SelfPayRates
Hospital Williamsport, PA

UPMC Williamsport

UPMC Williamsport in Williamsport, PA publishes cash prices for 408 common procedures listed here, from its own machine-readable price file updated Mar 6, 2026. Compared with other hospitals in the state, its outpatient cash prices are above the Pennsylvania median for 273 of 406 procedures and below it for 114. By typical cash price it ranks #69 of 108 Pennsylvania hospitals, cheapest first. Select a procedure to compare it with other hospitals nearby.

700 High Street, Williamsport, PA 17701 Collected Sep 27, 2026 Source price file Check a bill from this hospital (570) 321-1000

Acute care hospital Nonprofit hospital Emergency department CMS star rating 3 of 5 CCN 390045 · CMS hospital register NPI 1609801976

Financial assistance

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

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

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

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

Scans and imaging

ProcedureCash priceList priceInsurers payvs PennsylvaniaOff list
Abdominal CT scan without and with contrast CPT 74170 CT ABDOMEN W WO CON $3,476.40 $5,794.00 $142.72–$4,635.20 84% above 40%
Abdominal CT scan without and with contrast inpatient CPT 74170 CT ABDOMEN W WO CON $3,476.40 $5,794.00 $2,482.15–$5,214.60 — 40%
Abdominal X-ray, 2 views CPT 74019 ABDOMEN 2 VIEWS $327.00 $545.00 $21.09–$436.00 at median 40%
Abdominal X-ray, 2 views inpatient CPT 74019 ABDOMEN 2 VIEWS $327.00 $545.00 $233.48–$490.50 — 40%
Ankle X-ray, complete, 3 or more views CPT 73610 ANKLE COMP MIN 3 VIEWS $307.20 $512.00 $23.97–$409.60 15% below 40%
Ankle X-ray, complete, 3 or more views inpatient CPT 73610 ANKLE COMP MIN 3 VIEWS $307.20 $512.00 $219.34–$460.80 — 40%
Ankle-brachial index (ABI), blood pressure test for leg arteries both sides CPT 93922 UP/LOW EXT ART EVAL SNG LEV BI $759.60 $1,266.00 $47.50–$1,012.80 — 40%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 NON INVAS BIL SNGL LEVEL ABI S $759.60 $1,266.00 $47.50–$1,012.80 70% above 40%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 ART EVAL SNG LEV/MLT UNI $759.60 $1,266.00 $47.50–$1,012.80 70% above 40%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient both sides CPT 93922 UP/LOW EXT ART EVAL SNG LEV BI $759.60 $1,266.00 $542.35–$1,139.40 — 40%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 ART EVAL SNG LEV/MLT UNI $759.60 $1,266.00 $542.35–$1,139.40 — 40%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 NON INVAS BIL SNGL LEVEL ABI S $759.60 $1,266.00 $542.35–$1,139.40 — 40%
Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 CT UPPER EXTREM WO CON $1,943.40 $3,239.00 $101.17–$2,591.20 65% above 40%
Arm CT scan without contrast (shoulder to hand, any part) inpatient CPT 73200 CT UPPER EXTREM WO CON $1,943.40 $3,239.00 $1,387.59–$2,915.10 — 40%
Barium swallow (esophagus X-ray with contrast) CPT 74220 ESOPHAGUS X-RAY XM SNGL CNTRST $713.40 $1,189.00 $28.80–$951.20 55% above 40%
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 ESOPHAGUS X-RAY XM SNGL CNTRST $713.40 $1,189.00 $509.37–$1,070.10 — 40%
Bone scan, whole body (nuclear medicine) CPT 78306 BONE/JNT IMAG WHOLE BODY $1,474.20 $2,457.00 $78.72–$1,965.60 20% above 40%
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 BONE/JNT IMAG WHOLE BODY $1,474.20 $2,457.00 $1,052.58–$2,211.30 — 40%
Breast ultrasound, complete, one breast one side CPT 76641 US BREAST COMPLETE UNILATERAL $546.60 $911.00 $68.39–$728.80 at median 40%
Breast ultrasound, complete, one breast inpatient one side CPT 76641 US BREAST COMPLETE UNILATERAL $546.60 $911.00 $390.27–$819.90 — 40%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 US BREAST LIMITED UNILATERAL $479.40 $799.00 $52.40–$639.20 4% above 40%
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 US BREAST LIMITED UNILATERAL $479.40 $799.00 $342.29–$719.10 — 40%
CT angiography (CTA) of the abdomen and pelvis CPT 74174 CTA ABD&PLV W/WO CON W/POSTPRC $7,318.20 $12,197.00 $343.82–$9,757.60 145% above 40%
CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 CTA ABD&PLV W/WO CON W/POSTPRC $7,318.20 $12,197.00 $5,225.19–$10,977.30 — 40%
CT angiography (CTA) of the head CPT 70496 CTA HEAD W/WO CON W/PST PROC $4,092.00 $6,820.00 $171.38–$5,456.00 140% above 40%
CT angiography (CTA) of the head inpatient CPT 70496 CTA HEAD W/WO CON W/PST PROC $4,092.00 $6,820.00 $2,921.69–$6,138.00 — 40%
CT angiography (CTA) of the neck CPT 70498 CTA NECK W/WO CON W/PST PROC $2,598.60 $4,331.00 $171.38–$3,464.80 56% above 40%
CT angiography (CTA) of the neck inpatient CPT 70498 CTA NECK W/WO CON W/PST PROC $2,598.60 $4,331.00 $1,855.40–$3,897.90 — 40%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CTA CHEST W/WO CON W/PST PROC $3,384.00 $5,640.00 $171.38–$4,512.00 76% above 40%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CTA CHEST W/WO CON W/PST PROC $3,384.00 $5,640.00 $2,416.18–$5,076.00 — 40%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CT ANGIO HRT W/3D IMAGE $2,133.00 $3,555.00 $265.05–$2,844.00 8% above 40%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 CT ANGIO HRT W/3D IMAGE $2,133.00 $3,555.00 $1,522.96–$3,199.50 — 40%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT HRT W/O DYE W/CA TEST $120.00 $200.00 $44.52–$160.00 32% below 40%
CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 CT HRT W/O DYE W/CA TEST $120.00 $200.00 $85.68–$180.00 — 40%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABD & PLVS WO CONTRAST $3,320.40 $5,534.00 $129.37–$4,427.20 60% above 40%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT ABD & PLVS WO CONTRAST $3,320.40 $5,534.00 $2,370.77–$4,980.60 — 40%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABD & PLVS W CONTRAST $4,453.20 $7,422.00 $246.69–$5,937.60 49% above 40%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABD & PLVS W CONTRAST $4,453.20 $7,422.00 $3,179.58–$6,679.80 — 40%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABD & PLVS W WO CONTRAST $5,723.40 $9,539.00 $326.02–$7,631.20 92% above 40%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT ABD & PLVS W WO CONTRAST $5,723.40 $9,539.00 $4,086.51–$8,585.10 — 40%
CT scan of the abdomen with contrast CPT 74160 CT ABDOMEN W CON $2,772.60 $4,621.00 $115.20–$3,696.80 68% above 40%
CT scan of the abdomen with contrast inpatient CPT 74160 CT ABDOMEN W CON $2,772.60 $4,621.00 $1,979.64–$4,158.90 — 40%
CT scan of the abdomen without contrast CPT 74150 CT ABDOMEN WO CON $2,175.00 $3,625.00 $99.20–$2,900.00 93% above 40%
CT scan of the abdomen without contrast inpatient CPT 74150 CT ABDOMEN WO CON $2,175.00 $3,625.00 $1,552.95–$3,262.50 — 40%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT MAXILLOFACIAL WO CON $1,590.60 $2,651.00 $99.20–$2,120.80 41% above 40%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT MAXILLOFACIAL WO CON $1,590.60 $2,651.00 $1,135.69–$2,385.90 — 40%
CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD WO CONTRAST $1,602.60 $2,671.00 $99.20–$2,136.80 48% above 40%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT HEAD WO CONTRAST $1,602.60 $2,671.00 $1,144.26–$2,403.90 — 40%
CT scan of the head with contrast CPT 70460 CT HEAD W CONTRAST $2,371.20 $3,952.00 $102.40–$3,161.60 75% above 40%
CT scan of the head with contrast inpatient CPT 70460 CT HEAD W CONTRAST $2,371.20 $3,952.00 $1,693.04–$3,556.80 — 40%
CT scan of the head without and with contrast CPT 70470 CT HEAD W WO CONTRAST $2,704.20 $4,507.00 $128.00–$3,605.60 62% above 40%
CT scan of the head without and with contrast inpatient CPT 70470 CT HEAD W WO CONTRAST $2,704.20 $4,507.00 $1,930.80–$4,056.30 — 40%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT LUMBAR SPINE WO CON $2,051.40 $3,419.00 $102.37–$2,735.20 78% above 40%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT LUMBAR SPINE WO CON $2,051.40 $3,419.00 $1,464.70–$3,077.10 — 40%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT CERVICAL SPINE WO CON $2,108.40 $3,514.00 $102.37–$2,811.20 79% above 40%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT CERVICAL SPINE WO CON $2,108.40 $3,514.00 $1,505.40–$3,162.60 — 40%
CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W CON $1,902.00 $3,170.00 $110.72–$2,536.00 12% above 40%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT PELVIS W CON $1,902.00 $3,170.00 $1,358.03–$2,853.00 — 40%
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 DUP CAROTID BILAT COMP $1,433.40 $2,389.00 $152.76–$1,911.20 — 40%
Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 DUPLEX EXTRACRANIAL ART BIL $1,433.40 $2,389.00 $152.76–$1,911.20 77% above 40%
Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 DUP CAROTID BILAT COMP $1,433.40 $2,389.00 $1,023.45–$2,150.10 — 40%
Carotid artery ultrasound (duplex), both sides of the neck inpatient CPT 93880 DUPLEX EXTRACRANIAL ART BIL $1,433.40 $2,389.00 $1,023.45–$2,150.10 — 40%
Chest CT scan without and with contrast CPT 71270 CT THORAX DX W/WO CON $3,152.40 $5,254.00 $132.48–$4,203.20 96% above 40%
Chest CT scan without and with contrast inpatient CPT 71270 CT THORAX DX W/WO CON $3,152.40 $5,254.00 $2,250.81–$4,728.60 — 40%
Chest X-ray, 2 views CPT 71046 CHEST 2 VIEWS $580.20 $967.00 $19.01–$773.60 80% above 40%
Chest X-ray, 2 views inpatient CPT 71046 CHEST 2 VIEWS $580.20 $967.00 $414.26–$870.30 — 40%
Chest X-ray, single view CPT 71045 CHEST 1 VIEW $175.20 $292.00 $10.38–$233.60 7% below 40%
Chest X-ray, single view inpatient CPT 71045 CHEST 1 VIEW $175.20 $292.00 $125.09–$262.80 — 40%
Collarbone (clavicle) X-ray, complete CPT 73000 CLAVICLE COMPLETE $258.60 $431.00 $14.72–$344.80 10% below 40%
Collarbone (clavicle) X-ray, complete inpatient CPT 73000 CLAVICLE COMPLETE $258.60 $431.00 $184.64–$387.90 — 40%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US RETROPERITONEAL COMPLETE $732.60 $1,221.00 $62.72–$976.80 1% above 40%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US RETROPERITONEAL COMPLETE $732.60 $1,221.00 $523.08–$1,098.90 — 40%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 DEXA AXIAL SKL 1 OR MORE SITES $240.00 $400.00 $66.12–$320.00 12% below 40%
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 DEXA AXIAL SKL 1 OR MORE SITES $240.00 $400.00 $171.36–$360.00 — 40%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 DEXA APPEND SKEL PERIPHERAL $121.20 $202.00 $22.63–$161.60 33% below 40%
DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 DEXA APPEND SKEL PERIPHERAL $121.20 $202.00 $86.54–$181.80 — 40%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT THORAX DX WO CON $2,244.60 $3,741.00 $102.37–$2,992.80 104% above 40%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT THORAX DX WO CON $2,244.60 $3,741.00 $1,602.64–$3,366.90 — 40%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT THORAX DX W CON $2,664.00 $4,440.00 $112.00–$3,552.00 87% above 40%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT THORAX DX W CON $2,664.00 $4,440.00 $1,902.10–$3,996.00 — 40%
Diagnostic mammogram, both breasts both sides CPT 77066 MAMMO DIGITAL DX BILAT WWO CAD $483.00 $805.00 $116.26–$724.50 — 40%
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 MAMMO DIGITAL DX BILAT WWO CAD $483.00 $805.00 $344.86–$724.50 — 40%
Diagnostic mammogram, one breast CPT 77065 MAMMO DIGITAL DX UNI WWO CAD $316.80 $528.00 $90.89–$475.20 at median 40%
Diagnostic mammogram, one breast inpatient CPT 77065 MAMMO DIGITAL DX UNI WWO CAD $316.80 $528.00 $226.20–$475.20 — 40%
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 DUPLEX ART LWR EXT BILAT $1,678.20 $2,797.00 $152.76–$2,237.60 — 40%
Duplex ultrasound of the leg arteries, both legs CPT 93925 DUPLEX LOWER EXT ARTERY BIL $1,678.20 $2,797.00 $152.76–$2,237.60 104% above 40%
Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 DUPLEX ART LWR EXT BILAT $1,678.20 $2,797.00 $1,198.23–$2,517.30 — 40%
Duplex ultrasound of the leg arteries, both legs inpatient CPT 93925 DUPLEX LOWER EXT ARTERY BIL $1,678.20 $2,797.00 $1,198.23–$2,517.30 — 40%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 DUPLEX EXT VEINS W/COMP/MAN BI $1,227.60 $2,046.00 $146.18–$1,636.80 — 40%
Duplex ultrasound of the leg veins, both legs CPT 93970 DUPLEX VENOUS UPPER LOWER BIL $1,227.60 $2,046.00 $146.18–$1,636.80 41% above 40%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 DUPLEX EXT VEINS W/COMP/MAN BI $1,227.60 $2,046.00 $876.51–$1,841.40 — 40%
Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 DUPLEX VENOUS UPPER LOWER BIL $1,227.60 $2,046.00 $876.51–$1,841.40 — 40%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 TTE W / DOPPLER COMP (BUNDLED) $2,265.00 $3,775.00 $125.62–$3,020.00 21% above 40%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 TTE W / DOPPLER COMP (BUNDLED) $2,265.00 $3,775.00 $1,617.21–$3,397.50 — 40%
Elbow X-ray, 2 views CPT 73070 ELBOW 2 VIEWS $544.80 $908.00 $14.72–$726.40 79% above 40%
Elbow X-ray, 2 views inpatient CPT 73070 ELBOW 2 VIEWS $544.80 $908.00 $388.99–$817.20 — 40%
Elbow X-ray, complete, 3 or more views CPT 73080 ELBOW MIN 3 VIEWS $373.80 $623.00 $14.72–$498.40 8% above 40%
Elbow X-ray, complete, 3 or more views inpatient CPT 73080 ELBOW MIN 3 VIEWS $373.80 $623.00 $266.89–$560.70 — 40%
Eye socket (orbit) CT scan without contrast CPT 70480 CT ORBIT SELLA P FOS EAR WO $1,623.00 $2,705.00 $102.37–$2,164.00 49% above 40%
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 CT ORBIT SELLA P FOS EAR WO $1,623.00 $2,705.00 $1,158.82–$2,434.50 — 40%
Facial bones X-ray, complete, 3 or more views CPT 70150 FACIAL BONES COMP MIN 3 VWS $444.00 $740.00 $28.80–$592.00 8% above 40%
Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 FACIAL BONES COMP MIN 3 VWS $444.00 $740.00 $317.02–$666.00 — 40%
Forearm X-ray (radius and ulna), 2 views CPT 73090 FOREARM 2 VIEWS $545.40 $909.00 $14.72–$727.20 95% above 40%
Forearm X-ray (radius and ulna), 2 views inpatient CPT 73090 FOREARM 2 VIEWS $545.40 $909.00 $389.42–$818.10 — 40%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HEPATOBIL SYS IMG INC GB $1,608.00 $2,680.00 $266.27–$2,144.00 31% above 40%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 HEPATOBIL SYS IMG INC GB $1,608.00 $2,680.00 $1,148.11–$2,412.00 — 40%
Hand X-ray, 2 views CPT 73120 HAND 2 VIEWS $564.60 $941.00 $12.80–$752.80 102% above 40%
Hand X-ray, 2 views inpatient CPT 73120 HAND 2 VIEWS $564.60 $941.00 $403.12–$846.90 — 40%
Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 CALCANEOUS MIN 2 VIEWS $292.80 $488.00 $14.72–$390.40 11% above 40%
Heel bone (calcaneus) X-ray, 2 or more views inpatient CPT 73650 CALCANEOUS MIN 2 VIEWS $292.80 $488.00 $209.06–$439.20 — 40%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 PSG WITH CPAP ATTENDED $6,491.40 $10,819.00 $662.62–$8,655.20 107% above 40%
In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 PSG WITH CPAP ATTENDED $6,491.40 $10,819.00 $4,634.86–$9,737.10 — 40%
Knee X-ray, 3 views CPT 73562 KNEE 3 VIEWS $399.00 $665.00 $21.12–$532.00 at median 40%
Knee X-ray, 3 views inpatient CPT 73562 KNEE 3 VIEWS $399.00 $665.00 $284.89–$598.50 — 40%
Knee X-ray, complete, 4 or more views CPT 73564 KNEE COMP 4 OR MORE VIEWS $477.00 $795.00 $28.70–$636.00 9% above 40%
Knee X-ray, complete, 4 or more views inpatient CPT 73564 KNEE COMP 4 OR MORE VIEWS $477.00 $795.00 $340.58–$715.50 — 40%
Leg CT scan without contrast (hip to foot, any part) CPT 73700 CT LOWER EXTREM WO CONT $2,358.60 $3,931.00 $101.17–$3,144.80 123% above 40%
Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 CT LOWER EXTREM WO CONT $2,358.60 $3,931.00 $1,684.04–$3,537.90 — 40%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ABD LIMITED $690.60 $1,151.00 $48.00–$920.80 14% above 40%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US ABD LIMITED $690.60 $1,151.00 $493.09–$1,035.90 — 40%
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 US LMTD JT/FCL EVL NVASC XTR $571.80 $953.00 $10.05–$762.40 45% above 40%
Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 US LMTD JT/FCL EVL NVASC XTR $571.80 $953.00 $408.27–$857.70 — 40%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 LOW DOSE CT LUNG CANCER SCRN $253.20 $422.00 $93.93–$337.60 36% below 40%
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 LOW DOSE CT LUNG CANCER SCRN $253.20 $422.00 $180.78–$379.80 — 40%
Lower leg X-ray (tibia and fibula), 2 views CPT 73590 TIBIA FIBULA 2 VIEWS $646.80 $1,078.00 $21.12–$862.40 94% above 40%
Lower leg X-ray (tibia and fibula), 2 views inpatient CPT 73590 TIBIA FIBULA 2 VIEWS $646.80 $1,078.00 $461.82–$970.20 — 40%
MR angiography (MRA) of the head without contrast CPT 70544 MRA BRAIN WO CON $2,366.40 $3,944.00 $232.71–$3,155.20 32% above 40%
MR angiography (MRA) of the head without contrast inpatient CPT 70544 MRA BRAIN WO CON $2,366.40 $3,944.00 $1,689.61–$3,549.60 — 40%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MR LOW EXTREM ANY JNT WO $2,514.00 $4,190.00 $232.71–$3,352.00 23% above 40%
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 MR LOW EXTREM ANY JNT WO $2,514.00 $4,190.00 $1,795.00–$3,771.00 — 40%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MR LOW EXTREM ANY JNT W/WO $4,010.40 $6,684.00 $343.82–$5,347.20 14% above 40%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 MR LOW EXTREM ANY JNT W/WO $4,010.40 $6,684.00 $2,863.43–$6,015.60 — 40%
MRI of the abdomen without contrast CPT 74181 MR ABDOMEN WO $2,514.00 $4,190.00 $232.71–$3,352.00 27% above 40%
MRI of the abdomen without contrast CPT 74181 MRCP WO CONTRAST $2,514.00 $4,190.00 $232.71–$3,352.00 27% above 40%
MRI of the abdomen without contrast inpatient CPT 74181 MRCP WO CONTRAST $2,514.00 $4,190.00 $1,795.00–$3,771.00 — 40%
MRI of the abdomen without contrast inpatient CPT 74181 MR ABDOMEN WO $2,514.00 $4,190.00 $1,795.00–$3,771.00 — 40%
MRI of the abdomen, without and then with contrast dye CPT 74183 MR ABDOMEN W/WO $4,010.40 $6,684.00 $343.82–$5,347.20 14% above 40%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MR ABDOMEN W/WO $4,010.40 $6,684.00 $2,863.43–$6,015.60 — 40%
MRI of the brain, no contrast dye CPT 70551 MR BRAIN WO CON $2,398.20 $3,997.00 $232.71–$3,197.60 32% above 40%
MRI of the brain, no contrast dye inpatient CPT 70551 MR BRAIN WO CON $2,398.20 $3,997.00 $1,712.31–$3,597.30 — 40%
MRI of the brain, with and without contrast dye CPT 70553 MR BRAIN W WO CON $3,804.00 $6,340.00 $343.82–$5,072.00 31% above 40%
MRI of the brain, with and without contrast dye inpatient CPT 70553 MR BRAIN W WO CON $3,804.00 $6,340.00 $2,716.06–$5,706.00 — 40%
MRI of the lower back, no contrast dye CPT 72148 MR SP CANAL LUMBAR WO $2,514.00 $4,190.00 $232.71–$3,352.00 40% above 40%
MRI of the lower back, no contrast dye inpatient CPT 72148 MR SP CANAL LUMBAR WO $2,514.00 $4,190.00 $1,795.00–$3,771.00 — 40%
MRI of the lower back, without and then with contrast dye CPT 72158 MR SP CANAL LUMBAR W WO $4,010.40 $6,684.00 $343.82–$5,347.20 23% above 40%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MR SP CANAL LUMBAR W WO $4,010.40 $6,684.00 $2,863.43–$6,015.60 — 40%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MR SP CANAL THORACIC WO $2,514.00 $4,190.00 $232.71–$3,352.00 21% above 40%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MR SP CANAL THORACIC WO $2,514.00 $4,190.00 $1,795.00–$3,771.00 — 40%
MRI of the neck (cervical spine) without and with contrast CPT 72156 MR SP CANAL CERVICAL W WO $3,867.60 $6,446.00 $343.82–$5,156.80 33% above 40%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MR SP CANAL CERVICAL W WO $3,867.60 $6,446.00 $2,761.47–$5,801.40 — 40%
MRI of the neck (cervical spine), no contrast dye CPT 72141 MR SP CANAL CERVICAL WO $2,424.00 $4,040.00 $232.71–$3,232.00 38% above 40%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MR SP CANAL CERVICAL WO $2,424.00 $4,040.00 $1,730.74–$3,636.00 — 40%
MRI of the pelvis without and with contrast CPT 72197 MR PELVIS W WO $4,010.40 $6,684.00 $343.82–$5,347.20 14% above 40%
MRI of the pelvis without and with contrast inpatient CPT 72197 MR PELVIS W WO $4,010.40 $6,684.00 $2,863.43–$6,015.60 — 40%
MRI of the pelvis, no contrast dye CPT 72195 MR PELVIS WO $2,514.00 $4,190.00 $232.71–$3,352.00 28% above 40%
MRI of the pelvis, no contrast dye inpatient CPT 72195 MR PELVIS WO $2,514.00 $4,190.00 $1,795.00–$3,771.00 — 40%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MR UP EXTREM ANY JOINT WO $2,514.00 $4,190.00 $232.71–$3,352.00 18% above 40%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 MR UP EXTREM ANY JOINT WO $2,514.00 $4,190.00 $1,795.00–$3,771.00 — 40%
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 SPINE CERVICAL 4 OR 5 VIEWS $526.20 $877.00 $33.92–$701.60 20% above 40%
Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 SPINE CERVICAL 4 OR 5 VIEWS $526.20 $877.00 $375.71–$789.30 — 40%
Neck soft tissue CT scan with contrast CPT 70491 CT SOFT TISSUE NECK W CON $2,511.00 $4,185.00 $105.60–$3,348.00 86% above 40%
Neck soft tissue CT scan with contrast inpatient CPT 70491 CT SOFT TISSUE NECK W CON $2,511.00 $4,185.00 $1,792.85–$3,766.50 — 40%
Neck soft tissue CT scan without contrast CPT 70490 CT SOFT TISSUE NECK WO CON $2,061.60 $3,436.00 $101.12–$2,748.80 90% above 40%
Neck soft tissue CT scan without contrast inpatient CPT 70490 CT SOFT TISSUE NECK WO CON $2,061.60 $3,436.00 $1,471.98–$3,092.40 — 40%
Neck soft tissue X-ray CPT 70360 NECK SOFT TISSUE $285.60 $476.00 $12.80–$380.80 2% above 40%
Neck soft tissue X-ray inpatient CPT 70360 NECK SOFT TISSUE $285.60 $476.00 $203.92–$428.40 — 40%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 HT MSCL IMG SPECT MLT $4,206.60 $7,011.00 $356.28–$5,608.80 7% above 40%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 EXER SEST/REST SEST SPECT $4,206.60 $7,011.00 $356.28–$5,608.80 7% above 40%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 HT MSCL IMG SPECT MLT $4,206.60 $7,011.00 $3,003.51–$6,309.90 — 40%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 EXER SEST/REST SEST SPECT $4,206.60 $7,011.00 $3,003.51–$6,309.90 — 40%
PET/CT scan from the base of the skull to mid-thigh CPT 78815 TUMOR IMAGE PET/CT SKULL-THIGH $6,981.60 $11,636.00 $1,404.22–$10,472.40 4% below 40%
PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 TUMOR IMAGE PET/CT SKULL-THIGH $6,981.60 $11,636.00 $4,984.86–$10,472.40 — 40%
Pelvic CT scan without contrast CPT 72192 CT PELVIS WO CON $1,313.40 $2,189.00 $86.40–$1,751.20 20% above 40%
Pelvic CT scan without contrast inpatient CPT 72192 CT PELVIS WO CON $1,313.40 $2,189.00 $937.77–$1,970.10 — 40%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US PELVIC LTD/FOLLOW UP $718.80 $1,198.00 $24.32–$958.40 61% above 40%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US PELVIC LTD/FOLLOW UP $718.80 $1,198.00 $513.22–$1,078.20 — 40%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US PELVIS COMP (NONOBSTETRIC) $732.00 $1,220.00 $59.52–$976.00 26% above 40%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US PELVIS COMP (NONOBSTETRIC) $732.00 $1,220.00 $522.65–$1,098.00 — 40%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US PREGNANT UTERUS>14WKS $690.60 $1,151.00 $59.52–$920.80 12% above 40%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US PREGNANT UTERUS>14WKS $690.60 $1,151.00 $493.09–$1,035.90 — 40%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US PREG UTERUS 1ST TRI <14WKS $690.60 $1,151.00 $49.14–$920.80 23% above 40%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 US PREG UTERUS 1ST TRI <14WKS $690.60 $1,151.00 $493.09–$1,035.90 — 40%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US PREGNANT UTERUS LTD $658.80 $1,098.00 $49.92–$878.40 23% above 40%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 US PREGNANT UTERUS LTD $658.80 $1,098.00 $470.38–$988.20 — 40%
Rib X-ray, one side, 2 views one side CPT 71100 RIBS UNILAT MIN 2 VWS $304.80 $508.00 $21.12–$406.40 9% below 40%
Rib X-ray, one side, 2 views inpatient one side CPT 71100 RIBS UNILAT MIN 2 VWS $304.80 $508.00 $217.63–$457.20 — 40%
Rib X-ray, one side, with a chest view, 3 or more views CPT 71101 RIBS UNI W/PA CXR MIN 3VW $399.00 $665.00 $21.12–$532.00 3% below 40%
Rib X-ray, one side, with a chest view, 3 or more views inpatient CPT 71101 RIBS UNI W/PA CXR MIN 3VW $399.00 $665.00 $284.89–$598.50 — 40%
Screening mammogram, both breasts both sides CPT 77067 MAMMO DIGI SCR BILAT WWO CAD $205.20 $342.00 $92.34–$307.80 — 40%
Screening mammogram, both breasts inpatient both sides CPT 77067 MAMMO DIGI SCR BILAT WWO CAD $205.20 $342.00 $146.51–$307.80 — 40%
Shoulder X-ray, complete, 2 or more views CPT 73030 SHOULDER MIN 2 VIEWS $307.20 $512.00 $21.12–$409.60 9% below 40%
Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 SHOULDER MIN 2 VIEWS $307.20 $512.00 $219.34–$460.80 — 40%
Sinus X-ray, complete, 3 or more views CPT 70220 SINUS COMP MIN 3 VWS $448.80 $748.00 $28.80–$598.40 6% above 40%
Sinus X-ray, complete, 3 or more views inpatient CPT 70220 SINUS COMP MIN 3 VWS $448.80 $748.00 $320.44–$673.20 — 40%
Skull X-ray, fewer than 4 views CPT 70250 SKULL <4 VIEWS $364.20 $607.00 $26.88–$485.60 2% above 40%
Skull X-ray, fewer than 4 views inpatient CPT 70250 SKULL <4 VIEWS $364.20 $607.00 $260.04–$546.30 — 40%
Sleep study in a lab (polysomnography) CPT 95810 PSG 9+PARAM ATTENDED $5,466.60 $9,111.00 $346.01–$7,288.80 58% above 40%
Sleep study in a lab (polysomnography) inpatient CPT 95810 PSG 9+PARAM ATTENDED $5,466.60 $9,111.00 $3,903.15–$8,199.90 — 40%
Stress echocardiogram, complete, including the stress test and supervision CPT 93351 STRESS TTE COMP (MD SUPERVISD) $1,989.60 $3,316.00 $152.59–$2,652.80 9% above 40%
Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 STRESS TTE COMP (MD SUPERVISD) $1,989.60 $3,316.00 $1,420.57–$2,984.40 — 40%
Swallow study (modified barium swallow, video X-ray) CPT 74230 SWALLOWING FUNC ESOPH $828.00 $1,380.00 $35.84–$1,104.00 40% above 40%
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 SWALLOWING FUNC ESOPH $828.00 $1,380.00 $591.19–$1,242.00 — 40%
Thigh bone (femur) X-ray, 2 or more views CPT 73552 X-RAY EXAM OF FEMUR 2/> $599.40 $999.00 $21.82–$799.20 50% above 40%
Thigh bone (femur) X-ray, 2 or more views inpatient CPT 73552 X-RAY EXAM OF FEMUR 2/> $599.40 $999.00 $427.97–$899.10 — 40%
Thoracic spine (mid back) CT scan without contrast CPT 72128 CT THORACIC SPINE WO CON $2,074.20 $3,457.00 $102.37–$2,765.60 77% above 40%
Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 CT THORACIC SPINE WO CON $2,074.20 $3,457.00 $1,480.98–$3,111.30 — 40%
Toe X-ray, 2 or more views CPT 73660 TOE(S) MIN 2 VIEWS $364.80 $608.00 $11.52–$486.40 30% above 40%
Toe X-ray, 2 or more views inpatient CPT 73660 TOE(S) MIN 2 VIEWS $364.80 $608.00 $260.47–$547.20 — 40%
Transvaginal pelvic ultrasound CPT 76830 US TRANSVAGINAL $678.60 $1,131.00 $59.52–$904.80 21% above 40%
Transvaginal pelvic ultrasound inpatient CPT 76830 US TRANSVAGINAL $678.60 $1,131.00 $484.52–$1,017.90 — 40%
Transvaginal ultrasound during pregnancy CPT 76817 US PREGNANT UTERUS TRANSVAG $678.60 $1,131.00 $67.88–$904.80 23% above 40%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 US PREGNANT UTERUS TRANSVAG $678.60 $1,131.00 $484.52–$1,017.90 — 40%
Ultrasound of the abdomen, complete CPT 76700 US ABDOMINAL COMPLETE $916.80 $1,528.00 $73.60–$1,222.40 17% above 40%
Ultrasound of the abdomen, complete inpatient CPT 76700 US ABDOMINAL COMPLETE $916.80 $1,528.00 $654.60–$1,375.20 — 40%
Ultrasound of the scrotum and testicles CPT 76870 US SCROTUM TESTES $646.20 $1,077.00 $56.32–$861.60 5% above 40%
Ultrasound of the scrotum and testicles inpatient CPT 76870 US SCROTUM TESTES $646.20 $1,077.00 $461.39–$969.30 — 40%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US THYROID/NECK/SOFT TISSUE $646.20 $1,077.00 $65.25–$861.60 13% above 40%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US THYROID/NECK/SOFT TISSUE $646.20 $1,077.00 $461.39–$969.30 — 40%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 UGI W WO DLAYED FILMS W WO KUB $580.20 $967.00 $49.92–$773.60 8% below 40%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 UGI W WO DLAYED FILMS W WO KUB $580.20 $967.00 $414.26–$870.30 — 40%
Upper arm X-ray (humerus), 2 views CPT 73060 HUMERUS MIN 2 VIEWS $567.00 $945.00 $14.72–$756.00 105% above 40%
Upper arm X-ray (humerus), 2 views inpatient CPT 73060 HUMERUS MIN 2 VIEWS $567.00 $945.00 $404.84–$850.50 — 40%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 DUP EX VEINS W/COM-MAN UNI/LTD $829.20 $1,382.00 $100.61–$1,105.60 29% above 40%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 DUPLEX VENOUS UNIL OR LTD $829.20 $1,382.00 $100.61–$1,105.60 29% above 40%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 DUPLEX VENOUS UPR UNIL OR LTD $829.20 $1,382.00 $100.61–$1,105.60 29% above 40%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 DUPLEX VENOUS UNIL OR LTD $829.20 $1,382.00 $592.05–$1,243.80 — 40%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 DUP EX VEINS W/COM-MAN UNI/LTD $829.20 $1,382.00 $592.05–$1,243.80 — 40%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 DUPLEX VENOUS UPR UNIL OR LTD $829.20 $1,382.00 $592.05–$1,243.80 — 40%
Wrist X-ray, 2 views CPT 73100 WRIST 2 VIEWS $587.40 $979.00 $14.72–$783.20 114% above 40%
Wrist X-ray, 2 views inpatient CPT 73100 WRIST 2 VIEWS $587.40 $979.00 $419.40–$881.10 — 40%
Wrist X-ray, complete, 3 or more views CPT 73110 WRIST MIN 3 VIEWS $309.60 $516.00 $14.72–$412.80 4% below 40%
Wrist X-ray, complete, 3 or more views inpatient CPT 73110 WRIST MIN 3 VIEWS $309.60 $516.00 $221.05–$464.40 — 40%
X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 X-RAY EXAM HIP UNI 2-3 VIEWS $653.40 $1,089.00 $28.62–$871.20 84% above 40%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient CPT 73502 X-RAY EXAM HIP UNI 2-3 VIEWS $653.40 $1,089.00 $466.53–$980.10 — 40%
X-ray of the abdomen, 1 view CPT 74018 ABDOMEN 1 VIEW $538.20 $897.00 $17.63–$717.60 92% above 40%
X-ray of the abdomen, 1 view inpatient CPT 74018 ABDOMEN 1 VIEW $538.20 $897.00 $384.27–$807.30 — 40%
X-ray of the ankle, 2 views CPT 73600 ANKLE 2 VIEWS $577.20 $962.00 $14.72–$769.60 71% above 40%
X-ray of the ankle, 2 views inpatient CPT 73600 ANKLE 2 VIEWS $577.20 $962.00 $412.12–$865.80 — 40%
X-ray of the finger(s), 2 or more views CPT 73140 FINGER(S) MIN 2 VIEWS $294.60 $491.00 $11.52–$392.80 22% above 40%
X-ray of the finger(s), 2 or more views inpatient CPT 73140 FINGER(S) MIN 2 VIEWS $294.60 $491.00 $210.34–$441.90 — 40%
X-ray of the foot, 2 views CPT 73620 FOOT 2 VIEWS $627.60 $1,046.00 $12.80–$836.80 93% above 40%
X-ray of the foot, 2 views inpatient CPT 73620 FOOT 2 VIEWS $627.60 $1,046.00 $448.11–$941.40 — 40%
X-ray of the foot, complete, 3 or more views CPT 73630 FOOT MIN 3 VIEWS $364.80 $608.00 $14.72–$486.40 at median 40%
X-ray of the foot, complete, 3 or more views inpatient CPT 73630 FOOT MIN 3 VIEWS $364.80 $608.00 $260.47–$547.20 — 40%
X-ray of the hand, 3 or more views CPT 73130 HAND MIN 3 VIEWS $294.60 $491.00 $14.72–$392.80 1% below 40%
X-ray of the hand, 3 or more views inpatient CPT 73130 HAND MIN 3 VIEWS $294.60 $491.00 $210.34–$441.90 — 40%
X-ray of the knee, 1 or 2 views CPT 73560 KNEE 1 OR 2 VIEWS $608.40 $1,014.00 $21.12–$811.20 116% above 40%
X-ray of the knee, 1 or 2 views inpatient CPT 73560 KNEE 1 OR 2 VIEWS $608.40 $1,014.00 $434.40–$912.60 — 40%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 SPINE LUMBOSACRAL 2-3 VIEWS $417.00 $695.00 $28.80–$556.00 14% above 40%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 SPINE LUMBOSACRAL 2-3 VIEWS $417.00 $695.00 $297.74–$625.50 — 40%
X-ray of the lower back, 4 or more views CPT 72110 SPINE LUMBOSAC MIN 4 VWS $710.40 $1,184.00 $28.80–$947.20 57% above 40%
X-ray of the lower back, 4 or more views inpatient CPT 72110 SPINE LUMBOSAC MIN 4 VWS $710.40 $1,184.00 $507.23–$1,065.60 — 40%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 SPINE THORACIC 2 VIEWS $642.00 $1,070.00 $25.84–$856.00 76% above 40%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 SPINE THORACIC 2 VIEWS $642.00 $1,070.00 $458.39–$963.00 — 40%
X-ray of the nasal bones, 3 or more views CPT 70160 NASAL BONES COMP MIN 3 VWS $262.20 $437.00 $14.72–$349.60 3% below 40%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 NASAL BONES COMP MIN 3 VWS $262.20 $437.00 $187.21–$393.30 — 40%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 SPINE CERVICAL 3 VIEWS OR LESS $637.20 $1,062.00 $21.12–$849.60 92% above 40%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 SPINE CERVICAL 3 VIEWS OR LESS $637.20 $1,062.00 $454.96–$955.80 — 40%
X-ray of the pelvis, 1 or 2 views CPT 72170 PELVIS 1 OR 2 VIEWS $511.20 $852.00 $12.80–$681.60 75% above 40%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 PELVIS 1 OR 2 VIEWS $511.20 $852.00 $365.00–$766.80 — 40%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 SACRUM & COCCYX MIN 2 VWS $387.60 $646.00 $21.12–$516.80 16% above 40%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 SACRUM & COCCYX MIN 2 VWS $387.60 $646.00 $276.75–$581.40 — 40%

