Hospital Duluth, MN-WI

Essentia Health St. Mary's Children's Hospital

Essentia Health St. Mary's Children's Hospital in Duluth, MN publishes cash prices for 394 common procedures listed here, from its own machine-readable price file updated Jan 1, 2026. Compared with other hospitals in the state, its outpatient cash prices are above the Minnesota median for 165 of 376 procedures and below it for 164. By typical cash price it ranks #41 of 85 Minnesota hospitals and #6 of 12 hospitals in the Duluth, MN area, cheapest first. Select a procedure to compare it with other hospitals nearby.

Essentia Health St. Mary's Children's Hospital, 402 E 2nd St. Duluth MN 55805 Collected Sep 23, 2026 Source price file Check a bill from this hospital

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs Minnesota	Off list
Abdominal CT scan without and with contrast inpatient CPT 74170 CT ABDOMEN W/O & W/DYE	$1,643.40	$2,490.00	$1,067.96–$2,141.40	—	34%
Abdominal X-ray, 2 views CPT 74019 X-RAY EXAM ABDOMEN 2 VIEWS	$257.40	$390.00	$129.09–$335.40	6% below	34%
Abdominal X-ray, 2 views inpatient CPT 74019 X-RAY EXAM ABDOMEN 2 VIEWS	$257.40	$390.00	$167.27–$335.40	—	34%
Ankle X-ray, complete, 3 or more views CPT 73610 XRAY ANKLE MINIMUM 3 VWS	$216.48	$328.00	$108.57–$282.08	6% below	34%
Ankle X-ray, complete, 3 or more views inpatient CPT 73610 XRAY ANKLE MINIMUM 3 VWS	$216.48	$328.00	$140.68–$282.08	—	34%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 EXTREMITY STUDY - VASCULAR DIAGNOSTICS	$346.50	$525.00	$173.78–$451.50	at median	34%
Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 CT UPPER EXTREMITY W/O DYE	$1,153.02	$1,747.00	$578.26–$1,502.42	9% below	34%
Arm CT scan without contrast (shoulder to hand, any part) inpatient CPT 73200 CT UPPER EXTREMITY W/O DYE	$1,153.02	$1,747.00	$749.29–$1,502.42	—	34%
Barium swallow (esophagus X-ray with contrast) CPT 74220 CONTRAST XRAY ESOPHAGUS; INCL SCOUT & DELAY (TC)	$411.18	$623.00	$206.21–$535.78	33% above	34%
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 CONTRAST XRAY ESOPHAGUS; INCL SCOUT & DELAY (TC)	$411.18	$623.00	$267.20–$535.78	—	34%
Bone scan, whole body (nuclear medicine) CPT 78306 BONE SCAN, WHOLE BODY	$1,110.12	$1,682.00	$556.74–$1,446.52	9% below	34%
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 BONE SCAN, WHOLE BODY	$1,110.12	$1,682.00	$721.41–$1,446.52	—	34%
Breast ultrasound, complete, one breast CPT 76641 ULTRASOUND BREAST COMPLETE	$264.66	$401.00	$132.73–$344.86	34% below	34%
Breast ultrasound, complete, one breast inpatient CPT 76641 ULTRASOUND BREAST COMPLETE	$264.66	$401.00	$171.99–$344.86	—	34%
Breast ultrasound, limited (one breast or one area) CPT 76642 ULTRASOUND BREAST LIMITED	$314.16	$476.00	$157.56–$409.36	at median	34%
Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 ULTRASOUND BREAST LIMITED	$314.16	$476.00	$204.16–$409.36	—	34%
CT angiography (CTA) of the abdomen and pelvis CPT 74174 CT ANGIO ABD&PELV W/O&W/DYE	$2,534.40	$3,840.00	$1,271.04–$3,302.40	at median	34%
CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 CT ANGIO ABD&PELV W/O&W/DYE	$2,534.40	$3,840.00	$1,646.98–$3,302.40	—	34%
CT angiography (CTA) of the head CPT 70496 CT ANGIOGRAPHY, HEAD	$1,759.56	$2,666.00	$882.45–$2,292.76	3% below	34%
CT angiography (CTA) of the head inpatient CPT 70496 CT ANGIOGRAPHY, HEAD	$1,759.56	$2,666.00	$1,143.45–$2,292.76	—	34%
CT angiography (CTA) of the neck CPT 70498 CT ANGIOGRAPHY, NECK	$1,757.58	$2,663.00	$881.45–$2,290.18	at median	34%
CT angiography (CTA) of the neck inpatient CPT 70498 CT ANGIOGRAPHY, NECK	$1,757.58	$2,663.00	$1,142.16–$2,290.18	—	34%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT ANGIOGRAPHY, CHEST	$1,805.76	$2,736.00	$905.62–$2,352.96	1% below	34%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CT ANGIOGRAPHY, CHEST	$1,805.76	$2,736.00	$1,173.47–$2,352.96	—	34%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CT ANGIO HRT W/3D IMAGE	$2,073.72	$3,142.00	$1,040.00–$2,702.12	63% above	34%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 CT ANGIO HRT W/3D IMAGE	$2,073.72	$3,142.00	$1,347.60–$2,702.12	—	34%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT HRT W/O DYE W/CA TEST	$33.00	$50.00	$16.55–$43.00	70% below	34%
CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 CT HRT W/O DYE W/CA TEST	$33.00	$50.00	$21.44–$43.00	—	34%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABD & PELVIS W/O CONTRAST	$1,962.18	$2,973.00	$984.06–$2,556.78	5% below	34%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT ABD & PELVIS W/O CONTRAST	$1,962.18	$2,973.00	$1,275.12–$2,556.78	—	34%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABDOMEN&PELVIS W/CONTRAST	$2,510.64	$3,804.00	$1,259.12–$3,271.44	at median	34%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABDOMEN&PELVIS W/CONTRAST	$2,510.64	$3,804.00	$1,631.54–$3,271.44	—	34%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABD&PELV 1+ SECTION/REGNS	$2,664.42	$4,037.00	$1,336.25–$3,471.82	1% below	34%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT ABD&PELV 1+ SECTION/REGNS	$2,664.42	$4,037.00	$1,731.47–$3,471.82	—	34%
CT scan of the abdomen with contrast CPT 74160 CT ABDOMEN W/DYE	$1,350.36	$2,046.00	$677.23–$1,759.56	2% below	34%
CT scan of the abdomen with contrast inpatient CPT 74160 CT ABDOMEN W/DYE	$1,350.36	$2,046.00	$877.53–$1,759.56	—	34%
CT scan of the abdomen without contrast CPT 74150 CT ABDOMEN W/O DYE	$1,093.62	$1,657.00	$548.47–$1,425.02	7% below	34%
CT scan of the abdomen without contrast inpatient CPT 74150 CT ABDOMEN W/O DYE	$1,093.62	$1,657.00	$710.69–$1,425.02	—	34%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT MAXILLOFACIALW/O DYE	$1,257.96	$1,906.00	$630.89–$1,639.16	at median	34%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT MAXILLOFACIALW/O DYE	$1,257.96	$1,906.00	$817.48–$1,639.16	—	34%
CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD/BRAIN W/O DYE	$1,195.26	$1,811.00	$599.44–$1,557.46	5% below	34%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT HEAD/BRAIN W/O DYE	$1,195.26	$1,811.00	$776.74–$1,557.46	—	34%
CT scan of the head with contrast CPT 70460 CT HEAD/BRAIN W/DYE	$1,213.08	$1,838.00	$608.38–$1,580.68	7% below	34%
CT scan of the head with contrast inpatient CPT 70460 CT HEAD/BRAIN W/DYE	$1,213.08	$1,838.00	$788.32–$1,580.68	—	34%
CT scan of the head without and with contrast CPT 70470 CT HEAD/BRAIN W/O & W/DYE	$1,459.92	$2,212.00	$732.17–$1,902.32	8% below	34%
CT scan of the head without and with contrast inpatient CPT 70470 CT HEAD/BRAIN W/O & W/DYE	$1,459.92	$2,212.00	$948.73–$1,902.32	—	34%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT LUMBAR SPINE W/O DYE	$1,333.20	$2,020.00	$668.62–$1,737.20	2% below	34%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT LUMBAR SPINE W/O DYE	$1,333.20	$2,020.00	$866.38–$1,737.20	—	34%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT NECK SPINE W/O DYE	$1,514.70	$2,295.00	$759.64–$1,973.70	6% above	34%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT NECK SPINE W/O DYE	$1,514.70	$2,295.00	$984.33–$1,973.70	—	34%
CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W/DYE	$1,297.56	$1,966.00	$650.75–$1,690.76	9% below	34%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT PELVIS W/DYE	$1,297.56	$1,966.00	$843.22–$1,690.76	—	34%
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 CV CAROTID IMAGING-BILAT	$769.56	$1,166.00	$385.95–$1,002.76	—	34%
Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 CV CAROTID IMAGING-BILAT	$769.56	$1,166.00	$500.10–$1,002.76	—	34%
Chest CT scan without and with contrast CPT 71270 DIAGNOSTIC CT THORAX W&WO CONTRAST (TC)	$1,494.24	$2,264.00	$749.38–$1,947.04	6% below	34%
Chest X-ray, 2 views CPT 71046 X-RAY EXAM CHEST 2 VIEWS	$215.82	$327.00	$108.24–$281.22	5% below	34%
Chest X-ray, 2 views inpatient CPT 71046 X-RAY EXAM CHEST 2 VIEWS	$215.82	$327.00	$140.25–$281.22	—	34%
Chest X-ray, single view CPT 71045 X-RAY EXAM CHEST 1 VIEW	$201.96	$306.00	$101.29–$263.16	at median	34%
Chest X-ray, single view inpatient CPT 71045 X-RAY EXAM CHEST 1 VIEW	$201.96	$306.00	$131.24–$263.16	—	34%
Collarbone (clavicle) X-ray, complete CPT 73000 XRAY CLAVICLE COMPLETE	$195.36	$296.00	$97.98–$254.56	2% below	34%
Collarbone (clavicle) X-ray, complete inpatient CPT 73000 XRAY CLAVICLE COMPLETE	$195.36	$296.00	$126.95–$254.56	—	34%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US RETROPERITONEAL TC	$481.14	$729.00	$241.30–$626.94	7% below	34%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US RETROPERITONEAL TC	$481.14	$729.00	$312.67–$626.94	—	34%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 DXA, BONE DENSITY STUDY, HIPS/PELV/SPINE	$624.36	$946.00	$313.13–$813.56	68% above	34%
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 DXA, BONE DENSITY STUDY, HIPS/PELV/SPINE	$624.36	$946.00	$405.74–$813.56	—	34%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 DIAGNOSTIC CT THORAX W/O CONTRAST (TC)	$1,244.76	$1,886.00	$624.27–$1,621.96	2% below	34%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 DIAGNOSTIC CT THORAX W/O CONTRAST (TC)	$1,244.76	$1,886.00	$808.91–$1,621.96	—	34%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 DIAGNOSTIC CT THORAX W/ CONTRAST (TC)	$1,410.42	$2,137.00	$707.35–$1,837.82	4% below	34%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 DIAGNOSTIC CT THORAX W/ CONTRAST (TC)	$1,410.42	$2,137.00	$916.56–$1,837.82	—	34%
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 ART LOWER EXTREMITY-BILAT	$845.46	$1,281.00	$424.01–$1,101.66	—	34%
Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 ART LOWER EXTREMITY-BILAT	$845.46	$1,281.00	$549.42–$1,101.66	—	34%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 VEN DUPLEX BILATERAL	$863.28	$1,308.00	$432.95–$1,124.88	—	34%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 VEN DUPLEX BILATERAL	$863.28	$1,308.00	$561.00–$1,124.88	—	34%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 TTE W/DOPPLER, COMPLETE	$1,510.74	$2,289.00	$757.66–$1,968.54	5% above	34%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 TTE W/DOPPLER, COMPLETE	$1,510.74	$2,289.00	$981.75–$1,968.54	—	34%
Elbow X-ray, 2 views CPT 73070 XRAY ELBOW 2 VWS	$187.44	$284.00	$94.00–$244.24	8% below	34%
Elbow X-ray, 2 views inpatient CPT 73070 XRAY ELBOW 2 VWS	$187.44	$284.00	$121.81–$244.24	—	34%
Elbow X-ray, complete, 3 or more views CPT 73080 XRAY ELBOW 3+VWS TC	$226.38	$343.00	$113.53–$294.98	3% below	34%
Elbow X-ray, complete, 3 or more views inpatient CPT 73080 XRAY ELBOW 3+VWS TC	$226.38	$343.00	$147.11–$294.98	—	34%
Eye socket (orbit) CT scan without contrast CPT 70480 CT ORBIT/EAR/FOSA W/O DYE	$1,158.30	$1,755.00	$580.90–$1,509.30	3% below	34%
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 CT ORBIT/EAR/FOSA W/O DYE	$1,158.30	$1,755.00	$752.72–$1,509.30	—	34%
Facial bones X-ray, complete, 3 or more views CPT 70150 XRAY FACIAL BONES MINIMUM 3 VWS	$255.42	$387.00	$128.10–$332.82	at median	34%
Forearm X-ray (radius and ulna), 2 views CPT 73090 XRAY FOREARM 2 VWS	$198.00	$300.00	$99.30–$258.00	3% below	34%
Forearm X-ray (radius and ulna), 2 views inpatient CPT 73090 XRAY FOREARM 2 VWS	$198.00	$300.00	$128.67–$258.00	—	34%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HEPATOBILIARY SYSTEM IMAGING	$1,221.00	$1,850.00	$612.35–$1,591.00	at median	34%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 HEPATOBILIARY SYSTEM IMAGING	$1,221.00	$1,850.00	$793.46–$1,591.00	—	34%
Hand X-ray, 2 views CPT 73120 XRAY HAND 2VWS TC	$194.70	$295.00	$97.65–$253.70	2% above	34%
Hand X-ray, 2 views inpatient CPT 73120 XRAY HAND 2VWS TC	$194.70	$295.00	$126.53–$253.70	—	34%
Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 XRAY CALCANEUS MINIMUM 2 VWS	$178.86	$271.00	$89.70–$233.06	at median	34%
Heel bone (calcaneus) X-ray, 2 or more views inpatient CPT 73650 XRAY CALCANEUS MINIMUM 2 VWS	$178.86	$271.00	$116.23–$233.06	—	34%
Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 SLEEP STUDY, UNATTENDED	$549.12	$832.00	$275.39–$715.52	at median	34%
Home sleep apnea test, unattended, recording breathing and oxygen inpatient CPT 95806 SLEEP STUDY, UNATTENDED	$549.12	$832.00	$356.84–$715.52	—	34%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 POLYSOMNOGRAPHY W/CPAP	$3,471.60	$5,260.00	$1,741.06–$4,523.60	at median	34%
Knee X-ray, 3 views CPT 73562 XRAY KNEE 3 VWS	$223.74	$339.00	$112.21–$291.54	5% below	34%
