Sharp Chula Vista Medical Center
Sharp Chula Vista Medical Center in Chula Vista, CA publishes cash prices for 309 common procedures listed here, from its own machine-readable price file updated Apr 1, 2026. Compared with other hospitals in the state, its outpatient cash prices are above the California median for 197 of 304 procedures and below it for 91. By typical cash price it ranks #139 of 226 California hospitals and #16 of 18 hospitals in the San Diego, CA area, cheapest first. Select a procedure to compare it with other hospitals nearby.
751 Medical Center Court, Chula Vista, CA 91911 Collected Sep 23, 2026 Source price file Check a bill from this hospital (619) 502-5800
Acute care hospital For-profit hospital Emergency department CMS star rating 4 of 5 CCN 050222 · CMS hospital register NPI 1396728630
State law
This state limits hospital bills for lower-income patients
California law (Health and Safety Code §127405): if you are uninsured or have high medical costs and your family income is at or below 400% of the federal poverty level, a hospital may not expect you to pay more than it would expect from Medicare or Medi-Cal, whichever is greater. That can be less than the cash prices below; ask the hospital for its discount payment policy. A separate physician fee may still apply. 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 Sharp Chula Vista Medical Center in Chula Vista, CA:
- Mar 6, 2026 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 California | Off list |
|---|---|---|---|---|---|
| Abdominal CT scan without and with contrast CPT 74170 HC CT ABDOMEN W/O & W/DYE - CT ABDOMEN W WO CONTRAST | $3,119.25 | $4,159.00 | $1.00–$3,202.43 | 10% above | 25% |
| Abdominal CT scan without and with contrast inpatient CPT 74170 HC CT ABDOMEN W/O & W/DYE - CT ABDOMEN W WO CONTRAST | $3,119.25 | $4,159.00 | $582.26–$3,327.20 | — | 25% |
| Abdominal X-ray, 2 views CPT 74019 HC RADIOLOGIC EXAM ABDOMEN 2 VIEWS - XR ABDOMEN 2 VW POSTER W DECUBITUS | $431.25 | $575.00 | $1.00–$431.25 | at median | 25% |
| Abdominal X-ray, 2 views inpatient CPT 74019 HC RADIOLOGIC EXAM ABDOMEN 2 VIEWS - XR ABDOMEN 2 VW POSTER W DECUBITUS | $431.25 | $575.00 | $86.25–$517.50 | — | 25% |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 HC X-RAY ANKLE 3+ VW - XR ANKLE 3+ VIEWS LEFT | $539.25 | $719.00 | $1.00–$647.10 | 5% above | 25% |
| Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 HC X-RAY ANKLE 3+ VW - XR ANKLE 3+ VIEWS LEFT | $539.25 | $719.00 | $45.44–$647.10 | — | 25% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries both sides CPT 93922 HC HBO TCOM BILAT 1-2 LEVELS | $603.00 | $804.00 | $1.00–$643.20 | — | 25% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 HC VASC NON-INVAS PHYSIOLOGIC STD EXTREMITY ART 1-2 LEVEL | $543.00 | $724.00 | $1.00–$651.60 | 3% below | 25% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 HC UPR/L XTREMITY ART 2 LEVELS - TRANSCUTANEOUS O2 MEASUREMENT | $543.00 | $724.00 | $1.00–$651.60 | 3% below | 25% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient both sides CPT 93922 HC HBO TCOM BILAT 1-2 LEVELS | $603.00 | $804.00 | $50.81–$659.28 | — | 25% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 HC VASC NON-INVAS PHYSIOLOGIC STD EXTREMITY ART 1-2 LEVEL | $543.00 | $724.00 | $108.60–$543.00 | — | 25% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 HC UPR/L XTREMITY ART 2 LEVELS - TRANSCUTANEOUS O2 MEASUREMENT | $543.00 | $724.00 | $215.03–$579.20 | — | 25% |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 HC CT SCAN UPPER EXTREMITY W/O DYE - CT UPPER EXT RIGHT WO IV CONTRAST | $2,783.25 | $3,711.00 | $1.00–$2,968.80 | 22% above | 25% |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 HC CT SCAN UPPER EXTREMITY W/O DYE - CT UPPER EXT RIGHT WO IV CONTRAST | $2,783.25 | $3,711.00 | $1,261.74–$2,968.80 | — | 25% |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 HC ESOPHAGRAM - FL ESOPHAGUS BARIUM SWALLOW | $850.50 | $1,134.00 | $1.00–$1,111.32 | 40% above | 25% |
| Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 HC ESOPHAGRAM - FL ESOPHAGUS BARIUM SWALLOW | $850.50 | $1,134.00 | $336.80–$1,111.32 | — | 25% |
| Bone scan, whole body (nuclear medicine) CPT 78306 HC NM BONE IMAGE WHOLE BODY | $3,008.25 | $4,011.00 | $95.52–$3,208.80 | 42% above | 25% |
| Bone scan, whole body (nuclear medicine) inpatient CPT 78306 HC NM BONE IMAGE WHOLE BODY | $3,008.25 | $4,011.00 | $601.65–$3,208.80 | — | 25% |
| Breast ultrasound, complete, one breast one side CPT 76641 HC ULTRASOUND BREAST COMPLETE - UNILATERAL | $747.75 | $997.00 | $1.00–$817.54 | 6% above | 25% |
| Breast ultrasound, complete, one breast inpatient one side CPT 76641 HC ULTRASOUND BREAST COMPLETE - UNILATERAL | $747.75 | $997.00 | $149.55–$897.30 | — | 25% |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 HC ULTRASOUND BREAST LIMITED - US BREAST RIGHT LIMITED | $528.75 | $705.00 | $1.00–$971.92 | 1% below | 25% |
| Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 HC ULTRASOUND BREAST LIMITED - US BREAST RIGHT LIMITED | $528.75 | $705.00 | $44.56–$578.10 | — | 25% |
| CT angiography (CTA) of the abdomen and pelvis CPT 74174 HC CT ANGIO ABD&PELV W/O&W/DYE - CT ANGIOGRAM ABDOMEN PELVIS W CONTRAST | $5,618.25 | $7,491.00 | $1.30–$5,992.80 | 4% above | 25% |
| CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 HC CT ANGIO ABD&PELV W/O&W/DYE - CT ANGIOGRAM ABDOMEN PELVIS W CONTRAST | $5,618.25 | $7,491.00 | $2,224.83–$7,341.18 | — | 25% |
| CT angiography (CTA) of the head CPT 70496 HC CT ANGIOHEAD COMBO - CT HEAD ANGIO W AND WO IV CONTRAST | $3,613.50 | $4,818.00 | $1.00–$4,721.64 | 21% above | 25% |
| CT angiography (CTA) of the head inpatient CPT 70496 HC CT ANGIOHEAD COMBO - CT HEAD ANGIO W AND WO IV CONTRAST | $3,613.50 | $4,818.00 | $304.50–$4,721.64 | — | 25% |
| CT angiography (CTA) of the neck CPT 70498 HC CT ANGIONECK COMBO - CT HEAD NECK ANGIO W AND WO IV CONTRAST | $3,582.75 | $4,777.00 | $1.00–$3,343.90 | 21% above | 25% |
| CT angiography (CTA) of the neck CPT 70498 HC CT ANGIONECK COMBO - CT NECK ANGIO W AND WO IV CONTRAST | $3,582.75 | $4,777.00 | $1.00–$3,678.29 | 21% above | 25% |
| CT angiography (CTA) of the neck inpatient CPT 70498 HC CT ANGIONECK COMBO - CT NECK ANGIO W AND WO IV CONTRAST | $3,582.75 | $4,777.00 | $716.55–$4,299.30 | — | 25% |
| CT angiography (CTA) of the neck inpatient CPT 70498 HC CT ANGIONECK COMBO - CT HEAD NECK ANGIO W AND WO IV CONTRAST | $3,582.75 | $4,777.00 | $1,337.56–$4,299.30 | — | 25% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 HC CT ANGIO CHEST COMBO INCL IMAGE - CT CHEST ANGIO W AND WO IV CONT | $3,747.75 | $4,997.00 | $1.15–$3,747.75 | 9% above | 25% |
| CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 HC CT ANGIO CHEST COMBO INCL IMAGE - CT CHEST ANGIO W AND WO IV CONT | $3,747.75 | $4,997.00 | $699.58–$4,497.30 | — | 25% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 HC CT ANGIO HRT W/3D IMAGE - CT HEART CORONARY ANGIOGRAM | $3,135.75 | $4,181.00 | $1.00–$3,344.80 | 16% above | 25% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 HC CT ANGIO HRT W/3D IMAGE - CT HEART CORONARY ANGIOGRAM | $3,135.75 | $4,181.00 | $627.15–$3,135.75 | — | 25% |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 HC CT HRT W/O DYE W/CA TEST - CT HEART CALCIUM SCORING WO CONTRAST | $822.00 | $1,096.00 | $0.12–$876.80 | 118% above | 25% |
| CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 HC CT HRT W/O DYE W/CA TEST - CT HEART CALCIUM SCORING WO CONTRAST | $822.00 | $1,096.00 | $153.44–$986.40 | — | 25% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 HC CT ABD & PELVIS W/O CONTRAST - CT ABDOMEN PELVIS WO CONTRAST | $3,480.00 | $4,640.00 | $696.00–$3,480.00 | 9% above | 25% |
| CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 HC CT ABD & PELVIS W/O CONTRAST - CT ABDOMEN PELVIS WO CONTRAST | $3,480.00 | $4,640.00 | $649.60–$4,547.20 | — | 25% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 HC CT ABD & PELV W/CONTRAST - CT ABDOMEN PELVIS W CONTRAST | $4,993.50 | $6,658.00 | $1.00–$5,326.40 | 21% above | 25% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 HC CT ABD & PELV W/CONTRAST - CT ABDOMEN PELVIS W CONTRAST | $4,993.50 | $6,658.00 | $998.70–$5,459.56 | — | 25% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 HC CT ABD & PELV 1/> REGNS - CT ABDOMEN PELVIS W WO CONTRAST | $5,337.00 | $7,116.00 | $1.15–$5,692.80 | 13% above | 25% |
| CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 HC CT ABD & PELV 1/> REGNS - CT ABDOMEN PELVIS W WO CONTRAST | $5,337.00 | $7,116.00 | $449.73–$6,404.40 | — | 25% |
| CT scan of the abdomen with contrast CPT 74160 HC CT ABDOMEN W/DYE - CT ABDOMEN W CONTRAST | $2,802.00 | $3,736.00 | $1.00–$2,988.80 | 11% above | 25% |
| CT scan of the abdomen with contrast inpatient CPT 74160 HC CT ABDOMEN W/DYE - CT ABDOMEN W CONTRAST | $2,802.00 | $3,736.00 | $236.12–$3,362.40 | — | 25% |
| CT scan of the abdomen without contrast CPT 74150 HC CT ABDOMEN W/O DYE - CT ABDOMEN WO CONTRAST | $1,908.75 | $2,545.00 | $1.00–$2,494.10 | at median | 25% |
| CT scan of the abdomen without contrast inpatient CPT 74150 HC CT ABDOMEN W/O DYE - CT ABDOMEN WO CONTRAST | $1,908.75 | $2,545.00 | $356.30–$2,290.50 | — | 25% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 HC CT SCANMAXILLOFACIAL W/O CONTRAST - CT SINUS WO CONTRAST | $2,850.00 | $3,800.00 | $1.15–$3,040.00 | 30% above | 25% |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 HC CT SCANMAXILLOFACIAL W/O CONTRAST - CT SINUS WO CONTRAST | $2,850.00 | $3,800.00 | $570.00–$3,724.00 | — | 25% |
| CT scan of the head or brain, no contrast dye CPT 70450 HC CT SCANHEAD/BRAINW/O CONTRAST MATL - CT HEAD WO CONTRAST | $2,785.50 | $3,714.00 | $1.00–$3,342.60 | 22% above | 25% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 HC CT SCANHEAD/BRAINW/O CONTRAST MATL - CT HEAD WO CONTRAST | $2,785.50 | $3,714.00 | $519.96–$3,342.60 | — | 25% |
| CT scan of the head with contrast CPT 70460 HC CT SCAN HEAD CONTRAST - CT HEAD W CONTRAST | $2,870.25 | $3,827.00 | $1.00–$3,061.60 | 6% above | 25% |
| CT scan of the head with contrast inpatient CPT 70460 HC CT SCAN HEAD CONTRAST - CT HEAD W CONTRAST | $2,870.25 | $3,827.00 | $1,136.62–$3,750.46 | — | 25% |
| CT scan of the head without and with contrast CPT 70470 HC CT SCAN HEAD COMBO - CT HEAD W WO CONTRAST | $3,090.75 | $4,121.00 | $1.30–$4,038.58 | at median | 25% |
| CT scan of the head without and with contrast inpatient CPT 70470 HC CT SCAN HEAD COMBO - CT HEAD W WO CONTRAST | $3,090.75 | $4,121.00 | $1,223.94–$4,038.58 | — | 25% |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 HC CT SCANLUMBAR SPINEW/O CONTRAST - CT LUMBAR SPINE WO CONTRAST | $2,412.00 | $3,216.00 | $1.00–$2,412.00 | 16% below | 25% |
| CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 HC CT SCANLUMBAR SPINEW/O CONTRAST - CT LUMBAR SPINE WO CONTRAST | $2,412.00 | $3,216.00 | $482.40–$2,572.80 | — | 25% |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 HC CT SCANCERVICAL SPINEW/O CONTRAST - CT CERVICAL SPINE WO CONTRAST | $3,171.00 | $4,228.00 | $1.00–$4,143.44 | 9% above | 25% |
| CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 HC CT SCANCERVICAL SPINEW/O CONTRAST - CT CERVICAL SPINE WO CONTRAST | $3,171.00 | $4,228.00 | $634.20–$3,805.20 | — | 25% |
| CT scan of the pelvis, with contrast dye CPT 72193 HC CT SCAN OF PELVIS CONTRAST - CT PELVIS W CONTRAST | $2,442.00 | $3,256.00 | $205.78–$2,507.12 | 4% below | 25% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 HC CT SCAN OF PELVIS CONTRAST - CT PELVIS W CONTRAST | $2,442.00 | $3,256.00 | $1,278.63–$2,604.80 | — | 25% |
| Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 HC DUPLEX SCAN EXTRACRANIALBILAT - CAROTID DUPLEX | $1,240.50 | $1,654.00 | $1.00–$1,620.92 | 1% above | 25% |
| Carotid artery ultrasound (duplex), both sides of the neck inpatient CPT 93880 HC DUPLEX SCAN EXTRACRANIALBILAT - CAROTID DUPLEX | $1,240.50 | $1,654.00 | $104.53–$1,488.60 | — | 25% |
| Chest CT scan without and with contrast CPT 71270 HC CAT SCAN OF CHEST COMBO - CT CHEST W WO CONTRAST | $3,569.25 | $4,759.00 | $1.00–$3,569.25 | 9% above | 25% |
| Chest CT scan without and with contrast inpatient CPT 71270 HC CAT SCAN OF CHEST COMBO - CT CHEST W WO CONTRAST | $3,569.25 | $4,759.00 | $713.85–$4,663.82 | — | 25% |
| Chest X-ray, 2 views CPT 71046 HC RADIOLOGIC EXAM CHEST 2 VIEWS - XR CHEST 2 VIEWS | $532.50 | $710.00 | $1.15–$639.00 | 31% above | 25% |
| Chest X-ray, 2 views inpatient CPT 71046 HC RADIOLOGIC EXAM CHEST 2 VIEWS - XR CHEST 2 VIEWS | $532.50 | $710.00 | $99.40–$582.20 | — | 25% |
| Chest X-ray, single view CPT 71045 HC RADIOLOGIC EXAM CHEST SINGLE VIEW - XR CHEST 1 VIEW | $456.75 | $609.00 | $1.00–$596.82 | 25% above | 25% |
| Chest X-ray, single view inpatient CPT 71045 HC RADIOLOGIC EXAM CHEST SINGLE VIEW - XR CHEST 1 VIEW | $456.75 | $609.00 | $180.87–$487.20 | — | 25% |
| Collarbone (clavicle) X-ray, complete one side CPT 73000 HC X-RAY CLAVICLE - XR CLAVICLE LEFT | $499.50 | $666.00 | $1.00–$652.68 | 3% above | 25% |
| Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 HC X-RAY CLAVICLE - XR CLAVICLE LEFT | $499.50 | $666.00 | $42.09–$532.80 | — | 25% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 HC USRETROPERIT B-SCAN/REAL TIMECOMPLETE - US RENAL COMPLETE | $821.25 | $1,095.00 | $325.21–$1,073.10 | 3% below | 25% |
| Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 HC USRETROPERIT B-SCAN/REAL TIMECOMPLETE - US RENAL COMPLETE | $821.25 | $1,095.00 | $325.21–$876.00 | — | 25% |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 HC DXA BONE DENSITY AXIAL - XR BONE DENSITY WITH SPECT LUMBAR | $646.50 | $862.00 | $1.00–$844.76 | 28% above | 25% |
| DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 HC DXA BONE DENSITY AXIAL - XR BONE DENSITY WITH SPECT LUMBAR | $646.50 | $862.00 | $129.30–$22,634.00 | — | 25% |
| DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 HC DXA BONE DENSITY/PERIPHERAL - DEXA BONE DENSITY EXTREMITY | $307.50 | $410.00 | $1.00–$307.50 | 11% above | 25% |
| DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 HC DXA BONE DENSITY/PERIPHERAL - DEXA BONE DENSITY EXTREMITY | $307.50 | $410.00 | $114.80–$369.00 | — | 25% |
| Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 HC OB US DETAILED SNGL FETUS - US OB DETAIL FETAL ANAT SING OR 1ST GEST | $1,161.75 | $1,549.00 | $1.00–$1,270.18 | 29% above | 25% |
| Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 HC OB US DETAILED SNGL FETUS - US OB DETAIL FETAL ANAT SING OR 1ST GEST | $1,161.75 | $1,549.00 | $216.86–$1,518.02 | — | 25% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 HC CT SCANTHORAXW/O CONTRAST - CT CHEST WO CONTRAST | $2,138.25 | $2,851.00 | $1.10–$2,337.82 | 5% above | 25% |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 HC CT SCANTHORAXW/O CONTRAST - CT CHEST WO CONTRAST | $2,138.25 | $2,851.00 | $855.30–$2,793.98 | — | 25% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 HC CAT SCAN OF CHEST CONTRAST - CT CHEST W CONTRAST | $3,081.00 | $4,108.00 | $1.15–$3,081.00 | 7% above | 25% |
| Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 HC CAT SCAN OF CHEST CONTRAST - CT CHEST W CONTRAST | $3,081.00 | $4,108.00 | $616.20–$4,025.84 | — | 25% |
| Diagnostic mammogram, both breasts both sides CPT 77066 HC DX MAMMO INCL CAD BI - MAMMO BREAST DIAGNOSTIC BILATERAL | $525.75 | $701.00 | $1.00–$686.98 | — | 25% |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 HC DX MAMMO INCL CAD BI - MAMMO BREAST DIAGNOSTIC BILATERAL | $525.75 | $701.00 | $44.30–$574.82 | — | 25% |
| Diagnostic mammogram, one breast one side CPT 77065 HC DX MAMMO INCL CAD UNI - MAMMO BREAST DIAGNOSTIC RIGHT | $420.00 | $560.00 | $166.32–$448.00 | 12% above | 25% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 HC DX MAMMO INCL CAD UNI - MAMMO BREAST DIAGNOSTIC RIGHT | $420.00 | $560.00 | $35.39–$448.00 | — | 25% |
| Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 HC DUPLEX LO EXTREM ART BILAT - LOWER EXTREMITY ARTERIAL DUPLEX | $1,032.00 | $1,376.00 | $1.00–$1,348.48 | — | 25% |
| Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 HC DUPLEX LO EXTREM ART BILAT - LOWER EXTREMITY ARTERIAL DUPLEX | $1,032.00 | $1,376.00 | $385.28–$1,059.52 | — | 25% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 HC VENOUS DUP EXTRM BILAT ARMS AND LEGS | $2,721.75 | $3,629.00 | $1.00–$3,556.42 | — | 25% |
| Duplex ultrasound of the leg veins, both legs CPT 93970 HC VASC DUPLEX EXTREM VENOUSBILAT | $2,721.75 | $3,629.00 | $1.00–$3,266.10 | 129% above | 25% |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 HC VENOUS DUP EXTRM BILAT ARMS AND LEGS | $2,721.75 | $3,629.00 | $17.17–$3,266.10 | — | 25% |
| Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 HC VASC DUPLEX EXTREM VENOUSBILAT | $2,721.75 | $3,629.00 | $544.35–$3,266.10 | — | 25% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 HC TTE W/DOPPLER COMPLETE - TTE COMPLETE | $4,104.00 | $5,472.00 | $1.00–$15,436.00 | 53% above | 25% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 HC TTE W/DOPPLER COMPLETE - TTE COMPLETE W/ CONTRAST | $4,514.25 | $6,019.00 | $1.00–$5,417.10 | 68% above | 25% |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 HC TTE W/DOPPLER COMPLETE - TTE COMPLETE | $4,104.00 | $5,472.00 | $674.18–$7,563.64 | — | 25% |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 HC TTE W/DOPPLER COMPLETE - TTE COMPLETE W/ CONTRAST | $4,514.25 | $6,019.00 | $842.66–$5,417.10 | — | 25% |
| Elbow X-ray, 2 views one side CPT 73070 HC X-RAY ELBOW 2 VW - XR ELBOW 1-2 VIEWS RIGHT | $459.75 | $613.00 | $1.00–$551.70 | 16% above | 25% |
| Elbow X-ray, 2 views inpatient one side CPT 73070 HC X-RAY ELBOW 2 VW - XR ELBOW 1-2 VIEWS RIGHT | $459.75 | $613.00 | $85.82–$600.74 | — | 25% |
| Elbow X-ray, complete, 3 or more views one side CPT 73080 HC X-RAY ELBOW 3+ VW - XR ELBOW 3+ VIEWS RIGHT | $551.25 | $735.00 | $1.00–$551.25 | 14% above | 25% |
| Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 HC X-RAY ELBOW 3+ VW - XR ELBOW 3+ VIEWS RIGHT | $551.25 | $735.00 | $218.29–$661.50 | — | 25% |
| Eye socket (orbit) CT scan without contrast CPT 70480 HC CT SCANORBIT/SELLA/POST FOSSA/EARW/O - CT ORBITS/SELLA WO IV CONT | $2,843.25 | $3,791.00 | $1.00–$3,715.18 | 24% above | 25% |
| Eye socket (orbit) CT scan without contrast inpatient CPT 70480 HC CT SCANORBIT/SELLA/POST FOSSA/EARW/O - CT ORBITS/SELLA WO IV CONT | $2,843.25 | $3,791.00 | $568.65–$3,032.80 | — | 25% |
| Facial bones X-ray, complete, 3 or more views CPT 70150 HC X-RAY FACIAL BONES 3+ VW - XR FACIAL BONES 3+ VIEWS | $685.50 | $914.00 | $1.15–$895.72 | 39% above | 25% |
| Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 HC X-RAY FACIAL BONES 3+ VW - XR FACIAL BONES 3+ VIEWS | $685.50 | $914.00 | $255.92–$895.72 | — | 25% |
| Forearm X-ray (radius and ulna), 2 views one side CPT 73090 HC X-RAY FOREARM 2 VW - XR FOREARM 2 VIEWS LEFT | $458.25 | $611.00 | $1.10–$598.78 | 7% above | 25% |
| Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 HC X-RAY FOREARM 2 VW - XR FOREARM 2 VIEWS LEFT | $458.25 | $611.00 | $38.62–$488.80 | — | 25% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HC HEPATOBILIARY SYST IMAGING INCLUDING GALLBLADDER - NM LIVER FUNCTION | $2,061.75 | $2,749.00 | $1.00–$2,694.02 | 16% above | 25% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 HC HEPATOBILIARY SYST IMAGING INCLUDING GALLBLADDER - NM LIVER FUNCTION | $2,061.75 | $2,749.00 | $173.74–$2,694.02 | — | 25% |
| Hand X-ray, 2 views CPT 73120 HC HANDLIMITED | $422.25 | $563.00 | $1.15–$2,212.72 | 4% above | 25% |
| Hand X-ray, 2 views inpatient CPT 73120 HC HANDLIMITED | $422.25 | $563.00 | $167.21–$1,106.36 | — | 25% |
| Heel bone (calcaneus) X-ray, 2 or more views both sides CPT 73650 HC X-RAY HEEL - XR CALCANEUS 1 VIEW BILATERAL | $354.00 | $472.00 | $66.08–$387.04 | — | 25% |
| Heel bone (calcaneus) X-ray, 2 or more views inpatient both sides CPT 73650 HC X-RAY HEEL - XR CALCANEUS 1 VIEW BILATERAL | $354.00 | $472.00 | $140.18–$354.00 | — | 25% |
| Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 HC SLEEP SCREEN UNATTENDED | $768.00 | $1,024.00 | $1.00–$989.90 | at median | 25% |
| Home sleep apnea test, unattended, recording breathing and oxygen inpatient CPT 95806 HC SLEEP SCREEN UNATTENDED | $768.00 | $1,024.00 | $286.72–$1,003.52 | — | 25% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 HC SLEEP STUDY W/CPAP | $5,976.75 | $7,969.00 | $1.00–$7,809.62 | 64% above | 25% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 HC SLEEP STUDY W/CPAP | $5,976.75 | $7,969.00 | $457.06–$7,809.62 | — | 25% |
| Knee X-ray, 3 views one side CPT 73562 HC X-RAY KNEE 3 VIEW - XR KNEE 3 VIEWS RIGHT | $513.00 | $684.00 | $1.00–$625.89 | 12% above | 25% |
| Knee X-ray, 3 views inpatient one side CPT 73562 HC X-RAY KNEE 3 VIEW - XR KNEE 3 VIEWS RIGHT | $513.00 | $684.00 | $102.60–$560.88 | — | 25% |
| Knee X-ray, complete, 4 or more views one side CPT 73564 HC X-RAY KNEE 4+ VIEW - XR KNEE 4+ VIEWS RIGHT | $585.75 | $781.00 | $1.00–$624.80 | at median | 25% |
| Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 HC X-RAY KNEE 4+ VIEW - XR KNEE 4+ VIEWS RIGHT | $585.75 | $781.00 | $109.34–$640.42 | — | 25% |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 HC CT SCANLOWER EXTREMITYW/O CONTRAST - CT HIP LEFT WO IV CONTRAST | $2,133.75 | $2,845.00 | $1.00–$2,560.50 | at median | 25% |
| Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 HC CT SCANLOWER EXTREMITYW/O CONTRAST - CT HIP LEFT WO IV CONTRAST | $2,133.75 | $2,845.00 | $844.96–$1,991.50 | — | 25% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HC US ABDOMEN LIMITED - US ABDOMEN LIMITED | $879.00 | $1,172.00 | $1.10–$1,054.80 | 6% above | 25% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 HC US ABDOMEN LIMITED - US ABDOMEN LIMITED | $879.00 | $1,172.00 | $164.08–$961.04 | — | 25% |
| Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 HC US LMTD JT/NONVASC XTR STRUX - US KNEE LEFT LIMITED | $395.25 | $527.00 | $1.00–$516.46 | 27% below | 25% |
| Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 HC US LMTD JT/NONVASC XTR STRUX - US KNEE LEFT LIMITED | $395.25 | $527.00 | $79.05–$421.60 | — | 25% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 HC CT CHEST LD LUNG SCREENIN | $1,571.25 | $2,095.00 | $1.15–$2,053.10 | 341% above | 25% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 HC CT CHEST LD LUNG SCREENIN | $1,571.25 | $2,095.00 | $293.30–$1,676.00 | — | 25% |
| Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 HC X-RAY TIB + FIB 2VW - XR TIBIA FIBULA 2 VIEWS LEFT | $461.25 | $615.00 | $1.00–$625.89 | 7% above | 25% |
| Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 HC X-RAY TIB + FIB 2VW - XR TIBIA FIBULA 2 VIEWS LEFT | $461.25 | $615.00 | $184.50–$602.70 | — | 25% |
| MR angiography (MRA) of the head without contrast CPT 70544 HC MR ANGIO HEAD - MR HEAD ANGIO WO IV CONTRAST | $2,895.00 | $3,860.00 | $1.15–$9,780.00 | at median | 25% |
| MR angiography (MRA) of the head without contrast inpatient CPT 70544 HC MR ANGIO HEAD - MR HEAD ANGIO WO IV CONTRAST | $2,895.00 | $3,860.00 | $579.00–$3,474.00 | — | 25% |
| MRI of both breasts, without and then with contrast dye both sides CPT 77049 HC MRI BREAST BI/CAD W/WO CO | $3,663.75 | $4,885.00 | $1.00–$4,396.50 | — | 25% |
| MRI of both breasts, without and then with contrast dye inpatient both sides CPT 77049 HC MRI BREAST BI/CAD W/WO CO | $3,663.75 | $4,885.00 | $683.90–$4,396.50 | — | 25% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HC MRI JNT OF LWR EXTRE W/O DYE - MR LOWER EXT JOINT WO IV CONT | $3,246.75 | $4,329.00 | $1.00–$3,896.10 | 7% above | 25% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 HC MRI JNT OF LWR EXTRE W/O DYE - MR LOWER EXT JOINT WO IV CONT | $3,246.75 | $4,329.00 | $1,212.12–$31,170.74 | — | 25% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 HC MRI JOINT OF LEG. COMBO - MR HIP RIGHT W AND WO IV CONTRAST | $4,620.75 | $6,161.00 | $1.00–$4,928.80 | at median | 25% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 HC MRI JOINT OF LEG. COMBO - MR HIP RIGHT W AND WO IV CONTRAST | $4,620.75 | $6,161.00 | $2,094.74–$5,052.02 | — | 25% |
| MRI of the abdomen without contrast CPT 74181 HC MRI ABDOMEN (MRI) - MRI ABDOMEN WO CONTRAST | $3,167.25 | $4,223.00 | $1.00–$4,138.54 | 13% above | 25% |
| MRI of the abdomen without contrast inpatient CPT 74181 HC MRI ABDOMEN (MRI) - MRI ABDOMEN WO CONTRAST | $3,167.25 | $4,223.00 | $1,182.44–$2,956.10 | — | 25% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 HC MRI ABDOMEN COMBO - MRI ABDOMEN W WO CONTRAST | $4,268.25 | $5,691.00 | $1.00–$4,666.62 | 2% below | 25% |
| MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 HC MRI ABDOMEN COMBO - MRI ABDOMEN W WO CONTRAST | $4,268.25 | $5,691.00 | $853.65–$4,382.07 | — | 25% |
| MRI of the brain, no contrast dye CPT 70551 HC MRI BRAIN - MRI BRAIN WO CONTRAST | $3,036.00 | $4,048.00 | $1.15–$3,643.20 | 5% above | 25% |
| MRI of the brain, no contrast dye inpatient CPT 70551 HC MRI BRAIN - MRI BRAIN WO CONTRAST | $3,036.00 | $4,048.00 | $607.20–$3,643.20 | — | 25% |
| MRI of the brain, with and without contrast dye CPT 70553 HC MRI BRAIN COMBO - MRI BRAIN W WO CONTRAST | $4,562.25 | $6,083.00 | $1.00–$5,961.34 | 5% above | 25% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 HC MRI BRAIN COMBO - MRI BRAIN W WO CONTRAST | $4,562.25 | $6,083.00 | $912.45–$15,436.00 | — | 25% |
| MRI of the lower back, no contrast dye CPT 72148 HC MRI LUMBAR SPINE - MRI LUMBAR SPINE WO CONTRAST | $3,111.75 | $4,149.00 | $1.15–$3,402.18 | 2% above | 25% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 HC MRI LUMBAR SPINE - MRI LUMBAR SPINE WO CONTRAST | $3,111.75 | $4,149.00 | $95.09–$4,066.02 | — | 25% |
| MRI of the lower back, without and then with contrast dye CPT 72158 HC MRI LUMBAR SPINE COMBO - MRI LUMBAR SPINE W WO CONTRAST | $4,612.50 | $6,150.00 | $1.30–$6,027.00 | 2% above | 25% |
| MRI of the lower back, without and then with contrast dye inpatient CPT 72158 HC MRI LUMBAR SPINE COMBO - MRI LUMBAR SPINE W WO CONTRAST | $4,612.50 | $6,150.00 | $861.00–$5,043.00 | — | 25% |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 HC MRI DORSAL SPINE - MRI COMPLETE SPINE WO CONTRAST | $3,201.75 | $4,269.00 | $1.00–$3,842.10 | 11% above | 25% |
| MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 HC MRI DORSAL SPINE - MRI COMPLETE SPINE WO CONTRAST | $3,201.75 | $4,269.00 | $114.85–$4,484.02 | — | 25% |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 HC MRI CERV SPINE COMBO - MRI CERVICAL SPINE W WO CONTRAST | $5,874.00 | $7,832.00 | $1.00–$7,675.36 | 32% above | 25% |
| MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 HC MRI CERV SPINE COMBO - MRI CERVICAL SPINE W WO CONTRAST | $5,874.00 | $7,832.00 | $2,192.96–$7,675.36 | — | 25% |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 HC MRI CERV SPINE - MRI CERVICAL SPINE WO CONTRAST | $4,149.75 | $5,533.00 | $1.00–$4,979.70 | 38% above | 25% |
| MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 HC MRI CERV SPINE - MRI CERVICAL SPINE WO CONTRAST | $4,149.75 | $5,533.00 | $349.69–$4,979.70 | — | 25% |
| MRI of the pelvis without and with contrast CPT 72197 HC MRI PELVIS COMBO - MRI PELVIS W WO CONTRAST | $4,268.25 | $5,691.00 | $1.00–$5,577.18 | 3% above | 25% |
| MRI of the pelvis without and with contrast inpatient CPT 72197 HC MRI PELVIS COMBO - MRI PELVIS W WO CONTRAST | $4,268.25 | $5,691.00 | $114.85–$5,121.90 | — | 25% |
| MRI of the pelvis, no contrast dye CPT 72195 HC MRI PELVIS W/O CONTRAST - MRI PELVIS WO CONTRAST | $2,347.50 | $3,130.00 | $1.10–$2,410.10 | 9% below | 25% |
| MRI of the pelvis, no contrast dye inpatient CPT 72195 HC MRI PELVIS W/O CONTRAST - MRI PELVIS WO CONTRAST | $2,347.50 | $3,130.00 | $95.09–$3,067.40 | — | 25% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 HC MRI JOINT UPPER EXTREM - MR WRIST RIGHT WO IV CONTRAST | $2,465.25 | $3,287.00 | $1.95–$2,695.34 | 6% below | 25% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 HC MRI JOINT UPPER EXTREM - MR WRIST RIGHT WO IV CONTRAST | $2,465.25 | $3,287.00 | $920.36–$2,629.60 | — | 25% |
| Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 HC RADEX SPINE CERVICAL 4 OR 5 VIEWS - XR CERVICAL SPINE COMP 4-5 VIEWS | $838.50 | $1,118.00 | $1.00–$894.40 | 30% above | 25% |
| Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 HC RADEX SPINE CERVICAL 4 OR 5 VIEWS - XR CERVICAL SPINE COMP 4-5 VIEWS | $838.50 | $1,118.00 | $167.70–$1,095.64 | — | 25% |
| Neck soft tissue CT scan with contrast CPT 70491 HC CT NECK TISSUE CONTRAST - CT SOFT TISSUE NECK W CONTRAST | $2,734.50 | $3,646.00 | $1.00–$15,436.00 | at median | 25% |
| Neck soft tissue CT scan with contrast inpatient CPT 70491 HC CT NECK TISSUE CONTRAST - CT SOFT TISSUE NECK W CONTRAST | $2,734.50 | $3,646.00 | $546.90–$13,736.96 | — | 25% |
| Neck soft tissue CT scan without contrast CPT 70490 HC CT SCANSOFT TISSUE NECKW/O CONTRAST - CT SOFT TISSUE NECK WO CONT | $2,043.75 | $2,725.00 | $1.15–$2,670.50 | 3% below | 25% |
| Neck soft tissue CT scan without contrast inpatient CPT 70490 HC CT SCANSOFT TISSUE NECKW/O CONTRAST - CT SOFT TISSUE NECK WO CONT | $2,043.75 | $2,725.00 | $408.75–$2,670.50 | — | 25% |
| Neck soft tissue X-ray CPT 70360 HC X-RAY NECK SOFT TISSUE - XR NECK SOFT TISSUE | $378.75 | $505.00 | $1.00–$494.90 | 17% above | 25% |
| Neck soft tissue X-ray inpatient CPT 70360 HC X-RAY NECK SOFT TISSUE - XR NECK SOFT TISSUE | $378.75 | $505.00 | $75.75–$404.00 | — | 25% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 HC HT MUSCLE IMAGE SPECT MULT - NM HEART PERFUSION SPECT STRESS & REST | $4,029.00 | $5,372.00 | $1.00–$4,297.60 | 1% below | 25% |
| Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 HC HT MUSCLE IMAGE SPECT MULT - NM HEART PERFUSION SPECT STRESS & REST | $4,029.00 | $5,372.00 | $1,595.48–$4,297.60 | — | 25% |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 HC PET IMAGE W/CT SKULL-THIGH - PT/CT BONE SKULL BASE TO MID THIGH | $8,382.75 | $11,177.00 | $0.91–$8,941.60 | 16% above | 25% |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 HC PET IMAGE W/CT SKULL-THIGH - PT/CT BONE SKULL BASE TO MID THIGH | $8,382.75 | $11,177.00 | $3,319.57–$10,059.30 | — | 25% |
| Pelvic CT scan without contrast CPT 72192 HC CT SCANPELVISW/O CONTRAST - CT PELVIS WO CONTRAST | $1,961.25 | $2,615.00 | $1.00–$2,353.50 | at median | 25% |
| Pelvic CT scan without contrast inpatient CPT 72192 HC CT SCANPELVISW/O CONTRAST - CT PELVIS WO CONTRAST | $1,961.25 | $2,615.00 | $165.27–$2,092.00 | — | 25% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 HC SONO PELVIS LIMITED - US PELVIS LIMITED | $784.50 | $1,046.00 | $1.00–$1,251.78 | 46% above | 25% |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 HC SONO PELVIS LIMITED - US PELVIS LIMITED | $784.50 | $1,046.00 | $156.90–$1,025.08 | — | 25% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 HC ECHOPELVIC (NONOBSTETRIC) - US PELVIS | $1,311.75 | $1,749.00 | $519.45–$1,714.02 | 39% above | 25% |
| Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 HC ECHOPELVIC (NONOBSTETRIC) - US PELVIS | $1,311.75 | $1,749.00 | $489.72–$1,714.02 | — | 25% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HC OB US >/= 14 WKS SNGL FETUS - US OB 14+ WEEKS SINGLE OR FIRST GEST | $1,068.75 | $1,425.00 | $1.00–$1,396.50 | 24% above | 25% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 HC OB US >/= 14 WKS SNGL FETUS - US OB 14+ WEEKS SINGLE OR FIRST GEST | $1,068.75 | $1,425.00 | $213.75–$1,282.50 | — | 25% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 HC OB US < 14 WKS SINGLE FETUS - US OB < 14 WEEKS SINGLE OR FIRST GEST | $1,194.00 | $1,592.00 | $1.00–$1,273.60 | 54% above | 25% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 HC OB US < 14 WKS SINGLE FETUS - US OB < 14 WEEKS SINGLE OR FIRST GEST | $1,194.00 | $1,592.00 | $238.80–$1,273.60 | — | 25% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 HC OB US LIMITED FETUS(S) - US OB LIMITED 1+ FETUSES | $927.00 | $1,236.00 | $1.00–$1,211.28 | 53% above | 25% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 HC OB US LIMITED FETUS(S) - US OB LIMITED 1+ FETUSES | $927.00 | $1,236.00 | $367.09–$1,211.28 | — | 25% |
