Hospital Minneapolis-St. Paul-Bloomington, MN-WI

M Health Fairview Ridges Hospital

Listed in its price file as “Fairview Health Services”.

M Health Fairview Ridges Hospital in Burnsville, MN publishes cash prices for 424 common procedures listed here, from its own machine-readable price file updated Feb 6, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the Minnesota median for 315 of 418 procedures and above it for 96. By typical cash price it ranks #26 of 85 Minnesota hospitals and #18 of 23 hospitals in the Minneapolis, MN area, cheapest first. Select a procedure to compare it with other hospitals nearby.

201 E Nicollet Blvd, Burnsville, MN 55337-5714 Collected Sep 23, 2026 Source price file Check a bill from this hospital (952) 892-2000

Acute care hospital Nonprofit hospital Emergency department CMS star rating 4 of 5 CCN 240207 · CMS hospital register NPI 1245217520

Financial assistance

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

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

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

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

State law

This state limits hospital bills for lower-income patients

Minnesota law (Minn. Stat. §144.589): a hospital may not charge an uninsured patient whose household income is under $125,000 more than the lowest amount it would be paid for the same service by a private insurer, counting the insured patient's share. If the cash price below is higher, ask the billing office to apply this limit. Each hospital's page here shows the range of insurer rates in its own file (the "Insurers pay" column), a starting point when you ask. Other states' laws.

