Hospital

UPMC Cole

UPMC Cole in Coudersport, PA publishes cash prices for 359 common procedures listed here, from its own machine-readable price file updated Mar 6, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the Pennsylvania median for 202 of 355 procedures and above it for 150. By typical cash price it ranks #46 of 108 Pennsylvania hospitals, cheapest first. Select a procedure to compare it with other hospitals nearby.

1001 East Second Street, Coudersport, PA 16915 Collected Sep 27, 2026 Source price file Check a bill from this hospital (814) 274-9301

Critical access hospital (rural, 25 beds or fewer) Nonprofit hospital Emergency department CMS star rating 4 of 5 CCN 391313 · CMS hospital register NPI 1326161662

Financial assistance

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

UPMC Cole 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 1 action for a hospital named UPMC Cole in Coudersport, PA:

Jul 1, 2025 Met requirements

Met requirements: CMS reviewed the hospital and found it met the requirements, so no further action was taken.

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 Pennsylvania	Off list
Abdominal CT scan without and with contrast CPT 74170 CT ABDOMEN W/WO CONTRAST	$969.00	$1,615.00	$185.29–$1,419.66	49% below	40%
Abdominal CT scan without and with contrast inpatient CPT 74170 CT ABDOMEN W/WO CONTRAST	$969.00	$1,615.00	$1,211.25–$1,292.00	—	40%
Abdominal X-ray, 2 views CPT 74019 ABDOMEN COMPLETE	$110.40	$184.00	$27.11–$462.39	66% below	40%
Abdominal X-ray, 2 views inpatient CPT 74019 ABDOMEN COMPLETE	$110.40	$184.00	$138.00–$147.20	—	40%
Ankle X-ray, complete, 3 or more views CPT 73610 ANKLE	$140.40	$234.00	$33.86–$187.97	61% below	40%
Ankle X-ray, complete, 3 or more views inpatient CPT 73610 ANKLE	$140.40	$234.00	$175.50–$187.20	—	40%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 PHCUS LOWER EXTR ART SEG PRES	$229.20	$382.00	$51.23–$356.12	49% below	40%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 WC ANKLE BRACHIAL INDEX	$276.00	$460.00	$51.23–$377.20	38% below	40%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 PHCUS LOWER EXTR ART SEG PRES	$229.20	$382.00	$286.50–$305.60	—	40%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 WC ANKLE BRACHIAL INDEX	$276.00	$460.00	$345.00–$368.00	—	40%
Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 CT UPPER EXTREMITY W/O CONT	$792.60	$1,321.00	$161.37–$1,279.00	33% below	40%
Arm CT scan without contrast (shoulder to hand, any part) inpatient CPT 73200 CT UPPER EXTREMITY W/O CONT	$792.60	$1,321.00	$990.75–$1,056.80	—	40%
Barium swallow (esophagus X-ray with contrast) CPT 74220 ESOPHAGUS	$249.00	$415.00	$39.38–$465.63	46% below	40%
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 ESOPHAGUS	$249.00	$415.00	$311.25–$332.00	—	40%
Bone scan, whole body (nuclear medicine) CPT 78306 NM BONE SCAN	$829.80	$1,383.00	$106.55–$1,543.45	32% below	40%
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 NM BONE SCAN	$829.80	$1,383.00	$1,037.25–$1,106.40	—	40%
Breast ultrasound, complete, one breast CPT 76641 US BREAST,COMPLETE	$274.20	$457.00	$106.28–$452.56	50% below	40%
Breast ultrasound, complete, one breast inpatient CPT 76641 US BREAST,COMPLETE	$274.20	$457.00	$342.75–$365.60	—	40%
Breast ultrasound, limited (one breast or one area) CPT 76642 US BREAST, LIMITED	$209.40	$349.00	$87.12–$347.58	55% below	40%
Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 US BREAST, LIMITED	$209.40	$349.00	$261.75–$279.20	—	40%
CT angiography (CTA) of the abdomen and pelvis CPT 74174 CT ANGIOGRAPHY ABDOMEN W/PELVS	$1,027.20	$1,712.00	$406.23–$3,859.74	66% below	40%
CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 CT ANGIOGRAPHY ABDOMEN W/PELVS	$1,027.20	$1,712.00	$1,284.00–$1,369.60	—	40%
CT angiography (CTA) of the head CPT 70496 CT ANGIO HEAD W/VIZ.AI	$999.00	$1,665.00	$275.78–$1,332.00	42% below	40%
CT angiography (CTA) of the head CPT 70496 CT ANGIOGRAPHY HEAD	$999.00	$1,665.00	$275.78–$1,332.00	42% below	40%
CT angiography (CTA) of the head inpatient CPT 70496 CT ANGIO HEAD W/VIZ.AI	$999.00	$1,665.00	$1,248.75–$1,332.00	—	40%
CT angiography (CTA) of the head inpatient CPT 70496 CT ANGIOGRAPHY HEAD	$999.00	$1,665.00	$1,248.75–$1,332.00	—	40%
CT angiography (CTA) of the neck CPT 70498 CT ANGIOGRAPHY CAROTID(NECK)	$1,004.40	$1,674.00	$275.78–$1,339.20	40% below	40%
CT angiography (CTA) of the neck CPT 70498 CT ANGIO NECK VIZ.AI	$1,004.40	$1,674.00	$275.78–$1,339.20	40% below	40%
CT angiography (CTA) of the neck inpatient CPT 70498 CT ANGIO NECK VIZ.AI	$1,004.40	$1,674.00	$1,255.50–$1,339.20	—	40%
CT angiography (CTA) of the neck inpatient CPT 70498 CT ANGIOGRAPHY CAROTID(NECK)	$1,004.40	$1,674.00	$1,255.50–$1,339.20	—	40%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT ANGIOGRAPHY CHEST	$1,119.60	$1,866.00	$279.43–$1,492.80	42% below	40%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CT ANGIOGRAPHY CHEST	$1,119.60	$1,866.00	$1,399.50–$1,492.80	—	40%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT CARDIAC CALCIUM SCORING	$126.00	$210.00	$58.21–$1,279.00	29% below	40%
CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 CT CARDIAC CALCIUM SCORING	$126.00	$210.00	$157.50–$168.00	—	40%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABDOMEN & PELVIS W/O CONTR	$1,185.60	$1,976.00	$176.70–$2,682.79	43% below	40%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT ABDOMEN & PELVIS W/O CONTR	$1,185.60	$1,976.00	$1,482.00–$1,580.80	—	40%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABDOMEN & PELVIS W/CONTRAST	$1,431.00	$2,385.00	$276.32–$3,952.42	52% below	40%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABDOMEN & PELVIS W/CONTRAST	$1,431.00	$2,385.00	$1,788.75–$1,908.00	—	40%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABDOMEN & PELVIS W/WO CONT	$1,848.00	$3,080.00	$349.36–$4,601.97	38% below	40%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT ABDOMEN & PELVIS W/WO CONT	$1,848.00	$3,080.00	$2,310.00–$2,464.00	—	40%
CT scan of the abdomen with contrast CPT 74160 CT ABDOMEN W/CONTRAST	$754.20	$1,257.00	$156.50–$1,279.00	54% below	40%
CT scan of the abdomen with contrast inpatient CPT 74160 CT ABDOMEN W/CONTRAST	$754.20	$1,257.00	$942.75–$1,005.60	—	40%
CT scan of the abdomen without contrast CPT 74150 CT ABDOMEN W/O CONT	$590.40	$984.00	$135.45–$1,279.00	48% below	40%
CT scan of the abdomen without contrast inpatient CPT 74150 CT ABDOMEN W/O CONT	$590.40	$984.00	$738.00–$787.20	—	40%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT MAXILLOFACIAL W/O CONT	$1,144.80	$1,908.00	$136.50–$1,526.40	2% above	40%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT MAXILLOFACIAL W/O CONT	$1,144.80	$1,908.00	$1,431.00–$1,526.40	—	40%
CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD W/O CONTRAST VIZ.AI	$753.00	$1,255.00	$115.89–$1,279.00	30% below	40%
CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD W/O CONTRAST-TECH	$753.00	$1,255.00	$115.89–$1,279.00	30% below	40%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT HEAD W/O CONTRAST-TECH	$753.00	$1,255.00	$941.25–$1,004.00	—	40%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT HEAD W/O CONTRAST VIZ.AI	$753.00	$1,255.00	$941.25–$1,004.00	—	40%
CT scan of the head with contrast CPT 70460 CT HEAD W/ CONT	$1,234.80	$2,058.00	$140.70–$1,646.40	9% below	40%
CT scan of the head with contrast inpatient CPT 70460 CT HEAD W/ CONT	$1,234.80	$2,058.00	$1,543.50–$1,646.40	—	40%
CT scan of the head without and with contrast CPT 70470 CT HEAD W/O CONT & W CONT	$1,671.60	$2,786.00	$167.00–$2,228.80	at median	40%
CT scan of the head without and with contrast inpatient CPT 70470 CT HEAD W/O CONT & W CONT	$1,671.60	$2,786.00	$2,089.50–$2,228.80	—	40%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT LUMBAR SPINE W/O CONT	$771.60	$1,286.00	$145.52–$1,279.00	33% below	40%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT LUMBAR SPINE W/O CONT	$771.60	$1,286.00	$964.50–$1,028.80	—	40%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT CERVICAL SPINE W/O CONT	$751.80	$1,253.00	$140.27–$1,279.00	36% below	40%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT CERVICAL SPINE W/O CONT	$751.80	$1,253.00	$939.75–$1,002.40	—	40%
CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W/CONTR & VENOGRAM	$679.80	$1,133.00	$147.09–$1,279.00	60% below	40%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT PELVIS W/CONTR & VENOGRAM	$679.80	$1,133.00	$849.75–$906.40	—	40%
Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 PHCUS CAROTID ARTERIES	$481.20	$802.00	$155.25–$780.06	41% below	40%
Carotid artery ultrasound (duplex), both sides of the neck inpatient CPT 93880 PHCUS CAROTID ARTERIES	$481.20	$802.00	$601.50–$641.60	—	40%
Chest CT scan without and with contrast CPT 71270 CT CHEST W/W/O CONT	$1,992.60	$3,321.00	$175.74–$2,656.80	24% above	40%
Chest CT scan without and with contrast inpatient CPT 71270 CT CHEST W/W/O CONT	$1,992.60	$3,321.00	$2,490.75–$2,656.80	—	40%
Chest X-ray, 2 views CPT 71046 CHEST W/INSTP & EXSP	$150.60	$251.00	$24.82–$200.80	53% below	40%
Chest X-ray, 2 views inpatient CPT 71046 CHEST W/INSTP & EXSP	$150.60	$251.00	$188.25–$200.80	—	40%
Chest X-ray, single view CPT 71045 CHEST 1 VIEW	$102.60	$171.00	$16.25–$136.80	46% below	40%
Chest X-ray, single view inpatient CPT 71045 CHEST 1 VIEW	$102.60	$171.00	$128.25–$136.80	—	40%
Collarbone (clavicle) X-ray, complete CPT 73000 CLAVICLE	$128.40	$214.00	$29.83–$171.20	55% below	40%
Collarbone (clavicle) X-ray, complete inpatient CPT 73000 CLAVICLE	$128.40	$214.00	$160.50–$171.20	—	40%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 PHCUS RETROPERITONEAL	$405.00	$675.00	$85.58–$540.00	44% below	40%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 PHCUS RETROPERITONEAL	$405.00	$675.00	$506.25–$540.00	—	40%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 DEXA BONE DENSITY STUDY	$351.60	$586.00	$38.28–$468.80	29% above	40%
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 DEXA BONE DENSITY STUDY	$351.60	$586.00	$439.50–$468.80	—	40%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 DEXA FOREARM	$104.40	$174.00	$28.85–$142.05	42% below	40%
DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 DEXA FOREARM	$104.40	$174.00	$130.50–$139.20	—	40%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT CHEST WITH HIGH RESOLUTION	$751.80	$1,253.00	$140.27–$1,279.00	32% below	40%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT CHEST WITH HIGH RESOLUTION	$751.80	$1,253.00	$939.75–$1,002.40	—	40%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT CHEST W CONT	$1,725.00	$2,875.00	$152.41–$2,300.00	21% above	40%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT CHEST W CONT	$1,725.00	$2,875.00	$2,156.25–$2,300.00	—	40%
Diagnostic mammogram, both breasts both sides CPT 77066 MAMMO-DIAG BILAT W/WO CAD	$458.40	$764.00	$136.34–$730.23	—	40%
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 MAMMO-DIAG BILAT W/WO CAD	$458.40	$764.00	$573.00–$611.20	—	40%
Diagnostic mammogram, one breast one side CPT 77065 MAMMO-UNILATERAL	$360.00	$600.00	$107.53–$572.83	14% above	40%
Diagnostic mammogram, one breast inpatient one side CPT 77065 MAMMO-UNILATERAL	$360.00	$600.00	$450.00–$480.00	—	40%
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 US LOWER EXTR ART DUPLEX BILAT	$651.00	$1,085.00	$154.15–$1,034.51	—	40%
Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 US LOWER EXTR ART DUPLEX BILAT	$651.00	$1,085.00	$813.75–$868.00	—	40%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 PHCUS LOWER EXTR BILAT VENOUS	$495.00	$825.00	$153.99–$791.91	—	40%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 PHCUS LOWER EXTR BILAT VENOUS	$495.00	$825.00	$618.75–$660.00	—	40%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 ECHOCARDIOGRAM W/CONTRAST	$837.00	$1,395.00	$148.07–$1,143.90	55% below	40%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 ECHOCARDIOGRAM W/CONTRAST	$837.00	$1,395.00	$1,046.25–$1,116.00	—	40%