| Rib X-ray, one side, 2 views one side CPT 71100 HC X-RAY RIBS 2 VW UNILAT - XR RIBS 2 VIEWS LEFT | $477.75 | $637.00 | $1.00–$2,796.48 | 3% above | 25% |
| Rib X-ray, one side, 2 views inpatient one side CPT 71100 HC X-RAY RIBS 2 VW UNILAT - XR RIBS 2 VIEWS LEFT | $477.75 | $637.00 | $40.26–$573.30 | — | 25% |
| Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 HC X-RAY RIBS CHEST 3+ VW - XR RIBS 2 VWS LT W/ CHEST ANTEROPOSTERIOR | $660.75 | $881.00 | $1.00–$722.42 | 7% above | 25% |
| Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 HC X-RAY RIBS CHEST 3+ VW - XR RIBS 2 VWS LT W/ CHEST ANTEROPOSTERIOR | $660.75 | $881.00 | $123.34–$863.38 | — | 25% |
| Screening mammogram, both breasts both sides CPT 77067 HC SCR MAMMO BI INCL CAD - MAMMO BREAST SCREENING BILATERAL | $435.00 | $580.00 | $1.15–$446.60 | — | 25% |
| Screening mammogram, both breasts inpatient both sides CPT 77067 HC SCR MAMMO BI INCL CAD - MAMMO BREAST SCREENING BILATERAL | $435.00 | $580.00 | $36.66–$568.40 | — | 25% |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 HC X-RAY SHOULDER 2+ VW - XR SHOULDER 2+ VIEWS RIGHT | $564.75 | $753.00 | $1.00–$677.70 | 2% above | 25% |
| Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 HC X-RAY SHOULDER 2+ VW - XR SHOULDER 2+ VIEWS RIGHT | $564.75 | $753.00 | $112.95–$564.75 | — | 25% |
| Sinus X-ray, complete, 3 or more views CPT 70220 HC X-RAY SINUSES 3+ VW - XR PARANASAL SINUSES 3+ VIEWS | $525.00 | $700.00 | $207.90–$574.00 | 15% above | 25% |
| Sinus X-ray, complete, 3 or more views inpatient CPT 70220 HC X-RAY SINUSES 3+ VW - XR PARANASAL SINUSES 3+ VIEWS | $525.00 | $700.00 | $105.00–$686.00 | — | 25% |
| Skull X-ray, fewer than 4 views CPT 70250 HC X-RAY SKULL <4 VW - XR SKULL 1-3 VIEWS | $527.25 | $703.00 | $1.15–$576.46 | 30% above | 25% |
| Skull X-ray, fewer than 4 views inpatient CPT 70250 HC X-RAY SKULL <4 VW - XR SKULL 1-3 VIEWS | $527.25 | $703.00 | $105.45–$632.70 | — | 25% |
| Sleep study in a lab (polysomnography) CPT 95810 HC SLEEP STUDY 4 OR MORE | $5,535.00 | $7,380.00 | $1.00–$9,303.26 | 13% above | 25% |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 HC SLEEP STUDY 4 OR MORE | $5,535.00 | $7,380.00 | $2,066.40–$7,232.40 | — | 25% |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 HC CINE/VID X-RAY THROAT/ESOPH - FL ESOPH BARIUM SWLW W/ VIDEO & SPEECH | $661.50 | $882.00 | $1.00–$723.24 | at median | 25% |
| Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 HC CINE/VID X-RAY THROAT/ESOPH - FL ESOPH BARIUM SWLW W/ VIDEO & SPEECH | $661.50 | $882.00 | $55.74–$793.80 | — | 25% |
| Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 HC RADIOLOGIC EXAMINATION FEMUR MINIMUM 2 VIEWS - XR FEMUR 2+ VW RT | $360.00 | $480.00 | $1.00–$384.00 | 12% below | 25% |
| Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 HC RADIOLOGIC EXAMINATION FEMUR MINIMUM 2 VIEWS - XR FEMUR 2+ VW RT | $360.00 | $480.00 | $30.34–$470.40 | — | 25% |
| Thoracic spine (mid back) CT scan without contrast CPT 72128 HC CT SCANTHORACIC SPINEW/O CONTRAST - CT THORACIC SPINE WO CONTRAST | $2,110.50 | $2,814.00 | $177.84–$2,251.20 | 25% below | 25% |
| Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 HC CT SCANTHORACIC SPINEW/O CONTRAST - CT THORACIC SPINE WO CONTRAST | $2,110.50 | $2,814.00 | $422.10–$2,757.72 | — | 25% |
| Toe X-ray, 2 or more views one side CPT 73660 HC X-RAY TOE(S) - XR TOES 2+ VIEWS LEFT | $387.75 | $517.00 | $1.15–$413.60 | 17% above | 25% |
| Toe X-ray, 2 or more views inpatient one side CPT 73660 HC X-RAY TOE(S) - XR TOES 2+ VIEWS LEFT | $387.75 | $517.00 | $144.76–$413.60 | — | 25% |
| Transvaginal pelvic ultrasound CPT 76830 HC ECHOGRAPHYTRANSVAGINAL - US PELVIS TRANSVAGINAL | $883.50 | $1,178.00 | $1.00–$1,060.20 | 23% above | 25% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 HC ECHOGRAPHYTRANSVAGINAL - US PELVIS TRANSVAGINAL | $883.50 | $1,178.00 | $2.76–$965.96 | — | 25% |
| Transvaginal ultrasound during pregnancy CPT 76817 HC TRANSVAGINAL US OBSTETRIC - US OB TRANSVAGINAL | $841.50 | $1,122.00 | $1.15–$1,009.80 | 26% above | 25% |
| Transvaginal ultrasound during pregnancy inpatient CPT 76817 HC TRANSVAGINAL US OBSTETRIC - US OB TRANSVAGINAL | $841.50 | $1,122.00 | $198.80–$897.60 | — | 25% |
| Ultrasound of the abdomen, complete CPT 76700 HC US ABDOMB-SCAN &/OR REAL TIMECOMPLETE - US ABDOMEN COMPLETE | $1,399.50 | $1,866.00 | $1.00–$1,679.40 | 28% above | 25% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 HC US ABDOMB-SCAN &/OR REAL TIMECOMPLETE - US ABDOMEN COMPLETE | $1,399.50 | $1,866.00 | $279.90–$1,679.40 | — | 25% |
| Ultrasound of the scrotum and testicles CPT 76870 HC ECHOSCROTUM & CONTENTS - US SCROTUM | $1,255.50 | $1,674.00 | $105.80–$1,372.68 | 41% above | 25% |
| Ultrasound of the scrotum and testicles inpatient CPT 76870 HC ECHOSCROTUM & CONTENTS - US SCROTUM | $1,255.50 | $1,674.00 | $251.10–$1,640.52 | — | 25% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 HC US HEAD/NECK TISSUESREAL TIME - US HEAD NECK SOFT TISSUE | $1,015.50 | $1,354.00 | $1.00–$1,110.28 | 22% above | 25% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 HC US HEAD/NECK TISSUESREAL TIME - US HEAD NECK SOFT TISSUE | $1,015.50 | $1,354.00 | $189.56–$1,083.20 | — | 25% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 HC X-RAY UPPER GI DELAY W/O KUB - FL UPPER GI WITHOUT KUB | $831.00 | $1,108.00 | $166.20–$908.56 | 35% above | 25% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 HC X-RAY UPPER GI DELAY W/O KUB - FL UPPER GI WITHOUT KUB | $831.00 | $1,108.00 | $310.24–$908.56 | — | 25% |
| Upper arm X-ray (humerus), 2 views one side CPT 73060 HC X-RAY HUMERUS - XR HUMERUS RIGHT | $402.00 | $536.00 | $1.15–$525.28 | 6% below | 25% |
| Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 HC X-RAY HUMERUS - XR HUMERUS RIGHT | $402.00 | $536.00 | $80.40–$525.28 | — | 25% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 HC VENOUS DUP EXTRM UNI MULT | $1,129.50 | $1,506.00 | $1.00–$1,355.40 | 25% above | 25% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 HC DUPLEX EXTREM VENOUSUNI OR LTD | $1,129.50 | $1,506.00 | $1.00–$1,355.40 | 25% above | 25% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 HC DUPLEX EXTREM VENOUSUNI OR LTD | $1,129.50 | $1,506.00 | $111.88–$1,204.80 | — | 25% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 HC VENOUS DUP EXTRM UNI MULT | $1,129.50 | $1,506.00 | $95.18–$1,054.20 | — | 25% |
| Wrist X-ray, 2 views one side CPT 73100 HC X-RAY WRIST 2 VW - XR WRIST 1-2 VIEWS RIGHT | $388.50 | $518.00 | $1.10–$507.64 | at median | 25% |
| Wrist X-ray, 2 views inpatient one side CPT 73100 HC X-RAY WRIST 2 VW - XR WRIST 1-2 VIEWS RIGHT | $388.50 | $518.00 | $77.70–$424.76 | — | 25% |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 HC X-RAY WRIST 3+ VW - XR WRIST 3+ VIEWS RIGHT | $575.25 | $767.00 | $1.00–$690.30 | 14% above | 25% |
| Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 HC X-RAY WRIST 3+ VW - XR WRIST 3+ VIEWS RIGHT | $575.25 | $767.00 | $48.47–$751.66 | — | 25% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HC X-RAY EXAM HIP UNI 2-3 VIEWS - XR HIP 2 OR 3 VW LEFT | $399.00 | $532.00 | $1.00–$521.36 | 1% below | 25% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 HC X-RAY EXAM HIP UNI 2-3 VIEWS - XR HIP 2 OR 3 VW LEFT | $399.00 | $532.00 | $159.60–$22,634.00 | — | 25% |
| X-ray of the abdomen, 1 view CPT 74018 HC RADIOLOGIC EXAM ABDOMEN 1 VIEW - XR ABDOMEN 1 VIEW | $345.75 | $461.00 | $1.00–$345.75 | 14% above | 25% |
| X-ray of the abdomen, 1 view inpatient CPT 74018 HC RADIOLOGIC EXAM ABDOMEN 1 VIEW - XR ABDOMEN 1 VIEW | $345.75 | $461.00 | $136.92–$368.80 | — | 25% |
| X-ray of the ankle, 2 views one side CPT 73600 HC X-RAY ANKLE 2 VW - XR ANKLE 2 VIEWS LEFT | $392.25 | $523.00 | $1.15–$625.89 | at median | 25% |
| X-ray of the ankle, 2 views inpatient one side CPT 73600 HC X-RAY ANKLE 2 VW - XR ANKLE 2 VIEWS LEFT | $392.25 | $523.00 | $73.22–$512.54 | — | 25% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 HC X-RAY EXAM OF FINGER(S) - XR FINGERS 2+ VIEWS RIGHT | $418.50 | $558.00 | $78.12–$502.20 | 15% above | 25% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 HC X-RAY EXAM OF FINGER(S) - XR FINGERS 2+ VIEWS RIGHT | $418.50 | $558.00 | $83.70–$457.56 | — | 25% |
| X-ray of the foot, 2 views one side CPT 73620 HC X-RAY FOOT 2 VW - XR FOOT 1-2 VIEWS RIGHT | $422.25 | $563.00 | $1.00–$450.40 | 4% above | 25% |
| X-ray of the foot, 2 views inpatient one side CPT 73620 HC X-RAY FOOT 2 VW - XR FOOT 1-2 VIEWS RIGHT | $422.25 | $563.00 | $167.21–$551.74 | — | 25% |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 HC X-RAY FOOT 3+ VW - XR FOOT 3+ VIEWS RIGHT | $529.50 | $706.00 | $1.00–$578.92 | 7% above | 25% |
| X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 HC X-RAY FOOT 3+ VW - XR FOOT 3+ VIEWS RIGHT | $529.50 | $706.00 | $209.68–$564.80 | — | 25% |
| X-ray of the hand, 3 or more views one side CPT 73130 HC X-RAY HAND 3+ VW - XR HAND 3+ VIEWS RIGHT | $508.50 | $678.00 | $1.00–$474.60 | at median | 25% |
| X-ray of the hand, 3 or more views inpatient one side CPT 73130 HC X-RAY HAND 3+ VW - XR HAND 3+ VIEWS RIGHT | $508.50 | $678.00 | $101.70–$610.20 | — | 25% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 HC X-RAY KNEE 1 OR 2 VIEW - XR KNEE 1-2 VIEWS RIGHT | $378.75 | $505.00 | $75.75–$494.90 | 5% below | 25% |
| X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 HC X-RAY KNEE 1 OR 2 VIEW - XR KNEE 1-2 VIEWS RIGHT | $378.75 | $505.00 | $75.75–$454.50 | — | 25% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 HC X-RAY LUMBAR SPINE 2/3 VW - XR LUMBAR SPINE 2-3 VIEWS | $576.75 | $769.00 | $1.15–$753.62 | 22% above | 25% |
| X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 HC X-RAY LUMBAR SPINE 2/3 VW - XR LUMBAR SPINE 2-3 VIEWS | $576.75 | $769.00 | $48.60–$630.58 | — | 25% |
| X-ray of the lower back, 4 or more views CPT 72110 HC X-RAY LUMBAR SPINE 4 VW - XR LUMBAR SPINE COMPLETE 4+ VIEWS | $863.25 | $1,151.00 | $172.65–$920.80 | 32% above | 25% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 HC X-RAY LUMBAR SPINE 4 VW - XR LUMBAR SPINE COMPLETE 4+ VIEWS | $863.25 | $1,151.00 | $341.85–$920.80 | — | 25% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 HC X-RAY THORACIC SPINE 2 VW - XR THORACIC SPINE 2 VIEWS | $467.25 | $623.00 | $1.00–$560.70 | 1% above | 25% |
| X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 HC X-RAY THORACIC SPINE 2 VW - XR THORACIC SPINE 2 VIEWS | $467.25 | $623.00 | $93.45–$479.71 | — | 25% |
| X-ray of the nasal bones, 3 or more views CPT 70160 HC X-RAY NASAL BONES - XR NASAL BONES | $597.00 | $796.00 | $1.00–$716.40 | 38% above | 25% |
| X-ray of the nasal bones, 3 or more views inpatient CPT 70160 HC X-RAY NASAL BONES - XR NASAL BONES | $597.00 | $796.00 | $222.88–$716.40 | — | 25% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 HC RADEX SPINE CERVICAL 2 OR 3 VIEWS - XR CERVICAL SPINE 2-3 VIEWS | $576.00 | $768.00 | $1.00–$691.20 | 28% above | 25% |
| X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 HC RADEX SPINE CERVICAL 2 OR 3 VIEWS - XR CERVICAL SPINE 2-3 VIEWS | $576.00 | $768.00 | $228.10–$752.64 | — | 25% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 HC X-RAY PELVIS 1/2 VW - XR PELVIS 1-2 VIEWS | $453.75 | $605.00 | $1.15–$544.50 | 18% above | 25% |
| X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 HC X-RAY PELVIS 1/2 VW - XR PELVIS 1-2 VIEWS | $453.75 | $605.00 | $84.70–$592.90 | — | 25% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 HC X-RAY SACRUM/COCCYX 2+ VW - XR SACRUM COCCYX 2+ VIEWS | $571.50 | $762.00 | $259.08–$746.76 | 22% above | 25% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 HC X-RAY SACRUM/COCCYX 2+ VW - XR SACRUM COCCYX 2+ VIEWS | $571.50 | $762.00 | $114.30–$685.80 | — | 25% |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs California | Off list |
|---|---|---|---|---|---|
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 HC TRANSFERASE ALANINE AMINO (ALT) (SGPT) - ALT (SGPT) | $70.50 | $94.00 | $1.00–$2,776.93 | 63% above | 25% |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 HC TRANSFERASE ALANINE AMINO (ALT) (SGPT) - ALT (SGPT) | $70.50 | $94.00 | $27.92–$2,324.22 | — | 25% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 HC TRANSFERASE ASPARTATE AMINO (AST) (SGOT) - AST (SGOT) | $69.75 | $93.00 | $1.00–$83.70 | 54% above | 25% |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 HC TRANSFERASE ASPARTATE AMINO (AST) (SGOT) - AST (SGOT) | $69.75 | $93.00 | $27.62–$79.05 | — | 25% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HC HEPATITIS PANELACUTE - BUNDLED CHARGE | $280.50 | $374.00 | $1.15–$299.20 | 3% above | 25% |
| Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HC HEPATITIS PANELACUTE - BUNDLED CHARGE | $280.50 | $374.00 | $52.36–$306.68 | — | 25% |
| Albumin blood test CPT 82040 HC IGGSYN CSF ALBUMIN SERUM | $7.67 | $10.23 | $0.65–$8.39 | 69% below | 25% |
| Albumin blood test CPT 82040 HC OLIGO CSF ALBUMIN SERUM | $12.02 | $16.02 | $1.00–$15.70 | 52% below | 25% |
| Albumin blood test CPT 82040 HC ASSAY OF SERUM ALBUMIN - ALBUMIN | $53.25 | $71.00 | $1.00–$200.49 | 113% above | 25% |
| Albumin blood test inpatient CPT 82040 HC IGGSYN CSF ALBUMIN SERUM | $7.67 | $10.23 | $0.65–$8.39 | — | 25% |
| Albumin blood test inpatient CPT 82040 HC OLIGO CSF ALBUMIN SERUM | $12.02 | $16.02 | $4.49–$12.82 | — | 25% |
| Albumin blood test inpatient CPT 82040 HC ASSAY OF SERUM ALBUMIN - ALBUMIN | $53.25 | $71.00 | $10.65–$69.58 | — | 25% |
| Aldosterone blood test CPT 82088 HC ALDOSTERONE | $11.25 | $15.00 | $1.00–$625.89 | 62% below | 25% |
| Aldosterone blood test CPT 82088 HC ASSAY OF ALDOSTERONE - ALDOSTERONE24HR URINE | $17.64 | $23.52 | $3.53–$18.82 | 41% below | 25% |
| Aldosterone blood test CPT 82088 HC ASSAY OF ALDOSTERONE - ALDOSTERONE | $156.00 | $208.00 | $1.00–$187.20 | 420% above | 25% |
| Aldosterone blood test inpatient CPT 82088 HC ALDOSTERONE | $11.25 | $15.00 | $2.25–$12.30 | — | 25% |
| Aldosterone blood test inpatient CPT 82088 HC ASSAY OF ALDOSTERONE - ALDOSTERONE24HR URINE | $17.64 | $23.52 | $1.49–$23.05 | — | 25% |
| Aldosterone blood test inpatient CPT 82088 HC ASSAY OF ALDOSTERONE - ALDOSTERONE | $156.00 | $208.00 | $58.24–$145.60 | — | 25% |
| Alkaline phosphatase (ALP) blood test CPT 84075 HC ALK PHOSPHATASE TOTAL | $5.23 | $6.97 | $1.00–$57,435.58 | 86% below | 25% |
| Alkaline phosphatase (ALP) blood test CPT 84075 HC ASSAY ALKAL PHOSPHATASE - ALKALINE PHOSPHATASE | $78.00 | $104.00 | $1.00–$85.28 | 111% above | 25% |
| Alkaline phosphatase (ALP) blood test inpatient CPT 84075 HC ALK PHOSPHATASE TOTAL | $5.23 | $6.97 | $1.05–$11,747.00 | — | 25% |
| Alkaline phosphatase (ALP) blood test inpatient CPT 84075 HC ASSAY ALKAL PHOSPHATASE - ALKALINE PHOSPHATASE | $78.00 | $104.00 | $29.12–$83.20 | — | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPECIFIC IGE QT | $2.81 | $3.75 | $1.10–$3.07 | 44% below | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPECIFIC IGE QT | $2.81 | $3.75 | $0.66–$6,237.00 | — | 25% |
| Alpha-fetoprotein (AFP) blood test CPT 82105 HC ALPHA FETO PROTEIN SERUM | $116.25 | $155.00 | $1.00–$124.00 | 51% above | 25% |
| Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 HC ALPHA FETO PROTEIN SERUM | $116.25 | $155.00 | $9.80–$127.10 | — | 25% |
| Ammonia blood test CPT 82140 HC ASSAY OF AMMONIA - AMMONIA | $120.75 | $161.00 | $1.00–$128.80 | 33% below | 25% |
| Ammonia blood test inpatient CPT 82140 HC ASSAY OF AMMONIA - AMMONIA | $120.75 | $161.00 | $24.15–$157.78 | — | 25% |
| Amylase blood test CPT 82150 HC ASSAY OF AMYLASE - AMYLASERANDOM | $7.03 | $9.37 | $1.00–$7.68 | 86% below | 25% |
| Amylase blood test CPT 82150 HC ASSAY OF AMYLASE - AMYLASE BODY FLUID | $152.25 | $203.00 | $1.10–$198.94 | 198% above | 25% |
| Amylase blood test CPT 82150 HC AMYLASE SERUM | $152.25 | $203.00 | $1.00–$156.31 | 198% above | 25% |
