61.97–$255.77	at median	30%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC Drug Test - Presumptive	$165.20	$236.00	$61.97–$255.77	at median	30%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC Drug Test - Chromato	$165.20	$236.00	$61.97–$255.77	at median	30%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC Drug Test - Chemical Analyzer	$165.20	$236.00	$61.97–$255.77	at median	30%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC Drug Test - Amphetamine Unrine	$165.20	$236.00	$61.97–$255.77	at median	30%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC Drug Test - Drugs of Abuse Urine 7	$165.20	$236.00	$61.97–$255.77	at median	30%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC Drug Test - Ethanol Urine	$165.20	$236.00	$61.97–$255.77	at median	30%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC Drug Test - Toxicology Screen Urine	$165.20	$236.00	$61.97–$255.77	at median	30%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC Drug Test - Drugs of Abuse Panel Meconium	$165.20	$236.00	$61.97–$255.77	at median	30%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC Drug Test Prsmv Chem Anlyzr - Opiate Qualitativ	$165.20	$236.00	$61.97–$255.77	at median	30%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC Drug Test Prsmv Chem Anlyzr - Cocaine Urine Qua	$165.20	$236.00	$61.97–$255.77	at median	30%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC Drug Test - Drugs of Abuse Panel	$165.20	$236.00	$61.97–$255.77	at median	30%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC Drug Test - Drugs of Abuse Urine 10	$165.20	$236.00	$61.97–$255.77	at median	30%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC Drug Test Prsmv Chem Anlyzr - Benzodiazepine Ur	$165.20	$236.00	$61.97–$255.77	at median	30%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC Drug Test Prsmv Chem Anlyzr - POCT Barbiturates	$165.20	$236.00	$61.97–$255.77	at median	30%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC Drug Test - Toxicology Screen	$165.20	$236.00	$61.97–$255.77	at median	30%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC Drug Test - Salicylate	$165.20	$236.00	$61.97–$255.77	at median	30%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC Drug Test - Ethanol	$165.20	$236.00	$61.97–$255.77	at median	30%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC Drug Test - Methadone Urine	$165.20	$236.00	$61.97–$255.77	at median	30%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC Drug Test - Phencyclidine Urine	$165.20	$236.00	$61.97–$255.77	at median	30%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC Drug Test - Acetaminophen	$165.20	$236.00	$61.97–$255.77	at median	30%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC Drug Test Prsmv Chem Anlyzr - Opiate Qualitativ	$165.20	$236.00	$61.97–$255.77	—	30%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC Drug Test - Acetaminophen	$165.20	$236.00	$61.97–$255.77	—	30%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC Drug Test - Ethanol	$165.20	$236.00	$61.97–$255.77	—	30%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC Drug Test - Salicylate	$165.20	$236.00	$61.97–$255.77	—	30%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC Drug Test - Toxicology Screen	$165.20	$236.00	$61.97–$255.77	—	30%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC Drug Test - Ethanol Urine	$165.20	$236.00	$61.97–$255.77	—	30%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC Drug Test - Amphetamine Unrine	$165.20	$236.00	$61.97–$255.77	—	30%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC Drug Test - Drugs of Abuse Urine 7	$165.20	$236.00	$61.97–$255.77	—	30%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC Drug Test - Drugs of Abuse Urine 10	$165.20	$236.00	$61.97–$255.77	—	30%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC Drug Test - Drugs of Abuse Panel	$165.20	$236.00	$61.97–$255.77	—	30%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC Drug Test - Drugs of Abuse Panel Meconium	$165.20	$236.00	$61.97–$255.77	—	30%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC Drug Test - Toxicology Screen Urine	$165.20	$236.00	$61.97–$255.77	—	30%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC Drug Test - Methadone Urine	$165.20	$236.00	$61.97–$255.77	—	30%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC Drug Test - Phencyclidine Urine	$165.20	$236.00	$61.97–$255.77	—	30%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC Drug Test - Pain Mgmt Panel Urine	$165.20	$236.00	$61.97–$255.77	—	30%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC Drug Test - Fentanyl Urine	$165.20	$236.00	$61.97–$255.77	—	30%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC Drug Test - Presumptive	$165.20	$236.00	$61.97–$255.77	—	30%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC Drug Test - Chromato	$165.20	$236.00	$61.97–$255.77	—	30%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC Drug Test Prsmv Chem Anlyzr - POCT Barbiturates	$165.20	$236.00	$61.97–$255.77	—	30%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC Drug Test Prsmv Chem Anlyzr - Cocaine Urine Qua	$165.20	$236.00	$61.97–$255.77	—	30%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC Drug Test Prsmv Chem Anlyzr - Benzodiazepine Ur	$165.20	$236.00	$61.97–$255.77	—	30%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC Drug Test - Chemical Analyzer	$165.20	$236.00	$61.97–$255.77	—	30%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 HC Electrolyte Panel - Bundled Charge	$18.20	$26.00	$6.83–$32.63	64% below	30%
Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 HC Electrolyte Panel - Bundled Charge	$18.20	$26.00	$6.83–$32.63	—	30%
Epstein-Barr virus (EBV) antibody test CPT 86665 HC Epstein-Barr Capsid Vca - Epstein-Barr Virus Vc	$42.00	$60.00	$15.76–$78.72	53% below	30%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 HC Epstein-Barr Capsid Vca - Epstein-Barr Virus Vc	$42.00	$60.00	$15.76–$78.72	—	30%
Estradiol blood test CPT 82670 HC Assay of Estradiol - Estradiol	$65.10	$93.00	$24.42–$121.24	63% below	30%
Estradiol blood test inpatient CPT 82670 HC Assay of Estradiol - Estradiol	$65.10	$93.00	$24.42–$121.24	—	30%
FSH (follicle-stimulating hormone) test CPT 83001 HC Gonadotropin (Fsh) - Fsh	$48.30	$69.00	$18.12–$80.62	60% below	30%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 HC Gonadotropin (Fsh) - Fsh	$48.30	$69.00	$18.12–$80.62	—	30%
Fecal calprotectin (stool inflammation test) CPT 83993 HC Calprotectin Fecal	$48.30	$69.00	$18.12–$85.19	62% below	30%
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 HC Calprotectin Fecal	$48.30	$69.00	$18.12–$85.19	—	30%
Ferritin blood test (iron stores) CPT 82728 HC Assay of Ferritin - Ferritin	$31.50	$45.00	$11.82–$59.15	61% below	30%
Ferritin blood test (iron stores) inpatient CPT 82728 HC Assay of Ferritin - Ferritin	$31.50	$45.00	$11.82–$59.15	—	30%
Fibrinogen blood test CPT 85384 HC Fibrinogen Activity - Fibrinogen Quantitative	$21.70	$31.00	$8.14–$42.18	58% below	30%
Fibrinogen blood test inpatient CPT 85384 HC Fibrinogen Activity - Fibrinogen Quantitative	$21.70	$31.00	$8.14–$42.18	—	30%
Folate (folic acid) blood test CPT 82746 HC Blood Folic Acid Serum - Folate	$36.40	$52.00	$13.66–$63.77	49% below	30%
Folate (folic acid) blood test inpatient CPT 82746 HC Blood Folic Acid Serum - Folate	$36.40	$52.00	$13.66–$63.77	—	30%
Free T3 thyroid hormone test CPT 84481 HC Triiodothyronine Free Assay (Ft-3) - T3 Free	$31.50	$45.00	$11.82–$73.52	69% below	30%
Free T3 thyroid hormone test inpatient CPT 84481 HC Triiodothyronine Free Assay (Ft-3) - T3 Free	$31.50	$45.00	$11.82–$73.52	—	30%
Free T4 (free thyroxine) thyroid blood test CPT 84439 HC Assay of Free Thyroxine - T4 Free	$22.40	$32.00	$8.40–$39.15	66% below	30%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 HC Assay of Free Thyroxine - T4 Free	$22.40	$32.00	$8.40–$39.15	—	30%
Free testosterone test CPT 84402 HC Assay of Testosterone - Testosterone Total Free	$63.00	$90.00	$23.63–$110.53	49% below	30%
Free testosterone test inpatient CPT 84402 HC Assay of Testosterone - Testosterone Total Free	$63.00	$90.00	$23.63–$110.53	—	30%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 HC Assay of Glutamyltrase Gamma	$18.90	$27.00	$7.09–$33.50	61% below	30%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 HC Assay of Glutamyltrase Gamma	$18.90	$27.00	$7.09–$33.50	—	30%
General health panel: metabolic panel, blood count and TSH in one order CPT 80050 HC General Health Panel - Bundled Charge	$144.90	$207.00	$54.36–$282.64	25% below	30%
General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 HC General Health Panel - Bundled Charge	$144.90	$207.00	$54.36–$282.64	—	30%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 HC Glucose; Post Glucose Dose	$12.60	$18.00	$4.73–$20.63	48% below	30%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 HC Glucose; Post Glucose Dose	$12.60	$18.00	$4.73–$20.63	—	30%
Glucose tolerance test, 3 samples CPT 82951 HC Glucose Tolerance Test (Gtt) 3 Specm	$33.60	$48.00	$12.60–$55.83	38% below	30%
Glucose tolerance test, 3 samples CPT 82951 HC Glucose Tolerance Test (Gtt) - Bundled Charge	$33.60	$48.00	$12.60–$55.83	38% below	30%
Glucose tolerance test, 3 samples inpatient CPT 82951 HC Glucose Tolerance Test (Gtt) 3 Specm	$33.60	$48.00	$12.60–$55.83	—	30%
Glucose tolerance test, 3 samples inpatient CPT 82951 HC Glucose Tolerance Test (Gtt) - Bundled Charge	$33.60	$48.00	$12.60–$55.83	—	30%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC N.Gonorrhoeae Dna Amp Prob - Gc Dna Pcr	$81.90	$117.00	$30.72–$152.28	52% below	30%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HC N.Gonorrhoeae Dna Amp Prob - Gc Dna Pcr	$81.90	$117.00	$30.72–$152.28	—	30%
H. pylori antibody blood test CPT 86677 HC Helicobacter Pylori - Helicobacter Pylori Igg	$47.60	$68.00	$17.86–$73.14	44% below	30%
H. pylori antibody blood test inpatient CPT 86677 HC Helicobacter Pylori - Helicobacter Pylori Igg	$47.60	$68.00	$17.86–$73.14	—	30%
H. pylori stool antigen test CPT 87338 HC Iaad Ia Hpylori Stool - H Pylori Antigen Stool	$37.10	$53.00	$13.92–$62.38	64% below	30%
H. pylori stool antigen test inpatient CPT 87338 HC Iaad Ia Hpylori Stool - H Pylori Antigen Stool	$37.10	$53.00	$13.92–$62.38	—	30%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HC Hiv-1 Quant&Revrse Trnscrpj - Hiv 1 Rna Quant b	$198.80	$284.00	$74.58–$369.30	47% below	30%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HC Hiv-1 Quant&Revrse Trnscrpj - Hiv 1 Rna Quant b	$198.80	$284.00	$74.58–$369.30	—	30%
HIV-1 and HIV-2 antibody test CPT 86703 HC Hiv-1/Hiv-2 Single Assay - Rapid Hiv 1 and 2 S	$32.20	$46.00	$12.08–$59.48	53% below	30%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 HC Hiv-1/Hiv-2 Single Assay - Rapid Hiv 1 and 2 S	$32.20	$46.00	$12.08–$59.48	—	30%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HC Iaad Ia Hiv-1 Ag W/Hiv-1 & Hiv-2 Antbdy Single	$62.30	$89.00	$23.37–$104.48	44% below	30%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HC Iaad Ia Hiv-1 Ag W/Hiv-1 & Hiv-2 Antbdy Single	$62.30	$89.00	$23.37–$104.48	—	30%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HC Iadna Human Papillomavirus High-Risk Types - Hp	$81.90	$117.00	$30.72–$152.28	40% below	30%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HC Iadna Human Papillomavirus High-Risk Types - Hp	$81.90	$117.00	$30.72–$152.28	—	30%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HC Glycosylated Hemoglobin Test - Hemoglobin A1c	$25.20	$36.00	$9.45–$42.14	51% below	30%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HC Glycosylated Hemoglobin Test - Hemoglobin A1c	$25.20	$36.00	$9.45–$42.14	—	30%
Hemoglobin blood test CPT 85018 HC Hemoglobin - Hemoglobin	$6.30	$9.00	$2.36–$10.29	62% below	30%
Hemoglobin blood test inpatient CPT 85018 HC Hemoglobin - Hemoglobin	$6.30	$9.00	$2.36–$10.29	—	30%
Hepatitis B core antibody test (total) CPT 86704 HC Hep B Core Ab Test Total - Hepatitis B Core An	$29.40	$42.00	$11.03–$52.30	62% below	30%
Hepatitis B core antibody test (total) inpatient CPT 86704 HC Hep B Core Ab Test Total - Hepatitis B Core An	$29.40	$42.00	$11.03–$52.30	—	30%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HC Hepatitis B Surface Ab Test - Hepatitis B Surfa	$25.20	$36.00	$9.45–$46.59	63% below	30%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HC Hepatitis B Surface Ab Test - Hepatitis B Surfa	$25.20	$36.00	$9.45–$46.59	—	30%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HC Iaad Ia Hepatitis B Surface Antigen - Hepatitis	$25.20	$36.00	$9.45–$44.82	73% below	30%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HC Iaad Ia Hepatitis B Surface Antigen - Hepatitis	$25.20	$36.00	$9.45–$44.82	—	30%
Hepatitis C antibody blood test (screening) CPT 86803 HC Hepatitis C Ab Test - Hepatitis C Antibody	$37.10	$53.00	$13.92–$61.92	67% below	30%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HC Hepatitis C Ab Test - Hepatitis C Antibody	$37.10	$53.00	$13.92–$61.92	—	30%
Hepatitis C viral load (HCV RNA) test CPT 87522 HC Iadna Hepatitis C Quant & Reverse Transcription	$105.70	$151.00	$39.65–$185.89	47% below	30%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HC Iadna Hepatitis C Quant & Reverse Transcription	$105.70	$151.00	$39.65–$185.89	—	30%
Herpes blood test, HSV-1 antibody CPT 86695 HC Herpes Simplex Test Type 1 - Hsv 1 Igg Antibod	$32.20	$46.00	$12.08–$57.26	45% below	30%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HC Herpes Simplex Test Type 1 - Hsv 1 Igg Antibod	$32.20	$46.00	$12.08–$57.26	—	30%