Elbow X-ray, 2 views CPT 73070 ELBOW 2 VIEWS	$128.40	$214.00	$26.90–$171.20	58% below	40%
Elbow X-ray, 2 views inpatient CPT 73070 ELBOW 2 VIEWS	$128.40	$214.00	$160.50–$171.20	—	40%
Elbow X-ray, complete, 3 or more views CPT 73080 ELBOW 4 VIEWS	$154.20	$257.00	$29.88–$205.60	55% below	40%
Elbow X-ray, complete, 3 or more views inpatient CPT 73080 ELBOW 4 VIEWS	$154.20	$257.00	$192.75–$205.60	—	40%
Eye socket (orbit) CT scan without contrast CPT 70480 CT ORBIT, SEL, EAR, W/O CONT	$904.80	$1,508.00	$175.82–$1,279.00	17% below	40%
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 CT ORBIT, SEL, EAR, W/O CONT	$904.80	$1,508.00	$1,131.00–$1,206.40	—	40%
Facial bones X-ray, complete, 3 or more views CPT 70150 FACIAL BONES COMPLETE	$138.60	$231.00	$35.97–$227.32	66% below	40%
Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 FACIAL BONES COMPLETE	$138.60	$231.00	$173.25–$184.80	—	40%
Forearm X-ray (radius and ulna), 2 views CPT 73090 FOREARM	$128.40	$214.00	$27.02–$171.20	54% below	40%
Forearm X-ray (radius and ulna), 2 views inpatient CPT 73090 FOREARM	$128.40	$214.00	$160.50–$171.20	—	40%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 NM HEPATOBILIARY (HIDA) SCAN	$1,164.00	$1,940.00	$254.16–$1,757.69	5% below	40%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 NM HEPATOBILIARY (HIDA) SCAN	$1,164.00	$1,940.00	$1,455.00–$1,552.00	—	40%
Hand X-ray, 2 views CPT 73120 HAND 2 VIEWS	$125.40	$209.00	$28.91–$167.20	55% below	40%
Hand X-ray, 2 views inpatient CPT 73120 HAND 2 VIEWS	$125.40	$209.00	$156.75–$167.20	—	40%
Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 HEEL	$118.80	$198.00	$26.72–$158.40	55% below	40%
Heel bone (calcaneus) X-ray, 2 or more views inpatient CPT 73650 HEEL	$118.80	$198.00	$148.50–$158.40	—	40%
Knee X-ray, 3 views CPT 73562 KNEE AP/LAT/OBL	$161.40	$269.00	$37.32–$215.20	60% below	40%
Knee X-ray, 3 views inpatient CPT 73562 KNEE AP/LAT/OBL	$161.40	$269.00	$201.75–$215.20	—	40%
Knee X-ray, complete, 4 or more views CPT 73564 KNEE COMPLETE	$215.40	$359.00	$42.48–$287.20	51% below	40%
Knee X-ray, complete, 4 or more views inpatient CPT 73564 KNEE COMPLETE	$215.40	$359.00	$269.25–$287.20	—	40%
Leg CT scan without contrast (hip to foot, any part) CPT 73700 CT LOWER EXTREMITY W/O CONT	$525.60	$876.00	$148.34–$1,279.00	50% below	40%
Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 CT LOWER EXTREMITY W/O CONT	$525.60	$876.00	$657.00–$700.80	—	40%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 PHCUS ABDOMEN LIMITED	$280.80	$468.00	$65.62–$395.72	54% below	40%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 PHCUS ABDOMEN LIMITED	$280.80	$468.00	$351.00–$374.40	—	40%
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 PHCUS EXTREMITY NON VASC LIMIT	$46.20	$77.00	$21.34–$315.22	88% below	40%
Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 PHCUS EXTREMITY NON VASC LIMIT	$46.20	$77.00	$57.75–$61.60	—	40%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT LOW DOSE LUNG SCREENING	$768.60	$1,281.00	$120.74–$1,279.00	94% above	40%
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 CT LOW DOSE LUNG SCREENING	$768.60	$1,281.00	$960.75–$1,024.80	—	40%
Lower leg X-ray (tibia and fibula), 2 views CPT 73590 TIB/FIB	$162.60	$271.00	$29.17–$216.80	51% below	40%
Lower leg X-ray (tibia and fibula), 2 views inpatient CPT 73590 TIB/FIB	$162.60	$271.00	$203.25–$216.80	—	40%
MR angiography (MRA) of the head without contrast CPT 70544 MRI HEAD VENOUS W/O CONTRAST	$1,230.00	$2,050.00	$263.06–$1,977.00	32% below	40%
MR angiography (MRA) of the head without contrast inpatient CPT 70544 MRI HEAD VENOUS W/O CONTRAST	$1,230.00	$2,050.00	$1,537.50–$1,640.00	—	40%
MRI of both breasts, without and then with contrast dye both sides CPT 77049 MRI BILATERAL BREAST W/WO CONT	$2,153.40	$3,589.00	$327.63–$2,871.20	—	40%
MRI of both breasts, without and then with contrast dye inpatient both sides CPT 77049 MRI BILATERAL BREAST W/WO CONT	$2,153.40	$3,589.00	$2,691.75–$2,871.20	—	40%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI LOWER EXT JOINT W/O CONT	$966.60	$1,611.00	$236.03–$1,977.00	53% below	40%
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 MRI LOWER EXT JOINT W/O CONT	$966.60	$1,611.00	$1,208.25–$1,288.80	—	40%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI LOWER EXT JOINT W/WO CONT	$1,857.00	$3,095.00	$468.12–$2,599.74	47% below	40%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 MRI LOWER EXT JOINT W/WO CONT	$1,857.00	$3,095.00	$2,321.25–$2,476.00	—	40%
MRI of the abdomen without contrast CPT 74181 MRI ABDOMEN W/O CONTRAST	$1,335.60	$2,226.00	$240.06–$1,977.00	32% below	40%
MRI of the abdomen without contrast inpatient CPT 74181 MRI ABDOMEN W/O CONTRAST	$1,335.60	$2,226.00	$1,669.50–$1,780.80	—	40%
MRI of the abdomen, without and then with contrast dye CPT 74183 MRI ABDOMEN W/WO CONTRAST	$1,915.20	$3,192.00	$423.03–$2,553.60	46% below	40%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MRI ABDOMEN W/WO CONTRAST	$1,915.20	$3,192.00	$2,394.00–$2,553.60	—	40%
MRI of the brain, no contrast dye CPT 70551 MRI BRAIN W/O CONTRAST	$977.40	$1,629.00	$230.42–$1,977.00	46% below	40%
MRI of the brain, no contrast dye inpatient CPT 70551 MRI BRAIN W/O CONTRAST	$977.40	$1,629.00	$1,221.75–$1,303.20	—	40%
MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN W/WO CONTRAST	$1,909.80	$3,183.00	$355.95–$3,812.26	34% below	40%
MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI BRAIN W/WO CONTRAST	$1,909.80	$3,183.00	$2,387.25–$2,546.40	—	40%
MRI of the lower back, no contrast dye CPT 72148 MRI LUMBAR SPINE W/O CONTRAST	$1,032.00	$1,720.00	$223.32–$1,977.00	42% below	40%
MRI of the lower back, no contrast dye inpatient CPT 72148 MRI LUMBAR SPINE W/O CONTRAST	$1,032.00	$1,720.00	$1,290.00–$1,376.00	—	40%
MRI of the lower back, without and then with contrast dye CPT 72158 MRI LUMBAR SPINE W/WO CONT	$1,907.40	$3,179.00	$355.95–$3,794.78	42% below	40%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MRI LUMBAR SPINE W/WO CONT	$1,907.40	$3,179.00	$2,384.25–$2,543.20	—	40%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI THORACIC SPINE W/O CONT	$1,042.20	$1,737.00	$224.37–$1,977.00	50% below	40%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MRI THORACIC SPINE W/O CONT	$1,042.20	$1,737.00	$1,302.75–$1,389.60	—	40%
MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI CERVICAL SPINE W/WO CONT	$1,924.20	$3,207.00	$355.95–$3,834.32	34% below	40%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MRI CERVICAL SPINE W/WO CONT	$1,924.20	$3,207.00	$2,405.25–$2,565.60	—	40%
MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI CERVICAL SPINE W/O CONT	$981.60	$1,636.00	$224.02–$1,977.00	44% below	40%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MRI CERVICAL SPINE W/O CONT	$981.60	$1,636.00	$1,227.00–$1,308.80	—	40%
MRI of the pelvis without and with contrast CPT 72197 MRI PELVIS W/WO CONTRAST	$1,912.20	$3,187.00	$422.26–$2,549.60	46% below	40%
MRI of the pelvis without and with contrast inpatient CPT 72197 MRI PELVIS W/WO CONTRAST	$1,912.20	$3,187.00	$2,390.25–$2,549.60	—	40%
MRI of the pelvis, no contrast dye CPT 72195 MRI PELVIS W/O CONTRAST	$1,230.00	$2,050.00	$284.41–$1,977.00	37% below	40%
MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI PELVIS W/O CONTRAST	$1,230.00	$2,050.00	$1,537.50–$1,640.00	—	40%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MRI UPPER EXT JOINT W/O CONT	$966.00	$1,610.00	$236.38–$1,977.00	54% below	40%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 MRI UPPER EXT JOINT W/O CONT	$966.00	$1,610.00	$1,207.50–$1,288.00	—	40%
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 CERVICAL SPINE	$207.00	$345.00	$42.65–$276.00	53% below	40%
Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 CERVICAL SPINE	$207.00	$345.00	$258.75–$276.00	—	40%
Neck soft tissue CT scan with contrast CPT 70491 CT SOFT NECK W/CONT	$1,675.20	$2,792.00	$144.38–$2,233.60	24% above	40%
Neck soft tissue CT scan with contrast inpatient CPT 70491 CT SOFT NECK W/CONT	$1,675.20	$2,792.00	$2,094.00–$2,233.60	—	40%
Neck soft tissue CT scan without contrast CPT 70490 CT SOFT NECK W/O CONT	$742.20	$1,237.00	$138.07–$1,279.00	31% below	40%
Neck soft tissue CT scan without contrast inpatient CPT 70490 CT SOFT NECK W/O CONT	$742.20	$1,237.00	$927.75–$989.60	—	40%
Neck soft tissue X-ray CPT 70360 SOFT TISSUE OF THE NECK	$128.40	$214.00	$18.38–$171.20	54% below	40%
Neck soft tissue X-ray inpatient CPT 70360 SOFT TISSUE OF THE NECK	$128.40	$214.00	$160.50–$171.20	—	40%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM LEXISCAN CARDIOLITE	$1,858.20	$3,097.00	$357.84–$2,477.60	53% below	40%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 NM LEXISCAN CARDIOLITE	$1,858.20	$3,097.00	$2,322.75–$2,477.60	—	40%
PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET/CT SKULL TO MID THIGH	$8,425.20	$14,042.00	$1,372.60–$11,514.44	16% above	40%
PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 PET/CT SKULL TO MID THIGH	$8,425.20	$14,042.00	$10,531.50–$11,233.60	—	40%
Pelvic CT scan without contrast CPT 72192 CT PELVIS W/O CONT	$599.40	$999.00	$118.12–$1,279.00	45% below	40%
Pelvic CT scan without contrast inpatient CPT 72192 CT PELVIS W/O CONT	$599.40	$999.00	$749.25–$799.20	—	40%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 PHCUS FOLLICLE SIZE	$280.20	$467.00	$33.60–$373.60	37% below	40%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 PHCUS FOLLICLE SIZE	$280.20	$467.00	$350.25–$373.60	—	40%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 PHCUS BLADDER	$316.80	$528.00	$80.33–$480.99	46% below	40%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 PHCUS BLADDER	$316.80	$528.00	$396.00–$422.40	—	40%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 PHCUS PREG FETAL 20 WEEKS	$632.40	$1,054.00	$81.38–$843.20	3% above	40%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 PHCUS PREG FETAL 20 WEEKS	$632.40	$1,054.00	$790.50–$843.20	—	40%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 PHCUS PREGNANCY DIAGNOSIS	$445.80	$743.00	$88.29–$594.40	21% below	40%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 PHCUS PREGNANCY DIAGNOSIS	$445.80	$743.00	$557.25–$594.40	—	40%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 PHCUS OB LIMITED	$360.60	$601.00	$67.20–$480.80	32% below	40%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 PHCUS OB LIMITED	$360.60	$601.00	$450.75–$480.80	—	40%
Rib X-ray, one side, 2 views one side CPT 71100 RIBS UNILATERAL	$84.00	$140.00	$27.82–$172.69	75% below	40%
Rib X-ray, one side, 2 views inpatient one side CPT 71100 RIBS UNILATERAL	$84.00	$140.00	$105.00–$112.00	—	40%
Rib X-ray, one side, with a chest view, 3 or more views CPT 71101 RIBS W/PA CHEST 3 VIEWS	$192.00	$320.00	$27.82–$256.00	53% below	40%
Rib X-ray, one side, with a chest view, 3 or more views inpatient CPT 71101 RIBS W/PA CHEST 3 VIEWS	$192.00	$320.00	$240.00–$256.00	—	40%
Screening mammogram, both breasts CPT 77067 MAMMO-SCREENING W/WO CAD	$381.00	$635.00	$109.94–$605.61	48% above	40%
Screening mammogram, both breasts inpatient CPT 77067 MAMMO-SCREENING W/WO CAD	$381.00	$635.00	$476.25–$508.00	—	40%
Shoulder X-ray, complete, 2 or more views CPT 73030 SHOULDER	$144.60	$241.00	$31.80–$192.80	57% below	40%
Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 SHOULDER	$144.60	$241.00	$180.75–$192.80	—	40%
Sinus X-ray, complete, 3 or more views CPT 70220 SINUSES	$177.60	$296.00	$35.57–$236.80	58% below	40%
Sinus X-ray, complete, 3 or more views inpatient CPT 70220 SINUSES	$177.60	$296.00	$222.00–$236.80	—	40%
Skull X-ray, fewer than 4 views CPT 70250 AP & LATERAL SKULL	$180.60	$301.00	$33.00–$240.80	49% below	40%
Skull X-ray, fewer than 4 views inpatient CPT 70250 AP & LATERAL SKULL	$180.60	$301.00	$225.75–$240.80	—	40%
Stress echocardiogram, complete, including the stress test and supervision CPT 93351 ECHO W/EXERCISE W CONTRAST	$916.80	$1,528.00	$194.82–$1,252.96	50% below	40%
Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 ECHO W/EXERCISE W CONTRAST	$916.80	$1,528.00	$1,146.00–$1,222.40	—	40%