| Amylase blood test inpatient CPT 82150 HC ASSAY OF AMYLASE - AMYLASERANDOM | $7.03 | $9.37 | $0.59–$6.56 | — | 25% |
| Amylase blood test inpatient CPT 82150 HC AMYLASE SERUM | $152.25 | $203.00 | $56.84–$166.46 | — | 25% |
| Amylase blood test inpatient CPT 82150 HC ASSAY OF AMYLASE - AMYLASE BODY FLUID | $152.25 | $203.00 | $30.45–$198.94 | — | 25% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 HC CYCLIC CIRULLINATED PEPTIDE ANTIBODY - CYCLIC CITRUL PEPTIDE ANTIBDY | $53.25 | $71.00 | $4.49–$56.80 | 163% above | 25% |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 HC CYCLIC CIRULLINATED PEPTIDE ANTIBODY - CYCLIC CITRUL PEPTIDE ANTIBDY | $53.25 | $71.00 | $21.09–$56.80 | — | 25% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 HC ANTINUCLEAR AB IGG ELISA | $5.62 | $7.49 | $0.12–$5.99 | 83% below | 25% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 HC ANTINUCLEAR ANTIBODIES - ANA (ANTINUCLEAR ANTIBODIES) | $87.75 | $117.00 | $1.00–$22,253.42 | 172% above | 25% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 HC ANTINUCLEAR AB IGG ELISA | $5.62 | $7.49 | $2.22–$753.68 | — | 25% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 HC ANTINUCLEAR ANTIBODIES - ANA (ANTINUCLEAR ANTIBODIES) | $87.75 | $117.00 | $16.38–$95.94 | — | 25% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 HC NATRIURETIC PEPTIDE - B-TYPE NATRIURETIC PEPTIDE (BNP) | $213.00 | $284.00 | $1.00–$6,765.19 | 15% above | 25% |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 HC NATRIURETIC PEPTIDE - B-TYPE NATRIURETIC PEPTIDE (BNP) | $213.00 | $284.00 | $39.76–$1,191.26 | — | 25% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULTURE ROUTINE | $118.50 | $158.00 | $9.99–$118.50 | 2% below | 25% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC CULTURE ROUTINE | $118.50 | $158.00 | $22.12–$126.40 | — | 25% |
| Basic metabolic panel (blood test) CPT 80048 HC BASIC METABOLIC PANEL CALCIUM TOTAL - BUNDLED CHARGE | $264.00 | $352.00 | $1.00–$344.96 | 34% above | 25% |
| Basic metabolic panel (blood test) inpatient CPT 80048 HC BASIC METABOLIC PANEL CALCIUM TOTAL - BUNDLED CHARGE | $264.00 | $352.00 | $22.25–$45,631.62 | — | 25% |
| Bilirubin blood test, total CPT 82247 HC BILIRUBIN TOTAL - BILIRUBIN BODY FLUID | $6.43 | $8.58 | $1.00–$8.41 | 86% below | 25% |
| Bilirubin blood test, total CPT 82247 HC BILIRUBIN TOTAL - BILIRUBIN TOTAL | $111.75 | $149.00 | $1.00–$122.18 | 147% above | 25% |
| Bilirubin blood test, total inpatient CPT 82247 HC BILIRUBIN TOTAL - BILIRUBIN BODY FLUID | $6.43 | $8.58 | $2.55–$8.41 | — | 25% |
| Bilirubin blood test, total inpatient CPT 82247 HC BILIRUBIN TOTAL - BILIRUBIN TOTAL | $111.75 | $149.00 | $9.42–$146.02 | — | 25% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC LEVEL IV GROSS/MICRO | $258.75 | $345.00 | $1.30–$386.50 | 99% above | 25% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HC LEVEL IV GROSS/MICRO | $258.75 | $345.00 | $51.75–$3,871.61 | — | 25% |
| Blood culture for bacteria CPT 87040 HC CULTURE BLOOD | $316.50 | $422.00 | $24.91–$346.04 | 16% above | 25% |
| Blood culture for bacteria inpatient CPT 87040 HC CULTURE BLOOD | $316.50 | $422.00 | $26.67–$337.60 | — | 25% |
| Blood glucose (sugar) test CPT 82947 HC GLUCOSE 2HR. PP | $52.50 | $70.00 | $1.00–$63.00 | 40% above | 25% |
| Blood glucose (sugar) test CPT 82947 HC GLUCOSE 1HR PP | $52.50 | $70.00 | $1.00–$57.40 | 40% above | 25% |
| Blood glucose (sugar) test CPT 82947 HC ASSAY QUANTITATIVEBLOOD GLUCOSE - GLUCOSE RANDOM | $52.50 | $70.00 | $1.00–$68.60 | 40% above | 25% |
| Blood glucose (sugar) test CPT 82947 HC GLUCOSE FASTING | $52.50 | $70.00 | $1.10–$240.19 | 40% above | 25% |
| Blood glucose (sugar) test inpatient CPT 82947 HC GLUCOSE FASTING | $52.50 | $70.00 | $23.80–$56.00 | — | 25% |
| Blood glucose (sugar) test inpatient CPT 82947 HC ASSAY QUANTITATIVEBLOOD GLUCOSE - GLUCOSE RANDOM | $52.50 | $70.00 | $27.66–$68.60 | — | 25% |
| Blood glucose (sugar) test inpatient CPT 82947 HC GLUCOSE 2HR. PP | $52.50 | $70.00 | $4.42–$63.00 | — | 25% |
| Blood glucose (sugar) test inpatient CPT 82947 HC GLUCOSE 1HR PP | $52.50 | $70.00 | $9.80–$63.00 | — | 25% |
| Blood lead test CPT 83655 HC ASSAY OF LEAD - LEAD BLOOD | $5.62 | $7.49 | $1.05–$2,602.84 | 45% below | 25% |
| Blood lead test CPT 83655 HC ASSAY OF LEAD - LEAD URINE | $8.18 | $10.91 | $1.00–$2,602.84 | 20% below | 25% |
| Blood lead test inpatient CPT 83655 HC ASSAY OF LEAD - LEAD BLOOD | $5.62 | $7.49 | $0.47–$5.99 | — | 25% |
| Blood lead test inpatient CPT 83655 HC ASSAY OF LEAD - LEAD URINE | $8.18 | $10.91 | $3.05–$304.79 | — | 25% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HC PREGNANCY SERUM | $191.25 | $255.00 | $1.15–$209.10 | 20% above | 25% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HC PREGNANCY URINE TEST | $191.25 | $255.00 | $1.00–$249.90 | 20% above | 25% |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HC PREGNANCY SERUM | $191.25 | $255.00 | $38.25–$15,436.00 | — | 25% |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HC PREGNANCY URINE TEST | $191.25 | $255.00 | $71.40–$196.35 | — | 25% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HC BLOOD TYPING SEROLOGIC ABO - ABO/RH TYPE | $13.50 | $18.00 | $1.10–$17.64 | 87% below | 25% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HC BLOOD TYPING SEROLOGIC ABO - BLOOD TYPE AND SCREEN | $183.00 | $244.00 | $1.10–$170.80 | 78% above | 25% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HC BLOOD TYPING SEROLOGIC ABO - ABO/RH TYPE | $13.50 | $18.00 | $2.70–$17.64 | — | 25% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HC BLOOD TYPING SEROLOGIC ABO - BLOOD TYPE AND SCREEN | $183.00 | $244.00 | $36.60–$552.83 | — | 25% |
| Blood urea nitrogen (BUN) test CPT 84520 HC ASSAY UREA NITROGEN QUAN - BLOOD UREA NITROGEN | $77.25 | $103.00 | $1.00–$92.70 | 133% above | 25% |
| Blood urea nitrogen (BUN) test inpatient CPT 84520 HC ASSAY UREA NITROGEN QUAN - BLOOD UREA NITROGEN | $77.25 | $103.00 | $28.84–$92.70 | — | 25% |
| C-peptide blood test CPT 84681 HC ASSAY OF C-PEPTIDE - C-PEPTIDE | $32.25 | $43.00 | $1.15–$65.96 | 49% below | 25% |
| C-peptide blood test inpatient CPT 84681 HC ASSAY OF C-PEPTIDE - C-PEPTIDE | $32.25 | $43.00 | $12.04–$79.00 | — | 25% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 HC C-REACTIVE PROTEIN - C-REACTIVE PROTEIN | $78.00 | $104.00 | $1.00–$217.73 | 45% above | 25% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 HC C-REACTIVE PROTEIN - C-REACTIVE PROTEIN | $78.00 | $104.00 | $30.89–$101.92 | — | 25% |
| C. difficile toxin gene test (stool PCR) CPT 87493 HC AMPLIFIED PROBE C DIFF | $179.25 | $239.00 | $1.00–$234.22 | 17% above | 25% |
| C. difficile toxin gene test (stool PCR) inpatient CPT 87493 HC AMPLIFIED PROBE C DIFF | $179.25 | $239.00 | $71.70–$191.20 | — | 25% |
| CA 19-9 blood test (tumor marker) CPT 86301 HC IMMUNOASSAY TUMOR ANTIGEN CA 19-9 - CANCER ANTIGEN 19-9 | $124.50 | $166.00 | $1.00–$132.80 | 149% above | 25% |
| CA 19-9 blood test (tumor marker) inpatient CPT 86301 HC IMMUNOASSAY TUMOR ANTIGEN CA 19-9 - CANCER ANTIGEN 19-9 | $124.50 | $166.00 | $24.90–$149.40 | — | 25% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 HC IMMUNOASSAY TUMOR ANTIGEN CA 125 - CA 125 | $138.75 | $185.00 | $1.00–$151.70 | 1% above | 25% |
| CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 HC IMMUNOASSAY TUMOR ANTIGEN CA 125 - CA 125 | $138.75 | $185.00 | $25.90–$151.70 | — | 25% |
| COVID-19 PCR test (SARS-CoV-2 lab test) one side CPT 87635 HC IADNA SARS-COV-2 COVID-19 AMPLIFIED PROBE TQ - SARS-COV-2 RT PCR | $227.25 | $303.00 | $1.00–$233.31 | 140% above | 25% |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient one side CPT 87635 HC IADNA SARS-COV-2 COVID-19 AMPLIFIED PROBE TQ - SARS-COV-2 RT PCR | $227.25 | $303.00 | $42.42–$296.94 | — | 25% |
| Calcium blood test, total CPT 82310 HC ASSAY OF CALCIUM TOTAL - CALCIUM SERUM | $84.75 | $113.00 | $1.00–$101.70 | 37% above | 25% |
| Calcium blood test, total inpatient CPT 82310 HC ASSAY OF CALCIUM TOTAL - CALCIUM SERUM | $84.75 | $113.00 | $7.14–$101.70 | — | 25% |
| Carcinoembryonic antigen (CEA) test CPT 82378 HC CARCINOEMBRYONIC AG FLUID | $13.72 | $18.30 | $5.12–$17.93 | 84% below | 25% |
| Carcinoembryonic antigen (CEA) test CPT 82378 HC CEA SERUM | $151.50 | $202.00 | $1.15–$197.96 | 81% above | 25% |
| Carcinoembryonic antigen (CEA) test inpatient CPT 82378 HC CARCINOEMBRYONIC AG FLUID | $13.72 | $18.30 | $1.16–$14.64 | — | 25% |
| Carcinoembryonic antigen (CEA) test inpatient CPT 82378 HC CEA SERUM | $151.50 | $202.00 | $28.28–$161.60 | — | 25% |
| Chickenpox (varicella) immunity blood test CPT 86787 HC VARICELLA ZOSTER AB | $6.00 | $8.00 | $0.51–$95.09 | 82% below | 25% |
| Chickenpox (varicella) immunity blood test CPT 86787 HC MENINPNL CSF V ZOST | $12.31 | $16.41 | $1.00–$1,730.91 | 64% below | 25% |
| Chickenpox (varicella) immunity blood test CPT 86787 HC VARICELLA-ZOSTER - VARICELLA ZOSTER IGG | $81.00 | $108.00 | $1.15–$105.84 | 138% above | 25% |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 HC VARICELLA ZOSTER AB | $6.00 | $8.00 | $1.20–$7.84 | — | 25% |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 HC MENINPNL CSF V ZOST | $12.31 | $16.41 | $4.87–$304.79 | — | 25% |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 HC VARICELLA-ZOSTER - VARICELLA ZOSTER IGG | $81.00 | $108.00 | $15.12–$88.56 | — | 25% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC C TRACHOMATIS TMA | $27.52 | $36.69 | $2.32–$33.02 | 50% below | 25% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC PCR CHLAMYDIA AMPLIFIED P | $321.00 | $428.00 | $1.00–$453.77 | 488% above | 25% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HC C TRACHOMATIS TMA | $27.52 | $36.69 | $12.47–$35.96 | — | 25% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HC PCR CHLAMYDIA AMPLIFIED P | $321.00 | $428.00 | $59.92–$453.77 | — | 25% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC NMR LIPID PNL | $10.50 | $14.00 | $4.16–$12.60 | 90% below | 25% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LIPID PANEL - BUNDLED CHARGE | $145.50 | $194.00 | $7.52–$6,545.74 | 43% above | 25% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC NMR LIPID PNL | $10.50 | $14.00 | $3.92–$11.20 | — | 25% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC LIPID PANEL - BUNDLED CHARGE | $145.50 | $194.00 | $27.16–$3,636.52 | — | 25% |
| Complete blood count (CBC) with differential CPT 85025 HC COMPLETE CBC & AUTO DIFF WBC | $147.75 | $197.00 | $1.00–$177.30 | 33% above | 25% |
| Complete blood count (CBC) with differential inpatient CPT 85025 HC COMPLETE CBC & AUTO DIFF WBC | $147.75 | $197.00 | $29.55–$161.54 | — | 25% |
| Complete blood count (CBC), no differential CPT 85027 HC HEMOGRAM | $119.25 | $159.00 | $1.00–$625.89 | 36% above | 25% |
| Complete blood count (CBC), no differential inpatient CPT 85027 HC HEMOGRAM | $119.25 | $159.00 | $23.85–$155.82 | — | 25% |
| Comprehensive metabolic panel (blood test) CPT 80053 HC METABOLIC PANELCOMPREHENSIVE - BUNDLED CHARGE | $339.00 | $452.00 | $1.00–$442.96 | 33% above | 25% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 HC METABOLIC PANELCOMPREHENSIVE - BUNDLED CHARGE | $339.00 | $452.00 | $67.80–$370.64 | — | 25% |
| Cortisol blood test, total CPT 82533 HC CORTISOL SALIVA | $22.50 | $30.00 | $1.00–$41.94 | 76% below | 25% |
| Cortisol blood test, total CPT 82533 HC CORTISOL TOTAL | $153.00 | $204.00 | $1.00–$163.20 | 60% above | 25% |
| Cortisol blood test, total inpatient CPT 82533 HC CORTISOL SALIVA | $22.50 | $30.00 | $4.50–$24.00 | — | 25% |
| Cortisol blood test, total inpatient CPT 82533 HC CORTISOL TOTAL | $153.00 | $204.00 | $30.60–$167.28 | — | 25% |
| Creatine kinase (CK) blood test, total CPT 82550 HC ASSAY OF CK (CPK) - CK | $100.50 | $134.00 | $1.00–$4,100.51 | 15% above | 25% |
| Creatine kinase (CK) blood test, total inpatient CPT 82550 HC ASSAY OF CK (CPK) - CK | $100.50 | $134.00 | $37.52–$18,827.00 | — | 25% |
| Creatinine blood test CPT 82565 HC CREATININE BLOOD | $65.25 | $87.00 | $1.00–$71.34 | 41% above | 25% |
| Creatinine blood test inpatient CPT 82565 HC CREATININE BLOOD | $65.25 | $87.00 | $13.05–$85.26 | — | 25% |
| Cytomegalovirus (CMV) antibody test CPT 86644 HC CMV ANTIBODY - CMV IGG | $7.35 | $9.80 | $1.15–$9.60 | 73% below | 25% |
| Cytomegalovirus (CMV) antibody test CPT 86644 HC CMV IGG | $7.35 | $9.80 | $1.00–$8.82 | 73% below | 25% |
| Cytomegalovirus (CMV) antibody test CPT 86644 HC CMV AB IGG | $8.68 | $11.58 | $1.00–$10.42 | 68% below | 25% |
| Cytomegalovirus (CMV) antibody test CPT 86644 HC CMV TYPING/UNIT | $30.00 | $40.00 | $1.15–$36.00 | 9% above | 25% |
| Cytomegalovirus (CMV) antibody test inpatient CPT 86644 HC CMV IGG | $7.35 | $9.80 | $1.37–$8.04 | — | 25% |
| Cytomegalovirus (CMV) antibody test inpatient CPT 86644 HC CMV ANTIBODY - CMV IGG | $7.35 | $9.80 | $1.37–$9.60 | — | 25% |
| Cytomegalovirus (CMV) antibody test inpatient CPT 86644 HC CMV AB IGG | $8.68 | $11.58 | $1.74–$9.50 | — | 25% |
| Cytomegalovirus (CMV) antibody test inpatient CPT 86644 HC CMV TYPING/UNIT | $30.00 | $40.00 | $6.00–$198.80 | — | 25% |
| D-dimer blood test (blood clot marker) CPT 85379 HC FIBRIN DEGRADPRODUCTSD-DIMER QUANT - D-DIMERQUANTITATIVE | $156.75 | $209.00 | $29.26–$167.20 | 9% above | 25% |
| D-dimer blood test (blood clot marker) inpatient CPT 85379 HC FIBRIN DEGRADPRODUCTSD-DIMER QUANT - D-DIMERQUANTITATIVE | $156.75 | $209.00 | $29.26–$146.30 | — | 25% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 HC DEHYDROEPIANDROSTERONE-SULFATE - DHEA-SULFATE | $10.33 | $13.77 | $1.15–$13.49 | 90% below | 25% |
| DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 HC DEHYDROEPIANDROSTERONE-SULFATE - DHEA-SULFATE | $10.33 | $13.77 | $2.07–$11.02 | — | 25% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC ETHYL GLUCURONIDE SCREEN | $13.03 | $17.37 | $0.12–$17.02 | 79% below | 25% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC PAIN MGT PAN HIGH RES/EMI | $37.50 | $50.00 | $1.00–$1,759.83 | 40% below | 25% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC MECONIUM DRUG PANEL | $40.50 | $54.00 | $1.15–$48.60 | 35% below | 25% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG SCREEN 9 PANEL BLD | $43.67 | $58.23 | $1.15–$57.07 | 30% below | 25% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG TEST CORD TISSUE PRE | $67.50 | $90.00 | $5.69–$696.67 | 9% above | 25% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG ABUSE SCREEN URINE E | $105.00 | $140.00 | $1.00–$137.20 | 69% above | 25% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC GHBA BLOOD | $123.75 | $165.00 | $1.00–$148.50 | 100% above | 25% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG SCREEN URINE MULT | $396.00 | $528.00 | $1.00–$475.20 | 539% above | 25% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC ETHYL GLUCURONIDE SCREEN | $13.03 | $17.37 | $2.61–$17.02 | — | 25% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC PAIN MGT PAN HIGH RES/EMI | $37.50 | $50.00 | $14.85–$879.92 | — | 25% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC MECONIUM DRUG PANEL | $40.50 | $54.00 | $16.04–$43.20 | — | 25% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG SCREEN 9 PANEL BLD | $43.67 | $58.23 | $17.29–$52.41 | — | 25% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG TEST CORD TISSUE PRE | $67.50 | $90.00 | $13.50–$4,122.60 | — | 25% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG ABUSE SCREEN URINE E | $105.00 | $140.00 | $21.00–$107.80 | — | 25% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC GHBA BLOOD | $123.75 | $165.00 | $28.87–$161.70 | — | 25% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG SCREEN URINE MULT | $396.00 | $528.00 | $73.92–$2,033.48 | — | 25% |
| Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 HC ELECTROLYTE PANEL - BUNDLED CHARGE | $107.25 | $143.00 | $1.00–$140.14 | 27% above | 25% |
| Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 HC ELECTROLYTE PANEL - BUNDLED CHARGE | $107.25 | $143.00 | $21.45–$140.14 | — | 25% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 HC EPSTEIN-BARR CAPSID VCA - EPSTEIN-BARR VIRUS VCA IGM | $8.36 | $11.15 | $0.70–$8.92 | 68% below | 25% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 HC EPSTEIN-BARR CAPSID VCA - EPSTEIN-BARR VIRUS VCA IGG | $46.50 | $62.00 | $1.00–$60.76 | 76% above | 25% |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 HC EPSTEIN-BARR CAPSID VCA - EPSTEIN-BARR VIRUS VCA IGM | $8.36 | $11.15 | $0.70–$7.80 | — | 25% |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 HC EPSTEIN-BARR CAPSID VCA - EPSTEIN-BARR VIRUS VCA IGG | $46.50 | $62.00 | $18.41–$55.80 | — | 25% |
| Estradiol blood test CPT 82670 HC ESTRADIOL BY TMS | $24.33 | $32.44 | $1.00–$29.20 | 72% below | 25% |
| Estradiol blood test CPT 82670 HC ASSAY OF ESTRADIOL - ESTRADIOL | $151.50 | $202.00 | $1.15–$406.49 | 72% above | 25% |
| Estradiol blood test inpatient CPT 82670 HC ESTRADIOL BY TMS | $24.33 | $32.44 | $2.05–$29.20 | — | 25% |
| Estradiol blood test inpatient CPT 82670 HC ASSAY OF ESTRADIOL - ESTRADIOL | $151.50 | $202.00 | $28.28–$197.96 | — | 25% |
| FSH (follicle-stimulating hormone) test CPT 83001 HC GONADOTROPIN (FSH) - FSH | $103.50 | $138.00 | $1.00–$135.24 | 1% above | 25% |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 HC GONADOTROPIN (FSH) - FSH | $103.50 | $138.00 | $20.70–$96.60 | — | 25% |
| Fecal calprotectin (stool inflammation test) CPT 83993 HC CALPROTECTIN FECAL | $95.25 | $127.00 | $1.00–$104.14 | 31% above | 25% |
| Fecal calprotectin (stool inflammation test) inpatient CPT 83993 HC CALPROTECTIN FECAL | $95.25 | $127.00 | $19.05–$114.30 | — | 25% |
| Ferritin blood test (iron stores) CPT 82728 HC ASSAY OF FERRITIN - FERRITIN | $108.75 | $145.00 | $1.00–$116.00 | 2% above | 25% |
| Ferritin blood test (iron stores) inpatient CPT 82728 HC ASSAY OF FERRITIN - FERRITIN | $108.75 | $145.00 | $21.75–$118.90 | — | 25% |
| Fibrinogen blood test CPT 85384 HC FIBRINOGEN ACTIVITY - FIBRINOGENQUANTITATIVE | $172.50 | $230.00 | $1.15–$207.00 | 29% above | 25% |
| Fibrinogen blood test inpatient CPT 85384 HC FIBRINOGEN ACTIVITY - FIBRINOGENQUANTITATIVE | $172.50 | $230.00 | $32.20–$207.00 | — | 25% |
| Folate (folic acid) blood test CPT 82746 HC BLOOD FOLIC ACID SERUM - FOLATE | $90.00 | $120.00 | $1.00–$90.43 | 18% below | 25% |
| Folate (folic acid) blood test inpatient CPT 82746 HC BLOOD FOLIC ACID SERUM - FOLATE | $90.00 | $120.00 | $16.80–$108.00 | — | 25% |
| Free T3 thyroid hormone test CPT 84481 HC TRIIODOTHYRONINE FREE ASSAY (FT-3) - T3 FREE | $141.00 | $188.00 | $1.00–$150.40 | 74% above | 25% |
| Free T3 thyroid hormone test inpatient CPT 84481 HC TRIIODOTHYRONINE FREE ASSAY (FT-3) - T3 FREE | $141.00 | $188.00 | $28.20–$2,033.48 | — | 25% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 HC FREE THYROXIN EQUILIB DIA | $24.03 | $32.04 | $1.00–$25.63 | 65% below | 25% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 HC ASSAY OF FREE THYROXINE - T4 FREE | $90.75 | $121.00 | $1.00–$4,366.00 | 33% above | 25% |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 HC FREE THYROXIN EQUILIB DIA | $24.03 | $32.04 | $9.52–$31.40 | — | 25% |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 HC ASSAY OF FREE THYROXINE - T4 FREE | $90.75 | $121.00 | $41.14–$118.58 | — | 25% |
| Free testosterone test CPT 84402 HC TESTOSTERONE FREE BY LCMS | $15.00 | $20.00 | $1.10–$18.00 | 45% below | 25% |
| Free testosterone test inpatient CPT 84402 HC TESTOSTERONE FREE BY LCMS | $15.00 | $20.00 | $5.60–$19.60 | — | 25% |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 HC ASSAY OF GGT - GAMMA GT | $78.00 | $104.00 | $1.30–$167.77 | 71% above | 25% |
| Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 HC ASSAY OF GGT - GAMMA GT | $78.00 | $104.00 | $29.12–$85.28 | — | 25% |
| Glucose tolerance test, 3 samples CPT 82951 HC GLUC TOL (1ST 3 SPEC) | $207.00 | $276.00 | $81.97–$226.32 | 51% above | 25% |
| Glucose tolerance test, 3 samples inpatient CPT 82951 HC GLUC TOL (1ST 3 SPEC) | $207.00 | $276.00 | $41.40–$220.80 | — | 25% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC N GONORRHOEAE TMA | $27.52 | $36.69 | $1.00–$625.89 | 54% below | 25% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC N.GONORRHOEAE DNA AMP PROB - GC DNA PCR | $171.00 | $228.00 | $1.10–$223.44 | 186% above | 25% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HC N GONORRHOEAE TMA | $27.52 | $36.69 | $2.32–$111.88 | — | 25% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HC N.GONORRHOEAE DNA AMP PROB - GC DNA PCR | $171.00 | $228.00 | $14.41–$205.20 | — | 25% |
| H. pylori stool antigen test CPT 87338 HC IAAD IA HPYLORI STOOL - H PYLORI ANTIGEN STOOL | $60.00 | $80.00 | $1.10–$72.00 | 25% below | 25% |
| H. pylori stool antigen test inpatient CPT 87338 HC IAAD IA HPYLORI STOOL - H PYLORI ANTIGEN STOOL | $60.00 | $80.00 | $11.20–$72.00 | — | 25% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HC HIV-1 QUANT&REVRSE TRNSCRPJ - HIV 1 RNA QUANT BY PCR | $41.25 | $55.00 | $1.15–$42.35 | 59% below | 25% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HC HIV VIRAL LOAD | $264.75 | $353.00 | $1.00–$345.94 | 162% above | 25% |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HC HIV-1 QUANT&REVRSE TRNSCRPJ - HIV 1 RNA QUANT BY PCR | $41.25 | $55.00 | $16.50–$53.90 | — | 25% |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HC HIV VIRAL LOAD | $264.75 | $353.00 | $98.84–$289.46 | — | 25% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HC HIV 1 AG W/HIV 1/2 AB NO | $146.25 | $195.00 | $29.25–$159.90 | 67% above | 25% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HC HIV 1 AG W/HIV 1/2 AB COM | $146.25 | $195.00 | $1.00–$11,053.97 | 67% above | 25% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HC HIV 1 AG W/HIV 1/2 AB NO | $146.25 | $195.00 | $29.25–$156.00 | — | 25% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HC HIV 1 AG W/HIV 1/2 AB COM | $146.25 | $195.00 | $29.25–$11,053.97 | — | 25% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 HC HPV HIGH RISK TYPES | $21.00 | $28.00 | $1.00–$27.44 | 84% below | 25% |
| HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HC HPV HIGH RISK TYPES | $21.00 | $28.00 | $1.77–$25.20 | — | 25% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HC GLYCOSYLATED HEMOGLOBIN TEST - HEMOGLOBIN A1C | $65.25 | $87.00 | $1.00–$119.86 | at median | 25% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HC GLYCOSYLATED HEMOGLOBIN TEST - HEMOGLOBIN A1C | $65.25 | $87.00 | $5.50–$85.26 | — | 25% |
| Hemoglobin blood test CPT 85018 HC HEMOGLOBIN - HEMOGLOBIN | $29.25 | $39.00 | $1.00–$744.60 | 27% below | 25% |
| Hemoglobin blood test inpatient CPT 85018 HC HEMOGLOBIN - HEMOGLOBIN | $29.25 | $39.00 | $5.46–$13,297.25 | — | 25% |
| Hepatitis B core antibody test (total) CPT 86704 HC HEP B CORE AB TEST TOTAL - HEPATITIS B CORE ANTIBODY TOTAL | $83.25 | $111.00 | $16.65–$1,220.49 | 137% above | 25% |
| Hepatitis B core antibody test (total) inpatient CPT 86704 HC HEP B CORE AB TEST TOTAL - HEPATITIS B CORE ANTIBODY TOTAL | $83.25 | $111.00 | $16.65–$6,237.00 | — | 25% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HC HEPATITIS B SURFACE AB TEST - HEPATITIS B SURFACE ANTIBODY | $75.75 | $101.00 | $1.00–$82.82 | 77% above | 25% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HC HEPATITIS B SURFACE AB TEST - HEPATITIS B SURFACE ANTIBODY | $75.75 | $101.00 | $14.14–$85.68 | — | 25% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HC IAAD IA HEPATITIS B SURFACE ANTIGEN - HEPATITIS B SURFACE ANTIGEN | $113.25 | $151.00 | $1.00–$147.98 | 58% above | 25% |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HC IAAD IA HEPATITIS B SURFACE ANTIGEN - HEPATITIS B SURFACE ANTIGEN | $113.25 | $151.00 | $22.65–$135.90 | — | 25% |
| Hepatitis C antibody blood test (screening) CPT 86803 HC HEPATITIS C AB | $11.23 | $14.98 | $1.30–$625.89 | 79% below | 25% |
| Hepatitis C antibody blood test (screening) CPT 86803 HC HEPATITIS C AB TEST - HEPATITIS C ANTIBODY | $96.00 | $128.00 | $1.00–$104.96 | 75% above | 25% |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 HC HEPATITIS C AB | $11.23 | $14.98 | $2.25–$14.68 | — | 25% |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 HC HEPATITIS C AB TEST - HEPATITIS C ANTIBODY | $96.00 | $128.00 | $17.92–$104.96 | — | 25% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HC IADNA HEPATITIS C QUANT & REVERSE TRANSCRIPTION - HCV QUANT PCR | $201.75 | $269.00 | $1.15–$242.10 | 130% above | 25% |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HC IADNA HEPATITIS C QUANT & REVERSE TRANSCRIPTION - HCV QUANT PCR | $201.75 | $269.00 | $75.32–$215.20 | — | 25% |
| Herpes blood test, HSV-1 antibody CPT 86695 HC HERPES SIMPLEX TEST TYPE 1 - HSV 1 IGG ANTIBODY | $60.75 | $81.00 | $24.06–$79.38 | 213% above | 25% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HC HERPES SIMPLEX TEST TYPE 1 - HSV 1 IGG ANTIBODY | $60.75 | $81.00 | $5.12–$60.75 | — | 25% |
| Herpes blood test, HSV-2 antibody CPT 86696 HC HERPES SIMPLEX TEST TYPE 2 - HSV 2 IGG ANTIBODY | $93.75 | $125.00 | $1.00–$122.50 | 299% above | 25% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HC HERPES SIMPLEX TEST TYPE 2 - HSV 2 IGG ANTIBODY | $93.75 | $125.00 | $18.75–$93.75 | — | 25% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 HC C-REACTIVE PROTEINHIGH SENSITIVITY - HIGH SENSITIVITY CRP | $81.00 | $108.00 | $1.00–$88.56 | 33% above | 25% |
| High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 HC C-REACTIVE PROTEINHIGH SENSITIVITY - HIGH SENSITIVITY CRP | $81.00 | $108.00 | $6.83–$105.84 | — | 25% |
| Homocysteine blood test CPT 83090 HC ASSAY OF HOMOCYSTINE - HOMOCYSTEINE SHC | $98.25 | $131.00 | $1.15–$104.80 | 29% above | 25% |
| Homocysteine blood test inpatient CPT 83090 HC ASSAY OF HOMOCYSTINE - HOMOCYSTEINE SHC | $98.25 | $131.00 | $38.91–$2,756.28 | — | 25% |
| Insulin blood test CPT 83525 HC ASSAY OF INSULINTOTAL - INSULIN TOTAL | $7.12 | $9.49 | $0.60–$9.30 | 82% below | 25% |
| Insulin blood test inpatient CPT 83525 HC ASSAY OF INSULINTOTAL - INSULIN TOTAL | $7.12 | $9.49 | $2.82–$9.30 | — | 25% |
| Iron blood test (serum iron) CPT 83540 HC ASSAY OF IRON - IRON | $58.50 | $78.00 | $1.00–$2,607.77 | 1% above | 25% |
| Iron blood test (serum iron) inpatient CPT 83540 HC ASSAY OF IRON - IRON | $58.50 | $78.00 | $23.17–$15,436.00 | — | 25% |
| Iron-binding capacity (TIBC) test CPT 83550 HC IRON BINDING TEST - IRON + TRANSFERRIN + TIBC | $69.75 | $93.00 | $1.15–$83.70 | 4% below | 25% |
| Iron-binding capacity (TIBC) test inpatient CPT 83550 HC IRON BINDING TEST - IRON + TRANSFERRIN + TIBC | $69.75 | $93.00 | $13.95–$74.40 | — | 25% |
| Kidney function blood test panel CPT 80069 HC RENAL FUNCTION PANEL - BUNDLED CHARGE | $135.00 | $180.00 | $1.00–$3,706.57 | 5% below | 25% |
| Kidney function blood test panel inpatient CPT 80069 HC RENAL FUNCTION PANEL - BUNDLED CHARGE | $135.00 | $180.00 | $11.38–$144.00 | — | 25% |
| LH (luteinizing hormone) test CPT 83002 HC GONADOTROPIN (LH) - LUTEINIZING HORMONE | $99.75 | $133.00 | $1.15–$130.34 | 4% below | 25% |
| LH (luteinizing hormone) test inpatient CPT 83002 HC GONADOTROPIN (LH) - LUTEINIZING HORMONE | $99.75 | $133.00 | $8.41–$106.40 | — | 25% |
| Lactate (lactic acid) blood test CPT 83605 HC ASSAY OF LACTIC ACID - LACTATE | $141.75 | $189.00 | $1.30–$735.00 | 6% above | 25% |
| Lactate (lactic acid) blood test CPT 83605 HC ASSAY OF LACTIC ACID - POCT LACTIC ACID (LACTATE) | $141.75 | $189.00 | $1.15–$735.00 | 6% above | 25% |
| Lactate (lactic acid) blood test inpatient CPT 83605 HC ASSAY OF LACTIC ACID - POCT LACTIC ACID (LACTATE) | $141.75 | $189.00 | $11.94–$185.22 | — | 25% |
| Lactate (lactic acid) blood test inpatient CPT 83605 HC ASSAY OF LACTIC ACID - LACTATE | $141.75 | $189.00 | $52.92–$1,738.51 | — | 25% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 HC LD ISOENZ LD TOTAL | $7.78 | $10.37 | $0.66–$22,634.00 | 78% below | 25% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 HC LD ENZYME | $87.75 | $117.00 | $0.61–$13,720.80 | 143% above | 25% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 HC LD BODY FLUID | $87.75 | $117.00 | $1.00–$4,637.86 | 143% above | 25% |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 HC LD ISOENZ LD TOTAL | $7.78 | $10.37 | $3.08–$1,399.99 | — | 25% |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 HC LD ENZYME | $87.75 | $117.00 | $16.38–$13,720.80 | — | 25% |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 HC LD BODY FLUID | $87.75 | $117.00 | $34.75–$4,637.86 | — | 25% |
| Lipase blood test (pancreas enzyme) CPT 83690 HC ASSAY OF LIPASE - LIPASE BODY FLUID | $7.03 | $9.37 | $1.00–$2,033.48 | 93% below | 25% |
| Lipase blood test (pancreas enzyme) CPT 83690 HC ASSAY OF LIPASE - LIPASE | $156.75 | $209.00 | $1.00–$177.65 | 63% above | 25% |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 HC ASSAY OF LIPASE - LIPASE BODY FLUID | $7.03 | $9.37 | $1.41–$3,965.29 | — | 25% |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 HC ASSAY OF LIPASE - LIPASE | $156.75 | $209.00 | $71.06–$171.38 | — | 25% |
| Liver function blood test panel CPT 80076 HC HEPATIC FUNCTION PANEL - BUNDLED CHARGE | $195.00 | $260.00 | $1.10–$2,481.19 | 29% above | 25% |
| Liver function blood test panel inpatient CPT 80076 HC HEPATIC FUNCTION PANEL - BUNDLED CHARGE | $195.00 | $260.00 | $36.40–$4,962.38 | — | 25% |
| Lyme disease antibody test CPT 86618 HC LYME ABS | $7.58 | $10.10 | $1.00–$9.90 | 64% below | 25% |
| Lyme disease antibody test CPT 86618 HC B BURGDORFERI (LYME) AB | $72.75 | $97.00 | $14.55–$14,409.33 | 244% above | 25% |
| Lyme disease antibody test inpatient CPT 86618 HC LYME ABS | $7.58 | $10.10 | $1.52–$7.58 | — | 25% |
| Lyme disease antibody test inpatient CPT 86618 HC B BURGDORFERI (LYME) AB | $72.75 | $97.00 | $28.81–$95.06 | — | 25% |
| Magnesium blood test CPT 83735 HC ASSAY OF MAGNESIUM - MAGNESIUM URINE | $7.93 | $10.58 | $0.67–$304.79 | 87% below | 25% |
| Magnesium blood test CPT 83735 HC ASSAY OF MAGNESIUM - MAGNESIUM RBC | $29.77 | $39.69 | $1.00–$70.17 | 53% below | 25% |
| Magnesium blood test CPT 83735 HC MAGNESIUM BLOOD | $139.50 | $186.00 | $1.00–$148.80 | 120% above | 25% |
| Magnesium blood test inpatient CPT 83735 HC ASSAY OF MAGNESIUM - MAGNESIUM URINE | $7.93 | $10.58 | $1.59–$9.52 | — | 25% |
| Magnesium blood test inpatient CPT 83735 HC ASSAY OF MAGNESIUM - MAGNESIUM RBC | $29.77 | $39.69 | $5.95–$4,117.35 | — | 25% |
| Magnesium blood test inpatient CPT 83735 HC MAGNESIUM BLOOD | $139.50 | $186.00 | $55.24–$182.28 | — | 25% |
| Measles (rubeola) antibody test CPT 86765 HC RUBEOLA - RUBEOLA ANTIBODY IGM | $10.61 | $14.15 | $1.00–$91.66 | 66% below | 25% |
| Measles (rubeola) antibody test CPT 86765 HC MENINPNL CSF RUBEOLA | $15.33 | $20.44 | $3.07–$304.79 | 51% below | 25% |
| Measles (rubeola) antibody test CPT 86765 HC RUBEOLA - RUBEOLA ANTIBODY IGG | $69.75 | $93.00 | $1.00–$114.32 | 123% above | 25% |
| Measles (rubeola) antibody test inpatient CPT 86765 HC RUBEOLA - RUBEOLA ANTIBODY IGM | $10.61 | $14.15 | $4.20–$9.90 | — | 25% |
| Measles (rubeola) antibody test inpatient CPT 86765 HC MENINPNL CSF RUBEOLA | $15.33 | $20.44 | $3.07–$20.03 | — | 25% |
| Measles (rubeola) antibody test inpatient CPT 86765 HC RUBEOLA - RUBEOLA ANTIBODY IGG | $69.75 | $93.00 | $13.95–$76.26 | — | 25% |
| Mono test (heterophile antibody, Monospot) CPT 86308 HC HETEROPHILE ANTIBODIESSCREEN - MONONUCLEOSIS SCREEN | $121.50 | $162.00 | $1.00–$132.84 | 18% above | 25% |
| Mono test (heterophile antibody, Monospot) inpatient CPT 86308 HC HETEROPHILE ANTIBODIESSCREEN - MONONUCLEOSIS SCREEN | $121.50 | $162.00 | $28.35–$132.84 | — | 25% |
| Mumps immunity blood test CPT 86735 HC MUMPS - MUMPS IGM ANTIBODY | $5.25 | $7.00 | $0.44–$961.48 | 67% below | 25% |
| Mumps immunity blood test CPT 86735 HC MENINPNL CSF MUMPS | $14.75 | $19.67 | $1.00–$304.79 | 8% below | 25% |
| Mumps immunity blood test CPT 86735 HC MUMPS - MUMPS IGG ANTIBODY | $33.00 | $44.00 | $1.00–$3,999.21 | 106% above | 25% |
| Mumps immunity blood test inpatient CPT 86735 HC MUMPS - MUMPS IGM ANTIBODY | $5.25 | $7.00 | $1.05–$3,999.21 | — | 25% |