Herpes blood test, HSV-2 antibody CPT 86696 HC Herpes Simplex Test Type 2 - Hsv 2 Igg Antibod	$47.60	$68.00	$19.31–$734.46	27% below	30%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HC Herpes Simplex Test Type 2 - Hsv 2 Igg Antibod	$47.60	$68.00	$19.31–$734.46	—	30%
High-sensitivity CRP (hs-CRP) test CPT 86141 HC C-Reactive Protein High Sensitivity - High Sens	$36.40	$52.00	$13.66–$56.21	40% below	30%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 HC C-Reactive Protein High Sensitivity - High Sens	$36.40	$52.00	$13.66–$56.21	—	30%
Homocysteine blood test CPT 83090 HC Assay of Homocystine - Homocysteine Total	$41.30	$59.00	$15.49–$77.76	64% below	30%
Homocysteine blood test inpatient CPT 83090 HC Assay of Homocystine - Homocysteine Total	$41.30	$59.00	$15.49–$77.76	—	30%
Insulin blood test CPT 83525 HC Assay of Insulin Total - Insulin Total	$28.00	$40.00	$11.36–$433.64	53% below	30%
Insulin blood test inpatient CPT 83525 HC Assay of Insulin Total - Insulin Total	$28.00	$40.00	$11.36–$433.64	—	30%
Iron blood test (serum iron) CPT 83540 HC Assay of Iron - Iron	$16.10	$23.00	$6.04–$28.06	49% below	30%
Iron blood test (serum iron) inpatient CPT 83540 HC Assay of Iron - Iron	$16.10	$23.00	$6.04–$28.06	—	30%
Iron-binding capacity (TIBC) test CPT 83550 HC Iron Binding Capacity	$20.30	$29.00	$7.62–$37.93	46% below	30%
Iron-binding capacity (TIBC) test inpatient CPT 83550 HC Iron Binding Capacity	$20.30	$29.00	$7.62–$37.93	—	30%
Kidney function blood test panel CPT 80069 HC Renal Function Panel - Bundled Charge	$22.40	$32.00	$8.40–$37.68	71% below	30%
Kidney function blood test panel inpatient CPT 80069 HC Renal Function Panel - Bundled Charge	$22.40	$32.00	$8.40–$37.68	—	30%
LH (luteinizing hormone) test CPT 83002 HC Gonadotropin (Lh) - Luteinizing Hormone	$48.30	$69.00	$18.12–$80.36	53% below	30%
LH (luteinizing hormone) test inpatient CPT 83002 HC Gonadotropin (Lh) - Luteinizing Hormone	$48.30	$69.00	$18.12–$80.36	—	30%
Lactate (lactic acid) blood test CPT 83605 HC Assay of Lactic Acid - Lactate	$28.00	$40.00	$10.50–$50.20	61% below	30%
Lactate (lactic acid) blood test CPT 83605 HC Assay of Lactic Acid - Lactic Acid Arterial W	$28.00	$40.00	$10.50–$50.20	61% below	30%
Lactate (lactic acid) blood test inpatient CPT 83605 HC Assay of Lactic Acid - Lactate	$28.00	$40.00	$10.50–$50.20	—	30%
Lactate (lactic acid) blood test inpatient CPT 83605 HC Assay of Lactic Acid - Lactic Acid Arterial W	$28.00	$40.00	$10.50–$50.20	—	30%
Lactate dehydrogenase (LDH) blood test CPT 83615 HC Lactate (Ld) (Ldh) Enzyme - Lactate Dehydrogena	$14.70	$21.00	$5.51–$26.21	59% below	30%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 HC Lactate (Ld) (Ldh) Enzyme - Lactate Dehydrogena	$14.70	$21.00	$5.51–$26.21	—	30%
Lipase blood test (pancreas enzyme) CPT 83690 HC Assay of Lipase - Lipase	$16.80	$24.00	$6.30–$261.21	61% below	30%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 HC Assay of Lipase - Lipase	$16.80	$24.00	$6.30–$261.21	—	30%
Liver function blood test panel CPT 80076 HC Hepatic Function Panel - Bundled Charge	$20.30	$29.00	$7.62–$35.46	79% below	30%
Liver function blood test panel inpatient CPT 80076 HC Hepatic Function Panel - Bundled Charge	$20.30	$29.00	$7.62–$35.46	—	30%
Lyme disease antibody test CPT 86618 HC Lyme Disease Antibody - POCT Lyme Disease Antib	$44.10	$63.00	$16.54–$73.89	46% below	30%
Lyme disease antibody test inpatient CPT 86618 HC Lyme Disease Antibody - POCT Lyme Disease Antib	$44.10	$63.00	$16.54–$73.89	—	30%
Magnesium blood test CPT 83735 HC Assay of Magnesium - Magnesium	$16.80	$24.00	$6.30–$29.07	56% below	30%
Magnesium blood test CPT 83735 HC Assay of Magnesium - Magnesium RBC	$16.80	$24.00	$6.30–$29.07	56% below	30%
Magnesium blood test CPT 83735 HC Assay of Magnesium - Magnesium Urine	$16.80	$24.00	$6.30–$29.07	56% below	30%
Magnesium blood test inpatient CPT 83735 HC Assay of Magnesium - Magnesium Urine	$16.80	$24.00	$6.30–$29.07	—	30%
Magnesium blood test inpatient CPT 83735 HC Assay of Magnesium - Magnesium RBC	$16.80	$24.00	$6.30–$29.07	—	30%
Magnesium blood test inpatient CPT 83735 HC Assay of Magnesium - Magnesium	$16.80	$24.00	$6.30–$29.07	—	30%
Measles (rubeola) antibody test CPT 86765 HC Rubeola - Rubeola Antibody Igm	$31.50	$45.00	$12.78–$488.61	59% below	30%
Measles (rubeola) antibody test CPT 86765 HC Rubeola - Rubeola Antibody Igg	$31.50	$45.00	$12.78–$488.61	59% below	30%
Measles (rubeola) antibody test inpatient CPT 86765 HC Rubeola - Rubeola Antibody Igg	$31.50	$45.00	$12.78–$488.61	—	30%
Measles (rubeola) antibody test inpatient CPT 86765 HC Rubeola - Rubeola Antibody Igm	$31.50	$45.00	$12.78–$488.61	—	30%
Mono test (heterophile antibody, Monospot) CPT 86308 HC Heterophile Antibodies Screen - Mononucleosis S	$13.30	$19.00	$4.99–$22.47	70% below	30%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 HC Heterophile Antibodies Screen - Mononucleosis S	$13.30	$19.00	$4.99–$22.47	—	30%
Mumps immunity blood test CPT 86735 HC Mumps - Mumps Igm Antibody	$32.20	$46.00	$13.06–$495.10	53% below	30%
Mumps immunity blood test CPT 86735 HC Mumps - Mumps Igg Antibody	$32.20	$46.00	$13.06–$495.10	53% below	30%
Mumps immunity blood test inpatient CPT 86735 HC Mumps - Mumps Igg Antibody	$32.20	$46.00	$13.06–$495.10	—	30%
Mumps immunity blood test inpatient CPT 86735 HC Mumps - Mumps Igm Antibody	$32.20	$46.00	$13.06–$495.10	—	30%
Obstetric blood test panel CPT 80055 HC Obstetric Panel - Bundled Charge Including Cpt	$117.60	$168.00	$44.12–$207.48	15% below	30%
Obstetric blood test panel inpatient CPT 80055 HC Obstetric Panel - Bundled Charge Including Cpt	$117.60	$168.00	$44.12–$207.48	—	30%
PSA (prostate-specific antigen) blood test, free CPT 84154 HC Assay of Prostate Specific Antigen Free	$45.50	$65.00	$17.07–$79.82	54% below	30%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 HC Assay of Prostate Specific Antigen Free	$45.50	$65.00	$17.07–$79.82	—	30%
PSA (prostate-specific antigen) blood test, total CPT 84153 HC Prostate Specific Antigen Total - Psa Ultrasen	$45.50	$65.00	$17.07–$79.82	48% below	30%
PSA (prostate-specific antigen) blood test, total CPT 84153 HC Prostate Specific Antigen Total - Psa	$45.50	$65.00	$17.07–$79.82	48% below	30%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC Prostate Specific Antigen Total - Psa	$45.50	$65.00	$17.07–$79.82	—	30%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC Prostate Specific Antigen Total - Psa Ultrasen	$45.50	$65.00	$17.07–$79.82	—	30%
Pap test (liquid-based, automated screening with review) CPT 88175 HC Cytopath C/V Auto Fluid Redo - Lab Cytopat Cer/	$65.10	$93.00	$24.42–$115.48	39% below	30%
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 HC Cytopath C/V Auto Fluid Redo - Lab Cytopat Cer/	$65.10	$93.00	$24.42–$115.48	—	30%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 HC Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag	$49.70	$71.00	$18.64–$87.92	46% below	30%
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 HC Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag	$49.70	$71.00	$18.64–$87.92	—	30%
Parathyroid hormone (PTH) blood test CPT 83970 HC Assay of Parathormone - Pth Intact	$96.60	$138.00	$36.24–$179.13	47% below	30%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 HC Assay of Parathormone - Pth Intact	$96.60	$138.00	$36.24–$179.13	—	30%
Partial thromboplastin time (PTT) clotting test CPT 85730 HC Thromboplas Time Partial - Aptt	$14.70	$21.00	$5.51–$26.09	50% below	30%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC Thromboplas Time Partial - Aptt	$14.70	$21.00	$5.51–$26.09	—	30%
Phosphorus (phosphate) blood test CPT 84100 HC Assay of Inorganic Phosphorus - Phosphorus Body	$11.90	$17.00	$4.46–$20.58	54% below	30%
Phosphorus (phosphate) blood test inpatient CPT 84100 HC Assay of Inorganic Phosphorus - Phosphorus Body	$11.90	$17.00	$4.46–$20.58	—	30%
Potassium blood test CPT 84132 HC Assay of Serum Potassium - Potassium	$11.90	$17.00	$4.46–$20.67	62% below	30%
Potassium blood test inpatient CPT 84132 HC Assay of Serum Potassium - Potassium	$11.90	$17.00	$4.46–$20.67	—	30%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 HC Fetal Chromosomal Aneuploidy Genomic Seq Analys	$1,685.60	$2,408.00	$632.34–$3,293.84	35% below	30%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) inpatient CPT 81420 HC Fetal Chromosomal Aneuploidy Genomic Seq Analys	$1,685.60	$2,408.00	$632.34–$3,293.84	—	30%
Progesterone blood test CPT 84144 HC Assay of Progesterone - Progesterone	$51.10	$73.00	$19.17–$90.53	63% below	30%
Progesterone blood test inpatient CPT 84144 HC Assay of Progesterone - Progesterone	$51.10	$73.00	$19.17–$90.53	—	30%
Prolactin blood test CPT 84146 HC Assay of Prolactin - Prolactin	$47.60	$68.00	$17.86–$84.10	49% below	30%
Prolactin blood test inpatient CPT 84146 HC Assay of Prolactin - Prolactin	$47.60	$68.00	$17.86–$84.10	—	30%
Prothrombin time (PT/INR) clotting test CPT 85610 HC Prothrombin Time - Protime-Inr	$10.50	$15.00	$3.94–$18.61	45% below	30%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC Prothrombin Time - Protime-Inr	$10.50	$15.00	$3.94–$18.61	—	30%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 HC Drug Test Prsmv Dir Opt Obs - Rapid Drug Screen	$12.60	$18.00	$4.73–$51.88	74% below	30%
Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 HC Drug Test Prsmv Dir Opt Obs - Rapid Drug Screen	$12.60	$18.00	$4.73–$51.88	—	30%
Rapid flu test (influenza antigen) CPT 87804 HC Chg Iaadiadoo Influenza	$37.10	$53.00	$13.92–$71.84	23% below	30%
Rapid flu test (influenza antigen) inpatient CPT 87804 HC Chg Iaadiadoo Influenza	$37.10	$53.00	$13.92–$71.84	—	30%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 HC Strep a Assay W/Optic - Rapid Strep a Screen	$46.20	$66.00	$17.33–$71.75	28% below	30%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 HC Strep a Assay W/Optic - POCT Rapid Strep A	$46.20	$66.00	$17.33–$71.75	28% below	30%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 HC Strep a Assay W/Optic - POCT Rapid Strep A	$46.20	$66.00	$17.33–$71.75	—	30%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 HC Strep a Assay W/Optic - Rapid Strep a Screen	$46.20	$66.00	$17.33–$71.75	—	30%
Renin blood test CPT 84244 HC Assay of Renin - Renin Direct Assay	$53.90	$77.00	$20.22–$95.44	51% below	30%
Renin blood test inpatient CPT 84244 HC Assay of Renin - Renin Direct Assay	$53.90	$77.00	$20.22–$95.44	—	30%
Rh blood typing CPT 86901 HC Blood Typing Serologic Rh (D)	$114.80	$164.00	$43.07–$177.70	28% above	30%
Rh blood typing inpatient CPT 86901 HC Blood Typing Serologic Rh (D)	$114.80	$164.00	$43.07–$177.70	—	30%
Rheumatoid factor (RF) test CPT 86431 HC Rheumatoid Factor Quant - Rheumatoid Factor	$13.30	$19.00	$4.99–$24.62	55% below	30%
Rheumatoid factor (RF) test inpatient CPT 86431 HC Rheumatoid Factor Quant - Rheumatoid Factor	$13.30	$19.00	$4.99–$24.62	—	30%
Rubella antibody test (immunity check) CPT 86762 HC Rubella - Rubella Antibody Igm	$35.70	$51.00	$14.48–$545.98	55% below	30%
Rubella antibody test (immunity check) inpatient CPT 86762 HC Rubella - Rubella Antibody Igm	$35.70	$51.00	$14.48–$545.98	—	30%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 HC RBC Sed Rate Auto - Sedimentation Rate Automa	$6.30	$9.00	$2.36–$11.72	52% below	30%
Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 HC RBC Sed Rate Auto - Sedimentation Rate Automa	$6.30	$9.00	$2.36–$11.72	—	30%
Semen analysis: volume, sperm count, motility and morphology CPT 89320 HC Semen Analysis Volume Count Motility Diff -	$29.40	$42.00	$11.03–$53.44	58% below	30%
Semen analysis: volume, sperm count, motility and morphology inpatient CPT 89320 HC Semen Analysis Volume Count Motility Diff -	$29.40	$42.00	$11.03–$53.44	—	30%
Sodium blood test CPT 84295 HC Assay of Serum Sodium - Sodium	$12.60	$18.00	$4.73–$20.88	55% below	30%
Sodium blood test inpatient CPT 84295 HC Assay of Serum Sodium - Sodium	$12.60	$18.00	$4.73–$20.88	—	30%
Stool ova and parasites exam CPT 87177 HC Ova and Parasites Smears - Ova and Parasite Exa	$21.70	$31.00	$8.14–$38.61	49% below	30%
Stool ova and parasites exam inpatient CPT 87177 HC Ova and Parasites Smears - Ova and Parasite Exa	$21.70	$31.00	$8.14–$38.61	—	30%
Stool test for hidden blood (guaiac FOBT) CPT 82270 HC Blood Occult by Peroxid Feces Single Colorecta	$9.80	$14.00	$3.68–$18.99	51% below	30%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 HC Blood Occult by Peroxid Feces Single Colorecta	$9.80	$14.00	$3.68–$18.99	—	30%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 HC Occult Bld Fhg Qual 1-3	$41.30	$59.00	$15.49–$69.10	38% below	30%
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 HC Occult Bld Fhg Qual 1-3	$41.30	$59.00	$15.49–$69.10	—	30%
Syphilis antibody test (Treponema pallidum) CPT 86780 HC Antibody Treponema Pallidum - T. Pallidum Confi	$34.30	$49.00	$12.87–$57.47	44% below	30%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 HC Antibody Treponema Pallidum - T. Pallidum Confi	$34.30	$49.00	$12.87–$57.47	—	30%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC Syphilis Test Non Treponemal Antibody Qual - Ra	$10.50	$15.00	$3.94–$18.53	57% below	30%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC Syphilis Test Non Treponemal Antibody Qual - Vd	$10.50	$15.00	$3.94–$18.53	57% below	30%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC Syphilis Test Non Treponemal Antibody Qual - Vd	$10.50	$15.00	$3.94–$18.53	—	30%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC Syphilis Test Non Treponemal Antibody Qual - Ra	$10.50	$15.00	$3.94–$18.53	—	30%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 HC TB Test Cell Mediated Antigen Response Gamma I	$152.60	$218.00	$57.25–$268.94	26% below	30%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 HC TB Test Cell Mediated Antigen Response Gamma I	$152.60	$218.00	$57.25–$268.94	—	30%
