Childrens Hospital at Mission - Cerner
Childrens Hospital at Mission - Cerner in Mission Viejo, CA publishes cash prices for 334 common procedures listed here, from its own machine-readable price file updated Mar 18, 2026. Compared with other hospitals in the state, its outpatient cash prices are above the California median for 255 of 332 procedures and below it for 77. By typical cash price it ranks #222 of 226 California hospitals and #55 of 55 hospitals in the Los Angeles, CA area, cheapest first. Select a procedure to compare it with other hospitals nearby.
27700 Medical Center Rd Collected Sep 22, 2026 Source price file Check a bill from this hospital (949) 365-2408
Children's hospital Nonprofit hospital Emergency department CCN 053306 · CMS hospital register NPI 1699868398
The price file shows no self-pay discount
For 1166 of the 1166 prices listed here, the cash price in Childrens Hospital at Mission - Cerner's file equals its full list price (chargemaster), so the file publishes no self-pay discount. That is why it compares as expensive. Many hospitals still reduce bills for uninsured patients or offer financial assistance based on income: before a planned visit, ask the billing office for its self-pay rate and discount policy in writing. Other US hospitals whose cash price is their full list price.
Financial assistance
Nonprofit hospital: it must offer free or discounted care to patients who qualify. How to apply
Childrens Hospital at Mission - Cerner 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.
State law
This state limits hospital bills for lower-income patients
California law (Health and Safety Code §127405): if you are uninsured or have high medical costs and your family income is at or below 400% of the federal poverty level, a hospital may not expect you to pay more than it would expect from Medicare or Medi-Cal, whichever is greater. That can be less than the cash prices below; ask the hospital for its discount payment policy. A separate physician fee may still apply. Other states' laws.
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs California | Off list |
|---|---|---|---|---|---|
| Abdominal CT scan without and with contrast CPT 74170 CT ABDOMEN WO W CONTRAST | $10,875.00 | $10,875.00 | $125.00–$10,875.00 | 284% above | — |
| Abdominal CT scan without and with contrast inpatient CPT 74170 CT ABDOMEN WO W CONTRAST | $10,875.00 | $10,875.00 | $4,893.75–$10,875.00 | — | — |
| Abdominal X-ray, 2 views CPT 74019 XR ABDOMEN 2 VIEWS | $1,369.00 | $1,369.00 | $30.06–$1,369.00 | 217% above | — |
| Abdominal X-ray, 2 views inpatient CPT 74019 XR ABDOMEN 2 VIEWS | $1,369.00 | $1,369.00 | $616.05–$1,369.00 | — | — |
| Ankle X-ray, complete, 3 or more views CPT 73610 XR ANKLE COMPL 3+ VIEWS | $1,610.00 | $1,610.00 | $25.14–$1,610.00 | 213% above | — |
| Ankle X-ray, complete, 3 or more views inpatient CPT 73610 XR ANKLE COMPL 3+ VIEWS | $1,610.00 | $1,610.00 | $724.50–$1,610.00 | — | — |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 US DOP ART UPR LWR EXT LTD BIL | $2,660.00 | $2,660.00 | $52.10–$2,660.00 | 377% above | — |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 US DOP ART UPR LWR EXT LTD BIL | $2,660.00 | $2,660.00 | $1,197.00–$2,660.00 | — | — |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT UPPER EXT WO CON LT | $7,327.00 | $7,327.00 | $134.46–$7,327.00 | 222% above | — |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT UPPER EXT WO CON LT | $7,327.00 | $7,327.00 | $3,297.15–$7,327.00 | — | — |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 XR ESOPH W SNGL CONTRAST STUDY | $2,204.00 | $2,204.00 | $38.09–$2,204.00 | 264% above | — |
| Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 XR ESOPH W SNGL CONTRAST STUDY | $2,204.00 | $2,204.00 | $991.80–$2,204.00 | — | — |
| Bone scan, whole body (nuclear medicine) CPT 78306 NM BONE JOINT WHOLE BODY | $7,485.00 | $7,485.00 | $141.03–$7,485.00 | 253% above | — |
| Bone scan, whole body (nuclear medicine) inpatient CPT 78306 NM BONE JOINT WHOLE BODY | $7,485.00 | $7,485.00 | $3,368.25–$7,485.00 | — | — |
| Breast ultrasound, complete, one breast one side CPT 76641 US BREAST INC AXILLA COMP LT | $1,694.00 | $1,694.00 | $96.23–$1,694.00 | 140% above | — |
| Breast ultrasound, complete, one breast inpatient one side CPT 76641 US BREAST INC AXILLA COMP LT | $1,694.00 | $1,694.00 | $762.30–$1,694.00 | — | — |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 US BREAST INC AXILLA LTD LT | $1,694.00 | $1,694.00 | $78.46–$1,694.00 | 217% above | — |
| Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 US BREAST INC AXILLA LTD LT | $1,694.00 | $1,694.00 | $762.30–$1,694.00 | — | — |
| CT angiography (CTA) of the abdomen and pelvis CPT 74174 CTA ABD PELVIS WO W CONTRAST | $10,946.00 | $10,946.00 | $300.00–$10,946.00 | 102% above | — |
| CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 CTA ABD PELVIS WO W CONTRAST | $10,946.00 | $10,946.00 | $4,925.70–$10,946.00 | — | — |
| CT angiography (CTA) of the head CPT 70496 CTA HEAD WO W CONTRAST | $7,559.00 | $7,559.00 | $125.00–$7,559.00 | 153% above | — |
| CT angiography (CTA) of the head inpatient CPT 70496 CTA HEAD WO W CONTRAST | $7,559.00 | $7,559.00 | $3,401.55–$7,559.00 | — | — |
| CT angiography (CTA) of the neck CPT 70498 CTA NECK WO W CONTRAST | $8,462.00 | $8,462.00 | $125.00–$8,462.00 | 185% above | — |
| CT angiography (CTA) of the neck inpatient CPT 70498 CTA NECK WO W CONTRAST | $8,462.00 | $8,462.00 | $3,807.90–$8,462.00 | — | — |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CTA CHEST WO W CONTRAST | $10,946.00 | $10,946.00 | $125.00–$10,946.00 | 219% above | — |
| CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CTA CHEST WO W CONTRAST | $10,946.00 | $10,946.00 | $4,925.70–$10,946.00 | — | — |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CTA HEART W CONTRAST 3D IMAG | $5,302.00 | $5,302.00 | $300.00–$5,302.00 | 96% above | — |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 CTA HEART W CONTRAST 3D IMAG | $5,302.00 | $5,302.00 | $2,385.90–$5,302.00 | — | — |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT HEART WO CONTRAST | $4,233.00 | $4,233.00 | $81.33–$4,233.00 | 1024% above | — |
| CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 CT HEART WO CONTRAST | $4,233.00 | $4,233.00 | $1,904.85–$4,233.00 | — | — |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABD PELVIS WO CONTRAST | $8,047.00 | $8,047.00 | $174.31–$8,047.00 | 151% above | — |
| CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT ABD PELVIS WO CONTRAST | $8,047.00 | $8,047.00 | $3,621.15–$8,047.00 | — | — |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABD PELVIS W CONTRAST | $8,992.00 | $8,992.00 | $281.80–$8,992.00 | 118% above | — |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABD PELVIS W CONTRAST | $8,992.00 | $8,992.00 | $4,046.40–$8,992.00 | — | — |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABD PELVIS WO W CON 1+ REGN | $11,262.00 | $11,262.00 | $300.00–$11,262.00 | 139% above | — |
| CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT ABD PELVIS WO W CON 1+ REGN | $11,262.00 | $11,262.00 | $5,067.90–$11,262.00 | — | — |
| CT scan of the abdomen with contrast CPT 74160 CT ABDOMEN W CONTRAST | $8,121.00 | $8,121.00 | $125.00–$8,121.00 | 222% above | — |
| CT scan of the abdomen with contrast inpatient CPT 74160 CT ABDOMEN W CONTRAST | $8,121.00 | $8,121.00 | $3,654.45–$8,121.00 | — | — |
| CT scan of the abdomen without contrast CPT 74150 CT ABDOMEN WO CONTRAST | $8,178.00 | $8,178.00 | $131.18–$8,178.00 | 328% above | — |
| CT scan of the abdomen without contrast inpatient CPT 74150 CT ABDOMEN WO CONTRAST | $8,178.00 | $8,178.00 | $3,680.10–$8,178.00 | — | — |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT MAXILLOFACIAL WO CONTRAST | $7,559.00 | $7,559.00 | $123.35–$7,559.00 | 246% above | — |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT MAXILLOFACIAL WO CONTRAST | $7,559.00 | $7,559.00 | $3,401.55–$7,559.00 | — | — |
| CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD BRAIN WO CON | $7,559.00 | $7,559.00 | $101.27–$7,559.00 | 230% above | — |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT HEAD BRAIN WO CON | $7,559.00 | $7,559.00 | $3,401.55–$7,559.00 | — | — |
| CT scan of the head with contrast CPT 70460 CT HEAD BRAIN W CON | $8,121.00 | $8,121.00 | $125.00–$8,121.00 | 200% above | — |
| CT scan of the head with contrast inpatient CPT 70460 CT HEAD BRAIN W CON | $8,121.00 | $8,121.00 | $3,654.45–$8,121.00 | — | — |
| CT scan of the head without and with contrast CPT 70470 CT HEAD BRAIN WO W CON | $8,349.00 | $8,349.00 | $125.00–$8,349.00 | 170% above | — |
| CT scan of the head without and with contrast inpatient CPT 70470 CT HEAD BRAIN WO W CON | $8,349.00 | $8,349.00 | $3,757.05–$8,349.00 | — | — |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT LUMBAR SPINE WO CONTRAST | $10,946.00 | $10,946.00 | $124.34–$10,946.00 | 283% above | — |
| CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT LUMBAR SPINE WO CONTRAST | $10,946.00 | $10,946.00 | $4,925.70–$10,946.00 | — | — |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT CERVICAL SPINE WO CONTRAST | $10,071.00 | $10,071.00 | $124.99–$10,071.00 | 246% above | — |
| CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT CERVICAL SPINE WO CONTRAST | $10,071.00 | $10,071.00 | $4,531.95–$10,071.00 | — | — |
| CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W CONTRAST | $8,121.00 | $8,121.00 | $125.00–$8,121.00 | 219% above | — |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT PELVIS W CONTRAST | $8,121.00 | $8,121.00 | $3,654.45–$8,121.00 | — | — |
| Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 US DPLX EXTRACRANL COMPL BIL | $5,071.00 | $5,071.00 | $156.64–$5,071.00 | 314% above | — |
| Carotid artery ultrasound (duplex), both sides of the neck inpatient CPT 93880 US DPLX EXTRACRANL COMPL BIL | $5,071.00 | $5,071.00 | $2,281.95–$5,071.00 | — | — |
| Chest CT scan without and with contrast CPT 71270 CT CHEST WO W CONTRAST | $5,206.00 | $5,206.00 | $125.00–$5,206.00 | 59% above | — |
| Chest CT scan without and with contrast inpatient CPT 71270 CT CHEST WO W CONTRAST | $5,206.00 | $5,206.00 | $2,342.70–$5,206.00 | — | — |
| Chest X-ray, 2 views CPT 71046 XR CHEST 2 VIEWS | $1,610.00 | $1,610.00 | $27.47–$1,610.00 | 295% above | — |
| Chest X-ray, 2 views inpatient CPT 71046 XR CHEST 2 VIEWS | $1,610.00 | $1,610.00 | $724.50–$1,610.00 | — | — |
| Chest X-ray, single view CPT 71045 HC XR CHEST PORTABLE 1 VIEW 32410018 | $1,295.00 | $1,295.00 | $17.65–$1,295.00 | 256% above | — |
| Chest X-ray, single view CPT 71045 XR CHEST 1 VIEW | $1,295.00 | $1,295.00 | $17.65–$1,295.00 | 256% above | — |
| Chest X-ray, single view inpatient CPT 71045 XR CHEST 1 VIEW | $1,295.00 | $1,295.00 | $582.75–$1,295.00 | — | — |
| Chest X-ray, single view inpatient CPT 71045 HC XR CHEST PORTABLE 1 VIEW 32410018 | $1,295.00 | $1,295.00 | $582.75–$1,295.00 | — | — |
| Collarbone (clavicle) X-ray, complete one side CPT 73000 XR CLAVICLE COMPLETE LT | $1,295.00 | $1,295.00 | $20.78–$1,295.00 | 168% above | — |
| Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 XR CLAVICLE COMPLETE LT | $1,295.00 | $1,295.00 | $582.75–$1,295.00 | — | — |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US RETROPERITIONEAL COMPLETE | $3,864.00 | $3,864.00 | $80.72–$3,864.00 | 356% above | — |
| Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US RETROPERITIONEAL COMPLETE | $3,864.00 | $3,864.00 | $1,738.80–$3,864.00 | — | — |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 HC DXA BONE DENSITY AXIAL | $1,259.00 | $1,259.00 | $34.27–$1,259.00 | 150% above | — |
| DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 HC DXA BONE DENSITY AXIAL | $1,259.00 | $1,259.00 | $566.55–$1,259.00 | — | — |
| Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 HC US OB DETAILED SINGLE FETUS | $1,581.00 | $1,581.00 | $158.68–$1,581.00 | 75% above | — |
| Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 HC US OB DETAILED SINGLE FETUS | $1,581.00 | $1,581.00 | $711.45–$1,581.00 | — | — |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT CHEST WO CONTRAST | $8,178.00 | $8,178.00 | $127.32–$8,178.00 | 303% above | — |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT CHEST WO CONTRAST | $8,178.00 | $8,178.00 | $3,680.10–$8,178.00 | — | — |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT CHEST W CONTRAST | $8,583.00 | $8,583.00 | $125.00–$8,583.00 | 198% above | — |
| Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT CHEST W CONTRAST | $8,583.00 | $8,583.00 | $3,862.35–$8,583.00 | — | — |
| Diagnostic mammogram, both breasts both sides CPT 77066 HC MAMMO DIAG BILAT INCL CAD | $681.00 | $681.00 | $129.05–$1,191.53 | — | — |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 HC MAMMO DIAG BILAT INCL CAD | $681.00 | $681.00 | $306.45–$681.00 | — | — |
| Diagnostic mammogram, one breast one side CPT 77065 HC MAMMO DIAG UNILAT INCL CAD | $549.00 | $549.00 | $101.25–$931.15 | 46% above | — |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 HC MAMMO DIAG UNILAT INCL CAD | $549.00 | $549.00 | $247.05–$549.00 | — | — |
| Duplex ultrasound of the leg arteries, both legs CPT 93925 US V DPLX ART LWR EXT CMPL BIL | $3,864.00 | $3,864.00 | $96.87–$3,864.00 | 269% above | — |
| Duplex ultrasound of the leg arteries, both legs inpatient CPT 93925 US V DPLX ART LWR EXT CMPL BIL | $3,864.00 | $3,864.00 | $1,738.80–$3,864.00 | — | — |
| Duplex ultrasound of the leg veins, both legs CPT 93970 US V DPLX VENOUS EXT COMPL BIL | $4,709.00 | $4,709.00 | $168.24–$4,709.00 | 296% above | — |
| Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 US V DPLX VENOUS EXT COMPL BIL | $4,709.00 | $4,709.00 | $2,119.05–$4,709.00 | — | — |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 ECHO TTE W DOPPLER COMPLETE | $6,085.00 | $6,085.00 | $239.76–$6,085.00 | 126% above | — |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 ECHO TTE W DOPPLER COMPLETE | $6,085.00 | $6,085.00 | $2,738.25–$6,085.00 | — | — |
| Elbow X-ray, 2 views one side CPT 73070 XR ELBOW 2 VIEWS LT | $1,295.00 | $1,295.00 | $20.78–$1,295.00 | 226% above | — |
| Elbow X-ray, 2 views inpatient one side CPT 73070 XR ELBOW 2 VIEWS LT | $1,295.00 | $1,295.00 | $582.75–$1,295.00 | — | — |
| Elbow X-ray, complete, 3 or more views one side CPT 73080 XR ELBOW 3+ VIEWS LT | $1,610.00 | $1,610.00 | $25.98–$1,610.00 | 233% above | — |
| Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 XR ELBOW 3+ VIEWS LT | $1,610.00 | $1,610.00 | $724.50–$1,610.00 | — | — |
| Eye socket (orbit) CT scan without contrast CPT 70480 CT ORBIT SELLA EAR WO CON | $8,121.00 | $8,121.00 | $134.46–$8,121.00 | 255% above | — |
| Eye socket (orbit) CT scan without contrast inpatient CPT 70480 CT ORBIT SELLA EAR WO CON | $8,121.00 | $8,121.00 | $3,654.45–$8,121.00 | — | — |
| Facial bones X-ray, complete, 3 or more views CPT 70150 XR FACIAL BONES COMPL 3+ VIEWS | $1,992.00 | $1,992.00 | $37.28–$1,992.00 | 303% above | — |
| Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 XR FACIAL BONES COMPL 3+ VIEWS | $1,992.00 | $1,992.00 | $896.40–$1,992.00 | — | — |
| Forearm X-ray (radius and ulna), 2 views CPT 73090 HC XR FOREARM 1 VIEW 32010483 | $858.00 | $858.00 | $20.78–$858.00 | 101% above | — |
| Forearm X-ray (radius and ulna), 2 views one side CPT 73090 XR FOREARM 2 VIEWS LT | $1,610.00 | $1,610.00 | $20.78–$1,610.00 | 277% above | — |
| Forearm X-ray (radius and ulna), 2 views inpatient CPT 73090 HC XR FOREARM 1 VIEW 32010483 | $858.00 | $858.00 | $386.10–$858.00 | — | — |
| Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 XR FOREARM 2 VIEWS LT | $1,610.00 | $1,610.00 | $724.50–$1,610.00 | — | — |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 NM HEPATOBILIARY SYSTEM | $6,548.00 | $6,548.00 | $291.01–$6,548.00 | 268% above | — |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 NM HEPATOBILIARY SYSTEM | $6,548.00 | $6,548.00 | $2,946.60–$6,548.00 | — | — |
| Hand X-ray, 2 views CPT 73120 HC XR HAND 1 VIEW 32010125 | $717.00 | $717.00 | $17.30–$717.00 | 76% above | — |
| Hand X-ray, 2 views one side CPT 73120 XR HAND 2 VIEWS LT | $1,295.00 | $1,295.00 | $17.30–$1,295.00 | 218% above | — |
| Hand X-ray, 2 views inpatient CPT 73120 HC XR HAND 1 VIEW 32010125 | $717.00 | $717.00 | $322.65–$717.00 | — | — |
| Hand X-ray, 2 views inpatient one side CPT 73120 XR HAND 2 VIEWS LT | $1,295.00 | $1,295.00 | $582.75–$1,295.00 | — | — |
| Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 XR CALCANEUS 2+ VIEWS LT | $1,295.00 | $1,295.00 | $19.02–$1,295.00 | 267% above | — |
| Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 XR CALCANEUS 2+ VIEWS LT | $1,295.00 | $1,295.00 | $582.75–$1,295.00 | — | — |
| Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 MULTI CHANNEL SLEEP STUDY | $2,213.00 | $2,213.00 | $82.72–$2,213.00 | 188% above | — |
| Home sleep apnea test, unattended, recording breathing and oxygen inpatient CPT 95806 MULTI CHANNEL SLEEP STUDY | $2,213.00 | $2,213.00 | $995.85–$2,213.00 | — | — |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 HC POLYSOMNOGRAPHY W/CPAP REDUCED 74010012 | $3,734.00 | $3,734.00 | $357.72–$3,734.00 | 2% above | — |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 POLYSOMNOGRAPHY > 6 YRS W/CPAP | $15,513.00 | $15,513.00 | $357.72–$15,513.00 | 325% above | — |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 HC POLYSOMNOGRAPHY W/CPAP REDUCED 74010012 | $3,734.00 | $3,734.00 | $1,680.30–$3,734.00 | — | — |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 POLYSOMNOGRAPHY > 6 YRS W/CPAP | $15,513.00 | $15,513.00 | $6,980.85–$15,513.00 | — | — |
| Knee X-ray, 3 views CPT 73562 XR KNEE 3 VIEWS | $787.00 | $787.00 | $23.38–$787.00 | 71% above | — |
| Knee X-ray, 3 views inpatient CPT 73562 XR KNEE 3 VIEWS | $787.00 | $787.00 | $354.15–$787.00 | — | — |
| Knee X-ray, complete, 4 or more views one side CPT 73564 XR KNEE COMPL 4+ VIEWS LT | $1,610.00 | $1,610.00 | $27.70–$1,610.00 | 175% above | — |
| Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 XR KNEE COMPL 4+ VIEWS LT | $1,610.00 | $1,610.00 | $724.50–$1,610.00 | — | — |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT LOWER EXTREM WO CON LT | $7,327.00 | $7,327.00 | $124.34–$7,327.00 | 243% above | — |
| Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT LOWER EXTREM WO CON LT | $7,327.00 | $7,327.00 | $3,297.15–$7,327.00 | — | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ABDOMEN LTD | $2,660.00 | $2,660.00 | $60.74–$2,660.00 | 221% above | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US ABDOMEN LTD | $2,660.00 | $2,660.00 | $1,197.00–$2,660.00 | — | — |
| Limited ultrasound of an arm or leg (non-vascular) CPT 76882 US JOINT OR EXTREMITY LTD | $2,660.00 | $2,660.00 | $21.47–$2,660.00 | 388% above | — |
| Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 US JOINT OR EXTREMITY LTD | $2,660.00 | $2,660.00 | $1,197.00–$2,660.00 | — | — |
| Lower leg X-ray (tibia and fibula), 2 views CPT 73590 HC XR LOWER LEG LIMITED 32010499 | $743.00 | $743.00 | $20.78–$743.00 | 72% above | — |
| Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 XR TIBIA FIBULA 2 VIEWS LT | $1,295.00 | $1,295.00 | $20.78–$1,295.00 | 199% above | — |
| Lower leg X-ray (tibia and fibula), 2 views inpatient CPT 73590 HC XR LOWER LEG LIMITED 32010499 | $743.00 | $743.00 | $334.35–$743.00 | — | — |
| Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 XR TIBIA FIBULA 2 VIEWS LT | $1,295.00 | $1,295.00 | $582.75–$1,295.00 | — | — |
| MR angiography (MRA) of the head without contrast CPT 70544 MRA HEAD WO CONTRAST | $9,056.00 | $9,056.00 | $210.94–$9,056.00 | 213% above | — |
| MR angiography (MRA) of the head without contrast inpatient CPT 70544 MRA HEAD WO CONTRAST | $9,056.00 | $9,056.00 | $4,075.20–$9,056.00 | — | — |
| MRI of both breasts, without and then with contrast dye CPT 77049 MR BREAST WO W CONTRAST BIL | $6,939.00 | $6,939.00 | $325.00–$6,939.00 | 108% above | — |
| MRI of both breasts, without and then with contrast dye inpatient CPT 77049 MR BREAST WO W CONTRAST BIL | $6,939.00 | $6,939.00 | $3,122.55–$6,939.00 | — | — |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MR LOWER EXT JNT WO CON LT | $9,251.00 | $9,251.00 | $196.92–$9,251.00 | 205% above | — |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MR LOWER EXT JNT WO CON LT | $9,251.00 | $9,251.00 | $4,162.95–$9,251.00 | — | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MR LOWER EXT JNT WO W CON LT | $14,249.00 | $14,249.00 | $325.00–$14,249.00 | 208% above | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MR LOWER EXT JNT WO W CON LT | $14,249.00 | $14,249.00 | $6,412.05–$14,249.00 | — | — |
| MRI of the abdomen without contrast CPT 74181 MR ABD WO CONTRAST | $8,462.00 | $8,462.00 | $190.96–$8,462.00 | 203% above | — |
| MRI of the abdomen without contrast inpatient CPT 74181 MR ABD WO CONTRAST | $8,462.00 | $8,462.00 | $3,807.90–$8,462.00 | — | — |
| MRI of the abdomen, without and then with contrast dye CPT 74183 MR ABD WO W CONTRAST | $15,903.00 | $15,903.00 | $325.00–$15,903.00 | 264% above | — |
| MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MR ABD WO W CONTRAST | $15,903.00 | $15,903.00 | $7,156.35–$15,903.00 | — | — |
| MRI of the brain, no contrast dye CPT 70551 HC MRI BRAIN W/O DYE LIMITED 61110002 | $4,535.00 | $4,535.00 | $190.16–$4,535.00 | 56% above | — |
| MRI of the brain, no contrast dye CPT 70551 MR BRAIN WO CONTRAST | $8,121.00 | $8,121.00 | $190.16–$8,121.00 | 180% above | — |
| MRI of the brain, no contrast dye inpatient CPT 70551 HC MRI BRAIN W/O DYE LIMITED 61110002 | $4,535.00 | $4,535.00 | $2,040.75–$4,535.00 | — | — |
| MRI of the brain, no contrast dye inpatient CPT 70551 MR BRAIN WO CONTRAST | $8,121.00 | $8,121.00 | $3,654.45–$8,121.00 | — | — |
| MRI of the brain, with and without contrast dye CPT 70553 MR BRAIN WO W CON | $14,485.00 | $14,485.00 | $311.06–$14,485.00 | 235% above | — |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 MR BRAIN WO W CON | $14,485.00 | $14,485.00 | $6,518.25–$14,485.00 | — | — |
| MRI of the lower back, no contrast dye CPT 72148 HC MRI LUMBAR SPINE W/O DYE LIMITED 61210010 | $5,399.00 | $5,399.00 | $186.00–$5,399.00 | 76% above | — |
| MRI of the lower back, no contrast dye CPT 72148 MR LUMBAR SPINE WO CON | $8,462.00 | $8,462.00 | $186.00–$8,462.00 | 176% above | — |
| MRI of the lower back, no contrast dye inpatient CPT 72148 HC MRI LUMBAR SPINE W/O DYE LIMITED 61210010 | $5,399.00 | $5,399.00 | $2,429.55–$5,399.00 | — | — |
| MRI of the lower back, no contrast dye inpatient CPT 72148 MR LUMBAR SPINE WO CON | $8,462.00 | $8,462.00 | $3,807.90–$8,462.00 | — | — |
| MRI of the lower back, without and then with contrast dye CPT 72158 MR LUMBAR SPINE WO W CONTRAST | $14,485.00 | $14,485.00 | $312.29–$14,485.00 | 221% above | — |
| MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MR LUMBAR SPINE WO W CONTRAST | $14,485.00 | $14,485.00 | $6,518.25–$14,485.00 | — | — |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MR THORACIC SPINE WO CONTRAST | $9,025.00 | $9,025.00 | $185.35–$9,025.00 | 212% above | — |
| MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MR THORACIC SPINE WO CONTRAST | $9,025.00 | $9,025.00 | $4,061.25–$9,025.00 | — | — |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 MR CERV SPINE WO W CON | $14,485.00 | $14,485.00 | $313.24–$14,485.00 | 226% above | — |
| MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MR CERV SPINE WO W CON | $14,485.00 | $14,485.00 | $6,518.25–$14,485.00 | — | — |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 MR CERVICAL SPINE WO CONTRAST | $8,462.00 | $8,462.00 | $185.65–$8,462.00 | 182% above | — |
| MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MR CERVICAL SPINE WO CONTRAST | $8,462.00 | $8,462.00 | $3,807.90–$8,462.00 | — | — |
| MRI of the pelvis without and with contrast CPT 72197 MR PELVIS WO W CONTRAST | $12,974.00 | $12,974.00 | $325.00–$12,974.00 | 213% above | — |
| MRI of the pelvis without and with contrast inpatient CPT 72197 MR PELVIS WO W CONTRAST | $12,974.00 | $12,974.00 | $5,838.30–$12,974.00 | — | — |
| MRI of the pelvis, no contrast dye CPT 72195 MR PELVIS WO CONTRAST | $8,121.00 | $8,121.00 | $226.34–$8,121.00 | 216% above | — |
| MRI of the pelvis, no contrast dye inpatient CPT 72195 MR PELVIS WO CONTRAST | $8,121.00 | $8,121.00 | $3,654.45–$8,121.00 | — | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 HC MRI JOINT UPR EXTREM W/O DYE LIMITED 61010184 | $4,488.00 | $4,488.00 | $197.26–$4,488.00 | 71% above | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MR UPPER EXT JNT WO CON LT | $8,121.00 | $8,121.00 | $197.26–$8,121.00 | 209% above | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 HC MRI JOINT UPR EXTREM W/O DYE LIMITED 61010184 | $4,488.00 | $4,488.00 | $2,019.60–$4,488.00 | — | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MR UPPER EXT JNT WO CON LT | $8,121.00 | $8,121.00 | $3,654.45–$8,121.00 | — | — |
| Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 XR CERVICAL SPINE 4+ VIEWS | $2,204.00 | $2,204.00 | $40.00–$2,204.00 | 242% above | — |
| Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 XR CERVICAL SPINE 4+ VIEWS | $2,204.00 | $2,204.00 | $991.80–$2,204.00 | — | — |
| Neck soft tissue CT scan with contrast CPT 70491 CT SOFT TIS NECK W CONTRAST | $8,121.00 | $8,121.00 | $125.00–$8,121.00 | 197% above | — |
| Neck soft tissue CT scan with contrast inpatient CPT 70491 CT SOFT TIS NECK W CONTRAST | $8,121.00 | $8,121.00 | $3,654.45–$8,121.00 | — | — |
| Neck soft tissue CT scan without contrast CPT 70490 CT SOFT TIS NECK WO CONTRAST | $8,121.00 | $8,121.00 | $134.46–$8,121.00 | 284% above | — |
| Neck soft tissue CT scan without contrast inpatient CPT 70490 CT SOFT TIS NECK WO CONTRAST | $8,121.00 | $8,121.00 | $3,654.45–$8,121.00 | — | — |
| Neck soft tissue X-ray CPT 70360 XR NECK SOFT TISSSUE | $854.00 | $854.00 | $17.30–$854.00 | 163% above | — |
| Neck soft tissue X-ray inpatient CPT 70360 XR NECK SOFT TISSSUE | $854.00 | $854.00 | $384.30–$854.00 | — | — |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 HC MYOCARDIAL MUSCLE IMAGE SPECT MULT | $10,139.00 | $10,139.00 | $348.12–$10,139.00 | 150% above | — |
| Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 HC MYOCARDIAL MUSCLE IMAGE SPECT MULT | $10,139.00 | $10,139.00 | $4,562.55–$10,139.00 | — | — |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET W CT SKULL MID THIGH INIT | $21,724.00 | $21,724.00 | $1,000.00–$21,724.00 | 201% above | — |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 PET W CT SKULL MID THIGH INIT | $21,724.00 | $21,724.00 | $9,775.80–$21,724.00 | — | — |
| Pelvic CT scan without contrast CPT 72192 CT PELVIS WO CONTRAST | $8,121.00 | $8,121.00 | $127.59–$8,121.00 | 314% above | — |
| Pelvic CT scan without contrast inpatient CPT 72192 CT PELVIS WO CONTRAST | $8,121.00 | $8,121.00 | $3,654.45–$8,121.00 | — | — |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US PELVIS NON OBSTETRIC LTD | $971.00 | $971.00 | $42.17–$971.00 | 80% above | — |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US PELVIS NON OBSTETRIC LTD | $971.00 | $971.00 | $436.95–$971.00 | — | — |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US PELVIS NON OBSTETRIC COMPL | $3,259.00 | $3,259.00 | $67.65–$3,259.00 | 246% above | — |
| Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US PELVIS NON OBSTETRIC COMPL | $3,259.00 | $3,259.00 | $1,466.55–$3,259.00 | — | — |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US PREG=>14WKS SNGL GESTATION | $2,660.00 | $2,660.00 | $94.32–$2,660.00 | 208% above | — |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US PREG=>14WKS SNGL GESTATION | $2,660.00 | $2,660.00 | $1,197.00–$2,660.00 | — | — |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US PREG<14WKS SINGLE GESTATION | $2,414.00 | $2,414.00 | $78.42–$2,414.00 | 212% above | — |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 US PREG<14WKS SINGLE GESTATION | $2,414.00 | $2,414.00 | $1,086.30–$2,414.00 | — | — |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US PREG 1 OR MORE FETUSES LTD | $1,439.00 | $1,439.00 | $62.95–$1,439.00 | 138% above | — |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 US PREG 1 OR MORE FETUSES LTD | $1,439.00 | $1,439.00 | $647.55–$1,439.00 | — | — |
| Rib X-ray, one side, 2 views CPT 71100 XR RIBS 2 VIEWS | $772.00 | $772.00 | $27.16–$772.00 | 67% above | — |
| Rib X-ray, one side, 2 views inpatient CPT 71100 XR RIBS 2 VIEWS | $772.00 | $772.00 | $347.40–$772.00 | — | — |
| Rib X-ray, one side, with a chest view, 3 or more views CPT 71101 XR RIBS W CHEST 3+ VIEWS | $1,610.00 | $1,610.00 | $32.32–$1,610.00 | 161% above | — |
| Rib X-ray, one side, with a chest view, 3 or more views inpatient CPT 71101 XR RIBS W CHEST 3+ VIEWS | $1,610.00 | $1,610.00 | $724.50–$1,610.00 | — | — |
| Screening mammogram, both breasts both sides CPT 77067 HC MAMMO SCREEN BILAT INCL CAD | $353.00 | $353.00 | $106.82–$983.99 | — | — |
| Screening mammogram, both breasts inpatient both sides CPT 77067 HC MAMMO SCREEN BILAT INCL CAD | $353.00 | $353.00 | $158.85–$353.00 | — | — |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR SHOULDER 2+ VIEWS LT | $1,755.00 | $1,755.00 | $25.86–$1,755.00 | 218% above | — |
| Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 XR SHOULDER 2+ VIEWS LT | $1,755.00 | $1,755.00 | $789.75–$1,755.00 | — | — |
| Sinus X-ray, complete, 3 or more views CPT 70220 XR SINUSES COMPL 3+ VIEWS | $1,360.00 | $1,360.00 | $33.35–$1,360.00 | 198% above | — |
| Sinus X-ray, complete, 3 or more views inpatient CPT 70220 XR SINUSES COMPL 3+ VIEWS | $1,360.00 | $1,360.00 | $612.00–$1,360.00 | — | — |
| Skull X-ray, fewer than 4 views CPT 70250 XR SKULL <4 VIEWS | $1,087.00 | $1,087.00 | $25.98–$1,087.00 | 168% above | — |
| Skull X-ray, fewer than 4 views inpatient CPT 70250 XR SKULL <4 VIEWS | $1,087.00 | $1,087.00 | $489.15–$1,087.00 | — | — |
| Sleep study in a lab (polysomnography) CPT 95810 HC POLYSOMNOGRAM REDUCED SERVICE | $3,734.00 | $3,734.00 | $348.07–$3,734.00 | 24% below | — |
| Sleep study in a lab (polysomnography) CPT 95810 POLYSOMNOGRAPHY > 6 YRS | $14,140.00 | $14,140.00 | $348.07–$14,140.00 | 189% above | — |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 HC POLYSOMNOGRAM REDUCED SERVICE | $3,734.00 | $3,734.00 | $1,680.30–$3,734.00 | — | — |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 POLYSOMNOGRAPHY > 6 YRS | $14,140.00 | $14,140.00 | $6,363.00–$14,140.00 | — | — |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 XR SWALLOW FUNC CINE VIDEO | $2,211.00 | $2,211.00 | $51.91–$2,211.00 | 234% above | — |
| Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 XR SWALLOW FUNC CINE VIDEO | $2,211.00 | $2,211.00 | $994.95–$2,211.00 | — | — |
| Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 XR FEMUR 2 VIEWS LT | $1,610.00 | $1,610.00 | $29.15–$1,610.00 | 295% above | — |
| Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 XR FEMUR 2 VIEWS LT | $1,610.00 | $1,610.00 | $724.50–$1,610.00 | — | — |
| Thoracic spine (mid back) CT scan without contrast CPT 72128 CT THORACIC SPINE WO CONTRAST | $10,946.00 | $10,946.00 | $124.68–$10,946.00 | 290% above | — |
| Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 CT THORACIC SPINE WO CONTRAST | $10,946.00 | $10,946.00 | $4,925.70–$10,946.00 | — | — |
| Toe X-ray, 2 or more views CPT 73660 XR TOES 2+ VIEWS | $1,295.00 | $1,295.00 | $15.59–$1,295.00 | 292% above | — |
| Toe X-ray, 2 or more views inpatient CPT 73660 XR TOES 2+ VIEWS | $1,295.00 | $1,295.00 | $582.75–$1,295.00 | — | — |
| Transvaginal pelvic ultrasound CPT 76830 US TRANSVAGINAL | $2,960.00 | $2,960.00 | $67.65–$2,960.00 | 313% above | — |
| Transvaginal pelvic ultrasound inpatient CPT 76830 US TRANSVAGINAL | $2,960.00 | $2,960.00 | $1,332.00–$2,960.00 | — | — |
| Transvaginal ultrasound during pregnancy CPT 76817 US PREG TRANSVAGINAL | $1,070.00 | $1,070.00 | $82.17–$1,070.00 | 61% above | — |
| Transvaginal ultrasound during pregnancy inpatient CPT 76817 US PREG TRANSVAGINAL | $1,070.00 | $1,070.00 | $481.50–$1,070.00 | — | — |
| Ultrasound of the abdomen, complete CPT 76700 US ABDOMEN COMPLETE | $3,864.00 | $3,864.00 | $83.20–$3,864.00 | 253% above | — |
| Ultrasound of the abdomen, complete inpatient CPT 76700 US ABDOMEN COMPLETE | $3,864.00 | $3,864.00 | $1,738.80–$3,864.00 | — | — |
| Ultrasound of the scrotum and testicles CPT 76870 US SCROTUM | $3,259.00 | $3,259.00 | $59.78–$3,259.00 | 266% above | — |
| Ultrasound of the scrotum and testicles inpatient CPT 76870 US SCROTUM | $3,259.00 | $3,259.00 | $1,466.55–$3,259.00 | — | — |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US SOFT TISSUE HEAD NECK | $2,777.00 | $2,777.00 | $59.74–$2,777.00 | 234% above | — |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US SOFT TISSUE HEAD NECK | $2,777.00 | $2,777.00 | $1,249.65–$2,777.00 | — | — |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 XR UGI SCT ABD SGL CNST STUDY | $2,058.00 | $2,058.00 | $86.91–$2,058.00 | 234% above | — |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 XR UGI SCT ABD SGL CNST STUDY | $2,058.00 | $2,058.00 | $926.10–$2,058.00 | — | — |
| Upper arm X-ray (humerus), 2 views CPT 73060 HC XR HUMERUS 1 VIEW 32010101 | $1,359.00 | $1,359.00 | $20.78–$1,359.00 | 218% above | — |
| Upper arm X-ray (humerus), 2 views one side CPT 73060 XR HUMERAL 2+ VIEWS LT | $1,295.00 | $1,295.00 | $20.78–$1,295.00 | 203% above | — |
| Upper arm X-ray (humerus), 2 views inpatient CPT 73060 HC XR HUMERUS 1 VIEW 32010101 | $1,359.00 | $1,359.00 | $611.55–$1,359.00 | — | — |
| Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 XR HUMERAL 2+ VIEWS LT | $1,295.00 | $1,295.00 | $582.75–$1,295.00 | — | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 US V DPLX VENOUS EXT LTD | $4,709.00 | $4,709.00 | $84.56–$4,709.00 | 423% above | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 US V DPLX VENOUS EXT LTD | $4,709.00 | $4,709.00 | $2,119.05–$4,709.00 | — | — |
| Wrist X-ray, 2 views CPT 73100 HC XR WRIST 1 VIEW 32010117 | $693.00 | $693.00 | $17.30–$693.00 | 78% above | — |
| Wrist X-ray, 2 views one side CPT 73100 XR WRIST 2 VIEWS LT | $1,295.00 | $1,295.00 | $17.30–$1,295.00 | 233% above | — |
| Wrist X-ray, 2 views inpatient CPT 73100 HC XR WRIST 1 VIEW 32010117 | $693.00 | $693.00 | $311.85–$693.00 | — | — |
| Wrist X-ray, 2 views inpatient one side CPT 73100 XR WRIST 2 VIEWS LT | $1,295.00 | $1,295.00 | $582.75–$1,295.00 | — | — |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 XR WRIST COMPL 3+ VIEWS LT | $1,420.00 | $1,420.00 | $25.14–$1,420.00 | 182% above | — |
| Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 XR WRIST COMPL 3+ VIEWS LT | $1,420.00 | $1,420.00 | $639.00–$1,420.00 | — | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR HIP W OR WO PEL UNI 2-3V LT | $1,617.00 | $1,617.00 | $37.28–$1,617.00 | 302% above | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 XR HIP W OR WO PEL UNI 2-3V LT | $1,617.00 | $1,617.00 | $727.65–$1,617.00 | — | — |
| X-ray of the abdomen, 1 view CPT 74018 XR ABDOMEN 1 VIEW | $1,601.00 | $1,601.00 | $24.60–$1,601.00 | 426% above | — |
| X-ray of the abdomen, 1 view CPT 74018 HC XR ABDOMEN PORTABLE 1 VIEW 32010190 | $1,601.00 | $1,601.00 | $24.60–$1,601.00 | 426% above | — |
| X-ray of the abdomen, 1 view inpatient CPT 74018 XR ABDOMEN 1 VIEW | $1,601.00 | $1,601.00 | $720.45–$1,601.00 | — | — |
| X-ray of the abdomen, 1 view inpatient CPT 74018 HC XR ABDOMEN PORTABLE 1 VIEW 32010190 | $1,601.00 | $1,601.00 | $720.45–$1,601.00 | — | — |
| X-ray of the ankle, 2 views CPT 73600 HC XR ANKLE 1 VIEW 32010503 | $669.00 | $669.00 | $19.02–$669.00 | 71% above | — |
| X-ray of the ankle, 2 views one side CPT 73600 XR ANKLE 2 VIEWS LT | $1,295.00 | $1,295.00 | $19.02–$1,295.00 | 230% above | — |
| X-ray of the ankle, 2 views inpatient CPT 73600 HC XR ANKLE 1 VIEW 32010503 | $669.00 | $669.00 | $301.05–$669.00 | — | — |
| X-ray of the ankle, 2 views inpatient one side CPT 73600 XR ANKLE 2 VIEWS LT | $1,295.00 | $1,295.00 | $582.75–$1,295.00 | — | — |
| X-ray of the finger(s), 2 or more views one side CPT 73140 XR FINGERS 2+ VIEWS LT | $1,295.00 | $1,295.00 | $15.59–$1,295.00 | 255% above | — |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR FINGERS 2+ VIEWS LT | $1,295.00 | $1,295.00 | $582.75–$1,295.00 | — | — |
| X-ray of the foot, 2 views CPT 73620 HC XR FOOT 1 VIEW 32010505 | $693.00 | $693.00 | $17.30–$693.00 | 71% above | — |
| X-ray of the foot, 2 views one side CPT 73620 XR FOOT 2 VIEWS LT | $1,295.00 | $1,295.00 | $17.30–$1,295.00 | 220% above | — |
| X-ray of the foot, 2 views inpatient CPT 73620 HC XR FOOT 1 VIEW 32010505 | $693.00 | $693.00 | $311.85–$693.00 | — | — |
| X-ray of the foot, 2 views inpatient one side CPT 73620 XR FOOT 2 VIEWS LT | $1,295.00 | $1,295.00 | $582.75–$1,295.00 | — | — |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 XR FOOT COMPL 3+ VIEWS LT | $1,610.00 | $1,610.00 | $24.22–$1,610.00 | 226% above | — |
| X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 XR FOOT COMPL 3+ VIEWS LT | $1,610.00 | $1,610.00 | $724.50–$1,610.00 | — | — |
| X-ray of the hand, 3 or more views CPT 73130 XR HAND 3+ VIEWS | $1,610.00 | $1,610.00 | $25.14–$1,610.00 | 217% above | — |
| X-ray of the hand, 3 or more views inpatient CPT 73130 XR HAND 3+ VIEWS | $1,610.00 | $1,610.00 | $724.50–$1,610.00 | — | — |
| X-ray of the knee, 1 or 2 views one side CPT 73560 XR KNEE 1-2 VIEWS LT | $1,610.00 | $1,610.00 | $19.02–$1,610.00 | 306% above | — |
| X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 XR KNEE 1-2 VIEWS LT | $1,610.00 | $1,610.00 | $724.50–$1,610.00 | — | — |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 XR LUMBAR SPINE 2-3 VIEWS | $1,610.00 | $1,610.00 | $30.29–$1,610.00 | 242% above | — |
| X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 XR LUMBAR SPINE 2-3 VIEWS | $1,610.00 | $1,610.00 | $724.50–$1,610.00 | — | — |
| X-ray of the lower back, 4 or more views CPT 72110 XR LUMBAR SPINE 4+ VIEWS | $1,610.00 | $1,610.00 | $43.85–$1,610.00 | 147% above | — |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 XR LUMBAR SPINE 4+ VIEWS | $1,610.00 | $1,610.00 | $724.50–$1,610.00 | — | — |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 XR THORACIC SPINE 2 VIEWS | $1,022.00 | $1,022.00 | $28.04–$1,022.00 | 121% above | — |
| X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 XR THORACIC SPINE 2 VIEWS | $1,022.00 | $1,022.00 | $459.90–$1,022.00 | — | — |
| X-ray of the nasal bones, 3 or more views CPT 70160 XR NASAL BONES COMPL 3+ VIEWS | $1,300.00 | $1,300.00 | $24.79–$1,300.00 | 201% above | — |