Lab tests

ProcedureCash priceList priceInsurers payvs PennsylvaniaOff list
ACTH blood test CPT 82024 ACTH PLASMA 2 SPECIMENS $616.80 $1,028.00 $38.17–$822.40 177% above 40%
ACTH blood test CPT 82024 ADRENOCORT HORMONE PLASMA $616.80 $1,028.00 $38.17–$822.40 177% above 40%
ACTH blood test CPT 82024 ACTH ADRENOCORTICOTROPIC HORMN $616.80 $1,028.00 $38.17–$822.40 177% above 40%
ACTH blood test inpatient CPT 82024 ACTH ADRENOCORTICOTROPIC HORMN $616.80 $1,028.00 $440.40–$925.20 — 40%
ACTH blood test inpatient CPT 82024 ADRENOCORT HORMONE PLASMA $616.80 $1,028.00 $440.40–$925.20 — 40%
ACTH blood test inpatient CPT 82024 ACTH PLASMA 2 SPECIMENS $616.80 $1,028.00 $440.40–$925.20 — 40%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 SGPT/ALT $133.80 $223.00 $5.24–$178.40 268% above 40%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 SGPT/ALT P5140 $133.80 $223.00 $5.24–$178.40 268% above 40%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALANINE AMINO(ALT)(SGPT) P3356 $133.80 $223.00 $5.24–$178.40 268% above 40%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALANINE AMINO P3896 $133.80 $223.00 $5.24–$178.40 268% above 40%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALT P8027 $133.80 $223.00 $5.24–$178.40 268% above 40%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALANINE AMINO P9445 $133.80 $223.00 $5.24–$178.40 268% above 40%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 ALANINE AMINO(ALT)(SGPT) P3356 $133.80 $223.00 $95.53–$200.70 — 40%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 ALANINE AMINO P9445 $133.80 $223.00 $95.53–$200.70 — 40%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 ALT P8027 $133.80 $223.00 $95.53–$200.70 — 40%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 ALANINE AMINO P3896 $133.80 $223.00 $95.53–$200.70 — 40%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 SGPT/ALT P5140 $133.80 $223.00 $95.53–$200.70 — 40%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 SGPT/ALT $133.80 $223.00 $95.53–$200.70 — 40%
AST (aspartate aminotransferase) enzyme test CPT 84450 AST P8027 $39.60 $66.00 $5.12–$52.80 9% above 40%
AST (aspartate aminotransferase) enzyme test CPT 84450 TRANSFERASE (AST)(SGOT) P3356 $39.60 $66.00 $5.12–$52.80 9% above 40%
AST (aspartate aminotransferase) enzyme test CPT 84450 TRANSFERASE P9445 $39.60 $66.00 $5.12–$52.80 9% above 40%
AST (aspartate aminotransferase) enzyme test CPT 84450 SGOT/AST $39.60 $66.00 $5.12–$52.80 9% above 40%
AST (aspartate aminotransferase) enzyme test CPT 84450 SGOT/AST P5140 $39.60 $66.00 $5.12–$52.80 9% above 40%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 SGOT/AST $39.60 $66.00 $28.27–$59.40 — 40%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 TRANSFERASE P9445 $39.60 $66.00 $28.27–$59.40 — 40%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 TRANSFERASE (AST)(SGOT) P3356 $39.60 $66.00 $28.27–$59.40 — 40%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 SGOT/AST P5140 $39.60 $66.00 $28.27–$59.40 — 40%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 AST P8027 $39.60 $66.00 $28.27–$59.40 — 40%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 ACUTE HEPATITIS PANEL $762.60 $1,271.00 $47.07–$1,016.80 146% above 40%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 ACUTE HEPATITIS PANEL $762.60 $1,271.00 $544.50–$1,143.90 — 40%
Albumin blood test CPT 82040 ALBUMIN SERUM P4556 $66.60 $111.00 $4.01–$88.80 108% above 40%
Albumin blood test CPT 82040 ALBUMIN SERUM PNL 2260 $66.60 $111.00 $4.01–$88.80 108% above 40%
Albumin blood test CPT 82040 ALBUMIN $66.60 $111.00 $4.01–$88.80 108% above 40%
Albumin blood test CPT 82040 ALBUMIN SERUM P8027 $66.60 $111.00 $4.01–$88.80 108% above 40%
Albumin blood test CPT 82040 ALBUMIN IN SERUM PNL 1810 $66.60 $111.00 $4.01–$88.80 108% above 40%
Albumin blood test CPT 82040 ALBUMIN SERUM P2435 $66.60 $111.00 $4.01–$88.80 108% above 40%
Albumin blood test CPT 82040 ALBUMIN PNL $66.60 $111.00 $4.01–$88.80 108% above 40%
Albumin blood test CPT 82040 ALBUMIN SERUM $66.60 $111.00 $4.01–$88.80 108% above 40%
Albumin blood test inpatient CPT 82040 ALBUMIN $66.60 $111.00 $47.55–$99.90 — 40%
Albumin blood test inpatient CPT 82040 ALBUMIN SERUM $66.60 $111.00 $47.55–$99.90 — 40%
Albumin blood test inpatient CPT 82040 ALBUMIN SERUM P8027 $66.60 $111.00 $47.55–$99.90 — 40%
Albumin blood test inpatient CPT 82040 ALBUMIN PNL $66.60 $111.00 $47.55–$99.90 — 40%
Albumin blood test inpatient CPT 82040 ALBUMIN SERUM P2435 $66.60 $111.00 $47.55–$99.90 — 40%
Albumin blood test inpatient CPT 82040 ALBUMIN IN SERUM PNL 1810 $66.60 $111.00 $47.55–$99.90 — 40%
Albumin blood test inpatient CPT 82040 ALBUMIN SERUM P4556 $66.60 $111.00 $47.55–$99.90 — 40%
Albumin blood test inpatient CPT 82040 ALBUMIN SERUM PNL 2260 $66.60 $111.00 $47.55–$99.90 — 40%
Aldosterone blood test CPT 82088 ALDOSTERONE $569.40 $949.00 $28.60–$759.20 173% above 40%
Aldosterone blood test CPT 82088 ALDOSTERONE P2402 $569.40 $949.00 $28.60–$759.20 173% above 40%
Aldosterone blood test CPT 82088 ALDOSTERONE 24HR URINE $569.40 $949.00 $28.60–$759.20 173% above 40%
Aldosterone blood test CPT 82088 ALDOSTERONE ADRENAL VEIN $569.40 $949.00 $28.60–$759.20 173% above 40%
Aldosterone blood test inpatient CPT 82088 ALDOSTERONE ADRENAL VEIN $569.40 $949.00 $406.55–$854.10 — 40%
Aldosterone blood test inpatient CPT 82088 ALDOSTERONE $569.40 $949.00 $406.55–$854.10 — 40%
Aldosterone blood test inpatient CPT 82088 ALDOSTERONE 24HR URINE $569.40 $949.00 $406.55–$854.10 — 40%
Aldosterone blood test inpatient CPT 82088 ALDOSTERONE P2402 $569.40 $949.00 $406.55–$854.10 — 40%
Alkaline phosphatase (ALP) blood test CPT 84075 ALKALINE PHOSPHATASE BONE $114.00 $190.00 $5.12–$152.00 213% above 40%
Alkaline phosphatase (ALP) blood test CPT 84075 ALKALINE PHOSPHATASE $114.00 $190.00 $5.12–$152.00 213% above 40%
Alkaline phosphatase (ALP) blood test CPT 84075 PHOSPHATASE ALKALINE P3374 $114.00 $190.00 $5.12–$152.00 213% above 40%
Alkaline phosphatase (ALP) blood test CPT 84075 TOTAL ALP PNL 1480 $114.00 $190.00 $5.12–$152.00 213% above 40%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 ALKALINE PHOSPHATASE $114.00 $190.00 $81.40–$171.00 — 40%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 ALKALINE PHOSPHATASE BONE $114.00 $190.00 $81.40–$171.00 — 40%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 TOTAL ALP PNL 1480 $114.00 $190.00 $81.40–$171.00 — 40%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 PHOSPHATASE ALKALINE P3374 $114.00 $190.00 $81.40–$171.00 — 40%
Allergy blood test, specific IgE, per allergen CPT 86003 SQUID IGE $25.80 $43.00 $5.16–$34.40 20% below 40%
Allergy blood test, specific IgE, per allergen CPT 86003 GERBIL IGE $25.80 $43.00 $5.16–$34.40 20% below 40%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPECIFIC IGE P0861 $25.80 $43.00 $5.16–$34.40 20% below 40%
Allergy blood test, specific IgE, per allergen CPT 86003 MOUSE URINE PROT IGE $25.80 $43.00 $5.16–$34.40 20% below 40%
Allergy blood test, specific IgE, per allergen CPT 86003 PINE NUT IGE $25.80 $43.00 $5.16–$34.40 20% below 40%
Allergy blood test, specific IgE, per allergen CPT 86003 GOAT EPITHELIA IGE $25.80 $43.00 $5.16–$34.40 20% below 40%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPEC IGE QUANT P1246 $25.80 $43.00 $5.16–$34.40 20% below 40%
Allergy blood test, specific IgE, per allergen CPT 86003 FERRET EPITHELIUM IGE $25.80 $43.00 $5.16–$34.40 20% below 40%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN/GINGER IGE $25.80 $43.00 $5.16–$34.40 20% below 40%
Allergy blood test, specific IgE, per allergen CPT 86003 RAT EPITHELIA IGE $25.80 $43.00 $5.16–$34.40 20% below 40%
Allergy blood test, specific IgE, per allergen CPT 86003 PAPRIKA IGE $25.80 $43.00 $5.16–$34.40 20% below 40%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN LICORICE IGE $25.80 $43.00 $5.16–$34.40 20% below 40%
Allergy blood test, specific IgE, per allergen CPT 86003 ALTERNARIUS T ALLERGEN $25.80 $43.00 $5.16–$34.40 20% below 40%
Allergy blood test, specific IgE, per allergen CPT 86003 GALACTSE-ALPHA-1 3-GALACTS IGE $25.80 $43.00 $5.16–$34.40 20% below 40%
Allergy blood test, specific IgE, per allergen CPT 86003 BANANA IGE $25.80 $43.00 $5.16–$34.40 20% below 40%
Allergy blood test, specific IgE, per allergen CPT 86003 HORSERADISH IGE $25.80 $43.00 $5.16–$34.40 20% below 40%
Allergy blood test, specific IgE, per allergen CPT 86003 WHITEFISH IGE $25.80 $43.00 $5.16–$34.40 20% below 40%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPEC IGE FUSARM SOLAN $25.80 $43.00 $5.16–$34.40 20% below 40%
Allergy blood test, specific IgE, per allergen CPT 86003 BERMUDA ALLERGEN $25.80 $43.00 $5.16–$34.40 20% below 40%
Allergy blood test, specific IgE, per allergen CPT 86003 PENICILLIN V IGE $25.80 $43.00 $5.16–$34.40 20% below 40%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY/SHELLFISH PANEL $25.80 $43.00 $5.16–$34.40 20% below 40%
Allergy blood test, specific IgE, per allergen CPT 86003 BRUSSEL SPROUTS (F217) IGE $25.80 $43.00 $5.16–$34.40 20% below 40%
Allergy blood test, specific IgE, per allergen CPT 86003 CAT DANDER (EPITHEL) ALLERGEN $25.80 $43.00 $5.16–$34.40 20% below 40%
Allergy blood test, specific IgE, per allergen CPT 86003 ZUCCHINI (CUCURBITA SPP) IGE $25.80 $43.00 $5.16–$34.40 20% below 40%
Allergy blood test, specific IgE, per allergen CPT 86003 CHILI PEPPER IGE $25.80 $43.00 $5.16–$34.40 20% below 40%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLG SPEC IGE TUMERIC C.LONGA $25.80 $43.00 $5.16–$34.40 20% below 40%
Allergy blood test, specific IgE, per allergen CPT 86003 EGG WHITE ALLERGEN $25.80 $43.00 $5.16–$34.40 20% below 40%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN AVOCADO IGE $25.80 $43.00 $5.16–$34.40 20% below 40%
Allergy blood test, specific IgE, per allergen CPT 86003 ACREMONIUM KILIENSE IGE $25.80 $43.00 $5.16–$34.40 20% below 40%
Allergy blood test, specific IgE, per allergen CPT 86003 EGG YOLK ALLERGEN $25.80 $43.00 $5.16–$34.40 20% below 40%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE HOPS $25.80 $43.00 $5.16–$34.40 20% below 40%
Allergy blood test, specific IgE, per allergen CPT 86003 CABBAGE IGE $25.80 $43.00 $5.16–$34.40 20% below 40%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN COFFEE IGE $25.80 $43.00 $5.16–$34.40 20% below 40%
Allergy blood test, specific IgE, per allergen CPT 86003 MAPLE (BOX ELDER) TREE $25.80 $43.00 $5.16–$34.40 20% below 40%
Allergy blood test, specific IgE, per allergen CPT 86003 OCTOPUS (F59) IGE $25.80 $43.00 $5.16–$34.40 20% below 40%
Allergy blood test, specific IgE, per allergen CPT 86003 MILK ALLERGEN $25.80 $43.00 $5.16–$34.40 20% below 40%
Allergy blood test, specific IgE, per allergen CPT 86003 PUMPKIN IGE $25.80 $43.00 $5.16–$34.40 20% below 40%
Allergy blood test, specific IgE, per allergen CPT 86003 ALRGY PNL18 NUT MIX GRP 7918X $25.80 $43.00 $5.16–$34.40 20% below 40%
Allergy blood test, specific IgE, per allergen CPT 86003 ANCHOVY IGE $25.80 $43.00 $5.16–$34.40 20% below 40%
Allergy blood test, specific IgE, per allergen CPT 86003 SOYBEAN ALLERGEN $25.80 $43.00 $5.16–$34.40 20% below 40%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN PORCINE GELATIN IGE $25.80 $43.00 $5.16–$34.40 20% below 40%
Allergy blood test, specific IgE, per allergen CPT 86003 WHEAT ALLERGEN $25.80 $43.00 $5.16–$34.40 20% below 40%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN/BOVINE GELATIN IGE $25.80 $43.00 $5.16–$34.40 20% below 40%
Allergy blood test, specific IgE, per allergen CPT 86003 TIMOTHY ALLERGEN $25.80 $43.00 $5.16–$34.40 20% below 40%
Allergy blood test, specific IgE, per allergen CPT 86003 CORIANDER/CILANTRO IGE $25.80 $43.00 $5.16–$34.40 20% below 40%
Allergy blood test, specific IgE, per allergen CPT 86003 PEANUT TL RFX TO PEANT COM PN $25.80 $43.00 $5.16–$34.40 20% below 40%
Allergy blood test, specific IgE, per allergen CPT 86003 MELONS IGE $25.80 $43.00 $5.16–$34.40 20% below 40%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN CULT RYE GRASS IGE $25.80 $43.00 $5.16–$34.40 20% below 40%
Allergy blood test, specific IgE, per allergen CPT 86003 MOUSE EPITHELIA IGE $25.80 $43.00 $5.16–$34.40 20% below 40%
Allergy blood test, specific IgE, per allergen CPT 86003 A LACTOALBUMIN ALLERGEN P 5416 $25.80 $43.00 $5.16–$34.40 20% below 40%
Allergy blood test, specific IgE, per allergen CPT 86003 PEAR IGE $25.80 $43.00 $5.16–$34.40 20% below 40%
Allergy blood test, specific IgE, per allergen CPT 86003 B LACTOGLOBULIN ALLERGEN P5416 $25.80 $43.00 $5.16–$34.40 20% below 40%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPEC IGE EA P1235 $25.80 $43.00 $5.16–$34.40 20% below 40%
Allergy blood test, specific IgE, per allergen CPT 86003 CASEIN ALLERGEN PNL 5416 $25.80 $43.00 $5.16–$34.40 20% below 40%
Allergy blood test, specific IgE, per allergen CPT 86003 WHEY IGE $25.80 $43.00 $5.16–$34.40 20% below 40%
Allergy blood test, specific IgE, per allergen CPT 86003 CANARY FEATHERS IGE $25.80 $43.00 $5.16–$34.40 20% below 40%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SINGLE ORDER $25.80 $43.00 $5.16–$34.40 20% below 40%
Allergy blood test, specific IgE, per allergen CPT 86003 COCKATIEL FEATHERS/IGE $25.80 $43.00 $5.16–$34.40 20% below 40%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN LATEX IGE $25.80 $43.00 $5.16–$34.40 20% below 40%
Allergy blood test, specific IgE, per allergen CPT 86003 BREWERS YEAST IGE $25.80 $43.00 $5.16–$34.40 20% below 40%
Allergy blood test, specific IgE, per allergen CPT 86003 DATE IGE $25.80 $43.00 $5.16–$34.40 20% below 40%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN WATERMELON IGE $25.80 $43.00 $5.16–$34.40 20% below 40%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN MAPLE SUGAR SPEC IGE $25.80 $43.00 $5.16–$34.40 20% below 40%
Allergy blood test, specific IgE, per allergen CPT 86003 FOOD ALLERGY PNL W/REFLEXES $25.80 $43.00 $5.16–$34.40 20% below 40%
Allergy blood test, specific IgE, per allergen CPT 86003 CRAYFISH IGE $25.80 $43.00 $5.16–$34.40 20% below 40%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY INSECT VENOM PANEL $25.80 $43.00 $5.16–$34.40 20% below 40%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN GOAT MILK IGE $25.80 $43.00 $5.16–$34.40 20% below 40%
Allergy blood test, specific IgE, per allergen CPT 86003 SWEET POTATO IGE $25.80 $43.00 $5.16–$34.40 20% below 40%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN QUEEN PALM IGE $25.80 $43.00 $5.16–$34.40 20% below 40%
Allergy blood test, specific IgE, per allergen CPT 86003 A FUMIGATUS M3 IGE P0218 $25.80 $43.00 $5.16–$34.40 20% below 40%
Allergy blood test, specific IgE, per allergen CPT 86003 SUNFLOWER IGE $25.80 $43.00 $5.16–$34.40 20% below 40%
Allergy blood test, specific IgE, per allergen CPT 86003 MAHI MAHI IGE $25.80 $43.00 $5.16–$34.40 20% below 40%
Allergy blood test, specific IgE, per allergen CPT 86003 PINE(T213)IGE ALLERGEN $25.80 $43.00 $5.16–$34.40 20% below 40%
Allergy blood test, specific IgE, per allergen CPT 86003 CANTALOPE IGE $25.80 $43.00 $5.16–$34.40 20% below 40%
Allergy blood test, specific IgE, per allergen CPT 86003 WHITE POLLOCK IGE $25.80 $43.00 $5.16–$34.40 20% below 40%
Allergy blood test, specific IgE, per allergen CPT 86003 DOG DANDR IGE W/RFLX TO COM PN $25.80 $43.00 $5.16–$34.40 20% below 40%
Allergy blood test, specific IgE, per allergen CPT 86003 PAPAIN (K201) IGE $25.80 $43.00 $5.16–$34.40 20% below 40%
Allergy blood test, specific IgE, per allergen CPT 86003 EGG COMPONENT PANEL $25.80 $43.00 $5.16–$34.40 20% below 40%
Allergy blood test, specific IgE, per allergen CPT 86003 MILK COMPONENT PANEL $25.80 $43.00 $5.16–$34.40 20% below 40%
Allergy blood test, specific IgE, per allergen CPT 86003 VENISON IGE $25.80 $43.00 $5.16–$34.40 20% below 40%
Allergy blood test, specific IgE, per allergen CPT 86003 LENTILS IGE $25.80 $43.00 $5.16–$34.40 20% below 40%
Allergy blood test, specific IgE, per allergen CPT 86003 CAT DANDR IGE W/RFLX TO COM PN $25.80 $43.00 $5.16–$34.40 20% below 40%
Allergy blood test, specific IgE, per allergen CPT 86003 TURKEY MEAT IGE $25.80 $43.00 $5.16–$34.40 20% below 40%
Allergy blood test, specific IgE, per allergen CPT 86003 APRICOT IGE $25.80 $43.00 $5.16–$34.40 20% below 40%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY MOLD PANEL COMPLETE $25.80 $43.00 $5.16–$34.40 20% below 40%
Allergy blood test, specific IgE, per allergen CPT 86003 CHERRY IGE $25.80 $43.00 $5.16–$34.40 20% below 40%
Allergy blood test, specific IgE, per allergen CPT 86003 QUINOA IGE $25.80 $43.00 $5.16–$34.40 20% below 40%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE WHITE POPLAR $25.80 $43.00 $5.16–$34.40 20% below 40%
Allergy blood test, specific IgE, per allergen CPT 86003 TREE NUT ALL PN W/REFL TO COMP $25.80 $43.00 $5.16–$34.40 20% below 40%
Allergy blood test, specific IgE, per allergen CPT 86003 POPPYSEED IGE $25.80 $43.00 $5.16–$34.40 20% below 40%
Allergy blood test, specific IgE, per allergen CPT 86003 SAGE IGE $25.80 $43.00 $5.16–$34.40 20% below 40%
Allergy blood test, specific IgE, per allergen CPT 86003 RED CEDAR IGE $25.80 $43.00 $5.16–$34.40 20% below 40%
Allergy blood test, specific IgE, per allergen CPT 86003 SHRIMP ALLERGEN PNL 5410 $25.80 $43.00 $5.16–$34.40 20% below 40%
Allergy blood test, specific IgE, per allergen CPT 86003 LOBSTER ALLERGEN PNL 5410 $25.80 $43.00 $5.16–$34.40 20% below 40%
Allergy blood test, specific IgE, per allergen CPT 86003 AL SPEC IGE CRUDE XTR EA P7115 $25.80 $43.00 $5.16–$34.40 20% below 40%
Allergy blood test, specific IgE, per allergen CPT 86003 CRAB ALLERGEN PNL 5410 $25.80 $43.00 $5.16–$34.40 20% below 40%
Allergy blood test, specific IgE, per allergen CPT 86003 CODFISH ALLERGEN PNL 5410 $25.80 $43.00 $5.16–$34.40 20% below 40%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY PANEL REGION 7 TREES $25.80 $43.00 $5.16–$34.40 20% below 40%
Allergy blood test, specific IgE, per allergen CPT 86003 BLUE MUSSEL ALLERGEN PNL 5410 $25.80 $43.00 $5.16–$34.40 20% below 40%
Allergy blood test, specific IgE, per allergen CPT 86003 LEMON IGE $25.80 $43.00 $5.16–$34.40 20% below 40%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN/PEPPERMINT IGE $25.80 $43.00 $5.16–$34.40 20% below 40%
Allergy blood test, specific IgE, per allergen CPT 86003 LIME IGE $25.80 $43.00 $5.16–$34.40 20% below 40%
Allergy blood test, specific IgE, per allergen CPT 86003 RED KIDNEY BEAN IGE $25.80 $43.00 $5.16–$34.40 20% below 40%
Allergy blood test, specific IgE, per allergen CPT 86003 CARMEN RED DYE IGE $25.80 $43.00 $5.16–$34.40 20% below 40%
Allergy blood test, specific IgE, per allergen CPT 86003 PINTO BEAN IGE $25.80 $43.00 $5.16–$34.40 20% below 40%
Allergy blood test, specific IgE, per allergen CPT 86003 LIMA BEAN IGE $25.80 $43.00 $5.16–$34.40 20% below 40%
Allergy blood test, specific IgE, per allergen CPT 86003 FOOD AND TREE NUT ALLERGY PN $25.80 $43.00 $5.16–$34.40 20% below 40%
Allergy blood test, specific IgE, per allergen CPT 86003 MACKEREL IGE #2713N $25.80 $43.00 $5.16–$34.40 20% below 40%
Allergy blood test, specific IgE, per allergen CPT 86003 SWORDFISH IGE $25.80 $43.00 $5.16–$34.40 20% below 40%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY PN REGION 6 GRASSES $25.80 $43.00 $5.16–$34.40 20% below 40%
Allergy blood test, specific IgE, per allergen CPT 86003 TROUT IGE $25.80 $43.00 $5.16–$34.40 20% below 40%
Allergy blood test, specific IgE, per allergen CPT 86003 A KILIENSE IGE $25.80 $43.00 $5.16–$34.40 20% below 40%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPEC IGE HACKBERRY $25.80 $43.00 $5.16–$34.40 20% below 40%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN/IGE CHICK PEA $25.80 $43.00 $5.16–$34.40 20% below 40%
Allergy blood test, specific IgE, per allergen CPT 86003 THISTLE (RUSSIAN) ALLERGEN $25.80 $43.00 $5.16–$34.40 20% below 40%
Allergy blood test, specific IgE, per allergen CPT 86003 COWS MILK COMPONENT PANEL $25.80 $43.00 $5.16–$34.40 20% below 40%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPECIFIC IGE P3921 $25.80 $43.00 $5.16–$34.40 20% below 40%
Allergy blood test, specific IgE, per allergen CPT 86003 CARAGEENAN GUM IGE $25.80 $43.00 $5.16–$34.40 20% below 40%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN PRIVET IGE $25.80 $43.00 $5.16–$34.40 20% below 40%
Allergy blood test, specific IgE, per allergen CPT 86003 TILAPIA IGE $25.80 $43.00 $5.16–$34.40 20% below 40%
Allergy blood test, specific IgE, per allergen CPT 86003 EGG MIX IGE $25.80 $43.00 $5.16–$34.40 20% below 40%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY PN 13 STINGNG INSCT GR $25.80 $43.00 $5.16–$34.40 20% below 40%
Allergy blood test, specific IgE, per allergen CPT 86003 DOG FENNEL IGE $25.80 $43.00 $5.16–$34.40 20% below 40%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY PANEL REGION 6 WEEDS $25.80 $43.00 $5.16–$34.40 20% below 40%
Allergy blood test, specific IgE, per allergen CPT 86003 SWEET GUM IGE $25.80 $43.00 $5.16–$34.40 20% below 40%
Allergy blood test, specific IgE, per allergen CPT 86003 OXEYE DAISY IGE $25.80 $43.00 $5.16–$34.40 20% below 40%
Allergy blood test, specific IgE, per allergen CPT 86003 THYME IGE $25.80 $43.00 $5.16–$34.40 20% below 40%
Allergy blood test, specific IgE, per allergen CPT 86003 SHEEP EPITHELIA IGE $25.80 $43.00 $5.16–$34.40 20% below 40%
Allergy blood test, specific IgE, per allergen CPT 86003 CHESTNUT SWEET IGE $25.80 $43.00 $5.16–$34.40 20% below 40%
Allergy blood test, specific IgE, per allergen CPT 86003 POMEGRANATE IGE $25.80 $43.00 $5.16–$34.40 20% below 40%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLRG SARDINE/PILCHARD(F61)IGE $25.80 $43.00 $5.16–$34.40 20% below 40%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPECI IGE EA ALLERGEN $25.80 $43.00 $5.16–$34.40 20% below 40%
Allergy blood test, specific IgE, per allergen CPT 86003 SUNFLOWER SEED IGE $25.80 $43.00 $5.16–$34.40 20% below 40%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPECIFIC IGE P0722 $25.80 $43.00 $5.16–$34.40 20% below 40%
Allergy blood test, specific IgE, per allergen CPT 86003 TURKEY FEATHERS IGE $25.80 $43.00 $5.16–$34.40 20% below 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN AVOCADO IGE $25.80 $43.00 $18.42–$38.70 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN MAPLE SUGAR SPEC IGE $25.80 $43.00 $18.42–$38.70 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY INSECT VENOM PANEL $25.80 $43.00 $18.42–$38.70 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN QUEEN PALM IGE $25.80 $43.00 $18.42–$38.70 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PINE(T213)IGE ALLERGEN $25.80 $43.00 $18.42–$38.70 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 DOG DANDR IGE W/RFLX TO COM PN $25.80 $43.00 $18.42–$38.70 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CAT DANDR IGE W/RFLX TO COM PN $25.80 $43.00 $18.42–$38.70 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY MOLD PANEL COMPLETE $25.80 $43.00 $18.42–$38.70 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE WHITE POPLAR $25.80 $43.00 $18.42–$38.70 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RED CEDAR IGE $25.80 $43.00 $18.42–$38.70 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 AL SPEC IGE CRUDE XTR EA P7115 $25.80 $43.00 $18.42–$38.70 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY PANEL REGION 7 TREES $25.80 $43.00 $18.42–$38.70 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN/PEPPERMINT IGE $25.80 $43.00 $18.42–$38.70 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CARMEN RED DYE IGE $25.80 $43.00 $18.42–$38.70 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 FOOD AND TREE NUT ALLERGY PN $25.80 $43.00 $18.42–$38.70 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY PN REGION 6 GRASSES $25.80 $43.00 $18.42–$38.70 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPEC IGE HACKBERRY $25.80 $43.00 $18.42–$38.70 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 COWS MILK COMPONENT PANEL $25.80 $43.00 $18.42–$38.70 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN PRIVET IGE $25.80 $43.00 $18.42–$38.70 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 DOG FENNEL IGE $25.80 $43.00 $18.42–$38.70 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY PANEL REGION 6 WEEDS $25.80 $43.00 $18.42–$38.70 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SWEET GUM IGE $25.80 $43.00 $18.42–$38.70 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 OXEYE DAISY IGE $25.80 $43.00 $18.42–$38.70 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 THYME IGE $25.80 $43.00 $18.42–$38.70 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SHEEP EPITHELIA IGE $25.80 $43.00 $18.42–$38.70 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CHESTNUT SWEET IGE $25.80 $43.00 $18.42–$38.70 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 POMEGRANATE IGE $25.80 $43.00 $18.42–$38.70 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLRG SARDINE/PILCHARD(F61)IGE $25.80 $43.00 $18.42–$38.70 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SUNFLOWER SEED IGE $25.80 $43.00 $18.42–$38.70 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 TURKEY FEATHERS IGE $25.80 $43.00 $18.42–$38.70 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 GERBIL IGE $25.80 $43.00 $18.42–$38.70 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MOUSE URINE PROT IGE $25.80 $43.00 $18.42–$38.70 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 GOAT EPITHELIA IGE $25.80 $43.00 $18.42–$38.70 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 FERRET EPITHELIUM IGE $25.80 $43.00 $18.42–$38.70 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAT EPITHELIA IGE $25.80 $43.00 $18.42–$38.70 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN LICORICE IGE $25.80 $43.00 $18.42–$38.70 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 GALACTSE-ALPHA-1 3-GALACTS IGE $25.80 $43.00 $18.42–$38.70 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HORSERADISH IGE $25.80 $43.00 $18.42–$38.70 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPEC IGE FUSARM SOLAN $25.80 $43.00 $18.42–$38.70 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PENICILLIN V IGE $25.80 $43.00 $18.42–$38.70 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BRUSSEL SPROUTS (F217) IGE $25.80 $43.00 $18.42–$38.70 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ZUCCHINI (CUCURBITA SPP) IGE $25.80 $43.00 $18.42–$38.70 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLG SPEC IGE TUMERIC C.LONGA $25.80 $43.00 $18.42–$38.70 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ACREMONIUM KILIENSE IGE $25.80 $43.00 $18.42–$38.70 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE HOPS $25.80 $43.00 $18.42–$38.70 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN COFFEE IGE $25.80 $43.00 $18.42–$38.70 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 OCTOPUS (F59) IGE $25.80 $43.00 $18.42–$38.70 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PUMPKIN IGE $25.80 $43.00 $18.42–$38.70 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ANCHOVY IGE $25.80 $43.00 $18.42–$38.70 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN PORCINE GELATIN IGE $25.80 $43.00 $18.42–$38.70 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN/BOVINE GELATIN IGE $25.80 $43.00 $18.42–$38.70 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CORIANDER/CILANTRO IGE $25.80 $43.00 $18.42–$38.70 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MELONS IGE $25.80 $43.00 $18.42–$38.70 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MOUSE EPITHELIA IGE $25.80 $43.00 $18.42–$38.70 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PEAR IGE $25.80 $43.00 $18.42–$38.70 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPEC IGE EA P1235 $25.80 $43.00 $18.42–$38.70 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 A FUMIGATUS M3 IGE P0218 $25.80 $43.00 $18.42–$38.70 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 WHEY IGE $25.80 $43.00 $18.42–$38.70 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CANARY FEATHERS IGE $25.80 $43.00 $18.42–$38.70 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 COCKATIEL FEATHERS/IGE $25.80 $43.00 $18.42–$38.70 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN LATEX IGE $25.80 $43.00 $18.42–$38.70 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BREWERS YEAST IGE $25.80 $43.00 $18.42–$38.70 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 DATE IGE $25.80 $43.00 $18.42–$38.70 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN WATERMELON IGE $25.80 $43.00 $18.42–$38.70 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 FOOD ALLERGY PNL W/REFLEXES $25.80 $43.00 $18.42–$38.70 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CRAYFISH IGE $25.80 $43.00 $18.42–$38.70 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN GOAT MILK IGE $25.80 $43.00 $18.42–$38.70 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SWEET POTATO IGE $25.80 $43.00 $18.42–$38.70 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SUNFLOWER IGE $25.80 $43.00 $18.42–$38.70 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MAHI MAHI IGE $25.80 $43.00 $18.42–$38.70 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CANTALOPE IGE $25.80 $43.00 $18.42–$38.70 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 WHITE POLLOCK IGE $25.80 $43.00 $18.42–$38.70 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 VENISON IGE $25.80 $43.00 $18.42–$38.70 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 LENTILS IGE $25.80 $43.00 $18.42–$38.70 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 TURKEY MEAT IGE $25.80 $43.00 $18.42–$38.70 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 APRICOT IGE $25.80 $43.00 $18.42–$38.70 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CHERRY IGE $25.80 $43.00 $18.42–$38.70 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 QUINOA IGE $25.80 $43.00 $18.42–$38.70 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 TREE NUT ALL PN W/REFL TO COMP $25.80 $43.00 $18.42–$38.70 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SAGE IGE $25.80 $43.00 $18.42–$38.70 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SHRIMP ALLERGEN PNL 5410 $25.80 $43.00 $18.42–$38.70 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 LOBSTER ALLERGEN PNL 5410 $25.80 $43.00 $18.42–$38.70 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CRAB ALLERGEN PNL 5410 $25.80 $43.00 $18.42–$38.70 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CODFISH ALLERGEN PNL 5410 $25.80 $43.00 $18.42–$38.70 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BLUE MUSSEL ALLERGEN PNL 5410 $25.80 $43.00 $18.42–$38.70 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 LEMON IGE $25.80 $43.00 $18.42–$38.70 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 LIME IGE $25.80 $43.00 $18.42–$38.70 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RED KIDNEY BEAN IGE $25.80 $43.00 $18.42–$38.70 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PINTO BEAN IGE $25.80 $43.00 $18.42–$38.70 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 LIMA BEAN IGE $25.80 $43.00 $18.42–$38.70 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MACKEREL IGE #2713N $25.80 $43.00 $18.42–$38.70 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SWORDFISH IGE $25.80 $43.00 $18.42–$38.70 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 TROUT IGE $25.80 $43.00 $18.42–$38.70 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 A KILIENSE IGE $25.80 $43.00 $18.42–$38.70 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN/IGE CHICK PEA $25.80 $43.00 $18.42–$38.70 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 THISTLE (RUSSIAN) ALLERGEN $25.80 $43.00 $18.42–$38.70 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPECIFIC IGE P3921 $25.80 $43.00 $18.42–$38.70 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CARAGEENAN GUM IGE $25.80 $43.00 $18.42–$38.70 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 TILAPIA IGE $25.80 $43.00 $18.42–$38.70 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY PN 13 STINGNG INSCT GR $25.80 $43.00 $18.42–$38.70 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 EGG MIX IGE $25.80 $43.00 $18.42–$38.70 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 POPPYSEED IGE $25.80 $43.00 $18.42–$38.70 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MILK COMPONENT PANEL $25.80 $43.00 $18.42–$38.70 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 EGG COMPONENT PANEL $25.80 $43.00 $18.42–$38.70 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PAPAIN (K201) IGE $25.80 $43.00 $18.42–$38.70 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SINGLE ORDER $25.80 $43.00 $18.42–$38.70 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CASEIN ALLERGEN PNL 5416 $25.80 $43.00 $18.42–$38.70 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 B LACTOGLOBULIN ALLERGEN P5416 $25.80 $43.00 $18.42–$38.70 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 A LACTOALBUMIN ALLERGEN P 5416 $25.80 $43.00 $18.42–$38.70 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN CULT RYE GRASS IGE $25.80 $43.00 $18.42–$38.70 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PEANUT TL RFX TO PEANT COM PN $25.80 $43.00 $18.42–$38.70 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 TIMOTHY ALLERGEN $25.80 $43.00 $18.42–$38.70 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 WHEAT ALLERGEN $25.80 $43.00 $18.42–$38.70 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SOYBEAN ALLERGEN $25.80 $43.00 $18.42–$38.70 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALRGY PNL18 NUT MIX GRP 7918X $25.80 $43.00 $18.42–$38.70 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MILK ALLERGEN $25.80 $43.00 $18.42–$38.70 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MAPLE (BOX ELDER) TREE $25.80 $43.00 $18.42–$38.70 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CABBAGE IGE $25.80 $43.00 $18.42–$38.70 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 EGG YOLK ALLERGEN $25.80 $43.00 $18.42–$38.70 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 EGG WHITE ALLERGEN $25.80 $43.00 $18.42–$38.70 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CHILI PEPPER IGE $25.80 $43.00 $18.42–$38.70 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CAT DANDER (EPITHEL) ALLERGEN $25.80 $43.00 $18.42–$38.70 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY/SHELLFISH PANEL $25.80 $43.00 $18.42–$38.70 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BERMUDA ALLERGEN $25.80 $43.00 $18.42–$38.70 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 WHITEFISH IGE $25.80 $43.00 $18.42–$38.70 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BANANA IGE $25.80 $43.00 $18.42–$38.70 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALTERNARIUS T ALLERGEN $25.80 $43.00 $18.42–$38.70 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PAPRIKA IGE $25.80 $43.00 $18.42–$38.70 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN/GINGER IGE $25.80 $43.00 $18.42–$38.70 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPEC IGE QUANT P1246 $25.80 $43.00 $18.42–$38.70 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PINE NUT IGE $25.80 $43.00 $18.42–$38.70 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPECIFIC IGE P0861 $25.80 $43.00 $18.42–$38.70 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SQUID IGE $25.80 $43.00 $18.42–$38.70 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPECIFIC IGE P0722 $25.80 $43.00 $18.42–$38.70 — 40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPECI IGE EA ALLERGEN $25.80 $43.00 $18.42–$38.70 — 40%