Testosterone blood test, total (not free testosterone) CPT 84403 HC Assay of Total Testosterone - Testosterone	$63.70	$91.00	$23.90–$112.00	54% below	30%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HC Assay of Total Testosterone - Testosterone	$63.70	$91.00	$23.90–$112.00	—	30%
Thyroid peroxidase (TPO) antibody test CPT 86376 HC Microsomal Antibody - Anti-Microsomal Ab	$35.70	$51.00	$13.39–$63.14	50% below	30%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HC Microsomal Antibody - Anti-Microsomal Ab	$35.70	$51.00	$13.39–$63.14	—	30%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC Assay Thyroid Stim Hormone - Thyroid Stimulatin	$43.40	$62.00	$16.28–$72.89	41% below	30%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC Assay Thyroid Stim Hormone - Thyroid Stimulatin	$43.40	$62.00	$16.28–$72.89	—	30%
Total IgE blood test CPT 82785 HC Assay of Gammaglobulin Ige - Immunoglobulin Ige	$40.60	$58.00	$16.47–$624.51	55% below	30%
Total IgE blood test inpatient CPT 82785 HC Assay of Gammaglobulin Ige - Immunoglobulin Ige	$40.60	$58.00	$16.47–$624.51	—	30%
Total cholesterol blood test CPT 82465 HC Assay Bld/Serum Cholesterol - Cholesterol Flui	$11.20	$16.00	$4.20–$18.86	61% below	30%
Total cholesterol blood test CPT 82465 HC Assay Bld/Serum Cholesterol - Cholesterol Tota	$11.20	$16.00	$4.20–$18.86	61% below	30%
Total cholesterol blood test inpatient CPT 82465 HC Assay Bld/Serum Cholesterol - Cholesterol Flui	$11.20	$16.00	$4.20–$18.86	—	30%
Total cholesterol blood test inpatient CPT 82465 HC Assay Bld/Serum Cholesterol - Cholesterol Tota	$11.20	$16.00	$4.20–$18.86	—	30%
Total thyroxine (T4) blood test CPT 84436 HC Assay of Total Thyroxine - T4 (Thyroid Hormone)	$16.80	$24.00	$6.30–$260.53	49% below	30%
Total thyroxine (T4) blood test inpatient CPT 84436 HC Assay of Total Thyroxine - T4 (Thyroid Hormone)	$16.80	$24.00	$6.30–$260.53	—	30%
Total triiodothyronine (T3) blood test CPT 84480 HC Triiodothyronine Total Assay Tt-3 - T3 (Thyroi	$35.00	$50.00	$13.13–$61.54	59% below	30%
Total triiodothyronine (T3) blood test inpatient CPT 84480 HC Triiodothyronine Total Assay Tt-3 - T3 (Thyroi	$35.00	$50.00	$13.13–$61.54	—	30%
Transferrin blood test CPT 84466 HC Assay of Transferrin - Transferrin	$31.50	$45.00	$11.82–$55.37	49% below	30%
Transferrin blood test inpatient CPT 84466 HC Assay of Transferrin - Transferrin	$31.50	$45.00	$11.82–$55.37	—	30%
Trichomonas test (NAAT) CPT 87661 HC Trichomonas Vaginalis Amplif	$81.90	$117.00	$30.72–$152.28	21% below	30%
Trichomonas test (NAAT) inpatient CPT 87661 HC Trichomonas Vaginalis Amplif	$81.90	$117.00	$30.72–$152.28	—	30%
Triglycerides blood test CPT 84478 HC Assay of Triglycerides - Triglycerides	$14.70	$21.00	$5.51–$24.91	47% below	30%
Triglycerides blood test inpatient CPT 84478 HC Assay of Triglycerides - Triglycerides	$14.70	$21.00	$5.51–$24.91	—	30%
Troponin test, quantitative CPT 84484 HC Assay of Troponin Quant - Troponin I	$35.00	$50.00	$13.13–$54.11	51% below	30%
Troponin test, quantitative CPT 84484 HC Assay of Troponin Quant - Troponin T	$35.00	$50.00	$13.13–$54.11	51% below	30%
Troponin test, quantitative inpatient CPT 84484 HC Assay of Troponin Quant - Troponin T	$35.00	$50.00	$13.13–$54.11	—	30%
Troponin test, quantitative inpatient CPT 84484 HC Assay of Troponin Quant - Troponin I	$35.00	$50.00	$13.13–$54.11	—	30%
Uric acid blood test CPT 84550 HC Assay of Uric Acid Blood - Uric Acid	$11.90	$17.00	$4.46–$19.62	60% below	30%
Uric acid blood test inpatient CPT 84550 HC Assay of Uric Acid Blood - Uric Acid	$11.90	$17.00	$4.46–$19.62	—	30%
Urinalysis with microscope exam, automated CPT 81001 HC Urinalysis Auto W/Scope - Urinalysis Microsco	$7.70	$11.00	$2.89–$13.74	77% below	30%
Urinalysis with microscope exam, automated inpatient CPT 81001 HC Urinalysis Auto W/Scope - Urinalysis Microsco	$7.70	$11.00	$2.89–$13.74	—	30%
Urinalysis with microscope exam, manual CPT 81000 HC Urinalysis Dipstick W Micro	$9.10	$13.00	$3.41–$17.43	37% below	30%
Urinalysis with microscope exam, manual inpatient CPT 81000 HC Urinalysis Dipstick W Micro	$9.10	$13.00	$3.41–$17.43	—	30%
Urinalysis without microscope exam, automated CPT 81003 HC Urinalysis Auto W/O Scope - Urinalysis Chem O	$5.60	$8.00	$2.10–$94.58	73% below	30%
Urinalysis without microscope exam, automated inpatient CPT 81003 HC Urinalysis Auto W/O Scope - Urinalysis Chem O	$5.60	$8.00	$2.10–$94.58	—	30%
Urinalysis without microscope exam, manual CPT 81002 Urinalysis Nonauto W/O Scope	$23.10	$33.00	$7.41–$33.00	at median	30%
Urinalysis without microscope exam, manual inpatient CPT 81002 Urinalysis Nonauto W/O Scope	$23.10	$33.00	$7.41–$33.00	—	30%
Urine culture for bacteria, with colony count CPT 87086 HC Bact Culture - Urine; Quan Count	$19.60	$28.00	$7.35–$35.04	50% below	30%
Urine culture for bacteria, with colony count inpatient CPT 87086 HC Bact Culture - Urine; Quan Count	$19.60	$28.00	$7.35–$35.04	—	30%
Urine microalbumin (albumin) test CPT 82043 HC Urine Albumin Quantitative	$14.70	$21.00	$5.51–$25.08	65% below	30%
Urine microalbumin (albumin) test inpatient CPT 82043 HC Urine Albumin Quantitative	$14.70	$21.00	$5.51–$25.08	—	30%
Urine pregnancy test, read by color change CPT 81025 HC Urine Pregnancy Test - Pregnancy Urine	$18.90	$27.00	$7.09–$37.35	32% below	30%
Urine pregnancy test, read by color change inpatient CPT 81025 HC Urine Pregnancy Test - Pregnancy Urine	$18.90	$27.00	$7.09–$37.35	—	30%
Vitamin B12 (cobalamin) blood test CPT 82607 HC Vitamin B-12 - Vitamin B12	$42.00	$60.00	$15.76–$65.45	45% below	30%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 HC Vitamin B-12 - Vitamin B12	$42.00	$60.00	$15.76–$65.45	—	30%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HC Assay of Vit D Calcifediol W Fractions if Perf	$72.80	$104.00	$27.31–$128.46	51% below	30%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 HC Assay of Vit D Calcifediol W Fractions if Perf	$72.80	$104.00	$27.31–$128.46	—	30%
Vitamin D, 1,25-dihydroxy blood test CPT 82652 HC Assay Dihydroxyvitamin D W/Fractions if Perfo	$94.50	$135.00	$35.45–$167.07	48% below	30%
Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 HC Assay Dihydroxyvitamin D W/Fractions if Perfo	$94.50	$135.00	$35.45–$167.07	—	30%
Zinc blood test CPT 84630 HC Assay of Zinc - Zinc	$22.40	$32.00	$8.40–$431.93	70% below	30%
Zinc blood test inpatient CPT 84630 HC Assay of Zinc - Zinc	$22.40	$32.00	$8.40–$431.93	—	30%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HC Chorionic Gonadotropin Quant - Hcg Quantitativ	$37.10	$53.00	$13.92–$65.32	63% below	30%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HC Chorionic Gonadotropin Quant - Hcg Quantitativ	$37.10	$53.00	$13.92–$65.32	—	30%

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs Massachusetts	Off list
Botox injections for chronic migraine CPT 64615 HC Chemodervate Facial/Trigem/Cerv Musc Migraine	$457.10	$653.00	$171.48–$1,924.05	15% below	30%
Botox injections for chronic migraine inpatient CPT 64615 HC Chemodervate Facial/Trigem/Cerv Musc Migraine	$457.10	$653.00	$171.48–$1,924.05	—	30%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 HC Bx Breast W/Device 1st Lesion Stereotactic Guid	$511.70	$731.00	$191.96–$5,830.74	78% below	30%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 HC Bx Breast W/Device 1st Lesion Stereotactic Guid	$511.70	$731.00	$191.96–$5,830.74	—	30%
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 HC Cltx Dstl Fibular Fx Lat Malls W/O Manj	$1,675.80	$2,394.00	$628.66–$2,394.00	73% above	30%
Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 HC Cltx Dstl Fibular Fx Lat Malls W/O Manj	$1,675.80	$2,394.00	$628.66–$2,394.00	—	30%
Broken foot (metatarsal) treatment without surgery or setting CPT 28470 HC Closed Tx Metatarsal Fracture W/O Manipulation	$851.90	$1,217.00	$257.40–$1,217.00	21% above	30%
Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 HC Closed Tx Metatarsal Fracture W/O Manipulation	$851.90	$1,217.00	$257.40–$1,217.00	—	30%
Cardiac catheterization with coronary angiogram one side CPT 93458 HC Cath Place/Coron Angio Img Super/Interp W Left	$6,566.00	$9,380.00	$2,463.19–$9,380.00	20% below	30%
Cardiac catheterization with coronary angiogram inpatient one side CPT 93458 HC Cath Place/Coron Angio Img Super/Interp W Left	$6,566.00	$9,380.00	$2,463.19–$9,380.00	—	30%
Cardioversion, elective (restoring heart rhythm) CPT 92960 HC Cardioversion Electric Ext - Cardioversion Exte	$1,885.80	$2,694.00	$353.72–$2,916.22	48% above	30%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 HC Cardioversion Electric Ext - Cardioversion Exte	$1,885.80	$2,694.00	$353.72–$2,916.22	—	30%
Carpal tunnel release, open surgery CPT 64721 HC Revise Median Nn/Carpal Tunnel Surg	$4,914.70	$7,021.00	$1,843.71–$7,021.00	6% above	30%
Carpal tunnel release, open surgery inpatient CPT 64721 HC Revise Median Nn/Carpal Tunnel Surg	$4,914.70	$7,021.00	$1,843.71–$7,021.00	—	30%
Catheter ablation for atrial fibrillation CPT 93656 HC Ep Ephys Evl Trnsptl Tx Atrial Fib Isolat Pulm	$33,035.80	$47,194.00	$12,393.14–$54,298.04	27% below	30%
Catheter ablation for atrial fibrillation inpatient CPT 93656 HC Ep Ephys Evl Trnsptl Tx Atrial Fib Isolat Pulm	$33,035.80	$47,194.00	$12,393.14–$54,298.04	—	30%
Cervical biopsy CPT 57500 HC Biopsy of Cervix	$1,424.50	$2,035.00	$267.20–$2,035.00	9% above	30%
Cervical biopsy inpatient CPT 57500 HC Biopsy of Cervix	$1,424.50	$2,035.00	$267.20–$2,035.00	—	30%
Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 HC Circum 28 Days or Older	$4,204.90	$6,007.00	$1,705.99–$6,054.87	7% below	30%
Circumcision by surgical excision, older than 28 days (children and adults) inpatient CPT 54161 HC Circum 28 Days or Older	$4,204.90	$6,007.00	$1,705.99–$6,054.87	—	30%
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 HC Circumcision W/Regionl Block	$4,204.90	$6,007.00	$1,705.99–$6,054.87	115% above	30%
Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 HC Circumcision W/Regionl Block	$4,204.90	$6,007.00	$1,705.99–$6,054.87	—	30%
Circumcision, surgical, older than a newborn CPT 54160 HC Circumsion < 28 Days Old	$4,204.90	$6,007.00	$642.96–$6,007.00	109% above	30%
Circumcision, surgical, older than a newborn inpatient CPT 54160 HC Circumsion < 28 Days Old	$4,204.90	$6,007.00	$642.96–$6,007.00	—	30%
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 HC Cltx Dstl Radial Fx/Epiphysl Sep W/O Manj	$1,085.70	$1,551.00	$407.29–$1,551.00	75% above	30%
Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 HC Cltx Dstl Radial Fx/Epiphysl Sep W/O Manj	$1,085.70	$1,551.00	$407.29–$1,551.00	—	30%
Colonoscopy with endoscopic ultrasound CPT 45391 HC Colsc Flx W/Ndsc US Xm Rctm Et Al Lmtd&Adj Stru	$1,775.20	$2,536.00	$665.95–$2,536.00	33% below	30%
Colonoscopy with endoscopic ultrasound inpatient CPT 45391 HC Colsc Flx W/Ndsc US Xm Rctm Et Al Lmtd&Adj Stru	$1,775.20	$2,536.00	$665.95–$2,536.00	—	30%
Colonoscopy with polyp removal CPT 45385 HC Colsc Flx W/Rmvl of Tumor Polyp Lesion Snare Tq	$1,743.00	$2,490.00	$326.94–$3,076.54	38% below	30%
Colonoscopy with polyp removal inpatient CPT 45385 HC Colsc Flx W/Rmvl of Tumor Polyp Lesion Snare Tq	$1,743.00	$2,490.00	$326.94–$3,076.54	—	30%
Colonoscopy with tissue sample CPT 45380 HC Colonoscopy W/Biopsy Single/Multiple - Colonosc	$1,743.00	$2,490.00	$326.94–$2,490.00	25% below	30%
Colonoscopy with tissue sample inpatient CPT 45380 HC Colonoscopy W/Biopsy Single/Multiple - Colonosc	$1,743.00	$2,490.00	$326.94–$2,490.00	—	30%
Colonoscopy, diagnostic CPT 45378 HC Colonoscopy Flx Dx W/Collj Spec When Pfrmd - Co	$1,810.90	$2,587.00	$339.67–$2,587.00	20% below	30%
Colonoscopy, diagnostic inpatient CPT 45378 HC Colonoscopy Flx Dx W/Collj Spec When Pfrmd - Co	$1,810.90	$2,587.00	$339.67–$2,587.00	—	30%
Colposcopy with LEEP (loop electrosurgical excision) CPT 57460 HC Cerv Colp Leep W Bx	$3,604.30	$5,149.00	$1,352.13–$6,672.94	12% above	30%
Colposcopy with LEEP (loop electrosurgical excision) inpatient CPT 57460 HC Cerv Colp Leep W Bx	$3,604.30	$5,149.00	$1,352.13–$6,672.94	—	30%
Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 HC Colp Cervix W Bx & Curett	$1,163.40	$1,662.00	$312.19–$1,662.00	5% below	30%
Colposcopy with cervical biopsy and scraping of the cervical canal inpatient CPT 57454 HC Colp Cervix W Bx & Curett	$1,163.40	$1,662.00	$312.19–$1,662.00	—	30%
Complex cataract surgery with lens implant CPT 66982 HC Xcapsl Ctrc Rmvl Cplx WO Ecp	$7,170.80	$10,244.00	$2,690.07–$10,244.00	39% below	30%
Complex cataract surgery with lens implant inpatient CPT 66982 HC Xcapsl Ctrc Rmvl Cplx WO Ecp	$7,170.80	$10,244.00	$2,690.07–$10,244.00	—	30%
Coronary stent placement, one artery CPT 92928 HC Cath Prq Trluml Coronary Stent W/Angio One Art/	$17,059.70	$24,371.00	$6,399.82–$27,324.72	10% below	30%
Coronary stent placement, one artery inpatient CPT 92928 HC Cath Prq Trluml Coronary Stent W/Angio One Art/	$17,059.70	$24,371.00	$6,399.82–$27,324.72	—	30%
