| CT scan of abdomen and pelvis, with contrast dye
CPT 74177
CT Abdomen and Pelvis W/ Contrast |
$3,931.20 |
$7,020.00 |
44% |
| CT scan of abdomen and pelvis, with contrast dye inpatient
CPT 74177
CT Abdomen and Pelvis W/ Contrast |
$3,931.20 |
$7,020.00 |
44% |
| CT scan of the head or brain, no contrast dye
CPT 70450
Head W/O Contrast |
$1,437.52 |
$2,567.00 |
44% |
| CT scan of the head or brain, no contrast dye inpatient
CPT 70450
Head W/O Contrast |
$1,437.52 |
$2,567.00 |
44% |
| CT scan of the pelvis, with contrast dye
CPT 72193
CT Pelvis W/ Contrast |
$2,917.60 |
$5,210.00 |
44% |
| CT scan of the pelvis, with contrast dye inpatient
CPT 72193
CT Pelvis W/ Contrast |
$2,917.60 |
$5,210.00 |
44% |
| Diagnostic mammogram, both breasts
CPT 77066
Mammography Dx-Bil |
$754.88 |
$1,348.00 |
44% |
| Diagnostic mammogram, both breasts inpatient
CPT 77066
Mammography Dx-Bil |
$754.88 |
$1,348.00 |
44% |
| Diagnostic mammogram, one breast one side
CPT 77065
Mammography Dx-Lt |
$377.44 |
$674.00 |
44% |
| Diagnostic mammogram, one breast one side
CPT 77065
Mammography Dx-Rt |
$377.44 |
$674.00 |
44% |
| Diagnostic mammogram, one breast inpatient one side
CPT 77065
Mammography Dx-Lt |
$377.44 |
$674.00 |
44% |
| Diagnostic mammogram, one breast inpatient one side
CPT 77065
Mammography Dx-Rt |
$377.44 |
$674.00 |
44% |
| MRI of knee or other lower-limb joint, no contrast dye
CPT 73721
MRI Toe Joint W/O Contrast-Bil |
$5,262.32 |
$9,397.00 |
44% |
| MRI of knee or other lower-limb joint, no contrast dye
CPT 73721
Hip Joint W/O Contrast-Bil |
$5,262.32 |
$9,397.00 |
44% |
| MRI of knee or other lower-limb joint, no contrast dye
CPT 73721
MRI Knee Joint W/O Contrast-Bil |
$5,262.32 |
$9,397.00 |
44% |
| MRI of knee or other lower-limb joint, no contrast dye
CPT 73721
Ankle Joint W/O Contrast-Bil |
$5,262.32 |
$9,397.00 |
44% |
| MRI of knee or other lower-limb joint, no contrast dye one side
CPT 73721
MRI Knee Joint W/O Contrast-Rt |
$3,046.96 |
$5,441.00 |
44% |
| MRI of knee or other lower-limb joint, no contrast dye one side
CPT 73721
Hip Joint W/O Contrast-Lt |
$3,046.96 |
$5,441.00 |
44% |
| MRI of knee or other lower-limb joint, no contrast dye one side
CPT 73721
MRI Toe Joint W/O Contrast-Rt |
$3,046.96 |
$5,441.00 |
44% |
| MRI of knee or other lower-limb joint, no contrast dye one side
CPT 73721
MRI Toe Joint W/O Contrast-Lt |
$3,046.96 |
$5,441.00 |
44% |
| MRI of knee or other lower-limb joint, no contrast dye one side
CPT 73721
Ankle Joint W/O Contrast-Lt |
$3,046.96 |
$5,441.00 |
44% |
| MRI of knee or other lower-limb joint, no contrast dye one side
CPT 73721
MRI Knee Joint W/O Contrast-Lt |
$3,046.96 |
$5,441.00 |
44% |
| MRI of knee or other lower-limb joint, no contrast dye one side
CPT 73721
Ankle Joint W/O Contrast-Rt |
$3,046.96 |
$5,441.00 |
44% |
| MRI of knee or other lower-limb joint, no contrast dye one side
CPT 73721
Hip Joint W/O Contrast-Rt |
$3,046.96 |
$5,441.00 |
44% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient
CPT 73721
MRI Knee Joint W/O Contrast-Bil |
$5,262.32 |
$9,397.00 |
44% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient
CPT 73721
Ankle Joint W/O Contrast-Bil |
$5,262.32 |
$9,397.00 |
44% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient
CPT 73721
MRI Toe Joint W/O Contrast-Bil |
$5,262.32 |
$9,397.00 |
44% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient
CPT 73721
Hip Joint W/O Contrast-Bil |
$5,262.32 |
$9,397.00 |
44% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side
CPT 73721
MRI Toe Joint W/O Contrast-Rt |
$3,046.96 |
$5,441.00 |
44% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side
CPT 73721
Hip Joint W/O Contrast-Lt |
$3,046.96 |
$5,441.00 |
44% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side
CPT 73721
Ankle Joint W/O Contrast-Rt |
$3,046.96 |
$5,441.00 |
44% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side
CPT 73721