Alpha-fetoprotein (AFP) blood test CPT 82105 ALPHA FETOPROTEIN MATRN SERUM $139.20 $232.00 $16.57–$185.60 26% above 40%
Alpha-fetoprotein (AFP) blood test CPT 82105 ALPHA FETAPROTEIN $139.20 $232.00 $16.57–$185.60 26% above 40%
Alpha-fetoprotein (AFP) blood test CPT 82105 ALPHA-FETOPROTEIN SERUM P0493 $139.20 $232.00 $16.57–$185.60 26% above 40%
Alpha-fetoprotein (AFP) blood test CPT 82105 ALPHA FETOPROTEIN TUMOR MARKER $139.20 $232.00 $16.57–$185.60 26% above 40%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 ALPHA FETOPROTEIN TUMOR MARKER $139.20 $232.00 $99.39–$208.80 — 40%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 ALPHA FETOPROTEIN MATRN SERUM $139.20 $232.00 $99.39–$208.80 — 40%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 ALPHA FETAPROTEIN $139.20 $232.00 $99.39–$208.80 — 40%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 ALPHA-FETOPROTEIN SERUM P0493 $139.20 $232.00 $99.39–$208.80 — 40%
Ammonia blood test CPT 82140 AMMONIA P7923 $126.00 $210.00 $5.50–$168.00 38% above 40%
Ammonia blood test CPT 82140 AMMONIA $126.00 $210.00 $5.50–$168.00 38% above 40%
Ammonia blood test inpatient CPT 82140 AMMONIA P7923 $126.00 $210.00 $89.96–$189.00 — 40%
Ammonia blood test inpatient CPT 82140 AMMONIA $126.00 $210.00 $89.96–$189.00 — 40%
Amylase blood test CPT 82150 AMYLASE $113.40 $189.00 $5.50–$151.20 159% above 40%
Amylase blood test CPT 82150 AMYLASE PANCREATIC CYST $113.40 $189.00 $5.50–$151.20 159% above 40%
Amylase blood test CPT 82150 AMYLASE/FLUID $113.40 $189.00 $5.50–$151.20 159% above 40%
Amylase blood test CPT 82150 AMYLASE BODY FLUID (ARUP) $113.40 $189.00 $5.50–$151.20 159% above 40%
Amylase blood test inpatient CPT 82150 AMYLASE BODY FLUID (ARUP) $113.40 $189.00 $80.97–$170.10 — 40%
Amylase blood test inpatient CPT 82150 AMYLASE PANCREATIC CYST $113.40 $189.00 $80.97–$170.10 — 40%
Amylase blood test inpatient CPT 82150 AMYLASE/FLUID $113.40 $189.00 $80.97–$170.10 — 40%
Amylase blood test inpatient CPT 82150 AMYLASE $113.40 $189.00 $80.97–$170.10 — 40%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CYCLIC CITRULINATED PEPT P4307 $251.40 $419.00 $12.80–$335.20 195% above 40%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 ANTI-CCP $251.40 $419.00 $12.80–$335.20 195% above 40%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CYCLIC CITRULLINE PEP IGG $251.40 $419.00 $12.80–$335.20 195% above 40%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CYCLIC CITRULLIN PEPTIDE P4262 $251.40 $419.00 $12.80–$335.20 195% above 40%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CYCLIC CITRULLIN PEPTIDE P3164 $251.40 $419.00 $12.80–$335.20 195% above 40%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CYC CITRULLIN PEPTIDE AB P5076 $251.40 $419.00 $12.80–$335.20 195% above 40%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 QUANT NOT OTHERWISE SPEC P3885 $251.40 $419.00 $12.80–$335.20 195% above 40%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CCP ANTIBODY P6842 $251.40 $419.00 $12.80–$335.20 195% above 40%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CCP ANTIBODY P4660 $251.40 $419.00 $12.80–$335.20 195% above 40%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CCP AB IGG ANTIBODIES $251.40 $419.00 $12.80–$335.20 195% above 40%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CCP AB IGG ANTIBODIES $251.40 $419.00 $179.50–$377.10 — 40%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CCP ANTIBODY P4660 $251.40 $419.00 $179.50–$377.10 — 40%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CYC CITRULLIN PEPTIDE AB P5076 $251.40 $419.00 $179.50–$377.10 — 40%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CYCLIC CITRULLINE PEP IGG $251.40 $419.00 $179.50–$377.10 — 40%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CYCLIC CITRULLIN PEPTIDE P3164 $251.40 $419.00 $179.50–$377.10 — 40%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 QUANT NOT OTHERWISE SPEC P3885 $251.40 $419.00 $179.50–$377.10 — 40%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 ANTI-CCP $251.40 $419.00 $179.50–$377.10 — 40%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CYCLIC CITRULINATED PEPT P4307 $251.40 $419.00 $179.50–$377.10 — 40%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CYCLIC CITRULLIN PEPTIDE P4262 $251.40 $419.00 $179.50–$377.10 — 40%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CCP ANTIBODY P6842 $251.40 $419.00 $179.50–$377.10 — 40%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA (ANTI NUCLEAR ANTIBODIES) $71.40 $119.00 $11.95–$95.20 4% below 40%
Antinuclear antibody (ANA) blood test, screen CPT 86038 EXPANDED ENA SCREEN P1325 $71.40 $119.00 $11.95–$95.20 4% below 40%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTINUCLEAR ANTIBODIES P5091 $71.40 $119.00 $11.95–$95.20 4% below 40%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA P4660 $71.40 $119.00 $11.95–$95.20 4% below 40%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA W/REFLEX LUPUS/SLE $71.40 $119.00 $11.95–$95.20 4% below 40%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTINUCLEAR AB ANA P5076 $71.40 $119.00 $11.95–$95.20 4% below 40%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA ANTIBODIES P4769 $71.40 $119.00 $11.95–$95.20 4% below 40%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTINUCLEAR ANTIBODIES P5919 $71.40 $119.00 $11.95–$95.20 4% below 40%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANACHOICE SPEC ANTI CASCADING $71.40 $119.00 $11.95–$95.20 4% below 40%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTINUCLEAR ANTIBODIES P8130 $71.40 $119.00 $11.95–$95.20 4% below 40%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTINUCLEAR ANTIBODIES P4307 $71.40 $119.00 $11.95–$95.20 4% below 40%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTINUCLEAR ANTIBODIES P4312 $71.40 $119.00 $11.95–$95.20 4% below 40%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANACHOICE SCREEN W/RFX DSDNA $71.40 $119.00 $11.95–$95.20 4% below 40%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTINUCLEAR ANTIBODIES P6842 $71.40 $119.00 $11.95–$95.20 4% below 40%
Antinuclear antibody (ANA) blood test, screen CPT 86038 CENTROMERE AB W/TITER REFLEX $71.40 $119.00 $11.95–$95.20 4% below 40%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA IFA W/RFX TITR/PAT/SCL ABS $71.40 $119.00 $11.95–$95.20 4% below 40%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA IFA W/RFLX TITR/CASCADE $71.40 $119.00 $11.95–$95.20 4% below 40%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA SCR IFA W/RFX TITR&PAT/MIX $71.40 $119.00 $11.95–$95.20 4% below 40%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTINUCLEAR ANTIBODIES P4262 $71.40 $119.00 $11.95–$95.20 4% below 40%
Antinuclear antibody (ANA) blood test, screen CPT 86038 TITER P3355 $71.40 $119.00 $11.95–$95.20 4% below 40%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTINUCLEAR AB $71.40 $119.00 $11.95–$95.20 4% below 40%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANTINUCLEAR ANTIBODIES P5919 $71.40 $119.00 $50.98–$107.10 — 40%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA SCR IFA W/RFX TITR&PAT/MIX $71.40 $119.00 $50.98–$107.10 — 40%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANACHOICE SPEC ANTI CASCADING $71.40 $119.00 $50.98–$107.10 — 40%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANTINUCLEAR ANTIBODIES P8130 $71.40 $119.00 $50.98–$107.10 — 40%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANTINUCLEAR ANTIBODIES P4262 $71.40 $119.00 $50.98–$107.10 — 40%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 EXPANDED ENA SCREEN P1325 $71.40 $119.00 $50.98–$107.10 — 40%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANTINUCLEAR AB $71.40 $119.00 $50.98–$107.10 — 40%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 TITER P3355 $71.40 $119.00 $50.98–$107.10 — 40%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANACHOICE SCREEN W/RFX DSDNA $71.40 $119.00 $50.98–$107.10 — 40%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANTINUCLEAR ANTIBODIES P4312 $71.40 $119.00 $50.98–$107.10 — 40%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANTINUCLEAR ANTIBODIES P6842 $71.40 $119.00 $50.98–$107.10 — 40%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 CENTROMERE AB W/TITER REFLEX $71.40 $119.00 $50.98–$107.10 — 40%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA IFA W/RFX TITR/PAT/SCL ABS $71.40 $119.00 $50.98–$107.10 — 40%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANTINUCLEAR ANTIBODIES P5091 $71.40 $119.00 $50.98–$107.10 — 40%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA P4660 $71.40 $119.00 $50.98–$107.10 — 40%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA IFA W/RFLX TITR/CASCADE $71.40 $119.00 $50.98–$107.10 — 40%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA W/REFLEX LUPUS/SLE $71.40 $119.00 $50.98–$107.10 — 40%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANTINUCLEAR ANTIBODIES P4307 $71.40 $119.00 $50.98–$107.10 — 40%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANTINUCLEAR AB ANA P5076 $71.40 $119.00 $50.98–$107.10 — 40%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA (ANTI NUCLEAR ANTIBODIES) $71.40 $119.00 $50.98–$107.10 — 40%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA ANTIBODIES P4769 $71.40 $119.00 $50.98–$107.10 — 40%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 CARDIO IQ NT PROBNP $342.00 $570.00 $38.79–$456.00 72% above 40%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 PRO BNP N TERMINAL $342.00 $570.00 $38.79–$456.00 72% above 40%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 BNP B TYPE NATRIURETIC PEPTIDE $342.00 $570.00 $38.79–$456.00 72% above 40%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 PRO BNP N TERMINAL $342.00 $570.00 $244.19–$513.00 — 40%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 BNP B TYPE NATRIURETIC PEPTIDE $342.00 $570.00 $244.19–$513.00 — 40%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 CARDIO IQ NT PROBNP $342.00 $570.00 $244.19–$513.00 — 40%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 NOCARDIA CULT AND GRAM STAIN $232.20 $387.00 $7.59–$309.60 345% above 40%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE AEROBIC $232.20 $387.00 $7.59–$309.60 345% above 40%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 OTHR SOURCE AEROBIC ISOL P0125 $232.20 $387.00 $7.59–$309.60 345% above 40%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 OTHR SOURCE AEROBIC ISOL P0125 $232.20 $387.00 $165.79–$348.30 — 40%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 NOCARDIA CULT AND GRAM STAIN $232.20 $387.00 $165.79–$348.30 — 40%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE AEROBIC $232.20 $387.00 $165.79–$348.30 — 40%
Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL $186.60 $311.00 $8.36–$248.80 154% above 40%
Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL PLASMA $186.60 $311.00 $8.36–$248.80 154% above 40%
Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METABOLIC PANEL PLASMA $186.60 $311.00 $133.23–$279.90 — 40%
Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METABOLIC PANEL $186.60 $311.00 $133.23–$279.90 — 40%
Bilirubin blood test, total CPT 82247 BILIRUBIN TOTAL P3356 $75.60 $126.00 $4.96–$100.80 136% above 40%
Bilirubin blood test, total CPT 82247 BILIRUBIN TTL $75.60 $126.00 $4.96–$100.80 136% above 40%
Bilirubin blood test, total CPT 82247 BILIRUBIN TOTAL P9445 $75.60 $126.00 $4.96–$100.80 136% above 40%
Bilirubin blood test, total CPT 82247 BILIRUBIN BODY FLUID $75.60 $126.00 $4.96–$100.80 136% above 40%
Bilirubin blood test, total CPT 82247 BILIRUBIN TOTAL P3896 $75.60 $126.00 $4.96–$100.80 136% above 40%
Bilirubin blood test, total CPT 82247 BILIRUBIN TOTAL P6317 $75.60 $126.00 $4.96–$100.80 136% above 40%
Bilirubin blood test, total inpatient CPT 82247 BILIRUBIN TOTAL P3896 $75.60 $126.00 $53.98–$113.40 — 40%
Bilirubin blood test, total inpatient CPT 82247 BILIRUBIN BODY FLUID $75.60 $126.00 $53.98–$113.40 — 40%
Bilirubin blood test, total inpatient CPT 82247 BILIRUBIN TOTAL P9445 $75.60 $126.00 $53.98–$113.40 — 40%
Bilirubin blood test, total inpatient CPT 82247 BILIRUBIN TOTAL P6317 $75.60 $126.00 $53.98–$113.40 — 40%
Bilirubin blood test, total inpatient CPT 82247 BILIRUBIN TTL $75.60 $126.00 $53.98–$113.40 — 40%
Bilirubin blood test, total inpatient CPT 82247 BILIRUBIN TOTAL P3356 $75.60 $126.00 $53.98–$113.40 — 40%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 CELL BLOCK $250.20 $417.00 $11.52–$333.60 41% above 40%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 LEVEL 4 GROSS & MICRO EXAM $250.20 $417.00 $11.52–$333.60 41% above 40%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 LEVEL 4 GROSS & MICRO EXAM $250.20 $417.00 $178.64–$375.30 — 40%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 CELL BLOCK $250.20 $417.00 $178.64–$375.30 — 40%
Blood culture for bacteria CPT 87040 CULTURE BLOOD $399.60 $666.00 $10.20–$532.80 371% above 40%
Blood culture for bacteria inpatient CPT 87040 CULTURE BLOOD $399.60 $666.00 $285.31–$599.40 — 40%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE ROUTINE PCI STAFF $27.60 $46.00 $6.69–$36.80 84% above 40%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE ROUTINE SPEC COLL $27.60 $46.00 $6.69–$36.80 84% above 40%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENIPUNCTURE ROUTINE PCI STAFF $27.60 $46.00 $19.71–$41.40 — 40%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENIPUNCTURE ROUTINE SPEC COLL $27.60 $46.00 $19.71–$41.40 — 40%
Blood glucose (sugar) test CPT 82947 GLUCOSE $52.20 $87.00 $3.89–$69.60 102% above 40%
Blood glucose (sugar) test CPT 82947 GLUCOSE QUANT P8027 $52.20 $87.00 $3.89–$69.60 102% above 40%
Blood glucose (sugar) test CPT 82947 ASSAY GLUCOSE BLD QUANT P3356 $52.20 $87.00 $3.89–$69.60 102% above 40%
Blood glucose (sugar) test CPT 82947 GLUCOSE QUANT P9445 $52.20 $87.00 $3.89–$69.60 102% above 40%
Blood glucose (sugar) test CPT 82947 GLUCOSE SERUM QUANT $52.20 $87.00 $3.89–$69.60 102% above 40%
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE $52.20 $87.00 $37.27–$78.30 — 40%
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE QUANT P8027 $52.20 $87.00 $37.27–$78.30 — 40%
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE SERUM QUANT $52.20 $87.00 $37.27–$78.30 — 40%
Blood glucose (sugar) test inpatient CPT 82947 ASSAY GLUCOSE BLD QUANT P3356 $52.20 $87.00 $37.27–$78.30 — 40%
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE QUANT P9445 $52.20 $87.00 $37.27–$78.30 — 40%
Blood lead test CPT 83655 LEAD P3931 $165.60 $276.00 $11.00–$220.80 112% above 40%
Blood lead test CPT 83655 LEAD CAPILLARY $165.60 $276.00 $11.00–$220.80 112% above 40%
Blood lead test CPT 83655 LEAD RAND URINE PNL 1750 $165.60 $276.00 $11.00–$220.80 112% above 40%
Blood lead test CPT 83655 LEAD $165.60 $276.00 $11.00–$220.80 112% above 40%
Blood lead test CPT 83655 LEAD P6242 $165.60 $276.00 $11.00–$220.80 112% above 40%
Blood lead test CPT 83655 LEAD BLOOD OSHA $165.60 $276.00 $11.00–$220.80 112% above 40%
Blood lead test CPT 83655 LEAD BLOOD PNL 2787 $165.60 $276.00 $11.00–$220.80 112% above 40%
Blood lead test CPT 83655 LEAD 24HR URINE PNL 5331 $165.60 $276.00 $11.00–$220.80 112% above 40%
Blood lead test CPT 83655 RANDOM URINE LEAD PNL 7901 $165.60 $276.00 $11.00–$220.80 112% above 40%
Blood lead test CPT 83655 LEAD RANDOM URINE $165.60 $276.00 $11.00–$220.80 112% above 40%
Blood lead test inpatient CPT 83655 LEAD RANDOM URINE $165.60 $276.00 $118.24–$248.40 — 40%
Blood lead test inpatient CPT 83655 LEAD P3931 $165.60 $276.00 $118.24–$248.40 — 40%
Blood lead test inpatient CPT 83655 RANDOM URINE LEAD PNL 7901 $165.60 $276.00 $118.24–$248.40 — 40%
Blood lead test inpatient CPT 83655 LEAD 24HR URINE PNL 5331 $165.60 $276.00 $118.24–$248.40 — 40%
Blood lead test inpatient CPT 83655 LEAD BLOOD PNL 2787 $165.60 $276.00 $118.24–$248.40 — 40%
Blood lead test inpatient CPT 83655 LEAD BLOOD OSHA $165.60 $276.00 $118.24–$248.40 — 40%
Blood lead test inpatient CPT 83655 LEAD P6242 $165.60 $276.00 $118.24–$248.40 — 40%
Blood lead test inpatient CPT 83655 LEAD CAPILLARY $165.60 $276.00 $118.24–$248.40 — 40%
Blood lead test inpatient CPT 83655 LEAD $165.60 $276.00 $118.24–$248.40 — 40%
Blood lead test inpatient CPT 83655 LEAD RAND URINE PNL 1750 $165.60 $276.00 $118.24–$248.40 — 40%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HCG QUALITATIVE - SERUM $102.60 $171.00 $7.43–$136.80 105% above 40%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HCG QUALITATIVE - SERUM $102.60 $171.00 $73.26–$153.90 — 40%
Blood urea nitrogen (BUN) test CPT 84520 BUN $39.60 $66.00 $3.90–$52.80 47% above 40%
Blood urea nitrogen (BUN) test CPT 84520 UREA NITROGEN P4233 $39.60 $66.00 $3.90–$52.80 47% above 40%
Blood urea nitrogen (BUN) test inpatient CPT 84520 BUN $39.60 $66.00 $28.27–$59.40 — 40%
Blood urea nitrogen (BUN) test inpatient CPT 84520 UREA NITROGEN P4233 $39.60 $66.00 $28.27–$59.40 — 40%
C-peptide blood test CPT 84681 C-PEPTIDE P4981 $189.00 $315.00 $20.57–$252.00 74% above 40%
C-peptide blood test CPT 84681 C-PEPTIDE $189.00 $315.00 $20.57–$252.00 74% above 40%
C-peptide blood test inpatient CPT 84681 C-PEPTIDE $189.00 $315.00 $134.95–$283.50 — 40%
C-peptide blood test inpatient CPT 84681 C-PEPTIDE P4981 $189.00 $315.00 $134.95–$283.50 — 40%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C REACTIVE PROTEIN P6330 $238.20 $397.00 $3.30–$317.60 566% above 40%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C REACTIVE PROTEIN (CRP) $238.20 $397.00 $3.30–$317.60 566% above 40%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-REACTIVE PROTEIN $238.20 $397.00 $3.30–$317.60 566% above 40%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C REACTIVE PROTEIN (CRP) $238.20 $397.00 $170.07–$357.30 — 40%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C-REACTIVE PROTEIN $238.20 $397.00 $170.07–$357.30 — 40%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C REACTIVE PROTEIN P6330 $238.20 $397.00 $170.07–$357.30 — 40%
C. difficile toxin gene test (stool PCR) CPT 87493 C DIFFICILE DNA $286.80 $478.00 $36.84–$382.40 38% above 40%
C. difficile toxin gene test (stool PCR) CPT 87493 C-DIFF BY PCR $286.80 $478.00 $36.84–$382.40 38% above 40%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 C DIFFICILE DNA $286.80 $478.00 $204.78–$430.20 — 40%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 C-DIFF BY PCR $286.80 $478.00 $204.78–$430.20 — 40%
CA 19-9 blood test (tumor marker) CPT 86301 CA 19-1/CA 19-9 TUMOR MARKER $174.60 $291.00 $20.57–$232.80 31% above 40%
CA 19-9 blood test (tumor marker) CPT 86301 CANCER ANTIGEN-GI (CA 19-9) $174.60 $291.00 $20.57–$232.80 31% above 40%
CA 19-9 blood test (tumor marker) CPT 86301 IMMUNOASSAY TUMOR CA 19-9 $174.60 $291.00 $20.57–$232.80 31% above 40%
CA 19-9 blood test (tumor marker) CPT 86301 CA 19-9 QUANT $174.60 $291.00 $20.57–$232.80 31% above 40%
CA 19-9 blood test (tumor marker) CPT 86301 CA ANTIGEN-GI(CA 19-9)BODY FL $174.60 $291.00 $20.57–$232.80 31% above 40%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 CA ANTIGEN-GI(CA 19-9)BODY FL $174.60 $291.00 $124.66–$261.90 — 40%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 CANCER ANTIGEN-GI (CA 19-9) $174.60 $291.00 $124.66–$261.90 — 40%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 CA 19-1/CA 19-9 TUMOR MARKER $174.60 $291.00 $124.66–$261.90 — 40%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 CA 19-9 QUANT $174.60 $291.00 $124.66–$261.90 — 40%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 IMMUNOASSAY TUMOR CA 19-9 $174.60 $291.00 $124.66–$261.90 — 40%
CA-125 blood test (ovarian cancer marker) CPT 86304 CA 125 TUMOR MARKER $174.00 $290.00 $20.57–$232.00 33% above 40%
CA-125 blood test (ovarian cancer marker) CPT 86304 CA 125 QUANT $174.00 $290.00 $20.57–$232.00 33% above 40%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 CA 125 TUMOR MARKER $174.00 $290.00 $124.24–$261.00 — 40%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 CA 125 QUANT $174.00 $290.00 $124.24–$261.00 — 40%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 IN AG DET NU AC(RNAORDNA)P5063 $75.00 $125.00 $38.25–$100.00 18% below 40%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 IN AG DET NU AC(RNAORDNA)P5060 $75.00 $125.00 $38.25–$100.00 18% below 40%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 INF AG DET AMP PRB TEC COVID19 $75.00 $125.00 $38.25–$100.00 18% below 40%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 IN AG DET NU AC(RNAORDNA)P5068 $75.00 $125.00 $38.25–$100.00 18% below 40%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID-19 TEST $75.00 $125.00 $38.25–$100.00 18% below 40%
COVID-19 PCR test (SARS-CoV-2 lab test) one side CPT 87635 SARS COVID19/2 RNA QL RT-PCR $75.00 $125.00 $38.25–$100.00 18% below 40%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 INF AG DET AMP PRB TEC COVID19 $75.00 $125.00 $53.55–$112.50 — 40%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 IN AG DET NU AC(RNAORDNA)P5068 $75.00 $125.00 $53.55–$112.50 — 40%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 IN AG DET NU AC(RNAORDNA)P5063 $75.00 $125.00 $53.55–$112.50 — 40%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 IN AG DET NU AC(RNAORDNA)P5060 $75.00 $125.00 $53.55–$112.50 — 40%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 COVID-19 TEST $75.00 $125.00 $53.55–$112.50 — 40%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient one side CPT 87635 SARS COVID19/2 RNA QL RT-PCR $75.00 $125.00 $53.55–$112.50 — 40%
Calcium blood test, total CPT 82310 CALCIUM TOTAL $39.60 $66.00 $5.10–$52.80 18% above 40%
Calcium blood test, total CPT 82310 CALCIUM RANDM UR W/O CREATININ $39.60 $66.00 $5.10–$52.80 18% above 40%
Calcium blood test, total CPT 82310 CALCIUM RANDOM URINE $39.60 $66.00 $5.10–$52.80 18% above 40%
Calcium blood test, total CPT 82310 CALCIUM (SERUM) PNL 2511 $39.60 $66.00 $5.10–$52.80 18% above 40%
Calcium blood test, total inpatient CPT 82310 CALCIUM RANDM UR W/O CREATININ $39.60 $66.00 $28.27–$59.40 — 40%
Calcium blood test, total inpatient CPT 82310 CALCIUM TOTAL $39.60 $66.00 $28.27–$59.40 — 40%
Calcium blood test, total inpatient CPT 82310 CALCIUM (SERUM) PNL 2511 $39.60 $66.00 $28.27–$59.40 — 40%
Calcium blood test, total inpatient CPT 82310 CALCIUM RANDOM URINE $39.60 $66.00 $28.27–$59.40 — 40%
Carcinoembryonic antigen (CEA) test CPT 82378 CEA $333.00 $555.00 $18.70–$444.00 181% above 40%
Carcinoembryonic antigen (CEA) test CPT 82378 CEA PANCREATIC CYST FLUID $334.20 $557.00 $18.70–$445.60 182% above 40%
Carcinoembryonic antigen (CEA) test CPT 82378 FLUID CEA $334.20 $557.00 $18.70–$445.60 182% above 40%
Carcinoembryonic antigen (CEA) test CPT 82378 CARCINOEMBRYONIC AG $334.20 $557.00 $18.70–$445.60 182% above 40%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 CEA $333.00 $555.00 $237.76–$499.50 — 40%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 FLUID CEA $334.20 $557.00 $238.62–$501.30 — 40%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 CARCINOEMBRYONIC AG $334.20 $557.00 $238.62–$501.30 — 40%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 CEA PANCREATIC CYST FLUID $334.20 $557.00 $238.62–$501.30 — 40%
Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA-ZOSTER P1665 $91.80 $153.00 $12.73–$122.40 8% above 40%
Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA-ZOSTER P7969 $146.40 $244.00 $12.73–$195.20 73% above 40%
Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA ZOSTER AB IGM $146.40 $244.00 $12.73–$195.20 73% above 40%
Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA ZOSTER AB - IGG $146.40 $244.00 $12.73–$195.20 73% above 40%
Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA-ZOST AB IMM SCR ACIF $146.40 $244.00 $12.73–$195.20 73% above 40%
Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA ZOSTER AB PANEL CSF $146.40 $244.00 $12.73–$195.20 73% above 40%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 VARICELLA-ZOSTER P1665 $91.80 $153.00 $65.55–$137.70 — 40%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 VARICELLA ZOSTER AB PANEL CSF $146.40 $244.00 $104.53–$219.60 — 40%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 VARICELLA-ZOSTER P7969 $146.40 $244.00 $104.53–$219.60 — 40%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 VARICELLA-ZOST AB IMM SCR ACIF $146.40 $244.00 $104.53–$219.60 — 40%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 VARICELLA ZOSTER AB - IGG $146.40 $244.00 $104.53–$219.60 — 40%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 VARICELLA ZOSTER AB IGM $146.40 $244.00 $104.53–$219.60 — 40%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA TRACHOMATIS P4224 $276.00 $460.00 $25.51–$368.00 40% above 40%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA TRACHOMATIS P3690 $276.00 $460.00 $25.51–$368.00 40% above 40%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA TRACHOMATIS RNA TMA $276.00 $460.00 $25.51–$368.00 40% above 40%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA TRACHOMATIS P3680 $276.00 $460.00 $25.51–$368.00 40% above 40%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA TRACHOMATIS P2460 $276.00 $460.00 $25.51–$368.00 40% above 40%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA TRACHOMATIS P6035 $276.00 $460.00 $25.51–$368.00 40% above 40%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA TRACHOMATIS P7084 $276.00 $460.00 $25.51–$368.00 40% above 40%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA TRACHOMATIS PCR $276.00 $460.00 $25.51–$368.00 40% above 40%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 C TRACHOMATIS AMPL P3611 $276.00 $460.00 $25.51–$368.00 40% above 40%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 C TRACHOMATIS TMA UROGENIIAL $276.00 $460.00 $25.51–$368.00 40% above 40%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 C TRACHOMA RNA TMA RECT/THROAT $276.00 $460.00 $25.51–$368.00 40% above 40%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA TRACHOMATIS P5859 $276.00 $460.00 $25.51–$368.00 40% above 40%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA TRCH AMP PROBE P9292 $276.00 $460.00 $25.51–$368.00 40% above 40%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHYLMD TRACH DNA AMP PR P4792 $276.00 $460.00 $25.51–$368.00 40% above 40%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA TRACHOMATIS P9043 $276.00 $460.00 $25.51–$368.00 40% above 40%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA TRACHOMATIS P8866 $276.00 $460.00 $25.51–$368.00 40% above 40%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA TRACHOMATIS P2460 $276.00 $460.00 $197.06–$414.00 — 40%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA TRACHOMATIS PCR $276.00 $460.00 $197.06–$414.00 — 40%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA TRCH AMP PROBE P9292 $276.00 $460.00 $197.06–$414.00 — 40%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA TRACHOMATIS RNA TMA $276.00 $460.00 $197.06–$414.00 — 40%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHYLMD TRACH DNA AMP PR P4792 $276.00 $460.00 $197.06–$414.00 — 40%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA TRACHOMATIS P4224 $276.00 $460.00 $197.06–$414.00 — 40%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 C TRACHOMATIS TMA UROGENIIAL $276.00 $460.00 $197.06–$414.00 — 40%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA TRACHOMATIS P3680 $276.00 $460.00 $197.06–$414.00 — 40%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA TRACHOMATIS P3690 $276.00 $460.00 $197.06–$414.00 — 40%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA TRACHOMATIS P8866 $276.00 $460.00 $197.06–$414.00 — 40%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA TRACHOMATIS P9043 $276.00 $460.00 $197.06–$414.00 — 40%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 C TRACHOMA RNA TMA RECT/THROAT $276.00 $460.00 $197.06–$414.00 — 40%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA TRACHOMATIS P6035 $276.00 $460.00 $197.06–$414.00 — 40%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA TRACHOMATIS P7084 $276.00 $460.00 $197.06–$414.00 — 40%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 C TRACHOMATIS AMPL P3611 $276.00 $460.00 $197.06–$414.00 — 40%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA TRACHOMATIS P5859 $276.00 $460.00 $197.06–$414.00 — 40%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL W/RFX LDL $228.00 $380.00 $13.24–$304.00 155% above 40%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 CARD IQ LIPID PN W/REF DIR LDL $228.00 $380.00 $13.24–$304.00 155% above 40%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 CARDIO IQ LIPID PANEL $228.00 $380.00 $13.24–$304.00 155% above 40%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL P4483 $228.00 $380.00 $13.24–$304.00 155% above 40%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL P8093 $228.00 $380.00 $13.24–$304.00 155% above 40%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PROFILE $228.00 $380.00 $13.24–$304.00 155% above 40%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PROFILE $228.00 $380.00 $162.79–$342.00 — 40%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 CARD IQ LIPID PN W/REF DIR LDL $228.00 $380.00 $162.79–$342.00 — 40%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PANEL P4483 $228.00 $380.00 $162.79–$342.00 — 40%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PANEL W/RFX LDL $228.00 $380.00 $162.79–$342.00 — 40%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 CARDIO IQ LIPID PANEL $228.00 $380.00 $162.79–$342.00 — 40%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PANEL P8093 $228.00 $380.00 $162.79–$342.00 — 40%
Complete blood count (CBC) with differential CPT 85025 CBC W/DIFF & PLATELETS $95.40 $159.00 $6.60–$127.20 87% above 40%
Complete blood count (CBC) with differential CPT 85025 OXLDL $95.40 $159.00 $6.60–$127.20 87% above 40%
Complete blood count (CBC) with differential CPT 85025 CBC & PLT & AUTO COMP DIFF $95.40 $159.00 $6.60–$127.20 87% above 40%
Complete blood count (CBC) with differential inpatient CPT 85025 CBC W/DIFF & PLATELETS $95.40 $159.00 $68.12–$143.10 — 40%
Complete blood count (CBC) with differential inpatient CPT 85025 OXLDL $95.40 $159.00 $68.12–$143.10 — 40%
Complete blood count (CBC) with differential inpatient CPT 85025 CBC & PLT & AUTO COMP DIFF $95.40 $159.00 $68.12–$143.10 — 40%
Complete blood count (CBC), no differential CPT 85027 CBC & PLT ONLY $80.40 $134.00 $6.39–$107.20 86% above 40%
Complete blood count (CBC), no differential inpatient CPT 85027 CBC & PLT ONLY $80.40 $134.00 $57.41–$120.60 — 40%
Comprehensive metabolic panel (blood test) CPT 80053 COMPREHENSIVE MET PN PLASMA $215.40 $359.00 $10.43–$287.20 143% above 40%
Comprehensive metabolic panel (blood test) CPT 80053 COMPREHENSIVE METABOLIC PANEL $215.40 $359.00 $10.43–$287.20 143% above 40%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMPREHENSIVE MET PN PLASMA $215.40 $359.00 $153.80–$323.10 — 40%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMPREHENSIVE METABOLIC PANEL $215.40 $359.00 $153.80–$323.10 — 40%
Cortisol blood test, total CPT 82533 CORTISOL TOTAL $130.80 $218.00 $13.20–$174.40 27% above 40%
Cortisol blood test, total CPT 82533 TOTAL P6025 $130.80 $218.00 $13.20–$174.40 27% above 40%
Cortisol blood test, total CPT 82533 AM CORTISOL $130.80 $218.00 $13.20–$174.40 27% above 40%
Cortisol blood test, total CPT 82533 SALIVARY CORTISOL $130.80 $218.00 $13.20–$174.40 27% above 40%
Cortisol blood test, total CPT 82533 DEXAMETHASONE SUPPRESSION $130.80 $218.00 $13.20–$174.40 27% above 40%
Cortisol blood test, total CPT 82533 CORTISOL SERUM $130.80 $218.00 $13.20–$174.40 27% above 40%
Cortisol blood test, total inpatient CPT 82533 CORTISOL SERUM $130.80 $218.00 $93.39–$196.20 — 40%
Cortisol blood test, total inpatient CPT 82533 CORTISOL TOTAL $130.80 $218.00 $93.39–$196.20 — 40%
Cortisol blood test, total inpatient CPT 82533 DEXAMETHASONE SUPPRESSION $130.80 $218.00 $93.39–$196.20 — 40%
Cortisol blood test, total inpatient CPT 82533 TOTAL P6025 $130.80 $218.00 $93.39–$196.20 — 40%