Cystoscopy with ureteral stent placement CPT 52332 HC Cyst W Ins of Indwelling Ureter Stent	$4,730.60	$6,758.00	$1,774.65–$12,406.94	31% below	30%
Cystoscopy with ureteral stent placement inpatient CPT 52332 HC Cyst W Ins of Indwelling Ureter Stent	$4,730.60	$6,758.00	$1,774.65–$12,406.94	—	30%
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 HC Cystourethroscopy	$3,147.90	$4,497.00	$642.96–$4,497.00	59% above	30%
Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 HC Cystourethroscopy	$3,147.90	$4,497.00	$642.96–$4,497.00	—	30%
D&C (dilation and curettage), not related to pregnancy CPT 58120 HC D&C Diagnostic or Therap Not OB	$3,616.90	$5,167.00	$1,356.85–$6,672.94	at median	30%
D&C (dilation and curettage), not related to pregnancy inpatient CPT 58120 HC D&C Diagnostic or Therap Not OB	$3,616.90	$5,167.00	$1,356.85–$6,672.94	—	30%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 HC Destruction Premalignant Lesion 1st	$296.10	$423.00	$111.08–$554.05	8% above	30%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 HC Destruction Premalignant Lesion 1st	$296.10	$423.00	$111.08–$554.05	—	30%
Ear tube placement (tympanostomy) under general anesthesia, one ear CPT 69436 HC Tympanostomy Gen Anesthesia	$5,617.50	$8,025.00	$1,462.72–$12,037.50	21% above	30%
Ear tube placement (tympanostomy) under general anesthesia, one ear inpatient CPT 69436 HC Tympanostomy Gen Anesthesia	$5,617.50	$8,025.00	$1,462.72–$12,037.50	—	30%
Ear tube placement (tympanostomy) with local anesthesia, one ear one side CPT 69433 HC Tympanostomy Local; Unilateral	$1,424.50	$2,035.00	$534.39–$3,052.50	at median	30%
Ear tube placement (tympanostomy) with local anesthesia, one ear inpatient one side CPT 69433 HC Tympanostomy Local; Unilateral	$1,424.50	$2,035.00	$534.39–$3,052.50	—	30%
Earwax removal by irrigation (rinsing), one ear one side CPT 69209 HC Removal Impacted Cerumen Irrigation/Lvg Unilat	$168.70	$241.00	$63.29–$458.90	19% below	30%
Earwax removal by irrigation (rinsing), one ear inpatient one side CPT 69209 HC Removal Impacted Cerumen Irrigation/Lvg Unilat	$168.70	$241.00	$63.29–$458.90	—	30%
Earwax removal with instruments, one ear one side CPT 69210 HC Removal Impacted Cerumen Instrumentation Unilat	$216.30	$309.00	$31.96–$463.50	21% below	30%
Earwax removal with instruments, one ear inpatient one side CPT 69210 HC Removal Impacted Cerumen Instrumentation Unilat	$216.30	$309.00	$31.96–$463.50	—	30%
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 HC Endometrial Bx WO Cervical Dilation	$821.80	$1,174.00	$87.71–$1,174.00	54% above	30%
Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 HC Endometrial Bx WO Cervical Dilation	$821.80	$1,174.00	$87.71–$1,174.00	—	30%
Endoscopic sinus surgery: full ethmoid sinus opening CPT 31255 HC Nasal/Sinus Ndsc W/Total Ethoidectomy	$6,114.50	$8,735.00	$2,293.81–$13,102.50	72% below	30%
Endoscopic sinus surgery: full ethmoid sinus opening inpatient CPT 31255 HC Nasal/Sinus Ndsc W/Total Ethoidectomy	$6,114.50	$8,735.00	$2,293.81–$13,102.50	—	30%
Endoscopic sinus surgery: opening the maxillary (cheek) sinus CPT 31256 HC Nasal/Sinus Endoscopy W/Maxillary Antrostomy	$5,617.50	$8,025.00	$2,107.37–$12,037.50	51% below	30%
Endoscopic sinus surgery: opening the maxillary (cheek) sinus inpatient CPT 31256 HC Nasal/Sinus Endoscopy W/Maxillary Antrostomy	$5,617.50	$8,025.00	$2,107.37–$12,037.50	—	30%
Endoscopic sinus surgery: opening the maxillary sinus with removal of tissue CPT 31267 HC Nsl/Sinus Ndsc Max Antrost W/Rmvl Tiss Max Sinu	$4,774.70	$6,821.00	$1,791.19–$11,249.35	29% below	30%
Endoscopic sinus surgery: opening the maxillary sinus with removal of tissue inpatient CPT 31267 HC Nsl/Sinus Ndsc Max Antrost W/Rmvl Tiss Max Sinu	$4,774.70	$6,821.00	$1,791.19–$11,249.35	—	30%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 HC Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn	$1,256.50	$1,795.00	$471.37–$2,010.38	21% below	30%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 HC Njx Interlaminar Crv/Thrc	$1,726.90	$2,467.00	$647.83–$2,467.00	8% above	30%
Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 HC Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn	$1,256.50	$1,795.00	$471.37–$2,010.38	—	30%
Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 HC Njx Interlaminar Crv/Thrc	$1,726.90	$2,467.00	$647.83–$2,467.00	—	30%
Eye injection into the vitreous (intravitreal injection) CPT 67028 HC Inject Intravitreal Pharmcologic	$746.20	$1,066.00	$279.93–$1,924.05	41% below	30%
Eye injection into the vitreous (intravitreal injection) inpatient CPT 67028 HC Inject Intravitreal Pharmcologic	$746.20	$1,066.00	$279.93–$1,924.05	—	30%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 HC Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level	$2,289.70	$3,271.00	$858.96–$6,336.91	7% below	30%
Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 HC Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level	$2,289.70	$3,271.00	$858.96–$6,336.91	—	30%
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 HC Sigmoidoscopy Flx Dx W/Collj Spec Br/Wa if Pfrm	$1,675.80	$2,394.00	$314.33–$2,394.00	9% below	30%
Flexible sigmoidoscopy, diagnostic (lower colon only) inpatient CPT 45330 HC Sigmoidoscopy Flx Dx W/Collj Spec Br/Wa if Pfrm	$1,675.80	$2,394.00	$314.33–$2,394.00	—	30%
Hemorrhoid banding (rubber band ligation) CPT 46221 HC Ligation of Hemorrhoid(S)	$1,255.80	$1,794.00	$471.10–$2,338.95	35% below	30%
Hemorrhoid banding (rubber band ligation) inpatient CPT 46221 HC Ligation of Hemorrhoid(S)	$1,255.80	$1,794.00	$471.10–$2,338.95	—	30%
Hemorrhoidectomy (internal and external), one area CPT 46255 HC Remove Int/Ext Hem 1 Group	$5,617.50	$8,025.00	$1,053.68–$8,025.00	34% below	30%
Hemorrhoidectomy (internal and external), one area inpatient CPT 46255 HC Remove Int/Ext Hem 1 Group	$5,617.50	$8,025.00	$1,053.68–$8,025.00	—	30%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 HC Cath/Inject Hysterosalpingogram	$266.00	$380.00	$99.79–$380.00	34% below	30%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 HC Cath/Inject Hysterosalpingogram	$266.00	$380.00	$99.79–$380.00	—	30%
Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 HC Hysteroscopy; W Bx Endom or Polypect	$4,774.70	$6,821.00	$1,248.19–$6,821.00	26% below	30%
Hysteroscopy with uterine lining sampling and/or polyp removal inpatient CPT 58558 HC Hysteroscopy; W Bx Endom or Polypect	$4,774.70	$6,821.00	$1,248.19–$6,821.00	—	30%
IUD insertion (the device itself billed separately) CPT 58300 HC Insert Iud	$893.20	$1,276.00	$41.57–$1,276.00	49% above	30%
IUD insertion (the device itself billed separately) inpatient CPT 58300 HC Insert Iud	$893.20	$1,276.00	$41.57–$1,276.00	—	30%
Incision and drainage of a simple or single skin abscess CPT 10060 HC Incision & Drainage Abscess Simple/Single	$494.20	$706.00	$92.70–$706.00	at median	30%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 HC Incision & Drainage Abscess Simple/Single	$494.20	$706.00	$92.70–$706.00	—	30%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 HC Injection 1 Tendon Sheath/Ligament Aponeurosis	$457.10	$653.00	$171.48–$1,165.63	at median	30%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 HC Injection 1 Tendon Sheath/Ligament Aponeurosis	$457.10	$653.00	$171.48–$1,165.63	—	30%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HC Arthrocentesis Aspir&/Inj Major Jt/Bursa W/O US	$451.50	$645.00	$169.38–$1,165.63	20% below	30%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 HC Arthrocentesis Aspir&/Inj Major Jt/Bursa W/O US	$451.50	$645.00	$169.38–$1,165.63	—	30%
Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 HC Insj Non-Biodegradable Drug Delivery Implant	$478.10	$683.00	$121.77–$683.00	13% below	30%
Insertion of a drug-delivery implant, such as the arm birth control implant inpatient CPT 11981 HC Insj Non-Biodegradable Drug Delivery Implant	$478.10	$683.00	$121.77–$683.00	—	30%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 HC Arthrocentesis Aspir&/Inj Interm Jt/Burs W/O US	$457.10	$653.00	$171.48–$1,165.63	16% below	30%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 HC Arthrocentesis Aspir&/Inj Interm Jt/Burs W/O US	$457.10	$653.00	$171.48–$1,165.63	—	30%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 HC Arthrocentesis Aspir&/Inj Small Jt/Bursa W/O US	$816.90	$1,167.00	$283.01–$1,750.50	51% above	30%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 HC Arthrocentesis Aspir&/Inj Small Jt/Bursa W/O US	$816.90	$1,167.00	$283.01–$1,750.50	—	30%
Laparoscopic inguinal (groin) hernia repair, first repair on that side CPT 49650 HC Lap Ing Hernia Repair Init	$8,641.50	$12,345.00	$3,241.80–$18,517.50	49% below	30%
Laparoscopic inguinal (groin) hernia repair, first repair on that side inpatient CPT 49650 HC Lap Ing Hernia Repair Init	$8,641.50	$12,345.00	$3,241.80–$18,517.50	—	30%
Laser treatment of clouding after cataract surgery (YAG) CPT 66821 HC Discission 2nd Cataract Laser	$1,248.10	$1,783.00	$468.22–$3,015.57	44% below	30%
Laser treatment of clouding after cataract surgery (YAG) inpatient CPT 66821 HC Discission 2nd Cataract Laser	$1,248.10	$1,783.00	$468.22–$3,015.57	—	30%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 HC Repair Intermediate S/a/T/E 2.5 Cm/<	$787.50	$1,125.00	$295.43–$1,282.70	at median	30%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 HC Repair Intermediate S/a/T/E 2.5 Cm/<	$787.50	$1,125.00	$295.43–$1,282.70	—	30%
Left heart catheterization, diagnostic one side CPT 93452 HC Cath Left Heart Cath Inject Vetriculography Im	$6,566.00	$9,380.00	$2,463.19–$9,380.00	26% below	30%
Left heart catheterization, diagnostic inpatient one side CPT 93452 HC Cath Left Heart Cath Inject Vetriculography Im	$6,566.00	$9,380.00	$2,463.19–$9,380.00	—	30%
Lower-back epidural injection, with imaging guidance CPT 62323 HC Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn	$1,256.50	$1,795.00	$471.37–$3,015.57	28% below	30%
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 HC Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn	$1,256.50	$1,795.00	$471.37–$3,015.57	—	30%
Lower-back epidural injection, without imaging guidance CPT 62322 HC Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn	$1,402.10	$2,003.00	$525.99–$2,010.38	1% below	30%
Lower-back epidural injection, without imaging guidance inpatient CPT 62322 HC Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn	$1,402.10	$2,003.00	$525.99–$2,010.38	—	30%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 HC Njx Aa&/Strd Tfrml Epi Lumbar/Sacral 1 Level	$1,538.60	$2,198.00	$404.30–$3,602.40	16% below	30%
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 HC Njx Aa&/Strd Tfrml Epi Lumbar/Sacral 1 Level	$1,538.60	$2,198.00	$404.30–$3,602.40	—	30%
Miscarriage treatment with D&C, first trimester CPT 59820 HC Tx Missed Abortion First Trimester Surgical	$5,866.00	$8,380.00	$2,200.59–$8,380.00	25% above	30%
Miscarriage treatment with D&C, first trimester inpatient CPT 59820 HC Tx Missed Abortion First Trimester Surgical	$5,866.00	$8,380.00	$2,200.59–$8,380.00	—	30%
Mohs surgery for skin cancer, first stage, head, neck, hands, feet or genitals CPT 17311 HC Mohs Micrographic H/N/H/F/G 1st Stage 5 Blocks	$1,068.20	$1,526.00	$400.73–$1,526.00	13% below	30%
Mohs surgery for skin cancer, first stage, head, neck, hands, feet or genitals inpatient CPT 17311 HC Mohs Micrographic H/N/H/F/G 1st Stage 5 Blocks	$1,068.20	$1,526.00	$400.73–$1,526.00	—	30%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 HC Exc B9 Lesion Mrgn Xcp Sk Tg T/a/L 0.5 Cm/<	$973.00	$1,390.00	$365.01–$1,390.00	4% above	30%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 HC Exc B9 Lesion Mrgn Xcp Sk Tg T/a/L 0.5 Cm/<	$973.00	$1,390.00	$365.01–$1,390.00	—	30%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 HC Exc B9 Lesion Mrgn Xcp Sk Tg F/E/E/N/L/M 0.5cm/	$1,070.30	$1,529.00	$401.52–$1,819.13	20% above	30%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 HC Exc B9 Lesion Mrgn Xcp Sk Tg F/E/E/N/L/M 0.5cm/	$1,070.30	$1,529.00	$401.52–$1,819.13	—	30%
Nail removal (partial or complete), one nail CPT 11730 HC Avulsion Nail Plate Partial/Complete Simple 1	$912.10	$1,303.00	$201.78–$1,954.50	131% above	30%
Nail removal (partial or complete), one nail inpatient CPT 11730 HC Avulsion Nail Plate Partial/Complete Simple 1	$912.10	$1,303.00	$201.78–$1,954.50	—	30%
Occipital nerve block (injection for headaches) CPT 64405 HC Injection Aa&/Strd Greater Occipital Nerve	$839.30	$1,199.00	$283.01–$1,924.05	6% below	30%
Occipital nerve block (injection for headaches) inpatient CPT 64405 HC Injection Aa&/Strd Greater Occipital Nerve	$839.30	$1,199.00	$283.01–$1,924.05	—	30%
Pacemaker implant (dual chamber) CPT 33208 HC Ep Inser Hart Pacer Xvenous Atr/Ventr	$16,634.10	$23,763.00	$6,240.16–$23,763.00	5% above	30%
Pacemaker implant (dual chamber) inpatient CPT 33208 HC Ep Inser Hart Pacer Xvenous Atr/Ventr	$16,634.10	$23,763.00	$6,240.16–$23,763.00	—	30%
Paracentesis with imaging guidance CPT 49083 HC Abdom Paracentesis Dx/Ther W Imaging Guidance	$1,082.20	$1,546.00	$405.98–$2,391.27	39% below	30%
Paracentesis with imaging guidance inpatient CPT 49083 HC Abdom Paracentesis Dx/Ther W Imaging Guidance	$1,082.20	$1,546.00	$405.98–$2,391.27	—	30%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 HC Excision Nail Matrix Permanent Removal	$1,005.90	$1,437.00	$359.17–$2,155.50	at median	30%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 HC Excision Nail Matrix Permanent Removal	$1,005.90	$1,437.00	$359.17–$2,155.50	—	30%