Knee X-ray, 3 views inpatient CPT 73562 XRAY KNEE 3 VWS	$223.74	$339.00	$145.40–$291.54	—	34%
Knee X-ray, complete, 4 or more views CPT 73564 XRAY KNEE 4 OR MORE VWS	$265.98	$403.00	$133.39–$346.58	6% below	34%
Knee X-ray, complete, 4 or more views inpatient CPT 73564 XRAY KNEE 4 OR MORE VWS	$265.98	$403.00	$172.85–$346.58	—	34%
Leg CT scan without contrast (hip to foot, any part) CPT 73700 CT LOWER EXTREMITY W/O DYE	$1,322.64	$2,004.00	$663.32–$1,723.44	1% above	34%
Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 CT LOWER EXTREMITY W/O DYE	$1,322.64	$2,004.00	$859.52–$1,723.44	—	34%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ABDOMEN LIMITED TC	$479.82	$727.00	$240.64–$625.22	8% above	34%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US ABDOMEN LIMITED TC	$479.82	$727.00	$311.81–$625.22	—	34%
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 US MUSCOSKELETAL LIMITED JOINT, TC	$113.52	$172.00	$56.93–$147.92	67% below	34%
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 US EXT NON-VASC LIMITED, REALTIME W/ IMG TC	$130.68	$198.00	$65.54–$170.28	62% below	34%
Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 US MUSCOSKELETAL LIMITED JOINT, TC	$113.52	$172.00	$73.77–$147.92	—	34%
Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 US EXT NON-VASC LIMITED, REALTIME W/ IMG TC	$130.68	$198.00	$84.92–$170.28	—	34%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 LOW DOSE CT LUNG CA SCREEN WO CONTRAST	$838.86	$1,271.00	$420.70–$1,093.06	6% above	34%
Lower leg X-ray (tibia and fibula), 2 views CPT 73590 XRAY TIBIA & FIBULA 2 VWS	$210.54	$319.00	$105.59–$274.34	1% below	34%
Lower leg X-ray (tibia and fibula), 2 views inpatient CPT 73590 XRAY TIBIA & FIBULA 2 VWS	$210.54	$319.00	$136.82–$274.34	—	34%
MR angiography (MRA) of the head without contrast CPT 70544 MRA, HEAD W/OUT CONTRAST	$1,956.24	$2,964.00	$981.08–$2,549.04	8% below	34%
MR angiography (MRA) of the head without contrast inpatient CPT 70544 MRA, HEAD W/OUT CONTRAST	$1,956.24	$2,964.00	$1,271.26–$2,549.04	—	34%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI LOW EXT JNT WO/CONT TC	$1,918.62	$2,907.00	$962.22–$2,500.02	3% below	34%
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 MRI LOW EXT JNT WO/CONT TC	$1,918.62	$2,907.00	$1,246.81–$2,500.02	—	34%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI,LWREXT,JNT W/O+W/CONT	$2,293.50	$3,475.00	$1,150.23–$2,988.50	11% below	34%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 MRI,LWREXT,JNT W/O+W/CONT	$2,293.50	$3,475.00	$1,490.43–$2,988.50	—	34%
MRI of the abdomen without contrast CPT 74181 MRI ABDOMEN W/O TC	$1,947.00	$2,950.00	$976.45–$2,537.00	9% below	34%
MRI of the abdomen without contrast inpatient CPT 74181 MRI ABDOMEN W/O TC	$1,947.00	$2,950.00	$1,265.26–$2,537.00	—	34%
MRI of the abdomen, without and then with contrast dye CPT 74183 MRI, ABDOMEN W/O+ W/CONTR	$2,633.40	$3,990.00	$1,320.69–$3,431.40	11% below	34%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MRI, ABDOMEN W/O+ W/CONTR	$2,633.40	$3,990.00	$1,711.31–$3,431.40	—	34%
MRI of the brain, no contrast dye CPT 70551 MRI BRAIN WO CONTRAST TC	$1,938.42	$2,937.00	$972.15–$2,525.82	7% below	34%
MRI of the brain, no contrast dye inpatient CPT 70551 MRI BRAIN WO CONTRAST TC	$1,938.42	$2,937.00	$1,259.68–$2,525.82	—	34%
MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN W & WO CONTRAST	$2,591.16	$3,926.00	$1,299.51–$3,376.36	11% below	34%
MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI BRAIN W & WO CONTRAST	$2,591.16	$3,926.00	$1,683.86–$3,376.36	—	34%
MRI of the lower back, no contrast dye CPT 72148 MRI L SPINE WO CONTRAST	$1,869.12	$2,832.00	$937.39–$2,435.52	8% below	34%
MRI of the lower back, no contrast dye inpatient CPT 72148 MRI L SPINE WO CONTRAST	$1,869.12	$2,832.00	$1,214.64–$2,435.52	—	34%
MRI of the lower back, without and then with contrast dye CPT 72158 MRI L SPINE W&WO CONTRAST	$2,605.68	$3,948.00	$1,306.79–$3,395.28	2% below	34%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MRI L SPINE W&WO CONTRAST	$2,605.68	$3,948.00	$1,693.30–$3,395.28	—	34%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI T SPINE WO CONTRAST	$1,900.14	$2,879.00	$952.95–$2,475.94	8% below	34%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MRI T SPINE WO CONTRAST	$1,900.14	$2,879.00	$1,234.80–$2,475.94	—	34%
MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI C SPINE W&WO CONTRAST	$2,488.20	$3,770.00	$1,247.87–$3,242.20	1% below	34%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MRI C SPINE W&WO CONTRAST	$2,488.20	$3,770.00	$1,616.95–$3,242.20	—	34%
MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI C-SPINE WO CONTRAST	$1,940.40	$2,940.00	$973.14–$2,528.40	3% below	34%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MRI C-SPINE WO CONTRAST	$1,940.40	$2,940.00	$1,260.97–$2,528.40	—	34%
MRI of the pelvis without and with contrast CPT 72197 MRI, PELVIS, W/O THEN W/	$2,525.16	$3,826.00	$1,266.41–$3,290.36	5% below	34%
MRI of the pelvis without and with contrast inpatient CPT 72197 MRI, PELVIS, W/O THEN W/	$2,525.16	$3,826.00	$1,640.97–$3,290.36	—	34%
MRI of the pelvis, no contrast dye CPT 72195 MRI,PELVIS W/OUT CONTRAST	$1,913.34	$2,899.00	$959.57–$2,493.14	10% below	34%
MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI,PELVIS W/OUT CONTRAST	$1,913.34	$2,899.00	$1,243.38–$2,493.14	—	34%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MRI UP EXTREMITY JOINT W/O TC	$1,918.62	$2,907.00	$962.22–$2,500.02	10% below	34%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 MRI UP EXTREMITY JOINT W/O TC	$1,918.62	$2,907.00	$1,246.81–$2,500.02	—	34%
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 XRAY CERVICAL SPINE 4 OR 5 VWS	$310.86	$471.00	$155.90–$405.06	at median	34%
Neck soft tissue CT scan with contrast CPT 70491 CT SOFT TISSUE NECK W/DYE	$1,314.72	$1,992.00	$659.35–$1,713.12	4% below	34%
Neck soft tissue CT scan with contrast inpatient CPT 70491 CT SOFT TISSUE NECK W/DYE	$1,314.72	$1,992.00	$854.37–$1,713.12	—	34%
Neck soft tissue CT scan without contrast CPT 70490 CT SOFT TISSUE NECK W/O DYE	$1,079.76	$1,636.00	$541.52–$1,406.96	5% below	34%
Neck soft tissue CT scan without contrast inpatient CPT 70490 CT SOFT TISSUE NECK W/O DYE	$1,079.76	$1,636.00	$701.68–$1,406.96	—	34%
Neck soft tissue X-ray CPT 70360 XRAY NECK, SOFT TISSUE	$184.80	$280.00	$92.68–$240.80	5% above	34%
Neck soft tissue X-ray inpatient CPT 70360 XRAY NECK, SOFT TISSUE	$184.80	$280.00	$120.09–$240.80	—	34%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 HT MUSCLE IMAGE SPECT, MULT	$2,574.00	$3,900.00	$1,290.90–$3,354.00	6% below	34%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 HT MUSCLE IMAGE SPECT, MULT	$2,574.00	$3,900.00	$1,672.71–$3,354.00	—	34%
Pelvic CT scan without contrast CPT 72192 CT PELVIS W/O DYE	$1,245.42	$1,887.00	$624.60–$1,622.82	5% below	34%
Pelvic CT scan without contrast inpatient CPT 72192 CT PELVIS W/O DYE	$1,245.42	$1,887.00	$809.33–$1,622.82	—	34%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US FOLLICLES-LIMITED TC	$337.92	$512.00	$169.47–$440.32	at median	34%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US FOLLICLES-LIMITED TC	$337.92	$512.00	$219.60–$440.32	—	34%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US PELVIC TC COMPLETE	$502.92	$762.00	$252.22–$655.32	3% above	34%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US PELVIC TC COMPLETE	$502.92	$762.00	$326.82–$655.32	—	34%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US,PREG. UTERUS,FETAL/MAT.EVAL.,>1ST TRIM.(>/= 14 WKS 0 DYS),TRANSABD;SINGLE/FIRST GEST., TECH	$505.56	$766.00	$328.54–$658.76	—	34%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 OB US < 14 WKS, SINGLE FETUS - RADIOLOGY, TECH	$466.62	$707.00	$234.02–$608.02	8% above	34%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 OB US < 14 WKS, SINGLE FETUS - RADIOLOGY, TECH	$466.62	$707.00	$303.23–$608.02	—	34%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US PREGNANCY TC LIMITED	$359.04	$544.00	$180.06–$467.84	7% above	34%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 US PREGNANCY TC LIMITED	$359.04	$544.00	$233.32–$467.84	—	34%
Rib X-ray, one side, 2 views one side CPT 71100 XRAY RIBS UNILAT 2 VWS	$199.98	$303.00	$100.29–$260.58	2% below	34%
Rib X-ray, one side, 2 views inpatient one side CPT 71100 XRAY RIBS UNILAT 2 VWS	$199.98	$303.00	$129.96–$260.58	—	34%
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 XRAY RIBS UNILAT 2 VWS WITH PA CHEST	$291.06	$441.00	$145.97–$379.26	at median	34%
Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 XRAY RIBS UNILAT 2 VWS WITH PA CHEST	$291.06	$441.00	$189.14–$379.26	—	34%
Shoulder X-ray, complete, 2 or more views CPT 73030 XRAY SHOULDER MINIMUM 2 VWS	$221.10	$335.00	$110.88–$288.10	6% below	34%
Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 XRAY SHOULDER MINIMUM 2 VWS	$221.10	$335.00	$143.68–$288.10	—	34%
Sinus X-ray, complete, 3 or more views CPT 70220 XRAY SINUSES MINIMUM 3 VWS	$205.92	$312.00	$103.27–$268.32	12% below	34%
Skull X-ray, fewer than 4 views CPT 70250 XRAY SKULL LESS THAN 4 VWS	$223.08	$338.00	$111.88–$290.68	1% below	34%
Skull X-ray, fewer than 4 views inpatient CPT 70250 XRAY SKULL LESS THAN 4 VWS	$223.08	$338.00	$144.97–$290.68	—	34%
Sleep study in a lab (polysomnography) CPT 95810 POLYSOMNOGRAPHY, 4 OR MORE	$3,177.90	$4,815.00	$1,593.76–$4,140.90	4% above	34%
Swallow study (modified barium swallow, video X-ray) CPT 74230 CONTRAST XRAY SWALLOWING FUNCT INT, CINE/VID; INCLSCOUT & DELAY (TC)	$413.82	$627.00	$207.54–$539.22	13% above	34%
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 CONTRAST XRAY SWALLOWING FUNCT INT, CINE/VID; INCLSCOUT & DELAY (TC)	$413.82	$627.00	$268.92–$539.22	—	34%
Thigh bone (femur) X-ray, 2 or more views CPT 73552 X-RAY EXAM FEMUR MIN 2 VWS	$227.04	$344.00	$113.86–$295.84	at median	34%
Thigh bone (femur) X-ray, 2 or more views inpatient CPT 73552 X-RAY EXAM FEMUR MIN 2 VWS	$227.04	$344.00	$147.54–$295.84	—	34%
Thoracic spine (mid back) CT scan without contrast CPT 72128 CT CHEST SPINE W/O DYE	$1,281.06	$1,941.00	$642.47–$1,669.26	4% below	34%
Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 CT CHEST SPINE W/O DYE	$1,281.06	$1,941.00	$832.49–$1,669.26	—	34%
Toe X-ray, 2 or more views CPT 73660 XRAY TOE(S) TC	$180.18	$273.00	$90.36–$234.78	3% below	34%
Toe X-ray, 2 or more views inpatient CPT 73660 XRAY TOE(S) TC	$180.18	$273.00	$117.09–$234.78	—	34%
Transvaginal pelvic ultrasound CPT 76830 US TRANSVAGINAL TC	$399.96	$606.00	$200.59–$521.16	at median	34%
Transvaginal pelvic ultrasound inpatient CPT 76830 US TRANSVAGINAL TC	$399.96	$606.00	$259.91–$521.16	—	34%
Transvaginal ultrasound during pregnancy CPT 76817 TRANSVAGINAL US, OBSTETRIC	$365.64	$554.00	$183.37–$476.44	3% above	34%
Ultrasound of the abdomen, complete CPT 76700 US ABDOMEN TC	$561.66	$851.00	$281.68–$731.86	7% below	34%
Ultrasound of the abdomen, complete inpatient CPT 76700 US ABDOMEN TC	$561.66	$851.00	$364.99–$731.86	—	34%
Ultrasound of the scrotum and testicles CPT 76870 US SCROTUM & CONTENTS TC	$440.88	$668.00	$221.11–$574.48	2% below	34%
Ultrasound of the scrotum and testicles inpatient CPT 76870 US SCROTUM & CONTENTS TC	$440.88	$668.00	$286.51–$574.48	—	34%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US HEAD/NECK TC	$417.12	$632.00	$209.19–$543.52	4% below	34%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US HEAD/NECK TC	$417.12	$632.00	$271.06–$543.52	—	34%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 X-RAY EXAM, UPPER GI TRACT, INCL SCOUT & DELAY; SINGLE CONTRAST (TC)	$438.24	$664.00	$219.78–$571.04	12% above	34%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 X-RAY EXAM, UPPER GI TRACT, INCL SCOUT & DELAY; SINGLE CONTRAST (TC)	$438.24	$664.00	$284.79–$571.04	—	34%
Upper arm X-ray (humerus), 2 views CPT 73060 XRAY HUMERUS MINIMUM 2 VWS	$213.18	$323.00	$106.91–$277.78	at median	34%
Upper arm X-ray (humerus), 2 views inpatient CPT 73060 XRAY HUMERUS MINIMUM 2 VWS	$213.18	$323.00	$138.53–$277.78	—	34%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 VEN DUPLEX LIMITED	$539.88	$818.00	$270.76–$703.48	at median	34%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 VENOUS DUPLEX SCAN UNI	$553.08	$838.00	$277.38–$720.68	2% above	34%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 VEN DUPLEX LIMITED	$539.88	$818.00	$350.84–$703.48	—	34%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 VENOUS DUPLEX SCAN UNI	$553.08	$838.00	$359.42–$720.68	—	34%
