Hospital

Mercy Hospital of Devils Lake

Mercy Hospital of Devils Lake in Devils Lake, ND publishes cash prices for 253 common procedures listed here, from its own machine-readable price file updated Feb 28, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the North Dakota median for 230 of 250 procedures and above it for 17. By typical cash price it ranks #1 of 33 North Dakota hospitals, cheapest first. Select a procedure to compare it with other hospitals nearby.

1031 Seventh Street NE, Devils Lake, ND 58301 Collected Sep 23, 2026 Source price file Check a bill from this hospital (701) 662-2131

Critical access hospital (rural, 25 beds or fewer) Nonprofit hospital Emergency department CMS star rating 2 of 5 CCN 351333 · CMS hospital register NPI 1659343093

Financial assistance

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

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

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

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

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs North Dakota	Off list
Abdominal CT scan without and with contrast CPT 74170 ABDOMEN W WO CONT	$1,562.82	$3,721.00	$1,413.98–$3,534.95	24% below	58%
Abdominal CT scan without and with contrast inpatient CPT 74170 ABDOMEN W WO CONT	$1,562.82	$3,721.00	$2,679.12–$3,534.95	—	58%
Abdominal X-ray, 2 views CPT 74019 ABDOMEN 2V AP FLAT UPRIGHT	$112.56	$268.00	$101.84–$254.60	35% below	58%
Abdominal X-ray, 2 views inpatient CPT 74019 ABDOMEN 2V AP FLAT UPRIGHT	$112.56	$268.00	$192.96–$254.60	—	58%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 CV ANKLE BRACHIAL INDEX (ABI)	$154.56	$368.00	$139.84–$349.60	47% below	58%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 CV ANKLE BRACHIAL INDEX (ABI)	$154.56	$368.00	$264.96–$349.60	—	58%
Arm CT scan without contrast (shoulder to hand, any part) both sides CPT 73200 UPPER EXTREMITY WO CONT BI	$1,033.20	$2,460.00	$934.80–$2,337.00	—	58%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 UPPER EXTREMITY WO CONT RT	$1,033.20	$2,460.00	$934.80–$2,337.00	18% below	58%
Arm CT scan without contrast (shoulder to hand, any part) inpatient both sides CPT 73200 UPPER EXTREMITY WO CONT BI	$1,033.20	$2,460.00	$1,771.20–$2,337.00	—	58%
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 UPPER EXTREMITY WO CONT RT	$1,033.20	$2,460.00	$1,771.20–$2,337.00	—	58%
Barium swallow (esophagus X-ray with contrast) CPT 74220 ESOPHAGUS	$330.96	$788.00	$299.44–$748.60	8% below	58%
Barium swallow (esophagus X-ray with contrast) CPT 74220 ESOPHOGRAM	$330.96	$788.00	$299.44–$748.60	8% below	58%
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 ESOPHOGRAM	$330.96	$788.00	$567.36–$748.60	—	58%
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 ESOPHAGUS	$330.96	$788.00	$567.36–$748.60	—	58%
Bone scan, whole body (nuclear medicine) CPT 78306 BONE SCAN WHOLE BODY	$711.48	$1,694.00	$643.72–$1,609.30	33% below	58%
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 BONE SCAN WHOLE BODY	$711.48	$1,694.00	$1,219.68–$1,609.30	—	58%
CT angiography (CTA) of the abdomen and pelvis CPT 74174 CTA ABD PELV W CONT	$1,481.76	$3,528.00	$1,340.64–$3,351.60	48% below	58%
CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 CTA ABD PELV W CONT	$1,481.76	$3,528.00	$2,540.16–$3,351.60	—	58%
CT angiography (CTA) of the head CPT 70496 ANG HEAD CT	$1,280.58	$3,049.00	$1,158.62–$2,896.55	36% below	58%
CT angiography (CTA) of the head inpatient CPT 70496 ANG HEAD CT	$1,280.58	$3,049.00	$2,195.28–$2,896.55	—	58%
CT angiography (CTA) of the neck CPT 70498 ANG NECK CT	$1,354.92	$3,226.00	$1,225.88–$3,064.70	32% below	58%
CT angiography (CTA) of the neck inpatient CPT 70498 ANG NECK CT	$1,354.92	$3,226.00	$2,322.72–$3,064.70	—	58%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 ANG CHEST	$1,480.50	$3,525.00	$1,339.50–$3,348.75	29% below	58%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 ANG CHEST	$1,480.50	$3,525.00	$2,538.00–$3,348.75	—	58%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 ABDOMEN PELVIS WO CONT	$975.66	$2,323.00	$882.74–$2,206.85	41% below	58%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 ABDOMEN PELVIS WO CONT	$975.66	$2,323.00	$1,672.56–$2,206.85	—	58%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 ABDOMEN PELVIS CT W CONT	$1,950.90	$4,645.00	$1,765.10–$4,412.75	21% below	58%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 ABDOMEN PELVIS CT W CONT	$1,950.90	$4,645.00	$3,344.40–$4,412.75	—	58%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CTA ABD PELV W WO CONT	$2,224.32	$5,296.00	$2,012.48–$5,031.20	24% below	58%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 ABDOMEN PELVIS W WO CONT	$2,224.32	$5,296.00	$2,012.48–$5,031.20	24% below	58%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CTA ABD PELV W WO CONT	$2,224.32	$5,296.00	$3,813.12–$5,031.20	—	58%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 ABDOMEN PELVIS W WO CONT	$2,224.32	$5,296.00	$3,813.12–$5,031.20	—	58%
CT scan of the abdomen with contrast CPT 74160 ABDOMEN W CONT	$1,484.70	$3,535.00	$1,343.30–$3,358.25	9% below	58%
CT scan of the abdomen with contrast inpatient CPT 74160 ABDOMEN W CONT	$1,484.70	$3,535.00	$2,545.20–$3,358.25	—	58%
CT scan of the abdomen without contrast CPT 74150 ABDOMEN WO CONT	$766.08	$1,824.00	$693.12–$1,732.80	38% below	58%
CT scan of the abdomen without contrast inpatient CPT 74150 ABDOMEN WO CONT	$766.08	$1,824.00	$1,313.28–$1,732.80	—	58%
CT scan of the face and sinuses, no contrast dye CPT 70486 MAX FACIAL SINUS WO CONT	$853.02	$2,031.00	$771.78–$1,929.45	20% below	58%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 MAX FACIAL SINUS WO CONT	$853.02	$2,031.00	$1,462.32–$1,929.45	—	58%
CT scan of the head or brain, no contrast dye CPT 70450 HEAD WO CONT	$709.38	$1,689.00	$641.82–$1,604.55	34% below	58%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 HEAD WO CONT	$709.38	$1,689.00	$1,216.08–$1,604.55	—	58%
CT scan of the head with contrast CPT 70460 HEAD W CONT	$957.60	$2,280.00	$866.40–$2,166.00	25% below	58%
CT scan of the head with contrast inpatient CPT 70460 HEAD W CONT	$957.60	$2,280.00	$1,641.60–$2,166.00	—	58%
CT scan of the head without and with contrast CPT 70470 HEAD W WO CONT	$1,063.86	$2,533.00	$962.54–$2,406.35	30% below	58%
CT scan of the head without and with contrast inpatient CPT 70470 HEAD W WO CONT	$1,063.86	$2,533.00	$1,823.76–$2,406.35	—	58%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 LUMBAR SPINE WO CONT	$1,150.38	$2,739.00	$1,040.82–$2,602.05	12% below	58%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 LUMBAR SPINE WO CONT	$1,150.38	$2,739.00	$1,972.08–$2,602.05	—	58%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CERVICAL SPINE WO CONT	$1,160.88	$2,764.00	$1,050.32–$2,625.80	14% below	58%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CERVICAL SPINE WO CONT	$1,160.88	$2,764.00	$1,990.08–$2,625.80	—	58%
CT scan of the pelvis, with contrast dye CPT 72193 PELVIS W CONT	$1,481.34	$3,527.00	$1,340.26–$3,350.65	7% below	58%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 PELVIS W CONT	$1,481.34	$3,527.00	$2,539.44–$3,350.65	—	58%
Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 CAROTID COMP	$472.92	$1,126.00	$427.88–$1,069.70	32% below	58%
Carotid artery ultrasound (duplex), both sides of the neck inpatient CPT 93880 CAROTID COMP	$472.92	$1,126.00	$810.72–$1,069.70	—	58%
Chest CT scan without and with contrast CPT 71270 CHEST W WO CONT	$1,426.74	$3,397.00	$1,290.86–$3,227.15	17% below	58%
Chest CT scan without and with contrast inpatient CPT 71270 CHEST W WO CONT	$1,426.74	$3,397.00	$2,445.84–$3,227.15	—	58%
Chest X-ray, 2 views CPT 71046 CHEST 2V	$90.72	$216.00	$82.08–$205.20	48% below	58%
Chest X-ray, 2 views inpatient CPT 71046 CHEST 2V	$90.72	$216.00	$155.52–$205.20	—	58%
Chest X-ray, single view CPT 71045 CHEST 1V FRONTAL	$70.14	$167.00	$63.46–$158.65	51% below	58%
Chest X-ray, single view inpatient CPT 71045 CHEST 1V FRONTAL	$70.14	$167.00	$120.24–$158.65	—	58%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 RENAL COMP	$394.38	$939.00	$356.82–$892.05	9% below	58%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 RENAL COMP	$394.38	$939.00	$676.08–$892.05	—	58%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 DEXA BONE DENSITY BODY	$317.52	$756.00	$287.28–$718.20	25% above	58%
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 DEXA BONE DENSITY BODY	$317.52	$756.00	$544.32–$718.20	—	58%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 DEXA BONE DENSITY PERIPHERAL	$95.34	$227.00	$86.26–$215.65	18% below	58%
DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 DEXA BONE DENSITY PERIPHERAL	$95.34	$227.00	$163.44–$215.65	—	58%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CHEST WO CONT	$877.38	$2,089.00	$793.82–$1,984.55	28% below	58%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CHEST WO CONT	$877.38	$2,089.00	$1,504.08–$1,984.55	—	58%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CHEST CT W CONT	$1,169.70	$2,785.00	$1,058.30–$2,645.75	17% below	58%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CHEST CT W CONT	$1,169.70	$2,785.00	$2,005.20–$2,645.75	—	58%
Diagnostic mammogram, both breasts both sides CPT 77066 DIAGNOSTIC DIGITAL BI	$496.44	$1,182.00	$449.16–$1,122.90	—	58%
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 DIAGNOSTIC DIGITAL BI	$496.44	$1,182.00	$851.04–$1,122.90	—	58%
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 CV ARTERIAL DUPLEX LEGS BI	$789.60	$1,880.00	$714.40–$1,786.00	—	58%
Duplex ultrasound of the leg arteries, both legs CPT 93925 ARTERIAL DUPLEX LWR EXT BIL	$789.60	$1,880.00	$714.40–$1,786.00	8% below	58%
Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 CV ARTERIAL DUPLEX LEGS BI	$789.60	$1,880.00	$1,353.60–$1,786.00	—	58%
Duplex ultrasound of the leg arteries, both legs inpatient CPT 93925 ARTERIAL DUPLEX LWR EXT BIL	$789.60	$1,880.00	$1,353.60–$1,786.00	—	58%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 CV VENOUS DUPLEX ARMS BI	$571.62	$1,361.00	$517.18–$1,292.95	—	58%
Duplex ultrasound of the leg veins, both legs CPT 93970 VL DUPLEX LWR EXT VEINS COMP	$571.62	$1,361.00	$517.18–$1,292.95	23% below	58%
Duplex ultrasound of the leg veins, both legs one side CPT 93970 VEIN MAPPING LT	$462.00	$1,100.00	$418.00–$1,045.00	38% below	58%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 CV VENOUS DUPLEX ARMS BI	$571.62	$1,361.00	$979.92–$1,292.95	—	58%
Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 VL DUPLEX LWR EXT VEINS COMP	$571.62	$1,361.00	$979.92–$1,292.95	—	58%
Duplex ultrasound of the leg veins, both legs inpatient one side CPT 93970 VEIN MAPPING LT	$462.00	$1,100.00	$792.00–$1,045.00	—	58%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 ECHO COMP WO CONT	$510.30	$1,215.00	$461.70–$1,154.25	34% below	58%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 ECHO COMP WO CONT	$510.30	$1,215.00	$874.80–$1,154.25	—	58%
Eye socket (orbit) CT scan without contrast CPT 70480 ORBIT SELLA PF IAC WO CONT	$1,010.94	$2,407.00	$914.66–$2,286.65	27% below	58%