Cortisol blood test, total inpatient CPT 82533 AM CORTISOL $130.80 $218.00 $93.39–$196.20 — 40%
Cortisol blood test, total inpatient CPT 82533 SALIVARY CORTISOL $130.80 $218.00 $93.39–$196.20 — 40%
Creatine kinase (CK) blood test, total CPT 82550 CK (CPK) TOTAL $127.20 $212.00 $6.44–$169.60 183% above 40%
Creatine kinase (CK) blood test, total CPT 82550 CREATINE KINASE P2392 $127.20 $212.00 $6.44–$169.60 183% above 40%
Creatine kinase (CK) blood test, total CPT 82550 CPK (CREATINE PHOSPHOKINASE) $127.20 $212.00 $6.44–$169.60 183% above 40%
Creatine kinase (CK) blood test, total inpatient CPT 82550 CPK (CREATINE PHOSPHOKINASE) $127.20 $212.00 $90.82–$190.80 — 40%
Creatine kinase (CK) blood test, total inpatient CPT 82550 CREATINE KINASE P2392 $127.20 $212.00 $90.82–$190.80 — 40%
Creatine kinase (CK) blood test, total inpatient CPT 82550 CK (CPK) TOTAL $127.20 $212.00 $90.82–$190.80 — 40%
Creatinine blood test CPT 82565 CREATININE P4233 $39.60 $66.00 $5.07–$52.80 17% above 40%
Creatinine blood test CPT 82565 CREATININE SERUM $39.60 $66.00 $5.07–$52.80 17% above 40%
Creatinine blood test CPT 82565 GFR ESTIMATE $39.60 $66.00 $5.07–$52.80 17% above 40%
Creatinine blood test inpatient CPT 82565 CREATININE SERUM $39.60 $66.00 $28.27–$59.40 — 40%
Creatinine blood test inpatient CPT 82565 CREATININE P4233 $39.60 $66.00 $28.27–$59.40 — 40%
Creatinine blood test inpatient CPT 82565 GFR ESTIMATE $39.60 $66.00 $28.27–$59.40 — 40%
Cytomegalovirus (CMV) antibody test CPT 86644 CMV IGG PNL 1850 $146.40 $244.00 $14.22–$195.20 69% above 40%
Cytomegalovirus (CMV) antibody test CPT 86644 CYTOMEGALOVIRUS IGG AB PNL8733 $146.40 $244.00 $14.22–$195.20 69% above 40%
Cytomegalovirus (CMV) antibody test CPT 86644 CYTOMEGALOVIRUS(CMV)(IGG)AB $146.40 $244.00 $14.22–$195.20 69% above 40%
Cytomegalovirus (CMV) antibody test CPT 86644 CMV IGG AVIDITY INDEX $146.40 $244.00 $14.22–$195.20 69% above 40%
Cytomegalovirus (CMV) antibody test CPT 86644 DONOR CMV AB TOT WITH REFLEX $146.40 $244.00 $14.22–$195.20 69% above 40%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 CMV IGG AVIDITY INDEX $146.40 $244.00 $104.53–$219.60 — 40%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 CMV IGG PNL 1850 $146.40 $244.00 $104.53–$219.60 — 40%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 CYTOMEGALOVIRUS IGG AB PNL8733 $146.40 $244.00 $104.53–$219.60 — 40%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 DONOR CMV AB TOT WITH REFLEX $146.40 $244.00 $104.53–$219.60 — 40%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 CYTOMEGALOVIRUS(CMV)(IGG)AB $146.40 $244.00 $104.53–$219.60 — 40%
D-dimer blood test (blood clot marker) CPT 85379 D DIMER P P7021 $148.20 $247.00 $10.06–$197.60 117% above 40%
D-dimer blood test (blood clot marker) CPT 85379 D DIMER QUANTITATIVE BCS $148.20 $247.00 $10.06–$197.60 117% above 40%
D-dimer blood test (blood clot marker) CPT 85379 D-DIMER QUANTITATIVE $148.20 $247.00 $10.06–$197.60 117% above 40%
D-dimer blood test (blood clot marker) inpatient CPT 85379 D DIMER P P7021 $148.20 $247.00 $105.81–$222.30 — 40%
D-dimer blood test (blood clot marker) inpatient CPT 85379 D DIMER QUANTITATIVE BCS $148.20 $247.00 $105.81–$222.30 — 40%
D-dimer blood test (blood clot marker) inpatient CPT 85379 D-DIMER QUANTITATIVE $148.20 $247.00 $105.81–$222.30 — 40%
DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA-S $184.20 $307.00 $21.97–$245.60 37% above 40%
DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA SULFATE URINE OSL $184.20 $307.00 $21.97–$245.60 37% above 40%
DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA SULFATE $184.20 $307.00 $21.97–$245.60 37% above 40%
DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA-S (ESOTERIX) $184.20 $307.00 $21.97–$245.60 37% above 40%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DHEA-S (ESOTERIX) $184.20 $307.00 $131.52–$276.30 — 40%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DHEA SULFATE $184.20 $307.00 $131.52–$276.30 — 40%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DHEA SULFATE URINE OSL $184.20 $307.00 $131.52–$276.30 — 40%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DHEA-S $184.20 $307.00 $131.52–$276.30 — 40%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG MONITORING PNL 5 SCR URN $53.40 $89.00 $27.23–$108.81 71% below 40%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN FORENSIC(GC/MS)UR $54.00 $90.00 $27.54–$108.81 70% below 40%
Drug screen by lab instrument (any number of drug classes) CPT 80307 POSTMORTEM EXPD SER FORENSIC $54.00 $90.00 $27.54–$108.81 70% below 40%
Drug screen by lab instrument (any number of drug classes) CPT 80307 OXYCODONE QL NO CONFIRM $54.00 $90.00 $27.54–$108.81 70% below 40%
Drug screen by lab instrument (any number of drug classes) CPT 80307 PAIN MANAGEMENT AMPHETAMINES $54.00 $90.00 $27.54–$108.81 70% below 40%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCR 10 DRUG W/O CONFIRMAT $54.00 $90.00 $27.54–$108.81 70% below 40%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRG TST PRSMV CHEM ANLY P3352 $54.00 $90.00 $27.54–$108.81 70% below 40%
Drug screen by lab instrument (any number of drug classes) CPT 80307 COCAINE METABOLITES - URINE $54.00 $90.00 $27.54–$108.81 70% below 40%
Drug screen by lab instrument (any number of drug classes) CPT 80307 IMMUNOASSAY EACH DRUG CL P1261 $54.00 $90.00 $27.54–$108.81 70% below 40%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG MONITORING W/CONF URINE $54.00 $90.00 $27.54–$108.81 70% below 40%
Drug screen by lab instrument (any number of drug classes) CPT 80307 NOVEL PSYCHOACT SUBST SCR 2 $54.00 $90.00 $27.54–$108.81 70% below 40%
Drug screen by lab instrument (any number of drug classes) CPT 80307 POSTMORTEM BASIC BLD FORENSIC $54.00 $90.00 $27.54–$108.81 70% below 40%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG CLASS SNGL METHOD P0560 $54.00 $90.00 $27.54–$108.81 70% below 40%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG MONIT ANTIPSYCH W/CONFIRM $54.00 $90.00 $27.54–$108.81 70% below 40%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG MON OPIOIDS PN W/CONF UR $54.00 $90.00 $27.54–$108.81 70% below 40%
Drug screen by lab instrument (any number of drug classes) CPT 80307 ETHANOL $54.00 $90.00 $27.54–$108.81 70% below 40%
Drug screen by lab instrument (any number of drug classes) CPT 80307 GAMMA-OH-BUTYRIC SCREEN URINE $54.00 $90.00 $27.54–$108.81 70% below 40%
Drug screen by lab instrument (any number of drug classes) CPT 80307 URINE DRUGS OF ABUSE SCREEN $54.00 $90.00 $27.54–$108.81 70% below 40%
Drug screen by lab instrument (any number of drug classes) CPT 80307 NICOTINE-COTININE URINE $54.00 $90.00 $27.54–$108.81 70% below 40%
Drug screen by lab instrument (any number of drug classes) CPT 80307 SNGLE DRUG CLASS METHD P9910 $54.00 $90.00 $27.54–$108.81 70% below 40%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN EXPANDED BLOOD $54.00 $90.00 $27.54–$108.81 70% below 40%
Drug screen by lab instrument (any number of drug classes) CPT 80307 CLONAZEPAM & METABOLITE SCR UR $54.00 $90.00 $27.54–$108.81 70% below 40%
Drug screen by lab instrument (any number of drug classes) CPT 80307 OXYCODONE QL URINE $54.00 $90.00 $27.54–$108.81 70% below 40%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRG TOX MON ETHYL AL W/CONF UR $54.00 $90.00 $27.54–$108.81 70% below 40%
Drug screen by lab instrument (any number of drug classes) CPT 80307 PM ALCOHOL METABOLITE W/CONF $54.00 $90.00 $27.54–$108.81 70% below 40%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG TOX MONITOR 8 W/CONF UR $54.00 $90.00 $27.54–$108.81 70% below 40%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN PANEL 9 MECONIUM $54.00 $90.00 $27.54–$108.81 70% below 40%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG TOX MON OPIATES W/CONF UR $54.00 $90.00 $27.54–$108.81 70% below 40%
Drug screen by lab instrument (any number of drug classes) CPT 80307 BUPRENORPHINE SCREEN URINE $54.00 $90.00 $27.54–$108.81 70% below 40%
Drug screen by lab instrument (any number of drug classes) CPT 80307 ALCOHOL URINE QUALITATIVE $54.00 $90.00 $27.54–$108.81 70% below 40%
Drug screen by lab instrument (any number of drug classes) CPT 80307 URINE TOX7 W/O THC+OXY+BUP $54.00 $90.00 $27.54–$108.81 70% below 40%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN P4015 $54.00 $90.00 $27.54–$108.81 70% below 40%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DTM FENTANYL WITH CONF URINE $54.00 $90.00 $27.54–$108.81 70% below 40%
Drug screen by lab instrument (any number of drug classes) CPT 80307 NICOTINE AND METABOLITE $54.00 $90.00 $27.54–$108.81 70% below 40%
Drug screen by lab instrument (any number of drug classes) CPT 80307 SYNTHETIC CANNABINOIDS SCREEN $54.00 $90.00 $27.54–$108.81 70% below 40%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG ABUSE SCREEN 6 SERUM $54.00 $90.00 $27.54–$108.81 70% below 40%
Drug screen by lab instrument (any number of drug classes) CPT 80307 SYN CANNABINOID MET SCR-EXP UR $54.00 $90.00 $27.54–$108.81 70% below 40%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN P8040 $316.80 $528.00 $61.41–$422.40 74% above 40%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG TOX MONITORING 9 SCR UR $316.80 $528.00 $61.41–$422.40 74% above 40%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG MONITORING PNL 5 SCR URN $53.40 $89.00 $38.13–$80.10 — 40%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRG TOX MON ETHYL AL W/CONF UR $54.00 $90.00 $38.56–$81.00 — 40%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 CLONAZEPAM & METABOLITE SCR UR $54.00 $90.00 $38.56–$81.00 — 40%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 OXYCODONE QL NO CONFIRM $54.00 $90.00 $38.56–$81.00 — 40%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG MONIT ANTIPSYCH W/CONFIRM $54.00 $90.00 $38.56–$81.00 — 40%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG MON OPIOIDS PN W/CONF UR $54.00 $90.00 $38.56–$81.00 — 40%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 GAMMA-OH-BUTYRIC SCREEN URINE $54.00 $90.00 $38.56–$81.00 — 40%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 NICOTINE-COTININE URINE $54.00 $90.00 $38.56–$81.00 — 40%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG SCREEN EXPANDED BLOOD $54.00 $90.00 $38.56–$81.00 — 40%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 OXYCODONE QL URINE $54.00 $90.00 $38.56–$81.00 — 40%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 IMMUNOASSAY EACH DRUG CL P1261 $54.00 $90.00 $38.56–$81.00 — 40%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 POSTMORTEM EXPD SER FORENSIC $54.00 $90.00 $38.56–$81.00 — 40%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG SCREEN FORENSIC(GC/MS)UR $54.00 $90.00 $38.56–$81.00 — 40%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG MONITORING W/CONF URINE $54.00 $90.00 $38.56–$81.00 — 40%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 COCAINE METABOLITES - URINE $54.00 $90.00 $38.56–$81.00 — 40%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRG TST PRSMV CHEM ANLY P3352 $54.00 $90.00 $38.56–$81.00 — 40%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG CLASS SNGL METHOD P0560 $54.00 $90.00 $38.56–$81.00 — 40%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG SCR 10 DRUG W/O CONFIRMAT $54.00 $90.00 $38.56–$81.00 — 40%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 POSTMORTEM BASIC BLD FORENSIC $54.00 $90.00 $38.56–$81.00 — 40%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 NOVEL PSYCHOACT SUBST SCR 2 $54.00 $90.00 $38.56–$81.00 — 40%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 SYN CANNABINOID MET SCR-EXP UR $54.00 $90.00 $38.56–$81.00 — 40%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG ABUSE SCREEN 6 SERUM $54.00 $90.00 $38.56–$81.00 — 40%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 SYNTHETIC CANNABINOIDS SCREEN $54.00 $90.00 $38.56–$81.00 — 40%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 NICOTINE AND METABOLITE $54.00 $90.00 $38.56–$81.00 — 40%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DTM FENTANYL WITH CONF URINE $54.00 $90.00 $38.56–$81.00 — 40%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG SCREEN P4015 $54.00 $90.00 $38.56–$81.00 — 40%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 URINE TOX7 W/O THC+OXY+BUP $54.00 $90.00 $38.56–$81.00 — 40%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 ALCOHOL URINE QUALITATIVE $54.00 $90.00 $38.56–$81.00 — 40%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 BUPRENORPHINE SCREEN URINE $54.00 $90.00 $38.56–$81.00 — 40%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG TOX MON OPIATES W/CONF UR $54.00 $90.00 $38.56–$81.00 — 40%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG SCREEN PANEL 9 MECONIUM $54.00 $90.00 $38.56–$81.00 — 40%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG TOX MONITOR 8 W/CONF UR $54.00 $90.00 $38.56–$81.00 — 40%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 PM ALCOHOL METABOLITE W/CONF $54.00 $90.00 $38.56–$81.00 — 40%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 PAIN MANAGEMENT AMPHETAMINES $54.00 $90.00 $38.56–$81.00 — 40%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 SNGLE DRUG CLASS METHD P9910 $54.00 $90.00 $38.56–$81.00 — 40%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 URINE DRUGS OF ABUSE SCREEN $54.00 $90.00 $38.56–$81.00 — 40%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 ETHANOL $54.00 $90.00 $38.56–$81.00 — 40%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG TOX MONITORING 9 SCR UR $316.80 $528.00 $226.20–$475.20 — 40%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG SCREEN P8040 $316.80 $528.00 $226.20–$475.20 — 40%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 ELECTROLYTE PANEL $130.80 $218.00 $6.92–$174.40 148% above 40%
Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 ELECTROLYTE PANEL $130.80 $218.00 $93.39–$196.20 — 40%
Epstein-Barr virus (EBV) antibody test CPT 86665 EBV (VCA) IGM PNL 1380 $292.20 $487.00 $17.93–$389.60 155% above 40%
Epstein-Barr virus (EBV) antibody test CPT 86665 EBV IGG VCA $292.20 $487.00 $17.93–$389.60 155% above 40%
Epstein-Barr virus (EBV) antibody test CPT 86665 EBV IGM VCA $292.20 $487.00 $17.93–$389.60 155% above 40%
Epstein-Barr virus (EBV) antibody test CPT 86665 EBV VIRAL CAPSID AG IGM $292.20 $487.00 $17.93–$389.60 155% above 40%
Epstein-Barr virus (EBV) antibody test CPT 86665 EBV VIRAL CAPSID AG IGG $292.20 $487.00 $17.93–$389.60 155% above 40%
Epstein-Barr virus (EBV) antibody test CPT 86665 EBV (VCA) IGG PNL 1380 $292.20 $487.00 $17.93–$389.60 155% above 40%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 EBV IGM VCA $292.20 $487.00 $208.63–$438.30 — 40%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 EBV VIRAL CAPSID AG IGM $292.20 $487.00 $208.63–$438.30 — 40%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 EBV (VCA) IGG PNL 1380 $292.20 $487.00 $208.63–$438.30 — 40%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 EBV IGG VCA $292.20 $487.00 $208.63–$438.30 — 40%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 EBV VIRAL CAPSID AG IGG $292.20 $487.00 $208.63–$438.30 — 40%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 EBV (VCA) IGM PNL 1380 $292.20 $487.00 $208.63–$438.30 — 40%
Estradiol blood test CPT 82670 ESTRADIOL E2 TOTAL $373.20 $622.00 $23.65–$497.60 124% above 40%
Estradiol blood test CPT 82670 ESTRADIOL EXTRACTION $373.20 $622.00 $23.65–$497.60 124% above 40%
Estradiol blood test CPT 82670 ESTRADIOL/FREE/SERUM $373.20 $622.00 $23.65–$497.60 124% above 40%
Estradiol blood test CPT 82670 ESTRADIOL (E2) $373.20 $622.00 $23.65–$497.60 124% above 40%
Estradiol blood test inpatient CPT 82670 ESTRADIOL E2 TOTAL $373.20 $622.00 $266.46–$559.80 — 40%
Estradiol blood test inpatient CPT 82670 ESTRADIOL (E2) $373.20 $622.00 $266.46–$559.80 — 40%
Estradiol blood test inpatient CPT 82670 ESTRADIOL/FREE/SERUM $373.20 $622.00 $266.46–$559.80 — 40%
Estradiol blood test inpatient CPT 82670 ESTRADIOL EXTRACTION $373.20 $622.00 $266.46–$559.80 — 40%
FSH (follicle-stimulating hormone) test CPT 83001 FSH/3RD GENERATION $280.80 $468.00 $18.37–$374.40 135% above 40%
FSH (follicle-stimulating hormone) test CPT 83001 FOLLICLE STIMULATING HORMO $280.80 $468.00 $18.37–$374.40 135% above 40%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 FSH/3RD GENERATION $280.80 $468.00 $200.49–$421.20 — 40%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 FOLLICLE STIMULATING HORMO $280.80 $468.00 $200.49–$421.20 — 40%
Fecal calprotectin (stool inflammation test) CPT 83993 CALPROTECTIN STOOL $290.40 $484.00 $19.40–$387.20 125% above 40%
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 CALPROTECTIN STOOL $290.40 $484.00 $207.35–$435.60 — 40%
Ferritin blood test (iron stores) CPT 82728 FERRITIN $212.40 $354.00 $13.20–$283.20 145% above 40%
Ferritin blood test (iron stores) CPT 82728 FERRITIN P9262 $212.40 $354.00 $13.20–$283.20 145% above 40%
Ferritin blood test (iron stores) CPT 82728 FERRITIN P5087 $212.40 $354.00 $13.20–$283.20 145% above 40%
Ferritin blood test (iron stores) inpatient CPT 82728 FERRITIN $212.40 $354.00 $151.65–$318.60 — 40%
Ferritin blood test (iron stores) inpatient CPT 82728 FERRITIN P5087 $212.40 $354.00 $151.65–$318.60 — 40%
Ferritin blood test (iron stores) inpatient CPT 82728 FERRITIN P9262 $212.40 $354.00 $151.65–$318.60 — 40%
Fibrinogen blood test CPT 85384 FIBRINOGEN ACTIVITY P4341 $133.20 $222.00 $9.61–$177.60 101% above 40%
Fibrinogen blood test CPT 85384 FIBRINOGEN ACTIVITY CLAUSS $133.20 $222.00 $9.61–$177.60 101% above 40%
Fibrinogen blood test CPT 85384 FIBRINOGEN CLAUSS P P7021 $133.20 $222.00 $9.61–$177.60 101% above 40%
Fibrinogen blood test CPT 85384 FIBRINOGEN ASSAY $133.20 $222.00 $9.61–$177.60 101% above 40%
Fibrinogen blood test inpatient CPT 85384 FIBRINOGEN ACTIVITY P4341 $133.20 $222.00 $95.10–$199.80 — 40%
Fibrinogen blood test inpatient CPT 85384 FIBRINOGEN ASSAY $133.20 $222.00 $95.10–$199.80 — 40%
Fibrinogen blood test inpatient CPT 85384 FIBRINOGEN CLAUSS P P7021 $133.20 $222.00 $95.10–$199.80 — 40%
Fibrinogen blood test inpatient CPT 85384 FIBRINOGEN ACTIVITY CLAUSS $133.20 $222.00 $95.10–$199.80 — 40%
Folate (folic acid) blood test CPT 82746 FOLIC ACID (SERUM FOLATE) $130.80 $218.00 $13.20–$174.40 51% above 40%
Folate (folic acid) blood test CPT 82746 FOLATE SERUM $130.80 $218.00 $13.20–$174.40 51% above 40%
Folate (folic acid) blood test CPT 82746 FOLIC ACID SERUM PNL 2979 $130.80 $218.00 $13.20–$174.40 51% above 40%
Folate (folic acid) blood test inpatient CPT 82746 FOLATE SERUM $130.80 $218.00 $93.39–$196.20 — 40%
Folate (folic acid) blood test inpatient CPT 82746 FOLIC ACID (SERUM FOLATE) $130.80 $218.00 $93.39–$196.20 — 40%
Folate (folic acid) blood test inpatient CPT 82746 FOLIC ACID SERUM PNL 2979 $130.80 $218.00 $93.39–$196.20 — 40%
Free T3 thyroid hormone test CPT 84481 FREE T3 PNL 2257 $137.40 $229.00 $16.74–$183.20 29% above 40%
Free T3 thyroid hormone test CPT 84481 DIRECT FREE T3 $137.40 $229.00 $16.74–$183.20 29% above 40%
Free T3 thyroid hormone test CPT 84481 FREE ASSAY (FT-3) $137.40 $229.00 $16.74–$183.20 29% above 40%
Free T3 thyroid hormone test inpatient CPT 84481 FREE T3 PNL 2257 $137.40 $229.00 $98.10–$206.10 — 40%
Free T3 thyroid hormone test inpatient CPT 84481 FREE ASSAY (FT-3) $137.40 $229.00 $98.10–$206.10 — 40%
Free T3 thyroid hormone test inpatient CPT 84481 DIRECT FREE T3 $137.40 $229.00 $98.10–$206.10 — 40%
Free T4 (free thyroxine) thyroid blood test CPT 84439 THROXINE FREE P4354 $103.20 $172.00 $8.80–$137.60 72% above 40%
Free T4 (free thyroxine) thyroid blood test CPT 84439 FREE T4-DIALY & HPLC-MS/MS ESO $103.20 $172.00 $8.80–$137.60 72% above 40%
Free T4 (free thyroxine) thyroid blood test CPT 84439 T4 (THYROXINE) FREE S $103.20 $172.00 $8.80–$137.60 72% above 40%
Free T4 (free thyroxine) thyroid blood test CPT 84439 DIRECT FREE T4 (THYROXINE) $103.20 $172.00 $8.80–$137.60 72% above 40%
Free T4 (free thyroxine) thyroid blood test CPT 84439 THYROXINE FREE $103.20 $172.00 $8.80–$137.60 72% above 40%
Free T4 (free thyroxine) thyroid blood test CPT 84439 FREE T4 EQUILBRIUM DIALYSIS $103.20 $172.00 $8.80–$137.60 72% above 40%
Free T4 (free thyroxine) thyroid blood test CPT 84439 T4 FREE ANALOG METHOD $103.20 $172.00 $8.80–$137.60 72% above 40%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 T4 (THYROXINE) FREE S $103.20 $172.00 $73.68–$154.80 — 40%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 FREE T4 EQUILBRIUM DIALYSIS $103.20 $172.00 $73.68–$154.80 — 40%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 FREE T4-DIALY & HPLC-MS/MS ESO $103.20 $172.00 $73.68–$154.80 — 40%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 THROXINE FREE P4354 $103.20 $172.00 $73.68–$154.80 — 40%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 DIRECT FREE T4 (THYROXINE) $103.20 $172.00 $73.68–$154.80 — 40%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 T4 FREE ANALOG METHOD $103.20 $172.00 $73.68–$154.80 — 40%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 THYROXINE FREE $103.20 $172.00 $73.68–$154.80 — 40%
Free testosterone test CPT 84402 FREE TESTOSTERONE P0605 $72.00 $120.00 $25.17–$96.00 55% below 40%
Free testosterone test CPT 84402 TESTOSTERONE FREE P4882 $72.00 $120.00 $25.17–$96.00 55% below 40%
Free testosterone test CPT 84402 TESTOSTERONE FREE $72.00 $120.00 $25.17–$96.00 55% below 40%
Free testosterone test CPT 84402 FREE TESTOSTERONE PNL 1540 $72.00 $120.00 $25.17–$96.00 55% below 40%
Free testosterone test inpatient CPT 84402 FREE TESTOSTERONE PNL 1540 $72.00 $120.00 $51.41–$108.00 — 40%
Free testosterone test inpatient CPT 84402 FREE TESTOSTERONE P0605 $72.00 $120.00 $51.41–$108.00 — 40%
Free testosterone test inpatient CPT 84402 TESTOSTERONE FREE P4882 $72.00 $120.00 $51.41–$108.00 — 40%
Free testosterone test inpatient CPT 84402 TESTOSTERONE FREE $72.00 $120.00 $51.41–$108.00 — 40%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 ASSAY OF GGT P3356 $111.00 $185.00 $7.12–$148.00 133% above 40%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 GGT $111.00 $185.00 $7.12–$148.00 133% above 40%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 GLUTAMYLTRANSFERASE P9445 $111.00 $185.00 $7.12–$148.00 133% above 40%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 GGTP(GAMMA GLUTAMYL TRANSF) $111.00 $185.00 $7.12–$148.00 133% above 40%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 GLUTAMYLTRANS GAMMA GGT P3896 $111.00 $185.00 $7.12–$148.00 133% above 40%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 GGTP(GAMMA GLUTAMYL TRANSF) $111.00 $185.00 $79.25–$166.50 — 40%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 GGT $111.00 $185.00 $79.25–$166.50 — 40%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 GLUTAMYLTRANS GAMMA GGT P3896 $111.00 $185.00 $79.25–$166.50 — 40%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 GLUTAMYLTRANSFERASE P9445 $111.00 $185.00 $79.25–$166.50 — 40%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 ASSAY OF GGT P3356 $111.00 $185.00 $79.25–$166.50 — 40%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE TEST 1HR POST GLUCOLA $37.20 $62.00 $4.70–$49.60 at median 40%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 GLUCOSE TEST 1HR POST GLUCOLA $37.20 $62.00 $26.56–$55.80 — 40%
Glucose tolerance test, 3 samples CPT 82951 TOLERANCE TST GTT 3 SPEC P0281 $199.80 $333.00 $12.72–$266.40 146% above 40%
Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOLERANCE 3 SPECIMENS $199.80 $333.00 $12.72–$266.40 146% above 40%
Glucose tolerance test, 3 samples inpatient CPT 82951 GLUCOSE TOLERANCE 3 SPECIMENS $199.80 $333.00 $142.66–$299.70 — 40%
Glucose tolerance test, 3 samples inpatient CPT 82951 TOLERANCE TST GTT 3 SPEC P0281 $199.80 $333.00 $142.66–$299.70 — 40%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N GONORR DNA AMP PRB P3411 $276.00 $460.00 $25.51–$368.00 50% above 40%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N GONORRHOEAE AMPL P5859 $276.00 $460.00 $25.51–$368.00 50% above 40%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N GONORRHOEAE AMPL P3611 $276.00 $460.00 $25.51–$368.00 50% above 40%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 NEISSERIA GONORRHOEAE P7084 $276.00 $460.00 $25.51–$368.00 50% above 40%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 NEISERIA GONORRHOEAE P6035 $276.00 $460.00 $25.51–$368.00 50% above 40%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 NEISERIA GONORRHOEAE P9043 $276.00 $460.00 $25.51–$368.00 50% above 40%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 NEISERIA GONORRHOEAE P8866 $276.00 $460.00 $25.51–$368.00 50% above 40%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 NEISSERIA GONORRHOEAE P3690 $276.00 $460.00 $25.51–$368.00 50% above 40%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 NEISSERIA GONORRHOEAE P3680 $276.00 $460.00 $25.51–$368.00 50% above 40%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 NEISSERIA GONORRHOEAE P2460 $276.00 $460.00 $25.51–$368.00 50% above 40%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N GONORRHOEAE TMA UROGENITAL $276.00 $460.00 $25.51–$368.00 50% above 40%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 NEISSERIA GONORRHOEAE P4224 $276.00 $460.00 $25.51–$368.00 50% above 40%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N GONORRHOEAE DNA AMP PR P4792 $276.00 $460.00 $25.51–$368.00 50% above 40%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 NEISSRIA GONOR AMP PROBE P9292 $276.00 $460.00 $25.51–$368.00 50% above 40%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 NEISSERIA GONORRHOEAE PCR ONLY $276.00 $460.00 $25.51–$368.00 50% above 40%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 NEISSERIA GONORRHOEAE P3680 $276.00 $460.00 $197.06–$414.00 — 40%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 NEISSERIA GONORRHOEAE P2460 $276.00 $460.00 $197.06–$414.00 — 40%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 N GONORRHOEAE AMPL P3611 $276.00 $460.00 $197.06–$414.00 — 40%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 NEISSERIA GONORRHOEAE P4224 $276.00 $460.00 $197.06–$414.00 — 40%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 N GONORRHOEAE AMPL P5859 $276.00 $460.00 $197.06–$414.00 — 40%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 N GONORRHOEAE DNA AMP PR P4792 $276.00 $460.00 $197.06–$414.00 — 40%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 NEISSERIA GONORRHOEAE P3690 $276.00 $460.00 $197.06–$414.00 — 40%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 N GONORRHOEAE TMA UROGENITAL $276.00 $460.00 $197.06–$414.00 — 40%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 N GONORR DNA AMP PRB P3411 $276.00 $460.00 $197.06–$414.00 — 40%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 NEISSERIA GONORRHOEAE PCR ONLY $276.00 $460.00 $197.06–$414.00 — 40%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 NEISERIA GONORRHOEAE P8866 $276.00 $460.00 $197.06–$414.00 — 40%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 NEISSRIA GONOR AMP PROBE P9292 $276.00 $460.00 $197.06–$414.00 — 40%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 NEISERIA GONORRHOEAE P9043 $276.00 $460.00 $197.06–$414.00 — 40%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 NEISERIA GONORRHOEAE P6035 $276.00 $460.00 $197.06–$414.00 — 40%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 NEISSERIA GONORRHOEAE P7084 $276.00 $460.00 $197.06–$414.00 — 40%
H. pylori stool antigen test CPT 87338 ANTIGEN QUALITATIVE STOOL $166.80 $278.00 $11.23–$222.40 73% above 40%
H. pylori stool antigen test inpatient CPT 87338 ANTIGEN QUALITATIVE STOOL $166.80 $278.00 $119.10–$250.20 — 40%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV-1 RNA/QUANT/REAL-TIME PCR $1,066.20 $1,777.00 $84.10–$1,421.60 115% above 40%
HIV viral load test (HIV-1 RNA, quantitative) one side CPT 87536 HIV-1 RNA QN RT-PCR CSF $1,066.20 $1,777.00 $84.10–$1,421.60 115% above 40%
HIV viral load test (HIV-1 RNA, quantitative) one side CPT 87536 QUANT HIV-1 RT-PCR $1,066.20 $1,777.00 $84.10–$1,421.60 115% above 40%
HIV viral load test (HIV-1 RNA, quantitative) one side CPT 87536 HIV-1 RBA QN RT-PCR W/RFX GENO $1,066.20 $1,777.00 $84.10–$1,421.60 115% above 40%
HIV viral load test (HIV-1 RNA, quantitative) one side CPT 87536 HIV-1 RNA QN RT-PCR RFX IN GN $1,066.20 $1,777.00 $84.10–$1,421.60 115% above 40%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV-1 RNA/QUANT/REAL-TIME PCR $1,066.20 $1,777.00 $761.27–$1,599.30 — 40%
HIV viral load test (HIV-1 RNA, quantitative) inpatient one side CPT 87536 QUANT HIV-1 RT-PCR $1,066.20 $1,777.00 $761.27–$1,599.30 — 40%
HIV viral load test (HIV-1 RNA, quantitative) inpatient one side CPT 87536 HIV-1 RNA QN RT-PCR RFX IN GN $1,066.20 $1,777.00 $761.27–$1,599.30 — 40%
HIV viral load test (HIV-1 RNA, quantitative) inpatient one side CPT 87536 HIV-1 RBA QN RT-PCR W/RFX GENO $1,066.20 $1,777.00 $761.27–$1,599.30 — 40%
HIV viral load test (HIV-1 RNA, quantitative) inpatient one side CPT 87536 HIV-1 RNA QN RT-PCR CSF $1,066.20 $1,777.00 $761.27–$1,599.30 — 40%
HIV-1 and HIV-2 antibody test CPT 86703 DONOR HIV-1/2 AB SCREEN $200.40 $334.00 $13.54–$267.20 94% above 40%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 DONOR HIV-1/2 AB SCREEN $200.40 $334.00 $143.09–$300.60 — 40%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV 1/HIV 2 ANTIBODY $197.40 $329.00 $23.80–$263.20 39% above 40%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV AG/AB 5TH GENERATION $197.40 $329.00 $23.80–$263.20 39% above 40%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV 1/2 AG/AB 4TH GEN W/RFX $197.40 $329.00 $23.80–$263.20 39% above 40%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HIV AG/AB 5TH GENERATION $197.40 $329.00 $140.94–$296.10 — 40%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HIV 1/2 AG/AB 4TH GEN W/RFX $197.40 $329.00 $140.94–$296.10 — 40%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HIV 1/HIV 2 ANTIBODY $197.40 $329.00 $140.94–$296.10 — 40%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV MRNA E6/E7 RECTAL $312.00 $520.00 $34.68–$416.00 50% above 40%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV MRNA E6/E7 POST-HYSTER VAG $312.00 $520.00 $34.68–$416.00 50% above 40%
HPV test for high-risk types, one combined (pooled) result CPT 87624 ORARISK HPV $312.00 $520.00 $34.68–$416.00 50% above 40%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV DNA HI RSK CRV W/RFX 16 18 $312.00 $520.00 $34.68–$416.00 50% above 40%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV MRNA E6/E7 RFX TO GENOTYP $312.00 $520.00 $34.68–$416.00 50% above 40%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV HIGH RISK TYPES $312.00 $520.00 $34.68–$416.00 50% above 40%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HPV MRNA E6/E7 RFX TO GENOTYP $312.00 $520.00 $222.77–$468.00 — 40%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HPV MRNA E6/E7 POST-HYSTER VAG $312.00 $520.00 $222.77–$468.00 — 40%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 ORARISK HPV $312.00 $520.00 $222.77–$468.00 — 40%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HPV MRNA E6/E7 RECTAL $312.00 $520.00 $222.77–$468.00 — 40%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HPV HIGH RISK TYPES $312.00 $520.00 $222.77–$468.00 — 40%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HPV DNA HI RSK CRV W/RFX 16 18 $312.00 $520.00 $222.77–$468.00 — 40%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN GLYCOSYLATED $165.60 $276.00 $7.70–$220.80 225% above 40%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN A1C WITH EAG $165.60 $276.00 $7.70–$220.80 225% above 40%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN A1C $165.60 $276.00 $7.70–$220.80 225% above 40%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HEMOGLOBIN GLYCOSYLATED $165.60 $276.00 $118.24–$248.40 — 40%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HEMOGLOBIN A1C $165.60 $276.00 $118.24–$248.40 — 40%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HEMOGLOBIN A1C WITH EAG $165.60 $276.00 $118.24–$248.40 — 40%
Hemoglobin blood test CPT 85018 HEMOGLOBIN P0581 $17.40 $29.00 $2.35–$23.20 2% above 40%
Hemoglobin blood test CPT 85018 HEMOGLOBIN $27.60 $46.00 $2.35–$36.80 61% above 40%
Hemoglobin blood test CPT 85018 HEMOGLOBIN P9262 $27.60 $46.00 $2.35–$36.80 61% above 40%
Hemoglobin blood test inpatient CPT 85018 HEMOGLOBIN P0581 $17.40 $29.00 $12.42–$26.10 — 40%
Hemoglobin blood test inpatient CPT 85018 HEMOGLOBIN P9262 $27.60 $46.00 $19.71–$41.40 — 40%
Hemoglobin blood test inpatient CPT 85018 HEMOGLOBIN $27.60 $46.00 $19.71–$41.40 — 40%
Hepatitis B core antibody test (total) CPT 86704 HEPATITIS B CORE AB P3081 $455.40 $759.00 $11.91–$607.20 440% above 40%
Hepatitis B core antibody test (total) CPT 86704 DONOR HEPATITIS BC TOT AB $455.40 $759.00 $11.91–$607.20 440% above 40%
Hepatitis B core antibody test (total) CPT 86704 HEP B CORE AB TOTAL P5760 $455.40 $759.00 $11.91–$607.20 440% above 40%
Hepatitis B core antibody test (total) CPT 86704 HEPATITIS B CORE AB TOT W/REFL $455.40 $759.00 $11.91–$607.20 440% above 40%
Hepatitis B core antibody test (total) CPT 86704 ANTI HBC $455.40 $759.00 $11.91–$607.20 440% above 40%
Hepatitis B core antibody test (total) CPT 86704 HEP B CORE ANTIBODY TOTAL $455.40 $759.00 $11.91–$607.20 440% above 40%
Hepatitis B core antibody test (total) CPT 86704 HEPATITIS B CORE AB P9276 $455.40 $759.00 $11.91–$607.20 440% above 40%
Hepatitis B core antibody test (total) CPT 86704 HEPATITIS B CORE ANTIBODY $455.40 $759.00 $11.91–$607.20 440% above 40%
Hepatitis B core antibody test (total) inpatient CPT 86704 HEPATITIS B CORE AB TOT W/REFL $455.40 $759.00 $325.16–$683.10 — 40%
Hepatitis B core antibody test (total) inpatient CPT 86704 HEPATITIS B CORE ANTIBODY $455.40 $759.00 $325.16–$683.10 — 40%