Swallow study (modified barium swallow, video X-ray) CPT 74230 BARIUM SWALLOW FUNCTION STUDY	$385.80	$643.00	$48.30–$669.02	35% below	40%
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 BARIUM SWALLOW FUNCTION STUDY	$385.80	$643.00	$482.25–$514.40	—	40%
Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 FEMUR 2 VIEWS OR MORE LT	$118.80	$198.00	$32.69–$208.32	70% below	40%
Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 FEMUR 2 VIEWS OR MORE LT	$118.80	$198.00	$148.50–$158.40	—	40%
Thoracic spine (mid back) CT scan without contrast CPT 72128 CT THORACIC SPINE W/O CONT	$751.80	$1,253.00	$148.14–$1,279.00	36% below	40%
Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 CT THORACIC SPINE W/O CONT	$751.80	$1,253.00	$939.75–$1,002.40	—	40%
Toe X-ray, 2 or more views CPT 73660 TOES	$118.80	$198.00	$27.58–$158.40	58% below	40%
Toe X-ray, 2 or more views inpatient CPT 73660 TOES	$118.80	$198.00	$148.50–$158.40	—	40%
Transvaginal pelvic ultrasound CPT 76830 PHCUS TRANSVAG GYN	$337.20	$562.00	$80.33–$572.83	40% below	40%
Transvaginal pelvic ultrasound inpatient CPT 76830 PHCUS TRANSVAG GYN	$337.20	$562.00	$421.50–$449.60	—	40%
Transvaginal ultrasound during pregnancy CPT 76817 PHCUS TRANS VAGINAL OB	$326.40	$544.00	$91.97–$507.30	41% below	40%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 PHCUS TRANS VAGINAL OB	$326.40	$544.00	$408.00–$435.20	—	40%
Ultrasound of the abdomen, complete CPT 76700 PHCUS ABDOMEN	$439.20	$732.00	$100.03–$585.60	44% below	40%
Ultrasound of the abdomen, complete inpatient CPT 76700 PHCUS ABDOMEN	$439.20	$732.00	$549.00–$585.60	—	40%
Ultrasound of the scrotum and testicles CPT 76870 PHCUS SCROTAL	$249.00	$415.00	$77.70–$465.63	60% below	40%
Ultrasound of the scrotum and testicles inpatient CPT 76870 PHCUS SCROTAL	$249.00	$415.00	$311.25–$332.00	—	40%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 PHCUS NECK LIMITED	$339.60	$566.00	$80.17–$555.33	41% below	40%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 PHCUS NECK LIMITED	$339.60	$566.00	$424.50–$452.80	—	40%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 G I OTHER	$321.00	$535.00	$68.25–$568.40	49% below	40%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 G I OTHER	$321.00	$535.00	$401.25–$428.00	—	40%
Upper arm X-ray (humerus), 2 views CPT 73060 HUMERUS	$128.40	$214.00	$29.83–$171.20	54% below	40%
Upper arm X-ray (humerus), 2 views inpatient CPT 73060 HUMERUS	$128.40	$214.00	$160.50–$171.20	—	40%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 OBGUS LOWER EXTREMITY VENOUS	$291.60	$486.00	$104.79–$500.28	54% below	40%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 US UPPER EXTREMITY VENOUS	$397.80	$663.00	$104.79–$543.66	38% below	40%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 OBGUS LOWER EXTREMITY VENOUS	$291.60	$486.00	$364.50–$388.80	—	40%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 US UPPER EXTREMITY VENOUS	$397.80	$663.00	$497.25–$530.40	—	40%
Wrist X-ray, 2 views CPT 73100 WRIST 2 VIEWS	$125.40	$209.00	$31.36–$170.47	54% below	40%
Wrist X-ray, 2 views inpatient CPT 73100 WRIST 2 VIEWS	$125.40	$209.00	$156.75–$167.20	—	40%
Wrist X-ray, complete, 3 or more views CPT 73110 WRIST	$140.40	$234.00	$37.24–$214.25	56% below	40%
Wrist X-ray, complete, 3 or more views inpatient CPT 73110 WRIST	$140.40	$234.00	$175.50–$187.20	—	40%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 PORTABLE HIP 2-3 VIEWS LT	$148.80	$248.00	$43.08–$238.25	58% below	40%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 PORTABLE HIP 2-3 VIEWS LT	$148.80	$248.00	$186.00–$198.40	—	40%
X-ray of the abdomen, 1 view CPT 74018 K.U.B.	$97.20	$162.00	$22.20–$236.99	65% below	40%
X-ray of the abdomen, 1 view inpatient CPT 74018 K.U.B.	$97.20	$162.00	$121.50–$129.60	—	40%
X-ray of the ankle, 2 views CPT 73600 ANKLE 2 VIEWS	$125.40	$209.00	$30.13–$167.20	63% below	40%
X-ray of the ankle, 2 views inpatient CPT 73600 ANKLE 2 VIEWS	$125.40	$209.00	$156.75–$167.20	—	40%
X-ray of the finger(s), 2 or more views CPT 73140 FINGER	$124.20	$207.00	$34.22–$205.47	49% below	40%
X-ray of the finger(s), 2 or more views inpatient CPT 73140 FINGER	$124.20	$207.00	$155.25–$165.60	—	40%
X-ray of the foot, 2 views CPT 73620 FOOT 2 VIEWS	$118.80	$198.00	$26.38–$158.40	63% below	40%
X-ray of the foot, 2 views inpatient CPT 73620 FOOT 2 VIEWS	$118.80	$198.00	$148.50–$158.40	—	40%
X-ray of the foot, complete, 3 or more views CPT 73630 FOOT	$144.60	$241.00	$31.67–$192.80	60% below	40%
X-ray of the foot, complete, 3 or more views inpatient CPT 73630 FOOT	$144.60	$241.00	$180.75–$192.80	—	40%
X-ray of the hand, 3 or more views CPT 73130 HAND COMPLETE	$140.40	$234.00	$33.56–$187.97	53% below	40%
X-ray of the hand, 3 or more views inpatient CPT 73130 HAND COMPLETE	$140.40	$234.00	$175.50–$187.20	—	40%
X-ray of the knee, 1 or 2 views CPT 73560 KNEE 2 VIEWS	$118.80	$198.00	$31.66–$172.69	58% below	40%
X-ray of the knee, 1 or 2 views inpatient CPT 73560 KNEE 2 VIEWS	$118.80	$198.00	$148.50–$158.40	—	40%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 LUMBAR SPINE AP & LATERAL	$171.00	$285.00	$34.16–$228.00	53% below	40%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 LUMBAR SPINE AP & LATERAL	$171.00	$285.00	$213.75–$228.00	—	40%
X-ray of the lower back, 4 or more views CPT 72110 LUMBO/SACRAL SPINE	$292.80	$488.00	$38.45–$390.40	35% below	40%
X-ray of the lower back, 4 or more views inpatient CPT 72110 LUMBO/SACRAL SPINE	$292.80	$488.00	$366.00–$390.40	—	40%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 DORSAL SPINE AP & LAT	$165.60	$276.00	$32.49–$220.80	55% below	40%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 DORSAL SPINE AP & LAT	$165.60	$276.00	$207.00–$220.80	—	40%
X-ray of the nasal bones, 3 or more views CPT 70160 NASAL BONES	$128.40	$214.00	$19.95–$196.75	53% below	40%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 NASAL BONES	$128.40	$214.00	$160.50–$171.20	—	40%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 AP & LATERAL CERVICAL	$165.60	$276.00	$27.82–$220.80	50% below	40%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 AP & LATERAL CERVICAL	$165.60	$276.00	$207.00–$220.80	—	40%
X-ray of the pelvis, 1 or 2 views CPT 72170 PELVIS XRAY	$118.20	$197.00	$18.38–$157.60	60% below	40%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 PELVIS XRAY	$118.20	$197.00	$147.75–$157.60	—	40%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 SACRUM AND COCCYX	$160.80	$268.00	$25.77–$214.40	52% below	40%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 SACRUM AND COCCYX	$160.80	$268.00	$201.00–$214.40	—	40%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs Pennsylvania	Off list
ACTH blood test CPT 82024 ACTH	$258.60	$431.00	$25.10–$344.80	16% above	40%
ACTH blood test inpatient CPT 82024 ACTH	$258.60	$431.00	$323.25–$344.80	—	40%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 SGPT	$40.80	$68.00	$3.44–$54.40	12% above	40%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 SGPT	$40.80	$68.00	$51.00–$54.40	—	40%
AST (aspartate aminotransferase) enzyme test CPT 84450 SGOT	$40.80	$68.00	$3.37–$54.40	13% above	40%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 SGOT	$40.80	$68.00	$51.00–$54.40	—	40%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HEPATITIS PROFILE	$447.00	$745.00	$30.96–$596.00	44% above	40%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HEPATITIS PROFILE	$447.00	$745.00	$558.75–$596.00	—	40%
Albumin blood test CPT 82040 ALBUMIN SERUM	$39.60	$66.00	$3.22–$53.00	24% above	40%
Albumin blood test inpatient CPT 82040 ALBUMIN SERUM	$39.60	$66.00	$49.50–$52.80	—	40%
Aldosterone blood test CPT 82088 ALDOSTERONE SERUM	$280.20	$467.00	$26.49–$373.60	34% above	40%
Aldosterone blood test inpatient CPT 82088 ALDOSTERONE SERUM	$280.20	$467.00	$350.25–$373.60	—	40%
Alkaline phosphatase (ALP) blood test CPT 84075 ALKALINE PHOSPHATASE	$40.80	$68.00	$3.37–$54.40	12% above	40%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 ALKALINE PHOSPHATASE	$40.80	$68.00	$51.00–$54.40	—	40%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGENS,ZONE 3	$1,347.00	$2,245.00	$3.39–$1,796.00	4065% above	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGENS,ZONE 3	$1,347.00	$2,245.00	$1,683.75–$1,796.00	—	40%
Alpha-fetoprotein (AFP) blood test CPT 82105 ALPHA-FETOPROTEIN SERUM	$115.20	$192.00	$10.90–$153.60	5% above	40%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 ALPHA-FETOPROTEIN SERUM	$115.20	$192.00	$144.00–$153.60	—	40%
Ammonia blood test CPT 82140 AMMONIA	$100.80	$168.00	$5.25–$134.40	11% above	40%
Ammonia blood test inpatient CPT 82140 AMMONIA	$100.80	$168.00	$126.00–$134.40	—	40%
Amylase blood test CPT 82150 URINE AMYLASE	$48.00	$80.00	$4.21–$64.00	10% above	40%
Amylase blood test inpatient CPT 82150 URINE AMYLASE	$48.00	$80.00	$60.00–$64.00	—	40%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CYCLIC CITRULLINATED	$65.40	$109.00	$8.42–$87.20	23% below	40%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CYCLIC CITRULLINATED	$65.40	$109.00	$81.75–$87.20	—	40%
Antinuclear antibody (ANA) blood test, screen CPT 86038 CENTOMERE B ANTIBODY	$86.40	$144.00	$7.86–$115.20	16% above	40%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 CENTOMERE B ANTIBODY	$86.40	$144.00	$108.00–$115.20	—	40%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 B PEPTIDE	$321.60	$536.00	$25.52–$428.80	61% above	40%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 B PEPTIDE	$321.60	$536.00	$402.00–$428.80	—	40%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CFS CULTURE	$61.20	$102.00	$5.60–$81.60	17% above	40%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CFS CULTURE	$61.20	$102.00	$76.50–$81.60	—	40%
Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL-LC SCRN	$81.60	$136.00	$5.50–$108.80	11% above	40%
Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METABOLIC PANEL-LC SCRN	$81.60	$136.00	$102.00–$108.80	—	40%
Bilirubin blood test, total CPT 82247 BILIRUBIN TOTAL,BODY FLUID	$49.80	$83.00	$3.26–$66.40	56% above	40%
Bilirubin blood test, total inpatient CPT 82247 BILIRUBIN TOTAL,BODY FLUID	$49.80	$83.00	$62.25–$66.40	—	40%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 TISSUE GROSS MICRO-T LEV IV	$169.20	$282.00	$35.70–$225.60	5% below	40%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 TISSUE GROSS MICRO-T LEV IV	$169.20	$282.00	$211.50–$225.60	—	40%
Blood culture for bacteria CPT 87040 BLOOD CULTURE	$73.80	$123.00	$6.71–$98.40	13% below	40%
Blood culture for bacteria inpatient CPT 87040 BLOOD CULTURE	$73.80	$123.00	$92.25–$98.40	—	40%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 WMH VENIPUNCTURE	$18.00	$30.00	$1.95–$53.00	20% above	40%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 WMH VENIPUNCTURE	$18.00	$30.00	$22.50–$24.00	—	40%
Blood glucose (sugar) test CPT 82947 GLUCOSE BLOOD - LC SCREENING	$30.60	$51.00	$2.55–$53.00	19% above	40%
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE BLOOD - LC SCREENING	$30.60	$51.00	$38.25–$40.80	—	40%
Blood lead test CPT 83655 CPD LEAD LEVEL	$150.60	$251.00	$7.87–$200.80	93% above	40%
Blood lead test inpatient CPT 83655 CPD LEAD LEVEL	$150.60	$251.00	$188.25–$200.80	—	40%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 PREGNANCY TEST SERUM OR URINE	$54.60	$91.00	$4.89–$72.80	9% above	40%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 PREGNANCY TEST SERUM OR URINE	$54.60	$91.00	$68.25–$72.80	—	40%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO GROUP	$21.60	$36.00	$1.94–$53.00	84% below	40%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 ABO GROUP	$21.60	$36.00	$27.00–$28.80	—	40%
Blood urea nitrogen (BUN) test CPT 84520 BUN	$30.60	$51.00	$2.57–$53.00	13% above	40%
Blood urea nitrogen (BUN) test inpatient CPT 84520 BUN	$30.60	$51.00	$38.25–$40.80	—	40%
C-peptide blood test CPT 84681 C-PEPTIDE	$142.20	$237.00	$13.53–$189.60	31% above	40%
C-peptide blood test inpatient CPT 84681 C-PEPTIDE	$142.20	$237.00	$177.75–$189.60	—	40%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C R P	$40.80	$68.00	$3.15–$54.40	14% above	40%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C R P	$40.80	$68.00	$51.00–$54.40	—	40%
