Houston Methodist Baytown Hospital
Houston Methodist Baytown Hospital in Baytown, TX publishes cash prices for 388 common procedures listed here, from its own machine-readable price file updated Apr 1, 2026. Compared with other hospitals in the state, its outpatient cash prices are above the Texas median for 237 of 388 procedures and below it for 146. By typical cash price it ranks #218 of 297 Texas hospitals and #37 of 58 hospitals in the Houston, TX area, cheapest first. Select a procedure to compare it with other hospitals nearby.
4401 Garth Road, Baytown, TX 77521 Collected Sep 23, 2026 Source price file Check a bill from this hospital (281) 420-8600
Acute care hospital Nonprofit hospital Emergency department CMS star rating 5 of 5 CCN 450424 · CMS hospital register NPI 1891789772
Financial assistance
Nonprofit hospital: it must offer free or discounted care to patients who qualify. How to apply
Houston Methodist Baytown Hospital is a nonprofit hospital in the CMS register. Under section 501(r) of the federal tax code it must have a written Financial Assistance Policy with a free application, publish both on its website, and charge patients who qualify no more than the amounts generally billed to insured patients for emergency and other medically necessary care. Who qualifies depends on household income; the policy states the limits.
You can apply up to 240 days after the first bill. Before collection actions such as credit reporting or a lawsuit, the hospital must tell you about the policy and wait at least 120 days after that bill. Ask the billing office for the policy and the application before you pay, or search the hospital's website for “financial assistance”. Letters you can copy.
Source: IRS, section 501(r) requirements for nonprofit hospitals.
CMS price transparency record
The federal Centers for Medicare & Medicaid Services (CMS) enforces the rule that makes hospitals publish their prices. Its public enforcement list shows 2 actions for a hospital named Houston Methodist Baytown Hospital in Baytown, TX:
- Jul 2, 2026 Warning notice
- Jul 10, 2026 Case closed
Warning notice: CMS reviewed the hospital and told it that it had found possible violations of the price transparency rules. Case closed: CMS closed the case after the hospital addressed the problems.
A notice records a step in a CMS review; it is not a court finding. Source: CMS, Hospital Price Transparency Enforcement Activities and Outcomes, actions through Jul 31, 2026.
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs Texas | Off list |
|---|---|---|---|---|---|
| Abdominal CT scan without and with contrast CPT 74170 HC CT ABDOMEN WO & W CONTRAST | $1,474.00 | $2,948.00 | — | 49% below | 50% |
| Abdominal CT scan without and with contrast inpatient CPT 74170 HC CT ABDOMEN WO & W CONTRAST | $1,474.00 | $2,948.00 | — | — | 50% |
| Abdominal X-ray, 2 views CPT 74019 HC ABDOMEN 2 VIEW | $690.50 | $1,381.00 | — | 83% above | 50% |
| Abdominal X-ray, 2 views inpatient CPT 74019 HC ABDOMEN 2 VIEW | $690.50 | $1,381.00 | — | — | 50% |
| Ankle X-ray, complete, 3 or more views CPT 73610 HC ANKLE 3 VIEWS | $736.50 | $1,473.00 | — | 107% above | 50% |
| Ankle X-ray, complete, 3 or more views inpatient CPT 73610 HC ANKLE 3 VIEWS | $736.50 | $1,473.00 | — | — | 50% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 HC UPR/LOW XTREMITY ART 2 LEVELS | $2,571.00 | $5,142.00 | — | 323% above | 50% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 HC UPR/LOW XTREMITY ART 2 LEVELS | $2,571.00 | $5,142.00 | — | — | 50% |
| Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 HC CT UPPER EXTREMITY WO CONTRAST | $993.50 | $1,987.00 | — | 40% below | 50% |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient CPT 73200 HC CT UPPER EXTREMITY WO CONTRAST | $993.50 | $1,987.00 | — | — | 50% |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 HC X-RAY EXAM ESOPHAGUS SGL CONTRAST | $1,249.00 | $2,498.00 | — | 149% above | 50% |
| Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 HC X-RAY EXAM ESOPHAGUS SGL CONTRAST | $1,249.00 | $2,498.00 | — | — | 50% |
| Bone scan, whole body (nuclear medicine) CPT 78306 HC BONE SCAN WHOLE BODY | $2,838.00 | $5,676.00 | — | 81% above | 50% |
| Bone scan, whole body (nuclear medicine) inpatient CPT 78306 HC BONE SCAN WHOLE BODY | $2,838.00 | $5,676.00 | — | — | 50% |
| Breast ultrasound, complete, one breast CPT 76641 HC US BREAST COMPLETE | $1,499.50 | $2,999.00 | — | 239% above | 50% |
| Breast ultrasound, complete, one breast inpatient CPT 76641 HC US BREAST COMPLETE | $1,499.50 | $2,999.00 | — | — | 50% |
| Breast ultrasound, limited (one breast or one area) CPT 76642 HC US BREAST LIMITED | $1,458.00 | $2,916.00 | — | 321% above | 50% |
| Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 HC US BREAST LIMITED | $1,458.00 | $2,916.00 | — | — | 50% |
| CT angiography (CTA) of the abdomen and pelvis CPT 74174 HC CT ANGIO ABD & PELV W CONTRA NON-C | $2,336.50 | $4,673.00 | — | 42% below | 50% |
| CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 HC CT ANGIO ABD & PELV W CONTRA NON-C | $2,336.50 | $4,673.00 | — | — | 50% |
| CT angiography (CTA) of the head CPT 70496 HC CTA HEAD W/WO + POST PROCESS | $1,397.00 | $2,794.00 | — | 41% below | 50% |
| CT angiography (CTA) of the head inpatient CPT 70496 HC CTA HEAD W/WO + POST PROCESS | $1,397.00 | $2,794.00 | — | — | 50% |
| CT angiography (CTA) of the neck CPT 70498 HC CT ANGIOGRAPHY NECK W CONTRAST | $1,504.00 | $3,008.00 | — | 37% below | 50% |
| CT angiography (CTA) of the neck inpatient CPT 70498 HC CT ANGIOGRAPHY NECK W CONTRAST | $1,504.00 | $3,008.00 | — | — | 50% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 HC CTA CHEST NONCORONARY W/WO | $1,141.00 | $2,282.00 | — | 56% below | 50% |
| CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 HC CTA CHEST NONCORONARY W/WO | $1,141.00 | $2,282.00 | — | — | 50% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 HC CTA HRT COR ART/BYPASS W/3D IM | $1,030.00 | $2,060.00 | — | 38% below | 50% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 HC CTA HRT COR ART/BYPASS W/3D IM | $1,030.00 | $2,060.00 | — | — | 50% |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 HC CT HEART WO CONTRA W CA TEST | $189.50 | $379.00 | — | at median | 50% |
| CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 HC CT HEART WO CONTRA W CA TEST | $189.50 | $379.00 | — | — | 50% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 HC CT ABDOMEN & PELVIS WO CONTRA | $2,147.00 | $4,294.00 | — | 24% below | 50% |
| CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 HC CT ABDOMEN & PELVIS WO CONTRA | $2,147.00 | $4,294.00 | — | — | 50% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 HC CT ABDOMEN & PELVIS W CONTRA | $2,362.00 | $4,724.00 | — | 38% below | 50% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 HC CT ABDOMEN & PELVIS W CONTRA | $2,362.00 | $4,724.00 | — | — | 50% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 HC CT ABDOMEN & PELVIS WO & W CONTRA | $2,840.50 | $5,681.00 | — | 26% below | 50% |
| CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 HC CT ABDOMEN & PELVIS WO & W CONTRA | $2,840.50 | $5,681.00 | — | — | 50% |
| CT scan of the abdomen with contrast CPT 74160 HC CT ABDOMEN W CONTRAST | $1,340.00 | $2,680.00 | — | 48% below | 50% |
| CT scan of the abdomen with contrast inpatient CPT 74160 HC CT ABDOMEN W CONTRAST | $1,340.00 | $2,680.00 | — | — | 50% |
| CT scan of the abdomen without contrast CPT 74150 HC CT ABDOMEN WO CONTRAST | $1,218.00 | $2,436.00 | — | 40% below | 50% |
| CT scan of the abdomen without contrast inpatient CPT 74150 HC CT ABDOMEN WO CONTRAST | $1,218.00 | $2,436.00 | — | — | 50% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 HC CT MAXILLOFACIAL WO CONTRAST | $1,300.50 | $2,601.00 | — | 21% below | 50% |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 HC CT MAXILLOFACIAL WO CONTRAST | $1,300.50 | $2,601.00 | — | — | 50% |
| CT scan of the head or brain, no contrast dye CPT 70450 HC CT HEAD/BRAIN SCAN WO CONTRA | $1,120.00 | $2,240.00 | — | 33% below | 50% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 HC CT HEAD/BRAIN SCAN WO CONTRA | $1,120.00 | $2,240.00 | — | — | 50% |
| CT scan of the head with contrast CPT 70460 HC CT HEAD SCAN WITH INFUSION | $1,375.00 | $2,750.00 | — | 18% below | 50% |
| CT scan of the head with contrast inpatient CPT 70460 HC CT HEAD SCAN WITH INFUSION | $1,375.00 | $2,750.00 | — | — | 50% |
| CT scan of the head without and with contrast CPT 70470 HC CT HEAD/BRAIN SCAN WO/W CONTRAST | $1,639.00 | $3,278.00 | — | 20% below | 50% |
| CT scan of the head without and with contrast inpatient CPT 70470 HC CT HEAD/BRAIN SCAN WO/W CONTRAST | $1,639.00 | $3,278.00 | — | — | 50% |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 HC CT LUM SPINE WO CONTRAST | $1,224.50 | $2,449.00 | — | 29% below | 50% |
| CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 HC CT LUM SPINE WO CONTRAST | $1,224.50 | $2,449.00 | — | — | 50% |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 HC CT CERV SPINE WO CONTRAST | $1,291.00 | $2,582.00 | — | 37% below | 50% |
| CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 HC CT CERV SPINE WO CONTRAST | $1,291.00 | $2,582.00 | — | — | 50% |
| CT scan of the pelvis, with contrast dye CPT 72193 HC CT PELVIS W CONTRAST | $1,124.00 | $2,248.00 | — | 48% below | 50% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 HC CT PELVIS W CONTRAST | $1,124.00 | $2,248.00 | — | — | 50% |
| Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 HC DUPLEX SCAN EXTRACRANIAL ARTERY BIL | $1,411.50 | $2,823.00 | — | 32% above | 50% |
| Carotid artery ultrasound (duplex), both sides of the neck inpatient CPT 93880 HC DUPLEX SCAN EXTRACRANIAL ARTERY BIL | $1,411.50 | $2,823.00 | — | — | 50% |
| Chest CT scan without and with contrast CPT 71270 HC CT CHEST W/WO CONTRAST | $1,317.00 | $2,634.00 | — | 51% below | 50% |
| Chest CT scan without and with contrast inpatient CPT 71270 HC CT CHEST W/WO CONTRAST | $1,317.00 | $2,634.00 | — | — | 50% |
| Chest X-ray, 2 views CPT 71046 HC CHEST 2 VIEWS | $998.00 | $1,996.00 | — | 156% above | 50% |
| Chest X-ray, 2 views inpatient CPT 71046 HC CHEST 2 VIEWS | $998.00 | $1,996.00 | — | — | 50% |
| Chest X-ray, single view CPT 71045 HC CHEST 1 VIEW | $944.50 | $1,889.00 | — | 192% above | 50% |
| Chest X-ray, single view inpatient CPT 71045 HC CHEST 1 VIEW | $944.50 | $1,889.00 | — | — | 50% |
| Collarbone (clavicle) X-ray, complete CPT 73000 HC CLAVICLE COMPLETE | $636.00 | $1,272.00 | — | 112% above | 50% |
| Collarbone (clavicle) X-ray, complete inpatient CPT 73000 HC CLAVICLE COMPLETE | $636.00 | $1,272.00 | — | — | 50% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 HC US RETROPERITONEAL COMPLETE | $2,295.50 | $4,591.00 | — | 232% above | 50% |
| Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 HC US RETROPERITONEAL COMPLETE | $2,295.50 | $4,591.00 | — | — | 50% |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 HC DXA BONE DENSITY AXIAL | $638.00 | $1,276.00 | — | 60% above | 50% |
| DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 HC DXA BONE DENSITY AXIAL | $638.00 | $1,276.00 | — | — | 50% |
| DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 HC BONE DENSITY-PERIPHERAL | $541.50 | $1,083.00 | — | 146% above | 50% |
| DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 HC BONE DENSITY-PERIPHERAL | $541.50 | $1,083.00 | — | — | 50% |
| Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 HC US PREG FETAL ANAT 1ST GEST | $1,759.50 | $3,519.00 | — | 155% above | 50% |
| Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 HC US PREG FETAL ANAT 1ST GEST | $1,759.50 | $3,519.00 | — | — | 50% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 HC CT CHEST WO CONTRAST | $1,088.50 | $2,177.00 | — | 28% below | 50% |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 HC CT CHEST WO CONTRAST | $1,088.50 | $2,177.00 | — | — | 50% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 HC CT CHEST W CONTRAST | $1,197.50 | $2,395.00 | — | 40% below | 50% |
| Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 HC CT CHEST W CONTRAST | $1,197.50 | $2,395.00 | — | — | 50% |
| Diagnostic mammogram, both breasts CPT 77066 HC DIAGNOSTIC MAMMOGRAPHY INCL CAD BIL | $1,762.95 | $3,525.90 | — | 381% above | 50% |
| Diagnostic mammogram, both breasts inpatient CPT 77066 HC DIAGNOSTIC MAMMOGRAPHY INCL CAD BIL | $1,762.95 | $3,525.90 | — | — | 50% |
| Diagnostic mammogram, one breast CPT 77065 HC DIAGNOSTIC MAMMOGRAPHY INCL CAD UNI | $905.00 | $1,810.00 | — | 233% above | 50% |
| Diagnostic mammogram, one breast inpatient CPT 77065 HC DIAGNOSTIC MAMMOGRAPHY INCL CAD UNI | $905.00 | $1,810.00 | — | — | 50% |
| Duplex ultrasound of the leg arteries, both legs CPT 93925 HC ARTERIAL DPLX SCAN-LW EXT BIL | $2,529.00 | $5,058.00 | — | 81% above | 50% |
| Duplex ultrasound of the leg arteries, both legs inpatient CPT 93925 HC ARTERIAL DPLX SCAN-LW EXT BIL | $2,529.00 | $5,058.00 | — | — | 50% |
| Duplex ultrasound of the leg veins, both legs CPT 93970 HC VENOUS DUPLEX SCAN-UP/LOW EXT BIL | $3,446.00 | $6,892.00 | — | 121% above | 50% |
| Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 HC VENOUS DUPLEX SCAN-UP/LOW EXT BIL | $3,446.00 | $6,892.00 | — | — | 50% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 HC ECHO 2D W SPEC/COLOR DOP COMP | $3,340.00 | $6,680.00 | — | 69% above | 50% |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 HC ECHO 2D W SPEC/COLOR DOP COMP | $3,340.00 | $6,680.00 | — | — | 50% |
| Elbow X-ray, 2 views CPT 73070 HC ELBOW 2 VIEWS | $543.00 | $1,086.00 | — | 73% above | 50% |
| Elbow X-ray, 2 views inpatient CPT 73070 HC ELBOW 2 VIEWS | $543.00 | $1,086.00 | — | — | 50% |
| Elbow X-ray, complete, 3 or more views CPT 73080 HC ELBOW 3 VIEWS | $773.50 | $1,547.00 | — | 102% above | 50% |
| Elbow X-ray, complete, 3 or more views inpatient CPT 73080 HC ELBOW 3 VIEWS | $773.50 | $1,547.00 | — | — | 50% |
| Eye socket (orbit) CT scan without contrast CPT 70480 HC CT ORBTS SELA EAR FOSA WO CONTRA | $1,193.50 | $2,387.00 | — | 21% below | 50% |
| Eye socket (orbit) CT scan without contrast inpatient CPT 70480 HC CT ORBTS SELA EAR FOSA WO CONTRA | $1,193.50 | $2,387.00 | — | — | 50% |
| Facial bones X-ray, complete, 3 or more views CPT 70150 HC FACIAL BONES MIN OF 3 VIEWS | $858.00 | $1,716.00 | — | 119% above | 50% |
| Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 HC FACIAL BONES MIN OF 3 VIEWS | $858.00 | $1,716.00 | — | — | 50% |
| Forearm X-ray (radius and ulna), 2 views CPT 73090 HC FOREARM RADIUS-ULNA 2 VIEWS | $631.00 | $1,262.00 | — | 69% above | 50% |
| Forearm X-ray (radius and ulna), 2 views inpatient CPT 73090 HC FOREARM RADIUS-ULNA 2 VIEWS | $631.00 | $1,262.00 | — | — | 50% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HC HEPATOBILIARY IMAG WO PHAR INT | $2,686.50 | $5,373.00 | — | 68% above | 50% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 HC HEPATOBILIARY IMAG WO PHAR INT | $2,686.50 | $5,373.00 | — | — | 50% |
| Hand X-ray, 2 views CPT 73120 HC HAND 2 VIEW | $477.00 | $954.00 | — | 50% above | 50% |
| Hand X-ray, 2 views inpatient CPT 73120 HC HAND 2 VIEW | $477.00 | $954.00 | — | — | 50% |
| Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 HC OS CALCIS MIN 2V | $615.50 | $1,231.00 | — | 114% above | 50% |
| Heel bone (calcaneus) X-ray, 2 or more views inpatient CPT 73650 HC OS CALCIS MIN 2V | $615.50 | $1,231.00 | — | — | 50% |
| Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 HC HOME SLEEP TEST | $1,511.00 | $3,022.00 | — | 122% above | 50% |
| Home sleep apnea test, unattended, recording breathing and oxygen inpatient CPT 95806 HC HOME SLEEP TEST | $1,511.00 | $3,022.00 | — | — | 50% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 HC POLYSOMNOGRAPHY CPAP 6/>YRS4/>PARAM | $6,689.00 | $13,378.00 | — | 57% above | 50% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 HC POLYSOMNOGRAPHY CPAP 6/>YRS4/>PARAM | $6,689.00 | $13,378.00 | — | — | 50% |
| Knee X-ray, 3 views CPT 73562 HC KNEE 3 VIEWS | $732.00 | $1,464.00 | — | 95% above | 50% |
| Knee X-ray, 3 views inpatient CPT 73562 HC KNEE 3 VIEWS | $732.00 | $1,464.00 | — | — | 50% |
| Knee X-ray, complete, 4 or more views CPT 73564 HC KNEE 4 OR MORE VIEWS | $904.50 | $1,809.00 | — | 113% above | 50% |
| Knee X-ray, complete, 4 or more views inpatient CPT 73564 HC KNEE 4 OR MORE VIEWS | $904.50 | $1,809.00 | — | — | 50% |
| Leg CT scan without contrast (hip to foot, any part) CPT 73700 HC CT LOWER EXTREMITY WO CONTRAST | $876.50 | $1,753.00 | — | 48% below | 50% |
| Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 HC CT LOWER EXTREMITY WO CONTRAST | $876.50 | $1,753.00 | — | — | 50% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HC US ABDOMINAL LIMITED | $1,980.50 | $3,961.00 | — | 228% above | 50% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 HC US ABDOMINAL LIMITED | $1,980.50 | $3,961.00 | — | — | 50% |
| Limited ultrasound of an arm or leg (non-vascular) CPT 76882 HC US EXTREMITY LTD | $2,166.00 | $4,332.00 | — | 434% above | 50% |
| Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 HC US EXTREMITY LTD | $2,166.00 | $4,332.00 | — | — | 50% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 HC CT THORAX LUNG CANCER SCR W/O CONTRAST | $1,188.00 | $2,376.00 | — | 394% above | 50% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 HC CT THORAX LUNG CANCER SCR W/O CONTRAST | $1,188.00 | $2,376.00 | — | — | 50% |
| Lower leg X-ray (tibia and fibula), 2 views CPT 73590 HC LEG TIBIA-FIBULA | $782.50 | $1,565.00 | — | 126% above | 50% |
| Lower leg X-ray (tibia and fibula), 2 views inpatient CPT 73590 HC LEG TIBIA-FIBULA | $782.50 | $1,565.00 | — | — | 50% |
| MR angiography (MRA) of the head without contrast CPT 70544 HC MRA HEAD WO CONTRAST | $1,130.50 | $2,261.00 | — | 38% below | 50% |
| MR angiography (MRA) of the head without contrast inpatient CPT 70544 HC MRA HEAD WO CONTRAST | $1,130.50 | $2,261.00 | — | — | 50% |
| MRI of both breasts, without and then with contrast dye CPT 77049 HC MRI BREAST W & W/O CONTRAST W/CAD BIL | $1,357.00 | $2,714.00 | — | at median | 50% |
| MRI of both breasts, without and then with contrast dye inpatient CPT 77049 HC MRI BREAST W & W/O CONTRAST W/CAD BIL | $1,357.00 | $2,714.00 | — | — | 50% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HC MRI LOWER EXT JOINT W/O CONTRA | $1,243.50 | $2,487.00 | — | 44% below | 50% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 HC MRI LOWER EXT JOINT W/O CONTRA | $1,243.50 | $2,487.00 | — | — | 50% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 HC MRI LOWER EXT JOINT W & WO CONTRAST | $1,504.00 | $3,008.00 | — | 50% below | 50% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 HC MRI LOWER EXT JOINT W & WO CONTRAST | $1,504.00 | $3,008.00 | — | — | 50% |
| MRI of the abdomen without contrast CPT 74181 HC MRI ABDOMEN WO CONTRA | $1,012.50 | $2,025.00 | — | 54% below | 50% |
| MRI of the abdomen without contrast inpatient CPT 74181 HC MRI ABDOMEN WO CONTRA | $1,012.50 | $2,025.00 | — | — | 50% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 HC MRI ABDOMEN W/WO CONTRAST | $1,225.00 | $2,450.00 | — | 60% below | 50% |
| MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 HC MRI ABDOMEN W/WO CONTRAST | $1,225.00 | $2,450.00 | — | — | 50% |
| MRI of the brain, no contrast dye CPT 70551 HC MRI BRAIN W/O CONTRAST | $1,335.50 | $2,671.00 | — | 30% below | 50% |
| MRI of the brain, no contrast dye inpatient CPT 70551 HC MRI BRAIN W/O CONTRAST | $1,335.50 | $2,671.00 | — | — | 50% |
| MRI of the brain, with and without contrast dye CPT 70553 HC MRI BRAIN/HEAD W/WO CONTRAST | $1,615.50 | $3,231.00 | — | 43% below | 50% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 HC MRI BRAIN/HEAD W/WO CONTRAST | $1,615.50 | $3,231.00 | — | — | 50% |
| MRI of the lower back, no contrast dye CPT 72148 HC MRI LUM SPINE W/O CONTRAST | $1,056.00 | $2,112.00 | — | 52% below | 50% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 HC MRI LUM SPINE W/O CONTRAST | $1,056.00 | $2,112.00 | — | — | 50% |
| MRI of the lower back, without and then with contrast dye CPT 72158 HC MRI LUM SPINE W/WO CONTRAST | $1,278.00 | $2,556.00 | — | 60% below | 50% |
| MRI of the lower back, without and then with contrast dye inpatient CPT 72158 HC MRI LUM SPINE W/WO CONTRAST | $1,278.00 | $2,556.00 | — | — | 50% |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 HC MRI THOR SPINE W/O CONTRAST | $946.50 | $1,893.00 | — | 53% below | 50% |
| MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 HC MRI THOR SPINE W/O CONTRAST | $946.50 | $1,893.00 | — | — | 50% |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 HC MRI CERV SPINE W/WO CONTRAST | $1,703.00 | $3,406.00 | — | 48% below | 50% |
| MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 HC MRI CERV SPINE W/WO CONTRAST | $1,703.00 | $3,406.00 | — | — | 50% |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 HC MRI CERV SPINE W/O CONTRAST | $1,407.50 | $2,815.00 | — | 38% below | 50% |
| MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 HC MRI CERV SPINE W/O CONTRAST | $1,407.50 | $2,815.00 | — | — | 50% |
| MRI of the pelvis without and with contrast CPT 72197 HC MRI PELVIS W/WO CONTRAST | $1,509.00 | $3,018.00 | — | 52% below | 50% |
| MRI of the pelvis without and with contrast inpatient CPT 72197 HC MRI PELVIS W/WO CONTRAST | $1,509.00 | $3,018.00 | — | — | 50% |
| MRI of the pelvis, no contrast dye CPT 72195 HC MRI PELVIS WO CONTAST | $967.50 | $1,935.00 | — | 59% below | 50% |
| MRI of the pelvis, no contrast dye inpatient CPT 72195 HC MRI PELVIS WO CONTAST | $967.50 | $1,935.00 | — | — | 50% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 HC MRI UPPER EXT JOINT W/O CONTRA | $1,033.00 | $2,066.00 | — | 42% below | 50% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 HC MRI UPPER EXT JOINT W/O CONTRA | $1,033.00 | $2,066.00 | — | — | 50% |
| Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 HC SPINE CERVICAL 4 OR 5 VIEWS | $1,003.00 | $2,006.00 | — | 84% above | 50% |
| Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 HC SPINE CERVICAL 4 OR 5 VIEWS | $1,003.00 | $2,006.00 | — | — | 50% |
| Neck soft tissue CT scan with contrast CPT 70491 HC CT NECK SOFT TISSUE W CONTRAST | $1,443.00 | $2,886.00 | — | 27% below | 50% |
| Neck soft tissue CT scan with contrast inpatient CPT 70491 HC CT NECK SOFT TISSUE W CONTRAST | $1,443.00 | $2,886.00 | — | — | 50% |
| Neck soft tissue CT scan without contrast CPT 70490 HC CT NECK SOFT TISSUE WO CONTRST | $1,312.00 | $2,624.00 | — | 15% below | 50% |
| Neck soft tissue CT scan without contrast inpatient CPT 70490 HC CT NECK SOFT TISSUE WO CONTRST | $1,312.00 | $2,624.00 | — | — | 50% |
| Neck soft tissue X-ray CPT 70360 HC NECK (SOFT TISSUES) | $594.50 | $1,189.00 | — | 150% above | 50% |
| Neck soft tissue X-ray inpatient CPT 70360 HC NECK (SOFT TISSUES) | $594.50 | $1,189.00 | — | — | 50% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 HC MYOCARDIAL SPECT MULTI | $8,153.00 | $16,306.00 | — | 97% above | 50% |
| Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 HC MYOCARDIAL SPECT MULTI | $8,153.00 | $16,306.00 | — | — | 50% |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 HC PET/CT SKULL BASE MID-THIGH | $4,707.00 | $9,414.00 | — | 10% above | 50% |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 HC PET/CT SKULL BASE MID-THIGH | $4,707.00 | $9,414.00 | — | — | 50% |
| Pelvic CT scan without contrast CPT 72192 HC CT PELVIS WO CONTRAST | $1,022.00 | $2,044.00 | — | 37% below | 50% |
| Pelvic CT scan without contrast inpatient CPT 72192 HC CT PELVIS WO CONTRAST | $1,022.00 | $2,044.00 | — | — | 50% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 HC US PELVIC NON OB LIMITED | $981.50 | $1,963.00 | — | 103% above | 50% |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 HC US PELVIC NON OB LIMITED | $981.50 | $1,963.00 | — | — | 50% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 HC US PELVIC NON OB COMPLETE | $2,034.00 | $4,068.00 | — | 167% above | 50% |
| Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 HC US PELVIC NON OB COMPLETE | $2,034.00 | $4,068.00 | — | — | 50% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HC US PREG > 14 WKS 1ST GESTATION | $2,316.50 | $4,633.00 | — | 282% above | 50% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 HC US PREG > 14 WKS 1ST GESTATION | $2,316.50 | $4,633.00 | — | — | 50% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 HC US PREG ONE OR 1ST GEST<14WK | $1,704.00 | $3,408.00 | — | 191% above | 50% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 HC US PREG ONE OR 1ST GEST<14WK | $1,704.00 | $3,408.00 | — | — | 50% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 HC US PREGNANCY LIMITED | $1,394.00 | $2,788.00 | — | 204% above | 50% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 HC US PREGNANCY LIMITED | $1,394.00 | $2,788.00 | — | — | 50% |
| Rib X-ray, one side, 2 views one side CPT 71100 HC RIBS UNILATERAL TWO VIEWS | $651.50 | $1,303.00 | — | 118% above | 50% |
| Rib X-ray, one side, 2 views inpatient one side CPT 71100 HC RIBS UNILATERAL TWO VIEWS | $651.50 | $1,303.00 | — | — | 50% |
| Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 HC RIBS UNILATERAL & CHEST | $770.50 | $1,541.00 | — | 95% above | 50% |
| Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 HC RIBS UNILATERAL & CHEST | $770.50 | $1,541.00 | — | — | 50% |
| Screening mammogram, both breasts CPT 77067 HC MAMMOGRAM SCREENING INCL CAD BIL | $715.50 | $1,431.00 | — | 141% above | 50% |
| Screening mammogram, both breasts inpatient CPT 77067 HC MAMMOGRAM SCREENING INCL CAD BIL | $715.50 | $1,431.00 | — | — | 50% |
| Shoulder X-ray, complete, 2 or more views CPT 73030 HC SHOULDER 2 VIEWS | $798.00 | $1,596.00 | — | 145% above | 50% |
| Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 HC SHOULDER 2 VIEWS | $798.00 | $1,596.00 | — | — | 50% |
| Sinus X-ray, complete, 3 or more views CPT 70220 HC SINUSES PARANASAL MIN OF 3VIEW | $761.50 | $1,523.00 | — | 85% above | 50% |
| Sinus X-ray, complete, 3 or more views inpatient CPT 70220 HC SINUSES PARANASAL MIN OF 3VIEW | $761.50 | $1,523.00 | — | — | 50% |
| Skull X-ray, fewer than 4 views CPT 70250 HC SKULLAP/LAT/PA < 4 VIEWS | $729.50 | $1,459.00 | — | 128% above | 50% |
| Skull X-ray, fewer than 4 views inpatient CPT 70250 HC SKULLAP/LAT/PA < 4 VIEWS | $729.50 | $1,459.00 | — | — | 50% |
| Sleep study in a lab (polysomnography) CPT 95810 HC POLYSOMNOGRAPHY 6/>YRS 4/>PARAM | $6,192.00 | $12,384.00 | — | 50% above | 50% |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 HC POLYSOMNOGRAPHY 6/>YRS 4/>PARAM | $6,192.00 | $12,384.00 | — | — | 50% |
| Stress echocardiogram, complete, including the stress test and supervision CPT 93351 HC ECHO 2D STRESS W/CONT ECG | $2,141.50 | $4,283.00 | — | 20% below | 50% |
| Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 HC ECHO 2D STRESS W/CONT ECG | $2,141.50 | $4,283.00 | — | — | 50% |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 HC X-RAY EXAM SWALLOW FUNCTION CONTRAST STUDY | $1,176.00 | $2,352.00 | — | 96% above | 50% |
| Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 HC X-RAY EXAM SWALLOW FUNCTION CONTRAST STUDY | $1,176.00 | $2,352.00 | — | — | 50% |
| Thigh bone (femur) X-ray, 2 or more views CPT 73552 HC FEMUR 2 VIEWS | $612.00 | $1,224.00 | — | 88% above | 50% |
| Thigh bone (femur) X-ray, 2 or more views inpatient CPT 73552 HC FEMUR 2 VIEWS | $612.00 | $1,224.00 | — | — | 50% |
| Thoracic spine (mid back) CT scan without contrast CPT 72128 HC CT THOR SPINE WO CONTRAST | $1,082.00 | $2,164.00 | — | 43% below | 50% |
| Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 HC CT THOR SPINE WO CONTRAST | $1,082.00 | $2,164.00 | — | — | 50% |
| Toe X-ray, 2 or more views CPT 73660 HC TOE (S) 2 VIEWS | $468.00 | $936.00 | — | 72% above | 50% |
| Toe X-ray, 2 or more views inpatient CPT 73660 HC TOE (S) 2 VIEWS | $468.00 | $936.00 | — | — | 50% |
| Transvaginal pelvic ultrasound CPT 76830 HC US PELVIC TRANSVAG | $1,492.50 | $2,985.00 | — | 147% above | 50% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 HC US PELVIC TRANSVAG | $1,492.50 | $2,985.00 | — | — | 50% |
| Transvaginal ultrasound during pregnancy CPT 76817 HC US PREGNANCY TRANSVAGINAL | $1,387.00 | $2,774.00 | — | 172% above | 50% |
| Transvaginal ultrasound during pregnancy inpatient CPT 76817 HC US PREGNANCY TRANSVAGINAL | $1,387.00 | $2,774.00 | — | — | 50% |
| Ultrasound of the abdomen, complete CPT 76700 HC US ABDOMINAL COMPLETE | $2,661.50 | $5,323.00 | — | 239% above | 50% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 HC US ABDOMINAL COMPLETE | $2,661.50 | $5,323.00 | — | — | 50% |
| Ultrasound of the scrotum and testicles CPT 76870 HC US SCROTAL ECHO | $1,750.00 | $3,500.00 | — | 186% above | 50% |
| Ultrasound of the scrotum and testicles inpatient CPT 76870 HC US SCROTAL ECHO | $1,750.00 | $3,500.00 | — | — | 50% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 HC US SOFT TISSUE HEAD & NECK | $1,710.00 | $3,420.00 | — | 171% above | 50% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 HC US SOFT TISSUE HEAD & NECK | $1,710.00 | $3,420.00 | — | — | 50% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 HC X-RAY EXAM UPPER GI TRACT SGL CONTRAST | $1,502.50 | $3,005.00 | — | 107% above | 50% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 HC X-RAY EXAM UPPER GI TRACT SGL CONTRAST | $1,502.50 | $3,005.00 | — | — | 50% |
| Upper arm X-ray (humerus), 2 views CPT 73060 HC HUMERUS 2 VIEWS | $632.50 | $1,265.00 | — | 80% above | 50% |
| Upper arm X-ray (humerus), 2 views inpatient CPT 73060 HC HUMERUS 2 VIEWS | $632.50 | $1,265.00 | — | — | 50% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 HC VENOUS DUPLEX SCAN-UP/LOW EXT UNI | $2,334.00 | $4,668.00 | — | 197% above | 50% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 HC VENOUS DUPLEX SCAN-UP/LOW EXT UNI | $2,334.00 | $4,668.00 | — | — | 50% |
| Wrist X-ray, 2 views CPT 73100 HC WRIST 2 VIEW | $484.00 | $968.00 | — | 63% above | 50% |
| Wrist X-ray, 2 views inpatient CPT 73100 HC WRIST 2 VIEW | $484.00 | $968.00 | — | — | 50% |
| Wrist X-ray, complete, 3 or more views CPT 73110 HC WRIST 3 VIEWS | $714.00 | $1,428.00 | — | 93% above | 50% |
| Wrist X-ray, complete, 3 or more views inpatient CPT 73110 HC WRIST 3 VIEWS | $714.00 | $1,428.00 | — | — | 50% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HC HIP UNILATERAL 2 VIEWS | $654.50 | $1,309.00 | — | 78% above | 50% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 HC HIP UNILATERAL 2 VIEWS | $654.50 | $1,309.00 | — | — | 50% |
| X-ray of the abdomen, 1 view CPT 74018 HC ABDOMEN 1 VIEW | $706.00 | $1,412.00 | — | 108% above | 50% |
| X-ray of the abdomen, 1 view inpatient CPT 74018 HC ABDOMEN 1 VIEW | $706.00 | $1,412.00 | — | — | 50% |
| X-ray of the ankle, 2 views CPT 73600 HC ANKLE 2 VIEW | $473.50 | $947.00 | — | 59% above | 50% |
| X-ray of the ankle, 2 views inpatient CPT 73600 HC ANKLE 2 VIEW | $473.50 | $947.00 | — | — | 50% |
| X-ray of the finger(s), 2 or more views CPT 73140 HC FINGER(S) MIN OF 2 VIEWS | $497.50 | $995.00 | — | 106% above | 50% |
| X-ray of the finger(s), 2 or more views inpatient CPT 73140 HC FINGER(S) MIN OF 2 VIEWS | $497.50 | $995.00 | — | — | 50% |
| X-ray of the foot, 2 views CPT 73620 HC FOOT 2 VIEW | $636.00 | $1,272.00 | — | 91% above | 50% |
| X-ray of the foot, 2 views inpatient CPT 73620 HC FOOT 2 VIEW | $636.00 | $1,272.00 | — | — | 50% |
| X-ray of the foot, complete, 3 or more views CPT 73630 HC FOOT 3 VIEWS | $763.50 | $1,527.00 | — | 105% above | 50% |
| X-ray of the foot, complete, 3 or more views inpatient CPT 73630 HC FOOT 3 VIEWS | $763.50 | $1,527.00 | — | — | 50% |
| X-ray of the hand, 3 or more views CPT 73130 HC HAND 3 VIEWS | $695.00 | $1,390.00 | — | 81% above | 50% |
| X-ray of the hand, 3 or more views inpatient CPT 73130 HC HAND 3 VIEWS | $695.00 | $1,390.00 | — | — | 50% |
| X-ray of the knee, 1 or 2 views CPT 73560 HC KNEE 1 OR 2 VIEWS | $598.00 | $1,196.00 | — | 103% above | 50% |
| X-ray of the knee, 1 or 2 views inpatient CPT 73560 HC KNEE 1 OR 2 VIEWS | $598.00 | $1,196.00 | — | — | 50% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 HC SPINE LUMBAR 2 VIEWS | $732.00 | $1,464.00 | — | 65% above | 50% |
| X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 HC SPINE LUMBAR 2 VIEWS | $732.00 | $1,464.00 | — | — | 50% |
| X-ray of the lower back, 4 or more views CPT 72110 HC SPINE LUMBAR COMP MIN 4 VIEWS | $1,152.00 | $2,304.00 | — | 105% above | 50% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 HC SPINE LUMBAR COMP MIN 4 VIEWS | $1,152.00 | $2,304.00 | — | — | 50% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 HC SPINE THORACIC 2 VIEWS | $726.50 | $1,453.00 | — | 80% above | 50% |
| X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 HC SPINE THORACIC 2 VIEWS | $726.50 | $1,453.00 | — | — | 50% |
| X-ray of the nasal bones, 3 or more views CPT 70160 HC NOSE MIN OF 3 VIEWS | $522.50 | $1,045.00 | — | 90% above | 50% |
| X-ray of the nasal bones, 3 or more views inpatient CPT 70160 HC NOSE MIN OF 3 VIEWS | $522.50 | $1,045.00 | — | — | 50% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 HC SPINE CERVICAL 2 OR 3 VIEWS | $640.50 | $1,281.00 | — | 76% above | 50% |
| X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 HC SPINE CERVICAL 2 OR 3 VIEWS | $640.50 | $1,281.00 | — | — | 50% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 HC PELVIS ONE OR TWO VIEWS | $596.00 | $1,192.00 | — | 90% above | 50% |
| X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 HC PELVIS ONE OR TWO VIEWS | $596.00 | $1,192.00 | — | — | 50% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 HC SACRUM AND COCCYX 2 VIEWS | $583.50 | $1,167.00 | — | 90% above | 50% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 HC SACRUM AND COCCYX 2 VIEWS | $583.50 | $1,167.00 | — | — | 50% |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Texas | Off list |
|---|---|---|---|---|---|
| ACTH blood test CPT 82024 HC ADRENOCORTICO HORMONE | $17.00 | $34.00 | — | 92% below | 50% |
| ACTH blood test CPT 82024 HC ADRENOCORTICOTROPIC HORMONE | $391.00 | $782.00 | — | 83% above | 50% |
| ACTH blood test inpatient CPT 82024 HC ADRENOCORTICO HORMONE | $17.00 | $34.00 | — | — | 50% |
| ACTH blood test inpatient CPT 82024 HC ADRENOCORTICOTROPIC HORMONE | $391.00 | $782.00 | — | — | 50% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 HC ALT SGPT SO | $8.00 | $16.00 | — | 84% below | 50% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 HC HCV FIBROSURE ALANINE AMINO (ALT) (SGPT) | $8.00 | $16.00 | — | 84% below | 50% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 HC FIBROMETER CHRONIC HEPATITIS ALT | $8.00 | $16.00 | — | 84% below | 50% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 HC FIBROMETER NAFLD ALT | $8.00 | $16.00 | — | 84% below | 50% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 HC TRANSAMINASE SGPT/ALT | $211.50 | $423.00 | — | 313% above | 50% |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 HC ALT SGPT SO | $8.00 | $16.00 | — | — | 50% |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 HC FIBROMETER CHRONIC HEPATITIS ALT | $8.00 | $16.00 | — | — | 50% |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 HC HCV FIBROSURE ALANINE AMINO (ALT) (SGPT) | $8.00 | $16.00 | — | — | 50% |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 HC FIBROMETER NAFLD ALT | $8.00 | $16.00 | — | — | 50% |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 HC TRANSAMINASE SGPT/ALT | $211.50 | $423.00 | — | — | 50% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 HC FIBROMETER CHRONIC HEPATITIS AST | $8.00 | $16.00 | — | 84% below | 50% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 HC AST SGOT SO | $8.00 | $16.00 | — | 84% below | 50% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 HC FIBROMETER NAFLD AST | $8.00 | $16.00 | — | 84% below | 50% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 HC TRANSAMINASE SGOT/AST | $244.00 | $488.00 | — | 373% above | 50% |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 HC FIBROMETER NAFLD AST | $8.00 | $16.00 | — | — | 50% |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 HC AST SGOT SO | $8.00 | $16.00 | — | — | 50% |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 HC FIBROMETER CHRONIC HEPATITIS AST | $8.00 | $16.00 | — | — | 50% |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 HC TRANSAMINASE SGOT/AST | $244.00 | $488.00 | — | — | 50% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HC HEPATITIS PANEL ACUTE | $875.50 | $1,751.00 | — | 129% above | 50% |
| Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HC HEPATITIS PANEL ACUTE | $875.50 | $1,751.00 | — | — | 50% |
| Albumin blood test CPT 82040 HC ALBUMIN SERUM PLASMA WHOLE BLD | $156.00 | $312.00 | — | 319% above | 50% |
| Albumin blood test inpatient CPT 82040 HC ALBUMIN SERUM PLASMA WHOLE BLD | $156.00 | $312.00 | — | — | 50% |
| Aldosterone blood test CPT 82088 HC ALDOSTERONE, URINE | $17.00 | $34.00 | — | 87% below | 50% |
| Aldosterone blood test CPT 82088 HC ALDOSTERONE SERUM | $17.00 | $34.00 | — | 87% below | 50% |
| Aldosterone blood test inpatient CPT 82088 HC ALDOSTERONE, URINE | $17.00 | $34.00 | — | — | 50% |
| Aldosterone blood test inpatient CPT 82088 HC ALDOSTERONE SERUM | $17.00 | $34.00 | — | — | 50% |
| Alkaline phosphatase (ALP) blood test CPT 84075 HC ALKALINE PHOSPHATASE TOTAL | $5.00 | $10.00 | — | 90% below | 50% |
| Alkaline phosphatase (ALP) blood test CPT 84075 HC ALKALINE PHOS TOTAL CSF | $5.00 | $10.00 | — | 90% below | 50% |
| Alkaline phosphatase (ALP) blood test CPT 84075 HC ALK PHOS CSF | $5.00 | $10.00 | — | 90% below | 50% |
| Alkaline phosphatase (ALP) blood test CPT 84075 HC ALKALINE PHOSPHATASE | $179.50 | $359.00 | — | 268% above | 50% |
| Alkaline phosphatase (ALP) blood test inpatient CPT 84075 HC ALKALINE PHOSPHATASE TOTAL | $5.00 | $10.00 | — | — | 50% |
| Alkaline phosphatase (ALP) blood test inpatient CPT 84075 HC ALK PHOS CSF | $5.00 | $10.00 | — | — | 50% |
| Alkaline phosphatase (ALP) blood test inpatient CPT 84075 HC ALKALINE PHOS TOTAL CSF | $5.00 | $10.00 | — | — | 50% |
| Alkaline phosphatase (ALP) blood test inpatient CPT 84075 HC ALKALINE PHOSPHATASE | $179.50 | $359.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN, FUNGI/MOLD, A. ALTERNATA IGE | $5.00 | $10.00 | — | 79% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN, FUNGI/MOLD, A. FUMIGATUS IGE | $5.00 | $10.00 | — | 79% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN, FUNGI/MOLD, HORMODENDRUM IGE | $5.00 | $10.00 | — | 79% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN, FUNGI/MOLD, P. NOTATUM IGE | $5.00 | $10.00 | — | 79% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN, TREE, BOX ELDER/MAPLE TREE IGE | $5.00 | $10.00 | — | 79% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN, TREE, BIRCH TREE IGE | $5.00 | $10.00 | — | 79% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN, TREE, COTTONWOOD TREE IGE | $5.00 | $10.00 | — | 79% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN, TREE, ELM TREE IGE | $5.00 | $10.00 | — | 79% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN, TREE, MOUNTAIN CEDAR TREE IGE | $5.00 | $10.00 | — | 79% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN, TREE, WHITE MULBERRY TREE IGE | $5.00 | $10.00 | — | 79% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN, TREE, OAK TREE IGE | $5.00 | $10.00 | — | 79% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN, TREE, PECAN TREE IGE | $5.00 | $10.00 | — | 79% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN, TREE, WHITE ASH TREE IGE | $5.00 | $10.00 | — | 79% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN, WEED, PIGWEED IGE | $5.00 | $10.00 | — | 79% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN, WEED, COMMON/SHORT RAGWEED IGE | $5.00 | $10.00 | — | 79% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN, WEED, NETTLE IGE | $5.00 | $10.00 | — | 79% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN, WEED, MARSH ELDER IGE | $5.00 | $10.00 | — | 79% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN, WEED, SHEEP SORREL IGE | $5.00 | $10.00 | — | 79% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN, ANIMAL, MOUSE EPITHELIUM IGE | $5.00 | $10.00 | — | 79% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN, FUNGI/MOLD, M. RACEMOSUS IGE | $5.00 | $10.00 | — | 79% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN, FOOD, PEANUT IGE | $5.00 | $10.00 | — | 79% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN, FOOD, MILK (COW) IGE | $5.00 | $10.00 | — | 79% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC HYPERSENSITIVITY PNEUMONITIS EXTENDED ALLERGEN | $5.00 | $10.00 | — | 79% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN, FIRE ANT | $5.00 | $10.00 | — | 79% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN, MOSQUITO | $5.00 | $10.00 | — | 79% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC HYPERSENSITIVITY PNEUMO EXTENDED ALLERGEN | $5.00 | $10.00 | — | 79% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN, FOOD RANDOM IGE | $5.00 | $10.00 | — | 79% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLEGEN, INSECT RANDOM IGE | $5.00 | $10.00 | — | 79% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ASPERGILLUS FUMIGATUS IGE MAYO | $5.00 | $10.00 | — | 79% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ASPERGILLUS NIGER IGE MAYO | $5.00 | $10.00 | — | 79% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ASPERGILLUS FLAVUS IGE MAYO | $5.00 | $10.00 | — | 79% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN FUNGI/MOLD IGE | $5.00 | $10.00 | — | 79% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ASPERGILLUS IGE PANEL VIRACOR | $5.00 | $10.00 | — | 79% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN, ENVIRONMENTAL | $5.00 | $10.00 | — | 79% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN TREE RANDOM | $5.00 | $10.00 | — | 79% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN, ALPHA-GALACTOSE