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 ORBIT SELLA PF IAC WO CONT	$1,010.94	$2,407.00	$1,733.04–$2,286.65	—	58%
Facial bones X-ray, complete, 3 or more views CPT 70150 FACIAL BONES COMP MIN 3V	$143.22	$341.00	$129.58–$323.95	27% below	58%
Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 FACIAL BONES COMP MIN 3V	$143.22	$341.00	$245.52–$323.95	—	58%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 CHOLESCINTIGRAPHY	$1,078.14	$2,567.00	$975.46–$2,438.65	9% below	58%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 CHOLESCINTIGRAPHY	$1,078.14	$2,567.00	$1,848.24–$2,438.65	—	58%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 SLEEP STUDY W BIPAP OR CPAP	$1,986.18	$4,729.00	$1,797.02–$4,492.55	18% below	58%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 SLEEP STUDY W CPAP LTD	$1,986.18	$4,729.00	$1,797.02–$4,492.55	18% below	58%
In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 SLEEP STUDY W BIPAP OR CPAP	$1,986.18	$4,729.00	$3,404.88–$4,492.55	—	58%
In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 SLEEP STUDY W CPAP LTD	$1,986.18	$4,729.00	$3,404.88–$4,492.55	—	58%
Leg CT scan without contrast (hip to foot, any part) CPT 73700 BONE LENGTH STUDY	$685.86	$1,633.00	$620.54–$1,551.35	43% below	58%
Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 BONE LENGTH STUDY	$685.86	$1,633.00	$1,175.76–$1,551.35	—	58%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 SOFT TISSUE LOWER BACK	$176.40	$420.00	$159.60–$399.00	55% below	58%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 ABDOMEN LTD	$332.64	$792.00	$300.96–$752.40	14% below	58%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 SOFT TISSUE LOWER BACK	$176.40	$420.00	$302.40–$399.00	—	58%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 ABDOMEN LTD	$332.64	$792.00	$570.24–$752.40	—	58%
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 EXTREMITY NON VASCULAR LTD	$178.50	$425.00	$161.50–$403.75	26% below	58%
Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 EXTREMITY NON VASCULAR LTD	$178.50	$425.00	$306.00–$403.75	—	58%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 LUNG SCREEN PROTOCOL	$467.88	$1,114.00	$423.32–$1,058.30	37% below	58%
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 LUNG SCREEN PROTOCOL	$467.88	$1,114.00	$802.08–$1,058.30	—	58%
MR angiography (MRA) of the head without contrast CPT 70544 ANG HEAD WO CONT	$1,510.32	$3,596.00	$1,366.48–$3,416.20	31% below	58%
MR angiography (MRA) of the head without contrast inpatient CPT 70544 ANG HEAD WO CONT	$1,510.32	$3,596.00	$2,589.12–$3,416.20	—	58%
MRI of knee or other lower-limb joint, no contrast dye both sides CPT 73721 LWR EXT JOINT WO CONT BI	$1,364.58	$3,249.00	$1,234.62–$3,086.55	—	58%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 LWR EXT JOINT WO CONT LT	$1,645.14	$3,917.00	$1,488.46–$3,721.15	15% below	58%
MRI of knee or other lower-limb joint, no contrast dye inpatient both sides CPT 73721 LWR EXT JOINT WO CONT BI	$1,364.58	$3,249.00	$2,339.28–$3,086.55	—	58%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 LWR EXT JOINT WO CONT LT	$1,645.14	$3,917.00	$2,820.24–$3,721.15	—	58%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 ACHILLES W WO CONT LT	$1,912.68	$4,554.00	$1,730.52–$4,326.30	39% below	58%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 ACHILLES W WO CONT LT	$1,912.68	$4,554.00	$3,278.88–$4,326.30	—	58%
MRI of the abdomen without contrast CPT 74181 ABDOMEN WO CONT	$1,207.08	$2,874.00	$1,092.12–$2,730.30	38% below	58%
MRI of the abdomen without contrast inpatient CPT 74181 ABDOMEN WO CONT	$1,207.08	$2,874.00	$2,069.28–$2,730.30	—	58%
MRI of the abdomen, without and then with contrast dye CPT 74183 ABDOMEN W WO CONT	$1,856.82	$4,421.00	$1,679.98–$4,199.95	42% below	58%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 ABDOMEN W WO CONT	$1,856.82	$4,421.00	$3,183.12–$4,199.95	—	58%
MRI of the brain, no contrast dye CPT 70551 BRAIN WO CONT	$1,410.36	$3,358.00	$1,276.04–$3,190.10	20% below	58%
MRI of the brain, no contrast dye inpatient CPT 70551 BRAIN WO CONT	$1,410.36	$3,358.00	$2,417.76–$3,190.10	—	58%
MRI of the brain, with and without contrast dye CPT 70553 BRAIN W WO CONT	$2,043.72	$4,866.00	$1,849.08–$4,622.70	32% below	58%
MRI of the brain, with and without contrast dye inpatient CPT 70553 BRAIN W WO CONT	$2,043.72	$4,866.00	$3,503.52–$4,622.70	—	58%
MRI of the lower back, no contrast dye CPT 72148 LUMBAR SPINE COMP WO CONT	$1,343.16	$3,198.00	$1,215.24–$3,038.10	31% below	58%
MRI of the lower back, no contrast dye CPT 72148 LUMBAR SPINE LTD	$1,383.48	$3,294.00	$1,251.72–$3,129.30	28% below	58%
MRI of the lower back, no contrast dye inpatient CPT 72148 LUMBAR SPINE COMP WO CONT	$1,343.16	$3,198.00	$2,302.56–$3,038.10	—	58%
MRI of the lower back, no contrast dye inpatient CPT 72148 LUMBAR SPINE LTD	$1,383.48	$3,294.00	$2,371.68–$3,129.30	—	58%
MRI of the lower back, without and then with contrast dye CPT 72158 LUMBAR SPINE COMP W WO CONT	$2,471.28	$5,884.00	$2,235.92–$5,589.80	20% below	58%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 LUMBAR SPINE COMP W WO CONT	$2,471.28	$5,884.00	$4,236.48–$5,589.80	—	58%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 THORACIC SPINE COMP WO CONT	$1,450.26	$3,453.00	$1,312.14–$3,280.35	30% below	58%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 THORACIC SPINE LTD WO CONT	$1,450.26	$3,453.00	$1,312.14–$3,280.35	30% below	58%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 THORACIC SPINE COMP WO CONT	$1,450.26	$3,453.00	$2,486.16–$3,280.35	—	58%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 THORACIC SPINE LTD WO CONT	$1,450.26	$3,453.00	$2,486.16–$3,280.35	—	58%
MRI of the neck (cervical spine) without and with contrast CPT 72156 CERVICAL SPINE COMP W WO CONT	$2,078.16	$4,948.00	$1,880.24–$4,700.60	33% below	58%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 CERVICAL SPINE COMP W WO CONT	$2,078.16	$4,948.00	$3,562.56–$4,700.60	—	58%
MRI of the neck (cervical spine), no contrast dye CPT 72141 CERVICAL SPINE COMP WO CONT	$1,229.76	$2,928.00	$1,112.64–$2,781.60	36% below	58%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 CERVICAL SPINE COMP WO CONT	$1,229.76	$2,928.00	$2,108.16–$2,781.60	—	58%
MRI of the pelvis without and with contrast CPT 72197 PELVIS W WO CONT	$1,764.84	$4,202.00	$1,596.76–$3,991.90	42% below	58%
MRI of the pelvis without and with contrast inpatient CPT 72197 PELVIS W WO CONT	$1,764.84	$4,202.00	$3,025.44–$3,991.90	—	58%
MRI of the pelvis, no contrast dye CPT 72195 PELVIS WO CONT	$1,333.92	$3,176.00	$1,206.88–$3,017.20	40% below	58%
MRI of the pelvis, no contrast dye inpatient CPT 72195 PELVIS WO CONT	$1,333.92	$3,176.00	$2,286.72–$3,017.20	—	58%
MRI of the shoulder, elbow or wrist joint, no contrast dye both sides CPT 73221 UPR EXT JOINT WO CONT BI	$1,394.82	$3,321.00	$1,261.98–$3,154.95	—	58%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 UPR EXT JOINT WO CONT LT	$1,561.56	$3,718.00	$1,412.84–$3,532.10	19% below	58%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient both sides CPT 73221 UPR EXT JOINT WO CONT BI	$1,394.82	$3,321.00	$2,391.12–$3,154.95	—	58%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 UPR EXT JOINT WO CONT LT	$1,561.56	$3,718.00	$2,676.96–$3,532.10	—	58%
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 CERVICAL SPINE COMP W OBLIQUES	$161.70	$385.00	$146.30–$365.75	28% below	58%
Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 CERVICAL SPINE COMP W OBLIQUES	$161.70	$385.00	$277.20–$365.75	—	58%
Neck soft tissue CT scan with contrast CPT 70491 SOFT TISSUE NECK CT W CONT	$1,031.10	$2,455.00	$932.90–$2,332.25	28% below	58%
Neck soft tissue CT scan with contrast inpatient CPT 70491 SOFT TISSUE NECK CT W CONT	$1,031.10	$2,455.00	$1,767.60–$2,332.25	—	58%
Neck soft tissue CT scan without contrast CPT 70490 SOFT TISSUE NECK WO CONT	$886.62	$2,111.00	$802.18–$2,005.45	28% below	58%
Neck soft tissue CT scan without contrast inpatient CPT 70490 SOFT TISSUE NECK WO CONT	$886.62	$2,111.00	$1,519.92–$2,005.45	—	58%
Neck soft tissue X-ray CPT 70360 NECK SOFT TISSUE	$85.68	$204.00	$77.52–$193.80	41% below	58%
Neck soft tissue X-ray inpatient CPT 70360 NECK SOFT TISSUE	$85.68	$204.00	$146.88–$193.80	—	58%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 MYOCARDIAL PERF SPECT MULTI	$1,674.12	$3,986.00	$1,514.68–$3,786.70	24% below	58%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 MYOCARDIAL PERF SPECT MULTI	$1,674.12	$3,986.00	$2,869.92–$3,786.70	—	58%
Pelvic CT scan without contrast CPT 72192 PELVIS WO CONT	$1,185.24	$2,822.00	$1,072.36–$2,680.90	4% below	58%
Pelvic CT scan without contrast inpatient CPT 72192 PELVIS WO CONT	$1,185.24	$2,822.00	$2,031.84–$2,680.90	—	58%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 PELVIS NON OB LTD	$257.88	$614.00	$233.32–$583.30	22% below	58%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 PELVIS NON OB LTD	$257.88	$614.00	$442.08–$583.30	—	58%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 PELVIS NON OB COMP	$390.60	$930.00	$353.40–$883.50	14% below	58%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 PELVIS NON OB COMP	$390.60	$930.00	$669.60–$883.50	—	58%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 OB 2 OR 3 TRI SGL 1ST GEST	$357.00	$850.00	$323.00–$807.50	30% below	58%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 OB 2 OR 3 TRI SGL 1ST GEST	$357.00	$850.00	$612.00–$807.50	—	58%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 OB 1ST TRI SGL 1ST GEST	$251.16	$598.00	$227.24–$568.10	38% below	58%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 OB 1ST TRI SGL 1ST GEST	$251.16	$598.00	$430.56–$568.10	—	58%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 OB LTD 1 OR MORE FETUS	$244.44	$582.00	$221.16–$552.90	24% below	58%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 OB LTD 1 OR MORE FETUS	$244.44	$582.00	$419.04–$552.90	—	58%
Screening mammogram, both breasts both sides CPT 77067 SCREENING DIGITAL BI	$316.26	$753.00	$286.14–$715.35	—	58%
Screening mammogram, both breasts inpatient both sides CPT 77067 SCREENING DIGITAL BI	$316.26	$753.00	$542.16–$715.35	—	58%
Sinus X-ray, complete, 3 or more views CPT 70220 SINUS COMP MIN 3V	$128.52	$306.00	$116.28–$290.70	28% below	58%
Sinus X-ray, complete, 3 or more views inpatient CPT 70220 SINUS COMP MIN 3V	$128.52	$306.00	$220.32–$290.70	—	58%
Skull X-ray, fewer than 4 views CPT 70250 SKULL LESS 4V	$126.00	$300.00	$114.00–$285.00	24% below	58%
Skull X-ray, fewer than 4 views inpatient CPT 70250 SKULL LESS 4V	$126.00	$300.00	$216.00–$285.00	—	58%
Sleep study in a lab (polysomnography) CPT 95810 POLYSOMNOGRAPHY	$1,845.90	$4,395.00	$1,670.10–$4,175.25	24% below	58%
Sleep study in a lab (polysomnography) inpatient CPT 95810 POLYSOMNOGRAPHY	$1,845.90	$4,395.00	$3,164.40–$4,175.25	—	58%
Swallow study (modified barium swallow, video X-ray) CPT 74230 SWALLOWING FUNCTION W VIDEO	$398.16	$948.00	$360.24–$900.60	21% below	58%
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 SWALLOWING FUNCTION W VIDEO	$398.16	$948.00	$682.56–$900.60	—	58%