C. difficile toxin gene test (stool PCR) CPT 87493 MOLECULAR C-DIFF	$163.80	$273.00	$24.23–$218.40	21% below	40%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 MOLECULAR C-DIFF	$163.80	$273.00	$204.75–$218.40	—	40%
CA 19-9 blood test (tumor marker) CPT 86301 CA 19.9	$198.60	$331.00	$13.53–$264.80	49% above	40%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 CA 19.9	$198.60	$331.00	$248.25–$264.80	—	40%
CA-125 blood test (ovarian cancer marker) CPT 86304 CA 125	$193.20	$322.00	$13.53–$257.60	47% above	40%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 CA 125	$193.20	$322.00	$241.50–$257.60	—	40%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS-COV-2/2019-NCOV(COVID-19)	$93.00	$155.00	$37.26–$289.60	2% above	40%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 SARS-COV-2/2019-NCOV(COVID-19)	$93.00	$155.00	$116.25–$124.00	—	40%
Calcium blood test, total CPT 82310 CALCIUM TOTAL	$40.20	$67.00	$3.35–$53.60	20% above	40%
Calcium blood test, total inpatient CPT 82310 CALCIUM TOTAL	$40.20	$67.00	$50.25–$53.60	—	40%
Carcinoembryonic antigen (CEA) test CPT 82378 CEA	$129.60	$216.00	$12.32–$172.80	9% above	40%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 CEA	$129.60	$216.00	$162.00–$172.80	—	40%
Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA ZOSTER ANTIBODY	$91.80	$153.00	$8.37–$122.40	8% above	40%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 VARICELLA ZOSTER ANTIBODY	$91.80	$153.00	$114.75–$122.40	—	40%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA TRACHOMATIS;PROBE	$161.40	$269.00	$22.81–$247.58	18% below	40%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA TRACHOMATIS;PROBE	$161.40	$269.00	$201.75–$215.20	—	40%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL - LC SCREENING	$97.80	$163.00	$8.70–$130.40	9% above	40%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PANEL - LC SCREENING	$97.80	$163.00	$122.25–$130.40	—	40%
Complete blood count (CBC) with differential CPT 85025 CBC-LC SCREENING	$42.60	$71.00	$5.05–$56.80	17% below	40%
Complete blood count (CBC) with differential inpatient CPT 85025 CBC-LC SCREENING	$42.60	$71.00	$53.25–$56.80	—	40%
Complete blood count (CBC), no differential CPT 85027 CBC COMPLETE AUTO	$46.80	$78.00	$4.21–$62.40	8% above	40%
Complete blood count (CBC), no differential inpatient CPT 85027 CBC COMPLETE AUTO	$46.80	$78.00	$58.50–$62.40	—	40%
Comprehensive metabolic panel (blood test) CPT 80053 COMPREH METABOLIC PANEL-LC SCR	$100.80	$168.00	$6.86–$134.40	14% above	40%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMPREH METABOLIC PANEL-LC SCR	$100.80	$168.00	$126.00–$134.40	—	40%
Cortisol blood test, total CPT 82533 PLASMA CORTISOL LEVEL TOTAL	$147.00	$245.00	$10.60–$196.00	43% above	40%
Cortisol blood test, total inpatient CPT 82533 PLASMA CORTISOL LEVEL TOTAL	$147.00	$245.00	$183.75–$196.00	—	40%
Creatine kinase (CK) blood test, total CPT 82550 CPK TOTAL	$48.00	$80.00	$4.23–$64.00	7% above	40%
Creatine kinase (CK) blood test, total inpatient CPT 82550 CPK TOTAL	$48.00	$80.00	$60.00–$64.00	—	40%
Creatinine blood test CPT 82565 CREATININE BLOOD	$40.20	$67.00	$3.33–$53.60	19% above	40%
Creatinine blood test inpatient CPT 82565 CREATININE BLOOD	$40.20	$67.00	$50.25–$53.60	—	40%
Cytomegalovirus (CMV) antibody test CPT 86644 CMV IGG	$119.40	$199.00	$9.35–$159.20	38% above	40%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 CMV IGG	$119.40	$199.00	$149.25–$159.20	—	40%
DHEA sulfate (DHEA-S) blood test CPT 82627 DHEAS	$156.00	$260.00	$14.45–$208.00	16% above	40%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DHEAS	$156.00	$260.00	$195.00–$208.00	—	40%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG TEST(S),PRESUMPT,ANY NUMB	$265.80	$443.00	$40.39–$416.02	46% above	40%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG TEST(S),PRESUMPT,ANY NUMB	$265.80	$443.00	$332.25–$354.40	—	40%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 ELECTROLYTE PANEL	$66.60	$111.00	$4.56–$88.80	26% above	40%
Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 ELECTROLYTE PANEL	$66.60	$111.00	$83.25–$88.80	—	40%
Epstein-Barr virus (EBV) antibody test CPT 86665 EPSTEIN BARR IgG, IgM	$124.20	$207.00	$11.79–$165.60	8% above	40%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 EPSTEIN BARR IgG, IgM	$124.20	$207.00	$155.25–$165.60	—	40%
Estradiol blood test CPT 82670 ESTRADIOL	$193.80	$323.00	$18.16–$258.40	16% above	40%
Estradiol blood test inpatient CPT 82670 ESTRADIOL	$193.80	$323.00	$242.25–$258.40	—	40%
FSH (follicle-stimulating hormone) test CPT 83001 FOLLICLE STIMULATING HORMONE	$127.20	$212.00	$12.08–$169.60	7% above	40%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 FOLLICLE STIMULATING HORMONE	$127.20	$212.00	$159.00–$169.60	—	40%
Fecal calprotectin (stool inflammation test) CPT 83993 KALPROTECTIN STOOL	$178.80	$298.00	$12.76–$238.40	38% above	40%
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 KALPROTECTIN STOOL	$178.80	$298.00	$223.50–$238.40	—	40%
Ferritin blood test (iron stores) CPT 82728 FERRITIN	$94.80	$158.00	$8.86–$126.40	9% above	40%
Ferritin blood test (iron stores) inpatient CPT 82728 FERRITIN	$94.80	$158.00	$118.50–$126.40	—	40%
Fibrinogen blood test CPT 85384 FIBRINOGEN ACTIVITY	$61.80	$103.00	$6.32–$82.40	7% below	40%
Fibrinogen blood test inpatient CPT 85384 FIBRINOGEN ACTIVITY	$61.80	$103.00	$77.25–$82.40	—	40%
Folate (folic acid) blood test CPT 82746 RBC FOLATE	$105.00	$175.00	$9.55–$140.00	21% above	40%
Folate (folic acid) blood test inpatient CPT 82746 RBC FOLATE	$105.00	$175.00	$131.25–$140.00	—	40%
Free T3 thyroid hormone test CPT 84481 T3 FREE	$177.60	$296.00	$11.01–$236.80	66% above	40%
Free T3 thyroid hormone test inpatient CPT 84481 T3 FREE	$177.60	$296.00	$222.00–$236.80	—	40%
Free T4 (free thyroxine) thyroid blood test CPT 84439 T4 FREE	$64.20	$107.00	$5.86–$85.60	7% above	40%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 T4 FREE	$64.20	$107.00	$80.25–$85.60	—	40%
Free testosterone test CPT 84402 TESTOSTERONE,FREE	$175.80	$293.00	$16.56–$234.40	10% above	40%
Free testosterone test inpatient CPT 84402 TESTOSTERONE,FREE	$175.80	$293.00	$219.75–$234.40	—	40%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 GGT	$52.80	$88.00	$4.68–$70.40	11% above	40%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 GGT	$52.80	$88.00	$66.00–$70.40	—	40%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE 1 HR POST GLUCOLA	$37.80	$63.00	$3.09–$53.00	2% above	40%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 GLUCOSE 1 HR POST GLUCOLA	$37.80	$63.00	$47.25–$50.40	—	40%
Glucose tolerance test, 3 samples CPT 82951 GTT 3HR PANEL	$90.00	$150.00	$8.37–$120.00	11% above	40%
Glucose tolerance test, 3 samples inpatient CPT 82951 GTT 3HR PANEL	$90.00	$150.00	$112.50–$120.00	—	40%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 NEISSERIA GONORRHOEAE;PROBE	$161.40	$269.00	$22.81–$248.58	12% below	40%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 NEISSERIA GONORRHOEAE;PROBE	$161.40	$269.00	$201.75–$215.20	—	40%
H. pylori antibody blood test CPT 86677 H PYLORI AB (IGG)	$103.80	$173.00	$10.95–$138.40	10% below	40%
H. pylori antibody blood test inpatient CPT 86677 H PYLORI AB (IGG)	$103.80	$173.00	$129.75–$138.40	—	40%
H. pylori stool antigen test CPT 87338 HELECOBACTER PYLORI;STOOL	$53.40	$89.00	$9.35–$81.16	45% below	40%
H. pylori stool antigen test inpatient CPT 87338 HELECOBACTER PYLORI;STOOL	$53.40	$89.00	$66.75–$71.20	—	40%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV 1 ANTIG,HIB I/II ANTIBODY	$110.40	$184.00	$15.65–$147.20	22% below	40%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HIV 1 ANTIG,HIB I/II ANTIBODY	$110.40	$184.00	$138.00–$147.20	—	40%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV HUMAN AMPLIFIED PROBE	$310.80	$518.00	$22.81–$414.40	49% above	40%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HPV HUMAN AMPLIFIED PROBE	$310.80	$518.00	$388.50–$414.40	—	40%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 SHI AIC	$75.00	$125.00	$6.31–$100.00	47% above	40%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 SHI AIC	$75.00	$125.00	$93.75–$100.00	—	40%
Hemoglobin blood test CPT 85018 PFP HEMOCUE	$18.60	$31.00	$1.54–$168.00	9% above	40%
Hemoglobin blood test CPT 85018 HEMOCUE	$19.20	$32.00	$1.54–$53.00	12% above	40%
Hemoglobin blood test inpatient CPT 85018 PFP HEMOCUE	$18.60	$31.00	$23.25–$24.80	—	40%
Hemoglobin blood test inpatient CPT 85018 HEMOCUE	$19.20	$32.00	$24.00–$25.60	—	40%
Hepatitis B core antibody test (total) CPT 86704 HEP B CORE AB TOTAL	$114.60	$191.00	$7.83–$152.80	36% above	40%
Hepatitis B core antibody test (total) inpatient CPT 86704 HEP B CORE AB TOTAL	$114.60	$191.00	$143.25–$152.80	—	40%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEPATITIS B SURFACE ANTIBODY	$102.60	$171.00	$6.98–$136.80	40% above	40%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEPATITIS B SURFACE ANTIBODY	$102.60	$171.00	$128.25–$136.80	—	40%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B SURFACE ANTIGEN	$198.00	$330.00	$6.71–$264.00	184% above	40%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEPATITIS B SURFACE ANTIGEN	$198.00	$330.00	$247.50–$264.00	—	40%
Hepatitis C antibody blood test (screening) CPT 86803 HEP C VIRUS AB	$129.60	$216.00	$9.28–$172.80	30% above	40%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEP C VIRUS AB	$129.60	$216.00	$162.00–$172.80	—	40%
Hepatitis C viral load (HCV RNA) test CPT 87522 HEP C VIRAL ANA PCR QUANT	$400.80	$668.00	$27.85–$534.40	41% above	40%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HEP C VIRAL ANA PCR QUANT	$400.80	$668.00	$501.00–$534.40	—	40%
Herpes blood test, HSV-1 antibody CPT 86695 HER VIR AB,IGG,IGM - TYPE 1	$105.00	$175.00	$8.57–$140.00	31% above	40%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HER VIR AB,IGG,IGM - TYPE 1	$105.00	$175.00	$131.25–$140.00	—	40%
Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX VIRUS II AB	$184.20	$307.00	$12.58–$245.60	72% above	40%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HERPES SIMPLEX VIRUS II AB	$184.20	$307.00	$230.25–$245.60	—	40%
High-sensitivity CRP (hs-CRP) test CPT 86141 CRP CARDIO H.S.	$125.40	$209.00	$8.42–$167.20	60% above	40%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 CRP CARDIO H.S.	$125.40	$209.00	$156.75–$167.20	—	40%
Homocysteine blood test CPT 83090 HOMOCYSTEINE	$161.40	$269.00	$11.65–$215.20	35% above	40%
Homocysteine blood test inpatient CPT 83090 HOMOCYSTEINE	$161.40	$269.00	$201.75–$215.20	—	40%
Insulin blood test CPT 83525 INSULIN ANTIBODIES TOTAL	$96.00	$160.00	$7.43–$128.00	32% above	40%
Insulin blood test inpatient CPT 83525 INSULIN ANTIBODIES TOTAL	$96.00	$160.00	$120.00–$128.00	—	40%
Iron blood test (serum iron) CPT 83540 SERUM IRON	$48.00	$80.00	$4.21–$64.00	5% above	40%
Iron blood test (serum iron) inpatient CPT 83540 SERUM IRON	$48.00	$80.00	$60.00–$64.00	—	40%
Iron-binding capacity (TIBC) test CPT 83550 SERUM IRON BINDING	$63.00	$105.00	$5.25–$84.00	5% above	40%
Iron-binding capacity (TIBC) test inpatient CPT 83550 SERUM IRON BINDING	$63.00	$105.00	$78.75–$84.00	—	40%
Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL	$82.80	$138.00	$5.64–$110.40	21% above	40%
Kidney function blood test panel inpatient CPT 80069 RENAL FUNCTION PANEL	$82.80	$138.00	$103.50–$110.40	—	40%
LH (luteinizing hormone) test CPT 83002 LUTENIZING HORMONE	$126.00	$210.00	$12.04–$168.00	6% above	40%
LH (luteinizing hormone) test inpatient CPT 83002 LUTENIZING HORMONE	$126.00	$210.00	$157.50–$168.00	—	40%
Lactate (lactic acid) blood test CPT 83605 LACTASE CHEMISTRY	$107.40	$179.00	$7.52–$143.20	40% above	40%
Lactate (lactic acid) blood test inpatient CPT 83605 LACTASE CHEMISTRY	$107.40	$179.00	$134.25–$143.20	—	40%
Lactate dehydrogenase (LDH) blood test CPT 83615 LDH,PLEURAL FLUID	$44.40	$74.00	$3.93–$59.20	21% above	40%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LDH,PLEURAL FLUID	$44.40	$74.00	$55.50–$59.20	—	40%