Hepatitis B core antibody test (total) inpatient CPT 86704 HEPATITIS B CORE AB P9276 $455.40 $759.00 $325.16–$683.10 — 40%
Hepatitis B core antibody test (total) inpatient CPT 86704 DONOR HEPATITIS BC TOT AB $455.40 $759.00 $325.16–$683.10 — 40%
Hepatitis B core antibody test (total) inpatient CPT 86704 HEPATITIS B CORE AB P3081 $455.40 $759.00 $325.16–$683.10 — 40%
Hepatitis B core antibody test (total) inpatient CPT 86704 HEP B CORE ANTIBODY TOTAL $455.40 $759.00 $325.16–$683.10 — 40%
Hepatitis B core antibody test (total) inpatient CPT 86704 ANTI HBC $455.40 $759.00 $325.16–$683.10 — 40%
Hepatitis B core antibody test (total) inpatient CPT 86704 HEP B CORE AB TOTAL P5760 $455.40 $759.00 $325.16–$683.10 — 40%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEP B SURFACE AB $137.40 $229.00 $10.62–$183.20 88% above 40%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEP B SURFACE ANTIBODY (EIA) $137.40 $229.00 $10.62–$183.20 88% above 40%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEP B SURFACE AB P5760 $137.40 $229.00 $10.62–$183.20 88% above 40%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEPATITIS B SURFACE AB P3081 $137.40 $229.00 $10.62–$183.20 88% above 40%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEPATITIS B SURFACE AB P9276 $137.40 $229.00 $10.62–$183.20 88% above 40%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEPATITIS B SURFACE ANTIBODY $137.40 $229.00 $10.62–$183.20 88% above 40%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEP B SURFACE AB P5760 $137.40 $229.00 $98.10–$206.10 — 40%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEPATITIS B SURFACE AB P3081 $137.40 $229.00 $98.10–$206.10 — 40%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEP B SURFACE AB $137.40 $229.00 $98.10–$206.10 — 40%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEPATITIS B SURFACE AB P9276 $137.40 $229.00 $98.10–$206.10 — 40%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEP B SURFACE ANTIBODY (EIA) $137.40 $229.00 $98.10–$206.10 — 40%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEPATITIS B SURFACE ANTIBODY $137.40 $229.00 $98.10–$206.10 — 40%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HEP B SURFACE ANTIGEN W/ REFLX $723.60 $1,206.00 $10.21–$964.80 940% above 40%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B SURFACE AG $723.60 $1,206.00 $10.21–$964.80 940% above 40%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B SURFACE ANTIGEN $723.60 $1,206.00 $10.21–$964.80 940% above 40%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B SURFACE AG P3081 $723.60 $1,206.00 $10.21–$964.80 940% above 40%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B SURFACE AG P9276 $723.60 $1,206.00 $10.21–$964.80 940% above 40%
Hepatitis B surface antigen (HBsAg) test CPT 87340 DONOR HEPATITIS BS AG $723.60 $1,206.00 $10.21–$964.80 940% above 40%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEPATITIS B SURFACE AG $723.60 $1,206.00 $516.65–$1,085.40 — 40%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEP B SURFACE ANTIGEN W/ REFLX $723.60 $1,206.00 $516.65–$1,085.40 — 40%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEPATITIS B SURFACE AG P9276 $723.60 $1,206.00 $516.65–$1,085.40 — 40%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEPATITIS B SURFACE ANTIGEN $723.60 $1,206.00 $516.65–$1,085.40 — 40%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEPATITIS B SURFACE AG P3081 $723.60 $1,206.00 $516.65–$1,085.40 — 40%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 DONOR HEPATITIS BS AG $723.60 $1,206.00 $516.65–$1,085.40 — 40%
Hepatitis C antibody blood test (screening) CPT 86803 HEPC AB RF HCV RNA PCR RF LIPA $279.60 $466.00 $14.10–$372.80 181% above 40%
Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C AB P9276 $279.60 $466.00 $14.10–$372.80 181% above 40%
Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C AB P3081 $279.60 $466.00 $14.10–$372.80 181% above 40%
Hepatitis C antibody blood test (screening) CPT 86803 HEP C SCREENING BY ORAQUICK $279.60 $466.00 $14.10–$372.80 181% above 40%
Hepatitis C antibody blood test (screening) CPT 86803 DNR HCV AB SC W/RFX 2ND HCV SC $279.60 $466.00 $14.10–$372.80 181% above 40%
Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C ANTIBODY $279.60 $466.00 $14.10–$372.80 181% above 40%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C ANTIBODY $279.60 $466.00 $199.63–$419.40 — 40%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C AB P3081 $279.60 $466.00 $199.63–$419.40 — 40%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 DNR HCV AB SC W/RFX 2ND HCV SC $279.60 $466.00 $199.63–$419.40 — 40%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPC AB RF HCV RNA PCR RF LIPA $279.60 $466.00 $199.63–$419.40 — 40%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEP C SCREENING BY ORAQUICK $279.60 $466.00 $199.63–$419.40 — 40%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C AB P9276 $279.60 $466.00 $199.63–$419.40 — 40%
Hepatitis C viral load (HCV RNA) test CPT 87522 HCV RNA QN RL TME PCR W/RFX QL $778.80 $1,298.00 $42.34–$1,038.40 174% above 40%
Hepatitis C viral load (HCV RNA) test CPT 87522 HCV RNA QN PCR W/RFL GENOTYPE $778.80 $1,298.00 $42.34–$1,038.40 174% above 40%
Hepatitis C viral load (HCV RNA) test CPT 87522 HEPATITIS C RNA BY PCR (QUANT) $778.80 $1,298.00 $42.34–$1,038.40 174% above 40%
Hepatitis C viral load (HCV RNA) test one side CPT 87522 HEP C VIR RNA QN RT-PCR W/RFX $778.80 $1,298.00 $42.34–$1,038.40 174% above 40%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HCV RNA QN RL TME PCR W/RFX QL $778.80 $1,298.00 $556.06–$1,168.20 — 40%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HEPATITIS C RNA BY PCR (QUANT) $778.80 $1,298.00 $556.06–$1,168.20 — 40%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HCV RNA QN PCR W/RFL GENOTYPE $778.80 $1,298.00 $556.06–$1,168.20 — 40%
Hepatitis C viral load (HCV RNA) test inpatient one side CPT 87522 HEP C VIR RNA QN RT-PCR W/RFX $778.80 $1,298.00 $556.06–$1,168.20 — 40%
Herpes blood test, HSV-1 antibody CPT 86695 HSV 1 IGM TITER $271.80 $453.00 $13.03–$362.40 240% above 40%
Herpes blood test, HSV-1 antibody CPT 86695 HSV I IGG ANTIBODY $271.80 $453.00 $13.03–$362.40 240% above 40%
Herpes blood test, HSV-1 antibody CPT 86695 HSV AB SCREEN/IGM P1641 $271.80 $453.00 $13.03–$362.40 240% above 40%
Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX TYPE 1 P3408 $271.80 $453.00 $13.03–$362.40 240% above 40%
Herpes blood test, HSV-1 antibody CPT 86695 HSV TYPE I P5909 $271.80 $453.00 $13.03–$362.40 240% above 40%
Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX TYPE I P3862 $271.80 $453.00 $13.03–$362.40 240% above 40%
Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX TYPE I P7969 $271.80 $453.00 $13.03–$362.40 240% above 40%
Herpes blood test, HSV-1 antibody CPT 86695 HSV TYPE 1 IGG AB P0086 $271.80 $453.00 $13.03–$362.40 240% above 40%
Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX TYPE 1 P3731 $271.80 $453.00 $13.03–$362.40 240% above 40%
Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX TYPE 1 P3497 $271.80 $453.00 $13.03–$362.40 240% above 40%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HSV TYPE 1 IGG AB P0086 $271.80 $453.00 $194.07–$407.70 — 40%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HERPES SIMPLEX TYPE 1 P3497 $271.80 $453.00 $194.07–$407.70 — 40%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HERPES SIMPLEX TYPE 1 P3731 $271.80 $453.00 $194.07–$407.70 — 40%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HSV 1 IGM TITER $271.80 $453.00 $194.07–$407.70 — 40%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HSV I IGG ANTIBODY $271.80 $453.00 $194.07–$407.70 — 40%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HSV AB SCREEN/IGM P1641 $271.80 $453.00 $194.07–$407.70 — 40%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HERPES SIMPLEX TYPE 1 P3408 $271.80 $453.00 $194.07–$407.70 — 40%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HSV TYPE I P5909 $271.80 $453.00 $194.07–$407.70 — 40%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HERPES SIMPLEX TYPE I P7969 $271.80 $453.00 $194.07–$407.70 — 40%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HERPES SIMPLEX TYPE I P3862 $271.80 $453.00 $194.07–$407.70 — 40%
Herpes blood test, HSV-2 antibody CPT 86696 HSV TYPE 2 IGG AB P0086 $91.80 $153.00 $19.13–$122.40 15% below 40%
Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX TYPE 2 P3408 $91.80 $153.00 $19.13–$122.40 15% below 40%
Herpes blood test, HSV-2 antibody CPT 86696 HSV 2 IGM TITER $91.80 $153.00 $19.13–$122.40 15% below 40%
Herpes blood test, HSV-2 antibody CPT 86696 HSV 2 IGG HERPESELECT AB $91.80 $153.00 $19.13–$122.40 15% below 40%
Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX TYPE 2 P3862 $91.80 $153.00 $19.13–$122.40 15% below 40%
Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX TYPE 2 P7969 $91.80 $153.00 $19.13–$122.40 15% below 40%
Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX TYPE 2 P3497 $91.80 $153.00 $19.13–$122.40 15% below 40%
Herpes blood test, HSV-2 antibody CPT 86696 HSV 2 IGG HERPESEL W/REFLEX $91.80 $153.00 $19.13–$122.40 15% below 40%
Herpes blood test, HSV-2 antibody CPT 86696 HSV TYPE 2 P5909 $91.80 $153.00 $19.13–$122.40 15% below 40%
Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX TYPE 2 P3731 $91.80 $153.00 $19.13–$122.40 15% below 40%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HERPES SIMPLEX TYPE 2 P3731 $91.80 $153.00 $65.55–$137.70 — 40%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HSV TYPE 2 P5909 $91.80 $153.00 $65.55–$137.70 — 40%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HERPES SIMPLEX TYPE 2 P7969 $91.80 $153.00 $65.55–$137.70 — 40%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HERPES SIMPLEX TYPE 2 P3862 $91.80 $153.00 $65.55–$137.70 — 40%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HSV TYPE 2 IGG AB P0086 $91.80 $153.00 $65.55–$137.70 — 40%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HERPES SIMPLEX TYPE 2 P3497 $91.80 $153.00 $65.55–$137.70 — 40%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HSV 2 IGM TITER $91.80 $153.00 $65.55–$137.70 — 40%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HERPES SIMPLEX TYPE 2 P3408 $91.80 $153.00 $65.55–$137.70 — 40%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HSV 2 IGG HERPESEL W/REFLEX $91.80 $153.00 $65.55–$137.70 — 40%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HSV 2 IGG HERPESELECT AB $91.80 $153.00 $65.55–$137.70 — 40%
High-sensitivity CRP (hs-CRP) test CPT 86141 CARDIO IQ HS-CRP $452.40 $754.00 $11.58–$603.20 476% above 40%
High-sensitivity CRP (hs-CRP) test CPT 86141 CARDIO CRP (QUANTATATIVE CRP) $452.40 $754.00 $11.58–$603.20 476% above 40%
High-sensitivity CRP (hs-CRP) test CPT 86141 HIGH SENSITIVITY CRP P8093 $452.40 $754.00 $11.58–$603.20 476% above 40%
High-sensitivity CRP (hs-CRP) test CPT 86141 CRP HIGH SENSITIVITY $452.40 $754.00 $11.58–$603.20 476% above 40%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 CRP HIGH SENSITIVITY $452.40 $754.00 $323.01–$678.60 — 40%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 HIGH SENSITIVITY CRP P8093 $452.40 $754.00 $323.01–$678.60 — 40%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 CARDIO IQ HS-CRP $452.40 $754.00 $323.01–$678.60 — 40%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 CARDIO CRP (QUANTATATIVE CRP) $452.40 $754.00 $323.01–$678.60 — 40%
Homocysteine blood test CPT 83090 HOMOCYSTEINE P6881 $301.80 $503.00 $17.71–$402.40 152% above 40%
Homocysteine blood test CPT 83090 HOMOCYSTEINE NUTR/CONGNT P8743 $301.80 $503.00 $17.71–$402.40 152% above 40%
Homocysteine blood test CPT 83090 HOMOCYSTINE SERUM $301.80 $503.00 $17.71–$402.40 152% above 40%
Homocysteine blood test CPT 83090 CARDIO IQ HOMOCYSTEINE $301.80 $503.00 $17.71–$402.40 152% above 40%
Homocysteine blood test inpatient CPT 83090 CARDIO IQ HOMOCYSTEINE $301.80 $503.00 $215.49–$452.70 — 40%
Homocysteine blood test inpatient CPT 83090 HOMOCYSTEINE NUTR/CONGNT P8743 $301.80 $503.00 $215.49–$452.70 — 40%
Homocysteine blood test inpatient CPT 83090 HOMOCYSTEINE P6881 $301.80 $503.00 $215.49–$452.70 — 40%
Homocysteine blood test inpatient CPT 83090 HOMOCYSTINE SERUM $301.80 $503.00 $215.49–$452.70 — 40%
Insulin blood test CPT 83525 INSULIN TOTAL P4981 $165.60 $276.00 $11.30–$220.80 128% above 40%
Insulin blood test CPT 83525 INSULIN $165.60 $276.00 $11.30–$220.80 128% above 40%
Insulin blood test CPT 83525 INSULIN LEVEL SINGLE $165.60 $276.00 $11.30–$220.80 128% above 40%
Insulin blood test inpatient CPT 83525 INSULIN LEVEL SINGLE $165.60 $276.00 $118.24–$248.40 — 40%
Insulin blood test inpatient CPT 83525 INSULIN $165.60 $276.00 $118.24–$248.40 — 40%
Insulin blood test inpatient CPT 83525 INSULIN TOTAL P4981 $165.60 $276.00 $118.24–$248.40 — 40%
Iron blood test (serum iron) CPT 83540 IRON (X) $48.00 $80.00 $6.39–$64.00 5% above 40%
Iron blood test (serum iron) CPT 83540 IRON PNL 1160 $48.00 $80.00 $6.39–$64.00 5% above 40%
Iron blood test (serum iron) CPT 83540 IRON P5087 $48.00 $80.00 $6.39–$64.00 5% above 40%
Iron blood test (serum iron) CPT 83540 FE $48.00 $80.00 $6.39–$64.00 5% above 40%
Iron blood test (serum iron) inpatient CPT 83540 IRON (X) $48.00 $80.00 $34.27–$72.00 — 40%
Iron blood test (serum iron) inpatient CPT 83540 IRON P5087 $48.00 $80.00 $34.27–$72.00 — 40%
Iron blood test (serum iron) inpatient CPT 83540 IRON PNL 1160 $48.00 $80.00 $34.27–$72.00 — 40%
Iron blood test (serum iron) inpatient CPT 83540 FE $48.00 $80.00 $34.27–$72.00 — 40%
Iron-binding capacity (TIBC) test CPT 83550 TIBC PNL 1160 $100.80 $168.00 $5.50–$134.40 69% above 40%
Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING CAPACITY P5087 $100.80 $168.00 $5.50–$134.40 69% above 40%
Iron-binding capacity (TIBC) test inpatient CPT 83550 TIBC PNL 1160 $100.80 $168.00 $71.97–$151.20 — 40%
Iron-binding capacity (TIBC) test inpatient CPT 83550 IRON BINDING CAPACITY P5087 $100.80 $168.00 $71.97–$151.20 — 40%
Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL $156.00 $260.00 $8.58–$208.00 128% above 40%
Kidney function blood test panel inpatient CPT 80069 RENAL FUNCTION PANEL $156.00 $260.00 $111.38–$234.00 — 40%
LH (luteinizing hormone) test CPT 83002 LUTENIZING HORMONE $255.60 $426.00 $18.31–$340.80 114% above 40%
LH (luteinizing hormone) test CPT 83002 LH $255.60 $426.00 $18.31–$340.80 114% above 40%
LH (luteinizing hormone) test CPT 83002 LH 3RD GENERATION $255.60 $426.00 $18.31–$340.80 114% above 40%
LH (luteinizing hormone) test inpatient CPT 83002 LUTENIZING HORMONE $255.60 $426.00 $182.50–$383.40 — 40%
LH (luteinizing hormone) test inpatient CPT 83002 LH 3RD GENERATION $255.60 $426.00 $182.50–$383.40 — 40%
LH (luteinizing hormone) test inpatient CPT 83002 LH $255.60 $426.00 $182.50–$383.40 — 40%
Lactate (lactic acid) blood test CPT 83605 LACTIC ACID $121.80 $203.00 $8.80–$162.40 59% above 40%
Lactate (lactic acid) blood test CPT 83605 ISTAT LACTATE $121.80 $203.00 $8.80–$162.40 59% above 40%
Lactate (lactic acid) blood test CPT 83605 LACTATE-ER ONLY $121.80 $203.00 $8.80–$162.40 59% above 40%
Lactate (lactic acid) blood test CPT 83605 LACTIC ACID PNL $121.80 $203.00 $8.80–$162.40 59% above 40%
Lactate (lactic acid) blood test inpatient CPT 83605 LACTATE-ER ONLY $121.80 $203.00 $86.97–$182.70 — 40%
Lactate (lactic acid) blood test inpatient CPT 83605 LACTIC ACID PNL $121.80 $203.00 $86.97–$182.70 — 40%
Lactate (lactic acid) blood test inpatient CPT 83605 LACTIC ACID $121.80 $203.00 $86.97–$182.70 — 40%
Lactate (lactic acid) blood test inpatient CPT 83605 ISTAT LACTATE $121.80 $203.00 $86.97–$182.70 — 40%
Lactate dehydrogenase (LDH) blood test CPT 83615 LACTATE DEHYDROGENASE $42.60 $71.00 $5.98–$56.80 16% above 40%
Lactate dehydrogenase (LDH) blood test CPT 83615 LDH-LACTIC DEHYDROGENASE $42.60 $71.00 $5.98–$56.80 16% above 40%
Lactate dehydrogenase (LDH) blood test CPT 83615 LD CSF $42.60 $71.00 $5.98–$56.80 16% above 40%
Lactate dehydrogenase (LDH) blood test CPT 83615 TOTAL LD PNL 1900 $42.60 $71.00 $5.98–$56.80 16% above 40%
Lactate dehydrogenase (LDH) blood test CPT 83615 LD PLEURAL FLUID $42.60 $71.00 $5.98–$56.80 16% above 40%
Lactate dehydrogenase (LDH) blood test CPT 83615 LD PERITONEAL FLUID $42.60 $71.00 $5.98–$56.80 16% above 40%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LACTATE DEHYDROGENASE $42.60 $71.00 $30.42–$63.90 — 40%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LD PLEURAL FLUID $42.60 $71.00 $30.42–$63.90 — 40%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 TOTAL LD PNL 1900 $42.60 $71.00 $30.42–$63.90 — 40%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LD CSF $42.60 $71.00 $30.42–$63.90 — 40%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LDH-LACTIC DEHYDROGENASE $42.60 $71.00 $30.42–$63.90 — 40%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LD PERITONEAL FLUID $42.60 $71.00 $30.42–$63.90 — 40%
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE PLEURAL FLUID $139.80 $233.00 $5.50–$186.40 198% above 40%
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE $139.80 $233.00 $5.50–$186.40 198% above 40%
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE PERITONEAL FLUID $139.80 $233.00 $5.50–$186.40 198% above 40%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE $139.80 $233.00 $99.82–$209.70 — 40%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE PERITONEAL FLUID $139.80 $233.00 $99.82–$209.70 — 40%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE PLEURAL FLUID $139.80 $233.00 $99.82–$209.70 — 40%
Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL $232.20 $387.00 $8.08–$309.60 197% above 40%
Liver function blood test panel inpatient CPT 80076 HEPATIC FUNCTION PANEL $232.20 $387.00 $165.79–$348.30 — 40%
Lyme disease antibody test CPT 86618 BORRELIA BURGDORFERI P2435 $70.80 $118.00 $16.83–$94.40 25% below 40%
Lyme disease antibody test CPT 86618 LYME DIS AB W/RFLX TO IMMUNOA $70.80 $118.00 $16.83–$94.40 25% below 40%
Lyme disease antibody test CPT 86618 BORRELIA BURGDORFERI P8139 $70.80 $118.00 $16.83–$94.40 25% below 40%
Lyme disease antibody test CPT 86618 LYME AB IGG S $70.80 $118.00 $16.83–$94.40 25% below 40%
Lyme disease antibody test CPT 86618 LYME DISEASE ANTIBODY IGM $70.80 $118.00 $16.83–$94.40 25% below 40%
Lyme disease antibody test CPT 86618 LYME POLYV AIB SCREEN W/REF $70.80 $118.00 $16.83–$94.40 25% below 40%
Lyme disease antibody test CPT 86618 LYME DISEASE AB $70.80 $118.00 $16.83–$94.40 25% below 40%
Lyme disease antibody test inpatient CPT 86618 LYME AB IGG S $70.80 $118.00 $50.55–$106.20 — 40%
Lyme disease antibody test inpatient CPT 86618 LYME POLYV AIB SCREEN W/REF $70.80 $118.00 $50.55–$106.20 — 40%
Lyme disease antibody test inpatient CPT 86618 BORRELIA BURGDORFERI P2435 $70.80 $118.00 $50.55–$106.20 — 40%
Lyme disease antibody test inpatient CPT 86618 BORRELIA BURGDORFERI P8139 $70.80 $118.00 $50.55–$106.20 — 40%
Lyme disease antibody test inpatient CPT 86618 LYME DISEASE AB $70.80 $118.00 $50.55–$106.20 — 40%
Lyme disease antibody test inpatient CPT 86618 LYME DIS AB W/RFLX TO IMMUNOA $70.80 $118.00 $50.55–$106.20 — 40%
Lyme disease antibody test inpatient CPT 86618 LYME DISEASE ANTIBODY IGM $70.80 $118.00 $50.55–$106.20 — 40%
Magnesium blood test CPT 83735 MAGNESIUM - 24HR URINE $54.00 $90.00 $6.62–$72.00 30% above 40%
Magnesium blood test CPT 83735 MAGNESIUM RBC $54.00 $90.00 $6.62–$72.00 30% above 40%
Magnesium blood test CPT 83735 MAGNESIUM P7923 $54.00 $90.00 $6.62–$72.00 30% above 40%
Magnesium blood test CPT 83735 MAGNESIUM $54.00 $90.00 $6.62–$72.00 30% above 40%
Magnesium blood test CPT 83735 MAGNESIUM P6856 $54.00 $90.00 $6.62–$72.00 30% above 40%
Magnesium blood test CPT 83735 MAGNESIUM FECAL $54.00 $90.00 $6.62–$72.00 30% above 40%
Magnesium blood test inpatient CPT 83735 MAGNESIUM P7923 $54.00 $90.00 $38.56–$81.00 — 40%
Magnesium blood test inpatient CPT 83735 MAGNESIUM RBC $54.00 $90.00 $38.56–$81.00 — 40%
Magnesium blood test inpatient CPT 83735 MAGNESIUM $54.00 $90.00 $38.56–$81.00 — 40%
Magnesium blood test inpatient CPT 83735 MAGNESIUM - 24HR URINE $54.00 $90.00 $38.56–$81.00 — 40%
Magnesium blood test inpatient CPT 83735 MAGNESIUM FECAL $54.00 $90.00 $38.56–$81.00 — 40%
Magnesium blood test inpatient CPT 83735 MAGNESIUM P6856 $54.00 $90.00 $38.56–$81.00 — 40%
Measles (rubeola) antibody test CPT 86765 RUBEOLA P7969 $219.60 $366.00 $12.73–$292.80 172% above 40%
Measles (rubeola) antibody test CPT 86765 MEASLES ANTIBODY (IGG) $219.60 $366.00 $12.73–$292.80 172% above 40%
Measles (rubeola) antibody test CPT 86765 RUBEOLA P3261 $219.60 $366.00 $12.73–$292.80 172% above 40%
Measles (rubeola) antibody test CPT 86765 MEASLES AB IGM / RUBEOLA $219.60 $366.00 $12.73–$292.80 172% above 40%
Measles (rubeola) antibody test CPT 86765 MEASLES AB IGG IGM DIAGNOSTIC $219.60 $366.00 $12.73–$292.80 172% above 40%
Measles (rubeola) antibody test inpatient CPT 86765 MEASLES AB IGG IGM DIAGNOSTIC $219.60 $366.00 $156.79–$329.40 — 40%
Measles (rubeola) antibody test inpatient CPT 86765 MEASLES AB IGM / RUBEOLA $219.60 $366.00 $156.79–$329.40 — 40%
Measles (rubeola) antibody test inpatient CPT 86765 RUBEOLA P7969 $219.60 $366.00 $156.79–$329.40 — 40%
Measles (rubeola) antibody test inpatient CPT 86765 RUBEOLA P3261 $219.60 $366.00 $156.79–$329.40 — 40%
Measles (rubeola) antibody test inpatient CPT 86765 MEASLES ANTIBODY (IGG) $219.60 $366.00 $156.79–$329.40 — 40%
Mono test (heterophile antibody, Monospot) CPT 86308 MONOTEST (HETEROPHILE SCREEN) $56.40 $94.00 $5.12–$75.20 52% above 40%
Mono test (heterophile antibody, Monospot) CPT 86308 MONOSPOT $56.40 $94.00 $5.12–$75.20 52% above 40%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 MONOTEST (HETEROPHILE SCREEN) $56.40 $94.00 $40.27–$84.60 — 40%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 MONOSPOT $56.40 $94.00 $40.27–$84.60 — 40%
Mumps immunity blood test CPT 86735 MUMPS P3862 $285.60 $476.00 $10.19–$380.80 251% above 40%
Mumps immunity blood test CPT 86735 MUMPS AB (IGG/M) PANEL $285.60 $476.00 $10.19–$380.80 251% above 40%
Mumps immunity blood test CPT 86735 MUMPS IGG $285.60 $476.00 $10.19–$380.80 251% above 40%
Mumps immunity blood test CPT 86735 MUMPS ANTIBODY - IGG $285.60 $476.00 $10.19–$380.80 251% above 40%
Mumps immunity blood test CPT 86735 MUMPS ANTIBODY IGM $285.60 $476.00 $10.19–$380.80 251% above 40%
Mumps immunity blood test CPT 86735 MUMPS P7969 $285.60 $476.00 $10.19–$380.80 251% above 40%
Mumps immunity blood test CPT 86735 MUMPS P3261 $285.60 $476.00 $10.19–$380.80 251% above 40%
Mumps immunity blood test inpatient CPT 86735 MUMPS P3862 $285.60 $476.00 $203.92–$428.40 — 40%
Mumps immunity blood test inpatient CPT 86735 MUMPS P7969 $285.60 $476.00 $203.92–$428.40 — 40%
Mumps immunity blood test inpatient CPT 86735 MUMPS ANTIBODY IGM $285.60 $476.00 $203.92–$428.40 — 40%
Mumps immunity blood test inpatient CPT 86735 MUMPS P3261 $285.60 $476.00 $203.92–$428.40 — 40%
Mumps immunity blood test inpatient CPT 86735 MUMPS AB (IGG/M) PANEL $285.60 $476.00 $203.92–$428.40 — 40%
Mumps immunity blood test inpatient CPT 86735 MUMPS ANTIBODY - IGG $285.60 $476.00 $203.92–$428.40 — 40%
Mumps immunity blood test inpatient CPT 86735 MUMPS IGG $285.60 $476.00 $203.92–$428.40 — 40%
PSA (prostate-specific antigen) blood test, free CPT 84154 FREE PSA PNL 2770 $421.20 $702.00 $18.17–$561.60 270% above 40%
PSA (prostate-specific antigen) blood test, free CPT 84154 PSA FREE REFLEX $421.20 $702.00 $18.17–$561.60 270% above 40%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PSA FREE REFLEX $421.20 $702.00 $300.74–$631.80 — 40%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 FREE PSA PNL 2770 $421.20 $702.00 $300.74–$631.80 — 40%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA POST-PROSTECTOMY HAMA $198.00 $330.00 $18.17–$264.00 80% above 40%
PSA (prostate-specific antigen) blood test, total CPT 84153 DIAGNOSTIC PSA $198.00 $330.00 $18.17–$264.00 80% above 40%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA ULTRA-SENSITIVE $198.00 $330.00 $18.17–$264.00 80% above 40%
PSA (prostate-specific antigen) blood test, total CPT 84153 TOTAL PSA PNL 2770 $198.00 $330.00 $18.17–$264.00 80% above 40%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA TOTAL REFLEX TO FREE PSA $198.00 $330.00 $18.17–$264.00 80% above 40%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA DIAGNOSTIC $198.00 $330.00 $18.17–$264.00 80% above 40%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 DIAGNOSTIC PSA $198.00 $330.00 $141.37–$297.00 — 40%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA ULTRA-SENSITIVE $198.00 $330.00 $141.37–$297.00 — 40%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA TOTAL REFLEX TO FREE PSA $198.00 $330.00 $141.37–$297.00 — 40%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA DIAGNOSTIC $198.00 $330.00 $141.37–$297.00 — 40%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 TOTAL PSA PNL 2770 $198.00 $330.00 $141.37–$297.00 — 40%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA POST-PROSTECTOMY HAMA $198.00 $330.00 $141.37–$297.00 — 40%
Pap test (liquid-based, automated screening with review) CPT 88175 PAP SMEAR DX THIN W/RESCREEN $78.00 $130.00 $26.30–$104.00 5% below 40%
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 PAP SMEAR DX THIN W/RESCREEN $78.00 $130.00 $55.69–$117.00 — 40%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 THIN PREP-DIAGNOSTIC $61.20 $102.00 $17.60–$81.60 at median 40%
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 THIN PREP-DIAGNOSTIC $61.20 $102.00 $43.70–$91.80 — 40%
Parathyroid hormone (PTH) blood test CPT 83970 INTACT PTH PNL 2511 $188.40 $314.00 $40.80–$251.20 14% below 40%
Parathyroid hormone (PTH) blood test CPT 83970 PTH INTACT(WITHOUT CALCIUM) $188.40 $314.00 $40.80–$251.20 14% below 40%
Parathyroid hormone (PTH) blood test CPT 83970 PARATHYROID HORMONE QUICK $188.40 $314.00 $40.80–$251.20 14% below 40%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 INTACT PTH PNL 2511 $188.40 $314.00 $134.52–$282.60 — 40%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 PTH INTACT(WITHOUT CALCIUM) $188.40 $314.00 $134.52–$282.60 — 40%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 PARATHYROID HORMONE QUICK $188.40 $314.00 $134.52–$282.60 — 40%
Partial thromboplastin time (PTT) clotting test CPT 85730 ACTIVATED PTT $105.60 $176.00 $5.94–$140.80 156% above 40%
Partial thromboplastin time (PTT) clotting test CPT 85730 PARTIAL THROMBOPLASTIN PL 2848 $105.60 $176.00 $5.94–$140.80 156% above 40%
Partial thromboplastin time (PTT) clotting test CPT 85730 THROMBOPLASTIN TIME P3417 $105.60 $176.00 $5.94–$140.80 156% above 40%
Partial thromboplastin time (PTT) clotting test CPT 85730 APTT (BASELINE) PNL 5464 $105.60 $176.00 $5.94–$140.80 156% above 40%
Partial thromboplastin time (PTT) clotting test CPT 85730 THROMBPL TIME PART(PTT) P6881 $105.60 $176.00 $5.94–$140.80 156% above 40%
Partial thromboplastin time (PTT) clotting test CPT 85730 ACT PART THROMBOP TIME P P7021 $105.60 $176.00 $5.94–$140.80 156% above 40%
Partial thromboplastin time (PTT) clotting test CPT 85730 THROMBOPLASTIN TIME P3391 $105.60 $176.00 $5.94–$140.80 156% above 40%
Partial thromboplastin time (PTT) clotting test CPT 85730 PTT (APTT) $105.60 $176.00 $5.94–$140.80 156% above 40%
Partial thromboplastin time (PTT) clotting test CPT 85730 THROMBOPL TIME PARTL(PTT)P2441 $105.60 $176.00 $5.94–$140.80 156% above 40%
Partial thromboplastin time (PTT) clotting test CPT 85730 THROMBOPLASTIN TIME P0267 $105.60 $176.00 $5.94–$140.80 156% above 40%
Partial thromboplastin time (PTT) clotting test CPT 85730 THROMBOPLASTIN TIME P2635 $105.60 $176.00 $5.94–$140.80 156% above 40%
Partial thromboplastin time (PTT) clotting test CPT 85730 PARTIAL PROTHROMBIN TIME P4160 $105.60 $176.00 $5.94–$140.80 156% above 40%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PARTIAL THROMBOPLASTIN PL 2848 $105.60 $176.00 $75.40–$158.40 — 40%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 THROMBOPL TIME PARTL(PTT)P2441 $105.60 $176.00 $75.40–$158.40 — 40%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 APTT (BASELINE) PNL 5464 $105.60 $176.00 $75.40–$158.40 — 40%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 THROMBOPLASTIN TIME P2635 $105.60 $176.00 $75.40–$158.40 — 40%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 THROMBOPLASTIN TIME P3417 $105.60 $176.00 $75.40–$158.40 — 40%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 THROMBOPLASTIN TIME P3391 $105.60 $176.00 $75.40–$158.40 — 40%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 THROMBOPLASTIN TIME P0267 $105.60 $176.00 $75.40–$158.40 — 40%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PARTIAL PROTHROMBIN TIME P4160 $105.60 $176.00 $75.40–$158.40 — 40%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 ACTIVATED PTT $105.60 $176.00 $75.40–$158.40 — 40%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 THROMBPL TIME PART(PTT) P6881 $105.60 $176.00 $75.40–$158.40 — 40%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 ACT PART THROMBOP TIME P P7021 $105.60 $176.00 $75.40–$158.40 — 40%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT (APTT) $105.60 $176.00 $75.40–$158.40 — 40%
Phosphorus (phosphate) blood test CPT 84100 PHOSPHORUS SERUM $70.80 $118.00 $4.69–$94.40 118% above 40%
Phosphorus (phosphate) blood test inpatient CPT 84100 PHOSPHORUS SERUM $70.80 $118.00 $50.55–$106.20 — 40%
Potassium blood test CPT 84132 POTASSIUM SERUM $39.60 $66.00 $4.70–$52.80 24% above 40%
Potassium blood test CPT 84132 POTASSIUM $39.60 $66.00 $4.70–$52.80 24% above 40%
Potassium blood test CPT 84132 BLOOD GAS POTASSIUM $39.60 $66.00 $4.70–$52.80 24% above 40%
Potassium blood test CPT 84132 ISTAT POTASSIUM $39.60 $66.00 $4.70–$52.80 24% above 40%
Potassium blood test inpatient CPT 84132 BLOOD GAS POTASSIUM $39.60 $66.00 $28.27–$59.40 — 40%
Potassium blood test inpatient CPT 84132 POTASSIUM $39.60 $66.00 $28.27–$59.40 — 40%
Potassium blood test inpatient CPT 84132 POTASSIUM SERUM $39.60 $66.00 $28.27–$59.40 — 40%
Potassium blood test inpatient CPT 84132 ISTAT POTASSIUM $39.60 $66.00 $28.27–$59.40 — 40%
Progesterone blood test CPT 84144 PROGESTERONE LEVEL $268.20 $447.00 $18.70–$357.60 95% above 40%
Progesterone blood test CPT 84144 PROGESTERONE $268.20 $447.00 $18.70–$357.60 95% above 40%
Progesterone blood test CPT 84144 PROGESTERONE LC/MS/MS $268.20 $447.00 $18.70–$357.60 95% above 40%
Progesterone blood test CPT 84144 PROGESTERONE P6025 $268.20 $447.00 $18.70–$357.60 95% above 40%
Progesterone blood test inpatient CPT 84144 PROGESTERONE $268.20 $447.00 $191.49–$402.30 — 40%
Progesterone blood test inpatient CPT 84144 PROGESTERONE LC/MS/MS $268.20 $447.00 $191.49–$402.30 — 40%
Progesterone blood test inpatient CPT 84144 PROGESTERONE LEVEL $268.20 $447.00 $191.49–$402.30 — 40%
Progesterone blood test inpatient CPT 84144 PROGESTERONE P6025 $268.20 $447.00 $191.49–$402.30 — 40%
Prolactin blood test CPT 84146 PROLACTIN $307.20 $512.00 $19.15–$409.60 146% above 40%
Prolactin blood test CPT 84146 PROLACTIN DILUTION STUDY $307.20 $512.00 $19.15–$409.60 146% above 40%
Prolactin blood test CPT 84146 MACROPROLACTIN $307.20 $512.00 $19.15–$409.60 146% above 40%
Prolactin blood test inpatient CPT 84146 MACROPROLACTIN $307.20 $512.00 $219.34–$460.80 — 40%
Prolactin blood test inpatient CPT 84146 PROLACTIN $307.20 $512.00 $219.34–$460.80 — 40%
Prolactin blood test inpatient CPT 84146 PROLACTIN DILUTION STUDY $307.20 $512.00 $219.34–$460.80 — 40%
Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME P5674 $77.40 $129.00 $4.24–$103.20 172% above 40%
Prothrombin time (PT/INR) clotting test CPT 85610 PT PROTHROMBIN TIME $77.40 $129.00 $4.24–$103.20 172% above 40%
Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME P P7021 $77.40 $129.00 $4.24–$103.20 172% above 40%
Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME PNL 2848 $77.40 $129.00 $4.24–$103.20 172% above 40%
Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME P4160 $77.40 $129.00 $4.24–$103.20 172% above 40%
Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME P2680 $77.40 $129.00 $4.24–$103.20 172% above 40%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PT PROTHROMBIN TIME $77.40 $129.00 $55.26–$116.10 — 40%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME P2680 $77.40 $129.00 $55.26–$116.10 — 40%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME PNL 2848 $77.40 $129.00 $55.26–$116.10 — 40%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME P4160 $77.40 $129.00 $55.26–$116.10 — 40%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME P5674 $77.40 $129.00 $55.26–$116.10 — 40%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME P P7021 $77.40 $129.00 $55.26–$116.10 — 40%
Rapid flu test (influenza antigen) CPT 87804 INFLUENZA ASSAY W/OPTIC $13.20 $22.00 $6.73–$19.34 76% below 40%
Rapid flu test (influenza antigen) inpatient CPT 87804 INFLUENZA ASSAY W/OPTIC $13.20 $22.00 $9.42–$19.80 — 40%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 STREP A DIRECT $13.20 $22.00 $6.73–$18.05 79% below 40%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 STREP A DIRECT $13.20 $22.00 $9.42–$19.80 — 40%
Renin blood test CPT 84244 RENIN P2402 $184.20 $307.00 $13.20–$245.60 27% above 40%
Renin blood test CPT 84244 RENIN ACTIVITY PLASMA $184.20 $307.00 $13.20–$245.60 27% above 40%
Renin blood test inpatient CPT 84244 RENIN P2402 $184.20 $307.00 $131.52–$276.30 — 40%
Renin blood test inpatient CPT 84244 RENIN ACTIVITY PLASMA $184.20 $307.00 $131.52–$276.30 — 40%
Rh blood typing CPT 86901 HC BLOOD TYPING RH(D) $40.20 $67.00 $2.96–$53.60 29% below 40%
Rh blood typing CPT 86901 RH TYPING $40.20 $67.00 $2.96–$53.60 29% below 40%
Rh blood typing inpatient CPT 86901 RH TYPING $40.20 $67.00 $28.70–$60.30 — 40%
Rh blood typing inpatient CPT 86901 HC BLOOD TYPING RH(D) $40.20 $67.00 $28.70–$60.30 — 40%