Prostate biopsy CPT 55700 (Ia) HC Biopsy of Prostate Needle/Punch	$2,893.80	$4,134.00	$1,085.59–$4,134.00	1% below	30%
Prostate biopsy inpatient CPT 55700 (Ia) HC Biopsy of Prostate Needle/Punch	$2,893.80	$4,134.00	$1,085.59–$4,134.00	—	30%
Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 HC Dstr Nrolytc Agnt Parverteb Fct Sngl Lmbr/Sacra	$2,942.80	$4,204.00	$1,103.97–$6,915.83	6% below	30%
Radiofrequency ablation of facet joint nerves, lower back, one level inpatient CPT 64635 HC Dstr Nrolytc Agnt Parverteb Fct Sngl Lmbr/Sacra	$2,942.80	$4,204.00	$1,103.97–$6,915.83	—	30%
Removal of a breast lump, open surgery CPT 19120 HC Exc Cyst/Aberrant Breast Tissue Open 1/> Lesion	$5,617.50	$8,025.00	$2,107.37–$12,037.50	15% below	30%
Removal of a breast lump, open surgery inpatient CPT 19120 HC Exc Cyst/Aberrant Breast Tissue Open 1/> Lesion	$5,617.50	$8,025.00	$2,107.37–$12,037.50	—	30%
Removal of a foreign object under the skin, simple CPT 10120 HC Incision & Removal Foreign Body Subq Tiss Simpl	$527.80	$754.00	$99.00–$986.21	4% below	30%
Removal of a foreign object under the skin, simple inpatient CPT 10120 HC Incision & Removal Foreign Body Subq Tiss Simpl	$527.80	$754.00	$99.00–$986.21	—	30%
Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 HC Scrn Colonoscopy Pt Not Hi Risk	$1,480.50	$2,115.00	$277.70–$10,711.57	25% below	30%
Screening colonoscopy for a person at average risk (Medicare code) inpatient HCPCS G0121 HC Scrn Colonoscopy Pt Not Hi Risk	$1,480.50	$2,115.00	$277.70–$10,711.57	—	30%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 HC Scrn Colonoscopy on Hi Risk Pt	$1,480.50	$2,115.00	$277.70–$2,338.95	26% below	30%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) inpatient HCPCS G0105 HC Scrn Colonoscopy on Hi Risk Pt	$1,480.50	$2,115.00	$277.70–$2,338.95	—	30%
Short arm cast (elbow to hand) CPT 29075 HC Application Cast Elbow Finger Short Arm	$717.50	$1,025.00	$269.17–$1,187.10	11% above	30%
Short arm cast (elbow to hand) inpatient CPT 29075 HC Application Cast Elbow Finger Short Arm	$717.50	$1,025.00	$269.17–$1,187.10	—	30%
Short arm splint (forearm and hand) CPT 29125 HC Application Short Arm Splint Forearm-Hand Stati	$291.90	$417.00	$109.50–$864.24	12% below	30%
Short arm splint (forearm and hand) CPT 29125 HC Ot Application Short Arm Splint Forearm-Hand St	$343.70	$491.00	$121.77–$864.24	3% above	30%
Short arm splint (forearm and hand) inpatient CPT 29125 HC Application Short Arm Splint Forearm-Hand Stati	$291.90	$417.00	$109.50–$864.24	—	30%
Short arm splint (forearm and hand) inpatient CPT 29125 HC Ot Application Short Arm Splint Forearm-Hand St	$343.70	$491.00	$121.77–$864.24	—	30%
Short leg cast (below the knee) CPT 29405 HC Application Short Leg Cast Below Knee-Toe	$609.70	$871.00	$228.72–$1,780.65	2% below	30%
Short leg cast (below the knee) inpatient CPT 29405 HC Application Short Leg Cast Below Knee-Toe	$609.70	$871.00	$228.72–$1,780.65	—	30%
Short leg splint (calf to foot) CPT 29515 HC Application Short Leg Splint Calf Foot	$370.30	$529.00	$138.92–$723.98	7% above	30%
Short leg splint (calf to foot) inpatient CPT 29515 HC Application Short Leg Splint Calf Foot	$370.30	$529.00	$138.92–$723.98	—	30%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 HC Simple Repair Scalp/Neck/Ax/Genit/Trunk 2.5cm/<	$359.80	$514.00	$134.98–$614.99	22% below	30%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 HC Simple Repair Scalp/Neck/Ax/Genit/Trunk 2.5cm/<	$359.80	$514.00	$134.98–$614.99	—	30%
Skin biopsy, punch, one lesion CPT 11104 HC Punch Biopsy Skin Single Lesion	$326.20	$466.00	$122.37–$614.99	40% below	30%
Skin biopsy, punch, one lesion inpatient CPT 11104 HC Punch Biopsy Skin Single Lesion	$326.20	$466.00	$122.37–$614.99	—	30%
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 HC Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/<	$1,424.50	$2,035.00	$534.39–$2,035.00	38% above	30%
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11600 HC Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/<	$1,424.50	$2,035.00	$534.39–$2,035.00	—	30%
Skin tag removal, up to 15 tags CPT 11200 HC Removal Skn Tags Mlt Fibrq Tags Any Area Upw/15	$331.10	$473.00	$124.21–$614.99	13% below	30%
Skin tag removal, up to 15 tags inpatient CPT 11200 HC Removal Skn Tags Mlt Fibrq Tags Any Area Upw/15	$331.10	$473.00	$124.21–$614.99	—	30%
Spinal tap (lumbar puncture), diagnostic CPT 62270 Hcdiagnostic Lumbar Spinal Puncture	$1,594.60	$2,278.00	$598.20–$2,278.00	9% above	30%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 Hcdiagnostic Lumbar Spinal Puncture	$1,594.60	$2,278.00	$598.20–$2,278.00	—	30%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 HC Smpl Repair Scalp/Neck/Ax/Genit/Trunk 2.6-7.5cm	$486.50	$695.00	$182.51–$695.00	2% above	30%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 HC Smpl Repair Scalp/Neck/Ax/Genit/Trunk 2.6-7.5cm	$486.50	$695.00	$182.51–$695.00	—	30%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 HC Simple Repair F/E/E/N/L/M 2.5cm/<	$1,346.10	$1,923.00	$201.78–$2,010.38	55% above	30%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 HC Simple Repair F/E/E/N/L/M 2.5cm/<	$1,346.10	$1,923.00	$201.78–$2,010.38	—	30%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 HC Tangential Biopsy Skin Single Lesion	$326.20	$466.00	$122.37–$614.99	25% below	30%
Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 HC Tangential Biopsy Skin Single Lesion	$326.20	$466.00	$122.37–$614.99	—	30%
Thoracentesis with imaging guidance CPT 32555 HC Thoracentesis Needle/Cath Pleura W/Imaging	$1,645.70	$2,351.00	$617.37–$3,526.50	8% below	30%
Thoracentesis with imaging guidance inpatient CPT 32555 HC Thoracentesis Needle/Cath Pleura W/Imaging	$1,645.70	$2,351.00	$617.37–$3,526.50	—	30%
Trigger finger release surgery CPT 26055 HC Inciise Finger Tendon Sheath	$4,046.70	$5,781.00	$1,501.88–$5,781.00	7% below	30%
Trigger finger release surgery inpatient CPT 26055 HC Inciise Finger Tendon Sheath	$4,046.70	$5,781.00	$1,501.88–$5,781.00	—	30%
Trigger point injections, 1 or 2 muscles CPT 20552 HC Injection Single/Mlt Trigger Point 1/2 Muscles	$469.00	$670.00	$175.94–$1,165.63	11% below	30%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 HC Injection Single/Mlt Trigger Point 1/2 Muscles	$469.00	$670.00	$175.94–$1,165.63	—	30%
Tubal ligation, laparoscopic (tubes sealed by cautery) CPT 58670 HC Lap W Destruction of Oviducts	$8,573.60	$12,248.00	$3,216.32–$12,248.00	—	30%
Tubal ligation, laparoscopic (tubes sealed by cautery) inpatient CPT 58670 HC Lap W Destruction of Oviducts	$8,573.60	$12,248.00	$3,216.32–$12,248.00	—	30%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 HC Bx Breast W/Device 1st Lesion Ultrasound Guid	$872.20	$1,246.00	$327.20–$5,830.74	60% below	30%
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 HC Bx Breast W/Device 1st Lesion Ultrasound Guid	$872.20	$1,246.00	$327.20–$5,830.74	—	30%
Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 HC Egd Balloon Dilation Esophagus <30 Mm Diam - Eg	$1,722.00	$2,460.00	$646.00–$4,191.96	42% below	30%
Upper endoscopy (EGD) with balloon widening of the esophagus inpatient CPT 43249 HC Egd Balloon Dilation Esophagus <30 Mm Diam - Eg	$1,722.00	$2,460.00	$646.00–$4,191.96	—	30%
Upper endoscopy (EGD) with biopsy CPT 43239 HC Egd Transoral Biopsy Single/Multiple - Egd	$1,402.10	$2,003.00	$262.99–$2,391.27	25% below	30%
Upper endoscopy (EGD) with biopsy inpatient CPT 43239 HC Egd Transoral Biopsy Single/Multiple - Egd	$1,402.10	$2,003.00	$262.99–$2,391.27	—	30%
Upper endoscopy (EGD) with injection into the lining CPT 43236 HC Esophagogastroduodenoscopy Submucosal Injection	$1,281.00	$1,830.00	$240.28–$2,010.38	49% below	30%
Upper endoscopy (EGD) with injection into the lining inpatient CPT 43236 HC Esophagogastroduodenoscopy Submucosal Injection	$1,281.00	$1,830.00	$240.28–$2,010.38	—	30%
Upper endoscopy (EGD) with polyp removal by snare CPT 43251 HC Egd Removal Tumor Polyp/Other Lesion Snare Tech	$3,147.90	$4,497.00	$1,180.91–$4,792.01	32% below	30%
Upper endoscopy (EGD) with polyp removal by snare inpatient CPT 43251 HC Egd Removal Tumor Polyp/Other Lesion Snare Tech	$3,147.90	$4,497.00	$1,180.91–$4,792.01	—	30%
Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 HC Egd Insert Guide Wire Dilator Passage Esophagus	$2,350.60	$3,358.00	$881.81–$4,792.01	20% below	30%
Upper endoscopy (EGD) with widening of the esophagus over a guide wire inpatient CPT 43248 HC Egd Insert Guide Wire Dilator Passage Esophagus	$2,350.60	$3,358.00	$881.81–$4,792.01	—	30%
Upper endoscopy (EGD), diagnostic CPT 43235 HC Esophagogastroduodenoscopy Transoral Diagnostic	$1,400.70	$2,001.00	$262.73–$2,391.27	22% below	30%
Upper endoscopy (EGD), diagnostic inpatient CPT 43235 HC Esophagogastroduodenoscopy Transoral Diagnostic	$1,400.70	$2,001.00	$262.73–$2,391.27	—	30%
Upper endoscopy with drainage of a pseudocyst through the stomach wall CPT 43240 HC Egd Transoral Transmural Drainage Pseudocyst -	$4,774.70	$6,821.00	$1,791.19–$7,499.57	70% below	30%
Upper endoscopy with drainage of a pseudocyst through the stomach wall inpatient CPT 43240 HC Egd Transoral Transmural Drainage Pseudocyst -	$4,774.70	$6,821.00	$1,791.19–$7,499.57	—	30%
Vasectomy, one or both sides, including follow-up semen testing CPT 55250 HC Vasectomy	$4,986.80	$7,124.00	$1,870.76–$10,686.00	51% above	30%
Vasectomy, one or both sides, including follow-up semen testing inpatient CPT 55250 HC Vasectomy	$4,986.80	$7,124.00	$1,870.76–$10,686.00	—	30%
Vein ablation, radiofrequency, first vein CPT 36475 HC Endovenous Rf 1st Vein	$6,371.40	$9,102.00	$1,195.09–$13,653.00	22% above	30%
Vein ablation, radiofrequency, first vein inpatient CPT 36475 HC Endovenous Rf 1st Vein	$6,371.40	$9,102.00	$1,195.09–$13,653.00	—	30%
Wart removal, up to 14 warts CPT 17110 HC Destruction Benign Lesions Up to 14	$326.20	$466.00	$122.37–$554.05	8% below	30%
Wart removal, up to 14 warts inpatient CPT 17110 HC Destruction Benign Lesions Up to 14	$326.20	$466.00	$122.37–$554.05	—	30%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 HC Debridement Subcutaneous Tissue 20 Sq Cm/<	$1,108.10	$1,583.00	$359.17–$2,374.50	20% above	30%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 HC Debridement Subcutaneous Tissue 20 Sq Cm/<	$1,108.10	$1,583.00	$359.17–$2,374.50	—	30%

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs Massachusetts	Off list
Blood transfusion (giving blood or blood components) CPT 36430 HC Blood Transfusion Service	$1,114.40	$1,592.00	$418.06–$2,021.62	21% above	30%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 HC Blood Transfusion Service	$1,114.40	$1,592.00	$418.06–$2,021.62	—	30%
Breathing treatment (nebulizer or inhaler) for airway obstruction one side CPT 94640 HC Rt Inhalation Treatment	$377.30	$539.00	$141.54–$874.15	29% above	30%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient one side CPT 94640 HC Rt Inhalation Treatment	$377.30	$539.00	$141.54–$874.15	—	30%
Chemotherapy IV infusion, first hour CPT 96413 Hosp Chem Other IV Infusion	$1,066.10	$1,523.00	$399.94–$1,648.75	21% above	30%
Chemotherapy IV infusion, first hour inpatient CPT 96413 Hosp Chem Other IV Infusion	$1,066.10	$1,523.00	$399.94–$1,648.75	—	30%
Comprehensive eye exam by an eye doctor, new patient CPT 92004 HC Ophth Medical Xm&Eval Compre New Pt 1/> Vst	$111.30	$159.00	$29.11–$159.00	46% below	30%
Comprehensive eye exam by an eye doctor, new patient inpatient CPT 92004 HC Ophth Medical Xm&Eval Compre New Pt 1/> Vst	$111.30	$159.00	$29.11–$159.00	—	30%
Comprehensive eye exam, returning patient CPT 92014 HC Ophth Medical Xm&Eval Comprhnsv Estab Pt 1/>	$103.60	$148.00	$24.83–$148.00	53% below	30%
Comprehensive eye exam, returning patient inpatient CPT 92014 HC Ophth Medical Xm&Eval Comprhnsv Estab Pt 1/>	$103.60	$148.00	$24.83–$148.00	—	30%
Comprehensive hearing test: tone and speech audiometry, both ears CPT 92557 HC Comprehensive Hearing Test	$485.80	$694.00	$91.12–$723.55	47% above	30%
Comprehensive hearing test: tone and speech audiometry, both ears inpatient CPT 92557 HC Comprehensive Hearing Test	$485.80	$694.00	$91.12–$723.55	—	30%
Critical care, first 30 to 74 minutes CPT 99291 Hospital Critical Care	$1,534.40	$2,192.00	$575.62–$3,819.78	43% below	30%
Critical care, first 30 to 74 minutes inpatient CPT 99291 Hospital Critical Care	$1,534.40	$2,192.00	$575.62–$3,819.78	—	30%
EEG (brain wave test), awake and drowsy, routine CPT 95816 HC Eeg W/Awake & Drowsy Record - Eeg Awake or Drow	$832.30	$1,189.00	$312.23–$1,389.08	4% below	30%
EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 HC Eeg W/Awake & Drowsy Record - Eeg Awake or Drow	$832.30	$1,189.00	$312.23–$1,389.08	—	30%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 HC Electrocardiogram Tracing	$184.10	$263.00	$69.06–$284.89	1% above	30%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 HC Electrocardiogram Tracing	$184.10	$263.00	$69.06–$284.89	—	30%
Electroconvulsive therapy (ECT), one session CPT 90870 HC Electroconvulsive Therapy 1 Seiz	$824.60	$1,178.00	$309.34–$1,429.55	19% below	30%