IGE | $5.00 | $10.00 | — | 79% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ABPA ALLERGEN | $5.00 | $10.00 | — | 79% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN, OCCUPATIONAL ISOCYANATE | $5.00 | $10.00 | — | 79% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC RAST PANEL - ALLERGEN REGION 10 | $5.00 | $10.00 | — | 79% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN, PECAN TREE | $5.00 | $10.00 | — | 79% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN, SYCAMORE TREE | $5.00 | $10.00 | — | 79% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN, ENG PLANTAIN | $5.00 | $10.00 | — | 79% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN, PIGWEED | $5.00 | $10.00 | — | 79% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN, COM/SHORT RAGWEED | $5.00 | $10.00 | — | 79% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN, RUSSIAN THISTLE | $5.00 | $10.00 | — | 79% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN, MARSH ELDER | $5.00 | $10.00 | — | 79% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN, A.TENUIS | $5.00 | $10.00 | — | 79% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN, A. FUMIGATUS | $5.00 | $10.00 | — | 79% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN, BAHIA | $5.00 | $10.00 | — | 79% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN, BERMUDA GRASS | $5.00 | $10.00 | — | 79% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN, TIMOTHY GRASS | $5.00 | $10.00 | — | 79% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN, JOHNSON GRASS | $5.00 | $10.00 | — | 79% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN, WHITE ASH TREE | $5.00 | $10.00 | — | 79% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN, MT. CEDAR | $5.00 | $10.00 | — | 79% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN, PRIVET TREE | $5.00 | $10.00 | — | 79% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN, ELM TREE | $5.00 | $10.00 | — | 79% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN, HORMODENDRUM | $5.00 | $10.00 | — | 79% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN, HELMINTHOSPORIUM | $5.00 | $10.00 | — | 79% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN, D. FARINAE | $5.00 | $10.00 | — | 79% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN, D. PTERONYSSINUS | $5.00 | $10.00 | — | 79% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN, CAT EPI/DANDER | $5.00 | $10.00 | — | 79% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN, FOOD, WHEAT IGE | $5.00 | $10.00 | — | 79% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN, FOOD, EGG WHITE IGE | $5.00 | $10.00 | — | 79% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ASPERGILLUS NIGER IGE | $5.00 | $10.00 | — | 79% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ASPERGILLUS FUMIGATIS TOTAL | $5.00 | $10.00 | — | 79% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN, DOG DANDER | $5.00 | $10.00 | — | 79% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN, VIRGINIA LIVE OAK | $5.00 | $10.00 | — | 79% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN 10 FOOD COMMON | $5.00 | $10.00 | — | 79% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN RESPIRATORY PANEL TX,OK REG 10 | $5.00 | $10.00 | — | 79% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC STAPHYLOCOCCAL AUREUS PANEL ALLERGEN | $5.00 | $10.00 | — | 79% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN ANIMAL RANDOM IGE | $5.00 | $10.00 | — | 79% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN MITES RANDOM IGE | $5.00 | $10.00 | — | 79% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN FUNGI & MOLDS RANDOM IGE | $5.00 | $10.00 | — | 79% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN DUST | $5.00 | $10.00 | — | 79% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN WEED PLANTAIN | $5.00 | $10.00 | — | 79% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN WEED GIANT RAGWEED | $5.00 | $10.00 | — | 79% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN GRASS KENTUCKY BLUE | $5.00 | $10.00 | — | 79% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN GRASS ORCHARD/COCKSFOOT | $5.00 | $10.00 | — | 79% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN, INSECT, COCKROACH, GERMAN IGE | $5.00 | $10.00 | — | 79% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN, CEREAL | $5.00 | $10.00 | — | 79% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN, GRASS, TIMOTHY GRASS IGE | $5.00 | $10.00 | — | 79% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN, GRASS, BERMUDA GRASS IGE | $5.00 | $10.00 | — | 79% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN, ANIMAL, DOG DANDER IGE | $5.00 | $10.00 | — | 79% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN, ANIMAL, CAT DANDER IGE | $5.00 | $10.00 | — | 79% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN, MITES, D. PTERONYSSINUS IGE | $5.00 | $10.00 | — | 79% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN, MITES, D. FARINAE IGE | $5.00 | $10.00 | — | 79% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN, FOOD, SCALLOP IGE | $5.00 | $10.00 | — | 79% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN, FOOD, CODFISH IGE | $5.00 | $10.00 | — | 79% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN, FOOD, CLAM IGE | $5.00 | $10.00 | — | 79% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN, FOOD, WALNUT (JUGLANS SPP) IGE | $5.00 | $10.00 | — | 79% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN, FOOD, SHRIMP IGE | $5.00 | $10.00 | — | 79% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN, FOOD, SOYBEAN IGE | $5.00 | $10.00 | — | 79% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN, FOOD, CORN IGE | $5.00 | $10.00 | — | 79% below | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN, FUNGI/MOLD, M. RACEMOSUS IGE | $5.00 | $10.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN GRASS ORCHARD/COCKSFOOT | $5.00 | $10.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN GRASS KENTUCKY BLUE | $5.00 | $10.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN WEED GIANT RAGWEED | $5.00 | $10.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN WEED PLANTAIN | $5.00 | $10.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN DUST | $5.00 | $10.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN FUNGI & MOLDS RANDOM IGE | $5.00 | $10.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN MITES RANDOM IGE | $5.00 | $10.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN ANIMAL RANDOM IGE | $5.00 | $10.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC STAPHYLOCOCCAL AUREUS PANEL ALLERGEN | $5.00 | $10.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN RESPIRATORY PANEL TX,OK REG 10 | $5.00 | $10.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN 10 FOOD COMMON | $5.00 | $10.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN, VIRGINIA LIVE OAK | $5.00 | $10.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN, DOG DANDER | $5.00 | $10.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN, CAT EPI/DANDER | $5.00 | $10.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN, D. PTERONYSSINUS | $5.00 | $10.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN, D. FARINAE | $5.00 | $10.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN, HELMINTHOSPORIUM | $5.00 | $10.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN, HORMODENDRUM | $5.00 | $10.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN, ELM TREE | $5.00 | $10.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN, PRIVET TREE | $5.00 | $10.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN, MT. CEDAR | $5.00 | $10.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN, WHITE ASH TREE | $5.00 | $10.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN, JOHNSON GRASS | $5.00 | $10.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN, TIMOTHY GRASS | $5.00 | $10.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN, BERMUDA GRASS | $5.00 | $10.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN, BAHIA | $5.00 | $10.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN, A. FUMIGATUS | $5.00 | $10.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN, A.TENUIS | $5.00 | $10.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN, MARSH ELDER | $5.00 | $10.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN, RUSSIAN THISTLE | $5.00 | $10.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN, COM/SHORT RAGWEED | $5.00 | $10.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN, PIGWEED | $5.00 | $10.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN, ENG PLANTAIN | $5.00 | $10.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN, SYCAMORE TREE | $5.00 | $10.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN, PECAN TREE | $5.00 | $10.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC RAST PANEL - ALLERGEN REGION 10 | $5.00 | $10.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN, OCCUPATIONAL ISOCYANATE | $5.00 | $10.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ABPA ALLERGEN | $5.00 | $10.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN, ALPHA-GALACTOSE IGE | $5.00 | $10.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN TREE RANDOM | $5.00 | $10.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN, ENVIRONMENTAL | $5.00 | $10.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ASPERGILLUS IGE PANEL VIRACOR | $5.00 | $10.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN FUNGI/MOLD IGE | $5.00 | $10.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ASPERGILLUS FLAVUS IGE MAYO | $5.00 | $10.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ASPERGILLUS NIGER IGE MAYO | $5.00 | $10.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ASPERGILLUS FUMIGATUS IGE MAYO | $5.00 | $10.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLEGEN, INSECT RANDOM IGE | $5.00 | $10.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN, FOOD RANDOM IGE | $5.00 | $10.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC HYPERSENSITIVITY PNEUMO EXTENDED ALLERGEN | $5.00 | $10.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN, MOSQUITO | $5.00 | $10.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN, FIRE ANT | $5.00 | $10.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC HYPERSENSITIVITY PNEUMONITIS EXTENDED ALLERGEN | $5.00 | $10.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN, FOOD, MILK (COW) IGE | $5.00 | $10.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN, FOOD, PEANUT IGE | $5.00 | $10.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN, ANIMAL, MOUSE EPITHELIUM IGE | $5.00 | $10.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN, WEED, SHEEP SORREL IGE | $5.00 | $10.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN, WEED, MARSH ELDER IGE | $5.00 | $10.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN, WEED, NETTLE IGE | $5.00 | $10.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN, WEED, COMMON/SHORT RAGWEED IGE | $5.00 | $10.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN, WEED, PIGWEED IGE | $5.00 | $10.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN, TREE, WHITE ASH TREE IGE | $5.00 | $10.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN, TREE, PECAN TREE IGE | $5.00 | $10.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN, TREE, OAK TREE IGE | $5.00 | $10.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN, TREE, WHITE MULBERRY TREE IGE | $5.00 | $10.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN, TREE, MOUNTAIN CEDAR TREE IGE | $5.00 | $10.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN, TREE, ELM TREE IGE | $5.00 | $10.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN, TREE, COTTONWOOD TREE IGE | $5.00 | $10.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN, TREE, BIRCH TREE IGE | $5.00 | $10.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN, TREE, BOX ELDER/MAPLE TREE IGE | $5.00 | $10.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN, FUNGI/MOLD, P. NOTATUM IGE | $5.00 | $10.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN, FUNGI/MOLD, HORMODENDRUM IGE | $5.00 | $10.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN, FUNGI/MOLD, A. FUMIGATUS IGE | $5.00 | $10.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN, FUNGI/MOLD, A. ALTERNATA IGE | $5.00 | $10.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN, INSECT, COCKROACH, GERMAN IGE | $5.00 | $10.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN, GRASS, TIMOTHY GRASS IGE | $5.00 | $10.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN, GRASS, BERMUDA GRASS IGE | $5.00 | $10.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN, ANIMAL, DOG DANDER IGE | $5.00 | $10.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN, ANIMAL, CAT DANDER IGE | $5.00 | $10.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN, MITES, D. PTERONYSSINUS IGE | $5.00 | $10.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN, MITES, D. FARINAE IGE | $5.00 | $10.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN, FOOD, SCALLOP IGE | $5.00 | $10.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN, FOOD, CODFISH IGE | $5.00 | $10.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN, FOOD, CLAM IGE | $5.00 | $10.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN, FOOD, WALNUT (JUGLANS SPP) IGE | $5.00 | $10.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN, FOOD, SHRIMP IGE | $5.00 | $10.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN, FOOD, SOYBEAN IGE | $5.00 | $10.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN, FOOD, CORN IGE | $5.00 | $10.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN, FOOD, WHEAT IGE | $5.00 | $10.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN, FOOD, EGG WHITE IGE | $5.00 | $10.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ASPERGILLUS NIGER IGE | $5.00 | $10.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ASPERGILLUS FUMIGATIS TOTAL | $5.00 | $10.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN, CEREAL | $5.00 | $10.00 | — | — | 50% |
| Alpha-fetoprotein (AFP) blood test CPT 82105 HC AFP SERUM | $11.00 | $22.00 | — | 91% below | 50% |
| Alpha-fetoprotein (AFP) blood test CPT 82105 HC ALPHA FETO-PROTEIN | $304.00 | $608.00 | — | 155% above | 50% |
| Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 HC AFP SERUM | $11.00 | $22.00 | — | — | 50% |
| Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 HC ALPHA FETO-PROTEIN | $304.00 | $608.00 | — | — | 50% |
| Ammonia blood test CPT 82140 HC AMMONIA | $314.50 | $629.00 | — | 121% above | 50% |
| Ammonia blood test inpatient CPT 82140 HC AMMONIA | $314.50 | $629.00 | — | — | 50% |
| Amylase blood test CPT 82150 HC SALIVARY AMYLASE ISOENZYME | $9.00 | $18.00 | — | 88% below | 50% |
| Amylase blood test CPT 82150 HC PANCREATIC AMYLASE ISOENZYME | $9.00 | $18.00 | — | 88% below | 50% |
| Amylase blood test CPT 82150 HC AMYLASE PANCREATIC FLUID | $10.50 | $21.00 | — | 86% below | 50% |
| Amylase blood test CPT 82150 HC AMYLASE URINE | $10.50 | $21.00 | — | 86% below | 50% |
| Amylase blood test CPT 82150 HC AMYLASE | $296.50 | $593.00 | — | 289% above | 50% |
| Amylase blood test inpatient CPT 82150 HC PANCREATIC AMYLASE ISOENZYME | $9.00 | $18.00 | — | — | 50% |
| Amylase blood test inpatient CPT 82150 HC SALIVARY AMYLASE ISOENZYME | $9.00 | $18.00 | — | — | 50% |
| Amylase blood test inpatient CPT 82150 HC AMYLASE URINE | $10.50 | $21.00 | — | — | 50% |
| Amylase blood test inpatient CPT 82150 HC AMYLASE PANCREATIC FLUID | $10.50 | $21.00 | — | — | 50% |
| Amylase blood test inpatient CPT 82150 HC AMYLASE | $296.50 | $593.00 | — | — | 50% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 HC CCP AB IGA/IGG | $11.00 | $22.00 | — | 79% below | 50% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 HC INTERSTITIAL LUNG DISEASE PANEL CCP | $11.00 | $22.00 | — | 79% below | 50% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 HC REF - CCP IGA/IGG | $11.00 | $22.00 | — | 79% below | 50% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 HC CYCLIC CITRULLINATD PEP AB IGG | $11.00 | $22.00 | — | 79% below | 50% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 HC CYCLIC CITRULLINTD PEPTIDE CCP | $177.00 | $354.00 | — | 234% above | 50% |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 HC REF - CCP IGA/IGG | $11.00 | $22.00 | — | — | 50% |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 HC CCP AB IGA/IGG | $11.00 | $22.00 | — | — | 50% |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 HC CYCLIC CITRULLINATD PEP AB IGG | $11.00 | $22.00 | — | — | 50% |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 HC INTERSTITIAL LUNG DISEASE PANEL CCP | $11.00 | $22.00 | — | — | 50% |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 HC CYCLIC CITRULLINTD PEPTIDE CCP | $177.00 | $354.00 | — | — | 50% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 HC AUTOIMMUNE HEPATITIS ANA | $77.00 | $154.00 | — | at median | 50% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 HC INTERSTITIAL LUNG DISEASE PANEL ANA | $77.00 | $154.00 | — | at median | 50% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 HC ANA, BODY FLUID | $77.00 | $154.00 | — | at median | 50% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 HC SCLERODERMA ANA | $77.00 | $154.00 | — | at median | 50% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 HC ANA AB SCREEN IFA | $272.50 | $545.00 | — | 254% above | 50% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 HC INTERSTITIAL LUNG DISEASE PANEL ANA | $77.00 | $154.00 | — | — | 50% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 HC AUTOIMMUNE HEPATITIS ANA | $77.00 | $154.00 | — | — | 50% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 HC SCLERODERMA ANA | $77.00 | $154.00 | — | — | 50% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 HC ANA, BODY FLUID | $77.00 | $154.00 | — | — | 50% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 HC ANA AB SCREEN IFA | $272.50 | $545.00 | — | — | 50% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 HC PROBRAIN NATRIURETIC PEPTIDE BNP | $58.00 | $116.00 | — | 63% below | 50% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 HC B NATRIURETIC PEPTIDE (BNP) | $375.50 | $751.00 | — | 140% above | 50% |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 HC PROBRAIN NATRIURETIC PEPTIDE BNP | $58.00 | $116.00 | — | — | 50% |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 HC B NATRIURETIC PEPTIDE (BNP) | $375.50 | $751.00 | — | — | 50% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC H PYLORI CULTURE STOOL | $35.00 | $70.00 | — | 48% below | 50% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CD AEROBIC CULTURE | $35.00 | $70.00 | — | 48% below | 50% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC PHARMACY SURFACE CULTURE | $160.50 | $321.00 | — | 140% above | 50% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC PHARMACY GROWTH MEDIUM CULTURE | $160.50 | $321.00 | — | 140% above | 50% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC NOCARDIA CULTURE | $207.00 | $414.00 | — | 209% above | 50% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC LEGIONELLA CULTURE | $210.00 | $420.00 | — | 213% above | 50% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC STERILITY CULTURE | $214.00 | $428.00 | — | 219% above | 50% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC EYE CULTURE | $218.00 | $436.00 | — | 225% above | 50% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC TISSUE CULTURE | $219.00 | $438.00 | — | 227% above | 50% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC BETA STREP CULTURE | $222.50 | $445.00 | — | 232% above | 50% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULTURE ROUTINE | $226.50 | $453.00 | — | 238% above | 50% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CFR CULTURE | $230.50 | $461.00 | — | 244% above | 50% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC TRANSFUSION REACTION CULTURE | $230.50 | $461.00 | — | 244% above | 50% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CF CULTURE | $237.00 | $474.00 | — | 254% above | 50% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CSF CULTURE | $239.00 | $478.00 | — | 257% above | 50% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC AEROBIC CULTURE | $242.00 | $484.00 | — | 261% above | 50% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC CD AEROBIC CULTURE | $35.00 | $70.00 | — | — | 50% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC H PYLORI CULTURE STOOL | $35.00 | $70.00 | — | — | 50% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC PHARMACY GROWTH MEDIUM CULTURE | $160.50 | $321.00 | — | — | 50% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC PHARMACY SURFACE CULTURE | $160.50 | $321.00 | — | — | 50% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC NOCARDIA CULTURE | $207.00 | $414.00 | — | — | 50% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC LEGIONELLA CULTURE | $210.00 | $420.00 | — | — | 50% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC STERILITY CULTURE | $214.00 | $428.00 | — | — | 50% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC EYE CULTURE | $218.00 | $436.00 | — | — | 50% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC TISSUE CULTURE | $219.00 | $438.00 | — | — | 50% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC BETA STREP CULTURE | $222.50 | $445.00 | — | — | 50% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC CULTURE ROUTINE | $226.50 | $453.00 | — | — | 50% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC CFR CULTURE | $230.50 | $461.00 | — | — | 50% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC TRANSFUSION REACTION CULTURE | $230.50 | $461.00 | — | — | 50% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC CF CULTURE | $237.00 | $474.00 | — | — | 50% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC CSF CULTURE | $239.00 | $478.00 | — | — | 50% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC AEROBIC CULTURE | $242.00 | $484.00 | — | — | 50% |