Wrist X-ray, 2 views CPT 73100 XRAY WRIST 2 VWS	$197.34	$299.00	$98.97–$257.14	at median	34%
Wrist X-ray, 2 views inpatient CPT 73100 XRAY WRIST 2 VWS	$197.34	$299.00	$128.24–$257.14	—	34%
Wrist X-ray, complete, 3 or more views CPT 73110 XRAY WRIST MINIMUM 3 VWS	$217.14	$329.00	$108.90–$282.94	6% below	34%
Wrist X-ray, complete, 3 or more views inpatient CPT 73110 XRAY WRIST MINIMUM 3 VWS	$217.14	$329.00	$141.11–$282.94	—	34%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 X-RAY EXAM HIP,UNILAT W/PELVIS 2-3 VWS	$246.84	$374.00	$123.79–$321.64	11% below	34%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 X-RAY EXAM HIP,UNILAT W/PELVIS 2-3 VWS	$246.84	$374.00	$160.41–$321.64	—	34%
X-ray of the abdomen, 1 view CPT 74018 X-RAY EXAM ABDOMEN 1 VIEW	$199.32	$302.00	$99.96–$259.72	5% below	34%
X-ray of the abdomen, 1 view inpatient CPT 74018 X-RAY EXAM ABDOMEN 1 VIEW	$199.32	$302.00	$129.53–$259.72	—	34%
X-ray of the ankle, 2 views CPT 73600 XRAY ANKLE 2 VWS	$205.26	$311.00	$102.94–$267.46	at median	34%
X-ray of the ankle, 2 views inpatient CPT 73600 XRAY ANKLE 2 VWS	$205.26	$311.00	$133.39–$267.46	—	34%
X-ray of the finger(s), 2 or more views CPT 73140 XRAY FINGER(S) TC	$209.88	$318.00	$105.26–$273.48	8% above	34%
X-ray of the finger(s), 2 or more views inpatient CPT 73140 XRAY FINGER(S) TC	$209.88	$318.00	$136.39–$273.48	—	34%
X-ray of the foot, 2 views CPT 73620 XRAY FOOT 2 VWS	$191.40	$290.00	$95.99–$249.40	at median	34%
X-ray of the foot, 2 views inpatient CPT 73620 XRAY FOOT 2 VWS	$191.40	$290.00	$124.38–$249.40	—	34%
X-ray of the foot, complete, 3 or more views CPT 73630 XRAY FOOT MINIMUM 3 VWS	$213.84	$324.00	$107.24–$278.64	3% below	34%
X-ray of the foot, complete, 3 or more views inpatient CPT 73630 XRAY FOOT MINIMUM 3 VWS	$213.84	$324.00	$138.96–$278.64	—	34%
X-ray of the hand, 3 or more views CPT 73130 XRAY HAND 3VWS TC	$221.10	$335.00	$110.88–$288.10	at median	34%
X-ray of the hand, 3 or more views inpatient CPT 73130 XRAY HAND 3VWS TC	$221.10	$335.00	$143.68–$288.10	—	34%
X-ray of the knee, 1 or 2 views CPT 73560 XRAY KNEE 1 OR 2 VWS	$216.48	$328.00	$108.57–$282.08	at median	34%
X-ray of the knee, 1 or 2 views inpatient CPT 73560 XRAY KNEE 1 OR 2 VWS	$216.48	$328.00	$140.68–$282.08	—	34%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 XRAY LUMBOSACRAL 2 OR 3 VWS	$248.82	$377.00	$124.79–$324.22	3% below	34%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 XRAY LUMBOSACRAL 2 OR 3 VWS	$248.82	$377.00	$161.70–$324.22	—	34%
X-ray of the lower back, 4 or more views CPT 72110 XRAY LUMBOSACRAL MINIMUM 4 VWS	$327.36	$496.00	$164.18–$426.56	1% below	34%
X-ray of the lower back, 4 or more views inpatient CPT 72110 XRAY LUMBOSACRAL MINIMUM 4 VWS	$327.36	$496.00	$212.73–$426.56	—	34%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 XRAY THORACIC SPINE 2 VWS	$232.98	$353.00	$116.84–$303.58	at median	34%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 XRAY THORACIC SPINE 2 VWS	$232.98	$353.00	$151.40–$303.58	—	34%
X-ray of the nasal bones, 3 or more views CPT 70160 XRAY NASAL BONES MINIMUM 3 VWS	$205.92	$312.00	$103.27–$268.32	6% below	34%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 XRAY NASAL BONES MINIMUM 3 VWS	$205.92	$312.00	$133.82–$268.32	—	34%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 XRAY CERVICAL SPINE 2 OR 3 VWS	$240.24	$364.00	$120.48–$313.04	2% below	34%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 XRAY CERVICAL SPINE 2 OR 3 VWS	$240.24	$364.00	$156.12–$313.04	—	34%
X-ray of the pelvis, 1 or 2 views CPT 72170 XRAY PELVIS 1 OR 2 VWS	$209.88	$318.00	$105.26–$273.48	5% below	34%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 XRAY PELVIS 1 OR 2 VWS	$209.88	$318.00	$136.39–$273.48	—	34%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 XRAY SACRUM/ COCCYX MINIMUM 2 VWS	$217.80	$330.00	$109.23–$283.80	2% below	34%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 XRAY SACRUM/ COCCYX MINIMUM 2 VWS	$217.80	$330.00	$141.54–$283.80	—	34%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs Minnesota	Off list
ALT (alanine aminotransferase) liver enzyme test CPT 84460 TRANSFERASE; ALANINE AMINO (ALT) (SGPT)	$51.48	$78.00	$25.82–$67.08	5% above	34%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 TRANSFERASE; ALANINE AMINO (ALT) (SGPT)	$51.48	$78.00	$33.45–$67.08	—	34%
AST (aspartate aminotransferase) enzyme test CPT 84450 TRANSFERASE; ASPARTATE AMINO (AST) (SGOT)	$52.14	$79.00	$26.15–$67.94	5% above	34%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 TRANSFERASE; ASPARTATE AMINO (AST) (SGOT)	$52.14	$79.00	$33.88–$67.94	—	34%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 ACUTE HEPATITIS PANEL	$252.78	$383.00	$126.77–$329.38	8% above	34%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 ACUTE HEPATITIS PANEL	$252.78	$383.00	$164.27–$329.38	—	34%
Alkaline phosphatase (ALP) blood test CPT 84075 ASSAY ALKALINE PHOSPHATASE	$60.72	$92.00	$30.45–$79.12	57% above	34%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 ASSAY ALKALINE PHOSPHATASE	$60.72	$92.00	$39.46–$79.12	—	34%
Alpha-fetoprotein (AFP) blood test CPT 82105 ALPHA-FETOPROTEIN SERUM	$17.82	$27.00	$8.94–$23.22	63% below	34%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 ALPHA-FETOPROTEIN SERUM	$17.82	$27.00	$11.58–$23.22	—	34%
Ammonia blood test CPT 82140 AMMONIA	$110.88	$168.00	$55.61–$144.48	22% above	34%
Ammonia blood test inpatient CPT 82140 AMMONIA	$110.88	$168.00	$72.06–$144.48	—	34%
Amylase blood test CPT 82150 ASSAY OF AMYLASE	$66.00	$100.00	$33.10–$86.00	at median	34%
Amylase blood test inpatient CPT 82150 ASSAY OF AMYLASE	$66.00	$100.00	$42.89–$86.00	—	34%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 ASSAY OF NATRIURETIC PEPTIDE	$182.82	$277.00	$91.69–$238.22	14% above	34%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 ASSAY OF NATRIURETIC PEPTIDE	$182.82	$277.00	$118.81–$238.22	—	34%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 LAB CULTURE BACTERIA	$90.42	$137.00	$45.35–$117.82	29% above	34%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 LAB CULTURE BACTERIA	$90.42	$137.00	$58.76–$117.82	—	34%
Basic metabolic panel (blood test) CPT 80048 LAB BASIC METABOLIC PANEL	$161.70	$245.00	$81.10–$210.70	61% above	34%
Basic metabolic panel (blood test) inpatient CPT 80048 LAB BASIC METABOLIC PANEL	$161.70	$245.00	$105.08–$210.70	—	34%
Bilirubin blood test, total CPT 82247 BILIRUBIN TOTAL	$50.82	$77.00	$25.49–$66.22	4% above	34%
Bilirubin blood test, total inpatient CPT 82247 BILIRUBIN TOTAL	$50.82	$77.00	$33.03–$66.22	—	34%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 LEVEL IV - SURGICAL PATHOLOGY, GROSS AND MICROSCOPIC EXAMINATION , TECH	$240.90	$365.00	$120.82–$313.90	74% above	34%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 LEVEL IV - SURGICAL PATHOLOGY, GROSS AND MICROSCOPIC EXAMINATION , TECH	$240.90	$365.00	$156.55–$313.90	—	34%
Blood culture for bacteria CPT 87040 BLOOD CULTURE FOR BACTERIA	$138.60	$210.00	$69.51–$180.60	16% above	34%
Blood culture for bacteria inpatient CPT 87040 BLOOD CULTURE FOR BACTERIA	$138.60	$210.00	$90.07–$180.60	—	34%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE	$19.14	$29.00	$9.60–$24.94	11% below	34%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 COMMUNITY PARAMEDIC VENIPUNCTURE	$21.12	$32.00	$10.59–$27.52	2% below	34%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE, LAB	$21.12	$32.00	$10.59–$27.52	2% below	34%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENIPUNCTURE	$19.14	$29.00	$12.44–$24.94	—	34%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENIPUNCTURE, LAB	$21.12	$32.00	$13.72–$27.52	—	34%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 COMMUNITY PARAMEDIC VENIPUNCTURE	$21.12	$32.00	$13.72–$27.52	—	34%
Blood glucose (sugar) test CPT 82947 ASSAY, GLUCOSE, BLOOD QUANT	$48.84	$74.00	$24.49–$63.64	6% above	34%
Blood glucose (sugar) test inpatient CPT 82947 ASSAY, GLUCOSE, BLOOD QUANT	$48.84	$74.00	$31.74–$63.64	—	34%
Blood lead test CPT 83655 OCC MED, LEAD SCREEN (ZPP)	$46.20	$70.00	$23.17–$60.20	at median	34%
Blood lead test CPT 83655 LEAD	$60.06	$91.00	$30.12–$78.26	30% above	34%
Blood lead test inpatient CPT 83655 OCC MED, LEAD SCREEN (ZPP)	$46.20	$70.00	$30.02–$60.20	—	34%
Blood lead test inpatient CPT 83655 LEAD	$60.06	$91.00	$39.03–$78.26	—	34%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 GONADOTROPIN, CHORIONIC (HCG), QUALITATIVE	$69.30	$105.00	$34.76–$90.30	3% below	34%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 GONADOTROPIN, CHORIONIC (HCG), QUALITATIVE	$69.30	$105.00	$45.03–$90.30	—	34%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BLOOD TYPING ABO	$79.86	$121.00	$40.05–$104.06	50% above	34%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 BLOOD TYPING ABO	$79.86	$121.00	$51.90–$104.06	—	34%
Blood urea nitrogen (BUN) test CPT 84520 ASSAY OF UREA NITROGEN	$51.48	$78.00	$25.82–$67.08	12% above	34%
Blood urea nitrogen (BUN) test inpatient CPT 84520 ASSAY OF UREA NITROGEN	$51.48	$78.00	$33.45–$67.08	—	34%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-REACTIVE PROTEIN	$77.88	$118.00	$39.06–$101.48	26% above	34%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C-REACTIVE PROTEIN	$77.88	$118.00	$50.61–$101.48	—	34%
C. difficile toxin gene test (stool PCR) CPT 87493 C DIFF AMPLIFIED PROBE	$146.52	$222.00	$73.48–$190.92	8% above	34%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 C DIFF AMPLIFIED PROBE	$146.52	$222.00	$95.22–$190.92	—	34%
CA 19-9 blood test (tumor marker) CPT 86301 CA 19-9	$119.46	$181.00	$59.91–$155.66	18% above	34%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 CA 19-9	$119.46	$181.00	$77.63–$155.66	—	34%
CA-125 blood test (ovarian cancer marker) CPT 86304 TUMOR ANTIGEN, CA-125	$126.06	$191.00	$63.22–$164.26	24% above	34%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 TUMOR ANTIGEN, CA-125	$126.06	$191.00	$81.92–$164.26	—	34%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 IADNA SARS-COV-2 COVID-19 AMPLIFIED PROBE TQ	$119.46	$181.00	$59.91–$155.66	at median	34%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 IADNA SARS-COV-2 COVID-19 AMPLIFIED PROBE TQ	$119.46	$181.00	$77.63–$155.66	—	34%
Calcium blood test, total CPT 82310 CALCIUM TOTAL	$48.18	$73.00	$24.16–$62.78	1% above	34%
Calcium blood test, total inpatient CPT 82310 CALCIUM TOTAL	$48.18	$73.00	$31.31–$62.78	—	34%
Carcinoembryonic antigen (CEA) test CPT 82378 CARCINOEMBRYONIC ANTIGEN	$115.50	$175.00	$57.92–$150.50	16% above	34%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 CARCINOEMBRYONIC ANTIGEN	$115.50	$175.00	$75.06–$150.50	—	34%
Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA-ZOSTER ANTIBODY	$71.94	$109.00	$36.08–$93.74	32% above	34%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 VARICELLA-ZOSTER ANTIBODY	$71.94	$109.00	$46.75–$93.74	—	34%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA TRACHOMATIS DNA, AMP PROBE	$116.82	$177.00	$58.59–$152.22	23% above	34%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA TRACHOMATIS DNA, AMP PROBE	$116.82	$177.00	$75.92–$152.22	—	34%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PROFILE	$97.02	$147.00	$48.66–$126.42	3% above	34%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PROFILE	$97.02	$147.00	$63.05–$126.42	—	34%
Complete blood count (CBC) with differential CPT 85025 COMPLETE CBC W/AUTO DIFF WBC	$112.20	$170.00	$56.27–$146.20	32% above	34%
Complete blood count (CBC) with differential inpatient CPT 85025 COMPLETE CBC W/AUTO DIFF WBC	$112.20	$170.00	$72.91–$146.20	—	34%
Complete blood count (CBC), no differential CPT 85027 COMPLETE CBC AUTOMATED	$103.62	$157.00	$51.97–$135.02	44% above	34%
Complete blood count (CBC), no differential inpatient CPT 85027 COMPLETE CBC AUTOMATED	$103.62	$157.00	$67.34–$135.02	—	34%
Comprehensive metabolic panel (blood test) CPT 80053 OCC MED COMPREHENSIVE METABOLIC PANEL	$32.34	$49.00	$16.22–$42.14	70% below	34%
Comprehensive metabolic panel (blood test) CPT 80053 COMPREHENSIVE METABOLIC PANEL	$194.70	$295.00	$97.65–$253.70	80% above	34%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 OCC MED COMPREHENSIVE METABOLIC PANEL	$32.34	$49.00	$21.02–$42.14	—	34%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMPREHENSIVE METABOLIC PANEL	$194.70	$295.00	$126.53–$253.70	—	34%