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs Minnesota	Off list
Abdominal CT scan without and with contrast CPT 74170 HC CT ABDOMEN WO&W CONTRAST	$762.45	$1,794.00	$167.46–$1,614.60	56% below	58%
Abdominal CT scan without and with contrast inpatient CPT 74170 HC CT ABDOMEN WO&W CONTRAST	$762.45	$1,794.00	$934.67–$1,614.60	—	58%
Abdominal X-ray, 2 views CPT 74019 HC XRAY ABDOMEN, 2 VIEWS	$146.63	$345.00	$57.11–$318.70	47% below	57%
Abdominal X-ray, 2 views inpatient CPT 74019 HC XRAY ABDOMEN, 2 VIEWS	$146.63	$345.00	$179.75–$310.50	—	57%
Ankle X-ray, complete, 3 or more views CPT 73610 HC X-RAY ANKLE >=3 VIEWS	$154.28	$363.00	$62.29–$326.70	33% below	57%
Ankle X-ray, complete, 3 or more views inpatient CPT 73610 HC X-RAY ANKLE >=3 VIEWS	$154.31	$363.06	$189.16–$326.76	—	57%
Ankle-brachial index (ABI), blood pressure test for leg arteries both sides CPT 93922 HC ANKLE-ARM INDEX 1-2 LEVEL BILATERAL	$308.98	$727.00	$110.24–$800.00	—	57%
Ankle-brachial index (ABI), blood pressure test for leg arteries one side CPT 93922 HC ANKLE-ARM INDEX SINGLE LEVEL, UNILATERAL	$308.98	$727.00	$110.24–$800.00	11% below	57%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient both sides CPT 93922 HC ANKLE-ARM INDEX 1-2 LEVEL BILATERAL	$307.42	$723.33	$376.86–$651.00	—	57%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient one side CPT 93922 HC ANKLE-ARM INDEX SINGLE LEVEL, UNILATERAL	$308.98	$727.00	$378.77–$654.30	—	57%
Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 HC CT UPPER EXTREMITY W/O CONTRAST	$547.60	$1,288.46	$90.95–$1,159.62	57% below	57%
Arm CT scan without contrast (shoulder to hand, any part) inpatient CPT 73200 HC CT UPPER EXTREMITY W/O CONTRAST	$547.60	$1,288.46	$671.29–$1,159.62	—	57%
Barium swallow (esophagus X-ray with contrast) CPT 74220 HC ESOPHAGRAM	$309.79	$728.91	$71.62–$879.76	at median	57%
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 HC ESOPHAGRAM	$309.83	$729.00	$379.81–$656.10	—	57%
Bone scan, whole body (nuclear medicine) CPT 78306 HC BONE/JOINT IMAGING, WHOLE BODY	$676.07	$1,590.73	$343.66–$1,729.02	45% below	57%
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 HC BONE/JOINT IMAGING, WHOLE BODY	$676.07	$1,590.73	$828.77–$1,431.66	—	57%
Breast ultrasound, complete, one breast one side CPT 76641 HC US BREAST UNILAT, REAL TIME W IMAGE, COMPLETE	$231.42	$544.50	$90.95–$490.05	42% below	57%
Breast ultrasound, complete, one breast inpatient one side CPT 76641 HC US BREAST UNILAT, REAL TIME W IMAGE, COMPLETE	$154.28	$363.00	$189.12–$326.70	—	57%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 HC US BREAST UNILAT, REAL TIME W IMAGE, LIMITED	$314.93	$741.00	$75.30–$666.90	at median	57%
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 HC US BREAST UNILAT, REAL TIME W IMAGE, LIMITED	$314.93	$741.00	$386.06–$666.90	—	57%
CT angiography (CTA) of the abdomen and pelvis CPT 74174 HC CT ANGIO ABD&PELVIS W CONTRAST W/WO CNTRST IMGES	$888.68	$2,091.00	$202.87–$1,881.90	65% below	57%
CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 HC CT ANGIO ABD&PELVIS W CONTRAST W/WO CNTRST IMGES	$888.68	$2,091.00	$1,089.41–$1,881.90	—	57%
CT angiography (CTA) of the head CPT 70496 HC CT ANGIO HEAD WO&W CONTRAST	$601.35	$1,414.93	$167.46–$1,273.44	67% below	57%
CT angiography (CTA) of the head inpatient CPT 70496 HC CT ANGIO HEAD WO&W CONTRAST	$541.24	$1,273.50	$663.49–$1,146.15	—	57%
CT angiography (CTA) of the neck CPT 70498 HC CT ANGIO NECK WO&W CONTRAST	$690.20	$1,624.00	$167.46–$1,461.60	61% below	58%
CT angiography (CTA) of the neck inpatient CPT 70498 HC CT ANGIO NECK WO&W CONTRAST	$676.24	$1,591.13	$828.98–$1,432.02	—	57%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 HC CT ANGIO CHEST W CONT	$681.28	$1,603.00	$167.46–$1,442.70	63% below	57%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 HC CT ANGIO CHEST W CONT	$680.41	$1,600.95	$834.09–$1,440.85	—	57%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 HC CT ANGIO HEART & COR ART/BYPASS W CONTRAST	$1,068.45	$2,514.00	$335.92–$2,262.60	16% below	58%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 HC CT ANGIO HEART & COR ART/BYPASS W CONTRAST	$1,068.45	$2,514.00	$1,309.79–$2,262.60	—	58%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 HC CT HEART W/O CONTRAST, W CALCIUM EVAL	$118.15	$278.00	$75.30–$841.00	6% above	58%
CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 HC CT HEART W/O CONTRAST, W CALCIUM EVAL	$118.15	$278.00	$144.84–$250.20	—	58%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 HC CT SCAN, ABDOMEN AND PELVIS W/O CONTRAST	$546.65	$1,286.21	$202.87–$1,359.31	74% below	57%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 HC CT SCAN, ABDOMEN AND PELVIS W/O CONTRAST	$546.65	$1,286.21	$670.12–$1,157.59	—	57%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 HC CT SCAN, ABDOMEN AND PELVIS W CONTRAST	$643.03	$1,513.00	$202.87–$1,361.70	74% below	57%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 HC CT SCAN, ABDOMEN AND PELVIS W CONTRAST	$778.60	$1,832.00	$954.47–$1,648.80	—	58%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 HC CT SCAN, ABDOMEN AND PELVIS, WO&W CONTRAST	$866.15	$2,038.00	$202.87–$1,834.20	68% below	58%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 HC CT SCAN, ABDOMEN AND PELVIS, WO&W CONTRAST	$866.15	$2,038.00	$1,061.80–$1,834.20	—	58%
CT scan of the abdomen with contrast CPT 74160 HC CT ABDOMEN W CONTRAST	$661.30	$1,556.00	$167.46–$1,400.40	52% below	58%
CT scan of the abdomen with contrast inpatient CPT 74160 HC CT ABDOMEN W CONTRAST	$661.30	$1,556.00	$810.68–$1,400.40	—	58%
CT scan of the abdomen without contrast CPT 74150 HC CT ABDOMEN W/O CONTRAST	$498.95	$1,174.00	$90.95–$1,056.60	58% below	58%
CT scan of the abdomen without contrast inpatient CPT 74150 HC CT ABDOMEN W/O CONTRAST	$498.95	$1,174.00	$611.65–$1,056.60	—	58%
CT scan of the face and sinuses, no contrast dye CPT 70486 HC CT MAXILLOFACIAL W/O CONTRAST	$575.42	$1,353.92	$90.95–$1,218.53	54% below	57%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 HC CT MAXILLOFACIAL W/O CONTRAST	$575.42	$1,353.92	$705.39–$1,218.53	—	57%
CT scan of the head or brain, no contrast dye CPT 70450 HC CT HEAD WO CONTRAST	$509.51	$1,198.83	$90.95–$1,078.95	60% below	57%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 HC CT HEAD WO CONTRAST	$506.24	$1,191.15	$620.59–$1,072.04	—	57%
CT scan of the head with contrast CPT 70460 HC CT HEAD W CONTRAST	$509.15	$1,198.00	$167.46–$1,078.20	61% below	58%
CT scan of the head with contrast inpatient CPT 70460 HC CT HEAD W CONTRAST	$509.15	$1,198.00	$624.16–$1,078.20	—	58%
CT scan of the head without and with contrast CPT 70470 HC CT HEAD WO&W CONTRAST	$509.15	$1,198.00	$167.46–$1,078.20	68% below	58%
CT scan of the head without and with contrast inpatient CPT 70470 HC CT HEAD WO&W CONTRAST	$509.15	$1,198.00	$624.16–$1,078.20	—	58%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 HC CT LUMBAR SPINE WO CONTRAST	$498.89	$1,173.84	$90.95–$1,056.46	63% below	57%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 HC CT LUMBAR SPINE WO CONTRAST	$498.95	$1,174.00	$611.65–$1,056.60	—	58%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 HC CT CERVICAL SPINE W/O CONTRAST	$500.61	$1,177.90	$90.95–$1,060.11	65% below	57%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 HC CT CERVICAL SPINE W/O CONTRAST	$500.61	$1,177.90	$613.68–$1,060.11	—	57%
CT scan of the pelvis, with contrast dye CPT 72193 HC CT SCAN OF PELVIS CONTRAST	$688.93	$1,621.00	$167.46–$1,458.90	51% below	57%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 HC CT SCAN OF PELVIS CONTRAST	$688.93	$1,621.00	$844.54–$1,458.90	—	57%
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 HC DUPLEX SCAN EXTRACRANIAL, COMPLETE BILATERAL	$405.49	$954.09	$131.68–$1,359.31	—	57%
Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 HC DUPLEX SCAN EXTRACRANIAL, COMPLETE BILATERAL	$403.33	$949.00	$494.43–$854.10	—	57%
Chest CT scan without and with contrast CPT 71270 HC CT THORAX, DIAGNOSTIC, WO&W CONT	$415.23	$977.00	$167.46–$879.76	74% below	57%
Chest CT scan without and with contrast inpatient CPT 71270 HC CT THORAX, DIAGNOSTIC, WO&W CONT	$415.23	$977.00	$509.02–$879.30	—	57%
Chest X-ray, 2 views CPT 71046 HC XRAY CHEST, 2 VIEWS	$146.89	$345.61	$51.22–$311.05	35% below	57%
Chest X-ray, 2 views inpatient CPT 71046 HC XRAY CHEST, 2 VIEWS	$151.73	$357.00	$186.00–$321.30	—	57%
Chest X-ray, single view CPT 71045 HC XRAY CHEST, 1 VIEW	$135.48	$318.76	$37.91–$286.88	33% below	57%
Chest X-ray, single view inpatient CPT 71045 HC XRAY CHEST, 1 VIEW	$135.83	$319.58	$166.50–$287.62	—	57%
Collarbone (clavicle) X-ray, complete CPT 73000 HC X-RAY CLAVICLE COMPLETE	$157.68	$371.00	$54.16–$333.90	21% below	57%
Collarbone (clavicle) X-ray, complete inpatient CPT 73000 HC X-RAY CLAVICLE COMPLETE	$236.52	$556.50	$289.94–$500.85	—	57%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 HC US RETROPERITONEAL, COMPLETE	$228.87	$538.50	$90.95–$484.65	56% below	57%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 HC US RETROPERITONEAL, COMPLETE	$242.14	$569.74	$296.83–$512.76	—	57%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 HC DEXA BONE DENSITY, >=1 SITE, AXIAL SKELETON	$167.88	$395.00	$65.24–$355.50	55% below	57%
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 HC DEXA BONE DENSITY, >=1 SITE, AXIAL SKELETON	$167.88	$394.99	$205.79–$355.49	—	57%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 HC DEXA BONE DENSITY, >=1 SITE, APPENDICULAR SKELETON	$212.50	$500.00	$48.99–$450.00	6% above	58%
DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 HC DEXA BONE DENSITY, >=1 SITE, APPENDICULAR SKELETON	$211.46	$497.53	$259.21–$447.78	—	57%
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 HC US OB MATERNAL W/DET FETAL EXAM, SINGLE GESTATION	$477.28	$1,123.00	$149.56–$1,359.31	5% above	57%
Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 HC US OB MATERNAL W/DET FETAL EXAM, SINGLE GESTATION	$375.69	$883.96	$460.54–$795.56	—	57%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 HC CT THORAX, DIAGNOSTIC, W/O CONT	$499.00	$1,174.10	$90.95–$1,056.69	61% below	57%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 HC CT THORAX, DIAGNOSTIC, W/O CONT	$499.00	$1,174.10	$611.71–$1,056.69	—	57%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 HC CT THORAX, DIAGNOSTIC, WCONT	$415.23	$977.00	$167.46–$879.76	72% below	57%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 HC CT THORAX, DIAGNOSTIC, WCONT	$613.80	$1,444.22	$752.44–$1,299.80	—	57%
Diagnostic mammogram, both breasts both sides CPT 77066 HC DX MAMMO INCL CAD, BILATERAL	$244.82	$576.03	$80.31–$1,381.94	—	57%
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 HC DX MAMMO INCL CAD, BILATERAL	$244.82	$576.03	$300.11–$518.43	—	57%
Diagnostic mammogram, one breast one side CPT 77065 HC DX MAMMO INCL CAD, UNILATERAL	$189.55	$446.00	$88.50–$1,094.04	39% below	58%
Diagnostic mammogram, one breast inpatient one side CPT 77065 HC DX MAMMO INCL CAD, UNILATERAL	$189.55	$446.00	$232.37–$401.40	—	58%
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 HC DUPLEX LWR EXTREM ARTERY/BPG, COMPLETE BILATERAL	$461.34	$1,085.50	$177.37–$1,359.31	—	57%
Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 HC DUPLEX LWR EXTREM ARTERY/BPG, COMPLETE BILATERAL	$461.34	$1,085.50	$565.55–$976.95	—	57%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 HC DUPLEX EXTREMITY VENOUS, COMPLETE BILATERAL	$524.46	$1,234.00	$177.37–$1,359.31	—	57%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 HC DUPLEX EXTREMITY VENOUS, COMPLETE BILATERAL	$521.04	$1,225.97	$638.73–$1,103.37	—	57%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 HC ECHO COMPLETE W DOPPLER W/O CONTRAST	$701.11	$1,649.66	$202.87–$1,484.69	51% below	57%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 HC ECHO COMPLETE W DOPPLER W/O CONTRAST	$705.15	$1,659.17	$864.43–$1,493.25	—	57%
Elbow X-ray, 2 views CPT 73070 HC X-RAY ELBOW 2 VIEWS	$137.85	$324.33	$46.76–$291.90	32% below	57%
Elbow X-ray, 2 views inpatient CPT 73070 HC X-RAY ELBOW 2 VIEWS	$233.33	$549.00	$286.03–$494.10	—	57%
Elbow X-ray, complete, 3 or more views CPT 73080 HC X-RAY ELBOW >=3 VIEWS	$232.49	$547.02	$54.16–$492.32	at median	57%
Elbow X-ray, complete, 3 or more views inpatient CPT 73080 HC X-RAY ELBOW >=3 VIEWS	$232.49	$547.02	$285.00–$492.32	—	57%
Eye socket (orbit) CT scan without contrast CPT 70480 HC CT ORBIT/SELLA/POST FOSSA/EAR W/O CONTRAST	$565.16	$1,329.78	$90.95–$1,196.80	53% below	57%
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 HC CT ORBIT/SELLA/POST FOSSA/EAR W/O CONTRAST	$557.74	$1,312.32	$683.72–$1,181.09	—	57%
Facial bones X-ray, complete, 3 or more views CPT 70150 HC X-RAY FACIAL BONES COMPLTE, MIN 3 VIEWS	$146.63	$345.00	$71.62–$318.70	42% below	57%
Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 HC X-RAY FACIAL BONES COMPLTE, MIN 3 VIEWS	$146.63	$345.00	$179.75–$310.50	—	57%
Forearm X-ray (radius and ulna), 2 views CPT 73090 HC X-RAY FOREARM 2 VIEWS	$151.42	$356.26	$47.51–$320.64	25% below	57%
Forearm X-ray (radius and ulna), 2 views inpatient CPT 73090 HC X-RAY FOREARM 2 VIEWS	$151.30	$356.00	$185.48–$320.40	—	58%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HC HEPATOBILIARY SYST IMAGING INCLUDING GALLBLADDER	$606.90	$1,428.00	$343.66–$1,285.20	50% below	58%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 HC HEPATOBILIARY SYST IMAGING INCLUDING GALLBLADDER	$606.90	$1,428.00	$743.99–$1,285.20	—	58%
Hand X-ray, 2 views CPT 73120 HC X-RAY HAND 1 VIEW	$159.80	$376.00	$51.94–$338.40	16% below	58%
Hand X-ray, 2 views CPT 73120 HC X-RAY HAND 2 VIEWS	$201.88	$475.00	$51.94–$427.50	6% above	57%
Hand X-ray, 2 views inpatient CPT 73120 HC X-RAY HAND 1 VIEW	$159.80	$376.00	$195.90–$338.40	—	58%
Hand X-ray, 2 views inpatient CPT 73120 HC X-RAY HAND 2 VIEWS	$242.09	$569.60	$296.76–$512.64	—	57%
Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 HC X-RAY HEEL >=2 VIEWS	$151.73	$357.00	$46.04–$321.30	15% below	57%
Heel bone (calcaneus) X-ray, 2 or more views inpatient CPT 73650 HC X-RAY HEEL >=2 VIEWS	$227.59	$535.50	$279.00–$481.95	—	57%
Knee X-ray, 3 views CPT 73562 HC X-RAY KNEE 3 VIEWS	$164.05	$386.00	$70.41–$347.40	30% below	58%
Knee X-ray, 3 views inpatient CPT 73562 HC X-RAY KNEE 3 VIEWS	$164.05	$386.00	$201.11–$347.40	—	58%
Knee X-ray, complete, 4 or more views CPT 73564 HC X-RAY KNEE COMPLETE >=4 VIEWS	$204.85	$482.00	$71.62–$433.80	27% below	58%
Knee X-ray, complete, 4 or more views inpatient CPT 73564 HC X-RAY KNEE COMPLETE >=4 VIEWS	$307.28	$723.00	$376.68–$650.70	—	57%
Leg CT scan without contrast (hip to foot, any part) CPT 73700 HC CT LOWER EXTREMITY W/O CONTRAST	$558.50	$1,314.10	$90.95–$1,182.69	58% below	57%
Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 HC CT LOWER EXTREMITY W/O CONTRAST	$563.13	$1,325.00	$690.33–$1,192.50	—	57%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HC US ABDOMEN LIMITED	$229.61	$540.25	$90.95–$486.23	48% below	57%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 HC US ABDOMEN LIMITED	$229.90	$540.92	$281.82–$486.83	—	57%
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 HC US LIMITED JOINT OR OTHER NONVASC EXTREMITY STRUCTURE	$223.77	$526.50	$68.20–$473.85	35% below	57%
Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 HC US LIMITED JOINT OR OTHER NONVASC EXTREMITY STRUCTURE	$223.77	$526.50	$274.31–$473.85	—	57%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 HC CT THORAX, LOW DOSE LUNG CA SCREEN	$294.91	$693.90	$90.95–$841.00	63% below	57%
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 HC CT THORAX, LOW DOSE LUNG CA SCREEN	$315.35	$742.00	$386.58–$667.80	—	58%
Lower leg X-ray (tibia and fibula), 2 views CPT 73590 HC X-RAY TIBIA & FIBULA 2 VIEWS	$126.87	$298.50	$52.68–$268.65	40% below	57%
Lower leg X-ray (tibia and fibula), 2 views inpatient CPT 73590 HC X-RAY TIBIA & FIBULA 2 VIEWS	$225.33	$530.19	$276.23–$477.17	—	58%
MR angiography (MRA) of the head without contrast CPT 70544 HC MRA HEAD W/O CONTRAST	$846.09	$1,990.80	$227.36–$1,791.72	60% below	58%
MR angiography (MRA) of the head without contrast inpatient CPT 70544 HC MRA HEAD W/O CONTRAST	$846.09	$1,990.80	$1,037.21–$1,791.72	—	58%
MRI of both breasts, without and then with contrast dye both sides CPT 77049 HC MRI BREAST BILATERAL W CONTRAST, W/CAD	$1,036.15	$2,438.00	$540.83–$3,071.93	—	58%
MRI of both breasts, without and then with contrast dye both sides CPT 77049 HC MRI BREAST BILATERAL W/O CONTRAST, W/CAD	$1,042.01	$2,451.76	$540.83–$3,071.93	—	57%
MRI of both breasts, without and then with contrast dye both sides CPT 77049 HC MRI BREAST BILATERAL WO&W CONTRAST, W/CAD	$1,085.44	$2,553.96	$540.83–$3,071.93	—	57%
MRI of both breasts, without and then with contrast dye inpatient both sides CPT 77049 HC MRI BREAST BILATERAL W CONTRAST, W/CAD	$1,036.15	$2,438.00	$1,270.20–$2,194.20	—	58%
MRI of both breasts, without and then with contrast dye inpatient both sides CPT 77049 HC MRI BREAST BILATERAL W/O CONTRAST, W/CAD	$1,042.01	$2,451.76	$1,277.37–$2,206.59	—	57%
MRI of both breasts, without and then with contrast dye inpatient both sides CPT 77049 HC MRI BREAST BILATERAL WO&W CONTRAST, W/CAD	$1,085.44	$2,553.96	$1,330.61–$2,298.56	—	57%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HC MRI LOWER EXTREMITY JNT W/O CONT	$1,281.38	$3,015.00	$227.36–$2,713.50	35% below	57%
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 HC MRI LOWER EXTREMITY JNT W/O CONT	$1,281.38	$3,015.00	$1,570.82–$2,713.50	—	57%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 HC MRI LOWER EXTREMITY JNT WO&W CONT	$1,217.16	$2,863.89	$335.92–$2,577.50	53% below	57%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 HC MRI LOWER EXTREMITY JNT WO&W CONT	$1,822.62	$4,288.50	$2,234.31–$3,859.65	—	57%
MRI of the abdomen without contrast CPT 74181 HC MRI ADBDOMEN W/O CONTRAST	$803.11	$1,889.67	$227.36–$1,700.70	62% below	57%
MRI of the abdomen without contrast inpatient CPT 74181 HC MRI ADBDOMEN W/O CONTRAST	$803.11	$1,889.67	$984.52–$1,700.70	—	57%
MRI of the abdomen, without and then with contrast dye CPT 74183 HC MRI ABDOMEN WO&W CONTRAST	$1,328.55	$3,126.00	$335.92–$2,813.40	55% below	58%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 HC MRI ABDOMEN WO&W CONTRAST	$1,328.55	$3,126.00	$1,628.65–$2,813.40	—	58%
MRI of the brain, no contrast dye CPT 70551 HC MRI BRAIN W/O CONTRAST	$681.71	$1,604.01	$227.36–$1,443.61	67% below	57%
MRI of the brain, no contrast dye inpatient CPT 70551 HC MRI BRAIN W/O CONTRAST	$681.55	$1,603.64	$835.49–$1,443.27	—	57%
MRI of the brain, with and without contrast dye CPT 70553 HC MRI BRAIN WO&W CONTRAST	$1,214.36	$2,857.31	$335.92–$2,571.58	58% below	57%
MRI of the brain, with and without contrast dye inpatient CPT 70553 HC MRI BRAIN WO&W CONTRAST	$1,231.77	$2,898.26	$1,509.99–$2,608.44	—	57%
MRI of the lower back, no contrast dye CPT 72148 HC MRI LUMBAR SPINE W/O CONTRAST	$805.38	$1,895.00	$227.36–$1,705.50	60% below	57%
MRI of the lower back, no contrast dye inpatient CPT 72148 HC MRI LUMBAR SPINE W/O CONTRAST	$805.38	$1,895.00	$987.30–$1,705.50	—	57%
MRI of the lower back, without and then with contrast dye CPT 72158 HC MRI LUMBAR SPINE WO&W CONT	$1,231.65	$2,898.00	$335.92–$2,608.20	54% below	58%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 HC MRI LUMBAR SPINE WO&W CONT	$1,359.15	$3,198.00	$1,666.16–$2,878.20	—	58%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 HC MRI THORACIC SPINE W/O CONTRAST	$765.43	$1,801.00	$227.36–$1,620.90	63% below	57%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 HC MRI THORACIC SPINE W/O CONTRAST	$765.43	$1,801.00	$938.32–$1,620.90	—	57%
MRI of the neck (cervical spine) without and with contrast CPT 72156 HC MRI CERVICAL SPINE WO&W CONT	$1,231.65	$2,898.00	$335.92–$2,608.20	51% below	58%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 HC MRI CERVICAL SPINE WO&W CONT	$1,231.65	$2,898.00	$1,509.86–$2,608.20	—	58%
MRI of the neck (cervical spine), no contrast dye CPT 72141 HC MRI CERVICAL SPINE W/O CONTRAST	$798.15	$1,878.00	$227.36–$1,690.20	60% below	58%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 HC MRI CERVICAL SPINE W/O CONTRAST	$798.15	$1,878.00	$978.44–$1,690.20	—	58%
MRI of the pelvis without and with contrast CPT 72197 HC MRI PELVIS WO&W CONTRAST	$1,265.43	$2,977.47	$335.92–$2,679.72	52% below	57%
MRI of the pelvis without and with contrast inpatient CPT 72197 HC MRI PELVIS WO&W CONTRAST	$1,313.72	$3,091.09	$1,610.46–$2,781.98	—	57%
MRI of the pelvis, no contrast dye CPT 72195 HC MRI PELVIS W/O CONTRAST	$852.98	$2,007.00	$227.36–$1,806.30	60% below	57%
MRI of the pelvis, no contrast dye inpatient CPT 72195 HC MRI PELVIS W/O CONTRAST	$852.98	$2,007.00	$1,045.65–$1,806.30	—	57%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 HC MRI UPPER EXTREMITY JOINT W/O CONTRAST	$872.53	$2,053.00	$227.36–$1,847.70	59% below	57%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 HC MRI UPPER EXTREMITY JOINT W/O CONTRAST	$873.26	$2,054.71	$1,070.50–$1,849.24	—	57%
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 HC X-RAY CERV SPINE >=4 VIEWS	$212.93	$501.00	$71.62–$450.90	32% below	57%
Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 HC X-RAY CERV SPINE >=4 VIEWS	$212.93	$501.00	$261.02–$450.90	—	57%
Neck soft tissue CT scan with contrast CPT 70491 HC CT SOFT TISSUE NECK W CONTRAST	$595.85	$1,402.00	$167.46–$1,261.80	56% below	58%
Neck soft tissue CT scan with contrast inpatient CPT 70491 HC CT SOFT TISSUE NECK W CONTRAST	$595.90	$1,402.10	$730.50–$1,261.89	—	57%
Neck soft tissue CT scan without contrast CPT 70490 HC CT SOFT TISSUE NECK W/O CONTRAST	$609.10	$1,433.16	$90.95–$1,289.84	47% below	57%
Neck soft tissue CT scan without contrast inpatient CPT 70490 HC CT SOFT TISSUE NECK W/O CONTRAST	$598.00	$1,407.04	$733.07–$1,266.34	—	57%
Neck soft tissue X-ray CPT 70360 HC X-RAYNECK, SOFT TISSUE	$144.93	$341.00	$49.74–$306.90	18% below	57%
Neck soft tissue X-ray inpatient CPT 70360 HC X-RAYNECK, SOFT TISSUE	$144.93	$341.00	$177.66–$306.90	—	57%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 HC MPI SPECT MULTIPLE STUDIES, REST/STRESS	$1,485.85	$3,496.11	$791.66–$3,146.50	45% below	57%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 HC MPI SPECT MULTIPLE STUDIES, REST/STRESS	$1,485.80	$3,496.00	$1,821.42–$3,146.40	—	58%
OCT scan of the retina (optical coherence tomography) CPT 92134 HC COMPUTERIZED OPHTHALMIC IMAGING RETINA	$126.52	$297.68	$28.60–$267.91	6% above	57%
OCT scan of the retina (optical coherence tomography) inpatient CPT 92134 HC COMPUTERIZED OPHTHALMIC IMAGING RETINA	$126.22	$296.97	$154.72–$267.28	—	57%
PET/CT scan from the base of the skull to mid-thigh CPT 78815 HC PET W CT ATTENUATION, SKULL BASE TO MID THIGH	$2,648.60	$6,232.00	$1,247.43–$5,608.80	4% below	58%
PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 HC PET W CT ATTENUATION, SKULL BASE TO MID THIGH	$2,649.45	$6,233.99	$3,247.91–$5,610.59	—	57%
Pelvic CT scan without contrast CPT 72192 HC CT PELVIS W/O CONTRAST	$507.67	$1,194.50	$90.95–$1,075.05	61% below	57%
Pelvic CT scan without contrast inpatient CPT 72192 HC CT PELVIS W/O CONTRAST	$533.10	$1,254.35	$653.52–$1,128.91	—	57%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 HC US PELVIC NON-OB, LIMITED OR FOLLOW-UP	$240.79	$566.55	$57.86–$509.90	29% below	57%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 HC US PELVIC NON-OB, LIMITED OR FOLLOW-UP	$240.79	$566.55	$295.17–$509.90	—	57%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 HC US PELVIC NON-OB, COMPLETE	$250.75	$590.00	$90.95–$531.00	49% below	58%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 HC US PELVIC NON-OB, COMPLETE	$250.77	$590.05	$307.41–$531.04	—	58%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HC US OB 2-3 TRIMESTER MAT/FETAL, SINGLE GESTATION	$290.28	$683.00	$90.95–$614.70	42% below	57%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 HC US OB 2-3 TRIMESTER MAT/FETAL, SINGLE GESTATION	$290.28	$683.00	$355.84–$614.70	—	57%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 HC US OB 1ST TRIMESTER MAT/FETAL, SINGLE GESTATION	$282.20	$664.00	$90.95–$597.60	35% below	58%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 HC US OB 1ST TRIMESTER MAT/FETAL, SINGLE GESTATION	$282.19	$663.97	$345.93–$597.57	—	57%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 HC US OB LIMITED, 1 OR MORE FETUSES	$272.01	$640.01	$90.95–$576.01	19% below	57%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 HC US OB LIMITED, 1 OR MORE FETUSES	$204.15	$480.33	$250.25–$432.30	—	57%
Rib X-ray, one side, 2 views one side CPT 71100 HC X-RAY RIBS 2 VW, UNILATERAL	$117.73	$277.00	$57.86–$263.85	42% below	57%
Rib X-ray, one side, 2 views inpatient one side CPT 71100 HC X-RAY RIBS 2 VW, UNILATERAL	$117.73	$277.00	$144.32–$249.30	—	57%
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 HC RIBS UNILATERAL >=3 VIEWS	$195.50	$460.00	$65.24–$414.00	33% below	58%
Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 HC RIBS UNILATERAL >=3 VIEWS	$195.50	$460.00	$239.66–$414.00	—	58%
Screening mammogram, both breasts both sides CPT 77067 HC MAMMO SCREEN IMPLANT BILAT, INCL CAD WHEN PERF	$199.33	$469.00	$66.64–$1,117.06	—	57%
Screening mammogram, both breasts both sides CPT 77067 HC SCREEN MAMMO INCL CAD, BILATERAL	$199.33	$469.00	$66.64–$1,117.06	—	57%
Screening mammogram, both breasts inpatient both sides CPT 77067 HC MAMMO SCREEN IMPLANT BILAT, INCL CAD WHEN PERF	$199.33	$469.00	$244.35–$422.10	—	57%
Screening mammogram, both breasts inpatient both sides CPT 77067 HC SCREEN MAMMO INCL CAD, BILATERAL	$199.33	$469.00	$244.35–$422.10	—	57%
Shoulder X-ray, complete, 2 or more views CPT 73030 HC X-RAY SHOULDER, COMPLETE G/E 2 VIEWS	$157.68	$371.00	$57.11–$333.90	33% below	57%
Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 HC X-RAY SHOULDER, COMPLETE G/E 2 VIEWS	$157.68	$371.00	$193.29–$333.90	—	57%
Sinus X-ray, complete, 3 or more views CPT 70220 HC X-RAY SINUSES COMPLETE, MIN 3 VIEWS	$164.90	$388.00	$60.06–$349.20	29% below	58%
Sinus X-ray, complete, 3 or more views inpatient CPT 70220 HC X-RAY SINUSES COMPLETE, MIN 3 VIEWS	$164.90	$388.00	$202.15–$349.20	—	58%
Skull X-ray, fewer than 4 views CPT 70250 HC X-RAY SKULL <4 VIEWS	$146.63	$345.00	$60.81–$318.70	35% below	57%
Skull X-ray, fewer than 4 views inpatient CPT 70250 HC X-RAY SKULL <4 VIEWS	$146.63	$345.00	$179.75–$310.50	—	57%
Swallow study (modified barium swallow, video X-ray) CPT 74230 HC SWALLOWING FUNTION W CINE/VIDEO	$314.93	$741.00	$131.74–$879.76	14% below	57%
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 HC SWALLOWING FUNTION W CINE/VIDEO	$314.93	$741.00	$386.06–$666.90	—	57%
Thigh bone (femur) X-ray, 2 or more views CPT 73552 HC X-RAY FEMUR, MIN 2 VW	$116.88	$275.00	$59.34–$263.85	49% below	57%
Thigh bone (femur) X-ray, 2 or more views inpatient CPT 73552 HC X-RAY FEMUR, MIN 2 VW	$116.88	$275.00	$143.28–$247.50	—	57%
Thoracic spine (mid back) CT scan without contrast CPT 72128 HC CT THORACIC SPINE W/O CONTRAST	$493.43	$1,161.00	$90.95–$1,044.90	63% below	57%
Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 HC CT THORACIC SPINE W/O CONTRAST	$493.43	$1,161.00	$604.88–$1,044.90	—	57%
Toe X-ray, 2 or more views CPT 73660 HC X-RAY TOE(S) >=2 VIEWS	$152.15	$358.00	$50.47–$322.20	18% below	58%
Toe X-ray, 2 or more views inpatient CPT 73660 HC X-RAY TOE(S) >=2 VIEWS	$152.15	$358.00	$186.52–$322.20	—	58%
Transvaginal pelvic ultrasound CPT 76830 HC US TRANSVAGINAL, NON-OB	$207.83	$489.00	$90.95–$440.10	48% below	57%
Transvaginal pelvic ultrasound inpatient CPT 76830 HC US TRANSVAGINAL, NON-OB	$236.73	$557.00	$290.20–$501.30	—	57%
Transvaginal ultrasound during pregnancy CPT 76817 HC US OB TRANSVAGINAL	$244.80	$576.00	$90.95–$518.40	31% below	58%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 HC US OB TRANSVAGINAL	$244.80	$576.00	$300.10–$518.40	—	58%
Ultrasound of the abdomen, complete CPT 76700 HC US ABDOMEN COMPLETE	$294.97	$694.04	$90.95–$624.63	51% below	57%
Ultrasound of the abdomen, complete inpatient CPT 76700 HC US ABDOMEN COMPLETE	$294.97	$694.04	$361.59–$624.63	—	57%
Ultrasound of the scrotum and testicles CPT 76870 HC US SCROTUM AND CONTENTS	$263.05	$618.94	$90.95–$557.04	41% below	57%
Ultrasound of the scrotum and testicles inpatient CPT 76870 HC US SCROTUM AND CONTENTS	$263.08	$619.00	$322.50–$557.10	—	57%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 HC US SOFT TISSUE HEAD/NECK	$259.47	$610.50	$90.95–$549.45	41% below	57%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 HC US SOFT TISSUE HEAD/NECK	$275.40	$648.00	$337.61–$583.20	—	58%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 HC UPPER GI W/O KUB	$320.45	$754.00	$128.86–$879.76	18% below	58%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 HC UPPER GI W/O KUB	$320.45	$754.00	$392.83–$678.60	—	58%
Upper arm X-ray (humerus), 2 views CPT 73060 HC X-RAY HUMERUS >=2 VIEWS	$130.05	$306.00	$53.42–$275.40	39% below	58%
Upper arm X-ray (humerus), 2 views inpatient CPT 73060 HC X-RAY HUMERUS >=2 VIEWS	$195.08	$459.00	$239.14–$413.10	—	57%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 HC DUPLEX EXTREMITY VENOUS, LIMITED UNILATERAL	$270.36	$636.13	$90.95–$800.00	50% below	57%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 HC DUPLEX EXTREMITY VENOUS, LIMITED UNILATERAL	$268.75	$632.33	$329.45–$569.10	—	57%
Wrist X-ray, 2 views CPT 73100 HC X-RAY WRIST 1 VIEW	$240.27	$565.33	$57.11–$508.80	22% above	57%
Wrist X-ray, 2 views CPT 73100 HC X-RAY WRIST 2 VIEWS	$277.95	$654.00	$57.11–$588.60	41% above	58%
Wrist X-ray, 2 views inpatient CPT 73100 HC X-RAY WRIST 1 VIEW	$142.24	$334.67	$174.36–$301.20	—	57%
Wrist X-ray, 2 views inpatient CPT 73100 HC X-RAY WRIST 2 VIEWS	$153.00	$360.00	$187.56–$324.00	—	58%
Wrist X-ray, complete, 3 or more views CPT 73110 HC X-RAY WRIST >=3 VIEWS	$154.73	$364.05	$71.62–$327.64	33% below	57%
Wrist X-ray, complete, 3 or more views inpatient CPT 73110 HC X-RAY WRIST >=3 VIEWS	$154.73	$364.05	$189.67–$327.64	—	57%
X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 HC X-RAY HIP, UNIL (W PELVIS IF PERF), 2-3 VW	$107.10	$252.00	$71.62–$263.85	61% below	58%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient CPT 73502 HC X-RAY HIP, UNIL (W PELVIS IF PERF), 2-3 VW	$107.10	$252.00	$131.29–$226.80	—	58%
X-ray of the abdomen, 1 view CPT 74018 HC XRAY ABDOMEN, 1 VIEW	$106.25	$250.00	$47.51–$263.85	50% below	58%
X-ray of the abdomen, 1 view inpatient CPT 74018 HC XRAY ABDOMEN, 1 VIEW	$106.25	$250.00	$130.25–$225.00	—	58%
X-ray of the ankle, 2 views CPT 73600 HC X-RAY ANKLE 2 VIEWS	$151.30	$355.98	$54.16–$320.38	26% below	57%
X-ray of the ankle, 2 views CPT 73600 HC X-RAY ANKLE 1 VIEW	$151.30	$356.00	$54.16–$320.40	26% below	58%
X-ray of the ankle, 2 views inpatient CPT 73600 HC X-RAY ANKLE 1 VIEW	$151.28	$355.94	$185.45–$320.35	—	57%
X-ray of the ankle, 2 views inpatient CPT 73600 HC X-RAY ANKLE 2 VIEWS	$151.30	$355.98	$185.46–$320.38	—	57%
X-ray of the finger(s), 2 or more views CPT 73140 HC X-RAY FINGER(S) >=2 VIEWS	$153.85	$362.00	$69.68–$325.80	21% below	58%
X-ray of the finger(s), 2 or more views inpatient CPT 73140 HC X-RAY FINGER(S) >=2 VIEWS	$136.43	$321.00	$167.24–$288.90	—	57%
X-ray of the foot, 2 views CPT 73620 HC X-RAY FOOT 1 VIEW	$154.28	$363.00	$46.76–$326.70	19% below	57%
X-ray of the foot, 2 views CPT 73620 HC X-RAY FOOT 2 VIEWS	$243.42	$572.75	$46.76–$515.48	27% above	57%
X-ray of the foot, 2 views inpatient CPT 73620 HC X-RAY FOOT 2 VIEWS	$154.28	$363.00	$189.12–$326.70	—	57%
X-ray of the foot, 2 views inpatient CPT 73620 HC X-RAY FOOT 1 VIEW	$154.28	$363.00	$189.12–$326.70	—	57%
X-ray of the foot, complete, 3 or more views CPT 73630 HC X-RAY FOOT COMPLETE >=3 VIEWS	$155.96	$366.95	$57.86–$330.26	30% below	57%