Rheumatoid factor (RF) test CPT 86431 RF (RHEUMATOID FACTOR) IGA $98.40 $164.00 $5.61–$131.20 152% above 40%
Rheumatoid factor (RF) test CPT 86431 QUANTITATIVE P4307 $98.40 $164.00 $5.61–$131.20 152% above 40%
Rheumatoid factor (RF) test CPT 86431 QUANTITATIVE P5919 $98.40 $164.00 $5.61–$131.20 152% above 40%
Rheumatoid factor (RF) test CPT 86431 QUANTITATIVE P4262 $98.40 $164.00 $5.61–$131.20 152% above 40%
Rheumatoid factor (RF) test CPT 86431 RF (RHEUMATOID FACTOR) IGM $98.40 $164.00 $5.61–$131.20 152% above 40%
Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTR(RA/RF FACTR) $98.40 $164.00 $5.61–$131.20 152% above 40%
Rheumatoid factor (RF) test CPT 86431 QUANTITATIVE P6842 $98.40 $164.00 $5.61–$131.20 152% above 40%
Rheumatoid factor (RF) test CPT 86431 QUANTITATIVE P5091 $98.40 $164.00 $5.61–$131.20 152% above 40%
Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR QN P5076 $98.40 $164.00 $5.61–$131.20 152% above 40%
Rheumatoid factor (RF) test CPT 86431 QUANTITATIVE P4312 $98.40 $164.00 $5.61–$131.20 152% above 40%
Rheumatoid factor (RF) test CPT 86431 RHEUMO FACT QUANT P3355 $98.40 $164.00 $5.61–$131.20 152% above 40%
Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR BODY FLUID $98.40 $164.00 $5.61–$131.20 152% above 40%
Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR TITER QUANT $98.40 $164.00 $5.61–$131.20 152% above 40%
Rheumatoid factor (RF) test CPT 86431 QUANTITATIVE P8130 $98.40 $164.00 $5.61–$131.20 152% above 40%
Rheumatoid factor (RF) test CPT 86431 QUANTITATIVE P3164 $98.40 $164.00 $5.61–$131.20 152% above 40%
Rheumatoid factor (RF) test inpatient CPT 86431 QUANTITATIVE P4312 $98.40 $164.00 $70.26–$147.60 — 40%
Rheumatoid factor (RF) test inpatient CPT 86431 RHEUMATOID FACTOR BODY FLUID $98.40 $164.00 $70.26–$147.60 — 40%
Rheumatoid factor (RF) test inpatient CPT 86431 QUANTITATIVE P4307 $98.40 $164.00 $70.26–$147.60 — 40%
Rheumatoid factor (RF) test inpatient CPT 86431 QUANTITATIVE P8130 $98.40 $164.00 $70.26–$147.60 — 40%
Rheumatoid factor (RF) test inpatient CPT 86431 QUANTITATIVE P5919 $98.40 $164.00 $70.26–$147.60 — 40%
Rheumatoid factor (RF) test inpatient CPT 86431 RHEUMATOID FACTR(RA/RF FACTR) $98.40 $164.00 $70.26–$147.60 — 40%
Rheumatoid factor (RF) test inpatient CPT 86431 QUANTITATIVE P3164 $98.40 $164.00 $70.26–$147.60 — 40%
Rheumatoid factor (RF) test inpatient CPT 86431 RHEUMATOID FACTOR TITER QUANT $98.40 $164.00 $70.26–$147.60 — 40%
Rheumatoid factor (RF) test inpatient CPT 86431 QUANTITATIVE P6842 $98.40 $164.00 $70.26–$147.60 — 40%
Rheumatoid factor (RF) test inpatient CPT 86431 RF (RHEUMATOID FACTOR) IGA $98.40 $164.00 $70.26–$147.60 — 40%
Rheumatoid factor (RF) test inpatient CPT 86431 RHEUMO FACT QUANT P3355 $98.40 $164.00 $70.26–$147.60 — 40%
Rheumatoid factor (RF) test inpatient CPT 86431 QUANTITATIVE P4262 $98.40 $164.00 $70.26–$147.60 — 40%
Rheumatoid factor (RF) test inpatient CPT 86431 RF (RHEUMATOID FACTOR) IGM $98.40 $164.00 $70.26–$147.60 — 40%
Rheumatoid factor (RF) test inpatient CPT 86431 RHEUMATOID FACTOR QN P5076 $98.40 $164.00 $70.26–$147.60 — 40%
Rheumatoid factor (RF) test inpatient CPT 86431 QUANTITATIVE P5091 $98.40 $164.00 $70.26–$147.60 — 40%
Rubella antibody test (immunity check) CPT 86762 RUBELLA P3261 $130.20 $217.00 $14.22–$173.60 54% above 40%
Rubella antibody test (immunity check) CPT 86762 RUBELLA AB(IGG IGM) DIAGNOSTIC $130.20 $217.00 $14.22–$173.60 54% above 40%
Rubella antibody test (immunity check) CPT 86762 RUBELLA AB IGM (GERMAN MEASLS) $130.20 $217.00 $14.22–$173.60 54% above 40%
Rubella antibody test (immunity check) CPT 86762 SCREEN RUBELLA AB IGG $130.20 $217.00 $14.22–$173.60 54% above 40%
Rubella antibody test (immunity check) CPT 86762 RUBELLA AB/IGM P1641 $130.20 $217.00 $14.22–$173.60 54% above 40%
Rubella antibody test (immunity check) CPT 86762 RUBELLA ANTIBODY - IGG $130.20 $217.00 $14.22–$173.60 54% above 40%
Rubella antibody test (immunity check) CPT 86762 RUBELLA ANTIBODY (IGG) PNL1850 $130.20 $217.00 $14.22–$173.60 54% above 40%
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA ANTIBODY - IGG $130.20 $217.00 $92.96–$195.30 — 40%
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA P3261 $130.20 $217.00 $92.96–$195.30 — 40%
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA AB(IGG IGM) DIAGNOSTIC $130.20 $217.00 $92.96–$195.30 — 40%
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA AB IGM (GERMAN MEASLS) $130.20 $217.00 $92.96–$195.30 — 40%
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA ANTIBODY (IGG) PNL1850 $130.20 $217.00 $92.96–$195.30 — 40%
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA AB/IGM P1641 $130.20 $217.00 $92.96–$195.30 — 40%
Rubella antibody test (immunity check) inpatient CPT 86762 SCREEN RUBELLA AB IGG $130.20 $217.00 $92.96–$195.30 — 40%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 SED RATE AUTOMATED $57.00 $95.00 $2.67–$76.00 164% above 40%
Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 SED RATE AUTOMATED $57.00 $95.00 $40.70–$85.50 — 40%
Semen analysis: volume, sperm count, motility and morphology CPT 89320 SEMEN ANALYSIS $195.60 $326.00 $9.61–$260.80 120% above 40%
Semen analysis: volume, sperm count, motility and morphology inpatient CPT 89320 SEMEN ANALYSIS $195.60 $326.00 $139.66–$293.40 — 40%
Sodium blood test CPT 84295 BLOOD GAS SODIUM $39.60 $66.00 $4.76–$52.80 22% above 40%
Sodium blood test CPT 84295 ISTAT SODIUM $39.60 $66.00 $4.76–$52.80 22% above 40%
Sodium blood test CPT 84295 SODIUM PNL $39.60 $66.00 $4.76–$52.80 22% above 40%
Sodium blood test inpatient CPT 84295 SODIUM PNL $39.60 $66.00 $28.27–$59.40 — 40%
Sodium blood test inpatient CPT 84295 ISTAT SODIUM $39.60 $66.00 $28.27–$59.40 — 40%
Sodium blood test inpatient CPT 84295 BLOOD GAS SODIUM $39.60 $66.00 $28.27–$59.40 — 40%
Stool ova and parasites exam CPT 87177 OVA & PARASITE CONCTRN PNL2831 $41.40 $69.00 $8.25–$55.20 29% below 40%
Stool ova and parasites exam CPT 87177 OVA AND PARASITES PNL 5271 $41.40 $69.00 $8.25–$55.20 29% below 40%
Stool ova and parasites exam inpatient CPT 87177 OVA & PARASITE CONCTRN PNL2831 $41.40 $69.00 $29.56–$62.10 — 40%
Stool ova and parasites exam inpatient CPT 87177 OVA AND PARASITES PNL 5271 $41.40 $69.00 $29.56–$62.10 — 40%
Stool test for hidden blood (guaiac FOBT) CPT 82270 HEMOCCULT $20.40 $34.00 $3.82–$27.20 at median 40%
Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULT BLOOD FECES $20.40 $34.00 $3.82–$27.20 at median 40%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 HEMOCCULT $20.40 $34.00 $14.57–$30.60 — 40%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 OCCULT BLOOD FECES $20.40 $34.00 $14.57–$30.60 — 40%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 FECAL GLOBIN IMMUNOCHEMISTRY $27.00 $45.00 $3.08–$36.00 25% below 40%
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 FECAL GLOBIN IMMUNOCHEMISTRY $27.00 $45.00 $19.28–$40.50 — 40%
Syphilis antibody test (Treponema pallidum) CPT 86780 FTA-ABS CSF $36.60 $61.00 $13.08–$48.80 51% below 40%
Syphilis antibody test (Treponema pallidum) CPT 86780 TREPONMA PALLIDM AB PART AGGLU $36.60 $61.00 $13.08–$48.80 51% below 40%
Syphilis antibody test (Treponema pallidum) CPT 86780 TREPONEMA PALLIDUM AB IGG IGM $36.60 $61.00 $13.08–$48.80 51% below 40%
Syphilis antibody test (Treponema pallidum) CPT 86780 TOTAL SYPHILIS $36.60 $61.00 $13.08–$48.80 51% below 40%
Syphilis antibody test (Treponema pallidum) CPT 86780 FTA - SERUM $36.60 $61.00 $13.08–$48.80 51% below 40%
Syphilis antibody test (Treponema pallidum) CPT 86780 TREPONEMA PALLIDUM CONFIRM $36.60 $61.00 $13.08–$48.80 51% below 40%
Syphilis antibody test (Treponema pallidum) CPT 86780 DONOR SYPHILIS AB IGG $36.60 $61.00 $13.08–$48.80 51% below 40%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 TREPONEMA PALLIDUM CONFIRM $36.60 $61.00 $26.13–$54.90 — 40%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 FTA - SERUM $36.60 $61.00 $26.13–$54.90 — 40%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 TREPONMA PALLIDM AB PART AGGLU $36.60 $61.00 $26.13–$54.90 — 40%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 DONOR SYPHILIS AB IGG $36.60 $61.00 $26.13–$54.90 — 40%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 TREPONEMA PALLIDUM AB IGG IGM $36.60 $61.00 $26.13–$54.90 — 40%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 FTA-ABS CSF $36.60 $61.00 $26.13–$54.90 — 40%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 TOTAL SYPHILIS $36.60 $61.00 $26.13–$54.90 — 40%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VDRL SERUM $38.40 $64.00 $4.22–$51.20 37% above 40%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR SCREEN $38.40 $64.00 $4.22–$51.20 37% above 40%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VDRL - CSF $38.40 $64.00 $4.22–$51.20 37% above 40%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR $38.40 $64.00 $4.22–$51.20 37% above 40%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VDRL QUAL CSF $38.40 $64.00 $4.22–$51.20 37% above 40%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR QUAL $38.40 $64.00 $4.22–$51.20 37% above 40%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR(MONITR) W/REFLX TITR(REFL) $40.80 $68.00 $4.22–$54.40 45% above 40%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 RPR QUAL $38.40 $64.00 $27.42–$57.60 — 40%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 RPR $38.40 $64.00 $27.42–$57.60 — 40%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 VDRL QUAL CSF $38.40 $64.00 $27.42–$57.60 — 40%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 VDRL SERUM $38.40 $64.00 $27.42–$57.60 — 40%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 VDRL - CSF $38.40 $64.00 $27.42–$57.60 — 40%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 RPR SCREEN $38.40 $64.00 $27.42–$57.60 — 40%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 RPR(MONITR) W/REFLX TITR(REFL) $40.80 $68.00 $29.13–$61.20 — 40%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QUANTIFERON - TB GOLD $209.40 $349.00 $61.26–$279.20 32% below 40%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QUANTIFERON TB GOLD PLUS $209.40 $349.00 $61.26–$279.20 32% below 40%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 QUANTIFERON - TB GOLD $209.40 $349.00 $149.51–$314.10 — 40%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 QUANTIFERON TB GOLD PLUS $209.40 $349.00 $149.51–$314.10 — 40%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE (ANDROGEN) $184.20 $307.00 $25.52–$245.60 13% above 40%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE TOTAL LC/MS/MS $184.20 $307.00 $25.52–$245.60 13% above 40%
Testosterone blood test, total (not free testosterone) CPT 84403 TOTAL P6025 $184.20 $307.00 $25.52–$245.60 13% above 40%
Testosterone blood test, total (not free testosterone) CPT 84403 TOTAL HORMONE P4556 $184.20 $307.00 $25.52–$245.60 13% above 40%
Testosterone blood test, total (not free testosterone) CPT 84403 TOTAL TESTOSTERONE P0605 $184.20 $307.00 $25.52–$245.60 13% above 40%
Testosterone blood test, total (not free testosterone) CPT 84403 TOTAL TESTOSTERONE PNL 1540 $184.20 $307.00 $25.52–$245.60 13% above 40%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTRNE TOTAL SERUM MASS SP $184.20 $307.00 $25.52–$245.60 13% above 40%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE TOTAL P4882 $184.20 $307.00 $25.52–$245.60 13% above 40%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TOTAL P6025 $184.20 $307.00 $131.52–$276.30 — 40%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE TOTAL LC/MS/MS $184.20 $307.00 $131.52–$276.30 — 40%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE (ANDROGEN) $184.20 $307.00 $131.52–$276.30 — 40%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TOTAL TESTOSTERONE PNL 1540 $184.20 $307.00 $131.52–$276.30 — 40%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTRNE TOTAL SERUM MASS SP $184.20 $307.00 $131.52–$276.30 — 40%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE TOTAL P4882 $184.20 $307.00 $131.52–$276.30 — 40%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TOTAL TESTOSTERONE P0605 $184.20 $307.00 $131.52–$276.30 — 40%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TOTAL HORMONE P4556 $184.20 $307.00 $131.52–$276.30 — 40%
Thyroid peroxidase (TPO) antibody test CPT 86376 MICROSOMAL ANTIBODIES P9705 $219.60 $366.00 $8.70–$292.80 192% above 40%
Thyroid peroxidase (TPO) antibody test CPT 86376 LIVER CYTOSOL AN TYPE 1 AB IGG $219.60 $366.00 $8.70–$292.80 192% above 40%
Thyroid peroxidase (TPO) antibody test CPT 86376 MICROSOMAL ANTIBODIES P5091 $219.60 $366.00 $8.70–$292.80 192% above 40%
Thyroid peroxidase (TPO) antibody test CPT 86376 MICROSOMAL ANTIBODIES P4758 $219.60 $366.00 $8.70–$292.80 192% above 40%
Thyroid peroxidase (TPO) antibody test CPT 86376 PEROXIDASE ANTIBODY $219.60 $366.00 $8.70–$292.80 192% above 40%
Thyroid peroxidase (TPO) antibody test CPT 86376 THYROPEROXIDASE AB S $219.60 $366.00 $8.70–$292.80 192% above 40%
Thyroid peroxidase (TPO) antibody test CPT 86376 MICROSOM AB EA P3355 $219.60 $366.00 $8.70–$292.80 192% above 40%
Thyroid peroxidase (TPO) antibody test CPT 86376 ANTI-LIVER/KIDNEY MICROSOML AB $219.60 $366.00 $8.70–$292.80 192% above 40%
Thyroid peroxidase (TPO) antibody test CPT 86376 ANTI-THYROID PEROXIDASE PL2554 $219.60 $366.00 $8.70–$292.80 192% above 40%
Thyroid peroxidase (TPO) antibody test CPT 86376 ANTI THYROID PEROXIDASE AB $219.60 $366.00 $8.70–$292.80 192% above 40%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 ANTI THYROID PEROXIDASE AB $219.60 $366.00 $156.79–$329.40 — 40%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 ANTI-THYROID PEROXIDASE PL2554 $219.60 $366.00 $156.79–$329.40 — 40%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 ANTI-LIVER/KIDNEY MICROSOML AB $219.60 $366.00 $156.79–$329.40 — 40%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 MICROSOM AB EA P3355 $219.60 $366.00 $156.79–$329.40 — 40%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 MICROSOMAL ANTIBODIES P9705 $219.60 $366.00 $156.79–$329.40 — 40%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 PEROXIDASE ANTIBODY $219.60 $366.00 $156.79–$329.40 — 40%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 MICROSOMAL ANTIBODIES P4758 $219.60 $366.00 $156.79–$329.40 — 40%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 MICROSOMAL ANTIBODIES P5091 $219.60 $366.00 $156.79–$329.40 — 40%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 LIVER CYTOSOL AN TYPE 1 AB IGG $219.60 $366.00 $156.79–$329.40 — 40%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 THYROPEROXIDASE AB S $219.60 $366.00 $156.79–$329.40 — 40%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH THIRD GENERATION $226.80 $378.00 $16.60–$302.40 126% above 40%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH W/HAMA TREATMENT $226.80 $378.00 $16.60–$302.40 126% above 40%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 THYROID FUNCTION CASCADE SERUM $226.80 $378.00 $16.60–$302.40 126% above 40%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH W/FREE T4 RFX $226.80 $378.00 $16.60–$302.40 126% above 40%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH $226.80 $378.00 $16.60–$302.40 126% above 40%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 THYROID STIMULATING HORMONE $226.80 $378.00 $16.60–$302.40 126% above 40%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 THYROID FUNCTION CASCADE SERUM $226.80 $378.00 $161.94–$340.20 — 40%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH W/FREE T4 RFX $226.80 $378.00 $161.94–$340.20 — 40%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH W/HAMA TREATMENT $226.80 $378.00 $161.94–$340.20 — 40%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 THYROID STIMULATING HORMONE $226.80 $378.00 $161.94–$340.20 — 40%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH THIRD GENERATION $226.80 $378.00 $161.94–$340.20 — 40%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH $226.80 $378.00 $161.94–$340.20 — 40%
Total IgE blood test CPT 82785 IMMUNOGLOBULIN E (IGE) $226.80 $378.00 $16.27–$302.40 119% above 40%
Total IgE blood test CPT 82785 IGE P0722 $226.80 $378.00 $16.27–$302.40 119% above 40%
Total IgE blood test CPT 82785 IMMUNOGLOBULIN IGE $226.80 $378.00 $16.27–$302.40 119% above 40%
Total IgE blood test CPT 82785 GAMMAGLOBULIN IGE P1235 $226.80 $378.00 $16.27–$302.40 119% above 40%
Total IgE blood test CPT 82785 IGE P3280 $226.80 $378.00 $16.27–$302.40 119% above 40%
Total IgE blood test CPT 82785 IGE P3921 $226.80 $378.00 $16.27–$302.40 119% above 40%
Total IgE blood test inpatient CPT 82785 IMMUNOGLOBULIN E (IGE) $226.80 $378.00 $161.94–$340.20 — 40%
Total IgE blood test inpatient CPT 82785 IMMUNOGLOBULIN IGE $226.80 $378.00 $161.94–$340.20 — 40%
Total IgE blood test inpatient CPT 82785 IGE P0722 $226.80 $378.00 $161.94–$340.20 — 40%
Total IgE blood test inpatient CPT 82785 GAMMAGLOBULIN IGE P1235 $226.80 $378.00 $161.94–$340.20 — 40%
Total IgE blood test inpatient CPT 82785 IGE P3921 $226.80 $378.00 $161.94–$340.20 — 40%
Total IgE blood test inpatient CPT 82785 IGE P3280 $226.80 $378.00 $161.94–$340.20 — 40%
Total cholesterol blood test CPT 82465 ASSAY BLD/SER CHOLESTERL P3356 $39.60 $66.00 $4.30–$52.80 31% above 40%
Total cholesterol blood test CPT 82465 CHOLESTEROL PNL 7905 $39.60 $66.00 $4.30–$52.80 31% above 40%
Total cholesterol blood test CPT 82465 CHOL SERUM OR WHOLE BLD P6321 $39.60 $66.00 $4.30–$52.80 31% above 40%
Total cholesterol blood test CPT 82465 CHOLESTEROL PNL $39.60 $66.00 $4.30–$52.80 31% above 40%
Total cholesterol blood test CPT 82465 CHOLESTRL SERUM WHOLE BL P9445 $39.60 $66.00 $4.30–$52.80 31% above 40%
Total cholesterol blood test CPT 82465 CHOLESTEROL P4399 $39.60 $66.00 $4.30–$52.80 31% above 40%
Total cholesterol blood test inpatient CPT 82465 CHOLESTEROL PNL 7905 $39.60 $66.00 $28.27–$59.40 — 40%
Total cholesterol blood test inpatient CPT 82465 CHOL SERUM OR WHOLE BLD P6321 $39.60 $66.00 $28.27–$59.40 — 40%
Total cholesterol blood test inpatient CPT 82465 CHOLESTRL SERUM WHOLE BL P9445 $39.60 $66.00 $28.27–$59.40 — 40%
Total cholesterol blood test inpatient CPT 82465 CHOLESTEROL PNL $39.60 $66.00 $28.27–$59.40 — 40%
Total cholesterol blood test inpatient CPT 82465 ASSAY BLD/SER CHOLESTERL P3356 $39.60 $66.00 $28.27–$59.40 — 40%
Total cholesterol blood test inpatient CPT 82465 CHOLESTEROL P4399 $39.60 $66.00 $28.27–$59.40 — 40%
Total thyroxine (T4) blood test CPT 84436 THYROXINE TOTAL P4354 $82.80 $138.00 $6.79–$110.40 84% above 40%
Total thyroxine (T4) blood test CPT 84436 THYROXINE T4 PNL $82.80 $138.00 $6.79–$110.40 84% above 40%
Total thyroxine (T4) blood test CPT 84436 T4 THYROXINE $82.80 $138.00 $6.79–$110.40 84% above 40%
Total thyroxine (T4) blood test CPT 84436 T4 (THYROXINE TOTAL) $82.80 $138.00 $6.79–$110.40 84% above 40%
Total thyroxine (T4) blood test inpatient CPT 84436 T4 (THYROXINE TOTAL) $82.80 $138.00 $59.12–$124.20 — 40%
Total thyroxine (T4) blood test inpatient CPT 84436 THYROXINE TOTAL P4354 $82.80 $138.00 $59.12–$124.20 — 40%
Total thyroxine (T4) blood test inpatient CPT 84436 THYROXINE T4 PNL $82.80 $138.00 $59.12–$124.20 — 40%
Total thyroxine (T4) blood test inpatient CPT 84436 T4 THYROXINE $82.80 $138.00 $59.12–$124.20 — 40%
Total triiodothyronine (T3) blood test CPT 84480 TOTAL T3 PNL 2257 $222.60 $371.00 $8.80–$296.80 130% above 40%
Total triiodothyronine (T3) blood test CPT 84480 T3 (TRIIODOTHYRONINE) TOTAL S $222.60 $371.00 $8.80–$296.80 130% above 40%
Total triiodothyronine (T3) blood test CPT 84480 T3 TOTAL $222.60 $371.00 $8.80–$296.80 130% above 40%
Total triiodothyronine (T3) blood test inpatient CPT 84480 T3 TOTAL $222.60 $371.00 $158.94–$333.90 — 40%
Total triiodothyronine (T3) blood test inpatient CPT 84480 TOTAL T3 PNL 2257 $222.60 $371.00 $158.94–$333.90 — 40%
Total triiodothyronine (T3) blood test inpatient CPT 84480 T3 (TRIIODOTHYRONINE) TOTAL S $222.60 $371.00 $158.94–$333.90 — 40%
Transferrin blood test CPT 84466 TRANSFERRIN $108.00 $180.00 $12.62–$144.00 26% above 40%
Transferrin blood test inpatient CPT 84466 TRANSFERRIN $108.00 $180.00 $77.11–$162.00 — 40%
Trichomonas test (NAAT) CPT 87661 TRICHOMONAS VAGINALIS P3680 $381.00 $635.00 $34.68–$508.00 107% above 40%
Trichomonas test (NAAT) CPT 87661 TRICHOMONAS BY AMPL P3611 $381.00 $635.00 $34.68–$508.00 107% above 40%
Trichomonas test (NAAT) CPT 87661 TRICHOMONAS VAGINALIS P7084 $381.00 $635.00 $34.68–$508.00 107% above 40%
Trichomonas test (NAAT) CPT 87661 TRICHOMONAS VAGINALIS P6035 $381.00 $635.00 $34.68–$508.00 107% above 40%
Trichomonas test (NAAT) CPT 87661 TRICHOMONAS VAG AMPLIF P3030 $381.00 $635.00 $34.68–$508.00 107% above 40%
Trichomonas test (NAAT) CPT 87661 TRICH VAGINAL RNA P3686 $381.00 $635.00 $34.68–$508.00 107% above 40%
Trichomonas test (NAAT) CPT 87661 TRICH VAG RNA QL TMA PAP VIAL $381.00 $635.00 $34.68–$508.00 107% above 40%
Trichomonas test (NAAT) CPT 87661 SURESWAB THRIC VAG RNA QL MALE $381.00 $635.00 $34.68–$508.00 107% above 40%
Trichomonas test (NAAT) CPT 87661 SURESWAB TRICH VAGINAL RNA QL $381.00 $635.00 $34.68–$508.00 107% above 40%
Trichomonas test (NAAT) CPT 87661 TRICHOMONAS VAGINALIS P6785 $381.00 $635.00 $34.68–$508.00 107% above 40%
Trichomonas test (NAAT) inpatient CPT 87661 SURESWAB TRICH VAGINAL RNA QL $381.00 $635.00 $272.03–$571.50 — 40%
Trichomonas test (NAAT) inpatient CPT 87661 TRICHOMONAS VAGINALIS P6785 $381.00 $635.00 $272.03–$571.50 — 40%
Trichomonas test (NAAT) inpatient CPT 87661 TRICHOMONAS VAGINALIS P3680 $381.00 $635.00 $272.03–$571.50 — 40%
Trichomonas test (NAAT) inpatient CPT 87661 SURESWAB THRIC VAG RNA QL MALE $381.00 $635.00 $272.03–$571.50 — 40%
Trichomonas test (NAAT) inpatient CPT 87661 TRICHOMONAS VAGINALIS P7084 $381.00 $635.00 $272.03–$571.50 — 40%
Trichomonas test (NAAT) inpatient CPT 87661 TRICH VAG RNA QL TMA PAP VIAL $381.00 $635.00 $272.03–$571.50 — 40%
Trichomonas test (NAAT) inpatient CPT 87661 TRICHOMONAS VAGINALIS P6035 $381.00 $635.00 $272.03–$571.50 — 40%
Trichomonas test (NAAT) inpatient CPT 87661 TRICH VAGINAL RNA P3686 $381.00 $635.00 $272.03–$571.50 — 40%
Trichomonas test (NAAT) inpatient CPT 87661 TRICHOMONAS VAG AMPLIF P3030 $381.00 $635.00 $272.03–$571.50 — 40%
Trichomonas test (NAAT) inpatient CPT 87661 TRICHOMONAS BY AMPL P3611 $381.00 $635.00 $272.03–$571.50 — 40%
Triglycerides blood test CPT 84478 TRIGLYCERIDES P6321 $121.80 $203.00 $5.68–$162.40 207% above 40%
Triglycerides blood test CPT 84478 TRIGLYCERIDES P6804 $121.80 $203.00 $5.68–$162.40 207% above 40%
Triglycerides blood test CPT 84478 TRIGLYCERIDES PLEURAL FLUID $121.80 $203.00 $5.68–$162.40 207% above 40%
Triglycerides blood test CPT 84478 TRIGLYCERIDES P4399 $121.80 $203.00 $5.68–$162.40 207% above 40%
Triglycerides blood test CPT 84478 ASSAY OF TRIGLYCERIDES P3356 $121.80 $203.00 $5.68–$162.40 207% above 40%
Triglycerides blood test CPT 84478 TRIGLYCERIDES PNL 7905 $121.80 $203.00 $5.68–$162.40 207% above 40%
Triglycerides blood test CPT 84478 TRIGLYCERIDE $121.80 $203.00 $5.68–$162.40 207% above 40%
Triglycerides blood test CPT 84478 TRIGLYCERIDES $121.80 $203.00 $5.68–$162.40 207% above 40%
Triglycerides blood test inpatient CPT 84478 TRIGLYCERIDE $121.80 $203.00 $86.97–$182.70 — 40%
Triglycerides blood test inpatient CPT 84478 TRIGLYCERIDES P6804 $121.80 $203.00 $86.97–$182.70 — 40%
Triglycerides blood test inpatient CPT 84478 TRIGLYCERIDES PNL 7905 $121.80 $203.00 $86.97–$182.70 — 40%
Triglycerides blood test inpatient CPT 84478 ASSAY OF TRIGLYCERIDES P3356 $121.80 $203.00 $86.97–$182.70 — 40%
Triglycerides blood test inpatient CPT 84478 TRIGLYCERIDES P4399 $121.80 $203.00 $86.97–$182.70 — 40%
Triglycerides blood test inpatient CPT 84478 TRIGLYCERIDES PLEURAL FLUID $121.80 $203.00 $86.97–$182.70 — 40%
Triglycerides blood test inpatient CPT 84478 TRIGLYCERIDES $121.80 $203.00 $86.97–$182.70 — 40%
Triglycerides blood test inpatient CPT 84478 TRIGLYCERIDES P6321 $121.80 $203.00 $86.97–$182.70 — 40%
Troponin test, quantitative CPT 84484 TROPONIN T $91.20 $152.00 $10.86–$121.60 11% above 40%
Troponin test, quantitative CPT 84484 TROPONIN I QUANT $91.20 $152.00 $10.86–$121.60 11% above 40%
Troponin test, quantitative CPT 84484 TROPONIN T HIGH SENSITIVITY $91.20 $152.00 $10.86–$121.60 11% above 40%
Troponin test, quantitative CPT 84484 ISTAT TROPONIN $91.20 $152.00 $10.86–$121.60 11% above 40%
Troponin test, quantitative CPT 84484 ASSAY OF TROPONIN QUANT $91.20 $152.00 $10.86–$121.60 11% above 40%
Troponin test, quantitative inpatient CPT 84484 ISTAT TROPONIN $91.20 $152.00 $65.12–$136.80 — 40%
Troponin test, quantitative inpatient CPT 84484 TROPONIN T HIGH SENSITIVITY $91.20 $152.00 $65.12–$136.80 — 40%
Troponin test, quantitative inpatient CPT 84484 ASSAY OF TROPONIN QUANT $91.20 $152.00 $65.12–$136.80 — 40%
Troponin test, quantitative inpatient CPT 84484 TROPONIN T $91.20 $152.00 $65.12–$136.80 — 40%
Troponin test, quantitative inpatient CPT 84484 TROPONIN I QUANT $91.20 $152.00 $65.12–$136.80 — 40%
Uric acid blood test CPT 84550 URIC ACID $48.60 $81.00 $4.47–$64.80 53% above 40%
Uric acid blood test inpatient CPT 84550 URIC ACID $48.60 $81.00 $34.70–$72.90 — 40%
Urinalysis with microscope exam, automated CPT 81001 URINALYSIS R & M $70.20 $117.00 $3.13–$93.60 113% above 40%
Urinalysis with microscope exam, automated CPT 81001 UR COMPL W/REFLEX TO CULTURE $70.20 $117.00 $3.13–$93.60 113% above 40%
Urinalysis with microscope exam, automated inpatient CPT 81001 UR COMPL W/REFLEX TO CULTURE $70.20 $117.00 $50.12–$105.30 — 40%
Urinalysis with microscope exam, automated inpatient CPT 81001 URINALYSIS R & M $70.20 $117.00 $50.12–$105.30 — 40%
Urinalysis with microscope exam, manual CPT 81000 URINE DIPSTICK W MICRO $4.80 $8.00 $2.45–$7.36 84% below 40%
Urinalysis with microscope exam, manual inpatient CPT 81000 URINE DIPSTICK W MICRO $4.80 $8.00 $3.43–$7.20 — 40%
Urinalysis without microscope exam, automated CPT 81003 SPECIFIC GRAVITY URINE-C $37.80 $63.00 $2.22–$50.40 112% above 40%
Urinalysis without microscope exam, automated CPT 81003 URINE MACRO $37.80 $63.00 $2.22–$50.40 112% above 40%
Urinalysis without microscope exam, automated CPT 81003 URINALYSIS AUTOMATED $37.80 $63.00 $2.22–$50.40 112% above 40%
Urinalysis without microscope exam, automated CPT 81003 URINALYSIS AUTO W/O SCPE P1635 $37.80 $63.00 $2.22–$50.40 112% above 40%
Urinalysis without microscope exam, automated inpatient CPT 81003 URINALYSIS AUTO W/O SCPE P1635 $37.80 $63.00 $26.99–$56.70 — 40%
Urinalysis without microscope exam, automated inpatient CPT 81003 URINE MACRO $37.80 $63.00 $26.99–$56.70 — 40%
Urinalysis without microscope exam, automated inpatient CPT 81003 URINALYSIS AUTOMATED $37.80 $63.00 $26.99–$56.70 — 40%
Urinalysis without microscope exam, automated inpatient CPT 81003 SPECIFIC GRAVITY URINE-C $37.80 $63.00 $26.99–$56.70 — 40%
Urinalysis without microscope exam, manual CPT 81002 URINANALYSIS DIPSTICK WO MICRO $7.20 $12.00 $3.44–$9.60 66% below 40%
Urinalysis without microscope exam, manual CPT 81002 URINE DIP $51.00 $85.00 $3.44–$68.00 143% above 40%
Urinalysis without microscope exam, manual CPT 81002 URINALYSIS DIPSTICK W/O MICRO $51.00 $85.00 $3.44–$68.00 143% above 40%
Urinalysis without microscope exam, manual inpatient CPT 81002 URINANALYSIS DIPSTICK WO MICRO $7.20 $12.00 $5.14–$10.80 — 40%
Urinalysis without microscope exam, manual inpatient CPT 81002 URINALYSIS DIPSTICK W/O MICRO $51.00 $85.00 $36.41–$76.50 — 40%
Urinalysis without microscope exam, manual inpatient CPT 81002 URINE DIP $51.00 $85.00 $36.41–$76.50 — 40%
Urine culture for bacteria, with colony count CPT 87086 CULTURE URINE QNT COL CT $218.40 $364.00 $7.98–$291.20 285% above 40%
Urine culture for bacteria, with colony count inpatient CPT 87086 CULTURE URINE QNT COL CT $218.40 $364.00 $155.94–$327.60 — 40%
Urine microalbumin (albumin) test CPT 82043 MICROALBUMIN RANDOM URINE QNT $349.20 $582.00 $5.71–$465.60 782% above 40%
Urine microalbumin (albumin) test CPT 82043 ALBUMIN RAND UR W/O CREATININE $349.20 $582.00 $5.71–$465.60 782% above 40%
Urine microalbumin (albumin) test CPT 82043 URINE-MICROALBUMIN $349.20 $582.00 $5.71–$465.60 782% above 40%
Urine microalbumin (albumin) test CPT 82043 MICROALBUMIN 24HR UR W/O CREAT $349.20 $582.00 $5.71–$465.60 782% above 40%
Urine microalbumin (albumin) test inpatient CPT 82043 ALBUMIN RAND UR W/O CREATININE $349.20 $582.00 $249.33–$523.80 — 40%
Urine microalbumin (albumin) test inpatient CPT 82043 URINE-MICROALBUMIN $349.20 $582.00 $249.33–$523.80 — 40%
Urine microalbumin (albumin) test inpatient CPT 82043 MICROALBUMIN RANDOM URINE QNT $349.20 $582.00 $249.33–$523.80 — 40%
Urine microalbumin (albumin) test inpatient CPT 82043 MICROALBUMIN 24HR UR W/O CREAT $349.20 $582.00 $249.33–$523.80 — 40%
Urine pregnancy test, read by color change CPT 81025 URINE PREGNANCY TEST $6.60 $11.00 $3.37–$9.40 82% below 40%
Urine pregnancy test, read by color change CPT 81025 PREGNANCY TEST VIS COLOR COMP $93.00 $155.00 $4.40–$124.00 152% above 40%
Urine pregnancy test, read by color change CPT 81025 PREGNANCY URINE QUAL BETA HCG $93.00 $155.00 $4.40–$124.00 152% above 40%
Urine pregnancy test, read by color change inpatient CPT 81025 URINE PREGNANCY TEST $6.60 $11.00 $4.71–$9.90 — 40%
Urine pregnancy test, read by color change inpatient CPT 81025 PREGNANCY TEST VIS COLOR COMP $93.00 $155.00 $66.40–$139.50 — 40%
Urine pregnancy test, read by color change inpatient CPT 81025 PREGNANCY URINE QUAL BETA HCG $93.00 $155.00 $66.40–$139.50 — 40%
Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B12 PNL 2979 $133.80 $223.00 $14.30–$178.40 42% above 40%
Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B12 $133.80 $223.00 $14.30–$178.40 42% above 40%
Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B 12 TEST $133.80 $223.00 $14.30–$178.40 42% above 40%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 VITAMIN B12 PNL 2979 $133.80 $223.00 $95.53–$200.70 — 40%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 VITAMIN B 12 TEST $133.80 $223.00 $95.53–$200.70 — 40%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 VITAMIN B12 $133.80 $223.00 $95.53–$200.70 — 40%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D/25-HYDROXY $226.80 $378.00 $29.26–$302.40 52% above 40%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 25-OH VITAMIN D3 P3433 $226.80 $378.00 $29.26–$302.40 52% above 40%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D IMMUNOASSAY $226.80 $378.00 $29.26–$302.40 52% above 40%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D IMMUNOASSAY $226.80 $378.00 $161.94–$340.20 — 40%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 25-OH VITAMIN D3 P3433 $226.80 $378.00 $161.94–$340.20 — 40%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D/25-HYDROXY $226.80 $378.00 $161.94–$340.20 — 40%
Vitamin D, 1,25-dihydroxy blood test CPT 82652 VITAMIN D 1 25-DIHYDROXY $579.00 $965.00 $38.05–$772.00 141% above 40%
Vitamin D, 1,25-dihydroxy blood test CPT 82652 VITAMIN D 1 25 DIHYDROXY $579.00 $965.00 $38.05–$772.00 141% above 40%
Vitamin D, 1,25-dihydroxy blood test CPT 82652 DIHYDROXYVITAMIN D 1-25 P3433 $579.00 $965.00 $38.05–$772.00 141% above 40%
Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 VITAMIN D 1 25 DIHYDROXY $579.00 $965.00 $413.41–$868.50 — 40%
Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 DIHYDROXYVITAMIN D 1-25 P3433 $579.00 $965.00 $413.41–$868.50 — 40%
Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 VITAMIN D 1 25-DIHYDROXY $579.00 $965.00 $413.41–$868.50 — 40%
Zinc blood test CPT 84630 ZINC SERUM $258.60 $431.00 $11.26–$344.80 258% above 40%
Zinc blood test CPT 84630 ZINC RANDOM URINE $258.60 $431.00 $11.26–$344.80 258% above 40%
Zinc blood test CPT 84630 ZINC RBC $258.60 $431.00 $11.26–$344.80 258% above 40%
Zinc blood test CPT 84630 ZINC BLOOD $258.60 $431.00 $11.26–$344.80 258% above 40%
Zinc blood test inpatient CPT 84630 ZINC RBC $258.60 $431.00 $184.64–$387.90 — 40%
Zinc blood test inpatient CPT 84630 ZINC SERUM $258.60 $431.00 $184.64–$387.90 — 40%
Zinc blood test inpatient CPT 84630 ZINC BLOOD $258.60 $431.00 $184.64–$387.90 — 40%
Zinc blood test inpatient CPT 84630 ZINC RANDOM URINE $258.60 $431.00 $184.64–$387.90 — 40%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 INTERFERANCE EV HETEROPH HCG $301.80 $503.00 $14.88–$402.40 237% above 40%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 BETA-HCG SERUM QN TUMOR MARKER $301.80 $503.00 $14.88–$402.40 237% above 40%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG QUANTITATIVE INTACT $301.80 $503.00 $14.88–$402.40 237% above 40%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG QN P3249 $301.80 $503.00 $14.88–$402.40 237% above 40%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 GONADOTROPIN CHORIO QUAN P0493 $301.80 $503.00 $14.88–$402.40 237% above 40%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 BETA-HCG QN TUMOR MARKER $301.80 $503.00 $14.88–$402.40 237% above 40%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 BHCG OTHER $301.80 $503.00 $14.88–$402.40 237% above 40%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 BHCG OTHER $301.80 $503.00 $215.49–$452.70 — 40%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 INTERFERANCE EV HETEROPH HCG $301.80 $503.00 $215.49–$452.70 — 40%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HCG QUANTITATIVE INTACT $301.80 $503.00 $215.49–$452.70 — 40%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 BETA-HCG SERUM QN TUMOR MARKER $301.80 $503.00 $215.49–$452.70 — 40%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 GONADOTROPIN CHORIO QUAN P0493 $301.80 $503.00 $215.49–$452.70 — 40%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 BETA-HCG QN TUMOR MARKER $301.80 $503.00 $215.49–$452.70 — 40%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HCG QN P3249 $301.80 $503.00 $215.49–$452.70 — 40%