MRI Toe Joint W/O Contrast-Lt |
$3,046.96 |
$5,441.00 |
44% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side
CPT 73721
Ankle Joint W/O Contrast-Lt |
$3,046.96 |
$5,441.00 |
44% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side
CPT 73721
MRI Knee Joint W/O Contrast-Lt |
$3,046.96 |
$5,441.00 |
44% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side
CPT 73721
MRI Knee Joint W/O Contrast-Rt |
$3,046.96 |
$5,441.00 |
44% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side
CPT 73721
Hip Joint W/O Contrast-Rt |
$3,046.96 |
$5,441.00 |
44% |
| MRI of knee or other lower-limb joint, without and then with contrast dye
CPT 73723
MRI Knee Joint W/O and W/ Contrast-Bil |
$9,107.84 |
$16,264.00 |
44% |
| MRI of knee or other lower-limb joint, without and then with contrast dye
CPT 73723
MRI Toe Joint W/O and W/ Contrast-Bil |
$9,107.84 |
$16,264.00 |
44% |
| MRI of knee or other lower-limb joint, without and then with contrast dye
CPT 73723
Hip Joint W/O and W/ Contrast-Bil |
$9,107.84 |
$16,264.00 |
44% |
| MRI of knee or other lower-limb joint, without and then with contrast dye
CPT 73723
Ankle Joint W/O and W/ Contrast-Bil |
$9,107.84 |
$16,264.00 |
44% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side
CPT 73723
Hip Joint W/O and W/ Contrast-Rt |
$8,919.12 |
$15,927.00 |
44% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side
CPT 73723
Ankle Joint W/O and W/ Contrast-Rt |
$8,919.12 |
$15,927.00 |
44% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side
CPT 73723
MRI Toe Joint W/O and W/ Contrast-Lt |
$8,919.12 |
$15,927.00 |
44% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side
CPT 73723
MRI Knee Joint W/O and W/ Contrast-Lt |
$8,919.12 |
$15,927.00 |
44% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side
CPT 73723
MRI Toe Joint W/O and W/ Contrast-Rt |
$8,919.12 |
$15,927.00 |
44% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side
CPT 73723
Hip Joint W/O and W/ Contrast-Lt |
$8,919.12 |
$15,927.00 |
44% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side
CPT 73723
Ankle Joint W/O and W/ Contrast-Lt |
$8,919.12 |
$15,927.00 |
44% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side
CPT 73723
MRI Knee Joint W/O and W/ Contrast-Rt |
$8,919.12 |
$15,927.00 |
44% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient
CPT 73723
MRI Knee Joint W/O and W/ Contrast-Bil |
$9,107.84 |
$16,264.00 |
44% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient
CPT 73723
MRI Toe Joint W/O and W/ Contrast-Bil |
$9,107.84 |
$16,264.00 |
44% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient
CPT 73723
Hip Joint W/O and W/ Contrast-Bil |
$9,107.84 |
$16,264.00 |
44% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient
CPT 73723
Ankle Joint W/O and W/ Contrast-Bil |
$9,107.84 |
$16,264.00 |
44% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side
CPT 73723
Ankle Joint W/O and W/ Contrast-Rt |
$8,919.12 |
$15,927.00 |
44% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side
CPT 73723
Hip Joint W/O and W/ Contrast-Rt |
$8,919.12 |
$15,927.00 |
44% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side
CPT 73723
Ankle Joint W/O and W/ Contrast-Lt |
$8,919.12 |
$15,927.00 |
44% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side
CPT 73723
MRI Toe Joint W/O and W/ Contrast-Lt |
$8,919.12 |
$15,927.00 |
44% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side
CPT 73723
MRI Toe Joint W/O and W/ Contrast-Rt |
$8,919.12 |
$15,927.00 |
44% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side
CPT 73723
Hip Joint W/O and W/ Contrast-Lt |
$8,919.12 |
$15,927.00 |
44% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side
CPT 73723
MRI Knee Joint W/O and W/ Contrast-Lt |
$8,919.12 |
$15,927.00 |
44% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side
CPT 73723
MRI Knee Joint W/O and W/ Contrast-Rt |
$8,919.12 |
$15,927.00 |
44% |
| MRI of the brain, no contrast dye
CPT 70551