X-ray of the foot, complete, 3 or more views inpatient CPT 73630 HC X-RAY FOOT COMPLETE >=3 VIEWS	$234.04	$550.68	$286.91–$495.61	—	57%
X-ray of the hand, 3 or more views CPT 73130 HC X-RAY HAND >=3 VIEWS	$227.59	$535.50	$63.76–$481.95	3% above	57%
X-ray of the hand, 3 or more views inpatient CPT 73130 HC X-RAY HAND >=3 VIEWS	$137.99	$324.67	$169.15–$292.20	—	57%
X-ray of the knee, 1 or 2 views CPT 73560 HC X-RAY KNEE 1-2 VIEWS	$240.38	$565.59	$57.86–$509.03	11% above	57%
X-ray of the knee, 1 or 2 views inpatient CPT 73560 HC X-RAY KNEE 1-2 VIEWS	$160.23	$377.00	$196.42–$339.30	—	57%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 HC X-RAY LUMBAR SPINE 2-3 VIEWS	$160.34	$377.25	$64.51–$339.53	38% below	57%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 HC X-RAY LUMBAR SPINE 2-3 VIEWS	$160.34	$377.25	$196.55–$339.53	—	57%
X-ray of the lower back, 4 or more views CPT 72110 HC X-RAY LUMBAR SPINE MIN 4 VIEWS	$217.60	$512.00	$71.62–$460.80	34% below	58%
X-ray of the lower back, 4 or more views inpatient CPT 72110 HC X-RAY LUMBAR SPINE MIN 4 VIEWS	$217.60	$512.00	$266.75–$460.80	—	58%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 HC X-RAY THORACIC SPINE 2 VIEWS	$160.23	$377.00	$51.22–$339.30	32% below	57%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 HC X-RAY THORACIC SPINE 2 VIEWS	$160.23	$377.00	$196.42–$339.30	—	57%
X-ray of the nasal bones, 3 or more views CPT 70160 HC X-RAY NASAL BONES COMPLETE, MIN 3 VIEWS	$119.43	$281.00	$65.24–$263.85	45% below	57%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 HC X-RAY NASAL BONES COMPLETE, MIN 3 VIEWS	$119.43	$281.00	$146.40–$252.90	—	57%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 HC X-RAY CERV SPINE 2-3 VIEWS	$159.80	$376.00	$63.76–$338.40	35% below	58%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 HC X-RAY CERV SPINE 2-3 VIEWS	$159.80	$376.00	$195.90–$338.40	—	58%
X-ray of the pelvis, 1 or 2 views CPT 72170 HC X-RAY PELVIS 1-2 VIEWS	$153.86	$362.01	$43.06–$325.81	31% below	57%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 HC X-RAY PELVIS 1-2 VIEWS	$153.66	$361.55	$188.37–$325.39	—	57%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 HC X-RAY SACRUM AND COCCYX MIN 2 VIEWS	$103.70	$244.00	$53.42–$263.85	53% below	58%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 HC X-RAY SACRUM AND COCCYX MIN 2 VIEWS	$103.70	$244.00	$127.12–$219.60	—	58%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs Minnesota	Off list
ACTH blood test CPT 82024 HC ACTH	$106.68	$251.00	$27.91–$339.74	at median	57%
ACTH blood test inpatient CPT 82024 HC ACTH	$106.68	$251.00	$130.77–$225.90	—	57%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 HC LIVER FIBROSIS ALT	$17.85	$42.00	$5.22–$46.06	64% below	58%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 HC ALT	$21.23	$49.94	$5.22–$46.06	57% below	57%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 HC LIVER FIBROSIS ALT	$17.85	$42.00	$21.88–$37.80	—	58%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 HC ALT	$21.26	$50.01	$26.05–$45.01	—	57%
AST (aspartate aminotransferase) enzyme test CPT 84450 HC LIVER FIBROSIS AST	$17.85	$42.00	$5.10–$46.06	64% below	58%
AST (aspartate aminotransferase) enzyme test CPT 84450 HC AST	$21.23	$49.94	$5.10–$46.06	57% below	57%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 HC LIVER FIBROSIS AST	$17.85	$42.00	$21.88–$37.80	—	58%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 HC AST	$21.23	$49.94	$26.02–$44.94	—	57%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HC HEPATITIS ACUTE EVALUATION	$223.55	$526.00	$16.61–$473.40	4% below	58%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HC HEPATITIS ACUTE EVALUATION	$223.55	$526.00	$274.05–$473.40	—	58%
Albumin blood test CPT 82040 HC ALBUMIN	$14.88	$35.00	$4.87–$43.19	48% below	57%
Albumin blood test CPT 82040 HC ALBUMIN (FOR MS PANEL AND OLIG)	$21.68	$51.00	$4.87–$45.90	24% below	57%
Albumin blood test inpatient CPT 82040 HC ALBUMIN	$15.73	$37.00	$19.28–$33.30	—	57%
Albumin blood test inpatient CPT 82040 HC ALBUMIN (FOR MS PANEL AND OLIG)	$21.68	$51.00	$26.57–$45.90	—	57%
Aldosterone blood test CPT 82088 HC ALDOSTERONE	$33.44	$78.67	$27.91–$357.00	52% below	57%
Aldosterone blood test CPT 82088 HC ALDOSTERONE, URINE	$112.20	$264.00	$27.91–$357.00	59% above	58%
Aldosterone blood test inpatient CPT 82088 HC ALDOSTERONE	$33.44	$78.67	$40.99–$70.80	—	57%
Aldosterone blood test inpatient CPT 82088 HC ALDOSTERONE, URINE	$112.20	$264.00	$137.54–$237.60	—	58%
Alkaline phosphatase (ALP) blood test CPT 84075 HC ALKALINE PHOSPHATASE	$16.58	$39.00	$5.10–$46.06	57% below	57%
Alkaline phosphatase (ALP) blood test CPT 84075 HC ALKALINE PHOS TOTAL (ISOENZYMES)	$17.38	$40.88	$5.10–$46.06	55% below	57%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 HC ALKALINE PHOSPHATASE	$17.42	$40.97	$21.35–$36.87	—	57%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 HC ALKALINE PHOS TOTAL (ISOENZYMES)	$17.44	$41.02	$21.37–$36.92	—	57%
Allergy blood test, specific IgE, per allergen CPT 86003 HC MISC TEST	$3.71	$8.72	$5.13–$46.06	82% below	57%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN HADDOCK	$15.76	$37.06	$5.14–$46.06	24% below	57%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN RED MULBERRY	$19.98	$47.00	$5.14–$46.06	4% below	57%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN LENTIL (LENS ESCULENTA)	$19.98	$47.00	$5.14–$46.06	4% below	57%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN WASP,YLW JACKET VENOM	$19.98	$47.00	$5.14–$46.06	4% below	57%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN POTATO,WHITE	$19.98	$47.00	$5.14–$46.06	4% below	57%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN MUGWORT	$19.98	$47.00	$5.14–$46.06	4% below	57%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN EPICOCCUM PURPURASCENS	$19.98	$47.00	$5.14–$46.06	4% below	57%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN BEAN,KIDNEY(RED)	$19.98	$47.00	$5.14–$46.06	4% below	57%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SHEEP SORREL	$19.98	$47.00	$5.14–$46.06	4% below	57%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN HALIBUT (HIPPOGLOSSUS HIPPOGLOSSUS)	$19.98	$47.00	$5.14–$46.06	4% below	57%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN MUCOR RACEMOSUS	$19.98	$47.00	$5.14–$46.06	4% below	57%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN KIWI	$19.98	$47.00	$5.14–$46.06	4% below	57%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN HICKORY(WHITE)	$19.98	$47.00	$5.14–$46.06	4% below	57%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN GOOSE FEATHERS	$19.98	$47.00	$5.14–$46.06	4% below	57%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN GARLIC	$19.98	$47.00	$5.14–$46.06	4% below	57%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN MULBERRY WHITE	$19.98	$47.00	$5.14–$46.06	4% below	57%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN WEED NETTLE	$19.98	$47.00	$5.14–$46.06	4% below	57%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN GREEN BEAN	$19.98	$47.00	$5.14–$46.06	4% below	57%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN CEDAR	$19.98	$47.00	$5.14–$46.06	4% below	57%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN WALLEYE PIKE	$19.98	$47.00	$5.14–$46.06	4% below	57%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN WORMWOOD	$19.98	$47.00	$5.14–$46.06	4% below	57%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN PANEL SEAFOOD	$19.98	$47.00	$5.14–$46.06	4% below	57%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN ONION	$19.98	$47.00	$5.14–$46.06	4% below	57%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN PEPPER C. ANNUUM	$19.98	$47.00	$5.14–$46.06	4% below	57%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN PEACH	$19.98	$47.00	$5.14–$46.06	4% below	57%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN MANGO	$19.98	$47.00	$5.14–$46.06	4% below	57%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN RHIZOPUS NIGRICANS	$19.98	$47.00	$5.14–$46.06	4% below	57%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN FOOD PINEAPPLE	$19.98	$47.00	$5.14–$46.06	4% below	57%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN HORNET VENOM,WHT FACE	$19.98	$47.00	$5.14–$46.06	4% below	57%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN FUNGIMOLD A FUMIGATUS E	$19.98	$47.00	$5.14–$46.06	4% below	57%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN CHICK PEA (CICER ARIETINUS)	$19.98	$47.00	$5.14–$46.06	4% below	57%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN CHERRY	$19.98	$47.00	$5.14–$46.06	4% below	57%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN PANEL REGULAR	$19.98	$47.00	$5.14–$46.06	4% below	57%
Allergy blood test, specific IgE, per allergen CPT 86003 HC GUINEA PIG EPITHELIUM	$19.98	$47.00	$5.14–$46.06	4% below	57%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN,HORSE DANDER	$20.09	$47.25	$5.14–$46.06	3% below	57%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE CRUDE ALLERGEN EXTRACT EACH SO	$20.20	$47.51	$5.14–$46.06	3% below	57%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SP IGE EA (AAFOOD)	$20.27	$47.68	$5.14–$46.06	3% below	57%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN PANEL MIDWEST LARGE	$20.30	$47.75	$5.14–$46.06	2% below	57%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN,BIRCH	$20.40	$48.00	$5.14–$46.06	2% below	58%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN,PECAN	$20.40	$48.00	$5.14–$46.06	2% below	58%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN,WHITE ASH	$20.40	$48.00	$5.14–$46.06	2% below	58%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN,D. FARINAE	$20.40	$48.00	$5.14–$46.06	2% below	58%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN, GIANT RAGWEED, TALL	$20.40	$48.00	$5.14–$46.06	2% below	58%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN MOLD PANEL	$20.40	$48.00	$5.14–$46.06	2% below	58%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN,RICE	$20.40	$48.00	$5.14–$46.06	2% below	58%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN,OAT	$20.40	$48.00	$5.14–$46.06	2% below	58%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN,ELM	$20.40	$48.00	$5.14–$46.06	2% below	58%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN, BENTGRASS	$20.40	$48.00	$5.14–$46.06	2% below	58%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN,WALNUT	$20.40	$48.00	$5.14–$46.06	2% below	58%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN POTATO,SWEET	$20.40	$48.00	$5.14–$46.06	2% below	58%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN,OAK, WHITE	$20.40	$48.00	$5.14–$46.06	2% below	58%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN, LAMB'S QUARTER	$20.40	$48.00	$5.14–$46.06	2% below	58%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN,COTTONWOOD	$20.40	$48.00	$5.14–$46.06	2% below	58%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN,SCALLOP	$20.40	$48.00	$5.14–$46.06	2% below	58%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN PANEL MIDWEST 7	$20.40	$48.00	$5.14–$46.06	2% below	58%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN,DOG DANDER	$20.40	$48.00	$5.14–$46.06	2% below	58%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN YELLOW HORNET	$20.40	$48.00	$5.14–$46.06	2% below	58%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN, BANANA	$20.40	$48.00	$5.14–$46.06	2% below	58%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN, OYSTER	$20.40	$48.00	$5.14–$46.06	2% below	58%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN JACK MACKEREL/SCAD/PERCH (TRACHURUS JAPONICUS)	$20.40	$48.00	$5.14–$46.06	2% below	58%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN,CORN	$20.40	$48.00	$5.14–$46.06	2% below	58%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN,TOMATO	$20.40	$48.00	$5.14–$46.06	2% below	58%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN,CODFISH	$20.40	$48.00	$5.14–$46.06	2% below	58%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SP IGE EA (ALPED)	$20.40	$48.00	$5.14–$46.06	2% below	58%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN,H. HALODES	$20.40	$48.00	$5.14–$46.06	2% below	58%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN AVOCADO	$20.40	$48.00	$5.14–$46.06	2% below	58%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN,KENTUCKY JUNE GRASS	$20.40	$48.00	$5.14–$46.06	2% below	58%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN,D. PTERONYSSINUS	$20.40	$48.00	$5.14–$46.06	2% below	58%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN,TUNA	$20.40	$48.00	$5.14–$46.06	2% below	58%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN,EGG WHITE	$20.40	$48.00	$5.14–$46.06	2% below	58%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN,KOCHIA FIREBUSH	$20.40	$48.00	$5.14–$46.06	2% below	58%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN CHICKEN	$20.40	$48.00	$5.14–$46.06	2% below	58%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN BLUEBERRY	$20.40	$48.00	$5.14–$46.06	2% below	58%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN,JOHNSON GRASS	$20.40	$48.00	$5.14–$46.06	2% below	58%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN,HAZELNUT	$20.40	$48.00	$5.14–$46.06	2% below	58%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN,CASHEW NUT	$20.40	$48.00	$5.14–$46.06	2% below	58%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN,ASPERGILLUS FUMIGATUS	$20.40	$47.98	$5.14–$46.06	2% below	57%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN,WHITE PINE TREE	$20.40	$48.00	$5.14–$46.06	2% below	58%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN, CEPHALOSPORIUM	$20.40	$48.00	$5.14–$46.06	2% below	58%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN BUCKWHEAT	$20.40	$48.00	$5.14–$46.06	2% below	58%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN,PEA	$20.40	$48.00	$5.14–$46.06	2% below	58%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN,RUSSIAN THISTLE	$20.40	$48.00	$5.14–$46.06	2% below	58%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN, CASIEN	$20.40	$48.00	$5.14–$46.06	2% below	58%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN, COCKSFOOT(ORCH GRSS)	$20.40	$48.00	$5.14–$46.06	2% below	58%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN,SOYBEAN	$20.40	$48.00	$5.14–$46.06	2% below	58%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN,CATFISH	$20.40	$48.00	$5.14–$46.06	2% below	58%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN,ENGLISH PLANTAIN	$20.40	$48.00	$5.14–$46.06	2% below	58%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN,PEANUT	$20.40	$48.00	$5.14–$46.06	2% below	58%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN,ORANGE	$20.40	$48.00	$5.14–$46.06	2% below	58%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN HONEYBEE	$20.40	$48.00	$5.14–$46.06	2% below	58%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN STACHYBOTRYS (IGE)	$20.40	$48.00	$5.14–$46.06	2% below	58%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN,MILK	$20.40	$48.00	$5.14–$46.06	2% below	58%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN,RABBIT EPITHELIUM	$20.40	$48.00	$5.14–$46.06	2% below	58%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN,MOUSE URINE PROTEIN	$20.40	$48.00	$5.14–$46.06	2% below	58%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN,BARLEY	$20.40	$48.00	$5.14–$46.06	2% below	58%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN,RYE FOOD	$20.40	$48.00	$5.14–$46.06	2% below	58%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN,MAPLE (BOX ELDER)	$20.40	$48.00	$5.14–$46.06	2% below	58%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN, ALMOND	$20.40	$48.00	$5.14–$46.06	2% below	58%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN, SUNFLOWER SEED	$20.40	$48.00	$5.14–$46.06	2% below	58%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN,BEEF	$20.40	$48.00	$5.14–$46.06	2% below	58%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN,C. HERBARUM	$20.40	$48.00	$5.14–$46.06	2% below	58%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN,CRAB	$20.40	$48.00	$5.14–$46.06	2% below	58%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN GRASS PANEL	$20.40	$48.00	$5.14–$46.06	2% below	58%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN,PISTACHIO NUT	$20.40	$48.00	$5.14–$46.06	2% below	58%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN,WHEAT	$20.40	$48.00	$5.14–$46.06	2% below	58%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN CHOCOLATE	$20.40	$48.00	$5.14–$46.06	2% below	58%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN,PENICILLIUM NOTATUM	$20.40	$48.00	$5.14–$46.06	2% below	58%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN,TIMOTHY GRASS	$20.40	$48.00	$5.14–$46.06	2% below	58%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN,LOBSTER	$20.40	$48.00	$5.14–$46.06	2% below	58%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN, RAGWEED	$20.40	$48.00	$5.14–$46.06	2% below	58%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN,ALTERNARIA TENUIS	$20.40	$48.00	$5.14–$46.06	2% below	58%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN,CAT DANDER	$20.40	$48.00	$5.14–$46.06	2% below	58%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN,SESAME SEED	$20.40	$48.00	$5.14–$46.06	2% below	58%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN,SHRIMP	$20.40	$48.00	$5.14–$46.06	2% below	58%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN,CHESTNUT	$20.40	$48.00	$5.14–$46.06	2% below	58%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN, CLAM	$20.40	$48.00	$5.14–$46.06	2% below	58%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN NUTS PANEL. IGE	$20.40	$48.00	$5.14–$46.06	2% below	58%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN, EGG YOLK	$20.40	$48.00	$5.14–$46.06	2% below	58%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN, PAPER WASP	$20.83	$49.00	$5.14–$46.06	at median	57%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN,SALMON	$20.83	$49.00	$5.14–$46.06	at median	57%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN WALNUT TREE IGE	$20.83	$49.00	$5.14–$46.06	at median	57%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN,CANDIDA ALBICANS	$20.83	$49.00	$5.14–$46.06	at median	57%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN, SYCAMORE TREE	$20.83	$49.00	$5.14–$46.06	at median	57%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN, PINE NUT	$20.83	$49.00	$5.14–$46.06	at median	57%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN,BRAZIL NUT	$20.83	$49.00	$5.14–$46.06	at median	57%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN,COCONUT	$20.83	$49.00	$5.14–$46.06	at median	57%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN,COCKROACH GERMAN	$21.25	$50.00	$5.14–$46.06	2% above	58%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN,STRAWBERRY	$21.25	$50.00	$5.14–$46.06	2% above	58%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY PANEL MIDWEST RESPL	$21.25	$49.98	$5.14–$46.06	2% above	57%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN, PIGWEED	$21.25	$50.00	$5.14–$46.06	2% above	58%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN, MACADAMIA NUT	$22.10	$52.00	$5.14–$46.80	6% above	58%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN,BERMUDA GRASS	$23.38	$55.00	$5.14–$49.50	12% above	57%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN, MARSH ELDER	$23.80	$56.00	$5.14–$50.40	14% above	58%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN,LATEX	$23.80	$56.00	$5.14–$50.40	14% above	58%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN ASPERGILLUS FLAVUS	$40.38	$95.00	$5.14–$85.50	94% above	57%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN MITE PANEL, IGE	$47.18	$111.00	$5.14–$99.90	127% above	57%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN GALACTOSE ALPHA 1 3 GALACTOSE	$68.85	$162.00	$5.14–$145.80	231% above	58%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC MISC TEST	$3.71	$8.72	$4.54–$7.84	—	57%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN HADDOCK	$15.76	$37.06	$19.31–$33.35	—	57%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN WORMWOOD	$19.98	$47.00	$24.49–$42.30	—	57%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN PEPPER C. ANNUUM	$19.98	$47.00	$24.49–$42.30	—	57%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN PEACH	$19.98	$47.00	$24.49–$42.30	—	57%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN MUGWORT	$19.98	$47.00	$24.49–$42.30	—	57%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN WEED NETTLE	$19.98	$47.00	$24.49–$42.30	—	57%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN HORNET VENOM,WHT FACE	$19.98	$47.00	$24.49–$42.30	—	57%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN PANEL SEAFOOD	$19.98	$47.00	$24.49–$42.30	—	57%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN RED MULBERRY	$19.98	$47.00	$24.49–$42.30	—	57%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN HALIBUT (HIPPOGLOSSUS HIPPOGLOSSUS)	$19.98	$47.00	$24.49–$42.30	—	57%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN MUCOR RACEMOSUS	$19.98	$47.00	$24.49–$42.30	—	57%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN EPICOCCUM PURPURASCENS	$19.98	$47.00	$24.49–$42.30	—	57%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN CHERRY	$19.98	$47.00	$24.49–$42.30	—	57%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN POTATO,WHITE	$19.98	$47.00	$24.49–$42.30	—	57%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN PANEL REGULAR	$19.98	$47.00	$24.49–$42.30	—	57%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN WALLEYE PIKE	$19.98	$47.00	$24.49–$42.30	—	57%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN CHICK PEA (CICER ARIETINUS)	$19.98	$47.00	$24.49–$42.30	—	57%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SHEEP SORREL	$19.98	$47.00	$24.49–$42.30	—	57%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN GOOSE FEATHERS	$19.98	$47.00	$24.49–$42.30	—	57%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN BEAN,KIDNEY(RED)	$19.98	$47.00	$24.49–$42.30	—	57%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN KIWI	$19.98	$47.00	$24.49–$42.30	—	57%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN ONION	$19.98	$47.00	$24.49–$42.30	—	57%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN LENTIL (LENS ESCULENTA)	$19.98	$47.00	$24.49–$42.30	—	57%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN GARLIC	$19.98	$47.00	$24.49–$42.30	—	57%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN HICKORY(WHITE)	$19.98	$47.00	$24.49–$42.30	—	57%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC GUINEA PIG EPITHELIUM	$19.98	$47.00	$24.49–$42.30	—	57%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN RHIZOPUS NIGRICANS	$19.98	$47.00	$24.49–$42.30	—	57%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN GREEN BEAN	$19.98	$47.00	$24.49–$42.30	—	57%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN FOOD PINEAPPLE	$19.98	$47.00	$24.49–$42.30	—	57%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN WASP,YLW JACKET VENOM	$19.98	$47.00	$24.49–$42.30	—	57%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN MANGO	$19.98	$47.00	$24.49–$42.30	—	57%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN CEDAR	$19.98	$47.00	$24.49–$42.30	—	57%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN FUNGIMOLD A FUMIGATUS E	$19.98	$47.00	$24.49–$42.30	—	57%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN MULBERRY WHITE	$19.98	$47.00	$24.49–$42.30	—	57%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN,HORSE DANDER	$20.09	$47.25	$24.62–$42.53	—	57%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE CRUDE ALLERGEN EXTRACT EACH SO	$20.20	$47.51	$24.75–$42.76	—	57%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SP IGE EA (AAFOOD)	$20.27	$47.68	$24.84–$42.92	—	57%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN PANEL MIDWEST LARGE	$20.30	$47.75	$24.88–$42.98	—	57%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN, GIANT RAGWEED, TALL	$20.40	$48.00	$25.01–$43.20	—	58%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN, ALMOND	$20.40	$48.00	$25.01–$43.20	—	58%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN,OAK, WHITE	$20.40	$48.00	$25.01–$43.20	—	58%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN,SOYBEAN	$20.40	$48.00	$25.01–$43.20	—	58%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN,PEA	$20.40	$48.00	$25.01–$43.20	—	58%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN, BANANA	$20.40	$48.00	$25.01–$43.20	—	58%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN,ASPERGILLUS FUMIGATUS	$20.40	$48.00	$25.01–$43.20	—	58%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN,PENICILLIUM NOTATUM	$20.40	$48.00	$25.01–$43.20	—	58%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN,SESAME SEED	$20.40	$48.00	$25.01–$43.20	—	58%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN,RUSSIAN THISTLE	$20.40	$48.00	$25.01–$43.20	—	58%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN,CRAB	$20.40	$48.00	$25.01–$43.20	—	58%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN,SHRIMP	$20.40	$48.00	$25.01–$43.20	—	58%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN,PISTACHIO NUT	$20.40	$48.00	$25.01–$43.20	—	58%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN,WALNUT	$20.40	$48.00	$25.01–$43.20	—	58%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN, CLAM	$20.40	$48.00	$25.01–$43.20	—	58%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN, CASIEN	$20.40	$48.00	$25.01–$43.20	—	58%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN,CHESTNUT	$20.40	$48.00	$25.01–$43.20	—	58%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN,WHITE PINE TREE	$20.40	$48.00	$25.01–$43.20	—	58%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN,DOG DANDER	$20.40	$48.00	$25.01–$43.20	—	58%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN,RYE FOOD	$20.40	$48.00	$25.01–$43.20	—	58%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN,BEEF	$20.40	$48.00	$25.01–$43.20	—	58%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN,EGG WHITE	$20.40	$48.00	$25.01–$43.20	—	58%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN,CAT DANDER	$20.40	$48.00	$25.01–$43.20	—	58%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN YELLOW HORNET	$20.40	$48.00	$25.01–$43.20	—	58%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN,TUNA	$20.40	$48.00	$25.01–$43.20	—	58%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN,CODFISH	$20.40	$48.00	$25.01–$43.20	—	58%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN,TIMOTHY GRASS	$20.40	$48.00	$25.01–$43.20	—	58%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN,D. PTERONYSSINUS	$20.40	$48.00	$25.01–$43.20	—	58%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN,MILK	$20.40	$48.00	$25.01–$43.20	—	58%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN, EGG YOLK	$20.40	$48.00	$25.01–$43.20	—	58%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN BUCKWHEAT	$20.40	$48.00	$25.01–$43.20	—	58%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN,RABBIT EPITHELIUM	$20.40	$48.00	$25.01–$43.20	—	58%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN,ORANGE	$20.40	$48.00	$25.01–$43.20	—	58%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN HONEYBEE	$20.40	$48.00	$25.01–$43.20	—	58%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN,KENTUCKY JUNE GRASS	$20.40	$48.00	$25.01–$43.20	—	58%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN, LAMB'S QUARTER	$20.40	$48.00	$25.01–$43.20	—	58%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN,CASHEW NUT	$20.40	$48.00	$25.01–$43.20	—	58%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN,OAT	$20.40	$48.00	$25.01–$43.20	—	58%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN, COCKSFOOT(ORCH GRSS)	$20.40	$48.00	$25.01–$43.20	—	58%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN,TOMATO	$20.40	$48.00	$25.01–$43.20	—	58%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN POTATO,SWEET	$20.40	$48.00	$25.01–$43.20	—	58%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN,COTTONWOOD	$20.40	$48.00	$25.01–$43.20	—	58%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN, SUNFLOWER SEED	$20.40	$48.00	$25.01–$43.20	—	58%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN PANEL MIDWEST 7	$20.40	$48.00	$25.01–$43.20	—	58%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SP IGE EA (ALPED)	$20.40	$48.00	$25.01–$43.20	—	58%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN NUTS PANEL. IGE	$20.40	$48.00	$25.01–$43.20	—	58%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN STACHYBOTRYS (IGE)	$20.40	$48.00	$25.01–$43.20	—	58%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN, BENTGRASS	$20.40	$48.00	$25.01–$43.20	—	58%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN BLUEBERRY	$20.40	$48.00	$25.01–$43.20	—	58%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN GRASS PANEL	$20.40	$48.00	$25.01–$43.20	—	58%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN,CATFISH	$20.40	$48.00	$25.01–$43.20	—	58%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN,MOUSE URINE PROTEIN	$20.40	$48.00	$25.01–$43.20	—	58%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN,PECAN	$20.40	$48.00	$25.01–$43.20	—	58%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN, CEPHALOSPORIUM	$20.40	$48.00	$25.01–$43.20	—	58%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN AVOCADO	$20.40	$48.00	$25.01–$43.20	—	58%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN JACK MACKEREL/SCAD/PERCH (TRACHURUS JAPONICUS)	$20.40	$48.00	$25.01–$43.20	—	58%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN,ELM	$20.40	$48.00	$25.01–$43.20	—	58%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN,D. FARINAE	$20.40	$48.00	$25.01–$43.20	—	58%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN,SCALLOP	$20.40	$48.00	$25.01–$43.20	—	58%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN,MAPLE (BOX ELDER)	$20.40	$48.00	$25.01–$43.20	—	58%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN,H. HALODES	$20.40	$48.00	$25.01–$43.20	—	58%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN,ALTERNARIA TENUIS	$20.40	$48.00	$25.01–$43.20	—	58%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN,KOCHIA FIREBUSH	$20.40	$48.00	$25.01–$43.20	—	58%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN,BARLEY	$20.40	$48.00	$25.01–$43.20	—	58%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN,LOBSTER	$20.40	$48.00	$25.01–$43.20	—	58%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN CHOCOLATE	$20.40	$48.00	$25.01–$43.20	—	58%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN,RICE	$20.40	$48.00	$25.01–$43.20	—	58%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN CHICKEN	$20.40	$48.00	$25.01–$43.20	—	58%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN,CORN	$20.40	$48.00	$25.01–$43.20	—	58%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN,HAZELNUT	$20.40	$48.00	$25.01–$43.20	—	58%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN,WHITE ASH	$20.40	$48.00	$25.01–$43.20	—	58%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN,JOHNSON GRASS	$20.40	$48.00	$25.01–$43.20	—	58%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN,PEANUT	$20.40	$48.00	$25.01–$43.20	—	58%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN, RAGWEED	$20.40	$48.00	$25.01–$43.20	—	58%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN,BIRCH	$20.40	$48.00	$25.01–$43.20	—	58%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN MOLD PANEL	$20.40	$48.00	$25.01–$43.20	—	58%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN,C. HERBARUM	$20.40	$48.00	$25.01–$43.20	—	58%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN,WHEAT	$20.40	$48.00	$25.01–$43.20	—	58%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN,ENGLISH PLANTAIN	$20.40	$48.00	$25.01–$43.20	—	58%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN, OYSTER	$20.40	$48.00	$25.01–$43.20	—	58%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN, SYCAMORE TREE	$20.83	$49.00	$25.53–$44.10	—	57%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN WALNUT TREE IGE	$20.83	$49.00	$25.53–$44.10	—	57%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN,SALMON	$20.83	$49.00	$25.53–$44.10	—	57%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN,BRAZIL NUT	$20.83	$49.00	$25.53–$44.10	—	57%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN, PINE NUT	$20.83	$49.00	$25.53–$44.10	—	57%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN,CANDIDA ALBICANS	$20.83	$49.00	$25.53–$44.10	—	57%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN,COCONUT	$20.83	$49.00	$25.53–$44.10	—	57%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN, PAPER WASP	$20.83	$49.00	$25.53–$44.10	—	57%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN, PIGWEED	$21.25	$50.00	$26.05–$45.00	—	58%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN,STRAWBERRY	$21.25	$50.00	$26.05–$45.00	—	58%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY PANEL MIDWEST RESPL	$21.25	$50.00	$26.05–$45.00	—	58%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN,COCKROACH GERMAN	$21.25	$50.00	$26.05–$45.00	—	58%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN, MACADAMIA NUT	$22.10	$52.00	$27.09–$46.80	—	58%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN,BERMUDA GRASS	$23.38	$55.00	$28.66–$49.50	—	57%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN, MARSH ELDER	$23.80	$56.00	$29.18–$50.40	—	58%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN,LATEX	$23.80	$56.00	$29.18–$50.40	—	58%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN ASPERGILLUS FLAVUS	$40.38	$95.00	$49.50–$85.50	—	57%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN MITE PANEL, IGE	$47.18	$111.00	$57.83–$99.90	—	57%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN GALACTOSE ALPHA 1 3 GALACTOSE	$68.85	$162.00	$84.40–$145.80	—	58%