| X-ray of the nasal bones, 3 or more views inpatient CPT 70160 XR NASAL BONES COMPL 3+ VIEWS | $1,300.00 | $1,300.00 | $585.00–$1,300.00 | — | — |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 XR CERVICAL SPINE 2-3 VIEWS | $1,295.00 | $1,295.00 | $25.98–$1,295.00 | 188% above | — |
| X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 XR CERVICAL SPINE 2-3 VIEWS | $1,295.00 | $1,295.00 | $582.75–$1,295.00 | — | — |
| X-ray of the pelvis, 1 or 2 views CPT 72170 XR PELVIS 1-2 VIEWS | $1,295.00 | $1,295.00 | $21.62–$1,295.00 | 236% above | — |
| X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 XR PELVIS 1-2 VIEWS | $1,295.00 | $1,295.00 | $582.75–$1,295.00 | — | — |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 XR SACRUM & COCCYX 2+ VIEWS | $1,696.00 | $1,696.00 | $25.02–$1,696.00 | 261% above | — |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 XR SACRUM & COCCYX 2+ VIEWS | $1,696.00 | $1,696.00 | $763.20–$1,696.00 | — | — |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs California | Off list |
|---|---|---|---|---|---|
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALT | $181.00 | $181.00 | $4.58–$181.00 | 320% above | — |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 ALT | $181.00 | $181.00 | $81.45–$181.00 | — | — |
| AST (aspartate aminotransferase) enzyme test CPT 84450 AST | $181.00 | $181.00 | $4.41–$181.00 | 299% above | — |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 AST | $181.00 | $181.00 | $81.45–$181.00 | — | — |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HEPATITIS PANEL ACUTE | $624.00 | $624.00 | $34.86–$624.00 | 129% above | — |
| Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HEPATITIS PANEL ACUTE | $624.00 | $624.00 | $280.80–$624.00 | — | — |
| Albumin blood test CPT 82040 HC ASSAY OF SERUM ALBUMIN (RL) 31900185 | $7.00 | $7.00 | $3.15–$59.13 | 72% below | — |
| Albumin blood test CPT 82040 IMMUNOGLOBULIN G INDEX PANEL CSF | $7.00 | $7.00 | $3.15–$59.13 | 72% below | — |
| Albumin blood test CPT 82040 HC ASSAY OF SERUM ALBUMIN (RL) 31900224 | $9.00 | $9.00 | $4.02–$59.13 | 64% below | — |
| Albumin blood test CPT 82040 HC ALBUMIN SERUM PLASMA/WHOLE BLOOD # | $9.00 | $9.00 | $4.02–$59.13 | 64% below | — |
| Albumin blood test CPT 82040 ALBUMIN | $82.00 | $82.00 | $4.02–$82.00 | 229% above | — |
| Albumin blood test inpatient CPT 82040 HC ASSAY OF SERUM ALBUMIN (RL) 31900185 | $7.00 | $7.00 | $3.15–$7.00 | — | — |
| Albumin blood test inpatient CPT 82040 IMMUNOGLOBULIN G INDEX PANEL CSF | $7.00 | $7.00 | $3.15–$7.00 | — | — |
| Albumin blood test inpatient CPT 82040 HC ALBUMIN SERUM PLASMA/WHOLE BLOOD # | $9.00 | $9.00 | $4.05–$9.00 | — | — |
| Albumin blood test inpatient CPT 82040 HC ASSAY OF SERUM ALBUMIN (RL) 31900224 | $9.00 | $9.00 | $4.05–$9.00 | — | — |
| Albumin blood test inpatient CPT 82040 ALBUMIN | $82.00 | $82.00 | $36.90–$82.00 | — | — |
| Aldosterone blood test CPT 82088 HC ALDOSTERONE BLD 30014129 | $15.00 | $15.00 | $6.75–$486.90 | 50% below | — |
| Aldosterone blood test CPT 82088 HC ALDOSTERONE BLD | $15.00 | $15.00 | $6.75–$486.90 | 50% below | — |
| Aldosterone blood test CPT 82088 HC ALDOSTERONE URINE QUANT | $20.00 | $20.00 | $9.00–$486.90 | 33% below | — |
| Aldosterone blood test CPT 82088 HC ALDOSTERONE PLASMA | $27.00 | $27.00 | $12.15–$486.90 | 10% below | — |
| Aldosterone blood test inpatient CPT 82088 HC ALDOSTERONE BLD 30014129 | $15.00 | $15.00 | $6.75–$15.00 | — | — |
| Aldosterone blood test inpatient CPT 82088 HC ALDOSTERONE BLD | $15.00 | $15.00 | $6.75–$15.00 | — | — |
| Aldosterone blood test inpatient CPT 82088 HC ALDOSTERONE URINE QUANT | $20.00 | $20.00 | $9.00–$20.00 | — | — |
| Aldosterone blood test inpatient CPT 82088 HC ALDOSTERONE PLASMA | $27.00 | $27.00 | $12.15–$27.00 | — | — |
| Alkaline phosphatase (ALP) blood test CPT 84075 HC ALKALINE PHOS | $6.00 | $6.00 | $2.70–$61.82 | 84% below | — |
| Alkaline phosphatase (ALP) blood test CPT 84075 HC PHOSPHATASE ALKALINE | $17.00 | $17.00 | $4.13–$61.82 | 54% below | — |
| Alkaline phosphatase (ALP) blood test CPT 84075 ALKALINE PHOSPHATASE | $189.00 | $189.00 | $4.13–$189.00 | 411% above | — |
| Alkaline phosphatase (ALP) blood test inpatient CPT 84075 HC ALKALINE PHOS | $6.00 | $6.00 | $2.70–$6.00 | — | — |
| Alkaline phosphatase (ALP) blood test inpatient CPT 84075 HC PHOSPHATASE ALKALINE | $17.00 | $17.00 | $7.65–$17.00 | — | — |
| Alkaline phosphatase (ALP) blood test inpatient CPT 84075 ALKALINE PHOSPHATASE | $189.00 | $189.00 | $85.05–$189.00 | — | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE CRUDE ALLERGEN EXTRACT EACH L | $3.00 | $3.00 | $1.35–$62.32 | 40% below | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPECIFIC IGE - PEDS | $3.00 | $3.00 | $1.35–$62.32 | 40% below | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY RESPIRATORY PROF XIV | $5.00 | $5.00 | $2.25–$62.32 | at median | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergy Respiratory Prof XII | $5.00 | $5.00 | $2.25–$62.32 | at median | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPECIFIC IGE | $5.00 | $5.00 | $2.25–$62.32 | at median | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPECIFIC IGE 30210302 | $5.00 | $5.00 | $2.25–$62.32 | at median | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE CRUDE ALLERGEN EXTRACT EACH # | $15.00 | $15.00 | $4.64–$62.32 | 200% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPECIFIC IGE - PEDS 30011138 | $44.00 | $44.00 | $4.64–$62.32 | 780% above | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPECIFIC IGE - PEDS | $3.00 | $3.00 | $1.35–$3.00 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE CRUDE ALLERGEN EXTRACT EACH L | $3.00 | $3.00 | $1.35–$3.00 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPECIFIC IGE | $5.00 | $5.00 | $2.25–$5.00 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPECIFIC IGE 30210302 | $5.00 | $5.00 | $2.25–$5.00 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergy Respiratory Prof XII | $5.00 | $5.00 | $2.25–$5.00 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY RESPIRATORY PROF XIV | $5.00 | $5.00 | $2.25–$5.00 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE CRUDE ALLERGEN EXTRACT EACH # | $15.00 | $15.00 | $6.75–$15.00 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPECIFIC IGE - PEDS 30011138 | $44.00 | $44.00 | $19.80–$44.00 | — | — |
| Alpha-fetoprotein (AFP) blood test CPT 82105 HC AFP TUMOR MARKER | $7.00 | $7.00 | $3.15–$200.45 | 91% below | — |
| Alpha-fetoprotein (AFP) blood test CPT 82105 HC ALPHA-FETOPROTEIN SERUM # | $10.00 | $10.00 | $4.50–$200.45 | 87% below | — |
| Alpha-fetoprotein (AFP) blood test CPT 82105 HC AFP MATERNAL SERUM | $10.00 | $10.00 | $4.50–$200.45 | 87% below | — |
| Alpha-fetoprotein (AFP) blood test CPT 82105 ALPHA FETOPROTEIN TUMOR MARKER | $272.00 | $272.00 | $16.77–$272.00 | 254% above | — |
| Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 HC AFP TUMOR MARKER | $7.00 | $7.00 | $3.15–$7.00 | — | — |
| Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 HC ALPHA-FETOPROTEIN SERUM # | $10.00 | $10.00 | $4.50–$10.00 | — | — |
| Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 HC AFP MATERNAL SERUM | $10.00 | $10.00 | $4.50–$10.00 | — | — |
| Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 ALPHA FETOPROTEIN TUMOR MARKER | $272.00 | $272.00 | $122.40–$272.00 | — | — |
| Ammonia blood test CPT 82140 AMMONIA | $227.00 | $227.00 | $12.95–$227.00 | 25% above | — |
| Ammonia blood test inpatient CPT 82140 AMMONIA | $227.00 | $227.00 | $102.15–$227.00 | — | — |
| Amylase blood test CPT 82150 HC ASSAY OF AMYLASE ISOENZYME PANCREATIC | $5.00 | $5.00 | $2.25–$77.40 | 90% below | — |
| Amylase blood test CPT 82150 HC ASSAY OF AMYLASE # 30100567 | $175.00 | $175.00 | $5.73–$175.00 | 242% above | — |
| Amylase blood test CPT 82150 AMYLASE | $216.00 | $216.00 | $5.73–$216.00 | 323% above | — |
| Amylase blood test CPT 82150 AMYLASE URINE RANDOM | $216.00 | $216.00 | $5.73–$216.00 | 323% above | — |
| Amylase blood test inpatient CPT 82150 HC ASSAY OF AMYLASE ISOENZYME PANCREATIC | $5.00 | $5.00 | $2.25–$5.00 | — | — |
| Amylase blood test inpatient CPT 82150 HC ASSAY OF AMYLASE # 30100567 | $175.00 | $175.00 | $78.75–$175.00 | — | — |
| Amylase blood test inpatient CPT 82150 AMYLASE | $216.00 | $216.00 | $97.20–$216.00 | — | — |
| Amylase blood test inpatient CPT 82150 AMYLASE URINE RANDOM | $216.00 | $216.00 | $97.20–$216.00 | — | — |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 HC CYCLIC CITRULLINATED PEPTIDE ANTIBODY # 3021024 | $12.00 | $12.00 | $5.40–$154.71 | 41% below | — |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 HC CCP ANTIBODY | $13.00 | $13.00 | $5.85–$154.71 | 36% below | — |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 HC CYCLIC CITRULLINATED PEPTIDE ANTIBODY # 3021024 | $12.00 | $12.00 | $5.40–$12.00 | — | — |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 HC CCP ANTIBODY | $13.00 | $13.00 | $5.85–$13.00 | — | — |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 HC ANTINUCLEAR ANTIBODIES ANA LAB 30200501 | $5.39 | $5.39 | $2.43–$144.42 | 83% below | — |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 HC ANTINUCLEAR ANTIBODIES ANA # 30211123 | $9.00 | $9.00 | $4.05–$144.42 | 72% below | — |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 HC ANTINUCLEAR ANTIBODIES ANA # | $13.00 | $13.00 | $5.85–$144.42 | 60% below | — |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 HC ANTINUCLEAR ANTIBODIES ANA LAB 30210917 | $18.00 | $18.00 | $8.10–$144.42 | 44% below | — |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 HC ANTINUCLEAR ANTIBODIES - ANA | $36.00 | $36.00 | $10.63–$144.42 | 12% above | — |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 HC ANTINUCLEAR ANTIBODIES ANA LAB 30200501 | $5.39 | $5.39 | $2.43–$5.39 | — | — |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 HC ANTINUCLEAR ANTIBODIES ANA # 30211123 | $9.00 | $9.00 | $4.05–$9.00 | — | — |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 HC ANTINUCLEAR ANTIBODIES ANA # | $13.00 | $13.00 | $5.85–$13.00 | — | — |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 HC ANTINUCLEAR ANTIBODIES ANA LAB 30210917 | $18.00 | $18.00 | $8.10–$18.00 | — | — |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 HC ANTINUCLEAR ANTIBODIES - ANA | $36.00 | $36.00 | $16.20–$36.00 | — | — |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 HC NATRIURETIC PEPTIDE # 30100630 | $50.00 | $50.00 | $22.50–$405.50 | 73% below | — |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 HC NATRIURETIC PEPTIDE | $50.00 | $50.00 | $22.50–$405.50 | 73% below | — |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 B TYPE NATRIURETIC PEPTIDE | $524.00 | $524.00 | $30.15–$524.00 | 183% above | — |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 HC NATRIURETIC PEPTIDE | $50.00 | $50.00 | $22.50–$50.00 | — | — |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 HC NATRIURETIC PEPTIDE # 30100630 | $50.00 | $50.00 | $22.50–$50.00 | — | — |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 B TYPE NATRIURETIC PEPTIDE | $524.00 | $524.00 | $235.80–$524.00 | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE ENVIRONMENTAL | $259.00 | $259.00 | $7.51–$259.00 | 115% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE IV CATH TIP | $341.00 | $341.00 | $7.51–$341.00 | 183% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE ENVIRONMENTAL | $259.00 | $259.00 | $116.55–$259.00 | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE IV CATH TIP | $341.00 | $341.00 | $153.45–$341.00 | — | — |
| Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL | $425.00 | $425.00 | $7.27–$425.00 | 116% above | — |
| Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METABOLIC PANEL | $425.00 | $425.00 | $191.25–$425.00 | — | — |
| Bilirubin blood test, total CPT 82247 HC BILIRUBIN TOTAL # 30100571 | $89.00 | $89.00 | $4.09–$89.00 | 97% above | — |
| Bilirubin blood test, total CPT 82247 BILIRUBIN TOTAL | $125.00 | $125.00 | $4.09–$125.00 | 176% above | — |
| Bilirubin blood test, total inpatient CPT 82247 HC BILIRUBIN TOTAL # 30100571 | $89.00 | $89.00 | $40.05–$89.00 | — | — |
| Bilirubin blood test, total inpatient CPT 82247 BILIRUBIN TOTAL | $125.00 | $125.00 | $56.25–$125.00 | — | — |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC SURGICAL PATH GROSS/MICRO LEVEL 4 | $492.00 | $492.00 | $40.99–$750.08 | 278% above | — |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HC SURGICAL PATH GROSS/MICRO LEVEL 4 | $492.00 | $492.00 | $221.40–$492.00 | — | — |
| Blood culture for bacteria CPT 87040 CULTURE BLOOD | $458.00 | $458.00 | $8.98–$458.00 | 68% above | — |
| Blood culture for bacteria inpatient CPT 87040 CULTURE BLOOD | $458.00 | $458.00 | $206.10–$458.00 | — | — |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 NEWBORN BLOOD SPOT SCREENING | $6.00 | $6.00 | $2.10–$6.00 | 71% below | — |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 HC BLOOD DRAW VENIPUNCTURE | $48.00 | $48.00 | $16.80–$48.00 | 128% above | — |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 NEWBORN BLOOD SPOT SCREENING | $6.00 | $6.00 | $2.70–$6.00 | — | — |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 HC BLOOD DRAW VENIPUNCTURE | $48.00 | $48.00 | $21.60–$48.00 | — | — |
| Blood glucose (sugar) test CPT 82947 GLUCOSE RANDOM | $181.00 | $181.00 | $3.30–$181.00 | 382% above | — |
| Blood glucose (sugar) test CPT 82947 POC GLUCOSE | $326.00 | $326.00 | $3.30–$326.00 | 769% above | — |
| Blood glucose (sugar) test CPT 82947 POC BLOOD GLUCOSE TESTIN-PICU | $326.00 | $326.00 | $3.30–$326.00 | 769% above | — |
| Blood glucose (sugar) test CPT 82947 POC BLOOD GLUCOSE TESTING-NICU | $326.00 | $326.00 | $3.30–$326.00 | 769% above | — |
| Blood glucose (sugar) test CPT 82947 POC BLOOD GLUCOSE TESTING-PEDS | $326.00 | $326.00 | $3.30–$326.00 | 769% above | — |
| Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE RANDOM | $181.00 | $181.00 | $81.45–$181.00 | — | — |
| Blood glucose (sugar) test inpatient CPT 82947 POC BLOOD GLUCOSE TESTING-PEDS | $326.00 | $326.00 | $146.70–$326.00 | — | — |
| Blood glucose (sugar) test inpatient CPT 82947 POC BLOOD GLUCOSE TESTING-NICU | $326.00 | $326.00 | $146.70–$326.00 | — | — |
| Blood glucose (sugar) test inpatient CPT 82947 POC BLOOD GLUCOSE TESTIN-PICU | $326.00 | $326.00 | $146.70–$326.00 | — | — |
| Blood glucose (sugar) test inpatient CPT 82947 POC GLUCOSE | $326.00 | $326.00 | $146.70–$326.00 | — | — |
| Blood lead test CPT 83655 HC HVY MET UR - LEAD | $12.00 | $12.00 | $5.40–$144.62 | 17% above | — |
| Blood lead test CPT 83655 HC HVY MET BLD - LEAD | $13.00 | $13.00 | $5.85–$144.62 | 27% above | — |
| Blood lead test CPT 83655 HC LEAD BLOOD | $13.00 | $13.00 | $5.85–$144.62 | 27% above | — |
| Blood lead test inpatient CPT 83655 HC HVY MET UR - LEAD | $12.00 | $12.00 | $5.40–$12.00 | — | — |
| Blood lead test inpatient CPT 83655 HC LEAD BLOOD | $13.00 | $13.00 | $5.85–$13.00 | — | — |
| Blood lead test inpatient CPT 83655 HC HVY MET BLD - LEAD | $13.00 | $13.00 | $5.85–$13.00 | — | — |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 POCT PREGNANCY TEST URINE QUAL | $270.00 | $270.00 | $6.46–$270.00 | 69% above | — |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 PREGNANCY SERUM QUAL | $270.00 | $270.00 | $6.46–$270.00 | 69% above | — |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 PREGNANCY SERUM QUAL | $270.00 | $270.00 | $121.50–$270.00 | — | — |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 POCT PREGNANCY TEST URINE QUAL | $270.00 | $270.00 | $121.50–$270.00 | — | — |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Blood Typing ABO (Lifestream) | $30.00 | $30.00 | $2.38–$35.66 | 71% below | — |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Blood Typing ABO (ARC) | $30.00 | $30.00 | $2.38–$35.66 | 71% below | — |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Blood Typing ABO | $168.00 | $168.00 | $2.38–$171.12 | 63% above | — |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 Blood Typing ABO (Lifestream) | $30.00 | $30.00 | $13.50–$30.00 | — | — |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 Blood Typing ABO (ARC) | $30.00 | $30.00 | $13.50–$30.00 | — | — |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 Blood Typing ABO | $168.00 | $168.00 | $75.60–$168.00 | — | — |
| Blood urea nitrogen (BUN) test CPT 84520 BUN | $181.00 | $181.00 | $3.15–$181.00 | 446% above | — |
| Blood urea nitrogen (BUN) test CPT 84520 UREA NITROGEN BODY FLUID | $326.00 | $326.00 | $3.15–$326.00 | 883% above | — |
| Blood urea nitrogen (BUN) test inpatient CPT 84520 BUN | $181.00 | $181.00 | $81.45–$181.00 | — | — |
| Blood urea nitrogen (BUN) test inpatient CPT 84520 UREA NITROGEN BODY FLUID | $326.00 | $326.00 | $146.70–$326.00 | — | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 INFLAMMATORY BOWEL DISEASE SEROLOGY PANEL 86140 | $23.00 | $23.00 | $4.60–$61.82 | 57% below | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 HC C-REACTIVE PROTEIN # 30210222 | $26.00 | $26.00 | $4.60–$61.82 | 52% below | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-REACTIVE PROTEIN | $112.00 | $112.00 | $4.60–$112.00 | 108% above | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 INFLAMMATORY BOWEL DISEASE SEROLOGY PANEL 86140 | $23.00 | $23.00 | $10.35–$23.00 | — | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 HC C-REACTIVE PROTEIN # 30210222 | $26.00 | $26.00 | $11.70–$26.00 | — | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C-REACTIVE PROTEIN | $112.00 | $112.00 | $50.40–$112.00 | — | — |
| C. difficile toxin gene test (stool PCR) CPT 87493 CLOSTRIDIOIDES DIFFICILE NAAT REFLEX TO TOX AG | $347.00 | $347.00 | $28.64–$419.28 | 127% above | — |
| C. difficile toxin gene test (stool PCR) inpatient CPT 87493 CLOSTRIDIOIDES DIFFICILE NAAT REFLEX TO TOX AG | $347.00 | $347.00 | $156.15–$347.00 | — | — |
| CA 19-9 blood test (tumor marker) CPT 86301 HC IMMUNOASSAY TUMOR CA 19-9 | $10.00 | $10.00 | $4.50–$248.69 | 80% below | — |
| CA 19-9 blood test (tumor marker) inpatient CPT 86301 HC IMMUNOASSAY TUMOR CA 19-9 | $10.00 | $10.00 | $4.50–$10.00 | — | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HC COVID-19 AMP PRB IN HOUSE TESTING 87635 | $147.00 | $147.00 | $51.31–$512.47 | 55% above | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HC COVID-19 AMP PRB POCT 30610507 | $168.00 | $168.00 | $51.31–$512.47 | 78% above | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 HC COVID-19 AMP PRB IN HOUSE TESTING 87635 | $147.00 | $147.00 | $66.15–$147.00 | — | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 HC COVID-19 AMP PRB POCT 30610507 | $168.00 | $168.00 | $75.60–$168.00 | — | — |
| Calcium blood test, total CPT 82310 HC CALCIUM SERUM | $6.00 | $6.00 | $2.70–$61.62 | 90% below | — |
| Calcium blood test, total CPT 82310 HC CALCIUM | $6.00 | $6.00 | $2.70–$61.62 | 90% below | — |
| Calcium blood test, total CPT 82310 HC CALCIUM TOTAL # 30100574 | $146.00 | $146.00 | $4.10–$146.00 | 136% above | — |
| Calcium blood test, total CPT 82310 CALCIUM URINE RANDOM | $181.00 | $181.00 | $4.10–$181.00 | 193% above | — |
| Calcium blood test, total CPT 82310 PARATHYROID HORMONE INTACT AND CALCIUM | $181.00 | $181.00 | $4.10–$181.00 | 193% above | — |
| Calcium blood test, total inpatient CPT 82310 HC CALCIUM SERUM | $6.00 | $6.00 | $2.70–$6.00 | — | — |