| Basic metabolic panel (blood test) CPT 80048 HC BASIC METABOLIC PANEL TOTAL CA | $562.00 | $1,124.00 | — | 168% above | 50% |
| Basic metabolic panel (blood test) inpatient CPT 80048 HC BASIC METABOLIC PANEL TOTAL CA | $562.00 | $1,124.00 | — | — | 50% |
| Bilirubin blood test, total CPT 82247 HC BILIRUBIN FLUID | $8.50 | $17.00 | — | 85% below | 50% |
| Bilirubin blood test, total CPT 82247 HC HCV FIBROSURE BILIRUBIN TOTAL | $8.50 | $17.00 | — | 85% below | 50% |
| Bilirubin blood test, total CPT 82247 HC BILI TOTAL SO | $8.50 | $17.00 | — | 85% below | 50% |
| Bilirubin blood test, total CPT 82247 HC BILIRUBIN TOTAL | $148.00 | $296.00 | — | 159% above | 50% |
| Bilirubin blood test, total CPT 82247 HC NEONATAL BILIRUBIN | $173.00 | $346.00 | — | 203% above | 50% |
| Bilirubin blood test, total inpatient CPT 82247 HC BILIRUBIN FLUID | $8.50 | $17.00 | — | — | 50% |
| Bilirubin blood test, total inpatient CPT 82247 HC HCV FIBROSURE BILIRUBIN TOTAL | $8.50 | $17.00 | — | — | 50% |
| Bilirubin blood test, total inpatient CPT 82247 HC BILI TOTAL SO | $8.50 | $17.00 | — | — | 50% |
| Bilirubin blood test, total inpatient CPT 82247 HC BILIRUBIN TOTAL | $148.00 | $296.00 | — | — | 50% |
| Bilirubin blood test, total inpatient CPT 82247 HC NEONATAL BILIRUBIN | $173.00 | $346.00 | — | — | 50% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC GROSS & MICRO LEVEL IV | $126.00 | $252.00 | — | 58% below | 50% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC CELL BLOCK 88305 | $128.50 | $257.00 | — | 57% below | 50% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC OGA TISSUE BIOPSY | $151.00 | $302.00 | — | 49% below | 50% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC EOSINOPHIL GRANULE TISSUE GROSS | $299.50 | $599.00 | — | 1% above | 50% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC TCH HEREDITARY CANCER PANEL | $1,250.00 | $2,500.00 | — | 321% above | 50% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HC GROSS & MICRO LEVEL IV | $126.00 | $252.00 | — | — | 50% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HC CELL BLOCK 88305 | $128.50 | $257.00 | — | — | 50% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HC OGA TISSUE BIOPSY | $151.00 | $302.00 | — | — | 50% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HC EOSINOPHIL GRANULE TISSUE GROSS | $299.50 | $599.00 | — | — | 50% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HC TCH HEREDITARY CANCER PANEL | $1,250.00 | $2,500.00 | — | — | 50% |
| Blood culture for bacteria CPT 87040 HC BRUCELLA CULTURE | $321.50 | $643.00 | — | 57% above | 50% |
| Blood culture for bacteria CPT 87040 HC BLOOD CULTURE AEROBIC | $325.00 | $650.00 | — | 59% above | 50% |
| Blood culture for bacteria CPT 87040 HC BLOOD CULTURE (AEROBIC & ANAEROBIC BOTTLES) | $329.00 | $658.00 | — | 61% above | 50% |
| Blood culture for bacteria CPT 87040 HC BLOOD ANAEROBIC CULTURE | $337.50 | $675.00 | — | 65% above | 50% |
| Blood culture for bacteria inpatient CPT 87040 HC BRUCELLA CULTURE | $321.50 | $643.00 | — | — | 50% |
| Blood culture for bacteria inpatient CPT 87040 HC BLOOD CULTURE AEROBIC | $325.00 | $650.00 | — | — | 50% |
| Blood culture for bacteria inpatient CPT 87040 HC BLOOD CULTURE (AEROBIC & ANAEROBIC BOTTLES) | $329.00 | $658.00 | — | — | 50% |
| Blood culture for bacteria inpatient CPT 87040 HC BLOOD ANAEROBIC CULTURE | $337.50 | $675.00 | — | — | 50% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 HC RED PATH FLUID | $20.50 | $41.00 | — | 13% above | 50% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 HC LAB CORP PHLEBOTOMY | $24.00 | $48.00 | — | 33% above | 50% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 HC QUEST PHLEBOTOMY | $24.00 | $48.00 | — | 33% above | 50% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 HC PROMETHEUS PHLEBOTOMY AND PROCESSING | $24.00 | $48.00 | — | 33% above | 50% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 HC PHLEBOTOMY/VENIPUNCTURE | $33.50 | $67.00 | — | 85% above | 50% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 HC PHLEBOTOMY/VENIPUNCTURE - LAB USE ONLY | $36.00 | $72.00 | — | 99% above | 50% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 HC RED PATH FLUID | $20.50 | $41.00 | — | — | 50% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 HC LAB CORP PHLEBOTOMY | $24.00 | $48.00 | — | — | 50% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 HC PROMETHEUS PHLEBOTOMY AND PROCESSING | $24.00 | $48.00 | — | — | 50% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 HC QUEST PHLEBOTOMY | $24.00 | $48.00 | — | — | 50% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 HC PHLEBOTOMY/VENIPUNCTURE | $33.50 | $67.00 | — | — | 50% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 HC PHLEBOTOMY/VENIPUNCTURE - LAB USE ONLY | $36.00 | $72.00 | — | — | 50% |
| Blood glucose (sugar) test CPT 82947 HC FIBROMETER NAFLD GLUCOSE | $7.50 | $15.00 | — | 82% below | 50% |
| Blood glucose (sugar) test CPT 82947 HC GLU SO | $7.50 | $15.00 | — | 82% below | 50% |
| Blood glucose (sugar) test CPT 82947 HC GLUCOSE | $208.00 | $416.00 | — | 399% above | 50% |
| Blood glucose (sugar) test inpatient CPT 82947 HC FIBROMETER NAFLD GLUCOSE | $7.50 | $15.00 | — | — | 50% |
| Blood glucose (sugar) test inpatient CPT 82947 HC GLU SO | $7.50 | $15.00 | — | — | 50% |
| Blood glucose (sugar) test inpatient CPT 82947 HC GLUCOSE | $208.00 | $416.00 | — | — | 50% |
| Blood lead test CPT 83655 HC LEAD, URINE | $10.50 | $21.00 | — | 77% below | 50% |
| Blood lead test CPT 83655 HC HEAVY MET LEAD BLOOD (VENOUS) | $10.50 | $21.00 | — | 77% below | 50% |
| Blood lead test CPT 83655 HC LEAD, WHOLE BLOOD CAPILLARY | $10.50 | $21.00 | — | 77% below | 50% |
| Blood lead test inpatient CPT 83655 HC LEAD, URINE | $10.50 | $21.00 | — | — | 50% |
| Blood lead test inpatient CPT 83655 HC LEAD, WHOLE BLOOD CAPILLARY | $10.50 | $21.00 | — | — | 50% |
| Blood lead test inpatient CPT 83655 HC HEAVY MET LEAD BLOOD (VENOUS) | $10.50 | $21.00 | — | — | 50% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HC HCG PREGNANCY SCREEN | $244.00 | $488.00 | — | 78% above | 50% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HC HCG QUAL, URINE | $288.00 | $576.00 | — | 110% above | 50% |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HC HCG PREGNANCY SCREEN | $244.00 | $488.00 | — | — | 50% |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HC HCG QUAL, URINE | $288.00 | $576.00 | — | — | 50% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HC DAT NEGATIVE HEMOLYTIC ANEMIA EVAL BLOOD TYPE | $92.00 | $184.00 | — | 4% above | 50% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HC WARM AUTOIMMUNE HEMOLYTIC ABO | $92.00 | $184.00 | — | 4% above | 50% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HC BLOOD TYPING ABO | $152.50 | $305.00 | — | 73% above | 50% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HC DAT NEGATIVE HEMOLYTIC ANEMIA EVAL BLOOD TYPE | $92.00 | $184.00 | — | — | 50% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HC WARM AUTOIMMUNE HEMOLYTIC ABO | $92.00 | $184.00 | — | — | 50% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HC BLOOD TYPING ABO | $152.50 | $305.00 | — | — | 50% |
| Blood urea nitrogen (BUN) test CPT 84520 HC BUN FLUID | $8.00 | $16.00 | — | 85% below | 50% |
| Blood urea nitrogen (BUN) test CPT 84520 HC FIBROMETER CHRONIC HEPATITIS BUN | $8.00 | $16.00 | — | 85% below | 50% |
| Blood urea nitrogen (BUN) test CPT 84520 HC BLOOD UREA NITROGEN | $211.50 | $423.00 | — | 289% above | 50% |
| Blood urea nitrogen (BUN) test inpatient CPT 84520 HC FIBROMETER CHRONIC HEPATITIS BUN | $8.00 | $16.00 | — | — | 50% |
| Blood urea nitrogen (BUN) test inpatient CPT 84520 HC BUN FLUID | $8.00 | $16.00 | — | — | 50% |
| Blood urea nitrogen (BUN) test inpatient CPT 84520 HC BLOOD UREA NITROGEN | $211.50 | $423.00 | — | — | 50% |
| C-peptide blood test CPT 84681 HC C-PEPTIDE ULTRASENSITIVE | $11.00 | $22.00 | — | 85% below | 50% |
| C-peptide blood test CPT 84681 HC C-PEPTIDE | $187.00 | $374.00 | — | 157% above | 50% |
| C-peptide blood test inpatient CPT 84681 HC C-PEPTIDE ULTRASENSITIVE | $11.00 | $22.00 | — | — | 50% |
| C-peptide blood test inpatient CPT 84681 HC C-PEPTIDE | $187.00 | $374.00 | — | — | 50% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 HC SYNOVIAL FLUID CRP | $8.00 | $16.00 | — | 84% below | 50% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 HC IBD SGI CRP | $8.00 | $16.00 | — | 84% below | 50% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 HC SYNOVASURE CRP (JOINT FLUID) | $8.00 | $16.00 | — | 84% below | 50% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 HC C REACTIVE PROTEIN | $223.00 | $446.00 | — | 337% above | 50% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 HC SYNOVASURE CRP (JOINT FLUID) | $8.00 | $16.00 | — | — | 50% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 HC IBD SGI CRP | $8.00 | $16.00 | — | — | 50% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 HC SYNOVIAL FLUID CRP | $8.00 | $16.00 | — | — | 50% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 HC C REACTIVE PROTEIN | $223.00 | $446.00 | — | — | 50% |
| C. difficile toxin gene test (stool PCR) CPT 87493 HC CLOSTRIDIUM DIFFICILE TOXIN B GENE PCR | $105.00 | $210.00 | — | 40% below | 50% |
| C. difficile toxin gene test (stool PCR) CPT 87493 HC C DIFF/EPI, AMPLIFIED PROBE TECHNIQUE | $194.00 | $388.00 | — | 11% above | 50% |
| C. difficile toxin gene test (stool PCR) inpatient CPT 87493 HC CLOSTRIDIUM DIFFICILE TOXIN B GENE PCR | $105.00 | $210.00 | — | — | 50% |
| C. difficile toxin gene test (stool PCR) inpatient CPT 87493 HC C DIFF/EPI, AMPLIFIED PROBE TECHNIQUE | $194.00 | $388.00 | — | — | 50% |
| CA 19-9 blood test (tumor marker) CPT 86301 HC CA19-9 FLUID MAYO | $11.00 | $22.00 | — | 92% below | 50% |
| CA 19-9 blood test (tumor marker) CPT 86301 HC CA 19-9 | $215.00 | $430.00 | — | 62% above | 50% |
| CA 19-9 blood test (tumor marker) inpatient CPT 86301 HC CA19-9 FLUID MAYO | $11.00 | $22.00 | — | — | 50% |
| CA 19-9 blood test (tumor marker) inpatient CPT 86301 HC CA 19-9 | $215.00 | $430.00 | — | — | 50% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 HC CA 125 | $233.00 | $466.00 | — | 53% above | 50% |
| CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 HC CA 125 | $233.00 | $466.00 | — | — | 50% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HC SARS-COV-2 RNA DDPCR, QUAL FFPE | $95.00 | $190.00 | — | 7% above | 50% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HC SARS COV-2 RNA PCR QUAL FFPE | $95.00 | $190.00 | — | 7% above | 50% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HC SARS-COV-2 COVID-19 AMP PRB | $133.50 | $267.00 | — | 50% above | 50% |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 HC SARS COV-2 RNA PCR QUAL FFPE | $95.00 | $190.00 | — | — | 50% |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 HC SARS-COV-2 RNA DDPCR, QUAL FFPE | $95.00 | $190.00 | — | — | 50% |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 HC SARS-COV-2 COVID-19 AMP PRB | $133.50 | $267.00 | — | — | 50% |
| Calcium blood test, total CPT 82310 HC CALCIUM FLUID | $8.50 | $17.00 | — | 85% below | 50% |
| Calcium blood test, total CPT 82310 HC PTH INTACT CALCIUM | $9.00 | $18.00 | — | 85% below | 50% |
| Calcium blood test, total CPT 82310 HC CALCIUM | $180.50 | $361.00 | — | 209% above | 50% |
| Calcium blood test, total inpatient CPT 82310 HC CALCIUM FLUID | $8.50 | $17.00 | — | — | 50% |
| Calcium blood test, total inpatient CPT 82310 HC PTH INTACT CALCIUM | $9.00 | $18.00 | — | — | 50% |
| Calcium blood test, total inpatient CPT 82310 HC CALCIUM | $180.50 | $361.00 | — | — | 50% |
| Carcinoembryonic antigen (CEA) test CPT 82378 HC CEA FLUID | $11.00 | $22.00 | — | 92% below | 50% |
| Carcinoembryonic antigen (CEA) test CPT 82378 HC ACCUCEA PANCREATIC FLUID | $11.00 | $22.00 | — | 92% below | 50% |
| Carcinoembryonic antigen (CEA) test CPT 82378 HC CARCINOEMBRIONIC ANTIGEN | $367.50 | $735.00 | — | 175% above | 50% |
| Carcinoembryonic antigen (CEA) test inpatient CPT 82378 HC ACCUCEA PANCREATIC FLUID | $11.00 | $22.00 | — | — | 50% |
| Carcinoembryonic antigen (CEA) test inpatient CPT 82378 HC CEA FLUID | $11.00 | $22.00 | — | — | 50% |
| Carcinoembryonic antigen (CEA) test inpatient CPT 82378 HC CARCINOEMBRIONIC ANTIGEN | $367.50 | $735.00 | — | — | 50% |
| Chickenpox (varicella) immunity blood test CPT 86787 HC MMV VZV | $9.00 | $18.00 | — | 86% below | 50% |
| Chickenpox (varicella) immunity blood test CPT 86787 HC VARICELLA-ZOSTER VIRUS ANTIBODY, IGG, CSF | $9.00 | $18.00 | — | 86% below | 50% |
| Chickenpox (varicella) immunity blood test CPT 86787 HC VARICELLA-ZOSTER VIRUS ANTIBODY, IGM ,CSF | $9.00 | $18.00 | — | 86% below | 50% |
| Chickenpox (varicella) immunity blood test CPT 86787 HC VZV AB, IGM | $9.00 | $18.00 | — | 86% below | 50% |
| Chickenpox (varicella) immunity blood test CPT 86787 HC VARICELLA-ZOSTER VIRUS ANTIBODY, IGG | $9.00 | $18.00 | — | 86% below | 50% |
| Chickenpox (varicella) immunity blood test CPT 86787 HC VZV IGM CSF | $9.00 | $18.00 | — | 86% below | 50% |
| Chickenpox (varicella) immunity blood test CPT 86787 HC VZV IGG CSF | $9.00 | $18.00 | — | 86% below | 50% |
| Chickenpox (varicella) immunity blood test CPT 86787 HC VARICELLA ZOSTER (VZV) IGG | $105.00 | $210.00 | — | 67% above | 50% |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 HC VZV AB, IGM | $9.00 | $18.00 | — | — | 50% |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 HC MMV VZV | $9.00 | $18.00 | — | — | 50% |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 HC VZV IGG CSF | $9.00 | $18.00 | — | — | 50% |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 HC VARICELLA-ZOSTER VIRUS ANTIBODY, IGG | $9.00 | $18.00 | — | — | 50% |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 HC VARICELLA-ZOSTER VIRUS ANTIBODY, IGG, CSF | $9.00 | $18.00 | — | — | 50% |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 HC VZV IGM CSF | $9.00 | $18.00 | — | — | 50% |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 HC VARICELLA-ZOSTER VIRUS ANTIBODY, IGM ,CSF | $9.00 | $18.00 | — | — | 50% |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 HC VARICELLA ZOSTER (VZV) IGG | $105.00 | $210.00 | — | — | 50% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC N GONORRHEA PCR | $14.50 | $29.00 | — | 88% below | 50% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC VAGINITIS PLUS CHLAMYDIA | $14.50 | $29.00 | — | 88% below | 50% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC N GONORRHEA UTM | $14.50 | $29.00 | — | 88% below | 50% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC C TRACHOMATIS PCR | $14.50 | $29.00 | — | 88% below | 50% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC CHLAMYDIA PROBETEC | $188.50 | $377.00 | — | 52% above | 50% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC CHLAMYDIA TRACHOMATIS, AMPLIFIED PROBE TECHNIQUE | $198.50 | $397.00 | — | 60% above | 50% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HC VAGINITIS PLUS CHLAMYDIA | $14.50 | $29.00 | — | — | 50% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HC N GONORRHEA UTM | $14.50 | $29.00 | — | — | 50% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HC C TRACHOMATIS PCR | $14.50 | $29.00 | — | — | 50% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HC N GONORRHEA PCR | $14.50 | $29.00 | — | — | 50% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HC CHLAMYDIA PROBETEC | $188.50 | $377.00 | — | — | 50% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HC CHLAMYDIA TRACHOMATIS, AMPLIFIED PROBE TECHNIQUE | $198.50 | $397.00 | — | — | 50% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC NMR LIPID | $12.00 | $24.00 | — | 92% below | 50% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LIPID PANEL | $490.50 | $981.00 | — | 231% above | 50% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC NMR LIPID | $12.00 | $24.00 | — | — | 50% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC LIPID PANEL | $490.50 | $981.00 | — | — | 50% |
| Complete blood count (CBC) with differential CPT 85025 HC COMPLETE BLOOD COUNT-DONOR PRO | $133.00 | $266.00 | — | 46% above | 50% |
| Complete blood count (CBC) with differential CPT 85025 HC COMPLETE BLD COUNT W/AUTO DIFF | $145.50 | $291.00 | — | 59% above | 50% |
| Complete blood count (CBC) with differential inpatient CPT 85025 HC COMPLETE BLOOD COUNT-DONOR PRO | $133.00 | $266.00 | — | — | 50% |
| Complete blood count (CBC) with differential inpatient CPT 85025 HC COMPLETE BLD COUNT W/AUTO DIFF | $145.50 | $291.00 | — | — | 50% |
| Complete blood count (CBC), no differential CPT 85027 HC COMPLETE BLOOD COUNT CBC | $95.50 | $191.00 | — | 2% above | 50% |
| Complete blood count (CBC), no differential inpatient CPT 85027 HC COMPLETE BLOOD COUNT CBC | $95.50 | $191.00 | — | — | 50% |
| Comprehensive metabolic panel (blood test) CPT 80053 HC COMPREHENSIVE METABOLIC PANEL | $572.50 | $1,145.00 | — | 128% above | 50% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 HC COMPREHENSIVE METABOLIC PANEL | $572.50 | $1,145.00 | — | — | 50% |
| Cortisol blood test, total CPT 82533 HC CORTISOL SALIVA | $321.00 | $642.00 | — | 284% above | 50% |
| Cortisol blood test, total CPT 82533 HC CORTISOL TOTAL | $398.00 | $796.00 | — | 376% above | 50% |
| Cortisol blood test, total inpatient CPT 82533 HC CORTISOL SALIVA | $321.00 | $642.00 | — | — | 50% |
| Cortisol blood test, total inpatient CPT 82533 HC CORTISOL TOTAL | $398.00 | $796.00 | — | — | 50% |
| Creatine kinase (CK) blood test, total CPT 82550 HC CK-TOTAL | $8.50 | $17.00 | — | 87% below | 50% |
| Creatine kinase (CK) blood test, total CPT 82550 HC CK TOT | $275.50 | $551.00 | — | 331% above | 50% |
| Creatine kinase (CK) blood test, total inpatient CPT 82550 HC CK-TOTAL | $8.50 | $17.00 | — | — | 50% |
| Creatine kinase (CK) blood test, total inpatient CPT 82550 HC CK TOT | $275.50 | $551.00 | — | — | 50% |
| Creatinine blood test CPT 82565 HC CREATININE | $208.00 | $416.00 | — | 288% above | 50% |
| Creatinine blood test inpatient CPT 82565 HC CREATININE | $208.00 | $416.00 | — | — | 50% |
| Cytomegalovirus (CMV) antibody test CPT 86644 HC CMV IGG CSF | $10.00 | $20.00 | — | 87% below | 50% |
| Cytomegalovirus (CMV) antibody test CPT 86644 HC TORCH CMV | $10.00 | $20.00 | — | 87% below | 50% |
| Cytomegalovirus (CMV) antibody test CPT 86644 HC CMV IGG AVIDITY | $10.00 | $20.00 | — | 87% below | 50% |
| Cytomegalovirus (CMV) antibody test CPT 86644 HC CYTOMEGALOVIRUS AB, IGG | $206.50 | $413.00 | — | 175% above | 50% |
| Cytomegalovirus (CMV) antibody test CPT 86644 HC CMV SCREEN P AGG | $217.50 | $435.00 | — | 190% above | 50% |
| Cytomegalovirus (CMV) antibody test inpatient CPT 86644 HC CMV IGG AVIDITY | $10.00 | $20.00 | — | — | 50% |
| Cytomegalovirus (CMV) antibody test inpatient CPT 86644 HC TORCH CMV | $10.00 | $20.00 | — | — | 50% |
| Cytomegalovirus (CMV) antibody test inpatient CPT 86644 HC CMV IGG CSF | $10.00 | $20.00 | — | — | 50% |
| Cytomegalovirus (CMV) antibody test inpatient CPT 86644 HC CYTOMEGALOVIRUS AB, IGG | $206.50 | $413.00 | — | — | 50% |
| Cytomegalovirus (CMV) antibody test inpatient CPT 86644 HC CMV SCREEN P AGG | $217.50 | $435.00 | — | — | 50% |
| D-dimer blood test (blood clot marker) CPT 85379 HC D-DIMMER, QUANTITATIVE | $183.50 | $367.00 | — | 8% above | 50% |
| D-dimer blood test (blood clot marker) inpatient CPT 85379 HC D-DIMMER, QUANTITATIVE | $183.50 | $367.00 | — | — | 50% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 HC DEHYDROEPIANDROSTRONE SULFATE | $223.50 | $447.00 | — | 48% above | 50% |
| DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 HC DEHYDROEPIANDROSTRONE SULFATE | $223.50 | $447.00 | — | — | 50% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC PROPOXYPHENE URINE | $16.00 | $32.00 | — | 74% below | 50% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC REF - SYNTHETIC THC, URINE | $16.00 | $32.00 | — | 74% below | 50% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG SCREEN, MECONIUM | $16.00 | $32.00 | — | 74% below | 50% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG SCREEN, SERUM | $16.00 | $32.00 | — | 74% below | 50% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC AMPHETAMINES, S/P, QUANT | $16.00 | $32.00 | — | 74% below | 50% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG SCREEN SERUM | $16.00 | $32.00 | — | 74% below | 50% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC HEROIN SCREEN | $16.00 | $32.00 | — | 74% below | 50% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUGS OF ABUSE AMINES | $16.00 | $32.00 | — | 74% below | 50% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC PAIN MANAGEMENT DRUG PANEL | $16.00 | $32.00 | — | 74% below | 50% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC GAMMA-OH-BUTYRIC ACID URINE | $16.00 | $32.00 | — | 74% below | 50% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC URINE ANABOLIC STEROIDS REFLEX | $16.00 | $32.00 | — | 74% below | 50% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUGS OF ABUSE MECONIUM EXPERTOX | $16.00 | $32.00 | — | 74% below | 50% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC HYPOGLYCEMIC AGENT SCREEN MAYO HYPOG | $16.00 | $32.00 | — | 74% below | 50% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC SYNTHETIC CANNIBINOIDS WITH REFLEX TO CONFIRMATION | $16.00 | $32.00 | — | 74% below | 50% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUGS OF ABUSE, BREAST MILK | $16.00 | $32.00 | — | 74% below | 50% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC SYNTHETIC DESIGNER DRUG PANEL W/REFLEX | $16.00 | $32.00 | — | 74% below | 50% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC LSD S/P WITH REFLEX | $16.00 | $32.00 | — | 74% below | 50% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC BUPRENORPHINE SCREEN WITH REFLEX TO QNT | $16.00 | $32.00 | — | 74% below | 50% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUGS OF ABUSE FLUID | $16.00 | $32.00 | — | 74% below | 50% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC FLUNITRAZEPAM AND METABOLITES | $16.00 | $32.00 | — | 74% below | 50% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC COTININE SCREEN, URINE | $16.00 | $32.00 | — | 74% below | 50% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG SCRN URINE COLL COC RPT | $284.50 | $569.00 | — | 358% above | 50% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC URINE DRUG SCREEN QUALITATIVE | $356.50 | $713.00 | — | 474% above | 50% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG SCREEN, MECONIUM | $16.00 | $32.00 | — | — | 50% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC FLUNITRAZEPAM AND METABOLITES | $16.00 | $32.00 | — | — | 50% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG SCREEN, SERUM | $16.00 | $32.00 | — | — | 50% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC COTININE SCREEN, URINE | $16.00 | $32.00 | — | — | 50% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC AMPHETAMINES, S/P, QUANT | $16.00 | $32.00 | — | — | 50% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG SCREEN SERUM | $16.00 | $32.00 | — | — | 50% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC HEROIN SCREEN | $16.00 | $32.00 | — | — | 50% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUGS OF ABUSE AMINES | $16.00 | $32.00 | — | — | 50% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC PAIN MANAGEMENT DRUG PANEL | $16.00 | $32.00 | — | — | 50% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUGS OF ABUSE FLUID | $16.00 | $32.00 | — | — | 50% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC BUPRENORPHINE SCREEN WITH REFLEX TO QNT | $16.00 | $32.00 | — | — | 50% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC LSD S/P WITH REFLEX | $16.00 | $32.00 | — | — | 50% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC GAMMA-OH-BUTYRIC ACID URINE | $16.00 | $32.00 | — | — | 50% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC URINE ANABOLIC STEROIDS REFLEX | $16.00 | $32.00 | — | — | 50% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUGS OF ABUSE MECONIUM EXPERTOX | $16.00 | $32.00 | — | — | 50% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC PROPOXYPHENE URINE | $16.00 | $32.00 | — | — | 50% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC HYPOGLYCEMIC AGENT SCREEN MAYO HYPOG | $16.00 | $32.00 | — | — | 50% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC SYNTHETIC DESIGNER DRUG PANEL W/REFLEX | $16.00 | $32.00 | — | — | 50% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC SYNTHETIC CANNIBINOIDS WITH REFLEX TO CONFIRMATION | $16.00 | $32.00 | — | — | 50% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUGS OF ABUSE, BREAST MILK | $16.00 | $32.00 | — | — | 50% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC REF - SYNTHETIC THC, URINE | $16.00 | $32.00 | — | — | 50% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG SCRN URINE COLL COC RPT | $284.50 | $569.00 | — | — | 50% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC URINE DRUG SCREEN QUALITATIVE | $356.50 | $713.00 | — | — | 50% |
| Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 HC ELECTROLYTE PANEL | $461.00 | $922.00 | — | 189% above | 50% |
| Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 HC ELECTROLYTE PANEL | $461.00 | $922.00 | — | — | 50% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 HC EBV AB TO VIRAL CAPSID AG, IGM | $55.00 | $110.00 | — | 36% below | 50% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 HC EBV AB VIRAL CAPSID IGM | $55.00 | $110.00 | — | 36% below | 50% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 HC EBV AB TO VIRAL CAPSID AG, IGG | $55.00 | $110.00 | — | 36% below | 50% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 HC EPSTEIN-BARR VIRUS VCA IGG | $66.00 | $132.00 | — | 24% below | 50% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 HC EPSTEIN-BARR VIRUS VCA IGM | $66.00 | $132.00 | — | 24% below | 50% |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 HC EBV AB TO VIRAL CAPSID AG, IGM | $55.00 | $110.00 | — | — | 50% |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 HC EBV AB VIRAL CAPSID IGM | $55.00 | $110.00 | — | — | 50% |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 HC EBV AB TO VIRAL CAPSID AG, IGG | $55.00 | $110.00 | — | — | 50% |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 HC EPSTEIN-BARR VIRUS VCA IGM | $66.00 | $132.00 | — | — | 50% |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 HC EPSTEIN-BARR VIRUS VCA IGG | $66.00 | $132.00 | — | — | 50% |
| Estradiol blood test CPT 82670 HC REF ESTRADIAL TOTAL - ARUP | $24.00 | $48.00 | — | 81% below | 50% |
| Estradiol blood test CPT 82670 HC ESTRADIOL TOTAL - MALE, CHILD, POSTMENOP FEMALE | $24.00 | $48.00 | — | 81% below | 50% |
| Estradiol blood test CPT 82670 HC ESTRADIOL TOTAL | $240.00 | $480.00 | — | 94% above | 50% |
| Estradiol blood test inpatient CPT 82670 HC REF ESTRADIAL TOTAL - ARUP | $24.00 | $48.00 | — | — | 50% |
| Estradiol blood test inpatient CPT 82670 HC ESTRADIOL TOTAL - MALE, CHILD, POSTMENOP FEMALE | $24.00 | $48.00 | — | — | 50% |
| Estradiol blood test inpatient CPT 82670 HC ESTRADIOL TOTAL | $240.00 | $480.00 | — | — | 50% |
| FSH (follicle-stimulating hormone) test CPT 83001 HC FOLLICULAR STIMULATING HORMONE | $424.50 | $849.00 | — | 172% above | 50% |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 HC FOLLICULAR STIMULATING HORMONE | $424.50 | $849.00 | — | — | 50% |
| Fecal calprotectin (stool inflammation test) CPT 83993 HC CALPROTECTIN, FECAL | $88.00 | $176.00 | — | 59% below | 50% |
| Fecal calprotectin (stool inflammation test) CPT 83993 HC CALPROTECTIN FECAL | $387.00 | $774.00 | — | 81% above | 50% |
| Fecal calprotectin (stool inflammation test) inpatient CPT 83993 HC CALPROTECTIN, FECAL | $88.00 | $176.00 | — | — | 50% |
| Fecal calprotectin (stool inflammation test) inpatient CPT 83993 HC CALPROTECTIN FECAL | $387.00 | $774.00 | — | — | 50% |
| Ferritin blood test (iron stores) CPT 82728 HC FIBROMETER NAFLD FERRITIN | $9.00 | $18.00 | — | 89% below | 50% |
| Ferritin blood test (iron stores) CPT 82728 HC FERRITIN ASSAY SERUM | $290.50 | $581.00 | — | 248% above | 50% |
| Ferritin blood test (iron stores) inpatient CPT 82728 HC FIBROMETER NAFLD FERRITIN | $9.00 | $18.00 | — | — | 50% |
| Ferritin blood test (iron stores) inpatient CPT 82728 HC FERRITIN ASSAY SERUM | $290.50 | $581.00 | — | — | 50% |
| Fibrinogen blood test CPT 85384 HC FIBRINOGEN PANEL FIBRINOGEN QNT | $14.00 | $28.00 | — | 84% below | 50% |
| Fibrinogen blood test CPT 85384 HC FIBRINOGEN QUANTITATIVE | $146.50 | $293.00 | — | 69% above | 50% |
| Fibrinogen blood test CPT 85384 HC FUNCTIONAL FIBRINOGEN | $154.00 | $308.00 | — | 78% above | 50% |
| Fibrinogen blood test inpatient CPT 85384 HC FIBRINOGEN PANEL FIBRINOGEN QNT | $14.00 | $28.00 | — | — | 50% |
| Fibrinogen blood test inpatient CPT 85384 HC FIBRINOGEN QUANTITATIVE | $146.50 | $293.00 | — | — | 50% |
| Fibrinogen blood test inpatient CPT 85384 HC FUNCTIONAL FIBRINOGEN | $154.00 | $308.00 | — | — | 50% |
| Folate (folic acid) blood test CPT 82746 HC FOLATE SERUM | $299.00 | $598.00 | — | 274% above | 50% |
| Folate (folic acid) blood test inpatient CPT 82746 HC FOLATE SERUM | $299.00 | $598.00 | — | — | 50% |
| Free T3 thyroid hormone test CPT 84481 HC TRIIODOTHYRONINE (T3) FREE | $95.00 | $190.00 | — | 32% below | 50% |
| Free T3 thyroid hormone test CPT 84481 HC TRIIODOTHYRONINE (T3) FREE (INHOUSE) | $471.50 | $943.00 | — | 238% above | 50% |
| Free T3 thyroid hormone test inpatient CPT 84481 HC TRIIODOTHYRONINE (T3) FREE | $95.00 | $190.00 | — | — | 50% |
| Free T3 thyroid hormone test inpatient CPT 84481 HC TRIIODOTHYRONINE (T3) FREE (INHOUSE) | $471.50 | $943.00 | — | — | 50% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 HC T4 FREE DIRECT DIALYSIS | $10.50 | $21.00 | — | 86% below | 50% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 HC T4 FREE | $368.50 | $737.00 | — | 391% above | 50% |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 HC T4 FREE DIRECT DIALYSIS | $10.50 | $21.00 | — | — | 50% |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 HC T4 FREE | $368.50 | $737.00 | — | — | 50% |
| Free testosterone test CPT 84402 HC TESTOSTERONE FREE | $11.00 | $22.00 | — | 90% below | 50% |
| Free testosterone test inpatient CPT 84402 HC TESTOSTERONE FREE | $11.00 | $22.00 | — | — | 50% |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 HC GGT SO | $8.00 | $16.00 | — | 86% below | 50% |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 HC HCV FIBROSURE ASSAY OF GGT | $8.00 | $16.00 | — | 86% below | 50% |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 HC FIBROMETER CHRONIC HEPATITIS GGT | $8.00 | $16.00 | — | 86% below | 50% |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 HC GAMMA GLUTAMYL AMINOTRANSFERAS | $239.00 | $478.00 | — | 306% above | 50% |
| Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 HC GGT SO | $8.00 | $16.00 | — | — | 50% |
| Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 HC FIBROMETER CHRONIC HEPATITIS GGT | $8.00 | $16.00 | — | — | 50% |
| Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 HC HCV FIBROSURE ASSAY OF GGT | $8.00 | $16.00 | — | — | 50% |
| Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 HC GAMMA GLUTAMYL AMINOTRANSFERAS | $239.00 | $478.00 | — | — | 50% |
| General health panel: metabolic panel, blood count and TSH in one order CPT 80050 HC GENERAL HEALTH PANEL | $499.00 | $998.00 | — | 12% above | 50% |
| General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 HC GENERAL HEALTH PANEL | $499.00 | $998.00 | — | — | 50% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 HC GLUCOSE POST PRANDIAL 1,2 HRS | $156.50 | $313.00 | — | 100% above | 50% |
| Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 HC GLUCOSE POST PRANDIAL 1,2 HRS | $156.50 | $313.00 | — | — | 50% |
| Glucose tolerance test, 3 samples CPT 82951 HC GLUCOSE TOLERANCE TEST BASIC | $264.00 | $528.00 | — | 74% above | 50% |
| Glucose tolerance test, 3 samples inpatient CPT 82951 HC GLUCOSE TOLERANCE TEST BASIC | $264.00 | $528.00 | — | — | 50% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC VAGINITIS PLUS N GONORRHEA | $14.50 | $29.00 | — | 89% below | 50% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC C TRACHOMATIS UTM | $14.50 | $29.00 | — | 89% below | 50% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC GC PROBETEC | $148.00 | $296.00 | — | 14% above | 50% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC NEISSERIA GONNORRHOEAE, AMPLIFIED PROBE TECHNIQUE | $233.50 | $467.00 | — | 79% above | 50% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HC VAGINITIS PLUS N GONORRHEA | $14.50 | $29.00 | — | — | 50% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HC C TRACHOMATIS UTM | $14.50 | $29.00 | — | — | 50% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HC GC PROBETEC | $148.00 | $296.00 | — | — | 50% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HC NEISSERIA GONNORRHOEAE, AMPLIFIED PROBE TECHNIQUE | $233.50 | $467.00 | — | — | 50% |
| H. pylori antibody blood test CPT 86677 HC HELICOBACTER PYLORI AB, IGM | $12.50 | $25.00 | — | 90% below | 50% |
| H. pylori antibody blood test CPT 86677 HC HELICOBACTER PYLORI AB, IGA | $12.50 | $25.00 | — | 90% below | 50% |
| H. pylori antibody blood test CPT 86677 HC H PYLORI A,M | $14.50 | $29.00 | — | 89% below | 50% |
| H. pylori antibody blood test CPT 86677 HC H PYLORI G,M | $45.50 | $91.00 | — | 64% below | 50% |
| H. pylori antibody blood test CPT 86677 HC HELICOBACTER PYLORI AB, IGG | $244.00 | $488.00 | — | 93% above | 50% |
| H. pylori antibody blood test inpatient CPT 86677 HC HELICOBACTER PYLORI AB, IGA | $12.50 | $25.00 | — | — | 50% |
| H. pylori antibody blood test inpatient CPT 86677 HC HELICOBACTER PYLORI AB, IGM | $12.50 | $25.00 | — | — | 50% |
| H. pylori antibody blood test inpatient CPT 86677 HC H PYLORI A,M | $14.50 | $29.00 | — | — | 50% |
| H. pylori antibody blood test inpatient CPT 86677 HC H PYLORI G,M | $45.50 | $91.00 | — | — | 50% |
| H. pylori antibody blood test inpatient CPT 86677 HC HELICOBACTER PYLORI AB, IGG | $244.00 | $488.00 | — | — | 50% |
| H. pylori stool antigen test CPT 87338 HC REF - HELICOBACTER PYLORI ANTIGEN, FECAL BY EIA | $40.00 | $80.00 | — | 54% below | 50% |
| H. pylori stool antigen test CPT 87338 HC HELIOBACTER PYLORI AG - FECAL BY EIA | $40.00 | $80.00 | — | 54% below | 50% |
| H. pylori stool antigen test CPT 87338 HC HELICOBACTER PYLORI ANTIGEN | $158.50 | $317.00 | — | 84% above | 50% |
| H. pylori stool antigen test inpatient CPT 87338 HC REF - HELICOBACTER PYLORI ANTIGEN, FECAL BY EIA | $40.00 | $80.00 | — | — | 50% |
| H. pylori stool antigen test inpatient CPT 87338 HC HELIOBACTER PYLORI AG - FECAL BY EIA | $40.00 | $80.00 | — | — | 50% |
| H. pylori stool antigen test inpatient CPT 87338 HC HELICOBACTER PYLORI ANTIGEN | $158.50 | $317.00 | — | — | 50% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HC HIV QNT PCR | $88.00 | $176.00 | — | 71% below | 50% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HC HIV-1 RNA QUANT PCR | $395.00 | $790.00 | — | 30% above | 50% |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HC HIV QNT PCR | $88.00 | $176.00 | — | — | 50% |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HC HIV-1 RNA QUANT PCR | $395.00 | $790.00 | — | — | 50% |
| HIV-1 and HIV-2 antibody test CPT 86703 HC HIV1,2 AB WITH REFLEX TO WESTERN BLOT | $9.50 | $19.00 | — | 88% below | 50% |
| HIV-1 and HIV-2 antibody test CPT 86703 HC HIV 1/O/2 | $308.00 | $616.00 | — | 279% above | 50% |
| HIV-1 and HIV-2 antibody test inpatient CPT 86703 HC HIV1,2 AB WITH REFLEX TO WESTERN BLOT | $9.50 | $19.00 | — | — | 50% |
| HIV-1 and HIV-2 antibody test inpatient CPT 86703 HC HIV 1/O/2 | $308.00 | $616.00 | — | — | 50% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HC HIV1,2 AG/AB COMBO REFLEX | $21.00 | $42.00 | — | 85% below | 50% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HC HIV 1/ 2 FOURTH GENERATION | $365.50 | $731.00 | — | 169% above | 50% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HC HIV1,2 AG/AB COMBO REFLEX | $21.00 | $42.00 | — | — | 50% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HC HIV 1/ 2 FOURTH GENERATION | $365.50 | $731.00 | — | — | 50% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 HC HPV HIGH RISK (THINPREP) POOLD RSLT | $38.00 | $76.00 | — | 46% below | 50% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 HC HPV DNA PROBE HI RISK CERV BRU POOLD RSLT | $38.00 | $76.00 | — | 46% below | 50% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 HC IADNA HUMAN PAPILLOMAVIRUS HI-RSK TYP POOLD RSLT | $179.50 | $359.00 | — | 153% above | 50% |
| HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HC HPV DNA PROBE HI RISK CERV BRU POOLD RSLT | $38.00 | $76.00 | — | — | 50% |
| HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HC HPV HIGH RISK (THINPREP) POOLD RSLT | $38.00 | $76.00 | — | — | 50% |
| HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HC IADNA HUMAN PAPILLOMAVIRUS HI-RSK TYP POOLD RSLT | $179.50 | $359.00 | — | — | 50% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HC HEMOGLOBIN A1C | $248.00 | $496.00 | — | 193% above | 50% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HC HEMOGLOBIN A1C | $248.00 | $496.00 | — | — | 50% |
| Hemoglobin blood test CPT 85018 HC HEMOGLOBIN HGB | $67.50 | $135.00 | — | 55% above | 50% |
| Hemoglobin blood test inpatient CPT 85018 HC HEMOGLOBIN HGB | $67.50 | $135.00 | — | — | 50% |
| Hepatitis B core antibody test (total) CPT 86704 HC HEPATITIS B CORE TOTAL AB | $236.00 | $472.00 | — | 223% above | 50% |
| Hepatitis B core antibody test (total) inpatient CPT 86704 HC HEPATITIS B CORE TOTAL AB | $236.00 | $472.00 | — | — | 50% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HC HEPATITIS B SURFACE AB QNT | $8.50 | $17.00 | — | 87% below | 50% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HC HEPATITIS B SURFACE ANTIBODY | $87.00 | $174.00 | — | 36% above | 50% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HC HEPATITIS B SURFACE AB QNT | $8.50 | $17.00 | — | — | 50% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HC HEPATITIS B SURFACE ANTIBODY | $87.00 | $174.00 | — | — | 50% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HC HEPATITIS B SURFACE ANTIGEN CONFIRM | $231.50 | $463.00 | — | 231% above | 50% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HC HEPATITIS B SURFACE ANTIGEN | $238.00 | $476.00 | — | 240% above | 50% |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HC HEPATITIS B SURFACE ANTIGEN CONFIRM | $231.50 | $463.00 | — | — | 50% |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HC HEPATITIS B SURFACE ANTIGEN | $238.00 | $476.00 | — | — | 50% |
| Hepatitis C antibody blood test (screening) CPT 86803 HC HEPATITIS C ANTIBODY | $421.50 | $843.00 | — | 388% above | 50% |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 HC HEPATITIS C ANTIBODY | $421.50 | $843.00 | — | — | 50% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HC HEPATITIS C VIRUS RNA QUANT | $419.00 | $838.00 | — | 75% above | 50% |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HC HEPATITIS C VIRUS RNA QUANT | $419.00 | $838.00 | — | — | 50% |
| Herpes blood test, HSV-1 antibody CPT 86695 HC HSV TYPE 1 GLYCOPROTEIN G-SPECIFIC AB | $25.00 | $50.00 | — | 65% below | 50% |
| Herpes blood test, HSV-1 antibody CPT 86695 HC HSV I GLYCOPROTEIN G AB,IGG,SE | $25.00 | $50.00 | — | 65% below | 50% |
| Herpes blood test, HSV-1 antibody CPT 86695 HC HERPES SIMPLEX TYPE 1 ANTIBODY | $179.00 | $358.00 | — | 149% above | 50% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HC HSV TYPE 1 GLYCOPROTEIN G-SPECIFIC AB | $25.00 | $50.00 | — | — | 50% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HC HSV I GLYCOPROTEIN G AB,IGG,SE | $25.00 | $50.00 | — | — | 50% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HC HERPES SIMPLEX TYPE 1 ANTIBODY | $179.00 | $358.00 | — | — | 50% |
| Herpes blood test, HSV-2 antibody CPT 86696 HC HSV TYPE 2 GLYCOPROTEIN G-SPECIFIC AB | $25.00 | $50.00 | — | 70% below | 50% |
| Herpes blood test, HSV-2 antibody CPT 86696 HC HSV II GLYCOPROTEIN G AB,IGG,S | $25.00 | $50.00 | — | 70% below | 50% |
| Herpes blood test, HSV-2 antibody CPT 86696 HC HERPES SIMPLEX TYPE 2 ANITBODY | $180.50 | $361.00 | — | 117% above | 50% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HC HSV TYPE 2 GLYCOPROTEIN G-SPECIFIC AB | $25.00 | $50.00 | — | — | 50% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HC HSV II GLYCOPROTEIN G AB,IGG,S | $25.00 | $50.00 | — | — | 50% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HC HERPES SIMPLEX TYPE 2 ANITBODY | $180.50 | $361.00 | — | — | 50% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 HC CVRMP CRP | $16.00 | $32.00 | — | 80% below | 50% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 HC CRP HIGH SENSITIVITY | $211.50 | $423.00 | — | 168% above | 50% |
| High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 HC CVRMP CRP | $16.00 | $32.00 | — | — | 50% |