Alpha-fetoprotein (AFP) blood test CPT 82105 HC AFP ONLY,MATERNAL SERUM	$51.00	$120.00	$16.50–$146.84	6% above	58%
Alpha-fetoprotein (AFP) blood test CPT 82105 HC AFP TUMOR MARKER	$58.23	$137.00	$16.50–$146.84	21% above	57%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 HC AFP ONLY,MATERNAL SERUM	$51.00	$120.00	$62.52–$108.00	—	58%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 HC AFP TUMOR MARKER	$58.23	$137.00	$71.38–$123.30	—	57%
Ammonia blood test CPT 82140 HC SSAT24 HR URINE AMMONIUM	$39.53	$93.00	$14.34–$126.68	56% below	57%
Ammonia blood test CPT 82140 HC AMMONIA, PLASMA	$43.60	$102.58	$14.34–$126.68	52% below	57%
Ammonia blood test inpatient CPT 82140 HC SSAT24 HR URINE AMMONIUM	$39.53	$93.00	$48.45–$83.70	—	57%
Ammonia blood test inpatient CPT 82140 HC AMMONIA, PLASMA	$43.78	$103.00	$53.66–$92.70	—	57%
Amylase blood test CPT 82150 HC AMYLASE, SERUM	$28.05	$66.00	$6.38–$59.40	58% below	58%
Amylase blood test CPT 82150 HC AMYLASE, URINE/FLUID	$44.63	$105.00	$6.38–$94.50	32% below	57%
Amylase blood test inpatient CPT 82150 HC AMYLASE, SERUM	$28.05	$66.00	$34.39–$59.40	—	58%
Amylase blood test inpatient CPT 82150 HC AMYLASE, URINE/FLUID	$44.63	$105.00	$54.71–$94.50	—	57%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 HC CYCLIC CITRULLINATED PEPTIDE, IGG	$20.84	$49.03	$12.74–$115.16	63% below	57%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 HC CYCLIC CITRULLINATED PEPTIDE, IGG	$20.84	$49.03	$25.54–$44.12	—	57%
Antinuclear antibody (ANA) blood test, screen CPT 86038 HC ANTI NUCLEAR ANTIBODY SCREEN IFA	$22.09	$51.98	$11.90–$106.53	57% below	58%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 HC ANTI NUCLEAR ANTIBODY SCREEN IFA	$22.09	$51.98	$27.08–$46.78	—	58%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 HC NT-PROBNP	$119.00	$280.00	$38.63–$345.49	26% below	58%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 HC NT-PROBNP	$118.82	$279.56	$145.65–$251.61	—	57%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULTURE, SKIN	$30.04	$70.67	$8.48–$74.86	57% below	57%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULTURE, EAR	$30.09	$70.79	$8.48–$74.86	57% below	57%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULTURE, SINUS	$30.11	$70.84	$8.48–$74.86	57% below	57%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULTURE, BRONCHIAL	$30.11	$70.82	$8.48–$74.86	57% below	57%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULTURE, GENITAL	$30.13	$70.88	$8.48–$74.86	57% below	57%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULTURE,SPUTUM	$30.17	$70.97	$8.48–$74.86	57% below	57%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULTURE, BONE MARROW	$30.18	$71.00	$8.48–$74.86	57% below	57%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULTURE, MISC	$30.18	$71.00	$8.48–$74.86	57% below	57%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULTURE, CYSTIC FIBROSIS RESPIRATORY	$30.18	$71.00	$8.48–$74.86	57% below	57%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULTURE, TISSUE	$30.18	$70.99	$8.48–$74.86	57% below	57%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULTURE, GENITAL SPECIAL	$30.18	$71.00	$8.48–$74.86	57% below	57%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULTURE, PERIRECTAL	$30.18	$71.00	$8.48–$74.86	57% below	57%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULTURE, THROAT	$30.18	$71.00	$8.48–$74.86	57% below	57%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULTURE, EYE	$30.18	$71.00	$8.48–$74.86	57% below	57%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULTURE, FLUID	$30.18	$71.00	$8.48–$74.86	57% below	57%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULTURE, CYST	$30.18	$71.00	$8.48–$74.86	57% below	57%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULTURE, CATHETER TIP	$30.18	$71.00	$8.48–$74.86	57% below	57%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULTURE, EYE SPECIAL	$30.18	$71.00	$8.48–$74.86	57% below	57%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULTURE, CSF	$30.18	$71.00	$8.48–$74.86	57% below	57%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULTURE, TRACHEAL ASPIRATE	$30.19	$71.02	$8.48–$74.86	57% below	57%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULTURE, BONE	$30.19	$71.02	$8.48–$74.86	57% below	57%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULTURE, NOSE	$30.20	$71.05	$8.48–$74.86	57% below	57%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULTURE, ABCESS	$30.24	$71.15	$8.48–$74.86	57% below	57%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULTURE,WOUND	$32.52	$76.50	$8.48–$74.86	53% below	57%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC CULTURE, TRACHEAL ASPIRATE	$29.43	$69.23	$36.07–$62.31	—	57%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC CULTURE, BONE	$29.97	$70.50	$36.73–$63.45	—	57%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC CULTURE, CSF	$30.10	$70.82	$36.90–$63.74	—	57%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC CULTURE, SINUS	$30.11	$70.84	$36.91–$63.75	—	57%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC CULTURE, CYSTIC FIBROSIS RESPIRATORY	$30.12	$70.86	$36.92–$63.77	—	57%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC CULTURE,WOUND	$30.13	$70.87	$36.93–$63.79	—	57%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC CULTURE,SPUTUM	$30.17	$70.97	$36.97–$63.87	—	57%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC CULTURE, ABCESS	$30.17	$70.98	$36.98–$63.88	—	57%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC CULTURE, FLUID	$30.18	$71.00	$36.99–$63.90	—	57%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC CULTURE, CYST	$30.18	$71.00	$36.99–$63.90	—	57%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC CULTURE, PERIRECTAL	$30.18	$71.00	$36.99–$63.90	—	57%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC CULTURE, TISSUE	$30.18	$71.00	$36.99–$63.90	—	57%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC CULTURE, BRONCHIAL	$30.18	$71.01	$37.00–$63.91	—	57%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC CULTURE, BONE MARROW	$30.18	$71.00	$36.99–$63.90	—	57%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC CULTURE, CATHETER TIP	$30.18	$71.00	$36.99–$63.90	—	57%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC CULTURE, THROAT	$30.18	$71.00	$36.99–$63.90	—	57%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC CULTURE, SKIN	$30.18	$71.01	$36.99–$63.90	—	57%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC CULTURE, GENITAL SPECIAL	$30.18	$71.00	$36.99–$63.90	—	57%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC CULTURE, EYE SPECIAL	$30.18	$71.00	$36.99–$63.90	—	57%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC CULTURE, EYE	$30.18	$71.00	$36.99–$63.90	—	57%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC CULTURE, NOSE	$30.18	$71.00	$36.99–$63.90	—	57%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC CULTURE, MISC	$30.26	$71.19	$37.09–$64.07	—	57%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC CULTURE, GENITAL	$30.46	$71.67	$37.34–$64.50	—	57%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC CULTURE, EAR	$31.76	$74.71	$38.93–$67.24	—	57%
Basic metabolic panel (blood test) CPT 80048 HC BASIC METABOLIC PROFILE	$62.05	$146.00	$8.32–$131.40	38% below	58%
Basic metabolic panel (blood test) inpatient CPT 80048 HC BASIC METABOLIC PROFILE	$79.91	$188.00	$97.95–$169.20	—	57%
Bilirubin blood test, total CPT 82247 HC BILIRUBIN, TOTAL	$15.73	$37.00	$4.94–$43.19	68% below	57%
Bilirubin blood test, total CPT 82247 HC MISC TEST	$25.08	$59.00	$4.94–$53.10	49% below	57%
Bilirubin blood test, total inpatient CPT 82247 HC BILIRUBIN, TOTAL	$14.88	$35.00	$18.24–$31.50	—	57%
Bilirubin blood test, total inpatient CPT 82247 HC MISC TEST	$25.08	$59.00	$30.74–$53.10	—	57%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC MUSCLE BIOPSY, NM LAB	$19.47	$45.80	$26.97–$167.29	86% below	57%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC SURG PATH LEVEL IV KDY	$28.05	$66.00	$35.21–$167.29	80% below	58%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC HCMC RENAL BIOPSY	$29.23	$68.76	$35.21–$167.29	79% below	57%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC HCMC NERVE BIOPSY	$29.54	$69.50	$35.21–$167.29	79% below	57%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC SURGICAL PATHOLOGY (DERM) TC	$93.65	$220.34	$35.21–$198.31	32% below	57%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC CELL BLOCK BF TC	$93.93	$221.00	$35.21–$198.90	32% below	57%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC SURG PATH, LEVEL IV TC	$93.93	$221.00	$35.21–$198.90	32% below	57%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC BONE MARROW CORE INTERP TC HEMEPATH	$94.12	$221.46	$35.21–$199.31	32% below	58%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC SURG PATH, LEVEL IV TC PROSTATE	$94.49	$222.31	$35.21–$200.08	32% below	57%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC MUSCLE BIOPSY - GROSS/MICRO MAYO	$134.73	$317.00	$35.21–$285.30	3% below	57%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HC MUSCLE BIOPSY, NM LAB	$19.47	$45.80	$23.86–$41.22	—	57%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HC SURG PATH LEVEL IV KDY	$28.05	$66.00	$34.39–$59.40	—	58%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HC HCMC RENAL BIOPSY	$29.23	$68.76	$35.82–$61.88	—	57%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HC HCMC NERVE BIOPSY	$29.54	$69.50	$36.21–$62.55	—	57%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HC SURGICAL PATHOLOGY (DERM) TC	$68.00	$160.00	$83.36–$144.00	—	58%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HC SURG PATH, LEVEL IV TC PROSTATE	$90.48	$212.88	$110.91–$191.59	—	57%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HC CELL BLOCK BF TC	$93.93	$221.00	$115.14–$198.90	—	57%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HC BONE MARROW CORE INTERP TC HEMEPATH	$94.12	$221.46	$115.38–$199.31	—	58%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HC SURG PATH, LEVEL IV TC	$112.97	$265.80	$138.48–$239.22	—	57%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HC MUSCLE BIOPSY - GROSS/MICRO MAYO	$134.73	$317.00	$165.16–$285.30	—	57%
Blood culture for bacteria CPT 87040 HC CULTURE, BLOOD	$79.90	$188.00	$10.15–$169.20	33% below	58%
Blood culture for bacteria inpatient CPT 87040 HC CULTURE, BLOOD	$79.90	$188.00	$97.95–$169.20	—	58%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 HC VENOUS COLLECTION	$19.98	$47.00	$2.84–$42.30	7% below	57%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 HC VENOUS COLLECTION	$21.04	$49.50	$25.79–$44.55	—	57%
Blood glucose (sugar) test CPT 82947 HC GLUCOSE	$19.58	$46.06	$3.87–$41.46	57% below	57%
Blood glucose (sugar) test CPT 82947 HC GLUCOSE WHOLE BLOOD	$20.60	$48.46	$3.87–$43.62	55% below	57%
Blood glucose (sugar) test CPT 82947 HC MISC TEST	$25.08	$59.00	$3.87–$53.10	45% below	57%
Blood glucose (sugar) test inpatient CPT 82947 HC GLUCOSE	$19.26	$45.31	$23.60–$40.78	—	57%
Blood glucose (sugar) test inpatient CPT 82947 HC GLUCOSE WHOLE BLOOD	$20.60	$48.46	$25.25–$43.62	—	57%
Blood glucose (sugar) test inpatient CPT 82947 HC MISC TEST	$25.08	$59.00	$30.74–$53.10	—	57%
Blood lead test CPT 83655 HC LEAD VENOUS CONFIRMATION	$16.15	$38.00	$11.92–$106.53	65% below	58%
Blood lead test CPT 83655 HC LEAD WHOLE BLOOD	$20.83	$49.00	$11.92–$106.53	55% below	57%
Blood lead test CPT 83655 HC LEAD INDUSTRIAL LEVEL	$34.43	$81.00	$11.92–$106.53	25% below	57%
Blood lead test CPT 83655 HC LEAD, 24 HR URINE	$42.02	$98.87	$11.92–$106.53	9% below	57%
Blood lead test CPT 83655 HC LEAD, HEAVY METAL	$42.08	$99.00	$11.92–$106.53	9% below	57%
Blood lead test inpatient CPT 83655 HC LEAD VENOUS CONFIRMATION	$15.30	$36.00	$18.76–$32.40	—	58%
Blood lead test inpatient CPT 83655 HC LEAD WHOLE BLOOD	$20.83	$49.00	$25.53–$44.10	—	57%
Blood lead test inpatient CPT 83655 HC LEAD INDUSTRIAL LEVEL	$34.43	$81.00	$42.20–$72.90	—	57%
Blood lead test inpatient CPT 83655 HC LEAD, 24 HR URINE	$42.02	$98.87	$51.51–$88.98	—	57%
Blood lead test inpatient CPT 83655 HC LEAD, HEAVY METAL	$42.08	$99.00	$51.58–$89.10	—	57%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HC HCG QUAL	$40.38	$95.00	$7.40–$85.50	43% below	57%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HC HCG QUAL	$40.38	$95.00	$49.50–$85.50	—	57%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HC ABO BLOOD TYPE	$65.03	$153.00	$2.99–$290.09	22% above	57%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HC ABO BLOOD TYPE	$36.70	$86.33	$44.98–$77.70	—	57%
Blood urea nitrogen (BUN) test CPT 84520 HC UREA NITROGEN (BUN)	$15.66	$36.83	$3.89–$34.55	66% below	57%
Blood urea nitrogen (BUN) test CPT 84520 HC LIVER FIBROSIS BUN	$15.73	$37.00	$3.89–$34.55	66% below	57%
Blood urea nitrogen (BUN) test inpatient CPT 84520 HC UREA NITROGEN (BUN)	$15.68	$36.89	$19.22–$33.20	—	57%
Blood urea nitrogen (BUN) test inpatient CPT 84520 HC LIVER FIBROSIS BUN	$15.73	$37.00	$19.28–$33.30	—	57%
C-peptide blood test CPT 84681 HC C-PEPTIDE	$62.05	$146.00	$18.33–$184.26	25% below	58%
C-peptide blood test inpatient CPT 84681 HC C-PEPTIDE	$62.05	$146.00	$76.07–$131.40	—	58%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 HC SYNOVASURE CRP	$17.83	$41.94	$5.10–$46.06	71% below	57%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 HC MISC TEST	$21.25	$50.00	$5.10–$46.06	66% below	58%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 HC CRP, INFLAMMATION	$22.10	$52.00	$5.10–$46.80	64% below	58%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 HC SYNOVASURE CRP	$17.83	$41.94	$21.85–$37.75	—	57%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 HC CRP, INFLAMMATION	$22.10	$52.00	$27.09–$46.80	—	58%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 HC MISC TEST	$41.14	$96.79	$50.43–$87.11	—	57%
C. difficile toxin gene test (stool PCR) CPT 87493 HC C DIFF TOXIN B PCR	$96.90	$228.00	$18.80–$328.21	29% below	58%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 HC C DIFF TOXIN B PCR	$96.90	$227.98	$118.78–$205.18	—	57%
CA 19-9 blood test (tumor marker) CPT 86301 HC CA 19-9	$64.35	$151.40	$20.48–$184.26	37% below	57%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 HC CA 19-9	$65.00	$152.92	$79.67–$137.63	—	57%
CA-125 blood test (ovarian cancer marker) CPT 86304 HC CA 125	$48.86	$114.95	$20.48–$184.26	52% below	57%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 HC CA 125	$48.88	$115.00	$59.92–$103.50	—	57%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HC IADNA SARS-COV-2 COVID-19	$56.12	$132.03	$48.31–$357.58	53% below	57%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 HC IADNA SARS-COV-2 COVID-19	$56.10	$132.00	$68.77–$118.80	—	58%
Calcium blood test, total CPT 82310 HC CALCIUM	$17.26	$40.61	$5.08–$46.06	64% below	57%
Calcium blood test, total inpatient CPT 82310 HC CALCIUM	$17.43	$41.00	$21.36–$36.90	—	57%
Carcinoembryonic antigen (CEA) test CPT 82378 HC CEA	$56.10	$132.00	$18.33–$166.99	44% below	58%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 HC CEA	$56.10	$132.00	$68.77–$118.80	—	58%
Chickenpox (varicella) immunity blood test CPT 86787 HC VARICELLA ZOSTER, IGM	$42.02	$98.86	$12.67–$112.29	23% below	57%
Chickenpox (varicella) immunity blood test CPT 86787 HC VARICELLA ZOSTER VIRUS IGG	$42.03	$98.89	$12.67–$112.29	23% below	57%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 HC VARICELLA ZOSTER, IGM	$42.02	$98.86	$51.51–$88.98	—	57%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 HC VARICELLA ZOSTER VIRUS IGG	$42.03	$98.89	$51.52–$89.00	—	57%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC CHLMYD TRACH, DNA, AMP PROBE	$69.83	$164.29	$18.80–$581.58	27% below	57%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HC CHLMYD TRACH, DNA, AMP PROBE	$73.83	$173.71	$90.51–$156.34	—	57%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LIPOPROTEIN PARTICLE NMR PROFILE LIP PAN	$40.21	$94.60	$13.18–$118.04	57% below	57%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LIPID PANEL, REFLEX TO DIRECT LDL	$40.80	$96.00	$13.18–$118.04	57% below	58%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LIPID PANEL	$43.46	$102.25	$13.18–$118.04	54% below	57%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC LIPID PANEL, REFLEX TO DIRECT LDL	$40.80	$96.00	$50.02–$86.40	—	58%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC LIPOPROTEIN PARTICLE NMR PROFILE LIP PAN	$40.80	$96.00	$50.02–$86.40	—	58%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC LIPID PANEL	$43.46	$102.25	$53.27–$92.03	—	57%
Complete blood count (CBC) with differential CPT 85025 HC CBC WITH PLATELETS, DIFF	$45.81	$107.77	$5.25–$96.99	46% below	57%
Complete blood count (CBC) with differential inpatient CPT 85025 HC CBC WITH PLATELETS, DIFF	$45.58	$107.23	$55.87–$96.51	—	57%
Complete blood count (CBC), no differential CPT 85027 HC CBC WITH PLATELETS	$51.93	$122.18	$4.80–$109.96	28% below	57%
Complete blood count (CBC), no differential inpatient CPT 85027 HC CBC WITH PLATELETS	$62.92	$148.04	$77.13–$133.24	—	57%
Comprehensive metabolic panel (blood test) CPT 80053 HC COMPREHENSIVE METABOLIC PANEL	$93.84	$220.80	$10.39–$198.72	13% below	58%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 HC COMPREHENSIVE METABOLIC PANEL	$88.37	$207.91	$108.32–$187.12	—	57%
Cortisol blood test, total CPT 82533 HC MISC TEST	$28.48	$67.00	$16.04–$143.96	55% below	57%
Cortisol blood test, total CPT 82533 HC CAH 21 MONITORING CORTISOL	$46.75	$110.00	$16.04–$143.96	27% below	58%
Cortisol blood test, total CPT 82533 HC CORTISOL	$49.32	$116.03	$16.04–$143.96	23% below	57%
Cortisol blood test, total CPT 82533 HC CORTISOL,SALIVARY	$63.75	$150.00	$16.04–$143.96	at median	58%
Cortisol blood test, total CPT 82533 HC CAH CORTISOL	$169.58	$399.00	$16.04–$359.10	166% above	57%
Cortisol blood test, total inpatient CPT 82533 HC MISC TEST	$21.68	$51.00	$26.57–$45.90	—	57%
Cortisol blood test, total inpatient CPT 82533 HC CAH 21 MONITORING CORTISOL	$46.58	$109.58	$57.09–$98.62	—	57%
Cortisol blood test, total inpatient CPT 82533 HC CORTISOL	$48.67	$114.50	$59.65–$103.05	—	57%
Cortisol blood test, total inpatient CPT 82533 HC CORTISOL,SALIVARY	$63.75	$150.00	$78.15–$135.00	—	58%
Cortisol blood test, total inpatient CPT 82533 HC CAH CORTISOL	$169.58	$399.00	$207.88–$359.10	—	57%
Creatine kinase (CK) blood test, total CPT 82550 HC CREATINE KINASE TOTAL (ISO)	$16.58	$39.00	$6.41–$57.58	72% below	57%
Creatine kinase (CK) blood test, total CPT 82550 HC CK, TOTAL	$28.06	$66.00	$6.41–$59.40	53% below	57%
Creatine kinase (CK) blood test, total inpatient CPT 82550 HC CREATINE KINASE TOTAL (ISO)	$16.58	$39.00	$20.32–$35.10	—	57%
Creatine kinase (CK) blood test, total inpatient CPT 82550 HC CK, TOTAL	$28.06	$66.00	$34.39–$59.40	—	57%
Creatinine blood test CPT 82565 HC CREATININE	$18.70	$44.00	$5.04–$46.06	64% below	58%
Creatinine blood test CPT 82565 HC MISC TEST	$25.08	$59.00	$5.04–$53.10	51% below	57%
Creatinine blood test CPT 82565 HC CREATININE POCT	$32.96	$77.54	$5.04–$69.78	36% below	57%
Creatinine blood test inpatient CPT 82565 HC CREATININE	$18.56	$43.67	$22.75–$39.30	—	57%
Creatinine blood test inpatient CPT 82565 HC MISC TEST	$25.08	$59.00	$30.74–$53.10	—	57%
Creatinine blood test inpatient CPT 82565 HC CREATININE POCT	$33.04	$77.72	$40.49–$69.95	—	57%
Cytomegalovirus (CMV) antibody test CPT 86644 HC CYTOMEGALOVIRUS IGG AVIDITY	$38.74	$91.14	$14.16–$126.68	39% below	57%
Cytomegalovirus (CMV) antibody test CPT 86644 HC DONOR CYTOMEGALOVIRUS ANTIBODY	$44.61	$104.96	$14.16–$126.68	30% below	57%
Cytomegalovirus (CMV) antibody test CPT 86644 HC CYTOMEGALOVIRUS (CMV) IGG	$44.64	$105.03	$14.16–$126.68	30% below	57%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 HC DONOR CYTOMEGALOVIRUS ANTIBODY	$44.61	$104.96	$54.68–$94.46	—	57%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 HC CYTOMEGALOVIRUS (CMV) IGG	$44.63	$105.00	$54.71–$94.50	—	57%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 HC CYTOMEGALOVIRUS IGG AVIDITY	$51.14	$120.32	$62.68–$108.28	—	57%
D-dimer blood test (blood clot marker) CPT 85379 HC D-DIMER QUANT	$43.35	$102.00	$7.57–$91.80	58% below	58%
D-dimer blood test (blood clot marker) inpatient CPT 85379 HC D-DIMER QUANT	$43.35	$102.00	$53.14–$91.80	—	58%
DHEA sulfate (DHEA-S) blood test CPT 82627 HC DHEA SULFATE	$61.20	$144.00	$21.87–$195.78	6% above	58%
DHEA sulfate (DHEA-S) blood test CPT 82627 HC DHEA SULFATE IMMUNOASSAY	$213.78	$503.00	$21.87–$452.70	270% above	57%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 HC DHEA SULFATE	$61.20	$144.00	$75.02–$129.60	—	58%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 HC DHEA SULFATE IMMUNOASSAY	$213.78	$503.00	$262.06–$452.70	—	57%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG SCREEN URINE POCT	$21.25	$50.00	$29.45–$547.03	70% below	58%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC SINGLE DRUG CLASS, QUAL,URINE	$29.33	$69.00	$40.64–$547.03	59% below	57%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG SCREEN LC/MS/MS URINE	$93.08	$219.00	$42.76–$547.03	30% above	57%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC MISC TEST	$116.88	$275.00	$42.76–$547.03	63% above	57%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG SCREEN, 8 DRUGS, QUAL, URINE	$147.48	$347.00	$42.76–$547.03	106% above	57%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG SCREEN, 7 DRUGS, QUAL, URINE DAU77	$149.61	$352.01	$42.76–$547.03	109% above	57%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG SCR UMBILICAL CORD TISSUE EIA	$162.38	$382.06	$42.76–$547.03	127% above	57%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG SCREEN 9	$164.05	$386.00	$42.76–$547.03	129% above	58%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG SCREEN MECONIUM	$164.05	$386.00	$42.76–$547.03	129% above	58%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC FLUNITRAZEPAM SCREEN	$164.05	$386.00	$42.76–$547.03	129% above	58%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC ETHYL GLUCURONIDE	$164.05	$386.00	$42.76–$547.03	129% above	58%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC GAMMA-OH BUTYRATE BLOOD OR URINE	$164.05	$386.00	$42.76–$547.03	129% above	58%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG SCREEN RX/OTC, UR	$164.90	$388.00	$42.76–$547.03	130% above	58%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG SCREEN RX/OTC, S	$164.90	$388.00	$42.76–$547.03	130% above	58%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUGS OF ABUSE	$192.53	$453.00	$42.76–$547.03	169% above	57%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG SCREEN URINE POCT	$21.25	$50.00	$26.05–$45.00	—	58%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC SINGLE DRUG CLASS, QUAL,URINE	$29.33	$69.01	$35.95–$62.11	—	57%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG SCREEN LC/MS/MS URINE	$93.08	$219.00	$114.10–$197.10	—	57%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC MISC TEST	$116.88	$275.00	$143.28–$247.50	—	57%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG SCREEN, 8 DRUGS, QUAL, URINE	$147.48	$347.00	$180.79–$312.30	—	57%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG SCREEN, 7 DRUGS, QUAL, URINE DAU77	$149.60	$352.00	$183.39–$316.80	—	58%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG SCR UMBILICAL CORD TISSUE EIA	$162.38	$382.06	$199.05–$343.85	—	57%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG SCREEN 9	$164.01	$385.91	$201.06–$347.31	—	58%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC ETHYL GLUCURONIDE	$164.01	$385.90	$201.05–$347.31	—	57%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC FLUNITRAZEPAM SCREEN	$164.05	$386.00	$201.11–$347.40	—	58%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC GAMMA-OH BUTYRATE BLOOD OR URINE	$164.05	$386.00	$201.11–$347.40	—	58%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG SCREEN MECONIUM	$164.05	$386.00	$201.11–$347.40	—	58%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG SCREEN RX/OTC, S	$164.90	$388.00	$202.15–$349.20	—	58%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG SCREEN RX/OTC, UR	$164.90	$388.00	$202.15–$349.20	—	58%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUGS OF ABUSE	$192.53	$453.00	$236.01–$407.70	—	57%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 HC ELECTROLYTE PANEL	$35.70	$84.00	$6.90–$75.60	54% below	58%
Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 HC ELECTROLYTE PANEL	$33.15	$78.00	$40.64–$70.20	—	58%
Epstein-Barr virus (EBV) antibody test CPT 86665 HC EPSTEIN BARR VIRAL CAPSID AG ANTIBODY IGM	$41.12	$96.75	$17.85–$158.35	21% below	57%
Epstein-Barr virus (EBV) antibody test CPT 86665 HC EPSTEIN BARR VIRAL CAPSID AG ANTIBODY IGG	$42.12	$99.09	$17.85–$158.35	19% below	57%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 HC EPSTEIN BARR VIRAL CAPSID AG ANTIBODY IGG	$42.12	$99.09	$51.63–$89.18	—	57%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 HC EPSTEIN BARR VIRAL CAPSID AG ANTIBODY IGM	$44.02	$103.57	$53.96–$93.21	—	57%
Estradiol blood test CPT 82670 HC ESTRADIOL, ULTRASENSITIVE	$65.88	$155.00	$27.49–$244.71	1% below	57%
Estradiol blood test CPT 82670 HC ESTRADIOL	$65.88	$154.99	$27.49–$244.71	1% below	57%
Estradiol blood test inpatient CPT 82670 HC ESTRADIOL	$65.88	$155.00	$80.76–$139.50	—	57%
Estradiol blood test inpatient CPT 82670 HC ESTRADIOL, ULTRASENSITIVE	$65.88	$155.00	$80.76–$139.50	—	57%
FSH (follicle-stimulating hormone) test CPT 83001 HC FSH	$48.45	$114.00	$18.28–$164.10	42% below	58%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 HC FSH	$48.45	$114.00	$59.39–$102.60	—	58%
Fecal calprotectin (stool inflammation test) CPT 83993 HC CALPROTECTIN, STOOL	$72.25	$170.00	$18.33–$172.74	18% below	58%
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 HC CALPROTECTIN, STOOL	$72.25	$170.00	$88.57–$153.00	—	58%
Ferritin blood test (iron stores) CPT 82728 HC FERRITIN	$43.78	$103.00	$13.41–$120.93	54% below	57%
Ferritin blood test (iron stores) inpatient CPT 82728 HC FERRITIN	$52.70	$124.00	$64.60–$111.60	—	58%
Fibrinogen blood test CPT 85384 HC FIBRINOGEN ACTIVITY, TEGHN	$24.23	$57.00	$9.56–$86.38	50% below	57%
Fibrinogen blood test CPT 85384 HC FIBRINOGEN	$34.43	$81.00	$9.56–$86.38	28% below	57%
Fibrinogen blood test inpatient CPT 85384 HC FIBRINOGEN ACTIVITY, TEGHN	$24.23	$57.00	$29.70–$51.30	—	57%
Fibrinogen blood test inpatient CPT 85384 HC FIBRINOGEN	$34.11	$80.24	$41.80–$72.21	—	57%
Folate (folic acid) blood test CPT 82746 HC MISC TEST	$21.68	$51.00	$14.46–$129.55	75% below	57%
Folate (folic acid) blood test CPT 82746 HC FOLATE, SERUM	$41.23	$97.00	$14.46–$129.55	52% below	57%
Folate (folic acid) blood test inpatient CPT 82746 HC MISC TEST	$21.68	$51.00	$26.57–$45.90	—	57%
Folate (folic acid) blood test inpatient CPT 82746 HC FOLATE, SERUM	$41.23	$97.00	$50.54–$87.30	—	57%
Free T3 thyroid hormone test CPT 84481 HC T3 FREE	$50.15	$118.00	$16.67–$149.71	53% below	58%
Free T3 thyroid hormone test inpatient CPT 84481 HC T3 FREE	$50.15	$118.00	$61.48–$106.20	—	58%
Free T4 (free thyroxine) thyroid blood test CPT 84439 HC T4, FREE	$33.16	$78.00	$8.88–$80.61	52% below	57%
Free T4 (free thyroxine) thyroid blood test CPT 84439 HC T4, FREE EQUILIBRIUM DIALYSIS	$73.53	$173.00	$8.88–$155.70	7% above	57%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 HC T4, FREE	$33.44	$78.67	$40.99–$70.80	—	57%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 HC T4, FREE EQUILIBRIUM DIALYSIS	$73.53	$173.00	$90.13–$155.70	—	57%
Free testosterone test CPT 84402 HC TESTOSTERONE FREE, MAYO	$67.15	$158.00	$25.06–$224.58	6% above	58%
Free testosterone test CPT 84402 HC TESTOSTERONE FREE (TGRP), MAYO	$244.38	$575.00	$25.06–$517.50	286% above	57%
Free testosterone test inpatient CPT 84402 HC TESTOSTERONE FREE, MAYO	$67.15	$158.00	$82.32–$142.20	—	58%
Free testosterone test inpatient CPT 84402 HC TESTOSTERONE FREE (TGRP), MAYO	$244.38	$575.00	$299.58–$517.50	—	57%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 HC LIVER FIBROSIS GGT	$17.85	$42.00	$7.08–$63.35	61% below	58%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 HC GGT	$24.23	$57.00	$7.08–$63.35	48% below	57%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 HC LIVER FIBROSIS GGT	$17.85	$42.00	$21.88–$37.80	—	58%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 HC GGT	$24.23	$57.00	$29.70–$51.30	—	57%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 HC GLUCOSE, POST DOSE	$19.13	$44.99	$4.47–$43.19	56% below	57%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 HC GLUCOSE, POST DOSE	$19.13	$44.99	$23.44–$40.49	—	57%
Glucose tolerance test, 3 samples CPT 82951 HC GTT, 2HR GESTATIONAL	$34.85	$82.00	$12.13–$112.29	66% below	58%
Glucose tolerance test, 3 samples inpatient CPT 82951 HC GTT, 2HR GESTATIONAL	$34.85	$82.00	$42.72–$73.80	—	58%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC N.GONORRHOEAE, DNA AMP PROBE	$73.95	$174.00	$21.29–$308.06	14% below	58%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HC N.GONORRHOEAE, DNA AMP PROBE	$73.94	$173.96	$90.63–$156.57	—	57%
H. pylori stool antigen test CPT 87338 HC H PYLORI STOOL ANTIGEN	$92.20	$216.93	$14.15–$195.24	16% below	57%
H. pylori stool antigen test inpatient CPT 87338 HC H PYLORI STOOL ANTIGEN	$92.20	$216.93	$113.02–$195.24	—	57%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HC HIV-1 RNA QUANT	$55.25	$130.00	$21.29–$748.55	52% below	58%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HC HIV-1 RNA QUANT	$55.10	$129.64	$67.54–$116.68	—	57%