Electroconvulsive therapy (ECT), one session inpatient CPT 90870 HC Electroconvulsive Therapy 1 Seiz	$824.60	$1,178.00	$309.34–$1,429.55	—	30%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 HC Emergency Department Level 1 Visit Limited/Mino	$339.50	$485.00	$127.36–$1,007.44	18% below	30%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 HC Emergency Department Level 1 Visit Limited/Mino	$339.50	$485.00	$127.36–$1,007.44	—	30%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 HC Emergency Department Level 2 Visit Sf Mdm	$507.50	$725.00	$190.39–$1,210.76	8% below	30%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 HC Emergency Department Level 2 Visit Sf Mdm	$507.50	$725.00	$190.39–$1,210.76	—	30%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 HC Emergency Department Level 3 Visit Low Mdm	$910.00	$1,300.00	$341.38–$1,542.68	11% above	30%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 HC Emergency Department Level 3 Visit Low Mdm	$910.00	$1,300.00	$341.38–$1,542.68	—	30%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 HC Emergency Department Level 4 Visit Mod Mdm	$1,260.00	$1,800.00	$431.00–$1,972.25	1% below	30%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 HC Emergency Department Level 4 Visit Mod Mdm	$1,260.00	$1,800.00	$431.00–$1,972.25	—	30%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HC Emergency Department Level 5 Visit High Mdm	$1,641.50	$2,345.00	$431.00–$2,498.66	2% below	30%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 HC Emergency Department Level 5 Visit High Mdm	$1,641.50	$2,345.00	$431.00–$2,498.66	—	30%
Exercise stress test, tracing only, the hospital charge CPT 93017 HC Cardiac Stress Tst Tracing Only	$898.10	$1,283.00	$168.46–$2,083.61	2% below	30%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 HC Cardiac Stress Tst Tracing Only	$898.10	$1,283.00	$168.46–$2,083.61	—	30%
Eye exam, returning patient, intermediate CPT 92012 HC Ophth Medical Xm&Eval Intermediate Estab Pt	$98.00	$140.00	$24.83–$140.00	37% below	30%
Eye exam, returning patient, intermediate inpatient CPT 92012 HC Ophth Medical Xm&Eval Intermediate Estab Pt	$98.00	$140.00	$24.83–$140.00	—	30%
Family therapy with the patient, 50 minutes CPT 90847 Hosp Family Psychotherapy W Phys	$191.10	$273.00	$35.12–$399.22	27% below	30%
Family therapy with the patient, 50 minutes inpatient CPT 90847 Hosp Family Psychotherapy W Phys	$191.10	$273.00	$35.12–$399.22	—	30%
Family therapy without the patient, 50 minutes CPT 90846 HC Family Psychotherapy No Pt	$217.00	$310.00	$35.12–$399.22	21% below	30%
Family therapy without the patient, 50 minutes inpatient CPT 90846 HC Family Psychotherapy No Pt	$217.00	$310.00	$35.12–$399.22	—	30%
Group psychotherapy session CPT 90853 HC Group Psychotherapy	$99.40	$142.00	$16.50–$183.46	28% below	30%
Group psychotherapy session CPT 90853 HC Telemed Group Psychotherapy	$255.50	$365.00	$16.50–$365.00	84% above	30%
Group psychotherapy session inpatient CPT 90853 HC Group Psychotherapy	$99.40	$142.00	$16.50–$183.46	—	30%
Group psychotherapy session inpatient CPT 90853 HC Telemed Group Psychotherapy	$255.50	$365.00	$16.50–$365.00	—	30%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 Hosp IV Infusion Hydration	$543.20	$776.00	$203.78–$1,024.41	6% above	30%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 Hosp IV Infusion Hydration	$543.20	$776.00	$203.78–$1,024.41	—	30%
IV infusion of a medicine, first hour CPT 96365 Hosp IV Infusion Therap/Proph/Diagnost Initial	$647.50	$925.00	$242.91–$1,024.41	12% above	30%
IV infusion of a medicine, first hour inpatient CPT 96365 Hosp IV Infusion Therap/Proph/Diagnost Initial	$647.50	$925.00	$242.91–$1,024.41	—	30%
IV push of a medicine, first drug CPT 96374 HC Injection Therap/Proph/Diagnost IV Push Initi	$364.70	$521.00	$136.81–$996.68	at median	30%
IV push of a medicine, first drug inpatient CPT 96374 HC Injection Therap/Proph/Diagnost IV Push Initi	$364.70	$521.00	$136.81–$996.68	—	30%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 HC Injection Therap/Proph/Diagnost Im or Subcut	$189.00	$270.00	$23.22–$327.49	5% above	30%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 HC Injection Therap/Proph/Diagnost Im or Subcut	$189.00	$270.00	$23.22–$327.49	—	30%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 HC Psychiatric Diagnostic Evaluation	$212.80	$304.00	$31.64–$422.70	30% below	30%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 HC Telemed Psych Diagnostic Eval	$312.20	$446.00	$31.64–$446.00	3% above	30%
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 HC Psychiatric Diagnostic Evaluation	$212.80	$304.00	$31.64–$422.70	—	30%
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 HC Telemed Psych Diagnostic Eval	$312.20	$446.00	$31.64–$446.00	—	30%
Nerve conduction study, 7 or 8 nerve studies CPT 95910 HC Nerve Conduction Studies 7-8 Studies	$678.30	$969.00	$254.46–$1,389.08	14% below	30%
Nerve conduction study, 7 or 8 nerve studies inpatient CPT 95910 HC Nerve Conduction Studies 7-8 Studies	$678.30	$969.00	$254.46–$1,389.08	—	30%
Neuromuscular re-education, 15 minutes CPT 97112 Hosp Neuromusc Reeducation 1+	$156.80	$224.00	$58.82–$316.80	30% above	30%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 Hosp Neuromusc Reeducation 1+	$156.80	$224.00	$58.82–$316.80	—	30%
New patient office visit, about 30 minutes CPT 99203 HC Office O/P New Pt Level 3	$301.00	$430.00	$26.45–$430.00	39% above	30%
New patient office visit, about 30 minutes inpatient CPT 99203 HC Office O/P New Pt Level 3	$301.00	$430.00	$26.45–$430.00	—	30%
New patient office visit, about 45 minutes CPT 99204 HC Office O/P New Pt Level 4	$395.50	$565.00	$26.45–$565.00	12% above	30%
New patient office visit, about 45 minutes inpatient CPT 99204 HC Office O/P New Pt Level 4	$395.50	$565.00	$26.45–$565.00	—	30%
New patient office visit, about 60 minutes CPT 99205 HC Office O/P New Pt Level 5	$541.80	$774.00	$26.45–$774.00	40% above	30%
New patient office visit, about 60 minutes inpatient CPT 99205 HC Office O/P New Pt Level 5	$541.80	$774.00	$26.45–$774.00	—	30%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 HC Office O/P New Pt Level 2	$203.70	$291.00	$26.45–$291.00	23% above	30%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 HC Office O/P New Pt Level 2	$203.70	$291.00	$26.45–$291.00	—	30%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 Hosp Medical Nutrition Therapy Individual Initial	$61.60	$88.00	$23.11–$150.14	38% below	30%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 Hosp Medical Nutrition Therapy Individual Initial	$105.00	$150.00	$39.39–$150.14	5% above	30%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 Hosp Medical Nutrition Therapy Individual Initial	$61.60	$88.00	$23.11–$150.14	—	30%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 Hosp Medical Nutrition Therapy Individual Initial	$105.00	$150.00	$39.39–$150.14	—	30%
Occupational therapy evaluation, low complexity CPT 97165 Hosp Occupational Therapy Eval Low Complex	$297.50	$425.00	$111.61–$472.72	11% below	30%
Occupational therapy evaluation, low complexity inpatient CPT 97165 Hosp Occupational Therapy Eval Low Complex	$297.50	$425.00	$111.61–$472.72	—	30%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 Hosp Physical Therapy Evaluation High Complex	$378.70	$541.00	$142.07–$541.00	4% above	30%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 Hosp Physical Therapy Evaluation High Complex	$378.70	$541.00	$142.07–$541.00	—	30%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 Hosp Physical Therapy Evaluation Low Complex	$378.70	$541.00	$142.07–$541.00	9% above	30%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 Hosp Physical Therapy Evaluation Low Complex	$378.70	$541.00	$142.07–$541.00	—	30%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 Hosp Physical Therapy Evaluation Mod Complex	$378.70	$541.00	$142.07–$541.00	7% above	30%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 Hosp Physical Therapy Evaluation Mod Complex	$378.70	$541.00	$142.07–$541.00	—	30%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Hosp Manual Ther Tech 1+Regions	$105.70	$151.00	$39.65–$316.80	12% below	30%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 Hosp Manual Ther Tech 1+Regions	$105.70	$151.00	$39.65–$316.80	—	30%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC Ot Therapeutic Exercises	$126.70	$181.00	$47.53–$323.95	13% above	30%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC Pt Therapeutic Exercises	$126.70	$181.00	$47.53–$316.80	13% above	30%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC Ot Therapeutic Exercises	$126.70	$181.00	$47.53–$323.95	—	30%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC Pt Therapeutic Exercises	$126.70	$181.00	$47.53–$316.80	—	30%
Preventive checkup, new patient aged 18–39 CPT 99385 HC Prev Visit New Age 18-39	$271.60	$388.00	$26.45–$388.00	49% above	30%
Preventive checkup, new patient aged 18–39 inpatient CPT 99385 HC Prev Visit New Age 18-39	$271.60	$388.00	$26.45–$388.00	—	30%
Preventive checkup, new patient aged 40–64 CPT 99386 HC Prev Visit New Age 40-64	$271.60	$388.00	$13.22–$388.00	49% above	30%
Preventive checkup, new patient aged 40–64 inpatient CPT 99386 HC Prev Visit New Age 40-64	$271.60	$388.00	$13.22–$388.00	—	30%
Preventive checkup, new patient aged 65 or older CPT 99387 HC Init Pm E/M New Pat 65+ Yrs	$272.30	$389.00	$26.45–$389.00	45% above	30%
Preventive checkup, new patient aged 65 or older inpatient CPT 99387 HC Init Pm E/M New Pat 65+ Yrs	$272.30	$389.00	$26.45–$389.00	—	30%
Preventive checkup, returning patient aged 18–39 CPT 99395 HC Prev Visit Est Age 18-39	$271.60	$388.00	$26.45–$395.10	175% above	30%
Preventive checkup, returning patient aged 18–39 inpatient CPT 99395 HC Prev Visit Est Age 18-39	$271.60	$388.00	$26.45–$395.10	—	30%
Preventive checkup, returning patient aged 40–64 CPT 99396 HC Prev Visit Est Age 40-64	$271.60	$388.00	$26.45–$388.00	75% above	30%
Preventive checkup, returning patient aged 40–64 inpatient CPT 99396 HC Prev Visit Est Age 40-64	$271.60	$388.00	$26.45–$388.00	—	30%
Preventive checkup, returning patient aged 65 or older CPT 99397 HC per Pm Reeval Est Pat 65+ Yr	$271.60	$388.00	$26.45–$388.00	127% above	30%
Preventive checkup, returning patient aged 65 or older inpatient CPT 99397 HC per Pm Reeval Est Pat 65+ Yr	$271.60	$388.00	$26.45–$388.00	—	30%
Psychiatric evaluation with medical services CPT 90792 HC Telemed Psych Diag Eval W/Med Srvcs	$238.70	$341.00	$31.64–$404.56	34% below	30%
Psychiatric evaluation with medical services CPT 90792 HC Psychiatric Diagnostic Eval W/Medical Services	$238.70	$341.00	$31.64–$404.56	34% below	30%
Psychiatric evaluation with medical services inpatient CPT 90792 HC Psychiatric Diagnostic Eval W/Medical Services	$238.70	$341.00	$31.64–$404.56	—	30%
Psychiatric evaluation with medical services inpatient CPT 90792 HC Telemed Psych Diag Eval W/Med Srvcs	$238.70	$341.00	$31.64–$404.56	—	30%
Psychological testing evaluation by a psychologist or physician, first hour CPT 96130 Hosp Psychological Tst Eval Svc Phys/Qhp	$245.00	$350.00	$55.97–$563.51	46% below	30%
Psychological testing evaluation by a psychologist or physician, first hour inpatient CPT 96130 Hosp Psychological Tst Eval Svc Phys/Qhp	$245.00	$350.00	$55.97–$563.51	—	30%
Psychotherapy for crisis, first 60 minutes CPT 90839 Hosp Psychotherapy for Crisis Initial	$241.50	$345.00	$31.64–$345.00	40% below	30%
Psychotherapy for crisis, first 60 minutes CPT 90839 HC Telemed Psytx Crisis Initial 60 Min	$319.20	$456.00	$31.64–$456.00	21% below	30%
Psychotherapy for crisis, first 60 minutes inpatient CPT 90839 Hosp Psychotherapy for Crisis Initial	$241.50	$345.00	$31.64–$345.00	—	30%
Psychotherapy for crisis, first 60 minutes inpatient CPT 90839 HC Telemed Psytx Crisis Initial 60 Min	$319.20	$456.00	$31.64–$456.00	—	30%
Psychotherapy session, 30 minutes CPT 90832 Hosp Psychotherapy W Patient Level 1	$139.30	$199.00	$24.97–$399.22	44% below	30%
Psychotherapy session, 30 minutes CPT 90832 HC Telemed Psytx W Pt 30 Min	$144.20	$206.00	$24.97–$399.22	42% below	30%
Psychotherapy session, 30 minutes inpatient CPT 90832 Hosp Psychotherapy W Patient Level 1	$139.30	$199.00	$24.97–$399.22	—	30%
Psychotherapy session, 30 minutes inpatient CPT 90832 HC Telemed Psytx W Pt 30 Min	$144.20	$206.00	$24.97–$399.22	—	30%
Psychotherapy session, 45 minutes CPT 90834 Hosp Psychotherapy W Patient Level 3	$142.80	$204.00	$31.64–$399.22	43% below	30%
Psychotherapy session, 45 minutes CPT 90834 HC Telemed Psytx W Pt 45 Min	$176.40	$252.00	$31.64–$399.22	30% below	30%
Psychotherapy session, 45 minutes inpatient CPT 90834 Hosp Psychotherapy W Patient Level 3	$142.80	$204.00	$31.64–$399.22	—	30%
Psychotherapy session, 45 minutes inpatient CPT 90834 HC Telemed Psytx W Pt 45 Min	$176.40	$252.00	$31.64–$399.22	—	30%
Psychotherapy session, 60 minutes CPT 90837 Hosp Psychotherapy Patient Level 4	$212.10	$303.00	$31.64–$399.22	28% below	30%
Psychotherapy session, 60 minutes CPT 90837 HC Telemed Psytx W Pt 60 Min	$212.10	$303.00	$31.64–$399.22	28% below	30%
Psychotherapy session, 60 minutes inpatient CPT 90837 Hosp Psychotherapy Patient Level 4	$212.10	$303.00	$31.64–$399.22	—	30%
Psychotherapy session, 60 minutes inpatient CPT 90837 HC Telemed Psytx W Pt 60 Min	$212.10	$303.00	$31.64–$399.22	—	30%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 Hosp Tobacco Use Cessation Intermediate	$82.60	$118.00	$30.99–$140.17	28% below	30%