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE,PLEURAL FLUID	$49.80	$83.00	$4.48–$66.40	6% above	40%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE,PLEURAL FLUID	$49.80	$83.00	$62.25–$66.40	—	40%
Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL-LC SCRN	$79.20	$132.00	$5.31–$105.60	1% above	40%
Liver function blood test panel inpatient CPT 80076 HEPATIC FUNCTION PANEL-LC SCRN	$79.20	$132.00	$99.00–$105.60	—	40%
Lyme disease antibody test CPT 86618 LYME TITER IGM	$80.40	$134.00	$11.07–$107.20	15% below	40%
Lyme disease antibody test inpatient CPT 86618 LYME TITER IGM	$80.40	$134.00	$100.50–$107.20	—	40%
Magnesium blood test CPT 83735 MAGNESIUM URINE	$48.60	$81.00	$4.36–$64.80	17% above	40%
Magnesium blood test inpatient CPT 83735 MAGNESIUM URINE	$48.60	$81.00	$60.75–$64.80	—	40%
Measles (rubeola) antibody test CPT 86765 RUBEOLA IGG ANTIBODY	$82.20	$137.00	$8.37–$109.60	2% above	40%
Measles (rubeola) antibody test inpatient CPT 86765 RUBEOLA IGG ANTIBODY	$82.20	$137.00	$102.75–$109.60	—	40%
Mono test (heterophile antibody, Monospot) CPT 86308 MONOTEST	$40.80	$68.00	$3.37–$54.40	10% above	40%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 MONOTEST	$40.80	$68.00	$51.00–$54.40	—	40%
Mumps immunity blood test CPT 86735 MUMPS VIRUS ANIBODY, IGG	$94.80	$158.00	$8.48–$126.40	16% above	40%
Mumps immunity blood test inpatient CPT 86735 MUMPS VIRUS ANIBODY, IGG	$94.80	$158.00	$118.50–$126.40	—	40%
PSA (prostate-specific antigen) blood test, free CPT 84154 PSA FREE	$171.00	$285.00	$11.95–$228.00	50% above	40%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PSA FREE	$171.00	$285.00	$213.75–$228.00	—	40%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA TOTAL	$125.40	$209.00	$11.95–$167.20	14% above	40%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA TOTAL	$125.40	$209.00	$156.75–$167.20	—	40%
Pap test (liquid-based, automated screening with review) CPT 88175 THIN PREP	$121.80	$203.00	$17.30–$162.40	49% above	40%
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 THIN PREP	$121.80	$203.00	$152.25–$162.40	—	40%
Parathyroid hormone (PTH) blood test CPT 83970 PARATHYROID HORMONE	$275.40	$459.00	$26.83–$367.20	26% above	40%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 PARATHYROID HORMONE	$275.40	$459.00	$344.25–$367.20	—	40%
Partial thromboplastin time (PTT) clotting test CPT 85730 PARTIAL THROMBOPLASTIN TIME	$44.40	$74.00	$3.91–$59.20	7% above	40%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PARTIAL THROMBOPLASTIN TIME	$44.40	$74.00	$55.50–$59.20	—	40%
Phosphorus (phosphate) blood test CPT 84100 PHOSPHORUS	$37.80	$63.00	$3.08–$53.00	16% above	40%
Phosphorus (phosphate) blood test inpatient CPT 84100 PHOSPHORUS	$37.80	$63.00	$47.25–$50.40	—	40%
Potassium blood test CPT 84132 POTASSIUM SERUM	$36.60	$61.00	$3.09–$53.00	15% above	40%
Potassium blood test inpatient CPT 84132 POTASSIUM SERUM	$36.60	$61.00	$45.75–$48.80	—	40%
Progesterone blood test CPT 84144 PROGESTERONE	$142.20	$237.00	$13.56–$189.60	4% above	40%
Progesterone blood test inpatient CPT 84144 PROGESTERONE	$142.20	$237.00	$177.75–$189.60	—	40%
Prolactin blood test CPT 84146 PROLACTIN	$132.60	$221.00	$12.60–$176.80	6% above	40%
Prolactin blood test inpatient CPT 84146 PROLACTIN	$132.60	$221.00	$165.75–$176.80	—	40%
Prothrombin time (PT/INR) clotting test CPT 85610 CIRCULATING ANTICOAGULANT	$30.60	$51.00	$2.79–$53.00	7% above	40%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 CIRCULATING ANTICOAGULANT	$30.60	$51.00	$38.25–$40.80	—	40%
Rapid flu test (influenza antigen) CPT 87804 INFLUENZA A/B	$53.40	$89.00	$10.76–$93.41	3% below	40%
Rapid flu test (influenza antigen) inpatient CPT 87804 INFLUENZA A/B	$53.40	$89.00	$66.75–$71.20	—	40%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 PFP RAPID STREP	$59.40	$99.00	$6.62–$93.30	6% below	40%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 PFP RAPID STREP	$59.40	$99.00	$74.25–$79.20	—	40%
Renin blood test CPT 84244 RENIN	$154.20	$257.00	$12.60–$205.60	7% above	40%
Renin blood test inpatient CPT 84244 RENIN	$154.20	$257.00	$192.75–$205.60	—	40%
Rh blood typing CPT 86901 RH	$75.00	$125.00	$1.94–$100.00	32% above	40%
Rh blood typing inpatient CPT 86901 RH	$75.00	$125.00	$93.75–$100.00	—	40%
Rheumatoid factor (RF) test CPT 86431 RA	$42.00	$70.00	$3.69–$56.00	7% above	40%
Rheumatoid factor (RF) test inpatient CPT 86431 RA	$42.00	$70.00	$52.50–$56.00	—	40%
Rubella antibody test (immunity check) CPT 86762 RUBELLA ANTIBODY TITER	$97.80	$163.00	$9.35–$130.40	16% above	40%
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA ANTIBODY TITER	$97.80	$163.00	$122.25–$130.40	—	40%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 SED RATE	$27.00	$45.00	$1.76–$53.00	25% above	40%
Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 SED RATE	$27.00	$45.00	$33.75–$36.00	—	40%
Semen analysis: volume, sperm count, motility and morphology CPT 89320 SPERM COUNT VOLUME/COMPL	$82.80	$138.00	$8.00–$110.40	7% below	40%
Semen analysis: volume, sperm count, motility and morphology inpatient CPT 89320 SPERM COUNT VOLUME/COMPL	$82.80	$138.00	$103.50–$110.40	—	40%
Sodium blood test CPT 84295 SODIUM SERUM	$37.80	$63.00	$3.13–$53.00	17% above	40%
Sodium blood test inpatient CPT 84295 SODIUM SERUM	$37.80	$63.00	$47.25–$50.40	—	40%
Stool ova and parasites exam CPT 87177 OVA AND PARASITES	$69.00	$115.00	$5.79–$92.00	18% above	40%
Stool ova and parasites exam inpatient CPT 87177 OVA AND PARASITES	$69.00	$115.00	$86.25–$92.00	—	40%
Stool test for hidden blood (guaiac FOBT) CPT 82270 ONC COLON CANCER SCREEN	$13.80	$23.00	$2.85–$53.00	32% below	40%
Stool test for hidden blood (guaiac FOBT) CPT 82270 OB COLON CANCER SCRN	$19.80	$33.00	$2.85–$53.00	3% below	40%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 ONC COLON CANCER SCREEN	$13.80	$23.00	$17.25–$18.40	—	40%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 OB COLON CANCER SCRN	$19.80	$33.00	$24.75–$26.40	—	40%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 IMMUNOLOGICAL FECAL OCCULT BLD	$74.40	$124.00	$2.94–$99.20	107% above	40%
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 IMMUNOLOGICAL FECAL OCCULT BLD	$74.40	$124.00	$93.00–$99.20	—	40%
Syphilis antibody test (Treponema pallidum) CPT 86780 FTA	$97.80	$163.00	$8.61–$130.40	31% above	40%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 FTA	$97.80	$163.00	$122.25–$130.40	—	40%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 SPINAL FLUID VDRL	$33.00	$55.00	$2.78–$53.00	18% above	40%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 SPINAL FLUID VDRL	$33.00	$55.00	$41.25–$44.00	—	40%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QUANTYIFERON-TB TEST	$280.80	$468.00	$40.29–$374.40	9% below	40%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 QUANTYIFERON-TB TEST	$280.80	$468.00	$351.00–$374.40	—	40%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE TOTAL	$174.60	$291.00	$16.78–$232.80	7% above	40%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE TOTAL	$174.60	$291.00	$218.25–$232.80	—	40%
Thyroid peroxidase (TPO) antibody test CPT 86376 THYROID PEROX AUTOANTIBODIES	$132.60	$221.00	$8.31–$176.80	76% above	40%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 THYROID PEROX AUTOANTIBODIES	$132.60	$221.00	$165.75–$176.80	—	40%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH - LC SCREENING	$78.60	$131.00	$10.92–$104.80	22% below	40%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH - LC SCREENING	$78.60	$131.00	$98.25–$104.80	—	40%
Total IgE blood test CPT 82785 I G E	$117.00	$195.00	$10.70–$156.00	13% above	40%
Total IgE blood test inpatient CPT 82785 I G E	$117.00	$195.00	$146.25–$156.00	—	40%
Total cholesterol blood test CPT 82465 CHOLESTEROL - LC SCREENING	$34.20	$57.00	$2.83–$53.00	13% above	40%
Total cholesterol blood test inpatient CPT 82465 CHOLESTEROL - LC SCREENING	$34.20	$57.00	$42.75–$45.60	—	40%
Total thyroxine (T4) blood test CPT 84436 T4 TOTAL	$49.80	$83.00	$4.47–$66.40	10% above	40%
Total thyroxine (T4) blood test inpatient CPT 84436 T4 TOTAL	$49.80	$83.00	$62.25–$66.40	—	40%
Total triiodothyronine (T3) blood test CPT 84480 T3 TOTAL	$102.60	$171.00	$8.40–$136.80	6% above	40%
Total triiodothyronine (T3) blood test inpatient CPT 84480 T3 TOTAL	$102.60	$171.00	$128.25–$136.80	—	40%
Transferrin blood test CPT 84466 TRANSFERRIN	$135.60	$226.00	$8.29–$180.80	58% above	40%
Transferrin blood test inpatient CPT 84466 TRANSFERRIN	$135.60	$226.00	$169.50–$180.80	—	40%
Trichomonas test (NAAT) CPT 87661 TRICHOMONAS VAG DNA, AMP PROBE	$161.40	$269.00	$22.81–$336.34	12% below	40%
Trichomonas test (NAAT) inpatient CPT 87661 TRICHOMONAS VAG DNA, AMP PROBE	$161.40	$269.00	$201.75–$215.20	—	40%
Triglycerides blood test CPT 84478 TRIGLYCERIDE,PERITONEAL FLUID	$42.60	$71.00	$3.73–$56.80	8% above	40%
Triglycerides blood test inpatient CPT 84478 TRIGLYCERIDE,PERITONEAL FLUID	$42.60	$71.00	$53.25–$56.80	—	40%
Troponin test, quantitative CPT 84484 TROPONIN I HIGH SENSITIVITY	$82.80	$138.00	$8.11–$110.40	1% above	40%
Troponin test, quantitative inpatient CPT 84484 TROPONIN I HIGH SENSITIVITY	$82.80	$138.00	$103.50–$110.40	—	40%
Uric acid blood test CPT 84550 URIC ACID BLOOD	$35.40	$59.00	$2.94–$53.00	12% above	40%
Uric acid blood test inpatient CPT 84550 URIC ACID BLOOD	$35.40	$59.00	$44.25–$47.20	—	40%
Urinalysis with microscope exam, automated CPT 81001 URINE FOR KEOTONES	$34.20	$57.00	$2.06–$53.00	4% above	40%
Urinalysis with microscope exam, automated inpatient CPT 81001 URINE FOR KEOTONES	$34.20	$57.00	$42.75–$45.60	—	40%
Urinalysis with microscope exam, manual CPT 81000 URINALYSIS-DIP W/MICRO	$24.00	$40.00	$2.61–$53.00	19% below	40%
Urinalysis with microscope exam, manual inpatient CPT 81000 URINALYSIS-DIP W/MICRO	$24.00	$40.00	$30.00–$32.00	—	40%
Urinalysis without microscope exam, automated CPT 81003 SPECIFIC GRAVITY FLUID	$19.20	$32.00	$1.46–$53.00	8% above	40%
Urinalysis without microscope exam, automated inpatient CPT 81003 SPECIFIC GRAVITY FLUID	$19.20	$32.00	$24.00–$25.60	—	40%
Urinalysis without microscope exam, manual CPT 81002 OCC HEALTH URINE DIP	$19.80	$33.00	$2.26–$53.00	6% below	40%
Urinalysis without microscope exam, manual inpatient CPT 81002 OCC HEALTH URINE DIP	$19.80	$33.00	$24.75–$26.40	—	40%
Urine culture for bacteria, with colony count CPT 87086 URINE CULTURE	$57.60	$96.00	$5.25–$76.80	2% above	40%
Urine culture for bacteria, with colony count inpatient CPT 87086 URINE CULTURE	$57.60	$96.00	$72.00–$76.80	—	40%
Urine microalbumin (albumin) test CPT 82043 URINE MICRO ALBUMIN	$82.20	$137.00	$3.76–$109.60	108% above	40%
Urine microalbumin (albumin) test inpatient CPT 82043 URINE MICRO ALBUMIN	$82.20	$137.00	$102.75–$109.60	—	40%
Urine pregnancy test, read by color change CPT 81025 OB URINE PREGNANCY TEST	$37.80	$63.00	$4.20–$55.66	2% above	40%
Urine pregnancy test, read by color change inpatient CPT 81025 OB URINE PREGNANCY TEST	$37.80	$63.00	$47.25–$50.40	—	40%
Vitamin B12 (cobalamin) blood test CPT 82607 B12 - LC SCREENING	$105.00	$175.00	$9.80–$140.00	12% above	40%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 B12 - LC SCREENING	$105.00	$175.00	$131.25–$140.00	—	40%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D - LC SCREENING	$147.00	$245.00	$19.24–$196.00	2% below	40%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D - LC SCREENING	$147.00	$245.00	$183.75–$196.00	—	40%
Vitamin D, 1,25-dihydroxy blood test CPT 82652 VIT D, 125 DIHYDROXY	$264.60	$441.00	$25.03–$352.80	10% above	40%
Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 VIT D, 125 DIHYDROXY	$264.60	$441.00	$330.75–$352.80	—	40%
Zinc blood test CPT 84630 ZINC,SERUM	$54.60	$91.00	$7.40–$72.80	24% below	40%
Zinc blood test inpatient CPT 84630 ZINC,SERUM	$54.60	$91.00	$68.25–$72.80	—	40%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG TUMOR MARKER	$93.00	$155.00	$9.78–$124.00	4% above	40%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HCG TUMOR MARKER	$93.00	$155.00	$116.25–$124.00	—	40%