Thigh bone (femur) X-ray, 2 or more views both sides CPT 73552 FEMUR MIN 2 VIEW BI	$126.84	$302.00	$114.76–$286.90	—	58%
Thigh bone (femur) X-ray, 2 or more views inpatient both sides CPT 73552 FEMUR MIN 2 VIEW BI	$126.84	$302.00	$217.44–$286.90	—	58%
Thoracic spine (mid back) CT scan without contrast CPT 72128 THORACIC SPINE WO CONT	$854.28	$2,034.00	$772.92–$1,932.30	34% below	58%
Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 THORACIC SPINE WO CONT	$854.28	$2,034.00	$1,464.48–$1,932.30	—	58%
Transvaginal pelvic ultrasound CPT 76830 TRANSVAGINAL NON OB	$346.50	$825.00	$313.50–$783.75	28% below	58%
Transvaginal pelvic ultrasound inpatient CPT 76830 TRANSVAGINAL NON OB	$346.50	$825.00	$594.00–$783.75	—	58%
Transvaginal ultrasound during pregnancy CPT 76817 OB TRANSVAGINAL	$215.88	$514.00	$195.32–$488.30	35% below	58%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 OB TRANSVAGINAL	$215.88	$514.00	$370.08–$488.30	—	58%
Ultrasound of the abdomen, complete CPT 76700 ABDOMEN COMP	$439.32	$1,046.00	$397.48–$993.70	15% below	58%
Ultrasound of the abdomen, complete inpatient CPT 76700 ABDOMEN COMP	$439.32	$1,046.00	$753.12–$993.70	—	58%
Ultrasound of the scrotum and testicles CPT 76870 SCROTUM AND CONTENTS	$292.74	$697.00	$264.86–$662.15	29% below	58%
Ultrasound of the scrotum and testicles inpatient CPT 76870 SCROTUM AND CONTENTS	$292.74	$697.00	$501.84–$662.15	—	58%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 HEAD NECK SOFT TISSUE	$339.36	$808.00	$307.04–$767.60	29% below	58%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 HEAD NECK SOFT TISSUE	$339.36	$808.00	$581.76–$767.60	—	58%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 UGI WO KUB	$417.90	$995.00	$378.10–$945.25	20% below	58%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 UGI	$513.66	$1,223.00	$464.74–$1,161.85	2% below	58%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 UGI WO KUB	$417.90	$995.00	$716.40–$945.25	—	58%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 UGI	$513.66	$1,223.00	$880.56–$1,161.85	—	58%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 CV VENOUS DUPLEX UNI	$385.98	$919.00	$349.22–$873.05	26% below	58%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 VENOUS DUPLEX ARM LT	$378.42	$901.00	$342.38–$855.95	27% below	58%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 CV VENOUS DUPLEX UNI	$385.98	$919.00	$661.68–$873.05	—	58%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 VENOUS DUPLEX ARM LT	$378.42	$901.00	$648.72–$855.95	—	58%
X-ray of the abdomen, 1 view CPT 74018 ABDOMEN 1V FLAT	$93.24	$222.00	$84.36–$210.90	33% below	58%
X-ray of the abdomen, 1 view CPT 74018 ABDOMEN 1V CROSS TABLE LATERAL	$93.24	$222.00	$84.36–$210.90	33% below	58%
X-ray of the abdomen, 1 view CPT 74018 ABDOMEN 1V DECUBITIS	$93.24	$222.00	$84.36–$210.90	33% below	58%
X-ray of the abdomen, 1 view inpatient CPT 74018 ABDOMEN 1V FLAT	$93.24	$222.00	$159.84–$210.90	—	58%
X-ray of the abdomen, 1 view inpatient CPT 74018 ABDOMEN 1V CROSS TABLE LATERAL	$93.24	$222.00	$159.84–$210.90	—	58%
X-ray of the abdomen, 1 view inpatient CPT 74018 ABDOMEN 1V DECUBITIS	$93.24	$222.00	$159.84–$210.90	—	58%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 LUMBAR SPINE 2 OR 3V	$118.02	$281.00	$106.78–$266.95	39% below	58%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 LUMBAR SPINE 2 OR 3V	$118.02	$281.00	$202.32–$266.95	—	58%
X-ray of the lower back, 4 or more views CPT 72110 LUMBAR SPINE MIN 4V	$164.22	$391.00	$148.58–$371.45	31% below	58%
X-ray of the lower back, 4 or more views inpatient CPT 72110 LUMBAR SPINE MIN 4V	$164.22	$391.00	$281.52–$371.45	—	58%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 THORACIC SPINE 2V	$100.38	$239.00	$90.82–$227.05	34% below	58%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 THORACIC SPINE 2V	$100.38	$239.00	$172.08–$227.05	—	58%
X-ray of the nasal bones, 3 or more views CPT 70160 NASAL BONE MIN 3V	$94.92	$226.00	$85.88–$214.70	37% below	58%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 NASAL BONE MIN 3V	$94.92	$226.00	$162.72–$214.70	—	58%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 CERVICAL SPINE 2V OR 3V	$118.02	$281.00	$106.78–$266.95	28% below	58%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 CERVICAL SPINE 2V OR 3V	$118.02	$281.00	$202.32–$266.95	—	58%
X-ray of the pelvis, 1 or 2 views CPT 72170 PELVIS 1V OR 2V	$117.18	$279.00	$106.02–$265.05	24% below	58%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 PELVIS 1V OR 2V	$117.18	$279.00	$200.88–$265.05	—	58%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 SACRUM	$104.16	$248.00	$94.24–$235.60	32% below	58%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 SACRUM COCCYX MIN 2V	$104.16	$248.00	$94.24–$235.60	32% below	58%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 SACRUM	$104.16	$248.00	$178.56–$235.60	—	58%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 SACRUM COCCYX MIN 2V	$104.16	$248.00	$178.56–$235.60	—	58%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs North Dakota	Off list
ACTH blood test CPT 82024 ADRENOCORTICOTROPIC HORM ACTH	$48.67	$115.86	$38.62–$110.07	66% below	58%
ACTH blood test CPT 82024 ADRENOCORTICOTROPIC HORMONE AS	$169.26	$403.00	$38.62–$382.85	17% above	58%
ACTH blood test inpatient CPT 82024 ADRENOCORTICOTROPIC HORM ACTH	$48.67	$115.86	$83.42–$110.07	—	58%
ACTH blood test inpatient CPT 82024 ADRENOCORTICOTROPIC HORMONE AS	$169.26	$403.00	$290.16–$382.85	—	58%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALT	$41.16	$98.00	$5.30–$93.10	1% above	58%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 ALT	$41.16	$98.00	$70.56–$93.10	—	58%
AST (aspartate aminotransferase) enzyme test CPT 84450 AST	$35.28	$84.00	$5.18–$79.80	15% below	58%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 AST	$35.28	$84.00	$60.48–$79.80	—	58%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HEPATITIS ACUTE W HCV NAA RFL	$60.02	$142.89	$47.63–$135.75	74% below	58%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HEPATITIS PANEL ACUTE	$170.94	$407.00	$47.63–$386.65	25% below	58%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HEPATITIS ACUTE W HCV NAA RFL	$60.02	$142.89	$102.89–$135.75	—	58%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HEPATITIS PANEL ACUTE	$170.94	$407.00	$293.04–$386.65	—	58%
Albumin blood test CPT 82040 ALBUMIN SERUM	$6.24	$14.85	$4.95–$14.11	82% below	58%
Albumin blood test CPT 82040 ALBUMIN	$34.44	$82.00	$4.95–$77.90	2% below	58%
Albumin blood test inpatient CPT 82040 ALBUMIN SERUM	$6.24	$14.85	$10.70–$14.11	—	58%
Albumin blood test inpatient CPT 82040 ALBUMIN	$34.44	$82.00	$59.04–$77.90	—	58%
Aldosterone blood test CPT 82088 ALDOSTERONE SERUM	$51.35	$122.25	$40.75–$116.14	58% below	58%
Aldosterone blood test CPT 82088 ALDOSTERONE	$139.02	$331.00	$40.75–$314.45	13% above	58%
Aldosterone blood test inpatient CPT 82088 ALDOSTERONE SERUM	$51.35	$122.25	$88.02–$116.14	—	58%
Aldosterone blood test inpatient CPT 82088 ALDOSTERONE	$139.02	$331.00	$238.32–$314.45	—	58%
Alkaline phosphatase (ALP) blood test CPT 84075 ALK PHOS TOTAL	$6.53	$15.54	$5.18–$14.77	81% below	58%
Alkaline phosphatase (ALP) blood test CPT 84075 ALKALINE PHOSPHATASE	$22.26	$53.00	$5.18–$50.35	34% below	58%
Alkaline phosphatase (ALP) blood test CPT 84075 ALK PHOS	$35.28	$84.00	$5.18–$79.80	5% above	58%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 ALK PHOS TOTAL	$6.53	$15.54	$11.19–$14.77	—	58%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 ALKALINE PHOSPHATASE	$22.26	$53.00	$38.16–$50.35	—	58%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 ALK PHOS	$35.28	$84.00	$60.48–$79.80	—	58%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN FOOD GLUTEN	$6.58	$15.66	$5.22–$14.88	75% below	58%
Allergy blood test, specific IgE, per allergen CPT 86003 CHILDHOOD ALLERGEN X1	$15.96	$38.00	$5.22–$36.10	40% below	58%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN WHEAT IGE	$18.48	$44.00	$5.22–$41.80	31% below	58%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN PISTASHIO NUT IGE	$18.90	$45.00	$5.22–$42.75	29% below	58%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN D. PTERONYSSINUS	$28.14	$67.00	$5.22–$63.65	5% above	58%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN FOOD GLUTEN	$6.58	$15.66	$11.28–$14.88	—	58%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CHILDHOOD ALLERGEN X1	$15.96	$38.00	$27.36–$36.10	—	58%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN WHEAT IGE	$18.48	$44.00	$31.68–$41.80	—	58%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN PISTASHIO NUT IGE	$18.90	$45.00	$32.40–$42.75	—	58%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN D. PTERONYSSINUS	$28.14	$67.00	$48.24–$63.65	—	58%
Alpha-fetoprotein (AFP) blood test CPT 82105 ALPHA FETOPROTEIN S TUMOR MRK	$21.14	$50.31	$16.77–$47.80	78% below	58%
Alpha-fetoprotein (AFP) blood test CPT 82105 ALPHA FETOPROTEIN TUMOR MARKER	$58.38	$139.00	$16.77–$132.05	39% below	58%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 ALPHA FETOPROTEIN S TUMOR MRK	$21.14	$50.31	$36.23–$47.80	—	58%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 ALPHA FETOPROTEIN TUMOR MARKER	$58.38	$139.00	$100.08–$132.05	—	58%
Ammonia blood test CPT 82140 AMMONIA PLASMA	$18.36	$43.71	$14.57–$41.53	63% below	58%
Ammonia blood test CPT 82140 AMMONIA URINE KS	$54.18	$129.00	$14.57–$122.55	9% above	58%
Ammonia blood test CPT 82140 AMMONIA	$61.32	$146.00	$14.57–$138.70	24% above	58%
Ammonia blood test inpatient CPT 82140 AMMONIA PLASMA	$18.36	$43.71	$31.48–$41.53	—	58%
Ammonia blood test inpatient CPT 82140 AMMONIA URINE KS	$54.18	$129.00	$92.88–$122.55	—	58%
Ammonia blood test inpatient CPT 82140 AMMONIA	$61.32	$146.00	$105.12–$138.70	—	58%
Amylase blood test CPT 82150 AMYLASE SERUM	$8.17	$19.44	$6.48–$18.47	82% below	58%
Amylase blood test CPT 82150 AMYLASE BODY FLUID	$8.40	$20.00	$6.48–$19.00	82% below	58%
Amylase blood test CPT 82150 AMYLASE	$44.94	$107.00	$6.48–$101.65	1% below	58%
Amylase blood test inpatient CPT 82150 AMYLASE SERUM	$8.17	$19.44	$14.00–$18.47	—	58%
Amylase blood test inpatient CPT 82150 AMYLASE BODY FLUID	$8.40	$20.00	$14.40–$19.00	—	58%
Amylase blood test inpatient CPT 82150 AMYLASE	$44.94	$107.00	$77.04–$101.65	—	58%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CYCLIC CITRUL PEPTIDE CCP IGG	$16.32	$38.85	$12.95–$36.91	80% below	58%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CYCLIC CITRULLINATED PEPTIDEAB	$62.58	$149.00	$12.95–$141.55	24% below	58%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CYCLIC CITRUL PEPTIDE CCP IGG	$16.32	$38.85	$27.98–$36.91	—	58%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CYCLIC CITRULLINATED PEPTIDEAB	$62.58	$149.00	$107.28–$141.55	—	58%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA BY ELISA IGG W/RFLX IFA	$15.24	$36.27	$12.09–$34.46	76% below	58%