Cortisol blood test, total CPT 82533 TOTAL CORTISOL	$102.30	$155.00	$51.30–$133.30	60% above	34%
Cortisol blood test, total inpatient CPT 82533 TOTAL CORTISOL	$102.30	$155.00	$66.48–$133.30	—	34%
Creatine kinase (CK) blood test, total CPT 82550 ASSAY OF CK (CPK)	$59.40	$90.00	$29.79–$77.40	at median	34%
Creatine kinase (CK) blood test, total inpatient CPT 82550 ASSAY OF CK (CPK)	$59.40	$90.00	$38.60–$77.40	—	34%
Creatinine blood test CPT 82565 CREATININE; BLOOD	$62.04	$94.00	$31.11–$80.84	21% above	34%
Creatinine blood test inpatient CPT 82565 CREATININE; BLOOD	$62.04	$94.00	$40.32–$80.84	—	34%
D-dimer blood test (blood clot marker) CPT 85379 FIBRIN DEGRADATION QUANT	$110.22	$167.00	$55.28–$143.62	6% above	34%
D-dimer blood test (blood clot marker) inpatient CPT 85379 FIBRIN DEGRADATION QUANT	$110.22	$167.00	$71.63–$143.62	—	34%
Drug screen by lab instrument (any number of drug classes) CPT 80307 SALICYLATE	$62.70	$95.00	$31.44–$81.70	13% below	34%
Drug screen by lab instrument (any number of drug classes) CPT 80307 ACETAMINOPHEN	$113.52	$172.00	$56.93–$147.92	58% above	34%
Drug screen by lab instrument (any number of drug classes) CPT 80307 OB URINE DRUG SCREEN	$165.66	$251.00	$83.08–$215.86	131% above	34%
Drug screen by lab instrument (any number of drug classes) CPT 80307 URINE DRUG SCREEN	$165.66	$251.00	$83.08–$215.86	131% above	34%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 SALICYLATE	$62.70	$95.00	$40.75–$81.70	—	34%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 ALCOHOL	$100.98	$153.00	$65.62–$131.58	—	34%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 ACETAMINOPHEN	$113.52	$172.00	$73.77–$147.92	—	34%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 URINE DRUG SCREEN	$165.66	$251.00	$107.65–$215.86	—	34%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 OB URINE DRUG SCREEN	$165.66	$251.00	$107.65–$215.86	—	34%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 ELECTROLYTE PANEL	$86.46	$131.00	$43.36–$112.66	12% above	34%
Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 ELECTROLYTE PANEL	$86.46	$131.00	$56.19–$112.66	—	34%
Epstein-Barr virus (EBV) antibody test CPT 86665 EPSTEEN-BARR ANTIBODY VIRAL CAPSID(VAC)	$19.14	$29.00	$9.60–$24.94	63% below	34%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 EPSTEEN-BARR ANTIBODY VIRAL CAPSID(VAC)	$19.14	$29.00	$12.44–$24.94	—	34%
FSH (follicle-stimulating hormone) test CPT 83001 FOLLICLE STIMULATING HORMONE	$93.72	$142.00	$47.00–$122.12	13% above	34%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 FOLLICLE STIMULATING HORMONE	$93.72	$142.00	$60.90–$122.12	—	34%
Fecal calprotectin (stool inflammation test) CPT 83993 ASSAY FOR CALPROTECTIN FECAL	$15.84	$24.00	$7.94–$20.64	82% below	34%
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 ASSAY FOR CALPROTECTIN FECAL	$15.84	$24.00	$10.29–$20.64	—	34%
Ferritin blood test (iron stores) CPT 82728 ASSAY OF FERRITIN	$145.20	$220.00	$72.82–$189.20	52% above	34%
Ferritin blood test (iron stores) inpatient CPT 82728 ASSAY OF FERRITIN	$145.20	$220.00	$94.36–$189.20	—	34%
Fibrinogen blood test CPT 85384 FIBRINOGEN	$81.84	$124.00	$41.04–$106.64	70% above	34%
Fibrinogen blood test inpatient CPT 85384 FIBRINOGEN	$81.84	$124.00	$53.18–$106.64	—	34%
Folate (folic acid) blood test CPT 82746 FOLIC ACID (FOLATE), SERUM	$128.04	$194.00	$64.21–$166.84	50% above	34%
Folate (folic acid) blood test inpatient CPT 82746 FOLIC ACID (FOLATE), SERUM	$128.04	$194.00	$83.21–$166.84	—	34%
Free T3 thyroid hormone test CPT 84481 TRIIODOTHYRONINE T3, FREE (FREE T3)	$108.90	$165.00	$54.62–$141.90	3% above	34%
Free T3 thyroid hormone test inpatient CPT 84481 TRIIODOTHYRONINE T3, FREE (FREE T3)	$108.90	$165.00	$70.77–$141.90	—	34%
Free T4 (free thyroxine) thyroid blood test CPT 84439 THYROXIN, FREE (FREE T4)	$71.94	$109.00	$36.08–$93.74	4% above	34%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 THYROXIN, FREE (FREE T4)	$71.94	$109.00	$46.75–$93.74	—	34%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 ASSAY OF GGT	$46.20	$70.00	$23.17–$60.20	at median	34%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 ASSAY OF GGT	$46.20	$70.00	$30.02–$60.20	—	34%
General health panel: metabolic panel, blood count and TSH in one order CPT 80050 GENERAL HEALTH PANEL	$242.88	$368.00	$121.81–$316.48	3% below	34%
General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 GENERAL HEALTH PANEL	$242.88	$368.00	$157.84–$316.48	—	34%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 GLUCOSE TEST	$41.58	$63.00	$27.02–$54.18	—	34%
Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOLERANCE TEST (GTT)	$101.64	$154.00	$50.97–$132.44	at median	34%
Glucose tolerance test, 3 samples inpatient CPT 82951 GLUCOSE TOLERANCE TEST (GTT)	$101.64	$154.00	$66.05–$132.44	—	34%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 NEISSERIA GONORRHOEAE DNA, AMP PROBE	$115.50	$175.00	$57.92–$150.50	34% above	34%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 NEISSERIA GONORRHOEAE DNA, AMP PROBE	$115.50	$175.00	$75.06–$150.50	—	34%
H. pylori stool antigen test CPT 87338 LAB H PYLORI STOOL AG	$120.12	$182.00	$60.24–$156.52	10% above	34%
H. pylori stool antigen test inpatient CPT 87338 LAB H PYLORI STOOL AG	$120.12	$182.00	$78.06–$156.52	—	34%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV-1 DNA QUANT	$67.32	$102.00	$33.76–$87.72	41% below	34%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV-1 DNA QUANT	$67.32	$102.00	$43.75–$87.72	—	34%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV-1 ANTIGENS W/HIV 1/2 ANTIB	$37.62	$57.00	$18.87–$49.02	51% below	34%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HIV-1 ANTIGENS W/HIV 1/2 ANTIB	$37.62	$57.00	$24.45–$49.02	—	34%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV HIGH-RISK TYPES	$130.02	$197.00	$65.21–$169.42	3% above	34%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HPV HIGH-RISK TYPES	$130.02	$197.00	$84.49–$169.42	—	34%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 GLYCOSYLATED HEMOGLOBIN TEST	$66.00	$100.00	$33.10–$86.00	4% above	34%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 GLYCOSYLATED HEMOGLOBIN TEST	$66.00	$100.00	$42.89–$86.00	—	34%
Hemoglobin blood test CPT 85018 HEMOGLOBIN	$41.58	$63.00	$20.85–$54.18	22% above	34%
Hemoglobin blood test inpatient CPT 85018 HEMOGLOBIN	$41.58	$63.00	$27.02–$54.18	—	34%
Hepatitis B core antibody test (total) CPT 86704 HEPATITIS B CORE ANTIBODY, TOTAL	$94.38	$143.00	$47.33–$122.98	34% above	34%
Hepatitis B core antibody test (total) inpatient CPT 86704 HEPATITIS B CORE ANTIBODY, TOTAL	$94.38	$143.00	$61.33–$122.98	—	34%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEPATITIS B SURFACE ANTIBODY	$83.82	$127.00	$42.04–$109.22	16% above	34%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEPATITIS B SURFACE ANTIBODY	$83.82	$127.00	$54.47–$109.22	—	34%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B SURFACE ANTIGEN	$83.16	$126.00	$41.71–$108.36	40% above	34%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEPATITIS B SURFACE ANTIGEN	$83.16	$126.00	$54.04–$108.36	—	34%
Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C ANTIBODY	$100.98	$153.00	$50.64–$131.58	5% above	34%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C ANTIBODY	$100.98	$153.00	$65.62–$131.58	—	34%
Hepatitis C viral load (HCV RNA) test CPT 87522 HEPATITIS C RNA QUANT	$37.62	$57.00	$18.87–$49.02	71% below	34%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HEPATITIS C RNA QUANT	$37.62	$57.00	$24.45–$49.02	—	34%
Herpes blood test, HSV-1 antibody CPT 86695 LAB HSV IGM TITER PT 1	$13.86	$21.00	$6.95–$18.06	71% below	34%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 LAB HSV IGM TITER PT 1	$13.86	$21.00	$9.01–$18.06	—	34%
Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX TYPE 2	$20.46	$31.00	$10.26–$26.66	65% below	34%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HERPES SIMPLEX TYPE 2	$20.46	$31.00	$13.30–$26.66	—	34%
High-sensitivity CRP (hs-CRP) test CPT 86141 HIGH SENS CRP	$69.96	$106.00	$35.09–$91.16	6% below	34%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 HIGH SENS CRP	$69.96	$106.00	$45.46–$91.16	—	34%
Homocysteine blood test CPT 83090 HOMOCYSTEINE	$89.76	$136.00	$45.02–$116.96	5% below	34%
Homocysteine blood test inpatient CPT 83090 HOMOCYSTEINE	$89.76	$136.00	$58.33–$116.96	—	34%
Insulin blood test CPT 83525 ASSAY OF INSULIN TOTAL	$54.78	$83.00	$27.47–$71.38	2% below	34%
Insulin blood test inpatient CPT 83525 ASSAY OF INSULIN TOTAL	$54.78	$83.00	$35.60–$71.38	—	34%
Iron blood test (serum iron) CPT 83540 ASSAY OF IRON	$72.60	$110.00	$36.41–$94.60	40% above	34%
Iron blood test (serum iron) inpatient CPT 83540 ASSAY OF IRON	$72.60	$110.00	$47.18–$94.60	—	34%
Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL	$196.68	$298.00	$98.64–$256.28	86% above	34%
Kidney function blood test panel inpatient CPT 80069 RENAL FUNCTION PANEL	$196.68	$298.00	$127.81–$256.28	—	34%
LH (luteinizing hormone) test CPT 83002 GONADOTROPIN (LH)	$95.70	$145.00	$48.00–$124.70	15% above	34%
Lactate (lactic acid) blood test CPT 83605 ASSAY OF LACTIC ACID	$89.10	$135.00	$44.68–$116.10	7% above	34%
Lactate (lactic acid) blood test inpatient CPT 83605 ASSAY OF LACTIC ACID	$89.10	$135.00	$57.90–$116.10	—	34%
Lactate dehydrogenase (LDH) blood test CPT 83615 LACTATE (LD) (LDH) ENZYME	$58.74	$89.00	$29.46–$76.54	22% above	34%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LACTATE (LD) (LDH) ENZYME	$58.74	$89.00	$38.17–$76.54	—	34%
Lipase blood test (pancreas enzyme) CPT 83690 ASSAY OF LIPASE	$73.26	$111.00	$36.74–$95.46	9% above	34%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 ASSAY OF LIPASE	$73.26	$111.00	$47.61–$95.46	—	34%
Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL	$114.84	$174.00	$57.59–$149.64	13% above	34%
Liver function blood test panel inpatient CPT 80076 HEPATIC FUNCTION PANEL	$114.84	$174.00	$74.63–$149.64	—	34%
Magnesium blood test CPT 83735 MAGNESIUM	$79.20	$120.00	$39.72–$103.20	89% above	34%
Magnesium blood test inpatient CPT 83735 MAGNESIUM	$79.20	$120.00	$51.47–$103.20	—	34%
Measles (rubeola) antibody test CPT 86765 RUBEOLA ANTIBODY	$13.20	$20.00	$6.62–$17.20	67% below	34%
Mono test (heterophile antibody, Monospot) CPT 86308 HETEROPHILE ANTIBODIES	$54.12	$82.00	$27.14–$70.52	at median	34%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 HETEROPHILE ANTIBODIES	$54.12	$82.00	$35.17–$70.52	—	34%
Mumps immunity blood test CPT 86735 MUMPS	$13.20	$20.00	$6.62–$17.20	74% below	34%
PSA (prostate-specific antigen) blood test, total CPT 84153 ASSAY OF PSA TOTAL	$106.92	$162.00	$53.62–$139.32	19% above	34%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 ASSAY OF PSA TOTAL	$106.92	$162.00	$69.48–$139.32	—	34%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 PAP SCREEN THIN LAYER PREP	$77.22	$117.00	$38.73–$100.62	1% below	34%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 PAP DIAGNOSTIC THIN LAYER PREP	$77.22	$117.00	$38.73–$100.62	1% below	34%
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 PAP DIAGNOSTIC THIN LAYER PREP	$77.22	$117.00	$50.18–$100.62	—	34%
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 PAP SCREEN THIN LAYER PREP	$77.22	$117.00	$50.18–$100.62	—	34%
Parathyroid hormone (PTH) blood test CPT 83970 LAB PTH IMMUNOCH PART 1	$297.66	$451.00	$149.28–$387.86	148% above	34%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 LAB PTH IMMUNOCH PART 1	$297.66	$451.00	$193.43–$387.86	—	34%
Partial thromboplastin time (PTT) clotting test CPT 85730 THROMBOPLASTIN TIME PARTIAL	$67.98	$103.00	$34.09–$88.58	5% above	34%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 THROMBOPLASTIN TIME PARTIAL	$67.98	$103.00	$44.18–$88.58	—	34%
Phosphorus (phosphate) blood test CPT 84100 PHOSPHORUS	$29.04	$44.00	$14.56–$37.84	25% below	34%
Phosphorus (phosphate) blood test CPT 84100 ASSAY OF PHOSPHORUS	$48.84	$74.00	$24.49–$63.64	26% above	34%
Phosphorus (phosphate) blood test inpatient CPT 84100 PHOSPHORUS	$29.04	$44.00	$18.87–$37.84	—	34%
Phosphorus (phosphate) blood test inpatient CPT 84100 ASSAY OF PHOSPHORUS	$48.84	$74.00	$31.74–$63.64	—	34%
Potassium blood test CPT 84132 POTASSIUM; SERUM, PLASMA OR WHOLE BLOOD	$54.78	$83.00	$27.47–$71.38	24% above	34%