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 Hosp Tobacco Use Cessation Intermediate	$82.60	$118.00	$30.99–$140.17	—	30%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 PR Office O/P Established Pt Level 5	$414.40	$592.00	$26.45–$888.00	39% above	30%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 PR Office O/P Established Pt Level 5	$414.40	$592.00	$26.45–$888.00	—	30%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 HC Office O/P Established Pt Level 3	$252.70	$361.00	$13.22–$541.50	35% above	30%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 HC Office O/P Established Pt Level 3	$252.70	$361.00	$13.22–$541.50	—	30%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HC Office O/P Established Pt Level 4	$319.20	$456.00	$23.80–$684.00	43% above	30%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 HC Office O/P Established Pt Level 4	$319.20	$456.00	$23.80–$684.00	—	30%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HC Office O/P Established Pt Level 2	$167.30	$239.00	$23.80–$239.00	29% above	30%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 HC Office O/P Established Pt Level 2	$167.30	$239.00	$23.80–$239.00	—	30%
Speech and language evaluation CPT 92523 HC Slp Eval Speech Sound Product Language Comprehe	$634.20	$906.00	$237.61–$1,024.45	8% above	30%
Speech and language evaluation CPT 92523 HC Telemed Eval Speech Sound Lang Co	$894.60	$1,278.00	$335.60–$1,278.00	53% above	30%
Speech and language evaluation inpatient CPT 92523 HC Slp Eval Speech Sound Product Language Comprehe	$634.20	$906.00	$237.61–$1,024.45	—	30%
Speech and language evaluation inpatient CPT 92523 HC Telemed Eval Speech Sound Lang Co	$894.60	$1,278.00	$335.60–$1,278.00	—	30%
Speech therapy session, individual CPT 92507 HC Tele Speech Therapy Treatment	$203.70	$291.00	$76.42–$472.05	32% below	30%
Speech therapy session, individual CPT 92507 HC Slp Speech/Hearing Therapy Individual	$203.70	$291.00	$76.42–$472.05	32% below	30%
Speech therapy session, individual inpatient CPT 92507 HC Slp Speech/Hearing Therapy Individual	$203.70	$291.00	$76.42–$472.05	—	30%
Speech therapy session, individual inpatient CPT 92507 HC Tele Speech Therapy Treatment	$203.70	$291.00	$76.42–$472.05	—	30%
Spirometry (breathing test) CPT 94010 HC Breathing Capacity Test - Office Spirometry	$364.00	$520.00	$136.55–$723.55	10% below	30%
Spirometry (breathing test) inpatient CPT 94010 HC Breathing Capacity Test - Office Spirometry	$364.00	$520.00	$136.55–$723.55	—	30%
Spirometry before and after a bronchodilator CPT 94060 HC Eval of Bronchospasm - Spirometry With Bronchod	$668.50	$955.00	$250.78–$1,389.08	5% below	30%
Spirometry before and after a bronchodilator inpatient CPT 94060 HC Eval of Bronchospasm - Spirometry With Bronchod	$668.50	$955.00	$250.78–$1,389.08	—	30%
TMS (transcranial magnetic stimulation), first session with mapping CPT 90867 HC Telemed Tcranial Magn Stim Tx Plan	$1,119.30	$1,599.00	$419.90–$1,599.00	20% above	30%
TMS (transcranial magnetic stimulation), first session with mapping inpatient CPT 90867 HC Telemed Tcranial Magn Stim Tx Plan	$1,119.30	$1,599.00	$419.90–$1,599.00	—	30%
Therapeutic activities (functional training), 15 minutes CPT 97530 Hosp Therapeut Actvity Direct Pt Contact	$163.80	$234.00	$61.45–$316.80	15% above	30%
Therapeutic activities (functional training), 15 minutes CPT 97530 HC Telemed Ot Functional Activities	$192.50	$275.00	$72.22–$275.00	35% above	30%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 Hosp Therapeut Actvity Direct Pt Contact	$163.80	$234.00	$61.45–$316.80	—	30%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HC Telemed Ot Functional Activities	$192.50	$275.00	$72.22–$275.00	—	30%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 HC Phlebotomy	$372.40	$532.00	$69.85–$576.16	32% above	30%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 HC Phlebotomy	$372.40	$532.00	$69.85–$576.16	—	30%
Visual field test, extended both sides CPT 92083 HC Visual Field Xm Uni/Bi W/Interp Extended Exam	$256.20	$366.00	$96.11–$864.24	—	30%
Visual field test, extended inpatient both sides CPT 92083 HC Visual Field Xm Uni/Bi W/Interp Extended Exam	$256.20	$366.00	$96.11–$864.24	—	30%

Vaccines

Procedure	Cash price	List price	Insurers pay	vs Massachusetts	Off list
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older CPT 90653 FLU VACC 2025-26(65YR UP)-MF59C(PF) 45 MCG(15 MCGX	$141.23	$201.75	$52.98–$201.75	at median	30%
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older CPT 90653 HC Pbb Iiv Adjuvanted Vaccine for Intramuscular Us	$295.16	$421.65	$0.01–$421.65	109% above	30%
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older inpatient CPT 90653 FLU VACC 2025-26(65YR UP)-MF59C(PF) 45 MCG(15 MCGX	$141.23	$201.75	$52.98–$201.75	—	30%
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older inpatient CPT 90653 HC Pbb Iiv Adjuvanted Vaccine for Intramuscular Us	$295.16	$421.65	$0.01–$421.65	—	30%
COVID-19 vaccine (Moderna), age 12 and older CPT 91322 COVID VACC 2025-26 (12 YRS UP) (MODERNA)(PF) 50 MC	$239.23	$341.76	$89.75–$341.76	at median	30%
COVID-19 vaccine (Moderna), age 12 and older CPT 91322 HC PB Imm Sarscov2 Vac 50 Mcg/0.5ml Im	$578.60	$826.57	$0.01–$826.57	142% above	30%
COVID-19 vaccine (Moderna), age 12 and older inpatient CPT 91322 COVID VACC 2025-26 (12 YRS UP) (MODERNA)(PF) 50 MC	$239.23	$341.76	$89.75–$341.76	—	30%
COVID-19 vaccine (Moderna), age 12 and older inpatient CPT 91322 HC PB Imm Sarscov2 Vac 50 Mcg/0.5ml Im	$578.60	$826.57	$0.01–$826.57	—	30%
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 HC Pbb Imm Sarscv2 Vac 30mcg Trs-Suc Im	$309.75	$442.50	$116.20–$442.50	24% below	30%
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older inpatient CPT 91320 HC Pbb Imm Sarscv2 Vac 30mcg Trs-Suc Im	$309.75	$442.50	$116.20–$442.50	—	30%
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 HC Pbb Var Vaccine Live for Subcutaneous Use	$434.82	$621.17	$0.01–$621.17	12% above	30%
Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 HC Pbb Var Vaccine Live for Subcutaneous Use	$434.82	$621.17	$0.01–$621.17	—	30%
DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) CPT 90696 HC Pbb Dtap-Ipv Vaccine Child 4-6 Yrs for Im Use	$345.65	$493.79	$0.01–$493.79	at median	30%
DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) inpatient CPT 90696 HC Pbb Dtap-Ipv Vaccine Child 4-6 Yrs for Im Use	$345.65	$493.79	$0.01–$493.79	—	30%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 DIPH PERTUS(ACEL) TET PED(PF) 25 UNIT-58 MCG-10 LF	$55.40	$79.14	$20.78–$79.14	14% below	30%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 DIPH PERTUS(ACEL) TET PEDI (PF) 15 LF UNIT-10 MCG-	$73.35	$104.78	$27.52–$104.78	14% above	30%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 HC Pbb Dtap Immunization Im <7 Yo	$117.85	$168.35	$0.01–$168.35	83% above	30%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 DIPH PERTUS(ACEL) TET PED(PF) 25 UNIT-58 MCG-10 LF	$55.40	$79.14	$20.78–$79.14	—	30%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 DIPH PERTUS(ACEL) TET PEDI (PF) 15 LF UNIT-10 MCG-	$73.35	$104.78	$27.52–$104.78	—	30%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 HC Pbb Dtap Immunization Im <7 Yo	$117.85	$168.35	$0.01–$168.35	—	30%
DTaP, hepatitis B and polio combination vaccine (Pediarix) CPT 90723 HEP B-DP(A)T-POLIO VACC (PF) 10 MCG-25LF-25 MCG-10	$164.02	$234.31	$66.54–$234.31	20% below	30%
DTaP, hepatitis B and polio combination vaccine (Pediarix) CPT 90723 HC Pbb Dtap-Hepb-Ipv Vaccine Intramuscular	$322.00	$460.00	$0.01–$460.00	57% above	30%
DTaP, hepatitis B and polio combination vaccine (Pediarix) inpatient CPT 90723 HEP B-DP(A)T-POLIO VACC (PF) 10 MCG-25LF-25 MCG-10	$164.02	$234.31	$66.54–$234.31	—	30%
DTaP, hepatitis B and polio combination vaccine (Pediarix) inpatient CPT 90723 HC Pbb Dtap-Hepb-Ipv Vaccine Intramuscular	$322.00	$460.00	$0.01–$460.00	—	30%
DTaP, polio and Hib combination vaccine (Pentacel) CPT 90698 HC Pbb Dtap-Ipv/Hib Vaccine for Intramuscular Use	$257.24	$367.49	$0.01–$367.49	at median	30%
DTaP, polio and Hib combination vaccine (Pentacel) inpatient CPT 90698 HC Pbb Dtap-Ipv/Hib Vaccine for Intramuscular Use	$257.24	$367.49	$0.01–$367.49	—	30%
DTaP, polio, Hib and hepatitis B combination vaccine (Vaxelis) CPT 90697 HC Dtap-Ipv-Hib-Hepb Vaccine Intramuscular	$336.66	$480.94	$126.29–$480.94	at median	30%
DTaP, polio, Hib and hepatitis B combination vaccine (Vaxelis) inpatient CPT 90697 HC Dtap-Ipv-Hib-Hepb Vaccine Intramuscular	$336.66	$480.94	$126.29–$480.94	—	30%
Flu shot, recombinant, egg-free (Flublok) CPT 90673 HC Pbb Riv3 Vaccine Preservative Free for Im Use	$381.21	$544.59	$39.56–$544.59	72% above	30%
Flu shot, recombinant, egg-free (Flublok) inpatient CPT 90673 HC Pbb Riv3 Vaccine Preservative Free for Im Use	$381.21	$544.59	$39.56–$544.59	—	30%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 HC Pbb Iiv3 Vacc Preservative Free 6mo and Up Im U	$103.34	$147.63	$0.01–$147.63	98% above	30%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 PR Iiv3 Vacc Preservative Free 6mo and Up Im Use	$104.55	$149.36	$19.26–$149.36	100% above	30%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 HC Pbb Iiv3 Vacc Preservative Free 6mo and Up Im U	$103.34	$147.63	$0.01–$147.63	—	30%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 PR Iiv3 Vacc Preservative Free 6mo and Up Im Use	$104.55	$149.36	$19.26–$149.36	—	30%
HPV vaccine, 9-valent (Gardasil 9) CPT 90651 HC Pbb 9vhpv Vacc 2/3 Dose Sched Im Use	$1,353.39	$1,933.42	$0.01–$1,933.42	118% above	30%
HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 HC Pbb 9vhpv Vacc 2/3 Dose Sched Im Use	$1,353.39	$1,933.42	$0.01–$1,933.42	—	30%
Hepatitis A and B combination vaccine, adult (Twinrix) CPT 90636 HC Pbb Hepa/Hepb Vaccine Adult Im	$242.18	$345.97	$0.01–$345.97	at median	30%
Hepatitis A and B combination vaccine, adult (Twinrix) CPT 90636 HEPATITIS A AND B VIRUS VACCINE(PF)720 ELISA UNIT-	$251.66	$359.51	$94.41–$359.51	4% above	30%
Hepatitis A and B combination vaccine, adult (Twinrix) inpatient CPT 90636 HC Pbb Hepa/Hepb Vaccine Adult Im	$242.18	$345.97	$0.01–$345.97	—	30%
Hepatitis A and B combination vaccine, adult (Twinrix) inpatient CPT 90636 HEPATITIS A AND B VIRUS VACCINE(PF)720 ELISA UNIT-	$251.66	$359.51	$94.41–$359.51	—	30%
Hepatitis A vaccine, adult dose CPT 90632 HC Pbb Hepa Vaccine Adult Dose for Intramuscular U	$167.80	$239.71	$0.01–$239.71	2% below	30%
Hepatitis A vaccine, adult dose CPT 90632 HEPATITIS A VACCINE (PF) 1 440 ELISA UNIT/ML IM IN	$171.58	$245.12	$64.37–$245.12	at median	30%
Hepatitis A vaccine, adult dose inpatient CPT 90632 HC Pbb Hepa Vaccine Adult Dose for Intramuscular U	$167.80	$239.71	$0.01–$239.71	—	30%
Hepatitis A vaccine, adult dose inpatient CPT 90632 HEPATITIS A VACCINE (PF) 1 440 ELISA UNIT/ML IM IN	$171.58	$245.12	$64.37–$245.12	—	30%
Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 HEPATITIS A VIRUS VACCINE (PF) 720 ELISA UNIT/0.5	$72.45	$103.50	$29.39–$103.50	4% below	30%
Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 HC Pbb Hepa Vaccine 2 Dose Schedule Ped/Adolesc Im	$139.52	$199.32	$0.01–$199.32	84% above	30%
Hepatitis A vaccine, child and teen dose (2-dose schedule) inpatient CPT 90633 HEPATITIS A VIRUS VACCINE (PF) 720 ELISA UNIT/0.5	$72.45	$103.50	$29.39–$103.50	—	30%
Hepatitis A vaccine, child and teen dose (2-dose schedule) inpatient CPT 90633 HC Pbb Hepa Vaccine 2 Dose Schedule Ped/Adolesc Im	$139.52	$199.32	$0.01–$199.32	—	30%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HC Pbb Hepb Vaccine Adult 3 Dose Schedule for Im U	$111.31	$159.02	$0.01–$164.16	17% below	30%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HC Pbb Hepb Vaccine Adult 3 Dose Schedule for Im U	$111.31	$159.02	$0.01–$164.16	—	30%
Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) CPT 90739 HEPATITIS B VACCINE 20 MCG/0.5 ML-ADJUVANT CPG 101	$331.17	$473.10	$124.24–$473.10	5% above	30%
Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) CPT 90739 HC Pbb Imm Hepb Vaccine Adult 2 Dose Schedule for	$634.16	$905.94	$0.01–$905.94	101% above	30%
Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) inpatient CPT 90739 HEPATITIS B VACCINE 20 MCG/0.5 ML-ADJUVANT CPG 101	$331.17	$473.10	$124.24–$473.10	—	30%
Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) inpatient CPT 90739 HC Pbb Imm Hepb Vaccine Adult 2 Dose Schedule for	$634.16	$905.94	$0.01–$905.94	—	30%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HC Pbb Hepb Vaccine Ped/Adolesc 3 Dose Schedule Im	$100.18	$143.12	$0.01–$143.12	70% above	30%
Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 HC Pbb Hepb Vaccine Ped/Adolesc 3 Dose Schedule Im	$100.18	$143.12	$0.01–$143.12	—	30%
Hib vaccine (Haemophilus influenzae type b), 3-dose schedule (PedvaxHIB) CPT 90647 HAEMOPH B POLYSAC CONJ-MENING (PF) 7.5 MCG/0.5 ML	$75.75	$108.21	$30.73–$108.21	45% below	30%
Hib vaccine (Haemophilus influenzae type b), 3-dose schedule (PedvaxHIB) CPT 90647 HC Pbb Hib Prp-Omp Vaccine 3 Dose Schedule Im Use	$137.40	$196.28	$55.74–$196.28	at median	30%
Hib vaccine (Haemophilus influenzae type b), 3-dose schedule (PedvaxHIB) inpatient CPT 90647 HAEMOPH B POLYSAC CONJ-MENING (PF) 7.5 MCG/0.5 ML	$75.75	$108.21	$30.73–$108.21	—	30%
Hib vaccine (Haemophilus influenzae type b), 3-dose schedule (PedvaxHIB) inpatient CPT 90647 HC Pbb Hib Prp-Omp Vaccine 3 Dose Schedule Im Use	$137.40	$196.28	$55.74–$196.28	—	30%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 HC Pbb Hib Prp-T Vaccine 4 Dose Schedule Im Use	$28.55	$40.79	$0.01–$40.79	at median	30%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 HAEMOPHILUS B POLYSACCHARID CONJ-TETANUS TOX(PF) 1	$29.23	$41.75	$10.96–$41.75	2% above	30%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) inpatient CPT 90648 HC Pbb Hib Prp-T Vaccine 4 Dose Schedule Im Use	$28.55	$40.79	$0.01–$40.79	—	30%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) inpatient CPT 90648 HAEMOPHILUS B POLYSACCHARID CONJ-TETANUS TOX(PF) 1	$29.23	$41.75	$10.96–$41.75	—	30%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 HC Pbb Iiv Vaccine Preserv Free Increased Ag Count	$381.21	$544.59	$0.01–$544.59	74% above	30%