| High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 HC CRP HIGH SENSITIVITY | $211.50 | $423.00 | — | — | 50% |
| Homocysteine blood test CPT 83090 HC HOMOCYSTEINE PLASMA QUANT | $275.00 | $550.00 | — | 83% above | 50% |
| Homocysteine blood test inpatient CPT 83090 HC HOMOCYSTEINE PLASMA QUANT | $275.00 | $550.00 | — | — | 50% |
| Insulin blood test CPT 83525 HC INSULIN TOTAL | $121.50 | $243.00 | — | 77% above | 50% |
| Insulin blood test inpatient CPT 83525 HC INSULIN TOTAL | $121.50 | $243.00 | — | — | 50% |
| Iron blood test (serum iron) CPT 83540 HC IRON QUANTITATION TISSUE | $104.00 | $208.00 | — | 47% above | 50% |
| Iron blood test (serum iron) CPT 83540 HC IRON, URINE | $104.00 | $208.00 | — | 47% above | 50% |
| Iron blood test (serum iron) CPT 83540 HC IRON, URINE NMS | $104.00 | $208.00 | — | 47% above | 50% |
| Iron blood test (serum iron) CPT 83540 HC IRON | $272.50 | $545.00 | — | 285% above | 50% |
| Iron blood test (serum iron) inpatient CPT 83540 HC IRON, URINE NMS | $104.00 | $208.00 | — | — | 50% |
| Iron blood test (serum iron) inpatient CPT 83540 HC IRON, URINE | $104.00 | $208.00 | — | — | 50% |
| Iron blood test (serum iron) inpatient CPT 83540 HC IRON QUANTITATION TISSUE | $104.00 | $208.00 | — | — | 50% |
| Iron blood test (serum iron) inpatient CPT 83540 HC IRON | $272.50 | $545.00 | — | — | 50% |
| Iron-binding capacity (TIBC) test CPT 83550 HC IRON BINDING CAPACITY | $245.50 | $491.00 | — | 174% above | 50% |
| Iron-binding capacity (TIBC) test inpatient CPT 83550 HC IRON BINDING CAPACITY | $245.50 | $491.00 | — | — | 50% |
| Kidney function blood test panel CPT 80069 HC RENAL FUNCTION PANEL | $453.00 | $906.00 | — | 155% above | 50% |
| Kidney function blood test panel inpatient CPT 80069 HC RENAL FUNCTION PANEL | $453.00 | $906.00 | — | — | 50% |
| LH (luteinizing hormone) test CPT 83002 HC LUTENIZING HORMONE | $389.50 | $779.00 | — | 176% above | 50% |
| LH (luteinizing hormone) test inpatient CPT 83002 HC LUTENIZING HORMONE | $389.50 | $779.00 | — | — | 50% |
| Lactate (lactic acid) blood test CPT 83605 HC GLOBAL METABOLIC OH PROLINE CSF | $59.00 | $118.00 | — | 38% below | 50% |
| Lactate (lactic acid) blood test CPT 83605 HC D-LACTATE MAYO | $59.00 | $118.00 | — | 38% below | 50% |
| Lactate (lactic acid) blood test CPT 83605 HC LACTIC ACID ISTAT VENOUS | $169.00 | $338.00 | — | 77% above | 50% |
| Lactate (lactic acid) blood test CPT 83605 HC LACTIC ACID ISTAT ARTERIAL | $169.00 | $338.00 | — | 77% above | 50% |
| Lactate (lactic acid) blood test CPT 83605 HC LACTIC ACID | $214.00 | $428.00 | — | 124% above | 50% |
| Lactate (lactic acid) blood test CPT 83605 HC LACTIC ACID-RESP | $373.00 | $746.00 | — | 290% above | 50% |
| Lactate (lactic acid) blood test inpatient CPT 83605 HC D-LACTATE MAYO | $59.00 | $118.00 | — | — | 50% |
| Lactate (lactic acid) blood test inpatient CPT 83605 HC GLOBAL METABOLIC OH PROLINE CSF | $59.00 | $118.00 | — | — | 50% |
| Lactate (lactic acid) blood test inpatient CPT 83605 HC LACTIC ACID ISTAT ARTERIAL | $169.00 | $338.00 | — | — | 50% |
| Lactate (lactic acid) blood test inpatient CPT 83605 HC LACTIC ACID ISTAT VENOUS | $169.00 | $338.00 | — | — | 50% |
| Lactate (lactic acid) blood test inpatient CPT 83605 HC LACTIC ACID | $214.00 | $428.00 | — | — | 50% |
| Lactate (lactic acid) blood test inpatient CPT 83605 HC LACTIC ACID-RESP | $373.00 | $746.00 | — | — | 50% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 HC LACTATE DEHYDROGENASE LDH | $8.50 | $17.00 | — | 81% below | 50% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 HC LACTATE DEHYDROGENASE | $205.50 | $411.00 | — | 361% above | 50% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 HC LACTIC DEHYDROGENASE LDH | $248.00 | $496.00 | — | 457% above | 50% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 HC LDL DIRECT MEASURMENT | $426.50 | $853.00 | — | 857% above | 50% |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 HC LACTATE DEHYDROGENASE LDH | $8.50 | $17.00 | — | — | 50% |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 HC LACTATE DEHYDROGENASE | $205.50 | $411.00 | — | — | 50% |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 HC LACTIC DEHYDROGENASE LDH | $248.00 | $496.00 | — | — | 50% |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 HC LDL DIRECT MEASURMENT | $426.50 | $853.00 | — | — | 50% |
| Lipase blood test (pancreas enzyme) CPT 83690 HC LIPASE, FLUID | $9.00 | $18.00 | — | 87% below | 50% |
| Lipase blood test (pancreas enzyme) CPT 83690 HC LIPASE | $237.50 | $475.00 | — | 256% above | 50% |
| Lipase blood test (pancreas enzyme) CPT 83690 HC LIPASE BLOOD | $337.00 | $674.00 | — | 405% above | 50% |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 HC LIPASE, FLUID | $9.00 | $18.00 | — | — | 50% |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 HC LIPASE | $237.50 | $475.00 | — | — | 50% |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 HC LIPASE BLOOD | $337.00 | $674.00 | — | — | 50% |
| Liver function blood test panel CPT 80076 HC HEPATIC FUNCTION PANEL | $558.00 | $1,116.00 | — | 188% above | 50% |
| Liver function blood test panel inpatient CPT 80076 HC HEPATIC FUNCTION PANEL | $558.00 | $1,116.00 | — | — | 50% |
| Lyme disease antibody test CPT 86618 HC LYME C6 PEPTIDE ABS | $55.00 | $110.00 | — | 33% below | 50% |
| Lyme disease antibody test CPT 86618 HC B. BURGDORFERI AB, ELISA(CSF) | $55.00 | $110.00 | — | 33% below | 50% |
| Lyme disease antibody test CPT 86618 HC B. BURGDORFERI AB,TOTAL BY ELI | $55.00 | $110.00 | — | 33% below | 50% |
| Lyme disease antibody test CPT 86618 HC BORRELIA BURGDORFERI GM REFLEX TO WESTERN BLOT | $55.00 | $110.00 | — | 33% below | 50% |
| Lyme disease antibody test inpatient CPT 86618 HC BORRELIA BURGDORFERI GM REFLEX TO WESTERN BLOT | $55.00 | $110.00 | — | — | 50% |
| Lyme disease antibody test inpatient CPT 86618 HC B. BURGDORFERI AB,TOTAL BY ELI | $55.00 | $110.00 | — | — | 50% |
| Lyme disease antibody test inpatient CPT 86618 HC LYME C6 PEPTIDE ABS | $55.00 | $110.00 | — | — | 50% |
| Lyme disease antibody test inpatient CPT 86618 HC B. BURGDORFERI AB, ELISA(CSF) | $55.00 | $110.00 | — | — | 50% |
| Magnesium blood test CPT 83735 HC MAGNESIUM, URINE | $11.00 | $22.00 | — | 75% below | 50% |
| Magnesium blood test CPT 83735 HC MAGNESIUM RBC | $11.00 | $22.00 | — | 75% below | 50% |
| Magnesium blood test CPT 83735 HC UR MAGNESIUM | $223.00 | $446.00 | — | 407% above | 50% |
| Magnesium blood test CPT 83735 HC MAGNESIUM BLOOD | $290.00 | $580.00 | — | 559% above | 50% |
| Magnesium blood test inpatient CPT 83735 HC MAGNESIUM RBC | $11.00 | $22.00 | — | — | 50% |
| Magnesium blood test inpatient CPT 83735 HC MAGNESIUM, URINE | $11.00 | $22.00 | — | — | 50% |
| Magnesium blood test inpatient CPT 83735 HC UR MAGNESIUM | $223.00 | $446.00 | — | — | 50% |
| Magnesium blood test inpatient CPT 83735 HC MAGNESIUM BLOOD | $290.00 | $580.00 | — | — | 50% |
| Measles (rubeola) antibody test CPT 86765 HC MMV RUBEOLA | $9.00 | $18.00 | — | 71% below | 50% |
| Measles (rubeola) antibody test CPT 86765 HC RUBEOLA AB IGG EIA | $227.50 | $455.00 | — | 644% above | 50% |
| Measles (rubeola) antibody test inpatient CPT 86765 HC MMV RUBEOLA | $9.00 | $18.00 | — | — | 50% |
| Measles (rubeola) antibody test inpatient CPT 86765 HC RUBEOLA AB IGG EIA | $227.50 | $455.00 | — | — | 50% |
| Mono test (heterophile antibody, Monospot) CPT 86308 HC HETEROPHILE AB SCREEN | $236.00 | $472.00 | — | 178% above | 50% |
| Mono test (heterophile antibody, Monospot) CPT 86308 HC MONOSPOT TEST | $275.00 | $550.00 | — | 223% above | 50% |
| Mono test (heterophile antibody, Monospot) inpatient CPT 86308 HC HETEROPHILE AB SCREEN | $236.00 | $472.00 | — | — | 50% |
| Mono test (heterophile antibody, Monospot) inpatient CPT 86308 HC MONOSPOT TEST | $275.00 | $550.00 | — | — | 50% |
| Mumps immunity blood test CPT 86735 HC MUMPS VIRUS AB, IGM | $16.50 | $33.00 | — | 72% below | 50% |
| Mumps immunity blood test CPT 86735 HC MMV MUMPS | $16.50 | $33.00 | — | 72% below | 50% |
| Mumps immunity blood test CPT 86735 HC MUMPS VIRUS AB, IGG | $153.50 | $307.00 | — | 156% above | 50% |
| Mumps immunity blood test inpatient CPT 86735 HC MMV MUMPS | $16.50 | $33.00 | — | — | 50% |
| Mumps immunity blood test inpatient CPT 86735 HC MUMPS VIRUS AB, IGM | $16.50 | $33.00 | — | — | 50% |
| Mumps immunity blood test inpatient CPT 86735 HC MUMPS VIRUS AB, IGG | $153.50 | $307.00 | — | — | 50% |
| Obstetric blood test panel CPT 80055 HC OBSTETRIC PANEL | $413.00 | $826.00 | — | 63% above | 50% |
| Obstetric blood test panel inpatient CPT 80055 HC OBSTETRIC PANEL | $413.00 | $826.00 | — | — | 50% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 HC PSA FREE | $182.50 | $365.00 | — | 62% above | 50% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 HC PSA FREE | $182.50 | $365.00 | — | — | 50% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC PSA TOTAL | $74.00 | $148.00 | — | 14% below | 50% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC PSA ULTRASENSITIVE TOTAL | $74.00 | $148.00 | — | 14% below | 50% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC PROSTATE SPECIFIC AG TOTAL | $316.00 | $632.00 | — | 269% above | 50% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC PSA ULTRASENSITIVE TOTAL | $74.00 | $148.00 | — | — | 50% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC PSA TOTAL | $74.00 | $148.00 | — | — | 50% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC PROSTATE SPECIFIC AG TOTAL | $316.00 | $632.00 | — | — | 50% |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 HC CYTOPATH SCR THIN PREP-GYNPATH | $62.00 | $124.00 | — | 28% below | 50% |
| Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 HC CYTOPATH SCR THIN PREP-GYNPATH | $62.00 | $124.00 | — | — | 50% |
| Parathyroid hormone (PTH) blood test CPT 83970 HC PARATHYROID HORMONE, FNA | $22.50 | $45.00 | — | 89% below | 50% |
| Parathyroid hormone (PTH) blood test CPT 83970 HC PTH INTACT | $22.50 | $45.00 | — | 89% below | 50% |
| Parathyroid hormone (PTH) blood test CPT 83970 HC PARATHYROID HORMONE INTACT | $501.50 | $1,003.00 | — | 144% above | 50% |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 HC PTH INTACT | $22.50 | $45.00 | — | — | 50% |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 HC PARATHYROID HORMONE, FNA | $22.50 | $45.00 | — | — | 50% |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 HC PARATHYROID HORMONE INTACT | $501.50 | $1,003.00 | — | — | 50% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC PTT HEPZYME TOTAL | $35.00 | $70.00 | — | 30% below | 50% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC PTT LA | $160.50 | $321.00 | — | 221% above | 50% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC PTT LUPUS ANTICOAG | $160.50 | $321.00 | — | 221% above | 50% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC PTT HEPZYME TOTAL | $35.00 | $70.00 | — | — | 50% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC PTT LUPUS ANTICOAG | $160.50 | $321.00 | — | — | 50% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC PTT LA | $160.50 | $321.00 | — | — | 50% |
| Phosphorus (phosphate) blood test CPT 84100 HC PHOSPHOROUS FLUID | $7.50 | $15.00 | — | 88% below | 50% |
| Phosphorus (phosphate) blood test CPT 84100 HC PHOSPHORUS | $202.50 | $405.00 | — | 225% above | 50% |
| Phosphorus (phosphate) blood test inpatient CPT 84100 HC PHOSPHOROUS FLUID | $7.50 | $15.00 | — | — | 50% |
| Phosphorus (phosphate) blood test inpatient CPT 84100 HC PHOSPHORUS | $202.50 | $405.00 | — | — | 50% |
| Potassium blood test CPT 84132 HC POTASSIUM | $173.50 | $347.00 | — | 190% above | 50% |
| Potassium blood test inpatient CPT 84132 HC POTASSIUM | $173.50 | $347.00 | — | — | 50% |
| Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 HC NON-INVAS PRENATAL TEST FETAL ANEUPLOIDY | $375.00 | $750.00 | — | 57% below | 50% |
| Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) inpatient CPT 81420 HC NON-INVAS PRENATAL TEST FETAL ANEUPLOIDY | $375.00 | $750.00 | — | — | 50% |
| Progesterone blood test CPT 84144 HC PROGESTERONE | $217.50 | $435.00 | — | 111% above | 50% |
| Progesterone blood test inpatient CPT 84144 HC PROGESTERONE | $217.50 | $435.00 | — | — | 50% |
| Prolactin blood test CPT 84146 HC MACROPROLACTIN | $12.00 | $24.00 | — | 89% below | 50% |
| Prolactin blood test CPT 84146 HC PROLACTIN DILUTION STUDY | $12.00 | $24.00 | — | 89% below | 50% |
| Prolactin blood test CPT 84146 HC PROLACTIN SERUM | $384.50 | $769.00 | — | 249% above | 50% |
| Prolactin blood test inpatient CPT 84146 HC MACROPROLACTIN | $12.00 | $24.00 | — | — | 50% |
| Prolactin blood test inpatient CPT 84146 HC PROLACTIN DILUTION STUDY | $12.00 | $24.00 | — | — | 50% |
| Prolactin blood test inpatient CPT 84146 HC PROLACTIN SERUM | $384.50 | $769.00 | — | — | 50% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC PROTHROMBIN TIME PT | $134.50 | $269.00 | — | 192% above | 50% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC PROTHROMBIN TIME PT | $134.50 | $269.00 | — | — | 50% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 HC DRUGS OF ABUSE PANEL PLUS TCA | $455.00 | $910.00 | — | 328% above | 50% |
| Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 HC DRUGS OF ABUSE PANEL PLUS TCA | $455.00 | $910.00 | — | — | 50% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 HC BETA STREP A ANTIGEN | $138.50 | $277.00 | — | 40% above | 50% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 HC GROUP A STREP, RAPID AG | $152.50 | $305.00 | — | 54% above | 50% |
| Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 HC BETA STREP A ANTIGEN | $138.50 | $277.00 | — | — | 50% |
| Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 HC GROUP A STREP, RAPID AG | $152.50 | $305.00 | — | — | 50% |
| Renin blood test CPT 84244 HC RENIN ACTIVITY PLASMA | $87.00 | $174.00 | — | 15% below | 50% |
| Renin blood test inpatient CPT 84244 HC RENIN ACTIVITY PLASMA | $87.00 | $174.00 | — | — | 50% |
| Rh blood typing CPT 86901 HC BLOOD TYPING R H FACTOR | $95.00 | $190.00 | — | 48% above | 50% |
| Rh blood typing CPT 86901 HC WARM AUTOIMMUNE HEMOLYTIC RH | $110.00 | $220.00 | — | 71% above | 50% |
| Rh blood typing CPT 86901 HC DAT NEGATIVE HEMOLYTIC ANEMIA EVAL RH | $110.00 | $220.00 | — | 71% above | 50% |
| Rh blood typing inpatient CPT 86901 HC BLOOD TYPING R H FACTOR | $95.00 | $190.00 | — | — | 50% |
| Rh blood typing inpatient CPT 86901 HC WARM AUTOIMMUNE HEMOLYTIC RH | $110.00 | $220.00 | — | — | 50% |
| Rh blood typing inpatient CPT 86901 HC DAT NEGATIVE HEMOLYTIC ANEMIA EVAL RH | $110.00 | $220.00 | — | — | 50% |
| Rheumatoid factor (RF) test CPT 86431 HC INTERSTITIAL LUNG DISEASE PANEL RF | $9.00 | $18.00 | — | 80% below | 50% |
| Rheumatoid factor (RF) test CPT 86431 HC RHEUMATIOD FACTOR BODY FLUID | $9.00 | $18.00 | — | 80% below | 50% |
| Rheumatoid factor (RF) test CPT 86431 HC RHEUMATOID FACTOR | $174.00 | $348.00 | — | 281% above | 50% |
| Rheumatoid factor (RF) test inpatient CPT 86431 HC RHEUMATIOD FACTOR BODY FLUID | $9.00 | $18.00 | — | — | 50% |
| Rheumatoid factor (RF) test inpatient CPT 86431 HC INTERSTITIAL LUNG DISEASE PANEL RF | $9.00 | $18.00 | — | — | 50% |
| Rheumatoid factor (RF) test inpatient CPT 86431 HC RHEUMATOID FACTOR | $174.00 | $348.00 | — | — | 50% |
| Rubella antibody test (immunity check) CPT 86762 HC TORCH RUBELLA | $9.00 | $18.00 | — | 80% below | 50% |
| Rubella antibody test (immunity check) CPT 86762 HC RUBELLA ANTIBODY IGG | $9.00 | $18.00 | — | 80% below | 50% |
| Rubella antibody test (immunity check) CPT 86762 HC RUBELLA AB, IGM | $9.00 | $18.00 | — | 80% below | 50% |
| Rubella antibody test (immunity check) CPT 86762 HC RUBELLA AB IGG MEIA | $169.50 | $339.00 | — | 268% above | 50% |
| Rubella antibody test (immunity check) one side CPT 86762 HC RUBELLA RT-PCR | $9.00 | $18.00 | — | 80% below | 50% |
| Rubella antibody test (immunity check) inpatient CPT 86762 HC TORCH RUBELLA | $9.00 | $18.00 | — | — | 50% |
| Rubella antibody test (immunity check) inpatient CPT 86762 HC RUBELLA AB, IGM | $9.00 | $18.00 | — | — | 50% |
| Rubella antibody test (immunity check) inpatient CPT 86762 HC RUBELLA ANTIBODY IGG | $9.00 | $18.00 | — | — | 50% |
| Rubella antibody test (immunity check) inpatient CPT 86762 HC RUBELLA AB IGG MEIA | $169.50 | $339.00 | — | — | 50% |
| Rubella antibody test (immunity check) inpatient one side CPT 86762 HC RUBELLA RT-PCR | $9.00 | $18.00 | — | — | 50% |
| Semen analysis: volume, sperm count, motility and morphology CPT 89320 HC SEMEN COUNT & STUDY | $576.50 | $1,153.00 | — | 347% above | 50% |
| Semen analysis: volume, sperm count, motility and morphology inpatient CPT 89320 HC SEMEN COUNT & STUDY | $576.50 | $1,153.00 | — | — | 50% |
| Sodium blood test CPT 84295 HC SODIUM | $130.00 | $260.00 | — | 109% above | 50% |
| Sodium blood test inpatient CPT 84295 HC SODIUM | $130.00 | $260.00 | — | — | 50% |
| Stool ova and parasites exam CPT 87177 HC OVA AND PARASITE SMEAR | $67.00 | $134.00 | — | 2% below | 50% |
| Stool ova and parasites exam CPT 87177 HC OVA & PARASITES | $287.00 | $574.00 | — | 319% above | 50% |
| Stool ova and parasites exam inpatient CPT 87177 HC OVA AND PARASITE SMEAR | $67.00 | $134.00 | — | — | 50% |
| Stool ova and parasites exam inpatient CPT 87177 HC OVA & PARASITES | $287.00 | $574.00 | — | — | 50% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 HC OCCULT BLOOD NEOPLASM SCREEN (POC) | $82.00 | $164.00 | — | 115% above | 50% |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 HC OCCULT BLOOD NEOPLASM SCREEN (POC) | $82.00 | $164.00 | — | — | 50% |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 HC OCCULT BLOOD ICT | $107.00 | $214.00 | — | 59% above | 50% |
| Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 HC OCCULT BLOOD ICT | $107.00 | $214.00 | — | — | 50% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 HC T.PALLIDUM AB BY TP-PA(MHA-TP) | $147.00 | $294.00 | — | 232% above | 50% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 HC SYPHILIS TREPONEMAL IGG | $152.50 | $305.00 | — | 245% above | 50% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 HC FTA-ABS | $157.00 | $314.00 | — | 255% above | 50% |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 HC T.PALLIDUM AB BY TP-PA(MHA-TP) | $147.00 | $294.00 | — | — | 50% |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 HC SYPHILIS TREPONEMAL IGG | $152.50 | $305.00 | — | — | 50% |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 HC FTA-ABS | $157.00 | $314.00 | — | — | 50% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC RPR SEROLOGY QUALITATIVE | $184.00 | $368.00 | — | 349% above | 50% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC VDRL, CSF SCREEN | $193.00 | $386.00 | — | 371% above | 50% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC RPR SEROLOGY QUALITATIVE | $184.00 | $368.00 | — | — | 50% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC VDRL, CSF SCREEN | $193.00 | $386.00 | — | — | 50% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 HC QUANTIFERON-TB GOLD IN-TUBE | $47.00 | $94.00 | — | 76% below | 50% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 HC T-SPOT-TB | $47.00 | $94.00 | — | 76% below | 50% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 HC TB IN-TUBE QUANTIFERON | $319.50 | $639.00 | — | 62% above | 50% |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 HC T-SPOT-TB | $47.00 | $94.00 | — | — | 50% |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 HC QUANTIFERON-TB GOLD IN-TUBE | $47.00 | $94.00 | — | — | 50% |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 HC TB IN-TUBE QUANTIFERON | $319.50 | $639.00 | — | — | 50% |
| Testosterone blood test, total (not free testosterone) CPT 84403 HC TESTOSTERONE TOTAL MALE ADULT | $15.00 | $30.00 | — | 85% below | 50% |
| Testosterone blood test, total (not free testosterone) CPT 84403 HC TESTOSTERONE BIOAVAILABLE TOTAL | $15.00 | $30.00 | — | 85% below | 50% |
| Testosterone blood test, total (not free testosterone) CPT 84403 HC TESTOSTERONE TOTAL F/C | $15.00 | $30.00 | — | 85% below | 50% |
| Testosterone blood test, total (not free testosterone) CPT 84403 HC TESTOSTERONE, FEMALE/CHILD TOTAL | $15.00 | $30.00 | — | 85% below | 50% |