Potassium blood test inpatient CPT 84132 POTASSIUM; SERUM, PLASMA OR WHOLE BLOOD	$54.78	$83.00	$35.60–$71.38	—	34%
Progesterone blood test CPT 84144 PROGESTERONE	$99.66	$151.00	$49.98–$129.86	17% above	34%
Prolactin blood test CPT 84146 PROLACTIN	$100.98	$153.00	$50.64–$131.58	10% above	34%
Prolactin blood test inpatient CPT 84146 PROLACTIN	$100.98	$153.00	$65.62–$131.58	—	34%
Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME (PT/INR)	$42.90	$65.00	$21.52–$55.90	29% above	34%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME (PT/INR)	$42.90	$65.00	$27.88–$55.90	—	34%
Rapid flu test (influenza antigen) CPT 87804 INFLUENZA ASSAY W/OPTIC	$34.98	$53.00	$17.54–$45.58	42% below	34%
Rapid flu test (influenza antigen) inpatient CPT 87804 INFLUENZA ASSAY W/OPTIC	$34.98	$53.00	$22.73–$45.58	—	34%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 STREP A ASSAY W/OPTIC	$53.46	$81.00	$26.81–$69.66	2% below	34%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 STREP A ASSAY W/OPTIC	$53.46	$81.00	$34.74–$69.66	—	34%
Rh blood typing CPT 86901 BLOOD TYPING RH (D)	$47.52	$72.00	$23.83–$61.92	10% above	34%
Rh blood typing inpatient CPT 86901 BLOOD TYPING RH (D)	$47.52	$72.00	$30.88–$61.92	—	34%
Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR QUANT	$53.46	$81.00	$26.81–$69.66	9% above	34%
Rheumatoid factor (RF) test inpatient CPT 86431 RHEUMATOID FACTOR QUANT	$53.46	$81.00	$34.74–$69.66	—	34%
Rubella antibody test (immunity check) CPT 86762 RUBELLA ANTIBODY	$58.08	$88.00	$29.13–$75.68	21% above	34%
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA ANTIBODY	$58.08	$88.00	$37.74–$75.68	—	34%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 RBC SED RATE, AUTO	$38.94	$59.00	$19.53–$50.74	1% above	34%
Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 RBC SED RATE, AUTO	$38.94	$59.00	$25.31–$50.74	—	34%
Semen analysis: volume, sperm count, motility and morphology CPT 89320 SEMEN ANALYSIS VOLUME COUNT MOTILITY DIFFERENT	$82.50	$125.00	$41.38–$107.50	31% below	34%
Semen analysis: volume, sperm count, motility and morphology CPT 89320 SEMEN COMPLETE	$82.50	$125.00	$41.38–$107.50	31% below	34%
Semen analysis: volume, sperm count, motility and morphology inpatient CPT 89320 SEMEN ANALYSIS VOLUME COUNT MOTILITY DIFFERENT	$82.50	$125.00	$53.61–$107.50	—	34%
Semen analysis: volume, sperm count, motility and morphology inpatient CPT 89320 SEMEN COMPLETE	$82.50	$125.00	$53.61–$107.50	—	34%
Sodium blood test CPT 84295 SODIUM; SERUM, PLASMA OR WHOLE BLOOD	$50.16	$76.00	$25.16–$65.36	10% above	34%
Sodium blood test inpatient CPT 84295 SODIUM; SERUM, PLASMA OR WHOLE BLOOD	$50.16	$76.00	$32.60–$65.36	—	34%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 DX OCCULT BLOOD IMMUNOASSAY	$74.58	$113.00	$37.40–$97.18	29% above	34%
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 DX OCCULT BLOOD IMMUNOASSAY	$74.58	$113.00	$48.47–$97.18	—	34%
Syphilis antibody test (Treponema pallidum) CPT 86780 TREPONEMA PALLIDUM	$64.02	$97.00	$32.11–$83.42	18% above	34%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 TREPONEMA PALLIDUM	$64.02	$97.00	$41.60–$83.42	—	34%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 SYPHILIS TEST NON-TREP QUAL	$42.90	$65.00	$21.52–$55.90	30% above	34%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 SYPHILIS TEST NON-TREP QUAL	$42.90	$65.00	$27.88–$55.90	—	34%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 TUBERCULOSIS TEST, CELL IMMUNITY MEASURE	$119.46	$181.00	$59.91–$155.66	at median	34%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 TUBERCULOSIS TEST, CELL IMMUNITY MEASURE	$119.46	$181.00	$77.63–$155.66	—	34%
Testosterone blood test, total (not free testosterone) CPT 84403 ASSAY OF TOTAL TESTOSTERONE	$109.56	$166.00	$54.95–$142.76	71% above	34%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 ASSAY OF TOTAL TESTOSTERONE	$109.56	$166.00	$71.20–$142.76	—	34%
Thyroid peroxidase (TPO) antibody test CPT 86376 MICROSOMAL ANTIBODY	$78.54	$119.00	$39.39–$102.34	44% above	34%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 MICROSOMAL ANTIBODY	$78.54	$119.00	$51.04–$102.34	—	34%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 ASSAY THYROID STIM HORMONE	$98.34	$149.00	$49.32–$128.14	4% above	34%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 ASSAY THYROID STIM HORMONE	$98.34	$149.00	$63.91–$128.14	—	34%
Total cholesterol blood test CPT 82465 ASSAY BLD/SERUM CHOLESTEROL	$35.64	$54.00	$17.87–$46.44	2% above	34%
Transferrin blood test CPT 84466 ASSAY OF TRANSFERRIN	$99.66	$151.00	$49.98–$129.86	34% above	34%
Transferrin blood test inpatient CPT 84466 ASSAY OF TRANSFERRIN	$99.66	$151.00	$64.76–$129.86	—	34%
Trichomonas test (NAAT) CPT 87661 IADNA TRICHOMONAS VAGINALIS AMPLIFIED PROBE TECH	$30.36	$46.00	$15.23–$39.56	39% below	34%
Trichomonas test (NAAT) inpatient CPT 87661 IADNA TRICHOMONAS VAGINALIS AMPLIFIED PROBE TECH	$30.36	$46.00	$19.73–$39.56	—	34%
Triglycerides blood test CPT 84478 ASSAY OF TRIGLYCERIDES	$53.46	$81.00	$26.81–$69.66	25% above	34%
Triglycerides blood test inpatient CPT 84478 ASSAY OF TRIGLYCERIDES	$53.46	$81.00	$34.74–$69.66	—	34%
Troponin test, quantitative CPT 84484 TROPONIN, QUANTITATIVE	$127.38	$193.00	$63.88–$165.98	25% above	34%
Troponin test, quantitative inpatient CPT 84484 TROPONIN, QUANTITATIVE	$127.38	$193.00	$82.78–$165.98	—	34%
Uric acid blood test CPT 84550 URIC ACID; BLOOD	$45.54	$69.00	$22.84–$59.34	1% below	34%
Uric acid blood test inpatient CPT 84550 URIC ACID; BLOOD	$45.54	$69.00	$29.59–$59.34	—	34%
Urinalysis with microscope exam, automated CPT 81001 URINALYSIS, AUTO, W/SCOPE	$52.14	$79.00	$26.15–$67.94	1% above	34%
Urinalysis with microscope exam, automated inpatient CPT 81001 URINALYSIS, AUTO, W/SCOPE	$52.14	$79.00	$33.88–$67.94	—	34%
Urinalysis without microscope exam, automated CPT 81003 URINALYSIS, AUTO W/O SCOPE	$33.66	$51.00	$16.88–$43.86	30% above	34%
Urinalysis without microscope exam, automated inpatient CPT 81003 URINALYSIS, AUTO W/O SCOPE	$33.66	$51.00	$21.87–$43.86	—	34%
Urinalysis without microscope exam, manual CPT 81002 URINALYSIS NONAUTO W/O SCOPE	$19.80	$30.00	$9.93–$25.80	11% below	34%
Urinalysis without microscope exam, manual inpatient CPT 81002 URINALYSIS NONAUTO W/O SCOPE	$19.80	$30.00	$12.87–$25.80	—	34%
Urine culture for bacteria, with colony count CPT 87086 URINE CULTURE/COLONY COUNT	$73.92	$112.00	$37.07–$96.32	24% above	34%
Urine culture for bacteria, with colony count inpatient CPT 87086 URINE CULTURE/COLONY COUNT	$73.92	$112.00	$48.04–$96.32	—	34%
Urine microalbumin (albumin) test CPT 82043 MICROALBUMIN QUANTITATIVE	$69.96	$106.00	$35.09–$91.16	19% above	34%
Urine microalbumin (albumin) test inpatient CPT 82043 MICROALBUMIN QUANTITATIVE	$69.96	$106.00	$45.46–$91.16	—	34%
Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B-12	$138.60	$210.00	$69.51–$180.60	56% above	34%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 VITAMIN B-12	$138.60	$210.00	$90.07–$180.60	—	34%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D, 25 HYDROXY	$171.60	$260.00	$86.06–$223.60	61% above	34%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D, 25 HYDROXY	$171.60	$260.00	$111.51–$223.60	—	34%
Vitamin D, 1,25-dihydroxy blood test CPT 82652 VIT D 1 25-DIHYDROXY	$38.94	$59.00	$19.53–$50.74	49% below	34%
Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 VIT D 1 25-DIHYDROXY	$38.94	$59.00	$25.31–$50.74	—	34%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 GONADOTROPINC, CHORIONIC (HCG), QUANT	$97.02	$147.00	$48.66–$126.42	5% above	34%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 GONADOTROPINC, CHORIONIC (HCG), QUANT	$97.02	$147.00	$63.05–$126.42	—	34%

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs Minnesota	Off list
Botox injections for chronic migraine CPT 64615 CHEMODENERV MUSC MIGRAINE	$592.02	$897.00	$296.91–$771.42	2% below	34%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 BX BREAST 1ST LESION STRTCTC	$1,696.86	$2,571.00	$851.00–$2,211.06	2% below	34%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 BX BREAST 1ST LESION STRTCTC	$1,696.86	$2,571.00	$1,102.70–$2,211.06	—	34%
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 CLOSED RX DIST FIBULA FX	$275.88	$418.00	$138.36–$359.48	38% below	34%
Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 CLOSED RX DIST FIBULA FX	$275.88	$418.00	$179.28–$359.48	—	34%
Broken foot (metatarsal) treatment without surgery or setting CPT 28470 CLOSED RX METATARSAL FX	$192.06	$291.00	$96.32–$250.26	48% below	34%
Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 CLOSED RX METATARSAL FX	$192.06	$291.00	$124.81–$250.26	—	34%
Cardiac catheterization with coronary angiogram CPT 93458 L HRT ARTERY/VENTRICLE ANGIO	$8,246.70	$12,495.00	$4,135.84–$10,745.70	99% above	34%
Cardiac catheterization with coronary angiogram inpatient CPT 93458 L HRT ARTERY/VENTRICLE ANGIO	$8,246.70	$12,495.00	$5,359.11–$10,745.70	—	34%
Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION, ELECTIVE;EXTERN	$1,199.22	$1,817.00	$601.43–$1,562.62	15% above	34%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION, ELECTIVE;EXTERN	$1,199.22	$1,817.00	$779.31–$1,562.62	—	34%
Carpal tunnel release, open surgery CPT 64721 REVISE MEDIAN N/CARPAL TUNNEL SURG	$1,950.30	$2,955.00	$978.10–$2,541.30	at median	34%
Catheter ablation for atrial fibrillation CPT 93656 TX ATRIAL FIB PULM VEIN ISOL	$28,464.48	$43,128.00	$14,275.37–$37,090.08	41% above	34%
Catheter ablation for atrial fibrillation inpatient CPT 93656 TX ATRIAL FIB PULM VEIN ISOL	$28,464.48	$43,128.00	$18,497.60–$37,090.08	—	34%
Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 CIRCUMCISION, OTHER THAN CLAMP, > 28 DAYS AGE	$1,541.10	$2,335.00	$772.88–$2,008.10	at median	34%
Circumcision by surgical excision, older than 28 days (children and adults) inpatient CPT 54161 CIRCUMCISION, OTHER THAN CLAMP, > 28 DAYS AGE	$1,541.10	$2,335.00	$1,001.48–$2,008.10	—	34%
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 CIRCUMCISION,CLAMP,NEWBORN	$224.40	$340.00	$112.54–$292.40	8% below	34%
Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 CIRCUMCISION,CLAMP,NEWBORN	$224.40	$340.00	$145.83–$292.40	—	34%
Circumcision, surgical, older than a newborn CPT 54160 CIRCUMCISION, OTHER THAN CLAMP < 28 DAYS AGE	$1,346.40	$2,040.00	$675.24–$1,754.40	68% above	34%
Circumcision, surgical, older than a newborn inpatient CPT 54160 CIRCUMCISION, OTHER THAN CLAMP < 28 DAYS AGE	$1,346.40	$2,040.00	$874.96–$1,754.40	—	34%
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 CLOSED RX DIST RAD/ULNA FX	$326.04	$494.00	$163.51–$424.84	34% below	34%
Colonoscopy with endoscopic ultrasound CPT 45391 COLONOSCOPY FLEX PROX TO SPLENIC FLEXURE W ENDOSCOPIC ULTRASOUND EXAM	$1,720.62	$2,607.00	$862.92–$2,242.02	45% above	34%
Colonoscopy with polyp removal CPT 45385 COLONOSCOPY,REMV LESN,SNARE	$2,205.72	$3,342.00	$1,106.20–$2,874.12	34% above	34%
Colonoscopy with polyp removal inpatient CPT 45385 COLONOSCOPY,REMV LESN,SNARE	$2,205.72	$3,342.00	$1,433.38–$2,874.12	—	34%
Colonoscopy with tissue sample CPT 45380 COLONOSCOPY,BIOPSY	$2,022.24	$3,064.00	$1,014.18–$2,635.04	26% above	34%
Colonoscopy with tissue sample inpatient CPT 45380 COLONOSCOPY,BIOPSY	$2,022.24	$3,064.00	$1,314.15–$2,635.04	—	34%
Colonoscopy, diagnostic CPT 45378 COLONOSCOPY,FLEX,DIAGNOSTIC	$1,865.82	$2,827.00	$935.74–$2,431.22	39% above	34%
Colonoscopy, diagnostic inpatient CPT 45378 COLONOSCOPY,FLEX,DIAGNOSTIC	$1,865.82	$2,827.00	$1,212.50–$2,431.22	—	34%
Coronary stent placement, one artery inpatient CPT 92928 PRQ CARD STENT W/ANGIO 1 VSL	$11,970.42	$18,137.00	$7,778.96–$15,597.82	—	34%
Cystoscopy with ureteral stent placement CPT 52332 CYSTOSCOPY,INSERT URETERAL STENT	$3,064.38	$4,643.00	$1,536.83–$3,992.98	16% below	34%
Cystoscopy with ureteral stent placement inpatient CPT 52332 CYSTOSCOPY,INSERT URETERAL STENT	$3,064.38	$4,643.00	$1,991.38–$3,992.98	—	34%
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 CYSTOURETHROSCOPY	$652.08	$988.00	$327.03–$849.68	22% below	34%
Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 CYSTOURETHROSCOPY	$652.08	$988.00	$423.75–$849.68	—	34%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 DESTRUC BENIGN/PREMAL,1ST LESION	$180.84	$274.00	$90.69–$235.64	1% below	34%
Ear tube placement (tympanostomy) with local anesthesia, one ear CPT 69433 CREATE EARDRUM OPENING,LOCAL ANESTH	$369.60	$560.00	$185.36–$481.60	23% below	34%
