Hospital Seattle-Tacoma-Bellevue, WA

Virginia Mason Medical Center

Virginia Mason Medical Center in Seattle, WA publishes cash prices for 525 common procedures listed here, from its own machine-readable price file updated Jan 1, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the Washington median for 403 of 514 procedures and above it for 94. By typical cash price it ranks #3 of 60 Washington hospitals and #2 of 18 hospitals in the Seattle, WA area, cheapest first. Select a procedure to compare it with other hospitals nearby.

1100 9th Ave., Seattle, WA 98101 Collected Sep 23, 2026 Source price file Check a bill from this hospital (206) 223-6600

Acute care hospital Nonprofit hospital Emergency department CMS star rating 5 of 5 CCN 500005 · CMS hospital register NPI 1801851258

Financial assistance

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

Virginia Mason 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.

State law

This state limits hospital bills for lower-income patients

Washington law (RCW 70.170.060) requires hospital charity care: patients with family income up to 300% of the federal poverty level owe nothing at hospitals in large health systems (200% at other hospitals), with 75% and 50% discounts up to 400% (300% at other hospitals). It covers the part of the bill a patient owes, insured or not. Ask the hospital for its charity care application. Other states' laws.

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 1 action for a hospital named Virginia Mason Medical Center in Seattle, WA:

May 12, 2025 Met requirements

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 Washington	Off list
Abdominal CT scan without and with contrast CPT 74170 X-R CT ABD W/WO CONTRAST	$1,312.23	$2,573.00	$1,543.80–$2,058.40	37% below	49%
Abdominal CT scan without and with contrast inpatient CPT 74170 X-R CT ABD W/WO CONTRAST	$1,312.23	$2,573.00	$1,648.01–$2,058.40	—	49%
Abdominal X-ray, 2 views CPT 74019 X-RAY EXAM ABDOMEN 2 VIEWS - TECH	$199.41	$391.00	$234.60–$312.80	39% below	49%
Abdominal X-ray, 2 views inpatient CPT 74019 X-RAY EXAM ABDOMEN 2 VIEWS - TECH	$199.41	$391.00	$250.44–$312.80	—	49%
Ankle X-ray, complete, 3 or more views CPT 73610 X-RAY ANKLE	$216.24	$424.00	$254.40–$339.20	30% below	49%
Ankle X-ray, complete, 3 or more views inpatient CPT 73610 X-RAY ANKLE	$216.24	$424.00	$271.57–$339.20	—	49%
Ankle-brachial index (ABI), blood pressure test for leg arteries both sides CPT 93922 LIMITED BILAT, NONINV PHYSIO STUDIES OF EXTREMITY ARTERIES	$333.03	$653.00	$391.80–$522.40	—	49%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient both sides CPT 93922 LIMITED BILAT, NONINV PHYSIO STUDIES OF EXTREMITY ARTERIES	$333.03	$653.00	$418.25–$522.40	—	49%
Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 X-R CT U XTREM BAS W/O CONTRA	$642.09	$1,259.00	$755.40–$1,007.20	55% below	49%
Arm CT scan without contrast (shoulder to hand, any part) inpatient CPT 73200 X-R CT U XTREM BAS W/O CONTRA	$642.09	$1,259.00	$806.39–$1,007.20	—	49%
Barium swallow (esophagus X-ray with contrast) CPT 74220 X-RAY ESOPHAGUS	$460.53	$903.00	$541.80–$722.40	24% below	49%
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 X-RAY ESOPHAGUS	$460.53	$903.00	$578.37–$722.40	—	49%
Bone scan, whole body (nuclear medicine) CPT 78306 BONE SCAN WHOLE BODY	$1,243.38	$2,438.00	$1,462.80–$1,950.40	17% below	49%
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 BONE SCAN WHOLE BODY	$1,243.38	$2,438.00	$1,561.54–$1,950.40	—	49%
Breast ultrasound, complete, one breast CPT 76641 ULTRASOUND BREAST COMPLETE - TECH	$332.52	$652.00	$391.20–$521.60	23% below	49%
Breast ultrasound, complete, one breast inpatient CPT 76641 ULTRASOUND BREAST COMPLETE - TECH	$332.52	$652.00	$417.61–$521.60	—	49%
Breast ultrasound, limited (one breast or one area) CPT 76642 ED - ULTRASOUND BREAST LIMITED	$150.45	$295.00	$177.00–$236.00	56% below	49%
Breast ultrasound, limited (one breast or one area) CPT 76642 ULTRASOUND BREAST LIMITED - TECH	$248.37	$487.00	$292.20–$389.60	27% below	49%
Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 ED - ULTRASOUND BREAST LIMITED	$150.45	$295.00	$188.95–$236.00	—	49%
Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 ULTRASOUND BREAST LIMITED - TECH	$248.37	$487.00	$311.92–$389.60	—	49%
CT angiography (CTA) of the abdomen and pelvis CPT 74174 CT ANGIO ABD&PELV W/O&W/DYE - TECH	$1,865.58	$3,658.00	$2,194.80–$2,926.40	48% below	49%
CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 CT ANGIO ABD&PELV W/O&W/DYE - TECH	$1,865.58	$3,658.00	$2,342.95–$2,926.40	—	49%
CT angiography (CTA) of the head CPT 70496 CT ANGIOGRAPHY, HEAD	$1,299.99	$2,549.00	$1,529.40–$2,039.20	38% below	49%
CT angiography (CTA) of the head inpatient CPT 70496 CT ANGIOGRAPHY, HEAD	$1,299.99	$2,549.00	$1,632.63–$2,039.20	—	49%
CT angiography (CTA) of the neck CPT 70498 CT ANGIOGRAPHY, NECK	$1,305.09	$2,559.00	$1,535.40–$2,047.20	42% below	49%
CT angiography (CTA) of the neck inpatient CPT 70498 CT ANGIOGRAPHY, NECK	$1,305.09	$2,559.00	$1,639.04–$2,047.20	—	49%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT ANGIOGRAPHY, CHEST	$1,353.54	$2,654.00	$1,592.40–$2,123.20	44% below	49%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CT ANGIOGRAPHY, CHEST	$1,353.54	$2,654.00	$1,699.89–$2,123.20	—	49%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CT ANGIO HRT W/3D IMAGE - TECH	$1,103.13	$2,163.00	$1,297.80–$1,730.40	5% below	49%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 CT ANGIO HRT W/3D IMAGE - TECH	$1,103.13	$2,163.00	$1,385.40–$1,730.40	—	49%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT HRT W/O DYE W/CA TEST - TECH	$66.30	$130.00	$78.00–$104.00	50% below	49%
CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 CT HRT W/O DYE W/CA TEST - TECH	$66.30	$130.00	$83.26–$104.00	—	49%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABD & PELVIS W/O CONTRAST - TECH	$1,263.27	$2,477.00	$1,486.20–$1,981.60	50% below	49%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT ABD & PELVIS W/O CONTRAST - TECH	$1,263.27	$2,477.00	$1,586.52–$1,981.60	—	49%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABDOMEN&PELVIS W/CONTRAST - TECH	$1,884.96	$3,696.00	$2,217.60–$2,956.80	39% below	49%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABDOMEN&PELVIS W/CONTRAST - TECH	$1,884.96	$3,696.00	$2,367.29–$2,956.80	—	49%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABD&PELV 1+ SECTION/REGNS - TECH	$2,130.27	$4,177.00	$2,506.20–$3,341.60	43% below	49%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT ABD&PELV 1+ SECTION/REGNS - TECH	$2,130.27	$4,177.00	$2,675.37–$3,341.60	—	49%
CT scan of the abdomen with contrast CPT 74160 X-R CT ABD WITH CONTRAST	$1,338.75	$2,625.00	$1,575.00–$2,100.00	29% below	49%
CT scan of the abdomen with contrast inpatient CPT 74160 X-R CT ABD WITH CONTRAST	$1,338.75	$2,625.00	$1,681.31–$2,100.00	—	49%
CT scan of the abdomen without contrast CPT 74150 X-R CT ABD W/O CONTRAST	$830.28	$1,628.00	$976.80–$1,302.40	42% below	49%
CT scan of the abdomen without contrast inpatient CPT 74150 X-R CT ABD W/O CONTRAST	$830.28	$1,628.00	$1,042.73–$1,302.40	—	49%
CT scan of the face and sinuses, no contrast dye CPT 70486 MAXILLOFACIAL W/O CONTRAST	$545.70	$1,070.00	$642.00–$856.00	51% below	49%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 MAXILLOFACIAL W/O CONTRAST	$545.70	$1,070.00	$685.33–$856.00	—	49%
CT scan of the head or brain, no contrast dye CPT 70450 X-R CT HEAD W/O CONTRAST	$678.81	$1,331.00	$798.60–$1,064.80	49% below	49%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 X-R CT HEAD W/O CONTRAST	$678.81	$1,331.00	$852.51–$1,064.80	—	49%
CT scan of the head with contrast CPT 70460 X-R CT HEAD W/CONTRAST	$998.07	$1,957.00	$1,174.20–$1,565.60	32% below	49%
CT scan of the head with contrast inpatient CPT 70460 X-R CT HEAD W/CONTRAST	$998.07	$1,957.00	$1,253.46–$1,565.60	—	49%
CT scan of the head without and with contrast CPT 70470 X-R CT HEAD W/WO CONTRAST	$1,045.50	$2,050.00	$1,230.00–$1,640.00	40% below	49%
CT scan of the head without and with contrast inpatient CPT 70470 X-R CT HEAD W/WO CONTRAST	$1,045.50	$2,050.00	$1,313.02–$1,640.00	—	49%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 X-R CT LS SPINE W/O CONTRAST	$731.34	$1,434.00	$860.40–$1,147.20	49% below	49%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 X-R CT LS SPINE W/O CONTRAST	$731.34	$1,434.00	$918.48–$1,147.20	—	49%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 X-R CT C SPINE W/O CONTRAST	$732.87	$1,437.00	$862.20–$1,149.60	51% below	49%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 X-R CT C SPINE W/O CONTRAST	$732.87	$1,437.00	$920.40–$1,149.60	—	49%
CT scan of the pelvis, with contrast dye CPT 72193 X-R CT PELVIS W/CONTRAST	$1,244.91	$2,441.00	$1,464.60–$1,952.80	31% below	49%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 X-R CT PELVIS W/CONTRAST	$1,244.91	$2,441.00	$1,563.46–$1,952.80	—	49%
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 DUPLEX SCAN X-TRACRANIAL ARTERIES/BI - TECH	$630.87	$1,237.00	$742.20–$989.60	—	49%
Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 DUPLEX SCAN X-TRACRANIAL ARTERIES/BI - TECH	$630.87	$1,237.00	$792.30–$989.60	—	49%
Chest CT scan without and with contrast CPT 71270 X-R CT THORAX W/WO CONTRAST	$1,320.90	$2,590.00	$1,554.00–$2,072.00	36% below	49%
Chest CT scan without and with contrast inpatient CPT 71270 X-R CT THORAX W/WO CONTRAST	$1,320.90	$2,590.00	$1,658.90–$2,072.00	—	49%
Chest X-ray, 2 views CPT 71046 X-RAY EXAM CHEST 2 VIEWS - TECH	$230.01	$451.00	$270.60–$360.80	21% below	49%
Chest X-ray, 2 views inpatient CPT 71046 X-RAY EXAM CHEST 2 VIEWS - TECH	$230.01	$451.00	$288.87–$360.80	—	49%
Chest X-ray, single view CPT 71045 X-RAY EXAM CHEST 1 VIEW - TECH	$249.90	$490.00	$294.00–$392.00	4% above	49%
Chest X-ray, single view inpatient CPT 71045 X-RAY EXAM CHEST 1 VIEW - TECH	$249.90	$490.00	$313.84–$392.00	—	49%
Collarbone (clavicle) X-ray, complete CPT 73000 X-RAY CLAVICLE	$198.39	$389.00	$233.40–$311.20	28% below	49%
Collarbone (clavicle) X-ray, complete inpatient CPT 73000 X-RAY CLAVICLE	$198.39	$389.00	$249.15–$311.20	—	49%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 ULTRASND,RETROPERITONEAL, REAL TIME W IMG DOC,COMPLT	$461.04	$904.00	$542.40–$723.20	26% below	49%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 ULTRASND,RETROPERITONEAL, REAL TIME W IMG DOC,COMPLT	$461.04	$904.00	$579.01–$723.20	—	49%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 DXA BONE DENSITY, AXIAL - TECH	$273.36	$536.00	$321.60–$428.80	35% below	49%
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 DXA BONE DENSITY, AXIAL - TECH	$273.36	$536.00	$343.31–$428.80	—	49%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 DXA BONE DENSITY/PERIPHERAL - TECH	$153.51	$301.00	$180.60–$240.80	11% below	49%
DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 DXA BONE DENSITY/PERIPHERAL - TECH	$153.51	$301.00	$192.79–$240.80	—	49%
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 ULTRASOUND, EVAL PLUS DET FETAL ANAT EXAM, SNGL/1ST GEST	$493.68	$968.00	$580.80–$774.40	31% below	49%
Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 ULTRASOUND, EVAL PLUS DET FETAL ANAT EXAM, SNGL/1ST GEST	$493.68	$968.00	$620.00–$774.40	—	49%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 X-R CT THORAX W/O CONTRAST	$967.98	$1,898.00	$1,138.80–$1,518.40	35% below	49%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 X-R CT THORAX W/O CONTRAST	$967.98	$1,898.00	$1,215.67–$1,518.40	—	49%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 X-R CT THORAX WITH CONTRAST	$1,308.15	$2,565.00	$1,539.00–$2,052.00	31% below	49%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 X-R CT THORAX WITH CONTRAST	$1,308.15	$2,565.00	$1,642.88–$2,052.00	—	49%
Diagnostic mammogram, both breasts both sides CPT 77066 DX MAMMO INCL CAD BI - TECH	$284.07	$557.00	$334.20–$445.60	—	49%
Diagnostic mammogram, both breasts both sides CPT 77066 DIAG MAMMO, WITH DIRECT DIG IMG,BILAT,2 VIEW EA, INCL CAD	$284.07	$557.00	$334.20–$445.60	—	49%
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 DIAG MAMMO, WITH DIRECT DIG IMG,BILAT,2 VIEW EA, INCL CAD	$284.07	$557.00	$356.76–$445.60	—	49%
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 DX MAMMO INCL CAD BI - TECH	$284.07	$557.00	$356.76–$445.60	—	49%
Diagnostic mammogram, one breast CPT 77065 DX MAMMO INCL CAD UNI - TECH	$233.07	$457.00	$274.20–$365.60	39% below	49%
Diagnostic mammogram, one breast CPT 77065 DIAG MAMMO, WITH DIRECT DIG IMG,UNI, 2 VIEW EA, INCL CAD	$233.07	$457.00	$274.20–$365.60	39% below	49%
Diagnostic mammogram, one breast inpatient CPT 77065 DIAG MAMMO, WITH DIRECT DIG IMG,UNI, 2 VIEW EA, INCL CAD	$233.07	$457.00	$292.71–$365.60	—	49%
Diagnostic mammogram, one breast inpatient CPT 77065 DX MAMMO INCL CAD UNI - TECH	$233.07	$457.00	$292.71–$365.60	—	49%
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 DUPLEX LOWER EXTREMITY ARTERIES OR BYPASS GRAFTS,BILAT	$641.07	$1,257.00	$754.20–$1,005.60	—	49%
Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 DUPLEX LOWER EXTREMITY ARTERIES OR BYPASS GRAFTS,BILAT	$641.07	$1,257.00	$805.11–$1,005.60	—	49%
Duplex ultrasound of the leg veins, both legs CPT 93970 EXTREMITY STUDY	$858.33	$1,683.00	$1,009.80–$1,346.40	20% below	49%
Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 EXTREMITY STUDY	$858.33	$1,683.00	$1,077.96–$1,346.40	—	49%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 PACKAGE PRICE, NW MEDICAL SPECIALTIES, TTE W DOPPLER	$216.75	$425.00	$255.00–$340.00	87% below	49%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 TTE W/DOPPLER, COMPLETE - TECH	$1,323.45	$2,595.00	$1,557.00–$2,076.00	21% below	49%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 PACKAGE PRICE, NW MEDICAL SPECIALTIES, TTE W DOPPLER	$216.75	$425.00	$272.21–$340.00	—	49%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 TTE W/DOPPLER, COMPLETE - TECH	$1,323.45	$2,595.00	$1,662.10–$2,076.00	—	49%
Elbow X-ray, 2 views CPT 73070 X-RAY ELBOW	$189.72	$372.00	$223.20–$297.60	29% below	49%
Elbow X-ray, 2 views inpatient CPT 73070 X-RAY ELBOW	$189.72	$372.00	$238.27–$297.60	—	49%
Elbow X-ray, complete, 3 or more views CPT 73080 XRAY EXAM OF ELBOW,COMPLETE,MIN OF 3 VIEWS	$201.45	$395.00	$237.00–$316.00	36% below	49%
Elbow X-ray, complete, 3 or more views inpatient CPT 73080 XRAY EXAM OF ELBOW,COMPLETE,MIN OF 3 VIEWS	$201.45	$395.00	$253.00–$316.00	—	49%
Eye socket (orbit) CT scan without contrast CPT 70480 X-R CT ORBITS W/O CONTRAST	$691.05	$1,355.00	$813.00–$1,084.00	44% below	49%
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 X-R CT ORBITS W/O CONTRAST	$691.05	$1,355.00	$867.88–$1,084.00	—	49%
Facial bones X-ray, complete, 3 or more views CPT 70150 X-RAY FACIAL BONES 3 VIEW	$251.94	$494.00	$296.40–$395.20	32% below	49%
Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 X-RAY FACIAL BONES 3 VIEW	$251.94	$494.00	$316.41–$395.20	—	49%
Forearm X-ray (radius and ulna), 2 views CPT 73090 X-RAY FOREARM	$201.45	$395.00	$237.00–$316.00	26% below	49%
Forearm X-ray (radius and ulna), 2 views inpatient CPT 73090 X-RAY FOREARM	$201.45	$395.00	$253.00–$316.00	—	49%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HEPATOBILIARY SYSTEM IMAGING - TECH	$1,318.35	$2,585.00	$1,551.00–$2,068.00	12% above	49%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 HEPATOBILIARY SYSTEM IMAGING - TECH	$1,318.35	$2,585.00	$1,655.69–$2,068.00	—	49%
Hand X-ray, 2 views CPT 73120 X-RAY HANDS ARTHRITIS	$221.34	$434.00	$260.40–$347.20	22% below	49%
Hand X-ray, 2 views inpatient CPT 73120 X-RAY HANDS ARTHRITIS	$221.34	$434.00	$277.98–$347.20	—	49%
Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 X-RAY OS CALCIS	$171.36	$336.00	$201.60–$268.80	34% below	49%
Heel bone (calcaneus) X-ray, 2 or more views inpatient CPT 73650 X-RAY OS CALCIS	$171.36	$336.00	$215.21–$268.80	—	49%
Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 SLEEP STUDY, UNATTENDED SIM RCRD HR,02,RESP AIRFLOW & EFF	$451.35	$885.00	$531.00–$708.00	at median	49%
Home sleep apnea test, unattended, recording breathing and oxygen inpatient CPT 95806 SLEEP STUDY, UNATTENDED SIM RCRD HR,02,RESP AIRFLOW & EFF	$451.35	$885.00	$566.84–$708.00	—	49%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 POLYSOM,6+ YO,4 OR MORE ADDL PARAMETERS W/CONTINUOUS POS AI	$1,911.48	$3,748.00	$2,248.80–$2,998.40	45% below	49%
In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 POLYSOM,6+ YO,4 OR MORE ADDL PARAMETERS W/CONTINUOUS POS AI	$1,911.48	$3,748.00	$2,400.59–$2,998.40	—	49%
Knee X-ray, 3 views CPT 73562 KNEE 3 VIEWS	$196.86	$386.00	$231.60–$308.80	37% below	49%
Knee X-ray, 3 views inpatient CPT 73562 KNEE 3 VIEWS	$196.86	$386.00	$247.23–$308.80	—	49%
Knee X-ray, complete, 4 or more views CPT 73564 XRAY KNEE WT BEARING 4+ VIEW	$273.36	$536.00	$321.60–$428.80	35% below	49%
Knee X-ray, complete, 4 or more views inpatient CPT 73564 XRAY KNEE WT BEARING 4+ VIEW	$273.36	$536.00	$343.31–$428.80	—	49%
Leg CT scan without contrast (hip to foot, any part) CPT 73700 X-R CT L EXTREM BAS W/O CONTRA	$598.74	$1,174.00	$704.40–$939.20	55% below	49%
Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 X-R CT L EXTREM BAS W/O CONTRA	$598.74	$1,174.00	$751.95–$939.20	—	49%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 ED - ULTRASOUND, ABDOMINAL, REAL TIME W IMAGE DOC, LIMITED	$350.88	$688.00	$412.80–$550.40	31% below	49%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 ULTRASOUND, ABDOMINAL, REAL TIME W IMAGE DOC, LIMITED	$350.88	$688.00	$412.80–$550.40	31% below	49%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 ULTRASOUND, ABDOMINAL, REAL TIME W IMAGE DOC, LIMITED	$350.88	$688.00	$440.66–$550.40	—	49%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 ED - ULTRASOUND, ABDOMINAL, REAL TIME W IMAGE DOC, LIMITED	$350.88	$688.00	$440.66–$550.40	—	49%
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 ED - US XTR NON-VASC LMTD	$252.96	$496.00	$297.60–$396.80	20% below	49%
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 US XTR NON-VASC LMTD - TECH	$252.96	$496.00	$297.60–$396.80	20% below	49%
Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 US XTR NON-VASC LMTD - TECH	$252.96	$496.00	$317.69–$396.80	—	49%
Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 ED - US XTR NON-VASC LMTD	$252.96	$496.00	$317.69–$396.80	—	49%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT THORAX LUNG CANCER SCR C- - TECH	$222.36	$436.00	$261.60–$348.80	6% below	49%
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 CT THORAX LUNG CANCER SCR C- - TECH	$222.36	$436.00	$279.26–$348.80	—	49%
Lower leg X-ray (tibia and fibula), 2 views CPT 73590 X-RAY LOWER LEG TIBIA-FIBULA	$177.48	$348.00	$208.80–$278.40	36% below	49%
Lower leg X-ray (tibia and fibula), 2 views inpatient CPT 73590 X-RAY LOWER LEG TIBIA-FIBULA	$177.48	$348.00	$222.89–$278.40	—	49%
MR angiography (MRA) of the head without contrast CPT 70544 MR ANGIOGRAPHY HEAD W/O DYE	$1,219.41	$2,391.00	$1,434.60–$1,912.80	38% below	49%
MR angiography (MRA) of the head without contrast inpatient CPT 70544 MR ANGIOGRAPHY HEAD W/O DYE	$1,219.41	$2,391.00	$1,531.44–$1,912.80	—	49%
MRI of both breasts, without and then with contrast dye both sides CPT 77049 MRI BREAST C-+ W/CAD BI - TECH	$1,046.01	$2,051.00	$1,230.60–$1,640.80	—	49%
MRI of both breasts, without and then with contrast dye inpatient both sides CPT 77049 MRI BREAST C-+ W/CAD BI - TECH	$1,046.01	$2,051.00	$1,313.67–$1,640.80	—	49%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI LOWER EXT JOINT INTERM	$941.97	$1,847.00	$1,108.20–$1,477.60	50% below	49%
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 MRI LOWER EXT JOINT INTERM	$941.97	$1,847.00	$1,183.00–$1,477.60	—	49%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI JOINT LWR EXTR W/O AND W/ DYE	$1,686.57	$3,307.00	$1,984.20–$2,645.60	42% below	49%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 MRI JOINT LWR EXTR W/O AND W/ DYE	$1,686.57	$3,307.00	$2,118.13–$2,645.60	—	49%
MRI of the abdomen without contrast CPT 74181 MRI ABDOMEN-PELVIS INTERMED	$951.66	$1,866.00	$1,119.60–$1,492.80	54% below	49%
MRI of the abdomen without contrast inpatient CPT 74181 MRI ABDOMEN-PELVIS INTERMED	$951.66	$1,866.00	$1,195.17–$1,492.80	—	49%
MRI of the abdomen, without and then with contrast dye CPT 74183 MRI ABDOMEN W/O AND W/ DYE	$1,902.81	$3,731.00	$2,238.60–$2,984.80	39% below	49%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MRI ABDOMEN W/O AND W/ DYE	$1,902.81	$3,731.00	$2,389.71–$2,984.80	—	49%
MRI of the brain, no contrast dye CPT 70551 MRI-BRAIN	$989.40	$1,940.00	$1,164.00–$1,552.00	49% below	49%
MRI of the brain, no contrast dye inpatient CPT 70551 MRI-BRAIN	$989.40	$1,940.00	$1,242.57–$1,552.00	—	49%
MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN W+W/O MAGNEVIST	$1,476.45	$2,895.00	$1,737.00–$2,316.00	49% below	49%
MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI BRAIN W+W/O MAGNEVIST	$1,476.45	$2,895.00	$1,854.25–$2,316.00	—	49%
MRI of the lower back, no contrast dye CPT 72148 MRI LUMBAR SPINE	$1,098.03	$2,153.00	$1,291.80–$1,722.40	48% below	49%
MRI of the lower back, no contrast dye inpatient CPT 72148 MRI LUMBAR SPINE	$1,098.03	$2,153.00	$1,379.00–$1,722.40	—	49%
MRI of the lower back, without and then with contrast dye CPT 72158 MRI LUMBAR SPINE W+WO MAGNEVIS	$1,877.82	$3,682.00	$2,209.20–$2,945.60	38% below	49%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MRI LUMBAR SPINE W+WO MAGNEVIS	$1,877.82	$3,682.00	$2,358.32–$2,945.60	—	49%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI T-SPINE INTERMEDIATE	$1,134.75	$2,225.00	$1,335.00–$1,780.00	46% below	49%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MRI T-SPINE INTERMEDIATE	$1,134.75	$2,225.00	$1,425.11–$1,780.00	—	49%
MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI CERVICAL SPINE W+WO MAGNEV	$1,437.18	$2,818.00	$1,690.80–$2,254.40	51% below	49%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MRI CERVICAL SPINE W+WO MAGNEV	$1,437.18	$2,818.00	$1,804.93–$2,254.40	—	49%
MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI C-SPINE INTERMEDIATE	$892.50	$1,750.00	$1,050.00–$1,400.00	56% below	49%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MRI C-SPINE INTERMEDIATE	$892.50	$1,750.00	$1,120.88–$1,400.00	—	49%
MRI of the pelvis without and with contrast CPT 72197 MRI PELVIS W/O & W DYE - SOUND FERTILITY PKG PRICE	$815.49	$1,599.00	$959.40–$1,279.20	73% below	49%
MRI of the pelvis without and with contrast CPT 72197 MRI PELVIS W/O AND W/ DYE	$1,945.65	$3,815.00	$2,289.00–$3,052.00	36% below	49%
MRI of the pelvis without and with contrast inpatient CPT 72197 MRI PELVIS W/O & W DYE - SOUND FERTILITY PKG PRICE	$815.49	$1,599.00	$1,024.16–$1,279.20	—	49%
MRI of the pelvis without and with contrast inpatient CPT 72197 MRI PELVIS W/O AND W/ DYE	$1,945.65	$3,815.00	$2,443.51–$3,052.00	—	49%
MRI of the pelvis, no contrast dye CPT 72195 MRI PELVIS W/O DYE - SOUND FERTILITY PKG PRICE	$426.36	$836.00	$501.60–$668.80	78% below	49%
MRI of the pelvis, no contrast dye CPT 72195 MRI PELVIS W/O DYE	$1,167.39	$2,289.00	$1,373.40–$1,831.20	39% below	49%
MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI PELVIS W/O DYE - SOUND FERTILITY PKG PRICE	$426.36	$836.00	$535.46–$668.80	—	49%
MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI PELVIS W/O DYE	$1,167.39	$2,289.00	$1,466.10–$1,831.20	—	49%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MRI UPPER EXT JOINT INTERM	$1,053.66	$2,066.00	$1,239.60–$1,652.80	45% below	49%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 MRI UPPER EXT JOINT INTERM	$1,053.66	$2,066.00	$1,323.27–$1,652.80	—	49%
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 XRAY CERVICAL SPINE,FOUR OR FIVE VIEWS	$316.20	$620.00	$372.00–$496.00	29% below	49%
Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 XRAY CERVICAL SPINE,FOUR OR FIVE VIEWS	$316.20	$620.00	$397.11–$496.00	—	49%
Neck soft tissue CT scan with contrast CPT 70491 X-R CT NECK SOFT TISS W/CONTRS	$1,187.79	$2,329.00	$1,397.40–$1,863.20	29% below	49%
Neck soft tissue CT scan with contrast inpatient CPT 70491 X-R CT NECK SOFT TISS W/CONTRS	$1,187.79	$2,329.00	$1,491.72–$1,863.20	—	49%
Neck soft tissue CT scan without contrast CPT 70490 X-R CT NECK SOFT TISS W/O CONT	$677.28	$1,328.00	$796.80–$1,062.40	49% below	49%
Neck soft tissue CT scan without contrast inpatient CPT 70490 X-R CT NECK SOFT TISS W/O CONT	$677.28	$1,328.00	$850.58–$1,062.40	—	49%
Neck soft tissue X-ray CPT 70360 X-RAY SOFT TISSUES NECK	$208.08	$408.00	$244.80–$326.40	12% below	49%
Neck soft tissue X-ray inpatient CPT 70360 X-RAY SOFT TISSUES NECK	$208.08	$408.00	$261.32–$326.40	—	49%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 HT MUSCLE IMAGE SPECT, MULT - TECH	$2,880.48	$5,648.00	$3,388.80–$4,518.40	19% below	49%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 HT MUSCLE IMAGE SPECT, MULT - TECH	$2,880.48	$5,648.00	$3,617.54–$4,518.40	—	49%
OCT scan of the retina (optical coherence tomography) CPT 92134 CPTR OPHTH DX IMG POST SEGMT - TECH	$109.65	$215.00	$129.00–$172.00	37% above	49%
OCT scan of the retina (optical coherence tomography) inpatient CPT 92134 CPTR OPHTH DX IMG POST SEGMT - TECH	$109.65	$215.00	$137.71–$172.00	—	49%
PET/CT scan from the base of the skull to mid-thigh CPT 78815 TUMORIMAGE PET/CT SKUL-THIGH	$2,484.21	$4,871.00	$2,922.60–$3,896.80	43% below	49%
PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 TUMORIMAGE PET/CT SKUL-THIGH	$2,484.21	$4,871.00	$3,119.88–$3,896.80	—	49%
Pelvic CT scan without contrast CPT 72192 X-R CT PELVIS W/O CONTRAST	$697.17	$1,367.00	$820.20–$1,093.60	52% below	49%