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs Pennsylvania	Off list
Botox injections for chronic migraine CPT 64615 CHEMODENERVATION OF MUSCLE (M	$67.80	$113.00	$31.32–$1,041.88	86% below	40%
Botox injections for chronic migraine inpatient CPT 64615 CHEMODENERVATION OF MUSCLE (M	$67.80	$113.00	$84.75–$90.40	—	40%
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 CLSD TX LAT MALLEOLUS FX W/O M	$150.60	$251.00	$69.58–$1,732.08	77% below	40%
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 TREATMNT DISTAL FIBU FRAC WO M	$1,266.00	$2,110.00	$124.42–$1,732.08	91% above	40%
Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 CLSD TX LAT MALLEOLUS FX W/O M	$150.60	$251.00	$188.25–$200.80	—	40%
Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 TREATMNT DISTAL FIBU FRAC WO M	$1,266.00	$2,110.00	$1,582.50–$1,688.00	—	40%
Broken foot (metatarsal) treatment without surgery or setting CPT 28470 CLSD TX METAT FX W/O MANP EACH	$110.40	$184.00	$51.00–$1,182.99	79% below	40%
Broken foot (metatarsal) treatment without surgery or setting CPT 28470 TREAT METATARSAL FRAC WO MANIP	$693.00	$1,155.00	$88.72–$1,182.99	33% above	40%
Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 CLSD TX METAT FX W/O MANP EACH	$110.40	$184.00	$138.00–$147.20	—	40%
Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 TREAT METATARSAL FRAC WO MANIP	$693.00	$1,155.00	$866.25–$924.00	—	40%
Cardioversion, elective (restoring heart rhythm) CPT 92960 CARD CARDIOVERSION	$640.80	$1,068.00	$91.35–$1,061.31	56% below	40%
Cardioversion, elective (restoring heart rhythm) CPT 92960 HEART ELECTROCONVERSION	$807.60	$1,346.00	$91.35–$1,103.72	45% below	40%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARD CARDIOVERSION	$640.80	$1,068.00	$801.00–$854.40	—	40%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 HEART ELECTROCONVERSION	$807.60	$1,346.00	$1,009.50–$1,076.80	—	40%
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 CLSD TX DISTAL RAD FX W/O MANI	$138.60	$231.00	$64.03–$1,858.74	79% below	40%
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 TREAT FRACTURE RADIUS/ULNA	$1,029.60	$1,716.00	$98.03–$1,858.74	55% above	40%
Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 CLSD TX DISTAL RAD FX W/O MANI	$138.60	$231.00	$173.25–$184.80	—	40%
Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 TREAT FRACTURE RADIUS/ULNA	$1,029.60	$1,716.00	$1,287.00–$1,372.80	—	40%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 DESTRUCTION-BEN LESION 1	$35.40	$59.00	$16.35–$2,325.85	92% below	40%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 DESTRUCTION-BEN LESION 1	$35.40	$59.00	$44.25–$47.20	—	40%
Earwax removal with instruments, one ear CPT 69210 REMOVAL IMPACTED CERUMEN	$21.00	$35.00	$9.70–$242.24	84% below	40%
Earwax removal with instruments, one ear CPT 69210 REMOVE IMPACTED EAR WAX	$153.00	$255.00	$48.78–$242.24	14% above	40%
Earwax removal with instruments, one ear inpatient CPT 69210 REMOVAL IMPACTED CERUMEN	$21.00	$35.00	$26.25–$28.00	—	40%
Earwax removal with instruments, one ear inpatient CPT 69210 REMOVE IMPACTED EAR WAX	$153.00	$255.00	$191.25–$204.00	—	40%
Endoscopic sinus surgery: opening the frontal sinus CPT 31276 NASAL/SINUS ENDOW/FRONTAL SINU	$306.00	$510.00	$141.37–$2,637.21	98% below	40%
Endoscopic sinus surgery: opening the frontal sinus inpatient CPT 31276 NASAL/SINUS ENDOW/FRONTAL SINU	$306.00	$510.00	$382.50–$408.00	—	40%
Incision and drainage of a simple or single skin abscess CPT 10060 INCISION/DRAINAGE OF ABSCESS	$52.80	$88.00	$24.39–$2,325.85	90% below	40%
Incision and drainage of a simple or single skin abscess CPT 10060 I&D ABSCESS SMPL/SNGL	$371.40	$619.00	$24.68–$2,325.85	27% below	40%
Incision and drainage of a simple or single skin abscess CPT 10060 WC I&D ABSCESS SMPL/SNGL	$371.40	$619.00	$24.68–$2,094.25	27% below	40%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 INCISION/DRAINAGE OF ABSCESS	$52.80	$88.00	$66.00–$70.40	—	40%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I&D ABSCESS SMPL/SNGL	$371.40	$619.00	$464.25–$495.20	—	40%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 WC I&D ABSCESS SMPL/SNGL	$371.40	$619.00	$464.25–$495.20	—	40%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJ TENDON/LIGAMENT/CYST	$478.20	$797.00	$33.60–$654.25	16% below	40%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 INJ TENDON/LIGAMENT/CYST	$478.20	$797.00	$597.75–$637.60	—	40%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ULY ASPIRATE/INJECT MAJOR CPT	$85.20	$142.00	$24.68–$346.64	82% below	40%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ARTHROCENTESIS (MAJOR JOINT)	$230.40	$384.00	$24.68–$346.64	51% below	40%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 ULY ASPIRATE/INJECT MAJOR CPT	$85.20	$142.00	$106.50–$113.60	—	40%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 ARTHROCENTESIS (MAJOR JOINT)	$230.40	$384.00	$288.00–$307.20	—	40%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 GAL ASPIRATION/INJECT INTERM	$71.40	$119.00	$22.57–$296.44	80% below	40%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 WC ASPIRATION/INJECT INTERM	$176.40	$294.00	$22.57–$2,094.25	50% below	40%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ARTHROCENTESIS (INTERM JOINT)	$176.40	$294.00	$22.57–$296.44	50% below	40%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 GAL ASPIRATION/INJECT INTERM	$71.40	$119.00	$89.25–$95.20	—	40%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 WC ASPIRATION/INJECT INTERM	$176.40	$294.00	$220.50–$235.20	—	40%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 ARTHROCENTESIS (INTERM JOINT)	$176.40	$294.00	$220.50–$235.20	—	40%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 INJECTION/ASPIRATION SM JOINT	$64.20	$107.00	$18.90–$284.05	84% below	40%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 ARTHROCENTESIS (SMALL JOINT)	$165.00	$275.00	$18.90–$284.05	60% below	40%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 INJECTION/ASPIRATION SM JOINT	$64.20	$107.00	$80.25–$85.60	—	40%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 ARTHROCENTESIS (SMALL JOINT)	$165.00	$275.00	$206.25–$220.00	—	40%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 SC,AX,TR,EXTM,EX-HF < 2.5CM	$745.20	$1,242.00	$25.73–$2,325.85	27% above	40%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 SC,AX,TR,EXTM,EX-HF < 2.5CM	$745.20	$1,242.00	$931.50–$993.60	—	40%
Miscarriage treatment with D&C, first trimester CPT 59820 TX MISSED ABORTION,1ST TRIM	$3,126.00	$5,210.00	$743.25–$4,272.20	42% below	40%
Miscarriage treatment with D&C, first trimester inpatient CPT 59820 TX MISSED ABORTION,1ST TRIM	$3,126.00	$5,210.00	$3,907.50–$4,168.00	—	40%
Nail removal (partial or complete), one nail CPT 11730 AVULSION OF NAIL PLATE	$330.60	$551.00	$27.04–$2,325.85	30% below	40%
Nail removal (partial or complete), one nail CPT 11730 WC AVULSION OF NAIL PLATE	$330.60	$551.00	$27.04–$2,094.25	30% below	40%
Nail removal (partial or complete), one nail inpatient CPT 11730 WC AVULSION OF NAIL PLATE	$330.60	$551.00	$413.25–$440.80	—	40%
Nail removal (partial or complete), one nail inpatient CPT 11730 AVULSION OF NAIL PLATE	$330.60	$551.00	$413.25–$440.80	—	40%
Occipital nerve block (injection for headaches) CPT 64405 INJ AA/STRD GR OCCIPITAL NERVE	$254.40	$424.00	$36.75–$1,047.14	55% below	40%
Occipital nerve block (injection for headaches) inpatient CPT 64405 INJ AA/STRD GR OCCIPITAL NERVE	$254.40	$424.00	$318.00–$339.20	—	40%
Paracentesis with imaging guidance CPT 49083 ABDOMINAL PARACENTESIS	$1,693.20	$2,822.00	$88.55–$3,102.01	1% above	40%
Paracentesis with imaging guidance inpatient CPT 49083 ABDOMINAL PARACENTESIS	$1,693.20	$2,822.00	$2,116.50–$2,257.60	—	40%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 EXC NAIL/NAIL MATRIX-PERMANENT	$94.80	$158.00	$43.80–$2,325.85	89% below	40%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 NAIL EXC OF NAIL/NAIL MATRIX	$780.60	$1,301.00	$354.07–$2,325.85	6% below	40%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 EXC NAIL/NAIL MATRIX-PERMANENT	$94.80	$158.00	$118.50–$126.40	—	40%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 NAIL EXC OF NAIL/NAIL MATRIX	$780.60	$1,301.00	$975.75–$1,040.80	—	40%
Removal of a foreign object under the skin, simple CPT 10120 INS/REM FOREIGN BODY SIMPLE	$54.60	$91.00	$25.23–$2,325.85	90% below	40%
Removal of a foreign object under the skin, simple CPT 10120 REMOVE FOREIGN BODY SIMPLE	$477.60	$796.00	$32.02–$2,325.85	12% below	40%
Removal of a foreign object under the skin, simple inpatient CPT 10120 INS/REM FOREIGN BODY SIMPLE	$54.60	$91.00	$68.25–$72.80	—	40%
Removal of a foreign object under the skin, simple inpatient CPT 10120 REMOVE FOREIGN BODY SIMPLE	$477.60	$796.00	$597.00–$636.80	—	40%
Short arm cast (elbow to hand) CPT 29075 APPLICATION SHORT ARM CAST	$52.80	$88.00	$24.39–$2,325.85	87% below	40%
Short arm cast (elbow to hand) CPT 29075 APPLY ELBOW-FINGER CAST	$275.40	$459.00	$47.77–$2,325.85	34% below	40%
Short arm cast (elbow to hand) inpatient CPT 29075 APPLICATION SHORT ARM CAST	$52.80	$88.00	$66.00–$70.40	—	40%
Short arm cast (elbow to hand) inpatient CPT 29075 APPLY ELBOW-FINGER CAST	$275.40	$459.00	$344.25–$367.20	—	40%
Short arm splint (forearm and hand) CPT 29125 SHORT ARM SPLINT, STATIC	$28.20	$47.00	$13.03–$355.37	91% below	40%
Short arm splint (forearm and hand) CPT 29125 OT SPLINTING SHORT ARM;STATIC	$196.20	$327.00	$27.30–$355.37	38% below	40%
Short arm splint (forearm and hand) CPT 29125 APPLY FOREARM SPLINT	$220.20	$367.00	$27.30–$355.37	30% below	40%
Short arm splint (forearm and hand) inpatient CPT 29125 SHORT ARM SPLINT, STATIC	$28.20	$47.00	$35.25–$37.60	—	40%
Short arm splint (forearm and hand) inpatient CPT 29125 OT SPLINTING SHORT ARM;STATIC	$196.20	$327.00	$245.25–$261.60	—	40%
Short arm splint (forearm and hand) inpatient CPT 29125 APPLY FOREARM SPLINT	$220.20	$367.00	$275.25–$293.60	—	40%
Short leg cast (below the knee) CPT 29405 APPLICATION SHORT LEG CAST	$54.60	$91.00	$25.23–$428.96	90% below	40%
Short leg cast (below the knee) CPT 29405 WC APPL SHORT LEG CAST	$261.00	$435.00	$53.02–$2,094.25	50% below	40%
Short leg cast (below the knee) CPT 29405 APPLY SHORT LEG CAST	$307.80	$513.00	$53.02–$428.96	41% below	40%
Short leg cast (below the knee) inpatient CPT 29405 APPLICATION SHORT LEG CAST	$54.60	$91.00	$68.25–$72.80	—	40%
Short leg cast (below the knee) inpatient CPT 29405 WC APPL SHORT LEG CAST	$261.00	$435.00	$326.25–$348.00	—	40%
Short leg cast (below the knee) inpatient CPT 29405 APPLY SHORT LEG CAST	$307.80	$513.00	$384.75–$410.40	—	40%
Short leg splint (calf to foot) CPT 29515 SHORT LEG SPLINT	$35.40	$59.00	$16.35–$400.23	92% below	40%
Short leg splint (calf to foot) CPT 29515 APPLICATION LOWER LEG SPLINT	$307.80	$513.00	$36.75–$420.66	33% below	40%
Short leg splint (calf to foot) inpatient CPT 29515 SHORT LEG SPLINT	$35.40	$59.00	$44.25–$47.20	—	40%
Short leg splint (calf to foot) inpatient CPT 29515 APPLICATION LOWER LEG SPLINT	$307.80	$513.00	$384.75–$410.40	—	40%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 SIMPLE REPAIR; 2.5 CM OR LESS	$61.20	$102.00	$25.73–$2,325.85	88% below	40%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 SC,NE,AX,EX.GE,TR < 2.5CM	$444.60	$741.00	$25.73–$2,325.85	14% below	40%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 WC SIM REP SUPER WOUND 2.5CM <	$444.60	$741.00	$25.73–$2,094.25	14% below	40%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 SIMPLE REPAIR; 2.5 CM OR LESS	$61.20	$102.00	$76.50–$81.60	—	40%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 WC SIM REP SUPER WOUND 2.5CM <	$444.60	$741.00	$555.75–$592.80	—	40%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 SC,NE,AX,EX.GE,TR < 2.5CM	$444.60	$741.00	$555.75–$592.80	—	40%
Skin biopsy, punch, one lesion CPT 11104 PUNCH BIOPSY SKIN, SINGLE LES	$478.20	$797.00	$42.45–$2,094.25	27% below	40%
Skin biopsy, punch, one lesion inpatient CPT 11104 PUNCH BIOPSY SKIN, SINGLE LES	$478.20	$797.00	$597.75–$637.60	—	40%
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 EXC-MAL LESION 0.5CM OR LESS	$61.20	$102.00	$28.27–$2,325.85	94% below	40%
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11600 EXC-MAL LESION 0.5CM OR LESS	$61.20	$102.00	$76.50–$81.60	—	40%
Skin tag removal, up to 15 tags CPT 11200 REMOVE SKIN TAGS UP TO 15	$388.80	$648.00	$32.55–$2,325.85	36% below	40%
Skin tag removal, up to 15 tags inpatient CPT 11200 REMOVE SKIN TAGS UP TO 15	$388.80	$648.00	$486.00–$518.40	—	40%
Spinal tap (lumbar puncture), diagnostic CPT 62270 SPINAL PUNCTURE LUMBAR DX	$1,266.00	$2,110.00	$44.10–$1,730.20	4% above	40%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 SPINAL PUNCTURE LUMBAR DX	$1,266.00	$2,110.00	$1,582.50–$1,688.00	—	40%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 SMPL LAC RPR 2.6-7.5CM SCALP	$343.80	$573.00	$37.27–$2,325.85	35% below	40%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 WC RPR S/N/AX/GEN/TRN2.6-7.5CM	$473.40	$789.00	$37.27–$2,094.25	10% below	40%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 SC,NE,AX,EX.GE,TR 2.6-7.5CM	$473.40	$789.00	$37.27–$2,325.85	10% below	40%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 SMPL LAC RPR 2.6-7.5CM SCALP	$343.80	$573.00	$429.75–$458.40	—	40%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 WC RPR S/N/AX/GEN/TRN2.6-7.5CM	$473.40	$789.00	$591.75–$631.20	—	40%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 SC,NE,AX,EX.GE,TR 2.6-7.5CM	$473.40	$789.00	$591.75–$631.20	—	40%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 SIM REP SUPERFICIAL WND 2.5CM<	$61.80	$103.00	$28.55–$2,325.85	88% below	40%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 FACE,ER,EYLDS,N,L,MM < 2.5CM	$472.20	$787.00	$33.08–$2,325.85	7% below	40%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 SIM REP SUPERFICIAL WND 2.5CM<	$61.80	$103.00	$77.25–$82.40	—	40%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 FACE,ER,EYLDS,N,L,MM < 2.5CM	$472.20	$787.00	$590.25–$629.60	—	40%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 WC TANGNTL BX SKIN SINGLE LES	$357.60	$596.00	$33.84–$2,094.25	37% below	40%
Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 WC TANGNTL BX SKIN SINGLE LES	$357.60	$596.00	$447.00–$476.80	—	40%
Thoracentesis with imaging guidance CPT 32555 THORACENTESIS WITH IMAGING	$1,092.60	$1,821.00	$504.78–$1,686.25	26% below	40%
Thoracentesis with imaging guidance inpatient CPT 32555 THORACENTESIS WITH IMAGING	$1,092.60	$1,821.00	$1,365.75–$1,456.80	—	40%
Trigger point injections, 1 or 2 muscles CPT 20552 WC INJ;SINGLE/MULTI TRIGGER PT	$183.00	$305.00	$32.61–$2,094.25	66% below	40%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 WC INJ;SINGLE/MULTI TRIGGER PT	$183.00	$305.00	$228.75–$244.00	—	40%
Wart removal, up to 14 warts CPT 17110 DESTRUCTION-FLAT WARTS 1-14	$52.20	$87.00	$24.12–$2,325.85	91% below	40%
Wart removal, up to 14 warts inpatient CPT 17110 DESTRUCTION-FLAT WARTS 1-14	$52.20	$87.00	$65.25–$69.60	—	40%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRIDEMENT;SKIN AND SUBCUTANE	$54.60	$91.00	$25.23–$2,317.34	95% below	40%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 WC DEBRIDEMENT,SUBCU	$1,353.00	$2,255.00	$34.65–$2,317.34	26% above	40%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 DEBRIDEMENT;SKIN AND SUBCUTANE	$54.60	$91.00	$68.25–$72.80	—	40%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 WC DEBRIDEMENT,SUBCU	$1,353.00	$2,255.00	$1,691.25–$1,804.00	—	40%