| Calcium blood test, total inpatient CPT 82310 HC CALCIUM | $6.00 | $6.00 | $2.70–$6.00 | — | — |
| Calcium blood test, total inpatient CPT 82310 HC CALCIUM TOTAL # 30100574 | $146.00 | $146.00 | $65.70–$146.00 | — | — |
| Calcium blood test, total inpatient CPT 82310 CALCIUM URINE RANDOM | $181.00 | $181.00 | $81.45–$181.00 | — | — |
| Calcium blood test, total inpatient CPT 82310 PARATHYROID HORMONE INTACT AND CALCIUM | $181.00 | $181.00 | $81.45–$181.00 | — | — |
| Carcinoembryonic antigen (CEA) test CPT 82378 HC CEA-CARCINOEMBRYONIC ANTIGEN | $9.00 | $9.00 | $4.05–$226.72 | 89% below | — |
| Carcinoembryonic antigen (CEA) test CPT 82378 CEA | $336.00 | $336.00 | $16.85–$336.00 | 302% above | — |
| Carcinoembryonic antigen (CEA) test inpatient CPT 82378 HC CEA-CARCINOEMBRYONIC ANTIGEN | $9.00 | $9.00 | $4.05–$9.00 | — | — |
| Carcinoembryonic antigen (CEA) test inpatient CPT 82378 CEA | $336.00 | $336.00 | $151.20–$336.00 | — | — |
| Chickenpox (varicella) immunity blood test CPT 86787 HC VARICELLA-ZOSTER ANTIBODY | $5.00 | $5.00 | $2.25–$153.91 | 85% below | — |
| Chickenpox (varicella) immunity blood test CPT 86787 HC ANTIBODY VARICELLA-ZOSTER CDM 30011011 | $6.00 | $6.00 | $2.70–$153.91 | 82% below | — |
| Chickenpox (varicella) immunity blood test CPT 86787 HC ANTIBODY VARICELLA-ZOSTER CDM 30011008 | $6.55 | $6.55 | $2.95–$153.91 | 81% below | — |
| Chickenpox (varicella) immunity blood test CPT 86787 HC VARICELLA-ZOSTER ANTIBODY - IGG PAML | $7.00 | $7.00 | $3.15–$153.91 | 79% below | — |
| Chickenpox (varicella) immunity blood test CPT 86787 HC VARICELLA-ZOSTER ANTIBODY - IGM | $9.00 | $9.00 | $4.05–$153.91 | 74% below | — |
| Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA ZOSTER AB IGG | $14.00 | $14.00 | $6.30–$153.91 | 59% below | — |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 HC VARICELLA-ZOSTER ANTIBODY | $5.00 | $5.00 | $2.25–$5.00 | — | — |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 HC ANTIBODY VARICELLA-ZOSTER CDM 30011011 | $6.00 | $6.00 | $2.70–$6.00 | — | — |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 HC ANTIBODY VARICELLA-ZOSTER CDM 30011008 | $6.55 | $6.55 | $2.95–$6.55 | — | — |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 HC VARICELLA-ZOSTER ANTIBODY - IGG PAML | $7.00 | $7.00 | $3.15–$7.00 | — | — |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 HC VARICELLA-ZOSTER ANTIBODY - IGM | $9.00 | $9.00 | $4.05–$9.00 | — | — |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 VARICELLA ZOSTER AB IGG | $14.00 | $14.00 | $6.30–$14.00 | — | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC IADNA CHLAMYDIA TRACHOMATIS AMPLIFIED PROBE TQ | $13.00 | $13.00 | $5.85–$419.28 | 76% below | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC CHLAMYDIA TRACHOMATIS AMPLIFIED DNA | $13.00 | $13.00 | $5.85–$419.28 | 76% below | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HC CHLAMYDIA TRACHOMATIS AMPLIFIED DNA | $13.00 | $13.00 | $5.85–$13.00 | — | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HC IADNA CHLAMYDIA TRACHOMATIS AMPLIFIED PROBE TQ | $13.00 | $13.00 | $5.85–$13.00 | — | — |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LIPID PANEL # | $61.00 | $61.00 | $11.54–$160.00 | 40% below | — |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LIPID PANEL # 30100856 | $158.00 | $158.00 | $11.54–$160.00 | 56% above | — |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LIPID PANEL # 30100541 | $252.00 | $252.00 | $11.54–$252.00 | 149% above | — |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL WITH DIRECT LDL | $310.00 | $310.00 | $11.54–$310.00 | 206% above | — |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL | $682.00 | $682.00 | $11.54–$682.00 | 573% above | — |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC LIPID PANEL # | $61.00 | $61.00 | $27.45–$61.00 | — | — |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC LIPID PANEL # 30100856 | $158.00 | $158.00 | $71.10–$158.00 | — | — |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC LIPID PANEL # 30100541 | $252.00 | $252.00 | $113.40–$252.00 | — | — |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PANEL WITH DIRECT LDL | $310.00 | $310.00 | $139.50–$310.00 | — | — |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PANEL | $682.00 | $682.00 | $306.90–$682.00 | — | — |
| Complete blood count (CBC) with differential CPT 85025 HC BLOOD COUNT COMPLETE AUTO&AUTO DIFRNTL WBC # 30 | $184.00 | $184.00 | $6.75–$184.00 | 66% above | — |
| Complete blood count (CBC) with differential CPT 85025 POC CBC W/DIFF | $237.00 | $237.00 | $6.75–$237.00 | 114% above | — |
| Complete blood count (CBC) with differential CPT 85025 CBC WITH DIFFERENTIAL | $237.00 | $237.00 | $6.75–$237.00 | 114% above | — |
| Complete blood count (CBC) with differential inpatient CPT 85025 HC BLOOD COUNT COMPLETE AUTO&AUTO DIFRNTL WBC # 30 | $184.00 | $184.00 | $82.80–$184.00 | — | — |
| Complete blood count (CBC) with differential inpatient CPT 85025 CBC WITH DIFFERENTIAL | $237.00 | $237.00 | $106.65–$237.00 | — | — |
| Complete blood count (CBC) with differential inpatient CPT 85025 POC CBC W/DIFF | $237.00 | $237.00 | $106.65–$237.00 | — | — |
| Complete blood count (CBC), no differential CPT 85027 HC BLOOD COUNT COMPLETE AUTOMATED # 30500147 | $102.00 | $102.00 | $5.71–$102.00 | 16% above | — |
| Complete blood count (CBC), no differential CPT 85027 CBC NO DIFFERENTIAL | $133.00 | $133.00 | $5.71–$133.00 | 51% above | — |
| Complete blood count (CBC), no differential inpatient CPT 85027 HC BLOOD COUNT COMPLETE AUTOMATED # 30500147 | $102.00 | $102.00 | $45.90–$102.00 | — | — |
| Complete blood count (CBC), no differential inpatient CPT 85027 CBC NO DIFFERENTIAL | $133.00 | $133.00 | $59.85–$133.00 | — | — |
| Comprehensive metabolic panel (blood test) CPT 80053 COMPREHENSIVE METABOLIC PANEL | $1,014.00 | $1,014.00 | $9.19–$1,014.00 | 297% above | — |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMPREHENSIVE METABOLIC PANEL | $1,014.00 | $1,014.00 | $456.30–$1,014.00 | — | — |
| Cortisol blood test, total CPT 82533 HC CORTISOL TOTAL # 30100582 | $206.00 | $206.00 | $14.49–$206.00 | 116% above | — |
| Cortisol blood test, total CPT 82533 CORTISOL SERUM | $254.00 | $254.00 | $14.49–$254.00 | 166% above | — |
| Cortisol blood test, total inpatient CPT 82533 HC CORTISOL TOTAL # 30100582 | $206.00 | $206.00 | $92.70–$206.00 | — | — |
| Cortisol blood test, total inpatient CPT 82533 CORTISOL SERUM | $254.00 | $254.00 | $114.30–$254.00 | — | — |
| Creatine kinase (CK) blood test, total CPT 82550 HC CPK TOTAL | $6.00 | $6.00 | $2.70–$77.80 | 93% below | — |
| Creatine kinase (CK) blood test, total CPT 82550 CK TOTAL | $181.00 | $181.00 | $5.79–$181.00 | 107% above | — |
| Creatine kinase (CK) blood test, total inpatient CPT 82550 HC CPK TOTAL | $6.00 | $6.00 | $2.70–$6.00 | — | — |
| Creatine kinase (CK) blood test, total inpatient CPT 82550 CK TOTAL | $181.00 | $181.00 | $81.45–$181.00 | — | — |
| Creatinine blood test CPT 82565 CREATININE | $121.00 | $121.00 | $4.31–$121.00 | 161% above | — |
| Creatinine blood test CPT 82565 CREATININE POCT | $215.00 | $215.00 | $4.31–$215.00 | 364% above | — |
| Creatinine blood test inpatient CPT 82565 CREATININE | $121.00 | $121.00 | $54.45–$121.00 | — | — |
| Creatinine blood test inpatient CPT 82565 CREATININE POCT | $215.00 | $215.00 | $96.75–$215.00 | — | — |
| Cytomegalovirus (CMV) antibody test CPT 86644 HC ANTIBODY CYTOMEGALOVIRUS CMV # | $6.00 | $6.00 | $2.70–$171.89 | 78% below | — |
| Cytomegalovirus (CMV) antibody test CPT 86644 HC ANTIBODY CYTOMEGALOVIRUS CMV # 30210254 | $8.00 | $8.00 | $3.60–$171.89 | 71% below | — |
| Cytomegalovirus (CMV) antibody test CPT 86644 HC CMV ANTIBODY - TORCH 30010751 | $9.00 | $9.00 | $4.05–$171.89 | 67% below | — |
| Cytomegalovirus (CMV) antibody test CPT 86644 CMV Antibody | $10.00 | $10.00 | $4.50–$171.89 | 64% below | — |
| Cytomegalovirus (CMV) antibody test inpatient CPT 86644 HC ANTIBODY CYTOMEGALOVIRUS CMV # | $6.00 | $6.00 | $2.70–$6.00 | — | — |
| Cytomegalovirus (CMV) antibody test inpatient CPT 86644 HC ANTIBODY CYTOMEGALOVIRUS CMV # 30210254 | $8.00 | $8.00 | $3.60–$8.00 | — | — |
| Cytomegalovirus (CMV) antibody test inpatient CPT 86644 HC CMV ANTIBODY - TORCH 30010751 | $9.00 | $9.00 | $4.05–$9.00 | — | — |
| Cytomegalovirus (CMV) antibody test inpatient CPT 86644 CMV Antibody | $10.00 | $10.00 | $4.50–$10.00 | — | — |
| D-dimer blood test (blood clot marker) CPT 85379 D-DIMER QUANT (UG/ML FEU) | $269.00 | $269.00 | $9.05–$269.00 | 87% above | — |
| D-dimer blood test (blood clot marker) inpatient CPT 85379 D-DIMER QUANT (UG/ML FEU) | $269.00 | $269.00 | $121.05–$269.00 | — | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG TEST PRSMV CHEM ANLYZR MECONIUM PER DOS | $73.00 | $73.00 | $32.85–$677.57 | 18% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG TEST PRSMV CHEM ANLYZR 30114391 | $95.00 | $95.00 | $42.75–$677.57 | 53% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG TST PRSMV INSTRMNT CHEM ANALYZERS PR DATE | $98.00 | $98.00 | $43.50–$677.57 | 58% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 ALCOHOL | $399.00 | $399.00 | $43.50–$677.57 | 544% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUGS OF ABUSE SCREEN URINE | $399.00 | $399.00 | $43.50–$677.57 | 544% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 ACETAMINOPHEN LEVEL | $399.00 | $399.00 | $43.50–$677.57 | 544% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 SALICYLATE LEVEL | $399.00 | $399.00 | $43.50–$677.57 | 544% above | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG TEST PRSMV CHEM ANLYZR MECONIUM PER DOS | $73.00 | $73.00 | $32.85–$73.00 | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG TEST PRSMV CHEM ANLYZR 30114391 | $95.00 | $95.00 | $42.75–$95.00 | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG TST PRSMV INSTRMNT CHEM ANALYZERS PR DATE | $98.00 | $98.00 | $44.10–$98.00 | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 ALCOHOL | $399.00 | $399.00 | $179.55–$399.00 | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 ACETAMINOPHEN LEVEL | $399.00 | $399.00 | $179.55–$399.00 | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUGS OF ABUSE SCREEN URINE | $399.00 | $399.00 | $179.55–$399.00 | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 SALICYLATE LEVEL | $399.00 | $399.00 | $179.55–$399.00 | — | — |
| Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 ELECTROLYTE PANEL | $422.00 | $422.00 | $6.23–$422.00 | 401% above | — |
| Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 ELECTROLYTE PANEL | $422.00 | $422.00 | $189.90–$422.00 | — | — |
| Epstein-Barr virus (EBV) antibody test CPT 86665 HC ANTIBODY EPSTEIN-BARR EB VIRUS VIRAL CAPSID VCA | $9.00 | $9.00 | $4.05–$216.73 | 66% below | — |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 HC ANTIBODY EPSTEIN-BARR EB VIRUS VIRAL CAPSID VCA | $9.00 | $9.00 | $4.05–$9.00 | — | — |
| Estradiol blood test CPT 82670 HC ASSAY OF ESTRADIOL # | $16.00 | $16.00 | $7.20–$333.79 | 82% below | — |
| Estradiol blood test CPT 82670 HC ASSAY OF TOTAL ESTRADIOL # 30100220 | $21.00 | $21.00 | $9.45–$333.79 | 76% below | — |
| Estradiol blood test inpatient CPT 82670 HC ASSAY OF ESTRADIOL # | $16.00 | $16.00 | $7.20–$16.00 | — | — |
| Estradiol blood test inpatient CPT 82670 HC ASSAY OF TOTAL ESTRADIOL # 30100220 | $21.00 | $21.00 | $9.45–$21.00 | — | — |
| Fecal calprotectin (stool inflammation test) CPT 83993 HC ASSAY OF CALPROTECTIN FECAL CDM 30013774 | $50.00 | $50.00 | $17.45–$234.51 | 31% below | — |
| Fecal calprotectin (stool inflammation test) CPT 83993 HC CALPROTECTIN FECAL | $59.00 | $59.00 | $17.45–$234.51 | 19% below | — |
| Fecal calprotectin (stool inflammation test) inpatient CPT 83993 HC ASSAY OF CALPROTECTIN FECAL CDM 30013774 | $50.00 | $50.00 | $22.50–$50.00 | — | — |
| Fecal calprotectin (stool inflammation test) inpatient CPT 83993 HC CALPROTECTIN FECAL | $59.00 | $59.00 | $26.55–$59.00 | — | — |
| Ferritin blood test (iron stores) CPT 82728 FERRITIN | $212.00 | $212.00 | $12.07–$212.00 | 99% above | — |
| Ferritin blood test (iron stores) inpatient CPT 82728 FERRITIN | $212.00 | $212.00 | $95.40–$212.00 | — | — |
| Fibrinogen blood test CPT 85384 HC FIBRINOGEN ACTIVITY # 30510021 | $190.00 | $190.00 | $7.63–$190.00 | 42% above | — |
| Fibrinogen blood test CPT 85384 THROMBOELASTOGRAPH (TEG) STANDARD AND MAPPING 8538 | $264.00 | $264.00 | $7.63–$264.00 | 98% above | — |
| Fibrinogen blood test CPT 85384 THROMBOELASTOGRAPH (TEG) STANDARD 85384 | $264.00 | $264.00 | $7.63–$264.00 | 98% above | — |
| Fibrinogen blood test CPT 85384 FIBRINOGEN | $264.00 | $264.00 | $7.63–$264.00 | 98% above | — |
| Fibrinogen blood test inpatient CPT 85384 HC FIBRINOGEN ACTIVITY # 30510021 | $190.00 | $190.00 | $85.50–$190.00 | — | — |
| Fibrinogen blood test inpatient CPT 85384 THROMBOELASTOGRAPH (TEG) STANDARD AND MAPPING 8538 | $264.00 | $264.00 | $118.80–$264.00 | — | — |
| Fibrinogen blood test inpatient CPT 85384 THROMBOELASTOGRAPH (TEG) STANDARD 85384 | $264.00 | $264.00 | $118.80–$264.00 | — | — |
| Fibrinogen blood test inpatient CPT 85384 FIBRINOGEN | $264.00 | $264.00 | $118.80–$264.00 | — | — |
| Folate (folic acid) blood test CPT 82746 FOLATE | $228.00 | $228.00 | $13.07–$228.00 | 109% above | — |
| Folate (folic acid) blood test inpatient CPT 82746 FOLATE | $228.00 | $228.00 | $102.60–$228.00 | — | — |
| Free T3 thyroid hormone test CPT 84481 T3 FREE | $289.00 | $289.00 | $11.93–$289.00 | 257% above | — |
| Free T3 thyroid hormone test inpatient CPT 84481 T3 FREE | $289.00 | $289.00 | $130.05–$289.00 | — | — |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 T4 FREE (RESULTS ONLY) | $10.00 | $10.00 | $4.50–$107.77 | 85% below | — |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 HC FREE T4 BY DIALYSIS | $22.00 | $22.00 | $7.91–$107.77 | 68% below | — |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 T4 FREE | $233.00 | $233.00 | $7.91–$233.00 | 242% above | — |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 T4 FREE (RESULTS ONLY) | $10.00 | $10.00 | $4.50–$10.00 | — | — |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 HC FREE T4 BY DIALYSIS | $22.00 | $22.00 | $9.90–$22.00 | — | — |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 T4 FREE | $233.00 | $233.00 | $104.85–$233.00 | — | — |
| Free testosterone test CPT 84402 HC ASSAY OF TESTOSTERONE FREE # 30100654 | $10.00 | $10.00 | $4.50–$304.23 | 63% below | — |
| Free testosterone test CPT 84402 HC TESTOSTERONE FREE | $13.00 | $13.00 | $5.85–$304.23 | 53% below | — |
| Free testosterone test inpatient CPT 84402 HC ASSAY OF TESTOSTERONE FREE # 30100654 | $10.00 | $10.00 | $4.50–$10.00 | — | — |
| Free testosterone test inpatient CPT 84402 HC TESTOSTERONE FREE | $13.00 | $13.00 | $5.85–$13.00 | — | — |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 HC GAMMA GT TOTAL | $7.00 | $7.00 | $3.15–$85.99 | 85% below | — |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 GGT | $181.00 | $181.00 | $6.40–$181.00 | 298% above | — |
| Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 HC GAMMA GT TOTAL | $7.00 | $7.00 | $3.15–$7.00 | — | — |
| Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 GGT | $181.00 | $181.00 | $81.45–$181.00 | — | — |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE POST GLUCOLA 1HR | $259.00 | $259.00 | $4.19–$259.00 | 398% above | — |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GESTATIONAL GLUCOSE TEST 1HR | $259.00 | $259.00 | $4.19–$259.00 | 398% above | — |
| Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 GLUCOSE POST GLUCOLA 1HR | $259.00 | $259.00 | $116.55–$259.00 | — | — |
| Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 GESTATIONAL GLUCOSE TEST 1HR | $259.00 | $259.00 | $116.55–$259.00 | — | — |
| Glucose tolerance test, 3 samples CPT 82951 GESTATIONAL GLUCOSE TEST 3HR 82951 | $275.00 | $275.00 | $11.27–$275.00 | 100% above | — |
| Glucose tolerance test, 3 samples inpatient CPT 82951 GESTATIONAL GLUCOSE TEST 3HR 82951 | $275.00 | $275.00 | $123.75–$275.00 | — | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC IADNA NEISSERIA GONORRHOEAE AMPLIFIED PROBE TQ | $13.00 | $13.00 | $5.85–$419.28 | 78% below | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HC IADNA NEISSERIA GONORRHOEAE AMPLIFIED PROBE TQ | $13.00 | $13.00 | $5.85–$13.00 | — | — |
| H. pylori stool antigen test CPT 87338 HC IAAD IA HPYLORI STOOL CDM 30610663 | $23.00 | $23.00 | $10.35–$171.79 | 71% below | — |
| H. pylori stool antigen test CPT 87338 HC H PYLORI ANTIGEN STOOL | $28.00 | $28.00 | $12.60–$171.79 | 65% below | — |
| H. pylori stool antigen test inpatient CPT 87338 HC IAAD IA HPYLORI STOOL CDM 30610663 | $23.00 | $23.00 | $10.35–$23.00 | — | — |
| H. pylori stool antigen test inpatient CPT 87338 HC H PYLORI ANTIGEN STOOL | $28.00 | $28.00 | $12.60–$28.00 | — | — |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HC HIV ULTRA SENSITIVE PCR 30211020 | $50.00 | $50.00 | $22.50–$1,016.65 | 50% below | — |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HC HIV ULTRA SENSITIVE PCR | $65.00 | $65.00 | $29.25–$1,016.65 | 36% below | — |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HC HIV ULTRA SENSITIVE PCR 30211020 | $50.00 | $50.00 | $22.50–$50.00 | — | — |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HC HIV ULTRA SENSITIVE PCR | $65.00 | $65.00 | $29.25–$65.00 | — | — |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HC HIV-1 AG W/HIV-1 & HIV-2 AB | $27.00 | $27.00 | $12.15–$289.64 | 69% below | — |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV AG/AB 4TH GEN REFLEX 87389 | $341.00 | $341.00 | $20.26–$341.00 | 290% above | — |
| HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HC HIV-1 AG W/HIV-1 & HIV-2 AB | $27.00 | $27.00 | $12.15–$27.00 | — | — |
| HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HIV AG/AB 4TH GEN REFLEX 87389 | $341.00 | $341.00 | $153.45–$341.00 | — | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN A1C | $152.00 | $152.00 | $8.54–$152.00 | 133% above | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HEMOGLOBIN A1C | $152.00 | $152.00 | $68.40–$152.00 | — | — |
| Hemoglobin blood test CPT 85018 HC HEMOGLOBIN (HGB) | $5.00 | $5.00 | $2.07–$28.27 | 88% below | — |
| Hemoglobin blood test CPT 85018 HC BLOOD COUNT HEMOGLOBIN # 30500244 | $77.00 | $77.00 | $2.07–$77.00 | 91% above | — |
| Hemoglobin blood test CPT 85018 HEMOGLOBIN AND HEMATOCRIT (aka HGB) 85018 | $112.00 | $112.00 | $2.07–$112.00 | 178% above | — |
| Hemoglobin blood test CPT 85018 HC HEMOGLOBIN POCT 30015086 | $175.00 | $175.00 | $2.07–$175.00 | 334% above | — |
| Hemoglobin blood test inpatient CPT 85018 HC HEMOGLOBIN (HGB) | $5.00 | $5.00 | $2.25–$5.00 | — | — |
| Hemoglobin blood test inpatient CPT 85018 HC BLOOD COUNT HEMOGLOBIN # 30500244 | $77.00 | $77.00 | $34.65–$77.00 | — | — |
| Hemoglobin blood test inpatient CPT 85018 HEMOGLOBIN AND HEMATOCRIT (aka HGB) 85018 | $112.00 | $112.00 | $50.40–$112.00 | — | — |
| Hemoglobin blood test inpatient CPT 85018 HC HEMOGLOBIN POCT 30015086 | $175.00 | $175.00 | $78.75–$175.00 | — | — |
| Hepatitis B core antibody test (total) CPT 86704 HC HEP B CORE ANTIBODY TOTAL | $7.00 | $7.00 | $3.15–$144.02 | 80% below | — |
| Hepatitis B core antibody test (total) CPT 86704 HC HEPATITIS B CORE ANTIBODY HBCAB TOTAL # 3020055 | $321.00 | $321.00 | $10.71–$321.00 | 815% above | — |