Pelvic CT scan without contrast inpatient CPT 72192 X-R CT PELVIS W/O CONTRAST	$697.17	$1,367.00	$875.56–$1,093.60	—	49%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 ECHOGRAPHY, PELVIC NONOBST, REALTIME W IMG DOC, LIMITED	$298.35	$585.00	$351.00–$468.00	35% below	49%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 ED - ECHOGRAPHY, PELVIC NONOBST, REALTIME W IMG DOC, LTD	$298.35	$585.00	$351.00–$468.00	35% below	49%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 ED - ECHOGRAPHY, PELVIC NONOBST, REALTIME W IMG DOC, LTD	$298.35	$585.00	$374.69–$468.00	—	49%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 ECHOGRAPHY, PELVIC NONOBST, REALTIME W IMG DOC, LIMITED	$298.35	$585.00	$374.69–$468.00	—	49%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 ULTRASND, PELVIC, REAL TIME W IMG DOC, COMPLETE	$402.90	$790.00	$474.00–$632.00	33% below	49%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 ULTRASND, PELVIC, REAL TIME W IMG DOC, COMPLETE	$402.90	$790.00	$505.99–$632.00	—	49%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 ECHO PELVIC COMPLETE	$439.11	$861.00	$516.60–$688.80	32% below	49%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 ECHO PELVIC COMPLETE	$439.11	$861.00	$551.47–$688.80	—	49%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 ULTRASOUND, FETAL & MATERNAL EVAL, SNGL/1ST GEST	$457.47	$897.00	$538.20–$717.60	9% below	49%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 ULTRASOUND, FETAL & MATERNAL EVAL, SNGL/1ST GEST	$457.47	$897.00	$574.53–$717.60	—	49%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 ED - ECHO LIMITED FETAL AND MATERNAL EVAL	$364.14	$714.00	$428.40–$571.20	17% below	49%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 ECHOGRAM OB LIMITED	$364.14	$714.00	$428.40–$571.20	17% below	49%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 ED - ECHO LIMITED FETAL AND MATERNAL EVAL	$364.14	$714.00	$457.32–$571.20	—	49%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 ECHOGRAM OB LIMITED	$364.14	$714.00	$457.32–$571.20	—	49%
Rib X-ray, one side, 2 views one side CPT 71100 X-RAY RIBS - UNILATERAL	$172.38	$338.00	$202.80–$270.40	41% below	49%
Rib X-ray, one side, 2 views inpatient one side CPT 71100 X-RAY RIBS - UNILATERAL	$172.38	$338.00	$216.49–$270.40	—	49%
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 X-RAY UNILATERAL RIBS WITH CHEST	$273.36	$536.00	$321.60–$428.80	26% below	49%
Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 X-RAY UNILATERAL RIBS WITH CHEST	$273.36	$536.00	$343.31–$428.80	—	49%
Screening mammogram, both breasts both sides CPT 77067 SCRN MAMMO, W/DIRECT DIG IMG,BILAT,2 VIEW EA, INCL CAD	$233.58	$458.00	$274.80–$366.40	—	49%
Screening mammogram, both breasts both sides CPT 77067 SCR MAMMO BI INCL CAD - TECH	$245.31	$481.00	$288.60–$384.80	—	49%
Screening mammogram, both breasts inpatient both sides CPT 77067 SCRN MAMMO, W/DIRECT DIG IMG,BILAT,2 VIEW EA, INCL CAD	$233.58	$458.00	$293.35–$366.40	—	49%
Screening mammogram, both breasts inpatient both sides CPT 77067 SCR MAMMO BI INCL CAD - TECH	$245.31	$481.00	$308.08–$384.80	—	49%
Shoulder X-ray, complete, 2 or more views CPT 73030 X-RAY SHOULDER	$260.61	$511.00	$306.60–$408.80	20% below	49%
Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 X-RAY SHOULDER	$260.61	$511.00	$327.30–$408.80	—	49%
Sinus X-ray, complete, 3 or more views CPT 70220 X-RAY SINUSES COMPLETE	$150.45	$295.00	$177.00–$236.00	54% below	49%
Sinus X-ray, complete, 3 or more views inpatient CPT 70220 X-RAY SINUSES COMPLETE	$150.45	$295.00	$188.95–$236.00	—	49%
Skull X-ray, fewer than 4 views CPT 70250 X-RAY SKULL - LIMITED	$196.35	$385.00	$231.00–$308.00	32% below	49%
Skull X-ray, fewer than 4 views inpatient CPT 70250 X-RAY SKULL - LIMITED	$196.35	$385.00	$246.59–$308.00	—	49%
Sleep study in a lab (polysomnography) CPT 95810 POLYSOM, 6+ YO, 4 OR MORE PARAMETERS OF SLEEP,ATTND BY TECH	$1,991.04	$3,904.00	$2,342.40–$3,123.20	34% below	49%
Sleep study in a lab (polysomnography) inpatient CPT 95810 POLYSOM, 6+ YO, 4 OR MORE PARAMETERS OF SLEEP,ATTND BY TECH	$1,991.04	$3,904.00	$2,500.51–$3,123.20	—	49%
Stress echocardiogram, complete, including the stress test and supervision CPT 93351 STRESS TTE COMPLETE - TECH	$1,227.57	$2,407.00	$1,444.20–$1,925.60	8% above	49%
Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 STRESS TTE COMPLETE - TECH	$1,227.57	$2,407.00	$1,541.68–$1,925.60	—	49%
Swallow study (modified barium swallow, video X-ray) CPT 74230 XRAY SWALLOW FUNCT W/VIDEO	$419.22	$822.00	$493.20–$657.60	22% below	49%
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 XRAY SWALLOW FUNCT W/VIDEO	$419.22	$822.00	$526.49–$657.60	—	49%
Thigh bone (femur) X-ray, 2 or more views CPT 73552 X-RAY EXAM OF FEMUR GE 2 - TECH	$174.42	$342.00	$205.20–$273.60	33% below	49%
Thigh bone (femur) X-ray, 2 or more views inpatient CPT 73552 X-RAY EXAM OF FEMUR GE 2 - TECH	$174.42	$342.00	$219.05–$273.60	—	49%
Thoracic spine (mid back) CT scan without contrast CPT 72128 X-R CT TH SPINE W/O CONTRAST	$768.57	$1,507.00	$904.20–$1,205.60	47% below	49%
Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 X-R CT TH SPINE W/O CONTRAST	$768.57	$1,507.00	$965.23–$1,205.60	—	49%
Toe X-ray, 2 or more views CPT 73660 X-RAY TOES	$171.36	$336.00	$201.60–$268.80	30% below	49%
Toe X-ray, 2 or more views inpatient CPT 73660 X-RAY TOES	$171.36	$336.00	$215.21–$268.80	—	49%
Transvaginal pelvic ultrasound CPT 76830 ED - ULTRASOUND, TRANSVAGINAL	$366.18	$718.00	$430.80–$574.40	27% below	49%
Transvaginal pelvic ultrasound CPT 76830 TRANSVAGINAL ULTRASOUND	$402.90	$790.00	$474.00–$632.00	19% below	49%
Transvaginal pelvic ultrasound inpatient CPT 76830 ED - ULTRASOUND, TRANSVAGINAL	$366.18	$718.00	$459.88–$574.40	—	49%
Transvaginal pelvic ultrasound inpatient CPT 76830 TRANSVAGINAL ULTRASOUND	$402.90	$790.00	$505.99–$632.00	—	49%
Transvaginal ultrasound during pregnancy CPT 76817 ED - ULTRASOUND, REALTIME W/IMAGE DOC, TRANSVAG	$360.57	$707.00	$424.20–$565.60	15% below	49%
Transvaginal ultrasound during pregnancy CPT 76817 ULTRASOUND, REALTIME W/IMAGE DOC, TRANSVAG	$360.57	$707.00	$424.20–$565.60	15% below	49%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 ED - ULTRASOUND, REALTIME W/IMAGE DOC, TRANSVAG	$360.57	$707.00	$452.83–$565.60	—	49%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 ULTRASOUND, REALTIME W/IMAGE DOC, TRANSVAG	$360.57	$707.00	$452.83–$565.60	—	49%
Ultrasound of the abdomen, complete CPT 76700 ULTRASND, ABD, REAL TIME W IMG DOC, COMPLETE	$398.31	$781.00	$468.60–$624.80	43% below	49%
Ultrasound of the abdomen, complete inpatient CPT 76700 ULTRASND, ABD, REAL TIME W IMG DOC, COMPLETE	$398.31	$781.00	$500.23–$624.80	—	49%
Ultrasound of the scrotum and testicles CPT 76870 ED - ULTRASOUND, SCROTUM AND CONTENTS	$370.77	$727.00	$436.20–$581.60	36% below	49%
Ultrasound of the scrotum and testicles CPT 76870 ECHOGRAM SCROTUM	$370.77	$727.00	$436.20–$581.60	36% below	49%
Ultrasound of the scrotum and testicles inpatient CPT 76870 ED - ULTRASOUND, SCROTUM AND CONTENTS	$370.77	$727.00	$465.64–$581.60	—	49%
Ultrasound of the scrotum and testicles inpatient CPT 76870 ECHOGRAM SCROTUM	$370.77	$727.00	$465.64–$581.60	—	49%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 ED - ULTRSND, SOFT TISSUE OF HEAD/NECK, REAL TIME W IMG DOC	$366.18	$718.00	$430.80–$574.40	35% below	49%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 ULTRSND, SOFT TISSUES OF HEAD & NCK, REAL TIME W IMAG DOC	$366.18	$718.00	$430.80–$574.40	35% below	49%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 ULTRSND, SOFT TISSUES OF HEAD & NCK, REAL TIME W IMAG DOC	$366.18	$718.00	$459.88–$574.40	—	49%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 ED - ULTRSND, SOFT TISSUE OF HEAD/NECK, REAL TIME W IMG DOC	$366.18	$718.00	$459.88–$574.40	—	49%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 X-RAY UPPER GI	$456.45	$895.00	$537.00–$716.00	33% below	49%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 X-RAY UPPER GI	$456.45	$895.00	$573.25–$716.00	—	49%
Upper arm X-ray (humerus), 2 views CPT 73060 X-RAY HUMERUS	$205.02	$402.00	$241.20–$321.60	26% below	49%
Upper arm X-ray (humerus), 2 views inpatient CPT 73060 X-RAY HUMERUS	$205.02	$402.00	$257.48–$321.60	—	49%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 EXTREMITY STDY	$572.22	$1,122.00	$673.20–$897.60	15% below	49%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 ED - EXTREMTY STUDY	$572.22	$1,122.00	$673.20–$897.60	15% below	49%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 EXTREMITY STDY	$572.22	$1,122.00	$718.64–$897.60	—	49%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 ED - EXTREMTY STUDY	$572.22	$1,122.00	$718.64–$897.60	—	49%
Wrist X-ray, 2 views CPT 73100 WRIST ROUTINE	$208.08	$408.00	$244.80–$326.40	17% below	49%
Wrist X-ray, 2 views inpatient CPT 73100 WRIST ROUTINE	$208.08	$408.00	$261.32–$326.40	—	49%
Wrist X-ray, complete, 3 or more views CPT 73110 X-RAY WRIST	$221.34	$434.00	$260.40–$347.20	30% below	49%
Wrist X-ray, complete, 3 or more views inpatient CPT 73110 X-RAY WRIST	$221.34	$434.00	$277.98–$347.20	—	49%
X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 X-RAY EXAM HIP UNI 2-3 VIEWS - TECH	$187.68	$368.00	$220.80–$294.40	42% below	49%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient CPT 73502 X-RAY EXAM HIP UNI 2-3 VIEWS - TECH	$187.68	$368.00	$235.70–$294.40	—	49%
X-ray of the abdomen, 1 view CPT 74018 X-RAY EXAM ABDOMEN 1 VIEW - TECH	$189.72	$372.00	$223.20–$297.60	27% below	49%
X-ray of the abdomen, 1 view inpatient CPT 74018 X-RAY EXAM ABDOMEN 1 VIEW - TECH	$189.72	$372.00	$238.27–$297.60	—	49%
X-ray of the ankle, 2 views CPT 73600 XRAY ANKLE 2 VIEWS	$216.24	$424.00	$254.40–$339.20	15% below	49%
X-ray of the ankle, 2 views inpatient CPT 73600 XRAY ANKLE 2 VIEWS	$216.24	$424.00	$271.57–$339.20	—	49%
X-ray of the finger(s), 2 or more views CPT 73140 X-RAY FINGERS	$207.57	$407.00	$244.20–$325.60	22% below	49%
X-ray of the finger(s), 2 or more views inpatient CPT 73140 X-RAY FINGERS	$207.57	$407.00	$260.68–$325.60	—	49%
X-ray of the foot, 2 views CPT 73620 XRAY FOOT LIMITED	$171.36	$336.00	$201.60–$268.80	38% below	49%
X-ray of the foot, 2 views inpatient CPT 73620 XRAY FOOT LIMITED	$171.36	$336.00	$215.21–$268.80	—	49%
X-ray of the foot, complete, 3 or more views CPT 73630 X-RAY FOOT COMPLETE	$171.36	$336.00	$201.60–$268.80	43% below	49%
X-ray of the foot, complete, 3 or more views inpatient CPT 73630 X-RAY FOOT COMPLETE	$171.36	$336.00	$215.21–$268.80	—	49%
X-ray of the hand, 3 or more views CPT 73130 X-RAY HANDS COMPLETE	$243.27	$477.00	$286.20–$381.60	21% below	49%
X-ray of the hand, 3 or more views inpatient CPT 73130 X-RAY HANDS COMPLETE	$243.27	$477.00	$305.52–$381.60	—	49%
X-ray of the knee, 1 or 2 views CPT 73560 X-RAY KNEE 2 VIEWS	$172.38	$338.00	$202.80–$270.40	40% below	49%
X-ray of the knee, 1 or 2 views inpatient CPT 73560 X-RAY KNEE 2 VIEWS	$172.38	$338.00	$216.49–$270.40	—	49%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 X-RAY LUMBOSACRAL SPINE	$252.45	$495.00	$297.00–$396.00	32% below	49%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 X-RAY LUMBOSACRAL SPINE	$252.45	$495.00	$317.05–$396.00	—	49%
X-ray of the lower back, 4 or more views CPT 72110 X-RAY LS SPING W/OBLIQ	$315.69	$619.00	$371.40–$495.20	30% below	49%
X-ray of the lower back, 4 or more views inpatient CPT 72110 X-RAY LS SPING W/OBLIQ	$315.69	$619.00	$396.47–$495.20	—	49%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 X-RAY THORACIC SPINE AP + LAT	$222.87	$437.00	$262.20–$349.60	30% below	49%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 X-RAY THORACIC SPINE AP + LAT	$222.87	$437.00	$279.90–$349.60	—	49%
X-ray of the nasal bones, 3 or more views CPT 70160 X-RAY NASAL BONES	$224.40	$440.00	$264.00–$352.00	12% below	49%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 X-RAY NASAL BONES	$224.40	$440.00	$281.82–$352.00	—	49%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 RADIOLOGIC EXAM,SPINE,CERVICAL,THREE VIEWS OR LSS	$227.46	$446.00	$267.60–$356.80	29% below	49%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 RADIOLOGIC EXAM,SPINE,CERVICAL,THREE VIEWS OR LSS	$227.46	$446.00	$285.66–$356.80	—	49%
X-ray of the pelvis, 1 or 2 views CPT 72170 X-RAY PELVIS	$257.04	$504.00	$302.40–$403.20	10% below	49%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 X-RAY PELVIS	$257.04	$504.00	$322.81–$403.20	—	49%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 X-RAY SACRUM - COCCYX	$181.56	$356.00	$213.60–$284.80	36% below	49%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 X-RAY SACRUM - COCCYX	$181.56	$356.00	$228.02–$284.80	—	49%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs Washington	Off list
ACTH blood test CPT 82024 ACTH PLASMA BY RIA	$105.06	$206.00	$123.60–$164.80	52% below	49%
ACTH blood test inpatient CPT 82024 ACTH PLASMA BY RIA	$105.06	$206.00	$131.94–$164.80	—	49%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 GPT TRANSAMINASE	$27.03	$53.00	$31.80–$42.40	43% below	49%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 GPT TRANSAMINASE	$27.03	$53.00	$33.95–$42.40	—	49%
AST (aspartate aminotransferase) enzyme test CPT 84450 GOT TRANSAMINASE	$22.44	$44.00	$26.40–$35.20	47% below	49%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 GOT TRANSAMINASE	$22.44	$44.00	$28.18–$35.20	—	49%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 ACUTE HEPATITIS PANEL	$151.98	$298.00	$178.80–$238.40	38% below	49%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 ACUTE HEPATITIS PANEL	$151.98	$298.00	$190.87–$238.40	—	49%
Albumin blood test CPT 82040 ALBUMIN SERUM	$19.38	$38.00	$22.80–$30.40	45% below	49%
Albumin blood test inpatient CPT 82040 ALBUMIN SERUM	$19.38	$38.00	$24.34–$30.40	—	49%
Aldosterone blood test CPT 82088 ALDOSTERONE SERUM	$116.79	$229.00	$137.40–$183.20	31% below	49%
Aldosterone blood test inpatient CPT 82088 ALDOSTERONE SERUM	$116.79	$229.00	$146.67–$183.20	—	49%
Alkaline phosphatase (ALP) blood test CPT 84075 PHOSPHATASE, ALKALINE	$21.93	$43.00	$25.80–$34.40	42% below	49%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 PHOSPHATASE, ALKALINE	$21.93	$43.00	$27.54–$34.40	—	49%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPECIFIC IGE; QUANTITATIVE	$16.32	$32.00	$19.20–$25.60	39% below	49%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPECIFIC IGE; QUANTITATIVE	$16.32	$32.00	$20.50–$25.60	—	49%
Alpha-fetoprotein (AFP) blood test CPT 82105 ALPHA-FETOPROTEIN-SERUM 82105	$63.24	$124.00	$74.40–$99.20	24% below	49%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 ALPHA-FETOPROTEIN-SERUM 82105	$63.24	$124.00	$79.42–$99.20	—	49%
Ammonia blood test CPT 82140 AMMONIA SERUM	$57.12	$112.00	$67.20–$89.60	50% below	49%
Ammonia blood test inpatient CPT 82140 AMMONIA SERUM	$57.12	$112.00	$71.74–$89.60	—	49%
Amylase blood test CPT 82150 AMYLASE	$33.15	$65.00	$39.00–$52.00	47% below	49%
Amylase blood test inpatient CPT 82150 AMYLASE	$33.15	$65.00	$41.63–$52.00	—	49%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CCP ANTIBODY	$51.00	$100.00	$60.00–$80.00	34% below	49%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CCP ANTIBODY	$51.00	$100.00	$64.05–$80.00	—	49%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTINUCLEAR ANTIBODIES (ANA)	$51.51	$101.00	$60.60–$80.80	27% below	49%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANTINUCLEAR ANTIBODIES (ANA)	$51.51	$101.00	$64.69–$80.80	—	49%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 NATRIURETIC PEPTIDE	$131.58	$258.00	$154.80–$206.40	32% below	49%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 NATRIURETIC PEPTIDE	$131.58	$258.00	$165.25–$206.40	—	49%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE,BACTERIAL,DEFINITIVE-OTHER SOURCE	$61.71	$121.00	$72.60–$96.80	30% below	49%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE,BACTERIAL,DEFINITIVE-OTHER SOURCE	$61.71	$121.00	$77.50–$96.80	—	49%
Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL	$29.58	$58.00	$34.80–$46.40	61% below	49%
Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METABOLIC PANEL	$29.58	$58.00	$37.15–$46.40	—	49%
Bilirubin blood test, total CPT 82247 BILIRUBIN - TOTAL	$21.93	$43.00	$25.80–$34.40	50% below	49%
Bilirubin blood test, total inpatient CPT 82247 BILIRUBIN - TOTAL	$21.93	$43.00	$27.54–$34.40	—	49%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 LEVEL IV-SURG PATH GROSS EXAM	$168.30	$330.00	$198.00–$264.00	4% below	49%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 LEVEL IV-SURGICAL PATHOLOGY,GROSS & MICROSCOPIC EXAM	$168.30	$330.00	$198.00–$264.00	4% below	49%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 LEVEL IV-SURGICAL PATHOLOGY,GROSS & MICROSCOPIC EXAM	$168.30	$330.00	$211.36–$264.00	—	49%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 LEVEL IV-SURG PATH GROSS EXAM	$168.30	$330.00	$211.36–$264.00	—	49%
Blood culture for bacteria CPT 87040 CULTURE,BACTERIAL,DEFINITIVE-BLOOD	$72.93	$143.00	$85.80–$114.40	51% below	49%
Blood culture for bacteria inpatient CPT 87040 CULTURE,BACTERIAL,DEFINITIVE-BLOOD	$72.93	$143.00	$91.59–$114.40	—	49%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 DRAWING BLOOD	$15.30	$30.00	$18.00–$24.00	39% below	49%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 IV BLOOD DRAW PL	$15.30	$30.00	$18.00–$24.00	39% below	49%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 ROUTINE VENIPUNCT FOR COLLECTION OF SPECIMENS	$15.30	$30.00	$18.00–$24.00	39% below	49%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENOUS BLOOD DRAW ER	$15.30	$30.00	$18.00–$24.00	39% below	49%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 BLOOD DRAW - SEATTLE PD DUI CHECKS	$18.87	$37.00	$22.20–$29.60	24% below	49%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 DRAWING BLOOD	$15.30	$30.00	$19.22–$24.00	—	49%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 ROUTINE VENIPUNCT FOR COLLECTION OF SPECIMENS	$15.30	$30.00	$19.22–$24.00	—	49%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENOUS BLOOD DRAW ER	$15.30	$30.00	$19.22–$24.00	—	49%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 IV BLOOD DRAW PL	$15.30	$30.00	$19.22–$24.00	—	49%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 BLOOD DRAW - SEATTLE PD DUI CHECKS	$18.87	$37.00	$23.70–$29.60	—	49%
Blood glucose (sugar) test CPT 82947 GLUCOSE,QUANTITATIVE	$16.83	$33.00	$19.80–$26.40	55% below	49%
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE,QUANTITATIVE	$16.83	$33.00	$21.14–$26.40	—	49%
Blood lead test CPT 83655 LEAD	$49.47	$97.00	$58.20–$77.60	22% below	49%
Blood lead test inpatient CPT 83655 LEAD	$49.47	$97.00	$62.13–$77.60	—	49%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 GONADOTROPIN CHORIONIC-QUALITATIVE	$38.76	$76.00	$45.60–$60.80	48% below	49%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 GONADOTROPIN CHORIONIC-QUALITATIVE	$38.76	$76.00	$48.68–$60.80	—	49%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BB BLOOD TYPING-ABO	$174.93	$343.00	$205.80–$274.40	170% above	49%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 BB BLOOD TYPING-ABO	$174.93	$343.00	$219.69–$274.40	—	49%
Blood urea nitrogen (BUN) test CPT 84520 UREA NITROGEN; QUANTITATIVE	$21.93	$43.00	$25.80–$34.40	40% below	49%
Blood urea nitrogen (BUN) test inpatient CPT 84520 UREA NITROGEN; QUANTITATIVE	$21.93	$43.00	$27.54–$34.40	—	49%
C-peptide blood test CPT 84681 C-PEPTIDE	$71.40	$140.00	$84.00–$112.00	35% below	49%
C-peptide blood test inpatient CPT 84681 C-PEPTIDE	$71.40	$140.00	$89.67–$112.00	—	49%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-REACTIVE PROTEIN	$22.44	$44.00	$26.40–$35.20	62% below	49%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C-REACTIVE PROTEIN	$22.44	$44.00	$28.18–$35.20	—	49%
C. difficile toxin gene test (stool PCR) CPT 87493 C DIFF AMPLIFIED PROBE - TECH	$157.08	$308.00	$184.80–$246.40	10% below	49%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 C DIFF AMPLIFIED PROBE - TECH	$157.08	$308.00	$197.27–$246.40	—	49%
CA 19-9 blood test (tumor marker) CPT 86301 IMMUNOASSAY,TUMOR CA 19-9	$69.36	$136.00	$81.60–$108.80	37% below	49%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 IMMUNOASSAY,TUMOR CA 19-9	$69.36	$136.00	$87.11–$108.80	—	49%
CA-125 blood test (ovarian cancer marker) CPT 86304 IMMUOASSAY,TUMOR CA 125	$84.66	$166.00	$99.60–$132.80	29% below	49%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 IMMUOASSAY,TUMOR CA 125	$84.66	$166.00	$106.32–$132.80	—	49%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS-COV-2 COVID-19 AMP PRB	$74.46	$146.00	$87.60–$116.80	29% below	49%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID-19 TEST, GENMARK EPLEX, RAPID RESPONSE	$189.21	$371.00	$222.60–$296.80	80% above	49%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 SARS-COV-2 COVID-19 AMP PRB	$74.46	$146.00	$93.51–$116.80	—	49%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 COVID-19 TEST, GENMARK EPLEX, RAPID RESPONSE	$189.21	$371.00	$237.63–$296.80	—	49%
Calcium blood test, total CPT 82310 CALCIUM, TOTAL	$21.93	$43.00	$25.80–$34.40	48% below	49%
Calcium blood test, total inpatient CPT 82310 CALCIUM, TOTAL	$21.93	$43.00	$27.54–$34.40	—	49%
Carcinoembryonic antigen (CEA) test CPT 82378 CARCINOEMBRYONIC ANTIGEN (CEA)	$87.21	$171.00	$102.60–$136.80	33% below	49%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 CARCINOEMBRYONIC ANTIGEN (CEA)	$87.21	$171.00	$109.53–$136.80	—	49%
Chickenpox (varicella) immunity blood test CPT 86787 ANTIBODY-VARICELLA-ZOSTER	$46.41	$91.00	$54.60–$72.80	41% below	49%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 ANTIBODY-VARICELLA-ZOSTER	$46.41	$91.00	$58.29–$72.80	—	49%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 INFECT AGENT DETECT BY NUCLEIC ACID,CHLAMYD TRACHOMATIS,AMP	$112.20	$220.00	$132.00–$176.00	16% below	49%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) one side CPT 87491 LABORATORY TESTING, LT 18 YEARS OLD	$19.38	$38.00	$22.80–$30.40	86% below	49%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 INFECT AGENT DETECT BY NUCLEIC ACID,CHLAMYD TRACHOMATIS,AMP	$112.20	$220.00	$140.91–$176.00	—	49%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient one side CPT 87491 LABORATORY TESTING, LT 18 YEARS OLD	$19.38	$38.00	$24.34–$30.40	—	49%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PROFILE	$54.06	$106.00	$63.60–$84.80	39% below	49%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PROFILE	$54.06	$106.00	$67.89–$84.80	—	49%
Complete blood count (CBC) with differential CPT 85025 AUTO HEMOGRAM PLT & DIFFERENTL	$49.98	$98.00	$58.80–$78.40	26% below	49%
Complete blood count (CBC) with differential inpatient CPT 85025 AUTO HEMOGRAM PLT & DIFFERENTL	$49.98	$98.00	$62.77–$78.40	—	49%
Complete blood count (CBC), no differential CPT 85027 BLOOD COUNT, HEMOGRAM AND PLATELET COUNT, AUTOMATED	$38.76	$76.00	$45.60–$60.80	24% below	49%
Complete blood count (CBC), no differential inpatient CPT 85027 BLOOD COUNT, HEMOGRAM AND PLATELET COUNT, AUTOMATED	$38.76	$76.00	$48.68–$60.80	—	49%
Comprehensive metabolic panel (blood test) CPT 80053 COMPREHENSIVE METABOLIC PANEL	$35.70	$70.00	$42.00–$56.00	61% below	49%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMPREHENSIVE METABOLIC PANEL	$35.70	$70.00	$44.83–$56.00	—	49%
Cortisol blood test, total CPT 82533 CORTISOL PLASMA BY RIA	$64.77	$127.00	$76.20–$101.60	39% below	49%
Cortisol blood test, total inpatient CPT 82533 CORTISOL PLASMA BY RIA	$64.77	$127.00	$81.34–$101.60	—	49%
Creatine kinase (CK) blood test, total CPT 82550 CREATINE KINASE (CK),(CPK); TOTAL	$27.03	$53.00	$31.80–$42.40	59% below	49%
Creatine kinase (CK) blood test, total inpatient CPT 82550 CREATINE KINASE (CK),(CPK); TOTAL	$27.03	$53.00	$33.95–$42.40	—	49%
Creatinine blood test CPT 82565 CREATININE BLOOD	$27.54	$54.00	$32.40–$43.20	36% below	49%
Creatinine blood test inpatient CPT 82565 CREATININE BLOOD	$27.54	$54.00	$34.59–$43.20	—	49%
Cytomegalovirus (CMV) antibody test CPT 86644 ANTIBODY-CYTOMEGALOVIRUS (CMV)	$59.16	$116.00	$69.60–$92.80	22% below	49%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 ANTIBODY-CYTOMEGALOVIRUS (CMV)	$59.16	$116.00	$74.30–$92.80	—	49%
D-dimer blood test (blood clot marker) CPT 85379 FIBRIN DEGRADATION PRODS-QUANT	$64.77	$127.00	$76.20–$101.60	46% below	49%
D-dimer blood test (blood clot marker) inpatient CPT 85379 FIBRIN DEGRADATION PRODS-QUANT	$64.77	$127.00	$81.34–$101.60	—	49%