HIV-1 and HIV-2 antibody test CPT 86703 HC DONOR HIV 1 AND 2 ANTIBODIES	$47.97	$112.85	$13.49–$120.93	28% below	57%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 HC DONOR HIV 1 AND 2 ANTIBODIES	$47.97	$112.85	$58.79–$101.57	—	57%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HC HIV 1/2 ANTIGEN/ANTIBODY SCREENING	$46.75	$109.99	$18.80–$213.05	39% below	57%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HC HIV 1/2 ANTIGEN/ANTIBODY SCREENING	$46.75	$109.99	$57.30–$98.99	—	57%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HC HPV HIGH RISK TYPES DNA CERVICAL	$74.80	$176.00	$21.29–$308.06	41% below	58%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HC HPV HIGH RISK AND LOW RISK TYPES DNA TISSUE OR ANAL	$116.24	$273.50	$21.29–$308.06	8% below	57%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HC HPV HIGH RISK AND LOW RISK TYPES DNA TISSUE OR ANAL	$74.22	$174.62	$90.98–$157.16	—	57%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HC HPV HIGH RISK TYPES DNA CERVICAL	$76.43	$179.82	$93.69–$161.84	—	57%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HC GLYCATED HEMOGLOBIN POCT	$27.63	$65.00	$9.55–$86.38	56% below	57%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HC GLYCATED HEMOGLOBIN A1C	$27.63	$65.00	$9.55–$86.38	56% below	57%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HC HEMOGLOBIN A1C, POCT AFINION	$27.63	$65.00	$9.55–$86.38	56% below	57%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HC GLYCATED HEMOGLOBIN A1C	$27.63	$65.01	$33.87–$58.51	—	57%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HC HEMOGLOBIN A1C, POCT AFINION	$27.63	$65.00	$33.87–$58.50	—	57%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HC GLYCATED HEMOGLOBIN POCT	$27.63	$65.00	$33.87–$58.50	—	57%
Hemoglobin blood test CPT 85018 HC HEMOGLOBIN	$15.64	$36.79	$1.78–$33.11	54% below	57%
Hemoglobin blood test CPT 85018 HC HEMOGLOBIN POCT	$21.68	$51.00	$1.78–$45.90	37% below	57%
Hemoglobin blood test inpatient CPT 85018 HC HEMOGLOBIN	$15.68	$36.89	$19.22–$33.20	—	57%
Hemoglobin blood test inpatient CPT 85018 HC HEMOGLOBIN POCT	$21.73	$51.11	$26.63–$46.00	—	57%
Hepatitis B core antibody test (total) CPT 86704 HC HEPATITIS B CORE ABY, TOTAL	$28.90	$68.00	$11.86–$106.53	59% below	58%
Hepatitis B core antibody test (total) CPT 86704 HC DONOR HEPATITIS B CORE ANTIBODY	$31.71	$74.60	$11.86–$106.53	55% below	57%
Hepatitis B core antibody test (total) inpatient CPT 86704 HC HEPATITIS B CORE ABY, TOTAL	$31.24	$73.50	$38.29–$66.15	—	57%
Hepatitis B core antibody test (total) inpatient CPT 86704 HC DONOR HEPATITIS B CORE ANTIBODY	$31.67	$74.52	$38.82–$67.07	—	58%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HC HEPATITIS B SURFACE ANTIBODY	$32.66	$76.83	$10.57–$95.00	55% below	57%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HC HEPATITIS B SURFACE ANTIBODY	$32.66	$76.83	$40.03–$69.15	—	57%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HC HEPATITIS B SURFACE ANTIGEN	$32.73	$77.00	$10.16–$92.13	45% below	57%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HC DONOR HEPATITIS B SURFACE ANTIGEN	$47.18	$111.00	$10.16–$99.90	21% below	57%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HC HEPATITIS B SURFACE ANTIGEN	$30.46	$71.67	$37.34–$64.50	—	57%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HC DONOR HEPATITIS B SURFACE ANTIGEN	$47.23	$111.12	$57.90–$100.01	—	57%
Hepatitis C antibody blood test (screening) CPT 86803 HC HEPATITIS C ANTIBODY, SCREENING	$36.98	$87.00	$14.04–$126.68	62% below	57%
Hepatitis C antibody blood test (screening) CPT 86803 HC DONOR HEPATITIS C ABY	$53.37	$125.57	$14.04–$126.68	44% below	57%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HC DONOR HEPATITIS C ABY	$53.55	$126.00	$65.65–$113.40	—	58%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HC HEPATITIS C ANTIBODY, SCREENING	$53.55	$126.00	$65.65–$113.40	—	58%
Hepatitis C viral load (HCV RNA) test CPT 87522 HC HEPATITIS C RNA QUANT	$200.63	$472.07	$21.29–$424.86	56% above	57%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HC HEPATITIS C RNA QUANT	$200.63	$472.07	$245.95–$424.86	—	57%
Herpes blood test, HSV-1 antibody CPT 86695 HC HERPES SIMPLEX VIRUS TYPE 1, IGG	$43.78	$103.00	$12.98–$115.16	8% below	57%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HC HERPES SIMPLEX VIRUS TYPE 1, IGG	$46.32	$108.98	$56.78–$98.08	—	57%
Herpes blood test, HSV-2 antibody CPT 86696 HC HERPES SIMPLEX VIRUS TYPE 2, IGG	$55.25	$130.00	$18.80–$169.86	4% below	58%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HC HERPES SIMPLEX VIRUS TYPE 2, IGG	$55.25	$130.00	$67.73–$117.00	—	58%
High-sensitivity CRP (hs-CRP) test CPT 86141 HC CRP, CARDIAC RISK	$39.10	$91.99	$12.74–$115.16	47% below	57%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 HC CRP, CARDIAC RISK	$39.10	$91.99	$47.93–$82.79	—	57%
Homocysteine blood test CPT 83090 HC HOMOCYSTEINE	$58.22	$136.99	$17.63–$158.35	38% below	58%
Homocysteine blood test inpatient CPT 83090 HC HOMOCYSTEINE	$58.22	$136.99	$71.37–$123.29	—	58%
Insulin blood test CPT 83525 HC INSULIN	$33.63	$79.11	$11.25–$100.78	40% below	57%
Insulin blood test inpatient CPT 83525 HC INSULIN	$34.52	$81.22	$42.32–$73.10	—	57%
Iron blood test (serum iron) CPT 83540 HC IRON	$29.33	$69.00	$6.37–$62.10	43% below	57%
Iron blood test (serum iron) inpatient CPT 83540 HC IRON	$32.11	$75.53	$39.35–$67.98	—	57%
Iron-binding capacity (TIBC) test CPT 83550 HC IRON BINDING CAPACITY	$99.67	$234.50	$8.60–$211.05	50% above	57%
Iron-binding capacity (TIBC) test inpatient CPT 83550 HC IRON BINDING CAPACITY	$169.58	$399.00	$207.88–$359.10	—	57%
Kidney function blood test panel CPT 80069 HC RENAL PANEL	$77.35	$181.99	$8.54–$163.79	27% below	57%
Kidney function blood test panel inpatient CPT 80069 HC RENAL PANEL	$77.35	$181.99	$94.81–$163.79	—	57%
LH (luteinizing hormone) test CPT 83002 HC LUTENIZING HORMONE BY ICMA, LC	$32.30	$76.00	$18.22–$164.10	61% below	58%
LH (luteinizing hormone) test CPT 83002 HC LH	$55.26	$130.00	$18.22–$164.10	34% below	57%
LH (luteinizing hormone) test inpatient CPT 83002 HC LUTENIZING HORMONE BY ICMA, LC	$32.30	$76.00	$39.60–$68.40	—	58%
LH (luteinizing hormone) test inpatient CPT 83002 HC LH	$54.88	$129.11	$67.26–$116.20	—	57%
Lactate (lactic acid) blood test CPT 83605 HC MISC TEST	$28.48	$67.00	$11.38–$100.78	66% below	57%
Lactate (lactic acid) blood test CPT 83605 HC LACTATE POCT	$31.76	$74.73	$11.38–$100.78	62% below	58%
Lactate (lactic acid) blood test CPT 83605 HC LACTATE	$34.43	$81.00	$11.38–$100.78	58% below	57%
Lactate (lactic acid) blood test CPT 83605 HC D LACTATE	$116.88	$275.00	$11.38–$247.50	41% above	57%
Lactate (lactic acid) blood test inpatient CPT 83605 HC MISC TEST	$28.48	$67.00	$34.91–$60.30	—	57%
Lactate (lactic acid) blood test inpatient CPT 83605 HC LACTATE POCT	$31.88	$75.00	$39.08–$67.50	—	57%
Lactate (lactic acid) blood test inpatient CPT 83605 HC LACTATE	$34.28	$80.65	$42.02–$72.58	—	57%
Lactate (lactic acid) blood test inpatient CPT 83605 HC D LACTATE	$116.88	$275.00	$143.28–$247.50	—	57%
Lactate dehydrogenase (LDH) blood test CPT 83615 HC LD, FLUID	$20.61	$48.48	$5.94–$51.83	57% below	57%
Lactate dehydrogenase (LDH) blood test CPT 83615 HC LACTATE DEHYDROGENASE	$20.72	$48.74	$5.94–$51.83	57% below	57%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 HC LD, FLUID	$20.61	$48.48	$25.26–$43.63	—	57%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 HC LACTATE DEHYDROGENASE	$20.72	$48.74	$25.39–$43.87	—	57%
Lipase blood test (pancreas enzyme) CPT 83690 HC LIPASE	$28.06	$66.00	$6.78–$60.46	58% below	57%
Lipase blood test (pancreas enzyme) CPT 83690 HC LIPASE, FLUID	$30.60	$72.00	$6.78–$64.80	54% below	58%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 HC LIPASE	$28.05	$66.00	$34.39–$59.40	—	58%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 HC LIPASE, FLUID	$30.60	$72.00	$37.51–$64.80	—	58%
Liver function blood test panel CPT 80076 HC HEPATIC PANEL	$51.02	$120.03	$8.04–$108.03	50% below	57%
Liver function blood test panel inpatient CPT 80076 HC HEPATIC PANEL	$51.02	$120.03	$62.54–$108.03	—	57%
Lyme disease antibody test CPT 86618 HC LYME IGG AND IGM SCREEN	$32.73	$77.00	$16.76–$149.71	53% below	57%
Lyme disease antibody test CPT 86618 HC LYME ABY, CSF	$59.08	$139.00	$16.76–$149.71	15% below	57%
Lyme disease antibody test inpatient CPT 86618 HC LYME IGG AND IGM SCREEN	$32.73	$76.99	$40.11–$69.29	—	57%
Lyme disease antibody test inpatient CPT 86618 HC LYME ABY, CSF	$59.08	$139.00	$72.42–$125.10	—	57%
Magnesium blood test CPT 83735 HC SSAT24 HR URINE MAGNESIUM	$20.83	$49.00	$6.59–$57.58	50% below	57%
Magnesium blood test CPT 83735 HC MAGNESIUM	$27.00	$63.52	$6.59–$57.58	36% below	57%
Magnesium blood test CPT 83735 HC MAGNESIUM URINE	$28.05	$66.00	$6.59–$59.40	33% below	58%
Magnesium blood test CPT 83735 HC MAGNESIUM, RBC	$69.70	$164.00	$6.59–$147.60	66% above	58%
Magnesium blood test inpatient CPT 83735 HC SSAT24 HR URINE MAGNESIUM	$20.83	$49.00	$25.53–$44.10	—	57%
Magnesium blood test inpatient CPT 83735 HC MAGNESIUM	$27.00	$63.52	$33.10–$57.17	—	57%
Magnesium blood test inpatient CPT 83735 HC MAGNESIUM URINE	$27.49	$64.67	$33.69–$58.20	—	57%
Magnesium blood test inpatient CPT 83735 HC MAGNESIUM, RBC	$69.70	$164.00	$85.44–$147.60	—	58%
Measles (rubeola) antibody test CPT 86765 HC RUBEOLA AB IGM	$38.68	$91.00	$12.67–$112.29	4% below	57%
Measles (rubeola) antibody test CPT 86765 HC RUBEOLA IGG	$42.08	$99.00	$12.67–$112.29	4% above	57%
Measles (rubeola) antibody test inpatient CPT 86765 HC RUBEOLA AB IGM	$38.68	$91.00	$47.41–$81.90	—	57%
Measles (rubeola) antibody test inpatient CPT 86765 HC RUBEOLA IGG	$42.08	$99.00	$51.58–$89.10	—	57%
Mono test (heterophile antibody, Monospot) CPT 86308 HC MONO TEST	$35.28	$83.00	$5.10–$74.70	35% below	57%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 HC MONO TEST	$35.28	$83.00	$43.24–$74.70	—	57%
Mumps immunity blood test CPT 86735 HC MUMPS ANTIBODY	$42.08	$99.00	$12.84–$115.16	16% below	57%
Mumps immunity blood test CPT 86735 HC MUMPS ABY, IGM	$42.08	$99.00	$12.84–$115.16	16% below	57%
Mumps immunity blood test inpatient CPT 86735 HC MUMPS ANTIBODY	$42.08	$99.00	$51.58–$89.10	—	57%
Mumps immunity blood test inpatient CPT 86735 HC MUMPS ABY, IGM	$42.08	$99.00	$51.58–$89.10	—	57%
PSA (prostate-specific antigen) blood test, free CPT 84154 HC FREE PSA	$22.07	$51.93	$18.10–$161.23	62% below	58%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 HC FREE PSA	$22.07	$51.93	$27.05–$46.73	—	58%
PSA (prostate-specific antigen) blood test, total CPT 84153 HC PSA, ULTRASENSITIVE	$51.00	$120.00	$18.10–$161.23	43% below	58%
PSA (prostate-specific antigen) blood test, total CPT 84153 HC PSA, DIAGNOSTIC (TUMOR MARKER)	$62.05	$146.00	$18.10–$161.23	31% below	58%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC PSA, ULTRASENSITIVE	$51.00	$120.00	$62.52–$108.00	—	58%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC PSA, DIAGNOSTIC (TUMOR MARKER)	$59.08	$139.00	$72.42–$125.10	—	57%
Pap test (liquid-based, automated screening with review) CPT 88175 HC PAP THIN LAYER IMAGED, DIAGNOSTIC	$89.70	$211.04	$20.85–$233.20	5% above	57%
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 HC PAP THIN LAYER IMAGED, DIAGNOSTIC	$90.14	$212.08	$110.49–$190.87	—	57%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 HC PAP THIN LAYER DIAGNOSTIC	$56.53	$133.00	$19.94–$178.51	27% below	57%
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 HC PAP THIN LAYER DIAGNOSTIC	$56.53	$133.00	$69.29–$119.70	—	57%
Parathyroid hormone (PTH) blood test CPT 83970 HC PARATHORMONE INTACT	$120.28	$283.00	$27.91–$362.76	at median	57%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 HC PARATHORMONE INTACT	$119.29	$280.67	$146.23–$252.60	—	57%
Partial thromboplastin time (PTT) clotting test CPT 85730 HC LUPUS PTT AL	$60.52	$142.40	$5.91–$128.16	6% below	58%
Partial thromboplastin time (PTT) clotting test CPT 85730 HC HEPZYMED PTT	$62.48	$147.00	$5.91–$132.30	3% below	57%
Partial thromboplastin time (PTT) clotting test CPT 85730 HC PTT	$62.48	$147.00	$5.91–$132.30	3% below	57%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC PTT	$59.36	$139.67	$72.77–$125.70	—	57%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC LUPUS PTT AL	$62.38	$146.77	$76.47–$132.10	—	57%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC HEPZYMED PTT	$62.48	$147.00	$76.59–$132.30	—	57%
Phosphorus (phosphate) blood test CPT 84100 HC PHOSPHORUS	$15.73	$37.00	$4.66–$40.31	59% below	57%
Phosphorus (phosphate) blood test CPT 84100 HC MISC TEST	$35.75	$84.10	$4.66–$75.69	7% below	57%
Phosphorus (phosphate) blood test inpatient CPT 84100 HC PHOSPHORUS	$15.73	$37.00	$19.28–$33.30	—	57%
Phosphorus (phosphate) blood test inpatient CPT 84100 HC MISC TEST	$35.75	$84.10	$43.82–$75.69	—	57%
Potassium blood test CPT 84132 HC POTASSIUM	$18.71	$44.01	$4.68–$43.19	58% below	57%
Potassium blood test CPT 84132 HC POTASSIUM POCT	$18.87	$44.38	$4.68–$43.19	57% below	57%
Potassium blood test inpatient CPT 84132 HC POTASSIUM	$18.59	$43.72	$22.78–$39.35	—	57%
Potassium blood test inpatient CPT 84132 HC POTASSIUM POCT	$19.14	$45.03	$23.46–$40.52	—	57%
Progesterone blood test CPT 84144 HC PROGESTERONE	$61.63	$145.00	$18.10–$184.26	28% below	57%
Progesterone blood test CPT 84144 HC CAH PROGESTERONE	$171.28	$403.00	$18.10–$362.70	101% above	57%
Progesterone blood test inpatient CPT 84144 HC PROGESTERONE	$61.63	$145.00	$75.55–$130.50	—	57%
Progesterone blood test inpatient CPT 84144 HC CAH PROGESTERONE	$171.28	$403.00	$209.96–$362.70	—	57%
Prolactin blood test CPT 84146 HC PROLACTIN	$67.15	$157.98	$19.07–$169.86	27% below	57%
Prolactin blood test CPT 84146 HC PROLACTIN, PITUITARY MACROADENOMA	$85.43	$201.00	$19.07–$180.90	7% below	57%
Prolactin blood test CPT 84146 HC MACROPROLACTIN	$85.43	$201.00	$19.07–$180.90	7% below	57%
Prolactin blood test inpatient CPT 84146 HC PROLACTIN	$67.15	$157.98	$82.31–$142.18	—	57%
Prolactin blood test inpatient CPT 84146 HC MACROPROLACTIN	$85.43	$201.00	$104.72–$180.90	—	57%
Prolactin blood test inpatient CPT 84146 HC PROLACTIN, PITUITARY MACROADENOMA	$85.43	$201.00	$104.72–$180.90	—	57%
Prothrombin time (PT/INR) clotting test CPT 85610 HC PT MIXING STUDIES	$33.15	$78.00	$4.22–$70.20	at median	58%
Prothrombin time (PT/INR) clotting test CPT 85610 HC INR SP COAG	$33.15	$78.00	$4.22–$70.20	at median	58%
Prothrombin time (PT/INR) clotting test CPT 85610 HC PROTHROMBIN TIME/INR	$33.15	$78.00	$4.22–$70.20	at median	58%
Prothrombin time (PT/INR) clotting test CPT 85610 HC INR POCT ISTAT	$33.16	$78.01	$4.22–$70.21	at median	57%
Prothrombin time (PT/INR) clotting test CPT 85610 HC INR POCT	$33.20	$78.12	$4.22–$70.30	at median	58%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC INR SP COAG	$32.88	$77.35	$40.30–$69.61	—	57%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC PROTHROMBIN TIME/INR	$32.89	$77.37	$40.31–$69.64	—	57%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC INR POCT ISTAT	$32.94	$77.50	$40.38–$69.75	—	57%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC PT MIXING STUDIES	$33.15	$78.00	$40.64–$70.20	—	58%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC INR POCT	$33.15	$78.00	$40.64–$70.20	—	58%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 HC DRUG SCREEN URINE POCT	$21.25	$50.00	$12.40–$109.41	64% below	58%
Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 HC DRUG SCREEN URINE POCT	$21.25	$50.00	$26.05–$45.00	—	58%
Rapid flu test (influenza antigen) CPT 87804 HC INFLUENZA A/B ANTIGEN	$35.52	$83.57	$13.81–$146.84	42% below	57%
Rapid flu test (influenza antigen) inpatient CPT 87804 HC INFLUENZA A/B ANTIGEN	$35.52	$83.57	$43.54–$75.21	—	57%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 HC RAPID STREP GROUP A SCREEN POCT	$34.42	$80.98	$13.81–$143.96	37% below	57%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 HC STREP GROUP A ANTIGEN (RAPID)	$34.43	$81.00	$13.81–$143.96	37% below	57%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 HC RAPID STREP GROUP A SCREEN POCT	$34.42	$80.98	$42.19–$72.89	—	57%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 HC STREP GROUP A ANTIGEN (RAPID)	$34.43	$81.00	$42.20–$72.90	—	57%
Renin blood test CPT 84244 HC RENIN ACTIVITY (PEDIATRIC)	$49.57	$116.62	$21.64–$192.90	6% above	57%
Renin blood test CPT 84244 HC RENIN	$65.80	$154.82	$21.64–$192.90	41% above	57%
Renin blood test inpatient CPT 84244 HC RENIN ACTIVITY (PEDIATRIC)	$49.57	$116.62	$60.76–$104.96	—	57%
Renin blood test inpatient CPT 84244 HC RENIN	$65.62	$154.38	$80.43–$138.95	—	57%
Rh blood typing CPT 86901 HC RH BLOOD TYPE	$42.08	$99.00	$2.99–$89.10	3% below	57%
Rh blood typing inpatient CPT 86901 HC RH BLOOD TYPE	$40.26	$94.72	$49.35–$85.25	—	57%
Rheumatoid factor (RF) test CPT 86431 HC RHEUMATOID FACTOR	$21.68	$51.00	$5.58–$48.94	56% below	57%
Rheumatoid factor (RF) test inpatient CPT 86431 HC RHEUMATOID FACTOR	$22.10	$51.99	$27.09–$46.79	—	57%
Rubella antibody test (immunity check) CPT 86762 HC RUBELLA QUANT IGG	$50.15	$118.00	$14.16–$126.68	4% above	58%
Rubella antibody test (immunity check) CPT 86762 HC RUBELLA IGM	$50.15	$118.00	$14.16–$126.68	4% above	58%
Rubella antibody test (immunity check) inpatient CPT 86762 HC RUBELLA QUANT IGG	$50.15	$118.00	$61.48–$106.20	—	58%
Rubella antibody test (immunity check) inpatient CPT 86762 HC RUBELLA IGM	$50.15	$118.00	$61.48–$106.20	—	58%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 HC SED RATE (ESR)	$32.73	$77.00	$2.01–$69.30	15% below	57%
Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 HC SED RATE (ESR)	$32.39	$76.20	$39.70–$68.58	—	57%
Semen analysis: volume, sperm count, motility and morphology CPT 89320 HC SPERM VOLUME/COUNT/MOTILITY/DIFF	$160.65	$378.00	$12.11–$340.20	34% above	58%
Semen analysis: volume, sperm count, motility and morphology inpatient CPT 89320 HC SPERM VOLUME/COUNT/MOTILITY/DIFF	$160.65	$378.00	$196.94–$340.20	—	58%
Sodium blood test CPT 84295 HC SODIUM	$15.63	$36.77	$4.73–$43.19	66% below	57%
Sodium blood test CPT 84295 HC SODIUM POCT	$19.13	$45.00	$4.73–$43.19	58% below	57%
Sodium blood test inpatient CPT 84295 HC SODIUM	$15.73	$37.00	$19.28–$33.30	—	57%
Sodium blood test inpatient CPT 84295 HC SODIUM POCT	$19.13	$45.00	$23.45–$40.50	—	57%
Stool ova and parasites exam CPT 87177 HC OVA AND PARASITE CONCENTRATION AND ID	$17.79	$41.86	$8.76–$77.74	61% below	58%
Stool ova and parasites exam inpatient CPT 87177 HC OVA AND PARASITE CONCENTRATION AND ID	$17.79	$41.86	$21.81–$37.67	—	58%
Stool test for hidden blood (guaiac FOBT) CPT 82270 HC OCCULT BLOOD GUAIAC STOOL (1-3 SPEC)	$37.40	$88.00	$4.12–$79.20	6% above	58%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 HC OCCULT BLOOD GUAIAC STOOL (1-3 SPEC)	$37.40	$88.00	$45.85–$79.20	—	58%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 HC FECAL COLORECTAL SCRN	$56.49	$132.91	$15.67–$141.08	2% below	57%
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 HC FECAL COLORECTAL SCRN	$56.49	$132.91	$69.25–$119.62	—	57%
Syphilis antibody test (Treponema pallidum) CPT 86780 HC ABY TREPONEMA PALLIDUM WITH REFLX, ACL	$34.43	$81.00	$13.03–$115.16	37% below	57%
Syphilis antibody test (Treponema pallidum) CPT 86780 HC TREPONEMA PALLIDUM CONF BY TP-PA	$34.43	$81.00	$13.03–$115.16	37% below	57%
Syphilis antibody test (Treponema pallidum) CPT 86780 HC DONOR TREPONEMA PAL AB	$34.63	$81.48	$13.03–$115.16	36% below	57%
Syphilis antibody test (Treponema pallidum) CPT 86780 HC TREPONEMA PALLIDUM ANTIBODY WITH REFLEX	$38.17	$89.80	$13.03–$115.16	30% below	57%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 HC TREPONEMA PALLIDUM ANTIBODY WITH REFLEX	$34.43	$81.01	$42.21–$72.91	—	57%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 HC ABY TREPONEMA PALLIDUM WITH REFLX, ACL	$34.43	$81.00	$42.20–$72.90	—	57%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 HC TREPONEMA PALLIDUM CONF BY TP-PA	$34.43	$81.00	$42.20–$72.90	—	57%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 HC DONOR TREPONEMA PAL AB	$34.63	$81.48	$42.45–$73.33	—	57%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC RAPID PLASMA REAGIN	$27.76	$65.30	$4.03–$58.77	16% below	57%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC VDRL, CSF	$29.28	$68.89	$4.03–$62.00	11% below	57%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC VDRL, CSF	$29.33	$69.00	$35.95–$62.10	—	57%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC RAPID PLASMA REAGIN	$29.36	$69.08	$35.99–$62.17	—	57%
Testosterone blood test, total (not free testosterone) CPT 84403 HC TESTOSTERONE TOTAL, MAYO	$66.30	$156.00	$25.40–$227.45	4% above	58%
Testosterone blood test, total (not free testosterone) CPT 84403 HC TESTOSTERONE, TOTAL	$79.05	$186.00	$25.40–$227.45	24% above	58%
Testosterone blood test, total (not free testosterone) CPT 84403 HC CAH TESTOSTERONE	$215.48	$507.00	$25.40–$456.30	237% above	57%
Testosterone blood test, total (not free testosterone) CPT 84403 HC TESTOSTERONE TOTAL (TGRP), MAYO	$240.98	$567.00	$25.40–$510.30	277% above	57%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HC TESTOSTERONE TOTAL, MAYO	$66.30	$156.00	$81.28–$140.40	—	58%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HC TESTOSTERONE, TOTAL	$87.53	$205.94	$107.29–$185.35	—	57%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HC CAH TESTOSTERONE	$215.48	$507.00	$264.15–$456.30	—	57%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HC TESTOSTERONE TOTAL (TGRP), MAYO	$240.98	$567.00	$295.41–$510.30	—	57%
Thyroid peroxidase (TPO) antibody test CPT 86376 HC MISC TEST	$15.68	$36.88	$14.32–$126.68	71% below	57%
Thyroid peroxidase (TPO) antibody test CPT 86376 HC THYROID PEROXIDASE (MICROSOMAL) AB	$45.47	$106.97	$14.32–$126.68	16% below	57%
Thyroid peroxidase (TPO) antibody test CPT 86376 HC LIVER KIDNEY MICROSOMAL AB	$45.48	$107.00	$14.32–$126.68	16% below	57%
Thyroid peroxidase (TPO) antibody test CPT 86376 HC LIVER CYTOSOL ABY, ARUP	$66.73	$157.00	$14.32–$141.30	23% above	57%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HC MISC TEST	$15.68	$36.88	$19.21–$33.19	—	57%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HC THYROID PEROXIDASE (MICROSOMAL) AB	$45.47	$106.97	$55.73–$96.27	—	57%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HC LIVER KIDNEY MICROSOMAL AB	$45.48	$107.00	$55.75–$96.30	—	57%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HC LIVER CYTOSOL ABY, ARUP	$66.73	$157.00	$81.80–$141.30	—	57%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC MISC TEST	$31.35	$73.75	$16.53–$146.84	67% below	57%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC TSH W/FREE T4 REFLEX	$38.25	$90.00	$16.53–$146.84	59% below	58%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC TSH	$42.08	$99.00	$16.53–$146.84	55% below	57%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC MISC TEST	$31.35	$73.75	$38.42–$66.38	—	57%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC TSH	$37.69	$88.67	$46.20–$79.80	—	57%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC TSH W/FREE T4 REFLEX	$39.53	$93.00	$48.45–$83.70	—	57%
Total IgE blood test CPT 82785 HC ASPERGILLOSIS IMMUNOGLOBULIN IGE	$23.80	$56.00	$16.20–$143.96	54% below	58%
Total IgE blood test CPT 82785 HC IGE	$49.31	$116.01	$16.20–$143.96	4% below	57%
Total IgE blood test CPT 82785 HC MISC TEST	$87.66	$206.25	$16.20–$185.63	70% above	57%
Total IgE blood test inpatient CPT 82785 HC ASPERGILLOSIS IMMUNOGLOBULIN IGE	$25.12	$59.09	$30.78–$53.18	—	57%
Total IgE blood test inpatient CPT 82785 HC IGE	$49.31	$116.01	$60.44–$104.41	—	57%
Total IgE blood test inpatient CPT 82785 HC MISC TEST	$87.66	$206.25	$107.46–$185.63	—	57%
Total cholesterol blood test CPT 82465 HC CHOLESTEROL	$18.70	$44.00	$4.09–$39.60	46% below	58%
Total cholesterol blood test inpatient CPT 82465 HC CHOLESTEROL	$18.70	$44.00	$22.92–$39.60	—	58%
Total thyroxine (T4) blood test CPT 84436 HC THYROXINE, TOTAL	$30.94	$72.79	$6.76–$65.51	28% below	57%
Total thyroxine (T4) blood test inpatient CPT 84436 HC THYROXINE, TOTAL	$30.94	$72.79	$37.92–$65.51	—	57%
Total triiodothyronine (T3) blood test CPT 84480 HC T3, TOTAL	$33.13	$77.94	$13.95–$123.80	52% below	57%
Total triiodothyronine (T3) blood test inpatient CPT 84480 HC T3, TOTAL	$33.13	$77.94	$40.61–$70.14	—	57%
Transferrin blood test CPT 84466 HC TRANSFERRIN	$39.10	$91.99	$12.56–$112.29	47% below	57%
Transferrin blood test inpatient CPT 84466 HC TRANSFERRIN	$39.10	$92.00	$47.93–$82.80	—	58%
Trichomonas test (NAAT) CPT 87661 HC TRICHOMONAS VAGINALIS DNA PCR	$53.13	$125.00	$21.29–$308.06	6% above	57%
Trichomonas test (NAAT) inpatient CPT 87661 HC TRICHOMONAS VAGINALIS DNA PCR	$53.13	$125.00	$65.13–$112.50	—	57%
Triglycerides blood test CPT 84478 HC TRIGLYCERIDES BF W RFLX TO CHYLO	$9.78	$23.00	$5.65–$51.83	77% below	57%
Triglycerides blood test CPT 84478 HC TRIGLYCERIDES	$19.98	$47.00	$5.65–$51.83	53% below	57%
Triglycerides blood test inpatient CPT 84478 HC TRIGLYCERIDES BF W RFLX TO CHYLO	$9.78	$23.00	$11.98–$20.70	—	57%
Triglycerides blood test inpatient CPT 84478 HC TRIGLYCERIDES	$19.43	$45.71	$23.82–$41.14	—	57%
Troponin test, quantitative CPT 84484 HC TROPONIN I	$45.48	$107.00	$12.27–$109.41	55% below	57%
Troponin test, quantitative CPT 84484 HC TROPONIN POCT	$45.48	$107.00	$12.27–$109.41	55% below	57%
Troponin test, quantitative CPT 84484 HC TROPONIN I HS, MAYO	$45.48	$107.00	$12.27–$109.41	55% below	57%
Troponin test, quantitative inpatient CPT 84484 HC TROPONIN I	$45.39	$106.79	$55.64–$96.11	—	57%
Troponin test, quantitative inpatient CPT 84484 HC TROPONIN POCT	$45.48	$107.00	$55.75–$96.30	—	57%
Troponin test, quantitative inpatient CPT 84484 HC TROPONIN I HS, MAYO	$47.56	$111.89	$58.29–$100.70	—	57%
Uric acid blood test CPT 84550 HC URIC ACID	$19.09	$44.92	$4.45–$40.42	58% below	58%
Uric acid blood test CPT 84550 HC MISC TEST	$21.68	$51.00	$4.45–$45.90	53% below	57%
Uric acid blood test inpatient CPT 84550 HC URIC ACID	$19.13	$45.00	$23.45–$40.50	—	57%
Uric acid blood test inpatient CPT 84550 HC MISC TEST	$28.48	$67.00	$34.91–$60.30	—	57%
Urinalysis with microscope exam, automated CPT 81001 HC URINALYSIS WITH MICROSCOPIC	$35.70	$84.00	$2.35–$75.60	31% below	58%
Urinalysis with microscope exam, automated inpatient CPT 81001 HC URINALYSIS WITH MICROSCOPIC	$35.71	$84.01	$43.77–$75.61	—	57%
Urinalysis without microscope exam, automated CPT 81003 HC URINALYSIS OB SCREEN	$15.73	$37.00	$1.69–$33.30	39% below	57%
Urinalysis without microscope exam, automated CPT 81003 HC URNLS DIP STICK/TABLET RGNT AUTO W/O MICROSCOPY POCT	$15.73	$37.00	$1.69–$33.30	39% below	57%
Urinalysis without microscope exam, automated CPT 81003 HC BLOOD URINE POCT INSTRUMENT	$15.73	$37.00	$1.69–$33.30	39% below	57%
Urinalysis without microscope exam, automated CPT 81003 HC URINALYSIS, MACROSCPOIC	$17.82	$41.92	$1.69–$37.73	31% below	57%
Urinalysis without microscope exam, automated CPT 81003 HC URNLS DIP STICK/TABLET RGNT AUTO W/O MICROSCOPY	$18.67	$43.91	$1.69–$39.52	28% below	57%
Urinalysis without microscope exam, automated CPT 81003 HC PH URINE QUAL	$19.13	$45.00	$1.69–$40.50	26% below	57%
Urinalysis without microscope exam, automated CPT 81003 HC SPECIFIC GRAVITY UR	$20.40	$48.00	$1.69–$43.20	22% below	58%
Urinalysis without microscope exam, automated CPT 81003 HC GLUCOSE QUAL URINE	$21.25	$50.00	$1.69–$45.00	18% below	58%
Urinalysis without microscope exam, automated CPT 81003 HC PROTEIN URINE QUAL	$21.26	$50.00	$1.69–$45.00	18% below	57%
Urinalysis without microscope exam, automated CPT 81003 HC BLOOD URINE QUAL	$22.53	$53.00	$1.69–$47.70	13% below	57%
Urinalysis without microscope exam, automated CPT 81003 HC KETONES URINE QUAL	$29.75	$70.00	$1.69–$63.00	14% above	58%
Urinalysis without microscope exam, automated inpatient CPT 81003 HC URNLS DIP STICK/TABLET RGNT AUTO W/O MICROSCOPY POCT	$15.73	$37.00	$19.28–$33.30	—	57%
Urinalysis without microscope exam, automated inpatient CPT 81003 HC URINALYSIS OB SCREEN	$15.73	$37.00	$19.28–$33.30	—	57%
Urinalysis without microscope exam, automated inpatient CPT 81003 HC BLOOD URINE POCT INSTRUMENT	$15.73	$37.00	$19.28–$33.30	—	57%
Urinalysis without microscope exam, automated inpatient CPT 81003 HC URINALYSIS, MACROSCPOIC	$17.86	$42.01	$21.89–$37.81	—	57%
Urinalysis without microscope exam, automated inpatient CPT 81003 HC URNLS DIP STICK/TABLET RGNT AUTO W/O MICROSCOPY	$18.67	$43.91	$22.88–$39.52	—	57%
Urinalysis without microscope exam, automated inpatient CPT 81003 HC PH URINE QUAL	$19.13	$45.00	$23.45–$40.50	—	57%
Urinalysis without microscope exam, automated inpatient CPT 81003 HC SPECIFIC GRAVITY UR	$20.40	$48.00	$25.01–$43.20	—	58%
Urinalysis without microscope exam, automated inpatient CPT 81003 HC GLUCOSE QUAL URINE	$21.25	$50.00	$26.05–$45.00	—	58%
Urinalysis without microscope exam, automated inpatient CPT 81003 HC PROTEIN URINE QUAL	$21.25	$50.00	$26.05–$45.00	—	58%
Urinalysis without microscope exam, automated inpatient CPT 81003 HC BLOOD URINE QUAL	$22.53	$53.00	$27.61–$47.70	—	57%
Urinalysis without microscope exam, automated inpatient CPT 81003 HC KETONES URINE QUAL	$29.75	$70.00	$36.47–$63.00	—	58%
Urine culture for bacteria, with colony count CPT 87086 HC CULTURE, URINE QT	$35.94	$84.55	$7.94–$76.10	40% below	57%
Urine culture for bacteria, with colony count inpatient CPT 87086 HC CULTURE, URINE QT	$36.12	$84.97	$44.27–$76.47	—	57%
Urine microalbumin (albumin) test CPT 82043 HC MICROALBUMIN (INC URINE CREAT)	$22.95	$54.00	$4.35–$51.83	61% below	58%
Urine microalbumin (albumin) test inpatient CPT 82043 HC MICROALBUMIN (INC URINE CREAT)	$22.95	$54.00	$28.13–$48.60	—	58%
Urine pregnancy test, read by color change CPT 81025 HC HCG URINE QUAL	$40.15	$94.45	$5.76–$85.01	3% below	57%
Urine pregnancy test, read by color change CPT 81025 HC HCG QUAL URINE POCT	$41.23	$97.00	$5.76–$87.30	1% below	57%
Urine pregnancy test, read by color change inpatient CPT 81025 HC HCG URINE QUAL	$40.15	$94.45	$49.21–$85.01	—	57%
Urine pregnancy test, read by color change inpatient CPT 81025 HC HCG QUAL URINE POCT	$41.22	$96.97	$50.52–$87.28	—	57%
Vitamin B12 (cobalamin) blood test CPT 82607 HC VITAMIN B12	$48.88	$115.00	$14.84–$132.44	45% below	57%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 HC VITAMIN B12	$46.97	$110.50	$57.57–$99.45	—	57%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HC 25 HYDROXYVITAMIN D TOTAL	$69.12	$162.63	$29.13–$259.13	35% below	57%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HC 25 HYDROXYVITAMIN D2 & D3	$87.55	$206.00	$29.13–$259.13	18% below	58%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 HC 25 HYDROXYVITAMIN D TOTAL	$69.28	$163.00	$84.92–$146.70	—	57%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 HC 25 HYDROXYVITAMIN D2 & D3	$69.28	$163.00	$84.92–$146.70	—	57%
Vitamin D, 1,25-dihydroxy blood test CPT 82652 HC 1,25 DIHYDROXY VITAMIN D PEDIATRIC	$63.75	$150.00	$37.88–$339.74	17% below	58%
Vitamin D, 1,25-dihydroxy blood test CPT 82652 HC VITAMIN D; 1,25 DIHYDROXY	$65.01	$152.94	$37.88–$339.74	15% below	57%
Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 HC 1,25 DIHYDROXY VITAMIN D PEDIATRIC	$63.75	$150.00	$78.15–$135.00	—	58%
Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 HC VITAMIN D; 1,25 DIHYDROXY	$65.01	$152.94	$79.68–$137.65	—	57%
Zinc blood test CPT 84630 HC ZINC	$31.33	$73.71	$11.21–$100.78	4% above	57%
Zinc blood test CPT 84630 HC ZINC, URINE	$48.88	$115.00	$11.21–$103.50	62% above	57%
Zinc blood test inpatient CPT 84630 HC ZINC	$31.89	$75.02	$39.09–$67.52	—	57%
Zinc blood test inpatient CPT 84630 HC ZINC, URINE	$48.88	$115.00	$59.92–$103.50	—	57%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HC HCG QUANT	$39.08	$91.94	$14.81–$132.44	58% below	57%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HC HCG TUMOR MARKER	$39.09	$91.96	$14.81–$132.44	58% below	57%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HC HCG TUMOR MARKER	$39.10	$92.00	$47.93–$82.80	—	58%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HC HCG QUANT	$39.10	$92.00	$47.93–$82.80	—	58%