Surgery and procedures

ProcedureCash priceList priceInsurers payvs PennsylvaniaOff list
Botox injections for chronic migraine CPT 64615 CHEMODENERV MUSC MIGRAINE $783.00 $1,305.00 $112.74–$1,044.00 58% above 40%
Botox injections for chronic migraine inpatient CPT 64615 CHEMODENERV MUSC MIGRAINE $783.00 $1,305.00 $559.06–$1,174.50 — 40%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 BX BREAST 1ST LESION STRTCTC $3,700.20 $6,167.00 $163.13–$4,933.60 5% below 40%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 BX BREAST 1ST LESION STRTCTC $3,700.20 $6,167.00 $2,641.94–$5,550.30 — 40%
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 LAT MALLEOLUS FX WO REDUCT $825.60 $1,376.00 $130.35–$1,100.80 25% above 40%
Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 LAT MALLEOLUS FX WO REDUCT $825.60 $1,376.00 $589.48–$1,238.40 — 40%
Broken foot (metatarsal) treatment without surgery or setting CPT 28470 METATARSAL FX WO REDUCT $825.60 $1,376.00 $92.95–$1,100.80 59% above 40%
Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 METATARSAL FX WO REDUCT $825.60 $1,376.00 $589.48–$1,238.40 — 40%
Cardiac catheterization with coronary angiogram CPT 93458 L HRT ART VNTRCL ANGIO IMG S&I $4,899.60 $8,166.00 $993.28–$6,532.80 44% below 40%
Cardiac catheterization with coronary angiogram inpatient CPT 93458 L HRT ART VNTRCL ANGIO IMG S&I $4,899.60 $8,166.00 $3,498.31–$7,349.40 — 40%
Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDOVERSION ELECTIVE EXTERNAL $1,245.00 $2,075.00 $95.70–$1,660.00 15% below 40%
Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION $1,245.00 $2,075.00 $95.70–$1,660.00 15% below 40%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDOVERSION ELECTIVE EXTERNAL $1,245.00 $2,075.00 $888.93–$1,867.50 — 40%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION $1,245.00 $2,075.00 $888.93–$1,867.50 — 40%
Carpal tunnel release, open surgery CPT 64721 NEUROPLASTY CARPAL TUNNEL $4,530.60 $7,551.00 $330.00–$6,040.80 8% above 40%
Carpal tunnel release, open surgery inpatient CPT 64721 NEUROPLASTY CARPAL TUNNEL $4,530.60 $7,551.00 $3,234.85–$6,795.90 — 40%
Catheter ablation for atrial fibrillation CPT 93656 TX ATRIAL FIB PULM VEN ISOL $19,314.00 $32,190.00 $993.28–$25,752.00 38% below 40%
Catheter ablation for atrial fibrillation inpatient CPT 93656 TX ATRIAL FIB PULM VEN ISOL $19,314.00 $32,190.00 $13,790.20–$28,971.00 — 40%
Cervical biopsy CPT 57500 CERVICAL BIOPSY OR POLYPECTOMY $424.20 $707.00 $72.73–$997.12 83% below 40%
Cervical biopsy inpatient CPT 57500 CERVICAL BIOPSY OR POLYPECTOMY $424.20 $707.00 $302.88–$636.30 — 40%
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 CIRCUMCISION $1,425.60 $2,376.00 $86.90–$2,138.40 17% above 40%
Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 CIRCUMCISION $1,425.60 $2,376.00 $1,017.88–$2,138.40 — 40%
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 DISTAL RADIUS/COLLES FX WO RED $825.60 $1,376.00 $125.95–$1,100.80 25% above 40%
Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 DISTAL RADIUS/COLLES FX WO RED $825.60 $1,376.00 $589.48–$1,238.40 — 40%
Colonoscopy with endoscopic ultrasound CPT 45391 COLONOSCOPY WITH USN $3,252.60 $5,421.00 $241.22–$4,336.80 40% above 40%
Colonoscopy with endoscopic ultrasound inpatient CPT 45391 COLONOSCOPY WITH USN $3,252.60 $5,421.00 $2,322.36–$4,878.90 — 40%
Colonoscopy with polyp removal CPT 45385 COLONOSCOPY W/SNARE TECHNIQUE $3,252.60 $5,421.00 $294.89–$4,336.80 28% above 40%
Colonoscopy with polyp removal inpatient CPT 45385 COLONOSCOPY W/SNARE TECHNIQUE $3,252.60 $5,421.00 $2,322.36–$4,878.90 — 40%
Colonoscopy with tissue sample CPT 45380 COLONOSCOPY W/BX SINGLE/MULT $3,252.60 $5,421.00 $247.96–$4,336.80 47% above 40%
Colonoscopy with tissue sample inpatient CPT 45380 COLONOSCOPY W/BX SINGLE/MULT $3,252.60 $5,421.00 $2,322.36–$4,878.90 — 40%
Colonoscopy, diagnostic CPT 45378 COLONOSCOPY DIAG W/WO BRUSHING $1,500.00 $2,500.00 $198.55–$2,000.00 at median 40%
Colonoscopy, diagnostic inpatient CPT 45378 COLONOSCOPY DIAG W/WO BRUSHING $1,500.00 $2,500.00 $1,071.00–$2,250.00 — 40%
Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 COLPOSCPY W BX CERV & ENDOCERV $218.40 $364.00 $116.53–$993.28 55% below 40%
Colposcopy with cervical biopsy and scraping of the cervical canal inpatient CPT 57454 COLPOSCPY W BX CERV & ENDOCERV $218.40 $364.00 $155.94–$327.60 — 40%
Cystoscopy with ureteral stent placement CPT 52332 CYSTOSCOPY W STENT INSERTION $4,764.60 $7,941.00 $158.09–$6,352.80 at median 40%
Cystoscopy with ureteral stent placement inpatient CPT 52332 CYSTOSCOPY W STENT INSERTION $4,764.60 $7,941.00 $3,401.92–$7,146.90 — 40%
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 CYSTOURETHROSCOPY $1,287.60 $2,146.00 $82.50–$1,716.80 24% below 40%
Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 CYSTOURETHROSCOPY $1,287.60 $2,146.00 $919.35–$1,931.40 — 40%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 DEST PRE-MALIGNANT LES 1ST $141.00 $235.00 $22.00–$1,181.44 67% below 40%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 DEST PRE-MALIGNANT LES 1ST $141.00 $235.00 $100.67–$211.50 — 40%
Earwax removal by irrigation (rinsing), one ear CPT 69209 RMV IMPACT CERUMEN IRR/LAV $117.00 $195.00 $16.06–$993.28 16% below 40%
Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 RMV IMPACT CERUMEN IRR/LAV $117.00 $195.00 $83.54–$175.50 — 40%
Earwax removal with instruments, one ear CPT 69210 RMV IMPACT CERUMEN INSTR $247.20 $412.00 $57.18–$993.28 84% above 40%
Earwax removal with instruments, one ear inpatient CPT 69210 RMV IMPACT CERUMEN INSTR $247.20 $412.00 $176.50–$370.80 — 40%
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 BIOPSY ENDOMETRIAL $133.80 $223.00 $56.10–$934.40 66% below 40%
Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 BIOPSY ENDOMETRIAL $133.80 $223.00 $95.53–$200.70 — 40%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 NJX INTRLMNR CRV/TRC W/IMG GDE $1,020.00 $1,700.00 $98.12–$1,360.00 58% below 40%
Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 NJX INTRLMNR CRV/TRC W/IMG GDE $1,020.00 $1,700.00 $728.28–$1,530.00 — 40%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 INJ PARAVERT F JNT L/S 1 LEV $2,481.60 $4,136.00 $239.89–$3,308.80 72% above 40%
Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 INJ PARAVERT F JNT L/S 1 LEV $2,481.60 $4,136.00 $1,771.86–$3,722.40 — 40%
First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm CPT 49591 RPR AA HERNIA 1ST < 3 CM REDUC $821.40 $1,369.00 $344.03–$3,633.70 88% below 40%
First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm inpatient CPT 49591 RPR AA HERNIA 1ST < 3 CM REDUC $821.40 $1,369.00 $586.48–$1,232.10 — 40%
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 FLEX SIG DIAG W/WO BRUSHING $598.20 $997.00 $58.47–$938.75 48% below 40%
Flexible sigmoidoscopy, diagnostic (lower colon only) inpatient CPT 45330 FLEX SIG DIAG W/WO BRUSHING $598.20 $997.00 $427.11–$897.30 — 40%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 INJ HYSTEROSALPINGOGRAM $380.40 $634.00 $57.20–$993.28 1% below 40%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 INJ HYSTEROSALPINGOGRAM $380.40 $634.00 $271.61–$570.60 — 40%
IUD insertion (the device itself billed separately) CPT 58300 IUD INSERTION $280.80 $468.00 $18.98–$421.20 9% below 40%
IUD insertion (the device itself billed separately) CPT 58300 INSERT INTRAUTERINE DEVICE $280.80 $468.00 $18.98–$421.20 9% below 40%
IUD insertion (the device itself billed separately) inpatient CPT 58300 IUD INSERTION $280.80 $468.00 $200.49–$421.20 — 40%
IUD insertion (the device itself billed separately) inpatient CPT 58300 INSERT INTRAUTERINE DEVICE $280.80 $468.00 $200.49–$421.20 — 40%
Incision and drainage of a simple or single skin abscess CPT 10060 ID SIMPLE ABSCESS $589.80 $983.00 $25.85–$792.32 16% above 40%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 ID SIMPLE ABSCESS $589.80 $983.00 $421.12–$884.70 — 40%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJ TEND/LIGAMENT/GANG CYST $210.60 $351.00 $35.20–$303.94 63% below 40%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJ(S) TENDON SHEATH/LIGAMENT $616.20 $1,027.00 $35.20–$821.60 8% above 40%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 INJ TEND/LIGAMENT/GANG CYST $210.60 $351.00 $150.37–$315.90 — 40%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 INJ(S) TENDON SHEATH/LIGAMENT $616.20 $1,027.00 $439.97–$924.30 — 40%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ARTHRO ASP/INJ MAJOR JOINT $1,473.60 $2,456.00 $25.85–$1,964.80 215% above 40%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ARTHRO ASP/INJ LG JT WO/US $1,473.60 $2,456.00 $25.85–$1,964.80 215% above 40%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ARTHROCENTESIS LG JOINT $1,473.60 $2,456.00 $25.85–$1,964.80 215% above 40%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 ARTHRO ASP/INJ LG JT WO/US $1,473.60 $2,456.00 $1,052.15–$2,210.40 — 40%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 ARTHRO ASP/INJ MAJOR JOINT $1,473.60 $2,456.00 $1,052.15–$2,210.40 — 40%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 ARTHROCENTESIS LG JOINT $1,473.60 $2,456.00 $1,052.15–$2,210.40 — 40%
Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 INSERT DRUG IMPLANT DEVICE $87.60 $146.00 $58.09–$993.28 66% below 40%
Insertion of a drug-delivery implant, such as the arm birth control implant inpatient CPT 11981 INSERT DRUG IMPLANT DEVICE $87.60 $146.00 $62.55–$131.40 — 40%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ARTHRO ASP/INJ INTERMED JOINT $825.60 $1,376.00 $23.65–$1,400.32 133% above 40%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ARTHRO ASP/INJ INT JT WO/US $825.60 $1,376.00 $23.65–$1,400.32 133% above 40%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ARTHROCENTESIS MED JOINT $825.60 $1,376.00 $23.65–$1,400.32 133% above 40%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 ARTHRO ASP/INJ INT JT WO/US $825.60 $1,376.00 $589.48–$1,238.40 — 40%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 ARTHRO ASP/INJ INTERMED JOINT $825.60 $1,376.00 $589.48–$1,238.40 — 40%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 ARTHROCENTESIS MED JOINT $825.60 $1,376.00 $589.48–$1,238.40 — 40%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 ARTHRO ASP/INJ SMALL JOINT $210.60 $351.00 $19.80–$993.28 49% below 40%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 ARTHRO ASP/INJ SMALL JOINT $210.60 $351.00 $150.37–$315.90 — 40%
Knee arthroscopy with meniscus repair (one side of the knee) CPT 29882 ARTHRO KNEE W/MEN REP MED OR L $5,152.80 $8,588.00 $597.85–$6,870.40 6% below 40%
Knee arthroscopy with meniscus repair (one side of the knee) inpatient CPT 29882 ARTHRO KNEE W/MEN REP MED OR L $5,152.80 $8,588.00 $3,679.10–$7,729.20 — 40%
Laparoscopic removal of fallopian tubes and/or ovaries CPT 58661 LAPAROSCOPY SURG REM ADNEX STR $7,589.40 $12,649.00 $993.28–$10,119.20 23% below 40%
Laparoscopic removal of fallopian tubes and/or ovaries inpatient CPT 58661 LAPAROSCOPY SURG REM ADNEX STR $7,589.40 $12,649.00 $5,418.83–$11,384.10 — 40%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 INT LAC RPR 0-2.5CM SCLP TRNK $825.60 $1,376.00 $26.95–$1,100.80 41% above 40%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 INT LAC RPR 0-2.5CM SCLP TRNK $825.60 $1,376.00 $589.48–$1,238.40 — 40%
Left heart catheterization, diagnostic one side CPT 93452 LEFT HRT CATH W VENTRCLGRPHY $3,955.80 $6,593.00 $993.28–$5,274.40 39% below 40%
Left heart catheterization, diagnostic inpatient one side CPT 93452 LEFT HRT CATH W VENTRCLGRPHY $3,955.80 $6,593.00 $2,824.44–$5,933.70 — 40%
Lower-back epidural injection, with imaging guidance CPT 62323 NJX INTRLMNR LUM/SAC W/IMG GDE $2,094.60 $3,491.00 $89.45–$2,792.80 at median 40%
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 NJX INTRLMNR LUM/SAC W/IMG GDE $2,094.60 $3,491.00 $1,495.54–$3,141.90 — 40%
Lower-back epidural injection, without imaging guidance CPT 62322 NJX INTERLAMINAR LMBR/SAC $1,260.60 $2,101.00 $78.27–$1,680.80 34% below 40%
Lower-back epidural injection, without imaging guidance inpatient CPT 62322 NJX INTERLAMINAR LMBR/SAC $1,260.60 $2,101.00 $900.07–$1,890.90 — 40%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 INJ EPIDURAL LUMB PLEX SINGLE $1,461.00 $2,435.00 $104.54–$1,948.00 24% below 40%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 TRANSFORAM EPID LUMB/SAC SNGL $1,461.00 $2,435.00 $104.54–$1,948.00 24% below 40%
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 INJ EPIDURAL LUMB PLEX SINGLE $1,461.00 $2,435.00 $1,043.15–$2,191.50 — 40%
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 TRANSFORAM EPID LUMB/SAC SNGL $1,461.00 $2,435.00 $1,043.15–$2,191.50 — 40%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 EX BEN LES<0.5CM TRNK/LIMB $490.80 $818.00 $41.25–$993.28 63% below 40%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 EX BEN LES<0.5CM TRNK/LIMB $490.80 $818.00 $350.43–$736.20 — 40%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 EXC BGN LES FEENL <0.5CM $490.80 $818.00 $59.95–$993.28 72% below 40%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 EXC BGN LES FEENL <0.5CM $490.80 $818.00 $350.43–$736.20 — 40%
Nail removal (partial or complete), one nail CPT 11730 NAIL AVULSION COMP/PART SNGL $471.00 $785.00 $28.32–$993.28 at median 40%
Nail removal (partial or complete), one nail inpatient CPT 11730 NAIL AVULSION COMP/PART SNGL $471.00 $785.00 $336.29–$706.50 — 40%
Occipital nerve block (injection for headaches) CPT 64405 INJ ANES OCCIPITAL NERVE $568.20 $947.00 $38.50–$993.28 1% above 40%
Occipital nerve block (injection for headaches) inpatient CPT 64405 INJ ANES OCCIPITAL NERVE $568.20 $947.00 $405.69–$852.30 — 40%
Pacemaker implant (dual chamber) CPT 33208 INS NEW ATRL & VNT PMKR & LEAD $5,231.40 $8,719.00 $509.38–$10,775.64 59% below 40%
Pacemaker implant (dual chamber) inpatient CPT 33208 INS NEW ATRL & VNT PMKR & LEAD $5,231.40 $8,719.00 $3,735.22–$7,847.10 — 40%
Paracentesis with imaging guidance CPT 49083 ABD PARACNT DX/THR W IMG GUID $1,689.00 $2,815.00 $92.76–$2,252.00 at median 40%
Paracentesis with imaging guidance inpatient CPT 49083 ABD PARACNT DX/THR W IMG GUID $1,689.00 $2,815.00 $1,205.95–$2,533.50 — 40%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 EXCISION NAIL COMP/PART $1,470.60 $2,451.00 $384.63–$1,960.80 76% above 40%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 EXCISION NAIL COMP/PART $1,470.60 $2,451.00 $1,050.01–$2,205.90 — 40%
Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 DEST LUMB/SAC FACET JNT W IMG $3,434.40 $5,724.00 $618.25–$4,579.20 15% above 40%
Radiofrequency ablation of facet joint nerves, lower back, one level inpatient CPT 64635 DEST LUMB/SAC FACET JNT W IMG $3,434.40 $5,724.00 $2,452.16–$5,151.60 — 40%
Removal of a foreign object under the skin, simple CPT 10120 SUBCUT FB REMOVAL SIMPLE $589.80 $983.00 $33.55–$994.56 8% above 40%
Removal of a foreign object under the skin, simple inpatient CPT 10120 SUBCUT FB REMOVAL SIMPLE $589.80 $983.00 $421.12–$884.70 — 40%
Short arm cast (elbow to hand) CPT 29075 SHORT ARM CAST APPLICATION $825.60 $1,376.00 $50.05–$1,100.80 99% above 40%
Short arm cast (elbow to hand) inpatient CPT 29075 SHORT ARM CAST APPLICATION $825.60 $1,376.00 $589.48–$1,238.40 — 40%
Short arm splint (forearm and hand) CPT 29125 APPLY FOREARM SPLINT $471.00 $785.00 $28.60–$628.00 50% above 40%
Short arm splint (forearm and hand) inpatient CPT 29125 APPLY FOREARM SPLINT $471.00 $785.00 $336.29–$706.50 — 40%
Short leg cast (below the knee) CPT 29405 APPL SHORT LEG CAST $62.40 $104.00 $41.38–$993.28 88% below 40%
Short leg cast (below the knee) inpatient CPT 29405 APPL SHORT LEG CAST $62.40 $104.00 $44.55–$93.60 — 40%
Short leg splint (calf to foot) CPT 29515 APPLY LOWER LEG SPLINT $471.00 $785.00 $38.50–$628.00 2% above 40%
Short leg splint (calf to foot) inpatient CPT 29515 APPLY LOWER LEG SPLINT $471.00 $785.00 $336.29–$706.50 — 40%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 SMPL LAC RPR 0-2.5CM SCALP $589.80 $983.00 $26.95–$786.40 15% above 40%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 SMPL LAC RPR 0-2.5CM SCALP $589.80 $983.00 $421.12–$884.70 — 40%
Skin biopsy, punch, one lesion CPT 11104 PUNCH BX SKIN SINGLE LESION $300.00 $500.00 $44.47–$993.28 54% below 40%
Skin biopsy, punch, one lesion inpatient CPT 11104 PUNCH BX SKIN SINGLE LESION $300.00 $500.00 $214.20–$450.00 — 40%
Skin tag removal, up to 15 tags CPT 11200 REMOVAL OF SKIN TAGS UP TO 15 $141.00 $235.00 $34.10–$993.28 77% below 40%
Skin tag removal, up to 15 tags inpatient CPT 11200 REMOVAL OF SKIN TAGS UP TO 15 $141.00 $235.00 $100.67–$211.50 — 40%
Spinal tap (lumbar puncture), diagnostic CPT 62270 SPINAL PUNC LUMBAR DX $1,470.60 $2,451.00 $46.20–$1,960.80 20% above 40%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 SPINAL PUNC LUMBAR DX $1,470.60 $2,451.00 $1,050.01–$2,205.90 — 40%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 SMPL LAC RPR 2.6-7.5CM SCALP $589.80 $983.00 $39.05–$993.28 12% above 40%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 SMPL LAC RPR 2.6-7.5CM SCALP $589.80 $983.00 $421.12–$884.70 — 40%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 SMPL LAC RPR 0-2.5CM FACE $589.80 $983.00 $34.65–$786.40 16% above 40%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 SMPL LAC RPR 0-2.5CM FACE $589.80 $983.00 $421.12–$884.70 — 40%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 TANGNTL BX SKIN SINGLE LES $300.00 $500.00 $35.45–$993.28 47% below 40%
Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 TANGNTL BX SKIN SINGLE LES $300.00 $500.00 $214.20–$450.00 — 40%
Thoracentesis with imaging guidance CPT 32555 THORACENTESIS W GUIDANCE $1,275.00 $2,125.00 $595.22–$1,700.00 14% below 40%
Thoracentesis with imaging guidance inpatient CPT 32555 THORACENTESIS W GUIDANCE $1,275.00 $2,125.00 $910.35–$1,912.50 — 40%
Trigger point injections, 1 or 2 muscles CPT 20552 INJ SG/MUL TRG PTS 1-2 MUSCLES $210.60 $351.00 $34.17–$303.94 61% below 40%
Trigger point injections, 1 or 2 muscles CPT 20552 INJ SNG/MUL TRG PTS 1-2 MUS GR $825.60 $1,376.00 $34.17–$1,100.80 53% above 40%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 INJ SG/MUL TRG PTS 1-2 MUSCLES $210.60 $351.00 $150.37–$315.90 — 40%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 INJ SNG/MUL TRG PTS 1-2 MUS GR $825.60 $1,376.00 $589.48–$1,238.40 — 40%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 BX BREAST 1ST LESION US IMAG $3,828.00 $6,380.00 $152.78–$5,104.00 7% above 40%
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 BX BREAST 1ST LESION US IMAG $3,828.00 $6,380.00 $2,733.19–$5,742.00 — 40%
Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 EGD W/BALLOON DILATION $3,414.00 $5,690.00 $666.36–$4,552.00 at median 40%
Upper endoscopy (EGD) with balloon widening of the esophagus inpatient CPT 43249 EGD W/BALLOON DILATION $3,414.00 $5,690.00 $2,437.60–$5,121.00 — 40%
Upper endoscopy (EGD) with biopsy CPT 43239 EGD W/BIOPSY SINGLE/MULT $3,526.20 $5,877.00 $163.44–$4,701.60 62% above 40%
Upper endoscopy (EGD) with biopsy inpatient CPT 43239 EGD W/BIOPSY SINGLE/MULT $3,526.20 $5,877.00 $2,517.71–$5,289.30 — 40%
Upper endoscopy (EGD) with injection into the lining CPT 43236 EGD W/SUBMUCOSAL INJ ANY SUB $3,526.20 $5,877.00 $166.71–$4,701.60 35% above 40%
Upper endoscopy (EGD) with injection into the lining inpatient CPT 43236 EGD W/SUBMUCOSAL INJ ANY SUB $3,526.20 $5,877.00 $2,517.71–$5,289.30 — 40%
Upper endoscopy (EGD) with polyp removal by snare CPT 43251 EGD W/REMOVAL BY SNARE $3,414.00 $5,690.00 $208.28–$4,552.00 8% above 40%
Upper endoscopy (EGD) with polyp removal by snare inpatient CPT 43251 EGD W/REMOVAL BY SNARE $3,414.00 $5,690.00 $2,437.60–$5,121.00 — 40%
Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 EGD W/DILATION OVER WIRE $3,526.20 $5,877.00 $686.69–$4,701.60 42% above 40%
Upper endoscopy (EGD) with widening of the esophagus over a guide wire inpatient CPT 43248 EGD W/DILATION OVER WIRE $3,526.20 $5,877.00 $2,517.71–$5,289.30 — 40%
Upper endoscopy (EGD), diagnostic CPT 43235 EGD W/WO BRUSHINGS $3,526.20 $5,877.00 $137.74–$4,701.60 86% above 40%
Upper endoscopy (EGD), diagnostic inpatient CPT 43235 EGD W/WO BRUSHINGS $3,526.20 $5,877.00 $2,517.71–$5,289.30 — 40%
Upper endoscopy with drainage of a pseudocyst through the stomach wall CPT 43240 EGD W/TRANSMURAL DRAIN CYST $6,103.80 $10,173.00 $814.39–$8,138.40 28% below 40%
Upper endoscopy with drainage of a pseudocyst through the stomach wall inpatient CPT 43240 EGD W/TRANSMURAL DRAIN CYST $6,103.80 $10,173.00 $4,358.11–$9,155.70 — 40%
Vein ablation, radiofrequency, first vein CPT 36475 ENDOVENOUS RF 1ST VEIN $3,715.20 $6,192.00 $993.28–$4,953.60 60% below 40%
Vein ablation, radiofrequency, first vein CPT 36475 ABLAT EXTR RADIOFREQ 1ST VEIN $3,715.20 $6,192.00 $993.28–$4,953.60 60% below 40%
Vein ablation, radiofrequency, first vein inpatient CPT 36475 ENDOVENOUS RF 1ST VEIN $3,715.20 $6,192.00 $2,652.65–$5,572.80 — 40%
Vein ablation, radiofrequency, first vein inpatient CPT 36475 ABLAT EXTR RADIOFREQ 1ST VEIN $3,715.20 $6,192.00 $2,652.65–$5,572.80 — 40%
Wart removal, up to 14 warts CPT 17110 DESTR BENIGN LESIONS 1-14 $141.00 $235.00 $53.90–$825.60 75% below 40%
Wart removal, up to 14 warts inpatient CPT 17110 DESTR BENIGN LESIONS 1-14 $141.00 $235.00 $100.67–$211.50 — 40%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRID SKIN AND SQ TISSUE $825.60 $1,376.00 $36.30–$1,100.80 23% below 40%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 DEBRID SKIN AND SQ TISSUE $825.60 $1,376.00 $589.48–$1,238.40 — 40%
Wrist fracture surgery (plate and screws), distal radius CPT 25607 OPTX DST RD XARTC FX/EPI SEP $7,747.20 $12,912.00 $966.67–$10,329.60 38% below 40%
Wrist fracture surgery (plate and screws), distal radius inpatient CPT 25607 OPTX DST RD XARTC FX/EPI SEP $7,747.20 $12,912.00 $5,531.50–$11,620.80 — 40%