DHEA sulfate (DHEA-S) blood test CPT 82627 DEHYDROEPIANDROSTERONE - SULFATE	$69.87	$137.00	$82.20–$109.60	46% below	49%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DEHYDROEPIANDROSTERONE - SULFATE	$69.87	$137.00	$87.75–$109.60	—	49%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG TEST PRSMV CHEM ANLYZR - TECH	$153.51	$301.00	$180.60–$240.80	5% below	49%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG TEST PRSMV CHEM ANLYZR - TECH	$153.51	$301.00	$192.79–$240.80	—	49%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 ELECTROLYTE PANEL (4 TESTS)	$26.01	$51.00	$30.60–$40.80	52% below	49%
Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 ELECTROLYTE PANEL (4 TESTS)	$26.01	$51.00	$32.67–$40.80	—	49%
Epstein-Barr virus (EBV) antibody test CPT 86665 EPSTEIN-BARR (EB) VIRUS,VIRAL CAPSID	$64.77	$127.00	$76.20–$101.60	32% below	49%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 EPSTEIN-BARR (EB) VIRUS,VIRAL CAPSID	$64.77	$127.00	$81.34–$101.60	—	49%
Estradiol blood test CPT 82670 ESTRADIOL SERUM BY RIA	$106.59	$209.00	$125.40–$167.20	23% below	49%
Estradiol blood test inpatient CPT 82670 ESTRADIOL SERUM BY RIA	$106.59	$209.00	$133.86–$167.20	—	49%
FSH (follicle-stimulating hormone) test CPT 83001 PITUITARY GONADO FSH BY RIA	$70.89	$139.00	$83.40–$111.20	25% below	49%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 PITUITARY GONADO FSH BY RIA	$70.89	$139.00	$89.03–$111.20	—	49%
Fecal calprotectin (stool inflammation test) CPT 83993 ASSAY FOR CALPROTECTIN FECAL	$74.46	$146.00	$87.60–$116.80	63% below	49%
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 ASSAY FOR CALPROTECTIN FECAL	$74.46	$146.00	$93.51–$116.80	—	49%
Ferritin blood test (iron stores) CPT 82728 FERRITIN SERUM QUANT	$54.06	$106.00	$63.60–$84.80	45% below	49%
Ferritin blood test (iron stores) inpatient CPT 82728 FERRITIN SERUM QUANT	$54.06	$106.00	$67.89–$84.80	—	49%
Fibrinogen blood test CPT 85384 FIBRINOGEN-ACTIVITY	$50.49	$99.00	$59.40–$79.20	37% below	49%
Fibrinogen blood test inpatient CPT 85384 FIBRINOGEN-ACTIVITY	$50.49	$99.00	$63.41–$79.20	—	49%
Folate (folic acid) blood test CPT 82746 FOLIC ACID (FOLATE) SERUM	$60.69	$119.00	$71.40–$95.20	42% below	49%
Folate (folic acid) blood test inpatient CPT 82746 FOLIC ACID (FOLATE) SERUM	$60.69	$119.00	$76.22–$95.20	—	49%
Free T3 thyroid hormone test CPT 84481 FREE T3	$55.08	$108.00	$64.80–$86.40	39% below	49%
Free T3 thyroid hormone test inpatient CPT 84481 FREE T3	$55.08	$108.00	$69.17–$86.40	—	49%
Free T4 (free thyroxine) thyroid blood test CPT 84439 THYROXINE FREE (FT-4)	$36.72	$72.00	$43.20–$57.60	47% below	49%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 THYROXINE FREE (FT-4)	$36.72	$72.00	$46.12–$57.60	—	49%
Free testosterone test CPT 84402 TESTOSTERONE-FREE	$81.09	$159.00	$95.40–$127.20	36% below	49%
Free testosterone test inpatient CPT 84402 TESTOSTERONE-FREE	$81.09	$159.00	$101.84–$127.20	—	49%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 GLUTAMYLTRANSFERASE, GAMMA (GGT)	$25.50	$50.00	$30.00–$40.00	53% below	49%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 GLUTAMYLTRANSFERASE, GAMMA (GGT)	$25.50	$50.00	$32.02–$40.00	—	49%
General health panel: metabolic panel, blood count and TSH in one order CPT 80050 GENERAL HEALTH PANEL	$116.79	$229.00	$137.40–$183.20	50% below	49%
General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 GENERAL HEALTH PANEL	$116.79	$229.00	$146.67–$183.20	—	49%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE-POST GLUCOSE DOSE	$23.97	$47.00	$28.20–$37.60	42% below	49%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 GLUCOSE-POST GLUCOSE DOSE	$23.97	$47.00	$30.10–$37.60	—	49%
Glucose tolerance test, 3 samples CPT 82951 GLUCOSE-TOLERANCE TEST,3 SPECIMENS	$54.06	$106.00	$63.60–$84.80	26% below	49%
Glucose tolerance test, 3 samples inpatient CPT 82951 GLUCOSE-TOLERANCE TEST,3 SPECIMENS	$54.06	$106.00	$67.89–$84.80	—	49%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 INFECT AGNT DETECT,NUCLEIC ACID,NEISS GONORRH,AMPL	$97.92	$192.00	$115.20–$153.60	22% below	49%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 INFECT AGNT DETECT,NUCLEIC ACID,NEISS GONORRH,AMPL	$97.92	$192.00	$122.98–$153.60	—	49%
H. pylori antibody blood test CPT 86677 ANTIBODY HELICOBACTER PYLORI	$60.18	$118.00	$70.80–$94.40	30% below	49%
H. pylori antibody blood test inpatient CPT 86677 ANTIBODY HELICOBACTER PYLORI	$60.18	$118.00	$75.58–$94.40	—	49%
H. pylori stool antigen test CPT 87338 HPYLORI, STOOL, IA-TECH	$41.82	$82.00	$49.20–$65.60	71% below	49%
H. pylori stool antigen test inpatient CPT 87338 HPYLORI, STOOL, IA-TECH	$41.82	$82.00	$52.52–$65.60	—	49%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 INFECT AGENT DETECT,NUCLEIC ACID,HIV-1,QUANTIFICAT	$304.47	$597.00	$358.20–$477.60	21% below	49%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 INFECT AGENT DETECT,NUCLEIC ACID,HIV-1,QUANTIFICAT	$304.47	$597.00	$382.38–$477.60	—	49%
HIV-1 and HIV-2 antibody test CPT 86703 HIV-1/HIV-2, SINGLE RESULT	$57.12	$112.00	$67.20–$89.60	34% below	49%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 HIV-1/HIV-2, SINGLE RESULT	$57.12	$112.00	$71.74–$89.60	—	49%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV-1 AG W/HIV-1 & HIV-2 AB - TECH	$78.54	$154.00	$92.40–$123.20	20% below	49%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HIV-1 AG W/HIV-1 & HIV-2 AB - TECH	$78.54	$154.00	$98.64–$123.20	—	49%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV HIGH-RISK TYPES - TECH	$86.19	$169.00	$101.40–$135.20	39% below	49%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HPV HIGH-RISK TYPES - TECH	$86.19	$169.00	$108.24–$135.20	—	49%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 GLYCOSYLATED HGB - A1C	$36.72	$72.00	$43.20–$57.60	48% below	49%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 GLYCOSYLATED HGB - A1C	$36.72	$72.00	$46.12–$57.60	—	49%
Hemoglobin blood test CPT 85018 HEMOGLOBIN BLOOD	$16.32	$32.00	$19.20–$25.60	44% below	49%
Hemoglobin blood test inpatient CPT 85018 HEMOGLOBIN BLOOD	$16.32	$32.00	$20.50–$25.60	—	49%
Hepatitis B core antibody test (total) CPT 86704 HEPATITIS B CORE ANTIBODY (HBCAB);IGG AND IGM	$47.94	$94.00	$56.40–$75.20	30% below	49%
Hepatitis B core antibody test (total) inpatient CPT 86704 HEPATITIS B CORE ANTIBODY (HBCAB);IGG AND IGM	$47.94	$94.00	$60.21–$75.20	—	49%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEPATITIS B SURFACE ANTIBODY (HBSAB)	$47.94	$94.00	$56.40–$75.20	35% below	49%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEPATITIS B SURFACE ANTIBODY (HBSAB)	$47.94	$94.00	$60.21–$75.20	—	49%
Hepatitis B surface antigen (HBsAg) test CPT 87340 INFECT AGENT ANTIGEN DETECT BY IMMUNOASSAY,HEP B SURFACE ANT	$47.43	$93.00	$55.80–$74.40	37% below	49%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 INFECT AGENT ANTIGEN DETECT BY IMMUNOASSAY,HEP B SURFACE ANT	$47.43	$93.00	$59.57–$74.40	—	49%
Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C ANTIBODY	$61.20	$120.00	$72.00–$96.00	29% below	49%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C ANTIBODY	$61.20	$120.00	$76.86–$96.00	—	49%
Hepatitis C viral load (HCV RNA) test CPT 87522 INFECT DETECT BY NUCLC ACID, HEP C, RVRS TRNSCRP QUANT	$176.97	$347.00	$208.20–$277.60	47% below	49%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 INFECT DETECT BY NUCLC ACID, HEP C, RVRS TRNSCRP QUANT	$176.97	$347.00	$222.25–$277.60	—	49%
Herpes blood test, HSV-1 antibody CPT 86695 ANTIBODY-HERPES SIMPLEX,TYPE I	$49.98	$98.00	$58.80–$78.40	28% below	49%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 ANTIBODY-HERPES SIMPLEX,TYPE I	$49.98	$98.00	$62.77–$78.40	—	49%
Herpes blood test, HSV-2 antibody CPT 86696 ANTIBODY,HERPES SIMPLEX TYPE 2	$66.81	$131.00	$78.60–$104.80	24% below	49%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 ANTIBODY,HERPES SIMPLEX TYPE 2	$66.81	$131.00	$83.91–$104.80	—	49%
High-sensitivity CRP (hs-CRP) test CPT 86141 C-REACTIVE PROTEIN, HS	$48.45	$95.00	$57.00–$76.00	35% below	49%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 C-REACTIVE PROTEIN, HS	$48.45	$95.00	$60.85–$76.00	—	49%
Homocysteine blood test CPT 83090 ASSAY OF HOMOCYSTINE	$58.14	$114.00	$68.40–$91.20	52% below	49%
Homocysteine blood test inpatient CPT 83090 ASSAY OF HOMOCYSTINE	$58.14	$114.00	$73.02–$91.20	—	49%
Insulin blood test CPT 83525 INSULIN SERUM BY RIA	$41.31	$81.00	$48.60–$64.80	50% below	49%
Insulin blood test inpatient CPT 83525 INSULIN SERUM BY RIA	$41.31	$81.00	$51.88–$64.80	—	49%
Iron blood test (serum iron) CPT 83540 IRON	$27.03	$53.00	$31.80–$42.40	43% below	49%
Iron blood test (serum iron) inpatient CPT 83540 IRON	$27.03	$53.00	$33.95–$42.40	—	49%
Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING CAPACITY 83550	$36.21	$71.00	$42.60–$56.80	40% below	49%
Iron-binding capacity (TIBC) test inpatient CPT 83550 IRON BINDING CAPACITY 83550	$36.21	$71.00	$45.48–$56.80	—	49%
Kidney function blood test panel CPT 80069 RENAL FUNCTION-PANEL	$28.05	$55.00	$33.00–$44.00	63% below	49%
Kidney function blood test panel inpatient CPT 80069 RENAL FUNCTION-PANEL	$28.05	$55.00	$35.23–$44.00	—	49%
LH (luteinizing hormone) test CPT 83002 LH SERUM(LUTEINIZING HORMONE)	$70.38	$138.00	$82.80–$110.40	27% below	49%
LH (luteinizing hormone) test inpatient CPT 83002 LH SERUM(LUTEINIZING HORMONE)	$70.38	$138.00	$88.39–$110.40	—	49%
Lactate (lactic acid) blood test CPT 83605 LACTIC ACID PLASMA	$44.88	$88.00	$52.80–$70.40	55% below	49%
Lactate (lactic acid) blood test inpatient CPT 83605 LACTIC ACID PLASMA	$44.88	$88.00	$56.36–$70.40	—	49%
Lactate dehydrogenase (LDH) blood test CPT 83615 LACTATE DEHYDROGENASE	$27.03	$53.00	$31.80–$42.40	37% below	49%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LACTATE DEHYDROGENASE	$27.03	$53.00	$33.95–$42.40	—	49%
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE SERUM	$34.68	$68.00	$40.80–$54.40	59% below	49%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE SERUM	$34.68	$68.00	$43.55–$54.40	—	49%
Liver function blood test panel CPT 80076 HEPATIC FUNCTN PANEL	$26.52	$52.00	$31.20–$41.60	60% below	49%
Liver function blood test panel inpatient CPT 80076 HEPATIC FUNCTN PANEL	$26.52	$52.00	$33.31–$41.60	—	49%
Lyme disease antibody test CPT 86618 ANTIBODY-BORELLIA BUFGDORFERI	$50.49	$99.00	$59.40–$79.20	48% below	49%
Lyme disease antibody test inpatient CPT 86618 ANTIBODY-BORELLIA BUFGDORFERI	$50.49	$99.00	$63.41–$79.20	—	49%
Magnesium blood test CPT 83735 MAGNESIUM	$35.19	$69.00	$41.40–$55.20	35% below	49%
Magnesium blood test inpatient CPT 83735 MAGNESIUM	$35.19	$69.00	$44.19–$55.20	—	49%
Measles (rubeola) antibody test CPT 86765 ANTIBODY-RUBEOLA	$40.80	$80.00	$48.00–$64.00	42% below	49%
Measles (rubeola) antibody test inpatient CPT 86765 ANTIBODY-RUBEOLA	$40.80	$80.00	$51.24–$64.00	—	49%
Mono test (heterophile antibody, Monospot) CPT 86308 HETEROPHILE ANTIBODIES-SCRNING	$33.66	$66.00	$39.60–$52.80	41% below	49%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 HETEROPHILE ANTIBODIES-SCRNING	$33.66	$66.00	$42.27–$52.80	—	49%
Mumps immunity blood test CPT 86735 ANTIBODY -MUMPS	$49.98	$98.00	$58.80–$78.40	31% below	49%
Mumps immunity blood test inpatient CPT 86735 ANTIBODY -MUMPS	$49.98	$98.00	$62.77–$78.40	—	49%
Obstetric blood test panel CPT 80055 OBSTETRIC PANEL	$109.65	$215.00	$129.00–$172.00	7% below	49%
Obstetric blood test panel inpatient CPT 80055 OBSTETRIC PANEL	$109.65	$215.00	$137.71–$172.00	—	49%
PSA (prostate-specific antigen) blood test, free CPT 84154 PROSTATE SPECIFIC ANTIGEN (PSA),FREE	$49.98	$98.00	$58.80–$78.40	49% below	49%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PROSTATE SPECIFIC ANTIGEN (PSA),FREE	$49.98	$98.00	$62.77–$78.40	—	49%
PSA (prostate-specific antigen) blood test, total CPT 84153 PROSTATE SPECIFIC ANTIGEN(PSA)	$59.16	$116.00	$69.60–$92.80	47% below	49%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PROSTATE SPECIFIC ANTIGEN(PSA)	$59.16	$116.00	$74.30–$92.80	—	49%
Pap test (liquid-based, automated screening with review) CPT 88175 CYTOPATH, MAN RESCREEN, UNDER PHYS SUPERV	$80.58	$158.00	$94.80–$126.40	12% below	49%
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 CYTOPATH, MAN RESCREEN, UNDER PHYS SUPERV	$80.58	$158.00	$101.20–$126.40	—	49%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 CYTOPATH,CERV/VAG,COLLCT IN PRESERV/AUTO THIN LAYER	$61.20	$120.00	$72.00–$96.00	26% below	49%
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 CYTOPATH,CERV/VAG,COLLCT IN PRESERV/AUTO THIN LAYER	$61.20	$120.00	$76.86–$96.00	—	49%
Parathyroid hormone (PTH) blood test CPT 83970 PARATHORMONE (PTH)	$141.27	$277.00	$166.20–$221.60	33% below	49%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 PARATHORMONE (PTH)	$141.27	$277.00	$177.42–$221.60	—	49%
Partial thromboplastin time (PTT) clotting test CPT 85730 APTT PART THROMBOPLASTIN TIME	$35.70	$70.00	$42.00–$56.00	13% below	49%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 APTT PART THROMBOPLASTIN TIME	$35.70	$70.00	$44.83–$56.00	—	49%
Phosphorus (phosphate) blood test CPT 84100 PHOSPHORUS	$23.97	$47.00	$28.20–$37.60	40% below	49%
Phosphorus (phosphate) blood test inpatient CPT 84100 PHOSPHORUS	$23.97	$47.00	$30.10–$37.60	—	49%
Potassium blood test CPT 84132 POTASSIUM BLOOD	$29.58	$58.00	$34.80–$46.40	28% below	49%
Potassium blood test inpatient CPT 84132 POTASSIUM BLOOD	$29.58	$58.00	$37.15–$46.40	—	49%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 FETAL CHRMOML ANEUPLOIDY - TECH	$1,150.05	$2,255.00	$1,353.00–$1,804.00	50% above	49%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) inpatient CPT 81420 FETAL CHRMOML ANEUPLOIDY - TECH	$1,150.05	$2,255.00	$1,444.33–$1,804.00	—	49%
Progesterone blood test CPT 84144 PROGESTERONE	$56.10	$110.00	$66.00–$88.00	43% below	49%
Progesterone blood test inpatient CPT 84144 PROGESTERONE	$56.10	$110.00	$70.46–$88.00	—	49%
Prolactin blood test CPT 84146 PROLACTIN SERUM	$86.70	$170.00	$102.00–$136.00	20% below	49%
Prolactin blood test inpatient CPT 84146 PROLACTIN SERUM	$86.70	$170.00	$108.88–$136.00	—	49%
Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME	$26.01	$51.00	$30.60–$40.80	35% below	49%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME	$26.01	$51.00	$32.67–$40.80	—	49%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 DRUG TEST PRSMV DIR OPT OBS - TECH	$30.60	$60.00	$36.00–$48.00	38% below	49%
Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 DRUG TEST PRSMV DIR OPT OBS - TECH	$30.60	$60.00	$38.43–$48.00	—	49%
Rapid flu test (influenza antigen) CPT 87804 INFLUENZA ASSAY W/OPTICD	$58.65	$115.00	$69.00–$92.00	14% below	49%
Rapid flu test (influenza antigen) inpatient CPT 87804 INFLUENZA ASSAY W/OPTICD	$58.65	$115.00	$73.66–$92.00	—	49%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 INFECT AGNT DETECT,IMMUNOASSAY,STREPTOCOCCUS,GROUP A	$49.98	$98.00	$58.80–$78.40	31% below	49%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 INFECT AGNT DETECT,IMMUNOASSAY,STREPTOCOCCUS,GROUP A	$49.98	$98.00	$62.77–$78.40	—	49%
Renin blood test CPT 84244 RENIN	$63.24	$124.00	$74.40–$99.20	52% below	49%
Renin blood test inpatient CPT 84244 RENIN	$63.24	$124.00	$79.42–$99.20	—	49%
Rh blood typing CPT 86901 RH (D)	$53.04	$104.00	$62.40–$83.20	11% above	49%
Rh blood typing inpatient CPT 86901 RH (D)	$53.04	$104.00	$66.61–$83.20	—	49%
Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR TITER	$29.58	$58.00	$34.80–$46.40	26% below	49%
Rheumatoid factor (RF) test inpatient CPT 86431 RHEUMATOID FACTOR TITER	$29.58	$58.00	$37.15–$46.40	—	49%
Rubella antibody test (immunity check) CPT 86762 ANTIBODY-RUBELLA	$49.47	$97.00	$58.20–$77.60	28% below	49%
Rubella antibody test (immunity check) inpatient CPT 86762 ANTIBODY-RUBELLA	$49.47	$97.00	$62.13–$77.60	—	49%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 RBC SED RATE AUTOMATED	$16.32	$32.00	$19.20–$25.60	54% below	49%
Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 RBC SED RATE AUTOMATED	$16.32	$32.00	$20.50–$25.60	—	49%
Semen analysis: volume, sperm count, motility and morphology CPT 89320 SEMN ANLYS,CMPLT(VLME, CNT,MTILITYAND DIFFRENTL)-TECH	$35.19	$69.00	$41.40–$55.20	44% below	49%
Semen analysis: volume, sperm count, motility and morphology inpatient CPT 89320 SEMN ANLYS,CMPLT(VLME, CNT,MTILITYAND DIFFRENTL)-TECH	$35.19	$69.00	$44.19–$55.20	—	49%
Sodium blood test CPT 84295 SODIUM	$23.97	$47.00	$28.20–$37.60	43% below	49%
Sodium blood test inpatient CPT 84295 SODIUM	$23.97	$47.00	$30.10–$37.60	—	49%
Stool ova and parasites exam CPT 87177 OVA & PARASITE EXAM FECES	$59.16	$116.00	$69.60–$92.80	12% below	49%
Stool ova and parasites exam inpatient CPT 87177 OVA & PARASITE EXAM FECES	$59.16	$116.00	$74.30–$92.80	—	49%
Stool test for hidden blood (guaiac FOBT) CPT 82270 ED - BLOOD,QUALITATIVE, 1-3 SIMULTANEOUS DETRMINATIONS, TECH	$19.38	$38.00	$22.80–$30.40	36% below	49%
Stool test for hidden blood (guaiac FOBT) CPT 82270 BLOOD OCCULT;FECES SCREENING,1-3 SIMULTANEOUS DETERMINATIONS	$19.38	$38.00	$22.80–$30.40	36% below	49%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 BLOOD OCCULT;FECES SCREENING,1-3 SIMULTANEOUS DETERMINATIONS	$19.38	$38.00	$24.34–$30.40	—	49%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 ED - BLOOD,QUALITATIVE, 1-3 SIMULTANEOUS DETRMINATIONS, TECH	$19.38	$38.00	$24.34–$30.40	—	49%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 ED - BLOO, OCCULT, BY FECAL, QUAL, FECES, 1-3 SIMUL DET	$45.90	$90.00	$54.00–$72.00	38% below	49%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 BLOOD, OCCULT, BY FELCA, QUAL, FECES, 1-3 SIMUL DETERM	$50.49	$99.00	$59.40–$79.20	32% below	49%
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 ED - BLOO, OCCULT, BY FECAL, QUAL, FECES, 1-3 SIMUL DET	$45.90	$90.00	$57.64–$72.00	—	49%
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 BLOOD, OCCULT, BY FELCA, QUAL, FECES, 1-3 SIMUL DETERM	$50.49	$99.00	$63.41–$79.20	—	49%
Syphilis antibody test (Treponema pallidum) CPT 86780 TREPONEMA PALLIDUM - TECH	$44.37	$87.00	$52.20–$69.60	35% below	49%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 TREPONEMA PALLIDUM - TECH	$44.37	$87.00	$55.72–$69.60	—	49%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 SYPHILIS TEST, NON-TREP, QUALITATIVE	$27.03	$53.00	$31.80–$42.40	16% below	49%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 SYPHILIS TEST, NON-TREP, QUALITATIVE	$27.03	$53.00	$33.95–$42.40	—	49%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 TB TEST, CELL IMMUN MEASURE	$177.48	$348.00	$208.80–$278.40	15% below	49%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 TB TEST, CELL IMMUN MEASURE	$177.48	$348.00	$222.89–$278.40	—	49%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE -TOTAL	$91.80	$180.00	$108.00–$144.00	28% below	49%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE -TOTAL	$91.80	$180.00	$115.29–$144.00	—	49%
Thyroid peroxidase (TPO) antibody test CPT 86376 MICROSOMAL ANTIBODIES EACH	$48.96	$96.00	$57.60–$76.80	40% below	49%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 MICROSOMAL ANTIBODIES EACH	$48.96	$96.00	$61.49–$76.80	—	49%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 THYROID STIM HORMONE TSH	$70.38	$138.00	$82.80–$110.40	33% below	49%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 THYROID STIM HORMONE TSH	$70.38	$138.00	$88.39–$110.40	—	49%
Total IgE blood test CPT 82785 GAMMAGLOBULIN-IMMUNOGLOB IGE	$63.24	$124.00	$74.40–$99.20	34% below	49%
Total IgE blood test inpatient CPT 82785 GAMMAGLOBULIN-IMMUNOGLOB IGE	$63.24	$124.00	$79.42–$99.20	—	49%
Total cholesterol blood test CPT 82465 CHOLESTEROL SERUM	$23.46	$46.00	$27.60–$36.80	36% below	49%
Total cholesterol blood test inpatient CPT 82465 CHOLESTEROL SERUM	$23.46	$46.00	$29.46–$36.80	—	49%
Total thyroxine (T4) blood test CPT 84436 THYROXINE-TOTAL	$24.99	$49.00	$29.40–$39.20	56% below	49%
Total thyroxine (T4) blood test inpatient CPT 84436 THYROXINE-TOTAL	$24.99	$49.00	$31.38–$39.20	—	49%
Total triiodothyronine (T3) blood test CPT 84480 T3 TRI ICDOTHRYCNINE RIA	$50.49	$99.00	$59.40–$79.20	44% below	49%
Total triiodothyronine (T3) blood test inpatient CPT 84480 T3 TRI ICDOTHRYCNINE RIA	$50.49	$99.00	$63.41–$79.20	—	49%
Transferrin blood test CPT 84466 TRANSFERRIN	$45.90	$90.00	$54.00–$72.00	48% below	49%
Transferrin blood test inpatient CPT 84466 TRANSFERRIN	$45.90	$90.00	$57.64–$72.00	—	49%
Trichomonas test (NAAT) CPT 87661 TRICHOMONAS VAGINALIS AMPLIF - TECH	$110.67	$217.00	$130.20–$173.60	1% above	49%
Trichomonas test (NAAT) inpatient CPT 87661 TRICHOMONAS VAGINALIS AMPLIF - TECH	$110.67	$217.00	$138.99–$173.60	—	49%
Triglycerides blood test CPT 84478 TRIGLYCERIDES SERUM/PLASMA	$30.09	$59.00	$35.40–$47.20	32% below	49%
Triglycerides blood test inpatient CPT 84478 TRIGLYCERIDES SERUM/PLASMA	$30.09	$59.00	$37.79–$47.20	—	49%
Troponin test, quantitative CPT 84484 TROPONIN	$52.02	$102.00	$61.20–$81.60	62% below	49%
Troponin test, quantitative inpatient CPT 84484 TROPONIN	$52.02	$102.00	$65.33–$81.60	—	49%
Uric acid blood test CPT 84550 URIC ACID BLOOD	$18.87	$37.00	$22.20–$29.60	58% below	49%
Uric acid blood test inpatient CPT 84550 URIC ACID BLOOD	$18.87	$37.00	$23.70–$29.60	—	49%
Urinalysis with microscope exam, automated CPT 81001 URINALYSIS BY DIPSTICK OR TAB REAGENT; AUTOMATED, W MICRO	$18.87	$37.00	$22.20–$29.60	52% below	49%
Urinalysis with microscope exam, automated inpatient CPT 81001 URINALYSIS BY DIPSTICK OR TAB REAGENT; AUTOMATED, W MICRO	$18.87	$37.00	$23.70–$29.60	—	49%
Urinalysis with microscope exam, manual CPT 81000 URINALYSIS	$15.81	$31.00	$18.60–$24.80	8% below	49%
Urinalysis with microscope exam, manual inpatient CPT 81000 URINALYSIS	$15.81	$31.00	$19.86–$24.80	—	49%
Urinalysis without microscope exam, automated CPT 81003 URINALYSIS WITHOUT MICROSCOPIC,AUTOMATED	$12.24	$24.00	$14.40–$19.20	57% below	49%
Urinalysis without microscope exam, automated inpatient CPT 81003 URINALYSIS WITHOUT MICROSCOPIC,AUTOMATED	$12.24	$24.00	$15.37–$19.20	—	49%
Urinalysis without microscope exam, manual CPT 81002 URINALYSIS WITHOUT MICROSCOPIC,NON-AUTO	$15.30	$30.00	$18.00–$24.00	25% below	49%
Urinalysis without microscope exam, manual inpatient CPT 81002 URINALYSIS WITHOUT MICROSCOPIC,NON-AUTO	$15.30	$30.00	$19.22–$24.00	—	49%
Urine culture for bacteria, with colony count CPT 87086 CULTURE URINE COLONY COUNT	$46.92	$92.00	$55.20–$73.60	44% below	49%
Urine culture for bacteria, with colony count inpatient CPT 87086 CULTURE URINE COLONY COUNT	$46.92	$92.00	$58.93–$73.60	—	49%
Urine microalbumin (albumin) test CPT 82043 URINE MICROALBUMIN QUANT	$24.48	$48.00	$28.80–$38.40	53% below	49%
Urine microalbumin (albumin) test inpatient CPT 82043 URINE MICROALBUMIN QUANT	$24.48	$48.00	$30.74–$38.40	—	49%
Urine pregnancy test, read by color change CPT 81025 URINE PREGNANCY TEST	$25.50	$50.00	$30.00–$40.00	49% below	49%
Urine pregnancy test, read by color change CPT 81025 ED - URINE PREGNANCY TEST, TECH	$25.50	$50.00	$30.00–$40.00	49% below	49%
Urine pregnancy test, read by color change inpatient CPT 81025 URINE PREGNANCY TEST	$25.50	$50.00	$32.02–$40.00	—	49%
Urine pregnancy test, read by color change inpatient CPT 81025 ED - URINE PREGNANCY TEST, TECH	$25.50	$50.00	$32.02–$40.00	—	49%
Vitamin B12 (cobalamin) blood test CPT 82607 CYANOCOBALAMIN VIT B12 SER	$58.14	$114.00	$68.40–$91.20	42% below	49%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 CYANOCOBALAMIN VIT B12 SER	$58.14	$114.00	$73.02–$91.20	—	49%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 I 25 OH VIT D3	$91.80	$180.00	$108.00–$144.00	32% below	49%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 I 25 OH VIT D3	$91.80	$180.00	$115.29–$144.00	—	49%
Vitamin D, 1,25-dihydroxy blood test CPT 82652 1 25 OH VIT D3	$110.16	$216.00	$129.60–$172.80	37% below	49%
Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 1 25 OH VIT D3	$110.16	$216.00	$138.35–$172.80	—	49%
Zinc blood test CPT 84630 ZINC	$44.88	$88.00	$52.80–$70.40	41% below	49%
Zinc blood test inpatient CPT 84630 ZINC	$44.88	$88.00	$56.36–$70.40	—	49%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 BETA HCG,QUAN	$72.93	$143.00	$85.80–$114.40	33% below	49%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 BETA HCG,QUAN	$72.93	$143.00	$91.59–$114.40	—	49%