| Mumps immunity blood test inpatient CPT 86735 HC MENINPNL CSF MUMPS | $14.75 | $19.67 | $1.24–$2,033.48 | — | 25% |
| Mumps immunity blood test inpatient CPT 86735 HC MUMPS - MUMPS IGG ANTIBODY | $33.00 | $44.00 | $6.16–$5,998.82 | — | 25% |
| Obstetric blood test panel CPT 80055 HC OBSTETRIC PANEL - BUNDLED CHARGE | $229.50 | $306.00 | $1.15–$299.88 | at median | 25% |
| Obstetric blood test panel inpatient CPT 80055 HC OBSTETRIC PANEL - BUNDLED CHARGE | $229.50 | $306.00 | $85.68–$299.88 | — | 25% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC PROSTATE SPECIFIC ANTIGENTOTAL - PSA ULTRASENSITIVE | $15.39 | $20.52 | $1.00–$15.80 | 74% below | 25% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC PROSTATE SPECIFIC ANTIGENTOTAL - PSA DIAG | $110.25 | $147.00 | $1.00–$2,796.48 | 85% above | 25% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC PROSTATE SPECIFIC ANTIGENTOTAL - PSA SCREEN | $110.25 | $147.00 | $1.00–$1,220.49 | 85% above | 25% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC PROSTATE SPECIFIC ANTIGENTOTAL - PSA ULTRASENSITIVE | $15.39 | $20.52 | $5.75–$18.47 | — | 25% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC PROSTATE SPECIFIC ANTIGENTOTAL - PSA DIAG | $110.25 | $147.00 | $49.98–$144.06 | — | 25% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC PROSTATE SPECIFIC ANTIGENTOTAL - PSA SCREEN | $110.25 | $147.00 | $20.58–$144.06 | — | 25% |
| Parathyroid hormone (PTH) blood test CPT 83970 HC ASSAY OF PARATHORMONE - PTH INTACT | $192.75 | $257.00 | $1.00–$1,817.47 | 75% above | 25% |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 HC ASSAY OF PARATHORMONE - PTH INTACT | $192.75 | $257.00 | $38.55–$1,817.47 | — | 25% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC PARTIAL THROMBOPLASTIN TIME | $8.53 | $11.37 | $1.00–$43.65 | 86% below | 25% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC PTT | $96.75 | $129.00 | $1.00–$126.42 | 55% above | 25% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC PARTIAL THROMBOPLASTIN TIME | $8.53 | $11.37 | $0.72–$11.14 | — | 25% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC PTT | $96.75 | $129.00 | $38.31–$103.20 | — | 25% |
| Phosphorus (phosphate) blood test CPT 84100 HC ASSAY OF INORGANIC PHOSPHORUS - PHOSPHORUS | $105.00 | $140.00 | $55.31–$112.00 | 39% above | 25% |
| Phosphorus (phosphate) blood test inpatient CPT 84100 HC ASSAY OF INORGANIC PHOSPHORUS - PHOSPHORUS | $105.00 | $140.00 | $39.20–$112.00 | — | 25% |
| Potassium blood test CPT 84132 HC ASSAY OF SERUM POTASSIUM - POTASSIUM | $75.00 | $100.00 | $1.30–$90.00 | 3% above | 25% |
| Potassium blood test inpatient CPT 84132 HC ASSAY OF SERUM POTASSIUM - POTASSIUM | $75.00 | $100.00 | $6.32–$319.37 | — | 25% |
| Progesterone blood test CPT 84144 HC ASSAY OF PROGESTERONE - PROGESTERONE | $98.25 | $131.00 | $1.00–$107.42 | 19% above | 25% |
| Progesterone blood test inpatient CPT 84144 HC ASSAY OF PROGESTERONE - PROGESTERONE | $98.25 | $131.00 | $38.91–$107.42 | — | 25% |
| Prolactin blood test CPT 84146 HC ASSAY OF PROLACTIN - PROLACTIN | $116.25 | $155.00 | $1.00–$119.35 | 9% above | 25% |
| Prolactin blood test inpatient CPT 84146 HC ASSAY OF PROLACTIN - PROLACTIN | $116.25 | $155.00 | $21.70–$139.50 | — | 25% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC PROTHROMBIN TIME | $8.53 | $11.37 | $0.72–$9.32 | 84% below | 25% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC PROTHROMBIN TIME - PROTIME-INR | $95.25 | $127.00 | $1.00–$124.46 | 73% above | 25% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC PROTHROMBIN TIME | $8.53 | $11.37 | $1.71–$9.10 | — | 25% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC PROTHROMBIN TIME - PROTIME-INR | $95.25 | $127.00 | $35.56–$124.46 | — | 25% |
| Rapid flu test (influenza antigen) CPT 87804 HC DETECT AGENTIMMUNDIR OBSINFLUENZA - POCT INFLUENZA A | $71.25 | $95.00 | $1.10–$93.10 | 6% below | 25% |
| Rapid flu test (influenza antigen) inpatient CPT 87804 HC DETECT AGENTIMMUNDIR OBSINFLUENZA - POCT INFLUENZA A | $71.25 | $95.00 | $32.30–$93.10 | — | 25% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 HC STREP A ASSAY W/OPTIC - RAPID STREP A SCREEN | $132.00 | $176.00 | $11.12–$2,033.48 | 22% above | 25% |
| Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 HC STREP A ASSAY W/OPTIC - RAPID STREP A SCREEN | $132.00 | $176.00 | $24.64–$140.80 | — | 25% |
| Renin blood test CPT 84244 HC RENIN ACTIVITY | $9.45 | $12.60 | $1.15–$10.33 | 62% below | 25% |
| Renin blood test CPT 84244 HC RENIN DIRECT | $65.91 | $87.88 | $1.00–$173.85 | 166% above | 25% |
| Renin blood test CPT 84244 HC ASSAY OF RENIN - RENIN DIRECT ASSAY | $65.91 | $87.88 | $1.00–$86.12 | 166% above | 25% |
| Renin blood test inpatient CPT 84244 HC RENIN ACTIVITY | $9.45 | $12.60 | $1.76–$12.35 | — | 25% |
| Renin blood test inpatient CPT 84244 HC ASSAY OF RENIN - RENIN DIRECT ASSAY | $65.91 | $87.88 | $24.61–$86.12 | — | 25% |
| Renin blood test inpatient CPT 84244 HC RENIN DIRECT | $65.91 | $87.88 | $12.30–$15,436.00 | — | 25% |
| Rh blood typing CPT 86901 HC RH TYPE SDBB | $13.50 | $18.00 | $1.00–$13.50 | 76% below | 25% |
| Rh blood typing CPT 86901 HC RH BLOOD TYPE | $124.50 | $166.00 | $1.00–$162.68 | 124% above | 25% |
| Rh blood typing inpatient CPT 86901 HC RH TYPE SDBB | $13.50 | $18.00 | $1.14–$17.64 | — | 25% |
| Rh blood typing inpatient CPT 86901 HC RH BLOOD TYPE | $124.50 | $166.00 | $10.49–$132.80 | — | 25% |
| Rheumatoid factor (RF) test CPT 86431 HC RHEUMATOID FACTOR BF | $8.30 | $11.07 | $0.70–$9.08 | 37% below | 25% |
| Rheumatoid factor (RF) test inpatient CPT 86431 HC RHEUMATOID FACTOR BF | $8.30 | $11.07 | $3.29–$8.30 | — | 25% |
| Rubella antibody test (immunity check) CPT 86762 HC RUBELLA - RUBELLA ANTIBODY IGM | $8.39 | $11.19 | $1.00–$6,868.48 | 83% below | 25% |
| Rubella antibody test (immunity check) CPT 86762 HC RUBELLA IGG | $8.39 | $11.19 | $1.00–$58.63 | 83% below | 25% |
| Rubella antibody test (immunity check) CPT 86762 HC RUBELLA ANTIBODY IGG | $63.00 | $84.00 | $1.15–$82.32 | 24% above | 25% |
| Rubella antibody test (immunity check) inpatient CPT 86762 HC RUBELLA - RUBELLA ANTIBODY IGM | $8.39 | $11.19 | $1.57–$90.43 | — | 25% |
| Rubella antibody test (immunity check) inpatient CPT 86762 HC RUBELLA IGG | $8.39 | $11.19 | $0.71–$10.97 | — | 25% |
| Rubella antibody test (immunity check) inpatient CPT 86762 HC RUBELLA ANTIBODY IGG | $63.00 | $84.00 | $24.95–$75.60 | — | 25% |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 HC RBC SED RATE AUTO - SEDIMENTATION RATE AUTOMATED | $56.25 | $75.00 | $1.00–$67.50 | at median | 25% |
| Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 HC RBC SED RATE AUTO - SEDIMENTATION RATE AUTOMATED | $56.25 | $75.00 | $4.74–$73.50 | — | 25% |
| Sodium blood test CPT 84295 HC ASSAY OF SERUM SODIUM - SODIUM | $80.25 | $107.00 | $1.00–$163.78 | 22% above | 25% |
| Sodium blood test inpatient CPT 84295 HC ASSAY OF SERUM SODIUM - SODIUM | $80.25 | $107.00 | $31.78–$96.30 | — | 25% |
| Stool ova and parasites exam CPT 87177 HC OVA AND PARASITES SMEARS - OVA AND PARASITE EXAMINATION | $69.75 | $93.00 | $1.00–$683.93 | 234% above | 25% |
| Stool ova and parasites exam inpatient CPT 87177 HC OVA AND PARASITES SMEARS - OVA AND PARASITE EXAMINATION | $69.75 | $93.00 | $27.62–$1,485.45 | — | 25% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 HC BLOOD OCCULTBY PEROXIDFECESSINGLE COLORECTAL SCREEN - OCCULT BLD | $39.00 | $52.00 | $1.00–$50.96 | at median | 25% |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 HC BLOOD OCCULTBY PEROXIDFECESSINGLE COLORECTAL SCREEN - OCCULT BLD | $39.00 | $52.00 | $3.29–$90.43 | — | 25% |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 HC OCCULT BLD FECES IMMUNOAS | $52.50 | $70.00 | $1.00–$57.40 | 7% above | 25% |
| Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 HC OCCULT BLD FECES IMMUNOAS | $52.50 | $70.00 | $19.60–$63.00 | — | 25% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 HC FTA ABS | $8.39 | $11.19 | $0.71–$10.97 | 48% below | 25% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 HC TREPONEMA PALLIDUM AB | $11.05 | $14.73 | $1.15–$23,240.00 | 32% below | 25% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 HC TREP PALLIDUM AB | $52.50 | $70.00 | $1.10–$4,120.64 | 224% above | 25% |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 HC FTA ABS | $8.39 | $11.19 | $3.13–$10.97 | — | 25% |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 HC TREPONEMA PALLIDUM AB | $11.05 | $14.73 | $2.21–$23,240.00 | — | 25% |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 HC TREP PALLIDUM AB | $52.50 | $70.00 | $33.54–$4,120.64 | — | 25% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC SYPHILIS TEST NON TREPONEMAL ANTIBODY QUAL - VDRL CSF | $5.68 | $7.58 | $1.00–$6.82 | 58% below | 25% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC RPR/VDRL QUALITATIVE | $46.50 | $62.00 | $1.00–$60.76 | 246% above | 25% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC SYPHILIS TEST NON TREPONEMAL ANTIBODY QUAL - VDRL CSF | $5.68 | $7.58 | $1.14–$6.82 | — | 25% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC RPR/VDRL QUALITATIVE | $46.50 | $62.00 | $3.92–$46.50 | — | 25% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 HC TB TEST CELL IMMUN MEASUR | $31.50 | $42.00 | $1.00–$625.89 | 63% below | 25% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 HC TB TEST CELL MEDIATED IMM | $202.50 | $270.00 | $1.00–$1,185.44 | 139% above | 25% |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 HC TB TEST CELL IMMUN MEASUR | $31.50 | $42.00 | $11.76–$41.16 | — | 25% |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 HC TB TEST CELL MEDIATED IMM | $202.50 | $270.00 | $40.50–$243.00 | — | 25% |
| Testosterone blood test, total (not free testosterone) CPT 84403 HC ASSAY OF TOTAL TESTOSTERONE - TESTOSTERONE | $79.50 | $106.00 | $1.10–$333.44 | 99% above | 25% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HC ASSAY OF TOTAL TESTOSTERONE - TESTOSTERONE | $79.50 | $106.00 | $31.48–$95.40 | — | 25% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 HC MICROSOMAL ANTIBODIES IGG | $12.11 | $16.15 | $1.15–$2,033.48 | 47% below | 25% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 HC MICROSOMAL ANTIBODY - THYROID PEROXIDASE ANTIBODY | $64.50 | $86.00 | $1.00–$2,033.48 | 182% above | 25% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HC MICROSOMAL ANTIBODIES IGG | $12.11 | $16.15 | $2.26–$3,050.22 | — | 25% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HC MICROSOMAL ANTIBODY - THYROID PEROXIDASE ANTIBODY | $64.50 | $86.00 | $12.04–$70.52 | — | 25% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC TSH GS (NBS) | $24.00 | $32.00 | $1.15–$2,796.48 | 74% below | 25% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC ASSAY THYROID STIM HORMONE - THYROID STIMULATING HORMONE | $155.25 | $207.00 | $1.15–$186.30 | 68% above | 25% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC TSH GS (NBS) | $24.00 | $32.00 | $9.50–$7,563.64 | — | 25% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC ASSAY THYROID STIM HORMONE - THYROID STIMULATING HORMONE | $155.25 | $207.00 | $31.05–$186.30 | — | 25% |
| Total cholesterol blood test CPT 82465 HC CHOLESTEROL | $6.26 | $8.35 | $1.00–$6.85 | 85% below | 25% |
| Total cholesterol blood test CPT 82465 HC ASSAY BLD/SERUM CHOLESTEROL - CHOLESTEROL TOTAL | $39.75 | $53.00 | $4.40–$43.46 | 5% below | 25% |
| Total cholesterol blood test inpatient CPT 82465 HC CHOLESTEROL | $6.26 | $8.35 | $1.17–$8.18 | — | 25% |
| Total cholesterol blood test inpatient CPT 82465 HC ASSAY BLD/SERUM CHOLESTEROL - CHOLESTEROL TOTAL | $39.75 | $53.00 | $7.95–$51.94 | — | 25% |
| Total triiodothyronine (T3) blood test CPT 84480 HC TRIIODOTHYRONINE TOTAL ASSAY TT-3 - T3 (THYROID HORMONE) | $70.50 | $94.00 | $1.00–$2,033.48 | 10% below | 25% |
| Total triiodothyronine (T3) blood test inpatient CPT 84480 HC TRIIODOTHYRONINE TOTAL ASSAY TT-3 - T3 (THYROID HORMONE) | $70.50 | $94.00 | $27.92–$4,066.96 | — | 25% |
| Transferrin blood test CPT 84466 HC ASSAY OF TRANSFERRIN - TRANSFERRIN | $79.50 | $106.00 | $1.00–$74.20 | 47% above | 25% |
| Transferrin blood test inpatient CPT 84466 HC ASSAY OF TRANSFERRIN - TRANSFERRIN | $79.50 | $106.00 | $15.90–$103.88 | — | 25% |
| Triglycerides blood test CPT 84478 HC ASSAY OF TRIGLYCERIDES - TRIGLYCERIDES | $86.25 | $115.00 | $17.25–$103.50 | 110% above | 25% |
| Triglycerides blood test inpatient CPT 84478 HC ASSAY OF TRIGLYCERIDES - TRIGLYCERIDES | $86.25 | $115.00 | $7.27–$94.30 | — | 25% |
| Troponin test, quantitative CPT 84484 HC ASSAY OF TROPONIN QUANT - TROPONIN I | $179.25 | $239.00 | $0.36–$195.98 | at median | 25% |
| Troponin test, quantitative inpatient CPT 84484 HC ASSAY OF TROPONIN QUANT - TROPONIN I | $179.25 | $239.00 | $70.98–$234.22 | — | 25% |
| Uric acid blood test CPT 84550 HC ASSAY OF URIC ACID BLOOD - URIC ACID | $64.50 | $86.00 | $0.36–$68.80 | 2% below | 25% |
| Uric acid blood test inpatient CPT 84550 HC ASSAY OF URIC ACID BLOOD - URIC ACID | $64.50 | $86.00 | $12.04–$77.40 | — | 25% |
| Urinalysis with microscope exam, automated CPT 81001 HC URINALYSIS AUTO W/SCOPE - URINALYSIS MICROSCOPIC | $83.25 | $111.00 | $1.15–$306.22 | at median | 25% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 HC URINALYSIS AUTO W/SCOPE - URINALYSIS MICROSCOPIC | $83.25 | $111.00 | $16.65–$99.90 | — | 25% |
| Urinalysis without microscope exam, automated CPT 81003 HC URINALYSIS AUTO W/O SCOPE - URINALYSIS CHEM ONLY | $64.50 | $86.00 | $1.00–$77.40 | 15% above | 25% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HC URINALYSIS AUTO W/O SCOPE - URINALYSIS CHEM ONLY | $64.50 | $86.00 | $12.90–$77.40 | — | 25% |
| Urinalysis without microscope exam, manual CPT 81002 HC ACETONE/KETONE URINE QUAL | $21.75 | $29.00 | $1.00–$23.20 | 36% below | 25% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 HC ACETONE/KETONE URINE QUAL | $21.75 | $29.00 | $8.61–$95.09 | — | 25% |
| Urine culture for bacteria, with colony count CPT 87086 HC URINE CULTURE QUANT COLON | $195.00 | $260.00 | $1.00–$254.80 | 40% above | 25% |
| Urine culture for bacteria, with colony count inpatient CPT 87086 HC URINE CULTURE QUANT COLON | $195.00 | $260.00 | $16.43–$234.00 | — | 25% |
| Urine microalbumin (albumin) test CPT 82043 HC MICROALBUMIN URINE QUANT | $35.25 | $47.00 | $1.00–$46.06 | 4% below | 25% |
| Urine microalbumin (albumin) test inpatient CPT 82043 HC MICROALBUMIN URINE QUANT | $35.25 | $47.00 | $13.16–$779.00 | — | 25% |
| Urine pregnancy test, read by color change CPT 81025 HC URINE PREGNANCY TEST POC OB CLINIC | $18.00 | $24.00 | $1.00–$21.60 | 80% below | 25% |
| Urine pregnancy test, read by color change inpatient CPT 81025 HC URINE PREGNANCY TEST POC OB CLINIC | $18.00 | $24.00 | $3.60–$23.52 | — | 25% |
| Vitamin B12 (cobalamin) blood test CPT 82607 HC VITAMIN B-12 - VITAMIN B12 | $92.25 | $123.00 | $1.15–$519.94 | 2% below | 25% |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 HC VITAMIN B-12 - VITAMIN B12 | $92.25 | $123.00 | $41.82–$110.70 | — | 25% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HC 25 HYDROXY VIT D 2D3 | $13.13 | $17.50 | $1.00–$879.92 | 79% below | 25% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HC VITAMIN D 25OH | $100.50 | $134.00 | $1.00–$131.32 | 57% above | 25% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 HC 25 HYDROXY VIT D 2D3 | $13.13 | $17.50 | $1.11–$879.92 | — | 25% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 HC VITAMIN D 25OH | $100.50 | $134.00 | $18.76–$120.60 | — | 25% |
| Vitamin D, 1,25-dihydroxy blood test CPT 82652 HC ASSAY DIHYDROXYVITAMIN D W/FRACTIONS IF PERFORMED - VITAMIN D 1 | $13.50 | $18.00 | $1.00–$63.62 | 80% below | 25% |
| Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 HC ASSAY DIHYDROXYVITAMIN D W/FRACTIONS IF PERFORMED - VITAMIN D 1 | $13.50 | $18.00 | $7.56–$28.70 | — | 25% |
| Zinc blood test CPT 84630 HC ASSAY OF ZINC - ZINC | $8.14 | $10.85 | $1.00–$158.33 | 26% below | 25% |
| Zinc blood test CPT 84630 HC ZINC URINE | $10.82 | $14.43 | $1.00–$625.89 | 2% below | 25% |