| Testosterone blood test, total (not free testosterone) CPT 84403 HC TESTOSTERONE FEMALES/CHILDREN TOTAL | $133.50 | $267.00 | — | 35% above | 50% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HC TESTOSTERONE TOTAL MALE ADULT | $15.00 | $30.00 | — | — | 50% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HC TESTOSTERONE BIOAVAILABLE TOTAL | $15.00 | $30.00 | — | — | 50% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HC TESTOSTERONE TOTAL F/C | $15.00 | $30.00 | — | — | 50% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HC TESTOSTERONE, FEMALE/CHILD TOTAL | $15.00 | $30.00 | — | — | 50% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HC TESTOSTERONE FEMALES/CHILDREN TOTAL | $133.50 | $267.00 | — | — | 50% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 HC LIVER-KIDNEY-MICROSOME ABS, IGG | $14.00 | $28.00 | — | 83% below | 50% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 HC AUTOIMMUNE HEPATITIS MICROSOMAL | $14.00 | $28.00 | — | 83% below | 50% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 HC TPO THYROID PEROXIDASE AB | $14.00 | $28.00 | — | 83% below | 50% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 HC THYROIDPEROXIDASE ANTIBODY | $122.50 | $245.00 | — | 47% above | 50% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HC LIVER-KIDNEY-MICROSOME ABS, IGG | $14.00 | $28.00 | — | — | 50% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HC TPO THYROID PEROXIDASE AB | $14.00 | $28.00 | — | — | 50% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HC AUTOIMMUNE HEPATITIS MICROSOMAL | $14.00 | $28.00 | — | — | 50% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HC THYROIDPEROXIDASE ANTIBODY | $122.50 | $245.00 | — | — | 50% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC TSH WITH HAMA TREATMENT QUEST | $10.50 | $21.00 | — | 90% below | 50% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC TSH | $362.00 | $724.00 | — | 229% above | 50% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC TSH WITH HAMA TREATMENT QUEST | $10.50 | $21.00 | — | — | 50% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC TSH | $362.00 | $724.00 | — | — | 50% |
| Total IgE blood test CPT 82785 HC IMMUNOGLOBULIN E | $8.00 | $16.00 | — | 90% below | 50% |
| Total IgE blood test CPT 82785 HC ABPA IGE TOTAL (ALLERGIC BRONCOPULMONARY ASPERGILLOSIS) | $8.00 | $16.00 | — | 90% below | 50% |
| Total IgE blood test CPT 82785 HC IGE TOTAL | $8.00 | $16.00 | — | 90% below | 50% |
| Total IgE blood test CPT 82785 HC TOTAL IGE | $133.50 | $267.00 | — | 64% above | 50% |
| Total IgE blood test inpatient CPT 82785 HC IMMUNOGLOBULIN E | $8.00 | $16.00 | — | — | 50% |
| Total IgE blood test inpatient CPT 82785 HC ABPA IGE TOTAL (ALLERGIC BRONCOPULMONARY ASPERGILLOSIS) | $8.00 | $16.00 | — | — | 50% |
| Total IgE blood test inpatient CPT 82785 HC IGE TOTAL | $8.00 | $16.00 | — | — | 50% |
| Total IgE blood test inpatient CPT 82785 HC TOTAL IGE | $133.50 | $267.00 | — | — | 50% |
| Total cholesterol blood test CPT 82465 HC CVRMP CHOLESTEROL | $9.50 | $19.00 | — | 83% below | 50% |
| Total cholesterol blood test CPT 82465 HC CHOLESTEROL SO | $9.50 | $19.00 | — | 83% below | 50% |
| Total cholesterol blood test CPT 82465 HC CARDIAC IQ CHOLESTEROL | $9.50 | $19.00 | — | 83% below | 50% |
| Total cholesterol blood test CPT 82465 HC LIPOPROTEIN METABOLISM CHOLESTEROL | $9.50 | $19.00 | — | 83% below | 50% |
| Total cholesterol blood test CPT 82465 HC CHOLESTEROL | $219.00 | $438.00 | — | 292% above | 50% |
| Total cholesterol blood test inpatient CPT 82465 HC LIPOPROTEIN METABOLISM CHOLESTEROL | $9.50 | $19.00 | — | — | 50% |
| Total cholesterol blood test inpatient CPT 82465 HC CHOLESTEROL SO | $9.50 | $19.00 | — | — | 50% |
| Total cholesterol blood test inpatient CPT 82465 HC CARDIAC IQ CHOLESTEROL | $9.50 | $19.00 | — | — | 50% |
| Total cholesterol blood test inpatient CPT 82465 HC CVRMP CHOLESTEROL | $9.50 | $19.00 | — | — | 50% |
| Total cholesterol blood test inpatient CPT 82465 HC CHOLESTEROL | $219.00 | $438.00 | — | — | 50% |
| Total thyroxine (T4) blood test CPT 84436 HC THYROID PANEL THYROXINE | $8.00 | $16.00 | — | 90% below | 50% |
| Total thyroxine (T4) blood test CPT 84436 HC T4 TOTAL | $310.00 | $620.00 | — | 286% above | 50% |
| Total thyroxine (T4) blood test inpatient CPT 84436 HC THYROID PANEL THYROXINE | $8.00 | $16.00 | — | — | 50% |
| Total thyroxine (T4) blood test inpatient CPT 84436 HC T4 TOTAL | $310.00 | $620.00 | — | — | 50% |
| Total triiodothyronine (T3) blood test CPT 84480 HC T3 TOTAL | $261.00 | $522.00 | — | 109% above | 50% |
| Total triiodothyronine (T3) blood test inpatient CPT 84480 HC T3 TOTAL | $261.00 | $522.00 | — | — | 50% |
| Transferrin blood test CPT 84466 HC TRANSFERRIN | $139.00 | $278.00 | — | 17% above | 50% |
| Transferrin blood test inpatient CPT 84466 HC TRANSFERRIN | $139.00 | $278.00 | — | — | 50% |
| Trichomonas test (NAAT) CPT 87661 HC VAGINITIS PANEL TRICHOMONAS | $60.00 | $120.00 | — | 31% below | 50% |
| Trichomonas test (NAAT) CPT 87661 HC TRICHOMONAS VAGINALIS TMA | $60.00 | $120.00 | — | 31% below | 50% |
| Trichomonas test (NAAT) CPT 87661 HC VAGINITIS PLUS T VAGINALIS | $60.00 | $120.00 | — | 31% below | 50% |
| Trichomonas test (NAAT) CPT 87661 HC TRICHOMONAS VAGINALIS, AMPLIFIED PROBE TECHNIQUE | $172.50 | $345.00 | — | 97% above | 50% |
| Trichomonas test (NAAT) inpatient CPT 87661 HC VAGINITIS PANEL TRICHOMONAS | $60.00 | $120.00 | — | — | 50% |
| Trichomonas test (NAAT) inpatient CPT 87661 HC VAGINITIS PLUS T VAGINALIS | $60.00 | $120.00 | — | — | 50% |
| Trichomonas test (NAAT) inpatient CPT 87661 HC TRICHOMONAS VAGINALIS TMA | $60.00 | $120.00 | — | — | 50% |
| Trichomonas test (NAAT) inpatient CPT 87661 HC TRICHOMONAS VAGINALIS, AMPLIFIED PROBE TECHNIQUE | $172.50 | $345.00 | — | — | 50% |
| Triglycerides blood test CPT 84478 HC LIPOPROTEIN METABOLISM TRIGLYCERIDES | $8.50 | $17.00 | — | 88% below | 50% |
| Triglycerides blood test CPT 84478 HC CVRMP TRIGLYCERIDES | $8.50 | $17.00 | — | 88% below | 50% |
| Triglycerides blood test CPT 84478 HC CARDIAC IQ TRIGLYCERIDES | $8.50 | $17.00 | — | 88% below | 50% |
| Triglycerides blood test CPT 84478 HC LIPID ANAL BF TRIGLYCERIDES | $8.50 | $17.00 | — | 88% below | 50% |
| Triglycerides blood test CPT 84478 HC TRIGLYCERIDES SO | $8.50 | $17.00 | — | 88% below | 50% |
| Triglycerides blood test CPT 84478 HC TRIGLYCERIDES | $188.50 | $377.00 | — | 173% above | 50% |
| Triglycerides blood test inpatient CPT 84478 HC LIPOPROTEIN METABOLISM TRIGLYCERIDES | $8.50 | $17.00 | — | — | 50% |
| Triglycerides blood test inpatient CPT 84478 HC CARDIAC IQ TRIGLYCERIDES | $8.50 | $17.00 | — | — | 50% |
| Triglycerides blood test inpatient CPT 84478 HC TRIGLYCERIDES SO | $8.50 | $17.00 | — | — | 50% |
| Triglycerides blood test inpatient CPT 84478 HC LIPID ANAL BF TRIGLYCERIDES | $8.50 | $17.00 | — | — | 50% |
| Triglycerides blood test inpatient CPT 84478 HC CVRMP TRIGLYCERIDES | $8.50 | $17.00 | — | — | 50% |
| Triglycerides blood test inpatient CPT 84478 HC TRIGLYCERIDES | $188.50 | $377.00 | — | — | 50% |
| Troponin test, quantitative CPT 84484 HC TROPONIN | $283.00 | $566.00 | — | 148% above | 50% |
| Troponin test, quantitative CPT 84484 HC TROPONIN QUANTITATIVE | $337.00 | $674.00 | — | 196% above | 50% |
| Troponin test, quantitative inpatient CPT 84484 HC TROPONIN | $283.00 | $566.00 | — | — | 50% |
| Troponin test, quantitative inpatient CPT 84484 HC TROPONIN QUANTITATIVE | $337.00 | $674.00 | — | — | 50% |
| Uric acid blood test CPT 84550 HC URIC ACID | $290.50 | $581.00 | — | 271% above | 50% |
| Uric acid blood test inpatient CPT 84550 HC URIC ACID | $290.50 | $581.00 | — | — | 50% |
| Urinalysis with microscope exam, automated CPT 81001 HC URINALYSIS CHEMICAL & MICRO | $273.00 | $546.00 | — | 192% above | 50% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 HC URINALYSIS CHEMICAL & MICRO | $273.00 | $546.00 | — | — | 50% |
| Urinalysis with microscope exam, manual CPT 81000 HC URINE, DIP STICK | $139.00 | $278.00 | — | 253% above | 50% |
| Urinalysis with microscope exam, manual inpatient CPT 81000 HC URINE, DIP STICK | $139.00 | $278.00 | — | — | 50% |
| Urinalysis without microscope exam, automated CPT 81003 HC URINALYSIS CHEMICAL | $193.00 | $386.00 | — | 298% above | 50% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HC URINALYSIS CHEMICAL | $193.00 | $386.00 | — | — | 50% |
| Urinalysis without microscope exam, manual CPT 81002 HC URINALYSIS DIPSTICK (POC) | $57.00 | $114.00 | — | 90% above | 50% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 HC URINALYSIS DIPSTICK (POC) | $57.00 | $114.00 | — | — | 50% |
| Urine microalbumin (albumin) test CPT 82043 HC MICROALBUMIN URINE | $132.00 | $264.00 | — | 159% above | 50% |
| Urine microalbumin (albumin) test inpatient CPT 82043 HC MICROALBUMIN URINE | $132.00 | $264.00 | — | — | 50% |
| Urine pregnancy test, read by color change CPT 81025 HC PREGNANCY TEST URINE (POC) | $190.00 | $380.00 | — | 135% above | 50% |
| Urine pregnancy test, read by color change inpatient CPT 81025 HC PREGNANCY TEST URINE (POC) | $190.00 | $380.00 | — | — | 50% |
| Vitamin B12 (cobalamin) blood test CPT 82607 HC VITAMIN B-12 SERUM | $304.00 | $608.00 | — | 235% above | 50% |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 HC VITAMIN B-12 SERUM | $304.00 | $608.00 | — | — | 50% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HC 25HDN 25 D2 D3 | $20.00 | $40.00 | — | 83% below | 50% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HC REF - CALCITRIOL | $20.00 | $40.00 | — | 83% below | 50% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HC VITAMIN D2,D3 25 OH | $20.00 | $40.00 | — | 83% below | 50% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HC 25 HYDROXY VITAMIN D | $308.00 | $616.00 | — | 158% above | 50% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 HC REF - CALCITRIOL | $20.00 | $40.00 | — | — | 50% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 HC VITAMIN D2,D3 25 OH | $20.00 | $40.00 | — | — | 50% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 HC 25HDN 25 D2 D3 | $20.00 | $40.00 | — | — | 50% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 HC 25 HYDROXY VITAMIN D | $308.00 | $616.00 | — | — | 50% |
| Vitamin D, 1,25-dihydroxy blood test CPT 82652 HC VIT D 1 25 DIHYDROXY LC-MS/MS | $229.00 | $458.00 | — | 49% above | 50% |
| Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 HC VIT D 1 25 DIHYDROXY LC-MS/MS | $229.00 | $458.00 | — | — | 50% |
| Zinc blood test CPT 84630 HC ZINC SERUM SO | $20.50 | $41.00 | — | 70% below | 50% |
| Zinc blood test inpatient CPT 84630 HC ZINC SERUM SO | $20.50 | $41.00 | — | — | 50% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HC ISTAT B-HCG | $150.00 | $300.00 | — | 34% above | 50% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HC HCG QUANTITATIVE | $288.00 | $576.00 | — | 156% above | 50% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HC ISTAT B-HCG | $150.00 | $300.00 | — | — | 50% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HC HCG QUANTITATIVE | $288.00 | $576.00 | — | — | 50% |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Texas | Off list |
|---|---|---|---|---|---|
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 HC BX BREAST 1ST LESION STRTCTC | $10,138.50 | $20,277.00 | — | 190% above | 50% |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 HC BX BREAST 1ST LESION STRTCTC | $10,138.50 | $20,277.00 | — | — | 50% |
| Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 HC FX DIST FIB MALL CLSD W/O MANI | $654.50 | $1,309.00 | — | 40% above | 50% |
| Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 HC FX DIST FIB MALL CLSD W/O MANI | $654.50 | $1,309.00 | — | — | 50% |
| Broken foot (metatarsal) treatment without surgery or setting CPT 28470 HC FX METATARSAL CLSD WO MANIP EA | $656.00 | $1,312.00 | — | 134% above | 50% |
| Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 HC FX METATARSAL CLSD WO MANIP EA | $656.00 | $1,312.00 | — | — | 50% |
| Cardiac catheterization with coronary angiogram CPT 93458 HC CATH PLCMT L HRT ART/LV GRAM | $5,950.50 | $11,901.00 | — | 43% below | 50% |
| Cardiac catheterization with coronary angiogram inpatient CPT 93458 HC CATH PLCMT L HRT ART/LV GRAM | $5,950.50 | $11,901.00 | — | — | 50% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 HC CARDIOVERSION ELECTIVE EXTERNAL | $2,370.00 | $4,740.00 | — | 78% above | 50% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 HC CARDIOVERSION ELECTIVE EXTERNAL | $2,370.00 | $4,740.00 | — | — | 50% |
| Catheter ablation for atrial fibrillation CPT 93656 HC TX ATRIAL FIB PULM VEIN ISOL | $29,642.50 | $59,285.00 | — | 2% below | 50% |
| Catheter ablation for atrial fibrillation inpatient CPT 93656 HC TX ATRIAL FIB PULM VEIN ISOL | $29,642.50 | $59,285.00 | — | — | 50% |
| Cervical biopsy CPT 57500 HC BIOPSY OF CERVIX | $3,085.50 | $6,171.00 | — | 167% above | 50% |
| Cervical biopsy inpatient CPT 57500 HC BIOPSY OF CERVIX | $3,085.50 | $6,171.00 | — | — | 50% |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 HC CIRCUMCISION PROCEDURE | $314.00 | $628.00 | — | 74% below | 50% |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 HC CIRCUMCISION PROCEDURE | $314.00 | $628.00 | — | — | 50% |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 HC FX DIST RAD EPI CLSD W/O MANIP | $788.50 | $1,577.00 | — | 74% above | 50% |
| Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 HC FX DIST RAD EPI CLSD W/O MANIP | $788.50 | $1,577.00 | — | — | 50% |
| Colonoscopy with endoscopic ultrasound CPT 45391 HC COLON W EUS | $808.00 | $1,616.00 | — | 24% below | 50% |
| Colonoscopy with endoscopic ultrasound inpatient CPT 45391 HC COLON W EUS | $808.00 | $1,616.00 | — | — | 50% |
| Colonoscopy with polyp removal CPT 45385 HC COLON W LES REM SNARE | $653.00 | $1,306.00 | — | 50% below | 50% |
| Colonoscopy with polyp removal inpatient CPT 45385 HC COLON W LES REM SNARE | $653.00 | $1,306.00 | — | — | 50% |
| Colonoscopy with tissue sample CPT 45380 HC COLONSCOPY W/BIOPSY & LAVAGE | $895.50 | $1,791.00 | — | 37% below | 50% |
| Colonoscopy with tissue sample inpatient CPT 45380 HC COLONSCOPY W/BIOPSY & LAVAGE | $895.50 | $1,791.00 | — | — | 50% |
| Colonoscopy, diagnostic CPT 45378 HC COLON DIAGNOSTIC W/BRUSH OR WASH WHEN PFRMD | $866.00 | $1,732.00 | — | 44% below | 50% |
| Colonoscopy, diagnostic inpatient CPT 45378 HC COLON DIAGNOSTIC W/BRUSH OR WASH WHEN PFRMD | $866.00 | $1,732.00 | — | — | 50% |
| Coronary stent placement, one artery CPT 92928 HC PRQ CARD STENT W/ANGIO 1 VSL | $13,590.00 | $27,180.00 | — | 16% above | 50% |
| Coronary stent placement, one artery inpatient CPT 92928 HC PRQ CARD STENT W/ANGIO 1 VSL | $13,590.00 | $27,180.00 | — | — | 50% |
| Cystoscopy with ureteral stent placement CPT 52332 HC CYSTOURETHROSCOPY, WITH INSERTION OF INDWELLING | $1,217.50 | $2,435.00 | — | 72% below | 50% |
| Cystoscopy with ureteral stent placement inpatient CPT 52332 HC CYSTOURETHROSCOPY, WITH INSERTION OF INDWELLING | $1,217.50 | $2,435.00 | — | — | 50% |
| Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 HC CYSTROURETHROSCOPY | $467.50 | $935.00 | — | 59% below | 50% |
| Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 HC CYSTROURETHROSCOPY | $467.50 | $935.00 | — | — | 50% |
| D&C (dilation and curettage), not related to pregnancy CPT 58120 HC DILATION AND CURETTAGE(NON-OB) | $6,103.00 | $12,206.00 | — | 50% above | 50% |
| D&C (dilation and curettage), not related to pregnancy inpatient CPT 58120 HC DILATION AND CURETTAGE(NON-OB) | $6,103.00 | $12,206.00 | — | — | 50% |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 HC DESTR BENIGN LESION 1ST | $357.50 | $715.00 | — | 79% above | 50% |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 HC DESTR BENIGN LESION 1ST | $357.50 | $715.00 | — | — | 50% |
| Earwax removal by irrigation (rinsing), one ear CPT 69209 HC EAR REMOVAL IRRIGATION UNILATE | $206.00 | $412.00 | — | 85% above | 50% |
| Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 HC EAR REMOVAL IRRIGATION UNILATE | $206.00 | $412.00 | — | — | 50% |
| Earwax removal with instruments, one ear CPT 69210 HC REM IMPACTED EAR WAX UNIL | $585.00 | $1,170.00 | — | 372% above | 50% |
| Earwax removal with instruments, one ear inpatient CPT 69210 HC REM IMPACTED EAR WAX UNIL | $585.00 | $1,170.00 | — | — | 50% |
| Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 HC BIOPSY UTERUS LINING WO DILAT | $616.00 | $1,232.00 | — | 67% above | 50% |
| Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 HC BIOPSY UTERUS LINING WO DILAT | $616.00 | $1,232.00 | — | — | 50% |
| Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 HC INJECT EPIDURAL/SUBAR CERV/THOR W IMAG | $886.00 | $1,772.00 | — | 38% below | 50% |
| Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 HC INJECT EPIDURAL/SUBAR CERV/THOR W IMAG | $886.00 | $1,772.00 | — | — | 50% |
| Facet joint injection, lower back, one level, with imaging guidance CPT 64493 HC PVRT FACET JT LMBR/SAC 1 LEVEL | $3,207.00 | $6,414.00 | — | 85% above | 50% |
| Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 HC PVRT FACET JT LMBR/SAC 1 LEVEL | $3,207.00 | $6,414.00 | — | — | 50% |
| Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 HC SIGMOID FLEX DX W/WO COLLJ SPEC | $535.50 | $1,071.00 | — | 38% below | 50% |
| Flexible sigmoidoscopy, diagnostic (lower colon only) inpatient CPT 45330 HC SIGMOID FLEX DX W/WO COLLJ SPEC | $535.50 | $1,071.00 | — | — | 50% |
| Hemorrhoid banding (rubber band ligation) CPT 46221 HC HEMORRHOIDECTOMY SIMPLE LIGATN | $1,952.00 | $3,904.00 | — | 119% above | 50% |
| Hemorrhoid banding (rubber band ligation) inpatient CPT 46221 HC HEMORRHOIDECTOMY SIMPLE LIGATN | $1,952.00 | $3,904.00 | — | — | 50% |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 HC CATH & SALINE/CONTRAST FOR SIS/HYSTEROGRAPHY | $496.00 | $992.00 | — | 32% above | 50% |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 HC CATH & SALINE/CONTRAST FOR SIS/HYSTEROGRAPHY | $496.00 | $992.00 | — | — | 50% |
| Incision and drainage of a simple or single skin abscess CPT 10060 HC I&D ABCESS SIMPLE OR SINGLE | $911.50 | $1,823.00 | — | 103% above | 50% |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 HC I&D ABCESS SIMPLE OR SINGLE | $911.50 | $1,823.00 | — | — | 50% |
| Inguinal (groin) hernia repair, age 5 or older CPT 49505 HC REPAIR INGUINAL HERNIA-REDUCIB | $7,802.00 | $15,604.00 | — | 26% above | 50% |
| Inguinal (groin) hernia repair, age 5 or older inpatient CPT 49505 HC REPAIR INGUINAL HERNIA-REDUCIB | $7,802.00 | $15,604.00 | — | — | 50% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 HC INJECTION TENDON SHEATH/LIGAME | $597.00 | $1,194.00 | — | 48% above | 50% |
| Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 HC INJECTION TENDON SHEATH/LIGAME | $597.00 | $1,194.00 | — | — | 50% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HC ARTHRO/ASPIR/INJ MJR JNT/BURSA WO US | $1,337.00 | $2,674.00 | — | 126% above | 50% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 HC ARTHRO/ASPIR/INJ MJR JNT/BURSA WO US | $1,337.00 | $2,674.00 | — | — | 50% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 HC ARTHRO/ASPIR/INJ INTMD JNT/BURSA WO US | $1,314.50 | $2,629.00 | — | 123% above | 50% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 HC ARTHRO/ASPIR/INJ INTMD JNT/BURSA WO US | $1,314.50 | $2,629.00 | — | — | 50% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 HC ARTHRO/ASPIR/INJ SML JNT/BURSA WO US | $571.00 | $1,142.00 | — | 35% above | 50% |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 HC ARTHRO/ASPIR/INJ SML JNT/BURSA WO US | $571.00 | $1,142.00 | — | — | 50% |
| Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 HC LAPAROSCOPY APPENDECTOMY | $13,546.50 | $27,093.00 | — | 91% above | 50% |
| Laparoscopic appendectomy (appendix removal through small cuts) inpatient CPT 44970 HC LAPAROSCOPY APPENDECTOMY | $13,546.50 | $27,093.00 | — | — | 50% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 HC REPAIR INTMD S/A/R/EXT 2.5CM/< | $783.00 | $1,566.00 | — | 47% above | 50% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 HC REPAIR INTMD S/A/R/EXT 2.5CM/< | $783.00 | $1,566.00 | — | — | 50% |
| Left heart catheterization, diagnostic one side CPT 93452 HC LEFT HRT CATH W/LV GRAM | $8,192.00 | $16,384.00 | — | 12% below | 50% |
| Left heart catheterization, diagnostic inpatient one side CPT 93452 HC LEFT HRT CATH W/LV GRAM | $8,192.00 | $16,384.00 | — | — | 50% |
| Lower-back epidural injection, with imaging guidance CPT 62323 HC INJECT EPIDURAL/SUBAR LUMBAR/SACRAL W IMAG | $1,675.50 | $3,351.00 | — | at median | 50% |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 HC INJECT EPIDURAL/SUBAR LUMBAR/SACRAL W IMAG | $1,675.50 | $3,351.00 | — | — | 50% |
| Lower-back epidural injection, without imaging guidance CPT 62322 HC INJECT EPIDURAL/SUBAR LUMBAR/SACRAL WO IMAG | $3,031.50 | $6,063.00 | — | 146% above | 50% |
| Lower-back epidural injection, without imaging guidance inpatient CPT 62322 HC INJECT EPIDURAL/SUBAR LUMBAR/SACRAL WO IMAG | $3,031.50 | $6,063.00 | — | — | 50% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 HC INJ EPID LUM/SACRAL UNI W IMG | $4,482.00 | $8,964.00 | — | 204% above | 50% |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 HC INJ EPID LUM/SACRAL UNI W IMG | $4,482.00 | $8,964.00 | — | — | 50% |
| Miscarriage treatment with D&C, first trimester CPT 59820 HC CARE OF MISCARRIAGE | $6,426.00 | $12,852.00 | — | 77% above | 50% |