Ear tube placement (tympanostomy) with local anesthesia, one ear inpatient CPT 69433 CREATE EARDRUM OPENING,LOCAL ANESTH	$369.60	$560.00	$240.18–$481.60	—	34%
Earwax removal by irrigation (rinsing), one ear one side CPT 69209 REMOVAL IMPACTED CERUMEN IRRIGATION/LVG UNILAT	$71.94	$109.00	$36.08–$93.74	7% below	34%
Earwax removal with instruments, one ear CPT 69210 REMOVE IMPACTED EAR WAX	$71.28	$108.00	$35.75–$92.88	42% below	34%
Earwax removal with instruments, one ear inpatient CPT 69210 REMOVE IMPACTED EAR WAX	$71.28	$108.00	$46.32–$92.88	—	34%
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 BIOPSY OF UTERUS LINING	$408.54	$619.00	$204.89–$532.34	65% above	34%
Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 BIOPSY OF UTERUS LINING	$408.54	$619.00	$265.49–$532.34	—	34%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 INJ CERV/THORAC WITH IMAGE GUIDANCE	$1,358.28	$2,058.00	$681.20–$1,769.88	12% above	34%
Eye injection into the vitreous (intravitreal injection) CPT 67028 INJECT INTRAVITREAL PHARMCOLOGIC	$322.74	$489.00	$161.86–$420.54	35% below	34%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 INJ PARAVERT F JNT L/S1 LEV(T)	$1,457.94	$2,209.00	$731.18–$1,899.74	5% above	34%
First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm CPT 49591 REPAIR ANT ABD HERNIAS/INITIAL/MPLT OF MESH/PROSTH, LESS THAN 3 CM, REDUC	$2,865.72	$4,342.00	$1,437.20–$3,734.12	10% above	34%
First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm inpatient CPT 49591 REPAIR ANT ABD HERNIAS/INITIAL/MPLT OF MESH/PROSTH, LESS THAN 3 CM, REDUC	$2,865.72	$4,342.00	$1,862.28–$3,734.12	—	34%
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 SIGMOIDOSCOPY,SCREEN PREV	$1,131.90	$1,715.00	$567.67–$1,474.90	20% above	34%
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 SIGMOIDOSCOPY,DIAGNOSTIC	$1,265.88	$1,918.00	$634.86–$1,649.48	34% above	34%
Flexible sigmoidoscopy, diagnostic (lower colon only) inpatient CPT 45330 SIGMOIDOSCOPY,SCREEN PREV	$1,131.90	$1,715.00	$735.56–$1,474.90	—	34%
Flexible sigmoidoscopy, diagnostic (lower colon only) inpatient CPT 45330 SIGMOIDOSCOPY,DIAGNOSTIC	$1,265.88	$1,918.00	$822.63–$1,649.48	—	34%
Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery CPT 47563 LAP,CHOLECYSTECTOMY/GRAPH	$4,448.40	$6,740.00	$2,230.94–$5,796.40	2% above	34%
Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery inpatient CPT 47563 LAP,CHOLECYSTECTOMY/GRAPH	$4,448.40	$6,740.00	$2,890.79–$5,796.40	—	34%
Hemorrhoid banding (rubber band ligation) CPT 46221 LIGATION OF HEMORRHOID(S)	$495.66	$751.00	$248.58–$645.86	39% below	34%
Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 HYSTEROSCOPY,W/ENDO BX	$2,410.32	$3,652.00	$1,208.81–$3,140.72	at median	34%
Hysteroscopy with uterine lining sampling and/or polyp removal inpatient CPT 58558 HYSTEROSCOPY,W/ENDO BX	$2,410.32	$3,652.00	$1,566.34–$3,140.72	—	34%
IUD insertion (the device itself billed separately) CPT 58300 INSERT INTRAUTERINE DEVICE	$859.98	$1,303.00	$431.29–$1,120.58	176% above	34%
IUD insertion (the device itself billed separately) inpatient CPT 58300 INSERT INTRAUTERINE DEVICE	$859.98	$1,303.00	$558.86–$1,120.58	—	34%
Incision and drainage of a simple or single skin abscess CPT 10060 DRAIN SKIN ABSCESS SIMPLE(T)	$257.40	$390.00	$129.09–$335.40	10% below	34%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 DRAIN SKIN ABSCESS SIMPLE(T)	$257.40	$390.00	$167.27–$335.40	—	34%
Inguinal (groin) hernia repair, age 5 or older CPT 49505 REPAIR ING HERNIA,5+Y/O,REDUCIBL	$2,865.72	$4,342.00	$1,437.20–$3,734.12	at median	34%
Inguinal (groin) hernia repair, age 5 or older inpatient CPT 49505 REPAIR ING HERNIA,5+Y/O,REDUCIBL	$2,865.72	$4,342.00	$1,862.28–$3,734.12	—	34%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJ TENDON/LIGAMENT/CYST	$319.44	$484.00	$160.20–$416.24	14% below	34%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 DRAIN/INJ LARGE JOINT/BURSA(T)	$291.06	$441.00	$145.97–$379.26	19% below	34%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 DRAIN/INJ LARGE JOINT/BURSA(T)	$291.06	$441.00	$189.14–$379.26	—	34%
Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 INSERT DRUG IMPLANT DEVICE	$478.50	$725.00	$239.98–$623.50	75% above	34%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 DRAIN/IN MEDIUM JOINT/BURSA(T)	$272.58	$413.00	$136.70–$355.18	11% below	34%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 DRAIN/IN MEDIUM JOINT/BURSA(T)	$272.58	$413.00	$177.14–$355.18	—	34%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 DRAIN/INJ SMALL JOINT/BURSA(T)	$308.88	$468.00	$154.91–$402.48	5% below	34%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 DRAIN/INJ SMALL JOINT/BURSA(T)	$308.88	$468.00	$200.73–$402.48	—	34%
Laparoscopic fundoplication (anti-reflux surgery) CPT 43280 LAP,ESOPHAGOGAST FUNDOPLASTY	$7,444.14	$11,279.00	$3,733.35–$9,699.94	158% above	34%
Laparoscopic fundoplication (anti-reflux surgery) inpatient CPT 43280 LAP,ESOPHAGOGAST FUNDOPLASTY	$7,444.14	$11,279.00	$4,837.56–$9,699.94	—	34%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 LAYR CLOS WND TRUNK,ARM,LEG <2.5CM	$434.28	$658.00	$217.80–$565.88	4% below	34%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 LAYR CLOS WND TRUNK,ARM,LEG <2.5CM	$434.28	$658.00	$282.22–$565.88	—	34%
Left heart catheterization, diagnostic one side CPT 93452 LEFT HEART CATH W/VENTRCLGRPHY	$5,973.66	$9,051.00	$2,995.88–$7,783.86	63% above	34%
Left heart catheterization, diagnostic inpatient one side CPT 93452 LEFT HEART CATH W/VENTRCLGRPHY	$5,973.66	$9,051.00	$3,881.97–$7,783.86	—	34%
Lower-back epidural injection, with imaging guidance CPT 62323 INJ LUMBAR/SACRAL WITH IMAGE GUIDANCE	$1,248.06	$1,891.00	$625.92–$1,626.26	5% above	34%
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 INJ LUMBAR/SACRAL WITH IMAGE GUIDANCE	$1,248.06	$1,891.00	$811.05–$1,626.26	—	34%
Lower-back epidural injection, without imaging guidance CPT 62322 INJ LUMBAR/SACRAL W/O IMAGE GUIDANCE	$1,142.46	$1,731.00	$572.96–$1,488.66	3% above	34%
Lower-back epidural injection, without imaging guidance inpatient CPT 62322 INJ LUMBAR/SACRAL W/O IMAGE GUIDANCE	$1,142.46	$1,731.00	$742.43–$1,488.66	—	34%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 INJ,FORAMEN,L/S,1 LEVEL(T)	$1,274.46	$1,931.00	$639.16–$1,660.66	2% below	34%
Lumbar discectomy or laminotomy to free a nerve root, one level CPT 63030 LAMINOTOMY,LUMBAR DISK,1 INTRSP	$5,660.16	$8,576.00	$2,838.66–$7,375.36	at median	34%
Lumbar discectomy or laminotomy to free a nerve root, one level inpatient CPT 63030 LAMINOTOMY,LUMBAR DISK,1 INTRSP	$5,660.16	$8,576.00	$3,678.25–$7,375.36	—	34%
Lumbar laminectomy (spinal decompression), one level CPT 63047 LAMINEC/FACETECT/FORAMIN,LUMBAR	$5,435.10	$8,235.00	$2,725.79–$7,082.10	at median	34%
Lumbar laminectomy (spinal decompression), one level inpatient CPT 63047 LAMINEC/FACETECT/FORAMIN,LUMBAR	$5,435.10	$8,235.00	$3,531.99–$7,082.10	—	34%
Mastectomy (total removal of the breast) CPT 19303 MASTECTOMY SIMPLE COMPLETE	$5,105.10	$7,735.00	$2,560.29–$6,652.10	at median	34%
Mastectomy (total removal of the breast) inpatient CPT 19303 MASTECTOMY SIMPLE COMPLETE	$5,105.10	$7,735.00	$3,317.54–$6,652.10	—	34%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 EXC BENIG .1-.5CM TRUNK,ARM,LE	$405.24	$614.00	$203.23–$528.04	at median	34%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 EXC BENIG .1-.5CM TRUNK,ARM,LE	$405.24	$614.00	$263.34–$528.04	—	34%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 EXC SKIN BENIG <5MM FACE,FACIAL	$524.70	$795.00	$263.15–$683.70	12% below	34%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 EXC SKIN BENIG <5MM FACE,FACIAL	$524.70	$795.00	$340.98–$683.70	—	34%
Nail removal (partial or complete), one nail CPT 11730 REMOVAL OF NAIL PLATE	$228.36	$346.00	$114.53–$297.56	15% below	34%
Occipital nerve block (injection for headaches) CPT 64405 INJ NERV BLCK,GREAT OCCIPTL(T)	$585.42	$887.00	$293.60–$762.82	4% below	34%
Occipital nerve block (injection for headaches) inpatient CPT 64405 INJ NERV BLCK,GREAT OCCIPTL(T)	$585.42	$887.00	$380.43–$762.82	—	34%
Pacemaker implant (dual chamber) CPT 33208 INSER HART PACER XVENOUS ATR/VENTR	$15,823.50	$23,975.00	$7,935.72–$20,618.50	20% above	34%
Pacemaker implant (dual chamber) inpatient CPT 33208 INSER HART PACER XVENOUS ATR/VENTR	$15,823.50	$23,975.00	$10,282.88–$20,618.50	—	34%
Paracentesis with imaging guidance CPT 49083 ABD PARACENTESIS W/IMAGING(T)	$1,048.08	$1,588.00	$525.63–$1,365.68	18% above	34%
Paracentesis with imaging guidance inpatient CPT 49083 ABD PARACENTESIS W/IMAGING(T)	$1,048.08	$1,588.00	$681.09–$1,365.68	—	34%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 REMOVAL OF NAIL BED	$432.30	$655.00	$216.80–$563.30	15% below	34%
Prostate biopsy CPT 55700 BX OF PROSTATE,NEEDLE/PUNCH(T)	$909.48	$1,378.00	$456.12–$1,185.08	48% below	34%
Prostate biopsy inpatient CPT 55700 BX OF PROSTATE,NEEDLE/PUNCH(T)	$909.48	$1,378.00	$591.02–$1,185.08	—	34%
Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 DESTROY LUMB/SAC FACET JNT	$2,583.90	$3,915.00	$1,295.86–$3,366.90	21% above	34%
Removal of a foreign object under the skin, simple CPT 10120 REMOVE FOREIGN BODY SIMPLE	$547.80	$830.00	$274.73–$713.80	35% above	34%
Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 COLONOSCOPY,SCREEN PREV	$1,873.74	$2,839.00	$939.71–$2,441.54	20% above	34%
Screening colonoscopy for a person at average risk (Medicare code) inpatient HCPCS G0121 COLONOSCOPY,SCREEN PREV	$1,873.74	$2,839.00	$1,217.65–$2,441.54	—	34%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 COLONOSCOPY,FLEX,SCREEN	$1,892.88	$2,868.00	$949.31–$2,466.48	24% above	34%
Short arm cast (elbow to hand) inpatient CPT 29075 APPLY FOREARM CAST	$195.36	$296.00	$126.95–$254.56	—	34%
Short arm splint (forearm and hand) CPT 29125 APPLY FOREARM SPLINT,STATIC	$202.62	$307.00	$101.62–$264.02	2% above	34%
Short arm splint (forearm and hand) inpatient CPT 29125 APPLY FOREARM SPLINT,STATIC	$202.62	$307.00	$131.67–$264.02	—	34%
Short leg cast (below the knee) inpatient CPT 29405 APPLY SHORT LEG CAST	$300.96	$456.00	$195.58–$392.16	—	34%
Short leg splint (calf to foot) CPT 29515 APPLY LOWER LEG SPLINT	$217.80	$330.00	$109.23–$283.80	2% below	34%
Short leg splint (calf to foot) inpatient CPT 29515 APPLY LOWER LEG SPLINT	$217.80	$330.00	$141.54–$283.80	—	34%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 REPR SUPERF WND BODY <2.5CM	$277.86	$421.00	$139.35–$362.06	at median	34%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 REPR SUPERF WND BODY <2.5CM	$277.86	$421.00	$180.57–$362.06	—	34%
Skin biopsy, punch, one lesion CPT 11104 PUNCH BIOPSY OF SKIN (INCLUDING SIMPLE CLOSURE, WHEN PERFORMED); SINGLE LESION	$227.04	$344.00	$113.86–$295.84	24% below	34%
Skin biopsy, punch, one lesion inpatient CPT 11104 PUNCH BIOPSY OF SKIN (INCLUDING SIMPLE CLOSURE, WHEN PERFORMED); SINGLE LESION	$227.04	$344.00	$147.54–$295.84	—	34%
Skin tag removal, up to 15 tags CPT 11200 REMOVAL OF SKIN TAGS	$128.70	$195.00	$64.54–$167.70	40% below	34%
Skin tag removal, up to 15 tags inpatient CPT 11200 REMOVAL OF SKIN TAGS	$128.70	$195.00	$83.64–$167.70	—	34%
Spinal tap (lumbar puncture), diagnostic CPT 62270 SPINAL PUNCTURE,LUMBAR,DX(T)	$762.96	$1,156.00	$382.64–$994.16	4% above	34%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 SPINAL PUNCTURE,LUMBAR,DX(T)	$762.96	$1,156.00	$495.81–$994.16	—	34%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 REPR SUP NPTERF WND BODY 2.6-7.5	$322.74	$489.00	$161.86–$420.54	at median	34%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 REPR SUP NPTERF WND BODY 2.6-7.5	$322.74	$489.00	$209.73–$420.54	—	34%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 REPR SUPERF WND FACE <2.5CM	$300.30	$455.00	$150.61–$391.30	4% above	34%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 REPR SUPERF WND FACE <2.5CM	$300.30	$455.00	$195.15–$391.30	—	34%
TURP (transurethral resection of the prostate) CPT 52601 TRANSURETHRAL ELEC-SURG PROSTATECTOM	$3,645.18	$5,523.00	$1,828.11–$4,749.78	at median	34%
TURP (transurethral resection of the prostate) inpatient CPT 52601 TRANSURETHRAL ELEC-SURG PROSTATECTOM	$3,645.18	$5,523.00	$2,368.81–$4,749.78	—	34%
Thoracentesis with imaging guidance CPT 32555 ASPIRATE PLEURA W/ IMAGING	$1,154.34	$1,749.00	$578.92–$1,504.14	25% above	34%