Pituitary W/O Contrast |
$3,175.20 |
$5,670.00 |
44% |
| MRI of the brain, no contrast dye
CPT 70551
Iac W/O Contrast |
$3,175.20 |
$5,670.00 |
44% |
| MRI of the brain, no contrast dye
CPT 70551
Brain W/O Contrast |
$3,175.20 |
$5,670.00 |
44% |
| MRI of the brain, no contrast dye
CPT 70551
MRI Posterior Fossa W/O Contrast |
$3,175.20 |
$5,670.00 |
44% |
| MRI of the brain, no contrast dye inpatient
CPT 70551
Iac W/O Contrast |
$3,175.20 |
$5,670.00 |
44% |
| MRI of the brain, no contrast dye inpatient
CPT 70551
Brain W/O Contrast |
$3,175.20 |
$5,670.00 |
44% |
| MRI of the brain, no contrast dye inpatient
CPT 70551
Pituitary W/O Contrast |
$3,175.20 |
$5,670.00 |
44% |
| MRI of the brain, no contrast dye inpatient
CPT 70551
MRI Posterior Fossa W/O Contrast |
$3,175.20 |
$5,670.00 |
44% |
| MRI of the brain, with and without contrast dye
CPT 70553
Brain W/O and W/ Contrast |
$4,310.88 |
$7,698.00 |
44% |
| MRI of the brain, with and without contrast dye
CPT 70553
MRI Posterior Fossa W/O and W/ Contrast |
$4,310.88 |
$7,698.00 |
44% |
| MRI of the brain, with and without contrast dye
CPT 70553
Pituitary W/O and W/ Contrast |
$4,310.88 |
$7,698.00 |
44% |
| MRI of the brain, with and without contrast dye
CPT 70553
Iac W/O and W/ Contrast |
$4,310.88 |
$7,698.00 |
44% |
| MRI of the brain, with and without contrast dye inpatient
CPT 70553
MRI Posterior Fossa W/O and W/ Contrast |
$4,310.88 |
$7,698.00 |
44% |
| MRI of the brain, with and without contrast dye inpatient
CPT 70553
Iac W/O and W/ Contrast |
$4,310.88 |
$7,698.00 |
44% |
| MRI of the brain, with and without contrast dye inpatient
CPT 70553
Pituitary W/O and W/ Contrast |
$4,310.88 |
$7,698.00 |
44% |
| MRI of the brain, with and without contrast dye inpatient
CPT 70553
Brain W/O and W/ Contrast |
$4,310.88 |
$7,698.00 |
44% |
| MRI of the lower back, no contrast dye
CPT 72148
MRI L-Spine W/O Contrast |
$3,151.68 |
$5,628.00 |
44% |
| MRI of the lower back, no contrast dye inpatient
CPT 72148
MRI L-Spine W/O Contrast |
$3,151.68 |
$5,628.00 |
44% |
| Pregnancy ultrasound after 14 weeks, one baby
CPT 76805
OB Ultra > 14 Weeks 1st Fetus, Complete |
$703.92 |
$1,257.00 |
44% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient
CPT 76805
OB Ultra > 14 Weeks 1st Fetus, Complete |
$703.92 |
$1,257.00 |
44% |
| Screening mammogram, both breasts
CPT 77067
Mammography Screening-Bil |
$196.56 |
$351.00 |
44% |
| Screening mammogram, both breasts one side
CPT 77067
Mammography Screening-Lt |
$107.52 |
$192.00 |
44% |
| Screening mammogram, both breasts one side
CPT 77067
Mammography Screening-Rt |
$107.52 |
$192.00 |
44% |
| Screening mammogram, both breasts inpatient
CPT 77067
Mammography Screening-Bil |
$196.56 |
$351.00 |
44% |
| Screening mammogram, both breasts inpatient one side
CPT 77067
Mammography Screening-Lt |
$107.52 |
$192.00 |
44% |
| Screening mammogram, both breasts inpatient one side
CPT 77067
Mammography Screening-Rt |
$107.52 |
$192.00 |
44% |
| Sleep study in a lab (polysomnography)
CPT 95810
Polysomnogram Attended, 4 + Parameters, 6 Yo and Up |
$2,797.20 |
$4,995.00 |
44% |
| Sleep study in a lab (polysomnography) inpatient
CPT 95810
Polysomnogram Attended, 4 + Parameters, 6 Yo and Up |
$2,797.20 |
$4,995.00 |
44% |
| Transvaginal pelvic ultrasound
CPT 76830
Transvaginal US Non OB |
$832.16 |
$1,486.00 |
44% |
| Transvaginal pelvic ultrasound inpatient
CPT 76830
Transvaginal US Non OB |
$832.16 |
$1,486.00 |
44% |
| Ultrasound of the abdomen, complete
CPT 76700
US Abdomen Complete |
$2,074.24 |
$3,704.00 |
44% |
| Ultrasound of the abdomen, complete inpatient
CPT 76700
US Abdomen Complete |
$2,074.24 |
$3,704.00 |
44% |
| X-ray of the lower back, 4 or more views
CPT 72110
Spine Lumbosacral Min 4 Views |
$702.80 |
$1,255.00 |
44% |
| X-ray of the lower back, 4 or more views inpatient
CPT 72110
Spine Lumbosacral Min 4 Views |
$702.80 |
$1,255.00 |
44% |