High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 HC Pbb Iiv Vaccine Preserv Free Increased Ag Count	$381.21	$544.59	$0.01–$544.59	—	30%
Japanese encephalitis vaccine (Ixiaro), 2-dose schedule CPT 90738 JAPANESE ENCEPHALITIS VACCINE (PF) 6 MCG/0.5 ML IN	$774.59	$1,106.55	$207.76–$1,106.55	12% above	30%
Japanese encephalitis vaccine (Ixiaro), 2-dose schedule CPT 90738 HC Pbb Japanese Enceph Vacc Inactivated Im	$1,407.39	$2,010.56	$207.76–$2,010.56	103% above	30%
Japanese encephalitis vaccine (Ixiaro), 2-dose schedule inpatient CPT 90738 JAPANESE ENCEPHALITIS VACCINE (PF) 6 MCG/0.5 ML IN	$774.59	$1,106.55	$207.76–$1,106.55	—	30%
Japanese encephalitis vaccine (Ixiaro), 2-dose schedule inpatient CPT 90738 HC Pbb Japanese Enceph Vacc Inactivated Im	$1,407.39	$2,010.56	$207.76–$2,010.56	—	30%
MMR vaccine (measles, mumps and rubella), live CPT 90707 HC Pbb Mmr Virus Immunization Subcut	$213.85	$305.50	$0.01–$305.50	16% above	30%
MMR vaccine (measles, mumps and rubella), live CPT 90707 MEASLES MUMPS RUBELLA VACCINE LIVE(PF)1 000-12 500	$224.36	$320.52	$84.17–$320.52	21% above	30%
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 HC Pbb Mmr Virus Immunization Subcut	$213.85	$305.50	$0.01–$305.50	—	30%
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 MEASLES MUMPS RUBELLA VACCINE LIVE(PF)1 000-12 500	$224.36	$320.52	$84.17–$320.52	—	30%
MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) CPT 90710 HC Pbb Combined Vaccine Mmr+Varicella Sub-Q	$660.05	$942.93	$0.01–$942.93	115% above	30%
MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) inpatient CPT 90710 HC Pbb Combined Vaccine Mmr+Varicella Sub-Q	$660.05	$942.93	$0.01–$942.93	—	30%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 HC Pbb Menacwy Conjugate Vaccine Groups Acyw-135 I	$402.86	$575.52	$0.01–$575.52	48% above	30%
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 HC Pbb Menacwy Conjugate Vaccine Groups Acyw-135 I	$402.86	$575.52	$0.01–$575.52	—	30%
Meningococcal ACWY vaccine (MenQuadfi) CPT 90619 HC Menacwy-Tt Conj Vacc Serogroups Acwy for Im Use	$791.15	$1,130.22	$0.01–$1,130.22	86% above	30%
Meningococcal ACWY vaccine (MenQuadfi) inpatient CPT 90619 HC Menacwy-Tt Conj Vacc Serogroups Acwy for Im Use	$791.15	$1,130.22	$0.01–$1,130.22	—	30%
Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 MENINGOCOCCAL B VAC 4-CMP 50 MCG-50 MCG-50 MCG-25	$407.29	$581.84	$137.09–$581.84	11% below	30%
Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 HC Pbb Menb-4c Recombnt Prot & Outer Memb Vesic Va	$831.82	$1,188.31	$0.01–$1,188.31	81% above	30%
Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 MENINGOCOCCAL B VAC 4-CMP 50 MCG-50 MCG-50 MCG-25	$407.29	$581.84	$137.09–$581.84	—	30%
Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 HC Pbb Menb-4c Recombnt Prot & Outer Memb Vesic Va	$831.82	$1,188.31	$0.01–$1,188.31	—	30%
Meningococcal B vaccine (Trumenba) CPT 90621 N.MENINGITIDIS GROUP B LIPID FHBP 120 MCG/0.5 ML I	$382.28	$546.12	$98.68–$546.12	at median	30%
Meningococcal B vaccine (Trumenba) CPT 90621 HC Pbb Menb-Fhbp Recombnt Lipoprotein Vacc 2/3 Dos	$923.27	$1,318.95	$0.01–$1,318.95	142% above	30%
Meningococcal B vaccine (Trumenba) inpatient CPT 90621 N.MENINGITIDIS GROUP B LIPID FHBP 120 MCG/0.5 ML I	$382.28	$546.12	$98.68–$546.12	—	30%
Meningococcal B vaccine (Trumenba) inpatient CPT 90621 HC Pbb Menb-Fhbp Recombnt Lipoprotein Vacc 2/3 Dos	$923.27	$1,318.95	$0.01–$1,318.95	—	30%
Mpox and smallpox vaccine (Jynneos), 2-dose schedule CPT 90611 HC Smallpox&Monkeypox Vac 0.5ml	$1,360.80	$1,944.00	$0.01–$1,944.00	at median	30%
Mpox and smallpox vaccine (Jynneos), 2-dose schedule inpatient CPT 90611 HC Smallpox&Monkeypox Vac 0.5ml	$1,360.80	$1,944.00	$0.01–$1,944.00	—	30%
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 HC Pbb Pcv13 Vaccine for Intramuscular Use	$549.50	$785.00	$0.01–$785.00	at median	30%
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) inpatient CPT 90670 HC Pbb Pcv13 Vaccine for Intramuscular Use	$549.50	$785.00	$0.01–$785.00	—	30%
Pneumonia vaccine, 15-valent conjugate (Vaxneuvance) CPT 90671 HC Pcv15 Vaccine for Intramuscular Use	$1,026.61	$1,466.58	$239.86–$1,466.58	at median	30%
Pneumonia vaccine, 15-valent conjugate (Vaxneuvance) inpatient CPT 90671 HC Pcv15 Vaccine for Intramuscular Use	$1,026.61	$1,466.58	$239.86–$1,466.58	—	30%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 HC Pcv20 Vaccine for Intramuscular Use	$1,166.48	$1,666.40	$0.01–$1,666.40	107% above	30%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 HC Pcv20 Vaccine for Intramuscular Use	$1,166.48	$1,666.40	$0.01–$1,666.40	—	30%
Pneumonia vaccine, 21-valent conjugate (Capvaxive) CPT 90684 PNEUMOCOCCAL 21-VALENT CONJ VACCINE-DIP CRM (PF) 0	$595.32	$850.46	$223.33–$850.46	31% below	30%
Pneumonia vaccine, 21-valent conjugate (Capvaxive) CPT 90684 HC Pbb Pcv21 Vaccine Im	$864.78	$1,235.40	$324.42–$1,235.40	at median	30%
Pneumonia vaccine, 21-valent conjugate (Capvaxive) inpatient CPT 90684 PNEUMOCOCCAL 21-VALENT CONJ VACCINE-DIP CRM (PF) 0	$595.32	$850.46	$223.33–$850.46	—	30%
Pneumonia vaccine, 21-valent conjugate (Capvaxive) inpatient CPT 90684 HC Pbb Pcv21 Vaccine Im	$864.78	$1,235.40	$324.42–$1,235.40	—	30%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 HC Pbb Ppsv23 Vaccine 2 Yrs or Older for Subq/Im U	$550.93	$787.04	$113.81–$787.04	99% above	30%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 HC Pbb Ppsv23 Vaccine 2 Yrs or Older for Subq/Im U	$550.93	$787.04	$113.81–$787.04	—	30%
Polio vaccine, inactivated (IPV) CPT 90713 HC Pbb Poliomyelitis Immunizatn Inactv Sub-Q	$193.10	$275.85	$0.01–$275.85	113% above	30%
Polio vaccine, inactivated (IPV) inpatient CPT 90713 HC Pbb Poliomyelitis Immunizatn Inactv Sub-Q	$193.10	$275.85	$0.01–$275.85	—	30%
RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) CPT 90381 HC Pbp Imm Rsv Monoc Antb Seasn 1 Ml Im	$1,296.95	$1,852.79	$0.01–$1,852.79	at median	30%
RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) CPT 90381 NIRSEVIMAB-ALIP 100 MG/ML INTRAMUSCULAR SYRINGE	$1,384.16	$1,977.37	$491.90–$1,977.37	7% above	30%
RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) inpatient CPT 90381 HC Pbp Imm Rsv Monoc Antb Seasn 1 Ml Im	$1,296.95	$1,852.79	$0.01–$1,852.79	—	30%
RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) inpatient CPT 90381 NIRSEVIMAB-ALIP 100 MG/ML INTRAMUSCULAR SYRINGE	$1,384.16	$1,977.37	$491.90–$1,977.37	—	30%
RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 HC Pbb Imm Rsv Monoc Antb Seasn .5ml Im	$2,593.90	$3,705.57	$0.01–$3,705.57	30% above	30%
RSV antibody shot for infants, seasonal dose (0.5 mL) inpatient CPT 90380 HC Pbb Imm Rsv Monoc Antb Seasn .5ml Im	$2,593.90	$3,705.57	$0.01–$3,705.57	—	30%
RSV vaccine (Abrysvo), one dose for older adults or during pregnancy CPT 90678 RESP SYNCYTIAL VIRUS VAC PREF A AND B (PF) 120 MC	$661.43	$944.90	$248.13–$944.90	5% below	30%
RSV vaccine (Abrysvo), one dose for older adults or during pregnancy CPT 90678 HC Rsv Vaccine Pref Subunit Bivalent for Im Use	$730.23	$1,043.19	$0.01–$1,043.19	5% above	30%
RSV vaccine (Abrysvo), one dose for older adults or during pregnancy inpatient CPT 90678 RESP SYNCYTIAL VIRUS VAC PREF A AND B (PF) 120 MC	$661.43	$944.90	$248.13–$944.90	—	30%
RSV vaccine (Abrysvo), one dose for older adults or during pregnancy inpatient CPT 90678 HC Rsv Vaccine Pref Subunit Bivalent for Im Use	$730.23	$1,043.19	$0.01–$1,043.19	—	30%
RSV vaccine with adjuvant (Arexvy), one dose for older adults CPT 90679 HC Pbb Imm Rsv Vacc Pref Recomb Adjt Im	$625.10	$893.00	$234.50–$893.00	at median	30%
RSV vaccine with adjuvant (Arexvy), one dose for older adults inpatient CPT 90679 HC Pbb Imm Rsv Vacc Pref Recomb Adjt Im	$625.10	$893.00	$234.50–$893.00	—	30%
Rabies vaccine, one dose CPT 90675 HC Pbb Rabies Vaccine Im	$934.40	$1,334.85	$0.01–$1,334.85	4% above	30%
Rabies vaccine, one dose CPT 90675 RABIES VACCINE PURIFIED CHICKEN EMBRYO CELL (PF)	$965.58	$1,379.40	$303.24–$1,379.40	7% above	30%
Rabies vaccine, one dose inpatient CPT 90675 HC Pbb Rabies Vaccine Im	$934.40	$1,334.85	$0.01–$1,334.85	—	30%
Rabies vaccine, one dose inpatient CPT 90675 RABIES VACCINE PURIFIED CHICKEN EMBRYO CELL (PF)	$965.58	$1,379.40	$303.24–$1,379.40	—	30%
Rotavirus vaccine, oral, 2-dose schedule (Rotarix) CPT 90681 HC Pbb Rv1 Vaccine 2 Dose Schedule Live for Oral U	$177.35	$253.35	$71.95–$330.98	at median	30%
Rotavirus vaccine, oral, 2-dose schedule (Rotarix) inpatient CPT 90681 HC Pbb Rv1 Vaccine 2 Dose Schedule Live for Oral U	$177.35	$253.35	$71.95–$330.98	—	30%
Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) CPT 90680 HC Pbb Rv5 Vaccine 3 Dose Schedule Live for Oral U	$103.75	$148.22	$0.01–$235.75	at median	30%
Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) inpatient CPT 90680 HC Pbb Rv5 Vaccine 3 Dose Schedule Live for Oral U	$103.75	$148.22	$0.01–$235.75	—	30%
Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 VARICELLA-ZOSTER GLYCOE VACC-AS01B ADJ(PF) 50 MCG/	$422.65	$603.79	$140.49–$665.52	41% above	30%
Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 VARICELLA-ZOSTER GLYCOP E VACCINE (VIAL 2 OF 2) 50	$422.65	$603.79	$158.56–$665.52	41% above	30%
Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 HC Pbb Hzv Zoster Vacc Recombinant Adjuvanted Im N	$436.92	$624.17	$0.01–$624.17	46% above	30%
Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 VARICELLA-ZOSTER GLYCOE VACC-AS01B ADJ(PF) 50 MCG/	$422.65	$603.79	$140.49–$665.52	—	30%
Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 VARICELLA-ZOSTER GLYCOP E VACCINE (VIAL 2 OF 2) 50	$422.65	$603.79	$158.56–$665.52	—	30%
Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 HC Pbb Hzv Zoster Vacc Recombinant Adjuvanted Im N	$436.92	$624.17	$0.01–$624.17	—	30%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS AND DIPHTHERIA TX (PF) 5 LF UNIT-2 LF UNIT	$105.69	$150.99	$39.65–$150.99	23% above	30%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 HC Pbb Td Vaccine Prsrv Free 7 Yrs or Older for Im	$144.13	$205.90	$0.01–$205.90	67% above	30%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS AND DIPHTHERIA TX (PF) 5 LF UNIT-2 LF UNIT	$105.69	$150.99	$39.65–$150.99	—	30%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 HC Pbb Td Vaccine Prsrv Free 7 Yrs or Older for Im	$144.13	$205.90	$0.01–$205.90	—	30%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 DIPHTH PERTUSSIS(ACELL) TETANUS 2.5 LF UNIT-8 MCG-	$92.93	$132.75	$34.86–$132.75	4% below	30%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 HC Pbb Tdap Vaccine >7 Yo Im	$202.50	$289.29	$0.01–$289.29	109% above	30%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 DIPHTH PERTUSSIS(ACELL) TETANUS 2.5 LF UNIT-8 MCG-	$92.93	$132.75	$34.86–$132.75	—	30%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 HC Pbb Tdap Vaccine >7 Yo Im	$202.50	$289.29	$0.01–$289.29	—	30%
Typhoid vaccine, injectable (Vi polysaccharide) CPT 90691 TYPHOID VI POLYSACCH VACCINE 25 MCG/0.5 ML INTRAMU	$388.11	$554.44	$145.60–$554.44	86% above	30%
Typhoid vaccine, injectable (Vi polysaccharide) CPT 90691 HC Pbb Typhoid Vaccine Im	$677.15	$967.35	$0.01–$967.35	224% above	30%
Typhoid vaccine, injectable (Vi polysaccharide) inpatient CPT 90691 TYPHOID VI POLYSACCH VACCINE 25 MCG/0.5 ML INTRAMU	$388.11	$554.44	$145.60–$554.44	—	30%
Typhoid vaccine, injectable (Vi polysaccharide) inpatient CPT 90691 HC Pbb Typhoid Vaccine Im	$677.15	$967.35	$0.01–$967.35	—	30%
Typhoid vaccine, oral capsules (Vivotif) CPT 90690 HC Pbb Typhoid Vaccine Oral	$219.10	$313.00	$82.19–$313.00	34% above	30%
Typhoid vaccine, oral capsules (Vivotif) inpatient CPT 90690 HC Pbb Typhoid Vaccine Oral	$219.10	$313.00	$82.19–$313.00	—	30%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC Immuniz Admin 1 Single/Comb Vac/Toxoid	$53.90	$77.00	$6.53–$327.49	51% below	30%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC Immuniz Admin 1 Single/Comb Vac/Toxoid	$53.90	$77.00	$6.53–$327.49	—	30%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 HC Immuniz Admin Each Addl	$51.80	$74.00	$6.53–$74.00	5% above	30%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 HC Immuniz Admin Each Addl	$51.80	$74.00	$6.53–$74.00	—	30%
Yellow fever vaccine, live CPT 90717 HC Pbb Yellow Fever Immunizatn Live Sub-Q	$819.79	$1,171.13	$0.01–$1,171.13	129% above	30%
Yellow fever vaccine, live inpatient CPT 90717 HC Pbb Yellow Fever Immunizatn Live Sub-Q	$819.79	$1,171.13	$0.01–$1,171.13	—	30%

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

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

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

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

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

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

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

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

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

Source file: https://www.tuftsmedicine.org/sites/default/files/2026-03/043400617_tuftsmedicalcenter_standardcharges.csv.zip