| Hepatitis B core antibody test (total) CPT 86704 HEPATITIS B CORE AB TOTAL | $359.00 | $359.00 | $10.71–$359.00 | 923% above | — |
| Hepatitis B core antibody test (total) inpatient CPT 86704 HC HEP B CORE ANTIBODY TOTAL | $7.00 | $7.00 | $3.15–$7.00 | — | — |
| Hepatitis B core antibody test (total) inpatient CPT 86704 HC HEPATITIS B CORE ANTIBODY HBCAB TOTAL # 3020055 | $321.00 | $321.00 | $144.45–$321.00 | — | — |
| Hepatitis B core antibody test (total) inpatient CPT 86704 HEPATITIS B CORE AB TOTAL | $359.00 | $359.00 | $161.55–$359.00 | — | — |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HC HEPATITIS B SURF ANTIBODY HBSAB LAB 30201046 | $296.00 | $296.00 | $9.51–$296.00 | 593% above | — |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HC HEP B SURFACE AB | $318.00 | $318.00 | $9.51–$318.00 | 645% above | — |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HC HEPATITIS B SURF ANTIBODY HBSAB LAB 30201046 | $296.00 | $296.00 | $133.20–$296.00 | — | — |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HC HEP B SURFACE AB | $318.00 | $318.00 | $143.10–$318.00 | — | — |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS ACUTE PANEL REFLEX CONFIRMATION | $27.00 | $27.00 | $9.12–$123.35 | 62% below | — |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HC IAAD IA HEPATITIS B SURFACE ANTIGEN CDM 3060080 | $326.00 | $326.00 | $9.12–$326.00 | 354% above | — |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B SURFACE AG | $479.00 | $479.00 | $9.12–$479.00 | 568% above | — |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEPATITIS ACUTE PANEL REFLEX CONFIRMATION | $27.00 | $27.00 | $12.15–$27.00 | — | — |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HC IAAD IA HEPATITIS B SURFACE ANTIGEN CDM 3060080 | $326.00 | $326.00 | $146.70–$326.00 | — | — |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEPATITIS B SURFACE AG | $479.00 | $479.00 | $215.55–$479.00 | — | — |
| Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS ACUTE PANEL REFLEX CONFIRMATION | $27.00 | $27.00 | $12.15–$170.49 | 51% below | — |
| Hepatitis C antibody blood test (screening) CPT 86803 HC HEPATITIS C ANTIBODY LAB 30201057 | $296.00 | $296.00 | $12.57–$296.00 | 441% above | — |
| Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C AB | $341.00 | $341.00 | $12.57–$341.00 | 523% above | — |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS ACUTE PANEL REFLEX CONFIRMATION | $27.00 | $27.00 | $12.15–$27.00 | — | — |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 HC HEPATITIS C ANTIBODY LAB 30201057 | $296.00 | $296.00 | $133.20–$296.00 | — | — |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C AB | $341.00 | $341.00 | $153.45–$341.00 | — | — |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HC HEPATITIS C RNA QUANTIFICATION | $58.00 | $58.00 | $26.10–$511.77 | 34% below | — |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HC HEPATITIS C QUANTITATIVE PCR | $58.00 | $58.00 | $26.10–$511.77 | 34% below | — |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HC HEPATITIS C QUANTITATIVE PCR PAML 30011653 | $59.00 | $59.00 | $26.55–$511.77 | 33% below | — |
| Hepatitis C viral load (HCV RNA) test one side CPT 87522 HC HEPATITIS C QUANTITATIVE PCR BY RT | $58.00 | $58.00 | $26.10–$511.77 | 34% below | — |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HC HEPATITIS C QUANTITATIVE PCR | $58.00 | $58.00 | $26.10–$58.00 | — | — |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HC HEPATITIS C RNA QUANTIFICATION | $58.00 | $58.00 | $26.10–$58.00 | — | — |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HC HEPATITIS C QUANTITATIVE PCR PAML 30011653 | $59.00 | $59.00 | $26.55–$59.00 | — | — |
| Hepatitis C viral load (HCV RNA) test inpatient one side CPT 87522 HC HEPATITIS C QUANTITATIVE PCR BY RT | $58.00 | $58.00 | $26.10–$58.00 | — | — |
| Herpes blood test, HSV-1 antibody CPT 86695 HC HERPES SIMPLEX 1 TEST 30010889 | $5.00 | $5.00 | $2.25–$157.61 | 74% below | — |
| Herpes blood test, HSV-1 antibody CPT 86695 HC ANTIBODY HERPES SMPLX TYPE 1 # 30200551 | $5.00 | $5.00 | $2.25–$157.61 | 74% below | — |
| Herpes blood test, HSV-1 antibody CPT 86695 HC ANTIBODY HERPES SMPLX TYPE 1 # | $9.00 | $9.00 | $4.05–$157.61 | 54% below | — |
| Herpes blood test, HSV-1 antibody CPT 86695 HC ANTIBODY HERPES SMPLX TYPE 1 #30200052 | $9.00 | $9.00 | $4.05–$157.61 | 54% below | — |
| Herpes blood test, HSV-1 antibody CPT 86695 HC HERPES SIMPLEX TEST - IGG/IGM 30210526 | $9.00 | $9.00 | $4.05–$157.61 | 54% below | — |
| Herpes blood test, HSV-1 antibody CPT 86695 HC HERPES SIMPLEX TEST - IGG/IGM | $9.00 | $9.00 | $4.05–$157.61 | 54% below | — |
| Herpes blood test, HSV-1 antibody CPT 86695 HSV 1 IGM TITER (RESULTS ONLY) | $24.00 | $24.00 | $10.80–$157.61 | 24% above | — |
| Herpes blood test, HSV-1 antibody CPT 86695 HSV 1 IGM TITER CSF (RESULTS ONLY) | $43.00 | $43.00 | $11.72–$157.61 | 122% above | — |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HC ANTIBODY HERPES SMPLX TYPE 1 # 30200551 | $5.00 | $5.00 | $2.25–$5.00 | — | — |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HC HERPES SIMPLEX 1 TEST 30010889 | $5.00 | $5.00 | $2.25–$5.00 | — | — |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HC HERPES SIMPLEX TEST - IGG/IGM 30210526 | $9.00 | $9.00 | $4.05–$9.00 | — | — |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HC ANTIBODY HERPES SMPLX TYPE 1 # | $9.00 | $9.00 | $4.05–$9.00 | — | — |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HC ANTIBODY HERPES SMPLX TYPE 1 #30200052 | $9.00 | $9.00 | $4.05–$9.00 | — | — |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HC HERPES SIMPLEX TEST - IGG/IGM | $9.00 | $9.00 | $4.05–$9.00 | — | — |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HSV 1 IGM TITER (RESULTS ONLY) | $24.00 | $24.00 | $10.80–$24.00 | — | — |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HSV 1 IGM TITER CSF (RESULTS ONLY) | $43.00 | $43.00 | $19.35–$43.00 | — | — |
| Herpes blood test, HSV-2 antibody CPT 86696 HC HSV 2 ANTIBODY IGG | $8.00 | $8.00 | $3.60–$231.22 | 66% below | — |
| Herpes blood test, HSV-2 antibody CPT 86696 HC HERPES SIMPLEX TYPE 2 | $9.00 | $9.00 | $4.05–$231.22 | 62% below | — |
| Herpes blood test, HSV-2 antibody CPT 86696 HC HERPES SIMPLEX TYPE 2 30010903 | $9.00 | $9.00 | $4.05–$231.22 | 62% below | — |
| Herpes blood test, HSV-2 antibody CPT 86696 HC ANTIBODY HERPES SMPLX TYPE 2 # | $9.00 | $9.00 | $4.05–$231.22 | 62% below | — |
| Herpes blood test, HSV-2 antibody CPT 86696 HC ANTIBODY HERPES SMPLX TYPE 2 #30200053 | $9.00 | $9.00 | $4.05–$231.22 | 62% below | — |
| Herpes blood test, HSV-2 antibody CPT 86696 HC HSV 2 ANTIBODY IGG 30210349 | $11.00 | $11.00 | $4.95–$231.22 | 53% below | — |
| Herpes blood test, HSV-2 antibody CPT 86696 HC HERPES SIMPLEX TYPE 2 -HSV 1&2 IGG-HSV TYPE 2 | $15.00 | $15.00 | $6.75–$231.22 | 36% below | — |
| Herpes blood test, HSV-2 antibody CPT 86696 HSV 2 IGM TITER (RESULTS ONLY) | $24.00 | $24.00 | $10.80–$231.22 | 2% above | — |
| Herpes blood test, HSV-2 antibody CPT 86696 HSV 2 IGM TITER CSF (RESULTS ONLY) | $43.00 | $43.00 | $17.20–$231.22 | 83% above | — |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HC HSV 2 ANTIBODY IGG | $8.00 | $8.00 | $3.60–$8.00 | — | — |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HC ANTIBODY HERPES SMPLX TYPE 2 # | $9.00 | $9.00 | $4.05–$9.00 | — | — |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HC HERPES SIMPLEX TYPE 2 | $9.00 | $9.00 | $4.05–$9.00 | — | — |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HC ANTIBODY HERPES SMPLX TYPE 2 #30200053 | $9.00 | $9.00 | $4.05–$9.00 | — | — |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HC HERPES SIMPLEX TYPE 2 30010903 | $9.00 | $9.00 | $4.05–$9.00 | — | — |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HC HSV 2 ANTIBODY IGG 30210349 | $11.00 | $11.00 | $4.95–$11.00 | — | — |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HC HERPES SIMPLEX TYPE 2 -HSV 1&2 IGG-HSV TYPE 2 | $15.00 | $15.00 | $6.75–$15.00 | — | — |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HSV 2 IGM TITER (RESULTS ONLY) | $24.00 | $24.00 | $10.80–$24.00 | — | — |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HSV 2 IGM TITER CSF (RESULTS ONLY) | $43.00 | $43.00 | $19.35–$43.00 | — | — |
| High-sensitivity CRP (hs-CRP) test CPT 86141 C-REACTIVE PROTEIN HIGH SENSITIVITY | $212.00 | $212.00 | $11.06–$212.00 | 248% above | — |
| High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 C-REACTIVE PROTEIN HIGH SENSITIVITY | $212.00 | $212.00 | $95.40–$212.00 | — | — |
| Homocysteine blood test CPT 83090 HOMOCYSTEINE | $299.00 | $299.00 | $14.99–$299.00 | 293% above | — |
| Homocysteine blood test inpatient CPT 83090 HOMOCYSTEINE | $299.00 | $299.00 | $134.55–$299.00 | — | — |
| Insulin blood test CPT 83525 HC INSULIN LEVEL ASSAY 30015267 | $6.00 | $6.00 | $2.70–$136.63 | 84% below | — |
| Insulin blood test CPT 83525 HC INSULIN LEVEL ASSAY | $6.00 | $6.00 | $2.70–$136.63 | 84% below | — |
| Insulin blood test CPT 83525 HC ASSAY OF INSULIN TOTAL # 30100622 | $15.00 | $15.00 | $6.75–$136.63 | 61% below | — |
| Insulin blood test inpatient CPT 83525 HC INSULIN LEVEL ASSAY | $6.00 | $6.00 | $2.70–$6.00 | — | — |
| Insulin blood test inpatient CPT 83525 HC INSULIN LEVEL ASSAY 30015267 | $6.00 | $6.00 | $2.70–$6.00 | — | — |
| Insulin blood test inpatient CPT 83525 HC ASSAY OF INSULIN TOTAL # 30100622 | $15.00 | $15.00 | $6.75–$15.00 | — | — |
| Iron blood test (serum iron) CPT 83540 IRON AND IRON BINDING CAPACITY 83540 | $101.00 | $101.00 | $5.72–$101.00 | 74% above | — |
| Iron blood test (serum iron) CPT 83540 IRON TOTAL | $101.00 | $101.00 | $5.72–$101.00 | 74% above | — |
| Iron blood test (serum iron) inpatient CPT 83540 IRON TOTAL | $101.00 | $101.00 | $45.45–$101.00 | — | — |
| Iron blood test (serum iron) inpatient CPT 83540 IRON AND IRON BINDING CAPACITY 83540 | $101.00 | $101.00 | $45.45–$101.00 | — | — |
| Iron-binding capacity (TIBC) test CPT 83550 IRON AND IRON BINDING CAPACITY 83550 | $109.00 | $109.00 | $6.89–$109.00 | 49% above | — |
| Iron-binding capacity (TIBC) test inpatient CPT 83550 IRON AND IRON BINDING CAPACITY 83550 | $109.00 | $109.00 | $49.05–$109.00 | — | — |
| Kidney function blood test panel CPT 80069 HC RENAL PANEL 30112064 | $361.00 | $361.00 | $7.60–$361.00 | 154% above | — |
| Kidney function blood test panel inpatient CPT 80069 HC RENAL PANEL 30112064 | $361.00 | $361.00 | $162.45–$361.00 | — | — |
| LH (luteinizing hormone) test CPT 83002 HC GONADOTROPIN LUTEINIZING HORMONE CDM 30015392 | $17.00 | $17.00 | $7.65–$221.23 | 84% below | — |
| LH (luteinizing hormone) test inpatient CPT 83002 HC GONADOTROPIN LUTEINIZING HORMONE CDM 30015392 | $17.00 | $17.00 | $7.65–$17.00 | — | — |
| Lactate (lactic acid) blood test CPT 83605 HC ASSAY OF LACTATE LAB 30101085 | $125.00 | $125.00 | $9.41–$127.64 | 6% below | — |
| Lactate (lactic acid) blood test CPT 83605 HC ASSAY OF LACTATE # 30101086 | $125.00 | $125.00 | $9.41–$127.64 | 6% below | — |
| Lactate (lactic acid) blood test CPT 83605 LACTIC ACID | $166.00 | $166.00 | $9.41–$166.00 | 24% above | — |
| Lactate (lactic acid) blood test CPT 83605 POC LACTATE VENOUS | $264.00 | $264.00 | $9.41–$264.00 | 98% above | — |
| Lactate (lactic acid) blood test inpatient CPT 83605 HC ASSAY OF LACTATE # 30101086 | $125.00 | $125.00 | $56.25–$125.00 | — | — |
| Lactate (lactic acid) blood test inpatient CPT 83605 HC ASSAY OF LACTATE LAB 30101085 | $125.00 | $125.00 | $56.25–$125.00 | — | — |
| Lactate (lactic acid) blood test inpatient CPT 83605 LACTIC ACID | $166.00 | $166.00 | $74.70–$166.00 | — | — |
| Lactate (lactic acid) blood test inpatient CPT 83605 POC LACTATE VENOUS | $264.00 | $264.00 | $118.80–$264.00 | — | — |
| Lactate dehydrogenase (LDH) blood test CPT 83615 HC LDH ISO-LD TOTAL 30015371 | $3.75 | $3.75 | $1.69–$72.21 | 90% below | — |
| Lactate dehydrogenase (LDH) blood test CPT 83615 HC LDH ISO-LD TOTAL | $5.00 | $5.00 | $2.25–$72.21 | 86% below | — |
| Lactate dehydrogenase (LDH) blood test CPT 83615 LACTATE DEHYDROGENASE BODY FLUID | $181.00 | $181.00 | $5.37–$181.00 | 401% above | — |
| Lactate dehydrogenase (LDH) blood test CPT 83615 LACTATE DEHYDROGENASE | $326.00 | $326.00 | $5.37–$326.00 | 803% above | — |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 HC LDH ISO-LD TOTAL 30015371 | $3.75 | $3.75 | $1.69–$3.75 | — | — |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 HC LDH ISO-LD TOTAL | $5.00 | $5.00 | $2.25–$5.00 | — | — |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LACTATE DEHYDROGENASE BODY FLUID | $181.00 | $181.00 | $81.45–$181.00 | — | — |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LACTATE DEHYDROGENASE | $326.00 | $326.00 | $146.70–$326.00 | — | — |
| Lipase blood test (pancreas enzyme) CPT 83690 LIPASE | $332.00 | $332.00 | $6.08–$332.00 | 244% above | — |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE | $332.00 | $332.00 | $149.40–$332.00 | — | — |
| Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL | $550.00 | $550.00 | $6.38–$550.00 | 263% above | — |
| Liver function blood test panel inpatient CPT 80076 HEPATIC FUNCTION PANEL | $550.00 | $550.00 | $247.50–$550.00 | — | — |
| Lyme disease antibody test CPT 86618 HC LYME DISEASE ANTIBODY | $7.00 | $7.00 | $3.15–$203.45 | 67% below | — |
| Lyme disease antibody test CPT 86618 HC ANTIBODY BORRELIA BURGDORFERI LYME DISEASE # 30 | $11.00 | $11.00 | $4.95–$203.45 | 48% below | — |
| Lyme disease antibody test inpatient CPT 86618 HC LYME DISEASE ANTIBODY | $7.00 | $7.00 | $3.15–$7.00 | — | — |
| Lyme disease antibody test inpatient CPT 86618 HC ANTIBODY BORRELIA BURGDORFERI LYME DISEASE # 30 | $11.00 | $11.00 | $4.95–$11.00 | — | — |
| Magnesium blood test CPT 83735 HC PHOSPHORUS QUANT URINE | $5.00 | $5.00 | $2.25–$80.10 | 92% below | — |
| Magnesium blood test CPT 83735 HC ASSAY OF MAGNESIUM # 30015863 | $6.00 | $6.00 | $2.70–$80.10 | 91% below | — |
| Magnesium blood test CPT 83735 HC RBC MAGNESIUM | $33.00 | $33.00 | $5.96–$80.10 | 48% below | — |
| Magnesium blood test CPT 83735 MAGNESIUM | $177.00 | $177.00 | $5.96–$177.00 | 179% above | — |
| Magnesium blood test inpatient CPT 83735 HC PHOSPHORUS QUANT URINE | $5.00 | $5.00 | $2.25–$5.00 | — | — |
| Magnesium blood test inpatient CPT 83735 HC ASSAY OF MAGNESIUM # 30015863 | $6.00 | $6.00 | $2.70–$6.00 | — | — |
| Magnesium blood test inpatient CPT 83735 HC RBC MAGNESIUM | $33.00 | $33.00 | $14.85–$33.00 | — | — |
| Magnesium blood test inpatient CPT 83735 MAGNESIUM | $177.00 | $177.00 | $79.65–$177.00 | — | — |
| Measles (rubeola) antibody test CPT 86765 HC RUBEOLA ANTIBODY - IGG | $6.00 | $6.00 | $2.70–$153.91 | 81% below | — |
| Measles (rubeola) antibody test CPT 86765 HC RUBEOLA AB-IGG | $7.00 | $7.00 | $3.15–$153.91 | 78% below | — |
| Measles (rubeola) antibody test CPT 86765 HC ANTIBODY RUBEOLA # | $9.00 | $9.00 | $4.05–$153.91 | 71% below | — |
| Measles (rubeola) antibody test CPT 86765 HC RUBEOLA ANTIBODY IGM | $10.00 | $10.00 | $4.50–$153.91 | 68% below | — |
| Measles (rubeola) antibody test CPT 86765 HC ANTIBODY RUBEOLA LAB 30200638540 | $12.70 | $12.70 | $5.71–$153.91 | 59% below | — |
| Measles (rubeola) antibody test CPT 86765 HC ANTIBODY RUBEOLA CDM 30011886 | $107.36 | $107.36 | $11.45–$153.91 | 243% above | — |
| Measles (rubeola) antibody test CPT 86765 RUBEOLA AB IGG | $202.00 | $202.00 | $11.45–$202.00 | 545% above | — |
| Measles (rubeola) antibody test inpatient CPT 86765 HC RUBEOLA ANTIBODY - IGG | $6.00 | $6.00 | $2.70–$6.00 | — | — |
| Measles (rubeola) antibody test inpatient CPT 86765 HC RUBEOLA AB-IGG | $7.00 | $7.00 | $3.15–$7.00 | — | — |
| Measles (rubeola) antibody test inpatient CPT 86765 HC ANTIBODY RUBEOLA # | $9.00 | $9.00 | $4.05–$9.00 | — | — |
| Measles (rubeola) antibody test inpatient CPT 86765 HC RUBEOLA ANTIBODY IGM | $10.00 | $10.00 | $4.50–$10.00 | — | — |
| Measles (rubeola) antibody test inpatient CPT 86765 HC ANTIBODY RUBEOLA LAB 30200638540 | $12.70 | $12.70 | $5.71–$12.70 | — | — |
| Measles (rubeola) antibody test inpatient CPT 86765 HC ANTIBODY RUBEOLA CDM 30011886 | $107.36 | $107.36 | $48.31–$107.36 | — | — |
| Measles (rubeola) antibody test inpatient CPT 86765 RUBEOLA AB IGG | $202.00 | $202.00 | $90.90–$202.00 | — | — |
| Mono test (heterophile antibody, Monospot) CPT 86308 MONONUCLEOSIS SCREEN | $193.00 | $193.00 | $4.49–$193.00 | 88% above | — |
| Mono test (heterophile antibody, Monospot) inpatient CPT 86308 MONONUCLEOSIS SCREEN | $193.00 | $193.00 | $86.85–$193.00 | — | — |
| Mumps immunity blood test CPT 86735 HC MUMPS ANTIBODY - VIRUS IGM | $6.00 | $6.00 | $2.70–$155.91 | 63% below | — |
| Mumps immunity blood test CPT 86735 HC MUMPS ANTIBODY - IGG | $6.00 | $6.00 | $2.70–$155.91 | 63% below | — |
| Mumps immunity blood test CPT 86735 HC MUMPS ANTIBODY - VIRUS IGM 30210747 | $6.00 | $6.00 | $2.70–$155.91 | 63% below | — |
| Mumps immunity blood test CPT 86735 HC ANTIBODY MUMPS # | $19.00 | $19.00 | $8.55–$155.91 | 19% above | — |
| Mumps immunity blood test CPT 86735 MUMPS VIRUS AB IGG | $202.00 | $202.00 | $11.59–$202.00 | 1161% above | — |
| Mumps immunity blood test inpatient CPT 86735 HC MUMPS ANTIBODY - IGG | $6.00 | $6.00 | $2.70–$6.00 | — | — |
| Mumps immunity blood test inpatient CPT 86735 HC MUMPS ANTIBODY - VIRUS IGM 30210747 | $6.00 | $6.00 | $2.70–$6.00 | — | — |
| Mumps immunity blood test inpatient CPT 86735 HC MUMPS ANTIBODY - VIRUS IGM | $6.00 | $6.00 | $2.70–$6.00 | — | — |
| Mumps immunity blood test inpatient CPT 86735 HC ANTIBODY MUMPS # | $19.00 | $19.00 | $8.55–$19.00 | — | — |
| Mumps immunity blood test inpatient CPT 86735 MUMPS VIRUS AB IGG | $202.00 | $202.00 | $90.90–$202.00 | — | — |
| PSA (prostate-specific antigen) blood test, free CPT 84154 PSA TOTAL AND FREE | $229.00 | $229.00 | $12.87–$229.00 | 280% above | — |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PSA TOTAL AND FREE | $229.00 | $229.00 | $103.05–$229.00 | — | — |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC PROSTATIC SPECIFIC AG DIAGNOST | $21.00 | $21.00 | $9.45–$219.83 | 65% below | — |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA SCREEN | $223.00 | $223.00 | $16.35–$223.00 | 273% above | — |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC PROSTATIC SPECIFIC AG DIAGNOST | $21.00 | $21.00 | $9.45–$21.00 | — | — |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA SCREEN | $223.00 | $223.00 | $100.35–$223.00 | — | — |
| Parathyroid hormone (PTH) blood test CPT 83970 PARATHYROID HORMONE BASELINE INTRAOPERATIVE | $639.00 | $639.00 | $34.84–$639.00 | 481% above | — |