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs Washington	Off list
Adenoid removal (adenoidectomy), child under 12 CPT 42830 *ADENOIDECTOMY,PRIMARY-UNDER AGE 12-FAC	$5,467.20	$10,720.00	$6,432.00–$8,576.00	at median	49%
Adenoid removal (adenoidectomy), child under 12 inpatient CPT 42830 *ADENOIDECTOMY,PRIMARY-UNDER AGE 12-FAC	$5,467.20	$10,720.00	$6,866.16–$8,576.00	—	49%
Anterior cervical discectomy and fusion (ACDF), one level one side CPT 22551 ARTHRODESIS,ANT INTERBDY,INCL DISC SPACE PREP,CERVICL LT C2	$18,190.68	$35,668.00	$21,400.80–$28,534.40	at median	49%
Anterior cervical discectomy and fusion (ACDF), one level inpatient one side CPT 22551 ARTHRODESIS,ANT INTERBDY,INCL DISC SPACE PREP,CERVICL LT C2	$18,190.68	$35,668.00	$22,845.35–$28,534.40	—	49%
Appendectomy, open surgery CPT 44950 APPENDECTOMY - FAC	$4,377.33	$8,583.00	$5,149.80–$6,866.40	36% below	49%
Appendectomy, open surgery inpatient CPT 44950 APPENDECTOMY - FAC	$4,377.33	$8,583.00	$5,497.41–$6,866.40	—	49%
Arthroscopic ACL reconstruction or repair of the knee CPT 29888 ARTHROSCOP AIDED ANTERIOR CRUCIATE LIG REPAIR/AUGMENT	$12,140.04	$23,804.00	$14,282.40–$19,043.20	1% below	49%
Arthroscopic ACL reconstruction or repair of the knee inpatient CPT 29888 ARTHROSCOP AIDED ANTERIOR CRUCIATE LIG REPAIR/AUGMENT	$12,140.04	$23,804.00	$15,246.46–$19,043.20	—	49%
Arthroscopic rotator cuff repair of the shoulder CPT 29827 ARTHROSCOPY, SHOULDER, SURG, W/ ROTATOR CUFF RPR-FAC	$9,509.97	$18,647.00	$11,188.20–$14,917.60	42% above	49%
Arthroscopic rotator cuff repair of the shoulder inpatient CPT 29827 ARTHROSCOPY, SHOULDER, SURG, W/ ROTATOR CUFF RPR-FAC	$9,509.97	$18,647.00	$11,943.40–$14,917.60	—	49%
Balloon dilation of the maxillary sinus opening, one side CPT 31295 SINUS ENDO W/BALLOON DIL, MAXILLARY SINUS OSTIUM - FAC	$4,744.02	$9,302.00	$5,581.20–$7,441.60	at median	49%
Balloon dilation of the maxillary sinus opening, one side inpatient CPT 31295 SINUS ENDO W/BALLOON DIL, MAXILLARY SINUS OSTIUM - FAC	$4,744.02	$9,302.00	$5,957.93–$7,441.60	—	49%
Botox injections for chronic migraine CPT 64615 CHEMODENERV MUSC MIGRAINE - FAC	$457.47	$897.00	$538.20–$717.60	21% above	49%
Botox injections for chronic migraine CPT 64615 ED - CHEMODENERV MUSC MIGRAINE	$457.47	$897.00	$538.20–$717.60	21% above	49%
Botox injections for chronic migraine inpatient CPT 64615 CHEMODENERV MUSC MIGRAINE - FAC	$457.47	$897.00	$574.53–$717.60	—	49%
Botox injections for chronic migraine inpatient CPT 64615 ED - CHEMODENERV MUSC MIGRAINE	$457.47	$897.00	$574.53–$717.60	—	49%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 BX BREAST 1ST LESION STRTCTC - FAC	$2,256.75	$4,425.00	$2,655.00–$3,540.00	2% above	49%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 BX BREAST 1ST LESION STRTCTC - FAC	$2,256.75	$4,425.00	$2,834.21–$3,540.00	—	49%
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 ED - CLOSED TREAT, DISTAL FIBULAR FX, W/O MANIP, FAC	$667.08	$1,308.00	$784.80–$1,046.40	2% above	49%
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 CLOSED TX OF DISTAL FIBULAR FX, W/O MANIPULATION-FAC	$667.08	$1,308.00	$784.80–$1,046.40	2% above	49%
Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 CLOSED TX OF DISTAL FIBULAR FX, W/O MANIPULATION-FAC	$667.08	$1,308.00	$837.77–$1,046.40	—	49%
Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 ED - CLOSED TREAT, DISTAL FIBULAR FX, W/O MANIP, FAC	$667.08	$1,308.00	$837.77–$1,046.40	—	49%
Broken foot (metatarsal) treatment without surgery or setting CPT 28470 TREAT METATARSAL FRACTURE--FAC	$416.16	$816.00	$489.60–$652.80	27% below	49%
Broken foot (metatarsal) treatment without surgery or setting CPT 28470 ED - CLOSED TREAT, METATARSAL FX, W/O MANIP, EACH, FAC	$416.16	$816.00	$489.60–$652.80	27% below	49%
Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 ED - CLOSED TREAT, METATARSAL FX, W/O MANIP, EACH, FAC	$416.16	$816.00	$522.65–$652.80	—	49%
Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 TREAT METATARSAL FRACTURE--FAC	$416.16	$816.00	$522.65–$652.80	—	49%
Bunion correction with a bone cut near the head of the first metatarsal CPT 28296 ASC - CORRECTION OF BUNION, METATARSAL OSTEOTOMY - FAC	$4,773.09	$9,359.00	$5,615.40–$7,487.20	22% below	49%
Bunion correction with a bone cut near the head of the first metatarsal CPT 28296 HALLUX VALGUS CRCT,W/SESAMOIDECTOMY W/METATARSAL OSTEOTMY	$7,365.93	$14,443.00	$8,665.80–$11,554.40	20% above	49%
Bunion correction with a bone cut near the head of the first metatarsal inpatient CPT 28296 ASC - CORRECTION OF BUNION, METATARSAL OSTEOTOMY - FAC	$4,773.09	$9,359.00	$5,994.44–$7,487.20	—	49%
Bunion correction with a bone cut near the head of the first metatarsal inpatient CPT 28296 HALLUX VALGUS CRCT,W/SESAMOIDECTOMY W/METATARSAL OSTEOTMY	$7,365.93	$14,443.00	$9,250.74–$11,554.40	—	49%
Bunion correction with removal of part of the big toe joint CPT 28292 HALLUX VALGUS CORRECTION (KELLER, MCBRIDE OR MAYO TYPE)--FAC	$6,119.49	$11,999.00	$7,199.40–$9,599.20	23% above	49%
Bunion correction with removal of part of the big toe joint inpatient CPT 28292 HALLUX VALGUS CORRECTION (KELLER, MCBRIDE OR MAYO TYPE)--FAC	$6,119.49	$11,999.00	$7,685.36–$9,599.20	—	49%
Cardiac catheterization with coronary angiogram CPT 93458 L HRT ARTERY/VENTRICLE ANGIO - TECH	$7,524.03	$14,753.00	$8,851.80–$11,802.40	29% below	49%
Cardiac catheterization with coronary angiogram inpatient CPT 93458 L HRT ARTERY/VENTRICLE ANGIO - TECH	$7,524.03	$14,753.00	$9,449.30–$11,802.40	—	49%
Cardioversion, elective (restoring heart rhythm) CPT 92960 ELECTIVE CARDIOVERSION	$1,232.67	$2,417.00	$1,450.20–$1,933.60	13% above	49%
Cardioversion, elective (restoring heart rhythm) CPT 92960 ED - CARDIOVERSION, EXTERNAL, FAC	$1,232.67	$2,417.00	$1,450.20–$1,933.60	13% above	49%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 ELECTIVE CARDIOVERSION	$1,232.67	$2,417.00	$1,548.09–$1,933.60	—	49%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 ED - CARDIOVERSION, EXTERNAL, FAC	$1,232.67	$2,417.00	$1,548.09–$1,933.60	—	49%
Carpal tunnel release, open surgery CPT 64721 NEUROPLASTY &/ OR TRANSP,MEDIAN NERVE AT CARPAL TUNNEL	$2,943.72	$5,772.00	$3,463.20–$4,617.60	12% below	49%
Carpal tunnel release, open surgery inpatient CPT 64721 NEUROPLASTY &/ OR TRANSP,MEDIAN NERVE AT CARPAL TUNNEL	$2,943.72	$5,772.00	$3,696.97–$4,617.60	—	49%
Cataract surgery with lens implant CPT 66984 EXTRACAPSULAR CATARACT REMOV W/INSERT OF INTRAOC LENS PROSTH	$2,952.39	$5,789.00	$3,473.40–$4,631.20	19% below	49%
Cataract surgery with lens implant inpatient CPT 66984 EXTRACAPSULAR CATARACT REMOV W/INSERT OF INTRAOC LENS PROSTH	$2,952.39	$5,789.00	$3,707.85–$4,631.20	—	49%
Catheter ablation for atrial fibrillation CPT 93656 TX ATRIAL FIB PULM VEIN ISOL - FAC	$32,070.84	$62,884.00	$37,730.40–$50,307.20	25% above	49%
Catheter ablation for atrial fibrillation inpatient CPT 93656 TX ATRIAL FIB PULM VEIN ISOL - FAC	$32,070.84	$62,884.00	$40,277.20–$50,307.20	—	49%
Cervical biopsy CPT 57500 BX CERVIX,SNGL/MLTPL OR LCL EXC OF LESION,W/W/O FULGURATION	$1,095.48	$2,148.00	$1,288.80–$1,718.40	40% above	49%
Cervical biopsy inpatient CPT 57500 BX CERVIX,SNGL/MLTPL OR LCL EXC OF LESION,W/W/O FULGURATION	$1,095.48	$2,148.00	$1,375.79–$1,718.40	—	49%
Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 CIRCUMCISE, NOT CLAMP,DEVICE,DORSAL SLIT, GT 28 DAYS-FAC	$3,365.49	$6,599.00	$3,959.40–$5,279.20	at median	49%
Circumcision by surgical excision, older than 28 days (children and adults) inpatient CPT 54161 CIRCUMCISE, NOT CLAMP,DEVICE,DORSAL SLIT, GT 28 DAYS-FAC	$3,365.49	$6,599.00	$4,226.66–$5,279.20	—	49%
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 CIRCUMCISION, W REGIONAL DORSAL PENILE OR RING BLOCK-FAC	$2,804.49	$5,499.00	$3,299.40–$4,399.20	555% above	49%
Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 CIRCUMCISION, W REGIONAL DORSAL PENILE OR RING BLOCK-FAC	$2,804.49	$5,499.00	$3,522.11–$4,399.20	—	49%
Circumcision, surgical, older than a newborn CPT 54160 CIRCUMCISION, NOT CLAMP,DEVICE,DORSAL SLIT, NEO LTE 28 DAYS	$2,804.49	$5,499.00	$3,299.40–$4,399.20	662% above	49%
Circumcision, surgical, older than a newborn inpatient CPT 54160 CIRCUMCISION, NOT CLAMP,DEVICE,DORSAL SLIT, NEO LTE 28 DAYS	$2,804.49	$5,499.00	$3,522.11–$4,399.20	—	49%
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 ED - CLOSED DISTAL RADIAL FX, INCL ULNAR STYLOID, W/O MANIP	$416.16	$816.00	$489.60–$652.80	33% below	49%
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 CLOSED DISTAL RADIAL FX, INCL ULNAR STYLOID, W/O MANIP-FAC	$416.16	$816.00	$489.60–$652.80	33% below	49%
Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 CLOSED DISTAL RADIAL FX, INCL ULNAR STYLOID, W/O MANIP-FAC	$416.16	$816.00	$522.65–$652.80	—	49%
Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 ED - CLOSED DISTAL RADIAL FX, INCL ULNAR STYLOID, W/O MANIP	$416.16	$816.00	$522.65–$652.80	—	49%
Colonoscopy with endoscopic ultrasound CPT 45391 COLONOSCOPY W/ENDOSCOPE US	$2,004.81	$3,931.00	$2,358.60–$3,144.80	24% below	49%
Colonoscopy with endoscopic ultrasound inpatient CPT 45391 COLONOSCOPY W/ENDOSCOPE US	$2,004.81	$3,931.00	$2,517.81–$3,144.80	—	49%
Colonoscopy with polyp removal CPT 45385 COLONOSCOPY, W/REMOVAL OF TUMORS/POLYPS/OTHER LESIONS	$2,004.81	$3,931.00	$2,358.60–$3,144.80	15% below	49%
Colonoscopy with polyp removal inpatient CPT 45385 COLONOSCOPY, W/REMOVAL OF TUMORS/POLYPS/OTHER LESIONS	$2,004.81	$3,931.00	$2,517.81–$3,144.80	—	49%
Colonoscopy with tissue sample CPT 45380 ASC - COLONOSCOPY, FLEX, WITH BIOPSY, SINGLE OR MULTIPLE	$2,104.77	$4,127.00	$2,476.20–$3,301.60	6% below	49%
Colonoscopy with tissue sample CPT 45380 COLONOSCOPY, W/BIOPSY, SINGLE OR MULTIPLE	$2,104.77	$4,127.00	$2,476.20–$3,301.60	6% below	49%
Colonoscopy with tissue sample inpatient CPT 45380 COLONOSCOPY, W/BIOPSY, SINGLE OR MULTIPLE	$2,104.77	$4,127.00	$2,643.34–$3,301.60	—	49%
Colonoscopy with tissue sample inpatient CPT 45380 ASC - COLONOSCOPY, FLEX, WITH BIOPSY, SINGLE OR MULTIPLE	$2,104.77	$4,127.00	$2,643.34–$3,301.60	—	49%
Colonoscopy, diagnostic CPT 45378 FMT, DEL VIA COLONOSCOPY, W/WO MODERATE SEDATION, SELF PAY	$1,898.73	$3,723.00	$2,233.80–$2,978.40	2% below	49%
Colonoscopy, diagnostic CPT 45378 FMT, DELIVERED VIA COLONOSCOPY, W GENERAL ANES, SELF PAY	$1,907.40	$3,740.00	$2,244.00–$2,992.00	1% below	49%
Colonoscopy, diagnostic CPT 45378 COLONOSCOPY, W/WO COLL OF SPEC, W/WO DECOMPRESS, SEP PROC	$1,998.69	$3,919.00	$2,351.40–$3,135.20	3% above	49%
Colonoscopy, diagnostic inpatient CPT 45378 FMT, DEL VIA COLONOSCOPY, W/WO MODERATE SEDATION, SELF PAY	$1,898.73	$3,723.00	$2,384.58–$2,978.40	—	49%
Colonoscopy, diagnostic inpatient CPT 45378 FMT, DELIVERED VIA COLONOSCOPY, W GENERAL ANES, SELF PAY	$1,907.40	$3,740.00	$2,395.47–$2,992.00	—	49%
Colonoscopy, diagnostic inpatient CPT 45378 COLONOSCOPY, W/WO COLL OF SPEC, W/WO DECOMPRESS, SEP PROC	$1,998.69	$3,919.00	$2,510.12–$3,135.20	—	49%
Colposcopy with LEEP (loop electrosurgical excision) CPT 57460 COLPOSCOPY (VAGINOSCOPY) (SEPARATE PROCEDURE)-W/LEEP-FAC	$3,588.36	$7,036.00	$4,221.60–$5,628.80	9% above	49%
Colposcopy with LEEP (loop electrosurgical excision) inpatient CPT 57460 COLPOSCOPY (VAGINOSCOPY) (SEPARATE PROCEDURE)-W/LEEP-FAC	$3,588.36	$7,036.00	$4,506.56–$5,628.80	—	49%
Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 COLPOSCOPY WITH BIOPSY-FAC	$556.41	$1,091.00	$654.60–$872.80	26% above	49%
Colposcopy with cervical biopsy and scraping of the cervical canal inpatient CPT 57454 COLPOSCOPY WITH BIOPSY-FAC	$556.41	$1,091.00	$698.79–$872.80	—	49%
Complex cataract surgery with lens implant CPT 66982 EXTRACAPS CATARACT REMOV W/ INSRT OF IO LENS PROST, MAN/MECH	$3,176.28	$6,228.00	$3,736.80–$4,982.40	14% below	49%
Complex cataract surgery with lens implant inpatient CPT 66982 EXTRACAPS CATARACT REMOV W/ INSRT OF IO LENS PROST, MAN/MECH	$3,176.28	$6,228.00	$3,989.03–$4,982.40	—	49%
Coronary stent placement, one artery CPT 92928 PRQ CARD STENT W/ANGIO 1 VSL - FAC	$20,070.54	$39,354.00	$23,612.40–$31,483.20	6% below	49%
Coronary stent placement, one artery inpatient CPT 92928 PRQ CARD STENT W/ANGIO 1 VSL - FAC	$20,070.54	$39,354.00	$25,206.24–$31,483.20	—	49%
Cystoscopy with ureteral stent placement CPT 52332 INSERTION DOUBLE J STENT-FAC	$4,500.75	$8,825.00	$5,295.00–$7,060.00	13% below	49%
Cystoscopy with ureteral stent placement CPT 52332 ED - INSERTION DOUBLE J STENT	$4,500.75	$8,825.00	$5,295.00–$7,060.00	13% below	49%
Cystoscopy with ureteral stent placement inpatient CPT 52332 INSERTION DOUBLE J STENT-FAC	$4,500.75	$8,825.00	$5,652.41–$7,060.00	—	49%
Cystoscopy with ureteral stent placement inpatient CPT 52332 ED - INSERTION DOUBLE J STENT	$4,500.75	$8,825.00	$5,652.41–$7,060.00	—	49%
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 ASC - CYSTOURETHROSCOPY (SEPARATE PROCEDURE) - FAC	$1,038.87	$2,037.00	$1,222.20–$1,629.60	12% above	49%
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 CYSTOURETHROSCOPY (SEPARATE PROCEDURE)	$1,038.87	$2,037.00	$1,222.20–$1,629.60	12% above	49%
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 CYSTOURETHROSCOPY (SEPARATE PROCEDURE)-FAC	$1,038.87	$2,037.00	$1,222.20–$1,629.60	12% above	49%
Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 ASC - CYSTOURETHROSCOPY (SEPARATE PROCEDURE) - FAC	$1,038.87	$2,037.00	$1,304.70–$1,629.60	—	49%
Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 CYSTOURETHROSCOPY (SEPARATE PROCEDURE)	$1,038.87	$2,037.00	$1,304.70–$1,629.60	—	49%
Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 CYSTOURETHROSCOPY (SEPARATE PROCEDURE)-FAC	$1,038.87	$2,037.00	$1,304.70–$1,629.60	—	49%
D&C (dilation and curettage), not related to pregnancy CPT 58120 DILATION & CURETTAGE,DIAGNOSTIC &/OR THERAPEUTIC (NON-OB)	$3,417.51	$6,701.00	$4,020.60–$5,360.80	15% above	49%
D&C (dilation and curettage), not related to pregnancy inpatient CPT 58120 DILATION & CURETTAGE,DIAGNOSTIC &/OR THERAPEUTIC (NON-OB)	$3,417.51	$6,701.00	$4,291.99–$5,360.80	—	49%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 DESTRUCTION, PREMALIGNANT LESIONS, FIRST LESION	$254.49	$499.00	$299.40–$399.20	37% above	49%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 DESTRUCTION, PREMALIGNANT LESIONS, FIRST LESION	$254.49	$499.00	$319.61–$399.20	—	49%
Ear tube placement (tympanostomy) under general anesthesia, one ear CPT 69436 *TYMPANOSTOMY (REQ INSERT OF VENT TUBE),GEN ANESTH-TECH	$2,888.13	$5,663.00	$3,397.80–$4,530.40	84% above	49%
Ear tube placement (tympanostomy) under general anesthesia, one ear inpatient CPT 69436 *TYMPANOSTOMY (REQ INSERT OF VENT TUBE),GEN ANESTH-TECH	$2,888.13	$5,663.00	$3,627.15–$4,530.40	—	49%
Ear tube placement (tympanostomy) with local anesthesia, one ear CPT 69433 TYMPANOSTOMY,LOCAL OR TOPICAL ANESTHESIA--FAC	$955.23	$1,873.00	$1,123.80–$1,498.40	82% above	49%
Ear tube placement (tympanostomy) with local anesthesia, one ear inpatient CPT 69433 TYMPANOSTOMY,LOCAL OR TOPICAL ANESTHESIA--FAC	$955.23	$1,873.00	$1,199.66–$1,498.40	—	49%
Earwax removal by irrigation (rinsing), one ear CPT 69209 REMOVE IMPACTED EAR WAX UNI	$113.22	$222.00	$133.20–$177.60	2% above	49%
Earwax removal by irrigation (rinsing), one ear CPT 69209 ED - REMOVE IMPACTED EAR WAX	$113.22	$222.00	$133.20–$177.60	2% above	49%
Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 REMOVE IMPACTED EAR WAX UNI	$113.22	$222.00	$142.19–$177.60	—	49%
Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 ED - REMOVE IMPACTED EAR WAX	$113.22	$222.00	$142.19–$177.60	—	49%
Earwax removal with instruments, one ear one side CPT 69210 ED - REMOVAL, IMPACTED CERUMEN, UNILATERAL, FAC	$94.86	$186.00	$111.60–$148.80	44% below	49%
Earwax removal with instruments, one ear one side CPT 69210 REMOVE IMPACTED CERUMEN (SEP PROC),UNILATERAL-TECH	$94.86	$186.00	$111.60–$148.80	44% below	49%
Earwax removal with instruments, one ear inpatient one side CPT 69210 REMOVE IMPACTED CERUMEN (SEP PROC),UNILATERAL-TECH	$94.86	$186.00	$119.13–$148.80	—	49%
Earwax removal with instruments, one ear inpatient one side CPT 69210 ED - REMOVAL, IMPACTED CERUMEN, UNILATERAL, FAC	$94.86	$186.00	$119.13–$148.80	—	49%
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 ENDOMETRIAL BIOPSY WITHOUT CERV DIL (SEP PROC)	$355.98	$698.00	$418.80–$558.40	22% above	49%
Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 ENDOMETRIAL BIOPSY WITHOUT CERV DIL (SEP PROC)	$355.98	$698.00	$447.07–$558.40	—	49%
Endoscopic sinus surgery: full ethmoid sinus opening CPT 31255 NASAL ENDOSCOPY,SURGCL,W/ETHMOIDECTOMY,ANT AND POST-ERIOR	$8,776.08	$17,208.00	$10,324.80–$13,766.40	at median	49%
Endoscopic sinus surgery: full ethmoid sinus opening inpatient CPT 31255 NASAL ENDOSCOPY,SURGCL,W/ETHMOIDECTOMY,ANT AND POST-ERIOR	$8,776.08	$17,208.00	$11,021.72–$13,766.40	—	49%
Endoscopic sinus surgery: opening the frontal sinus CPT 31276 NASAL/SINUS ENDOSCOP,SURG W/FRONTAL SINUS EXPLOR - TECH	$6,547.89	$12,839.00	$7,703.40–$10,271.20	97% above	49%
Endoscopic sinus surgery: opening the frontal sinus inpatient CPT 31276 NASAL/SINUS ENDOSCOP,SURG W/FRONTAL SINUS EXPLOR - TECH	$6,547.89	$12,839.00	$8,223.38–$10,271.20	—	49%
Endoscopic sinus surgery: opening the maxillary (cheek) sinus CPT 31256 *NASAL ENDOSCOPY,SURGICAL-W/MAXILLARY ANTROSTOMY--FAC	$5,128.56	$10,056.00	$6,033.60–$8,044.80	at median	49%
Endoscopic sinus surgery: opening the maxillary (cheek) sinus inpatient CPT 31256 *NASAL ENDOSCOPY,SURGICAL-W/MAXILLARY ANTROSTOMY--FAC	$5,128.56	$10,056.00	$6,440.87–$8,044.80	—	49%
Endoscopic sinus surgery: opening the maxillary sinus with removal of tissue CPT 31267 NASAL/SINUS ENDO, SURG, W/ MAXILLARY ANTROSTOMY	$6,547.89	$12,839.00	$7,703.40–$10,271.20	at median	49%
Endoscopic sinus surgery: opening the maxillary sinus with removal of tissue inpatient CPT 31267 NASAL/SINUS ENDO, SURG, W/ MAXILLARY ANTROSTOMY	$6,547.89	$12,839.00	$8,223.38–$10,271.20	—	49%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 ED - NJX INTERLAM, NDL OR CATH, CRV/THRC, W GUIDANCE	$1,218.90	$2,390.00	$1,434.00–$1,912.00	20% below	49%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 NJX INTERLAM, NDL OR CATH, CRV/THRC, W GUIDANCE - FAC	$1,218.90	$2,390.00	$1,434.00–$1,912.00	20% below	49%
Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 ED - NJX INTERLAM, NDL OR CATH, CRV/THRC, W GUIDANCE	$1,218.90	$2,390.00	$1,530.79–$1,912.00	—	49%
Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 NJX INTERLAM, NDL OR CATH, CRV/THRC, W GUIDANCE - FAC	$1,218.90	$2,390.00	$1,530.79–$1,912.00	—	49%
Eye injection into the vitreous (intravitreal injection) CPT 67028 INTRAVITREAL INJ, PHARMACOLOGIC AGENT (SEP PROC	$568.14	$1,114.00	$668.40–$891.20	29% below	49%
Eye injection into the vitreous (intravitreal injection) inpatient CPT 67028 INTRAVITREAL INJ, PHARMACOLOGIC AGENT (SEP PROC	$568.14	$1,114.00	$713.52–$891.20	—	49%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 INJ PARAVERT F JNT L/S 1 LEV - FAC	$1,749.30	$3,430.00	$2,058.00–$2,744.00	24% below	49%
Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 INJ PARAVERT F JNT L/S 1 LEV - FAC	$1,749.30	$3,430.00	$2,196.92–$2,744.00	—	49%
First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm CPT 49593 RPR AA HRN 1ST 3-10 RDC	$5,477.91	$10,741.00	$6,444.60–$8,592.80	53% below	49%
First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm inpatient CPT 49593 RPR AA HRN 1ST 3-10 RDC	$5,477.91	$10,741.00	$6,879.61–$8,592.80	—	49%
First repair of a front abdominal hernia larger than 10 cm CPT 49595 RPR AA HRN 1ST GT 10 RDC	$5,477.91	$10,741.00	$6,444.60–$8,592.80	54% below	49%
First repair of a front abdominal hernia larger than 10 cm inpatient CPT 49595 RPR AA HRN 1ST GT 10 RDC	$5,477.91	$10,741.00	$6,879.61–$8,592.80	—	49%
First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm CPT 49591 RPR AA HRN 1ST GT 3 CM RDC	$5,477.91	$10,741.00	$6,444.60–$8,592.80	24% below	49%
First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm inpatient CPT 49591 RPR AA HRN 1ST GT 3 CM RDC	$5,477.91	$10,741.00	$6,879.61–$8,592.80	—	49%
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 FMT, DEL VIA FLEX SIG W/WO MOD SEDATION, SELF PAY	$1,307.64	$2,564.00	$1,538.40–$2,051.20	17% below	49%
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 ED - SIGMOIDOSCOPY, FLEXIBLE, BY BRUSHING/WASHING, FAC	$1,375.98	$2,698.00	$1,618.80–$2,158.40	12% below	49%
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 ASC - SIGMOIDOSCOPY, FLEX, W/WO COLL OF SPEC/S	$1,513.68	$2,968.00	$1,780.80–$2,374.40	4% below	49%
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 SIGMOIDOSCOPY,FLEXIBLE FIBEROPTIC-DIAGNOSTIC	$1,513.68	$2,968.00	$1,780.80–$2,374.40	4% below	49%
Flexible sigmoidoscopy, diagnostic (lower colon only) inpatient CPT 45330 FMT, DEL VIA FLEX SIG W/WO MOD SEDATION, SELF PAY	$1,307.64	$2,564.00	$1,642.24–$2,051.20	—	49%
Flexible sigmoidoscopy, diagnostic (lower colon only) inpatient CPT 45330 ED - SIGMOIDOSCOPY, FLEXIBLE, BY BRUSHING/WASHING, FAC	$1,375.98	$2,698.00	$1,728.07–$2,158.40	—	49%
Flexible sigmoidoscopy, diagnostic (lower colon only) inpatient CPT 45330 ASC - SIGMOIDOSCOPY, FLEX, W/WO COLL OF SPEC/S	$1,513.68	$2,968.00	$1,901.00–$2,374.40	—	49%
Flexible sigmoidoscopy, diagnostic (lower colon only) inpatient CPT 45330 SIGMOIDOSCOPY,FLEXIBLE FIBEROPTIC-DIAGNOSTIC	$1,513.68	$2,968.00	$1,901.00–$2,374.40	—	49%
Gallbladder removal, laparoscopic CPT 47562 LAPAROSCOPIC CHOLECYSTECTOMY-FAC	$9,896.04	$19,404.00	$11,642.40–$15,523.20	26% below	49%
Gallbladder removal, laparoscopic inpatient CPT 47562 LAPAROSCOPIC CHOLECYSTECTOMY-FAC	$9,896.04	$19,404.00	$12,428.26–$15,523.20	—	49%
Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery CPT 47563 LAPARSCPC CHOLECYSTCTMY W/CHOLANGIOGRPHY-FAC	$8,968.86	$17,586.00	$10,551.60–$14,068.80	19% below	49%
Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery inpatient CPT 47563 LAPARSCPC CHOLECYSTCTMY W/CHOLANGIOGRPHY-FAC	$8,968.86	$17,586.00	$11,263.83–$14,068.80	—	49%
Hammertoe correction surgery CPT 28285 CORRECTION, HAMMERTOE--FAC	$5,007.18	$9,818.00	$5,890.80–$7,854.40	27% above	49%
Hammertoe correction surgery inpatient CPT 28285 CORRECTION, HAMMERTOE--FAC	$5,007.18	$9,818.00	$6,288.43–$7,854.40	—	49%
Hemorrhoid banding (rubber band ligation) CPT 46221 HEMORRHOID BANDING-FAC	$1,744.20	$3,420.00	$2,052.00–$2,736.00	38% above	49%
Hemorrhoid banding (rubber band ligation) inpatient CPT 46221 HEMORRHOID BANDING-FAC	$1,744.20	$3,420.00	$2,190.51–$2,736.00	—	49%
Hemorrhoidectomy (internal and external), one area CPT 46255 *HEMORRHOIDECTOMY,INTERNAL/EXTERNAL,SINGLE COLUMN/GRP-FAC	$3,590.40	$7,040.00	$4,224.00–$5,632.00	11% below	49%
Hemorrhoidectomy (internal and external), one area inpatient CPT 46255 *HEMORRHOIDECTOMY,INTERNAL/EXTERNAL,SINGLE COLUMN/GRP-FAC	$3,590.40	$7,040.00	$4,509.12–$5,632.00	—	49%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 INJ HYSTEROSALPINGOGRAPHY	$225.93	$443.00	$265.80–$354.40	11% below	49%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 INJ HYSTEROSALPINGOGRAPHY	$225.93	$443.00	$283.74–$354.40	—	49%
Hysteroscopy with endometrial ablation CPT 58563 HYSTERO, SURG, WITH ENDOMETRIAL ABLATION -FAC	$6,182.22	$12,122.00	$7,273.20–$9,697.60	32% above	49%
Hysteroscopy with endometrial ablation inpatient CPT 58563 HYSTERO, SURG, WITH ENDOMETRIAL ABLATION -FAC	$6,182.22	$12,122.00	$7,764.14–$9,697.60	—	49%
IUD insertion (the device itself billed separately) CPT 58300 INSRTION OF INTRAUTERINE DEVICE (IUD) - FAC	$352.92	$692.00	$415.20–$553.60	23% above	49%
IUD insertion (the device itself billed separately) inpatient CPT 58300 INSRTION OF INTRAUTERINE DEVICE (IUD) - FAC	$352.92	$692.00	$443.23–$553.60	—	49%
Incision and drainage of a simple or single skin abscess CPT 10060 ED - INCISION/DRAINAGE OF ABSCESS, SIMPLE/SINGLE, FAC	$463.08	$908.00	$544.80–$726.40	24% above	49%
Incision and drainage of a simple or single skin abscess CPT 10060 I&D ABCESS-SIMPLE OR SINGLE	$463.08	$908.00	$544.80–$726.40	24% above	49%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 ED - INCISION/DRAINAGE OF ABSCESS, SIMPLE/SINGLE, FAC	$463.08	$908.00	$581.57–$726.40	—	49%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I&D ABCESS-SIMPLE OR SINGLE	$463.08	$908.00	$581.57–$726.40	—	49%
Inguinal (groin) hernia repair, age 5 or older CPT 49505 REPAIR INITIAL INGUINAL HERNIA, AGE 5/OVER, REDUCIBLE-FAC	$7,880.01	$15,451.00	$9,270.60–$12,360.80	1% below	49%
Inguinal (groin) hernia repair, age 5 or older inpatient CPT 49505 REPAIR INITIAL INGUINAL HERNIA, AGE 5/OVER, REDUCIBLE-FAC	$7,880.01	$15,451.00	$9,896.37–$12,360.80	—	49%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJECTION 1 TENDON SHEATH/LIGAMENT APONEUROSIS	$457.47	$897.00	$538.20–$717.60	51% above	49%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 INJECTION 1 TENDON SHEATH/LIGAMENT APONEUROSIS	$457.47	$897.00	$574.53–$717.60	—	49%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ARTHROCENTESIS, ASP/INJ, MAJOR JOINT OR BURSA W/O US	$457.47	$897.00	$538.20–$717.60	6% below	49%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ED - ARTHROCENTESIS, ASP/INJ, MAJOR JOINT W/O US, FAC	$457.47	$897.00	$538.20–$717.60	6% below	49%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 ED - ARTHROCENTESIS, ASP/INJ, MAJOR JOINT W/O US, FAC	$457.47	$897.00	$574.53–$717.60	—	49%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 ARTHROCENTESIS, ASP/INJ, MAJOR JOINT OR BURSA W/O US	$457.47	$897.00	$574.53–$717.60	—	49%
Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 INSERT DRUG IMPLANT DEVICE-FAC	$172.89	$339.00	$203.40–$271.20	37% below	49%
Insertion of a drug-delivery implant, such as the arm birth control implant inpatient CPT 11981 INSERT DRUG IMPLANT DEVICE-FAC	$172.89	$339.00	$217.13–$271.20	—	49%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ED - ARTHROCENTESIS/ASP/INJ, INTERM JOINT W/O US, FAC	$457.47	$897.00	$538.20–$717.60	at median	49%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ARTHROCENTESIS, ASP/INJ, INTERMEDIATE JOINT OR BURSA W/O US	$457.47	$897.00	$538.20–$717.60	at median	49%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 ED - ARTHROCENTESIS/ASP/INJ, INTERM JOINT W/O US, FAC	$457.47	$897.00	$574.53–$717.60	—	49%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 ARTHROCENTESIS, ASP/INJ, INTERMEDIATE JOINT OR BURSA W/O US	$457.47	$897.00	$574.53–$717.60	—	49%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 ED - ARTHROCENTESIS/ASP/ INJECTION, SMALL JOINT W/O US, FAC	$457.47	$897.00	$538.20–$717.60	21% above	49%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 ARTHROCENTESIS,ASPIRATN AND/OR INJ,SMALL JNT BURSA W/O US	$457.47	$897.00	$538.20–$717.60	21% above	49%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 ED - ARTHROCENTESIS/ASP/ INJECTION, SMALL JOINT W/O US, FAC	$457.47	$897.00	$574.53–$717.60	—	49%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 ARTHROCENTESIS,ASPIRATN AND/OR INJ,SMALL JNT BURSA W/O US	$457.47	$897.00	$574.53–$717.60	—	49%
Knee arthroscopy with meniscus repair (one side of the knee) CPT 29882 ARTHROSCOPY,KNEE,SURG,W/MENISCUS REPAIR,MEDIAL OR LATERAL	$3,977.49	$7,799.00	$4,679.40–$6,239.20	50% below	49%
Knee arthroscopy with meniscus repair (one side of the knee) inpatient CPT 29882 ARTHROSCOPY,KNEE,SURG,W/MENISCUS REPAIR,MEDIAL OR LATERAL	$3,977.49	$7,799.00	$4,995.26–$6,239.20	—	49%
Knee arthroscopy with meniscus trim CPT 29881 ARTHROSCOPY, KNEE, SURGICAL WITH MENISCECTOMY--FAC	$3,977.49	$7,799.00	$4,679.40–$6,239.20	43% below	49%
Knee arthroscopy with meniscus trim inpatient CPT 29881 ARTHROSCOPY, KNEE, SURGICAL WITH MENISCECTOMY--FAC	$3,977.49	$7,799.00	$4,995.26–$6,239.20	—	49%
Knee arthroscopy with removal of both torn meniscus parts CPT 29880 ARTHROSCOPY,KNEE,SURG,W/MENISECTOMY,MEDIAL AND LATERAL	$4,005.03	$7,853.00	$4,711.80–$6,282.40	44% below	49%
Knee arthroscopy with removal of both torn meniscus parts inpatient CPT 29880 ARTHROSCOPY,KNEE,SURG,W/MENISECTOMY,MEDIAL AND LATERAL	$4,005.03	$7,853.00	$5,029.85–$6,282.40	—	49%
Knee arthroscopy with smoothing of damaged cartilage (chondroplasty) CPT 29877 ARTHROSCOPY,DEBRIDE/SHAVING OF ARTICULAR CARTILAGE	$4,773.09	$9,359.00	$5,615.40–$7,487.20	3% below	49%
Knee arthroscopy with smoothing of damaged cartilage (chondroplasty) inpatient CPT 29877 ARTHROSCOPY,DEBRIDE/SHAVING OF ARTICULAR CARTILAGE	$4,773.09	$9,359.00	$5,994.44–$7,487.20	—	49%
Laparoscopic adjustable gastric band placement (Lap-Band) CPT 43770 LAP, PLACE GASTR ADJUST BAND/PORT	$12,668.91	$24,841.00	$14,904.60–$19,872.80	—	49%
Laparoscopic adjustable gastric band placement (Lap-Band) inpatient CPT 43770 LAP, PLACE GASTR ADJUST BAND/PORT	$12,668.91	$24,841.00	$15,910.66–$19,872.80	—	49%
Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 LAPAROSCOPY,SURGICAL, APPENDECTOMY -FAC	$7,777.50	$15,250.00	$9,150.00–$12,200.00	at median	49%
Laparoscopic appendectomy (appendix removal through small cuts) inpatient CPT 44970 LAPAROSCOPY,SURGICAL, APPENDECTOMY -FAC	$7,777.50	$15,250.00	$9,767.62–$12,200.00	—	49%
Laparoscopic fundoplication (anti-reflux surgery) CPT 43280 LAPAROSCOPY, FUNDOPLASTY-FAC	$15,161.28	$29,728.00	$17,836.80–$23,782.40	71% below	49%
Laparoscopic fundoplication (anti-reflux surgery) inpatient CPT 43280 LAPAROSCOPY, FUNDOPLASTY-FAC	$15,161.28	$29,728.00	$19,040.78–$23,782.40	—	49%
Laparoscopic hysterectomy (uterus 250 g or less) CPT 58570 TLH, UTERUS 250 G OR LESS - FAC	$13,703.70	$26,870.00	$16,122.00–$21,496.00	42% below	49%