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs Minnesota	Off list
Botox injections for chronic migraine CPT 64615 HC CHEMODENERVATE FACIAL,TRIGERM,NERV MIGRAINE	$646.85	$1,522.00	$252.46–$1,438.00	7% above	58%
Botox injections for chronic migraine inpatient CPT 64615 HC CHEMODENERVATE FACIAL,TRIGERM,NERV MIGRAINE	$642.91	$1,512.73	$788.13–$1,361.45	—	58%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 HC BX BREAST W DEVICE 1ST LESION, STEREOTACTIC GUIDE	$1,838.55	$4,326.00	$398.49–$3,893.40	6% above	58%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 HC BX BREAST W DEVICE 1ST LESION, STEREOTACTIC GUIDE	$2,757.83	$6,489.00	$3,380.77–$5,840.10	—	57%
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 HC CLOSED TX DISTAL FIBULA FX W/O MANIPULATION	$665.13	$1,565.00	$205.15–$1,502.80	48% above	57%
Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 HC CLOSED TX DISTAL FIBULA FX W/O MANIPULATION	$665.13	$1,565.00	$815.37–$1,408.50	—	57%
Broken foot (metatarsal) treatment without surgery or setting CPT 28470 HC CLOSED TX METATARSAL FX W/O MANIP, EACH	$658.75	$1,550.00	$205.15–$1,502.80	77% above	58%
Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 HC CLOSED TX METATARSAL FX W/O MANIP, EACH	$665.13	$1,565.00	$815.37–$1,408.50	—	57%
Cardiac catheterization with coronary angiogram one side CPT 93458 HC CATH PLACE/CORON ANGIO,IMG SUPER/INTERP,W/ LT HRT VENTRICULOGRAPHY	$4,145.85	$9,754.94	$1,580.00–$8,779.44	at median	57%
Cardiac catheterization with coronary angiogram inpatient one side CPT 93458 HC CATH PLACE/CORON ANGIO,IMG SUPER/INTERP,W/ LT HRT VENTRICULOGRAPHY	$4,143.33	$9,748.99	$5,079.23–$8,774.09	—	57%
Cardioversion, elective (restoring heart rhythm) CPT 92960 HC CARDIOVERSION EXTERNAL	$765.59	$1,801.38	$223.54–$2,064.19	27% below	57%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 HC CARDIOVERSION EXTERNAL	$765.59	$1,801.38	$938.52–$1,621.24	—	57%
Catheter ablation for atrial fibrillation CPT 93656 HC EPHYS EVL TRNSPTL TX ATRIAL FIB ISOLAT PULM VEIN	$21,406.83	$50,369.00	$2,949.00–$55,209.50	6% above	57%
Catheter ablation for atrial fibrillation inpatient CPT 93656 HC EPHYS EVL TRNSPTL TX ATRIAL FIB ISOLAT PULM VEIN	$21,406.83	$50,369.00	$26,242.25–$45,332.10	—	57%
Cervical biopsy CPT 57500 HC BIOPSY/EXCIS CERVICAL LESION W/WO FULGURATION	$1,841.53	$4,333.00	$154.38–$4,209.37	159% above	57%
Cervical biopsy inpatient CPT 57500 HC BIOPSY/EXCIS CERVICAL LESION W/WO FULGURATION	$1,843.48	$4,337.60	$2,259.89–$3,903.84	—	58%
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 HC CLOSED TX DIST RAD/ULNAR STYL FX W/O MANIP	$663.85	$1,562.00	$205.15–$1,617.00	35% above	58%
Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 HC CLOSED TX DIST RAD/ULNAR STYL FX W/O MANIP	$665.13	$1,565.00	$815.37–$1,408.50	—	57%
Colonoscopy with endoscopic ultrasound CPT 45391 HC COLONOSCOPY, FLEXIBLE, PROXIMAL TO SPLENIC FLEXURE; W/ENDOSCOPIC US EXAM	$1,253.75	$2,950.00	$620.33–$3,533.51	6% above	58%
Colonoscopy with endoscopic ultrasound inpatient CPT 45391 HC COLONOSCOPY, FLEXIBLE, PROXIMAL TO SPLENIC FLEXURE; W/ENDOSCOPIC US EXAM	$1,253.75	$2,950.00	$1,536.95–$2,655.00	—	58%
Colonoscopy with polyp removal CPT 45385 HC COLONOSCOPY W SNARE REMOVAL TUMOR/POLYP/LESION	$1,249.08	$2,939.00	$811.47–$3,533.51	24% below	57%
Colonoscopy with polyp removal inpatient CPT 45385 HC COLONOSCOPY W SNARE REMOVAL TUMOR/POLYP/LESION	$1,248.26	$2,937.07	$1,530.21–$2,643.36	—	57%
Colonoscopy with tissue sample CPT 45380 HC COLONOSCOPY W BIOPSY	$1,264.72	$2,975.80	$829.00–$3,533.51	21% below	57%
Colonoscopy with tissue sample inpatient CPT 45380 HC COLONOSCOPY W BIOPSY	$1,147.22	$2,699.33	$1,406.35–$2,429.40	—	57%
Colonoscopy, diagnostic CPT 45378 HC COLONOSCOPY W/WO BRUSH/WASH	$1,114.79	$2,623.01	$779.72–$3,500.00	17% below	57%
Colonoscopy, diagnostic inpatient CPT 45378 HC COLONOSCOPY W/WO BRUSH/WASH	$1,280.10	$3,012.00	$1,569.25–$2,710.80	—	58%
Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 HC COLP CERVIX/UPPER VAGINA W BX CERVIX/ENDOCERV CURETT	$824.63	$1,940.29	$260.15–$1,855.66	20% above	57%
Colposcopy with cervical biopsy and scraping of the cervical canal inpatient CPT 57454 HC COLP CERVIX/UPPER VAGINA W BX CERVIX/ENDOCERV CURETT	$824.63	$1,940.29	$1,010.89–$1,746.26	—	57%
Coronary stent placement, one artery CPT 92928 HC PRQ TRLUML CORONARY BM STENT W/ANGIO ONE ART/BRNCH	$12,695.60	$29,872.00	$2,466.00–$26,884.80	6% above	58%
Coronary stent placement, one artery inpatient CPT 92928 HC PRQ TRLUML CORONARY BM STENT W/ANGIO ONE ART/BRNCH	$12,695.60	$29,872.00	$15,563.31–$26,884.80	—	58%
Cystoscopy with ureteral stent placement CPT 52332 HC CYSTOSCOPY,INSERT URETERAL STENT	$3,929.55	$9,246.00	$316.54–$8,321.40	7% above	58%
Cystoscopy with ureteral stent placement inpatient CPT 52332 HC CYSTOSCOPY,INSERT URETERAL STENT	$3,929.55	$9,246.00	$4,817.17–$8,321.40	—	58%
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 HC CYSTOURETHROSCOPY	$791.35	$1,862.00	$570.84–$2,872.00	5% below	58%
Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 HC CYSTOURETHROSCOPY	$791.35	$1,862.00	$970.10–$1,675.80	—	58%
D&C (dilation and curettage), not related to pregnancy CPT 58120 HC DILATION/CURETTAGE DIAG/THER NON OB	$3,466.30	$8,156.00	$1,460.00–$7,340.40	105% above	58%
D&C (dilation and curettage), not related to pregnancy inpatient CPT 58120 HC DILATION/CURETTAGE DIAG/THER NON OB	$3,466.30	$8,156.00	$4,249.28–$7,340.40	—	58%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 HC DESTRUCT PREMALIGNANT LESION, FIRST	$212.50	$500.00	$169.94–$1,438.00	17% above	58%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 HC DESTRUCT PREMALIGNANT LESION, FIRST	$212.50	$500.00	$260.50–$450.00	—	58%
Ear tube placement (tympanostomy) under general anesthesia, one ear CPT 69436 HC CREATE EARDRUM OPENING,GEN ANESTH	$1,952.03	$4,593.00	$980.00–$4,133.70	6% above	57%
Ear tube placement (tympanostomy) under general anesthesia, one ear inpatient CPT 69436 HC CREATE EARDRUM OPENING,GEN ANESTH	$2,928.04	$6,889.50	$3,589.43–$6,200.55	—	57%
Earwax removal by irrigation (rinsing), one ear one side CPT 69209 HC REMOVAL IMPACTED CERUMEN IRRIGATION/LVG UNILAT	$123.04	$289.50	$34.94–$260.55	59% above	57%
Earwax removal by irrigation (rinsing), one ear inpatient one side CPT 69209 HC REMOVAL IMPACTED CERUMEN IRRIGATION/LVG UNILAT	$82.03	$193.00	$100.55–$173.70	—	57%
Earwax removal with instruments, one ear CPT 69210 HC REMOVE IMPACTED CERUMEN	$139.35	$327.87	$50.80–$1,617.00	13% above	57%
Earwax removal with instruments, one ear inpatient CPT 69210 HC REMOVE IMPACTED CERUMEN	$139.35	$327.87	$170.82–$295.08	—	57%
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 HC ENDOMETRIAL BIOPSY W/O CERVICAL DILATION	$218.19	$513.37	$172.05–$1,438.00	12% below	57%
Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 HC ENDOMETRIAL BIOPSY W/O CERVICAL DILATION	$218.03	$513.00	$267.27–$461.70	—	57%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 HC INJ EPIDURAL CERVICAL/THORACIC, W IMAGING	$753.53	$1,773.00	$569.92–$2,872.00	38% below	57%
Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 HC INJ EPIDURAL CERVICAL/THORACIC, W IMAGING	$753.53	$1,773.00	$923.73–$1,595.70	—	57%
Eye injection into the vitreous (intravitreal injection) CPT 67028 HC INTRAVITREAL INJECTION	$493.96	$1,162.24	$283.67–$1,438.00	at median	57%
Eye injection into the vitreous (intravitreal injection) inpatient CPT 67028 HC INTRAVITREAL INJECTION	$493.43	$1,161.00	$604.88–$1,044.90	—	57%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 HC FACET/MEDIAL BRANCH INJ LUMB/SACR 1ST W FLUORO	$1,658.98	$3,903.48	$761.40–$3,513.13	20% above	57%
Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 HC FACET/MEDIAL BRANCH INJ LUMB/SACR 1ST W FLUORO	$1,658.98	$3,903.48	$2,033.71–$3,513.13	—	57%
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 HC FLEX SIGMOIDOSCOPY W/WO COLL SPEC BY BRUSH/WASH	$860.20	$2,024.00	$581.85–$2,872.00	9% below	58%
Flexible sigmoidoscopy, diagnostic (lower colon only) inpatient CPT 45330 HC FLEX SIGMOIDOSCOPY W/WO COLL SPEC BY BRUSH/WASH	$860.45	$2,024.57	$1,054.80–$1,822.11	—	57%
Hemorrhoid banding (rubber band ligation) CPT 46221 HC HEMORRHOIDECTOMY W BANDING/LIGATION	$860.20	$2,024.00	$185.28–$2,732.25	6% above	58%
Hemorrhoid banding (rubber band ligation) inpatient CPT 46221 HC HEMORRHOIDECTOMY W BANDING/LIGATION	$860.20	$2,024.00	$1,054.50–$1,821.60	—	58%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 HC CATH/INJECT HYSTEROSALPINGOGRAM	$294.10	$692.00	$66.17–$1,438.00	6% below	58%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 HC CATH/INJECT HYSTEROSALPINGOGRAM	$294.10	$692.00	$360.53–$622.80	—	58%
IUD insertion (the device itself billed separately) CPT 58300 HC INSERTION INTRAUTERINE DEVICE	$252.45	$594.00	$75.18–$1,438.00	19% below	58%
IUD insertion (the device itself billed separately) inpatient CPT 58300 HC INSERTION INTRAUTERINE DEVICE	$252.45	$594.00	$309.47–$534.60	—	58%
Incision and drainage of a simple or single skin abscess CPT 10060 HC DRAIN SKIN ABSCESS SIMPLE/SINGLE	$310.45	$730.45	$138.01–$1,617.00	9% above	57%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 HC DRAIN SKIN ABSCESS SIMPLE/SINGLE	$310.78	$731.22	$380.97–$658.10	—	57%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 HC INJECT TENDON SHEATH/LIGAMENT	$614.55	$1,446.00	$252.46–$3,890.70	66% above	58%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 HC INJECT TENDON SHEATH/LIGAMENT	$614.55	$1,446.00	$753.37–$1,301.40	—	58%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HC DRAIN/INJ MAJOR JOINT/BURSA W/O US	$374.92	$882.15	$92.27–$793.93	4% above	57%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 HC DRAIN/INJ MAJOR JOINT/BURSA W/O US	$561.64	$1,321.50	$688.50–$1,189.35	—	57%
Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 HC INSERTION DRUG DELIVERY IMPLANT	$663.00	$1,560.00	$110.24–$3,444.27	142% above	58%
Insertion of a drug-delivery implant, such as the arm birth control implant inpatient CPT 11981 HC INSERTION DRUG DELIVERY IMPLANT	$663.00	$1,560.00	$812.76–$1,404.00	—	58%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 HC DRAIN/INJ INTER JOINT/BURSA W/O US	$363.38	$855.00	$228.29–$1,617.00	19% above	57%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 HC DRAIN/INJ INTER JOINT/BURSA W/O US	$363.38	$855.00	$445.46–$769.50	—	57%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 HC DRAIN/INJ SMALL JOINT/BURSA W/O US	$342.98	$807.00	$215.47–$1,617.00	6% above	57%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 HC DRAIN/INJ SMALL JOINT/BURSA W/O US	$342.98	$807.00	$420.45–$726.30	—	57%
Laser treatment of clouding after cataract surgery (YAG) CPT 66821 HC YAG LASER CAPSULOTOMY	$1,898.90	$4,468.00	$469.18–$4,021.20	19% above	58%
Laser treatment of clouding after cataract surgery (YAG) inpatient CPT 66821 HC YAG LASER CAPSULOTOMY	$1,898.90	$4,468.00	$2,327.83–$4,021.20	—	58%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 HC REPAIR INTERMED, WOUND TRUNK/ARM/LEG <=2.5 CM	$478.98	$1,127.00	$300.91–$1,617.00	6% above	57%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 HC REPAIR INTERMED, WOUND TRUNK/ARM/LEG <=2.5 CM	$467.50	$1,100.00	$573.10–$990.00	—	58%
Left heart catheterization, diagnostic one side CPT 93452 HC LEFT HEART CATH INJECT VETRICULOGRAPHY, IMAGE SUPERVISE/INTERP	$3,760.40	$8,848.00	$1,580.00–$7,963.20	3% above	58%
Left heart catheterization, diagnostic inpatient one side CPT 93452 HC LEFT HEART CATH INJECT VETRICULOGRAPHY, IMAGE SUPERVISE/INTERP	$3,760.40	$8,848.00	$4,609.81–$7,963.20	—	58%
Lower-back epidural injection, with imaging guidance CPT 62323 HC INJ EPIDURAL LUMBAR/SACRAL, W IMAGING	$1,195.32	$2,812.50	$447.85–$2,872.00	1% above	57%
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 HC INJ EPIDURAL LUMBAR/SACRAL, W IMAGING	$796.88	$1,875.00	$976.88–$1,687.50	—	57%
Lower-back epidural injection, without imaging guidance CPT 62322 HC INJ EPIDURAL LUMBAR/SACRAL, W/O IMAGING	$1,231.94	$2,898.68	$761.40–$2,872.00	11% above	57%
Lower-back epidural injection, without imaging guidance inpatient CPT 62322 HC INJ EPIDURAL LUMBAR/SACRAL, W/O IMAGING	$1,234.63	$2,905.00	$1,513.51–$2,614.50	—	57%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 HC INJ TRANSFORAMIN EPIDURAL, LUMB/SACR SINGLE	$1,069.30	$2,516.00	$232.49–$2,264.40	18% below	58%
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 HC INJ TRANSFORAMIN EPIDURAL, LUMB/SACR SINGLE	$1,071.33	$2,520.77	$1,313.32–$2,268.69	—	57%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 HC EXC BENIGN SKIN LESION TRUNK/ARM/LEG <=0.5 CM	$1,061.65	$2,498.00	$601.73–$2,872.00	162% above	58%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 HC EXC BENIGN SKIN LESION TRUNK/ARM/LEG <=0.5 CM	$1,061.65	$2,498.00	$1,301.46–$2,248.20	—	58%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 HC EXC BENIGN SKIN LESION FACE/EARS <=0.5 CM	$893.67	$2,102.75	$601.73–$2,872.00	50% above	57%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 HC EXC BENIGN SKIN LESION FACE/EARS <=0.5 CM	$893.67	$2,102.75	$1,095.53–$1,892.48	—	57%
Nail removal (partial or complete), one nail CPT 11730 HC REMOVAL OF NAIL PLATE SIMPLE SINGLE	$365.50	$860.00	$169.94–$1,617.00	36% above	58%
Nail removal (partial or complete), one nail inpatient CPT 11730 HC REMOVAL OF NAIL PLATE SIMPLE SINGLE	$365.50	$860.00	$448.06–$774.00	—	58%
Occipital nerve block (injection for headaches) CPT 64405 HC INJECTION NERVE BLOCK, GREATER OCCIPITAL	$864.45	$2,034.00	$103.57–$1,944.12	41% above	58%
Occipital nerve block (injection for headaches) inpatient CPT 64405 HC INJECTION NERVE BLOCK, GREATER OCCIPITAL	$864.45	$2,034.00	$1,059.71–$1,830.60	—	58%
Pacemaker implant (dual chamber) CPT 33208 HC PPM INSERTION NEW/REPLACEMENT W/ ATRIAL&VENTRICULAR LEAD	$13,380.28	$31,483.00	$1,460.00–$28,334.70	2% above	57%
Pacemaker implant (dual chamber) inpatient CPT 33208 HC PPM INSERTION NEW/REPLACEMENT W/ ATRIAL&VENTRICULAR LEAD	$13,373.74	$31,467.60	$16,394.62–$28,320.84	—	57%
Paracentesis with imaging guidance CPT 49083 HC ABDOM PARACENTESIS DX/THER W IMAGING GUIDANCE	$869.38	$2,045.59	$243.69–$2,809.70	2% below	57%
Paracentesis with imaging guidance inpatient CPT 49083 HC ABDOM PARACENTESIS DX/THER W IMAGING GUIDANCE	$869.38	$2,045.59	$1,065.75–$1,841.03	—	57%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 HC REMOVAL NAIL/NAIL BED, PARTIAL OR COMPLETE	$813.88	$1,915.00	$341.69–$1,942.41	59% above	57%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 HC REMOVAL NAIL/NAIL BED, PARTIAL OR COMPLETE	$813.88	$1,915.00	$997.72–$1,723.50	—	57%
Prostate biopsy CPT 55700 HC BIOPSY PROSTATE NEEDLE/PUNCH	$2,274.18	$5,351.00	$980.00–$4,815.90	31% above	57%
Prostate biopsy inpatient CPT 55700 HC BIOPSY PROSTATE NEEDLE/PUNCH	$2,274.18	$5,351.00	$2,787.87–$4,815.90	—	57%
Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 HC DESTRUCT PARVERTEB FACET SINGL LUMBAR/SACRAL	$2,228.28	$5,243.00	$797.75–$4,746.00	5% above	57%
Radiofrequency ablation of facet joint nerves, lower back, one level inpatient CPT 64635 HC DESTRUCT PARVERTEB FACET SINGL LUMBAR/SACRAL	$3,342.42	$7,864.50	$4,097.40–$7,078.05	—	57%
Removal of a foreign object under the skin, simple CPT 10120 HC REMOVE FOREIGN BODY SIMPLE	$633.68	$1,491.00	$225.69–$1,341.90	57% above	57%
Removal of a foreign object under the skin, simple inpatient CPT 10120 HC REMOVE FOREIGN BODY SIMPLE	$633.68	$1,491.00	$776.81–$1,341.90	—	57%
Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 HC COLOREC CANC SCRN,SCOPY NOT HI RISK	$1,094.38	$2,575.00	$653.00–$2,872.00	30% below	57%
Screening colonoscopy for a person at average risk (Medicare code) inpatient HCPCS G0121 HC COLOREC CANC SCRN,SCOPY NOT HI RISK	$1,094.38	$2,575.00	$1,341.58–$2,317.50	—	57%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 HC COLOREC CANC SCRN,COLONOSCPY HI RISK	$919.49	$2,163.50	$653.00–$2,872.00	40% below	57%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) inpatient HCPCS G0105 HC COLOREC CANC SCRN,COLONOSCPY HI RISK	$926.88	$2,180.89	$1,136.24–$1,962.80	—	57%
Short arm cast (elbow to hand) CPT 29075 HC APPLY SHORT ARM CAST	$375.70	$884.00	$227.13–$1,617.00	44% above	58%
Short arm cast (elbow to hand) inpatient CPT 29075 HC APPLY SHORT ARM CAST	$375.70	$884.00	$460.56–$795.60	—	58%
Short arm splint (forearm and hand) CPT 29125 HC APPLY SHORT ARM SPLINT STATIC	$236.30	$556.00	$110.24–$1,438.00	19% above	58%
Short arm splint (forearm and hand) inpatient CPT 29125 HC APPLY SHORT ARM SPLINT STATIC	$236.18	$555.72	$289.53–$500.15	—	58%
Short leg cast (below the knee) CPT 29405 HC APPLY SHORT LEG CAST	$315.78	$743.00	$198.38–$1,617.00	6% above	57%
Short leg cast (below the knee) inpatient CPT 29405 HC APPLY SHORT LEG CAST	$315.78	$743.00	$387.10–$668.70	—	57%
Short leg splint (calf to foot) CPT 29515 HC APPLY SHORT LEG SPLINT	$236.19	$555.72	$134.95–$1,617.00	6% above	57%
Short leg splint (calf to foot) inpatient CPT 29515 HC APPLY SHORT LEG SPLINT	$354.45	$834.00	$434.51–$750.60	—	58%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 HC REPAIR SUPERFICIAL, WOUND BODY < =2.5CM	$211.23	$497.00	$64.39–$447.30	24% below	57%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 HC REPAIR SUPERFICIAL, WOUND BODY < =2.5CM	$230.27	$541.80	$282.28–$487.62	—	57%
Skin biopsy, punch, one lesion CPT 11104 HC PUNCH BIOPSY OF SKIN, FIRST LESION	$375.70	$884.00	$117.50–$1,438.00	26% above	58%
Skin biopsy, punch, one lesion inpatient CPT 11104 HC PUNCH BIOPSY OF SKIN, FIRST LESION	$375.70	$884.00	$460.56–$795.60	—	58%
Skin tag removal, up to 15 tags CPT 11200 HC REMOVAL OF SKIN TAGS, FIRST 15	$278.80	$656.00	$164.51–$647.40	31% above	58%
Skin tag removal, up to 15 tags inpatient CPT 11200 HC REMOVAL OF SKIN TAGS, FIRST 15	$276.08	$649.60	$338.44–$584.64	—	58%
Spinal tap (lumbar puncture), diagnostic CPT 62270 HC SPINAL PUNCTURE, LUMBAR DIAGNOSTIC	$791.80	$1,863.05	$183.22–$1,676.75	8% above	57%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 HC SPINAL PUNCTURE, LUMBAR DIAGNOSTIC	$792.20	$1,864.00	$971.14–$1,677.60	—	58%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 HC REPAIR SUPERFICIAL, WOUND BODY 2.6-7.5 CM	$258.40	$608.00	$69.68–$547.20	20% below	58%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 HC REPAIR SUPERFICIAL, WOUND BODY 2.6-7.5 CM	$258.40	$608.00	$316.77–$547.20	—	58%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 HC REPAIR SUPERFICIAL, WOUND FACE/EAR <2.5 CM	$193.38	$455.00	$61.33–$1,617.00	33% below	57%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 HC REPAIR SUPERFICIAL, WOUND FACE/EAR <2.5 CM	$193.79	$455.97	$237.56–$410.37	—	57%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 HC TANGENTIAL BIOPSY OF SKIN, FIRST LESION	$267.91	$630.37	$93.67–$1,438.00	6% above	57%
Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 HC TANGENTIAL BIOPSY OF SKIN, FIRST LESION	$268.60	$632.00	$329.27–$568.80	—	58%
Thoracentesis with imaging guidance CPT 32555 HC THORACENTESIS NEEDLE/CATH PLEURA W/IMAGING	$1,232.93	$2,901.00	$220.87–$2,610.90	34% above	57%
Thoracentesis with imaging guidance inpatient CPT 32555 HC THORACENTESIS NEEDLE/CATH PLEURA W/IMAGING	$821.95	$1,934.00	$1,007.61–$1,740.60	—	58%
Trigger point injections, 1 or 2 muscles CPT 20552 HC INJECTION SNGL/MULT TRIGGER POINT, 1 OR 2 MUSCLES	$311.53	$733.00	$195.71–$1,617.00	2% below	57%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 HC INJECTION SNGL/MULT TRIGGER POINT, 1 OR 2 MUSCLES	$327.25	$770.00	$401.17–$693.00	—	58%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 HC BX BREAST W DEVICE 1ST LESION, ULTRASOUND GUIDE	$1,838.55	$4,326.00	$375.48–$3,893.40	5% above	58%
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 HC BX BREAST W DEVICE 1ST LESION, ULTRASOUND GUIDE	$1,838.55	$4,326.00	$2,253.85–$3,893.40	—	58%
Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 HC UGI ENDOSCOPY W ESOPHAGEAL DILATION BALLOON <30MM	$1,887.43	$4,441.00	$829.00–$5,684.98	at median	57%
Upper endoscopy (EGD) with balloon widening of the esophagus inpatient CPT 43249 HC UGI ENDOSCOPY W ESOPHAGEAL DILATION BALLOON <30MM	$1,886.93	$4,439.82	$2,313.15–$3,995.84	—	57%
Upper endoscopy (EGD) with biopsy CPT 43239 HC UGI ENDOSCOPY DIAG W BIOPSY	$826.63	$1,945.00	$659.32–$3,500.00	41% below	57%
Upper endoscopy (EGD) with biopsy CPT 43239 HC UGI ENDOSCOPY DIAG W BIOPSY (NOT TO DUODENUM)	$885.28	$2,083.00	$659.32–$3,500.00	37% below	57%
Upper endoscopy (EGD) with biopsy inpatient CPT 43239 HC UGI ENDOSCOPY DIAG W BIOPSY (NOT TO DUODENUM)	$863.60	$2,032.00	$1,058.67–$1,828.80	—	58%
Upper endoscopy (EGD) with biopsy inpatient CPT 43239 HC UGI ENDOSCOPY DIAG W BIOPSY	$885.28	$2,083.00	$1,085.24–$1,874.70	—	57%
Upper endoscopy (EGD) with injection into the lining CPT 43236 HC UGI ENDOSCOPY DIAG W SUBMUCOSAL INJECTION	$1,124.98	$2,647.00	$332.76–$3,500.00	27% below	57%
Upper endoscopy (EGD) with injection into the lining inpatient CPT 43236 HC UGI ENDOSCOPY DIAG W SUBMUCOSAL INJECTION	$1,117.89	$2,630.31	$1,370.39–$2,367.28	—	57%
Upper endoscopy (EGD) with polyp removal by snare CPT 43251 HC UGI ENDO W SNARE TUMOR/POLYP/LESN (NOT TO DUODENUM)	$1,797.33	$4,229.00	$471.62–$5,684.98	at median	57%
Upper endoscopy (EGD) with polyp removal by snare CPT 43251 HC UGI ENDOSCOPY W SNARE TUMOR/POLYP/LESION	$1,885.82	$4,437.21	$471.62–$5,684.98	5% above	57%
Upper endoscopy (EGD) with polyp removal by snare inpatient CPT 43251 HC UGI ENDOSCOPY W SNARE TUMOR/POLYP/LESION	$1,885.82	$4,437.21	$2,311.79–$3,993.49	—	57%
Upper endoscopy (EGD) with polyp removal by snare inpatient CPT 43251 HC UGI ENDO W SNARE TUMOR/POLYP/LESN (NOT TO DUODENUM)	$1,887.43	$4,441.00	$2,313.76–$3,996.90	—	57%
Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 HC UGI ENDOSCOPY W ESOPHAGEAL DILATION GUIDEWIRE	$928.79	$2,185.38	$399.31–$3,500.00	42% below	57%
Upper endoscopy (EGD) with widening of the esophagus over a guide wire inpatient CPT 43248 HC UGI ENDOSCOPY W ESOPHAGEAL DILATION GUIDEWIRE	$928.79	$2,185.38	$1,138.58–$1,966.84	—	57%
Upper endoscopy (EGD), diagnostic CPT 43235 HC UGI ENDOSCOPY DIAG W OR W/O BRUSH/WASH	$867.64	$2,041.49	$659.32–$3,500.00	28% below	57%
Upper endoscopy (EGD), diagnostic inpatient CPT 43235 HC UGI ENDOSCOPY DIAG W OR W/O BRUSH/WASH	$869.64	$2,046.19	$1,066.07–$1,841.57	—	57%
Vein ablation, radiofrequency, first vein CPT 36475 HC ENDOVENOUS RF, 1ST VEIN	$3,652.45	$8,594.00	$1,460.00–$7,734.60	4% below	58%
Vein ablation, radiofrequency, first vein inpatient CPT 36475 HC ENDOVENOUS RF, 1ST VEIN	$3,652.45	$8,594.00	$4,477.47–$7,734.60	—	58%
Wart removal, up to 14 warts CPT 17110 HC DESTRUCT BENIGN LESION, UP TO 14	$207.92	$489.22	$169.94–$1,438.00	6% above	57%
Wart removal, up to 14 warts inpatient CPT 17110 HC DESTRUCT BENIGN LESION, UP TO 14	$207.92	$489.22	$254.88–$440.29	—	57%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 HC DEBRIDEMENT SKIN/SUBQ TISSUE, 1ST 20 SQ CM OR LESS	$473.88	$1,115.00	$266.43–$1,617.00	5% above	57%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 HC DEBRIDEMENT SKIN/SUBQ TISSUE, 1ST 20 SQ CM OR LESS	$496.83	$1,169.00	$609.05–$1,052.10	—	57%