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs Pennsylvania	Off list
Blood transfusion (giving blood or blood components) CPT 36430 ED BLOOD ADMIN	$311.40	$519.00	$29.23–$425.58	67% below	40%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 ED BLOOD ADMIN	$311.40	$519.00	$389.25–$415.20	—	40%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 PFP INHALATION THERAPY	$63.00	$105.00	$15.63–$86.10	72% below	40%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 SHI NEBULIZER TREATMENT	$63.00	$105.00	$15.63–$86.10	72% below	40%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 SHI NEBULIZER TREATMENT	$63.00	$105.00	$78.75–$84.00	—	40%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 PFP INHALATION THERAPY	$63.00	$105.00	$78.75–$84.00	—	40%
Chemotherapy IV infusion, first hour CPT 96413 CHEMO ADM/INFUSION < 1HR	$848.40	$1,414.00	$131.04–$1,159.48	17% above	40%
Chemotherapy IV infusion, first hour inpatient CPT 96413 CHEMO ADM/INFUSION < 1HR	$848.40	$1,414.00	$1,060.50–$1,131.20	—	40%
Critical care, first 30 to 74 minutes CPT 99291 CRITICAL CARE ER 30-74 MIN	$1,185.60	$1,976.00	$159.21–$1,580.80	37% below	40%
Critical care, first 30 to 74 minutes inpatient CPT 99291 CRITICAL CARE ER 30-74 MIN	$1,185.60	$1,976.00	$1,482.00–$1,580.80	—	40%
EEG (brain wave test), awake and drowsy, routine CPT 95816 EEG AWAKE & DROWSY	$896.40	$1,494.00	$23.62–$1,660.38	18% above	40%
EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 EEG AWAKE & DROWSY	$896.40	$1,494.00	$1,120.50–$1,195.20	—	40%
Electrocardiogram (ECG/EKG) with interpretation CPT 93000 ONC ECG INTP/REP W/AT LEAST 1	$154.20	$257.00	$16.94–$210.74	137% above	40%
Electrocardiogram (ECG/EKG) with interpretation inpatient CPT 93000 ONC ECG INTP/REP W/AT LEAST 1	$154.20	$257.00	$192.75–$205.60	—	40%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 PFP PED EKG	$154.20	$257.00	$7.51–$210.74	12% below	40%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 PFP PED EKG	$154.20	$257.00	$192.75–$205.60	—	40%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 LEVEL I EMERGENCY RM VISIT	$136.20	$227.00	$18.26–$334.00	55% below	40%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 LEVEL I EMERGENCY RM VISIT	$136.20	$227.00	$170.25–$181.60	—	40%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 LEVEL II EMERGENCY RM VISIT	$210.00	$350.00	$30.27–$334.00	56% below	40%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 LEVEL II EMERGENCY RM VISIT	$210.00	$350.00	$262.50–$280.00	—	40%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 LEVEL III EMERGENCY RM VISIT	$274.20	$457.00	$39.46–$781.00	63% below	40%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 LEVEL III EMERGENCY RM VISIT	$274.20	$457.00	$342.75–$365.60	—	40%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 LEVEL IV EMERGENCY RM VISIT	$357.00	$595.00	$56.38–$909.00	71% below	40%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 LEVEL IV EMERGENCY RM VISIT	$357.00	$595.00	$446.25–$476.00	—	40%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 LEVEL V EMERGENCY ROOM VISIT	$630.00	$1,050.00	$56.38–$909.00	61% below	40%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 LEVEL V EMERGENCY ROOM VISIT	$630.00	$1,050.00	$787.50–$840.00	—	40%
Exercise stress test, tracing only, the hospital charge CPT 93017 STR ETT W/O NUCMED	$609.00	$1,015.00	$39.80–$832.30	36% below	40%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 STR ETT W/O NUCMED	$609.00	$1,015.00	$761.25–$812.00	—	40%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 OB IV HYDRATION 31-60 MIN	$264.60	$441.00	$33.21–$361.62	39% below	40%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 ED IV HYDRATION 31-60 MIN	$264.60	$441.00	$33.21–$361.62	39% below	40%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 OB IV HYDRATION 31-60 MIN	$264.60	$441.00	$330.75–$352.80	—	40%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 ED IV HYDRATION 31-60 MIN	$264.60	$441.00	$330.75–$352.80	—	40%
IV infusion of a medicine, first hour CPT 96365 ER IV INFUSION, UP TO 1 HR	$477.00	$795.00	$41.27–$651.90	6% above	40%
IV infusion of a medicine, first hour CPT 96365 OB THERAPEUTIC INF;FIRST HR	$477.00	$795.00	$41.27–$651.90	6% above	40%
IV infusion of a medicine, first hour CPT 96365 SHI INTR INF,THER/PROPHYLAXIS	$477.00	$795.00	$41.27–$651.90	6% above	40%
IV infusion of a medicine, first hour inpatient CPT 96365 SHI INTR INF,THER/PROPHYLAXIS	$477.00	$795.00	$596.25–$636.00	—	40%
IV infusion of a medicine, first hour inpatient CPT 96365 OB THERAPEUTIC INF;FIRST HR	$477.00	$795.00	$596.25–$636.00	—	40%
IV infusion of a medicine, first hour inpatient CPT 96365 ER IV INFUSION, UP TO 1 HR	$477.00	$795.00	$596.25–$636.00	—	40%
IV push of a medicine, first drug CPT 96374 SHI THER/PROPH/DIAG INJ IV	$186.00	$310.00	$32.57–$254.20	43% below	40%
IV push of a medicine, first drug CPT 96374 ED, IV PUSH INITIAL	$226.20	$377.00	$32.57–$309.14	31% below	40%
IV push of a medicine, first drug CPT 96374 OB IV (PUSH) INJ, INIT	$226.20	$377.00	$32.57–$309.14	31% below	40%
IV push of a medicine, first drug CPT 96374 CARD, IV PUSH INITIAL	$226.20	$377.00	$32.57–$309.14	31% below	40%
IV push of a medicine, first drug inpatient CPT 96374 SHI THER/PROPH/DIAG INJ IV	$186.00	$310.00	$232.50–$248.00	—	40%
IV push of a medicine, first drug inpatient CPT 96374 OB IV (PUSH) INJ, INIT	$226.20	$377.00	$282.75–$301.60	—	40%
IV push of a medicine, first drug inpatient CPT 96374 ED, IV PUSH INITIAL	$226.20	$377.00	$282.75–$301.60	—	40%
IV push of a medicine, first drug inpatient CPT 96374 CARD, IV PUSH INITIAL	$226.20	$377.00	$282.75–$301.60	—	40%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 ULY THERAP INJECT SUBCU 1 M	$37.80	$63.00	$13.34–$168.00	69% below	40%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 THERAPEUTIC INJECTION	$103.20	$172.00	$13.34–$141.04	16% below	40%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 OB RHO GAM INJECTION	$103.20	$172.00	$13.34–$137.60	16% below	40%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 THERAPEUTIC INJECTION;SUBCU/IM	$103.20	$172.00	$13.34–$141.04	16% below	40%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 THER INJ,SUBCUT/INTRAMUSCULAR	$103.20	$172.00	$13.34–$168.00	16% below	40%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 WC THER INJ SUBCUT/INTRAMUSCUL	$141.00	$235.00	$13.34–$2,094.25	14% above	40%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 ULY THERAP INJECT SUBCU 1 M	$37.80	$63.00	$47.25–$50.40	—	40%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 OB RHO GAM INJECTION	$103.20	$172.00	$129.00–$137.60	—	40%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 THERAPEUTIC INJECTION	$103.20	$172.00	$129.00–$137.60	—	40%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 THERAPEUTIC INJECTION;SUBCU/IM	$103.20	$172.00	$129.00–$137.60	—	40%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 THER INJ,SUBCUT/INTRAMUSCULAR	$103.20	$172.00	$129.00–$137.60	—	40%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 WC THER INJ SUBCUT/INTRAMUSCUL	$141.00	$235.00	$176.25–$188.00	—	40%
Nerve conduction study, 7 or 8 nerve studies CPT 95910 NERVE CONDUCTION STUDIES 7-8	$98.40	$164.00	$45.46–$364.65	93% below	40%
Nerve conduction study, 7 or 8 nerve studies inpatient CPT 95910 NERVE CONDUCTION STUDIES 7-8	$98.40	$164.00	$123.00–$131.20	—	40%
Neuromuscular re-education, 15 minutes CPT 97112 OT NEUROMUSCULAR RE-ED 15'	$79.20	$132.00	$17.59–$152.00	38% below	40%
Neuromuscular re-education, 15 minutes CPT 97112 SME PT NEUROMUSCULAR RE-ED 15'	$79.20	$132.00	$17.59–$211.00	38% below	40%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 OT NEUROMUSCULAR RE-ED 15'	$79.20	$132.00	$99.00–$105.60	—	40%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 SME PT NEUROMUSCULAR RE-ED 15'	$79.20	$132.00	$99.00–$105.60	—	40%
New patient office visit, about 30 minutes CPT 99203 NEW PT OFFICE VISIT; LEVEL 3	$271.80	$453.00	$56.06–$371.46	14% above	40%
New patient office visit, about 30 minutes inpatient CPT 99203 NEW PT OFFICE VISIT; LEVEL 3	$271.80	$453.00	$339.75–$362.40	—	40%
New patient office visit, about 45 minutes CPT 99204 NEW PT OFFICE VISIT; LEVEL 4	$420.00	$700.00	$61.30–$574.00	40% above	40%
New patient office visit, about 45 minutes inpatient CPT 99204 NEW PT OFFICE VISIT; LEVEL 4	$420.00	$700.00	$525.00–$560.00	—	40%
New patient office visit, about 60 minutes CPT 99205 NEW PT OFFICE VISIT; LEVEL 5	$526.20	$877.00	$65.78–$719.14	1% above	40%
New patient office visit, about 60 minutes inpatient CPT 99205 NEW PT OFFICE VISIT; LEVEL 5	$526.20	$877.00	$657.75–$701.60	—	40%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 NEW PT OFFICE VISIT; LEVEL 2	$183.00	$305.00	$37.10–$250.10	at median	40%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 NEW PT OFFICE VISIT; LEVEL 2	$183.00	$305.00	$228.75–$244.00	—	40%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 MNT INITIAL 15 MIN	$109.20	$182.00	$26.43–$191.31	117% above	40%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 MNT INITIAL 15 MIN	$109.20	$182.00	$136.50–$145.60	—	40%
Occupational therapy evaluation, low complexity CPT 97165 OT EVAL LOW COMPLEXITY	$281.40	$469.00	$84.11–$386.38	16% below	40%
Occupational therapy evaluation, low complexity inpatient CPT 97165 OT EVAL LOW COMPLEXITY	$281.40	$469.00	$351.75–$375.20	—	40%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 SME PT EVAL HIGH COMPLEXITY	$281.40	$469.00	$84.11–$386.38	17% below	40%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 SME PT EVAL HIGH COMPLEXITY	$281.40	$469.00	$351.75–$375.20	—	40%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 SME PT EVAL LOW COMPLEXITY	$281.40	$469.00	$84.11–$386.38	5% below	40%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 SME PT EVAL LOW COMPLEXITY	$281.40	$469.00	$351.75–$375.20	—	40%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 SME PT EVAL MOD COMPLEXITY	$281.40	$469.00	$84.11–$386.38	16% below	40%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 SME PT EVAL MOD COMPLEXITY	$281.40	$469.00	$351.75–$375.20	—	40%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 OT JNT MOBIL (1+ AREAS)	$69.60	$116.00	$22.08–$152.00	47% below	40%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 SME PT JNT MOBILIZ (1+AREA)	$70.20	$117.00	$22.08–$211.00	47% below	40%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 OT JNT MOBIL (1+ AREAS)	$69.60	$116.00	$87.00–$92.80	—	40%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 SME PT JNT MOBILIZ (1+AREA)	$70.20	$117.00	$87.75–$93.60	—	40%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 OT THER ES,ROM,END,FLX 15'	$76.80	$128.00	$8.80–$152.00	42% below	40%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 SME PT THER ES,ROM,END,FLX 15'	$76.80	$128.00	$8.80–$211.00	42% below	40%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 OT THER ES,ROM,END,FLX 15'	$76.80	$128.00	$96.00–$102.40	—	40%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 SME PT THER ES,ROM,END,FLX 15'	$76.80	$128.00	$96.00–$102.40	—	40%
Preventive checkup, new patient aged 65 or older CPT 99387 NP PREVENTIVE MED EXAM 65+ YRS	$192.60	$321.00	$88.98–$802.95	6% below	40%
Preventive checkup, new patient aged 65 or older inpatient CPT 99387 NP PREVENTIVE MED EXAM 65+ YRS	$192.60	$321.00	$240.75–$256.80	—	40%
Preventive checkup, returning patient aged 65 or older CPT 99397 NP PREVENTIVE MED EXAM-65+ YRS	$70.20	$117.00	$32.43–$660.20	61% below	40%
Preventive checkup, returning patient aged 65 or older inpatient CPT 99397 NP PREVENTIVE MED EXAM-65+ YRS	$70.20	$117.00	$87.75–$93.60	—	40%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 RT-SMOKING CESSATION	$46.20	$77.00	$16.14–$73.72	1% above	40%
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 RT-SMOKING CESSATION	$46.20	$77.00	$57.75–$61.60	—	40%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 ESTAB PT OFFICE VISIT; LEVEL 5	$367.80	$613.00	$59.28–$502.66	35% above	40%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 ESTAB PT OFFICE VISIT; LEVEL 5	$367.80	$613.00	$459.75–$490.40	—	40%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 ESTAB PT OFFICE VISIT; LEVEL 3	$183.00	$305.00	$36.75–$250.10	1% below	40%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 ESTAB PT OFFICE VISIT; LEVEL 3	$183.00	$305.00	$228.75–$244.00	—	40%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 ESTAB PT OFFICE VISIT; LEVEL 4	$273.00	$455.00	$51.57–$373.10	35% above	40%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 ESTAB PT OFFICE VISIT; LEVEL 4	$273.00	$455.00	$341.25–$364.00	—	40%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 ESTAB PT OFFICE VISIT; LEVEL 2	$110.40	$184.00	$27.30–$168.00	32% below	40%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 ESTAB PT OFFICE VISIT; LEVEL 2	$110.40	$184.00	$138.00–$147.20	—	40%
Specialist consultation, low complexity or 30+ minutes CPT 99243 OFFICE CONSULTATION	$359.40	$599.00	$128.83–$564.28	94% above	40%
Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 OFFICE CONSULTATION	$359.40	$599.00	$449.25–$479.20	—	40%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 OFFICE CONSULTATION	$537.00	$895.00	$168.00–$808.36	107% above	40%
Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 OFFICE CONSULTATION	$537.00	$895.00	$671.25–$716.00	—	40%
Speech and language evaluation CPT 92523 ST EVAL OF SPEECH SOUND PROD	$444.00	$740.00	$152.00–$877.61	17% below	40%
Speech and language evaluation inpatient CPT 92523 ST EVAL OF SPEECH SOUND PROD	$444.00	$740.00	$555.00–$592.00	—	40%
Speech therapy session, individual CPT 92507 ST TMT SPEEC,LANG,VOIC/AUD PRC	$180.60	$301.00	$22.79–$294.76	41% below	40%
Speech therapy session, individual inpatient CPT 92507 ST TMT SPEEC,LANG,VOIC/AUD PRC	$180.60	$301.00	$225.75–$240.80	—	40%
Spirometry (breathing test) CPT 94010 EMP SPIROMETRY	$100.20	$167.00	$15.75–$136.94	67% below	40%
Spirometry (breathing test) inpatient CPT 94010 EMP SPIROMETRY	$100.20	$167.00	$125.25–$133.60	—	40%
Spirometry before and after a bronchodilator CPT 94060 SHI BRONCHOSPASM EVAL(PFT)	$155.40	$259.00	$19.95–$212.38	76% below	40%
Spirometry before and after a bronchodilator inpatient CPT 94060 SHI BRONCHOSPASM EVAL(PFT)	$155.40	$259.00	$194.25–$207.20	—	40%
Therapeutic activities (functional training), 15 minutes CPT 97530 OT THERAPEUTIC ACTIVITY 15'	$81.00	$135.00	$13.65–$152.00	37% below	40%
Therapeutic activities (functional training), 15 minutes CPT 97530 SME PT THERAPEUT ACTIVITY 15'	$81.00	$135.00	$13.65–$211.00	37% below	40%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 OT THERAPEUTIC ACTIVITY 15'	$81.00	$135.00	$101.25–$108.00	—	40%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 SME PT THERAPEUT ACTIVITY 15'	$81.00	$135.00	$101.25–$108.00	—	40%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 PHLEBOTOMY THERAPEUTIC	$298.20	$497.00	$10.50–$491.59	29% above	40%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 PHLEBOTOMY THERAPEUTIC	$298.20	$497.00	$372.75–$397.60	—	40%