Laparoscopic hysterectomy (uterus 250 g or less) inpatient CPT 58570 TLH, UTERUS 250 G OR LESS - FAC	$13,703.70	$26,870.00	$17,210.24–$21,496.00	—	49%
Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries CPT 58571 TLH W/T/O 250 G OR LESS - FAC	$13,212.06	$25,906.00	$15,543.60–$20,724.80	56% below	49%
Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries inpatient CPT 58571 TLH W/T/O 250 G OR LESS - FAC	$13,212.06	$25,906.00	$16,592.79–$20,724.80	—	49%
Laparoscopic inguinal (groin) hernia repair, first repair on that side CPT 49650 LAPARO HERNIA REPAIR INITIAL-FAC	$11,659.11	$22,861.00	$13,716.60–$18,288.80	at median	49%
Laparoscopic inguinal (groin) hernia repair, first repair on that side inpatient CPT 49650 LAPARO HERNIA REPAIR INITIAL-FAC	$11,659.11	$22,861.00	$14,642.47–$18,288.80	—	49%
Laparoscopic inguinal (groin) hernia repair, recurrent hernia CPT 49651 LAPARO HERNIA REPAIR RECUR-FAC	$10,912.98	$21,398.00	$12,838.80–$17,118.40	88% above	49%
Laparoscopic inguinal (groin) hernia repair, recurrent hernia inpatient CPT 49651 LAPARO HERNIA REPAIR RECUR-FAC	$10,912.98	$21,398.00	$13,705.42–$17,118.40	—	49%
Laparoscopic removal of an adjustable gastric band and its port CPT 43774 LAP REMOV ADJ GAST BAND/PORT	$4,546.14	$8,914.00	$5,348.40–$7,131.20	3% below	49%
Laparoscopic removal of an adjustable gastric band and its port inpatient CPT 43774 LAP REMOV ADJ GAST BAND/PORT	$4,546.14	$8,914.00	$5,709.42–$7,131.20	—	49%
Laparoscopic removal of fallopian tubes and/or ovaries CPT 58661 LAPAROSCOPY, REMOVE ADNEXA-FAC	$11,009.88	$21,588.00	$12,952.80–$17,270.40	53% above	49%
Laparoscopic removal of fallopian tubes and/or ovaries inpatient CPT 58661 LAPAROSCOPY, REMOVE ADNEXA-FAC	$11,009.88	$21,588.00	$13,827.11–$17,270.40	—	49%
Laser treatment of clouding after cataract surgery (YAG) CPT 66821 DISCISSION OF SECONDARY MEMBRANOUS CATARACT, LASER SURG-FAC	$1,183.20	$2,320.00	$1,392.00–$1,856.00	32% above	49%
Laser treatment of clouding after cataract surgery (YAG) inpatient CPT 66821 DISCISSION OF SECONDARY MEMBRANOUS CATARACT, LASER SURG-FAC	$1,183.20	$2,320.00	$1,485.96–$1,856.00	—	49%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 ED - INTERM REPAIR, SCALP/TRUNK/EXT, 2.5 CM OR LESS	$637.50	$1,250.00	$750.00–$1,000.00	3% below	49%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 INTERM REPAIR, SCALP/TRUNK/EXT, 2.5 CM OR LESS	$637.50	$1,250.00	$750.00–$1,000.00	3% below	49%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 ED - INTERM REPAIR, SCALP/TRUNK/EXT, 2.5 CM OR LESS	$637.50	$1,250.00	$800.62–$1,000.00	—	49%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 INTERM REPAIR, SCALP/TRUNK/EXT, 2.5 CM OR LESS	$637.50	$1,250.00	$800.62–$1,000.00	—	49%
Left heart catheterization, diagnostic one side CPT 93452 LEFT HRT CATH W/VENTRCLGRPHY - TECH	$6,974.76	$13,676.00	$8,205.60–$10,940.80	14% below	49%
Left heart catheterization, diagnostic inpatient one side CPT 93452 LEFT HRT CATH W/VENTRCLGRPHY - TECH	$6,974.76	$13,676.00	$8,759.48–$10,940.80	—	49%
Lower-back epidural injection, with imaging guidance CPT 62323 NJX INTERLAM, NDL OR CATH, LMBR/SAC, W GUIDANCE - FAC	$1,269.39	$2,489.00	$1,493.40–$1,991.20	17% below	49%
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 NJX INTERLAM, NDL OR CATH, LMBR/SAC, W GUIDANCE - FAC	$1,269.39	$2,489.00	$1,594.20–$1,991.20	—	49%
Lower-back epidural injection, without imaging guidance CPT 62322 NJX INTERLAM, NDL OR CATH, LMBR/SAC, WO GUIDANCE - FAC	$1,104.66	$2,166.00	$1,299.60–$1,732.80	3% below	49%
Lower-back epidural injection, without imaging guidance inpatient CPT 62322 NJX INTERLAM, NDL OR CATH, LMBR/SAC, WO GUIDANCE - FAC	$1,104.66	$2,166.00	$1,387.32–$1,732.80	—	49%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 INJECTION(S) ANES TRANS, L/S, SNGL	$1,628.94	$3,194.00	$1,916.40–$2,555.20	5% below	49%
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 INJECTION(S) ANES TRANS, L/S, SNGL	$1,628.94	$3,194.00	$2,045.76–$2,555.20	—	49%
Lumbar discectomy or laminotomy to free a nerve root, one level CPT 63030 LAMINOTOMY, W DECOMP OF NERVE ROOT(S),ONE INTERSPACE,LUMBAR	$10,706.43	$20,993.00	$12,595.80–$16,794.40	6% above	49%
Lumbar discectomy or laminotomy to free a nerve root, one level inpatient CPT 63030 LAMINOTOMY, W DECOMP OF NERVE ROOT(S),ONE INTERSPACE,LUMBAR	$10,706.43	$20,993.00	$13,446.02–$16,794.40	—	49%
Lumbar laminectomy (spinal decompression), one level CPT 63047 LAMINECTOMY, FACETECTOMY,FORAMINOTOMY-SING VERT SEG,LUMBAR	$12,600.06	$24,706.00	$14,823.60–$19,764.80	38% above	49%
Lumbar laminectomy (spinal decompression), one level inpatient CPT 63047 LAMINECTOMY, FACETECTOMY,FORAMINOTOMY-SING VERT SEG,LUMBAR	$12,600.06	$24,706.00	$15,824.19–$19,764.80	—	49%
Lumbar spinal fusion (posterior), one level CPT 22612 ARTHRODESIS,POSTERIOR LATERALW/LOCAL BONE ALLOGRAFT,LUMBAR	$18,264.12	$35,812.00	$21,487.20–$28,649.60	at median	49%
Lumbar spinal fusion (posterior), one level inpatient CPT 22612 ARTHRODESIS,POSTERIOR LATERALW/LOCAL BONE ALLOGRAFT,LUMBAR	$18,264.12	$35,812.00	$22,937.59–$28,649.60	—	49%
Lumpectomy (partial mastectomy) CPT 19301 PARTIAL MASTECTOMY - FAC	$7,286.88	$14,288.00	$8,572.80–$11,430.40	at median	49%
Lumpectomy (partial mastectomy) inpatient CPT 19301 PARTIAL MASTECTOMY - FAC	$7,286.88	$14,288.00	$9,151.46–$11,430.40	—	49%
Mastectomy (total removal of the breast) CPT 19303 MAST, SIMPLE, COMPLETE - FAC	$10,531.50	$20,650.00	$12,390.00–$16,520.00	63% above	49%
Mastectomy (total removal of the breast) inpatient CPT 19303 MAST, SIMPLE, COMPLETE - FAC	$10,531.50	$20,650.00	$13,226.32–$16,520.00	—	49%
Miscarriage treatment with D&C, first trimester CPT 59820 TRT OF MISSED ABORT,COMPLT SURG,1ST TRIMESTER - FAC	$3,417.51	$6,701.00	$4,020.60–$5,360.80	29% below	49%
Miscarriage treatment with D&C, first trimester inpatient CPT 59820 TRT OF MISSED ABORT,COMPLT SURG,1ST TRIMESTER - FAC	$3,417.51	$6,701.00	$4,291.99–$5,360.80	—	49%
Mohs surgery for skin cancer, first stage, head, neck, hands, feet or genitals CPT 17311 MOHS, 1 STAGE, H/N/HF/G - FAC	$985.83	$1,933.00	$1,159.80–$1,546.40	19% above	49%
Mohs surgery for skin cancer, first stage, head, neck, hands, feet or genitals inpatient CPT 17311 MOHS, 1 STAGE, H/N/HF/G - FAC	$985.83	$1,933.00	$1,238.09–$1,546.40	—	49%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 EXCISION, BENIGN, TRUNK/ARMS/LEGS, 0.5 CM OR LESS	$1,069.98	$2,098.00	$1,258.80–$1,678.40	45% above	49%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 EXCISION, BENIGN, TRUNK/ARMS/LEGS, 0.5 CM OR LESS	$1,069.98	$2,098.00	$1,343.77–$1,678.40	—	49%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 EXCISION,BENIGN,FACE/LIDS/NOSE/LIPS, 0.5CM OR LESS	$1,180.65	$2,315.00	$1,389.00–$1,852.00	57% above	49%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 EXCISION,BENIGN,FACE/LIDS/NOSE/LIPS, 0.5CM OR LESS	$1,180.65	$2,315.00	$1,482.76–$1,852.00	—	49%
Nail removal (partial or complete), one nail CPT 11730 AVULSION OF NAIL PLATE,PARTIAL/COMPLETE,SIMPLE-SINGLE--FAC	$279.99	$549.00	$329.40–$439.20	at median	49%
Nail removal (partial or complete), one nail CPT 11730 ED - AVULSION OF NAIL PLATE, SIMPLE, SINGLE, FAC	$279.99	$549.00	$329.40–$439.20	at median	49%
Nail removal (partial or complete), one nail inpatient CPT 11730 ED - AVULSION OF NAIL PLATE, SIMPLE, SINGLE, FAC	$279.99	$549.00	$351.63–$439.20	—	49%
Nail removal (partial or complete), one nail inpatient CPT 11730 AVULSION OF NAIL PLATE,PARTIAL/COMPLETE,SIMPLE-SINGLE--FAC	$279.99	$549.00	$351.63–$439.20	—	49%
Occipital nerve block (injection for headaches) CPT 64405 ED - INJECTN GR OCCIP NERVE	$618.63	$1,213.00	$727.80–$970.40	7% below	49%
Occipital nerve block (injection for headaches) CPT 64405 INJECTION GR OCCIP NERVE -FAC	$618.63	$1,213.00	$727.80–$970.40	7% below	49%
Occipital nerve block (injection for headaches) inpatient CPT 64405 INJECTION GR OCCIP NERVE -FAC	$618.63	$1,213.00	$776.93–$970.40	—	49%
Occipital nerve block (injection for headaches) inpatient CPT 64405 ED - INJECTN GR OCCIP NERVE	$618.63	$1,213.00	$776.93–$970.40	—	49%
Pacemaker implant (dual chamber) CPT 33208 INSRT/REPL PRMNT PACEMKR W TRNSVNOUS ELEC,ART AND VENTRCLR	$8,634.30	$16,930.00	$10,158.00–$13,544.00	17% below	49%
Pacemaker implant (dual chamber) inpatient CPT 33208 INSRT/REPL PRMNT PACEMKR W TRNSVNOUS ELEC,ART AND VENTRCLR	$8,634.30	$16,930.00	$10,843.66–$13,544.00	—	49%
Paracentesis with imaging guidance CPT 49083 ABD PARACENTESIS W/IMAGING - FAC	$1,476.96	$2,896.00	$1,737.60–$2,316.80	11% above	49%
Paracentesis with imaging guidance CPT 49083 ABD PARACENTESIS W/IMAGING	$1,476.96	$2,896.00	$1,737.60–$2,316.80	11% above	49%
Paracentesis with imaging guidance inpatient CPT 49083 ABD PARACENTESIS W/IMAGING - FAC	$1,476.96	$2,896.00	$1,854.89–$2,316.80	—	49%
Paracentesis with imaging guidance inpatient CPT 49083 ABD PARACENTESIS W/IMAGING	$1,476.96	$2,896.00	$1,854.89–$2,316.80	—	49%
Partial knee replacement (one compartment) CPT 27446 ARTHROPLASTY KNEE CONDYLE AND PLATEAU,MEDIAL OR LATERAL	$20,426.52	$40,052.00	$24,031.20–$32,041.60	9% above	49%
Partial knee replacement (one compartment) inpatient CPT 27446 ARTHROPLASTY KNEE CONDYLE AND PLATEAU,MEDIAL OR LATERAL	$20,426.52	$40,052.00	$25,653.31–$32,041.60	—	49%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 EXCISION OF NAIL & NAIL MATRIX,FOR PERMANENT REMOVAL--FAC	$739.50	$1,450.00	$870.00–$1,160.00	9% above	49%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 EXCISION OF NAIL & NAIL MATRIX,FOR PERMANENT REMOVAL--FAC	$739.50	$1,450.00	$928.72–$1,160.00	—	49%
Prostate biopsy CPT 55700 NEEDLE BX, PROSTATE	$2,676.99	$5,249.00	$3,149.40–$4,199.20	46% above	49%
Prostate biopsy inpatient CPT 55700 NEEDLE BX, PROSTATE	$2,676.99	$5,249.00	$3,361.98–$4,199.20	—	49%
Prostate removal (prostatectomy), laparoscopic CPT 55866 LAP, SURG PROSTATE, RETROPUB RAD, INCL NERVE SPARING	$12,668.91	$24,841.00	$14,904.60–$19,872.80	76% below	49%
Prostate removal (prostatectomy), laparoscopic inpatient CPT 55866 LAP, SURG PROSTATE, RETROPUB RAD, INCL NERVE SPARING	$12,668.91	$24,841.00	$15,910.66–$19,872.80	—	49%
Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 DESTROY LUMB/SAC FACET JNT - FAC	$3,182.91	$6,241.00	$3,744.60–$4,992.80	1% above	49%
Radiofrequency ablation of facet joint nerves, lower back, one level inpatient CPT 64635 DESTROY LUMB/SAC FACET JNT - FAC	$3,182.91	$6,241.00	$3,997.36–$4,992.80	—	49%
Removal of a breast lump, open surgery CPT 19120 EXCISION CYST/FIBROADENOMA/TUMOR, BREAST 1 OR MORE	$5,216.79	$10,229.00	$6,137.40–$8,183.20	7% above	49%
Removal of a breast lump, open surgery inpatient CPT 19120 EXCISION CYST/FIBROADENOMA/TUMOR, BREAST 1 OR MORE	$5,216.79	$10,229.00	$6,551.67–$8,183.20	—	49%
Removal of a foreign object under the skin, simple CPT 10120 INCISION & REMOVAL OF FOREIGN BODY, SUBCUTANEOUS TISSUES	$726.24	$1,424.00	$854.40–$1,139.20	40% above	49%
Removal of a foreign object under the skin, simple CPT 10120 ED - INCISION/REMOVAL OF FOREIGN BODY, SIMPLE, FAC	$726.24	$1,424.00	$854.40–$1,139.20	40% above	49%
Removal of a foreign object under the skin, simple inpatient CPT 10120 INCISION & REMOVAL OF FOREIGN BODY, SUBCUTANEOUS TISSUES	$726.24	$1,424.00	$912.07–$1,139.20	—	49%
Removal of a foreign object under the skin, simple inpatient CPT 10120 ED - INCISION/REMOVAL OF FOREIGN BODY, SIMPLE, FAC	$726.24	$1,424.00	$912.07–$1,139.20	—	49%
Removal of one lobe of the thyroid (lobectomy) CPT 60220 TOTAL THYROID LOBECTOMY UNILATERL	$8,785.26	$17,226.00	$10,335.60–$13,780.80	33% below	49%
Removal of one lobe of the thyroid (lobectomy) inpatient CPT 60220 TOTAL THYROID LOBECTOMY UNILATERL	$8,785.26	$17,226.00	$11,033.25–$13,780.80	—	49%
Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 COLORECTAL CANCER SCREEN	$1,998.69	$3,919.00	$2,351.40–$3,135.20	26% above	49%
Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 COLORECTAL CANCER SCREEN	$1,998.69	$3,919.00	$2,351.40–$3,135.20	26% above	49%
Screening colonoscopy for a person at average risk (Medicare code) inpatient HCPCS G0121 COLORECTAL CANCER SCREEN	$1,998.69	$3,919.00	$2,510.12–$3,135.20	—	49%
Screening colonoscopy for a person at average risk (Medicare code) inpatient HCPCS G0121 COLORECTAL CANCER SCREEN	$1,998.69	$3,919.00	$2,510.12–$3,135.20	—	49%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 COLORECTAL CANCER SCREENING COLONOSCOPY ON INDIVIDUAL	$1,998.69	$3,919.00	$2,351.40–$3,135.20	3% above	49%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 COLORECTAL CANCER SCREENING COLONOSCOPY ON INDIVIDUAL	$1,998.69	$3,919.00	$2,351.40–$3,135.20	3% above	49%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) inpatient HCPCS G0105 COLORECTAL CANCER SCREENING COLONOSCOPY ON INDIVIDUAL	$1,998.69	$3,919.00	$2,510.12–$3,135.20	—	49%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) inpatient HCPCS G0105 COLORECTAL CANCER SCREENING COLONOSCOPY ON INDIVIDUAL	$1,998.69	$3,919.00	$2,510.12–$3,135.20	—	49%
Septoplasty to straighten the nasal septum CPT 30520 *SEPTOPLASTY OR SUBMUCOUS RESECTION--FAC	$5,621.22	$11,022.00	$6,613.20–$8,817.60	13% above	49%
Septoplasty to straighten the nasal septum inpatient CPT 30520 *SEPTOPLASTY OR SUBMUCOUS RESECTION--FAC	$5,621.22	$11,022.00	$7,059.59–$8,817.60	—	49%
Shock-wave lithotripsy to break up kidney stones (from outside the body) CPT 50590 *LITHOTRIPSY,EXTRACORPOREAL SHOCK WAVE-FAC	$8,546.07	$16,757.00	$10,054.20–$13,405.60	at median	49%
Shock-wave lithotripsy to break up kidney stones (from outside the body) one side CPT 50590 ESWL-UNILATERAL	$8,546.07	$16,757.00	$10,054.20–$13,405.60	at median	49%
Shock-wave lithotripsy to break up kidney stones (from outside the body) inpatient CPT 50590 *LITHOTRIPSY,EXTRACORPOREAL SHOCK WAVE-FAC	$8,546.07	$16,757.00	$10,732.86–$13,405.60	—	49%
Shock-wave lithotripsy to break up kidney stones (from outside the body) inpatient one side CPT 50590 ESWL-UNILATERAL	$8,546.07	$16,757.00	$10,732.86–$13,405.60	—	49%
Short arm cast (elbow to hand) CPT 29075 APPLICATION-ELBOW TO FINGER (SHORT ARM) CAST--FAC	$480.42	$942.00	$565.20–$753.60	9% above	49%
Short arm cast (elbow to hand) CPT 29075 ED - APPLY - ELBOW TO FINGR (SHORT ARM) CAST	$480.42	$942.00	$565.20–$753.60	9% above	49%
Short arm cast (elbow to hand) inpatient CPT 29075 APPLICATION-ELBOW TO FINGER (SHORT ARM) CAST--FAC	$480.42	$942.00	$603.35–$753.60	—	49%
Short arm cast (elbow to hand) inpatient CPT 29075 ED - APPLY - ELBOW TO FINGR (SHORT ARM) CAST	$480.42	$942.00	$603.35–$753.60	—	49%
Short arm splint (forearm and hand) CPT 29125 ED - APPLICATION OF SHORT ARM SPLINT, STATIC, FAC	$333.03	$653.00	$391.80–$522.40	20% above	49%
Short arm splint (forearm and hand) CPT 29125 APPLICATION OF SHORT ARM SPLINT (FOREARM TO HAND)-STATIC	$333.03	$653.00	$391.80–$522.40	20% above	49%
Short arm splint (forearm and hand) inpatient CPT 29125 ED - APPLICATION OF SHORT ARM SPLINT, STATIC, FAC	$333.03	$653.00	$418.25–$522.40	—	49%
Short arm splint (forearm and hand) inpatient CPT 29125 APPLICATION OF SHORT ARM SPLINT (FOREARM TO HAND)-STATIC	$333.03	$653.00	$418.25–$522.40	—	49%
Short leg cast (below the knee) CPT 29405 APPLICATION OF SHORT LEG CAST (BELOW KNEE TO TOES)--FAC	$435.54	$854.00	$512.40–$683.20	25% above	49%
Short leg cast (below the knee) inpatient CPT 29405 APPLICATION OF SHORT LEG CAST (BELOW KNEE TO TOES)--FAC	$435.54	$854.00	$546.99–$683.20	—	49%
Short leg splint (calf to foot) CPT 29515 APPLICATION OF SHORT LEG SPLINT (CALF TO FOOT)--FAC	$347.31	$681.00	$408.60–$544.80	2% below	49%
Short leg splint (calf to foot) CPT 29515 ED - APPLICATION OF SHORT LEG SPLINT, FAC	$347.31	$681.00	$408.60–$544.80	2% below	49%
Short leg splint (calf to foot) inpatient CPT 29515 ED - APPLICATION OF SHORT LEG SPLINT, FAC	$347.31	$681.00	$436.18–$544.80	—	49%
Short leg splint (calf to foot) inpatient CPT 29515 APPLICATION OF SHORT LEG SPLINT (CALF TO FOOT)--FAC	$347.31	$681.00	$436.18–$544.80	—	49%
Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle) CPT 29824 SHOULDER ARTHROSCOPY/SURG, INCL DISTAL ARTICULAR SURF-FAC	$5,748.72	$11,272.00	$6,763.20–$9,017.60	45% above	49%
Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle) inpatient CPT 29824 SHOULDER ARTHROSCOPY/SURG, INCL DISTAL ARTICULAR SURF-FAC	$5,748.72	$11,272.00	$7,219.72–$9,017.60	—	49%
Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) CPT 29826 ARTHROSCOPY,SHOULDER,SURGICAL;WITH PARTIAL ACROMIOPLASTY	$2,827.44	$5,544.00	$3,326.40–$4,435.20	1% below	49%
Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) inpatient CPT 29826 ARTHROSCOPY,SHOULDER,SURGICAL;WITH PARTIAL ACROMIOPLASTY	$2,827.44	$5,544.00	$3,550.93–$4,435.20	—	49%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 SIMPLE REPAIR,SCALP/NECK/TRUNK/EXT, TO 2.5 CM	$369.75	$725.00	$435.00–$580.00	9% above	49%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 ED - REPAIR, SIMPLE WNDS, TRUNK/EXTREM 2.5 CM/LESS, FAC	$369.75	$725.00	$435.00–$580.00	9% above	49%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 SIMPLE REPAIR,SCALP/NECK/TRUNK/EXT, TO 2.5 CM	$369.75	$725.00	$464.36–$580.00	—	49%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 ED - REPAIR, SIMPLE WNDS, TRUNK/EXTREM 2.5 CM/LESS, FAC	$369.75	$725.00	$464.36–$580.00	—	49%
Skin biopsy, punch, one lesion CPT 11104 PUNCH BX SKIN SINGLE LESION - FAC	$269.28	$528.00	$316.80–$422.40	20% below	49%
Skin biopsy, punch, one lesion inpatient CPT 11104 PUNCH BX SKIN SINGLE LESION - FAC	$269.28	$528.00	$338.18–$422.40	—	49%
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 EXCISION,MALIG,TRUNK/ARMS/LEGS, 0.5CM OR LESS	$1,124.55	$2,205.00	$1,323.00–$1,764.00	69% above	49%
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11600 EXCISION,MALIG,TRUNK/ARMS/LEGS, 0.5CM OR LESS	$1,124.55	$2,205.00	$1,412.30–$1,764.00	—	49%
Skin tag removal, up to 15 tags CPT 11200 REMOVAL OF SKIN TAGS, UP TO 15 LESIONS	$267.24	$524.00	$314.40–$419.20	23% above	49%
Skin tag removal, up to 15 tags inpatient CPT 11200 REMOVAL OF SKIN TAGS, UP TO 15 LESIONS	$267.24	$524.00	$335.62–$419.20	—	49%
Spinal tap (lumbar puncture), diagnostic CPT 62270 ED - SPINAL PUNCTURE, LUMBAR, DIAGNOSTIC, FAC	$1,530.00	$3,000.00	$1,800.00–$2,400.00	54% above	49%
Spinal tap (lumbar puncture), diagnostic CPT 62270 SPINAL PUNCT, LUMB, DIAG	$1,530.00	$3,000.00	$1,800.00–$2,400.00	54% above	49%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 ED - SPINAL PUNCTURE, LUMBAR, DIAGNOSTIC, FAC	$1,530.00	$3,000.00	$1,921.50–$2,400.00	—	49%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 SPINAL PUNCT, LUMB, DIAG	$1,530.00	$3,000.00	$1,921.50–$2,400.00	—	49%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 ED - REPAIR, SIMPLE WNDS, TRUNK/EXTREM 2.6 - 7.5 CM, FAC	$369.75	$725.00	$435.00–$580.00	11% below	49%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 SIMPLE REPAIR WOUND,SCLP,NCK,TRNK,EXTREMS,2.6-7.5CM-TECH	$369.75	$725.00	$435.00–$580.00	11% below	49%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 ED - REPAIR, SIMPLE WNDS, TRUNK/EXTREM 2.6 - 7.5 CM, FAC	$369.75	$725.00	$464.36–$580.00	—	49%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 SIMPLE REPAIR WOUND,SCLP,NCK,TRNK,EXTREMS,2.6-7.5CM-TECH	$369.75	$725.00	$464.36–$580.00	—	49%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 SIMPLE REPAIR,FACE/EAR/LID/NOSE/LIP, TO 2.5 CM	$369.75	$725.00	$435.00–$580.00	9% below	49%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 ED - REPAIR, SIMPLE WOUNDS, FACE/EARS 2.5 CM/LESS, FAC	$369.75	$725.00	$435.00–$580.00	9% below	49%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 ED - REPAIR, SIMPLE WOUNDS, FACE/EARS 2.5 CM/LESS, FAC	$369.75	$725.00	$464.36–$580.00	—	49%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 SIMPLE REPAIR,FACE/EAR/LID/NOSE/LIP, TO 2.5 CM	$369.75	$725.00	$464.36–$580.00	—	49%
TURP (transurethral resection of the prostate) CPT 52601 TRANSURETHRAL RESECT OF PROSTATE,INCL CNTRL OF POSTOP BLEED	$8,445.09	$16,559.00	$9,935.40–$13,247.20	at median	49%
TURP (transurethral resection of the prostate) inpatient CPT 52601 TRANSURETHRAL RESECT OF PROSTATE,INCL CNTRL OF POSTOP BLEED	$8,445.09	$16,559.00	$10,606.04–$13,247.20	—	49%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 TANGNTL BX SKIN SINGLE LES - FAC	$251.43	$493.00	$295.80–$394.40	5% below	49%
Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 TANGNTL BX SKIN SINGLE LES - FAC	$251.43	$493.00	$315.77–$394.40	—	49%
Thoracentesis with imaging guidance CPT 32555 ED - ASPIRATE PLEURA W/ IMAGING	$1,386.18	$2,718.00	$1,630.80–$2,174.40	5% above	49%
Thoracentesis with imaging guidance CPT 32555 ASPIRATE PLEURA W/ IMAGING - FAC	$1,386.18	$2,718.00	$1,630.80–$2,174.40	5% above	49%
Thoracentesis with imaging guidance inpatient CPT 32555 ASPIRATE PLEURA W/ IMAGING - FAC	$1,386.18	$2,718.00	$1,740.88–$2,174.40	—	49%
Thoracentesis with imaging guidance inpatient CPT 32555 ED - ASPIRATE PLEURA W/ IMAGING	$1,386.18	$2,718.00	$1,740.88–$2,174.40	—	49%
Tonsil and adenoid removal, age 12 or older CPT 42821 *TONSILLECTOMY AND ADENOIDECTOMY- AGE 12 OR OVER-FAC	$3,306.33	$6,483.00	$3,889.80–$5,186.40	44% below	49%
Tonsil and adenoid removal, age 12 or older inpatient CPT 42821 *TONSILLECTOMY AND ADENOIDECTOMY- AGE 12 OR OVER-FAC	$3,306.33	$6,483.00	$4,152.36–$5,186.40	—	49%
Tonsil and adenoid removal, child under 12 CPT 42820 *TONSILLECTOMY AND ADENOIDECTOMY- UNDER AGE 12-FAC	$6,523.41	$12,791.00	$7,674.60–$10,232.80	5% below	49%
Tonsil and adenoid removal, child under 12 inpatient CPT 42820 *TONSILLECTOMY AND ADENOIDECTOMY- UNDER AGE 12-FAC	$6,523.41	$12,791.00	$8,192.64–$10,232.80	—	49%
Tonsil removal (tonsillectomy) only, age 12 or older CPT 42826 *TONSILLECTOMY,PRIMARY OR SECONDARY - AGE 12 OR OVER-FAC	$4,725.15	$9,265.00	$5,559.00–$7,412.00	at median	49%
Tonsil removal (tonsillectomy) only, age 12 or older inpatient CPT 42826 *TONSILLECTOMY,PRIMARY OR SECONDARY - AGE 12 OR OVER-FAC	$4,725.15	$9,265.00	$5,934.23–$7,412.00	—	49%
Tonsil removal (tonsillectomy) only, child under 12 CPT 42825 *TONSILLECTOMY,PRIMARY OR SECONDARY - UNDER AGE 12-FAC	$6,523.41	$12,791.00	$7,674.60–$10,232.80	18% above	49%
Tonsil removal (tonsillectomy) only, child under 12 inpatient CPT 42825 *TONSILLECTOMY,PRIMARY OR SECONDARY - UNDER AGE 12-FAC	$6,523.41	$12,791.00	$8,192.64–$10,232.80	—	49%
Total knee replacement CPT 27447 ARTHROPLASTY KNEE, MED AND LAT COMP W/WO PATELLA RESURF	$18,264.12	$35,812.00	$21,487.20–$28,649.60	15% below	49%
Total knee replacement inpatient CPT 27447 ARTHROPLASTY KNEE, MED AND LAT COMP W/WO PATELLA RESURF	$18,264.12	$35,812.00	$22,937.59–$28,649.60	—	49%
Total thyroid removal (thyroidectomy) CPT 60240 THYROIDECTOMY, TOTAL - FAC	$11,389.83	$22,333.00	$13,399.80–$17,866.40	34% below	49%
Total thyroid removal (thyroidectomy) inpatient CPT 60240 THYROIDECTOMY, TOTAL - FAC	$11,389.83	$22,333.00	$14,304.29–$17,866.40	—	49%
Trigger finger release surgery CPT 26055 TENDON SHEATH INCISN - FAC	$2,679.54	$5,254.00	$3,152.40–$4,203.20	9% below	49%
Trigger finger release surgery inpatient CPT 26055 TENDON SHEATH INCISN - FAC	$2,679.54	$5,254.00	$3,365.19–$4,203.20	—	49%
Trigger point injections, 1 or 2 muscles CPT 20552 INJECTION, TRIGGER POINT, 1 OR 2 MUSCLES	$480.42	$942.00	$565.20–$753.60	33% above	49%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 INJECTION, TRIGGER POINT, 1 OR 2 MUSCLES	$480.42	$942.00	$603.35–$753.60	—	49%
Tubal ligation, laparoscopic (tubes sealed by cautery) CPT 58670 LAPAROSCOPY, W/FULGURATION OF OVIDUCTS-FAC	$6,748.83	$13,233.00	$7,939.80–$10,586.40	32% above	49%
Tubal ligation, laparoscopic (tubes sealed by cautery) inpatient CPT 58670 LAPAROSCOPY, W/FULGURATION OF OVIDUCTS-FAC	$6,748.83	$13,233.00	$8,475.74–$10,586.40	—	49%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 BX BREAST 1ST LESION US IMAG - FAC	$2,165.97	$4,247.00	$2,548.20–$3,397.60	14% below	49%
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 BX BREAST 1ST LESION US IMAG - FAC	$2,165.97	$4,247.00	$2,720.20–$3,397.60	—	49%
Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 EGD W/ BALLOON DILATION OF ESOPHAGUS	$2,596.41	$5,091.00	$3,054.60–$4,072.80	13% above	49%
Upper endoscopy (EGD) with balloon widening of the esophagus inpatient CPT 43249 EGD W/ BALLOON DILATION OF ESOPHAGUS	$2,596.41	$5,091.00	$3,260.79–$4,072.80	—	49%
Upper endoscopy (EGD) with biopsy CPT 43239 EGD BIOPSY, SINGLE OR MULTIPLE	$1,928.31	$3,781.00	$2,268.60–$3,024.80	at median	49%
Upper endoscopy (EGD) with biopsy CPT 43239 ED - EGD BIOPSY, SINGLE OR MULTIPLE	$1,928.31	$3,781.00	$2,268.60–$3,024.80	at median	49%
Upper endoscopy (EGD) with biopsy inpatient CPT 43239 EGD BIOPSY, SINGLE OR MULTIPLE	$1,928.31	$3,781.00	$2,421.73–$3,024.80	—	49%
Upper endoscopy (EGD) with biopsy inpatient CPT 43239 ED - EGD BIOPSY, SINGLE OR MULTIPLE	$1,928.31	$3,781.00	$2,421.73–$3,024.80	—	49%
Upper endoscopy (EGD) with injection into the lining CPT 43236 ED - EGD W/DIRECT SUBMUC INJ(S), ANY SUBSTANCE	$1,620.78	$3,178.00	$1,906.80–$2,542.40	13% below	49%
Upper endoscopy (EGD) with injection into the lining CPT 43236 EGD W/DIRECT SUBMUC INS(S),ANY SUBSTANCE	$1,701.87	$3,337.00	$2,002.20–$2,669.60	8% below	49%
Upper endoscopy (EGD) with injection into the lining inpatient CPT 43236 ED - EGD W/DIRECT SUBMUC INJ(S), ANY SUBSTANCE	$1,620.78	$3,178.00	$2,035.51–$2,542.40	—	49%
Upper endoscopy (EGD) with injection into the lining inpatient CPT 43236 EGD W/DIRECT SUBMUC INS(S),ANY SUBSTANCE	$1,701.87	$3,337.00	$2,137.35–$2,669.60	—	49%
Upper endoscopy (EGD) with polyp removal by snare CPT 43251 EGD W/REMOVAL OF TUMOR/S,POLYP/S,OTHER LES/S	$2,726.46	$5,346.00	$3,207.60–$4,276.80	29% above	49%
Upper endoscopy (EGD) with polyp removal by snare inpatient CPT 43251 EGD W/REMOVAL OF TUMOR/S,POLYP/S,OTHER LES/S	$2,726.46	$5,346.00	$3,424.11–$4,276.80	—	49%
Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 EGD W/INSERT OF GUIDE WIRE	$1,620.78	$3,178.00	$1,906.80–$2,542.40	37% above	49%
Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 EGD W/INSERTION OF GUIDE WIRE	$1,782.96	$3,496.00	$2,097.60–$2,796.80	51% above	49%
Upper endoscopy (EGD) with widening of the esophagus over a guide wire inpatient CPT 43248 EGD W/INSERT OF GUIDE WIRE	$1,620.78	$3,178.00	$2,035.51–$2,542.40	—	49%
Upper endoscopy (EGD) with widening of the esophagus over a guide wire inpatient CPT 43248 EGD W/INSERTION OF GUIDE WIRE	$1,782.96	$3,496.00	$2,239.19–$2,796.80	—	49%
Upper endoscopy (EGD), diagnostic CPT 43235 ED - EGD DIAGNOSTIC, W/ COLL OF SPEC/S, SEP PROC	$1,735.53	$3,403.00	$2,041.80–$2,722.40	6% above	49%
Upper endoscopy (EGD), diagnostic CPT 43235 EGD DIAGNOSTIC, W/ COLL OF SPECIMEN/S, SEP PROC	$1,735.53	$3,403.00	$2,041.80–$2,722.40	6% above	49%
Upper endoscopy (EGD), diagnostic inpatient CPT 43235 EGD DIAGNOSTIC, W/ COLL OF SPECIMEN/S, SEP PROC	$1,735.53	$3,403.00	$2,179.62–$2,722.40	—	49%
Upper endoscopy (EGD), diagnostic inpatient CPT 43235 ED - EGD DIAGNOSTIC, W/ COLL OF SPEC/S, SEP PROC	$1,735.53	$3,403.00	$2,179.62–$2,722.40	—	49%
Upper endoscopy with drainage of a pseudocyst through the stomach wall CPT 43240 EGD W/TRANSMURAL DRAINAGE OF PSEUDOCYST	$5,227.50	$10,250.00	$6,150.00–$8,200.00	3% below	49%
Upper endoscopy with drainage of a pseudocyst through the stomach wall inpatient CPT 43240 EGD W/TRANSMURAL DRAINAGE OF PSEUDOCYST	$5,227.50	$10,250.00	$6,565.12–$8,200.00	—	49%
Ureteroscopy with laser stone breaking (lithotripsy) CPT 52353 CYSTO, W/ URETER AND/OR PYELOSCOPY, W/ LITHOTRIPSY-FAC	$5,668.14	$11,114.00	$6,668.40–$8,891.20	22% below	49%
Ureteroscopy with laser stone breaking (lithotripsy) inpatient CPT 52353 CYSTO, W/ URETER AND/OR PYELOSCOPY, W/ LITHOTRIPSY-FAC	$5,668.14	$11,114.00	$7,118.52–$8,891.20	—	49%
Ureteroscopy with laser stone breaking and stent placement CPT 52356 CYSTO/URETERO W/LITHOTRIPSY - FAC	$7,573.50	$14,850.00	$8,910.00–$11,880.00	22% below	49%
Ureteroscopy with laser stone breaking and stent placement inpatient CPT 52356 CYSTO/URETERO W/LITHOTRIPSY - FAC	$7,573.50	$14,850.00	$9,511.42–$11,880.00	—	49%
Vasectomy, one or both sides, including follow-up semen testing both sides CPT 55250 VASECTOMY,UNI/BI-LAT(SEP PROC) INCL POSTOP SEMEN EXAM-FAC	$2,811.12	$5,512.00	$3,307.20–$4,409.60	—	49%
Vasectomy, one or both sides, including follow-up semen testing inpatient both sides CPT 55250 VASECTOMY,UNI/BI-LAT(SEP PROC) INCL POSTOP SEMEN EXAM-FAC	$2,811.12	$5,512.00	$3,530.44–$4,409.60	—	49%
Vein ablation, radiofrequency, first vein CPT 36475 ENDO ABLATION THERAPY PERC RF, FIRST VEIN	$5,767.59	$11,309.00	$6,785.40–$9,047.20	21% above	49%
Vein ablation, radiofrequency, first vein inpatient CPT 36475 ENDO ABLATION THERAPY PERC RF, FIRST VEIN	$5,767.59	$11,309.00	$7,243.41–$9,047.20	—	49%
Wart removal, up to 14 warts CPT 17110 DESTRUCT BENIGN LESIONS, NOT SKINTAGS/CUTANE VASC, UP TO 14	$254.49	$499.00	$299.40–$399.20	7% above	49%
Wart removal, up to 14 warts inpatient CPT 17110 DESTRUCT BENIGN LESIONS, NOT SKINTAGS/CUTANE VASC, UP TO 14	$254.49	$499.00	$319.61–$399.20	—	49%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRIDE & SUBQ TISSUE, 20 SQ CM OR LESS--FAC	$655.86	$1,286.00	$771.60–$1,028.80	2% above	49%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 DEBRIDE & SUBQ TISSUE, 20 SQ CM OR LESS--FAC	$655.86	$1,286.00	$823.68–$1,028.80	—	49%
Wrist fracture surgery (plate and screws), distal radius CPT 25607 TREAT FX RAD EXTRA-ARTICUL - FAC	$10,115.34	$19,834.00	$11,900.40–$15,867.20	4% below	49%
Wrist fracture surgery (plate and screws), distal radius inpatient CPT 25607 TREAT FX RAD EXTRA-ARTICUL - FAC	$10,115.34	$19,834.00	$12,703.68–$15,867.20	—	49%