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs Minnesota	Off list
Blood transfusion (giving blood or blood components) CPT 36430 HC BLOOD PRIME	$470.90	$1,108.00	$81.34–$997.20	33% below	58%
Blood transfusion (giving blood or blood components) CPT 36430 HC BLOOD TRANSFUSION 1 UNIT	$499.63	$1,175.59	$81.34–$1,058.03	29% below	57%
Blood transfusion (giving blood or blood components) CPT 36430 HC BLOOD TRANSFUSION 2 UNITS	$510.00	$1,200.00	$81.34–$1,080.00	28% below	58%
Blood transfusion (giving blood or blood components) CPT 36430 HC BLOOD TRANSFUSION 3 UNITS	$534.55	$1,257.76	$81.34–$1,131.98	24% below	57%
Blood transfusion (giving blood or blood components) CPT 36430 HC BLOOD TRANSFUSION 4 UNITS	$561.43	$1,321.00	$81.34–$1,188.90	20% below	57%
Blood transfusion (giving blood or blood components) CPT 36430 HC BLOOD TRANSFUSION 5 UNITS	$589.90	$1,388.00	$81.34–$1,249.20	16% below	58%
Blood transfusion (giving blood or blood components) CPT 36430 HC BLOOD TRANSFUSION >5 UNITS	$619.65	$1,458.00	$81.34–$1,312.20	12% below	58%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 HC BLOOD PRIME	$470.90	$1,108.00	$577.27–$997.20	—	58%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 HC BLOOD TRANSFUSION 1 UNIT	$499.63	$1,175.59	$612.48–$1,058.03	—	57%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 HC BLOOD TRANSFUSION 2 UNITS	$510.00	$1,200.00	$625.20–$1,080.00	—	58%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 HC BLOOD TRANSFUSION 3 UNITS	$535.08	$1,259.00	$655.94–$1,133.10	—	57%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 HC BLOOD TRANSFUSION 4 UNITS	$561.43	$1,321.00	$688.24–$1,188.90	—	57%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 HC BLOOD TRANSFUSION 5 UNITS	$589.90	$1,388.00	$723.15–$1,249.20	—	58%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 HC BLOOD TRANSFUSION >5 UNITS	$619.65	$1,458.00	$759.62–$1,312.20	—	58%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC INHALATION/NEBULIZER TREATMENT, INITIAL	$275.12	$647.33	$17.22–$582.59	136% above	57%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC INHALATION/NEBULIZER TREATMENT, ADDITIONAL	$276.25	$650.00	$17.22–$585.00	137% above	58%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC INHALATION/NEBULIZER TREATMENT, INITIAL	$275.84	$649.01	$338.14–$584.11	—	57%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC INHALATION/NEBULIZER TREATMENT, ADDITIONAL	$276.03	$649.48	$338.38–$584.53	—	57%
Chemotherapy IV infusion, first hour CPT 96413 HC CHEMO ADMIN IV INFUSION, INITIAL, UP TO 1 HR	$466.23	$1,097.00	$225.96–$987.30	9% below	57%
Chemotherapy IV infusion, first hour inpatient CPT 96413 HC CHEMO ADMIN IV INFUSION, INITIAL, UP TO 1 HR	$466.23	$1,097.00	$571.54–$987.30	—	57%
Comprehensive hearing test: tone and speech audiometry, both ears CPT 92557 HC CMPRHN AUDMTRY THRSHLD EVAL & SPEECH RECOGNITION	$154.70	$364.00	$34.95–$352.10	at median	58%
Comprehensive hearing test: tone and speech audiometry, both ears inpatient CPT 92557 HC CMPRHN AUDMTRY THRSHLD EVAL & SPEECH RECOGNITION	$154.70	$364.00	$189.64–$327.60	—	58%
Critical care, first 30 to 74 minutes CPT 99291 HC CRITICAL CARE 30-74 MIN	$997.76	$2,347.67	$236.01–$3,048.00	38% below	57%
Critical care, first 30 to 74 minutes CPT 99291 HC CRITICAL CARE 30-74 W PROCEDURE	$1,020.93	$2,402.19	$236.01–$3,048.00	36% below	58%
Critical care, first 30 to 74 minutes CPT 99291 HC PARTIAL TRAUMA TEAM ACTIVATION LEVEL III	$1,493.88	$3,515.00	$236.01–$3,163.50	7% below	57%
Critical care, first 30 to 74 minutes inpatient CPT 99291 HC CRITICAL CARE 30-74 W PROCEDURE	$1,023.94	$2,409.27	$1,255.23–$2,168.34	—	57%
Critical care, first 30 to 74 minutes inpatient CPT 99291 HC CRITICAL CARE 30-74 MIN	$1,024.38	$2,410.30	$1,255.77–$2,169.27	—	57%
Critical care, first 30 to 74 minutes inpatient CPT 99291 HC PARTIAL TRAUMA TEAM ACTIVATION LEVEL III	$1,493.88	$3,515.00	$1,831.32–$3,163.50	—	57%
EEG (brain wave test), awake and drowsy, routine CPT 95816 HC EEG ROUTINE, INCL AWAKE AND DROWSY	$357.00	$840.00	$266.32–$1,596.79	32% below	58%
EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 HC EEG ROUTINE, INCL AWAKE AND DROWSY	$357.00	$840.00	$437.64–$756.00	—	58%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 HC EKG 12 LEAD, TRACING ONLY, SUBSEQUENT - ED ONLY	$93.35	$219.64	$13.52–$312.00	46% below	57%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 HC EKG 12 LEAD, TRACING ONLY - EMERGENCY ROOM EKG TECH ONLY	$93.50	$220.00	$13.52–$312.00	46% below	58%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 HC EKG 12 LEAD, TRACING ONLY	$93.81	$220.72	$13.52–$312.00	46% below	57%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 HC EKG 12 LEAD, TRACING ONLY - EMERGENCY ROOM EKG TECH ONLY	$87.34	$205.50	$107.07–$184.95	—	57%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 HC EKG 12 LEAD, TRACING ONLY, SUBSEQUENT - ED ONLY	$92.83	$218.42	$113.80–$196.58	—	57%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 HC EKG 12 LEAD, TRACING ONLY	$94.73	$222.88	$116.12–$200.60	—	57%
Electroconvulsive therapy (ECT), one session CPT 90870 HC ELECTROCONVULSIVE THERAPY	$601.80	$1,416.00	$220.83–$1,274.40	6% above	58%
Electroconvulsive therapy (ECT), one session inpatient CPT 90870 HC ELECTROCONVULSIVE THERAPY	$601.80	$1,416.00	$737.74–$1,274.40	—	58%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 HC EMERGENCY DEPARTMENT LEVEL 1	$215.98	$508.17	$52.00–$1,617.00	6% above	57%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 HC EMERGENCY DEPARTMENT LEVEL 1 W PROCEDURE	$219.73	$517.00	$52.00–$1,617.00	8% above	57%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 HC EMERGENCY DEPARTMENT LEVEL 1 W PROCEDURE	$219.73	$517.00	$269.36–$465.30	—	57%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 HC EMERGENCY DEPARTMENT LEVEL 1	$219.73	$517.00	$269.36–$465.30	—	57%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 HC EMERGENCY DEPARTMENT LEVEL 2	$254.05	$597.75	$84.00–$1,617.00	15% below	57%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 HC EMERGENCY DEPARTMENT LEVEL 2 W PROCEDURE	$257.39	$605.60	$84.00–$1,617.00	14% below	57%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 HC EMERGENCY DEPARTMENT LEVEL 2	$256.90	$604.45	$314.92–$544.01	—	57%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 HC EMERGENCY DEPARTMENT LEVEL 2 W PROCEDURE	$257.13	$605.00	$315.21–$544.50	—	57%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 HC EMERGENCY DEPARTMENT LEVEL 3	$302.97	$712.86	$190.33–$1,617.00	37% below	57%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 HC EMERGENCY DEPARTMENT LEVEL 3 W PROCEDURE	$305.58	$719.00	$191.97–$1,617.00	37% below	57%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 HC EMERGENCY DEPARTMENT LEVEL 3	$302.97	$712.86	$371.40–$641.57	—	57%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 HC EMERGENCY DEPARTMENT LEVEL 3 W PROCEDURE	$305.40	$718.57	$374.38–$646.72	—	57%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 HC EMERGENCY DEPARTMENT LEVEL 4 W PROCEDURE	$530.02	$1,247.09	$227.90–$1,617.00	32% below	57%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 HC EMERGENCY DEPARTMENT LEVEL 4	$530.83	$1,249.00	$227.90–$1,617.00	32% below	57%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 HC EMERGENCY DEPARTMENT LEVEL 4 W PROCEDURE	$527.63	$1,241.46	$646.80–$1,117.31	—	57%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 HC EMERGENCY DEPARTMENT LEVEL 4	$530.38	$1,247.94	$650.18–$1,123.15	—	57%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HC EMERGENCY DEPARTMENT LEVEL 5	$751.64	$1,768.56	$228.73–$2,423.00	35% below	57%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HC EMERGENCY DEPARTMENT LEVEL 5 W PROCEDURE	$753.10	$1,772.00	$228.73–$2,423.00	35% below	58%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 HC EMERGENCY DEPARTMENT LEVEL 5 W PROCEDURE	$750.80	$1,766.58	$920.39–$1,589.92	—	57%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 HC EMERGENCY DEPARTMENT LEVEL 5	$752.86	$1,771.43	$922.92–$1,594.29	—	57%
Exercise stress test, tracing only, the hospital charge CPT 93017 HC CARDIAC STRESS TEST, TRACING ONLY	$450.50	$1,060.00	$82.46–$1,037.76	38% below	58%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 HC CARDIAC STRESS TEST, TRACING ONLY	$450.50	$1,060.00	$552.26–$954.00	—	58%
Family therapy with the patient, 50 minutes CPT 90847 HC FAMILY THERAPY W PATIENT 26-50 MIN	$194.52	$457.68	$114.12–$462.22	at median	57%
Family therapy with the patient, 50 minutes CPT 90847 HC FAMILY THERAPY W PATIENT 26-50 MIN, IOP	$215.75	$507.63	$114.12–$462.22	11% above	57%
Family therapy with the patient, 50 minutes CPT 90847 HC FAMILY THERAPY-PARTIAL , PER HOUR, CHILD	$303.03	$713.00	$114.12–$641.70	56% above	57%
Family therapy with the patient, 50 minutes CPT 90847 HC FAMILY THERAPY W PATIENT 1HR (DRUG)	$305.79	$719.50	$114.12–$647.55	58% above	57%
Family therapy with the patient, 50 minutes inpatient CPT 90847 HC FAMILY THERAPY W PATIENT 26-50 MIN, IOP	$249.05	$586.00	$305.31–$527.40	—	58%
Family therapy with the patient, 50 minutes inpatient CPT 90847 HC FAMILY THERAPY W PATIENT 26-50 MIN	$249.05	$586.00	$305.31–$527.40	—	58%
Family therapy with the patient, 50 minutes inpatient CPT 90847 HC FAMILY THERAPY-PARTIAL , PER HOUR, CHILD	$303.03	$713.00	$371.47–$641.70	—	57%
Family therapy with the patient, 50 minutes inpatient CPT 90847 HC FAMILY THERAPY W PATIENT 1HR (DRUG)	$305.79	$719.50	$374.86–$647.55	—	57%
Family therapy without the patient, 50 minutes CPT 90846 HC FAMILY THERAPY W/O PATIENT 26- 50 MIN	$241.83	$569.00	$108.90–$512.10	32% above	57%
Family therapy without the patient, 50 minutes CPT 90846 HC FAMILY THERAPY W/O PATIENT 26- 50 MIN, IOP	$249.05	$586.00	$108.90–$527.40	36% above	58%
Family therapy without the patient, 50 minutes inpatient CPT 90846 HC FAMILY THERAPY W/O PATIENT 26- 50 MIN, IOP	$241.60	$568.45	$296.16–$511.61	—	57%
Family therapy without the patient, 50 minutes inpatient CPT 90846 HC FAMILY THERAPY W/O PATIENT 26- 50 MIN	$241.83	$569.00	$296.45–$512.10	—	57%
Group psychotherapy session CPT 90853 HC TRAIN & EDUC SERV PER SESS, PARTIAL TX, 45+ MINS	$49.30	$116.00	$51.03–$416.50	41% below	58%
Group psychotherapy session CPT 90853 HC TRAIN & EDUC SERV PER SESS, 45+ MINS, (DRUG)	$49.49	$116.44	$51.03–$416.50	41% below	57%
Group psychotherapy session CPT 90853 HC TRAIN & EDUC SERV PER SESS, PARTIAL TX, 45+ MINS, CHILD	$53.98	$127.00	$51.03–$416.50	36% below	57%
Group psychotherapy session CPT 90853 HC SUBSTANCE USE DISORDER GROUP, 0.5 HR RESIDENTIAL	$82.14	$193.25	$51.03–$416.50	2% below	57%
Group psychotherapy session CPT 90853 HC GROUP THERAPY, 0.5 HR, IOP	$91.38	$215.00	$51.03–$416.50	9% above	57%
Group psychotherapy session CPT 90853 HC GROUP THERAPY 1HR CD/IOP	$142.80	$336.00	$51.03–$416.50	70% above	58%
Group psychotherapy session CPT 90853 HC GROUP THERAPY (30+ MIN)	$147.05	$346.00	$51.03–$416.50	75% above	58%
Group psychotherapy session CPT 90853 HC GROUP THERAPY, 1.5 HR, IOP	$147.05	$346.00	$51.03–$416.50	75% above	58%
Group psychotherapy session CPT 90853 HC PSYCHOTHERAPY W PATIENT, PARTIAL TX, 30-37 MINUTES, CHILD	$148.75	$350.00	$51.03–$416.50	77% above	58%
Group psychotherapy session CPT 90853 HC GROUP THERAPY 1HR CD	$157.68	$371.00	$51.03–$416.50	88% above	57%
Group psychotherapy session CPT 90853 HC GROUP THERAPY, 1HR (DRUG)	$164.47	$386.99	$51.03–$416.50	96% above	58%
Group psychotherapy session CPT 90853 HC GROUP THERAPY, 0.5HR CD	$165.75	$390.00	$51.03–$416.50	97% above	58%
Group psychotherapy session CPT 90853 HC PARTIAL GROUP THERAPY, PER HR, CHILD	$169.47	$398.73	$51.03–$416.50	102% above	57%
Group psychotherapy session CPT 90853 HC MH OT GROUP THERAPY, PARTIAL TX, 1 HR, CHILD	$175.26	$412.36	$51.03–$416.50	109% above	57%
Group psychotherapy session CPT 90853 HC GROUP THERAPY-PARTIAL, PER HOUR	$176.46	$415.20	$51.03–$416.50	110% above	58%
Group psychotherapy session CPT 90853 HC MH OT GROUP THERAPY, PARTIAL TX, 1 HR	$176.46	$415.20	$51.03–$416.50	110% above	58%
Group psychotherapy session CPT 90853 HC GROUP THERAPY, 1 HR	$189.13	$445.00	$51.03–$416.50	125% above	57%
Group psychotherapy session CPT 90853 HC GROUP THERAPY, 1 HR, IOP	$189.13	$445.00	$51.03–$416.50	125% above	57%
Group psychotherapy session CPT 90853 HC PSYCHOTHERAPY W PATIENT, 38-52 MINUTES, CD/IOP	$212.08	$499.00	$51.03–$449.10	152% above	57%
Group psychotherapy session CPT 90853 HC PSYCHOTHERAPY W PATIENT, 53 OR > MINUTES, CD/IOP	$282.20	$664.00	$51.03–$597.60	236% above	58%
Group psychotherapy session CPT 90853 HC FAMILY THERAPY-PARTIAL , PER HOUR, CHILD	$288.58	$679.00	$51.03–$611.10	244% above	57%
Group psychotherapy session CPT 90853 HC MULTI FAM GROUP THERAPY-PARTIAL, PER HOUR	$303.03	$713.00	$51.03–$641.70	261% above	57%
Group psychotherapy session CPT 90853 HC FAMILY THERAPY W PATIENT 1HR (DRUG)	$310.25	$730.00	$51.03–$657.00	269% above	58%
Group psychotherapy session inpatient CPT 90853 HC TRAIN & EDUC SERV PER SESS, PARTIAL TX, 45+ MINS	$49.30	$116.00	$60.44–$104.40	—	58%
Group psychotherapy session inpatient CPT 90853 HC TRAIN & EDUC SERV PER SESS, 45+ MINS, (DRUG)	$49.49	$116.44	$60.67–$104.80	—	57%
Group psychotherapy session inpatient CPT 90853 HC TRAIN & EDUC SERV PER SESS, PARTIAL TX, 45+ MINS, CHILD	$53.98	$127.00	$66.17–$114.30	—	57%
Group psychotherapy session inpatient CPT 90853 HC SUBSTANCE USE DISORDER GROUP, 0.5 HR RESIDENTIAL	$82.14	$193.25	$100.68–$173.93	—	57%
Group psychotherapy session inpatient CPT 90853 HC GROUP THERAPY, 0.5 HR, IOP	$91.38	$215.00	$112.02–$193.50	—	57%
Group psychotherapy session inpatient CPT 90853 HC GROUP THERAPY, 1 HR, IOP	$133.88	$315.00	$164.12–$283.50	—	57%
Group psychotherapy session inpatient CPT 90853 HC GROUP THERAPY, 1.5 HR, IOP	$147.05	$346.00	$180.27–$311.40	—	58%
Group psychotherapy session inpatient CPT 90853 HC GROUP THERAPY (30+ MIN)	$147.05	$346.00	$180.27–$311.40	—	58%
Group psychotherapy session inpatient CPT 90853 HC GROUP THERAPY 1HR CD/IOP	$147.55	$347.17	$180.88–$312.46	—	57%
Group psychotherapy session inpatient CPT 90853 HC PSYCHOTHERAPY W PATIENT, PARTIAL TX, 30-37 MINUTES, CHILD	$148.75	$350.00	$182.35–$315.00	—	58%
Group psychotherapy session inpatient CPT 90853 HC GROUP THERAPY 1HR CD	$157.68	$371.00	$193.29–$333.90	—	57%
Group psychotherapy session inpatient CPT 90853 HC GROUP THERAPY, 1HR (DRUG)	$164.47	$386.99	$201.62–$348.29	—	58%
Group psychotherapy session inpatient CPT 90853 HC GROUP THERAPY, 0.5HR CD	$165.75	$390.00	$203.19–$351.00	—	58%
Group psychotherapy session inpatient CPT 90853 HC PARTIAL GROUP THERAPY, PER HR, CHILD	$169.47	$398.73	$207.74–$358.86	—	57%
Group psychotherapy session inpatient CPT 90853 HC MH OT GROUP THERAPY, PARTIAL TX, 1 HR, CHILD	$175.26	$412.36	$214.84–$371.13	—	57%
Group psychotherapy session inpatient CPT 90853 HC GROUP THERAPY-PARTIAL, PER HOUR	$176.46	$415.20	$216.32–$373.68	—	58%
Group psychotherapy session inpatient CPT 90853 HC MH OT GROUP THERAPY, PARTIAL TX, 1 HR	$176.46	$415.20	$216.32–$373.68	—	58%
Group psychotherapy session inpatient CPT 90853 HC GROUP THERAPY, 1 HR	$189.13	$445.00	$231.85–$400.50	—	57%
Group psychotherapy session inpatient CPT 90853 HC PSYCHOTHERAPY W PATIENT, 38-52 MINUTES, CD/IOP	$212.08	$499.00	$259.98–$449.10	—	57%
Group psychotherapy session inpatient CPT 90853 HC PSYCHOTHERAPY W PATIENT, 53 OR > MINUTES, CD/IOP	$282.20	$664.00	$345.94–$597.60	—	58%
Group psychotherapy session inpatient CPT 90853 HC FAMILY THERAPY-PARTIAL , PER HOUR, CHILD	$288.58	$679.00	$353.76–$611.10	—	57%
Group psychotherapy session inpatient CPT 90853 HC MULTI FAM GROUP THERAPY-PARTIAL, PER HOUR	$303.03	$713.00	$371.47–$641.70	—	57%
Group psychotherapy session inpatient CPT 90853 HC FAMILY THERAPY W PATIENT 1HR (DRUG)	$310.25	$730.00	$380.33–$657.00	—	58%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HC IV INFUS HYDRATION INITIAL UP TO 1 HOUR, LAB ONLY	$207.83	$489.00	$70.85–$471.00	24% below	57%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HC IV INFUSION HYDRATION INITIAL, UP TO 1 HR	$217.99	$512.90	$70.85–$471.00	20% below	57%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HC IV INFUS HYDRATION INITIAL UP TO 1 HOUR, LAB ONLY	$207.83	$489.00	$254.77–$440.10	—	57%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HC IV INFUSION HYDRATION INITIAL, UP TO 1 HR	$219.73	$517.00	$269.36–$465.30	—	57%
IV infusion of a medicine, first hour CPT 96365 HC IV INFUSION THERAPY/DIAGOSTIC INITIAL, UP TO 1 HR	$279.29	$657.14	$108.64–$591.43	15% below	57%
IV infusion of a medicine, first hour CPT 96365 HC IV INFUS THERAPY DIAG INITIAL UP TO 1 HR, LAB ONLY	$280.50	$660.00	$108.64–$594.00	14% below	58%
IV infusion of a medicine, first hour inpatient CPT 96365 HC IV INFUSION THERAPY/DIAGOSTIC INITIAL, UP TO 1 HR	$279.29	$657.14	$342.37–$591.43	—	57%
IV infusion of a medicine, first hour inpatient CPT 96365 HC IV INFUS THERAPY DIAG INITIAL UP TO 1 HR, LAB ONLY	$280.50	$660.00	$343.86–$594.00	—	58%
IV push of a medicine, first drug CPT 96374 HC IV PUSH SINGLE, INITIAL SUBSTANCE	$210.38	$495.00	$79.93–$471.00	14% above	57%
IV push of a medicine, first drug CPT 96374 HC IV PUSH SINGLE INITIAL SUBSTANCE, LAB ONLY	$214.20	$504.00	$79.93–$471.00	16% above	58%
IV push of a medicine, first drug inpatient CPT 96374 HC IV PUSH SINGLE INITIAL SUBSTANCE, LAB ONLY	$214.20	$504.00	$262.58–$453.60	—	58%
IV push of a medicine, first drug inpatient CPT 96374 HC IV PUSH SINGLE, INITIAL SUBSTANCE	$217.68	$512.18	$266.85–$460.96	—	57%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 HC INJECTION INTRAMUSCULAR OR SUB-Q	$89.07	$209.56	$38.61–$1,617.00	15% above	57%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 HC INJECTION INTRAMUSCULAR OR SUB-Q	$89.29	$210.07	$109.45–$189.07	—	57%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 HC MH GLOBAL PSYCH DIAG EVAL-ED/BEC	$301.75	$710.00	$137.41–$671.43	18% above	58%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 HC PSYCHIATRIC DIAGNOSTIC EVAL SUD	$388.88	$915.00	$137.41–$823.50	52% above	57%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 HC PSYCHIATRIC DIAGNOSTIC EVAL	$389.30	$916.00	$137.41–$824.40	52% above	58%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 HC ADULT UPDATE DX ASSESSMENT	$389.30	$916.00	$137.41–$824.40	52% above	58%
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 HC MH GLOBAL PSYCH DIAG EVAL-ED/BEC	$301.75	$710.00	$369.91–$639.00	—	58%
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 HC PSYCHIATRIC DIAGNOSTIC EVAL SUD	$388.88	$915.00	$476.72–$823.50	—	57%
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 HC PSYCHIATRIC DIAGNOSTIC EVAL	$389.30	$916.00	$477.24–$824.40	—	58%
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 HC ADULT UPDATE DX ASSESSMENT	$389.30	$916.00	$477.24–$824.40	—	58%
Nerve conduction study, 7 or 8 nerve studies CPT 95910 HC NCS MOTOR W OR W/O F-WAVE, 7 OR 8	$362.53	$853.00	$110.00–$767.70	20% below	57%
Nerve conduction study, 7 or 8 nerve studies inpatient CPT 95910 HC NCS MOTOR W OR W/O F-WAVE, 7 OR 8	$362.53	$853.00	$444.41–$767.70	—	57%
Neuromuscular re-education, 15 minutes CPT 97112 HC OT NEUROMUSCULAR RE-ED, EA 15 MIN	$69.70	$164.00	$24.27–$222.08	14% below	58%
Neuromuscular re-education, 15 minutes CPT 97112 HC PT NEUROMUSCULAR RE-ED, EA 15 MIN	$69.71	$164.00	$24.27–$222.08	14% below	57%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 HC PT NEUROMUSCULAR RE-ED, EA 15 MIN	$69.71	$164.00	$85.44–$147.60	—	57%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 HC OT NEUROMUSCULAR RE-ED, EA 15 MIN	$69.76	$164.14	$85.51–$147.72	—	57%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 HC MNT INDIVIDUAL INITIAL EA 15 MIN	$81.79	$192.43	$26.97–$313.81	33% above	57%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 HC MNT INDIVIDUAL INITIAL EA 15 MIN	$82.17	$193.33	$100.73–$174.00	—	57%
Occupational therapy evaluation, low complexity CPT 97165 HC OT EVAL, LOW COMPLEXITY	$154.69	$363.97	$76.25–$338.69	9% below	57%
Occupational therapy evaluation, low complexity inpatient CPT 97165 HC OT EVAL, LOW COMPLEXITY	$154.69	$363.97	$189.63–$327.57	—	57%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 HC PT EVAL, HIGH COMPLEXITY	$169.15	$398.00	$74.25–$358.20	16% below	58%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 HC PT EVAL, HIGH COMPLEXITY	$169.15	$398.00	$207.36–$358.20	—	58%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 HC PT EVAL, LOW COMPLEXITY	$136.85	$322.00	$74.25–$335.26	19% below	58%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 HC PT EVAL, LOW COMPLEXITY	$134.30	$316.00	$164.64–$284.40	—	58%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 HC PT EVAL, MODERATE COMPLEXITY	$144.50	$340.00	$74.25–$335.26	25% below	58%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 HC PT EVAL, MODERATE COMPLEXITY	$128.35	$302.00	$157.34–$271.80	—	58%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HC OT MANUAL THERAPY EA 15 MIN	$66.73	$157.00	$20.58–$222.08	21% below	57%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HC PT MANUAL THERAPY EA 15 MIN	$67.47	$158.74	$20.58–$222.08	20% below	57%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HC PT MANUAL THERAPY EA 15 MIN	$67.42	$158.63	$82.64–$142.76	—	57%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HC OT MANUAL THERAPY EA 15 MIN	$68.26	$160.60	$83.67–$144.54	—	57%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC PT THERAPY PROC, EA 15 MIN	$73.54	$173.03	$21.83–$222.08	19% below	57%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC OT THERAPY PROC, EA 15 MIN	$73.95	$174.00	$21.83–$222.08	19% below	58%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC PT THERAPY PROC, EA 15 MIN	$70.13	$165.00	$85.97–$148.50	—	57%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC OT THERAPY PROC, EA 15 MIN	$73.95	$174.00	$90.65–$156.60	—	58%
Psychotherapy for crisis, first 60 minutes CPT 90839 HC PSYCHOTHERAPY CRISIS, FIRST 60 MINUTES	$249.90	$588.00	$137.41–$585.44	6% above	58%
Psychotherapy for crisis, first 60 minutes inpatient CPT 90839 HC PSYCHOTHERAPY CRISIS, FIRST 60 MINUTES	$249.90	$588.00	$306.35–$529.20	—	58%
Psychotherapy session, 30 minutes CPT 90832 HC PSYCHOTHERAPY W PATIENT 16-37 MINUTES	$133.49	$314.09	$63.98–$361.59	17% above	57%
Psychotherapy session, 30 minutes CPT 90832 HC PSYCHOTHERAPY W PATIENT 16-37 MINUTES, IOP	$135.88	$319.71	$65.12–$361.59	19% above	57%
Psychotherapy session, 30 minutes CPT 90832 HC PSYCHOTHERAPY W PATIENT, PARTIAL TX, 30-37 MINUTES, CHILD	$148.75	$350.00	$71.30–$361.59	30% above	58%
Psychotherapy session, 30 minutes CPT 90832 HC INDIVIDUAL THERAPY 30-37 MIN, (DRUG)	$168.30	$396.00	$80.67–$361.59	47% above	58%
Psychotherapy session, 30 minutes CPT 90832 HC PSYCHOTHERAPY W PATIENT 38-52 MINUTES, IOP	$231.63	$545.00	$111.02–$490.50	103% above	57%
Psychotherapy session, 30 minutes inpatient CPT 90832 HC PSYCHOTHERAPY W PATIENT 16-37 MINUTES, IOP	$133.45	$314.00	$163.59–$282.60	—	58%
Psychotherapy session, 30 minutes inpatient CPT 90832 HC PSYCHOTHERAPY W PATIENT 16-37 MINUTES	$133.49	$314.09	$163.64–$282.68	—	57%
Psychotherapy session, 30 minutes inpatient CPT 90832 HC PSYCHOTHERAPY W PATIENT, PARTIAL TX, 30-37 MINUTES, CHILD	$148.75	$350.00	$182.35–$315.00	—	58%
Psychotherapy session, 30 minutes inpatient CPT 90832 HC INDIVIDUAL THERAPY 30-37 MIN, (DRUG)	$168.30	$396.00	$206.32–$356.40	—	58%
Psychotherapy session, 30 minutes inpatient CPT 90832 HC PSYCHOTHERAPY W PATIENT 38-52 MINUTES, IOP	$231.63	$545.00	$283.95–$490.50	—	57%
Psychotherapy session, 45 minutes CPT 90834 HC INDIVIDUAL THERAPY 30-37 MIN, (DRUG)	$160.23	$377.00	$76.79–$410.87	6% above	57%
Psychotherapy session, 45 minutes CPT 90834 HC PSYCHOTHERAPY W PATIENT 38-52 MINUTES	$186.31	$438.36	$89.29–$410.87	23% above	57%
Psychotherapy session, 45 minutes CPT 90834 HC PSYCHOTHERAPY W PATIENT 38-52 MINUTES, IOP	$190.17	$447.44	$91.14–$410.87	26% above	57%
Psychotherapy session, 45 minutes CPT 90834 HC PSYCHOTHERAPY W PATIENT, 38-52 MINUTES, CD/IOP	$218.45	$514.00	$104.70–$462.60	45% above	58%
Psychotherapy session, 45 minutes CPT 90834 HC INDIVIDUAL THERAPY 38-52MIN (DRUG)	$222.70	$524.00	$106.74–$471.60	47% above	58%
Psychotherapy session, 45 minutes inpatient CPT 90834 HC INDIVIDUAL THERAPY 30-37 MIN, (DRUG)	$160.23	$377.00	$196.42–$339.30	—	57%
Psychotherapy session, 45 minutes inpatient CPT 90834 HC PSYCHOTHERAPY W PATIENT 38-52 MINUTES, IOP	$177.06	$416.60	$217.05–$374.94	—	57%
Psychotherapy session, 45 minutes inpatient CPT 90834 HC PSYCHOTHERAPY W PATIENT 38-52 MINUTES	$186.31	$438.36	$228.38–$394.52	—	57%
Psychotherapy session, 45 minutes inpatient CPT 90834 HC PSYCHOTHERAPY W PATIENT, 38-52 MINUTES, CD/IOP	$218.45	$514.00	$267.79–$462.60	—	58%
Psychotherapy session, 45 minutes inpatient CPT 90834 HC INDIVIDUAL THERAPY 38-52MIN (DRUG)	$222.70	$524.00	$273.00–$471.60	—	58%
Psychotherapy session, 60 minutes CPT 90837 HC PSYCHOTHERAPY W PATIENT, 38-52 MINUTES, CD/IOP	$212.08	$499.00	$101.65–$606.24	14% above	57%
Psychotherapy session, 60 minutes CPT 90837 HC INDIVIDUAL THERAPY 1 HR (MINIMUM 53 MIN) (DRUG)	$296.65	$698.00	$137.41–$628.20	59% above	58%
Psychotherapy session, 60 minutes CPT 90837 HC PSYCHOTHERAPY W PATIENT, 53 OR > MINUTES, CD/IOP	$303.57	$714.27	$137.41–$642.85	63% above	57%
Psychotherapy session, 60 minutes CPT 90837 HC PSYCHOTHERAPY 53 OR > MIN	$308.13	$725.00	$137.41–$652.50	66% above	57%
Psychotherapy session, 60 minutes CPT 90837 HC PSYCHOTHERAPY W PATIENT 53 OR > MINUTES, IOP	$308.16	$725.07	$137.41–$652.56	66% above	57%
Psychotherapy session, 60 minutes CPT 90837 HC INDIVIDUAL THERAPY 53 OR > MIN, (DRUG)	$336.18	$791.00	$137.41–$711.90	81% above	57%
Psychotherapy session, 60 minutes inpatient CPT 90837 HC PSYCHOTHERAPY W PATIENT, 38-52 MINUTES, CD/IOP	$212.08	$499.00	$259.98–$449.10	—	57%
Psychotherapy session, 60 minutes inpatient CPT 90837 HC PSYCHOTHERAPY W PATIENT, 53 OR > MINUTES, CD/IOP	$283.90	$668.00	$348.03–$601.20	—	58%
Psychotherapy session, 60 minutes inpatient CPT 90837 HC INDIVIDUAL THERAPY 1 HR (MINIMUM 53 MIN) (DRUG)	$300.48	$707.00	$368.35–$636.30	—	57%
Psychotherapy session, 60 minutes inpatient CPT 90837 HC PSYCHOTHERAPY W PATIENT 53 OR > MINUTES, IOP	$308.13	$725.00	$377.73–$652.50	—	57%
Psychotherapy session, 60 minutes inpatient CPT 90837 HC PSYCHOTHERAPY 53 OR > MIN	$308.55	$726.00	$378.25–$653.40	—	58%
Psychotherapy session, 60 minutes inpatient CPT 90837 HC INDIVIDUAL THERAPY 53 OR > MIN, (DRUG)	$336.18	$791.00	$412.11–$711.90	—	57%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 HC SMOKING CESSATION COUNSELING, 3-10 MIN	$43.78	$103.00	$17.74–$94.00	28% above	57%
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 HC SMOKING CESSATION COUNSELING, 3-10 MIN	$43.78	$103.00	$53.66–$92.70	—	57%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 HC OUTPT VISIT,EST PATIENT, LEVEL 5	$312.38	$735.00	$257.17–$1,534.53	79% above	57%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 HC OUTPT VISIT,EST PATIENT, LEVEL 5	$312.60	$735.53	$383.21–$661.97	—	58%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 HC OUTPT VISIT,EST PATIENT, LEVEL 3	$161.51	$380.01	$118.31–$774.45	21% above	57%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 HC OUTPT VISIT,EST PATIENT, LEVEL 3	$153.43	$361.00	$144.40–$324.90	—	57%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HC OUTPT VISIT,EST PATIENT, LEVEL 4	$233.75	$550.00	$182.41–$1,091.15	109% above	58%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 HC OUTPT VISIT,EST PATIENT, LEVEL 4	$231.46	$544.60	$283.74–$490.14	—	57%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HC OUTPT VISIT,EST PATIENT, LEVEL 2	$124.53	$293.00	$59.16–$483.68	35% above	57%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HC RELAPSE PREVENTION ASSESSMENT - HPI ONLY	$147.05	$346.00	$59.16–$483.68	60% above	58%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 HC OUTPT VISIT,EST PATIENT, LEVEL 2	$124.51	$292.96	$152.63–$263.66	—	57%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 HC RELAPSE PREVENTION ASSESSMENT - HPI ONLY	$147.05	$346.00	$180.27–$311.40	—	58%
Speech and language evaluation CPT 92523 HC EVAL SPEECH SOUND PROD W LANG COMPREHENSION	$321.30	$756.00	$102.00–$1,969.26	at median	58%
Speech and language evaluation inpatient CPT 92523 HC EVAL SPEECH SOUND PROD W LANG COMPREHENSION	$321.30	$756.00	$393.88–$680.40	—	58%
Speech therapy session, individual CPT 92507 HC SPEECH LANG THERAPY, INDIVIDUAL	$171.28	$403.00	$56.63–$659.30	19% below	57%
Speech therapy session, individual inpatient CPT 92507 HC SPEECH LANG THERAPY, INDIVIDUAL	$162.82	$383.09	$199.59–$344.79	—	57%
Spirometry (breathing test) CPT 94010 HC SPIROMETRY, BREATH CAPACITY	$134.78	$317.12	$42.34–$352.10	18% below	57%
Spirometry (breathing test) inpatient CPT 94010 HC SPIROMETRY, BREATH CAPACITY	$134.78	$317.12	$165.22–$285.41	—	57%
Spirometry before and after a bronchodilator CPT 94060 HC BRONCHODILATION RESPONSE, SPIRO, PRE/POST ADMIN	$242.25	$570.00	$63.76–$700.79	24% below	58%
Spirometry before and after a bronchodilator inpatient CPT 94060 HC BRONCHODILATION RESPONSE, SPIRO, PRE/POST ADMIN	$242.28	$570.05	$296.99–$513.04	—	57%
Therapeutic activities (functional training), 15 minutes CPT 97530 HC PT THERAPY ACTIVITIES EA 15 MIN	$76.19	$179.25	$26.25–$222.08	2% below	57%
Therapeutic activities (functional training), 15 minutes CPT 97530 HC OT THERAPY ACTIVITIES EA 15 MIN	$81.52	$191.80	$26.25–$222.08	5% above	57%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HC OT THERAPY ACTIVITIES EA 15 MIN	$75.77	$178.27	$92.88–$160.44	—	57%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HC PT THERAPY ACTIVITIES EA 15 MIN	$76.35	$179.64	$93.59–$161.68	—	57%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 HC PHLEBOTOMY THERAPEUTIC	$200.60	$472.00	$84.00–$468.84	1% below	58%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 HC PHLEBOTOMY THERAPEUTIC	$200.60	$472.00	$245.91–$424.80	—	58%
Visual field test, extended CPT 92083 HC VISUAL FIELDS EXTENSIVE	$174.68	$411.00	$66.70–$369.90	21% above	57%
Visual field test, extended inpatient CPT 92083 HC VISUAL FIELDS EXTENSIVE	$153.00	$360.00	$187.56–$324.00	—	58%