| Parathyroid hormone (PTH) blood test CPT 83970 PARATHYROID HORMONE INTACT | $639.00 | $639.00 | $34.84–$639.00 | 481% above | — |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 PARATHYROID HORMONE BASELINE INTRAOPERATIVE | $639.00 | $639.00 | $287.55–$639.00 | — | — |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 PARATHYROID HORMONE INTACT | $639.00 | $639.00 | $287.55–$639.00 | — | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC THROMBOPLASTIN TIME PARTIAL PLASMA/WHOLE BLOOD | $8.00 | $8.00 | $3.60–$71.71 | 87% below | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC ACTIVATED PTT | $12.00 | $12.00 | $5.34–$71.71 | 81% below | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC THROMBOPLASTIN TIME PARTIAL | $27.00 | $27.00 | $5.34–$71.71 | 57% below | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 PTT 1:1 MIXING STUDIES | $235.00 | $235.00 | $5.34–$235.00 | 276% above | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 PTT | $235.00 | $235.00 | $5.34–$235.00 | 276% above | — |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC THROMBOPLASTIN TIME PARTIAL PLASMA/WHOLE BLOOD | $8.00 | $8.00 | $3.60–$8.00 | — | — |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC ACTIVATED PTT | $12.00 | $12.00 | $5.40–$12.00 | — | — |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC THROMBOPLASTIN TIME PARTIAL | $27.00 | $27.00 | $12.15–$27.00 | — | — |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT | $235.00 | $235.00 | $105.75–$235.00 | — | — |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT 1:1 MIXING STUDIES | $235.00 | $235.00 | $105.75–$235.00 | — | — |
| Phosphorus (phosphate) blood test CPT 84100 PHOSPHORUS | $216.00 | $216.00 | $4.21–$216.00 | 186% above | — |
| Phosphorus (phosphate) blood test inpatient CPT 84100 PHOSPHORUS | $216.00 | $216.00 | $97.20–$216.00 | — | — |
| Potassium blood test CPT 84132 POTASSIUM | $68.00 | $68.00 | $3.44–$68.00 | 7% below | — |
| Potassium blood test CPT 84132 BLOOD GAS ARTERIAL 84132 | $116.00 | $116.00 | $3.44–$116.00 | 59% above | — |
| Potassium blood test inpatient CPT 84132 POTASSIUM | $68.00 | $68.00 | $30.60–$68.00 | — | — |
| Potassium blood test inpatient CPT 84132 BLOOD GAS ARTERIAL 84132 | $116.00 | $116.00 | $52.20–$116.00 | — | — |
| Progesterone blood test CPT 84144 HC PROGESTERONE | $10.00 | $10.00 | $4.50–$249.29 | 88% below | — |
| Progesterone blood test inpatient CPT 84144 HC PROGESTERONE | $10.00 | $10.00 | $4.50–$10.00 | — | — |
| Prolactin blood test CPT 84146 HC PROLACTIN 30112073 | $13.00 | $13.00 | $5.85–$231.51 | 88% below | — |
| Prolactin blood test inpatient CPT 84146 HC PROLACTIN 30112073 | $13.00 | $13.00 | $5.85–$13.00 | — | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC PROTHROMBIN TIME # | $8.00 | $8.00 | $3.49–$46.94 | 85% below | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 PT 1:1 MIXING STUDIES | $208.00 | $208.00 | $3.49–$208.00 | 279% above | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTIME INR | $208.00 | $208.00 | $3.49–$208.00 | 279% above | — |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC PROTHROMBIN TIME # | $8.00 | $8.00 | $3.60–$8.00 | — | — |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTIME INR | $208.00 | $208.00 | $93.60–$208.00 | — | — |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PT 1:1 MIXING STUDIES | $208.00 | $208.00 | $93.60–$208.00 | — | — |
| Rapid flu test (influenza antigen) CPT 87804 INFLUENZA A AND B AG IA | $149.00 | $149.00 | $8.85–$149.00 | 98% above | — |
| Rapid flu test (influenza antigen) inpatient CPT 87804 INFLUENZA A AND B AG IA | $149.00 | $149.00 | $67.05–$149.00 | — | — |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 STREPTOCOCCUS GROUP A RAPID SCREEN | $146.00 | $146.00 | $6.99–$146.00 | 35% above | — |
| Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 STREPTOCOCCUS GROUP A RAPID SCREEN | $146.00 | $146.00 | $65.70–$146.00 | — | — |
| Renin blood test CPT 84244 HC RENIN ACTIVITY | $12.00 | $12.00 | $5.40–$262.78 | 52% below | — |
| Renin blood test CPT 84244 HC RENIN ACTIVITY 30015879 | $12.00 | $12.00 | $5.40–$262.78 | 52% below | — |
| Renin blood test inpatient CPT 84244 HC RENIN ACTIVITY | $12.00 | $12.00 | $5.40–$12.00 | — | — |
| Renin blood test inpatient CPT 84244 HC RENIN ACTIVITY 30015879 | $12.00 | $12.00 | $5.40–$12.00 | — | — |
| Rh blood typing CPT 86901 Blood Typing Rh(D) (ARC) | $15.00 | $15.00 | $2.46–$35.66 | 73% below | — |
| Rh blood typing CPT 86901 Blood Typing Rh (D) (Lifestream) | $27.00 | $27.00 | $2.46–$35.66 | 52% below | — |
| Rh blood typing CPT 86901 Blood Typing Rh (D) | $246.00 | $246.00 | $2.46–$246.00 | 342% above | — |
| Rh blood typing inpatient CPT 86901 Blood Typing Rh(D) (ARC) | $15.00 | $15.00 | $6.75–$15.00 | — | — |
| Rh blood typing inpatient CPT 86901 Blood Typing Rh (D) (Lifestream) | $27.00 | $27.00 | $12.15–$27.00 | — | — |
| Rh blood typing inpatient CPT 86901 Blood Typing Rh (D) | $246.00 | $246.00 | $110.70–$246.00 | — | — |
| Rheumatoid factor (RF) test CPT 86431 HC RHEUMATOID FACTOR QUANT | $5.00 | $5.00 | $2.25–$67.72 | 62% below | — |
| Rheumatoid factor (RF) test CPT 86431 CRYOGLOBULIN PANEL POSITIVE REFLEX (RESULTS ONLY) | $17.00 | $17.00 | $5.02–$67.72 | 29% above | — |
| Rheumatoid factor (RF) test CPT 86431 HC RHEUMATOID FACTOR QUANTITATIVE # | $26.00 | $26.00 | $5.02–$67.72 | 97% above | — |
| Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR QUANT | $171.00 | $171.00 | $5.02–$171.00 | 1195% above | — |
| Rheumatoid factor (RF) test inpatient CPT 86431 HC RHEUMATOID FACTOR QUANT | $5.00 | $5.00 | $2.25–$5.00 | — | — |
| Rheumatoid factor (RF) test inpatient CPT 86431 CRYOGLOBULIN PANEL POSITIVE REFLEX (RESULTS ONLY) | $17.00 | $17.00 | $7.65–$17.00 | — | — |
| Rheumatoid factor (RF) test inpatient CPT 86431 HC RHEUMATOID FACTOR QUANTITATIVE # | $26.00 | $26.00 | $11.70–$26.00 | — | — |
| Rheumatoid factor (RF) test inpatient CPT 86431 RHEUMATOID FACTOR QUANT | $171.00 | $171.00 | $76.95–$171.00 | — | — |
| Rubella antibody test (immunity check) CPT 86762 HC RUBELLA ANTIBODY - IGG ANTIBODY | $6.00 | $6.00 | $2.70–$171.89 | 88% below | — |
| Rubella antibody test (immunity check) CPT 86762 HC RUBELLA ANTIBODY - AB IGM | $9.00 | $9.00 | $4.05–$171.89 | 82% below | — |
| Rubella antibody test (immunity check) CPT 86762 HC ANTIBODY RUBELLA # | $9.00 | $9.00 | $4.05–$171.89 | 82% below | — |
| Rubella antibody test (immunity check) CPT 86762 HC ANTIBODY RUBELLA #30200054 | $9.00 | $9.00 | $4.05–$171.89 | 82% below | — |
| Rubella antibody test (immunity check) CPT 86762 HC RUBELLA ANTIBODY -TORCH IGG 30210765 | $9.58 | $9.58 | $4.31–$171.89 | 81% below | — |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA AB IGG | $14.00 | $14.00 | $6.30–$171.89 | 72% below | — |
| Rubella antibody test (immunity check) inpatient CPT 86762 HC RUBELLA ANTIBODY - IGG ANTIBODY | $6.00 | $6.00 | $2.70–$6.00 | — | — |
| Rubella antibody test (immunity check) inpatient CPT 86762 HC ANTIBODY RUBELLA # | $9.00 | $9.00 | $4.05–$9.00 | — | — |
| Rubella antibody test (immunity check) inpatient CPT 86762 HC RUBELLA ANTIBODY - AB IGM | $9.00 | $9.00 | $4.05–$9.00 | — | — |
| Rubella antibody test (immunity check) inpatient CPT 86762 HC ANTIBODY RUBELLA #30200054 | $9.00 | $9.00 | $4.05–$9.00 | — | — |
| Rubella antibody test (immunity check) inpatient CPT 86762 HC RUBELLA ANTIBODY -TORCH IGG 30210765 | $9.58 | $9.58 | $4.31–$9.58 | — | — |
| Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA AB IGG | $14.00 | $14.00 | $6.30–$14.00 | — | — |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 SEDIMENTATION RATE 85652 | $123.00 | $123.00 | $2.40–$123.00 | 120% above | — |
| Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 SEDIMENTATION RATE 85652 | $123.00 | $123.00 | $55.35–$123.00 | — | — |
| Sodium blood test CPT 84295 BLOOD GAS PERFUSION PANEL ARTERIAL 84295 | $126.00 | $126.00 | $3.51–$126.00 | 92% above | — |
| Sodium blood test CPT 84295 BLOOD GAS ARTERIAL 84295 | $143.00 | $143.00 | $3.51–$143.00 | 118% above | — |
| Sodium blood test inpatient CPT 84295 BLOOD GAS PERFUSION PANEL ARTERIAL 84295 | $126.00 | $126.00 | $56.70–$126.00 | — | — |
| Sodium blood test inpatient CPT 84295 BLOOD GAS ARTERIAL 84295 | $143.00 | $143.00 | $64.35–$143.00 | — | — |
| Stool ova and parasites exam CPT 87177 HC OVA AND PARASITES SMEARS | $8.00 | $8.00 | $3.60–$106.27 | 62% below | — |
| Stool ova and parasites exam inpatient CPT 87177 HC OVA AND PARASITES SMEARS | $8.00 | $8.00 | $3.60–$8.00 | — | — |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 HC OCCULT BLOOD FECES 30112004 | $57.00 | $57.00 | $2.92–$57.00 | 46% above | — |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULT BLOOD STOOL SPECIMEN 1 | $90.00 | $90.00 | $2.92–$90.00 | 131% above | — |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 POC HEMOCCULT TESTING-PEDS | $168.00 | $168.00 | $2.92–$168.00 | 331% above | — |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 POC HEMOCCULT TESTIN-PICU | $168.00 | $168.00 | $2.92–$168.00 | 331% above | — |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 POC HEMOCCULT TESTING-NICU | $168.00 | $168.00 | $2.92–$168.00 | 331% above | — |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 HC OCCULT BLOOD FECES 30112004 | $57.00 | $57.00 | $25.65–$57.00 | — | — |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 OCCULT BLOOD STOOL SPECIMEN 1 | $90.00 | $90.00 | $40.50–$90.00 | — | — |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 POC HEMOCCULT TESTING-PEDS | $168.00 | $168.00 | $75.60–$168.00 | — | — |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 POC HEMOCCULT TESTING-NICU | $168.00 | $168.00 | $75.60–$168.00 | — | — |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 POC HEMOCCULT TESTIN-PICU | $168.00 | $168.00 | $75.60–$168.00 | — | — |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 HC ASSAY TEST FOR BLOOD FECAL | $30.00 | $30.00 | $13.50–$189.97 | 39% below | — |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 OCCULT BLOOD FECAL IMMUNOCHEMICAL TEST (FIT) | $69.00 | $69.00 | $14.14–$189.97 | 41% above | — |
| Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 HC ASSAY TEST FOR BLOOD FECAL | $30.00 | $30.00 | $13.50–$30.00 | — | — |
| Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 OCCULT BLOOD FECAL IMMUNOCHEMICAL TEST (FIT) | $69.00 | $69.00 | $31.05–$69.00 | — | — |
| Syphilis antibody test (Treponema pallidum) CPT 86780 HC TREPONEMA PALLIDUM | $9.00 | $9.00 | $4.05–$158.21 | 44% below | — |
| Syphilis antibody test (Treponema pallidum) CPT 86780 TREPONEMA PALLIDUM AB TOTAL | $225.00 | $225.00 | $11.40–$225.00 | 1290% above | — |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 HC TREPONEMA PALLIDUM | $9.00 | $9.00 | $4.05–$9.00 | — | — |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 TREPONEMA PALLIDUM AB TOTAL | $225.00 | $225.00 | $101.25–$225.00 | — | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC SYPHILIS TEST NON-TREPONEMAL ANTIBODY QUAL # | $6.00 | $6.00 | $2.70–$51.04 | 55% below | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC SYPHILIS TEST NON-TREP QUAL - CSF | $7.00 | $7.00 | $3.15–$51.04 | 48% below | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC SYPHILIS TEST NON-TREP QUAL 30210608 | $7.00 | $7.00 | $3.15–$51.04 | 48% below | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC SYPHILIS TEST NON-TREP QUAL | $7.00 | $7.00 | $3.15–$51.04 | 48% below | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC SYPHILIS TEST NON-TREPONEMAL ANTIBODY QUAL # | $6.00 | $6.00 | $2.70–$6.00 | — | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC SYPHILIS TEST NON-TREP QUAL 30210608 | $7.00 | $7.00 | $3.15–$7.00 | — | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC SYPHILIS TEST NON-TREP QUAL | $7.00 | $7.00 | $3.15–$7.00 | — | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC SYPHILIS TEST NON-TREP QUAL - CSF | $7.00 | $7.00 | $3.15–$7.00 | — | — |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 HC TB TEST CELL IMMUN MEASURE 30210598 | $23.13 | $23.13 | $10.41–$740.49 | 73% below | — |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 HC TB CELL MEDIATED ANTIGN RESPNSE GAMMA INTERFERO | $33.00 | $33.00 | $14.85–$740.49 | 61% below | — |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 HC QUANTIFERON TB GOLD | $33.00 | $33.00 | $14.85–$740.49 | 61% below | — |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 HC TB TEST CELL IMMUN MEASURE 30210598 | $23.13 | $23.13 | $10.41–$23.13 | — | — |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 HC TB CELL MEDIATED ANTIGN RESPNSE GAMMA INTERFERO | $33.00 | $33.00 | $14.85–$33.00 | — | — |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 HC QUANTIFERON TB GOLD | $33.00 | $33.00 | $14.85–$33.00 | — | — |
| Testosterone blood test, total (not free testosterone) CPT 84403 HC ASSAY OF TESTOSTERONE TOTAL # | $9.00 | $9.00 | $4.05–$308.42 | 78% below | — |
| Testosterone blood test, total (not free testosterone) CPT 84403 HC ASSAY OF TESTOSTERONE TOTAL # 30100656 | $10.00 | $10.00 | $4.50–$308.42 | 75% below | — |
| Testosterone blood test, total (not free testosterone) CPT 84403 HC TESTOSTERONE -TOTAL 30114149 | $11.00 | $11.00 | $4.95–$308.42 | 73% below | — |
| Testosterone blood test, total (not free testosterone) CPT 84403 HC TESTOSTERONE -TOTAL | $11.00 | $11.00 | $4.95–$308.42 | 73% below | — |
| Testosterone blood test, total (not free testosterone) CPT 84403 HC TESTOSTERONE TOTAL | $13.00 | $13.00 | $5.85–$308.42 | 68% below | — |
| Testosterone blood test, total (not free testosterone) CPT 84403 HC TESTOSTERONE TOTAL 30112115 | $16.00 | $16.00 | $7.20–$308.42 | 60% below | — |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HC ASSAY OF TESTOSTERONE TOTAL # | $9.00 | $9.00 | $4.05–$9.00 | — | — |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HC ASSAY OF TESTOSTERONE TOTAL # 30100656 | $10.00 | $10.00 | $4.50–$10.00 | — | — |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HC TESTOSTERONE -TOTAL | $11.00 | $11.00 | $4.95–$11.00 | — | — |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HC TESTOSTERONE -TOTAL 30114149 | $11.00 | $11.00 | $4.95–$11.00 | — | — |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HC TESTOSTERONE TOTAL | $13.00 | $13.00 | $5.85–$13.00 | — | — |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HC TESTOSTERONE TOTAL 30112115 | $16.00 | $16.00 | $7.20–$16.00 | — | — |
| Thyroid peroxidase (TPO) antibody test CPT 86376 HC MICROSOMAL ANTIBODIES EACH # 30200152 | $9.00 | $9.00 | $4.05–$173.89 | 61% below | — |
| Thyroid peroxidase (TPO) antibody test CPT 86376 HC MICROSOMAL ANTIBODY - LIVER/KIDNEY 30010661 | $15.00 | $15.00 | $6.75–$173.89 | 34% below | — |
| Thyroid peroxidase (TPO) antibody test CPT 86376 HC MICROSOMAL ANTIBODY - LIVER/KIDNEY | $15.00 | $15.00 | $6.75–$173.89 | 34% below | — |
| Thyroid peroxidase (TPO) antibody test CPT 86376 HC MICROSOMAL ANTIBODIES EACH LAB 30211273 | $17.00 | $17.00 | $7.65–$173.89 | 26% below | — |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HC MICROSOMAL ANTIBODIES EACH # 30200152 | $9.00 | $9.00 | $4.05–$9.00 | — | — |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HC MICROSOMAL ANTIBODY - LIVER/KIDNEY 30010661 | $15.00 | $15.00 | $6.75–$15.00 | — | — |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HC MICROSOMAL ANTIBODY - LIVER/KIDNEY | $15.00 | $15.00 | $6.75–$15.00 | — | — |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HC MICROSOMAL ANTIBODIES EACH LAB 30211273 | $17.00 | $17.00 | $7.65–$17.00 | — | — |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC TSH | $9.00 | $9.00 | $4.05–$200.65 | 90% below | — |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH REFLEX FREE T4 | $262.00 | $262.00 | $14.76–$262.00 | 183% above | — |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH | $262.00 | $262.00 | $14.76–$262.00 | 183% above | — |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC TSH | $9.00 | $9.00 | $4.05–$9.00 | — | — |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH REFLEX FREE T4 | $262.00 | $262.00 | $117.90–$262.00 | — | — |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH | $262.00 | $262.00 | $117.90–$262.00 | — | — |
| Total IgE blood test CPT 82785 HC ASSAY OF GAMMAGLOBULIN IGE # 30100609 | $8.00 | $8.00 | $3.60–$196.76 | 87% below | — |
| Total IgE blood test CPT 82785 HC ASSAY OF GAMMAGLOBULIN IGE # 30100707 | $8.00 | $8.00 | $3.60–$196.76 | 87% below | — |
| Total IgE blood test CPT 82785 HC ASSAY OF IGE 30013033 | $42.00 | $42.00 | $14.60–$196.76 | 33% below | — |
| Total IgE blood test CPT 82785 HC ASSAY OF IGE | $42.00 | $42.00 | $14.60–$196.76 | 33% below | — |
| Total IgE blood test CPT 82785 HC ASSAY OF GAMMAGLOBULIN IGE # 30100130 | $71.00 | $71.00 | $14.60–$196.76 | 13% above | — |
| Total IgE blood test CPT 82785 HC ASSAY OF GAMMAGLOBULIN IGE # | $71.00 | $71.00 | $14.60–$196.76 | 13% above | — |
| Total IgE blood test CPT 82785 IMMUNOGLOBULIN E | $86.00 | $86.00 | $14.60–$196.76 | 37% above | — |
| Total IgE blood test inpatient CPT 82785 HC ASSAY OF GAMMAGLOBULIN IGE # 30100707 | $8.00 | $8.00 | $3.60–$8.00 | — | — |
| Total IgE blood test inpatient CPT 82785 HC ASSAY OF GAMMAGLOBULIN IGE # 30100609 | $8.00 | $8.00 | $3.60–$8.00 | — | — |
| Total IgE blood test inpatient CPT 82785 HC ASSAY OF IGE | $42.00 | $42.00 | $18.90–$42.00 | — | — |
| Total IgE blood test inpatient CPT 82785 HC ASSAY OF IGE 30013033 | $42.00 | $42.00 | $18.90–$42.00 | — | — |
| Total IgE blood test inpatient CPT 82785 HC ASSAY OF GAMMAGLOBULIN IGE # 30100130 | $71.00 | $71.00 | $31.95–$71.00 | — | — |
| Total IgE blood test inpatient CPT 82785 HC ASSAY OF GAMMAGLOBULIN IGE # | $71.00 | $71.00 | $31.95–$71.00 | — | — |
| Total IgE blood test inpatient CPT 82785 IMMUNOGLOBULIN E | $86.00 | $86.00 | $38.70–$86.00 | — | — |
| Total cholesterol blood test CPT 82465 HC CHOLESTEROL SERUM/WHOLE BLOOD TOTAL # | $8.00 | $8.00 | $3.60–$52.04 | 81% below | — |
| Total cholesterol blood test CPT 82465 CHOLESTEROL BODY FLUID | $121.00 | $121.00 | $3.87–$121.00 | 188% above | — |
| Total cholesterol blood test inpatient CPT 82465 HC CHOLESTEROL SERUM/WHOLE BLOOD TOTAL # | $8.00 | $8.00 | $3.60–$8.00 | — | — |
| Total cholesterol blood test inpatient CPT 82465 CHOLESTEROL BODY FLUID | $121.00 | $121.00 | $54.45–$121.00 | — | — |
| Total thyroxine (T4) blood test CPT 84436 HC THYROXINE T4 | $5.00 | $5.00 | $2.25–$82.10 | 87% below | — |
| Total thyroxine (T4) blood test CPT 84436 T4 TOTAL | $155.00 | $155.00 | $5.18–$155.00 | 295% above | — |
| Total thyroxine (T4) blood test inpatient CPT 84436 HC THYROXINE T4 | $5.00 | $5.00 | $2.25–$5.00 | — | — |
| Total thyroxine (T4) blood test inpatient CPT 84436 T4 TOTAL | $155.00 | $155.00 | $69.75–$155.00 | — | — |
| Total triiodothyronine (T3) blood test CPT 84480 T3 TOTAL | $252.00 | $252.00 | $12.59–$252.00 | 223% above | — |
| Total triiodothyronine (T3) blood test inpatient CPT 84480 T3 TOTAL | $252.00 | $252.00 | $113.40–$252.00 | — | — |
| Transferrin blood test CPT 84466 HC ASSAY TRANSFERRIN 30014358 | $8.25 | $8.25 | $3.71–$152.51 | 85% below | — |
| Transferrin blood test CPT 84466 HC ASSAY TRANSFERRIN | $9.00 | $9.00 | $4.05–$152.51 | 83% below | — |
| Transferrin blood test inpatient CPT 84466 HC ASSAY TRANSFERRIN 30014358 | $8.25 | $8.25 | $3.71–$8.25 | — | — |
| Transferrin blood test inpatient CPT 84466 HC ASSAY TRANSFERRIN | $9.00 | $9.00 | $4.05–$9.00 | — | — |
| Trichomonas test (NAAT) CPT 87661 HC IADNA TRICHOMONAS VAGINALIS AMPLIFIED PROBE TEC | $163.00 | $163.00 | $30.54–$406.40 | 66% above | — |
| Trichomonas test (NAAT) inpatient CPT 87661 HC IADNA TRICHOMONAS VAGINALIS AMPLIFIED PROBE TEC | $163.00 | $163.00 | $73.35–$163.00 | — | — |
| Triglycerides blood test CPT 84478 HC ASSAY OF TRIGLYCERIDES # | $9.00 | $9.00 | $4.05–$68.82 | 78% below | — |
| Triglycerides blood test CPT 84478 TRIGLYCERIDES | $101.00 | $101.00 | $5.02–$101.00 | 146% above | — |
| Triglycerides blood test inpatient CPT 84478 HC ASSAY OF TRIGLYCERIDES # | $9.00 | $9.00 | $4.05–$9.00 | — | — |
| Triglycerides blood test inpatient CPT 84478 TRIGLYCERIDES | $101.00 | $101.00 | $45.45–$101.00 | — | — |