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs Washington	Off list
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSFUSN SERVICE	$856.29	$1,679.00	$1,007.40–$1,343.20	13% below	49%
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSFUSION SERVICE	$856.29	$1,679.00	$1,007.40–$1,343.20	13% below	49%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD TRANSFUSION SERVICE	$856.29	$1,679.00	$1,075.40–$1,343.20	—	49%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD TRANSFUSN SERVICE	$856.29	$1,679.00	$1,075.40–$1,343.20	—	49%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 SMALL VOLUME NEBULIZER--SUBSEQUENT	$407.49	$799.00	$479.40–$639.20	103% above	49%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 METER DOSE INHALER--INITIAL	$407.49	$799.00	$479.40–$639.20	103% above	49%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 SPUTUM INDUCTION	$407.49	$799.00	$479.40–$639.20	103% above	49%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 ED - ACUTE AIRWAY INHALATION TREATMENT	$407.49	$799.00	$479.40–$639.20	103% above	49%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 AIRWAY INHALATION TREATMENT--FAC	$407.49	$799.00	$479.40–$639.20	103% above	49%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 METER DOSE INHALER--SUBSEQUENT	$407.49	$799.00	$479.40–$639.20	103% above	49%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 SMALL VOLUME NEBULIZER--SUBSEQUENT	$407.49	$799.00	$511.76–$639.20	—	49%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 METER DOSE INHALER--INITIAL	$407.49	$799.00	$511.76–$639.20	—	49%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 METER DOSE INHALER--SUBSEQUENT	$407.49	$799.00	$511.76–$639.20	—	49%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 SPUTUM INDUCTION	$407.49	$799.00	$511.76–$639.20	—	49%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 AIRWAY INHALATION TREATMENT--FAC	$407.49	$799.00	$511.76–$639.20	—	49%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 ED - ACUTE AIRWAY INHALATION TREATMENT	$407.49	$799.00	$511.76–$639.20	—	49%
Chemotherapy IV infusion, first hour CPT 96413 CHEMO, IV INFUSION, 1 HR	$706.35	$1,385.00	$831.00–$1,108.00	10% below	49%
Chemotherapy IV infusion, first hour inpatient CPT 96413 CHEMO, IV INFUSION, 1 HR	$706.35	$1,385.00	$887.09–$1,108.00	—	49%
Comprehensive eye exam by an eye doctor, new patient CPT 92004 OPHTHALMOLOGICAL EVAL AND EXAM, COMPREHENSIVE, NEW PT	$72.42	$142.00	$85.20–$113.60	57% below	49%
Comprehensive eye exam by an eye doctor, new patient inpatient CPT 92004 OPHTHALMOLOGICAL EVAL AND EXAM, COMPREHENSIVE, NEW PT	$72.42	$142.00	$90.95–$113.60	—	49%
Comprehensive eye exam, returning patient CPT 92014 OPHTHALMOLOGICAL EVAL AND EXAM, COMPREHENSIVE, EST PT	$72.42	$142.00	$85.20–$113.60	50% below	49%
Comprehensive eye exam, returning patient inpatient CPT 92014 OPHTHALMOLOGICAL EVAL AND EXAM, COMPREHENSIVE, EST PT	$72.42	$142.00	$90.95–$113.60	—	49%
Comprehensive hearing test: tone and speech audiometry, both ears CPT 92557 BASIC COMPLETE AUDIOMETRY	$226.95	$445.00	$267.00–$356.00	29% above	49%
Comprehensive hearing test: tone and speech audiometry, both ears inpatient CPT 92557 BASIC COMPLETE AUDIOMETRY	$226.95	$445.00	$285.02–$356.00	—	49%
Critical care, first 30 to 74 minutes CPT 99291 CRITICAL CARE, FIRST 30-74 MIN-FAC	$2,492.37	$4,887.00	$2,932.20–$3,909.60	23% below	49%
Critical care, first 30 to 74 minutes CPT 99291 ED - CRITICAL CARE, FIRST 30-74 MINUTES, FAC	$2,492.37	$4,887.00	$2,932.20–$3,909.60	23% below	49%
Critical care, first 30 to 74 minutes inpatient CPT 99291 ED - CRITICAL CARE, FIRST 30-74 MINUTES, FAC	$2,492.37	$4,887.00	$3,130.12–$3,909.60	—	49%
Critical care, first 30 to 74 minutes inpatient CPT 99291 CRITICAL CARE, FIRST 30-74 MIN-FAC	$2,492.37	$4,887.00	$3,130.12–$3,909.60	—	49%
EEG (brain wave test), awake and drowsy, routine CPT 95816 EEG AWAKE/DROWSY-SAME FACILITY	$732.36	$1,436.00	$861.60–$1,148.80	5% below	49%
EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 EEG AWAKE/DROWSY-SAME FACILITY	$732.36	$1,436.00	$919.76–$1,148.80	—	49%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ECG TRACING ONLY	$191.76	$376.00	$225.60–$300.80	3% above	49%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 ECG TRACING ONLY	$191.76	$376.00	$240.83–$300.80	—	49%
Electroconvulsive therapy (ECT), one session CPT 90870 ELECTROCONVULSIVE THERAPY--FAC	$840.99	$1,649.00	$989.40–$1,319.20	at median	49%
Electroconvulsive therapy (ECT), one session inpatient CPT 90870 ELECTROCONVULSIVE THERAPY--FAC	$840.99	$1,649.00	$1,056.18–$1,319.20	—	49%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ED - LEVEL ONE E & M, FAC	$252.96	$496.00	$297.60–$396.80	1% above	49%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 ED - LEVEL ONE E & M, FAC	$252.96	$496.00	$317.69–$396.80	—	49%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 ED - LEVEL TWO E & M, FAC	$415.14	$814.00	$488.40–$651.20	9% below	49%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 ED - LEVEL TWO E & M, FAC	$415.14	$814.00	$521.37–$651.20	—	49%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 ED - LEVEL THREE E & M, FAC	$811.92	$1,592.00	$955.20–$1,273.60	1% above	49%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 ED - LEVEL THREE E & M, FAC	$811.92	$1,592.00	$1,019.68–$1,273.60	—	49%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 ED - LEVEL FOUR E & M, FAC	$1,298.97	$2,547.00	$1,528.20–$2,037.60	4% below	49%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 ED - LEVEL FOUR E & M, FAC	$1,298.97	$2,547.00	$1,631.35–$2,037.60	—	49%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 ED - LEVEL FIVE E & M, FAC	$1,803.87	$3,537.00	$2,122.20–$2,829.60	19% below	49%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 ED - LEVEL FIVE E & M, FAC	$1,803.87	$3,537.00	$2,265.45–$2,829.60	—	49%
Exercise stress test, tracing only, the hospital charge CPT 93017 CARDIOVASCULAR STRESS TEST	$492.15	$965.00	$579.00–$772.00	17% below	49%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 CARDIOVASCULAR STRESS TEST	$492.15	$965.00	$618.08–$772.00	—	49%
Eye exam, returning patient, intermediate CPT 92012 OPHTHALMOLOGICAL EVAL AND EXAM, INTERMEDIATE, EST PT	$72.42	$142.00	$85.20–$113.60	51% below	49%
Eye exam, returning patient, intermediate inpatient CPT 92012 OPHTHALMOLOGICAL EVAL AND EXAM, INTERMEDIATE, EST PT	$72.42	$142.00	$90.95–$113.60	—	49%
Family therapy with the patient, 50 minutes CPT 90847 FAMLY PSYCHOTHERAPY(W/PATIENT PRESENT)- (MSW/LMHC) - FAC	$67.83	$133.00	$79.80–$106.40	67% below	49%
Family therapy with the patient, 50 minutes CPT 90847 FAMLY PSYCHOTHERAPY(W/PATIENT PRESENT)- FAC - PHD	$81.60	$160.00	$96.00–$128.00	60% below	49%
Family therapy with the patient, 50 minutes CPT 90847 FAMLY PSYCHOTHERAPY(W/PATIENT PRESENT)- FAC	$90.27	$177.00	$106.20–$141.60	56% below	49%
Family therapy with the patient, 50 minutes inpatient CPT 90847 FAMLY PSYCHOTHERAPY(W/PATIENT PRESENT)- (MSW/LMHC) - FAC	$67.83	$133.00	$85.19–$106.40	—	49%
Family therapy with the patient, 50 minutes inpatient CPT 90847 FAMLY PSYCHOTHERAPY(W/PATIENT PRESENT)- FAC - PHD	$81.60	$160.00	$102.48–$128.00	—	49%
Family therapy with the patient, 50 minutes inpatient CPT 90847 FAMLY PSYCHOTHERAPY(W/PATIENT PRESENT)- FAC	$90.27	$177.00	$113.37–$141.60	—	49%
Family therapy without the patient, 50 minutes CPT 90846 FAMILY PSYTX (W/O THE PATIENT PRSNT) (MSW/LMHC) - FAC	$67.83	$133.00	$79.80–$106.40	63% below	49%
Family therapy without the patient, 50 minutes CPT 90846 FAMILY PSYCHOTHERAPY (W/O THE PATIENT PRESENT)-FAC - PHD	$81.60	$160.00	$96.00–$128.00	55% below	49%
Family therapy without the patient, 50 minutes CPT 90846 FAMILY PSYCHOTHERAPY (W/O THE PATIENT PRESENT)-FAC	$90.27	$177.00	$106.20–$141.60	50% below	49%
Family therapy without the patient, 50 minutes inpatient CPT 90846 FAMILY PSYTX (W/O THE PATIENT PRSNT) (MSW/LMHC) - FAC	$67.83	$133.00	$85.19–$106.40	—	49%
Family therapy without the patient, 50 minutes inpatient CPT 90846 FAMILY PSYCHOTHERAPY (W/O THE PATIENT PRESENT)-FAC - PHD	$81.60	$160.00	$102.48–$128.00	—	49%
Family therapy without the patient, 50 minutes inpatient CPT 90846 FAMILY PSYCHOTHERAPY (W/O THE PATIENT PRESENT)-FAC	$90.27	$177.00	$113.37–$141.60	—	49%
Group psychotherapy session CPT 90853 GROUP PSYTX (OTHR THAN MULTI-FAM GRP) (MSW/LMHC) - FAC	$39.27	$77.00	$46.20–$61.60	70% below	49%
Group psychotherapy session CPT 90853 GROUP PSYCHOTHERAPY (OTHR THAN MULTI-FAM GRP) -FAC - PHD	$46.92	$92.00	$55.20–$73.60	64% below	49%
Group psychotherapy session CPT 90853 GROUP PSYCHOTHERAPY (OTHR THAN OF A MULTI-FAMILY GRP) -FAC	$52.02	$102.00	$61.20–$81.60	60% below	49%
Group psychotherapy session inpatient CPT 90853 GROUP PSYTX (OTHR THAN MULTI-FAM GRP) (MSW/LMHC) - FAC	$39.27	$77.00	$49.32–$61.60	—	49%
Group psychotherapy session inpatient CPT 90853 GROUP PSYCHOTHERAPY (OTHR THAN MULTI-FAM GRP) -FAC - PHD	$46.92	$92.00	$58.93–$73.60	—	49%
Group psychotherapy session inpatient CPT 90853 GROUP PSYCHOTHERAPY (OTHR THAN OF A MULTI-FAMILY GRP) -FAC	$52.02	$102.00	$65.33–$81.60	—	49%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 ED - HYDRATION IV INFUSION, INITIAL	$395.76	$776.00	$465.60–$620.80	17% above	49%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HYDRATION IV INFUSION, INITIAL	$395.76	$776.00	$465.60–$620.80	17% above	49%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HYDRATION IV INFUSION, INITIAL	$395.76	$776.00	$497.03–$620.80	—	49%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 ED - HYDRATION IV INFUSION, INITIAL	$395.76	$776.00	$497.03–$620.80	—	49%
IV infusion of a medicine, first hour CPT 96365 ED - THER/PROPH/DIAG IV INF, INITIAL	$381.48	$748.00	$448.80–$598.40	6% below	49%
IV infusion of a medicine, first hour CPT 96365 IVIG ADMIN - THER/PROPH/DIAG IV INF, INITIAL	$381.48	$748.00	$448.80–$598.40	6% below	49%
IV infusion of a medicine, first hour CPT 96365 THER/PROPH/DIAG IV INF, INITIAL	$381.48	$748.00	$448.80–$598.40	6% below	49%
IV infusion of a medicine, first hour inpatient CPT 96365 ED - THER/PROPH/DIAG IV INF, INITIAL	$381.48	$748.00	$479.09–$598.40	—	49%
IV infusion of a medicine, first hour inpatient CPT 96365 IVIG ADMIN - THER/PROPH/DIAG IV INF, INITIAL	$381.48	$748.00	$479.09–$598.40	—	49%
IV infusion of a medicine, first hour inpatient CPT 96365 THER/PROPH/DIAG IV INF, INITIAL	$381.48	$748.00	$479.09–$598.40	—	49%
IV push of a medicine, first drug CPT 96374 ED - THER/PROPH/DIAG INJ, IV PUSH	$372.30	$730.00	$438.00–$584.00	59% above	49%
IV push of a medicine, first drug CPT 96374 THER/PROPH/DIAG INJ, IV PUSH	$372.30	$730.00	$438.00–$584.00	59% above	49%
IV push of a medicine, first drug inpatient CPT 96374 THER/PROPH/DIAG INJ, IV PUSH	$372.30	$730.00	$467.56–$584.00	—	49%
IV push of a medicine, first drug inpatient CPT 96374 ED - THER/PROPH/DIAG INJ, IV PUSH	$372.30	$730.00	$467.56–$584.00	—	49%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 EPO/DARBE - IM/SQ INJECTION	$100.98	$198.00	$118.80–$158.40	4% above	49%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 ED - THER/PROPH/DIAG INJ, SC/IM	$100.98	$198.00	$118.80–$158.40	4% above	49%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 THER/PROPH/DIAG INJ, SC/IM	$100.98	$198.00	$118.80–$158.40	4% above	49%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 THER/PROPH/DIAG INJ, SC/IM	$100.98	$198.00	$126.82–$158.40	—	49%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 ED - THER/PROPH/DIAG INJ, SC/IM	$100.98	$198.00	$126.82–$158.40	—	49%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 EPO/DARBE - IM/SQ INJECTION	$100.98	$198.00	$126.82–$158.40	—	49%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 PSYCH DIAGNOSTIC EVALUATION (MSW/LMHC) - FAC	$67.83	$133.00	$79.80–$106.40	72% below	49%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 PSYCH DIAGNOSTIC EVALUATION - FAC PHD	$81.60	$160.00	$96.00–$128.00	66% below	49%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 PSYCH DIAGNOSTIC EVALUATION - FAC	$90.27	$177.00	$106.20–$141.60	62% below	49%
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 PSYCH DIAGNOSTIC EVALUATION (MSW/LMHC) - FAC	$67.83	$133.00	$85.19–$106.40	—	49%
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 PSYCH DIAGNOSTIC EVALUATION - FAC PHD	$81.60	$160.00	$102.48–$128.00	—	49%
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 PSYCH DIAGNOSTIC EVALUATION - FAC	$90.27	$177.00	$113.37–$141.60	—	49%
Nerve conduction study, 7 or 8 nerve studies CPT 95910 MOTOR&SENS 7-8 NRV CNDJ TEST - TECH	$592.62	$1,162.00	$697.20–$929.60	1% above	49%
Nerve conduction study, 7 or 8 nerve studies inpatient CPT 95910 MOTOR&SENS 7-8 NRV CNDJ TEST - TECH	$592.62	$1,162.00	$744.26–$929.60	—	49%
Neuromuscular re-education, 15 minutes CPT 97112 NEUROMUSCULAR REEDUCATION, EACH 15MINS	$73.95	$145.00	$87.00–$116.00	25% below	49%
Neuromuscular re-education, 15 minutes CPT 97112 NEUROMUSCULAR REEDUCATION	$73.95	$145.00	$87.00–$116.00	25% below	49%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 NEUROMUSCULAR REEDUCATION, EACH 15MINS	$73.95	$145.00	$92.87–$116.00	—	49%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 NEUROMUSCULAR REEDUCATION	$73.95	$145.00	$92.87–$116.00	—	49%
New patient office visit, about 30 minutes CPT 99203 NEW PATIENTLEVEL3 DETAILED.	$72.42	$142.00	$85.20–$113.60	60% below	49%
New patient office visit, about 30 minutes inpatient CPT 99203 NEW PATIENTLEVEL3 DETAILED.	$72.42	$142.00	$90.95–$113.60	—	49%
New patient office visit, about 45 minutes CPT 99204 NEW PATIENTLEVL 4 COMPREHENSIVE.	$72.42	$142.00	$85.20–$113.60	71% below	49%
New patient office visit, about 45 minutes inpatient CPT 99204 NEW PATIENTLEVL 4 COMPREHENSIVE.	$72.42	$142.00	$90.95–$113.60	—	49%
New patient office visit, about 60 minutes CPT 99205 NEW PATIENTLEVL 5COMPREHENSIVE.	$72.42	$142.00	$85.20–$113.60	78% below	49%
New patient office visit, about 60 minutes inpatient CPT 99205 NEW PATIENTLEVL 5COMPREHENSIVE.	$72.42	$142.00	$90.95–$113.60	—	49%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 NEW PATIENTLEVEL 2 EXP PROBLEM FCUSED.	$72.42	$142.00	$85.20–$113.60	51% below	49%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 NEW PATIENTLEVEL 2 EXP PROBLEM FCUSED.	$72.42	$142.00	$90.95–$113.60	—	49%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 MED NUTRN, INIT, INDIV, FACE-TO-FACE W/PT, EA 15 MIN	$64.77	$127.00	$76.20–$101.60	2% above	49%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 MED NUTRN, INIT, INDIV, FACE-TO-FACE W/PT, EA 15 MIN	$64.77	$127.00	$81.34–$101.60	—	49%
Occupational therapy evaluation, low complexity CPT 97165 OT EVAL LOW COMPLEX 30 MIN	$192.27	$377.00	$226.20–$301.60	11% below	49%
Occupational therapy evaluation, low complexity inpatient CPT 97165 OT EVAL LOW COMPLEX 30 MIN	$192.27	$377.00	$241.47–$301.60	—	49%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT EVAL HIGH COMPLEX 45 MIN	$177.99	$349.00	$209.40–$279.20	36% below	49%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 PT EVAL HIGH COMPLEX 45 MIN	$177.99	$349.00	$223.53–$279.20	—	49%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT EVAL LOW COMPLEX 20 MIN	$177.99	$349.00	$209.40–$279.20	20% below	49%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 PT EVAL LOW COMPLEX 20 MIN	$177.99	$349.00	$223.53–$279.20	—	49%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT EVAL MOD COMPLEX 30 MIN	$177.99	$349.00	$209.40–$279.20	28% below	49%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 PT EVAL MOD COMPLEX 30 MIN	$177.99	$349.00	$223.53–$279.20	—	49%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MANUAL THERAPY, ONE OR MORE REGIONS, EACH 15 MINS	$69.87	$137.00	$82.20–$109.60	17% below	49%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MYOFASCIAL RELEASE/SOFT TISSUE MOBILIZATION	$69.87	$137.00	$82.20–$109.60	17% below	49%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MANUAL THERAPY, ONE OR MORE REGIONS, EACH 15 MINS, SLP	$69.87	$137.00	$82.20–$109.60	17% below	49%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 MANUAL THERAPY, ONE OR MORE REGIONS, EACH 15 MINS, SLP	$69.87	$137.00	$87.75–$109.60	—	49%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 MANUAL THERAPY, ONE OR MORE REGIONS, EACH 15 MINS	$69.87	$137.00	$87.75–$109.60	—	49%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 MYOFASCIAL RELEASE/SOFT TISSUE MOBILIZATION	$69.87	$137.00	$87.75–$109.60	—	49%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PHYSICAL THERAPY TREATMENT	$71.91	$141.00	$84.60–$112.80	25% below	49%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAPEUTIC EXERCISES,EACH 15MIN	$71.91	$141.00	$84.60–$112.80	25% below	49%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERAPEUTIC EXERCISES,EACH 15MIN	$71.91	$141.00	$90.31–$112.80	—	49%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 PHYSICAL THERAPY TREATMENT	$71.91	$141.00	$90.31–$112.80	—	49%
Psychiatric evaluation with medical services CPT 90792 PSYCH DIAG EVAL W/MED SRVCS - FAC	$90.27	$177.00	$106.20–$141.60	62% below	49%
Psychiatric evaluation with medical services inpatient CPT 90792 PSYCH DIAG EVAL W/MED SRVCS - FAC	$90.27	$177.00	$113.37–$141.60	—	49%
Psychological testing evaluation by a psychologist or physician, first hour CPT 96130 PSYCL TST EVAL PHYS/QHP 1ST - FAC	$198.90	$390.00	$234.00–$312.00	9% below	49%
Psychological testing evaluation by a psychologist or physician, first hour inpatient CPT 96130 PSYCL TST EVAL PHYS/QHP 1ST - FAC	$198.90	$390.00	$249.80–$312.00	—	49%
Psychotherapy for crisis, first 60 minutes CPT 90839 PSYTX CRISIS INITIAL 60 MIN (MSW/LMHC) - FAC	$67.83	$133.00	$79.80–$106.40	74% below	49%
Psychotherapy for crisis, first 60 minutes CPT 90839 PSYTX CRISIS INITIAL 60 MIN - FAC PHD	$81.60	$160.00	$96.00–$128.00	69% below	49%
Psychotherapy for crisis, first 60 minutes CPT 90839 PSYTX CRISIS INITIAL 60 MIN - FAC	$90.27	$177.00	$106.20–$141.60	66% below	49%
Psychotherapy for crisis, first 60 minutes inpatient CPT 90839 PSYTX CRISIS INITIAL 60 MIN (MSW/LMHC) - FAC	$67.83	$133.00	$85.19–$106.40	—	49%
Psychotherapy for crisis, first 60 minutes inpatient CPT 90839 PSYTX CRISIS INITIAL 60 MIN - FAC PHD	$81.60	$160.00	$102.48–$128.00	—	49%
Psychotherapy for crisis, first 60 minutes inpatient CPT 90839 PSYTX CRISIS INITIAL 60 MIN - FAC	$90.27	$177.00	$113.37–$141.60	—	49%
Psychotherapy session, 30 minutes CPT 90832 PSYTX PT&/FAMILY 30 MINUTES (MSW/LMHC) - FAC	$67.83	$133.00	$79.80–$106.40	51% below	49%
Psychotherapy session, 30 minutes CPT 90832 PSYTX PT&/FAMILY 30 MINUTES - FAC PHD	$81.60	$160.00	$96.00–$128.00	41% below	49%
Psychotherapy session, 30 minutes CPT 90832 PSYTX PT&/FAMILY 30 MINUTES - FAC	$90.27	$177.00	$106.20–$141.60	34% below	49%
Psychotherapy session, 30 minutes inpatient CPT 90832 PSYTX PT&/FAMILY 30 MINUTES (MSW/LMHC) - FAC	$67.83	$133.00	$85.19–$106.40	—	49%
Psychotherapy session, 30 minutes inpatient CPT 90832 PSYTX PT&/FAMILY 30 MINUTES - FAC PHD	$81.60	$160.00	$102.48–$128.00	—	49%
Psychotherapy session, 30 minutes inpatient CPT 90832 PSYTX PT&/FAMILY 30 MINUTES - FAC	$90.27	$177.00	$113.37–$141.60	—	49%
Psychotherapy session, 45 minutes CPT 90834 PSYTX PT&/FAMILY 45 MINUTES (MSW/LMHC) - FAC	$67.83	$133.00	$79.80–$106.40	63% below	49%
Psychotherapy session, 45 minutes CPT 90834 PSYTX PT&/FAMILY 45 MINUTES - FAC PHD	$81.60	$160.00	$96.00–$128.00	55% below	49%
Psychotherapy session, 45 minutes CPT 90834 PSYTX PT&/FAMILY 45 MINUTES - FAC	$90.27	$177.00	$106.20–$141.60	50% below	49%
Psychotherapy session, 45 minutes inpatient CPT 90834 PSYTX PT&/FAMILY 45 MINUTES (MSW/LMHC) - FAC	$67.83	$133.00	$85.19–$106.40	—	49%
Psychotherapy session, 45 minutes inpatient CPT 90834 PSYTX PT&/FAMILY 45 MINUTES - FAC PHD	$81.60	$160.00	$102.48–$128.00	—	49%
Psychotherapy session, 45 minutes inpatient CPT 90834 PSYTX PT&/FAMILY 45 MINUTES - FAC	$90.27	$177.00	$113.37–$141.60	—	49%
Psychotherapy session, 60 minutes CPT 90837 PSYTX PT&/FAMILY 60 MINUTES (MSW/LMHC) - FAC	$67.83	$133.00	$79.80–$106.40	74% below	49%
Psychotherapy session, 60 minutes CPT 90837 PSYTX PT&/FAMILY 60 MINUTES - FAC PHD	$81.60	$160.00	$96.00–$128.00	69% below	49%
Psychotherapy session, 60 minutes CPT 90837 PSYTX PT&/FAMILY 60 MINUTES - FAC	$90.27	$177.00	$106.20–$141.60	66% below	49%
Psychotherapy session, 60 minutes inpatient CPT 90837 PSYTX PT&/FAMILY 60 MINUTES (MSW/LMHC) - FAC	$67.83	$133.00	$85.19–$106.40	—	49%
Psychotherapy session, 60 minutes inpatient CPT 90837 PSYTX PT&/FAMILY 60 MINUTES - FAC PHD	$81.60	$160.00	$102.48–$128.00	—	49%
Psychotherapy session, 60 minutes inpatient CPT 90837 PSYTX PT&/FAMILY 60 MINUTES - FAC	$90.27	$177.00	$113.37–$141.60	—	49%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 BEHAV CHNG SMOKING 3-10 MIN - FAC	$16.83	$33.00	$19.80–$26.40	50% below	49%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 ED - BEHAV CHNG SMOKING 3-10 MIN - FAC	$68.34	$134.00	$80.40–$107.20	102% above	49%
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 BEHAV CHNG SMOKING 3-10 MIN - FAC	$16.83	$33.00	$21.14–$26.40	—	49%
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 ED - BEHAV CHNG SMOKING 3-10 MIN - FAC	$68.34	$134.00	$85.83–$107.20	—	49%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 EST PATIENTLEVL 5COMPREHENSIVE.	$72.42	$142.00	$85.20–$113.60	70% below	49%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 EST PATIENTLEVL 5COMPREHENSIVE.	$72.42	$142.00	$90.95–$113.60	—	49%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 EST PATNTLEVEL 3 EXP PROBLEM FOCSED.	$72.42	$142.00	$85.20–$113.60	50% below	49%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 EST PATNTLEVEL 3 EXP PROBLEM FOCSED.	$72.42	$142.00	$90.95–$113.60	—	49%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 EST PATIENTLEVEL 4DETAILED.	$72.42	$142.00	$85.20–$113.60	60% below	49%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 EST PATIENTLEVEL 4DETAILED.	$72.42	$142.00	$90.95–$113.60	—	49%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 EST PATIENTLEVEL2PROBLEM FOCSED.	$72.42	$142.00	$85.20–$113.60	30% below	49%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 EST PATIENTLEVEL2PROBLEM FOCSED.	$72.42	$142.00	$90.95–$113.60	—	49%
Speech and language evaluation CPT 92523 SPEECH SOUND LANG COMPREHEN	$638.52	$1,252.00	$751.20–$1,001.60	66% above	49%
Speech and language evaluation inpatient CPT 92523 SPEECH SOUND LANG COMPREHEN	$638.52	$1,252.00	$801.91–$1,001.60	—	49%
Speech therapy session, individual CPT 92507 ADULT SPEECH THERAPY,REDUCED TIME (30 MINS)	$119.34	$234.00	$140.40–$187.20	45% below	49%
Speech therapy session, individual CPT 92507 TRTMNT SPCH,LANG,VOICE,COMM & OR AUDTRY PRCSNG DSORDR,INDIV	$238.68	$468.00	$280.80–$374.40	10% above	49%
Speech therapy session, individual inpatient CPT 92507 ADULT SPEECH THERAPY,REDUCED TIME (30 MINS)	$119.34	$234.00	$149.88–$187.20	—	49%
Speech therapy session, individual inpatient CPT 92507 TRTMNT SPCH,LANG,VOICE,COMM & OR AUDTRY PRCSNG DSORDR,INDIV	$238.68	$468.00	$299.75–$374.40	—	49%
Spirometry (breathing test) CPT 94010 FLOW VOLUME CURVE STD PUL	$277.95	$545.00	$327.00–$436.00	12% above	49%
Spirometry (breathing test) inpatient CPT 94010 FLOW VOLUME CURVE STD PUL	$277.95	$545.00	$349.07–$436.00	—	49%
Spirometry before and after a bronchodilator CPT 94060 FLOW VOLUME CURVE STD PLUS	$592.62	$1,162.00	$697.20–$929.60	41% above	49%
Spirometry before and after a bronchodilator inpatient CPT 94060 FLOW VOLUME CURVE STD PLUS	$592.62	$1,162.00	$744.26–$929.60	—	49%
TMS (transcranial magnetic stimulation), first session with mapping CPT 90867 TCRANIAL MAGN STIM TX PLAN - FAC	$466.14	$914.00	$548.40–$731.20	—	49%
TMS (transcranial magnetic stimulation), first session with mapping inpatient CPT 90867 TCRANIAL MAGN STIM TX PLAN - FAC	$466.14	$914.00	$585.42–$731.20	—	49%
Therapeutic activities (functional training), 15 minutes CPT 97530 THERAPEUTIC ACTIVITIES, EACH 15 MIN	$78.03	$153.00	$91.80–$122.40	25% below	49%
Therapeutic activities (functional training), 15 minutes CPT 97530 THERAPEUTIC ACTIVITIES, EA 15 MIN	$78.03	$153.00	$91.80–$122.40	25% below	49%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 THERAPEUTIC ACTIVITIES, EACH 15 MIN	$78.03	$153.00	$98.00–$122.40	—	49%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 THERAPEUTIC ACTIVITIES, EA 15 MIN	$78.03	$153.00	$98.00–$122.40	—	49%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 PHLEBOTOMY--FAC	$208.59	$409.00	$245.40–$327.20	3% above	49%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 THERAPUETIC PHLEBOTOMY	$208.59	$409.00	$245.40–$327.20	3% above	49%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 PHLEBOTOMY--FAC	$208.59	$409.00	$261.96–$327.20	—	49%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 THERAPUETIC PHLEBOTOMY	$208.59	$409.00	$261.96–$327.20	—	49%
Visual field test, extended both sides CPT 92083 VISUAL FIELD EXAM,UNI-BILATERAL,W/DIAG EVAL - TECH	$187.17	$367.00	$220.20–$293.60	—	49%
Visual field test, extended inpatient both sides CPT 92083 VISUAL FIELD EXAM,UNI-BILATERAL,W/DIAG EVAL - TECH	$187.17	$367.00	$235.06–$293.60	—	49%