Vaccines

Procedure	Cash price	List price	Insurers pay	vs Minnesota	Off list
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 COVID-19 MRNA VAC-TRIS(PFIZER) 30 MCG/0.3ML IM SUSY	$48.88	$115.00	$57.50–$343.48	72% below	57%
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 COVID-19 MRNA VAC-TRIS(PFIZER) 30 MCG/0.3ML IM SUSP	$48.88	$115.00	$57.50–$343.48	72% below	57%
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 HC RX IP 250 OP 636	$48.88	$115.00	$57.50–$343.48	72% below	57%
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older inpatient CPT 91320 COVID-19 MRNA VAC-TRIS(PFIZER) 30 MCG/0.3ML IM SUSP	$48.88	$115.00	$59.92–$103.50	—	57%
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older inpatient CPT 91320 COVID-19 MRNA VAC-TRIS(PFIZER) 30 MCG/0.3ML IM SUSY	$48.88	$115.00	$46.00–$103.50	—	57%
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older inpatient CPT 91320 HC RX IP 250 OP 636	$48.88	$115.00	$59.92–$103.50	—	57%
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 VARICELLA VIRUS VACCINE LIVE 1350 PFU/0.5ML IJ SUSR	$150.03	$353.00	$67.33–$665.54	24% below	57%
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 HC RX MED A9270 GY (STAT IND- M) 250	$150.04	$353.03	$67.33–$665.54	24% below	57%
Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 VARICELLA VIRUS VACCINE LIVE 1350 PFU/0.5ML IJ SUSR	$150.03	$353.00	$183.91–$317.70	—	57%
Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 HC RX MED A9270 GY (STAT IND- M) 250	$150.04	$353.03	$183.93–$317.73	—	57%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 DIPHTH-ACELL PERTUSSIS-TETANUS 25-58-10 LF-MCG/0.5 IM SUSP	$22.95	$54.00	$11.29–$73.41	57% below	58%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 DIPHTH-ACELL PERTUSSIS-TETANUS 15-23-5 LF-MCG/0.5 IM SUSP	$22.95	$54.00	$11.29–$73.41	57% below	58%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 HC RX IP 250 OP 636	$23.80	$56.00	$11.70–$73.41	55% below	58%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 DIPHTH-ACELL PERTUSSIS-TETANUS 15-23-5 LF-MCG/0.5 IM SUSP	$22.95	$54.00	$28.13–$48.60	—	58%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 HC RX IP 250 OP 636	$23.80	$56.00	$29.18–$50.40	—	58%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 DIPHTH-ACELL PERTUSSIS-TETANUS 25-58-10 LF-MCG/0.5 IM SUSP	$24.16	$56.83	$22.73–$51.15	—	57%
DTaP, hepatitis B and polio combination vaccine (Pediarix) CPT 90723 DTAP-HEPATITIS B RECOMB-IPV IM SUSY	$77.60	$182.59	$43.04–$373.56	8% below	58%
DTaP, hepatitis B and polio combination vaccine (Pediarix) CPT 90723 HC RX MED A9270 GY (STAT IND- M) 250	$82.45	$194.00	$45.73–$373.56	2% below	58%
DTaP, hepatitis B and polio combination vaccine (Pediarix) inpatient CPT 90723 DTAP-HEPATITIS B RECOMB-IPV IM SUSY	$77.35	$182.00	$94.82–$163.80	—	58%
DTaP, hepatitis B and polio combination vaccine (Pediarix) inpatient CPT 90723 HC RX MED A9270 GY (STAT IND- M) 250	$82.45	$194.00	$101.07–$174.60	—	58%
DTaP, polio and Hib combination vaccine (Pentacel) CPT 90698 DTAP-IPV-HIB VACCINE IM SUSR	$91.38	$215.00	$44.94–$300.36	9% below	57%
DTaP, polio and Hib combination vaccine (Pentacel) CPT 90698 HC RX IP 250 OP 636	$94.35	$222.00	$46.40–$300.36	6% below	58%
DTaP, polio and Hib combination vaccine (Pentacel) inpatient CPT 90698 DTAP-IPV-HIB VACCINE IM SUSR	$91.38	$215.00	$86.00–$193.50	—	57%
DTaP, polio and Hib combination vaccine (Pentacel) inpatient CPT 90698 HC RX IP 250 OP 636	$94.35	$222.00	$115.66–$199.80	—	58%
DTaP, polio, Hib and hepatitis B combination vaccine (Vaxelis) CPT 90697 HC RX MED A9270 GY (STAT IND- M) 250	$103.28	$243.00	$49.50–$575.36	4% below	57%
Flu shot, recombinant, egg-free (Flublok) CPT 90673 INFLUENZA VAC RECOMB HA (PF) 0.5 ML IM SOSY (FLUBLOK)	$29.33	$69.00	$24.72–$324.75	31% below	57%
Flu shot, recombinant, egg-free (Flublok) CPT 90673 HC RX IP 250 OP 636	$29.91	$70.37	$24.72–$324.75	29% below	57%
Flu shot, recombinant, egg-free (Flublok) inpatient CPT 90673 INFLUENZA VAC RECOMB HA (PF) 0.5 ML IM SOSY (FLUBLOK)	$29.33	$69.00	$27.60–$62.10	—	57%
Flu shot, recombinant, egg-free (Flublok) inpatient CPT 90673 HC RX IP 250 OP 636	$30.04	$70.67	$28.27–$63.60	—	57%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 INFLUENZA VIRUS VACC SPLIT PF 0.5 ML IM SUSY (FLUZONE)	$10.63	$25.00	$12.03–$86.88	52% below	57%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 INFLUENZA VIRUS VACC SPLIT PF 0.5 ML IM SUSY (FLUZONE)	$10.63	$25.00	$13.03–$22.50	—	57%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 HC RX IP 250 OP 636	$11.06	$26.01	$10.40–$23.41	—	57%
HPV vaccine, 9-valent (Gardasil 9) CPT 90651 HC RX MED A9270 GY (STAT IND- M) 250	$256.24	$602.91	$134.70–$1,097.78	32% below	57%
HPV vaccine, 9-valent (Gardasil 9) CPT 90651 HPV 9-VALENT RECOMB VACCINE IM SUSY	$260.03	$611.82	$134.70–$1,097.78	31% below	57%
HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 HC RX MED A9270 GY (STAT IND- M) 250	$251.60	$592.00	$236.80–$532.80	—	58%
HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 HPV 9-VALENT RECOMB VACCINE IM SUSY	$260.03	$611.82	$318.76–$550.64	—	57%
Hepatitis A and B combination vaccine, adult (Twinrix) CPT 90636 HC RX IP 250 OP 636	$111.78	$263.00	$54.97–$318.07	23% below	57%
Hepatitis A and B combination vaccine, adult (Twinrix) CPT 90636 HEPATITIS A-HEP B RECOMB VAC 720-20 ELU-MCG/ML IM SUSY	$115.46	$271.67	$56.78–$318.07	21% below	57%
Hepatitis A and B combination vaccine, adult (Twinrix) inpatient CPT 90636 HC RX IP 250 OP 636	$111.78	$263.00	$137.02–$236.70	—	57%
Hepatitis A and B combination vaccine, adult (Twinrix) inpatient CPT 90636 HEPATITIS A-HEP B RECOMB VAC 720-20 ELU-MCG/ML IM SUSY	$117.30	$276.00	$110.40–$248.40	—	58%
Hepatitis A vaccine, adult dose CPT 90632 HEPATITIS A VACCINE 1440 EL U/ML IM SUSP	$61.00	$143.52	$30.00–$184.08	42% below	57%
Hepatitis A vaccine, adult dose CPT 90632 HC RX IP 250 OP 636	$62.48	$147.00	$30.72–$184.08	40% below	57%
Hepatitis A vaccine, adult dose inpatient CPT 90632 HEPATITIS A VACCINE 1440 EL U/ML IM SUSP	$60.35	$142.00	$73.98–$127.80	—	58%
Hepatitis A vaccine, adult dose inpatient CPT 90632 HC RX IP 250 OP 636	$61.86	$145.53	$58.21–$130.98	—	57%
Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 HEPATITIS A VACCINE 720 EL U/0.5ML IM SUSP	$30.72	$72.26	$15.10–$96.73	46% below	57%
Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 HC RX IP 250 OP 636	$31.45	$74.00	$15.47–$96.73	45% below	58%
Hepatitis A vaccine, child and teen dose (2-dose schedule) inpatient CPT 90633 HC RX IP 250 OP 636	$31.45	$74.00	$38.55–$66.60	—	58%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPATITIS B VAC RECOMBINANT 20 MCG/ML IJ SUSY	$55.25	$130.00	$39.63–$273.65	51% below	58%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPATITIS B VAC RECOMBINANT 20 MCG/ML IJ SUSP	$55.82	$131.33	$39.63–$273.65	50% below	57%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HC RX IP 250 OP 636	$56.46	$132.83	$39.63–$273.65	50% below	57%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HEPATITIS B VAC RECOMBINANT 20 MCG/ML IJ SUSY	$55.25	$130.00	$67.73–$117.00	—	58%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HEPATITIS B VAC RECOMBINANT 20 MCG/ML IJ SUSP	$55.25	$130.00	$52.00–$117.00	—	58%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HC RX IP 250 OP 636	$56.46	$132.83	$53.13–$119.55	—	57%
Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) CPT 90739 HC RX IP 250 OP 636	$121.55	$286.00	$79.79–$654.51	24% below	58%
Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) inpatient CPT 90739 HC RX IP 250 OP 636	$121.55	$286.00	$149.01–$257.40	—	58%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HEPATITIS B VAC RECOMBINANT 10 MCG/0.5ML IJ SUSY	$23.20	$54.57	$15.91–$119.65	55% below	57%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HEPATITIS B VAC RECOMBINANT 5 MCG/0.5ML IJ SUSY	$23.40	$55.05	$15.91–$119.65	55% below	57%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HC RX IP 250 OP 636	$23.80	$56.00	$15.91–$119.65	54% below	58%
Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 HEPATITIS B VAC RECOMBINANT 5 MCG/0.5ML IJ SUSY	$22.95	$54.00	$28.13–$48.60	—	58%
Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 HEPATITIS B VAC RECOMBINANT 10 MCG/0.5ML IJ SUSY	$23.20	$54.57	$21.83–$49.11	—	57%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 HC RX IP 250 OP 636	$11.90	$28.00	$5.85–$32.62	70% below	58%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 HAEMOPHILUS B POLYSAC CONJ VAC IM SOLR	$12.19	$28.66	$5.99–$32.62	69% below	57%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) inpatient CPT 90648 HC RX IP 250 OP 636	$11.90	$28.00	$14.59–$25.20	—	58%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) inpatient CPT 90648 HAEMOPHILUS B POLYSAC CONJ VAC IM SOLR	$12.19	$28.66	$11.46–$25.79	—	57%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 HC FLU VACCINE, INCREASED ANTIGEN, PRESV FREE	$27.63	$65.00	$32.48–$324.75	57% below	57%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 INFLUENZA VAC HIGH-DOSE QUAD 0.7 ML IM SUSY (FLUZONE HD)	$27.63	$65.00	$32.48–$324.75	57% below	57%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 INFLUENZA VAC SPLIT HIGH-DOSE 0.5 ML IM SUSY	$29.66	$69.77	$32.48–$324.75	54% below	57%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 HC RX IP 250 OP 636	$29.94	$70.44	$32.48–$324.75	54% below	57%
High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 INFLUENZA VAC HIGH-DOSE QUAD 0.7 ML IM SUSY (FLUZONE HD)	$27.63	$65.00	$33.87–$58.50	—	57%
High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 HC FLU VACCINE, INCREASED ANTIGEN, PRESV FREE	$27.63	$65.00	$26.00–$58.50	—	57%
High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 INFLUENZA VAC SPLIT HIGH-DOSE 0.5 ML IM SUSY	$29.33	$69.00	$35.95–$62.10	—	57%
High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 HC RX IP 250 OP 636	$30.18	$70.99	$28.40–$63.90	—	57%
Japanese encephalitis vaccine (Ixiaro), 2-dose schedule CPT 90738 HC RX MED A9270 GY (STAT IND- M) 250	$236.73	$557.00	$278.50–$1,097.78	6% above	57%
Japanese encephalitis vaccine (Ixiaro), 2-dose schedule CPT 90738 JAPANESE ENCEPHALITIS VAC INAC IM SUSP	$236.73	$557.00	$278.50–$1,097.78	6% above	57%
Japanese encephalitis vaccine (Ixiaro), 2-dose schedule inpatient CPT 90738 HC RX MED A9270 GY (STAT IND- M) 250	$236.73	$557.00	$290.20–$501.30	—	57%
Japanese encephalitis vaccine (Ixiaro), 2-dose schedule inpatient CPT 90738 JAPANESE ENCEPHALITIS VAC INAC IM SUSP	$236.73	$557.00	$290.20–$501.30	—	57%
MMR vaccine (measles, mumps and rubella), live CPT 90707 MEASLES, MUMPS & RUBELLA VAC IJ SOLR	$28.77	$67.67	$14.14–$242.32	76% below	57%
MMR vaccine (measles, mumps and rubella), live CPT 90707 HC RX IP 250 OP 636	$87.14	$205.01	$42.85–$242.32	26% below	57%
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 MEASLES, MUMPS & RUBELLA VAC IJ SOLR	$86.28	$203.00	$81.20–$182.70	—	57%
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 HC RX IP 250 OP 636	$87.50	$205.88	$82.35–$185.29	—	57%
MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) CPT 90710 MEASLES-MUMPS-RUBELLA-VARICELL SC SUSR	$214.20	$504.00	$105.34–$729.02	1% below	58%
MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) CPT 90710 HC RX IP 250 OP 636	$214.52	$504.73	$105.49–$729.02	1% below	57%
MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) inpatient CPT 90710 MEASLES-MUMPS-RUBELLA-VARICELL SC SUSR	$207.83	$489.00	$254.77–$440.10	—	57%
MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) inpatient CPT 90710 HC RX IP 250 OP 636	$214.20	$504.00	$262.58–$453.60	—	58%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 HC RX MED A9270 GY (STAT IND- M) 250	$137.28	$323.00	$76.38–$568.21	30% below	57%
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 HC RX MED A9270 GY (STAT IND- M) 250	$44.63	$105.01	$54.71–$94.51	—	57%
Meningococcal ACWY vaccine (MenQuadfi) CPT 90619 HC RX IP 250 OP 636	$109.65	$258.00	$52.55–$636.91	26% below	58%
Meningococcal ACWY vaccine (MenQuadfi) CPT 90619 MENING ACY&W-135 TETANUS CONJ IM SOLN	$109.65	$258.00	$52.55–$636.91	26% below	58%
Meningococcal ACWY vaccine (MenQuadfi) inpatient CPT 90619 MENING ACY&W-135 TETANUS CONJ IM SOLN	$109.65	$258.00	$103.20–$232.20	—	58%
Meningococcal ACWY vaccine (MenQuadfi) inpatient CPT 90619 HC RX IP 250 OP 636	$109.65	$258.00	$103.20–$232.20	—	58%
Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 MENINGOCOCCAL B RECOMB OMV ADJ IM SUSY	$195.93	$461.00	$211.85–$854.46	35% below	57%
Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 HC RX MED A9270 GY (STAT IND- M) 250	$200.63	$472.07	$211.85–$854.46	33% below	57%
Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 HC RX MED A9270 GY (STAT IND- M) 250	$195.93	$461.00	$184.40–$414.90	—	57%
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 PNEUMOCOCCAL 13-VAL CONJ VACC IM SUSP	$198.05	$466.00	$124.83–$1,003.31	26% below	58%
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 HC RX IP 250 OP 636	$212.93	$501.00	$124.83–$1,003.31	21% below	57%
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) inpatient CPT 90670 PNEUMOCOCCAL 13-VAL CONJ VACC IM SUSP	$198.05	$466.00	$242.79–$419.40	—	58%
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) inpatient CPT 90670 HC RX IP 250 OP 636	$212.93	$501.00	$200.40–$450.90	—	57%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 HC RX IP 250 OP 636	$137.70	$324.00	$66.00–$1,159.03	66% below	58%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PNEUMOCOCCAL 20-VAL CONJ VACC 0.5 ML IM SUSY	$137.70	$324.00	$66.00–$1,159.03	66% below	58%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 PNEUMOCOCCAL 20-VAL CONJ VACC 0.5 ML IM SUSY	$137.70	$324.00	$168.80–$291.60	—	58%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 HC RX IP 250 OP 636	$137.88	$324.42	$129.77–$291.98	—	57%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 HC RX IP 250 OP 636	$104.13	$245.00	$65.58–$518.98	18% below	57%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOCOCCAL VAC POLYVALENT 25 MCG/0.5ML IJ SOLN	$104.13	$245.00	$65.58–$518.98	18% below	57%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOCOCCAL VAC POLYVALENT 25 MCG/0.5ML IJ SOSY	$104.13	$245.00	$65.58–$518.98	18% below	57%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMOCOCCAL VAC POLYVALENT 25 MCG/0.5ML IJ SOLN	$104.13	$245.00	$98.00–$220.50	—	57%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMOCOCCAL VAC POLYVALENT 25 MCG/0.5ML IJ SOSY	$104.13	$245.00	$98.00–$220.50	—	57%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 HC RX IP 250 OP 636	$104.13	$245.00	$127.65–$220.50	—	57%
Polio vaccine, inactivated (IPV) CPT 90713 HC RX IP 250 OP 636	$18.49	$43.50	$9.09–$106.48	76% below	57%
Polio vaccine, inactivated (IPV) CPT 90713 POLIOVIRUS VACCINE INACTIVATED IJ INJ	$19.34	$45.50	$9.51–$106.48	74% below	57%
Polio vaccine, inactivated (IPV) inpatient CPT 90713 HC RX IP 250 OP 636	$18.49	$43.50	$17.40–$39.15	—	57%
Polio vaccine, inactivated (IPV) inpatient CPT 90713 POLIOVIRUS VACCINE INACTIVATED IJ INJ	$20.87	$49.09	$19.64–$44.18	—	57%
RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) CPT 90381 HC RX IP 250 OP 636	$202.51	$476.47	$97.06–$1,984.71	67% below	57%
RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) CPT 90381 NIRSEVIMAB-ALIP 100 MG/ML IM SOSY	$229.50	$540.00	$110.00–$1,984.71	62% below	58%
RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) CPT 90381 NIRSEVIMAB-ALIP 200 MG (100 MG X 2 SYR) DOSE	$229.50	$540.00	$110.00–$1,984.71	62% below	58%
RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) inpatient CPT 90381 HC RX IP 250 OP 636	$132.88	$312.64	$125.05–$281.37	—	57%
RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) inpatient CPT 90381 NIRSEVIMAB-ALIP 200 MG (100 MG X 2 SYR) DOSE	$207.30	$487.74	$195.10–$438.97	—	57%
RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 NIRSEVIMAB-ALIP 50 MG/0.5ML IM SOSY	$229.50	$540.00	$110.00–$1,984.71	57% below	58%
RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 HC RX IP 250 OP 636	$229.50	$540.00	$110.00–$1,984.71	57% below	58%
RSV antibody shot for infants, seasonal dose (0.5 mL) inpatient CPT 90380 HC RX IP 250 OP 636	$229.50	$540.00	$281.34–$486.00	—	58%
RSV antibody shot for infants, seasonal dose (0.5 mL) inpatient CPT 90380 NIRSEVIMAB-ALIP 50 MG/0.5ML IM SOSY	$229.50	$540.00	$281.34–$486.00	—	58%
RSV vaccine (Abrysvo), one dose for older adults or during pregnancy CPT 90678 HC RX IP 250 OP 636	$123.25	$290.00	$59.07–$1,125.96	44% below	58%
RSV vaccine (Abrysvo), one dose for older adults or during pregnancy CPT 90678 RSV PRE-FUSION F A&B VAC RCMB 120 MCG/0.5ML IM SOLR	$125.38	$295.00	$60.09–$1,125.96	43% below	57%
RSV vaccine (Abrysvo), one dose for older adults or during pregnancy inpatient CPT 90678 HC RX IP 250 OP 636	$123.25	$290.00	$151.09–$261.00	—	58%
RSV vaccine (Abrysvo), one dose for older adults or during pregnancy inpatient CPT 90678 RSV PRE-FUSION F A&B VAC RCMB 120 MCG/0.5ML IM SOLR	$125.38	$295.00	$153.70–$265.50	—	57%
RSV vaccine with adjuvant (Arexvy), one dose for older adults CPT 90679 RSVPREF3 VAC RECOMB ADJUVANTED 120 MCG/0.5ML IM SUSR	$131.75	$310.00	$63.15–$1,068.71	at median	58%
RSV vaccine with adjuvant (Arexvy), one dose for older adults CPT 90679 HC RX IP 250 OP 636	$131.75	$310.00	$63.15–$1,068.71	at median	58%
RSV vaccine with adjuvant (Arexvy), one dose for older adults inpatient CPT 90679 HC RX IP 250 OP 636	$131.75	$310.00	$124.00–$279.00	—	58%
RSV vaccine with adjuvant (Arexvy), one dose for older adults inpatient CPT 90679 RSVPREF3 VAC RECOMB ADJUVANTED 120 MCG/0.5ML IM SUSR	$131.75	$310.00	$124.00–$279.00	—	58%
Rabies vaccine, one dose CPT 90675 RABIES VIRUS VACCINE, HDC IM SUSR	$286.99	$675.25	$176.48–$1,361.55	44% below	57%
Rabies vaccine, one dose CPT 90675 RABIES VACCINE, PCEC IM SUSR	$288.13	$677.94	$176.48–$1,361.55	44% below	57%
Rabies vaccine, one dose CPT 90675 HC RX IP 250 OP 636	$293.68	$691.00	$176.48–$1,361.55	43% below	57%
Rabies vaccine, one dose inpatient CPT 90675 RABIES VIRUS VACCINE, HDC IM SUSR	$287.20	$675.76	$270.30–$608.18	—	57%
Rabies vaccine, one dose inpatient CPT 90675 RABIES VACCINE, PCEC IM SUSR	$288.19	$678.08	$271.23–$610.27	—	57%
Rabies vaccine, one dose inpatient CPT 90675 HC RX IP 250 OP 636	$293.68	$691.00	$360.01–$621.90	—	57%
Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 ZOSTER VAC RECOMB ADJUVANTED 50 MCG/0.5ML IM SUSR	$151.22	$355.80	$89.51–$615.45	32% below	57%
Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 HC RX MED A9270 GY (STAT IND- M) 250	$170.00	$400.00	$89.51–$615.45	24% below	58%
Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 ZOSTER VAC RECOMB ADJUVANTED 50 MCG/0.5ML IM SUSR	$151.22	$355.80	$185.37–$320.22	—	57%
Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 HC RX MED A9270 GY (STAT IND- M) 250	$170.00	$400.00	$160.00–$360.00	—	58%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS-DIPHTHERIA TOXOIDS TD 2-2 LF/0.5ML IM SUSP	$20.83	$49.00	$10.24–$79.49	67% below	57%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS-DIPHTHERIA TOXOIDS TD 5-2 LFU IM INJ	$21.85	$51.40	$10.74–$79.49	65% below	57%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 HC RX IP 250 OP 636	$23.80	$56.00	$11.70–$79.49	62% below	58%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS-DIPHTHERIA TOXOIDS TD 2-2 LF/0.5ML IM SUSP	$20.83	$49.00	$19.60–$44.10	—	57%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS-DIPHTHERIA TOXOIDS TD 5-2 LFU IM INJ	$20.83	$49.00	$19.60–$44.10	—	57%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 HC RX IP 250 OP 636	$23.80	$56.00	$22.40–$50.40	—	58%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TETANUS-DIPHTH-ACELL PERTUSSIS 5-2-15.5 LF-MCG/0.5 IM SUSP	$34.00	$80.00	$16.72–$100.37	57% below	58%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TETANUS-DIPHTH-ACELL PERTUSSIS 5-2.5-18.5 LF-MCG/0.5 IM SUSY	$34.15	$80.33	$16.79–$100.37	56% below	57%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 HC TDAP VACCINE (ADACEL)	$34.79	$81.85	$17.11–$100.37	56% below	57%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 HC RX IP 250 OP 636	$35.00	$82.35	$17.21–$100.37	55% below	57%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 DTAP-IPV-HIB-HEPATITIS B RECMB IM SUSY	$103.28	$243.00	$19.68–$218.70	32% above	57%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 TETANUS-DIPHTH-ACELL PERTUSSIS 5-2.5-18.5 LF-MCG/0.5 IM SUSY	$34.15	$80.33	$41.85–$72.30	—	57%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 TETANUS-DIPHTH-ACELL PERTUSSIS 5-2-15.5 LF-MCG/0.5 IM SUSP	$34.27	$80.63	$42.01–$72.57	—	57%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 HC TDAP VACCINE (ADACEL)	$34.79	$81.85	$32.74–$73.66	—	57%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 HC RX IP 250 OP 636	$34.85	$82.00	$42.72–$73.80	—	58%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 DTAP-IPV-HIB-HEPATITIS B RECMB IM SUSY	$103.28	$243.00	$126.60–$218.70	—	57%
Typhoid vaccine, injectable (Vi polysaccharide) CPT 90691 HC RX IP 250 OP 636	$79.48	$187.00	$39.08–$220.89	43% below	57%
Typhoid vaccine, injectable (Vi polysaccharide) CPT 90691 TYPHOID VI POLYSACCHARIDE VACC 25 MCG/0.5ML IM SOSY	$79.48	$187.00	$39.08–$220.89	43% below	57%
Typhoid vaccine, injectable (Vi polysaccharide) inpatient CPT 90691 TYPHOID VI POLYSACCHARIDE VACC 25 MCG/0.5ML IM SOSY	$79.48	$187.00	$74.80–$168.30	—	57%
Typhoid vaccine, injectable (Vi polysaccharide) inpatient CPT 90691 HC RX IP 250 OP 636	$79.48	$187.00	$74.80–$168.30	—	57%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC VACCINE ADMIN, INITIAL	$17.00	$40.00	$16.83–$159.09	59% below	58%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC ADMIN INFLUENZA VIRUS VAC	$17.00	$40.00	$16.83–$159.09	59% below	58%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC ADMIN INFLUENZA VIRUS VAC	$17.00	$40.00	$20.84–$36.00	—	58%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC VACCINE ADMIN, INITIAL	$17.00	$40.00	$20.84–$36.00	—	58%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 HC VACCINE ADMIN, EA ADDL	$9.02	$21.22	$4.43–$71.00	64% below	57%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 INFLUENZA VAC RECOM HA QUAD PF 0.5 ML IM SOSY (FLUBLOK)	$17.00	$40.00	$6.60–$71.00	33% below	58%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 MEASLES-MUMPS-RUBELLA-VARICELL SC SUSR	$17.00	$40.00	$6.60–$71.00	33% below	58%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 HEPATITIS B VAC RECOMBINANT 10 MCG/0.5ML IJ SUSY	$17.00	$40.00	$6.60–$71.00	33% below	58%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 HC ADMIN PNEUMOCOCCAL VACCINE	$17.00	$40.00	$6.60–$71.00	33% below	58%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 HC VACCINE ADMIN, EA ADDL	$9.02	$21.22	$11.06–$19.10	—	57%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 INFLUENZA VAC RECOM HA QUAD PF 0.5 ML IM SOSY (FLUBLOK)	$17.00	$40.00	$20.84–$36.00	—	58%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 HEPATITIS B VAC RECOMBINANT 10 MCG/0.5ML IJ SUSY	$17.00	$40.00	$20.84–$36.00	—	58%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 MEASLES-MUMPS-RUBELLA-VARICELL SC SUSR	$17.00	$40.00	$20.84–$36.00	—	58%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 HC ADMIN PNEUMOCOCCAL VACCINE	$17.00	$40.00	$20.84–$36.00	—	58%
Yellow fever vaccine, live CPT 90717 YELLOW FEVER VACCINE SC INJ	$174.61	$410.83	$85.86–$530.74	6% above	57%
Yellow fever vaccine, live CPT 90717 HC RX IP 250 OP 636	$178.50	$420.00	$87.78–$530.74	8% above	58%
Yellow fever vaccine, live inpatient CPT 90717 YELLOW FEVER VACCINE SC INJ	$174.61	$410.83	$164.33–$369.75	—	57%
Yellow fever vaccine, live inpatient CPT 90717 HC RX IP 250 OP 636	$178.50	$420.00	$168.00–$378.00	—	58%

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://requiredlearning.fairview.org/price_transparency/410991680-1245217520_fairview-health-services_standardcharges.csv