| Zinc blood test inpatient CPT 84630 HC ASSAY OF ZINC - ZINC | $8.14 | $10.85 | $1.63–$8.68 | — | 25% |
| Zinc blood test inpatient CPT 84630 HC ZINC URINE | $10.82 | $14.43 | $0.91–$11.54 | — | 25% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HC GONADOTROPIN CHORIONIC QT | $12.55 | $16.73 | $1.06–$15.06 | 93% below | 25% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HC CHORIONIC GONADOTROPIN QUANT - HCG QUANTITATIVE BLOOD | $273.75 | $365.00 | $1.15–$625.89 | 53% above | 25% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HC HCG QUANT POC | $273.75 | $365.00 | $1.15–$292.00 | 53% above | 25% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HC GONADOTROPIN CHORIONIC QT | $12.55 | $16.73 | $1.06–$13.72 | — | 25% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HC HCG QUANT POC | $273.75 | $365.00 | $54.75–$507.64 | — | 25% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HC CHORIONIC GONADOTROPIN QUANT - HCG QUANTITATIVE BLOOD | $273.75 | $365.00 | $54.75–$328.50 | — | 25% |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs California | Off list |
|---|---|---|---|---|---|
| Cardiac catheterization with coronary angiogram one side CPT 93458 HC CATH CATH PLACE/CORON ANGIO IMG SUPER/INTERPW LEFT HEART VENTRICULOGRAPHY | $16,572.75 | $22,097.00 | $1.30–$21,655.06 | 28% above | 25% |
| Cardiac catheterization with coronary angiogram inpatient one side CPT 93458 HC CATH CATH PLACE/CORON ANGIO IMG SUPER/INTERPW LEFT HEART VENTRICULOGRAPHY | $16,572.75 | $22,097.00 | $6,187.16–$19,887.30 | — | 25% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 HC CARDIOVERSION NON CPR | $2,463.75 | $3,285.00 | $1.15–$2,693.70 | 29% above | 25% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 HC CARDIOVERSION ELECTRIC EXT - CARDIOVERSION EXTERNAL | $2,463.75 | $3,285.00 | $1.10–$2,956.50 | 29% above | 25% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 HC CARDIOVERSION ELECTIVE;EXTERN | $3,423.75 | $4,565.00 | $1.00–$4,473.70 | 79% above | 25% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 HC CARDIOVERSION NON CPR | $2,463.75 | $3,285.00 | $919.80–$2,693.70 | — | 25% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 HC CARDIOVERSION ELECTRIC EXT - CARDIOVERSION EXTERNAL | $2,463.75 | $3,285.00 | $459.90–$3,219.30 | — | 25% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 HC CARDIOVERSION ELECTIVE;EXTERN | $3,423.75 | $4,565.00 | $1,355.80–$3,652.00 | — | 25% |
| Catheter ablation for atrial fibrillation CPT 93656 HC EP EPHYS EVL TRNSPTL TX ATRIAL FIB ISOLAT PULM VEIN | $52,620.00 | $70,160.00 | $1.00–$57,531.20 | 57% above | 25% |
| Catheter ablation for atrial fibrillation inpatient CPT 93656 HC EP EPHYS EVL TRNSPTL TX ATRIAL FIB ISOLAT PULM VEIN | $52,620.00 | $70,160.00 | $23,854.40–$56,128.00 | — | 25% |
| Coronary stent placement, one artery CPT 92928 HC CATH PRQ TRLUML CORONARY STENT W/ANGIO ONE ART/BRNCH | $20,139.00 | $26,852.00 | $1.00–$22,018.64 | 35% above | 25% |
| Coronary stent placement, one artery CPT 92928 HC STENT DRUG ELUT SNG | $26,851.50 | $35,802.00 | $1.00–$35,085.96 | 80% above | 25% |
| Coronary stent placement, one artery inpatient CPT 92928 HC CATH PRQ TRLUML CORONARY STENT W/ANGIO ONE ART/BRNCH | $20,139.00 | $26,852.00 | $2,410.32–$22,018.64 | — | 25% |
| Coronary stent placement, one artery inpatient CPT 92928 HC STENT DRUG ELUT SNG | $26,851.50 | $35,802.00 | $14,145.37–$32,221.80 | — | 25% |
| Laser treatment of clouding after cataract surgery (YAG) one side CPT 66821 HC DISCISSION2ND CATARACTLASER | $834.75 | $1,113.00 | $0.19–$857.01 | 48% below | 25% |
| Laser treatment of clouding after cataract surgery (YAG) inpatient one side CPT 66821 HC DISCISSION2ND CATARACTLASER | $834.75 | $1,113.00 | $166.95–$1,090.74 | — | 25% |
| Left heart catheterization, diagnostic one side CPT 93452 HC CATH LEFT HEART CATH INJECT VETRICULOGRAPHY IMAGE SUPERVISE/INTERP | $14,673.75 | $19,565.00 | $1.00–$19,173.70 | 48% above | 25% |
| Left heart catheterization, diagnostic inpatient one side CPT 93452 HC CATH LEFT HEART CATH INJECT VETRICULOGRAPHY IMAGE SUPERVISE/INTERP | $14,673.75 | $19,565.00 | $1,236.51–$14,673.75 | — | 25% |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs California | Off list |
|---|---|---|---|---|---|
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC NEBULIZER TREATMENT | $547.50 | $730.00 | $1.10–$584.00 | 70% above | 25% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC IPPB TX SUBSEQUENT | $547.50 | $730.00 | $1.00–$657.00 | 70% above | 25% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC IPPB TREATMENT | $547.50 | $730.00 | $1.10–$715.40 | 70% above | 25% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction one side CPT 94640 HC RT INDUCED SPUTUM | $547.50 | $730.00 | $1.00–$547.50 | 70% above | 25% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction one side CPT 94640 HC RT HAND HELD NEBULIZER | $547.50 | $730.00 | $127.75–$584.00 | 70% above | 25% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction one side CPT 94640 HC RT MDI/DPI | $547.50 | $730.00 | $1.00–$715.40 | 70% above | 25% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction one side CPT 94640 HC RT INDUCED SPUTUM SUBSEQUENT | $547.50 | $730.00 | $1.00–$715.40 | 70% above | 25% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC IPPB TX SUBSEQUENT | $547.50 | $730.00 | $216.81–$15,436.00 | — | 25% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC IPPB TREATMENT | $547.50 | $730.00 | $109.50–$715.40 | — | 25% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC NEBULIZER TREATMENT | $547.50 | $730.00 | $102.20–$584.00 | — | 25% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient one side CPT 94640 HC RT HAND HELD NEBULIZER | $547.50 | $730.00 | $109.50–$562.10 | — | 25% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient one side CPT 94640 HC RT INDUCED SPUTUM SUBSEQUENT | $547.50 | $730.00 | $216.81–$715.40 | — | 25% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient one side CPT 94640 HC RT INDUCED SPUTUM | $547.50 | $730.00 | $216.81–$715.40 | — | 25% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient one side CPT 94640 HC RT MDI/DPI | $547.50 | $730.00 | $46.14–$715.40 | — | 25% |
| Chemotherapy IV infusion, first hour CPT 96413 HC CHEMOTHER IV INFUSION 1 HR | $1,971.00 | $2,628.00 | $1.00–$2,575.44 | 126% above | 25% |
| Chemotherapy IV infusion, first hour inpatient CPT 96413 HC CHEMOTHER IV INFUSION 1 HR | $1,971.00 | $2,628.00 | $394.20–$1,773.90 | — | 25% |
| Critical care, first 30 to 74 minutes CPT 99291 HC CRITICAL CARE E/M 30-74 MINUTES | $11,094.75 | $14,793.00 | $1.30–$13,313.70 | 102% above | 25% |
| Critical care, first 30 to 74 minutes CPT 99291 HC ER TRAUMA CRITICAL +30MIN | $22,189.50 | $29,586.00 | $1.15–$28,994.28 | 304% above | 25% |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 HC CRITICAL CARE E/M 30-74 MINUTES | $11,094.75 | $14,793.00 | $2,218.95–$13,313.70 | — | 25% |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 HC ER TRAUMA CRITICAL +30MIN | $22,189.50 | $29,586.00 | $4,142.04–$26,627.40 | — | 25% |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 HC EEG AWAKE AND DROWSY | $1,165.50 | $1,554.00 | $1.15–$1,522.92 | 14% above | 25% |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 HC EEGW/AWAKE & DROWSY RECORD - EEG AWAKE OR DROWSY PORTABLE | $1,165.50 | $1,554.00 | $1.00–$1,243.20 | 14% above | 25% |
| EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 HC EEG AWAKE AND DROWSY | $1,165.50 | $1,554.00 | $98.21–$1,274.28 | — | 25% |
| EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 HC EEGW/AWAKE & DROWSY RECORD - EEG AWAKE OR DROWSY PORTABLE | $1,165.50 | $1,554.00 | $233.10–$1,243.20 | — | 25% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 HC ELECTROCARDIOGRAM TRACING | $628.50 | $838.00 | $1.00–$14,409.33 | 86% above | 25% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 HC ELECTROCARDIOGRAM TRACING | $628.50 | $838.00 | $52.96–$821.24 | — | 25% |
| Electroconvulsive therapy (ECT), one session CPT 90870 HC ELECTROCONVULSIVE THERAPY1 SEIZ | $2,040.75 | $2,721.00 | $1.00–$7,244.35 | 15% below | 25% |
| Electroconvulsive therapy (ECT), one session inpatient CPT 90870 HC ELECTROCONVULSIVE THERAPY1 SEIZ | $2,040.75 | $2,721.00 | $761.88–$2,040.75 | — | 25% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 HC ER LWBS W/TESTS PROVIDED | $375.00 | $500.00 | $1.00–$375.00 | 11% below | 25% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 HC ER TYPE I MINIMAL | $749.25 | $999.00 | $1.00–$769.23 | 78% above | 25% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 HC ER LWBS W/TESTS PROVIDED | $375.00 | $500.00 | $31.60–$385.00 | — | 25% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 HC ER TYPE I MINIMAL | $749.25 | $999.00 | $139.86–$819.18 | — | 25% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 HC EMERGENCY DEPARTMENT LEVEL 2 VISIT LOW/MODER SEVERITY | $1,353.75 | $1,805.00 | $1.15–$1,480.10 | 55% above | 25% |
| Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 HC EMERGENCY DEPARTMENT LEVEL 2 VISIT LOW/MODER SEVERITY | $1,353.75 | $1,805.00 | $536.08–$1,444.00 | — | 25% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 HC EMERGENCY DEPARTMENT LEVEL 3 VISIT MODERATE SEVERITY | $2,187.75 | $2,917.00 | $1.00–$2,858.66 | 46% above | 25% |
| Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 HC EMERGENCY DEPARTMENT LEVEL 3 VISIT MODERATE SEVERITY | $2,187.75 | $2,917.00 | $866.35–$2,625.30 | — | 25% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 HC EMERGENCY DEPARTMENT LEVEL 4 VISIT HIGH/URGENT SEVERITY | $3,900.00 | $5,200.00 | $1.00–$3,640.00 | 44% above | 25% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 HC ER TRAUMA LVL IV | $7,800.00 | $10,400.00 | $1.00–$8,528.00 | 188% above | 25% |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 HC EMERGENCY DEPARTMENT LEVEL 4 VISIT HIGH/URGENT SEVERITY | $3,900.00 | $5,200.00 | $328.64–$14,068.40 | — | 25% |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 HC ER TRAUMA LVL IV | $7,800.00 | $10,400.00 | $3,088.80–$7,280.00 | — | 25% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HC EMERGENCY DEPARTMENT LEVEL 5 VISIT HIGH SEVERITY&THREAT FUNC | $5,700.00 | $7,600.00 | $1.00–$7,448.00 | 60% above | 25% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HC ER TRAUMA LVL V ADVANCED | $11,400.00 | $15,200.00 | $4,514.40–$14,896.00 | 221% above | 25% |
| Emergency room visit, level 5 of 5, high-complexity problem one side CPT 99285 HC ER TYPE CRITICAL LT 30MIN | $7,125.00 | $9,500.00 | $119.86–$7,600.00 | 101% above | 25% |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 HC EMERGENCY DEPARTMENT LEVEL 5 VISIT HIGH SEVERITY&THREAT FUNC | $5,700.00 | $7,600.00 | $1,140.00–$7,448.00 | — | 25% |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 HC ER TRAUMA LVL V ADVANCED | $11,400.00 | $15,200.00 | $4,256.00–$12,160.00 | — | 25% |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient one side CPT 99285 HC ER TYPE CRITICAL LT 30MIN | $7,125.00 | $9,500.00 | $2,660.00–$7,790.00 | — | 25% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 HC CARDIAC STRESS TSTTRACING ONLY | $1,193.25 | $1,591.00 | $1.00–$1,304.62 | 15% below | 25% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 HC PROCAINAMIDE STRESS TEST | $1,536.75 | $2,049.00 | $1.00–$2,008.02 | 9% above | 25% |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 HC CARDIAC STRESS TSTTRACING ONLY | $1,193.25 | $1,591.00 | $100.55–$1,431.90 | — | 25% |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 HC PROCAINAMIDE STRESS TEST | $1,536.75 | $2,049.00 | $573.72–$1,577.73 | — | 25% |
| Group psychotherapy session CPT 90853 HC PSYCH PHP HALF DAY | $341.25 | $455.00 | $1.00–$409.50 | 19% above | 25% |
| Group psychotherapy session CPT 90853 HC GROUP PSYCHOTHERAPY INTENSIVE OUTPATIENT CHEMICAL DEPENDENCY | $341.25 | $455.00 | $1.00–$409.50 | 19% above | 25% |
| Group psychotherapy session CPT 90853 HC PSYCH PHP FULL DAY | $341.25 | $455.00 | $1.00–$445.90 | 19% above | 25% |
| Group psychotherapy session CPT 90853 HC IOP PSYCHOTHERAPY | $341.25 | $455.00 | $1.00–$373.10 | 19% above | 25% |
| Group psychotherapy session CPT 90853 HC PHP GROUP THERAPY | $344.25 | $459.00 | $0.49–$413.10 | 20% above | 25% |
| Group psychotherapy session CPT 90853 HC GROUP IOP PSYCHOTHERAPY | $344.25 | $459.00 | $1.15–$344.25 | 20% above | 25% |
| Group psychotherapy session inpatient CPT 90853 HC IOP PSYCHOTHERAPY | $341.25 | $455.00 | $95.09–$409.50 | — | 25% |
| Group psychotherapy session inpatient CPT 90853 HC PSYCH PHP HALF DAY | $341.25 | $455.00 | $68.25–$350.35 | — | 25% |
| Group psychotherapy session inpatient CPT 90853 HC PSYCH PHP FULL DAY | $341.25 | $455.00 | $127.40–$445.90 | — | 25% |
| Group psychotherapy session inpatient CPT 90853 HC GROUP PSYCHOTHERAPY INTENSIVE OUTPATIENT CHEMICAL DEPENDENCY | $341.25 | $455.00 | $28.76–$1,256.14 | — | 25% |
| Group psychotherapy session inpatient CPT 90853 HC PHP GROUP THERAPY | $344.25 | $459.00 | $136.32–$376.38 | — | 25% |
| Group psychotherapy session inpatient CPT 90853 HC GROUP IOP PSYCHOTHERAPY | $344.25 | $459.00 | $128.52–$1,106.36 | — | 25% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HC IV INFUSION HYDRATION 31-60 MIN | $825.00 | $1,100.00 | $1.00–$990.00 | 66% above | 25% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HC IV INFUSION HYDRATION 31-60 MIN | $825.00 | $1,100.00 | $198.80–$902.00 | — | 25% |
| IV infusion of a medicine, first hour CPT 96365 HC IV INFUSION THERAP/PROPH/DIAGNOSTINITIAL1ST HOUR | $926.25 | $1,235.00 | $172.90–$22,815.81 | 58% above | 25% |
| IV infusion of a medicine, first hour CPT 96365 HC IV THERAPY UP TO 1 HR | $926.25 | $1,235.00 | $1.00–$1,111.50 | 58% above | 25% |
| IV infusion of a medicine, first hour inpatient CPT 96365 HC IV THERAPY UP TO 1 HR | $926.25 | $1,235.00 | $78.05–$988.00 | — | 25% |
| IV infusion of a medicine, first hour inpatient CPT 96365 HC IV INFUSION THERAP/PROPH/DIAGNOSTINITIAL1ST HOUR | $926.25 | $1,235.00 | $366.79–$74,151.38 | — | 25% |
| IV push of a medicine, first drug CPT 96374 HC INJECTIONTHERAP/PROPH/DIAGNOST IV PUSH INITIAL DRUG HEART FAILURE | $657.00 | $876.00 | $1.15–$27,291.27 | 86% above | 25% |
| IV push of a medicine, first drug CPT 96374 HC INJECTIONTHERAP/PROPH/DIAGNOST IV PUSH INITIAL DRUG | $657.00 | $876.00 | $1.00–$938.84 | 86% above | 25% |
| IV push of a medicine, first drug CPT 96374 HC INJ IV PUSH SNGL/INITIAL | $657.00 | $876.00 | $1.00–$858.48 | 86% above | 25% |
| IV push of a medicine, first drug inpatient CPT 96374 HC INJ IV PUSH SNGL/INITIAL | $657.00 | $876.00 | $131.40–$718.32 | — | 25% |
| IV push of a medicine, first drug inpatient CPT 96374 HC INJECTIONTHERAP/PROPH/DIAGNOST IV PUSH INITIAL DRUG | $657.00 | $876.00 | $419.69–$858.48 | — | 25% |
| IV push of a medicine, first drug inpatient CPT 96374 HC INJECTIONTHERAP/PROPH/DIAGNOST IV PUSH INITIAL DRUG HEART FAILURE | $657.00 | $876.00 | $131.40–$14,409.33 | — | 25% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 HC INJECTION IM/SUB Q | $297.00 | $396.00 | $1.15–$324.72 | 66% above | 25% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 HC INJECTIONTHERAP/PROPH/DIAGNOST IM OR SUBCUT | $297.00 | $396.00 | $1.15–$1,185.44 | 66% above | 25% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 HC INJECTIONTHERAP/PROPH/DIAGNOST IM OR SUBCUT | $297.00 | $396.00 | $25.03–$7,244.35 | — | 25% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 HC INJECTION IM/SUB Q | $297.00 | $396.00 | $59.40–$460.69 | — | 25% |
| New patient office visit, about 30 minutes CPT 99203 HC FACILITY FEE EXPANDED NP HEART FAILURE | $336.75 | $449.00 | $1.00–$359.20 | 57% above | 25% |
| New patient office visit, about 30 minutes CPT 99203 HC FACILITY FEE DETAILED NP | $353.25 | $471.00 | $1.00–$423.90 | 65% above | 25% |
| New patient office visit, about 30 minutes inpatient CPT 99203 HC FACILITY FEE EXPANDED NP HEART FAILURE | $336.75 | $449.00 | $28.38–$15,436.00 | — | 25% |