| Troponin test, quantitative CPT 84484 TROPONIN I | $296.00 | $296.00 | $8.47–$296.00 | 65% above | — |
| Troponin test, quantitative CPT 84484 POC TROPONIN | $296.00 | $296.00 | $8.47–$296.00 | 65% above | — |
| Troponin test, quantitative inpatient CPT 84484 TROPONIN I | $296.00 | $296.00 | $133.20–$296.00 | — | — |
| Troponin test, quantitative inpatient CPT 84484 POC TROPONIN | $296.00 | $296.00 | $133.20–$296.00 | — | — |
| Uric acid blood test CPT 84550 URIC ACID | $326.00 | $326.00 | $4.01–$326.00 | 393% above | — |
| Uric acid blood test inpatient CPT 84550 URIC ACID | $326.00 | $326.00 | $146.70–$326.00 | — | — |
| Urinalysis with microscope exam, automated CPT 81001 HC URNLS DIP STICK/TABLET REAGENT AUTO MICROSCOPY | $180.00 | $180.00 | $2.77–$180.00 | 117% above | — |
| Urinalysis with microscope exam, automated CPT 81001 URINALYSIS WITH MICROSCOPIC | $197.00 | $197.00 | $2.77–$197.00 | 138% above | — |
| Urinalysis with microscope exam, automated inpatient CPT 81001 HC URNLS DIP STICK/TABLET REAGENT AUTO MICROSCOPY | $180.00 | $180.00 | $81.00–$180.00 | — | — |
| Urinalysis with microscope exam, automated inpatient CPT 81001 URINALYSIS WITH MICROSCOPIC | $197.00 | $197.00 | $88.65–$197.00 | — | — |
| Urinalysis without microscope exam, automated CPT 81003 HC URNLS DIP STICK/TABLET RGNT AUTO W/O MICROSCOPY | $149.00 | $149.00 | $1.96–$149.00 | 166% above | — |
| Urinalysis without microscope exam, automated CPT 81003 UA DIPSTICK ONLY | $164.00 | $164.00 | $1.96–$164.00 | 193% above | — |
| Urinalysis without microscope exam, automated CPT 81003 PH URINE | $164.00 | $164.00 | $1.96–$164.00 | 193% above | — |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HC URNLS DIP STICK/TABLET RGNT AUTO W/O MICROSCOPY | $149.00 | $149.00 | $67.05–$149.00 | — | — |
| Urinalysis without microscope exam, automated inpatient CPT 81003 PH URINE | $164.00 | $164.00 | $73.80–$164.00 | — | — |
| Urinalysis without microscope exam, automated inpatient CPT 81003 UA DIPSTICK ONLY | $164.00 | $164.00 | $73.80–$164.00 | — | — |
| Urinalysis without microscope exam, manual CPT 81002 POC URINE DIPSTICK TESTING-NIU | $44.00 | $44.00 | $2.15–$44.00 | 29% above | — |
| Urinalysis without microscope exam, manual CPT 81002 POC URINE DIPSTICK TESTING-PIU | $44.00 | $44.00 | $2.15–$44.00 | 29% above | — |
| Urinalysis without microscope exam, manual CPT 81002 SPECIFIC GRAVITY DIPSTICK URINE | $44.00 | $44.00 | $2.15–$44.00 | 29% above | — |
| Urinalysis without microscope exam, manual CPT 81002 POC URINE DIPSTICK TESTING-PES | $44.00 | $44.00 | $2.15–$44.00 | 29% above | — |
| Urinalysis without microscope exam, manual CPT 81002 HC URNLS DIP STICK/TABLET RGNT NON-AUTO W/O MICRSC | $377.00 | $377.00 | $2.15–$377.00 | 1002% above | — |
| Urinalysis without microscope exam, manual inpatient CPT 81002 SPECIFIC GRAVITY DIPSTICK URINE | $44.00 | $44.00 | $19.80–$44.00 | — | — |
| Urinalysis without microscope exam, manual inpatient CPT 81002 POC URINE DIPSTICK TESTING-NIU | $44.00 | $44.00 | $19.80–$44.00 | — | — |
| Urinalysis without microscope exam, manual inpatient CPT 81002 POC URINE DIPSTICK TESTING-PIU | $44.00 | $44.00 | $19.80–$44.00 | — | — |
| Urinalysis without microscope exam, manual inpatient CPT 81002 POC URINE DIPSTICK TESTING-PES | $44.00 | $44.00 | $19.80–$44.00 | — | — |
| Urinalysis without microscope exam, manual inpatient CPT 81002 HC URNLS DIP STICK/TABLET RGNT NON-AUTO W/O MICRSC | $377.00 | $377.00 | $169.65–$377.00 | — | — |
| Urine culture for bacteria, with colony count CPT 87086 CULTURE URINE | $389.00 | $389.00 | $5.65–$389.00 | 179% above | — |
| Urine culture for bacteria, with colony count inpatient CPT 87086 CULTURE URINE | $389.00 | $389.00 | $175.05–$389.00 | — | — |
| Urine microalbumin (albumin) test CPT 82043 MICROALBUMIN/CREATININE RATIO URINE TEST 82043 | $92.00 | $92.00 | $5.08–$92.00 | 151% above | — |
| Urine microalbumin (albumin) test CPT 82043 MICROALBUMIN URINE RANDOM | $92.00 | $92.00 | $5.08–$92.00 | 151% above | — |
| Urine microalbumin (albumin) test inpatient CPT 82043 MICROALBUMIN/CREATININE RATIO URINE TEST 82043 | $92.00 | $92.00 | $41.40–$92.00 | — | — |
| Urine microalbumin (albumin) test inpatient CPT 82043 MICROALBUMIN URINE RANDOM | $92.00 | $92.00 | $41.40–$92.00 | — | — |
| Urine pregnancy test, read by color change CPT 81025 PREGNANCY URINE QUAL | $125.00 | $125.00 | $2.80–$125.00 | 42% above | — |
| Urine pregnancy test, read by color change inpatient CPT 81025 PREGNANCY URINE QUAL | $125.00 | $125.00 | $56.25–$125.00 | — | — |
| Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B-12 | $218.00 | $218.00 | $13.33–$218.00 | 132% above | — |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 VITAMIN B-12 | $218.00 | $218.00 | $98.10–$218.00 | — | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HC 25 HYDROXY INCLUDES FRACTIONS IF PERFORMED # | $16.00 | $16.00 | $7.20–$353.66 | 75% below | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D DEFICIENCY SCREEN (25-HYDROXY) | $357.00 | $357.00 | $20.72–$357.00 | 458% above | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 HC 25 HYDROXY INCLUDES FRACTIONS IF PERFORMED # | $16.00 | $16.00 | $7.20–$16.00 | — | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D DEFICIENCY SCREEN (25-HYDROXY) | $357.00 | $357.00 | $160.65–$357.00 | — | — |
| Vitamin D, 1,25-dihydroxy blood test CPT 82652 HC 1 25 DIHYDROXY INCLUDES FRACTIONS IF PERFORMED | $15.00 | $15.00 | $6.75–$459.93 | 78% below | — |
| Vitamin D, 1,25-dihydroxy blood test CPT 82652 HC VITAMIN D 1 25 DIHYDRO | $16.00 | $16.00 | $7.20–$459.93 | 76% below | — |
| Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 HC 1 25 DIHYDROXY INCLUDES FRACTIONS IF PERFORMED | $15.00 | $15.00 | $6.75–$15.00 | — | — |
| Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 HC VITAMIN D 1 25 DIHYDRO | $16.00 | $16.00 | $7.20–$16.00 | — | — |
| Zinc blood test CPT 84630 HC ASSAY OF ZINC CDM 30016230 | $4.20 | $4.20 | $1.89–$136.03 | 62% below | — |
| Zinc blood test CPT 84630 HC ZINC SERUM | $10.00 | $10.00 | $4.50–$136.03 | 9% below | — |
| Zinc blood test CPT 84630 HC ASSAY OF ZINC (RL) | $23.00 | $23.00 | $10.12–$136.03 | 109% above | — |
| Zinc blood test CPT 84630 HC ASSAY OF ZINC (RL) 31900057 | $23.00 | $23.00 | $10.12–$136.03 | 109% above | — |
| Zinc blood test inpatient CPT 84630 HC ASSAY OF ZINC CDM 30016230 | $4.20 | $4.20 | $1.89–$4.20 | — | — |
| Zinc blood test inpatient CPT 84630 HC ZINC SERUM | $10.00 | $10.00 | $4.50–$10.00 | — | — |
| Zinc blood test inpatient CPT 84630 HC ASSAY OF ZINC (RL) | $23.00 | $23.00 | $10.35–$23.00 | — | — |
| Zinc blood test inpatient CPT 84630 HC ASSAY OF ZINC (RL) 31900057 | $23.00 | $23.00 | $10.35–$23.00 | — | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HC GONADOTROPIN CHORIONIC QUANTITATIVE # | $26.00 | $26.00 | $11.70–$179.88 | 85% below | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 POC HCG WHOLE BLOOD | $648.00 | $648.00 | $13.24–$648.00 | 262% above | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG SERUM QUANT | $648.00 | $648.00 | $13.24–$648.00 | 262% above | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HC GONADOTROPIN CHORIONIC QUANTITATIVE # | $26.00 | $26.00 | $11.70–$26.00 | — | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HCG SERUM QUANT | $648.00 | $648.00 | $291.60–$648.00 | — | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 POC HCG WHOLE BLOOD | $648.00 | $648.00 | $291.60–$648.00 | — | — |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs California | Off list |
|---|---|---|---|---|---|
| Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 HC ED CLOSED TREATMENT OF ANKLE FRACTURE W/O MANIP | $277.00 | $277.00 | $105.84–$1,173.00 | 48% below | — |
| Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 HC ED CLOSED TREATMENT OF ANKLE FRACTURE W/O MANIP | $277.00 | $277.00 | $124.65–$277.00 | — | — |
| Broken foot (metatarsal) treatment without surgery or setting CPT 28470 TX FX METATAR CLSD WO MANIP EA | $1,200.00 | $1,200.00 | $138.66–$1,200.00 | 123% above | — |
| Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 TX FX METATAR CLSD WO MANIP EA | $1,200.00 | $1,200.00 | $540.00–$1,200.00 | — | — |
| Cardiac catheterization with coronary angiogram CPT 93458 HC L HRT ARTERY/VENTRICLE ANGIO | $28,025.00 | $28,025.00 | $950.01–$28,025.00 | 117% above | — |
| Cardiac catheterization with coronary angiogram inpatient CPT 93458 HC L HRT ARTERY/VENTRICLE ANGIO | $28,025.00 | $28,025.00 | $12,611.25–$28,025.00 | — | — |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION-NICU | $4,488.00 | $4,488.00 | $122.46–$6,766.00 | 135% above | — |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION-NICU | $4,488.00 | $4,488.00 | $2,019.60–$4,488.00 | — | — |
| Catheter ablation for atrial fibrillation CPT 93656 HC EPHYS EVL TRNSPTL TX ATRIAL FIB ISOLAT PULM VEI | $53,549.00 | $53,549.00 | $880.47–$53,549.00 | 60% above | — |
| Catheter ablation for atrial fibrillation inpatient CPT 93656 HC EPHYS EVL TRNSPTL TX ATRIAL FIB ISOLAT PULM VEI | $53,549.00 | $53,549.00 | $24,097.05–$53,549.00 | — | — |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 CIRCIMCISION NB | $803.00 | $803.00 | $281.05–$3,891.00 | 52% below | — |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 CIRCIMCISION NB | $803.00 | $803.00 | $361.35–$803.00 | — | — |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 TX FX DIST RAD CLSD WO MANIP | $1,200.00 | $1,200.00 | $157.38–$4,291.00 | 115% above | — |
| Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 TX FX DIST RAD CLSD WO MANIP | $1,200.00 | $1,200.00 | $540.00–$1,200.00 | — | — |
| Coronary stent placement, one artery CPT 92928 HC PRQ TRLUML CORONARY STENT W/ANGIO ONE ART/BRNCH | $30,891.00 | $30,891.00 | $483.05–$30,891.00 | 107% above | — |
| Coronary stent placement, one artery inpatient CPT 92928 HC PRQ TRLUML CORONARY STENT W/ANGIO ONE ART/BRNCH | $30,891.00 | $30,891.00 | $13,900.95–$30,891.00 | — | — |
| Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 HC ED CYSTOURETHROSCOPY CDM | $2,889.00 | $2,889.00 | $86.75–$4,291.00 | 79% above | — |
| Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 HC ED CYSTOURETHROSCOPY CDM | $2,889.00 | $2,889.00 | $1,300.05–$2,889.00 | — | — |
| Earwax removal by irrigation (rinsing), one ear CPT 69209 REM CERUMEN IMPACT IRR/LAVAG | $496.00 | $496.00 | $9.23–$1,173.00 | 179% above | — |
| Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 REM CERUMEN IMPACT IRR/LAVAG | $496.00 | $496.00 | $223.20–$496.00 | — | — |
| Earwax removal with instruments, one ear CPT 69210 REM CERUMEN IMPACT | $486.00 | $486.00 | $30.53–$1,173.00 | 157% above | — |
| Earwax removal with instruments, one ear inpatient CPT 69210 REM CERUMEN IMPACT | $486.00 | $486.00 | $218.70–$486.00 | — | — |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 INTRO CATH HYSTEROSALPINGRM | $5,434.00 | $5,434.00 | $185.45–$6,766.00 | 767% above | — |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 INTRO CATH HYSTEROSALPINGRM | $5,434.00 | $5,434.00 | $2,445.30–$5,434.00 | — | — |
| Incision and drainage of a simple or single skin abscess CPT 10060 HC INCISION & DRAINAGE ABSCESS SIMPLE/SINGLE 36110 | $1,559.00 | $1,559.00 | $42.44–$4,291.00 | 233% above | — |
| Incision and drainage of a simple or single skin abscess CPT 10060 I&D SKN ABSC SMPL OR SNGL | $3,343.00 | $3,343.00 | $42.44–$4,291.00 | 614% above | — |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 HC INCISION & DRAINAGE ABSCESS SIMPLE/SINGLE 36110 | $1,559.00 | $1,559.00 | $701.55–$1,559.00 | — | — |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I&D SKN ABSC SMPL OR SNGL | $3,343.00 | $3,343.00 | $1,504.35–$3,343.00 | — | — |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJ TNDN LIG SNGL APONEUROSIS | $1,548.00 | $1,548.00 | $45.79–$1,548.00 | 134% above | — |
| Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 INJ TNDN LIG SNGL APONEUROSIS | $1,548.00 | $1,548.00 | $696.60–$1,548.00 | — | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HC ARTHROCENTESIS ASPIR&/INJ MAJOR JT/BURSA W/O US | $1,958.00 | $1,958.00 | $45.79–$5,532.00 | 106% above | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ARTHROCENTESIS JNT MAJ 42322479 | $2,817.00 | $2,817.00 | $45.79–$5,532.00 | 196% above | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 HC ARTHROCENTESIS ASPIR&/INJ MAJOR JT/BURSA W/O US | $1,958.00 | $1,958.00 | $881.10–$1,958.00 | — | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 ARTHROCENTESIS JNT MAJ 42322479 | $2,817.00 | $2,817.00 | $1,267.65–$2,817.00 | — | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ARTHROCENTESIS JNT INTMD | $1,873.00 | $1,873.00 | $37.97–$4,291.00 | 208% above | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 JOINT ASPIRATION MAJOR-PEDS | $1,873.00 | $1,873.00 | $37.97–$4,291.00 | 208% above | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 JOINT ASPIRATION MAJOR-PEDS | $1,873.00 | $1,873.00 | $842.85–$1,873.00 | — | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 ARTHROCENTESIS JNT INTMD | $1,873.00 | $1,873.00 | $842.85–$1,873.00 | — | — |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 DRN INJ SM JNT BURSA | $1,873.00 | $1,873.00 | $32.39–$1,873.00 | 157% above | — |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 DRN INJ SM JNT BURSA | $1,873.00 | $1,873.00 | $842.85–$1,873.00 | — | — |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 REP SC TRNK EXT INTMD<2.5CM | $3,185.00 | $3,185.00 | $84.51–$4,291.00 | 267% above | — |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 REP SC TRNK EXT INTMD<2.5CM | $3,185.00 | $3,185.00 | $1,433.25–$3,185.00 | — | — |
| Left heart catheterization, diagnostic one side CPT 93452 HC LEFT HRT CATH W/VENTRCLGRPHY | $24,185.00 | $24,185.00 | $762.86–$24,185.00 | 144% above | — |
| Left heart catheterization, diagnostic inpatient one side CPT 93452 HC LEFT HRT CATH W/VENTRCLGRPHY | $24,185.00 | $24,185.00 | $10,883.25–$24,185.00 | — | — |
| Lower-back epidural injection, with imaging guidance CPT 62323 HC ED INJ EPI LUMB/SACRAL W IMAGING CDM | $4,499.00 | $4,499.00 | $220.03–$4,499.00 | 103% above | — |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 HC ED INJ EPI LUMB/SACRAL W IMAGING CDM | $4,499.00 | $4,499.00 | $2,024.55–$4,499.00 | — | — |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 INJ FORAMEN EPI LUMB SACRAL | $3,408.00 | $3,408.00 | $143.34–$3,891.00 | 67% above | — |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 INJ FORAMEN EPI LUMB SACRAL | $3,408.00 | $3,408.00 | $1,533.60–$3,408.00 | — | — |
| Nail removal (partial or complete), one nail CPT 11730 REM NAIL PLATE SNGL | $625.00 | $625.00 | $32.02–$1,173.00 | 24% above | — |
| Nail removal (partial or complete), one nail inpatient CPT 11730 REM NAIL PLATE SNGL | $625.00 | $625.00 | $281.25–$625.00 | — | — |
| Pacemaker implant (dual chamber) CPT 33208 INSERT REPLC PM ATRIAL 33208 | $36,851.00 | $36,851.00 | $744.60–$36,851.00 | 96% above | — |
| Pacemaker implant (dual chamber) inpatient CPT 33208 INSERT REPLC PM ATRIAL 33208 | $36,851.00 | $36,851.00 | $16,582.95–$36,851.00 | — | — |
| Paracentesis with imaging guidance CPT 49083 HC ED ABD PARACENTESIS W/IMAG GUIDANCE CDM | $4,251.00 | $4,251.00 | $89.72–$4,291.00 | 132% above | — |
| Paracentesis with imaging guidance inpatient CPT 49083 HC ED ABD PARACENTESIS W/IMAG GUIDANCE CDM | $4,251.00 | $4,251.00 | $1,912.95–$4,251.00 | — | — |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 REM NAIL PERM | $3,604.00 | $3,604.00 | $84.51–$3,604.00 | 178% above | — |
| Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 REM NAIL PERM | $3,604.00 | $3,604.00 | $1,621.80–$3,604.00 | — | — |
| Removal of a foreign object under the skin, simple CPT 10120 REM FB SUBQ SMPL | $3,288.00 | $3,288.00 | $51.75–$3,288.00 | 234% above | — |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 REM FB SUBQ SMPL | $3,288.00 | $3,288.00 | $1,479.60–$3,288.00 | — | — |
| Short arm cast (elbow to hand) CPT 29075 APPLY CAST SHORT ARM | $2,204.00 | $2,204.00 | $82.65–$2,204.00 | 342% above | — |
| Short arm cast (elbow to hand) inpatient CPT 29075 APPLY CAST SHORT ARM | $2,204.00 | $2,204.00 | $991.80–$2,204.00 | — | — |
| Short arm splint (forearm and hand) CPT 29125 APPLY SPLINT SHRT ARM STATIC 42321034 | $1,459.00 | $1,459.00 | $52.87–$1,459.00 | 248% above | — |
| Short arm splint (forearm and hand) inpatient CPT 29125 APPLY SPLINT SHRT ARM STATIC 42321034 | $1,459.00 | $1,459.00 | $656.55–$1,459.00 | — | — |
| Short leg cast (below the knee) CPT 29405 APPLY CAST SHRT LEG | $3,343.00 | $3,343.00 | $85.26–$3,343.00 | 570% above | — |
| Short leg cast (below the knee) inpatient CPT 29405 APPLY CAST SHRT LEG | $3,343.00 | $3,343.00 | $1,504.35–$3,343.00 | — | — |
| Short leg splint (calf to foot) CPT 29515 APPLY SPLINT SHRT LEG 42321067 | $2,204.00 | $2,204.00 | $56.59–$2,204.00 | 346% above | — |
| Short leg splint (calf to foot) inpatient CPT 29515 APPLY SPLINT SHRT LEG 42321067 | $2,204.00 | $2,204.00 | $991.80–$2,204.00 | — | — |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 REP SC TRNK EXT SMPL <2.5CM 42321794 | $2,444.00 | $2,444.00 | $69.99–$4,291.00 | 343% above | — |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 REP SC TRNK EXT SMPL <2.5CM 42321794 | $2,444.00 | $2,444.00 | $1,099.80–$2,444.00 | — | — |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 SPINAL PUNCTURE LUMBAR DX | $2,897.00 | $2,897.00 | $81.91–$3,891.00 | 119% above | — |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 SPINAL PUNC LUMB DX | $2,897.00 | $2,897.00 | $81.91–$2,897.00 | 119% above | — |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 SPINAL PUNCTURE LUMBAR DX | $2,897.00 | $2,897.00 | $1,303.65–$2,897.00 | — | — |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 SPINAL PUNC LUMB DX | $2,897.00 | $2,897.00 | $1,303.65–$2,897.00 | — | — |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 REP SC TRNK EXT SMPL 2.6-7.5CM 42331181 | $2,444.00 | $2,444.00 | $74.46–$4,291.00 | 226% above | — |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 REP SC TRNK EXT SMPL 2.6-7.5CM 42331181 | $2,444.00 | $2,444.00 | $1,099.80–$2,444.00 | — | — |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 REP SMPL FC EAR EYE NS LP <2.5 | $2,444.00 | $2,444.00 | $72.97–$4,291.00 | 270% above | — |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 REP SMPL FC EAR EYE NS LP <2.5 | $2,444.00 | $2,444.00 | $1,099.80–$2,444.00 | — | — |
| Thoracentesis with imaging guidance CPT 32555 THORACEN FOR ASP W IMAGING | $2,642.00 | $2,642.00 | $92.33–$3,891.00 | 30% above | — |
| Thoracentesis with imaging guidance CPT 32555 HC ED THORACENTESIS NEEDLE/CATH PLEURA W/IMAGING C | $4,758.00 | $4,758.00 | $92.33–$4,758.00 | 134% above | — |
| Thoracentesis with imaging guidance inpatient CPT 32555 THORACEN FOR ASP W IMAGING | $2,642.00 | $2,642.00 | $1,188.90–$2,642.00 | — | — |
| Thoracentesis with imaging guidance inpatient CPT 32555 HC ED THORACENTESIS NEEDLE/CATH PLEURA W/IMAGING C | $4,758.00 | $4,758.00 | $2,141.10–$4,758.00 | — | — |