Thoracentesis with imaging guidance inpatient CPT 32555 ASPIRATE PLEURA W/ IMAGING	$1,154.34	$1,749.00	$750.15–$1,504.14	—	34%
Trigger finger release surgery CPT 26055 INCISE FINGER TENDON SHEATH	$1,296.24	$1,964.00	$650.08–$1,689.04	4% above	34%
Trigger point injections, 1 or 2 muscles CPT 20552 INJ TRIGGER POINT, 1 OR 2(T)	$318.78	$483.00	$159.87–$415.38	at median	34%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 BX BREAST 1ST LESION US IMAG	$1,846.02	$2,797.00	$925.81–$2,405.42	5% above	34%
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 BX BREAST 1ST LESION US IMAG	$1,846.02	$2,797.00	$1,199.63–$2,405.42	—	34%
Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 UP GI ENDOSCOPY,BALL DIL,30MM	$2,445.96	$3,706.00	$1,226.69–$3,187.16	30% above	34%
Upper endoscopy (EGD) with balloon widening of the esophagus inpatient CPT 43249 UP GI ENDOSCOPY,BALL DIL,30MM	$2,445.96	$3,706.00	$1,589.50–$3,187.16	—	34%
Upper endoscopy (EGD) with biopsy CPT 43239 UPPER GI ENDOSCOPY,BIOPSY	$1,923.24	$2,914.00	$964.53–$2,506.04	37% above	34%
Upper endoscopy (EGD) with biopsy inpatient CPT 43239 UPPER GI ENDOSCOPY,BIOPSY	$1,923.24	$2,914.00	$1,249.81–$2,506.04	—	34%
Upper endoscopy (EGD) with injection into the lining CPT 43236 UPPR GI SCOPE W/SUBMUC INJ	$1,597.86	$2,421.00	$801.35–$2,082.06	4% above	34%
Upper endoscopy (EGD) with injection into the lining inpatient CPT 43236 UPPR GI SCOPE W/SUBMUC INJ	$1,597.86	$2,421.00	$1,038.37–$2,082.06	—	34%
Upper endoscopy (EGD) with polyp removal by snare CPT 43251 UP GI ENDOSCOPY,REMV TUMOR,SNARE	$2,334.42	$3,537.00	$1,170.75–$3,041.82	30% above	34%
Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 UP GI ENDOSCOPY,DILATN W GUIDE	$1,769.46	$2,681.00	$887.41–$2,305.66	10% above	34%
Upper endoscopy (EGD) with widening of the esophagus over a guide wire inpatient CPT 43248 UP GI ENDOSCOPY,DILATN W GUIDE	$1,769.46	$2,681.00	$1,149.88–$2,305.66	—	34%
Upper endoscopy (EGD), diagnostic CPT 43235 UPPER GI ENDOSCOPY,DIAGNOSIS	$1,774.74	$2,689.00	$890.06–$2,312.54	47% above	34%
Upper endoscopy (EGD), diagnostic inpatient CPT 43235 UPPER GI ENDOSCOPY,DIAGNOSIS	$1,774.74	$2,689.00	$1,153.31–$2,312.54	—	34%
Upper endoscopy with drainage of a pseudocyst through the stomach wall CPT 43240 UPPER GI ENDOSCOPY,DRAIN PSEUDOCYST	$3,237.96	$4,906.00	$1,623.89–$4,219.16	at median	34%
Upper endoscopy with drainage of a pseudocyst through the stomach wall inpatient CPT 43240 UPPER GI ENDOSCOPY,DRAIN PSEUDOCYST	$3,237.96	$4,906.00	$2,104.18–$4,219.16	—	34%
Ureteroscopy with laser stone breaking and stent placement inpatient CPT 52356 CYSTO/URETERO W/LITHOTRIPSY	$3,918.42	$5,937.00	$2,546.38–$5,105.82	—	34%
Vein ablation, radiofrequency, first vein CPT 36475 ENDOVENOUS ABLATION INCOMPETENT VEIN, RADIOFREQ. EXTREMITY,1ST VEIN TREATED	$3,944.16	$5,976.00	$1,978.06–$5,139.36	4% above	34%
Wart removal, up to 14 warts CPT 17110 DESTRUCT BENIGN LESION, 1-14	$146.52	$222.00	$73.48–$190.92	25% below	34%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRIDE SKIN/TISSUE	$420.42	$637.00	$210.85–$547.82	7% below	34%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 DEBRIDE SKIN/TISSUE	$420.42	$637.00	$273.21–$547.82	—	34%

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs Minnesota	Off list
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSFUSION SERVICE	$749.76	$1,136.00	$376.02–$976.96	6% above	34%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD TRANSFUSION SERVICE	$749.76	$1,136.00	$487.23–$976.96	—	34%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 AIRWAY INHALATION TREATMENT	$137.94	$209.00	$69.18–$179.74	18% above	34%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 METERED DOSE INHALER TX	$45.54	$69.00	$29.59–$59.34	—	34%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 AIRWAY INHALATION TREATMENT	$137.94	$209.00	$89.64–$179.74	—	34%
Chemotherapy IV infusion, first hour CPT 96413 CHEMOTHERAPY, IV INFUSION, 1 HOUR	$512.16	$776.00	$256.86–$667.36	at median	34%
Chemotherapy IV infusion, first hour inpatient CPT 96413 CHEMOTHERAPY, IV INFUSION, 1 HOUR	$512.16	$776.00	$332.83–$667.36	—	34%
Critical care, first 30 to 74 minutes CPT 99291 FACILITY CRITICAL CARE, E/M 30-74 MINUTES	$1,650.00	$2,500.00	$827.50–$2,150.00	3% above	34%
Critical care, first 30 to 74 minutes inpatient CPT 99291 FACILITY CRITICAL CARE, E/M 30-74 MINUTES	$1,650.00	$2,500.00	$1,072.25–$2,150.00	—	34%
EEG (brain wave test), awake and drowsy, routine CPT 95816 EEG AWAKE/DROWSY TC	$671.22	$1,017.00	$336.63–$874.62	28% above	34%
EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 EEG AWAKE/DROWSY TC	$671.22	$1,017.00	$436.19–$874.62	—	34%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ECG 12 LEAD, TRACING	$174.90	$265.00	$87.72–$227.90	2% above	34%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ECG 12 LEAD, TRACING ONLY	$181.50	$275.00	$91.02–$236.50	5% above	34%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 ECG 12 LEAD, TRACING	$174.90	$265.00	$113.66–$227.90	—	34%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 ECG 12 LEAD, TRACING ONLY	$181.50	$275.00	$117.95–$236.50	—	34%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 FACILITY EMERGENCY LEVEL 1 VISIT	$186.12	$282.00	$93.34–$242.52	9% below	34%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 FACILITY EMERGENCY LEVEL 1 VISIT	$186.12	$282.00	$120.95–$242.52	—	34%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 FACILITY EMERGENCY LEVEL II VISIT	$300.30	$455.00	$150.61–$391.30	at median	34%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 FACILITY EMERGENCY LEVEL III VISIT	$496.98	$753.00	$249.24–$647.58	3% above	34%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 FACILITY EMERGENCY LEVEL III VISIT	$496.98	$753.00	$322.96–$647.58	—	34%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 FACILITY EMERGENCY LEVEL IV VISIT	$812.46	$1,231.00	$407.46–$1,058.66	4% above	34%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 FACILITY EMERGENCY LEVEL IV VISIT	$812.46	$1,231.00	$527.98–$1,058.66	—	34%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 FACILITY EMERGENCY LEVEL V VISIT	$1,166.88	$1,768.00	$585.21–$1,520.48	1% above	34%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 FACILITY EMERGENCY LEVEL V VISIT	$1,166.88	$1,768.00	$758.30–$1,520.48	—	34%
Exercise stress test, tracing only, the hospital charge CPT 93017 CARDIAC STRESS TST,TRACING ONLY	$818.40	$1,240.00	$410.44–$1,066.40	14% above	34%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 CARDIAC STRESS TST,TRACING ONLY	$818.40	$1,240.00	$531.84–$1,066.40	—	34%
Family therapy with the patient, 50 minutes inpatient CPT 90847 FAMILY (CONJOINT) PSYCHOTHERAPY, 50 MINS W/PT	$168.30	$255.00	$109.37–$219.30	—	34%
Family therapy without the patient, 50 minutes inpatient CPT 90846 FAMILY PSYCHOTHERAPY, 50 MINS W/O PT	$151.80	$230.00	$98.65–$197.80	—	34%
Group psychotherapy session CPT 90853 GROUP PSYCHOTHERAPY	$105.60	$160.00	$52.96–$137.60	26% above	34%
Group psychotherapy session inpatient CPT 90853 GROUP PSYCHOTHERAPY	$105.60	$160.00	$68.62–$137.60	—	34%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 FIRST HOUR IV HYDRATION <1 HOUR	$288.42	$437.00	$144.65–$375.82	6% above	34%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 FIRST HOUR IV HYDRATION <1 HOUR	$288.42	$437.00	$187.43–$375.82	—	34%
IV infusion of a medicine, first hour CPT 96365 IV INFUSION THERAPY, 1 HOUR	$326.70	$495.00	$163.84–$425.70	at median	34%
IV infusion of a medicine, first hour inpatient CPT 96365 IV INFUSION THERAPY, 1 HOUR	$326.70	$495.00	$212.31–$425.70	—	34%
IV push of a medicine, first drug CPT 96374 IV PUSH, SINGLE/1ST DRUG	$184.14	$279.00	$92.35–$239.94	at median	34%
IV push of a medicine, first drug inpatient CPT 96374 IV PUSH, SINGLE/1ST DRUG	$184.14	$279.00	$119.66–$239.94	—	34%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION, SUBQ/IM	$77.22	$117.00	$38.73–$100.62	at median	34%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJECTION, SUBQ/IM	$77.22	$117.00	$50.18–$100.62	—	34%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 PSYCHIATRIC DIAGNOSTIC EVALUATION	$229.02	$347.00	$114.86–$298.42	11% below	34%
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 PSYCHIATRIC DIAGNOSTIC EVALUATION	$229.02	$347.00	$148.83–$298.42	—	34%
Nerve conduction study, 7 or 8 nerve studies CPT 95910 MOTOR&SENS 7-8 NRV CNDJ TEST	$578.82	$877.00	$290.29–$754.22	28% above	34%
Neuromuscular re-education, 15 minutes CPT 97112 NEUROMUSCULAR RE-EDUCATION	$64.68	$98.00	$32.44–$84.28	20% below	34%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 NEUROMUSCULAR RE-EDUCATION	$64.68	$98.00	$42.03–$84.28	—	34%
New patient office visit, about 30 minutes CPT 99203 OFFICE/OUTPT VISIT,NEW,LEVL III	$116.16	$176.00	$58.26–$151.36	1% below	34%
New patient office visit, about 30 minutes inpatient CPT 99203 OFFICE/OUTPT VISIT,NEW,LEVL III	$116.16	$176.00	$75.49–$151.36	—	34%
New patient office visit, about 45 minutes CPT 99204 OFFICE/OUTPT VISIT,NEW,LEVL IV	$171.60	$260.00	$86.06–$223.60	at median	34%
New patient office visit, about 45 minutes inpatient CPT 99204 OFFICE/OUTPT VISIT,NEW,LEVL IV	$171.60	$260.00	$111.51–$223.60	—	34%
New patient office visit, about 60 minutes CPT 99205 OFFICE/OUTPT VISIT,NEW,LEVL V	$228.36	$346.00	$114.53–$297.56	4% below	34%
New patient office visit, about 60 minutes inpatient CPT 99205 OFFICE/OUTPT VISIT,NEW,LEVL V	$228.36	$346.00	$148.40–$297.56	—	34%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 OFFICE/OUTPT VISIT,NEW,LEVL II	$71.28	$108.00	$35.75–$92.88	6% below	34%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 OFFICE/OUTPT VISIT,NEW,LEVL II	$71.28	$108.00	$46.32–$92.88	—	34%
Occupational therapy evaluation, low complexity CPT 97165 OCCUPATIONAL THERAPY EVAL LOW COMPLEX	$151.14	$229.00	$75.80–$196.94	11% below	34%
Occupational therapy evaluation, low complexity inpatient CPT 97165 OCCUPATIONAL THERAPY EVAL LOW COMPLEX	$151.14	$229.00	$98.22–$196.94	—	34%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PHYSICAL THERAPY EVALUATION HIGH COMPLEX	$178.86	$271.00	$89.70–$233.06	11% below	34%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 PHYSICAL THERAPY EVALUATION HIGH COMPLEX	$178.86	$271.00	$116.23–$233.06	—	34%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PHYSICAL THERAPY EVALUATION LOW COMPLEX	$150.48	$228.00	$75.47–$196.08	11% below	34%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 PHYSICAL THERAPY EVALUATION LOW COMPLEX	$150.48	$228.00	$97.79–$196.08	—	34%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PHYSICAL THERAPY EVALUATION MOD COMPLEX	$164.34	$249.00	$82.42–$214.14	14% below	34%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 PHYSICAL THERAPY EVALUATION MOD COMPLEX	$164.34	$249.00	$106.80–$214.14	—	34%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MANUAL THER TECH,1+REGIONS,EA 15 MIN	$66.00	$100.00	$33.10–$86.00	22% below	34%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 MANUAL THER TECH,1+REGIONS,EA 15 MIN	$66.00	$100.00	$42.89–$86.00	—	34%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAPEUTIC EXERCISES	$90.42	$137.00	$45.35–$117.82	1% below	34%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERAPEUTIC EXERCISES	$90.42	$137.00	$58.76–$117.82	—	34%
Psychiatric evaluation with medical services CPT 90792 PSYCHIATRIC DIAGNOSTIC EVALUATION W/ MEDICAL SERVICES	$196.02	$297.00	$98.31–$255.42	at median	34%
Psychiatric evaluation with medical services inpatient CPT 90792 PSYCHIATRIC DIAGNOSTIC EVALUATION W/ MEDICAL SERVICES	$196.02	$297.00	$127.38–$255.42	—	34%
Psychological testing evaluation by a psychologist or physician, first hour CPT 96130 PSYCH TESTING EVALUATION SERVICES; PHYSICIAN/QHP, FIRST HOUR	$288.42	$437.00	$144.65–$375.82	64% above	34%
Psychological testing evaluation by a psychologist or physician, first hour inpatient CPT 96130 PSYCH TESTING EVALUATION SERVICES; PHYSICIAN/QHP, FIRST HOUR	$288.42	$437.00	$187.43–$375.82	—	34%
Psychotherapy session, 30 minutes CPT 90832 PSYCHOTHERAPY, 30 MINUTES	$114.18	$173.00	$57.26–$148.78	at median	34%
Psychotherapy session, 30 minutes inpatient CPT 90832 PSYCHOTHERAPY, 30 MINUTES	$114.18	$173.00	$74.20–$148.78	—	34%
Psychotherapy session, 45 minutes CPT 90834 PSYCHOTHERAPY, 45 MINUTES	$147.84	$224.00	$74.14–$192.64	2% below	34%