Antinuclear antibody (ANA) blood test, screen CPT 86038 LCFP ANA	$38.64	$92.00	$12.09–$87.40	39% below	58%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ALDP - ANA AB	$39.06	$93.00	$12.09–$88.35	39% below	58%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA WITH REFLEX TO EIGHT AUTOA	$67.62	$161.00	$12.09–$152.95	6% above	58%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA BY ELISA IGG W/RFLX IFA	$15.24	$36.27	$26.12–$34.46	—	58%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 LCFP ANA	$38.64	$92.00	$66.24–$87.40	—	58%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ALDP - ANA AB	$39.06	$93.00	$66.96–$88.35	—	58%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA WITH REFLEX TO EIGHT AUTOA	$67.62	$161.00	$115.92–$152.95	—	58%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 BNP	$194.04	$462.00	$39.26–$438.90	16% below	58%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 BNP	$194.04	$462.00	$332.64–$438.90	—	58%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULT AEROBIC	$55.02	$131.00	$8.62–$124.45	15% below	58%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULT BODY FLUID	$57.96	$138.00	$8.62–$131.10	11% below	58%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULT AEROBIC	$55.02	$131.00	$94.32–$124.45	—	58%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULT BODY FLUID	$57.96	$138.00	$99.36–$131.10	—	58%
Basic metabolic panel (blood test) CPT 80048 BMP	$59.22	$141.00	$8.46–$133.95	20% below	58%
Basic metabolic panel (blood test) inpatient CPT 80048 BMP	$59.22	$141.00	$101.52–$133.95	—	58%
Bilirubin blood test, total CPT 82247 BILIRUBIN TOTAL SERUM/PLASMA	$6.33	$15.06	$5.02–$14.31	82% below	58%
Bilirubin blood test, total CPT 82247 BILIRUBIN NEONATAL	$16.80	$40.00	$5.02–$38.00	52% below	58%
Bilirubin blood test, total CPT 82247 BILIRUBIN TOTAL	$31.50	$75.00	$5.02–$71.25	10% below	58%
Bilirubin blood test, total inpatient CPT 82247 BILIRUBIN TOTAL SERUM/PLASMA	$6.33	$15.06	$10.85–$14.31	—	58%
Bilirubin blood test, total inpatient CPT 82247 BILIRUBIN NEONATAL	$16.80	$40.00	$28.80–$38.00	—	58%
Bilirubin blood test, total inpatient CPT 82247 BILIRUBIN TOTAL	$31.50	$75.00	$54.00–$71.25	—	58%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 TISSUE EXAM BY PATHOLOGIST	$65.06	$154.89	$58.86–$147.15	47% below	58%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 SURG PATH GROSS/MICRO L4	$91.56	$218.00	$82.84–$207.10	26% below	58%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 TISSUE EXAM BY PATHOLOGIST	$65.06	$154.89	$111.53–$147.15	—	58%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 SURG PATH GROSS/MICRO L4	$91.56	$218.00	$156.96–$207.10	—	58%
Blood culture for bacteria CPT 87040 CULT BLOOD AEROBIC	$56.70	$135.00	$10.32–$128.25	33% below	58%
Blood culture for bacteria inpatient CPT 87040 CULT BLOOD AEROBIC	$56.70	$135.00	$97.20–$128.25	—	58%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE	$14.70	$35.00	$9.09–$33.25	14% below	58%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENIPUNCTURE	$14.70	$35.00	$25.20–$33.25	—	58%
Blood glucose (sugar) test CPT 82947 GLUCOMETER NOVA	$14.28	$34.00	$3.93–$32.30	52% below	58%
Blood glucose (sugar) test CPT 82947 GLUCOSE	$26.04	$62.00	$3.93–$58.90	12% below	58%
Blood glucose (sugar) test inpatient CPT 82947 GLUCOMETER NOVA	$14.28	$34.00	$24.48–$32.30	—	58%
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE	$26.04	$62.00	$44.64–$58.90	—	58%
Blood lead test CPT 83655 LEAD BLOOD VENOUS	$15.26	$36.33	$12.11–$34.52	67% below	58%
Blood lead test CPT 83655 LEAD	$40.74	$97.00	$12.11–$92.15	11% below	58%
Blood lead test CPT 83655 LEAD PEDIATRIC	$42.84	$102.00	$12.11–$96.90	7% below	58%
Blood lead test inpatient CPT 83655 LEAD BLOOD VENOUS	$15.26	$36.33	$26.16–$34.52	—	58%
Blood lead test inpatient CPT 83655 LEAD	$40.74	$97.00	$69.84–$92.15	—	58%
Blood lead test inpatient CPT 83655 LEAD PEDIATRIC	$42.84	$102.00	$73.44–$96.90	—	58%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HCG QUAL. SERUM	$46.20	$110.00	$7.52–$104.50	28% below	58%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HCG QUAL. SERUM	$46.20	$110.00	$79.20–$104.50	—	58%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO	$17.64	$42.00	$2.99–$39.90	55% below	58%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 ABO	$17.64	$42.00	$30.24–$39.90	—	58%
Blood urea nitrogen (BUN) test CPT 84520 BUN	$27.30	$65.00	$3.95–$61.75	26% below	58%
Blood urea nitrogen (BUN) test inpatient CPT 84520 BUN	$27.30	$65.00	$46.80–$61.75	—	58%
C-peptide blood test CPT 84681 C-PEPTIDE SERUM	$26.23	$62.43	$20.81–$59.31	76% below	58%
C-peptide blood test CPT 84681 C PEPTIDE	$57.12	$136.00	$20.81–$129.20	48% below	58%
C-peptide blood test inpatient CPT 84681 C-PEPTIDE SERUM	$26.23	$62.43	$44.95–$59.31	—	58%
C-peptide blood test inpatient CPT 84681 C PEPTIDE	$57.12	$136.00	$97.92–$129.20	—	58%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-REACTIVE PROTEIN	$6.53	$15.54	$5.18–$14.77	82% below	58%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 CRP	$29.82	$71.00	$5.18–$67.45	17% below	58%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C-REACTIVE PROTEIN	$6.53	$15.54	$11.19–$14.77	—	58%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 CRP	$29.82	$71.00	$51.12–$67.45	—	58%
C. difficile toxin gene test (stool PCR) CPT 87493 CDIFF AMP PROBE	$30.66	$73.00	$37.27–$69.35	84% below	58%
C. difficile toxin gene test (stool PCR) CPT 87493 C DIFF TOXIN B GENE TCDBRTPCR	$46.97	$111.81	$37.27–$106.22	76% below	58%
C. difficile toxin gene test (stool PCR) CPT 87493 CLOSTRIDIUM DIFFICILE TOXIN	$172.62	$411.00	$37.27–$390.45	10% below	58%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 CDIFF AMP PROBE	$30.66	$73.00	$52.56–$69.35	—	58%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 C DIFF TOXIN B GENE TCDBRTPCR	$46.97	$111.81	$80.51–$106.22	—	58%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 CLOSTRIDIUM DIFFICILE TOXIN	$172.62	$411.00	$295.92–$390.45	—	58%
CA 19-9 blood test (tumor marker) CPT 86301 CANCER ANTIGEN GI (19-9)	$26.23	$62.43	$20.81–$59.31	76% below	58%
CA 19-9 blood test (tumor marker) CPT 86301 CA 19-9	$137.76	$328.00	$20.81–$311.60	26% above	58%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 CANCER ANTIGEN GI (19-9)	$26.23	$62.43	$44.95–$59.31	—	58%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 CA 19-9	$137.76	$328.00	$236.16–$311.60	—	58%
CA-125 blood test (ovarian cancer marker) CPT 86304 CANCER ANTIGEN 125	$26.23	$62.43	$20.81–$59.31	79% below	58%
CA-125 blood test (ovarian cancer marker) CPT 86304 CA 125	$55.44	$132.00	$20.81–$125.40	56% below	58%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 CANCER ANTIGEN 125	$26.23	$62.43	$44.95–$59.31	—	58%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 CA 125	$55.44	$132.00	$95.04–$125.40	—	58%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS-COV-2/2019-NCOV INHOUSE C	$23.94	$57.00	$30.21–$54.15	81% below	58%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 SARS-COV-2/2019-NCOV INHOUSE C	$23.94	$57.00	$41.04–$54.15	—	58%
Calcium blood test, total CPT 82310 CALCIUM	$6.51	$15.48	$5.16–$14.71	80% below	58%
Calcium blood test, total inpatient CPT 82310 CALCIUM	$6.51	$15.48	$11.15–$14.71	—	58%
Carcinoembryonic antigen (CEA) test CPT 82378 CARCINOEMBRYONIC ANTIGEN	$23.89	$56.88	$18.96–$54.04	81% below	58%
Carcinoembryonic antigen (CEA) test CPT 82378 CARCINOEMBRYONIC ANTIGEN (CEA)	$68.88	$164.00	$18.96–$155.80	44% below	58%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 CARCINOEMBRYONIC ANTIGEN	$23.89	$56.88	$40.96–$54.04	—	58%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 CARCINOEMBRYONIC ANTIGEN (CEA)	$68.88	$164.00	$118.08–$155.80	—	58%
Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA ZOSTER AB IGG	$16.23	$38.64	$12.88–$36.71	73% below	58%
Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA ZOSTER IGG ANTIBODY	$45.78	$109.00	$12.88–$103.55	23% below	58%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 VARICELLA ZOSTER AB IGG	$16.23	$38.64	$27.83–$36.71	—	58%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 VARICELLA ZOSTER IGG ANTIBODY	$45.78	$109.00	$78.48–$103.55	—	58%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 C TRACHOMATIS BY TMA	$44.10	$105.00	$35.09–$99.75	71% below	58%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 C. TRACHOMATIS BY TMA	$44.22	$105.27	$35.09–$100.01	71% below	58%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA PROBE	$181.86	$433.00	$35.09–$411.35	18% above	58%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 C TRACHOMATIS BY TMA	$44.10	$105.00	$75.60–$99.75	—	58%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 C. TRACHOMATIS BY TMA	$44.22	$105.27	$75.80–$100.01	—	58%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA PROBE	$181.86	$433.00	$311.76–$411.35	—	58%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PNL	$25.62	$61.00	$13.39–$57.95	65% below	58%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PROFILE	$74.34	$177.00	$13.39–$168.15	at median	58%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PNL	$25.62	$61.00	$43.92–$57.95	—	58%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PROFILE	$74.34	$177.00	$127.44–$168.15	—	58%
Complete blood count (CBC) with differential CPT 85025 CBC W/MANUAL DIFF	$42.84	$102.00	$7.77–$96.90	27% below	58%
Complete blood count (CBC) with differential inpatient CPT 85025 CBC W/MANUAL DIFF	$42.84	$102.00	$73.44–$96.90	—	58%
Complete blood count (CBC), no differential CPT 85027 CBC W/O DIFF	$38.64	$92.00	$6.47–$87.40	16% below	58%
Complete blood count (CBC), no differential inpatient CPT 85027 CBC W/O DIFF	$38.64	$92.00	$66.24–$87.40	—	58%
Comprehensive metabolic panel (blood test) CPT 80053 CMP	$72.66	$173.00	$10.56–$164.35	23% below	58%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 CMP	$72.66	$173.00	$124.56–$164.35	—	58%
Cortisol blood test, total CPT 82533 CORTISOLSERUM	$20.54	$48.90	$16.30–$46.46	62% below	58%
Cortisol blood test, total CPT 82533 CORTISOL	$82.32	$196.00	$16.30–$186.20	51% above	58%
Cortisol blood test, total inpatient CPT 82533 CORTISOLSERUM	$20.54	$48.90	$35.21–$46.46	—	58%
Cortisol blood test, total inpatient CPT 82533 CORTISOL	$82.32	$196.00	$141.12–$186.20	—	58%
Creatine kinase (CK) blood test, total CPT 82550 CK TOTAL	$8.21	$19.53	$6.51–$18.56	83% below	58%
Creatine kinase (CK) blood test, total CPT 82550 CK	$36.54	$87.00	$6.51–$82.65	22% below	58%
Creatine kinase (CK) blood test, total CPT 82550 CK TOTAL (CREATINE KINASE)	$47.04	$112.00	$6.51–$106.40	at median	58%
Creatine kinase (CK) blood test, total inpatient CPT 82550 CK TOTAL	$8.21	$19.53	$14.07–$18.56	—	58%
Creatine kinase (CK) blood test, total inpatient CPT 82550 CK	$36.54	$87.00	$62.64–$82.65	—	58%
Creatine kinase (CK) blood test, total inpatient CPT 82550 CK TOTAL (CREATINE KINASE)	$47.04	$112.00	$80.64–$106.40	—	58%
Creatinine blood test CPT 82565 CREAT W/GFR	$28.14	$67.00	$5.12–$63.65	29% below	58%
Creatinine blood test inpatient CPT 82565 CREAT W/GFR	$28.14	$67.00	$48.24–$63.65	—	58%
Cytomegalovirus (CMV) antibody test CPT 86644 CMV IGG	$18.14	$43.17	$14.39–$41.02	65% below	58%