Vaccines

Procedure	Cash price	List price	Insurers pay	vs Washington	Off list
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older CPT 90653 FLU VAC, INACTIV (IIV), SUBUNIT, ADJUVANT, IM(NON STATE)	$53.55	$105.00	$63.00–$84.00	35% below	49%
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older CPT 90653 FLU VAC, INACTIV (IIV), SUBUNIT, ADJUVANTED, IM(NON STATE)	$53.55	$105.00	$63.00–$84.00	35% below	49%
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older inpatient CPT 90653 FLU VAC, INACTIV (IIV), SUBUNIT, ADJUVANT, IM(NON STATE)	$53.55	$105.00	$67.25–$84.00	—	49%
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older inpatient CPT 90653 FLU VAC, INACTIV (IIV), SUBUNIT, ADJUVANTED, IM(NON STATE)	$53.55	$105.00	$67.25–$84.00	—	49%
COVID-19 vaccine (Moderna), age 12 and older CPT 91322 SARSCOV2 VACCINE 50 MCG/0.5 ML FOR IM USE	$53.55	$105.00	$63.00–$84.00	63% below	49%
COVID-19 vaccine (Moderna), age 12 and older CPT 91322 INJ, SARSCOV2 VACCINE 50 MCG/0.5 ML, IM (NON-STATE)	$56.23	$110.25	$66.15–$88.20	61% below	49%
COVID-19 vaccine (Moderna), age 12 and older CPT 91322 INJ, SARSCOV2 VACCINE 50 MCG/0.5 ML, IM (STATE SUPPLIED)	$71.91	$141.00	$84.60–$112.80	51% below	49%
COVID-19 vaccine (Moderna), age 12 and older inpatient CPT 91322 SARSCOV2 VACCINE 50 MCG/0.5 ML FOR IM USE	$53.55	$105.00	$67.25–$84.00	—	49%
COVID-19 vaccine (Moderna), age 12 and older inpatient CPT 91322 INJ, SARSCOV2 VACCINE 50 MCG/0.5 ML, IM (NON-STATE)	$56.23	$110.25	$70.62–$88.20	—	49%
COVID-19 vaccine (Moderna), age 12 and older inpatient CPT 91322 INJ, SARSCOV2 VACCINE 50 MCG/0.5 ML, IM (STATE SUPPLIED)	$71.91	$141.00	$90.31–$112.80	—	49%
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 INJ, SARSCOV2 VACC 30MCG/0.3ML TRIS-SUCROSE,IM (NON-STATE)	$53.55	$105.00	$63.00–$84.00	67% below	49%
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 INJ, SARSCOV2 VACC 30MCG/0.3ML TRIS-SUCROSE,IM (STATE SUPP)	$71.91	$141.00	$84.60–$112.80	55% below	49%
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 SARSCOV2 VACC 30MCG/0.3ML TRIS-SUCROSE IM USE	$140.24	$274.98	$164.99–$219.98	12% below	49%
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older inpatient CPT 91320 INJ, SARSCOV2 VACC 30MCG/0.3ML TRIS-SUCROSE,IM (NON-STATE)	$53.55	$105.00	$67.25–$84.00	—	49%
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older inpatient CPT 91320 INJ, SARSCOV2 VACC 30MCG/0.3ML TRIS-SUCROSE,IM (STATE SUPP)	$71.91	$141.00	$90.31–$112.80	—	49%
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older inpatient CPT 91320 SARSCOV2 VACC 30MCG/0.3ML TRIS-SUCROSE IM USE	$140.24	$274.98	$176.12–$219.98	—	49%
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 VARICELLA VACC (CHICKEN POX),LIVE, SUBQ (STATE SUPPLIED)	$88.66	$173.85	$104.31–$139.08	56% below	49%
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 INJ, VARICELLA VACC LIVE SC USE, PER DOSE NO.1	$226.19	$443.50	$266.10–$354.80	12% above	49%
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 INJ, VARICELLA VACC LIVE SC USE, PER DOSE (NON STATE)	$266.05	$521.67	$313.00–$417.34	32% above	49%
Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 VARICELLA VACC (CHICKEN POX),LIVE, SUBQ (STATE SUPPLIED)	$88.66	$173.85	$111.35–$139.08	—	49%
Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 INJ, VARICELLA VACC LIVE SC USE, PER DOSE NO.1	$226.19	$443.50	$284.06–$354.80	—	49%
Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 INJ, VARICELLA VACC LIVE SC USE, PER DOSE (NON STATE)	$266.05	$521.67	$334.13–$417.34	—	49%
DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) CPT 90696 DTAP-IPV VACC 4-6 YR IM (STATE SUPPLIED) - DSHS	$11.95	$23.44	$14.06–$18.75	77% below	49%
DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) CPT 90696 DTAP-IPV VACC 4-6 YR IM (STATE SUPPLIED)	$31.81	$62.37	$37.42–$49.90	38% below	49%
DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) CPT 90696 INJ, DTAP-IPV VACC 4-6 YR FOR IM USE, PER DOSE (NON STATE)	$73.12	$143.37	$86.02–$114.70	42% above	49%
DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) CPT 90696 INJ, DTAP-IPV VACC 4-6 YR FOR IM USE, PER DOSE NO.1	$73.12	$143.37	$86.02–$114.70	42% above	49%
DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) inpatient CPT 90696 DTAP-IPV VACC 4-6 YR IM (STATE SUPPLIED) - DSHS	$11.95	$23.44	$15.01–$18.75	—	49%
DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) inpatient CPT 90696 DTAP-IPV VACC 4-6 YR IM (STATE SUPPLIED)	$31.81	$62.37	$39.95–$49.90	—	49%
DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) inpatient CPT 90696 INJ, DTAP-IPV VACC 4-6 YR FOR IM USE, PER DOSE (NON STATE)	$73.12	$143.37	$91.83–$114.70	—	49%
DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) inpatient CPT 90696 INJ, DTAP-IPV VACC 4-6 YR FOR IM USE, PER DOSE NO.1	$73.12	$143.37	$91.83–$114.70	—	49%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 DTAP-DIPHTH,TET TOXOID,ACELLULAR PERTUSSIS VACC, IM - DSHS	$11.95	$23.44	$14.06–$18.75	74% below	49%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 DTAP-DIPHTH,TET, ACELLULAR PERTUS VAC, IM (STATE SUPPLIED)	$14.21	$27.87	$16.72–$22.30	69% below	49%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 INJ, DTAP VAC FOR LESS THAN 7 YEARS, PER DOSE NO.1	$30.35	$59.50	$35.70–$47.60	35% below	49%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 INJ, DTAP VAC FOR LESS THAN 7 YEARS, PER DOSE NO.2	$30.35	$59.50	$35.70–$47.60	35% below	49%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 DTAP-DIPHTH,TET TOXOID,ACELLULAR PERTUSSIS VACC, IM - DSHS	$11.95	$23.44	$15.01–$18.75	—	49%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 DTAP-DIPHTH,TET, ACELLULAR PERTUS VAC, IM (STATE SUPPLIED)	$14.21	$27.87	$17.85–$22.30	—	49%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 INJ, DTAP VAC FOR LESS THAN 7 YEARS, PER DOSE NO.2	$30.35	$59.50	$38.11–$47.60	—	49%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 INJ, DTAP VAC FOR LESS THAN 7 YEARS, PER DOSE NO.1	$30.35	$59.50	$38.11–$47.60	—	49%
DTaP, hepatitis B and polio combination vaccine (Pediarix) CPT 90723 VACC DTAP-HEPB-IPV (PEDIARIX) FOR IM INJ (STATE SUPPLIED)	$45.38	$88.99	$53.39–$71.19	23% below	49%
DTaP, hepatitis B and polio combination vaccine (Pediarix) CPT 90723 INJ, VACC DTAP-HEPB-IPV (PEDIARIX), PER DOSE (NON STATE)	$112.93	$221.43	$132.86–$177.14	93% above	49%
DTaP, hepatitis B and polio combination vaccine (Pediarix) CPT 90723 INJ, VACC DTAP-HEPB-IPV (PEDIARIX), PER DOSE NO.1	$112.93	$221.43	$132.86–$177.14	93% above	49%
DTaP, hepatitis B and polio combination vaccine (Pediarix) inpatient CPT 90723 VACC DTAP-HEPB-IPV (PEDIARIX) FOR IM INJ (STATE SUPPLIED)	$45.38	$88.99	$57.00–$71.19	—	49%
DTaP, hepatitis B and polio combination vaccine (Pediarix) inpatient CPT 90723 INJ, VACC DTAP-HEPB-IPV (PEDIARIX), PER DOSE (NON STATE)	$112.93	$221.43	$141.83–$177.14	—	49%
DTaP, hepatitis B and polio combination vaccine (Pediarix) inpatient CPT 90723 INJ, VACC DTAP-HEPB-IPV (PEDIARIX), PER DOSE NO.1	$112.93	$221.43	$141.83–$177.14	—	49%
DTaP, polio and Hib combination vaccine (Pentacel) CPT 90698 DTAP-IPV/HIB VACCINE, IM (STATE SUPPLIED)	$60.23	$118.10	$70.86–$94.48	21% below	49%
DTaP, polio and Hib combination vaccine (Pentacel) CPT 90698 INJ, DTAP-IPV/HIB VACCINE FOR IM USE, PER DOSE NO.1	$92.44	$181.26	$108.76–$145.01	21% above	49%
DTaP, polio and Hib combination vaccine (Pentacel) CPT 90698 INJ, DTAP-IPV/HIB VACCINE FOR IM USE, PER DOSE (NON STATE)	$97.06	$190.32	$114.19–$152.26	27% above	49%
DTaP, polio and Hib combination vaccine (Pentacel) inpatient CPT 90698 DTAP-IPV/HIB VACCINE, IM (STATE SUPPLIED)	$60.23	$118.10	$75.64–$94.48	—	49%
DTaP, polio and Hib combination vaccine (Pentacel) inpatient CPT 90698 INJ, DTAP-IPV/HIB VACCINE FOR IM USE, PER DOSE NO.1	$92.44	$181.26	$116.10–$145.01	—	49%
DTaP, polio and Hib combination vaccine (Pentacel) inpatient CPT 90698 INJ, DTAP-IPV/HIB VACCINE FOR IM USE, PER DOSE (NON STATE)	$97.06	$190.32	$121.90–$152.26	—	49%
DTaP, polio, Hib and hepatitis B combination vaccine (Vaxelis) CPT 90697 DTAP-IPV-HIB-HEPB VACCINE IM (STATE SUPPLIED)	$79.18	$155.25	$93.15–$124.20	52% below	49%
DTaP, polio, Hib and hepatitis B combination vaccine (Vaxelis) inpatient CPT 90697 DTAP-IPV-HIB-HEPB VACCINE IM (STATE SUPPLIED)	$79.18	$155.25	$99.44–$124.20	—	49%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 FLU VAC, TRIVLNT(IIV3), SPLIT VIRUS,PF,0.5ML,IM(STATE SUPP)	$11.22	$22.00	$13.20–$17.60	61% below	49%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 FLU VAC, TRIVLNT(IIV3),SPLIT VIRUS,PF,0.5ML,IM(STATE SUPP)	$11.95	$23.44	$14.06–$18.75	59% below	49%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 FLU VAC, TRIVLNT(IIV3), SPLIT VIRS,PF,0.5ML, IM(NON STATE)	$15.30	$30.00	$18.00–$24.00	47% below	49%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 FLU VAC, TRIVLNT(IIV3), SPLIT VIRUS,PF,0.5ML, IM(NON STATE)	$15.30	$30.00	$18.00–$24.00	47% below	49%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 FLU VAC, TRIVLNT(IIV3), SPLIT VIRUS,PF,0.5ML,IM(STATE SUPP)	$11.22	$22.00	$14.09–$17.60	—	49%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 FLU VAC, TRIVLNT(IIV3),SPLIT VIRUS,PF,0.5ML,IM(STATE SUPP)	$11.95	$23.44	$15.01–$18.75	—	49%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 FLU VAC, TRIVLNT(IIV3), SPLIT VIRUS,PF,0.5ML, IM(NON STATE)	$15.30	$30.00	$19.22–$24.00	—	49%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 FLU VAC, TRIVLNT(IIV3), SPLIT VIRS,PF,0.5ML, IM(NON STATE)	$15.30	$30.00	$19.22–$24.00	—	49%
HPV vaccine, 9-valent (Gardasil 9) CPT 90651 HPV VIRUS VACCINE, 9 VAL, IM (SS)	$153.74	$301.46	$180.88–$241.17	43% below	49%
HPV vaccine, 9-valent (Gardasil 9) CPT 90651 INJ, HPV VIRUS VACCINE 9 VAL IM, PER DOSE NO.1	$396.90	$778.24	$466.94–$622.59	46% above	49%
HPV vaccine, 9-valent (Gardasil 9) CPT 90651 INJ, HPV VIRUS VACCINE 9 VAL IM, PER DOSE (NON-STATE)	$449.68	$881.72	$529.03–$705.38	65% above	49%
HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 HPV VIRUS VACCINE, 9 VAL, IM (SS)	$153.74	$301.46	$193.09–$241.17	—	49%
HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 INJ, HPV VIRUS VACCINE 9 VAL IM, PER DOSE NO.1	$396.90	$778.24	$498.46–$622.59	—	49%
HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 INJ, HPV VIRUS VACCINE 9 VAL IM, PER DOSE (NON-STATE)	$449.68	$881.72	$564.74–$705.38	—	49%
Hepatitis A and B combination vaccine, adult (Twinrix) CPT 90636 INJ, HEP A & B VACCINE ADULT DOSE IM, PER VAC NO.1	$106.86	$209.53	$125.72–$167.62	39% below	49%
Hepatitis A and B combination vaccine, adult (Twinrix) CPT 90636 INJ, HEP A & B VACCINE ADULT DOSE IM, PER VAC	$135.70	$266.07	$159.64–$212.86	22% below	49%
Hepatitis A and B combination vaccine, adult (Twinrix) inpatient CPT 90636 INJ, HEP A & B VACCINE ADULT DOSE IM, PER VAC NO.1	$106.86	$209.53	$134.20–$167.62	—	49%
Hepatitis A and B combination vaccine, adult (Twinrix) inpatient CPT 90636 INJ, HEP A & B VACCINE ADULT DOSE IM, PER VAC	$135.70	$266.07	$170.42–$212.86	—	49%
Hepatitis A vaccine, adult dose CPT 90632 INJ, HEPATITIS A VACCINE ADULT DOSE IM, PER VAC NO.2	$92.34	$181.06	$108.64–$144.85	20% above	49%
Hepatitis A vaccine, adult dose CPT 90632 INJ, HEPATITIS A VACCINE ADULT DOSE IM, PER VAC	$97.40	$190.98	$114.59–$152.78	26% above	49%
Hepatitis A vaccine, adult dose CPT 90632 INJ, HEPATITIS A VACCINE ADULT DOSE IM, PER VAC NO.1	$102.27	$200.53	$120.32–$160.42	33% above	49%
Hepatitis A vaccine, adult dose inpatient CPT 90632 INJ, HEPATITIS A VACCINE ADULT DOSE IM, PER VAC NO.2	$92.34	$181.06	$115.97–$144.85	—	49%
Hepatitis A vaccine, adult dose inpatient CPT 90632 INJ, HEPATITIS A VACCINE ADULT DOSE IM, PER VAC	$97.40	$190.98	$122.32–$152.78	—	49%
Hepatitis A vaccine, adult dose inpatient CPT 90632 INJ, HEPATITIS A VACCINE ADULT DOSE IM, PER VAC NO.1	$102.27	$200.53	$128.44–$160.42	—	49%
Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 HEPATITIS A VACC, PEDIATRIC DOSE (2 DOSE SCHED) IM - DSHS	$11.95	$23.44	$14.06–$18.75	62% below	49%
Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 HEP A VACC, PED DOSE (2 DOSE SCHED) IM (STATE SUPPLIED)	$18.68	$36.63	$21.98–$29.30	40% below	49%
Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 INJ, HEP A VACC PED DOSE IM USE, PER VAC NO.2	$35.53	$69.66	$41.80–$55.73	14% above	49%
Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 INJ, HEP A VACC PED DOSE IM USE, PER VAC (NON-STATE)	$45.98	$90.15	$54.09–$72.12	48% above	49%
Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 INJ, HEP A VACC PED DOSE IM USE, PER VAC NO.1	$45.98	$90.15	$54.09–$72.12	48% above	49%
Hepatitis A vaccine, child and teen dose (2-dose schedule) inpatient CPT 90633 HEPATITIS A VACC, PEDIATRIC DOSE (2 DOSE SCHED) IM - DSHS	$11.95	$23.44	$15.01–$18.75	—	49%
Hepatitis A vaccine, child and teen dose (2-dose schedule) inpatient CPT 90633 HEP A VACC, PED DOSE (2 DOSE SCHED) IM (STATE SUPPLIED)	$18.68	$36.63	$23.46–$29.30	—	49%
Hepatitis A vaccine, child and teen dose (2-dose schedule) inpatient CPT 90633 INJ, HEP A VACC PED DOSE IM USE, PER VAC NO.2	$35.53	$69.66	$44.62–$55.73	—	49%
Hepatitis A vaccine, child and teen dose (2-dose schedule) inpatient CPT 90633 INJ, HEP A VACC PED DOSE IM USE, PER VAC NO.1	$45.98	$90.15	$57.74–$72.12	—	49%
Hepatitis A vaccine, child and teen dose (2-dose schedule) inpatient CPT 90633 INJ, HEP A VACC PED DOSE IM USE, PER VAC (NON-STATE)	$45.98	$90.15	$57.74–$72.12	—	49%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 INJ, HEP B VACC, ADULT 3 DOSE SCHD, PER DOSE (NON STATE)	$54.57	$107.00	$64.20–$85.60	30% below	49%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 INJ, HEP B VACC, ADULT 3 DOSE SCHD, PER DOSE NO.2	$54.57	$107.00	$64.20–$85.60	30% below	49%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 INJ, HEP B VACC, ADULT 3 DOSE SCHD, PER DOSE NO.2	$54.57	$107.00	$68.53–$85.60	—	49%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 INJ, HEP B VACC, ADULT 3 DOSE SCHD, PER DOSE (NON STATE)	$54.57	$107.00	$68.53–$85.60	—	49%
Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) CPT 90739 HEP B VACCNE, CPG-ADJUVNT, ADULT, 2 OR 4 DOSE SCHED, FOR IM	$152.28	$298.59	$179.15–$238.87	19% below	49%
Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) inpatient CPT 90739 HEP B VACCNE, CPG-ADJUVNT, ADULT, 2 OR 4 DOSE SCHED, FOR IM	$152.28	$298.59	$191.25–$238.87	—	49%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HEP B VACC, PEDIATRIC/ADOLESCNT FOR IM USE (STATE SUPPLIED)	$11.51	$22.56	$13.54–$18.05	80% below	49%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HEPATITIS B VACCINE, PEDIATRIC/ADOLESCNT DOSAGE, IM - DSHS	$11.95	$23.44	$14.06–$18.75	79% below	49%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 INJ, HEP B VACC PED/ADOL 3 DOSE SCHD, PER DOSE NO.2	$29.59	$58.02	$34.81–$46.42	47% below	49%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 INJ, HEP B VACC PED/ADOL 3 DOSE SCHD, PER DOSE NO.1	$31.56	$61.88	$37.13–$49.50	44% below	49%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 INJ, HEP B VACC PED/ADOL 3 DOSE SCHD, PER DOSE NON STATE	$32.42	$63.57	$38.14–$50.86	42% below	49%
Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 HEP B VACC, PEDIATRIC/ADOLESCNT FOR IM USE (STATE SUPPLIED)	$11.51	$22.56	$14.45–$18.05	—	49%
Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 HEPATITIS B VACCINE, PEDIATRIC/ADOLESCNT DOSAGE, IM - DSHS	$11.95	$23.44	$15.01–$18.75	—	49%
Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 INJ, HEP B VACC PED/ADOL 3 DOSE SCHD, PER DOSE NO.2	$29.59	$58.02	$37.16–$46.42	—	49%
Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 INJ, HEP B VACC PED/ADOL 3 DOSE SCHD, PER DOSE NO.1	$31.56	$61.88	$39.63–$49.50	—	49%
Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 INJ, HEP B VACC PED/ADOL 3 DOSE SCHD, PER DOSE NON STATE	$32.42	$63.57	$40.72–$50.86	—	49%
Hib vaccine (Haemophilus influenzae type b), 3-dose schedule (PedvaxHIB) CPT 90647 INJ, HIB PRP-OMP VACCINE 3 DOSE SCHEDLE IM (STATE SUPPLIED)	$10.83	$21.23	$12.74–$16.98	34% below	49%
Hib vaccine (Haemophilus influenzae type b), 3-dose schedule (PedvaxHIB) CPT 90647 INJ HIB PRP OMP VACCINE 3 DOSE SCHEDULE IM USE DSHS	$11.95	$23.44	$14.06–$18.75	27% below	49%
Hib vaccine (Haemophilus influenzae type b), 3-dose schedule (PedvaxHIB) CPT 90647 INJ HIB PRP OMP VACCINE 3 DOSE SCHEDULE IM USE NON STATE	$56.37	$110.53	$66.32–$88.42	246% above	49%
Hib vaccine (Haemophilus influenzae type b), 3-dose schedule (PedvaxHIB) inpatient CPT 90647 INJ, HIB PRP-OMP VACCINE 3 DOSE SCHEDLE IM (STATE SUPPLIED)	$10.83	$21.23	$13.60–$16.98	—	49%
Hib vaccine (Haemophilus influenzae type b), 3-dose schedule (PedvaxHIB) inpatient CPT 90647 INJ HIB PRP OMP VACCINE 3 DOSE SCHEDULE IM USE DSHS	$11.95	$23.44	$15.01–$18.75	—	49%
Hib vaccine (Haemophilus influenzae type b), 3-dose schedule (PedvaxHIB) inpatient CPT 90647 INJ HIB PRP OMP VACCINE 3 DOSE SCHEDULE IM USE NON STATE	$56.37	$110.53	$70.79–$88.42	—	49%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 HIB VACC, PRP-T CONJ (4 DOSE) IM USE (STATE SUPPLIED)	$6.78	$13.29	$7.97–$10.63	78% below	49%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 HEMOPHILUS FLU B VACC(HIB), PRP-T CONJ (4 DOSE) IM - DSHS	$11.95	$23.44	$14.06–$18.75	62% below	49%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 INJ, HIB VACC, PRP-T CONJ, FOR INTRAMUSCULAR USE NO.1	$17.96	$35.22	$21.13–$28.18	43% below	49%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 HEMOPHILUS INFLUENZA B VACC (HIB), PRP-T CONJUGATE	$17.97	$35.23	$21.14–$28.18	43% below	49%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) inpatient CPT 90648 HIB VACC, PRP-T CONJ (4 DOSE) IM USE (STATE SUPPLIED)	$6.78	$13.29	$8.51–$10.63	—	49%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) inpatient CPT 90648 HEMOPHILUS FLU B VACC(HIB), PRP-T CONJ (4 DOSE) IM - DSHS	$11.95	$23.44	$15.01–$18.75	—	49%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) inpatient CPT 90648 INJ, HIB VACC, PRP-T CONJ, FOR INTRAMUSCULAR USE NO.1	$17.96	$35.22	$22.56–$28.18	—	49%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) inpatient CPT 90648 HEMOPHILUS INFLUENZA B VACC (HIB), PRP-T CONJUGATE	$17.97	$35.23	$22.56–$28.18	—	49%
Japanese encephalitis vaccine (Ixiaro), 2-dose schedule CPT 90738 JAPANESE ENCEPHALITIS VIRUS VACCINE, INACTIVATED, FOR IM	$389.78	$764.28	$458.57–$611.42	at median	49%
Japanese encephalitis vaccine (Ixiaro), 2-dose schedule CPT 90738 INJ, INACTIVATED JE VACC, PER DOSE NO.1	$399.97	$784.26	$470.56–$627.41	3% above	49%
Japanese encephalitis vaccine (Ixiaro), 2-dose schedule inpatient CPT 90738 JAPANESE ENCEPHALITIS VIRUS VACCINE, INACTIVATED, FOR IM	$389.78	$764.28	$489.52–$611.42	—	49%
Japanese encephalitis vaccine (Ixiaro), 2-dose schedule inpatient CPT 90738 INJ, INACTIVATED JE VACC, PER DOSE NO.1	$399.97	$784.26	$502.32–$627.41	—	49%
MMR vaccine (measles, mumps and rubella), live CPT 90707 INJ, MMR VACC LIVE SUBCUTANEOUS USE, PER DOSE NO.1	$121.71	$238.64	$143.18–$190.91	30% below	49%
MMR vaccine (measles, mumps and rubella), live CPT 90707 INJ, MMR VACC LIVE SUBCUTANEOUS USE, PER DOSE (NON STATE)	$131.08	$257.01	$154.21–$205.61	24% below	49%
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 INJ, MMR VACC LIVE SUBCUTANEOUS USE, PER DOSE NO.1	$121.71	$238.64	$152.85–$190.91	—	49%
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 INJ, MMR VACC LIVE SUBCUTANEOUS USE, PER DOSE (NON STATE)	$131.08	$257.01	$164.61–$205.61	—	49%
MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) CPT 90710 MMRV VACC,LIVE,FOR SUBCUT USE (STATE SUPPLIED)	$141.44	$277.33	$166.40–$221.86	25% below	49%
MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) CPT 90710 INJ, MMRV VACC LIVE SUBCUTANEOUS USE, PER DOSE (NON STATE)	$226.35	$443.82	$266.29–$355.06	20% above	49%
MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) CPT 90710 INJ MEASLES/MUMPS/RUBELLA/VARICELLA VACC(PROQUAD)0.5ML VIAL	$403.95	$792.06	$475.24–$633.65	114% above	49%
MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) inpatient CPT 90710 MMRV VACC,LIVE,FOR SUBCUT USE (STATE SUPPLIED)	$141.44	$277.33	$177.63–$221.86	—	49%
MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) inpatient CPT 90710 INJ, MMRV VACC LIVE SUBCUTANEOUS USE, PER DOSE (NON STATE)	$226.35	$443.82	$284.27–$355.06	—	49%
MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) inpatient CPT 90710 INJ MEASLES/MUMPS/RUBELLA/VARICELLA VACC(PROQUAD)0.5ML VIAL	$403.95	$792.06	$507.31–$633.65	—	49%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENINGOCOCCAL VACC, IM (STATE SUPPLIED)	$79.86	$156.58	$93.95–$125.26	49% below	49%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 INJ, MENINGOCOCCAL CONJUGATE 4 VAL, PER DOSE NO.2	$161.00	$315.69	$189.41–$252.55	2% above	49%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 INJ, MENACWYD-MENACWYCRM VACCINE IM PF SDV	$161.10	$315.89	$189.53–$252.71	2% above	49%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 INJ, MENINGOCOCCAL CONJUGATE 4 VAL, PER DOSE NON STATE	$188.80	$370.20	$222.12–$296.16	19% above	49%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 INJ, MENINGOCOCCAL CONJUGATE 4 VAL, PER DOSE NO.1	$198.24	$388.71	$233.23–$310.97	25% above	49%
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 MENINGOCOCCAL VACC, IM (STATE SUPPLIED)	$79.86	$156.58	$100.29–$125.26	—	49%
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 INJ, MENINGOCOCCAL CONJUGATE 4 VAL, PER DOSE NO.2	$161.00	$315.69	$202.20–$252.55	—	49%
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 INJ, MENACWYD-MENACWYCRM VACCINE IM PF SDV	$161.10	$315.89	$202.33–$252.71	—	49%
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 INJ, MENINGOCOCCAL CONJUGATE 4 VAL, PER DOSE NON STATE	$188.80	$370.20	$237.11–$296.16	—	49%
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 INJ, MENINGOCOCCAL CONJUGATE 4 VAL, PER DOSE NO.1	$198.24	$388.71	$248.97–$310.97	—	49%
Meningococcal ACWY vaccine (MenQuadfi) CPT 90619 INJ, MENACWY-TT CONJ VACC SEROGROUPS ACWY,IM (STATE SUPP)	$83.92	$164.54	$98.72–$131.63	45% below	49%
Meningococcal ACWY vaccine (MenQuadfi) CPT 90619 INJ, MENACWY-TT CONJ VACC SEROGROUPS ACWY,IM (NON-STATE)	$253.94	$497.93	$298.76–$398.34	65% above	49%
Meningococcal ACWY vaccine (MenQuadfi) inpatient CPT 90619 INJ, MENACWY-TT CONJ VACC SEROGROUPS ACWY,IM (STATE SUPP)	$83.92	$164.54	$105.39–$131.63	—	49%
Meningococcal ACWY vaccine (MenQuadfi) inpatient CPT 90619 INJ, MENACWY-TT CONJ VACC SEROGROUPS ACWY,IM (NON-STATE)	$253.94	$497.93	$318.92–$398.34	—	49%
Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 MENINGOCOCCAL RP W/OMV VACCINE, IM (SS)	$113.69	$222.92	$133.75–$178.34	67% below	49%
Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 INJ, MENINGOCOCCAL RP W/OMV IM, PER VACCINE NO.1	$252.03	$494.17	$296.50–$395.34	27% below	49%
Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 INJ, MENINGOCOCCAL RP W/OMV IM, PER VACCINE (NON-STATE)	$255.49	$500.96	$300.58–$400.77	26% below	49%
Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 MENINGOCOCCAL RP W/OMV VACCINE, IM (SS)	$113.69	$222.92	$142.78–$178.34	—	49%
Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 INJ, MENINGOCOCCAL RP W/OMV IM, PER VACCINE NO.1	$252.03	$494.17	$316.52–$395.34	—	49%
Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 INJ, MENINGOCOCCAL RP W/OMV IM, PER VACCINE (NON-STATE)	$255.49	$500.96	$320.86–$400.77	—	49%
Meningococcal B vaccine (Trumenba) CPT 90621 MENB RLP VAC, SEROGRP B, 3 DOSE, IM (SS)	$92.03	$180.46	$108.28–$144.37	21% below	49%
Meningococcal B vaccine (Trumenba) CPT 90621 INJ, MENB RLP VAC SEROGROUP B 3 DOSE, PER VAC NON-STATE	$199.83	$391.83	$235.10–$313.46	72% above	49%
Meningococcal B vaccine (Trumenba) CPT 90621 INJ, MENB RLP VAC SEROGROUP B 3 DOSE, PER VAC NO.1	$199.83	$391.83	$235.10–$313.46	72% above	49%
Meningococcal B vaccine (Trumenba) inpatient CPT 90621 MENB RLP VAC, SEROGRP B, 3 DOSE, IM (SS)	$92.03	$180.46	$115.58–$144.37	—	49%
Meningococcal B vaccine (Trumenba) inpatient CPT 90621 INJ, MENB RLP VAC SEROGROUP B 3 DOSE, PER VAC NO.1	$199.83	$391.83	$250.97–$313.46	—	49%
Meningococcal B vaccine (Trumenba) inpatient CPT 90621 INJ, MENB RLP VAC SEROGROUP B 3 DOSE, PER VAC NON-STATE	$199.83	$391.83	$250.97–$313.46	—	49%
Mpox and smallpox vaccine (Jynneos), 2-dose schedule CPT 90611 SMALLPOX / MONKEYPOX VACCINE, LIVE, PF, 0.5 ML, SUBCUT	$130.82	$256.50	$153.90–$205.20	50% above	49%
Mpox and smallpox vaccine (Jynneos), 2-dose schedule CPT 90611 INJ SMALLPOX AND MONKEYPOX VAC 0.5ML PF (NON STATE)	$400.71	$785.70	$471.42–$628.56	361% above	49%
Mpox and smallpox vaccine (Jynneos), 2-dose schedule inpatient CPT 90611 SMALLPOX / MONKEYPOX VACCINE, LIVE, PF, 0.5 ML, SUBCUT	$130.82	$256.50	$164.29–$205.20	—	49%
Mpox and smallpox vaccine (Jynneos), 2-dose schedule inpatient CPT 90611 INJ SMALLPOX AND MONKEYPOX VAC 0.5ML PF (NON STATE)	$400.71	$785.70	$503.24–$628.56	—	49%
Nasal spray flu vaccine, live (FluMist) CPT 90660 FLU VAC, TRIVALENT, LIVE (LAIV3), INTRANASL (STATE SUPP)	$11.22	$22.00	$13.20–$17.60	50% below	49%
Nasal spray flu vaccine, live (FluMist) CPT 90660 FLU VAC, TRIVALENT, LIVE(LAIV3), INTRANASAL (STATE SUPP)	$11.22	$22.00	$13.20–$17.60	50% below	49%
Nasal spray flu vaccine, live (FluMist) CPT 90660 FLU VAC, TRIVALENT, LIVE(LAIV3), INTRANASAL(STATE SUPP)	$11.95	$23.44	$14.06–$18.75	47% below	49%
Nasal spray flu vaccine, live (FluMist) CPT 90660 FLU VIRUS VACCINE LIVE NASAL NON STATE SUPPLIED	$28.18	$55.25	$33.15–$44.20	25% above	49%
Nasal spray flu vaccine, live (FluMist) inpatient CPT 90660 FLU VAC, TRIVALENT, LIVE (LAIV3), INTRANASL (STATE SUPP)	$11.22	$22.00	$14.09–$17.60	—	49%
Nasal spray flu vaccine, live (FluMist) inpatient CPT 90660 FLU VAC, TRIVALENT, LIVE(LAIV3), INTRANASAL (STATE SUPP)	$11.22	$22.00	$14.09–$17.60	—	49%
Nasal spray flu vaccine, live (FluMist) inpatient CPT 90660 FLU VAC, TRIVALENT, LIVE(LAIV3), INTRANASAL(STATE SUPP)	$11.95	$23.44	$15.01–$18.75	—	49%
Nasal spray flu vaccine, live (FluMist) inpatient CPT 90660 FLU VIRUS VACCINE LIVE NASAL NON STATE SUPPLIED	$28.18	$55.25	$35.39–$44.20	—	49%
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 PNEUMO VACC, 13 VAL, IM (STATE SUPPLIED)	$136.70	$268.04	$160.82–$214.43	38% below	49%
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 INJ, PNEUMOCOCCAL VACC 13 VAL IM USE, PER DOSE (NON STATE)	$334.36	$655.60	$393.36–$524.48	51% above	49%
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) inpatient CPT 90670 PNEUMO VACC, 13 VAL, IM (STATE SUPPLIED)	$136.70	$268.04	$171.68–$214.43	—	49%
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) inpatient CPT 90670 INJ, PNEUMOCOCCAL VACC 13 VAL IM USE, PER DOSE (NON STATE)	$334.36	$655.60	$419.91–$524.48	—	49%
Pneumonia vaccine, 15-valent conjugate (Vaxneuvance) CPT 90671 INJ, PCV15 VACCINE FOR INTRAMUSCULAR USE (STATE SUPPLIED)	$111.05	$217.74	$130.64–$174.19	39% below	49%
Pneumonia vaccine, 15-valent conjugate (Vaxneuvance) CPT 90671 INJ, PCV15 VACCINE FOR INTRAMUSCULAR USE (NON-STATE)	$195.00	$382.35	$229.41–$305.88	7% above	49%
Pneumonia vaccine, 15-valent conjugate (Vaxneuvance) inpatient CPT 90671 INJ, PCV15 VACCINE FOR INTRAMUSCULAR USE (STATE SUPPLIED)	$111.05	$217.74	$139.46–$174.19	—	49%
Pneumonia vaccine, 15-valent conjugate (Vaxneuvance) inpatient CPT 90671 INJ, PCV15 VACCINE FOR INTRAMUSCULAR USE (NON-STATE)	$195.00	$382.35	$244.90–$305.88	—	49%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 INJ, PCV20 VACCINE FOR INTRAMUSCULAR USE (STATE SUPPLIED)	$136.70	$268.04	$160.82–$214.43	71% below	49%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 INJ, PCV20 VACCINE FOR INTRAMUSCULAR USE (NON-STATE)	$346.85	$680.09	$408.05–$544.07	27% below	49%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 IMMUN, PNEUMOCOCCAL 20 VALENT CONJUGATE 0.5ML	$375.04	$735.37	$441.22–$588.30	21% below	49%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 INJ, PCV20 VACCINE FOR INTRAMUSCULAR USE (STATE SUPPLIED)	$136.70	$268.04	$171.68–$214.43	—	49%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 INJ, PCV20 VACCINE FOR INTRAMUSCULAR USE (NON-STATE)	$346.85	$680.09	$435.60–$544.07	—	49%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 IMMUN, PNEUMOCOCCAL 20 VALENT CONJUGATE 0.5ML	$375.04	$735.37	$471.00–$588.30	—	49%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOL POLYSACCHARIDE VAC, ADULT DOSAGE (STATE SUPPLIED)	$59.24	$116.16	$69.70–$92.93	59% below	49%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 INJ, PNEMOL VAC 23 VAL ADULT DOSE 2YR OR OLDER, NON STATE	$159.00	$311.76	$187.06–$249.41	11% above	49%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 INJ, PNEMOL VAC 23 VAL ADULT DOSE 2YR OR OLDER, NO.1	$166.95	$327.35	$196.41–$261.88	16% above	49%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMOL POLYSACCHARIDE VAC, ADULT DOSAGE (STATE SUPPLIED)	$59.24	$116.16	$74.40–$92.93	—	49%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 INJ, PNEMOL VAC 23 VAL ADULT DOSE 2YR OR OLDER, NON STATE	$159.00	$311.76	$199.68–$249.41	—	49%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 INJ, PNEMOL VAC 23 VAL ADULT DOSE 2YR OR OLDER, NO.1	$166.95	$327.35	$209.67–$261.88	—	49%
Polio vaccine, inactivated (IPV) CPT 90713 POLIOVIRUS VACC, INACT, (IPV) FOR SUBQ USE (STATE SUPPLIED)	$10.83	$21.23	$12.74–$16.98	85% below	49%
Polio vaccine, inactivated (IPV) CPT 90713 POLIOVIRUS VACCINE, INACTIVATED, (IPV) SUBCUT - DSHS	$11.95	$23.44	$14.06–$18.75	84% below	49%
Polio vaccine, inactivated (IPV) CPT 90713 INJ, POLIOVIRUS VACC INACT IPV SC USE, PER VAC NO.1	$60.10	$117.85	$70.71–$94.28	19% below	49%
Polio vaccine, inactivated (IPV) CPT 90713 INJ, POLIOVIRUS VACC INACT IPV SC USE, PER VAC (NON STATE)	$66.08	$129.57	$77.74–$103.66	11% below	49%
Polio vaccine, inactivated (IPV) inpatient CPT 90713 POLIOVIRUS VACC, INACT, (IPV) FOR SUBQ USE (STATE SUPPLIED)	$10.83	$21.23	$13.60–$16.98	—	49%
Polio vaccine, inactivated (IPV) inpatient CPT 90713 POLIOVIRUS VACCINE, INACTIVATED, (IPV) SUBCUT - DSHS	$11.95	$23.44	$15.01–$18.75	—	49%
Polio vaccine, inactivated (IPV) inpatient CPT 90713 INJ, POLIOVIRUS VACC INACT IPV SC USE, PER VAC NO.1	$60.10	$117.85	$75.48–$94.28	—	49%
Polio vaccine, inactivated (IPV) inpatient CPT 90713 INJ, POLIOVIRUS VACC INACT IPV SC USE, PER VAC (NON STATE)	$66.08	$129.57	$82.99–$103.66	—	49%
RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) CPT 90381 INJ, NIRSEVIMAB-ALIP (BEYFORTUS) PF 100MG/ML (STATE SUPP)	$277.95	$545.00	$327.00–$436.00	62% below	49%
RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) CPT 90381 INJ, NIRSEVIMAB-ALIP (CVX 307) (BEYFORTUS) PF 100MG/ML	$489.75	$960.30	$576.18–$768.24	32% below	49%
RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) CPT 90381 INJ, NIRSEVIMAB-ALIP (BEYFORTUS) PF 100MG/ML (NON-STATE)	$821.10	$1,610.00	$966.00–$1,288.00	13% above	49%
RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) inpatient CPT 90381 INJ, NIRSEVIMAB-ALIP (BEYFORTUS) PF 100MG/ML (STATE SUPP)	$277.95	$545.00	$349.07–$436.00	—	49%
RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) inpatient CPT 90381 INJ, NIRSEVIMAB-ALIP (CVX 307) (BEYFORTUS) PF 100MG/ML	$489.75	$960.30	$615.07–$768.24	—	49%
RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) inpatient CPT 90381 INJ, NIRSEVIMAB-ALIP (BEYFORTUS) PF 100MG/ML (NON-STATE)	$821.10	$1,610.00	$1,031.20–$1,288.00	—	49%
RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 INJ, NIRSEVIMAB-ALIP (BEYFORTUS) PF 50MG/0.5ML (STATE SUPP)	$277.95	$545.00	$327.00–$436.00	63% below	49%
RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 INJ, NIRSEVIMAB-ALIP (CVX 306) (BEYFORTUS) PF 50MG/0.5ML	$489.75	$960.30	$576.18–$768.24	34% below	49%
RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 INJ, NIRSEVIMAB-ALIP (BEYFORTUS) PF 50MG/0.5ML (NON-STATE)	$821.10	$1,610.00	$966.00–$1,288.00	10% above	49%
RSV antibody shot for infants, seasonal dose (0.5 mL) inpatient CPT 90380 INJ, NIRSEVIMAB-ALIP (BEYFORTUS) PF 50MG/0.5ML (STATE SUPP)	$277.95	$545.00	$349.07–$436.00	—	49%
RSV antibody shot for infants, seasonal dose (0.5 mL) inpatient CPT 90380 INJ, NIRSEVIMAB-ALIP (CVX 306) (BEYFORTUS) PF 50MG/0.5ML	$489.75	$960.30	$615.07–$768.24	—	49%
RSV antibody shot for infants, seasonal dose (0.5 mL) inpatient CPT 90380 INJ, NIRSEVIMAB-ALIP (BEYFORTUS) PF 50MG/0.5ML (NON-STATE)	$821.10	$1,610.00	$1,031.20–$1,288.00	—	49%
RSV vaccine (Abrysvo), one dose for older adults or during pregnancy CPT 90678 INJ, RSV VACCINE PREF BIVALENT IM 0.5ML PF (STATE SUPP)	$147.44	$289.10	$173.46–$231.28	69% below	49%
RSV vaccine (Abrysvo), one dose for older adults or during pregnancy CPT 90678 INJ, RSV VACCINE PREF BIVALENT IM 0.5ML PF (NON-STATE)	$270.81	$531.00	$318.60–$424.80	43% below	49%
RSV vaccine (Abrysvo), one dose for older adults or during pregnancy CPT 90678 INJ ABRYSVO (RSV) ACT O VIAL 120MCG PF VACCINE SUV KIT	$382.39	$749.78	$449.87–$599.82	20% below	49%
RSV vaccine (Abrysvo), one dose for older adults or during pregnancy inpatient CPT 90678 INJ, RSV VACCINE PREF BIVALENT IM 0.5ML PF (STATE SUPP)	$147.44	$289.10	$185.17–$231.28	—	49%
RSV vaccine (Abrysvo), one dose for older adults or during pregnancy inpatient CPT 90678 INJ, RSV VACCINE PREF BIVALENT IM 0.5ML PF (NON-STATE)	$270.81	$531.00	$340.11–$424.80	—	49%
RSV vaccine (Abrysvo), one dose for older adults or during pregnancy inpatient CPT 90678 INJ ABRYSVO (RSV) ACT O VIAL 120MCG PF VACCINE SUV KIT	$382.39	$749.78	$480.23–$599.82	—	49%
Rabies vaccine, one dose CPT 90675 INJ, RABIES VACCINE IM USE, PER DOSE	$431.98	$847.02	$508.21–$677.62	30% below	49%
Rabies vaccine, one dose CPT 90675 INJ, RABIES VACCINE IM USE, PER DOSE NO.2	$524.50	$1,028.44	$617.06–$822.75	15% below	49%
Rabies vaccine, one dose inpatient CPT 90675 INJ, RABIES VACCINE IM USE, PER DOSE	$431.98	$847.02	$542.52–$677.62	—	49%
Rabies vaccine, one dose inpatient CPT 90675 INJ, RABIES VACCINE IM USE, PER DOSE NO.2	$524.50	$1,028.44	$658.72–$822.75	—	49%
Rotavirus vaccine, oral, 2-dose schedule (Rotarix) CPT 90681 ORAL, RV1 VACCINE 2 DOSE SCHEDULE LIVE (STATE SUPPLIED)	$73.09	$143.31	$85.99–$114.65	21% below	49%
Rotavirus vaccine, oral, 2-dose schedule (Rotarix) CPT 90681 ORAL, ROTAVIRUS VACCINE 2 DOSE SCHEDULE, PER VAC NO.1	$168.77	$330.93	$198.56–$264.74	83% above	49%
Rotavirus vaccine, oral, 2-dose schedule (Rotarix) CPT 90681 ORAL, RV1 VACCINE 2 DOSE SCHEDULE LIVE (NON-STATE)	$177.21	$347.48	$208.49–$277.98	92% above	49%
Rotavirus vaccine, oral, 2-dose schedule (Rotarix) inpatient CPT 90681 ORAL, RV1 VACCINE 2 DOSE SCHEDULE LIVE (STATE SUPPLIED)	$73.09	$143.31	$91.79–$114.65	—	49%
Rotavirus vaccine, oral, 2-dose schedule (Rotarix) inpatient CPT 90681 ORAL, ROTAVIRUS VACCINE 2 DOSE SCHEDULE, PER VAC NO.1	$168.77	$330.93	$211.96–$264.74	—	49%
Rotavirus vaccine, oral, 2-dose schedule (Rotarix) inpatient CPT 90681 ORAL, RV1 VACCINE 2 DOSE SCHEDULE LIVE (NON-STATE)	$177.21	$347.48	$222.56–$277.98	—	49%
Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) CPT 90680 ROTOVIRUS VACCINE ORAL STATE SUPPLIED	$47.88	$93.88	$56.33–$75.10	36% below	49%
Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) CPT 90680 ORAL, ROTOVIRUS VACCINE 3 DOSE SCHEDULE, PER VAC NON STATE	$111.00	$217.65	$130.59–$174.12	48% above	49%
Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) CPT 90680 ORAL, ROTOVIRUS VACCINE 3 DOSE SCHEDULE, PER VAC NO.1	$111.00	$217.65	$130.59–$174.12	48% above	49%
Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) inpatient CPT 90680 ROTOVIRUS VACCINE ORAL STATE SUPPLIED	$47.88	$93.88	$60.13–$75.10	—	49%
Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) inpatient CPT 90680 ORAL, ROTOVIRUS VACCINE 3 DOSE SCHEDULE, PER VAC NO.1	$111.00	$217.65	$139.40–$174.12	—	49%
Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) inpatient CPT 90680 ORAL, ROTOVIRUS VACCINE 3 DOSE SCHEDULE, PER VAC NON STATE	$111.00	$217.65	$139.40–$174.12	—	49%
Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 INJ, ZOSTER VACCINE, INACTIVATED ADJUVANTED 0.5 ML VIAL	$239.59	$469.79	$281.87–$375.83	9% above	49%
Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 INJ, ZOSTER VACC, INACT ADJUVANTED 0.5 ML VIAL, PART D	$239.59	$469.79	$281.87–$375.83	9% above	49%
Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 INJ, ZOSTER VACC, INACT ADJUVANTED 0.5 ML VIAL, PART D	$239.59	$469.79	$300.90–$375.83	—	49%
Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 INJ, ZOSTER VACCINE, INACTIVATED ADJUVANTED 0.5 ML VIAL	$239.59	$469.79	$300.90–$375.83	—	49%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TD VACCINE NO PRSRV GT OR EQ 7 IM - DSHS	$11.95	$23.44	$14.06–$18.75	79% below	49%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TD VACC NO PRSRV GT OR EQ 7 IM (STATE SUPPLIED)	$12.21	$23.95	$14.37–$19.16	78% below	49%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 INJ, TETANUS DIPHTH TOXOIDS (TD) 2 UNIT(S) PER 0.5 ML	$35.09	$68.80	$41.28–$55.04	38% below	49%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 INJ, TD VACC NO PRSRV GT OR EQ 7, PER DOSE NO.1	$58.86	$115.42	$69.25–$92.34	4% above	49%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 INJ, TD VACC NO PRSRV GT OR EQ 7, PER DOSE (NON STATE)	$59.59	$116.84	$70.10–$93.47	6% above	49%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TD VACCINE NO PRSRV GT OR EQ 7 IM - DSHS	$11.95	$23.44	$15.01–$18.75	—	49%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TD VACC NO PRSRV GT OR EQ 7 IM (STATE SUPPLIED)	$12.21	$23.95	$15.34–$19.16	—	49%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 INJ, TETANUS DIPHTH TOXOIDS (TD) 2 UNIT(S) PER 0.5 ML	$35.09	$68.80	$44.07–$55.04	—	49%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 INJ, TD VACC NO PRSRV GT OR EQ 7, PER DOSE NO.1	$58.86	$115.42	$73.93–$92.34	—	49%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 INJ, TD VACC NO PRSRV GT OR EQ 7, PER DOSE (NON STATE)	$59.59	$116.84	$74.84–$93.47	—	49%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TDAP VACCINE GREATER THAN 7 IM - DSHS	$11.95	$23.44	$14.06–$18.75	86% below	49%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TDAP VACC GREATER THAN 7 IM (STATE SUPPLIED)	$23.62	$46.31	$27.79–$37.05	71% below	49%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 INJ, TDAP VACC GREATER THAN 7 SC USE, PER DOSE NO.2	$53.19	$104.29	$62.57–$83.43	36% below	49%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 INJ, TDAP VACC GREATER THAN 7 SC USE, PER DOSE NO.1	$53.89	$105.67	$63.40–$84.54	35% below	49%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 INJ, TDAP VACC GREATER THAN 7 SC USE, PER DOSE (NON STATE)	$56.37	$110.53	$66.32–$88.42	32% below	49%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 TDAP VACCINE GREATER THAN 7 IM - DSHS	$11.95	$23.44	$15.01–$18.75	—	49%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 TDAP VACC GREATER THAN 7 IM (STATE SUPPLIED)	$23.62	$46.31	$29.66–$37.05	—	49%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 INJ, TDAP VACC GREATER THAN 7 SC USE, PER DOSE NO.2	$53.19	$104.29	$66.80–$83.43	—	49%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 INJ, TDAP VACC GREATER THAN 7 SC USE, PER DOSE NO.1	$53.89	$105.67	$67.68–$84.54	—	49%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 INJ, TDAP VACC GREATER THAN 7 SC USE, PER DOSE (NON STATE)	$56.37	$110.53	$70.79–$88.42	—	49%
Typhoid vaccine, injectable (Vi polysaccharide) CPT 90691 INJ, TYPHOID VACCINE VICPS IM USE, PER DOSE NO.1	$166.49	$326.45	$195.87–$261.16	58% above	49%
Typhoid vaccine, injectable (Vi polysaccharide) CPT 90691 INJ, TYPHOID VACCINE VICPS IM USE, PER DOSE	$171.80	$336.87	$202.12–$269.50	63% above	49%
Typhoid vaccine, injectable (Vi polysaccharide) inpatient CPT 90691 INJ, TYPHOID VACCINE VICPS IM USE, PER DOSE NO.1	$166.49	$326.45	$209.09–$261.16	—	49%
Typhoid vaccine, injectable (Vi polysaccharide) inpatient CPT 90691 INJ, TYPHOID VACCINE VICPS IM USE, PER DOSE	$171.80	$336.87	$215.77–$269.50	—	49%
Typhoid vaccine, oral capsules (Vivotif) CPT 90690 ORAL, TYPHOID VACCINE LIVE, PER VAC	$34.80	$68.24	$40.94–$54.59	—	49%
Typhoid vaccine, oral capsules (Vivotif) inpatient CPT 90690 ORAL, TYPHOID VACCINE LIVE, PER VAC	$34.80	$68.24	$43.71–$54.59	—	49%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ED IM ADM ANY ROUTE 1ST VAC/TOX.	$11.95	$23.44	$14.06–$18.75	72% below	49%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ED - IMMUNE, ONE VACCINE, SINGLE OR COMBO VACCINE/TOXOID	$11.95	$23.44	$14.06–$18.75	72% below	49%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNE, ONE VACCINE, SINGLE OR COMBO VACCINE/TOXOID (SS)	$11.95	$23.44	$14.06–$18.75	72% below	49%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IM ADM ANY ROUTE 1ST VAC/TOX (STATE)	$11.95	$23.44	$14.06–$18.75	72% below	49%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IM ADM ANY ROUTE 1ST VAC/TOX THRU 18YR (NON STATE).	$51.00	$100.00	$60.00–$80.00	21% above	49%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNE, ONE VACCINE, SINGLE OR COMBO VACCINE/TOXOID	$55.59	$109.00	$65.40–$87.20	32% above	49%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ED IM ADM ANY ROUTE 1ST VAC/TOX.	$11.95	$23.44	$15.01–$18.75	—	49%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUNE, ONE VACCINE, SINGLE OR COMBO VACCINE/TOXOID (SS)	$11.95	$23.44	$15.01–$18.75	—	49%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ED - IMMUNE, ONE VACCINE, SINGLE OR COMBO VACCINE/TOXOID	$11.95	$23.44	$15.01–$18.75	—	49%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IM ADM ANY ROUTE 1ST VAC/TOX (STATE)	$11.95	$23.44	$15.01–$18.75	—	49%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IM ADM ANY ROUTE 1ST VAC/TOX THRU 18YR (NON STATE).	$51.00	$100.00	$64.05–$80.00	—	49%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUNE, ONE VACCINE, SINGLE OR COMBO VACCINE/TOXOID	$55.59	$109.00	$69.81–$87.20	—	49%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUNE ADMIN, EACH ADDL,SINGLE OR COMBO VACCINE/TOXOID (SS)	$11.95	$23.44	$14.06–$18.75	67% below	49%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 ED IM ADM ANY ROUTE ADDL VAC/TOX.	$11.95	$23.44	$14.06–$18.75	67% below	49%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IM ADM ANY ROUTE ADDL VAC/TOX (STATE)	$11.95	$23.44	$14.06–$18.75	67% below	49%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IM ADM ANY ROUTE ADDL VAC/TOX THRU 18YR (NON STATE).	$22.44	$44.00	$26.40–$35.20	38% below	49%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUNE,ONE VACCINE,EACH ADDL,SINGLE/COMBO VACCINE/TOXOID	$24.48	$48.00	$28.80–$38.40	32% below	49%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 IMMUNE ADMIN, EACH ADDL,SINGLE OR COMBO VACCINE/TOXOID (SS)	$11.95	$23.44	$15.01–$18.75	—	49%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 ED IM ADM ANY ROUTE ADDL VAC/TOX.	$11.95	$23.44	$15.01–$18.75	—	49%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 IM ADM ANY ROUTE ADDL VAC/TOX (STATE)	$11.95	$23.44	$15.01–$18.75	—	49%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 IM ADM ANY ROUTE ADDL VAC/TOX THRU 18YR (NON STATE).	$22.44	$44.00	$28.18–$35.20	—	49%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 IMMUNE,ONE VACCINE,EACH ADDL,SINGLE/COMBO VACCINE/TOXOID	$24.48	$48.00	$30.74–$38.40	—	49%
Yellow fever vaccine, live CPT 90717 INJ, YELLOW FEVER VACCINE LIVE SC USE, PER DOSE NON STATE	$190.49	$373.50	$224.10–$298.80	64% above	49%
Yellow fever vaccine, live CPT 90717 INJ, YELLOW FEVER VACCINE LIVE SC USE, PER DOSE NO.1	$195.89	$384.09	$230.45–$307.27	69% above	49%
Yellow fever vaccine, live CPT 90717 INJ, YELLOW FEVER VACCINE LIVE 0.5 ML VIAL	$200.01	$392.18	$235.31–$313.74	72% above	49%
Yellow fever vaccine, live inpatient CPT 90717 INJ, YELLOW FEVER VACCINE LIVE SC USE, PER DOSE NON STATE	$190.49	$373.50	$239.23–$298.80	—	49%
Yellow fever vaccine, live inpatient CPT 90717 INJ, YELLOW FEVER VACCINE LIVE SC USE, PER DOSE NO.1	$195.89	$384.09	$246.01–$307.27	—	49%
Yellow fever vaccine, live inpatient CPT 90717 INJ, YELLOW FEVER VACCINE LIVE 0.5 ML VIAL	$200.01	$392.18	$251.19–$313.74	—	49%

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.vmfh.org/content/dam/vmfhorg/documents/price-transparency/910565539-1801851258_virginia-mason-medical-center_standardcharges.csv