| Miscarriage treatment with D&C, first trimester inpatient CPT 59820 HC CARE OF MISCARRIAGE | $6,426.00 | $12,852.00 | — | — | 50% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 HC EXC BENIGN LES TAL .5CM OR < | $2,246.50 | $4,493.00 | — | 179% above | 50% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 HC EXC BENIGN LES TAL .5CM OR < | $2,246.50 | $4,493.00 | — | — | 50% |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 HC EXC OTH BENGN LES FEELNM .5/< | $1,464.00 | $2,928.00 | — | 65% above | 50% |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 HC EXC OTH BENGN LES FEELNM .5/< | $1,464.00 | $2,928.00 | — | — | 50% |
| Nail removal (partial or complete), one nail CPT 11730 HC AVULSION NAIL PART/COMP SINGLE | $579.00 | $1,158.00 | — | 105% above | 50% |
| Nail removal (partial or complete), one nail inpatient CPT 11730 HC AVULSION NAIL PART/COMP SINGLE | $579.00 | $1,158.00 | — | — | 50% |
| Occipital nerve block (injection for headaches) CPT 64405 HC NERVE BLOCK INJ GREATER OCCIPITAL | $1,159.00 | $2,318.00 | — | 171% above | 50% |
| Occipital nerve block (injection for headaches) inpatient CPT 64405 HC NERVE BLOCK INJ GREATER OCCIPITAL | $1,159.00 | $2,318.00 | — | — | 50% |
| Pacemaker implant (dual chamber) CPT 33208 HC PACEMAKER INSERT/RPLC AV SEQUE | $11,094.50 | $22,189.00 | — | 42% below | 50% |
| Pacemaker implant (dual chamber) inpatient CPT 33208 HC PACEMAKER INSERT/RPLC AV SEQUE | $11,094.50 | $22,189.00 | — | — | 50% |
| Paracentesis with imaging guidance CPT 49083 HC ABDOMINAL PARACENTESIS W IMAGING | $4,936.50 | $9,873.00 | — | 239% above | 50% |
| Paracentesis with imaging guidance inpatient CPT 49083 HC ABDOMINAL PARACENTESIS W IMAGING | $4,936.50 | $9,873.00 | — | — | 50% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 HC EXCISION NAIL PART/COMP PERMAN | $1,775.00 | $3,550.00 | — | 248% above | 50% |
| Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 HC EXCISION NAIL PART/COMP PERMAN | $1,775.00 | $3,550.00 | — | — | 50% |
| Prostate biopsy CPT 55700 HC BIOPSY PROSTATE PERC NEEDLE | $3,039.50 | $6,079.00 | — | 16% above | 50% |
| Prostate biopsy inpatient CPT 55700 HC BIOPSY PROSTATE PERC NEEDLE | $3,039.50 | $6,079.00 | — | — | 50% |
| Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 HC DESTROY LUMB/SAC FACET JNT SGL | $6,118.00 | $12,236.00 | — | 117% above | 50% |
| Radiofrequency ablation of facet joint nerves, lower back, one level inpatient CPT 64635 HC DESTROY LUMB/SAC FACET JNT SGL | $6,118.00 | $12,236.00 | — | — | 50% |
| Removal of a foreign object under the skin, simple CPT 10120 HC INCIS&REMOV FORGN BODY SIMPLE | $1,200.00 | $2,400.00 | — | 126% above | 50% |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 HC INCIS&REMOV FORGN BODY SIMPLE | $1,200.00 | $2,400.00 | — | — | 50% |
| Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 HC COLON SCREENING, NON HIGH RISK | $782.00 | $1,564.00 | — | at median | 50% |
| Screening colonoscopy for a person at average risk (Medicare code) inpatient HCPCS G0121 HC COLON SCREENING, NON HIGH RISK | $782.00 | $1,564.00 | — | — | 50% |
| Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 HC COLON SCREENING, HIGH RISK | $547.00 | $1,094.00 | — | 53% below | 50% |
| Screening colonoscopy, high risk of colorectal cancer (Medicare code) inpatient HCPCS G0105 HC COLON SCREENING, HIGH RISK | $547.00 | $1,094.00 | — | — | 50% |
| Shock-wave lithotripsy to break up kidney stones (from outside the body) CPT 50590 HC LITHOTRIPSY EXTRCORP SHOCK WAV | $25,155.00 | $50,310.00 | — | 262% above | 50% |
| Shock-wave lithotripsy to break up kidney stones (from outside the body) inpatient CPT 50590 HC LITHOTRIPSY EXTRCORP SHOCK WAV | $25,155.00 | $50,310.00 | — | — | 50% |
| Short arm cast (elbow to hand) CPT 29075 HC CAST - ELBOW TO FINGER | $884.50 | $1,769.00 | — | 217% above | 50% |
| Short arm cast (elbow to hand) inpatient CPT 29075 HC CAST - ELBOW TO FINGER | $884.50 | $1,769.00 | — | — | 50% |
| Short arm splint (forearm and hand) CPT 29125 HC APPLY SHORT HAND SPLINT STATIC | $475.00 | $950.00 | — | 110% above | 50% |
| Short arm splint (forearm and hand) inpatient CPT 29125 HC APPLY SHORT HAND SPLINT STATIC | $475.00 | $950.00 | — | — | 50% |
| Short leg cast (below the knee) CPT 29405 HC CAST - KNEE TO TOE | $1,428.50 | $2,857.00 | — | 321% above | 50% |
| Short leg cast (below the knee) inpatient CPT 29405 HC CAST - KNEE TO TOE | $1,428.50 | $2,857.00 | — | — | 50% |
| Short leg splint (calf to foot) CPT 29515 HC APPLY LOWER LEG SPLINT | $584.00 | $1,168.00 | — | 114% above | 50% |
| Short leg splint (calf to foot) inpatient CPT 29515 HC APPLY LOWER LEG SPLINT | $584.00 | $1,168.00 | — | — | 50% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 HC REPAIR SMPL SCALP/NECK/AX/GEN/TRUNK 2.5CM/< | $591.50 | $1,183.00 | — | 63% above | 50% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 HC REPAIR SMPL SCALP/NECK/AX/GEN/TRUNK 2.5CM/< | $591.50 | $1,183.00 | — | — | 50% |
| Skin biopsy, punch, one lesion CPT 11104 HC PUNCH BIOPSY SKIN SGL LESION | $2,326.00 | $4,652.00 | — | 428% above | 50% |
| Skin biopsy, punch, one lesion inpatient CPT 11104 HC PUNCH BIOPSY SKIN SGL LESION | $2,326.00 | $4,652.00 | — | — | 50% |
| Skin tag removal, up to 15 tags CPT 11200 HC REMOVAL OF SOFT TISSUE | $746.50 | $1,493.00 | — | 146% above | 50% |
| Skin tag removal, up to 15 tags inpatient CPT 11200 HC REMOVAL OF SOFT TISSUE | $746.50 | $1,493.00 | — | — | 50% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 HC SPINAL PUNCTURE LUMBAR DX | $1,360.50 | $2,721.00 | — | 30% above | 50% |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 HC SPINAL PUNCTURE LUMBAR DX | $1,360.50 | $2,721.00 | — | — | 50% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 HC SCALP/NEC/AX/GEN/TRUNK 2.6-7.5 | $562.50 | $1,125.00 | — | 24% above | 50% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 HC SCALP/NEC/AX/GEN/TRUNK 2.6-7.5 | $562.50 | $1,125.00 | — | — | 50% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 HC REPAIR SMPL F/E/E/N/L/M 2.5CM/< | $562.50 | $1,125.00 | — | 44% above | 50% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 HC REPAIR SMPL F/E/E/N/L/M 2.5CM/< | $562.50 | $1,125.00 | — | — | 50% |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 HC TANGENTIAL BIOPSY SKIN SGL LESION | $2,326.00 | $4,652.00 | — | 546% above | 50% |
| Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 HC TANGENTIAL BIOPSY SKIN SGL LESION | $2,326.00 | $4,652.00 | — | — | 50% |
| Thoracentesis with imaging guidance CPT 32555 HC THORACENTESIS ASP PLEU W IMAG | $2,427.00 | $4,854.00 | — | 72% above | 50% |
| Thoracentesis with imaging guidance inpatient CPT 32555 HC THORACENTESIS ASP PLEU W IMAG | $2,427.00 | $4,854.00 | — | — | 50% |
| Trigger point injections, 1 or 2 muscles CPT 20552 HC INJ TRIGGER PTS 1 OR 2 MUSCLES | $1,325.00 | $2,650.00 | — | 200% above | 50% |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 HC INJ TRIGGER PTS 1 OR 2 MUSCLES | $1,325.00 | $2,650.00 | — | — | 50% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 HC BX BREAST 1ST LESION US IMAG | $7,744.00 | $15,488.00 | — | 181% above | 50% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 HC BX BREAST 1ST LESION US IMAG | $7,744.00 | $15,488.00 | — | — | 50% |
| Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 HC EGD FLEX ORAL BALL DIL <30MM | $599.50 | $1,199.00 | — | 59% below | 50% |
| Upper endoscopy (EGD) with balloon widening of the esophagus inpatient CPT 43249 HC EGD FLEX ORAL BALL DIL <30MM | $599.50 | $1,199.00 | — | — | 50% |
| Upper endoscopy (EGD) with biopsy CPT 43239 HC EGD FLEX ORAL BIOPSY | $591.50 | $1,183.00 | — | 50% below | 50% |
| Upper endoscopy (EGD) with biopsy inpatient CPT 43239 HC EGD FLEX ORAL BIOPSY | $591.50 | $1,183.00 | — | — | 50% |
| Upper endoscopy (EGD) with injection into the lining CPT 43236 HC EGD FLEX ORAL SUBMUC INJ | $596.00 | $1,192.00 | — | 19% below | 50% |
| Upper endoscopy (EGD) with injection into the lining inpatient CPT 43236 HC EGD FLEX ORAL SUBMUC INJ | $596.00 | $1,192.00 | — | — | 50% |
| Upper endoscopy (EGD) with polyp removal by snare CPT 43251 HC EGD FLEX ORAL REM LESI SNARE | $486.50 | $973.00 | — | 57% below | 50% |
| Upper endoscopy (EGD) with polyp removal by snare inpatient CPT 43251 HC EGD FLEX ORAL REM LESI SNARE | $486.50 | $973.00 | — | — | 50% |
| Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 HC EGD FLEX ORAL GUIDWIR DIL | $840.00 | $1,680.00 | — | 15% above | 50% |
| Upper endoscopy (EGD) with widening of the esophagus over a guide wire inpatient CPT 43248 HC EGD FLEX ORAL GUIDWIR DIL | $840.00 | $1,680.00 | — | — | 50% |
| Upper endoscopy (EGD), diagnostic CPT 43235 HC EGD FLEX ORAL DIAG | $658.00 | $1,316.00 | — | 55% below | 50% |
| Upper endoscopy (EGD), diagnostic inpatient CPT 43235 HC EGD FLEX ORAL DIAG | $658.00 | $1,316.00 | — | — | 50% |
| Upper endoscopy with drainage of a pseudocyst through the stomach wall CPT 43240 HC EGD FLEX ORAL DRAIN PSEUDOCYST | $1,036.00 | $2,072.00 | — | 22% below | 50% |
| Upper endoscopy with drainage of a pseudocyst through the stomach wall inpatient CPT 43240 HC EGD FLEX ORAL DRAIN PSEUDOCYST | $1,036.00 | $2,072.00 | — | — | 50% |
| Ureteroscopy with laser stone breaking and stent placement CPT 52356 HC CYSTO/URETERO W/LITHOTRIPSY | $4,105.00 | $8,210.00 | — | 23% below | 50% |
| Ureteroscopy with laser stone breaking and stent placement inpatient CPT 52356 HC CYSTO/URETERO W/LITHOTRIPSY | $4,105.00 | $8,210.00 | — | — | 50% |
| Wart removal, up to 14 warts CPT 17110 HC CAUTERIZATION LESION NONCUTAN | $1,216.50 | $2,433.00 | — | 508% above | 50% |
| Wart removal, up to 14 warts inpatient CPT 17110 HC CAUTERIZATION LESION NONCUTAN | $1,216.50 | $2,433.00 | — | — | 50% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 HC DEBRID SUBQ TIS 1ST 20SQCM OR< | $1,999.50 | $3,999.00 | — | 98% above | 50% |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 HC DEBRID SUBQ TIS 1ST 20SQCM OR< | $1,999.50 | $3,999.00 | — | — | 50% |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Texas | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 HC TRANSFUSION BLOOD (BLOOD COMPONENT) SVC | $602.50 | $1,205.00 | — | 21% below | 50% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 HC TRANSFUSION BLOOD (BLOOD COMPONENT) SVC | $602.50 | $1,205.00 | — | — | 50% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC AIRWAY INHALATION TREATMENT | $136.50 | $273.00 | — | 33% below | 50% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC AIRWAY INHALATION TREATMENT | $136.50 | $273.00 | — | — | 50% |
| Chemotherapy IV infusion, first hour CPT 96413 HC CHEMO INFUSION 1.0 HR | $837.50 | $1,675.00 | — | 55% above | 50% |
| Chemotherapy IV infusion, first hour inpatient CPT 96413 HC CHEMO INFUSION 1.0 HR | $837.50 | $1,675.00 | — | — | 50% |
| Critical care, first 30 to 74 minutes CPT 99291 HC ER-CRITICAL CARE LEVEL VI | $4,149.00 | $8,298.00 | — | 63% above | 50% |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 HC ER-CRITICAL CARE LEVEL VI | $4,149.00 | $8,298.00 | — | — | 50% |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 HC EEG AWAKE/DROWSY <41 MINS | $2,247.50 | $4,495.00 | — | 145% above | 50% |
| EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 HC EEG AWAKE/DROWSY <41 MINS | $2,247.50 | $4,495.00 | — | — | 50% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 HC ELECTROCARDIOGRAM | $790.50 | $1,581.00 | — | 191% above | 50% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 HC ELECTROCARDIOGRAM | $790.50 | $1,581.00 | — | — | 50% |
| Electroconvulsive therapy (ECT), one session CPT 90870 HC ELECTROCONVULSIVE THERAPY | $3,058.00 | $6,116.00 | — | 190% above | 50% |
| Electroconvulsive therapy (ECT), one session inpatient CPT 90870 HC ELECTROCONVULSIVE THERAPY | $3,058.00 | $6,116.00 | — | — | 50% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 HC ER VISIT LEVEL I | $418.00 | $836.00 | — | 79% above | 50% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 HC ER VISIT LEVEL I | $418.00 | $836.00 | — | — | 50% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 HC ER VISIT LEVEL II | $728.50 | $1,457.00 | — | 68% above | 50% |
| Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 HC ER VISIT LEVEL II | $728.50 | $1,457.00 | — | — | 50% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 HC ER VISIT LEVEL III | $1,217.50 | $2,435.00 | — | 58% above | 50% |
| Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 HC ER VISIT LEVEL III | $1,217.50 | $2,435.00 | — | — | 50% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 HC ER VISIT LEVEL IV | $1,951.00 | $3,902.00 | — | 51% above | 50% |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 HC ER VISIT LEVEL IV | $1,951.00 | $3,902.00 | — | — | 50% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HC ER VISIT LEVEL V | $2,491.50 | $4,983.00 | — | 40% above | 50% |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 HC ER VISIT LEVEL V | $2,491.50 | $4,983.00 | — | — | 50% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 HC CARDIOVASCULAR STRESS TEST | $3,940.50 | $7,881.00 | — | 215% above | 50% |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 HC CARDIOVASCULAR STRESS TEST | $3,940.50 | $7,881.00 | — | — | 50% |
| Family therapy with the patient, 50 minutes CPT 90847 HC FAMILY PSYCHOTHERAPY W PT 50 MINS | $755.00 | $1,510.00 | — | 168% above | 50% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 HC FAMILY PSYCHOTHERAPY W PT 50 MINS | $755.00 | $1,510.00 | — | — | 50% |
| Group psychotherapy session CPT 90853 HC GROUP PSYCHOTHERAPY SESSION | $594.00 | $1,188.00 | — | 265% above | 50% |
| Group psychotherapy session inpatient CPT 90853 HC GROUP PSYCHOTHERAPY SESSION | $594.00 | $1,188.00 | — | — | 50% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HC IV HYDRATION INIT,31-60 MIN | $763.00 | $1,526.00 | — | 76% above | 50% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HC IV HYDRATION INIT,31-60 MIN | $763.00 | $1,526.00 | — | — | 50% |
| IV infusion of a medicine, first hour CPT 96365 HC INFUSION THERAPY 1.0 HR | $642.00 | $1,284.00 | — | 43% above | 50% |
| IV infusion of a medicine, first hour inpatient CPT 96365 HC INFUSION THERAPY 1.0 HR | $642.00 | $1,284.00 | — | — | 50% |
| IV push of a medicine, first drug CPT 96374 HC INJ IV PUSH SGL OR INITIAL SUB | $228.50 | $457.00 | — | at median | 50% |
| IV push of a medicine, first drug inpatient CPT 96374 HC INJ IV PUSH SGL OR INITIAL SUB | $228.50 | $457.00 | — | — | 50% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 HC INJECTION SQ OR IM EA | $223.50 | $447.00 | — | 52% above | 50% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 HC INJECTION SQ OR IM EA | $223.50 | $447.00 | — | — | 50% |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 HC PSYCH DIAGNOSTIC EVALUATION | $1,119.50 | $2,239.00 | — | 191% above | 50% |
| Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 HC PSYCH DIAGNOSTIC EVALUATION | $1,119.50 | $2,239.00 | — | — | 50% |
| Neuromuscular re-education, 15 minutes CPT 97112 HC NEUROMUSCULAR REEDUCATION 15 MIN | $189.00 | $378.00 | — | 68% above | 50% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 HC NEUROMUSCULAR REEDUCATION 15 MIN | $189.00 | $378.00 | — | — | 50% |
| New patient office visit, about 30 minutes CPT 99203 HC E&M VISIT NEW LOW 30 MINS | $272.00 | $544.00 | — | 20% above | 50% |
| New patient office visit, about 30 minutes inpatient CPT 99203 HC E&M VISIT NEW LOW 30 MINS | $272.00 | $544.00 | — | — | 50% |
| New patient office visit, about 45 minutes CPT 99204 HC E&M VISIT NEW MOD 45 MINS | $313.00 | $626.00 | — | 7% above | 50% |
| New patient office visit, about 45 minutes inpatient CPT 99204 HC E&M VISIT NEW MOD 45 MINS | $313.00 | $626.00 | — | — | 50% |
| New patient office visit, about 60 minutes CPT 99205 HC E&M VISIT NEW HI 60 MINS | $336.00 | $672.00 | — | 15% above | 50% |
| New patient office visit, about 60 minutes inpatient CPT 99205 HC E&M VISIT NEW HI 60 MINS | $336.00 | $672.00 | — | — | 50% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 HC E&M VISIT NEW STRAIGHTFWD 15 MINS | $209.00 | $418.00 | — | 40% above | 50% |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 HC E&M VISIT NEW STRAIGHTFWD 15 MINS | $209.00 | $418.00 | — | — | 50% |
| Occupational therapy evaluation, low complexity CPT 97165 HC OT EVALUATION-LOW 30 MINS | $357.50 | $715.00 | — | 47% above | 50% |
| Occupational therapy evaluation, low complexity inpatient CPT 97165 HC OT EVALUATION-LOW 30 MINS | $357.50 | $715.00 | — | — | 50% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 HC PT EVALUATION-HIGH 45 MINS | $473.50 | $947.00 | — | 64% above | 50% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 HC PT EVALUATION-HIGH 45 MINS | $473.50 | $947.00 | — | — | 50% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 HC PT EVALUATION-LOW | $335.50 | $671.00 | — | 66% above | 50% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 HC PT EVALUATION-LOW | $335.50 | $671.00 | — | — | 50% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 HC PT EVALUATION-MOD 30 MINS | $378.00 | $756.00 | — | 56% above | 50% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 HC PT EVALUATION-MOD 30 MINS | $378.00 | $756.00 | — | — | 50% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HC MANUAL THERAPY PER 15 MINS | $178.00 | $356.00 | — | 61% above | 50% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HC MANUAL THERAPY PER 15 MINS | $178.00 | $356.00 | — | — | 50% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC THERAPEUTIC EXER PER 15MIN | $158.50 | $317.00 | — | 41% above | 50% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC THERAPEUTIC EXER PER 15MIN | $158.50 | $317.00 | — | — | 50% |
| Psychiatric evaluation with medical services CPT 90792 HC PSYCH DIAGNOST EVAL W MED ADMI | $968.50 | $1,937.00 | — | 195% above | 50% |
| Psychiatric evaluation with medical services inpatient CPT 90792 HC PSYCH DIAGNOST EVAL W MED ADMI | $968.50 | $1,937.00 | — | — | 50% |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 HC TOBACCO USE 3-10 MINS | $126.00 | $252.00 | — | 194% above | 50% |
| Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 HC TOBACCO USE 3-10 MINS | $126.00 | $252.00 | — | — | 50% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 HC E&M VISIT EST HI 40 MINS | $309.50 | $619.00 | — | 9% above | 50% |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 HC E&M VISIT EST HI 40 MINS | $309.50 | $619.00 | — | — | 50% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 HC E&M VISIT EST LOW 20 MINS | $204.50 | $409.00 | — | 17% above | 50% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 HC E&M VISIT EST LOW 20 MINS | $204.50 | $409.00 | — | — | 50% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HC E&M VISIT EST MOD 30 MINS | $289.00 | $578.00 | — | 50% above | 50% |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 HC E&M VISIT EST MOD 30 MINS | $289.00 | $578.00 | — | — | 50% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HC E&M VISIT EST STRAIGHTFWD 10 MINS | $164.00 | $328.00 | — | 30% above | 50% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 HC E&M VISIT EST STRAIGHTFWD 10 MINS | $164.00 | $328.00 | — | — | 50% |
| Speech and language evaluation CPT 92523 HC EVAL SLP SOUND & LANG LOW COMPLEX | $342.00 | $684.00 | — | 10% below | 50% |
| Speech and language evaluation inpatient CPT 92523 HC EVAL SLP SOUND & LANG LOW COMPLEX | $342.00 | $684.00 | — | — | 50% |
| Speech therapy session, individual CPT 92507 HC SPEECH THERAPY IND HI COMPLEX | $229.00 | $458.00 | — | 6% above | 50% |
| Speech therapy session, individual inpatient CPT 92507 HC SPEECH THERAPY IND HI COMPLEX | $229.00 | $458.00 | — | — | 50% |
| Spirometry (breathing test) CPT 94010 HC SPIROMETRY | $963.50 | $1,927.00 | — | 170% above | 50% |
| Spirometry (breathing test) inpatient CPT 94010 HC SPIROMETRY | $963.50 | $1,927.00 | — | — | 50% |
| Spirometry before and after a bronchodilator CPT 94060 HC SPIROMETRY PRE & POST BD/EX | $843.50 | $1,687.00 | — | 42% above | 50% |
| Spirometry before and after a bronchodilator inpatient CPT 94060 HC SPIROMETRY PRE & POST BD/EX | $843.50 | $1,687.00 | — | — | 50% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 HC THERAPEUTIC ACTIVITIES PER 15 | $163.00 | $326.00 | — | 45% above | 50% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HC THERAPEUTIC ACTIVITIES PER 15 | $163.00 | $326.00 | — | — | 50% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 HC PHLEBOTOMY THERAPEUTIC | $363.50 | $727.00 | — | 62% above | 50% |
| Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 HC PHLEBOTOMY THERAPEUTIC | $363.50 | $727.00 | — | — | 50% |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Texas | Off list |
|---|---|---|---|---|---|
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC ADMIN IMMUNIZ-ONE VAC OR COMBO | $77.50 | $155.00 | — | 5% above | 50% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC ADMIN IMMUNIZ-ONE VAC OR COMBO | $77.50 | $155.00 | — | — | 50% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 HC ADMIN IMMUNIZ-EACH ADD'L VACC | $58.00 | $116.00 | — | 24% above | 50% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 HC ADMIN IMMUNIZ-EACH ADD'L VACC | $58.00 | $116.00 | — | — | 50% |
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.