Cytomegalovirus (CMV) antibody test CPT 86644 CYTOMEGALOVIRUS AB IGG	$84.00	$200.00	$14.39–$190.00	61% above	58%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 CMV IGG	$18.14	$43.17	$31.09–$41.02	—	58%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 CYTOMEGALOVIRUS AB IGG	$84.00	$200.00	$144.00–$190.00	—	58%
D-dimer blood test (blood clot marker) CPT 85379 D-DIMER	$54.18	$129.00	$10.18–$122.55	26% below	58%
D-dimer blood test (blood clot marker) CPT 85379 D-DIMER QUANT	$62.16	$148.00	$10.18–$140.60	15% below	58%
D-dimer blood test (blood clot marker) inpatient CPT 85379 D-DIMER	$54.18	$129.00	$92.88–$122.55	—	58%
D-dimer blood test (blood clot marker) inpatient CPT 85379 D-DIMER QUANT	$62.16	$148.00	$106.56–$140.60	—	58%
DHEA sulfate (DHEA-S) blood test CPT 82627 DEHYDROEPIANDROSTERONE SULFATE	$28.01	$66.69	$22.23–$63.36	74% below	58%
DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA-SO4	$113.40	$270.00	$22.23–$256.50	5% above	58%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DEHYDROEPIANDROSTERONE SULFATE	$28.01	$66.69	$48.02–$63.36	—	58%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DHEA-SO4	$113.40	$270.00	$194.40–$256.50	—	58%
Drug screen by lab instrument (any number of drug classes) CPT 80307 FLUNITRAZEPAM S/P	$68.88	$164.00	$62.14–$155.80	52% below	58%
Drug screen by lab instrument (any number of drug classes) CPT 80307 ETOH BLD	$76.86	$183.00	$62.14–$173.85	47% below	58%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUGS OF ABUSE 9 PANEL S OR P	$78.30	$186.42	$62.14–$177.10	46% below	58%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN URINE (NPL)	$227.64	$542.00	$62.14–$514.90	58% above	58%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 FLUNITRAZEPAM S/P	$68.88	$164.00	$118.08–$155.80	—	58%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 ETOH BLD	$76.86	$183.00	$131.76–$173.85	—	58%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUGS OF ABUSE 9 PANEL S OR P	$78.30	$186.42	$134.23–$177.10	—	58%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG SCREEN URINE (NPL)	$227.64	$542.00	$390.24–$514.90	—	58%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 ELECTROLYTES	$46.20	$110.00	$7.01–$104.50	17% below	58%
Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 ELECTROLYTES	$46.20	$110.00	$79.20–$104.50	—	58%
Epstein-Barr virus (EBV) antibody test CPT 86665 EBV AB TO VIRAL CAPSID AG IGG	$22.86	$54.42	$18.14–$51.70	73% below	58%
Epstein-Barr virus (EBV) antibody test CPT 86665 EBV VCA 1	$104.16	$248.00	$18.14–$235.60	24% above	58%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 EBV AB TO VIRAL CAPSID AG IGG	$22.86	$54.42	$39.19–$51.70	—	58%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 EBV VCA 1	$104.16	$248.00	$178.56–$235.60	—	58%
Estradiol blood test CPT 82670 ESTRADIOL BY IMMUNOASSAY	$35.21	$83.82	$27.94–$79.63	73% below	58%
Estradiol blood test CPT 82670 ESTRADIOL	$88.62	$211.00	$27.94–$200.45	31% below	58%
Estradiol blood test inpatient CPT 82670 ESTRADIOL BY IMMUNOASSAY	$35.21	$83.82	$60.36–$79.63	—	58%
Estradiol blood test inpatient CPT 82670 ESTRADIOL	$88.62	$211.00	$151.92–$200.45	—	58%
FSH (follicle-stimulating hormone) test CPT 83001 FOLLICLE STIMULATING HORMONE	$23.42	$55.74	$18.58–$52.96	78% below	58%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 FOLLICLE STIMULATING HORMONE	$23.42	$55.74	$40.14–$52.96	—	58%
Fecal calprotectin (stool inflammation test) CPT 83993 CALPROTECTIN FECAL	$24.74	$58.89	$19.63–$55.95	84% below	58%
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 CALPROTECTIN FECAL	$24.74	$58.89	$42.41–$55.95	—	58%
Ferritin blood test (iron stores) CPT 82728 FERRITIN	$17.18	$40.89	$13.63–$38.85	82% below	58%
Ferritin blood test (iron stores) inpatient CPT 82728 FERRITIN	$17.18	$40.89	$29.45–$38.85	—	58%
Fibrinogen blood test CPT 85384 FIBRINOGEN ACTIVITY	$12.18	$29.00	$9.72–$27.55	78% below	58%
Fibrinogen blood test CPT 85384 FIBRINOGEN	$12.25	$29.16	$9.72–$27.71	78% below	58%
Fibrinogen blood test inpatient CPT 85384 FIBRINOGEN ACTIVITY	$12.18	$29.00	$20.88–$27.55	—	58%
Fibrinogen blood test inpatient CPT 85384 FIBRINOGEN	$12.25	$29.16	$21.00–$27.71	—	58%
Folate (folic acid) blood test CPT 82746 FOLATESERUM	$18.53	$44.10	$14.70–$41.90	80% below	58%
Folate (folic acid) blood test CPT 82746 FOLATE SERUM	$84.42	$201.00	$14.70–$190.95	10% below	58%
Folate (folic acid) blood test inpatient CPT 82746 FOLATESERUM	$18.53	$44.10	$31.76–$41.90	—	58%
Folate (folic acid) blood test inpatient CPT 82746 FOLATE SERUM	$84.42	$201.00	$144.72–$190.95	—	58%
Free T3 thyroid hormone test CPT 84481 TRIIODOTHYRONINEFREE FREE T3	$21.35	$50.82	$16.94–$48.28	79% below	58%
Free T3 thyroid hormone test CPT 84481 T3 FREE	$85.68	$204.00	$16.94–$193.80	15% below	58%
Free T3 thyroid hormone test inpatient CPT 84481 TRIIODOTHYRONINEFREE FREE T3	$21.35	$50.82	$36.60–$48.28	—	58%
Free T3 thyroid hormone test inpatient CPT 84481 T3 FREE	$85.68	$204.00	$146.88–$193.80	—	58%
Free T4 (free thyroxine) thyroid blood test CPT 84439 THYROXINE FREE	$11.37	$27.06	$9.02–$25.71	82% below	58%
Free T4 (free thyroxine) thyroid blood test CPT 84439 T4 FREE	$53.34	$127.00	$9.02–$120.65	15% below	58%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 THYROXINE FREE	$11.37	$27.06	$19.49–$25.71	—	58%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 T4 FREE	$53.34	$127.00	$91.44–$120.65	—	58%
Free testosterone test CPT 84402 TESTOSTERONE FREE	$32.10	$76.41	$25.47–$72.59	58% below	58%
Free testosterone test CPT 84402 TESTOSTERONEFREE(ADULT MALE)	$86.52	$206.00	$25.47–$195.70	13% above	58%
Free testosterone test inpatient CPT 84402 TESTOSTERONE FREE	$32.10	$76.41	$55.02–$72.59	—	58%
Free testosterone test inpatient CPT 84402 TESTOSTERONEFREE(ADULT MALE)	$86.52	$206.00	$148.32–$195.70	—	58%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 GAMMA GLUTAMYL TRANSFERASES/P	$9.08	$21.60	$7.20–$20.52	80% below	58%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 GAMMA GLUTAMYL TRANSFERASE (GG	$26.04	$62.00	$7.20–$58.90	42% below	58%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 GAMMA GLUTAMYL TRANSFERASES/P	$9.08	$21.60	$15.56–$20.52	—	58%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 GAMMA GLUTAMYL TRANSFERASE (GG	$26.04	$62.00	$44.64–$58.90	—	58%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE 2 HR	$30.66	$73.00	$4.75–$69.35	13% below	58%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 GLUCOSE 2 HR	$30.66	$73.00	$52.56–$69.35	—	58%
Glucose tolerance test, 3 samples CPT 82951 GTT2	$77.70	$185.00	$12.87–$175.75	15% below	58%
Glucose tolerance test, 3 samples inpatient CPT 82951 GTT2	$77.70	$185.00	$133.20–$175.75	—	58%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N. GONORRHOEAE BY TMA	$44.22	$105.27	$35.09–$100.01	71% below	58%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 GC PROBE	$181.86	$433.00	$35.09–$411.35	18% above	58%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 CULT GONORRHEA	$191.10	$455.00	$35.09–$432.25	24% above	58%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 N. GONORRHOEAE BY TMA	$44.22	$105.27	$75.80–$100.01	—	58%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 GC PROBE	$181.86	$433.00	$311.76–$411.35	—	58%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 CULT GONORRHEA	$191.10	$455.00	$327.60–$432.25	—	58%
H. pylori antibody blood test CPT 86677 H. PYLORI IGG	$43.68	$104.00	$16.85–$98.80	49% below	58%
H. pylori antibody blood test inpatient CPT 86677 H. PYLORI IGG	$43.68	$104.00	$74.88–$98.80	—	58%
H. pylori stool antigen test CPT 87338 HELICOBACT PYLORI AGFECAL EIA	$18.12	$43.14	$14.38–$40.99	82% below	58%
H. pylori stool antigen test CPT 87338 HELICOBACTER PYLORI STOOL ANTI	$71.82	$171.00	$14.38–$162.45	28% below	58%
H. pylori stool antigen test inpatient CPT 87338 HELICOBACT PYLORI AGFECAL EIA	$18.12	$43.14	$31.07–$40.99	—	58%
H. pylori stool antigen test inpatient CPT 87338 HELICOBACTER PYLORI STOOL ANTI	$71.82	$171.00	$123.12–$162.45	—	58%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV-1 QNT BY NAAT	$107.23	$255.30	$85.10–$242.54	55% below	58%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV-1 QNT BY NAAT	$107.23	$255.30	$183.82–$242.54	—	58%
HIV-1 and HIV-2 antibody test CPT 86703 HIV RAPID	$78.96	$188.00	$13.71–$178.60	1% above	58%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 HIV RAPID	$78.96	$188.00	$135.36–$178.60	—	58%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV 12 COMBO AG/AB CIA W/RFLX	$30.35	$72.24	$24.08–$68.63	74% below	58%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV 1/2 AG/AB COMBO	$84.84	$202.00	$24.08–$191.90	27% below	58%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HIV 12 COMBO AG/AB CIA W/RFLX	$30.35	$72.24	$52.02–$68.63	—	58%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HIV 1/2 AG/AB COMBO	$84.84	$202.00	$145.44–$191.90	—	58%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV NUCLEIC ACID AMPLIFICATION	$44.22	$105.27	$35.09–$100.01	55% below	58%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV DNA PROBE HI RISK	$113.40	$270.00	$35.09–$256.50	16% above	58%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HVP HIGH RISK	$123.06	$293.00	$35.09–$278.35	26% above	58%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HPV NUCLEIC ACID AMPLIFICATION	$44.22	$105.27	$75.80–$100.01	—	58%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HPV DNA PROBE HI RISK	$113.40	$270.00	$194.40–$256.50	—	58%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HVP HIGH RISK	$123.06	$293.00	$210.96–$278.35	—	58%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 GLYCO HGB	$53.76	$128.00	$9.71–$121.60	23% below	58%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 GLYCO HGB	$53.76	$128.00	$92.16–$121.60	—	58%
Hemoglobin blood test CPT 85018 HEMOGLOBIN	$24.36	$58.00	$2.37–$55.10	5% above	58%
Hemoglobin blood test inpatient CPT 85018 HEMOGLOBIN	$24.36	$58.00	$41.76–$55.10	—	58%
Hepatitis B core antibody test (total) CPT 86704 HEPATITIS B CORE AB TOTAL	$15.19	$36.15	$12.05–$34.35	77% below	58%
Hepatitis B core antibody test (total) CPT 86704 HEPATITIS B CORE ANTIBODY TOTA	$37.38	$89.00	$12.05–$84.55	44% below	58%
Hepatitis B core antibody test (total) inpatient CPT 86704 HEPATITIS B CORE AB TOTAL	$15.19	$36.15	$26.03–$34.35	—	58%
Hepatitis B core antibody test (total) inpatient CPT 86704 HEPATITIS B CORE ANTIBODY TOTA	$37.38	$89.00	$64.08–$84.55	—	58%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEPATITIS B SURFACE ANTIBODY	$13.54	$32.22	$10.74–$30.61	76% below	58%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEPATITIS B SURFACE ANTIB QUAL	$49.14	$117.00	$10.74–$111.15	13% below	58%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEPATITIS B SURFACE ANTIBODY	$13.54	$32.22	$23.20–$30.61	—	58%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEPATITIS B SURFACE ANTIB QUAL	$49.14	$117.00	$84.24–$111.15	—	58%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B SURFACE AG W/RFLX	$13.02	$30.99	$10.33–$29.45	76% below	58%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B SURFACE ANTIGEN	$35.70	$85.00	$10.33–$80.75	34% below	58%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HBSAG	$38.64	$92.00	$10.33–$87.40	28% below	58%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEPATITIS B SURFACE AG W/RFLX	$13.02	$30.99	$22.32–$29.45	—	58%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEPATITIS B SURFACE ANTIGEN	$35.70	$85.00	$61.20–$80.75	—	58%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HBSAG	$38.64	$92.00	$66.24–$87.40	—	58%
Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C VIRUS ANTIBODY CIA	$17.99	$42.81	$14.27–$40.67	76% below	58%
Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C ANTIBODY	$45.78	$109.00	$14.27–$103.55	39% below	58%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C VIRUS ANTIBODY CIA	$17.99	$42.81	$30.83–$40.67	—	58%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C ANTIBODY	$45.78	$109.00	$78.48–$103.55	—	58%
Hepatitis C viral load (HCV RNA) test CPT 87522 HCV QNT BY NAAT	$53.98	$128.52	$42.84–$122.10	59% below	58%
Hepatitis C viral load (HCV RNA) test CPT 87522 HEP C VIRUS RNA QUANT BY PCR	$126.42	$301.00	$42.84–$285.95	4% below	58%
Hepatitis C viral load (HCV RNA) test CPT 87522 HCV RNA QUANT BY PCR	$134.82	$321.00	$42.84–$304.95	3% above	58%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HCV QNT BY NAAT	$53.98	$128.52	$92.54–$122.10	—	58%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HEP C VIRUS RNA QUANT BY PCR	$126.42	$301.00	$216.72–$285.95	—	58%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HCV RNA QUANT BY PCR	$134.82	$321.00	$231.12–$304.95	—	58%
Herpes blood test, HSV-1 antibody CPT 86695 HSV1-GLYCO-G ABIGGBYCIA	$16.62	$39.57	$13.19–$37.60	71% below	58%
Herpes blood test, HSV-1 antibody CPT 86695 HSV TYPE 1 G SPECIFIC IGG	$16.80	$40.00	$13.19–$38.00	70% below	58%
Herpes blood test, HSV-1 antibody CPT 86695 H SIMPLEX IGG	$89.46	$213.00	$13.19–$202.35	58% above	58%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HSV1-GLYCO-G ABIGGBYCIA	$16.62	$39.57	$28.50–$37.60	—	58%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HSV TYPE 1 G SPECIFIC IGG	$16.80	$40.00	$28.80–$38.00	—	58%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 H SIMPLEX IGG	$89.46	$213.00	$153.36–$202.35	—	58%
Herpes blood test, HSV-2 antibody CPT 86696 HSV TYPE 2 G SPECIFIC IGG	$24.36	$58.00	$19.35–$55.10	64% below	58%
Herpes blood test, HSV-2 antibody CPT 86696 HSV2-GLYCO-G ABIGGBYCIA	$24.39	$58.05	$19.35–$55.15	64% below	58%
Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX VIRUS 2 IGG	$89.46	$213.00	$19.35–$202.35	33% above	58%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HSV TYPE 2 G SPECIFIC IGG	$24.36	$58.00	$41.76–$55.10	—	58%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HSV2-GLYCO-G ABIGGBYCIA	$24.39	$58.05	$41.80–$55.15	—	58%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HERPES SIMPLEX VIRUS 2 IGG	$89.46	$213.00	$153.36–$202.35	—	58%
High-sensitivity CRP (hs-CRP) test CPT 86141 CRPHIGH SENSITIVITY	$16.32	$38.85	$12.95–$36.91	79% below	58%
High-sensitivity CRP (hs-CRP) test CPT 86141 C-REACTIVE PROTEIN HIGH SENSIT	$81.48	$194.00	$12.95–$184.30	5% above	58%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 CRPHIGH SENSITIVITY	$16.32	$38.85	$27.98–$36.91	—	58%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 C-REACTIVE PROTEIN HIGH SENSIT	$81.48	$194.00	$139.68–$184.30	—	58%
Homocysteine blood test CPT 83090 HOMOCYSTINE TOTAL	$22.58	$53.76	$17.92–$51.08	77% below	58%
Homocysteine blood test CPT 83090 HOMOCYSTEINE CARDIAC RISK	$150.78	$359.00	$17.92–$341.05	55% above	58%
Homocysteine blood test inpatient CPT 83090 HOMOCYSTINE TOTAL	$22.58	$53.76	$38.71–$51.08	—	58%
Homocysteine blood test inpatient CPT 83090 HOMOCYSTEINE CARDIAC RISK	$150.78	$359.00	$258.48–$341.05	—	58%
Insulin blood test CPT 83525 INSULIN	$14.41	$34.29	$11.43–$32.58	75% below	58%
Insulin blood test CPT 83525 INSULIN TOTAL	$39.06	$93.00	$11.43–$88.35	33% below	58%
Insulin blood test CPT 83525 INSULIN ASSAY	$70.56	$168.00	$11.43–$159.60	21% above	58%
Insulin blood test inpatient CPT 83525 INSULIN	$14.41	$34.29	$24.69–$32.58	—	58%
Insulin blood test inpatient CPT 83525 INSULIN TOTAL	$39.06	$93.00	$66.96–$88.35	—	58%
Insulin blood test inpatient CPT 83525 INSULIN ASSAY	$70.56	$168.00	$120.96–$159.60	—	58%
Iron blood test (serum iron) CPT 83540 IRONPLASMA OR SERUM	$8.16	$19.41	$6.47–$18.44	79% below	58%
Iron blood test (serum iron) CPT 83540 IRON	$36.12	$86.00	$6.47–$81.70	6% below	58%
Iron blood test (serum iron) inpatient CPT 83540 IRONPLASMA OR SERUM	$8.16	$19.41	$13.98–$18.44	—	58%
Iron blood test (serum iron) inpatient CPT 83540 IRON	$36.12	$86.00	$61.92–$81.70	—	58%
Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING CAPACITY TOTAL	$11.02	$26.22	$8.74–$24.91	79% below	58%
Iron-binding capacity (TIBC) test CPT 83550 TOTAL IRON BINDING CAPACITY	$47.88	$114.00	$8.74–$108.30	10% below	58%
Iron-binding capacity (TIBC) test inpatient CPT 83550 IRON BINDING CAPACITY TOTAL	$11.02	$26.22	$18.88–$24.91	—	58%
Iron-binding capacity (TIBC) test inpatient CPT 83550 TOTAL IRON BINDING CAPACITY	$47.88	$114.00	$82.08–$108.30	—	58%
Kidney function blood test panel CPT 80069 RENAL PROFILE	$60.48	$144.00	$8.68–$136.80	10% below	58%
Kidney function blood test panel inpatient CPT 80069 RENAL PROFILE	$60.48	$144.00	$103.68–$136.80	—	58%
LH (luteinizing hormone) test CPT 83002 LUTEINIZING HORMONESERUM	$23.34	$55.56	$18.52–$52.79	78% below	58%
LH (luteinizing hormone) test CPT 83002 LUTEINIZING HORMONE	$68.88	$164.00	$18.52–$155.80	36% below	58%
LH (luteinizing hormone) test inpatient CPT 83002 LUTEINIZING HORMONESERUM	$23.34	$55.56	$40.01–$52.79	—	58%
LH (luteinizing hormone) test inpatient CPT 83002 LUTEINIZING HORMONE	$68.88	$164.00	$118.08–$155.80	—	58%
Lactate (lactic acid) blood test CPT 83605 LACTIC ACID	$62.58	$149.00	$11.57–$141.55	19% below	58%
Lactate (lactic acid) blood test inpatient CPT 83605 LACTIC ACID	$62.58	$149.00	$107.28–$141.55	—	58%
Lactate dehydrogenase (LDH) blood test CPT 83615 LACTATE DEHYDROGENASE BODY FLD	$7.62	$18.12	$6.04–$17.22	82% below	58%
Lactate dehydrogenase (LDH) blood test CPT 83615 LACTATE DEHYDROGENASE (LD)	$33.60	$80.00	$6.04–$76.00	23% below	58%
Lactate dehydrogenase (LDH) blood test CPT 83615 LDH	$35.28	$84.00	$6.04–$79.80	19% below	58%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LACTATE DEHYDROGENASE BODY FLD	$7.62	$18.12	$13.05–$17.22	—	58%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LACTATE DEHYDROGENASE (LD)	$33.60	$80.00	$57.60–$76.00	—	58%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LDH	$35.28	$84.00	$60.48–$79.80	—	58%
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE SERUM OR PLASMA	$8.69	$20.67	$6.89–$19.64	84% below	58%
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE	$40.74	$97.00	$6.89–$92.15	24% below	58%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE SERUM OR PLASMA	$8.69	$20.67	$14.89–$19.64	—	58%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE	$40.74	$97.00	$69.84–$92.15	—	58%
Liver function blood test panel CPT 80076 HEPATIC FUNCTION	$54.18	$129.00	$8.17–$122.55	24% below	58%
Liver function blood test panel inpatient CPT 80076 HEPATIC FUNCTION	$54.18	$129.00	$92.88–$122.55	—	58%
Lyme disease antibody test CPT 86618 LYME DISEASE ACUTE REFLEXIVE	$21.46	$51.09	$17.03–$48.54	67% below	58%
Lyme disease antibody test CPT 86618 LYME(B BURGDORFERI) AB IGG/IGM	$67.62	$161.00	$17.03–$152.95	3% above	58%
Lyme disease antibody test inpatient CPT 86618 LYME DISEASE ACUTE REFLEXIVE	$21.46	$51.09	$36.79–$48.54	—	58%
Lyme disease antibody test inpatient CPT 86618 LYME(B BURGDORFERI) AB IGG/IGM	$67.62	$161.00	$115.92–$152.95	—	58%
Magnesium blood test CPT 83735 MAGNESIUM URINE	$5.88	$14.00	$6.70–$13.30	81% below	58%
Magnesium blood test CPT 83735 MAGNESIUM RBC	$8.45	$20.10	$6.70–$19.10	73% below	58%
Magnesium blood test CPT 83735 MAGNESIUM - TOTAL RBCS	$38.22	$91.00	$6.70–$86.45	20% above	58%
Magnesium blood test CPT 83735 MAGNESIUM	$39.90	$95.00	$6.70–$90.25	26% above	58%
Magnesium blood test inpatient CPT 83735 MAGNESIUM URINE	$5.88	$14.00	$10.08–$13.30	—	58%
Magnesium blood test inpatient CPT 83735 MAGNESIUM RBC	$8.45	$20.10	$14.48–$19.10	—	58%
Magnesium blood test inpatient CPT 83735 MAGNESIUM - TOTAL RBCS	$38.22	$91.00	$65.52–$86.45	—	58%
Magnesium blood test inpatient CPT 83735 MAGNESIUM	$39.90	$95.00	$68.40–$90.25	—	58%
Measles (rubeola) antibody test CPT 86765 RUBEOLA (MEASLES) AB IGG	$16.23	$38.64	$12.88–$36.71	71% below	58%
Measles (rubeola) antibody test CPT 86765 RUBEOLA (MEASLES) ANTIBODY IGG	$36.12	$86.00	$12.88–$81.70	36% below	58%
Measles (rubeola) antibody test inpatient CPT 86765 RUBEOLA (MEASLES) AB IGG	$16.23	$38.64	$27.83–$36.71	—	58%
Measles (rubeola) antibody test inpatient CPT 86765 RUBEOLA (MEASLES) ANTIBODY IGG	$36.12	$86.00	$61.92–$81.70	—	58%
Mono test (heterophile antibody, Monospot) CPT 86308 MONO TEST	$44.10	$105.00	$5.18–$99.75	at median	58%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 MONO TEST	$44.10	$105.00	$75.60–$99.75	—	58%
Mumps immunity blood test CPT 86735 MUMPS VIRUS ANTIBODY IGG	$16.45	$39.15	$13.05–$37.20	60% below	58%
Mumps immunity blood test inpatient CPT 86735 MUMPS VIRUS ANTIBODY IGG	$16.45	$39.15	$28.19–$37.20	—	58%
Obstetric blood test panel CPT 80055 PRENATAL PANEL W/ CBC & HBSAG	$179.34	$427.00	$47.81–$405.65	36% below	58%
Obstetric blood test panel inpatient CPT 80055 PRENATAL PANEL W/ CBC & HBSAG	$179.34	$427.00	$307.44–$405.65	—	58%
PSA (prostate-specific antigen) blood test, free CPT 84154 PSA FREE	$23.18	$55.17	$18.39–$52.42	64% below	58%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PSA FREE	$23.18	$55.17	$39.73–$52.42	—	58%
PSA (prostate-specific antigen) blood test, total CPT 84153 PROSTATE SPECIFIC ANTIGEN	$23.18	$55.17	$18.39–$52.42	76% below	58%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA DIAGNOSTIC	$95.76	$228.00	$18.39–$216.60	1% below	58%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PROSTATE SPECIFIC ANTIGEN	$23.18	$55.17	$39.73–$52.42	—	58%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA DIAGNOSTIC	$95.76	$228.00	$164.16–$216.60	—	58%
Pap test (liquid-based, automated screening with review) CPT 88175 THIN PREP PAP SMEAR	$98.28	$234.00	$26.61–$222.30	14% below	58%
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 THIN PREP PAP SMEAR	$98.28	$234.00	$168.48–$222.30	—	58%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 CYTOLOGYTHINPREP PAP W/ HPV	$25.53	$60.78	$20.26–$57.75	75% below	58%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 CYTOPATH CER/VAG IN OR B	$71.82	$171.00	$20.26–$162.45	30% below	58%
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 CYTOLOGYTHINPREP PAP W/ HPV	$25.53	$60.78	$43.77–$57.75	—	58%
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 CYTOPATH CER/VAG IN OR B	$71.82	$171.00	$123.12–$162.45	—	58%
Parathyroid hormone (PTH) blood test CPT 83970 PARATHYROID HORMONE INTACT	$52.02	$123.84	$41.28–$117.65	75% below	58%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 PARATHYROID HORMONE INTACT	$52.02	$123.84	$89.17–$117.65	—	58%
Partial thromboplastin time (PTT) clotting test CPT 85730 PTT-LA SCREEN (PTT-D)	$7.58	$18.03	$6.01–$17.13	77% below	58%