Psychotherapy session, 45 minutes inpatient CPT 90834 PSYCHOTHERAPY, 45 MINUTES	$147.84	$224.00	$96.07–$192.64	—	34%
Psychotherapy session, 60 minutes CPT 90837 PSYCHOTHERAPY, 60 MINUTES	$192.72	$292.00	$96.65–$251.12	4% above	34%
Psychotherapy session, 60 minutes inpatient CPT 90837 PSYCHOTHERAPY, 60 MINUTES	$192.72	$292.00	$125.24–$251.12	—	34%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 SMKING CESS 4-10 MIN	$27.72	$42.00	$13.90–$36.12	19% below	34%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 OFFICE/OUTPT VISIT,EST,LEVL V	$152.46	$231.00	$76.46–$198.66	13% below	34%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 OFFICE/OUTPT VISIT,EST,LEVL V	$152.46	$231.00	$99.08–$198.66	—	34%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 OFFICE/OUTPT VISIT,EST,LEVL III	$75.90	$115.00	$38.07–$98.90	43% below	34%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 PULMONARY REHAB EVAL	$129.36	$196.00	$64.88–$168.56	3% below	34%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 OFFICE/OUTPT VISIT,EST,LEVL III	$75.90	$115.00	$49.32–$98.90	—	34%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 PULMONARY REHAB EVAL	$129.36	$196.00	$84.06–$168.56	—	34%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OFFICE/OUTPT VISIT,EST,LEVL IV	$111.54	$169.00	$55.94–$145.34	at median	34%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 OFFICE/OUTPT VISIT,EST,LEVL IV	$111.54	$169.00	$72.48–$145.34	—	34%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OFFICE/OUTPT VISIT,EST,LEVL II	$46.20	$70.00	$23.17–$60.20	50% below	34%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 OFFICE/OUTPT VISIT,EST,LEVL II	$46.20	$70.00	$30.02–$60.20	—	34%
Speech and language evaluation CPT 92523 SPEECH SOUND LANG COMPREHEN	$267.30	$405.00	$134.06–$348.30	17% below	34%
Speech and language evaluation inpatient CPT 92523 SPEECH SOUND LANG COMPREHEN	$267.30	$405.00	$173.70–$348.30	—	34%
Speech therapy session, individual CPT 92507 SPEECH/HEARING THERAPY	$187.44	$284.00	$94.00–$244.24	12% below	34%
Speech therapy session, individual inpatient CPT 92507 SPEECH/HEARING THERAPY	$187.44	$284.00	$121.81–$244.24	—	34%
Spirometry (breathing test) CPT 94010 SPIROMETRY	$141.24	$214.00	$70.83–$184.04	14% below	34%
Spirometry (breathing test) CPT 94010 SPIROMETRY INCL GRAPH REC TC	$166.32	$252.00	$83.41–$216.72	2% above	34%
Spirometry (breathing test) inpatient CPT 94010 SPIROMETRY	$141.24	$214.00	$91.78–$184.04	—	34%
Spirometry before and after a bronchodilator CPT 94060 BRONCHO RESPONSE PRE & POST TC	$308.22	$467.00	$154.58–$401.62	3% below	34%
Spirometry before and after a bronchodilator inpatient CPT 94060 BRONCH EVAL B/A BRONCH	$293.70	$445.00	$190.86–$382.70	—	34%
Therapeutic activities (functional training), 15 minutes CPT 97530 THERAPEUTIC ACTIVITIES	$66.00	$100.00	$33.10–$86.00	15% below	34%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 THERAPEUTIC ACTIVITIES	$66.00	$100.00	$42.89–$86.00	—	34%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 PHLEBOTOMY	$182.82	$277.00	$91.69–$238.22	10% below	34%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 PHLEBOTOMY	$182.82	$277.00	$118.81–$238.22	—	34%
Visual field test, extended inpatient both sides CPT 92083 VISUAL FIELD EXAM, UNILATERAL/BILATERAL, WITH INTERPRETATION AND REPORT; EXTENDED EXAM, TECH	$124.74	$189.00	$81.06–$162.54	—	34%

Vaccines

Procedure	Cash price	List price	Insurers pay	vs Minnesota	Off list
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older CPT 90653 INFLUENZA IIV ADJUVANTED VACCINE FOR INTRAMUSCULAR USE	$135.02	$204.58	$67.72–$175.94	99% above	34%
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older CPT 90653 INFLUENZA VACCINE ADJ (65+ YRS) 0.5 ML SUSPENSION PREFILLED SYRINGE	$136.62	$207.00	$68.52–$178.02	101% above	34%
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older inpatient CPT 90653 INFLUENZA IIV ADJUVANTED VACCINE FOR INTRAMUSCULAR USE	$135.02	$204.58	$87.74–$175.94	—	34%
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older inpatient CPT 90653 INFLUENZA VACCINE ADJ (65+ YRS) 0.5 ML SUSPENSION PREFILLED SYRINGE	$136.62	$207.00	$88.78–$178.02	—	34%
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 COVID-19 VACCINE (PFIZER 12YR+) 30 MCG/0.3ML SUSPENSION PREFILLED SYRINGE	$173.18	$262.40	$86.85–$225.66	at median	34%
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 SARSCOV2 VACC 30MCG/0.3ML TRIS-SUCROSE IM USE	$173.18	$262.40	$86.85–$225.66	at median	34%
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older inpatient CPT 91320 COVID-19 VACCINE (PFIZER 12YR+) 30 MCG/0.3ML SUSPENSION PREFILLED SYRINGE	$173.18	$262.40	$112.54–$225.66	—	34%
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older inpatient CPT 91320 SARSCOV2 VACC 30MCG/0.3ML TRIS-SUCROSE IM USE	$173.18	$262.40	$112.54–$225.66	—	34%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 DIPHTHERIA-ACELLULAR PERTUSSIS-TETANUS 25-58-10 LF-MCG/0.5 SUSPENSION	$47.19	$71.50	$23.67–$61.49	11% below	34%
DTaP, hepatitis B and polio combination vaccine (Pediarix) inpatient CPT 90723 DTAP-HEPATITIS B RECOMB-IPV SUSPENSION PREFILLED SYRINGE	$154.11	$233.50	$100.15–$200.81	—	34%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 FLU VACCINE, NO PRESERV, IM .5ML	$19.80	$30.00	$9.93–$25.80	11% below	34%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 FLU VACCINE, NO PRESERV, IM .5ML	$19.80	$30.00	$12.87–$25.80	—	34%
HPV vaccine, 9-valent (Gardasil 9) CPT 90651 HPV 9-VALENT RECOMB VACCINE SUSPENSION PREFILLED SYRINGE	$487.41	$738.50	$244.44–$635.11	28% above	34%
Hepatitis A and B combination vaccine, adult (Twinrix) CPT 90636 HEPA/HEPB VACCINE ADULT IM	$130.02	$197.00	$65.21–$169.42	11% below	34%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPATITIS B VACCINE,ADULT,IM	$112.16	$169.94	$56.25–$146.15	at median	34%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HEPATITIS B RECOMB VACCINE 10 MCG/0.5ML SUSPENSION PREFILLED SYRINGE	$46.53	$70.50	$23.34–$60.63	11% below	34%
Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 HEPATITIS B RECOMB VACCINE 10 MCG/0.5ML SUSPENSION PREFILLED SYRINGE	$46.53	$70.50	$30.24–$60.63	—	34%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) inpatient CPT 90648 HAEMOPHILUS B POLYSAC CONJ VAC 7.5 MCG/0.5 ML SUSPENSION	$49.47	$74.96	$32.15–$64.47	—	34%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 FLU VACCINE HIGH DOSE 65+	$94.38	$143.00	$47.33–$122.98	45% above	34%
High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 FLU VACCINE HIGH DOSE 65+	$94.38	$143.00	$61.33–$122.98	—	34%
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 MEASLES, MUMPS & RUBELLA VACCINE RECON SOLN	$152.43	$230.96	$99.06–$198.63	—	34%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENINGOCOCCAL A C Y&W-135 OLIG (POWDER) RECON SOLN	$199.98	$303.00	$100.29–$260.58	3% above	34%
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 MENINGOCOCCAL A C Y&W-135 OLIG (POWDER) RECON SOLN	$199.98	$303.00	$129.96–$260.58	—	34%
Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 MENINGOCOCCAL RECOM, VACCINE, SEROGROUP B, 2 DOSE, VFC	$319.18	$483.61	$160.07–$415.90	6% above	34%
Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 MENINGOCOCCAL RECOM, VACCINE, SEROGROUP B, 2 DOSE	$319.18	$483.61	$160.07–$415.90	6% above	34%
Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 MENINGOCOCCAL RECOM, VACCINE, SEROGROUP B, 2 DOSE	$319.18	$483.61	$207.42–$415.90	—	34%
Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 MENINGOCOCCAL RECOM, VACCINE, SEROGROUP B, 2 DOSE, VFC	$319.18	$483.61	$207.42–$415.90	—	34%
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 PNEUMOCOCCAL, CONG (PCV13) INJ, PREVNAR 13	$194.70	$295.00	$97.65–$253.70	28% below	34%
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) inpatient CPT 90670 PNEUMOCOCCAL, CONG (PCV13) INJ, PREVNAR 13	$194.70	$295.00	$126.53–$253.70	—	34%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PNEUMOCOCCAL CONJUGATE VACCINE, 20 VALENT (PCV20), FOR INTRAMUSCULAR USE	$402.27	$609.50	$201.74–$524.17	at median	34%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PNEUMOCOCCAL 20-VAL CONJ VACC 0.5 ML SUSPENSION PREFILLED SYRINGE	$402.27	$609.50	$201.74–$524.17	at median	34%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 PNEUMOCOCCAL 20-VAL CONJ VACC 0.5 ML SUSPENSION PREFILLED SYRINGE	$402.27	$609.50	$261.41–$524.17	—	34%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 PNEUMOCOCCAL CONJUGATE VACCINE, 20 VALENT (PCV20), FOR INTRAMUSCULAR USE	$402.27	$609.50	$261.41–$524.17	—	34%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOCOCCAL VACCINE,ADULT,SQ OR IM	$44.88	$68.00	$22.51–$58.48	65% below	34%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMOCOCCAL VACCINE,ADULT,SQ OR IM	$44.88	$68.00	$29.17–$58.48	—	34%
RSV antibody shot for infants, seasonal dose (0.5 mL) inpatient CPT 90380 NIRSEVIMAB-ALIP 50 MG/0.5ML SOLUTION PREFILLED SYRINGE	$881.10	$1,335.00	$572.58–$1,148.10	—	34%
RSV vaccine (Abrysvo), one dose for older adults or during pregnancy inpatient CPT 90678 RSV PRE-FUSION F A&B VAC RCMB 120 MCG/0.5ML RECON SOLN	$455.73	$690.50	$296.16–$593.83	—	34%
Rabies vaccine, one dose CPT 90675 RABIES VACCINE, RABAVERT, IM	$660.50	$1,000.76	$331.25–$860.65	29% above	34%
Rabies vaccine, one dose CPT 90675 RABIES VACCINE, PCEC RECON SUSP	$662.31	$1,003.50	$332.16–$863.01	29% above	34%
Rabies vaccine, one dose inpatient CPT 90675 RABIES VACCINE, PCEC RECON SUSP	$660.50	$1,000.76	$429.23–$860.65	—	34%
Rabies vaccine, one dose inpatient CPT 90675 RABIES VACCINE, RABAVERT, IM	$660.50	$1,000.76	$429.23–$860.65	—	34%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS-DIPHTHERIA TOXOIDS 5-2 LFU INJECTABLE	$64.52	$97.75	$32.36–$84.06	3% above	34%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS-DIPHTHERIA TOXOIDS 5-2 LFU INJECTABLE	$64.02	$97.00	$41.60–$83.42	—	34%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TDAP, TETANUS, DIPHTHERIA, PERTUSSIS 7+ YRS, ADACEL	$59.73	$90.50	$29.96–$77.83	24% below	34%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TETANUS-DIPHTH-ACELL PERTUSSIS 5-2.5-18.5 LF-MCG/0.5 SUSPENSION	$72.60	$110.00	$36.41–$94.60	7% below	34%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TETANUS-DIPHTH-ACELL PERTUSSIS 5-2.5-18.5 LF-MCG/0.5 SUSPENSION PREFILLED SYRINGE	$77.21	$116.99	$38.72–$100.61	2% below	34%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TDAP, TETANUS, DIPHTHERIA, PERTUSSIS 7+ YRS, BOOSTRIX	$77.21	$116.99	$38.72–$100.61	2% below	34%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 TDAP, TETANUS, DIPHTHERIA, PERTUSSIS 7+ YRS, ADACEL	$59.73	$90.50	$38.82–$77.83	—	34%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 TDAP, TETANUS, DIPHTHERIA, PERTUSSIS 7+ YRS, BOOSTRIX	$77.21	$116.99	$50.18–$100.61	—	34%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 TETANUS-DIPHTH-ACELL PERTUSSIS 5-2.5-18.5 LF-MCG/0.5 SUSPENSION PREFILLED SYRINGE	$77.21	$116.99	$50.18–$100.61	—	34%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION ADMIN - INFLUENZA	$46.20	$70.00	$23.17–$60.20	12% above	34%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION ADMINISTRATION; ONE VACCINE (SINGLE OR COMBINATION VACCINE/TO*	$46.20	$70.00	$23.17–$60.20	12% above	34%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMIN HEP B,ADULT 19+	$51.48	$78.00	$25.82–$67.08	25% above	34%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUNIZATION ADMINISTRATION; ONE VACCINE (SINGLE OR COMBINATION VACCINE/TO*	$46.20	$70.00	$30.02–$60.20	—	34%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUNIZATION ADMIN - INFLUENZA	$46.20	$70.00	$30.02–$60.20	—	34%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUNIZATION ADMINISTRATION; ONE VACCINE (SINGLE OR COMBINATION VACCINE/TOXOID)	$51.48	$78.00	$33.45–$67.08	—	34%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ADMIN HEP B,ADULT 19+	$51.48	$78.00	$33.45–$67.08	—	34%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUNIZATION ADMINISTRATION; EACH ADD'L VACCINE (SINGLE OR COMBO VACCINE/T*	$31.68	$48.00	$15.89–$41.28	25% above	34%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 IMMUNIZATION ADMINISTRATION; EACH ADD'L VACCINE (SINGLE OR COMBO VACCINE/T*	$31.68	$48.00	$20.59–$41.28	—	34%

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.essentiahealth.org/standard-charges/2026/410695604_Essentia-St-Marys-Childrens_standardcharges.csv