Vaccines

Procedure	Cash price	List price	Insurers pay	vs Pennsylvania	Off list
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 VARICELLA VIRUS VACCINE LIVE INJ 0.5ML SDV	$228.60	$381.00	$10.50–$312.42	11% above	40%
Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 VARICELLA VIRUS VACCINE LIVE INJ 0.5ML SDV	$228.60	$381.00	$137.01–$304.80	—	40%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 FLU VACC 2024-2025/6MO-49YRS (FLUCELVAX) SYRINGE	$12.00	$20.00	$5.54–$25.54	82% below	40%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 IMMUNE-INFU PRESERVATIVE FREE	$29.40	$49.00	$10.50–$40.18	56% below	40%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 FLU VACC 2024-2025/6MO-49YRS (FLUCELVAX) SYRINGE	$12.00	$20.00	$7.19–$16.00	—	40%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 IMMUNE-INFU PRESERVATIVE FREE	$29.40	$49.00	$17.62–$39.20	—	40%
HPV vaccine, 9-valent (Gardasil 9) CPT 90651 HPV VACCINE 9-VALENT-PF 0.5ML SYRINGE	$247.20	$412.00	$10.50–$350.53	3% below	40%
HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 HPV VACCINE 9-VALENT-PF 0.5ML SYRINGE	$247.20	$412.00	$148.16–$329.60	—	40%
Hepatitis A vaccine, adult dose CPT 90632 EMP HEPATITUS A VACCINE	$262.80	$438.00	$10.50–$359.16	195% above	40%
Hepatitis A vaccine, adult dose inpatient CPT 90632 EMP HEPATITUS A VACCINE	$262.80	$438.00	$157.50–$350.40	—	40%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 IIM HEPATITIS B/ > 20 YRS	$112.20	$187.00	$10.50–$186.51	36% above	40%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 IIM HEPATITIS B/ > 20 YRS	$112.20	$187.00	$67.25–$149.60	—	40%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 EMP HEPATITIS B/NB-19 YRS	$105.60	$176.00	$10.50–$144.32	123% above	40%
Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 EMP HEPATITIS B/NB-19 YRS	$105.60	$176.00	$63.29–$140.80	—	40%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 FLU VACC 2024-2025/50YRS & OLDER (FLUBLOK) SYRINGE	$25.80	$43.00	$10.50–$107.98	70% below	40%
High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 FLU VACC 2024-2025/50YRS & OLDER (FLUBLOK) SYRINGE	$25.80	$43.00	$15.46–$34.40	—	40%
MMR vaccine (measles, mumps and rubella), live CPT 90707 MEASLES/MUMPS/RUBELLA VACC INJ 0.5ML SDV	$65.40	$109.00	$10.50–$105.01	at median	40%
MMR vaccine (measles, mumps and rubella), live CPT 90707 IMM MMR SC OR JET INJECT	$70.20	$117.00	$10.50–$105.01	7% above	40%
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 MEASLES/MUMPS/RUBELLA VACC INJ 0.5ML SDV	$65.40	$109.00	$39.20–$87.20	—	40%
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 IMM MMR SC OR JET INJECT	$70.20	$117.00	$42.07–$93.60	—	40%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 ELD MENINGOCOCCAL CONJ VAC;1M	$134.40	$224.00	$10.50–$183.68	44% above	40%
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 ELD MENINGOCOCCAL CONJ VAC;1M	$134.40	$224.00	$80.55–$179.20	—	40%
Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 MENINGOCOCCAL-B VACC/4-COMP-PF 0.5ML SYRINGE	$296.40	$494.00	$10.50–$405.08	54% above	40%
Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 MENINGOCOCCAL-B VACC/4-COMP-PF 0.5ML SYRINGE	$296.40	$494.00	$177.64–$395.20	—	40%
Nasal spray flu vaccine, live (FluMist) CPT 90660 PFP INFLUENZA VAC/LIVE INTRANA	$42.60	$71.00	$10.50–$58.22	49% below	40%
Nasal spray flu vaccine, live (FluMist) inpatient CPT 90660 PFP INFLUENZA VAC/LIVE INTRANA	$42.60	$71.00	$25.53–$56.80	—	40%
Pneumonia vaccine, 21-valent conjugate (Capvaxive) CPT 90684 PNEUMOC-21 (CAPVAXIVE)-PF >=19YO INJ 0.5ML SYRINGE	$360.00	$600.00	$10.50–$492.00	90% above	40%
Pneumonia vaccine, 21-valent conjugate (Capvaxive) inpatient CPT 90684 PNEUMOC-21 (CAPVAXIVE)-PF >=19YO INJ 0.5ML SYRINGE	$360.00	$600.00	$215.76–$480.00	—	40%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 IMMUNIZATION-PNEUMOCOCCAL VACC	$97.80	$163.00	$10.50–$353.70	24% below	40%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 IMMUNIZATION-PNEUMOCOCCAL VACC	$97.80	$163.00	$58.61–$130.40	—	40%
Rabies vaccine, one dose CPT 90675 RABIES VACC (RABAVERT) 2.5IU/1ML SDV	$319.20	$532.00	$10.50–$860.56	47% below	40%
Rabies vaccine, one dose inpatient CPT 90675 RABIES VACC (RABAVERT) 2.5IU/1ML SDV	$319.20	$532.00	$191.31–$425.60	—	40%
Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 VARICELLA-ZOSTER GE/AS01B-PF 50MCG/0.5 ML KIT	$270.00	$450.00	$10.50–$369.00	2% above	40%
Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 VARICELLA-ZOSTER GE/AS01B-PF 50MCG/0.5 ML KIT	$270.00	$450.00	$161.82–$360.00	—	40%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 WC TETANUS DIPTHERIA TOXOIDS	$31.80	$53.00	$10.50–$45.67	43% below	40%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETAN/DIPHTH TOXOIDS (TENIVAC) ADULT 0.5ML SYRINGE	$51.00	$85.00	$10.50–$69.70	9% below	40%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 WC TETANUS DIPTHERIA TOXOIDS	$31.80	$53.00	$19.06–$42.40	—	40%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETAN/DIPHTH TOXOIDS (TENIVAC) ADULT 0.5ML SYRINGE	$51.00	$85.00	$30.57–$68.00	—	40%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TETAN/DIPHTH/A.PERT/-ADULT (BOOSTRIX) 0.5ML SYRG	$55.20	$92.00	$10.50–$75.44	2% below	40%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 PFP IMMUNIZATION TdaP (IM)	$76.80	$128.00	$10.50–$104.96	37% above	40%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 TETAN/DIPHTH/A.PERT/-ADULT (BOOSTRIX) 0.5ML SYRG	$55.20	$92.00	$33.08–$73.60	—	40%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 PFP IMMUNIZATION TdaP (IM)	$76.80	$128.00	$46.03–$102.40	—	40%
Typhoid vaccine, injectable (Vi polysaccharide) CPT 90691 TYPHOID VACC VI CAPSU POLYSACC INJ 25MCG/0.5ML SYR	$192.60	$321.00	$10.50–$263.22	132% above	40%
Typhoid vaccine, injectable (Vi polysaccharide) inpatient CPT 90691 TYPHOID VACC VI CAPSU POLYSACC INJ 25MCG/0.5ML SYR	$192.60	$321.00	$115.43–$256.80	—	40%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ELD ADM SINGLE IMMUNIZATION	$17.40	$29.00	$1.18–$136.17	73% below	40%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUN INJ/TETANUS	$103.20	$172.00	$1.18–$141.04	62% above	40%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 PFP ADM SINGLE IMMUNIZATION	$103.20	$172.00	$1.18–$168.00	62% above	40%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ELD ADM SINGLE IMMUNIZATION	$17.40	$29.00	$21.75–$23.20	—	40%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUN INJ/TETANUS	$103.20	$172.00	$129.00–$137.60	—	40%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 PFP ADM SINGLE IMMUNIZATION	$103.20	$172.00	$129.00–$137.60	—	40%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUN ADM EA ADDL VACC SGL/COM	$12.00	$20.00	$0.56–$98.03	55% below	40%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 PFP ADM 2+IMMUNIZATIONS	$17.40	$29.00	$0.56–$168.00	35% below	40%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 IMMUN ADM EA ADDL VACC SGL/COM	$12.00	$20.00	$15.00–$16.00	—	40%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 PFP ADM 2+IMMUNIZATIONS	$17.40	$29.00	$21.75–$23.20	—	40%

Procedure The service, with its billing code (CPT or HCPCS) and, in small type, the line exactly as the hospital wrote it in its price file. More

Cash price The hospital's own price for a patient paying without insurance (“discounted cash” in its price file). Hospitals must publish it under federal law, 45 CFR 180.50. Call to confirm it before booking. More

List price The hospital's full chargemaster price (“gross charge”) before any discount. Almost nobody pays it; the gap to the cash price shows what the self-pay discount is worth. More

Insurers pay The lowest and highest rates this hospital has agreed with insurance plans for the same item, from its price file. If the cash price is below what your plan pays and you have not met your deductible, paying cash can cost you less. More

Against the state median This hospital's cash price compared with the median cash price of hospitals in the state for the same code. Shown when at least three hospitals in the state price it.

Off list How much lower the cash price is than the list price.

No cash discount This line's cash price equals the hospital's full list price. Many hospitals still reduce bills for uninsured patients: ask the billing office for its self-pay discount in writing. More

At or below Medicare This cash price is at or below what Medicare pays a hospital for the same service, which is unusually low. It is what the hospital's file says; confirm it and what it includes before booking. More

Check the item The description in the hospital file looks like a supply or device (a catheter, a brace, an implant), not this procedure. The hospital may have filed it under the wrong code: ask before relying on this price.

Source file: https://dam.upmc.com/-/media/upmc/locations/hospitals/documents/cdm-json-files/240802108_upmc-cole_standardcharges.csv?la=en&rev=f8ca8b0d2c93447fbf5309a85beb919e&hash=2904D863B21B8DBA187818D598FD8CC6