Partial thromboplastin time (PTT) clotting test CPT 85730 PTT	$39.90	$95.00	$6.01–$90.25	21% above	58%
Partial thromboplastin time (PTT) clotting test CPT 85730 PARTIAL THROMBOPLASTIN TIME	$42.84	$102.00	$6.01–$96.90	30% above	58%
Partial thromboplastin time (PTT) clotting test CPT 85730 APTT	$44.52	$106.00	$6.01–$100.70	35% above	58%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT-LA SCREEN (PTT-D)	$7.58	$18.03	$12.99–$17.13	—	58%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT	$39.90	$95.00	$68.40–$90.25	—	58%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PARTIAL THROMBOPLASTIN TIME	$42.84	$102.00	$73.44–$96.90	—	58%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 APTT	$44.52	$106.00	$76.32–$100.70	—	58%
Phosphorus (phosphate) blood test CPT 84100 PHOSPHORUS	$31.08	$74.00	$4.74–$70.30	8% below	58%
Phosphorus (phosphate) blood test inpatient CPT 84100 PHOSPHORUS	$31.08	$74.00	$53.28–$70.30	—	58%
Potassium blood test CPT 84132 POTASSIUM	$31.08	$74.00	$4.76–$70.30	24% below	58%
Potassium blood test inpatient CPT 84132 POTASSIUM	$31.08	$74.00	$53.28–$70.30	—	58%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 NON INV PRENATAL SCREENING	$956.41	$2,277.15	$759.05–$2,163.30	25% below	58%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) inpatient CPT 81420 NON INV PRENATAL SCREENING	$956.41	$2,277.15	$1,639.55–$2,163.30	—	58%
Progesterone blood test CPT 84144 PROGESTERONE QUANTSER/PLAS	$26.29	$62.58	$20.86–$59.46	78% below	58%
Progesterone blood test CPT 84144 PROGESTERONE	$72.66	$173.00	$20.86–$164.35	39% below	58%
Progesterone blood test inpatient CPT 84144 PROGESTERONE QUANTSER/PLAS	$26.29	$62.58	$45.06–$59.46	—	58%
Progesterone blood test inpatient CPT 84144 PROGESTERONE	$72.66	$173.00	$124.56–$164.35	—	58%
Prolactin blood test CPT 84146 PROLACTIN	$24.42	$58.14	$19.38–$55.24	76% below	58%
Prolactin blood test CPT 84146 MONOMERIC PROLACTIN	$24.78	$59.00	$19.38–$56.05	75% below	58%
Prolactin blood test inpatient CPT 84146 PROLACTIN	$24.42	$58.14	$41.87–$55.24	—	58%
Prolactin blood test inpatient CPT 84146 MONOMERIC PROLACTIN	$24.78	$59.00	$42.48–$56.05	—	58%
Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME	$5.41	$12.87	$4.29–$12.23	79% below	58%
Prothrombin time (PT/INR) clotting test CPT 85610 PROTIME/INR	$26.88	$64.00	$4.29–$60.80	4% above	58%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME	$5.41	$12.87	$9.27–$12.23	—	58%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTIME/INR	$26.88	$64.00	$46.08–$60.80	—	58%
Rapid flu test (influenza antigen) CPT 87804 INFLUENZA A AG	$85.68	$204.00	$16.55–$193.80	2% above	58%
Rapid flu test (influenza antigen) inpatient CPT 87804 INFLUENZA A AG	$85.68	$204.00	$146.88–$193.80	—	58%
Renin blood test CPT 84244 RENIN ACTIVITY	$27.71	$65.97	$21.99–$62.68	63% below	58%
Renin blood test CPT 84244 RENIN DIRECT	$73.92	$176.00	$21.99–$167.20	2% below	58%
Renin blood test CPT 84244 RENIN PLASMA	$78.96	$188.00	$21.99–$178.60	5% above	58%
Renin blood test inpatient CPT 84244 RENIN ACTIVITY	$27.71	$65.97	$47.50–$62.68	—	58%
Renin blood test inpatient CPT 84244 RENIN DIRECT	$73.92	$176.00	$126.72–$167.20	—	58%
Renin blood test inpatient CPT 84244 RENIN PLASMA	$78.96	$188.00	$135.36–$178.60	—	58%
Rh blood typing CPT 86901 RH	$15.96	$38.00	$2.99–$36.10	58% below	58%
Rh blood typing inpatient CPT 86901 RH	$15.96	$38.00	$27.36–$36.10	—	58%
Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR	$7.15	$17.01	$5.67–$16.16	80% below	58%
Rheumatoid factor (RF) test CPT 86431 LCFP RF	$20.16	$48.00	$5.67–$45.60	45% below	58%
Rheumatoid factor (RF) test inpatient CPT 86431 RHEUMATOID FACTOR	$7.15	$17.01	$12.25–$16.16	—	58%
Rheumatoid factor (RF) test inpatient CPT 86431 LCFP RF	$20.16	$48.00	$34.56–$45.60	—	58%
Rubella antibody test (immunity check) CPT 86762 RUBELLA	$15.12	$36.00	$14.39–$34.20	77% below	58%
Rubella antibody test (immunity check) CPT 86762 RUBELLA ANTIBODYIGG	$18.14	$43.17	$14.39–$41.02	73% below	58%
Rubella antibody test (immunity check) CPT 86762 RUBELLA ANTIBODY IGG	$47.04	$112.00	$14.39–$106.40	29% below	58%
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA	$15.12	$36.00	$25.92–$34.20	—	58%
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA ANTIBODYIGG	$18.14	$43.17	$31.09–$41.02	—	58%
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA ANTIBODY IGG	$47.04	$112.00	$80.64–$106.40	—	58%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 ESR AUTO	$16.38	$39.00	$2.70–$37.05	47% below	58%
Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 ESR AUTO	$16.38	$39.00	$28.08–$37.05	—	58%
Sodium blood test CPT 84295 SODIUM	$31.08	$74.00	$4.81–$70.30	20% below	58%
Sodium blood test inpatient CPT 84295 SODIUM	$31.08	$74.00	$53.28–$70.30	—	58%
Stool ova and parasites exam CPT 87177 OVA AND PARASITES SMEARS	$11.22	$26.70	$8.90–$25.37	77% below	58%
Stool ova and parasites exam CPT 87177 O&P SMEAR	$33.18	$79.00	$8.90–$75.05	32% below	58%
Stool ova and parasites exam inpatient CPT 87177 OVA AND PARASITES SMEARS	$11.22	$26.70	$19.23–$25.37	—	58%
Stool ova and parasites exam inpatient CPT 87177 O&P SMEAR	$33.18	$79.00	$56.88–$75.05	—	58%
Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULT BLOOD SCREEN	$22.26	$53.00	$4.38–$50.35	21% below	58%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 OCCULT BLOOD SCREEN	$22.26	$53.00	$38.16–$50.35	—	58%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 FECAL OCCULT BLOOD BY IA	$20.06	$47.76	$15.92–$45.38	76% below	58%
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 FECAL OCCULT BLOOD BY IA	$20.06	$47.76	$34.39–$45.38	—	58%
Syphilis antibody test (Treponema pallidum) CPT 86780 TREPONEMA PALLIDUM IGG/IFASER	$16.69	$39.72	$13.24–$37.74	61% below	58%
Syphilis antibody test (Treponema pallidum) CPT 86780 TREP PALLIDUM IGG ELISA	$16.80	$40.00	$13.24–$38.00	61% below	58%
Syphilis antibody test (Treponema pallidum) CPT 86780 TREPONEMA PALLIDUM AB	$23.10	$55.00	$13.24–$52.25	46% below	58%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 TREPONEMA PALLIDUM IGG/IFASER	$16.69	$39.72	$28.60–$37.74	—	58%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 TREP PALLIDUM IGG ELISA	$16.80	$40.00	$28.80–$38.00	—	58%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 TREPONEMA PALLIDUM AB	$23.10	$55.00	$39.60–$52.25	—	58%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR WITH REFLEX TO TITER	$5.39	$12.81	$4.27–$12.17	82% below	58%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 SYPHYLLISQUAL	$15.54	$37.00	$4.27–$35.15	47% below	58%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RAPID PLASMA REAGIN (RPR)	$16.38	$39.00	$4.27–$37.05	44% below	58%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR (SYPHILLUS SEROLOGY)	$26.88	$64.00	$4.27–$60.80	8% below	58%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 RPR WITH REFLEX TO TITER	$5.39	$12.81	$9.23–$12.17	—	58%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 SYPHYLLISQUAL	$15.54	$37.00	$26.64–$35.15	—	58%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 RAPID PLASMA REAGIN (RPR)	$16.38	$39.00	$28.08–$37.05	—	58%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 RPR (SYPHILLUS SEROLOGY)	$26.88	$64.00	$46.08–$60.80	—	58%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QUANTIFERON-TB GOLD PLUS4TUBE	$78.10	$185.94	$61.98–$176.65	29% below	58%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QUANTIFERON GOLD	$206.22	$491.00	$61.98–$466.45	88% above	58%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 QUANTIFERON-TB GOLD PLUS4TUBE	$78.10	$185.94	$133.88–$176.65	—	58%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 QUANTIFERON GOLD	$206.22	$491.00	$353.52–$466.45	—	58%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTO ADULT MALE	$32.53	$77.43	$25.81–$73.56	57% below	58%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE TOTAL	$99.54	$237.00	$25.81–$225.15	32% above	58%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTO ADULT MALE	$32.53	$77.43	$55.75–$73.56	—	58%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE TOTAL	$99.54	$237.00	$170.64–$225.15	—	58%
Thyroid peroxidase (TPO) antibody test CPT 86376 MICROSOMAL ANTIBODY (TPO)	$18.34	$43.65	$14.55–$41.47	71% below	58%
Thyroid peroxidase (TPO) antibody test CPT 86376 MICROSOMAL LIVER-KIDNEY AB	$49.56	$118.00	$14.55–$112.10	23% below	58%
Thyroid peroxidase (TPO) antibody test CPT 86376 THYROID PEROXIDASE ANTIBODY	$78.12	$186.00	$14.55–$176.70	22% above	58%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 MICROSOMAL ANTIBODY (TPO)	$18.34	$43.65	$31.43–$41.47	—	58%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 MICROSOMAL LIVER-KIDNEY AB	$49.56	$118.00	$84.96–$112.10	—	58%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 THYROID PEROXIDASE ANTIBODY	$78.12	$186.00	$133.92–$176.70	—	58%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 THYROID STIMULATING HORMONE	$21.17	$50.40	$16.80–$47.88	79% below	58%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 CONG HYPOTHYROIDISM	$97.44	$232.00	$16.80–$220.40	5% below	58%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 THYROID STIMULATING HORMONE	$21.17	$50.40	$36.29–$47.88	—	58%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 CONG HYPOTHYROIDISM	$97.44	$232.00	$167.04–$220.40	—	58%
Total IgE blood test CPT 82785 IMMUNOGLOBULIN E	$20.74	$49.38	$16.46–$46.92	76% below	58%
Total IgE blood test inpatient CPT 82785 IMMUNOGLOBULIN E	$20.74	$49.38	$35.56–$46.92	—	58%
Total cholesterol blood test CPT 82465 CHOLESTEROL	$28.56	$68.00	$4.35–$64.60	15% below	58%
Total cholesterol blood test inpatient CPT 82465 CHOLESTEROL	$28.56	$68.00	$48.96–$64.60	—	58%
Total thyroxine (T4) blood test CPT 84436 THYROXINE TOTAL T4	$8.66	$20.61	$6.87–$19.58	81% below	58%
Total thyroxine (T4) blood test CPT 84436 T4 BY ICMA	$58.38	$139.00	$6.87–$132.05	30% above	58%
Total thyroxine (T4) blood test inpatient CPT 84436 THYROXINE TOTAL T4	$8.66	$20.61	$14.84–$19.58	—	58%
Total thyroxine (T4) blood test inpatient CPT 84436 T4 BY ICMA	$58.38	$139.00	$100.08–$132.05	—	58%
Total triiodothyronine (T3) blood test CPT 84480 TRIIODOTHYRONINETOTAL T3 TTL	$17.87	$42.54	$14.18–$40.42	80% below	58%
Total triiodothyronine (T3) blood test CPT 84480 T3 (TRIIODOTHYRONINE) TOTAL	$58.38	$139.00	$14.18–$132.05	36% below	58%
Total triiodothyronine (T3) blood test inpatient CPT 84480 TRIIODOTHYRONINETOTAL T3 TTL	$17.87	$42.54	$30.63–$40.42	—	58%
Total triiodothyronine (T3) blood test inpatient CPT 84480 T3 (TRIIODOTHYRONINE) TOTAL	$58.38	$139.00	$100.08–$132.05	—	58%
Transferrin blood test CPT 84466 TRANSFERRINSERUM	$16.08	$38.28	$12.76–$36.37	79% below	58%
Transferrin blood test CPT 84466 TRANSFERRIN	$81.48	$194.00	$12.76–$184.30	9% above	58%
Transferrin blood test inpatient CPT 84466 TRANSFERRINSERUM	$16.08	$38.28	$27.57–$36.37	—	58%
Transferrin blood test inpatient CPT 84466 TRANSFERRIN	$81.48	$194.00	$139.68–$184.30	—	58%
Trichomonas test (NAAT) CPT 87661 T. VAGINALIS BY TMA	$44.22	$105.27	$35.09–$100.01	56% below	58%
Trichomonas test (NAAT) inpatient CPT 87661 T. VAGINALIS BY TMA	$44.22	$105.27	$75.80–$100.01	—	58%
Triglycerides blood test CPT 84478 TRIGLYCERIDE	$36.96	$88.00	$5.74–$83.60	14% below	58%