| New patient office visit, about 30 minutes inpatient CPT 99203 HC FACILITY FEE DETAILED NP | $353.25 | $471.00 | $29.77–$423.90 | — | 25% |
| New patient office visit, about 45 minutes CPT 99204 HC FACILITY FEE DETAILED NP HEART FAILURE | $454.50 | $606.00 | $1.00–$484.80 | 86% above | 25% |
| New patient office visit, about 45 minutes CPT 99204 HC FACILITY FEE COMPREH NP 761 | $476.25 | $635.00 | $1.00–$571.50 | 95% above | 25% |
| New patient office visit, about 45 minutes inpatient CPT 99204 HC FACILITY FEE DETAILED NP HEART FAILURE | $454.50 | $606.00 | $38.30–$593.88 | — | 25% |
| New patient office visit, about 45 minutes inpatient CPT 99204 HC FACILITY FEE COMPREH NP 761 | $476.25 | $635.00 | $95.25–$508.00 | — | 25% |
| New patient office visit, about 60 minutes CPT 99205 HC FACILITY FEE COMPLEX NP HEART FAILURE | $583.50 | $778.00 | $1.00–$622.40 | 71% above | 25% |
| New patient office visit, about 60 minutes CPT 99205 HC FACILITY FEE HIGH CMPLX NP 761 | $612.75 | $817.00 | $1.10–$2,921.37 | 79% above | 25% |
| New patient office visit, about 60 minutes inpatient CPT 99205 HC FACILITY FEE COMPLEX NP HEART FAILURE | $583.50 | $778.00 | $217.84–$583.50 | — | 25% |
| New patient office visit, about 60 minutes inpatient CPT 99205 HC FACILITY FEE HIGH CMPLX NP 761 | $612.75 | $817.00 | $122.55–$1,498.14 | — | 25% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 HC FACILITY FEE BRIEF NP HEART FAILURE | $262.50 | $350.00 | $1.00–$343.00 | 88% above | 25% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 HC FACILITY FEE MINIMAL | $276.00 | $368.00 | $1.00–$22,634.00 | 98% above | 25% |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 HC FACILITY FEE BRIEF NP HEART FAILURE | $262.50 | $350.00 | $22.12–$280.00 | — | 25% |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 HC FACILITY FEE MINIMAL | $276.00 | $368.00 | $170.31–$1,158.42 | — | 25% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 HC MED NUTR THER 1ST INDIV EA 15 MIN | $247.50 | $330.00 | $98.01–$270.60 | 148% above | 25% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 HC MED NUTR THER 1ST INDIV EA 15 MIN | $247.50 | $330.00 | $49.50–$323.40 | — | 25% |
| Psychological testing evaluation by a psychologist or physician, first hour CPT 96130 HC PSYCH TST EVAL 1ST HR QHP | $1,139.25 | $1,519.00 | $1.00–$1,488.62 | 69% above | 25% |
| Psychological testing evaluation by a psychologist or physician, first hour inpatient CPT 96130 HC PSYCH TST EVAL 1ST HR QHP | $1,139.25 | $1,519.00 | $96.00–$1,215.20 | — | 25% |
| Psychotherapy session, 30 minutes CPT 90832 HC PSYCHOTHERAPY PATIENT &/ FAMILY 30 MINUTES | $270.00 | $360.00 | $1.15–$352.80 | 15% below | 25% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 HC PSYCHOTHERAPY PATIENT &/ FAMILY 30 MINUTES | $270.00 | $360.00 | $54.00–$324.00 | — | 25% |
| Psychotherapy session, 45 minutes CPT 90834 HC PSYCHOTHERAPY PATIENT &/ FAMILY 45 MINUTES | $353.25 | $471.00 | $1.15–$376.80 | 11% above | 25% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 HC PSYCHOTHERAPY PATIENT &/ FAMILY 45 MINUTES | $353.25 | $471.00 | $65.94–$376.80 | — | 25% |
| Psychotherapy session, 60 minutes CPT 90837 HC INDIVID THPY 60MIN | $829.50 | $1,106.00 | $1.15–$1,083.88 | 126% above | 25% |
| Psychotherapy session, 60 minutes CPT 90837 HC PSYCHOTHERAPY PATIENT &/ FAMILY 60 MINUTES | $829.50 | $1,106.00 | $1.00–$1,083.88 | 126% above | 25% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 HC PSYCHOTHERAPY PATIENT &/ FAMILY 60 MINUTES | $829.50 | $1,106.00 | $328.48–$851.62 | — | 25% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 HC INDIVID THPY 60MIN | $829.50 | $1,106.00 | $165.90–$1,083.88 | — | 25% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 HC FACILITY FEE COMPLEX EP HEART FAILURE | $530.25 | $707.00 | $1.00–$636.30 | 110% above | 25% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 HC OB TRIAGE LEVEL 5 OP | $556.50 | $742.00 | $111.30–$727.16 | 121% above | 25% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 HC FACILITY FEE COMPLEX EP | $556.50 | $742.00 | $1.00–$593.60 | 121% above | 25% |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 HC FACILITY FEE COMPLEX EP HEART FAILURE | $530.25 | $707.00 | $209.98–$636.30 | — | 25% |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 HC OB TRIAGE LEVEL 5 OP | $556.50 | $742.00 | $111.30–$593.60 | — | 25% |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 HC FACILITY FEE COMPLEX EP | $556.50 | $742.00 | $111.30–$727.16 | — | 25% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 HC FACILITY FEE EXPANDED EP HEART FAILURE | $296.25 | $395.00 | $1.00–$355.50 | 107% above | 25% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 HC OB TRIAGE LEVEL 3 OP | $311.25 | $415.00 | $1.00–$373.50 | 118% above | 25% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 HC FACILITY FEE EXPANDED EP | $311.25 | $415.00 | $62.25–$406.70 | 118% above | 25% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 HC FACILITY FEE EXPANDED EP HEART FAILURE | $296.25 | $395.00 | $117.31–$387.10 | — | 25% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 HC OB TRIAGE LEVEL 3 OP | $311.25 | $415.00 | $123.25–$340.30 | — | 25% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 HC FACILITY FEE EXPANDED EP | $311.25 | $415.00 | $126.58–$373.50 | — | 25% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HC FACILITY FEE DETAILED EP HEART FAILURE | $352.50 | $470.00 | $1.00–$385.40 | 75% above | 25% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HC FACILITY FEE DETAILED EP | $370.50 | $494.00 | $1.00–$405.08 | 84% above | 25% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HC OB TRIAGE LEVEL 4 OP | $370.50 | $494.00 | $1.00–$395.20 | 84% above | 25% |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 HC FACILITY FEE DETAILED EP HEART FAILURE | $352.50 | $470.00 | $70.50–$460.60 | — | 25% |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 HC FACILITY FEE DETAILED EP | $370.50 | $494.00 | $69.16–$395.20 | — | 25% |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 HC OB TRIAGE LEVEL 4 OP | $370.50 | $494.00 | $31.22–$484.12 | — | 25% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HC FACILITY FEE BRIEF EP | $246.00 | $328.00 | $1.00–$321.44 | 114% above | 25% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HC FACILITY FEE BRIEF EP HEART FAILURE | $246.00 | $328.00 | $1.15–$321.44 | 114% above | 25% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HC OB TRIAGE LEVEL 2 OP | $258.00 | $344.00 | $1.15–$337.12 | 124% above | 25% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HC MECH CIRC SUP FACILITY FEE BRIEF EP | $258.00 | $344.00 | $1.00–$275.20 | 124% above | 25% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 HC FACILITY FEE BRIEF EP | $246.00 | $328.00 | $49.20–$321.44 | — | 25% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 HC FACILITY FEE BRIEF EP HEART FAILURE | $246.00 | $328.00 | $49.20–$321.44 | — | 25% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 HC MECH CIRC SUP FACILITY FEE BRIEF EP | $258.00 | $344.00 | $51.60–$264.88 | — | 25% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 HC OB TRIAGE LEVEL 2 OP | $258.00 | $344.00 | $51.60–$309.60 | — | 25% |
| Spirometry (breathing test) CPT 94010 HC BREATHING CAPACITY TEST - SPIROMETRY WITHOUT BRONCHODILATOR | $539.25 | $719.00 | $1.15–$647.10 | 41% above | 25% |
| Spirometry (breathing test) inpatient CPT 94010 HC BREATHING CAPACITY TEST - SPIROMETRY WITHOUT BRONCHODILATOR | $539.25 | $719.00 | $213.54–$15,436.00 | — | 25% |
| Spirometry before and after a bronchodilator CPT 94060 HC EVAL OF BRONCHOSPASM - SPIROMETRY WITH BRONCHODILATOR | $1,155.00 | $1,540.00 | $1.00–$1,232.00 | 44% above | 25% |
| Spirometry before and after a bronchodilator inpatient CPT 94060 HC EVAL OF BRONCHOSPASM - SPIROMETRY WITH BRONCHODILATOR | $1,155.00 | $1,540.00 | $431.20–$1,386.00 | — | 25% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 HC PHLEBOTOMY | $631.50 | $842.00 | $1.00–$2,410.32 | 96% above | 25% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 HC THERAPEUTIC PHLEBOTOMY | $631.50 | $842.00 | $1.15–$825.16 | 96% above | 25% |
| Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 HC THERAPEUTIC PHLEBOTOMY | $631.50 | $842.00 | $250.07–$673.60 | — | 25% |
| Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 HC PHLEBOTOMY | $631.50 | $842.00 | $200.00–$4,838.32 | — | 25% |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs California | Off list |
|---|---|---|---|---|---|
| COVID-19 vaccine (Moderna), age 12 and older CPT 91322 COVID VAC 2023-24 (12 YR UP)(ANDUSOMERAN)(PF) 50 MCG/0.5 ML IM SYRINGE | $971.25 | $1,295.00 | $1.15–$1,269.10 | 301% above | 25% |
| COVID-19 vaccine (Moderna), age 12 and older inpatient CPT 91322 COVID VAC 2023-24 (12 YR UP)(ANDUSOMERAN)(PF) 50 MCG/0.5 ML IM SYRINGE | $971.25 | $1,295.00 | $194.25–$1,036.00 | — | 25% |
| DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 DIPHPERTUS(ACEL)TET PEDI (PF) 25 LF UNIT-58 MCG-10 LF/0.5ML IM SUSP | $36.07 | $48.10 | $6.73–$1,158.42 | 50% below | 25% |
| DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 DIPHPERTUS(ACEL)TET PED(PF) 25 LF UNIT-58 MCG-10 LF/0.5ML IM SYRINGE | $145.53 | $194.04 | $1.00–$280.00 | 103% above | 25% |
| DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 DIPHPERTUS(ACEL)TET PEDI (PF) 15 LF UNIT-10 MCG-5 LF/0.5 ML IM SUSP | $173.35 | $231.13 | $1.00–$226.51 | 142% above | 25% |
| DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 DIPHPERTUS(ACEL)TET PEDI (PF) 25 LF UNIT-58 MCG-10 LF/0.5ML IM SUSP | $36.07 | $48.10 | $6.73–$38.48 | — | 25% |
| DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 DIPHPERTUS(ACEL)TET PED(PF) 25 LF UNIT-58 MCG-10 LF/0.5ML IM SYRINGE | $145.53 | $194.04 | $29.11–$190.16 | — | 25% |
| DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 DIPHPERTUS(ACEL)TET PEDI (PF) 15 LF UNIT-10 MCG-5 LF/0.5 ML IM SUSP | $173.35 | $231.13 | $68.65–$208.02 | — | 25% |
| DTaP, polio and Hib combination vaccine (Pentacel) CPT 90698 DP(A)T-POLIO-HIB CONJ-TET (PF) 15 LF UNIT-20 MCG-5 LF /0.5 ML IM KIT | $342.18 | $456.24 | $1.00–$410.62 | 64% above | 25% |
| DTaP, polio and Hib combination vaccine (Pentacel) CPT 90698 DTAP-POLIO-HIB CONJ-TET(PF) 15 LF-48MCG-5 LF-62 DU-10MCG/ 0.5ML IM KIT | $346.44 | $461.92 | $1.10–$378.77 | 66% above | 25% |
| DTaP, polio and Hib combination vaccine (Pentacel) inpatient CPT 90698 DP(A)T-POLIO-HIB CONJ-TET (PF) 15 LF UNIT-20 MCG-5 LF /0.5 ML IM KIT | $342.18 | $456.24 | $68.44–$2,410.32 | — | 25% |
| DTaP, polio and Hib combination vaccine (Pentacel) inpatient CPT 90698 DTAP-POLIO-HIB CONJ-TET(PF) 15 LF-48MCG-5 LF-62 DU-10MCG/ 0.5ML IM KIT | $346.44 | $461.92 | $29.19–$369.54 | — | 25% |
| Hepatitis A vaccine, adult dose CPT 90632 HEPATITIS A VACCINE (PF) 1440 ELISA UNIT/ML INTRAMUSCULAR SYRINGE | $155.07 | $206.76 | $1.00–$6,868.48 | 11% above | 25% |
| Hepatitis A vaccine, adult dose inpatient CPT 90632 HEPATITIS A VACCINE (PF) 1440 ELISA UNIT/ML INTRAMUSCULAR SYRINGE | $155.07 | $206.76 | $61.41–$8,731.00 | — | 25% |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HEPATITIS B VIRUS VACCINE RECOMB (PF) 10 MCG/0.5 ML IM SYRINGE | $123.85 | $165.13 | $0.02–$1,558.69 | 115% above | 25% |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 HEPATITIS B VIRUS VACCINE RECOMB (PF) 10 MCG/0.5 ML IM SYRINGE | $123.85 | $165.13 | $23.12–$161.83 | — | 25% |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 FLU VACCINE QS2023-24(65YR UP)(PF)240 MCG/0.7 ML INTRAMUSCULAR SYRINGE | $33.51 | $44.68 | $1.15–$43.79 | 73% below | 25% |
| High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 FLU VACCINE QS2023-24(65YR UP)(PF)240 MCG/0.7 ML INTRAMUSCULAR SYRINGE | $33.51 | $44.68 | $6.70–$35.75 | — | 25% |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 MEASLESMUMPSRUBELLA VACCINE LIVE(PF)1000-12500TCID50/0.5 ML SUBCUT | $290.29 | $387.06 | $0.22–$348.35 | 107% above | 25% |
| MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 MEASLESMUMPSRUBELLA VACCINE LIVE(PF)1000-12500TCID50/0.5 ML SUBCUT | $290.29 | $387.06 | $58.06–$14,409.33 | — | 25% |
| Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 PNEUMOCOCCAL 13-VAL CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE | $1,546.83 | $2,062.44 | $1.00–$1,856.20 | 395% above | 25% |
| Pneumonia vaccine, 13-valent conjugate (Prevnar 13) inpatient CPT 90670 PNEUMOCOCCAL 13-VAL CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE | $1,593.00 | $2,124.00 | $297.36–$2,081.52 | — | 25% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE | $1,704.29 | $2,272.39 | $1.15–$2,226.94 | 228% above | 25% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 PNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE | $1,761.23 | $2,348.30 | $352.25–$1,878.64 | — | 25% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOCOCCAL 23 POLYVALENT VACCINE 25 MCG/0.5 ML INJECTION (WRAPPER) | $784.39 | $1,045.85 | $1.00–$1,024.93 | 385% above | 25% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMOCOCCAL 23 POLYVALENT VACCINE 25 MCG/0.5 ML INJECTION (WRAPPER) | $806.54 | $1,075.39 | $150.55–$1,053.88 | — | 25% |
| RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 NIRSEVIMAB-ALIP 50 MG/0.5 ML INTRAMUSCULAR SYRINGE | $6,692.19 | $8,922.92 | $1.00–$8,030.63 | 591% above | 25% |
| RSV antibody shot for infants, seasonal dose (0.5 mL) inpatient CPT 90380 NIRSEVIMAB-ALIP 50 MG/0.5 ML INTRAMUSCULAR SYRINGE | $6,692.19 | $8,922.92 | $1,561.51–$7,138.34 | — | 25% |
| Rabies vaccine, one dose CPT 90675 RABIES VACCINE PURIFIED CHICKEN EMBRYO CELL (PF) 2.5 UNIT IM SUSP | $1,074.04 | $1,432.05 | $1.00–$1,174.28 | 52% above | 25% |
| Rabies vaccine, one dose CPT 90675 RABIES VACCINEHUMAN DIPLOID (PF) 2.5 UNIT INTRAMUSCULAR SOLUTION | $1,246.09 | $1,661.45 | $1.10–$1,628.22 | 76% above | 25% |
| Rabies vaccine, one dose inpatient CPT 90675 RABIES VACCINE PURIFIED CHICKEN EMBRYO CELL (PF) 2.5 UNIT IM SUSP | $1,074.04 | $1,432.05 | $200.49–$1,174.28 | — | 25% |
| Rabies vaccine, one dose inpatient CPT 90675 RABIES VACCINEHUMAN DIPLOID (PF) 2.5 UNIT INTRAMUSCULAR SOLUTION | $1,246.09 | $1,661.45 | $249.22–$1,362.39 | — | 25% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS-DIPHTHERIA TOXOIDS-TD 2 LF UNIT-2 LF UNIT/0.5 ML IM SUSPENSION | $159.12 | $212.16 | $1.00–$190.94 | 96% above | 25% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS AND DIPHTHERIA TOX (PF) 5 LF UNIT-2 LF UNIT/0.5 ML IM SUSP | $245.06 | $326.75 | $91.49–$267.94 | 201% above | 25% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS-DIPHTHERIA TOXOIDS-TD 2 LF UNIT-2 LF UNIT/0.5 ML IM SUSPENSION | $159.12 | $212.16 | $72.13–$190.94 | — | 25% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS AND DIPHTHERIA TOX (PF) 5 LF UNIT-2 LF UNIT/0.5 ML IM SUSP | $245.06 | $326.75 | $97.04–$267.94 | — | 25% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 DIPHTHPERTUSSIS(ACEL)TETANUS 2.5 LF UNIT-8 MCG-5 LF/0.5ML IM SYRINGE | $255.41 | $340.55 | $1.00–$333.74 | 121% above | 25% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 DIPHTHERIAPERTUSSIS(ACEL)TETANUS(PF) 0.5 ML IM SUSP (WRAPPER) | $255.50 | $340.66 | $1.15–$279.34 | 121% above | 25% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 DIPHTHPERTUSSIS(ACEL)TETANUS 2.5 LF UNIT-8 MCG-5 LF/0.5ML IM SYRINGE | $255.41 | $340.55 | $21.52–$333.74 | — | 25% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 DIPHTHERIAPERTUSSIS(ACEL)TETANUS(PF) 0.5 ML IM SUSP (WRAPPER) | $255.50 | $340.66 | $47.69–$255.50 | — | 25% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC IMMUNIZ ADMIN1 SINGLE/COMB VAC/TOXOID | $67.50 | $90.00 | $1.30–$73.80 | 35% below | 25% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC IMMUNIZ ADMIN1 SINGLE/COMB VAC/TOXOID | $67.50 | $90.00 | $25.20–$73.80 | — | 25% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 HC IMMUNIZADMINEACH ADDL | $67.50 | $90.00 | $13.50–$72.00 | 15% below | 25% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 HC IMMUNIZADMINEACH ADDL | $67.50 | $90.00 | $13.50–$88.20 | — | 25% |
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.