Doctor visits and therapy

ProcedureCash priceList priceInsurers payvs PennsylvaniaOff list
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TX (CELL SAVER/BLD BANK) $1,821.00 $3,035.00 $30.62–$2,428.00 93% above 40%
Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION BLOOD/COMPONENTS $1,821.00 $3,035.00 $30.62–$2,428.00 93% above 40%
Blood transfusion (giving blood or blood components) CPT 36430 CELL SAVING TRANSFUSION PROC $1,821.00 $3,035.00 $30.62–$2,428.00 93% above 40%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD TX (CELL SAVER/BLD BANK) $1,821.00 $3,035.00 $1,300.19–$2,731.50 — 40%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSFUSION BLOOD/COMPONENTS $1,821.00 $3,035.00 $1,300.19–$2,731.50 — 40%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 CELL SAVING TRANSFUSION PROC $1,821.00 $3,035.00 $1,300.19–$2,731.50 — 40%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 DRUG AEROSOL/MDI - INIT ADMIN $148.20 $247.00 $37.90–$209.42 34% below 40%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 MDI INITIAL $286.80 $478.00 $37.90–$382.40 29% above 40%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 DRUG AEROSOL INITIAL $286.80 $478.00 $37.90–$382.40 29% above 40%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 DRUG AEROSOL/MDI - INIT ADMIN $148.20 $247.00 $105.81–$222.30 — 40%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 MDI INITIAL $286.80 $478.00 $204.78–$430.20 — 40%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 DRUG AEROSOL INITIAL $286.80 $478.00 $204.78–$430.20 — 40%
Chemotherapy IV infusion, first hour CPT 96413 IV INF CHEMO 1ST HR $808.20 $1,347.00 $137.28–$1,077.60 12% above 40%
Chemotherapy IV infusion, first hour inpatient CPT 96413 IV INF CHEMO 1ST HR $808.20 $1,347.00 $577.05–$1,212.30 — 40%
Critical care, first 30 to 74 minutes CPT 99291 CRITICAL CARE - FIRST 30-74MIN $1,796.40 $2,994.00 $166.79–$2,395.20 4% below 40%
Critical care, first 30 to 74 minutes inpatient CPT 99291 CRITICAL CARE - FIRST 30-74MIN $1,796.40 $2,994.00 $1,282.63–$2,694.60 — 40%
EEG (brain wave test), awake and drowsy, routine CPT 95816 EEG AWAKE & DROWSY $1,189.80 $1,983.00 $17.28–$1,586.40 56% above 40%
EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 EEG AWAKE & DROWSY $1,189.80 $1,983.00 $849.52–$1,784.70 — 40%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG TRACING WO INTERP & RPT $271.80 $453.00 $11.51–$362.40 56% above 40%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG TRACING WO INTERP & RPT $271.80 $453.00 $194.07–$407.70 — 40%
Electroconvulsive therapy (ECT), one session CPT 90870 ECT SINGLE SEIZURE $2,124.00 $3,540.00 $49.50–$2,832.00 68% above 40%
Electroconvulsive therapy (ECT), one session inpatient CPT 90870 ECT SINGLE SEIZURE $2,124.00 $3,540.00 $300.00–$3,186.00 — 40%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ACUITY LEVEL 1 $252.60 $421.00 $51.60–$336.80 17% below 40%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ACUITY LEVEL 1 NON EMERGENT $252.60 $421.00 $51.60–$336.80 17% below 40%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 ACUITY LEVEL 1 $252.60 $421.00 $180.36–$378.90 — 40%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 ACUITY LEVEL 1 NON EMERGENT $252.60 $421.00 $180.36–$378.90 — 40%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 ACUITY LEVEL 2 NON EMERGENT $406.80 $678.00 $36.28–$542.40 15% below 40%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 ACUITY LEVEL 2 $406.80 $678.00 $36.28–$542.40 15% below 40%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 ACUITY LEVEL 2 NON EMERGENT $406.80 $678.00 $290.46–$610.20 — 40%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 ACUITY LEVEL 2 $406.80 $678.00 $290.46–$610.20 — 40%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 ACUITY LEVEL 3 $744.00 $1,240.00 $62.31–$992.00 at median 40%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 ACUITY LEVEL 3 $744.00 $1,240.00 $531.22–$1,116.00 — 40%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 ACUITY LEVEL 4 $1,243.80 $2,073.00 $104.86–$1,658.40 2% above 40%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 ACUITY LEVEL 4 $1,243.80 $2,073.00 $888.07–$1,865.70 — 40%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 ACUITY LEVEL 5 $1,287.60 $2,146.00 $152.61–$1,716.80 19% below 40%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 ACUITY LEVEL 5 $1,287.60 $2,146.00 $919.35–$1,931.40 — 40%
Exercise stress test, tracing only, the hospital charge CPT 93017 STRESS TEST W WO PHARMACEUTICA $1,618.20 $2,697.00 $51.15–$2,157.60 71% above 40%
Exercise stress test, tracing only, the hospital charge CPT 93017 STRESS TEST W/PHARMACEUTICALS $1,618.20 $2,697.00 $51.15–$2,157.60 71% above 40%
Exercise stress test, tracing only, the hospital charge CPT 93017 TREADMILL/BIKE EXERCISE $1,618.20 $2,697.00 $51.15–$2,157.60 71% above 40%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 TREADMILL/BIKE EXERCISE $1,618.20 $2,697.00 $1,155.39–$2,427.30 — 40%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 STRESS TEST W/PHARMACEUTICALS $1,618.20 $2,697.00 $1,155.39–$2,427.30 — 40%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 STRESS TEST W WO PHARMACEUTICA $1,618.20 $2,697.00 $1,155.39–$2,427.30 — 40%
Group psychotherapy session CPT 90853 FACILITY FEE GROUP PSY NON-FAM $742.80 $1,238.00 $38.40–$990.40 417% above 40%
Group psychotherapy session CPT 90853 OP GROUP THERAPY $742.80 $1,238.00 $38.40–$990.40 417% above 40%
Group psychotherapy session inpatient CPT 90853 FACILITY FEE GROUP PSY NON-FAM $742.80 $1,238.00 $530.36–$1,114.20 — 40%
Group psychotherapy session inpatient CPT 90853 OP GROUP THERAPY $742.80 $1,238.00 $530.36–$1,114.20 — 40%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV INF HYDRATION 1ST HR $1,143.00 $1,905.00 $34.79–$1,524.00 162% above 40%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV INF HYDRATION 1ST HR $1,143.00 $1,905.00 $816.10–$1,714.50 — 40%
IV infusion of a medicine, first hour CPT 96365 IV INF NONCHEMO 1ST HR $1,143.00 $1,905.00 $43.23–$1,524.00 154% above 40%
IV infusion of a medicine, first hour inpatient CPT 96365 IV INF NONCHEMO 1ST HR $1,143.00 $1,905.00 $816.10–$1,714.50 — 40%
IV push of a medicine, first drug CPT 96374 IV PUSH NONCHEMO 1ST DRUG $165.60 $276.00 $34.12–$220.80 50% below 40%
IV push of a medicine, first drug inpatient CPT 96374 IV PUSH NONCHEMO 1ST DRUG $165.60 $276.00 $118.24–$248.40 — 40%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION IM/SQ $147.00 $245.00 $13.97–$196.00 19% above 40%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJECTION IM/SQ $147.00 $245.00 $104.96–$220.50 — 40%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 PSYCH DIAGNOSTIC EVAL $105.60 $176.00 $33.60–$231.25 60% below 40%
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 PSYCH DIAGNOSTIC EVAL $105.60 $176.00 $75.40–$158.40 — 40%
New patient office visit, about 30 minutes CPT 99203 CLINIC VISIT NEW 99203 $327.00 $545.00 $59.67–$436.00 37% above 40%
New patient office visit, about 30 minutes inpatient CPT 99203 CLINIC VISIT NEW 99203 $327.00 $545.00 $233.48–$490.50 — 40%
New patient office visit, about 45 minutes CPT 99204 CLINIC VISIT NEW 99204 $421.20 $702.00 $99.41–$561.60 40% above 40%
New patient office visit, about 45 minutes inpatient CPT 99204 CLINIC VISIT NEW 99204 $421.20 $702.00 $300.74–$631.80 — 40%
New patient office visit, about 60 minutes CPT 99205 CLINIC VISIT NEW 99205 $589.80 $983.00 $129.29–$786.40 13% above 40%
New patient office visit, about 60 minutes inpatient CPT 99205 CLINIC VISIT NEW 99205 $589.80 $983.00 $421.12–$884.70 — 40%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 CLINIC VISIT NEW 99202 $250.80 $418.00 $38.86–$334.40 37% above 40%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 INITIAL NURSE L2 $250.80 $418.00 $38.86–$334.40 37% above 40%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 INITIAL NURSE L2 $250.80 $418.00 $179.07–$376.20 — 40%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 CLINIC VISIT NEW 99202 $250.80 $418.00 $179.07–$376.20 — 40%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 NUTRITION THER INIT IND P/15M $27.00 $45.00 $12.15–$40.50 46% below 40%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 NUTRITION THER INIT IND P/15M $27.00 $45.00 $19.28–$40.50 — 40%
Preventive checkup, new patient aged 18–39 CPT 99385 PREV VISIT NEW AGE 18-39 $115.20 $192.00 $25.60–$172.80 21% below 40%
Preventive checkup, new patient aged 18–39 inpatient CPT 99385 PREV VISIT NEW AGE 18-39 $115.20 $192.00 $82.25–$172.80 — 40%
Preventive checkup, new patient aged 40–64 CPT 99386 PREV VISIT NEW AGE 40-64 $121.20 $202.00 $25.60–$181.80 22% below 40%
Preventive checkup, new patient aged 40–64 inpatient CPT 99386 PREV VISIT NEW AGE 40-64 $121.20 $202.00 $86.54–$181.80 — 40%
Preventive checkup, returning patient aged 18–39 CPT 99395 PREV VISIT EST AGE 18-39 $97.20 $162.00 $25.60–$145.80 25% below 40%
Preventive checkup, returning patient aged 18–39 inpatient CPT 99395 PREV VISIT EST AGE 18-39 $97.20 $162.00 $69.40–$145.80 — 40%
Preventive checkup, returning patient aged 40–64 CPT 99396 PREV VISIT EST AGE 40-64 $96.60 $161.00 $25.60–$144.90 38% below 40%
Preventive checkup, returning patient aged 40–64 inpatient CPT 99396 PREV VISIT EST AGE 40-64 $96.60 $161.00 $68.97–$144.90 — 40%
Preventive checkup, returning patient aged 65 or older CPT 99397 PREV VISIT EST AGE 65+ $103.20 $172.00 $25.60–$154.80 42% below 40%
Preventive checkup, returning patient aged 65 or older inpatient CPT 99397 PREV VISIT EST AGE 65+ $103.20 $172.00 $73.68–$154.80 — 40%
Psychotherapy session, 45 minutes CPT 90834 PSYCHOTHERAPY 45 MINUTES $105.60 $176.00 $42.90–$165.43 59% below 40%
Psychotherapy session, 45 minutes inpatient CPT 90834 PSYCHOTHERAPY 45 MINUTES $105.60 $176.00 $75.40–$158.40 — 40%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 SMOKE/TOBACCO COUNSEL 3-10 MIN $30.00 $50.00 $19.22–$40.00 34% below 40%
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 SMOKE/TOBACCO COUNSEL 3-10 MIN $30.00 $50.00 $21.42–$45.00 — 40%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 CLINIC VISIT EST 99215 $421.20 $702.00 $85.86–$561.60 55% above 40%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 CLINIC VISIT EST PT 99215 $421.20 $702.00 $85.86–$561.60 55% above 40%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 CLINIC VISIT EST PT 99215 $421.20 $702.00 $300.74–$631.80 — 40%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 CLINIC VISIT EST 99215 $421.20 $702.00 $300.74–$631.80 — 40%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 CLINIC VISIT EST 99213 $250.80 $418.00 $38.50–$334.40 35% above 40%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 CLINIC VISIT EST PT 99213 $250.80 $418.00 $38.50–$334.40 35% above 40%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 CLINIC VISIT EST PT 99213 $250.80 $418.00 $179.07–$376.20 — 40%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 CLINIC VISIT EST 99213 $250.80 $418.00 $179.07–$376.20 — 40%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 CLINIC VISIT EST PT 99214 $327.00 $545.00 $59.86–$436.00 62% above 40%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 CLINIC VISIT EST 99214 $327.00 $545.00 $59.86–$436.00 62% above 40%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 CLINIC VISIT EST 99214 $327.00 $545.00 $233.48–$490.50 — 40%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 CLINIC VISIT EST PT 99214 $327.00 $545.00 $233.48–$490.50 — 40%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 F/U NURSE L2 $250.80 $418.00 $28.60–$334.40 55% above 40%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 CLINIC VISIT EST PT 99212 $250.80 $418.00 $28.60–$334.40 55% above 40%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 CLINIC VISIT EST 99212 $250.80 $418.00 $28.60–$334.40 55% above 40%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 CLINIC VISIT EST PT 99212 $250.80 $418.00 $179.07–$376.20 — 40%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 CLINIC VISIT EST 99212 $250.80 $418.00 $179.07–$376.20 — 40%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 F/U NURSE L2 $250.80 $418.00 $179.07–$376.20 — 40%
Spirometry (breathing test) CPT 94010 SPIROMETRY $111.00 $185.00 $11.52–$161.10 63% below 40%
Spirometry (breathing test) CPT 94010 SPIROMETRY PRE BRONCH REMOTE $228.00 $380.00 $11.52–$304.00 24% below 40%
Spirometry (breathing test) CPT 94010 SPIROMETRY INCENTIVE P/DY $228.00 $380.00 $11.52–$304.00 24% below 40%
Spirometry (breathing test) CPT 94010 SPIROMETRY VC EXP FLOW MVV $228.00 $380.00 $11.52–$304.00 24% below 40%
Spirometry (breathing test) inpatient CPT 94010 SPIROMETRY $111.00 $185.00 $79.25–$166.50 — 40%
Spirometry (breathing test) inpatient CPT 94010 SPIROMETRY VC EXP FLOW MVV $228.00 $380.00 $162.79–$342.00 — 40%
Spirometry (breathing test) inpatient CPT 94010 SPIROMETRY PRE BRONCH REMOTE $228.00 $380.00 $162.79–$342.00 — 40%
Spirometry (breathing test) inpatient CPT 94010 SPIROMETRY INCENTIVE P/DY $228.00 $380.00 $162.79–$342.00 — 40%
Spirometry before and after a bronchodilator CPT 94060 SPIROMETRY PRE & POST BRONCH $526.80 $878.00 $14.59–$702.40 19% below 40%
Spirometry before and after a bronchodilator inpatient CPT 94060 SPIROMETRY PRE & POST BRONCH $526.80 $878.00 $376.14–$790.20 — 40%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 PHLEBOTOMY THERAPEUTIC $193.20 $322.00 $11.00–$257.60 16% below 40%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 PHLEBOTOMY THERAPEUTIC $193.20 $322.00 $137.94–$289.80 — 40%

Vaccines

ProcedureCash priceList priceInsurers payvs PennsylvaniaOff list
COVID-19 vaccine (Moderna), age 12 and older CPT 91322 COVID-19 SPIKEVAX MODERNA 12+Y $199.20 $332.00 $44.00–$298.80 at median 40%
COVID-19 vaccine (Moderna), age 12 and older CPT 91322 COVID-19(MODERNA-12+YR) 23-24 $199.20 $332.00 $44.00–$298.80 at median 40%
COVID-19 vaccine (Moderna), age 12 and older CPT 91322 COVID-19 SPIKEVAX MODERNA 12+Y $340.00 $425.00 $44.00–$382.50 71% above 20%
COVID-19 vaccine (Moderna), age 12 and older inpatient CPT 91322 COVID-19 SPIKEVAX MODERNA 12+Y $199.20 $332.00 $95.85–$298.80 — 40%
COVID-19 vaccine (Moderna), age 12 and older inpatient CPT 91322 COVID-19(MODERNA-12+YR) 23-24 $199.20 $332.00 $95.85–$298.80 — 40%
COVID-19 vaccine (Moderna), age 12 and older inpatient CPT 91322 COVID-19 SPIKEVAX MODERNA 12+Y $340.00 $425.00 $122.70–$382.50 — 20%
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 VARIVAX .5ML INJ $748.80 $936.00 $11.00–$842.40 264% above 20%
Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 VARIVAX .5ML INJ $748.80 $936.00 $270.22–$842.40 — 20%
DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) CPT 90696 KINRIX DTAP-IPV VACC 4-6 YR IM $36.60 $61.00 $11.00–$54.90 56% below 40%
DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) inpatient CPT 90696 KINRIX DTAP-IPV VACC 4-6 YR IM $36.60 $61.00 $17.61–$54.90 — 40%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 DIPH/TET/PERT-DTAP 0.5ML INJ $22.20 $37.00 $9.99–$33.30 35% below 40%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 DIPTH/PERTUS/TET0.5ML-6W-7Y $32.40 $54.00 $11.00–$48.60 5% below 40%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 DIPH/TET/PERT-DTAP 0.5ML INJ $22.20 $37.00 $10.68–$33.30 — 40%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 DIPTH/PERTUS/TET0.5ML-6W-7Y $32.40 $54.00 $15.59–$48.60 — 40%
DTaP, hepatitis B and polio combination vaccine (Pediarix) CPT 90723 PEDIARIX VACCINE 0.5ML SDV $37.80 $63.00 $11.00–$56.70 54% below 40%
DTaP, hepatitis B and polio combination vaccine (Pediarix) inpatient CPT 90723 PEDIARIX VACCINE 0.5ML SDV $37.80 $63.00 $18.19–$56.70 — 40%
Flu shot, recombinant, egg-free (Flublok) CPT 90673 FLUBLOK 0.5ML PFS LTX/EGG FREE $30.00 $50.00 $11.00–$107.98 at median 40%
Flu shot, recombinant, egg-free (Flublok) CPT 90673 RIV3 VAC NO PRSV IM FLUBLK TRI $30.00 $50.00 $11.00–$107.98 at median 40%
Flu shot, recombinant, egg-free (Flublok) CPT 90673 FLUBLOK 0.5ML PFS LTX/EGG FREE $40.00 $50.00 $11.00–$107.98 33% above 20%
Flu shot, recombinant, egg-free (Flublok) inpatient CPT 90673 FLUBLOK 0.5ML PFS LTX/EGG FREE $30.00 $50.00 $14.44–$45.00 — 40%
Flu shot, recombinant, egg-free (Flublok) inpatient CPT 90673 RIV3 VAC NO PRSV IM FLUBLK TRI $30.00 $50.00 $14.44–$45.00 — 40%
Flu shot, recombinant, egg-free (Flublok) inpatient CPT 90673 FLUBLOK 0.5ML PFS LTX/EGG FREE $40.00 $50.00 $14.44–$45.00 — 20%
HPV vaccine, 9-valent (Gardasil 9) CPT 90651 GARDASIL HPV VACCINE 9 VAL IM $186.00 $310.00 $11.00–$279.00 27% below 40%
HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 GARDASIL HPV VACCINE 9 VAL IM $186.00 $310.00 $89.50–$279.00 — 40%
Hepatitis A vaccine, adult dose CPT 90632 HEPATITIS A VACCINE ADULT IM $81.00 $135.00 $11.00–$121.50 9% below 40%
Hepatitis A vaccine, adult dose CPT 90632 HEPAT A VACC 1440U/ML VIAL $81.00 $135.00 $11.00–$121.50 9% below 40%
Hepatitis A vaccine, adult dose CPT 90632 HEPAT A VACC 1440U/ML VIAL $108.00 $135.00 $11.00–$121.50 21% above 20%
Hepatitis A vaccine, adult dose inpatient CPT 90632 HEPAT A VACC 1440U/ML VIAL $81.00 $135.00 $38.97–$121.50 — 40%
Hepatitis A vaccine, adult dose inpatient CPT 90632 HEPATITIS A VACCINE ADULT IM $81.00 $135.00 $38.97–$121.50 — 40%
Hepatitis A vaccine, adult dose inpatient CPT 90632 HEPAT A VACC 1440U/ML VIAL $108.00 $135.00 $38.97–$121.50 — 20%
Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 HAVRIX 720 UNITS/0.5ML VIAL $39.60 $66.00 $11.00–$59.40 47% below 40%
Hepatitis A vaccine, child and teen dose (2-dose schedule) inpatient CPT 90633 HAVRIX 720 UNITS/0.5ML VIAL $39.60 $66.00 $19.05–$59.40 — 40%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 VAC HEP B 20MCG/ 1ML ADULT INJ $64.80 $108.00 $11.00–$158.25 21% below 40%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPATITIS B VACCINE ADULT $64.80 $108.00 $11.00–$158.25 21% below 40%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 VAC HEP B 20MCG/ 1ML ADULT INJ $86.40 $108.00 $11.00–$158.25 5% above 20%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 VAC HEP B 20MCG/ 1ML ADULT INJ $64.80 $108.00 $31.18–$97.20 — 40%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HEPATITIS B VACCINE ADULT $64.80 $108.00 $31.18–$97.20 — 40%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 VAC HEP B 20MCG/ 1ML ADULT INJ $86.40 $108.00 $31.18–$97.20 — 20%
Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) CPT 90739 HEPATITIS B VAC 20MCG/0.5 ML $126.60 $211.00 $11.00–$195.31 27% below 40%
Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) CPT 90739 HEPLISAV-B 20MCG/0.5ML ADT $133.20 $222.00 $11.00–$199.80 24% below 40%
Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) CPT 90739 HEPATITIS B VAC 20MCG/0.5 ML $168.80 $211.00 $11.00–$195.31 3% below 20%
Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) inpatient CPT 90739 HEPATITIS B VAC 20MCG/0.5 ML $126.60 $211.00 $60.92–$189.90 — 40%
Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) inpatient CPT 90739 HEPLISAV-B 20MCG/0.5ML ADT $133.20 $222.00 $64.09–$199.80 — 40%
Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) inpatient CPT 90739 HEPATITIS B VAC 20MCG/0.5 ML $168.80 $211.00 $60.92–$189.90 — 20%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HEPATITIS B VAC5MCG/.5ML PED $15.00 $25.00 $6.75–$60.10 68% below 40%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 ENGERIX-B 10MCG/.5ML PED INJ $47.40 $79.00 $11.00–$63.20 at median 40%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 ENGERIX-B 10MCG/.5ML PED INJ $63.20 $79.00 $11.00–$63.20 33% above 20%
Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 HEPATITIS B VAC5MCG/.5ML PED $15.00 $25.00 $7.22–$22.50 — 40%
Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 ENGERIX-B 10MCG/.5ML PED INJ $47.40 $79.00 $22.81–$71.10 — 40%
Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 ENGERIX-B 10MCG/.5ML PED INJ $63.20 $79.00 $22.81–$71.10 — 20%
Hib vaccine (Haemophilus influenzae type b), 3-dose schedule (PedvaxHIB) CPT 90647 PEDVAX HIB PRP-OMP CONJUGATE $15.60 $26.00 $7.02–$23.40 81% below 40%
Hib vaccine (Haemophilus influenzae type b), 3-dose schedule (PedvaxHIB) CPT 90647 H. INFLUENZA B PRP-OMP VACCINE $31.20 $52.00 $11.00–$46.80 62% below 40%
Hib vaccine (Haemophilus influenzae type b), 3-dose schedule (PedvaxHIB) inpatient CPT 90647 PEDVAX HIB PRP-OMP CONJUGATE $15.60 $26.00 $7.51–$23.40 — 40%
Hib vaccine (Haemophilus influenzae type b), 3-dose schedule (PedvaxHIB) inpatient CPT 90647 H. INFLUENZA B PRP-OMP VACCINE $31.20 $52.00 $15.01–$46.80 — 40%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 H. INFLUENZA B PRP-T VACCINE $6.00 $10.00 $2.70–$17.04 81% below 40%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) inpatient CPT 90648 H. INFLUENZA B PRP-T VACCINE $6.00 $10.00 $2.89–$9.00 — 40%
MMR vaccine (measles, mumps and rubella), live CPT 90707 VACCINE MEAS/MUMPS/RUBELLA INJ $48.60 $81.00 $11.00–$72.90 26% below 40%
MMR vaccine (measles, mumps and rubella), live CPT 90707 VACCINE MEAS/MUMPS/RUBELLA INJ $64.80 $81.00 $11.00–$72.90 1% below 20%
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 VACCINE MEAS/MUMPS/RUBELLA INJ $48.60 $81.00 $23.38–$72.90 — 40%
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 VACCINE MEAS/MUMPS/RUBELLA INJ $64.80 $81.00 $23.38–$72.90 — 20%
MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) CPT 90710 PROQUAD VACCINE (MMRV) $136.80 $228.00 $11.00–$205.20 43% below 40%
MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) inpatient CPT 90710 PROQUAD VACCINE (MMRV) $136.80 $228.00 $65.82–$205.20 — 40%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENVEO INJECTION (VACCINE) $81.60 $136.00 $11.00–$122.40 13% below 40%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENINGOCOC VAC A C Y W 135.5ML $81.60 $136.00 $11.00–$122.40 13% below 40%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENINGOCCAL CONJUGTE .5ML VIAL $81.60 $136.00 $11.00–$122.40 13% below 40%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENVEO INJECTION (VACCINE) $108.80 $136.00 $11.00–$122.40 16% above 20%
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 MENINGOCCAL CONJUGTE .5ML VIAL $81.60 $136.00 $39.26–$122.40 — 40%
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 MENINGOCOC VAC A C Y W 135.5ML $81.60 $136.00 $39.26–$122.40 — 40%
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 MENVEO INJECTION (VACCINE) $81.60 $136.00 $39.26–$122.40 — 40%
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 MENVEO INJECTION (VACCINE) $108.80 $136.00 $39.26–$122.40 — 20%
Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 MENINGOCOCCAL RECOMB VACC $82.20 $137.00 $11.00–$123.30 57% below 40%
Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 MENINGOCOCCAL GRP B VACC 0.5ML $82.20 $137.00 $11.00–$123.30 57% below 40%
Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 MENINGOCOCCAL GRP B VACC 0.5ML $109.60 $137.00 $11.00–$123.30 43% below 20%
Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 MENINGOCOCCAL RECOMB VACC $82.20 $137.00 $39.55–$123.30 — 40%
Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 MENINGOCOCCAL GRP B VACC 0.5ML $82.20 $137.00 $39.55–$123.30 — 40%
Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 MENINGOCOCCAL GRP B VACC 0.5ML $109.60 $137.00 $39.55–$123.30 — 20%
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 PNEUMOC 13-VAL VAC 0.5ML $144.00 $240.00 $11.00–$283.79 at median 40%
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) inpatient CPT 90670 PNEUMOC 13-VAL VAC 0.5ML $144.00 $240.00 $69.29–$216.00 — 40%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PNEUMOC 20-VAL VAC 0.5ML $144.00 $240.00 $11.00–$344.19 55% below 40%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PNEUMOCOCCAL 20 VACC 0.5ML INJ $144.00 $240.00 $11.00–$344.19 55% below 40%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PNEUMOCOCCAL 20 VACC 0.5ML INJ $192.00 $240.00 $11.00–$344.19 41% below 20%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 PNEUMOC 20-VAL VAC 0.5ML $144.00 $240.00 $69.29–$216.00 — 40%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 PNEUMOCOCCAL 20 VACC 0.5ML INJ $144.00 $240.00 $69.29–$216.00 — 40%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 PNEUMOCOCCAL 20 VACC 0.5ML INJ $192.00 $240.00 $69.29–$216.00 — 20%
Pneumonia vaccine, 21-valent conjugate (Capvaxive) CPT 90684 CAPVAXIVE VACCINE 0.5 ML SYR $189.60 $316.00 $11.00–$360.68 at median 40%
Pneumonia vaccine, 21-valent conjugate (Capvaxive) CPT 90684 CAPVAXIVE VACCINE 0.5 ML SYR $252.80 $316.00 $11.00–$360.68 33% above 20%
Pneumonia vaccine, 21-valent conjugate (Capvaxive) inpatient CPT 90684 CAPVAXIVE VACCINE 0.5 ML SYR $189.60 $316.00 $91.23–$284.40 — 40%
Pneumonia vaccine, 21-valent conjugate (Capvaxive) inpatient CPT 90684 CAPVAXIVE VACCINE 0.5 ML SYR $252.80 $316.00 $91.23–$284.40 — 20%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 VACCINE PNEUMOCC 0.5ML LED INJ $72.60 $121.00 $11.00–$146.82 43% below 40%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOCOCCAL VAC POLYVAL INJ $75.00 $125.00 $11.00–$146.82 42% below 40%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 VACCINE PNEUMOCC 0.5ML LED INJ $72.60 $121.00 $34.93–$108.90 — 40%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMOCOCCAL VAC POLYVAL INJ $75.00 $125.00 $36.09–$112.50 — 40%
Polio vaccine, inactivated (IPV) CPT 90713 IPOL POLIOVIRUS VAC .5ML INJ $38.40 $64.00 $11.00–$57.60 36% below 40%
Polio vaccine, inactivated (IPV) inpatient CPT 90713 IPOL POLIOVIRUS VAC .5ML INJ $38.40 $64.00 $18.48–$57.60 — 40%
RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) CPT 90381 RSV NIRSEVIMAB VAC 1ML IM $846.00 $1,410.00 $11.00–$1,269.00 29% below 40%
RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) inpatient CPT 90381 RSV NIRSEVIMAB VAC 1ML IM $846.00 $1,410.00 $407.07–$1,269.00 — 40%
RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 NIRSEVIMAB-ALIP RSV 0.5ML $846.00 $1,410.00 $11.00–$1,269.00 6% below 40%
RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 NIRSEVIMAB-ALIP RSV 50MG/0.5ML $888.60 $1,481.00 $11.00–$1,332.90 1% below 40%
RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 NIRSEVIMAB-ALIP RSV 50MG/0.5ML $1,184.80 $1,481.00 $11.00–$1,332.90 32% above 20%
RSV antibody shot for infants, seasonal dose (0.5 mL) inpatient CPT 90380 NIRSEVIMAB-ALIP RSV 0.5ML $846.00 $1,410.00 $407.07–$1,269.00 — 40%
RSV antibody shot for infants, seasonal dose (0.5 mL) inpatient CPT 90380 NIRSEVIMAB-ALIP RSV 50MG/0.5ML $888.60 $1,481.00 $427.56–$1,332.90 — 40%
RSV antibody shot for infants, seasonal dose (0.5 mL) inpatient CPT 90380 NIRSEVIMAB-ALIP RSV 50MG/0.5ML $1,184.80 $1,481.00 $427.56–$1,332.90 — 20%
RSV vaccine (Abrysvo), one dose for older adults or during pregnancy CPT 90678 ABRYSVO RSV VAC PREF BIVLNT IM $504.00 $840.00 $11.00–$756.00 at median 40%
RSV vaccine (Abrysvo), one dose for older adults or during pregnancy CPT 90678 RSV VAC PREF A-PREF B(ABRYSVO) $504.00 $840.00 $11.00–$756.00 at median 40%
RSV vaccine (Abrysvo), one dose for older adults or during pregnancy CPT 90678 RSV VAC PREF A-PREF B(ABRYSVO) $672.00 $840.00 $11.00–$756.00 33% above 20%
RSV vaccine (Abrysvo), one dose for older adults or during pregnancy inpatient CPT 90678 RSV VAC PREF A-PREF B(ABRYSVO) $504.00 $840.00 $242.51–$756.00 — 40%
RSV vaccine (Abrysvo), one dose for older adults or during pregnancy inpatient CPT 90678 ABRYSVO RSV VAC PREF BIVLNT IM $504.00 $840.00 $242.51–$756.00 — 40%
RSV vaccine (Abrysvo), one dose for older adults or during pregnancy inpatient CPT 90678 RSV VAC PREF A-PREF B(ABRYSVO) $672.00 $840.00 $242.51–$756.00 — 20%
Rabies vaccine, one dose CPT 90675 RABAVERT RABIES VIAL/KIT $600.00 $1,000.00 $11.00–$900.00 at median 40%
Rabies vaccine, one dose CPT 90675 RABAVERT RABIES VIAL/KIT $800.00 $1,000.00 $11.00–$900.00 34% above 20%
Rabies vaccine, one dose inpatient CPT 90675 RABAVERT RABIES VIAL/KIT $600.00 $1,000.00 $288.70–$900.00 — 40%
Rabies vaccine, one dose inpatient CPT 90675 RABAVERT RABIES VIAL/KIT $800.00 $1,000.00 $288.70–$900.00 — 20%
Rotavirus vaccine, oral, 2-dose schedule (Rotarix) CPT 90681 ROTARIX RV1 VACC 2 DSE LV ORAL $63.00 $105.00 $11.00–$94.50 at median 40%
Rotavirus vaccine, oral, 2-dose schedule (Rotarix) inpatient CPT 90681 ROTARIX RV1 VACC 2 DSE LV ORAL $63.00 $105.00 $30.31–$94.50 — 40%
Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 HZV VAC RECOM NJX (SHINGRIX) $150.00 $250.00 $11.00–$225.00 43% below 40%
Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 SHINGRIX VACCINE INJ $150.00 $250.00 $11.00–$225.00 43% below 40%
Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 SHINGRIX VACCINE INJ $150.00 $250.00 $72.17–$225.00 — 40%
Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 HZV VAC RECOM NJX (SHINGRIX) $150.00 $250.00 $72.17–$225.00 — 40%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS DIPTHERIA INJ - ADULT $13.20 $22.00 $5.94–$41.11 76% below 40%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS/DIPTHERIA INJ $55.80 $93.00 $11.00–$83.70 at median 40%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS/DIPTHERIA INJ $74.40 $93.00 $11.00–$83.70 33% above 20%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS DIPTHERIA INJ - ADULT $13.20 $22.00 $6.35–$19.80 — 40%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS/DIPTHERIA INJ $55.80 $93.00 $26.85–$83.70 — 40%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS/DIPTHERIA INJ $74.40 $93.00 $26.85–$83.70 — 20%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 BOOSTRIX 0.5ML(AGE 10-64) $30.00 $50.00 $11.00–$45.00 46% below 40%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TETANUS DIP PERT (TDAP) 7+ INJ $31.80 $53.00 $11.00–$47.70 43% below 40%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 BOOSTRIX VACCINE $31.80 $53.00 $11.00–$47.70 43% below 40%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 BOOSTRIX VACCINE $42.40 $53.00 $11.00–$47.70 24% below 20%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 BOOSTRIX 0.5ML(AGE 10-64) $30.00 $50.00 $14.44–$45.00 — 40%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 TETANUS DIP PERT (TDAP) 7+ INJ $31.80 $53.00 $15.30–$47.70 — 40%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 BOOSTRIX VACCINE $31.80 $53.00 $15.30–$47.70 — 40%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 BOOSTRIX VACCINE $42.40 $53.00 $15.30–$47.70 — 20%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMM ADM ONE VAC SGL/COMB $12.00 $20.00 $7.96–$73.28 81% below 40%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMM ADM ONE VAC SGL/COMB $12.00 $20.00 $8.57–$18.00 — 40%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUN ADM EA ADDL VACC SGL/COM $12.00 $20.00 $5.40–$18.00 55% below 40%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 IMMUN ADM EA ADDL VACC SGL/COM $12.00 $20.00 $8.57–$18.00 — 40%
Procedure The service, with its billing code (CPT or HCPCS) and, in small type, the line exactly as the hospital wrote it in its price file. More
Cash price The hospital's own price for a patient paying without insurance (“discounted cash” in its price file). Hospitals must publish it under federal law, 45 CFR 180.50. Call to confirm it before booking. More
List price The hospital's full chargemaster price (“gross charge”) before any discount. Almost nobody pays it; the gap to the cash price shows what the self-pay discount is worth. More
Insurers pay The lowest and highest rates this hospital has agreed with insurance plans for the same item, from its price file. If the cash price is below what your plan pays and you have not met your deductible, paying cash can cost you less. More
Against the state median This hospital's cash price compared with the median cash price of hospitals in the state for the same code. Shown when at least three hospitals in the state price it.
Off list How much lower the cash price is than the list price.
No cash discount This line's cash price equals the hospital's full list price. Many hospitals still reduce bills for uninsured patients: ask the billing office for its self-pay discount in writing. More
At or below Medicare This cash price is at or below what Medicare pays a hospital for the same service, which is unusually low. It is what the hospital's file says; confirm it and what it includes before booking. More
Check the item The description in the hospital file looks like a supply or device (a catheter, a brace, an implant), not this procedure. The hospital may have filed it under the wrong code: ask before relying on this price.

Source file: https://dam.upmc.com/-/media/upmc/locations/hospitals/documents/cdm-json-files/240795508_upmc-williamsport_standardcharges.csv?la=en&rev=5f646066b3fa409e9adb3e97cdcd7c59&hash=162299A46D980C65B271172AF5732243