| Trigger point injections, 1 or 2 muscles CPT 20552 HC ED INJ TRIGGER POINT 1/2 MUSCL CDM | $1,498.00 | $1,498.00 | $52.49–$1,498.00 | 135% above | — |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 HC ED INJ TRIGGER POINT 1/2 MUSCL CDM | $1,498.00 | $1,498.00 | $674.10–$1,498.00 | — | — |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 BX BRST PERC 1ST LESION INC US | $9,800.00 | $9,800.00 | $613.92–$9,800.00 | 205% above | — |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 BX BRST PERC 1ST LESION INC US | $9,800.00 | $9,800.00 | $4,410.00–$9,800.00 | — | — |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRID SKN SUBQ TIS <=20SQCM | $2,057.00 | $2,057.00 | $83.10–$4,291.00 | 202% above | — |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 DEBRID SKN SUBQ TIS <=20SQCM | $2,057.00 | $2,057.00 | $925.65–$2,057.00 | — | — |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs California | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION BLOOD - 1 UNIT | $2,323.00 | $2,323.00 | $567.42–$2,323.00 | 166% above | — |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSFUSION BLOOD - 1 UNIT | $2,323.00 | $2,323.00 | $1,045.35–$2,323.00 | — | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 TX INH NEBULIZER INITIAL | $476.00 | $476.00 | $11.70–$476.00 | 47% above | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 TX INH METERED DOSE INH INIT | $476.00 | $476.00 | $11.70–$476.00 | 47% above | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 TX INH IPPB INITIAL | $476.00 | $476.00 | $11.70–$476.00 | 47% above | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 TX INH SPUTUM INDUCTION INIT | $476.00 | $476.00 | $11.70–$476.00 | 47% above | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC INTRAPULMONARY PERCUSSION VENTILATION THERAPY | $649.00 | $649.00 | $11.70–$649.00 | 101% above | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC NEBULIZER ANTIBIOTICS 41210005 | $687.00 | $687.00 | $11.70–$687.00 | 113% above | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC ED PRESSURIZED/NONPRESSURIZED INHALATION TREATM | $739.00 | $739.00 | $11.70–$1,173.00 | 129% above | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC HIGH FLOW OXYGEN DAILY 41010275 | $745.00 | $745.00 | $11.70–$745.00 | 131% above | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 TX INH NEBULIZER INITIAL | $476.00 | $476.00 | $214.20–$476.00 | — | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 TX INH SPUTUM INDUCTION INIT | $476.00 | $476.00 | $214.20–$476.00 | — | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 TX INH METERED DOSE INH INIT | $476.00 | $476.00 | $214.20–$476.00 | — | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 TX INH IPPB INITIAL | $476.00 | $476.00 | $214.20–$476.00 | — | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC INTRAPULMONARY PERCUSSION VENTILATION THERAPY | $649.00 | $649.00 | $292.05–$649.00 | — | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC NEBULIZER ANTIBIOTICS 41210005 | $687.00 | $687.00 | $309.15–$687.00 | — | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC ED PRESSURIZED/NONPRESSURIZED INHALATION TREATM | $739.00 | $739.00 | $332.55–$739.00 | — | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC HIGH FLOW OXYGEN DAILY 41010275 | $745.00 | $745.00 | $335.25–$745.00 | — | — |
| Comprehensive hearing test: tone and speech audiometry, both ears CPT 92557 AUD COMPREHENSIVE HEARING TEST | $1,105.00 | $1,105.00 | $40.86–$1,105.00 | 101% above | — |
| Comprehensive hearing test: tone and speech audiometry, both ears inpatient CPT 92557 AUD COMPREHENSIVE HEARING TEST | $1,105.00 | $1,105.00 | $497.25–$1,105.00 | — | — |
| Critical care, first 30 to 74 minutes CPT 99291 ED CRITICAL CARE FIRST HOUR CDM 42320143 | $12,657.00 | $12,657.00 | $121.60–$12,657.00 | 131% above | — |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 ED CRITICAL CARE FIRST HOUR CDM 42320143 | $12,657.00 | $12,657.00 | $5,695.65–$12,657.00 | — | — |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 EEG AWAKE AND DROWSY | $1,784.00 | $1,784.00 | $75.58–$1,784.00 | 74% above | — |
| EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 EEG AWAKE AND DROWSY | $1,784.00 | $1,784.00 | $802.80–$1,784.00 | — | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG ELECTROCARDIOGRAM MUSE | $1,085.00 | $1,085.00 | $16.40–$1,085.00 | 221% above | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG ELECTROCARDIOGRAM MUSE | $1,085.00 | $1,085.00 | $488.25–$1,085.00 | — | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ED VISIT LEVEL 1 42320184 | $927.00 | $927.00 | $15.18–$1,173.00 | 120% above | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 ED VISIT LEVEL 1 42320184 | $927.00 | $927.00 | $417.15–$927.00 | — | — |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 ED VISIT LEVEL 2 42320192 | $1,412.00 | $1,412.00 | $24.38–$1,412.00 | 62% above | — |
| Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 ED VISIT LEVEL 2 42320192 | $1,412.00 | $1,412.00 | $635.40–$1,412.00 | — | — |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 ED VISIT LEVEL 3 42320200 | $2,610.00 | $2,610.00 | $44.60–$2,610.00 | 74% above | — |
| Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 ED VISIT LEVEL 3 42320200 | $2,610.00 | $2,610.00 | $1,174.50–$2,610.00 | — | — |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 ED VISIT LEVEL 4 42320218 | $6,827.00 | $6,827.00 | $68.35–$6,827.00 | 152% above | — |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 ED VISIT LEVEL 4 42320218 | $6,827.00 | $6,827.00 | $3,072.15–$6,827.00 | — | — |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HC ED EMERGENCY DEPT VISIT LEVEL V CDM | $8,706.00 | $8,706.00 | $108.08–$8,706.00 | 145% above | — |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 ED VISIT LEVEL 5 42320226 | $8,706.00 | $8,706.00 | $108.08–$8,706.00 | 145% above | — |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 HC ED EMERGENCY DEPT VISIT LEVEL V CDM | $8,706.00 | $8,706.00 | $3,917.70–$8,706.00 | — | — |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 ED VISIT LEVEL 5 42320226 | $8,706.00 | $8,706.00 | $3,917.70–$8,706.00 | — | — |
| Exercise stress test, tracing only, the hospital charge CPT 93017 HC CARDIO STRESS TEST TRACING ONLY | $2,110.00 | $2,110.00 | $46.37–$2,110.00 | 50% above | — |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 HC CARDIO STRESS TEST TRACING ONLY | $2,110.00 | $2,110.00 | $949.50–$2,110.00 | — | — |
| Family therapy with the patient, 50 minutes CPT 90847 HC CRISIS TELEH 90847 FAM PSYC THER WITH PT PRESEN | $613.00 | $613.00 | $89.65–$613.00 | 79% above | — |
| Family therapy with the patient, 50 minutes CPT 90847 HC FAMILY PSYTX W/PATIENT | $613.00 | $613.00 | $89.65–$613.00 | 79% above | — |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 HC CRISIS TELEH 90847 FAM PSYC THER WITH PT PRESEN | $613.00 | $613.00 | $275.85–$613.00 | — | — |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 HC FAMILY PSYTX W/PATIENT | $613.00 | $613.00 | $275.85–$613.00 | — | — |
| Group psychotherapy session CPT 90853 HC GROUP PSYCHOTHERAPY IOP | $567.00 | $567.00 | $3.47–$567.00 | 98% above | — |
| Group psychotherapy session CPT 90853 HC GROUP PSYCHOTHERAPY | $669.00 | $669.00 | $3.47–$669.00 | 134% above | — |
| Group psychotherapy session inpatient CPT 90853 HC GROUP PSYCHOTHERAPY IOP | $567.00 | $567.00 | $255.15–$567.00 | — | — |
| Group psychotherapy session inpatient CPT 90853 HC GROUP PSYCHOTHERAPY | $669.00 | $669.00 | $301.05–$669.00 | — | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HC IV HYDRATION INITIAL HR CDM 26010007 | $712.00 | $712.00 | $51.30–$2,194.00 | 43% above | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV HYDRATION INITIAL HOUR | $712.00 | $712.00 | $51.30–$1,173.00 | 43% above | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HC ED IV INFUSION HYDRATION INITIAL 31 MIN-1 HOUR | $857.00 | $857.00 | $51.30–$1,173.00 | 72% above | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV HYDRATION INITIAL HOUR | $712.00 | $712.00 | $320.40–$712.00 | — | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HC IV HYDRATION INITIAL HR CDM 26010007 | $712.00 | $712.00 | $320.40–$712.00 | — | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HC ED IV INFUSION HYDRATION INITIAL 31 MIN-1 HOUR | $857.00 | $857.00 | $385.65–$857.00 | — | — |
| IV infusion of a medicine, first hour CPT 96365 IV INFUSION INITIAL HR | $966.00 | $966.00 | $62.60–$1,173.00 | 65% above | — |
| IV infusion of a medicine, first hour inpatient CPT 96365 IV INFUSION INITIAL HR | $966.00 | $966.00 | $434.70–$966.00 | — | — |
| IV push of a medicine, first drug CPT 96374 HC INJ IV PUSH INITIAL DRUG | $331.00 | $331.00 | $49.82–$331.00 | 6% below | — |
| IV push of a medicine, first drug CPT 96374 INJ IV PUSH INITIAL DRUG 42320366 | $476.00 | $476.00 | $49.82–$1,173.00 | 35% above | — |
| IV push of a medicine, first drug inpatient CPT 96374 HC INJ IV PUSH INITIAL DRUG | $331.00 | $331.00 | $148.95–$331.00 | — | — |
| IV push of a medicine, first drug inpatient CPT 96374 INJ IV PUSH INITIAL DRUG 42320366 | $476.00 | $476.00 | $214.20–$476.00 | — | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 HC INJ SQ OR IM 94010205 | $246.00 | $246.00 | $18.75–$2,194.00 | 37% above | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJ SUBQ OR IM 42320358 | $405.00 | $405.00 | $18.75–$1,173.00 | 126% above | — |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 HC INJ SQ OR IM 94010205 | $246.00 | $246.00 | $110.70–$246.00 | — | — |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJ SUBQ OR IM 42320358 | $405.00 | $405.00 | $182.25–$405.00 | — | — |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 HC CRISIS TELEH 90791 PSYCH DIAGNOSTIC EVAL CDM | $459.00 | $459.00 | $128.08–$459.00 | 20% above | — |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 HC PSYCHIATRIC DIAGNOSTIC EVALUATION | $459.00 | $459.00 | $128.08–$459.00 | 20% above | — |
| Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 HC PSYCHIATRIC DIAGNOSTIC EVALUATION | $459.00 | $459.00 | $206.55–$459.00 | — | — |
| Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 HC CRISIS TELEH 90791 PSYCH DIAGNOSTIC EVAL CDM | $459.00 | $459.00 | $206.55–$459.00 | — | — |
| Neuromuscular re-education, 15 minutes CPT 97112 PT NEUROMUSC REEDUCATE 15 MIN | $401.00 | $401.00 | $12.22–$824.00 | 215% above | — |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 PT NEUROMUSC REEDUCATE 15 MIN | $401.00 | $401.00 | $180.45–$401.00 | — | — |
| New patient office visit, about 30 minutes CPT 99203 NEW PATIENT-30 MINUTE VISIT | $536.00 | $536.00 | $57.20–$536.00 | 150% above | — |
| New patient office visit, about 30 minutes inpatient CPT 99203 NEW PATIENT-30 MINUTE VISIT | $536.00 | $536.00 | $241.20–$536.00 | — | — |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 EM VISIT NEW PATIENT LVL 2 NS | $873.00 | $873.00 | $34.30–$873.00 | 525% above | — |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 NEW PATIENT-20 MINUTE VISIT | $873.00 | $873.00 | $34.30–$873.00 | 525% above | — |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 NEW PATIENT-20 MINUTE VISIT | $873.00 | $873.00 | $392.85–$873.00 | — | — |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 EM VISIT NEW PATIENT LVL 2 NS | $873.00 | $873.00 | $392.85–$873.00 | — | — |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 HC MEDICAL NUTRITION INDIV INIT EA 15 MIN 94210001 | $615.00 | $615.00 | $24.28–$615.00 | 517% above | — |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 HC MEDICAL NUTRITION INDIV INIT EA 15 MIN 94210001 | $615.00 | $615.00 | $276.75–$615.00 | — | — |
| Occupational therapy evaluation, low complexity CPT 97165 OT EVALUATION LOW COMPLEXITY 98087646 | $640.00 | $640.00 | $111.89–$824.00 | 146% above | — |
| Occupational therapy evaluation, low complexity inpatient CPT 97165 OT EVALUATION LOW COMPLEXITY 98087646 | $640.00 | $640.00 | $288.00–$640.00 | — | — |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT EVALUATION HIGH COMPLEXITY 98089287 | $855.00 | $855.00 | $108.80–$855.00 | 118% above | — |
| Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 PT EVALUATION HIGH COMPLEXITY 98089287 | $855.00 | $855.00 | $384.75–$855.00 | — | — |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT EVALUATION LOW COMPLEXITY 98086648 | $409.00 | $409.00 | $108.80–$824.00 | 73% above | — |
| Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 PT EVALUATION LOW COMPLEXITY 98086648 | $409.00 | $409.00 | $184.05–$409.00 | — | — |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT EVAL MEDOERATE COMPLEXITY | $613.00 | $613.00 | $108.80–$824.00 | 73% above | — |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 PT EVAL MEDOERATE COMPLEXITY | $613.00 | $613.00 | $275.85–$613.00 | — | — |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 PT MANUAL THERAPY EA 15 MIN | $427.00 | $427.00 | $22.21–$824.00 | 256% above | — |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 PT MANUAL THERAPY EA 15 MIN | $427.00 | $427.00 | $192.15–$427.00 | — | — |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PT THER PX EXERCISE EA 15 MIN | $390.00 | $390.00 | $10.96–$824.00 | 201% above | — |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 PT THER PX EXERCISE EA 15 MIN | $390.00 | $390.00 | $175.50–$390.00 | — | — |
| Psychotherapy for crisis, first 60 minutes CPT 90839 HC PSYCHOTHERAPY FOR CRISIS INITIAL 60 MINUTES | $613.00 | $613.00 | $38.01–$613.00 | 79% above | — |
| Psychotherapy for crisis, first 60 minutes inpatient CPT 90839 HC PSYCHOTHERAPY FOR CRISIS INITIAL 60 MINUTES | $613.00 | $613.00 | $275.85–$613.00 | — | — |
| Psychotherapy session, 30 minutes CPT 90832 HC PSYCHOTHERAPY INDIVIDUAL 30 MN | $417.00 | $417.00 | $52.87–$417.00 | 31% above | — |
| Psychotherapy session, 30 minutes CPT 90832 HC CRISIS TELEH 90832 PSYCHOTHERAPY W/PT 30 MIN CD | $461.00 | $461.00 | $52.87–$461.00 | 45% above | — |
| Psychotherapy session, 30 minutes inpatient CPT 90832 HC PSYCHOTHERAPY INDIVIDUAL 30 MN | $417.00 | $417.00 | $187.65–$417.00 | — | — |
| Psychotherapy session, 30 minutes inpatient CPT 90832 HC CRISIS TELEH 90832 PSYCHOTHERAPY W/PT 30 MIN CD | $461.00 | $461.00 | $207.45–$461.00 | — | — |
| Psychotherapy session, 45 minutes CPT 90834 HC PSYCHOTHERAPY INDIV W/PATIENT 45 MINUTES | $613.00 | $613.00 | $67.16–$613.00 | 93% above | — |
| Psychotherapy session, 45 minutes CPT 90834 HC CRISIS TELEH 90834 PSYCHOTHERAPY W/PT 45 MIN CD | $680.00 | $680.00 | $67.16–$680.00 | 114% above | — |
| Psychotherapy session, 45 minutes inpatient CPT 90834 HC PSYCHOTHERAPY INDIV W/PATIENT 45 MINUTES | $613.00 | $613.00 | $275.85–$613.00 | — | — |
| Psychotherapy session, 45 minutes inpatient CPT 90834 HC CRISIS TELEH 90834 PSYCHOTHERAPY W/PT 45 MIN CD | $680.00 | $680.00 | $306.00–$680.00 | — | — |
| Psychotherapy session, 60 minutes CPT 90837 HC PSYCHOTHERAPYINDIVID 1 HOUR | $807.00 | $807.00 | $98.02–$807.00 | 120% above | — |
| Psychotherapy session, 60 minutes CPT 90837 HC CRISIS TELEH 90837 PSYCHOTHERAPY W/PT 60 MIN CD | $897.00 | $897.00 | $98.02–$897.00 | 144% above | — |
| Psychotherapy session, 60 minutes inpatient CPT 90837 HC PSYCHOTHERAPYINDIVID 1 HOUR | $807.00 | $807.00 | $363.15–$807.00 | — | — |
| Psychotherapy session, 60 minutes inpatient CPT 90837 HC CRISIS TELEH 90837 PSYCHOTHERAPY W/PT 60 MIN CD | $897.00 | $897.00 | $403.65–$897.00 | — | — |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 TOBACCO USE CNSLG 3 - 10 MIN | $202.00 | $202.00 | $10.41–$202.00 | 175% above | — |
| Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 TOBACCO USE CNSLG 3 - 10 MIN | $202.00 | $202.00 | $90.90–$202.00 | — | — |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 F/U VISIT | $362.00 | $362.00 | $57.20–$362.00 | 44% above | — |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 F/U VISIT | $362.00 | $362.00 | $162.90–$362.00 | — | — |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 EST PATIENT-15 MINUTE VISIT | $536.00 | $536.00 | $24.00–$536.00 | 275% above | — |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 EST PATIENT-15 MINUTE VISIT | $536.00 | $536.00 | $241.20–$536.00 | — | — |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HC L&D TRIAGE LVL 4 | $479.00 | $479.00 | $37.50–$479.00 | 138% above | — |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 EST PATIENT-25 MINUTE VISIT | $806.00 | $806.00 | $37.50–$806.00 | 301% above | — |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 HC L&D TRIAGE LVL 4 | $479.00 | $479.00 | $215.55–$479.00 | — | — |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 EST PATIENT-25 MINUTE VISIT | $806.00 | $806.00 | $362.70–$806.00 | — | — |
| Speech and language evaluation CPT 92523 ST EVAL SOUND/LANG COMP | $1,241.00 | $1,241.00 | $130.58–$1,241.00 | 172% above | — |
| Speech and language evaluation inpatient CPT 92523 ST EVAL SOUND/LANG COMP | $1,241.00 | $1,241.00 | $558.45–$1,241.00 | — | — |
| Speech therapy session, individual CPT 92507 ST SPEECH/HEARING THERAPY | $1,213.00 | $1,213.00 | $29.72–$1,213.00 | 337% above | — |
| Speech therapy session, individual inpatient CPT 92507 ST SPEECH/HEARING THERAPY | $1,213.00 | $1,213.00 | $545.85–$1,213.00 | — | — |
| Spirometry (breathing test) CPT 94010 SPIROMETRY | $535.00 | $535.00 | $24.60–$535.00 | 40% above | — |
| Spirometry (breathing test) inpatient CPT 94010 SPIROMETRY | $535.00 | $535.00 | $240.75–$535.00 | — | — |
| Spirometry before and after a bronchodilator CPT 94060 HC SPIROMETRY PRE POST BRONCHODILATOR 46010063 | $683.00 | $683.00 | $45.03–$683.00 | 15% below | — |
| Spirometry before and after a bronchodilator inpatient CPT 94060 HC SPIROMETRY PRE POST BRONCHODILATOR 46010063 | $683.00 | $683.00 | $307.35–$683.00 | — | — |
| Therapeutic activities (functional training), 15 minutes CPT 97530 PT THERAPEUTIC ACTIVITY 15 MIN | $390.00 | $390.00 | $11.14–$824.00 | 184% above | — |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 PT THERAPEUTIC ACTIVITY 15 MIN | $390.00 | $390.00 | $175.50–$390.00 | — | — |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs California | Off list |
|---|---|---|---|---|---|
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC ADMIN HEPATITIS B VACCINE | $164.00 | $164.00 | $4.46–$164.00 | 57% above | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMIN VAC INFLUENZA | $240.00 | $240.00 | $4.46–$240.00 | 129% above | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC ADMIN PNEUMOCOCCAL VACCINE 77110004 | $240.00 | $240.00 | $4.46–$240.00 | 129% above | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMIN IMMUN VAC INIT 42320341 | $240.00 | $240.00 | $4.46–$240.00 | 129% above | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC ADMIN HEPATITIS B VACCINE | $164.00 | $164.00 | $73.80–$164.00 | — | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ADMIN VAC INFLUENZA | $240.00 | $240.00 | $108.00–$240.00 | — | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ADMIN IMMUN VAC INIT 42320341 | $240.00 | $240.00 | $108.00–$240.00 | — | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC ADMIN PNEUMOCOCCAL VACCINE 77110004 | $240.00 | $240.00 | $108.00–$240.00 | — | — |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 ADMIN IMMUN VAC EA ADDL | $248.00 | $248.00 | $4.46–$248.00 | 210% above | — |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 ADMIN IMMUN VAC EA ADDL | $248.00 | $248.00 | $111.60–$248.00 | — | — |
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://choc.org/files/charges/330528802_Childrens-Hospital-at-Mission_standardcharges.csv