Triglycerides blood test inpatient CPT 84478 TRIGLYCERIDE	$36.96	$88.00	$63.36–$83.60	—	58%
Troponin test, quantitative CPT 84484 TROP-T	$24.39	$58.05	$12.47–$55.15	70% below	58%
Troponin test, quantitative CPT 84484 TROPONIN POC	$61.32	$146.00	$12.47–$138.70	23% below	58%
Troponin test, quantitative inpatient CPT 84484 TROP-T	$24.39	$58.05	$41.80–$55.15	—	58%
Troponin test, quantitative inpatient CPT 84484 TROPONIN POC	$61.32	$146.00	$105.12–$138.70	—	58%
Uric acid blood test CPT 84550 URIC ACID	$26.04	$62.00	$4.52–$58.90	35% below	58%
Uric acid blood test inpatient CPT 84550 URIC ACID	$26.04	$62.00	$44.64–$58.90	—	58%
Urinalysis with microscope exam, automated CPT 81001 URINALYSIS W/MICROSCOPIC	$28.56	$68.00	$3.17–$64.60	20% below	58%
Urinalysis with microscope exam, automated inpatient CPT 81001 URINALYSIS W/MICROSCOPIC	$28.56	$68.00	$48.96–$64.60	—	58%
Urinalysis without microscope exam, automated CPT 81003 PH URINE KS	$7.98	$19.00	$2.25–$18.05	55% below	58%
Urinalysis without microscope exam, automated CPT 81003 UA W/O MICROSCOPIC	$12.60	$30.00	$2.25–$28.50	29% below	58%
Urinalysis without microscope exam, automated inpatient CPT 81003 PH URINE KS	$7.98	$19.00	$13.68–$18.05	—	58%
Urinalysis without microscope exam, automated inpatient CPT 81003 UA W/O MICROSCOPIC	$12.60	$30.00	$21.60–$28.50	—	58%
Urinalysis without microscope exam, manual CPT 81002 URINE DIPSTICK	$13.44	$32.00	$3.48–$30.40	36% below	58%
Urinalysis without microscope exam, manual inpatient CPT 81002 URINE DIPSTICK	$13.44	$32.00	$23.04–$30.40	—	58%
Urine culture for bacteria, with colony count CPT 87086 CULT URINE	$44.94	$107.00	$8.07–$101.65	26% below	58%
Urine culture for bacteria, with colony count inpatient CPT 87086 CULT URINE	$44.94	$107.00	$77.04–$101.65	—	58%
Urine microalbumin (albumin) test CPT 82043 ALBUMIN - MG/DL	$7.29	$17.34	$5.78–$16.48	82% below	58%
Urine microalbumin (albumin) test CPT 82043 MICROALBUMIN URINE	$15.96	$38.00	$5.78–$36.10	61% below	58%
Urine microalbumin (albumin) test inpatient CPT 82043 ALBUMIN - MG/DL	$7.29	$17.34	$12.49–$16.48	—	58%
Urine microalbumin (albumin) test inpatient CPT 82043 MICROALBUMIN URINE	$15.96	$38.00	$27.36–$36.10	—	58%
Urine pregnancy test, read by color change CPT 81025 HCG QUAL URINE	$45.78	$109.00	$8.61–$103.55	18% below	58%
Urine pregnancy test, read by color change inpatient CPT 81025 HCG QUAL URINE	$45.78	$109.00	$78.48–$103.55	—	58%
Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B12	$19.01	$45.24	$15.08–$42.98	80% below	58%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 VITAMIN B12	$19.01	$45.24	$32.58–$42.98	—	58%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D25-HYDROXY	$37.30	$88.80	$29.60–$84.36	78% below	58%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D2 D3 25-HYDROXY	$161.28	$384.00	$29.60–$364.80	3% below	58%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D25-HYDROXY	$37.30	$88.80	$63.94–$84.36	—	58%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D2 D3 25-HYDROXY	$161.28	$384.00	$276.48–$364.80	—	58%
Vitamin D, 1,25-dihydroxy blood test CPT 82652 VITAMIN D 125-DIHYDROXY	$48.51	$115.50	$38.50–$109.73	63% below	58%
Vitamin D, 1,25-dihydroxy blood test CPT 82652 VITAMIN D 125 HYDROXY	$214.20	$510.00	$38.50–$484.50	65% above	58%
Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 VITAMIN D 125-DIHYDROXY	$48.51	$115.50	$83.16–$109.73	—	58%
Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 VITAMIN D 125 HYDROXY	$214.20	$510.00	$367.20–$484.50	—	58%
Zinc blood test CPT 84630 ZINC	$14.36	$34.17	$11.39–$32.47	69% below	58%
Zinc blood test inpatient CPT 84630 ZINC	$14.36	$34.17	$24.61–$32.47	—	58%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG TUMOR MARKER	$18.97	$45.15	$15.05–$42.90	76% below	58%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG QUANT SERUM	$86.52	$206.00	$15.05–$195.70	9% above	58%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HCG TUMOR MARKER	$18.97	$45.15	$32.51–$42.90	—	58%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HCG QUANT SERUM	$86.52	$206.00	$148.32–$195.70	—	58%

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs North Dakota	Off list
Paracentesis with imaging guidance CPT 49083 ABD PARACENTESIS W GUIDE US	$599.76	$1,428.00	$542.64–$1,356.60	38% below	58%
Paracentesis with imaging guidance inpatient CPT 49083 ABD PARACENTESIS W GUIDE US	$599.76	$1,428.00	$1,028.16–$1,356.60	—	58%
Thoracentesis with imaging guidance CPT 32555 THORACENTESIS W IMAGING US	$599.76	$1,428.00	$542.64–$1,356.60	24% below	58%
Thoracentesis with imaging guidance inpatient CPT 32555 THORACENTESIS W IMAGING US	$599.76	$1,428.00	$1,028.16–$1,356.60	—	58%

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs North Dakota	Off list
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD ADMINISTRATION	$569.94	$1,357.00	$515.66–$1,289.15	20% below	58%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD ADMINISTRATION	$569.94	$1,357.00	$977.04–$1,289.15	—	58%
EEG (brain wave test), awake and drowsy, routine CPT 95816 EEG AWAKE AND DROWSY	$712.74	$1,697.00	$644.86–$1,612.15	12% above	58%
EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 EEG AWAKE AND DROWSY	$712.74	$1,697.00	$1,221.84–$1,612.15	—	58%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG 12 LEAD TRACE	$101.64	$242.00	$91.96–$229.90	10% below	58%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG 12 LEAD TRACE	$101.64	$242.00	$174.24–$229.90	—	58%
Exercise stress test, tracing only, the hospital charge CPT 93017 EXERCISE TEST - TREADMILL	$376.32	$896.00	$340.48–$851.20	18% above	58%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 EXERCISE TEST - TREADMILL	$376.32	$896.00	$645.12–$851.20	—	58%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 THERAPUTIC PHLEBOTOMY	$378.00	$900.00	$342.00–$855.00	49% above	58%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 THERAPUTIC PHLEBOTOMY	$378.00	$900.00	$648.00–$855.00	—	58%

Vaccines

Procedure	Cash price	List price	Insurers pay	vs North Dakota	Off list
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older CPT 90653 FL FLUAD TRI 24-25 (65UP) 0.5M	$129.19	$307.59	$78.86–$292.22	77% above	58%
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older inpatient CPT 90653 FL FLUAD TRI 24-25 (65UP) 0.5M	$129.19	$307.59	$221.47–$292.22	—	58%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 INFANRIX DTAP 0.5 ML SYRINGE	$40.19	$95.69	$30.96–$90.91	23% below	58%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 INFANRIX DTAP 0.5 ML SYRINGE	$40.19	$95.69	$68.90–$90.91	—	58%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 FLUARIX TRIV24-25 6M+ 0.5M SY	$34.59	$82.34	$21.21–$78.23	5% above	58%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 FLUARIX TRIV24-25 6M+ 0.5M SY	$34.59	$82.34	$59.29–$78.23	—	58%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEP B VACC ADULT 10MCG/1ML	$100.05	$238.21	$73.97–$226.30	1% below	58%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEP B VIRUS VAC PF 20 MCG/ML	$105.10	$250.22	$73.97–$237.71	4% above	58%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HEP B VACC ADULT 10MCG/1ML	$100.05	$238.21	$171.52–$226.30	—	58%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HEP B VIRUS VAC PF 20 MCG/ML	$105.10	$250.22	$180.16–$237.71	—	58%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HEP B PED/ADULT 5MCG/0.5ML SDV	$39.93	$95.06	$30.00–$90.31	at median	58%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HEP B VIRUS VACPF(PED)10MCG/0	$41.90	$99.75	$30.00–$94.77	5% above	58%
Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 HEP B PED/ADULT 5MCG/0.5ML SDV	$39.93	$95.06	$68.45–$90.31	—	58%
Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 HEP B VIRUS VACPF(PED)10MCG/0	$41.90	$99.75	$71.82–$94.77	—	58%
MMR vaccine (measles, mumps and rubella), live CPT 90707 MEASLES MU & RUB VAC.5 ML	$136.64	$325.33	$99.43–$309.07	13% above	58%
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 MEASLES MU & RUB VAC.5 ML	$136.64	$325.33	$234.24–$309.07	—	58%
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 PNEU 13-VAL CRM 0.5ML SYR	$331.75	$789.88	$243.41–$750.39	18% above	58%
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) inpatient CPT 90670 PNEU 13-VAL CRM 0.5ML SYR	$331.75	$789.88	$568.72–$750.39	—	58%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PNEUMOL 20-VAL CONJUG 0.5 ML	$415.22	$988.61	$375.68–$939.18	10% above	58%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 PNEUMOL 20-VAL CONJUG 0.5 ML	$415.22	$988.61	$711.80–$939.18	—	58%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEU 23-VAL P-SAC VAC 0.5ML	$172.11	$409.78	$125.86–$389.30	23% above	58%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEU 23-VAL P-SAC VAC 25MCG	$172.11	$409.78	$125.86–$389.30	23% above	58%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEU 23-VAL P-SAC VAC 25MCG	$172.11	$409.78	$295.05–$389.30	—	58%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEU 23-VAL P-SAC VAC 0.5ML	$172.11	$409.78	$295.05–$389.30	—	58%
RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 NIRSEVIMAB-ALIP 50 MG/0.5 ML S	$916.84	$2,182.95	$829.53–$2,073.81	10% below	58%
RSV antibody shot for infants, seasonal dose (0.5 mL) inpatient CPT 90380 NIRSEVIMAB-ALIP 50 MG/0.5 ML S	$916.84	$2,182.95	$1,571.73–$2,073.81	—	58%
RSV vaccine (Abrysvo), one dose for older adults or during pregnancy CPT 90678 RSV VACC AB/PF 120 MCG/0.5 ML	$451.00	$1,073.80	$408.05–$1,020.11	24% above	58%
RSV vaccine (Abrysvo), one dose for older adults or during pregnancy inpatient CPT 90678 RSV VACC AB/PF 120 MCG/0.5 ML	$451.00	$1,073.80	$773.14–$1,020.11	—	58%
Rabies vaccine, one dose CPT 90675 RABIES VAC HUM DIPLOID PF2.5	$637.71	$1,518.34	$379.87–$1,442.43	at median	58%
Rabies vaccine, one dose CPT 90675 RABIES VAC (AVIAN) 1 ML	$730.14	$1,738.42	$379.87–$1,651.50	14% above	58%
Rabies vaccine, one dose inpatient CPT 90675 RABIES VAC HUM DIPLOID PF2.5	$637.71	$1,518.34	$1,093.21–$1,442.43	—	58%
Rabies vaccine, one dose inpatient CPT 90675 RABIES VAC (AVIAN) 1 ML	$730.14	$1,738.42	$1,251.67–$1,651.50	—	58%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TET/DIP TOXOIDS ADULT TD .5ML	$57.06	$135.84	$47.37–$129.05	14% above	58%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TET/DIP TOXOIDS ADULT TD0.5ML	$65.01	$154.77	$47.37–$147.04	30% above	58%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TET/DIP TOXOIDS ADULT TD .5ML	$57.06	$135.84	$97.81–$129.05	—	58%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TET/DIP TOXOIDS ADULT TD0.5ML	$65.01	$154.77	$111.44–$147.04	—	58%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TDAP 10+YRS 0.5ML SYRNG	$80.62	$191.94	$41.79–$182.35	16% above	58%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 TDAP 10+YRS 0.5ML SYRNG	$80.62	$191.94	$138.20–$182.35	—	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://www.chistalexiushealth.org/content/dam/stalexiushealthorg/documents/financial/price-transparency-standard-charges/450227012-1659343093_mercy-hospital-of-devils-lake_standardcharges.json